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Permit rill,. t :aJ :1 :L..ID:I:NG IDEP:M 1 : CITY OF Ii GA RD C , TYOFTIGARD PE T NO. . L,U0 91. 01 0 /. COMMUNITY DEVELOPMENT DEPARTMENT OREGON 13125 S.W. Hall Blvd., P.O. Box 23397, Tigard, Oregon 97223, (503) 639 -4175 OfVIE:: I S SUE: C) : 5 / 4 / 89 I 't ; :t: M . f't°t'T . NO . 891010 • JOB ADCWtESS : 742C) SW t ..IL.JN7r) <t : ::I: ST S. to TAX MAP/LOT SUB: LT: Ia:K : L..ATANF) USE: I..,( :)"T' :Eia ::..E :: VAL..I.JA"TTC)N: .!t= :5500 SETBACKS FRONT: PEAR: WORK CLASS: : Fat.)L),I. T .I.ON )WIEI...1.... t.JN.I. T S:, : • LEFT: : R.LG I f : • USE : 'TY1='1:: :: OTHER tom!(:) . E E:l:)F:('1(:)r~1s : E::X "T" . WAL..t... (::( :)NE'r : CONS:;•T - 'T'YP'E::: VN NC). I:::r"•i'TI-•ISS : N: S: E: W: C)(:;(: UP . (:;RP . . M2 I: :uROT . OP'E :N :i :N(: S : (:)C;(:;t-JI:' . I...C.)ftiF.) N : S: E: W: T( :)TAI_. AREA: : d(:) . S:;T( :)I : :I :IE. : 1ST: ROOF'' CONS5"T" : FIRE RE T? HEIGHT: 45 2ND: AREA I : : :i S: ;E: :, :: I: ? RATED: : BASEMENT? 3RD.: OCC`.t.JF' . S:;EP'f• R ? RATED: MEZZANINE? I :ASL :N1 ' 'T• I"I...(:)(:)l: LOAD: GARAGE: . F'•:CFiI : :• c ;P't21<L. R ? ALARM? FLOW (GPM) DETECT? l ll4 ( . 1 . . r''I ::I :: . l• A c;t;•r ('`(:)PI::'.? PLAN CHECK K 1: Y : ,j1":.a • REMARKS: : - :t: i7 : t.:a..]. :I. 45 Tr.. T l a g pole REISSUE OF NO. ' LAST REISSUE • O FEES: • W PERMIT $1. '5. O() N E . PLAN REVIEW R / FIRE STATE TAX $.75 OTHER . O DEVELOPMENT MEN'T' (::F•tftR E::'.:; : 0 N SSC)( :; ( S T 0 R M ) R ';I:)(: : (S:;'T P:li::l:: :"(' ) A P'I:)C: 0 ) C T P :I:IEPA :CI :) < > 0 • R TOT AL. : !U :I.:`.5 . 75 This permit is issued subject to th,e regulations contained in Title 14 RECEIPT P'"T NO / 37 ©5 of the TMC, State of Oregon Specialty Codes, zoning regulations and all other applicable codes and ordinances, and it is hereby I ::E: :C.tu7:P;op INSPE :( 'T agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and FOOTING (.I.N[', ordinances. The issuance of this permit does not waive restrictive FRAMING G covenants. Contractor and subcontractors shall have current city FINAL. . business tax permits. This permit will expire and become null and void if work is not started within 180 days, or if work is suspended or . abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved. CY -24 . — -" L- L e "i - - - ‘. • Permittee Signature c / a Issued By: � � ' —• �/ CALL i c i::..I :.NsP'E : :(:;r:r.(:)N 639-4175 SEPARATE PERMITS REQUIRED FOR WORK, OTHER THAN DESCRIBED ABOVE PLAN CHECK APPLIS:ATION - CITY OF TIRDI-. C"�4 - a 7 4L--„29'e--- PL CHECK # COMMUNITY DEVELOPMENT DEPARTMENT.. , -.. _ 4 PERMIT # W - ....,,,. :.: == Han P:o.so�23397. . �"v°^ 9l ( )g��175 1 � _. tairssw . DATE SSUED -_ JOB ADDRFS: 7 9 0 4 7 . 5 ( , . . 0 _ H Ste , TAX MAP/LOT _.._ SUR : LOT LAND USE:: V A 1._ U A ION : S_.SOO , U G..--- ...---- ._....-- -- ------- - -- - -- OWNER - , SPECIAL NOTES NAME : . f E . - - A mu t _ cw t - - - E I 'O REISSUE= 0f= ADDRESS: LAST REISSUE: 742©__ C W �frl .2 Q11-- Su , to 4.- FLOOD PLAIN/ r SENSITIVE LAND: PHONE: --- _,a;4/2,- 69/4 . . — -- APPROVALS REQUIRED- , • . . . CONTRACTOR PLANNING: __ - - ---- -_ -_ -- NAME: ENGINEE_RI. ,: ---------- - - - -- - ADDRESS: FIRE DEPT PHONE: ITEMS REQUIRED - - - -- -- LIST /SUBCONTRACTORS: ARCH /ENGINEER BUS TAX: -,- _ NAME: — CALCULATIONS: ADDRESS: _ TRUSS DETAILS: _ _ - _..._- PARKING PLAN: • .- - LANDSCAPE PLAN: PHONE: OTHER: - - -- COMMENTS: _ ,LQ7 c1 id h J KE t& 0, A L/ C,T 11 .. --i[_o ?_ -� [.._— Co R AMe _. ®F i1h 3 u e_eAr -- — - — __ PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE t)00- -432 00 Building Permit Fees _j.2_0 0 ___ ._. _ — _ __ - 5.10.E 10 -431 00 Plumbing Permit Fees _- ____- ... . -- -_ 10-431 01 Mechanical Permit Fees .___._....____ - _ . . 10 -230 0.1 State Building 7 L_ lding Tax (5 %) e - —_ —. i ..._ Building Plumbing Mech 10-433 00 Plans Check Fee - _ --._- Building Plumbing _ Mech 30 202 00 Sewer Connection __ - - __._._..._-_ 30-444 00 Sewer Inspection - - - -- _----- ____ -- 51- ...448 00 Street System Dev Charge (SDC ) • . _. __ - -- --- - - - - -- 52 - -449 00 Parks System Dev Charge (PDC) _--- _- .. - -__- _._._.-___.... -__ -- --- -__ --_ '31-450 00 Storm Drainage cyst. Dev_ Chrg (SSDC _._ _ .' 10-230 09 T R E D ___._.._._ .___... -.- - ...------- .....___.._._ -- - _ -_ --_ ..._.__ 10-230 06 Washington County Fire #1 (95 %) - .-_.-_-__-- -_ -- 10 - -22.0 00 Amar•t /Wcdgewood --- _.... E0 Sl��.-.... ,__,. j 1 op; , , 6026 -463q, APPLICANT SIGNATURE 4, ' l srn C /,in #73 , DePA 6 OR e. 0A Received By: - -_ Date Received: -W 1 ' G? __- a? , 7Y,7.d_go --- e,„D IIFIED SEWERAGE AGENCY . `_ FIXTURE UNIT VALUES ffi - nn 1 c ^ ; FIXTURE FIXTURE JNIT 'IALU.E J2 ` Toilet 6 // t / a Urinal 5 - / Sinks: Lavatory 2 / / `/ Bar Sink (Commercial) 3 - Soda Fountain. '3 Pot, Scullery etc. 4 Service_ 2" outlet 3 (3" outlet 4 Hose. Bibs f Bradley Sink 5 - Floor Drain . 2 Bathtun (11" outlet). - 2 Badpan Washer 5 Dental Cuspidor 1 •, Dishwasher (Commercial) • 4 - Drinking Fountain 1 Laundry Tray 2 Shower (each head) 2 •.. Food Waste Grinder (dwelling u's)15 M Clothes Washer . 12 lb. washer . • • • 12 20 lb. washer ' . - 20 . 30 lb. washer 30 Extractor 6 Each 16 Fixture Unit values - equal • one dwelling unit •'-'`•`'-- s - Z.e./._ �. 3//- D A `IIFIED SEWERAGE AGENCY FIXTURE UNIT VALUES ~ti . FIXTURE FIXTURE JNIT VALUE Toilet 6 / (c, Urinal 5 Sinks; .. Lavatory :. 2 f 2 Bar Sink (Commercial) 3 - Soda Fountain 3 Pot, Scullery etc. 4 Service (2" outlet ' 3 (3." outlet) - 4 :. Nose: Bibs Bradley Sink 5 Floor Drain • 2 - Bathtub (12" outlet) . 2 Bedpan Washer 5 Dental Cuspidor 1 -• Dishwasher (Commercial) 4 - Drinking Fountain Laundry Tray 2 Shower (each head) • 2 Food Waste Grinder (dwelling u Clothes Washer - .12 lb. washer 12 20 lb. washer - 20 - 30 lb. washer 30 Extractor 6 Each 16 Fixture Unit valuues' 'One dwelling - unit. � `/ • • • r L • • 1 IFIED SEWERAGE AGENCY FIXTURE UNIT VALUES FIXTURE FIXTURE JNIT VALUE • Toilet 6 2 Urinal 5 Sinks: Lavatory 2 / Z Bar Sink (Commercial) 3 •� Soda Fountain Pot„ Scullery etc. . 4 Service (2" outlet 3 - -~ (3" outlet) 4 Hose • Bibs Bradley Sink 5 Floor Drain • 2 Bathtun (11" outlet) 2 Bedpan Washer 5 Dental- Cuspidor 1 - ' , Dishwasher (Commercial) 4 Drinking Fountain 1 Laundry Tray 2 Shower (each head) 2 - Food Waste Grinder (dwelling uts)15 Clothes Washer 12 lb. washer 12 20 lb. washer 20 30 lb. washer 30 Extractor 6 Each 16' Fixture Unit values - .• equal one dwelling unit. - = 7 2 O �J o l S. . • %IFIED SEWERAGE AGENCY FIXTURE UNIT VALUES FIXTURE FIXTURE JNIT VALUE Toilet • 6 f Urinal 5 Sinks: Lavatory 2 Bar Sink (Commercial) 3 Soda Fountain: * 3 1 3 - _ Pat, Scullery etc. 4 - Service (2" outlet )• . , • 3 (3" outlet) 4 Hose Sibs • Bradley Sink • 5 Floor Drain 2 Bathtub (12" outlet) . . - 2 Bedpan Washer 5 Dental Cuspidor 1 ' Dishwasher (Commercial) • 4 - Drinking Fountain 1 Laundry Tray.. 2 Shower (each head) 2 Food Waste Grinder (dwelling uts)15 Clothes Washer • 12 lb. washer • - - 12 20 lb. washer 20 30 lb. washer 30 Extractor 6 Each 16" Fixture Unit values .. 'equal . ane duelling unit. , = // • t . • NIFIED SEWERAGE AGENCY • FIXTURE UNIT VALUES FIXTURE • FIXTURE JNIT VALUE Toilet 6 / • Urinal S Sinks: Lavatory , 2 �. Bar Sink (Commercial) 3 / Soda •Fountain- ' 3 Pot, .Scullery etc. 4 Service (2" outlet • 3 (3" outlet 4 Hose- Bibs. Bradley Sink 5 Floor Drain 2 Bathtub (12" outlet) 2 -- Bedpan Washer;: 5 • Dental Cuspidor 1 (-% Dishwasher (Commercial) 4 • Drinking Fountain 1 Laundry Tray.. 2 Shower (each head) 2 Food Waste Grinder (dwelling urs)l5 Clothes Washer 12 lb..: washer • 12 20 lb. washer _ 20 _. 30 lb. washer 30 Extractor 6 Each 16 Fixture Unit values' equal 'one duelling unit, - • r" • • !IFIED SEWERAGE AGENCY FIXTURE UNIT VALUES FIXTURE • FIXTURE JNIT VALUE Toilet 6 11 ' �Z Urinal 5 Sinks. Lavatory 2 l % Bar Sink (Commercial) 3 Soda Fountain.. .3 Pot, Scullery etc. 4 _ Service (2" outlet)" • 3 (3" outlet) 4 Hose • Bibs • ' Bradley Sink 5 ° Floor Drain .. . 2 = Bathtub .:(l2" outlet) : 2 - Sedpan Washer 5 Dental Cuspidor 1 Dishwasher (Commercial) 4 Drinking Fountain 1 . Laundry Tray 2 Shower (each head) 2 Food Waste Grinder (duelling u's)15 Clothes Washer -- - .12 lb. washer 12 20 lb. washer . 20 30 lb. washer 30 . • Extractor 6 -• Each I6 Fixture Unit values one doelling'unzt," �: 7 y.7/ .�� ► - FLAG Pol. ___---1,-1 I 1 ��NCI4OR n I N 'U �I 12 RUG1/. VENEE�Z --� I ea I :-- 7T -4 1 1 7 I rI �/r ► ,� 1\ i I 1 I 1 \ lz ,,,,_ / I I \ \i) / PIr�rSN f I I '1 ` I Perm, 7" 9 9 /0/ I ► \\ �� I ► Rf ICAL' I I Ve 1:, REa p _ Aff ti I , 4�')'i' �. a c .,7 2 4 REgAR MAt$ 10" O.C, V I � `G EA AY w J.---- 4e," �` 1i 0 5/418.9 J V r LAG po L (3 J - 2.2 y1; CoNC,RETE