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15917 SW HALL BLVD-3 J W Ch Z D r r w r v i f 15917 SVV HALL BLVD / 2✓ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: - A.M. P.M. MST: / BUR Tcnant: �6 Af P�Z-'L� ,q^ Suite:_ Bldg: MEC: " Contractor: �Wj ��. ��� Phone: PLM: _ Owner: Phone: ELC. L.r w A ilii _ F.LR:_ _____ �a� _ ._.,� SIT: BUILDING BLDG(con't) PLU ING MECH [CAL LECTRICAALL"j SITE Site Post/Beam Post/Beam [lost/Beam Cover, _r Sewer/Storm Footing Roof iJndFUSlab Rough-In Ceiling Water Line Slab Framing Top out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Iiood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service Misc. Masonry Ceiling Rain Thain A/C 1JG Slab Shear/Sheath Fi- pklr/Alm Crawl/Found Dr I It-at}lump Low Volt Approved Approved Approved (ApprovcqJ> .._. Approved Appr/Sdwlk Not Approved Not Approved Not Approved o rover} Not Approved FINAL FINAL FINAL NA FINAL .�►n e l s'. � _1 s" �4/ -�2 .1x1 1 �' 6.2 7- r O Call for reinspection Reinspection fee of1..­­---- _required beforenext inspection O IJnable to inspect tor: Date ` / 4 Page of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: / 6' -` 4?? A.M _ _ 1'.M _ MST: / r Location: /r� ( � ( _- BUP: r Tenant: A --- Suite: Bldg: — MBC: Contractor:_ Phone: PLM: Owner:: .• . / ,/ Phone: _ _ ELC: (UL-KiA1� ./�3d� JUO arh _ ELR:�. SIT: _ BUILDING BLDG(coni) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Pust/Beatn `L7v.10Service Sewer/Storm Footing Roof' UndFI/Siab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In IJU Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drai i A/C UG Slab Shear/Sheath Fire Spkir/Alm Crawl/Fo-md Dr Heat Pump Low Volt Approved Approved Approved Apjmm,d Approved Appr/Sdwlk Not Approved Not Approved Not Approved r`r, ,pprtwed Not Approved FU'AL FINAL FINAL FINAL FINAL ----------- C3 Call for reinspection _f�Reinspection fee of Srequired before next inspection CJ Unable to inspect Inspector: /J Date:�� C!/ti00 Page of _ CITY OF►`GARD BUILDING INSPECTION DIVISION 24-11our Inspection Line: 6394175 Business Pltone: 6394171 Dat,.-Requested: lr MST: Location: BIUP- Tenanf:_ F 1(sr A O 15 o i z-Z Suite: _Bldg ,<�mEc CL7—0 ! - Contractor: ~�_��+-I( �_: Phone: PLM: Over: Phone: ELC:_ ELR: t 5c) SIT: — BUILDING ILD PLUMBING MECHANICELECTRICA►1. SITE m os eam Site l yt/Beam Post/BeaCover/Service Sewer/Storm Footing Roof Undl'VSlab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In 1JG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rein i gain A/C UG Slab Shear/Sheatic Fire S klr/AIm Crawl/Found Dr Heat Pump Low Volt pproved Annroved fA�Le Approved Approved Appr/Sdwlk ved I.ot Approved rove Not Approved Not Approved I�IIVAL FINAL FINAL FINAL 0 Call for rei . n CI Reinspection fee of S�_R_�/ requiredd fore next inspection C]Unable to inspect Inspector._ _ _ �__ I1ate � Page_ of CIT11 OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone 639-4171 Date Requested: '- I n.M " --- --------�- P.M..; /`� _ MST: Location: I Tenant:__- Su _— Hilt': - ----�--, `�--'" iter_ Bldg: hoc: Contractor: _Phone: 2Zl PLM: Owncr: ---- / Phone: ELC: F.LR: BUILDING BLDG(coniS1T: ) PLU MECHANICAL ELAtTR1trL SITE Site Post/Beam Post/Hearn Post/Beam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line • Slab Framing 'fop out Gas Line Rough-In UG Sprinkler foundation Insulation Sewer Ilood/Duct Reconnect Vault 13 mt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C l IG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr heat Pump Low Volt Approved Approved Approved Approved Appr;Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL, FINAL Cl Call for rei Ispection O Reinspection fee of S_.. _required before next inspection O Unable to inspect Inspector: ��� Date: 0 Page of_ 1 I CITY CSF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 CERT If`iLATE OF' OCCUPANCY PERM I T #. . . . . . . : BLIP97-0529 DATE V-39LJED: 01/J'-16/98 Pf-IRCELs SITE PDDREGIS. . . : 13917 SW HALL BLVD SUBD I v I P3 1 UN. . . . I ZONING:C--N BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . c JURISDTCTIONu TIG CLASS 01: WORK. -ALT TYPE OF USE. . . :G01*1 TYPE OF OCCUPANCY GRF,. ;B OCCUPANCY I-OADs 10 TEWNT NAW". . . :FICARO' E; IIAL ION KITCHEN Rpmark% - Tenant improvement Ownpr; 130-MAR f.)ROPERTIEG -2001 6TH AVE STC x',300 SEA77L[' WA 98121 I-1hone #: !. ontrac.-tor: r-OOD FACILITY PLANNING WILL-JAM G MILLER 300 114E MULTNOMAH STL 25 PORTLONf.) OR 97232 Phcoe #- P-31 -0770 Rpq it. . z 93685 ihis Certificate Wrants otc-uppnvy of thr- a�bovp refertenc.-ed bl.tildiny or part .ion thereof and -:mifirms that the bt.!ilding has been in,;p d for ompliance witri ;k c,v c- uhe ,taste te of 01-pan pecialty �,'odps for the grol-tv incl mse i.tildel which the refer en mit was iSSIAed. RIJILDINri INSVIF-LTOR BUILD ML POST IN GTINSPICUOUS PLACE CITY aF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMITPERMIT #. . . . . . . : MEC97-0475 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/04/97 PARCEL: 2SI11DD-00201 SITE ADDRESS. . . : 1591.7 SW HALL BLVD SUBDIVISION. . . . : ZONING: C--N BLOCK. . . . . . . . . . . .. . . . . . . . . . . . . . . JURISDICTION: TIG CL_.A SS OF WORK. . :ALT Fl-onR FURN. . . . : 0 FVAP COOLERS: 0 TYPE OF USE . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . . 0 OCCUPANCY URP. . :11 VENTS w/o OPPL: 0 VENT SYSTEMS: I STORIES. . . I BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCTN; 0 :GAS '';'.-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 1,00000 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS''). . : 30-50 HP. . . . : 0 WOODS TOVES. . : 0 GAS PRF--'SSURE. . . : M 30+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS-------------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 0 10v00 rfm : 0 GAS OUTLETS. : I FURN ) =100K BTU: 0 > 10000 cfm : 0 Remarks : Install mechanical hood 6 gas piping. OWner- FEES RON HVORAK type aMOI.Ant by date reept 15305 9 CARUS RD PRMT $ 25. 00 DRA 12/04/97 97-30142tj OREGON CITY OR 97045 PLCK $ 6. 25 DRA 1;-1/04/97 9 7—3-A 1 4r-, 5PCT $ 1. 25 DRA 12/04/97 97—:5014," Phone #: Contractor: CUSTOM METAL FAB INC 50602 BIRCH AVP $ 32. 50 TOTAL- SCAPPOOSE OR 97056 Phone #: 283-0118 Reg #. . : 006490 REDUIRFD INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Ins Tigard Municipal Code, State of Ore. Specialty Codes and all other Hood Inspection applicable laws. All work will be done it accordance with Final Inspection approved plans. This permit will expre 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 95P.-001-010 through OAR 952-801-0080. You may obtain copies of the-e rules or direct questions to OLINC by calling (513)246-9187, Issi.le BY : Permittee Signati.kc.'e - .........................4...............4-++4-++.4F++++-" ++4.......4.......4.........1 4 Call 639-4175 by 7:00 p. m. for inspections needed the next bi-is i nes s clay ++++-*++4•........................r.......4...................+++++++-4 ............44 t Plan Check# CITY OF TIOARD Mechanical Permit Application Recd Bf &,; LLl 13125 SW HALL BLVD. Commercial and Residential Date Recd ? TIG-ARD, OR 97223 �`�1 Date to P.E. �C (503) 639-4171, x304 it"�4� Date to DST Print or Type k Permit# -_- Called Incomplete or illegible applications will not be accepted No f Dov m?nvPr ' I Description - r -- � 2m. Table 1A Mechanical Code OTY PRICE AMT Job Stree� - Tdd" L suite# -� A) Permit Fee - - -0- 0- 10.00 Address 15 �� Bldg# ista�to" zip I( 1.) Furnace to 100,000 BTU 6.00 including ducts&vents Name for name of business) 2.) Furnace 100,000 BTU+ -- 7.50 Owner including ducts&vents Mailing Address' `----- 3) Floor Furnace 6.00 _ in_cludina vent _ cnyfstate p Phone 4.) Suspended heater,wall heater 6.00 .�_,_.Il or Noor mounted heater lame(or name f w �a --T-�T 5) Vent not included in appliance permit 3.00 IFi OJCU ant Matl Ad ess 1 ,' •-,� G Boiler or comp,heat pump,air Gond. 6.00 P 4 1 4"vw ��P l to 3 HP;absorb unit o f 00K BUT- _ c,Ig taSe -ziA&Qp Phone 7) Bailer or comp,heat pump,air coed 11.50 (� 3-15 HP;absorb unit to 500K BTU- COrtraCtOr Nome � � 9.) Boiler or camp,heat pump,air Gond. 15.00 15-30 tiP;absorb unit.5 1 mil BTU" Prior to permit Msllln Ad rr9 n� Y 9J Bader or comp,heat pump,air Gond 22.50 _ issuance,a copy �jQ� ^'� f��J n�J' I ! 30-50 HP:absorb unit 1-1.75mil BTU" of all licenses 1 z PnQne ,� 10) Boiler or comp,heat pump,air Gond 37.50 are required if i� 472, l o >50 HP;absorb unit 1.75 m-1 BTU" expired in COT O`go1n Const.S,ont Boerd Li,4Vi 4 rp.�te 11.) Air handling unit to 10.000 CFM 4.50 datab e r"/ _ IJ _ _ Architect + a,�i \ *x t'1�R [13) No_n-portable evaporate cooler .----450 r)r M Ing Addre 14.) Vent fan conndu connected to a single ct 3W. N M "AI�M . Engineer stat- zip Phone 15.) Ventilation system not included In 450 13a?11 appliance permit Describe work New O Addition A Alteration O Repair O 16.) Hood served by mechanical exhaust / 4.55 to be done_ Residential O Non-residential O Additional Description of work/_ -y 17.) Domestic incinerators ��- 7.50 pry ? + 7�'P. Lac>►� >7 �1�57'�+�1 18.) Commercial or industrial type 30.00 Incinerator Existing use of M ` � _ 19.) Repair units i----� 4.50 ^ building or property__��_A�,___�__�_._�_•.'_.._. __ _ 20.) Wood stove -- --- _4.50 Proposed use of 21 ) Clothes dryer,etc. _._.___ 450 building or property 2.2.) Other unit% 4.50 Type of fuel. oil O natural gas• LPG O electric O -`_V 23.) Gas piping one to four outlets I 2.00 I hereby acknowledge that I have read this application,that the 24! More than 4-per outlets(each) 50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon Slate QTY.SUBTOTAL laws. Sfgnature of Owner/Agent L Data -���- --' SUBTOTAL f 5%SURCHARGE Contact Person Name Phone R PLAN REVIEW 25%OF SUBTOTAL jZ• 1y1t4,�4Y1 �, AA Z�jI^d� --_ - TOTAL -� -- i:lrnechpmt dacrev 9 d 1 'Minimum permit fee is S25+5 h surcharge "Residential A1C tequlres site plan showing placement of unit Pagc No. 1 CASE HISTORY FOR CASE NO.: BUP97-0260 BEL14" PROPERTIES INC 15917 SW HALI. BLVD 03/12/9H Action Descr-iption Req/ Schd/ End/ Action Notes Diap By Update Upd code Sent Done Dore Date By BUPC005 Application received / / / / 05/27/97 OTC DRA 05/27/97 DPA BUPC008 Permit created / / / / 05/27/97 PASS DRA 05/27/97 DPA BUPColo Check for prcl. ioetrict. / / / / 05/27/97 PASS GRA 05/27/97 DRA BIIPC012 Plane routed to Plane Examiner / / / / 05/27/97 PASS DRA 05/27/97 DRA HUPCO24 Plana Approved by CPE / / / / 05/27/97 PASS R•P 05/27/97 URA BUPCO26 Approved Plane routed to DSTs / / / / 0'/2'7/9'7 PASS R•P 05/27/97 DRA BUPC100 (F) Ieeue permit / / / / 05/27/97 PASS DRA 05/27/'97 DRA SUPCnD2 Final Inspection / / / / 05/28/97 PASS TLP 05/31/97 J*H BUPC960 Case Finaled / / / / 05/31/9'7 PASS JMH 05/31/9'7 J•H CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUP97-OP60 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/27/97 PAR7EL: ,7,SIIIDD-00201 �--;ITE ADDRESS. . . : 15-917 SW HALL BLVD SUBDIVISION. . . . : ZONING:C-N BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JUh_`S0ICTION:TIG REISSUE: FLOOR AREAS----------.-- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . 0 s N: S. E: W: TYPE OF USE. . . :COM GE(,'r*)I\ID. . . o sf PPOTECT OPENINGS?-------------- TYPE OF CONST. :5N . . . 0 sf N: S: E: W. OCCUPANCY GRP. zB TOTAL----------: 0 sf ROOF CONST: FIRE RET I : OCCUPANCY LOAF: 0 BASEMENT. : 0 sf AREA SEP. RPTED-, 9TOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT'): MEZZ'?: REOD SETBACKS---------- REQUIRED-------- --___.__._ _____.__. FLOOR EQUIRED---------- FILOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOV, DET. . : DWELLING UNITS: 0 FRNT: 0 -ft REAR: 0 ft FIR ALRM: HNDICP ACC: LAEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR: PARKING: 0 k,ALUE, $ : 1_'A Remar-ks : Add extra ledger bolts. Owner-: FEES BELMAR PROPERTIES INC type amoi.int by date t-ecpt 2001 ETH AVE *2,300 PRIYIT $ 25. 00 DRA 05/27/97 97-.295061"S' SEATTLE WO -38121 PLCK $ 16. 25 DRA 05/27/97 97-6295065 FIRE $ 10. 00 DRA 05/27/97 97-295065 '-hone #: 206-448-1975 5PCT $ DRA 05/27/97 97-295065 Cont y-actor: LBH CONSTRUCTION 19373 NE CALF;INS NEWBERG OR 97132 ------------ Phone #: $ 52. 50 TOTAL Rpq #. , : 0006,57 REQUIRED INSPECTIONS This pewit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Pre. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pereit will expire if wore is not started within IN days of issuance, or J work is susrended for Bore than 180 days. Permittee 11-q4)At1.1V-e Tssim-d By . Call for, inspection Q_o_m_m_erua Budd' -PermitApple. n CRY of Tigard 13125 SW Hall Blvd. Tigard.OR 87223 f i (503)639-4171 Jobsite Address-.��� GG t��li0, Suite # Tenant. Y''����.T „ kN WIuation: x'�! N� CMN' pr!� , IA f „ r.•G �au$a N�!� i'�, ��N�O �,4"".�x N!��'G.V.': r',,..�.......- Owner. �r�,d,� p,D,� �/,E� ���,},.'����y�h�/ R- > :T+y�rir!�,!iGbt°fTyyr 4��' tiu 7<C •�.1.1�..�• t�'fdy (jk M411„I rIN j� +) ^ } 11(' >> MIN Address: ,�/� /F1�/ �.�©G' Planning �..�...�......�.4..� ........ ___..._ Enginoering Telephone.(�� =� Usher r�rrr•m�oe-r_ri._ _ � .......I�rr_ Contractor: Address: 417 'type of constr: -!z r-•i-J rte' �t /�f Telephone ✓clri� � i)ccupelll:y class: Contractor's License # _ Sprinkler's Yes No attach co of current Oregon HcV l copy ,q. Ft_ Of Project: Contact name & telephone: Story (1st, 2nd, etc,), —_�i•____-- Architect & Engineer: x" Proposed Use: Address:�..1 a "2"U /✓�//d� Lt✓,v. _. —__ -. Previous use: 9713 Note: Plumbing & mechanical plans must Telephonez, �::`�`' z- G –� be submitted at time of building permit application. ,JOB DESCRIPTION: (Appli�ant Signature 8 Telephone Number) Received by: �._ _.. Date Received: 11G()MTI UOC (E)ST) 10196 CITY OF TIGARD ELECTRICAL PERMIT / DEVELOPMENT SERVICES PERMIT #: EL_C0116/9 DATE ISSUED: 01 /1E/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: C'S 1 1 1 DD-00201 SITE ADDRESS. . . : 1591'7 SW HALL BLVD SUBDIVISION. . . . : 1.ON I N(i:C_N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pro J er_t Desr_ri pt i on: Miscellaneous: each sign or outline lighting ---RESIDENTIAL lJN I'T---- ----TEMP SRVC/FEEDERS---- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP,/IRRIBAT iON. . . . : 0 EACH ADD' L 500SF. . . : 0 201 -- 4O0 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 1 LIMITED ENERI=;Y. . . . . : 0 401 - 500 amp. . . . . . . : 0 SIGNAL/PANEL_. ., . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1OOO volts. : 0 MINOR t_ABF.t... ' 120 . . . : 0 ---------SERVICE/FEEDER--.--- -----BRFINC;H CIRCUITS-- ------ ----..ADD' L INSPEC'TIONS- __ 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PEN INSPECTION. . . . . : 0 201 -- 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 -. FOO amp. . . . . . � N EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 - REVIEW SECTION..___ 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC UCC. : Owner: -------------------------------------------------------- FEES FIBAROS PIZZA type amount by date recpt 15917 SW HALL BLVb PRMT $ 40. 00 GF_O 01 /16/98 98-300547 TIGARD OR 9712'24 SPCT $ 2. 00 GEO 01/16/98 98-302547 Phone #: Contractor: ----.----------------_--_-___----__-__.-_ MEYER SIGN CO OF OREGON 42. 00 TOTAL 7340 SW LANDMARK LN - - - - -- REQUIRED INSPECTIONS -.__._...._ TIGARD OR 97223 Wall Cover Elect' l Final Rhone # : 620-62O0 Elect' 1 Service Rey #. . : 000640 This permit is issued subject to the regulations contained in th,- iiyard Municipal Code, State of Oregon 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 v.suance, or if work is susperded for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Or?gon Iltility Notification Center. These rules are set forth it OAR through OAR 952-801--1981. Ycu may obtain a copy of these rules or direct questions to OLINC, by, Hing (583)246-1991. 7 r"e,rmitt9e `:; IgT1At: ki p :! / ��l — I.ss�_ied By- ------------------------------OWNFR ye-.-_-_,_.-_--_--_-_-_---------OWNER INSTALLATIGN ONLY------_-------------___-.-.----__.__ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S S I GNATURE s _ _.......__�� _-�r._. DATE: --------------------------CONTRAC:TnP TNST'AI._L..ATION ONLY -- ___- ----- --_/__------.___.--- SIGNATURE OF SUPR. ELEC' N s Cciet DATE: LICENSE NO: c� -` +++++++++++++++++++++++++++++++++++++++++++-..+++++++++++++++++++++a �++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isiness day Ft+ r.....+.+++....++t++t•+i-++t.+tt.t++a•+++++t+++++.+++++.+t++++++++++......t+.+. CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By TIGARD OR 97"--23 Date Recd Date to P.E.-� Phone (503)63"x4171, x304 Print or TypE Data to DST___ _ Inspection (503 639-4175 Permit a E, � '` Fax (503) 684-7297 Incomple,e or illegible will not he accepted Called -�-- Y_ 1. Job Address: 4. Complete Fee Schedule Below: r� Name of Development Number of Inspections per permit allowed Neme(or name of business) Service includer' Items Cost Sum Address M/ 5/✓ Iq '(�� 4a. Residential-I:.. u:01 City/State/Zip 1 �'�C ��`� - 1000 sq.ft.or less $110.00 Each additional 500 aq.ft,or CommercialResidential ❑ portion thereof $25.00 _ Limited Energy $25.00 Each Manut'd Home or Modular 2a. Contractor installation only. Dwelling Service or feeder � $88.00 (Attach ropy of all rent Iir_enses) 4b.Services or Feeders Electrical Contractor S ` (f �� �N Installation,alteration,or relocation Address � �.� ---� 200 amps or less __ $60.00 201 amps to 400 amps $80.00 City. ' State 14 Zip �_, 401 amps to 600 amps $120.00 Phone N G' G' 601 amps to 1000 amps $180.00 Ph Ph a Over 1000 amps or volts _, $340.00 Elec.Cont. Lice. No. Exp.Date.. rte' C Reconnect only $50.00 2 OR State CCB Reg. No.. '�r f Exp.Date/�' _ 4c.Temporary Services or Feeders COT Business Tax or Metro No. 1W 99 _Exp.DateZ/ _ Installation,alteration,or relocation '00 aniNb ui Itleb SI nature of Su r. Elec'n 201 amps to 400 amps Y $75.00 2 g p - - - 401 amps to 600 amps $100.00 2 (-)v?r 600 amps to 1000 volts, License No. l) •.SL �Exp.Date 4) see"b"above. Phone No._ _ ' '_ib 4d.Branch Grculis New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit h)The toe for branch circuits City State Zlp _ _ _ without purchase of Phone No. _ service or feede-+ee. First branch circuit $35.00 The installation Is being made on property I own which is not E4ch additional branch circuli_ $5.00 Intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature____ Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (ifrequired):' Signal circult(s)or a limited energy panel,alteration or extenb!on $40.00 _ Please check appropriate item end enter fee in section 5B. Minor labels(to) S100.00 4 or more residential units In one structure 4f.Each additional Insaectlon over Service and feeder 225 amps or more tna allowable In any of the above System over 600 volts nominal Per inspection � $3500 Classifiarl area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 #Submit 2 sets of plans with application where any of the above apply. Jr. Fees: 1 Not required for temporary construction services. 5a.Enter total of above fees $ - 5°6 Surcharge(.05 X total fees) $ NjIQE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS pian Review it require (Sec.3) $ ---NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY rr�� TIME AFTER WORK IS COMMENCED. i_1 Trust Account It__. v_ $ Total balance Due iin5TS1F.l.C9(1 APP Rev fN96 _.-'�-- CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES F,ERMIT #: ELC97--0806 13125 SW Hall Blvd.,Tigard,0R 97223 (503)639.4171 DATE ISSUED: 12/09/97 F,ARCEL: 2S 1 1 1.DD—M0,-!01 TTF ADDRESS. . . 15917 SW HALL BLVD SUBDIVISION. . . . ZONING:C N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pro.j ert De srr i pt i on: Installation of twenty (26) branch circuits to commercial site. ----RESIDENTIAL UNIT---- ---TEMP SRVC/FEL::DERS----- ------M I SCELLAIVEOUS-----_. 1000 SF OR LESS. . . . : 0 0 - 00 amp. . . . . . . : 0 F,UMF,/I RR I GAT I ON. . . . : 0 EACH ACID' L. 500c3F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE I_TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : I SIGNAL/PANEL.. . . . . . . : 0 MANE . HM/ SVC/FDR. . : 0 601 +amps-1.000 vol.ts. : 0 MINOR LABLL ( t0) . „ . : 0 - - --SFRVICE/FEFDER. __.__ -..-----BRANCH CTRCL.IT1'r,- -.___ -.-_--ADD' L INSPECTIONS_ _..- 0 iE00 amp. . . . . . : 0 W/SERVIC;E OR FEEDER: 0 F,ER INSF,ECTION. . . . . : 0 ;:'01 - 400 amp. . . . . . : 14 1st W/O SRVC OR FDR. : 1 F'ER HOUR. . . . . . . . . . . : 0 401. - 600 ramp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 19 1N PI_.ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -- ______._ ______.__F'L...AN REVIEW SECT I ON- - - --- ------- - - 10004 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : RPr..onne-�t only. . . . . : 0 SVC/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. Owner: __________..__._______._.____-------.--•-_-.____-_------... .__._. FEES FIGAROS ITALIAN FIIZZA type amoi.rn+ by date reept 15917 SW HALL BLVD r,RMT 6 130. X10 T.TH 12/09/97 '77-3015`..13 TIGARD OR 97223 5PCT $ 6. 50 TJH 12/09/97 97--301553 Phone #: ROSE CITY ELECTRIC CO INC f 136. 50 TOTAL._ 4,712 NE CULL.Y BLVD RECUIRED INSPECTIONS - - f,(1RTLrNI) OR 97213 Ceiling Cover Eler_t' 1 Service Phone #: 287-6164 Wall Cover El er_.t' l Final keg #. . : 000031, This permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of Orepon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if wore is not started wit►in 186 days of issuance, or if work is suspended for more than 186 days. ATTENTION: Oregon law requires you to follow the rules adodted by the Oregon Utility Notification Center. Those rules are set forth i;, GAP 952-661-6616 through OAR 952-01-1987. You may obtain a copy of these rules or direct questions to OLNrC by calling (583)24F 1987, t ermzttee S1gnati.ir•e : Cfn Cl4 if7 1s,1ied NY :._�,L:?LL. _-__._._______________--•_--_-•_-_-•-OWNER INSTALLATION The installation is beinq made on property T own whish is not intended foi- sale, :tease, or rent. 014NERI S SIGNATURE: DATE. TNSTAI- l_ATION SIGNATURE OF SLIPP. ELEC' N: CTk '7 LICENSE NO: � +4,++++4-4-+-t ++++++++++++++++++++++++++++++.4-+4++++++-1-+4+++++++++++f+4-+4-+ L+++++-+.4+ Call 639-4175 by 7:001 p. m_ for- an inspection needed the next bcis•in -ss ci�av I ++-F-1-++++++++++++++4-++•4-•4 4+++•4--i.+++++++ 1-++4 +++++++++++-4-+•4-++++++++++-4•++++++++•i-+++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd (� Tigard, OR 97223 Permit # �� r) /9 - 0 () L alk Date Issued _ / _ - -T. vlsc�ti. phone (503) 639-417 CITY OF TIOARD FAX (503) 6A4-729"r TDD No. (503) 684-2.772 Inspection (503) 639-4175 1. Job Address /1 r� 4. Complete Fee Schedule Below: Narne of 0evelopmeni ` lchav u Number o'Inspections per permit allowed Address_ L� L 1. Service included Items Cost(p") Sum City/State/Zip1uor 4 0,( 4a. Residential •per unit 1000 sq It or less $1 to on 4 Name (or noke-of business)----------- Each additional 500 sci it or — \ portion thereof $25 00 Commercial r, Residential ❑ Limited Energy $2500 _ 1 Each Manurd Home or Modular \`2 Dwelling Service or Feeder $6800 — '?a Contractor:�llation only: ` 4b. Services or Feeders / r Installation,stlerstlon.or relocation Electrical C ntr�actol 200 amps or less $6000 z Addrew 201 amps to 400 amps $80 00 2 r 1 amps to 600 amps City_ 1 C Stat " _ Zip _ 601 amps to l000 amps $120 00 a $1eo 00 Phone No. % ( Over 1000 amps or volts $14000 2 Job NO. L Reconnect only $5000 2 contractor's license NO. - - :: 4c. Temporary services or Feeders Contractor's Board Reg Inslallevon,alteration,or relocation Signature of Supr. Etec'n _ - --_ L icense No. Phone No ' 401 amps to 400 amps $so 00 + 401 amps to 800 amps S7500 Over 600 amps to 1000 volts $10000 ---— 2b. For owner installations: see"b"above 4d. Branch Circuits °rint Owner's Name____ New,alteration or extension per pane Address a)The fee for branch circults with CitState Zip____ purchase or service or feeder fee. City -- — —- Each branch circuit $500 Phone No. _ ____ bi The fee for branch circuits without The installation is being made on property I own which is puss bran of service or reader fee not Intended for kale, lease or rent. First branch circuit $ nn 7 Each Additional branch circuit $c 00 Owner's Signature __ _ __ _- _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review :ection (if required): Each pump or Irrigationcircle 4000 Each sign or outline lighting 1$40 00 Signal circult(s)or a Iimlted energy 2 Please check approprlatt+ stern and enter fee in section 5B. panel,alteration or extension $40 00 4 4 or more residential units In one siruc'ure Minor Labels(101 $10000 _ Service and feeder 225 amps or more ____System over 600 volts nominal 4f. Each additional of the above over Classified area or structure containing special occupancy the allowable in any of th as described in N E C Chapter 5 Per hourinsp ;ion $555$ 00 5 Per hour _ 00 In Plant _ $55 r Submit 2.sets of plans with ar,)Iication where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees NOTICE 5%Surcharge (05 X total fees) s (� PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OP`A ORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. 0 Trust Account k Balance elle $ -- CITY OF TIGAIRD► DEVELnFIMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . .. PLM97-0509 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/04/97 PARCEL., 2S111DD--00201 SITE ADDRESS. . . 15917 SW HAI. 1. J31-VD SUBDIVISION. . . . : ZONING: C—N BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG CL OSS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBTLE HOME SF-,ACES. : 0 TYPE OF USE. . . . :cnm WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . - 91 OCCUPANCY GRP. . :D FLOOR DRAINS. . . . . . : I TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS;. . . . . : I CATCH BASINS. . . . . . . : 0 FIXTURES)----------.-----. LAUNDRY TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 4 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 : 0 SEWER LINE (ft ) . . . : 0 WATER rl.-nr)FTT). : 0 'IATER 1-INF (ft ) . . . : 71 DISHWASHERS. . . . : 0 Rt-#TN DRAIN (ft ) — : 0 Remarks : Plumbing TI Owner: FEES ROSEHILL INVFr)*rMEI\IT LI....0 type amount by date recpt 20.101 SIXTH AVE r,RMT 54. 00 JSD 12/04/97 97-301436 STE 2300 51=Ic1 $ 2. 70 JSD 12/04/9'7 97-301436 SEATTLE WA 98121 Phonr #s Cori t ract R A, J PLUMBING CO 115035 9 CARUS RD OREGON CITY OR 97045 Phone #: 632-5766 56. 70 TOTAL Reg #. . : 01071.3 REQUIRED INSPECTIONS This persit is issued ,,b)pct to the rquIations contained in the TOP--OLkt Insp Tigard Municipal Code, 9--ite of Ore. Specialty Codes and all other, Final Inspection applicable lAo,, n';', w,rk will be dome in accordance with approved plans. This pe-vit will expire if work is not started within 180 days of issuance, or if work is suspended for eare than IN days. ATTFNTION: OrP4�,n law requires you to folluw rules adopted by the Oregon Utility Notification Center. These rules are ----------- set forth in OAR W. .-MI-0010 thr,)ljqh OAR 952-000I-0080. yi,q lay obtain copies of these -ules ar direct questions to OUNC by calling (503)246-1987. Isni.ted By , Permittee SignatiAre- ...........4.................4-4-+++.+,++4+++4....................................444- Call 639 -4175 by 7:00 p. m. r,:,,- an inspection needed the next business day +++++++4-++++4++4+4--4 .........I ...... —4— . .........++++4......4......4-+++44++-[-1 CITY OF TIGARDPlumbing Application Recd 13125 SW 1-!ALL BLVD. Commercial and Residential Date Redd TIGAR2, vR 97223 Date to P.E. ---- _. (E03) 639-4171 Date to DST Permit 0 Print or Type Related SWR til-11LOAjL Incomplete or illegible applications will not be accepted Called': No- of Development/Project On back Indicate Work Performed by fixture. Job �;_cf�A_�C FIXTURES (Individual) QTY PRICE AMT Address Sf►e�t address suite Sink - 7 9.00 0 :L( Z Lavatory 9.00 Bldg'* GI/Slate ZIP Tub or Tub/Shower Comb. 9.00 fame .., Shower Only 9.00 Water Closet 9.00 OwnerMaillMng Address suite Dishwasher- 9.00 z�L CltylSe[p� ZIP Phone Garbage Disposal _ 9.(T qq 111�1 �I" Washing Machine 9.00 Name Floor Drain 2" 9.00 3" 9.00 Occupant Mailing Address Suite a" 9.00 City/State Zip Phone Water Heater O conversion O like kind 9.00 Laundry Room Tray 9.00 e 1 Urinal -'/ 9.00 Othe,Fixtures(Specify) 9.00 Contractor ailing Address /��l l SUlte 9.00 �i"l ✓ - Prior to prirmil City/StateZI Phare c ✓/= 9.00 < issuance,a co 1 Pr ��.c, 7C%yS 9.00 of all licenses are Oregon Qronst.Cont.Board LIc.0 t-xp.Oris, 9.00 required if �' ,7 / ;:i %�" Sewer-1st 100' expired In COT Plumbing Lic.* pale 30.00 1 _ _database (�_ d 17I� CAty y i Sewer-each additonal 100' 25.00 Name - O Water Service-1st 100' 30.00 Architect h)" 2 Water Service-each additional 200'-- 25.00 -' or Mailing Address Suite Storm&Rain Drain-1st 100' 30.00 Storm d Rain Drain-each additional 100' 25.00 Engineer City/slate Zip Phone Mobile Home Space 25.00 3 -ell(' Commercial Back F!^::^,;,vention De�dr�s or-Anti- h6 25.00 escribe work New-�Addition O AI!eration O P.epalr O Pollution Devlre to be done: Resi ntialdf O Non-residential O Residential F,ackflow Prevention Device' 15.00 4dditiona!descnption of work. Any Trsp o-Waste Not Connected to a Fixture 9.00 Ca -� tch Basi i 9.00 _ 1."Pe Duct- M C­X) f Insp.of Existing Plumbing 40.00 per/hr Existing use of Specially Requested Inspections 40.00 building or property _ per/hr Rain Drain,single family dwelling 30.00 Proposed use of Traps building or property Grease P _-�- - - 9.00 I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL given Is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required 4 Q:andy Total is i 9 that plans submitted are in compliance with Oregon State Laws. SUBTOTAL AnJ n Signature of Owner/Agent date 5°h SURCHARGE Contact Persoh N me Phone PLAN REVIEW 25%OF SUBTOTAL, R cared on H Niure qty totalis>s• TOTAC *Minimum permit fee is$25+5%surcharge,except Residential Backflow Prevention Device,which is$15+5%surcharge ti'Li I fi�'C�C ewat• aoe ss>• ,'�, , "1 PLEASE COMPLEM Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tu_b or Tub/Shower Combination _ Shower Only Water Closet Dishwasher _ Garbage Disposal _Washing_Machine _ Floor Drain 2" - 3" 11 Water Heater _ �— Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CITY QEF TI G A R D SEWER CONNECTION DEVELOPMENT SERVICES 'rL'E'--R M I T 13125 SW Hall Blvd., Tigard,OR 97223 (5031639.4171 PERMIT #. . . . . . . : SWR97-0411 BATE 1139LJFT): 12/04/97 PARCEL-: 2SI1IDD--00201 �_JITL ADDRESS. . . : 15917 SW HALL BLVD 9UBDIVISION. . . . : ZOt'TNG: C—N BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: 'FIG --------------------- --------------------------- TENANT NAME. . . . . :FIGAROIS ITALIAN KITCHEN LISA NO. . . . . . . . . . : FIXTURE UNITS. . . . 1.5 (-,LASS OF WORK. . . :ALT DWELLING UNITS. . : 1 TYPE OF USE.. . . . . :COM 1\10. OF BUILDINGS: 0 INSTALL TYPE. .. . . :BUSWR IMPERV SURFACE: 0 sf Remarks : Pll.tmbjnq TI Owner,: FEES RnSEHILL INVESTMENT LLC type anicii.trit by date r-eept .i`1001 SIXTH AVE PRMT $ 22,00. 00 DRA 12/04/97 97-30142,3 STE 2300 SEA-ITLE WA 98121 Phone #: Cnntir-actov-: 9WNER Phone 4: $ 2200. 00 TOTAL Req #. REDUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Case Finaled 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 riot 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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ........... 952-INI-M18 through OAR You may obtain copies of these rules or,dirrd qutstions to OUNC by calling (503)246-1987. T-,si-tpd byol _ ,-- Permittee Signati.tt,e :. I j/ ............4-+4-+++-1-+-1-+-4........4......4...........................4•......... Call 639-41.75 by 7;00 p. in. for an inspect i an needed the next business day i•+++}............4............4-+...........4++4..........I........4...............4-+++++ e4 I r5'1 `61 - 1S "1 L 17, 1 Accumulative Sewer Tally Tenant Name: t �.U��� � This SVVR# Address: r I t < < ,.� �,I .�� This PI-W. Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 _ Bath-Tub/Shower 4 - -Jacuzzi/Whirlpool 4 Car Wash-Each Stall 6 -Drive Throuc h 16 _ Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ -Domestic 2 —_ Drinking Fountain 1 _ -✓_ Eye Wash 1 _Floor Drain/sink-2 inch 2 - Z I "L- 3 inch 5 4 inch__ —6 -- -- --- -- _ -Car Wash Drn _6_` Garbage Disposal 16 - Domestic(to 3/4 HP) Commercial(to 5 HP) 32 Industrial(over 5 HP) _ 48 Ice Machine/Refrigerator Drains 1 - Oil Sep(Gas Station) 6 Rec. Vehicle Dump Station 16 -- Shower-Gang (Per Head) 1 - — - - -- R Stall 2 _ Sink-Bar/Lavatory V 2 __._. -Bradley --� —5 - -- - _ - Commercial — —3 - Service — ` 3 _ — _ �-- 7> I 3 Swimming Pool Filter1 Washer-Clothes _Water Extractor a_ 6 _Water Closet- Toilet 6 — - — Urinal — —. 6 � - - -- -- — TOTALS Z J-7 Total fixture values: divided by 16 = O EDU Do C�-O HISTORY F� PLM# -EBt1# WR# - 7 PLM# EDU#_ SWR# PLM# - E-Dtt# 5. t WR# y; (� PLM# --�_�-_EDU# SWR# - PLM#_ .WR# PLM# EDU# PLM# EDU# SWR# PLM# EDU# SVVR# i Wsts\swrtaly hoc ._ CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP37-052:'9 13125 S W Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/04/97 PARCEL.: 25I1IDD-002,01 ( SITE ADDRESS. . . : 15917 SW HALL BLVD SUBDIVISION. . . . : ZONING:C-N BLOCK. . . . . . . . . I-OT. . . . . . . . . . . . . JURISDICTION: TIG REISSUE: FL.00R AREAS------------ EXTERIOR WAL-L.. CONSTRUCTION- r�'LASS OF WORK. :AL.T FIRST. . . . : 1320 s N: S: E- W: TliPF OF USE. . . :COM SECOND. . . - 0 s PROTECT OPENINGS?----------- I - TYFE OF CONST. :5N 0 Sf N: S: E: W: OCCUPANCY ORP. -.B TO 1:3 '0 s ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 10 BASEMENT. : 0 5f AREA SEP. RATED: STOR. - I HT: 0 ft GARAGE. . . 0 Sf OCCU SEP. RATED: W,MT?: MEZZ?: REOD REQUI FLOOR L-OAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKL:N SMOK DET. . :N DWELL.ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL-RM:N HNDICP ACC:Y BEDRMS: 0 BATHS: 0. IMP SURFACE: 0 PRO CORR:N PARKING: 0 VALUE. $ : 30000 Remarks : Tenant improvement Owner: FEES) - BEI-MAR PROPERTIES type Amoi.int by date reept 2001 6TH AVE PLCK $ 125. 45 B 11/ 17/97 97--300979 GTE 2,300 FIRE $ 77. 20 B 1. 1/17/97 97---300979 SEATTLE WA 08121 PRMT $ 193. 00 DRA 12/04/97 97-301424 r-'Hone #: `PCT* $ 9. 65 DRA 12/04/97 97--301424 FOOD FACILITY PI-ANNTNG WTI-.L.IAM G MIL-LER 300 NE MULTNOMAH STE '25 [."ORTLAND OR 97232 Phone #: 231--0770 $ 405. 30 TOTAL Req #. . : 93685 REDUIRED INSPECTIONS this permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Sperialty Codes and all other Gyp Boat-d Insp applicable laws. All work will be done in accordance with Rl.tsp Ceilnq Insp 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: Oregin law requires you to follow the —------ rules adopted by the Oreqnn Utility Notification Center, Those rules are set forth in OAR through OAR 952-00101987. You many obtain a copy of these rules or direct quesfions to OONC by callino 14, 3)246-1987, Permittee Si gnat 1-tv-P I-isi-ted 4......F4........4-4-++4-+-F4-++4............................ ++++++++++t++++++++++++ Call 639--4175 by 7:00 p. m. for an inspection needed the next bLtsinee-;s day +++++++++++++++++++++++++++++++ + F4........4-++-#.+++++•i-+++++++++++++++1-+++++++++++f CITY OF TIGARD Commercial Building Permit Recd Fly 13125 SW HALL BLVD. Tenant improvement Date Recd -TIGARD, OR 97223 Date to P.E. - (503) 639-4171 Date to DST !2 2 7 Permit# k_YTT V527 Print or Type Related SWR X Incomplete or illegible applications will not be -iccepted Called_ -7 -- Name of Development/Project Existing Building off New Building , Job �!q f1�L' *11110 S I ti J Address street Address— Suite Building 1591-1 � Cata Bldg# City/State Zip p -, Existing Use d of Building or Property —~ -- [7-)U&-A b' _1-_ -20- Name (�f !r_�/LJI _ Property 6('JM A g,) 5 Proposed Use of Building or Property: Owner Mailing Address Suite No. Of Sto es: �Y^ City/State Zip Phone Sq. Ft. Of Project: j Occupant �ame _ 13,)C Occupancy Class(es) Name � 7-7V /r f i .' I VTr Contractor "�� 0 '� ! 7 I �/ Y,n �� �( Type(s) of Construction Prior to perms Marling Address Suite ,L issuance,a copy A Will this project have a Fire Suppression System? 4% of all licenses i j �i,1/� IFtiI yvN Yes ❑ NO 0are required if City/State Zip Phone expired in C O.TAmericans with Disabilities Act(ADA) database r L>' �(�' 1 .✓'L i !n Valuation X 25% = $ _—_Participation Oregon Const,Cont.Board Lic.• Exp.Date Complete Accessibility Form Project $ s� Name -- Valuation _ div _ Architect (,v r ,��^�1 tL-�' _ Plans Required: See Matrix for number of sets to submit Mailing Address I Suite on back City/State Zip Phone I hereby acknowledge that I have read this application that the information j ( given is correct,that I am the owner authorized agent of the owner. and Name'�/�� C �7� ��77� that plans submitted are in complia ce with Oregon State Laws. Engineer S' ature of Owner/Age I Date _ Halling Address Suite L / l_ 1116,11i -7 ontact Person Name Phone -7�r City/State Lip Phone –h —f– FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O Map/TL# -7Land Use v -- ,\rcessory Structure O Foundation Only O Alterauol;l-e ( Repair 0 Other O Notes: _ Description of work ` TIF L Parks: Estimated#of Employees -- -- — -- --- Uote Site Work Permit Application must precede nr accompany Building fix 'rrmlt Application L� -17J0 �I t a � r►"�� .ACOMNE'oV U,-C (DST) 8197 g(�PP/ Z J;Lli� COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) l YPE OF SUBMITTAL TOTAL CPE PPE FPE CPE PPE EPE SITE I 1 -- -- 3 U,o,u) - -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- - F (New or Add or Alt.) 3 3 -- -- 3 0,o,f) M (New or Add. or Alt) I 1 -- -- 2 (j,o) B & M (New or Add) 1 1 -- -_ 3 (j,o,w) - ~� P (New, Add. or Alt) 2 -- ? __ __ 2(jof B & M & P (New or Add.) 2 1 1 -- 3 0,u.w) 2(j,o) -- L (New, Add, or Alt) 2 -- -- 2G,o) B & N1 & P & E (New. Add) 3 1 1 1 3 (j,o,w) 2(j,o) 20,o) B or B & M (Alt) 1 1 --L -• 20,o) B & M& P(Alt) 3 1 2 •- 20.o) 2 (j,o) B & M & P& E (Alt) _ 3 1 I - 1 2 o) -y2(j,o} 2 (l,o) NQS.; l a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office NI = N1EC. updates and adds actions. f= Fire P = PLM u = USA E = ELC b. Shaded areas designate ALI'subtnittals only. N = Wash. Countv F = FPS c. FPS is a new permit category set aside for fire sprinklers anL'. fire alarms. Ll. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved pilins to be forwarded to tl.eir office. Exception. continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h Vmatnc Doc CITY OF TIGARD Novermber 24, 1997 OREGON William Miller 300 NE Multnomah Portland, OR 97232 RE: Figaro's Italian Kitchen Building Plan Review 15917 SW Hall Blvd PC#: 11-62c BUP#: 97-0525 Submittal documents for the above referenced project have been rev?-wed for conformance with the applicable 1996 Oregon Specialty Code-z and other applicable codes and standards. The following comments are noted* ACCESSIBILITY .,l 1. A portion of the service counter shall be accessible to persons with disabilities. PGovide an ac,.essible area not less than 36" wide and not more than 36" above finished floor [OSSC, Section 1109.2.3.2]. Provide a cross-section of the counter in the revised plans. 2. The one employee restroom shall have unisex signage mounted on the wall adjacent to the latch side of the door 60" above finishe=d floor. Finish, color, Braille characters and pictorial symbol signage shall comply with accessible i requirements of OSSC, Section 1109.15.2. A privacy lock and an "Occupied" indicator shall be provided [OSSC, Section 1108.2.2]. 3. The hand washing sink shall comply with OSSC 1109.11.3.2, 1109.11.3.3 and 1109.3.4. Provide details. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. 5incarely, Robert Poskin, CBO PLANS EXAMINER 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 ------------- --