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RESTROOM NOTES i
/ Zn;. C' •,Ly-I GYPSUM WALL SnARD APPLIED TO PLUMBING MALI_ SHALL HE MATER RESISTANT { 1 1 1� � `r
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CITY QF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BUF-193 -03`1
13125 Sid Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 DATE ISSUED: 11/16/93
• 63.9--41-71
PARCEL: 2S112AC-02100
SITE ADDRESS. . . : 14865 SW 72ND AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :47
REISSUE: FLOOR AREAS--------•-- EXTERIOR WALL CONSTRUCTION--
CLASS
ONSTRUCTION-CLASS OF WORK. :DEM FIRST. . . . : S f N; S: E- W:
TYPE OF USE. . . :SF SECOND. . . : S f PROTECT
TYPE OF CONST. :5N THIRD. . . . : s N: S: C: W:
OCCUPANCY GRP. :R3 TOTAL--------- : 0 s f ROOF CONST: FIRE RET? :
OCCUPANCY LUAD: BASEMENT. : 5f AREA SEF'. FATED:
STOR. : IIT, : i t GARAGE. . . : s OCCU SEP. RATED:
BSMT? : MEZZ? : REGD SETBACKS--------- REG!UIRED--------------- - __
FLOOR LOAD. . . . : p s f LEFT: ft RGHT: ft FIR SPKL_: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
BEDRMS: BATHS: IMF' SURFACE: PRO CORR: PARKING:
VALUE. $ : 0
Fie r ar•k s : DEMOLISH HOUSE ONLY/bUS I NESS BUILDING TO REMAIN. SEWER MUST BE CAPPED
R•
INSPECTED. ALL DEBRIS MUST BE REMOVED.
ZONE: I•-L (Light Indt_rsty-ial )
Owner,: ________._-----_.._____._._------------•------__.__----____-- FEES
J. G. CHAMBERLHIN type amol_1nt by date recpt
15770 FILERS RD PRMT $ 25. 00 JH 11/16/93 -
5F'CT $ 1. 25 .JH 11/16.'93
AURORA OR
Phone #:
Contractor: ---_____._...---------------------•
ROBERT CRAY PAPTNERS, INC.
P. O. BOX 1016
SHERWOOD OR 97140 _------------------.-.--------------__.._._.
Phone #: 692-4675 f 26. 25 TOTAL
Reg #. . : 65424
------ REQUIRED INSPECTIONS -------
This permit is issued subject to the reyulations contained in the Cap sewer line
Tigard Municip�.l Code, State of Ore. Specialty Codes and all ot,ier Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This prrmit will expiry if work is not started
within 180 days of issuarce, or if work is suspended for more
than 180 days.
J Permittee Signature:
LD 1 sso.red By :-
LL)
( Call for inspection - 639-4175
t
INSPECTION NOTICE
City of Tigard Building Department
4?2-
'13125 SN Ball Blvd_ Tigard, Oregon 97223
InspectionLine (Rec-O-Phone): 639-4175 Buninese Phone: 539--4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Can Line FINALi
Post!Beam Strvct. San. Sewer Framing Bl ,
Post/Beam Mech. Rain Drain Insulation
I
Plbq. Underfloor Water. Linen �/ Gyp. Bd.
Date Requested: /I Q Z Time: ____AM naI PN
Address: 6 4- 7c, Permit #:1J ve 3•
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Dat81�1!'' r/—
APPROVdD �� UISAPPPOVED _ APPRJVED SUBJECT TO Anovs �
-_Call For Reinsp.
INSPECTION NOTisE I
City of Tigard nuilding Depart�rrnt
13125 SW naII Blvd. Tigard, Oregon 9722.3
inspection
�fLine (Rec-o-Phone): 639-4175 Busines0 Pho'ne:, 39-4
Inspection: L / �!�7��Q��✓�-"-�Z��� �---
plbg. Underelab Mech. Rough-in Appr/Sdwlk
Footing
Found. plbg. Top Out
Gas Line PINALs l
Poet/Beam Struct. San. Sewer
Framing -Bldg.
Pont/Beam Mech. Rain Drain
insulation -k'lsunb
Plbg. Underfloor Water Line GYP• Bd.
-Mech.
Time: AM PM
Date Requested
rl -- Permit
Ac.dreee: - n
Builder
1
: /
THE ln)LI.OWING CORRECTIONS ARE REQUIRED:
— nett
2 S -
i -Si
�� Dom' STEP
�yvO/CR
/
W
A-0, -- --
Dates
Inspectors
APPROVED DISAPPROVED ,_ APPROVED SUBJECT Tn AnOVE
Call For Reinep.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 OCCUPANCY
< :s
PERMIT #k. . . . . . . : SUP93--V 30L-
639----4171
0L639-••4171 (DATE ISSUED: 11/02/94
PARCILL: 2S 1 12AC--02100
`SITE ADDRESS. . . a 14865 SW '72ND AVE
SU AL►I V I S I ON. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
. . . . . . . . r LO . . . . . . . . . . . . . '1e 7
GLAG' OF WORK„ ;NEW
TYPE OF UUE. . . :IDM
OCCUPANCY GRP. .-B2
OCCUPANCY LOAD:74
I`ENAN i NAME:. . . -.onrzoW lyff-1:HAN I CAL
Remarks : Concrete tilt-up warehouse building. Credits given for- sewer,, TIF,
and sto-m drailtage for demolished house on site.
Owner.
CA-1AMSE RLA I N/I-IUSSA INC.
! '1707 NE E I I_ERS
+iURLIRA OR 9/;D02
V-'honF' #a 692--46.15
("ont r-a t or,: -_._.._.._..,..__..____..__.__- .._......_....._.__..._ _. ....___._.._..
ROBERT GRAY PARTNERq, INC:.
'. 0. PDX 1016
3HErRWCIOD OR 97140
Thema 114: 69P-4675
;4rl d#. . 654?4
-tect.ipanc:y of the above 1 efer-enced building is he-eby given, and c ot-tifiec
: he c cimpl iance with the `Itate Of Or ?qon Spec:ia lty Lodes for the? g1-01.tn,
,CCUPEMCY, And ( se undel which the rafer-enr:-ed permit was Leveed.
I I LhJ. IN�J:IECTCIR
11(o
CICIPL
POST IN CON`'I"I CUOUS PI-ACE
f
MIT
CITY OF TIGARD PERMIT #.DING. . . BUP93--0308
COMMUNITY DEVELOPMENT DEPARTMENT DATE 1 S SUED: 11/19/93
13125 SW Heli Blvd. Tigard,Oregon 67223.8189 (SUHW9d4TT 1
' PARCEL: 2S112AC-02100
SITE ADDRE:SS. . . : 14065 SW 72ND AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I—L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :47
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION--
CLASS OH WORK. :NEW FIRST. . . . :6080 sf N. S: 1HR E: W:
TYPE OF USE. . . :COM SECOND. . . : sf PROT7CT OPENINGS?-----------
TYPE OF CONST. :SN THIRD. . . . : 1690 sf N: S:Y E: W:
OCCUr''AN'_-Y GPr'. :S2 TOTAL-------: 7770 sf ROOF CONST:B FIRE RET? :Y
OCCURAN(C.Y I_GAD:56 BASEMENT. : sf AREA SEF'. RATED:
GTOR. : 1 IiT. :22 ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT" : MEZZ? :Y READ SETBArKS-- -- _- REQUIRED-------------------
FLOOR LOAD. . . . : 125 psf LEFT: ft RGHT ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:Y
BLDRMS: BA7;-l;3: IMF' SURFACE:9450 PRO CORR: PARKING:
VALUE. $ : 230000
Remar-ks : Concrete tilt—ttp war•ehoi_ise boilding. Credits given for- sewer, TIF, and
stc,r-m dr-ainage fo), demolisheci hoL1se on site.
wne*.: ___.___.._.___....____.___._______.______._.___.______. FEES
CHAMBERLAIN/HUSSA INC. type amol_1nt by .ate recpt
15707 NE EILERS PRMT $ 759. 00 JH 11/19/93 —
PL_CK $ 492. 70 - 09/17/93 93-24430:3
AURURA OR 97202 SPCT A. 37. 90 JH 11/19/93 —
Phone #: 692-4675 SSDC t 560. 00 JH 11/19/93 --
TIF $ 2655. 00 JH 11/19/93
Contractor,: _.__._._____._____._____—__._____.-__MISC 4 2750. 00 JH 11 /19/93 —
RORLRT GRAY PARTNERS, INC.
P. D. BOX 1016
�314ERWOOD OR 97140 ------------.--_—.------._____._-------_.._
I'ri o n e #: 692-4675 $ 7253. 60 TOTAL
Req #. . - 65424
- --- --- REQUIRED INSPECTIONS -------
This permit 1s issued subject to the regulations contained in the Foot/FoLind Insp
Tigard Municipal Code, Stdte of Ure. Specialty Codes and all other Reinf Steel Insp
applicable laws. All work will be done in accordance with Slab Insp
approved plans. This permit will expire if work is not started Tilt—up Pnl Insp
within 180 days of issuance, or if work is suspended for @ore Framing Insp
than 180 days. Roof n a i i n g Insp
Insi_llation Insp
a J Gyp Poard Insp
CL J Susp Ceiing Insp �.
I-_ I ev,mittee Signature : Appr/sdwlk Insp
Final Inspection
Tssi-ted by :
Call for- inspection _ 639-417.,5
1,
L. _
SITE WORK �
CITY OF TIGARD PEi'MIT #PERMIT. . . . . . .
: SIT93-•0027
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/19/9:3
13125 SW Hall Blvd.Tigard,Oregon 97223.8140 (503)839-4171
PARCEL : 2811EAC-02100
SITE ADC RESS. . . : 14865 SW '7cIVD AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :47
TYPE-OF WORK•NEW-----------`PAVING?. . . . . . . . . :Y RESO. NJ. :
EXCV VOLUME. : Cy GRADING?. . . . . . . . :Y VALUE. . . $ : 9450
FILL VOLUME. : cy LANDSCAPING'). . . . :Y
ENG FILL?. . . . . . :N SITE PREP?. . . . . . aY
SOILS RPT REQD? :N STORM DRAINS?. . . :Y
IMRERV SURFACE. . :9450 sf
Remarks : SITE DEVELOPMENT REVIEW 93-0015 : A regl_test for approval to allow �
constrLtction of a 6, 80 sgi_iare foot concrete tilt- up warehoLise bi_lilding. ZONE: I � I
.-L
(Light Ind,_tstrial )
Owner: --------------------------------------------------------
--- _ ..----------- -----------•----------- FEES -----.-----
CHAMBERLAIN/HUSSA INC. type amoi_mt by date recpt
15707 NE EILERS RRMT t 80. 50 JH 11/19/93 -
5PCT $ 4. 03 JH 11/19/93
-
AURURA OR 97LO
Phone #: 692-4675
Contractor: -----------------'•----------_._
CONTRACTOR NOT ON FILE
----------------------------
P;one #: f 84. 53 TOTAL
Reg #. . - ____-•_-- REQUIRED INSPECTIONS ------
This permit is issued subject to the regulations contained in the Erosion Contro 1 y_
Tigerd Municipal Code, State of OrP. Specialty Codes and all other Excavation Insp
applicable laps. All work ail) be done in accordance with Fill Inspection
approved plans. This permit wiil expire if work is not started GraJ i ng Insp _
within 1B0 days of issuance, or if work is suspended for more Strm Drain Insp
than 180 days. Final Inspection __..
Pet
m i'L t e e Signature"
.i e d By . ------ --
Call far inspection - 639-4x75
m
SEWER CONNECTION
CITY OF TIGARD PERMIT
PERMIT # ' . SWR93-0481
COMMUNITY DEVELOPMENT DFR#R14TMNT DATE ISSUED: 11 /19/93
13125 SW Hell Bivd.Tigard,Orogun 07223.8160 (503)630-4171
PARCEL: 2S112AC-02100
SI1-E ADDRESS. . . : 14865 SW 72ND AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I—L
I11_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :47
-TENANT NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . :2b
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPc OF USE. . . . . .COM NO. OF BUILDINGS:
INSTALL TYPE. . . . :BUSWR 1 MPERV SURFACE_. . :9450 : s f
Remarks : SITE DEVELOPMENT REVIEW 93—N0i5 : A request for approval to allow
construction of a 6, 080 square foot cinr-rete tilt—u.p warehouse building. ZONE: I
—L
(Light Industrial )
Own e r ———— -- -------------- FEES ----------------
RUSSELL LEACH type ainount by date recpt
F1w 0. BOX 1016 PRMT 4 0. 00 JH 11/19/93 —
INSP 4 45. 00 JH 11/19/93 —
SHERWOOD OR 97140
Phone #: 692-4675
Contractor:
CONTRACTOR NOT ON FILE
Phone #: E 45. 00 -TOTAL
Reg #. .
--- --- REQUIRED INSPECTION
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
cf the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid wi11 be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sew(-r is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. Ii not sc, located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency w' gstall a lateral. _
Dermittee Signature :
Call for inspection - 639-•4175
PLNCK/RECT # �
CITY OF Tl tlt�RD Z;0 ,c13 rd.125 Om-bo iou 04v&n 97M PERMIT # _�L
COMMUNITY DEVELOPMENT DEi'ARTMENT 171
(S03)6"4171 DATE I S:?.1 r D
JOB ADDRESS: 14865 S.W. 72nd. Ave . TAX MAP/LOT 2S1 12AC, 2100
!jM Map # 2S1 12AC LOT: 2100 LANA '1SE: L
VALUATION: $23 C_LOOO .00
OWNER SPECIA1 ROTES
NAME; Chamberlain/Hussa Inc. REISSUE OF: _
ADDRESS: 1-5707 N.E. Eilers LAST REISSUE: —
Aurura , OR 97202 � �i FLOOD PLAIN/
PHONE: 1 `�- �� �' SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRE
NAME: Robert Gray Partners , Inc . _ PLANNING: _
ADDRESS: _P .O- Box 1016 ENGINEERING: _
Sherwood , OR 97140 FIRE DEPT: -
PHONE 692-4675 _ OTHER: 19WY:SZ'C'41
CONTR. BOARD #: 65424 EXP DATE: 3-29-94
ITEMS RF4UIRE0
SUBCONTRACTORS:. PLUMB: Western Plumbing LIST/SUBCONTRACTORS: _
MECH: Arrow MechanicalBUS TAX: _
ARCH ENGINEER CALCULATIONS:
NAME: Russell L. Leach �, � ' _ TRUSS DETAILS:
ADDRESS: P.O. Box 1-016 — OTHER:
Sherwood , OR 97140
PHONE: 692.-4675
►- PROPOSED BLDG. USE: New�6 , 080 sq. ft . mechanical parts distribution warehouse . _
COMMENTS: existing 14 , 000 sq. ft . metal building to remain ll
LL ( used as additional warehouse)
APPLICANT SIGNATURE �.
eceived : / l(Ii Date Received:
R B y —�
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
pUfL�L=> f 10-432 00 Building Permit Fees 158•��
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee _ L�
Building
Plumbing
Mechanical
10-230 06 Fire _
S�!
_ILL) 30-202 00 Sewer Connection _
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
� 0
25-448-04 Industrial TIF Fees o• � -�+J
25-448-06 Institutional TIF Fees
25-448-03 Office T;'.F Fees
25-448-01 Residential Traffic fees
ZZo.oo U
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PJC)
31-450 00 Storm Drainage Syst Dev Chrg /
(SSDC) y�..
_ Fr
24-445-01. Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
Y
1--n
TOTAL L rZ. b,-55.
LO
nm/3587P.WV
In es 14
k
Commercial Building Permit Q plica-1 -n
-
City of Tigard
13125 SAN Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �14> ✓
Office 'J-4e Only
Tenant: 7Vv,.� l�c"4�v� r Suite #
PlancidRec #
Valuation:
� / / Permit I'
Owner: (- Om� dg;,
Address: /57bfj �� , P✓S Apptjval. Reaulred
6T(IV LIPL, c✓' 9 7 L)--J- Planning
r'
Phone: Engineering
fe'
Other
Contractor:
Address:
Type of const:+ ��
Occupancy class:
Phone:
Sprinldered? YesN�
Contractor's License 11
(attach copy of current Oregon license) Sq. ft. of project:_ L<,-" '
Story(t st,'2nd, etc.)
A.rohitect/Engineer: =f 4 rvr� Proposed use: �N�✓�Sv� _.
Address: f L' LAY /�/C� Note: Plumbing & mechanical plans
must be submitted at time of
building permit appraition.
Phone:
n -
i'— COMMENTS: -- -
J
G]
C7
LL!
J
4)plicant Signature & Phone number
Received by:_ Date Received: !�/7��i
Permit # Account Description Amount Amt. Pd. Bal. Due
r
Bldg. Permit (BUILD)'
Plumb. Permit (PLUMB)
Mech. Permit (MECH) —
State T;D: (TAX)
Bldg:
Plumt,:
Mech:
Plan Check (PLANCK)
Bldg:Plumb.-
Mech:
lumb:Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _� M
Storm Drainage Chg (SDSDC) r—
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF4)
Institutional TIF (TIF-IS) —
<< Office TIF (TIF-O)
Water Quality (WOUAL)
Water Quantity (WOUANT)
1Fire District (FIRE)
J 'r.
4L 0 TOTALS:
, Y
UNI F 1 M SEVERArZ AGMCY OF WASH 1 NGTON C0Ur4T Y
L F 1 E UN I T RAT-•IGS
w• - —! rX�T i 1.
!JVV, ,, i TMAL TOTAL
F 1 XT'ta2c VALUE. ck�. NUMC3ER NUMBER
• VSY hh..
RAPT 1 ST'RY/FONT
BATH - T M/SHOW.R 4
-- J/1CXJZ/%,NPL 4
CUSPIDOR/WATER ASP I
D 1 SMWASHER - OAR 4
DOMEST 2 !
DR I NC 1 NG FOUNTAIN 1
FLUOR DRAIN - 2 INCH 2
3 INCH S —
- 4 INCH 6
GIIRBAGL DISPOSAL
- DOM (TO 3/4 HP) 16
- O mw rro S HP) 32
- IND (OVER S HP) 48
OIL SEP (GAS STA) 6
i
SHOWER - GANG I
- STALL 2
S 1 tK - BAR 2
- BRADLEY 5
COMIAERC I AL 3
SERV 1 CE 3
WASHER. CLOTHES 6
WATER EXT 6
WATER CLOSET 6
UR 1 NAL 6 (/
L7c value this ten
EDU - this tenant
Run. fx value - bldg
Run. EDU - bldg. r
� I St-wer penid t
,.
J
DATE 1 NSP,1L TOTAL
c.�
-�
BUSINESS lyVLltii �✓�<<lUn� Z/ 1 /�_, b✓,/:�. _/Nys ;c 1J% E�
ADDRESS /�]�d.ri r� r�� �✓ PER1A1 T NO.
VAX MAP/LOT
COUNTED FROM
73-2S R83
DATE: PLANS CHECK NO.:
PROJECT TITLE:
COUNTYWIDE
TRAFFIC IMPACT FEE APPLICANT: tisSe/l L• Le4c
WORKSNEE.T -
(FOR NON-SINGLE FAMILY USES) MAILING ADDRESS:?.0 , D x /0/
CITY/ZIP/PHONE:
RATE-PER 611AW OOL) DSP 9'7/ -'/D16,r.2 -yG95
ND U5EQATEQQRY TRIP TAX MAP NO.:
RESIDENTIAL $152.00 —ZS/ _ 1?- 4E-, 7-100
USINESS AND COMMfBQIAL .00 SITUS NO.ADDRESS:
OFFICE $140.00 1 /4(4-67. 51) 7C2 ACn Ne—
INQUSTRIAL $147.00
INSTITUTIONAL $63.00
PAYMENT METHOD:
CASH/CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT LPROMISSORY NOT LANG USE CATEGORY OESCRI""OF USE41VEEKDAYAVr- TRIP RA WEEKENO AVE TRIP PATE
DEFER TO OCCUPANCY /M -
BASIS:
4PDZ1e4t)Tf� �asr5 CdAvs-fOC14c-71a.v dlF 4 6,0e( sQUSE
DoT
CALCULATIONS: `
- X -# DF -7-�2iPS x 721P oieA-rE (1) = -7-
&. Sr r
"G. Sr x X99-r??IPSX11y701) _ A6_3 = 44',,3l,2.w
PROJECT TRIP GENERATION:
.36
rV 4L 4M0W 7_ �>u_ ---:j FEE:
v
J ADDITIONAL.NOTES: FOR ACCOUNTING PURPOSES ONLY:
ROAD MIT.: :r vau3 WiAl Tl
-T
C, S' - -1,2/0u.5AN6 G-b.SS 5IQuA,4,6 AZA 7' 3 Z.Ob
J _
TRANSIT AMT.: MASS I
A. _;�3oxo
PREPARED BY �
CC: WASHINGTON COUNTY
TIE NOTEBOOK
form tiffO
l
CITY OF TIGARD
COMMUF41TY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 9."-'23.8199 (503)839-4171
PLUMBING PERMIT
PERMIT #. . . . , . . . F'LM93-0 '43
639--4171 DATE ISSUED: 01/10/94
PARCEL: cS 1 12k:-O'('__-'.100
SITE ADDRESS. . . : 14865 SW 72ND -.'JE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :47
CLOGS OF WORK. . :NEW GARBAGE DISPOSALS. , : MOBILE HOME SPACES. :
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUF'ANCY GRP. . :BE FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES---•---_-----•------ '-AUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . : 1 GREASE TRAP'S. . . . „ . . .
LAVATORIES. . . . . :2 OTHER FIXTURES. . . . . :5
I'UB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WOTE:R CLOSETS. . :'C--' WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remar-14s : SITE DEVELOPMENT REVIEW 93--001:; : A r egt.rest For approval to allow
construction of a 6, 080 sq,.lare foot concrete tilt-i.rp warehol_1se bi.rilding. ZONE: I
-L
(Light Indi.rstrial )
Qwner: ___ ._______-____._____-_______.._._._.---._.-_------SSSS_._._.-___-- FEES - -- _-_-__-_._-
RUSSELL LEACH type am',�.rnt by date recpt
P. O. BOX 1016 PRM'T $ 82. 50 JH 01/10/94 -
PLCK $ 20. 62, JH 01/10/94 -
SHE'RWOOD OR 97140 5PC;T $ 4. 1,3 J11 01 /1.0/94+ --
Phone #1: 692-4675
Contractor:
WESTERN PLUMBING, INC:.
9460 SW T I GARI) ST
TTGARD OR 972E3
Phone #: 639--5296 $ 107. 26 TOTAL
Reg #. . - 02439
------- REQUIRED INSPECTIONS
This perait is issued subject. to the regulations contained in thr Rol_igh-in Insp
Tigard Municipal Code, State of die. Specialty Codes and all other Top--ol.rt Insp
applicable laws. All work will be done in accordance with Storm Drain Insp
approved plans. This pet-sit will expire if work is not started Rain train Insp
within 180 days of issuance, or if work is suspended for sore Mi sc. Inspection
v;
than 180 days. Drinking Focrnt Ai
�- Fi.nal Inspection
I -,r m i t t e e S i g n 3 t 1.r r-e .
I s s u e d S y
U Call for inspecti�:tn - 6.39-4175
CIT' OF TIGARD MECHANICALPERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC94--0088
13125 SW Hall Blvd.Tigard,Oregon 97223*81iR,-(503J+aP1i,k171 DATE ISSUED: 03/30/94
PPRCEL: C'25112AC-02100
SITI-"-' ADDRESS. . . : IAB65 SW 72ND AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :47
CLASS OF WORR. . :NEW LOOK FURN. . . . EVAP COOLERS:
TYPE OF- USE,, . . . :COM UNIT HEATERS. . I VENT FANS. . . :
OCCUPANCY GRP. . :B2 VENIS W/O APPL: VENT SYSTEMS:c'
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . ,
FUEL TYPES—----- 0-3 HP. . - . : DOMES. INCIN-
: /GAS/ 3-15 HP. . . . : 1 COMML., INCIN:
MAX INPUT: BTU 1.5-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . - 30--50 HFA. . . . : WOODS*T*OVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UN I ; S-- AIR HANDL IN6 UN I TS OTHER UNITS. :
FURN ( 100K BTU: <=: 10000 cfm % GAS OUTLETS. :2
FURN ) =100K BTU- > 10000 cfm :
Remarks : Leach/Chamberlain buildinq- Concrete tilt-1-1p warel-iol.ise bl-(ilding.
Owner: ------------------------------------------------------------ FEES ---------------
('HnMBERLA1N/H1.JSSA INC. type amor-int by data r-eept
15707 NE EILLRS PRM*T $ 40. 00 PLL 03/30/94
PL C 1J, $ 10. 00 PLL 03/30/134
AURURA OR 9720P 5PCT t 2. 00 PLL IL';3/30,/()4
Phone #-: 692-4675
C'untractor:
ARROW MECHANICAL cni\ITROCTORS
10230 SW TUALATIN RD.
TUALATIN OR 97062 -------------------------------------------
I'-`h o n e #: 692-1565 $ 52. 00 TOTPL
Req #. . : 05193
RE UU I RED INSPECTIONS
This per-sit is issued subject to the requlations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Smcia)tv Codes and all other Pleat i nq Unt Insp
applicable lams, All work will be done in accordance with Dr_ict Inspection
approved plans. This pewit will expire if wot-6 s nct started F* incl Inspect ion
within lab days of issuance, or if work is suspended for more
than 180 days.
I e r m i t t e e S i n-A t 11 r-e
I •>s i.ied By
Call for inspection 639-417 -
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
�iga;o, OR 97223
(503) 639-4171 (` /
Table 3A Mechanical Code OTY PRICE AMT
Job — ; /J„r 1) Permit Fee -0- -0- 10.00
Address P
•r/6-MR j) 9J C 7A 3 2) Suppiemental Permit 3.00
_t.— urn ace
IZ C O _�� /L> 1) incl. ducts&vents 6.00
�. -----Furnace loo.000 Bju +
Owner 2) incl. ducts&vents 7.50
Flocr Furnance
U/►(.HT/nJ �-ryl 0(O,7_ 3) incl. vent 6.00
_ a—J T— Suspended heater,wall eater
I/i Cl Cc ?1)je rS 04t4, d) or floor mounted heater 6.00
Ventno Inc.In
OCCUP3ni 5 appliance permit 3.00
P Repair of heating,re ng.
T/(,ifR is CY- 6) cooling,absorption unit 6.00
.M (X:, Boiler or comp,beat pump,air co
Q 11 NIC7) to” HP absorp unit to 100K BTU 6.00
Boiler or comp,heat pump,air cond.
l<� - N �`� 8) 3.15 HP 3bsorp unit to 500K BTU 11.00:
Contractor w
Boder or Comp,TWaT pump,air GO
U �Lf► /J (� ` 7 9) 15-30 HP absorp unit.5-1 mil BTU 15.00
W •'r^^ MFk.T.. Boiler or comp, eat pump,air cood.
0 '1113 �,,�•j�p � 10) 3050 HP absorp unit 1-1.75 mil RTU 22.50
-TEere y ac ow ge a vereead This ap Ica Ion,inat tno Boiler or comp,Feat 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 plans submitted are in compliance with State Air handling unit o
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, Air handling unit --
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate r,00!er 4.50
enTTa_n—conneFe
15) to a single duct 300
entl ation system not
]IfJ 16) included in appliance permit 4.50
. -". Hood SeN y
neaitlOn alteration repar 17) mechanical exhaust 4.50
esrn won Commercial
or industrial
to be done residential Q nonresidential 12 18) type incinerator 30.00
Existing use of Other La.,woodstove,water
building or property — _ 19) heater,solar,clodws dryers,etc. 4.50
Proposed-,so of 20) Gas piping one to bur outlets 2.00 1.
building or property _
Type of fuel -oil Q natural gas Qj LPG Q electric Q 21) More than 4-per outlet
NOTICE
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE '
IF CONSTRUCTION OR WORK IS SUSPENDED OR --
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN RE-VIEW 2S%OF SUBTOTAL �., oi'
AFTER WORK IS COMMENCEC —
TOTAL
Special Conditions — — -- �~•r
Date issued by
411FCePMT
�aM�nnd..
COPY -O:
APPLICATION• - STREET IMPROVEMENT/EXCAVATION p� (WHITE)-FILE
• OR DI NAND F-. NO. 74-14 ® " LLOW)-INSP. 11 11
C�__
, _ (PINK)-OTHER AGENCY-1.IA
(INSTRUCTIONS ON SEPARATE SHEET) LF) (GLUE)-APPLICANT I
APPLICATION NO.:APPROVED X 48.00
NOT APPROVED CI Y OF TIGARD, ORLGON FEE AMT.: S c—
�:I CITY HALL I RECEIPT NO.: 3—==`Gl
PENDING FEE. PMT. g
BY __ bl'. _ D A T E�11-�-I-�
PENDING SECURITY PUBLIC WORKS DEPARTMENT - - L._ - _ _ _ _ _ - - - - -
PENDING AGENCY ''OK'' %PI)Ilcation and Progress Record ;MAINTENANCE BOND * --
FOR STREET IMPROVEMENT/EXCAVATION As REOUIHEU J
PENDING INFORMATION �- i ANNUAL
EXPIXF
DAT.I: --1 -
PENDING VARIANCE -ti--�- DATE ISSUED: . .._ . _-- . BY:PEP.MIT NO.: � - - �(1) APPLICATION IS HEREBY MAD TE O EXCAVATE FOi AND INSTALL CONCR ALK . & APPROACH,
ACA'1IiST MH & WATER METER- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT 49 ' Chamberlain 1570 S.W. Eilera Rd. Aurora, OR 97J02cITv _ _1_ 7 u'PHONE
NAME---'--A nDRESC
CONTRACTOR . Robert Gra Partners, Inc. P.O. Box 1016 Sherrrax3, CIT 997140_ P692 67�_
HONE
-4
NAME ADDRESS ---- --
"Contcactor" -
-- clTv ---
PLANS BY--
NAME --ADURE55
1,200.00
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ DOLLARS_—_ --_-
_----
x
(2) EXCAVATION DATA: 0.04 - —
DESCRIPTION PROGRESS & INSPECTION STATUS
STREET ITEM DATE REMARKS/TYPE BY
SURFACE CUT CUT CUT MATERIAL INSTALLED
TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY
NAME
STREET
_ N
INSPE:C-
72tI�1dAvee (,see attach d) ETION _
Q
U
ESTIMATED STREET OPENING DATE: --1--- / S
T
/ 1 E
ESTIMATED STREE-r CLOSING DATE: D _
-- STR'ECT
(3) SECURITY NO. _ _ -_ SECURITY AMT• S 1,200.W_ CLOSED
FINAL
SURETY CO.: _ _ -fir INSPEC.
TCMECK CASH O IOND —
�- SPECIAL PROVISIONS / CONDITION'_
(4) PLOT PLAN: INDICATE I1-E PERTINENT PHYSICAL
FEATURES; EXCAVATION LOCATION AND EXTENT.
c See attached special provisions/
)
I 1 1 conditions, plan, and details.
z 1 1
1
I 0 1 1 (� I • Su�,w�{� ♦Q 1 �►►►�^1FtuJ O� ��/lr+,t
S. W. ---7 2n AVE - - ----- -
1 1 work i
' S 14865 SW 72r►d Avw.
(5I NOTE THE CITY OF GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF 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
CONSl'RUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK. AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNA URE DATE