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CITY OF T.,,ARD
Approved.............................. ...........................,.1'4
Conditionally Approved ....................... .................
For only the vwk ar.d'?
PERMIT NC.
See lel,er to:Folios!.................................................t
Attach..... ............. . ........ ........ . .( ;
Job Address:? �s .r�,7�r_7(-
HVAC LAYOUT
BY. _ -- Date:
ttllti.lNl�i? asr �.{'t F.,R WAS AL uFF,'C
AF'F'i 1��VF.:D . . . . . . . . . . . . . . . . . .
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6200 SW Pacific Hwy
Suite F + MECHANICAL SYSTEMS, INC-
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i:\records\microfI m\t.argets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE F
Inspection Line (Rec--O-Phone): 639.4175 Bisiness Phone: 639-4171
Inspection: �r ttt.-�c�J� .Q per_, i2' �za 7 tti•�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underfir. Insul. Shear Wall Gyp. Bd. - tact._
11
Date Requested: /,� /�' Time:.LLAM PM
Address:
Builder: L4.�.� Permit #:
THE FOLLOWING CORRECTIONS,ARE REQUIRED:
1
/ �r l�J /_ U /
Al
ZZ
Inspector&i <- i�QI c ' Date:
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. ���
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1
Inspection: G - -� �1,e '
Fcoting Susp.4veiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line ctfFg t
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: � � _Time: AM PM
Address:'
Builder: Permit #: 1 ,� _ f 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: � Date:
_APPROVED _DISAPPROVED _A!/�PPROVED SUBJECT TO ABOVE
Call For Reinsp.
CERTIFICWE Cr:
CITE( CF T I GARD OCCUPANC
PERMIT #. . . . . . . I BUP95W31
COMMUNITY DEVELOPMENT OF-PARIMENT DATE ISSUED: 09/06/95 71,
13126 SW Hall I'llvd.Tigard,Oregon 97223*81(og (503)639-4171 PAIrELI
SITE ADDRESS. . . 162100 SW V-1ACIFIC I-AWY #B -5- 1 ZONING:
SUBDIVIVjION. . . .
BLOCK. . . . . . . . . . L-01. . . . . .. . . . . . . .
....... ......
CLASS OF WORK. sALT
TYPE OF USE'. . . :COM
OCCUPANCY ORP- 102
OCCUPANCY LOAD233
TENANT - :MARY CATHEkINE' S
flletnckr ks. Tenant IMIWOVIPMent
Owner :
WESTWOOD NOL DING CORPORATION
3030 BW MOODY AVE, 5L)ITE .,00
PORI LAND OR 97201
Phone #t 222-2000
contractor:
GUILD CONSTRUCTION
7508 SW OAK ST
POR TLOND OR 9*7223
Phone #c 293-3276
Reg #, , 1 0136121177
This Certificate certifies -that the above referenred milding or pnrtion
thereof .has been inspected for compliance with the Tigard Iluilding (.-,ode
for the Pt-CILIP and division of 0c-c'UPa"cY and Use f0l which the above
i,pferunued permit was issUed, and occupancy 3 g.-hereby grayit chid.
..........
�
BLI I I DAG I rjPECTOP C- OFF 'IAL
1�7
P011*W)T IN CONSPI'.'UOUS PLAC(_-_
1
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Bled.
Tigard, OR 97223 Planck/Rec. #
Permit # - q S r7t, -_-------
Phone (503) 6394171 Date Issued t
FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772 --
Inspection (503) 639-4175 _
1. ,lob Address: AL•� ,J��nell - 4. Complete Fee Scnedule Below:
Name of DovelopmentNumber of Inspections per permit allowed ---
Address 1!�'Z(t��.__��"4 Gr �� Service included Items Cost(ea) Sum
City/Stale/Zip _ i 4a. Residential- per unit -
1000 eU It m lees $11000
' � I
f 11 ti Cci-�I t to ri e rS� Each eddniorml 500 sit If
Name (or name of business �— —
( ) portion thereof __ $25 00 l
Commercial Residential i� Limaed Energy 92500
Each Manul'd Home or Modular
Dwelling Service or Feeder $66 on
2a. Contractor installation only: 14b.Services or Feeders
Installalion.alleralion,or relocation
Electrical Contractor ' -Sc i 700 amps or lose $6000
Addres' ( �; l� `n snipe
amps 10400 amps 96000 `
� � 401 se l0 600 amps $12000
City ,11„ State O(& Zip 601 amps to 1000 amps $18000
Phone No. 2-7 Over 1000 amps or Vona $14000
Contractor's License No. 5 - nxonnod only $5000
Contractor's Board Reg. No. 2 t3 4 4c. Temporary Services or Feeders
bislallafron.alteration,or relocation
,Signature of Supr. Elec'n 200 amps or len $50 or
License No. 3I?L,?S Phone No.1,4 2 7 201 amps to 400 amps $75 on
401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner Installations: see'b'nhove
4d. Branch Circuits
Print Owneif's Name New allprahon or extension per panel
Address a)The fee for branch circuits with
”— urchm"o/service of tfesder Am.
Clty��� :tate Zlp Each branch circuit $5 00
Phone, No. b)The fee for branch circuits withjuf
The installation is being made on property I own which is purchase o/ssrvks or Milder Me.
not intended for sale lease or rent. First branch circuit S3500
Each additional branch circuit $600
Owner's Signature 46. Miscellaneous
(Service or feeder rot included)
3. Plan Review section (if required): Fach pump or irrigation circle $4000
Fnch sign or outline lighting $4000 —
'ignd cimud(o;or a limded energy
Please check appropriate item and enter foe in section 58. panel,alteration or erdension $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 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above _
as described in N.E.C.Chapter 5 Per inspection __ $35 00
Per hour $5500
in Plant SS,00
Submit 2 sets of plans with application where any of the above i--
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5s. Enter total of above fres $
5%Surcharge(.05 X total fees) $ I , 145 _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) a
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED 11 Trust Account# $
Balance Due $ 4".
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5
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4 1
Inspection: � '�
Footing Susp. eiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-gin Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post,,ieam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall yp. d.� -Elect.
Date Requested: [ ((o f Time: AM PM
Builder: �CI l _Polmit 3�3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins actor Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
p .nL �C� LrrJ
Ins action: C
Footing Sus . Ceiling Sprink Rough-in Appr/ dwlk
Foundation Plbg. Underslab Mech. Rough-ir Fireplace
Post/Beam Struct. Plbg, Top Out Elec, Rounh41 FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainramin -Plumb.
Alarm Water Line Ivulat;on -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: r3 G G L �
Builder: i % -s Permit # 5--
e53 13
THE FOLLOWING ,ORRECTIONS ARE REQUIRED:
_s
�tPPROVED
tor. Date:
_DISAPPROVED _APPROVED SUBJECT TOeAF60VE
_Call For Reinsp. 1
CITY MJF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)63to-4171
I TE: ADDRESS. I C,,1_4)0 0W I-AC I I C 1
SUBDIVISION. . . .
BLOCK.
RL I GSUE. FLOOR AREAS---- WI-41-1- CONSTRUCT
CLASS OF WORK—ALT F I PIST. . . . . 1 1 cs f N: E: W:
TYPE OF USE. . . ;C,0 I'l SECOND. . . ; :-. r PROTECT OP['h1INGG?-
TYPE OF CONST. :3N THIRD. . . . 5f N. E:
OCCUPANCY 511P. DZ., TOT(=WL— I, S -.; r- ROOF- CONSI' :B FIRE RET? ;
OCCUPANCY LOAD:33 BASEMENT. : 5f AREA SEP. RATED:
S TO R. 1 1 IT. 16 f t GARAGE. s OCCLJ GEP. RATED:
`MT? R E 0 U I R E D
N IIFZZ': :N REDD SE'IBACKS
_OOR LOAD. . . . : '51".) Pi f LEFT : f Ft r I R SPIJU...y Gf4OI,, D11.T. N
DWELLING UNITZ,: FRNT., ft REAR: ft FIR ALRM:N HNDICP ACC: Y
11.1ZI)Pmr): 217�'rl is: DIP SUFIII-i10E.: F'RO CORR.N PARKING:
VALUE. $ : 5000
Remar-ks : Teriaiii; Impr-- Add irl't er-i Dt' P,_Art it; i On S, fi xt I-(I-e s.
OWT)e i- FEFZ3
7,JESTWOOD HOLDING CORPORATION type a in c),..(n t try date t-ecpt
030 SW MOODY AVE, ')UITC `00 P R I IT I SO. 50 17D 015/11;9S 05-26025
1--,L C K $ 3E. 83 JI-IF 07/25/95 95--26,547.
6RTL(-"iND 0R 07 L,0 1 TrIc"I t .2'. 53 JD 06/3 1 105 95--269j:!
lone #; 222-2000 FIRE: $ 20. 4O JD 09/1 /95 95 -26925
'JILD CONSTRUCTION
I. '_;A,I OAK ST
I L ANO OR 9 722 3
_"L7& 106. 06 1 OTAI...
088077 REOUIRED INSPLCTIONu'_)
pet-sit is issued subject to the regulations contained in the Framing Ins
lard Municipal Code, State of O-e. Specialty Codes and all other ITISUlatiOtl ITISP
-plicalill laws. All mork will be done in accordance with Gyp Buav-d Inup
,;;proyed plans. This peroit will expire if work is not started SUSS Ceiln!J Inc I�
ithin 180 days of issuance, or if work is suspended for- eore Final IrispeL(; :1 oll
an lCe days.
Cal I for inspect ion 639- 4175
Commercial Buildirq Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 1 LeIZ90 ! )W p4-L;;::�(_ H v-/ _
�� rt Office Use Only
Tenant: _ 11i►2+I LATAe h JF,'z� Suite# — ( I
Valuation:
Planck/Rec #
_ ��r _ _
Permit # 'dtop
Owner: M 447q&o�itJC Map & TL #
Address: _I�I 4 /�,�, �2^'� A Vg, Approvals Required
Planning
Phone: � �' �Ir��o _ Engineering
Other
Contractor: w4-A)CFt'
Address:
Type of const: �•
Occupancy class: 2�
Phone: 142
Sprinklered7 Yes No
Contractor's License # _ 0j?66)77
(attach copy of current Oregon license) Sq. ft. of project: { ( J
Contact name & phone: Story j; 2nd, etc.)
Proposed use:
Archoiect/Engineer: /J
Previous use:
,address:
_ Note Plumbing & mechanical plans
_ must be submitted at time of
building permit application.
Phone:
JOB DESCRi?TION �i�L — --- - -
A lira t S gnature & Phone number
Received by o' Data Received: _�
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) 2 2
Pldg: _
Plumb:
IV*ch:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
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)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (F.RPRMT)
Erosion PlanckiUSA (ERPLAN)
Erosion Planck/COT (EPOSN1
TOTALS:
� ��
�� �
;��
�.
__-.._..------.�.�.... _.._.. . . ._._e..._.� __... _.
1
J
��
i
�.
� - V �
• �
� J
� 'v
�.
C
� t _ _ �
� � �-
� � � � �-
_�
/Nom
Vo�a I., A4
TiX�' /�^4TEL STt'3'D X 8�
�I) QyEr�si S�l��l av C;x*2-
b' C 5 vd",rw a r)09
,
i
y
n
G T-r Y OF T I GIARI) _., RPJ--:i r'T CIF" PAYMF'NT RE:C:;F- IPT NO. n 95--c'69254
CHECK OMOUNT 73. i::'3
ahlMF: 61171...1) CONSTRUCTION CASH PMOUNT s 0. 00
AT)171ZC::;�,
750A SW OAK F;-I' PAYMENT DATE OA/1 :I./95
PORTLAND WZ �')UBD T V I c;1(7N
972&*.';3....
PUFTP013E OF PnYMENT AMOUNT PW D r'UI'<Ai1SF OF PAYMENT Arflol..IT,IT PATI'+
�IITL.UTN6 F'f'FtR1 111Ip95-0 3.1.;: 501 591 FIT. Fll.111_Tl FIER
FIRE.: LIFE GAFI"Y PLAN CK
16200 7.,W PIAC T F 1.f.. HWY T'k: F
MARY (;F1 CHf'R I N1 '
TOTAL, AMOHNT F,fiII) 7a..
C:t T"� or 'r 1 t-stmr2 f+f ' + i 4"i f1F r,PYMFNT r2F CF":TC, N''+,
+:I IFf'1<• 66
IJ(1Mi:- ril 171_Ii f':C'1N`,l f?UC.;'T T nPd r;(a ;!I 1�1fti II_LVT ., 4's, 1�b7
7508 CSW (WA l '' 1'. PAYMP141 1'10 f 1. N
PORTI..AtJ ), M'
r-4JRPttfnF_ OF PAVMP INIi NOI N'I t I Fa i + 1 yKI i f� `C�'�il'htF�I�fT F1Mr;l Ii�.1f r�'fi
Pi
MARY CATHEiR T NF:-', ; �:•t f_ �--
C:ARCiWrIRKF: 7
TU TAL AMDUN 1 P"T?'7 >
TN3PECTION NOTICE I
Cit- of Tigak-d Building Departaent
13125 NA P 11 Blvd. Tigard, Oregon 97223
Inspection Line (Jer' O :hone): 639-4175 Business Phone: 639-4171
Inspectionz -
Footing Plbg. Underelai Nech. Rough-.in Appr/Sdwlk
Found. Plog. Top Out Gas Line FINAL:
Poet/lieam Struct. San. Sevier Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: �� ` Times AM PN
Address•_^ Permit
nuilder:_ t'
TTTE FOLLOWTNG CORRECTIONS ARE REQUIRED:
Tnepector: Date: e I /c/"
l
_APPROVED �DTSAP ROVED _- -_- APPROVED SUBJECT TO ABOVE
Call For neinap.
INSPECTION NOTICE
City of Tigsrr! Building Department
::3125 SW Ba;' Blvd. Tigard, Grego' 11722:1
Inspection T.i':e (Rec-O-Phone): 639-4175 Bueinese Phone: 639-4171
Inspection: — — —!
Footing Plbg. Underelab woh. Rough-in Appr/Sdwlk
:round. Plbg. Top Out Ga• Linst FINAL:
Post/Beam Struct. Ran. Sewer Framing -Bldg.
Poet/Beam Mor_h. Rain Drain Insulation -P11.6-).
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
Oeste Requsett�dt -'/ - 7 Timt,t AM PN
Address: Pwsmit it
Builder:
THE VILL.OWING CORRECTIONS ARE REQUIRED!
71,
Inspecto -- Date:_. �JQ_ --
APPROVED DISAPPROVED AFPRO1.rED SUBJECT To ABOVE.
Call For Reinsp.
IWO
r
INSPECTION NOTICE
City of Tigard Building Departasent ,'
13125 SN Hw.11 Blvd. Tigard, Oregon 97223
Inepec:ti^n Line (Rec-O-Phone): 639-4175 Husi.nesn 9 63 471
-----
Footing Pl.hq. Underelab Mich. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -illdg.
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water Line yp. Bd. -Mach.
Date Requested: Tom+ PH
Addreast ``tt
f �� -
THE FOLLOWING (,'ORRRCTIONS ARE REQUIRED:
Inspector --- -- -- — Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
INSPECTION NOTICE
City of Tigav) Building Department.
13125 Bit Ball Blvd. Tigard, octnon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: __---. -- ---____-- -
Footing Plbg. Underalab Mech. Fough-in 'N, Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:- 1 -Time: a' PM
Address:I __ r " k,(- Permit
Bull or
THE FOLLOWING. CORRE4 ONS ARE REQUIRED:
-a
r
inspector:_ _-- Date:
PPROV _)
APPROVED DISAED / APPROVED SUBJECT TO AROVF
Call For Reini:p.
i
INSPECTION N)TICE
City of Tigard Building Departmen
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 t
Type of Inspection� / t/
Date Requested __>�1 ; zqz Time A.M. P.M.
Address ,/ � Q .— Permit # b/ZSR
Owner_-- _- � Lot --
Builder
The following Building Code deficiencies are required to be corrected:
Al
ote
Presented to [] Approved
Inspector _ A —_ yk3)isapproved
Date v //
CALL FOR REINSPECTION
X YES 0 NO
INSPECTTON NOTICE
Cit:y of Tigard Building Department
13125 BM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �--�— ------ ------- —�—
Footing Plbg. Underslah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poot/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line GYP. ed. -Koch.
Dato Requested:
Address. l r' t #t`?
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED1
f �
Inspect r __!_ Det
D DISAPPROVED APPROVED SUBJECT TO ABOVE
----Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depariment
13125 9W Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4375 Business Phonet 639-4171
Footing Plbg Xderslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Brain Insulation -Plumb.
i
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requeated:_ _Timet __—___AM 411
Address._ etmit
Builder_: /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: � ` _ _ Date:
— APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For Reinsp.
INSPECTION NOTICE ,
City of Tigard Building Department
13125 SW Rall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inepection: ---—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation ` C-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: T1 AM
Address: tloi!
v
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/ oe -- .
Inspector: - Date
" 1wPv')VFD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Reinap.
I.)E R 111'r
CITYOFTIVARD
CITYOF i16ARD
COMF!'UNITY DEVELOPMENT DEPARTMENT + DA114'. ISSUED:: 1. 1/0'//90
13126 SW FWI Blvd. P.O.Box 23397,TOW,Orepon 97227(603)830-4176
�- i1::: ADDRE:S::a. « . : :L E,i?l8 SW E'A 'IFIC F�WY #a. 1='ARC:EL; 2SI15AO--031.00
SUBDIVISION. . . . .. WTI..IOWDROOK. FflRI'I ZONING:
L07.. . . . , . . . . « . . . .. 18
_..._...... _— _ __.................._..__...._
f.;l_ASS
OF WORT'.. . .01._'r FLOOR TURN, . . .. ; EVAP COOLERS:
TYPE: OF' USL. ., ., . ::COI*1 UNIT HEA TIERS. .. : YE:N'T FANS. . ..
0( C U P A N C Y GRF', . :P2 VE NTS W/0 APPL.: VENT SYSTEIrIS:
S'l-ORTES.�. . ., . , . ,.I P03:1FRS)/C,' F. HOODS.
DOMES. INC•Ihl
IIPRSS0RS HODS . I
FU E:l_ TYF ES._ _._...._._._. __
/GAS/ / / 3- 1'; HP. . . . : 1 COMMI...,. IN[ hl::
ITIAX INPUT': k:+'r1.1 15—:30 HP. .. . . : REPAIR UNITS:
1= TRF:_ DAMPERS.) , « :I I 30--:50 FII . . ,. W0, ,,'!T0VES.
GAS PRESSURE:. . . :L. 50•+ HP. , . : CI_0 DRYERS. .
NO. OF MR HANDI..I:NG UNITS OTHER UNITS.,
F'URN < 100K B7'U: <- :10000 r..fm: GAS ou'ri F'.'rs.. : :l
FURN >=1001/, FTU: } 1.0000 r f m:
Rram,�rNcs: 1'et�ant Nod: Add pa'rt:itiorns, t1t rm.
Owr1e-r: _...._._._.___...__....._..__._.._...._._...,__..____._..__.__.._..___._ _._.._.__....._......_....._.__.._._._.._. E.EES ....__.........._.__..._._..
WE"STWOOD coNs'rRUCTION type amcaurtt by date reept
1030 SW MOODY PRPIT $ P6. 00 1 /
PLCK $ 6. 50
IDOR7'I_ANI> OR 97201 ..:5P("1' $ 1. 30 /
Ptic)rie #: 5032222000 f'AYM $ 33 80 I'L.L 1:1./07 90
I+E WI..E Y ME.CI••IANICAL_
7722 SW CIRRUS DR
DEAVE:RTON OR 97005
I''17cirle #: 626 8986 $ 33. 80 TO'T'AL
Rep r.'
_.- RE:OUIRED INSPECTIONS -..___...._......
This permit is issued subject to the regulations contained in the GAS Lille I ns p �...__. ____........_.__..._...........
Tigard Municipal Code, State of Ore. Specialty Codes and all other rlerhanieal Ir1sp
applicable laws. All work will be done in accordance with Dur..t Trispc-coon
approved plans. This permit will expire if worts is not started F'i.naa. .1 iis,p e c t i a n _........
___
within 189 days of issuance, or if work is suspended for more __,,,,___,__.-_•_,.. -„_,._.....,........._ _______._._.....___......_....._. ..__._....
than 189 days.
.._...........___....._._____.....____.__—___. _ _...___-_.._.._._...........__-......_._._...
rrmittee Si.yrlat+.ir� : ��
.<:;+.+e d Lay ........_...........
......_...._... _.._.....................__._._..._._... _ ._._._......_..__......___..._ __
( A1.1 F(1-r, -tn4,I?ec: ti.+�n 639•-•4175
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard. Oregon 97223
Phone: 639417¢/
Type of Inspection
Date Requested._ Time__. A.M. P.M.
Address % Permit #Z) -03/5
Owner _ Lot #
Builder ( T(,tJUU/
The following Building Code deficiencies are required to be corrected:
� r
Presented to _ -_ _ pproved
Inspector _ -_ _- _ Disapproved
Date
CALL FOR REINSPECTION
[_—] YES ❑ NO
CERTIFICATE OF
C17YOFTIFARDOCCUPANCY
CnYOF fl64RD
COMMUNITY DEVELOPMENT DEPARTMENT osnoon l`-,F PM T T #. . . . . . . s BUP90—•0315
19125 8W Hall BML P.O.Bax MM,11pnd,(rpm+per,PW J 11P6,40 76
::7
SITE. ADDRESS. . . a 16200 aW PACIFIC HWY #S.404 PARCEL_s i?S 1 1 SAO-Ab310Vj
SUBDIVISION. . . . : WILL04BROOK FARM ZONINGS 7
BL.OCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 118
CLgSS OF WORK. s ALT
TYP!: OF USf~. . . s COM
OCCUPANCY ORP. s B2
UCCUPANr:Y LOAD s 49
TENANT NAME. . . :MARY CATHERINE' !_i
Remarks Tenant Mods Add dressing It rm.
Owners
WESTWOOD CORPORATION
030 SW MOODY
PORTLAND OR 97201
Ph on a #: 503c^_e?22000
Contrac:tora
WESTWOOD CONSTRUCTION
:3030 SW MOODY
(-,ORTL_.AND OR- 97201
Reg #. . s .3339
Occupancy of the above referenced buildir►g is hereby given, and certifies
the compliance with the State Of Oregon Specialty Cudes for the grol.Ap,
nc(--upancy, and use under which the refprent_ed permit was i !416,-red.
f
+1 RE DEPARTMENT HU II L.D"I14 `"'T I I:,F'F'C:TOR
_..._.�"bus .._.__._._._...._._....__
PU C1IL+IC� � -ICIAI�
POST IN CONSPICUOUS PLACE
r
CITY OF TIGARD
OREGON
November 1, 1990
Donald Bewley
Bewley Mechanical Systema, Inc.
7721 S.W. Cirrus Drive
Beaverton, OR 97005
Project: Mary Catherine's, MEC90-0226
1.6200 S.W. Pacific Hwy, Suite Q-t-
Dear Mr. Bewley:
The plans for this project were reviewed for conformity with applicable
codes, and are approved. if any changes or additions will be made to the
mechanical system other -iia:, those shown, please submit plans which show
the proposed work.
You may get the mechanical permit for the project at your convenience. If
you have que'ations, or if we may be of assistance, please contact us.
Sinc-!c-ely,
1 I`
J im Ja a
Plans iner
FAX (503) 684-7297
13125 SW Hall Blvd.,P.O.Box?3397,Tigard,Oregon 972" X503)639-4171 – —
4 TUALATIN VALLEY FIRE & RESCIJE
AND
BEAVERTON FIRE DEPARTMENT
• 4755 S.W. Oriffith Drive• P.O. Box 4755 • Beaverton, OR 97076 • (503) 526-2469• FAX 526-2538
•
I.
October 31, 1990
Bewley Mechanical
7721 S.N. Cirrus
.Beaverton, Oregon 97005
Re: Mary Catherine's
16200 ' r. Pacific Hwy.
6288A,-L,97-015
Gentlemen:
This is a Fire and Life Safety Pian Review and is based on the
1988 editicns of the Fire and Lite Safety Code (UBC) ,
Mechanical Fire and Life Safety Code (UMC) , Uniform Fire Code
(UFC) , and other local ordinances and regulations.
Plans are approved as submitted subject to the following items:
1 . Approved Plans on Job Site: One set of approved plans
bearing the stamps of c:he building department issuing
the construction permit and this office must be
maintained on the project site throughout all phases of
construction and must be made available to building and
fire inspectors for reference during required
construction inspections. UBC Sec. 303
2. Required Occupancy Certificate: Prior to the use and
occupancy of the project (space) , a certificate of
occupancv or other written instrument of approval must
be obtained from the building department issuing the
con3truction permit. UBC Sec. 307
If I can be of any further assistance to you, please feel free
to contact me at 526-2502 .
.Sincerely
Gene Birchill
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
"Working"Smoke Detectors Save Lives
INSPECTION NOTICE
Cit of Ti and Building
y y Depi.,,ment
r,.0. Box 23397 }
Tigard, Oregon 97223
Pho ie: 609-4175
Type of Inspection
Date Requested �d Z Time_ ' A.M. P.M.C.
Address 2 Oa Sem AG u.; __-.— Permit
Owner _ I-ot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _. Approved
Inspector _ Disapproved
Date
CALL FOR P INSPECTION
F-1 YES i__1 NO
TUALATIN VALLVV :IRE & RESCUE
AND
BEAVERT'ON FIRE DEPARTMENT
Oil
4755 S.W. Giffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538
October 25, 1990
Westwood Corporation
3030 S.W. Moody Avenue
Portland, Oregon 97201
Re: Mare Catherine's Treasure Chest
16200 S.W. Pacific Hwy. , Suite 6441
Tigard, Oregon 97224
628BA-097-015
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on the
1988 editions of the Fire and Life Safety Code (UBC) ,
Mechanical. Fire and Life Safety Code (UMC) , Uniform Fire Code
(UFC) , and other local ordinances and .regulations.
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. UAC 302 (b)
2. Fire Extinguisher Requirements: Not less than one (1)
approved fire extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square feet of
floor area or fraction thereof. The tr.-vel distance to
an extinguisher from any portion of the building shall
not exceed 75 feet . UFC Sec. 10.303
(*) 2AIOB:C - Light and Ordinary Hazard
4AlOB:C - Extra Hazard
(k*) 3,000 - Light Hazard
1 ,500 - Ordinary Hazard
1 ,000 - Extra Hazar.,,
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 .
"Working-.Smoke Detectors Save Lives
a
Westwood Corporation
October 25, 1990
Page 2
3. Approved Plans on Job Site: One set of approved plans
bearing the stamps of the building department issuing
the construction permit and this office must be
maintained on the project site throughout. all phases of
construction and must be made available to building and
fire .i.napectorQ for reference during required
construction inspections. UBC Sec. 303
4. Required Occupancy Certificate:_ Prior to the use and
occupancy of the project (space) , a certificate of
occupancy or other written instrument of approval must
be obtained from the building department issuing the
construction permit. UBC Sec. 301
If I can be of any further aFsist:ance to you, please feel free
to contact me at 526-2502.
Sincerely,
vel__
_ A-
6j"
Gene Birchill
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Oregon 97223
PI.me: 639-4175
Type r,f Inspection, (V - 1 ,1,
Date hequested -- " --� ` Tlm� _ A.M. -_ P.M.
Address /, _ -_ Permit
i
Owner_ ( iCc..1� Lot #- -- - --
Builder
The following Building Code deficiencies are required to be corrected-
Presented to —_Approved
Inspector I I Disa
pproved
[late
CALL FOR REIMVFCTION
P VES 1 _] NO
CITY OF TIGARD
OREGON
October 22, 1990
Betty Wol'.am
Westwood xi -goration
3030 S.W. Moody Avenue
Portland, OR 97201-4897
Project: Mary Catherine's, BUP90-0315
16200 S.W. Pacific Hwy, Suite .0l1
Dear Ms. Wollamz
The correction submitted for this pzoject wll satisfy code requirements
for wall finish. Thank you for your cooperation. This permit has been
issued. Automatic sprinkler and mechanical systems plans are expected to
be submitted by the contractors for those specialties.
If you have questions, or if we may be of assistance, please contact us.
Sincerely,
C
C �
im Jaqu,
�= Plans Exp iner
FAX (503)684-7297
13125 M Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503),539-4171 —
10.22/90 14:49 $ WESTWOOD CONST »+ CITY OF TIGARD IQJ00211002
buP qa 031
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CITYOFTIFARD PLUMPINGr�'ERMI•r
I"'L.khl1 T ##. . . . . . . .. I-'1...M`:)t!7..C11'�s~?
COMMUN1 Y DEVELOPMENT DEPARTMENT ORIOM RD
13125 SW Hdl Blvd. P.O.Box 23397,Tu "223 rd,Omgon 9 (603)669-4176 11 A'i'F: :C r,S lJ E D a 10/19/90
:31: rE: f1DI)RI:::f3ri. . 16200 SW PACIFIC, HWY t#G,,1W. ! PARCEL.r, c SJ.1`"`i(-)0--0 3100
5(JE1DIV1:SIGN. . ., . . WILLOWBROOK FARM ZONING: ?
DI...00K. . . . . . . . . . n L_OT. . . . . . . . . . . . . .
1H
t'L..ASS O1= WORK. . -.ALT GARP(-)G1. DISPOSALS. . MOBILE HOME SPACES.
T YF'I:' OF' USE:. . . . ..COM WASHING MACH. . . . . . . z PACKF'LOW PREVNTRS. .
0 C,CUPANCY 6RP1. . 9 H 2 F'I_OOR DRAINS. . . . . „ . . TRAF,S. . . . . . . . . . . . . . ..
f:i TORIE'S.. . . . . . . . ..I WATER HE:ATE.RS. . . . . . .. 1 CA'T'CH PASINS. . . . . . .
LAUNDRY TRAYS. . . . . . .. SF RAIN DRAINS. . . . .
5I:NKS. . .. . . . ., ., . . URINALS. . . . .. . . . . - . a GREASE= TRAPS. . . . . . . .
I..AVATORTIMS. . ,. .. ,. ,: 1. OTHER F"IXT(JR..G. . . . :
I*UB/SHOWERS. . . . SEWER L:[NE (ft) . . . . '
WATER WATFR LINE::
DISHWASHE'RS. . . . a RAIN DRAIN (ft) . . . . :
Renia•rlcss 7'c-?y)ant Mod: Ad(i d•resi siriq •ants, int pa•rtiti(o1rs. t1 t. -(,in.
Ovivie-r e _ _ . __.__._—_...__...__.._...._...._.__.._.._._._.._._..___._._. _._.......____..___.__.____ .___ FEES
WESTWOOD CONSTRUCTION type ramru)it lay d '.t •re(:,p)t
::3030 SW MOODY PRMT $ 25.00
PL_CI% $ 61. (?5
ID0RTI...AND OR 97201 5r'CT $ J..25 /
F'F)cone.' It: 50:32222000 PAYM $ :32. 50 .T'LH 10/19/90
WES 'WOOD CONSTRUCTION
3(830 SW MGOI)Y Hell
F,0R TL.AN OR 97201 _........___._.._._._._..__._.__..._____.__._.._._._---..._.__...._...._._
I h carte ##1 032r?22000 !F 32. ill TOTAL
F.,eq H. . . 3.. 9
REQUIRED INSPE=CTIONS'
This permit is issued subject to the regulations curtained in the I nsip
Tigard Municipal Code, State of Ore. Specialty Codes an6 all other To P o u•t: I n s p
applicable lams. All Montt will be done in accordance with F'J.t•ta l It•)sspectiort
.pproved plans. This permit will expire if work is not started
within 180 days of issuarce, or if work is suspended for more _
than 188 days. _
............_.........._..._................
_
I- e•�r m i.4;l:a-.rP S J.q 1'1 a i:1.1•r e?r � __.._..._...__._..._.___.._.._.._.._._____..__.
I, y t.c cr ci T3 Y ......
.....
_.........
. ...__...........
. _....................._ __._. __ .._ _ _...._._.._ __._.. ....._........__,.
":c•1:1.:1 f'c:�r i.1i sspec.,tilan 6:39-4175
CIT*,.' OF TIGARP RE-CEIPr OF FAYMLNT RECEIPT NO. t 90---206071
CHEC.17.'. AMOUN'r , 121.5 0
HFLLUM5 ML:CHANTCAI CASH FiIGUHT 0.00
PAYMENT DAIE e 10/19/90
SUBD I V I S I ON
PACIFIC HWY
Pur"POSE:: OF AMOUNT PA 11.) PIJRPO;T OF PAYMENT AMOUNI I-IAID
r,i..(JmPjr4G PE RI PI-1190--C)1 92 25). r,t..,ON CHE(.i::' r C 6 2T-
[Ault 0 PFr 1 . 25
GA-fHERINE"S
MIAL AM ILINT F'AJD 32.1,1.50
CITYOFTIGrARD
/ BUILDING PERMIT
CITYOFTI6ARD I:,E:RIll IT tt. . . . . . . . DUI'-,190•-0115
COMMUNITY DEVELOPMENT DEPARTMEur omeoore
13126 SW FW I BHd, F.U.Box 23397,Tiyaid,Oregon 97223(6031 -417
�.:_r.; 0.. 7:1. DATE: ISSUED: 10/17/90
SITE ADDRE:SS. . . c If-:,200 SW PIACIFIC HWY tlS..,4" � PARCEL: 2S:i15A0 .031[
SUBDIVISION. . . . c WYLLOWBROOK FARM ZONING: ?
1"<I._OCK. . . . . . . . . . I I.OT. . „ . ., . . . . . . . . .. 18
REISSUEc FLOOR AREAS•-____._..___.___ E:XTE:RIOR WALL CONSTRUC'TI13
CLASS OF WORK. GALT FIRST. . . . ..2100 sf Nc Sc Es We
TYl::'E OF` USE. . . aC0Ill SECOND_ : sf PROTECT OPEN INOW-$ -µ-•••__.._._._.....
TYPE OF' CONST. .-3N THIRD. . . . : sf Plc Sc Ec We
OCCUPANCY GjRP. c B2 TOTAL-•--•••-•-•-•c 21.00 s>f ROOF CONS Tc B F: IRE RET''c Y
OCCUP"PINCY LOOD c 49 BkSE:MENT. c Sf AREA SEP. RA'T'ED e
STOR. c 1. HT. c 18 ft GAF'AGE. . . ° sf OCCU SEP. RATED:
PSMT":1.N ME:ZZ?c N RE QD SE.TBACKS____.._._.._...._
FLOOR LOAD. . . . 150 psf I_.EF'Tc ft RGHT: ft FIR SPKLcY 5MOK DET. . cN
DWELLING UNITS: F'RN'Tc 'ft REAR^ 'ft F'IN ALRMaN HNDICF' ACCcY
BE:DRMS c DATHri, IMC' SURFACE", PRO CORR c N PARKING:
VAI_.UE. $n 23650
Re+ma•rksc Tenant Mods Add d•ressiriq •rms, int pa•rtitiorts, tlt -em.
Ow t•t a 7 c -_..._.._.___.___._........_..___ _ .._.._._..._.__.._..._...._._..._... _.._._.....__._._......_.._.__._._._. FEES
4IF':STWCICID CONSTRUCTION type iAniot.tt•tt by date •vec pt
30,30 SW MOODY PR1*IT $ 164. 50
PLCK h 106. 93
PORTLAND OR 9'7201 FIRE- $ 65. 30
F'hotte> N-. 50:12222000 `jPCT $ S. c.3
PAYI1 $ 1.'72. 73 JL.H 10/10/90
0
Co)it-ractorc __ ..._._.._.....__._.._..__.._.__..._..._.._......_......_..._._._..__. l+1AY11 $ 172. 73 JL.H 10/17/90
WESTW(: OD CONSTRUCTION
:30:.16 SW MOODY
POR'TLAhID OR 97201
PI•tone tt: 5032222000 $ 345. 46 'TOTAL-
Rel;l tt. .. c 3:339
REOUIRE:D INSPECTIONS .. ........_._..__..
This permit is issued subject to the regulations contained in the F'•riamit•iq Ins;p
Tigard Municipal Coder State of ft. Spec>a;t, Codes and all other I n s t.t I a t i.on I its p
applicable laws. All wort, will he done in accordance with Gyp Boivrd Insp
I approved plans. This permit will expire if work is not started St.tSp C;ei.:!lire IntsIa
within 188 days of issume, or if wr,rk is suspended for more Firia'1 11.1<spectiort
than 180 days.
...._......_..._._._..
v
rimrntitte-, SignatWrec . ......... C .S._...._._
T<,st.ted Ly c
Call fo-r irtspecti.ort :,3'3-••41.7 5
/ r
y
CITY OF TIGARD
OREGON
October 17, 1990
Betty Wollam
Westwood Corporation
3030 S.W. !body Avenue
Portland, OR 97201-4897
Project: Mary Catherine's, BUP90-0315
1600 S.W. Pacific Hwy, SlUte C—A
t
Dear No. Wollan:
The plane for this project were revie4ed for conformity with applicable
codes, and are conditionally approved. kdditional information is needed
to show the required 48-inch wainscot on toilet room walls. Please submit
plans for the building automatic sprinkler and mechanical systems.
You may get the building permit to begin construction on the project at
your convenience. If you have questions, or if we may be of assistaroe,
please contact us.
Sincerely,
/Jim Jaquaf/
`/ Plans Exateiner
FAX (503)684-7297
13125 SW Hall Blvd.,P.O,Box 23397,Tigard,Oregon 97223 (5031639-4171 —
— --
SIGN PERMIT
PERMIT #: SGN90-0091 DATE ISSUED. . . . : 10/02/90
EXPIRATION DATE: 01/02/91
PARCEL. . . . . . . . . : 2S115A0-03101
ZONE. . . . . . . . . . . . C'd/
BUSINESS NAME. . : MARY CATHERINE'S WOMANS APPAREL
SIGN LOCATION. . : 16200 SW PACIFIC HWY F
APPLICANT/AGENT: WINONA DAVIS
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : SEE BELOW
TOTAL SIGN AREA. . . . . . : 50 sq.ft.
WALL AREA. . . . . . . . . . . . . 900 sq.ft.
WALL FACE (DIRECTION) : N
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : in.
TLLUMINATION. . . . . . . . . : INT
DESCRIPTION OF SIGN:
A permanent 50 square foot (2' X 201and 1' X 10' ) wall sign on a 900 square foot north fac
wall, COPY: Mary Catherine's Womans Apparel, MATERIALS: plastic, sheet metal, internal
illumination.
MATERIALS. . . . . . . . . . . . : SHT MTL, PLS
EXISTING SFGNS. . . . . . . :
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FEE: $ 25.00
APPROVED BY:
DATE: 10/02/90
i
Permit No.
CITY OF TIGA.RD
SIGN PERMIT APPLICATION
I
The applicant hereby applies for a permit for the work indicated or as sh in the
accompanying plans and specifications.
SIGN LOCATION ADDRESS: QQ y��Gd!</ GC12fi� c ZONING:
NAME OF BUSINESS: ['' r��?E'1 114'— 4-1i
APPLICANT/AGENT: lftxa c�:a al COMPANY: �ic l�z—�C� PHONE:
The City of Tigard imposes an annual Business Tax which must be kept current on all
personsdoingbusiness in the City. Do you presently have a current Business Tax?
I ,� es ( !/1 No ( ) U.L. Label #
I .1j�' �evaaaaseaa>:�aesavnllamam------ws!!!!!s!!a!s!!!llas
PROPOSED SI(;N: (Check as many as apply)
PERMANENT ( ) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON
SIGN DIMENSIONS: .2 1 x 2-U � _ ,� � h x & � _ EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft. : _ S�
WALL AREA (Sq. Ft.):
WALL FACE: D ' _
HEIGHT (ft):
PROJECTION FROM WALL: T
ILLUMINATION: YES ( NO �) TYPE.:
COPY: &beLMATERIALS: �G1e t1y�.- .��iecf 791c '
EXISTING SIGNS:
ADMINTSTRATTVF. EXCEPTION: N/.A [ ) APPROVED [ ] HOW MUCH X AREA [ ] HFTGHT ( ]
COMMENTS: _ lt' , �� iL:..> � /It,CLC./tt �
a�za.craa-s!l:=azaa:smvasvasysravf eesaisallsaa-.sll-=a!!!llsars amaaeseaaaaaasaaaaaaaar_vaxsaeR
PLANNING DEPARTMENT All 41gn permits must be accompanied by a scale drawing
Permit Fee: Z S, a O and plot plan. If work authorized under a sign permit
Receipt No: -�?�.5 3 'z_ has not been completed within ninety days after the
—gam- issuance of the permit, the permit shall become null
Date: and void.
ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE PROPERTY
REQUIRED: YES ( ) NO ( ) OR AN AGENT UTHORAIZED $Y,THE OWNER.
BUILDING PERMIT L .Af
REQUIRED: YES ( ) NO ( ) A01cant's Signature �
Address Telephone
,ITY OF TJC.,ARD rt,-cr.iri- or rro,w RECE.IPT NO. s90-205327
CHL.0 -:. AMOUNT s 2"..o.00
NAME s MULTI-LIGHT DROADWAY CASH AMOUNT
AD[W*klEss t SIGN CO. , INC. PAYMENT DATE
N.E. BFZOADWA'� SUBDIVISION
PORTLAND. OF: V727-2- t6500 S!,) DUPHAM RD
0
1-UPPOSE OF PAYMENT AMOUNT 1"OlD Pl. Rr"USF OF PAYMENT AMOUNT PAID
1 . 1131)
PERMIT F 2s.(y.)
1
1
90-4.091
4ONK-YOU
c)
AP101JNT PAID