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12215 SW MAIN STREET 1S NIVW NRS S6ZZI, N a. Z N Cl) Nr m N a Ill 12215 SVJ MAIN ST . CfTY OF TIGARD ELECTRICAL PERMIT PERMIT N: ELC2003-00405 DEVELOPI!". rfT SERVICES DATE ISSUED: 7/3/03 AL 13125 SW/tall Blvd..Tigard, OR 97223 (5031639-4171 PARCEL: 2S102AA-05500 SITE ADDRESS: 12215 SW MAIN ST SUBDIVISION: KINGSTON ZONING: CBD BLOCK: LOT: 017 JURISDICTION: TIG Project Description: Temporary service and Fire repair. Paid for(2)hours of inspection. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 • 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 5005F: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANE HMI SVC/FDR: 601+amps-1000 volts: MINOR Lm"EL (10): SERVICE/FEEDER BRANCH CIRCUITS 1=1 INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR—225 AMPS: CLASS AREA/SPE"OCC: Owner: Contractor: VERMILYE,JEAN S TRUSTEE MCCOY ELECTRIC CO 11272 SW CAPITOL HWY 2014 SE 9TH AVE PORTLAND,OZ 97219 PO BOX 42428 PORTLAND,OR 97214 Phon 1: Phone: 503-231-7.521 Reg#: LIC 8277 SUP 2175S _ FEES �_ bill'. 26-82C Description Date Amount 11:I.I'RM"I'1 EI,C Permit 7/3/113 0$125.0 11AX)89„State"rax 7/3/03 $10.00 Elecfl Service Required Inspections _ Elect'I Final Total $135.00 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 952-001-0100. You may obtain copies of these rules or dir,,ct questions to OUNC at(503)246-6699 or 1-800-332-2344. IL / Fes- issued By: ,`c ��L� — .C. .C, Permit Signature: U) >- _ OWNER INSTALLATION CNLY rS' The installation is being made on property I own which is not intended for sale, lease, or rent. ED C7 OWNER'S SIGNATURE: W a CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR, ELEC'N: _ DATE: LICENSE NO: _ Call 639-4175 by 7:00pm for an Inspection the next business day p7.03.2003 08:05 FAX035981960 CITY OF TI_GARD [mill vlectlrical Perm niic>�tionMIN011 mom - Received BleeMrai PertNtf-r,l�'� te' (.14y o Pis Tigard � li Ai sign �� 13iJ5 SW Hall Blvd. - — perms No.: Man Review other -- _ Tigard Clregon 97223 _2AMMr 't No, Phone: 503-639-4171 Fax 50' 509-1960 Poet-Rsview _ Land Use Internet: www.ci.tiesrd.nr.t,s Can No.. 24-hour Inspection ;quest: 503-6394173 JMill.: Fe gee Pa;s 2 tun N ethod:_ r'(1-1 Suppkutertal Ieformation. kAccess� 7 iVIEW Mase'ch" irll tW Service over 225 atnlu- Heslth-carp facilityitioWalleretiorb/re lacement Qther: Hawdeus Iocatlon Service over 320 amps-rating of []Building over IO,rM squ,.,e,-rt 1 di;2 raroity dweilmgs fourorrrrore recirlentialur•�;2-Fam lrye ern over 600 volts nominalone structure Bul din;over three stories (_J Ftroders,400 amp■or more 1yBtli1C1 Multi-l�Airiil Occupant load over 99 penom ❑Manufactured structures or R' ter Builder Other- Ftipss/lighting plan 'ether Ar,. ,' — N'>Ifid n,,• t'a. . Submit_,sees of plans with any of the above. Job Site address 1 '2( C W a t n TThe above are ret■ lea a lore r construction service. Suite#: jApt.#: .; Number of ine MIN PrnLeot Name: _ I Boum v«t., r.e-- Cross street0ir//ear' s to job site: Newser r�r'�� per — i dwillimil F-4,/`c f t_i h 9ervics included: 1000 sq.ft or Inn 44 � thereof 3.41rdwrn Subdivision: Lot#: MOMW566 —47 Ta nt:?/ t nog residential500 i nued home or modular wiing 4'4. If :r6'!4•�.�. .�i. vr•,-�.,' aM'vk*od/ot feeder 90.90 2 1 r.- ' Services or fcedars-imtallatior, atteratles or relocation: • 200 wnmorlan 80.3J Z_1 �4_— - -- ,-Ol orntx to 400 a psT` 106.85 4o i mp 1.em stains 160.60 _ WR r ��`• 60j1000 amP 240060 Name: t7 logo amp.or volts 451. I � 66,85 Address: _ Temperorr services or feeders-Installation, �- ! Cl}�/StatP/Ti alteration,e-relmationt 'L�_—Q 200 or hoo 66-85 Phone: Fax: 2ol.m stn , 1 — 6' f'� `' 7 I ii Branch drealts-new,alteration,or 7 Name: extvnslon per panel: Address: A.Fee for hunch circuits with purchase of Ci ta w� /State/ZI : B. r branch cimulith�rchasit 6,65 _ 2 ' purotugs of f resins cc feeder re,tins hbranch ohcuh 46.85 2 Phone: Fax: Path additional Is Ckvif 6.65 2 IL E-mail: MW,.(setvia«hadernot included): r tion eirde "J-40 i ac N er_n Job No: L _ �___ '� __ 53.40 -- 2 N signal cbrcatt(s)or a limited energy panel, Business Name: r C e atoasdon,orextension ?_ 2 J Address: ___ City/StRtC/Zi (� y Licb additional InspaaWa war the allowable in of the sbove: m P —t;f l �v a` - P 9 7 r y me _ 6250 V, 0 Phone: 'c t� Z Fax: 3 - J CCB Lic. #: �`z$ Lic-#: 94 C. Od- Supervising electricliarSuMeatl ; signaturerequired: Plan Review 25%ofParnit Fee �Print<Name: &mr.S / u k.#: ( 1 S � - — State S e Slur —of iit Fe,e S TOTAL PIEMW IFZZ S -ov Authorized - Netieec 117•is permk application aspires If a Perm_fa rat obtalwed within Signature: Date: 180 d -- _•___^, ars attar it has been coapted as teropinta "Ira metbod*kW out by Tri-County Batlldlrg Industry Service Beard. (Please print nano) r I;Oxts\PermitForms*kPmMtApp.doe 01103 �! CITY OF PGOD 24-Hour BUILDING Inspection Line: (603)639--4176 INSPECTION DIVISION Business Line: (603)09--4171 MST BUP Received _ Date Requested _ `� —AM__ PM BUP Location —Z a IAZ Suite —_ MEC Contact Person Ph( ) PLM Contractor ___ Ph( —) _ SWR BUILDING _ Tenant/Owner _ ELC Q<3 Footing `LC Foundation — CCe88: Fig Drain ELR — Crawl Drain Slab Inspection Notes: SIT --------- 8 Uaam _—_-- — r Anchors — oheath/Sheal Int Sheath/Shear Framing --- - _ - - Insulation a� Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - -- -� - Roof Other: Final PASS PART FAIL � -• � I �_�- — PLUMBING Post 8 Beam Under Slab - --- - Rough-In Water Service - -- — - --- — — Sanitary Sewer Rain Drains - - Catch Basin/Manh. ,e Storm Drain --- - -- ---- Shower Pan Other: FPAPASS PART FAIL MECHANICAL Post A Beam Rough-In -- Gas Line a Smoke Dampers -- Final CA P ART FAIL - '_ LECTRI L %� p �- m 066gh-In - - 5 UG/Slab W Low Voltage Fire Alarm FO- ❑ Reinspection fee of$_ —_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS . PA_RT FAIL ❑ Please call for reinspection RE: ._ ❑ Unable to Inspect-no r.„cess Fire Supply Line ADA Approach/Sidewalk Other: _ Final DO NOT REMOVE this Inspection record from the alts. PASS PART FAIL �GITY OF TIGARD ELECTRICAL PERMIT PERMIT 0: ELC2003-00439 DEVELOPMENT SERVICES DATE ISSUED: 7/18/03 AD 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 29102AA-05500 SITE ADDRESS: 12215 SW MAIN ST SUBDIVISION: KINGSTON ZONING: CBD BLOCK: LOT: 017 JURISDICTION: TIG Project Description: Fire: Repair damaged circuits. (16) RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIG NIOUT 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: Wt,.ERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 15 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIM ZELLER VANDER STOEP ELECTRIC 15450 SW PEPPER MILL CT 23765 THIRD ST NF_ BEAVERTON,OR 97007 AURORA,OR 97002 Phone: 503-526-8796 Phone: Reg#: LIC 84417 -- Slip 43605 FEES ELF 24.3040 Description Date Amount Required Inspections 1 f 1.I'R M T 1 FL"Permit 7/19/03 $99.75 i'1XI R"�State Tax 7/18/03 $7.98 Rough-in Elect'I Final Total $107.73 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. AN work will be done in accordance with approved plans. This permit will expire if work is not started within 180 dM of issuance,or H work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon UtilIN11111itification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct question to OUNC at(503)246-6699 or 1-800-332-2344. CIssued By: 0 Permit Signature; 7 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. 3 0 OWNER'S SIGNATURE: HATE:_ u CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ DATE:— LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application_ Reee;vtrt - Electrical City of Tigard Planning Approval Sign — \� Dale/E3 Permit No 13125 SW}tall Blvd. Plar+Review other Tigard,Oregon 97223 Date/13 :� , Permit No.: Phone: 503-639-4171 Fax: -SPI-41-1960 Post-Review Land Use ` Dale/by, _ Case No.. _ Internet: www.ci.tigard.or.us i Contact lugs See Page 2 for 24-hour Inspection Request: 503-639-4)l Name/Mcthod: / Sur lemental Information. TYPE.OF W11 PLAN REVIEW Mlestse check all that apply) _ New construction _ Demolition Service over 225 amps- U Health-care facility — atmmcrcial ❑Hazardous location Addition/alter_ation/replacem_cnt Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CON. RUCTION 1 &2 family dwellings four or more residential units in i &2-Family dwelli> Commercial/Industrial O System over 600 volts nominal one structure Building over three stories ❑Fecders,400 amps or more Accessory Buildin Multi-Family Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑1-gress/lighting plan ❑Other A 10N Submit_sets of plans with any of the above. JOB SITE INFORMATION and LOC T ----- The above are not applicable to temporary construction service. Job site address: 12:2)5- S' tV. 1 iy_ _ F_E_E"SCHEDVLE Suite#: Bldg./Apt.#: _ Number of Ins ectlons per permit allowed Project Name: AFJ f ) Description Qly Fee(ea.) Total New residential-single or multi-family per Cross street/Directions to Job site: dwelling unit.Includes attached garage. Service Included: 1000 sq.0.or leas 145.15 _ a Each additional 500 sq,ft.or portion thereof 33.40 I Limited energy,residential 75.00 2 Subdivision: Lot#: Limited energy,tion residential _ 75.00 2 Tax ma I• reel #: Each manufactured home or nodular dwelling _ DES RIPTION OF WORK service andlor feeder 90.90 2 E:F -F l , ,L Services or feeder-Installation, f�1 R C 1RLU 11-x+ 1t�AMt��U _�_ alleratlon or relocation: 2M amps or less 80.30 2 201 amps to 400 amps 106.85 --- 2 401 amps to 600 amp_-- —_ 160.60 2 PR PERTV OWNER TENANT ��,Mc...ico_,only to1000240.60 2 — — am�c or volts 454.65 2 Name: /M U_�� _ 66.85 2 Address: Temporary services or feeder-ins411ation, alt^ration,or relocation: City/State/Zip: _ 200 amps or less 66.8s I 201 amps to 400 amps 100.30 2 aX Phone: 401 to 600 amps 1 133.75 2 APPLICANT CONTACT PERSON Branch circulte-new,alteration,or Name: extension pe: panel: A.Fee for 1-ranch circuits with purchase of Address: service or feeder tee,each branch circuit 6.65 2 Cit /State/Li : B.Fe,for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: _ Fax: Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation ion circle 53.40 2 Each sign or outline h htin 53.40 2 Job No: Signal circuits)or a limited energy panel, alteration,or extensi m Pale 2 — 2 Business Name: DE Description. — Address: '` '!* 7aU�_ Each additional Inspection over the Olowable In an of the above: Cit /State/ZI Q f:/fC t _ Per inspection per hour r:u. I hoy 62.50 I Phone: I- 2 I ax: Investigation fee: u CCB Lie.#: i #: .2 _ Other ti{� Supervising electrician Subtotal S �j(t �• signature re fired: Plan Review(25%of Permit Fec _1__ Print.Name' U Lic. #: �,j State Surcharge i8%o nf Permit Fee S TOTAL PERMIT FEE $ — Authorized Notice: Thls permit application expires If a permit Is not obtained within Signature: _ Date: 190 days after It his been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Please print nate) i\Dsts\Permit Forms\ElcPermitApp.doc 01/03 Electrical Permit Application -City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor pll systems............................................................ $75.00 Check Type of Work Involved: Audio and Stereo Systems* Burglar Alarm tiarage Door Opener* Beating,Ventilation and Air Conditioning System* ElVacuum systems* EJ Other COMMERCIAL WORK ONLY: Feefor each system......................................................... $75.00 (SEI?OAR 919-260-260) Check Type of Work Involved: Audio and Stereo Systems E] Hoiler Controis EJ Clock systems EjData Telecommunication Installation Fire Alarm Installation E] IIVAC Instrumentation Intercom and Paging.iystems 1 andscape Irrigation Control* Medical a [] Nurse Calls NOutdoor Landscape Lighting* Protective sibneling _J m F- Other___--- - - ---- — - -- --- ttJ Number of Systems J - - — * No licenses are required. Licenses are required for all other installations i:"ts\Permit Forms\ElcPermitAppPg2.doc 01/03 CITY OF TICARD 24-Hour Inspection,Line:0(503)639-4175 BUILDING 0 INSPECTI 1VISION Business Lina: (603)639-4171 MSY v BUP Received Date Requested v� AM --PM--.__- Bull) —_ Location �_ ZL _ JJ.-___ � � ,Suite_ / ��,, MEC - Contact Person _.�_. �Gt/Ll�ldlw -•�� ..�S.d PLM -- —_- Contractor____ Ph SWR - Bi11LDING Tenant/Owner sting Fc dation Access: ELC Ftg in ELR Crawl Drain Slab Inspection Notes: SIT --- Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �- Framing --- —_-- Inctdation Drywall Nailing —---- - -- -- Firewall Fire Sprinkler -•----___ _ _-____ Fire Alarm Fusp'd Ceiling -- - - -- - - Roof Other: Final PASS PART FAIL - `--- - -- ---- PLUMBINGs _ Post&Beam Under Slab - - ------ -- Rough-In Water Service — ---- - - Sanitary Sewer Rain Dreins -- -- -- -- Catch Basin/Manhole Storm Drain - -- -- Shower Pan Other: Final PASS PART FAIL — - - - _MECHANICAL Post&Beam Rough-In ---- Gas Line Smoke Dampers Final PASS PART _FAIL — �- -- ELECTRICAL _ _`- J Service Rough-In _.-- ----- --- - - - UG/Slab W Low Voltage _j Warm ❑PART FAIL Reinspection fee of$ ,required before next inspection. flay at City Hall, 13125 SW Hall Blvd. SIT Please call for reinspection RE: E]Unable to inspect-no access Fire Supply Line ADA Data �- Approach/Sidewalk - eapodtor �rt-- Other: _ Final DO NOT REMOVE thle Inslapectlon record fr6M the job slto. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0673 AMMM 13125 SN Hag Blvd.,Tigard,OR 97223(503)6394171 DATE ISSUED: 11/09/98 PARCEL: 2S 102AA-0521'10 SITE ADDRESS. . . : 12215 SW MAIN ST SIJBD I V I S I ON. . . . :K I NGSTON ZONING:CBD BLOCF!. . . . . . . . . . : LOT. . . . . . . . . . . . . :021 JURISDICTION: TIG I Pro,j ect De scr i pt i on: Add first branch circuit. ----------------------------------------------------------------------------------- --RESIDF_NTIAL UNIT----- ---TEMP SRVC/FEEDERS---- -------MISCELLANEOUS-- -- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADU' L. 500SF. . . : 0 201 - 400 amp.. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . s 0 MANF. HM/ SVC/FDR. . : 0 6014ampa-1000 volts. : 0 MINOR LABEL (10) . . . : 0 --•---SERVICE/FEEDER---- ----BRANCH CIRCUITS----- -ADD' L INSPECTIONS--- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 60CI amp. . . . . . : 0 EA ADD' L BRNCH CIRC: N IN PLANT. . . . . . . . .. . . : 0 601 - 1000 amp. . . . . s 0 ------------------PLAN REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =A RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVI-'/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ----------------------------------------------------- FEES ----.----- HEALTH HABIT type amount by date recpt 12215 SW MAIN PRMT $ 35. 00 GED 11/09/98 98--310661 TIGARD OR 972.23 5PCT $ 1. 75 GEO 11/09/98 98-310661 Phone #: Contractor: ---------------------------- FRAHLER ELECTRIC CO $ 36. 75 TOTAL 1. 1860 SW GREENBURG RD -- --- - - REQUIRED INSPECTIONS ----- TIGARD OR 97223 Ceiling Cover Elect' l Service Phone #: 639-4627 Wall Cover Elect' l Final Reg #. . : 000374 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State. of Oregon Specialty Codes and all other applicable laps. All wor4 will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worn is suspendee for more than 180 days. ATTENTION: u,,egorn law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9524014010 through OAR 9552401-1987. You may obtain a copy of these rules or direct questions to OW by calling (503)246-1987. "Prmittee Signature: Issued By. -----_-------------------------OWNER INSTALLATION ONLY----------_ -___-------------- The installation is being made on property I own which is not intended for sale, lease, or rent. p OWNER' S SIGNNTURE: DATE: 7 INSTALLATION ONLY--------- --- - - -- ----- - - - a _ SIGNATURE OF SUPR. FLEC' N e �✓� DATE LICENSE NO: V 'S ++++++i-+++++++++++++++++++++++a....+++++++++++++++i.+++++++++ ..++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++i+++++++++++++++ CITY OFTIGARD �+Et-1C'IvCD Electrical Perm!: Application Plan Check# 13125 SW HALL BLVD. t 'Iec'd By ,_ TIGARD OR 97223 1998 Date Recd Phone (503)639-4171, x30'# r .)y U:.VLL0i'6;EN1 Date to P.E. Print or Type Date to DST Inspection (503)639-417 5 incomplete or illegible will not be accepted Permit,f Fax (503) 684-7297 Caned 1, Job Address: 4. Compilete Fee Schedule Below: Name of Development _ __ Number of Inspectlonr per permit allowed Name(or name of business) HEALTH IIA111 T Service included: Items Cost Sum Address 12 215 SW VAIN STREET 4s. Residential-per unit Ci lStatelZi ! TIGARU OR 972;:3 1000 sq.0.or loss _ $110.00 _�_ 4 N P Each additional 500 sqit.or Commercial Residential ❑ Limited therenf $25.00 1 mited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 20.. Contractor Installation only; (Attach copy of all current licensee) 4b.Services or Feederr Electrical Contractor F RA H L E R E L E TRIC C 011 PA N Y installation,alteration,or relocation Address_1 .GREENBURG ROAD 200 amps or less $80.00 _ 2 TT 201 amps to 400 amps $80.00 p City State_ OR Zip 97223 401 amps to 600 amps - $120.00 2 Phone No. 671-- j27 601 amps to 1000 amps $180.00 __ 2 Job No. 5 Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. 34-13C Exp.Date (q 9 Reconnect only $,50.00 2 -- - - OR State CCB Reg. No. 0 _- Exp.Date_�1299 - 4c.Temporary Services or Feeders COT Busine3s Tax or Metro No.`7 98 T Exp.Date_ 12 11,9 Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n "./V- -yL 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 Pimps to 1000 volts, License No.__ 18165 __Exp.Date 10101/O_ see"b^above. Phone No._ 639-4627 4d.Branch Circuits 2b. For owner in NAW,a11,r,ll,n or extonslon per panel A1D�u��8� a)The lestee,for defee.ranch circuits with purchase of service or Print D wner's Nanta Address Each tranch circuit $5.00 2 fee for branch City_ Statehpb)The_ wlthout purchaseof its Phone No. service or feeder lee. First branch circuit 1 $35.00 $35.00 2 The installation is being made on property I own which is not Each additional branch circuit` $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service cr feeder not included) Owner's Signature _ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal cltculf(s)or a limited energy L panel,alteration or extension $40.00 __ 2 1 Please c;leck appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps ur more the allowable to any of the above _System over 600 volts nominal Per inspection y $35.00 Classified 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. 5. Fees: Not required for temporary construction sen1ces. So.Enter total of above fees $ 35.00 5%Surcharge(.05 X total fees) $ T] N TILE Subtotal $ 5b.Enter 25%of line 5e for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review Jf r uir (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 TIME AFTER WORK IS COMMENCED. 13 Trust Account It!` 36.75 Total balance Due I\DSTS\Fi_C%APP Rev M96 CITY G TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97-0003 13125 SW Hell Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 01/P6/97 PARCEL: 2S102PA-05200 SITE ADDRESS. . . : 1.221.5 SW MAIN ST SUBDIVISION. . . . : KINGSTON ZONING: CBD P1._OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :21. _------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. 0 MOB I l_.0 HOME SPACES„ . 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURE'S-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINES. . . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIX'TURE_S. . . . : 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Health Habit in 14in(' water heater replar.ement Owner: --------------------------------------------------- FEES --- --- --- ---- HEALTH HABIT type amoi.int by date recpt 12215 SW MAIN PRMT $ 25. 00 TSD 01/06/97 97-288449 5PCT 1. 25 •JSD 01 /06/97 97--288449 TIGARD OR 97223 Phone #: Contractor: -------------------------.----- GEORGE MORLAN rwmBING 5529 SE FOSTER RD PORTLAND OR 97206 ------------------------------------- Pl.u n r #: 771-1145 $ 26. 25 TOTAL. Reg #. . : 02734 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _ applicable laws. All work will be done it accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if mork is suspended for morethan 188 days. --. — a - 1=�rmi-ttee S ure m I s s e d W Call for inspection – 639-4175 J 12/16/98 09:11 V503 684 7297 CITY OF TIGARD 2003/004 101 � (1 � v '2' -' _ _ ) CITY S HALL r lurnbing� Application Roe0t3y_ 13125 SW HAIL IdlVp. Commercial and Residential oat.Reed c�C- '—' TIGARD, OR 97223 Dart to P F_ (503) 639-4171 Dela to DST Penrwt Lrrt �,- r+t,'3 Print or Type R.� —� Incomplete or illegible applications will not be accepted caasd s>,vR t + Name of Otverott+r+erYprottq FIXTURES (fndlvidvah Job 1/' �L/:r / �./�lff�" /yC(r ,. ► Sirrs QTY PRICE AMT �c R� r.�rr► :�► Address StrltlAddraia Lanrato 11,x/5 S1M1e ry 9.00 Tub _ SM � or TudShowtr falmp. �9 6-00 t C ►Slate �p ' Shower Onry e+�.✓ OrE r 3 — 9.00 I Namr •/ //� N'arer Goats -y 9.00 Dist aaenK Owner I`farkrsa^dares: 0° ( suue Gareage Disoottt 9.00 a0 Meting 9.00 2 z 3 l`� k- 3 S Flour oraal r 900 Occu nt �%�aati.a aoo t� soot Wal«Heat« 9.00 LawtUy Roan tray -" �G Phone lJrrfal °•00 Ntrttt l �''!,) -� � C]M>sr Fitluttt(SPtc�tYl "�- 9.Of1 �ivrl�t� Contractor iZi betas! Suits 9.00 Cllp►Slate jip Phone 9.00 7;22 7 (. - 73P 9.00 O'tlion Come.Cont filpard Ue! Enp Date 9.0C Area Ca"°/ +atE:P Date tlonrttrt ��U h Se «w -1!e 100' 9.00 �t -1S1 900 30..00 ?-) � ) 30.00 COl' Tan tp. Se+r«-eevradQrtienatt00' 23.00 1 Wait!Serves Wrrrt� �� Water Strvks-etot artelbontf 200 29.00 Ar>rhkpct _/ Si-Oa Rsin Dram.est tar — 30.00 or H&ttng.lacers: Stone A Ran Dram--"—C"addibonv 100' 21.00 I C-.4, ►_` rieooite►+ole.Span 25.00 Engineer . tip one ConvrrsMW Baa now j: MM Devrce or Mrd- I 2&00 Pok oon Civet t3ttc�b tract ve" t, Adefieun O AlWaoon CO) aMat eac Ma.Pre+renuon OsMot'-��- _!s ILL drhnnt>t-1 IW*W O Vof►4esidenoal O 15.00 AAttrsrr descipnon or worts -- .any Trap or Wadte Not Cwn*MM to a Favre 9.00 l t:aecr assnw - K � 9.00 Insp.of Emsting Plumt►ing 40.00 t ~ =vq use of SpGeaMp rZequetted Imperaona 40.00 - Rain van.sngi hm�ly-,weH;r+g 30.000 p+opotW use of Grease Trap, -` ut bLwdnq or prop"_ 9.00 1 OUANTF TOTAL M you capping. —ving « F90W g Dnp f turexT Yet q No❑ laorr,ntc a rus a0ram eetWrre/t;rrhrrr Tar u •! _ -Ay—l"see back of form) herehv acknowledge that+Mie read this a -SUBTOTAL Ppdcalon.that Ute irrfomralion _ given.i o;n!at.;eat I am the crner or ah thea agent&Cee oam(r,aroL_ _F � 574 SURCHARGE That ota s ntbmlRf!C are m t omolianre+rilh()►tegon State tarts. 319nttuve of ownenwgent Oats REYI 2S%OF SUBTOTAL`_r .�rrr.mr r�01 1 � CantaaPersonNorm TOTAL / Phone ptnmt No is 5233X strvtarga•&WW.Resaontal Aacteerr Prt:v *n ceviae.ahiM is SIS•S%swich qt 0bsts""Itp.toe&A6 CITY OF TIGARD t'T #.. . . PERMIT PL.RMI #). . . . . . . PI Ml)(', Giiinaf. COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/18/96 13125 9W Hall Blvd.Tlpard,Oregon 97223.9199 (603)039.4171 PARCEL: 2Si02AA-05200 I TU (--41)DRF- . . . : 1,2215 SW MAIN ST i.IADIVISION. . . . . KINGSTON ZONING: CSD BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :21 LLASS OF WORK. . :REP GARBAGE DISPOSALS. : 0 MOBILE HOME SRACF_S. : 0 TYPE OF USE. . . . :COM WAFHING MACH. . . . . . a 0 BACKFLOW PP.FVNTRS. . : 0 OCCUPANCY GRP'. . :132: FLOOR DPA►NS. . . . . . : 0 TRAPS. . . . TORIES. . . . . . . . . 1 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . . 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . . 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES 0 OTHER FIXTURES. . . . 1 0 TUB/SHOWERS. . . . : 0 SEWER LINE" (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN 'ft ) . . . a 200 PpmArksn Renair of rain drain Owner: --------------------------- ------------------------------ FF-ES JEAN VERMILYE tvpp amos_rnt by date rerpt 11272 SW CAPITOL HWY PRMT $ 55. 00 P 01/18/96 96-275058 5PCT f 2. 75 S 01/18/96 96-27N058 PORTLAND OR 97219 Phone #: Contractor: TC EXCAVATING INC 16395 SF MEINIG SANDY OR 97055 _____.--_ ---------------...._--__--__.--__ Phone H : $ 57. 75 TOTAL Reo #R. . 0--(,389 -------- REDU I RED INSPECTIONS ---- -This vermit is issued subiect to the regulations contained in the Storm Drain Inso Tioard Municioal Code, State of Ore. Soecialtv Codes and all other Rain Drain Insp ionlicable laws. All work will be done in accordance with Final TnKpect ion auoroyed olans. This aermit will mire if work is not started withii 182 days of issuance, or if work is susuended for more than 182 cays. IC ,,r^m i t t e e -t t 1_i .n ID nrfn+, ir+spt i nn - 639-4175 0 1, City of Tigard PLUMBING PERMIT APPLICAT,IQN Planck/Rec. # 13125 SW Hall Blvd. Permit # ?LAA %-0000 Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Shale Fanny RRResldencas Only 0 1 BATH HOUSE$140.00 ❑2 BATH HOUSE$195.00 JobLi Qih S� 0 3 BATH HOUSE$225.00 Address Cw~ Foe includes of plumbing Iktires in the dwoov and the first 100 het 0z.p a h ar of water service, sanitary sewer and storm sewer. See fep bele_w. ^�^�•��+-T FIXTURES QTY PRICE AMT P6 t' Sink - 9.00 Lavatory 9.00 Owner �77Z S'(J, ( � 72)49 Tub orTub/Shower Cones. 9.00 Shower Only 9.00 V r S Water Closet 9.00 jw.^0. � Dishwasher 9.00 �� Garbage Disposal 9.00 Occupant Me&*Ad&, oar. Washing Machine 9.00 ,,S a -ILA-- Floor Drain 9.00 �r•r« -fl- 04 AP 'Nater Heater 9.00 972 33 Laundry Roon Tray 9.00 r.�. Urinal 9.00 Other Fixtures (Specify) ^� 9.00 w•w�+•+ ^� 9.00 Contractor 9.00 arra no 9.00 I d , 0,4�, , 0,1 y7'6Sewer 1st 1W 30.00 N.. Car ar.r.FW Sewer - ea. Addit. 100' 25.00 Water Service iRt 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct. that I am the owner or authorized agent of the owner, that plans submitted are in compiianos with State laws, that Storm A Rain Drain tet 100' 00 30.00 7 r I am registered with the Construction Conhactor's Board, that the Stone A Rain Drain Addit. 100' 00 25.00 5 - number given is conect. (If exempt from St!@ registration, please --- give reasqn below.) Mobile Home Space 25.00 Back Flow Prevention Device or Antl-Polk.;tlon Device 9.00 W"V'07 D. Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new 0 addition Q alteration 0 repair Catch Basin 9.00 to be done residential Q non-residential Q Insp. of Exist. Plumbing 40.00/hr 5pecialy Requested Inspections 40.00thr Existing use of .fain Drain, single family dwelling 30.00 building or property Residential backflow prevention d ices �- 15.00 Proposed use of building or property - (Except res.+dant/al back fow prevention dovfess) NL TICE 'Minimum I $25.00 SUBTOTAL 5� PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF SX SURCHARGE Z �5 CONSTRUCTION OR WORK IS SUSPENDED OR.A13ANDONED - FOP A PERIOD OF 180 DAYS AT ANY TIME AFTFR WORK iS COMMENCED. PLAN RE AEW 25% OF SUBTOTAL TOTAL Special Conditions Date issued - f1 w __by o 0 rz 0 Uj LL � ani Qj LL . ki IN t � t t 1 IZI 4 T V Cl ok— n t � i TIN Azk v ,C � s 14. i s �n s � a W N J i IN OF TIGARD CE ROCC PANC OF ocruACY COMMUNITY DEVELOPMENT DW3 Rf DAEPERMIT BUED e 1 22/9 �.3 N:'64 13125 9'W HdI Blvd.Tigard,Oregon 9722341 ''(ddoo�3) 7a DATE I$SUE[ t 10/c c /93 'r' PARCEL a 25102AA--05210 G i TE ADDRE4.iS. . . . 12215 SW MA 1 N bT SUBDIVISION. . . . t KINGSTON ZONINGaCBD DLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . t c:l ..._____________.___-_-__-_-_..._.___-_-__. CLASS OF WORK. a ADD TYPE OF USE. . . eCOM OCCUPANCY GRP. 02 nccUPANCY LOADt 1 VLNANT NAME. . . sC:LAS5IC'O E:SF'RLSSO Remarks : adding storage area to the front of the building for an espresso cart- Owners HEALTH HABIT 12215 SW MAIN (.1 BARD 017 97223 Phone 11: Gont rEart or a OWWE.R Phone 11t Reg 1h. . a 00000 Occupancy of the above referenced tsititding jt: hereby given, and certlfie5 the compliance with the State Of Ot,egon ':ape( iaslty Codes for the gI.,oI-AP, occupancy, and use under which the referenced permit Wae issued. FIRE DEPARTMENT L I Nth P .7 TOP BUILDING O FICIAL. L POST IN CONSPICUOUS PLACE C y 0 U J rno,k j , 1 TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503)526-2469• FAX 526-2538 October 19, 1993 Bob Byer 12215 S.W. Main Tigard, Oregon 97223 Re: Health Habit 12215 S.W. Main 6089B-124-000 I Dear Mr. Byer: I This is a Fire and Life Safety Plan Review and is based on the 1991 editions of the Uniform Fire Code (-IFC) and those sections of the Uniform Building Code (UBC) and Uniform Mechanical Code (UMC) specifically referencing the fire department, and other local ordinances and regulations. Plans are conditionally approved subject to Tigard Building Department requirements and the following items: 1 . The building number must be prominently displayed on the street front where it is readily visible tc drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. 10.208 a 2 . Not less than one (1) approved fire N extinguisher(s) with a rating of not less than (*) shall be provided for each (**) square foot of floor area or fraction thereof. The travel distance to an extinguisher from any portion of m the building, shall_ not exceed 75 feet. UFC Sec. 10.303 W J "Workdw"Smoke Deteeton Stave Uvea 1 Bob Byer October 19, 1993 Page 2 (*) 2A10B:C - Light and ordinary Hazard 4AlOB:C - Extra Hazard (**) 3,000 - Light Hazard 1,500 - ordinary Hazard 1,000 - Extra Hazard Note: Where flammable or combustible liquids are used, "Bo ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association Standard 10-1. Approval of submitted plans is not art approval of omissions or oversights by this office or of non- compliance with any applicable regulations of local government. If I can be of any further assistance to you, please feel free to contact me at 5224609. Sin rE 1y, � I adley ' namake � Deputy Fire Marshal BNW:kw cc: City of Tigard Building Department ✓ a oc m W J 1.10ILDING PERMIT' ✓ CITY' OF TI CARD PERMI COMMUNITY DEVELOPMENT DEPARTMENT DAIL 15SUED: 09/16/c)-'7 $3125 SW HaH Blvd,T19wd,OreW 97223*4199 (503)6394171 UN. . . . ZONING: CBV LOT. . . . . . . . . . . . . Sal J LXTF-kIUR WALL CONSTRUCTION- 0!: WORK. i AUD F*I RST. %96 S f NI S E I W Ll f'!M 5LGQND. . . 1 '.3 f PROTECT (JP1ENIN(;3 ?--- CL"NGT. 5N TH 1:RD. . . . 5f N 5s E W: -- . .1irliNcy ORP. ;,112 1 9b 3 t M K)l L',GNSI FIRE REI*'; . 2CLIPANCY LOPDcl BASEMENT. : s AREA SEP. RPTED: I DR. 1 1-11'. : 10 -F t GARAGE. . . . s OC.CU SEP. Roml): ,In`T^s ME:,Z11 REOD REOU I ..()OR LOAD_ — * psl' Lur T s f t RGHT: ft F 11-1 GPKL SMOK DET. . - ,'._IN6 LINIIS: FRNT: ft HEAR- ft FIR ALRM: HNDICV1 ACC:Y '3()11 iS- DIP SURrA(:E: PRU CORK: PARKING 1600 ac.fc-ling storagL- area to the front of the building for 'an caspresso cart. FEES 141-ik1lT type -Amount by date recpt P I!%.1 09/16/9'; q3-244241 4 PRMT .4 PLCK $ 17. 23 09/16/93 93-2442417 rm P C,T $ 1 . 33 L719/16 1)3--?44.=4;.' r e PO one 4! t 45.. 0E TOTnL r R-GIU I .. RED INSPECT IONS pewit s istuee s�tje;t to ter egulations contained in the Fram i ng I r.S P 4vd mviic-.ov '.�.dp, Etate, vt c..iiec.,&!ty Codes and all other Final Irisppction ..ilicable laws. Al: work will be done in accordance with pereit w,11 expire i' work is not started Z 'ay! of .',SU8PCfi V if Work is suspended fo- iore r !cO days, ---- a 7 rl At L. Gall fur inspection 639--4175 W _j 4 4, f"`1 13121 SW Hall Died. PLNCK/RECT I CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENTa o +r123 PERM IT I BSP 930 _ (5"4"4171 DATE iSSUED JOB ADDRESS: / S S' Cu. /It G h/' TAX MAP/LOT SUB: LOT: LAND USE: _ VALUATION: /G a 0, U 0 OWNER r� > ECIAL NOTES NAME- 6 y REISSUE OF: ADDRESS: / l S cv. `' `� LAST REISSUE: Cl) C, i, FLOOD PLAIN/ PHONE: �� 6�� ° SENSITIVE LAND: CONTRACTOR APP8O,VALS REQUIRED NAME: 0PLANNING: Ott ADDRESS: ENGINEERING: _ -- FIRE DEPT: PHONE: OTHER: * APPROVED TO ISSUE' CONTR. BOARD I: EXP DATE: Y ITEMS REQUIRED SUBCONTRACTORS:, PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCHANGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: IL H U) PHONE: m PROPOSED BLDG. USE: i4 .W.1 COMMENTS: 4 8l T 1 G S ro _6-2 l l=SIIL eS S O LUCk _ APPLICANT SIGNATURE Received By: _ Date Received: PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE rrZliso t T7� �' �t{ 10-432 00 Building Permit Fees 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 / 7- 2-3 Building Plumbing Mechanical 10-230 06 Fire 30-2.02 00 Sewer Connection 30-444 00 Sewer Inspection r 25-448-02 Commercial TIF Fees _ 25-448-04 Industrial TIF Fels 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fces 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees _ 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Orainage Syst Bev Chrg a ac (SSOC) N 24-445-01 Water Quality (Fee in lieu of) ro ro 24-445-02 Water Quantity (Fee in lieu of) C9 uj _ TOTAL yd O� nm/3587P.WPF ��EhLT/�y fid► F; %1 SPECIALIZEp WEIGHT TRAINING 8 TOTAL FITNESS FOR MEN 6 WOMEN TIGARO • GRESHAM • HILLS90'10 6a9 IM 667.9200 Mr-6id 1 Monday lhru Friday•5:3n am b 10 pn•Aloha-e am to 9:30 pm Sourday&Sunday•9 am b 5 pm September. 10, 1993 City Of Tigard Planning Department - 13125 SW Hall 13lv9 Tigard, OR. 9722" To Whom It May Concern; I Bob Beyer Do Here By Give My Permission To Espresso Classico To Construct A Storage Area in Front Of The Health Habit By The Sidewalk Area . The Storage Area Will Be 61X 16' And Have Two Solid Sides. The Front Will Be Open With Two Tracks To Install Plywood Panels That Will Be Removed For Business And At Night Will Be Re-Installed And Pad Locks For Security. I Will Also Supply Handicap Parking On Off It. Parking Lot Adjacent To The Health Habit , By The Sign Near Sidewalk. Sincerely, Bob Beyer DBA Health Habit ly- -3 CITY OF TIGARD BUILDING PgRMIT PERMIT #. . . . . . . v BUP9" COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/29/93 13125 SW HaN blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCLL. 2S:102AA-05200 - SW 1)IN. . . . s KINUSTUN ZONINGa CBD . . . . . . . . . . . . . .21 F:LOUR EXTERIOR WALL CONSTRUCTION- -.64 ,ADD F I RS sf Na $o E'i W SECOND. . . sf PROTECT OPENINGS?--..-----. r,5 N THIRD. . . . : 3f No S: Ei Wit 64 of ROOF CONST: FIRE RET? % -Jr'A';\1CY LOAD: I PASEMC.NT. s AREA SEP. RATED: 5f OCCU SEP. RATED: MLZZ?: HE=ED SETL4PCKS---------- REQUIRED------------------- CJCAR LOAD. . . . - P"f LC F! . ft RGHT- ft F71 SPKL,. 13M0K DET. . - -LLING UNITS: !-'RNT,. ft REAR: ft FIR ALRM: HNDICP AMY SURF'SA1 b PRO CORR: PARKING: 13�C;LA ?mav -is : !Itualth Habit adding awning L to An espresso cart storage age building. ' L; j.s required to be b. 5 feet from the sidewalk to the bottrim of awng. FEES -------- ------ 1 ,;r-WIT type amount by date recpt UW MAIN PRMT $ 25. 00 - 10/14/93 93-245186 PLCK $ 16. 25 - 10/14/93 93-.-24318( L) 3R 1.)7;"'2 3 5PCT 41 1. 25 - 10/14/93 93-245186 A t(I I ------ 1 (A WN i H C' .3 11-1. W. 6VL*F?r(!N 5 ;TREEI ri--2 42. 50 TOTAL. 4 8 C";2�' REQU I RLD I NSPECT I ONS t is issuF41 subject tc the regulations contained in the Framing Insp -48! Code. State 9,1e. Specialty Codes and all other 1::4 i n a I Inspection Al' war,, K.-L 7 i be kne in accordance with This Cerxit L. -xinrp if worl; is not started cFvs c" -s,jalz I v 'f wnr� is suspended for vore L tep Sigratuic J L s,..tec! Py.. Cali for, inspection 639-4175 Commercial Building Permit tkjW ication City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: f`�2 t t 6�, c� r. ntc55(C O Tenant: � Supe# Valuation: �5�� . 0 0 owner: ,-2 A.-k- ess: f a S 1 �C f Ge, C( Phone: t<J Contractor: 6 f L Address: o Type of const:.Aj 4 S!✓ Occupancy class: Phone: Sprk�dered� Yes C� Contractors License # Dopy of carrent Oregon Noenise) Sq.ft of project: 1 �orTthe1c.) '114,ti IL b U Ck' I Y:,,a a4, v'a Proposed use: a w�ir4 Address: h U S� > 6& Note: PUxWM & mechanical plans must be submitted at time of (_ L 20 )0 butidt Wpkatton. Phone: (� (D2— COMMENTS: 2-COMMENTS: .s S�o�- 69"ie& Phone number 7 Received by: Date Received: ZIP —4 -�3 Permit 8 Account Description Amount Aria. Pd. Bal. Due ��9T d 30 Bldg. Permit (BUILD) — Plumb. Permit (PLUMB) , Mech. Pemwt (MECH) _ State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) _ Bldg: Plumb: Mech: i Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) _. Mass Transit TIF (TIFF Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) ` Office TIF (TIF-0) Water Quality (WDUAQ Water Ouantity (WQUANT) `,qtr•. ... t ` —•—�_ Fire District (FIRE) vv TOTAL$: Wo 6d M ol r 3 � � O f f J i M Or 0 0 IL I d � OT uj � � a C- -6 d 6- u city of T1912rd Widlnq DNP"tN et 12125 A Nall Blvd. 7190", Oc'a4oe 97227 Inspection i (Rec-0-Phone)r 639-417S Duaireaa Phone, 639-4171 Inspection,__ Tootinq Plbq. Underalab Mash. Ugh-in APer/Sdwlk Pound. Plbq. Top out Gas Lina Post/bean /trust. ban. Sower framing Post/bean Mach. Rain Drain :naulstion -Plumb. Plbq. Underfloor "al1t��esLine 07P. ad. -Meeh. Data Requested, V / J _Time, AM -____PM Addrasa, ��-ice.-_ 1 1ti^' Permit t �J 7-a�i 7 nuildsr^ TU POLLCMIRG CORRSCrIOMS An R QI_RSD, r �. J , ol Inepactorr Date., APPnDVnD DIaAPPROVID APPROVED agaisCT To Abovs Call For Rainsp.