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CITY OF TIGARD
N COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PLUMBING PERMIT
PERMIT #. . . . . . , PLM94 0064
639--4171 DATE: ISSUED: 04/25/94
PARCEL: 2S 102AD -0010Q5
M ITE ADDRESS. . . . 12'52.5 SW HALL BLVD
SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING: CED
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19
CLASS OF WORK. . :ALT GARBAGE D1SPOSALS. . : InOBILE HOME SPACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . : �
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES--_____-__.___ LAUNDRY TRAYS. . . . . . : SF' RAIN DRAINS. . . . . :
G 1 NKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . .
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LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE. (ft ) . . . .
WATER CLOSETS. . : WATER LINE (ft ) . . . .
DISHWASHERS. . . . : [RAIN DRAIN (ft ) . _ :
Remarks : NEW PLIJIIBIIVG INSTALLATION FOR WASHING-; MACHINE
Owner: _. ____.._-______.____._._.__ _____._.__._____.__.._-----______._.___ FEES
JACK MAYEAUX type amal_int by date reept
12525 SW HALL BLVD PRMT E E5. 00 JG 04/25/94 -
1"IGARD OR 97SPOT E 1. 25 JG 04/25/94 :
22J, r
Phone #: 620--3686
Contractor: -----------------_-----_____---__-
OWNER pp
---------------------------------------
Phone #: $ 26. 25 TOTAL
Req #. . . -
REUUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Iop-ol.it insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p er_t i o n
applicable laws. All work wall be done in accordance with approved plans, This permit will expire if work is not started
within 188 days of issuance, or if work 15 suspended for more
than 180 days. -'
AL
Permittee Signature :
l ..st_red By .
Call for inspection - 639-4175
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City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hail Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
escnpbon
ORS 81421 610 - - - OTY PRICE AMT
Address • .5.'1aJ FIXTURES
I { -
Sink
Lavatory
u or I u ower om .
1 (I (�� iShower Only
0
alar�osT et - t10
Owner 97 3 Dishwasher-- —� .50
Garbage Disposal i.bo ——
f, P
Washing Machine
Floorrain 7.50 ,tar
�� ) !�I1�;• t G UWater eater
Occupant
' Laundry Room fray -
Urinal
Other Fixtures(Specify) r
Self —
Contractor MISCELLANEOUS
Sewer Ist
Sewer-ea. at.-TOO-
ater Service I st
xare y acknowle0getiat Itae ve read is app ica ion,that ffie 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 I Storm &Rain Drain 1st 100' 30.00
am registered with die Construction Contractor's Board,that the number Storm&Rain Drain Addit. 100'- 15.00
given is correct. (if exempt from State registration,please give reason
below) Mobile Home Spaced 25.00
-'? �y 7 a�TFrw reP ention --- '
/ f Device or Anti-Pollution Device 7.50 i
• —°ir ny rap or ase-WT
Connected to a Fixture 7.50
Describe ww�Crepair U Catchassn --to be done residential 12) non-residential Q -
_ Insp. of Exist.Plumbing per hr
Existing use of ally Requested Inspections per hr
Rain rain, single family —�
building or prop"_ (ll I I L 1 4 dwelling 15.00
ReqkJqntial backfiow preWrib n ---
devices 15.00
Proposed use of
building or property 0-
-- xcept rest en a ac ow
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 514 SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF —
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED. -
Special('.oncitions — -- --✓TOTAL. - / ) 7s
-- Date issuod _by
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CITY (W TIGARD 4 RPCf- .T.PT OF PAYM .-N1 r F"ClIE::IPr NU. v94•-42151619
CHECK AMOUNT a 0.00 �
AMM: a MAYEAUX, T(4(.,K GASH AMOUNT a 26.art
UDF<ES6 a PAYMENT DATE a 0-4/25/r1i 4 i
St-AID:IV.ISIUN a
MkPOSE OF' PAYMENT AMOON I' PATJ) PURPOSE l)f- PAY11FAl• MOUNT PAID
I,t..(IMBXNC3 PERM 2:5.Glo £i'T IA AA) 1-*I R 1..25ti
s,
JYIAL.A1.., AMOUN I• PA IA) ... .... .... '.-> P6. i25
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Permit No.
CrTSC OF TIGAYU
SIGN PYMIT Ar-PUCA TON •
The applicant hereby applies for a permit for the work indicated or as shown in the
a000rq3anying plans and specifications.' I 1
SIGN 10=CN ADDRESS: 1r��,� �i W �[9 ZONING:
NAME OF BUSINESS: U 4 G
APPLICAUr/Ar-EM: �_&C- 0.yJ°cZux_ OCMPANY: � j' `(/4d .1MONE: Q�� •
TheCity of Tnn
igard imposes Ilan annual Business flaxhiwtch mist be
xts do' business in the rent current on all
�� � City. � Y� PAY have a current business tax? �
YES (X) NO ( ) U.L. Label
PROPOSED SIGN: (Q1eck as many as apply) --- ------
PERONENT CK) FREpAAY ( )
TEMPORARY ( ) WAIL. ( ) E[�.-7RO NIC ( )
OTHER ( ) BILIBGARD ( ) BATLOON
SIGN DI NSIONS: Y ZC ' -- — _ EXPIRATION DATE:
701A.L SIGN AREA (Sq. Ft.): O" _ ( ` / 3'- q�(
MU, AREA (Sg. Ft.): L9
WALL. FACE: 4_ —
HEIGHr (Ft) — —
PRUTEMON FROM WALL- AY11, _
IIMMIM TION: YES ( ) NO TYPE:
DOPY: _ �� I S e H °A(4-{a-f3�f_._p����S ° rc�F+c,r e
MATF-RIALS:
E}JSTTNG SIGNS: ,V Cd ^-- -
EXCEPTION: N/A APPROVED ( ) HOW MUCH--%
AREA.
aQ�MENIS:
UMMU DEPAMIM All sign permits mist be aoacepanied by a scale
En7mi1~ V�ee: /O-' drawing and plot plan. If work authorized under
�.� NO: 9 3 a` 3 a, sign permit has not been cxmpl.eted within ninety
&ppaved W: (AJ- days after the issuance of the the
Date: 7 shall be�oome roll and void. t� t
ti -
FlBCTRICAL PERMIT I CERTIFY UW I AM THE RBCC&DID OWNER OF THE
ARID: YES ( ) NO MUFk4W OR Alv PM TP A[IIIMIZED BY THE OWNER.
BUIMM PERKff -Z ,
RHQUIRED: 1'FS ( ) NO (lg Ap icant' a
Address 7t'1 ep}totx�
N:\w�n\a'xHr�rv\
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620 �3686
4Kc.pt-v-sts
IDU IA- 0 & G TIGARD UPHOLSTERY
12525 S.W. HALL BLVD.
TIGARJ, OR 97223
(5503) 620-3686
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A '2CI & TIGARD UPHOLSTERY
12525 S-W- HALL BLVD.
IGARD, OR 97223
(503) 620-3686
2:ELI M I tJVI-1\Q:I b
�p'yOU T- rI' COU
•� •tea s t
for . I
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,rT� ���[�.��i �14 ,`"$ + 1 , ;�� r4 � I s +f r l�'/�f I�a° '�� � I�+n �aa� }" '�. � S°•
�il{"� d �..'��}f� :., Y'., I 1 t .���,.Cr C., s `' '��+I rr�,l I �,?5� 1 m.p �`�,�, �•,m 'M���a"CG"'�1 1
1 w.� i' �II � +���"�f i r" J 1�;• t+! "v,, 1} a,'k"i 1 `7� ' �:•l' {n Jr � "i�f �,r�"6
F_� -`� c-�',•.. .s .:uu l 4 �� n i l�i:.1 �� ��1 tl -fir�y 1t A ,' -
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j SIGN PERMIT
PERMIT $: SGN93-0171 DATE ISSUED. . . . : 10/13/93
EXPIRATION DATE:01/"3/��!
PARCEL. . .. . . . . . : 2SI02AD-00100
ZONE. . . . . . . . . . . . CBD
BUSINESS NAME. . : D&G TIGARD UPHOLSTERY
SIGN LOCATION. . : 12525 SW HALL BLVD
APPLICANT/AGENT: TACK MAYEAUX
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING (X) FREEWAY ( )
TEMPORARY ( ) WALL ( ) ELECTRONIC ( )
CIPHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 4'X 5' ?
TOTAL SIGN AREA. . .. . . : 20 sq.ft.
WALL AREA. . . . . . . . . . .. . sq.ft.
WALL FACE (DIRECTION): NA
SIGN HEIGHT. . . . . . . . . . . 6 ft.
PROJECTION FROM WALT.. : in. t?t
ILLUMINATION. . . . . . . . . : NON f
)
DESCRIPTION OF SIGN:
PERMANENT FREESTANDING SIGN. Dimesions 4' X 5' 20 square feet.
MATERIALS. . . . . . . . . . . . . WOOD
EXISTING SIGNS. . . . . . . ;
i
ELECTRICAL PERMIT REQUIRED: NO
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 10.00
APPROVED BY: -_-�G•ti1 1� ( /�(•�
DATE: 10/13/93
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CITY (:)F' T I GARD f2FCE I P'1' OFF PAYPIk_:N I f1k:.t.:k:I)'1 NU. :fir3-••c'451 1:s
l;k))=A.A HMOUNT I1A. 00
110ME t U G T I OARD I.fPHOLSTERYY CASH NM(:7UN 1 u). 00
�Maf)DRES(ZS SW HALL. BLVD POIYMk N T DA 1 %
T113RD, OR SUEND
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PURPOSE DF PAYMk.N1• AMOUNT V"A1f) PI.IRPOSF. CIF PAYMk::N1• AMOUN1 f-`AJ D
- S 1 CyN FSE.RM 1 T k= sC3t3N93 -171 --•x i 0. 00 _......_.._- __...._.__r..�.�._.. _.._._.__.._...._...�.__._W...
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1 0TA1._ AMOUNT PAID - - —> 10. ON
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