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15605 SW 116TH AVENUE sw /l(O A J i:\records\microtlm\targetslbuilding.doc w J CITY OF T I GARD MECHANICAL COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PERMIT #. . . . . . . : MEC94-0007 t 39-4171 DATE Iz-3SUED: rill /07/94 PARCEL: 25110CD--00103 SITE ADDRE'5S. 1.5605 SW 1. 16TH AVE SUBDIVISION. . . . : K I 11JG C ITY ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . CLASS OF WORK. . :ALT FLOOR FURN. . . . EVAP COr)LERS: 'TYPE OF USE. . . . :COM UNIT HEATERS . : VENT FANS. . . :2 OCCUPANCY GRP. . :B2 VENTS W/O APPIL: VENT SYSTEMS: STORIES. . . . . . . . . I BOILERS/COMPRESSDRS HOODS. . . . . . . : FUEL TYPES----------------- 0.- 1-4 P. . . . : DOMES. INCIN: : /GAS/ 3-15 HP. . . . : 1 COMML. !NCIN: MAX INPUT : BTU 15-30 HP. . . . : REPAIR UNITS:i.2 F IRE DAMPERS?. 30-50 HP. . . . : WOODSTOVES. . : GAS PRESSURE. . . 50+ HIP. . . . : CLO DRYERS. . -: 1\10. OF UNITS-------------- AIR HANDLING LIN I TS OTHER UNITS. : FURN ( 100K BTU: 10000 cfm : GAS OUTLETS. : 1 TURN > =100K BTU: > 10000 cfm : Remarks : Clothestime- interior remodel incli-tcies demo. , new pai-tion Walls, OD(-) r�e St rooms 1JWn P V, FEES KING CITY PLAZA type amol-int by date v,ecpt 5530 CORBIN AVE SUITE 120 'RMT $ 41. 00 JF 01/07/94 PLCk $ 10. 23 JF 01/07/94 TARZANA CA " 1356 5PCT $ 2'. 05 JF 01./07!94 Phane *,. 818-708-3278 Contractor. L.'UNTRACTOR NOT ON FILr:. P V -------------------------------------- Phone #: 1 53. 30 'TOTAL Req REWIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipa: Code, State of Ore. Specialty Codes and all other Meehan ical Insp appl-cable laws. All work will be done in accordance with Heating Unt Insp ipproved plans. This permit will expire if work is not started Cooling Unt Insp within 180 days of issuance, or if work is Suspended for more DLict Inspection than 180 days. 'sinal Inspection ul P e v-m i t t e e Si q n a t 1-i v-e W I ted BV Call for inspection 639-4175 CITY O TIGARD MECHANICAL COMMUNITY DEVELOPMENT DEPARTMENT ! ERM IT 13125 SW Hell Blvd.Tigard,Oregon 97223eR199 ((�5�03)839-4171 PERMIT *1. . . . . . . : MEC94-0007 r,?,9- 4171. DATE ISSUED: 01/07/94 PARCEL: 23110CD-00.10.3 SITE ADDRESS. , . . 1,5'605 SW 116TH AVF SUBDIVISION. . . . : KING CITY ZONING: . . . . . . . . LOT. . . . . . . . . . . . . . ........_. -rte.--..-.__.. ----.-.-.._._ -_...-.----...._...__._.._.».._._.-..-.._-..._..-_..-.._..._._.._._....___......_..._.__.-_._._...__...._-...._-......_....._.._.._ CLASS OF WORK. . :PLT FLOOR FURN. . . . : F-VAP COOLERS: TYPE OF USE. . . :COM UNIT HEATERS. . : VENT FANS. . . :2 OCCUPANCY GRP. . . 2 VENTS W/13APPL: VENT SYSTEMS: STORIES. . . . . . . . .. 1 BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES--___ 0--;3 HP. . . . DOMES. I NC I N: :/GAS/ / / ` 3-15 HP. . . . : 1 COMML. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:2 FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . : GAS PRESSURE. . . : 504- FIF'. . . . : CLO DRYERS. . : NO. OF- UNITS- ----------- AIR HANDLING UNITS OTHER UNITS. : TURN < 100K BTU: <-= 10000 cf m : GAS OUTLETS. : 1 FURN ) =100K RTU: >' 10000 cfm : Remark�a ; Clothestime- interior remo4iel inc.-1Ude 5 demo. , new part ion walls;, ADA re st \ rooms • Owner -___ -�c------------------ FEES KING CITY PLAZA tg!pe am0Unt by date recpt 55.30 CORBIN AVE SUITE 120 PRMT" t 41. 00 JF 01/07/94 - PLCK 10. L,5 JF 01/07/94 -- l-ARZANA CA 91356 5PCT $, 2:. 05 JF 01/1'17/94 -- Phone - Phone #: 818-•708-3278 �\ Contractor,: NURT HWE:S I COMMERCIAL HEATING \ PPO BOX 574 CLAGKAMAS OR 97015 ---------------\-. Phone #: E 5.3. 30 TAL Reg #. . . 59375 REQUIRED I PFCTIONS ------- This persit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Heating Unt Insp CL approved plans. This pewit will expire if work is not started Coaling lint Insp within 180 days of issuance, or if work is suspended for sore Duct Inspection - V1 than 180 days. Final Inspection J - L' Permittee S i g n a t i-r r e : w J T o s l-red B y Call for inspection - 639 4175 City Of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # 6"] Tigard, CR 97223 (503) 639-4171 Table 3A Mechanical Code OTY PRICE AMT Job Address \ \ J 1) Permit Fee -0--.- -0- 10.00 2) Supplemental Permit 3.00 ��, •r�},��_.,,.i.laiFurnace 1) incl.duds 8 vents 6.00 Furnace 100,000 8 1 U + —" Owner �� C„Y�,.� la vim' \tU 2) incl.ducts a vents 7.50 ' oor Furnance Z cy< ' 0 C \ { i }?`7 3) incl. vent 6.00 rrr a rwm -w uspe heater,wall heater 4) or floor mounted heater 6.00 "` — Occupant en no incl. in, 1�J^\ 5) appliance permit 3.00 re�oTTieating,re ng. y - p �T��• f u 6) cooling,absorption unit "/ c 6.00 boiler or cornp,neat pump,air cond. 7) to 3 HP absorp unit to 100K BTU 6.00 Boiler or comp, at pump,air con . - ' n �� 8) 3-15 HP absorp unit to 500K BTU ti 11.00 Contractor �$-- Boiler or comp,heat pump,air cond. •G� /,��f ��r'f! 9) 15-30 HP absorp unit.5 1 mil BTU 5.00 Boiler or comp,heat pump,air cond. Z.,<' 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 --TT5-reTiy acKnow ge a ave read m application,that vie Boiler or comp,heat pump,air cond. information given is correct, that I am the owner or authorized agent 11).>50 HP absorp unit 1.75 mil BTU 31.50 _ of the owner,that plans submitted are in compliance with StateAir hancling uii to — -- laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 _Ji that the number given is correct. (If exempt from State registration, Atr It an a-KV unr i please give reason below.) 13) 10,000 CTM+ 750 Non portable -- 14) evaporate cooler 4.50 . enXent fan connected i 15) to a single duct 3.00 Ventil bon system not 16) included in appliance por•:iit 4.50 Hood ser v �- • 17) mechanical exhaust 4.50 arbe work new U addition ate on repair U �'%,ommercra-Tor industrial to be done residential d non residential 18) type incinerator 30.00 Existing use of Other t e.,wo s ove,water building or property �.Q.�O.,� 19) heater,solar,clothes dryers,etc. 4.50 Proposed use of \ 20) Gas piping one to Mur outlets 2.00 �,CIO building or property 1 Type of fuel -uif C) natural gas(0 LIIG t' electric(, 21) More than 4-per outlet Minimum Fee$25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE pS IF CONSTRUCTION OR WORK IS SUSPENDED OR — - — -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL C' AFTER WORK IS COMMENCED -- TOTAL Special Condidont. - -- _'— Date issued by w`rexrM� CITY O 1'I141R l RC'Ut W1 1 I It POYMEN'T RE.f.:E A PT NO. e 94•--r'4 7�i 1 CHECK 0MOUN T : 53. A(4ti: a NW C GIMME RC;I At_ HEATI NI'3 CAn1A AMOUNT a 0. (Ao L)DRI !;: a PO SnX 574 �:JAYMF:NT DATE_ z 01/07/94 I A.ACKAMAS, OR SUBDI I VCS I(7N (it I 'l l y mt 11,41 AMOHNI PAID VU114'UBF•. CIV P(A Y NKN I AM(ll.IN I PC)11) KIN) C(IL VT 94- 007 l . ob fI1E F- al_(11V I;I11 IT 11 10. r3``i N F-- rr J ►r W J !i � w t. t(, lf, 53. 30 1 -- _ ry�� r�„s��+ Gj)w�r.�l�'- �. -,,J�lG�� Ivy—�� A•.`r'� ' �U ala Tl LC ��- ��._-, 7�� I•-.G��• . �Gt] �y MOOity85goyp (9G,00UBrv,, T�JSl �ZA -- -- IE - - -- I '- - — re 'A� i ! � !! �j� �a .� -�J/�•� ��1 '/,�`�• II�-� GI�1{.I -r� �� =`r Op _ - - - �__ _ - -- _.--�----- _ . - - - CE1LO � 0.5 07 17 • Job Ad *c :': P�A�:N vitt TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTM 7,NT FIRE MARSHALS OFFICE :9 (503) 526.2469 POSTED: OCCUPANT CONTRACTOR BLDG. PERA(I . PROJECT NAME ! PLAN REVIEW �k LOCATION ^ JURISDICTION: 1= Be. 2= Du,(3= K,C. ,4= Ti. 5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC COVER FINAL SPECIAL) FOLLOW-UPIREINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls � Sprinkler System 11 Shaft ❑ Fire Dampers �' (OverhdlU derground) Alarm System Hood' Extug Systems on ❑ Spray Booth ❑ Ceiling Cover ❑ Other 01 vtr A/ v 4 Ate . by ..J t i Date: �� Inspector: ik CERTIF' TE OF ' CITY OF T IGARD OCCICAW)ANCY COMMUNITY DEVELOPMENT DEPARTMENT P E R 11 IT 0. • . • . . . : BUP'133-03.34 13125 SW Hall Blvd.Tigard,Oregon 97223-8109 (d03)'09-41171 ))A I,E ISSUED 02/09/94 PARCEL-a 2911.10CD-00103 U.14 L A D 1)R E S13. l.56 W5 6W 116 TH AVC- SUDD VE- SUDD I V T SIGN. . . . : KING CITY ZUNINGi PLOCK.. , . . . . . . a LOI . . . . . . . . . . . . . p CLASS OF WORK- -sAL.T TYPE-. OF* USE. . . 3COM Oc1i*.1UPA1q(.;y GRP. -Eip U)CCUPANCY LOAD: 148 TLNAN1 NAME. . . 9 L OT 1-1 E S T I M E Remarks Clothostime- interior remodel includes demo. , new pa-rtion walls, AT)() -I,o is t ru(,.)ni% Ownp-ro KT14C% CITY PLAZA 5530 CORBIN AVE SUITE 120 TOPZANA CA 91356 Phom, #v 818-708-3278 colit-ractor .- DEVERS CONSTRUCTION "(1 YK)X 923 FOL'iOM CA 95630 Phone 11is 714-985-6,?77 Req #. . 4 95461 upancy of the- above referenced building im hereby Cjiven, and c-:mrtifiez ths.,, rompliance with the State Of Orepon Gpc,,cialty Caries fur tho grour)v OCCIMpancy, and LISe UnCIP-11 which the referenced P,e-Aiilb, wfws i d. LD 0 FICIAL - �.CTO F'*IF,,E- DrPORTMENT 'NS F11"IST IN CONSPICUOUS PLACE t Li INSPECTION NOTICE 9'. city of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 BueinPes P 4 1 Inspection:_ — Footing Plbg, Underslab Mach. Rough-in Appr/Sdwlk —I Found. Plbg. Top Out Gas Line DI Post/Beam Struct. San. Sewer Framing Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Requestedt Timet AN7 _PM s Addres. �1�V� ( �U1 J`ln C1/� Permit Ruild.grt LeI- y) /_ _. TNF. FOLI.OWIIIG CORRECTIONS ARE REQUIREDe 1 'M q3-02(-) I Inspector: Dates. 7 DISAPPROVRD APPROVED SUNJI= TO MDVIM Call For Reinep. INSPECTION NOTICE ' City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspe..tion Line (Rec-O-Phone): 639-41.75 Business Phone Inspect ions Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lina Gyp. dd. -Hach. /- G7 Date Requested: //_ Addresses ISle / /�Pe�rmlt'�t D 3 Builders THE FOLLOWING OORRECTIONS ARE REQUIRED: F- tn T N J 0 W _ J Inspector i- _ Date: LIPIPROVED DISAPPROVED APPROVED SUBJECT TO Call For Reinep. INSPECTION NOTICE City of Tigard Building Departaextt 13125 SR Hall Blued. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Ph_ 3 4171 Inepectiont_ Footing Plbg. Underslab Mp-.h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing --Bldg. Post/Naam Hoch. Rain Drain tnaulation -Plumb. rlLg. Underfloor Water Line !� Gyp. Bd. -Hoch. Date Requested: 2-5 `� / _Tampa AH PM Address: I(� ((I/-'J Permit / Builders THE FOLLOWING CORRECTIONS ARF REQULRED: a a� -r M — — AJ J Inspector:' Dato, Z— C �� APPROVED DISAPPR:,VRD APPROVED SUBJECT To ABOVE Call For Reinsp. SPECTION NOTICE City of Tigard Buildinq Depmu=_nt r 13225 SW Hall BILI. Tigard., Oregon 97223 �r Inspection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 6A- Inspection: Footing Footing Plbg. Under-slab Hach. Rough.-in Appr/Sdwlk Found. Plby. Top Out `—.Cas Line Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp, Bd. Heoh.J Date Roquest//eds IJ Timet ►^_AM PH Addreae: �1C10 I I lP Permit #ojh 6-'! /-x--7 / Builder:-- — AA�1S �. tZ6/� & THIS FOLLOWING CORRECTIONS ARS REQUIREDs — Inspector: -- ----_ - — / — Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE —-call For Reinsp. INSP OL ON NOTA city or Tigard Building Departaent 13125 SO Ba-11 Blvd. Tigard, Orwgon 97223 Inspection Line (Rec-O-Phone)s 6FF39-4175(t Business Phone: 639-4171 Inspection: 1 \CULIQ►V1 ` I1� Footing Plbg. Underslab loch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Bram Hach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. � u Date Requested: ( _ rimes _� AH PII Addreaas Permit �t !_ro`1 I l tp P[PNA 3 -02,60( Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: I a y- Ch W Inepsctorf -- bat ef / �r / ?T- X—"PROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE J Call For Reinsp. INSPECTION NOTICE City of Tigard B+iilding Department 13125 am Hall Blvd. Tigard, Oregon 97223 ( Inspection Line (Roc-o-Phone): 639-4175 Business Phon .19-4171 Inspection: Footing Plbg. Underelab Mech. Rough.-in Appr/Sdalk Found. Plbg. Top out Gar Line FINAL% Post/Beam Struct. San. SewerFraming'� -Bldg. Post/Beam Mach. Rain Drain InsuMi6n -Plumb. Plbg. Underfloor Water Li a C�I Gyp. Bd. �6ch, Date Requestede _ t, Time; AM P1 Address: J �� - n Permit 1:Adip Builder: oe TRF FOLLOWING CORRECTIONS ARE REQUIRED: i ii N C7 - W J Inspector: � _ Dater APPROVED DI,4APPROVEII APPRoNEn SUBJECT TO Abol/z —Call For Reinep. INSPECTION NO4ICE Cit? or Tigard Building Depari:eent 131.25 BN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rea-Ol-Phone): 639-4175 Business PhoJnei 639-4171 Inspection: 1 IKAtV\A " (,l.•V�tJ1 Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk Found. 'lbg. Top Out Gas Line FINAL Post/Beam Utruct. San. Sewer framing -Bldg. Post/Bnam fw h. Rain Drain Insulation -Plumb. Plbg. Underrloor Water Line Gyp. Rd. -Koch. Date Requested:�� 2-2 �/�, is Address: (� i Permit #t 1(�I'` Builder: (0 �� l THE FOLLOWING OORRECYIONS ARE REQDIRED: d. 1-- N H• J L' LJ J Inspee;or: nate: C APPRWED niSAPPPOVRO APPROVEn BUBJECr To ABOVE T� Call For Reinsp. CITY OF T I GARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SUP193-0334 13125 SVt Hall Blvd.Tigard,Oregon 97223*8199 (50 639-41171 DATE 'ISSUED: 12/14/93 cft 1)--41 7 1 PARCEL: 2SIIOCD-00103 SITE ADDRESS. . . : 15605 SW 116TH AVE SUBDIVISION. . . . : KING CITY ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . :5000 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : sf PROTECT TYPE OF CONST. :5N THIRD. . . . : sf N. S: E: W: OCCUPANCY GRP. :13E' 1-0 TAL------ -------. 5000 sf ROOF CONST: FIRE RET? : OCCUPANCY LDAD: IA8 BASEMENT. : sf AREA SEP. RATED: STOR. : 1 HT. :22 ft GARAGE. . . : sf OCCU SEP. RATED: BSMT? : MEZZ? - REOD SETBACKS---- REDUI FLOOR LOA'). . . . : p s f LEFT: f t RGII T: ft FIR SPKL:N SMOK DET. . :N DWELLING UNITS: FRNT: ft REAR: ft FIR ilLRM:N HNDICP ACC:Y BEDRMS: BATHS. IMP, SURFACE: PRO CORR:N PARKING: VALUE. $ : 77000 Remarks : Clothestime- interior r-emodel includes demo. , new part ion walls, ADA r,e st rooms Owner,. FEES KING CITY PLAZA type amal-krit by date v-ecpt 5r_530 CORBIN AVE SUITE 120 PRMT $ 364. 00 JF 12/14/93 — PLCK $ *2 3 6. 60 — 12/10/93 93-246560 TARZANA CA 911356 5PCT $ 18. 20 JF 12/14/93, -- f--h o n e 2/14/93 -- F-tione #: 818-708-3278 Coll-,t-act at-: DEVERS CONSTRUCTION P0 BOX 923 FOLSOM CA 95630 Phone #: 714-985-6277 $ 618. 80 TOTAL Reg #. . .- 95+61 REQUIRED INSPECTIONS This pereit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Instilation Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This persit will expire if work is not started SLISP Ceilng Insp within 180 days of issuance, or it work is suspended for core Final Inspection than 180 days. V-1 r,et-mittre Signature : 11;SUed £y " Call for, inspection 639-4175 C I T Y OF 1 I SARD - ftf.C:f It of" Pf1YME:N'T' F2F C:F"I V-T NO. 193--24664r-**, CNF-TK AMON 1 :383i'. 20 AMEN a DEVERS CONlit'P2OUJIC_1N CASH AMC11.)N'T a 0. OLA ADDRESS 47 NATOMA ST'. , SSE Be. PAYMf-•:N1' f)ATf. � 12/14/93 F=OL.,11M, CA SURD M S I ON 95630-- !UNPOf3E. OF PAYMF NT AMOUN T PA 11.) 11t PAYMF N1 AMOUNT T PAI D d 0 1 1 D I NO Pl-:,RM F%LJ 9 3-03 3 4 6/1. Ql(A ST. FSU I I_.[1 PER I£3. PFA LM J �O CD W J �560 �;W 11611-1 f4W-11 r.:l_.IT FH< !=;i_..t NF: 11 i41 OMI-111W PAID CIO M m F. 1W.Q I I!,i lql It . I I l IN I I I,o I 111ll it It 0. IAO 1�)y IvIf. 1'11 tl 1 I.,I lY M P.Nt I)Ivlr)(.Jhl V P=AID PURP,044-:* IIIPOYM"NI HMOUPAT PAI 1) .............. CIII (:K PF 6 h4) liw I 1f. I II I Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 C�GD coo► a 3 Jobstte Address: (cC� �1h/ II(,T" � Z I I Office Use Only' Tenant: C 1oWL"S10_t_ Suite#_ Valuation: n 00c) — Permit # — Owner: f Address: Nw �2C) Approvals Required �� 30.1s, C — a C _ Planning_ Phone: �t� 3Z�18 Engine-:ring— Other _ Contractor: `_J J Address: i y Type of const: Phone: (L( � qg 5 2 Occupancy class: �Jy Sprinklered? C�s-' No Contractor s License #_ 'r ' �-�-� "� e (attach copy of current Oregon license) Sq. ft. of project: „? (,'to µ c� Storld . nd, etc.) Architect/Enpineer: pu;�;I t3-o pCTV Proposed use: Address: `__7 X Note: Plumbing & mechanical pians 1, must be submitted at time of building permit application. Phone: I �'�� r� Cl ` COMMENTS: k!✓ 1�� 11TI=`D -9V Nl)a'tC_ �O�T�✓AC-CL7�_. w GA J \ Applicant Signature & Phone nu Received by: Date Received: i Permit # Account Description Amount Amt. Pd. Bal. Due �✓?�� Bldg. P^rmit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) !_3 Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSJC) 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) r- Vn } Office TIF (TIF-0) F_ _ Water Quality (WOUAL) Water Quantity (WOUAf+IT) J ' Fire District (FIRE) -� L TOTALS: DEC-13-'93 MON 13:04 ID:CITY OF KIP16 CITY FAX NO:503 639-3771 4185 P02 4d SING CITY 15300 S.W.116th Avenue,King City,Oregon 97224 Phone:639.408: COMMUNITY DEVELOPMENT APPLICATION FOR BUILDING PERMIT (Instructions on reverse) DATE �Z• Ia' ' .L+r^+s--� f 1. NAME OF APPL I rl� Phone No. l ADDRESS:iL J "� WAM 1 ez.r. Cie► ADDRESS OF PROPOSED O t T! sT K(A(s Crl y .ogle l zw 2. TYPE OF CHANGE, IMPROVEMEra OR CONSTRUCTION FOR WHICH PERMIT IS REOUFSTED. DESCRIBE BRIEFLY - ATTACH TWO COPIES OF PLANS OR DRAWINGS OF PROPOSED PROJECT tannQ 3. NAME AND ADDRESS OF C'IJN:RAC`POR 1 )LJ � CAa ST_ ,! IWA04Pf GT PHONE NO. 9/4, LICFNSE NO. j-Vt.,JAr , " ) (. � 90f, &27p7 4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY. 5. APPLICANT R HER/HIS ASTIVE, / / BE PRN!' AT T1PL1�NN1'NGISSION ME>?I'ING HELD _ REPREP. IVES SHONE NO. (ThyRing City P1 Ding Camaer only those appiica— tins received at teast five (5) dors prior to a meeting.) SIGNATURE APPLICATION RECEIVED BY JET - -- - DATE IGS �_- APPL I CABLE FEE: RECEIVED $ S TOTAL P C K+._,<- PLANNING COMMISSION DECISION: Approved__ Denied 1 CONDITIONS 0 A1 _,, L l�rr2;rrw;d lJ Y�� I;�1 nnQ�rcLeve.. pr ved pplicakiaos are._t&4� far sir ThS Only // si gnatllr P_ Date 6'__:�;� ROTE: n Bomebuilders 4avieqU_-1_11s that all persons who contract f work oX their residence be r istned with the Builders Board which means the contractor is handed fad insured an the job site. For yanr protection, be certain your contractor is registered by calliaq City Hall Ph: 639-1002. } NOTE: A permit must also be obtained f am the City of Tigard Department of Camnmity Development Yes __ No CITY OF TIGARD INSPECTION REPORT J The aiiove listed project has been inspected and Approved Denied., Date------_�—._-- _ CcmPents_-_______ _-- Signatu-e_ (&Lijdinn .anAPCC ,00L peas ey + e aetn- Mg- ( t) cvpy �..o Kine City) CD 2-87 n n i n 44 �,r�C TK 1. Com,_ /'`l/o// .� CITY OF TIGARD �= COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMPING PERMIT' PERMIT #. . . . . . . : PLM93--0261 639-4171 DATE ISSUED: 12/16/93 PARCEL: 291 ]OCD-00103 SITE ADDRESS. . . : 15605 SW 116TH AVE SUBDIVISION. . . . : KING CITY ZONING: BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . -.ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . : FIXTURES-------- ----- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . . ..6 TUB/SHOWERS. . . . : 1 SEWER LINE WATEP :LOSETS. . : WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : Clothestimc- interior remodel includes demo. , new partion walls, ADA re st rooms. Other fixtures is for capping-off existing fixtures. Owner: -___.___________._..____________.-.-__________..____..._______..________ FEES KING CITY PLAZA type amount by date recpt 5530 CORBIN AVE SUITE 120 PRMT $ 60. 00 JF 1L/16/93 - PLCK $ 15. 00 JF 12/16/93 - TARZANA CA 91356 5PCT $ 3. 00 .JF 12/16/93 - Phone #: 818-708-3L78 Contractor: -._.. _._..__..__._....._._.__.__...._____-_..._......._.._-_ _ --_. WE=STERN PLUMBING, INC. 9460 SW TIGARD ST TIGARD OR 972.':3 Phone #: 639-5296 $ 78. 00 TOTAL Reg #. . : 02439 ---•------ REOUI RED INSPECTIONS ___.--__- - This permit is issued subject to the regulations contained in the ROUgh-in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Top-oUt Insp applicable laws. All work will be done in accordance with Misc. Tnspection approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. Permittee Signature : _I W - J issued Hy • Call for inspection - 639-4175 i CITY OF 1 1 SARI) Rt.-CF.1 E 11 OF F 114YMC.A T RFS CK 1 F''Y NO, a X3:3--i-.14 F)'!:',.3 C;FIF CK A M 0 L I N f a 78. 100 NMk: a WF:! i E;FiN I-LUMB I N1"3 CASH AMOUNT a 0. (AW DDRF.SS a PAYMI-.N1' IJA1 F a 1,P/J6/93 SUBDIVISION a ,UHPOS1 OF PAYMKN l AMOUNT PAID PC1RPO9F.' OF' PAYMENT AMI:IIJN F' PAID 111h111.1:Ni: PFAM PI_M9 3--0F'F+1 60. ON ST. BUILD AER :3. 1A0 111N C:HF f;l; F I= J5. 00 H— r E— co W J 116 111 5 i 1104-. 1 K 11411 1:I I Y L1�1111 ' .I INF'., INI . 11.11141. 1-1Mf►i1NT 14I1D > ?0. 00 City of Tigard PLUMBING PERMIT Plarck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # A, Tigard, OR 97223 (503) 639=4171 F Description p T1� `�T ORS 814-21-610 QTY PRICE AMT lob CA FIXTURES Address Sink 7.50 —lavatory — `7 t Y—kJ ` CJ-" ?(AZ.A ASrac-• owerer—Only -- Water alar oset F S Owner C'AQ13W AJCDishwasher 1 7.50 Garbage--D—i"-5-9— 2 A N A C Was ing Machine 7.50 Floor Drain L �TL1 C�,'t 1 bl L alar eater -rsT- '�— Laundry Hoorn I ray Occupant S�2S L •N 1j0 Ter L AVIC --Un—nal bp f�TT+A1rl t 01,egoOther Fixtures pea -( ("Lea cw cey dais. .4L't� _ ... — — P?"O• �,�� CAA MISCELLANEOUS �'/tractor h — �1S L•t J werstTbu` — — m• .pM.wn o T.N.. JeWer-ea.Addit,TOC15.00 - - Water Service Ist6b hereby acknoigigage that I have read is app ice ion, a - Water Service ea. Addit. 200' 15.00 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 1 Storm 8 Rain Drain 1st 100' 30.W am registerff�t struction Contractor's Board, that the number Storm 8 Rain Drain Addit. 100 15.00 given is cone from Stale registration, please give r,ason below.) Mobile Home Space 25.00 Back Flow revention Device or Anti-Pollution Device 7.50 «^'" Any I rap or Waste Not Connected to a Fixture 7.50 -des n work new U ar ition U a teration repairetc i asiT-6 n -- 7.50 to be done residential Q non-residential eY-- — Insp. of Exist. Plumbing per hr Specially Requested Inspections pef hr Existing use of ��C C- Rain rain, singe family building or property dwelling 15.00 Msidential backflow prevention devices 15.00 Proposed use of — building or property <--- j xcept residential a7bac ow Un prevention devices) ~ NOTICE 'Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE c� AUTHORIZED IS NOT COMMENCED WITHIN 18C DAYS,OR IF w Ct`NSTRUCTION OR WORK IS SUSPENDED OR ABANDONED J FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL COMMENCED. TOTAL Spricinl Conditions__.�.-------- --_— -- - --_ Date issued _ by WPLU►MIPGi r«Q•orM•. )2,ri TUAI.ATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538 December 14 , 1993 Clothestime Architectural Design Department 5325 East Hunter Avenue Anaheim, CA 92807 Re: Clothestime 15605 S.W. 116th Street King; City, Oregon 97224 6188C-105-027 Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1993. 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 reviewed for the above noted project are conditionally approved subject to the City of Tigard Building Department requirements and the following. 1. Automatic Sprinkler Plans:_ 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) CL. Plans submitted did not. show pipe sizing. Please Of revise and resubmit. ti 2 . Address Required: The tenant space number must be �- prominently displayed on the street front where it is -� readily visible to drivers and officers of responding L fire apparatus and other emergency vehicles. LJFC Sec. W 10 . 208 "Workins"Smoke Detectors Save Lives Clothestime December 14, 1993 Page 2 3. Fire Extinguisher Requirements: Not less than one (1) approved fire extinguisher(s) with a rating of not Lers than (*) shall be provided for each (**) square foot of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building shall not exceed 15 feet. UFC Sec. 10. 505 (*) 2AlOB:C, - Light and Ordinary Hazard 4A10B:C - Extra Hazard (**) 3 000 - Light Hazard 1, 500 -- Ordinary Hazard 1, 000 - Extra Hazard Note: Where flammable or combustible liquids are used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association Standard 10-1. 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. If I can be of any further assistance to you, please feel free to contact me at 526-2502 . Sincerely, ILI( -�� Gene Birchill, DFM Plans Examiner a GB:kw v~i cc: City of Tigard Building Department ,'-' J Lo W J