11445 SW GREENBURG ROAD-1 .k' ���;� $` ��'rl�}',•s�a�y� -°" r ��I�� w � �''�,.1' ".�.b`��li7�''b� ��+'�$' s" !? � +"� ,.i��i
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APPLICATION - STREET IMPRO ' `4ENT/EXCAVATION COFN TO: �l
I9 (WHITE)•FILE
OR DI PJ / P10. 74-14 K (YELLOW)•INSP.
INSTRUCTIONS ON SEPARATE SHEET -�gg (PIN.<)-O APPLICANT i ( ) � � Qg (BLUE)-APPLICANT'
�- \ /�
I , yale APPLIl:AT10N NO.:
APPROVED �I --
NOT APPROVED ❑ CITY OF 'rIGARD, OR GON rEE AMT.: : 'V
PENDING FEE.PMT. ❑ CITY HALL RECEIPT NO.: —PO
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE
— — — � -— — — — —
PENDING AGENCY ''OK" ❑ Application and Progress Record MAINTENANCE BOND
FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED C
PENDING INFORMATION ❑ ANNUAL O
PENDING VARIANCE ❑ EXPIRATION D /
PERMIT NO.: 1 3-6?5 DATE ISSUED: BY: _.
(1) APPLICATION IS HEREBY MADE TO MINSTALIs A_j_BRICK? MAILBOX — •
CLUSTER STRUCTURE (1) _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE W CIT REIR ENT:S
Fi ie c Q�ary oay u night
} APPLICANT Marylou Mahar 18040 Royce Way Lake Oswego OR 97035 #_624-1990 & 638-6418_
NAME ADDRESS CITY PHONE -
�OfvTRACTOR Brick Mailboxes by Dough Hauth 13840 NW Pioneer Rd Ptl. Or 97229 644-1273
NAME ADDRESS CITY PHONE :p
3LANS BY N. A.
NAME ADDRSSS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 8w'w
DOLLARS
lOR OFFICE US[i OMIN.`
2) EXCAVATION DATA: 0.04 x S - $�2JL4S1—__
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
SURFACE CU'T CUT CUT MATERIAL INSTALLED
NAME TYPE LENGTH WIDTH DEPTH ITEM 6 QUANTITY ITEM DATE RE MARKS/TYPE BY
�+ u STREET
_ P NEO
Greenbur R - see tt'ache - INSPEC-
R ION
E —
U
ESTIMATED STREET OPENING DATE:
ESTIMATED STREET CLOSING DATE: _ / / E
8�.� STREET
3) SECURITY NO. __. SECURITY AMT.: $ CLOSED
SURETY CO.: �-jaKZ-1 _ FINAL
Cc
or,==CHECK CASH 0 `BOND a INSPEC.
4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
attached
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✓,
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1 1 SITE: SW Greenbur I I
Road
5) NOTE: THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-017-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CI TY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
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PPLICANTS SIGNATURE. >t ��/ /�.N DATE. / U / �r
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NOTE: THE SIZES DEPICTED IN THIS DRAWING ARE FOR ONE MANUFACTURER. �.
EXACT MEASUREMENTS FOR VARIOUS MANUFACTURERS MUST BE VERIFIED.
PARCEL LOCKER
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IN P.14 ION NOTICE �y•
City of Tigard Building Depactaent
13125 811 gall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-•4175 Business Phone: 639-4171
Footing Plbg. U erelab Mech. Rough-in 11pcp^r/Sdwlk
Found. P1bq. Top Out Gas Line IOM
Post/Beam Struct. San. Sewer Framing -Bldg.
' Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line -Mech.
Date Requested:, Gyp. Bd.r�
Time: AM PM
Rddreee: a vv Permit
Builder-_��(J_I �
{ TBE FOLLOWING CORRECTIONS ARE REQUIRED:
J 7c
i
Inspector: — — Date!
APPROVED DISAPPROVED APPROVED SUBJECT TO RROVE
Call For. Reinsp.
w
CITY OF TIGARD BUILDING PERMiT
PERMIT #. . . . . . . : BUP94--•0229
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/11/94 ' •
13125 SW Hall Blvd.Tigard,Orogon 07223.6100 (50(3)
x PARCEL..: 1 S 135CD 00500
SITE ADDRESS. . . : 11445 SW GREE=NBURG RD
SUBDIVISION. . , . : GRFENPURG HEIGHTS ZONING: R--12
BL..00KF . . . . . . . . . . . LOT. . . . . . . . . . . . . :5
13E=ISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION—
C:LASS OF WORK. :ALT FIRST. f N: S: E: W:
!fir 'TYPE OF USE. . . :MF SECOND. . . : S PROTECT OPENINGS?----.-------
TYPE OF CONST. :GN THIRD. . . . : Sf N: S: E: W:
i OCCUPANCY GRP'. - R1 TUl"AL __......_.__: N S f ROOF CONST: FIRE RET ':' : •
OCCUPANCY LOAD: BAS)EMENT. : s f AREA SEP. RATED:
STOR. : HT. : ft GARAGE. . . : Sf OCCU SEP. RATED:
BSMT•'' : MEZ Z" : REUD SETBACKS
FLOOR LOAD. . . . : ps f LEFT : f t R(31 'T-: ft FIR SPKL: 5110K DET. . : dwt mf
DWELLING UNITS: FRN-f : ft REAR: ft F•IR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMF' SURF ACE:.: F'RO COPR: PARKING:
VALUE. $ : 2:100
41
Remarks: I'Proof I, W1.ex
i
Owners ___.__________.____.___.__—_____._...-•_--.____________.___.____ FE=ES
MARYLOU MANAR type amoltnt by gate recpt {
1.6200 SW VIACIFIC HWY. #125 PRMT $ 38. 50 SW 08/11/94 —
5F'CT $ 1. 1)3 SW 08/11/94 •-
T IGARD OR 9722:4
Phone #: 624-1590
Contractor. __ __.________________--•---.—_•—•—_
OWNER
Phone #: $ 40. 43 TOTAL
Reg #. . .
REUU I RED INSPECTIONS
-This permit is issued subject to the regulations contained in the F-inal Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. all Mork 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,Ai
1<
Perm i t t e e 1 i.y n a t 1-ire
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Issued By :
I
Call for inspection — 639-417`.
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Commercial Building Permit Application
City of Tigard •
13125 SW mall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address: ftuJ- 64fieg 4f i!O
Office Use Only
Tenant: Suite#
Planck/Nec#
f
Valuation: — i L!G%
Permit # `. �' � _ •
Owner: ►AMA Map & TL:#
Address: A-?&V0 AkOr 19&2"-, Approvals Required
7/,"" pia 9 2,x.2
l � � Planning
Phone: Engineering
Other
Contractor: 42W fft/,40r0 ~4" .ABY B �
Address:
Type of const:
Occupancy class: /tLX AI1. N.v�1
Phone:
Sprinklered? Yes NO
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
i
Story (1st, 2nd, etc.)
Architect/En (neer: Proposed use: .4Ea �pIge
9
Address: Previous use: eye-
Note: Plumbing & mechanical plans
must be submitted at time of
Phone: building permit application.
COMMENTS:
I
I
Applicant Sign ure & Phone number
Received by: _ Date Received:
,d
01
III J11w 11",
04*
Permit# Account Description Amount Amt. Pd. Bal. flue � � �•
C�Vf '1 7 Bldg. permit (BUILD)
rr•
Plums. Permit (PLUMB)
Mech. Permit (MECH) _
State Tax (TAX)
Bldg: —
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _ .
Plumb:
Mech: _
I
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
i
Parks Dev Charge (PKSDC)
Storm DrainaoA Chg (SDSDC)
Residential TIF (TIF•R) _ f
Mass Transit TIF (TIF-MT) I
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
Water Quantity (WQUANT)
I
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) j
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: c .
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SCREEN PLUS "
F $CROON
FIRE
SOUTHEAST ROOFING &
SUPPLY, INC.
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FIRESCREEN is a long-lasting strip shingle with a base FIRESCREEN PLUS, a popular choice among Amer-
mat of fiber glass—a material that resists cracking, ica's homeowners, is made of extra-tough fiberglass
splitting, warping and shrinking. This fiber glass base construction which delivers years of carefree
is then coated with asphalt and surfaced with durable performance.
mineral granules for added weather protection.
Available in 10 beautiful colors, FIRESCREEN PLUS
Superior fire and weather resistant features are com- produces a distinctively handsome roof and is backer
bined in FIRESCREEN to provide a 20 year limited by a 25 year limited warranty.
warranty, as well as long lasting beauty and surface Additionally, all GS strip shingles carry the UL
protection to your home.
Class 'A" rating for fire-resistance— the highest
rating available.
I�
Colors Available
PACIFIC)White, Desert Brown", Move Blacl�. Highland Brown. Antique Silver, Sequoia, Saddle Tan, Driftwood Grey, Coral Sunset, Meacim Gree
CENTRAL) Moire Black. Wood Blend. weather Blend. White, Mahogany, Barnwood, Meadow Green, Brown Blend, Dove Gray, Frost Brown
EASTERN)Classic Black' Snow' Dove Gray'.Wood Blend' Brown Blend',Weather Wood'. Desert Brown, New Moire, Slate Blend, Meadow Gree-
'Denotes Fvesrrepr a .,s coiors,n S E neq on
"SHAKETONE cr , :, -cnarirw. ore—
=rnscrnen or'. GS Roofing Products Ccmpany, Inc.
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Fiber Gies
s Shingles
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Construction Features
REGIONAL OFFICES
EASTERN CENTRAL PACIFIC
2900 Bird Street 5525 MacArthur Blvd., 110 Waterfront Ro.
Charleston Heights, Sults 900 Martinez,CA 94553
SC 29405 Irving,TX 75038 (510)372-0811
(803)744-7451 (214)580.5504 (800) 955.0811--cutside
(800)777.2583 FAX(214)580.5892 CA �� i G Mr � �- .�
FAX(803)747.3278 (800)442.5260—CA only � r r 1 l j ` r
.ail �+•.
FAX(510)372-05+ t X,.4' y'�"• r rrPC
• SALES SERVICE OFFICES
EASTERN r'ZIFIC 6350 NW Front A,?
2900 Bird Street 1431 West st Portland,OR 972':
Charleston Heights, Wilmington,^k 90744 (5031?-22.3888
SC 29405 (800)851.2697 Calif.WATS FAX(503)24992" Self-Sealing Ther.
(603)744.7451 (310)830-0520 moplastic deposits
(800)777.2583 FAX(310)549.2313 ♦PLANT LOCATIONS bond shingles
FAX(803)747.3278 Charleston Heig^:s SC
110 Waterfront Rd, Peachtree Cry.GA together when
CENTRAL Martinez,CA 94553 Little Rock,AR Ceramic Granules warmed by the sun,
5 MocAnhur Blvd. (510)372-0811 Shreveport, LA A uniform layer of durable forming a roof that
900 (800)955-0811— Ennis,TX ceramic-coated granules resists gale-force
g,TX 75038 outside CA Wilmington.CA protects the coating winds.
4)580.5604 (600)442.5260—CA only Martinez.CA and fiber lass mat
AX(214)580.5692 FAX(510)372-0534 Portland,OR 9
Glenwood,AP from the sun's
Rancho Corona -A ultraviolet rays
Technical Specifications _ Asphalt
FIRESCREEN'" � Coating
Thick asphalt
and coatings with
speaal additives
FIRESCREENPLUST for lasting
pro-
tection against
the weather.
Coverage: 3 Bundles Per Square
Portland Production = 99.9 sq. ft, _
Approximate 12" x 38" Fiber Glass Mat
Dimensions: Portland Production = 131/4" X 393/9GS fiber glass base is more dimensionally stable
Exposure: 5" and more rue resistant than an organic felt base j
Portland Production = 55,E
Fasteners Per
Shingle: 4(8 In High Wind Areas)
Slope': All roars not less than 4" In 12"
Special Self-sealing,fire resistant,fungus resistant FIRESCREEN'" and FIRESCREEN PLUS'", popular strap
shingles from GS Roofing,are helping keep America beautiful!
Features: feature(available in certain regions) These shingles offer outstandingly rich surface details,and are
Compliances: U.L. Class "A" available in a wide array of color selections.And.both offer rugged
ASTM D-3018-82, Type I fiber glass construction that holds up to the harshest weather
conditions.Special Fungus Resistant features are available in cer-
renty: 25-year limited warranty = Firescreen Plus lain regions,too.FIRESCREEN and FIRESCREEN PLUS are big
20-year limited warranty = Firescreen i favnrites from sea to shining sea
'Refer to the current RESIDENTIAL ASPHALT ROOFING MANUAL mj�-ished by
the Asphalt Roofing Manufacturers Associalinn !or •*auiFeM?-,s '!yarding GS Roofing Products Company, Inc.
fasteners and low slope application V.� rer,as 75038
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