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9685 SW WASHINGTON SQUARE ROAD r • 1 t LCSIBILITY STRIA Of 9 "aloe I � blififildiltill. -"111111i'ddiwil i i - Oz ` ' .�'%���A �rt�.-.-,«.....�..,.,.. +�}�4Mi�+tYe�flNaik.�k+rir.�bi+area-aYw..n..rarer+u`.w��....w+,wWM�m7bMM"adv,..�w.„..w,sy„.y,a�q:}�44`1!�YAa1on.,+r .. . 4 **yy rh 1� AI ..oj . .�„�i. r I SM&MIAL Ak IN m .. .1 jt1RIlYMA W SH()P►ING HOURS NOTES : 4 1-4I x%.r Ih►u VIu"Uv- !0,&m w 4 Iwr. �,.rw Ln ' lU an to t Iwn 1i Install / revise automatic Eire sprinklers to provide coverage r as shown . tom++Ks r j>n e I • 2 ! F -Lpinq and spacing per N F F . A . t13 and City of T'LvtN� L_jnrx:,�+pCw T i Fire Department . A OvM CITY OF T I SARD s+EIN b FKA00 �"� For 0, .'' ,- d .r'bP................................ �, '�, a"c�bl'd n: d ): I A 9 Pra s upright 112 orifice ^^ Sl ER 11' a 3 w See J" J:r G ,h E "F - ....... ..... . ..................... I ]; r 165 Demi recessed 112' orifice J . ........ 11 Job Adcro- ' BY. 4 ; Hangers : 3%8 A. T. R . and pipe rings to structure with {�✓��� Ij 177 .I 1 O �• a v' 00 zS I ` � �\ �= 11 , AFs J O ❑ C> ❑ C., r I ' i . )k 0 V V OFjr ❑ IQ i . r i L_- L I ! l ! ,,1 51 1.F ,� �F,�I S�u ty � rJ - WYATT FIRE PROTECTION INC. NSTA. A "+C ,1A •.'rti�'. k^95 S .% E,kt.-AM \-iv GAPC rl0r.a"N D723:j 'OTAL SPRINVLFRS DATE SHEET REviStO�+S LOCATE 9Y GRID COORDINATES HAhGf.R LEGE'v;. CONTRACT SCALE --- -- DEVICES - - — __. STANDARD S`'MQOIS S'AIIDARG `Ih1BOlS SPRINKLER HEAL) $rM9015 REV!$iONS IOCA.TE BY GRID COORDINATES APPROVALS a INSPECTION ►►r01i► CONTRACT WITH J4 _ _.. _ HOOKS LENGTH AS OESK~TEO �1RINKLF.AS TYPE DEGREE . _ POST INDICATOR VALVE T A ARM CHECu VALVE -0- -- UPRIGHT ON 1/2- OUTLET FEG 116 CEILING ac Roo a RING -� -- - ! ENGINEER SMELT iIG tS] CEILING i , ROD l RING ° KEY VALVE Ifs" ALAPpm VALVE -49- - PNOENON 1/2` OUTSET __ 1 Ii• JPRiGHT ON !- STU" UP __ -- _ -- _-_ __ �_ S CIT1F t` ��(Z 7 ••. CnAL:N SCREW ROU a RING _ _ ._-._- _..,.._.___. 4' -- FINE NYDRI►M 0 _ t SFF w DRQ v RIVE - PENUE41 C�►J t' DROP � �- .-_ _ ._ _-._ __._.__ _ _ � O r R CONC INSpS ROI? a IIFdCj _ __.._ _._ _ _ h Y - FIRE DEPT COWW-TION y_: R:SER w/EIEC FLOW SWITCH '6' -_- ------ Is R EXPANSION CASE, ROD A RING - __ pR 5�6 PIN ON NOI U �, s -_ - - WATER Ob AR011?rCT� r__ _ Ic "I ROD a RING _I.__.., _. y --- � - o s a V GATT VALVE ,� RISEN w�TOR REu vE �j (�I C�C,� (� G S W� UTO►`+ I' -_ 'C CLAMP. ROD a RING --- -�----+--- + iH SWING CHVa VALVE Illh - M" R f t - - - -___ _ - At+RR�_ c ` Lah{C 12 - 'J"Rt'20 ANGLE CLIP ROD a RING ___. _. .---_ __-- Uum -- NEW UNDERG40UN 1 � FiK-TRIC SEL. � �P a DN Ai SAME OOU ION '• f � d •.°rwc W.Rc-� - 1' A"lGlt IRON CLIP IOD l RtN(, UTLIFT -- _- _ _My _�___�.� �/Vh y 1•' SO(A �` +'+ IL It 1�I1 �{ k(t ,r » - EXIST UNLNERGKJIimo r, +j bM FIRE CiE�T CTX1N - - -- - ---- Gfr M LEGIEiI'TY STRIP - I 2 3 a 5 b � ® � !o if 12 12 4 _ _ _ 2 22 25 26 27 28 2 9 30 $1 I { OI S b WI t IOZ *n� �11��M1MAI r , I11 lit, 4 ( I OZ 25X I "Mom oppop W"14110" L rutgt�m�uw�1 ' 00" .... ;•:.. • .'. .C. :,1 ...... •r..:V .... ,. . -. ,. ...., .i ppN•t4't:n}M'y tW.+1A l{ ... -... .. i R °y ' gra r;�y bsy ilk r+ •ti.: —•. `:r '�"' }, t 1! /s n, __ ^ 1 mow•_ _ .�•" VD Now00 1 do x p Ic 46 16 Z4 x • CE I Z• A.7 12. }© h .. \ v .1. 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CITY OF TIGARD BUILDING INSPECTION VOTICE Inspectior, Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceding Sprinkd+�itdnAppr/Sdwlk Foundation Plbg, Underslab Mech.(Rough-in F*a lace Post/Beam Struct. Plbg. Top Out Elec. dough-in FINAL: Post/Beam Mech. San. Sewer Gas _ine -Bldg. Plbg. Underfloor main Drain Framing -Plumb. Alarm Water Line Insulation r 1U ce h. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time:—AM PM Address:_ S 20.6);1 �9 Builder. �„ �(�– 3/ Permitu THE FOLLOWING CORRECTIONS ARE REQUIRED: C)�%1' i�6 Cr<<r c cc — J -1 LU J Insppdor Ditn /-/APPROVED DISAPPRO`,ED APPROVED SUBJECT TO ABOVE .uC^II For Reinsp. CE R f .1 E KATE T'E OF 'CITY OF TIGARD OCCUPANCY PERMIT #. . . . . . . : BUPI --.90c COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/06,195 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 rTL PDDRESS. . . : 09685 SW WASHINGTON 5QUOIRE RD PARCEL.: 191260C-01107 QBDIVISION. . . . t ZON1NG:l7--G BLOCK. . . . . . . . . . . CLASS OF WORK. .-ALT TYPE OF' USE— -COM OCCUPANCY GRP. :Ba OCCUPANCY LOAD:78 T'E'NANT NAM7-. . . :J. RIGGINS TI J. RICS6,INS C/O EXPRESS PERMITS 1327 POST AVE STE V1 TOPRANCE CA 9OnO', Phone #: 310--328--6300 Contv-actoy-v COASTLAND CONSTRUCTION, INC PO BOX 1329 ANGI-E*rON TX 77515 Phone #z Reg #. . x 10F497 Tnic; Certificate certifies that tt-le Above r�efet-enced building or, pot-tion thea-oof has been inspected for~ compliance with the Tigard Building Code for, the group and di vi -.; inn of occupancy and use for which the above VefILWenCOd pet'Mit WAS iSr,'Aed, and oc�.upancy is her-pby qt-anted. BUIL NCS NSPE CTOR BLI 1 61 A"i: POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE InsNe Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Sd p. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Unrlerslab Mech. Rough-in Fireplace Post/Be am Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underiloor Rain Drair, Framing lumb. Alarm Water Line Insulation -Mech. Underilr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requestod- -/ Time: AM ,PM Address: 94 Builder: _ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: LL F-- h J L W Inspector:_ Date: x .^ APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinsp. MECHAA 1 CAL PERMTT CITY OF TIGARD PERMIT #. . . . . : . . . . . : NIEC05-007,' COMMUNITY DEVELOPMENT DEPARTMENT DATE ISOUED; O'S/1,x/05 13125 SW Hall Blvd.Tigard,Oregon 97223e6199 (503)639-4171 RD '_'�ITE ADDRE3S. . . ; 0966'; S.W' WASHINGTON SOUnRE PARCEL: 161260C--01107 JBDIVISICIN. . . . : ZONING: C--G I-OCK. . . . . . . . . . . I_01.. . . . . . . . . . . . . . .-ASS Or WORK—AIL-T 1-1-OOR rURN. LVAD cool-ERS,-. YPF OF USE. . . . :00M UNIT HEATERS— : VENT FANS. . . : C C U PA NC N' G R P. . : VENT-1 W/O APPL: VENT SYGTEW:­y I TOR 1 7S. . . . . . . . . DOILERS/COMPRESSORS HOODS. . . . . . . : - .L5 HP. . . . . COMML. INCIN: INPUT: ETIJ I5-30 Hp. . . . rRErf-WR UNITS; IRE' DAMP"ERS".. 30-SO Hp. . . . WOODSTOVES. . : -IS PRE'55ijRE. 50- Hp. . . . . CLO DRYEPS. OF AIR HANDLING UNITS OTHER UNITS. . 1001•; BTU t; 11210,10 GAS OUTLf.T-.". .IRN ) =1010K STLJ; > 10000 cfm : FEES r I:ype 'afftount by �"_kt e Pecl_,.I. T N 7) C,,0 X p r-Fz-,, r j , -7G PRMT 1:5. OL71 C01W 4-1 S/12/9 5 7 r-'O,.,T AVE STE H Ill CK� 1 6 ,_:' "W 05, L12/95 '�RRANCE CA 9011501 2 PC T 1, "5 15, 1.01 w 05/1 iolle !*.- .310-�:Lr,:' lkf"j00 i3rih-act,cw : C()L',- I I I�-'CITIHG & COOLING, CO NE, LOMBARD AND OR 11,A)LA 4C 5it. R E Cg U I R E 1) INSPEC'TIONG rt;ri.. ..: ,svied s4Ajec' to the rligulaticni contained in the Mec�hc,I'Iiz.�al Ifisp ;&-d Municipal Code, State of Dre. Spe.-ialty Codes ana all other rinail Irispertimi ilicatle laws. All work will be done -*.11 accordance Slit„ ir„-,,#d clans, This pewit mill expire if work is not star+ed 150 dayi of issuance, or if work is s4spindled N, acre, CITY OF TIGARD MECHANICAL PERMIT Receipt# Permit 4 Description Table JA Mechanical Code CITY PRICE AMT City of Tigard 13125 S.W. Hall Blvd. t) Permit Fee __ -0 -0 10.00 P.O. Box 23397 Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 1) Furnace to 100,000 BTU 6.00 incl.duck&vents _ 2) Furnace 100,000 BTU + 7.50 q 7 22 3 incl.ducts&vents Name of Det,ilopment 3) Floor Furnace 6.1 J P1 G G/IVs incl.vent Job Addreu iATH SQ /gyp, 5 Ps?« 4) Suspended heater,wall heater 6.00 Address C_ 7 or floor mounted heater Tax Lot Map No. 5) Vent not incl,in 3.00 Lot Blo k Subdi-,I*W appliance permit Name(or name cf business) 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Mailing Acdress Phone 7) Boiler or comp to 3 HP 6.00 Owner absorp.unit to 100,000 BTU _ City/State Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absc:p.unit to 500,000 BTU Name 9) Boiler or comp 15-30 HP 15.00 rq( C A (_L ki(00Ct t �'�)�(.l�f« absorp.unit 1/2-1 million MaflingAddress Phone 10) Boiler or Comp to 30-50 HP 22.50 NE LO IIA I A k!) absorp.unit 1 1.75 million Contractor ally/State Zfo 11) Boiler of camp to 50 HP 31.50 3 n absorp.unit 1,750,000 BTU State Registration No City Bus.Tax Nr 121 Air handling unit to 1 4.50 10,000 CFM �j S� Air handling unit I here'y acknowledge that I have read this application that the infonnalion given is 13) 10,000 CFM + 7.50 correct,that I am the owne,or authorized agent of the owner,that plans submitted are In cornpharwe with Stale laws,that:am regiatored with the State Builders'Boara,that the 14) Non portable 4.50 number given is cwrevi.(If exempt from Stat&rogialrow3n please give,*soon below), evaporate rocilor Vent fan connected / _---- ___-- ------ 15) 3.00 to a single duct t -_---- -- - - ___ 16) Ventilation system not 4.50 included in appliance permit 17) Hocd served by 4.50 mecnanical exhaust -_ Signature(o*rler or agent) Date 18) Domestic type 7.50 Describe work ❑ additirn ❑ alteration ® repair L] inciner�for to b)done __residential ❑ non-residential ❑ 19) Commercial or industrial 30.00 Existing use of type incinerator a- buildirg or properly ___ 20) Other I e.,woodstove,water 4.50 1-. heater,solar,clothes dryers,etc. Prc,posed l'se of -- vJn building or pr0p6rty �� I h i, - 21) Gas piping one to four outlets 2.00 L}- Type of fuel- oil [I natural gan [7 LPG Ll elcclrir F] 22) More than 4-per outlet LTA -i ---- SUB-TOTAL (Y f f/ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON. _ -- I_tJ4%SURCHARGE STNG"TION AUTHORIZED IS NOT COMMENCEn WITHIN 18r _50/0 - DAYS, GR IF CONSTRUCTION CA WORK IS SUSPENDEC OR PLAN REVIEW 25%OF SUB-TOTAL 2� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER r'- TOTAL 27 S WORK IS COMMENCED. L_- Special Conditions - - - _-_ - -- Date Issued ( z /' � by- elf) CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 PERMIT #. . . . . . . : LAUP95-014-1' DATE ISSUED: 05/09/95 639-4171 TC VY768' SW W111SHINGTON SOUARE RD PARCEL: 1SM--'60C--01 !07 ADDRES' JBIDT VISION" ZONING: C-G OCK%. . . . . . . . . . . LOT. . . . . . . . . . . . . i . FLOOR AREAS-- EXTER1017 WALL CONSTRUCTIM-4 WIMK. :ALT 5f N. S. E W 'PE 'SECOND. 5 F PROTECT '-r' USC. COM 'PE OF CZ)NST. .7-dN THIRD. . . . sf N: 6: E: W: -CUPPMC."y GRP. -,S;7!., TOTAL ---- 0 SF ROOF CORIS": FI RE RE.T7 ZUP(INCY LOAD.78 SAS)EMEN!T. SAREA SEP. ' RATED: I IT, F-t GARAGE. S f OCCU SEP. RATUD. MT? : MEZZ"- REDD REQUIRED______-___.____.__._._. f4- f OOR LlMril). ps � LEFT. 'IR SPVL :Y SMOK I)CT. ELLING UNITS: rRl4T- rt R C.n R ft FIR ALRM:N HNDICP ACC:Y ,-,r i Nnu DP7 115 imr-, TjuRAr-Acr:: PRO conRy P A R I S I N 171 !LUE. 2000 TY F:EE.s RIGGINS type amount by date I-ecpt '`W WASHINGTON SO. RD. PRMT 321. 50 D 415/04/95 95-i?65047 r I t*,,C, 0-,!/04/95 ,51:,C fP 1. 63 D 05/04/95 95-2650,P, WYA4—" r'jrkE Pi-MTECTION V%IC. BURNHAM 2 T;ARD OR 17"33 6134 $ 47. 13 TOM- '4077 REGUTRED INSPECTIONS trillit ik issued Sib;Pct to the regulations contained, in the FiucctLti— Tigare 1knicipal Code, State of Ore. Goocialty Codes and ea. other S;jrir)k1et- Vinal IpplicallZe 1;145. All Mork 1,111 be lone in accordance with approvod plans. This plrsit will expire if warw is ,of. ,tartqj 4&,in 160 days of issuance, or if wcri is sljspendvc frr sort then i8f days. CL 0' .............. ---------- 10 Cal I for i)-,;--1PrtiC1r) (:,39-4175 L APPLICATION FOR PERMIT TO INSTALL FIRE SP�E—R SYSTEM BUILDING DIV]:SION, CITY OF TIGARD 639-4171 DATE: `l _ PERMIT # Valuation: O Z. cx> Permit Fee: % Surcharge: T 77 Plan Check Fee: � i5 � )r Plans must be submitted to the Building Divisionore install 'on.�Three'' sets of the plot plan, showing the layout and the location of gi"refs hydrant is required. New Installation: Addition: Repair: _ Alteration: Complete: .+–' Pt rtial: Ey.itway: Basement: Hood & ent: Spray Booth: 'N EXISTING BUILDiNiG:' 1�C` IN NEW BUILDING: NUMBER & STREET: ��-jc�— NAME OF BUILDING ,)r BUSINESS: NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: TYPE OF SYSTEMS: Wet: Dry: Combination: STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1`2_3_4—Extra DENSITY_ GPM/Ft2 DESIGN AREA ft.2 SPRINKLER AREA ft2 SPRINKLER ORIFICE SIZE: 17— _ "K" FACTOR _TEMP. RATING I L�_ — OWNER: ADDFESS: CONTRACTOR: L13�Tt 0 TV,x r PLANS DRAWN BY: ��� r , ADDRESS: �d�7 �> l � &,lf N 11Q v►\ - `,j REMARKS 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. -' SPRINKLER CCMPANY: W _ WO 1 PHONE:" �.� SIGNATURE OF APPLICANT: BUILDING DIVISION: T PERMIT VALID FOR 180 DAYS word\eomdn\anperm � �� CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hali Blvd.Tigard,Oregon 97223@8199 (503)839-4171 PILUMSIN- PERk IT N- PERMIT #. . . . . . . . PILM95­01"` 339--4171 DATE ISSUED: 05/04/95 PA I S3 126 0 -01 107 TE APEIR '5:3. . . : 112D635 SW WASHINGTON SGUARIE. RD JBDIVISION. . . . : ZONING: C­G _OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . -ASS OP WORK. . :ALT GAIRDAGE D I Sr-`OSALS. MOBIL[-: HOME 31-`ACES. ,'PE OF USE. . . . :CCM WAMIING MACH. . . . . . . : BACKFLOW P,REVN"rpco,. .1CUPANC Y 1""Rp. B FLOOR DRAINS. . . . . . . TRArr' . . . . . . . . WATER HEATERS. . . . .. . 21 CATCH BASINS. . . . . . . ; LAUNDRY TRAYS. . . . . . : 7r" RAIN DRAINC. . . . . : ,'NKS. . . . . . . . . .. .. URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . VV'A Ton,I Ls. . . . . . i OTHER rIXTURCO. . . . . . JB/SHOWERS. . . . . SEWER LINE (ft ) . . . . ,')TEP CLOSETS. : 1 WATER L..TNI (ft) . PAIN DRAIN ( ft ) . . . . TI ,JT1 V 1" RIGGTNS C/0 EXPRES"') 1C R Mi T TG i;, Pe a In Q u'l by date t-ecpt PRMT 36. 00 JD 05/04/95 -0. 00, T1) 0 5/0 14/ )7, STE 11 PLCk JRRANCE CA 90SOI 5PCT i. 30 JD 05/04/95 )a T i e # . ,314'x- 3f.28 8 :'2 33 it)0 �.ntvactor'. ­---------- ----­----- ­-­-­­.-- , - .--.,- ;4C+T IL r'!'LUMbING :,900 ','-)W MERLD RD q V C,",T,(_t,4 CR 97Q10(.. TOTAL 24.1 34 qcr_Q.UIrEI'_' INSPECTIONG) :j pel,a t jj issued subject to the regulations contained in the Final Inspect l(,T' ,hard Municipal Wei state of Ore. Specialtt Codes and all other ;,licable laws. 911 work will be dont in a::crdance with ------ _Lr-7'-Jjd P197;, 'this pusit will expire if work is not started thin IN dais of isvianct• or if work is KSpendid for sort Ln ................ Cell fo - in,lijuction 639--4175 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (E03)639-4171 BUILDING PERMIT FI=RM TT t#. . .. . . . . . nup'n� r. DATE ISSUED: 0s rf_^19� C,39--'4171 PARCEL: SITE ADUPEOC,. . . - 096B5 13W 14ASHING ;"IN CQUARE. RE, SUBDIVISION— . : ZONING: C--G r 1-1OCK. . . . LOT. . . . . . . . . . . . . . [jE7 ISSIJf FLOOR AR-AS 5YTC- TOR 14()L.L CON5TRUCTI " CLASS OF WORK. :PLT FIRST. . . . N. S: Ell W: 'ti PE OF- USE., 17,011 SECOND. f PROTECT OPIENING3? -...-..-- -- TYPE OF CONST. 1N THIRD. . . . f N: * 5): E. W: DCCUPANC'y .11:12 TOTAL- ID s f ROOF CONST: 71nrL RET" OCCUPANCY LOAD:78 BASEMENT. s AREA SEP. RATED, STOR. . 1 ;7. : r't GARAGE. f" OCCU 3Ef--. RATCU. DOMT?. MEZZ?; RC.GD FLOOR LOAD. . . . I-E�TT rt RGHT:; ft r-Ir, SF.-KL.Y SMOK DE T. N DWELLING UNITS: FRNTc ft REAR: ft FT". nLRM:N HNDICP ACC: Y PF-Dnm�: -. BATH,;: 1MP SURFqCE; PRO CORR; P A RV 1 NG, VALUE. $: 8200121 Rc.may-14 s : TI Owner: --------------- FEES % flIGOTNO C110 EXPPr-71 PERMITS type amount by d a tid re(_pk PRMT $ 379. 00 JDA 04/210/15 - 1 "727 POST AVE STI-1 11 PLCK $ 2:46. CO - 03/20/01;, 'I5 -Ll 17. TORRANCE CA 90501 r-IRC $ 151. 60 JDA 04/20/9t Phone #: 2,10-323-6300 '-:PCT $ 8 JDA Ce) 121/'3 5 C On t r az t 0 a C G A E'"TILkN L', CONSTRUCT I CN, INC 17Z PQX '13i29 NGLETON TX 77151n $ 7'J"". 90 TOM- REOUIRED INSPECTIUNG ln;s permit is issued subject to the requiations contained in the Framinq Insp 17e. .qard Phiricival Code, .5tate of Ore. Sp�-cialty Codes and all other lr)sLilat ion Insp -j-plicaLle 1&ws. All work will be i'm in accordance with Gyp Board In6p ai:c:red plan - This poi*mIt iill engirt if wark is not started S�isp Ce i I rng Inset within 160 days of issuance, or if work is suspended for sore Final Inspect 1011 I-A Ca 11 f or i n s wect JL U"1 175 City of Tigard Commercial Building Permit Application -- - 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639--117' Jobsite Addresa: ` �!'�i �l�> >�111�(�f-. �` �.�.■ 'Tenant: _ � 10 4i rl S Suite# �-� Office Use Only Valaatlon: Qj' o C17) Planck/Rec # � [� Permit# � - oo 1, Owner: C c:_i.n`a /�� P,�CP 0-o'-S MCMap & TL# Address: ��7 Approvals Required Planning r Phone: 51C 1 3 - O Engineering Other Contractor: L. �,� 7 C AuC'(I01�l Address: Type of const: Phone: Occupancy class: _ Contactors License # Sprinklered? No (attdch copy of current Oregon license) Sq. ft. c'project: ' Contact name & phond;'— Story (1st, 2nd, etc.) d Arch itect/Engineer: Proposed use: t[� �' lie ,: r�W2 ��Nrn ^ Previous use: Address: �_y,.�� �C�ST lY'yE- --STS- H Note: Plumbing & mechanical plans �� .�4%J�� must be submitted at time of Phone: ��G3v�t� w,20 D building permit application. n ti /7 r JOB DESCRIPTION: _L�11 /�t�/rJ �L,! «► 1� �3a Q A licant 9Vature & Phone number .Received by: Date Received: G- " Permit# Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) � — Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Piumb: Mech: — �; r-A - Sewer Connection (SWUSA) - Sewer Inspection (SWINSP) Parks Dev Charge (PKS-)C) Storm Drainage Chg (SDSDC) Residential TiF (TIF-R) Masa Transit TIF (TIF-MT) Commercial TIF (TIF-0) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TiF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) 1 ��, �r�_ 15010 s Erosion Cntrl Permit (ERPRMTj rj Erosion Planck/USA (ERPLAN) J F_rosion Planck/COT (EP,OSN) TOTALS: FEB-10-1S,9'5 18:09 FROM TIGARD POLICE DEPT TO 13103280336 P.10 City of Tigard PLU GING PERMIT APPLI AAATQN PlanckrRec. # y `' 13125 SW Hall Blvd. Permit # 70 Tigard, OR 97-9:23 (503) 639-417^ A ,,,,; INIMUM $25.00 PERMIT FEE+ST. SURCHARGE w..wn.r.bw.wn — New Srtplll Famed Rlsldencws_ O(ft .y •er.� O i f3ATFl HOUSE btn0.00 O 2 BATH HOUSE$195.00 Job ")_ -) " rL— ❑3 BATH HOUSE$215.00 Address a,ro"% ---- Fee inclall plumbing fbdurea in the dwelling and the fust 100 foot - IZ of water se ivioe, sanitary sewer and storm sewer. See fees below. ww.to tel 01P FIXTURES QTY PRICE AMR 5,11 Ct 6, r' Sink 9.00 .a..rrF Ts. Lavatory 9.00 aq Owner l<� �D �4� JG hower Comb. 9.00 r ny y00 C set 9.00 as @.00 (Cge w�osal 9.00 Occupant M u. �» ng ine 9.OU r n 9.0011 ter 9.00I. ary oom Tray @.00 900 F res (Specify) @.lX) U8041�.w hrlmw 9.00 Contractor EJC) aynur. AP 9,U' 6) Sewer 1 100' 30 00 um.RM+•w r.. rn a.r.w Sewer a.Arktal 1 UJ' 25.00 s1„ Water St y1ce 1st 16Y 30.00 hmreby acknowledge that I have read this application, that the Water S io)ea Acdlt 200' 25.00 information given is mrwi, that I am the owner or authorized agent of --- the owner, That plans submitted arm in oompNanee wIM State laws, that _ b3torm 8 .in Drain Ist 100' 3000 I am registered with thm Construction Contractor's Board, that the Storm 6 oin Drain Addk. 100' 25.00 nurnbw given is correct. (It exempt from State registration, please --- —• give reason below.) Mobhle It V10 Space 25.00 ,/ G; Each F Prrrventien 1`.t( ( , { � A f Device a Artti-Pollilion Device 9.00 t>,r Any Tra or Waste Noll Con to a Funure 9.00 Zdambe new O addttion ra repair 0 Catch in 9.00 to he done resldenhal 0 non-m9 dontiel n Insp. of lst Plumbing 40.00/hr Speclaly Requested InspetOom 40 W/hr t-xisting use of Rein Dri n, sigh 'tangly dwelling 30.00 budding or prc>,wty _ -- - - --_ Reaiie I backlMw prmwrrrtion JJ � dovkns 15.00 � Proposed usn of �/r /�/` �r �� - bui� g o nr proPrY ef +' X•f •�� _ 'fE><t:epl toWdertfawl baelrftr»v re pnwe"s M~ceaf NOTiCF. 'Minlm Fes$26.00 SUBTOTAL j ;i 60 PERMri,4 HFCOMF.VOID IF WORK Cait CON^Tr U(IT10N �' AUTHORIZEn IS NOT COMMENCED WITHIN 180 DAYS,oR IF 5'r.BURCHARGE x,617 n CONSTRUCTION OR WORK IS SUSPFNDFU ON ABANDONEt1 -- Q �= FOR A PERiOD OF 180 DAYS AT ANY TiMF AFTER IMORK IS I IOU h COMMFNCFD PLAN R EW 25X OF quo TOfAL TOTAL SDecai+) Corx)dvito Dmtr i.Sueri t'Y FOR OVERSIZED DOCUMENTS SEE 35 mm ROLL FILM FF II I FFF444 � y Fa a Ei r_ 4y: I;Y