16200 SW PACIFIC HIGHWAY STE G-2 r
ADDRESS:
;•\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTIC►: l r
Inspection Limp (Rec-O-Phone): 639.4175 Business Phone 639.4171
Inspection;_ C -11 Ce., C.L1�.?✓j -.l
Footing Susp. Ceiling Sprink. Rough-H Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Om Elec. Rough-in FINAL:
Post/Beam "A3ch. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. �EfccTj
Date Requested: 7� Time: �M
rr
Address: U Cif 46permit
f',Builder k", 1Zr. 726L9`,S A��C_l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
lnns/pector ^�m, J[ �w Date:�e 9`)
)APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 4171
Inspection: ( ✓ �,}Q�
Footing Susp. Ceiling Sprink. ROLgh-in r/S Ik
Foundation Pibg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out El9c. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ZL Time: AM �_PM
Address: Z G7 0a
Builder: Permit #: —DU Lin�
THE FOLLOWING CORRECTIONS ARE REQUI1,41ED:
� y
Insp"�ector,_ - Date:
CA
PPR��OVED � _DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsl
CITY OF TIGARD BUILDING INSPECTION NOTICE -�
-Inspection Line (Rec-O•Phone): 639'--4.175 Business Phone: 171
Inspoction:
�s�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rc,ugh-in FINAL:
Post/Beam Mech. San. Sewer Gas Line r4Mec
Plbg. Underfloor Rain Drain Fray-ing
Alarm Water Line Insulation
Jnderflr. Insul. Shear Wall r Gyp. Bd. -Elect.
Data Requested: Time:,-AN __PM
Address:
Builder: f __'3 U Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
A491'RO ED __DISAPPROVED _APPROVED SUB E T TO A60VE
Call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPAHTMENT CERTIFICATE OF'
13125 SW Hall Blvd.Tigard,Oisgon 97223*8199 (503)639-4171 OCCUPANCY
)ix, PERM I T #. . . . . .— i BU `95--V'
,,39- -41 ,- DATE ISSUED: 014/07/95
f TE ADD REGS. 16,200 SW PAC I I-IC:; 14WY
"BDIVISION. . . . i ZONING:
..LICK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. :A1.T
TYPE OF- USE. . . :CLIM
OCCUPANCY GRP. :OZ.,
OCCUPANCY LOAD a 35
TE*NAN1' NAME. . . cAWAY TRAVEL
Remarks. T - -add office, ADA 1.tpurados to restroom
Owner:
FORUM PROPERTIES
FIVE CENTER PnINT DR. SUIT :' 2e)O
LAKE OWE:GO OR 97035
F,hune #.- 598-10afb
NTERWORKS, L. L. C-
-,26 NE WASCO
JRTLAND OR 9'7i!--,32
287-2-668
98655
of the above refev,en(:-.erg b11i Wing ii, hereto"; tliven, and certifies
le bamp). t ance with the State Of Ov egon Sp9c,i al t y Cc,dei for the group,
cupanry, and rase midlr wh i 0i the re f er ence'd permif t-10 i q%u ed.
-'
C3 INSPEC70F? -' BUILd 3"k
I C I AL
POST 114 CONSPICUOU5 PLACE
CITY OF TIGARD BUILDIP4G INSPECTION NOTICE S•
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: L _+
Foo;,ig Suso. ailing Sprink. Rough-inAwlk
Foundation Plbg. Underslab Mech. Rough-in 6AFi�replace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Und,ariloor Rain Drain Framing -Plumb.
/Harm Water Line Insulation -Mech.
Underflr Insul. Shear WallQww. -Elect.
Date Ruquested:_ 2)/.3 Time:__KAM PM
Address:
Buildlar: - Permit wI�� "'_5' - r.-c
6
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector; Date: J
AP VED rUISAPPROVED rAPPROVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NCE
Inspection Line (Rec-O-Phone): 639 4175 Businesso E�; 63 7
Inspection:
Footing I Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elea Rough-in FINAL:
Post/Bea.n Mech. Sar. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
/farm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall . B Elect
Date Requested: _313 l Time: AM PM
Address:_
Builder.-2-+A- t a-3 FOormit #: `� ' ado. LI
THE FOLLOWING CORRECTIONS ARE REQUIRED: ^�
1 '
r
eel
E
ir
Inspector: Dat J �(
kAERROVED ,DISAPPROVED ,APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF T I GARD �`
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171
1JE f4DDRESS. . . SW Pf4L11'_-1G HW 1' #s.
JBDIVISION. . — ZONING:
..00K. . . . . . . . . . . . . . . . . . . . . . .
..ISSUE: FLOOR EXT(-,-RIGR WnLi_ CONSTRUCTIV
_ASS OF' WORK. .(.)L'f F I RST. . . . : 1 f
N b. E W
,,PE OF J:iL. . LQ11 SECOND. . . .- sf PROTE'LJ OPENINUS?
PE OF LUNj' _1. :bN THIRD. . . . : f N: S: L:
0 11 A L— ...I—: Ii /3 f I�UOF LOWi- f :
,LUPHM_V LUAD:35 BASEMENT. : 5f PREA 5LP. Rf.)l.
..OR. : H"i . -. ft GAROGL. . . . f 0CLU 1_1E1:11 RA1,
)MT"..': MEZZ') - REUD SETBACKS-.--------- RE2UIRED-------
-OON LOAD. . . . . pst L.L,FI' : -it RtA-fl' : ft FIR C-PKL. Y SMOK DET. . s
AiLLING UNI'FS: F RNT: ft REAR: ft FIR OLH01' HNDILP ALCll �
D 1jjqS: Lip f Hs IMP
Adtj off!.Ce, ODA i-tpgr-,AdvE, uo r,estroum
in Pt'. S
JRUM PROPER,rlE.,
type ..mount by dat
YL LENIER PUINI UR. SUITL rrim*r s f,13. �0 JD 03/L21/9`.:j `)526351
PLCK $ 44. 53 JD 95-2634,-,
KL O..MEOO OR .-,/. 40 j 0 0 /95 95
orie *1:: 598--ioc_-o bf-'L 1 4 J, JLC 9b_
JLRWORW3, L. L. L.
,.'rte NE W(-i5C(.)
, il.-AND OR 97E3,-.-`
c.,81i2bb6 $ 10)'AL
HLLIUIRED 1NSPLC'1'1L1NCj
permit Is issued subject t1 the reoul&tWs contained in tne illsp
_yard Municipal Code, State 0 Ore. specialty Codes a-d all other lrlsl_!IeAticirc Insp
applicable laws. All work will be done in accordance with byp boat-d 1nsp
,11-oved plans. This pet-mit will empire if work is nct started L-)USp Le .1irig 1flisp
:.Iin 160 days J issuance, or if work is sns;ended for more r .that InP t_-t i c)Ti
160 days.
639-4175
City of Tigard Commercial C wilding Permit implication
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 539-4171
Jobs",te Address:
Office Use Only
Tenant: ,?' �"vEL Suite
Plan,c/Rec #
Valuation:
4
�'' Permrt # S-� `�
�
Owner: l-Ol um--- /Lrl �7MEAr - Map & TL #
Address: fCi�P �Nr �� Sv/rE .2'�o Approvals Ae ulred
Planning
Phone:
Engineering
Other
Contractor:
7V
Address: NJ: JAI5�,�_
Type of const
oenA A4.
Occupancy class: �-(„�_�• �� arc.
Phone: el? 7 -4(104.6
Sprinklered) oes No
Contractor's License # 5's
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Story (I st, 2nd, etc.)
Proposed use: .
Architect/Engineer. e4WT�,Q,7bAD C�,�-
Previous use: . ►�_� —_.
Address:
Note: Plumbing F mechanical plans
i-nust be ,ubmitted at time of
building permit application.
Phone:
J08 DESCRIPTION: _ L/7i0A/ 0�L .;'ee, IVION4�`S it�U� ,ri,/ •Q�l�_
0 V f'-AP,405; ° -7-674L/A& j s ' . Mo;: I'VO : e#VA—r c��► / rG 9�sa
/ pplican iqn-aturel Phone num .r
Received by: . _ Date Received
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) _ J' / —3r Y7
Bldg: -------
Plumb:
Mech: —
Plan Check PLANCK 3 �
Bldg: ---
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev 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-t.')
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FLS)
r
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
To
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, PIO ,qi7 C?WI01/ANT' - Res% ��. oaR Aoo
1 400 �VZO Z
1 70 447-cH Fei5771�-&, ---.,/
CITY OF T1%3 FID
_ - --�
C endo rally Approved ............ ..................1..•.0
For mly the work e3 described! _
PERMIT NO. 0O ST— - :rigojPpv qW
sea Isttw to:Follokl................. ...[ J: �. ......................................
Attach................. .... ..`.` :� �. ............................................ ti -Till
N/ �(,� UJ (mGt�j l C� '�aaq:o)J9431 Gas
Job Add,c—l- v 'GN 1dWd3d
:.. .... ep sa*11A ow fluo iod
By: _ / D:t : _ 'f 1 ........................................penaddy ApuolllFuuO
taenox %f
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8,3MI-.m
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10 .42
008 2b
1
&W. !13TH AVENUE
GUY CiF T T GAPD Rf~CE:'I PT OF PlAYME1,1'T RE"C':F I F'i NO. a 95--263519
UWC K AMOUNT t 99. 33
NAME: s 1,T TCIA T N, .l AMFI:'; CASH (AMOUNT s 0. 00
ADDRES a " ;: NE: WA SC:1`I PAYmEN`I' DATE= C 9/95
,UBuIVISION
PORTI._ANP OR !+
PURPOSE OF PAYMENT 0M,"1,1NT (-Gl 1 t, I't.tr;F'C1C:c' Cir' PPYPI NT AMLIONT PA l D
HU:TI 6YI46 F'FRM BL{L'95-.fl�r,B5 6A' 4i �
FIRE l_I FE SAFEY PLAN CK .:.''7. 40
1
r-IWAY TRAW-1_ STE G
"nP00 SM F'A[:I F I C' H'r1Y
1
J nlrfl{.. AMOUNT L='A'ID
1
i
I
1 '( Ill I f .t ll't' F� i-i 1 t.' i i 'FIdl` Rk.C:I= IF'T Nrl, s'1`i— 26343 +
C.;1{I":�;'. Wr4r►Ut a r s 44. 5,",
t o"31{ rat�raUN T s rli. Wr<i
1rMM17 a IIATEPWOE V1 71. I_. I-. r t'ilr'h1E hd'L DAIF >t t�.
1 1 a :::506 NE" WASC.CI 1311. i!►?.I':i 1 V T 5 T CIN a
PORTLAND (114
1� '�.,t+� , -:E (.)� L'I i',IM7""N'I �1Mf 1(ti I I I'i 11 t� [ 'I(,r" .•
t i ot;ini.INT PAID
-
�f
1
J
1
{ tE,p ;':,W L�Af If'IC' hlw STI: C �i
! rF..Npw*r IMPRrormE:NT
ro T AL. ODIGIN 1 PAID
GI
Tl( OFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SIN Hall Blvd.Tigard,Oregon 97223.8199 (503 639-4171
PLUMBING PERMIT
R'l I T #. . . . . . . : F'LM(:J;_'j Ij
DATE ISSUED: L713/14/95
1:4'aRC_iEL : C-151151ZIA-163101
ADDRESS. . . : PAC ,F- 1(., HW'y #(3- C-1
jbD I V 16 1 ON. . . . ; ZONING:
-OCK. . . . . .. . . . . . . . . .
-ASS OF WORK. . .-ALT GARBAGE D I SPOSALS. 11081L.E HOME SPACES.
t'PE OF USS. , . . :LOM WASHING MACH. . . . . . . 11 BACKFLOW PREVNTRS. . : 1
XUPANL Y bjik. . i Da FLOOR DRAINS. . . . . . . :4 TR A P'1_5. . . . . . . . . . . . . . .
UlRiLb. . . . . . . . I WATER HEATERS. . . . . . : 1 LATCH BASING. . . . . . . :
IXTURE�3____ L.PUNDIR)r I 144'Y" : 1 31-'- RAIN DRAINS. . . . . :
,,NKS. . . . . . . . . . URINALS. . . .j . -. . . . . . . : UREA�iE FRAPS. . . . . . . :
E'�. . . . . :
':1VATURIES. 1. OTHER I-_' IXT
JB/SHOWERS. . . . : SEWER LINE (ft) . . . . :
I ER GLOSF T�.*3- - : I WATER Lil*
S H W A lb H EH U. . . . : RAIN DR(41.N ( ft ) . . . .
marks: COP OFF NINE I 1.X11JRl.."_1-j Pe
----- - f"LES
by date 1'e(:Pt
i-401T $ E)1. 00 JF- 03/14/95
"A�-j JF 03/14/9:`i
o n a
1ntrac:tntr-:
N114SULA PLUMB INCS
I BOX 16307
RILHNIJ OR
orle 4.: 161 0500 $ 85. 05 TOTAL
&i�44
REUUIRIL-L) INSLLrIUNS
,s permit is isvier subject tc the regulations contained in the F i na I I r,s pect i ciii
Yard Municipal Code, State of Ore, Specialty Codes and all other
applicable laws, All work will be done in accordance with
approved plans. Piis permit will impi,-e if work is not started
�)thin 180 days a,' issuance, at, if work is suspended for more
an 180 days.
v-m i L t e e i U n a t I.t I.-e
sited
t c i i c t; i o ti 619± 41 75
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW Hall Blvd. Permit # _
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT r-EE + ST. SURCHARGE
oltl^•am•N _ New Single Family Residences Only
i'ii"'rt•ci TOwri I circ
b^'••• ❑ 1 BATH HOUSE$140.00 L3 2 BATH HOUSE$195.00
Job ❑ 3 BATH HOUSE$225.00
Address War w Fee includes all plumbing fixtures in the dwelling and the first IG0 feet
/-3 r rl, (-?'; of water service, sanitary sewer and storm sewer. See fees below.
N«^. ^•°•^'s•"•o•r FIXTURES QTY PRICE AMT
Sink 9.00
"'•i'•Ad.*o•• Ph- Lavatory 9,00
Owner Tub or Tlrb/Shower Comb. 9.00
+'sl•'• Shower Only �- 9.00
Water Closet 9.00
N•'^• ° ^•^•db-i Dishwasher 9.00
L,o I or Photo l � ' ' ' - 1 � ;l �_i_ Garbage Disposal � 9.00
Occupant „•,,,,s, ... Fh.n. Washing Machine 9.00
Floor Drain 9.00
0y'�•'° '�=- Z' Water Heater 9.00
Laundry Room Tray 9.00
N•'^• Urinal 9.00
}'ertinBula i'lumbing Go. Other Fixtures (Specify) 9.00
M..np neo..• Pht n. 9.00
Contractor
Poo. 13ox 163U7 1 1� cuff fixture.,; 9.00 �;i .00
rirpstn. an 9.00
Porthirid, 011 97216 Sawer 1st 100' 3U.00
slot.n•o""°"°^N. cnr s"• To,N. Sewer -ea. Addit 100' 25.00
U2<'/111 0000i8U4 Water Service 1st 100' 30.00
hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25 JO
information given is correct, that I am the owner or authorized agent of - -
the owner, that plans submitted are in comrliance with State laws, that Storm R Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 10025.00
number given is correct. (If exempt from State registration, please -
give reason below) Mobilr, Home Space 25.00
Back Flow Prevention
3/1-3/95 Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Conne:ted to a Fixture 9,00
Describe work ,mow O addition O alteration Q repair 0 Catch Basin 9.00
to be done residential O non-residential Q Insp, of Exist Plumbing 40.00/hr
Specially Requested inspectiors 40.00/hr
Existing use of --- -
building or property _ _ Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of - --
building or property
�- '(Exrept residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL u°1 .00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 51% SURCHARGE 4-05
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -FOR A PERIOD OF 100 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTA! 85.055
Special Conditions ----'
Dale issued i__ by
I
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i
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. t95-262829
CHECK AMOUNT t 85. 05
NAME a PENINSULA PLUMBING CJ CASH qMC,UNT a 0. 00
ADDRESS t PAYMENT DATE t 03/14/95
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
F-TUMBING PERM 81. 00 ST. BUILD PER 4. 05
II
P►_M119 5—0049
16200 sw PACIFIC HWY 0-2
'TOTAL AMOUNT Ptill) 85. 05