12164 SW SCHOLLS FERRY ROAD BLDG F . � A
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CITY GF TIGARD ,
EI..ECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: EL.C97-0005
9 � 13125 SqW Hail Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/07/97
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PARCEL: 1 S 1.34BC--002 00
SITE ADDRESS. . . : 121E4 SW SCHOLLS FERRY RD
i SUBDIVISION. . . . : ZONING:C--G
BLOCV. . . . . . . . . . . L_OT. . . . . . . . . . . . ,.
+ Project Description: BRANCH CIRCUIT AND ONE CIRCUIT FOLLOWING
-------------- ------------------------------------•-------_------.--------
--RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS----- ------MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 2,00 amp. . . . . . . : 0 PUMP/ IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 4 00 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601.+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER---- ------BRANCH C I RCIJ I TS------ ---ADD' l- INSPECTIONS—-
0
NSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVT.CE OR FEEDER: 1. PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O 9RY(7 OR FDR. : .1 F'ER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EP. ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . , . . . : 0
601 -- 1000 amp. . . . . : 0 ------------- -- --FLAN REVIEW SECTinN------_.----__._.-_ ....
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = ccs AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------- FEES ------------------
SAUNDERS TRI.IST/GREENWAY PLAZA type amor_rnt by date rer-pt
2155 KALAKANA AVE, SUITE 500 PRMT $ 40. 00 TMH 01/07/97 97--288513
5FT"T $ r', 00 _IMH 01 /07/97, 97-288513
HONOL LILI..1 HI 96815
Phone #:
Contt-act or: ---------------- ----___.. ------ --- ---- -- — -.. -- ------ ____.__-__— —_ _--- -
CHRISTENSON ELECTRIC INC $ 42. 00 TOTAI_ ,
1 1 1 SW COLUMBIA
SUITE 480 - - ----- REC;U I RED INSPECTIONS
------
PORTI.AND OF? 97201 Ceiling Cover- Elect' 1 Servir..P
Phone #: 503-241-4812 Wall Coves ^ Erlect' l Final.
Reg #. . : 000004 j
/ / K
This permit is issued subject to the regulations contained in thr Z -
Tigard Municipal Code, State of pre, Specialty Codps and all other er ittee Si gnatur
applicabi. laws. All work will be done in accordance with
approved plans. This pertit will expire if work is not started
within 180 days of issuance, or if work is suspended for tore JL.
than 180 days. ?( O�Nl�v_By
_ .....___--_..-----.---•-------------------OWNER INSTALI_-AT _. _________._.____..__..._
The installation is being made an property I own which is not intended for
sale, tease, or rent.
[OWNER' S SIGNATURE: DATE:
INSTALLATION
SIGNATURE OF SUPR. ELFC9 N: — �rM DATE:
1ICENSE NO:
Call for inspection - 639-41.75
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # -_ 1105 _ — •
Date Issued /- 7-77
Phone (503) 639-4171
CITY OF 31®/lRI,
FAX (503) 684-7297
TDD No. (503) 684-2772 •
Inspection (503) 639-4175
r9. Job Adrt;ress: _ 4, complete Hee Schedule Below:
,' ms
Name of Development GREEN14AY PLAZA Number of Inspections per permit allowed
Address 12164 SW SCROLLS FERRY RD Service Included Items Cost(ea) Surn
City/State/zip TIGARD -_� 4a. Residentipt -per unit
1000 sq ft r,r less $11000 4
Name (or name of business) EDWARD JONES Each additicnal 500 sq n or $;500 1
portion lhereo'
Commercial)[R] ResidentialE] Llmfled Energy $2500
Each Manurd home or Modular
Dwelling Service or Feeder $6800 _ _ 2
2a. Contractor installation only:
4b. Services or Feeders
CHRISTENSON ELECTRIC, !NC Installation,aflerstlon,or relocation
Electrical Contractor _ 200 amps or less _ $6000 2
Addresslll SW COLUMBIA,SUITE 480 201 amps to 400 amps — $8000 2
PORTLAND State OR Zip 97201-588 401 amps to 800 amps $12000 - 2
City _-- p 601 amps l0 1000 amps $18000
Phone No. 241-4812 Over 1000 amps or volts $34000 - 2
Job NO. -222-1433 Reconnect only $E000 2
contractor's licrlrlse NO 26-34C 4c. Temporary Services or Feeders
Contractor's Boardt!Zegr 00458 Installation,aneretion,or relocation
Signature of Supr e►. 200 amps or gess —._ r 2
201 amps to 1100 amps $5000
License No.. 87 3 S Phone No. 241-4812 401 amps to Ono amps _ $7500 —
Over 800 amps to low volts $10000 -- 1
2b. For owner installations: see"b"above
e 4d.Branch Circuits
Print Owner's Nam
i4ew,alteration or extension per parrs
Address a)The fee for branch circuits with
purchase or service or feeder W.
2
City � State _ Zip __ IseEach branch circuit _ $500
Phone No. _ _ b)The fee for branch circutte without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent.
First branch nalcirbranch
1 $$5 00 35.
Fach eddltlonal breach circult $5.00
Owner's Signature_. _ _ 4n, Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or Irrlgntlnn circle $40.00 2
Each sign or ou"ine lighting $40.00 _
Signal circuits)or a Ilmlled energy 2
Ptt les check appropriate Item and enter fee In section 5B. panel,aneralton or extension $40 N3
_ + or more residential units in one structure Minor Labels(10) $10000
Se.rice and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable In any of the mbove
as described in N E C Chapter 5 Per inspection $3500
Per hour $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
--
apply. Not required for temporary construction services. 5. Fees:
1
NOTICE Sa. Enter total of above fees $ 40.
5%Surcharge (05 X total fees) $ _Subtotal -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION S –�---
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY T IME AFTER WORK IS Subtotal E 42-
COMMENCED. . m.,me.w.r. ❑ "frust Account#
M MT $
Ralarrp Due $ 42.
n!ria v..m9'" ^1 K SAM w.t}e r w nr r rT. R
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CASE HISTOPY FOR CASE NO.: ELC97-0005
EDWARD JONES
12164 SW SC14OLLS FEMP.7 RD
IIchd/ an Actin Notes U+sp BY Update Vpd
Action Deocciptio'n I`�/
Date BY
lode Sent Done Dane
O1/C7/97 / / 01/07/97 PD.IIB
JM 01/07/97 J'H
BLCC003 permit created PASS jMH 01/07/97 J•H
BLCC50n (F.Issue permit. / / / / 01/07/97
BLCC700 Ceiling Cover 01/07/97 / / 01/22/97 need to-volt permit and installation MJR 01/23/97 h4TR
BLCC720 Nall Cover 01/07/97 / / 01./15/97 before ceiling cover support all cables, PASS t&)R 01/16/97 MJR
have data and othe permits and labels,
need sixmic protection for lights, and
lockable disconnect for hot water.
i01/07/97 / / 02/29/97 cables on ceiling tile DIS MJ.7 03/03/97 MJF
RL.CC799 Flecl''L Pinel
03/04/97 PASS MJR 03/07/97 MJR
? RL_C199 Flect'1 Fina]. / / / / PASS MJR 03/07/97 -1JR
RLCCOaO case Finalod 03/04/97
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CITY OF TIGARD ;w
DEVELOPMENT SERVICES
131T5 SW Hall Blvd., Tigard,OR 97223 (503)6394171 ELECTR I CALPERMIT —
RFSTRT.CTEn ENERGY «�,►
PERMIT #: El_R97-0057
DATE ISSUED: O2/26/97
PARCEL.: 1 r i 3 4RC-0Q 200 !
SITE ADDRI- B,. - . : 12164 SW SCHOL.LS FERpY RD
SUBDIVISION. . . . : !ONI NCS:C-5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
Project Description: Installation of data telecommunicati.r.r.s.
A. RESIDENTIAL--------- B. COMMERCIAL-----___._____—___—_---_.__—___—_-.—___--_--.
AUDIO 9 STEREO. . . : nunin 8. STEREO. . : INTERCOM R PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . a LANDSCAPE/IRRIGAT. . :
GARAGE0PF-'NER. . . . . CLOCK. . . . . . . . . .. MEDICAL. . . . . . . . . . . . .
HVAC. , . . . . . . . . . DATA/TELE COMM. . :X NURSE CALLS. . . . . .. . . . `
VACUUM SYSTEM. . . . : FIRE AL.ARM. . . . . . : nIJTDOOR I_.AND9C LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUME'NTAT?ON. : OTHER. . : . .
TOTAL # OF SYSTEMS: i
Owner-: -- ..___._.__.._.__.__..________.____........___. ..__.__.......__.___.___.. ETES
CATHERINE NICHOLSON type amount by date recpt
12164 cW SCHOL.L_S FERRY RD PRMT 1 40. 00 DRA 02/26/97 97--290082
5PCT $ 2. 00 DRA 0r/x'6/97 97-29088�:'
TIGARD OR 9722:3
Phone #: cc3-92..O3
+!_ Contractor,
CI__n(' ;AMAC� COMMt_IN I f ATI
[)nl >i r+2. 00 TOTAL
234 NW 14TH -- -- -- - REOU I RED I NSPECT I ONS -- ----—
PORTLAND, OF? 97209 Ce i 1 ing Cover El er.t' 1 Set-vice
Phone #: 228-•.9292 Wall Cover Fl ect' 1 Final
Reg #. . : 64950
This pereit is issued s ibject to the regulations contained in 'tin
Tigan Municipal Code, :ate of Ore, Specialty Codes and all other F'e r tee S i g n at+.er e
applicable laws. All cork will be done in accordance with
approved plans. This pewit will expire if work is not started
within 18Q! days of issuance, or if work is suspended for ror•e
4. than in Bays. -sued By
The installation is being made ori property I own which is not intended for
s-11e, lease, or rant.
OWNER' S SIGNATURE: DATE:
..... _. _. .__ .._._.CONTRACTOR INSTAI. LATION ONLY---_..__._...__......_._._._.._.._.__..__..____.__
SIGNATURE OF SUPR. EL..EC' N: DATE:
L I CE"NSc' Nn:
Call for inspection - 679...4175
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' CASE HISTORY FOR CASE NO.: 91.897-0057
' Page No. 1
{ CATHERINE NICHOLSON
l_ pit 12164 BN SCHous FERRY RD
i
09/19/97
solid/ T.Tid/ Action Kasten Diep By Update Upd
Action Description Fes/ Data By
code sent Dans Dcma
------ --------
E �
f 02/16/97 V%Bs DRA 02/16/97 DAA
SLRC001 Application Received / / 1 1 PASS URA 02/26/97 DFA
ELRC003 Peruit Created / / / 02/26/97
� 02/26/97 PASS URA 02/26/97 DRA
j ELRCSOO (F) Issue permit / / / / 02/26/97 DRA
EI.RC700 Ceiling Cover 02/26/97 / / / /
02/26/97 DRA
ELRC720 Mall Cover 02/26/97 / / / /
02/26/97 DAA
atmC791 Elect'1 service 02/26/97 / / / /
02/26/97 / / 03%04/97 PASS MJF 03/07/97 MJR
AT.RC799 H1eCt'1 Final PASS MTP. 03/07/97 MJR
! FLRCBOO Case tinaled 03/04/97
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CITY 0" F 1mI G A R D MECHANICAL
PERMIT M
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-00022 I
13125 SW Nall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 01 /07/97 �
i PARCEL.: 1S134BC-00200
SITE: ADDRESS_ . : 12164 SW SCHOLLE FERRY RD
SUBDIVISION. . . , : 7.ONING: C-G
! ---------------------------LOT_.-_.-----------.--------------'-_.-_--------------.--------- �
CLASS OF WORV. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPCINCY (3PP. . :M VE=NTS W/O APPL_: N 'JF.:NT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 `
r FUEL TYPES---•---•----.--_ 0-3 HFA. . . . : 0 DOMES. INCIN: N
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15- 30 HP, . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS"'. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . . 50+ HP. . . . . 0 (;L 0 DRYERS. . . 0
NO. OF L1N T TS-------- AIR HANDLING UNITS OTHER UNITS. : 1
FURN ( 100K BTU: 0 ( 10000 cfm : 0 GAS OUTL..ETS. : 0
FURN ) =100K BTU: 0 > 1.0000 cfm: 0
Remarks : Frame new office, steel. staid, 5/8 type x ror.k, enlarge existing restroo
In
to conform to ADA requirements.
i
Owner: - -- --__.__.--------.____..----__._._._.-_ ___________------ --____-- FEES -----------.-----
WILLIAM SAUNDERS tVPEI amount by date rec_pt
111 SW COLUMBIA PRMT f 25. 00 DRA 01/07/97 97-280516
PLCK $ 6. 25 DRA 01/07/97 97--2885 IF,
PORTLAND OR 5PCT f 1. 25 DRA 01 /07/97 97--288516
Phone #: 499--1388 I
Contractor: -------_-_..__-_----------------.—
AMERTCAN HEATING INC
1339 SE' G I DEON
PORTLAND OR 97202 ---------•----------.---------.---.__.--
Phone #: 503-239-4600 $ 3'2='. 50 TOTAL.
Reg #. . . 33135
-------- REQUIRED INSPECTIONS - -----
his permit is issued subject to the regulations contained in the Mechanical. Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Ins pest i or, _ —_
applicable lam. All work still be done in accordance with
approved plane. This permit will expire if Mork is not started
within 1110 days of issuance, or if Mork is suspended for more
than let Jays.
Pet-mitt a 5ignal,ure
I s s u e d y :
s
Call for inspection - 639-4175
is
S'-
Plan Che
CITY OF TIGARD Mechanical Permit Applicatio Recd By
13125 SW HALL BLVD. Commercial and Re-zidentia1-ot
� Date Rec, �
TIGARD, OR 9722; `� Date to P
(503) 639-4171, x304 � Date to DST
Print or 1•vpe �. Permd"-- -` �-CXz'�
Called
_ Incomplete or illegible applications willbe accepted
Nerve of OevelopmenvProject Description - —
Table 1A Mechanical Code aTY PRICE A
,lob otren Address
_ SudM A) Permit Fee �_-- -0- -f� 1000
Address v"1<v4 aW,-�n(" o}-,'}t• _
ti
b der c rryr( .,a Zip 8) Supplemental Permit 300
Rleme la nems of ousinsul, 1 ) Furnace to 100,000 BTU 8,00
Owner l�tf I { v`_ incl ducts 8 vents
Maite,q Agarici 2) Furnace 100,000 BTU+ 7.50
ncl.ducts 8 vents
Cny 51n°
ZIP Phone 3.) Floor Furnace 600
f i•'l incl_vent
Nome for name or to sx+eul 4.) Suspended heater,wall heater 600
J LA J')+' ' 'ti ) )f V _ or floor mounted heater
OCCupant Mailing Address 5) Vent not incl.in 3.00
3e)'CAS Tt'rr� appliance permit
C tyfstne fro Ph s 6) Boiler or tromp,heat pump,air Gond 6.Q0
--- 71 Q to 3 HP,absorp unit to 1OOK BTU
N — _
1 7) Boder or comp,heat pump,air Gond. 11 00
iCL14 3-15 HP;absorp unit to 500K BTU
Cuntractor Mailing Address
8.) Boder or Como,heat pump,air Gond. 1500 -
�W "� �7 r1 15-30 HF jrp and 5-1 mil BTU
•.ttach copy of C tyf51°fa Zip Phone 9.) Boder or wmp,heat pump,air Gond 22.50
l;urrtntLicenses 11)y (t{2 q i �j',
.�—� � � � �� 30.50 HP;absorp civil 1-i 75 mil BTU
Oregon C st Com.Boors Lie r Exp.Ping 10) Boder or coma,heat pump,air cond. 37.50
7 I3S
61q 7 >50 HP; absorp unit 1.75 mil BTU
COT Bu;eu Tax or Metro a Exp.Date 11.) Air handling unit to
10-77 -) 10 000 CFM 4.50 _
Architect N°^e 12) Air handling and
N _ 7.50
10.000 CTM+
or Mnhnq Address 13.) Non portable - -
4.50
evaporate cooler
17
Engineer CAyrState Zip Phone — 300
9 ) Vent tan connected
to a single duct
Describe work New O Addition O Alteration O Repair O 15.) Ventilation system not 4.50
to be done Residential O Non-residential O included in appliance perms
Additional Description of work 16.) Hood served by mechanical exhaust 450
VA�hltY I0/l
s�eF��� , 1 T fu ►r'r�7 Ott ')�� 17) Domestic incinerators
Existing use of 7.50
18) Commercial or industnaltype 30.00
building or property incinerator
Proposed use of
19) Repair units 4.50 building or property I !_ 20) Woodstove 4.50
21) Clothes dryer,etc. 4 50
Type!of fuel-oil O natural gas LPG O electric O 22) Other units 1 4.50 C,
l hereby acknowle..ge that I have read this application,that the 23) Gas piping one to four outlets
information given is contct,that I am the owner or authonzed agent of p a g 2.00
the owner.that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each)
lave. .50
Slgnaturo of Owner/Agert �- ----
Date QTY.SUBTOT LL
*SUBTOTAL
Contact Persm Name Phonm � 5%SURCHARGE f
71
PLAN REVIEW 25%OF SUBTOTAL
TOTAL } I
f:1dst\fnechprnt.doc )rev 7/98) — -
pe
'MiNmum nult fee is 525+5%surcharge
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Page No. 1 CASE HISTORY FOR CASS NO.: MHC97.0002
WILLIAM N SAUNDERS
12154 SW SCHOLIA FERRY RD
09/15/97
Action Description Req/ Schd/ Und/ Action Notes Disp By Update Upd
Code sent Done Done Date By
MRCC007 Application received / / / / 01/07/97 RECD DRA 01/07/97 DR:. I'
MBCCOOs Pernit created / / / / 01/07/97 PASS URA 01/07/97 DRA
i'
MECCO20 Plan checked/Approved by P.8 / / / / 01/07/97 OTC PASS J•F 01/07/97 DRA i
f.
PRCCU25 Reviewed Plans Routed to DSTS / / / / 01/07/97 PASS PRA 01/07/97 DRA !'I
MRCCO90 (F) Issue permit / / / / 01/07/97 PASS DRA 01/07/97 DRA
MFCC799 Pinal Inspection / / / / 03/0'+/97 PASS RB 03/07/97 FB
MSCC800 Case Finaled / / / / 03/07/97 PASS RB 03/07/97 RB
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CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING##.. .. .. .. PERMIT
. . . : PLMS'7--0004
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/07/97'
PARCEL.: 1 r 134BC-00:'00
srrE ADDRESS. . . : 12164 SW SC'HOl_LS FERRY RD
SUBD[VISION. . . . . ZONING: r.:;—G w
BLOCK. . . . . . . . . . . L'o-f. . . . . . . . . . . . . . I
CLASS OF k ?K. . :Al-T GARBAGE D I SF OSALS. • P MOBILE HOME SP'AC'ES. 0 II
TYPE OF USE. . . . :COM WASHING MACI.. . . . . . ; 0 BACKFLOW PREVNT'RS. . : 0 t �
OCCUPANCY GRP. . :M FLOOR DRAINS. . . . , . : 0 TRAPS. . . . . . . . . . . . . . : 0
`"
STORIES. . . . . . . . 0 WATER HEATERS., . . . . 0 CATCH BA..,INS. . . . . . . : 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RATIN DRAINS. . . . . .. 0
0 URINALS. . . . . . . . . . . . 0 3REASF_ TRAPS. . . . . . . . 0
SINKS, . . . . . . . . . . r
L_AVATORIE . . . . . : 0 OT14ER FIXTURES. . . . : 0
TL1B/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATE-f< CLOSETS. . : I. WATER [ INE (ft ) . . . 0
Fi
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0
Remarks : Frame new office, steel stied, 5/8 type x rock, enlar'oz existing restv,00 r
m
to conform to ADA requirements. L
Owner: ----------------------------------------------------- FEES
WIL.L_IAM SAUNDERS type amount by date ;•ecpt
111 SW COLUMBIA PRMT $ 25. 00 DRA 01. 107197 97--288517
.`_;PCT 4 1. 25 DRA 01/07/97 97-288517
F)ORTL..AND OR
Phone #: 499-1388
BEAVERTON PLUMBING INC
13980 SW T(JAt.AT i N VRl_LEY HWY
1 BEAVERTON OR 97005 -------------------------._._______--- _—
Ph o n e #i 643- 7619 1. 26. 29 TOTAL_
RF+g #. . : 012889
+ ------- REQUIRED INSPECTIONS --------
This perwit is issued subject to the regulations contained in the Water Line Insp
C Tigard Numripal Cade, State of Ore. Specialty Codes and all other Water Service In
applicabl! laws. All work will be done in accordance wit's PL.M/Underf 1 oor �+
approved plans. This perait will oKpire if work is not started Top—out Insp
' within 189 days of issuance, or if work is suspended for wore Final Inspection y"
than 199 days.
ed
Call for inspection — 639-4175
ilk
.. .. i. ..
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TY OF TIGARD Plumbing Application lication Recdsy"J
App
'1 -L2-
) 25 S1IV HALL BLVD. Commercial and Residential Cate Rer.'d
GARD, OR 97223 Date to,2E.
Date to DST
13) 639-4171 Permit e
Print or Type Related S VR a
Incomplete or illegible applications will nui be accepted called—.— �
Name of Development/Project� FIXTURES (lndlvidual� --i OTY PRICE .LMT
job Sink 9-00
Street address lavatory 9,00
Address Swte
$ S LTub or TubiShower Comb. 900
Bldg t City/State Zip Shower Only ___ _900—
Water
00 —
Water ClosetJfr
eine
Dishwasher --" 9.00
Ownor Msisny r ddressSuite Garbage Disposal 9 `
� v viN .00 `
III S.L,LJ. L'o I Trashing Machine - 9,00
Cdy/State Zip Phone S e 3 Floor Drain 2" — 9.00
44 NT1 - cF�ri- 13 3' 9.00
Name
• 9.00
Occupant Me"Address J'uilg Water Heater 900
I aundry Room Tray 9.00
CAV/Stale Zip Phone Unnei 9 I
f Name xtures--- Other Fi (Speaty) 9.00
9.00
Contractor Ma"Address Suite � � 9.00
Ca /State 9.00
hi Zip Phone
,C'J �—� — 9.00
Dt+� nt.Board Uc t Exp.Date _ r 9 00
AMNA copy of 1.2 b al 9.00
O'M° 'n9 Lit • Exp.Date Sewer--Tit_j=00 00 -- 30.00
Lleaseea
Sewer-each additional 100' 25.00
COT Business Tax or Metro a Exp.Date � _
Water Service--est t00' 30.00
Name — — — Water Service-each additional 200' -73_00
Archftect Storrs 6 Rain Drain-1st 100• 30.00
Or Maairtg Address i S, ;e Slonn d Rain Drain-each additional 100' 25.00
Mobile i4ome Space
2500
Engineer Gty/Slate Zip Phone CommeraalBack Flow Prevention Device oAnti-
Pollution
Anti- 2g.00
Pollution Cevice
Deeaft work `lew O Addition O AlterahorLi ' Repair O Residential Backflow Prevention Device- 15.00
4 De dose: _ Residential O Von-residential O Any Trap or Waste Not Co
puon of work nnected to a Fixture 9.00
sdtlltldral desm -
Catch Bann ---
9.00
Insp.of Existing Plumbing 40 00
N 1�• N• ��/f! perrhr
cam use of Specialty Requested Inspections 4000
xddrq or property oenhr
Rain Crain,single family dwelling 30.00
Proposed use of Grease Traps
tiuddhq or property_ 9.00
QUANTITY TOTAL
Are you capping, inoving or replacing any fixtures? Yes-6 N00 Isometnc or Ater diagrams repuk"if Cuancy Total is >9
(If yes a"back of form)
*SUBTOTAL
I hereby acknowledge that I ha,.e read this application,that the inlormalion _ t
V"n•a-Orr@ct,',hat I am the owner or authohzed agent of the owner.and 5'/.SURCHARGE
rat plans submitted are:n compliance with Oregon State Laws. a�
ytglnatture'of'Owner/Agent pate - PLAN REVIEW 25'/.OF SUBTQTAL
1J�,�J���t a Y� C'�} Rwuied ons a fhJure •otal i.>_a
`- 5-7 TOTAL= l
;onnct Person Name Phone ;A. (P. a�
U2 I I I l Q .'t [ r���(((���Y Mlnlmum permit fee is 525'5'h surularge.except Residential Bac"Ow
Q ` �'>^ I` �(� ( Prfivention Device.which is 315 5%surcharge
i:tdstslplmapp.doc 8198
Oil I
am
.err ..
E'LEASE CS)M._P�., PROPRIATE M-EB. -FICT r
F .res to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
i Water Closetoj► � 2 N�►J- �.D.A , P �r I� IT�
Dishwasher
Garbage Disposal
Washi ,q Machine
Floor Drain — 2"
_ 4"_~
Water Heater
Laundry Room Tray
_Urinal —� --�
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
1
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Paye No I CASE HISTORY FIR CASE NO.: PLM9"r-0004
WILLIAM W SAU[JDrRS
12164 SW SCHGLIli FMY RD
09/15/97
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Action Description Req/ Schd/ 6tui/ Action Notes Diep By update Upd
Crzle Sent Dane Done Date 9y
PLMC003 Application .aceived / / / / 01/07/97 RRCD URA 01;07/97 DRA
PL14COOS Permit Created / / / / 01/07/97 PASS DRA 01/07/97 DRA
PIMC060 (F) Isene permit / / / / 01/07/97 PASS DRA 01/07/97 URA
Pi14C799 Final Inspection / / / / 03/04/97 PASS MS 03/04/97 MRS
P[Mr:800 Case Finaled / / / / 03/04/97 PASS MS 03/04/97 MRS
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Page No. 1 CASE t1ISTORY FOR CASE No.: SWR97-0003
WILLIAM W SAUNORRLS
12164 9W SCNOLLS FRRRY RD A ,I
09/15/97
Bchd/ Diep BY Vpdate VO
Req/ Fmd/ Action Noten
Action Description Date BY
Code sent Date Dale wl
--
1
9MRA007 Application received / / / /
01/07/97 RUM DRA 01/07/97 DRA
8WRA7�0 came Pinaled 01/07/97 Dummy permit for PLM97-0004, no DV'a PASS DRA 01;07/97 DRA
charged
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Pop NO. 1 CASE HISTORY FOR CASE NO.: BUP97�0013 v
WILLIAM W SAUNDERS
17164 SW SCROLLS FERRY RD �
03/11/97
Action Description Req/ Schd/ Erx1/ Action Notes Disp By Update Upd
-. Date by
Code Sent Done Done
- -----
------------------------------- -------- --------
9UP0005 Application received / / / / 0107/97 RECD DRA 01/07/97 DRA
i
PASS DRA 01107/97 DRA
BUPC00a Permit created / / / / 01/07/97
Q OUPCO24 Planc Approved/Routed to 05Ta / / / / 01/07/97 OTC plan review MEMO J f 01/07/97 ORA
A�
BUPC100 (F) Issue permit / / / / 01/07/97 PASS DRA 01/07/97 DRA
BUPC740 Framing Insp / / / / / / Use Simpson DYC roof truss clips at each MEMO 01/07/97 DRA
truss
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BUPC740 Fracnng Insp / / / / 01/15/97 VAPOR BARRIER NEEDS 10 BE COVERED W/FS APP GS 01/15/97 GES
GS 01/17/97 GES i
f11UPC760 Gyp Board Insp / / 1 / 01/17/97 APP i
RUPC802 Final Inspection / / / / 02/28/97 electrical failed 2.7.8; door signbge FAIL RB 02/28/97 RB
"Remain Open During Business Hours";
"± mirror in bathroom needs to be 40" max
from floor.
PASS RB 03/07/97 CB
BUPC802 Final Inspection 0;!07/97
BUPC960 Case Finaled / / / / 03/07/97 PASS RB 03/07/97 RB
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., i7gard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT 1i. . . . . . . : BUP97--001::+
DATE ISSUED: 03/07/97
�I PARCEL: 18134SC--00200
SITE ADDRESS. . . a 12164 SW SCHOLI_S FFRRY RD
SUBDIVISION. . . . : ZONING:C—G
iBLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . e
i
------------------.----------------- -------------------- ------
WORK: ---____—_____.._.__.________,_______.._w____
CLASS OFWORK .-ALT
y TYPE OF USE. . :COM
TYRE OF CONSTR:5N
OCCUPANCY GRP. :M !'
OCCUPANCY LOAD: to �
i f
f TENANT NAME.. . . :EDWARD JONE.5
i
Remarks: Ft- ame new office, steel sttid, 5/Et type x rock, Rrilar ye existing
j restroom to conform to ADA requirements.
Owner:
WILLIAM SAUNDERS
111 SW COLUMBIA
PORTLAND OR
Phone N: 499-1368
Contrant or i _________________.__.._—_._____--
RE GO CORPORATION
8383 NE ,ANDY 01-VD STE 260
PURTLAND OR
Phone M: 256-0065
Rata M. . : 1115695
7hia Certificate yratnt9 occupancy of the above refer enc•ed buiiding or portion
thereof and confirms that the besilding har, peen inspected for compliance with
the Statr of Orgon tipecialty Codes for the grou ocrupe cy, :*nd use under
which the referenced permit was issued.
In
�_ _._.._ --..._._. _
E�UII_DING INSPECTQR BUILDINGS OFFI IAL
POST IN CONSPICUOUS PLACE
N,
."�:�7•=i7rl!'lY+M�yRrc IPY:'�M1W,rT^a^tl!�P�. �l'.��iYM5M�I'L�7Ar'IUI�Y?!MY,d�{. ., r.r,.. .r.r.Y.wr .y c.,.wv. . ,..r.l..+'.-s, ilrol�cNfYJ.r+1NNV.+"WwuM^+11W1I111FMCIMPWMI�
-
•
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'a by.
13125 SW HALL.BLVD Data Reed..- ' __ I
TIGARD OR 97223 PRINT OR rYPE
I l�47-ay5"7 �
V-503-639-4171 X304 Permit : C
F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_
WILL. NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL
Restricted Energy Fee....................................... $40.00
E�•uJd�� �oy�Q�;, (FOR ALL SYSTEMS)
JOB Street Address S # Check Type of Work Involved:
ADDRESS 121 Li-5jQ4�; •
Cit /Slate I Zia Phone# o and Stereo Systems
--- ZXr'Ok 2�3° 'P� 3 y
Name `L,,� /�l C�{� Burglar Alarm
C'. 46 \of /�' tfes'✓'�n Garage Door Opener"
OWNER Mail inp Addre s
Heating,Ventilation and Air Conditioning System"
City/State phone#
Vacuum Systems"
NVne
aw�¢S C4rgrm, �nC. other
CONTRACTOR Mailing Address
2_1 L1 0 X f �yr� ,$�, TYPE OF WORK INVOLVED-COMMERCIAL
(Prior to issuance a City/ tote Zip Phone# Fee for each system............................�... .... $4000
copy of all licenses 11 �— .✓r' I"Lq 2 (SEE OAR 918-260-260)
are required if Oregon Ctr BBrrdLic #
expired In C O T C) �Ljjtl� Check Type of Work Involved
data base) EI ct i C tr Lic.# Exp Date
6 f[ Audio and Stereo Systems
C U.T or Metr Lic # Exp Date ❑
Boiler Controls
Ow r s NarrL1ek All l _
Clock Systems
OWNER - Mailing Address �QQ���
APPLICANT :)� !J" E 4�'Ctzx l + Data Telecommunication Installation
Cy/ tate Zip "hone#
F-1 Fire Alarm Installation
This permit is issued under OAE 918-3211-370 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this Cj HVAC
permit and to do the'ollowing: ❑
Instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other transactions are exempt from licensing. Cl Intercom and Paging Systems
These have asterisks(*) All others need licensing;
Landscape Irrigation Control"
2 Call for inspections when installation under this permit are ready for
inspection at 503.639-4175; L1 Medical
3 Purchase separate permits for all installations that are not ready for an
Nurse Calls
inspection when the inspector is out to inspect under this permit; r❑--77
LJ ..
4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting'
inspector aro don±,and, F-1 Protective Signaling f
5 Assume responsibility for calling for a final inspection when all of the
corrections aro completed. F� Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days --Number of Systems
The person signing for this permit must be,the applicant or a person No licences are required Liconses are regOrad for all other Installations
authorized to bind the applicant
Fes. t90
Signature � � ENTER FEES = _
5%SURCHARGE(.05 X TOTAL ABOVE)
Authority if other than Applicant --- TOTAL
t Vesele der 12/48 _
A Ilk
�'1�J4� Yaa. _ w. ._...:...... ..,..................._._.....».:.,ti...a..w...Jv�.vYWw.M+..a�war..w... ,
_
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CITY OF TIGARD BUILDING PERMIT •
• DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP97-001
13125 SW hall Blvd.,Tigard,OR 97223 (543)639-4171 DATE ISSUED, 01 /07/97
I
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PARCEL: 1S134BC-00200 �
SITE ADDRESS. . . : 12164 SW SCH01_-LS FERRY RD
SUBDIVISCON. . . . : ZONING:C-G
BLOCK.. . . . . . . . . LOT. . . . . . . . . . . . . : �
• ---------------------------------•------------------- - -----___- -----------------
REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION--
CLASS OF' WORK. :ALT FIRST. . . . : 661 sf N: S. Es W:
TYPE OF USE. . . :COM SECOND. . . : 0 Sf PROTECT OPENINGS''------._.-----.---
TYPE OF CONST. :SN 0 sf Ns S: E: W:
OCCUPANCY GRP. :M TOTAL----: 5F,1 s f ROOF CONST: FIRE RFT':
OCCUPANCY LOAD: 6 BASEMENT. : 0 Aif AREA SEP. RATED:
y STOR. : 1 H T: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED:
HSMT?s MFZZ? : REDD SETBACKS-------__ REQUIRED--------------._.__..-._.
FI-OOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOV, DET. . :
DWELI_IN13 UNITS: 0 FRNT: 0 ft REAR: a ft FIR ALRM: HNDICP ACC:
BE'DRMS: l7.1 PnTHS: 0 T Mf' S1.IRFACE- 0 PRO CORP: PARKING: 0
VALUE. $: 7000
Remarks : Frame new office, steel 5tUd, 5/8 type x rock, enlarge existing restr-00
to
to r_onform to ADA req�lirements.
Owner: -----_____--- ------- __ - _ _ _ ---------------- --__ FEES -_____ ------ -.
WILLIAM SAUNDERS type amol.mt by date recpt
1. 11 SW COLUMBIA PRMT $ 62. 50 DRA 01 /0.7/97 97--2885i4
PLCK $ 40. 63 DRA 01 /07/9'7 97•--2--88514 �
PORTLAND ETRE As x:5. 00 DRA 01 /07/97 97-288514
Phone #: 499--1388 5PrT $ ?. 1.3 DRA 01/07/97 '37-288514
Contractor:
RECO CORPORATION
8383 NE CANDY BLVD STE 260
i
POR-rLANU OR
Phone #: 256-0065 $ 131. 26 TOTAL
Reg #. , s 111565
------ REQUIRED INSPECTIONS ------ —
This pereit is issued subject to the regulations contained in the Fr-amino Insp
Tigard Municipal Code, State of 0". Specialty Codes and all other I ns k_l l F.t i on I ns p
applicable laws. All work will be done it accordance with Gyp Board Tnsp approved plans. This pewit will expire if work is not started SI_ls p Ce i l n g T n s p
within 198 days of issuance, or if work is suspended for onre
than 198 days. _
('erm i f t; Signa tlre •
(1.
• 1..1-[
C-all for inspection - 639-•-4175
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CmmQrcial B. iidirag permit Aan1sr_ati_Qn
City of `',pard 131:5 SW Mall Blvd. Tigard. OR 97::1 I
C (503)619-1171
jy- / j I
Jobs ite Address: 1(04, W L. yt-uc,Y I). OFF10EySEONLY
)Z.tl/� J�
Tenant: EbWA� Sq�l��; Suite i1GLl.� Te v ( Planck/Rec. 0
Valuation: _ 7,(, ,�f°j Permits ( Lk Pq 7- ODl ?J
Map &TL 0
Owner:
`-io MEw,t;, Mt�Kk. CC���PAP:�It.� AR1ZroY�.ls R�auired
Address: _l l 1
_
r Planning
b CT Qf,>F
Telephone:
Engineering _
I`� - Va 3 �g,
Other
Contractor: ECU �bRa'tU�T t
.address: a3ffL NA 5(1130-, &WU,
Type of constr: TCNhy1-T
Telephone: _ 5cS `_i _ Occupancy Class:
Contractor's license #_ ( I 1 5�J Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft. Of Project:
Contact name S telephone: Ckl 2as axes "-
Story (1 st, 2nd, etc.):
Architect S Engineer: _Vy DwQ�--(-
Address: Proposed Use:
Previous use:
Note: Plumbing 8 mechanical plans must
Telephone: be submitted at time of building permit
application.
308 DESCRIPTION:
Ll D
(Applicant Signature 8 Telephone Number)
Received by: Date Received:
f CCt1PER CCC
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PERMITS Aiccount Description Amount Amt Pd. Balance Due
Building Permit (Bull-D) �
Plumbing Permit (PLUMB)
Mechanical Permit (MECN)
State Tax (TAX) ■
Bldg.
Plumb. .
t+
Mech.
Plan Check (PLANCK)
Bldg. _
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Oev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
�y
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
I'CCMPEq CCC COST) ta.9e
,
nIr01/11 13113 19111 121 1101 MELVIN MARK [nl ®00!1001
:�sco tr
1:ut 0
1 __._ scatty't
1 pub I
1
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1
Itt InUntaN /'- 'Z��tS
link —^• ` ' ` `T
�j 1,500 if _^ JW JC•IQLI^�
i I
oleo Ilra'1 /r '
ot
ZD CD
1, J,t:c tr ' --- .. i1H►►DtCP�' FZ�WIP
\ e9J tf .)TIkIO
t til D U I-W A L- ,
1 Iz160 111Ae �t yr '�.
1 1,100 tr co�ntryllaa I 91 rll
, Cnlrra � .i
1,• , -- — taro - I
4, , KitcMn parrllt < 0,010 if�-- +,
, 1,500 If pen•
1216e n lull
1 11191 Stale Farm
r 1 1,eA0 11 r--
t 1t19A '
t Or111n.1Y Alplol Dry
1 �Iatr.lrt J
pit t11n1c
I,S00 tl 1,600 t/ 1'--'-
- 1 . Ilectrlul t—^ I
1 Aoaa
As
�. , =-f� Tx�.o o
1. . ......
t
11 f, .LII H7d
Ak 1441 Alu010_1
j+,............�j......................................+.... GIA i
FjU(' NFU iii .I.2A
"m UMUZZ loom= -42
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_rf%WAVrWo0.1i-E (-�l'tEFNWAy
BUILDING PERMIT APPLICATION MT
TIGARD DATE_-___- ^
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 8
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING rLANS AND SPECIFICATIONS. OWNERPHONE---�--
II 160—I %/L'( l/^� 7l^cJ — IYI��' _r^XLOTNO. •s- L
OIVNER JOB ADDRESS / d�I/i`1= HOME ADDRESS
— ARCHI TEC T
ENGINEER
fLUILDER ADDRESS uV sr I?=1 �(• l� lY DESIGNER
STRUCTURE ❑NEW El RI MODEL ❑AUDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
U RESIDENCE ❑COMM ❑EDUCATIONAL [1130"'T ❑RELIGIOUS❑PATIO [-]CAR PORT ❑GARAGE C1STORAGE❑SLAB ❑FENCE
❑BOND C3 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAN1�USE ZONE SLOG. TYPE ,—FIRE TONE_— PLAN CHECK BY HEAL
� /� 8 v��s-�+.•c,c•r.P tic t.,� .�� �-r�. u 4�,,,,,K�vGL �����°�/_..�' � E'�is i��,
Z.
QCC.LOADl.OAD HEIGHT NO,5TQRI_E,1L _ • AREA _ N_Q_ffDROOMS VA LLF___-
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
I Permit
---' -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
PITn 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.
Total
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APPLICANT OR AGENT -� ---- ----� v—�- `•
Approved Rnceiht No I
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PLUMBING DATE
REMAR
DATE INBR TYPEINBPECTION
_ Contractor
Permit No.
C^ Roush-in
Fixture {i
Final rr;;
HEATING
Connector
Permit No.
OI Ctir
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
S_nr n Drainage
(Rai t Drain)Final
SiJawalk '4q
�n �• A Curb&Street Final
�
Approachi
CERTIFICATE OCCUPANCY
PORARY Final
� 4.
BLDG. DEPT.FINAL .'. rtTlFttATEOCCUPANCY � - '
Landscaping j r
Zoning Final
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Permit No, SE 61-86 (T)
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown •
in the accompanying plans and specifications.
t
SIGN LOCATION ADDRESS: 12164 SW Scholle Ferry Road ZONING: �
NAME OF COMPANY: Greenway Shoe_Serv.ice
APPLICANT/AGEN1 : _Rill Wer,�c . 684-1709
The City of Tigard imprses an annual Business Tax which must be kept current
on all persons doing business in the City. Do you presently ha%¢ a current
Business Tax?
PROPOSED SIGN:
r
PERMANENT ( )
FREESTANDING (X ) "
TEMPORARY (X ) WALL ( )
BILLBOARD ( )
SIGN DIMENSIONS' 18 inches X 44"
TOTAL SIGN AREA (Sq. ft. ): 17 5q . Ft. EXPIRES:
WAIL AREA (Sq. ft.): N/A r — October 7, 1986
HEIGHT (ft): 44"
PROJECTION: N/A
ILLUMINATION: YES ( ) NO (X )
COPY: Instant Shoe Repair - "Special (This month)"
MATERIALS: _Plywood
EXISTING SIGNS: Wall sign _ 4
OTHER PERMITS REQUIRED: YES ( ) NO (X )
COMMENTS: This Rermit_ay be rPnPwPd only _fnr cpurial or seasonal sale . a�
,needed, —
PLANNING UEPARTTIENT All sign permits must be accompanied, by a
Permit Fee: 1U.00 scale drawing and plot plan. V1 work
Receipt No _15740 _ authorized under a sign permit has riot been
Approved By: D,S. _ completed within ninety days aftrir the ! .
Date: A�►� j� 986 issuance of the permit, the permit shall
become null and void,
I CERTIFY THAI I AM THE RECORDED OWKR OF THE
PROPERTY OR AN AG VT AUTHORIZED BY T1iE OWNER.
r
Applicant's gignr,ture
(L
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4
Permit No. �� �
CITY OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown
in the accompanying plans and specifications
SIGN LOCATION ADDRESS: ZONING
NAME OF COMPANY: '
APPLICANT/AGENT :
The City of Tigard imposes an annual Business Tax which must be kept current
i on all persons doing business in the City. Do you presently have a current
Business Tax?
i
PROPOSED SIGN:
i
PERMANENT ( ) FREESTANDING ( )
TEMPORARY WALL ( )
BILLBOARD ( )
SIGN DIMENSIONS: �� �..Gi..e s k, `01/
TOTAL SIGN AREA (Sq. ft.) g_�
WALL AREA (Sq. ft. ) : L 1.j Q
HEIGHT (ft) :
PROJECTION:
ILLUMINATION: YES ( ) NO (>` )
Copy.
n,
MATERIALS:
-C c z'rir
EXISTING
OTHER PERMITS REQUIRED: YES ( ) NO (;\j
c 001�4ENT
r'
PLANNING DEPARTMENT All sign permits must bo accompanied by a
Permit Fee: !u uy scale drawing and plot plan. If work
Receipt N YO authorized under a sign por"it has not been
Approved ey_: S completed within ninety days after the
Date: issuance of the permit, the permit shall
becoine null, and void.
I CERTIFY THAI I AM THE RECORDED OWNER OF THE
PROPERTY OR AN AGENT AUTHORIZED BY THE OWNER,
Applicant's Signature
Address Telephone
OAS:bs6Z
A,ii`006
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ply...., r�. .r-.�y.r �. .,. .. .•.c�, ti„ .yr,,�. M r• - "rM+."1R"' r''. .y'wsr y
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August 89 1986 .
City of Tigard
Tigard, Oregon 97223
Greenway Shoe Service would like to place a 28" X 4411 "A frame" sign
in Greenway Town Center.
The sign message will state 'Instant Shoe RerAir" on the top half
with the lower half reserved for the sale item of the da-7 or month,
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APPROVED FOR CONS-I-RUCTION
////ff CITY OF TIGARD
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PERMIT NO. �r (� SITE ADDRESS /`�y
RY oITLEc � %,c..�t DATE
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August 8, 19A6 t
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City of Tigard
Tigard, Oregon 97223
Greenway Shoe Service would like to place a 281, X lila'' "A frame"
advertising sign in the following location :
Place: Greenway Town Center at the edge of the sideAmlk on the
N.W. corner of building "F" currentl-r occupied by U.S.
National Bank.
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F I
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APPROVED FOR CONSTRUCTION
CITY OF TIGARD
PERMIT NO,,}j�' / SITE ADDRESS Z/ Gly, S fAs ?f-1
8Y ITLE DA-1 E � U
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