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9665 SW WASHINGTON SQUARE ROAD lw s7 ® �# VI i i I -- 9665 SW Washington Sq Dr —_ (___ -._-----_- -. CEPTIFICATE OF OCCUPANCY Cl"I"YOFTWARD A PERMIT H. . . . . . . R BUP'�0-..00(.7 WYOF Tib RD COMMUNITY DEVELOPMENT DXW-�T X E; kf60H DATE ISSUED: 05/21/90 13125 SMV Nall Blvd. P.O.Bou 23397,Tlgvd,Oregon 97223(503)P394175 SITE ADDRESS. . . o ')66' ;3W WAaHINGION SOUi•"RE. RD PARCELS IS126CO- 01401 SUBDIVISION. . . . a WASHINGTON SOUARL ZONINGI C---O BLOCK. . . . . . . . . . e LO' . . . . . . . . . . . . . I: I CLASS OF WORK. aALT TYPE OF USE.. . . SCUM OCCUPANCY GRP. vB2 OCCUPANCY LOAD% 195 I F"NANT NAME:. . . SOAP KIDS Remarksu Tenant Meade Interiof! �Zltrara�t,ic>1�� for new etc)-('e- Ow-ner c THE GAP, INC. 900 CHERRY AVE !:IAN BRUNO CA 94066 Phone MR (;r1n tractor s V I SHER DEVELOPMENT INC Phone HI Reg N. . a 64995 occupancy of the above referenced building is hereby given, arid c-ertifies the compliance with the State Of Oregon Specialty Codes for the group, occu ancy„ and use ender which the referenced permit was issued II FIRE DfFih-TME T BUILDd4l NSCFCT UILDIN POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 ��t:/ / Phone: 639-4175 —�-- /� t�C. Type of Inspection Date Requested GC Time A.M. P.M. Address ._ 'J Permit Owner — _ Lot t—J BuilderThe following Building Code deficiencies are required to be corrected: Presented to _ +4—Approved Inspector __ ❑ Disapproved Date CALL FOR RFINSrEC7'ION YE$ ONO �PZIN vq� TU ALATIN VALLEY FIRE RESCUE AND BEAVERTON FIRE DEPARTMENT FIRE MARSHALS OPTW 4R (503) 526.2469 POSTED: OCCUPANT CONTRACTOR _ f 1..51 4; ti,� �.. (y?�,,� BLDG. PERMIT (k / 7 PROJECT NAME i�:5t-t n�l7��! J�✓,Ls PLAN REVIEW db LOCATION % `� U` � 1��+1�k+� /I IJ�3 JURISDICTION: 1= Be. 2= Ds. 3= I:.C. 4- Ti 5= Tu. 5- Sh. 7= Wi, s= ccMc COVER FINAL SPECIAL FOLLOW--'!F/REINSPECTION ATTEMPTED FINAL Framing � Separation Walls Q Sprinkler System C� Shaft Fire Dampers (Overhead/Underground) El Alarm System Hood Extng Systems El Conference El Spray Booth El Ceiling Cover Other Cr c.J�'��1`�C�,�1 r LuVL�wi'( _ _ r Pate: l Inspectors l ear � � aar o� s ar lalr INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 00 Tvpe of Inspection �sJZ--I------ Date Requested 'Z ' ~ �1� Time_ _ A.M. P.M. , / Address Permit # Y� -1L�S�� Owner. - -- ---_.— Lot Builder---� _= � �'�--� -- -----The following Building Code deficiencies are required to be corrected: Presented to __ ___ _—_—_ Lrl Approved Inspector ❑ Disapproved Dots S� _ -_- CALL FOR REINSPECTION L YES 0 NO 1KW-LW-JUW IM" INSPECTION NOVICE City of Tigar.i Building Department L/ P O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time L A.M. P.M. Address- -��cirs.� __,_ Permit Owner. �_je;;' _ Lot # Builder The following Building Code deficiencies arc required to be corrected: Presented to [ ] Approved Inspector �.__.. e_ I_`t Disapproved Date CALL FOR REINSPECTION LJ YE8 ❑ NQ 6 _1 .t ., :+�++vtr'"lor�,+y.'r�r{�R'"+�" 4 rnrvr'.,,t:u.•/'NN'Nnyh+`r"+�'�`t�'°=::i9;'!0."'�r:,�r:,;tiaYV'H .. ,.-Y':..yWrm.,r'e r"r•ec,3�":';i6'�,y�•+1�+�41N'.W'�PYY'Vi!''`�'�i�wWrlt'ti�r:"WrW"�'"ey°w'w..�: TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON_FIRE DEPARTMENT FIRE MARSHALS OFFICE (503) 526-2469 POSTED: Fli � i OCCUPANT CONTRACTOR _ BLDG. PERMIT it G� PROJECT NAME PLAN REVIEW 0 LOCATION 9� 51f�ju UA�l V. JURISDICTION: 1= Be. 2= Du. 3= I:. - = Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC COVER, ' FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL 1-1 Framing Separation Walls u Sprinkler System Il Shaft Fire Dampers (Overhead/Underground) Alarm System El Hood' Extng Systems ❑ Conference Spray Booth u Ceiling Cover Other I AA)A Lmm I v I ____ rte, d (� U J N(u� 10 t P�1 S Gid V I s (i Id --e— -- — II / ' Date, _\ ll - Inspector: 1 r MECHANICAL PERMIT CITY'OFTIGARD PERMIT H. . . . . . . MEC90--0050 CMOFTWARD I.-,RIM. PERMIT BUP90-01`167 VMRI� - I COMMUNITY DEVELOPMENT DEPAIRTa ON41ON 13125 SW Hall Plvd. P.O.Box 2"2397,Tigard,Orugon 97�ed jk3j 'M DATE ISSUED: 05/14/90 SITE ADDRESS— : 91565 SW WASHINGTON SQUARE RD F-1ARCE1_: 1S126CO-01401 S'UBDIVISION. . . . . WASHINGTON SQUARE ZONING: C-G BLOCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . .. (',*LASS OF' WORK. ALT FLOOR FURN. EVAP COOLERS: TYPE OF* USE. . , CUM UNIT HEATERS. VENT' FANS. . . it 1, OCCUPANCY GPP. , xU2 VENTS W/O APPIL.- VENT SYSTEMS-. sTURIEG. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . , . . . FUEL 'TYf:,[*.-S.-.--.-..-----...----.-....--- 0-3 1-11-1. DOMES. INCINP EL E., 3-15 HP. COMML. INCIN.- MAX INP11.1 BTU 15,--'30 1117," REPAIR UNITS.-2 FIRE DAMPERS?. . :N 30-50 HP. . . . . WOUDSTOVES. . : P,RESSURE. 1,1504. HIJ CLO DRYERS. . ; OF A I R H(-,N D L.T N C-) UNITS OTHER UNITS. 1-Uk I < 100K BTU: <~ 1300 efill: ans OUTLETS. F*U R N )=100K EITU: > 10000 (:.,fnl-. R .marl-rs.- Tenant Mod : liiterior Alterations for neto sto-re. Uwner: FEES ARROW MECHANICAL CONTRVS, INC. type aniOUI-It by date 'reept 1-0330 SW TUALATIN RD FIR,MT $ 25. 00 PILCK $ G. 25 TUALATIN 04 970(ji.? 13FIC-1 $ 1. 25 ID I-1 o n e 0. r-'1AYM $ 32. 50 JLH 05/14/90 Contractor-.- CONTRACTOR NOT ON FILE F11-101-10- it: $ 32. 50 TOTAL REQUIRED INSPECTIONS This permit is issued sub s ,iect to the regulations contained in the Mechanical Ins Tigard Municipal Code, state of Ore. Specialty Codes and all other Heating Unt 11-irsp ............. applicable laws. All work mill be done in accordance with Cooling Un i. Insp _•_•__._„___._. plans. This permit mill expire if work ii not started DLIct Inspection viWn Joe days of issuance, r- if nark is suspenlerl for sora F*inal Inspection than 168 dans. .................... 1)t-:�rniittee lvist.ted By: -------- Call for inspection 639-4175 Cl'iOF T[Cm,K) RECEIPT OF F-,fAY'I,IF.'N'T RECEIPT M.). : 2007;1,6, CI,IECK AMCIUN't : -2.50 (ir�pow h1 :(>w coij,m. G.AbH OMOLIN 00 I D R E�G,,3 tO7,70 ;SW TUAL.wiri Ffi PAYMENT DATI. 05/14/qf) SIJI-'.ID IV I S I ON TUALATIN, OR 9706-2- 41665 WASH SQ. RD PURPOSE OF PUPPOSE OF PAYMEMT AMOUNT PA I Q 0(),--,0 Of) 7.T. BUILD PE'F 1 . ..5 I-LAN CHECK FE W N rw rw �► INSPECTION NOTICE City of Tigard Building Department, P.O. Box 23397 �� ✓ Tigard, Oregon 97223 ✓�f �,e/� Phone: 639-4175 Type of Inspection - — i Date Requested — Time x A.M. P.M. Address ._---r"_-tGl�--.�1rZ--c� Permit Owner Lot The following Building Code deficiencies are required to be corrected: Presented to Tly_ �Approverl Inspector D disapproved Date ---_ ----_ CALL FOR REINSPECTION YES 0 NO INSPEMON NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 _ { , Type of Insneccion ',// •- - Date (Requested- 0*1 Time _A.M. P.M. AdNress PerrfituiF_ —�..C4�>4 7 Owner � J /7��`"' ___ Lot # _ r Builder The following Building Code deficienc;es are requiwd to be corre-.ted: f i Presented to —_y 14' Apr►med Inspector Disapproved Date CALL FOR REINSPECTION L__) YES El NO rwrry'^ ��'Mew'+I�w'*"M•Wir$+wePur,+w-�,�,�,,.+dtrysN.....s^, ,ry1y,i„�My,y+m6 �yyIY�'+ �"Y.,,,A4.,...MYWh,n.11�k.,yy��ly/y�t.. ;. OPSIN vq�' TUALATIN VALLEY FIRE &'FESCUE AND A_ BEAVERTON FIRE DEPARTMENT A FIRE MARSHALS CF'FICE _ (503) 526-2469 \F POSTED OCCUPANT l_`�J� (� k 61 CONTRACTOR F0 N Q U �P,>1:-x� �i1�9��BLDG. PERMIT �k� " 0 PROJECT NAME ' 1? �w cYr� �._ d rce_ PLAN REVIEW 0 LOCATION _ L` r 1/0 ) 6,4 JURISDICTION: 1= Be. 2= Du, 3= Ki C. 4��-- �-) 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC O= Mi, COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls Sprinkler System ❑ Shaft ❑ Fire Dampers ((Overhe.adOnderground) ❑ Alarm System ❑ Uood Extug Systems ❑ Conference ❑ Spray Booth ❑ Ceiling Cover ❑ Other ---Law I 5 DateInspector: 1 tl a�) INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 ✓ Tigard, Oregon 97223 Phone: 639-4175 Type of Inspectiot Date RequeVed Time_ A.M.--P.M. Address _-----------� __-le! — --- Permit 4 & Owner_--- Lot # Builder The following Building Code deficiencies are required to be corrected: y uL� Presented to �_ Approved Inspector _.. Disapproved Date -- CALL FOR RFUNSPWTION I0 YES L-1 NO I INSPECTION NOTICE Gity of Tigard Bu('riing Department P.O. Box. 23397 Tigard, Oregon 97223 Phone: 639-4175 - Type of Inspection _. �' `, Data Requested_ >__�� " U Mme M., P.M. Ad rens er it # Owner �� Lot # _ Builder The,following Building Code deficiencies are required to be corrected: f � elf— �__ ' _��'c�'-✓` G -- dd�� _ 4 i d — — i J t Presented to __ I_.J Approved Inspector �_.�_ � { Disapproved Date -- _ CALL FOR REINSPECTION ❑ YEI ❑ NO i t INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 6" 1-4175 Type of Inspection _ se!2,�1 .. LI' Yi e_ A.M. —_P.M. Date Requested _ s` h Address _—� _1L�r J 12-k, Permitk 7O OD3 Owner Builder --- The following Building Code deficiencies are required to be corrected: f i Presented to Approved Inspector V— U Disapproved Dated — CALL FOR REINSPECTION I 1 YES I NO INSPECTION No I I,',E City of Tigard Building 0,,partment P.O. Box 23397 Tigard, Ore,,jn 97223 Phone: 639-4175 Type of Inspection 4--Z -1- _ Date Requested 31 Time > A.M. P.M. Add.ass Permit C-1 Lot Owner Builder The folle Ping Building Code deficiencies are required to be corrected: Presented t rApproved I 1 Disapproved Data -_Inspector CALL FOR REINSPECTION Cl YES ❑ NO —TrT PLUMBING PERMIT CITYOFTIGARD cn i�� RD F'17,1-�'NYT 4. . . . . . . % P L r.9 0 00 13 9 COMMUNITY DEVELOPMENT DEPARTMENT 1141,..IN. PERMIT #. -. DUP90 0067 fi 13125 SW HNJI Blvd. P.O.Box 23397,T4pW,Onqw 979 r- -116?1fl75 Di:)TE. ISSUET)g 01"1/28/90 SITE ADDRESS. . . WASHINGTON 6QUf)NE. DR PARCEL: IS126CO-01401 SUBDIVISION ZONING: L0 T. . . . . . . . . . . . . A (A-ASS OF WORK. . :AL'Y GARBAGE DISPOSALS—* MOBILE HOME SPACES. : TYPE'. OF' USE. . . . ::COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : OCCUPANCY 6RP. . :B2 FLOOR TRAPS. . . . . . .. . . . . . . . i smr-aES. . . . . . . . .. I WATER HEATERS. . . . . ., - 1. CATCH BASINS. . . . . . » c FIXTURES- LAUNDRY TRAYS. . .. SF' RAIN DRAINS. . . . . : GREASE TRAPS. . « . . . . : LAVATORIES. OTHER FIXTURES. . . . . r TUB/SHOWERS....: SEWER LINF." (ft) -- - :: WATER CLO SETS. . sl. WA rER LINE_NE (-f t) . . . .. :: DISHWASHERS. . . . a RA114 DRAIN (ft) . . . . :: Renia-r[,.s.- Tenant Mod : Inte-rio-r alterations far new Git.are. owne.e.. F-EES FISHER DEVELOPMENT, INC type &MOLtnt by d, -reept 1.485 BAYS1:01RE 9LVD PRMT $ 37. 50 PLCK $ 9. 37 f:;fllJ FRANCISCO CA 941.24 5PCT $ 1.87 1::1Iioiie #s 415-467-2910 PAYM $ 48.74 JLH 03/28/90 L.'ont-ractor: C;ORROLL MECHANICAL GONTR. INC. 305 SE 50TH AVE F)ORTLAND OR 9721to' VII-lone #c 231-3842 48. '74 TOTAL. Reg O. . s 33403 kEOUIRED INSPECTIONS This peysit is issued subject to the regulations contained in the Rot.tgh—in .11-1sp ........... Tigard Municipal Code, State of Ore. Specialty Lodes and all other TOP—Out 1.1-I5f) ...... applicable laws. All work will be none in accordance with Final Inspection approved plans. this permit will expire if work is not started .............— I within 180 days of issuance, or if work is suspended for more ...... than Iff days. ............................... Permittee Signati.vre.- Isst.ted By: .................... ....................... Call far inspection 639---4175 CTTY JF TIGAkD -- RECEIP-1 Or PAYMEN'r R N(): 00108076 CHED.,: AMOUNT s 46.74 CARROUL MECHANICAL CASH AMOUNT .00 ADDRESS: 2Z.05 S.F. 50TH AVE PAYMENT DATE OT-20-90 PORTLAND, OR 97215 BLOCK NO/ADDR: q724 SW WASHINGTON SO PURPOSE OF PAYMENT AMOUNT PAID PURPOSE" OF PAYMENT AMOUNT PAID F'LLJM1iINB PERMIT (00-00:x9) 77.50 STATE BUILD PERMIT TAX (5%) 1.87 PVAN CHER, FEE 9.:'7 TOTAL. AMOUNT PA I D — 40.74 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 91223 Phone: 639-4175 Type of Inspection Date Requested rime_ —__ A.M. P.M. -7 Address __ �. �•�°)f l -r — Pe-mit Owner _ _ C.f .�_ Lot BuilderThe following Building Code deficiencies are required/!o be corrected: w Presented to LJ Approved Inspector Disapproved Date -3 ' 'L L CALL FOR REINSPECTION ❑ YES 0 NO / / / t CRYOFTIGARD WYOFTWARD COMMUNrrY DEVELOPMENT DEPARTMEW ort�oa+ 13125 SW HEA Bhrd.P.O.Bur 23W.Tigrd.Oregon 977 (SM)630.41',"S CITY OF TIGARD — BUILDING PERMIT PERMIT #. . . . . BUP90-0067 PRIM. PERMIT #. : SUP90-0067 DATE ISSUED: 03/12/90 SITE ADDRESS. . . : -AY72*!` SW WASHINGTON SQUARE DR PARCEL: 1S126C0-01401 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . .. . . . . . . RFISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORX. :ALT FIRST. . . . :3745 of N: S: E: W: TYPE. OF USE. . . :COM SECOND. . . : e.f PROTECT OPENINGS?---------- TYPE OF CONST. :3N THIRD. . . . : of N. S: E: W: OCCUPANCY GRP. :82 TOTAL-•-----:3745 of ROOF CONST:B FIRE F.ET?:Y OCCUPANCY LOAD:105 BASEMENT. : sf AREA SEP. RATED: STOR. :1 HT. :32 ft GARAGE. . . : sf OCCU SEP. RATED: BSMT?:N MEZZ?:N RF2D SETBACKS-------- REQUIRED-------------------- FLOOR LOAD. . . . :50 pof LEFT: ft RGHT: ft TIR SPKL:Y SMOK DET. . :N DWELLING UNITS: FRNT: £t REAR: ft FIR ALRM:N HNDICP ACC':Y BEDRMS: BATHS: IMk SURFACE: PRO CORR:Y PARKING: Remarks: Tenant Mod: Interior alterations for new store. Owner: ---------------------------------- ---------------- FEES ------- FISHE:R DEVELOPMENT, INC type amount by date recpt 3.485 BAYSHORE BLVD PRMT $ 583.00 PLCK $ 378.95 SAN FRANCISCO CA 94.124 FIRE $ 233.20 Phone #: 415-467-2910 5PCT $ 29.15 PAYM $ 1224.30 JLH 02/23,90 107457 Contractor: ----•-------•------------------- CONTRACTOR NOT ON FI'E --------------------------------- Phone #: $ 1224.30 TOTAL Reg #. . : ------- REQUIRED INSPECTIONS ------- This permit is issued subj•sct to the regulations contained in the Slab Insp Tigard Municipal. Code, S'.ate of Ore. Specialty Codes and all other Framing Insp applicable law3. All work will be done in accordance with Insulation Insp _ approvod plana. This permit will expire if work is not started Gyp Board Insp within 180 days cf issuance, or if work is suspended for more Susp Ceiing InaT. than 180 days. Final Inspect.ion — — Permittee Signature: Issued By: Call for inspection •- 639-4175 V 1- 111 W �I Y OF TIG.�4 RD OREGON March 12, 1990 Richard Hunn GAP Corporate Design 900 Charry Avenue San Bruno, CA 94066 Projects The GAP revisions, BUP90-0067 9724 SW Washington Square Dr. Dear Mr. Hunn: The revised plans for this project dere reviewed for conformity with applicable codes, and are conditionally approved. The rearrangement of the di-assing rooms solved the exit problem. If any changes will be made to the sprinkler system, please submit plane: which show such changes, as the changes must be approved. You may obtain the building permit for the project ai your convenience. The mechanical and plumbing permits may also be issued. If you have any questions, or if we may be of assistance, please contact us at any time. Sincerely, J im Jaq%, Plans Exam ner FAX (503)684-7297 13125 SW Flail Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 XMF ■ TTJALAT'IN VALLEY FIRE & RESCUE AND BEAVER TON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076 • (503) 526-2469• FAX 526-2538 March 8, 1990 Richard Hunn Fisher Development, Inc. 1485 Bayshore Blvd. San Francisco, CA 94124 Re: Gap Kids Washington Square Space C-2 Dear Mr. Hv.nn: This is a Fire and Life Safety Plan Review anct 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 . Corridor to Outside Exit: Corridor leading from the back of the store past the stockroom to the outside exit door is required to be of one boar fire resistive construction in accordance Witt, Uniform Bu riding Code Section 3305(g) . Please provide this department arid Tigard Building Department with detailed plans of construction of the ceiling element for this corridor if a ceiling is to be used for the one hour. construction. Please note: This structure is approximately 22 to 25 feet in height and running the corridor from floor to ceiling would be an arduous task at test. 2. Twenty Minute Fire Resistive Door Assembly! Doors C5 separating corridor from stockroom and corridor from sales area shall be not less than twenty minute fire resistive assembly complying with Uniform Building Code Section 3305(h) . Doors shall be automatic or self-closing and equipped with smoke gaskets. 3. Exit Door Hardware: All dogs Shown on the drawings must be openable from the inside f,)r immediate exit at all times without the use of a key, special knnuledge, or effort. UBC Sec_ . 3304 "Nbrkinit"Smoke Detectors Save Lives s � � Fisher Development, Inc. March 8, 1990 Page 2 4. Automatic Sprinkler Plans: PlanE referred tj and. examined by this o `fice contain no provisions for the alteration or installation of automatic sprinkler system. Not .less than three sets of plans for the installation shall be submitted to this office for approval prior to installation. UBC 302(b) ' 5. Approved Plans on Job Site: One set of approved plans bearing the stamps of the building department issuing 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 r-�Lerence during required construction inspections. UBC Sec. 303 6. Required Occupancy Certificate: Prior to the use and occupancy of the project. (space) , a certificate of occupancy or other written instrument of approval must be obtained from the building department :Lssuing the construction permit. UBC Sec. 307 If I can be of any further assistance to you, please feel fret: to contact me at 52.6-2502. Sincerely, i ) Gene Bir_hi 1 Deputy Fire Marshal GB:kw cc: Tigard Building Department t./ WW X!TLW JENUM 'knuff � �r r I CITY CF TI1A R CITY01FTIGARD PLAN Cf1L(.K APPLI(.-A I WN COMMUNITY DEVELOPMENT DEPARTMENT 001900 PLAN CHECK ye- . 13125 SW Hall BWd-P.O.Box 23"7,Tigard,Oregon 97223,(%3)439-il,15 C-7 PERMIT N --A-' �- -,;: - .' DATE ISSUED T". --"� ar ,JOB ADDRESS: &~Aki7tW -4u4jaf. 50,WE C-2— TAX MAP/LOT SUB: LOT: LAND USF: VALUA I [ON: lko' 000 OWNER SPECIAL NOTES NoME: rffe 6A t3 REISSUE OF: ODDRISS: LAST REISSUE: So a 4, FL03D PLAIN/ W-VAJO SENS111VE LAND: APPPOVALS 1 AIUIRII CONTRACTOR PLANNING: NAME : Rseffm LNEVEL Aeme"KiT,ILJC- ENGINCURING: ADDRESS: jfiZ-5 &APAi2aff Lt Wt FIRE 0CPT <0 r OTHER: PHONE : ITEMS REQUIRED BU11.-DERfLBff0-( EXP DATE: LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULA VIONC: NAME : — A, &.SsQe-- TRUSS DETAILS. NM4 A"5 r OTHER: ADDRESS: 1114ONF: COMMENTS: SUBCONTRACTORS':- PLUMB: MECH: PERMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Bu lding Tax (5%) Buildinj Plumbing Mech 10-433 00 Plans Check Fee Building Plumbing Mech 30-202 00 Sewer Cornection 30-414 00 Sewer Inspection 51-448 00 Street System Dev Charge (SOC) 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 10-230 06 Fire fOTAL REC N APP11CAN! SIGNATURt Received By: Date Received: cn/3597P/18p I CITY' OF TIGARD - RECEIP'l OF F'A'i"MENT RE NO: 001C17457 CHECK AMOUNT � t 44.10 NAME: FISHER DEVELOPMENT ;.A�iH AMOUNT .Op ADDRESS; 1485 EAY'SHORE BLVD PAYMENT DATE SAN FRANCISCO. CA 94124 KL1CK NO,'ADI)kt TIGARD, OR 977- SPACE C•-12 WASH SQUARE PURPOSE OF PAYMENT AMCIU I PAID PURFOSE OF: PAYMENT AMOUNT PAID __..________...__.__. LUIL.DING PERMIT 58'3.00 STATE BUILD PERMIT TAX (5%) 29.15 I PLAN CHECK F=EE (2-3Rt;1 3?0.95 TUAI_ATIN VALL.Y FIRE RESLU ---,3.20 i I i I 1 I I ! TOTAL_ AMOUNT PAID - - 1.24.y-0 I I i I aF. i ► Y y� nA i f i CITY OF TIGARD MECHANICAL PERMIT Receipt # _ 13125 iW HALL BLVD. Pet mit P_ o. F30:: 23397 — - Description T I GA RD, OR 97223 Tabic 3A Mechanical Code OTY PRICE AMT (503)639-4175 1) Permit Fee -0- -0- 10.00 Name of Devekrpnwnt 49i_/ 2) Supplemental Permit - 3.00 lob Pomace 100,000 F3TU 6.00 -- --^ -- incl.durass 8 vents Tax Lot Map No Furnace 100.000 BTU 4 lot Block 2) incl.ducts 8 vents 7.50 Subdivision Name(or name of business) Floor Furnace 3) incl.vent 6.00 Mailing Address Phone Suspended heater,wall healer Owner - 4) or floor moun!ed heater 6.OU Zip _-� !--Vent not incl.in -- 5) appliance permit 3.00 Name(or name of business) — Repair of heating,refr lrl., __TZ - -� 6) cooling,absorption unit- - 6.00 ,L��c Mailing Address PhoneBoiler or comp to 3 HP Occupant 7) absorp.unit to 100,000 BTI, 6.00 7,p Boiler or comp to 3 HP t 5 HP - 8) absorp.unit to 500.uO BTU 11.00 Name 9) Boiler or comp 15-30 HP e c; absorp.unit 1/2-1 million 15.00 V�qw /c�'t. iX./rJ�c Mailing Address F hone — ) Boiler of comp to 30-50 r:P 10 absorp.unit 1 -1.75 million 72.50 Contractor City/Slate Z,p 11) Boiler or comp to 50 HP absorp.unit 1,750,000 B'rU 31.50 Slate Registration No. CityBus Tax No 12) Air handling unit to 4.50 C�5�y3 10,000CFM _ - 13 Air handling unit 7 50 thereby acluawledge that I have read this application that the information given is ) correct,that I am trip,owner o•authorized agent of the owner,that plans sutxnitted are in ------10,000 CFMM +4 — compliance with;;tato laws,that I■m,egisiored with the State Builders'Board,that the14) Non portable v.50 number given Is correct (If exempt from Slate registration please give reason below), evaporate cooler Vent fun connected - -- -- --- -- - 15) to a single duct i.00 3,00 - --- - - - - 16) Ventilation system not included in appliance permit 4.50 __.----_ -------..--- 17) Hood served by mechanical exhaust 4.50 Signature(owner a agent) Date Domestic type Describe work El addition O_ alteration repair [I1�� incinerator __ 7.50 to be done residential ❑ non-residential _ Commercial or industrial xi 19) type incinerator 30.00 Existing use of — type building or properly -__ 2 Other i.e.,woodslove,water 0) heater,solar,clothes dryers,etc. 4.50 Proposed use of -- - - building or property- -- 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas ❑ LPG n elechic'❑ - - 22) More than 4-per outlet NOTICE V-- - SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- - -- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL 6.2 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - —- WORK IS COMMENCED. TOTAL 5v Special Conditions -- - --- (late issued -- ------- _- -- -�by PLUMBING PERMIT 13125 sw HALL BLVD. P. O. BOX 23397 Applicants motto hold Oregon Registration to conduct a plumoing TIGARD, OR 97.e')23 business«must be propertyowntr/operator not hiringoutside help. (503)639-4175 Neme of Devebprr►enl Plumbing PermitNov Description OHS 014-21410 (]JAN. PRICE AMT. Job Tax Lot l.tap.No. - - Address FIXTURES _ loot @bdr Subd�vls►cn Sink _ - 7.50 erne «name al business) Lavatory 750 7 f� Tub or Tub/Sfwwer CoaLj 7.50 Showor Only 7.50 Wate(Close) 750 l(J Owner C1fy/State zip -- pisMvasher ---- - 1 o Phone Garbage Disposal -- -- - WasNng Mactrne 7.50 Floor - 1�� «Drain - 7 7.51 r S 0 TrTarT(g / ass /�-Phone Water Healer -��- 7, t GundryRoom Tray -- 7.5(! Occupant Gty/State Urinal _ _-- 7,50 Otho(Fixtures(Speaty) 7.Sn - 7.J"U 7.50 1.50 --- _�_ - 7.50 Contractor CltyiState -zip ---- -- MISCELLANE.OUS --_ ----- --- City(Um,Tex No Sewrx 1 sl 100' 30.00 Sevw+(ea. 15.00 tate[ Os ( tate -imus-Lrc-?Io --- 20 O (Residential) Water Sn(vkv 1 st 100-------- - -- - Water SecAm ea.Addit." 15.00 I hereby adQ�'b diet I have r"41 0143 im(KAicatlom(hal the WO-tion - -' green is correct.tided 1 am re&iwnd with Via State BuAdees Board.and also Skxtn&pun Drain t tt 100' 30.00 have a State Phwnbkq FCan>;se(hat the numbers giVen we cu reci,that ah 15.00 d O(e- Stam b W.yn Drain AddA.100' I>trmtbwork will wobe&-one in saxxdame with s{>Q�mbIs Pmwml- --- - gnn Revised Stetules Cheplers 447 and 693 ant aPl*oable Codes and that Mobile Horne Space 25-(10 rro tMlp wim be employed un4ess Iloeraed txxim(mS 683 (It exempt f-I B-f-lowPnrwrnbon state registration,please give reason bebw). Cavaeow or neve bon peviry 7.50 IKTM[OWNERS-1 hereby oerlify Out 1 am the(1mvw d the property de -- ---- r-robed aures,al whkt,location I propose to(naiad a ptumtrin0 ktet&"&-for 1 Arty Trap«Wsete Nal y own use and dils property(e not bekg oaistrv(tsd br sale.base or nerd 1 Connected los Fiftwe 750 m -- Gakin Basin 7.50 _ - ----- 40.0O Per kap of Exle1.Pkrrrbirq ---_- _ - - - - ..- Willy u 40.00 Per Hr. Aker of Pkattblrrp wMhlrt - - - - an Existing BWO 15.00 mkt. _ - -- -- - - _ Data Nov Bldg.or Bunk Addition 26.00 mkt. AUT}/OnVXD SIGNATURE - - _ Wien bYain_,sirule t)aecxibe work new[-] addition C3aderabon repair(] iaellity3 ---- IS.aD - tq be done residential( non-realdentbal I xlsti4vj ntno of SUR-TOTAL37,5V NAldktg rx Ixolxnrfy -- --- - - _ — 5♦ SURCHARGE ,4V t xAdhv Of pv(wrty -__-- - ---._ 2 5$ PLAN REVIEW TOTAL Ttds perms beoor»ee nuN ant rnskf M w x*or xt oxmnnxskaWv wif 40 Is rv)l urxn nswvoed vvlfttkn 190 days for Y(xxrdrur fktn or wort M e►nlrervW 0'1 wkkr,n 1 h w e rwkxl of 190 days M any ISnw aftwr wcxk Is rxv wa1ma.1 11MCIAL 000" IONS- _ _ _.__- -_ __ 11a1n kntiwrrl t1Y rot CITY OF TIGARD PLUMBING PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 97223 business or must be property owner/operator not hiring outside help. Name of Developmer (503)639-4175 R 0� Plumbing Per it,N6.ale-06391 Address r' Descnpticwi '✓ S.`' ORS 814-21410 DUAN. PRICE MMT. Job Tax lot Map.No. Address �'1- Z FIXTURES Lot- Block Subdivision ---- - ---v - Sink 7.50 ams a name o suwss Lavatory -- _ 7.50 S Tub or Tub/Shower Comb. 7.50 Mailing ress Shower Only — - 7.50 OwnsCity/State ' Zip Water Closet -� Y— 7.50 cl,J z Z 3 Dishwasher --- - 7.50 Phone Garbage Disposal 7.50 Name _Washing Machine - _ 7.50 Floor Drain �i 7.50 7 ori mg� Phone WaterHeater�-_.-_--- 7.50 si ---- - - — - Z_-. City/State Occupant —- zip- -- Laundry Room Tray 7.50 Urinal 7.50 Name Phone Other fixtures(Specify) 7.50 J L?i;�i1iti'/`/�EC/+/iari[i�/ ��3 -3 �s' - rtaA✓ -- - 7.50 Address Phone / 7.50 Contractor City/Stats Zip — ' ^- 7.50 G+,-;;" ' Lo?z"Axri 3 W CA- MISCELLANEOUS —_ -. Ciy Sue.Tax No ger 1st 100' 30.00 StateBoard o. tate s o Sewer ea.Addit.100' -_ 15.00 (Residential) Water Service 1 st 100' 20.00 I hereby acknowledge Ihat I have read this applicaMm,that the intcxmatbn Water Service ea.Addil.De - 15.00 given is oohed,that I am regislered with the State Brniider'b Board.and also Storm b Bain Drain 1 id.100' 30.00 have a Stale Plumbing icomse that the numbers given are coned.th91 all — - --- phrmbing work will be dorm in eoci rdance with applicable pruvmo Ts of Ori- Storm&P_-xr Drain Addd.100' _15.00 9o^Revised Statutes Chapters 417 and 8,a3 and applicable rides and that Mobhe Home Spam 25.10 -no help will he ernpioyed txiesa licensed under CWAS 603 (M exempt Iran State registrshion,please We reason below). Back Flow Prevention 1*-A4FOWNERS-I hereby owtify that I am the mwnex of the pioperty de Device%xAnb-PotkrtionDevice 7.50 sulbed above.at which location I propose to maks a planting helaNstlon for Any Trap or Wass*Not my own use and 049 prvporty is not being awvVitxied for asie,Norse or rent Connected to a Fixtws 7.50 - ----- ------------- - Catch Basin-- ---- - 7.50 kW.of Exfal.Pkartbin g 40.00 Per Hr. - — Specialty Ragtraated Inspections 40.00 Per Hr. Rain Drain, 15.00- - — ---- Si igl• Fam. Dwlq. - - -- AUTHORIZED SIGNATURE Date Describe work new[] addition[7 abteretion E] repair[l L_!9 be done _v residential[ 1 noel-resklential I Exlstbnp use of MINIMUM PERMIT FEE 25.00 buUdkq or Drotxwrly - _ - SUB-TOTAL ; 6-V Proposed utle of 5% SURCHARGE l a MOTtcc __--- _-- -_ 25% PLAN REVIEW T1*4 perms beoom"hurl and Moll*w**or mmaeti(ft n atMrwil Ml r rmt con+ ---- --- -- —.-TOTAL "ww*d w*hkr 100 dayoxw Of cwww& rilrin ry wink r su pen�rW nr ebery Kwworl Ire A paricrl Of 100 dayt a1 any Onto who,mw*Is c"wr aced WbGClllL_OONOfTIOtts D06 Msuwd ___ by