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CITY OF TIFA RD N o. 13 R y
12755 S.W. ASH r
P.O.BOX 23397 Date 2- I
TIGARD,OR 97223
Name
Address )
Lot Block/Map SubdlvisionlAddress j
Permit H's Bldg. Plumb Cash Check J
Sewer Other Other Rec.
Acct. No. Description Amount 1
10-432—_ Building Permit Fees .2
10.431-600 Plumbing Permit Fees
10.431.801 Mechanical Permit Feet
10.230.501 State Bldg.Tax O
10.433 Plans Check Fee
10.435 Other licenses & Permits —
30.443 Sewer Connection
30.444 Sewer Inspection --
24.448 Street Syst. Dev. Char e
25.449.610 Parks I S st. Dev. Charge
25.449.620 Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge _
10.430 Business Tax
10-434 Alarm Permit
10.227 Bail _ —
10.455- _ Fines - TrafficlMisdlParking
10.230- CPTA TrafficiMisdlVlc. Asst.
10.456 Indigent Defense
30-446.401 Sewer Service/USA
30.446.402 Sewer Service/City --
31-447 Storm Drainage
40.475 Bancroft Prin. Pymt, _
40.471 Bancroft Int, Pymt.
10.451 Other Charges for Servir,es
�►�rD TOTAL ` .2 .2
�� DEPT.
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1 P 0 BOX 177 • TUALATIN, OREGON 97061 • PHONE 6872601
VIDEO STORE, THE #13-3 August 10, 1984
6600 N. E 78th
Portland , Oregon 97218 9822- 1
253C-286-003 Insp. Type : RBF
Dear Bedard Properties,
2) Thi¢ is a Fire and Life Safety Plan Review and is based on
the 1982 editions of the State of Oregon Structural Spe-
cialty Code and Fire and Life Safety Code (UBC ), th- State
of Oregon Mechanical Specialty Code and Mechanical r'ire and
Life Safety Code (UMC ) , Uniform Fire Code (Uf"C ), and other
local Ordinances and regulations
381 ) Exit doors shall be openable from the inside without the use
of a key or any special knowledge or effort. (See exception
for 13-2 occupancies. ) UBC 3304( c '
213 Not less than one ( i ) approved F :re extinguisher
with rating of not less than 2A1013 ' shall be
provided for each 3, 000 square feet of fluor
area or fraction thereof The gravel distance to an
extinguisher from any portion of the building shall. not
exceed 75 feet. UFC Standard 10-1
22) The naximum flame--spread rates of walls and ceilings are:
stairways -- 25, corridors - 75, other rooms - 200. The
maximum flame-spread classification of materials used on
interior walls and ceilings shall riot exceed that set forth
in U. B. 0 Table No. 42-B UHC 4204(a )
211 ) This structure ( or tenant space ) has not received final
inspection and is NOT approved for occupancy
218) Normal office hours for Fire Disi-rict Inspectors are from
8: 00 to 9: 00 a m. and from 4. 30 to 5 00 p m Inspection
requests and questions should to made by phone during these
hours only. Whenever possible please ask for the inspector
you wish to talk to
QU� i flj [ fl -{ 1 ( qflfl [ � JR � pRfl- trjj ] � [� 1SI � I01
P O BOX 127 • TUALATIN OREGON 97062 • PHONE 687-2601
209) Approval of - ubmitted plans is not an approval of omissions
or oversights by this office or of non--compliance with any
applicable regulations of local government
Tf you desire a conference regarding this plan review or if
you have questions, please feel free to contact me at (503)
682--2601
Si ere
P e irchill
Fire Prevention Bureau
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BUILDING PERMP IT APPLICATION TIGARD DATE _-,19 34 4955
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDIPATED BUILDER PHONE
OR AS AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATYONS. OWNER PHONE
LOT NO.
OWNER 1„�i f �i l'enP JOB ADDRESS _ 111115 "t' Yaci it ' 1 •Q. _.– _ 2111–2.C8
ARCHITECT
ENGINEER
BUILDER Polaris St r1ct. ADDRESS__ tiO3O >0 GlacikmaR DESIGNER
STRUCTURE ❑ NEW (✓ REMODEL I ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIREDAMAGE ❑ DEMOLITION
------- ---- —
❑ RESIDENCE [I COMM ❑ EDUCATIONAL ❑ GOV'T RELIGIOUS ❑ PATIO E CARPORT ❑ GARAGE ❑ STORAGE SLAB 1 FENCE
OCCUPANCY 11--2 LAND USE ZONE 1 --_BLDG.TYPE FIRE ZONE -_ --PLAN CHECK BY –dt�' HEAT
1he Videv SLvre” Ct.1rl9CruelL CerjaIlL ;..�111�1CitLC1I1 I7 . _ .CUVEls>l1L`i�.--- -
Suit(.
SEWER PERMIT N 27.34
OCC.LOAD FLOOR LOAD (,-ollc. HEIGHT NO.STORIES i AREA 12ou NO.BEDROOMS VALUE
BUILDING DEPARTMENT SET BACKS FRONT _REAR LEFT SIDE RIGHT SIDE
Permit __06250 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING, CODE, ZONING
REGUI_A11ONS AND ALL APPLICANI E CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 44.5.3 WORK. WILL BE DONT: IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
IV f WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
stltftOtel V.41) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tar, •/4
SDC—
Total 143. 17
PDCN APPLICANT OR AGENT
By1.;1I
T Receipt No. ADDRESS PHONF
Approved HCtt j
DATE INSP. TYPE INSPECTInN REMARKS PLUMBING DATF%
ContriCtor
primil No.
flough-111
F-Ixture
Nnat
HEATING
Contractor
Permit N),
ties ns Oil
SEWER
Finnl
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Storm
sidewalk
Curb&Street Final
Appr nach
iZ—DG DEPT.FINAL —Cf-RTIrccA—TE0CC,Uf—PA—f4—
rinal
r
�y4
ERTITICATE OCCUPANC.lf
Landscaping
?on,-4 Final
CITY OF TIGARD--12420 S.W.MAIN
—TIGARD,OREGON 97223
REC
DATE: 7- + AMOUNT:$91 VULLARS
T-- < OU
NAME: ✓ CASH;
ADDRESS:,
_ M.O.:
♦Of
FOR: ACCT. * PERMITS SURCHARGE AMOUNT _
SEWER BILLINGS 40-364 5
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332
MECHANICAL PERMIT 05-332 —
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363 - ---
SEWER INSPECTION 40-365 _ -
SYSTEM DEV.CHARGE 25-366 _--
PARK DEV.CHARGE #1 30-367
PARK DEV.CHARGE #2 30-368 _
;=GADJUSTMENTS 05-362 - —
_ �z_
TOTALS
RECEIVED BY:
BY:
►ERMIT NUMBERS ASSIGNED:
Number Amount Number Amour I-
19632
NumMr Amount
-- — S -- -- S — ---- S
19 6 3 2
CITY TIGADD Date __', __-, ,9° No. >
SIGN PERMIT APPLICATION OF
The applicant hereby applies for a permit fcr the work indicated or as shown in the accompanying pians and
specifications.
SIGN LOCATION ADDRESS: ��� `\(-v(A--- �
APPLICANT: Owner Lessee . _ Authorized Representative ' J --
NAME/COMPANY r' ga oo ag Iha"�
- - --- - - - - - - - - - - - - - - -
- - - - - - - -- - - - - - - - - - -\ - - -
PROPOSEDSIGN: Freestanding - Wall ` Projecting -.�_,TOther
SIGN DIMENSIONS '�' '���AREA . 6.5 HEIGHT WALL WALL AREA
PROPERTY FRONTAGE COST _ ZONING DISTRICT _ILLUMINATION _NL
MATERIAL r mi n Q, - Pi,%^ .. - COLOR 01,WLP-1� ---- -
COPY — __ DRU
EXISTING SIGNS: Freestanding Wall 'Projecting - tither _ —
COMMENTS: _ ���%�- �`> �sr �'. _�Fr o_.gf..E- f�'r • ��a� A. .E '810,v
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been zompleted
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit FeeS �r !.
Approved _ Applicant's Signature
Receipt No. - �a-Lr,1 l i-
Renewal Date 1= Address Telephone
i u E NA `j rA r/OA/
as
,'•I,�` l///'�f'� _5 T raid� /— �•-��C u
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SIGN PERMIT APPLICATION OFITY TI GAR D Date __ 3 — 119— No.
The applicant hereby applies for a permit for the work indicated of as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 131"0 Sl; t'. ,tic Hwy . _
APPLICANT- Owner Lessee Authorized Representative
NAME/COMPANY . a- Las. Nc-L _._ Tel. _
PROPOSED SIGN: Freestanding Wall Projecting - Othar
SIGN DIMENSIONS AREA _ HEIGHT — WALL AREA
PROPERTY FRONTAGE COST_. ZONING DISTRICT .—ILLUMINATION
MATERIAL COLOR
COPY DRB.-
EXISTING
RB.EXISTING SIGNS: Freestanding Wall Projecting Other
COMMENTS: -- -- —_-- oni aroi)eri.,:
All sign permits must be accompanied by a scale drawing and plot
plan. If work authorized under i. sign permit has not been completed
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fee r00
Approved I{f;;t Applicant's Signature
Recei t IV-o.
Renewal Date _ Address Telephone