10763 SW GREENBURG ROAD STE C _ NOTE. EXHAUST HOOD SYSTEM MAKE UP AIR FAN TO HE LOCATED ON ROOF
NEW WALL 2X4 SfEUt STUD WITH b`8' SHELIHOCK IYPE X 15' 0" DISTANCE MINIMUM FROM ANY EXHAUST FAN OR PLUMBING VENT PIPES
TEXTURED AND PAINTED WITH 2 COATS LATEX SEMI GLOSS ENAMEL 1 HOUR RATED DUCT SHAFT NOR EXHAUST HOOD DUCT
"'- —
EXISIING WAIL FU 8E REMOVED WITH 6" AIR SPACE FROM DUCT WALL TO SHAFT WALL. AS CLEARANCE �.
r
[XIS I ING FI OOH SIAH COVED VINYL BASE 4" HT EXISlIN� WAIL. TU REMAIN EXISTING SUSPENDED CEILING 2' X 4' LAY 1N ACOUSTIC PANELS j 2$ '
EXISTING ROOF T Rt1SS 26 0
}yrw
0
I \i �- j ' t I "' CL
I
IL cc z
1
3 10
j V Q1cco �
* zZ
Www
f -fi..-r •.. ti.... ...C1'... . '
CAI
6 21 22 23 24 25
I _.... Z
EQUIPMENT LIST --- — -
I WASTE RECYCLE CABINET
? 14 TABLE TOPS, 14 BASES & E6 CHAIRS 14 25" COUNTER MODEL BROILER, NATURAL GAS f I
3 CABINS TS INCLUDES STAINLESS EQUIPMENT STAND 30' X 12"
4VENDOR SUPPGAS
LIED SELF SERVE SOFT DRINK DISPENSER 16 S AIINL SS CANOPY ls SINGLE BURNER T TYPE 1 EXHAUSTPLATE, L HOOD, ROOF F AN, ,
5 VENDOR SUPPLIED DISPLAY BEVERAGE REFRIGERATOR �. WEIDff) DUCT, M
R REFRIGERATED COUNTER TOP FOOD DISPLAY INCLUDES RETURN AIR AND FERE SUPPRESSION SYSTi M I t O rn
7 CASH REGISTER 17 RICE COOKER l
8 STAINLESS DROP IN HAND WASH SINK 18 S FAINLESS WORK COUNTER 30" X ;ifi" 1 , 1Q ��:1�, fZ 1 i, '"j)
115 , ( 1 1Q 19 / �(� Z
9 STAINLESS FOOD WARMER 19 REACH IN FREEZER `–/ � ti— \� �� ` ✓� � o
20 REACH IN REFRIGERATOR
10 STAINLESS WORK COUNTER 24" X 72 ' PL ��31�(.�i_F.QVr �'�5
11 STAINLESS WORK COUN'ER 30" X 36" 4'1 ICE MA(,r;;;Mr. P 1 SOFT DRINK DISPENSER 1 2" COLD WATER * 12"HT �I�r,II+.� � I; ,r, ', x
12 MICROWAVE OVEN 22 GREASE TRAP PROVIDE BACK FLU DEVICE iL4 1NL1tRECT I r,r. a
(5
1? 16' FLOOR MODEL BASKET FRYER, NATURAL GAS 13 FLOOR SINK P 2 HAND SINK, 2 EACH 1/2" HOT & COLD WATER + 15"H"t 1 1 ?" WAS l)ItAIFV O
24 STAINLESS 3 COMPAPTMFNT SINK WITH 2 DRAINBOARDS P 17 FRYER z
1/2" NATURAL GAS CONNECTION r 30"HT 7 7f-7,U00BTl�
INCLUDES. UTILITY SPRAY ALICFT P 3 BROILER 3/4" NATURAL GAS CONNECTION + 30"HT, 58,00013TU
25 FLOUR TYPE MOPSINK 24" X 24" X 1.0' P4 HOT PLATE 112" NATURAL GAS CONNECTION +30"HT, 24,000BTU ft
26 HANDICAPPED APOVED RESTROOM FIXTURES P 5 RICE COOKER LOCA
27 EXISIING E 1/2" NATURAL_ CAS CONNECTION + 30"HT, 12,000HTU WELECTRICAL PANEL. -PION P 6 ICE MACHINE
P 7 GREASE TRAP 1/2" COLD WATER + FLOOR SINK 48"HT 3/4" INDIRECT DRAIN TO F 010 �
�
W
I P 8 3 COMPARTMENT SINK
P 9 1/2" HOT ✓i< COLD WATER + 15"HT 1 1;2" WAS TF DRAINS ► ul z co
MOP SINK 1/2" HOT & COLD WATER +22"HT 3" WASTE DRAIN In
10 RFiTROOM FIXTURES - AS REQUIRED BY CODE
Mill
ILI
Ina
I I �
P 1 -
-- -
I - A- UJ >
- 1 E 1 E2� zcc
1--
- - ' ► t4 - -
W
EXISTING � CL ccno
i ELECTRICAL w
SERVIC
L N
EXISTING SUSP ED CEI E PANE o N
W/DROP FLOORS CENT LING
LI TING
� I P6
I � (�J
P9 - �■■� o
�DUC BTS LOCATION ou, a
I q E.5 P2 OF GREASE TRAP ap w
_ _ t*T r 13
r- w
E _ 115 VOLTam cc
---•-------=�►— ._�_____._ SOFT DRINK DISPENSER' 20 AMP RCl11T D Pt_EX OUTLET + 10"IIT 1
- E 115 VOLT -at
REFRIGCRA ""-'
- TSR 20 A111ii� C01T PLFX OUTLET + 10"14 1
E 115 VOLT' BEVERAG REFRIGERATOR 20 AMP RCUIT DUPLEX OUTLET + 10"-IT
P3 E;a .
_ .__ _.._..._._._-_..._._._..�. E 115 VOLT REFRIGER TED DISPLA _
_.�.__...__...__ 9 AMP D W DUPLEX OUTLET + 30"HT
115 VOLT CASH RF ISTER
1 AMP D W j P4
1 I DUPLEX OUTLET + 30"H T
E 115 VOLT FOOD WA`TMER ` 9 AMP DF:IAW DUPLEX OUTLET + 44"HT _
LAWC•WL__ 44.:itl-- ` r ��
-----E 9 111 VOLT----+�6HEI.t+�H� -- AMP +--i�t�--- _ ._._ --�._ __�_ tY 0 _ DRAWN BY: JWP
HOOD EXHAUST FAN ON ROOF 9 AMP DRAW --
_
PROVIDE WALL_ SWITCHIN KITCHEN DATE DRAWN.' _..–
E 10 115 VOLT HOOD SUPPI Y f-AN ON ROOF9 AMP DRAW I ± i
CONNECT TO SAME WALL SWITCH IN KITCHEN WITH ITEM #E 9 I REVISIONS: 2.Lg,5-jr
T 10763 SW Greenburg Road E 11 115 VOLT REACH IN FREEZER 1
Suite C 20 AMP CIRCUIT DUPLEX OUTLET + 90° i F 1 _
E 12 115
1 of, 3 VOLT REACH IN REFRIGERATOR 20 AMP CIRCUIT DUPLEX OUTLET + 90" ; IEB �(� E� E9 Ee' SHEET NO.
E 13 115 VOLT ICE MACHINE20 AMP CIRCUIT DUPLEX OUTLET + 44 !
PPUNIV 1 40.500r.
..,.,•�,,:;,.,., ONE OF
If this notice appears clearer Ih;u1 the
document, the doculnent is of 111,11•;61,11 yualil�' 3/4/97
'IIIIiII11IIJill IIIIIIIIII► IIII IIIIIII�IIIII i ` I(IIIIII►I►(III III(I(Ijlll(I i III(!II Ijl(I I IIIIIII � IIIj� I I � II�II VIII I I (IIIII I i ' I I I I I I � I I I L
INCH MADE IN CHINA^
i�iiliiiiilniilnulin 1iinlnuli�iiliiiiinnl� t1 to t3-17, 24 X
116166111.nilnnlinlliil�Innl�inlniif.Illi!!!!IlIIIIIIIIIIfIIIIIIIIIIIIIIIIIIII►IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII(IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIN
lll; L'-1111'1 1.1_1 1'1JI'Il III II' 1 '
I I
Ical.-PNOCOM110
80/150
apa�
clip
7
0
Com;ter Ice/13everagc 1)ispeuser, ice tooled With cold MLuilluu n ShippINFOing
Wel Ill: 21'i lbs.
r 14 plate•, 90/150 pound ice frill, with 6 fast-flow valves 2<; ALWIllum Weight u 1 Cu1mter will, Icc: 1,
tq , Q[ volt-operaled with mechanical water acid syrup flow i ! rb.'
conurlls.\fill sesta r►a continuous draw talc of approx- FITTINGS:
r� ,� int,ih ly i drinks/minute 06 oz.11uid) when cooled All inlet l'ittinls :ur stainless sicel and labeled.
«id, hard cracked, culled or compressed ice. A SCI)-
Syrup inlets:ue '/ hump or hath fillings• water
cy
aratl fast flow carhunatur is required with this unit. inlets are 3/," hutup ur barb fittings.
C I'LIXTRICAL RATING: , ,
AI I RUVAI,S:
V Ills: 115VAC,O0 Itz, I Huse NSI', [)I,,.Ci(),of I--* � I
3 I Ik"I'mi g Anrps: 3.0
Grounded bine Curd and Pleb, I L11M1!IA; 'DIMENSIONS:
I'ransfurrnc►': 1151'AC/24VV,'
A Lcngtli: all"
4�
• 13—11'idllt: '22'
C
—Height: 36'/1..'1
—Cup Tray to Valve: 8'/211 to 1 Iv,
A.
� 7
I
l �
y.
• 4F
•
1~ o �1}
21
m Q
C7
o � °
-- Ln N 10763 SW Greenburg Road
-- Suite C
a
- — 3 of J3 7. n : I n; :11 All Pr12
If this notice appears clearer Ihan the.
document, the document is of rttarginal quality. 3/4/97
1 1
11111111 111 111111i�1I11111 IIIII(IIIII(I 111111(ill(I(III I(I(I(ili(III'i III(!IIIIII(I 111111(1 IIIII I IIIIIII III 1 1 1 1 1 1 i 'I 1 1 1 1 1 1
t INC Mlwr:rM •u► I t I I I I I I I I I I I D 111111 I III(IIIII(I(I I(I(III�II►If
I I I I I I II II 111111 III I I II I II II I I III III IIIIII!IIIIIII II III III IIIIIIIIII IIIII I I IIIIIII!IIIIII 111111 III I IIIIIIIIIIIII IIIIIIIII ILII I!IllllllltlllllllllltlllIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIlil1111111111111111111111111111111111111111111111111 I
II IIIIIII11111111111111!IIIInInIIIInIInI'il�!
r
pp-
1 ,
r
R:
:r
. . ..
t+1�'.�µ�M��:MiR,.'j..k.vi �b4�w• Xw «eN•M.vw .rdr;+r°"#Y•-b+•w:/►w.H.4 ,>~..,r•� i,
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for Tokyo Teriyaki
Tax Map 1S13513C Lot Numbe s) 00202 Building Permit # BUP95-GJ67 _
Site Address 10763 SW Greenburg Steffi Subdivision N/A
Case File # N/A TIF Land Use District
To Be Billed To: Linda Lee
Address: 10575 SW Tigard #37 Tigard OR 97223 Phone #: _639-1365
To the City of Tigard: •
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance
No. 379 which relates to the imposition of a traffic impact fee for the financing of major collector roads and
arterials of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND
SEVERALLY, to psy my/our traffic impact fee, as has been determined by Washington County Ordinance
No. 379 in 10 semi-annual installments of the amount financed together with one-half of one year's i
interest thereon at a rate of 9.19 annual percentage rate on the unpaid amount owed. The lien date is
the first day of the month following the dat^ the application is signed. The first payment is due six months
thereafter and at six (6) month intervals thereafter for a period of.5 years. Each installment payment will
include principal and interest.
,1
If hwe neglect or refuse to pay any part of the installments provided herein, including interest, within one
(1) year after the samE s' all have become due and payable, then the whole amount of the unpaid
assessment shall becorne due �--nd payable at once and shall be collected in the manner provided by law
including foreclosure on the above-described real property.
The traffic impact fee, annual percentage rata of interest (9.19%) and finance charges which I/we agree ;4
to pay are as follows:
HIGHWAY TRANSIT
1) Amount of Traffic Impact Fee . . . . . . . . . . . . . . . . $ 1690.00 _ 744.00
2) Amount Financed . . . . . . . . . . . . . . . . . . $-1690.00 744.00
3) Equal Semi-Annual Principal Payments . . . . . . . . . $_ 169.00 _ 74.40 .�
4) Interest on Balance at Rate of . . . . . . . . . . . . . . . 9.19 %
hWe understand that the amount owed, as stated above, sha!I be a lien on the above-described subject
property pursuant to Washington County Ordinance No. 379 Section 6 (D) and ORS 233.230.
DATED this 25th_ day of April, 1995.
Si nature of Property Owner(s) V
Signature of Property /wner(s) 9 p
STATE OF OREGON ) frame (Please Print): L I Y1 CL
Address: __.S 17¢ _ Suite '--:!:Lu�►'-�9� 3
County of Washington )
SUBSCRIBED AND SWORN TO BEFORE me this "S " day of .c� 19Q,
i J r ��. `. Notary Public for O n
/JSOMMi - `t).,30111977 ( My Commission Expires: Z7
►t7�'Q1tiN4l5Tl(il� S.'' 1{L�j,i:rT. 7. 1945
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec Phone): 639-4175 BusinePhone: 639-4171
Inspection: ���--�.CL"�
Footing Susp. Ceiling Sprink. Rough-in Appr/SdwIK
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out, Elec. Rough-in FIND --
Post/Beam Mech. �—Ss Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water line Insulaticn -Mech.
Underflr. Insul. Shear Wall ) �G-y-pp.. Bd. -Elect.
Date Requested:_ �� /+ 7 Time:---AM PM s
Address:___L_(J
Builder: Permit - Ski n k'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
04/
Inspectori'f ='! Date:_� •�
f AAPPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
1 Call For Reinsp.
t
OCCUPANCV
CITY' OF TIGARD PERM"(.'I' #. . . . . . . 3 BUP9.5a41,71(':-,�'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/17/95
13125 SW Hal Blvd.Tigard,Oregon 97223.PSIOP (503)639.4171
PARCEL. IG135BC-00201
SITE ADDRESS. 10763 'J'W GREENBURG PD #C
5UBE)11)15 1 ON. . . . s 1.ONINO:C:-i,
BLOCK. . . . . . . . . . i . . . . . . . . . . . . t
C I (a!3S OF WORK. :ALT
TYPC LJF USF. :COM
-.1crUPANCY GRP. z T3-;:.'
OCCUPANCY LOAD:47
TENANT NAME. . . %TOKYO TERIYAKI
Remat-Ps : Tenant Mod:
Owner-.-
LINDA LEE
1On'75 SW TIGARD ST #37
TI(JARD OR 972c"'3
Phoni? #z 635-1365
Cont;rvctov--:
ri(If4rLAND RSTRNT DSON & E(?PMN'T
111355 9W RIDGECRESiT DR. SUITE 215
SEAVEPTON OR 97005
lJhonp #z 626-2670
Rau #. . - 641)68
This Certificate cat-tifiesi that the Abovp v-eFpv--enc:pd building or portion
thet-pof has been inspected for- compliance with the Tigard Buildiny Code
Foy, the group morl division of occupancy and urie for, which the above
permit was issued, and occupancy is heroby granted.
'IAL
L Ir INSPECTOR P U I L D I Nu,(10)F�F '
POST IN CONSPICUOUS PLACE
' i..
ILL
ilk
a,
CITY OF TIGARD BUILDING INSPECTION NOTICE
j Inspection Line (Rec-O-Phone): 639-1175 Business Phone: 639-4171
{
Inspection: T _���/_
1
Footing rspeiling Sprink. Rough-in Appr/Sdwlk
Foundati m Plbg. Underslab Mech. Rough-in Fireplace
Post/B3am Struct. Plbg. Top Out Eec. Rough-iii FINAL:
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing -Plpmh-
Alarm Water Line Insulation ech.
Underf!r. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ ! %— f jJ _Time: I� AM PM
Address:_/<�
Builder: Permli
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:-_ -
/7 9
APPRUV-
ED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
' Call For Reinsp.
1
,t
y .
v
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling( Sprink. Rough-in AppuSdwlk
Foundation Plbg. Underslab Mech. Rou h-in
9 Fireplace
PostiBeam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer
Gas Line
Plbg. UnderfloorRain Drain
Framing Plumb,
Alarm Water Linew
lnsulatior, <_—'Me
Underflr. Insul. Shear Wall
GYP• Bd. -Elect.
Date Requested:
Time: AM M
Address:
Builder: --
- Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t
�4
Inspector:
Date:
_APPROVED �!DISAPPR'OVEVED `APPROVED SUBJECT TO ABOVE
v Call For Reinsp.
�r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc,-O-Phone): 633.4175 Business Phone: 639-4171
Inspection: "+ �_ -�` --
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg•
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect,
Date Requested: �� � � - Time:__AM PM -
Address:
Builder: Permit $t:
THE FOLLOWING CORRECTIONS ARE F SQUIRED:
.• �.c.G..�stt, .B C r.� Gy '-+trru-r .3 s _ 3•L
,,,�! - 9" ✓�,.e.�(,.rim--� a/ -�-,.--<��c..�
�t�. �t-c -,.-,.-„e-cam•.--•-�.,�-�..� �'G1 •,� /�ey�- �`..,s-t�
_����'V L.SA! •may -�_._._- _��__ l
AL-
A
L
Inspector:__ Date. g/Zf 7 y
_APPROVED --SAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ree-OPhone): 639-4175 Businoss Phone: 639-4171
Inspection; _yy /� 'l� �l�")�'�—
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Routh-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 7
Alarm Water Line Insulation ech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
cy .dC�
Date Requested: <'� �� �� Time:�AM PM
sl
! G 7, —
Builder: —? _ Permit
THE FOL OWING CORRECTIONS ARE REQUIRED:
Inspector: Date; Y'7"
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Li 'Rec-O-Phone): 639-4175 Businoss Phone: 639-4171
Inspection:
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab G1ech. Rouge' Fireplace
Post/Beam Struct. Plbg. Top Out Elec.R60gh-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing ✓�
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date HequEsted: I �`'1 Ti e:
Address: Z !L7 7
jBuilder: Permit :
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I' M
{ .
{
i
iV s
'� ��L- ��-tel/• � � �,' �i���5v�'�4 0.
Inspector: Date:
_APPROVED *�ISAPPROVED _APPROVED SUBJECT TO ABOVE
A.Call For Reinsp.
' F
i ,XIN
p� Ry 1 rt
l Al
�I ,
4
...r -_ - _
r �__
CITY OF TIGARD f IF_P,ERHI(-�r1L
P'E{?1�l I T
PER11IT #. . . . . . . .. MEC95--00132,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/01/95 �
13125 SW Hall Blvd.Tigard,Oregon 97223.9190 (503)636-4171
PARCEL: i S 13SPC—J10201
ITr_ ADDRESS. . . : 10763 SW GREENBURG RD #C.:
:SUBDIVISION. . . . : ZONING: C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :AL'T FLOOR F•URN. . . . E:VAP COOLERS:
TYPE OF USE. . . . :COM UNIT HEATERS. . : JENT FANS. . . :
OCCUPANCY GRP'. . :Ea` VENTS W/O AP,PL: VENT SYSTEMS:
STORIES. . . . . . . . : i BOILERS/COMI-'RE:SSORS HOODS. . . . . . . : 1
FUEL TYPES----- __- 0--3 Hr-'. . . . : DOMES. INCIN:
3.•-15 HP'. . . . : COMML. INCIN:
MAX INPUT: BTU 1!5 -30 iIf'. . . . : REPAIR UNITS:
F'IW< DAMPERS?. . t 30-50 HPC. . . . : WGODSTOVES. . :
GAB F`IRE:S5URE. . . : ''30•+- HP'. . . . : CLO DRYERS. .
NO. OF AIR HANDLING UNITS OTHER UNITS. : 40
FURN ( 100K BTU. (= 1000121 C.'f n : GAS OUTLETS.
r'URN >=100K PTU: > 10000 cfm :
Remarks . Tenant lylod:
Owner; _- .____......______._._ _____._. ___.._______ __. ._ FEES
LINDA LEE type amaLInt Icy date r,ecpt
10575 SW TI GARD ST #37 PRMT f 25. 00 CTR 08/01/95
6. 25 CTR 1118/01/9b ._•
TI.GARD OR 97223 3P'CT 1. 25 CTh 08/01 /95 -
P'hone #: 6.-J9-•13(,5
ANC T I i._ PLUMBING i
16901b SW ME:RLO RD
BEAVERTON OR 97006
C'hune #:
64"'--7323 t 32. 50 TOTAL E,
Reg #. . : &E04184
---.- -. --._------_
ni5 parait is 155UCd subject to 0e regula>ions contained in the REQUIRED INSGE:CTION.c,
Ga s Vl. i n i,� I n 5 p _
Tigari Municipal Code, State of Ore, Specialty Codes and all other Gas Line 1115p _�•
applicable laws. All work will be done in accordance with is a s Line I n s p
approaed plans. This permit will expire if work is not started Shaft Inspect i ulr _ �___ _-___^ ___•_
within 188 days of issuance, or if work is suspended for more Shaft Inspec•t i c T►
then 1W days. Hord ;nspectian
Final InSpec:t iurr
P's r In i t t k e =�, c i, t .r r•'e . ,,C��_�._..__.._. _.....__�.. ��_�_____.__......_ '
".ssi_ied 13Y
J •�
1 Cal fur :inspection - 639--417;
Vii. I
da
,y
i 3
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw H-all Blvd. APPLICATION Permit # �c s"- �a� •
Tigard, OR 97223
(593) 639-4171 �, ` L
-- escnpdon
Table 3A Mechanical Code —1-QTY— PRICE AMT
Job J (p _� +�.bt-t-, G 1) Permit Fee "0- -o- 10.00
Address
-T` CL-,�_cA 2) Supplemental Permit 3.00
Furnace to
1) incl. ducts&vents 6.00 -
b`X— Furnace100,000 BTU -
Owner _ 2) incl. ducts 3 vents 7.50
----Mar Furnance
3) incl. vent 6.00
Suspended heater,wail heater -
4) or floor mounted heater 6.00
Vent nat inc. in --
Occupant 5) appliance permit 3.00
zip 70-pair of hoating,reng.
6) cooling,absorption unit 6.00
i er or comp, ea pump,air cond. f
7) to 3 HP;aLsorp unit to 100K BTU 6.00 )
MjWV A4*•�---�- ier or comp,host pump,air cond.
Contractor --� 8) 3-15 HP;absorp unit to 500K BTU 1100
i err or comp,heat pump,air coni
cit 15.30 HP;absorp unit.5-1 mil BTU 15.00
�� ••••• - ts. u Boiler of comp, oat pump,- 'air-cond.
-
10) 30-50 HP;absorp unit 1.1.75 mil BTU 22.50
Hare y acknowl ge R5 T Rave read this application, that fha i or or comp, ear pump,air cond. -
information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU - 37.50
of the owner,that plaris submitted are in compliance with State it an ing unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM _ 4.50
that the number given is correct (If exempt from State registration, Aiir-Pian handling
please give reason below,) 13) 10,000 CTM+ 7.50
on portable
14) evaporate cooler 4.50
eni fan connected
15) to a single dura 3.00
anti aeon system not -
16) included in appliance permit 4.50
17) mechanical exhaust _ 4.50
escnTxi wor c_ new U addition alteration repairommerci--al or industnaf-to be done residential Q non-residential O 18) type Incinerator 30.00
xis ng used-" er i.e.,wood eve,wa err
building or property 19) heater, solar, clothes oryerr,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 200
building or propertyType of fuel -oil natural as LPG 211-More than 4-per outlet
YP � 9' O O electric Q
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR C7NSTRUCTION -� t
AUTHORIZED IS NOT COMMENCED WITI✓;N 180 DAYS,OR 5%SURCHARGE
IF OONSTRUCTION OR WORK,IS SUSPEADED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued by
FrMECH"AT
waRl.x'nd.v hr
F
0
.f
a�
3 f l
CITY OF 'T I C30RD - RECF I p r OF PAYMENT REC:E I PT NO. a 95-26873c)
CHECK AMOUNT a 3P. 50
NAME ANC T I L. PLUMBING INC CASH AMOUNT 0. 00
nr)DFiF SS s PAYMENT vwrr NCl/W 1
1 1 Z•.'yWO SW ME:RI,.C1 RI) SUBC)I V I Ii I ON
AnIVERTC)N OR 97006--
PURPOSE OF PAYMU.NT AMOUNT PAID PURPOSE OF PAYMENT PMOLINT PAID
MECHANICAL.. -p-E, MC.C95-1-009c, 25. 00 ST. BUILD PER 1. 25 i
PLAN Cr-IFCK FE. 6. ;---15
Ej t
i
i
i f
?I 10763 BW GRE:E:NBUPG FII) FFI: f
L
TOTAL. AMOUNT PAID
1
i
A
1
i'
/ i
W
�I
CITY OF TIGARD BUILDING INSPECTION NOTICE •
Inspection Lin (Roc-O-Phone): 63y-4175 Bus ine Phone: 639-4171
Inspection:
Footing Susp.`Ceiling Sprink. Rough- � Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bean Struct. Plbg. Top Out Elec. Rough-in Fl'AL:
Fost/Beam Mech. San. Sewer Gas Line -Bldg•
Plbg. Underfloor main Drain Framing -Plumb.
Alarm Water Li Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. I Elect.
Date Requested: Time: AM PM
Address:
— Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In ectorJ•v� Date•rb - —
l�C
ROVED _DISAPPROVED _—APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Footing Sus Ceiling Sprink. Rough-in Appr/Sdwlk {' '"i
.
Foundation Plbg. UnderslabMech. Rough in Fireplace '
Post/Beam Struct. Plbg. Top Out Eled. Rough-in FINAL-
Post/Becm Mech. San. Sewer us Line -Bldg.
f
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. i
Unaerflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ��, �� I �L. Time: AM PM
a
Address: l -7 ( pp r "
Builder: - Permit tt: ` —0U�o
i
a THE FOLLOWING CORRECTIONS ARE REQUIRED:
� a ��f:�, ,' � ,�' yy car•
r
L
Inspector:---..L�—r�.al Date:
=APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
x II
1
aVprVAMV -Wwgw
" 4 ,44
}
s
CITY OF TIGARD BUILDING INSPECTION NOTICE �` r
Inspection Line (Rec-O-Phone`: 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plby. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer ,a'Line� QYI r�, -Bldg.
Plbg. Underfloor Rain Drain Framing � -Plumb.
Alarm Water Line Insulation �G� -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date
Date Requested: ZPM
Address: Z D 4-3 >41 Cc -
Builder:
6w (Q)- -- 7_5 1 Permit #:61- '' ,`a�U� 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
N 7 �
1
Inspector: Date: _7
_APPROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
v Call For Reinsp.
_J
•
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
i
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 635-4171
s
Inspection:
Footing Susp. Ceiling S rin
P k.�.►[t Appr/Sdwlk
Foundation Plbq. UnderslabMech. Rough-in �� Fireplace
Post/Beam Struct. Plbg. Top Out �—
u h-in FINAL:
Post/Beam Mech, San. Sewer )
Gas Line_ -Bldg,
Plbg. Underfloor Rain Drain
Framing -Plumb. �
Alarm Water Line
Insulation -Mech.
Underflr. Insul. Shear Wall
Gyp. 6d. -Elect.
Date Requested:_ _Lz _'�"5lr f
Time:---AM PM
Address: 2�� �. r` 1 7
::Ly /� w. S-
Builder:An C �� PI L4,lyyt)
Permit #:&P
THE FOLLOWING CORRECTIONS ARE REQUIRED:
k ;
,.i
Inspector: Y r
_ Date: _S`
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
tall For Reinsp.
r
•
r
LZ IM,
T
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
r+
Inspectinn:
Footing Susp. UeilOg Sprink. Rough-in Appr/ dwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Undarfloor Rain Drain Framing -Plumb.
Alarm Wate, Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ (�Z Tirne:_)<AM PM
Address: f r—) '<:� 3CA
Builder:
7
THE FOLLOWING CORRECTIONS ARE REQUIRED: J'2-aU e NOR?
Inspector �— _ Date: L<
AAPPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
Il i�r
•
CITE OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business hone: 639-4171
Inspection: Ob co ,je CAa-
Footing Susp. Ceiling Sprink Rough-in Appr,/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation_ -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: -AM PM
Address: l 7 3 aitz�i Ltt,,C a 12 • 5-1r.
C
Builder:D% Q- c�0-7�/ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: j
I
• � 1
�I.ti f,—tin
—
Inspector: Date:
—DISAPPROVED —APPROVED SUBJECT TO ABOVE
�r _Call For Reinsp.
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection L'ie (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plhrt. Top Out Elec. Rough-:n FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain ` Framing -Plumb.
Alarm Water Line Insulation -Mech. i
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
// rrrtr
Date Requested: (D � '�5 +Time: AM PM
Address:
Builder:/ C''t°- — ,���J 7�/�Permit
nR
THE FOLLOWING CORRECTIONS ARE REQUIRED: (�.JC7 - /U1
Ins;ector: Date: l"
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
r
•s.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41
Inspection:
Footing Susp. Ceiling Sprin . Rough-in AppriSdw�
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Qu ' Elec. Rough-in FINAL:
<___o
Post/Beam Mech, San. Sewer -Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach,
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ / ( c/.- Time: AM __PM
Address:
Builder._�c – Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
i
i
�Inspector- Date*�Z_'_'
" '—APPROVED _DIS.APPnOVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
!a,
Tf
ro
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Ibg. Undersla Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. -
Alarm Water Line Insulation -Mech. r
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �� Time: AM PM ,
Address
Builder: Permit #: 17t: �Z
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspertor �/ Dater
_APPROVED (Z8t3APPROVED `APPROVED SUBJ CT TO ABOVE
_Call For Reinsp.
AMI
sdlk
I
I
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hell Blvd.Tigard,Oregon 97223.5199 (503)539-4171 PLUMBING PERMIT
PCR1vIT #i. . . . . . . : PLM95.00 O
C-) -Arl 1 DATE" ISGUE:D: 04/25/95
PARCEL_: 1 S1.35SC__00 :01
-;YTE ADDRESS. . . 1. 1076:3 SW GREENPURG RD #pC
31,JBDIVIS;ION. . . . 3 ZONING: C.—G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . z.
CLnSS OF WOR1;. . :AL.T GARBAGE DISPOSALS. . : MOBILE" HOME SF�AGCS. :
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BnCKF'LOW PRE:VNTRS. . : 1
OCCUPANCY GRp. . :132 FLOOR DRAINa. . . . . . . . TRA r'C. . . . . . . . . . . . . . . •
TP OR I E^S. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
. ILAUNDRY TRAYS. . . . . . c 'Sr RAEN DRAINS. . . . . :
SINKS. . . . . . . . . . :4 URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . I
._.nVnTon n::s. . . . . :C OTHER frI XTURC:3. . . . . :t �
''ULA/SHOWERS. . . . : ',-:,EWER LINE (ft ) . . . . :
MATER CLO'SIE•TS. . :L WAT'"R LILAC (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :
Remarks, . Tenant Mud ;
Owner. :EES
_INDA LEE type a+nal.,nt by date rerpt
'.0575 SW TIGARD ST #37 PRMT $ 106. 00 .JD 04/25/95 95--26463:5
PLCK $ Z'7. 00 JD 04/25/95 95--264035
TIGARD OR 97223 SPCT f 5. 40 JD 04/25/95 95--20.4635 4
W'Frone 3+: 63-) -1365
Contractc;r . .—____•_.,__________w_,._______.__.____ ,
CONTRALTOR NOT ON r`ILE
lY
t 1/x0. 40 TOTAL
_,....-._._._. REQUIRED INSPECTIONS ------ _.--
,his permit is issued subject to the regulations contained is the Rautgh—in Insp
.pard Municipal Code, State of Ore. Specialty Codes and all other RP/Bac:k f 1 ow Prev
.•pplicatle laws. A11 work wil; be done in accordance with Final I n s pe1_t i on
approved plans. TWA permit will expire if work is not started
within 188 days of issuance, + if work is suspended for more
than 188 days,
e!'r'n,i t t 1.+i 4�
r
C,aI i fay- inspection 639--4175
.rr
�.
MOW
l
Gity of•Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # '
Tigard, OR 97223 P01 q5-000-0
(503) 539-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
o1Divw^•" New Single family Residences Only
«• S� [11 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.0U
JobT2 ca je ` ❑ 3 BATH HOUSE$225.00
Address C."I M. m Fee includes all plumbing fixtures in the dwelling and the first 100 feet y
of water service, sanitary sewer and storm sewer. See fees below.
" '�^�^••rB°•^«•r r� FIXTURES QTY PRICE AMT
Sink 1717 9.00 6
M."Ad&,lt7R0• Lavatcry 9.00 �
Owner Tub or Tub/Shower Comb. 9.00
�'�•'• za Shower Only 9.00
Water Closet 2 9.00 E
"•^• «^�^•°'"°•"••• Dishw6sher 9.00
I
Garbage Disposal 9.00
Occupant M." d&� P"-•
Washing Machine 9.00
Floor Drain 9.00
'd"• a. Water Heater 9.00
Laundry Room Tray 9.00
"•^• Urinal 9.00
Other Fixtures (Specify) 9.00
M."°"°'«• "'^^. 6 9.00
Contractor
9.00 •�
uvim.. zq
9.00
Sewer 1st 100' _30.00
"•'•R•P•"°•" "° GN aa.r«W Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this application, that the Water Service oa. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below) Mobile Home Space 25.00
^^ Back Flow Prevention ~^
Device or Anti-Pollution Device 9.00
9W."• •0•^" °•'• Any Trap or Waste Not
Connected to a Fixture 9.00
Des.;ribe work new Q addition 0 alteration Q repair 0 Catch Basin 9,00
to be done residential Q non-res dential C Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
buildir,g or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property - _
- '(Except residential backflow
prevention devices)
NOTICE "Minimum Fee $25.00 SUBTOTAL Og �v
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL ��
Special Conditions
Date issued _ by
( fi
M j �
CITY OF TIGARD PER141.1- #.DING PER
BUP95-_00C.-
f ISSUED: -.r
COMMUNITY DEVELOPMENT DEPARTMENT D-1TE : 0r►/C.J/95
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
PARCEL: 13135SC--OW,01
;MTC t�11.^»"�C'Sr. ., . : 10763 5W GRCE1' URG RD #C:
SUBDIVISION. . . . : ZONING; C-•-G
DL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
RCI SLIE: FLOOR AR1 A'lr —_.._..._.......__. EXTE.RIOR WALL_ CONSTRUCTION ti
CLASS OF WORK. :ALT FIRST. . . . : 1600 5f N. S. E. W.
WE OF UvL.. . . :COM r,f PROTECT OPENINGS'7t---- -
.._
TYPE OF CONST. :5N THIRD. . . . . s f N: S.. E: W:
OCTCUPANC'i' 0147. :8-':' l'OT(4L— _._.._ 1600 5 f ROOF CONST:D F- I RC RCT" :'+' MW
OCCUPP14CY LOAD:47 BASE HENT. : s.f AREA SEP. RATED:
STOR. : 1 1IT. : 1 ? t GARAGE. . . : sf OCCU SEP. RATED:
S MT? :N MEZZ?: REOD SETBACKS--------• REQUIRED---.--__.____.._.___..
I'LOOR LCA("+D. . . . :50 p f LEFT: f t ?G1 iT: ft F I n aF'I!l_o N SMO1-, DC'T. . N
D;dELLTNG UNITS: FRNT: ft REAR. ft rIR ALRM:N )INDICP' ACC:Y IC.
D E D R M : BATHS: Imp SWFACE: FRO CORR:N PARK I NG. 6
V AL UEr. L . 30000 f
Remarks : Tenant.; Nod:
Owner; _._____...____.__.__._w_____..__. ._____.._____.__._. __._. _.__.____ ..__.____ F:'EE,
LINDA LEE type amar.lnt by crate recpt
10575 SW TIGARD FST #37 PRMT $ 193. 00 JD 04/25/95 95--26463
PLCK 1, 125. 4 3 ?? 02/2 :/9 95--216 1:'r
? IGARD OR 072:23 FIRE $ 77. 20 ?? 02/2"`/95 95--262013
Phone #. 639--1365 5PCT 1 `?. 65 JD 04/25/95 95- 2646,135
-antractor:
PORTLAND RSTRNT DSGN & EQPMNT
11855 5W R I DGECRE T DR, SUITE 215
BEAVERTON OR 97005 _ ___._____.__._—_...__.w_...__.__.
PhOTie #. b"26--2 6','0 $ 405_30 110TAL
Req #. . : 64968
REQUIRED INSPECTIONS
This pewit is issued subject to the regulations contained in the r'rminq Inap _�_•_YW_ _,•__ ��
Tigard Municipal Code, State of Ore. Specialty Codes and all other I t,s i_ll pit i on I resp
Applicable laws. All work will be done in accordance with Gyp Board InsP
approved plans. This perait will expire if work is not sta ted Sltsp C:ei lnq Insp
Nithin IN trays of issuance, or if work is suspended for sore Final Inspect ion
than IN Bays.
t'`..
i
Call for inspection 639-4175 `
i f
h
t! 1
A
k —
LL.
r-
'�: � -
1`
CITY QF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (50)639-4171 PF RM I T
PERMIT #. . . . . . . : SWR95...016L'
63 3 —4171 LATE ISSUED: 04/25/95
PARCEL: 15135BC--00201
:3I'TE
ADDRESS. — : 10763 SH GREEN2LJ dl" 110 #w
SUBDIVISION. . . . s ZONING: C--G
N_OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .
TENANT NAME. . . . . :TOKYO TERIYAKI
i USA NO. . . . . . . . . . FIXTURE UNITS. . . : 12
SLAGS Cf WORK. . . :ALT DWELLING UNITS. . : I
TYPES OF USE, . . . . :COM NO. OF BU I Liz T NGS
INSTALL T`r'PE. . . . :PUSWR IMPERV SURFACE. . c s f
mmla
R cmiav,ks s Tenant Mud.
Owner-: -•.__._._.__.____.._.___......_._.._...__...._____..__________.________ _. .__._._ FEES --_.._. __..._._._.. ....
{..IPJDA LEE: ty)se amount by date I•ecpt'
10075' CW TIGARD ST X137 PRMT 2200. 00 JD 04/25/95 95--264635
INSP 1 35. 00 JD 04/25/95 95 26463
TIGARD OR. 972213 ;t
Phone #k: 639--1365
Cor-itractor.
CONTRf1CTOR NOT ON FILE
Phone 2235. 00 TOTAi_
Reg #. . :
— REQUIRED INSPECTIONS
--
This Appl:rant agree: to comply with all the rules and regulations Sewer~ Insper:tion
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the _ _.�. __.._
side sewer laterals, If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
F'er mi.ttpe L
I s s u e
Call for- in�pec.tion 639 -4175
e
ILI
i
•
`;yj ' r�r .ns...._-..vim..r._.r r-.,.......r...�.....�_...._�.r.—.r-..._....+n...—..._�+�.ti.r........_..i_.�__.—_..r—...—.�...—._..._._ ....__...__..—._.-..._ �.'.._.__..---• -- � .'
J 4Aytl.1 J'` _ I 1
1 wt
CITY OF "I'Io:iFSG - PFCEIPT OF PAYMENT RECrIP'T
CHI�XK AMOUNT 1 2578. 05
hiAMf:: 1 l.E'k, WIL.FE'N
CASH AMOUNT
I1aUCif�E.ar 1 52'Pl WESTFT.EL.LI CT POYME:NT DATE,
suBuIVIsInN
LAKE 08WEf3iJ OR X70:35--
F'UFtRt.1SL OF 1-h1YMF:NT AMOUNT PAID PURPOSE OF PAYMENTf AMOUNT PA I
PUI1�A PER 9. 6°;
SEWER USA rwR95"-01.66 21200. lAo SEWER INSPECT 35. 00
I
ICILUMIRING PERM PLM15--0060 1.08. 00 ST.. BUIL.D PER `' 14
PLAN C14L-f,K FE 27. 00 ,
'I
1.0763 GW GREENBURG STS: C
TOKYO fERI YAK I
TOTAL, AMOUNT V-101.17 - i 25178. 05
1 ,
i
i
1 S
Y
1,Y
„ �?,>e,,.«,;;+i�;.,;r„W,mi `.+^,�f'�"'�:. •M,a.a.:q:..:... ,......,rno<�,. ...
f.
• Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 57223
(503) 639-4171
40
zl
Jobsite Address: rZ3 S • Lo
Office Use Only
Tenant: � � �(Suite #
�� l
Plandc/Rec �.�..-
Valuation.
Permit # 1 'i�� ( _ •
Owner. L 11,11"M Map & TL#
Address: /Z-11- 7 r c't LTJ 7-/� ' P J Approvals RequlrBd
T Z&>Alep- . /�� iZ 7 2=' z Planning
Phone: S`D 3) Z-2 % '-/-:-?Zl Engineering
t
Other
Contractor:
tJ
i.
Address: LV R/ t-
�YPe of const:
/ Occupancy class:
Phone: l e 3 --zy/ 7 y )
Sprinklered? Yes (NO)
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project.
Contact name & phone:1 ! Story (1 st, 2nd, etc.)
Proposed use:
ArchitecVEnglneer: - l�/..it a ^r 5a.•�g s
Previous use: << 7
Address: _
Note: Plumbing & mechanical plans
_ must be submitted at time of
building permit application.
Phone: _
JOB DESCRIPTION: K'���)/��C'_f}L� ' F
f -
131
Apolicant Signature & Phone number
Received by: Date Received:
W ry7
ozi—
Y
�,,!i a y r:•fy,
Permit S Account Description Amount Amt. Pd. Bal. Due
/l,��c�s po�' E31dg. permit (BUILD) f C ,C'Z.>
l �
Plumb. Permit (PLUMB)
Mech. Permit (MECH) _
t
State Tax (TAX) ��'�
Bldg:
Plumb: `
Mech:
C/S
Plan Check (PLANCK) —J • -1�
�r
Bldg: _
p
Plumb:
I
Mech:
01 i
ewer Connection (SWUSA,) �! t
r
/0
Sewer Inspection (: SIP)
i
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
lG,4c,o-b ia. �t� k
Commercial TIF (TIF-C) ��_ ��� `
i
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0)
Water Quality (WQUALi /
Water G-jantity (WQUANT)
-* a Life Safety (FLS) j70 20
Erosicn Cntrl Permit (ERPRMT)
Erosion 31ancIdUSA (ERPLAN)
i
Erosion Planck/COT (EROSN)
TOTALS: G5
Y
¢ n'
y .
03. 27. 05 02 01P1v. * PORIrLA.ND RENT DESIGN P 0 1
i
1r
IiDvf.' RE54. DESIGN 583-641-9239 P. 1 Mon Mar 27, 1993 14:02131
Portland Restaurant Design & Equipment, Inc.
11855 Southwest Rldgecrest Drive,suite #216
8eavorton, Oregon 97008-6366
I Phone, 503-626.2670 Fax; 503.641-9239
I
! March 27, 1995
Clty of Tigard
13126 S.W. Ho!! Blvd,
Tigard, Oregon 97223 "
1 Attn David Scott 1
voice *503-639.4171 fax; #503-684.7297
Response to your review letter of March lo, 1995
TENANT IMPROVEMENTS
for Existing Retail Space
TOKYO TERIYAKI RESTAURANT
10763 S.W, Greenburg Road, Space #C
Tigard, Oregon 97223
G
18. Flre extingulshing plan Included with this letter.
d
4
r �
f
r
i
i
n:. 5'_ 01;SS Fid
Fol }
1•i '; j _
S A J
r. /
wti
7 711-
71,
rprFj-, J
CQ
y � �
a
o
dare Cml flag wnT Lnvinva x4id NHI12viono IJH 9Z A[ NOW mss.-♦�+>Mew
zoa KJiYlS3Q S.S3L! at4V IXMCd * ? '� �7zQ0 n� �3n �LZP�Z� O
... +.. «t�. �.+�.� +.M:SII'(.•M. _.-.. .. .. KflN:it�"�.:Wi ��mrvR`SRwq�:
I
L
r,
i
Portland Restaurant Design & Equipment, Inc,
11855 Soul hwest Ridgecrest Drive, Suite #215
Beaverton, Oregon 97008-6356
Phone: 503-626-2670 Fax: 503-641-9239
March 22, 1995
City of Tigard
13125 S.W. Hall Blvd.
Tigard, Oregon 97223 •
Attn David Scott
voice #503-639-4171
•
Response to your review letter of March 13, 1995
O1. At present we see no architectural barriers present to be removed. Currently
there are 2 ADA parking spaces in front of the building with a ramp located
between the spaces with a additional ramp at the east end of the sidewalk.
Existing parking plan is provided with this letter for your review. Presently there
are 57 parking spaces on the lot.
02. Operable environmental and other controls, dispensers, receptacles and other
operable equipment shall be within the ranges specified In Section 3109 (1)),
and not less than 36" above the floor.
Electrical and communications systems receptacles on walls shall be mounted
a minimum of 15" above the floor.
kl Mt� 0 Seating occupancy will be reduced from 56 to 48 seating capacity. This will not
AqpU X5o 0i require a secondary exit at the restroom corridor area, The rear exit door will
�1
? 90not have panic hardware required or Installed.
S 04. The restrooms will have a smooth hard non absorbent floor surface which
extends onto the wall 5" ht.
Walls within 2 feet of the front and sides of the water closets shall have a
smooth and hard non absorbent surface which extends up the wall 48" ht.
05. Existing 3.5 ton Lennox Gas Kik HVAC;' unit has capability of exhausting a
j complete change of air every 15 minutes and is connected directly to the
outside.
06. See revised plan provided with this I,.;tter reflecting all requirements mentioned
' in this section of your letter.
07. Draft stops are presumed to already in place. A detail drawing will be provided
ak
^' if found not Installed per code requirement.
08. No double acting doors are shown on plan.
09. All floor to floor areas are same level with thresholds not exceeding 112" In
height.
10. Seating occupancy will be reduced from 56 to 48 seating capacity. This will not
�oril require a secondary exit at the restroom corridor area. The dieing area
measures 35' 0" x 19' 6" = 682.5 sq ft divided by 15 sq ft per person = 46 seat
capacity
1 1. The restroom corridor will be r►ninimum of 44" In width.
ps r� 12. The hall is to access the restrooms only. This will not be a customer exit corridor.
vi
13. Restroom Hall shall have 5/8" type x gypsum board on each side of framing
r` All doors to be 20 minute fire rated, self closing with smoke gaskets,
14, A minimum of 32" will be provided between Items #19 and #25 on sheet #1.
15. A lighted exit sign will be provided over the entrance door. Emergency battery
back up light will be provided per plan revision.
16. Signage will be installed over the entrance door stating, "This door to remain
unlocked during business hours".
17. Mechanical plan with this section requirements Included with this letter.
18. Fire extinguishing plan included with this letter.
•
TENANT IMPROVEMENTS
for Existing Retail Space
► TOKYO TERIYAKI RESrAIJRANT
;! 10763 S.VV. Greenburg Road, Space #C
Tigard, Oregon 97223
general Notes:
1. Local Building Codes to take precedence eve+r these specifications.
2. All equip menu to meet use standards where applies.
3. Three Cornpartmert Sink 10 have 23"x 23"x 12" deep tubs. Third compartment
sink to to be Indlrec, waste to ;loorsink for use as prep sink,
4. Walls in food handling arecs ,o be pointed light color, smooth finish, semi-gloss
paint.
5. C:elling panels in fcod handling areas to he washable vinyl faced lay in 1 hour
rated, Iriyed in exposed metal suspension grid. Light fixtures to be lay in type
with solid cleanable diffuser, Walls do not peneirate ceiling grid or tiles. Existing
telling and lighting fix,ure mounting to be upgraded to conform to current
standards Por seismic protection.
6. Floors in all food hcndling areas to be vinyl composition rile with 4"ht vinyl
coved base.
7. Gyp board in w-t areas to be water resistant grade. 4
' 8. HVAC System Is existing with 3 supply diftuse.rs and one Intake grill. New wall
configuratiorn does not require any additional or relocating of existing diffusers.
9. Interior doors to be solid core \good door with lever type access handle and
a self closirg door hinge with tension adJustment, Restroom doors to be
equipp,.;d with privacy door lock,
4
1
.R
09/22/95 12:46 2084891811 BUS PROP REVEL
'a Site Plan
1 .
4•
�I
mclo
•
3520 sq.ft.
Beauty Salon
Shears Ahead Mr
okra Teriyah
i
2 240 sic.. f�
Cascade
Tubs 6 Billiards
1-Eleven
3110 sq.ft. `
i
I�
t
i
Grubb&Elfis
5
v Y i
RMI ' l
!v
• C N, L/NE OL SON n7ACT. ��• pG.99I a yr l.+tN'r
� K d9•f 9'00_W ZSR!y3 1 � +`�-_ .. —:��. �--�gjJ",:�!.=
Ine
var
sraPM WArfk'rNLLT
T'IYrAtIOP17 CURB
1
O
Lor 2 L --rS.ar•
6001
Ga-.�'s•.�s•�
tiN 529. MAW
? ti eua.9wd Ir ^y'
R p 1
o '1
o
'v S E T A%•: 6 �
S i k _,_•�
� � ,'lav a=, %tsj{e-a�la�--_.��� ��+•.-- ?•'_3I � �v�!l6
Aff
O G�tS
alRfp.Wd .T
ti �.Jo y L G T
GW7.Sl i'ruvtFr�vrN i ��
tDT2 .87'
9J.+,y'N87' ,r-c�o'W �;,•. �-B� 4�.tp. S • � T.'h:=,r/!"�'
w'AtLit!cv 6'y0D'`/ '�G� r Zovd 0,
EAS•�Hd vT Q�,E
ir:
O T 3 "ssr 6XV Wr.
B.G d3 Sf ti �
rj
r
U \\
CO- TRACT JTdTE Of PEEdON �' P
�� 13 4 MOB/L O/L
h sr,a't>, Acsii �•
nl
' 5�; to
W
cora w A./;,ver ecsav r.••wc�
tb!!9 RAC
if
0ad..3 SAA�rrae'Aa►rcr
='sc"�� �r..�sa�'�, s��l✓, CASCADE A{/E_
`•i'dd'-U" d-CJS.^D �—i..--- -- Tr+Jd
:j1./7• "d.p,.�- viii' ALt-L :.
a'N/S'2D'�3 A' ASN/5' Psa'� '—ra.y.�rdP•✓v.1+-- � �f, �:
'Y.r. CP.4W Ag E'WS2 m—
�
Property Tax Lot Number: Washington County
R1346485 - Misc. Tenants
� L 2
t
�r
, a
••
l _
qv
1-3
Lz
a
M
N —
177
YN
ur ��.
CITY OF TIGARD
March 13, 1995
j OREGON
Portland Restaurant Design
11855 SW i4idgecrest Drive, Suite 215
Beaverton, OR 97005
Project: Tokyo Teriyaki Restaurant - plan check #2-43c
10763 SW Greenburg Road, Suite C
(A-3 occupancy, 5N construction)
Subject: Building Plan Review
(1991 UBC with Oregon Amendments)
The plans for this project were reviewed for conformity with applicable codes.
Please submit the following items for completion of the plan review process at
youearliest convenience:
1. of the total project cost is required
of architectural barriers up to an expenditure of 25 percent
�}� ? per UDC Section 3112 (a) l.
�� ' Please look at accessible items A G and submit a price list which !
o\(( ��i totals 25 percent of the project cost with the plans corresponding
to such items. Accessible parking and an accessible entrance are not N
shown.
j T I
2. The highest operable environmental and other controls, dispensers, i
receptacles and other operable equipment shall be within at least oi,e
of the reach ranges specified in Section 3109(b) , and not less than
36 inches above the floor. Electrical and communications systems
receptacles on walls shall be mounted a minimum of 15 inches high
Q above the floor (Section 3109(c)2) .
The rear exit door to have panic hardware.
r{� 4 . The mens and womens restrooms shall comply with the following:
C�rij a
1��41✓ P. The restrooms shall have a smooth hard nonabsorbent surface 1
J� I11 which extends upward onto the wall at least 5 inches (Section
510(c) 1) .
b. Walla within 2 feet of the front and sides of urinals and water
closets shall have a smooth, hard nonabsorbent surface of
Portland cement, concrete, ceramic tile or other smooth, hard
nonabsorbent surface to a height of 4 feet, and except for
structural elements, the materials used in such walls shall be
of a type which is not adversely affected by moisture (Section
510 (c)2) .
5. Provide a mechanically operated exhaust system capable of providing
Gk a complete change of air every 15 minutes. Such system shall be
connected directly to the outside (Section 605) .
S . Sheet 1 calls for a type I hood above the foyer. , broiler, etc. Sheet
1W4iV� 2. calls for a type 2 vapor hood, which is riot allowed. A type I
i
� hood is required per the Mechanical Code in Chapter 20 which
requires a one-hour fire-rated shaft. A typical one-hour shaft {
li __
t� consists of a 3-1/2 inch stud space with 5/8 type x gypsum board on �
�� each side. Other alternatives exist for approved one-hour fire-
rated shafts such as the pabco system, or other systems in the !
gypsum association manual, UL listed system, etc.
i
f
13125 SAN Hal! Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — ----
i
l Y
I
Portland Restaurant Design j
March 9, 1995 i
Page 2
f �
! Draft stops shall be installed in attics, mansards, overhangs, false
fronts set out from walls and similar concealed spaces of buildings
having uses other than dwellings or hotels so that the area between
draft stops does not exceed. 3, 000 square feet and the greatest
horizontal dimension does not exceed 60 feet (Section
2516 (f) 4B(iii) ) Please detail such draft stop and indicate
location. I
� I
i�klnp
(13. If installed, double acting doors shall be provided with a -view panel of not less than 200 square incher (Section 3304 (b) ) .
9. Regardless of the occupant load, there shall be a floor or landing ~
on each side of a door. Landings shall be level except for exterior
landings. The floor or landing shall not be mor6 than 1/2 inch
lower than the thresholr' of the doorway. The landing shall. have a
QyJr width of not less than the width of the door. Landings shall have
a length measured in the direction of travel not less than 44 inches
1 (Section 3304 (1) and (j) ) . Landings to be provided at exterior
doors.
��'11U. Exit corridors shall not be interrupted by intervening rooms (Section
lliri �� 3305 (a) ) . The corridor adjacent to the restrooms exits through an
I 7 intervening room before exiting to the outside.
Jluv� 11. The minimum clear width for the corridor shall be not less than 44 4
Iryi inches (Section 3305 (b) ) . The corridor scales approximately 42-44 j
inches.
} ' 12. The restroom doors in any position shall not reduce the required
width of the corri ' r by more than one half (Section 3305 (d) ) . '
)f For example, 36 inches (width of restroom doors) plus 22 inrhes (one
(Ahalf of the corridor required width) equals 58 inches minimum for
the corridor width.
nyt
�l 13 . The entire length of the corridor walls and ceiling to be one-hour
fire-rated (tunnel system - 5/8 inch type x gypsum board on each
lre, / 3ide of framing) . All doors to be 20 minute fire-rated, self-
7d closing with smoke gaskets (except exterior door) (Section 3305) .
14 . Providc a minimum of 32 inches clear between items 19 and 25 on
�IC� �9JTI' sheet 1.
15. When two or more exits are required from a room or area, exit signs
j I/ shall be installed at the required exits from the room or area and417, i
where otherwise necessary to clearly indicate the direction of egress
(Section 3314 (x) ) .
16 . A key-locking device may be used in lace of
Y g Y p panic hardware on
f�Jo the main exit only, provided there is a readily visible durable
O sign adjacent to the doorway stating, "THIS DOOR MUST REMAIN
UNLOCKED DURING BUSINESS HOURS" (Section 3317 (d) and exception 1) .
( 17. Provide complete mechanical plans for review showing gas meter
(Vp�QivY� location, all gas piping locations and size, make-up air
supplied to the kitchen which exceeds the amount to be exhausted,
complete details for a type I hood and one-hour shaft, size of
exhaust_ outlets and termination at roof, etc. All work to comply
if
with the current Uniform Mechanical Code with Oregon Amendments.
(ane
p
Portland Restaurant Design b
March 9, 1995
Page 3
18. Submit fire-extinguishing plans for the protection of the type I
( grease hood.
Please make these corrections on the appropriate pages of the drawings and
resubmit three copies of each page to the City of Tigard for review. �
This plan review does not include electrical or plumbing plan reviews.
Electrical concerns can be directed to Washington County at 640-3470 and plumbing
h concerns to Mike Sheenan at the City of Tigard at 639-4171 extension 312.
1
If you have any questions or concerns, please do not hesitate to call.
Sincere
i
David Scott, P.E.
Building Official
DS:wh
pc#24]c
i
rr
yl
i.
r
I
p.
w 1�
r
y
Y
March 2, 1995
Linda Lee CITY OF TIGARD
10575 SW Tigard #37 OREGON
Tigard OR 97223
t /
TRAFFIC IMPACT FEE FOR �../
Enclosed with this letter you will find a calculation 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 the TIF is $2,434.00.
You have two payment options available to you. The first is to pay the TIF
at the 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 second option please contact me for additional details). Traffic impact
fF.,es are subject to an annual increase of up to 6% if not paid or financed
1 prior to July 1 st of each year.
Please note that you may appeal the discretionary decisions made in
determining the appropriate category and the amount of the fee based on
that category. A notice of appeal must be received by the Cily Recorder
no later than 5:00 p.m. on (14 days) and mus, be accompan._ by the
$625.00 appeal fee required by Washington County. Although filed with
the City Recorder, an appeal would be heard by the Washington County
Hearings Officer.
If you have any questions, or if I can be of further service, please contact
me at 639-4171 .
f
James S. Duckett
Development Services Technician
c: TIF file
Building file
Owner
13125 SV1/ Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -
d
ILL"
pt'N'•:t
-- DATE: PLANS CHECK NO.:
PROJECT TITLE:
COUNTYWIDE �` ` c /E'r
TRAFFIC IMPACT FEE pPPUCANT:
I
WORKSHEET
FOR NON-SINGLE FAMILY USES MAILING ADDRESS:
i ( is s s 51L.
I CITY/ZIP PHONE:
RATE PERS •-�( cI �c�c
LAND USE CATEGORY TRIP TAX MAP NO.: r
RESIDENTIAL $155.00 ISI 35 do -(3-L I
-BUSINESSNO COMMERCIAL $39.000 SITUS NO.ADDRESS: / I
FI 143.00 C�L,S 7h (T l�fr� 6.i ire. C
INDUSTRIAL $150.00
INSTITUTIONAL $64.00
PAYMENT METHOD:
CASH/CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT PROMISSORY NOTE) LAND USE CATEGORY ESCRIPTION OF USE EEKDAY AVG• TRIP RA WEEIMNO AVE TRIP RA
DEFER TO OCCUPANCY 3L F' r ICc•rY�vcrlCb
BASIS: f1�(,I.c�, c�x5es ��.�a..� ,— nd -��i•• C/1 iC Cdn✓er TI
17��f.r•�S
r'> r d e� <<�'T��., a•. r c re',(
•T S
�•'r �'J �'1 /Jr a�✓ <<•s 1�,�e� c,< sf- �c%13�. .•�=��.�I.•�.�-r ; .,�`cam i{s (�r�S,e-T
.r Ilccc �l,
CALCULATIONS: Prc J•C"S (pLrC r�r. n f
YIcc,ca Tr
cFs.,11 IGc .[-CTr:Ps — ���.(rc -..�5 = ?.e/C� Tr.' s 6-E7 -r
i
(:c7 `( r('Sx 3�i�rr• �� _ G�`13 3,& C PROJECT TRIP GEMMU1TION:
i </3�. L�Z
FEE: t1 r
_A 3 c
i
I ADDITIONAL NOTES: (j Y /�\/ FOR ACCOUNTING PURPOSES ONLY:
re ROAD AMT.:
I
T
7 C %n�,.a 1
TRANSIT AMT.:1 /
PREPAF.t, f:
CC: WASHINGTON COUNTY
TIF NOTEBOOK
form ti}10
i
t
_
I
II
i
AI
t �
J
'ML Nk
`) tI
l Y 7 Y GIF T I GARD — RECEIPT OF PAYMENT R[.-'r I PT NO, :910'-262013 i
CHECK AMOUNT s 20,21. El•
r NAME 1_EF:, I_I NDA CASH AMOUNT c 0. 00
ADDRESS a 105i75 ,W TIGARD 037 PAYMENT 02r2J /95 �1
SUBDIVIf;ION s i' ••
'C I CARD, OREGON 972-?3--
PURPOSE
72-?3--PUF POSE f..)v PAYMENT {"►MOUNT PAID PURr."ORE CIP V;•AYME:NT AMOUNT PAID
wYI
KLAN 4:FiE CK FE 125. 4!-; r i R !..I F E SAE=FY PLAN CK 77. e?0
Pti;
,r
f
TOKYO TERI YAK I
17063 BW f. R E:NSUR
TOO AI_ AMOUNT PA l'17
I
i
t
k
i
ss
I.
7
t'
6
µ' 11
.I f
i
,r... EML