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Washington County Fire District No. 1
City of Beaverton Fire Department
Tualatin Rural Fir�rotection District
I,,al
May 2, 1988
Dan Schneider
Consolidated Fire Protection Systems. Inc.
12955 S.W. Pacific. Highway
Tigard, Oregon 97223
RE: De Angelo's Deli
14286 S.W. Pacific Hwy.
Tigard, Oregon
Dear Dan:
Recently submitted plans for the above captioned project are excellent.
Unfortunately either you or one of your installers requested that District
Inspector John Dalby return the installation manual for a PCL 165 Pro Chem
System and I have no standard by which to review this sat of'plans against.
If you wuul.d not mind forwarding that installation manual to me, I would
gladly sit down and conduct a complete plan review at that time. T'innk you
for the newly revised plans that have such great clarity on them.
a
If I can be of any further assistance to you, please feel free to call me at
649-8577.
Sincerely
WASHINGTnN COUNTY FIRE DISTRICT NO. 1
,N-1
Gene Birchil1
Plans Examiner
20665 S.W. Blanton Street
GB:kw
cc: City of Tigard Ll
Inspector Dalby
Inspector Ray
FIRE PREVENTION BUREAU
OFFICE OF FIRE MARSHAL 36654
INSPECTION NOTICE
OWNER -_--DATE
OCCUPANT LQ �� `S� �-�--� OCCUPANCY _ 0�
LOCATION _ 1 t� �.? `�• �1 ISL ` 7Y
YOUR ATTENTION IS CALLED TO THE FOLLOWING FIRE SAFETY DEFICIENCIESI
I- L4
FAILURE TO CORRECT THE ABOVE CONDITIONS WITHIN _.'.�OAYS WILL MAKE vOU LIABLE O rROSfC UtIOI'1 S�.0 ULC ��AE
RESULT FROM SUCH COND'TIONS YOU MAY RE LIARLE FOR DAMAGES TO PERSONS I " PJiOVr-T y UNPFM/W OvISIONS OF
ORS 1;0 100 1J
WASHINGTON COUNTY FIRE DISTRICT N1 FIRE MARSHAL
20665 S.W. BLANTO' ! STREET
ALOHA,OREGO J 97006 649•14C717 PRESENTED T0--
I'r
O._FC M 900 A0
"li 1:1 1)3'.NG PERMYT
CITY OF TWA W -'EPMJ:1* NO. : BUPc)0261
COMMUNITY DEVELOPMENT DEPARTMENT CITYOrTIGATO 0ATI-*: .[S5AJKJ) : .1;1.91 HS
13121 S.W.Hall Blvd-P.O.Sa.23397,Tigard,Oregon 97223,(503)639-4175 ::"Pl'.M. I-)M'I' .NO. 800261
JOB AlJ!:)I'-'E.SS : 1-12297 SW PACIFIC HWY
Tp`,'< MAP/I OT SUB: I y OK :
LAND USE:
1...0'T S1ZE: VALUATION : W< 1100 SETBACKS
FPONT : REH'AP :
WORK GLAGI`i : Al 131WIVILL .UNJ.TS : LEFT : PIGI-11
USF.: TYPK : COMMERC'TA-l NO. 3EDROOMS : [:.".XT . WALL CONST :
CONST . TYPE : VN NO . BATHS : 1. N S : E. W
OCICUP .GRP . : BP PPOT . 0Pk*-:N'I:N(,;S :
OC(.".UP. LOAD 12 N Si, W
TOTAL.. A I.)I.::A
NO. STORMS : I J.ST : ROOF CONST : 1:711:2E' RE"T'7
FIE I T /I 2ND: AREA SF.-KPAR7 RATED:
HASFKMENTr NO OCCUP. SEPAP7 RATED:
MEZZAN3:NE'1 NO BASEM' T
FLOOR LOAD: 1.00.) GARAGE : F31 -,E SPAKI-117 At API`117
;-I Ow(GPM)
FIFA) TYPE : 1.4 A S HDCP. ACCESS'? YES copp'?
11.111T.CK ny ,
PlIi'-'MAPKS :
F'cir a-f ti4ci clt.iet mha-Ftm in RE1*SSt.ji';: CA:* NO.
oxi.!ati-riq See V3802.68 I AST REISSUE
_J
FEES -
Steve DeAliqVI.cl PEOMIT 011.".) OU
O
Nr PLAN REVIEW $9 . '7,".)
FIRE: DEPT It,6 0
R STATE TAX
OTHER
I.*)LVr,'-OPMEN'T CHAPGEKS
C SDC(STORM)
0 SDC l 5 TFEET
N
T POC
R
A PnEPA:(E) <
C
T
0 TOTAL : $31 .50
nKCF.::1P1 NO.
This permit is Issued subject to the regulations contained in Title 14 nEQLJ:1PED INSPECTIONS
of the TIVIC, State of Oregon Specialty Codes,zoning regulations FRAM I NG
,and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and GYP. BOARD
specifications and in compliance with all applicable codes and INSULATION
ordinances. The issuance of this permit does not waive restrictive FINAL.
covenants. Contractor and subcontractors shall have current city
busIne39 tax permits.This permit will expire and become null and
void if work is not started within 180 days,oi 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 assure
a!' required inspections are requested and approved,
Permittee Signature
CALL FOR INSPECTION 639-4175
Issued By:
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Washington County Fire District No. 1
City of Beaverton Fire Department
�. Tualatin Rural Fire Protection District
VVI
March 29, 1988
Daniel Schneider
12955 S.W. 99E
Portland, Oregon 97223
Re: DeAngelo's Deli
Canterbury Square
Dear Mr. Schneider:
In reviewing the revised submitted plans for the above captioned project,
the following items were noted and will need to be co,rected:
1. Duct is too large for a single NL-D nozzle. Maximum width of the
side of the duct can only be 33 and 1/3-inches. Two nozzles will
be required in the duct if it is le er than the 33 and 1/3-ii►ches
across one side or more than 100-i, ^s in perimeter.
2. A plenum area of 10-feet in length is a greater area than a single
NL-A (tip It 723) nozzle cf,n cover. According to the manual, these
nozzles can only cover an 8 X 4 foot area, therefore an additional
plenum nozzle will be required.
3. As the plans do aot show the depth (front to back) measurement of
the deep fat fryers or the width of the counter between these
units, this Examiner is unable to tell if one nozzle can cover the
two fryers with the information that has been submitted. Please
note is the counter width is more than 12-inches the4. coverage with
a single nozzle will not be acceptable.
4. As the plans do not show the depth (front to back) measurements of
the griddle, this Plans Examiner cannot *ell if one nozzle eau
pr,itect the entire area. At 4-feet along the front side, the
maximum front to back measurement shall not exceed 2.G feet.
5. By the drawings submitted, it is virtually impossible to tell how
the nozzles are arrangid over the cooking surfaces except for the
front-on view.
Daniel Sct.neider
March 29, 1988
Page 2
6. Some piping lengths were not shown, therefore it is near impossible
to tell it' the piping conforms to Tablt 3-2 in the Installation
Manual.
7. Note 3 on your plans indicate all piping to be 1/8-inch in size. T
would guess that this is art error and should be 3/8-inch. This is
the only size piping that is permitted for. a PCL-165 system.
8. In accordance with the Installation. Manual a fusible link shall be
installed over each appliance. Fusible link located at the duct
entrance will suffice for the grill protection. This Reviewer
would assume that following nozzle installation for deep fryers if
there is not more than 12-inches between the two units, one
detector wpuld cover theta, Therefore, one additional detector
needs to to added over the hot. top.
9. Placing the remote pull adjacent the deep fat fryers is not
acceptable. If a problem should occur in the deep fat fryers and
the system not automatically respond, person cooking either would
not be able to reach the remote pull or may be seriously injured.
The term remote has some relevance in this case. It shuuld be
placed at a distance away from the cooking area preferably along a
path of egress so thgt one is not trapped by fire returning to the
pull to trip the system.
As this is the second set of plans submitted on this system, another will
not be asked for. However, in the future, plans such as the ones
submitted will not be acceptable. Plans should be clear -,tough and have
enough information to allow a Plans Examiner, Installer end Inspector to
fully understnd the installation without questions as well as -how
conformation with the instruction manual. Plans shall be submitted in
sets of not less than 3 copies. This is so that a copy may be kept at
this office for permanent record, a stamped copy can be placed a.. the job
site for the inspector and installers to follow and one additional set can
be kept for either your records or passed onto the owner for his records.
Corr.er.tion of a?]. the above items is required.
Trip test of the system with a witness from this office Is required.
Please contact this office 24 hours prior to anticipated trip test times.
Contact person is Inspector Bob Ray.
Daniel Schneider
March 29, 1988
Page 3
If I can be of any further service to you, please feel free to contact me
at 649-8577.
Sincerely,
TUALATIN RURAL FIRE PROTECTION DISTRICT
Gene Birchill
Building Official.
20665 S.W. Bl.anf:�,n Street
Aloha, OR 970J7
GB:kw
cc: City of Tigard i
Inspec[or Ray
SPECIAL NOTE TO INSPECTOR:
Bob:
This is a Pro Chem PCL165. The plans are in my office and before going
out for acceptance inspection and testing, I would suggest that you stop
by, pick up the plans and the technical manual which covers installation,
maintenance and service to take with you. These plans are very incomplete
and one will need to have the installation manual to verify that piping,
nozzle placement, nozzle coverage of appliancee , etc. is acceptable within
the parameters of the i.nst:al.latton manual.
JA t
Washington County Fire District No. 1
City of Beaverton Fire Department
Tualatin Rural Fire Protection District
March 18, 1988
Mr. Daniel Schneider
12955 S.W. 99E
Tigard, OR 97223
Dear Daniel,
RE: DeAngelo's Deli.
Cantebury Square
The plans, as submitted, cannot be approved for the following
reasons. Please revise qnd resubmit for further review.
1. The location of the gas valve is not clear.
2. T' . location of the manual pull station is not clear.
3. The size and length of piping system and location of
supply bottle is not clear and not shown.
4. Sizes of appliances are not shown.
5. Types of appliances are ne:. labeled, i.e. deep-fat fry, grill
top, etc.
6. Height of nozzles above appliances are not indicated.
7. Size of hood, plenum in hood, and duct are only partially
shown.
If I can be of any further service to you, please feel free to
contact me at 649-8577.
Sincerely,
TUALATIN RJRALIRIRE PROTECTION DISTRICT
V4
Gene Birchill
Building Official
20665 S.W. Blanton Street
Aloha, OR 47007
SSW
cc: Tigard Bldg. Dept.
Inspector Ray
PLAN CHECK APPLICATION
PLAN CHECK
PERMIT 0I�Le_?P0,,--
DATE ISSUED
JOB ADDRESS: 7 TAX MAP/LOT_���_
SUB: LOT: LAND USE:
VALUATION: SETBACKS- FRONT: REAR: LEFT: _ RIGHT:_
WORK CLASS: _ HEIGHT: -- TOTAL AREA.
USE TYPE: _ FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: 2ND:
OCCUP GROUP: DWELL/UNITS: 3RD: _
OCC11P LOAD: NO BEDROOMS:_ BASEMENT:
NO `iTORIES: NO BATHS: GARAGE:
!MP SURFACE: -
APPROVALS REQ*-D. Fi�,,* SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: GIST BC
SUONTRACTORS:
ENGINEERING: � LAST REISSUE: BUS TAX:
FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS: _
y PARKING PIAN:
LANDSCAPE PIAN: _
.'LIN CHECK BY: OTHZR:
COMMENTS: �i_L 3ss.a.-4— --
_ w--- DESCRIPTIONkMDUNT
OWNER 10-432 Building Permit Fees
ids 10-431-60C Plumbing Permit Fees S
ADDRESS: _ 10-431-601 Mechanical Permit Fee@
- 10--230-501 State Building Tax (5X)
10-433 Plans Check Fee S i
PHONE: Gsto _y/sem X11--y, 30-443 Sewer Connection (20X)
G7 30-202 Sewer Conhection (80X) _
CONTRACTOR 30-444 Sewer Inspection �-
NANR:' 51-448 Street System Dev. Charge (SDC) S
ADURESSt:_ 52--449-610 Parka I System Day. Charge (PDC) _
52-449--620 Parka II System Dev. Chasse (PLC)
_ 31-450 Storm Drainage Syst Dev Chrg(SSUC)
PHONE: 10-230-505 TM (95X)
10-435 TRFD (52) j ,
ARCH/ENGINEER 10-230-506 Washington County Fire it (95X) 3�
NAME:_ 10-435 Washington County Fire fl (5X) ♦� �_
ADDRESS: 10-220 Amnrt/Wedgewood S_
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TOTP.1, t L!
?iIONF: _
PREPAID
0PP_LI_C__�AKN_T
REC f
BAIAVCE DUE S TURF
Received By: L DAte Received:
I
W. IF- Ic NU)AY
<c C' APPROVED FOR CONSTRUCTION
CITY 01` - IOARI"
PERMIT NO. t f SITE ADDRESS
BY . -
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PLAN CHECK APPLICATION
PLAN CHECK 0 _
PERMIT I
DATE ISSUED
JOB ADDRESf;: �j!`��1 7 ��/�/ r'R h. r� Ll TAX HAP/LOT `
SUB: LOT: LAND USE:
VALUATION: SETBACKS: FRONT: REAR: LEFT:_ RIGHT:
WORK CLASS: _ HEIGHT: TOTAL AREA: -�
USE TYPE: FLOOR LOAD: � 1ST:
CONSTR TYPE: HEAT TYPE: _ 2ND:
OCCUP GROUP: DWELL/UN.ITS:i _ 3RD:
OCCUP LOAD: NO BEDROOMS:_ BASEMENT: _
NO STORIES: NO BA' S: GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS UQUIRED
PLANNING: REISSUE OF: _ LIST SUBCONTRACTORS:
ENGINEERING: LAST REI` 0E: BUS TAX:
FIRE DEPT. : FLOOD PLAJN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PIAN:
PLAN CHECK BY: OTHER:
COMMENTS: ,C. 0
ACCT.T_ . SCR AMOUNT
OWNER , 20-432 Building Permit Fees
NAME: ,, ��{� G.,, � _ 10-431-600 Plumbing Permit Fees $
ADDRESS: 10-431-601 Mechanical Permit Fees s
10-230-501 State Building Tax (5X) $ ��
10-433 Plans Check Fee $T
PHONE: e y/3.j `4 . 30-443 Sewer Connection (20X) $
2 E 30-207. Sealer Connection (80X)
CONTRACTOR 30-444 Sewer Inspection $r _
NAME: i 51-446 Street System Dev. Charge! (SDC) $ -
ADDRESS:_ 52-4'9-610 Parka I System Dev. Charge (PDC) _
52--449-620 Parke II System Dev. Charge (PDC) s
_ 31-450 Storm Drainage Syst Dev Chrg(SSDC) $
PHONE: _ 1.0-230-505 TRFD (95X) $ >p
10-435 TRFD (52) ( $
ARCH ENGINEER 10-230-506 Washingcun County Fire 01 (95X) s
NAME:� � 10-435 Washington County Fire #1 (5%) $ ��
1DP-RESS: �r 10-220 Amart/Wedgewood $
TOTAL
PHONE: --
PRFPAID $
REC #
BALANCE DOB t
P LIC NT 1G JR.E
Received By: ?_ _ Date Received:
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CITYOFTIGARD DATE ISSUE:D: i::?/1.(3/HFA
COMMUNITY DI' ELOPMENT DEPA,ITIVLFNT 0600261,
13125 S.W.Hall Blvd..P.O.Box 23397.Tigard,Oregon 97223,(50*oj94175
,106 Ar)UPE.G'3 ; 1AR97 5W
1 AX 1,1611)/1 (Tr 01-11
I AND USE: I
1.01 STZEK:
111;M. NU.
14(.'1-W L.LAS S : ALI*I:J.4A'T"r.(:)N F'014NACE 00uK ft a.ld 1 lr 11,1101 1
USE TYPE: COMMEPClAl FURNAG.E 1001<4 folfi 1'rl()N0L'I4 - 'L0I<
C"LINS'l 1 ,1*111:: : ON FLO01” I I I:J I
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luir.'N't kILc. II
NO 1911-141/11COMP (1*41:0 1-001)
3-13HP L14L(4L.I--!i'1 I Ljl?t IAAN
OWE.I. L HKE 1*1.5 : SLIZI/ClIUMP 15 304IIJ INC INEPATUR(CUM
I LIFI. I LAS; REP03 1.., 1.1141. 1}p
MAX . INPUT E.A.P/COMr, 504-1-11P 0 11,11-11EA
F: I.W:: DmPric; UO$ PAI-ANIL, 01.1114-F.:.114
HIGH PnES51
LOW PPESO-il? Y E:9.
4EMARKS :
I frie iriiatotllimd urider Mwc.,h Pot, @7011.R..R
I'I'1 I.% Per flat" C1 3. 6 2. 1--1audia Ml(--t.tl:) air
Steve DeAngela 1-"'k'::PM:r 1' 11110 . 00
PI-AN ill 15 . 30
W FIXTUPIES 1,1112100
N
E 1:1111-110MEZ: (1.503) ATE 1,6x 4''1. 1.0
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C PE UTS'l Phl .1'.ON NO w t t:j in TOTAL. : *28 . 60
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..RECE-KIP'T' NO,
.... ...... . ......... ...
This permit is issued subject to the regulations contained in I itle 14 -A-:Q1TEPF;':0
of the TIVIC, State of Oregon Specialty Codes,zoning regulations F PAM1 N(a
and all other applicable codes and ordinances, and it Is hereby TINISULYNT10N
agreed that the work Y,ill be done in accordance with the plans and (:1yP . HDAPt.)
specifications and In compliance with all applicable codes and ME.GHANGL. . SY. VEM
ordinances. The issuance of this permit does not waive restrictive U1,11*411*
covenants. Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and F".1 NAL
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 he.,;
commenced.It shall be the respons4bility of the permittee to assure
all requlo*4pyections are requested and Approved
WON "(114 ' CI
eke, l'
g
Pe Slniow• I CAL.L. FOP iNSPECrION 6.39-41.75
Issued By
SEPARA E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
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/CITY OF TIGARD MECHANICAL PERMIT Receipt# -_ -
Permit# c�O.Z�v
^escrlptlon
1..ole 3A Mechanical Code CITY PRICE AMT
Ci4y of Tigard
13125 SW Hall Blvd. 1) Permit Fee -_ 0- -0- 10.00
RO. Box 23397
Tigard, OR 97223 2) Supplemental Permit — 3.00 -
539-41 1) Furnace to i 00,000 BTU
6.00
incl.ducts&vents
Furnace 100,000 BTU + L6.00
_ , ��/ J 2) incl.ducts&vents
Name of Development C 1 k ter) 3) Floor Furnace
. � incl.vent _
job AddressSuspended heater,wall heater 6.00
4) or floor mounted heater
Address - -
Tax Lot (,'ap No. 5) Vent not incl.in 3.00
Lot Block Subdivision appliance pCirmit —
Name(or name of husincss) 6) R4pair of heating,ref r ig., 6.00
cooling,absorption unii
Mailing Address Phone 7) Boiler or comp to 3 HP 6.00
Owner _ absorp.unit to 100,000 BTU
City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BT;1
-- �.e� 9 7 y 3 9) Boiler or comp 15-30 HP -- - -- 15.00 --
absorp.unit 1/2-1 milling
i&n4oi,'2 tc 1� �1 _
Mailing Address Phq i 10) Boiler or comr io 30-50 HP 22.50
_, '/ 1/ _absorp.unit 1 - .75 million
Contractor 3 L 7 L t,,r` � l( C,-- ) Boiler comp15 HP _
City/Stste n Zip 11 31.50
I ok ��,C,C `j absorp.unit 1,750,000 BTU -
State Registration No. Cly Bus,Tax No 12) Air handling unit to 4.50
10,000 CFM IL
I hereby acknowledge that I have read this application that the Information give13) Air handling unit 7.50n Is 10,000 CFM +
correct,that 1 am the owner or authorized agent of the owner,that plans submitted are in — --
compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given is cured.(If exempt from Stale registration please give reason below). evaporate conler
15) Vent fan connected 300
-- - - - to a single duct _
- -------- —-- - - — - 16) Ventilatior,system not 4.50
included in appliance permit
_�—_� ---- ----- -
17) Hood served by —
mechanical exhaust 4'50 j GNU
Signature(owner or agent) Date 18) Domestic type 7.50
Describe work --L addition U alteration [Irepair [] incinerator _
to be done residential ❑ - _ non-residential ❑ 19) Commercial or industrial 30.00
Existing use of type incinerator
building or properly__--- --_ . -- 20) Other i.e.,woodstove,v dter 450
Proposed use of heater,solar,clothes o yers,etc.---
building
tc. —building or property_ ---- ----- 21) Gas piping one to four outlets 2.00
Type of fuel - oil ❑ natural gas ❑ L.PG [7 electric I_1 -_LL---- --
22) More than 4-per outlet
NOTICE SUB-TOTAL �ZUv
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -------- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
S°10 'SURCHARGE
DArS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL �,SD
ABAND014ED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER - - - -
WORK IS COMMENCED TOTAL
Special Cond;iions
--- -------- - --- -- Pdte issued by---- ---
CITY'OFTIOARD ® PLAN CHECK APPLICATION
'4RD �
COMMUNITY DEVELOPMENT DEPARTMENT CfYYOF116PLAN CHECKO1"O°y
17125 SW HO Blvd P.O.Bax 27797,Tigard,Oregon 97227(609)670.4176 PERMITBSO.Z 6:�
DATE IS3UED
Jr1B ADDRESS: /4.�y1 ,S'G(/ �GiC�jt �7`W1/ TAX MAP/LOT
SUB: LOT: LAND USE:
VALUATION: 04co SETBACKS: FRONT:_ REAR: LEFT: RIGHT:
WORK CLASS: HEIGHT: 1_ TOTAL AREA:
USE TYPE: T FLOOR LOAD: loo 1ST:
CONSTR TYPE: VN HEAT TYPE: C-gS ?.ND:
OCCUP GROUP: g DWELL/UNITS:— 3RD: —
OCCUP LOAD: �" NO BEDROOMS: BASEMENT:
NO STORIES: NO BATHS: GARAGE:
IMF SURFACE:
APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: _ REISSUE OF: _ LIST SUBCONTRACTORS:
ENGINEERING: LAST REISSUE: BUS TAX:
FIRE DEPT. : FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
PLAN CHECK BY:620 OTHER: _
COMMENTS:
�CJr CJrlr c Or) 7�/ J` l fC_r ao 7r✓�/-�'
ACCT 0 DESCRIPTION AMOUNT
OWNER 10-432 Building Permit Fees
NAME, 10-431-600 Plumbing Permit Fees
ADDRESS:_ 10-431-601 Mechanical Permit Fees $
10-230-501 State Building Tac (5x)
10-4�3 Plane Check Fee
PHONE: 30-443 Sewer Connection (20X)
30-202 Sewer Connection (80X)
CONTRACTOR 30-444 Sewer Inspection
NAME: .51-448 Street System Dev. Charm! (SDC)
ADDRESS: _ '52-449-610 Parks I System Dev. Charge (PDC)
_ 52-449-620 Parks II System Dev. Charge (PDC)
_ 31-450 Storm Drainage Syst Dev Chrg(SSDC) t
PHONE:_ _ 10-230-505 TRFD (95x)
10-435 TRFD (5%)
ARCH/ENGINEER 10-230-506 Washington County Fire /1 (95X) —
NAME, 10-435 Washington County Fire #1 (5%)
ADDRESS: 10-220 Amart/Wedgewoo'
TOTAL
PHON?:
PREPAID
REC #
BALANCE DUE
APPLICANT SIGNATURE
`Ceived By: _ Date Received!
UINSPECTION NOTICE
City of Tigard Building Departmwit
i I\ P.0 Box 23397
Tigard, Oregon 9- '23
Phone: 639-417-1
Type of Inspection
Date Requested_ / Time A.M. P.M.
Address /'Z01 ' Permit (�Y 2
Owner _--__ — Lot e
BuilderThe following Building Code deficiencies are required to be, corrected:
-- &4 —
77
Presented to _-----__-- ------ Approved
Approved
Inspector —.. Disapproved
Date —
CALL FOR REINSPECTION
[-1 YES ❑ NO
Permit No. 5P 66-86
CITY OF IIGARD
SIGN PERMIT APPLICATION
The applica;it hereby applies for a permit for, the work indicated or as shown
in the accompanying plans and specifications.
SIGN LOCATION ADDRESS: 14297 SW Pacific Hu--Way ZONING: c-c, _
NAME OF COMPANY: Sunshine Deli and Yogurt ___
APPLICANT/AGENT: Larry JenningsThe City of Tigard imposes an annual Business Tax which must be kept current
on all persons doing business in the City. Do you presently havo a currant
Business Tax? Yes
PROPOSED SIGN:
PERMANENT (X-X) FREESTANDING ( )
TEMPORARY ( ) WAI...L (XX)
BILLBOARD ( )
SIGN DIMENSIONS: 6" X 27" X 144"
TOTAL SIGN AREA (Sq. ft. ) . 27 so. ft.
WALL AREA (Sq. ft.) : TT -f
_440.T . ---
HEIGHT (ft) :
PROJECIION: h
ILLUMINATION: YES ( ) NO ( )
COPY: Sunshine Deli and Yogurt
MATERIALS: Steel frame lexan face
EXISTING SIGNS: one reader board on the back of the building
OTIIER PERMITS REQUIRED: YES ( ` NO (XX) _
PLANNING UEPARTMENI' All sign permits must be accompanied by a
Permit Fee:2aaDDscale draw irig Arid plot plan. If work
keceiktNO. : 15 (,5 authorized under a sign permit has riot been
Approved By: D.S completed within ninety days aftar the
Date: A�CLQL- IS, 19A_6 issuance of the permit, the permit shall
_ become null Ind void.
I CERm Y mw I AM Till RECORDtO OWNER Or THE
PROPERTY OR AN A01\11 AU1HOR1.LED BY THF OWNFR.
App c: S 1 ur•e
Address rolophune
Permit. No. (�
CITY OF IIrr,P11
SIGN PERMIT (ir,PLICATION
The applicant hereby applies i'or a permit for the work indicato-d or• as shown
in the accompanying plansand specifications .. �j��
SIGN LOCATION ADDRESS: 1`I?v�7 ��1.1) ,;�,�,�.�-r �,'�= - - -- ZONING:�^ >
NAME OF COMPANY: ?(,121.`>�ti1 kk. �,f (.- LZ.
APPLICANT/AGENI : ���
The City of Tigard impo§es 51 annual Business Tax which must be kept. current
on all persons doing business in the City. Do you prc_7ently have a current
Business Tax? I '
L
PROPOSED SIGN:
PERMANENT (VtREESTANDING ( )
TEMPORARY ( ) WALL_ ( ` )
BII l_BOARD ( )
SIGN DIMENSIONS: (P �?�7 7 X 17 ` /
TOTAL SIGN ARIA (S,i. i 1 : Z _
WALL AREA (Sq. ft. ) : -}�L
HEIGHT t i�
PROJECTION: -��--
ILLUMINATION: YES l N NO ( )
COPY: _ `�� ' 1 i b % r'
MATERIALS: _i t
EXISTING SIGNS: '
OTHER PERMITS RFQIIIRLD: YES ( ) NO
COMMENTS:
PL..ANNING DEPP4RVMENl ►ill sign permits must be accompanied by a
Permit Fee: _ scale drawing and plot plan. If work
Receipt No. authorized under a sign permit ha: riot been
_Approved By; completed within ninety days after the
issuance of the permit, the permit shaII
_... — become null and void.
I CERTIFY TH01 11 AM Flit RLCORDED OWNER OL 1141
PROPERTY OR AN AGLNI AUTHORIZED BY THE OWNER
Applicant' s Signature
Address Tolephone
SIGN PERMIT APPLICATION CITOF" TIGA RD Date LuKuet. b
19_._ No.
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: 14291 SW Pacific Hwy.
APPLICANT: Owner Lessee Authorized Representative
NAMEXOMPANY Ander.bon Siy;aav Tel. _
— — — — — — — — — — —
PROPOSED SIGN: Freestanding Wall _____, Pmi3cting _Other _
SIGN DIMENSIONS«/ 2 n _ AREA NLIGH* WALL AREA
PROPERTY FRONTAGE COST __ ZONINO DISTRICT ILLUMINATION
MATERIAL __ —. COLOR _
COPY _ DRB
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 completsd
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become null and void.
i�Permit Fee_ _ 25.Uu �
Approved fiCFt Applicant's Signature
Receipt No.
Renewal Date Address ' r
-- ------- r7i Telephone
SIGN PERMIT APPLICATION OF TI GAR O Date 19 No. =
The applicant hereby applies for a.permit for the work indicated or as shown in the accompar;ying, plans and
specifications.
SIGN LOCATION ADDR =SS:
APPLICANT: Owner Lessee Authorized Representative
NAME/COMPANY .-"w la._Y, Tel.
_
PROPOSED SIGN: .. artanding Wall — Rrojecting Other _
SIGNOIMENSIONS .- LI ,V_ AREA _-/,L —+HEIGHT._ WALL AREA '
PROPERTY FRONTAGE LOST /`s, ''' ZONING DISTRICF.'L_C�1_1LLUMINATION
MATERIAL COLOR
COPY - DRB
EXISTING SIGNS: Freestanding Well Projecting _. Other
COMMENTS: _
All-sign.permits must be accompanied by a scale drawing and plot
p!an. if work authorized under a sign permit has-not been completer!
within.ninety days after the issuance of the permit,the permit shall
PLANNING DEPARTMENT become null and void.
Permit Fee
ApprovedApplicant's Signature
Receipt No.
Renewal Date Address Telephone
/--_-- .� ro - v 'moi' �• - -��. � .
y`, ,Y`M �. �%��a M � * „iYl I ,t•� '� t r r iii;,rt�. '
RIM
a 14,CIS
lt9
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��` aYrmYlLmi�l1G"�G1L1�Sts'�s�sY6r."bfL-7�'�fmtitit'S�t "- Y ._-rr,mp;r•�. � �y,l��
BUILDING PERMIT APPLIGATION TIGARD DATE—t'W g4y .19 19 84 5137
I HE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR 1 HE WORK HEREIN INDICATED BUILDER PHONE 232-i iv6
ON AS SHOWN Ai!D;`,PP9OVED IN THE ACCOMPANYING PLANS AND SPECIFIVATIONS. OWNER PHONE --
LOT N0. 200
OWNER WX Jerry Kul - JOBADDRESS 14217 SW Pacefi:• Hwny r'SI-1C.".
ARCHITECT
L.urenr z Braun Cu. POFiOx Q?1AF, Pt Id 97242++ ENGINEER
BUILDER —. ADDRESS - DESIGNER _—
STRUCTURE MxNEW Ll REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE [rCOMM ❑ EDUCATIONAL ❑ GOV'T El RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY B-•2 LAND USEZONE BLDG.TYPE `N FIREZONE___PLAN CHECK BY Br R HEAT _
R•>-loiiti..ruct building shell per approved planes. F.xist'inq ma:aonry wa114 to be � -
i-tio ad. Permit required fur t cornu modifi-at iun.
SEWER PERMIT N
OCC.LOAD FLOOR LOAD t''r'�'• HEIGHT 12'6"NO.STORIES_I AREA 1220 NO.BEDROOMS VALUE 36•000
BUILDING DEPARTMENT SETBACKS-FRONT REAR LEFT SIDE 'dGHT SIDE
Permit f _ 220.00 THIS PERMIT IS ISSUED SUBJECT TO THE. REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
14 3.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH 'HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
361.0" WITH ALL APPLICABLE CODES AND ORDINAP'CES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR Alk-L) SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4%1k..140
Total - -
171 .Pr) SDC-
- -- PDC# APPLICANT OR AGENT
By
Br'R Receipt No.
Approved ADDRESS - PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING -DATE
C7,-`� /1Ys%ALL'_ Contrectnr('„t�
----— ---- -
/ Permit No,. 7
Fixturti
• —
Al
Final
HFATING _
Contractor � K
—�^ Permit No. 1
bas of Oil
Rough-in
Final —
sawsH
DRIVEWAY
Lst
un m Drainage
(pain Drain)Final
Sidewalk
Curb m Street F final
— BLDG. DEPT.f'INA1, TEMPORARY CERTIFICATE OCGUF'ANrCY.—� Final CERTY"!CATE[,CCU FANCY �
L:aidsceping
_.� �.._ ...._ .__.�L�__ —_ � _---• Toning Final
Y - - CITY OF TIFARD No. 0895
J, 12755 S.W. ASH
P.O.BOX 23397 Date ' y
TIGARD,OR 97223
Name
Address ,� ( r, 7
LotBlock/Map SubdivisionlAddress
--
Permit H's Bldg, rIC rL� Plumb Cash Check
V
Sewer ,.k Otf>fer Other Rec. By'
Acct.No ' Amount
k crlptlorl
10.432 SiOidina-212.it ----
1_0 1.6 0 Plumbing Permit Fees__
10-431-G01 RteonanicAljp%.rplt
10.230-501 State Bldg. Tax + l
10 d33 Plans Check Fee —
10 435 Other Licenses_& Permits
30.443 Sewer Connection
30.444 Sewer Ins'eANor('k:
24.448 Street Syst. Dev. Chart
25.449.610 Parks 1 S st. Dev. Charge — - -
25.449.620 Parks II Syst. Dev. Charge _ I
31.450 _ Storm Drainage Syat_Dev_Cherae
_10.430Business Tai
10.434 _ Alarm Permit -
10.227 Bail _ _---- ---—
10-455- Fines _Traffic/MisdlParking _ -
10-230• _ CPTA TrafficlMlsdlVic. Asst.
10.456_ Indigent Defense _
30.446-401 Sewer Service/USA _ -----
30.446 4')2 Sewer ServlcelCity
31.447 or Drainage _-
40.475 Bancroft Prin. Pymt. _
I 40.471 Bancroft Int. P mt. _ ---
10-451 Other Charges for Services J
TOTAL _
DEPT.
p
� CITY OF No. 0844
12755 S.W. ASH -LA
/� C,
P.O.BOX 23397 Date
TIGARD,OR 97223
Name
Address
Lot Block/Map Subdivision/Address
Permit #'s Bldg. Plumb
Cash Check
w'
Sewer
]Other C'ther Rec. By
- Description Amount
Acct. No. � r;
W"432 Building Permit Fees
10.4-.-600 Plumbing Permit Fees
10-431.601 Mechanical Permit Fees _
10.230-501_ State Bldg. Tax
10.433 plans Check Fee
10.435 other Licenses R Permits
30.443_ Sewer Connection --
30.444 Sewer +nspectlon
24.448 Street Syst. Dev. Charge
25.449.610 Parks I Eyst. Dev. Charge
25.449.620 Parks II Svst. Dev. Charge
31.450 Storm Dralr age Syst. Dev. Charge
10-430 Business Tax
10.434 Alarm Permit --_
10-221 BaII _
10-455- e. Fines Traffic/Mls_d/F'+rki—ng
10.23v CPTA Traffic/ IsdIVic. Asst. —
10.456 Irdlgent Defense
30.446-401 Sewer Service/USA
30.446.402 Sewer Se.rvice/City
31.447 Storm Drainage
f 40.475 Bancroft Prin. P mt, I
40.471_ Bancroft Int. Pymt.
10-451 Other Charges fServices _
— - TOTAL 3.
_ DEPT.
BUILDING PERMIT APP! (CATION TIGARD DATE—.__.___ to
THE l INDERSIGNED HEREBI APPLIE.:: -OR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
�iI LOT NO. 1 C_�L_ _
O'NNER :\�k'I�i" >_� L c_ JOBADORESS I��2 ] S L[J— A u±, 'D ! ` I(D A-•3
PT, t) .'77�Z qZ ENGINEER
BUILDER/cam' E rl �^j n ADDRESS J� ' !1, ✓�/.�' t_ i'�� DESIGNER ^T
_ 15 �--�
STq'JLXURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL _ U FIRE DAMAGE ❑ DEMOU1101
(r RLSIDENCE,9 COMA ❑ EDUCATIONAL ❑ GOV'T ❑ RSL.IGIOUS ❑ PATIO ❑ CARPORT U GARAGE (—j STORAGE ❑ SLAB❑ FENCI
OCCUPANCY -L__.LAND'ISE ZONE ' BLDG.TYPE PLAN CHECK BY _4_LE_HEAT
T_I-� >c' ; 11,�' , 1 �s >r3I Cs.�_ •t"Iz� �� ,�',,F7
��--
]'L.AAJ S I IV La l�1�33`� �fU I� �_- ��1�� c I _ h. f --- -
___— �,[_.=:F p • t r,�li �'F'� h r ,� I r nin n!r�1"_1�>I�I r�r�rl � w>nJ
,F WFR PERMIT M
QCC.LOAD — CLOOR LOAD 'f%.Ir HEIGHT 12 i, NO.STORIES AREA .' NO.BEDROOMS - VALUE.
BIIILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Partntt � ��. C THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TVE BUILDING CODE,ZON(N•
PEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANG IT IS HEREBY AGREED THAT 1 P
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THI'9 PERMIT DOES NOT WAIV
Sub-total RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO H ,VE CURRENT CITY BUSINFS
}° LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
state Tax • —
------ SDC--
Total — ------ ---------------- ----
PDC# APPLICANT OR AGENT
By .
Receipt No. ---' PHONE - --
Approved ADDRF.SS
SsDC -- $
PDC — �_ I n_L T)
SEWER CONNECTIEIN S
SEWER INSPECTION $ _
SEDER SURCHARGE 5_
Comments : �`�s-�-•i� ���rz- _� �'( � `� `_ ?/'�
BUILDING PERMIT APPLICATION TIGARD DATE 19_11 19_"4 4911
THE UNDERSIGvLD HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 285"U4 IS
OR AS SHOWN A111)APPROVED IN THE NCCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.--j 7u(i
OWNER Je--try Kija �k � JOB ADD"ESS 142`17 Sw Pmciiia t''d_ys. !';1�PJA _
p, 971.20 ARCHITECT
ENGINEER
BUILDER J & J Luus r ir•tia❑ ADDRESS 1.,36 B 32nd DESIGNER
STRUCTURE ❑ NEW O REMODEL ❑ ADDITION ❑ RE(AIR _❑ RENEWAL ❑ FIRE DAMAGE [Q DEMOLITION
F1 RESIDENCE aCOMM ❑ EDUCATICGNAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT L] GARAGE ❑ STORAGE ❑ SLACK FENCE
OCCUPANCY t3"2 LAND USE ZONE ' -'t —BLDG.TYPE _ `� -_FIRE ZONE —PLAN CHECK BY _ HEAT-__—��—
ocnel i 9b blc�i - --',1 •c ._ ;�1.L c er_L- r.0 be re-aQxu-- all
utilities to _--
SEWER PERMIT M
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES ! ARFA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT REAR I-EFT SIDE RIGHT SIDE
Permit I:x.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIOt : ^ONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDI VANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH I-HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total _ _ I�•�1�` RESTRICTIVE COVENANTS. CONIRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMI i S REQUIRED FOR SEWER,PLUMBING AND HEATING.
Slate Tax •`ttt
DGTotSD(-
Total
al 15.60 � .� _.� �.� •~��1 ...- - --
�— PDGN APPLICARTT OR AGI'NT
By r,;ti Recoipt No
Approved ADDRF9S PHONES 1
a
DATE INSP. -TYPE INSPECTION -,-- REMARKS — PLUMBING DATE
`I --=Es- --.�Z --—--- ContractorOW
- — —
Permit No.
Fixture
Final
HEATING
Contractor
_ — -- _—^- - Permit No. -
—� ---------- Oaf or Oil-
Rough-In -- ---
Final - -- --
SEWIR
------ --- _.. _�--. Final --
-
DRIVEWAY i
-- — - -- �. _ - ---= ----- Final — -`---- i —
__ Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Straat F final
Approach
Bl.q!i. DEPT. P'NAL 1 � TEMP OraARY GER7IFICAS'E OCCUF'hNCY Final
C�RTir!CATE OCCUPANCY
! I L-.•idscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATE��
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAIT FOR THE WORK HEREIN I� CATED BUILDcR PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO'
O'NNERt'- L - JOB ADDRESS � ,r/,,_ / / -
- AR ITECT
r ENGINEER
BUILOER �_ +. ` , ,ADrRESS frS'j j•, l r �Y DESIGNER
STRUCTURE t 1 ❑ NEW ❑_REMODEL ❑_ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE IAOLIr,ON
❑ RESIDENCE ❑ COMM ❑ EDUCATIONAL L-1 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
C)CCUPA ICY LAND USE ZONE y, BLDG.TYPE FIFE ZONE___PLAN CHECK BY --HEAT---
L-1
_HEAT_IL.l.,L,1 i k� L T) c�__ L�.��t''t c', C/ f: f l/i'� _ /' Cy L
SEWER PERMIT M
I
OCC.LOAD FLOnr .OA0 HEIGHT NO.STORIES AREA NO.BEDROOMS _VALUE
BUILDING DEPAmTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT;IDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THF! QGULATIONS CONTAINED IN THE BUILDING (:DU£�ZON:'N:
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIANC`
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVt'
Sub-total RESTRICTIVE COVENANTS.CONTRA;;TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS RFQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax
SDC—
Total / �• ---
pD APPLICANT OR AGENT
BY . _
Receipt No. PHONE
Approved ADDRESS
$
SCC —
PCC . —
SF LIEN CONNEC _u:, 5
SEWER Ir�SP CTION 8
SEIJE:R uURCHARGE S
SIGN PERMIT APPLICATION c1t TIGARD Date 12/12 , 19 No. 036E
The applicant hereby applies for a permit:for the work indicated or as shown in the accompanying plans and
specifications,
SIGN LOCATION ADDRESS: 14297 SW Pacific Ilwy.
APPLICANT: Owner Lessee Authorized Representat;ve _ xs
NAME/COPAPANY _GRAYBEAL GRAPHICS Tol.641-7930/393-0400
_ ^
PROPOSED SIGN: Freestanding Wall X (2) Projecting 1Jther
SIGN DIMENSIONS , 'x:.01 14"xlo' AREA 50Uu= 12'gci HEIGHT IV 10/191WALL AREA6601x2
PROPERTY FRONTAGE COST51"0-tOtakONING DISTRICT _ILLUMINATION ,
soo
MATERIAL
SCOLOR _
STEM, r"INrT - rlex Paco (Lexali) WHITE/Ol'IM.'.R s, 13ROWN
COPY "THE DONUT SIIOPPF' DRB
EXISTING SIGNS: Freestanding Wall Projecting Other _
COMMENTS: THE 131JILDJN(. ;SITS IN THE MIDDLL•' OF PIWKING UJ`i. O(a : IC'aId UN EACH SIDE
OF VIE BUILDING) - C&XTVRAi]RY SQUARE
All sign permits must be accompanied by a scale drawing and plot
plpn. If work authorized under a sign permit has not been completed
PLANNING DEPARTMEN'i within ninety days after the issuance of the permit, the permit shall
— become null and void,
Permit Fee �BAx°
Approved applicant's Signature f
Receipt No, 1431 Clhemn Rd. N. 641-7930/393-0400
Renewal Date_ ___ Address Satem, OR 9 7303 TeliAane
i
i
II �
p,
w
IC'C��
a
^T 14" X
f v�
t.`
7vk
Aj -ectc4y el .., F, ( le
I
rx
J !I
- .rrw.rrM hp�b 1M«rdye��t*!.V...•9 i:...... .,,.�,., M'� .w.. r�n«w`..-...:w.nMv+..,•..w ......�.�+";:.. . .. _
1 CIT"
SIGN PERMIT APPLICATION OF TIGARD Date Agri! 79 , 19 77 Igo. �1Z
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specif ications.
SIGN LOCATION ADDRESS: _4_Q,,t iiar i f t r. llw�, —
AP?LICANT: Owner Lessee _ Authorized Representative �Iegth ail�t. !'o .
NAME/COMPANY LOU v Uotiut LILL; _ _ Tel.
PROPOSED SIGN: Freestandiny _ Wall — Projecting _Other
SIGN DIMENSIONS 20' X 2C AREA 50i ucL ► 1 . HEIGHT .__ WALL AREA
PROPERTY FRONTAGE COST_ -00 - ZONING DISTRICT ___ILLUMINATION
MATERIAL _ ' d in] tat. CALOR
COPY —
+: Ir, hgn(I ,t,� ,�, ! w_DRB -
.— -- _ —
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
within ninety days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT become nuli avid void.
Permit Fee_ ;'r,u
Approved ;� ,1,, Applicant's Signature
Receipt Imo.- _
Renewal Date Address Telephone
CITY OF TIGARD
AF ,LICATIQN FOR SIGN PERMIT
OWNER og PERMT T NO 7/- -S DATE Zl- 7/
ADDRESS V_ALUE ti!7 PERMIT FEE _51ILy-
TEL. NJ RE
MANUFACTURER
ADDRESS 615-11
TEL NO , e-,-T3
INSPECTIONS REQUIRED
ERECTOR S'l TE
A=Dh-,s s FOOTT
HEREBY MAKES AlPLICIATTON T(.
ECT SP�CIAL INFOPd.,l.jkTlON
L" P
EPAIR
.rYj-'E OF SIGN
PLOT PLAN
SHOW T7lffN—__L(7ATION
p CILCOM3INAT 1�
GRCljN MA;i; UE
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SIGN TO BE FA""T,'NEI) AND SECUq; ---,-- BY
Al . Su-7 A. IT IS "hBy
_16
AGR�;I;D THTT IF TH16 t :LICArl 7 Is
kl,RlV T SIG N F!,71
=1 WITH THE R&
7-_
E V, U1 .1i.C. . 1970 :,; AND
OF THE C-, TY OVTMMRIZ) E AND
ME,-0 RD I N j,N C i,S, CF T H ElT I G A,'l D
16 N.'t
I YERMITTEL
By CAW_
Chii;F Bu 1.1.1)ING OFFICIAL
CITY OF TIGARD
Alli-LICATION FUR SIGN
�PERMIT
0 W N2'R e Z;?"o&. i lf4 PE�MIT _ O ; /- 4/-S DATE 11—Jf—7L
ADDRESS 141 Z- S VALnZ2W FEE /,r?-
TEL, NO RECEIPT
7
MANUFACTURER
ADDRES,'/ ,?6
TEL.
INSPECTIONS REQUIRED
ERECTOR SITE
=Ess' 75-F'l FrJOT-.NG
TEE, R75-Z] FINA
HEREBY MAKES AIPLICATIOTv
I-'E'R 110 T SiEGIAL INFORMATION
AL EB
MOVE
i'Y'FE OF SIGN PLOT FLAN
�ViN PROJECTING SHOW SIGN LOCITION
-GRC b7
17 L
F�7jhT-
Al t t;A
FRWT I
OJErTION C 1"e'el
SUPPORT
7-IRE ZONE 2'
SIGN TO A')E FASTi:d'NED AND -3ECUR----3.'1 BY
Apl.'-tCVED SUPIORTS Ail!) "IT IS
=D 1T IF THJ:3
Mt EL I H L aG N W I LI C O.N U;
7-,
ZN T
EURY DETA7 W77-ME 77,;."
OF THE C.ITY ;".Nl)
t , I � ';-
VOLUME V, U —b-C. , 1970 ALD
Uil, INa 'Cr.S GI Till: " Nwy
,F TIGARD.
olGNATUISE OF iERMITTh'i-0
CHIEF BUILDING OFFICIAL
-BY
PERMIT TO CONNECT �✓
Tigard Sal-itary District
PERMIT N? 1376 DATE
PER311T IS GIVEN TO
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT
AT 1 r THIS PERMIT MUST BE POSTED ON THE DECCRIBEb PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNEC UiN HAS BEEN COM-
PLETED.
PERMIT FEE PAID $......a... ,..TIGARD SANITARY DISTRICT
„{�..t.p.� _........--:�J..._.....,..� E=-�..��--�+(�-•-1.-----
MAMd1.A/1/►M/!/A/WV��iAAM yyy�p��yyA
CONNECTION INSPECTED AND APPROVED
Date SWirintendent
a��o—Uri
Permit No . 7G
Address J`1� �.r.� ' V�a�c_:.�.,, _ __..._,..._._._.._.._._
U
Permit charge _
owner Connection fee
Paid oy_
Type of building �1dt��4���T-- _ Date connectedL(, ,,.L_
Service rate,.,,, _ Inspection fee
Contractor .� Paid by Date_ __,_M,_•,__
Size of connection �/ ' � Assessment—— Pai.d—
koj, Al.00C E c ,.6 11.M,L E..a