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12400 SW MAIN STREET-1 r J 1 ffz� .�nr+r...wNwrrr..•,M...� S W p v LfT- f • .�._.. �� ..._.._....:-n.._.�.._�_...... ___._.•..�..._.r...._.......--.—_.•__-............._.__..,...—...._._.�.._—____._.. � ..,... . ...._...._. r ._. _._,,,..,..,.,. � •'"fir FOR CONSTF?U' CITY OF TIG4RD OTION is .._... ..•.r.. -�---.r.....,.. � � ....,. ._..._._. ....�.. ....`�.___ .�.....•�.�......,� ..- � _..�w........ .� _ _�. . ..,.._.. .-__ .� �.. a � •wr+s.�.•.a.r-.w.w.•►esw+•'i.ne:.....r.•co--a.+•r..«�:�e1M+...-�MMr�-..�4..-.....w+e......+...w ..:......�. ..Y.-'h.w .....,... .. - �..4. ........ �-, . .,_. .. ..�.:.. .. .... ._ . ��.. ... . ...4•;. �w�hwMw.«n�w w.•....._�!r.....w�wr. .. �+.�w.r..�«a+...w:ti. _•...,e.,• ..+. .r... s.-• .M ...,.+.w. r_�r_•..•r. -.+.w•n.--�..• ..... ..i .w+-.r-�+.•._......r��..w ..� « -. �. ......,'....�.._..... ..... ,+....�..�w....r....... ^wti•r.-w.�....... � -w•,_...r.,...+.� - .._...... ....r .... _ r.r.+ .ti .. •i.4Mp" PERMIT No . E SITE Ar)DRF,,S, Hy I _ e ? _041.s illMl��l� _ ... ...-.-.._ ..... 12400 Sw Main Street 1 of 2 1 If this notice appears clearer tlaarlt (lie document, the document of 111"11-13h),11 go!alily. SAY 1 � 7 illll� i.lj l(�IIIIIN�ICIIHIMADE:lI�Nl!IC�IIHi iINtIAII2IAI i II11��111II.I�iI{I!1!IIlIIIlflll!l! l � llll ;I !I liIII �I16 X flli� ilIIIIII3!IIIIII14liilli! 15iIII!IIlg2G llillilll !!! � l�IE��ctl� 30IIIIIIfillllll!IIIIi!IIIII!lllllalll,1IIIIIIIiI1i11l1l,'11l1 ..& Ili��l ./i.Mrwu.....a w•..J4�W.,,�..n,yM+�w�rryµ..{yM.r...nnW�'yil«IrWt N.wa s,rr ..rx....�.�rwM.+Mi'w•Mw+w+., .. � w+rw.r.�.w,r.u/n,,,►W.w.JM...r.«rM.sM,. Wa..✓.�.../�MY... a, ,,.. .:.� rl4,r��.........,r..,n,,,,..s. ..«x,. .-. -.._r,.«w.>.+I..+wa-n.:.....w....,..w..,.i•...,,,.,..-„�.w ...;.........+....r,..r...,.rlw.w.•.✓.wNYA+R +.*.r�..,w.r.«,..........�r..w.w..-•_r..w....�.r..+•.�a:-..w— ....^+w..r.«._......... ... ........-.w.........«....r�.�... �� ._.....1.- r r • 46 r l , •��w■rte� 1".' `r 4 � - , ...__ ._.... _.«„+ _. _ .. ................ - _.._..^._._.-._..,...._.. _.r-.• ,..,,,.t,.^..,w.... ..._..._.«.,,., I �,.�, n /r''� "' '.._.._" • � �- T ilk i A en 16 1 t 5 7 1 r W i -��r APPROVED FOR fi f" NSTRUCTION I► _. �� OF T► .ARD om:: -.�• .., i PERMIT NO. e SITE ADDRESS BY -T- f ,,-DATE �wr.w'�g7�u - ,..w.-•w'•:,.rw...�«+..e.�w.+....w w.. ..+ut.w+-...+....wr.Mwwnerar�..�•rp.r'M�.IVnrlsrn+M_...•...�.,.r.w—M.ewrtwr.-.rww•......,.'F'.+i+rre+e7rr..,... �,��+r"ar+ww�n..�..a� 0 12400 SW Main Street. 2 of 2 If this notice appears clearer than the document, the document is of, n„Zr•0inal (p!ality. SAY 1 9 1.997 Ill11111Ill Jill l 11 , 111 1111lil1I° 11111 ,11 IN CHIN ADEwi A i I I ' i ' c ► � � iI I f l i � i � IHifi ! I � fI i I i` f 1 cm 2 3 4 6 1 r a ��' t 1 1t L1 1� i5 13 1 -111 LI all Illj1. x _.,.a ADDRESS. 0& 01. 40 j 1 .y f l f �yy �l t1° 1 I is\records\microflm\targets\building.doc h1 vl Y �(Ir .;Iy�!YI fn�i¢f' ♦ � t r �d Y��k't�. 71$ 4u�1 I `r` CITY OF TIGARD BUILDING INSPECTION NOTICE � t Inspection Line (Rec-O-Phone): 639-4176 Business Phone: 639-4171 Inspection: �- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk :fr, a(t r/k rl Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. 11 S Date Requested: Time: AM PM 1l.. i k 11 k Address: Builder: �L :> 7 S`t Permit I Ar THE FOLLOWING CORRFCTIONS ARE REQUIRED: $ Y L4 I d J,if) 4f G t- In pector: Date: PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. � 1 � t:b j I rl 1. I a 4 r �J r 1 t .1 I 'r" t.if t Jf6i1111 .,_ f1F..1 l. 1I�I t11,. [iLymi11.,11 I(1 I '4 II' I hlto. .y fsf ►i,.'11 WkY, t. I NUH I,.. .f; 1+ It.11 Itd► 1. i. Uro 1 f!`•il 1 1 t1'�il It I1�I 1 I�j, �,ry� t�t1)I�t'► '—,', It11 I Y', I+'IlaftlC 1.15'/NII t� � (11111 i � ';'V'I,,�1.� luy ::;�� rlEar It tt tMY 441,10 I �,,,; ►1, , cIn'1 C 1 1 11. faltiit, ON to 1,11 I•J I falalll Ir' I t'F 1 11 1�1,IFW►I,.i►. t U f 't i't 1111 t I jrl a t.s. 1 I i It if, 111 It..., i Iru., t l CITY OF TIGARD BUILDING INSPECTION NOTICE +� Inspection Line (RecO-Phone): 639-4177n5 Business Phone: 639-4171 Inspection: 14 Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wal Gyp. Bd. -Liect. Cate Requested; Time: AM PM / —moi? � � Address: ' c} Z[C'>CJ _ / l Q4 , Builderc-2-L(V-Z 75�� Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: tr ILI 42) Of • � M ! i'.'r'��11i� 4' 4��Ik itflx�yS�bJ�FY n i €;, ^7 Y } Inspector: f�C Date:_ /7 _APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE r ` _Call For Reinsp. ,i I I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection:6,j ,(��..� �R3 Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech, Rough-in Fireplace Post/Beam Struct. Plbg. Top OutElec Rcugh-in FINAL: Post/Beam Mech. San. Sewer Gas Lima -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. "} Alarm Water Line Insulation -Mech, Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �,� 1�7 S Time: AM PM � a t i Address: j Lt Builder: �2�.� �( -7 7 THE FOLLOWING CORRECTIONS ARE REQUIRED: Ll t a _ Inspector.,, Date: _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE t / _Call For Reinsp. J r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: f Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb, - Alarm Water Line Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ! Date Requested: Wk j Time: AM PM Address: Yc C) GLS I BuildeR7 9,-77 5 Permit #: t7? j` THE FOLL09NG CORK IONS R CTE REQUIRED: ` -, 37 Inspector: DateJ.2 ::Zy^L�'J a E { —APPROVED NISAPPROVED __APPROVED SUBJECT TO ABOVE Acall For Reinsp. I ELECTRICAL PERMIT ' CITY OF TIGARD DATETISSUEDI:C95IE/13/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 6W Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCF-.L: c G 10,+AB-04:300 f CITE. ADDFtL-`ifi. . . i is iIN v-! {1C " SUBDIVISION. . . . • Z ON I IJ6:CBD BLOCK. . . . . . . . . . • LUT. . . . . . . . . o.i�•ct Description : REPAIR ELECTRICAL RESIDENTIAL UNIT ABOVE STUDIO IN COMMERLI AL a ;' BUILDING ----RESIDENTIAL�UNIT—.•-•_._ W_Tf_':MF'�5RVC/F-`EEDERS--_. I 1000 5F OR LESS. . . . : 0 0 - x'00 imp. . • . . . . : 0 PUMP/IRR.-.GAT ION. . . . : 0 EAr'FI t1F7D' I_ O00JF • . -01 4 Q)0 amco. . . . . . . . 0 SIGN/OUT LINE L.TG. . : 0 LIIYI.ITEI) ENERGY. . . . . : 0 41111 - 600 amp. . . . . . . : Q SIGNAL/PANEL.. . . . . . . : 0 � MANI:*. HM/ f7'JC/FDR. . : 0 601 +-amps—•1V7ih+71 Volts. : -1 Mlhlf]FI I_FiRFL. ( 10) . ------SERV 1 CE/FEEDS:R—•--- ----BRANCH C I RCLJ I TS------•— --.—ADD' [- INSPECTIONS—— 0 2100 amp. . . . . . : 0 W/GF=RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : +i) � r yts 41,711. - 61710 am n. . . . . . : 0 CA ACID' L BRNCH CIRC: 1 1 N PLAN 1.. . . . . . . . . . . : 17+ 601 - 1000 amp. . . . . : 0 ______._.__.__..---....-____._FLAN REVIEW SEC: PION_.--_-._______________.. 1000+ amGo/Vo1.t. . . . . . 0 > =4 RFS UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . ; 0 SVC/FUR > = 225 AMP'S. . : CLASS AREA/SPEC 001C. : Owner: __......._._....._._.__ _._.._.._.. _.._.___._._._._ _....__._.__._..__..._•..__..___._._ __..____..____.-- FEES LINllA/MART, CL10L.EY type amot.tnt by date recpt 12'400 SW MAIN ST PRIYIT $ 40. 12)0 ,JMH 12/1:3/95 95-273835 CPCT $ 2. 171111 JMH 12/13/95 95--273835 TIGARD OR 97223 Phone #: 6r*,4�•-746 �NANC:Y ROBERTS ELECTRIC INC $ 4,=. 01 TOTAL 5759 SW 48TH REQUIRE 1) INSPECTIONS PORTLAND OR 9721:3 Ceiling Coven Eler.t' 1. Get-vice i Phone #: Wall. Lever Elect' l Final R e ij it. . Tilardereit is MunicipalsCode sub 5taeetafo0ree 5oecialtcontained in the regulations „ � __........._.__._.__...__. 9 , ` y Codes and all other P'n r^m i t t e(e i gnat Ure�~ applicable laws. All work will be done in accordance with approved plans. This permit will exoire if work is not started within, 168 days of issuance, or if wovk is suspended for more / d than 188 days. +s�.led Ry _._.. __._.__.___.-----•-•---__.__.___...OWNE R TNaTAI.J._ATI hI ClPVI..-Y _.__•__._.._._______.._.____.___.._.___._...__ The installation is being made an pr^oper,ty I own which is not intended far sale, lease, or rent. , OWNER' S SIGNATURE: _.__.__.. DATE : INSTALLATION SIGNATURE Of= SUPR. E LE:C' N: DATE: : L_T CENSE hill: Call for- inspection 639--4175 t ' ywM• fsppww;..xrr,+rkig{/ ra.,x-.. •. ,. ” "' `iM3U K r r 1 qlr 77 AL l; Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # T-) 3s, Permit # ' z (1 - Phone (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by - _ FAX No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 14. Complete Fee Schedule Below: � 'I✓11YIG ccNIT lAYdC 4�� 1 Name of Development m i •_ L=% K_.A2AIC7— Number of Inspections per permit allowed Address [? 5-, , UJ. M►41 N ST Service includedItems Cost(ea) Sum Ci /State!Li 1 ry p1. 1 ,i4�.L7r (� ,2, 4s. Rsaidential-per unit 4 1000 ea It or leas $11000 j CG (� R V� t,.s _ Each eddlhere 500 sq It or Name (cr name of business)/) 1 n portion hereol $2500 Commercial [] Residential❑ Limited Energy $2500 F.ncch Manu1'd Noma or Modular 2 Dwelling Service or Feeder $6800 2a. Contractor instalifetion only: 4b.Services or Feeders ..r �r Installation,alteration,or relocation 2 Electrical Contractor�A�.�,S Lz-L�L-",rLc- y"'/V 200 amps or lose $6000 2 Address ,! 5—`—W 201 amps to 400 amps $8000 i 2 Ci ;N State o C ZI 'y '— 401 amps to 600 strips -- $12000 _ 2 ty p�Icfc� 601 amps to 1000 amps $18000 2 Phone No. �24 q= 77S Over 1000 amps or volts $94000 _ 2 Contractor's License No. � L Reconnect only $5000 Contractor's Board Reg. No.-- 4c. Temporary Services or Feeders jj� r) Insiellalion,alleralion,or rnlu nbon 2 Signature of Supr. Elec'n—c�Zc ' """C�••► 200 amps or lean $5000 2 License No. 34$(.._S Phone No.,,�y[f- 201 amps to 400 amps $7500 2 401 amps to 600 amps $100 co Over 600 amps to 1000 volts —_ 2b. For owner installations: rise V above 4d. Branch Circuits Print Owner's Name _ _ New,alteration or extension per panel Addressa)The lee for branch circuits with City_ �_ State Zip_ purchase b of eavhe or oder lire. 2 j — — — Each branch circuit �- $G 00 _ Phone No. b)The tris for branch circuits without The installation is being made on property I own which is purchea of"rvko m hNder fee. r 2 not intended for sale, lease Or rent. First branch circuit E3`,00 Fach additional branch circuit $5 oil Owner's Signature _ _ 4e.Miscellaneous (Service or feeder not included) 2 3. Plan ,Review section (if required): Each pump or Irrigation circle $4000 Each sign or oulline lighting $40 00 Signal circuits)or a limited energy -- i Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) v $too 00 Sorvice and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing spe-ial occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per Inspection $3500 Per hour W5 00 $55 --'- Submit 2 sets of Flans with application where� In Plant 00,1y of the above -- - apply. Not required for temporary construction services. 5. Fees: NOTICE 59. Enter total of above fees $ Lie ----- 5%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for � OV- A OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ 3 '!- A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED ❑ Trust Account# $ Balance Due $ .he �a,rc,nrf.rWcpm rp �� 0 I A iy y '4 'u I ►1 I y"',... 1'Filr.1;FS I)M111.iNI 7 ,f,;. �pa,J IdFll4ki: rt L I NDO /M IRK (A."M:1R_L Y C311.311I 111VII 1 IN I a w. 00 NL11)ili':"�:C� 1 3:X 47 Sw PAC l i IRs NW Y W)t O PHYINIF,N f l.)f 1 i F::. R lis/13/9!` SIMA1111► (':31 ON y { I'I +I'i'l:IS3F' OV, F'FIY' Ikri:! f+I+�'.t+tr.11 l'I).l!'� 1'llFii't►f F OF PIIYMFrNI baI+1OU141 Poll) {` �I I f I_I:TFtJCF•�t. 1'�h:f1M 1 l" ��4�. 410 ;( f !a I II 1 14 F' ww� i hti-ilIA I I R i I 11.. WMR it IN l 1,IH P '� v SIGN PERMIT i c i PERMIT : SGN92-0079 DATE ISSUED. . . . : 05/22/92 EXPIRATION DATE:Q7/.V/9,A, PARCEL. . . . . . . . . : 2S102AR-04300 ZONE. . . . . . . . . . . . CBD BUSINESS NAME. . : PRIMAL URGE SIGN LOCATION. . : 12400 SW MAIN S'1` APPLI,.A /AGENT: SHA11I J10MBEAU BUSINESS TAX NO: SIGN: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 10.6' X 2.9' TOTAL SIGN AREA. ... . . : 24 Bq.ft. WALL AREA. . ... .. ... . . . 560 Bq.ft. WALI. FACE (DIRECTION) : S SIGN HEIGHT. . .. . .. . . . . 16 ft. PROJECTION FROM WALL. : 0 ill. f 4 ILLUMINATION. . .. .... .: NON DESCRIPTION OF SIGN: I PERMANENT WALL SIGN. 10.6' X 2.9' = 24.6 SQ.FT f 1 MATERIALS. . . . . . . . .. . .. WOOD p EXISTING SIGNS. . . . . .. : 1 I ELECTRICAL -ERMIT REQUIRED: NO BUILDING PERMIT REQUIRED. . : NO I ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 25.00 i APPROVED Sv: --- 1 DATE: 05/22/92 1 i E , J Permit. No 55-,6"0 Y,) 0C'7/ CTTY OF TIG 4T) '— SIGN PE144I T APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accrnanyinq plam and specifications- SIGN LOCATION ADDRESS: I C� l 1 1 J 1 , ZONUC: C CTy NAME OF BUSINESS: T 1 I�n0j AP'PLICAMr/rGExr: an� _ o-.MPANY:- C PHONE-. 94 My-- City of Tigard iapases an annual Susiraess Tac whicdi nisi be kept avx+-ant- on all � persrxis doing business in the City- Do you presently have a current busiry--- tau? _ YES NO ( )v— U.L_ Label J-r PPOPOS D SIGN: (Cheek as many as apply) t, PE13 fT FREES1ANVIN5 ( FRJU3aY ( ) Tom' ( ) VWIL ) E LOCHTMC ( ) OTHER ( ) BILTIKIARD ( BALTJX N ( ) SIGN DR*24SIONS: V V X EXPIFATTON DATE: TUML SIGN AREA (Sq_ Fl---) : WAIT. AREA (Sq- F't-) : r WAIL FAC'E73 � Iffila 1 (Ft): PROJEKMON FRf M WALL: ' III.AMIKM(W: YES `( ) NO ( ) TYPE: C, 12QQ—C ` S 9 h CAPY: U r-� f l ni vl v-0.,( MATERIALS: FYJSTIW. SIGNS:�5&VS Vy)0S6LZ-12j NAn k-pa-!, EXCEMON: N/A (}t) APMIVED ( ) HOW Kul � AREA OC2R1FNT5: PLANNING DEPARM _ All sign permits must be acoamparied by a scale Permit Fee- _ drawing and plot plan- If work aut or'i 7"J under ; Receipt No: _, 7 Jf a sign permit has not been cxWleteri within ninety App mP : days- after the issuance of the permit, the permit. Date: _�=��` _-- sha.11 becxxnn mill wrl ,raid. E7Br-rnrM, PmffT Y, I CERTIFY THAT I AT`i TiiF ROM-RD") 01WER OF 7_11E ROXTTRED: YES ( ) NO PIUPERW OR AN AUI1 ZEED BY THE: OWNER- . � BUIIDING PEZ T R1X2tMM): f ES ( ) No ) Applicnnt's Sicyiatau:e cam/tlti Lnr-?Z•.r rti�r_-�„ 'I�e 1e�'�o:r_� ' A 1 I Ida ,elf 57 - ON QgA011dc]`V ( r • t � r� per v ` 1 I F 4 0•" S�'ry-� "tr•^•�igi,•�y8*.• W�'�u�e rig'3.M�'An.�r,uM;�'�;CMi+W}AAi'R."�nn,M,'�.v�rNrdr..a'i✓.l.,t e:v`�Wg�r,. .. •n� Mw.p'. rw� .yavt�u, r,•.� ,�l:a7i+.,. - � �'f?°tq�'r' i r i Nrt "R r Arr�rc:w�i� CITE' O1 TIGAItD �yy//rte,,, rQd4hw i ! t I Y OF I'T GARD PECT I V,T OF PAYMENT RECE.IPI NO. 9 24 CHE.'04, AMOUNT i?I.S lil 0 NAME: CASH AMOUNI' (A)DRESS SW VIP IN r)OYMI.-,N,r i)A*r("., s o°ii�-4 Cl P SUSID I V IS t ON PURPOSE Or- 17,PYlvlFN7' (.)Motrli,,IT PA I D Pi RVIOSr' OF PAYMFNT MOUNT PAID ''-.31 GN Pk"RM11 V iU 4 0 79 5. 00 IliTAU AMOUNT P(AID ... ... i 00 �I INSPECTION NOTICE e City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 639-4175 Type of Inspection -------_--- Date Requested V-) �� / / Time_-_ A.M. _P.M. 2, 610 ,j G�/% � 4�� / — ---- Permit Address —— Lot Owner, # e Builder _ The following Building Code deficiencies are required to be corrected: --- -- - ---fir- J rzr t cc, 1 i I l Presented to Approved Inspector /�-�-� - ❑ Disapproved �� Date _ � CALL FOR REINSPECTION ] YES NO I T . INSPECT-'^.l NO'T'ICE r City of Tigard BLLlding Department j � 13125 Sw Hall Blvd. ' Lgard, Oregon 97223 Inspection Line (Rec-O-Phono): 631-4175 Business Phone: 63 -4171 Inspections Footing Plbg. Underelab ech. Rough-in ~\' Appr/Sdwlk Found. Plbg. Top Outne FINAL: Poet/Beam Struct. Sen. Sewer �:7 g -Bldg. Poet/Beam Hech. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line Gyp. ed. -Mech. Date Requented: n_----- Times - AH PH Address: Permit #: ef �J - Bu i 1 de r _ _ - TH8 FOI.IOWING OORRECTIONS ARE REQUIRED: r - rte r �!M_ �- _T�i;►�t o f C'o120� Inspector: Date APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. i I u „ MECHAN I CAI- V� CITY OF TIFA RD ,I,�ARD PE RM I CRYOF OOMMONITY DEVELOPMENT DEPARTMENT 092001141 • 13195 eW Hell Blvd. P.O.Bax 23397,TOW,Orpon 91223(603)639-4176 \ / 41 7 1 �✓ L 1_ � _—-- 1 S1 l E A1)1)RE:L,.�. . . : 1 .NO0 SW MAIN ST PARCEL.: 2S102AR-04 1210 SUBDIVISION. . . . : ZONING: CB0 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :NEW FLOOR FURN!. . . . : EVAP COIJI-ERS; TYPE: OF USE. . . . :COM UNIT HEATE.RS. . : VENT FAN'S. . . OCCUPANCY GRP. . :B2 VENTS W/O APG'L: VENT SYSTEMS: ' STORIES. . . . . . . . : B01L.ERS/C0MPRE S GR,.i HOODS. . . . . . • : FUEL- TYPES- ___.._____._ 0-3 HP. . . , DOMES. INCIN; �'� • —/GAS/ / / 3--15 HP. . . . : COMML.. INLIN: MAX INPUT: BTU 15-30 REPAIR UNITS. FIRE DAMPERS?. . : 30--50 HP. . . . . WOODS T OYES. . : GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . : NO. OF UNITf:i-_--- -- --- AIR HANDLING UNIT S OTHER UNfTS. PURN i 1O0K FTU- 1 < 10000 cfn: GAS OUTLETS. :4 FURN ) =1O0K FTU: i 10000 cfn : r I Remarks : mec. permit recon nectir,q fl.rranr_e and installing 4 gas oLrt-.let! 1 Owner,; ___._._._______.____._.____.___.______._---_--- _._._____.. _..-._.._.--__.__._ FE1 S MIKE MC NICHOL type amoLint by date r-er—p 12400 SW MAIN ST 5 P C T $ 1. 23 RT 08/21/91 E'RMT $ �::5. 00 RT 08/21/91 TIGAF7D OR 97��3 Phone #: 598--9723 I POWER PL.UMF I NG COMPANY P. O. FOX 23144 1 IGARD OR 97223 Phone #: 297-3941 26. 25 TOTAL i Req #. . : 52376 I REUU I RED INSPECTIONS - This permit is issued subject to the regulations contained in the Final Inspec.,t I on Tigard Municipal Code, State of Ore. 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 160 days of issuance, or if work is suspended for more than 160 days. p'a r^m i t t e e S i g n c-i t r_r r P : /` -----•_.. _._____. _._._ Issued By : 1 Call fore inspection - 6,39-41-75 y}' P� `X !1 I.. h • 4 r ' mamma ibiAL 6' CITY OF" TISAR1) REaCr.N—'? Pr.c:E'1P'T No. X91-216-514 t CHECK OMOUNT s 26. 25 i'JAi+lr::. a P(3WFR FSI, tJM3ori }F CASH AMOUNT . 0. 00 iIDFJkf:.SS a VICI BUX r'-'311+A PAYMONT DA T'E: on 1/91 � Sl•1DD'i�i 1�"i I f ihi PURPOSE OF PAYMENT nMOLINT PAID fU IRVIOSE OF Pwe'MEwr F1MMIN'T FIA I D - I ; M 'CWAN C C F11 EF:, 0.5. 00 EST. DO (I D SNF Fe *�_ ��_25 1 ti I I 1 lhtl, I Iti MEC91 -olSi 1 TO i Fal._. AMOUN-r rjA I D i q 6. M ff —7-777 � kx }' 1 i tM; ,y a 1t'``'n p� ,` 1 s+ , INSPECTION NOTICE City of Tigard Building Departm P.O. Box 23397 ON e;- Tigard, Oregon 97223 t Phone: 639-4175 _. 7-- Type of Inspection Date Requested_— ��L Tine X— A.M. P.M. Address Permit # dot a • a f , I ;} Owner _ ------ --- Lot # jq r+ Buildor ^a The to,lowing Building Code deficiencies are required to be corrected: • i r. . l Presented to _ __ — n Approved Inspector — �__ Disapproved Date CALL, F R REINSPECTION ' I YES El NO t pA I N t , CITYOF TIFARD OF � COMMUNITY DEVELOPMENT DEPARTMENT moon BUILDING PERMIT � 13126 BWHWIBlvd.P.O.BOX 23397,no.,d,OMM97223(603)09-4176 FRMIT #. . . . . . . : BIJP9I r71IaL3 •o BATE ISSUED: 06/10/91 SITE ADDRESS. . . 1.--400 SW MAIN ST POPCEL.: 2c,102AB-0430?' SUBDIVISION- - ZONING: CND BLOCK. . . . . . . . . . i_.C7'1'. . . . . . . . . . . . . . ----------------------------- REISSUE: FLOOR AREAr5�•__...______.__._.__ EXTERIOP WDLL. CONS TFRUCTI(it, CLASS OF WORK. :ALT FIRST. . . . : s f N: S. E: W: T •YPE OF USE.., .. , ;COM SF.0 0140. . . t csf PROTECT TYPE OF CONST. .-5N THIRD, , . . : s f N- S1 E: W OCCUPANCY GRP. :BE TOTAL--•.------: o -f POOF CONST e F I RC RET ' OCCUPANCY LOAD: BASEMENT'. : of AREA SEF'. RATED; STOR. : HT. : ft GARAGE. . . : %f OC;CU SEP. RFT 1'ED: � BSMT' : MEZ Z?: RE•G1D SETBACKS.-.--__.__.__ REULJI REI]____-__-_._.._-___._..-___. FL OOR LOAD. . . . : ps f LEFT- ft RGHT: r1. F I R SP1. I_- SMOK DET. . : DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM: HNDICP AGC: bEDRM S: BATHS: T11P SURFAC F: PRO CORR: PARKING;: VALUE.. : 800 RL,mar,l<s : t6 X 10 ripci< i FEES MARK & TFPRI EVENSTEI.NhR typr'i .ama'.(nt by slate r~e!=pt 12400 SW MAIN ST PRMT $ 1'S. 00 JLF-1 06/10/91 TIGARI] OP 97P23 - `,PCT $ 0. 75 11-H 06/ t 0/91 - Phone #: OWNER Pharie 1 a 10)HI_. Reg #. . RF_:C)IJIRL:D INSPECTIONS This aersit is issued subject to the regulations crntained in the Final I n scare c•t i a n Tigard Municiaai Code, State of Ore. Specialty Lodes and all other applicable laws, All work will be done in accordance with approved plans. This persit w;ll expire if work is not started within 188 days of issuance, or if work is suspended for more than 186 days. f b �-F�r•m i t:t re e 'a i q T� r .r r'e � �-' . .... ...__ Call for• i.nspec.tzorl - 639--417`:; J J• t {{ 4' i. a a, y. 7 14 148 c rY rIF r�,r.,ARD - RCCE z r�T OF PAYMENT REE E ,� N0- r 1µ (n. 0 I NAME EVC,143-�ETNER, 'TF:RRI pA'YME.NT DATE: K DDRES5 1�UBr)I v I r�T ON x I f-1MC11!NT' PAID plJR1�'(aSE OF 1jAYME.NT rE�iHt)UNT G=(a:(D 1'='lJfRpOS( OF PnYMEN'T _..___.,__.__.__..._.._-.._.._... 0. 75 BUILDING PERM 1 c:400 Fw m(411,4 5T• TOTAL AMOUNT PAIL) — > 15. 75 E ori s Y , • 11 • { ClTYOF T1 APD OREGON 9-4-90 Me. Robin Ruud ESP 1522 SW Sunset Blvd Portland, Ore 97201 w Re: 12400 SW Main St. Dear Me. Rudd, As per your request, the following is a list of code requirements, to allow a Martial Arts school at the above location- o The use will. be classified as an A--3 occupancy. o It is my understanding that the alley adjacent to the north side of the building is part of the same property. With that in mind, the wall adjacent to the alley will be required to be a minimum of 1-hour fire resistive construction. If the alley is 10 feet wide or greater, openings through the wall may be unprotected. If the alley is less than tenn feet, the openings shall be protected with minimum 45 minute fire assemblies. o The wall opposite to the north, shall be a minimum 2-hour fire resistive construction, no openings are allowed. F 1 o Both walls noted above shall be continuous to a point a minimum of 30 inches above the roof. o The A-3 occupancy shall be separated from the mower repair business by a minimum 3-hour fire resistive occupancy separation. All openings through the wall shall be protected with minimum 1-1/2 hour fire assemblies. o The A-3 occupancy shall be separated from the residential unit on the second floor by a minimum 1-hour occuincy separation. t " o The occupant load shall be computed at 1 occupant per 50 square feet of i' floor area, excluding storage and toilet rooms. o Exit doors shall be a minimum of 3 feet wide, they shall be openable from f the inside without the use of a key or special knowledge, no more than one n 3:, operation shall be required to unlatch any door. If the occupant load exceeds C" 50, a minimum of two separate exits shall be provided, they shall be separated by a distance not less than 1/2 the maximum diagonal distance of the room. If the occupant load exceeds 50 exits door shall be equipped with panic hardware. Exit signs shall be provided if the occupant load exceeds 50. o A minimum of two separate toilet rooms shall be provided if the occupant load exceeds 50. 13125 SW Nall Blvd.,P.U.Box 23397,Tigard,Oregon 97223 (503)639-4171 -- - -- ----- Y I n• ;zz tx��: <r � '!io�s.r 1�' r»;;, ..,��rr �`�.` Pi, i �, t. ;€� a:c �.,i%�{i;., uk�,n,o,u��tyz-��m;�.: .;{s1 • o A mechanical ventilating system shall be provided, capable of providing a minimum of 5 cu ft per minute of outside air per occupant, or provide openable windows with an area equal to 1/20 of the floor area. o Stairs shall have a maximum rise of 7 inches and minimum run of 11 inches. Handrails small be provided on each side of a stair. r Building permito wil be required for the above changes to the building. Please I call me if you have any questions. i Sincerely Brad Roast Building Official 14, A .1 l h W V Q Q Y� N In — tn W W — W M W fn ZIP N O ° z U.O '0 a� a. p Q Q N :Pv W — ��O a W N V) N s ►ti'Do� ' o o�' �P s 'rr or 4 ` r, 00 NQ •� � O m r Q 046 \ ' .o• r �• po r. i a O om *o p1 O r b N lj O 1� e,63 r6/O O u 'g ryeb r a i \ q, d y +�00y U t, g�p r? 5 �h / 00 C. ry�h C. /60 r 1111 ! ;� O `' O r'A �Q` e' e� 0. lCl N b� 1111111;r 00 ° 7� Y c`�p,�'►' p `° 1� \ O �`�° 1d1 dr u o r SJ \\ 1gpa oY p'' \ V { Fr a M g '/ ' bo `yv •\, y1a ` y \ � \ u7 111 111p0 v\ r t r a yo O ` a 11�111�1111 y .° On obi b rd G O ° ^ r � \.0 Y i Ao�11111!1 d �\ 2 °M tt C 1 `p `C • AC, 'yo rr r �u �, q C. 1n 41�'a? — �a �.l r 1• M fie`' "a. K\ roOr o , rL UA W In 0. ICS ros 0 O N Q1 1 y ti V CC t+ O r N �,� \��X� •p, n}, /• •� A O 1 A b/ a `�, 4 Permit No..�2 � CITY OF �IIGARD SIGN PERMIT' APPt ICATION The applicant hereby applies for a pernit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: Z'2y0 S.�• I7l'9/h„ 'LONING:z,.&eD. NAME OF COMPANY: 66c- _ J f9 C SJR y O APPLICANT/AGENT: � �F�tiL l��)C��r?�a v'1 IC �7 Il O b The City of Tigard imposes an annual Business Tax which must be kept current cn all persons doing business in the City . Do you presently have a current Business Tax? _ Z; cl PROPOSED SIGN: PERMANENT FREESTANDING ( ) TEMPORARY ( ) WALL ro I ,.) BILLBOARD ( ) SIGN DIMENSIONS: TOTAL SIGN AREA (Sq. ft. ) : '1EIGHT (ft) : /3? ' R l•-, �o vn[D , PROJECT ION: r_ L41 AD 4. ILLUMINATION: YES NO ( ) 1 COPY: _),.-nI/ MATERIALS: Al 6/1 C- dt iJill 14,!l t� EXISTING SIGNS:_ 4214 zz, OTHEP. PERMITS REQUIRED-. YES ( ) NO COMMENTS: PLANNING DEPARTMENT All sign permits must be accompanied by at Permit Fee: Ay!tt �mW% scale drawing and plot plan. If work Receipt No. : authorized under a sign permit has riot been Approved B : completed within ninoty days after the Date: issuance of the permit, the permit shall become null and void, g I CERTIFY THAI A ?IE REC.OROEP OWNLR OF IFIE PROPERTY OR T AUTHORLL _ HE OWNER. Applicantature / Address Telephone DAS:bsb2 t 40 r , rr y ti- ��,� Lam, �� "�tp ��'r,• -,� � i ,r .a,� �ri .E ■■■■■ / I I�' ■19�■ I■i I■■■■■ ►■■■■■ ■■■ 0a► �W■I ■■■■ , ■ ■ ■/ I}` I■V■II ■r■■■■■■ I ■■I ■1L#7 1w■C I ■■■ ■■ !I�' I■I ®■ I ■■■■■ ■■■ Ivl ■11 I■■■■■■■ 1�; ■il I�■■■ //■■ ! '47 I■■■ ■■■I■■01 ■ I NNW � r t � � I i� t 1 i 77 I , .i I ALA— J ton LL 1 I ! I I 0 d Ix: I i '• � I I I I I I s �� I I _I � I ' � I �•I � � I I i de I $l rui� ■��.�� ' I � rrr�r.rrr I I i i I � I `� 1 ._tel_ .�'! _�-_ - ----- --•- , _-4 .4_ ._ .. I -. .'_. 1 1 �,,, "�' 'i• +SIF' i rl :� a ' ,.::� �. t.t n W... ,.. .. _ •,: •, � _fir,, Permit No. SF.12=88 cIIY OF i 1GnR0 SIGN PERMIT APPLT:CA1JON The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 12400 SW Main St. ZONING: C.B.D. NAME OF COMPANY: Tire Factory of Tigard, Inc. APPLICANT/AGENT: Steve Richman 639-1106 The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current + Business Tax? Yes PROPOSED SIGN: PERMANENT (X ) FREESTANDING ( ) TEMPORARY ( ) WALL ( X) � BILLBOARD ( ) SIGN DIMENSIONS: 3' X 5' TOTAL SIGN AREA (Sq. ft.): 15 sg.ft. WALL AREA (Sq. ft.): _N/A — HEIGHT (ft): 1316" from ground PROJECTION: 5'6" from wall _ ILLUMINATION: YES (X ) NO ( ) r. COPY: Uniroyal Tires - MATERIALS: plastic with aluminum_frame EXISTING SIGNS: one wall sign OTHER PERMITS REQUIRED: YES ( ) NO (X ) COMMENT'S: Existing freestanding sign must be removed by Monday, 19LL. 1.,19.Bfl— at 3:30 pm. This sign is considered as the one frest_anding sig� the.,-Ute- PLANNING DEPARTMENT" All sign permits must be accompanied by a Permit_Fee: $10.00 scale drawing and plot plan. If work Receipt No. : authorized under a sign permit has not been Approved By: DS completed within ninety days after the Date: 01/19/88 issuance of the permit, the permit shall become null and void. I CERrIFY THAI I AM THE RECORDED OWNER OF IN[ PROPERTY OR AN AGF-NT AUTHORIZED BY THE OWNER. Applical+t' s Signature 12400-SW Main St106 Address Telephone DAS:bs6Z ijii011 t R I r, I 1 P O. BOX 127 • TUALATIN, OREGON 97062 • PHONE 682.2601 f TIRE FACTORY August 26, 1985 4' ,..... 1240G S4► Main Street Tigard, Oreoon 97223 -t^- 1iB81 1 2538 -134-00 ) Insp. Type RAF s Dear John R. Lo!",,�� F This is a Fire and Life Safety Plan Review and is based on the 1962 editions of the State of Oregon Structural Spe- cialty Code and Fire and Life Safety Code (IJBC ) , the State of Oregon Mechanical Specialty Code and Mechanical Fire and Life Safety Code (UMC ) , Uniform Fire Code (UFC ) , and other local ordinances and regulations. This plan review is based on type V-N construction and nixed occupancy classification of 0-1 and 0-2.. JOC 501 Provide an exit docr, from the new addition, which complies with UBC Sections ::304,( c ) and ( e ) Provide a one-hour fire resistive accupancy separation between the building portion to be used as storage (3-1 ) and the building portion to be used as office ani sales (B-2) UBC Table 5-0. Not less than one ( 1 ) approved fire extinguisher with rating of not less than 2-A: 10-8: C shall be provided for each 3, 000 square feet of floor area or fraction the-Anf. The travel distance to an extinguisher from any portion of the building shall not exceed 75 feet. UFC Standard 10-1 Maintain building addition 10 feet from west property line to avoid requirement for protection of exterior wall open- ings. T 5-A i Approval of submitted plans is not an approval of omissions ,y or oversight_ �y this office or of non-compliance with any applicable of local government. If you have any questions regarding this letter, or if I may be of assistance in the future, please feel free to call me at 682--2601. Sincerely , 61?0}yl Marie WiIlians Fire Prevention Bureau ) 4, aa, �. Cdr,w° NIs 0310 (' MF2,60 OCCUPANCY FILE LIST � AUG 26, 1V05 1;1: 31 TUALATIN R. F. P. D Page 1 KEY SCREEN 1. Name TIRE FACTORY 2. Zone--Occ #: 253B -134-000 5. Special Sartl : 3. Address 12400 SW MAIN ST TI 6, Special Sort" 4. Category 7. Special S0T't3: 'r BASIC SCRFk N 1. Occ Phone 1.6. Census Tract: 308 2. Manager Dan Cochran 17. Code Edition. NONE 3. Phone 18. Bldg Value $90, 000 4. Mail - Apt#: 19. Content Val. $501000 5. Address 12400 SW Main Street 20. Other Value $0 6. Cty, St, Zp : 'Tigard, Oregon 97223 21. 901 Occ Use 575 Motor ve 7. Bldg Owner Bob Moore 22. UDC Occi/ft 22 B-2/ 0 8. Phone (503) 639-1312 23. Fire Alrm Sy: OTHR Other 9. Suite-Apt. 24. Alarm Syst #: NONE 10 Address 25. Prop in Use Y 11. Cty, St, Zp : 26. Date Built 4 --01/01/40 12. Emrg Contct: 27. Date Remodel: 08/26/85 S 13. Emerg Phone: 14. Ins Type/Mo: ICO 1 04 15. ISO Clasp 3 pp FIRE PROTECTION SCREEN i , 1.. Alarm Shutoff Location NONE 2. Power Shlitoff Location I-N 3. Water Shutoff Location O-N 4. Natural Gas Shutoff Location: UNKNOW 5. FDC Location : NONE 6. Sprinkler Control Location NONE 7. Stand Pipe Location 8. Attic Access Location I-E 9. Special Hazard Type Code 10. Special Hazard Type NONE 11. Special Hazard Location NONE 12. Water Source Location HYDRANT 13. Stairway/Vert Shaft; Prot Y/N: 1 stairs riot enc. vert shaft - 0 CONSTRUCTION SCREEN 1. Const Type 50 V-N 16. N Prop tine 2. Grnd Area 3, 580 17. Wall Prot 3. Basmt Area 0 18. S Prop Line / 4, rotal Area 4, 000 19. Wall Prot 5. # Stories 2 20. E Prop Line / 6. Height--ft 24 21. Wall Prot 7. Inter Colmn: 10 LT WD FR 22. W Prop Line / 8. Roof Const 11 WD TRUSS 23, 0-111 !"rot 9. Roof Cover 20 SPEC PUR 24. Area Wal : 10. Roof Area 0 25. Area Wal : 11. UBC Occ2/ft: 21 B'-1. /2280 26. Area Wal : 12. UBC Occ3/ft. / 27. Plan Lot 0 13. UBC Occ4/ft : / 20. Misc 14, Auto 5F' Use : 15. Auto FA Use: i I na,1.sAM `+, 0 x I i �J O H N R. L O W CONSULTING ENGINEERS, INC. 1 750 9. W. SKYLINE BLVD. T E L E P H O N E PORTLAND, OREGON 97221 503 / 297-3786 August 26, 1985 6 C Building Department City of Tigard P.O. Box 23397 Tigard, OR 97223 ATTN; Mr. Brad Roast Re : New Addition to Existing Building, Tire Factory, Tigard, Oregon Gentlemen: This is to confirm our discussion with the owners ; Mr. Dick Cochran, wherein we concurred: 1 . The use of 180 wide perimeter footings 2' below grade, no change C' in reinforcing. r:, 2. The vertical reinforcing of isolated footings may be omitted, provided the footing is proved integrally with floor and it is 24" thick . It is my understanding that these conditons were met in the field. For further information, please do not hesitate to call . i ji ,Sincerely .i ` i L_W CONSULTING ENGINEERS, INC, i `l Low P.E,. , Structural Engineer i cc: Dick Cocnran i JOHN R jLOW.BSc St P F n � 1 r i i 1 1 INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639-4171 Type of Inspection Date Requested. ' T16. 'r A.M. P.M. Address " - "" c2 l'2 ` ' �-"- '' Permit # Owner Lot # Builder The followin uilding Code deficiencies are required to be corrected: 14, "00- �' I Presented to ❑ Approved `• Inspector _ / - /Disapproved Date -- CALL FOR REINSPECTION , YES NO a i 1 s ot • BUILDING PERMIT APPLICATION TIGARD DATE 19 — S THE UNDEFISIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE, OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE , LOT NO. OYUNEFl JOB ADDRESS K1 r. ARCHITECT i �_ .-"""v)'`ENGINEER BUIt-DEA �. ` -rte ADDRESS DESIGNER STRUCTURE ❑ NEW ❑ REMODEL _ M ADDITION ❑ REPAIR_ ❑_RENEWAL ❑ FIRE DAMAGE ❑ DEIAOLITI ❑ RESIDENCE COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FEN �.�•°�� ' Al � CHECK BY -; IALC Lh { J- HEAT OCCUPANCY �• � LAND USE ZONE �BLDG.TYPE - _PLAN--- F ^R � i i � _ " 1.,L- L r4 c �►\ ! Ti L� 1 R F= c^Td r� / SEWER PERMIT N ' n _ Od ::.LOAD FLOOR LOAD HEIGHT NO.STORIES I AREA NO.BEDROOMS BUILDING LEPARTMENT SETBACKS FRONT - REAR LEFT SIDE + RIGHT SIDE / ^ Parmlt THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZO0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND R IS HEREBY AGREED THAT TO. Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPL1AN WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI M1649161 y RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINE <, y' UCE NSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Stats Tan SOC-- Total � PDC# APPLICANT OR AGENT �I By , _ Receipt Na. ADDRESS PHONE Approved SSDC --- $ I SQC - ' PDC - $ - SEWER CONNECTION 8 _,,. SEWER INSPECTION $__ SEWER SUFCNARGE 5 .._..--- d -ay....vm._ .rv.ulk+'n'•kkntiexr .M1Y,'�fIN'Rw't9 .-..,w,. .....,,. _ _ I i i BUILDING RECEIPT i . DATE' - " NAME: - V AMOUNT ACCT. N DESCRIPTION 10- 32 Building Permit Fees s 10-431-600 Plumbing Permit Fees f I li 10-431--601 Mechanical Permit Fees s � I 10-230-501 State Building Tax /, 10-433 Plans Check Fee 30-443 Sewer Connection (207.) s 30-202 Sewer Connection (80%) _ 30-444 Sewer Inspection f 51-440 Street System Dev. Charge (SDC) � y 52--A49-610 Parka I System Day. Charg�� (POC) s . 52-449-670 Parks II System DQV. Charge (POC) - 4 31-450 Storm Drainage System Dev. Chrg (SSDC) � 10-230-505 TRFD (95x) e, 10-479 TRFD (5x) s 10-130--506 Washington County Fire 01 (95x) : 10-479 Washington County Fire N1 (5%) s _ 10-220 Amart/Wedgewaod s TOTAL = �v F E (be/1214P) f f i I 1 NO' P283 BUILDING PERMIT APPLICATION 11T TIGARD DATE _ _---, 19 THE UNDERSIGNED HERE61' APPLIES, FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE s OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NO. OWNER Li.ut1Mcikl Q JOB ADDRESS HOME ADDRESS — ARCHITECT ENGINEER i BUILDER HI11,4110 9 ADDRESS DESIGNER STRUCTURE ❑NEW El RF MODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POR''--T ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE _ ❑DESIGN REV[ y OCOUNCIL APPROVED ❑SIGNS A OCCUPANCY_ LAND USE ZONE_ BE HEATLDG.TYPE _FIRE ZONE PLAN CHECK BY_ - 1 �l1; ltlyU1flt.4i t ciJ !n f' f .Aii Hdu Wlrlr1JIwi4 _ J� K 21 add Kik L'.i ii r:ulut Ly iJLj. �jf<'iY't!1it• rGiV* OC(;_LQAD—- . _ _FLOOP_LOAD _ . - HEIGHT.._-_______N0.5M�$__ -��Et� NO.BEDRO�IY1� VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE """ RIGHT SIDE Permit - - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. f otal " By APPI (CANT OR AGENT — - Approved Rer_eipt No, r RAW i PLUMBING DATE REMARKS —_- DATE INSP. TYPE INSPECTION —__-- -- ------- Contractor _e - --' --- i Permit No. -- ---. I - -- — Rough-in ~� Fixture --- -- -- — - Fir iI --- HEATING Contractor _.._--._---------- Permit No. -- Gas or Oil -_- Final �^ _. SEWER Final _ DRIVEWAY ---- _—.._ ---- Final ---� Storm Drainage (Rain Drain)Final ---- — — Sidewalk _ Curb&Street Finn - - --— Approach CERTIFICATE OCCUPANCY Final - 1 BLDG. DEPT.FINAL CERTIF_ATE OCCUPANCY Landscaping � Zoning Fin;il I CITY OF BUILDING PERMIT APPLICATION TIGARD DATE.—_ 19 •N O(�"R�7" ` I� THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED I OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE _ OWNER ADDRESS _ BUILDER PHONE _ i; HUlburt ENGINEER BUILDER rr-� ARCHITECT DESIGNER STRUCTURE ❑NEW ORF.MODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION [1 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_____LAND USE ZONE ._BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT_ :.ill rear room per ske --- :'� >R !,1 new �. OCG LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE C1Qt7 BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit _ _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIbE – _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS %State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING I f Total k BY APPLICANT OR AGENT — Approved Receipt No ADDRESS O r M q'r 'I f 4 I. ( p sgayrs At Y O 5 y.Y55�'t;�l+r is a r 1' 4�y�Rfi Ayy 1N R{5 A ' r al e',1 t,i4 }r Jr?a� �1sat3Y. '�,1AY (in. r 77ri ` y d a r (rrx>r�fil��f4 r {� jvr r. - r Tvjy� ��y't� X �r "fi4I4�R3f 'j4i r.X'70. xr'° vj Y'f a1 �y ,yAI I' m v1 , • i �a,, ��I Yr�rjja ,r� �'" � a i,, h'�!�"@ � y 7 r r°e 4a�°� u. 1��*�� ; ' '. i + DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractnr Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-in • Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk &Street Final Approach BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OC-UPANCY I Final — — CERTIFICATE OCCUPANCY Land scap ing Zoning Fina l to d i 1 M j t • Address L �V �. _ Permit No._ _ �L93 Name of OccupantPermit charge_ ----- _ _.. • 1 Connection fee------ Paid ee _----Paid by Date connected_ Type of Building _.._� - fLp Inspection Servri.ne Rate_____- ---__- —_ Paid by — _--_-__-— Date Contractor Assessment Size of connection k .N• i;/ � 1 yr it7�,nl ��'Maal ',fit 1 r Iry AA .�67r 4'f._tan � ,._':y",•" r .Pd.�, "�r,�}?/+"7 e t h*1' s r._t {r z y.r :v G. t. �'�t�}int'"� i i I APPLICATION FOR SEWER SERVICE tion by the The undersigned agrees, in consideration of the sewer service connec . Tigard Sanitary District to abide by and comply with the ordinances, regulations and rules of bDlm- rict presently in effect or hereinafter enacted and to pay sewer service chargee as the same y w posed from time to time when due and before such charges become delinquent. I fully understand that all unpaid sewer service charges become a lien upon the property served as stipulated in O. R. S. 224.2.20. Connections to the District's system must be made by bonded contractors and/or I bonded and licensed plumbers. 4 Owner APPROVED BY i Superintendent TIGARD SANITARY DISTRICT 8841 S.W. Commercial St. j Tigard, Oregon �J o jj it T 5 M a �1 r. �I • 9 Address Permit No. -- • Name of Occupant �1%c a�L {Permit charge,- ff t JQ Tit" fx� Connection fee__ _ Paid by _-------- --- Date connected Type of Building Inspection fee_______._________ Service Rate_ _ Paid by Date__ Contractor _ Assessment__.__ -----Paid— Size _ ___Paid—Size of connection____.. r f' l M. `t- 3 I r • I i i ti I APPLICATION FOR SEWER SERVICE i The undersigned agrees, in consideration of the sewer service connection by the r � Tigard Sanitary District, to abide by and comply with the ordinances, Pwle aservice charges as the same may befm- rict presently ir, effect or hereinafter enacted and to pay posed from time to time when due and before sucl•. charges become delinquent. I fully understand that all unpaid sewer service charges become a lien upon the property served as stipulated in O. R. S. 224.220. Connections be made by bonded contractors and/or to the District's system mu bonded and licenEed plumbers. — Owner APPROVED BY Superintendent i TIGARD SANITARY DISTRICT 8841 S.W. Commercial St. Tigard, Oregon i s {