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OREGON 5950 SW Prosperity Pk Tualatin,OR 97062 Re: Permit ELC95-0020 for work at 9621 Washington Sq. Rd.Tigard,OR To Whom It May Conccmi It has come to our attention that the work permitted by ELC95-0020 has not been inspected as required t y OAR 918-271-0010. OAR 918-2714)010 is reproduced below for your convenience. OAR 918-271-0010 Calls for Inspection (1)All persons who take out an electrical permit,homeowners as well as electrical contractors,shall request an Inspection within 24 hours of: (a)The completion of any electrical installation intended to be covered or concealed or which is intended to be placed into service before the final electrical inspection;and (b)Thr,completion of all electrical installations for the job site covered by a particular permit. (2)Transactions under a master inspection permit are covered by separate requirements The penalty for failure to request a timely electrical inspection is found in this excerpt from OAR 918-307- 0(x10 shown below: 3)Civil penalty amounts.A"subsequent violation"is a repent violation of any electrical statute or rule within a 36- month period of any order for the same violation (a)A penalty of no less than$250 for the first violation and$500 for subsequent violations shall be charged for violations of: (A)OAR 918-271-0010 for failure to request a timely electrical Inspection;or (B)Electrical Safety Law or rule,including code,not expressly mentioned In this rule. Please arrange for an inspection of the electrical installation covered under permit ELC95.0020 within 30 days You can request an inspection by calling our 24-hour inspection line at (503)639-4175. In order for the inspector to inspect electrical installations at an occupied;tntcture a responsible adult must be on-site to provide access If necessary for the inspection a ladder must be provide on site. If you have any questions feel free to call me at(503)639-4171 ext 356 Sincerely. I Chuck Dutton Senior Electrical Inspector 13125 SW Holl Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 — — 'I April 26, 1999 Fll,,.. E CCPY CRY OF TIGARD Portland Sign&Neon OREGON 535 SW 28th Ave. Portland,OR 97232 Re: Permit ELC95A094 for work at 9621 SW Washington Sq. Rd.Tigard,OR To Whom It May Concern: It has come to our attention that the work permitted by ELC95-0094 has not been inspected as required by OAR 918-271-0010. OAR 918-271-0010 is reproduced below for your convenience. ('AR 918-271-0010 Calls for Inspection (1)All persons who take out an elect:ical permit,homeowners as well as electrical contractors,shall request an inspection within 24 hours of: (a)lie completion of any electrical installation intended to be covered or concealed or which is intended to be placed into service before the final electrical inspection;and (b)The completion of all electrical installations for the job site covered by a particular pennit (2)Transactions under a master inspection permit are covered by separate requirLmet.ts The penalty for failure to request a timely electrical inspection is found in this excerpt from OAR 918-307- 0000 shown below: 3)Civil penalty amounts A"subsequent violation"is a repeat violation of any electrical statute or rule within a 36- month period of any order for the same violation. (a)A penalty of no less than S250 for the first violation and SW for subsequent violations shall be charged for violations of: (A)OAR 918-271-0010 for failure to request a timely electrical inspection;or (8)Electrical Safety Law or rule,Including code,not expressly mentioned In this rule. Please arrange for an inspection of the electrical installation covered under permit ELC93-0094 within 30 days You can request an inspection by calling our 24-hour inspection line at (503)639-4173. In order for the inspector to inspect electrical installations at an occupied structure a responsible rid,A must be on-site to provide access If necessary for the inspection a ladder must be provide on site. If you have any questions feel free to caul me at(303)6394171 ext. 356. Sincerely, Chuck Dutton Senior Electrical Inspector Tigard, R 9 3 503 639-4171 TDD 503 684-2772 13125 SW Holl Blvd., g . O 722 ( ) ( ) _ T April 26, 1999 UPI1�� CITY of TIGARD Atlas Electrical Contractors OREGON 4403 SE Roethc Rd. Milwaukic,OR 97267 Rc: Permit ELC95-0128 for work at 9621 SW Washington Sq. Rd. Tigard,OR To Whom it May Conccrn: It has come to our attention that the work permitted by ELC95-0128 has not been inspected as required by OAR 918-271-0010. OAR 918-271-0010 is reproduced below for your convenience. OAR 918-27 1-00 10 Calls for Inspection (1)All persons who take out ail electrical permit,homeowners as well as electrical contractors,shall request an inspection within 24 hours of: (a)The completion of any electrical installation intended to be covered or concealed or which is intended to be placed into service before the final electrical impcetion;and (b)The completion of all electrical installations for the job site covered by a particular permit. (2)Transactions under a master inspection permit are covered by separate requirements The penalty for failure to request a timely electrical inspection is found in this excerpt from OAR 918-307- 0000 shown below: 3)Civil penalty amounts A"subsequent violation"is a repeat violation of any electncnl statute or vile within a 36- month period of any order for the same violation (a)A penalty of no less than 5250 for the tint violation and S500 for subsequent violations shall be charged for violations of: (A)OAR 918-271-0010 for failure to request a timely electrical inspection;or (B)Electrical Safety Law or rule,including code,not expressly mentioned in this rule. Please arrange for an inspection of the electrical installation covered under permit ELC95-0128 within 30 days You can request an inspection by calling our 24-hour inspection line at (303)639.4173. In ordet for the inspector to inspect electrical installations at an occupied structure a responsible adult must be on-site to provide access If necessary for the inspection a ladder must be provide on site. If you have any questions feel free to call me at(503)6394171 ext. 356. Sincerely, Chuck Dutton Senior Electrical Inspector 13125 SW Nall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2712 �-----� CITY OF TIGARD BUILDIM INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- - BUP Date fecuested __ ��'- AM ___PM BLD _ Location_, �Ll ,QQ� Suite _ MEC Contact Person t - Ph PLM ` Contractor /f .J Phi - a,2 S/ SWR BUILDING 1'enanUOwner _ �����J ELC 4,�-G0(f)! "Z Retaining Wall ELR Footing Access Foundation FPS Ftg DrainSGN - ` Crawl Drain Inspection Notes. �.-- --- -- Slab _ (rr� ---- ---- --- ----__._._ SIT Post&Beam !�' Ext Sheath/Shear L FL Int Sheath/Shear _ Framing _ Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �- Roof Misc Final PASS PART FAIL PLUMBING Post&Beam ---- - `- -- Under Slab .i op Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL v Post& Beam --- -- ----- -- Rough In 1 Ga! Line - - - ---- - _ Smoke Dampers Final �_ -- ---- ---- --- P FAIL CTRICAL Rough In «- UG/Slab cc I.- Low Voltage `^ Fire Alarm J PAS3 PARTAI r SITE Backfill/Grading --� W Sanitary Sower J Storm Dain ( Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catdi Basin ( i Please call for reinspection RE __- ( Unahlr to inspect no access Fire Supply Line ADA Appr,)ach/Sidewall. Other Date s� — Inspector _ _Ext -- _ Final PASS PART FAIL_j DO NOT REMOVE this Inspection record from the job site. A-C-ORD- CERTIFICATE OF LIABILITY INSURANCE OATS IMM/DDlYYI _ 11/19/98 _ PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA TION J&H MAkSH & W!ENNAN. INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1225 17TH STREET. #12100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR DENVER. COLORADO 80202 ALTER TI-E COVERAGE AFFORDED BY THE POLICIES BELOW. DENVER. CO 80202 COMPANIES AFFORDING COVERAGE COMPANY - —— .-_ ------ BRIAN HENRY (303) 313-8300 A TWELPS INDEMNITY CO INSURED _� -- - -- COMPANY RAS BUILDERS, INC. B TRAVELEQS INDEMNITY CO OF ILL ATTN JANET HART -- -— 180 EAST HAWDEN AVE. #1201 COMPANY ENGLEW000 CO 80110 C TIG INS CO COMPANY D TWIN CITY TIRE INS CO COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI1H RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED UR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO — POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE IMMIDONYI DATE/MM/DD/YY) LIMITS A GENERAL LIABILITY OTEC03501728TIA98 11130198 111":110199 GENERAL AGGREGATE 2.000.000 X COMMERCIAL GENERAL LIABILITY PRODUCT$•COMP/OP AGO • 2,DDD,Or CLAIMS MADE LA-]OCCUR PERSONAL i ADV INJURY E — 1,DDD,000 X OWNER'S A CONTRACTOR'S PROT EACH OCCURRENCE F 1,000.000 i -- --- FIRE DAMAGE(Arty one fire) F —" 300,000 (AED FXP IA,N nne person) M000 AUTOMOBILE LIABILITY DTRIO345K8576TIL98 11130198 11130199 X ANY AUTO COMBINED SINGLE LIMIT F 1,000.000 ALL OWNED AUTOS ILY I SCHEDULED AUTOS IP@rPaNJIMY S PM eonl X HIRED AUTOS BODILY INJURY X NONOWNEDAUTOS 1►er Occident) PROPERTY DAMAGE 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 6 ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S - AGGREGATE S I_ EXCESS LIABILITY XI 8926.3262 it/30/98 D50/99 EACH OCCURRENCE F 10.000.000 X UMBRELLA FORM AGGREGATE S 10.000,000 OTHER THAN UMRREL LA FOP M - S WORKER'S COMPENSATION AND -� EMPLOYERS LIAB'IITY X 1f0_Y UMI $- D 5WY3151 11130198 11130199 EL EACH ACCIDENT_ • 1.000.00_0 THE PROPRIETOR/ INCL EL DSEASE-POLICY LIMIT 4 1.000,OJO PARTNERS/EXECUTIVE — --- -,- OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE F 1.000.000 OTN" c1 it ►� DESCRIPTION OF O►ERA1R)NSADCATIONSNIMCLES/S►ECIAL ITEMS IUMIT$MAT Bt AMAWPQQ DEDUCTISLBS 011111TENTIONSI ---— - f' EVIDENCE OF INSURAN(t COVERAGE AS RESPECTS THE PROJE�' B. DALTON BOOKS LOCATED IN 'Hf WASHINGTON SOUARF TI.jARn nPr,nN CERTIFICATE HOLDER CANCELLATION -' J W sHoul I ANY Or THE As.,vc bESCRBED POLR:IES BE CANCE►LFb BEFORE THE J FXPIRATION nATF THIREOf, THE ISSUING COMPANY WRL ENOF•,VOR TO MAIL CITY OF TIGARD GAYS WRIT tEN NOTICE TO THE CERIIFICATF HOLDER NAMED TO THE LEFT, ATTR: BLDG./PLANNING 1312E S Id HALL Bf VD BUT IAILURF TO MAIL SUCH NOTICE SHALL IMPOSE NO OKIGATION ON LIABILITY TIGARD OR 97223 Of ANY RIND UPON TNF COM►ANY, ITS AGENTS ON IIEPRESENTATIM. AUTHOR/ D R�PRf tfN-TAfI O ACORD 25-S (1/951 •ACORD CORPORATION 1998 J 011tOtkuX') CEklilic.A1E N, 00,1001 OD6!I SEWER CONNECTION CITY OF TIGARDFERMIT PERMIT *. . . . . . . : SWR95-0 . _. COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/04/9 13125 SW Nall Blvd Tigard,Oregon 9722398199 ('03)839-4171 PARCELS 1S126OC-01107 311L ADDRECS. . . SW WASHINGTON SQUARE, RD SUBDIVISION. . . . : ZONING: C—G BLOCK. . . . . . . . . . s LOI.. . . . . . . . . . . . . s TENANT NAME. . . . . sB. DALTON IJSA NO. . . . . . . . . . s FIXTURE UNITS. . - s20 CLASS OF WORK. . . :ALT DWELLING UNITS. . : 1 TYPL OF USE. . . . . :C'OM NO. OF BUILDINGS- IN'- TALL TYPC'. . . . :BUSWR IMPERV SURFACE. . : : sf ?emarks : TI Owner: ------------------------- FEES -----_--____— D. DALTON DOOKGELLERS type amol_,nt by date recpt 12 ' FIFTH AVE PRMT f 2200. 00 JD 08/04/95 95--~68917 NEW YORK NY 10011 -'hone #fi: 21e-633-3400 ,:ontractor : --"` RnCTOR N01 ON FILE f='F�one #: t 2000. 00 TOTAL Reg #. . . REQUIRED INSPECTIONS 'his Applicant agrees to cosply with all the rules and regulations Sewer Inspectiun of the Unified Sewage Agency. The persit expires 184 days Eros int date issued. Thi total asouot paid will be forfeited if the ptreit expires. The Agency does not guarantee the accuracy of the suis sewer laterals. If the sewer is not located at the measureeent given, the ir.stalltr shall prospect 3 ` dirtctions froe the distance giver,. If not so locate ►ler shall purchase s "tap and Side Sewer" Perait and ' late r , r'31)_4 17151 CL s � " c ._J t W J Commercial Building Permit Application City of Tigard '7; 13125 SW Hall Blvd. j Tigard, OR 97223 �/q (503) 639-4171 Jobsite Addnmm f } Tenant: (ri?+'►` suite 0 Office Use Only P # Valuation: lanck/Rec Permit# ,: -y y I C" 1 . Owner. - Map& TL # Address: rl`y �` a'''`'`'� Approvals Required Planning Phone: - Engineering Other Contractor. Address Type of const: _ Occupancy class: Phone: Sprinklered? Yes No Contractor's License # (attach copy of current Oregon license) Sq. ft. of project Contact name & phone Story (1st, 2nd, etc Proposed use. Architect/Engineer: _ Previous use Address Note Plumbing & mechanical plans must be submitted at time of building permit application. Phone' JOB DESCRIPTION: —� f` 1-1r ` r� -c LO J Applicant Signature & Phone number Received by 41 J7. Date Received Permit ;S Account Oescnption Amount Amt. Pd. Bal. Duo Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: 0 cv' Sewer Connection (SWUSA) Com.. C Sewer inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF MF-R) Mass Transit TIF (TIF-MT) Commercial TIF MF-C) _ Industrial TIF (TIF-l) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WCUANT) ac -- r Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) LO Erosion PlanckiUSA (ERPLAN) lLJ Erosion Planck/CO T (EROSN) TOTALS: �`� '�r ��c�'e OF RTIFICATE Clr OF TIGARD PERMITS#. . . 00CUPANCY. . . . BUP"35-0116 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED. 08/02/9` 13125 SW Hall 81vd.Tigard,Orpon 97223.8199 (503)639 071 PARCEL: 1 a 1,2,61bG- @ 1 141 SITE ADDRE SS. . . : 09621 SW WASHINGTON SQUARE RD SUBDIVISION. . . . : Z0N1NG:C--G SLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : ----------------------- CLASS OF WORK, :AL.T TYPE:_ OF USE. . . :COM OCCUPANCY GRP. :E<< OCCUPANCY L LAD:237 TENANT NAME:. . . :B. DOLTON BOOKSELLERS Remarks : Tenant Improvement Ownort B. DALTON BOOKSELLERS 122 FIFTH AVE NEW YORK NY 10011 Phone M: 212-633-:3400 Contractor.: RAS BUILDERG, INC.. 180 E.. HAMPDEN AVE. ENGLE.WOOD CO 80110 Phone M: Reg N. . : 71548 This Certificate certifies that the above refer-enced building or portion thereof has boon inspected for compliance with the Tigard Building Code for the group and division of occupancy and use for which tht about referenced pet-sit was issued, and occupancy is hereby granted. 1 NO PEC TOR BU I __ NC; OF"F Al ', POST IN CONSPICUOUS GLACE CITY OF TIGARD BUILDING INSPECTION NOTICE ection Line (Rec-O-Phone): 6,9=,4175 Business Phone: 639-4171 r I r Footing Susp. 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 Line < -Bldg. Plbg. Linderlloor Rain Drain Framing umb. Alarm Water Line Insulation -Mach. Undertir. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: !'L Time: x AM PM Address_ �, t� ( (�_ _5 LQC Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: ArcOVA c� n _ J r L ..J Inspector Dale v APPROVED DISAPPROVED ____Call For Reinsp CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection line (Rec-O-Phone). 639-4175 Business Phone: 6394171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/S Ik Foundation Plbg. Underslab Mech Rough-in F Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: PosVBeam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing um�; Alarm Water Line Insulation XOM, Undertlr. Insu'. Shear Wall �} Gyp. Bd. Elect. Date Renu, sted: ( Time: AM PM Address:_ Builder: Permit 0: THE FOLLOWING CORRECTIONS ARE REQUIRED. i 1 Inspector: Date: A, L!APPROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE Call For Reinsp BUILDING PERMIT Ll- CITY OF TIGARD DATE ISSUED: . 07/14/95 5 -0~64 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PARCEL: 1 S 126OC-01 107 SITE ADDRESS. . . : 0,1 -' SW WASHINGTON SQUARE RD SUBDIVISION. - : ZONING: C- G BLOCK. . . . . . , LOT. . . . . . . . . . . . . . REI55UE: FLOOR ARES-- -- - --_ - EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :ALT FIRST. . . . : sf N: S: E: We TYRE OF USE. . . :COM SECOND. . . : 10:325 s F PROTECT OPEN I NGS"---- TYPE: OF CONST. :5N THIRD. . . . : sf N: 13: E: W: OCCUPANCY GRF'. :B2 TOTAL-------- : 10328 s f ROOF CONST : FIRE RET? : OCCUPANCY LOAD:237 BASEMENT. : sf AREA SEI". RATED: STOP. .C HT. : ft Gr.'PAGC. . . . s f OCCU SrP. RATED: I)AR HSMT'' : ME"ZZ?: READ SETBACKS--------- REQUIRED-__----_---_-_._—_--- FLOOR LOAD. . . . : ps f LEFT . ft RGHT: ft F1 R 3PF1,L:Y SMOK DET. . .-'y DWELLING UNITS: FRNT : ft REAR: ft FIR ALRM:Y HNDICP ACC:N' BEDF2Ma: DATHS: IMP SURFACC: PRO CORR:Y PARKING: VALUE. t: 13256 Remarks: sprinkler sy_t:em ful- s;t (ir,e Herr a ---------- _ _ .___---_ _.____... ___—_______—___._.._.._---.____-- FEES DALTON POOKSELLERS type amount Ly date recpt ,2 FIFTH AVE PRMT $ 104. 50 EON 07/14/95 95-260057 FIRE $ 41. GO JNF 07/12/rt5 W YORK NY 10511 5PCT $ 5. . 3 JI-IF 07/12/15 ''fie #: 212-633-3400 ntr-act n►- ¢ __... ___.. .. .... ---. ._ _.__.__.._-_ _.__ .____-. -. RE SYSTEMS WEST, INC. 9 FRONTAGE RCS. N #B )CIFIC WA 98047 Qyl a #: ?,60- tr 93-9906 $ 151. 53 TOTAL .ag #. . e 049732 ------- REQUIRED INSPECTIONS .s perait Is issued Subject to the regulations contained in the Sprinkler- Ro+.kgh - _ yard Municipal Code, State of Ore. Specialty Codes and all other Spr^inkler Final _ :lcable laws. All work will be done in accordance with Fire Alarm Insp _ .,roved plans. This perait will expire if work is not started Misc. Inspect i in - :hi- 181 days of issuance, or If work is suspeoAed for sore Final I ri s pect i on _..__. an ;81 days. — } Fall far^ inspection — 639-4173 t w CAi PLANCK#APPLICOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM BLTII.DING DIVISION, CITY OF TIGARD 639-4171 Date: Cp- l 4-1 G / PERMIT #t VIP Valuation. -- Amt. Paid: Permit Fee: a 5% State Tax: 5'.�� ✓ Balance Due: ��'� 40% FLS: y/. s'� Plans must be sub 'tieto the Building Division before installation. llhree sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation: Addition:_ Repair: Alteration:' Complete: Partial: _ Exitway: _ Basement: Hood & Vent: Spray Booth: IN EXISTING BUILDING:_ IN NEW BUILDING: NUMBER & STREET: 1-7 Wt"'I 1 J 0.7011 d+Q J&0- E. n.o . NAME OF BUILDING or BUSINESS: f3 Dc�L.-i-oJ foo►L��E.I..I.I=� NO. OF STORIES: Z SIZE OF BUILDING. OCCUPIED AS: .E.�- TYPE OF SYSTEMS: Wet: _ Dry: Combination: STANDPIPES: OCC.HAZARD: Light-*,, ORD.GRP.HAZARD 1,'/_2_3_4—Extra DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2 SPRI14KLER ORIFICE SIZE: 11-2 "K•' FACTOR S. TEMP. RATING OWNER: "N Ot ADDRESS: 90NTRACTOR: R PLANS DRAWN BY: ADDRESS: REMARKS: a APPROVED permits includes only work described above and/or on plans and specification bearing the �- same permit number and will comply with all applicable codes and ordinances of the City of Tigard. J r SPRINKLER COMPANY: F k (Z It 'c-v%C4• W 0­77- PHONE: '; (,co (,c 9'l 9 1 oc.e -y+ SIGNATURE OF APPLICANT: BUILDING DIVISION: PERMIT VALID FOR 190 DAYS .«d�e«elnereN►w WASHINGTON COUNTY RESTRICTED Deve�rtment of Land Use & Transportation EltticalInspection Section ELECTRICAL ENERGY 15S5tlotth First Avenue, 11350-12 I-l �ra, Oregon 97124 APPLICATION Information: (503)503)640-3470640-3470 Fax. (503) 344 6912 PRINTPLEASE • ease e • e ns, . . Permit No. Ei� 91:5_011640 1. Location of Installation 3 0A-Y04Cl Date Address 4 �` S W I�RSPF 5a IZ il City Zip Code 7zZ3 4. Type of work: Map No. e Ta) Lot _ RESIDENTIAL Restricted Energy Fee $40.00 (for all systems) Thomas Map Book: Page Section Check type of work involved: Directions Audio and Stereo Systems* Commercial Residential Burglar Alarm Telephone Systems* Tenant Name Garage Door Opener' (if commercial) ___ D!!LL-r__4,_ Fire Alarm Heating.Ventilation and Air Conditioning Systems* 2. Contractor application: Vacuum Systems* Other Electrical Contractor sttpyc N -QVC 'e+•.,.TrjC T l Address S.W. :7 z~oi 4Ve COMMERCIAL Fee fur each system $40.00 City S �TL/4a1�_ Stated Zip LZ (see OAR 916-264260) Date .lob Number _ Check type of work Involved: Property Owner c contractor's License No. Boiler I ) Clock Contractor's Board Reg. No. 0(0!1 87 Clock Controls •11 --T' Systems Phone No. — Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone Nn Intercom and Paging System Landscape Irrigation Control' Address Medical Nurse Calls City SCRIP Tip Outdoor Landscape Lighting* This permit is issued under OAR 918 320-370. The applicant agrees Protective Signaling to make only restricted energy installations(100 volt amp.or less) Other ander Phis permit and to do the following: 1 r only use electrical licensed persons to do installations where •equired (Certain residential and other transactions are exempt Number of Systems from licensing These have asterisks(1). All others need licens ing) Call for an inspection when all the Installations under this permit 'No Ncenses are req, — i enses art*required for all other Installornnt are ready for inspection. i 3 Purchase separate permits for all Installations that are not ready 5. Fees r for inspection when the Inspector Is out to Inspect under this n C1 `r Enter fees $ permit. - 4. Assume responsibility for assuming that all corrections required by the inspector are done,and S. Assume rssponslbiliq for calling for a final Inspection when all of 59i, Surcharge (.05 X total above) $ L L the corrections are completed. w Thr person signing this pormlt must be he applicant or a person Trust Account 3 authorized to bind the applicant. '7 Q Total g, Signature Authority it ocher then applicant _ __ This permit becomes null and void If the work authorized by the permit Is not commenced within 16o days from date of Issuance /� For Inspections call of such permit or If the work authorized Is suspended or abandoned 640-3561 or 693-4415 Electrical a any time after work Is commenced fora period o1 t ra days Permits s non-refundable and non transferable. 24 belt recorder, one working day In ndvenrp o1 nped pi ?4 114 t WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use &Transportation Electrical Inspection Section APPLICATION 155 North First Avenue,#350-12 Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 • A PRINT Fe11111t • •ase complete sections, • . Number UCt Q5— 0127. Date 1. Location of installation 4. Complete Fee Schedule below Address 962' 51; ;'a s h i nq ton Square Coad Number of inspections per permit allowed Building Space #11C Service included: Items Cost ea. Sum City Tigard Suite No. Cost(ea.) Tenant Name A. Residential -per unit (if commercial) B. Dalton Books 1000 sq,ft or less $110.00 4 Each additional 500 sq tt Map No. Tax Lot or portion thereof $2500 limited Energy _ $2500 Thomas Map Book. Page: Section Each Manurd Home or Modular Directions__ _- Dwelling Service or Feeder $66 no B. Services or Feeders Comntr'rcial Residential�� installation,alterations or relocation 200 amps or less 560.00 2 2a. Contractor installation only. 201 amps to 400 amps $8000 __ 2 Electricdl contractor W a s Electrical 401 amps to 600 amps $1200o 2 0; SE xoet 1L,,,,� Road -- 601 amps to 1000 amps $18000 2 Address 4 rricfQa Over 1000 amps or volts $34000 2 City t ti wau a -- State ZIP 77" Reconnect only _. $5000 2 Date_ 512?1 Job Number 3436 Property Owner Tfnrriiar Pacific C. Temporary Services or Feeders Contractor's License No, installation,Alteration or relocation Contractor's Board Reg. No. _ 200 amps or less $5000 2 " 201 amps to 400 amps $7500 2 Signature of Supr. Elec'n - f 401 amps to 600 amps $10000 _ 2 ••f S Over 600 amps to 1000 volts see 'B"above License No. - Phone No. � __ 1. D. Branch Circuits 2b. For owner installations: New,alteration or extension per panel a) The fee for branch circuits with Print ner's ame t i purchase of service or feeder fee. Each branch circuit _ $5 00 _ A-aresa- b) The fee for branch circuits without __ _ purchase of service or fe fee. qty State ZIPFirst branch circuit $3500 3 •00 2 Each add'nl branch circuit - —__. $500 2 The installation is being made on property I own E. Miscellaneous(Service or Feeder not includr9d) which is not intended for sale, lease or rer7t. Each pump or irrigation circle WOO 2 Each sign or outline lighting $4000 2 nwnnr,5 iQnAtI11P Signal circuit(s)or it limited energy panel,alteration 3. Plan Review section (if required) or extension $4000 Please check appropriate Item and enter fee In section 5B F Each addlUonal inspection over the allowable 4 or ore residential units in one structure in any o/the above m `= Per inspection f:35 00 _ Service and feedet, 800 amps or more Per hour $55 00 System over 600 volts nominal In Plant $55 00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees >. Submit 2 sets of plans with application where any of the A. Enter total of above fees $ 35.00 ., r** above apply. Not required for temporary construction r,"- Surcharge ( 05 X total fees) $ 1.75 _ J services. Subtotal $ _ This permit becomes null and void if the work stithori»d by the permit is S. Enter 25"0 of line A for I not commencet within 1W days from date of Issuance of such permit or Plan Review if required (Section 3) $ X1if the work authorized Is suspended or abandoned at any time after work Subtotal $ is commenced for a period of 180 days Electrical r`ermits are non- $ —— refundable and non transferable ❑ Trust Account For Inspections call Balance Due $ 3G.75 681-3699 or 681-3698 `�• 24-hour recorder, one working day In advance of need et.ze • arise! -"6 % WASHINGTON COUNTY E L R I E Department of Land Use & Transportation ECT CAL P RMIT Electrical Inspection Section 155 NortFirst Hil sbo oh Oreq nVe97124 50-12 AP P LI CATI Q N Information: (503) 640-3470 Fax: (503) 69,34412 Permit PLEASE PRINT Number -� �. ��" C-�I NPlease complete all sections, I Date 1 35 _ through4. Complete Fee Schedule below & Z I Number of Inspections per permit allowed 1. Locati n of ins allatign lI!lih �r — Address _ I Service included: Items Cost(ea.) Sum Buildingg — A. Residential-per unit City ���;��2-�� Suite fVo. 1000 5q.n.or 1659 1110.00 _s. 4 Tenant Name (if commercial) j {.� [1 J r �� Each additional or portion thereof sq.ft _..__ 525.07 Limited Energy —__ $25.00 -- 1 Map No. Tax Lot Each Manufd Horne or Modular Dwelling Service or Feeder :68.00 2 Thomas Map Book: Page: Section: _ Directions`_._.—__ B. Services or Feeders Installation,alterations or relocation 200 amps or less __ $6000 2 Commercial Residential 201 amps to 400 amps $80.00 2 401 amps to 6W amps $120.00 _ 2 2a. Contractor it tallation �f/71V" 601 amps to 1000 amps $18000 2 l`5' !' ( Over 1000 amps or volts — $340.00 — 2 Electrical Contractor �-,p ,1 A," rJ Reconnect only $50.00 2 Add S,�c_ _, ?1t A" City State ZIP 7 Z C. Temporary Services or Feeders Date - Job Number Installation,alteration or relocal on Property Owner 200 amps or less $5000 Contractor's License No. 201 amps to 400 amps $7500 40t amps to 600 amps $100 00 _ 2 Contractor's Board Reg. No. _ ' Over 600 amps to 1000 volts.+ee'B'above Signature of Supr. Elec'n D. Branch Circuits License NoL���;,�� _ Now,alteration or extension per panel a) The fee for branch circuits with 2b. For owner Installations: purchase of service or feeder fee. Each branch circuit $500 _ Print Owner's ameonce No --- b) The fee for branch circuits without purchase of service or feeder fee. AZITF—ess — — First branch circuit $35.00 __ 1 Fach add'nl branch circuit-- $5.00 City �- 21—p- E. Miscellaneous (Service or Feeder not Included) Each pump or irrigation circle $40.00 The installation is being made on property I own Each sign or outline lighting _� $4000 which is not intended for sale, lease or rent. Signal circuit(")or s limited energy panel,alteration Owner's Signature _ «_— or extension $4000 — 7 F. Each additional inspection over the allowable In any of the above 3. Plan Review section (if required) Per mspe-lion $1570 Per hour $5500 Please check appropriate hem and enter fee In section 5191 In Plant i— s55 00 _ (V') _4 or more residential units in one structure _Service and feeder, 800 amps or more 5. Fees —System over 600 volts nominal A. Enter total of above fees $ ___Classified area or structure containing special 5% Surcharge (.05 X total fees) $ 4 ` y occupancy as described in N.E.C. Chapter 5 Subal B. Enter e 2596 of line A for s N 3) $Section required - t Submit 2 sats of plans with application where any of the Plan Review if re 4 ( g ------- >�. above apply. Not required for temporary construction Subtotal �. services. t_1 Trust Account $ Balance Due $ For Inspections call this permN bef Mr.ee null end—id Nth*--b 4.1t—Ord by the pe-111 is nal corn--ad 640-3561 or 693-4415 wNhin 100 born dale d.Nuance 4 ouch permN-of the wort authdlled N owpended a ebendnnod N r.y Ilrne Nler word N eornrr.enced la•period of t W deye. 24 hoar recorder, one working day in advance of need flMHcal t'erMNe ve non rolundobte end non 1rsnNere1,11e fl 04 WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation ---. Electrical Inspection Section 155 North First Avenue, 11350-12 Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 6534417 Project/Permit - L Number � e �1-1--+a•'- PLEASE l; • - PRINT• 4. Complete Fee.,Schedule below Z/ Number of Inspections per permit allowed 1. Locat on of InstaCation _ 1 Service included: Items Cost(ea-) Sum Address •ice Sa1�5�'00 ` Built inng A. Residential - per unit City —p-a-1,7 It Suite NO. — 1000 sq it or less $110.00 --- 4 Tenant Name _ p A L Te A) Each additional 500 sq ft (if commercial) __ or portion thereof —_ $25.00 1 ,.� �] Limited Energy $2500 Tax Lot �� Map No. CU-+=-1--- Each Manu"d Home or Modular 2 Dwelling Service or Feeder Thomas Map Book: Page- Soction: Directjons_�1�_�? 5 - .- - B. Services or Feeders -y{ L installation,alterations or reloceli $60 00 %(-, O A 2 20r amps or less --�-- 2 COnTmerCi?.1 Residential[� 201 amps to 400 amps i $8000 401 amps to 600 amps $120()o 2 601 amps to 1000 amps --- $18000 2 2a. Contractor installation onl over1000ampe volts _— $34000 2 Electrical Cor actor t N � �/L � r� Reconnect only $5000 _ 2 Address __�p 9 s� OS Date 5-'�-�-y{ - Job Number t.k '� O C. Temporary Services or Feeders 41t.4 Installation niteration or relocation Property Owner 200 amps or less $5o 00 2 Contractor's License No. _ 2H2011 amps to 400 amps - $75.00 2 Contractor's Board Reg. No. 1'f 14 4 401 amps to rano amps $10000 ()ver 600 amps to 1000 volts see'B'above Signature of Supra Ele^c'n _ License No.�$ P ne No. Sb3_ G,*$ �o�$ D. Breach Circuits New,alteration or extension per pen(-.! e) The toe for branch circuits with 2b. For owner installations: purchase of emike or feeder fee _ 2 Each branch circuit $500 r nt ner'e ams h�One RO b) The fee for branch circuits w th.t purchase of mrvif0e or feeder fee. TFess First branch circuli $35.00 - 2 Each add'ni branch circuit__ $5.00 2 F Miscellaneous (Service or Feeder not included) i The installation is being made on property I own Each pump or irrigation cirle__ s2ae 00 2 Each signor or--nine lighting $40.00 which is not intended for sale, lease or rent. signal circuit(s)or a limited Owner's Signature .. _ _ --- energy panel.alteration or extension $40.00 2 F. Each additional inspection over the allowable fa- in any of the above a 3. Plan Review section (if required) Per inspection — $ Soo f... Per hour $:5 00 —. Please check appropriate Mem and enter fee In section 5B. in Plant $55 r _ _ 4 or more residential units in one structure \ _Service over 800 amps; feeder 800 amps or morF 5. Fees ce r __System over 600 volts nominal A. Enter total of above fees S Classified area or structure containing special 5% Surcharge (05 X total fees) S occupancy as described in N.E G. Chapter S Subtotal B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) — above apply. Not required for temporary construction Subtotal $ $ services. Less Bulk Label Fee Balance Due o For inspections call Thy r«•p tocemoo„„n..,d *.d.rd M th.«.,.►.uttv,.1 M�•P01-04^°r—­ d640-3561 or 693-4415 WWA""°'"'hi d"'°" "•�h p.�.p a plow­6•.&.irb 4 e11@rd••e.*66n60n0,1 M«ry Haw M«, b 4 eew,,.wt,c.d t..•W" A 190 d.r. 24-hour recorder, one working day in advance of freed F186a,el.«.tw..e ti_..1u,.d.A1.•^a^ „•^•r•'•bia 1'144 r '1 CITY OF TIGARD VVV COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oropon 972:13.8199 (503)839-4171 r!-LUMB I NG PE:RM I X39 4171 PATE ISSUED: 06/05/')5 151C.00 -011' TC ADDRCS'.,. . , 016-7'i SU' WASHINC TON SQUAME RD 'ESI?IVISION. . , . . ZONINGa C--G 00... :. . . . . . . . , LOT. . . . . . . . . . . . . .ASG RF* WOnf<, . :rLT GAnSOOE DISPOSALS. . mcr, _' i nmr. ^r_rcr,. 'PE OF USE. . . . rCOM WASHING MACH. . . . . . . ; SACKF:'LOW PRCVNTRS. . : rt!'r"'f'iC1CY GRr'. , .r, r i-acn^ nRAINS. . . . . . . .,::: TRAM'^.. . . . . . . . . . . . . . . DRIES. . . . . . . . sem' WATER HEATERS. . . . . . : 1 CATCH SAS IN7. . . . . . . . XTURCa- LAUNDRY TRAYS. . . . . . ; ::fr RAIN DRA;:'!:7. . . . . :NKS. . . . . . . . . . r URINALS. . . . . . . . . . . . e GREASE TRAPS. . . . . . . s ;VATORICS. . . . . OTHrp r IXTUnE-,. . . . . D/SHOWERS. . . . s SEWER I INr (ft ) . . . . ITrR CLCSCTS. . s wrr, -r, L.INr (, t) . . . , 8HWASN'e*RS. . . . : RAIN DRAIN :f t: ) . . . . s mar-ke : TI fo. ct(ai1 rbj..a:.e r:e►.: _ - - _ --- .. _.__ __ ... rEE& DAL.'ON :5001' C't.i_C r" t Y :%p amo�.,nt tly date O r I r TH AVE PRMT t 63. 00 JDA 06/05/95) Pt.CK t 1Z. 7" ,JDA Q►6/ !!9'�i t'!Y 1 QIP) 1 sPCT Z .. A=« .,. . ... .. ... 5555-... . ... DF RN "PLUMBING 81 . ^" TOTAL Ei REDUIREAD INSf<PECTION TFis permit is Issued %object to the spulations eortained in the ri ne 1 I n s oe-ct i or, Tigard Municipal Code, 9t0e of bre. Soecialtw Codes and all other applicable Iaws, all w;.rk will be done in utordrd n:* with appvoofd plans. This permit will expire if work .s +,;.s started wthi� i$Y dams of irwarsrc, or if sra+rw is suspended for tort _ _.,.._...._...__ thArl IM days. City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Pe rn 't # Tigard, OR 97223 �iR �-� (503) 6319-4171 5 N �' MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE » •� New Single Familv Residences Only Ad*- F1 1 BATH HOUSE $140.00 'i 2 BATH HOUSE 5195 00 Job ❑ 3 OATH HOUSE$225 00 Address c waM• eb Fee includes all plumbing fixtures in the dwelling and the first 100 %et of water service, sanitary sewer and storm sewer See fees below • a ••» ew•�•• FIXTURES QTY PRICE AMT Sink 900 ww�•••• *m• Lavatory 900 Owner Tub or Tub/Shower Comb. - 900 Shower Only J 00 - Water Closet i 400 w.» a..»ae.•r..i Dishwasher 900 Garbage Disposal 9.00 Occupant Washing Machine 9.00 J Floor Drain 9.00 1100 Jnr• ar Q Water Heater 9 00 rid Laundry Room Tra; 900 Pam Urinal 9,00 r� h Other Fixtures (Specify) - 9.00 Md" 9 00 Contractor 900 Cw1b,• ar 9 00 Sewer 1 st 100' 3000 *M•�•a-••� CIV '••"^ Sewer-ea. Addit. 100' 25 00 Water Service 1st 100' 30 00 I hereby acknowledge that I have read this application, that the Water Service ea Addil 200' i :500 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws that Storm & Rain Drain 1st 100' 3000 I am registered with the Construction Contractor's Board, that the Storm d Rain Drain Addit 100' 25 00 number given is correct (If exempt from State registration, please give reason below) Mobile Home Space 2500 Back Flow Prevention Device or Anti-Pollution Device 9 00 ... .... >y.+r Any Trap or Waste Not Connected to a Fixture 9 00 Describe work new () addition 0 alteration 0 repair Catch Bann 900 to be done residential Q non-reaidentlal Q Insp of Exist Plumbing 40 00/hr Specially Requested Inspections 40 OOmr Existing use of - Rain Drain, single family dwelling 30 00 building or property Residential backflow prevention devices 1500 `s P.oposed use of t— J1 building o property —- - •(Except residential backflow N p►eventlon devices) � NOTICE *Minimum Fee (25.00 SUBTOTAL ' 3l W PERMITS BECOME VOID IF WORK OR CONSTRUCTION 1 -� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5N. SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1813 DAYS AT ANY TIME AFTER WORK IS r PLAN REVIEW 251,: Or SUBTOTAL COMMENCED TOTAL Special CondRbns Date issued _ i� �j 1 �� by CITY OF T I GARD COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL 11125 SW Hall Blvd Tlgard,Orogon 97223.61 99 (503)$39.4171 PC"M I T PERMIT #. . . MEC9'_j 0104 DATE PARCCL: 1GIc60C-01107 ,'ITC ADDREIG^. . . !7:W WASHINGTON SQUARE. RD '3UBDJ'V'A'51ON. . . . ZONING: C-G BLOC.") LOT. . . . . . . . . . . ,t_assr or WORK. . tALT rLOOR TURN. t rvrip COCLErS: TV.PE or . . . ;Com UNIT HEATERS. . : VENT rANS. . . s,� OCCUPANCY GRP. . &B2 'VENTS W/0 APDL VENT fjY^TrM-s 3TORIES. . . . . . . . 3 :2 BOILERS/COMPRESSORS HOODS. . . . . . . r7Uf7L TYPES 01 -3 11P. . . . - Domr7j. INC U). 3 3- 13 HP. . . . t COMML. INC'INs 4AX 7NPUT 1'3 '110 HP. . . . : REPA I r, 0141 TS r IRE DAMPERS?. . : 3 el SO HP. . . . WOOD STOVES. . : 1AS PRc0?S3t1fr.. . . 50+ HP. . . . a CLO DRYCP'J. . ; )o_ or UNITS-- ATP HANDLING UNITS OTHER UNITS. -"tJRN ( 1001," STU. (= -fm : : OAS OUTLCT'). "URN > -10011% BTU: > 10000 cfall TT foi 'e'tar�j I al)'­'t.%q FEES ------ t y1 k amo'..nt by Hate i._21 rIFT14 Pvc PRMT f 37. 00 B 06/01/95 PLCK 1). '-,!S r 06 01 0 1 /IS W IRK NY 11701 1 Sp" t I a5 S etc,/lz 1/95 .-hone #c .r[7*_T 'r-ICATING .q35 -JILVERTIN rD NE :?ALCM OR z`77303 -nloti P 1i: �,f33 k'v 334 t 48. 11T '1eq *. . - 0"44 REQUIPt!) INSPECTIONS 'his porelit It itsuid subject to the rallilations contained ip the rin'Al In4pectioll i4ard Municipal Code, State cf Ore. SOCIalty Coits ad &I'A othile spali"I laws. All work will be done in accordance Wth Awev#d plan. This ;trait kill expire it aw-4 ill net started ithim Ill days of ittArce, or 1° k%11k is suswded hr more 186 days. . CITY OF TIGARD BUILDING PERMTT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT i1. . . . . . . : BUP95 -0116 13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)630.4171 DATE ISSUED: 05/18/95 1 PARCEL.s 1 S 12600-01 107 SW WASHINGTON SQUARE RD JBDSVISION. . . . : ZONING: C--G �_OCi;. . . . . . . . . . . LOT— . # . . . . . . . . .. 'CISSUE.: rL00Ei ARUA ---- EXTERIOR WALL CONSTRUCTION- I_Aa iS OF WORK. :ALT FIRST. . . . i s f Ni S1 E: W: ;:'!~ OF IjSL. . . .C"" SECOND. . . : 10,328 sf PROTECT OPENINGS? ..----- ---- Y 'F OF CONST. :5N THIRD. . . . : S f N; S: Est W1 ':CUPONCY G'RP. :E TOTAL -, 10528 s f ROOF CONST: FIRE: RET? : ';CUPANCY LOAD:237 BASEMENT. 1 sf AREA SEP. RATED: "On. 1IT. . ft GARAGE. . . : of [CCU SES'. RATED: IHR �1T^: MEZZ": REOD REQUIRE --------- -OCR LOAD. . . . : p s F LEFT: ft RGHT: ft FIR SPV.1-:Y SMOM DCT. . :Y WE=LLING UNITSs FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y "C? 3 t Ii(iTl1"; ; IMF SURFACE: r RO CORR:Y PARIS TNr'3: '1LJE. $: 401 100 l,mwrkw: T1 fcr, retail apace ,vrier. —_...._. -.___..___ .. - - FEES DtAL.TON ECCIKSLLLERS type a►mliunt by cute r,ecpt rIrTH AVE PRMT f 1188. 00 ?? 04/12/95 45 2264071 PLC K $ 77 . #^[Z ^. ^ 04/18-/')5 95 .-'&4079 i;W Y(IRK NY 10011 FIRE Is 475. 20 77 04/12/95 95-26407n :;ne # - I ,'- w 71400 SPCT ! '57. 40 "? 04/12/9" 95--16407 )T1tr'cnCtm- ; _ -......_ . ..._ ... -- __-_.........._.._._.,_..._.__..._.,._._-_ U11 11-1.1 IN17. '10 C. HAMPDEN AVE*. AGLEWOOD f"C 80110 lune #: $ 12494. 80 TOTPL. req #. . : 71.";48 REQUIRED INSPECTIONS ---- is permit is issued subject to the reslulations contained in the Fr•asmsiny I,� iN ;far'. Municipal Cade, State of tire. Specialty Codes and all other Insulation Insp olic3tle laws. All Mork Mill to done in accordance with Gyp Board Insp __.._..___ ...._..._ _.._.._- ..roved plan:. This permit will expire if work is not started S u s p C e i 1 n q Insp _.... . ... . :hih !At davS of issuance, or ;f work is susaended for more Ficial Inspection _^ 1 days. CL ftaR r'r l l fcl, inspection - 639-4175 W Commercial Building Permit Aaolication City of TigardI rl L 06 „' <<s ,. 13125 SW Hall Blvd. 5 J Tigard, OR 97223 (503) 639-4171 13 1 Jobsite Address: S �W WASttIAIlo?ap! SRU�c.E- Tenant: g • PA Lxt/J Suite 0 2,05 Office Use Only Valuation: Oro[ Planck/Rec # ; - 2A C Permit# Owner: Ir, , DX-l. MtJ Map & TL # r6" ec Address: 11-2- F(EM AVS Approvals Required Nf,W \�oQ-tN r-vj y o R l` °C1l i Planning Phone: V-L 3 3 3400 X Indo(, Engineering t OWTAr� M%c(.-t CL, 'T HD"AS ^ Other Contractor: 'Cb 6f, PETE4e-MIAWcD c'1�I y - I r Address: Type of const: Occupancy class: _ 2 Phone: Sprinklered? Yes No Contractor's License # (attach copy of current Oregon license) Sq ft. of project: Ic Contact name & phone Story (1s:, 2nd, etc.) ZFJC, Proposed use: RETT}lt- _ Architect/Englneer: NH8j A1R. a-ifirtTS _ Previous use: Cz E-rAil, Address: I 1 t 5 • J Ae KhOrJ -X- - Note: Plumbing & ,mechanical plans �, 5EA 1 t LE VJA Is 1 o4 must be submitted at time of building permit application. v~i Phone: `�� b1-1 'L4t 0 s JOB DESCRIPTION -rT_j1A"- I MPrZoVENQJT- of MTA it, S PA<-fv c� W -- -- __ r i Applic t Sign lure & Phone number Received by: I - t -) __ Date Received: ___. �Pwmk M Account Description Amount Amt. Pd. Ball. Due 04 dg. Permit (BUILD) ' { sq,� Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) �C�� U (f Bldg: Plumb: Mech.- Plan ech:Plan Check (PLANCK) "� 7 C 77 22) Bldg: _- Plumb: Mech.- Sewer ech:Sewer Connection (SWUSA) _ Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) o. -- Water Quality (WQUAL) rY - f- Water Quantity (WQUANT) Fire Life Safety (FLS) ;77 r W Ernsion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) l FOR OVERSIZED DOCUMENTS SEE 35 mm ROLL FILM >. i r