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9571 SW WASHINGTON SQUARE ROAD 9571 SW Washirgton Square Road ro 'u re �' v CERTIFICATL OF CITYOFT11OCCUPANCY FA C11Y RD PERMIT i T M. . . . . . . I 61JP99-0259 COMMUNITY DEVELOPMENT DEPA#iT#AE4T one" DATE I SSUED t 13 /21/90 13125 SW Hell Blvd. P O Boot 2x!97,TOM,aeon 97223(W3)639 4176 SITE ADDRESS. . . a 9571 SW WASHINGTON SQUARE. RD PARCEL t 1 S 12600-1814411 SUBDIVISION. . .. t WASHING70N SQUARE :ONINGi C-G 81.OUK. . . . . . a . . • 1 LOT* . . - --------------------- CLASS OF WORK. sALT TYPE OF' USE. . . 3COM OCCUPANCY ORP. t62 OCCUPANCY LOADt44 TE:NAWT NAMF . . . tPETITE SOPHISTICATES Remarkos Tenant Mode T,etit* Sophisticate, interior partitions, etc. . Owners PETITE SOPHISTICATE bail NORTHLAND BLVD BLDG A C I NC I NNA T T ON 45244 Phone Mt Contractors -------_--------- __.__. CAFE 17 OL CONSTRUCTION 1099 CAPITOL DR SUITE 2BW W14EELING Il. 61090 Phone Ps 706-215534P Rep N. . s 64394 Occupancy of the above referenred building is hereby given, and certifies the compliance with the State Of Oregon Specialty Codes for the group, or.cup cy, and under which the referenced permit was issued. i FIRE DEPARTMENT HUI � INO INSPESJJW/-,1 BUIL DING f ILKhe POST IN CONSPICUOUS PLACE / rw F lrlsPsc'�b41L� City of Tigard Building Department 1312S (III Ball al d. T tyard, Orwgon 97223 Inspa-tion Line (Roc-O-Phone): 639--4175 Business Phone: 639-4171 Inspections Y __ Footing Plbg. Underslab Koch. Rough-in Appr/adwlk Pound. Plbg. Top Out Gas Line FIRAL, Post/Beam strut. San. Sewer Framing Post/Roam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line, ^ Gyp. ad. -NeCh. Data Requested, ��- ` 7 L Timet _ �►11 PN ^T / � Addrwsst_ �J �� r��%lG�J71 hent Gt Rutldert THR FOLJ.OMINn r0"ECTION9 ARM RMQUIRBDI Insportor: _ Data, ✓ APPMOVe9 DISRPPROVRn APPROVED SURJurT TO Rom Call For Reinsp. rrr �r rir �r 1N$C9CTIQF PMI city Of Tigard building Depertassst 13125 9b ball Rltd. . yard, Oregon 97223 Inspection Line (Rec--o-Phone)i 639-4175 Business Phones 639-4171 mac,, Inspections ---�-- rooting Plbg. Undereslab Mach. 4h-in Appr�'57wlk round. Plbg. Top Out Gas Line VIMALs Post/Beam struct. Says. Ser+r Pressing -Aldo• Poet/Rears Mech. Rain Drain Insulation -Plumb. rlbg. Underfloor Mater Line Gyp. Rd. -list)b. Date Requested(: -�' Tlast �yh_11M !M Address s 7 5 7/ / .!�� POrbiitj#t !J U�7� - Builder) > ,-� "�"� w S'�— THE POLI.OMIMG OORRECTInNs ARE REQUIRED' F JF . ( �Zo - Inspectort ,,� -- - -- Datet�-liZvLfrt_. APTOMM DIRAPPMIVED APPROVED SUR,19M 7" ABU" Call For Relnsp INSPECT UN ,NtYTICB City of Tigard Building Dwpartasot /�� 1312S M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phrno): 639-4175 Businea■ Phone: 639-4171 Inspect ion+ Footing Plxl. Underslab Mech. P.ough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINAL: Post/Roam Struct. San. Sewer Framing -Badg. Powt/Beam Hoch. Pain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date RequestedeI 6E-�Q time AH —.4,PH Builder, + r THN FOIAAIWING COPRXCTIONS ARK RKQUIPKD+ e Inspector+ _ Dste+ fAPPROII=D D I BAPPROVtD A PPROWD BUB"_? TO ABMR Call For Mainsp. iNSPICTION NOTICE City of Tigard wilding Departmeent L1155 M Ball Blvd. Tigard, Oregon 9/223 Inspection • (Rec-o-Pho,.ne)tt 639-4175�B�u�s;inean Phone: 639-4171 Inspections_ :21 J11- / 1.6 = _------ ---- Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Round. Plbg. Top Out Cas line FINALt Poet/Beam Strutt. San. Sewer Framing -B1dq. Pest/Beam Hoch. Rain Drain Insulation -P 1,tmh. Plbg. Underfloor Mater Lin/e� B --boch. Dare RrAuestedt_,1T_� G__ Timet _AN _ ` PM Addt:eBat //nn•• yr� Permit Builders T1.1v sOLLOWINO CORRiCTIONS ARR pRuUIRiDt Inspectors Dates. APPt"no &-'DI/APPRD vO APPTAYM sUBJIIM TF) ABcnre __Cell For Mlnsp. W W W INSPECTION NOTICE City of Tigard Building Department P.0 Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection � ✓ --- / /� - �D __�P.M. DAtP. Requested— Time A.M.� AddressL Permit Lot Owner ---- - _ # 1_ i _ Builder l=uiidi,--a ice--The followinCode deficiencies are required to be corrected: — - yApp P►esPntntl to rnved Inspector — L l ONsAI pr.�ved Date CALL FOR kF INSPECTION X11 YF.t Cl No INSPECTION NOTICE Z� j tt+ - •� Se { City of Tigard Build;nDepartment 9 g P.O Box 23397 `Tigard, Oregon 97223 ^ ; Phone: 629-4175 tI y Type of Inspe on Date Requested /U :�d `!1/, Time )i�—A.M. P.M. Address L � � ��e mlit # � Owner - Lot #t Builder The following Building Code deficiencies are required to he corrected: i Presented to _ --- Approved Inspector C Disapproved Dote CALL FOR RE1NSPFCTtVjV DYE$ O No s iKEN XW INSPECTION NOTICE Citv of Tigard Bi 'ding Departmeit P U Box 23397 1 igerd, Oregon 97223 Phone 639-4175 Tyne of 1.ispection -_ J,j%A-f --- _ - 70 3 6 — Date Requested �I '�(1 Time A.M. P.M. Address ___ 1/ �1�•il1 _ �.--- ---_� f�fFlilt Owner—�„4.l� l - -- Lot _ Builder L The following Building Code deficiencies are required to be corrected: Presented tor_'Aptjrnvod _ _4 Inspector _. _Q ❑ Disapproved Det. ��_=1c T•'=' _ — CALL FOR REINSPEMON 0 ret ❑ NO WOUIRKE a R�r ski�.n 11u•,M`,yt�,Mph"�IFt�1 �'"'+M�Mbi�'ye�+k�'�yil�P« 1►►4+s�h' p�'�r"'"'°#''c°�l"1�'"'�"d" 't.�e"''A1*'�; TUALATIN VALLEY FIRE A RESCUE >� n AND 4 Q" 1 BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE kud �� (503) 526-249 POSTED: Fd RE OCCUPANT T CONTRACTOR BLDG. PERMIT It Q PROJECT NAME PLAN REVIEW It LJCATION � JURISDTr,TION: 1= Be. 2= Du. 3= K.C. 4= Ti. 5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC COVER FINAL, SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL I� Framing R Separation Walls Sprinkler System Shaft El Fire Dampers (Overhead/Underground) Alarm System Hood Extug Systems Conference Spray Booth Ceiling Cover El Other za I IV r Dates ��\ iaapectar I il W.K# W W W CITYOFTIVARD GTYOFTI6ARD PERMIT 1#. . . . . . . : F'LM9O•• !31f3:: COWAUNTTY DEVELOPMENT DEPARTMENT owEoo« PRIM. PERMIT 0. : PUP90-0299 3 z�sw►w�kinw F.o.►,o�zror,rp.rd,onaa+9 +(aa+le7ma17m TATE. ISSUEDa 1.0/1.2/90 :,:11L HDDRESS. . . : 95/1 SW WASHINGTON :i(7UAFiE RD PARCEL: IS126C0 (J1.4E?1 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . CLASS-OF�WORK. . :AL" GARBAGE. DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE:. . . - :COM WASHING MACH. . . . . . . : BACKFLOW t'REVNTRS. . : OCCUPANCY GRP'. . :B2 FLOOR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . .. STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . : -- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . s SINK'.%. . . . . . . . . . a URINALS. . . . . . . . . . . . . GREASE TRAVIS. . . . . . . : L.AVATURIE.S. . . . . a 1 OTHER FIXTURES. . . . . : TUB/SHUWERS. . . . : SEWER LINE (ft) . . . . : WATER CLOSETS. . :1 WATER I_INL (ft) . . . . : DIaHWASHE_RS. . . . : RAIN DRAIN (ft) . . . . : Ren►a0.%. Tenant Mud: Petite 5ophiscticate, interior partitions, etc:. .. _.-_ .- F E:E.S CAPITOL CONSTRUCTION GRP. IN(:. type amount by date rPCE1t 1.O00 CAPITOL. DRIVE: SUITE:. 200 I'RMT $ 30. 00 / 1 PLCK $ 7. 50 WHE:E l_I NG IL 60090 5PC T * 1. �'►,one M a 708 215-` 342 PAYM $ :39. 00 JLH 10/12/90 ,,Wltractor: _........ _. ...__.._._........... ............__.... _.. .. _._ C►EAVERTON PLUMPING, 1ML. 13980 aW TUALATI:N VALLEY HWY m—AVE::RTON OR 97005 1-hone Ma 643-7619 t 39. 00 TOTAL. F:eq M. . : 12$99 -------- REQUIRED INSPECT 1ON5 - !his pers.t is issued subj•ct to the reEulations contained in the Rough—in I ns p y ___..__.._..._..____.... Tigard Municipal Code. State of Ore. Specialty Codps and all other top—out I nsp applicable laws. pli work will be done in accordance with Final inspection _. approved clans. This permit will expire if work is not started within lel days of issuance, or if work is suspended for wore .___ th,n lee days. Perm itteo 81gnature: A L . ...�... Issured By: _.....__ .._...._........_.._..__. __......__. ._. ...._...__...__.._.._. Call for inspection - 639-4175 FTrF T.rT;T»'f-YT--f i 7 0 ii 5-t-au 3- FLUMFINCPERMIT CITYOFTIFARD LcrrNA160 PERMIT K. . . . . . . : PLM90- F163 HATE I85cEn: le/12/9eCOMMUNITY DEVELOPMENT DEPARTMENT13125 SW HYI BNd. P.O.Bon?3397,TOM,O►pon 972x1(603)X4175 71r SS, Sid WA 5 3 N 1W ;i l M S " I I 3 SUBDIVISION. . . . : ZONTNGa BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . a MOBILE HOME SPACES. a TYPE OF USE. . . . -.(',DM WASHING MACH. . . . . . . : Y/ACKFLOW PRLVNTRS. . a OCCUPANCY 6RP. . :B2 FLOOR DRAINS. . . . . . . al TRAPS. . . . . . . . . . . . . . I STORIES. . . . . . . . : 1 WATLR HEATERS. . . . . . : 1 LATCH BASINS. . . . . . . a LAUNDRY TRAYS. . . . . . a GF' RAIN DRAINS--$ MINKS. . . . . .. . . . . : URINALS.. . . . . . . . . . . . . GREASE TRAP'S. . . . . . . : L.AVATORIE:S. . . . . 11 OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . a WATER CLOSETS. . a 1 WATER LINE ( ft) . . . . : DISHWASHEE.RS. . . . : RAIN DRAIN (ft) . . . . : Kemrrksa ientont Mod : Petite E�ophisticatr, interior partitions, etc. OWNER e C:AF'ITOL, CONSTRUCTION ORP. INC. VIRMT t 30.00 1000 CAPITOL DRIVE. SUITEr 200 PLLK f 7. 50 5PC T $ 1.50 WHEELING IL 60090 PAYM f 39.80 JL.H 10/12/98 Phone Na 108-PI5-5342 P1UMbi1-1g Contrar_tort -- Name: Addressa 3? 10 _rSt� C i t y aiy {l _- States_CAL �_.._ 71 p:_ ._.___F'hon90 a Rey REQUIRED INSPECTIONS --- - This permit is issued subject to the reg ulations contained in the Tigard Municipal Rough--in Insp Code, State of Ore. Specialty Cud** and ^) I Top out Insp other applir.a4le laws. All work will be done Final Inspection in acrordancr with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work. is �__•� _� asl.4spended for more than I80 days. AI-i .h r zed Plmbiny L:antractor $iynature Call for inspection - 639-41.75 Contractor Notes a [Tw1wrl ■ 111 BUILDING FIERMIT CI1Y®F TIGARD CITY OF TWARD i PERMIT #. . . . . . . .. BU P9 0--0 2 S' COMMUNITY DEVELOPMENT DEPARTMENT oesoo« TRIM. FERMI r #. : Bup,qo-@P"ln 13125SWHW18W. PO Box23397.Tqiud.0"oqon 97223 (60)"-417b DATE ISSUED: 10/12/90 I_ ADDRESS. SW WASHING70N SQUARE RD PARCEL: IS126CO-01401 SUBDIVISION. . . .. : TUNING: BLOCK. . . . . . . . . . LUT. . . . . . . . . . . . . . .......... REISSUEa FLOOR AREAS---- EXTERIOR WALL CONSTRUCTION-- CLASS OF WORK. .-ALT FIRSI . . . . .- 1700 Sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : Sf PROTECT' OPENINGS''---_______._ TYPE OF CONST. %3N THIRD. . . . : Sf N: S: E: W: C)CCUF,ANCY GRP. :B2 I : 1700 Sf ROOF CONST- 14 FIRE RETI:Y OCCUPANCY LOAD:44 BA$EMENT. : sf AREA SEPI. RATED: S'TOR. zl HT. a;34 ft GARAGE— : sf OCCU SEP. RATEDr REUD I I BSMT?iN MEZZ�1:N SE REOUI REI)----- FLOOR LOAD. . . . -50 PSf LEFT. ft RGHTv ft FIR SPKL:Y SMOK DET. . cN DWELL-ING UNITS: FRNT: ft REAR: ft FIR ALRMrN HNDICP ACCeY UrDRMS: PATHS IMF, SURFACE: PRO CORRvY PARKING: VA,'_UE. $: 100000 Remarks: Tenant Mod: Petite Sophisticate, interior partitions, etc. OwnersFEES CAPITOL CONSTRUCTION GRP. INC. type AnIOUnt by date reept 1000 CAF:,lTOL DRIVE SUITE 200 POYM $ 454. 65 JI..H 09/26/90 295266 PAYM $ 0. 00 JHJ 1.0/05/90 WHEF,LING IL (40090 PHMT $ 433. 00 Phone 44: '108--215--5342 FILCK $ V81. 45 FIRE: $ 173. 20 Contractors 5FICT $ 21.65 CONTRACTOR NOT' ON FILE F111YM $ 4:54.65 JLH 10/12/90 Phone 90'.). 30 TOTAL. Req #. . c REOUIRED INSPECTIONS This otreit is issued subject to the rejulations contained in the Slab Insp Tigard Flunicipal Code. State of Ore. Specialty Codes and all other Framing Insp &pplicible laws. All work will be done in accordanre with Insulation Insp approved plans. This ptiroit will tipirt if work is not started Gyp Board Insp within IN days of issuance. or if work is suswrded for sort Susip Ceilnq Insp than IN days. Final Inspection 11 rmitter sirlilattare. e do Call for inspectiin 639-4175 MECHANICAL CITY OF TI�.�RD PERMI T bF PERMIT 11. . . . . . . :. MEC90-0210 COMMUN[TY DEVELOPMENT DEPARTMENT C1 11125 SW HWI Blvd P.O.Som 2&W,TkpW,Oregon 972D (503)&W-4171, PRIM. PE*RMT1 0. EIIUP'90-029�) DA E. ISSUED: 5'JTE ADDRESS. . . - 9 .)/1 SW WASHINGTON SOIJARE RD PARCEL C 1 S 1 26CO 0 140 !3UBDIVISION. . . . . ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . CLASS OF WORK. ALT FLOOR TURN. . . . : EVAP COOLERSc TYPE OF USE. . . . 1 LOM UNIT HEATERS. . : 'IFNI FANS. . . : 1 OCCUPANCY GF1. . :B2 VENTS W/O APPLI .. MT SYSTEMS-. STORIES. . . . . . . sl BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL 0-3 HP. . . . : DOMES. INCIN: - /GAS/ 3-15 HP. . . . : COMML. INCINt MAX INPUT: BTU 15-30 HP. . . . : RUPAIR UNIT 6: 1 "I RE DAMPERS?. . a Y 30-511 HP, " * * : WOODSTGVES. . : OAS PRESSURE'.. . . 50+ HP. . . . . CLO DFYERc;. . : NO. OF AIR HANDLING UNITS OTHER UNITS. : FUPN < 100K PTU: < 10000 cfm: GAS OUTLETS. : VURN >----1.00K PF'U: > 10000 c f m c kenia-rks: Tenant Mod. Petite Sophisticate, interior pa-rtitions, etc. Owners FEE C'(4:11TOL CONSTRUCTION GRP. INC. type Amovi-It by date 10cpt 1,000 CAPITOL DRIVE SUITE 200 PRMT s i9.00 PLCK $ 4. 'r;5 WHE-FI-ING IL 60890 5PCT * 0. 95 11tioiig,I 0: 708-215-5342 PAYM $ 24. 76 JLH 10112190 Contractors ORROW MECHANICAL CONTRACTORS 10330 SW TUALATIN RD. IUALAIIN OR 97962 11hr,ne 14: 692--1565 $ 24. 70 101 AL Req ". . : 0.1193 REQUIRED INSPECTIONS This Welt Is issued subject to the rtfulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Duc!: Inspection applicable laws. All 000 will be done in accordme with Final Inspection approved plans. This jKrait will @spire if work is not started within 181 days of issuance. or if irk it SUSP@ndtd for sort than Igo days. 1,f-f-mittew Signatures .( -4-- ,stied By o e� Call for inspection w :IT'i OL FIGARD - RECEIPT OF PA(`ENT RECEIPT NO. 00-2M765 C)fCk Al RINT t 919.35 N% r CAP I TOL CIlM5 rk11CT I ON w5li Afw : 0.00 ADI?ESS r 1000 CAF I Tf9 DR PA'rfENT DATE t 10/12190 SUBDIVISION WHEELING. IL W^t - 9971 MASH W RD FURfIff OF PAtMBT AMflll!'1T FO TD r'UR W OF PAYMENT AM"T PAID KJILDIN6 OEM rBdJP94-U w.00 PLIAIBING PERM 30.00= fEat'NiCAL. PC 19.00 ST. BUILC PEP 24.10 PLAN C;HEU FE 1,2.25 PETITE SWHISTICATE TOTAL ANVNT PAID - 'St8.35 I I � W CITY OF TIGA RD OREGON October 5, 1990 Marla Martin Capitol Construa:tion Group, Inc. 1000 Capitol Drive, suite 700 Wheeling, IL 6CO90 Project: Potite Sophisticate, BUP90-0299 9571 S.W. Washington Square Road Dear Ms. Martins The plans for this project were reviewed for conformity with applicable codes, and are conditionally approved. if any changes will he made to the sprinkler system or mechanical system, Flease submit plans which show such changes. Changes to those systems must be approved and permits obtained prior to any work being commenced. You may obtain the building permit for the project at your convenience. If you have questions, or if we may be of assistance, please contact us. Sincerely, im Jaqua /Plans Ex i c t. FAX (5031 4-7297 13125 SW Hall Blvd PO Box 23397.Tigard,Oregon 97223 (503)639-4171 - - TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503)526-2469• FAX 526-2539 October 4, 1990 Capitol Construction 1000 Capitol Ur. , Suite 300 Wheeling, Illinois 60090 Re: Petite Sophisticate 9571 S.W. Wash. Sq. Rd. 5889C-060-050 Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1988 editions of the Fire and Life Safety Code (UBC) , Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulations . Plans are conditionally approved subject to the following items : 1 . Automatic Sprinkler Plans: Plans referred to and examined by this office contain no provisions for the alteration or installation of automatic sprinkler system. Not less than three seta of plans for the installation shall be submitted to this office for approval prior to installation. UBC 302 (b) 2 . Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing the construction permit and this office must be maintained on the project site throughout all phases of construction and must be made available to building and fire inspectors for reference during requirod construction inspections. UBC Sec. 30: 3. a uired ccupancy Certificate: Prior _o tha ut-,e and occupancy of the project (space) , a ceitificate of occupancy or other written instrument of appr-ival must be obtained from Lhe building department issuing the construction permit. UBC Sec. 307 "Wwk&V"Smote D"ecton Save Uves w w w w w w w 1W �w Capitol Construction October 4, 1990 Page 2 If I can be of any further assistance to you, plear3 feel free to contact me at 526-2502 . Sincerely, Gene Birchi Deputy Fire Marshal GB:kw cc: Tigard Building Department 7-ITY OF TlWARD - RECEIPT OF PAYMENT RECEIPT 1140. t90-205266 CHECK AMOUNT 454.65 NAME i CAPITOL CONSTRUCTION CASH AMOUNT o 0.00 ADDRESS 1000 CAPITOL DR rAYMENT DAIL SUITE 200 SUBDIVISION WHEELING, IL 60017(j- 9571 WASH SQ RD PURPOSE OF PAYMENT AMOUNT PAID PuRposr or PAYMENT AMOUNT PATE, PLAN CHECK FE 9-73C 28 1 .45 TUALA7 IN VAf'.-L 1773. 26 FL ' I TE SOPHISTICATE T11TAL AMOUNT PAID 454. 65 - H - - m' m - --- I LETTER OF TRANSMITTAL CAPITOL CONSTRUCT-ION GROUP, INC. 0(1000 CAPITOL DRIVE•SUITE 2CJ•WHEELING,ILLINOIS 60090•(708)215-:1500 C 1 123 NORTH WACKER DRIVE•CHICAGO, ILLINOIS 60606•(312)782 6396 C 1395 WARNER AVENUE•TUSTIN,CALIFORNIA 92680•(714)259-8577 SEP'T'EMBER 27, 1990 TO: __CITY OF TIGARD RE: PETITE SOPHISTICATE 13125 S.W. HALL BLVD. WASHINGTON SQUARE TIGARD, OR 97223 PORTLAND, OR ATTN: JIM JAQUA JOB NO. 62-17606 GENTLEMEN:❑ATTACHED, OR UNDER SEPARATE COVER VIA AIRBORNE ©OPM DRAWING NO. DATED DESCRIPTION 1 PLAN REVIEW FEE APPLICATION COMPLETE SETS OF BLUELINES FOR THE ABOVE REFERENCED JOB. _ 1_ 806134 _ CAPITOL COMPANY CHECK IN THE AMOUNT OF $454.64 FOR PLAN REVIEW FEE. I ' FOR YOUR USE n PER YOUR REQUEST C] APPROVED AS NOTED FOR REVIEW 6 COMMENT U FOR ©IDS DUE _ [I NOT APPROVED I FOR APPROVAL El APPROVED AS SUBMITTED L 1 REVISE & RESUBMIT SPECIAL INSTRUCTIONS CC: CAPITOL CONSTRUCTION GROUP, INC. FILE Wt.\TT• _ MARIA MAatTI9�PAWWT MANAaR/LI,�_� lir OM-UNI 09/25/90 10-38 12503 684 7287 ('1 TY OF T 1 c;ARU/1 l//� rbool V25 sw .W BW PIM7C/R©LT - 7j •��'� CITY OF T GA RD 1lpnrd,CkoW 19077223 PMUT it COMMUNITY DEVEL OPMENT DEPARTMENT (503)63^4171 [SUE LSSA11D J6\J JOB ADCRESSc �'/tr�jrtt NC>TC>tll �c�,� .'�.1�Q,TAX KAP/1OT S1 M: wr: LAWclsF: �.. _-- 1WdE: C. REIR.Si1P. UF: ADDRESS: IASL' RE1S_SUB: ----. - (• 1gDOD PLAIN/ SENSPI'IVE LAN) 77 1 -- -_ ALS RI Ui lt�JV -a C PLANK I NG: — NlAMF:: _t. mGINE RIM:ADDRESS! Qw ---- (11W t: r � L TIIfia'' _sem P'ONE: L.L91'/StlFy�-r�tiw�c�Ivres KTI.MEP-S BOARD1: EXP DATE: BUS TAX: -------- 1A32C1JLELK M v CALF-MAT I ONS: _ TI1I I55 ULrMTLS: Nl�ME• __ C11lii•12: N7[Atf•::3: . Pry: --- -- cammmnv3q .. _. �— IQ ,! .�' �i��eoorrL4v►craRs: PEFOUT R ACCT � or ?lowr 1?U. �.T L 10-432 00 Building PM-Mit Fees =- 10-431 00 PIUMbirq Permit Fe.- �- -12W 10-431 01 Mechanical Permit. Fe09 _j �;�, 10-230 01 stateBuild-inyTax "Al r ,i v Buildinj Plumbial MeCh 10--433 00 plows, Llw k Fee � ruilding " I'ltm+birtiq __ •f Mach _ 30--207: 00 .1.4- ar c7onr tion 30-444 00 Sewar LttTOCt i an - - "'-- 51-448 00 S root SY' Lwm Ovv (W) 52-449 00 i'ekrk4 :ywtem Devv. (Ivirye (PBC) ----- 31-4150 00 Btcmn M-61 tw"W Wit. rw'v C " ---•�- 10-230 06 Fire lam mor st ToB 15 Received By: ef!3597I•.WPF IB w � w w r w f'I ,UM f31 Nig I'f:fZN111 13125 sw HALL BLVD. P. O. BOX 23397 A;)♦locants must hold ()regon Registration to cexhduct a plumtxng T I GARD, OR 97223 txrsiness or must be prgxrty ownrer c/opator not hiring orAside help. ---- (503)639-4175 Narne d Oevsbpr*renl , - Plu nhong Permtl No- Addess ' Desc.-hpbon _ ,S LU (/V," ORS 81421-610 OL1AN. PRICE AMT. Job Tex Lot how Na - Address __ -- F:XTIJRES t too Block Subdorlattill - 7.50 Sink _ .ms w,saneow ss lavatory 7.50_ S L Tub of Tub/Shower Comb 7.50 Address _ Shower Orry 7.50 Owrmr City _ - 7ro WaterCk" -- -- 7.50 "750 Dishwasher 7.50 ------- - Phone Garbage Disposal _ 7.50 --- washing Mactw+e 7.50 _ Nam Floor Dr. '1mUig'Address iPhone Water Healer _ 7.50 Laundry Room Tray _ 7.50 _ Occupant -di-VIS111110 llrnw 7�_ OMer Frwb res(Spsoily) 7.50 /.SO ss pnowr 750 Contractor ylStau - --- 21p J_ 7.50 c;M MISCELLANEOr1S ---� -- City " Tax No Sewer lot Iw 3000 .Asir,Ukip Board No _ eats S*w*r-oa.Adt*100' 15.00 (Resdenbal) WOW Service Iof 100' 20.00 1 hereby ackhuwtl ledge th1 hew read this appUrAMon.hat Me inkxmatinn Walsr S*rvioa K.Addil2Mr 15.00 green is correct hal 1 am r9gWored with the Stals Builder'.Board.and also Storm A Rain Oraln 1st 100' 30.00 - he"a Staft Pkxrrbing trews*Mut the nurrAws Qiren am comic,hal aN pkar#rg wait w4 be done in accorder"wfh appilcabie prwiskew of Orr Storm&P-in Drain Ad*.100' 15.00 _ gm Revised SukA*s C hsoom 441 end 681 and applicrbb codes end Meat Moble Hone Space 25.00 s no help woo to enn*ryed unlw"Mcweed under ORS 601 (11*> fr pl hen , ,warn Aekrw) Back Flow Prav*rMion 750 State registret+orh_phase W" peribarxMY-Po�AanOalloa N(Wf(YNW 1 1;- I hereby owufy hat lam he owner d he protleny dr acrbed above,of which location I propce*to make a pkxnbing bete,Mlon for Any Trap or weals Hol my own use and hb p"Xwrty to red bekhg cmis1rucled for sale.Ieaw OF rwa Connected W a Rxkxa 7.50 Catch Basin 7.50 bap.of Eidw.Pka"" _ 40.00 Per IM. -- ---- - Spacial,R*ques"d Mapedio to 40.00 Par Mk. _ Ruin Drain, - t5A0 Single Fres. Owl . , AUTHORLFED SKl njptE Deaeribe woelt new[] oddition(-) aMeratien F] repok(] � - ttlsidefdiiil Ll Ll-. -_ Fxtstlry use d MINIMUM PZRMIT ns 25.00 txAlct vorgxop-tySUB-TOTAL 1'1g10eed uN of 5• SURCHARGE —� bub& or P"ty _ _ 25% PLAN RSV I 8w_ ' NORx.F - - — Th4 p*rrri beoornee ftA end void M wsxk w M onnuallon aut rrot ued Is nrrorr TOTAL totencalwWAnr AO_ yap,M eweMsxilorh w src.k r ahap*rded w eberdceheA k�, .p,rbt d 1r lays V ewy tkrhe afser wrhA N rtrrevwwho*rf nark kt,r1 _ __ M �_�. :ITY OF TIGARD MECHANICAL PERMIT Receipt #t `� L 312 5 SW HALL BLVD. Permit #�'_A_r 7I/^02.1 �. O. BOX 23397 Description -- 7IGARD, OR 97223 Tabte 3A Mechanical Code – – –- CITY PRICE AMT '1503)639-4175 1) Permit Fee -0- -0- 10.00 Noma of Daivelaprtlant 2) Supplemental Permit 3.00 JobAedAr t J 11 Furnace to 100,000 BTU - 6.00 Address _7 ! incl.ducts 8 vents Tax tot MW NO2) Furnace 100,000 BTU 7.50 incl ducts&vents LCA 91oek StA4Wion -- — - -- Nana lar none of business) 3) Floor Furnace 600 incl.vent 4 Suspended heater,wall heater Owner - ) or floor mounted heater 8.00 5) Vent not incl.to -- - - 3.00 appliance permit Iso twYtt>.$) - Repair of heating,refr g,6)_cooling,absorption unit 6.00 thifflAdftarAorr - Boiler or comp to 3 HP Occupant 7) absorp unit to 100,000 BTU 6.00 a/ - H) Boiler or comp to 3 HP-15 HP 11.00 absorp unit to 500,000 BTU Name 9) Boder or comp 15-30 HP 15.00 absorp unit'h-1 million �Y Matilling Ae&en Phow 10) Boiler or comp to 30-50 HP 22.50 absorp unit 1 -1.75 million Contractor uMt9tat� - ---- - aao 11 Boiler or comp to 50 HP 31 50 absorp.unit 1,750,000 BTU Sue Rwgistranm No City[lug Tar N�: 12) Air handling unit to 4,50 10,000 CFM 1 hereby w*rrrwtertge that t haw-ad ltws atx�wtKtn that tt,v inl-malxrn grvon is t3)--Air handling unit ----- 7.50 aonsrv.that I*m thw~w(w atAty x+Iwd agent o'thw rwxrtar that gleno erRx10,000 CFM rnttlaA are x• -- - oompharce with State lawns thwt I am m7stared with the_,tate Mmkters fkwd,that nwNon portable number gmen h con acf (n examrs from Stat*r*grstrattnn plaaw q"reason twilrmi 14) evnpcxate confer 4.50 15) Vent fan connected r--- 300 --- to as ingle duct 18 ) Ventilation system not r included in appliance permit 4.50 Hood served by 17) mechanical exhaust 4.50 9*01-e(owner or Writ) n,.t.' Domestic type 18) 7.50 Incinerator Describe workL] so]dNton C7 aMeratbn'A repairI I _ � to be done raaldential C I non-residertbal W_- 19) Commercial or industrial 30-00 Existing use of type incinerator ---------- - — building or properly Other i e.,woudi love,water Proposed usn of �) heater,solar,c1c ties dryers,etc- 4.50 buildiny or property 21) Gas ptptttg nne tt•tour rtutlet3 2.00 Type of fuel- cN' f I natural gas 1'j LPG I I r(ot int I i -- -_ -- - 22) More than 4-per o JtkA NQU" -- SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5 SURCHARGE CJS DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL S ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER ------- - WORK IS COMMENCED TOTAL i Special Conditions - __--- Date issues -----— by