13050 SW PACIFIC HIGHWAY-1 ADDRESS:
is\records\micr of lm\targets\buildmg.doc
SIGN PERMIT
PERMIT #: SGN94-0029 DATE ISSUED. . . . : 0:3/01/94
EXFIRATION DATE:
Pri2CE1.. . . . . . . . . : 2SIO;l CB-02
ZONE. . . . . . . . . . . . C-G,
BUSINESS NAME. . : JAVA MAN COFFEE
SIGN LOCATION. . : 13050 SW PACIFIC HWY
APPLICANT/AGENT: SUPERIOR SIGNS
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
CTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 18" X 8'
TOTAL SIGN AREA. . . . . . : 12 sq.ft.
WALL AREA. . . . . . . . . . . . . 100 sq.ft.
WALL FACE DIRECTION) : S
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM `HALL. : in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
A wall sign with plastic covered foam letters with the copy "Java Man
MATERIALS. . . . . . . . . . . . : FOAM/PLASTIC
EXISTING SIGNS. . . . . . . : 01
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 10. 00
i
APPROVED BY:
DATE: 03/01/94
Permit No. S6 l'? L
(TTY OF TICS -
SIGN IST APPLICATKU
The applicant hereby applies for a permit for the work indicated or as shown in the
ac=upanying plans arra specifications.
SICK LOCATION AMU SS: 13 0,5U J l I fpl!IfiC `P—'-1 ZOIITNG:
NAME OF E.MINESS:
APPISCANT/AGafr: _!(U,U yi�J /_LU[-- CCHPANY: SUC--K/66 MRUA RiONE: .S 2'--0d'-J f I
'.itte City of Ti_ctard .uposes an atvntal Business Tax which trust be kept current on all
persons doing Wsiness in the City. Do you presently have a current Hisine_ss tax?
NO ( ) U.L. Label if
R)PO5ED SIGN: (Check as many aPP1Y
)
�NFNT (�() FREESTANDING, ( �) FREEWAY ( )
TFr4"ARY ( ) WAIL E 1 IRONIC ( )
cum ( ) BILL ARD ( ) BALLOON ( )
/ Uy
SIGN D114EMIC NS: l �1 a' I ----- -- F�{PIRATION, �T
WML SIGN APZX (Sq. Ft.) -
MIL
t.) •WAIL AREA (Sq. Ft.) : _ _ —�--
WALL FACE: -SU:; 'IJ —
HEIGHT (Ft) —
PRa7BcTlCrt FROM WALL:
IIUMINATIC7N• YES ( ) NO ) TYPE:
_ S l D C� - O Z
OWY: J/-)Uly
rTERIAI-s: G�?fl��c l,�`� ` C�/Tfl ,� 11.E t�i.� �. ��t T
EX STING SIGNS• I-' G'U �lll(i"�i�( !.v /fy��ayUa✓�lZ LL�7L) _
AEKINISTRATIVE EXCEPTION: N/A ('�� APPRNF� ( ) HOU KW_%
/ AREA ( I ) HEIGHT ( )�
� i 5 t T� UGLS�NF <435 5-efcit: t ' I
CZt24HTI'I5: S r i H i z:✓ e
PLANNING DEP T A i sign permits mast be acrYvpanied by a scale
Permit Fee: /v c�c% drawing and plot plan. If work authorized under
Receipt No: `'%�-2 `�` f� a sign permit has not been cxttnpleted within ninety
AjVm�n clays after the isstaance of the permit, the permit
Date: - /- ilqy shall keoaRr null and void.
ELBr-TRICAL PERMIT I cEMT Y 'THAT I AM THE REODRDED OV NER OF 111E
REQ[UUL. YES ( ) NO (ti PPOP-ER-rY/M' ANACPU AUIMRIZED BY THE (MER.
BUILDING PERMIT - —
RWYBM): YES ( ) NO Ap i IS Signature
cp/Bnff,UW Address Telephone
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SIGN PERMIT
PERMIT #: SGN94-0030 DATE ISSUED. . . . : 03/01/94
EXPIRATION DATE: 05/24/94
PARCEL. . . . . . . . . : 2S102CB-02
ZONE. . . . . . . . . . . . C-G
BUSINESS NAME. . : JAVA MAN COFFEE
SIGN LICATION. . : 13050 SW PACIFIC HWY
APPLICANT/AGENT: SUPERIOR SIGNS
BUSINESS TAX NO:
MGN:
PERMANENT (X) FREESTANDING ( ) FREEWA" ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( }
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 10" X 6'
TOTAL SIGN AREA. . . . . . : 5 sq. ft.
WALL, AREA. . . . . . . . . . . . . 237 sq. ft.
WALL FACE (DIRECTION) : W
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
Foam Letters with the copy "Espresso"
MATERIALS. . . . . . . . . . . . : FOAM/PLASTIC
L,XISTING SIGNS. . . . . . . . 01
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 1000
APPROVED BY: _tel%6 �niGGG"
DATE: 03/01/94
Permit No. .56q qL/--?0
CITY OF TIGARD
SIGN PE1diIT APPLICATION
Tice applicant hereby a1-plies for a permit for the work indicated or as shown in the
aoxnpanying plaits and specifications.
SIGN IDCATION ADDRESS: / J J
_ ZONING:
NAME OF BUSINESS: '
APPLIC'.AA?r/AGE T:10MA / ��— OOMPANZ: ��G ln( f/63Z"( _ per:
The City of Tigard imposes an annual Business Tax whirh must be kept current on all
persons doing business in the City. Do you presently `lave a current business tax?
YES ; 1,� NO ( ) U.L. Lel #
P"�POSFD SIGN: (Check as many as apply)
PM-DWwr (,�') FREFNIANDING ( > FRE13qAY ( )
TEMPORARY ( ) MALL (,�`) ELECTRONIC ( )
OIIIER ( ) BILLBOARD ( ) BALL" ( )
n i
SIGN DIMENSIONS: / �\ ssl,,% FXPI1;UMON MrE-
TUU M SIGN ARFt. (S4• Ft.) —
WALL AREA (Sq. Ft.)_:
WALL FACT: LLtt.' S T
HEIGHT (Ft) :
PROJECTION FROM M WALL,: ��'�7T C2 S/QG'03. U 2700
IWICNATICK: YES ( ) NO (,Y) TYPE:
�czPt: _j'�+ CS /'C V 0
EXISTING SIGNS: d''' X S" w uoC' S/6-J U. /�N J/�• z. c-
ACMINISTRATiVE EXGEP.IZCN: N/N ("' ) APPROVED ( ) HOW MUC[I _g
AREA ( ) HEIGHT ( )
CCfl'S: --
PLANNING DEPAR114Nr All sign permits must be acamipanied by a scale
Permit Fee: 1,10-00 drawing and plot plan. If work authorized under
Reoei No_14 'L5!1`2 r( _ a sign permit has not been ompleted within ninety
-Approted �7 ' � days after the issuanoe of the permit, the permit
Date: z 5/3 shall become null and void.
ElB01 RICAL PEE3lIT I C:=FY THAT I AM THE RECORDED OWNER OF THE
REJUIRED: YES ( ) NO (, )' PROP OR AN AG UIMRIZFO BY THE CWER.
ff i
BUILDING PEIddIT
REQUIRED: YF- ( ) NO �. ) Applicc is Signature
T//
cp/PK4PERMT Address Telephone
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPART MENT
13125 SW Hall Blvd,Tigsrd,Dragon 97223.8199 (503)839.4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PLM94-001
6-39-4171 DATE ISSUED: 01/24/94
PARCEL: 2S 102CB-••0: '700
SITE ADDRESS.>. . , 1.:3050 SW F'! .,?FIC HWY
SUBDIV.ISION. . . . . FREWINGS ORCHARD TRACTS ZONING: C-G
BL.00K. . . . . . . . . . . LDT. . . . . . . . . . . . . ..20
GLOSS OF WORK. . :ALT GARBAGE DI!3POSALS. . : MOBILE HOME: SPACES.
-TYPE. OF USE. . . . ..COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :BE F LOGR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WATER HE:ATERS. . . . . . : CATCH BASINS. . . . . . . :
F I XTURES-_.___..__.._.__..._.-.._. LAUNDRY TRAYS. . . . . ,, a SF RAIN DRA I rN 5. . . . . .
SINKS. . . . . . . . . . :3 URINALS. . . . . . . . . . . . . GREASE: TRAPS. . . . . . . .
LAVATORIES. . . . . : O.I_HE.R FIXTURES. ;
TUB/SHOWERS. . . . : SEWER LINE ( ft ) . . . .
WATER CLOSET'S. . : WATER LINE i f t ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN tft ) . . . . :
Remarks : JaVA Man Loff ee
Owner: --.___._____.._______.._..___.____-.______.__._.-----________ .__. FEES - --.___-_..---_---_
ALEX type amol..tnt by date recpt
130b0 SW PACIFIC HIGHWAY FIRMT $ 25. 00 JH 01/24/94 -
F',LCX E 6. r--'S JH 01/24/94 -
TIGARD OR 1ji223 ' PCT `>: 1. 25 JH 01/x4/94 -
Phone #R: 968--2104
MAREK PLUMBING
:3.`2'9 SE 160TH AVE.
PORTLAND OR 97236 -.-.--_--_.._--.----------------------------
F'11 o n e #: 761-0105 $ 32. 50 TOTAL
Req #. . : 75674
REQUIRED INSPECTIONS
This permit is issued subiect to the regulations contained in the Rai_tgh-�-in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top--ol-tt Insp
applicable laws. All worst will be done in accordance with Final Inspection
approved plans. This permit will expire if work is riot started
within 180 days of issuance, or if work is suspended for more _--
than 180 days.
I`e r m it tee S i.q n a t 1.t r e :
I s s i_t e d By : _ 'J
Call for inspection 639--4175
INSPEC'TjON t!Q!19E,
City of 'Tigard Building Department
1312S SM Ball Blvd. Tigard, or,-Ion 97223
Inspection Line (Roc-G-(Phono)r 639-4115 Business Ph e - 171
Inspection: _— ---
Footing Plbg. Underalab Mach. RoughinAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Scam Struct. San. sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulatton -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested. L - ILI 1 I�/ Time: AM PN
�1 f Via 1
Address: ^�C7d ��lr Aw,j
fid L( -UDtv� Porn f: �I
Euildera
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/'.' --, ? lig Q/f/cc-
Inspector:_ ! — Dater /y-
PROVED DISAPPROVED APPROVED SUBJECT To ABOVR
_—Call For Reinsp.
SPECTION NOTICE
City of Tigard Brailding Department
13125 9M Ball Blvd. Tigard, Oregon 97123
Inspection Line (Rec-O--Phone)t 639-4175 Business Ph. 639-4171
Inspection: _
Footing Plbg. Underslab Mech. Rough-in Appr/8dwlk
Found. Pl.bg. Top Out Gas Line PIMALt\�
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation Plumb.1
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
� 11
Date Requesteds ( ' 1 Tinset AM FM
Address:i�cD ''t �' r �( f`toy 7 Pormit t s. [n� ��H1 r1 G� �UU�
Builder:____
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Drtee
L PPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
__Call For Reinsp.
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
•,�• —�'---- escnphwi:'t A-VA 614 A/ � ORS 814-21-610 — QTY PRICE AMT
Job FIXTURES
S-�(—�� .512' O� (C� /� /'i'� FIXTURES
Acldr@SSn f�O
vatory 52f
�• —Tub or rr
15SFweroffro - .
Tower inly
.v Water Claret —
6
..
`--
Owner {U ✓w �R•Ql�ti I �ua_��u1 �rsTiwanier-- --
UaDp
rbage rsposar—
t
40 J 2, - Washing achine __
r» « — or rain7.50
—Vvater eater5
ry r ` Laundry oom ray .
Occupant r'�-�� < �✓ foe', -AAV Urinal �— — —
Zip -- ter ixtures(Specify)
7.50
- - ..
4"�J --- -
f`T al'-C MISCELLANEOUS
Contracto -)J —,e W, 72 - --
/ Z •• • ---- •• —Sewer-ea 7Addit.-M—
t^< ate em r ce lst - -�20.— —
I hereby acknowledge mat I nave ieaa this application,mat me Water Service ea, Addit. 200' 15.00
information given is correct,that I am the owner or aut;,orized agent of
the owner, that plans submitter:are in compliance with State laws, that I Storm& Rain Drain 1st 100' 3000
am registered with the Construction Contractor's Board,that the number _ Storm& Rain Drain Addit. 100' 15.00
given is correct. (H exempt from State registration, please give reason -
below.) Mobile Home Space 25.00
/ hack Flow Prevention
Device or Anti-Pollution Device 7.50
•• --- - Any I rap or ase 1ToF
Connected to a Fixture 7.50
Desch work oar r newer—a dron alteration V repair — etc asm
to be done residential Q non-residential 49 40.00 -
Insp.of Exist. Plumbing per hr
Specially Requested Inspections per hr
Existing use of Rain Drain. si•rg a family
building or property — — dwa"ing 15.00
--gisidential backflow prevention —
devices 15.00
Propos id use of / —
building or property ---
'(Except residential ac ,ow
proventlon devices) —
NOTICE 'Minimum Fee$25.00 SUBTOTAL PS
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
' FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED.
TOTAL
Special Conditions --- —
Date issued by
wvtuMgwaT
racf..enrw
1.:L I y 0V I I
MARL-..K F1l_.0MT4(W-J it
P.-J. I-IF f, v.,A t 1)
1.11111:11NO PERM 00 N I."I I ll'..1,;K I F..
1 . 111-1 T L D I ,E.R
I-LAAFAINCI PFAilvil T
W
_405 .'I F
I SW PAC - I C. HW
AMOUNT PAID
SIGN PERMIT
PERMIT #: SGN93-0188 DATE ISSUED. . . . : 12/10/9.
EXPIRATION DATE: / /
PARCEL. . . . . . . . . : 2S102CB-02700
ZONE. . . . . . . . . . . . C-G
BUSINESS NAME. . : JAVA MAN COFFEE
SINN LOCATION. . : 13050 SW PAC-T.F7C HWY
i3PLICANT/AGENT: ROBYN HACK
BUSINESS TAX NO:
as ass_==aaa:=aexsx==snmssssemsmsssaa_-_=-a.aaccaraaaaxaaca===_case=acoscac o:-x-ex
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 18" BY 8"
TOTAL SIGN AREA. . . . . . : 12 sq.ft.
WALT, AREA. . . . . . . . . . . . . sq.ft.
WALL FA(:t' (DIRECTION) : NA
SIGN HEIGHT., . . . . . . . . . : ft.
PROJECTION FROM WALL. : in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
A flex!. face .replacement on the existing freestanding sign with the copy "Espresso Jav
Coffee"
MATERIALS. . . . . . . . . . . . : PLEX/METAL
EXISTING SIGNS. . . . . . . : 01
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 10.00
APPROVED BY: —�----
DATE: 12/10/93
Permit .No. - A���` -
CTi'Y OF TYGARD
SICK PE MIT APPLICATION
The applicant hereby applies for a permit for the .,o,c indicated or as shown in theY plans and slxeca fications_
Slcv LCCAMON ADDRESS- OJ G� ��' -PJIV t17--ic rut` __ 7.ONING: _ L
NAME OF MISINESS: .� ��_ CU _F17– _— ----
APPLIMrr/AGE Rr- S v �-►'I c�r .r nS�--�ax mAc�r- PHONE: W-03?
M-ie City, of.Tiayktd inpc�e�es an annual Busirbesa Tax which twist be kept ctmxent on all
pex-_;Ons doixg busiruns in tate city- Do yrju presently have a current bu:iness tax?
YES NO ( ) U.L_ Label AV
PROPOSED, SIGN: (check as 11ony as apply)
PMQWENr (7V FREE9171f EW; ( ) FI2LZWAY ( )
Tm,CRAt7:sC ( ) WAIL E LBC WIC ( )
omtIER ( ) BIUBOARD ( ) BAIIOW ( )
SI(W DnMEMZaNs: _1 X E X P1IUMON
IUML SIGN AREA (Sq- Ft-)--
NAM
NAM AWA (sq Ft-): _ /1 —
•,1„ kms: J/ reef-W ty x /eMM-40 (Ft) fff4. —_—
mxTE]CI'lON nixi tArl..:. IN U100hCN POSIS
YES ( ) ( X) TYPE: - --.
COPY: J,'9 V13 ri►/ tl elfC=Ft� —
MA'i'ERIAIS: _/ylpu 60Ael) t PLEX 1�1h7—�N74/ONy� LE7T�7er – _
otrs lm SMNS: _ fie�.r...�r 14" ca./�c4L _ - --
ACMINISTRATIVE EXCEP' CK: N/A ( ) APPROVED ( ) E)GJW 1-93M .
AREA ( ) HELGHr ( )
COMMns:
PLANING DEPAR1MW v� All sign permits must be au-,mpani.ed by a scale
Permit Fee. ct '� d`��,t G-C drawing and plot pl.arr. If we n_k authorized under
Receipt No: c12- -7 u i /,A-�_.._ a sign permit has not been completed within cusrety
P. days after the of the_ permit, the permit
Date:_ `) shall become null and void.
ECUCT ML. PERMIT I CERTIFY THIN I tit THE RMM- FD CMER OF 'IIM
ROQUrRED: YES ( ) NO (,,' PMPIILL-� 9P AN AUMOR ZED M( 'LFA OWBZ-
aUU-DING PEr Mr�r
RLXQUUtt7D: YES ( ) No (� �lican s Si. nata�re
cop/ti,t!'cT4:I t:-press 7 )� 2 3 1`e les io:2
TPuA IM Al) SlVO
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SIGN PERMIT
PERMIT #: SGN93-0187 DATE, ISSUED. . . . : 12/10/93
EXPIRATION DATE: / /
PARCEL. . . . . . . . .: 2S102CB-02700
ZONE. . . . . . . . . . . . C-G
BUSINESS NAME. . : JAVA MAN COFFEE
SIGN LOCATION. . : 13050 SW PACIFIC HWY
APPLICANT/AGENT: ROBYN HACK
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 24" BY 6"
TCYTAL SIGN AREA. . . . . . : 12 sq.ft.
WALL AREA. . . . . . . . . . . . . 110 sq.ft.
WALL FACE (DIRECTION) : N
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : 5 in.
ILLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
The sign has the copy "Java Man Coffee"
MATERIALS. . . . . . . . . . . . : PLASTIC
EXISTING SIGNS. . . . . . . : 01
ELEC."rRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 10.00
I
t
APPROVED BY: ,
DATE: 12/10/93
I
Permit No
(=Y OF TIGAM
SICK PF T AL'PLICATION
71-ie applicant }ereW appl i e, for a permit for the work .indicated or as shown in the
a,,-xmgo.nyj-mI PlZMS. and specif i.cations.
LACATION AooREss: _ 13C��"� c(—I �'^ �"lf Ic /���� zocrurG: ._G 67
caAME OF suSINESS: . -J-AUn W7 Py CU —
AFPrzcW,rr/AGaW- N OLwAN)t: J+7 WupicirY 310u1mvE.
Zhe City of•TigaW roses an annual Busuv--s Tax which must be kit int on all
pecsom doi g busis� in the.City. Do you UTx--- ntly have a current business tax_'
YES ()�) NO ( ) U-L_ Label t -
L3R)POSED SIGN: (Chert as many as apply)
PII2rNFNr (X ) FP�NDIWG (X) F1,Echi�x>zC ( )
T&4P PAW ( )
QIEUR ( ) BITJJ30APD .. ! ) BALLOW ( )
SIGN DIME NSICKS: a" ._ _ _ h WIP:,,MON TE:
ZUJML SIGN AREA (Scj_ Ft-)
WAIL AMA ( Ft.): _l
WAIL. kms:- �1 feta fit!1 f, Lo
HF.rQ (Ft) —�
PhtQT=ON FRtsi ti�I.L:
nXrrnrWTCN: YES (X) NO ( ) Tom":9UJ SccNT
COPY: �S��ETbd SAv� . VhA'U �or'rt�
HATgtiMLS: PLEA + u r*v`t U
17cIs� STGtLS: _�-- c. PoNE3
17CCET CMN: N/A ( ) APPRUVFD ( ) HOW MUCH
AREA
PLANUIM DEPARDIENT ---_ - All sign pexmi.1 must be aoaompani ed by a scale
Permit Fee: `7S- awl��� /0 drawinj and plot plan_ if work autlxkri7,ed uxler
ReoeitJt No-. ��z .2 .� a. sign permit: has not been ocupleted within ninety
Approve 6 days atter the iszsLm� of the permit, the permit
shall leoane- null aryl void.
ELE) I'LLCAL. PERMITI CERTIFY 'nUkT I Ar-I IIEE MX??MED a4NF_R OF THEUQUIRFD: YES ( ) r'o (:j J PROPEIM O AN M, T AVISMIZED BY TES Oc�fiiFDt_
T �n ('acC c ��uw. �.•Gu Ly r Wald,BUnDING PLIZaT
RECIUIRFD: YES ( ) " NO App141=t s SiJ"a
tIdiress �22 3 Tc'-
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IMSPECPION NOTICE
City of Tigard Building Departsont
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phona): 6,3,9-4175 Businars Phone: 639-4171
1 ��� 1 II1L'�
Inspection: k0 •�,_)_1 6C( _
Footing Plbg. Underslab nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out coal Line FINAL:
Post/Beaty Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Die-in Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Data R
equestodi l / _ _Time: , ML �1 PH
Addrassi ",'�^�d 1`tC�` �� f-�t{��� Permit tt�L.�'`�? VL.
Builder: l LA � I.(=-j ( >-"I 6
THE FOLLONIVO CORRECTIONS ARE REQUIRED:
Ofv
Inspector: --� Data:_(
�" APPROVED _ A DISAPPROVED "!'ROVED SUBJECT TO ABOVE
cell For Reinep.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . . . . : F'LM93-0259
639-4171 DATE ISSUED: 11/30/93
PARCEL: 25102CB_02700
SITE ADDRESS. . . : 1.3050 SW PACIFIC HWY
SUBDIVISION. . . . : FREWINGS ORCHARD TRACTS ZONING: C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :20
CLASS OF WORK. . .-ADD GARBAGE ►)I GPOSALS. . : MOBILE HOME. SPACES.
TYPE OF USE. . . . .COM WASHING MACH. . . . . . . : BACKFLOW F'REVNTRS. . : 1
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . . TRAP'S. . . . . . . . . . . . . . .
STORIES. . . . . . . . : WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . :
F I Xl URES—__._._.______._._ LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
S I NKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAP'S. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CL_OSE:TS. . : WATER LINE ( ft i . . „ . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . .
Remarks :
Owner: —._____________________.-------_____.__.-----._..-----.---.____ FEES ---____.__.___._—•--
RESIDENT type nmol-Int by date recpt
13050 SW PACIFIC HWY PRMT $ 25. 00 JH 11/30/93 --
5PCT $ 1. 25 JH 11/30/93 —
TIGARD OR 97223
Phone #:
Contractor:
WE STERN PLUMBING, INC.
1)460 �iW T IGARD ST
T IGARD OR 9722.3
11-ione #: 639•-5296 $ 26. 25 TOTAL
f2ey #. . 02'439
——_--- REQUIRED I NSPECT I ONS
This permit is issued subject to the regulations contained in the RE='/Backflow Prev —
Tiq_ard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done in accoraince with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
I e i m i t t e e Sign t U r e:
1 =>sJ..lec:i By :
Call for inspection — 639--4175
Fill
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PlAAMBING PERM
PN(,1 F'I C HWY
1IM111INI PAID