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9540 SW TIGARD STREET 9540 SW TIGARD STREET e V Y If- o cr C) r•� U H 7 �'; c5 7 ts7 iF- f r� C� Cn f• �-� O W q w �, CO ,r. I I t HALLEY 5 1.1:1 ',DWORKING BUILDING PERMIT APPLICATION TIGARD DATE A1 � THE UNDERSIGN .O HEREBY APPLIES FOR A PERMIT FORTH EWORK H--REIN I1`451CATFD GUILDER PHONE _020-6140 OR AS SHOWN AND APPROVED IN THE ACCOMI ANYING PLANS AND SPECIFICATIONS. OWNER PHONE LOT NO. OWNER M do A COnStrUCtiOBADDHESS 95411 5W Tigard Strdet ARCHITECT ENGINEER UILDER— Firestop CO. ADDRESS 9384 SU Tigard AVOnu DEF.IGNER STRUCTURE ❑ NEW ❑ REMODEL ADDITION ❑ REPAIR l] RENEWAL El FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE EXCOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE 1-1 SLAB❑ FENCE OCCUPANCY LAND USE ZONE M74`BLDG.TYPE _JN FIRE i.ONE_"" _PLAN CHECK BY _TRA HEAT_ _ — Mgdif_j exitotinU fire_tarinkluz._ays#u per N.FP,4_,L34__R__fni2_III, Plans SEWER PERMIT k OCC.LOAD FLOOR LOAD C()rcr% tHT� NO.S1,,RIES 1 AREA 4 r q00 NO.BECROGMS —VALU6.1# '7 6. BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit—, _A0--00 __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IIV THE BUILDINGODE, ZONING REGULATIONS AND ALL APPLICA91_E CODES AND ORDINANCES, AND 1) IS HEREBY AGREEO THAT THE I Plan Check WORK WILL BE D014E IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI_IANCF WITH ALL APPLICABLE CODES AND 014DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESIRICTIvt•, COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE: CURRENT CITY BUSINESS LICENSE.SEPARATE;)ERMIT i REC)LIIR=D FOR SEWER,PLUMBING AND HEATING. State Tax 4''. . 76 SDC— Total DC—Total _ L $19 7 6 1 , _ PDC# APPLICANT OR AGENT1 By ----- Approved — ----�.�1Wh_- Receipt No. ?E77 ADDRE48 It-- DATE INSPP, TYPE INSPECTION REMARKS PLUMBING DATE -- -----— �—.—_ - Contractor --. --- ---_ —__-- --------- Permit No. _- ---- Rough-in — ---- GFinal -- — --- HEATING Contractor __.--- Permit No --^------ - ---- Go-.or Oil Rough-in — — ------- --- ------ Final ` --------- --— - -- SEWER Final DRIVEWAY ---_--^^ Final —_ Storm Drainage — __._--_ — ---- (Rain Drain)Final — — Sidewalk Curb&Street Final -- — Approach BLDG.DOPY FINAL —J� TEMPORARY CERTIFICATE OCCUPANCY Final �— CERTIFICATE OCCUPANCY _ -- ---- — I.endscaping Zoning Final r. BUILDING PERMIT APPLICATION TIGARD DATE-JA1•—jn______- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR ThiE WORK HEREIN INDICATED BUILDcR PHONE 039 AS SH/OWN. AND APPROVED IN THE ACCONI PANYING PLANS AND..SPECIFICATIONS. OWNER PHONE FqJOB ADDRESS �-ZJ LOT NO_ M ARCHI'ECT ' BUILDER �` r ADDRESS Y— ENGINEER - �. _�,. _�"�'�W ( DESIGNER STRUCTURE C NE'N_ �❑ REMODEL _ 1:3 ADDITION - ❑ REPAIR_ ❑ RENEWAL_ ❑ FIRE.DAMAGE _ C]_DE►rIOLITION ❑ RESIDENCE S❑ CONIM C3 EDUCATIONAL -:1GOV'T_❑ RELIGIOUS GP----ATS CARPORT R_O T ❑ GARAGE ❑ STORAGE CJ SLAB❑ FENCE C-Ci-iPANCY N-*J ..Q.AND USE ZONE SLOG.TYPE —/.-FIHEZONE---�--PLAN CHECK BY D?FD HtA7'_ ! - SEWER PERMIT K _ ^� OCG.LOAD FLOUR LOAD HEIGHT NO.STORIES _ AREA OO NO.BEDROOMS —VAL UE,*P4 BUILDING DEPARTMENT SETBACKS FRONT REAR.--- LEFT SIDE '^ RIGHTSIDE �^ P-irmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZGPl'-JG REGULATIONS AND ALL APPLI'-ABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEFD-1PA1 THE Ip-ITT Chack _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSI!ANCE OF THIS PERMIT DOES NOT WAIV_ ISata ub-tl RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIi f 56SINESS r� I LICENSE,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. -tate Tax �� ^ Total SDG- - �- - POC%N APPLICANT OR AGEN7� ---- By Approved Receipt No. _ hoc - i oc -- SEWER CONNECTION SEWER INSPECTION z)EWER SURCHARGE SIG11F PERMIT APPLICATION CAF T I G A R p Uate .�._ 19 No. _ The applicant hereby applies for a permit' for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: �r ;t APPLICANT: Owner Lesse,? _ �+ Authorized Representative NAMEXOMPANY_ — tA. Tel. _ PROPOSED SIGN: Freestanding Wall Projecting— _._. — - - - - - - _ — — — — — — — - SIGN DIMENSIONS _,.., _ ---Other AREA _ HEIGHT WALL AREA _ PROPERTY FRONTAGE COST ZONING DISTRICTy MATERIAL ---�ITAMMINATION COPY _ _—Y — - COLOR EXiSTiNG SIGNS: Freestanding Wall projecting _. Other URB COMMENTS: All sign permits must be accompanied by a scale drawing and plot Plan. If work authorized tinder a sign permit has not been completed PLANNING DEPARTMENT within ninety days after the issuance of the permit, the permit shall become null and void. Permit Fee Approved i; _ Applicant's rig—nature � __— Recei tNo:-V Renewal Date ---- Telephone q� � i - __ _. ._. __- _ ..-....��.. __ -� , d --_.__-_.,__���...___..� i �� ----- �_M-1 `-�! ' -_----------�-_ �, bw y PERP11 i NO . n PERMIT CHARGE none OWtiER ---� �`=-/� J !r.._ CONNECTION FEE .11, _6 PAID BY TYPE OF HUTLOING �� �;., � DATE CONNECTED SERVICE RATE _ �� INSPECTION FEE CONTRACTOR _ PAID BY DATE SIZE OF CONNECTI�ON A55E55MENT _ PAID 1/29/79 Extension of additional 60 days granted to Green Valley Div. , Sewer Permit #17404, by Ed Walden before sewer usage billing begins, 9540 SW Tigard. Street ..-.�,..�-...�...�.�....,�.._..'T'^""'.r...�.�..... ... ..... .... ......... .. ..fir... �.. .,lL ...�. „��. ,..qyy�...�-y..Yy,...,...... ....'.,...... ,,.,,......_.....,yr.. .. ryr 1e. BUILDING PERMIT APPLICATION 111TY TIG ARD DATe-__--_ ___ , 19--- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE= - OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNERPHONF t ! �J_ t� LOT NO.__ OWNER ;LlQj(.' f `t® PZ'I_t*CtdBhAt3JR1141C 0 9c,4Q ISU 'liylrrd uu.HOMEADDRESS _ ARCHITECT ENGINEER _BUILDER _ ADDREss!'a '• GOX n Portland DESIGNER STRUCTURE——NEW ❑Rf'MnDEL ^^ 4JADDIiION fi_ a _DRENEWAL — []FIRDAMAGE UDEMOLITION ❑ RESIDENCE ❑COMM ❑ P EDUCATIONAL GOV-1 ❑RELIGIOUS OPATIO ❑CAR PORT ❑GARAGE LJ STORAGE❑SLAB ❑FE!JCE ❑BONDDMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑SIGNS OCCUPANCY_ ',LAND USE ZONE--`' BLDG.TYPE_ FIRE ZONES� PLAN CHECK BY 4 � HEAT _ ;its j.jajj 1,t:'g "Iptinl,tc,r iyatGMl >�1Jt qct �+1 ar_v� !,,e1ir.s;1staart Shrw i S1f s �1ais -- ---- aparad by 4 air. I i K Orutarti,all and_Chaptor 36 UOL & POMP111tll►t. 13 Of F i L 213.10 2�"9Af2------E-L-4Qfl-I� _ N��r�?-_____---NO.STOHa5--___. _AFEA-- NO.BEl?P -14 1 ----�Al.S►E -- BUILDING DEPARTMENT SET BACKS FRONT REAR - LEFT SIDE RIGHT SIDE Permit Y 64•on Y `- "— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZCNING Plan Check REGULAI IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE --- WORK VALL BE DONE IN ACCORDANCE WITH THE P1.ANS ANDSPECIFII,ATIONS ANO IN COMPLIANCE WITH Sub total At L Af PLICABLE CODFS AND ORDINANCES THF ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS State TaIA :5. 36 �— LICENSE. SEPARATF PERMITS REQUIRED FOR SEWER. PLUMBING AND 14FAIING Total 7. '6 By pX � APPLICANT OR AGE.NI _ Approved I iJeld(jr) Receipt No. Constniction Inspection & Related Tests Carlson TW-sting,Inc. P.Q. Pax 23814 Tigard, Or"on 97223 REPORT OF CONCRETE TEST SPECIMENS MID C EyWil's Phone (503) 64IA114 Date Molded: 19 " i Job. No. �'I i on t: Coastratation Gj, Prc,ject:. 14411 VarehoAno Address: 9h42 se W- 'PL=d Aon-. Contractor: ---iA CLtUS L"Unt.1:11� Q' Sub-Contractor: Concrete Supplier: ",17 EL, 79111 , Cost by: Weather: Temp. high: U Temp. low: Location of Concrete Placement: u LL Strength Requirement: PSI 6 days Slump: Cement Type: No. of socks: Entrained Air Admix, Amount: Brand Admix, Amount: Brand: Coarse agg. size: --Type:_ -Fine Agg. Size: Specimen Specimen Test P Register Dais Date Tate IUnit Load Report No. Type Days Number Recd. Tested Load Area PSI N o.A 62 "100 28 2 7 2"�10 C 33 E F Remarks: Const.ucdon/nspec,Jon&Relaf,.d Tests Carlson Testing;,Inc. P.O. Box 23814 REPORT OF CONCRETE TEST SPECIMENThwd, Oreem 97223S kT�i,>a Phone 18031 $414114 --- CCS Date Molded: (x.9.3_._ , 1q-.78 Job. No. Client: ---- H d! A CG14BtP11C9Oct rs-- Project:____—_ Address: a-- Contractor: 8 Co .t �++ldnn t•no Sub-Contractor: Concrete Supplier: —_ DOGS 2alnnd _ — Cast b _ Y: — Weather: Temp. high: _ ?D Temp. low: Location of Concrete Placement: Strength Requirement:Requirement: 4000 PSI la days Slump:.�� Cement Type: I — No. of sacks: Entrained Air 4K Admix, Amount: Brand: ` Admix, Amount: ---Brand: Brand: t - Coarse agg. size: ._____ Type' --- --�--- - —. Fine Agg. Size: -- Specimen Specimen Test p Register Date Date Total Area Unit Load Report o. _ Type Days Number Reo'd. Tested Load PSI No. A B ,� ---- - 62P000 C 'am,ag�t3' D 38 - --lew — •� -- E anlo12 ? 2P 10 -20 X60 OQQ 28,27 F - Remarks: Oct City "f `F1gN►'crS (_(1?7Vn.,r1ion Inspection & Related Tests Carlson Testing,Inc. P.O. Dox 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS FTWJ� OUAY)tPhone (503) 641-4114 Date Molded: jq__ Job. No. Client.: Project: Va3loy- Waj.,jjljoUj-q3 Address: 1119d.-Ld AValwo Contractor: 14 A, OcSub-Contractor: Concrete Supplier: Cast by: Weather: Temp. high: Temp. low: Location of Concrete Placement: T 0 Ot 1 :,"25. 12 Strength Requirement: PSI 6 days Slump:---------- Cement Type: No, of sacks: 05,11" — Enteained Air Admix, Amount: Brand Admix, Amount: Coarse agq. size:---- Fine Agg. Size: Specimen �Pocimor, Test p Register Date Date Total Area Unit Load Report Type Days Number Rec'd. Tooted Load PSI No. 6 -i 13 8 1 C-24 Ono q I C D -Z"! 011 F Remarks- Constn.ction Inspection & Rekited Tests Carlsoin Testing,Ince P.O. Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS filo CUM 0hane (W3) 641-4114 Date Molded: _ 11Q11' 19 � _ Job. No. 02-551 Cl:ent: It iA A Conetriaat9.ou Ci$a Project: ------_-_-- Gx`Ilbll �� ]1fr'i6 Address: — 954-Q_ Contractor: k 1, A CA18o lint Inn Cae _ Sub-Contractor: _ Concrete Supplier: IRen+ IorJaNd Cast by: Weather: 9Gt> Temp. high: 20 Temp. low: Location of Concrete Placement: ksq)t panels 3�° 3tS '11� !' ?�)ee_ �rPQHryt r err V r� Strength Requirement: 3000 _ PSI 0 days Slump: .—___.___ Cement Type: _ . No. of sacks: 5& E n t r a.-1 e d Air --------�----.__—�- Admir, Amount: --__ Brand: -�. Admix, Amount- Coarse mount Coarse agg. size: 'T£ ---- Type: --- If"U al _ _-- Fine Agg. Size: ._._ Spoc—on Speelmen� Test P Register Date Date Total Unit Lcod Re No. Tyre— Days Number Rae'd. Tested Load PSI Na. 1 B 7 C - D 3 E Remarks: Constractiun Inspection&Relate,' teats Carlson Testing,Ince P.O. Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS IVIEU OUpjp,; Phone (so3) 641-4114 Date Molded: �p,.6 —, lg__7$___. Job. No. Client: Project:_ Address: _ _9 _ Contractor: @sell ,i Sub-Contractor: Concrete Supplier: :.yr .. y _Cast by: too hoot Weather: Temp, high: ��j Temp. low: Location of Concrete Placement: Strength Requirement: 'ten.----- PSI (d _ ^r �� days Slump::---- —�' ----- --- Cement Type: � _ No. of sacks:_ Entrained Air Admix, Amount: Brand. _ Admix, Amount: ---Brand: Coarse agg, size: Type: __--rime Agg. Site: --SpecimenSpecimen Test P Repls-er---- Dote Dote ?Deal Area Unit Load Reper+r- No. Type Days Number Reed. Tested load P51 No 4—_ A x 2 12 11008 .10-18 --4(),()M _,L.?? .t p B 1i = ' 27C -_— 6 r, 1 MillE F 4,CCU 1? 1n".1f_i '?'1 'til Remarks: r 1 r alllw�iIII� ll-DING PERMIT APPLICATION CoF TIG ARD DATE - ,q� til_ r B1.111 DER PNONI 7 H UNDERSIGNED HEREBY APPLIES FOR A PERMIT PANY R THEWORK ANDESPECIFICATIONS.INIOWNLR PHONE----- OR HONE __ OR AS SHOWN AND �IAPPROVED \( IN LOT NO.—. �!, r /Lu I /�`�r�'" JpB ADD '1 r' ✓W �11" HOME ADDRESS_ -� - ARCHITECT ENGINEER ADDREx-IO I AA SS DESIGNER ^ UCTURE NEW ❑REMODEL r� ❑ADDITIONC�REPAIR C�RENEWAL ©FfR DAMAGE {�dQEMOUTlON rL! 4ESIpFNCE COMM_CEDUCATIONAL _UGOV'T ❑RELIGIOUSCIPATIO ❑CARPORT ❑GARAGE ❑STORAGEL7SLAB ❑FENCE CICONDITIONAL USE ODLSIGN REVIEW CICOUNCILAPPROVED ONO_ [:]MOVING - []SIGNS --. p�j nr -_.FIRE ZONE PLAN CHECK B� ' HEAT :_CLUPAN Y_s2f_LANU USE ZONE &-_:& .M 9LDG.TYPE ' n D- p[� RE VALLI oir,,L.QAO _____f-LOOR LOAD �I_EIGHT__,,.__.�._._.__.NQ,.HIS1P_I � BUILDING DEPARTMENT gET BACK FRONT _ REAR LEFT SIDE _V — RIGHT SIDE rFermlt - O U THIS PERMIT IS ISSUED SIJSJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 20KING i - REeGULA1'IONS AND ALL APPLI%ABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check -- � WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ! SaApproved b ttal RLI. APPLICABLE CODE'• AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE ----� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS �J LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PI.UMRING AND HEATING. �_ � -------------__.--_- -_...��- APPLICANT OR AGENT ' eipt No. AnnaESS tek A v4e V1,4Z«4fix I 1; , October :, 1978 Basic Fire protection, Inc. 2020 SE Bush Street Portland, Oregon o?21f12 Dear Sirs, We are returning 2 approved copies of your plans 3aorl-y with your City of Tigard Building permit #2320. Also enclos©d is a receipt for your check of $87. 36. 'thank you. Yours t ly, Ewird T. Walden Building Official C TlJ/p I Enclosures (�) Also enclosed please find a btisineso license application for a license which in required foi• doiny business in the City of Tigard. W WNW NWHUM ►� Cons miction Inspection & Relate(] Tests Carlson Testing•,Inc. P.O. Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENSF'T ,D C1111 ME Phone (503) 641-4114 Date Molded _-_ �a:,� _ Jq _— Job. No. Lpu-W— Client: ----------.--_- -_ _tpr �efllTfi...ru4t.Inn- Qa.--------.�—. Project: _. --- --�JrgL12TVpi� Address: Contractor: u-�L�4tiL1A ��- Sub-Contractor: _ Concrete Supplier: y, ��_ Cast b Weather: - $P'-= - —_ Temp. high: -- Temp. low: — Location of Concrete Placement Strength Requirement: Ckk1 — _ PSI 0 __ 8 ._ days Slump: Cement Type: No. of sacks: Entrained .Air Admix, Arnount: �. _ Brnrld;�— _ Admix, Amount: —___Brand: Coarse agg. size: 4 Type ___— __—_.— _Fine Agg. Size: Specim.n Spa cimen Tsar P Rapfster Dote Dote Total Ares Unit rood Report No. Type - Days Number Rac'd. Tasted Lead PSI No. -- --- A �� ?>C �' ti�a 4 48 10-18 611500 - 2847 3 --g 4 4 __-- 0­98 G-18 _ P,o OO­-?G to 27__ M 0 - -- D 0-1 -••J$ 61.000 ;18 21 _ E .- F Remarks: 04t Y j f ■ Ccnstmcii(in Inspecliori & Related Tests Carlson Testing,Inc. P.O. Box 23814 Tigard, Oregon 97223 REPORT OF CONCRETE TEST SPECIMENS ?.TMD Phone 15031 641-4114 Date Molded: __I 1111-D f9_78 Job. No. Client: Project: (Alra Address: 254CI q Contractor: A. Daae Sub-Contractor: Concrete Supplier: Cost by. Weather: Temp. high: Temp. low: Location of Concrete Placement: Til t­jip Pangi Strength Requirement: PSI Iii days Slump: 5"__ Cement Type: No. of sacks: Entrained Air Admix, Amount: Brand: Admix, Amount: Brand- Coarse agg. size: Type: aattmi —Fine Agg. Size: Specimen Test Date Dot Total Unit Load Repot — No.��T­SP-T'-; Days Nvmbsr R a e'd. Tested Load Area PSI No. 2 A 6 x 12 —1& 10-18 10-18 49 It 000 14.27 1730 2 B .16 10-116 10-18 — 46,000 .28.2T — 1630 2 "4— .*z'le 10-18 45AWD-2-8-21— 1590 2 D 10—18 a.,1ge — 9 J� 1 0 __ - E F Remarks: _—mos Q i ty kt_ `1�gax COnshuclio ti lrtspecli(;n & Relatctl Tests Carlson Testing,Inc. P.O. Box 23814 Tigard, Oregon 97223 REPOR I' OF CONCRETE TEST SPECIMENS mu. cum Phone It.93) 641-4114 Date Molded: _ 19 2� job. No. . Client: Project: ---- Q2`A3BI1. 4f ZI!llttou� Address: _ -Qe- 7!(e_-r��jyStl'L�__QYII�Sl+ita� Contractor: ; .__�_b; Sub-Contractor: Concrete Supplier: a I Cast by: Weather: -- '- -- - —_—�__ Temp. high: -- -- Temp. low: Location of Concrete Placement pAW Strength Requirement ;t7C}f) PSI 0 .___28__ days Slump: �er Cement Type: No. of socks: Entrained Air Admix, Amount: --_ Brand: Admix, Amount: __- __- _ Brand: Coarse agg, size: I,Att —T-TYpe. J1L1;it -- ------Fine Arg. Site: 5peumen Specimen Test p Re ,sten e =Rec'd. Teste ate Total Area Unit Load Repent —_ No. Type Days _ Number d LoadP51 No. t A 6 12o00 -- _ 7 - - 2100 t --- --- -- B V A t - --— C _4k,_oo r160 _ D -------- -- — --tea _ Q- -- E Remarks � I■ , J J-a rl vUlu f +3 t� Cl. to 07 1 f� i 4e.� q o• fnI J cq � Il b .GU Q d f: IU r� tll t) t� t� o �� In c� In o a c� � Lo c� 1[f t^. fV N v 7 O IA O 'a 'O I-• ' 1Ui r a tu 0. m 5 o c .n O ,� 1n.ro •� t11 +J �� r r_ V U V C.. C7.r3 W ami m w '1 FL, F J •Ova IL N : c0 c7 I d I• r. •c c C N n C � ru In c F A 'J O u tL E' C c 3 U t� • A U 10 7 « ,X IY I Z7 O X rl. N u A EQiL � 3 In t0 .u n C f w •; O �� �� ca ° u O O O �• 111 � el W W w r BUILDING PERMIT APPLICATION 10F TIGARD DATE / �' 19-- IHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE [[ LOT NO. t4�Y;l 'ally ba"'. JOBADDRES'3540 SU T19Nt�' St- HOMEADDRF.SS OWNER '' _ ARCHITECT ENGINEER I i (+ I r. 1�r��:i f,S� I. %• ADDRESS x)09,-'" SW bu rnhlaM DESIGNER _ BUILDER----- STRUCTURE JDNEW D REMODEL ❑ADDITION r❑--t�REPAIR -_❑RENEWAL []FIRE DAMAGE_ DEMOLITION ❑_RESIDENCE ❑COMM +EDUCATIONAL DGOV'T 0RELIGIOUS OPATIO ❑CAR PORT,DGARAGEu DSTORAGF rOSLAB OFENCL �DBO�JD ❑MOVING ❑CONDITIONAL USE J^0 DESIGN REVIEW V DCOL'NCII APPROVED OSIGNS 4..0 I?AEt 12-2J ! _ PLAN CHECK BY EHEAT OCCUPANCY NO USE ZONE I��Q BLDG.TYPE_ FIRE ZONE ---- _ t.oljatruct ainr1c stux'y u61'4hu"s all' Perz�plana as �tr�iPaerr U hay - — yarl U0011 lin/Luui jengs* Lihomto A - -I th u `o Y .. 1 thou 4. _ 4iwar U411 huuT L 1"E�'IEit,- Tu his fully fize sprinkleved and rnaintairt�rd« _ —I $surer psrrjit �1�1 17404 �L�nuing a Firm Sprinkler Plane & Perm Rs(�u�rsd• : 'alncrst ��i,U�O NO BEDI occ -L4HtICidL__—_____AQ,STOB ES_— -- REAR 0 LEFT SIDE RIGHT SIDE _ BUILDING DEPARTMENT SET BACKS FRONT --- - - Permit "iii';.L'C THIS PERMIT IS ISSUED SIJBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plar,Check J23•'So REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLI/INCE WITH Sub total X70*a0 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax4 26«tib LICENSE. SEP�RATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total BV 71 APPI ic:ANt W AG­IN_T --�-- ADDroved t .f r,• Recpiht N(i DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Hough-in Fixture Final 4:7 HEATING 61'r- CA _jContractor GC Permit No. Gas or Oil R_ Rough-in Final SEWER Final DRIVEWAY Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach eLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Fina; I i C'P c" V2z r �� FY DEPARTMENT OF COMMERCE-PLANS REVIEW SECTION NOTICE OF PLANS REVIEW ROOM 376,STATE OFFICE BUILDING,PORTLAND 97701 (THIS IS NOT A BUILDIN5 PERMIT) Building GREEN VALLEY DEVELOPMENT MAIN STREE_TR gIgA D___ — No. 781218 001, Building Address County -WASHI010.- Occupancy _ 2 Const. —YN___- Sound value 336.000• Plan Fee_ 256.40 Architect VAN UOMELEN/IOOIJENGA _ Nen" Bldg. Addition Alteration 8/1578 g L ❑ ❑ Date Received _ _ Owner - REEN VALLEY DEVELOR� _ _. Address ��_ N S _____— Date Reviewed 8/22/78 Stories 1 Area 28,000/_- Attic 8 /-N S Fire Walls NONE Fire Escape+ NONE Exit+ 3 / 9 __ft. Mein Fir. Basement Ht, Stops Tot,Width Stairs 1 - _ NONE_ - X 28 000 N/S - / _ Vert. Shefh / _.. Sprinkler - /-_��/___� Man. Alarm _ S.P. _�/—_-/-...` t'' Closed ���� Cosed No Yes Arca C$. bI Int. Slts *'j� Ext. __ALS - _ Ht. Det. NIS_/---"!/ - _- Floor GQNQ—Calling wOD— Roof CLASS 4r. Members C09 Class No. Tvpa Area Covd, t,,c *T u Wall cover CONC /�eOLnIO_ HIT. rm. encl. _ t�_-_—_ Type flue -__ !�!N_ 1 N S _ Fuel Ext. Int Type Hty system ._ _ . The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- istered by this office. Items No. 8- ye 13.s_-1_4"s.__2b4-_28a 31 checked on the enclostsd list are applicable. These items and any specially noted provisions must be incorporated Into the project to meet current fire protection regulations. Approval of submitted plans is not :)n approval of omissions or oversiqhts by this office or of noncompliance with any applicable regulations of local government. REMARKS: _THIS IS A FIRE AND LI F': _SAFETY PLAN REVIEW FOR A NEW BUILDING REPORTED TO BE IN FIRE ZONE 29 THE FACILITY' ISS_S_UBJECT TO ONSITE APPROVAL BY THE AUTHORITIES_HAVING JURISDIC ION• ANY TENANT_CHANGES SHOULD BE SUBMITTED TO THIS OFFICEFOR REVIEW THE PLANS ARE ACCEPTABLE AS SUBMITTED SUBJECT TO THE FOLLOWING _REMARKS:_ A) ANY PIECE OF OPERABLE OR NON-OPERABLE GLAZING MATERIAL ADJACENT TO A DOOR _— WHOSE NEAREST VERTICAL EDGE IS WITHIN 48 INCHES FROM THE DOOR IN A CLOSED __- POSITION,-MUST BE TEMPERED GLASS* Examined by PAGE 1 of 2 Copies to: APP-LIG To FIE is DEPUTY,SFM,OWNERs BLDG.XPT• FIRE DEPT• ELE� PRS-2 -------- sP•2e5e5.e14 DEPARTMENT OF COMMERCE-PLANS REVIEW SECTION NOTICE OF PLATS REVIEW aL ROOM 376,STATE OFFICE BUILDING, PORTLAND 97201 (THIS IS NOT A BUItVINO PERMIT) � pu Building GREEN VALLEY DEVELOPMENT MAIN STREET L TI CARD No. 78-121 g — 8 . ____� - - Buildmy Address --u B) THE RISE OF EVERY STEP IN A RWAY. 5�1 ,J1 NOT EXCEU-.-7.z-SNSH0_.ANLL_na Rllrl_— SHALL NOT BE LESS T14AN 1_0_ INCHES --_- . .--------_-_------_--_--. .__—_ _ `--- __--._.--_-----— __—_HANDRAILS SHALL BE PLACED NOT LESS-li 1V -30 INCI(ES rIOR0a THAN �4 INCIIFiS____._.__`—, ABOVE THE NOSING OF TREADSo -._—._�-- ----_—__ _------------.----_.— -- •-- - n NO STORAGE OF VOLATILE FLAMMABLE LIQUIDS S Q,LL_$EALLQWU I1,LA_�i$p11'L1}� bIVI5iDN;2 OCCUPANCY• � 1 ■ DEPARTMENT OF COMMERCE—PLANS REVIEW SECTION NOTICE OF PLANS REVIEW ROOM 376,STATE OFFICE BUILDING,PORTLAND 97701 014� .(THIS IS NOT A BUILDING PfRMITi Building _GREEN VALLEY DEVELOPMENT MAIN STREET _TICIRD No —78-12.18 Building Addrasr• County —WAS1iINGIUL__ Occupancy _ $�2_ ^_ Comt._..V-N — Sound vai,e_33 69 000. plan Fee 256.40 Architect _V" DOMELEN/LOOIJENGA Bldg. Addition Alteration 8/15/78 g lJ" ❑ ❑ Date Received __ Owner _-GREEN Y.ALEY DEVETOPMENT _. ___ Address _ NLS Date Reviewed 8/22/78 Stories 1 Area 281.000/ - _ Auic 8 / N�_Fire walls NONE Fire Escapes NONE Exits 3 / 9 p, Main Fir, Basement Ht. Stops Tot.Width Stairs Vert. Shafts NONE /_n Sprinklers - /-X /2_88_000 Man. Alarm N/S S.P. N[S/ / Closed Closed No Yet Area Covered Ext. Mt.Ht. Det. �1 ,—/w../ • ._. Floor CONC Ceiling SOD—_ Roof CLASS Bstr. Membeni a 048 Class No. Type ran Covd. Wall cover —�eQN�./�U�� Htr. rm. encl. NA ___ Type flue—�IS Type Htg. System �N�_.__ Fuel NIS Eat. Int. The submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- istered by this office. Items No. 8, 9+ 13_T�4a 17. 3 8 31.35 checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into the project to meet current fire protection regulations. Approval of submitted plans is riot an approval of omissions or oversights by this office or of noncompliance with any applicable regulations of local government. REMARKS: --THIS IS A FIRE AND LIFE SAFETY PLAN_ REVIEW _FORA NEW BUILDING_REPORTED TO BE IN IRE__ZONE 2• THE FACILITY_IS SUBJECT TO ONS_1TE APPROVAL BY THE AUTHORITIES HAVING _ JURISDICTION• ANY TENANT CHANGES SHOULD BE SUBMITTED i0 __THIS OFFICE FOR REVIEW THE PLANS ARE ACCEPTABLE AS SUBMITTED SUBJECT TO THE FOLLOWING REMARKSt _A)A) ANY PIECE, OF_OPERABLE OR NON-OPERABLE GLA2ING MATEF L ADJACENT_TO_A___DOd-R _ WHOSE NEAREST VERTICAL EDGE IS WITHIN 48 INCHES FROM THE DOOR IN A CLOSED POSI'T'ION, MUST BE TEMPERED_ GLASS. PAGE 1 of 2 Examined by _. _ s��!��'�y�ti Copies to: __QPPkiC IVTaFILE•DEPUTYSSFM OWN R2BLDGo% PT•sFIRE DEPT•�ELE rNs"7 �� SP'465BSB 1� DEPARTMENT OF COMMERCE—PLANS REVIEW SECTION NOTICE OF PLANS REVIEW p1 ROOM 376, SLATE OFFIc_L BUILDING, PORTLAND 97701 (THIS IS NOT A BUILDING PERMITS ' - Building GREEN VALLEY DEVELOPMENT _ `�— MAIN 57'RE_E_L) ' 1lGARD __ No. _ 78-1-'18 t " building Address B THE RISE OT" EVERY STEP_IN A-§ WAY Sj{ALL NOT SEED SHALL NOT BE LESS THAN 10 INCHE HANDRAILS SHALL BE PLACED NO S THAN 30 INCHE.,S._NOR MORE THAN 34 INS$ _. ABOVE THE_NOSIN G_01-TREADS, D) NO STORAGE OF VOLATILE FLAMMABLE-U-0—IM LIQUIDS _SIiA ,J�. E& yQWEb IN A S, up Ba DrVISTON 2_ OCCUPANCY• PAGE~2 of 2��_�.- ---- --�— --- ----- --------- ITy BUILDING PERMIT APPLICATION CSF TIG,�RD DATE___!v2__ _ to No HE LINDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONR —__. OFS SHOWN AND ArJOB ED IN THE ACCOMPANYING PLANS AND SPFCIF ICA1IONS. OWNER PHONE ------- Q t LOT NO — -- ADDRESS LQ ry a J� OME AUDRLSS ARCHITECT ENGINEER DESIGNER 'URE E3%EW_--OREMODEL ❑AUDITION �- ❑REPAIR ❑RENEWAL ❑FIREGAMAGE ❑DEMOLITION - - L)INCF `OCCIMM DEDUCATIONAL OGOV'T DRE LIGIOUSD°AT10 ❑CARPORT ❑GARAGE OSTORAGEOSLAB []FENCE ]POND 0MOVIN-G _—___Q//��_ONDITION_AL USE GDESIGN REVIEW —_ [:]COUNCIL APPROVED ❑SIGNS��' CUPANCY�� AND USE ZONEJ�_q--BLDG TYPES ._,FIRE 70NE—2- PLAN CHECK BY HEATS 0010 B JJUNO.BEQPOOMS _ VALUY -- UILDING DEPARTMENT SET BACKS FRONT REAR LIFT SIDE RIGHT SIDE -- — - - THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONIK'G Plan Check 3�� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF - - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINE.SS ' e Tax _ s �� LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total gy ____ __. - _ AnPL tCANt OR AGENT - Approved Receipt No ADC�pE55 lvvov State of Oregon DEPARTMENT OF COMMERCE Building Codes Division BUILDING VALUATION DATA The valuation of building construction for building permit purposes shall be the actual total construction costs for all classes of wo•4. The application for a building permit shall include an accurate estimate of the construction cost or the actual contract cc 'he building permit feo will be based on this cost estimate or a minimum shall be bases] on the following costs: The costs are inten Sed to comply with the definition of"valuation" in Section 423 of 0-,e Slate of Oregon Structural Specialty Cc And thus include architectural, structural, electrical, plumbing, heating and ventilation devices and equipment. Cost Per 15. SCHOOLS: April, 1977 square Foot Type 1 or 11 F.R. _ 38.10 Oceupanc;, and Type Average Type III-1-Hoi.r 32.30 Type III--N 30,50 1. APARTMENT HOUSES; Type V--1-Hour 29.00 *Type 1 or 11 F.R 32.9 7 ype V-Masonry 16. SERVICE STATIONS: Type ,I -N 29 00 ur Type Illi 25.00 Type III-1-Hour ........._ 31.50 type V-Wood Frame 22.10 ..... Type 1--basement Garage 14.80 Typo Canopies Hour ........................_.... 20.00 2. RANKS: Csnoples 10,00 •Type I or It F.R. 52 40 17. THEATERS: 'type III- 1-HourType I or II F.)2. 44.20 44.40 Type 111-1-Hour ..... 32.50 Type III-N 42.60 Type III-N 3090 Type V--I-Hour 37.43 Type 11-1-Hour 3020 Type V-N 35.60 Type V-N 28.50 3. CHURCHES: 1/. WAREHOUSES: .10 7 Type t or Ii F.R. 0 Type I or II F R. ........... .. 19.90 Type IJ}-N 23 90 Type 11I- Hour 30 70 Type It or V-1-Hour 13.20 . Type V-1-Hour 27 50 Type II or V-N 1140 Type V-N 25.80 Type 111---1-Hour 14 60 4. CONVALESCENT HOSPITALS: Type Ilt-N 12 80 *Type I or 11 F.R 51.30 EQUIPMENT Type III- I-Hour 42.20 AIR CONDITIONING- Type V-1-Hour 33.60 Commercial 2,20 5. DWELLINGS: Residential 1.90 Type V-Masonry 25.60 SPRINKLER SYSTEMS ...._ .. .. 1.00 Type V-Wood Frame 23 40 nasements- Finished 6.00 Unfinished 4 70 6. HOSPITALS: *Type 1 or 11 FR 05.70 Type 111-1-Hour 57.50 Type V-1-Hour 49.50 7. HOTELS AND MOTELS: 'Type I or It F R. 38.00 Type 111-1-ilour 32.30 Type 111-N 36.50 Type V-1-Hour 28.40 EXAMPLE: Type V-N 26.00 A. INDUSTRIAL. PLANTS: APARTMENT HOUSE Type I m•tl F.R. 23.51) TYPE V-1 HOUR Tf}pe TI-fstoevr is 0 WITH BASEMENT. Type Ili-1-Hour 17.30 Type Ill-N 15.50 ALL FLOORS 1,500 7.11,-,„ 11 Three or more at 80% SQUARE FEET. Type �.-I-Hour 14.90 of First Floor Type V-N 13.20 ". MEDICAL OPPICRa: $17.08 x 1.500 SF $28 •Type I or 11 F R, 46.90 ,520.00 _ Type Itt-1-Hour 35!10 Second Floor at 8ll ; Type 111--N 34 10 Type V--1-Hour 32 10 of First Floor Type V•-N 30.1n 10. OFFICES: $13.20 x 1,500 SF !119,890.00 Type I o, It F.R. 41.30 Type It;-1-Hour . 3060 Type ItT--N 28.80 First Floor at $22.10 Type V--1-Hour 2560 per square fon•: x Type V-N 23.80 1,500 SF $33,150.00 11 PRIVATE GARAGES: Wood FrameBasement at $6.00 per OpepeC f Masonry to 100 square foot x 1,500 SF On Carports 4,10 $ 9,000.00 12. PUBLIC GARAtilta: 'Type I or 11 F.R. 30.10 MINIMUM VALUATION Type 1I---N 13.30 Type III-1-Hour )8.00 TOTAL $88,560 Co Type 111-N 1330 -- Type V-1-Hnur 13.30 13. RESTAVRANTS: USE VALUE x 87% FC)R SUILDiN , Type I11--1-Hour 37.80 "SHELL ONLY" Type III-N 36.00 Type V-1-Hour 38.00 Type V-N _ 31.20 14. STORES: 'Type I or It F.R. 31,40 Type IH--1-Nour24.00 Type Iii--N 2230 Type V-1-Hour 21.10 Type V--N 19.00 BUILDING STANDARDS-ICHO If the above determination of construction costs does not agree with the actual cost of construction, the applicant mai submit a detailed certified cost after completion of construction. Any overpayment of permit fee will be refunded based on this actual cost as approved by the Director of Building Codes Division. HCD-5 REVISED l/7/ nil Slate of Oregon w DEPARTMENT OF COMMERCE V)" Building Codes Division u r1qq u[ u V LO 11 L� d a�'; . $MtiMdS'�'�,8nw�g�Yr2$Y3��ri8'°"��g���l$�$�:,'•�$��'d�i'�i11�8�K�gi�18a81��2��r�Y�'"r3l��r��,X73��p ,`ol� „`o, W" ..~°. 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N°8�a r.tn 79J A NICU 1� ��� 88Q�.38888888888888m8P.fI81p8�y8p0pe��3y18m1p8pv8p8ppp888y8y�pepP8Pl,8m8♦8o8e88888888r8o8a.8�8ma8.8188r8�8m8a M� V1tC l' aC OiO.r.1y�.'V.I yi N�NmQIG NPIMCI�r'�J'V1N,D rGNN'r�•HoC 00018HE8==m N�Nf9i rr•�MM.M.Ni4,nN��rD B+D g � H p7 O 0 C 8 $ 8 8 r rr.rr rrNM./'If,tOt�mO,O.r��frni'.O.N-.W�,NNNPINr"NNNNMMCS!'1MM MMr'7 H-/f.NY.MI'.f N N N C r (r D „ 1111 , 1 , 11 , 11111 , I Irrr•Irrrr.r..1...rrrrrrrr�..,rrrr r.+r I r r8$8888� RgS3�aB$888888888$�8y88888888p8P8P��t8t+��88m88p8mpg8q8Op8{P8��r8P�Ia$a88mm8mm p5p,,p8p888 u .y rr..rr.r^....+...NM.1'Vf mt-CII 010 rN.Mr.'r.NmNOt)tTN NN�'n Nr NN!"1 PIMc'�'nH~MMM NM V I IN THE MMICIPAL CJlTt? OF THE CM OF 'PTGAitD Washington ComtF, Oregon CITY OF TIGARD, Plaintiff, No. va. r AFFIDAVIT OF SERVICE. Defendant. STATE OF OREGON ss. County of Washington , I. ' ( ' 4" , being first duly sworn, do depose and certify that I personally served a true copy, certified by the building official as such, of the Stop Work Order attached hereto, marked exhibit A and incorporated herein, on [Z,44 working or cauding work to be done at !'S gc? s i i c��,�: i N�"E on the `.( % day of1973, by personally handing said Stop Work Order true copy on said person. Subscribed and sworn to before me this �� day of 1972. o a c for Oregbn Commiss mon Expires: ,/%a- CITY OF TIGARD 174x, S W, MOW M++M IIOAIto. 04400" 4107 APPLICATiO►I FOR BUILDING PERMIT New Construction DemoI10) © Addition lJ Remodel Move ZONING_ )jw4 DATE ISSUED 7-y- 3 BUILDING PERMIT DATE RECEIVEDI+UILDING PEG $_ 14013 161 Pt.A'; CHECK $ OTHER $ VALUATION S �W.UO TOTAL S ti_cn RECEIPT No. Teel TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1._.--_-V- MAP #------ CENSUS TRACT Architect or Enginee ri__-�_________�__._..—.. Address --- -_.- �__ ..-_ Phone-- Kl11er fer.,.e Ju. Address u - ----- ----- ----Phone_ - - Builder --� ------ - --- - -.. ---- -- �r _ ((�_'� BUILU',NG USE Single Rtea, Multi Ret. El Comm. Industrial❑ OCCUPANCY GROUP No. of Stories • -� Total lieight`___ Area of Lot TY1ve of Construction V Floor Arra Br 1_ _ 2 w Set Backs: Front-�`i� Back L.Side-� R.Side Private Sewer Pipe Size Sewgs _ Septi,- Tank 4at.er Service Pipe Size Storm sexvt C7 Ditch Drywall❑ Street and Curb RequireW@ht ..___­ Driveway Width._ _ -_-_—No. of Parkinq Spaces_` _ SEPARATE PERMITS REQUIRED FOP SEWER AND PLUMBING SPECIAL INrnRMAT1011 ADDRESS ASSIG4ED� .�eisui: :� ramie _�L ;i._M. Tigard 4traet_ ___ _ FIELD CHECK BY j;I: _� - - �.___-.DATE___._1ti1I^f3 --- PERMIT APPROVED Byk,. f It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tiqard, ore on, and that the building will not be occupied until a Certificate of O y as been issued b� tVhCty of Tiqard Buildinq Inspector. 'l y�gnature of Applie IVIT'Y OF TIGARD 12470 f w Main M.Me TIGARD, 0,260" qrM APPLICATION FOR BUILDING, PERMIT Now Construction Demolish ❑ - Addition ❑-- Remodel - ❑ - Move❑ 7c)N11u; r DATE ISSUEDBUILDING PERMIT _ BUILDING No DATE RECEIVED 4-27-73 BUILDING FEE S _23'x- �-_ BY a 1S PLAN CHECK ! ly VALUATION S OTHER S - RECEIPT No. TOTAL S 37.0 �- TWO SETS OF PLANS AND PUIT PLANS MUST BE FURNISHED WITH APPLICATION Cas lot l�D �1 DA CENSUS TRACT JOB S_ LOT 1 MAP 1—.- - Architect or Cngineer_ .1ods V. linter -� --- Address-__i"_hW"- - (vner sUller pones Oospsay rddress — Y'1� B.N. Tkaut $Use% Builder �_ ��___---- ------------------ --._ -- Phone RUILDING USE - Single Ices. ❑ Multi Req. n❑ [I Industrials (Y-CIIPANCY GROUF V-_-_ No. of Stories- 1 - Total Height uArea of Lot 30,E V Floor Area tt Type of l'anxtruction ---- —' 25' _ Hack .45' L.Side 1051 R.Side Set Racks: Front_ _ _ �- Private Sewer Pipe Size- 4" Sower use TiAXd I)eptic Tank -rater Service Pipe: Sire`_ 3/4" Storm Sewer ❑ Ditch Drywell❑ [street and Curb Roquirel*ents_ estlal�- _ -•------- -- ---- No. of Parking Spaces_­-8--- E:EPA!?RTE: Pt:RMI'TS REQUIRED FOR SEWER AND t'I,UMHtNG SPECIAL INFORMATION ADDRESS ASSIGNED__ S_N•_Zi � �_- -- ---- FIELD CHECM. HY DATE-- 5-i�1- PERMIT APPROVED RY n a odas �&5nord It is understood that all work will conform with ppllcatlls c of the State of oregon and the City of Tigard, oreclon, anti tilat the building wi not be occupied until a Certificate of oc ncy,Pas been issued by the City of Tigard Building Inspector. S gnat r o Adp icant w ww t A911 Ld ea are •i i 2:. I' 1 �h „a AnA are hereby e� �C.: ,::�. ..._ .. „ ,.. ..._. . �fl.. ..•, I 1431?.PM ........Alt trot Mo NW*t V be, an theme viola loo has been City of a1rd. `s Building Wr � . r N. 1 • 1 f � PERMIT TO CONNECT Tigard Sanitary District PERMIT N° 775 DATE/Y�"�_✓�� PERMIT IS GIVEN TOS TO CONNECT A TO THE SYSTEM OF TIGARD SANITARY DISTRICT AT THIS PERMIT MUST BESTED ON TIIE DESCRIB PREM) ES UNTIL 'ON- NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN COM- PLETED. PERMIT FEE FAID Oe�l... ..................... f By CONNECTION INSPECTED AND APPROVED Date --— — _ —- Superintendent- _.._ City �� (� I cZ )'c� ,'4f t'c hl�r�ical Fer;1)(E �T�l Perin;t___ S300 ZD e �J RCIO-811on LJ Addition ^� A!teraT ," _) - State._____f TOTAL _ CC?:TRACTOR 0AE Z✓ CGT.r_ _ '% P, �� C el" AD7RESS__ / WORK ADDRESS .i PHONE /o 3.-4 �(A)-r �,Q �h: `----- __ APPLICANT a•s(�• . Heat Input Rating (BTU Per Hour)—,?k' ;0,0-,0 Vent Size Flue Size FUEL OIL ❑ GAS ELECT 0 OTHER ITEM �- NO. FEE ITEM NO. FE For Issuance o' Permit _�- _�-3,00 Air Condition Compressor 15 to 30 NP - 1n.0 New • Under 10_x,000 ETU-- - I I __..4.00 -- Air Handling 10,000 CFN --��-' Ntvy-- 100,0'0 S7U & over ''Air Handling Over 1 L3`C _...r_ � 9 0,000 CFM, Floor Furnec:t _ _—1_ - - 4.00Evemorative Cooler - I - I 3.c Wall+- Floor • Sun-ended _ 4.00 Range Vent an Insiall Vents Onir_ 7.00 Ven; _ Syzirrn -) 3 C Repair - Heat-L C_ooEing _ _ _�_- - -�^- 4.00_ Hood Cornm_ercial Air Condition C_ompre-or _Under 3 HP q d0 - -- ---- L 3 f _-- -- - ---_--_-- _- -� _Commercia! Duct System •fir Conri-..ion Compressor 3 to 15 HP 7.50 - 10.0 INSPECTOR'S COv1!y,ENTS� - -�-��---- -�-- ----- `-- -�-- --r_—_----- ------------_____--_ CITY BUSIi;F.SS LICE 1�:�;711RED FOR ALL CONTRACTORS OR SUR CONTRACTORS APPROVE) RY_ r - DATE --- -- .__._... ISSUED 9Y____ __.`_. DATE