12860 SW PACIFIC HIGHWAY-1 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing sp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lina -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: a j I G/ Time: AM PM
Address:
Builder: / ria a, Permit #: ��
THE FOLLOWING CORRECTj0JVSS ASE REQ
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Inspector. Date:�F._-_;-) — Lj
_APPROVED _DISAPPROVED ZAPPROVED SUBJECT TO ABOVE
_Cal For Reinsp.
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # Yg,d rece�dt t t 9'1Yc/ S � A6 VV S
Permit # �:1(4r•o?fa
Phone (503) 639-4171 Date Issued b'-J'-qs-
CITY Of TIGARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development JIFFY LUBE _ Number of Inspections per permit allowed
Address 12860 SW PACIFIC HIGHWAY Service inciuded Items Cost(ea) Sum
City/State/Zip TIGARD OR 4s. Residential-per unit ^
JIFFY LUBE 1000 sq f1 or!ess $11000
(or name of business)iness Each additional 600 aq ft or
) _ —--- portion thereol $21,00 _ 1
COmmP,rclakCl.iiX Residential limited Energy $2500 _
Each Manul'd Horne or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor installation only: 4b.Services or Feeders
JIM COURTNEY CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation 2
Electrical Contractor _ 200 amps or lees $6000 2
Address 1 1 I SW CULUMB 1A, 201 amps to 400 amps $6000 —' 2
401 amps to 600 amps $120 00 2
City State_ Zip 801 amps to 1000 amps --- $ifil 2
Phone No. JOB NUMBER,222-8830 _ Over 1000 amps or volts Y _ $34000 2
Contractor's License No. >-� Reconnect only $5000
Contractor's Board Reg. No. -- 00458 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr.`ale 200 amps or lase $5000 2
License NO. Phone No. _ 2 201 amps to 400 amps $7500
8 7 3�_— �-- 401 amps to 800 amps $10000
Over 600 amps to 1000 volts
2b. Fot owner installations: see•b•above
4d.Branch Circuits
Print Owner's Name_ New.alteration maxlensionper panel
Address a)The lee for branch rircuits With
City — _ State_-____— Zip.. purchase,of aarvh*or loader be. 2
Each branch circuit $500
Phone No. _ _ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of aaryka or feeder roe. 2
First branch
not intended for sale. lease or rent. na L >a5no 35.00 z
alb
Each additional branch Grout $500
Owner's Signature `_ 4a. Miscellaneous
,I (Service or feeder not included) 2
3. Plan Review section (if required): Eachpur•porirrigation cirds $4000 2
Each sign or outline lighting $40 00
Signal circuits)or a limited energy 2
Please check appropriate item and enter fee in sectio • 56. panel,alteration or extension $4000
4 or more residential units in one struGura Minor Labels(1n) $10000
_Service and faeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection ovew;
the ,I
Classified area or structure containing special occupancy a in nny of the above
as described in N.E.C.Chapter 5 Per inspection
clion $55 00
Por hour $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5s. Enter total of above fees $ 35.00
NOTICE 5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID T WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 36.75
COMMENCED ❑ Trust Account 0 $
,Balance Due $ 36.7 5
r.Mrard.N.Mt-pm AD
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F:I'F'Y CIF:- T I GARD - REU I PT OF' PAYMENT RECT I PT NO, a 95-2614T
CHECK AMOUNT s 36. "r
NAME. r C IARISTEN UN F.L.ECTRIC., INC' CASH AMOUNT o. 06
ADDRESS o I 1 1 S. W. C:OLLIMP10, 501 TF 4A0 F''CIYMFNT DATE:' s 083/0A/9ri
POPTI...AND, OR. '3usn I U'y! Imi s
9 i P.CA 1 0884
PURPORE CIF F!AYME=FJY AMOUNT PAID PURPrISF. OF: PAYMENT OMM INT PA TA)
E.LE:C:;'fRIC:AL F�FRMIT 35. 110 ST. BUILT PFP 1.. 75
1.e 860 G. W. PACIFIC, HWY.
TOTAL AMOMI F PAID _ 36. 75
SIGN PERMIT
PERMIT #: SGN93-0134 DATE. ISSUED. . .. : 09/09/93
EXPIRATION DATE: !.2 /O 9/n
PAR17EL. . . . .. .. .: 2S102BD-01700
ZONE. . . . . . . . .. .. C-G
BUSINESS NAME. . : JIFFY LUBE
SIGN LOCATION. . : 12860 SW PACIFIC HWY
APPLICANT/AGENT: SAM TRARUL
BUSINESS TAX NO:
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SIGNs
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( j
GTHER ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . ..: 7.6X2•;-7.8X3
TOTAL SIGN .AREA. . . . .: 38 sq.ft.
WALL AREA. . . . . . . . . . .. 1049 sq..r.'t.
WALL FACE (DIRECTION): S
SIGN HEIGHT. . . . . . . . . . . 24 ft.
PROJECTION FROM WALL. : 0 in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
PERMANENT WALL SIGN. 7. 6' X 2' + 7.8' X 3' 38.6 SQ.FT
MATERIALS. . . . . . . . . . . .. VINYL
EXISTING SIGNS. . . . . . . : 2
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED, . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
APPROVED BY:
DATE: 09/09/93
L'�enni t No.
CITY OF TIGARD
SIGN PERMIT APPLICATION
1he applicant 'her by ctiplies for a p(amit for the work indicated or as sly-4n in the
acoa 3anying pla ss and si-C-cificatians.
SICU WCATION ADDRNSS: _ {Z` �� S W_ 'PPV-',F,L lay;l ZONING: C _ 6
NAME OF BUSINESS: l FF-1 U 131E
APPLICANT/AC.ENr: a r, Rp'KV\__
COMPANY: cel.) 11l L Q PRONE: �'
The City of Tigard .imposes an annual. Business Irax which mu_s+- be kept current on all
persons doirxl business bi the City. Do you presently have a rcuixent fALsiness tax?
YES f>C) NO ( ) U.L. Label
PROPOSED SIGN: (Check as many as apply)
PEIMIff (y�� FREEL'I'ANDING ( ) F tREEk%Y ( )
( ) WATT, Ujrr zONIC ( )
171I 2 ( ) BIU-BOARD ( ) BAIIIDON ( )
SIGN DIM SIONS: NEAc1►L►�t3 1�a6� �ty-_ 7.45 ]`rZ 3� w oe EXPIRATION DATE:
MTA, SIGN AREA (Sq. Ft.) : _ fir,—P-
WALL AREA (sq. Ft.) : . �`;'�_`y _ 5 Q F -
IBIL FACE: _ -
MG" (jt) 'a`i. 15 ' Ya11 : -� L►�•y ` w
PRUJECI ON FIM WALL: _ !ac-'- v _
]JIUMLN ITON: YES ( ) NO (---o TYPE:
COPY: r
MATERIALS:
EXzsTING SIGNS ►6'f l L•►SE 3b•J 5� r� _
co s-3
ADMMIS17?ATIVE EXCEPTION: N/A �'�'�}, APPROVM ( ) NOW Mal $
MIIKFNrS: AREA ( ) FEIG" ( )
PLANNING DE<AfrIMFNr All sign permits must be acaapanied by a scale
Permit Fee: drawing and plot plan. If work aut�iorized under
Rj - Nos" X37 2'Lc a sign permit his not been crmpleted within ninety
Ar�oRred '� r� (Lays after the ismkance of the permit, the permit
shall beta— null and void.
FIEIRICAL, PERM -T T CFTMFY MAT I AM THE REC70RDEII OWNER OF 7.IiE
RDQUIRFD: YES ( ) NO �,(�) PMPUM OR AN AGMT AtM RIZED BY TEiF, M*,R.
BU U)ING PEWrr `��X/•L
RBWIRED:
YES ( ) NO � ), Applicant's Signature - - �-
cP/BKMPFI,Mr Adds T W A nv C2�R �`Iblephone
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CITY OF TIGARID RE" "ETPIT OF PAYMUNT RECFII:.*,T NO. 03-243649
CHECK AMCNJNT - 25. 00
NAMIF TRAKUL, SAM CASH AMOUNT 111. 00
ADDRPSS DBA JIFFY LUBE--TIGARD PAYMENT DATE' 08/27/c)3
12860 TjW PACIFIC HIGHWAY qUBDIVIGION
T.H.--jARD, ORF.--.'r,-)N 9 7
PURPOSr-" nF PAYMENT AMOUNT PAID PURPOSE OF PAYMF.:NT AMOUNT V-1A
51 GN FSI: R—M-1, F -S—(3,3-N 9 3 134 25. 017.1
f-,,F*PM(-)Nr--Nl* WAIA- 9103N.
TU(AL AMOUNT V`nll) Q.1