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9681 SW WASHINGTON SQUARE ROAD
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F� it Y 10 W 5 7 � nm O LL lL LL 0) co n a4 a' Q N U O _N N (D O O n O O O a0 U U U U U U cD N 4 Q- n''_ a a'' a 0- a a -' @ z 2r = k \ k \ % 2 m± Q R m } 6$ 2� cl co M � § } \ a) � £ c (n m m �® — � � \ U n § ® G $ O � ■ cli m © � k > .rA ; � k � � f 4 / � Lu � � Lu '5| \ c / CM ■ c , S o % ` \ ƒ g 2 e # \ / G a / \ ¢ { CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Shea,h Framing -Mec PIbg.Und/Fir/Slab Plbg. Top Out Insulation -ETecl� Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: t4 Z 9.��+ A.M. P.M.__ Entry: Adaross: ! � 4?1 Lo ._ S& Ten:-nt: U .CSL Ste: ' MST: BUP: Con/Own: o �n� •c...� �i MEC:_ PLM: THE FOLLOWING�CORRECTIONS RE REQUIRED: ELR: r J W _----- J Inspector: Date:l tea' V_APPROVEO _DISAPPROVE D/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspaction Line: 639.4175 Busincss Phone: 639-4171 V Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. f P. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: ----F � A.M. P.M. Entry: Address: — -"` �+-1— e 12.j� - Tenant: Ste:__ MST: BLIP: Con/Own._ ELC: _ THE FOLLOWIN CORRECTIONS ARE REQUIRED: F_LR: _— CD LL J Inspe�c r _._ Date:7i� �T4 APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD CERTIFICATE OF OCCUPANCY COMMUNITY DEVI-LOPMENT DEPARTMENT PERMIT #. . . . . . . : BUP95 037" 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 DATE ISSUED: 04/19/')- 6 P,ARCEL: IS12600-01107 SITE ADDRESS. . . : 011681 SW WASI-JINGTON SQUARE RD SUBDIVISION. . . . : ZONING:C—,G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . e CLASS OF WORK. :ALT TYPE OF USE. . . :COryl OCCUPANCY GRP. OCCUDANCY LOAD- 75 TENANT NAME. . . :THE MUSEUM COMPONY Re rd ar k s - Tenant improvement. Owner: _... ._W._...____._.._ - - — WINMAR PACIFIC 700 FIFTH AVE 57E "600 SEATTLE WA 96104-5026 Phone #: 206-22'13-451710 r, Contractor: Nf-,TIONAL CONTRACTORS INC 3501 XENWOOD AVE MINNEAPOLIS MN 55416-2352 Phone #a 61L2*--9t`.1@-0464 Peg #. . % 107968 This Certific.Ate grants OCCLIPEMCY of the -bove refpv,enced bUilding or portion thereof and confirms that the building has beer, inspected for r-ampliance with the State of Orgon Specialty Codes for the Lit-OUP, OCCI. rc,y, ancuse under which the referenced permit was issued. Ile B 11 r ij SPECTOR BUILDING OFFICIAL POST IN CONSPICUOUG PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plumb: Post/Beam Mech Shear/Sheath Framing -Mech. Plbg.0 d/Flr/Slab Plbg. Top Out Insulatrun -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. Sun. Sewer Gas Line Appr/Sdwlk Reins. Other: _ — Date: O A.M.-._�P.M. Entry:_ Address: —�GL ►L L Cs� - - Tenant: �� :yl� A a _ Ste:-- - MST: BUP: _ Con/Own: -- :73 MEC:- PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: i LL rc F-- J `J J I�spector. %1 - — Cate: —c.- PROVED __DISAPPROVED/CALL FOR REINSP. CF /CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line- 638-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line 'eilin T -Plumb. Post/Beam Mach. Shear/Sheath Framing Mach. Plbg Und/Fir/Slab Plbg. Top Out Insulation -Elect, Post/Beam Strurt. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: J _•!' _— --— _ Date: A.M. RM __.--.. Entiv:... _ it Address: -----U- - , - --- 1 . * Tenant. ���yk L) -. Ste:-- - �-, � Con/Own: --- - --- -- ELC: THE FOLLOWING CORRECTIONS ARE REOUIHFU ELR: n. LLJac J J Inspe or: -���-- ____ Date: APPROVED --DISAPPROVED/CALL FOR REINSR OF CO CITY CSF TIGARD M[ Ci3ANICA". COMMUNITY DEVELOPMENT DEPARTMENTr .;.l I �'F_3Z1+iIT �, . .. . . . . . iii;:.i..���"k 13125 SW Hall Blvd.Tlgsri,Oregon 97223e8i9g (503)639-4171 70NING: C--,C - 4.I�'II� WOW`- 7 n w, r I r Jnr r, ., :Ili.. � 1 Rr�. . . . 07 r .,UziE,;_ I.r-h'TT rn 'r'111_ Ir, IT r C r r, 1.r• . inn r,MP! n(.0 ! Inn r• L"!! -•iyrl�.s. , , . . . . . . i. na��>~1,.:, �c�., ;l .,cam >�„�t, a 1,�.�ra�, . . . . , . . r..w— TYPES _ I 1P P. 7nJ,nMc:7. T r l r O-.15 11f1. . . 0 CC)`ML.. INCIi,: Y Z! "•Tk,1 i r ac {-11"'. .. .. t6; i_�r'ti.1 ::i: Q., ;;+7!, . . . , 1 WOOD aTO T:0. . . 0. 17'. . . CI.,^ Tn`rc:^O. . ; AIR ITIN 11-ING ._1',3175 OT,- Eri UNITS. . 1 00ly.m E.•r.m a r ^ "I "! --- 10000 ^_I.,._30000 L01 Y: 'iir7.i"�� rid•'- '.fF:Cd -•� .. L ;,)�:r? lav-.:.i�. �l r1 L � ram;:.,w , by r r ten. ly�1�-. �_ «•�.r 37. !•� ') +•i-•w, f'+r�,^t !C;,r r•. 2773 .'I'7 63 t o �. ...^., .,.ir a~- ��i...�.. x T, 22 ..�.J i. .,...Ji !.:l�✓ 4' 1. ,:« 1. 1 I �,. ti.!.... ,.' J1..' y.•..i� s:��� r 16 1A 07 I_. . M 3 i:c.'. ., .. ,... .. i i .a ,'• 't� .. :.i � ,_},. M . ,_ ,. iii'i 1..i E:?i._'t, '1 t;i ILL .__�._... .__..._.,.�.�.,_..._...__ �. LW is 610 z 17 1,J I ELECTRICAL PERMIT PERMTCITY OF TIGARD vATElISS1UEDI:CO3/'14/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: i S 1 LGOC--0110.7 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 _._%W3)839-4171 ._ 5W W( I'i11\ 10' `,a G! Rn .SURD I V I C-,I ON. . . . : �(r 0ZCIfJ I NG:C C BLOCK. . . . . . . . . . : LOT. . . . . . . . h'r^oject Description : InsteII two services or feeders, 50 branch circ)-tits and, 1 mise signal. cil-tco_tit. - RESIDEIUTIAL-UI\IIT---__-. -.--TEMP SR'JC/FEED,:RS-- - ~- - -MISCELLANEOUS- 1000 SF OR LESS. . . . : 0 - k-200 amp. . . . . . . 0 PUMP/IRRIGATION. . . . : 0 EACH AllD' L 5009F. . . : 0 2,01 4.00 amp, . . . . . . : tZt SIGN/OUT LINE LTG. . : 0 LIMITED E=NERGY. . . . . : 0 4.01 - 600 amp. . . . . . . : 0SIGNAL./PANEL. . . . . . . : 1 MANE. I.1M/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR L_ADEL ( 10) . . . V1 - --SERVICE/FEEDEfi- - - -------BRANCH CIRCUITS.._----- -• -ADD' L INSPECTIDNS-.-- (71 00 amp. . . . . . : �- W/SER'JICE OR FEEDER 50 PER INSPECTION. . . . . : 0 - `01 +00 am . . . : 0 1st W/O SRVC OR FDR. 14) VER HOUR. . . . . . . . . . . . 121 401 600 ,amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 601 - 1000 amp. . . . . : 0 _.-______._.____------_-._PLAN REVIEW SECTION---- --- --.._.____...._.._ _. 1.000+ amp/volt . . . . . : Izi > =4 RES UNITS. . . . . . . . : > 6O0 VOLT NOMINAL.. . Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC UCC. : FEES THE MUSEUM CO type amo�.tnt by date recpt `35135 SW WASHINGTON SO RD IDR11T $ 41.0. 4)0 CJS 0��/14/96 96 'O12 SW SPCT � ='0. 50 CJS 03/14/96 96 -; 77012 TIGARD OR 07,=J.'5 Phone ##: CHANDLER ELECTRIC INC $ 430. 50 TOTAL. 35x'1 SW CARSON ST - --- REQUIRED INSPECTIONS -- i-,u1 1-1_AND OR 97019 Ceiling ("ovPr- Elect" 1, Servi - Phone ##: Wall Cover Elect' 1 Final. IReg d#. . . This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signati-tre :p[l;cat'e laws. All work will be done in accordance with approved plans. This permit will expire if work is not started / within 180 days of issuance, or if work is suspended for more rJ� than 180 days. Iss�.ted By - - OWNER I N5TALLAT I ON ONLY_--..-.-_-_-_.___-_.... The installation-is-being mG.cle on property 1 own which is riot Intended for, Bale, lease, or rent. OWNER' S SIGNATURE: DATE: _ C TRACTO NSTA AT I ON LY -- ----- -- - -- -_____._ T � /y I GNATUF;E�OF-SUF'-. ELEC' N: _ _. _ ___ DATE. ._... LICENSE N0: � - - w J Call for inspection Community Development ELECTP.ICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Fec. # Permit # FL,1'-Q(-- O/S g At L Phone (503) 639-4171 Date Issued 3--A/- Ve' FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4 Complete Fee Schedule Below: Name of Development � �- e Number of Inspections per permit allowed �t l -A rc A fWWalshinatam. 1 ? C Service included: Item:; Cost(ea) Sum City/State/Zip J L- 4s. Residential-per unit 4 loon sq It or lens $11000 _ l Each additional 500 sq it or Name (or name of business)-lI" MaawYl �_ (: porlton thereof $2500 1 Commercial Residential❑ Limited Energy $2500 Each Manul'd Home or Modular 2 Dwelling Service or Facder $6800 2a., Contractor Installation only: 4b.Services or Feeders //j� ` l, J //� 1 Installation,altereiion,or relocation QO 2 Electrical Contractor (,{'t�/'j�'('` /C(/]7(�I�C- . 200 amts or lens Woo �� 2 Addres rn r r 1 r 201 amps to 400 amps $8000 2 Ci State _ Zi r 401 amps fc 100 amps $12000 2 ty p sol ami to 1000 amps $180 00 2 Phone No. 2/1t;-x'71' Over 1000 amps or Vohs $34000 2 Contractor's licanse No. iL_ -,f�Z/}C- Heconnbd only 4_ $50oc Contractor's Board Reg, N0. 4c. Temporary Services or Feeders Installation,attorahon,or relocation 2 Signature of Supr. Elec'n 200 amps or less $5000 2 License No. 6)LIP,)PL- Phone No.` '('{, 771i} 201 amps to 400 amps $7500 2 401 amps to 600 amps $10000 Over 600 amps to 1000 volts 2b. For owner Installations: sea•b•aoove Print Owner's Name 4d. Branch Circuits New,alteration or extension pa•panel Address_ a)The fps for branch circuits with ^^ City State Zip~ purchase of"nike or feeder f►e__�„ E5 00 Phone N0. Each branch moult b)The lop for branch circuits without The installation is being made on property I own which is purchase oir service or bod r 11". 2 not intended for sale, lease or rent. First branch ctrcuit $.7500 2 Each addd,onal branrh circuit $5 00 (,,nor's Signature_ _ 4s.Miscellaneous (Service or feeder no:included) 2 3. Play Review section (it required): Each pump or ar gntion cir.e $4000 2 Each sign or outlim hpr,ing $4000 Signal crmusraor a .mrted energy 2 Please check appropriele item and enter fes in section 58. paver alteration c adpnsion ^� $40 00 _4 more residential units in one structure Minor l shpts(10) $10000 _Service and feeder 2.25 amps rn more _System over 600 volts nominal 41. Each additional inspection over the allowable in an of the above Classified area or structure containing special occupancy Y as described in N E C Chapter 5 I'p"esrw^,on $3500 Par hour $55 00 ' r Submit 2 sets of plans with application where any of the above ..1':ant $55 00 apply. Not required for temporary construction services. 5. Fees.• co c NCTICE Ss. Enter tot•.l of above fees $ J5%SuC)rchnrgp(05 X total fees) $ _ J t,l PERMITS BECOME VOID IF WORK OR CONSTRUC"i ION Subtotal $ J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b.Enter 25%of lint,A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF leo DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED ❑ Trust Accountill a Balance Due $ ..r .eWsb« om rco CITY OF TIGARD BUILDING PERMIT I='ERMIT #. . . . . . . : BUI='95--0380 'COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0i=/09/36 13125 SW Hall Blvd.Tigard,Orogon 97223e9199 (503)639.4171 RARC:EL: 1 S 1260C--01 10*7 ..'rE ADDRESS. . . : 1419681 SW WASHINGTON SQUARE RD �BDI V ISION. . . . : Z(-.NING:C- G _OI %. . . . . . . . . . . LOT. . . . . . . . . . . . . . 1317-1S5UE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCT10; LLA S-5 OF WORE;. :ALT FIRST. . . . : r 7 s f N» 5: E- W: TYCIE OF USE.. . . :COK SECOND. . . : 0 Sf PROTECT TYPE OF CONST. :ON . . . . 0 f N: S. E7: W: OCCUF,ANCY GRP. :Bim: TOTAL-----------: 2657 s-F ROOF CONST: FIRE RET? . OCCUPANCY LOAD: 75 EASEMENT. : 0 sf AREA SEF. RATED: STUR. : 0 1 IT : 0 ft GARAGE. . . : 0 s f OCC:U SEF'. RnT(rl): BSMT? : ME Z Z?: RECD SETBACKS----------- REQUIRED-------------------- FLOOR EQUIRED----___--______--_-- FLOOR LOAD. . . . : 0 ps-F LEFT: 0 -Ft RGHT- 0 ft 1=IR SFIKL:Y SMW', DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HND1CP ACC:Y PEDRMS: 0 1,AIv4s: Ib IMF, SURFACE: @ PRO TORR: PIAR1,11MG: la VALUE. $ s 6200 riemarks : (errant improvement Spr-inkler modification Uvvner. _.__._._.__._._.__.______.____._---______,_..---.__.__._..___–__.__._.__-_-- F=EES WINMAR PACIFIC type amount by date recpt 700 FIFTH AVE: STE 1='600 , RMT $ 56. 50 JSD 02'/09/96 56--27576_: FIRE $ 22. 60 JSD 02/09/96 96-27578 . 5EATTLE WA 9)8104--50, 6 5F,CT s B" JSD 02/09/96 962757B`_ P11-ione #: 206-2E --4500 WYATT FIRE PROTECTION INC. 9095 S. W. BURNHAM 11GARD OR 97233 f"rur7e # : 684-W29LS f 01. 93 TOTAL 64077 REQUIRED I NSF,ECT I GINS This permit is issued subject to the re;siations Lantdined in the Sprinl.ler, Final irgard MJnic:pal C;,ae, Stata of Are. Specialty Codes ano all other Misc. Inspection e?pl icable laws. All Nark 1611 be bone in accordance with Final Ins pec t i o n approved plans. This permit; will e.rpire if work is not started %%vin 160 days of issuance, or if work is sus?erdr: gar more Ther 180 says. Imit: Lee Uignatur,e . Ca11 for- inspection – 639-4175 J I,J 1 I PLUMBING PER.11IT -C11TY OF TIGARD GATE I SSI.IED:w 03/i.2/96w 3/i l"119,E w; , + COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722306199 (503)539-4171 PARCEL: 13126ZC i';t 107 a,`1VISION. . . . UA . -1')39 OF WC1;7li. . yAI.T GARBAGE DI r,'-JSAt_S. s YPE OF USE. . . . ;COM WASHING MACH. . . . . . z 01 BACKFLOW PREVNTRS. . : 01 .ljrnrxy spr. . .B.�: FLOOR DRAIIN . . . . . . . 1 TRAPS. . . . . . . . . . . . . . 0 WATER HEATERS. . . . . CATCH BASINS. . . . . . . . 0 _1"TUREC LAUNDRY TRAYS. . . . . . 0 Or RAIN DRAINS. . . . . : 0 '::INKS. . . . . . . . . . 01 URINALS. . . . . . . . . . . . 0 UREASE TRAPS. . . . . . . : k� AVATORI EC. . . . . : 1. OTI If;R'. r I XTUR2C�-J. . . . 0 .UD. SHOWCRS. . . . : 0 SEWER, LIN[: (ft ). . . e 0 1ATE.R 1 WATER LINE (ft ) . . . : 0+ IWASHEF?S. . . . : o RAIN DRAIN (ft) . . . : 0 ks : Tenant impr-ovemerlt. 4VT101 . _ ...______.._._._,_......__..� ._.__ ,._... ..__._____._.._.__._,....... _ ._,.._.____.....__._. __ FEET I" II+IAR r'ACIr. IC type amount by date recpt *-z FirTH AVE STC 2600 r,RMT t 27. 010 BON 03/11/9Cr 36-27S:`:.. :. C. 7` BBN 0--/I 1 'r) jC,. S7f- 14 ; ,Ln"TLE WA 9811214—512126 5PCT S 1. 35 DON 03/11/96 96 -27E84�w I I._ f''LUMB I NC 110 SW ME RLO RD )CF:T0iN OR 9 7 C 0t _._. _. _. ._.__ ___ ._._._ ___._.._._.__.__..._..._._._..w_.._. 7-"J,.`7 35. 10 TOTAL , i. . : 0��r1E14 _.._.._._..__ REQUIRED 1 NSF''ECT I ONS _._.... is ilereit is issued suv,�e.t to the relulatiors contained in the Water, Linc, Insp . "6.ri:ipa '6odi:, State of Ore. Specialty Codes and all other Tor.-+--n,.1t InsFr ,r::It laws. Ri? work will be done in accordance with "ii ar_. Insper tion ,.V-ored plans. '`i persit will expire if wank is not started riiial Irlspection ..seance, cr if work is suspended for eore G� N (:,.all fe)- inspection 3') 4 ,'77 r J mc C7 UJ J City of Tigard /✓Irk � PLUMBING PERMIT APPLICATION Planck/Rec. # - 13125 S1!1l Hall Blvd. Permit # Tigard, OR 97223 �/ 5�/�95--0 (503) 639-4171 _ MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE New Singis Family Reeldences Only ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job W{��1ni`n 910 ) QAkk_ C ❑ 3 BATH HOUSE$225.00 Address 13 Fee includes all plumbing fixtures in the dwelling and the first 100 feet To 97-A\t,t.I U l.)Q- �j of water service, sanitary sewer and storm sewer. See lees below. w 9w""1 n FIXTURES QTY PRICE AMT Sink 9.00 "t""�"'•"" °A•" Lavatory 9.00 . Owner Tub or Tub/Shower Comb. 9.00 Shower Only 9.00 Water Closet Dishwasher 9.00 �Y\'.): ZI.N�►\ t.tY`^ A'�" Garbage Disposal 9.00 Or,Cupant r.ry Ads." a pWashing Machine 9.00 �^ 111'1,- Flcar Drain 9.00 °^1e" Water Heater 9.00 Laundry Room Tray 9.00 Unnal 9.00 loim,- ( ` �,. Other Fixtures (Specify) 9.00 ".rp.rw. IMr Contractor9.00 9.00 ur+aaft 9.0 - (1 " . � !tZY-0 Sewer 1st 100' 30.00 S`"'"•O•"°°" f C"°°w.T.No. Sewer-ea. Addit 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 25.00 infomiation given is correct, that I am the owner or authorized agent of the owner submitted are in compliance with State laws, that Storm 3 Rain Drain 1st 100' 30.00 I am nr the Construction Contractor's Board, that the Storm lh Rain Drain Addit 100' 25.00 numbe rect. (If exempt from State registration, please give,rea50n below.) Mobile Home Space 25.00 Back Flow Preventicn Device or Anti•Poltutlon Device 9.00 a "•'°"•• �"'� °i'• Any Trap or Waste Not 1 - Connected to a Fixture 9.00 Descnbe work new Q addition () alteration repair U r Catch Basin 9,00 to be done residential O non-residential Q Insp. of Exist. Plumbing 40.00fhr Specially Requested Inspections 40.001hr Existing use of building or property RV()j_ t-_C'j1 Rain Drain, single family dwelling 30.00 Residential backflow prevention ^.I ` devices 15.00 Proposed use of \ '� 1,u ding or property °rJ A, t residential backflow prevention devices) NOTICE 'Mlnlmurn Fee $25.00 SUBTOTAL 'f :c '-' PERMITS BECOME VOID IF WORK OR CONSTRUCTION - w AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE J CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS S COMMENCED PLAN REVIEW 25% OF SUBTOTAL TOTAL Soeaal Conditions Date issued by Sewer Permit Worksheet Fixture Unit Ratings �C _0 3 g-3 I FIXTURE TIMES (x) TOTAL UNIT 0 OF FIXTURE FIXTURE VALUE FIXTURES VALUE Baodstry/Font 4 Bath - Tub/Shower 4 - JacuzrWhpl s Cuscidor/Water.Asp 1 I Oishwasher - Commer 4 - Oomest 2 Onnking Fountain 1 Floor Orcin - 2 inch 2 2 - 3 inch L 5_ - 4 'inch 6 I Garbage Disposal - Oom (to 3/4 HP) 16 Comm (to 5 HP) 32 I - Ind over 5 HP) 48 Oil Sao (Gas Sta) _ 6 Shower - Gang 1 - Stall 2 Sink - Bar 2 i - Bradley 5 i - Commercial 3 l - Sariice 3 i 'Nasser. Clothes 6 Water, Ext 6 `Nater Closet ( 6 I ICo i Urinal I 6 r I I I I � ! I J ►r J 3t,sinels �1� S t V Total Fixture Value .Address i C'�'� �3 —7,J,=f4 divided by 16 = EOU Rcund EDU to nearest whole ^umcer I multiory by SZ20C ,'ynew.�lf CITY OF TIGARD PERMIT OCL/RE/9L"� f PERMIT ##. . 6UP95� 037) DA'T'E IS�U COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Nall Blvd.Tigard,Oregon 97223.8199 (503)838-4171 PARCEL: 1 G 1260C- 01 10*7 ITE taDDRESS. . . : 0:')68i SW Wi'iSH.Lh161ON SOUAIRE: RD J B D I V I S 10 1\1 ZONING:C--G _OCK. . . . . . . . . . LOT. . . . . . . . . . . . . . EISSUE: rLOOR�iaREAS -- --- ---- EXTE0I0ft WI=LL CONs,rRUCTION- ..LASS OF WORK. :ALT FIRST. . . . : 2657 s N: S: E: W: YPE:.' OF USC. . . :COIN SECOND- -. 0 5f PROTECT OPENINGS?----____..--_ YPE_ OF CONST. .-5N . . . : 0 S N: 5: E: W. ;CCUPANC e GRP. :62 TOTAL---------: -2837 _ f R0017 CONS": F- IRE RET? jCCUPANCY LOAD: Y5 BASEMENT. : 0 sf AREA SEP. RATED: T0R. : 1 HT: 0 ft GARAGE. . . : 12) s f OCCU SUP, RAYED. i+0M-f•?: MEZZ? : REOD SETBACKS---- FLOOR L01=1D. . . . .. 0 ps f LEFT: 0 ft RGI-IT. 0 ft FIR SFT._:Y 3MOK DET. . : DWELLING UNITS: 0 FRN(': o ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y ED RMS. IZI DATHS: V_I IMP SURFACE. I4'1 PRO CORk.Y PARKING: 0 . ,aLUE. f : 84300 remarks: 'Tenant impr^ovemertt. :�INMAR PACIFIC type amount by date r^ccpt 100 F=IFTH AVE STE 2600 PLrK $ 252. 20 BON 08/28/95 95-269854 FIRE: t 15 5. 0 BONI 08/20/95 95'-E69854 .;EATTLE WA 98104-5026 PRMT $ 388. 00 JSD 02/26/96 96- 276='66 'htotte #t: 206-a:23-4500 5PCI $ 19. 40 JS:iD 02/1-26/9u 96--2762G/3 _10NAL CONTRACTORS INC XE:NWOOD AVE MINNLAPOLIS MN 55416-235 hor7e # 612 9� f3 '34k4 tF 814. 80 TOTAL 107968 REQUIRED INSPECTIONS ns permit is issued su6?ect to the regulations contained in the naming Insp igard Municipal Lode, State of Ore. Specialty Lodes and ail other Insu1 tAtion In>p - eapiicable laws. All work will be none in accordance with Fir,erwai l Insp rpproved plars. This permit will expire if work is not started Gyp Boar-0 Insp Ohin 138 days of issuance, or if work is suspended for more Susp Cel Ing Insp -han 188 days. Sprinkler Final Misc. Inspef.�t iarr Final Inspection ermittee af#rt_ r c' : sc;ued -r Call fat, inspection - 639-4175 r w APPLICATION FOR PFRMIT TO INSTALL FIRE SPRINKLER SYSTEM BUILDING DIVISION, CITY OF TIGARD 639-4171 DATE: 1\J1US7 �`� 4 1`�`� PERMIT # = f cS�" 0,1 �ZU y� Valuation: t l / t Permit Fee: ----� 15-4 " 51,16 Surcharge: Plan Check Fee: Plans must be submitted to the Building Division before installation. Three sets of the plot j plan, showing the layout and the location of the nearest hydrant is required. New Installation: Addition: Repair: _Alteration: Xx Complete: Partial: Exitway:____ Basement: Hood & Vent: Soray Booth: IN EXISTING BUILDING:XY IN NEW BUILDING: 1- NUMBER & STREET: _1��Y���(�.1 un1 'Jly�tl. ��'�;:« 5�� ll�. \AJA6n.� ��a 5��2 k'J NAME OF BUILDING or BUSINESS: NO. OF STORIES: I SIZE OF BU'LDING: 2°S OCCUPIED AS: 1 TYPE OF SYSTEMS: Wet: Dry: . Combination: _ STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1_ ?_ 3_ 4—Extra DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2 SPRINKLER ORIFICE SIZE: "K' FACTOR TEMP. RATING c C� n -� OWNER: 1��);r ��rn ADDRESS: I)5 j; ►JT V�u=�? CONTRACTOR: I I I,'R U""t PLANS DRAWN BY: -+� 45soC ADDRESS: t I S � y p`VC� t_����+� WAN r`S y3� REMARKS: ,N - A 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. SPRINKLER COMPANY: /r (', �(�.T�� PHONE: „503 , (`,o`f t SIGNATURE OF APPLICANT: J BUILDING DIVISION: PERMIT VALID FOR 180 DAYS - Commercial Building Kermit Application City of Tigard y l0 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 y0 Jobsite Address: =4u nF- e- Liv C.(a Tenant: � )',f,V� Suits Office Use Only n r .r�� # ARCD_ C(G -� c� o� Planck/Rec # 61 - (.>�1 Valuation: � 700 � Pe►mit# Owner: `�.p `l`I` 1 i<._y► ►^Q n�, Map & TL# / Z o C , g110,-1- Address: ro�-Address: Approvals Re u!r d hs-T N-1 0�-09 3 Planning Phone: C kA - 5 (a Engineering N \ 11 n Other _ Contractor. N�� t\oni Pc\ C�N���(USS �r�►C T — Address �'�Jn 1 �CEt\1w�J1 ' ►�� Type of const: Occupancy class: c A Phone: (a�'Z-'"� 7 -- Sprinklered? (Yes-) No Contractor's License # 0-A Vn (attach copy of current Oregon license) l' Sq. ft. of project: ._ Z 55 :� Contact name & phune: Story (?st, 2nd, etc.) _ Proposed use: Architect/Engineer. A, �j Previous use: � { '�^'�'� T N`r�'�✓c "'�•�'� dress: q dote: Plumbing & mechanical plans must be submitted at time of building permit application. v- Phone: ( i. -1(fY` 35 -3to -� JOB DESCRIPTION. \ Nl�,rsjh Q V'•�E M �-'� s W - - Applicant Signature & Phor a number Received by: 1 l�`�^' `���' '� Date Received: f' ' Permit # Account Description Amount Amt. Pd. Bal. Due bldg. Pe,-mit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) Lr �!v - State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TiF-R) _ Mass Transit TIF (TIF-MT) Comms eclat TIF (TIF-C) I� Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) , Water Quality (WQUAL) Water Quantity (WOUANT) )A7 7�7�, Fire Life Safety (FLS) _ F- =; E,osion Cntrl Permit (ERPRMT) c Erosion PlanckiUSA (ERPLAN) w J Erosion Planct COT (EROSN) �V TOTALS: ��� �� ��d�I i U4" City of Tigard MECHANICAL PERMIT Planck/Rec. Via: !O�� i31,25 SW Hall Blvd. APPLICATI Permit # �1I HCl Tigard, OR 97223 r f (503) 639-4171 MTM es p ion Table 3 Mechanical Code QTY PRICE AMT Jots V.1 )d�; vrJ 1) Permit Fee -0- -0- 10.00 ON Address � 2? 3 2) Supplemental Permit 3.00 �-urnace to 100,000 BTU �)t,/" 1) incl. ducts &vents 6.00 •.. F ,—p — umace + Owner f�� f�c�ou� 3(1 V4' -4IS7_0 2) incl. ducts &vents 750 r1 >> L9 Floor Furnance 0-4-0-433) incl. vent 6.00 °" "°""" •"•• 60 944-1S4uspended seater, wall heater T1,1 . 4) or Moor mounted heater 6.00 a ••• Vent not incl. in Occupint AP M `��.� �^ `5 �� 5) appliance permit 3.00 Repair of heating, re g. C-fps,T D 0 ,z 6) cooling, absorption unit 6.00 r of er or comp, heat pump, air cond. I 7Yi iV ..(,1 t �ff.1 7) to 3 HP; absoip unit to 100K BTU 6.00 Boiler or comp, eat pump, air cond 7'' �tl� I I r�. ,�_ 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor h Boiler orcompheat pump, air con 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 °•• Im Boiler or comp, heat pump, air cond. 10) 30-50 HP; absoip unit 1-1.75 mil BTU 22.50 hereby acknow ge that I have read this application, that the Boiler or comp, heat pump, air cond information given is correct, that I am the owner or authorized 11) >50 HP, absorp unit 1.75 mil BTU 3750 agent of the owner, that plans submitted are in compliance with —Aiirrani I� ni g un-i to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If exempt from State Air handling unit registration, please give reason below.) 13) 10,000 CTM + I 7.50 Non portable --I} 14) evanorate cooler 4.50 Vent fan connected 15) to a single duct 3.00 j en i a ion system not 16) included in appliance permit 4.50 .o....,..« Hood serve v 17) mechanical exhaust 450 esa work new eacrepair Commercial or industrial to be done residential Q non-residenilal Q 18) type incinerator 30,00 Existing use of Other i.e woo stove, water building or property 19) heater, solar, clothes dryers. etc. 4.50 Pr000sed use of 20) Gas piping one to four outlets 7.00 building or property _ f A)AAJT, M PA.0 ,( -._. _ 21) More than 4-per outlet (each) 2.00 V11Type of fuel -oil Q natural gas Q LPG Q electric Q — -- r tNOTICE - J Minimum Fee $25.00 SUBTOTAL f c PERMITS BECOME VOID IF WORK OR CONSTRUCTION 17T AUTHORIZED IS NOT CCMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE W IF CONSTRUCTION OR WORK IS SUSPENDED OR — J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 1590 OF SUBTOTAL l 1 AFTER WORK IS COMMENCED TOTAL Special Conditions s Date ssued by raoaiM^,r.+,reerir+rr FOR OVERSIZED DOCUMENTS SES 35 mm ROLL FILM . b. �� ♦ � - - - � .. ;• �' �. - � jy � .i ' .1 � M � . � _ t _�. y�, �� _ � � . • A �` S ' 1-. :a; t &�� �!' �� • � 1 f: w,�„ ,. s I � � "� ` � • r r Y.,, , ,.� ��' �u � �