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16200 SW PACIFIC HIGHWAY-9 �l i Ln w x rn ti n rg En nn M H ftl yn h3 x QH GHQ 5FC L J 16200 SW PACK7C HICHIWAY SHELL SERVICE STATION v _ a�'y(.�' '�+,.,.,o•�.yp•�*,w- �°'.y. 'asayyy'��°• + v�%v`�,iw. +as \�awn. � _ _rte\ /tn�"'yf+'2�� ���t L�� �'y �+`� e+�.✓- y.�61:- i..�atl. "°• '��"K' �o.✓,y'+,L. � 5/, r `. i� �' ��{+ S:'�6 e�.•��itcey� w t^'F'is �.Y `v"'°..J� ,i�'{��.if�'1 X�f��.h �Ay� - -. r"7��1��,�aQ��r.�^•r,< 74 to ISN' + $=}FF�• ' 1 'ppr.' tiul�' �3s1 ""t':.{yy * x•,r+d ` '4 '0161 04 `9y •' �L r •moi tNj C1 Cti c} U �$�.L'F� r i � � •.r � tom, (� �:�s;..,��i 2311 u o14f �. fi U N4Jy cd 0� i; d* yjay H b IL RR c as o C3 cl U �� n r� •, ,, ffif �(at ��' " � .r rr` ....•"y.,�;,y L Y�,t me •.•. ---y�---a.._— ': �'•.� ids �5 % �C�!•f+ Aw�l� ��� �'' ..I ,a 'ti' t }}}...4,,,`� it �Y'" , YS• "� ' �i .�/ (� ; +cit• •�'i,���`"'� N.�t..'""�v'nv � a.-•��'�i`:..w, ,�s� ��+�'j"�•�� -Sy'Ak s�i +�,a••yT�fh'�;� � J C � � W:y h�y ' + T' •S ley .rr,+�j>y'y+�+.•.E-•- �.,p "�y��%' 4`0. �` ...,.� `�`� R'�� 04 t«�.', efi a�,,,� �t ���,F° •,r s �a �, i�.^' �".rT > t. sy+.�P 5 �!„ t ',�► ¢J..'t�.. ter" ..w,h' � '�'�x •e.t �. '� Kt„y'y �( ND ME:( INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 �= Tigard, Oregon 97223 Phone. 639-4175 Type of Inspection _ ' ) ` C)'-0 c.c. Date Requested_ 1 Time A.M.��' P M. Address 1((,20(–') /5,2 0(–) C" it Lcr Permit # Owner_C(_�4_�_��1 .LLot # � s" Builder r _ The following Building Code deficiencies are required to be corrected;,,' ON. Ale wAW 14:;r wrrr 9t Presented to _ _� _ }'Approved Inspector Disapproved Date _ — CALL FOR REINSPECTION C) YES (_) NO r CONSOLIDATED FIHE AND RESCUE Washington County Fire D; rlci No. t City of Beavei ton Fire Department Tualatin Fire Dia7lct FIRE MARSHALS OFFICE: (503) 526-2469POSTED: OCCUPANT _ i (.r —_ _j CONTRACTOR BLDG. PERMIT ;k ) PROJECT NME LetPLAN REVIEW It ...c, LOCATION _� -? ;L t Le/ LY.a .•�� JURISDICTION: 1= Be. 2= Du. 3= I:.C. 4= Ti. 5= Tu. 6= Sh. 7= "i. 8= CC 9= WC 0= PIC COVER. FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL u Framing L__1 Separation Walls ❑ Sprinkler System Shaft 0 Fire Dampers (Overhead/Underground) Alarm System u Hood' Extug Systems ❑ Conference El Spray BOOM El Ceiling Cover Other � J Date: Inspector: r . .•r i '�i•� I X1.4,f 11�.,.._ - � r " t, LU 13 0tw �' � • LL C) • uj L L- I oma. r CITY OF TIGARD Permit No, 138-88 SIGN PERMIT APPLICATION The applicant hereby applies for a. permit for thea work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: _ 16200 SWPacific Hwy. Su3Lt(! Ft .-.'- -- _- ZONING C-G NAME OF COMPANY: Panoco - Shell. -- APPLICANT/AGENT: Dave Kimmel Permit Consulting Service - The City of Tigard imposes an annual. Business Tax which must be kept, current on all persons doing business in the City. Do Busin,_ss Tax? Yes you presently hive a turret PROPOSED SIGN: PLRMANENT ( ) FRE_ES1-ANDING ( X ) TEMPORARY ( X ) WALL. ( ) SIGN DIMENSIONS: �1 BILLBOARD ( ) "t' X 8' X 2 faces TOTAL SIGN AREA s ft, r fa�F WALL AREA (Sq. ft. ) : HEIGHT (ft): 81 PROJECTION: _ N.A. ILLUMINATION YES ( ) NO ( X ) DOPY: Offen Soo n - Shell - Experience the Eliffernece MATERIALS: _ Cloth and-Wood xp - --_ EXISTING S1GNS:- None OTHER PERMITS REQUIRED: YES ( ) NUX ( ) COMMENTS: no in effect until August 2612988, s the i This 622Q-Ey sign for the site. is -- PLANNING UEPARIME:NI All sign Permit Fee. "- permits must be accurnpariied by a Keceipt No. : _-___0---� `- scale dr,wwirig and plot plan. If work — 64uthorized under a sign permit has not been Approved B _ completed within ninety days after the Date:.--9r213fl_.._ i suance of the permit, the permit shall become null and void. I' I CERTif Y THAI I AM THE RECORDED OWNER OF ]HE PROPERTY OR AN AGENI AUT RT_ZE:D BY 'THF r)WINER. Applicant' s Signature -'-'- - - Address ---�---=-- DAS:bs62Telephone PERMIT CONSULTING SCRVICES IMC 1 tt�f NCe I �I I 'I I y . 1 =DE 122 S E 27th Portland,OR 97214 (503)236-6000 -- ..,_.._. .�.----•�� it APPROVED FOR CONSTRUCTI(M CITY OF TIGARD PEf?I�iT 1�!O. /30 —&E _ SITE ADDFcESS Q S�._ c���c ISM Ire k DAiE9J_`j ew � CITY OF TIGARD Permit No, '139-88 SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work ind4cated or as shown in the accompanying plans and spc!cifications. SIGN LOCATION ADDRESS: 16200 SPI Pacific H --_ wy. Suite R — ZONING:--.C� NAME OF COMPANY: Panoco — Shel.1 APPLICANT/AGENT: Dave Kimmel Permit Consulting Service — �— WYBeck.e'r The City of Tigard imposes an annual Business "fax which :oust be kept: current on all persons doing business in the City Do you presently have a current 'Business Tax? yes PROPOSED SIGN: =--=----- PERMANENT (X ) FREESTAND NG ( ) TEMPORARY ( ) WALL BILLBOARD (X )North SIGN DIMENSIONS: 2' X 6' TOTAL SIGN AREA (Sq. ft.):--- 12 s fC WALL ARFA (Sq. ft. ) : 302. 9c�_it. HEIGHT (ft): N.A. PROJEC;11ON: N.A�— -- — ILLUMINATION: YES (X ) N� ( ) COPY: "SHELL" MATERIALS: _ Plex EXISTING SIGNS: sign permits 10-88 throw h 1�.1-8$ — OTHER PERMITS REQUIRED: YES ( ) NO (X ) - — -- COMMENTS: TOtal _signane on north wall it 90 sq�ft._, 13.28r of wall face. PLANNINU DEPARIMFNI Permit—l=ee; All si.g� permits musk ^bn accompanied by a scale draw irig Arid plot. plan If work Receipt No. : 395 A roved By, ? — authorized tinder a sign permit has not been Off Date; completed within ririet;y days after the ��_ issuance of the pe rmit, the permit shall become null and void. I CERTIFY THAI AM THE RECORDED OWNER Of' THE PROPERTY OR AN AGFN1 AUTHORIZED BY THE OWNER, \ Applicant' s Signature `— i�.Z�� X7"2{�y,C•- �,�'r i�T,,l,,c/ ...?.3(r'-�,CY�, Address DAS:k)962 Trlsphone L.Mask Permit No. 140-88 CITY OF TIGARD SIGN PERMIT APPLICATION The applicant k,ereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 16200 SW Pacific Hwy. Suite R ZONING: C—G NAME OF COMPANY: Panoco Shell APPLICANT/HAPPLICANT/AGENT: Dave Kimmel Permit Consulting Service Ra M F. Becker S' n C . The City of Tigard impo Us an annual incsos Tax which must be kept current on all persons doing businqss in the City. Do you pre:iently have a current Business Tax? yes PROPOSED SIGP!: PERMANENT ( X ) FREESTANDING ( ) TEMPORARY ( ) WALL ( X) south DILL.BOARD ( ) SIGN DIMENSIONS: _ 2' X _61 TOTAL SIGN AREA (Sq. ft. ): __J.2_sa^ ft, WALL. AREA (Sq, ft.) : HEIGHT (ft): PROJECTION: ILLUMINATION: YES ( X) NO ( ) COPY: "SHELL" MATERIALS: E:XI2TING SIGNS: see ,Sp 1 —88 � 141 OTHER P':RM1TS REQUIRED: YES ( ) NO ( X) COMMENTS: _ Total s;.anaae Qn_sQut�xal.l,i� 4 a. ft,, , 13.2% of-wal.Lfar�� PLANNING UEPARIMEN1 All sign permits must, be accompanied by a Pe unit Fee: _j� _ ;Cale drawing (and plot plan. If work a�eceipt No. ; �g5 __ authorized under a sign permit has riot boon Approved BY: 7_ nffPr__ Completed within ninety days after the Date: issuance of the permit, the permit shall become null and void. I CERFIFY ,HA1 I AM THE RECORDED OWNER OF THE PROPERTY OR AN AGENT AUTHORIZED BY THE OWNER. Applicant's Signature Address Telephone UAS:bsti?. CITY OF T Tf:ARD Permit 'to, 141-88 SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the ., companying plans and specifications. SIGN LOCATION ADDRESS: 16200 SW Pacific Hwv. Suite R ZONING:C' G NAME OF COMPANY: Panoco — Shell APPLICANT/AGENT: Dave Kime-1 Permit consulting Service --may_'-MecFer 7,1gn Co. The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business ir. the City. Do you presently havn a current Business Tax? Yes PROPOSED SIGN: PE.RMANENT (X ) FREESTANDING ( ) TEMPORARY ( ) WALL ( X ) North ( ) SIGN DIMENSIONS: 3' X 8' BILLBOARD_ TOTAL SIGN AREA (Sq, ft. ): 24 sq. E_ WALL AREA (Sq. ft, ): _ 302 sr;. ft. HEIGHT (ft) : N.A. PROJECTION: N.A. ILLUMINATION: YES (, ) {1i0 ( ) COPY: Price Sign _ MATFRI ALS^ _ Plex L_XISIING SIGNS: SP 139 & 140; SP 142-147 CTHER PERMITS REQUIRED: YFS ( ) NO (X ) CONCMENTS: Total signage on north wall is 40 sq. ft., 13.2% of wall face. PLANNING DEVARIMENI All sign permits mus, be accompanied by a Permit FNe: � U _ __ scale draw irig and plot plan. If work Receipt M1fo. : 395 authorized under a sign permit has not been Approver! Ely; J�f V completed within ninety days after the Date;_ g_23-88 issuance of the permit , the pern)it shall become null and void. I CER FI V Y THAI I AM THE. RECORDED OWNER OF THE PROPEkTY OR AN AGENT AUTIAORI7E0 BY THE OWNER. Applicant s Signature !. _ -7??j 14e e_ .2.34. Lce( , 0AS:bs62 Address Telephone � r CITY OF TId;ARD Permit No. 142-88 SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 16200 SW Pacific Hwy. Suite R ZONING: C -G NAME OF COMPANY: Panoco - Shell APPLICANT/AGENT: Dave Kimmel Permit Consulting Service Ray ec erSign Ca. -The City of Tigard imposes an annual Business Tax which must be kept current on all persons doing business in the City. Do you presently have a current Business Tax? �_, _ PROPOSED SIGN PERMANENT ( X) FREESTANDING ( ) TEMPORARY ( ) WALL (X ) south ( ) SIGN DIMENSIONS: BILLBQARD TOTAL SIGN AREA (Sq. ft. ): 24 sq ft. _ WALL AREA (Sq. ft.): ___302 sq. ft. HEIGHT (ft): _ N.A. PROJECT I(JN: 14.A. - ILLUMINATION: YES ( X) NO ( ) COPY: Price_sign MATERIALS: Plex ~� } E:XISTING SIGNS: SP 139 - 141, SP 143-147 OTHER PERMITS REQOIRED: YES ( ) NO ( X) ( OMMENTS _Total�iqnaqe_qU sough wall is 40 sg.ft., 13.2$ of wall face. PLANNINt, l)EPARTMEN1_ _ All sign permits must be accumpanied by a Par,nit vz.tj: �_ - scale drawing and plot plan. If work authorized under a sign permit has not been Ap round 8 -__a,_=er completed within ninety days after the Pate: �_ Ci:23issuance of the permit, the permit shall become null and void. I URrIFY THAI T AM THE RECORDED OWNER OF THE PROPERTY OR AN AGENT AUTHORIZED BY TILE OWNER. 1 Applicant' s Signature _ i UAS:bs62 Address Telephone Permit. No. 143-88 CITY OF TTGAkD - SIGN PERMIT APPLICA'i'ION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADD�tESS: 1.6200 SW Pacific. Hwy. Suite R ZONING: C-i; NAME: OF COMPANY: Panoco - Shell APPLICANTlAGEN1': Dave Kimmel Persist Consulting Service Ray F.. J.3 cke Sir Sir gn Co. Tnt City of Tigard imposes an annual Business Tax which must be kept current or all persons doing business in the City. Do you presently have a current Business Tax? yes PROPOSED SIGN: PERMANENT ( X) FREESTANDING ( ) TEMPORARY ( ) WALL ( X) North BILLBOARD ( ) SIGN DIMENSIONS: 2' X 2' TOTAL SIGN AREA (Sq. ft. ) : 4 Sq. ft. WALL AREA (Sq. ft.): 302 eqt ft. HEIGHT (ft): N.A. PROJECTION: N.A. ILLUMINATION: YES ( X) 100 ( ) COPY: __ 5hojl_4Qgo MATERIPLS: pX EXISTING SIGNS: SP 132142 SP 144„146 OTHER PERMITS REQUIRED: YES ( ) No ( X) COMMENTS: Tptal s'anagQ on north wall is 4U sa. f t• .j_',3,21 of wallface, PLANNING DEPARIMENI All sign permits must ie accompanied by a Permit Fee: �_� scala drawing and plot plan. If work Receipt No. : 3q5 authorized under a sign permit has not been Approved By: T_ nffpcompleted within nicety days after the Date: ,_g_��_gR issuance of the permit, the permit, shall ,ief-ome null and void. I CERTIFY THAI I AM THE RECORULD OWNER OF 1HL PROPERTY OR AN AGENT AUTHORIZED BY THF OWNER. Applicant' s Signature r Address Telephone tIAS:bsti7_ CITY OF TIGARU Permit No. 144-88 SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 1 200 SW Pacific Hwy. Suite R _ � ZONING:. C–G NAME OF COMPANY: Panoco_- Still APPLICANT/AGEN1 Dame (( r, P�zmit Consultirig service M Ray E. Becker Sign Co. The C-ity of Tigard imposes a-i annual Business Tax whic:h must be kept current qn all persons doing business in the City. Do you presently have a current f Business Tax? Yes PROPOSED SIGN: PL-RMANENT ( ) FREESTANDING ( ) TEMPORARY ( ) WALL ( ) south ( ) SIGN DIMENSIONS: 2' X 2" BILLBOARD TOTAL_ SIGN AREA (Sq. ft. ): 4 . ft WALL. AR,LA (Sq. ft. ) : 302-sq; HEIGHT (ft) : N•At_—`_ ��_.. PROJCCTION: N.A. ILLUMINATION: YES ( X ) NO ( ) COPY: S)?pli Loc„LQ MATERIALS: Flex EXISTING SICA1 y:_ SP 139_143: SP 14LIAZ OTHER PERMITS REQUIRED: YES ( ) NO ( X COMMENTS: Total p��P`pn .ou h wa 1 40 a a]1 area_ PLANNING DEPARTME61i All sign permits rrust be accompanied by a Permit Fee:_ c� in _ scale drawing and plot plar. If work Recei t No395 authorized under a sign permit has not beer, Approved Byc,T_ nffar_____ completed within ninety days after Lhe Date: _ _g,73--AR _ ____ issuance of the permit, the permit shall become null arid void. I CEPfIFY THAI I AM THE RECORDLO OWNER OF IHL PROPFRTY OR AN AGENT AUTHORIZt_D I3Y THE OWNER. Applicant' s Signature /.� �G ,�7n��tC �H.•.– Irl�i� ��?C �M<^. Address Telephone OAS;bs62 Permit No. 145-88 CITY OF TIGARD SIGN PERMIT APPLICATION The applicant hereby applies for a permit for the work indicated or as Shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: 16200 SW pacific Hwy. Suite R ZONING: C-G NAME: Or COMPANY: �pco - Shell APPLICANT/AGENT: Dave Kinnel Permit Consulting Service y Ray F. Becker Sign Co. The City of Tigard imposes an annual Business Tax which Wst be kept current on all persons doing business in the City. Do you presently haile a current Business Tax? Yes _ PROPOSED SIGN: PERMANENT ( X ) FREESTANDING ( ) TFMPORARY ( ) WALL qq ( X ) East Spandrel + 1.5' (2ILaces)RD ( ) SIGN DIMENSIONS: 7.5 X TOTAL SIGN AREA (Sq. ft.) : I WALL AREA (Sq. ft.): 21-3 sq. t. - HEIGHT (ft) : N.A. PROJECT ION: N.A. ILLUMINATION_ YES ( X ) NO ( ) COPY: "SHELL" & Logo _ MATERIALS: _ Plex EXISTING SIGNS: SP 139-144,146 I OTHER PERMITS RVQ" T)F_O: YES ( ) NO ( X ) COMMENTS: 7 PLANNING DEPARIMEN1 All sign permits must be accompanied by a Permit Fee: _$ 10 _. scale drawing avid plot plan. If work Receipt No. : ___225 _____ authorized under a sign permit has not been Approved By : _ J. Offer_-.._ completed within ninety days after the issuance of the permit, Ov. permit shall become null and void. I CER rII Y THAI I AM I VIE RECORDED OWNER OF I HE PROPERTY OR AN AGENT AUTHORULD BY 11IF OWNER. Applicant' s Signature 122 Address Telephone DAS:bs62 CITY OF TIGARD Permit No, 146-88 SIGN PERMIT APPLICATION The applicant hereby applies for a permit for- the work indicated or as shci, in the accompanying plans and specifications. SIGN L0CATIOV ADDRESS: 16 .00 SR Pacific Hwy. Suitl Z.ONINC: C-G NAME OF COMPANY: Panoc;o - Shell APPLICANT/AGENT': Dave KimnEl. Permit consulting Service ,7-7,--i;ec :er Oa.gn Co. The City of Tigard imposes an annual Business Tax which must be kept current on all persons ioing business in the City, Do Business Tax? Yep you presently have ;A current PROPOSED SIGN: PERMANENT ( X) FREESTANDING ( ) TEMPORARY ( ) WALL ( X) West Spandrel SIGN JIMLNSIONS: NI1LBOARD ( ) TOTAL SIGN AREA SSq 7'51 X t.5' (2 fac,c^)— WALL AREA (Sq. ft. ) : ft 2l3 sq.2 tsg' ft. - HEIGHT (ft) : N A. ------ PROJE(aI ION: ILLUMINATION: YES -( X) NO ( ) COPY: __ "Shell" & L290 MATERIALS• _ Plex EXISTiNuSIGNS;� SP139-145_ -- OTHER PERMITS REQUIRED: YES ( ) No ( X ) COMtIENTS; ---- -- --___--_-----_-- PLANNING UEPARI-MENT Permit Fee: 10 All sign Permits must be accompanied by a Receipt 140. s`-ale drawing and plot plan. If work f�•2____— authorized under a sign permit has not been App'- Vel �'__---►7�Offsr� com lett Datt :aP d within ninety days after the - - A'��-8A issuance of the permit, the bocome null and Void, Hermit shall I CER I I► Y THAI I AM THE RECORDED OWIJEk OF THE PROPERTY OR AN AGENT AUTHORIZED BY THE OWN':R, Applicarnt's Signature - Address —� UAS:bs62 Telephone ILJ'W ILJ �► �, i Ck LL 00 LIJ ;f f' f JJfI 'I � ,�1 4 ' � mar �� ._-.1,1........_.•_s: 4 p f ray T�4'�..i• . h r7 11 1 � 1. �•. Al -!i • "i!" 0 p. � •, l gyp, r. E Cy i I 111A)MRIM., PERM]. T' CITY OF TIGA RD I No PLAG 11 1.ell. COMMUNITY DEVELOPMENT DEPARTMENT C17YOFTWAND 0A'TI'S E sljv. p 17' 01111100H P -0. zll.taa ' I 13125 S.W Hall Blvd.. ,0,Box 23397.Tigard.Oreqnn 97223.(50J)631)4175 P141M 1--�M'TN() OB16r) TAX MAG/I (.).T. rF !Nl;:: SQUAFOE: LOT (-;ilzt-- : WORK CAASS : tqp.:-W I I L.M . NO : NO: WA.'T*I-.'14 ►Cl-v 144AP USE" I-YPL*.::: cc)HMl::A(.1A'()L UNINAIL. C-ONST VNHKV] ow PPIVNI 1.4 'TRAP PIPIMEP OU1.11.1p,(",PP. 14113 oaf--i0WE:I4 1.PAPS [):I*.SHWASHE.1.4 NO. t-j*j*DR.jr-::t.i WA!.tHl,Nc, DWELL.UNTT!5 : L 'AUNI)Py MAY 81-M.; DPAIN F'L-OOP UPAYN SINK 51:iMER (F.I-) WrYTE44 1.41--:A1K...A STORM/RAIN (F*T PE"MAPKS : SVICAI !All Other, . 1--i(jilie 13 1- 1:) W p.k t FP ia I-)C)(.1 1:1 0 9( PERm r 0 '7900 NW $50. 00 W if; 1:4(1 N Pclr•`!.Ibtrici Op PIXT(JAES V�' E R 'TAX $2.50 C 0 N T R A C T 0 VOTAL: 00 RI RE."J."EIPT NO. This permit is issued sublect to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations M-.15411—MI :q INS;)[:UTTONS and all other applicable codes and ordinances, and it is h9reby PLS . UNDEPSLAS agreed that the work will be done in accordance with the plans and POUGH-1 N specifications and In compliance with all applicable codes and '4JA*1*1:::P LY19F ordinances The Issuance of this permit does not waive restrictive PAIN DPAlisirt' covenants, Contractor and subcontractors shall have current city PLS . 'T'(jPDj.j'r business tax permits This permit will expire and become null and void if work is not storied within 180 days,or if work is suspended or 1-1.NAL. 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 Signet e- r-!'nn Issued By: SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE PLUMBING PERMI1 C'TYOFTIIFARD r�r--:Awrr NO. : PL-681.165 C11YOFMRO COMMUNITY DEVELOPMENT DEPARTMENT 011100" DAI'E' ISSUED : 7/E.)I/0a 13125 S.W.Hall Blvd.,P.O Box 22397 Tigard.Oregon 97223,(503)639-4175 (i P R r.M . FSM'T* .NO 8(31 1.6 JOF4 ALK)PE-ESS : :1.6i.-.',00 !'iW PAC;.IA TC HWY G . P TAX MAP/L.01' TIGAIRE) TOWNE: 5QUAPE 51.)3*11' P LA BK : LAND 1AE'. . 1.01 SIZI-K : is 1!::.W NO . NCt WO114K CLASS : NEW WAI FJ4 CL OGEI I 144AP USE TYPE: COMMEW"TAL UPINAL. Wi(FLOW I,-"PVN'TP I. CONSI' . 'TYPEIM I Alvi(AWTORY I I'RAP PRIMErp OCCUP .GPIP. K2 TUB 5HOWEP UNEASE 1'I41APL-i 1. D'ESHWOSHE.P G,AABAGE: D*15POGAL. N(:) . !iii 0RI E S 1. WASH*I:N!'-, MA(: HINE: DWE.L.L . (JNI'T*S : I AI)NDI:4Y DLUGA)PAIN (DIA FLO(: P 1'.)PA':N 1, !:i INK S U.W ii':P (FT WA11.34 HFAYEA I 51014M/PAIN (FT (.'*.r WeLsi-i . Oti-icer-is mime . v.artilecti(3rim -('(:Pr, picimbirig wy--ite-m 0 Punacc $75 . 00 W - N 7900 NW St Helarls P(J . E Portland OR R 0144EA 75 C 0 N T R A G T O 113TAL: *97.50 R PF('.,L:IjP1 NO. 7�c This permit is issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes, zoning regulations PFQLJ'I'PF.:D 114SPEC'I'TON15 rind all other applicable codes and ordinances. and it is hereby WA'((---P LXNE- agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and PL.B .UNDEPLA-A13 ordinances. The issuance of this permit does not waive restrictive ROUGH IN covenants Contractor and subcontractors shall have current city PI,•.D '11(APOLI'T business tax permits. This permit will expire and become null and PAIN DPAJ'11`4�`i 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 respunsibility of the permittee to as-ture F NAL. all required inspections are requested end 7 roved 'rmitt tur *Mime., itoomth C Issued By! '4660 WA14... 6A9 944AF14— SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1 CMB/WO (Delaware) f X37 ] A subsidiary of Citicorp. 7 135 9 100 West Harrison/North Tower,Suite 200 Seattle,WA 98119 206/282-4421 DATE':. CHECK NO. AMOUNT 7/16/88 1500 $75 . 00 cc,crs r'r,r��'1) „r.�, ,1.�� Ir�'h I�uh TO THE BY °p°OF ****OREGON DEPT. OF ENVIRONMENTAL QUALITY*** 611 SW 6th Portland Or. 977.04 111000073591i' 1:0 2 L30 17Gii: 3099407711' INV01. ISCOUNTAMOUNT NETAMOUNT 71388 Underground Storage 79 istration 75 . 00 1 1m V1011HunwniNonh M O C' OTAL _TOTAL TOTAL S.1 e.WA 7/18/86 1500 $75 . 00 � K'U OREGON DEPARTMENT OF ENVIRONMENTAL QUALITY UNDERGROUND STORAGE TANK PERMIT APPLICATION TANK OWNER NAME PERMIT FEE ASSESSMENT PLEASE PRINT CLEARLY Panoco, Inc. 3 Tanks at$25 each=$ 75.00 Number of tanks 7900 NW St. Helens Road AMOUNT REMITTED$ _ 75.00 Portland, Or 97210 TANK OWNER SIGNATURE aaucral DATE 7/15/88 Counsel PHONE __(503) 286-9621 PROPERTY OWNER FACILITY PLEASE PRINT CLEARLY PLEASE PRINT CLEARLY Panoco SHELL Westwood Corporation J _Tigard Towne §ware 3030 SW Moody Avenue ,_ _ 16200 SW Pacific_ Highway Suite "R" Portland_,_OR 97201-4897 Tigard, OR QU2 Phone Now construction-no phone yet _ X�__�Cl �•'�'v_ `^�t^�'� SIC code _ —5541 PROPE JY OWNER SIGNATURE PERMITTEE PLEASE PRINT CLEARLY PaT10CO3 Inc. 7900 NW St. lie]-ens Read ___L'c�flarid,- OR 97210 /v- /� Each completed application must include X qPPR � � the signatures of the tank owner, the pro- ITTEE SIGNATURE ' era ert owner and the permittee. p y pe flee. Counsel PHONE (503) 286-9621All three signature lines must be signed. Pone 3 3/� OREGON UST SURVEY INSTRUCTIONS Please fill in form to the best of your kn.,wledge. If you do not know or cannot estimate an item requested, please mark "Unknown." Facility Name: Panoco - SH=,, Tigard Towne Square, 15:00 SW Pacific (-Ivy► Ti and OR 'TANK NO. TANK NO. TANK NO. TANK NO. Tank Identification No.(e.g. ARC-123)or 1 2 3 Arbitrarily Assigned Sequential Number(e.g. 1,2,3...) 1.Status of Tank — If temporarily out of use, (check one if applicable, Estimated time out o'Use: month-6 m)nths ( ) ( > ( ) ( ) 6 months-I -ear ( ) ( ) ( ) ( ) I year-5 yearb 1 ) ( ) 1 > ( ) S years ar more ( ) ( ) ( > ( ) Estimated date tank is to be brought new new n- hack into use(mo/yr) 2. Was lank new at lime of installation?(Y/N) ( Y ) ( Y ) ( Y 3.Containment Systems Single-walled tank ( X t ( X ) ( X ) ( ) (check one) Double walled tank ( ) ( ) ( ) ( ) Pit-lining system ( ) ( ) ( ) ( ) _ Unknown 4.teak Detection System Visual ( ) ( ) ( ) ( ) (check all that apply) Stock Inventory ( ) ( ) ) ( > Tile drain ( ) ( ) ( ) ( ) Vapor wells ( ) ( ) ( ) ( l Sensor instrument(specify type): EnCo Wh1eate aro—Wheat Emo-4hea al In-ground detector ( X ( X ) ( X J ( l Within walls of double-walled tank ( ) ( ) ( t t Ground water monitoring wells ( X ) ( X ) ( X ( ) Continuous in piping ( ) ( ) Pressure test ( X ) ( X ) ( X ) ( ! Internal inspection ( ) ( ) ( ) ( ) Other, specify -- --- None ( ) ( ) ( ) ( ) _ Unknown S.Overfill Protection(Yrs/No) _ ( Y )_ _I y ) _( Y 1 6.Location of Piping No parts in contact with soil ( ! (v ) ( ) ( ) (check a!I Parts contacting the soil which are: that apply) Unprotected metal ( ) ( ) ( ) ( ) Made of corrosion resistant materials ( ) ( X ) ( X ) 1 > Corrosion-resisted coated Cathodically protected ( ) ( ) ( ) ( ) Double-walled ( ) ( ) ( ) ( ) Within a secondary containment ( ) 1 ) ( ) ( ) Interior lined ( 1 1 1 ( ) ( ) Unknown 7. History of Tank Repairs new nEw TIM (check one except as Indicalcd) If tank repaired, 8/88 8/88 8/88 Indicate date of last repairs(mo/yr) _ -- -- ---- None ( ) 1 ) ( ) ( l Unknown I I ( ) ( ) (y 1 R. Ifistory of Pipe Repairs new new new (check one except as In(;lcated) If pipe repaired, indicate date(mo/yr) None. ( ) 1 ) 1 t r 1 Unknown THANK YOU FOR YOUR ASSISTANCE Page 4 3/88 Mel STATE USE ONLY Date Received GENERAL INFORMATION Notificallon is required by Federal law for all underground tanks that have been 4, pipeline facilities(including gathering lines, regulated under the Natural C)as used to store regulated substances sine January 1,1974,that are in the ground as of Pipeline Safety Act of 1968,or the Ilaiardous Liquid Pipeline Safer Act of 1979.or 'slay 8,1986,or that are brought into use after May 8,1986.The information requested which is an intrastate pipeline facility regulated under State taws: is required by Section 9002 of the Resource Conservation and Recovery Act,(R(RA), S.surface impoundments.pits,ponds,or lagoons: as amended. 6.storm water or waste water collection systems. I he primary urpose of this notification program is to locate and evaluate under- 7•flow-through process tanks; ground tanks Thal store or have stored petre'eum or hazardous substances. It is R,liyuidtraps orassociated gathering lines directly related tooil orgas production and expected that the information you provide will be haled on reasonablyy available ►kering operations; records.or.in the absence of such records.your knowledge.belief,or recofleeiion. . storage tanks situated in an underground area fstich as a basement, cellar. Who Must Notify? 9(102 of RCRA,es amended, re weal that. unless mineworking,drift.shaft.or tunnel{if the storage tank i%situated upon or ahn%c the y q surface of the floor exempted,owners of underground tanks that siore regulated%uhstances must notify designated State or local a encies of the existence of their tanks, Owner mean- What Substances Are Covered? The notification rcywrements apply to under- (a) to the case of an underground storage tank in use on November 8. 1984,or ground storage tanks that contain regulated substances.this includes am suhstancc brought into use after that date,anv person who owns an underground storage tank defined as hazardous in section 101 (14) of the Comprehensive Environmental used for the storage,use,or dispensing of regulated substances,end Response.Compensation and Liability Act of 1980(CERCLA),with the exception of (u) in the case of any underground storage tank in use before November 8.1984, those substances regulated as hazardous waste under Subtitle C of R(RA. it also but no longer m use on that date.any person who owned such tank immediately before includes petroleum,e.g,,crude oil or any fraction thereof which is liquid at standard the discontinuation of its use conditions of temperature and pressure IN)degrees Fahrenheit and 14.7 pounds per What Tanks Are Included? Underground storage tank is defined as any one or square inch absolute). combination of tanks that(1)is used to contain an accumulation of'regulated sub- Where To Notify? Completed notification forms should be sen; In the address stances."and(2)whose volume(including connected underground piping)is 10%or given at the top or this page, more beneath theground.Someexamplesare underground tanks storing:Lgasoline. used oil,or diesel fuel.and 2.industrial solvents,pesticides.herbicides or fumigants. When To Notify? I.Owners of underground storage tanks in use or that hale been What Tanks Are Excluded? Tanks removed from the ground arc not subject to taken out of operation after January I,1974,but stiff in the ground,must notify b% notification.Other tanks excluded from notification are: May 8,19R6.2,Owners who bring underground storage tanks into use after Mai 9, 1.farm or residential tanks of 1,100gallons or fesscapacity used forstoring molorfuel 1986,must notify within 30 days of bringing the tanks into use. for noncommercial purposes; Penalties: Any owner who knowingly falls to notify or submits raise information 2,tanks used for storing heating oil for consumptive use on the prernkcs where stored: shall be%object to a civilpenally not to exceed 510,000 for each tank for which 1.ccpuc ranA•., notification is not given or or which false information is submitted. INSI*UCTIONS- Please type or print in ink,ill items except"signature"in Section`,' This form must by completed for Indicate number of each location containing underground Storage tanks.If more than 5 tank,,arc owned at thiN locatii I continuation sheets photocopy the re%crsc vdr,and Ntaple continuatinn sheets to this for attached VOWNERSHIP OF • • OF Owner Name(Corporation,individual,Public Agency,or Other Entity) (If same a0 Section 1,mark box here❑) Panoco, Inc. _ Facility Name or Company Site Identifier,as applicable Street Address 7300 NW St. Helens Rd. Panoco-SHELL Tigard Towne Square County Street Address or State Road,as applicable Multnomah 16200 SW Pacific highway City State ZIP Code County Portland OR 9721.0 Washington Area Code Phone Number ^~ City(nearest) State ZIP Code 503 286-•9621 Tigard OR 97224 Type of Owner (Mark all that apply®) �^ ® Private or indicate Mark box here if tanks) Current ❑ State or Local Gov't Corporate number of are located on land within ❑ 11 ❑ Federal Gov't ❑ Ownership tanks at this an Indian reservation or Former (GSA facility I.D.no. uncertain location 3 on other Indian trust lands PERSONIN.CONTACT • • Name(If same as Section 1,mark box here ❑1 Job T isle Area Code Phone Number Wilson Arnold Area Representative. (503) 286-9621 IV TYPE OF . • ❑ Mark box here only if this is an amended or subsequent notification for this location CERTIFICATIONV. I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that base.'on my inquiry of those individuals immediatel responsible for obtaining the Information, I believe that the submitted information is true,accurate,and complete. _Z�_ Name and oNlcial title of owner or owner's aulhorized representative Sig a Date Signed Panoca, Inc. �� f 0 . Course 7 15 88 CONTINUEON EPA Form 7530-1111-05) Page i Owner Name(from Section 1)1'3noco r Inc. Location(trem Section II) Page No. 2 of 1_ Pages VI.bE SC R IPT ION OF UNDERGROUN D STOR4GE TANKS(Complete for each.tank at this location.) Tank Identification No.(e.g.,ABC-123),or Tank No. Tank No. Tank No. Tank N Tank No. Arbitrarily Assigned Sequential Number(e.g.,1,2,3...) 1 2 3 1.Status of Tank Currently in Use (Mark all that apply®) Temporarily Out of Use Permanently Out of Use Brought into Use after 5/8/86 2.Estimated Age(Years) now _ new new 3.Estimated Total Capacity(Gallons) 12 000 12,000 12,000 4.Material of Construction Steel (Mer*one®) Concrete Fiberglass Reinforced Plastic Unknown Other,Please Specify S.Internal Protection Cathodic Protection (Mark all that apply®) Interior Lining(e.g.,epoxy resins) None I-X -1 Unknown Other,Please Specify 6.External Protection Cathodic Protection (Mark all that apply®) Painted(e.g,asphaltic) Fiberglass Rein arced Plastic Coated 0 [� None Unknown Other,Please Specify 7.Piping Bare Steel (Mark all that apply m) Galvanized Steel Fiberglass Reinforced Plasti- Cathodically Protected Unknown Other,Please Specify R.Substance Currently or Last Stored a. Empty in Greatest Quantity by Volume b. Petroleum (Mark all that applitX) Diesel Kerosenc Gasoline(including alcohol blends) E771 Used Oil Other,Please Specify c. I lazardous substance I'ease Indicate Name of Principal CERCLA Substance - -- ----- ------ — -- ----OR Chemical Abstract Service(CAS)No. Mark box IH if tank stores a mixture of substances d. Unknown 9.Additional Information(for tanks permanently new new new taken out of service) a. Estimated date last used(mo/yr) b, Estimated quantity of substance remaining(gal.) c. Mark box®if tank was filled with inert material (e g„sand,concrete) EPA Form 7530-1(11-85)Reverse a U.S.oow.nmem ranun•onnem 1•••-r•••»• � .......... JUN V,VJ-MTY' Nit') . FJ E.88 1.16 3 CITY C)F T IGA Rel C11YOF'TWAM) 0001 COMMUNITY DEVELOPMENT DEPARTMENT 01111 13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)6394175 . B AUUPk;'yj - 1.(ra�.'00 SW HWY I.P.1A NUMEDIEP : I'M MAP/i n*i SUri-) : TICAPE) I'C)WNF.;. �i4IJAPE;' !hili: Th.: 1:4 1. T 1310 I .AND USE : Cl(." I IMIZE. : Y WP : WOWK GLASS - Nl:::W USE TYPEK: Ilict! lal:)P)Axslllt IILqI­*ilr.?ql -tl-) c.,c)mply with m.1.1 I"LlIC,1111, MIAMI t)•F LIIR s ir.?w c,I-,III.g so i.'i g io n t-,y - ptj�!I­mit expii-ew 120 daytil, Tram ti I ci-.� diaLe i'lis"l-led T'll th) t cl t ial in in i,)I.l 1,1,i. 1:)I"J d w J.1:1. b)ii 41 c)i` Led :L'F the Pe"in 11.t 1.--a x I:H.I.-ell; T ll re A(:I e I I y d CI 9 fli *.(-C.LIi-ar!y taf t.hcr. lor:,fil.tioll (:)4! the wide mewer, lift Tf the %0'-W01" '"I I i ci t 1.c)c.Ilk-1,*4v d in L t I'll*-0 in w iii 4g t.1 1, in a ri L �jl A-v e ri Lhe. i:-iiatialler- mhaL11. ',3 +QMt :1.1-1 IF lot, %lt3 '.Lt)c�jKted , the invitiallei- m[laklA. dii--er��ticiilm fr-min tile ptil'CAllame, Ill "Irld !iicle Sirower," mild the iigerir:.:y w:i.:I.:) inint,iii,11. I% I ak t e 1"110. LNSTALA... . 1"(PE. TMPEAVIOU5 AREA : I*F:NANT IMPPOVEAE-ENT YES DWEI I..ING UNI'T'S 1. NO . OF D1 DUS . PEAMI'l, o W P a 1.1 to r.,cl( :1.Ir')4q fli lii�re Well; Lwl.)(:)(:l L)wnraf N 7900 NW St. . llel e"I% Ad CONNECTION CHAM.'A'. P Cl I.-t 3.ML I I d I.. TNF.:. TAP INSIALA.. . (:)'THE:P N I R A 0 $1 , 11.00 . 00 PECEII-XT NO. This permit is issued subject to the regulations conl,,Alned in Title 14 of the TMC, State of Oregon Specialty Codes,zonlog regulations PEWITWE:U INSPECTIONS ,and all other applicable codes and ordinances. and It is hereby agreed that the work will be done in accordance wIt!i the plans and Ill:W E.:t 4 specification and In compliance with all applicable codes and 1�. INAL ordinances. The issuance of his permit dr,,eE,nit waive restrictive covenants. Contractor and subcontractors shall have current city buFlness tax permits. This permit will expire and become null and 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 an p oved /_,,amitte,—Signa re Issued By: 1.;n[ 1, f till T.(.)N isly.­4777T SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE I;*,IfWPMT1* NO. DA11K 'PiSUED : 7 13 HE) CITYOFT167ARD CCIaTYj4TWIRD 'T .NO . (:3(:311.6 COMMUNITY DEVELOPMENT DEPARTMENT FAPIM . PM B. Z 3,1.5RW394175 Jul TAX M(.)I:.,/l 01 t.1,L J L.; . I *1'.E. A 1:4 1 '11 S GIIAF111S :7 UIEr1T ' � LA' : r3K I-AND L..0T SIZE : SECT ION: WORK (A..A!.i5 : NEW USE 'TYPE: (X)MMEI.-4CIoL I%Pj;)JA.(�AkI1I. acjr^rellralu 1,1.1 (--amp.1y With 01:1.1. r'ulas and Aunrlc-y . 111iir I. q.1XP:h..0V:!fI1 1.20 days +I-am thrA dis t.ca i.11111;1.1r�d I*hv. rc)Lin.]. a M a t.4 I'l A. V)it&J.cl w J.3.1 lava T ci r-T ce i.t.oi d i f t,I i*a 1a)e r,iri i L ir,)x 1:)1 v,(-a 91 . The Agir.-Irlay ciclwri; 1*1 a t. jj t.1 it)11— 19-11t,etv th*'.,i (3-F ti-la, lar,M.Licirl of, Mip. sidif.-I inewc.-Ir. If thiv, tilf.owe)r, :1.1r. ricit 1aclilitf-ad at the) il-Inil'aller, !!lhtil.11 3 4°or')e 1, J I I i"Al fl--(.)tn 9:1-voll.1 141 riat itia loc,!atvid , -k,hei JI.111lItflt1-1*nI­ Ishiall. pt.4ir-c.,haviv. m. 11 p and Fii'idel 1,44ti'mi. 1, arld -thr;) Aqwric.'y wil.). :01ilital.11. fit. 1. IMYTALIL. - TYPE QUILDIN " lAiMER 1 M V,V:n!,10 t It., A W 1,444 , —I P TXIIIIPIP t."T I ST n IT-R77- TT-1.Ilia)PL)V F.I"IF RT7 Y I% Did. 1.. UNTI'55 I NO . ('IF: IRLUCaLi I P Hk I I a--11 we tit fit e c!) wouttioicirid 13kirier. P111;N411,111 1* 1900 NW Gt. Hralv.)rlln Pd (:X)NNrF:C'I*ION U-1A1 IMIT 1111. 100 . OO P cl r-11,:1.Ill I'l d OR 1 INC: N F I OTHER UL 1. C HL.AI0_:I.A,;:Y EMNSTAIN"11:0N () 2035 SE U'lPFil' AVE N T q r,mw I i In.in c1r 97030 R P11C)AK (nO.5) 666---P!50'Z5 A (-, NO . 81.vkkwA TO'T'AL. : $1 100 00 T It PE(:3-K 1.P1 NO . —------------ ................ ................— Oh'..'QUIPED INSPEC"TIONS This permit is issued subject to the regulations contained In Title 14 9)E W E R of the TMC. State of Oregon Specialty Codes,zoning regulations I"'I NAL and all other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordance with the plans and specifications and In compliance with all applicable codes and ordinances. The issuance of this permit does not waive restrictive I covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and 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 requir inspections are requested/;anproved Permittee Signature I.. Issued By* F (':' P INS"PEC TION 631i RSEPAITE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY®F TIGA D BU]''11 01 . PUF-8MI 14MT NOB1.' 6Q CrrYOFWARD COMMUNITY DEVELOPMENT DEPARTMENT 0111100N DATE 6 13125 S.W.Hall Blvd..P.0.Box 23397,Tigard.Oregon 97223,(503)639-4175 5 PRIM PKI* NO 13113 1 1.6zl JOD ADDRESS : 16200 5W PAC].]:-1(*.11 1--lWY '1 AX MAP/1 ITT SUB 'T1J*.,AP0 SQUARE: GUI-TE: P L'T' BK I-AND LISI:--- : (::(y 1A)1 51ZE : V Al...UATT.ON : >n 3n ,000 !iE-'Tli'.)A(:;Kt.-, F PON r . PEAP: WORK CLASS : NEW 1:)Wl*--I-I-. . UNI'TS : LEFT : PIGHT : USE TYPE : COMME:I:K :r.AI.- NG . bF[MOOMS : EXT . WALl CONS'T' : CONST . 'TYPE : VN NO. HATHS N:NR S : E NP W:NP OCCUP.0341P . : F....2 P11-401' . 0F)EN1N('.-',S : UCCUll) .LOAD 6 N :NP 1; :N11:4 I H.: N P U : NP TOTAL APEA : 12()(*;) N('.) . SJOV,11ES : I I.S 1' : 1.200 ROOF CON51' . A F 1117 1:41H.-T.-t YF..-.!-.i : 14 PND: APEA L)E'F)AW-? NO PATKID : BASEMEN'r'? NO OCCUP , SE PAP'/ NO PATEM MEZZANINE.'? NO BASEM I T F-I OOP I-OAD: 12.5 GAPAGE.: NO ALARM't NO NO 1::,l E C . I-II)CIP. NU PLAN CHECK DY : jhj REMARKS : 1--li;lLirtna Cnr WaLwh F31.dg F.qt.0 f)inerit PET".,511E. OF NO. I AS'V REJSSUE: L W 0 V)E14111 IT $P1.5 , 50 N '7900 NW Si. . Flcfe.riv; r1d . PLAN F4F-*:V]:EW It 1.le10 . 0E4 E Pt3 r t 3.an id OP DEPT 91a6 , 1(.'.0 STA'T'E: *`1 A X $10 . 7'7 OTHER C DE VEI-OPMENT CH A P(.*v E S 0 SDC llta*F(1VIM) N T SDC(STREEJ) R PIR, A C P f 4 V---.P A 1:1.) < $226 , PE0 T 0 P'l WE.-iCE)PT NO. This permit 19 issued subject to the regulations contained in Title 14 of the TMC, State of Oregon Specialty Codes,zoning regulations PEQU33111-D 3:11SISPEC"Villi-MS and all other applicable codes and ordinances, and it is hereby agreed that the work will be done In accordance with the plans and FOOT.1 NG specifications and in compliance with all applicable codes and ordinances. The issuance of this permit does not waive restrictive cc tenants Contractor and subcontractors shall have current city PEINF .MASONRY business tax permits This permit will expire and become null and void il work is not started within 180 days.or if work is suspended or I NSULAT I ON abanc,oned for a period of 180 days an I after work has P(')C)F' NAILING �.�-ZtTfitlee to assort, commenced. It shall be the responsibility he F T NAL all oequIr d inspections are requested sa, d app ved Permittee Signatur Issued By: SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C'TYOFTIGrARD --t, BUILDING CITYOF TWE ARD PWMI T NO. : 19111JE18:1.160 COMMUNITY DEVELOPMENT DEPARTMENT 0MG 120 N 13125 S.W.Hall Blvd.,P O.Box 23397,Tigard,Oregon 97223.(5)3)639A175 D A 1+. 19 S(.JE::D 6/2A/88 — ---- - F' ' NO. 00fl.60 ..OR ADDRESS : 1.6200 SW PACIIFUI, HWY S 1:4 TAX MAP/I 0 T �-AJH : 1':I:(*.-',AP0 *1'(.)WNI::. SQUAPH A HK : I AND USE : LOI STZE VALAJ AIJ ON $ anio 00() 5E*TBA(,KS FPON'r PEAR: WORK CLASS NEW DWELL... UNIT'S LEF'V pl(;,-I*T - - USE I Yl'1 :[-' : COMME.14C-LAL NO , Hf.:l' WC-) )OMS ! EXI . WALL CON51' : CONST . *TYPF : '[IN NO . 1361'11-115 N.ND IS : E:NA W :NP UC CUP G114P. : 81. PPO'T' ()PE.N1.N(*.-,5 : OCCUP.LOAD 2 N : Nk, 5 :NP 1::: :N1:1 W :NA i 11)TAL. APL.0 , 1.066 1. is'r : 11366 ROOF (:,ONS'r . A FJ..O 1.". PLJ7 YE Ss 2ND : APF-"A SEP,' NO PA-TF*.*.D : NP DA511ii-MENT7 NO 3RD; OCC XJP . NO RATF.-.:D Ml:-i' -t NO DASEM-T F'I 0011 LOAD I GARAGE : F': RE 5PPKI 1-17 NO ft-APM'? NO FLOW(GPM) I)r-.­T+X;*T*7 NO X2 M1121i ii- -64; N" IDLAN (:'I--IE(:;K BY il-ij P,11 .M A n K G : 1:ilie].J. SP-r,v.-Lc!e Stiat:l.c)i-i PEISS•UU OF' NO . LAST REISSUE 0 W N Pancoo EPMI 1 1111111308. 00 E 7900 NW St . Helena Rd . PLAN Dr-i'VIEW 0525 . 20 R Portland (JN FIR1:.-.,. DEPT $323 .20 5 TAX $410 . -10 C 0 C34AP(.',Et`i NA-e T 0 15 SIX"i 91 TI)PM) Rsoc(SI'PEE1,11 C A q T P Pl,:�V,AT D < 1. 1:31. 0 ;2 R e4o T D T AL: $365. 60 This permit is issued subject to the regulations contained in Title 14 NO. of the TMC. State of Oregon Specialty Codes,zoninq regulations ...... and all other applicable codes and ordinances, and It hereby REPUSPED INSPECIJONS agreed that the work will be done in accordance with the plans ana specifications and in compliance with all applicable codes and FOOI'I.N(*., ordinances The issuance of this permit does not waive restrictive SLAD covenants. Contractor and subcontractors shall have current city FOUNDAIJUN WALI business tax permits. This permit will expire and become null and F PAM INC3, void If work is not started within 180 days,or it wolkilLsuspended or O'tHEP* abandoned for a period of 180 day, any ��'e 7'f� ork has commenced It shall be the responsibility o he permittee assure FX NAL Pli required nspections are requested an approved P X,;,tt"t- �!r Issued By: FOR SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE ,:...,ra;Ar44!,:•.••.., ........,,::..�-ae:. .yet:si.:.,:+iYA. �ii�:6IM:sew'�mfaidk�:sn�+r�fka-tilelYarew: . Washington County Fire District No. 1 City of Beaverton Fire Department w; Tualatin Rural Fire Protection District June 24, 1988 Dave Kimmel Permit Consulting Services 122 S.E. 27th Avenue Portland, Oregon 97214 RE.: Shell Service Station Tigard Towne Square 16200 S.W. Pacific Hwy. Tigard, Oregon 97224 Dear Dave: A fire and life safety plan review was conducted on the above captioned project for comp'linnce 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 Protection District's Ordinance 86-5. Plans are approved as submitter) subject to the following conditions: 1. Permit and Flan Review Fees: Permit and plan review fee of $50.00 per tank shall be submitted to Tualatin Fire District. Tualatin Fire District Fire Prevention Ordinance 86-5 2. Tank Inspection: Inspection of tanks shall be conducted during the following phases: * Prior to setting * After setting and tie-down has occurred * When back-fill hsps been placed but tops of tanks are still accessible during pressure testing * During pr.essu.:e testing of piping system UFC Article 79 Please call 24-hours prior to anticipated test time for inspection appointments. Contact person will be Bob Ray of this department (649- 8577) . Dave Kimmel June 24, 1988 Page 2 3. Vent of 'Tanks_ It Is not totally clear by plans as to where termination of vents will occur and as to the size of vents. Vents shall. comply with Uniform Fire Code for sizing and for termination. 4. Address Required: The tenant space number must be prominently displayed on the street front where it is readily visible to drivers and officers of ;esponding fire apparatus and other emergency vehicles. (UFC Sec. 10.208) 5. Fire Extinguisher RequirEd: A fire extinguisher having a minimum rating of 2A!68:C must be pinced in an accessible location within plain view. (UFG Sec,. 10.301(a)) Note: Not less thaa 40BC fire extinguisher shall be readily accessible for operators to use in case of emergency. 5. Exit Door hardware: IM doors shown on the drawings must be openabie from the inside for iremediate exit at all times without the use of a key, special knowledge, or effort. (UBC Sec. 3304) 7. Approved Plans on Jcb 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. (UBC Sec. 303) 8. In_spections Required: Inspection and approval of construction by n 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 constriction and prior to occupancy of the tenant space. (UBC Sec. 305) 9. Certificate of Occupancy Required: Prior to the use and occupancy of the project spacel-, a certificate of occupancy or other written Instrument of approval must be obtained from the City of Tigard Building Department. (UBC Sec. 307) SPECIAL NOTICE: DEVIATIONS FROM THE SUBMTTTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUTREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT THF WRITTEN AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE. i Dave Kimmel June 24, 1988 Page 3 If I can be of any further assistance to you, please feel free to contact m: at 649-8577. Sincerely, Gene Birchill. Deputy Fire Marshal 20665 S.W. Blanton Street Aloha, Oregon 97007 GB:kw cc: Tigard Building Dept. District Inspectors Washington County Fire District No. 1 Cite of Beaverton Fire Department Tualatin Rural Fire �rotection District June 17, 1988 Dave Kimmel Permit Consulting Services 122 S.E. 27th Avenue Portland, Oregon 97214 RE: Tigard Towne Square Car Wash Dear nave: A fire and life safety plan review was conducted on the aoove captioned project for compliance with the 1985 editions of the Uniform Building Code (UBC) , Uniform Mechanical Code (iIMC) , and Uniform Fire Code (UFC) as amended by Tuol.atin Rural Fire Protection District's Ordinance 86-5. Plans ate approved conditional. to the followinf items: 1. Mechanical Plan:; RP uy fired: Plans referred to and examined by this office contained no plans for heating or air conditioning systems. Unles,,, electric baseboard heat is employed, complete mechanical system plans for the HVAC equipment and duct work must be submitted to and approve(; by this office prior to installation. (UMC Sec. 302) 2. Mechanica'. Equipment Approval: All heat producing and electrical equipment and appliances installed in conjunction with the construction or occupancy of thin; project must be approved by Underwriters Laboratories, Inc. or other nationally recognized testing agency and installed in accordance with the testing agency's specifications. (UMC Sec. 502) 3 . Exterior Exit Door: Hardware for the exterior doors and key operated deadlocks may be permitted where there is a sign posted on or over the door reading, "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOUP.S" in letters not less than one-inch in height on a contrasting background. (UBC Sec. 3304) 4. Address Required: The tenant space number must be prominently displayed on the street front where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. (UFC Sec.. 10.208) 5. Fire Extinguisher Required: A fire extinguisher having a minimum rating of 2AlOB:C mus: be placed in an accessible location within plain view. (UFC Sec. 10.jol(a)) ......a...,...w.........wr..n.u..s...,ws�naurM'�MM r wer'uorv�nMr"'u�SM+tauw.eN: Pave Kimmel + June 17, 1988 Page 2 app ved lans ing he 6, Approved 11..ns on JobBuilding Deponeartmsetentf androthisP officearmusttbe stamps of the Tigard maintained on the project site throughout allphases o constructior on and must be made available to building afLd firereference during required construction inspections. (UBC Sec. 303) ion 7. Ins ecti�Required'_ Inspection and approval riorof ctostthetcovebry f representative of this office is required: (a) P following the fnstag�Litionation ocavitiesutilityb any new framing elements runs which will be concealed within wall and p upon completion of construction and prior to occupancy of the i:enant space. (UBC Sec. 305) 8. Certificate of Occ`pancyaRegeLtificatelooftothe occupancyaor theroccupancy written the project sP�, instrument of ,pproval(UBCmust tecbe307)obtained from the City of Tigard Building Department. SPECIAL NOTICE : DEVIATIONS FrOM THE Sl1BMNTTE�CLUSIVE OFAND YTiOSEINEOESSARYATORCOMPLYrAWITHUFIRE THE COURSE OF CONSTRU,T O SAFETY REQUIREMENTS ALISTED COUNTYIHUILDINCPROHIBITED DEPAR'1'MLr1TWATDOTHISEfOFFICETE AUTHORIZATION OF THE WASHINGTON If I can be of any further assistance to yo+_+, plr.ase feel free co contact me at 649-8577. Sincerely, TUALATIN FIRE DISTRICT Gene Birchil Building Official 20665 S.W. Blanton Street Aloha, Oregon 97007 GB:kw cc: Tigard Building Dept. 1. District Inspectors C' OF TIGARD (� PLAN CHECK APPt, 1(','Al ION �WYCWTIOARD) rLAN CIIECK N COMMUNITY DEVELOPMENT DEPARTMENT 09toom PERMI'l # 13125SWHW18W. P-0-8W 23397,rigatd,CW*90n 97223(5W)&W 4175 DATE TSSUFD -JOB ADDRESS: I-AX MAP/1_OT,!_5_/_ /_S;_e,11/ LOT: LAND USL: VALUAIION: OWN(�'.R SPECIAL NOTES NAME:�Au REISSUE OF: ODDRF , LAST REISSUE.: FLOOD PLAIN/ P1104'ISENSITIVE LAND: :: CONTRACTOR APPROVAL.5, RLQ_QI,RED PLHNNTNG: NAME.:: ADDRESSENGINEERING: : FIRE oEpr 0-1 HLR: PHONE: � �— _ LEMS REQUIRED , ARCH/ENGINEER 2 LIST/SUBCGNTRAt.1-01?S: BUS TAX: CALCULATIONS; ADDRESS rRUSS DETAILS: Za PARKING PLAN: LANDSCAPE PLAN PHONE: OTHER: COMMENTS: PERMIT # ACCT 6 DESCRIPTION AMOUNT AMOIIN-F PD. RAL, DUE 10--432 00 Building Permit F(,,!s 1.0-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit F(jpq 10-230 01 State Building Tax Building Plumbing moch 10- 433 00 Plans Check Fee 40 Ulf –LY.L -- Building _jq 0.ca Plumbing Moch 30--443 00 Sewer, Connection (20%) 30-202 00 Sewer Connection (80%) 30--444 00 Sewer Inspection 51--449 00 Street System Dov Chm,qo (SDC) 52-449 01 Parks I System D4,v (jjjr9p (PDC) 92--449 02 Parks TL System Dov Charge (PDC) 31-450 00 __ _ ---.�.- ---- — Storm Dr-ainage Syst Dev Chrq (1,1,'SDC) 10-230 09 I_RFD (95%) Vi q-"� 1() 451 00 IWD (54)A"�Olp 10-230 06 Washj'.p ton County Fire #1 (951.) 10--451 00 Wa iing on County fire #1 (5%) 10 220 00 Oit rL/W( dgewood '0--4 5' 00 Wa 'i 0NATURE 2 W, 2 0 00 A r TOTAL RFC # 4�p 1.1 C iAIN A T U R IE Received By: � '�U ��/�� LA 11(7(1 yr, Date Received: M Tlq 7 '� A Ufn UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY May 18 , 1988 Permit Consulting Services for Panoco, Inc. Dave Kimmel 122 SE 27th Portland, Oregon 972.14 Re: Hanna Car Wash Dear Dave : The Agency approves Hanna' s car wash connection to the public sewer , provided the following is completed prior to connecting: 1 . The 4" C. I . pipe needs to extend 6" below the ::uLt-E line in the recycle vaults prior to being discharged to the 450 gallon oil/water separator (as discussed with Dave Kimmel 5-13-88 in our oUA(,e / . 2 . Maintain inventory of water use and number of cars per day, 3 . Maintain oil/water separator maintenance records. If you need further assistance please con%�.-act Johr Greeley or me at 648-8621 . Febraerely, �. ALJ e� or nstrial Waste Technician /eb c: Keith Liden, Senior. Planner . Brad Roast, Building Official 150 North First Avenue,Room 302 Hillsboro,Oregon 97124 Phene:503/848-8821 CITYOFTIVARD C�FIIG'4RD PLAN CHECK APPLICATION C(TYPLAN CHECK COMMUNITY DEVELOPMENT DEPARTMENT oReooN �!_ U 97 125 SW HM BNd P.O.Bm 2 ,Tlg&M,Or grM(603)ON+1 76 PERMIT DATE ISSUED / JOB ADDRESS: TAX MAP/LOT , 51 /-SBA TL /01 SUB: �- LOT: Y LAND USE: VALUATION: �2 SU. ,a SETBACKS: FRONT:_ REAR: LEFT: RIGHT: WORK CLASS HEIGHT: TOTAL AREA: USE TYPE: FLOOR LOAD: 1ST: CONSTR TYPE: HEAT TYPE: 2ND: _ OCCUP GROUP: DWELL/UNITS: 3RD: OCCUP L^AD: NO BEDROOMS: _ BASEMEWr: NO STORIES: yi NO BATHS: GARAGE: IMP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: LIST SUBCONTRACTORS: ENGINEERING: _ LAST REISSUE: BUS TAX: FIRE DEPT. : _ _ FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND.: TRUSS DETAILS: PARF.ING PLAN: _ LANDSCAPE PLAN: PLAN CHECK BY: OTHER: COMMENTS: Ate— DE'.CRIPTION AMOUNT OWNER 10-432 OU Building Permit Fees _ NAKE:_��Fsr wovA �cvE �. yr 10-•431 00 Plumbing Permit Fees s ADnri(A�L, ESS: .303v �'� MVOOV 10-431 01 Mechanical Permit Fees y R 97.2o,-S/89 7 10-230 01 State Building Tax (5x) t ` 10-433 00 Plans Check Fee PHONE: �2 -2CC) 30- 443 00 Sewer Connection (202) $ 30-202 00 Sewer Connection (80X) s+ CONTRACTOR 30-444 00 Sewer Inspection t NAME: _ .51-448 00 Street System Dev. Charge (SDC) _ ADDRESS:_ ••52-449 01 Parks I System Dev. Charge '(PDC) 1 52-449 02 Parks II System Dev. Charge (PDC) 31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC) PHONE:.-- _ 10-230 09 TRFD (95x) 10-435 00 TRFD (5%) ARCH/ENGINEER 10-230 06 Washington County Fire I1 (95X) NAME: tic 10-435 00 Washington County Fire /1 (5X) ADD SS: gE�rrr_H 10-220 00 Amart/Wedgewood v,•f/aNa+v,e 97��� TOTAL S PHONE: 3,1- -718,1.S- --- PREPAID /.;-1s4,,- �7M r' A r 1-14 o REC i .4+� 36 �oaa l a c�7�/y / , BALANCE DOE � -- APPLICANT SIGNATURE Received By: t ti' Date Received: _�lo �tL L 6"� wA�.� Pry etis wIhJr = �� x,'1 ?��.L 1u ,ti�t PS•F LA WALV co) r'a 2' -i k )CJb �a,�`�+�C U�� �� � '+ . NF� C 1 ~ 9382 �,1414�Gin orffGo" 1 �O\` Y 22,tg1 p�P G6'14S WRENN�\ -5rl-FLL- K 1 C 17 ' � 13Y I� I OW F- o S1C 5$r1 1- DATE jOB NO, MACKENZIE ENGINEERIN( INCOR?ORATED (3690 S W BANCROFT STREET PORTLAND,OREGOP.97201 (503)2249560 SHT. ' OF tA9NB ALlZ9 GHTOIINERING ICORPI.R RESERVEDaTED A �1 i p► PL 6� P 3�_�„ Y-,S! )y ti �p o- I SZ ' ?,ri u1 +- t`i zcrt� Z �+l` Sre -Lc' r' Ln F 0 W(1.17 L)P%" r-TT � \ , i 1 `i r t ,� J �X' I G'U CJ 7L�6 l�'L F�, z . 1'L�u u '�j � ,z JSL )�� ���.� i C�/1�1-c,N• ""i P -- -------- b L __ DATE �z� 1 g - MACKENZIE ENGINEERING INCORPORATED JOB NO 0690 S VV RANCROFT STREET PORTLAND.OREGON 97201(503)224-9560 SHT _OF MACKENZIE ENGINEERING INC9RFORATED 19M.ALL RIGHTS RESERVED l�5 = V-) a— 21,1 MYLO Z) l�.o:I )c5 T <16 tf uuu : .tL L,S� _ IO ►t,�,l t1= c Li ► �S`-11 � LiI I� _5 trt� KI►�G C1�`t By . DATE -- MACKENZIE ENGINEERING INCORPORATED JOB NO. I 0690 S.W.BANCROFT STREET PORTLAND,OREGON 97201 (503)224.9560 SHT 3 OF L ©MACKENZIE ENGINEERING INCORPORATED 19M.ALL RIGHTS RESERVED y U 33 K l.l' N o a�Ir T P I P Z nt-�S /1121 T)AC -Lu , tut3 Ic5C 5f6, 6 16 Y- 3S•O I(s— �S'��.rc61� � IL I r lw 1< '�j•. 'L Z u r IC L� �U IL.� V� H 155"\ `� '�\ �b•`�\� ISS~� " vo-S I� -- 10, •71-Ic-, 1,11ci5 ?•2155 ,,A ? r \�1SA l"1. 115H = 1.L.�c,�y(1Ll (•� —S$�C�; Ile � .�J I Nit - ,v - - Byr DATE _ LIMACKENZIE ENGINEERING INCORPORATED JOBNO. 19? ISI 0690 S.W BANCROFT ST R ET PORTLAND,OREGON 97201(503)224.9560 SHT. _OF �Y Cc) MACKENZIE ENGINEERING INCORPORATED 1988,ALL RIGHTS RESERVED �wC�x12.) 0-1 , , t S I LJCekel I ; ul 'h WINS (3) I I _ r' ► tc� - S 3u lc T M-3 113L. � �4�.2 ,� '34s� K•Ft L � �I ���I,s� — II• � I, o �I II II, � I�J L�, IUG� use 15 u111(11- L)��i_�ti 1 ) ^1-='--�L.�•�/14 .��l•-Il = � �� CL)�5.1t � I_H'11�G C11.)��•S_`halt Xtit (11�5•S� �z I I � Kt_ 1•, - ._..---- - ----�_.—. __.—_._� t4v IIG� .iyS� � � IL r� e- 13Y LIJ DATE.-.3/jL� MACKENZIE ENGINEERING INCORPORATEd 0690 S.W.BANCROFT STREET PORTLAND.OREGON 97201 (503 224-9560 JOB NO. 1 1 SHT. �OF ©MkCKEN2IE ENGINEERING INCORPOgATEO 1B'ifl,ALL FIGHTS RESERVED 3�1(n V L b K)S7 /x tits I � WIS 1 I ` U�CnS G 1 T 3x LIP I TS _ _ 1 9 �l I o 's/,b y (D 3/(� X z„ 4 3 S " �� •� �5 �2F5 21, i �i� $/k�� � � - t E U. cJ �•j-� P�u L.T> )r Ap I� 1` �Cv c iv/•-) leu LST 5 ?� L_ �)KtX'A R- rP/K) iD�ErJ 31(6 -" H 13 T"e x1.co —� 1�1 _t '-�1Li!) _ l ,(st)CiL _ 1L) ,1�1��� - �I Z 'L)� j lei V)) SFt ELI, ri I N C� C (T-`'i Cjy.1Up� �I Jr6rlDATE_ �ILt / -- ---- JOB N0, ---- MACKENZIE ENGINEERING INCORPORATED 0690 S W.BANCROFT STREET PORTLAND,OREGON 97201 1503)224.9560 SHT.�. _OF Ma,ALLZRIGHT(RESER ED CORPORATEO 611 i 'A ISG--------- (S) W el cl — ��LS' P�► �b 3j e LL) 0v� ,)� Ape Re- o,e.a. ��� r L, s i F Cars) RP4 FLR 01 C c,►J:'� R "c.jl Irl k I N G-_ C')T'l_ BY D LAS r CpAooP- DATE 3 hLlfs�S JOB NO - TMACKENZIE ENGINEERING INCORPORATED LI0690 S.W.BANCROFT STREET PORTLAND,OREGON 97201 1503)224-9560 n MACKENVE ENGINEERING INCORPORATED 1988,ALL RIGHTS RESERVED GEN11:(L S�V� �la,y►.rNCtS � C5kt( S ) �5ti � f `'.u�1 oP1U�j CGxg . L fb C, u (, M•�Y, J �b 11-uuo = y1 GG I (oc,o U ��•�r� t4, -1, 1 z uu USE X 11, JL GC- 7l �s L QL) Tv b 1_ I V` �u W�pY t•1 �� 9INEE• ..382 'cam OREGON \qS WRE�'�� S1� LL K)rt(J 11"1 — —_- r,r �UJF---[(��— — -- p f� r rr DATE- )[3 ATE- MACKF.NZIE ENGINEEP!NG INCORPORATED .,..(( SHT 0690 ,W DANC;ROFT STREET PORhAND.OREGON 97201(503)224.9560 T L-_ MACKEN7.IE ENGINEERING INCGNFORATEU 19M,ALL RIGHTS RESERVED EL •la tw 'll� lily /CITY Receipt�OF TIGARD MECHANICAL PERMIT - Permti _ Oeeoriptlon -- Table 3A Mechanical Code OTY PRICE AMT City of Tigard 1) Permit Fee -0- -010. ' 13125 S W. Hall Blvd. ---__, N.O. Box 23397 2) Supplemental Permit 3.00 Tigard, OR 97223 639-4175 1) Furnace to 100,000 BTU 600 _— incl.ducts&vents _— — 2) Furnace 100,000 BTU + 7 nO .50 .� incl.uucts&vents -- Name of Development 3 Floor Furnace 600 7/—C;1� �.,-./ -7C-- n_ J' " '.� ) incl.vent -- -- Job Addres V 4 Suspended heater,wall heater 6.00 1. Address 00 ..� �. � ) or floor mounted heater Tax Lot Map No. 5) Vent not incl.In 3.00 Lot elock Subdhislon _ appliance permit — Name(or run of buskTses 6) Repair of heating,refr Ig., 6.00 cooling,absorption unit — Mailk,g Ph" 7) Boiler or comp to 3 HP 800 Owner abcorp.unit to 100,00)BTU abs/state` — 23p8) Boiler or comp to 3 HP-15 HP absorp.unit to 500,000 BTU 11'00 Nam — Diller or comp 15-20 HIP 9) ?hsorp.unit 1/2-1 million 15.00 MaW,g Address Phone 10) Sciler or comp to 30-50 HP 22.50 _ absorp.unit 1-1.75 million Contractor CRyestse --- ZIP—~ 11 Boilet or comp to 50 HP 31.50 absorp.unit 1,750,0_00 BTU State ReglstraUon No. — Cfty&s.Tax No. 1�) Air handling unit to 4,5010,000 CFM eby ackrwwedge that I have road this — Air handling unit I her eppNcativn that the kThorrTTad�xr given h 13) 10,000 CFM + 7.50 correct,that I am the owner or euthmized agent of the owner,thit plane eut ngned are in - — oomp*ance with State laws,that I em registered with the state Bunten'Roard,that the Non portable f%xT*w given Is a Fred.(11 exempt Mom State registration please"reasxt below). 14) evaporate cooler 4,50 Vent fan connected '7 ' UO --------- — -------- - 15 to a single duct 3.00 r Ventilation system not 16) included in appliance permit 4.50 — -- --------------- -- — 17) Fton-dserved by— — 4.50 mechanical exhaust S4rwiure(owner or wient)`�--- Date 18) Domestic type --- 7.50 Describe worts `Q,, additinn Elalteration U repair 11Incinerator to be done residential h non-residential1 1 g) Commercial or Industrial 30.00 Existing use of type incinerator building or property_ v_ -- —___-__._—_ 20) heifer i.e,woo ,water 4.50 Proposed use o1 heater,solar,cllothesathes dryers,etc. _ building or property—.1 �L�.— LL ___ 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas ❑ LPG C] electric } --- --- - 22) More than 4-per outlet NQT�CE _— SUB-T 3TAL 16,06 THIS PERMIT BECOMES .N,iLL AND VOID IF WORK OR CON- — --- — - STRUCTION AUTHORIZED �S NOT COMMENCED WITHIN 180 5% 446SURCKARGE r GAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OC — PLAN REVIEW 25'X.OF SUB-TOTAL ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK 13 COMMENCED TOTAL Special Conditions Date issued by— sae +a' we.. wa we �,. •et P.O.Box 23397 CITY OF' TjGARD PLUMBING 13125 EN Hall Blvd. Applicants must hold Oregon R.glstration to conduct a plumbingTigard (R 97723 business or must be property owner/operator not hiring outside.help. PERM. T 639-11175 Name M Deveiprrent _ Plumbing Permit No. T­ddma Addreil .n Description � ORS 814-21.610 QUAN. PRICE AMT. Job Tax Lot Map.No Address _ FIXTURES _ Lot ©lock Subdivision ---- - - Sink _'- --- 7.50 rdilgrais artin of bWsiness Lavatory - 7.50 � 0---_ Tub or Tub/Snower Comb. 7.50 -�---- - - - -- Shower Only 7.5n Owner City/ tate _-i- Zip Water Closet --_ 7.50 Dishwasher ?.GO - -- Ph" Garbage Disposal 7.50 - Name WashingMachlne --- --- - - -- 7.50 (_-0 �I'✓C /'� Floor Drain -- - - - - 7.50 V al Ing ess Q Phone Water Heater 7.50_ ^ S 1---- - Laundry Room Tray-- ___750— Occupant City/Slate Zip — - _--- `— -- Urinal _ 7.50 - 7.50 ..� ams - -�--�. Other�f�ix�tures(Specify)� 1- - - - -_j _- �� 7.50 1n0 rasa ----- Ptu" -- 750 Contractor Guy//State ZIP --— ----- -- - - - - --- 7.50 --�_ - MISCELLANEOUS City Bus Tex IJo S0r 1 s1 100' _ 30.00 State s Boarl3No - ate Pluff bors usrt c No Seweir•es.Addit 100 -- - 15.00 - (Residential) Water Service 1st 100 I hwreby adumwledge that I have read this appllcatkxt,that the lnformatk)n Water Sennoe on.Addit.1W 15.00 - - - give i is cured,that 1 am registered with the State Builder's Board,and also Storm 8 Rain Drain 1 st.100' 30.00 twee a State Plumbing liosnm ee that ew numbers gNen am correct,that all - -_ — plumbirg work will be done in eeoordanoe with applicabim provisions of Ore- Storm 8 PwJn Drain Addh.100' - - ---- 15.00 gon Revi:,ed Statutes Chapters 447 and 893 and applicable codes and that mobile Home Spam a 25.00 no help will be employLd unless Ilcensed under ORS 883. (M exempt from - ----- - State registration,please give reason below). Bar*FlowPreve,,tion HOMEOWNERS-I hereby oartify Mw!I am the ovmer of the property de- Davin or Anti_Poliulion device- -- - 7.50 sorbed above,at which locatlon I propose to make a pksmbiry inetaMatlon for Any Trap or WaaW Not my own t use and this property Is not bekq oonstruded for save,lease or rent Connected to a Fbrtui u - -77^50 Catch Basin _ 7.50 _ - In ap.of F_.x)st-Pkmnb"V -- -- - 40.00 Per Hr _- SWsMy Requested InspsWons 40.00 Per Hr _-- --------- -._-__�_ ANw of Plumbing wlthlt an E49*V pip ------- 15.00 min. New Bldg.or Build.Ad~d*w 26.00 mit AUTNORIZED SIGNATURE Date —_ -_ -- 11-ai 1 ile faMlY - Describe work newer► addition❑ alteration Q repair17 dwelling 15.00 1q be done_ rt3skiential fl _non•residerttlrL-_ a Existing use of bu.Aldrlg ux Praxtrty - ----- -_ - __ _. _-- OMTOTAL _ rqposed I me of _ f� 1R1 NW0HAWE P Of p10perty----- ___ -- -___ _ TOTAL NOTME -- -- --- -- Tt*perrid bsoomee nufl and w)id 0 work or oonstrumNon aithoditod is nol 0011 rtlert0ad will* 150 deysrsr M oat eauoNor or wont iesuarwwW or stand~kw a period of 190 days r any ftm afkx work Is oorrlrsancod MICiAL OOIKff1'IONs _-- -----._-- Date Issued ----- ----__ - by --- P.O.Bz)x 23397 CITY OF TIGAR U PLUMBING 13125 94 Eadl B171. Applicants must hold Oregon Registration to conduct a plumbingPF-.R M IT 21� M 97M busio--ti;oust be property owner/operator not hiring outside help. 639-4175 Name of Development /��' f�Q L�y1J Q1dQrf�__ Plumbing Permit No /6 OU sw R ct &. -- Description J� ORS 814-21.810 DUAN. PRICE AMT Tax Lot Map.No. Address FIXTURES --- 9k>c -- Subdivision -------- - Sink 7,50 ame <� erne s �S� Lavatory '- 7.50 7-JZ 'Address �(/r1 Tub orTub/Shower Comb - 7.50 ng/ ress - - - ---- - ---- - Shower Only 7.50 Owner Gry/ tams -- Zip - Water Closet - --- -- 7.50 O Dishwasher _ 750 Phone Garbage Disposal - - - 7.50 — - - - - Name Washing Machine 7,50 (� Floor Drain 7.50 acing ress Phorhe— Water Healer 7.50 Occiapent City/State _- zip Laundry Room Tray- - - - 7.50 Urinal 7,50 amsPhone Other Fixtures(Specify) _ 7.50 7.50 We IT,� Phone zso Contractor Cffy/SYate i ---- - Zii� ---- - .------- --- --. 750 -__--_-__- - MISCELLANEOUS City Bus Tax No Sewer r sl 100' _-------_ 3000 tate s. wd Woo State i rsus-ic Ro Sewer-ea,Addit 100 -- - - - 1500 (Residential) Water Service 1st 100' -- -- - - 2000. - I hereby ecknowtedpe that 1 have read this oppNcatlon CW the information Water Service ea.Addil.20i - -- 155.00 - given is cornsct,that I am registered with the State:uiider's Board,and also Strnn 6 Rain Drain 1 at 100' 3000 have a State Plumblmg license that the numbers given ars correct,that all --. Numbing work will be done In accordance with appkable provisions of Ore- _Storm b Print Drain Addit.100' 15 00 gon Revised Statutes Cluosra 447 and e93 and applicable codes and that Mobile Home -- -� - no help will be employed unless Ikxneed under ORS 863.(If exempt from 125.00 - State registration,please give reason below). Back Flow Prevention HOMEOWNERS-i hereby certify MW 1 am the owner 0 the property de- Device w AntiiPolluton Device 7.50 aatsad above at which location I propose b make a plumbing kutrWadon for Any Trap or Waste Not -- my own use end this property Is not being constructed ler sale,lease or rem Connected ias Fx -tio __.__ 7.50 ,sd _-- _ Catch Bash __ -- --- -- 7.50 _ lhsp.of Exist.Plsndng - - - -40.00 Per Hr - - -- --- --- Spedatty Regtraeted Inapections - 40.00 Per Hr - - ANW of Pkxnbkv*I"* an Exle*ig Bldg 15.10 min AUTHORIZED SIGNATURE -J --- Date New Bldg or Build.Addition 76.00 rein lIl�d1I1 Sl t? f3R11 _ L�eacritxs woo' new)J addition(] alteration❑ repair 17 (1V1.11ri3 - 15.W bo dc^ne • mktential f I non-residential - - -- -- --- Exhiting use of � // __ 1/ hfiklkV or property_1 ar,26-1 -----___.----._ _ _ - MUS-TOTAL 7S. use of b� TOTIAI � Thla pen beimin null and mrrlid N work or const uoMon sutlwrizod is ncl com mMood w1Mmk+trill dsyeoAr N oartlnrcllon or work M ellaE+whrled rx abandoned la r sp a period of 190 days at arhy ilns Bier work is cornnwnosd. 9KCIIAL OOWXTKWS _-- OM9 Is by ---------- I h'es r