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15705 SW 116TH AVENUE-1 ADDRESS: uoil A VieN"uA SkINO CITY CL CL J .� lArecordsViilcrofln\target!Amilding.doc ` �o w J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP J I _Date Requested �! �AM PM oc) gLD Locatioi I ��U� ` U� _ Suite MEC — — Contact Person Ph ��,� -Cis (P{r"— PLM N Contractor _ Ph SWR _ BUILDING Tenant/Owner �-�� �� �J I (T ELC Retaining Wall ELR _ - Footing Access: Foundation (006 w `y2/"V �.. FPS Ftg Drain SGN Crawl Drain Inspection Notes: --- Slab _ SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Framing �__ - - - -------- -- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --_-_-.----_ -- __-- - ---- Roof Misc: _ - --- ---- -_�. Final - PASS-k2T FAIL - _ - - - --- -- - LUMBING Post Beam Under Slab T .Atrr_" ��J�- ater Service._-' i _ - Sanilaq7!�--wer Rain Drains ASS PART FAIL. ANICAL Post& Beam - Rough In Gas Line --- Smoke Dampers Final --- - - ---- - --- PASS PART FAIL r TRICALeIn ab oltage -----� - -- --__- ,—_ Fire Alarm ---- ----------- Final PASS PART FAIL SITE s Backfill/Grading -J-"- �- - - -- C-13 Sanitary Sewer w Storm Drain [ ] Reinspection fee of$ _J- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basio [ ] Please call for reinspection RE: _- [ J Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Other Date � �,� Inspector Ext -- Final ] PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 9'7223 (503)639-4171 PERMIT #. . . . . . . : PLM98-0216 DATE ISSUED: 07/07/98 PARCEL : 2SIIOCD-07600 SITE ADDRESS. . . - 15705 SW 1, 16TH AVE SUBDIVISION. . . . - KING CITY NO. 2 ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: KIN ------------------------------------------------------------------------------------------ CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFL.OW PIREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES.--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 -IUB/SHOWERS. . . - 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. - 0 WATER LINE (ft ) . . . : 601, DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Installation of 600+ feet of water service. Owner: --------------------------------------------------------- FEES KIENOWS FOOD STORE type amol-tilt by date rec:pt 15705 SW 116TH PRMT $ 1.05. 00 DEB 07/07/98 KING CITY KING CITY OR 972211 5PICT $ 5. ?5 DEB 07/07/98 KING CITY Phone #: Cont ract RON" S PLUMBING 15924 SE RHINE PORTLAND OR 97236 ---------------------------------------- Phone #: 761-956E.' $ 110. 25 TOTAL Req #. . : 000091 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Water Set-vice 'In Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules ca- adopted by the Oregon Utility Notification Center. Those rules arp CC set forth in OAR through OAR 952-000I-9080. You may obtain copies of these rules or direct questions to O(W by calling (503)2^46-1987. I s s 1-i e d Permittee Si gnat o.,.re :Au ....................4........4...4..........4..................................... Call 639-4175 by 7:00 p. m. for- an inspection needed the next bi-isiness day +++++++++++++++++................4.........................4-++4--f-+++-4............ .JUL-06-'98 MON 22:27 ID: FAX NO: 4125 P02 CITY OF TIGARD Plumbing Permit Application Plan Check. 13125 SW NAIL BLVD. Commercia; and Residenilal Recd By Q &L TIGARD, OR 9722'3 Dale Rec b_ ,, �- (503) 639-4171 Dat©to P.E- Print or Type Date to DST - Incomplete or Illegible applications will not be accepted p'n"I"`- Related SVM d Calle Name of DevelopmenwTvIecl On back Indicate Work Performed OY f furs. Jobe:itl�ws L ,� !fll', Q, a cit rAMT AddreQs sfreelAddreas — suite Sink ' -- g.00 1 7 O S r5 ll Lavatory — 9.00 Bldg a CRy/3tatn lip Tub or Tub/Shower Comb 9.00 Names / Shower Only 9.00 Water Closet 9.00 Owner Mailing Addrosa Suitt, Dishwasher 9.00 s 3 kJ`(� Garbage Dispersal 9.00 Cityistqike Zlp Phone _.� Washing MaaNne 9.00 Name -- Floor Drain 2' 9.00 A, < < f vTvIt 3 9.00 Occupant Mnllltig Addreflfl Suite +" 9.04 Glty/Stato Zip Phone Water Healer O conversion O like wind 9.00 Laundry Room Trey --'— goo Namo r Urinal g,W 0'V U r OW Urinal Other Fbttures(Speufy) 9.00 Contractor Mailing address Suite -� ___ _ Ir-� r'//P9.00 Prior In permit l;i .1.940 Zip Phone _ 9.00 issuance,a copy O/1 T i�R'E' Q lL !`I Sewer"1st 1D0' V 30.00 et all licenses are Oregon Const,Cont,Board Licit F_xp,Date Sewer-each additional 100' 245 00 mquir*d'1 9 Z - ' Water Service• 1st 100' nxpl(tA In COT Plumbing He.r Ftp 1 dalabaso / Water Iservice each addibonal 200' 25 Name t5-!� 6 `_ 9f Storm 6 Rain Drain• Isi 100' -_ 30,00 ~ Architect. l 99 Slarm b Nein Chain-path addiUnnal 100' 25.00 -.--- Mobile Kana Space 'f 26.00 Or Malliny Address StttrC _ Commorcial Bach clow!revenllon DaWce or Ant). 25.00 Pollution Devito Engineer GiryrBtata Zip Phone Residential 0acknow Pnwannon Drlvir:,e• 15.00 0c3aiba nvik New O Addition O Altoradon O Repair U Any Trap urWvrsts Not Connected to a Fixture 9 0D to be donv Realdendal O Non-tesidemial 0 Cahn Anal - — - p 00 AddMional drnrnntlon nl work Insp.of pxlrtbv Plumbing 40 00 Specially Requeatad inapnctions d0.04 --- parlhr Plating use of j --- Rain Crain,singls rally dwollinq 30.00 building ur Giese Traps a hmpnRwd use of QUANTITY TOTAL .t pulldln0 Or prol'iefty_ Immebo or How rt�rem la mrlulrna If qusn+ry 1 alai Is a g 'SUBTOTAL I her by acknvwleedge that I have read this application,that the information r gesso le onecl.that I am tha owner of euthorizvd agent of the owner,and 6% SURCHARGE S F- �- ths�leno submitted cera in cnmpllanoo_wiN Signature of Owner!Agent Dote -- -PLAN REVIEW 75% OF SUBTOTAL L Requ red a+rY A IM gtY h"i Iw a h c� /< �� �' 7- ?e TOTAL w XO y\ Contact Person Name phone e _ •Mlnimurn permit NO Is 32�+5%surcharge,exc-"e Rasidan0at aclAow Prevention Device,which is$15+IS%surcharge ` All Naw Commemlat nuildtngs iequlrn plana with Isomatltc or riser diagram and plan review trtlatuyAvneapv.err,L;JAl1 t CITY OF TIGARD OREGON 7 I < < ( � ,) RE: BUILDING PERMIT # (n R 3 -7 .K ATF Inspection(s) have been conducted on this project. However, we have no record of any subsequent oz final inspections within the past 180 days . Please note that permits become vo=d if there has not been an inspection performed for over 180 days. In that case, the Building Division may require a new application and fees to continue work. A notice of non-compliance against the property may also be recorded by the City. Please advise the Building Division, IN WRITING, within 15 days of this letter, the status of this project. You may request additional time to complete the project . Respond IN WRITING to: Building Division, 13125 SW Hall Blvd. , Tigard. OR 97223 . Be sure to include the following information: 1 . Building Permit #. 2 . Address of property. 3 . Your name . 4 . Your phone number 8 : 00 a.m. - 4 : 00 p.m. If you are ready to schedule your next inspection, please call our 24-hour Inspection Recorder at 639-4175 . h w J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 CITY OF T!GARD MEGHANICAL PE R lyl I T PER111T #. . . . . . . : MEC93-01:--9r COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/C2,6/133 *13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2S110CD---0761Zi@ SITE' (ADDRE—). . rlvk.. �3iSDIVISION. :I/,+y J ZONING: BI-OCK. . . . . . .. . . . LOT. . . . . . . . . . . . . . ---------- CLASS OF WORK— :AL7 PLOOR FURN. . . EVA11. COOLERS: TYF-E OF LGE. . . . :COM UNIT HEATERS. . .*2 VENT FANS. --. OLCUPANCY GPP. . :B2 V0,41"S W/O APF11-:3 VENT SYSTLMS;, STURILS. . . . . . . . : BOILERS/COMPIRESSORS HOODS. . . . . . . FUEL TYPES--------........... 0 -3 HPI. . . . . DOPIES. : /GAS/ 3--15 HP. . . . ., COMML. INCIIrl,i MAX INI--lUT : STU 15 -.30 I-Ap. . . . I REPAIR UNITS ,-. r2'1 RL DAMPERS?. 30-50 HP. . . . : WOODSTOVES. 6AS PIRESSUM.. r:50+ HP. . . . (-'L(J DRYERG. NO. OF AIR HANDLING U1\1 1'r S OTHER UNITS. -. 1 r(JRN ( 10OR DTU: c= 1001210 cfln,: :: I. FURN ) -1(6@K JTU: 10000 c f m : I-'�emavl(s-. owner— FELS 1'IENOWG) FOOD ST(JRC t y P e amount by date t,ec.pt 15705 SW I I f.,Tj--1 PIRMI $ 37. 50 10/20/93 93-24b316 P (,K $ 9. 38 10/20/93 9 3---.4533 1 C - 3 93-2 4531b KINL3 C.'ITY OR PICT $ 1. 86 10/20/95 I"'htane It. 1)1-' JI'MPLE CO 19'1. NW OVEwrON 5T PORTLAND OR 97a09 Phone #,. $ 48. '76 TOTAL Re 0 ft. . - it,L 5 10 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Lode, State of Ore. Specialty Codes and all other Mectianical I n s p appli_mble laws. All work will be done in accordance with Heating Unt Insp -Dprov Misr. Inspertion -i plans. This permit will expire if work is not starter .thin 1811 days of issuarct, or if work is suspended for- more F, ilial Inspection Lhan M days. cif t t e Sin /f:�V LA CJ Call fat', inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. it 13125 sw Hall Blvd. APPLICATION Permit # A,) -o � Tigard, OR 97223 (503) 639-4171 CIL — �/ 1 I 1 Table 3A Mechanical Code QTY PRICE AMT Job /N J W I i,l�� 1) Permit Fee .0- .0.. 10.00 Address AP -- f 2 2_ 2) Supplemental Permit 3.00 " •"•, ••,• b s4 5Furnace to 100,000 BTU 00D STORE, _ 1) incl.duds d vents 6.00 --unlace 100,000 Blu+ Owner rJ J� �L. 1111 7 L 2) irr-l.duds d vents 7.50 o�mance f,J A.4 { l J R I.6,00 VN 3) incl.went 6.00 SuspendedTater,wall reato( C 4) or floor mounted hvator i 6.00 Vent not i .in Occupantt5) appliance permit r 3.00 q (1 LP Repair of eating,m ng. _ 6) cooling,absomtion unit 6.00 Boiler or comp. he— art pump,—air con 011 r;,. 7) to 3 HP absorp unit to 100K BTU 6.00 Boiler or ccrrnp,hoat pump,air cond. Contractor i �' {� QC�A T 1 / 8) 3-15 HP absorp unit to 500K BTU 11.00 " i or or comp,heat punip,air co fr G o 9 1�1 C)9 9) 1530 HP absorp unit.5-1 mil BTU 15.00 Boiler or comp,heat pump,air con—d-- 4 1, on 4X 40 r:00 rj 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 rare y acknoyvIrx go at rave read this app icat•on,that the Boiler or comp,Fi6at pump,air cond. information given is correct,that I am the owner or nuthorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,INV plans submitted are in compliance with State Air 11andlir►g unit to taws,that I am registered with the Constniction Contractors Board. 12) 10,000 CFM 4.50 that the number given is corrocL (If exempt from State registration, Air hen ing unt - please give roason below.) 13) 10,000 CTM a 7.50 Nonporta 0 14) evaporate cooler 4.50 ent fan connected -- 15) to a single dud 3.00 Ventilation system not M 1 CL '/ClFl r' �j 16) included in applies p4 mhif 4.50 1105a-sitrv �y -- 17) mechanical exhaust _ 4.50 scnbo work new addition 4D a teration repair Commor&al or iindustrial to be done residential non-rosidr?ntial C) 18) type incinerator 30.00 xisting use of } Other Co.,woodstavd.water -�-' building or property _- /•C a t-(_ �.l�a 19) heater kdar,duties dryers,etc. 4.50 Proposed use of j1�^\c 20) Gas piping one to bur outlets 2.00 burn 9 or Praforty V)~ T mol fuel-of 21) Moro thin 4-per outlet Yt O natural gas i�rj LPG Q electric:O — r OT C Minimum Fee$2.5.00 SUBTOTAL � 5 PERMITS BECOME VOID IF WORK On CONSTRUCTION W AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5lS:iURCF1ARGE �. g IF CONSTnt)CT10N OR WORK IS SUSPENDED OR — ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%Of!SUBTOTAL q, 3 AFTER WORK IS COMMENCED. TOTAL $ ' Special Conditions—__ - -- ---- Date issued by , iutirara.r Condition: Specifications Environmental Operating 15'to 32.2'C Specifications temperature Operating humidity 20 to 80%, non-condensing Shipping and storage -40'to 65'C temperature Shipping and storage 20 to 80% non-condensing humidity E, Dimensions Height v 9.2 inches (24 cm) Length 21.5 Inches (54.5 cm) Width 11.2 inches (28.5 cm) Weight 36 pounds (17.5 kg) Electrical Line Frequency 50 Hz,47-53 Hz Specifications 60 Hz, 57-63 Hz F__-_________._ Fuse Ratings 1.5A, 100/120 VAC 0.75A, 220/240 VAC Power Consumption 100 VA(Nominal) DC Power Supply +5VDC at 2.2 A(Power limited at 11 W) t15VDC at 300 mA Lamp Power Supply 309 mA Regulated Constant Current (Fused at 3/8 A) 3.0 VAC Filament Heater (unregulated) (Fused at 6 1/4 A) 500 VDC Arc Strike(nominal) A-2 j 1 ° � co o _ !p) Q r s = o d °' d L r Of cc 3 II Wu to CD_N s I r x J �� `�. i io IL 0 A, V CT-25-193 MON 12:50 ID:CITY OF KING CITY FAX 110:303 639-3771 4091 P01 U'•_I—��J'- '!� aJtu lc..; amu lU:!.lI1 Post-It"brand fax transmittal memo 7671 M of pagan► .Z .. To From KING CITEOn � � «,� k.,l C 1 Dopt. ihona M mitis 3b3o0 S.W.liAth Avenue,Ming City,Oregon 97224 Phan Fax N Fax M COMMUNITY 7 7 APPLICATION FOR (Instructions an (everse) DATFI /� 1. NAME OF APPLICANT• �e'7�cx���r C_fS C`' Phone No. ADDRESS k OV Cf l a r� 7'o 771"A 0 Y 7 L o ADURES5 OF MOP06ED I RCNPSIPNT. Ki .�o t 1 SJdS Sw I i l�ft► 7 T 9�, 7�" 2, TYPE OF CWGE, IMPROVEHM OR CONSTRUCTION FOR WHICH PERMIT IS REQUESTED, DLFCRiHE BRIEFLY — CH TWo CoPIE9 OF PLANE OR DFArF1INGS OF PROPOSED PROJ=ECT: o t cr - JCIA INel 3. N� AN�DS� A>,DRI:SB OF WN'1'RAG''!'OR�_e/c rn / os� ivtJ orA�a tea/ >z °9 PHaNE 0. 2 z.7 z6 v LICENSE NO. 0725' 4. NEIGHWRS WHO MAY BLEAF•Fh7CrM SY THIS FROJh�C.'P WILL BE NOTIFIED BY THE CITY 5. APPLI CSR HER/ IR RFFRE ATIVE E� PRES AT TEJE�LANNING4•!IS$ION MEET tIEXT ON____— .._ --� —— SENTATI NA>t4$_ NQ. (the (ling cid Planning Co avian rill �dasider anti tho applicatiaoa'teceired a�� aaat five (S) days prior to a getting.) r ),, SIGIVA71AZE -- ert�r****�,t*�•ttt**,a*,r*sr******>:�*:ti*****� APPLICATICIN RECETM SY _ � _ 9 APPLICABLE FES RECEIVES $ �- TOTA-TII__�� PLANNING CUMISSION MISION: Approved___ — CONDI.TION5 C A A ApIfoved applications are valid tog sit zonths only I Sigrlatute � .vrlt� Rate IIOTB Von 90 ebuilders Lav requiraa that all persona rho contract for Tari on their resldeace be e911terad lith the gllilders Board rhich Beane the contractor is bonded and insured on the job Site. - Ior Jour protection, a certain gout contractor is registered bT calling CRT 1011 Ph: 610-4012- Ln NOTE: A permit Mast also be obtained f' can the City of Tigard Department of Canrnur, Ly Dove 1 opmnt Yes No *tr******�r**rr*�,a*it*,r*1r**,rtt**�*,r*A**�xx********* U.J CITY of TIOoARD INSPDCPIott R> '= The above listed project has been inspect Pd and Approvecl_. 1Led_._. Date------- Ccmmnt9_ 1 9ignatuYe (a&LJALag JnAw ffm POVRA . JAtu zn one (1) copy to KLap C"V) ED 2.11 CT-25-'93 HON 12:51 ID:CITY OF KING CITY — FAX NO:503 639-3771 4091 P02 Ol two _a 0 LI O �,d 'pp o tr d 0 J) = a d LU vi Id Lo I Z tA 0 3 N o � � w w e/ rl Q -10 s d LL x d LIL � o n 1 c Q9