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11643 SW PACIFIC HIGHWAY tt#m "NMI 11643 SW PACIFIC HIGHWAY I J I T .J T W VMN Harm ill N(l. SP 166-88 1 1 Y Ol V I("'ARD SIGN ll[.RM1'1 A 1)1)1 1 C Al I ON I,,r (I by dr)r)I i 0-3 f o III, rA po riii i fur' Lho wc)r,k i rid i f. 4 1.od 0r- A 5 it hi un in 010 nil. my 11n1 F I I,•, and s Ppt-i f i t-j,.At i ons S I th t(01111 ON A D I I R I !; i 11643 SW Pacific Hwy ZONINGC-G NAMI- OF BUSINI H & Ii Auto Center.--... ...... APPTA'CAN'l/AGI.N I - Jerry .§!gqtt COMPANY. Sigq ii;raf t. PIIONL639-481.0 I'ho CiLy of Ti,.jard j.jjjpu!;(?9 an annual 9tisiness Tax which inust bo. kopl. t-urrorlt on all F)ersons do j nq kwi 5 i n v s,.-; in tjiil� Ci Ly . jJ0 YOU prwstrntly 11,4 it f, a c u r r v r I I. tj I'ax? PROPO1,;FU IVullil- (chot-k ati many a,3 aPOV) III KIMONI,N I X) I Rj I !,I AND IN(: ( I?[ t WAY I t-MPORARY WAI I ( X) I-I-VCfRONIC, 01 lit R [III I HOARD BAT I OON !,,.I.('-N D'rMF:NS'r.ONS: 41 v 212 ........ EXPIRATION DATE: IOTAL SIGN AREA q. Ft WALI Akili (Sq. I I 4ipp WALL HE 1(:;I Il' (ft.) PROJI'CTION FROM Wt)l I NVA-­­.- I I I UMI NA I 1ON: Y1,; (X NO 'I YPE L,01)Y : Battery Factory H. Performance Auto Paint II&I-i Auto Center Clutch.Service MAI I R LAI.G Metal cabinet and plastic EXISTING I N,, existing signs will be removed ADM I N 1,i I R 0 11 V I I x I,1 1,11 ON: A 1,1)wov I I I N/A X] AREA HI IGITI HOW Mu('11 COMMI N I IS: This permit supercedes SP 1.1-5.-8.81... ........... III 011,1NINC, 01 1'0111 MI IV 01 1 c 0i pol lilt I IIIII-A 1,11' If I 1111111,41III'd by Pot III It I ok" $25.00 'Arid 1111-1 III'm 11 tolifl, .1fillim j, till killdot Rot o I lit Nil, 100890 KA.; Il'It isooll II)III[lit'lod withill rimolly ti.Av.; Aptil 'Ivi'd Ifly DS v lit I lit, rior illi I , I lit, pol lilt 1 -01.41 1 o 9/29/88 If.—; 111 !1"1( 01 111 W!"i I I T Cl It I I I Y THAI I AM Till �COkof I) OWNI R 01 1 lit PROM R1 y "1 (0111,11 11 Yi I. Rif) X 'I QK AN A0 f1d"IIIORV-�-I) I III QWNI k 10111 1111111, III 1"M I I RI 11 YI No X AUTO PAINT I . H&H AUTO CENTER CLUTCH SERVICE H &H AUTO CENTER CLUTCH SERVICE eo"ow#J.. i-I v its w 1 11 F- I li��Yr VA nie T-z k Awti- tOC AIA %AP4-ij, IALV,jam- '00 c-RAF-1- (oiq-4q10 L4 Permit No.SP 115-88 CITY OF IIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 11643 SW Pacific 112 ZONING:C-G NAME OF OOMPANY: Hi Performance Auto Paint. APPLICANT/AGENT: Jerry Scott Sign Craft 639-4910 The City of Tigard imposes an annual Business Tax which must be kept currant on all --sons doing business in the City. Do you presently have a current Busines ,ax? y�=' PROPOSED SIGN: PERMANENT ( X) FREESTANDING ( ) TEMPORARY ( ) WALL (X ) BILLBOARD ( ) SIGN OIMENSIONS: 2' x 16' TOTAL SIGN AREA (Sq. ft.): 2 WALT_ AREA (Sq. ft.): approx. 3660 HEIGHT (ft): nom__ . ..— IRO7ECTION: ni _ ILLUMINATION: YES (X ) NO ( ) COPY: Hi Performance Auto Paint MATERIALS: p ex an me cabinet EXISTING SIGNS: u o Par s sign will be removed _ra_fUery Fa s i will be moved to the right on sar y�L ace. ��ex s ing x signs OTHER PERMITS REQUIRED: YES ( ) NO ( X ) _ �. —• UOMMEIM1•S: Sign will go on east wall face. PLANNING 0EPARTMENT All sign permits must be accompanied by a P9"�`Fe-Z= _ scale drawing and plot plan. If work Receipt No. : 322 __ _ authorized under a sign permit has not been Approved B D• 5tuart�! eompl�tad within ninety days after the Date: b _ issuance of the permit, the permit shall become null and void, I CERTIFY THAT I AM E RECORDED OWNER 01' 1111 PROPERTY OR AN A ' .NT UTHOR IZED BY 111E OWNER. 'fN, o A can a i nature Y _ 6 rens Tolephono nAS:bs62 ATPProOVEp F0-1-9 CONS7R-- ON i I GN7Y OF TIGARD ? �- • � Ip"_: `Sols-�3 'i E ADDWESS ll6 ti r � an aim Ltf 1 a! � r • �� .�1 'II S ffRECEIVED DEC 1 1 1987 MILNE REAL PROPERTIES P.O. BOX 2740 PORTLAND, OR 97208 December 10, 1987 Mr. Jim Jaqua City of Tigard Building Department P.O. Box 23397 Tigard, OR 97223 Re: Building permit *BU870234 Dear Mr. Jaqua: Per our telephone conversation this morning, this letter is to con- firm the following two changes and/or additions to the plans sub- mitted under the above-refe-enced building permit number: 1 . The exhaust fan in this bathroom, due to the proximity of the building to the property line, will be changed from a well mounted fan to a ceiling mounted fan which will exhaust through the roof. 2 . The walls inside the r.estr000 within two feet of the front and/or sides of the toilet will be finished with a non- absorbent material such as a plastic laminate or marlite. Ad- ditionally, the bottoms of the rest of the walls within the room will have a finish of a smooth, non-absorbent material extending upward a minimum of five inches. Thank you for your assistance with this permit. Sincerely, Dorothy D. Kig t; DDK/kmad { X11 � t#I � � 111s t� t71C P.O. BOX 127•TUP.LATIN,OREGON 97062•PHONE 692.2601 December 7, 1987 Milne Real Properties P 0 Box 2740 Portland, OR 97208 Gentlemen: RE: Auto Strop Bathroom Addition 11643 S.W. Pacific Highway A fire and life safety plan review was c•on(1m t,A on the above- capf.i-)ned project for compliance w'i t h t hc^ 1985 editions of the Uniform Building Code (TIBC) , Uniform Mechanical Code (UMC), and Uniform Fir..1 Code (UFC) as amended by Tualatin Rural Fire Protec- tion District's Ordinance 86-5. 'fhe ptiin% ore ,approved for c:onsttuct.ion subject to the following; Items. 1 . hire Resistive Const rticl ion: Tualatin Rural Fi rr Prrote ct ion District files ittdi.cao, that this is ra t.' pe V 1-hour constructed building; housing Grum, H Division tV occupancy. Therefore all construction shtal .l be of not less than 1-hour Eire resistive construction, This would indicate a minimum 7,18-inch type X gypsum board nn h,,tlt Sides of t x 4 studs located 16 inches on center. (UBC Sec:. 902(n)) 2. Exterior Well Protection: As this Is a Cruup H Division 17 . exterior wall openings shall be proterted when they tare within 20 feet of a properry line :tnd openings tire not per- mitted with 5 feet Of the prolWrt.y line. With the t,la119 submitted it Is hard to distittgtcrish wheilier nr nnt. cithet on, c,f t hese woltld aliply to the wit 1 1-mc:unt rd hot hroom fan. 'this Item may be field verifies:) atui will 1,c` cle+trod by the H'Ad instsertor, (URC Table SA) 3. Electrical Equipment : AH elects icrtl e'ctuipMM1t and any ether do-vict c,apa ,le of igniting gasoline vapors slt:alI he insLal.led nci (11oser than 18 incites to the f 1o„r. This: w'o,sid include vloc't r'i,' hsi whi)ard heate?t's, etc. Milne Real. Properties December 7, 1987 Page 2 4, 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 flour and ceiling levels. Penetrations in this prescribed firestopping to accommodate wiring, plumbing, and other similar utility runs must be packed with noncombustible materia r, in an approved manner so as to prevent the passage of flame. (UBC Ser . 2516) 5, ?nsulntiun Flame Spread: The insulation, including breather papers ,and vepur harriers which are not in contact with the upper surface of the ceiling and under surface of the floor, as the case may be, must have, it flame spread rating of not Lu eNceed 25 And ,a smoke development classification of not. greaLer than 450 os measured on the Sle_ine•►: Tunnel Test scale referred Lu es UBC Standard No. 42-1 . (URC Ser. 1713) 6. Approved Plans_on .Job Site: Otte setof approved plans bear- ing the stamps (if the Tigard Building Department and this office must be maintained on the project. site throughout tall phases of construction and mast be merle ravnilable to build- ing and fire in,,pvct_ors for reference during required con- st rue.Liun inspections. (IlBr, Svc. 30.3) 7. Ins pect ions Required: Iuspectiun and ,approval of construc- t icrn by A rept,usenl:at ive of this office is reyniterl: (a) prior to the cover of any ttew frraming elements fc,llowint; the, inc► ;all.1tioll of All utility rons which will by cunce'aaled within wall and i,.ar f it tun c.v.evities; (b) upon complet.iuu r,f ce►ne.LaucLiun ;md pi is r to out-upanry of the, tenant spae_(+. (UBC, Sec. :105) S. Certificate of uccupanc_y Require,l: Prier to the use And uc culctanr:y of t_ ae tcrulec t (SpA a Let t if.icrate of occ::c- ptancy or other, writ.ten instrument of approval must be Obtained frinn the City of Tigard Buildhig UepArtment. (t'AC Sec. 307) Milne Real Properties December 7. 1987 Fuge 3 If I can be of any further as:jistance to you, please feel free to call me at 649-8577. Sincerely. TUALATIN RURAL FIRE PROTECTION DISTRICT - -(a-VA Gene Ltirc-hill Building Offic-'f"l saw cc: Tigard Bldg. Deet , Inspector Ray allILDING PERMIT CITYOF TIGAR CM44mra PERM IT NO. It ElUE3702134 COMMUNITY DEVELOPMENT DEPARTMENT o1M00" DATE ISSUEDs I t 'j('),'q7 8 13125 S.W Hall Blvd.P.O.Box 23397.Tigard.Oregon 97223,(503)6394175 PRIM.P11T.NO. 71. 'I1,14 JOB ADDRESSs 11647, SW PACIFIC HWY T'Ak MAF'/L.oT 'SUB I Li 81, LAND USE i LOT Sims VALUA T I ON 1 6.500 SETBACKS FRONTt REAPs WORK CLASSs ALTERATION DWELL.UNITSi LEFTa RTGH'To USE IYPEII COMMERCIAL NO. BEDROOMSo EXT.WALL CONSI'll CCII,4-.-')*T. TYPEs VN NO. SATHSv Ni So El Wit OCr'UP. (3RP. e 82 PROT. OPENINGSt CICCUP.LOAD Ni Sit Es 14p TOTAL AREAL NO. STORIESe ISTr ROOF CONSTa FIRE PET-' HEIGHTt A.NDII AREA SEPAR? RATEDII 'I BASEME*NT 3RDe OCCUP. SEPAP'-' RATEDt MEZZANINE? BASEM-r FLOOR LOADe GARAGEs FIRE SPRKLR*':1 ALARM-' FLOW(GPM) DETECT')` HE AT HDCP.ACCESS" C'OPP PLAN CHECP- SYo Jhl REMARK:So Addition of rettroim REISSUE OF NO. LAST RE I SS,'.IF —7 FEESs 0 Milne i e., i ro-cip r'FPMIT W N POPIC); PLAN REVIEW 40. 6 E Port I a-I)f.1 ON ''-"xie FIRE DEPT 25. ,.", PHONE 222-1787,6 STATE TAX OTHER DEVELOPMENT CHARGESI C 0 DDC(STORM) N SDC(STREET) T R PDC(# A I PREPAID $65. 6'? C T 0 TOTAL If It RECEIPT NO. "I.S813 1 This permit Is Issued subject to the regulations contained In Titl(- 14 of the TMC. State of Oregon Specialty Codes, coning regulations REQUIRED INSPECTIONS and All other applicable codes and ordinances, and it is hereb,,! FRAM I NG agreed that the work will be done in accordance with the plans and GYP. HOARD specifications and in compliance with all applicable codes and INSULATION ordinances The issuance of this permit does not waive restrictive PLS. TOPOUT covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and @bW$WW1?NRSLAP void if work Is not started within 180 days,or it work is suspended or FINAL 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 appr(7.,/Pd .Permittee Signature CALL FOR INSPECTION 639-4175 Issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE COPY APPLICATION - STREET IMPROVEMENT/EXCAVATION r (W TO: (WRITE)•FILE ORDINANCE NO. 74 14 (YELLOW)-INSP. (PINK)-OTHER AGENCY ' (INSTRUCTIONS ON SEPARATE SHEETI (BLUE)-APPLICANT APPROVED APPLICATION NO.: { NOT APPROVED (] CITY 01 11('ARi), OREGON FEC AMT.: S _��---- PENDING FEE PMT. ❑ (.111' HALL. RECEIPT NO. --- r_ PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY-.�1___—_ DATE- _-- PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND r PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION As RFUUME.0 ANNUAL PENDING VARIANCE ❑ _ EXPIRATION DAT E: �t- =-- PERMIT NO.: "_ .!— DATE ISSUED: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL tiLZ_ r r'`26 b- � '"�—• l—_.,�_ _�'it Aty AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. , . APPLICANT ADDRESS CITY CONTRACTOR ---1.-1_ti,l 4 a �,, , ,. '(I 1 , ? .Q.-! CITY •L'_—'�..____ PHONE AM ADDRESS `t'�'Y.x 4 1 PLANS BY ,_ �_ a uir c. 'a -- -- NA E ADDRE95 CITY (NONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E -- DOLLARS fOR OFFICE USE ['MIN. (2) EXCAVATION DATA: 0.04 X s_-L STREET DESCRIPTION_ PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED (TEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY -- STREET "- INSPEC- R TION • E Q ESTIMATED STREET OPENING DATE ESTIMATED STREET CLOSING LATE: / L-1-- rE -- -- —_- =- -- STREET (3) SECURITY NO. SECURITY AMT,: $_ �LOSED _ SURETY CO.: A FINAL _ -----._..cFrai-b leucNFc:K �- •OND INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL — -- . SPECIAL PROVISIONS/I CONDITIONS FEATURES; EXCAVATION LOCATION AND EXTENT. I IA I I I I (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, 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 CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAFE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJUNY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE DATE IC17Y OF TWA RD No. 2698? 13125 S.W, HALL BLVD. P.0 OX 23397 Date TIGARD,OR 97223 Name Address ot'-----Jffi;��Map S L u roes Permit Ws Bldg. Plumb Cash Check Sewer Other Other Rec. By -4-C—C—t. N-o—.-,— Description hmount 10-432 Building Permit Fees 10-431.600-- P(uMbQng —Per—mit Fees --16-.431-601 Mechanical Permit Fees 10.230-501 State Bldg Tax 10.433 Plans Check Fee 30.443 Sewer Connection- 30-444 Sewer Inspection 51.448 Street Syst.�evqharqe 52-44M10 Parks I Syst. Dey,_C�h!rge_ 52.449.620 Parks If Syst. Dev. Charge 31.450 Storm Drainage Syst, Dr-v, Charge 10.430 Business Tax 10.434 Alarm Permit 10-227 Bail 10-466. Fines-Traf lic/Miscl/Parking 10.230- CPTA Tr,affic/Misd/Vic. Asst. 10-456 Indigent Defense 30.122-401 Sewer Service/USA 30-122-402 Sewer Service/City 30% 0.123 Sewer Sevice/Ci y Main—t. — 30129 —Unmatched 31.124 Storm Drainage 9:475 lancroft—Prin. Pvmt, 4-6--471 — 11ancrof t Int, Fy—mt. TOT—A-L-V PLAN CHECK APPLICATION PLAN CHECK # PERMIT #_ 3 - DATE ISSUED JOB ADDRESS: 11�,��3 � ��GiIP1c w%-1 -� TAX MAP/LOT SUB: LOT: _ LAND USE: _ VALUATION:N in SETBACKS: FROM _ R'7-AR:--- LEFT: RIGHT:--.----- WORK CLASS: HEIGHT: TOTAL AREA: USE TYPE: FLOOR LOAD: IST: CONSTR TYPE: HET TYPE: 2ND; OCCUP GROUP: � DWELUUNITS: 3RD. OCCUP LOAD: NO BEDROOMS:_ BASEMENT: NO STORIES: NO BATHS* ^^� GARAGE: IMP SURFACE: APPROVALS REQ°D SPECIAL, NOTES ITEMS REQUIRED PLANNING: _ REISSUE OF: LISTjSsUBCO�NTRRAACTORS:__-___ _ ENGINEERING: _ LAST REISSUE: BUS TAX: _ FIRE DEPT. : FLOOD kLAIN/ CALCULATIONS: OTHER: SEN LND.: TRUSS DETL.T.LS: PARKING PLAN: LANDSCAPE PLAN: PLAN CHECK BY: OTHER: COMMENTS: (�I bck_ ILr :tMk:.. i� LE_y rl!Ltr- `s t /1- /.s. s- ACCT ­ :ZRI'PTION IMT OWNER r 10-432 Building Permit Fess S 2.5 D NAME: R _V�4$+11oI1E.s 10-431-600 Plumbing Permit Fees 3 ADDRESS t '(-'v 6 Ut 10-431-601 Mechanical Permit Fees � 3. y3 10•.-230•-501 State Building Tax (5%) � t . t 3 1.0-433 Plana Check Fee PHON11 W z _l Ck %-1L 30-443 Sewer Connection (20X) t� 30-202 Sewer Connection (80X) _ CONTRACTOR 30-444 Sewer Inepection J NAME: _ 51-448 Street Syatpm Dev. Charge (SDC) $� ADDRESS: 52,-445--610 Parka I System Dev. Charge (FDC) 52-449-620 Parka II System Dev. Charge (PDC) 3� _ 31-450 Strrm Drainage Sgst Dev (.'hrg(SSDC) PHONE: _ 10-230-505 TRFD (95X) J 3. -7 S- 10-435 TRFD (5x) �� �• z S- ARCH/ENGINEER 10-230-506 Washington County Fire #1 (95X) 3 NAME: t- _ 10--'435 Washington County Fire #1 (5x) t� ADDRESS: - 10-220 Amart/Wedgewood s TOTAL / 3/ z;-4, PHONE: PREPAID 4 b3 RFC # __ BALANCE DUE 3 APPLICANT' S Received By: Date Received: \ VVV C1'r, f OFT!C-rA RD No. 26881 13125 S.W. HALL BLVD. P.O. BOX 23397 'Date TIGARD.OR 97223 Address Lnt Block/Map Subdivislon)Aftess Block/Map Permil #'s S Plumb Cash C ec Sewer Other Reo-.,gy ' -Other Acct. No. Description Amount 10.432 Buildina Permit Fees 10.431-600 Plumbing Permit Fees 10-431-601 Mechanical Permit Fees 10-230-501 State Bloqjaj 10-433 Plans Check Fee 30 443__ Sewer Connection nec n ^30 444 _Sewer Ins pection — 51.446Street Syst_Dev_ C-harqe___ _ 52-449.610 Parks I S)st. Dev_Char 52-449.620 Parks 11 Syst. Dev. Charge----- 31-450 Storm Drainage Syst. Dev. Charge 10.430 Business Tax--- 10-434 Alarm Permit f0227 all - 10.455- Ti­nis -—Traff IZ-IM—li- - d1Parking —F_ +!,)-230- tPTA r—AfTIc/MIsd/VIE0Asst.16-.456 Indigent Defense 10.122-401 Sewer Service/USA 3O_.122402 —Si-sWer Service/City 300/6 3o_l25_ §ewer Sevice/City _j0_—12'6---_Un­mat_ched ____ 3T:_1 24 Storm Tre—In 4b 4 --g—ancrott" rin, ymt.� 40 —BancroftInt. VFmt. 0 TOTAL 3 DEPT, PIS �Co43, S W. per% c, N►GIHkJa'� Ts,ARo.a�. , yiy),%.moi- +3ATHltcxnm�4`t-t>cync 1 _ MILNE JOB mo. C5175I ,."7 DATE_�! � C:HKD. BY DATE — SHEET NO.__ I OF Z' _ \ REVISION DATES__ —_.__—.—_____.SCALE 10 ,c E 7 117 ,S COn/STJZL)c,1"/0N ��. y ADDIT�brJ '�AreK►nJC-� 9 10LAN ISo' Lnca 1OWMMI1-46-► CHASE i WA4L.L- rAcKJnrrTED FAw -- 20 Cx--M M i"i MVM RA7-,/Jf-c7 Z x y @ 14 toO L � / 14/S /tT�..r�� T►U"� 2K C L.,/ 51f3 TIrE X C,I�n/IS EA.s�ntz Exr�� Zx�i WALT. EA s 1 ar 11043 SVS P►�IFIG NIG..I�Wht( Ti^C�A2" . 0�. huTas�vP ct.�-rNa�000•� A,apiTlont PAIL. JOA,, -__---- ©Y �rJ DATE L1�10 B1 CHKD. BY DATE .HEFT NO... OF - � 7 Z REVISION DATES_ _ _SCALE...... CpM�TMy��pN 5��11 C- 5 ICe'oL �i NwH - S`p' T Y PLS K G W rS r<-19 F=o>,L facto D _ I hn^i R ICc EKTG+� 5/r;'6*4%R EA, SrPE v S-133 G 8 N J )C 2 1 t3 Z.1 I - V I T'771'A Us "TTY""""" GH1tilA I � C� �q x �-AVATbR`! N (vi NI TF ) - VItJ S J I"�arZY 13+C5/- i C).tTCw c6o0C-.�uzMC SA& F'T PIrA E: Z,c H PT PLAT— I .}OTE S I� VV,,TEIr- C.(,C�l,6T AND l�vAm1�Y'TbeF JIT 2CoUS GuINA KONLL-R OK AN<V-,CAN ST-ANtAl2D , 2� r—,CAAL)sT t-Ar1 Tv r3E rgQ'L) W OR fEQUAL-, •Zp 3) ALL WALLS Tb S(w wITU AG�`fLIG WLa,TL CrJftiM�-L_ V'1 rJ Y L. S A s-j TA stY 6AS IE AT F L.0.`R, WAt,LS IT) ttL CTE K-0 1 LQSUL ATlcarJ r,%-Eor-GLtaS'-. t SRT l S . r`.EILIrJGi '(U [tEC.Glvf K-19 i�St14A-r�ca�., . �-I�c.RGGnsS TTS . W Ow >• P.wbx 2.1-37 CITY OF TIGARD PLUMBING 13125 Sq Hall Rl"d- Applicants must hold Oregon Reglstralion to conduct a plumbing PERMIT Tigard R 97223 business or must be property cwvner/operator not Kring outside thea. Mame of Dewbpmenr / _ Plurr' ,µPermit No. Address � n ��-� Description ',� ��� �i ORS 814-21-810 DUAN. PRICE AMT, Job Tax LM Map.No. Address idol Block Subdivision Sink 7.50 Name or name of business) Lavatory _ 730 J, 1 i;i Tub or Tub/Shower CombMBMWQ V 7.50 Address Shower Only 7.50 - -- 7.50 Owner h ZIPwater closet _ _ 7.50 ' j 2 Dishwasher - - - 7.50 _ Phone Ga-bageLisposal 7.50 Name l 1 WashingMaVhme -- -.-- 7.50 _ -- r 7j a t�e v r2C/Ot y Floor Drain —--- - 7.50 - ! Phone Water Healer 7.50 rJc: � N+ t -PAY Laundry Room Tray -- —.. 7,50 Occupant - - Occupont City/Stat! -------- -T - 'x 13 Urinal - - - -- 7.50 -- Other Fixtures(Specify) 7.50 )L"i�i.1`� PwM6�„ /N c ;j --- - - 7.50 --- 7-P 14 ,d.�-lei, f. 7.50 __ -- Contractor (�tlrl J / 27p 7.50 MISCELLANEOUS City Bus Tax No sir 1 at 100' 30.00 tats a. -r o. eio Pluin5ors s-M- o Sewer-ea.Addit 100--__ 15.00 (Re,udenunq ( / i" Water Service 1st 100" - 2G-00 -- - I hereby ocknov 4i"iRhat I hays read this appkAtlon.that the mfamatbn Water Service ea.Addit.W - - 15_00 V gNen is coned,that l am regtslered with the State&nil 9 Board,end also Storm 6 Rain Drain 1 at.100' 30.00 haw a StWO PAanbkhp lienee that the members given ars oomd.that an -- plumbing wortr will be done in eoocxdanos with applicable provisions of Ore- Storm d P-ln Drain Addlt.100' - !15.09 - ----- gon Revised!31a An Chapters 447 and 683 and appMcat>te codes and that Mobile Home Space 25.00 no help will be errhpbyed unless koneed under ORS 693. (t exempt from - Stab registration please g►w mason bellow). Back Flow Pnwontxxh HOMEOWNERS-1 hereby(erWy that I am the owner of the property de- Device or Anti-Poltution Device 750 - -- eorbod above.art which location I propose b make•pkmt*v Mrtaltatlon for Any Trap or Wavle Not my own use and Vito properly M not befrq conedvcfed for"I*,lease or ret. Co.r_ery_ed b a Fixture 7.50_ Catch Basin --- --- - 7.50 ---` kap.of EXIM.Plumbing - 40.00 Per Hr Specially RIn/pedlora ---_ 40.00 Per Hr _—-,� ---- - Aker.of Pkxnt"within t 15.00 min. _ _ 1G--P µms,gide or BuNd.Adu''Yon 26.00 min. - AUTHMLZ D SIGNATURE Oats -- Oescribe worts rtew(_) aciclitionrl akenatlon L7 repair O c3'elli 15.00 le be daresidential[1 non-resideritlal -- Etthtlrlp use of II btkdkV or property-_ + c �c �i r h P _ OWTOTAL Pre I U"of ._T ,gdf�,lg1 NIIICf4/1110E ty TOTAL'] _'j L T1hM pamdl bwlttrrna.nun and woq M errorlr or oanatrtrodm nAhorued M not oom rrtenoed**dn IIIA+depW M oannlruoilm or morlt y tuapaxhded or dm ndrxeed kir a perloA of 160 joys of ar.-v ems char work M oommon►c-+d Date Issued 4by _ la .�i 1 JJJJIF ILS" '` A Jx�-ee 1 I 1 - i r �. � F k ry.Y