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15900 SW 116TH AVENUE-4 .aT� ._t K)wr7 c/d;ry i:\records\microtim\targets\buiiding.doc 1 LEGIBILITY STRIP C_ 2 3 s 6 ? ® g IQ 2 13 4 g ? 6 c 20 21 22 23 24 25 26 27 26 29 30 1 Z I 1 I O�I , ' V HON I 1�1108 1 i r. .. ..,..,,r.�,.,x�..�.e�.x .m.evr«"R^?a..7+m.-�•K..,�n,wNnx+t��.rer•mrlr�" 25X +w�++tFfe iwvwwn w �A r �wiaN�Ma TM�d Wirralr�t�..yawrr•�waww} e�aww, ,W ;" Sil� _ ,a REMOVE WINDOW AND INFILL OPENING FOR NEW DRIVE-UP ATM, MATCH EXTE RIOR SIDING OVER 150 FELT,-IPI' EXT. PLY NEW U 30 A. ALTERNATE • 3 - - -_ + DRIVE UP I J ATM �- ---- ----- / ALTERNATE 61 EXISTING fq --- -- --_ ------- - - -- �� DRIVE-UP (3) 4' X 2 FIXED WINDOWS ��r - ---- --- --- - TELLER /- 4 X 12 :IDR. 4 X 12 NDR 4 A 12 HDR --- --- RELOCATE EXIST 1 ' ' U r EXISTING PARTITION. LJUI V�AULI _ ' EX15TING -- ---- - - Imb _ --�_ r RELOCATE ARAB BAR O-� - REMOVE ,.RINAL ON O U REAR WALL \ _ - I EXISTING ~j � L IJI I I - DN EXISTING I I F c \ O ® ® 30' HT. INSTALL (1)RELIT FR Xl LOBBY II TO IIjL — - Al 1 ' EXISTING i ( 1 I �\) NEW ARE I FLAOOR 1 BASE TCH A IR -- E n RELOCATE GRAB BAR .O / ""�+ s1�� `I$ L6 p _ L 9 U TO MAT(;1-I EXISTING O I REAR WALL 104 j _ - 3 NEW - z a \ \ I �QIFE9EN E EXISTING to RELOCATE EXIST- 1 N 103 i -_ - �E�� PARTITION. - ° - --- — - ---- — N _ �� —_ - —_.� — --- - -- — --- - — - - �I II — O 13 l�✓) r-- REMOVE 1 MUDIF7 - � � O EXIST TELLER ROW - - L - L EXISTING ALIGN - - T�L J 05BY EXI5TING -1 F_ EXIST. SKYLIGHTS 4YYMI GUST n�fR ICE FOE— I I !— nf/ 2 ® ® I NOTE: EXISTING _ - L - I LIGHTING EXVELIFOR EGiRESS If�f�TNG PER CODE. LE I I ENTRY . 00 c ca L- __ _I I_ _ _ _-I NEW FLUSH WALL - - ---- -- - - - - - I r r T I I I NEM151NG WALL TO COLUMN �J REMOVE�M144(2)REL TES ` � .- - - . zc1f) I F— cV 'T +1 FLUSH C1 Cn F— �) NEW r �J — LEA5E -3P•^4GE © v --- III (OCGUPANGY BY 5EPER,4TE P RJ-11T) NEW 4' C G. SLAB GRGDE c c LIGHT B FiN15N- hI \\ 0 EXTEND O EXIST PA ;NG LOT PR- 3' X 7' STOREFRONT DOORS �ZENIVV� qcK-Vcbliz f u1-" WALA- 4 TEMP. GLASS i IN EXISTING STOREFRONT -- NEW TEMP GLA55 51DELITES EA. SIDE 1, I t m FLOOR�ELECTRICAL DEI"10 PLAN Al SCALE: 1/4'= I'-0' KEY NOTES — WALL LEGEND ELECTRICAL LEGEND 01 PROVIDE V 6 IF IT 15 NOT EXISTING ====:t7 EXISTING CONSTRUCTION O PHONE/DATA OULET = I O DEMO WALL PATCH AND REPAIR CEILING GRID AND TILE, OR DEMO 7 REMOVED CONSTRUCTION DUPLEX OUTLET WALL LEAVE I' GYP. SOFFIT, SUFInORT TO UNDER5IDE OF STRUCTURE. C' NEW WALL: 3 1/2' MTL.STUDS • 16' ® EXISTING/NEW EXIT LIGHTS CONSTRUCTION PRICE DEPENDING ON OPTION GNOOSEN O.C.W/ SOUND BATT INSUL. 1 -3/o- GYP. BD_ EA, SIDE FULL NT.TO STRUCTURE. PAINT 1 RIS TO O FURR OUT COLUMN AFTER CASE111OW 1 WALL DEMO'D MATCH USB STANDARDS. I /-� _ ® RELOCATE GATE, PATCH 1 REPAIR CEMO'D, SUPPORT • VAULT WALL, NdECT SREVISIONS ABBREVIATIONS USB STD. II `I � �-- T lJ - .OWING • 30' H COUNTER ( SIM TO EXIST. CONDITION). �� � 1 OLOCATE EXISTING ELEC. PANBEL FRapl1 TENANT BIDE TO BANK SIDE N NEW 'O � ___� -- 1 __--_- USD STD. V Of. }' "' ,1 i --- _ OF EXISTING WALL_ GIS I -- E EXISTING iSBA`1K BRANC.N PLAM proved ..ti.App°:c APt^RCxIMaTEL� © CI-I EXISTING DOOR HARDWARE 10 LEVER KNOB IF NOT EXISTING. PENDAFLEX -- - n naly c' ��� _ .i I os o`� the`"0 ���� -- 5:1 �t. FILE 4 Co' --- - -- -- DRAWERS - pM`t NO• __ \ 1 NEW DEM151NG uJAGENERAL NOTES _— PLAM r --- ,,�ettec tib �' <x� tri`Iv(,1�, �\ -- -- - - - SPACE ( 4 98 ISSUED FCR C� ,L11 SCHEDULE - I. ALL NEW FINISHES TO MATCH BANIG BLDG STD ROOh'i FINISH V�l-f�.D�fL, . MATCH _ t (A JN `.I i It <SAPK APPROXIMATEL T PERMI ITS 7. MSALL W B ITE BLDG STD CARPET 1 BASE. _-� STANDARD I• � v lob Addcess � '�0475a rc. .E 9-14-98 A 9' PENCIL 3. ADD wEW RECITE • COPF RM 6103 MATCH SIZE. I WALLS —�--rLG CLG DRAWER �,0y•' FILE 9�3�59GD.CWG FINISH 1 SPEC. TO BANK BLDG. STD. No. NAS"IE FLR BASE MAT WT. NOTES - a } N S E W _ CCB 9�3�59 4, ADD NEW BANK BLDG STD MINI-BLMDS•NEW RECITE- - - - - -- - -- - _ _--.- __I00 FOYER I MAT SCE S - - -- -- C WN. CO GI-+IC K5_. 5 PATCH +I REPAIR CEILING,GRID 1 TILE • DEMO'S WALL IN f-'--- -� ---� A BASE B� CONF RM 6103- IOI OPB�1 TELLER MAT EXI TNG 8 b Ug'.lANK D• uSDANh; -- - - _ - { 6. REPAINT ALL WALL TO MATCH DL DG. STD, I�Q GIST,SERVICE_1 MAT EXI TN6 6iwy STD, STD. RECONTKaURE EXISTING LIGHT SWITCHING FOR NEW IOS -_- T- -r- -- - - --- CCNPERE.NCE MATo EXI6TNG uSD STING / x DEMISING WALL A9 PFFr�iOliN- MATtA EX oTm Uwe � ,�, - - — _ - z �lE UJ ACCOUNTS DESK E L E�>4 T (ON 3 KE �' FLAN / \ IO! TELLER MAT EXI TNG 8 Al `;GALE- 1/4'. 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G1�tI6HBD fe�'.K O►A ._ r� --- AZ IN ON - pfd PO�94-47 INTERIOR ELEVATIONS AND SCHEDULE 1.7 a1 T+C? t �� �•' ��J'H W 1 COO rc - of pig E t---- q - POWER AND SIGNAL MAIN FLOOR PLAN 2.1 *i N' w.r• 1I _ - - V'J1aITt✓ �vr""rfc � i �. _��;•-,Ai�> a,,•�..c-.�.-.;.,,s� `� ^'I ��., PROJECT DATA r- - -� ` y �� �� � �, REVISIONS t \ .� - �\ /�j GA� C✓ ✓i;S F/J I��(/�JL L r� L./L LAND USE ZONE COMMERCIAL72 !0r•( y�� ,i � rl � j �XAA�G ', V14 s -O � � �Xfs�rr i �f4' 'O BUILDING CODE UBC 1985 EDITION REVISED ---- -� '-"1� `�"�ww�•. I c a t=!', ' n I` _ N Cp- I w r J i �--E'er -a � �.6•oPWa•�a� �� OCCUPANCY B-2 BANr: _:w,_ F -..... �►r- _ � ', - _♦ i .• T -'t �` - f �O'�7 JnINT y o G.hMac• CONSTRUCTION TYPE VN - _ a -- G G �.�r-��+J '� ?a �' •{� �'"��W�? t f e •. n �` ♦° Ati BUILDING AREA 7100 SQUARE FELT + BASEMENT ` - — I L/ 3oa Oc M1. 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J O N p w w g Z m co 0 N 61 O �z ; 2 - rn a a a H D v a v z z w am a < CL z 4 o a o s =J a) LO T- d c� a Q N d C1 4 Q Ll a Q Q m C0 G � J c a Q 2 2-� r rno U) N F- m N (U U Q M 0 to 00 03 N N >_ m i-1 Q Q d d a a ti J t C-9 O Z 41 J S a c a c x o o LL Ll a C-2 � cr 0- 00 o g N N U U S Q a n n a y v U z 4 N nm m m m m 7 _V N O � Y a, J T' r y Q) O I a Q 00 o co J w a o c 15 4) rn o (n y�- (Q Q � U � r a� •� v _ R U Q m 0 CL a F- � o w _ C 0 C 2 N LL lL o o pan ' q 4 V ¢ U t0 O n w o ado cl� N > U U V U u a 0 z y Ln u-) Ln Ln m m rn rn r y CL .D m d -i U. Q CL � N O > = J CD CLO O a Q Q Q 9 a a a a en CD m � v 0 LL a IL o a it w tm0CD 0 U m 1 p 0 ^N^, W N }i d Y V ato LT, Q h d C% J OL r_ a c " c � LLJ a o c a u iL LL - � Oi r- Cl) N N U U Q d a a a a CITY OF TIGARD BUILDING INSPECTION DIVISION MST p 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP �� n ���(� to _Date Requested L 1-t AM PM _ _ BLD — ,�^ J Location _. I C� ��� (1 �)� `t e,I Suite MEG Contact PersonPh ��� 5 PLM _ Contractor Ph SWR ILUINa Tenant/Owner �� Gti� - ELC Retaining Wall ELR Footing Access: FPS Foundation - Fig Drain SGN Crawl Drain [Inspection Notes: Slab SIT Post& Beam Ext Sheath/Shear — --- Int Sheath/Shear Framing ---- --- -- �_- - _-- —�— - - Insulation Drywall Nailing Firewall FireSprinkler ----------___..-- - -_-_._ .._-- ----.--__.-__---�.. _._--_.-- ----.__. _ Fite Alarm Susp'd Ceiling _---_-._.___ ___ __--- -- -----.-.---- ------- - Roof lsr.� P PART FAIL - - ----- - -- ------------ --- -------- .. BING Past8 Beam "_' ------ - ------ ---- —_-__._ _ -------- -- - - __ Under Slab Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART TAIL MECHANICAL Post& Beam - ------ ---- -- -- --- -- - - ---- — Rough In Gas Line -- -- ------ ----- _� Smoke Dampers Final -- --- -- ---------- __ _ -- _.- _�. PASS PART FAIL ELECTRICAL - Service Rough In a UG/Slab Low Voltage ►- Fire Alarm Final r PASS PART FAIL -- -� SITE Backfill/Grading - �7 Sanitary Sewer ui Storm Drain ( j Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please4NOREIM' OVE tion RE _ ( j Un+h;::to inspect no access ADA Approach/Sidewalk Other Date spector / Ext Final PASS PART FAIL Dthis inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested / 2,C) AM PMBLD Location Suite MEC Contact PersonPh -72 C) -'CA PLM Contractor_ _ Ph SWR _ BUILDING Tenant/Owner �Cc n,K. _ ELC L`�`�`�-D � Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ _ _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire E.iarm Susp'd Ceiling Roof Final PASS PART FAIL - -- - PLUMBING --- Post&Beam ------ - -- --�.L �---�� L-�— ---- ---���----- Under Slab Top Out Water Service Sanitary Sewer _ - Rain Drains PASS PART FAIL -- ----------- MECHANICAL ^Yyeft� Post& Beam -- �-- -- Rough In � � Gas Line - ---� Smoke Dampers Final --- --- PASS PART FAIL. Service Rough In UG/Slab Low Voltage rm ~ cn ` C� ;AIL. - J Back ill/Gradl g — c' Sanitary Sewer LU Storm Drain ( Reinspection fee of$ required before ne spection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE _ _ ( J Unable to Inspect-no access ADA Approach/Sidewalk �� Other Date/ _-'3'/ '-5 y Inspector Fxt Final PASS PART FAIL DO NOV REMOVE this inspection record from the job site. �►RD ELECTRICAL PERMIT CITY OF TIG PERMIT#: ELC1999-00603 DEVELOPMENT SERVICES DATE ISSUED: 10/14/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CD-00105 SITE ADDRESS: 15900 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: n BLOCK: LOT : JURISDICTION: KIN Proiect Description: Installation of 2.00 amp service/feeder and 8 branch circuits. RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVCI FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 amp: 1 W/SERVICE OR FEEDER: 8 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _ _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVO./FDR >=225 AMPS: CLASS AREA/SPEC UCC: Owner: Contractor: UNITED STATES NATIONAL BANK BROADWAY ELECTRIC-COCHRAN INC REALESTATE MGMT DIV-1-3 626 SE MAIN PO BOX 8837 PORTLAND, OR 97214 PORTLAND, OR 97208 Phone: Phone: 234-6564 Reg #: LIC 00072942 ORIGINAL SUP 3148S ELE 37-546C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT K.JP '10/14/199 $107.05 99-319088 Elect'I Final SPCT KJP 10/14/199 $8.56 99-319088 Total $115.61 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OQ Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 r ' PERMITTEE'S SIGNATURE ISSUED BY: r OWNER INSTALLATION ONLY c The installation is being made on property I own which is not intended for sale, lease, or rent. `LJ OWNER'S SIGNATURE: ___ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � ` `t `�"' �. �DATE:11 �s LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall BIM•ECEIVED _ Tigard, JR 97223 Planck,'Rec. # CST 07 1999 Permit ,# Phone (5C L)) 639- 1 Date Issued FAX (503) 68DEVELOPMENT Issued b CITY OF TIGARDt TDD No. (503) W* I y --- - inspection (503) 639-4175 I. Job Address: 4. Complete Fee Schedule Below: Name of Development 115 ��►-� ��� —�� Number of Inspections per permit allowed — Address 1.r{ V of Ute} , 11 Service included Items Cost(ea) Sum City/State/Zi (�f't�'�-� 4a. Residential-per unit 4 1000 sq 1t or less $110 00 Name (or name of business) _ Each additional 500 sq r or r� portion thereof $2500 1 Commercial Residential U Limited Energy $2500 f ach Manurd Nome or Modular 2 Dwelling Servme or Feedpr $6800 2a. Contractor installation only: -- l �.[-� 4b.Services or Feeders Electrical Contra'for f31Z0!7�J't.l L r Installation,alteration,or relocation 2 l �_ � E. 200 amps or Ipso - � $6000 2 AddC s_ (1a L 1.45 �� tot amps to 400 amps $8000 2 I city � State p ZI C�-I -I 401 amps to 600 amps $120 00 2 t 601 amps to 1000 amps $18000 2 Phone No. Z3�- 5� 1 _ Over 1000 amps or vofls $34000 2 Contractor's License No. Reconnect only $5000 Contractor's Board Reg. No (-,1 Z 9 4c.Temporary Services or Feeders • Installation,allerahon,or relocation 2 Signature of Supr. Elec'n �,,.r� _ �i. 200 amps or lees s5o no 2 701 amps to 400 amps $7500 2 License No. i �.1� Phone No. 401 amps 10 600 amps $10000 Over Eno amps to 1000 volts 2b. For owner Installations: see-b•above Print Owner's Name 4d. Branch Circuits $r New,allocation or ex ennion per pnnpl Address a)The lee for hrench circuits with 5 l 2 purchase eit or Mader Are -` , ,r c City_ State Zip Each branch circuit No. b)The lee to,brnrrh arcuds without The installation is being made on property I own which is purchase o/soryke or Awfor/ee. 2 not intended for sale, lease or rent. First brmrh circuit $1500 additional branch circuit $600 Owner's Signature A 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation drele $4000 ? Fach sign or outhns lighting $4000 Signal cim.0(s)or a limited anergy 7 Please check appropriate Item and enter tee in secdon 5B. panel,alteration or es+enston $4000 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each er''J:;: nal inspection over Classified area or structure containing special occupancy the allowable it, any of the above ct: as described in N E C Chapter 5 Per inspection $35 00 Per how $5500 In Plant $5500 v Submit 2 sets of plans with application whore any of the above apply. Not required for temporary construction services. 5. Fees: g � 5a. n r total of above fees $ IL) B NOTICE /Surcharge(05 X total fees) $ ubtotal $ tom' PERMITS BECOME VOID IF WORK OR CONSTRUCTION 'f 5bEnter of line A for AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF . vi 7 F CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONF" FnR Plan Review it required(Sec 3) $ A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS 5ubrora! $ COMMENCED ❑ Trust Account M Balance Due $ w.wr..m.1� M�-pm Ieip CCT-05-99 TUE 09:36 AM City cf King Ci'.y :cAX:503 639 3771 FAGS TY RECEIVED KING CIo 15300 5.W'.116th Annue.King MY,oMOM 97n'2693 OCT � � 1999 phone:(503)639.4082•FAX(503)We 771 CQMMUNiTY oEvtLuNMt:Nr Notice To Contractors Working In Ding City Due to an intergovernmental agreement with the City of Tigard,many building related permits for projects in King City are issued and inspected by the City of Tigard. If your pen-nit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. Cit} of Tigard staff«ill then create the permit, issue the permit, and perform inspections. Please indicate on the permit applicatior: whether you would like the"Cigard staff to call you�tihen the permit is ready for is.ivance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur wail a complete, legitilc application is received. if your permit application DOES REQUIRE PLAN REVIEW,this form mast be signed by a King City staff person. King City staff will simpl:, sign this form indicating land use approval. `lake this signed form to the City of Tigard Development Services Counter located at 13125 SSV flail Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639-4171 Ext. 304 should you have an. esiions concerning submittal requirements. All permit fees will be assessed and collected ac the City of Tigard. The City of Icing City hereby authorizes applicant to pursue permits at the Cite of Tigard Building Department for the fullowing project �t_L�Q�I�et �S located at Kine City Representative U W J 1,;)5 MIX lNST DC-' CITY OF TI GARD CERTIFICATE OF OCCUPANCY -� DEVELOPMENT SERVICES PERMIT#: BUP98-00481 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/12/1998 PARCEL: 2S 110CD-90105 ZONING: JURISDICTION: KIN SITE ADDRESS: 15900 SW 116TH AVE FILE ZOPY SUBDIVISION: KING CITY NO. 2 BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 28 TENANT NAME: REMARKS: TI -demizing walls, new entrance and exit Final Building Inspection and Certificate Approved 1/27/00 by Tom Plescher, Building Inspector Owner: UNITED STATES NATIONAL BANK REAL ESTATE MGMT DIV-T3 PO BOX 8831 PORTLAND, OR 97208 Picone: Contractor: OUADRUS INC 4647 SW HUBER ST PORTLAND, OR 97 Phone: 293-8931 Reg#: a J This Certificate grants occupancy of the above referenced building or portion thereof and ,Lo confirms that the building has been inspected for compliance with the State of Oregon J Specialt Godes for the group, occupancy, and use under which the referenced permit was issu70 BUILDING INSPECTOR BUILDIN FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD .�, BUILDING PERMIT DEVELOPMENT SERVICES —0481 PERMIT #. . . . . . . . BUP98 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE 19SLJED: 11/12/98 PARCEL: 2S1l0CD--00105 SITE ADDRESS. . . : 15900 SW 116TH AVE SUBDIVISION. . . . : KING CITY NO. 2 ZONING: BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . JURISDICTION-KIN ------------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS-------------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . : 3097 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----------- TYPE OF CONST'. :5N . . . : 0 5f N: S: E: W: OCCUPANCY GRP,. :B TOTAL—­­­: 3097 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 28 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 [IT: 0 ft GARAOF. . . : 0 sf OCCU SEP. RATED: BSMT? - MEZZ ? - REDT) SETBACKS--------- REDUI FLOOR LOAD. . . . - 0 ps f LEFT: 0 ft RGHT: 0 ft F I R SPKL:N SMnK DET. . DWELLING UNITS- 0 FRNT: 0 ft REAR: 0 ft 1-IR ALRM:N HNDICPI ACC:Y BEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PIRO CORR: PARKING: 0 VAI-.UE, $ : 30000 Remarks : TI - demizing walls, new entrance/exit only Owner: -------------------------------------------------------- FEES US BANK type amot-int by date reept 1. 11 SW 5TH AVE FIRMT $ 19'3. 00 DLH 11/12/98 98--310742 PORTLAND OR 97201 5P,CT $ 9. 65 DLH 11/12/98 98--310742 PLCK $ 125. 45 DLH 11/12/98 98---31.074c.' Phone #: 275-5089 FIRE $ 77. 20 DLH 98-31.0742 COT-Itt"aCtOr: PUADRUS INC 4647 SW HUBER 5T PORTLAND OR 97 ----------------------------------------- 1'11onp #: 293-8931 $ 405. 30 TOTAL Ppq #. . .- 000884 --REQUIRED ACTIONS or INSPECTTONS------ This NS------ This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, S}ate of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done in accordance with F __ approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATILNTION: Oregon law requires you to follow the .......... rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-00I0 through OAR 952-00101987. You many obtain a copy of these rules or direct questions to OLINC by calling (503)246-1987. '2 LLJ r-,ormittee SignatLire- IsSI-te(I By: 41--F+++++++.++++++++,+++++++++++++++++++.++++++++-++-++++4....................4...... Call 639-4175 by 7:00 p. m. for an inspect i on needed the nF,>(t bi,is iness day ...............4...........4......4......................4........................ J 1-zUG CITY OF TIGARD Commercial Building Permit Application Recd By 13125 SW HALL BLVD. Tenant Improvement Date Recd p Date to P.E. I I IC TIGARD, OR 97223 ,� Date to DST (503) 639-4171 © Permit# bt)P 'bl� I Print or Type Incomplete or illegible applications will not be accepted Called Pke-E," ev- Name of Development/Project Existing Building ❑ New Building ❑ Job _ C Address treet Address i 'i �.to Building Data N Bldg# City/State � Existing Use of Building or Property. Name Proposed Use of Building or Property: Property _ I Co, ��CIIL., Owner Mailing Address Suite III ca•0, } No. Of Stories: Citylsta'e Zip Phone _ j C� Sq. Ft. Of Project: 1 1 0 1 Occupant Name — - —��— Occupancy Class(es) Name Contractor _ Type(s) of Construction t, � Prior to permit Mailing Address suite issuance,a copy ••� (',-11 Will this project have a Fire Suppression System? of all licenses46 ( 4P.W Yes ❑ No ❑ _ are required if City'State Zip Phone Americans with Disabilities Act(ADA) expi;ed in C O T database ! Valuation X 25% = $ Participation Oregon Const Cont Board Lic,# Exp.Date Complete Accessibility Form__ Project T $ Name - - • - Valuation ArchitectPlans Required: See Matrix for number of sets to submit Railing Address— state- on back ty/Stale lip Phone I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State Laws Engineer Name tiatu of O er nt Date t ,. Mailing Address Suite onlact erson Name Phone City/State Zip Phone MINVID _ FOR OFFICE USE ONLY _ Indicate type of work New O Addition O Demolition O Map/TL# Land Use V) Accessory Structure O Foundation Only O Alteration > Repa,r OOther O Notes F- 6oscrlptlon of work:' ;C�-w� .1� 1� twW�l TIF ------ - t� 'IiSlr�[. ulr�t✓l.f� Ji F..�T: �- �. VA, , ---- .J ` Note: Site Work Permit Application must precede or accompany Building Permit Application 11COMNEWTI DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETEL application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) �_. Total# of TYPE OF SUBMITTAL. Plans KEY: Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New o; Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 -8 & M & P & E(Alt) 3 N -B & 1A & P & E & F(Alt) 3 J _J L tv0 TES_ w J *Shaded areas designate AL1' submittals only. I kists\maxlnx 1 doc 07/06/96 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinKing fountains are readily accessible to individuals with disabilities, unless such alterations are disproportionate to the overall alterations in terms of cost and scope (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%) VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. (1] $ .Cccpo multiPlY_ 25% Barrier removal requirement. ^ .25_ BUDGET FOR BARRIER REMOVAL (2] $_-1 11 � The dollar amount of the BUDGET established on line (2) in the computation above shall be spent providing the accessible elements in the following order. 1. An accessible route connecting the building to accessible pedestrian walkways, and the public way. $_ (including but not limited to curb ramps,detectable warnings, marked crossings,ramps handrails and landings) 2 Not less than one accessible parking space. $ , (including but not limited to adjacent access aisle,signs and curb ramp connecting with the accessible route) 3 Accessible entry or entries $ (including but not limited to ramps, handrails,landings, door sill height,door width and door hardware) 4 An accessible interior route to the altered area. $ (includinq but not limited to door-ways, maneuvering clearances,door hardware and stairways) 5 At least one accessible restroom for each sex $ 6 At least one accessible telephone where public phones are provided $ r�. i 7 When drinking fountains are required, fifty per-cent but .-L not less than one shall be accessible $ y �- 8 Additional accessible elements such as storage, reach ranges, alarms, etc $ s W TOTAL: Shall equal line 2 of Value_Computation $_ ----- --- J is/otc4 doc(DST) OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECTGUAt : CLASS OF WORK: r` i FLOOR AREAS: i��, i EXTERIOR WALL CONSTRUCTION t I l i i TYPE OF USE: FIRST SQ. FT. N: S: E W: TYPE OF I t Aj CONSTR:_ VSECOND SQ. FT. PROTECT OPENINGS? OCCUPANCY GRP: Y? i THIRD SQ. FT. i N: S: E: W: i I OCCUPANCY LOAD: �'�, i TOTAL SQ. FT. i ROOF CONSTR. FIRE RET: STOR:` HT. FT: i E3SMNT. SQ. FT. i AREA SEP RATED BSMNT?: MEZZ?: i GARAGE: SQ. FT. i OCCU.SEP.RATED FIRE FIRE SMOKE HANDICAP SPRINKLER: _�`' ALARM: DETECTOR: _ ACCESS: C` L_t COMMERCIAL INSPECTION ACTIONS _ FEE MENU Foot/Found _ Post/Beam $ Permit Fee Masonry Framing') $ /�7S Plan Review Insulation Shear Wall $ 5% Slate Surcharge FirewallGyp"Board $��� FLS Plan Review Suspended Ceiling Sprinkler Rough-in $ Add'I Permit Fee a Sprinkler Final _ Fire Alarm $ Add'( FLS Pln } Smoke Detector Approach/Sidewalk $_ Inspection Miscellaneous _ 'Fina) $ MIS Fee -' FOR OFFICE USE ONLY: TYPE OS USE OPTIONS(COM=commercial; CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMI'T'S(NI:.W-new; Add addition: ALT=alteration; ACS=accessory;FND-foun(lation: OTR other: DEM=demolition: REP=repair; FPS-Fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACIIED DECKS. SIGNS, AWNINGS, CANOPIES) I\ovrcntr2 doc (DST) 4197 KING CITY 15300 S,W. 116th Avenue,ging City,Oregon 97224.269:3 Phone:(503)639.4082•FAX(503)639.3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Ticard, many building related permits for projects in King City are ,ssued and inspected by the City of Ticrard. If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff%%ill then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or ille_ible application will be returned to King Cite staff for correction and no processing "ill occur until a complete, legible application is received. Ifyour permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King City staff person. King City staff will simpl% sign this form indicating land use approval. / Take this signed form to the Cinof Tigard Development Services Counter located at 13125 SW Hall Blvd. Tigard, to submit applications and plans. Development Services Technicians are available at 639-4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes app!icant to pursue permits at the City of Tigard Building Department for the following project: located at:/5`10D Ln King City Represent, e J Dti Krr•srbox CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath mi Mech. PIbg.Und/Flr/Slab Plbg.Tcp Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: P.M. Entry: Address: -- Tenant: _ Ste:_ _ MST: AUP: Con/Own _-- -- --._ . __ -_- MEC: --- PLM: _. ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: d r J W J Inspector- _ ----- - - -.__----=Date:g1�y4 PPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Roc-O-Phone): 639-4175 Businss Phone: 639-41 L � Inspection: Fxc/f Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in qF� Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. /Shear Wall Gyp. Bd. �-Elect. Date Requested: Z Time: '—"AM PM Address: �� Builder: 4'�S-y(� Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: o. �1 J .r t,7 W J Inspecto : _ Date: 'PFjDVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. . C TY O F T I 'ARD DEVELOPMENT DEPARTMENT 13125 3W Hall Blvd.Tigard,Oregon 97223@81199 (503)839-4171 PLUMBING PERMIT PERMIT #. . . . .. . . : PI-1195--V'1016 639-4171 DATE ISSUED: 01/30/95 PARCEL: '2,G110CD-00105 .-�171--' ADDRESS. . . . 15900 SW 1161-H AVE SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . CLASS OF WORK. . :ALT GARBnGE DP�1::'OSALS. . : MOBILE HOME SPACES. : I'YPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW P,REVNTRS. . -. 1 OCCUPANCY GRP. . :B2 11LOCR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . : s'rORIES. . . . . . . . WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . : 1 F - XTURES----------- LAUNDRY TRAYS. . . . . . : SF RAIN DRA I NG. . . . . SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . : IUB/SHOWERS. . . . SEWER LINE (ft ) . . . . . WATER CLOSE7TS. . - WATER LINE (ft ) . . . . - DISHWASHLRS. . . . : RAIN DRAIN (ft ) . . . . : 100 Remarks : INSTPLL NEW DRAIN LINE & MOVE SPRINKLERS Owner: FEES U. S. BANCORP type amoitnt by date vecpt iii sw 5TH AVE- PRMT $ 48. 00 JF 01/30/95 5PCT $ 2. 40 JF 01/330/95 PORTLAND OR 97204-0000 Pnone #: 503-275-2754 Contractor: f NOR rHWEST 1,:--'905 SWI 107TH CT Ti,i-.7"RD OR 97223 _..___—___.-.____.__—________..____-----.._ Phone #: 624-159a 50. 40 TOTAL Rep #. . : '78466 REO.UlRLD INDPECTIONS This peralt is issued subject to the regulations contained in the 1.itot,m L)v,,Ain Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable iaws. All work will be done in accordance with RP/HaLkflOW Pr-ev approved plans. This permit will expire if work is not started Final Inspection o within IN days of issuance, or if work is suspended for more than 100 days. Ln d b y Call for, inspection 6.39--4175 CITY OFT I(BARD — RECEIPT OF PAYMENT RECEIPT NO. 195-261156 CHECK AMOUNT a 50. 40 NAPIE s KING C I TY Y CASH AMOUNT : 0. 00 ADDRESS r 15300 SW 116TH AVENUE PAYMENT DATE s 01/31/95 KING CITY, OR SUBDIVISION s 972"x_'4 PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID PLUMBING PERM 48. 00 6T. BUILD E'ER_. _ 2. 40 CL cc v J CJ W J tiW 116TH, US BANCORI 10TAI. AMrn.INT PGS I D -- - -- -> 50. 40 �• JAN-18-'00 bJED 10:07 ID: FAX NO: #027 P02 City of.Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # P4 r71 -15 eV1 Z-, Tigard, OR 97223 (503) 839-4171 � c_o pL� of co yr f ruC 4->-;rs t t�Ge,-»S c; MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE New slraIs Famlf Rooldonc« onix O 1 (BATH HOUSE$140.00 ❑2 BATH HOUSE$195.00 Job b-K 0 3 BATH HOUSE$226.00 Address war. zip Fee Includes all plumbing tbctures in the dwelling and the first 100 feat I e C. of water service, sanitary sewer and storm sewer. See fees below, MMu(R R".M I FIXTURES CITY PRICE AIIITr U S Sink 9.00 mmo A". Lavatory 9.00 Owner DD0IJ'C Q"-6(' Tub or Tub/Shower Comb. 9.00 °w'8"' z► Shower Only 9.00 Wafer Closet 9.00 Dishwasher 9.00 Garbage Disposal 9.00 Occupant MWW A"N. . Washing Machine 9.00 N i;q U (� t�. Floor Dain 9.00 • a Water Hester9.00 1�t Cy riR Laundry Roe., Tray � 900 w^- Urinal 9.00 it � Other Futures (Specify) 9.00 9,00 Contractor cxJs 0 9 00 ore. 9,00 nl Q(t n 1 Z Z Sewer 1st 100' 30.00 a1W R.A�ww �.v ar 4 Te N. Sewer•ea. Addit. 100' 26.00 Water Service lot 100' 30.02 1 hereby acknowledge that I have read this application, that the Water Service on. Addit 200' t3 00 information given is correct, that I am the owner or authonzed agent of the owner, that plans submitted are in compliance with State 19ws, that Storm 8 Rain Drain let 100' ( 30.00 1 am registered with the Construction Contractor'@ Board, that the Storrs A Rain Drain Addt_ 100' 25.00 number given Is correct. (If exempt from Slate registration, please VIVO reason below,) Mobile Homa Space 2g C11 Back Flow Prevention Device or Anti-PoNvtion Device 900 �- s+o""• °..•.R y.o °"° Any Trap at Waste Not Connected to a Fbrture 900 Describe work new addition O alteration Q repair Catch Basin i' 900 to be done residential Q non-rostdenbsl Insp of Gist. Plumbing 40.00lhr Existing use of Specially Raqueatod Inspections 40.001hr ' -- building or property �� Rain Drtin, singk* family dwell" 30,00 Residential bacJdlnw provenbon davicat 15.00 Proposed use of building or property 'lF.irsOr nsiderrda!Aselr/low preventlon devices) - NOTICE 'Minimum Fee $26.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION ((QU AUTHORIZED IS NOT COMMFNCFp WITHIN 180 DAYS, OR IF S%SURCHARGE �J CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - - — y ----- FAR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS CUMMENCLD. PLAN REVIEW 2tsu Or SUBTOTAL TOTAL Special Conditions JAN-18-'00 WED 10:06 ID: FAX NO: 9027 P01 41; 5-.00 i DING CITY 15300 SW.116th Avenue,King City,Oregon 9T.j 4 Phone:639-40K 0 tJrMB 2 IAC- PERM I r AF'z�L z CAT I C-)DW DATE: 1�_a3�� Kin; City Business License $ NAME OF APPLICANT- 'k n ��r k�� cad PHONE: ADDRESS: Za� �,—_-C-`� 1411`' �'� �'tSG-ted O2 `117-23 NAHE AND ADDRESS OF PROPOSED JOB: u S 13 Fk 0 K lnz:3 Sw \16� K 1 !4 C,)a _ PHONE ;- NAME HONE ;NAME OF CONTRACTOR: pj;QNE: ADDRESS: _ LICENSE # :_ DESCRIPTION OF WORK TO BE DONE: �r e s .. 1%V%r a..r.ct Vr%*-t --�'%I--% w k1C -.s _ SIGNATURE OF APPLICANT & �� *APPROVED APPLICATIONS ARE VALID FOR. SIX. MONTHS ONLY* NOTE: Oregon Homebuilders Law requires that all persons who contract for work on a residence be with the Builders Board which means the contractor is bonded and insured on the job site. For your protecticn, be certain your contractor is registered by calling 1•-503-378-4621 . __ ___ T 0 OFFICE USE ONLY APPLICATION RECEIVED BY _ DATE -%.ay -- APPLICABLE FEE RECEIVED S_ r-ONDITIONS/COMMENTS APPROVED BY U- - _ --- _ DATE_. /- 25-9?5- Noce: A permit mu a TA be obtsined from the City of Ti;ard Department of CormPunity Development Yes No N ,'- CITY OF yTIGAFD 11YSPECTIO_N,_ZEPQRT JThin project has been inspected and Approved_ _- -Deni ed— t , Date _ --�.._— (Cit3, of Tigard please return one cop? t- Kinr City) Post-It"brand fax transmittal memo 7871 f, PooeI ► ,�C cli"�X aQf�Q 1 A Y)Lit _ � !1__ jr ' ,r o l�1Jcs Cr- Ti BUILDING PERMIT CITY OF TIGARD , PER1y1IT SUED . . . . : BUP94-022-'L COMMUNITY DEVELOPMENT DEPARTMENT/ DATE ISSUED: 08/11/94 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 PARCEL: OSOOOXX-00000 SITE ADDREbS. . . : lt�900 SW 116 AVE SUBDIVISION. . . . t ZONING: 81-001.... . . . . . . . . . 1-0i.. . . . . . . . . . . . . . REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :NEW FIRST. — : 15 sf N: S: E.- W. TYPE OF USE. . . :COM SECOND. . . : sf PROTECT TYPE OF CONST. :5N THIRD. . . . : sf N: S: L. W: OCCUPANCY GRP. :B2 TOTAL-------: 13 sf ROOF' CONST:B FIRE RET'?. OCCUPANCY LOAD: BASEMENT. : S ., AREA SEP. RATED: STOR. . HT. -. ft GARAGE:. . . : sf OCCU SEP. RATED. BSMT?-. MEZZ?: REQD SETBACKS-.------- REG!UIRED----__.__.____-____._._. FLOOR ETBACKS--------- FLOOR LOAD- -- psf LEFT: ft RGIAT: ft FIR ':JPKL-. Y SMOK L)El-. . :N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRII:N HNDICP ACC:Y BEDRMS: BATHS: Illf-` SURFACE: PRO CORR:N PARKING: VALUE. $i 9E5 Remarks : US Bancorp— 2 awnings Owner: ------------------------------------------------------ FEES U. S. BANCORP type amount by date 1'e(-[01 III SW 5TH AVE PRMT $ 25. 1210 SW 08/11/94 PLCK $ 16. :--'5 SW 08/11/94 PORTLAND OR 976;04-0000 5PC'T $ 1. 25 SW 08/1. 1/94 Phone #: 503-275-2754 Contv,actov-: ES&A EUGENE SIGN & AWNING 1210 OAKPATCH ROAD EUGENE OR ^7402 Phone #: 485-5546 $ 42. 50 'TOTAL Req ft. . : 95792 RLUUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the F t'8 M.1 T1 g InSp Tigard Municipal Code, State of Ore. Specialty Codes and all other F inal Inspect icon applicable laws. Ali work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan-e, or if work is suspended for more than lB@ days. CL Pei-mittee SigTIAtl-We : V) >- J Call fav, inspection 639 -4175 LU TEL Aug 02 ,94 11 17 No .012 F .02 •US-U1%Ua ].i:]2 ' 501634 7.417 CITY QP TIGARU t�nu2;Uti2 yl Comnwgiai Building Permlt Application `V; h� Ste City,df Tigard rc 13125 Sw Nall Blvd. Tigard, OR 97223 ,(503) 639.11171 Jobsite Address: Nr Tenant: suite '�• tl, 5 i � YYr� i4lf i U�I 1 t,i" r .f..� h rr.. rl d,. tv� bur t,i � fr .• Valuation: --. �s—• � .�---�-- It � Vii* � s� t i4T t tiir •A Liv �!r � ,� �,y ''i, „Ivi1 fv�' rllS� ,{+�,(]��i�}�'S, �. p_J♦�1�+• �.i!�r ,�rf^ , �i 'tiV• hit�q�y`11f,Jip�!tel 1r'M f� k owner: iz,1-4 C,0 �# j7, �,n t nFivrl l h2s6�ar 16 r Address:. 1-"-, , �t �s• _ t I 1 'S w �, .c u {� e C Vss Ll ;;'��I#�, ± ,!:,Ur 1:� 4rf. �l�r �` t � �t I i,f�M� Q7 ty(,r�• '1Frr t i�!P i i T 1?i °�ttt���YYY° 1$ C�} �kr �' �_ '`t✓�. 7 7�� M d 3� �e' 11'9 S�4j ,l fly Y �tll iii�k�J;`raj.n�4 alp. �il T�y��Y1 ,^I'p'K'I� +'h3�,j��Y+��a>L�i�r r t } ^ � �i M +�'I 1: S�lrl.,.;. Phone: > z 1 f- r 1�ee`ri ' ,r1 , N7,,. / °,,• tiif ltrwr �t" Contractor: "t' ' rQAddress: �Z/? C 41 Type of const: l (� Occupancy class.- Phone: lass:Phone: � Sprinklered? Yes �o Contractors Llcenso # !� ] ' 4 (attach copy of current Oregon license) Sq. ft. of project: _ Story(1st. 2nd, etc.) ArchitecVEnglneer: 111 -_-E Proposed use: Addre8l: _ —__ — Previous use: _ Note: Plumbing & mechanical plans '--�'— must be submitted at time of Phone building permit application. v. COMMr EN'C5: g5 r S n/Lo✓3c C7 .W" Appficant Signature & Phone number Pocerved by: / _ Date FieceNed �Q yyr 1 --------------------------- d J t� W J I.A41 1 K IMIAlfill `.,)o F-S&A, I NC 1 01N 1 VIIII I li I I t- : !'tri IPIM OAKPAWH HCUM EUIAENE, OR I V I vi I WN I 4 1 w4op.-- 0V PAYMEN I PIMOLINI 14111) PUK-10I.A. (if- PHYIYW.Nl AMI IUN I PH 10 UJI-DINO V,F�HM 11UP94-02PP 2119. Owl f"ll . -LAN CHU,CK F"1:- ui j.,j,-)oo i3W I I(;'TH (C,) "WNINO ', iol . 01,- INT' P1411) 4d. AUG-01-'94 NON 15:59 ID:CITY OF KING CITY FAX NO:503 639-3771 tt586 P01 • Post-It"brand fax transmittal memo 7671 Nuf wy� T_ From P c KING CITI e �� �,� n� �� e0 Dept. � hone N 15300&W.116th Avanua,Kinn Clty,Oregon 97Z r.-.# / L lfi 13L7IT-1nTrrC7; E;, EFiMIT JR,PPr_.i Jk vIUN DATE__7 - ? r - 5'g-/ ---- KINC :'ITY BUSINESS LICENSE NO .,-„___. NAME OF APPLIC NT5"s• - �/4-u --_—PHONE ADDRESS. i,� t o _ . "_K-pT'ef�F- �a7 fc'i.es, .e Q7Q 9 7Ko2..._ NAME AND ADDRE S OF PROPOSED I14PP.OVEMENT_..__ tr9v14� PHONE NO. J 7J` - NAME OF CONTRA TOR._£ __ 5��...�1 . _.._ . _.. PHONE NO. -- ADDRESS_ t c' /c. _�_Q CCB L I CENQE NO.--q-1_-vy- TYPE OF CRA1404 OR IMPROVEMENT FOP WHICI? PERMIT IS REQUESTED. DESCRIBE BP.IEFLX - ATTACH A COPY OF THE PLAN OR DRAWING OF PROPOSED PROJECT4_20 i u.f..3�.✓�Li��ILr.�off?S_!� -��Ls.t�-- SIGNATURE OF APPLICANT *APPROVED APPLICATIONS ARE VALE, FOR SIX MONTHS ONLY* NOTP: Oregon Homebuilders Law requires thbt all per9ons who contract for work on a residence be registered with the Builders BQ*rd which mems t,he contractor is bonded and insuroel on tha _job site- Por your preractien, be certain Your contractvr is registered by calling the Construer.ion Contractors 9vard at 1-503-374-4621 Rxtension 5000. FOP. QFF.JCF_ NLY /7'd APPLICATION RECEIVED BY APPLICABLE FEE RECEIVED $ CONDITIONS/COMMENTS, n APPROVED BY -- ------DATE `- -I! Nate' A hertnie mu a so be obtai*1 from the City of Tigard Dopnrrroem of Comiunity Development Yes No _ CITY QF TIOAAD INSPECTION REPQP_T Th_Jq project has been inspected and: Approvea Denied__ C�.mments 6ignature Date (Building inspector please return one copy to King Cit!,) TEL Aug 02 ,94 11 * 17 No .012 '_ MTL o ct� fi it L N - nO��N�t,1✓ �_ VA fpt, Q► X01 N Y5 Ln ✓', I LLJ I hgonhW, IIS !fit✓ VFh" K�NGUTli�IR- ��y �`�'F TEL : Aug 02 94 1117 No .012 P .04 f 1 . I k(14 �. a h V) J 1] W i