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9640 SW WASHINGTON SQUARE ROAD — qtW10 ubsh - Sg. Dr.—� AZ904Z�44�J DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 150 NORTH FIRST, HILL SBORO, OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561 (24 Fours) OREGON PHONE: 503/640-3370 l� r ■ View comments for selected item 65BUILDING PERMITAAAbAAAAbbbbbbbbAAbbAbbbabbbbsbbbbbbbAAbbbAbAAAAAbAbbbbAAAabbC :BUP90-0004: PROJECT:LADY FOOT LOCKER STATUSiV : UPD:03%30/90: :JLH: PERHITTEE:LADY FOOTLOCKER PRIM. . :BUP90-0004: SITF ADDRESS:9640 SW WASHINGTON SQUARE DR 6A CA39 HISTORY SAAAAASSSAAAAAAAAaAAAAb&Req/SentASehd/DLIe3End/DoneAABy&StatbAA� H CO20 Plan check by 01/03/90 01/03/90 JHJ PASS C030 Fire District: review 01/03/90 / / / / GB PASS C090 (F) Ready to issue 01/03/90 JHJ PASS C100 (F) Issue permit 02/05/90 JLH PASS C735 Mechanical Insp 01/03/90 / / 03/27/90 GS PASS C740 Framing Insp 01/03/90 / / 03/27/90 GS PASS C740 Framinq Insp 02/22/90 GS APP C760 Gyp Board Insp 01/03/90 / / 03/27/90 GS PASS 0762 Sump Ceiing Insp 01/03/90 / / 03/27/90 GS PASS C762 Sump Ceiln7 Insp 03/07/90 GS DEN C762 Sump Coling Inap 03/09/90 GS APP ° C799 Final Inspection 01/03/90 / / 03/28/90 GS PASS C799 Final Inspection 03/27/40 GS NOT C950 (F) Issue Cert. of Occupancy 03/28/90 JLH PASS bAbbAAbAASAbbbbAAAAAbAAbbbbbbt�bbbAbbaA3bbbbAAAA3A6AAIAabbbbAbbbbbAAAAAAAbAbAAAi HISTORY: VIEW UPDATE DELETE ESC View comments for selected item USUILDING PERMITAbAAbAAAAAIAAb:iAAAAAAAbAAAbbAAAAAAAAAAAbAAAAAat[itaiAbbAAAbAAC :B(iP90-0004: PROJECT:LADY FOOT LOCKER STATUS:F : UPD:03/30/90: :JI.H: ° PERMITTEE:LADY FOOTLOCKER PRIM. . :9UP90-0004: SITE ADDRESS:9640 ;'tl WASHINGTON SQUARE DR oA CASE: HISTORY AAAAhAAAAAAAAAAAAAAAAAAbReq/sentASchd/DueAEnd/Done868ytStatAdtC ° H 0020 Plan check ti, 01/03/90 01/03/90 JHJ PASS 0030 Fire District review 01/03/90 / / / / GB PASS 0090 (F) Ready to issue 01/03/90 JHJ PASS 0100 (F) Issue permit 02/05/90 JLH PASS 0735 Mechanical Insp 01/03/90 / / 03/27/90 GS PASS ° C740 Framing Inap 01/03/90 / / 03/27/90 VS PASS ° 0740 Framing Insp 02/22/90 GS APP C760 Gyp Board Inep 01/03/90 / / 03/27/90 GS PASS C762 Sump Ceiing Insp 01/03/90 / / 03/27/90 GS PASS 0762 Sump ceilnq Inap 03/07/90 GS DEN 0762 Supp Ceilnq Insp 03/09/90 GS APP ('799 Final Inspection 01/03/90 / / 03/28/90 GS PASS ' 0799 Final Inspection 03/27/90 GS NOT 0950 (F) Issue Cert. of Occupancy 03/28/90 JLH PASS AAhbbbbAAbAAAAAAAAAAAAAiAbAAAb4AAA:.AAAAAAA6AAAAAAAAAARAAAAAAAAAbbAbAAbA6AAAAXAi ■ CERTIFICATE OF OFTIFARD OCCUPANCY CITYcd PERMIT N. . . . . . . s BUP90--0004 COMMUNITY DEVELOPMENT DEo ` T VRIM. c'�ERMIT N. s E�UP98-0084 t 3 126 SW Hdl Blvd. P.O.Ba 23397,Tfgrd,Oregon 9 ( S aG r�,5 \ _ DATE Zt`4LFbe A /?A/'au SIZE. ADDRESS. . . a 9640 JW WA.SF(1NUfUN :jl1U.4r4 UFt PARCELS 1Li12E:C0-..81401 RUBDIVISION. . . . s WASHINGTON SQUARE ZONINOt C--G BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . s _ -_........_--` CLASS OF WORK. SALT TYPE OF USE. . . xLOM OCCUPANCY GRP'. :B2 OCCUPANCY LOADsJ@ TENANT NAME.. . . sLADY FOOTLOCKER Remarks@ Interior remodel for Lady Foot Locker Store Owners -- ._._.__,- ------------------- LADY ---___,.-...........«----..LADY FOUTLOCKEk '4640 SW WASHING CON SSU RD TIGARD OR 9122:1 Phone Ms Contractors ----------------------------- D Phone Ns Rep *. . I Occupancy of the ,above referenced building is hereby given, and certifies the compliance with the State Of Oregon Specialty Codes for the group, ocrupnd use under which the referenced permit was isstowd. FIRE DEPAkTMENT DINO I . , OR E+UILDI OFFICI — POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department P O. Bor 23397 / Tigard, Oregon 97223 Phone 639-4175 Type of Inspection -- Date Requested 'J A.M.— P.M. Address — l t Permit -1� Owner / Lot Builder 'The following Buiidik/9 Code deficiencies are requii ed to he corrected: -- --r� Presented to _ —— - Ap Dred Inspector ___ _ C� Disapproved Date -- CALL FOR REINSPECT,'ON C"l YES 17 No ■ INSPECTION NOTICE Vv4 City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Time __� A.M. Mite Requested__ _- / r / -P.M./� Address - X11 �l l•� Jf __ Pernsit *,2L-a)'O-� Owner _ ;'-�-�/ Lot A �� Builder —_— - The following Build g Code deficiencies are required to be corrected: - - Presented to ~_ 0 Approved Inswtor —11 "" —_ disapproved (late — CALL ;O"EINSPKCVON Ye! LJ MO �pt:N Vq� TUALATIN VALLEY FIRE & RESCUE rrill < AND BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OFFICE a11A S�J� (503) 526-2469 POSTED: PIE OCCUPANT CONTRACTOR C? tis BLDG. PERMIT 0 PROJECT NAME A S 1 J 4V IAQ, PIAN REVIEW 0 / r' LOCATION � a1h JURISDICTION: I= Be. 2= Du. 3= n C. 4- i. Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER (7, A _ SPF.:'.AL _f OLIAW-UP/REINSPECTION XiTEMPTEn FINAL t� Framing 3eparat.ion Walls El Sprinkler System u Shaft Fire Dampers (Overhead/Underground) ElAlarm Svstem ❑ Hood Extng Systems El Confererce El Spray Booth Ceiling Cover Other _-----" Date: Inspectors UNUU UUNN Lal INSPECTION NOTICE CJ� i1 City of Tigard Building Department �t uti P O Box 23397 Tigard, Oregon 97223 Phone-. 639-4175 Type of Inspection —_—__-- `�• Date Requested _ _ Time A.M��,y� P.M. . P.ddress Pe!Z f► o - 2,0A - Ownw Lot It_ Builder - The follirvinq BuildiCoda deficiencies are required to be corrected: �dAb i Preumted to P4 Approved Inspector CJ Disapproved Date T ? - CALL FOR REINSPECTIO ' CJ Y!! 0 No INSPECTION NOTICE City of Tigard Building Department P O Box 23397 Tigard. Oregon 97223 Phone 839-4175 i Type of Inspection Date Requested _-`L� C� Time ,__ A.M..{_ P.M. Address Owne- _ a _�—" Lot # _ BmIder The following Buildinaode deficiencies are required to be corrected: r� V le- Presented to T I Approved Inspector � _ �� Disapproved Date CALL FOR RF;INSPEC77ON 1-1 YES 1 _1 No INSPECTION NOTICE L r✓w City of Tigard Building Department P O Box 23397 Tigard, Oregon 97223 // Phone 639-4175 Type of Inspection _ "fi`�/5 %1 _._-- --- – Date Requested _ _ — TinN_ Ar.M,.�-72� ;A P.M. (/ Address _ y1�� ` P�rftfit M' –f Owner . l a 1 Lot #t Builder / ' The following Building gkde dentia ere required to be corseted: l PrPvrnted to ��� �Ac�pprov*d Inspector [ iwpproved Date CALI, F'ORAEINSPECTION 1tloo INSPECTION NOTICE City of Tigard Building Departm`erw 1/ „e'--� P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Bate Request d3 !��-}f�q� TirtNle4fl A.M I lff�, .M. Address -5jrti�n J K.� L �/7 J Permit Owner•- A/m iLma✓ Lot * Builder The following Building Code deficiencies are requirmito be corrected: z or Presented to Approved Inspector �- Diwpprovvd Date L ell _ CALL FOR REINSPECTION F-1 YES C.7 No C11YOFTIOARDCCW0F ING PERMITCOMMUNITY DEVELOPMENT DEPARTMENT w1IiQ N• . . . . . . : PLM90-0032 13125SWHOBtvd P.O.BaM2 W-T1prd.0`rpooAf=(SM)63"15IM. . IT #. : BUP90-0004 _ SITE ADDRESS. . . t 9642 SW WASHINGTON SQUARE DR PARCEL: 1S126CO-01401 SUBDIVISION. . . . : ZONINGt BLOCK. . . . . . . . , . : LOT. . . . . . . . . . . . . : --------------------------------------------------------------------------------- CLASS OF WORK . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. t TYPE OF USE. . . . :COM WASHING MACH. . . . . . . t BACKFI.nW PREVNTRS. . t OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . t TRAPS. . . . . . . . . . . . . . : STORIES. . . . . . . . 11 WATER HEATERS. . . . . . t CATCH BASINS. . . . . . . : FIXTURES-------------- LAUNDRY TRAfS. . . . . . t SF RAIN DRAINS. . . . . t SINKS. . . . . . . . . . I URINALS. . . . . . . . . . . . e GREASE TRAPS. . . . . . . I LAVATORIPS. . . . . : OTHER FIXTURES. . . . . sl TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . t WATER CLOSETS. . : WATER LINE (ft) . . . . I DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . s a}� Remarks: Interior remodel for Lady loot Locker Owner: ----------------------------------- ----------------- FEES -------------- DEJAGER CONSTRUCTION, INC. type amount by date recpt 75 60TH STREET SW PRMT $ 25.00 5PCT $ 1.25 WYOMING MI 49508 PAYM $ 26.25 JLH 02/28/90 Phone #t (616)530-0060 Contractors ----------------------------- CASEY'S PLUMBING 904 NE 157TH AVE PORTLAND OR 97230 ------------ ---------------•--------- Phone #: 253-6947 S 26.25 TOTAL Reg i. . t 52029 ------- REQUIRZD INSPRCTIONS ------- This permit in issued subject to the regulations contained in the Rough-in Insp Tigard Municipal Code, State of Ore. Specialty Codbs and all other Top-out Insp applicable laws. All work will be done in accordance with Final Insprction approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more T _ than 180 days. Permittee Signaturws Issued BY: Call for inspection - 639-4179 i CITY DF TIGARD - FF(:F IF T OF PAYMENT REC Nut C'010-1530 CHVJ AMOUNT 26.25 I NAME$ CASE% , PLUMPINU CASH AMOUNT t .11() I ADDRESS$ PAYMENT DATE '1-g0 PORTLAND. OR 9721,0 BLOCK NO/ADDit$ I FUFFOcELIF FA'/MFiJT�!'______ AMOUNT'PAID PUkPOSE OF PAYMENT ArrICtUNTrFAM ` FLUMHING PERrtIT (n0-00 2} 25.00 STATE BUILD PERMIT TAX t5y:y I• I PEF111T WILL K MAILED TO CONTRACTOR' TOTAL AM01141 FAIL) - - - - 26.2".5 ■ INSPECTION NOTICE City of Tigard Building Departrreint DO Box 23397 Tigard, Oregon 97223 Phone 639-4175 Type of Inspection Date Requested_ _ Time M. _ P.M. Addrefe _ Owner __ __ Lot # Builder �' ! J The following Builcfirfg Code deficiencies are required to be corrected Presented to ._ A r�ppmved Inspector—._ LJ Disapproved Date • Z y�` _____ _.. -.-.. CALL FOR REINSPECTION C1 Y18 0 NO CITYOF ThFARD C nY TW ARD TW.4RD COMMUNITY DEVELOPMENT DEPARTMFUT OREGON 13125 SW 4a I Blvd P.O.Box 23397,TKwrd,Oregon 97223(5W)639 4175 CITY OF TIGARD - BUILDING PEh.KIT PERMIT #. . . . . . . : BUP90-0004 PRIM. PERMIT #. : BUP90-0004 DATE ISSUED: 02/05/90 S1TE ADDRESS. . . : 9640 SW WASHINGTON SQUARE DR PARCEL: 1S126CO-01401 UBDIVISION. . . . : WASHINGTON SQUARE ZONING: C-G �LOCK. . . . . . . . . . t LO'... . . . . . . . . . . . . : r------------- -------------------------------------------I----------------------- F..SSUE FLCOR AREAS---------- EXTERIOR WALL CONSTRUCTION- -LASS OF WORK. :ALT FTRST. . . . t1750 of N: S: F.: Wt YPE OF USE. . :COM SHCOND. . . : of PROTECT OPENINGS?---------- YPR OF CONST. :3N THIRD. . . . : of N: S: E: W: CUPANCY GRP. :B2 TOTAL------t1750 of ROOF CONST:H FIRE RET?tY CUPANCY LOAL:30 BASEMENT. : Pf AREA SEP. RATED: TOR. : 1 HT. - 12 ft GARAGE. . . t of OCCU SEP. RATED: SMT?:N MEZZ?:N READ SETBACKS-------- REQUIRED------------------- PLOOR LOAD. . . . : 100 pof LEFT: f* RGHT4 ft FIR SPKL:Y SMOK DET. . : �WFLLING UNITS: FRNT: ft REARt tt FIR ALRM: HNDICP ACC:Y �EDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING: Pemarkt:l Interior remodel for Lady Foot Locker Store wilr'3r. -----------------------------•------ ---------------- FFES ------------ -- EJAGER CGNSTRUC,)ON, INC. type amount by date recpt 5 60TH srREET SW PRMT $ 193.00 PLCK $ 125.45 *YO4ING MI 49508 FIRE S 77.20 / hone 1t (616530-0060 5PCT $ 9.65 PAYM S 202.65 JH 10/31/39 106033 ontractort ------------------------------ PAYM $ 202.65 JLH r "15/90 NTRACTOR NOT ON FILE ---------------- hone #: $ 405.30 TOTAL eg 1. . t ------ REQUIRED INSPECTIONS ------- his permit is issued subject to the regulations contained in the Slab Inep igard Municipal Code, State of Ore. Specialty Codes and all other Plm/undelb Innp applicable laws. All work will be done in accordance with Mechanical Insp pproved plane. This permit will expire if work is not utarted Framing Inep _ ithin 100 deys of issuance, or if work is suspended for more Insulation Insp hen 180 days. Gyp Board Inep _ Susp Ceilnq Insp Final Inspection ermittee Signature': ;�� T _ ssued By: Call for inspection - b39-4179 i I CITY OF TIGAPD - RECEIPT OF PAYMENT FEC; NO: 00107224 CHM AMOUNT Fp-6!" INAME PE TAGER CCSSTRUCTION CASK AMOUNT t .00 ADDRESS% 75 60TH ST 9W PAYMENT DIAV,, : 02-0155--90 WtiOMING. MI 4Y50$ CILOo MiADI)At T16f;PD, rip q'72 ' 9640 SW WASH SQ DR PURPOSE—OF�PAYMEETAMOUNT PAIL) F°UPPOSE OF PAYMENT AMOUNT`PAID ____—____ ` I Ei ILDIt1C PERMIT "40-1700143 19:%OU STATE BUILD PERMIT TAX 05'o'1 I I I TOTAL r,MQ11NT F A i P - M2.b,5 I I CITY OF TI1FAM OREGON DeCesber 12, 1989 Lyn Woudenberg DeJager Construction Inc. 75 60th Streot S.W. Wyoming, MI 49508 Project: Lidy Foot Locker, PR 10-67C 9640 SW Washington Square Dr. Dear Ma Wouderberg: The rev'sed plana for the stock room for this project- are acceptable as shown on the drawings dated 11-30-89. This satisfies code requirements for a clear exit patt to the rear door, which serves as the second exit from the tenan'L space. The plans are approved, and the building permit may be obtained at your convenience. Separate permits are required for work on the mechanical and plumbing systems. Plans are required to be submitted for changes to the automatic- sprinkler system. Thin plan review is valid for 180 days. If you have questions, or if we may be of assistance, contact us at any time. Sincerely, ��Jim Jaqua/ � Plans Kxariner FAX (503)994-7297 13125 SW Hall Blvd,P 0 Box 23397,Tigard.Oregon 9 7223 (503)639-4171 ------ FUALATIN VALLEY HRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. &ox 4755 • Beaverton, OR 97076 • (503) 526-2469• FAX 526-2538 December 11 , 1.989 David K. Udkow, R.A. Consulting Architect 11801 North Tatum Blvd. Phoenix, Arizona 85028 RE: Lady Foot Locker 9640 S.W. Washington Square Dr. Dear Mr. Udkow: This is a Fire and Life Safety Plan Review and is based on the 1985 editions of the Fire and Life Safety Code (UBC), Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulations. Plans are conditionally approved subject to the following items: 1 . Pathway Sign: Sign shall he posted in the exit pathway stating, "FK7T PATH - KEEP CLEAR AT ALL TIMES" "Order of Fire Marshal" "UF(, Sec. 12. 10.311. Also notEd on the plans. 2. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department. isuing the construction permit and this office must be maintained on the project site throughout all phases of construction and must be made available to building and fire inspectors for reference during required construction inspections. UBC Sec. 303 3. Required Occupancy Certificate: Prior to the use and occupancy of the project (space , a certificate of Occupancy or other written instrument of approval Aust be obtained from the building department issuing the construction permit. UBC Sec. 307 Smoke Detector% Save Lives David K. Udkow, R.A, December 11, 1989 Page 2 If I can be of: any further- assistance to you, please feel free to contact me at 526-2501.. Sincerely, Gene Birchill Deputy Fire Marshal GB:kw cc: Tigard Building Department Lyn Woudenberg DeJager Construction, Inc. 75 60th Street S.W. Wyoming, MI 49508 DE..JAGER CONSTRUCTION INC LETTER OF TRANSMITTAL 75 60TH STREET,S.W • VV,''1MW(,,MICHIGAN 49508 PHONE 16161 530.0060 I Ax NO 616 530 988P, Show this nunnMr on NI at eornywndsnsae j 3 DATE- "JOB NO.: 7D'✓ JOB: Let i 0 t10c_,KAwt o MALL: TI ck rd (J lC_. �I �•Z� CITY/ST.: SUPERVISOR:) CONST.CO-ORD.: GENTLEMEN: � ` L) 3 _ � � � � y 1~1 ' WE ARE SENDING YOU...... Ll Attached........ ❑Under separate cover via __the following items: 11 Shop drawings ❑Prints 13 Plans ❑Samples ❑Specifications Copy of letter ❑Change order C COPIES DATE NO. DESCRIPTION JI re v 15t d _ I �, lflsi� THESE ARE TRANSMITTED as checked below )4or approval ❑Approved as submitted ❑Resubmit _.copies fo. approval U For you use ❑Approved as noted ❑S,Ibmit copies for distribution C As requested ❑Returned for corrections E]Return corrected prints ❑For review and comment E O FOR BIDS DUE 19 PRINTS RETURNED AFTER LOAN TO US RE MARKS: COPY TO _ i SIGNED: IF ENCLOSURES ARE NOT AS Norm,KINDLY NOT FY US AT ONCEI MNO 89a 748 11�'l9 '89 11 :29 0503 684 7297 CITY OF T I GARD f�Okl l ACTIVITY REPORT TRANSMISSION OK TRANSACTION # 2747 CONNECTION TEL 16165308619 CONNECTION ID DE JAGER CONSTR. START TIME. 11/29 11 :28 USAGE TIME 00' 48 PAGES i dill C'Tf OF T 16' November 13, 1989 OREGON David R. Udkow, R.A. Consulting Prchitect 11801 North Tatum Blvd. Phoenix, AZ 85028 Project: Lady Foot Locker, PR 10-67C Q640 SW Washington Square Dr. Dear Mr. Udkow: Plane for this project were reviewvl fcr confc -mity with applicable codes, and some revisions are n-sceanary. The F: imary problem is tho exitway from the Sales Area through the Stock Urea to the rear exit. from the tenant apace. This exitway is required to be 44 inches wide. On the plans the width appears to be 24 inches, the same as the spar between all the storage units. A wall should be constructed to delineate the exitway. A rated wall in not required, so there could be openings, without doors, at each end.. An alternative might be to provide a solid back storage shelvinu un;t adjacent to the exitway, which would serve the same function as a wall. Please check the nr_,tes on the enclosed copy of the area in question. If yott have q,aestions, or if we may he of aaaistance, please contact us at any time. Sincerely, J 1 i �9`Z L "Jim Jaqui'" Plans Examir:er FAX (503)684-7297 re: Lyn Woudenberg Dedager construction Inc. 75 60th Street S.W. Wyoming, NI 49508 • •A ,• ♦ • • • f1 f 1A•A N • M I ?• •• t M •••Y•A**L****M* t1 • • •O• -ell F xE M N 11 or FROM v'ia .J.+cgu 4 _PHONE co �T n FAX MhN'h rand f��t�• amdtrl m�rna 76t1 13125 SW Nail Blvd,P.O. jox 23397,Tigard.OrAgon 97223 (503)639-4171 nr iIIir alr �rEWZWENF a CITYOFTIGARD � V l PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT rtecm PLAN CHECK N , - &7:11 11125 S W 010NONd.P O Bot 73397,Tigord.Otv,,wn 97223,(503)639-4175 PERMIT N 1t@W22N%& � -p00�► OAT ISSUED JOB ADORE SS: -_ L'(",fL TAX MAP/LOT - -- _ SUB: LOT• _ LAND USL: --�—= VALUATION: C) -- -- OWNER SPECIAL NOTES NAME: REISSUE OF: ADDRESS- LAST REISSUE: _ _ FLOOD PLAIN/ -- _ SENSIIIVE LAND: _ PIMIF: APPROVALS R_EgU_tREO CONTRACTOR PLANNING: _— NAME: 2 ENGINEERING: _ ADDRESS: N� v FIRE DEPT - Ll�f.S[.y OTHER: _ P F: G/6 S' OUGD ITLMSREQIRED BUILDERS BOARD N: EXP DATE: LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: ('( " UNTS: (/ _ - J U 0,� - SUBCONTRACTORS: PLUMB: MECH: PERMIT N ACC's N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-437 00 Building Permit Fees A'.' L _ - lrf i120 _ 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building _ Plumbing Mech 10-433 00 Plans Check Fee _/1S,9S• , Building Plumbing —_ Mech _ _ 30--202 00 Sewer Connection 30-444 00 Sewer Inspection 51-448 00 Street System Dov Charge (SDC) v — 52-449 00 Parks System Dew Charge (PDC) 31-450 00 Storm Drainage Syst Dew Chrg (SSOC) _ 10-230 06 Eire ZG7 7 TOTAL REC N �U(o O 33 APPLICANT SIGNATURE Received By : ,/� nate Received: /L .'SijF cn/i567P/18P e4* ❑E JAGER CONSTRUCTION 1NC LETTER OF TRANSMITTAL 75 60TH STREET,S.W • WYOMING,MICHIGAN 49508 PHONE 161615300060 FAX NO 616530-9888 A DATE: 10-27-89 JOB NO.: 5057 COMMERCIAL PLAN REVIEW JOB: Lady Footlocker Ct � dam, D1:��t MALL- Washington Sqaure 13r'-a � 1 40 L a'-Kd CITY/ST.: Portland OR SUPERVISOR: 7 _ CONST.CO.ORD.: GENTLEMEN: WE ARE SENDING YOU...... ❑Attached........ ❑Under separate cover via— _the following items: ❑Shop drawings Cl Prints Ll Plans Cl Samples ❑Specifications O Copy of letter F1 Change order 0— COPIES DATE NO, DESCRIPTION 3 sets sealed bluelines 1 check T4ESE ARE TRANSMITTED as checked below: ❑For approval ❑Approved as submitted ❑Resubmit copies for approval •For your use ❑Approved as noted ElSubmit copies for distribution 13 As requested G Returned for corrections 0 Return _corrected prints U For review and comment 11 — ❑FOR BIDS DUE 19 PRINTS RETURNED AFTER LOAN TO US REMARKS: ATTACHED ARE THE PLANS FOR THE ABOVE MENT1014ED PROJECT FOR YOUR REVIEW. IF YOU HAVE ANY QUESTIONS, OR COMMENTS, PLEASE DO NOT HESITATE TO CALL ME COLLECTI THANK YOU LYN WOUDENBERG COPY TO IF ENCLOSURES ARE NOT AS NOTED,KINDLY NOTIFY US AT ONCEI FORM NO "S Tree MWLWLWw wr w CITY OF TIGA_RD PH 1M h it N( i PFR M IT 13125 STI HALL BLVD. P. O. BOX 23397 Applotznts must Fuad Oregorr Registration to conduct a pluml„n'g TIGARD, OR 97223 Ixi%mr-ss o must Fre property owner/operator rwrl hiring outside lwlp__ (50.3)639-4175 n Nam"of 00= OPlumbing mg Pm'INo!U J �Q 3L tion Address 1 Li I) J •LjC-',& OHS 1p t-010 01JM1. pfi10E AMT. Job Tart Lal Map.No. -- Addrese FIXTURES Lot ©lock SubdMsbn Sirs 7.50 - ---- Ffame Zna"m y'' Lavatory 7.50 / O�I� -- Tub or TutdSMrvcf Comb 7.50 TX� Slower Only 7.50 Owner CNy/Staler Iy WaterClosN - Y 7.50 Dishwasher _ 7.50 4 Phone Garbage Disposal _-- 7.50 - Name Washing Machine _ 7.50 Floor Drain _ 7.50 'Gly- daa Phons�- Water Healer 7.50 - 'x.k,upant City/Stale -- - Laundry Room Tray - 7.50 Urinal _ 7.50 - Other FhAwes(Spedly) - 7.50 7"1 S' � �� , �;n K,�� 7.50 7.50 Contractor CifyJ 7.50 MISCELLANEOUS City tkn Tax No ;,ten 194 100' 9000 <�C� tea T3cier3Ao _state s Sew"r-ea Addil 100' _ 15.00 (Reswlential) _`► 3 V-1 Water Senvioe 1st 100 20.00 I hereby mriuowledpe that 1 have loaf this aff*cs"on.tw:Ow V*wmalm Water Soft-ice ea.Add112Ar 15.00 W~is conerz,tial I am regitlerud with the Stats Ikriden's Boom.and also Slone i Rain Drain 1 at 100' 90.00 have s State Phwrrrinq Ir,wnte#tat the nawnthera grven are conec:k owl all - laumbwq wok wss be done in amhrdat"with rgtpkcabie provisit ms nk Cke Storm A Pm Drawn Addil.100' 1,5.00 pun Revised StwhAo+C.haplerk,44 7 and 693 and apprk'sbls Code..arxt that mtpm Horns Spwo 25.00 no help will be empi.Wfti hwofiss Ikwnserl under ORS 6C9 (t ovono hom -- -- Stale repis0atim.ptwaae 9"reason below) Sack Flow Prevention IKAAMIA HERS 1 twwaby owiity tW 1 em ase owner d she p"N w�ty,4r _DovfoeorAnll-PoNuti O*v " 7.50 sen;bed shove.at which locallm 1 propose b male a pMw.d>irg Inataxaer>.h Fr Any Trap or Wash Hol my own use ahvl ars 1w%Xwty Is rsol bang cnr»tnic"d for sale.too"or reran Consvc1od W a Fixwm7.50 Cats+Smi n _ - 7.50 Insp.of EJM PkanbWV 40.00 Per Hr Specially Requeoled Inspe_ctlonit 40.00 Par"t Rain Drain, 15.00 single Pan. Owlq. AUTHORt?FD Sk IkATI)m Del" Descrtte walk new I I addition n x1twittxln ftj repo I I 19 los tion» reskfential(_ rsr>.h rwekfenfial --- -- ftdstk>Q used MINI MUM PERMIT Ptd 2S.00 I c 061 bWk*kp rx prolxuty -- __._ _-- SUB-TOTAL C ►to�loe.d uN of 5% SURCHARGE t rt�dlrty nr paoperN _ -- _F5111 PLAJN REVIEW NOME - - Ttrs pe+nsa tt"oorrses null an0 vofd 1. a aors.avoron authrxuad r rot(xIr*h -- -_...-. TOTAL ` tnenned will 100 de".a•oenatnatllon or warlt 1s stwsov or sbenbt.rd for a parsvi.A tan n"ye al any ansa~wrwh is orwrsrrw.haan Oft(-SAI cxlsllXT10"S tetw bsued r