16580 SW 72ND AVENUE 16580 W 72nd Ave.
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 5"'.Cl e F f
Phone: 639-4175
Type of Inspection ----'— 'y P tA
7�, ppp _ A.M.
Date Requested y�=— permit #____
Address 1&115
Lot -
Owner ---
Builder ----- –`— ------- r
9%.0'r
The following Building Code deficiencies are required to be corrected- •
-------------
C.r-rt C� ----�---�
Presented to _— ----
DisapproWd
Inspector —
Date —_- '—�--
CALL FOR REINSPECTION
DYES ❑ NO
Washington County Fire District No. 1
City of Beaverton Fire Department
Tualatin Rural Fire Protection District
June 16, 1988
Bewley Mechanical Systems, Inc.
12470 S.W. 1st
Beaverton, Oregon 97005
RE: Todays Kids - Willowbrook Center
11515 S.W. Durham Road - Bldg. A
Tigard, Oregon '°7224
Gentlemen:
A fire and life safety plan review was conducted on the above captioned
project for compliance with the 1985 editions of the Uniform Building Code
(UBC), Uniform Mechanical Code (UMC), and Uniform Fire Code (UFC) ar. am*—nded
by Tualatin Rural Fire Protection District's Ordinance 86-5.
Plans are approved conditional to the following items:
1. Approved Plans on Job Site. One set of approved plans bearing the
stamps of. the Tigard- Building Department and this office must be
maintained on the project site throughout all. ph.-ses of constructi,)n
and must be made available to building and fire inspectors f,jr
reference during required construction inspections. (UBC Sec. 303)
2. Inspections Required: Inspection and approval of construction by a
representative of this office is required: (a) prior to the cover of
any new framing elements following the installation of all utility
runs which will be concealed within wall and partition cavities; (b)
upon completion of construction and prior to occupancy of the tenant
space. (UBC Sec. 305)
3. Certificate of. Occupancy Required: Prior to the use and occupancy of
the project. (space) , a certificate of occupancy or other written
instrument of approval must be obtained from the City of Tigard
Building Department. NBC Sec. 307)
SPLCIAL NOTICE:
DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING,
THE COURSE OF CONSTRUCTION, EXCLUSIVE, OF THOSE NECESSARY TO COMPLY WITH FIRE
SAFETY REQUIREMENTS AS L13TED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN
AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE.
Bewley Mechanical Systems, Inc.
Junes 16, 1988
Page 2
If I can be of any further assistance to you, please feel free to contact me
at 649-8577.
Sincerely,
TUALATIN FIRE DISTRICT
Gene Birchill
Building Official
20665 S.W. Blanton Street
Aloha, Oregon 97007
GB:kw
cc: Tigard Building Dept. v
District Inspectors
i
s t
Washington County Fire District No. 1
City of Beaverton Fire Department
Tualatin Rural Fire Protection Dis±riot
June 16, 1988
A.S.T. Heating & Air Conditioi.ing
17555 S.W. 65th Avenue
Lake Oswego, Oregon 97035
RE: SSI Medical Service, Inc.
IG580 S.W. 72nd
Tigard, Oregon
Gentlemen.:
A fire and life safety plan review was conducted on the above captioned
project for compliance with the 1985 editions of the Uniform Building Coc'e
(UBC), Uniform Mechanical Code (ilM'.') , and Uniform Fire Code (UFC) as amended
by Tualatin Rural Fire Protection District's Gedinance 86-5.
Plans are approved conditional to the following items:
1. Approved Plans on Job Site: One set of approved plans bearing the
stamps of the Tigard Building Department and this office must be
maintained un the project site throughout all phases of construction
and must be made availatle to building and fire inspectors for
reference during required construction inspections. (UBC Sec. 303)
2. Inspections Required: Inspection and approval of construction by a
representative of this office is required: (a) prior to the cover of
any new framing elements following the installation of all utility
runs which will be concealed within wall and partition cavities; (b)
upon completion of construction and prior to occupancy of the tenant
space. (UBC Sec. 305)
3. Certificate of Occupancy Required: Prior to the use and occupancy of
the project space), a certificate of occupancy or other written
instrument of approval must be obtained from the City of Tigard
Building Department. (UBC Sec. 307)
SPECIAL NOTICE:
DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING
THE COURSE OF CONSTRUCTION, EXCLUSIVE OF, THOSE NECESSARY TO COMPLY WITH FIRE
SAFETY REQUIREMENTS AS LISTED HEREIN. ARE PROHIBITED WITHOUT THE WRITTEN
AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE.
A.S.I. Heating & Air Conditioning
June 16, 1988
Page 2
If I can be of any further assistance to you, please feel free to contact me
at 649-8577.
Sincerely,
TUALATIN EI DISTRICT
W
�x
Gene Birchill
Building Official
20665 S.W. Blanton Street
Aloha, Oregon 97007
GB:kw
cc: Tigard Building Dept. ✓
District Inspectors
5-TW I MECHANICAL PE'PWIT
CITY OF T16P RD ciTIAFTWAIV PEPMIT NO. : ME'.8609A9
OYEOON
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hail Blvd..P O.Box 23397.Tigard.Orpuon 97223.1! DATE: ISISUE D : 6/ 1ZI/at
.43)639-4175
-J---__ -- - _ NO 860
JOH 72ND 00DRESIS : 1651130 b"W AV '0 -'INESS i"-,APK 13: S 11 LT :
TAY MAP/LO'T 0 WE it, N HUS
LAND USE:
I 0T SIZE.*: I.TEM: NO: NO:
W(:)PK CL.ASS: ALTEAAI'I(')N F;'tJPNACE <100K AIN HANDLP (3-0
USE TYPE: C(IMME1
RGAL I-"UPNACE 1.00K+ AIR HANULW 10X
CONST . 'T'Yl'-)E: : VN FU]i(314 F'LJPNA(:;I-- EVAP.COU E.'W
OC"C"Up. HEATER I VENT FAN
VENT VENT . SYSTEM
EILWCOMP (31-IP J. HOOD
NO. STORIES : J. BLP/COMP INCINERATOR(DOM
DWELL .UNITS : EILP/COMP J-5-30HP INCINEROTUR(CUM
I-'kJE:I-. *TYPE: (.SAS EILWCUMP 30-501"IP REPAIR LJN1'T5
MAX. INI:-'IJ*T 100000 lit.RCOMP .504-HP OTHER
F 114. DMPPS'? NO GAS PIPING OUTI-EIS
i.
HIGH PPIE!ibi'll NO
PEMARKt-i :
'Tel-UlLI-It Mod : S 5 3: Medicnal 501"ViC01111 , 1:11c -
WPEWMIT Ni 11.0 . 00
N Plac�'T I,t.1 t
E PLAN REVIEW 146. 00
ra F,I:
X,T I J P E:1-1 *J.1. 0U
STA'rE TAX $1 .20
ITT 1-4 E'.W
0
N AS.I. HEWTING
T
R A53. HEAT1W.,
A I 7555SW 63TH
C
T Liake (314WOWA OW 9703A
0 6841-8'.583
IN bill -')5Z9-Ah1 TOTAL : $3 1 .20
This permit is issued %object to the regulations contained in Title 14 RECE1I*-*"T NO.
of the TMC. State of Oregon Specialty Codes.zoning regulaticris
and all other applicable codes and ordinances, and It is hereby 14E( UIRE.D INSPECTIONS
agreed that the work will be done in accordance with the plans and GAS LANE
specifications and in compliance with all appHcable codes and
ordinances The issuance of this permit does not waive restrictive MI*-.*CHANCI- . SYSTEM
covenants Contractor and subcontractors shall have current city F T N A I...
business tax permits This permit will expire and become null and
void it work is not started within 180 days.or if work Is susperded or
abandoned for a period of 180 days any time after work has
commenced It shall be lh�responsibility of the permittee to assure
all required inspections are requested and approved
IA-441-1
Permit ee re
Issued By TW..sPEC-1 ION 639—ell 71
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A90VE
A
C111"Y OF TIGA RDE1l.lIL.C)IN: B(J880T
I'��.RMI'T' N(). BlJt:113094"1
(7:�OFIMRWDCOMMUNITY DEVELOPMENT DEPARTMENT rrlovN DATE :CSSiI.IE:I): :5/31./8113
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)639.4175 ISR I M . I-*'M'T.NO. 1•)13094'7
.JOD AD0I-II .SS : 1.6580 SSW 72ND AVE.'
TAX MAp/!...(:)'T' SUB: (:)ItF:C»(:1N BUSINESS PAPK .T.1 8 11, LT : 8K :
I...AND LISP:'. :
LOT SIZE : Va'AI..UA'T3'.ON : � '.5,::3()0 SETHACKS
F4 PONT : REAR
W('.)RK CLASS : AI_.'T'E:PATION pWE:l...l_. , UNITS : LEFT : R7GH'T':
I ISE: 'T'YPE:: C:CIMME'r.1(:CAL• NO. F:3E DIROOMS : E:XTT .WAI...L. CONST :
CONST . TYPE . VN NO. C•)A'T'HS : N: S : F. : W
OTI ' P G11:11P. : 82 PRO T .OPENINGS:
1_.C)A1:) 1.6 N: 'a : E: : W
'T'OT'AL. AI�1E:A: ,,".iUUO
1.ST: 5000 POOF CONST : A F IPE: PET,? YES:CC:H1, : JAI 2NC): AREA SLIPAR? NO R ATEIJ:
I:➢Ardl~'MC::N'T"7 NO 3AD: ()(:,(,.Up. SE PAP'7 YES RATED: 1. IA 1:,t
MEZZANINE{ NO k3AS1:M'T
F'L.00P LOAD: 123 CAr1AGE: 1=:CRE: Sr)RKI_R'7 NO AI...ARM'7
FLOW((31=,M) 17E:T'E:C:T
HEAT 'T'YPE:: GAS HIHP .A("CESS 7 YE:!:i
J ')
111:::MAAI<S :
T ellis,r►t. Mc►(.i : S S 1 Mcadlc:•ia.:l. Scorva.c:v.vl , 3:r1c:• RE TSS1IJE: ()1= NO.
LAST RE:I aSUE:
F T7197—
P'►n c-'T'r•wr to t PIEVRM]:'T' (5.;90
O
W PI...Al" RF::VIEW 11136. 7PE F TPIi,: IaE:PT *22. .60
R S'T'ATE: 'TAX *2.fi1;.3 OTHEP
E:VE:I_.(:)PMF.i:N'T' CHARGES :
S :
C314li:1 N IALIWAR1) 51)('(ST OPM)
O H L. GRk::EN CONS1'r111(':'TJ(.)N Ci DC( S'T'PEE:'T )
T 11.1, GW r T IP"T'H Put.,(�
T
CR pnrr,3.;itll(l 11:1P 9'72014I pRE:pA3:C> < ti'i9 . 33>
PH.INE: (50:3) P. '1...00'.':!0
T r11r:(:+:1.!5'1'ItA'1'f.t:)N NO, Gree+r►
0 TOTAL $59 3P
r1E C:E 3:p'T' NO. 31.496
__._........._.._.__........._ .._._�.._....
This permit is issued subject to the regulations contained n Title 14 , E(�l I I r1Fa:) I N!iilaE(-T 3:f 1N!i
of the TMC,. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it Is hereby r'r1AM:l:N(:. 6
agreed that the work will be done In accordance with the plans and r1E I NI . MASONRY
specifications and In compliance with all applicable codes and IN5I.111 ATI ON
ordinances The Issuance of this permit does not waive restrictive GYP. BOARC)
covenants Contractor and subcontractors shall have current city ;:+ll�'PEND .r;E:IL.ING
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work is suspended or F I NA L.
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required Inspections are requested and approved
err" tee Signal /- t
�(�Q
Issued 6y AI. L F OR .T.NSPF C:'T'1ON 6 39•-41'7W
Jv _
r�
SEPARATE PERMITS REQUIREC 70R WORK OTHER THAN DESCRIBED ABOVE
P1 LJMBIN(*., PERMIT
PERMIT NO. : PLA31309418
F CITYOFT167ARD ClTy0FTWApD :)ATF- ISSUE13: 5/31/ae
COMMUNITY DEVELOPMEN-r DEPARIMENT OREGON -)PIM . PMT .NO 1380947
13125 SYV,Hall Blvd. P.O.Box 23397.Tigard,orewn 97223.(50'1)679-4175
.)W feNIJ FVVT-.
'f'AX MAl"'ILAT! SUB: OPEGON BUSINESS PARK 11 D J-1. LT : FC K
L.ANL) USE :
LAIT SIZE ' I'rEM: NO: NO.
WOPV U ASS: All-TE'RATION WATER CLUSET 1. TRAP
wiF-'.: 'rypE:: COMMl-'.:P(',IAL UPTNf-'IL BKF:'I.-(JW PPVNTP
0ONGT . TYl:**--' : VN LAVOPATOWY 1 TPAP PRIMER
W3 TUB SHOWER (:;N1;;ASE TPAPS
DISHWASHER
GAPROGE-' DISPOSAL.
NO . STORIE5 : 1. WASHING MA("HINE:
DWF--I L. .UNITS : LAUNDRY TPAY t 9L.D(., . UPA:1*N (DIA
FLOOR DRAIN
SINK 1 5EWEP (FT)
WATT. P HF.IATEP STUPM/PAIN (F','
(I THIH44
PEMA14KS :
Jtoni&nt Mclici :
L)TF1lF.:*.P its mink C:a p n-F f
L- -F..T-:.5
PlvT 1,1.1 v-,t PEAMIA $37 .50
0
W FIXTU14ES
N
E STATE TAX $1 .88
R 11119.37
C
0 4FJNl-4APDT l:)1.AJ1'1F.4ING
T
R Op 971,3P
C A 503) 620---'.57!5'q
,
T QF11TSTPATION NU). 1H10 TOTAL
0
NO.
p
This permit is issued siiblect to the regulations contained in Title 14r ;'QLJIRIi:D I*N'-:sr:lr..:-*(:"T*:I'.(:)NL-s
of the TMC. State of Oregon Spec laity Codes,Zr "qaulations PLS.UNDIn-ASLAB
and all other applicible codes and ordinances, hereby
agreed that the work will be done In accordance witi, ins and ROUGH- IN
specifications and in compliance with all applicable codes and VIL..H. TOPOUT
ordinances The issuance of this permit does not waive restrictive 1.Y T H F-E.W
covenants Contractor and subcontractors shall have current city F *.I NAL
business tbx permits This permit will expire and become null and
void if work is not started within 180 days.or If work is suspended or
Abandoned for a period of 180 days any time after work has
commenced it shall be the responsibility of the permittee to asllurr�
all required inspections are requested and approved
F9 �. ��4-4 %*A
Z' ITd I
Permittee SlqnAttjre F (111 INSPECTION 0539-41173
Issued By
SE RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
XNUACM
Washington County Fire District No. 1
City of Beaverton Fire Departure, ,t
Tualatin Rural Fire Protection District �14Z_
May 26, 1988
Mackenzie/Saito
0690 S.W. Bancroft Street
Port lance-Oregon'N 201
RE- SSI Me�cal Services �-
Tenant Modification
16580 S.W. 72nd (PacTrust Bldg. 11)
Gent
A fire and life safety plan review was conducted on the above captioned
project for compliance with the 1985 editions of the Uniform Building Code
(UBC), Uniform Mechanical Code (UMC) , and Uniform Fire Code (UFC) as amended
by Tualatin Rural Fire Protection Di.str.ict's Ordinance 86-5.
Plans are approved subject to the following conditions:
1. Exit Door Hardware: All doors shown on the drawings must be open4ble
from the inside for immediate exit at all times without the use of a
key, special knowledge, or effort. (UHC Sec. 330A)
2. Firestopping: In all wood-framed walls and partitions, fire
stopping consisting of 2-inch nominally-sized lumber or other approved
materials must be installed at all floor and ceiling levels.
Penetrations in this prescribed fire stopping to accommodate wiring,
plumbing and other similar utility runs must be packed with
noncombustible materials in an approved manner so as to prevent the
passage of flame. (UBC Sec. 2516)
3. Approved Plans on Job Site: One set of approved plans bearing the
stamps of the Tigard Building Department and this office must be
maintained on the project site throughout all phases of construction
and must be made available to building and fire inspectors for
reference during required constr ction inspections. (LBC Sec. 303)
4. Certificate of Occupancy Required: Prior to the use and occupancy of
the project space), a certificate of occupancy or other written
instrument of approval must be obtained from the City of Tigard
Buildi►►g Department. (UBC Sec. 307)
SPECIAL NOTICE:
DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY-APPROVED PLANS DURING
THE COURSE OF CONSxiKUCTInN, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE
SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN
AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE.
Mackenzie/Saito
May 26, 1988
Page 2
If I can be of any fur.thea assistance to you, Please feel free to contact ne
at 649-8577.
Sincerely,
WASHINGTON CORN}}TY FIRE DISTRICT NO. 1
Bert P rker
Fire arshil
20665 S.W. Blantory Street
Aloha, Oregon 97007
BP:kw
cc: City of Tigard
PacTrust
District Inspectors
Area Inspector
Washington County Fire District No. 1
City of Beaverton Fire Department
® Tualatin Rural Fire Protection Di strict
May 18, 1988
Mackenzie/Saito & Associates
0690 S.W. Bancroft Street
Portland, Oregon 97201
RE: SSI Medical Services, Inc.
16580 S.W. 72nd - Bldg. 11
Par.Trust
Dear Sir:
We have reviewed your hl.ueprints for the above proposed construction and
have the following requirements:
1 . Doors 6 and 10 shall swing in the direction of exit travel. That
is, out.
2. The automatic fire extinguishint system shall. he extended to
provide full coverage for the new construction. Plans for
modification of the sprinkler system shall be submitted 1u this
office for review and approval.
1. pos•tabl.e fire extinguishers shall be provi14rad having a minimum
rating of 21lalnac. Ext inguishe rs shnil, he rliaced so that. 1-10
extinguisher is more than 75-f.er.r travel
Ia . An address she+11 be provided on the huilding of caiffi.clent size +incl
Jarit.y to be visible from the street ,
i. l spections arsr required of all framing after the installntion of
electrical, plumbing and other utilities and ptfor to the
ills tsllatiou of gypsum wall board sheeting and L!L to necupancy.
6, A certificate of occupancy is required from the City of Tigard
Building Department.
Mackenzie/Saito
May 18, 1988
Page 2
Subject to the foregoing, your plans ar;- hereby conditionally approved.
If we may be of any further assistance to yc,u in the development of this
project, please do not hesitate to call.
Very truly yours,
ex a /eMa
W
As istanU Fshal
20665 S.W. Blanton Street
Aloha, Oregon 97007
RHJ:kw
cc: City c:,f Tigard (PC 5-31C) v'
PacTrust.
District Inspector
1
k'.U.11art 1_.U'J[
CITY OF TIGARD PLUMBING 1:1125 id H&U il1lqd
nqAicanb mvs! hold C>.rgorl RegisKation tar conduct s Plumbinf
PERMIT �
brn+ne%a moa he property owneeoperator not hiring outside WP.
rr+im.d Dewloprn«tl air U � �f'
Piumbmg Permit Nn� C
�.sao.. t)earodon
7 ' OAS 614-21410 QUAN. PRICE SMT
Jolt' Tax Lal' Map No.
Addrata _ FIXTURES _
Lao Block Stdxwsi xt Sink 150
srtt. or name ol business) lavatory
{-�Cr Tri1 or Tub Slower Como -
esa Showery 7 50
. tl n r - --- -- ---- -��.
Walerclose 7 '
QwHN` _ / to �p - -- - ' . .---—-- ----
Oishwas►,er -- — - - - 750 - _ -
Phone Garbage0rsposal 7_50 1
Name rS Wastting Matron _ -_ 7 50 t
50
I"Y,,Pry I ot], Flax Oram - -— .
►ess Phone WalrwNealer 750
-- laundry Room Tray - - -- 150
Occupant City[Ste1s- Zp - - --- - 1 5050
_ Unnry
Other Frxtto*s(3peuh) - _ _ _ f so --
n1 _�r�_ I
ass PTO
',n c'.- c�n1=1= �_ - 7 so -'7 5c,
7 50
Contrer for ClylStW ZIP _
1 MISCELLANEOUS _
_ 9ua Tax No Sower 141 100' 10_00
S~war ea A4lciA t 00 1500
State i7=* kc.4M oTT"- u1. . e �cl ��-- --- - - --
(R ,hAl) 1 /(j Water Servlos 1 st 100 - - 11000
1 S 00
1 her"or.*r whdge emb I have read this tppatatlon,that•we W*--tkln Water SwvKel+a Add11�r - -- -
Oven is coned,that 1 an r gW*rsd w+M1 the State 9urdWs Board,end also SAK-- Rein Dain t at. 100' ----- 3000 _ 1
haw a 3W%Piurnt*V kmirw"the mxTtws gh"er+are oare0. 111d as 1500
r
plunl0e+p work wd bAortia h na1
e oraoonreawRh app4coble prwwd Ors-e- Stam L Pyn Draw Addil 100' _ --_ 1
port Re0sed%ariAae ChepWv 441 erd 03 and aVttiabb axle"and the AAoOMe 1 kx>w So-" 2500
no help*6 be a.ipkurWn kw*W under OILS a9l IN sxwnpt hum 8aritflowPre. ... x1 - 1
Stator repkAralld�piMM g"reaaun be". Back
or MN�Qev" 1 30
HOMEOVMWM-I%wvby ON*hd 1 am M1e raer'er of the party do-
go two
e-srxtxW stxrw,d wtllcf+t xwm I pe pees to maks a pkerd*V Ins Aldw low Any Trap or'Woft Noll
n"gwrl A*and*%is property be not b*V corMructed kv"is,1""a rant Crxwwried 10 a Pat*" 1 _
Cald1 Basin ^V- ? so
krw.d Exim Pksrtln 40 00 Per r+r
Amer of P+.tIov wtwln
— en " -- 1 s oo"tin
�9lONAT`. pw Waw 91dt}a Buld.Addnfoww
fiairifXa� t3 Earral —
ocrt»work rww O %ddition❑ aftentfion C] r»I>air O I cL+elYirk
rsaiderttial Holl- d � J
IUAlTOTAL
/e
i•k0 a va01»rty - -------- ------ - - T10TAl
`a s�r+1N OewClDmea,.r/I and•rold N waA er�ons►t+tton ai,I�a�wed�rot rbr»
+errs w" lq dey,,ar 1f:�sr�+Mc�on ar volt y w;rrgat4d or +t wWr -W Im
t owiad of '20<Wf4 all wV 1wr atter wmt Is we-ftinxwd.
.7"EC3AL OOKIfT1f71M-- - --_----
tw 'asued - _-- b'y --
i- -
CITYOF
T � PLAN CHECK APPLICATION,, —�
16APLAN CHECK # `� I�--
Crry RD PERMIT # �
'�f l
COMMUNITY DEVELOPMENT DEPART AENT C DATE ISSUED
13125 SW HAN 8W. P.O.Bac 2m97.rgod.Omg0n 97223(SM)&W4t 7b
08 ADDRESS: J 72,-;d � ' TAX MAP/LOT
SUB: _ LOT: 68 E2/6LAND USE: M
VALUATION: ;,Soo _
OWNER r SPECIAL NOTES
NAME: f c2 G [4 f REISSUE O
ADDRESS: L(��S u> �`^� 7;t- Z-f SZ5 LAST REISSUE:
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR / /� PLANNING:
� _
NAME: [. ENGINEERING:
ADDRESS: _ FIRE DEPT
OTHER:
PHONE: ITEMS REQUIRED
- /- LIST/SUBCONTRACTORS:
_r-- CRTEhIGINEER BUS TAX:
PJAME: CALCULATIONS:
ADDRESS: - TRUSS DETAILS: _
-.7 2 dl PARKING PLAN:
LANDSCAPE PLAN:
PHONE: ► - 9.i G O OTHER:
COMMENTS: �%i�i1,� � � ��� .� �<�'>vt��✓, �A c�
7/
PERMIT 0 ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees _
10-••431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) _
Building _ -
Plumbing
Mech
10-133 00 Plans Check Fee
Building — -
Plumbing
Mech _
30-443 00 Sewer Connection (20X)
—^_— 30-202 00 Sewer Connection (80X)
30-444 00 Sewer Inspection _ !�
51--448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10--230 09 1 RFD (95X)
10-435 .a TRFD (5X)
10-230 06 Washington C:;ijnty Fire #1 (95X)
10--435 00 Washington County Fire #1 (5%)
10-7.20 00 Amart/Wedgewood
TOTAL — -- -- --. - --.—_
l / i REC 11 L(11r
AI'I'I [CANT SIGNATURE �
Received By: ,,�1� Data Received: Zj
ht/3587P —
t N E�
CITY OF TIGA RD N o. 31496
13125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR 97223
Name
I
Address
1
Lot Block/Map Subdivision/ ddoiss
Pel mit #'s Bldg. Plumb Cash Check_,
r
Sewer Other Other 'Rec. K
Acct. No. — Description Amount 1
10.432 Building Permit Fees 1
— -__.,.... _---------- - -- -- 111
10.431.800 _.Plumbing Permit Fees
10.431.801_ Mechanical Permit Fees
10.230.501 State Bldg, Tax
10-433 Plans Check Fee
30.443 Sewer Connection _
30-444 Sewer Inspection _
51-448Street Syst. Dev. Charge _
52-449-810 Parks I Syst. Dev. Charge _
52-449.820_ Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge
10.430 Business Tax
10.434 Alarm Permit 1
11 227 -- Ball ---� -
10.455- Fines - TrafflclMlad/Parking _
10.230• CPTA TrafficfMisdift. Asst.
10.458 Indigent Defense
30.122401 Sewer Service/USA _
30.122.40_2 Sewer Service/City 30%0 �—
30.123 Sewer Sevice1City Maint. �-
30.125nl nmetched
31.124 Storm Dralnay
40.47Bancroft Prin. Pymt.
40.471 BancroTtTt-'ymt.
TOTAL r
DEPT. C
CIIYOFTIFARD
PLAN CHECK APPLICATION
PLAN CHECK N� 5-E I�--
COMMUNITY DEVELOPMENT DEPARTMENT CRY0FTlG'4RD PERMIT N jcW 7
oRIoon • DATE ISSUED
13126 SW Hal BW P.O.BaK 23997.Tip W.0rogon Y7=ISM,6304176 q
JOB ADDRESS: G� "" 22,-;d ` �cJ ' TAX MAP/LOT
SUB: LOT: _ 6E3 J- ej,6LAND USE:
VALUATION: S�SOD '`�
OWNER SPECIA NOTES
NAME: ( REISSUE OF:
ADDRESS: 11 .S cJ 2-7 5 LAST REISSUE
FLOOD PLAIN/
SENSITIVE LAND: _
PHONE:
APPROVALS REARED
CONTRACTOR PLANNING:
NAME: _ ENGINEERING:
ADDRESS: FIRE DEPT _
_. OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS:
�1tCt17E GINEER G�.G�O BUS TAX
NAME: �C-2 CALCULATIONS:
ADDRESS: SS DETAILS:
��- PhdKING PLAN:
_ LANDSCAPE PLAN:
PHONE: - / �[ .�6 O OTHHER: 1
COMMENTS:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 OO Building Permit Fees
10-431 00 Plumbing Prrmit Fees
10-431 01 Mechanical Permit Fees _
10--230 01 State Building Tax (5%) _
Building
Plumbing _
Mech
10--433 O(. lana Check Fee
Building
Plumbing
Mech
30-443 00 Sewer Connection (20X)
30-202 00 Sewer Connection (80X) _ -
30-444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks II System Dev Charge (PDC)
31-450 00 Storm Drainage Sys Dev Chrg (SSDC)
10--230 09 1 RFD (95X)
10-435 00 T RFD (5%) `----
10-230 06 Washington County Fire N1 (95X)
10-435 00 Washington County Fire N1 (5%)
10--2.2.0 00 Amar•t/Wedgewood _ _...-... _
TOTAL
�i REC 11
APPI ICANT 51GNAiIiRE --
,
Received By: ji. J Date Receiver:
ht/3587P
.. _ .—..-.,-_.,__-,,, - ,. i - -.+�.�.,..�.r.�. _,T, .._ ..--_. -.. ..-_ . r...—..-r.-.ra.-a.ear: .F:' ^^•�ws1'
SIGriPERMIT APPLICATION cOF TIGARD Date July Z? 19 7f; No F
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 16860 S.W, `nd Avenue
APPLICANT: Owner T Lessee Authorized Representative
NAME/COMPANY Signs Irz Depth Tel.
PROPOSED SIGN: Freestandin �� Wall �2L—_ Projecting _— Other
SIGN DIMENSIONS •'`� '� `� AREA 4-1. 2 ; —'HEIGHT WALL AREA —
PROPERTY FRONTAGE COST ZONING DISTRICT -ILLUMINATION
MATERIAL t >'tofoam COLOR
COPY tail. Mowers 13rirn 7'ractor roruaanL. DRB
EXISTING SIGNS: Freestanding Wall Pro acting --—. Other
COMMENTS:
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
within ninety days after the issuance o• the permit, the permit shall
PLANNING DEPARTMENT become null andgoid.
Permit Fee
Approved Applicant's Signature
Receipt o._- ? ` G
Renewal Date _ __ Address Telephone
SIGN PERMIT 4PPLICArION CoF TIGARD Date 119 ___ No.
�. The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
U' specifications.
SIGN LOCAT113N ADDRESS: 16860 F .1'. 72nd Ave.
APPLICANT: Owner. Lessee Authorized Representative
NAME/COMPANY , L,!,ur In Deytli Tel.
- - - - - _. - - - - - - - - - - - - - - - - - -
\ PROPOSED SIGN: Freestanding Wall X Projecting Other
SIGN DIMENSIONS 12U x 4L AREA41.2 So.Lt HEIGHT �—_ WALL AREA
PROPERTY FRONTAGE _ COST _ ZONING DISTRICT ILLUMINATION _
MATERIAL " — COLOR
COPY i'ornE.flrty , Tn(7. _ URB
EXISTING SIGNS: Freestanding Wall Projecting _ Other
COMMENTS:
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
� LANNINC; DEPARTMENT
ninety days atter the issuance of the permit, the permit shall
-- -- ENT become null and void.
Permit Fee 5., O
Approved -4ZApplicant's Signature -
eceip-�t No._ .Z t
Renewal Date — Aggress Yelep one
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Permit No. SP 127-88
I:11'Y OF I1GARU
SIGN PERMIT APPLICATION
the applicant hereby applies fur A permit fur he work indicatud ur as shown
►n the accumpanying plans and speLificatiuns
`,IGN LOCAI LUN AUURLSS: 16580 SW 72nd -- ZONING;_ I-L
Y
NAME 01 COMPANY; Support Syz—tems International
APPLICANT/AGEN1 ; Signs I n Depth , I ne . Y
-the City of Tigard impusas an annual Business Tax which must be kept currenL
un all pur5un5 duiny business in Lhu City . Du you pr-uxant.ly havu a currunL
Husiness Tax? Yes
PPOPO03LD SILAY:
PLRMANW- (x
ILMPORARY ( ) WALL (x )
HILL_BOARD ( )
SIGN DIMENSIONS: 24" High _14 ' hong
10-1-AL SIGN AREA (Sq. f L. ) : 28 Sq. P't,
WAI I. AREA (Sq. ft. ) ; 528
11E LENT (f t) : 2g
PROJECTION; 211
ILL-UMINATLON: YES ( ) NO (X )� SS 1
COPY: S1IPPORl' SVSTRIAS I NTRUNAXILINAI,
MATERIALS: Flax r'.arn Stvrp{nam I n ter-, __
LXISTING SIGNS: _— -- —_ None
OTHER PERMITS REQUIRED: YES ( ) NO (x
COMMENTS: Sign will go on north_wall Lace.
PI-ANNING DLPARTMENI _ All sign permits nwst be accompanied by a
Pu_nnil_Fue: $25.00 _ scalu drawing and plot plan. If work
Receipt No. : 32627 authurized under a sign permit iias nut been
Approved By: DS _ complclud within ninety days afLer thc!
Uate: 07/14/88 issuance of the permit, the permit shall
bucumu null and void.
I Ck_R1If Y TtiAI I AM lllr RLCURULD UWNLR OF IHL
HROPERIY CSR AN AGLNI OU114ORILLD HY 111E OWNER .
Signs In Depth Inc. �� ,
17150 S.W. Pilkington Road �? �— s: -
Lake Oswego, Oregon 87034 Applicisnt a Signature
Ph. (503) 635-3390
Address Telephone
UAS:bs62
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