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12527 SW HALL BLVD i N CJ1 N J x 00 C Cr 12527 SW Hall Blvd CITY t�►F �'i C�,P�R D - BUILDING PERMIT PERMIT#: BUP2002.-00219 DEVELOPMENT SERVICES DATE ISSUED: 6/4/02 11125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 23102AD-00100 SITE ADDRESS: 12527 SW HALL BLVC? SUBDIVISION: TIGARC FIIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 019 JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION N CLASS OF WORK: ALT FIRST: sf N: 4 S: —E:� W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? — TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ~—ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,500.00 Remarks: New partition walls to create a beauty salon. Plumbing and electrical permits are required. Owner: Contractor: WAGGIN'TAIL PROPERTIES, LLC AUBREY HARLEY BY BRENT + CLAUDIA HISLOP 10620 S KRAXBERGER 11705 SW PACIFIC HWY CANBY, OR 97013 TI Fbn0! OR 97223 Phone: 503-266-3129 Reg #: LIC 112145 FEES REQUIRED INSPECTIONS _ l Type By Date Amount Receipt Electrical Permit Required PRMT CTR 6/4/02 $100.90 27200200000 Plumbing Permit Required Framing Insp SPCT CTR 6/4/02 $8.07 27200200000 Gyp Board Insp PLCK CTR 614/02 $65 59 27200200000 Final Inspection FIRE CTR 6/4/02 $40.36 27200200000 Total $214.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. Ail work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuatice, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires youto follow the ules adopted by the Oreg Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 6 R 952-001-1987. You m obtain a copy of theme-rules or direct questions to OUNC by calling (503)246-6699 o 1-800-332-2344. tic Signature: y: is$ued By: - r Call 639 75 by 7 p.m.for an Inspection the next business day Building Permit Application City of Tigard Date received: ,e y 0; Permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: date: City of Tigard ------ Phone: (503) 639-4171 Date issued: Bye, y' Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval' 1 1&2 family:Simple Complex: TYPE OF PERMIT U 1 &2 family dwelling or accessory U commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement enant improvement U Fire sprinkler/alarm U Other: _ iINFORMATION Job address: f�� NIiLL• Bldg.no.: Suite no.. Lot: �Block: ISubdivision: �'I'ax map/tax lot/account no.: Project name: lL' F2)L--LL Description and location of work on premiscs/special conditions: t✓ �{�, [i I4(.-L_ i 1 1 Name: /t fl= s 9 , Mailing address: �GGl,Sod 7No.of 2 fanril) dwelling: City: "f!.( State: , 7.1 P: ^', uation of work........................................ $ Phone:',! Fax:! E-mail: bedrooms/baths................................. Owner's iepresentative: Total number of floors................................. Phone: Fax I nuul: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.) - - ......................... (-461? W kQ9vered porch area(sq.ft.)......................... _ Mailing address: "!1-1 5A) ot,, '6 eck area(sq.ft.) ....................................... - City: State:I)— ZIP: )(her structure area(sq.ft.)...................... .. Phone: ! U I Fax f.-nla;l: Commercial/industrial/multi-family: rep1 1 Valuation of work........................................ $ ��,C�_ / a I _ Existing bldg.area(sq. ft.) .......................... — I - Business name: , j New bldg.area(sq.ft.)................................ Address: ---- - City: �ht tate:Q ZIP: 7O1 Number of stories.. ..................................... _ Pitons _ Fttx: E-mail: Tyle of construction.................................... _ CCB no.: .Lpr►` '� W)ccupanc� group(s): Existing: 1/1 L4t� --- -- --__-- New: City/metro lie.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board tinder Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no,: Phone: I Fax: E-mail: — — Name: Contact person: Fees due upon application ........................... $_ Address: Date received: __ City: State: ZIP: _ Amount received .... .................................. Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and die Not all Jurisdictiom accept cre lit cards,please cell jurisdiction lit more uJormmion attached checklist. Alt provisions of laws and ordinances governing this u visa v MasterCard work will he complied r th whether ecified heroin or not. Credit card number Authorized signathJy��- Fspirec or _ Date: j� Nslaw nr cardholder as shown on credit card Print name: S _ Cardholder s16nNure Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. W-4613(&%C'OM) CITY OF TIGAA RIS 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECT'7N DIVISION Business Line: (503)639-4171 MST' � BLIP ---- Received - _-Date Requested_. ��_j L' AM- _ PM -___ BLIP ----_----__._ _- Location / Z 5 Z 7 /7/w Suite_____ _ MEC Contact Person Ph(----) L- 3 r-___ PLM Contractor Ph( ) SWR .� BUILDING Tenant/Owner - ELC 2" Footing - Foundation Access: ELC Ftg Drain / Crawl Drain _ / ELR _ Slab Inspection Notes: SIT _. Post&Beam _ Shea;Anchors - -- --- - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall mailing -- - Firewall Fire Sprinkler - ------ ----- --- Fire Alarm Susp'd Ceiling — -- - Roof Other: Final ----^ ASS PART FAIL PLUMBING Post& Beam Under Slab --�-- Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - -- Shower Pan Other: - - Final -----�--�---- PA_S_S_ PART FAIL --- MECHANICAL Post&Beam Rough-In ---.,- Gas Line Smoke Dampers Final PASS PART FAIL - - -- - -- LE Rough-In UG/Slab Low Voltage - F' At rm Fina Neinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. — - - - - SITE Please call for reinspection RE: Q Unable to inspect-no access Fire Supply Line ADA Date ��.�'� � � Ina ecto Approach/Sidewalk tR Other- Final ther Final DO NOT REMOVE this Inspection record 40/m the job site. PASS PART FAIL CITY OF TIGARD r Approved. ............... • Conditionally Approved..................... ! ) oronl ,the wo�s de rlbed in: Seri I_ettsr,'to: Foffow....................... Job ddji Date: � b 3' »XVa" EN I U �L7. s-0•x a=e• 2, CITYO F TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00316 DEVELOPMENT SERVICES DATE ISSUED: 7/12/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S102AD-00100 SITE ADDRESS: 12527 SW HAIL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 019 JURISDICTION: TIG Proiect Description: Electrical tenant improvement, (8) branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS -- — ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: p >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: WAGGIN' TAIL PROPERTIES, 1_1_C BOONES FERRY ELECTRIC INC BY BRENT + CLAUDIA. HISLOP PO BOX 628 1'1705 SW PACIFIC HWY WILSONVILLE, OR 97070 TIGARD, OR 97223 Phone: Phone: Reg#: §011 44 SOS LIC 88482 ELE 3-2230 FEES _ Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 7/12/02 $93.40 2720020000( Elect'I Final 5PCT CTR 7/12/02 $7.47 2720020000( Total $100.87 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or di~ed questions to Permit Signature: (Issued By: _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — a. __.__ _ DATE: — LICENSE NO: _1 Call 639-4175 by 7:00pm for an Inspection the n ext business day P ct rical Permit Application !cctcctivod: City of Tigard Project/appl.no: .� rjkv dale: CfryniRard p•tidress' 13125 SW Hill Blvd, f`lgsrd OR 97223 I?ueiasuet:: BYA� Rocoipcso.. /J Ptumc. (503)639-4171 --- Fax (503) 596.1950 Gue file no.: Paymcrit type: Land use approval' U I &2 family dwelling or accessory U CommcrctWindustuial U Mulu-fainly 0 Tenant improvement •New construction O Addihon/a mlion/replacemcut O Other -_�__ U Vutiai Job address: 1 Z s No _ 0idg_no- _. Suite no.. Tut ma tax lCt/tLCCOttnt rlo.: - Lot: Block: _ Subdivision: Projext none: 1 la y 3 Ddsctiption and location of woric an proviises: `I ,-�c s �"-- . 22*� e-aimated date of compktionfin .s tion ) ! c`�L Set— -- f yob no: c i Fat MX)t Qty too. Total leo. IZWAddress: �'c• i- i renaerdW-sink A"wlaa..lh tta _.,.._�__�3___` ._... �teaUYt�attlGkatlafrwtactwd�trrigt: Fax: i'tt, E meal: loco 6A..ft or 14" 4 6v-bus.tic.no: -L 1 3 C E.rli additional tea Id sae vq,ft.or toman thereof /Metro he.t10.: UMWAener ,-, 11 2 Limited mexty,tton•residentiai Z Each manufactured home or modular dwelling i of avparvitins j_ �iegDeft Service and/or feeder 1 Sep a Mow(print)' ) „ I"�^ r — License ao-�o-�t et,"er`rae et bits ew, FtI, ar- lnpnor IrmName(prat): Ff o ny mpa to 400 _ 2 Hillier addfess - 40 I ampr to 600 amp _ 2 Moa 601 w1res city: � -p late; �2IP: _ Over 1000 WW or rolu 2 ,-Phone. Fax: N-mail: _ RACQUIVAI Daly I Owner uLVAI Indan.The lnstalIatton is bcing atade on property I own Tetapataty aarvtoas a holarn- which i%no(inwzided for sale,lease,rent,or exchwi-.aco0►d ng to tadaadan,sibmaliea,eenlaeaWlr _ ()R5 447.455.479,670,701. 200 amps nt leu 7 2l amps to 400"g a Owne(s siUre: Dale: 401 W 600 2 Branch cirraits-atw,alteration,� at exlasioa pot 946A Name:- -- -_-- -�- A Fee fof branch d=uitr with purOAje of Address' service or Freda lbe,each branch cirooit 2 Sade. ZIP: B. Fee for branch cirmu vriftut pumhase r - - of to via of feeder fee,first branch Limit :,, e 2 G Phone: - y Pix mad- p�cl,additional brand•dreaic --- (Service orfesdarmet •/)r d srlvlee(Nam ampe aoeoreeaial U tisaltbeae facillry faehhump or i,rnpdna drde 2 O Setviec ria 320 amps falin f oft&1 U llamtkm location F.seb d at Wdineb int Z familyd,vtninp O Building ova 10,000 tquaa feet tbar or signal circuiKa)or a limited eneMy panel O Syum nver600 voles nomunal tecxr reskuntul ttrriu m one ruucxure ataration,orestimion•v �- - 2 U 9uildiog over dru ctonct O Ferdm 400 unM or tnote eDrxdpdon: O Mcupma load amore"persom U Maovfactared strmterac or RV part ad"Pal owe llte a11oNaMe hof tMe',-Twee 0 Egnusn,lhungplan U Other - Pet inipea uon subtall—cera of plain.rick aer of the abeve. tnveebution". -- - Iles abot'e we s M applicable to temporary ciamdructior wvka. Odtar No aq erted-ew aeeapt*MO udt.Pww ou.1tat>Icdes for m�lrteu.r aw Notice:Ms permit application Pcmtit fry.................,... O Vtq O MaswCard eupiras if a Permit is not obtained Plan review(at .--.. i!6) S odh e d a-aec._. � within Ido days after it has been State surcharger(11%) S - 'f'- accepted as"mpicx TOTAL . .- S ., ___�rr�Fa armee -. es ,!_ -_ «Dasa roabtvM CITYOF TIGARD SEWER CONNECTION PERMIT _ DEVELOPMENT SERVICES PERMIT#: SWR2002-00211 wpm 13125 SW Hail Blvd., Tigard, OR 9722.3 (503) 639-417,1 DATE ISSUED: 6/21/02 SITE ADDRESS; 12527 SW HALL BLVD PARCEL: 2S102AD-00100 SUBDIVISION: TIGARD HIGHWAY TRAITS ZONING: CBD BLOCK: LOT: 019 y. _ JURISDICTION: TIG TENANT NAME: SALON BEI_LA USA NO: FIXTURE UNITS: 44 CLASS OF WORK: ALI DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: t; LDU incioase. Previous EDU=2.0 for a total of 32 fixture values. Addition of 12 fixture values, for a new total of 44 fixture values= 2.8 current EDU's. Owner: FEES WAGGIN' TAIL PROPERTIES, LLC Type By Date Amount Receipt BY BRENT + CLAUDIA HISLOP 11705 SW PACIFIC HWY PRMT GTR 6/21/02 $1,840.00 27200200000 TIGARD, OR 97223 Total $1,840.00 Phone: Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage;Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. 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 so located,the installer shall purchase a"Tap and Side Sewer" Perm /�_Issued by: iti �v Permittee Signatur Call (503) 639-4175 by 7:00 P.M.fog an inspection needed/the next buI614ss day Accumulative Sewer Tally Tenant Name: Salon Bella Tris This SWRA 2002-00221 Site Address: 12527 SW Hall This PLM# 2002-00232 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count oft#S count # value #s values BaptiserylFont 4 0--.--- 0 0 �0 0 Bath-Tub/Shower _ 4 _ 0 _ 0 0 0 0 -Jacuzzi/Whirlpool 4 _ 0 _ 0 0 0 0 Car Wash- Each Stall 6 0 0 0 0 0 - Drive through 16 0 __ ~0 0 0 0 Cuspidor/WaterAspirator _1 0 0 _ 0 0 _ 0 Dishwasher-Commercial 4 _ 0 0 0 0 0 _ - Domestic v 2 _ 0 _ 0 0 0 0 Drinking Fountain 1 0 0 0 _ 0 0 Eye Wash 1 _ 0 0 0 0 0-- Floor —Floor Drain/Sink-2 inch 2 0 0 i 1 2 1 2 3 inch 5 0 _ _0 0 0 0 4 inch _6 0 ~ 0' 0 0 0 Car Wash Drn 0 0 0 0 Garbage Disposal Domestic(to 3/4 HP) 16 0 0 0 0 0 Commercial (to 5 HP) _ 32 0 0 0 0 0 Industrial(over 5 HP) 48 0 0 0 0 0 Ice Machine/Refrigerator Drain _1 _ 0 -- 0 0 _ 0 0 Oil Sep(Gas Station) 6 _ 0_ _~ 0 0 0 0 Rec. Vehicle Dump station 16 0 0 0 0 0 Shower- Gang (per head) 1 0 0 0 0 0 -Stall 2 Y 0 0 0 0 0 Sink- Bar/Lavatory _2 0 0 2 4 2 4 Bradley 5 0 0 0 0 ____0 Commercial 3 0 _ 0 2 6 2 6 Service3 0 0 0 0 0 Swimming Pool Filter `1 0 _ �_0 0 _ 0 0 Washer--Clothes 6 _ _ 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 _Water Closet Toilet 6 _ 0 0 _ 0^ 0 0 Urinal 6 _ _ 0 0 0 0 0 Previous EDU Count 2 32 32 Capped EDU Credit 0 TOTALS 0 32 0 0 5 12 1 5 1 44 Current Fixture Value_ 44 divided by 16 = _ 2.8 Current EDU 1 EDU = $2,300.00 Previous Fixture Value 32 _ divided by 16= 20 Previous EDU Change_1_2_ divided by 16 = 0.8 over (under) $ 1,840.00 Enter EDU Change Here 0.8 HISTORY Notes:EDU ct. per Jaime(2) PLO# EDU# SWR# Billing address: 12529 SW Hall PLMt, EDIJ# SWR# PLM# EDU# SWR# Name: f D_� _ 1i�{ _ � /� t Date: Signature of person that calcutnted this fatly sheet and date perfromed is required CITYO F TIGARD __ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00232 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/21/02 S:TE ADDRESS: 12527 SW HALL BLVD PARCEL: 2S102AD-00100 SUB,)IVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 019 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing fixtures for TI: 1- 2"floor drain, 2-lays, 2 sinks and 1 water heater, FEES Owner` Type By Date Amount Receipt WAGGIN'TAIL PROPERTIES, LLC PRMT CTR 6/21/02 $99.60 27200200000 BY BRENT + CLAUDIA HISLOP 5PCT CTR 6/21/02 $7.97 27200200000 11705 SW PACIFIC HWY _ TIGARD, OR 97223 Total $107.57 F hone 1: Contractor: MOLALLA PLUMBING 119 CENTER STREET MOLALLA, OR 97038 REQUIRED INSPECTIONS Phone 1: 503-829-2225 Rough-in Insp Re #: LIC 62150 Top-out Insp Reg #: PLM 3-45pb Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _�,trGh f�.� _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed h0 next biusl ess day Plumbing Permit Application Date g received r ,,Q,Z Permit no.:�JLf1 rip - -GQ�= City of Tigard -- `J Add-ess: 13125 5W Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Cityq/Tigard Phone: (503) 639-4171 D� (� Projectlappl.no.: Expire date: Fax: (503) 598-1960 �''�Pa� Date issued: Hy:yi) Receipt 110._ Lard 4s::approval: Case file no.: Payment type: � 4 U I &2 family dwelling or accessory U Conunercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement O Food service U Other: _ Job address: �'L�j ' Sw• 774Y-` fandly dwellings Qtv. E ce(ea�) Total ---�------ New 1�•and 2-(amity dwellings only: Bldg.no.: I Suite no.: Tax map/tax lot/account no.: — (includes EIIOIt.for each utilhyconnedion) S rR(1)bath Lot: I Block; Subdivision: SFR(2)bath -- Project name: 5 - I SrR(3,oath -- - — -- City/county: '-Ft 6,V4) _ ZIP: Each additional bath/kitchen Description and ocation of work on premises: _ Siteutilitles: ui < n, _ Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain110010111 1 Footing drain(no.fin.ft.) RUC IMENN Manufactured home utilities Business name: 44 !. L_!/ iAO v. _ Manholes Address: N• 16 CX 4_3 _ Rain drain connector _ h City: StateI Z1P: 70 Sanitary sewer(no.lin.ft,) _ Phone: Fax. .),:-•t5k_7 E-mail: / ,o-o,t. Storm sewer(no.lin.ft.) -- CCB no.: 6.21S0 Plumb.bus.reg.no: 15 Water service(no.lin.ft.) City/metrolic.no.: Fixture or item: Contractor's representative signature: -, y- Absorption valve Back flow pirventer Print name: K(-ti 5 n I fou(g lir Date to Backwater valve —. _ Basins/lavatory Name: U 'w L. Clothes washer Dishwasher Address: / " 34 Drinking fountain(s) CityState ZIP: — _ Ejectors/sum Phone: Ai- Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: Garbage disposal Hose bibb City: State: ZIP: Ice makcr Phone: Fax E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner'ssi nature: Date:_ Sum Tubs/shower/shower pan Name: Urinal --. — Water closet Address: _ _ Water heater _ City: _ State: ZIP: Other: Phone: Fax: Email: Total_ Na all)uriMctiena seep credit cnida,please tali}uri%dtcaon for more information- Notice:This permit application Minimum fee................$ U Visa U MasterCard expires if a permit is not ohtained Plan review(at __ $ _ Credit card numhn: --L--L- within 180 days ager it has been State surcharge(8%)....$ Name d cardhol u nen r c _�- Capiree accepted as complete. TOTAL .......................$ /O'2• S 7 S Crdholda sipwwr Amount T 4104616(60"M) PLUMBING PERMIT FEES: TOTAL New 1 and 2-family dwellings only: FIXTURES (individual)---- QTY (ea)__ AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 - the dwelling and the first100 ft. QTY (ea) AMOUNT for each utilityconnection) _ Lavatory -- - 16 60 _ One 1 bath _ -- $249.20 Tub or Tub/Shower Comb. 16.60 Two(2).bath $350.00 Shower Only 16.60 _Three(3)bath $399.00 Water Closet 16.6') SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher _ 16.60 PLAN REVIEW 25%OF SUBTOTAL -- 16.60 ---�- TOTAL Garbage Disposal ---- Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" i 16.60" la. PLEASE COMPLETE: 3" 16,60 q" 16.60 uantic - Water Heater O conversion O like kind 16.60 (� �Q - Qb Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Re permit. Capped Removed/ MFG Home New Water Service 46.40 Sink _ MFG Home New San/Storm Sewer 46.40 J Lavatory__ Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher _. Garbage Dis osal _- --- --- Laundry Room Tray Washing_Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3" __ _ Sewer-each additional 100' 46.40 _i 4" _ Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' 46.40 Specify) - Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 --- Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* 27.55 Catch Basin 16.60 �,LL Inspection of Existing Plumbing or Specially 82.50 Requested Inspections perthr _ COMMENTS REGARDING ABOVE: Rein Drain,single family dwelling 65.25 Grease Traps 1660 QUANTITYTOTAL �1 Isometric or riser diagram Is required it 9q,1 Quantic Total Is >9 'SUBTOTAL _ 8%STATE SURCHARGE �W -- ---- -` "PLAN REVIEW 25%OF SUBTOTAL Re ui,ed only if fixture yly total Is>9 TOTAL $ Minimum permit fee Is$72 5o+a%state surcharge,except Residential Backflow Prevention Device,which Is$36 25+e%state sureharCe ~All New Cnmmerclal Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i:\dsts\forms\plm-fees.doc 12/26/01 CITYOF TIGARD CEPTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00219 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 6/4/2002 PARCEL: 2S 102AD-00100 ZONING- CBD JURISDICTION: TIG SITE ADDRESS: 12527 SW HALL BLVD SUBDIVISION: TIGARD HIGHWAY TRACTS BLOCK: LOT:019 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 10 TENANT NAME: SALON BELLA REMARKS: New partition walls to create a beauty salon. Plumbing and electrical permits are requi ed. Owner: WAGGIN'TAIL PROPERTIES, LLC BY BRENT + CLAUDIA HISLOP 11705 SW PACIFIC HWY TIGARD, OR 91223 Phone: Contractor: AUBREY HARLEY 10620 S KRAXBERGFR CA NBY OR 97013 Phone: 503-266-3129 Reg #: LIC 112145 This Certificate issued 7/11/21102 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Sperialty Codes for the group, occupancy, and use under which the referenced permit .-Vas' suets. BUILDING INSPECTO? --� _ OFFICIAL _-__�_.-----_ - POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING It;spection Line: (503)639-4175 INSPECTION DIVISICN Business Line: (503)6��z MST BLIP Heceived _ Date Requested ,!1L—�(�1_M _P _.- BUP Ll Location __ /v25- ;�-7 �4� Suite_ _^ MEC Contact Person Ph(—) 6!�,2 - S qd" _ PLM Gila-t�0� Con — _ Pty ; ) _ - SWR UILDIN TenantJOwner _ _— � ELC o Foundation --�------- ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- - Ext Sheath/Shear Int Sheath/Shear Framing - - -- Insulation Drywall Nailing Firewall --- Fire Sprinkler - - - - - Fire Alarm - SusN d Ceiling -- Roof Ot r. -_ - n RT FAIL - J-- - Post am Under Slab ---- - - -- - - - Rough-In _..� Water Service ---------- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan iinal PART FAIL -- _ ICAL Post& Beam Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL -_ -- -- -- - - - ELECTRICAL -� Service - - _ _ - — --- ----- - - Rough-In UG/Slab - Low Voltage Fire Alarm - -- -__— Final Reinspection fee of;_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Sb-E --'�- Please call for reinspection RE:__ �� Unable to inspect--no access Fire t. -oply Line ADA r Approach/-, +ewalk Ddit-2—TIT. 1 --a 7L.._ inspse'!or ----._._�_ - -__ - Ext ---- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART F..'L