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16200 SW PACIFIC HIGHWAY STE S I I V i J � f 1 1rl �I /w/j✓/`r/J^/� �� � I i � 1 to 0 i � I d v.. 6WNII(67t1-r1W - J 1 �---- _ S 16200 SW Pacific Hwy Suite S ` ��`�1�� •.... 1 of 4 a L1 U less L r , SXUS sSERVICE iiLEMING . . 0 L11 to . e� � .iA�•+t OIIr11�1 � t K WI Wbiv'�Woo �Mroelad c11p1 b �f� �r�• �• : � -. ,eb� ar 4 a� M��S► + � fq � • 64 bt 1,10 0 ICM „�1MrwaIaefR Aar pmt�d to ��_•_.nw.m•.c+.� .e.�.�,+a_, s�+s--r.mas�;---sem,-n��ers-.r:.. • . - � . . • . •• a . . . , - . (f this notice appears cle lrer 01,111 lhv docunnent, the document is of 111:11-011,11 y11,11ity• 1\7ICIZQF.1I ,�'j �;i) I I I IiI I I III { { illi l i r i I Illi II (ii � iii � j I1 r r I i i i I ! I11 ' II111 � 1Ilil � 11 � I ! ! � ! I ! i , ! { ! 11 . 1 , 1 + ! I ! I , 1 , 1 ' ! I I Illi ! ; 1 ` , I ; � Itlll � I ! I ; lull i l ! ; I ► ' � l I l t til I it ii I , ; , I ,i INCE! 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ADDRESS: U/' lqhuja w I Sul, i:\records\microfim\targets\building.doc SIGN PERMIT PERMIT /: SGN94-0015 DATE ISSUED. . . . : 02/01/94 EXPIRATION DATE:05101/ cjl-( PARCEL. . . . . . . . . : 2.S115BA-00101 ZONE. . . . . . .. . . . . C-G BUSINESS NAME. . : VIDEOLAND SIGN LOCATION. . : 16200 SW PACIFIC HWY #A•-•S.T APPLICANT/AGENT: BOB GRUBER BUSINESS TAX NO: SIGN: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TEMPORARY ( ) WALL (X) - ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 3' X 6' TOTAL SIGI4 AREA. . . . . : 18 eq.ft. WALL AREA. . . . . . . . . . . . . 1610 sa-ft. WALL FACE (DIRECTION) : F. SIGN HEIGHT. . . . . . . . . . . 23 ft. PROJECTION FROM WALL. : 6 in. ILLUMINATION. . . . . . . . . : TFT DESCRIPTION OF SIGN: PERMANENT WALL SIGN. Dimensions: 3' x 6' 18 square feet. MATERIALS. . . ,. . . . . . . , . : METAL/PLEX EXISTING SIGNS. . . . . . . : ELECTRICAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: S 10.00 APPROVED BY: DATE: 02/01/94 II I SIGN PERMIT PERMIT /: SGN94-0014 DATE ISSUED. . . .: 02/01/94 EXPIRATION DATE: G'j/G/ / 9cf PARCEL. . . . . . . . . : 2SI15BA-00101 ZONE. . . . . . . . . . . . C-G BUSINESS NAME. . : VIDEOLAND SIGN LCA'ATION. . : 16200 ',W PACIFIC HWY #A-S.0 APPI,ICAN'T/AGENT: BOB GRUBER BUSINESS TAX NO: SIGN: PERMANENT (X) FREESTANDING ( ) FREEWAY ( ) TRNYORARY ( ) WALL (X) ELECTRONIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 3' X 24'3" TOTAL SIGN AREA. . . . . . : 73 sq.ft. WALL AREA. . . . . . . . . . . . . 1610 aq.ft. WALI. FACE (DIRECTION): E SIGN HEIGHT. . . . . . . . . . . 23 `t. PROJECTION FROM WALL. : 13 in. ILLUMINATION. . . . . . . . . : INT DESCRIPTION OF SIGN: PERMANENT WALL SIGN. Dimensions: 3' X 2413" 72, 75 square feet. MATERIALS. . .. . . . . . . . . : METAL/PLEX EXISTING SIGNS. . . . . . . : EL,RC1'R1CAL PERMIT REQUIRED: YES BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS : N/A PERMIT FEE: $ 25.00 APPROVED BY: DATE: 02/01/94 Permit No. 1111 Ghl 915 -00/ QTY OF TIGM0 SIGN FII3MPr APPLTCATION Zhe applicantlwxJ- y applies for a permit for the c cwk indicated or as shown in thy- a xmapanying plans and spw.ifications. SIGN IACATION ADURR5S: _ 1,6200 S.W. Pacific Hwy. 7A)NING NAME OF BUSINESS: V i d e o 1 a n d APPLI('AW/A(;UjT: Robert Gruber pryM.)ANy• Multi-Light Sigg4j281-3083 Mle City of Tigard inposes an annual Busixy--ss Tax which must be kept moment on all person.. doing businc s in the City. Do you presently have a current. business tax? YES ()C.) NO ( ) U.L. r abel f ttmu, c(v - PROPOSED Sl(W: (Check as many as apply) PE RMANaU (Y-) FREESTANDING ( ) FREEWAY ( ) TOVORARY ( WI.ao11r7I1 AL (1`� E l DCIROS 1 -C ( ) OTHERBAUMN SIGN MME NSIONS: 3,x 6, -- __—_._ EXPIRATION DATE: TOTAL Slur AREA (Sq. %�t.j: ►e _ WAIL AREA (Sq. Ft.) : ZA16 WAIL FACE: 70 - MG[H (Ft) : 23 - -- PROJECTION FRt1Nr WAIL: g�� -__-- IIJIMATION: YES ( yJ NO ( ) TYPE: _FfuoctE1514me4w 00MI: _ HATERJ\IS: /y\6Tp�� PIs --- -- E{LSTIrG slurs: - -_.Ss—_ter 67.15 U ---- - AMENISTRATM Ex(EMON: NIP, ( -'f APPrOM) ( ) rtOFr En.xtt $ ARET ( ) EE1G11T — OQ�'T4ENI`S �_ANNING D ARIIMENT _ — ---All sign permits mast he aeootrPtnied by a scalePgnai - t Fee• /e_ draWiig and plot plan. If work authorized under B9 pt No: a sign permit has not be,-n cxxpleted withi-1 ninety "J,xnvved8V: days after the iscuan or the permit, the permit Date: I- ��') '� si-k-M became twill and void. 1ff13C CMj Pp1441-T Eac�2 I MZrM THAT I AM ME RV! OWNER OF THE REQUIRED: YES ("7 No ( ) PROP OR ANP ?fI' RI7ED PY iTiE (JWNFR. BMIDING PERMrr Rte: YES ( ) No ( Appli cp/BrarmEnrrrSL�'�' ��'r4vw�Y___— oA1--3083 N:�WOM\OCMFv � { � i OV- 97737 Telephone H11 I I Jill Hill fill 1 11 0. 00 ........... M-JN I F '04P) (MIL Olyl(PINI PAID 00 Permit No. 5Gn! Q -604 CITY OF TIGARD SIGN PEPHIT APPLICATION The applicant hereby applles for a permit for the work indicated or as shown in the aoocvpanyiuig _plans and sfxcificatiais. SIGN LOCATION ADDRESS• 1,6200 S.W. Pacific Hwy. 7XVING, C �, NAME OF BUSINr.FSS: Videoland APPLICANT/11GEur: Robert Gruber CypANy:Mu1.ti.-Light Sign p,19NE: 281-3083 The City of Tigard inposes an arm3l Business Tax which must be kept current on all persom doing bLlsine as in the City. Do yvu presently have a current kxL,-iiness tax? YES (� NO ( ) U.L. Label , wtu,. reltow PROPOSM (Check as many as apply) '— -- — — P NENr { FRF[�DC ( ) FRMay ( ) n'IHFR { BIIIBDAPD { ) BALLOON { ) SI(W DIMENSIONSS: . 'X „ EXPIRATION DATE: TOTAL SIGN AREA (Sq. Ft.): WZ AREA (Sq. Ft.) : _ WALL FACE: _ 70�ai�iT MG11T (Ft) A3' TIMIECTION HM WALL: ILILMUTA7TON: -YES ( A) NO ( ) TYPE: NE5t4 - =NTE2A&L MATERIALS _/jF.7NL d PLS X. EXLMUM SIGNS: AF1'CNIS7lVa1W EXCEPTION: N/A ( APPiaO M { ) flow MUCH $ AREA ( ) 4iF am { ) F-WROM DEP 1`kNr ——_— All sign permits must be a ed oom%mi by a scale �`rn►it Fee. _ drawirq and plot p1,L3n. If work authorizPA under. ZeoEi�t No . a sign pe*mit has not been conpleted -within ninety t�vtred y,_ days after the issuance of the petmi'_, the permit Date: / _ '7 _ shall beoome null atxi void. �ZTCAG PERMIT I CERTIFY 7I{AT I AM ZIiE RR DR)ED M4ER OF ME BRED: YES (Vr ( ) PnOPEMY OAN AGFNrZARTZED I3Y ZNE OWNII2. L�ULLDING PERMIT ;f nom: YES ( ) NO {'-� Ap4P, s Sigmtxtre cp/I3IQMPFI3"[I' Address o�'' '77,34Z Telephone N:\W0RD`a MEV\ SIGN PERMIT PERMIT #: SGN91-021.1 DATE. ISSUED. . . . : 01/07/92 EXPIRATION DATE: 03/07/92 PARCEL. . . .. . . . . . : 2S115A0-•03101 ZONE. . . . . . . . . . . . G BUSINESS NAME. . : VIDLOLAND SIGN LOCATION. . : 16200 SW PACIFIC HWY APPLICP.NT/AGENT: LESLIE JONES BUSINESS TAX NO: SIGN: PURMANENT ( ) FREESTANDING (X) FREEWAY ( ) TEMPORARY (X) WALL ( ) ELECTRONIC ( ) 9THER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DIMENSIONS. . . . . . : 4 X 3 TOTRL SIGN AREA. . . . . . : 12 sq.ft. WALL AREA. . . . . . . . . . . . . sq.ft. WALL FACE (DIRECTION) : NA SIGN HEIGHT. . . . . . . . . . . 3 ft. PROJECTION FROM WALL.. : in. ILLUM'iNATION. . . . . . . . . : NON DESCRIPTION OF SIGN: TEMPORARY FREESTANDING SIGN. 41 X 3' = 12 SQ.FT MPTERIALS. . . . . . . . . . . . . WOOD EXISTING SIGNS. . . . . . . : 0 ELECTRICAL PERMIT REQUIRED: NO BUILDING PERMIT REQUIRED. . : NO ADMINISTRATIVE EXCEPTIONS. : N/A PERMIT FEE: $ 10.00 APPROVED BY: DATE: 01/07/92 Permit No. CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby app14 •s for a permit for the work indicated or as shown in the accompanying plans and slpecificatiio'ns.. SIGN LOCATION ADDRESS: tl )ZZcu ..— ZONING: C_--"_G —_ NAME OF BUSINESS: �4✓\Q� ,, e� _ U APPLICANT/AGEIVr: L.EsL�E J4�17FS QOAiPANY: �idE�b�-� PHvtv�;: '" I7 1 The City of Tigard igx)ses an annual Business Tax which must be kept current on 411 persons doing business in the City. Do you presently have a current busirx!ss tax? YES ( �j/J�0 ( ) U.L. Label I - - PROPOSED SIGN: (Check as matiy as apply) PERHANFNr ( ) _. - NDIING (� FREEWAY ( ) TIMPORARY (X) WALE, ( ) ELE) MIC ( ) OTHER ( ) BILLBOARD ( ) BALLOON ( ) SIGN DU*24SICNS: EXPIRATION DATE: TUTAL SIGN AREA (Sq. Ft.): -- — _ WALL AREA (Sq. Ft.) : WALL WE: HEIG Tr (Ft) -- PROJECTION FROM VW-L- nZW NATION: YES ( ) No (l TYPE: — COPY: MATERIALS: E)QST'ING SIGNS: E XCEFTION: N/A ( ) APPROVED ( ) HOW Kr-m � AREA ( ) Wfan ( ) MANNING DEP1\R-74ENr All sign permits mist be accompanied by a scale Permit Fee: /0 drawing arra plot plan. If wick authorized under Raoeipt_No: 19/'^ a sign permit has not been ompleted within ninety Apprg�� By: Or _ days after the issuz►noe of the permit, the permit Date: 6/ - O 9 - shall became null and void. ELE MW.CAI PEF4 Q= I CEKITFY. THAT I AM UIP RECORDED OWNER OF TfLE REQUIRED: YES ( ) No ( � PROP IAOR . AGERWr A ZIDBY THE OWNER. j BUILDING PERMIT - RWJIRPD: YES ( ) NO (� Applicant I s--i' Lure &Y. cp/BKMPF1,14Ir Addtrss 97�z ,/_ TelephonQ N:\WORD\C V1DE'V\ T '6LAn1K CITY UP 't'.'Lr;HRr) RF.-Cror-r or r,(.)Ymut,,j-r PECEIP7 NO. a 91 otj: ) NAME T(JNP:S, LESSLIE CHE'CAJ, AMOUNT 0. oo ADDRESS 2900, NW lFj:?,Pl) CA"Al AMOUNT 20. 00 PAYMENT DATE a 12,10019.1, BEAVERTON, OR 97006– JIJrAD I V I'D I ON PURPOSE OF PAYMEN1 OMUK IN T or f::,AymEm f Amol"'Wr PAII) 10. IA —AP 'AGN TUTAt. AMOUNT f4lif', Permit No. SP 89-150T CITY OF TIGARD SIGN PFR1IT APPLICATION The applicant- hereby applies for a permit for the work indicated or as shown in the acccxtjar••ing plans arra specifications. SIGN IDCA17ION ADDRESS: - 16200 SW Pacific Hwy Suite S ZONING: _ C-G NAME OF BUSINESS: Videoland AT.PLICANI'/AGENT'. Craig Stanford - a"pANy: Videoland PHONE: 626-3413 The City of tigard inyoses an annual Business Tax utdch must be kept current on all persons doing business in the City. Do you presently have a current business tax? YES ( X ) NO ( ) U.L. Label # _ N/A PROPOSED SLGN: (Check, as many as, apply) }-,Rw&wr ( ) FREESTANDING TEMPORARY ( X ) W. iL ( ) ELFT-'IRONIC ( ) OTHER ( ) BILUk3OARD ( ) BAIJOON (X ) SI(7N DIMENSIONS• 25' x 25' FXPIRATION DATE: 'DOTAL SIC2N ARFA• (Sq. Ft., . N�.--- �... NgvQnte-C_2A1�-___ WALL ARFA (:x4. Ft.) : _ N/A _--- -- WALL FACE: _ North _ HE'IGHI' (Ft) : _ 2-'_ -- PROJECTION FROM 'v UJ : _ N/A IT11mMTION: YES (X ) NO ( ) TYPE: internal — COPY: _ 1000 Movies $1.00 Every Day MATERIALS: _ Nylon --- --..._-- EXISTING SIGNS:Wall Sign - Tigard Town Cgn ALJMI NISTRXFIVF. EXCEPTION: N/A ( X ) APPROVED ( ) 110W "X]i AREA ( ) f iEIG1fr ( ) CUM: November 15 through the 24th DINING DEPARIMEND All sign permits must be aoocmpanic-A by a scale Permit Fee: $10.00 drawing and plot plan. If work authorized under i Receipt No: 106070 a sign permit has not been cxwpleted within ninety Approved By: VG days after the issuance of the permit, the perncit Date: 11/13/89_ shall become null and void. E 1jL' RICAL PERMTT I CEIMFY n IAT I AM THE RJUORDED OWNER OF THE RhlQUIRFD: YF_'; (X) NO ( ) PROPERTY OR AN A(--,FNP AUTHORIZED BY THE OWNER. I BUILDING PERMIT RDQUTRED: YES ( ) NO (X) Applicant's Signature (_-�)/BKMPFJW Address Telephone N:\WORD\(XML)FV\ Permit No. 52 CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accongxonying plans and specifications. :moi-e - SIGN LOCATION ADDRESS: Z& G 00 S�c PE'I j AL ZONING: NAME OF PUNINESS: 1/11:. O LA/V u — APPLICANT/AGENT: ��f�f l l�r SIAOf-0 e-6 OCNPANY: III L��L AN-b _ PHONE: -,'Li The City of Tigard is-joses an annual Business Tax which must be kept current on all parsons doing husiness in the City. Do youently have a current business tax? YES (X) NO ( ) U.L. Label IIA — PROPOSED SIGN: (Check as many as apply) PE RMAN0TF ( ) FREES'T'ANDING ( ) FR MKAY ( ) TEMPORARY ( y() WALL ( ) Er.� CIM)NIC ( ) O 11ER ( ) BILLBOARD ( ) BAT TOM (x SIGN DIMENSIONS: E EXPIRATION DATE: IXYM SIGN AREA (Sq. Ft.) : 1A -- --— �� -- _- WAIL AREA (Sq. Ftr) : — — mu,L FACE: — HEIGHT (Ft) : _�S ' A 7L.10a-. PROJDCrION FROM WALL: A)./!� - l-( 4 ILIdj4jMTION: YES ()() No ( ) TYPE: :7A.�7,E'r?A1 COPY: _ I POD fY1�U I FS .U D F .)rr R,hh -- - ---- ---- - - MUERUALS EXISTING SIGN!j: 71 "Ole 7 d LI-)IBJ E fE ADMINISTRATIVE EXCEPTION: N/A ( APPROVED ( ) I1 M "KI I- —$ AREA ( HEIGHT ( ) COMMENTS: lkl PLANNING DEPARITfFHr All sign permits must be acxxmT-)anied by a scale Permit Fee: S I Q 00 drawing and plot plan. If work authorized under Reoeipt No: 10(oO p _ _ a sign permit has not been Meted within ninety Approved _ days after the issuance of the permit, the permit Date: � T shall become nu l 1 and void. FLDCI'RICAL PF*4rr I CERTIFY *THAT I AM THE RDCORDED OWNER OF THE REQUIRED: YES � f7O ( ) PROPERry OR AN AGENT AUTHORIZED BY THE OWNER. BUILDING PERMIT — - RBQUIRED: YES ( ) NO Applicant's Signature cp/BKMPERMr Address Te lephor ie N:\WORD\CCMDEV\ n ,/ ou SA,4P I.cU_F_��� Tf l I I I 1 � � , . � ., � . , 1 ,' I Y I it I � i � � I � � � li 1.I� � i 1 1 I i I I � I (III I REVISED EXHIBIT C TO SHOPPING CENTER LEASE WORK F.GREEMENT SF=_0 1 TENANT IMPROVEMENTS PROVIDED BY LANDLORD 1. 1 Landlord agrees to provide the following Shopping Center standard tenant improvements in the Premises ("Landlord' s Work") and shall be responsible for obtaining, at La^dlord's cost, the permits therefor: 1. 1. 1. SLc;ptrkrnt Design. One Shopping Center standard aluminum storefL:.i._, including one standard outside door {3 ' x 7 ' ) Ctv�c� `7A�Y + A vUa� C& M A V\ V.vx'�Y — = , rd—ha!3: 1. 1. 3 . Demisincr Walls. Interior surfaces of dem.isin,r walls finished with gypsum wallboard, taped and finished with a .light acoustical texture ready to receive paint by Tenant. Insulation in demising walls shall be R-11. No interior walls provided other than a single toilet room as required per Section 1. 1. 5. aY\ 1� N )` IGF A 11.,1. 4 . Ce ' inas. A suspended 21x4 ' grid system and acoustical tiles will. be installed. At ._a, � _ jil ally either unfinish-d qypsuiu board eye',\�Y� -�,1e, w•\\ bi a r���rt�re � -�;�e�. 1. 1 . 5. Tpilet Rcoms. One toilet room with a single water close* in location designated by Landlord, if reeridired by af49-=1eabl-e---ee►dee-r-6andlerd shall—provide €asap-�ti.es. Toilet room will include the following: (a) One hollow-core door with privacy lock and wood frame; (b) One wall-hung lavatory with 21x3 ' mirror; (c) One water closet; (d) One five gallon watt. - heater; (e) Wall-mount light fixture with switch; (f) Exhaust fan; (g) Wall receptacle; (h) Toilet paper holder; and (i) Paper towel dispenser. `j� �S�1te-}rcCk. CEn\ire L . 1. 6. Lighting. Standard 21x4 ' recessed light fixtures that will supply 70 foot candles of lumination at desk height. At any ateelf er wareheuse areas in the and a reamed nutpmt effeet—e_M�X,, Lights will be switched at the electrical panel only. One k1) night light will be provided. 1. 1. 7 . _Z' ect qaJ. One (1) 120 volt duplex wall outlet per 15 lineal feet of demising walls in the Premises and one (1) 100 amp electrical service. Photo cell or time clock for Tenant's sign shall be at Tenant's expense. Phone lines and jacks are at Tenant ' s expense. 1. 1. 8 . Heating and Lir Conditonin Heating .,id air conditioning system, ducted for open space.kli � ,AA -\--V c�u,C't MIAV QIt tih�� (3) -'�" 2�1a f_ A-V -n.A0#_Y Areas. 1. 1. 9. Eloors. Finisned concrete prepared to receive floor covering. All floor covering at Tenant 's expense. 1 . l . IO . SEE PAGE C- ) A Exhibit C-1 . TIGARD TONNE SQUARE -,, CIANCI'S VIDEOLAND 6,800 SQUARE FEET i La _ S.M.1171%AYl NUI ' 1 � t�\ ego 0 CONSOLIDATED FIRE AND RESCUE 0-j Ci seton County Fire District 1 of City of Beaverton Fire Departmentnt Tualatin Fire District FIRE MARSHALS OFFICE (503) 526-2469 POSTED: OCCUPANT /�� [�/ S �/l Gf�?L,��>✓!1 'ACTOR VJ S! OC'!J BLDG. PERIMIT it "RO%')-CT NAME %�Rrtu 7�t c/iL�� S Gy��r'r PLAN REVIEW 0 LOCATION JURISDICTION: 1= Be. 2= Du. 3= K.C.( 4= 5= Tu. 6= Sh. 7= Wi, 8= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL Framing Separation Walls El Sprinkler System Shaft u Fire Dampers (Overhead/Underground) Alarm System El Hood' Exuag Systems L_.1 Conference Spray Booth L__1 Ceiling Cover � Other ray '' L�+%� r✓n;L O.J Af v r � i Date: Inspector: k f W j 0p, 0 a _ ) 00 a Cd CID 0) cs 7 �, f to Cl) Vv cd r (n O 'b v O b 4 A V ry 44 pp ^� Q G u rro � m u� u �a d ro ` gp r� rl cd s ~ 4� 4 �o � � U cl ww 44 'J w o V d o .� tc �4 h � .�1 � �t,�ra-a�r�,rian�r�3v�f�ia a •'- -��--- ... �(1f� ?i 1'ie' �wW��='������r•'j�;•a�l,.. }n�i�. �14y1� „�� �u�: '��,ot°r'�'� ,, �'.,�/ r' ��'" y 0 INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 t Tigard, Oregon 97223 Phone: 639-4175 _ V T,�pe of Inspection � �-S`_'—� � � �'���� .�"/ �� / Date Requested 101-2 6 9V Ci me_ A.M. P.M. Address -Ah) 2 o D SL C 'Y-1 Permit # 'r Owner Lot # Builder The following Building Code deficiencias are required to be corrected: Asx u ..4 _ i G)- l �cc r" --- l�:2.(y�C.t�G� Gl CbY'�t�Y`C.ti."�•t�`,lh- - ---- 30--2,cU w YY1 r 7�c �-r- ()G-'c c.� r c i 1C; r r 1.7 z 1U) -- i3 Z- i11.N Presented to _ - — —. _ PkApproved Inspector —_ r ___ _ Disapproved Date CALL FOR REINSPECTION 1 YES 1-1 NO r���:(::I-tAN:Lr�AL. r�F::F:i'f:L•T / CITY OF TIG RD V'FA-M1*V NO . CITYOFTWAFM COMMUNITY DEVELOPMENT DEPARTMENT OREGON 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)63"1,5 1 f !ti0 (3(.3 r, 1\111,11 clf:t 1 JOB ADDAE!-.j1*.i : 1.62..00 15W 1*16C 1:1 1 UY 'TAX MAI:)/L..C)*I1T(*.-;Ar4E) TOWN 5QUARE I AND USE* : LOT G1ZE: NO: NG. WORK CLASS: ALTEnA11:0N PUPINACAH." <100K AJ:P HANDI-H <10 USE TYP"IE: COMMEPIL;ini.. F(.JPNA(:-'E-:' 10OK4- AJ:P 1--k-iNI)LP, 1.01< CONST .*TYPE: 1.11N F L 00W l:'LJPNA(*-E: OCCUI-1.(311:11P B2 VEKN1 F AN 1 VENT VE'N'T . 5Y51 1:-::M NI...F7 CIUMV-1 <31--Ip 1-1001.) NO. 5'TUP:IA:'5 : 1. r-.iLA/C('.)MP 3.b 1-4 P i TINICINE-:14r)"!OR(DOM DWELL .UNI'VS : 1:11 1:4 G F LJEL 'TYPE: G,A S A'17-PAIJ4 UNITS MAX . T.Npur 120000 1311-IR COMP 50+14) 0 VHE A FIRE DMPPS? NO GAS PT.;-"]:NCv (1011-ET5 HIGH V"PE-t-iS7 NO —L.OW F'RE!jL0 YES RL.MAPKS : Te!'inlrit Mud ; Ciaric.A. ' is V:1.clWCj,I,lii.l-1d 0 F L E S W Watutwood Pl:::I-*4m:c'T $ [0 . 00 N P1 AN PEV'.I:I--.W $$.1 .50 E F i x,T unuti 913 6. 00 5*rA*Tl::, *TAX $R C)'1'(-11E C 0 BEWLEY DON N T FIEWI FY MEC'HAN.YC'Al A F1 PUBux:11.661. C Heave.er-f.C11-1 OR 97003 0 i 1:4-110NE- (50 3) 626-1113986 R NF(T: iTl-*4A*T7:(.'IN NO. Df--.+ts:Ley 1'(:)*TAL-: 90 This permit is issued subject to the regulations contained in Title 14of the TMC, State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it Is hereby PI:-:*Y(.J.I'.IA1.A.) 1N!iPF-UT-1ONG agreed that the work will be done in accordance with the plans and Gf-'il:i L.'[NJ:*1.* ,pe0lestions and in compliance with all applicable codes and Ml!1'.(,,1--1r-'-iN(A-- t-*.,Y(.,"'T'F*M ordinances. The issuance of this permit does not waive restrictive FJ NAI covenants. Contractor and subcontractors shall have current city business tax permits This permit will expi.e and become null ar.d void If work is not started within 180 days,or it work is suspenderi or abandoned for a period of 180 days any time after work has commenced.It shall be the responsibility of the permittee to assure all required Inspections are requested and approved Perwitt-i" ignature Issued By: 71� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TIGARC MECHANICAL PERMIT Receipt#- Permit# Description City Of Tigard Table 3A Mechanical Code QTY PRICE AMT — --- 13125 S.'N. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Boy;23397 Tigard, OR 97223 2) Supplemental Permit 3.00 639-4175 I- — ----- — --- 1) Furnace to 100,000 8TU incl.ducts&vents 6.00 2) Furnace,C0,000BTU + — — incl.ducts&vents 7•`'0 Name of Development 3) Floor Furnace ncl.vent 6.00 owe �uQ/IQ Job Add ss Suspended heater,wall heater Address Z('j p r� - _4) or floor mounted heater — 6.00 lax Lot Map No. 5) Vent not incl.in Lot Block Subdivision appliance permit 3.00 Name(or name of business) 6) Repair of heating,refrig., _ cooling,absorption urfl 6.00 Owner Meiling Address �- Phone - 7) Boiler or comp to3HP absorp.unit to 1_00,000 BTO 6.00 City/State - zip 6) Boiler or comp to 3 HP-15 HP — absorp.unit to 500,000 BTU 11.00 Name g) Boiler or camp 15-30 HP absorp.unit 1/2-1 million 15.00 Mailing Address Phone, 10) Boiler or comp to 30-50 HP absorp.unit 1 -1.75 million 22..50 Contractor chy/stato zip 11) Boiler or comp to 50 HP 31.50 _ absorp.unit 1,750,000 BTU State Registration No. City Bus.Tax No. 12) Air handling unit to 10,000 CFPA 4.50 1 hereby acknowledge that I have read this application that the information given is 13) Air hanr!4nounit correct•that I am the owner or authorized agent of the owner,that plans submitted are In 10 00J CFM + 7.50 compliance with State laws,that I em registered with the State Builders'Board,that the 14 Non portable number given is correct.(If exempt from state reaisirailon please give rer, on below). ) evar)orate cooler 1 4.50 __- ---- ---------— - _�-- — 15) Vent fan connected / to a single duct 3.00 -��-- 16) Ventilation system not included in appliance permit 4.50 17) Hood served by _ mechanical exhaust 4.50 Signature(owner or agent) � _ _� Date Domestic type Describe work U addition ❑ alteration Cl repair ❑ 18) incinerator 7.50 to be done residential ❑ non_residential [Ji 9 Commercial or industrial Existing use of ) type incinerator 30.00 building or properly 20) Other i.e.,woodstnve,water — Proposed use of heater,solar,clothes dryers,etc. 4.50 building or - ---""" - 21) Gas piping one to four outlets 2.00 Tvpq of fuel- oil ❑ natural gas hf LPG 1-1 electric ❑ - 22) More than 4-pur outlet WOTICE — 'THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- -- SUB-TOTAL STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1+30 S% 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR - ABANDONED FOR A PERIOD OF 100 DAYS AT ANY TIMF AFTf_R -- --- PLAN REVIEW 25%OF 5U8-TOTAL WORK IS COMMFNCFD TOTAL — Special Conditions — Date issued b l P.O.Boy. 23397 CITY OF TIGA R D PLUMBING 13125 SA HaU Blvj. P�R M[T / Applicants must hold Oregon Registration to conduct a plumbing Tigard CR 97223 6�9-4175 / business or must be property owner/operator not hiring outside help. Natrx of Dew4 -4 �i��� Plumbing Permit No.Q t1/9SS Descrlptkm ORS 811-21$10 QUAN. PRICE MAT. Job Tax Lot Map.No. Addnaa --- Lot Bock SubdirislonFIXTURES------------ �•SD Sink 7.50 Nat s or name kinase Lavatory _ 7.50 Y- �,� Tub or'ut�/Shower Comb. - 7.50 al ing fCsa -- - - -' Shower Only 7.50 _ Owner City/Siete ---- Zip Water Closet _ /� 7.50 Q _ Dishwasher 7.50 _ - Phone Garbage Disposal -_ .- -- - - -_. 7.50 - Name __Washing Machine - -- 7.50 -_--`- r - Floor Drain P Phone Water Heater 7.50 _ Occupant C8y/StRto Zip -- Laundry Room Tray _ R 7.50 _ Urinal 7.50 Name -----Phone-'tie Otto r Fixtures(Specify) 7.50 7.50 -- malling Address Phone- ---- ----- 7.50 Contractor City/5uue - aP 7.50 _ MISCELLANEOUS - - City Bus Tax No Sewer tat 100' _ _ 30.00 tate- srsi�" ,tateu fs us rc{o. -.Sewer-ea.Addit 100 - -- _ 15.00 - (Residential) Water Service t st 100 20.00 I hereby acknowledge that I have read this application,Mnar the Information Water Service ea.Addit.201 15.00 given is correct,that 1 am rsgistwed with the State Builders Board.and also Storm A Rain Drain 1 frt.100' - 30.00 -- have a SUMe Plumbing license that the nurmbers given ars oonect,that all --- plumbing walk will be done In accordance with applicable provisions of Ore. Storm 3 P-in Drain AddM.100' 15.00 gon Revised Statutes Chapters 117 and 89,9 and applk bie codes and that Mobile Home So" -- - 25.00 --- no help willhe employed unless tloensod under ORS 003. ill exempt from ---..-.--- --- State registration,please give reason below) t3**Flow Prevention HOMEOWNERS-I hereby certify that I am the owner d the property de- Device or Anti-Pollution Device-__ _ 7.50 -- aeribed above.of which location I propose to make a pkimbft hsUkNatlrx+for Any Trap or Waste Not my own use and MMa property is not bekng oonahueled for Baia,too"or ren Grx»c led to a Fixture 7.50 Calor Ba,+M 7.50- Insp.of Fxlst.Plumbing _- - 10.00 Per Hr.- -_ _--- __-- Specialty Requeoed Inspections 10.00 Per hr -_.-- -_.-�- Aker.of PkxnbNng an Fxlstirng Bldg _ 15.00 rein. AUTHORIZFO SIGNATURE --� Date Now Bidg.or Build.Addition -- --- 26.00 min. -- ---- Rain Drain,sural a f-anii1 - - -- Deerrritm wof* new[J addition atteretio n repair F-] c3i•V11• --- 15.00 los done reeldential[I _net-roe aI V Exit"UP@ o b1Aldrp or Property-� - ------ - ----- -� - -- =TOTAL-- -- This Permit bow. null and void N work or oonetruoMnn fifuthonted Is not Corn- fomw *0 fill U0dwAwMowift ueft orwortMnadapentledoroberxfonedfor r nerlod of 1110 R.sye M any arta Ww wort:a cortMnirx�.-1. fade *"I"d by _ _ ____ .______._ r N k f APP i t 1-N•,r n� CONSOLIDATED FIRE AND RESCUE Washington County Fire District No. 1 aa�a City of Beaverton Fire Department Tualatin Fire District r ,r FIRE MARSHALS OFFICE October 11, 1988 J.B. Bewley Bewley Mechanical Systems, Inc. 7721 S.W. Cirrus Dr. ' Beaverton, Oregon 97005 P.: Video Land Tigard Towne Square 16200 S.W. Pacific Hwy. Tigard, Oregon 97224 Dear Mr. Bewley: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985 editions of the Uniform Building Code (UBC) , Uniform Mechanical Code (UMC) , and Uniform Fire Code (UPC) as amended by Tualatin Rural Fire Protection District's Ordinance 86-5. Plans are conditionally approved subject to the following: 1. Approved Plans on Job Site: One set of approved plans bearing the stamps of the Tigard Building Department 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. (URC Sec. 303) 2. Inspections Required: Inspection acid approval of construction by a representative of this office is required: (a) prior to the cover of an) new framing elements following the installation of all utility runs which will be concealed within wall. and partition cavities; (b) upon completion of construction and prior to occupancy of the tenant space. (UBC Sec. 305) SPECIAL NO'1ICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE. 4755 S.W. Griffith Drive • P.O. Box 4755 0 Beaverton, Oregon 97076 9 (503)526-2469 J.B. Bewley October 11, 1988 Page 2 APPROVAL OF SUBMITTED PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON-COMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAI, GOVERNMENT, If I can he 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 ,i PLUMBING PERM11' "P �ITM CITYOF TIIFARD �� CITY—(OfF ngGARD 1:)F:'IIM:E'T* NO. PIL-8819(ij!) COMMUNITY DEVELOPMENT DEPARTMENT 041GON 13125 S.W.Hall Blvd.P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 I)A-'( A, I I 1:- I. A 1/(41:3 Pq 1L.) ,JOB ADI)PESS: 16200 SW PACIF.'[C HWY 5 1A MAP/L.OIT !AJIA. I T GA Vfl) *1 OWN SGIL)APIE, LANL) USE: I--O'f SIZE: NO : NUI : WORK CLASS: Al I'EDA11:014 WA*T*E:P C L.0 S F.T I I'PAP USE.: 'T*YPE: (,(:)MME:*I--4(:'10-I.- 810:1-OW C'-ON5'1' - '1YPF". : I:E:I'.N *VAAP Pl:'.I:MEP ('11CCUP -GIRP, : 821 I'LAS 5HOWEA LV'REASIF TPAPS D1514WASHE.A NO. S*TOPIES : I WAt'i1-l:1:N(.': MA01-41NE" DWE'l-L .UNITS : L AUNDOY TPAY I-.'I I DG . DPATN (DTA 1:1-00P DRAIN I. ST N K 5F.:'W;:IQ (F7 y') WAIAER HEA'VE"D 0 T'HE'Ci AEMAPI(Ii : Te.ruant Mod , (7illLI'l0V !ii VILLI d 4-'Cfr- riiamrt! cif 0 VV W(X?-.;t W r.1 cl d PLAM11 N $30 . 00 E R FIX-TUrIlEs S1 All.: 'TAX O N (OC)I( T R MTA WAtjKll-.: 1:)L.I.jMR1N('., A pr) VOX '1393 C T 9701!13 o PHONE (.503) 655 91.6.1 REIGISTLbA*�] '. W) , t'5002 1111*39. 00 This permit Is issued Subject to the regulations contained in Title 14 RE(A-34'11' NO. of tne TMC. State of Oregon Specialty Codes,zoning regulations ..................... and all other applicable codes and ordinances, and ;' is hereby agreed that the work will be done in accordance with the plans and IN55PECTIONS specifications and in compliance with all applicable codes and PLI.) .UNI)EASLAB ordinances. The issuance of this permit does not waive restrictive PO1.JGH-1-N covenants. Contractor and subcontractors shall have current city 11:41) . business tax permits.This permit will expire and become null and 1:;':l NAL void if work Is not started within 180 days.or If work Is suspended or abandoned for a period of 180 days any time after work has commenced.It shall be the responsibility of the permittee to assure all required Inspections are requested and approved. Permittee Signature issued Bv. Col I FOP, SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE BLIII D1W3, PF-AM:I.T FIF-11M]. T NO. . PU081983 CITY OF TIFARDT0,Y0, ,A,. OREGON ARD COMMUNITY DEVELOPMENT DEPARTMENT OREGON 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)63941175 Dr)FF. 1.0/ 7/B9 IAWT* .WIP R1141 9444 JO Fs A 1)13 PE S G : 16200 !SW PA(:1F-:r.(: i-my TAX MAr-/I.x),i, SUD: T113WID I'JWN F.5QUARI:% L y 1:31< I-AND USI:-:' : I ur LiazEi-.: VAI (.IAT I ON 60 ,49F) 51-7 Th.Jf11(*.1l<!-') F-PONT - PE:AR: W014K CLASS : AL'TEPATTON DWELL .UISITTS : LCFT : E:XT . WAI I C 11 IST : USE TYPE::: [,OIvI1l4F.A(:,'E A-1- NQ I'EDF4001*115 : CONST . *rY1-')E:: .11114 NO. i. 4'T HS N IFJ W . OLCUP .GRP. : 82 PRO']' .OPENiNGS : Olt'CkJP.LOAD P.16 N S-. F::: W TOTAL ARE--A; 6800 NO.STORIES : 1. .LST' : 6800 1-40011'r (:ONS I* : A F-11111H, II.E::.r,? YE:s Hl:-.1GHT : 1.8 P-ND: AREKA GF'PAR? NO P^TEM: PASEMENT7 NO JPD : [')(,;(NJP . SUKPAPI? NO P f-01*-_':D MEZZANI:NE*? NO 1BAGE:11,11 IT F I (:)OR I ()A D 11.00 (3ARIAGEr F:I:pk,:, SPRIO 1:4"? y IK:5 At..APM? NO F'LOW WPM) DL I'l:A;'T-? NU G A Go YWrAt Pl AN (:'I--IE(.,K E3Y h nERKMAIUS : 'T e nan t Mc)d C,i otric i st V J den)I al-ri cl P1"--J5GLJ[:: OF NO . I-AST PE1GSUE 0 W I,J*? -t,w t3 a d 9;316 00 N PI-All PE.KVIA-M $k.?01f /40 E R 13::'.6 /a0 STATE TAX !I+1.5 . 130 (TT14-31 C DEVIH-11-OPMENT (:HARGFK'5: 0 !a DC I STORM) N T WFSTW110i) CORPORAT10N SiDC(%TPEET) A R 3030 SW MOODY C pril.,1,Ilil Ild mr 97PO 1. PRI-PAT D < 315 1. . 13 0> T 0 PHONE:: (503) 2L3.P-41000 R I W-.::G:r.STPA-1-1(:)N NO. 3339 ITITAI $331 .Flo i:. This permit is issued subject to the regulations contained in Title 14 RlCl 1.PT NO . of the TMC, State of Oregon Specialty Codes, zoning regulritlons and all other applicable codes and ordinances, and it is hereby PEIAUJAWD J:NSPEC*I*:rnN4; agreed that the work will be done in accordance with the plans and F;I...A F4 specifications and In compliance with all applicable codes and F-PAWEN(3 ordinances, The issuance of this permit does not waive restrictive 11951.)LAI 10N covenants Contractor and subcontractors shall have current city business tax permits.This permit will expire and become null and (.3Y 1*1 . 13OAPD void If work is not started within 180 dilys,or if work Is suspended or SI.MPL-".NL) CK111-ING abandoned for a period of 180 days any time after work has F-TNAI... commenced. It shall be the responsibility of tho perrnittes to assure s are request all required I spection ad and approved. P r ttie MSIgnattJ7F-- Issued By: CAI I.. I* 1NSPFr:1'1:0N 639 Al. 75 SEPARATE PERMITS REQUIRED FOR WORK OTHE 1 1HAN DESCRIBED ABOVE CITYOF TIVARDPLAN CHECK APPLICATION CRYOFflGARD PLAN CHECK 0 C:OMMUNfTY DEVELOPMENT DEPARTMENT arEoor, PERMIT H 13125SWH.nBlvd. P.0.809ZXW-TI .,d.or.go„97M(SM)&W4175 OATE ISSUED �" 1. r JOB ADDRESS: 1�C' �.( , , Di i�"r �i r° - TAX MAP/LOT SUB: LOT: LAND USE; VALUATIOR: �cJ�) — - OWNER SPECIAL NOTE's NAME: v REISSUE OF ' ADDRESS: ' l LAST REISSUE__ FLOOD PLAIN/ t SENSITIVE LAND: PHONE: -- APPROVALS REQUIRED CONTRACTOR PLANNING:- NAME• : ' ; L� /)lfYj/,C ENGINEERING:: ADDRESS: FIRE DEPT — — OTHER: PHONE: _ ITEMS RE�(UIRED LIST/SUBCONTRACTORS: _ ARCH/ENGINEER BUS TAX: NAME—CALCULATIONS: ADDRESS: �� i ! 1 , � �;� TRUSS DETAILS:— /.�� ��� � �'" _ _ PARKING PLAN: _ LANDSCAPE PLAN: PHONE: (c'� .� OTHER: -- COMMENTS: (� ( (L_� )(�� l�I r P ! PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE /.M 10-432 00 Building Permit Fees 1h�'�'_ _ /5,-y5 10-431 00 Plumbing Permit. Fees i9,6 6 10-431 01 Mechanical Permit Fees — - 10-230 01 State Building Tax (5%) -�5 ) ��) Build it q Plo ging --� Mech _ 10-433 00 Plans Check Fee Building — Plumbing _ Mech 30-202 00 Sewer Connec'.ion 30-444 00 Sewer Inspection ---- 51--440 00 Street System Dev Charge (SDC) _ 52-449 01 Parks I Systen Dov Charge (PDC) 52-449 02 Parks II System Dev Charge (PUC) 31-450 00 Storm Drainagi Syst Dev Chr•g (SSDC) 10_-230 09 TRFD 10-230 06 Washington Ccunty Fire #1 (95X) 10-220 00 AmarL/Wedgewood ` TOTAL ?), L i RLC # PPLICANT SIr3NATURE Received Ely: Date Received: ht/3507P/IRP CONSOLIDATED PRE AND RESCUE Washingt3n County Fire District No. 1 City of Beaverton Fire Department Tualatin Fire District FIRE MARSHALS OFFICE October 4, 1988 John R. Jurgens & Associates 13765 N.W. Cornell Road - 3uite C Portland, Oregon 97229 RE: Cianci's Video Land 16200 S.W. Pacific Hwy. Tigard Towne Square Dear Mr. Jurgens: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985. editions of the Uniform Building Code (UBC) , Uniform Mechanical Code (UMC) , and Uniform Fire Code (UFC) as amended by Tualatin Rural. Fire P .-otection District's Ordinance 86-5. Plans are approved as submitted subject to the following conditions: 1 , Ftteriur Exit Ducar: Hardware for the exterior dooLs and key operated deadlocks may be permitted wlere there is a sign posted on or over the door reading;, "THIS DOOR MUST REMAIN UNLOCKED DURING RUSINESS HOURS" in letters not less than one-inch in height on a contrasting background. (UBC Sec. 3304) 2. Double Door Hardware: Where exit doors are used in pairs, approved automatic flush bolts shall be used on the oecondary leaf. The door having the automat�.c flush bolts must have no door knob or surface mounted hardware. The unlatching of any leaf must not require more than one operation. (UBC Sec 3304) 3. Landings at Doors: There must he a floor or landing on each side of all doors. The flnor or landing must not be more than one-inch lower than the thresho!.d of the doorway unless serving access for the physically handicapped. (UBC Sec. 3'04(h)) 4 . Address Required: The tenant space number must be prominently display,:0 on the street front where it is readily visible to .3rivers and officers of responding fire appar„tus and other emergency vehicles. (UFC Sec. 10.208) 5. Fire Extinguisher Required: A fire extinguisher having a minimum rating of 2AlOB:t; must be placed in an accessible location within plain view. (iIFC Sec. 10.301(a)) 4755 S.W.Griffith Drlv3 • P.O. Bo,. 4755 0 Beaverton,Oregon 97076 • (503)526-2469 John R. Jurgens & Associates October 4, 1.98,; Page 2 6. Inspections Required: Inspection and approval of construction by a representative of this office is required: (a) prior to the cover of any new framing elements following the installation of all utility runs which will be concealed within wall and partition cavities; (b) upon completion of construction and prior to occupancy of the tenant space. (UBC Sec. 305) 7. Approved Plans on Job Site: One set of approved plans bearing th(_ stamps of the Tigard Building Department 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) 8. Certificate of Occupancy Required: Prior to the u-c and occupancy of the project (space) , a certificate of occl:vancy or other written instrument of approval must be obtained fr)m the City of Tigard Building Department, (UBC Sec. 307) SPECIAL NOTICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION. EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THE WRITTEN ALTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE. APPROVAL OF 5f1LMITTED PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSTGHTS BY THTS OFFICE ')R OF NON- COMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL. GOVERNMENT. If I can be of any further assistance to ,you, pleabe feel free to contact me at 526-2501. l Sincer I.. , / Bert arker Fire Marshal BP:kw cc: Tigard Building Department i P.o.a-)x 23397 CITY OF TIGARD PLUMBING 12�al�V Applicants must hold Oregon Registration to conduct a plumbing PERMIT Ticiar175 business or must be progeny owner/operato(not hiring outside help. h�arrw►of[)*-.v nwnt i) / I\9ry.� +uv)rJ Z0y4fy= _ PlumbinKPermit No/ Address Description ORS 814-21.61C DUAN, PRICE AMT. Job Tax Lot Map.No. - Addrbes FIXTURES Lot Block Subdivision Sink 750 J usinwess Lavatory__V 7.50 Tub or Tub/Shower Comb. 7.50 - +u ir+g ress Shower Only 7•r� Water Closet -- - 7•`50 Owner efty/ tate Trp -- - - — Dishwasher 7.50 _ Plane Garbage Disposal -- Name Washing Machire _ 7•50 _- Ftoor Drain 7.50 at mr+ARress Phone Water Heater 7.50 Laundry Room T ray -- 7.50 — Occupanf (5 y/Stw- Urinal _ 7•50 - - aU15e Other Fixtures(Specify) - --7.50 7.50 Mwiliwing Address r Phone yS �33 .L—_ 7.507.50 �- CoMractor CMy/State ZIP ,1 r 9-10 MISCELLANEOUS City Ecus. Tax No. Sewer 1 at 100' 30.00 ora a�ar o, tete s. o. Sewer ee�Addr:.100' 15.00 (Residential) Water Service 1 st 100' 2000___ I 000- _- I hereby acknowledge that I have reed this appllcatlon,thw the Information Water Service a a.Addit.XO+ _ 15.00 given is correct,that I am regislared with the State Builder's Board.and 6lso Storm b Rain Dain lat.100' 30.00 have a State Pkrrnbing license that the numbers given are correct.that art 15.00- plumbir+g w(A wiU be done in acconianoe with appkeable provisions of Ore- Storm b P-in Dain Addit.100• -�- gon Revised Statutes Ctvoers 44 7 and 693" aChiacable codes and that mobile Home Space 25.00 _no help will be xnpioyed unless licensed im)de(ORS 693.(11 exempt from Stale registration,please give reason below). Device or Anti-tolluiion Oevice 7.50 Back Flow Prov`olkk HOMEOWNERS-I hereby certify that I am the owner of the property do- -- soribed above,ov whkt+location 1 propoes to nuke a pkm**V Ir"MRSOM for Any Trap or W eels Not my own use and oils property Is not bxekp cunj rvc*d for aria,'ea,ie:r rent 0'0 wcied f0 a TiAu a 7.54 Catch Basin 7.50 — kup.of Exist.Pkxnbing 40.00 Per Hr. Specialy Requested kuAadbru --_ J _40.00Per I it -- Akan.of PkxnbMg witMn -an Exfedng Bldg. 15.00 min. AUTHORIZED SIONATU Dale Now Bldg.or Build.Ad~ 26.E min. -- [Yain�sirl le fenul — Describe work new addition L] a)teration❑ 15•M _betQ done_ residential 1-1 ran•roeidentie V f Exletlng orae of �n nTAL �s•T PrcpVad u"of S � -- hn «pnp.rty- ---------------------_____ TOTAL 3S r� NOTICE This pwrno bewxnee mA and void M work or oonaMx*on autlro(usd W not c n- mWVad w0*1 i6o dayw If oensQnxMan or monk is sustm idad or abandoned k* a period d IW dflye r any tin»~work to erw-mnosd. tMdAL 04NDIT""_ Ueda leaued by ---