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GC N F� J � y a0 Q LL Ll 111 w w w 0 z a Y � 0 t z 3 'a F- E F Y N N LL Z LU w N J a wz� QN8 z Waz z0 Who w Z �z 33 C6 � ca 3 a a LL LL N N N N Q N N $m 0 0 ° (D 0 tid z � N N 4 0 N E to amui m U O i N N N N Q N N 0 o,o e `° a � LO N a ry �0 � D O CL or 1— H O " 4 t0 LOLij �CCi c C � C o U U U U U U U U tD 6 < w W w w 2 w w w w CO $ 7 � £ ; 9 2 \ ƒ \ _ _ a 003 § § �10 � § ( \ ( § § § CO \ £ � � > � R co Ul) CN CD " / \ i / \ ± [ E � U LLI m k § ) § § § ) q \ , 0 0 2 # m � � m Cl) © � k > U e a k k � E LA � i / > LAJ � ƒ T E 2 2 E J 7 ° m R ~ k ) § / \ § / f \ § a 2 w $ w w w § § CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Roc-O-Phone), 639-41J5 Business Phone 639 4171 Inspection:_ Footing Suap. Ceiling Sprink Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Idg. Plbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulation ech. Underflr. Insul, Shear Wall Gyp. Bd. Elect. Date Requested: Time: AM PM Address: ' Builder. Permit 8: `�S'_ 0 2[ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: /_�i� _ Date: l Q—"— PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. CERTIFICATE OF CITY OF TIGARD OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT N. . . . . . . a BlJP95 -02C, 13125 SW Hall Blvd Tigard,Oregon 97223*8199 (503)839-4171 DATE ISSUED 10/20/95 PARCEL: IS135BA-WiO2 ,:ITE ADDRESS. . . 1 09635 SW WASHINGTON SQUARE RD #FC3 3UBDIVISION. . . . I OAKSURG ZONING:C- G BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . : 1 CLASS OF WORK. ;ALT IYPE OF USE. . . 3COM OCCUPANCY GRP. g 5N r1rcuv,ANcY LOAD s et ; LNANT NAME. . . :ROSE' S DELI & BAKERV Remt4rkss Tenant Imprnvemont Owner: A1,NMAP PACIFIC FIFTH AVE STE. 62600 ,LPITLE WA 98104-5026 Phone #o 206-223-4'500 Contractors NORWLST UENERAL CONTRACTOR r.,. 0. BOX -5305 I-71ORILAND OR 97225-0305 V-*,honp #s 503-291-6986 Rog #. . s 89425 i1ccupancy of the above referenced bktildir,u to hereby given, and cert ifieb the compliance with the State of Oregon '-+­rjjjjfy Coder for the group, - which the refs. ent d It '1111lit, '1 5 d. 4)(:7(-,jp&rjcy, and use uncle 'a 6314e)I�NG S-P-E—C"l 0 R JAWI.PING OFFICI XL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phones: 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL. Post'Be im Mech. San Sewer Gas Line -Bldg Plbg. Underiloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd -Elect. Date R-3quested. Time: AM PM Address: !/ Builder: Permit #: 7 THE FOLLCWING CORRECTIONS ARE REQUIRED: le CL J L W J Inspector: /-APPROVED _DISAPPROVED _APPROVED SUBJECT TC ABOVE Call For Reinsp �G�/ • `-%CIT.Y OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Plione): 639-d175 Business Phone: 639-4171 Inspection: i/ce_ Qi. Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough .a FINAL: Post/Beam Mech. San. Sewer Gas Line -31dg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd -Elect. Date Requested: OS Time:-AM ;.�tPM Address Builder: 2£s'G Permit N: 9.5` G/ 7S" THE FOLLOWING CORRECTIONS ARE REQUIRED: r N J L r-a C.7 W J Insp for Date: // PROVED DISAPPROVED '"PROVED SUBJECT TO ABOVE Call For Reinsp. ITY OF C TIGARD COMMUNIT' DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tiwd,Oregon 97:::3.81 W (503;539-4171 PLUMBING PERM 1 T PERMIT #. . . . . . . : PLM95 0I_/_ 6 ._? -4171 DATE ISSUED: 08/14/95 PARCEL: 151260C -01107 !ITE ADDRESS. , . : lb'jG3r 5W WASHINGTON SQUARE RD IUBDIVISION. . . . : ZONING: C-G :LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . e ------------------------------- .LA;3S OF WORK. . :AL" GARBAGE DISPOSAL.G. . : MOL+II_E HOME SPACES. TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :4 JCCUPANCY GRP. . :Dw FLOOR DRAINS. . . . . . . :6 TRAPS. . . . . . . . . . . . . . . 7ORIES. . . . . . . . . 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . . .1XT`URE:S•- - - LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : iINKS. . . . . . . . . . :5 URINALS. . . . . . . . . . . s GREASE TRAPS. . . . . . . : -AVATORIE3. . . . . : OTHER FIXTURES. . . . . s FUB/SHOWERS. . . . : SEWER LINE ( ft) . . . . WATER CLOSET`i. . ,: WA'TER LINE (ft) . . . . ')T'"HWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . : lit 3 Jwnev,: -__..._-__._._.___. _.__._._._._________._ _____.__.______.____._..__..-- FEES ]5F. t'r pe amouTIA; by 3iat a recptSC _ lb973 SW WESTMINISTER DR. PRM-f z 144. 00 JD 06/14/95 95-264_, ,, PL_CK $ 36. 00 "D 08/ 14/05 95-269L2 70 TGARD OR 972'24 SPCT $ 7. 20 JD 08/14/95 95-269.:�r, -'hone #: 590-44011 1IC IAEL )NOLAN PLUMBING 0600 EVERGREEN DR 01 1ILSUNVILLE OR 97070 hone #: 6073 .91`33 t 187. 20 TOTOL ?eg M. . s 78388 REOU 1 RED I NS':IE:CT I ON5 - his pereit is iss,ed subject to the regulations contained in the FILM/Underf 1.out `ipard Municipal Lode, State of Ore. Specialty Codes and all other Top-out. In%p applicable laws. All work will be done in accordance with Final I n z pest i on ..pproad plans. This pirsit will expire if work is not started ,,ithin 181 days of issuance, or if work is suspended for oore 'Ar i88 days, un r_ Call fo►- inspection - 639--4175 W J City c,Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # G - y i 1,312!?SW Hall Blvd- Permit # e 111 61`5-005 Tigard, OR 97223 (533) 639-4171 / MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE r C.S New Single Family Residences Only WA514I NC- JJ S v-_ r p �ow4 r �4 �� "d ••' ❑ 1 BATH HOUSE $140 00 L12 BATH HOUSE $195 00 JCb VAJ61Kt A) `C1Q j'.t) ❑ 3 BATH HOUSE $22500 Address cgWsh.0 aw Fee includes all plumbing fixtures in the dwelling and the first 100 feet 7"�GA4:�> q 7 2,2-_3 of water service, sanitary sewer and storm sewer See fees below —It& ""•' FIXTURES CITY PRICE AMT 05e)5 ' Sink 900 M."^d&— 159 13 W W CS 7 Mi u 57r -VII _ Lavatory � 900 Owner ) Tub or Tub/Shower Comb 900 59& -yN o Shower Only 9.00 I6—,4 kJ-) D q)ZZA Water Closet 9.00 No-I. '^'••"""•'•' Dishwasher 9.00 c_ 03 if�S l� 17 4 Garbage Disposal 9.00 Occupant M.rq Ad*— Washing Machine 900 94 3s^ SW PI/Cs fm Floor Drain 900 "'"Shift u Water Heater 900 7-1 r�- (J 7 Q y -7 Laundry Room Tray 3.00 """• Urinal 900 Other Fixtures (Specify) 9 00 u.r•a.e►... an.•. �1, 7 ti i 9.00 Contractor Ei 00 900 Sewer 1st 100' 30,00 ""•""'""'" "' "►&A to"° Sewer -ea. Addit 100' 2500 r(e` /"I Water Service 1st 100' 30.00 1 hereby acknowledge that I have read this application, that the Water Service ea Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with -,tate laws, that Storm 6 Rain Drain 1st 100' 3000 1 am registered with the Construction Contractor's Board that the Storm & Rain Drain Addit. 100' 25.00 number given is correct (If exempt from State registration please give reason below) Mobile Home Spsc's 25 n0 Back. Flow Prevention Device or Anti-Pollution Device 900 '�"�•'°"""�'�'"" Any Trap or Waste Not Connected to a Fixture 900 Describe work new 0 addition O alteration repair i, Catch Basin 900 to be done residential (D non-residential Insp of Exist Plumbing 40 00/hr Existing use of Specialty Requested Inspections 40 OMhr ��p �1� /� building or property ��U64" /z L Rain Drain, single family dwelling 3000 Residential backflow prevention devices 1500 i-- Proposed use of building or property — '(Except residential backflow prevention devices) c NOTICE 'Minimum Fee $25.00 SUBIOTAL J W PERMITS BECOME VOID IF WORK OR CONSTRUCTION J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 3%SURCHARGE �C� CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF IFO DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 28'. OF SUBTOTAL /lG It- TOTAL I �• i� Special Conditions Date issued by PERMIT L oI TY OF TIGARD DATEI �SSUED: . 08/14;95 _�j. �OMMUNITY DEVELOPMENT I EPARTMENT 13125 SW Nall Blvd.Tigard,i3npon 972239.1 DO (503)639.4171 PARCEL: 1 S 135BA-001"ii'7' 7 L AU17T2F. ; j'?G::` WASHINGTON SQUARE RD #FC5 JBDIVISION. . . . . 04,';BURG ZONING: C--G _OCF,____. . . . . . . . . . LOT---_.___ . _= 1—____—______.___�y .ASS OF WOR1<;. . :AL? rLOOR FURN. . . . : EVAP COOLERS: PE OF USE. . . . a COM UNIT HEATERS. . : VENT FANS. . . s 'CURANCY GRP. . :132 VENTS W/O APDL: VENT SYSTEMS: DRIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : JE:L TYPEO—._ _ _..-- - . _-_ _ _. 0-3 lip. . . . : D'OME0. INCIN: 'GAS/ / i 3-15 Hp. . . . : COMML. INCINa +X INPUT: OTU 15-30 HP. . . . : RCPAIR UNITS: RE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . : qS PRESSURE. . . : 50+ IIP. . . . : CLO DRYERS_ ). OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 1 JRN ( 100K PTU: 10000 c f m: 1 GAS OUTLC T S. : 1 JRN ) -=100K BTU: > 10000 cfW: Mechanical for smoke/heat only. Other unit is at water heater. ,,nor : __.__._, -- .. __..-. ---__...-___._.__.____.__.._____.__________._._._____ FEES I NMAR PACIFIC; type amount by date rcecpt 10 FIFTH AVE STC. 2600 PRMT t 25. 00 JD 08/14/95 95-269271 PLCK f (: . y5 jr, 013/ 14/95 n5-269.271 . TATTLE WA 98104-5026 5PCT $ 1. 25 JD 08/14/95 95—::69.=71 �: #: "06 -- ✓�.'+� i:t rant or a .JN A l rE: SYSTEMS, INC BOX E31260 WARD OR 97281 ,one #: '3 a0-14:+0 $ 50 TOTAL. 70034 ------ REQUIRED INSPEC f IONS -- �i.sit is issued subject to the regulations contained in the Gag Line Insp gird Municipai Code, State of Ore. Spe:ialty Codes and all other Mechanical Insp alicable laws. All work will be done in accordance with HeAting Unt Insp .,roved plans. .his perait will expire :f work is not started Misc. Inspection hin 166 days of issuance, or if work is suspended for sore Final Inspection in 188 days. cs mit;tee S: W 1:oLt; V : Call far- inspection 639- 4175 L W City of Tigard MECHANICAL PERMIT Planck/Rec. # 7- 4/SG 13125 SW Hall Blvd. APPLICATION Permit # --- Tigard, OR 97223 _ (503) 639-4171 It •'"•" �� escnphon L Table 3A Mechanical Code OTY PRICE AMT Job SQ. )1 1) Permit f ee -0- -0- 10.00 Address '– �C, EI 2) Supplemental Permit 3.00 -- "^• '^"^'° , t ^ urnace to f00.000 BTU 1) incl ducats b vents 6.00 r��a�— '_`--nr°^• Furnace 100,000 STU Owner I 2) incl ducts S vents 7.50 '• ZIP Floor Furnance 3) incl vent 6.00 n"°' uspen( eater, waileater LLL a) or floor mounted heater 600 a n en not +nc .n Occupant ` Ll��1 S� Y1 r I [7� ! h 5) appliance permit 3.00 •' Repair o eating, re ng �7}a '400 6) cooling, absorption unit 800 Floiler or comp. heat pump, air con S 7) to 3 HP, absorp unit to 100K BTU 6.00 -oder or comp, heat pump, air cond. – :77, 2 Z 8) 3-15 HP. absorp unit to 500K BTU 11.00 Contractor offer or comp, Feat pump, air con ►�F--A� © � 't 9) 15-30 HP, absorp and 5-1 and BTU 1500 °� •• of er or comp, heat pump, air con . Cap U ? ' 10) 33-50 HP, absorp unit 1-1 75 and BTU 22.50 hereby ackno;-vledg# that I haviliread this application, 'Itfat the Bolrer or comp ,ea pump, air con information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1 75 and BTU 37.50 agent of the owner, that plans submitted are in compliance with --777andling unit to [� State laws. that I am registered with the Construction Contractor's 12) 10.000 CFM 450 *66 Board, that the number yiven is correct, (If exempt from State Air handling unit registration, please give reason below) 13) 10,000 CTM * 7.50 Ron portable 14) evaporate cooler 4.50 ---Vent fan connect 15) to a single duct "7j 3.00 en i ation system not r 16) included in appliance permit 4.50 Hood served y 17) mechanical exhaust 450 Describe work new addition aeration repair Commercial or .n ustria to be done residential (D non-residential 1 B) type incinerator 3000 x sting use of Other ie., woodstove. water budding or property 19) heater, solar. clothes ry�ers'etc 450 L4 56 Proposed use of 20) Gas piping one to four outlets 200 6 building or property 21) More than 4-per outlet (each) 1- 2.00 ✓7 Type of fuel - oil (�) natural gas LPG O olPctnrl 1) NOTICE Minimum Fee $25 00 SUBTOTAL r PERMITS BECOME VOID IF WORK OR CONSTRUCTION �5 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR S•'° SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 28% OF SUBTOTAL �r AFTER WORK IS COMMENCED TOTAL Special Conditions Date issued by M'1081MD/TTwIO�M� k t � I � -7 o ie C4 S244. 1 cp W -9 111ci Lr :dCL �- - a -8- $ �' A C`J U3 J 1 I th j -4- } TA N It W J bolLDING MIT CITY OF TIGARD PERM I r #. . . . . . . : BUP``j COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/14/95 13125 SW Hall Blvd.Tigard,Oregon 117223.8188 (503)830.4171 PARCEL: 1 S1;35BA-00102 ii I TC; 1=IL�IiFIk`.;;: , . . ; 09635 GW WASHINGTON SQUARE RO #FC5 3UBL1 I V I S I ON. . . . : OAKBURG ZONING: L;---G BLOCK. . . . . . . . . . : LOT. . . . . , f�E I.15UE : FLOOR AREAS— ----. - - - R I COR WALL CONSTRUCTION 7.LASS OF WORK. :ALT FIRST. . . . :600 Sf N: S: E: W. TYPE Dr., USE. . . :C:OM SECOND— i Sf PROTECT OPENINGS?­­­ - TYPE OF CONST. :5N T141RD. . . . e Sf N: S: E.- W: OCCUPANCY C7Fil . :60� TOTAL__.. .- ----: 600 s i' ROOF= CONST:B FIRE RL:T- :)" OCCUPANCY LOAD: BASEMENT. - Sf AREA SEF`. RATED: '�TQR. :c FIT. :34 !°t GARAGE. . . : Sf OCCU SEPE. RATC:D: 3SM1 ?: MEZZ? : REOD SETBACKS ____-._-- REQUIRED__ __-_...____.______ i"LOOR LOAD. . . . : 100 psf LEFT: ft RGIiT: ft FIR SPKL:Y GMOK DET. . :Y JWELLINC- UNITS: F_ RNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y L,LDRM;S: BATHS: IMP' 15"UR1=ACE:0 DRO CORR:'Y PARKING: JALUE. f: 1040 'r^ks : Hood & vent fire suppression system J v^lillr . .-. 4INMAP% PACIFIC type amount by date recpt '1"0 FIFTH AVE STE. .'.:6 0 FIRE f 10. 00 FON 03/10/°35 95 .CC91; PRMT f 25. 00 JD 06/14/95 95-4692 ate(=ITfL.E W(I `3t31Q�,+ X0 6 1. , '`i JD iAG/14/95 95--2692 i.- -:honer #: 206 -�':3--4;;00 ,:ontrac_tor: :;ANDERSON SAF=ETY 5UPPLY CO. 1101. '13E THIRD PORTLAND UR 97.::14 ..._- Phone #: Z30--5700 f 36. 25 TOTAL `3eg #. . : 064969 -- -_--- REQUIRED INSPECT I ONE) This pers;t is issued subject to the regulations contained in the Spri nk 1 rr F i na l tigard Municipal Cade, State of Ore. Specialty Codes and all other Misc:. Inspection applicable Isom. All work will be done ie accordance with Final Inspection approved Flans. This permit nil! expire if work it not started Aithin 180 cat's of issuance, or if Nov: is suspended for sore han IU days. ..., •mit; } �!� Gtrw � s.. ._. 4.. Liill for inspection - 639-4175 J w J erz PLANCK#i D `LIbG °bC� Co1� � c� 0 �o L / s APPLICATION FOR PE TO INSTALL FIRE SPRINKLER SYSTEM BUILDLNG DMSION, CITY OF TIGARD i 639-4171 '5clt�J 9 C_O 3 3 S Date: ti���- w�1` _ PERMIT N� Valuation: . Amt. Paid: % Permit Fee: / 510 State Tax: , Balance Due: 40% FLS: L� � IOC .i <<�L�C Plains must be submitted to the Building Division before installation. Three— sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation:_ Addition: Repair: _ Alteration: Complete: Partial: Exitway: Basement: Hood & Vent:-4------ Spray ent: !/'-- Spray Booth: IN EXISTING BUILDING:_ IN NEW BUTLDING: _ `'?(t NUMBER & STREET: f'l-. NA.`IE OF BUILDING or BUSINESS: NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:_W1,,1AjL IkA- TYPE OF SYSTEMS: Wet: � Dry: Combination: _ STANDPIPES: _OCC.HAZARD: Light ORD.GRP.HAZARD 1_ 2_ 3- 4—Extra DENSITY GPtiUFt2 DESIGN AREA f".2 SPRINKLER AREAtt" SPRINKLER ORIFICE SIZE: "K' FACTOR TENTP. RATING OWNER: ADDRESS: CONTR-kCTOR: PLANS DRAWN BY: n ADDRESS: RE'MARKS: .Qxili"I �c 7/C•Z �.E'` Su/�.��S;�iE3.G ,�i'.1��1 �L��/, A�lc :r APPROVED permits includes only work described above and/or on plans and specification bearing the same permit number and will comply with all applicable codes and ordinances of the City of Tigard. J c SPRINKLER COMPANY: Aft& K/ Srf�i Su���_ PHONE: Li SIGNATURE OF APPLICANT: BUILDING DIVISION: PERMIT VALID FOR 180 DAYS .erd`nmde• Ar•.erm SIP,7raf+0 E'Gr!'C r JW ;77ZfW4 c /u2* t IWY JiA4'iANCE NoulF o O p G�'ioo[E L-99 -2/61'' - owl 1 rt v t 2 P FI , ' ! iJ ► f- " � J'vj > 411 sit I&re .P.GF/7�•11r! Approved J &1W71C ,Fa�I 1",%1 rl 1 ' FV"".work as descntwd I,. t PERMIT NO.f&.r fr r 7-if Job Address:-*j.rliv-v-► 4 r /1.f fir'_at1 _A_Dalel It s $ANDERSON SAFETY SUPPLY CO. r� 1101 S.E 3rd Avenue,Portland,OR 97214 (503)238.5700 OAEAON WASHINOTON CALIFORNIA IDAHO COLORADO EuSane Seattle Bellingham Richmond Bot" Denver SW Conge,St 97402 2600 Airpoh Way S 98134 355 Onto St 95225 4909 Central Ave 94805 3400 BUMe St 80205 15031 683-9333 (208)340.4300 (205)734.1110 1510'559-0400 (208)343.1323 (303)296.1000 .CITY OF TIGARD PERMIT #.DING. . : BUP'3 J OL COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 00/14/95 1312E SW Hall Blvd.Tigard,Oregon 07223.9100 (503)630-4171 PARCEL: 1S135BA--00102 SITE ADDRESS. . . : 096;15 SW WASHINGTON SQUARE RD #F-05 SUBDIVISION. . . . : OAKBURG ZONING: G -G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1 RE I SSUL: FLOOR AREAS-­--------------- EXTERIOR WALL CONSTRUCTION - CLASS ONSTRUCTION - CLASS OF WORK. :ALT FIRST. . . . :600 of N: S. E: W: TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS?--------- -­- -- TYPE OF CONST. :5N THIRD. . . . : sf N: Ss E: W: :OCCUPANCY GRE'. :D2 TOTAL ---- - -. 000 s f ROOF CONGT :D FIRE RET' OCCUPANCY LOAD: BASEMENT. : s f AREA SEP. RATED: STCR. :2 HT. ;.34 ft G►)f"AGC. . . : of OCCU SEP. RATED: BSMT" ,,: MEZZ 7: READ SEYBACKS--- ----- - REQUIRED- ------------ -- -- F'LOOR LGAD. . . . . 100 p s f LF_r T: ft RGHT: ft FIR SPKL:Y SMOK DET. . :Y DWELLING UNITS: FRNT: ft RE=AR: ft FIR ALRM:Y 14NDICP ACC:Y BEDRMS: SATHS: IMP SURFACE:O PRO CORR:Y PARKING: VALUE. t : 52000 Remarks & space F-C- 5 second floor Owner: -________________.__.______._-___..______.._ ____________.___ FEES WINMAR PICIF'IC type amount by date recpt 71BO FIFTH AVE STE. 2600 NRMT f 289. 00 JD 018/14/95 95-269273 PLCK $ 187. 85 B 06 /14/95 95-2E66777 SEOTTLE WA 981014-501-r-1, FIRE f 115. 60 B 06/14/95 95-266777 Phone #: c:06-223--4500 ;:,PCT f 14. 45 Jr) 013/14/95 '3'°i- c69c Contractor : NORWEST GENERAL CONTRACTOR P. O. BOX L25305 PORTLAND OR 97225--0305 Phone #: 50:: L'91­69136 t 606. '?0 TOTAL Reg #. . s 894c- !j — --_ REQUIRED INSPECTION5 —This poreit is issued subject tc the repalat+.ons contained in the Framing Insp Ti fjord Municipal Cods, Mate of Ore. Specialty Codes and all other I n s u 1 at i on Insp applicable laws. All worl viill be done in accordance with Gyp Board Insp �- approved plans. This perat will expire if work is not started Gusp Ceiing Insp within 18d days of issaance, or if woi* is iuspended fir sore Mise. Inspection _ than 181 days. Misc. Inspection Final Inspection _. -'m , i. t PV E",i q ISS .Aed By 11-1-11—r __141col 4- Call for- inappction - 639--4175 ...,,7WER CONNECTION CITY OF TIGARD PERMIT #. . . . .PERMIT . . : SWR95-12128, COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/' 14/95 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: IS 1260C-01 107 ITL: ADDRESS. 0,)t�35 sw WI-iSrl I f,4G i ON SQUARE RD ZONING: C 3UPDIVISION. . . . : "LOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . TENANT NAME. . . . . :ROSE' S DELI & BAKERY FIXTURE UNITS. . . :29 LASS OF WORK. . . ::ALT JSA NO. . . . . . . . . . DWELLING UNITS. . : 1 - NOOF BUILDINGS: "'YPE OF USE. . . . . :COM . f INSTALL TYPE. . . . :BUSWR IMPERV SURFACE— : Remarks: FEES ROSESIS DELI & SAKERY type amount by date I-ecpt 15973 SW WESTMINISTER DR. PRMT $ 2200. 00 JD 08/14/95 95-269273 rIGARD OR 97Z24 Phone #: 590--4400 - --------------- -rant - --------- CONTRACTOR NOT ON FII-E Phone #: `:::00. 06 TOTAL Reg #. . ; REQUIRED INSPECTION' This Applicant agrees to comply with all the rules and regulationt Sewer- Inspe,--tioo of the Unified Siloago Agency. The permit expires Joe days from the date issued. The total amount paid will be forfeited if the permit lilipirts. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not sc l0c&t#dV the ir.-. ler shall purchase & 'Tap atid Side Sewer' Pti-sit and tri 0 r-in 1 1-t e e S i 01"4 111 V1 Call f0t, inspeL ionT, 639 +175 CITY OF TIGARD F'CRMIBU#. DING` . . BLIP" .0.3 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/11/9"j 13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)630.11711 PARCEL: 1 S 1.35BA-0010:: 3111: ADDRE.55. . . : 09635 SW WAOHINGTON RD #FC-M SUBDIVISION. . . . : OAKBURG ZONINNG�G: e�C-G 3LC)CK_. . . . . . . . . . -LOT-_.--_ •------1-- ----- r - � .►-_ -_ __- - �ZEISSUE: FLOOR AREAS- -- - - - CXTCRIOR WALL CONSTRUCTIOV' CLASS OF WORK. :ALT FIRST. . . . :600+ s f N: S: E: W: TYPE OF USE. . . :C014 SECOND. . . : Sf PROTECT OPENINGS?---__-__.._.. TYPE OF CONST. :5N THIRD. . . . : s f N: 51 E. W: 1CCUrIANCY GRP. :B2 TOTAL- - - - : 600 s f ROOF CONST:B FIRE RET " :Y )CCUPANCY LOAD: BASEMENT. , sf AREA SEP. RATCL: :,TOR. :2:' HT. :34 ft GARACE. . . s s f OCCU SCP. RATED: 3SMT'': MEZZ? : REQD SETBACKS---_.___-__ REQUIRED---------------------- "LOOR LOAD. . . . : 100 ps f LETT: ft RGHT: ft FIR SPKL:Y SMOK DET. . :Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACCs`, 3EDRMS: BATHS: IMF' SURFNCE:O PRO CORR:Y PARK INGt )ALUEn. t: 890 lemar^ks: spy-inkier- p)-otectior) .Iwnera FEES AINMAR PACIFIC type amount by date r-ecpt '00 FIFTH AVE STE. 2600 PRMT S 25. 00 J11F 00/09/93 - rIRE f 10. 00 JHF 00/09/95 ..IEATTLE WA '38104-•50 :6 5PCT f 1. 251 JHF 00/09/9' 'hone #: 206-223-4500 'IRL SYSTEMS WEST, INC. .'19 FRONTAGE RD. N #B ACIP IC WA 90047 "hone) #: 360 .693-1)106 i 36. : 3 TOTAL yep #. . s 049732 -- - -- REQUIRED I NDPECT I ONS `hit petit is issued subject to the regulations contained in the Sprinkier� Final igard Ilunicipa: Code, State of (Irt. Specialty Codes and all other Misc. Ir)bPer:tion pplicablt laws. All Norm will be done in accordance with Final Inspection approved plans. This porsit will expire if word, as not started -.ithin 181 days of issuance, or if Nork is suspended for sort ian IN days. 0. _. at-miL(t. re 5i }atN .tI : �r, fAo''Iy.�w'+ �,! c �► - 4IJ Call fc,l :ns, action - 639-4175 C PLANCK# APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 1 Date: 1 - 'L fA. `I 44 PERMIT M `7 ,- D J2 Y 2 Valuation: Amt. Paid: �!(�+� _�` Permit Fee: ' 517c State Tax: Balance Due: 40% FLS: 0- — Plans must be submitted to the Building Division before installation. Three sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation: Addition: Repair: Alteration: X Complete: X Partial: Exitway: Basement: Hood & Vent: Spray Bootie: IN EXISTING BUILDING: X IN NEW BUILDING:_ NUMBER & STREET: WIN 1.4 i Jc_,`T 'o.l '1cz. • 20 r-r> NAME OF BUILDING or BUSINESS: Y `. N0. OF STnRIES: '-Z _SIZE OF BUILDING: OCCUPIED AS: F01' « TYPE OF SYSTEMS: Wet: )'� Dry: Combination:_ STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD IX 2—3— 4—Extra DENSITY , 11-i GPM/Ft2 DESIGN AREA.I C2 VC) ft2 SPRINKLER AREA ft2 SPRINKLER ORIFICE SIZE: lr? „ "K" FACTOR h L _TEMP. RATING OWNER: A,/x r-1 E ADDRESS: 1 1 CONTRACTOR: n. (L•+rv.t�-,'r { i, x. r'yV�S U�N`��. PLANS DRAWN BY:Tc►�1 r-'I ►� Qrr 2A ADDRESS: d,an 40-e- M��fLIT� ►.�F IS-✓ 3 `moo REMARKS: eij T' 1 X14 2 0./c.rel r...rr LL w r., A r-" rr- a v~i APPROVED permits includes only work described above and/or on plans and specification bearing the t: same permit number and will comply with all applicable codes and ordinances of the CiLy of Tigard. SPRINKLER COMPANY: �---��� y�lrs�-�-t- PHONE: '3 b0 GA W SIGNATURE OF APPLICANT: J BUILDING DIVISION: PERMIT VALID FOR 180 DAYS .erd -m de.,fir*p.rm MECHANICAL Li PERMIT YOF TIGARD PERMIT #. . . . . . . s MEC95-027- UNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/11/95 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 I TE PARCEL. IS135BA-00102 RD)DRESS. . . 09635 SW WnGHINGTON SQUARE RD #rc'S 7-,UBDIVISION. . . . s OAKBURG ZONING: C-G I;L OC K. . . . . . . . . . . LOT. . : 1 CLASS OF WOR... :ALT r-LOOR Fl,RN. . . . t EVAP COOLERG: 1 TYPE OF USE. . . . :COM UNIT ;,EATERS. . : VENT FANS. . . : OCCUPANCY VENTS W/O APPL. VENT SYGTEMSs STORIES. . . . . . . . .. I BOILERS/COMPRESSORS HOODS. . . . . . . z FUEL 7 YPL' 0-3 HP. . . . t DOMES. INCIN. : /GAS/ 3-15 HP. . . . 1 COMML. INCIN3 MAX INPUT, BTU L5- 30 HP'. . . . : REPAIR UNITS: FIRE DAMPERS% . : 30-50 HP. . . . ; WOODSTOVES. . : GAS PRESSURE:. . . : 50+ I-iP. . . . . CLO DR'(EPS. . -. NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. s ruRP4 < 1001", 13TU: 10000 4fm -.L2' GAG OUTLET5. : FURN ) =100K BTUs 10000 cfms Remarks : Mechanical sytefii F(,r two hoods Owners FEES --------- ,4rNMAR PACIFIC type amount by date I-ecpt 700 FIFTH AVE �1TE. G600 PRMT $ 25. LAO B 08/11/95 95-26924--0 PLCK $ 6. Z'15 n 08/11/S3 93-ZG9250 3EA1TLE WA 90104-5026 5PCT $ 1. 25 B 08/11/95 95-261) , Ohoy)e #. 206 X23 4500 -ontractors GTA INLESG PRODUCTS 10100 SW ALLEN BLVD 3EAVERTON OR 97005 -------------------------------- - "hon" 641-7060 y 32. 50 TOTAL 6,3640 REQUIRED INSPECTIONS 7nis permit is issued subject to the regulations contained in the Cooling Unt ltl!,P V ligard Municipal Code, State of Oro. Specialty Codes and all other Shaft Inspection applicable laws. All work Pill be done in accordance with Hood Inspection dWeved plans. This permit will expire if work is not started Di-tut Inspectiun oithin 180 days of issuance, or if work is suspended for more Mi sc. I nspe:- ;, A on days$ Final Ir ,pection ttre fa i T11), we I I f i v c2t ion 629-4175 LU city �aHall rd MECHANICAL PERMIT Planck/Rec. # 13.a� Blvd. APPLICATION Permit # 5 - Tigard, OR 97223 (503) 639-4171 escnphon RoTabie 3A Mechanical Code QTY PRICE AMT ... Joh 5�. Wpb L,►h Y 1) Permit Fee 0- -G- 1000 Address i A 2) Sun,-!;,crtal Permit 300 Furnace to 10.000 BTU 1) incl ducts 8 vents 6 00 Furnace 100,000 BTU + Owner 2) inc) ducts & vents 750 Floor Furnance 3) incl vent 600 Suspended heater, wali heater 4) or floor mounted heater 600 Vent not inc in Occupant _ 5) appliance permit 300 M.. "' Repair of heating, re ig 6) cooling, absorption unit 600 �l �j Boiler or comp, eat pump, air con ►( ,� s 7) to 3 HP: absorp unit to 100K BTU 600 Y- of er or comp, heat pump. air con Cont r C� r �� ► r ( � i 0 8) 3-15 HP, absorp unit to 500K BTU 1100 Boiler or comp, heat pump, air con �> , 9) 15-30 HP, absorp unit 5.1 mil BTU 1500 Boiler or comp eat pump, air con LA C� 10) 30-50 HP. absorp unit 1-1 75 mil BTU 22 50 -TlHereby acknowlWdge that I have rea t is a p nation. that the Boiler or comp, heat pump, air conn information given is correct, that 1 am the owner or authorized 11) > 50 HP, absorp unit 1.75 and BTU 3750 agent of the owner, that plant submitted are in compliance with it handling ing unit to State laws, that I am registered with the Construction Contractors 12) 10,000 CFM 450 U) Board, that the number given is correct (If exempt from State Air nandling urn registration, please give reason below 1 13) 10.000 CTM + 7 50 Non portable 14) evaporate cooler 4 50 Vent fan connect - 15) to a single duct 300 entiation system not U 16) included in appliance permit 4 50 .v. . ...« .. Hood serve y 1%) mechanical exhaust 450 Describe work new DP addition allerabon repair i iCornryiercial or industriai to be dune residential 0 non residenhal j 18) type incinerator 3000 Existing use of Other i e. woodstove, water budding or property _ _ __ 19) heater, solar, clothes dryers etc 450 Proposed use of 20) Gas piping one to four outlets 200 building or property party _ iL F- 21) More than 4-per outlet teach) 200 .) Type of fuel -oil O natural gas (D LPG O electric r NOTICE t•- Minimum Fee %25 JO SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUC110N AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. ORUj 5°19 SURCHARGE 1 i IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL 1 Special Conditions Date �ssned by w,LOO�MOs/rMfGM4t MLGHANICAL CITY OF TIGARD PERMIT #. .VIE. . I . . i MEC95- 026:- COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/11/95 13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)830-1171 PARCEL: 15135BA"-00102 I1'1.= ADDRESS. . . . 09635 SW WASHINGTON RD #F(---S ,UBDIVISION. . . . : OAKBURG ZONING: C-G -_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 1 :LAS; OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS: YPE: OF USE:. . . . :COM UNIT HEATERS. . a VENT FANS. . . : CCUPANCY GRP. . :BL VENTS W/O ADPL: VENT SYSTEMS: TORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : JEL TYPES- - __ _---._._._ 0-3 HP. . . . : DOMES. INCIN: /GAS/ / / 3--15 HP. . . . : COMML. INCINs AX INPUT: BTU 15--30 HP. . . . : REPAIR UNITS: IRE DAMPERS% . : 30--50 HP. . . . : WOODSTOVES. . : AS PRESSURE. . . : 50+ lip. . . . a CLO DRYERS. . . 10. OF UNITS- -- ---- - - AIR HANDLING UNI-f5 OTHER UNITS. ::.'. URN ( 100K PTU: (= 10000 cfm.: GAS OUTLETS. : JftN )=100K BTU: > 10000 c f m: .I emar-ks,: Addition of backdraft hood and vapor- hood, without system wnet'll ___. ___._________..__._____.____---__.__._-- FEES ICK WERTH type amol.int by date recpt 3973 SW WESTMINSTER RD PRMT 1); 25. 00 JD 08/11/95 95-•2692613 PLCI-', f b. ,`:`. JD 08/11/95 ria•-269253 IHARD OR 97;224 5PCT f 1. 25 JD 08/11/95 95-269257 p #. n+LBEttLR FOOF< SERVICE E.OUIP. "-�LBERLR HOTEL SUPPLY CO. 34 NW 5TH A4E. aRTLAND OR 97 :09 hrrne #1 227 -1161 3 :32. 50 TOTAL 038 704 --- - -- REQUIRED INSPECTIONS persit is issuod subject to the regulations contained in the Hood Inspection .acrd Municipal Cade, State of Ore. Specialty Codes and all other Mi%L. Inbpect i on pplicable laws. All Mork will be done in accordance with Final Iasps ^tion ,proved pians, This persit will expire ,f work is not started thin 180 days of issuance, or if wcr•M !s suspended for sore in 1E1 days. V) C -- r r:a,l l f,.,,_ inspect ion - 639--4175 W J 7Ir C City of.Tigard "-,-- MECHANICAL PERMIT Planck/Rec. # '� 13125 SW Nall Blvd./% APPLICATION Permit # �r Tigard, OR 97223 (503) 639-4171 Description Table 3A Mechanical Code QTY PRICE AMT Job j`– Jw, Wl�`Jl� 5Q. 9P, �S 1) Permit Fee -0- -0- 10.00 Address //G• �'c/i Q��, ��7 2 23 2) Supplemental Permit 3.00 urnace to 100 000 BTU F2 1) incl ducts 8 vents 6.00 urnare 100,000 BTU Owner /57, 5 W W95TN/N5 2) incl ducts d vents 750 ' LP Floor Furnance 6CEL 97224 3) incl vent 600 Suspended eater, wall eater pr, 4) or floor mounted heater 600 °' '•• Vent not me in Occupant 5) appliance permit 300 epalr of heating, re ng 6) cooling, absorption unit 600 _ oder or comp, heat pump, air con 7) to 3 HP, absnrp unit to 100K BTU 600 Boiler or comp, heat pump, air con 8) 3-15 HP, absorp unit to 500K BTU 11 00 Contractor Boller o, comp, eatpump, au con 9) 15-30 HP, absorp unit S 1 and BTU 1500 Boiler or comp, heat pump, air con Y e 1, 10) 30-50 HP; absorp unit 1-1 75 mil BTU 22 50 hereby ac now100ge that I h8Ve reathis app kation, that In@ Boiler or comp, heat pump, air con information given is correct, that I am the owner or authorized 11) � 50 HP; absorp unit 1.75 mil BTU 37 50 agent of the owner, that plans submitted are in compliance with Air Randling unit o State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 Board, that the number given is correct (If exempt from State Air handling unit registration, please give reason below) 13) 10,000 CTM * 1 50 Non porta e 14) evaporate cooler 450 ent an connected 15) to a single duct 3.00 Ventilation system not 16) .ncluded in appliance permit 450 Hood serve y 17) mechanical exhaust 4 50 Describe work new addition a era ion U repair U Corrimercialor n us na to be done residential O non-residential O 18) type incinerator 3000 xi90 n—g use IF Other is, woodstove water building or property SCC /f�(Ji(CJ`�/(,�T 19) heater, solar, clothes dryers etc 450 4 (} Proposed use of 20) Gas piping one to four outlets 200 budding or property 21) More than 4-per outlet (each) 200 Type of fuel -oil Q natural gas,0 LPG U electric Q NOTICE f- Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR 5% SURCHARGE til IF CONSTRUCTION OR WORK IS SUSPENDED OR "J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME ., / PLAN REVIEW 25,. OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL SLi Special Conditions Date issued by w'1.COMp�TTM�U1/YT Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # �, LC 95- (')./ Phone (503) 639-4171 Date Issued 7 3 / '`IS— CITY OF TIGARD FAX (503) 684 TDD No. (503) 6844-27-27 72 Issued by clrr -lir s, Inspection (503) 639-4175 1. Job Address: C��Y 2, tvYD 4. Complete Fee Schedule Below: Name of Development Washingtn�Fnod Cnttrt Number of Inspections per permit allowed Address Space #FC-5 Service included Items Cost(ea) Sum City/State/Zip Tigard, OR _ 4a. Residential. per unit 1000 nq II or less $11000 Name (or name of business) Pose's Deli 3t Bakery Es&ado4lonal500aq It or portion thereof :2500 Commercial [� Residential ❑ Funded Energy $25°° Each Menul A Nome or Modular ? Dwallong Service or Feeder _ 1161100 2a. Contractor installation only: 4b.Services or Feeders Installation Alteration or relocation 2 Electrical Contractor Atlas E1ectrica1 200 amps or leas seg 00 2 Address 4403 SE Roethe Road 201 amps to 000 amps SAO 00 2 Cl I",t l wdU�— State Zi 07267 `o'amps to em amps $12000 2 CityP__— 601 ampa to 1000 amps $18000 2 Phone No. 503-659-2212 Over 1000 amps or volts $34000 2 Contractor's License No 3-2C Reconnecl only $5000 Contractor's Board Reg NO 1532 4c. Temporary Services or Feeders IrtAlallabon Alteral1011 O,relOr AllOn 2 Signature of Supr. Elec'n /hf� l�6'�� _ 200 amps OI less $50 00 2 14RGS 201 amps to 400 amps $7500 License No Phone No. bSO_ 401 amps to 600 amps $10000 Over 600 amps to incl volts 2b. For owner Installations: see•b•shove 4d. Branch Circuits Print Owner's Name New alterAtion or sittanuon per panel Address A)The too for March corcuds laird City v State 11p purrhass of sernrker or A - I Ars. Fal branch orcud $500 Phone No. _ h)The tee for branch n,cuds lsrrhftt The inst0atlon is being made on property I nwn which is I purchase or ssrvks or Itrsalsr Am. f OpI branch orcud 1— $3500 3 5.00 7 not intended for sale, lease or rent. r Arh arMiliorlal branch orcud $600 Owner s Signature_— 4e. Miscellaneous (Service or feeder not Included) 2 3. Plan Review section (if required): FArh primo or irrigation circle $4000 2 Fri sign or outline lighting $40 00 Sgnal clrcud(s)or a limited anergy 2 Please check appropriate tram and enter fee in section 5B panel alteration or adensron $40 00 _ 4 or more restriontlal units In one structure Minor Labels(10) $10000 Service and feeder 225 amps or more !_System over 600 volts nominal 41 Each additional inspection over Classified area or structure containing epeclal occupancy the allowable In any of the above an described upsi ins, N E C Chapter 5 per ttou�tion $35 00 115600 In plant $55 00 > Submit 2 sets of plans with application where any of the above — apply Not required for temporary construction services. 5. Fees: n NOTICE 5a. Enter total of above tees $ 5%Surcharge(05 k total If as) s W PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal s _ Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Plan Review If required(Sec:q s CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal s A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS — COMMENCED ❑ Trucr Account a s Balance Due 36.75 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Planck/Rec. # _ Permit # f_ L_ C 9 S - 0 2 Phone (503) 639-4171 Date Issued CITU OF TIGARD FAX (503) 684-7297 Issued by _ TDD No. (503) 684 2772 Ing r)ection (503) 639-4175 1. Job Addiess: 4. Complete Fee Schede fe Below: Name of DevelopmentNumber of Inspections per permit allowedWer — gg_§, = 0 .. � Service Included ItHrrls Cost(ea) Sum City/State/Zip q72 4a. Residential-per unit 4 1000 sa 11 or Was 4110 00 Name (or name of business) MF—IS Fah addt f s4 h or Portion thereof $2500 CommerciaX Residential❑ limited Fnwrgy $25°C Each Manuld Home or Modular 2 Dwelhng Service or Fser*r 418 00 2a. Contractor installation only: 4b.services or Feeders Inilallatron aharation or relocation l 7/'�06 2 Electrical Contractor CYY1q_v¢`ICCTAL F?T.F=TcAi, C`om) 200 amps Orissa 4� 4eo00 c--►✓ 2 Address 1092R N. KTT.T,TTI;SG1-AnT1 201 amps to 400 amp. -- $8000 2 CityPt7BajZNr� State Zip 9'7. 2ci 401 amps to 100 saps 412000 2 101 amps l0 1000 amps $18000 2 Phone No 255-9822 Over 1000 amps or volte 1,14000 2 Contractor's License No. yF,_33C Reconnect only 45..30 Contractor's Board Reg. No 6145 A 4c. Temporary Services or Feeders r InalAllabon Allwral.on 0,rwlorAl'o" Signature of Su r. Elec'n � t" 200 Amps Of leas $5000 4^ 701 Amps to 400 amps $7500 License No Pho No 755-9822 401 amp@ to foo amps :100 00 Over 1100 amps to 1000 volts — — 2b. For owner Installations: ^"W awe Print Owner's Name 4d. Branch Circuits New Alteration or extension pwr Iwi,, Address a)The lee for branch atcuits with plrrctls"a serYlCe or tieder tie City_ State Zip _ Each branch arcirn 45 00 Phone No. _ b)The tee for branch cirads w,thout The installation is being made on property I own which Is purchase or seryke or tiedlw tie not intended for sale, lease or rent. Fest hranch nrcurl $3500 Additional brand,ararn $600 Owners Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Foch pump or irrigation circle 44000 ? Farch sign or ouhine fighting 440 00 Signal circuit(s)or a limited energy v PINK check approWlals Heat and enla►lee in section 58. panel alteration or extension 440 00 4 or more residential units in one structure Minor l at"(10) 4100 00 _ Service and leader 225 amps or more System over 600 volts nominal 4f. Each additional inspection over _Classified area or structure containing special occupancy Me allowable In any of the above i as described in N E C Chapter 5 Per AlepectA,n 435 00 _ Per hour 455 00 In Plant 455 00 t Submit 2 sets of plans with application whets any of the above apply. Not regiAred for temporary construction services. J 5. Fees: Jac NOTICE So. Enter total of above fees S �v 5%Surcharge 105 X total tops S W PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal St AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 2-M of line A fr» s _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required(Sec 3)subroral f A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Acr;ount N s Balance Due $ wewlcswlx.+ir P^`aT WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 Permit PLEASE PRINTNurnber e ``bJ(�? _ Date 1-15' Please complete aU sections, 1 through 5. 4. Complete Fee Schedule below 1. Location of installation Number of inspections per permit allowed Address 9635 sw Washington sq. Rd. Service Included: Items Cost(ea.) Sum Buildingg A. Residential-per unit City Tigard Suite N0. Food Court 100o sq ft or legs $110.00 4 Tenant Name (if commercial) Roses Deli Each portion tel 500 sq.tt —.--_ -- or poortion thereof $25.00 mited Energy d_ $25.00 __ t Map No. U L' ---Tax Lot JJ 5G� __ Each Manuf'd Home or Modular Thomas M O Pa e: 655 D I I,I Felling Service or Feeder $68.00 __ 4� Section:._. Directions�PA H I NQ _ S E B. Services or Feeders T L TENANT IN NEW HALL FOOD COURT Installation,alterations or relocation less Commercial Residential❑ 200 amps to 40000 $60.00 2 2U1 amps l0 amps .!__ $80.00 : 401 amps to 600 amps $12000 2a. Contractor Installation onl 501 amps to 1000 amps $180.00 Y Over 1000 amps or volts __ $340.00 2 Electrical Contractor It e a t h S ig n a Reconnect only $50.00 2 Address 4644 SE T7th- vA a. —J City Port a n State_ � 2_T C. Temporary Services or Fcuders Date 6722 Job Number W4T86 lr�-.tauation,alteration or relocation Property Owner -Wiw a Lon S q. 200 amps or less $5000 Contractor's License No, _37-45 C 2.01 amps to 400 amps $7500 - Contractor's Board Reg. NO. 401 amps to 600 amps $10000 Over 600 amps to 1000 volts see'B'atxwe Signature of Suppr. Elec'n D. Branch Circuits License No._ 49 3 SIG Phos 1 -26-20 New,alteration or extension per panel a) The fee for branch circuits with 2b. For owner installations: purchaim of service or feeder too. Each branch circuit —_ $5.00 Print wner a Rime Phone No. b) The toe for branch circuits without purchase of service or leader lee. First branch circuit $3500 2 Each aJd'nl branch circuit $500 _-`_ 2 _— fi(ate- - "-I,p_ E. Miscellaneous (Ssrvice or Feeder not included) Each pump or irrigation circle $40.00 2 The installation is being made on property 1 own Each sign or outline lighting 111 $40 00 4�U — 2 which is not intended for sale, lease or rent. signal clrcvit(s)or a limned energy panel,alteration Ownw s Signatwe ---. or extension _ $40.00 ._ 2 F. Each additional Inspection over the allowable In any of the above 3. Plan Review section (if required) Per inspection _ $3500 C Per hour $5500 Please check appropriate Item and enter he In section 58. In Plant $55.00 r �.4 or more residential units in one structure 5, Fees J —Service and feeder, 800 amps o,, more System over 600 volts nominal A. Enter total of above fees640.00 —Classified area or structure containing special 596 Surcharge (.05 X total fees) $ 2.00 occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 2596 of line A for Submit 2 sets of plans with application where any of the Plan Review If required (Section 3) $ above apply. Not required for temporary construction Subtotal $ services. C1 Trust Amount $ Balance Due $42 00 For Inspections calf r Thle pormn bacem.a null end voM N the wad euthorlted by the psrmll ia nd cemmenae 640-3561 or 693-4415 ..khm 111n dove hom dole d luuence d oxh permit a N the wer6 outhorlled 4 wopended m ehenduneI at any Nme S W worts b eommenced la•pentad d 1W days 24-hour recorder, one working day In advance of need rNohwal Permits eue non relundabie and non haneterobie 9/94 Commercial Building Per A olication � City of 77gard S �� 13125 SW Hall Blvd. 25 Tigard, OR 97223 - (503) 639-4171 , Jobsite Address: 9639 5K/ VW iWToZ or Tenant: L'x S a suite fq F,1_ -5 Office Use 06iy, ' s` � Valuation. � PlancWRec# OAU Permit #_t ' - e,,,A � Owner. _Ttic SC�Ul4e� � � GLC= Map It TIL;r Address: 16-973 5 W Wr ST/►+i�V s i f�' D�i(�i� Approvals Required T!G-AQ1 , C7�• Y 7 L 2 y _ Planning Phone: c51)0 51�ea0 Engineering. Other Contractor: a Address: Typeofof cooinc Occupancy Gess: Phone: Sprinklered� � Yes NO Contractor's License e -- (attach copy.l cunent Oregon license) ;q ft. of project: 400 D h.4 Contact name & phone: Story (t st, 2nd, etc.).?__ IA1� Proposed use: k1-6/// ArchltecUEnglneer: IV�f cNREC. C Zy 5 Z Previous use: ��' ��, Address: l33� tiAJ A10A7"N�Qc'f Note. Plumbing & mechanical plans CL cl C7 2 7 ZO 7 must be submitted at time cf 4x building permit application. Phone. / O 71 T N JOB DESCRIPTION: 4. �-O-J'C, L W _ Tye _sc�Us12� /ZoS� G c_ Applicant Signature d Phone number Received by: Date Received: Permit 0 Account Description � Amount Amt. Pd. 8aL Qw Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) v �_ -- Bldg: v Plumb: Mech: Plan Check (PLANCK) Bldg: _ Plumb: Mech: � - L120 Sewer Connection (S'#VUSA) �' 1 Sewer Inspection (SWINSP) Parks Dev Charge (OKSDC) _ Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) _ Water Quality (WQUAL) Water Quantity (WQUANT) _ G � ~n Fire Life Safety (FLS) ! / r Erosion Cntrl Permit (ERPRMT) J Erosion Planck/USA (ERPLAN) W J Erosion Planck./COT (EROSN) 7-1 06 10 7 if TOTALS: r3c�,y� C Z FOR OVERSIZED DOCUMENTS SEE 35 mm ROLL FILM ,� � I . 1' !� � I . � � i a��