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CITY OF TIGARDfEMPORARY CERTIFICATE
OF OCCUPONCY
COMMUNITY DEVELOPMENT DEPARTMENT PE=RMIT 41. . . . . . . a 1 11RCi° �t:a.
13126 SW Fill Blvd.Tigard,Oregon 07223.8199 (503)639-4171 DATE I aSUEn o
PARCEL.: 2 1 1 cAD--1?f0 300
ITE ADDRESS. . . : 14610 SW SEOUOIA PKWY
r;IIBDIVIGION. . . . BnNlTA GARDENS ZONING: I—L
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . 914
CLASS OF WORK. .-NEW
T'YP'E OF USE. . . :COM
OCCUPANCY GRP. :A
OCCUPANCY LOAD: 150
T V NAN'T NAME. . . s MCMENAM I NS
Romarlws : 'fFMF'CIRAkY OCCUPANCY FOR ._IS DAYS FROM DATE:. OF ISSUANCE,New one sto-y masonry building with wood frame roof and :Metal roof total- ing
0 sq. ft.
Owner: - -__ _._._..._._..__.__.__.._.
JOHN !4 MARI SMETS C/O 'TRUSTEES
t4633 OTTAWAY ROAD NE
AURORA OR 97002
Phone 4: 678--3081
i
PACIFIC Ckr'iST CONSTRUCTION
^t It 1 NE' HAI SEY ST. SU I TE 404
TROUTDALk' OR 97060 1
i' Phone 669-85710
Occupancy of the above referenced building i!: hereby 4i.vFn, end ret tifies
the r_'ompl, iance with the State Of Or-egon Gpc.r.ialt:y !;oCle; for the gp,
ar_cupanc^y, and use tender which the referenced permit was igsh.ted.
Il D1�I MSF F TCIR
1� D J i Tai
POST IN CONSPICUOUS PLACE
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CERTIFICATE nV
CITY OF TIGARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . i BLIP95-0321
1.1126 SM Hall Blvd.Tigard.Uiegon 97223e8199 (503)639-4171 DATE; ISSUEDi 03/00/96
;ITE k1JUHL.�'-). 14+61k1 SW SEQUOIA PKWY VARCEL : 29112AV-00300
SUBDIVISION. . . . : ETON IrA GAPDENS ZONING: I .+
BLOCK. . . . . . . . . .
LOT. . . . . . . . . . . . . :4
CLASS OF WORK. NEW
ryr,E OF USE. . . :COM
OCCUPANCY GPP. %5N
OCCUPANCY LOAD: t50
('ENAN'T NOME. . . IJOHN DAPI-EYCOnNS
IJOmAt'-ksl New onp story meksonv^y bUilding with wood f)-Rme v-n(,f And metal v-nnf'
lotaling 3, 610 sq. ft.
Ownec"
10HN & MAPI SMETS C/O TRUSTEES
14633 OTTRWAY ROAD NE
14URORA OR 97002
Phone #t 678-3061
antv-actorz
ACIFIC CREST CONSTRUCTION
,..,41. 11 NE HALSEY f3l'. SUITE 400
TR(.A-JTI)AL.E OR 9700.0
Phone #t 669 -8570
Req #. . v °'6Z'55
This Cer-tificmte g)-&T,tE OCCUPA"Cy of the t-efet'enCl?d building or- pat,tiu,-,
tlloi-qot and confirms that the building has been inspected for- compliance with
the, 9tate of Ot-gon Specialty Lodes for, the group, ne—tipa-w. v and use uncjvr
whic�h thv7efer'enr.ed PIPY-Mit Was issued.
I N G TN GV,E DI -60 FF I C I Al:
POST IN CONSPICUOUS r,t-(.)Cr
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CITY OF TIGARD BUILDING INSPECTION NOTIC I f
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Inspection Line: 639-4175 Business Phone. 639-41
Footing Rain Drain Cover/Service FINAL: �II
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ern y
Plbg,Und/Flr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct. Mech. Rough-in Gyp, Bd, - I�
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: P.M. Entry:
Address:
Tenant: _ _ Ste: MST: z_
Con/Own: BLIP:
MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
t`
r.�s'�cr► Z�ssv�—
Inspector: Date: /
L-AP<OVED —DISAPPROVED/CALL FOR REINSP. CF CO y
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ii 4101 S.E.3RD AVENUE•PORTLAND, OREGON 97214 .(503)238-5700
i��/� 850 CONGER •EUGENE,OREGON 97402 •(503)683-9333
iL r�liu � O 2600 AIRPORT WAY,SOUTH•SEATTLE,WASHINGTON 98134•(208V;r40-4300
CERTIFICATION i,W!!�TAL LATION/INSPECTION
Customer Name J a� /_—_1M 1r 1,ca.dv/n �! Z �� 04�.�T
1
Address � i1 tJ :_.�jL���C4��t� _ quo
SYSTEM /l i
Model(s) and n0al numbers —
Number of nozzles and Part No.
Number of detector(s) and degree rating
Energy shui-off devices — type arid size
i J
Other accessory equipment provided (pull station, electric switches, etc.) .' --��
COOKINQ/VENTILATIMQ EQUIPMENT , J�
Number of duct(s) and size
Hood sire and picnum size -
Cooking Appliances and size of cooking surface. (NOTE: List appliances from left to right and indicate those
being protected.)
4. 74 nor - is'Sliy"
2.
3, A&W"--��— �6/� '� �� — 6.
TO BE COMPLETED BY INSTALLER
YES NO
The fire suppression system Is installed in accordance TO BE COMPLETED BY CUSTOMER
with the manufacturer's instructions, NFPA Standard
96 and 17 (current issue), and all applicable state and
local codes. Exceptions to other provisions of NFPA 96 1 1 YES NO
that were observed are noted below.
1 understand that it is the recommendation of ANSUL
Exceptions: _�_ �. � i l n� Land of the National Fire Protection Association
Standard 9 and 17 that the fire supprecsinn systern be
inspeMed and maintained every 6 months to ensure
continued efficiency and reliability and that failurf, to
- --- -- ------ do so may result in failure of the system to operate
properly.
--- -- ------ --------- CUSTOMER NAME AND TITLE —__-_-- _---
YES 1 NO ___ ----- -.�— --
All electrical work or work provided by others to SIGNATURE _��
complete this system installation s been completed. DATE
INSTALLER NAME,
S;GNATURE
C
DISTRIBUTOR
ADDRESS
DATE � � —_
.i
BUILDING PERMIT
CITY OF TIGARD DATEITpr-
ISSUED: . 0,3/01/96r �GC9
COMMUNITY DEVELOPMENT DEPARTMENT
13123 SW Hen Blvd.Tigard,Oregon 97223.8109 (503)639.4171 PARCEL: 0`111^AD-021300
S I TL A!)D RL;::S. . . : 14610 CW 170UG I H 1-'KW`e
SUBDIVISION. . . . : DON I TA JARDENS Z ON I NC`3. T-- L
BLOCK. . . . . . . . . . LOT . . . :4
. . . . . . . .
REIGSUE: I'I_'30R AREAS - EXTERIOR WALL CONSTRUCT TONI
CLAS; OP- WORK. :NEW r-I ROT. . . . . 0 s f N: S: E. W
r
TYPE OF USE-. . . ;COM ^rCOND. . . : 0 5f PROTECT OPCNINGS? _...._.._._._...__
TYPE OF CONST. :ljN . . . 11 0 sf N: S. E: W:
OrctirANCY GRP. :n7, TOTAL- ---- - ---- : 0 s t ROOF CONST: F I PE PET? :
OCCUPANCY LOAD: 150 BASEMENT. - 0 sf AREA SEF'. RATED:
STOP. : 0 HT. 0 ft; GAPACC. . . : 0 ,f OCCU SEP. RATED:
AOMT?: MEXZ^ : RELiD SETBACKS.___.-_.__ ._.._ REDUIRIND _.___.._._. .__. ._._.__..___.._......-.
FLOOR LOAD_ _ :: 0 1_>>f LEr'T: 0 rt RGHT: 0 f.t r I R sPlil_ :Y ^MOK DET. .
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft F'IR AL_RM: HNDICP ACC:
PEDRMC: 0 BATT 10: 0 IMP juRr'ACe: 0 PRO CORK r PARKING: l?
VALUE, f : 1?92'
P.emar-ks: Install sI.tppr•ession ayste>m fe - hood cooking at-ea.
Own e1-
JOHN & MARI 5MITTS C/O TRUSTEES, type amount by date r,ecpt
140.33 OTTAWAY LOAD NE TIRE t 3. 130 JCD 011,418,196 '30
r"'RMT $ 22- 00 JSD 03/01/9G 96-276548 le'
AURORA OR 1)70012, 5FCT t 1. 1'r .ISD 03/01 /96. r)6- (,_176'548
r'1hone #: E+78- 30E1.t
' NDE:RSON )Ar-F-TY 51.X'rl Y Cc,
i 01 SE THIRD
DRT._AND OR 97":14
i u rs e #: L"30 5700 31 . 90 TOTAL
064969
- — --— PCOU T RED I NIOPECT I ONS
"`is perait is issued subject to the regulations contained in the B�.lsp Cei ing Insp r
Iard Municipal Code, State of Ore. Specialty t.od-s and all other .Jpr initler E"incl _
aFplicable laws, All wort, will be done :n acccrdance with Misc. Ins:pvctiun
approved plans, 'rir perait will expire if work is not started r-inal Irmprct ion
"in 180 days of issuance, or if work is suspended for gore ��—
ar• 167 dais.
F e t-m i t t e
:all fur insPection 439--4175
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APPLICATION FOR PERMIT TO INSTALL FIRE SPRENKLER SYSTEM
BUILDING DIVISION, CI OF TIGARD I
639-4114 1 -J. F r,
Date: 1— D -"I PERMIT
l Valuation: '
Amt. Paid: �D �� _ Permit Feer �1 _
�! 5c'o State Tax:
Balance Due: Z�r I/) � ' 40% FLS: `?C_' CP -01
Plans must be submitted to the Building Division before instal ation. Three
sets of the plot plan, showing the layout and the location of the nearest
hydrant is required.
f
New Installation: Addition: Repair: Alterafion: _e
Complete: _ Partial: Exitway: Basement. Hood & VPnt:—,4�
Spray Booth. IN EXISTING BUILDING: IN NEW BUILDING:.='__.
r
NUMBER & STREET:
NAME OF BUILDING or BUSINESS:
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMSDry:_ ComHnation:_
S'1'ANDPIPES: OCC.HAZARD: Light ORD.GR?AHAZARD 1,2__3_4�Extrn—
DENSITY GPNI/Ft2 DESIGN AREA ft2 SPRINKLER AREA __ft2
SPRINKLER ORIFICE SIZE: ••K" FACTOR rENIP. RATING.___
OWNER: ADDRESS:
CONTRACTOR:
PLANS DRAWN BY:�r/�G�" � ADDRESS:
R.VAARKS: i �f 111 rel Z e�.l� Sli � IEX�' L;642u Z!4
zL
APPROVED permits includes only work descr;bed above and/or on plans-Mid s'pPrification bearing the
same permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER CONIP.AaNTY: tq I._. !'/ IPIdN9-
SIGNATURE OF APPLICANT:
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
+nrd eemdev e^eprm
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APPROVED PLANS MUST PE mrd JOB )'ITE
SANDERSON SAFETY SUPPLY CO.
1 10 i S E arc Avenue Por•,,. 7�57214 (5031236-570C
OREGON WASHINGTON' CALIFORNIA IDA4O COLORADO
Eugene Scuttle Bellingham Richmond Boise Denver
E50 Conger St 87402 26DC Alrnor.Way,S.991: 355 Ohlc S:,98225 4809 Centrai Ave 94805 3400 Bieke Si 80^OS
573:683.9333 '206)340.43C0 f206173d-1110 (510!659-840C t20151 041^1-i32? 13031296.1000 -
a
t pme gyp, 1 CASE HISTORY FOR CASE NO.: SUP96-0029
JOHN 6 MARI SMFTS C/O TRUSTRW
1461.0 SN SEQUOIA PKWY
Ob/1b/!b
I
Aotien Dwoription Req/ Nchd/ And/ Actim N,teo Di■p By Update Upd
COAs Bent Done Deme Date By
p �
BUPC007 Application received / / / / 01/00/94 PASS JSD 01/11/96 JD
BUPCOOs Per'it created / / / / 01/11/96 PASS JSD 01/11/96 JD
BUPCOIO Ch-ek for prol. restrict. / / / / 01/11/96 PASS JSD 01/11/96 JD
BUPCOIS Plans ratted to Plans Hxariner / / / / 01/11/96 PASS JOD 01/11/96 JU
BUPCO24 Plans Approved/Routed to DBTB / / / / 02/23/96 APPR .`HP 02/23/96 JMF `
BUPC09ri (F) Ready to issue / / / / 02/27/96 PASS B 01/27/96 RON
BUPC100 (F) Issue peruit / / / / 01/01/96 PASS JSD 03/01/96 JD
BUPC765 Piro Alarn Insp / / / / 03/06/96 trip test PASS TLP 00/12/96 M
RUPC79^ Final Inspection / / / / 03/2'/96 PASS TLP n4/16/96 TLP
nUPC960 Case Finaiod / / / / 03/27/96 PASS TLP 04/1.0/96 TLP
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CITY OF TIGARD
MECHANICAL
F'G.RMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT it. . . . . . . : MCC96-0039
13125 fW Nall Blvd.Tigard,OF99on 97223°9169 (503)6394171 DATE I SUED; 4i3.'01/9 r•
PARCEL: 2S1 12AD--00300
ITE ADDREISS. . . : 1461.0 ^W SC-0UOIA PKWY
�UBD I V I OI ON. . . . : BON I TA GARDENS ZONING: I--L
e 'LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
OF WORT-.. . :NEW rL OOr TURN. . . . : Ib I VAP COOLERS: 0
'Y=-E OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
''CCl FANCY ORP. . :A3 VENTS W/O APPI_.: 0. VENT SYSTMIG; 0 �
""DRIES. . . . . . . . : 1 BOILCRS/COMPRESSORG HOODS. . . . . . . : 0
'::1_ rYF'ES ____._._____._ ._ 0--3 ir. . . . : 0 DOMES. INCIN: IZI
: /WOD/ / / 3- 15 HF'. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 IIP. . . . : 0 REPAIR UNITS: 0
f'IRE nAMF'C-.RS?. . : 30 .50 HP. . . . : 0 WOOD!;TOVES. . : 0
GA-7 rnEs5U1'E . . . J0+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS ----- - -- - A t R HANDLING UN I 1'S OTHER UNITS. : 1
rURN i 10014 BTU: 12) (= 1.0000 cfm : 0 GAG OUTLETS. ; 0
FURN ) =100K FTU: 0 > 10000 cfm : 0
Remark : Install r^e•Fr.11•bi .hed ant igkt a woad stove man,-tfact+.ar,ed p', io l- 1940
Owner.; _.........____.__----_..__...._..___._.._.__._-- rCCG .__ __._.
OHN & MARI SMET; C/O TRUOTCFS t=r3e arnal.tnt by data recpt
14633 OTTAWAY ROAD NE.. PRMT 11 25. 00 JSD 1213/01/96 9E, '7EU29
C,. 27 JSD 03./0 1/96 9G--x:76529
AURORA OR 97002 SPC:T $ 1. 25 JsD 03/01/9(' 96- "'7rf-'�
f1hone # : 6713 3081.
Cunt,,-actor,:
DENNIS OTOREY
37432 NE CLARA SMITH MY)
CORBETT OR 97019
Phnne #. 4 32. 50 T0T!)!-.
Reg #, . : 676
_ - -- REQUIRE'D INSPCCTIONr �
This pereit is issued sub.4:ct to the rey-jlAions contaired it the Mecharnic'al 1'15l?
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt IrrsF1
aWicable laws. All work will be done in acrordarce with Misc. Tns:pect i nn
approved Flans. This pereit will expire it work is not started F i ria 1 I n r,peal; i on
within 180 days of issuance, or if work is suspended for Bore
than 180 days.
per m i t t e e
Call for insp tion E,39—•4175
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City of Tigard MECHANICAL PERMIT Planck/Rec. # ()27�
13125 SW Hall Blvd. r ( AP P L i CATI O N Permit #
Tigard, OR 97223 � � / �o < ti"('�ji y•c'?"r
(503) 639-4171
Description�
Table 3A Mechanical Code QTY PRICE AMT
Job IV610:5w SLrq)vrg14- PI4144)K 1) Permit Fee -0- -0- 10.100
Address — M
TI!r*-e-- P 1 C4 , 2)2) Supplemental Permit 3.00
Furnace o p
VKCra '"""'VA 6P Vq-yh 110-5 4..69.8 /0 1) incl. ducts &vents 6.00
— --mace 100.000 13TU +
Owner (t 40(0 co "4^!5�� 2) incl. ducts &vents 7.50
"— i- -" Floor Furnance
>'I�G(1 t�T Arty 3) incl vent 6,00
Suspended eater, wall ea?er
1 1 4) or floor mounted heater 6.00
•'° --� __
---7e-6r—not me it n — - ---
Occupant 5) appliance permit 3.00
•• -
Repair of heating—rte r-.
6) cooling, absorption unit 6.00
__. 1�6VvI5 Gr- �7bs - oiler or ;omp, eat pump, air cond.
7) to 3 HP; absorp unit to 100K BTU 6.00
' - --
6 of er or comp, eat pump, air cond.
Contractor `3�13� C�-�- �w� Asob_ 8) 3-15 HP; absorp unit to 500K BTU 1100
y10 ' "' of r or comp, ea pump, air cond. -
p ` S Osr✓,$� ot(— 9 70/ 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
,;J4` ooiiler orcomp,heat pump, air cond.
G7 7 pJ10) 30-50 HP; absorp unit 1-1.75 mil 3TU 2250
ereby ac now dg [��T ave rPa tis ap IP cau'on,lFaf tFie-- pier or comp, esi pump, air cond.
information given is correct, that i am the owner or authorized 11) >50 HP; absorp unit 1.75 and BTU 37.50
agent of the o-. iir that plans submitted are in compliance with Air hindling unit to 1
State ;a. reqrstemd with the Construction Contractors 12) 10,000 CFM 4.50
Boar; v,,n is :onect. (If exempt from State Air andling unit
below.) 13) 10,000 CTM + 7.50
-- -- on portable-- —
14) evaporate cooler 4 50
- - Vent ,an conneci-PU -
13) to a single duct _ 3,00
Ventilation system no
16) included in appliance permit 4,50
Hood seryFy—
t = 17) mechanical exhaust 4.50
escr6-e ork new a ition , a tc�tion t repair �) Commercial or industrial
to be done residential 0 non-residential 18) type incinerator 30.00
xisung use `� er i e., wo sosttove,'water
building or property yA7` 19) heater, solar, clothes dryers, etc. 4.50 41.40
Proposed use of 20) Gas pipingone to four outlets
building or property �'�5 T*(--3(14N 1 2.00
Type of fuel -oil (D natural gas 0 LPG (j electric C7 21) More than 4-per outlet (each) 2.00
.—)pcaL —
Minimum Fee 525.00 SUBTOTAL �S
' PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR5°i°SURCHARGE
/ �i
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL Z�^
AFTER WORK IS COMMENCED -- -
TOTAL 2
Special Condifions - —
Date issued _ - by---
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page No I CASE HISTORY FOR CASE NU.� MRC96-0019
DSNNIS STOREY I
11610 SM SEQUOIA PIGMY l
o5/1S/95 1
Actleei Uencriptj(m Ae4/
Schd/ rnd/ Act.icm Notes Diep By Ur -ate Upd
Code
Sent Dome Done Date Bl'
--- -------- -----
NRCCUO'r Application received / / / / 02/06/96 PASS JM 02/12/96 JD
M$CC005 Pemit created / / / / 02/12/96 PASS JSD 02/12/96 JD
MRCCO1S R�Uted to Plano Eixaminar / / / / 02/12/96 PASS ,ISD 0)./12/°6 JD
MRCCO20 Plan checked/Approved by P.6. / / / / 02/23/96 APPR JHF 02/23/96 JHP
MRCCO25 Reviewed Planu Rested to DSTS / / / / 02/23/96 APPR ,THF 02/23/96 JHP
MUCCo90 (P) Ready to issue / / / / 02/27/96 PASS B 02/27/96 30H
t
MBCC'090 (P) Issue perriit / / / / 01/01/96 PASS JSD 03/01/96 JD
MECC710 Mechanical Inep 02/23/96 / / 03/27/96 PASS TLP 04/10/96 TLP
q MWC715 Heating Unt Inop 02/23/96 / / 03/27/96 PASS TLP 04/15/96 TLP
MICC799 Final Inapection / / / / 07/27/96 PASS TLP 01/15196 TLP
MRCC500 Case Pinaled i / / / 01/27/96 PASS TLP 04/15/96 TLP
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r BUILDING PERMIT
CITY OF TIGARD PERMIT #. . . . . . . . DUP
96 -0?4C a �
C061MUNITY DEVELOPMENT DEPARTMENT DATE 15SUED: 02/08/96
13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)639.4171
PARCEL: 6:S 1 12'AD--00'300
SITE ADDRE55. . . : 14610 SW SGGUO I A FIKWY
SUBDIVISION. . . . : BONITA GARDENS ZC?NING: I--P
BLOCK. . . . . . . . . . c LOT. . . . . . . . . . . . . :4
� iii.I5;JUE„_��.______--.----_----'FLOOR`AREAS-___-_,_=._.--------EXTERIOR -WALL rC0NSTRUCT IOP:T •
LLASS OF WORK. :ALT FIRST. . . . : 0 1s f N: S: E: W: r
TYPE OF USC. . . :COM SECOND. . . : 0 s F PROTECT OPENING S?---____,_ -
f YPE OF COrvST. :5N . . . 1 0 s f N. S: E: W:
OCCUPANCY GRP. :A.7 TOTAL-----• --a 0 s f ROOF CONST: FIRE RET^ :
cJCCUGANCY LOAD: 0 W16EMENT. : 0 sf AREA SEP. RATEDs
JTUR. : 0 HT: 0 ft GARAGE.. . . s 0 sf OCCU SEP. RATL:D:
i_-2)11T•? s ME;'Z?: RLQU SETBACKS-____..-.._. REUUI RED -- -- ------ --- -_ _
'LOOK I-UAD. . . . : 0 F LEFT: 0 Ft RGHT: lb Ft FIR SPKL:N SMOK DET. . :N
DWLLLING UNITS: 0 F•-RNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRM5: 0 DATHS: 0 IMP SURFACE: 0 PRO CORR:N PARI<I NG: vi
VALUE. $ , 11000
I�emr�rks : Installiny two awning signs
tide plans incl,.rded a fr^ee standing sign
._- _.- ____.. . _ . _.___.._.__...._ _ ..._ _-- FEES
JOHN R MARI SMETS C/O TRUSTEES type ,amount by date recpt
14633 OTTAWAY ROAD NG PRIrIT .$ 86. 50 B 01/2'.2/96 96-275135
PLC'K $ 856. 23 B 01/2E/96 96--275139
i)URORA OR 9700L 5PrT t 4. 33 P. 01/22/96 96-;2751.31)
i,one #: 678-3081
..untr^actor^: ___.__..._-..__. _-....-•-----_._ ____.__- --. _._. ;
1 --5 SIGNS, INC:
.1005 MARVIN r2ri NL
iLYMPIA WA r)a5ic,
i hone #: $ 147. OC, TOTAL_
deg #. . : 064900
---- -_ - REQUIRED INSPECTIONS
--- ---
'his pe,ut is issued subject to the regulations contained in the Foot/Found Insp
gard Municipal Code, State Cf Ore. Specialty vcdes and all other F=r a m i n tl l n S p
applicable laws. All work will he done in accordance with Mi -.c. Inspect i on
apprcved pians. This pereit will expire if work is not started Final Ins;pec_tion
•'-in 106 days of iss.ance, or if work is suspended for more
188 days.
m.i t t e e S i nature.
s,_red Dy :
Call for in5r7ection 639-'4175
. p.,...r..-•rbr Y+. w^,�pu r .. „ s+. x+�•.: w^. :' "•�` ..s.+•r+ap.v^"+u ,,fin„
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Now -
U.t-47.98 15:16 V5u3 084 7297 CITY OF TIGARD 10002%003
Commercial BIldina Perink' Anplication
City of Tigard �--�_' _'
� r
13125 SW Hall Blvd. +�
Tigard, OR 97223 �l y� t ►' ' � �� '�
(503) 635-4171
Jobsite Addrosm— _510
Tenant;`JOhn '' �5,:�'` ,';�.��.xi. "'' .b• x:,�:.^ .r,�:�..,,•.,..,,:
N 3;� ,�',,; ,fir,"�S;`:<;r•
"'. ,.. yh�^ ,{.:. v1.�.'.•♦ yob. !
Valuation:
Plenc,wRec '
$��}pQ�_ _. � •
-.00Y��•
Aopravaf$ Required
\ Planning _;,;;,:Y,,y.•: :;..:.. ..
Phone: �.,�., l-� Cr "-?/� �:�;•k''�•�'1i', "•''�:1 .. •
Engineering.. ;:xr:c•,;
Contractor:
address: �
Type of const. r' �✓
Occupancy class:
Phone Lko)2=.-3.L)c C ;
Contractor's license -1-
Sprinklered? Yes �j
�(���1 �O[1
(attach copy of current Oregon licence) Sq. ft. of project
Contact name & phoro). "Iln
i c ��— Story (1st, 2nd, etc.) W�
Arch itectlEngine.-r Proposed use.
� ----
F';evious use:
Address
Note: Plumbing & mechanical plans
"—' must be submitted at time of
Phone:
building permit. application.
JOB DE=SCRIPTION / " �// �_� , -
AppllcPhonert% 31�0��5 l~ '��
ure 8 nuIgnarnbe
G/
Received 6y: 1 ( t
---�---- Date Received: I � � •!4C'
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i
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lfle so. 1 CAS1i HISTORY FOR CAS$ NO.: BUP96-0045
JOHN 6 MARI SMFTS C/O TRUSTEES
14610 SW SRQUnTA PYWY
Of/lf/9f
Actino llaacription #Aq/ Sclal/ Undi Actlan Notes Disp By Update Upd
,ode feet Daae Done bate Blr
1
SUPCO07 App11t'ation received / / ! / 01/22/96 RECD B 02/02/96 JHF
PUPCoom permit created / / % / 01/24/96 PEND B 011'24/96 B
BUPcols Plans routed to Plans Sxaminor / / / / 01/24/96 PEND B 01/24/96 B
RUPCo18 Plan Rev.ew Ur. to Ofc. Svcs. / / / / 01/24/901 PEND .TNF 01/24/96 JHF
SUPCO20 Revised Plans Received / / / / 02/01/96 JHP 02/0.2/96 JHF
BUPCO24 Plats Approved/Routed to DOTS / / / / Ci/02/96 APPR JH1' 02/02/36 JHP
SUPCO90 (P) Ready to isuue / / / / 02/06/96 PASS B 02/08/96 H
BUPC100 (P) Inoue permit / / / / 02/09/96 PASS B 02/08/96 B
HUPC740 Praminc. Insp / / / / 04/70/96 PASS T%P 05/01196 TLP
DUPC799 Final inspection / / / / 04/30/96 PA9S I':P 04/01/96 TLP
HUPC960 Case Finaled / / / / 04/70/96 PA89 'r LP nS/01/96 TLP
l
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i
CITY OF TIGARPCRMITU#DING PERMIT 'S
D . P't_M96 001.., ;
DATE ISSUED: 01/31/9E '.
COMMUNITY DEVELOPMENT DEPARTMENT �
13125 SW Hell Blvd.Tigard.Orogon 97223.8199 (503)039-4171 }
"I i L 1=41)DRL;.i .i. . . : 1,+u l b ::W �jLQLJL)IFi PKWY
SUBDIVISION. . . . : PONITA GARDENS ZONING: I--P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
__.__._.__--._.------- -----------_.—_.__._______________..-.----__----._----_.____---_.____...__.--- fl
CLA aS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE+ HOMO' SPACES. : 0
TYPE OF USE. . . . :COM WASHING MACH. . . . . . 1 0 BACKFLGW PREVNTRS. . 1 0
OCCUPANCY GRP. . :A3 FLOOR DRAINS. . . . . . TRAPS. . . . . . . . . . . . . . 0
SIORIES. . . . . . . . : 0 WATE9 HE.ATErRS. . . . . 0 CATCH BASINS. . . . . . . : 0 �
FIXTURES---__.—._—.- -_._- LAUNDRY TRAYi�. . . . . s rr _)F= RAIN DRAINS. . . . : N
SINKS. . . 0 URINALS. . . . . . . . . . . 1 0 GREr,SE TRAP'S. . . 0
LAVATOR1C-5. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . 4:'00
WATE=R CLOSE'1 S. . : 0 WATER LINE (ft ) . . . s Vr
DISHWASHERS. . . . : 0 RAIN DRAIN (f t ) . . . : ah
,,9r,„Ar-ks : Insta11 i n g sewer l ine
I''J Owner,: ___.__.__—___.____._____.______-- --___________yp___.__.__....__..._ _ E ES
MCMCNAMINS type amol.lnt, by date r ecpt
14610 SW SE.QUO I A PKWY
F'RMT $ ` '�. 00 B 01/31/96 MANUAL
r21 SPCT t _. "i 5 E3 01/31/06 MANUAL
TIGr,RD OR 970'4
1
PACIFIC CREST CONSTRUCTION INC
24111 NE_ HALSEY S-400 1
7ROUTDALE': OR 97060
Phone M: $ 57. 75 TOTAL
Rey #. . . 05625J
REQUIRED INSPECTIONS --------
This perpAt is issued e•abject to the regulaticns contained in the Sewn+ Inspection
:gard Municipal Code, State of l)re. Specialty Codes and all other Final Inspection —~—
applicable iiws. All work will be done in accordance wit.)
approved plana. Itis permit will expire if work is not started
withir 1% days of issuance, or if work is suspended for more
that. 180 days. — -
er-
mittee S IRPatr.lre : "'`I`ll
Call for inspection - 639--41.75
MUNK
i ,
4. A a ppww�•� T 7 .?p., y� r � � e... .F' �v.v-, -.,,y yMM r+i fir....
W.
.': •v.....,—,.-, ..,_....... .sm.+xwrn..wnM.agnVM." M�M"wvxu.o..sn++..m.........,—.r..,w.......s,ww.MYMItMSM�KI t
Ci of Tigard 9 and
PLUMBING PERMIT APPLICATION Planck/Rec.
13126 SW Hall Blvd. Permit
Tigard, OR 97223
(503) 639-4 i 71
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Now SI Is Fami Rsat o
Jobt� 0 5 t o �� wA (3 1 BATH HOUSE$140.00 O 2 BATH HOUSE. $195.00
O 3 BATH HOUSE$225.00
Address o Aft a Fee indudes all plumbing ftxtunes in Bre dwelling and the first 100 feat
Q .. of water servios, sanitary sewer and storm sewer. See fees beiow.
r4nrM�.nwaw�r FIXTURES OTY PRICE AMT
Sn, F T C' C-7Sink 9 00
UM"ACOM T7.0-T'A h ire
lavatory 900 --
Owner 'y d w 1 Tub or Tub/Shower Comb. 9.00
Shower Only 9.00
Wster Closet 9.00
w�of k."� Dishwasher 9.DO
Occupant MEN M f Garbage Disposal g
�°
W
ashing Machine 900
�Y Nw .1L7- A� Drain _ 9.00
-iter Neater y
P
7L a G e, Laundry Room Troy 900
h.�. Urinal -
���� _ 9.
00
C2 r Cks.S7- G 7 _ Other Fixtures (Specify) 9.00
Conbecta me"we... �' _
if f✓E 9.00
�_S E `' 9.00
char. AD `_
�� 9.00
7—,ex ti h r F_ O sewer 1 st 100' — 30.00
Sewer-ea. Addit. 100' 25.00
Water Service 1st 100 30.00 �— t
I hereby acknowledge that I have reed this application, that the—
'
information given is correct. that I am the owner or authorized agent of Water Sorvlce ea. Addit 20025.00
the owner, that plans subm"Sed are in compliance with State laws, that Storrs&Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the -- - !
number given is correct. (!f exempt from State registration, please Storm A Rain Drain Addit 100' 25.00 I
give reason below.) Mobile Home Space 25.00 ,
_
V' Back Flow Prevention
�v / `1 Device or Anti-Pollution Device 9.00 :
�.. . ...� vw °" Any Trop or Warta NNot t
Connected to a Fixture 9.00
Describe work new 7 addition afteration Q repair Q Gatch Basin q
CJ be done residential Q non-re. ,ential Q .00
Insp. of Exist Plumbing TO
Existing uae of SPecally Requested Inspections 40.001hr
building or property Rain Drain, tingle family dwelling 3000
Residential back!ow prevention
devices 15.00
Proposed use of — _
building or property (z E'>T q u,r'
'(Except res/dsntlal barJclfow
L prevention devices)
N0110E 'Minimum Fee $25.00 SUBTOTAL c� _
PERMITS BECOME VOID IF WORK OR CON aTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED l r
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% VF SUBTOTAL
`?k,ecial CondPJons
-----_ - Date issued -by
L.�
7i
.Y�{ - ,. wl�y+�f"yl7rii• �yP,=.� (1 "�y{fi�4p,'r y4yfly:.�r. .•�r�i r,.... .
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Page Na. 1 GSA HISTORY PVR CASH M) PIM96-0015
MCMBNAMINS
14610 SW SEQUOIA PKWY
05/15/96
Action Descrlptim Req/ Schd/ End/ Actlon Notes Disp By Update Upd
Code Sent Dore Done Date By
...'-"-- --------- -------------------- -------- -------- -----`-- ---------------------------------——-- - -- ----- —-
a
PIMC00-3 Application received / / / / 01/37/96 REM B s1/96 B
PIMC005 Permit Created / / / / 01/31/96 PEND B 6. ft/96 H
P114C060 (P) Issue permit / / / / 01/31/96 PASS H 01/31/96 B
PIMC060 (P) Issue permit / / / / 01/31/96 PASS B 01/31/99 H
PIMC060 (P) Issue permit / / / / 01/31/96 PASS B 01/31/96 B
PIMC060 (P) Issue permit / / / / 01/31/96 PASS B 01/31/96 B V
PtMCB00 Case Pinaled / / / / 03/12/96 PASS MS 03/12/96 MRS
Wr
t
... ..
110
J
CITY OF TIGARD ELECTRICAL PERMIT _
COMMUNITY DEVELOPMENT DEPARTMENT RE`3TRICTED ENERGY
13126 8W Hell Blvd.Tlgaid,OrOregonD7223•tl1GO (503)639-4171 PERMIT #: ELR96-00'23
DATE ISSUED: 01/16/96
PARCEL: `S11cAD--00.3,00
-',T TF gDDRES:-,. . . 14610 SW '�f QUC]I A f''1:WY
(;L1AD I V I``a I ON. . . . : FON I TA GARDENS 7.ON I NG: I-P
J',L0CK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
r''ro ier_t Description :
--__-__.__.._---•--__._..____
RESIDENTIAL-------'-- P. C:OMMERCIAL ____.._-..•---.--'--._._._........_.___._.____ ...___...__._.._.__._. �
AUDIT] h STEREO. . . : AUDIO R STEREO. . : INTERCOM & PAGING-1
BURGLAR ALARM. . . . a soil-E:R. . . . . . . . . . : L-ANDSCAPF_/IRRIGAT. . :
GARAGE OPENER. . . . t CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . e
HVAC. . . . . . . . . . . . . : DATA/TEL.E COMM. . : NURSE CALLS. . . . . . . . e
VACUUM SYSTEM. . . . : FIRE AL.ARM. . . . . . . OUTDOOR LANDSC LITER
OTHER: : : MVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :X
INSTRUMENTATION. : OTHER. . & : :
_- TOTAL # OF SYSTEMSi 1
April. n
icat : ------___—_______.__--__....._.__ ._ ____.___._______ __ FEES
PHILLIPS ELECTRIC type amotint by date recpt
1110 NW FLANDERS PRMT f 40. 00 C;JS 01 /16/96 Q6-?7492A
PORTLAND OR 97;�Q19 SPCT 2. 00 CJS 01/16/96 96•-274928
Phone #:
Contractor:
C(:7N'TRACTOR NOT ON 1='ILE f 4.=. 00 TOTAL.
REQUIRED INSPECTIONS --
Ceiling hover E1ertII serviceRep �
Phone #: Wall Cover Elect-' 1 Final
This oersit is issued subiect to the regulations contained in the
Tigard Municipal Coes, State of Ore. Specialty Codes and all other Permitee 5i gnaturr,
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started [
within 181 days of issuance, or if work is suspended for sore
than 10 days. � �/•• ______._-_..__.____
Is- yued By
_. ._ -_OWNFP INS'TALLATIOfJ
The insvallation is; being made on p;-oc)er-ty I own which is not intended for
sale. lease. or rent ,
OWNER' i SIGNATURE: DATE:.:
iN7)TAL_1_ATI0N
SIGNATURE OF S1JPR. FLEC' N: mc,,leel DATE=: /- 16.-
LICENSE
6.LICENSE NO:
Call for inspection - 639-•4175
y.rMr, t yj.,
Community Development RESTRICTED (ENERGY ELECTRICAL APPLICATION
I 13125 SW Hall Blvd.
i Tigard,OR 97223 PERMIT#
* Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED] - /6 96
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY f
— ��_ atz�----- - -
PLEASE COMPUTF. ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TVPF OF WORK
Address , RESIDENTIAL—Restricted Energgyy Fee. . . . . . . , . , 40.00
(I OR ALL SYS S)
City State Zip Check (vee of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems'
IS NOT STARTED WITHIN 180 DAYS OF!SSUANCE OR IF WORK 15 SUSPENDED FOR y
I180 DAYS. ❑ Burglar Alarm
k 2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
1:1{� Heating,Ventilation and Air Conditioning System*
Contractor 414�9;L T e Z-V �,�ey! ❑
YP Vacuum Systems*
Address L /fr w
f1�s4�1X7� ❑ Other - --
Date / -�-� COMMERCIAL—Fee for each system . . . . . . . . �S40.00
(SEE OAR 918-260-260)
Property Owner k) r ' �-.'n.�-v�-s—
// - Check Tvnes ork Involved:
Contractor's Board Reg. No. �fO �3 CLE ❑ Audio and Sterec Systecs*
11 Boiler Controls
Phone# _�ZL t .s 7/
—• ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
— ❑ HVAC
Print Owner's Nam(, Phone No
❑ instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is Issued under OAR 918.320.370,This applicant agrees to make only ❑ Nurse Calls
rest(icted energy installations tion volt amps or Mss)under this prrmit and to do the 11 Outdoor Landscape Lighting*
following: p g R
1. Only use electrical licensed persons to do Installations where required.(Certain Protective Signaling
residential and other transactions are exempt from licensing.Those have ❑ Other
asterisks(').All others need licensing). —
2. Call for an Inspection when all of the Installations under this permit are ready
for inspection at 503.639-4175.
3. Purchase separate permits for all installations that are not ready(or inspection 1:1 Number of System!
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required fdr all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are nor,and --- --- _
5. Assume responsibility for calling for a final inspection when all of the corrections j, FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees
a authorized to hind the applicant.
-- b. 5% Surcharge(.05 x total above) $
Signature w —
TOTAL $ �Z-
Authority if other than applicant
ENERGAP.CHP
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1 1
Page No. 1 CABS HISTORY FOR CASE NO.: SIX96-3023
PHILLIPS RLRCTRIC !
14610 SM SEQUOIA PFKY
05/35/9!
Action Deecriptioml AW Schd/ End/ Act+..A1 Not.n Dinp By Update Upd
Code gent Dore Uor to Date By • ,
------- -- ----—-—--”---- -------- -------- - 'I----- ----—----- -----'-._.--- -- -.. __. -------- --- I
RLRC001 Application Received / / / / 01!16/96 RACD CJS 11/16/96 TMP
EL -003 Permit Creat�sd / / / / 01/16/96 PRND CJS 01/16/96 TMP
QLRC'i,,0 (F) lsette parmit / / / / 01/16/16 PASS CJS 01/16/96 TMP
11LRC720 Nall Cover 01/17/96 / / 10/16/96 PASS MTP 01/17/96 MJR
RLRC799 Elect'l Final 01/16/96 / ; 03/11/96 PASS MJP 03/11/94 MJR
RLP.CB00 Case Einaled / / / / 03/11/96 YR@ MJP 03/11/99 MJR
{
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CITY OF TIGARD RELPERMIT
f1NERGY • /
-COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96—002
13125 SW Hall Blvd.Tigard,Orapon 07223.8199 (503)639-A171 DATE ISSUED:
PARCEL: 1 12AD-00300
I TE ADDPE yea. . . : 1,i 610 SW "LUUO I A PKWY
SUBDIVISION. . . . : BONITA GARDENS ZONING: T--P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
pro iect Descr-iption : Resty-ict,ed enemy for new building totaling 3, 630 sq. ft.
AUDIO R STERE-O. . . : X AUDIO 8 STEREO. . : IN'TE'RCOM 8 PALING. . :
BURGLOR ALARM. . . . : BOILER. . . . . . . . . . : I-PNIDSCAPE/IRRIGAT. , a
GARnGE OPENER. . . . . CLOCK. . . . . . . . . . . . MUDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELT COMM. . NLJRSF CAI_L_5. . . . . . . .
VACUUM SYSTEM. . . . : F IRE ALARM. . . . . . : C]UTDOOR LANDSC LITE-
OTHER: : : HVAC. . . . . . . . . . . . : DRO'iECT'IVE SIGNHL. .
INSTRLIMENTnTTON. : OTHER. . : . .
TOTAL # OF SYSTEMS: 0
Aupl icant : -•_-__ E-EES
LnKE ELECTRIC CONT-RACTORr, INC type amoUnt by dl ate recot
1.24-B GE:; 11TH PRMT $ 40. 04 .JDA 01/1,2/96 96--,:749=0
SF'CT' f P. 00 JDA 01 /12/96 96-274920
PORTLAND OR
Phone #:
Contrautar,.
I..AKE ELECTRIC CONTRACTOR, INC. f 4?. 00 TOTAL_.
124 SE 11TH AVE
--- ---- REQUIRED INSPECTIONS -------
PORTLAND OR 9721,; Ceiling Cover- Eloc:t' 1 Ser-vic.-c i
Phnne #: 503-234-3044 Wall Cover Flect' 1 Final
feu #. . . 6 2.61
This oerrit is issued subiect to the requlations curtained in the
Tirard Muni:ina: Code, State of pre. Soecialty Codes and all :thee r-'e rrm i t e e
aa.licable laws. All work will be done in accordance with
aeoroved plans. This oerrit will expire if work is not started
within 181 dans of iss ance, or if work is suspended for core ,
than 181 days. I S s U e d
.OWNER INSTALLATION 0141._`
The installation is beinc, made on pr,oper,ty I own which is not intended for,
Scale. lease. or 1'"ent.
OWNER' S SIGNATURE: DATE: `°xN
_.__--L-nNTRA(7T0R INSTALLATION ONI-Y
SIGNATURE OF SUPR. DOTEe
�. I(]ENCUE NO: b`
Call for nipe
.als
C ct i on 639--4175
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CommunityDevelopment Pment RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639-4171 ®/
FAX(503)684-7297 DATE ISSUED
rDD No. (503)684-2772 —�-
CITY OF TI lspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
t
w1 v
Ac dress 1 -- RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00
T Q �k Z Ly _ (FOR ALL SYSTEMS)
lily State Zip Check Type of Work Involved:
PERMITS ARE NON•TRANSFERABLF.AND NON-REFUNDABLE AND EXPIRE If WORK Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUAI,CE OR If WORK IS SUSPENDED FOR Ys
J 180 DAYS Burglar Alarm
2. CONTRACTOR APPLICAT� Nt, -1h U Garage Door opener-
4a
I�i L El Heating,Ventilation and Air Conditioning System*
ContractoF-JType L1,U t�2�,,�sA a y ❑ Vacuum Systems-
Address v El_ I
12 ' 3 S t i ' — Other_______
I Date_ - I COMMERCIAL—Fee for each system . . . . . . . . .
(SEE OAR 918-260-260)
Property Owner_Mc'i Z aka M Iy,.S
-- Check Tyne of Work Involved:
Contractor's Board Reg. No. U 31 Audio and Stereo Systems
❑ 9oiler Controls
F',,one# &3) Z 3 9-309 y ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
M� mP�fnll ►� ' g ❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
I Address 13Intercom and Paging Systems
_ ❑ Landscape Irrigation Control*
City State Zip El Nurse
Medical
This permit is issued under OAR 918.320-370.This applicant agrees to make only El Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the 13 Outdoor Landscape Lighting*
folkwIng: f,
1. Only use electrical licensed persons to do Installations where required.(Certa;n ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other ,V
asterisksM.All others need licensing). — --
2. Call for an inspection when all of the Installations under this permit ate ready AP
for inspection at 503.6394175. °
T Purchase separate permits for all installations:hat are not ready for im pection 1:1Number of Systems
when the inspector is out to inspect under this permit.
•No Ifaenses are required. Lkxmes are required fur all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and - - --- -—
5. Assume responsibility for calling for a final inspection when all of the S. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 40, Q(
authorized to hind the applicant.
b. 5%Surcharge(.05 x total above) $ 0100 ;
Signature
TOTAL $_ Z, OU
Auth&ty if other than applicant
ENERGAP.CHP
4.
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1{ Pie 1 CA.9B NI9TORY IhR CASE W, B1.R96-0^22
11 LAKE St.BCfPIC CONTRACMRS, INC
1 14610 HK SCQWIA PMWY
j 05/13/99
, I
Actiov Deecripticn Req/ SO-V Rnd/ Action Noten Diey By Update Cyd
v
Codes sent Done Done
Date By �{
------- ------ ------ ---- ----- --- _--• --- -------- ---
I
P
BLtc00i Application Received / / / / 01/12/96 PASS JDA 01/12/96 JDA
BLRC003 Permit treated / / / / 01/12/96 PAd9 JDA 01/12/96 JDA
BIRC400 (F) Ready to iaeve, / / / / 01/12/96 PASS JDA 01/12/96 JDA
BLRC500 (P) Ieeue permit / i / / 01/12/96 PASS JDA 01/12/96 .IDA
Ktmc720 Nall Cover 01/17/96 f / 01/16/96 PASS MJF 01/17/96 MJR
mutc000 ca6e Einaled / / / / 03/11/96 YRS MJR 03/11/96 MJF
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ITY OF TIGARD MECHAN I C�,1_
PERMIT L7
•1
PERMIT #. . . . . . . : MEC96-000"
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUE,,: 0 ! /08,"96
13126 SW Hall Blvd.Tlpard,Onpon 97223.8199 (503)830-4171
3I TE ADDRESS. . . : 14f•10 SW SFL1U01 A PKWYPARCI�L: a'S112AD--00300
(,-TUBDIVI91ON. . . . : BONITA GARDENS ZONING: I—P
13LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
------------------------______..__ _
ULASS OF WORK. . :ALT FI.-.00P TURN. . . . : IT FVAP COOT-r-ps: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . s 0
')CCUPANCY GRP. . :A3 VENTS W/O APDL: 0 VENT SYS 2MS; 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSC?S HOODS. . . . . . . : 0
1-UEL TYPES--- ----- - -'- - 0--3 HP. . . . : 0 DOMES. i NC I N: 0
: /GAS/ / / 3-15 HF. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 Pru 1.5—:30 144. _ . . - 0 REPAIR UNITS: 0
FIRE DAMPEPEi7. . s 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRI-=SSURE. . . s 50+ HP. . . . 1 0 F.L-0 DRYEP5. . : 0
NO. OF UNI-r r:)----•------- AIR HANDLING UNITS OTHER UNITS. : 4
1=URN ( 100K BTU: 0 ( 1V1000 ,fm : 0 GAS OUTLETS. 3
FURN )=100K BTU: 0 > 10000 cfm : 0
1'.emarks : Instal iinq s r a
I . piping and ol-It1 s
Uwner. -----•---___---__------______—_---_---__ _ —
' _.___ _ .___-- FEES -- ----
1117MENAMTNS type amol-.Int by date _ r^ecpt
14610 SW SEQUOIA PKWY PP,MT K 25. 00 B 01 /03/96 96-27461+',
SF-,CT $ 1. 25 A 01/08/96 916—x'74688
1.IGARD OR ')7c-.,,::4
r'hone Its
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BRUNT-R PLUMBING
PO BOX 23985
fIGARD OR 972E4 _—__.----- -----------_._-----.._--•--_
F-'Bone #: S 26. 25 TOTAL
Req #. . 47454
RFQUIRED TNSPECTIONS -- -----
This permit is issued subiect to the rpoulations rontained in the Gas Line liisp _
Tigard Municipal Code. State of Dre. Specialty Cedes and all other Mi s e. Insolect ion
applicable laws, All work will be done 'n accordance with Final InsDvet ion —
amroved plans. This pervit will Mire if work is rot started
within 190 days of issuance, or if work is suspended for Gore
than i80 days.
k'ermittei Datr_Ir^a : / ----''-
d By
Call t0r inspec:ti0n — F;s9-4175
I
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # ,'A C
Tigard, OR 97223
(503) 639-4171
I Description 1�- •
Table 3A Mechanical Code CITY PRICE
Job Irl ' �� 1) Permd Fee Al.- _ -0 10.W
Address ---— -- ----�
U,<' 2) Supplemental Permit 3.00
�e 1W M87 w 711 Furnace to —
1) incl, ducts &vents 6.00
urnace0-06-Tr1TT_
Owner 2) incl. ducts &vents 7.30
• oor Furclance -
((( 3) incl. vent 6.00
Suspended heater, wall heater — -`
4) or Hoar mounter. neater 6.00
Occupant r Vent not incl In
5) appliance permit 3.00
Repair of heating, re ng.
6) cooling, absorption unit Boiler6.00
or comp, ea pump, air cona. -
rV vtcz y l.tl� t ")I i� 7) to 3 HP; absorp unit to 100K BTU 6.00
17 _ Boiler or comp, eat pump, air cond.
Contractor 1 8) 3-15 HP, absorp unit to 500K BTU 11.00
a' co moiler or comp, heat pump, air con "-
{e, U,% 9) 15-30 HP; absorp unit 5-1 mil BTU 15.00
" 0-IF or comp, Pat pump, air con .
k� 13) 30-50 HP; absorp unit 1-1.75 mil BTU 2250
erZ�row r ge t rat I have read this app icaTon, fiat t eoloiils'r or>comp,Frear pump, air cond.
information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BI 37.50
agent of the owner, that plans submitted are in compliance withrr an Ing u-n T to
State laws, that I zm registered with the Construction Contractor's 12) 10,000 CFM q SG i 1
Board, that the number given is correct. (If exempt from State handling unit ~- '—
registration, please give reason beiow.) I 13) 10,00u "TM + 7.50
—. on porta
—_ i 4) evaporate cooler 45,
— Vent Tan connecteg- —-
15) to a single duct 3.00
jVentilation system not -�
16) included in appliance permR 4.50
Hood served y
17) mechanical exhaust 4.50
escri a work new addivin U iteration repairCommercial or in ustriial--
tu be done residential p non-residential O 18)
type incinerator 30.00
:sting use of Other i.e., w0 stovc• water -
building or prorxn^y _ 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to Four outlets 2.00
building or property _- -
�` 21) More than 4-per outlet (each) 2.00
Type of fuel -oil O natural gas LPG O electric
NOTICE_—
Uv
PERMITS SEf,OME VOID IF WORK OR CONSTRUCTION Minimum Fee 57.5.00 SUBTOTAL 15
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDEC OF, --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL 27, Z��
I Special Conditions
7
1 - -
Date Issued (, � � by
M.OOIM04T!W!ClP4T
Non
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Page No. 1 CASH NiSTORY FOR CASE NO. : MEC96.0003
MC MWNAM I NS
14610 SW SRQUOIA PKWY
Action Description 3!q/ S�hd/ kv,!/ A,firm WA Dinp By Update tW .
'
emu
/
1.............................. �tDane �1eGate
_.__ --------
-------- ___ ----------------------------------- _--- -._ ____ �_
MECCO07 Application received / / / / 01/40/96 PIM H 01/08/96 A
MRCC060 (Ft Ieeue perm.t / / / / 01/06/96 PASS 0 01/01/96 D
MRCC060 (F) Iaeue permit / / / / 01/09/96 PASS E 0./08/96 B
MRCC70S Gas Line Inep 01/,9/96 01/09/96 / / PASS TLP 01/10/96 TLP
MRCC75S Misc. Inopection 01/08/96 / / 01/30/96 branch line/under slab line rwmrn,,d no PASS TLP 01/31/96 TLP
inspection not allwed
MRCC799 Final Innpecti,n / / / / 03/27/96 VASA TLP 03/27/96 TLP
MECC900 Cane F'inaled / / / / 03/27/96 PASS TLP 03/27/96 TU
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MECHANICAL V
. CITY OF TIGARD PERMIT #. PERM. T: MEC95--0268 ,
iCOMMUNITY DEVELOPMENT DEPAR�TIMENT DATE ISSUED: 10/30/95
13125 SW Hall Blvd.Tigard,Oregon 97223.91P9 (503)639.4171
PARCEL: -=:S112AD-•00,7. 'r0
'Y SITE ADDRESS. . . : 14610 SW SEQUOIA PKWY
SUBDIVISION. . . . : BONITA GARDENS ZONING: 1-L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
CLASS OF WORK. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :COM UNIT HEATERS. . : VENT FANS. . . :2
OCCUPANCY GRP. . :A---, VFNTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . . I ►
FUEL TYPES- - - - 0-3 1AP. . . . : 1 DOMES. I NC I N:
/GAS/ / / 3--15 HP. :4 COMML. INCIN:
MAX INPUT: BTU 15-30 1-11:.. . . . . REPAIR UNITS:
F IRE DAMPERS". . :N 30-50 HP. . . . : WOODSTOVES. .
GAS PRESSURE. . . :,1 50+ HP. . . . : CLO DRYERS. . .-
NO.
RYERS. . :NO. OF LINI f8---- --- - -- AIR HANUL1NG UNITS OTHER UNITS. :
TURN ( 100K BTU: (- 10000 cfm :,3 GAS OUTLET'S. :;
FURN ) =100K BTU: 1 > 10100 cfm:
Remav-ks : New onQ story masonry bl.lilding with wood frame roof and metal rtof
totaling 3, 630 sq. ft.
Owner: - - ----------------------------------- ------ -------- - FEES
JOHN & MARI SMETS C/O TRUSTEES type Amu'-tilt by date recpt
14633 OTTAWAY RD. NE PRMT 4 X45. 5171 JSD 10/26/95 95-272170
IDLCK $ 2= 3. 88 JSD 10/t'6/95 95-.'72170
ALIRORA OR 97002 5Pf;T s 4. 78 JSD 10/26/95 95-272170
Phone #: 678-3081
Contractor: -_----•--____________________.__
1
CIVAC INC:,
815 SE SH:RMAN
PORTLAND OR '.)7.14 _...-..._.___-_._._.___._ ----.------
Phone #: 124. 16 TOTAL {,
Reg #. . 05081-7 r,
----- REWIRED INSPECTIONS -------
This permit is 155UPd sab;ect to the regulations contained in the Cias Line Insp
Tige•d Municipal Codr State of Ore. Specialty Codes and all rthe^ Mechanical Insp j
applicable laws. Nll Mork will be done in accordance with Heating Unt lisp
approved plans. This permit will expire if work is not started Cooling Unt Insp
within 188 days of issuance, or if work is suspended for more Shaft; Inspection
than td8 days. Hood Inspection
DUct Inspection �-
Misc. Inspection
Final Inspection
Permitter Signatr_lre: _ ` � �yS- Final Inspection
J d By
Call for inspection - 639--4175
40 2- —1 A
'..4
•
Ciry'�- i igard MECHANICAL ER11�'lIT Planck/Rec. # D•
13125 SW Hall Blvd. APPI—ICATI N Permit # A' F= - cis- y7y�
Tigard, OR 97223
(503) 639-4171
1400 1A,0 e two, Me
TAb 3A Mbdwical CodeOTY PRICE —AMT
Job
Address -�� �/� f�i�1��.�!/ 1) _Permit Fee _ U 10.00 f
J6iL7,j�p��1 2) Suppkemer" Permit 3.00
S I>,-T_s 1) incl. ducts a vents I 6.00
Owner n
2) incl. duds g vents 7.50 "?
w r Fumanre ,
44vea«, [1E' 3) ind. vent 6.00 II
" "—&Gp= Suspended— seater, wa .eater —
F;C, Cl,A 1,0 0 4) or floor mounted heater 6.00
Ad&"' est not rr . in
Occup-nt 2Z3.G7/d9 5) appliance pew 3.00 t
Repair ot afing,—tefrg'. ^"
6) cooling, absorption unit - 6.00
. 8 f /A� o or comp. a 'pump.air -
A �A C �� 7) to*3 HP; absorp unit to 100K PTU 6.00
LGIPF or comp. Fleal pump, av con,T--
r'nntraCtOr 8) 3-15 HP; absorp unit to 500K BTU Y 1 t.00 if, _
Boder or 5iin .-T aTnump, as conn- --
9) 15-30 HP; absorp unit .S-1 mil BTU 15.00
� '•• or rxxrtp�Ti, eaTC'�mP, aK con ..—_ a
10) 30.50 HP; absorp unit 1-1.75 mil ST-I 22.50 ti
I Thereby &cknowlei§etat nave read this app tcabon, at t e Bvler or�ea)pump, aro cimd- --
i+ infrxmation given is comic!. that I am the owner or authorized 11) >50 HP; ab.aorp unit 1.75 mil BTU 3,'50
agent of the owner, that plans submitted are in compliance pliance with andling unitto---
Ststee laws, that I am registered with the ::onstrudion Contractor? 12) 10,000 CFM ) 4190
Board, that the number given is coned. (If exempt from State Aii handling un
registration, please give reason below.) 13) 10.000 CTM + 7.50
— on porta f
14) evaporate cooler 4.50
e an conned— —-'1
15) to a single dud ( 3.W G
enit abort system not
16) included in appliance permit 4.50
"• Hood s`erv3Fy —
_ 17) mechanic,- erhau!,t 4.50
wo new Tf a c�'fi ion alteration repairort,1WWM2ra 11x3 tstnaf—to be done residential Q non-eesidenjal () 18) type hicneralor 30,00
stag use of Other t.e., -
building or property --^—�—� 19) heater, solar, ck,thes dryers. eh;. 4.50
Proposed use of 20) Gas piping one to four outie
2.00
tKAft or property
pe (�
oil Q natural gas Q LPG Q ekdric Q
21) More than 4-per outlet (.each) 2,00
Type of fuel - -----
• NOTIC�
PERMITS BECOME VOID IF W01K OR CONSTRI ICTION Minirrmmun Fee 525.00 SUBTOTAL- ---
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS. OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR - --
ABANDONED FOR P•PERIOD O'' 160 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED _
TOTAL l 2y Ijj i
Special Conditions
--- —- — — Date issued by
�, � .�.�. . �.�..gy.ryy.�,.,...t � ,..'w, .q*w .,✓�..�,,..,�„ ,w: ,.�. .,�.. .,.�..�.. ...,,. r.,yam...�..,� v. t, r
s
Page No. 1 C_ASB H' ;TORY FOR CASR NO. MRC95 0260
JOHN i 14hRI SMMTS C/O TRUPTFT:S
14610 SN SWUOTA PXW'i
05/15/911
1.
P
Action Description Feq; Schd/ find/ Action Note$ Diop By Update Upd .
Code Bent Drnie Dome Date y
�1
MECC010 Plrn check by 08/09/95 / / 09/20/95 APPR JHF 09/20/95 JHF
MNCC051 (F) Ready to issue / / / / 10/17/95 Nesd contractors info. PA3S JDA 10/17/95 B
MWr360 (P) Issue permit / / / / 10/30/95 PARS 'JSD 10/30/95 JD
MUM90 PERMIT `WWBD / / / / 10/0?!9S Mad planning and enginearing vppraval. PEND BON 10/03/95 B
MRCC710 Mechani':al Inup 09/20/95 / / 01/19/96 PASS TLP 01/19/96 TLP
MRCC140 Duct Inspection 09/20/95 / / 01/19/96 PASS TLP 03/27/96 TLP
MBCC799 Final Inepecti:n 09/20/95 / / 03/27/96 PASS TLP 03/27/96 TLP `
M fX90a Case Finaled / / / / 03/27/96 PASS TLP 03/27/96 TLP f'
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CITY AF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hon Blvd.Tlge-d,Oregon 9722398199 (503)834-4171 PLUMBING PERMIT
PERMIT #. . . . . . .
639-417t DATE ISSUED: 10/30/95
PARCEL: 2S 1 12AD-00.x,00
3 I Tf_ ADDRESS. . . : 14610 SW SEQUOIA PKWY �
SUBDIVISION. . . . : BONITA GARDENS ZONING: I—L
BLOCK. LO1'. :4
. . . . . . . . . . . . . . . . . . . . . .
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES.
TYPE OF USE. . . . .-COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 11
OCCUPANCY GRP. A3 FLOOR BRAINS. . . . . . . .. TRAPS. . . . . . . . . . . . . .
i STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . ;
FIXTURES-- ------------ LAUNDRY TRAYS. . . , . . : F3F RAIN DRAINS. . . . . ;
I
SINKS. . . . . . . . . . 17 URINALS. . . . . . . . . . . . : 1 GREASE TRAPS. . . . . . . : 1
LAVATORIES. . . . . .2 OTHER FIXTURES. . . . . :9
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : 100
WATER CLOSETS. . e3 WATER LINE (ft ) . . . . 00
DISHWASHERS. . . . : 1 RAIN DRAIN ( ft ) . . . . : 100
Remarks : New one story masonry bl.li lding with wood frame roof arc' metAl roof
totaling 3, 630 sq. ft.
Owner; -------------------------------------------------------- FEES
JOHN & MARI SMF_TS C/O TRUSTEES type amo--mt by date rerpt
14633 OTTAWAY ROAD NE PRMT $ 342. 00 JSD 10/30/95 95—;:'72;:74
PLCK $ 85. 51? JSD 10/30,,99 95--272274
AURORA OR 97002 5PCT t 17. 10 JSD 10/30/95 95- 272274
t=hone #r f 713-.30F31.
1
Contractor:
BRUNER PLUMBING
PO BOX 23965
TIGARD OR 972:24
Phone #: E 444. 60 TOTAL
Reg #. . 1 47454
------- REQUIRED INSPECTIONS --- ----
This ?trait is issued subject to the regulations containeu in the Sewer Inspection
Tigai d Municipal Code, State of Ore. Specialty, Codes and all other Water Line Insp - +�
applicable laws. All work will be done in accordance with Top—oLlt Insp
approved plans. This permit will expire if work is not started Storm Drain Insp
within 188 days of issuance, or if work is suspended for sort Rain Drain Insp ^�
than 188 days. Mi sc. Inspection
RP/Backflow Prey
PERMIT PE:NDED
F=inal Insper.tion
Permittee Final Inspection
Call for inspection — 639-4175
4 �.
Cid, of Tigard PLUMBING PERMI" APPLICATIQN Planck/Rec. #
• 131,25.SW Hall Blvd. Permit # 0-M
Tigard, OR 97223 c '15-0319
(503) 639-4171
(�Inll� "'W' �.��u n�i (<wW ' MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
.�.o..,..:
Now Single ---
Fami� R.sld:nc.s onlX
Job ,� ❑ 1 BATH HOUSE$140.00 J 2 BATH NCVSE$195.W
❑ 3 BATH HOUSE 3223.00
Address arw a. Fee indkbts all pkimi*V llxtures in the
drire" and Moe .4 tt 100 feat
of water service, sanitary sewer and siorrn sewer. See fees twioN.
""""''""' •'"�' FIXTURES - QTY PRICE AUT t#
ss>�T.S failli�s-'l�!/ST. X78. s s.ao
.,,�..... �,... Lava 9.00 _
Owner /'P i Tub or Tub/ hower Comb. 9.00
Shower Only 9.70 -
i¢!!/tl�f.PQ 9`'eo? Water Closet / 9.OU
t _
Dishwasher 9.0!•1
eV.QV,?. /910' Garbage Disposal _ 9.00
Occupa-V ""'" h2.3� �� Washing Machine 9.00
i Floor Drain9K .00
Water Heeler 9.00 t
( �� TCAitCD, �• - laundry Room Tray 9.00
Urinal9.00
Other F'odures (Specify) 9.00
Contactor "'`"A*&-� 'p» _ ''//7 _ 4.00
G S/r _ 9.00
a.u.. ._..�._. ___. ,� 6•S� / r// 9.00 1. I
Sewer 1st 100' 30.00
Sewer -ea. Add& 10 Y 25.00
Water Service 1st ICT 30.00 0
1 hereby acknowledge that I have read this application, that the
Water Service an. Ad'fit. 20(r 25.00
k*vnratlon given is correct, that i am the owner or authorized agent of -- -----
the owner, that plans subrnitterl are in compliance with State laws, that Ston&Rain Drain 1st 100' 30.00
I am regieWred with ft Construction Contractor's BosrT_ that the Stone R Rain Drain AddiL 100' 25.00
number given Is correct fH exempt from State registration, please
give mum below.) Mobile Home Srrce 25.00
-- Back Flow R avention
Device or Ar,ti-Potkftn Device 9.(10
«..+..i.r...�.� leer. -
Any Trap rn Waste Not
������ --- Connected to a F'xture 9.00
Describe work new U�addition 0 alteration 0 repair (-5- Catch Basin
to be done residential Q non-residential Q 9.00
Insp. of Exist. Phrrrtrinli 40.00/hr
Existing use of Specialty Requested Inspections 40.0r^r
ming or prriperry Rain Drain, single family dwetiing 30,00
Residential backflow prevention
devices _ 15.00 -
Proposed use of e_< �"
Wilding or prop" - 4 k-t62_ It
-� '(Except residential bac kfldw -
-_ prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PER16,rS BECOME VOID IF WORK OR CONSTRUCTION O` p
AUTHOR127:D IS NOT COMMFNCEO WITHIN 180 DAYS, OR IF 5%SURCHARGE /� f
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -----
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAIN REVIEW 23% OF SUBTOTAL I �'
Conditions I- - --TOTAL
_ Date issued
^1f ( :: 4ks•rr:.NeWk •xr ,YY.a,.a.. .._........_ ......._.e w.,ti
Awerk'an�.wrHawa'rx
asss,►
,Accumulative Samar, Tally
Add ess: MOOV �,W y 7 fX rt n ��'' ��c 4 Ui Nti I� This PLM#: ('L(� J S L'1`1
c,ik1
0
Fixture Value Previous # Credits Fixtures added # New total #s New total values
Capped off #s
Baptistry/Font 4
Bath - Tub/Shower 4
Jacuz/Whpl 4
Cuspidor/Water Asp I 1
Dishwasher • Commor 4 /
Domest 2
Drinking Fountain 1
Floor Drain 2 % ich _ _ N2
inch 5 — — — -------- �—OL.- —I
4 nch 6
Garbag� Disposal 16
D,.m (to 314 HP)
Comm (to 5 HP) 32
IIInd (over 5 HPI 48
Oil Sep (Gas ata) 6 — -- i
Shower - Gang I
Stall 2
Sink - Bar 2
-�
wl
Bradley 5
Commef vial 3
- Service � 3
Washer, Clothes 6 —
Water cxt — 6 I I
Water C'oset-_�- 6 ------ I _
Urinal 6
TOTALS
L... 1
Tota' fixture values:.--=- divided by 16 = � EDU
HISTORY
PLM# _— EDU" SWR# �^ PLM# EDU# SWR#
I PLM# —_ EDU# SWr1# _ -- PLM# EDU# SWR# II
-bx — EDU$ SWR ' FLM# rrU# SWF# •1
aLM# EDU-1 SWPI PLM# —
EDU# SN!R#
7
.,� �.; w�� � v,vn--yw�+r� .. �„_ .N„�., ..,r ,-r.. f q'+:,y/t r�,� .,.M_w.. t r+.+vwy►"'-. w w,
d•
9
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1
Page No. i CASE HISTORY FOR rASE NO.: PLM9R-0195
JOHN 6 MARI SMETS C/O TRUSTEES
14610 SW SEQUOIA PKWY
05/IS/99
Action Deocriptir, Req/ Schd/ End/ Action Notes Di•
p By Update upd .
code Sent Done Done Date By
P
PU4C007 Application received / / / / 07/29/95 PE?ID B 11/06/95 TLP
PLMC050 (P) Ready to issue / / / / 10/17/94 Need contractors info. PASS JDA 1.0/17/95 A
PLMC060 (F) Inoue permit / / / / 10/30/95 PASS JSD 10/30/95 JD
PIWO60 (P) leeue permit / / / / 10/30/96 PASS JSD 10/30/95 JD j
PLMC120 Plumbing Underel / / / / 11/06/96 PASS TLP 11/06/95 TLP
PLMC710 Water Line Inep / / / / 11/06/!6 PAS TLP 11/06/95 TLP
PUAC7ll Watbr Service Inep 01/30/96 / / / / Yin Water service to street PASS TLP 01/31/96 TLP i
PIMc725 Top vut InaP / / / / 01/12/96 PASS MS 01/12/95 MRS
PIMC730 Storm Drain Innp / / / / 01/23/96 storm to catch basin PPAS MS 01/23/96 MRS
PLMC770 PERMIT PENDED / / / / 10/03/95 Need planning and engineering approval. PEND BON 10/03/95 B
PI14C799 Final Inspection / / / / 03/07/96 need more protection for beer dispenser PART MS 01/08/96 MRS
flow control for grease trap?
PLMC800 Cane Finaled / / / / 03/12/96 PASS MS 03/13/96 MRS �
1
1.1
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i.
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N,. ,.
it
Community Development ELECTRICAL PERMIT APPLICATION t/ •
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # _FLP- `6
Phone (503) 639-4171 Date Issued 10 - Zy-
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772 Issued by �-
Inspection (503) 639-4175
r � �
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development (� 1V\S— Number of Inspections per permit allowed
JA
Address q if �?(o '1-3 - Yjioq Service included. Items Cost(ea) Sum
City/State/lip, -r]7 Z 4s. Residential-per unit 4
1000 eq It or Isss $11000
Name (or name of business) 01 �Vioj (y� pportiontherherS Each advthereof
n or $2500 1
Commercial 93-1, Residential❑ l.wEn $25 DO
Lech Manu4'd'd Home or Modular ? i
DwelbrV Service or Feeder sm 00
2a. Contractor Installation only:
4b.Services or Feeders
t l stallalron,alteration or relocatan ,^ 2
Electrical Contractor -05�-- sas C—
jCTr e .(L � 200 ampa or loss $6000x0 2
Address S 75< CA 1-f K 201 amps to 400 amps � $8000 1' 2 �
401 amps to 800 ampa $120 00 2
City A State Zip 7 G:� _ I sol amps to 1000 amps $18000 2
Phone No. Over 1000 ampa or volts $34000 2
Contractor's License No. 1 —2 3 Reconnect only _! $5000
Contractor's Board Reg. No. e7 3$c!� 4c.Temporary Services or Feeders
r - Installation ahernlion,or relocahon 2
Signature Of Supr. EIeC'n -''r 7/ ccf4/ 200 amps or leas $5000 2
License No.— � 5 Phone No.,� 201 amps' 00°400 amps $
0 2
401 amps to 8amps $100oo 000
Over 80o amps to 1000 volts
2b. For owner Installations: see W abase 1
4d. Branch Circuits
Print Owner's NameNew,alter Iron or estensio,,per panel
Address al The tae for branch arcurte with
CityState lip_ � I purcharm of semka or rtr for As. 2
EaL+branch cncurt $500 .Z 1S _
Phone No._ b)The lee for branch arcuds without
The installation is being made on property I own which is purchses of ON ke or A"dw b.. 2
not intenders for sale, lease or rent. Rist bramh°''curl $3500 2
Each additional branch arcult $500
Owner's Signature_ 4e. Mi"Isneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or engallon arcle $4000 2
Each sign or outhne Ighbng $40 00 _
Srpnal clrcu t(s)at a Imlisd energy 2
Please heck appropriate Item and enter fee in section 58. panel alteratior•or extension $40 0o
4 or more Iesiderltial units in one structure Minor I.abole(10) _ $10000 _
Service and faeder 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 above
as described in N E C Chaptur 5 Per insptrhon $35 Do
Per hour $55 no
$55 —
Submit 2"to of plans with application where any of j above In Plant DO
apply. Not required for temporary construction services. $. Fees: i
NOTICE So. Enter total of above fees $ 7"
5%Surcharge(05 X total fees) $ 7F715
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.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 TIME AFTER WORK IS 5
rSuubtotal $
COMMENCED L_! Trust Account M $ j t
lG
Balance Due $ 9)
.errV,oTe.nw.v,n eo
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Page No. 1 CASE HISTORY MT? CA91, M . : FLC99-0487 I
MCMBNAMI HS
14610 SW SEQUOIA PKWY
05/15/98
Action Dercription Req/ ^chd/ I.nd/ Act l.n Not,on Disp By Update Upd
Cede Sent D. " 'i-me Date By
eee RLCC001 Application received / / / / 11/28/^5 R,CD DON 11/28/95 J•H
RLI"C003 Permit created / / / / 11/28/95 RECD BON 11/28/95 J•H
RLCCS00 M lssue permit / / / / 11/28/95 PASS BON 11/20/95 J•H
t UL.CC720 Nall Cover 11/28/9. / / 02/22/96 booths PASS MJR 02/22/96 MJR
ELCC720 Mall Cover 01/11/96 / / / /
PASS MJR 01/23/96 MJR
., RLCC720 Mall Cover 01/31/96 / / / cover bar only BAN MJR 01/31/96 MJR
EL.CC730 61ect'l Service 01/19/96 / / / / PASS MJR 01/19/96 MSR
RLCC799 Rloct'1 Final 11/29/95 / / 03/08/96 not ready NOT NJR 03/11/96 MJR
11 VL.CC799 Rlect'l Final 03/11/96 / / 03/11/56
PASS MJR 03/11!96 IVR
SSCC800 Came Pinaled / / / / 03/11/96 YRS MJR 03/11/96 MJR ( 1
Y�y PL.CC920 Mieca'.laneous action / / / / 01/08/96 underfloor cover approved UNDR MJR 01/08/95 MJR
1
1
rMCC920 MIocellaneous a^tion 02/22/95 / / 02/22/96 trench cover a roved 122
PP t1NDP M.7R 02,72/ 6 MJR
r;
PW
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1
CITY OF T I%47ALRD •
BLIILDIMG RLRMiT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . ; hUF195-0x21
13125 SW Hall Blvd.Tigard,Onpon 97223.8190 (503)839-4171 DATE I SSUED s 10/17/95
G 4171
PARCEL: 2S 1 12AD-00200
SI fE ADDRESS. . . : 14610 SW SEQUOIA PKWY
SiJBD I V I S I ON. . . . : BON I TA GARDENS ��nn ZONING: I-L
LOCKLOT___-.----------4ll.lt ry
G._.__ _
Rt I SSUE:: FLOOR AREAS -______._.___ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORI!. :NEW FIRST. . . . :3630 s f N: S: E: W:
l TYRE OF USE. . . -COM SECOND. . . : sf PROTECT OPEN INGS?-------._-.-.--
TYPE CF CONST. :5N "THIRD. . . . : sf Na S. E: Ws
OCCUPANCY GRP. :A? TOTAL------ : .36130 sf ROOF CONST: FIRE RET7:
OCCUPANCY LOAD: 150 BASEMENT. : sf AREA SER. RATED:
STOR. : HT. : ft GARAGE. . . : sf OC;CU SEP. RATED:
RSMT?: ML Z Z?: REDID SETBACKS - --- - - REQUIRED---------------------
FLOOR
EQUIRED---------•------------
IFLOOR LOAD. . . . : ps f LEFT: ft RGHT: ft FIR SPKL:N SMOK DE.T. . :N
DWELLING UNITS: F 9NT: ft REAR: ft FIR AL RM:N HND I CP ACC:Y
BEDRMS: BATHS: IMF, SURFACE: PRO CORR:N PARKING:
VALUE. $ : 218737
Remarks : New one story masonr-y bui ' ding with wood frame roof and metal ruclf
totaling 3, 630 sq. ft.
Own, r; ---•-------------------.---------------- -- _- --•----- FEES - - -
JOHN � MARI FMETS C/O TRUSTEES type
y-- -e Am0Unt b� date r-ecpt
14633 OTTAWA" ROAD NE PLCK $ 474. 83 B 07/,=8/95 95-68638
FIRMT $ 730. 50 ,JDA 11 /09/92 92-233561
AURORA OR 97002' FIRE $ 292. 20 JDA 11/09/92 92-233561
Phone #: 678-3081. 5PC,T $ 36. 5.3 JDA 1 1 /09/9;_ 92-233561
EROS $ 88. 00 JDA 10/17/95 95-471758 1
-.___ERPC $ 28. 60 JDA 10/17/95 95--271738
PACIFIC CREST CONSTRUCTION ERPC $ 28. 60 JDA 10/17/95 95-27175P
24111 NE HALC3EY ST. SUITE 400
t,
TROUTDALE OR 97062 _.__._._---•-_-_-____ _.______._______-_-..__
'Ihone #; 669--8570 $ 1679. ."•6 TOYAL
Reg
- -- --- REQUIRED INSPECTIONS --This persit is issued subjea to the regulations contained in the Foot/Fottnd Insp
Tiyard Municipal Lode, State of Ore. Specialty Codes and all othe• Slab Insp
appl icablo laws. All work will be done in accordance with Me s o n r•y Insp
approved plans. This pewit ::ill expire if work is rot started Framing Insp
within IAN days of issuance, or if work is suspended for Bore Roof n a i 1 n g Insp
than IA6 days. InsLtlat ion Insp
Shear, lJal l T n s p
Gyp Board Ins:.
= gineered gradi
Prmittee Siynatf.tr•e� - -- Fappr'/sdl 11< Insp - �
Mise. Inspection
- -�
1 -,1-ted By.- .-� pc
Final Inspectioj -`
Call for- inspectinn - 639-4175
l
C oial Building Permit AAp li ation
City of Tigard
13125 SW Hzy Blvd.
Tigard, CPR 97?23
(503) Mt-4111 rr+ I.1 1 ' ��,r►•�� .
cwvtv C4
' -
Jobsite Address: �'-- �� 1`04 7t (c 121''`(A -j"I� 7
Office Uee Only
Tenant: LF ti 3ulte# �� ✓'f_^�� ��
Valuation: 1 ' �jw] Planck/`Zec
-r1lnr (-sc1� vyPermitOwnerJbM e` /lA to b��tCU - blt 1
Map & TL#,"'�,J
Address: 1 -I,�CI �� 'r A royals Ra iced
_—� u- _
ix-0 M �t _�,-7001 °tanning ,y Lob �� 1144
� — �.-..C�C.1l �.0
Ph,�ne: CG�� � 7�(��,I -
— — — - Engineering
Other _
Contractor.
Address:
`C��Li�c� �� �Y1 •7�b Type of const: N 1
Phone: _ � -- � •�0 Cccupancy class:
No 1
Contractor's License # �'� � I'�� a+.1X -t•��t'S S pnnklered? Yes
(attach copy of current Oregon license) Sq. ft. of project: >, �`;0
Contact narne & phone: �-
Story (1st, 2nd, etc,.)q Proposed use:
1u. �1 uJ 1
ArchltecVEnglneer:
6_111c,_ Propos
-
l_I Previous use:
Address: -1 -
- Note: Plumbing & mechanical plans
must be submitted at time of
,1��-� J"�i�i-z _ building permit application.
Phone:
JOB DESCRIPTION: rr f�� _ l, VN� 1 In1CK��
i
Applicant Signature & Pho�inp number
"ec;e,Ved by: V ��
Datc Received: 1/L+� •x.{, ��
TP
Permit# Account Description Amount Amt. Pd.. Bal. Due • '
Bldg. Permit 'Bl!!LD)
(Y-7T
Plumb. Permit (PLUMB) —
Mech. Permit (MECH)
w State Tax (TAX) t
Bidg:
Plumb:
Mech:
Plao Check (PLANCK) c.� �`� 4 314 P w
B;r'g: _
Plumb:
I Mech:
Sewer Connection (SWUSA) po
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial "rIF (TIF-C)
Industrial TIF (TI r'-I)
Ins'itutional TIF (TIF-IS) _ (�
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) ,� }1 --51to '
Erosion Cntrl Permit (ERPRMT) --CL _ �' C
Erosion Planck/U'SA (ERPLaAN) ,Z -�p .
~�d
Erosion Planck/COT (EROSN)
TOTALS: ) ' i�L•I� )f'0 ?,6
-
i,
►i "IWrIC Ahl'�►rM ..y,�.,7 'tNIN"M V.- yn Y „,I}i..y , .M.. _
* � Page Ao. 1 CASH HISTORY PGO CASE NO OUP95-0321
."I JOHN 6 MARI 9M5TS C/O TRUSTHRS
14r10 SN SEQUOIA PKMY
05/15/99
Action Description Req/ 6chd/ h1Tdi Act;UT Notes Diep By Update Upd
Code Bent Dane Dome Data By -
BUPC007 Application received / / / / 117/29/95 PRNU B 12/15/95 KBS
R'UPCO20 Plan check by 06/09/95 / / 09/20/95 APPR JHF 09/20/95 JHF
BT1PC040 Check for prcl. restrict. 06/09/95 / / -'0/17/95 PASS JDA 05/02/96 JDA
RUPCO90 (F) Ready to ieeue / / / / 10/17/95 Need contractors info PASS JDA 10/17/95 B
BUPC100 (P) Issue permit / / / / 10/17/95 ^A99 JDA 10/17/95 JitA
RUPC460 Devel review coed. met / / / / 05/02/96 PAS JPA 05/02/91 JDA
HUPC705 Foot/Pound Inap 09/15/95 / / 10/25/95 PASS TLP 10/2S/95 TL:
RUPC70S Pout/Found Tnep / / / / 10/30/3' PASS TLP 10/31/95 TLP
BUPC725 Slab Insp 09/19/95 / / 11/09/95 PASS RR 11/13/95 RB
RUPC727 Masonry Ins, 09/15/95 / / 11/29/95 PASS TLP 11/26/95 TLP
RUPC737 Masonry Inep 12/01/95 12/06/93 / / PASF. TLP 12/07/95 TLP
WUPC727 Masonry Inep 12/04/95 / / / / last lift bar area PASS TLP 12/04/95 TLP
BUPC^17 Mascnry Insp 12/14/95 / / / / 6-1-went wall top section. north wall APP KS 12/15/95 KBS t
tnp, "eat section of kitchen,/ east of
kitchen
13UPC727 rtaeonry Inep 11/96/95 / / / / PASS TLP 12,'26/95 TLP
SUPC740 Framing Insp / / / / 01/12/96 roof vault PART TLP 0112/96 TLP
RUPC740 Framing Inap 01/19/96 / / / / PASA TLP 01/19/95 TLP
SUPC742 Roof naiing Inep 09/15/95 / / 01/03/95 PASS TLD 01/04/96 TLP +t
RUPC750 Ineu)at:ion Inep / / / / 01/16/96 PASS TLP 01/19/96 TLP {
BUPC760 Gyp Board Insp / / / / 01/16/96 PA-99 TLP 01/19/96 TLP
BUPC7I0 On Doard Inep 01/23/96 / / / / PASS TLP 01/24/96 TLP
RUPC796 Misc. Inspection 11/07/95 / / 11/07/95 slab cover approved M- CA MOP 11,'07/95 MJR
s
SUPC947 (P) Issue Temp Cert of Occ / / 03/13/96 03/13/95 until March 22, 1996 PASS OF 05/09/96 JDA
BUPC950 (F) Issue Cert. of occupancy / / / / 03/09/96 OF 05/92/96 OF
RUPCS70 PRRMIT PRNDRP / / / / 10/03/93 Need planning and onji.neerinng approval. PEND BON 10/63/95 R
i
E�.
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CITY OF TIGARD SITE WORK 1
PERMIT
COMMUNITY DEVELOPMENT ERARTM NT PERMIT' SUED: 10 7/95SIT90034
� � DATE ISSUED: 10/17/95
13125 8W Hall Blvd.Tigard,Oregon 97223.8199 (503)838.1171
PARCEL: 2S112AD-00300
ITE ADDRESS. . . . 1 -F610 SW SEQUOIA PKWY
SUBDIVISION. . . . : PCNITA GARDENS ZONING: I-L `
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4 skf
TYPE OF WORK:NEW PAVING?. . . , . . . . . :Y REDO. NO. :
EXCV VOLUME. : cy GRADiNG?. . . . . . . . :Y VALUE. . . f : 42000
FILL VOLUMIE. : C y LANDSCAPING?. . . , : Y
ENG FILL?. . . . . . :N SITE PREP?. . . . . . .Y
t SOILS RPT READ? :Y ST014M DRAINS ). . . :Y
IMPERV SURFACE. . : Ic)070 sf
Remarks : New one story maeoml y building wi -h wood frame r^oaf ani metal rr»f j
totaling 3, 630 3q. ft. "SITEWORK ONLY"
Owner-. ---- ----_______._.__------------._._._.....____..._______- --__-.-- FEE,
JOHN & MARI SMETS C/O TRUSTEES type amount by date recpt
1.4633 OTTAWAY ROAD Nf-_ Swtl °,. 49C?. 07 JDA 10/17/95 95-271758
r fiWM $ 7�'. . 00 JDA 06/29/90 9121-21212'21212'
AURORA OR 97002 5PCT $ 12_. 33 .JDA 10/17/95 95-271798
Phor:e #: 678-3081 PL CK $ 160. 55 ?DA 10/17/95 95- 271758
EROS $ 80. 00 JDA 10/1.7/95 45-271758
1 Contractors -------------- _ ___._ _______--- ERVC $ 26. 00 JDA 10/17/95 95-271738
PACIFIC CREST CONSTRUCTION r-RPC t '6. 00 .JDA 10/17/95 95-271756
i
24111 NE HALSEY ST. SHITE 400 PRMT $ 247. 00 JDA 10/13/95 --
TROUTOALE OR 97060
Ph onP #1 669-8570 $ 1771. 97 TOTAL
Ren_ #. , : 56255
------- REQU*RED INSPECTTONS ---- _--
This pe�sit is issued suh.jFct to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Special.v Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with Fill Inspection -
approved plans. This permit will expire if work is not started Grading Insp
41thin 186 days of issuance, or if work is suspe Tded for more St rm Dr^a i n Insp
than IN days. Rei•Tforced concr
Structur-al mason
Engineered yradi -
4 141 -�.�ERM;T PE.NDED ~�
Permittee Signature : ' _ V v �� FiTal Inspection _
Issued fly .
t"
Call for inspection - 639-4175
t
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V
1
a
_Commercial Building Permit Application
City of Tigard
13125 SW Mal/ Blvd. '
Tlgafd, OR 97223 Gt r 17 C r ��?0
(503) 639-4171 j t- � 7
i
Jobstte address:N LI 10 'JW3,9 6n
��(J l)D 1 � ►y p �
Tenant: 11 >JI >,.r. .,.. ... Sulfa 8
valuation: w
Permi e '�
Owner: > ftMap
Address:
'_, �'Ap�iovale Required
--fin '` / ✓ s „ ,. i
----- Planning
Plane:
Engineerfng
1 i A✓�JV/A Q`!!I^1'�
Other
Contractor:
7 11(�
Address: /U ' ' , ;�1 14
Type of const: V 1/ 1
Occupancy lass:
Phone:
�
Contractor's License
- Sprinklered? Yes i
#r 1 -� – I
III
ropy of current Oreg/nn license) Sq. ft. of project: fff
Contact name & phone: J�C' � � /c/^I) -?'r>_ I
Story (1st, 2r�d, etr.)
Proposed use:
ArchitectiEnglneer: ,ny L I,�, /,��-�-��,,�,, ����,/ — ---
Address: Previous use:
Note: Plumbing & mechanical plans
must be submitted at time of
Phone: building permit application.
I
JOB DESCR-PTION:
Applicant Signature & Phone number --
Received by:_ ��� Date Rece,'ved:
•1
Permit# Account Deacripdon Amount Amt. Pd. Bal. Due
_ Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) ) 2
Sidg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
— Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge IPKSDC)
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) y OP
Water Quantity (WQL'ANT) JL 2-
Fire
Fire Life Safety (FLS) ..
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) l�
TOTALS:
d
1
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f
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Page No. 1 CASH HIBTORy POR CASH ND.: SIT95-0034
JOHN 6 MARI SMETS C/O TRU3TMW
14610 SN SEQUOIA PIC31y
05/15/99
Action Description Req/ Srhd/ End/ Action Notes Disp By Update Upd
® Code Sent Done Done Date By
__-
BITA007 Appliaaticm re eived / / / / 09/23/95 PASS JCA 05/04/96 MA
9ITA010 Plan check by 18/23/99 ( 09/20/95 update review out additional tufo APPR JHP 09/20/95 JNF
,seeded. called Lean H. pm
DITA020 Check for p'rcl. restrict. 09/23/95 / / 09/23/95 PAS JDA 05/09/96 JDA
OITA070 (P) Ready to issue / / / / 10/17/95 Need contractors info. PASS JDA 30,'17/7S 11
VITA090 (P) Issue permit / / / / 10/17/95 PASS JDA 10/17/95 JIV
BITB740 etre Drain Inap / / / / 11/02/95 perimeter of building PASS TLP 11/03/95 TLP
i
sill",.," PR?MiT VF.MM) / / / / 10/03/95 Need planning and engineering approval. PEND BON 10/03/95 B
SITBM00 Cane Finaled / / / ( 03/13/96 PASS MS 03/13/96 MRP
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Case summary for Case No. : SWR95-0319 Date: 05/15/98
SEWER PERMIT----- - -- -- -- —�
:SWR95-0319 : PRO:IECT:JOHN BARLEYCORNS STATUS:F UPD: 05/*15/98 : :JT i
_ PER.MITTEE:JOHN & MAR.I SMETS C/O TRUSTEFS PRIM. . :SDR95-0016 : I
SITE ADDF.ESS: 14610 SW SEQUOIA PKWY JUR. . . :TIG:
-PROJECT DESCRIPTION (I)--
New
1)--New one story masonry building with wood frame roof and metal roof
■ totaling 3, 630 3g. ft .
TENANT NAME. . . . . :MCMENAMIN'S
USA NO. . . . . . . . . . : FIXTURE UNITS . . . : 73 :
CLASS OF WORK. . . :NEW: DWELLING UNITS. . : 5 :
TYPE OF USE. . . . . :COM: NO. OF BUILDINGS: 0 .
INSTALL TYPE. . . . :LTPSWR: IMPERV SURFACE. . : 19070 : sf
-NOTES (3)
73 fixture units divide. by 16 = 4 . 56 EDU rounded up to 5 EDU's .
SWR90-0279 was a project on same site and never completed. Permit voided
Memo field #1
New one story masonry-building with-wood frame roof_ and metal roof - - -
totaling 3, 630 sq. ft .
Memo field #2
None
Memo field #3
73 fixture units divided by 16 = 4 . 56 EDU rounded up to 5 EDU's .
SWR90-0279 was a project on same site and never completed. Permit voided
along with voided land use. Same applicant for this project_ . Trali.sferred
5 DUs already paid for in 1990 to this SWR permit . To issue the p:n-.mit.,
the fees have to be paid in full . . .no actual moneys were collectel, a
therefore no receipt number. SWR90-0279 had an inspection fe% of !, 75 . 00,
we refunded 80% of this as no inspections were done, the Credit here will
be applied to the SIT95-0034 permit fee field from $247 to $232 . 00 due
TOTL VAL: $ 0
- - -- -- Case summary report completed ---- -- _
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'...v-.J-.. JOHN R MAFI 9Mtit'9 C/O '1R119'I'695
]4610 SN s6000IA PRIn'
05/15/98
Action Description req/ Schd/ End/ Action Notes Disp lly Update Upd
Code Sent Dane Dane Date by _
9wRA007 Application received / / / I / I
0!/09/95 B
.SMRAolo Plan check by / / / / 00/09/95 On/09/95 e
9WR.Aolo Check for prcl. restrict. 09/09/95 / / 10/06/95 PASS JDA 19/06/95 JDA
9MRA090 Ready to issue / / / / 30/06/95 PASS J"k 10/n6/95 JDA
SMRA-r5 Sever Innpectim / / / / 01/24/96 PASS MS 01/24/96 MRS
v g4PA'r'.5 PURMIT PESMDED / / / / 10/03/95 Need planning and engineerinq appim al, PEND BON 01/24/96 MR-9
91TA-2o Cane Finaled / / / / 01,24/96 2-seperate tax late will require APPR MR 01/26/96 MRS
2 seperato sew-.,rd
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CITY OF TIGARD
October 10, 1995 OREGON
Mr. Luther P. Barker, III \
National Mortgage Company �-
900 SW 5th )venue SENT VIA FACSIMILE
Portland, OR 97202 226-6244
RE: McMenamins Pub & Brewery
14610 SW Sequoia Parkway
Dear Mr. Barker:
The following represents the dollar amount owing for permits related to the above
referenced project:
Permit F eType Fee Amount Credit Rate Credit Anpl Bal.
BUP91-0093 Permit $ 1308.00 60% $ 784.80 BIJP95-0321 $380.39
$ /30.50
$ 57.01
Tax $ 65.40 60% $ 39.24 $ 36.53
SWR90-0279 Connect $ 6250.00 5 DU's 5 DU's" SVIR95-0319 $ 0.00
Inspection $ 75.00 80% $ 60.CJ ;;VVR95-0319
$45.00
SIT95-0034
$15.00 $ see
below
--- Storm SDC $ 500.00 $500.00 $ 500.00 SIT95-0034
Wtr. Quant. $1156.97
TOTAL $163236
Please note that the BUP95--0321 figure of$380.39 does not include TIF. See attached !
Iletter for TIF computations.
I will be out of the office on Tuesday and Wednesday, October 10th and 11th. Any
question!; you have can be discussed with Jim Duckett at ext #349.
Sincerely, -
��
Jill Aldrich
CS Manager, Community Development
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 ------- —
�rsr „,,r;!�i'urt f;1+H?�,*,'� �t+.lSsv' i i_..i."i+S r..a ,, .. *a'•. .. e,.,r -. ,-i 11...%'�{,�' y��►�
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i
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CITY OF TIGARD
ITY
OREGON
1
Current sewer DU's are calculated at a rate of $2200.00 per DU. The DU
credit represents a $4750 savings to you as opposed to crediting the
$6250 to the current amount due of $11000.
The building permit BUP95-0321 has been approved for issuance by both the planning �
and engineering departments.
cc: Mr. Jeffery Sackett
Triangle Development Company
15455 Hallmark Drive, Suite 150
Lake Oswego, OR 97035
Fax: 699-5029
13125 SW Hall b:/d., Tigard, OR 07223 (503) 639-4171 TDD (503) 684-2772 -- -
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♦' }19
CITY OF TIGARD
a
October 7, 1995 OREGON
John Smets '-
14533 Ottaway Rd NE
Aurora OR 97002
Re: Traffic Impact Fee (TIF) for MoMenamins
Parcel 2S112AD-00300
r,
Please be advised your request for transference of TIF fees paid for and associated with
the building permit BUP91-0093 to the McMenamins project has been evaluated. This
letter is intended to provide an explanation of the process used to obtain this response.
Your request received special consideration as it juxtaposed the concepts related to the
"letter of the law" and the "spirit of thQ law".
According to the Washington County TIF code, refunds are to be issued only under two
j circumstances; refunds are to be issued when a clerical error has been found or when
an applicant accidently pays for a TIF but later presents a voucher for payment. The TIF
code expressly indicates no refund shall be granted for any other reason than those
indicated. The conditions indicated for refunds are found in Washington County TIF
code 3.17.110.
The TIF code also allows for"credits" to apply to all new buildings when the new building
either replar:es a pre-existing building or pertains to a change of use for an existing
structure. According to the TIF procedures maiiunl, section II.H , a TIF reduction may
be awarded for previo isly developed property according to the number of trips gonernted
by that previous use.
While a strict interpretation of the 'letter of the law" would lead one to believe you do not
qualify for any reduction, the intent of the TIF needs to be considered. It is the intent
of the TIF to assess a tax on any structure which generates additional traffic. Since you
intended for the structure related to BUP91-0093 to generate traffic, you were assessed
a TIF. The situation is unique in that the building process for BUP91-0093 commenced
but has since been terminated. In consulting with staff at Washington County who
13125 SW Hall Blvd., Tlgard, OR 97223 (503) 6.19-4171 TDD (503) 684-2772 ---
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f;ITY OF TIGARt�
s
OREGON
specialize in TIF administration, it was fo.ind that TiF fees Voa�e been reduced' in
situations where the building process was terminated by one builder and then resumed
i by another for the exact same structure Your situation is unique in that the construction
commenced under BUP91-0093 is not being resumed; a completely nevi structure is
proposed on the same parcel of !and
Since the intent of TIF is not to unfairly tax builde s but rather assess tax based on
anticipated tr3fftc impact, and since the pre,rious building permit is no lono�r valid, it
!seems prudent to reduce your new f IF by the amount of trips assessed on the previous
structure. Please find attached a new TIF arork sheet depicting the appropriate reduction
in trips.
Please be aware that a new TIF will be as., essed should the previous building ever
resume construction.
If you have any questions, please feel free to telephone me at 639-4171.
Sincerely,
James S. Duckett
Devclopment ;services Technician
i
13125 M Hall Blvd., Tlgcr J, OR 97223 (503) 639-4171 TED (603) 684-2772
I �
.. e s
October 7, 1995
John & Mari Smets c/o Trustees CITY ®� Tp�►��+
14633 Ottaway Rd NE
Aurora OR 97002 OREGON
TRAFFIC IMPACT FEE FOR Mci'Jlenamins Pub
14610 SIN Sequoia Parkway
Enclosed with this letter you will find a ualculatior. sheet showing the
computation that has been performed to determine the amount of the
Traffic Impact Fee (TIF) to be paid for the project noted above. The amount
of toe TIF is $6057.00.
You have three payment options available to you. The first is to pay the
TIF at `he time you are issued a building permit. The second is to arrange
for payment over time by signing a promissory note (if you wish to exercise
this seconc' option please contact me for additional details). The third
option is to defer payment until occupancy. Traffic impact fees are subject
to an annul increase of up to 6% if not paid or financed prior to July 1 st
of each year.
Please note that you may appeal the discretionary decisions made in
d atermining the appropriate category and the amount of the fee based on
that category. A notice of appeal must be received by the Qi Record
no later than 5:00 p.m. on Octobei 23, 1995 and must be accompanied by
the $625.00 appeal fee required by Washington County. Although filed
pP
w;th the City Recorder, an appeal would be heard by the Washington
County Hearings Officer.
i
If you have any questions, or if I can be of further service, please contact
me at 639-4171 .
L�
James S. Duckett
Development Services Technician
c: TIF file
Building Fle
13125 SW Hall Md., T10ald, OR 97223 (533) 639-4171 TDD f501) 68.4-2772 —
DATE PLANS CHECK NO..
lD- c96,.�75'' 1 ,J C
PROJECT 11TLE:
//
CO DE
TIIC INTACT FEECC APPLICANT:
WORKSHEETR lG 'f)�G I , 1t�1,� N r�ai f•' t �oS
KAIUN ADDRESS:
(FOR NON-SINGLE FA,%AMY I1aES) /��_ � � c' 1 /'� AJ
CITY/ZiP/PHONE:
RATE PER A,.• , -('j &-r?
LAND USE CA199CRY TEMP TAX MAP NO.:
RESIDENTIAL 5158.00 `-•/ 1' � o c� �
X
SUSINE5§ ANOh'.R;,IA 40.00 Sm1;NO.,ADDRESS:
146,E �(�i o �is-J �,� �.• r �ai-f',.�a
civ USTRIA $153.00
iNSTITUTIONAL $66.00
PAYMENT METHOD:
' CREDIT __
i N'b7YTU l IO NAL.O K LY:
BA.NCROFT(PROWSSORY NOTE) w+O Use CATEfiORY ESCRIPTION OF USE Y AV Q THIP RA w£F►cENO AVF TRIP RATE
DEFER TO OCk JPANCY `' 'f
BASIS: c�l I �•i�. T rr&fc,ser, TS-c
(.../ ,,rr �be rre&-ew
o f a I G olr l� 1
L
CALCULATIONS: � �Ulv LX1 .� J.BS rr.PL/,,r� tt3 ' - ��� 7r•'�S
Tr!pi - \ J
�F ��,STr..ia. r•�2It�+� ,4rx4 S.trC.r �5/etc• J= L-3/. o •rr,`/�t
i�0,�(o Tr.ws Tr('t PRODUCT TRW 7MERATAN:
C'Sl.'�c Tr. S OS(o•�U R[:
ADDITIONAL NOTES: FOR ACCOUNTING PUPPOSES ONLY:
ROAD MIT.: —�—
JU
TRANSIT AMT.: '
-17
--PWAPA BY:
Cr: WAsm"QTON COUNTY
Tif MfJ'TYOOK
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10-06-1995 02:00Pti FRr,i Triangle Develcpment Co. TO 6847297 P.02 .f
10
CITY OF TIGARD
STREET OPENING PERMIT
APPLICATION
Date October 4. 1925
APPLICANTS NAME Tht Ems F ^;Iv Try I '
ADDRESS ,L41U-�Iway RkO N=E•
ZIP
PHONE
• CONTRACI ORS NAME Edgiflc Crisstg-&nstruction•JM_
ADDRESS241 1' N H•i _
E d sey qtr et, Suite 40Q _ � _
ZIP�708t)
PHONE
• PLANS BY _ m lin Hattan Architect$
ADDRESS 11UNE-122M vrar ?. Suite 8111
Portland. OR - ZIP—U23Q
PHONE L§gJ-2 57-7212
DESCRIPTION OF WORK 70 BE DONE: ,_ Widen existing curbcut and doypy-u—nm"IrdLan
sSeauola Partcway aaortiximately lg to south to saw with n v afsf c�
• CS TIMATE VALUE OF WORK (within public right-of-way): S OO QO
. WORK LOCATIONi SITE ADDRESS: _14810 SW Segugia Parkway
• iS THIS WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (MLP, SDR, ETC.) NO..
Hg
• IS THIS REIATED TO A BUILDING PERMI77 IF SO, SPECIFY(BLDG, PERMIT) NC Y" _
*.,yn?, w-r y.,.y....Ny�,1,..�„�... w� ..s. a ... ..-� �► •w •r aw
tl:
10-06-19':5 02'01PM FROM Triangle Development Co. TO 5847297 P.03
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• Community Development ELECTRICAL. PERMIT APPLICATION •
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # L C 1 • =' (
Phone (503) 639-4171 Date Issued "
FAX (503) 684-7297
CITY OF TIOARD
TDD No Issued by(503) 684-2772 --......-�-,
p Inspection (503) 639-4175
1. Job Address: 4. Complele Ft-e Schedule Below:
Name of Development _ I Number of Inspections per permit alloyed --- 4A
AddressL �. Servic.N included Items Cosl(ea) Sum
City/State/Zip Of 49. Residential-par unit h �— 4
1000%a If or leas 5110 L
Name (or name of business) 1(- 1 „y'&ptI/) S Each add4rorm 500 M If or
portion thereof X25 00 _ 1
Commercial9l Residential❑ Landed Energy $2500
Each Manut'd Horne or Modular 2
Dwelling Service or Feeder 588 00
2a. Contractor Installation only: 4b.Services or Feeders
I nalration alteration or relorntron 2
Electrical Contractor 4 _ _6� I,C , M200 amps or leas Sir)nn
Address SSS 5 t,.�., ?01 amps In 400 TmpF W 00 — 2
CiT State 0 Zi Z 401 amps m telt Wipe $12n on _ 2
--F - - - —� 6o amps to 1 nno,,rips __ $1 e0 on 2
Phol�e No. y- 7 �I _ Uva-1000 amps or vo%s 5140 On
Contractor's Ticense No. --?c1715—3Rom nnedonly ISO 00
Contractor's Board Reg. No._—?-3-L49—�
4c. Temporary Services or Fenders
Inelallatlon alteration w relocation ^n 2
Signature of Supr. Elec'n �t" 20o amps less —t— $5000 Q 2
License No 31 rjr I& _ Phone ho 0.�q_17,5 201 amps to 400 amps :7500
401 amps to 800 ampa $10000
0vor(moo amps to 1000 volts -
2b. For owner installations: sotir W abme
4d. Bre-ich Circuits
Print Owner's Name_ New atteranon nr srtrnsron par panel
Address_ i)rhe fes for br-.nch cauda with
Cinr State Zip_ purchase of servke or bedw Are. ?
Each branch cirrud $500
Phone No. _ b)The lee for branch circuits without
The installafion is being made on property I own which is I purchase or wvks or Ali edW Are.
>
not tiro^C+pd for sale, lease or rent. First Earth circuit $35 GO
$500
Each additional branch cirard
Owner's Signature_ __ 4e. Miscellaneous
(Services os feeder not included) 2
3. Plan Review section (i/required): Each pump or irrigation circle $4000 _ 2
Eads etgn or outline fighting $4000 _
Signal cimud(s)or a lmded enerry 2
Please check appropriate item and enter fee in section 58. panel,alteration 0,"onsron $4000
4 or more roniderliial units in one structure t minor Lalxls(10) $10000
_Service and feeder 225 amps or more
_System over 6n0 volts nominal 41. Each additional insae^tion over
a_CLnssified area or structure containing special occupancy the allowable in any of the above f
as described in If E C Chapter 5Per rneparhon 153500 I+
Per hour 555 00 l
In Plant 555 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $
5%St-rcharge(05 X fatal fees) ;?1
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subrorof $
AU1H�,RIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb.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 TIME AFTER WORK IS Subrobti $
COMMENCED ❑ 'frust Account x
Balance Due
eMrromdw.MK pm rpp -- --_
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Paq. N1 CABS HISTORY POR CASH W RLC95-0409
ROBERT'S RLRCPRIC INC
14610 SN SRQUOIA PYI*Y
OK%15/9�
Action Descripti.ct, Req/ sci-fi/ Rnd! Action Ilotu Diep By Update Upd
Code sent Dane Dans Date By
RLCC001 Application received / / / / 09/25/95 RECD JIM 1.1/19/95 TMP
9LCC002 Permit created / / j 1 09/]5195 RECD JIM 11/39/95 TMP
91,27C500 (P)Ivvue permit / / / / 06/25/95 ?)M. :tM 11/29/95 TMP
PLCCOOU Cave Finaled / / / / 03/08/96 yu "n 03/11/96 wR
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Septen.ber 0, 191_95
y,S,`y�JC tt,�9
,James Funk James G. Pierson, Inc.
Plan Examiner "
City of Tigard
3 r.E
1311SW Hall Blvd. c1wE .
Tigard, Oregon 97723 J
RESPONSE TO STRUCTURAL PLAN CHECK
M`MENAMINS BREW PUB
SEQUOIA PARKWAY, TIGARD, OREGON t
BUILDING i ERMIT NUMBER PC7-87C BUP95-0321
Dear Mr. Funk:
9 '
The following are responses to your flan Examination Sheet, as submitted by Hamblin Hattan
Architecturs dated 24 August 1995. These comments are in regards to the revised building
configuration as shown by the resubmitted drawings dated 23 June 1995. My responses to the
items are as follows-
Item I To be handled by the architect.
t -_/ Item Y A 1/2"+ self=drilling anchor bolt (u� each corner of unit. See attached calcuL+lion.
I
Item 3 Sc attached sheet.
Item 4 See the general 5!ructural notes is supplied by the architect. The note statrQ"Fibo-r
stress in bending .;hall be Fh=2,100 psi for beams 15 inches and deeper, and
a Fh=2000 psi li)r beams 13 1/2 inches deep and less." Il,t
Item 5 See the attached calculation.
Item 6 The weld is a flared bevel weld. Generally, we do not give the size. It is ba:;ed on
about half the radius. The length is given by the 4. inch dimension given on the
detail fir the length of rod beyond the edge of the plate.
lt(m 7 Sec ,he attached calculation.
Consulting Structural Fngineers
.121)S Stark. Suite 535 Port'and, Oregon 97204 Tel:(503)226-1286 Fax:(503)226.3130
.syr p... � .y K.�,,..1r+.,,*I�p^i►'"""""R^q ►'„E"�r wr .w . ..�, ..,ae+ 7 .s. .yA,•. . .�..�
a.
� Item H '1'11;s r s was rorrec.ed I,) an acldrndurn sent by the archtlect. See photocopy off
correction that was sunt to the architect.
Item 9 See attached detail.
Item 10 he handled by the architects orrice.
Sincerely,
tcheal T. Daily
I rsign L.nhincer
F :
enclosure
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RECEIVED
September 6, 1995
4CN 1 � 1yt���;
City of T gard
Building Department-Plan Check CUMMUNIIY DLVLLUP101141
+ 13125 SW Hall Blvd.
Tigard,Oregon 97223
Attention: Mr.James Funk
a Reference: PC7-87C McMenamins Brew Pub
Dear Jim:
In response to your letter of August 24, 1995,concerning'he above reference project,the following
information is submitted.
Item I. Site-
1. The attached drawings and calc ilations covering site grt ding and err ion control are forwarded
for y,)ur information and necessary action.
2. Simng of storm drainage piping-see attached calculatiar.s.
See attached Soils Engineering Report for existing soil conditions.
Item 2. Accessibility- I
I. Ali accessible doors t(,have lever handles in accordance with Section 3109(c). All door
controls shall require a force no grater than 5 pounds force to activate.
2. Floor drains where shown on the drawings do not interfere with handicapped accessibility.
Item 3. Fire and Life Safety
.l
1. Flush'bolts will be deleted from doors Mark l and 2. Panic devices w?II be installed on both i
pairs of doors.
f 2. Battery pack emergency lighti,ig with an illumination having an intensity of not less than I foot
candle at floor level will be installed-three fixtures thus.
Y►. Illuminated Exit Signs w;!!be installed at all exit doors.
--�4. Fire extinguishers as recommended by the Fire Department will be installed as directed.
C3) Fire extinguishing system will be installed in conjunction with hood. Drawings covering this
equipment plus the hood will be submitted for approval as soon as they are available.
—,..�. Tempered glass will be installed to t.ntry doors.
Itep 4. Structural
Jl. Duct work for exhaust hood-see attached drawing.
,2. Installation of brew kettle and water heater-see attached information from Structural Engineer.
3. See attached information from Stnictural Engineer.
4. See attached information from Structural Engineer.'
5, See attached information from Structural Engineer
6. See attached information from Structural Engincer
7 See attached ?nformation from Structural Engineer
8. See attached information from Structural Engineer
9. See attached information frorn Structural Engineer
10. Weep holes will be installed at 24"oc.slightly above grade at all masonry veneer.
Item S. Mechanical
1. The total BTU rating of the brew kettle is 199,000 BTU's. c
2. Grease interceptor from dishwashing area is to be installed in 4" line from bar area.
r•-'. ,,..,�+.y1�• . ..r w+ir
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Estimated value of site work ik $42,000.00
Approximate square footage of impervious areas-McMenamin property is as follows.
Asphaltic Concrete- 12,720 square feet.
Concrete sidew6lks and patios-2,,`,9 square feet.
Building- 3600 square feet.
Sincerely
Hamblin Hattan Arcl.;'Acts PC
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M. Leon !-lambiin .
President
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COUNTYWIDE CITY OF T16AR®
TRAFFIC IMPACT EEE OREGON "
PAYMENT OPTION FORM
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Project Name Plan Check #
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore,
I request the following (choose whichever optior, or options are applicable):
Cash or Check
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Credit Voucher
Bancroft or Installment Payments
and/or
The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit
if the TIF is greater than $5,000. If the TIF meets this requirement, ! also request this option.
I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand
that the TIF will be recalculated based on the prevailing rates at the time of payment. Please
be advised that TIF rates may increase up to six percent each July 1 st. This rate increase is not
subject to appeal.
AI- I ANT OWNER/APPLICANT �� M
'JeIUIVY M. Sackett
President
C: ng Permit Fila
Payment
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Payment Oatlon Notebook
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13125 SW Hall Blvd., Tigard, 09 97223 (503) 639-4171 TDD (503) 684-2772 —
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