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INSPECTION NOTICE
City of Tigard Building Deoartment
P O Box 23397
Tigard, Oregon
Phone. 639-41175
Type of Inspection _�._:J�_S1 — —
Date Requested ___ ..��' G Time A.M. ('P.M.
Address __.. _-=Lsd_ � ��-�' ___ Permit It �
Owner _ ( Lot _.
Builder -
The following Building Code deficiencies are required to be corrected:
7V �C'� `� v
Presented to ../1'91 Approved
Inspector C' Diiapproved
Date
CALL FOR REINSPE(MON
Cl ret I_-; No
w w w
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT_
FIRE MARSHALS OFFICE:
(503) 526-2469
&REPOSTED:
S /
OCCUPANT
CONTRACTOR t ! rl r T�/ ( .a,+�s 1 �j(�t D. BLDG. PERMIT 0
PROJECT NAME 5L+ ylld--r4 PLAN REVIEW 0
LOCATION �� (it/d It,
JURISDICTION: 1= Be. 2= Du. 3= K. 4 �S= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER F141-- SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
u Framing Separation Walls Sprinkler System
ElShaft. ❑ Fire Dampers (Overhead/Underground)
Alarm System ❑ Hood Extng Systems El Conference
El Spray Booth ❑ Ceiling Cover El Oth
1 i4jd �� >ti 1 ( &�✓ �� I o r?
Kit
Lj 0 /n�, -fu N/1 0 j")
C)(T'1"6 at I k I LIC 9 Ir I
ta
L) IG Ile 5d
kvN r4 Ic
r
Date: I J�� 1 Inspector:
INSPECTION NOTICE
Cit, of Tigard Building Department `yl
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Tyre of Inspectio eZr
Date Requested II Time A.M. F.M.
A .
Address dPermit *
i
Owner -.
Builder
lei
The following Building Code def,ciencies are required to be corrected:
r
Presented to ``W Approved
Inspector LL . _ C � Disapproved
1
Date
CALL FOR RLINSPF.(.'TION
Elyse 1 1 100
INSPECTION NOTICE
City of Tigard Building Department `.
P O Box 23397
Tigard. Oregon 97223
Phone' 639-4175
Type of Inspection _�d !� w `
Date Requested ,�– Time A.M.— P.M. y v
Address — Permit
(,�;_ i �
Lot
Owner
Builder
The
---
The following Building Coda deficiencies are required to be corrected:
--
Presented to _ ❑ Approved
Disapproved
Imo.otar
Date ---
CALL FOR RF;INSPF.C'TION
L) YE8 U No
A t W W W s•
INSPE ION NOTICE
/ City of and Building Department
�j P O Box 23397
L Tigard. Oregon 97223
( Phone 639-4175
Typ of In ori
P• .'
Date Requested- ' nu A.M. YX
Address
Permit o
Owner — — Lot
Budder _
The following Building Code deficiencies are required to be corrected:
Presented to _ _' Approved
Inspector CI Disapproved
Data
CALL FOR REINSPECTION
Cl YES No
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
q%`• Phone: 639-4175
Type of Inspection *'��G�� --��� '� —�C/%�
Date Requestded_�� 4� 6q — Time _A. M•
Address _ _ PWMI #►_
Owner
Builders— � —�
The followingBuildingCode deficiencies are required to be corrected:
Presented to A .- �`— __ _ F i Approved
Irrspectoi [ I Diwppr)ved
Date /-2- 4
CALL FOR REINSPECTION
O rE• U Mo
INSPECT, `N NOTICE
City of Tigard Building Department
P O Box 23397
Tigard. Oregon 972.23
Phore 639-4175
Type of Inspemiun
Date Requested_ Z Thm el( A.M. _—P.M.
Address Permit !It L1_r_! 1
Owner _ . �, !1 _ ' Lot
Builder !Y,,�t� —���i!
The following Building Code deficiencies are required to be corrected:
a
Presented to 17 App-oved
InspMctor _ �_ CJ Disappenved
Data 1 25
CALL
CALL F'OR REINSPECTION
O YEt FJ No
INSPECTION NOTICE
City of Tigard Building Department �
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested __.-._ 7 _—_ Time A.M. L_P.M.
Address - --�� Permit #t a�la--.74
Owner '+ Loi 4~
Builder �.L
The following Building Code deficiencies are required to he corrected; ,
J
— — — - �� 1^ J / O T L�C,4 S ["1 ✓w lel t. y
Presented to � I_) Approved
1
Inspector
Disapproved
Det• ! �—
CALL F'OR REINSPECTION
(A YFs D No
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection -
Date Requested_ Z Z :ifl Time A.M. P.M.
Address �5�1 �,etr,� _ _ Pwmit N
Owner __ _ Lot N
Budder s ? .� _ 22z _
The following Building Code deficiencies are required to he corrected:
Presented to ._ ►pprnved
Inspector / F1 tisepprovad
Deli, j
CALL MR REINSPECTION
[1 YES 0 No
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested ___ _L ��,T-� A.M.__.—P.M. -�p
Permit L.L
Address
Owner _ Lot #f
Builder .The following Building Code deficiencies are required to be corrected:
r
n�
Presented to _ �7 Approved
Inspector _ ❑ Disapproved
oats
CALL FOR RF;IMPEMON
L 1 YEi I l 010
LEY
IN vTUALATIN VALANDFIRE & RESCUE
BEAVERTON FIRE DEPARTMENT
FIRE MARSHALS OFFICE
(503) 526-2469 POSTED:
OCCUPANT
CONTRACTOR BLDG. PERMIT 11
PROJECT NAME PLAN REVIEW fit_
LOCATION S �� !3 —'�� X
JURISDICTION: 1= Be. 2a 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
0 Framing Separation. Walls F1 Sprinkler System
Shaft Fire Dampers (OVeLhead/Underground)
Alarm System Hood Extug Systems El Conference
El Spray Booth El Ceiling Cover Other
r
�tJr �1✓.
Date: Inspectot - ►
— a-- M
o,rl� C J ' ) 7
T(1141"4� ROJEC�NO.
WASHINGTON COUNTY INSPECTION CARD �„a _
DEPARTMENT OF LAND USE AND TRANSPORTATION PE NO.!��FOR INSPECTIONS CALL: 640-3561, 24 HOURS �y_
FOR INFORMATION ,CALL:
�640�-3410 DATL
ADDRESS ����S S/ A/1 PERMITEE
DIRECTIONSZ'4+1L PHONE NO. _
BUILDING MISCELLANEOUS UMBING ELECTRICAL
ftg post/beam nail mobile nom* rain drain temp service
fdn fram! apron/ rood Move post/beam storm serer cover & service
sidewalk
stab insul S014r too out FINAL FINAL
F INAL
qa5 test
OTHER
NOT APPRAVEDECT DAPPROVEDC OV_V�I OTpN E]STOP WORK UNTIL'
4APPROVED FI
0
-u
INS►ECt[D 1r
t>R � W i
CITY OF TWA
RD MECHANICAL PERMIT
CCITY&
g PERMIT NO. : ME891881
T$OAJIDCOMMUNIT'' DEVELOPMENT DEPARTMENT � E ISSUED: 10/17/89
13125 S W Hall Blvd.P U Bo.23397.Tigard,or99on 97223.1503)639•417S M.PMT,N0. 891879
TOB ADDRESS: 9591 SW WASHINGTON SQUARE CR
TAX MAP/LOT SUB: LT: BKL
LAND USE:
LOT SIZE:
ITEM: NO: N0:
WORK, CLASS: ALTERATInN FURNACE (100K AIR HANDIR (1@ i
USE TYPE: COMMERCIAL FURNACE 10OK+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : e2 HEATER VENT FAN 2
VENT VENT.SYSTFM
BLR/COMP (3HP HOOD
KO.STORIES: 1 BLR'COMP 3-15HP INCINERATOR(DOM
DWELL.UNITG- BLR/COMP 15-3aHP INCINERATOR(COM
FUEL TYPE ELEC. BLR/COMP 30-50HP REPAIR UNITS
MAX. INP"T PLR/COMP 50+HP OTHER
FIRE. DMPRS? GAS PIPING OUTLETS
HIGH PRESS''
LOW PRESS?
REMARKS:
Tenant Mod: The Limited
FEES:
O The Limited PERMIT $10.00
N 9591 SW Washington Sq Rd PLAN REVIEW $11.88
F Tigard OR 97223 FIXTURES $37.50
R
STATE TAX $2. 37
OTHER
C
O
N ISLAND MECHANICAL
A PO BOX 17264
C Portland OR 97217
T
PHONF (583) 285-8510
r� REGISTRATION NO. 26-L34pb TOTALIl $61.75
PFCEIPT NO. /c)6 7J
1 his permit is issued subject to the requiations contained in Title 14 _--__..___—.._---_____
of the TMC State of Oregon Specialty Cortes toning regulations REQUIRED INSPECTIONS
and all other applicehle codes and ordinances. and H is herehy
agreed that the work will tw done in accordance with the plans and MECHANCL.SYSTEM
specifications and in compliance with all applicable codes and FINAL
ordinances The issuance of this t,vrmit does not waive restrictive
covenants Contractor And subcontractors shall have current city
business tax permits This permit •rill expire and bercimk null and
void it work is not•tatted within 160 days or if work is suspended or
shandoned for a period of 160 days any time Mter work has
cnmmenced It shall be the responsibility of the permittee to assure
all requited inspections are requested and approved
Orr mittee, nature/
Issued 8y / V CAJI FOR INSPECTION 639-4175
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MA
CITY
OF TFFARD ' �
PLUMPING PERMIT
PERMIT NO. : PL891880
C"y
COMMUNITY DEVELOPMENT DEPARTMENT TE ISSUED: 10/17/89
13125 S W Mall Rlyd P O Boa 23397,Tigard Oregon 97223.(5031639-4175
P IM.PMT.NO. 891879
JOB ADDRESS: 9591 SW : H�HINGTON SQUARE DR
TAX MAF'/LOT SUB: I.T: BK:
LAND USE:
LOT SIZE:
ITEM: NO: NOe
WORK CLASS: ALTERATION WATER CLOSET i' TRAP 1
USE. TYPE: COMMERCIAL URINAL BKFLOW PRVNTR
CONST. TYPE: VN LAVORATORY 2 TRAP PRIMER
OCCUP.GRP. : B2 TUB SHOWER GREASE (RAPS
DISHWASHER
GAkRAGE DISPOSAL_
NO.STORIES: I WASHING MACHINE
DWELL.UNITS: LAUNDRY TRAY RLDG.DRAIN (DIA
FLUOR DRAIN c
SINK SEWER (FT)
WATER HEATER 1 STORM/RAI11 (FT
OTHER 1
REMARKS:
Tenant Modt The Limited
Others Fountain
O FEES:
W The Limited PERMIT $67.50
N 9591 Washx..4ton Sq Rd
A Tigard OR 97223 FIXTURES
STATE TAX $3.37
-- - - - UTHER $16.68
C
0
N
T ISLAND MFCHANICAL
q PO BOX 17264
Portland OR 97217
o PH01''e (583) 285-8510
H REGISTRATION N0. 26-234pb TOTALS $87.75
This permit i•issued subject to the regulations contained in 1-Ile 14 RECEIPT 140.
of the 1 MC State of Oregon Specialty Codes toning reguleronot """""""""'
and an other applicahle codes and orlinances and it is hert,hy REQUIRED INSPECTIONS
agreed that the work will be done in accordance with the plans and PL R.UNDERSLAB
specifications and in compliance with all applicable codes and ROUGH IN
ordinances The issuance of this permit does not waive restriclive
covenants Contractor and subcontractors shall have current city PLB.TOPOUT
bue,hess too permits This permit will expire and become null and FINAL
void if work is not started within 180 days.or if work is suspended or
shandoned for a period of 1110 days any time after work has
rnmrrienced It ehall be tha re%ponsibdity of the permittee to assure
ell roquirell inape(lion%are rPqua,Rted and approved
Permittee Sipnapire
Issued By
/ tgLt FOR ?113FECTTRq 639=�t7S
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
WNW W W WArm
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection Y
Date Requested 7 6 Time A.M. . P.M.
Address L"�� 1� Permit #t 7
Owner — -- Lot # _
BuilderThe following Building Code deficiencies are required to be corrected'
Presented to Iff"'App►oved
Inspector Disapproved
Date —
CALL FOR REINSPECTION
0 YE• C] Pilo
W MW W t ed M�n
[I.o.acxx 7.3;197
1TY OF TIGARD PLUMBING 131 SW Blvd.
Applicants must hold Oregon Registration to covidud a plumbing
PE ) M �T Tigard
��u75
business or must be property owner/operator not hiring outside help.
Name of DevelopmentL_jJ n Plumbing Permit No 4,C��'f'qf
Address Descrlp"s--
.S4 14 ORS 914-21-610 YUAN PRICL AMT.
Job Tax Lot Map.Na. - --�
Atidnu
FIXTURES Block Subdivlsim - —-- --
Sink 7.50
ams w namebusiness) Lavatory ck 7.50
Tub or TuWShower Comb 7.50
Ing rsss ----
Sltower Only 7.50
Owner / Ie ZIP - WalerClosm - r 7.50
Dietwasher 1.50 _
Phone a Garbap Disposal _ 7.50 -
Name 1 Washing Machine - _ - r 7.50 —
S TTj t 1 --` Floor Drain _ 'L 750
Ilnq �e53 ~Phone water Mosier 7.50
Occupant
Lsurldry Room Tray 7.50
City%Slate--- �--^ --
Unnal 7.50
-- ams Phone Other Frxtures(Specify) --- 7.50 _
IP tt v1 1 a, - ^/ t, L rFya. 7.50
Address Mono
750
-------
Contractor CRY/State 27p 7.50
n►.I� ; 7 MISCELLANEOUS
f Ay Bus— -dx No Sewer 1 at 100 3000_
State 13kipsZow No state PILM1111bers Bus tic wo -sww►♦a.Addit 100 15.00 -
(Residential) CA?LL Water Service 1 at 100' -20.00- --
I hereby acknowledge that I haw ohm w application,that the Inkonwater rtabon S«v+a as Ad — — _
dil X70' - ---- 15.00 _
given to coned.that I em repaired W.1h the State Builder's Board.and also Storm&Rain Drain 1 it 100 3000
hew a State Pkrmbing bane that"numbers phren we oorrea.that NI -
pkxnbirq wink w l be done in accordance with&ppacable provisions of Ore Storm A Pyn omen Addo 100 _ - 15.0D
90n Revised Revised SUMAes Chapters 447 and ee9 and&ppanble codes and that Mobile 1Ima Bpaoe 2500
rw heo wN be employed unless licensed elder ORS 909 (M evernpl from --_._-
Stats re"ohm,please give reason below) Bads Flow Pewenlion
HOMEOWNERS -1 Mbv cerWy 1M I am the owrw of we poverty je Ortvtoeor AM-PblkAron r)e"A 750
sorlDeO&hove.M wloldo location I g l:i in make a pkar"V IMaYeYon kir Any T rap a W eale Nol A-! -
mv own use sine oft v rkwty Is rrrl bNrq corair used Ion saw lease or rent Cennecyed to a Frxliure 7.50
Galoh Bawl 7 so _
In",of Exist Pksttding 40 00 Par Nr
- -
Specially Rpueeled klapeotiora 40 00 Per He
Aber of Pkirrft wtMtln
an Fift"Bldg _- 15 00 morn —
A- -�-- -- New Bldg or Build Addwon 16.OD mm
AUT1tOAt2ED BIONATURE Dais _
',amu-stele fatal _
Deacirtbe wnt* low sddituxt I'] aMsratlon[] repair[] dwt�ll— ink 15.00
be d" r"srll U ) - non-ree I - -
Exievv urs n1
MEN—
btA b or cur op"
P. use of 'b VAIGWAW
o►mpetty
?'07ta1L
TlIm penia Oso, nue and wowill was or 0011GOU0111001&ul f0d to not rtlrn
rrssnoed Iill/Ia+t♦D dM e►a oan/rudlerl a work r suMm rfed r'sbrrkrlwA kr
a tier"M len dM IN&ivy sive esker war is krxnrwxoerl
WMCMt 00IR]fT1011"
Dear wNJeti _ by _
N 1 Baa 11 1 r&ti
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23197
Tigard, Oregon 97223
?hone 639-4175
Type of Inspection o
Date Requested _ Time�_ A.M. P.M.
Address tii - P3►mit #
Owner Lot
Builder
The following Building Code ddioiencies are required to he corrected:
4
Presented to llppiovod
Inspector
Date —
CALL FOR REINSPF,C'TION
El ra= U No
Le TUALATIN VALLEY FIRE & RESCUE
�° C1 t� AND
BEAVERTON FIRE DEPARTMENT
FIRE MARSHALS OFFICE
Al SGJ�. (503) 526-2469 POSTED:
OCCUPANT
CONTRACTOR BLDG. PERMIT 0
PROJECT NAME PLAN REVTEW 0
LOCATIONS
JURISDICTION: 1= Be. 2= Du, 3= K.C. ■�' 5e Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
QFraming r❑ Separation Walls Sprinkler System
Shaft u Fire Dampers (Overhead/Underground)
Alarm System u Hood Extng Systems Conference
Spray Booth El Ceiling CoVer Other
T
Date: /r 7 Inspector:
BUILDING PERMIT
CITYOFT167ARD a Tw�'PERMIT N0. : BU891879
COMMUNITY DEVELOPMENT DEPARTMENT 0".m TE ISSUED: 9/15/89
13125 S.W.MMI Blvd.P O Bo.23397.Tigard,Oregon 97223.(503)6394175 P I M.PMT.NO. 891879
JOB ADDRESS: 9591 :civ WASHINGTON SQUARE DR
TAX MAP/LOT SUB: LT: BK:
LAND USE:
LOT SIZE: VALUATION: $ 2`;0,000 SETBACKS
FRONT: REARS
WORK CLASS: ALTERATION DWELL.UNTTS: LEFT: RIGHT:
USE TYPE: COMMERCIAL NO.BEDROOMS: EXT.WALL CONST:
CONST.TYPE: VN NO.BATHS: N: S: E: W:
OCCUP.GRP. : BE P401.OPENINGS:
OCCUP.LOAD 260 N: S: E: W:
TOTAL AREA: 10400
NO.STORIES: 1 1ST: 1.0400 ROOF CONST: B FIRE RET? YES
HEIGHT: 2ND: AREA SEPAR? YES RATED:
BASEMENT"' NO 3RD: OCCUP.SEPAR? YES RATED:
MEZZANINE? NO BASEM'I
FLOOR LOAD: 56 GARAGES FIRE SPRY.LR? YE", ALARM? YES
FLOW(GPM) DETECT? YES
HEAT TYPE: ELEC. HDCP.ACCESS? YES ` _ CORR? YES _f
PLAN CHECK BY: jhj
REMARKS
Tenant Plod. The Limited REISSUE OF N0.
LAST REISSUE
FEES:
0 PERMIT $808.00
`N PLAN REVIEW $5?5.20
E FIRE DEPT $.1;'3. 0
H STATE TAX
OTHER $40.40
--` --� DEVELOPMENT CHARGES:
C SDC(STORM)
0
N WESTERN CONSTRUCTION SERVICES SDC(STREET)
T 6502 NE ST. JOHNS RD.
A Varicouver Wa 98665 PREPAID
T PHONE (206) 699-5317
1' REUISTRAT ION NO. Wescon TOTAL:
q
RECEIPT NO.
This permit is issued subject to the regulations contained in Title 14 --
of the TMC state of Oregon Specialty Codes ronmq regulations RE UU I RE D INSPECTIONS
and all other applicable codes and ordinances. and it is hereby SLAB
Agreed that the work will be done in accordance with the plans and FRAMING
specifications end in compliance with all applicable codes and
ordinances The ❑isuance of this permit does not waive restrictive INSULATION
covenants Contractor and subcontractors shall have current city GYP. BOARD
business tai{ permits This permit will expire and become null and SUSPEND.CE.I L I NG
void if work is not started within 180 days or if work is suspended no FINAL
abandoned for it period of 180 days any tirre after work has
commenced It shall he the responsibility of the permittee to assure
all regUVed imp--•trona Are regUeliPd and approved
{'nr nulir•r' ',iqn.horn
1•.siied fly '/1 LALL COh IN51:101UN 639-4175 -
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
f ,��STiNg MA[l S11Patr��t
21112
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nrr
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CITY OF TIFA RD
OREGON
September 6, 1989
Ron Edwards
Western Construction Services, Inc.
6502 N.H. St. :Johns
Vancouver, WA 98661
Project: The Limited, BP 891879
9591 SW Washington Square Dr.
Dear Ron:
I
Plana for thin project were reviewed for conformity with applicable
code", and are approved. If any changes will be made to the sprinkler
system please submit plans which show such changes. You may obtain the
bjilding permit for the project at your convenience.
The mechanical and plumbing permits have been prepared in, accord with
the information provided on the submitted plans. Separate perm'ts are
required for the work.
If you have questions, or if we may be of asRistance, please contact us
at ally time.
r Sincerely,
Jim Jaqua
Plans ixuiner
FAX (503)684-7297
13125 SWI Noll Blvd.P 0 Box 23397.fib,Oregon 97223 (503)639-4171 ----
— --
/ / / /
9,/14189
fUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (5W) 526-2469• FAX 526-2538
September 1, 1989
Ron Edwards
Western Construction Services
9502 N.E. St. Johns
Vancouver, Washington 98661
RE: The Limited
9591 S.W. Washington Square Dr.
Washington Square Mall
Df ar Mr. Edwards:
"his is a Fire and Life Safety Plan Review and is based on the 1985 editions
f the Fire and Life Safety Code (UBC), Mechanical Fire and Life Safety Code
(UMC) , Uniform Fire Code (I..TFC) , and other local ordinances and regulations.
Lighted exit signs shall be provided at doors 04 and 013 and/or other
locations when necessary, to clearly indicate the route of egress.
1. Fire Extinguisher Requirements: Not lfss than one (1) approved
fire extinguisher(s) with rating of not less than 2A10B:C shall be
provided for each 3,000 square feet of floor area or fraction
thereof. The travel distance to an extinguisher from any portion
of the building shall not exceed 75 feet. UFC Standard 10-1
2. Inspections Required: Tnapection and approval of construction by
a representative of this office is required: (a) prior to the
cover of any new framing elements following the installation of
all utility runs which will be concealed within Wall and partition
cavities= (b) upon completion of construction and prior to
occupancy of the tenant space. UBC Sec. 305
3. Required Occupancy Certificate: Prior to the use and occupancy of
t e project (space), a certificate of occupancy or other written
instrument of approval must be obtained from the building
department issuing the construction permit. UBC Sec. 307
4. Review: This review shall become a part of the approved plans and
attached thereto.
Smoke Iktectots Save Lives
Ron Edwards
September 1 , 1989
Page 2
5. Approved Plans at Job Site: An approved set of plans shall be
available to the inspector at the job site at all times during
construction.
Submitted plans are approved for construction subject to the above noted
items and compliance therewith.
Approval of submitted plans is not an approval of omissions or oversights by
this office or of non-compliance with any applicable regulations of local
government.
If you desire a conference regarding this plan review or if you have
questions, please feel free to contact me at (503) 526-2503.
Since '
Bob Hu t
Deputy Fire Marshal
BH:kw
cc: Tigard Building Department
The Limited
1A
PLAN G APPLICATION PPLxcATI0A
cmni2�-A�) PLAN aE'TY OF T16rA RD � - 11aa
MMNIY OEELO 'MM DE 'At(TMNFkurur
C
DA�-E ISSUEO
III_-%w o t m m-&_r.O.S"ZIT97,Tti9�'4«'9�^
7 6Tf��75 �__._�
joll
'fAX MAP/LOT
�, N r ( (�i15N ffr,nrf rr�al� - -
SUB LAND USE
Ac»�HE ss: / [tik J LOT•
VALUATION: 1'
SPECIAL. NOTES
owNER REISSUE OF: _
NAME:{tri [rr�l> � 7 � LAST REISSUE: _
ADDRESS: 7l✓v c r.r.� FLOOD PLAIN/
I!e SENSITIVE LAND:
PHONE: _ / r� 74 7<t'�� APPROVALS REQUIRED
PLANNING: -
OQNiRACiOR ENGINEERING: -
-- 1 %NAME: IQ (tx SA r�t>• %[ r c[ FIRE DEPT
ADDRESS: fr` -t' ` C OTHER:
_ ITEt1S REQUIRED
h 5 5 '7 � t 7 ( •' r.r r �-' L IST/SUBCONTRACTORS
PNONE: -
BUS TAX: _ —
ARCH/ENGINEER CALCULATIONS: _� —
^ti[ �,/ ( Ns r/ r r1
Nf1t1E: Hed rE TRUSS DETAILS:
AOORESS: '` /`�� f PARKING PLAN:
' is;•A' ( / a' LANDSCAPE PLAN: _
OTHER: A
PHONE. /
/ ��s•„
COMMENTS: A;"
DESCRIPTION AMOUIrT �. SAL.
1s'.16 )
PERMIT a Aot.T a
10-43: 00 Building Permit fees
[tom 10-431 00 Plurbing Permit Fees -_
/ }I/ 10-431 O1 Mechanical Per-it Fees ----'--- --gid
.---�+- 1O�L3O1 State building Tax (SX) ------
Building
P l umb i ng
meth
10-433 00 Plans Check Fee
Building
Plumbing
meth -
30--202 00 cc•-►r Connection
30-444 OO sewer Inspection
51-4411 00 Street System Bev Charge -
52-449 00 harks System Ocv Charge (POC) SSLK;
31-450 00 Storm Drainage Syst- Bev Chrg ( ) '-
10-230 Og TRF0 - - --
10--230 06 Washington County 1'i" al (951X)
10-220 00 nmart/Wedgewood 1OTnL c �'
REC a
APPLICANT SICANATURC
Uwle Received:
Received fly: _____---- -
cn/35tt�P/1tP
P.O.Etn1 73Y-7
CITY OF TIGARD PLUMBING 13125 Ml Nail Blvd.
Applicants must hold Oregon Registration to conduct a plumbing [ ' igxd Civ 97 3
business or must be property owner/operator not hiring outside help. PI R M V V 639-4175
Narno of Devslopnem c�7'Y/bC D
Plumbing Permit No.
Address --,--- Descnptron
Job —- ---_— -- ORS 814-21.810 DUAN. PRICE AMT.
Tax Lot Map.No.
Address
FIXTURES
1,011 a" Subdivision —
Sink. 7.50
Name tot name�lo ws�noss Lavatory-- - --- ;� _ 7.50 _ /S,U("
Tub or Tub/Shower Cor rib 7.50
aTin�-lK�7ies3 --- - -
Shower Only 7.50 _
Ownnt Clay/State - -- Zip _ Wolof Closet-'--- 7.50 /s, oa
Dishwasher 7.50
- .- - Phone Garbage Disposal 7.50_
Name Washing Madrne - 7.50 —_
-z3 J-�/��7/�� Floor Drain 7.5o V0
Mailing Ad&OSS Phone Water Heater —_ 7.50 YC)
0--cupant CltylSble ZIP
I AundryRoomTray - 7.50 -7 SC
Urinal 7.50
amsPhone Other Helve(Specify) -- 7.50
7.50 7 SLS
750
Contractor Ctty/State - --- ZIP 7.50
MISCELLANEOUS -
City lite Tax No $ems 1111100' __50.00
Tale Old9s le s lkisLc'- Sowvia.Addit 100 1500
(Resrdenhal) Wow Service 1 st 100' 20.00
dur
I hereby aowiecl�r►that I have read tris app"llon,that the intormotbn Water Service 90.Addit.XD' ---15A0
grwn,s oohed.Oral I am reglslered wrath the State Hu idem Board.and also Slone 8 Rain Drain tel.100' 30.00
haw a State Pliant rip"me that the rnuntrers given am oonwd.that all -
plumbwrp wont will be done in orrrxdance with appara Me pro~"a oI()rs Skirm 5 Pyn Drain AdON.100' 15.00
Don Revised Stalules Chapters as 7 and 693 WWI applicahle anise arwf that ytobie Vane Space 2500
no help will be employed unless Ik-ensed kr,•Ier ORS 603 (11 axemlA If OM
State registrahon,please give reasar bakrw) Back Flow Prevw*w
►IOMEOWNERS- I hereby cer*y rrM I am"owner of the property de- DeviceorAnt►-PoikAionDevioe 7.50
sorbed above.N wtricb our-soon 1 propose b mala a pknnbirV krataMabon br Any Trap or Waste No
my own use and rile property is not hong mnsoruc led lo►tale,lease or rem OerrMllsd to a Fb*jre 7.50
Catrin flash+ r 7 5o
—^ -- ---- - - - kap of EX M Pkxvft2j_ 40_00 Per Hr
SpeciaaNLRequeelad M+11peoMory Y 40.00 Per it
AMP of PkortbMtp wlMtlrt
an Eltbenp BIdO 15.00 nlln
AUTNM1ZE0 SIONATl1PE �- -_ OeM New Bldg.or flu d.,,&,,4 Non lb.Oo nMn
Doers"wont new oWdion(] afleratlon U repalf(7 d,/P-U ing 15.00
ID be done reslderltial f l _ nun-re~tlal .
Exfttktp t»e of
Wlk*V of property SUB—TOTAL
5% SURCHAROS _ j7
IxAftv ca 2 51i P-L RSV I3N_
--
Ttde psrnrnr beoornss null and void if wort or oonWixAtnn anhotUal is nd con► TOTAL
ele 7S
manosd vrrterlrr tp deysr11r r cwvMurArr nr work 111 Ml11penlsd or abad�aneA ler
a period o1 100 delle all any erne stir wr"N trkrritanned
8"CW OONMTIOt'!>I
()ala bill, -- - -
City of Tigard I{ lpi
13125 S.W. Hall B:vd. MECHANICAL PERMIT Permit N
F.O. Box 23397
Tigard, OR 97223 Orracr/ptMn ----
Tabia JA Mechanical Code CTY PRICE AMT
639-4175 --- ----- -
1) Permit Fee -0- -0- 10.00
2) SuMeraental Permit 3.00
Job Aedrea 1 Fum ioe to 100,000 BTU
Ind.ducts b vents G'00
Address - -
T. `M Fumace 100,000 BTU t•
V ap No 2) incl.duds&vents 7.50
Lot Otuck ;ubdlvrsion —
Name(or named t-uainess) FILKw Furnace
3) ind.vent 6'00
Owner Iaairnp Addreas Prtate 4) Suspended
oor n punted of flheater.wall heater 6.00
eater
City/StaleZIP Vent not incl In –
5) appliance permit 3.00
Repair of heating,refr Ig.. —
6) 6'00
a coling,absorption unh
M&I'/ �Add �/���"r��ass Phone Baler oreompl03HP
absoM.unit to 100,000 BTU 6 00
Occupant cityfstalfBoiler acomp to3HP-15 HP
8) absorp.unlit to 500,000 BTL' 11.00
---— Nante` -- 9) Boiler or oo mp 15-30 HP
absorp.unit 1h-1 million 15.00
Maa,q icerwu Phoft Boner or comp to 30-50 HP
10)_absorp.unit 1-1.75 million 22.50Contractor /Slate - npBoiler or comp to 50 HP --
11) absorp.unit 1,750,000 BTU --- 31.561
Seta la•glstrahon No -- -l — city&MTu No Air handling unit to
12) 10,000 CFM 4.50
I herWh
hereby a %WA*Ve at I I awed hie reapr*raeo,,run tru Mmna*_%n ph.en la 13) Air harxff unit 7-50
oohed,�1 am 111*f owner or autlnruwl agena thowner
,hal e own ,hns al plastAwnirled are Y, 10,1)00 CFF M
a**pilanoe with state laws.hrt I am registered with IM State PkAden Board.9W MNon portable
M
r4ertier On as onrreo In errepr mtmm Sala r"Itiat'Oo ptease otie rewem b o&y*9 14) evaporate cooler 4.50
-- Vern Ian ood
ntnoed _ - ,
15) to a single dtxy 3 00
16 Ventilation system not - 4
included in appliance permit 50
- Hood served by
17) mechanical exhaust 450
Domestic type .'
Describe work I7 addition I I alterallnri 1 repNr O 18j. incinerator T 50
to be done rosidcn'ial l ) non-residential Q' 19) Commercial or Industrial
"sling use of tYPn'incinorator 00
building or propertyCther i e.,woodstove,water
Proposed use of - 20) healer,solar,clothes dryers,etc 4�
building M Map'r1Y— �Y - —
21) Cas piping tate to trwr outlets 2.00
Type of fuel- oil 0 natural gas LPG p oiemr(r; [] I --- — �-- -.—_.
22) Mor a than 4-per outlet
SUB-TOTAL
7 •
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NO7 COMMENCFD WITHIN ISO 5% SURCHAROE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 23%OF SUB-TOTAL �
ABANDONED FOR A PERIOD of 180 DAYS AT ANY TIME AFTFR -
WORK 15 COMMENCED TOTAL '� S
r
Special Cundilinns