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Permit CITY OF TIGARD PERMIT PERMIT #: BUP2002 -00111 �; D EVELOPMENT SERVICES D ATE ISSUED: 5/1/02 �' I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15900 SW 116TH AVE PARCEL: 2S110CD -00105 SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 48 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 65,000.00 Remarks: Tenant improvement to convert a portion of the existing bank space to restaurant. Owner: Contractor: UNITED STATES NATIONAL BANK CHAMPION HEATING & AIR COND. REAL ESTATE MGMT DIV -T3 2655 SE 39TH LOOP #F PO BOX 8837 HILLSBORO, OR 97123 P p Phone ND, OR 97208 Phone: 503 - 648 -4411 Reg #: LJC 122088 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 3/25/02 $359.35 27200200000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 3/25/02 $221.14 27200200000 Plumbing Permit Required PRMT CTR 5/1/02 $552.85 27200200000 Framing Insp 5PCT CTR 5/1/02 $44.23 27200200000 Gyp Board Insp Susp Ceilng Insp Total $1,177.57 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Perm ittee Signature. ' ' ;/- C��/'(> Z' /' Issue By: I.:?_ - ! iii -‘, Call 6 9 -4175 by 7 p.m. for an inspection the next business day ' jusizei H, Z o hulldingrermitApphcation Date received , A6�Qa Permit no.:,�U k - 60 /l / ,. r *:itI' City of Tigard . - :- Project/appl. no.: E ' e date: City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Phone: (503) 639 -4171 Date issued: Receipt no.: Fax: (503) 598 -1960 t rJ E i Case file no.: Payment type: Land use approval: 1 &2 family: Simple Complex: _ TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ ommercial/industrial ❑ Multi family ❑ New construction U Demolition ❑ Addition/alteration/replacement Of Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION A Job address:LS 'O ,_5 // „viz- . Bldg. no.: Suite no.: `�_ Lot: I Block: I Subdivision: I Tax map /tax lot/account no.: Project name:A05 /1 //A /z / »A Description and location of work on premises/special conditions: ,''74t.7 7. Z O A WNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: a 5, 4 349- / f/ cQ (Floodplain, septic capacity, solar, etc.) Mailing address: /5 S4.1 //, 30 ,4-/ . 1 & 2 family dwelling: City /oe e i7y IS State: � e I ZIP: .772 ,3 . Valuation of work $ Phone: 'Fax: IE -mail: No. of bedrooms/baths `�`- Owner's representative: Total number of floors Phone: Fax: E - mail: New dwelling area (sq. ft.) APPLICANT Garage /carport area (sq. ft.) Name: Covered porch area (sq. ft.) Mailing address: Deck area (sq. ft.) City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commercial/industrial/multi- family: CONTRACTOR Valuation of work ....5, Q0 , — $ 65.2. •C%4M/ /O/f/ f'F '9 '„ " roves. Existing bldg. area (sq. ft.) ..� 7Q....S..l._ B usiness name New bldg. area (sq. ft.) Address _M S , p,ex Number of stories J City:/ / /�,cr, sy , State:0/2 ZIP: 9 7/��7 Type of construction 71. 1... Phone: ,�L,p7 // I Fax: _ E - mail: CCB no.: Z 088 Occupancy group(s): Existing: 88 . New: City/metro lic. no.: Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name:.jy /7ff' .. (' B,e' e) provisions of ORS 701 and may be required to be licensed in the Address:/j�,(S ,. tOtY- •7)17/ jurisdiction where work is being performed. If the applicant is City: ,t��u - T State:/oh ZIP: CJ'O3 Z exempt from licensing, the following reason applies: Contact person: S/e /e_/ . Plan no.: Phone:6- Fax: E -mail: Name: Contact person: Fees due upon application $ Address: Date received: City: 'State: IZIP: Amount received $ Phone: I Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this Cl visa Cl MasterCard work will be complied with, hether spe 'fled herein or not. Credit card number: / / Expires Authorized signature: Date: 3 -dZ Name of cardholder as shown on credit card C Print name: 760/P6 L .e//�'f 991-8351g camanolaer signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as ympl 440 -4613 (6/00rcoNo 3, —T, 4 5$0,11 ``,-- J.9 1 ,14 „,���,,; ,is' Commercial Plan Submittal � Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3” technicians. i:\dsts \forms \COM- matrix.doc 9/24/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP v2' / 1 ( Received _ Date Requested � AM PM BUP Location ite Ca Sc. d Z 11 Contact Person Ph ( ) 7 3 $ ' 7 PLM — O t /3 Contr t L Ph ( ) SWR BUILDING Tenant/Owner (Y) r ELC Foundation Access: ELC Ftg Drain ELR Crawl Drain C/ Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear \� Ina Sheath/Shear /� /s S Framing f� Insulation Drywall Nailing Firewall Fire Sprinkler — -- Fire Alarm Susp'd Ceiling Roof Other: :T FAIL Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: rinill PART FAIL I • .y. Po • =i' - Rough-In Gas Line Smoke Dampers 'nal ART FAIL ICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE LI Please call for reinspection RE: ❑ Unable to inspect – no access Fire Supply Line ADA /'n� Approach /Sidewalk Date 7 / © 2 Inspector / P 1 Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY --OF TIGARD 24- Hour BUILDING Inspection Line: (503) 639-4175 / . INSPECTION DIVISION Business Line: (503) 639 -4171 �l!/ MST arY Lowe - ao ii Received Date R uested 7 -5-4 2 AM • // PM BUP , Location /57 U .SW // Av-e /l Suite MEC Contact P Ph 705 S 7 PLM Contractor Ph ( ) SWR BUIL Tenant/Owner W I &C" A 1 Q,/ ' via % ELC noting J Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear d i p 1 , , 1 / _*_ o Framing 1'`T Insulation 1/1_ 1 7 a 2. 0 / Co - l ' <j . a u L- 30 0 ye, Drywall Nailing Firewall —''',• Arce. 6 03 6 1 ( d l'f----_ Fire Sprinkler �� /- - Fire Alarm !rX1n/�ei`� 2- UZ - 00 / 3 / ( /- C7'./ /T G4- d) "V_ " Roof sp'd Ceiling Roof /� / C / r \ o �C-- /'GtS� -d� f U Z T` J — d e ca er: _ Final ? 1,1 Z4 D 2 - d d / (4 3 ( T.1- PASS PART Lt. .c.�- (� . i PLUMBING �/ Post & Beam ,)( Lc , 2,,o 2 - - 0 d /Lf � Tl Under Slab ti.� Rough -In f / -e-e p -7 /3/6 2 (F6) 6 Water Service Sanitary Sewer .p)(g'kQ "2-6 a 2-- 0 O / Z 5 ( /) -n fi) Rain Drains l Catch Basin / Manhole ' ' A 5 , „A cl7/3/d Z L 7) d Storm Drain Shower Pan CP /r2 �n 7� S— �' ' — Other: C.�- Final �� 4 fi', Z PASS PART FAIL /' MECHANICAL L}1.4..f L S S f Post & Beam ,/1i) g , hk , S �- „_ Rough -In ��) �"� ey Gas Line A/ 6-4 � \ c r _ /_ V � _, fr Smoke Dampers Final b) l / PASS PART FAIL / r � ELECTRICAL 1?.) /11 4_,,;-,- v' � ' �.7 — et Service Rough -In a , e-- c' C Low olt 4” P / r `�� ct�r� Low Voltage Fire Alarm 4- ' ) 0 (6-- 4- L - - / L 7.) S r Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. I PASS PART FAIL SITE E Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA s Approach/Sidewalk Date ��S d Inspector Ext Zy Z Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL / -2,-- CITY OF :CIGARD 24 -Hour , A BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear W j. � d - c e S ; S A - �- fi r %—e_,/- %—e_,/- Framing W Insulation !. ./C 4 ��EL/C� Drywall Nailing ))� �/lJ ,�,,// �l-� �, Firewall h ) / td G-e- �--c .-1 !/ t_:3,1 , r Fire Sprinkler Fire Alarm Le_ S- Cs T k ci- ..� t l2Z ". Susp'd Ceiling Roof & 7 r..'e Other: , Final - 3.-1..4.--4 - 'P" e-A-f a----41-e-- / - ' ° PASS PART FAIL ,/� PLUMBING E P, l � L AE / m' — ► N Post & Beam 0, 4-744_,,,y cam✓' C.-e) Under Slab Rough-In 1 / j A e Z,(AAJ Water Water Service 61.41. / `--' , Cx E Sanitary Sewer \ ( I ,.p Rain Drains / v �"- ' Catch Basin / Manhole l T 1. ® J _ ��..r- Storm Drain Shower Pan aM 1-N-/s-9 ,ry` CL..... a� J .L-�� c X Other: Final PASS PART FAIL MECHANICAL E\ , �. 1 _ j 2— , () Post u h -In Beam Rough-In . Qom. 1 ugh �./�� c-st-. - Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date 7 /</'c v Inspector _. Ext ( Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL L - CITY OF TIGARD 24- Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 � 4 MST ORO c-00?- Od /1/ Received Date Requested (� /' 7 AM PM T -001 Z� Location 7c* .0 // 6 ' Suite MEC ''� I C Contact Person Ph ( ) PLM Contractor Ph ( ) SWR :: D ' G Tenant/Owner ELC Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Intt Ste, - th/Shear Insu ation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ( PASS PART FAIL ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line 2 / ADA 66 - 5 1 0 Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD in pection Line: (503) 639 -4175 (./ — 4/ ) F EtUILIfiNG INSPECTION DIVISION Business Line: (503) 639- 171 2/ I ° o c4b171 _ ea /i Received Date Requested 49.1/a— d AM PM ���� - DO�— 40 4�S ' [tern Location 4'6 // ,� / Suite MEC Contact Person JOd'" Ph (_ ) 2' 4- 947 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner IM S 4 dX 7-Zr1 ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ,) 17127:0 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 1� Final PASS PART Al PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm D rain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line • ADA C t Approach /Sidewalk Date I nspector r L^ Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGI�RD 24 -Hour . 'BUILDI JG Inspection Line: (503) 639 -4175 /, � INSPECTION DIVISION Business Line: (503) 639 -4171 ,L► ST ,l V BUP i I I Received . Date Requested Z) AM PM BUP • Location 5100 /l/D C /v-t/'e- Suite MEC Contact Person Ph ( ) "2 0 J PLM Contractor ,Ph ( ) / SWR BUILDING Tenant/Owner _ir /� d sh ist /_ yi va ic.4 ELC Footing Foundation ELC Ftg Drain ELR Crawl Drain Slab Inspects n N • SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear j • r 0 T it S-/ j .�� ami I " ' Insulation t ,P-00,-)-- c''-' c--- C �.�Q, - Drywall Nailing v�7 � Firewall / 0 ? - 0013/ ( Type z // 4- T ai - ) Fire Sprinkler �//�� Fire Alarm tt i 3-ad ?-- c 0 1 4 3j ( 1---<4.7P 1 - La.v I w/L �/ — / -w/rf ( - L.w . 0 Roof Ceiling Y� % / S _ 0 c ,/,€__./ Roof �l Other: /- � Q Final ae ,� ,j2.-- 62,6 ..S c---s-N �1f'x. d (.4y. PASS PART (1) j �� i, f l PLUMBING c7- f / c-4 „C�/� � . r - S Post & Beam / 1 p �)0 _ ' 0/6 Z- ( F 3 Ltd 3 do Under Slab Rough -In f,�- c, i - -� I Sal � $� c S Water Service � / Sanitary Sewer --/ ` i ( /55 Lt-Q Cy') • Rain Drains Catch Basin / Manhole 3) �� (2,..../..„ LI o 4 r- C„c /e 4 f K ' c...-C . Storm Drain Shower Pan Li ) 96(13-) 47)P a.-%r / At/t5 i _' o f Fj Other: Final 0 ) 1//Z/ kJ c---)-- 1 • PASS PART FAIL C � e MECHANICAL S l S 1 c 4 --- Po u &Be /.) I.9--M- _ /lam , ( Rough -In (0 ��T 11 1�1 �'�Q.� t� � l2a-C � � Gas Line ic�,.� �,-�,� `n 4.Z 'rz. Smoke Dampers Final PASS PART FAIL `-/ ` ELECTRICAL '7 ) 61)4X-Z-1 ^ -42-2 ' 6_,...--0 Service /� / Rough -In ., /YI C.--et) J Z t-r j ' � (.`__ . UG/Slab Low Voltage 9 � 31z-7 l r�-C kJ 01-e : �� 4 §2.e_ e .,1-,-- e..a.....( Fire Alarm 9 /7 Jx� s ry^ � �� -y /` y /�' `-'' - '_ 6 c ` c z PASS PART FAIL Reinspection fee of $ required before next inspection. Pay at Ci Hall, 13125 SW Hall `a.. . k. SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line ADA .� Approach/Sidewalk Date /� /� 2i I nspec t or ` Ext /9 Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL I b - - BUP - Building Permit ELC - Electrical Permit ' _ 41 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing / `3 o Z MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Engineered soils Gas line Welding Lab Final Mechanical rough -in Concrete Lab Final Fire damper Bolting Lab Final _ _ Duct work Structural observation Smoke detector Mechanical final Fireproofing Lab Final Final inspection PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab Inspection Description Date Passed By _ Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final - RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \ forms \InspRecordBUP.doc 04 /17/01 CITY OF TIGARD BUILDINGPaRMIT PERMIT #: BUP2002 -00111 A DEVELOPMENT SERVICES DATE ISSUED: x/1/02 • 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110CD 00105 SITE ADDRESS: 15900 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: JURISDICTION: KIN REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 48 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 65,000.00 Remarks: Tenant improvement to convert a portion of the existing bank space to restaurant. Owner: Contractor: UNITED STATES NATIONAL BANK CHAMPION HEATING & AIR COND. REAL ESTATE MGMT DIV -T3 2655 SE 39TH LOOP #F PO BOX 8837 HILLSBORO, OR 97123 Pp�ZTLAND, OR 97208 Phone: 503 - 648 -4411 one: Reg #: SIC 122088 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 3/25/02 $359.35 27200200000 Electrical Permit Required I C15 :3 Sprinkler Permit Required FIRE CTR 3/25/02 $221.14 27200200000 Plumbing Permit Required PRMT CTR 5/1/02 $552.85 27200200000 Framing Insp •wrZ 5PCT CTR 5/1/02 $44.23 27200200000 Gyp Board Insp Susp Ceilng Insp Total $1,177.57 Final Inspection .... V 443 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes Q and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. ` Permittee . Signature Y 0 - 4" — , i� C3 • Issue By: .,._1 %/. � 4 - / iii Call 6 9-4175 by 7 p.m. for an inspection the next business day