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i:\records\microflm\targets\building.doc
CER*TIFCA1'E
V CITY OF TIGARD OC(,''IUPANOF'
CY
COMMUNITY DEVELOPMENT DEPA= PERMIT 0. DUP94-0048
13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (5 DA,rE ISSULD: 04/08/94
PARCEL: IS1260C-01107
3I TE: ADDRESS- 1 09759 SW WASf1T.NG*TON SQUARE RD 14 I)-Tj
YX SION. . . . 9 ZONINO:C--G
Lol.. . . . . . . . . . . . . 9
..........
(A.,ASS OF WORK. t ODD
FYr-)E OF' USE. . . :(::Ohl
OCCUPANCY GRP,. uF12
f)('(:',UPAN(:;Y LOADN
i LMAN't' NAME. . . AEXCA1 IBUR C(.J*1'LF.'kY A UIF'I*S
Remarkso Lxcalibur-- new mtorefrunt
Owner ----------
WtNMAR - CASCADE
010 TTH AVE #R600
1 iifll L WA 98104-5006
hone fit
Contracturn
G'. WILSON CONS*T'PkU(,'TION
13369 BE KANNE ROAD
I'IORfLOND OR 9723f.',
F"hone #a 766'...01134
Rleg 0— c 63438
Occupa.vicy of the above referenced buildintl is hereby given, And certifies
the vompliance with the State Of Oregon Specialty Codes fo-r the group,
1C(:A(pAi-1C1y, ATICI USP Uvider which the referenced permit watts issued.
............... ......... .......
P I R F.- D E 1)A k I'M E N'T E, NO I P E C'r 0 R
................
BUILA . I f (IFF C I AL
POS'T' IN CONSPICUOUS PLACFH-
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• INSPECTION NOTICE
City of Tigard Building Department
iI15 M Ball Blvd. Tigard, Oregon 97223
Inspection Lin._ 'Rec-O-Phone)e 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Hach. P.ough-in Appr/Sdwlk
Found. Plbg. Top Out sae Line lINALs`�
Poet/Beam Struct. San. Sewer Framing -81dq.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbq. Underfloor Water Lina Gyp. Rd. -Rech.
Date R9questedt �� Times
(� (�AM PH
Addrt.at ��� ,��kkr)LSY\ _ P.cNit Pe�_L`{ l�'-A if
Ruilderma'N �L 0 U-)
TNR FOIZAMNO OORRECPIONS ARB MUIREDs ll,
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Inspectors. Dates
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
Cit? of Tigard Building Oepartamt
131.255 S* Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)i 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Fwnd. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Pr�� -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line (/ Gyp. Rd. -Mach.
Date Req/uue�s7todam: �r� �7-z I - 1 TiMf p AM _�CJ�, PH
Address- 1 1' 1 w-C4y Cxf_ �-� ^ Per it #sF10` �y-(M� YV
Builder: 'P�L��^ _1�CU/t !LZ hl� 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Tnspectors
5 APPAOM DTSAPPROVRD APPwwffD SUBJECT TO ABOVE
call For Reinsp.
TUAL, 'N VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive • P.O. Box 4755 • Beaverton, OR 97076 • (503) 526-2469• FAX `26-2538
February 22., 1994
Arcadia Design
1448 E. 43rd Avenue
Eugene, Oregon 97405
Re: Excalibur Cutlery
9759 S.W. Washington Square Road
5889C-060-095
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on
the 1991 editions of the Uniform Fire Code (UFC) and those
sections of the Uniform Building Code (UBC) and Uniform
Mechanical Code (UMC) specifically referencing the fire
department, and other local ordinances and regulations.
Plans forwarded to this office from the City of Tigard
Building Department have been reviewed and are
conditionally approved subject to the following:
Plans referred to and examined by this office 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)
Approval of submitted plans is not an approval of omissions
or oversights by this office or of non-compliance with any
applicable regulations of local government .
a
If I can be of any further assistance to you, please feel
N free to contact me at 526-2502 .
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J Sincerely,
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J .ter
Gene Birchill, DFM
Plans Examiner
GB:kw
cc: G.W. Wilson Construction
City of Tigard Building Departmentt%
"Working"Smoke Detectors Save Lives
NG
MI
CITY OF T PERM I TU#LD I. . . . :RE UP94-0048
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/03/94
13125:N NeIlBlvd.Tigard,Oropon 97223.8199 (5d9)�'39-A�t71171
I PARCEL: 151 C6OC-0 1 1 07
SITE ADDRESS. . . : 09'759 SW WASHINGTON SQUARE RD #D-5
SUBDIVISION. . . . : ZONING: C-G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
REISSUE: FLOOR AREAS---------- ---EXTERIOR WALL CONSTRUCTION-
CLASS OF WORN,. :ADD FIRST. . . . :75 sf N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS?--------------
TYPE
FENINGS?.__-_-._._-_-_TYRE OF CONST. :5N THIRD. . . . : sf N: S: E. W:
OCCUPANCY GRP. :B2 TOTAL------: 75 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:
STOR. : 1 HT. :20 ft GARAGE. . . : sf OCCU SEP. RATED:
BSMT? : MEZZ? : REQD SETBACKS--------- REQUIRED--------------------
1---LOOR LOAD. . . . : ps f LEFT: ft RGHT: f`t FIR SPKL:Y SMOK DET. . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y
BEDRMb: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE. $ : 20000
Remarl(s : E)(calibl_rr•- new storefront
Owner: ------------------------------------------------------- FEES ---------------
W I NMAR •-- CASCADE
iILlO `� I H A?�E #2600 type amof_kn;; by date recpt
RRMT $ 140. 50 JH 03/03/94 -
PLCK $ 91. 33 ._ 02/22/94 94-249169
SEATTLE WA 98104-5O26 SPCT $ 7. 03 JH 03/O3/94 -
Phone #:
Contractor-: ----------------------•--------
G. WILSON CONSTRUCTION
13369 SE KANNE ROAD
PORTLAND OR 97236
-Ti o n e #: 762-0134 $ 238. 86 T CTAL
63436
------- REPUIRED INSPECTIONS -------
This pernit is issued subject to the regulations contained in the Framing Insp _
!1gard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp --
applicable laws. All work will be done in accordance with Susp Ceiing Insp
approved plans. This permit will expire if work is not started Final Inspection
within 188 days of issuance, or if work is suspended for @ore �-
than 180 days.
'-
Permittee S i g n a t'_i r e :e�
I s s u e d By: 4'___.___
0
Call for inspection - 639-4.175
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Commercial Building Permit A
�I �qpn
City of Tigard
13125 SW Hali Blvd.
Tigard, OR 97223
(50.3) 639-411-1
Jobsite Address:
l ,.. — Office Use Oniy
tenant: X�' , lx :r t v� Qte t>I :a
4 _ PtanLWRec it
Valuation:
Permit #
Owner: Map & TL#
Address: 5^'�i 3 W WG�C., : ti��J S 5 rov " 'e 1}l•.,}
eJ Planning ..
Phone: Engineering
Other
Contractor: '°
Address: t 3 3 b c, ��• �.,v.� .� .
3 LType of const:—T--.,..,+--
Occupancy class:
Phone: / �� �- `_C> l 3 r-
Sprinklered? )s No
Contractor's License # (, -� `1 0 ) rJ,
(attach copy of current Or on ficens6) 5q. ft. of project:_
Sto7-11 st)2nd, etc.)
Architect/Englneer: �� °��i "7p S J Proposed use:
Address: ,4� T 't.. Previous use: O
c. r;4,, Note: Plumbing & mechanical plans
C must be submitted at time of
Phone: c1 z-3 building permit application.
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- COMMENTS:
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Applicant Signature & Phone nurnber
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Received by: Date Received: _
Permit # Account Description Amount Amt. Pd. Bal. blue
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg.-
Plumb:
ldg:Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Oev Charge (PKSOC)
Storm Drainage Chg (SOSOC) _
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)
tz Water Quality (WOUAL)
Water Quantity (WOUANT)
w
Fire District (FIRE) _
TOTAL. / y'�5-3
f✓
(A 'IY CJI 1WARD — RECEIPT (A PAYMH.N1 Rk-.0;h.JFST NO. n94--P49189
CHEA'A AMI:IUN F n 91. ::33
'JAMES' 6 W. W I I._4-301V CONST RUL;I T ON CASH AM1.IUNJ = 0. 00
41)1)REz'BS PHYMEN1 DME. n VIe/Ci*..c/94
SIMAD I V 1 13.0 ON n
�1.)RPIJ4:yE CIF PAYME.N r AMOUNT PAID PIJkF-'OSE: OF PAYMlXT AMOUNT NA I D
'(._AN CHECK F'F' 91 33
9751) WA. SW. RD. , EXCALABUR CL f(..FRY
I(J CAI.. AMUIJN T PA I U - _. ._. __j 1,
• C:I I Y OF 1 I GAND R(_:CE.1 V,1' ()t PAYMF"NT Rr:• A- 1 P 1 NO.
CHPf;K AMUI IN 1" t 7. 5,,3
diiMl.
WW.:I .:: I1N I.i.M I RUCT I ON CASH AM(_UNI N. NLA
41:11?C1EISS PAYMF.N'C DWI F' 03/03/94
SURD I V 1 S 1 ON
i1;F'll'. f I I( T'FaYMt N r 0Mlll IN C f'A 11) PURPOSE OF PAYMI.N T 0M(1UN I PAI U
tl I I l-U C NU f^'RHM 141A. 50 G'T. BU I l_.C? PER 7. 03
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