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. 7130 Occidental Ave S * Seattle,WA 98134
P O Box 34333 • WOW WA 98124.1333
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1122 a- FAX 7231123
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(.)F -rfGoRl) RECEIPT Or' PAYMENT REGFIFST W. .93—r,tV14 10
CIAE-17K (1140UNT - 4;'. 5 0
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PAYMFNT DAI'F e 05 1'419 ,
SUBD I V I G I UN
1'11_f-, WA )a I i;,4-13,!1,3
P'll 1141:105f, C.)f' P(i y H 1,1\1 1, AMOUNT Flnl[) F,.IURPUcf or r,fiYMENT AMOUNT
00 PLAN CALCI', F E If,. 8,t5
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(-ivt-., KING CITY
(0101-INT PAID 42. 150
INSPECTION NOT?CE
City of Tigard Building
15125 SR Hall Blvd. Tigard, Oregon 9 2 �—
inspection Line (Rec-0--Phone)z 639-4175 Business Phone: 639-4171
Inspection:— —�
Pooting Plbg. Underslmb Hach. Rough-in Appr/Sdwlk
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Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. underfloor
""�7 Water Line Gyp. Bd. -Hoch.
Date Requaatedt_ / r TTime y/(_lv�Z> AN __PM
Address: S ! '— �WPovnit js
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: — Datat ! , '
APPROVED nISAPPROVND APPROVED SUBJECT TO ABOVE
Call For Reinsp.
JOE—
TubeArt SHEET NO'. OF
2730 Occidental Ave.s e CALCULATED 8Y GATE 'ZA"I +
S60"10,VVA 99134
Effective Ajc1111ec1UlOI 01)d Elecfilcol slgning CHECKED BY DATE---__
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2730 OcCiOenlol Ave.S CALCULA fED BY— Xlleig
Secilile,WA 98134
Effeclive Atchlleclufol and Eleclilcol Slgf)ll)g CHECKED BY---. DATE
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BU.LDING PERMIT APPLICATION T,'GARO DATE— - 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INOIC TED BUILDER PHONE
APPROVE
ORA$SHOWN AI}IQ N THE ACCOf-PANYING PLANS AND SPECIFICATIONS. OWNER PttONE� a
OY/r1ER L6� J � LOT NO.
ADORESS ARCHIT
ENGINES
BUILDER ADDRESS DESIGNER
STRUCTURE ❑ NEW 4 REMODEL -CJ ADDITION ❑ REPAIR O RENEWAL ❑ FIRE DAMAGE Cl OEIAOLITIO'
ClRESIDENCE COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS Cl PATIO ❑ CAR?ORT ❑ GARAGE G STORAGE ❑ SLAB❑ FEND
Occii '�? `Z' LAND USE ZONE _.BLDG.TYPE / FIRE ZUNI PLAN CHECK BY _ -HEAT _
St,^IEH PERMIT N 7 - - - `— _� �Z
OCG LOAO FLOOR LOAD HEIGHT t NO.",TORIES �� AREI� l DOO NO.BEOR
BUILDING DEPARTMENT R- E-' LEFTSI �fLjq/Z RIGHTSIDE
SETBACKS
FRONT ----� :
Pormh THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z rt"a
ja.j'� REGULATIONS AND ALL APPLICABLE CODES AND ORDINAUCES. AND R IS HEREBY AGREED TKAT Tt
7-1�dla�Check WORK WILL BE DONE IN ACCORDAKti :E WITH THE PLANS AND SPECIFICATIONS AND IN COfAPUAt!C
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI%-
(S�total RESTRICTIVE COVENANTS.CONT RACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEk
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLURIqIftG AND NESTING.
;StateTax •W �i
SDC—
Total W.
PDC. APPLICANT OR AGENT
BY
Receipt No. ADDRESS NE
Apiv
_SDC
POC
SEWER CONNECTION 5 `,
SEWER INSPECTION
F_ SEWER SURCHARGE
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KING CITY
1 � 15,100 S.W.116th Avenue,King City,O:-egon 97224 Phone:639-4092
COMML.Jri I IrW DEVELOPMENT
APPL, ICZX-TIC:)r1i FUR SIGN PERMIT
1 . Applicant :_ King City Plaza �_ Date:--
Address :
ate:_Address : 1 5555-1 571 5 SW1_1 6th Ave___ Phone-( 818 ) 708-3278
2 . Name of Contractor : Tune Art Dis la s __
Address : 6975 SW Sandbu_ rbc. Rd. , Pt1d. 97223 Phone: 524-?Q
3 . Type of Sign: ie . Monument , Freestandin'3 , Sandwich, Etc.
_ Freestanding (Please sub-mit 2 copies of
Artists sketch ( or photo) stating dimensions , with this
application .
Check One : TemCorary Permanent X
4 . Sign Area ( in square feet) and color(s) 215 sq. ft. _
( 173 sq. ft . of copy)
White, reen►_ Yellow, Red
5 . Total square footage of building:_ 56, 400
6 . Describe location where sign will be placed:
7 . Method of illumination: Exposed neon & fluorescent lamps
8 . Method of support : 2 steel pipe w./pole covers_
9 . Approximate area covered by all existing signs pertaining to
this business or development and distance between signs :
No I .D. sign exists . Will be approx. 200 ' sout of Shari ' s sign.
X Signature of Applicant � '� C�'`✓ _�.
N FOR OFFICE USE ONLY
Application received by : !te:
J
Applicable Fee received: S_ ;)! • D0
-' PLAUNIN13 COMMISSION rCCISION : Approved: Denial'
.onaitions : Va.r+anc.e ru V ed eX vti �i�e X51_
Approved by : rf-J� Date :- '�
b
j (� A13125 SW tiau Dim& PLNCK/RECT #CITY OF m 1 1 V ARD PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT Tibanl,Orc"97M
(503639-.1n DATE ISSUED
✓JOB ADDRESS: / S i 5i' l S,(- 1 TAX MAP/LOT
SUIS: LOT: _ LAND USE:
`
VALUATION:
OWNER SPECIAL NOTES
NAME: Ka144 (- IT4 0 REISSUE OF:
ADDRESS: 1S SSr 15- I S, V3 � O ff_6� LAST REISSUE:
_ 1 FLOOD PLAIN/
PHONE: [ I rf O`U L , �_ SENSITIVE LAND: _-
CONTRACTGR APPROVALS REQUIRED
NAME: I i2e AIT _ _ PLANNING: /r►y Cl —
ADPRESS: rl7 3�n 3433_xENGINEERING:
r
9,�12A FIRE DEPT:
PHONE: rz _ OTHER:
�- CONTR. BOARD 11: ?o` EXP DATE: 2_ '3
ITEMS KLQUIRED
SUBCONTRACTORS: PLUMB: / 1_ISi/SUBCONTRACTORS: _
MECH:� BITS TAX: _
ARCH/ENGINEER CALCUTATIONS: ►'r�wt
DAME: TRUSS DETAILS:
ADDRESS: OTHER:
a PRONE:
PROPOSED BLDG. USE: ��!�IJ� G'ti��i� of F FPt' TANn1�iGr SiC,nJ
COMMENTS: — .. `� .J
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PPI_ICANT SIGNATURE
Received By: _ Oatr. Received:
PERMIT # ACCT # DESCRIPItoN AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees s•�o
10-431 00 Plumbing Permit Fees _
10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check fee
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52.-449 00 Parks System Dev Charge (POC) _
31-450 00 Storm Drainage Syst Dev Chrg
(SSOC)
24-445-01 Water Quality (Fee in lieu of) —
L1
24-445-02 Water Quantity (Fee in lieu of)
r
TOTA1 50
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