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12655 SW NORTH DAKOTA STREET-1 ism-Mvd4liMON MS 999Z 6 a 0 d 0 r. �c 0 z 3 y 12655 SW NORTH DAKOTA ST A BUILDING PERMIT CITY OF TI GA R.D PERMIT 0: BUP2005-00260 DEVELOPMENT SERVICES DATE ISSUED: 6/22/2005 3125 SIA'Hall Blvd.,Tigard,OR 97223 503-6394171 PARCEL: 1S'134BC-6J700 SITE ADDRESS: 12555 SW NORTH DAKOTA ST ZONING: C-P SUBDIVISION: PP1>191.058 LOT: 001 JURISDICTION: TIG Project Description: Modify ceii tower REISSUE: 61% FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FIRST: sf N: S: E: W: TYPE OF USE: OM SECOND: of PROJECT OPENINGS? TYPE OF CONST: of N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 of ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BELRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: i VALUE: $ 10,000.00 OwnQr: Contractor: DALE RICHARDS OREGON ELECTIC CONSTRUCTION 12655 SW NORTH DAKOTA 1010 SE 11TH TIGARD, OR 97223 PORTLAND, OR 97214 Phone: 503-625-6526 Phone: 503-234-9900 FEES Reg 0: LIC 203 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 6/17/2005 $139.30 (TAXI R%State Surcharl 6/17/2005 $11.14 IBUPPI-N] Pln R.v 6/17/2005 $90.55 Total $240.99 a o� rn U) This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is m not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR J 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503-246 99 or 1-8001-332-23-'4. Issued By: Permittee Signature: l �--- Call 593.639-4175 by 7:00 a.m.for an Inspection that buslnesz day. This permit card shall be kept in a conspicuous place on the job site until completion 7f the project. Approved plans are required on the job site at the time of each Inspection, Building Permit Apblics"OnAVED City of Tigardtt'a' W/1 Parmil Nu i7atMBy: 13123 SW Hall Blvd.,Tigard,OR 972231UN7 2005 pyo R � Phone: 303.639.4171 Fax: 503.598.1960 011-Permit Inspection Line: 503.639.4175 QITY OF MAWA Cleekilsthr � Internet: www.ci.tigerd.or.us BUILDING DIVISIO -- e■vt a■td tat r.atl.. TM OF WORK ❑New construction ❑Demolition Permit fees•are based on the value of the work performed ----- — Indicate the value(rounded to the nearest dollar)o.all Addition elteraticn/mplacement ❑Other: egiii.pment,materials,labor,overhead,and the profit for the CA'T!C'ARY OF COMMUC IMI wait indicated on ibis application. _- "_-- - Valuation: S ❑ I-and 2-family dwelling Commerciat/industrial C]Accessory building — ❑Multi-family Number of bedrooms ❑Master builder -- ❑Oti mr: Number of bathrooms: Job BfTB WFORMA'TWX ANO LMA 97A Total number of floors: Job site saltie s: (��Irj' s(,V If w ly/ Y KOC. ,y-. New dwelling area: square feet city/State z111: ;G (� ? d, ,� JCLT rt area: squire feet Suitrlbld�,lapt_no� Project name_ 1 Covered porch area: square feet Cross street/directions to job site: TAV,,.w 0"(0 l�/E bT ro Deck Gree: square feet s�'? Som T v Wgs�eNi� SG•� d'e+r � r,�tir tither stroea,re area: square feet ;W j;kS-n4, 5,11- N6%-r f Subdivision: — — Lot no.: s Permit fees*an based on the value of the work performed. Tax map/pamei no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 090CRU TIMI or Wolff work indicated on this application. _ Valuation: S dt„k7 1?rr-r (fA%Sn�• !" tJNra.VAT 1&�� s. To — � r1 s�/r3 •� 'E`I.t tTt K rr A 3 f &F'0 Existing hrilding area: square fat NrW -rn4 A(—so 4N rmrt Cow New building arca: square fat L_ 1'�NAbfl` — Number of stories: Name: >�.�,bf i'N r Clea% ��_ Type of caiatruction: Address: d (fr L 01Tt Occupancy 8m4n' IC City/State/ZIP: Ot, N d0) 7 Fxisting: Y Phone:( ) Fax:( ) New: $LAK1dCANT 0,CON"TACi' lI'IUOI!f Business name: �Z NCS. I i SLO C. r All embseton eed id e n th--las ttte required to be Contact name:—�� 7TH w�t' f� licensed with the(Ae,nn CotWfuotlon Contractors Board ��.--- under ORS 701 and may be required to be licensed in the L Address: Q 8 a R �=� s .SiJI rz� a Lit lurisdiction in which work is being performed.If the r applicant is exempt from licensing,the following remons City/State/ZIP: �Tl./4,V h7—Lt:. apply: Phone: ) R'S-7 — �'7 0 Fax::("oj-)02�Z SI 70 JU-mail: --- CONTIIACI'ORDJ� Businesi � V SkT'E� J �I vP l Address: G ! V -- --- IMeme reer tope schesinle. Ci.y,ro atelZ[P: �'G�.t-Lca '9-7--'-1( -- — Fees due upon application Phone:15p3,' _ Fax: ) q Cit �� Amount received - CCB lic.: e;,2 Q.--_— — - - --- Date m4x" ed: Authorized signature: This permit application expires If a permit Is not obtained within ISO days after It has been accepted as complete. print name: Date: LT-7 4 Fee mclhodology set by Tri-County Building Industry Service Board. i VluildinX\Pa Mo\BI1P-Pa nritAppdoc 12Mr 440A613T(11M2A70WW1M) CITY OF TIGARD • BUILDING DIVISION IL PERMIT#: BUP20DI'r00260 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: M20W6 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INFPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 84 SITE ADDRESS: 12655 SW NORTH DAKOI A ST CLASS OF WORK: SUBDIVISION: PP1993-01W LOT#: 001 TYPE OF USE: PROJECT NAME: (3NGULAk MELIM DESCRIPTION: Mrx{ity cell tows, OWNER: RICHARDS, DALE PHONE #: 503-625`6526 CONTRACTOR: OREGON ELECTIC CONSTRUCTION PHONE#: 603-234-9900 Inspection Request Scheduled For: Date: 11/1612005 Pour Time: Code # Inspaction Description Confirm # Contact # Messe 09 2119 sinal insper on 02139601 702-5259444 YY Corrections/Comments/Instructions: 1z Uzi r ' I I, tvLl Q, A a W (- ASS _ [] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED InsP actor. Date: ` ` I PhonA #: (503) 718- • BUILDING PERMIT CITY OF T I GA R D PERMIT#: BUP2004-00174 DEVELOPMENT SERVICES DATE ISSUED: 5/17/2004 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PARCEL: 1S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA,ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIC. RE :SUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: 0 of ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: of AREA SEP. RATED: ;TOR: HT: K GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DIET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 14,000.00 Remarks: Add 2 antennas. Owner: Contractor: HA &R LLC GLOBAL SPECIALTY CONTRACTORS INC 12.655 SW NORTH DAKOTA ST 3220 TERMINAL DRIVE TIGARD, OR 97223 EAGAN,MN 55121 Phone: 503-590.1500 Phone: 651-406••8232 Reg#: LIC 128256 FEES REQUIRED INSPECTIONS Description Date Amount Final Inspection [HUPPLN] Pin Rv 4/19/2004 $115.51 (FLS]FLS Pin Rv 4/19/2004 $71.08 (TAX]R%State Surchar! 517/2004 $14.22 [11111LD]Permit Fee 4/19/2004 $71.08 (addit;-..nal fees not listed here) Total $307.43 s a N This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended !or mars than 180 days. ATTENTION: Oregon law M requires you to follow the rules adopter' by the Oregon Utility Notificatk n Center. Those rules are set forth In OAR �j 952-001-0010 through OAR 952-001-010(l. You may obtain a copy of these rules or direct questions to OUNC by J calling(503)246-6699 or 1-800-332-2344. Issued By: Permittee Signature: Call 639-4175 by 7 p.m.for an Inspection the next business day ��GS3 f J,9 {t✓PXI H PA16046 Buildin Permit WnU E Ci of TIMlrovw4r Receives J LOOP Date/B : PermitNo.: �(� "DQ/7 13125 SW Hall blvd.,Tigard,OR 97223 Plan Rede Phone: 503.639.4171 Fax: 503.598. r T�GARD 1960D.-/By `Q OtherPer^at: ��/�O'�YW Inspection Line: 503.639 4175 Date Ready/By Jura 0 See Attached Checklist for Internet: www.ci.tigard.orus 6UILDING DIVISION IJotified/Me J Suppltmestallof^motion l,.. ,tt�' Jn, 1;lJyifELLpYG ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Ind,cate the value(rounded to the nearest dollar)of all ❑Addition/alieratiorl/replacernent 0" tFt equipment,materiels,tabor,overhead,and the profit for the work indicated on this application. Valuation: S ❑ 1-and 2-family dwelling �CommerciaLindustrial ❑Accessory building ❑Multi-family Number of bedrooms El Master builder Other: Number of bath ooms: Total number of floors: lob site address: f a ',f New dwelling area: square feet Cityl.State/ZIP'—' Oaragetcarport arca: square feet Suiten ldg./apt.no.:_ Project name: r no 6Covc•ed porch area: square feet Cross sh`eUdirections to job site:. �r"( - fj �T Deck area: squire feet Other structure area: square feet Subdivision: UCJ Lot no.: Permit fees'are based on the value of the work performed. Tax map/parcel no.: p Ll Q indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: S I AN ITCN. IAS _M EAax �e,��,,,,,,�t�o� Existing building area ��950�quare feet, J �' New building area: square feet Number of stories: PuC\ Nam : t V �� Type of construction: Address: 12-(055 tJ��lt n �- Sr- Occupancy groups: City/State/Z I U L QtV Z, `A M Existing: Phone:1503)S ( Fax:( ) New: Business name �' ... � ". •,. ---_— l E'N_l ilric& All contractors and subcontractors are required to be Contact name:Co Di 5 �� I ) licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the d Address: c` jurisdiction in which work is being performed.If the City/State/ZIP T& a^1 I.-., `l ZQ' applicant is exempt from licensing,the following reasons Phone: 31�i - 39 5 Fax: : -7• -10 J E-mail: , WBusiness name: J Address: - -- 'ZIP: - Please refer to fee schedule. Cityress: ( ) ( ) Fees due upon application Phone Fax: CCB lie.: Amount received 1 -- Date received: Authorized signature: This permit application expires Ifit permit Is not obtalned within 111th days after it has been accepted as complete. Pont name Dl Q��: ` I�ZA Deter Fee methodology set by Tri-County Building Industry Senice Board. i lBuildin&_.dgtBUP-?errn tApp doc 12/03 440-4613T(11/02/COWWEB) Building Division Plan Submittal Requirement Matrix Commercial& Multi-Family- New, Additions or Alterations _CLtE of Tigard Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing(site utilities) 2 Building 1 Fire Protection System 3** i Mechanical 2 Plumbing(building fi :tures) 2 Electrical 2 IL Plan review is dependent upon submittal of a completed application and plans. After plan review Approval, the Plans Examiner will contact the applicant to request m additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire &Rescue) J * For over-the-counter commercial tenant improvements,submit L sets of plans. ** "New" fire protection systems require Haat plans bear the orif,inal seal of an Oregon licensed fire suppression engineer,or NICET level "3" '.echnicians. i:\Building\Forrrn\COM-P1anSubReq.doc 12/24/03 CITY OF TIGARD 14-Hour BUILDING � Inspection Llhe: (503)6314176 ® T INSPECTION DIVISION Business Lini: (503)639.4171 oo P y�O 7 Received �Q Date Requested J G� AM PM_ d:P Location __ 0zZ�D J /� Suite MEC _ Contact Person - 2�_ Ph AeG PLM Contractor Y Ph _ SWR L!� Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Prat&Beam _ Sneer Anchors Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation Drywall Nailing Firewall � � 00 L Fire Sprinkler i V Fire Alarm Susp'd Ceiling —-- OP 7 PASS ��Rff!rTFFAIL ---- -T PLUMB P:;st&Beam Under Slab Rough-In Water Service — Sanitary Sewer Rain Drains ---- Catch Basin/Manhole ! � Storm Drain - Shower Fan Other: -- Final AJOW 10 PASS PART FAIL — — MECHANICAL Post A Beam Rough-in d _ IL Gas Ling M Smoke Dampers — Final N PASS PART FAIL ---- ELECTRICAL Service �- Rough-;n UG/Slab JLow`/oltage —_ T Fire Alarm Final Reins tion fee of$_� Inspection. Pay City Hall, 13125 SW Hall Blvd. PASS PART FAIL required before next in n. at SITE ❑ Please call for reinspection RE:_—_ Unebw to Inspect—no ac dip Fire Supply Line / ADA 01�/�( �� Other:Approch/Sidewalk pi b / -�-. � Other: Fin►.] DC NOT RE 1 thins I"Ptscam m00how so deb 2M. PLASS PAM FAIL CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUIED: 5/17200,400288 13125 SW Hall Blvd..Tinard,OR 97223 (503)639-4171 PARCEL: 1S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST ZONING: C-P SUBDIVISION: PP1993-058 BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Changing 100 L.np breaker panel to 200 amp(has 200 amp to transfer sw) RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IkRIGATION: EACH ADD'I_500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENEP,GY: 401 - 800 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR L ABEL (10): SERVICE/FEEDER !RANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR rDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amplvolt: >R4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>-225 AMPS: CLASS AI1EA/SPEC OCC: Owner: Contractor: HA&R LLC GLOBAL SPECIALTY 12655 SW NORTH DAKOTA ST 3220 TERMINAL DRIVE TIGARD,OR 97223 EAGAN,MN 551'L' Phone: 503-590-1500 Phone: 651-406-8232 Reg S: ELF.. 37-7940 SUP 44565 FEES _ LIC. 12F,26 Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/17/2004 $106.90 _ [TAX]8%State Surcharge 5/17/2004 $8.55 Elect'I Service Elect'1 Final Total $115.45 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and as other applicable lads All work will be done in accordance with 9N,oved plans This permit will expire if work is nM started within 180 d,.ys of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thosc :ules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain ropies of these rules m direct questions to OUNC at(503) 246-66699 or 1-8nO-332-2344. a Issued By: ��. r�� , _ Permit Signature: _ N u OWNER INS rALLATION ONLY The installation is being made on property I own which is not intended for sale, !ease, or rent. m OWNER'S SIGNATURE: _ — DATE: W r CO TRACT IN ALLATION ONLY SIGNATURE OF SUPR. ELEC'N: "-� DATE: LICENSE NO: /S(o 5 Call 639.4175 by 7:OOpm for an inspection the next business day Electrical Permi db City of Tigard p Permt No ��,v? 13125 SW Hall Blvd,Tigard,OR 47213 A0µ Plan ReviewW Phone: 503.639.4171 Fax 503.548:1'960 Date/By: Other Permit: -� /-f Inspection[.me: 503.639.4175 Dale Read/B h r;. d Pae 2 or L rx i;ITY OI i I(i/�HU Ready/By: s Internet: www.ci tigarc[.or.us apn qq � NMificd/Method: S�appkrneaul Information _ ❑New construction ®Addition/aheration/replacerncnl Please check all that apply. ❑Demolition ❑Other: ❑Service over 225 amps,comm'I ❑Narardous location {]Service over 320 argpa-rating ❑Buildng over 10,000 sq.R., C of I-and 2-fantily dwellings 4 or more new residential ❑ I-and 2-flimily dwelling QR Commercial/industrial ❑Accessory building ❑Syster.i over 600 volts nominal units in one structure ❑Multi-family Master builder ❑Other. ❑Building over three stories ❑Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or 1 ❑Egress/lighting plan RV park ❑1#ealth-cart facility ❑Other: J0 b no.: Job site address: �,2,(isS Sv. r b�9 to rA -------_-___� -� ^ Submit_L sets of plans with any of the above. City/State/ZIP: Y d i Q The above are not applicable to temporary construction service Suite/bldg./apt.no.: Project name: 44 f S //S G O Dwrtption Qtr" I Pa. Aut •• Cross street/directions to job site:.S //s New residential tingle-or mull[-family dwelling unit. E. r c 1,a_ yr I 4Includes attached prage. Rid, �,1V /L'S �� C n/ (fir /3 1,000 sq.R.or less 145.15 4 Subdivision: J Lot no.: Es.add'l 500 sq.(l.or portion 33.40 1 a• fyy1d Lmitedenergy,residential - 75.00 2 Tax map/parcel no.: /-n Im o R A 3 ' Limited energy,non-residential _ 75.00 '~ 2 ( "i'' h' Each manufactured or modular // � ,,// dwelling,service and/or feeder 90.90 2 C dN 1 N 100A U✓!AF e" AN(/ �O ZGV A to't' Services or feeders Installation,alteration,and/-3r relocallon Z 0 0,0 f o ;0-sr f %S t e✓ S K/ 200 amps or leu / 80.30 2- 201 amps to•s9 amps 106.95 2 401 amps to 600 amps _ 160.60 2 Nam-: __ 601 amps to 1,000 amps 240.60 2 Address: Ovr 1,000 amps or volts 434.65 2 Feconnect only _ 66.85 2 City/State/ZIP: 7'tmparary services or feeders Installation,alteration,and/or Phone:( ) TFax:( ) reh cellon 200 gimps or less 66.85 1 Owner installation:This installation is being made on property that I awn which is not 201 amps to 400 strips 100.30 _ 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133 75 2 Owner signature: Date: Branch circuits-new,alteration,(or extension,per panel i A.Fee for branch circuits with service or feeder fee,each Business name: branch circuit 6.65 2 -`- - B Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address:_ Each add'I branch circuit 6.63 2 City/State/ZIP: Miscellaneous(service or feeder not Induded) Phone:( ) Fax:_(J ) -- Pump or irrigation circle 5:.40 2 Sign or outline lighting 53.40 2 E-mail: Signal circuit(s)or limited- y •;• a, i R : t r r: 7 7- a.' ',l;' energy panel,alteration,or extension.Describe: Page 2 2 ,. Bust nessname: G�odgL s�fC,A� Cov7r AcfodS J "c • _ - Address: 31�p Dett;� Each additional inspection over allowable In any of the above S Erb l.v.a _ _ -� �— Per inspection 62.50 ' City/State/ZIP: A A IV . �S(?( Investiystion per hour(t hr min) - 62.50 Phone:((ov ) y04 8Z j Fax:( (os/) y06 82V? Industrial plant per hour 73.75 CCB Lic.: /Z 8Z SG Electrical Lic.: 37- 70 C Supryic.: 't/µ56 S Subtotal Suprv. Electrician signature,required: Plan review(25%otpemtit fee) Print name t0 MA / Date: State surcharge(8%of permit feel S - -- --- TOTAL PERMIT FEE Authorized signature: This permit application expires If a permit Is not ohtalned will Iso -- --- days after It has been accepted as complete Print name: Date: �•Fee methodology set by Tri-County Building Industry Service Board 14.110-1 ,,inspections per permit allowed. I,aulidlnaV'crndu�t+gr� � _ G 0d, - 3 3 - yoo.or �, t't,�a Electrical Permit Application - City of Tigard ' Page 2 -Supplemental Information • LIMITED ENERGY PERMIT FEES: :�► Fee for Iil residential systems combined........ $75.00 Check Type of Work Involved: Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Mars Fee for each commercial system....................... $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ lock Systems ❑ D Telecommunication Installation ❑ Dire rm Install ion \� F-1 HVAC ❑ InstrumeXPagiS ❑ Intezcem ❑ Lardscap ❑ Medical ❑ Nurse Calls \ ❑ Outdoor Landscape Lighting* D ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other Installations v+uib+nykr�sTUC-►«,"rte doc"MI CITY OF TIL _-.RD 24-Horlr BUILDING r Inspection Line: (503)631"175 INSPECTION DIVISION Business Lind: (503)63"171 MST SUP _ Received _ �'P Date Requested_ 2AM-PM 5SUP Location — Suite MEC Contact Person _ _ L Ph(602 32 Z_JZ 4107) PU4 Contractor Ph( ) SWR BUILDING Tenant/Owner A:& v ELC 2,60q__0 Z Footing ��_� ELC Foundation Access: Ftg Drain ELR — Crawl Drain Slab Inspection i<,otes: SIT — Post&Beam Shear Anchors Ext Sheath/SheR- Int Sheath/Shear Framing — _— Insulation Drywall Nailing — — Firewall Fire Sprinkler A -- Fire Alarm Susp'd Ceiling — Roof Other: Final PASS PART FAIL PLUMBING _ Post&Beam Under Slab _ Rough-In Water Service — - Sanitary Sewer Rain Drains -- Catch Baeln/Manhole Storm Drain Shower Pan Other: — Final PASS PART FAIL — — `— MECHANICAL Post&Beam Rough-In — Gas Line a Smoke Dampers -- -�. Final H PASS PART FAIL N ELECTRICAL Service J Rough-In m UG/Sl*:b wLow Voltage J rm in U Reinspection fee of S— required before nod inspection. Pay at City Hall, 13125 SW Hd Blvd. [�'PASV PART FAIL SITE Please call for reinspection RE: F1 Un Abia to inepaot—no amm Fire Supply Line ADA Approach/Sidewalk 02M — Other: _ ' Final DO NOT REMOVE Vile lm*"fto McWd*60 OW JO aft 1 PASS PART FAIL ITY OF TIGARD 24-Hour �r- BL':LDING Inspection no: (503)63E41175 MST NSPECTION DIVISION Business Ll : (503)530-4171 lta ODI- _ Received o Date Requested '62 54AM---PM OUP Location _ ' Z Z Ynn1) 9.___Suite MEC Contact Person 7 2— cl°C> PLM Contractor Ph SWR �� BUILDING _ TenanVOwner _ E C *"—a2 Footing Foundation ELC CCe88: rain ELR Orcin ab Inspection Notes: SIT Post 8 Beam Shear Anchors -- Ext Sheath/Shear _ Int Sheath/Shear Framing _ •— _— Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — — Roof Other: -' — Final PASS PART FAIL --- -- PLUMBING _ _ — Post 8 Beam Under Stab Rough-In QAa Water Service - — Sanitary Sewer h Rain Drains — `+ Catch Basin/Manhole Storm Drain Shower Pan Other:_ Final PASS PART FAIL MECHANICAL Post 8 Beam Rough-In Gas Line LL Smoke Dampers -- Final PASS PART FAIL ELECTRIRAL _ ► Service Rough-In L� UG/Slab W Low Voltage Fi u��--tt ASS ART FAIL Reinspection fee of S_ required bob next kopectlon. Pay at City Han, 13126 SW Hall Blvd. JTPPlease call for reinspection RE: Unable to inspect—no access Fire Supply Line ADA — Approach/Sidewalk Deft Other: Final DO NOT RWOV'3 010 IInOpAOtles MOAN PASS PART FAIL TRK Engineering Ltd. Suite 201, 17688—66th Ave. Surrey, BC V3S 7X1 (604) 574-6432 Fax (604) 574.6431 fttN�GERING e-mail: mailMrkeng-com March 19.2004 AT&T WIRr LESS SERVICES ` 850 MHz GSM 100%Overlay Project 2729 Prospect Park Drive, Suite 200 Rancho Cordova,CA 95670 Re: PTLDORPR77 125'"& Scbolb,Structural Analysis of k1kting 55' on000le We are pleased to submit our report for the structural analysis of the above referenced Monopole. The 55' Monopole has been analyzed as per the required wind speed and antenna configuration below. Based on a review of the analysis results,the 55' Monopole 2v111 conform to the TiA/EIA-222-F Standard for the loading considered. Existing Antennas. Elev. Antenna Mount TX Line Carrier Comments 53' 2 All on 7920 Flush Mount 8 7/8" AWS _ 41' 1 GPS Standoff Mount M-1/2" AWS 41' 1 LMU Standoff Mount _ 1 1/2" AWS Proposed Additional Antennas; Eley_. _ Artenna Mount TX Line Carrier Comments 45' (2) Kathrein AP14/17- Flush Mount (4) 7/8" AWS 880/1940/065D/ADT/XXP _I— Should you have any questions or wish to discuss any aspect of this report, please contact the undersigned. Regards. TRK Engineering Ltd. to PR IL a+� '= 71343PE N � Ord! N � [� — Tt 17t Fabw Manarin, PES U1 V,, D W Oregon PE Reg.No. 7134PE - ota� ,► AP?: �a 2UCty cl ry OF � r/c,A�3 �lc DrN�D/Vls °fc)N .t r a fD I TY F T I GA R D ELECTRICAL PERMIT00 PERMIT 0: ELC2004-082 [3EVEL MENT SERVICES DATE ISSUED: 2/23/04 13125 SW Hall Blvd.,Tigard, OR 972,23 1503)639.4171 PARCEL: 1 S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-056 ZONING: C-P BLOCK: LOT: 001 JURISDICTIOM: TIG Project Description: Job#3021-10 (1)sign lighting. RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >s4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>■225 AMPS: CLASS AREA/8 PEC UCC: Owner: Contractor: MEADOWS GROUP, GREENWAY ELECTRIC COMPANY 12655 SW NORTH DAKOTA 15145 SW GULL DR TIGARD,OR 97214 BEAVERTON, OR 97007 Phone: Phone: 503-579-8054 Reg 0: LIC 153421 ELF 34-617C FEES SUP 50255 Description Date Amount Required Inspections [F.I.PRMT]ELC Permit 2/23/04 $53.40 I I'AX)8%State Surcharge 2/21/04 $4,27 Rough-In Elect'I Final Total $57.67 This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR. Sfxsdalty Codes and all other applicable awa. All work will be done in accordance with approved plans. This permit will expire it work is not started within 180 days of issuance,or I work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. "hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain oopisa of these rules or direct questions to OUNC at(503) 2468699 or 1-600-33 44. C ��/ s Permit Signature: Issued By: -_C N OWNER INSTALLATION un1LY _ The installstlon is being made on property I own which is not intended for sale, lease, or rent. m gj OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N. DATE: LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next business;day 02/18/2004 15:51 FAX 6035788056 ,1&002/002 ElectykWPe"A*�_PllQ Chy of Tigard baa: 13123 9W Hall 91223 _ W OINK l Phaot: (303)6394 oab iseraat ]ty. Fax: (,503) 398-19 1l C�IUD am: r,uumst Vim LAnd or+e approval: _ T l61 U� aooessory ling or —..�. O�-�y Il Tenant i ' AddiN O Other: 0 Prttla) I Job.m�..: 1?655 SW Norah Dakota Sussala.: Pad Lot: �6 to no.: Block Subdivision: T=magllelt Iotlao0__ no.. --_---�____-- Pkied"'°" idpws n 4xmhm of walk m peonies;ln@W 0 Nor NM Slm Riw ted,we of ba,o I aNe 3021-1Q_ now: Ism MI Addlle.a:ts144 sw Md or. I R t� City:sa mko Stft:OR li.alaaird�ia Mme:6 tn"m Fax: F mail: 101A a.w baw F4 CrB no.:1- 21 Elcr_bus,lk,no:34.4 7b ► dtYlnaat lila a ar *101"t6a n0.:7470 Iiaaad ,bdiaid 2 WA 1 Lisaaa�w"Mm 1 [carr+aaaabalbd Voe 4rilar fwa0� atacadei�( auvkareaaaaatAar AaAar 1 "� J111raatV tiaMartiaMa-laa�attaa, 1W f lana � Name 201 b 400 amp 2 Mailiaag Ilddlnp: - - / 401 b iW 2 401 b 1000 aaa L_ 1 City: Q state: 3 Oqr Ia10 ar veb 1 Otrnlr awlYtion:'[be iosWlatiort is bring made oo I ?ie�asar7aaniwaaraaaat.ea- 1 which is net kdmded for smK lease,rent,at exdtrage to t"0i�'ww��a••ianl..e ORS 447,455,479,670,701. j 1W mpar lea 1 Owna'a 201 aeMa b Mvt 1 ' M11WMA&MIlbb 400 2 'fie , Name: T i raabukuNry.�ls A.Fie Ox I - chafe d0 pg*"a[ Address: A. at Aamw a &bMIA e[eni 2 stale• Z1P A. no ea laaatl dmwm.rw pr&m Phone: Fax E-ma.0: I army ar 11.1. "- MA cion! 2 0s..k.arfaiar�'�dsAeA} 7-1 O SWA*ever 223 mrpKwmurdm O"ma'am hdit 6ad1 aln�s aic 1 O Sw4m ever 310 awaao ft of 1M2 O Hmaiara bcatfoa I Bet+ ar teniae 4 2 be* ❑ft"aft eats 10AW 4me I we bw Q >>VW daoadl(a)or a IIid aaaaap FAA O Syfte am 600 v0%aanaaI ansa ren&mk*vl aria 1A bee or aadodse 1 O obawbe ow Awa*win O Feedtra,MIO sop ar" O OcnMaart bad 0.Q 99 pamm O mmadmw O F�ea�Balaiaa P� ❑OdYr: -- - !Ir •� lia�lt,_sola of fists Tab s4 0968 a" on 311e arwat are est aMtstils N 4asl�anq earabeaelMsY Olrr r+a a 1v.a�•+am.M..aa�+Mr er1}tiial�aer ansa N lee: 7fis pasit q*uc tlas P+sAetit line.................».! tt►w m via O 1falaaClrA a Am if a pamah so is sabhiasd Phm:cview(«_ %)_ a,ew,fta,e,s1., 4856104 0624,421 c"... w a. �180 eyn atlor it 11n bammhwp(8%) r �041-m ffj i ao40%to CITY O F T I G A R D ELECTRICAL PERMIT DEVELOPMENT :SERVICES DATE ISSUED: 01-00338 7 00 13125 SW Hall Blvd.,Tinard,OR 97223 (503)639.4'j71 PARCEL: 1S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Prolec+iiw%cription: Addition of 6 branch circuits. _ R:S IDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 St- OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: 6iGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC CR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PI ANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+amp/volt: »4 RES UNITS: >600 VOLT NOMINAL: only: CLASS AREAISPEC OCC`, Owner: Contractor. RICHARDS, M DALE + ENCOMPASS ELECTRICAL TECH ADAMS, HEATHER + 7379 SW TECH CENTER DR HOUSE,MICHAEL DRAMMY L PORTLAND,OR 97223 11GARD, OR 97223 Phone: Phone: 503-684-3600 Reg#: LIC 52286 ELE 34-247C SUP 38638 FEES Required Ins ons Type By Date Amount Receipt Ceiling Cover PRMT CTR 6/27/01 $80.10 2720010000( Wall Cover Elect'I Final 5PCT CTR 6/27/01 $6.412720010000( Total ;86,51 This Permit Is Issued subject to the regulations contained in the Tigaid Municipal Code,State of OR. Specialty Codes and all other applicable laws. AN wodc will be done in accordance with approved plans. This permit will wors if worts is not started within 180 days of Issuance,or Nwoi' is suspended for moR than t80 days. ATTENTION: Oregor hw requires you to follow rues adopted by the Oregon Utility Notification CenW. Those a rubs am set forth In OAR 952-001-0010 through OAR 952.001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246.6699 or 1-800-'332-2344. Permit Signature: /f Issued By: ■ OWNER INSTALLATION ONLY The Installation is being made on property I own which is not Intended for sale, lease,or rent. OWNER'S SIGNATURE: DATE- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EI.c.C'N: DATE: LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next business day Electrical Permit Application Date received:"7/0Prxmit ta.:E� ZOo!—DO 3 City Of erleara Project/app1.w3 Eigire date: City of7;gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receipt no.: Phone: (503) 6394171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: ltalism ❑ I k 2 family dwelling or accessory -1 ommcmial/industrialrk Q Multi-family Cl Tenant improvement ❑New construction O Addition/alteratit-n/replacement O Other. O Partial Job address: Bldg.no.: Suite no.: ITax mapttax lot/nccount no.: Lot: Block: Subdivision: Project name: Dcbe ir':un s.ld location of work on premises: AXXzV Estimated date of com letion/ins tion: %p- L Job oa: � Most4a. row M. Business name: � W Address: dstsrgsstlt tisrctudasattsebedg�rrrge City: Ve4.,q State(i ZIP: ��7�Z ServkeYasr.ie! Phone: _ W� Fax:(,Q E-mail: 1000 .ft.or less 4 Fich additional SW sq.fL or portion dwwf C_CB no.:CG7UL g$ Elec.bus.lie.no: -C, _ Urretedoespelly.midentiall 2 City/metro ic.no.: Urnited ,non-residintial 2 Each manahetured home or modular dwelling lure of ervisin electrician(required) Dae O Service Nuft feeder Si 2 -:319N.-If Sup.elect.na (print). rtA V a.L Peft Ucemetsar esrdoa—lastallatlon, me aMaratloa ar relocation: 200 or less 2 Name(print): -- 201 to 400 2 401 s to 600 Mailing address: _ 601 ams to 1000 amps 2 City: tate: ZIP: Over 1000 amps or volts 2 Phone: —,Fax: E-mail: Rexnnatonl 1 Owner installation:The installation is being made on property I own Terepnryaaerstlarteerlas- _ which is not intended for sale,lease,rent,er exchange^ccording to 200!huftlstlaa,allsration,orrslaeatloa 200 tx Na 2 ORS 437,455,479,670,701. 201 mWe to 2 Owner's si nature: Date: _ 401 to 600 2 artanch ch cults-new,stilernian. or extension per panel: Name: A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: State: ZIP: _— B. Fee for branch circuits without purchase L Phone: Fax: E-mail: T of service or feeder foe,first branch circuit 2 FJch edditlonal branch circuit•. Misc.(Service er feeder not Istcloded): O Service over 225 amp,-commercial O Health-carefocility Each pump or irri ationcircle 2 O Service over 320 amps-rating of 1&2 O Hazardous location Each sip or outline fighting 2 ~ familydwellings O Building over 10,0()0 square feet four or Signal circuit(n)or a limited energy panel. O System over 600 volts nominal moa residential units in one structure alteration,or extension* 2 S O Building over throe stories 0 Feeders.400 amps or more •Descri tion: ' O Occupant load over 99 persons O Manufactured structures or RV park Hebb addBlaaal bapedlea ever the allowable In my etf Ase arover B O Egress/lightingplan O Other. Perim Sobtalt-_sets of pbms with any of lbe above. InvaUgation fee The abote are not applicable to tetapoiary conoxectlon aarke. I Other Not d1 jurladi Offs accept credit Cw&,plem call judedictim for mac idurmadon. Notice:This permit application Permit fee.....................$ C ❑Visa O MasterCard expires if a permit is not obtained PIM review(at _ %) $ Credit card number:_ _ ! / within 190 days after it has been State surcharge(8%)....$ _ Expires accepted as complete. TOTAL .........I............. Name of cardholder as own on cralit crd--- $ Cwdbolder signature Anuses! 440-4613(6WCOM) ta* RMIT- CITY OF TIGARD RESTELECRICTEDICAL NEkU RESTRICTED ENEicciY DEVELOPMENT SERVI E"S PERMIT N: ELR2001-00178 13125 SW Hall Blvd.,Tigard,OR 97123 (503)639-4171 DATE ISSUED: 6/27/01 SITE ADDRESS: 12655 SW NORTH DAKO TA ST PARCEL: 1 S134BC-00700 SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Restricted energy for HVAC A.RESIDENTIAL _ B.COMMERCIAL AUDIO a STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK- MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER- HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL Owner: Contractor: RICHARDS,M DALE + PERFECT CLIMATE ADAMS, HEATHER + PO BOX 3176 HOUSE,MICHAEL D/TAMMY L GRESHAM, OR 97030 TIGARD, OR 97223 Phone: Phone: 503-491-4849 Reg#: ELE 768U IR LIC 118424 FEES Required Ins ctlons Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 6/27/01 $75.00 .720010000 Elect'I Final 5PCT CTR 6/27/01 $6.00 8:720010000 Total *^91.00 L This Permi, is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of issuance, or If work is suspended for more than 180 days. ATTENTION: Oregon law IL requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questons to OUNC at(503) U) 246-1987. r Issued by Permittee Signatur m OWNER INSTALLATION ONLY The Installation Is being made on property I own which Is not Intended for sale. lease,or rant. #vrnER'S SIGNATURE: DATE: CONTRACTOR INnTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: Call 6394175 by 7:00 P.M.for an inspection needed the next business day Electir.ical PermitApplication �� Detere Lived:G o✓ Permit no.: AW.,00tQ Cary of Tigard /G Project appl.no.: Expire date: City ofTigard Address: 11125 SW Hall Blvd,Tigard,OR 97223 Dateisttied: By: Rc-seiptno.: Mione: (503a 639-4171 - Fax: (503) 598-1950 Cnse filc no.. Payment type: Land use approval: louslaills �. U I &2 faunily dwelling or acceshory Commercial/industrial L Multi-family U Tenant improvement U New construction O Addition/alterntion/rrplace►nent L Other:__ O Partial Joh address; 5 �norwi.:no.: Tax ma tax lot/account no,: Lot: Block; Subdivision: _ Project name: Description and location of work on pre vises: Estimated date of coin Iction/ins action: Job bot Fee fNa Business name: } ��[. � DoaeH tMa 4 71sUt1 M.be Address: � r abtglsW;;I tau pt dtrelgrtgttttrM I@chriaMdebdgar@ga City: state ZIP: 'y 8Wdtsbseltalath Phone: LweUMMA Fax: E-mail: 1000- .ft o.lea t Each additic r at 500 sq.floor portion thereof CCB no-: r/,r Elec.bus.1 c.no: `769Lye 11mited enerl y,residoWd 2 c.no.: Limited City/metro ti _ _ anal y,noa-reaWanlid 2 Hach manuf :tured horst or modular dvviling +` ature u ervtsin electrician seised Dote Servicesnd/crheder 2 Sup,eled,name(print): License noj 8ervlcaarg —bM@1 Is@, sheri lion or relocatlow 200 s or less 2 Name(print): 201 amps to 100 amp! _ 2 ami!to 100 2 Mallin address: 601 ams to 1000 amps `- 2 City: State: I ZIP: _ n erl00Ban orvolt! 2 Phone: Fax; E.-maul: Reconnect oni t (honer installation:The installation is being made on property I owa Tempormyaxrkesorkekn- which is not intended for sale,lease,rent.or exchange according to Inns;*'= %.lib tlea: URS 447.455,479,670,701. 200 amps or 1 ea 2 101 snips to,W.Anilm 2 Owner'% %i nature: Date: 401 to 600 ant , 2 Rt ars A etret ilo-sew,altarttlsia, nr extenden pr paelt Nance' _ A Fee for hr inch circuits with purchase of Address: _ _ service orfeederfee,each branch cirmit City: Stat 7.IP: 0. Pee for M inch circuits without purchase a Phone: Fax: E-mail: of service or feeder fee,first branch circuit: 2 (� Each addition at branch circuit: � � ba.(5krr6 xe a+r tial �: U Service over 225 amps-commercial U Health-ca efacility Each pump o initiation dtde 2 U Service over 320 amps rating of 1&2 U Hvardous location Each sign or a whine lighting 2 family dwellings 0 Building over 10.000 square feet four or Signal cirmil:%)or a limited energy panel, U System over 600 volt-nominal more residential tnin in one structure altersdon or mtemio 2 U Building over three stories U Peeders,400 amps or more epri U Fares occupant load over 99 persons 0 Manufactured str@etttres or RV park Egressll O ightingplan ❑other: -- FAch addillor1 bwp dm over Ow sty of lie @bores JJJ Perimiptictiou Saba k_nets of plow whb any of the shove. Investigation ree 7Ue above are not applienbie to temporary costrtrectles serrke, outer Not all iuris4clirmr accen credit cards,filw call irrl4ctinn for mare infrwerslon. Notice:This permit apple cation Per:dt fee.....................$ u visa U Mastercard expires if a permit is not obtained Plat review(at %) $ within IRs)days after it has been ug ( _ -_�-- � Slaf: SUr'Ch a A%)..,.s accepted , - —- -- es axlmplefe. TJ►i rU, .......................$ _ � Name of cardlrnlder ax Shawn rm crrd t card Cardholder dgnaturo _- Araeaot 4401614(MMY(Y)I4) loom allVDII df) A,6IJ 0951 log £09 %Val W11 Mil 10/90/90 ELECTRICAL PERMIT CITY OF TIGARD PERMIT 0: ELC2001-00326 DEVELOPMENT SERVICES DATE ISSUED: 06/21/2001 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PARCEL: 1S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Prolect Description: Installation of(6)branch circuits. Job#8160 RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANE^"Q 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: "4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CL6§SAREA1SPEC Owner: Contractor: RICHARDS, M DALE + PHOENIX ELECTRIC CO ADAMS, HEATHER + DBA/ENCOMPASS ELECTRICAL TECH HOUSL;MICHAEL D/TAMMY L 7379 SW TECH CENTER DRIVE TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 684-3600 Reg 9: LIC 00052288 SUP 4140S ELE 34-247C —" FEES Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 06/21/2001 $80.10 2720010000( 5PCT CTR 06/21/2001 $6.40 2720010000( Total $86.50 This Permit Is issued subject to the regulations contained in the Tigan Municipal Code,State of OR. Specialty Codes and all other applceNe Ism. All work wit be done In accordance with approved plans. This permit will wore if work is not started within 180 days of issuance,or M work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rubs adopted by the Oregon Utility Notification Center. Those rubs are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246.8699 or 1-800-332-2344. j' Permit Signature: � Issued By: OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale, lease,or rent. OWNER'S SIGNATURE: DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � ) �.,'_,�Ll -e c » > DATE- LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit AppHca#w D.teraoei�rod:� Permit no _raQ3J City of Tigard I 1 Project/appl.no.: Expire date: Ciryof7igord Address: 13125 SW Hall Blv"ge,,GN�223 Date issued: By _- Redxiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960Caael;leno.: Payment type: COMMunI1V ukvkLUPMENT Land use approval: O 1 &2 family dwelling or accessorymmercial/industrial la Multi-family U Tenant improvement C3New construction tAddition/altemlion/replacement 17 Other. Q Partial fell 1111A Job address: Bldg.no.: Suite no.: Tax to tax lot/account no.: Lot: I Block: — Subdivision: Project name Descri 'on and location of w,nc on premises: /►CL1ST1t�lt� 6111 Estimated date of com letion/ins tion: JA% - Job no: BAkO ) I u k pbe g Business name: �� as T@W sicLfG�LIL� New ierdneW-dn&ormuld-iodlyp r Address: S�j, d"Gologunk lueywasaftnebwBMW City: ypp.q State ZIP: 'j Sao* 40 _ I000 .it or less ,, yt�,p FaxE-mail...._-_.___ 4 G Each additional 500 .It or on thereof CCB no.: Elec.bus,lie.no: u�ten residential Z City/metro ic.no.: Umited ,non-residential 2 il. Each manufactured home or modular dwelling Si re of superAsing electrician( uired�_ Dae I IServioe andfor leader 2 Sup.elect.name(print): M m/z%&-L P-.,,,L4 I License no:3 &ATIm°r few""-hntallafMM+ altastlba or raloeation: 200 amps or lea 7 Name(print): �pp�, �Yl�o�sA �A5i4l.L�nl� 201 amps to 400 amps 2 Mailing address: �_ W 'col to 2 P 601 amps to 1000 amp 2 City: State: v 7dP_9�. Over 1000 amps orvolts 2 Phone: Fax: Reconnectonly -- l Owner installation:The installation is being made on property i own Temporarysarvloeaorfaeder!t- which is not intended for sale,lease,rent,or exchange according to altersdou, ORS 447,455,479,670,701. 200anspaorbut 1 2 201 amps to 2 Owner's si nature: Date: 401 to 600 amps 2 erwadu -sew,aNeratlae, Name: or extearlott per pad: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for brunch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,tint branch circuit 2 1. E.clr additional brant circuit C Mbe (Service or feeder cot 6rcladedr 7lydllings amps-commercial O Health-carefedlity Each n or irrigation circle 2 amps-rating of 1&2 O Hazardousloc+:ion Bach si or outline li htin 2 O Building over 10,000 square feet four or Signal circuits)or a limited energy panel, vola nominal more residential units in one structure alteration,or extension' 2 S i]Building over three stories 0 Feeders,400 amps or more *Description: ❑Occupant load over 99 persons C5 rvianuiac:!red structures or RV park F1e11 sddlilaasd haspectim ever the allomMe In my of tie dol U D Egresallighting plan !]:111x: Petinspeedon J Submit_sets of plus vdth any of the above. IE,vdxdjxdon fee The above are not applicable to temipontry constrndioo txnice. Other Not all jurisdictions woept aedd cw&.please can jadedkdae for mom Info-nKkw Notice:This permit application Permit fee.....................$ . o visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Crede!card number. / / within 190 days after it has been State surcharge(8%)....$ 8xpims accepted as dr_mp!ete. TOTAi, ......$ Name of cwd!older as shown on cmdil ewd S Cardbolder sit utae Amown 410/615(6100OMM) Electrical Perm,t Feb. Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RE:'IDENTIAL ONLY Restricted Energy Fee. ...................................». >tltf.00 _ Number of Inspectionsper parnift allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of work Involved: Residential.per unit 1000 sq.R or less $145.15 4 ❑ Audio and Stereo Byawna !ach additional 500 sq.R.or portlpr arared $33.40 1 ❑ Burglar Alamr UmIled Eirergy $75.00 Each Mawl`0 Home or Modular ❑ Garage Door Opener' Dwelling larvloe or Feeder $90.90 9 Services or Foede; ❑ Heating,VentliaUon and Air Conditioning SysloW i InstaMatbn,&$%.radon,or relocation 200 amps or less 2 ❑ Vacuum Systema' 201 amps to 400 amps _ $106.65 _ 2 01 amps 1600 amps $160.80 2 Othermps 10 1000 amps $240.60 2 Over amps or volts $454.55 2 • . or4y $86.65 2 Temporary or Feeds; TYP F WORK INVOLVED"COMMERCIAL ONLY Installation,alts or reloatlon 200 amps or leas $86.65 2 Fee each system..... ................................................. a1g.00 201 amps to 400 am $100.30 2 (S O aeo"t"above. AR 016-260-26..0) . 401 amps to am amps $133.75 2 over SW anv+c v 1000:_.. Type Of Work Involved: ❑ Amish Circuits Audio and Stereo Systems-- Now,alteration or extension per panel ❑ Boller Control a)The fee for branch circults wfth purchase of service or ❑ heder he. Clock Systems Each branch ckcuft $6.65— 2 b)The fee for branch circults ❑ Data Telecommunication InstaNatlon without purchase of service or f"der f & Fire Alarm Installation First branch ckcult $46.66 Each additional branch circult $6.65 ❑ Miscellaneous (Service or beft not Instrerrnentatlon Each pump or Irrigation drele $53.40 ❑ Each sign or o6dhe"ft $53,, — ❑ Intercom and Paging 8yaWM Signal circult(s)or a limited energy / penal,alteration or extension 7L,00 MIrror labels(10) $125.00 ❑ Landscape Irrigation Control' Each additional Inspection over ❑ Medial the allowable In any of the abov Per Inspedbn $62.50 [:] luras Call Per hour $62.50 In Plant _ $73.75 ❑ Outdoor Lartdsape Llghtlrtg' Fees: ❑ Pie Signaling Enter total of above hes $ other 6%State surcharge $ _Number of Systems 25%Plug Review Foe See'Plan RevW section on $ • No titx+rnes a;requited. Licenses am reignited for s4 otter Ir»telleft a m front of application. — aW Total Balance Due $ Fees: J Enter total of above tees = ❑ Trust Lccount N. 8%state Surcharge '. Total Balance Due i:\dsb\fornu\etc-fees.doc 701091/00 y- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 . SUP Date Requested V- 70 AM ✓PM Location / ZAP S�r Sc✓ BLD �O�Y ��i Suite MEC Contact Person 4>J «/l!34 Ph 5"111/-41 PLM Contractor Ph SWR BUILDING Tenant/Owner ELCr/�GG Retaining Wall ELR Footing Access: Jf S� Foundation F Fig Drain Crawl Drain Inspection Notes:. ON Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler ,. Fire Alarm Susp'd Ceiling Roof Misc: Final I PASS PART FAIL PLUMON 117 7%1 01 Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANMU Pos;&Beam Rough In Gas Line Smoke Dampers Final PASI ART FAIL 4. Service Rough In UG/Slab _ Low Voltage Fire Alarm final iib PART FAIL J TRY- Backfill/Grading Sanitary Sewer Storm Drain [ I 1-Ir inspet-tion fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: Unable to Inspect-no access ADA Approach/Sidewalk Other Date _ Inspector 11 Ext Final PASS PART FAIL DO NOT REMOVE this llfl1s1w*t1on em 11tthe fob W& CITY OF T I C A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC2001-00231 13125 SW Hall Blvd.,Tigard,OR 972.23 (803)639-4171 DATE ISSUED: 6/26/01 PARCEL: 1 S 134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT:001 JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ H0003: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: GAS 3 - 18 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FUR.N<100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN>-100K BTU: <-10000 dm: GAS OUTLETS: I > 10000 drn: Remarks: Mechanical tenant improvement. Owngr:, FEES RICHARDS, M DALE + Type By Date Amount Receipt ADAMS,HEATHER + PRMT CTR 6/26/01 $72.50 2720010000 HOUSE,MICHAEL D�IAMMI L PLCK CTR 6/26/01 $18.13 272001000 TIGARD, OR 97223 5PCT CTR 6/26/01 $5.80 272001000 Phone: now Total $96.43 Contractor: PERFECT CLIMATE INC FD BOX 3176 GRESHAM, OR 97030 REQUIRED INSPECTIONS Gas Lino Insp Phone:503-695-3203 Mechanical Insp Rag A:LIC 118424 Duct Inspection Final Inspection Q al W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All ork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adapted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 2§2-00A=0080 You may obtain of these rules or direct questions to OUNC b . Issue By: Permittee Sign all(503)639.4175 by 7:00 P.M.for Inspections ed the next business day r ' • Mechanical Permit Application ..,a Datereceved:1, AV D/ Pel noJ*CAW/-ao,25/ City of Tiga u Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 �O� Case file no.: Payment type: / � Building permit ro.: Land use approval: U 1 A 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U Nt w construction U Addition/altemtict✓replatxntent U Other: Job address: �rcJ ��//1 Indicate equipment quantities in boxes below.Indicate the dollar Bldg.address: no. Suite no.: value of all mechanical materials,equipment,labor,oved lead, rroftt.Value S Tax map/tax lot/account no.: -�Subdivision: *See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: City/county: ZIP: Description and location of work on premises:_T.�_ Fee(en.) TOW - ReLefty Recaiih Eat.date of completion/inspection: Tenant improvement or change of use: Air handlin unit CFM Is existing space heated or conditioned?U Yes U No Air conditioning ate Clan required) Is existing space insulated?U Yes U No Alterationo existing H v AS system m er compressors 1111111011 Kill I 8809=� State boiler permit no.: Business name: HP Tons BTU/H Address: l _ t smo a amper uc• m so a electors City: Staten•^ ZIP:CI 9U eat pun (sit oas top ace urnrnr et Phone: -�TJ1R- v Fax: te l' Inclusio ductwork/vent liner U Yes U No CCB no.: lnsta rn ovateheat—ers-suspended, Cily/metro lic.no.: 4V�7 wall,or floor mounted Vent or appliance MiirWan furnace Name(please print): Absorption units BTU/H / Chillers_ _ HP Name. ' sacra tip Address: /j (oNil teul . City: ,( ,v. State '/ ZIP: Q)U 30 A liancevent Phone: _ fl i Fax: y - &! E-mail: erex rauat s,'•ype tea. tc smut hood fire suppression system Name: (�/ (,v vc Exhaust fan with single duct(bath fans) aunt system art m n or AC a Mailing address: 1r— Sw N� < up to outlets) F City: State:n'.^ ZIP:�) 1�3 T LPG NO Oil V. Phone:!01 -L ei�b Fax' / E-mail 'piping e. ton over outlets � pW"(schematic requireal _ Number of outlets J Name: °r m Address: Decorative fi lace 0 ZIP: nsert-type J City: Email tov etatove _ Phone: Fax: Other: 1E Applicant's signatu - Date-. , r Name(print): Permit fee.....................$ Na an)ori%dicdau cRdlt please call odwic"M far 1101 rnrORn'"O" Notice:This permit application Minimum fee................$ _ V+sa U.AasterCard expires if a permit is not obtained Plan review(at — %) $ _ I Cndit cad numbs tcplte+ within Igo days after it has been State surcharge(11%)....$ eardW&r as an cledil c = armpted as complete. TOTAL .......................$ . A�aM J 4141617(60R 0t0111 . r MECHANICAL PERMIT FEES - COMMERCIAL FE SCHEDULE: 1 &2 FAMILY DWELLING FEr:SCHEDULE: Price Total TOTAL VALUATION: FEE: Table Code Coy (Ea) Amt 1.0010$5 000.00 Minimum fee 472.50 1) Furnace b 190.000 BTU 55,001.00 t( 10,000.00 $72.50 for the first$5,000.00 and Indudirg dudS 3 vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 1 ,000 BTU+ fraction thereof ,)and Including Indudl d � 17.40 $10000.00. 3) Floor F $10,001.00 to$25.000.00 148.50 for the& $10,000.00 anr' kKw 14.00 1ng .54 for each additional$100.ri or 4) SuepwxW hater,wall heabr thereof,to and Including or fioor dumaded heater 14.00 $2 000.00. 5) Ven n*r Rde!In appliance permit 125.001.00 to$50,000.00 $37 50 for the first$25,000.00 and 6,80 $1.4 each additional$100.00 or 8) R it units fro ,to and including 12.15 50 150.001.00 and up $742.00 the first$50,000.00 and 91st COW $1.20 for additional$100.00 or F Ilarrla T a ,» fraction - )<3HP;atxt+orb unit 14.00 to 100K BTU ASSUMED VALUATIONS PER APIA CE: 8)3-15 HP;absorb 25.80 Val Total unit 100k to 500k BTU Descri E° Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including unit.5-1 mal BTU 35.00 ducts b vents 10)30-50 •absorb Furnace>100,000 BTU including 1,170 unit 1-1.7'5 mal 13TU �'� duds 8 vents 11)>50HP:absorb •7.20 Floor furnace Ind udi vent 955 unit 2-1.75 mg BTU S Wended heaW,wall heater or 955 12)Air hancift unit 1010,000 CFM finer mounted heater _._ 10.00 Vent not Included In appllcanoe 13)Air hand"unit 10,000 CFM+ permit 17.20 R it units 5 14)Non-port"evaporaM 000ler <3 hp;absorb.anil, 955 10.00 to 100k BTU 1 eM n ownscbd t0 a skgb dud 3-15 hp;abporb.unit, / 1,70G 8'� 101k to 500k BTU 18)V system not Uc*rded In 15.30 hp;absorb•unit 501k to 1 2,310 a e ermit 10.00 n:!!.Fri _ -- 17)Hood a d by mechanlcel ex,must 30-50 t, absorb.unit, 3,400 10.00 14.75 mil.BTU 18)Domestic >50 hp;ataorb.unit, 5,725 17.40 >1.75 mN.BTU 19)Commordal or �?e ktdnerator 09.95 Air handll uinto',0 000 858 Air handlin unit>10 000 chn 1 170 20)Oti>er units,frritrdktg wood Non ble a to ooder _ 858 - - 10.00 _ Vent fan connected to a sl Is duct 448 7.1):ins poW one to four artlets Vent system not Included in 858 6'� appliance rrnit - 22)More than 4�er outlet(each) Hod oserved�mecfianical exhaust 858 I.00 Domestic indneraftx 1,170 Minimum Partttlt Fee 72.50 Ula A ' L Commerclal a Industrial Incinerator 4,590 _ Other unit,including wood stoves. 0%state sureltar'pa Inserts,etc. Gaa piping 1-4 outlets 25%Man Review Fee(of a Each additional outlet i 83 Required for ALL eorrrnerdal pWft WAY 3 TOTAL RESIDENTIAL PERMIT FEE: 0TOTAL COMMERCIAL = 7 VALUATION: Ed Foss: 1. Inspaea0ta outside d oxxi, busks ss haws(minimum chwge-lwo hom) 872.80 par hour. 2. I spacome for which no No is spwatwely krd eeVA (rrrlydomxn charpa*aif how) $72.W par has 3. Admonal plan nNew loquio d by dwj?cv,additions or revWons 10 Ptaa("**Mm dvr-)e-orr►hall how)Ilia 50 Pe-has >abN Canlraebr dollar cemcMlon,squh Ice anal$1-200k am. "Maaklenft AJC regtdras aNa Nae~no plea mot of unit. I:klabVortns�rled►hres.doc 10/11/00 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.4175 Business Liss 6394171 MST SUP _Date Requested o AM PM SLD Location wS Shite MEC _ Contact Person Ph PLM _ Contractor ph SWR BUILDING Tenant/Owner ELC � - 4901 Retaining Wail FLR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SON Slab Post 6 Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinller Fire Alarm Susp'd Ceiling ` Roof Misc: Final PASS PART FAIL Post 3 Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECW.I/ICAL Post a Beam Rough In Gas Line Smoke Dampers Final P FAIL LE a , Fes- Rough In UG/Slab } Low Voltage 5 fire-Alarm �. I m S PART FAIL C7 Back'ii!.'Grading Sanitary Sewer Storm Drain t ?o,mspection fee of Z_ requin�d before next iris Catch Basin — per, Pay at City Hall, 13125 SW Hall Blvd Fire Supply Line ( i Please call for reinspection RE: ( i Unable to inspect-no access ADA AppOther Date Date Inspector Ext Final PASS PART FAIL NOT REMOVE this Inspeadon weld *eM the job aft, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4176 Business Lina: 639-4171 - SUP Date Requested ��S AM PM BLD _ Location �/L- Suite MEC _ Contact Person _ �a,�.... Ph -70-4(37S PLM owy -W,3'�� Contractor Ph BUILDINGTenant/Owner ELC Retaining Wall_ ELR Footing Access: Foundatinn FPB Ftg Drair 80N Crawl Diain Inspection No s: Slab a M BCT Post 6 i3eam Ext Sh asth/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sr,inkler Fire Alarm Susi d Ceiling Roo Mist: — FInnl PASS PART FAIL — — PLUMBIN Post&Beam Under Slab ,o Water Service Sanitary Sewer Rain Drains _ n SS PART FAIL — NICAL Post&Beam —-- Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL IL Service Rough in �— UG/Slab N Low Voltage 5�- Fire Alarm Final _m PASS PART FAIL SITE Backfill/Grading "— Sanitary Sewer Storm Drain [ j Reinspection fee of$_ requhed before next inspection. Pay at City Hall, 13125 SW Heil Blvd Catch Basin Fire Supply Lire [ ]Please call foo reinspection RE: ___ _ ( J Unable to inspect-no access ADA _ Approach/Sidewalk Date . �S Inspector �-Q Foriy�c Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the joie site, M CITY OF T I G A R DELLCTRICAL PERMR PERMIT ale: ELC2001-00156 DEVELOPMENT SERVICES DATE ISSUED: 3/20/01 13125 SW Hall Blvd.,Tlwird.OR 97223 (503)639-4171 PARCEL: 1S134BC-00700 SITE ADDRESS: 12555 SW NUR T H DAKOTA ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Prolect Description: Installation of wie branch circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LE.::: 0 - 200 amp: - PUMPIIRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/FDR: 631+amps-1001 volts: MINOR LABEL (10): SERVICE/FEEDER BPANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICL OR FEEDER: PER IKSPECTION: 201 - 400 amp: 1st W/O SR.rC OR FDR: 1 PER HOUR: 401 - 600 a.,vlp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+amplvolt: 3■4 RES UNITS: >600 VOLT NOMINAL: Reconnect only. >m Owner: Contractor: RICHARDS, M DALE + K T ELECTRIC INC ADAMS, HEATHER + P.O. BOX 7365 HOUSE,MICHAEL D/TAMMY L BEND, OR 97701 TIGARD, OR 97223 Phone: Phone: 541-382-0882 Reg ale: ELE 9-2470 SUP 4784S LIC 145488 FEES Regv!md Inspections Type By Date Amount Recelp: Ceiling Cover PRMT CTR 3/20/01 $46.85 2720010000( Wall Cover 513CT CTR 3/20/01 $3.75 2720010000( Elect'I Final Total $50.60 This Permit Is issued subject to the regulations contained in the Tipart;Municipal Code,Stab of OR. Specialty Codes and all other applicable Iowa. IL All work will be done in accordance with approved Flans. This permit will ea-sire if work is not started within 180 days of issuance,or Mwork is suspended for more than 180 days. ATTENTION: Oregon law requires you to vbN—M rubs adopted. he Oregon Utility Notification Cent&. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain mples of these rules ordirect questlons to OUNC at(503) '46-1987. PERMITTEE'S SIGNATURE ISSUED BY: ' L� t7 OWNER INSTALLATION ONLY The installation is being made on property I own which Is not intended for sale,lease, or rent. OWNER'S SIGNATURE: DATE: ONT CTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:-;-Ze -O LICENSE NO: '$1J*sf 5 Call 639.4175 by 7:00pm for an Inspection the next business day Electrical Permit Application f]rtereeeived: 3 t0 0/ Pbrmtt a�.6zeot o -Do iS� City of Tigard Pmjtx-t/app1.no.: v Expire date: City ofTigard Address: 13125 SW(iv;i Rh d,Tigard,OR 972:1 late issued: fly• Receipt no.: Phone: (503` `19-4171 Fax: (503) 59i:-1960 Care file no.: Payment type: Land use approval: O I &2 family dwelling or accessory dCommemial/iedustrial Q Multi-family O Tenat t improvement O New construction O Addition/aiteraliorvrcolacement ❑Other. -- O Partial a INS IN Job address: _�rt►�a��/ Ss f.w �of/A A&.4. PI Ig.na.: Suite no.: Tax map/tax Id/account no.: Lot: Block: Subdivision: Project,tame:p*j y Description&1,1 I�cation of work on ptrmises: J ptrtweh rc IVattr' run t� Estimated date of completion/inspection. Job tato: Total lot,bw Business name: X,7 e"Ari t rev C Nee nsMwMd-staBieor Petr Address: RU. .00 jk dar -e City:0640 Air*VbK Phone:S� J j!9 ot:L Fax qr CrG(c� F�mail:Kr+Gi.rj4. Svc it,/L, .e.or less CCB no.: 1454 b Elec.bus.lie.no: q• aq + /t .h additional300 .ft.or ion thereof Urdted ,residential _ 2 City/ e(ro lic. O.: Umited!=,non-residential 2 Each mrtshdured home or modular dwelling Si ature of au isin elecirlcian( aired) Date J^/ b T` Service and/or feeder 2 Sup.elect.name(print):Pa THor�S" l.lrem no:q 7045 amk adssxfeedets-trt�Wlso. oNerotlso or reloea/1oo: 200 amas or lea 2 Name(print): 20I.;;pio400*mps 2 —--- 401 MP to 600 amp 2 Mailing address: 601 amp to 1000 City: State: ZIP Over 1000 amps or Vol" 2 Phr.,ne: — Fax: E-mail: _ Reconnectonly I Owner installation:The installation is being made on property I ow i Tempolesfasivlesasrlbiera- which is not intended for sale,lease,rent,or exchange according to holala"oboMMa'oreelseallaes 200 areps or ram 2 ORS 447,455,479,670,701. 201 b 400 aqj 2 Own-es si lure: Date: 401 to M Wo 2 -am,attenll... or allaches law poinh Name: A. Fee for bran--h cirruw with purchase of Address: service or feeder tee,each bract A citwlt 2 City: State: ZIP: B. Fix for branch A r is without pordwe of serviceor k e l Ibe,flat ch brancircuit: 2 IL Phone: Fax: E-mail: a Each additional bia—circult: �- Mise. or s,4 O Service ova 225 sap-corm erriel O Health-cam facility Each pump or iffigoloin circle 2 O Service over 320 amps-rating of 1&2 O Harardou:location Each sign or outline II hal -_ 2 family dwellings O Building o-er 10,000 squo-',m four or Signal circuit(s)or a lindted energy parcel, U System over 600 volts nominal mote residential"^'.,u one structum alteration,or extension' 2 O Building over twee stories 2 w..aicm+tio amp or more -*Description: W O Occupant load over 99 persons O Manufactured structures or RV parktub oidMlend In'eetlso aver the sia.._Sie`my tithe abom J O Egress/lightingplan O Other: . Per inspection Swink_cele of flew ttii ,may of the grove. Inv&.l don fee Tie above are oaf aWk*Me to temgonuy ceoetnetilog attlnlce. OI>m Not all*sdictiona wcW ere&eras.please tali jurisdiction far mase information. Notice:This permit application Plan r fee..................) $ y6 O Visa O MasterCard expires if a permit is not obtained Pian review(at � �) $ _ Credit card number within 190 days after it has been State surcharge(896).... res scnepted as complete. TOTAL .......................S sal 6 O- Name d cardholder r on ca--- cardii0wer diloose Among4104615(61oaRDW Electrical Parmit Fees: Limited Energy Fees: Complete Fee:►chedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY ItoWkftd Srwrgy Fee„"........"........................................ 675.00 Number 01scions per Pwmft allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Invahvd: Reeldential-per unit 1000 eq.R or Nes $145.15 4 ❑ Audio and SWOO Systems Each eddldonal 500 sq.R.or ppgw wsred $33.40 1 ❑ Burpler Alar Limited Enwgw $75.00 Each Manurd Home or uler ❑ (3erap poor Opww* Dwe"Ssrvbe or F 590.90! 2 Se Owe or Feeders ❑ Heaft,Ventilebw and Air Condillor"System* IrlshNason,allerallon,or 200 amps or Nn _ $80.30 2 ❑ Vacuum Symeme 201 amps b 400 amps $105.55 2 401 amps to 500 amps $100.50 2 801 amps to 1000 amps $240.00 2 G Over 1000 amps or volts $454.65 2 Reconned only $W.85 2 Tempore��Fla TYPE OF Wui'K INV LVED•COMMERCIAL ONLY Tempo on, So vice or rs cede n Fee for each syab sn...... .................................................. Ih6A0 insiobl200 amps or Nn $08.05 2 (SEE OAR 016-280- ) 201 amps b 400 amps $100.30 2 Check Type d 401 amps l0 000 amps 133.75 2 Over 000 amts 101000 Vohs, Audio Sten o syalams sit"b"above. ❑ srarhdh Clrcuft ❑ Contrcb New,alteradon or exNr»lon per panel a)The tee for branch dreuft ❑ Clock Sys MS wfe purchase of aervke or to dsr he. Each branch circuli $8.65 Data Telsomn n rAOIVon IrOWN aNO b)The Ne for branch circuits wNbout purchase of swvks ❑ Fire Alar InsteNa M or AndWr fYe. Flat branch droull $48.85 ❑ HVAC Each additional branch circuli $0.05 MNW@Nraous Instrumente60n (Service or lasdsr not khckhded) Each pump orb.Woion circle $53.40 ❑ I and Paging S7,- J Each WV or outline No dh $53.40 SOW dreulf(s)or a NmNed energy ❑ I panel,armada;or exlsmslon $75.00 LWW Minor Labels(10) $125. ❑ Medial Each additional i apectlon over the allowable In any of the aboveNui Cab Per Inspection _ "'.50 ❑ Per hour $87.50 M PNM $;1.75 ❑ Outdoor Landscepe Llph*W Fees: ❑ Prolacthre Swavlo IL EnW total of above sees $ ❑ Other_ 8%111121110 Surcharge $ _ Number of Systems 25%Plan Review Fee ' rVo Ncensse ero required. Lloen lee aro regsrlred for M ower l to! No _ See'Pion Revisr✓'eedlon on $ t.0 - front o1 application. Fees: (;1 Total Balance Due $ Enter total of above fees S ❑ Tnat Account fl 8%state surcharge f Total Balance Due � i:1%.4ru\fo"\eic•fem.doc 10/09100 CITY OF TIGARD CERTIFICATE OF GC`C-!FANCY DEVELOPMENT SER`WICES PERMIT 0: BUP2001-00183 13125 SW Hall Blvd.,Tigard,OR 97223 (503)$394171 DATE ISSUED: 06/26/2001 PARCEL: 1 S134BC-00700 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 BLOCK: LOT:001 CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B C CCUPANCY LOAD: 10 TENANT NAME: REMARKS: Addition of 1,050 sq. ft. to office b0c!'ng. Owner: RICHARDS, M DALE+ ADAMS, HEATHER+ HOUSE, MICHAEL D/TAMMY L TIGARD, OR 97223 Phone: Contractor: �MNDWOOD HOMES INC 1'2655 SW NORTH DAKOTA TIGARD, OR 97223 Phone: 625-6526 Reg 9: LIC 50196 IL a to m W This Certificate issued 16 '10/26"i grants occupancy of the above referenced buildings or a portion thereof and confirms that the building has been inspected for compliance with the State of Ore on Specialty Codes for the group, occupancy, and use under which the referenced rmit was issued. t� ILDINGIINSPf CTOR BUJAFFICIAL POST IN CONSPICUOUS PLACE CtTY OF TIGARD BUILDING INSPECTION DIVISION •24-Hour Impaction Line: 639-4175 Business Line: 639-4171 MST OUP Date Requested PM OLD Location_ / Z ( .5 5 4a Suite MEC Contact Person Ph -7100— y3 7S PLM Contractor e-%;0e4 IDOL. Z&eir)ga,��, Ph $'R BUILDING Tenant/Owner ,o� EL$k SOU/ OC)a0 Retaining Wall Footing Access: Foundation PPS Ftg Drain SON Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheeth/Shear Framing Insulation �+ Drywall Nailing ---'�•�L�� C4 a b4 Y ��--- '�c� t�, .P_ Firewall d j Fire Sprinklerl�,1+:�5 � Fire Alarm ✓✓ Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service L'anitary Sewer Rain Drains Fi ial PASS PART FAIL MECHANICAL Post&Beam Rouy;i In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL IL Service a ou F" ab N Low Voltage Fire Alarm n m PART FAIL W W Backfill/Grading SanVery Sewer Storm Drain [ )Reinspection fee of$ _ required before next Inspection. Pay at City Hall, 13125 4t":Hall BW Catch Basin Fire Supply Line [ ]Please call for reinspection RE:!- _ [ ]Unable to Mspect-n0 aooess ADA Approach/Sidewalk Date4 /2"j IM��Dr —!�.�faf Ext Other L e---- Final PA33 PART FAIL DO NOT REMO1i1E & Inwofd*et" N o fob Ilko. CITY OF TIGARD BUILDING INSPECTION D!'t/ISION MST .24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MID Date Requested /0 " AM PM BLD Location �- S_�1�1. i, 10A Ada Suite MEC Contact Person Ph -'9t7— '„3 7 PLM Contractor�r l'flm gs �(�err ,� � Ph T=.r=2 s*3140 SWR BUIL'GIN Tenant/Owner IOU Akoll� Retaining Wall ELrAg,;�GiD/ DO 3.3(o Footing Access: Foundation FPS Ftg Drain —.M• SON crawl Drain Inspection Notes: Slab _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation / Drywall Nailing ----04 %'L�9 O e /:V'>>., __ 1 Y-C Ll�U t11 to . Firewall Fire Sprinkler 214e4i r_/91 v► � p Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLI 8 Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post A Beam Rough In Gas Line Smoke Dampers Final ~ PASS PART FAIL a ELEC IC aService W ou ab ~ Low Voltage Fire Alarm tti PART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ I Relnspeetlon fee of$ requkad before next Inspection. Pay at City Hall, 13125 SW Hal Blvd Catch Basin Please call for reinspection ition RE: Fire Supply Line [ _ [ 1 Unable to insped-no access ADA Other Approach/Sidewalk Dat" rY2�/ Inspector Ext Find PASS PART FAIL DO NOT MMM Hillis himpectiM Me Md thM do job of. CITY OF TIGARD BUILDING INSPECTION DIYISQN MST • 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUT 26U/-d0/R3 Date Requested _ 9 AM PM BLD Location-1-.t S �i�a _, — Suite MEC Contact Person _�fl Ph _7 F0_ 413'7 f PLM Contractor T Ph SWR BUILDISIO Tenant/Omer _ ELC Retaining Wall ELR Footing FInspection FPS Foundation Fig Drain SON Crawl Drain Notes: Slab SIT -- Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Suap'd Ceiling Roof Misc: a 3 (n _T O PART FAIL f t � � O�— MUNINKII - Post&Beam Under Slab / Top Out Water Ser'ice Sanitary Sdwer Rain Drains - - rural PASS PART FAIL MEf`=yti LI Y ft:�� Post&Beam i Rough In Gas Line Smoke Dampers Final PASS PART FAIL IL ELECTRML Service f- Rough In UG/Slab Low Voltage Fire Alarm m Final I i� PASS PART FAIL _- J Backfill/Grading Sanitary Sewer Storm Drain t ]Peinspection fee of$ required before next Inspection. Pay at City hell, 13126 SW HaN Blvd Catch Basin I ]Please call for reinspection RE: A i ]Unable to Inspect-no saw a Fire Supply Line ADA A20 Approach/Sidewalk Date ' Inspector Ext Other Final *9M dw J"S� PASS PART FAIL DONOT REMOVE tihN lllsf01N CITY OF TIaRD BUILDING INSPECTION DIVISION ' 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 Date Requested C —�� AM PM BLD location- I ,)--(' 5 _`> Contact Person Ph �� D3 7S PLM — Contractor Ph �, Sf 6SZ(p SWR WNWTenant/Owner ELC Retaining Wall ELR Footing Access: Foundation /��/J FP8 Ftg Drain �- ' / C.�J SON Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing CIO V��S T atA M 'T-S Insulation , Drywall Nailing Firewall -7 / Fire Sprinkler Fire Alarm ( (� Susp'd Ceiling L V U C�e t l AL dL Roof Misc: AA, 1 PASS PART FAIL PLUMING AA- Post&Beam Under Slab ;� V Top Out Water Service Q l 2 Sanitary Sewer Rain Drains Final PA PART FAIL Post&Beam Rough In O Q -r Gas Line Sm ke Damper- n — ASS JPART FAIL Q Service Rough In W UG/Slab *'✓� O Low Voltage � -^ ( � / _ Fire Alarm Final m PASS PART FAIL W SITE J Backfill/Grading — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE:reinspection i ll f Please call rens Fire Supply Line [ J p [ J Unable to Inspect-no accet- ADA h `n - Approach/Sidewalk therDate j v ) Inspector " '-" Ext Other Final PASS PART FAIL DO NOT REMOVE this Ifnpsodw rmo d h+011'1 this job site. ELECTRICAL - CITY OF TIGARD► _ RESTRICTED ENERPERMITGY DEVELOPMENT SERVICES PERMIT S: ELR2001-00204 13125 SW Hall Blvd.,Tigard,OR 97223 (5031639-4171 DATE ISSUED: 8/8/01 SITE ADDRESS: 12655 SW NORTH DAKOTA ST PARCEL: 1S134SC-00700 SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURI''LoiCTION: TIG Prolect Descriution: Installation of voice and data wiring. A.RESIDENTIAL S.COMMERCIAL AUDIO b STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: Owner: Contractor: RICHARDS,M DALE + ENCOMPASS ELECTRICAL TECH .ADAMS, HEATHER + 7379 SW TECH CENTER DR HOUSE,MICHAEL D/TAMMY L PORTLAND,OR 97223 TIGARD, OR 97223 Phone: Phone: 503-684-3600 Reg#: LIC 52288 ELE 34-247C SUP 38638 FEES Required Ins tions Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 8/8/01 $75.00 2720010000 Elect'I Final SPCT CTR 8/8/01 $6.00 27200100(XI I Total $81.00 This Permit is issued subject to the regL'ations contained In the Tigard Municipal Code, State of OR. Specialty Codes and ,It other applicable laws. All M(K will be done in accordance with approved plans. This permit will expire If work Is not stated within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Wopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 2 912-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions Io OUNC at(503) 24b-1987. l s� ri Issued by L—'kcI�, Permittee Signature a.) 41 d OWNER INSTALLATION ONLY 9 The Installation is being made on property I own which is not Intended for sale. lease,or rent. J a OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL.EC'N: -- DATE: LICENSE NO: ;g Call 639-4175 by 7:00 P.M.for an inspection needed the next business day rom:ENCCWASS-ELECTRICAL TEC49 =� on 08/06/2(X11 1A'38 #080 P.002/002 01,Electriiad Permit "Jaw"WeiveM. Psrmlt no.;F .I" City of Tigard Pto)act/tlppt.no.: Qrtplro date: C1ryofTigard Address: 13123 SW Hall Blvd,Tigard,OR 97223 Dateluued: By: flecxlptno,: Phone: (303) 639-4171 Fax: (303) 598.1960 Can Metoo.: Paymerttyps: Land use approval: 0 1 do 2 family dwelling or accessory rAdition/alteration/roplacernent omr.wmlaUindusttW fa 0 Multi-family O Tenant Improvement O New construction dO Other., O Partial Job address: SLj-) Bldg,no._ Suim no,: Tax map/wc lot/account no.: Lot: I Block: Subdivision: _ _ Project name: D@"ti on rind loeadon of wv&�on s: yt71 f? ;tNmNeft- Estimatedted due of co letionfinr tion: Job no: in ma tim !ra lllrat Business name: w' 1IWW Be. Ism _Address: "1� dttai114altlttdadnatyetaad�rap City: 3eate Z1P: darvlaeYrJrdadr t 1000sq.IL or leu 4 Msddl , or tbateof CCB no.: Else.bus.Uc.no: L ,redd.nUal � CI /metro 4c,no,: eon-realdeetW �—" Bobat 0 ed home a ar S 1 —.in#electric Ian utrod) Date Sander atdAar feaJar 2 Sup.Simi.same( I%r—CA uoadn r-W` C ;300 ,"l w - lse alla wtsMatkm rlen 2 Namrat): / 2 401 2 MailiO addmss: to 1100 rnState' or vola 1 Phone: Fax: &mall: Poommmody Owner instaltWon:The installation is being made on property I own �tt0"of t"a"ro' which is not intended for sale,lease,rent,or a xchange aecotdlns to hmsenSI4dtorok"6 orre MIS ORS 447,455,475,670,701. 300 UW orIs" 1 301 10,6M e,e1s Owner's S stun: Date: a0i bd�o -aaa,aft"dao. or examoden per pmmb Name_ x Pae Ibr brand drouln with purchase of Addreu: service or hrder fbs,sect bra mt dwelt 1 State: ZIP: 11. drcelbwitlreutparohwa Phone: Pa: )g mall; 6f savlea or Maar not btwoh desert 1 1 sal brmmh ob.t C Mime.(Sado*or 1=set r i]davlo:over 225 antpheonrtrtdU Q Ftealtheare holllty Bahmmotirriptimckdo 2 r.Srvioa over 320 amps-rating of I h2O tfasadous Ioatloo din or_oo�insIV 1 hmily dwellings O Building over 10,000 square fm bur or !Ignal aarouf a ora Ilinited etrn'gy Pana, 3 O Symm over 600 volts nominal rosea meldentW oMtr In we strucwrr_ vtsration,or extrnabM 2 0 O Selldft over dues ewri,s O Pndera,400 seeps or mote sDaaati O Ooaupant load over"pea ho old O Manutnrad Mreoteraa a RV park ewe the eJietaabM(•say of file sea O Bsreullishtinsplan O Otho Per{npaden U BiaLtdt—rata of pbom with uy of the above raw I nibs no above we not 4ppillemble to Ianatx sAce. w.a. Notice:This h 'ca Per"dt fee................ .._ Nd all Jurladetlera soap eaedlt taeM.plow sail Iarlaasdeo Ibr ears ledberadaa perm app.i tion O vlm O MuterCard aapba if o permit Is not oybined Plan review(at — ) $ ckdh«+.ombw.— — — within 180 days after It htu been State surcharge(8%)....S � aeoepted u complete. TOTA,7. .......................$ ser r on e dowm - �' TCJ�%UlA uV AL S)`.Ow «octet!(saVCMal CITY OF TIGARD•BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 •'�'�°M '— ' SUP SOD 1 JO!3 Date Rbquested ""aZ -7 AM PM BLD Location_ --T f,O uRe ME l Contact Person_ Ph :2 PLIF Contractor Ph (,o?,S� C�.S-e1 S" BUILDING Tenant/Omer ELC Retaining Nall -� ELR Footing AG�Sl3: Foundation FPS Ftg Drain SON Crawl Drain inspection Notes: Slab IT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing to C Firewall L�� l�Gli�4r✓iCG !�j �B(, � T'V`s �IV/l � Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise PASS PART AI PLUMNO Post&Beam Under Slab Top Out Water Sei vice Sanitary Sewer Rain Drains _ Final PASS PART FAIL MEC NICAL _ Post&Beam Rough In Gas Line Smoke Dampers PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm _ j Final PASS PART SAIL — 9 arm Backfill/Grading Sanitary Sewer Storm Drain [ ]RAnspedion fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ]please call fcr reinspection RE- ( ]Unable to inspect.no access Fire Supply Line ADA Approach/Sidewalk Dote Irspector Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record *otl111 the job sib. CITY OF TIGARD BUILDING INSPEC11ON DIVISION MST - r' 24-Hour Inspection Line: 6394176 Business Line: 6394171 SUP Date Requested PM BLD Location �Suite MEC i Contact Person Ph Zito 43?.1� PLM _ Contractor Ph SM BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS uunoation Ftp Drain SON Crawl Drain Inspection Notes- Slab IT Post 8 Beam Ext Sheath/Shear Int Sheath/Shear Framing `— Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susi d Ceiling Roof Misc: Final PASS PART FAIL PLUMONG Post b Beam Under Slab -- Top Out Water Service Sanitary Sewer Rain Drains -------�— Final OWN PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL IL ELECTRICAL -- a Service - f" Rough In N UG/Slab Low Voltage F Alarm W AS8 ARS' FAIL J Backfill/Grading Sanitary Sewer Storm Drain ( 1 Reinspectlon fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]please call for reinspection RE: ___ _ ( J Unable to Inspect-no access Fire Supply Line ADA �! r �� Other ch/Sidewalk Other Date Inspscto Ext Final � PASS PART FAIL DO NOT fBeOrd *'OM tM J"�- RItMOV!!Ms ihalloe CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 MST BUP Date Requested S AM PM BLD Location �, �o j J �� ( Suite MEC Contact Person Ph PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: Slab - SPT Post 6 Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailir p Firewall Fire Sprinkler Fire Alarm f� Susp'd Ceiling Roof Misc: Final PASS PART FAIL -PLUMBING Post 3 Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post a Bearn Rough In Gas Line -- Smoke Dampers Final RT FAIL ELECTRICA Se I 4. Rough In N UG/Slab Low Voltage Fire Alarm m PASS ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$_ requked before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection RE: [ I Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dat Inspector ��Ext Other _ Final PASS PART FAIL DO NOT REMOVE this lw u"adlim rer.6> d X111 "M job lilt. CITY OF TIGARD PLUM�dINGPERMIT _ DEVELOPMENT SERVICES PERMITS: P /14/20 -00378 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE 188Ut°D: 08/14/2001 PARCEL: 1S1348C-00700 SITE ADDRESS: '12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTR8: OCCUPANCY 13PP: FLOOR DRAINS; TRAPS: STOWES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: It WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of(2)roof drains. FEES Owner: --- Type By DataAmount Receipt RICHARDS,M DALE + PRMT CTR 08/14/2001 $72.50 27200100000 ADAMS, HEATHER + 5PCT CTR 08/14/2001 $5.80 27200100000 HOUSE, MICHAEL DITAMMY L TIGARD, OR 97223 Total $78.30 Phone 1: Contractor: JIM'S PLUMBING PO BOX 7160 ALOHA,OR d7007 REQUIRED INSPECTIONS Phone 1: 649-4034 Rough-in Insp Reg#: LIC 71860 Final Inspection PLM 34-186pb IL OC F- N permit ermit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. m c� Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. Ul This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952.0001-0080. You may obtain copies of these rules or direct questions is OUNC by calling (503) 248-1987. Issued By: &zz J Permittee Signature: _ Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day 13� �-�-va1 -U01 $3 Plumbing Permit Ap 'on "Ostermeceived: (� ) Permit n 4 r�I'0 ? City Of Tigard /0"r I Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tig OR 9 CirynjTiRnrd phone: (503) 639-4171 ProjecUsppl.no.: Nxpiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case file no.: Payment type: 7UNew&2 family dwelling or accessory U Commercial/industrial O Multi-family U Tenant improvement construction U Addition/alteration/replacement U Food service U Other. Job 94oress��(o�j5 �� Desc7: w=ctm7 Fee eat. Total Bldg.no.: y. Suite no.: ew 1 a 2- y(includes 100 R.ror eac Tax map/tax IoUaccount no.: _ SFR(1)bath Lot; Block: Subdivision: SFR(2)bath _ Project name:, v e k AY,S SFR(3)bath City/county: IP: #2, 2. Each a—additionr.l ba Itchen Description and I action of work on premises:_ 4kenHlkkr Catch basin/area drain Est.date of completion/ins ction: br�well each line,t�rench drain Footing drain(no.lin..ft.) unwilimm Manufactured home utilities _ Business name: T A _ Manholes Address: r Rain drain connector _ City: State: ZIP: Q ?4 G Sani' sewor(t1o.lin.ft) � Phone: G - Fax: E-mail: Storm sewer(no.lin ft.) _ Water service(no.tin.ft. CCB no.: gs(QPlumb.bus.tag.no: j S'—/6 6 F15 Fixture or kttw City/metro lic.no.: 0000/(-)G i Absorpu3n valve Contractor's representative sign;,lure: Back Oow preventer Prirti name: �� Date: 3 Backwater valve Basinsftavatory _ Name: n Cloth as washer Dishwasher Address: Drinkin fountain(a) State: ZIP: r„ City: E'c:.._rs/sum Phone: Fax: E-mail: xpansion tank Fixture/sewer ca Floor drains/floor sinks/hub Name(print): _ ��n c!�'�1 l��, -- Garba a die Mailing address: CHose hibb City: 7 State:C ZIP: 9 7CL'7 Ice maker a Phone: �-ioS."t. Fax: E-mail: Interceptor/grease trap HOwner instal lation/residential maintenance only: The actual ins',allation Primer(s) N will be made by me or the maintenance and repair made by my regular Roof drain(commercial) Dj employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) J Owner's si nature: Date: Summa_ m Tubs/showcv/shower pan Urinal W Name: Water closet J Address: Water heater City: _ ZIP: Outer. Phone: Fax: E-mail To' Not all jurlydictlonr accept crrxNt cardr,please cell jurirdict{on for mote iarommian. Minimum fee.............._$ Notice:This penait application Plat.review(at __ %) $ ❑Visa D MasterCard expires if a permit is not obtained Credit card twrnher: _ — / / with;o 190 days after it has been Stvte surcharge(8%)....$ 157 Expires eccep'.ed as complete. TOTAL .......................$ Nine of cardholder u rhorvn on credit Expires Cardholder sipstm 40016(6r0a100 O PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2.1 on ally: FUTURES (Individual) QTY N AMOUNT pnoludes all plurrlWnp bdtam In PRICE TTAL Sink 16.60 tale dwelling and tin fkaHOO fin QTY AMOUNT Lavatory 16.60 for each udl e�orM 2!Lw One(1)beth 249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath 350.00 _ Shower Only 16.60 Three(3)bath $399.00 Water Closet _ 16.60 SUBTOTAL Urinal 16.60 _ 8%STATE SURCHARGE Dishwasher 16.60 PIAN REVIEW 25%OF SUBTOTAL Garbage Dispcaal 16.60 t __ TOTAL _ Laundry Tray 16.60 I Washing Machine 16.60 / Floor Drain/Floor Sink 2" 16.60 3" 16.60 P ASE COMPLETE: 4" 16.60 _ Water Heater O conversion O like kind 16.60 QW Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved It"Woed RemoveN unit. Capped MFG Home New Water Service 48.40 Sink MFG Home New San/Storm Sewer M 46.40 Lavatory Hose Bibs 1660 Tub or Tub/Shower Combination _ Root Drains 1k6.60 Shower Only Drinking Fountain 1 ev. Water Closet Other Fixtures(SpecNy) 16.60 Urliral Dishwasher Garbage Disposal Tray Washi_pn Madtine Sewer-let 100' 55.00 rocxx Uraln/Sink: 2" 3" Sewer-each additional 100' 46.4n 4" Water Service-1st 100' 55.00 6,Water Heater Water SerAos-each additional 200' 46.40 Otter Fixtures S Stoned Rain Drain-1s:100' 55.00 Stone d Rain Drain-each o5olflonal 100' 46.40 Commercial Back Flow P tion Device 46.40 _ Resido.itial Backflow loptiventlon Device- 27.55 Catch Basin 16.60 inspection of Exle ng Plumbing or Specialty 72.50 -Reqnested lr*Eecftu perft COMMENTS REGARDING ABOVE: Rain Drain,single famNy dwelling 65.25 Grease Traps 16.80 QUANTITY TOTAL IL IsometAe or rber dispram Is requi ed N (� Quardlly Total Is 3-a _ I- 'SUBTOTAL N S%STATE SURCHARGE _. J '- m "PLAN REVIEW 25%OF SUBTOTAL Reguked oris N tLclure .lotal Is).s TOTAL W : J `Minimum permN be $72.00 e%state surclrarps,except Reskleneal Seckflow Prevention Devks, 20•e%sate K"therge. ""AN New Commercial auNdinps require plane with Isometric or Acer dlspram and plan revkw l:ldstaVormslpkn-f&".doe 10/10/00 CITY OF TIGARD BUILDINl3PERMIT . PERMIT 0: BUP2001-00183 DEVELOPMENT SERVICES DATE ISSUED: 6/26/01 13125 SW Hall Blvd.,Tigard.OR 97223 (503)639-4171 PARCEL: 1S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 ZONING. C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 1.050 sf N: S: E: 1 HR W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N of N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 1,050.00 It ROOF CONST: C FIRE RET? OCCUPANCY LOAD: 10 BASEMENT: at AREA SEP. RATED: STOR: 1 HT: 15 ft GARAGE: sf OCCU. EP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 105,000.00 Remarks: Addition of 1,050 sq.ft. to office building. Owner: Contractor: RICHARDS,M DALE + WINDWOOD HOMES INC ADAMS, HEATHER + 12655 SW NORTH DAKOTA HOUSE,MICHAEL D/TAMMY L TIGARD, OR 97223 TIq, OR 97223 Phone: 625-6526 Reg#: LIC 50196 FEES REQUIRED INSPECTIONS Type- By Date Amount Receipt Mechanical Permit Require Firewall Insp PLCK CTR 5/22/01 $496.47 27200100000 Electrical Permit Rr+quired Gyp Board Insp Plumbing Permit Required Susp Call% Insp FIRE CTR 5/22/01 $305.52 27200100000 Foot/Found Insp Final Inspection PRMT CTR 6/26/01 $733.80 27200100000 Foot/Found Insp 5PCT CTR 6/26/01 $61.10 27200100000 Slab Insp Framing Insp (additional foes not listed here) Roof naiing Insp Total $1,982.49 Insulation Insp Shear Wall Ins This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire If work Is not started within 180 days of issuance, or if work is st spended for more than 180 days. ATTENTION: Oregon law 1 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those fules are set forth in OAR I 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344__------�-- Pomilttee Signature: Issued By: Call 639-4175 by 7 p.m.for an Inspection the next business day BuRding Permit Application City of Tigard � Date received: Permit no.:& -00/ru ProjecVappl.no.: Expire date: CiryofTigrird Addr.ss: 13125 SW liall Blvd,Tigard,OR 97221 Phone (503) 639-4171 Date issued: _ By: Receipt no.: Fax: (513) 598 1960 Case file no.: Paymeuttype: Land use approval; — I&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family :1 Nnw construction U Demolition Additio teration/replacement U Tenant improvement U Fre sprinkLr/alpnn U Other: Job address: N�.,/.r( Bldg.no Suite no.: _ W_ Lot: Block: Subdivision: Tax map/tax lot/# count no.: Project name: /�J�;�t-,o0-o,-S r�(d��,D�l�l?/�1/ Description and location of work on nremi,es/special conditions: ��i�A t.' Name: �► Mailing address: a-)IV&i-,L.l Eif= 1 &2 fWWy tlwtUli� City: State: ZIP: ¢2„21,3 Valuation of work................ ............ ....... $1� Phone: -6 ,7G Fax: -/ F..-mail: No.of bedrooms/baths................. Owner's representative: o` Total number of floors................ ..... ..... — Phone: �,r►xt 11-ax: ,� Email: New dwelling area(aq.ft. Garage/carport .ft.)......................... Covered porch area(sq.ft.) ......................... Mailing address: ��a� �O � re .i sutor/ 4 A h Deck area(sq.ft.)........................................ City: State ZIP: Other structure area(sq.ft.)......................... / Phone: - (, ,2s Fax:&2 E-mail: Coauaterehll/kA ntrhll/onIN-family: Valuation of work........................................ $ �� Existing bldg.area(sq.ft.) ......j...�fidANi1:... _ Business name: New bldg.area ft. lQ5....... Address: State: ZIP: — Number of stories.................... .......... City: .. ... Type of construction................tSi../1/. Phone: Fax: E-mail: Occupancy group(s): Existing: CCB no.: j2a — New: City/metro lic.no.: Notice:All contractors and subcontractors art required to be licensed with die Oregon Cr nstruction Contractors Board under Name: ' k� provisions of ORS 701 and may be requited to be licensed in the L Address: .v �� t� /1 jurisdiction where work is being performed.If the applicant is Citi. State: ,- I ZIP: exempt from licensing,the following reason applies: 0 Contact on: Icj A a IJAa r Plan no.: Phone: ( Fax: E-mail: D Name• 43 71 LFContact person:Z& recta due upon application VAddress: / Bate received: ...........................$ City: ,} �.�/ c - r State: ZIP: `�- Amount received .........................................$. Phone: Fax: I E-mail: , Please refer to fee schedule. I hereby certify I have read and examined this application and the Na di joie tM seep 060 C",OMB Oil i18*000 to arae htanrrfaa attached checklist.All provisions of laws and ordinances governing this O Vies U Mastercard work will be complied with,whether specified herein or not. /�,�� ei'°dr aa°mn*w: Rs Authorized sign Date: X5'1:; 1 Nree ar . on earA Print name /r ��S - i ASOM Notice:This permit application expires if a permit is not obtained within 180 days filer it has been accepted a oomplele. w"ts tib (eq q0 %,S.Qe 44`AI (pf.I0 40 id COMMERCIAL PLAN SUBM!-JAL REQUIREMENT MATRIX Plan rev w is dependent upon submittal of a completed application AW Flans. After plan view approval, the Plans Examiner will contact the applicant to request add 'onal plan sets for distribution purposes (for Contractor, City of Tigard, Wash ton County, and Tualatin Valley Fire & Rescue). .� of TY-01t OF a KEY: ' S = Site Work (must include S (New, Add or Alt) 4 loco ecoessible parking) B (New, Add or Alt) B = Building F (New, Add or Alt) * F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (Newc._A,dd-e t) 2 P = Plumbing E (New, Add, or Alt) 2 E Electrical New = N uilding Add = Addition\ Alt = Alteration to existing building *For over-the-counter commercial tenant improvements. submit 2 sets of plans. N ?- **"New" requires that plans bear thb original seal of an Oregor; licensed fire 5 suppression engineer, or NICET level "3"technicians. M 0 W J 1:1dw1r—Nindrxoom.doc 10/27100 e January 25, 2001 Dale Richards 12655 SW North Dakota Tigard, OR 97223 Dear Mr. Richards: This letter is in response to your request for Minor Modification (MMD2001-00 )01) approval to add a 1,100 square feet of additional building to an existing 7,320 square foot structure, which will be used for additional office space, (SDR96-00001) located at 12655 SW North Dakota. This property is designated (C-P) Professional Commercial. The use of the site is listed as a Permitted Use for this zoning district. The Tigard Community Development Code, Site Development Review Section, state "if the requested modification meets any of the major modification criteria, that the request shall be reviewed as a new Site Development Review application." Section 18.360.050.13. states that the Director shall determine that as major modification(s) has resulted if one (1) or more of thq changes listed below have been proposed: 1. An increase in dwelling unit density or lot coverage for residential development. The proposal does not involve residential property. Therefore, this standard does not apply. 2. A chane in the ratio or number of different types of dwelling units. This criterion is not applicable, as this request does not involve a residential development. 3. A change that requires additional on-site parking in accordance with Chapter 18.765. With the proposed addition of 1,100 square feet, the site must provide a total of 23 parking stalls. According to the site plan, the site has a total of 38 parking stalls. Therefore, no additional parking is required. 4. A change in the type of commercial or Industrial structures as defined by the Uniform Building Code. No change in the structural occupancy type of the existing building is proposed. Therefore, this criterion does not apply. 5. An increase in the height of the bullding(s) by more than 20 percent. No increase in the height of the existing building i:; proposed. Therefore, this standard does not apply. 6. A change in the type and location of accessways and parking areas where off-site traffic would be affected. This request will not require a change in accessways or parking areas where off-site traffic would be affected. Therefore, this criterion does not apply. W 7. An increase in vehicular traffic to and from the site and the increase can be -' expected to exceed 100 vehicles per day. No change in traffic to and from the site can be expected. Therefore, this standard does not apply. Page 1 of 2 M 8. An increase in the f1007 areas proposed for a non-residential use by more than ten Percent exclud ng expansions under 5,000 square feet. The proposed modification is less than 5,000 square feet. Therefore, this criterion does not apply. 9. A reduction In the area reserved for nommon open space and/or usable open space that reduces the open space area below the minimum required by the code or reduces the open space areas by more than ten percent. There is no decrease in common open space. Therefore, this standard does not apply. 10. A reduction of project amenities (recreational facilities, screening; and/or, landscaping provisions) below the minimum established by the code or by more than ten percent where specified In the site plan. There is no reduction of project amenities in the proposed modification. Therefore, this standard does not apply. 11. A modification to the conditions imposed at the time of Site Development Review approval that Is not the subject of criteria (B). 1 through 10 above. The proposed modification will not alter any of the conditions of the original approval. Therefore, this standard does not apply. This request is determined to be a miror modification to an existing site. The Directors designee has determined that the proposed miner modification of this existing site will contioue to promote the general welfare of the City and will n-)t be significantly detrimental, nor injurious to surrounding properties provided that, development ,Mich occurs after this decision complies with all applicable local, state, and federal laws. Therefore, this request for Minor Modification approval Is hereby granted. If you need additional information or have any questions, please feel free to call me at (503) 6394171 ext. 317. Sincerely, Mathew Scheidegger Assistant Planner is\curp1\Mathew\minimod\2001-00001 c: MMD2001-00001 Land Use File SDR96-00001 Land Use File 3 s Real Estate Off lice/MMD2001-00001 Page 2 of 2 C>VC Fomn 2a Project Nzme: PageJ SUMM R OUT A Project 1. Project Name �f CA P Ow �_ l T 1 c� • t Projed Address 12-Jo S 5 S.W. 1•!O ILT}1 KZM^ oLrr. 3. CtyTown 'T`I �/e►14+G� -�— 5. County Nr,MjlftH 4. Bu5ding.Gross ArMI(fF) 1 6. No. of Floors Chaps Type ID Description Attached ' Attached Buifobg Envelope Form 3s Building Envelope-General Forms and 3b Prescriptive Path-Zone 1 Worksheets 3c Prescriptive Path-Zone 2 Cho*brow to 3d Simplified Trade-off wn cof.cov aft- i Q k1°s' I MOMW Worksheet 3s Wall U-factors O ft I—and WW*s&Pdk 3b Rooi!1-kdors Q 3c Fka U-tackn ❑ Systertu Form 4a Sys*-,,*-3eneral Q 4b Complex Systems Q Worksheet 4a Unitary Air Conditioners-Air Coded Q 4b Unitary Air Condltloners-Water Cooed ❑ 4c Unitary ifQat Pump-Air Cooled ❑ 4d Unitary Hec t Pump-Water&Ground Cooled ❑ 4e Unitary AC-Evaporatively Cooled O 0 Packaged Terminal Air Conditioner-Air Coded (� 4g Packaged Terminal Heat Pump-Air Cooled ❑ 0 Water Chilling Padcages-Water&Air Cooked O 41 Boiler-Gas-fired B OlAred O 41 Furnaces and Unit Heaton-Gas-fired d OY-&W Q LlghtknQ Form 5a Lighting-general O 5b Interior Lighting Power-Occupancy Method Q Sc Interior Lighting Power-Space-by-Space Method 13 Worksheet 5a Interior Lighting Power p 5b Lighting Schedule ❑ 5c interior Cartrol Credits Q Applicant 7. Name J C N" p. A N r-J A44 . Telephone C� IL Company ^I -t�M 1 T %L C-T- 11. Dob Z1 3 s . 9 Attached No. of Pages Deaciptfon of Document U I?oenaasa- j tation (low) fame 2-1 Form 3a _ Project Name: page: Z BUILDING ENVELOPE — GENERKii ch"of bo e. 1. Exceptions (Section 1312) Riot*P* ❑ No Errvelope Components.The building plans do not call for new a'altered building envelope components, e.g.,walls, floors or roof/ce;Mngs. O A Nan-conditioned Building.The proposed structure has no spaces heated or cooled by an i4VAC system. M:ceptions O Exception,Ail new or altered building envelope components do not comply with the require_ LA&CUL"M Of ments of Sec. 1312, but quality for exa+ption#_ Portions of the building that qualify: WWAV WOW- The plans/specs Mom cnpW34 show compliance with this requirement on the following pages; 2. Air Leskage (Section 1312.1.1) XComplies. Plans require that penetmtkxu in the building envelope are sealed and that wfrxkms and doors are caulked,gasketed or weatherstripped.The plans/specs show compliance with tints requirement on the Wowing pages 3. Mupended Ceiling (Section 1312.1.2,1) Complies.The building plans do not call for a suspended ceiling separating conditioned spaces from unconditioned spaces.No exceptions are permitted. 4. Recessed Light Fixtures (Section 1312.1.2.1) }1( Complies.Tho building pians do not show recessed Light fbrtums inaleW in ceSrtgs seperating conditioned spaces from unconditioned spaces. Exceptions Q Exception.The building plans require that fixtures installed in direct contact with hesutation be d•aalo,e of insulation coverage(IC)rated.The planst3pecs show compliance wflh this exception on: w+a�+w aww- aneonpWo}14 _ 5. Moisture Control (Section 1317.1.4) Complies.A one-perm vapor retarder to Installed on the warm side(in winter)of ab exterior fkaom walls and ceeiings,and a ground cover is Installed in the crawl space for both new and existing buildings where Insulation is Entailed.The piens/specs show compliance with this requirement on: _ IL Exceptions O Exception.Ali new or altered building envelope components do not comply with the vapor R p retarder requirements of the code,but quality for an exception.Note applicable code acception. CO) or 400.gyp. Section 1312.1.4, Exception .Pbrtlons of ft building that gvr3tilY- PQf manMe 3-11. 3 ca 6. Crate Zones W Clit>aate! )( Zone 1 -A building site is in Climate Zone 1 If its elevation Is less than 3,000 fleet above sea level Zones and it Is In one of the following countfes:Benton,Columbia,Clackamas,Clatsop,Coos, Curry, Zona 1 Boal: Douglas, Jackson,Josephine, lane, Lincoln, Unn, Marlon, Multnomah,Polk,T11 k nook,)kmhlp, Ca"#eft Fame 38t or Washington. O Zone 2-Building sites not in Zone 1 are in Zone 2. deco, Farms a W&*Sh"tt 3-1 Form 3b Project Flame: Page: S PRESCRIPTIVE PATH - ZONE 1 Part 1 of 22 a a IK CU d d ZW �. S 3 N Nom- Nw �' •�S ocjcocjdddddddcti �� • p � � � �Ci � � f � � o ' ll tj 1 A h � � c 1, ww, Q 99 .8 oil. N _ZZ _ + j � � � >: a 3 q s a rL r; in 0 UH 3-2 Fors& Worttsheets (Ion) �M.• 4ek-.ov"a Fff !4Ie.. C 00ah.C)p 1OTO I 44 f,4 Form 3b (Cont'd) Project Name: Page: 4.. Part 2 of 2 PRESCR.IPT'M PATH - ZONE 1 Roo[/Ceilings FU-VRoof/Ceiling' myon ,Onl u-Fru Official u.e D/9Cua;,bn of this - — _— („�.R-ig (Mex.t1.lY3U) Only sWW or the lbrm .21157r,r. -1. 4 on paps 3-15 ' Wdbe•In a description for assembly wtK,M Iovrsal InwAslbn R-vekm or the highest assembly U-fedor. &gv*WoAcshaet 3a for each cWo WW roof1ce"aseembl,#U-fec.W. Skylightts + JX 100 = —� a e® ktlohrdes glared r On 1. smoke vents. Total Skylight Area Total Conditioned Skylight total rouch frame f?)-- RooMelllng Area'(omen.fe) _ Percentage' Dia wasion of this Thermal Performance sedion of the lbtm Slight (11.1-Facto dlrp Coefticbnt°(SC) an page 3-15 Compliance Option Thermal Performance(U-Factor) Coeff dent SC b Performance _ U-1.23 for overall aswnbly in overhead Pima SC-0.57 center-of-Oras • Deemed to Satin DTS Doubb0! , ud,0.5-irtah airs pace Tinted outtioa►d ne Trial roef/r oft area Mr*rdes ft portions hd art am condltlonad bunk space. 31cyAgid p ecce d basad on total ekysg?t and smoke vent roubsma area divided try tool rxxrAtlorNd rose. i�N £ 1 C Y l�srDe Cage"vim not exceed a rt or total roo0ceitng ane in buiding epees *$Wavitlyd Trade-aft Approach mama he used If gra nzs�q heatlon sac=allowable poosMpee FORMS ' EnW-o"W U.factor for skylight assembly or w**4n 073(ds.nod to sW*).For mWilple types of j ji am end U- OCT 2000 Rech m enter the highest Udador or the gnm ' EflW*U oneflbiert(SG)for Glees or wW*4n MiS(deemed toeatbfy 'tu4.Hv'3*CoWNcWt (arerd v*%bN SHGC p@r rlF�tc)csn be cwmW to 9r..�rra o*mg�rr SFiM .rrar m is"W dolese and"AV owftisrta,erasr the highest shedbtg ooeskisrd time group. FIOOrti Floors owr unconditioned Spam? k+ettMM iia U-Factar Onl 'e fNmmion of min E-;a.;,t.^d O a l L,�A`t-"p IE. p or ssd/on of the Ibrm on Ptd 3-16 Heated Concrete Slab Edgi w Inatdatlon �—Component Compliance Options L Min.R-value of Insulation Only Max.Component U-racbor C Floor o\dr Unconditioned Spam 11 I or 1 0.070 Heated Concrete Slab Edge 7.5 n r Wrlte-in r short descrlptton for assemblywtih the lowtet IrWation 11t-value or the highest sassmby tJlectmr_ h r Submit WorMhest 3a W each caladataA hoer esseni*U-0dw. r WHWn a short desc Option for Healed Slab.whkh hoe heat h 0 Mor typo.coram Mie IoM htatristion R-vain.or Qto hood oarnporwlt UU��fbw. 1�host.If rrnre rtun am 9 u —_ Dooms Doorst0 R-Veko u- actor O" Insulttlnn Only Cerdar-*W* .dh lee."width greater then i' (�R-5) >C�- Use C)*Dlacussion of Mkt —_- __�_�_�_ ._— section of the lbrm psr� �... or Gt = o.11-0 on page 3-18Wnte4n a.short dei! sent hv• WADOWS GROUP INC 5035807808; 09/27/01 2:17PM;)A9jjL—M238;P899 1 /2 q0 M4RAIT R• Meadows Group Inc.,R"Itom 12666 SW North akaft street Tlserd, OrWn 97M (503) 590-1500 or FAX (SU) 690.7WG DATE: r TO: FROM: t ' FAX: TOTAL PAGES INCLUDING COVER SHEET: If there are any probhmo with this transmisslon, please contact us. Thank You. COMMENTS: ,&ebaL a gaw ,� A4 P- 2z Z-d Q/92 jiv C 7 3 j WaA33 Riwlwd: AMN 2001 S!nt by: MEADOWS OROUP INC 7PM•5035907808 00/27/01 2:1 11 r rJ�[_N23 Ptig• 2/2 . Rowmwod1 0/27/01 1 !40pmi •Oa 941 "66 -a MADO a MOUP' INCL Pae. 1 SEP-27-2001 THU 01 :45 PM WESTERN PACIFIC BUILDING FAX N0. 503 241 3858 PI 01 OW27/2441 15t63 4233481M PMT ALw/W PMIE N NIC 6 , Nd �pWl , IJo CuuY 70 em RE�eMMM Few 5034KI-36011 0"*~ –_ -- — !gn I....,r-_. we 709"awe �006 FM 13 Y1980 G FK 0011 0 O Ply C91111100 U fft� 118W Q Pf� M�sl� MM PAbR a OW aril IhK7ft S 00W ORM =W m M*soL n i r� ddM Nadi Mr aiss&ogbm fflamIrfim&w1�oe 1 Dm Umm ' t iL me u-v 00 C)+FZ S ow" BI jam �Islac>o At Rn+� X7.1 a9sy r CITY I�� O� �'�� ELECTRICAL PERMIT PERMIT N: ELC2000-00556 DEVELOPMENT SERVICES DATE ISSUED: 9/20/00 13125 SW Hall Blvd.,Tigard.OR 97223 (503)639-4171 PARCEL: 1S134BC-00700 ,oTE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993-058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG ' Prolect Description: Installation of three 200 amp or less service or feedrirs. Jot,No. 7027. RESIDEN:IAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L ASF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 6C0 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (101' SERVICE/FEEDER BRANCH CIRCUIT11 ADD'L INSPECTIONS 0 - 200 amp: 3 W/SERVICE OR FEEDER: 4 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 imp: PLAN REVIEW SECTION 1000+amphrolt: >-4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>a 226 AMPS: _ _ CLASS AREA/SPEC OCC: Owner: Contractor: RICHARDS, M DALE + TOMCO ELECTRIC INC ADAMS, HEATHER + PO BOX 6388 HOUSE,MICHAEL D/TAMMY L BEND, OR 97708-8388 TIGARD, OR 97223 Phone: Phone: 541-389-5424 Req* ELt: 941C LIC 33844 SUP 37105 FEES Required Ins tions Type By Date Amount Receipt Elect'I Service PRMT CTR 9120/00 $267.50 2720000000( Elect'l Final 5PCT CTR 9/20/00 $21.40 2720000000( Total $288.90 This Permit is issued s h)ect to the regulations contained in the Tigard Munid"I Code,State of OR. "clalty Codes and all other applicable lave. Ali work will be done in scv)rdonce with approved plans. This permit will more if work is not started within 180 days of Issuance,or If work is IL suspended for more than 180 days. ATTENTION: Oregon low requires you to follow ru w9ff6 to Oregon Utility Notification Center Those H rules are set fnrth h OAR 952-001-0010 through OAR 952-001-0080. You may obtain fop es of these rul direct questions to OUNC at(503) N 248-1987. 01 > / �j PERMITTEE'S SIGNATURE / 7�w ISS U1,R-BY:is / _ OWNER IN, ONLY J The installation is being made on property I own which is not Intended for gale,lease,or rent. OWNER'S SIGNATURE: _ DATE- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: t DATE' _ LICENSE NO: 4;71 >> Call 639.4175 by 7:00prn fo►,an Inspection the n4xt business day ,-1T1f OF TIGARD Electrical Permit Application '" " 13125 SW HALL BLVD. pac'd y TIGARD OR 97223 Date Rec'd� - Phone(503)639-x171, x304 Print of Type Date to F.E. Date to UST Inspection (503)639-4175 Incompiote or Illegible will not be accepted � Permit a Fax k303) 598-1960 f'>U �C � 1>f Cared _ 1. Job Addrvss: 12.6-f'r 1'w' �»+ � 4. Complete Fee Schedule Below: Number of IrlepecNorn per permit allowed Name of Development I Name(or name of business)J4T 4-r Service Includod: Items Cost Total 4a. Residential-per unit Address_ - - 1000 sq. t.or less $147.15 - 4 city/State/Zip.-_ __�-� _ Each additional 500 sq fl.or portion thereof $33.40 1 Commercial Residential❑ Limited Energy $75 00 Each Monufd Home or Modular Dwelling Service or Feeder iW 90 2 2a. Contractor installation on:y: J Services or Feeders (Fetor to permit issuance .+pp'icants mist provide contractor license 4b. 4tJ Information for COT date base). Installation,amp or less n,or relocation /(�• t-lectrical Contractor 200 amps or less _ $80.30 2 p .pMLY7- _4 1 Vets SNL- 201 amps to 400 amps $106.65 2 Address L'O• Bait AW_ _T- --_ ___` 401 amps to 600 amps $160.60_ 2 cily, MrdD State___'+r__Zip_ 11�_ 601 amps to 1000 amps $240.60 2 Phone No.� JIT!/- J _ 54•,tf___- _ Over 1000 amps or volls $454.65- 2 ,Job No. 74019 7 Reconnect only _ $66.85 2 Fl-c. Cont. Lice. No 9- 41 C" EXP. Q Date/o-e/- 0 4c.Temporary Services or Feeders - - - OR State CCB Reg. No.33A 4 It - Exp.Date X-o/ installation,alteration,or relocetlon200 amps or less $e6.85_ 2 COT Business Tax or Metro No. -Exp.Date _ 201 amps to 400 amps - _ $100.30 2 401 amps to 600 amps $133.75 2 !;ignatllr:.,of SiJpr. Elec'n _ Over 600 amps to 1000 Vons. tea"b"above. cn N'u.-R/O f Exp.Date /D-e/'d 4d.Branch Circuits Now,alteration or extension per panel a)The fee for branch circultr *ft pu 2b. For owner installations: food1or f"sae o1 tervl:s or O'r1G 6 U Each branch circuit $6.65 Print Owner's Name _ b)The tee for brand,circuits Address _ _ without pun:hore of se.vlce Ci ^^------ State Zi or leader fee. City- - p --- - First branch droill $46.85_ Phone No. -_ --. Each additional bra-.ch circuit - $8.65 The installation is being made on property I own which is not 4e.Mac°lla"aout (Service or feeler not Induded) Intended for sale, lease or rent. Each pump or irrigation circle $53.40_ Each sign or outline lighting $53.40 Owner's Signature, Signal circult(s)or a limned energy panel,alteration or extension 3. Plan Revievr section (if required):* Minor Labels(1n) _ $125.00 J_ a' Please check appropriate Item and enter fee In section 5B. 4f.Each additional Inspectiontheab over � the a:lowable In any of the above 1-- __ ^4 or mo'e residential un4s In one structure Per Inspection $82.50_�CO) _Service and feeder 225 amps or more Per hour _ $62.50 System over 600 volts nominal In Plant -_ $7375 -_ J ___Classified area ur structure containing special cxupancy as 5. Fees: 2�7• V described in N.E C.Chapter 5 8a.Enter total of above fees (,a 8%Surcharge{.08 Y.total fees) W Submit 2 sets of plans with application where any of the above apply. Subtotal $ Not required for temporary construction nervlces. 8b.°Mer 25%of line 8a for NOTICE Pin Review Y.Tgy@pd(Sec 3) s llubtolal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR ❑ Trust Account N WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS n 90 AT ANY TIME AFTER WORK IS COMMENCED. Toot balance Due $ P D i:Wsts'formsWectric-rev.doc-8/00 CELECTRICAL PERMIT CITY O F T I G A R D PERMIT 9: ELC2000-00539 DEVELOPMENT SERVICES DATE ISSUED: 9/11/00 13125 SW Hall Blvd.,Tigard,OR 97223 (5031639-4171 PARCEL: 1S134BC-00700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDrASION: PP1993-058 ZONING: C-P BLOCK: LOT : )01 JURISDICTION: TIG Prolect Description: Installation of 200 amp temporary service. Job�o. 7027 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: 1 PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR t ABEL 001: SERVICEIFEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >w4 RES UNITS: >600 VOLT NOMINAL: Reconnect onl% SVC1FDR>•226 AMP$: CLASS ARCMPEC OCC: Owner: Contractor: RICHARDS,M DALE + TOMCO ELECTRIC INC ADAMS,HEATHER + PO BOX 6388 HOUSE,MICHAEL 13/TAMMY L BEND, OR 97708-6388 TIGARD, OR 97223 Phone: Phone: 541-389-5424 Reg 0: ELE 941C LIC 33844 SUP 37105 FEES Required Ins ons Type By Date Amount Receipt Eractq Servir i PRMT CTR 9/11/00 $66.85 2720000000( Eledl Final 5PCT CTR 9/1'/00 $5.3.12720000000( •see Total $72.19 This Permit Is I!sued subject to the regulanuefs oontained in the Tigan.+Munidpal Code,State of OR. Spedelty Codes and all other applicable levo. 6 All work will be done in accordance with approved plans. This permit wNl e)lre if work is not started within 180 days of issuance,or t work Is C suspended for more Nan 180 days. ATTENTION: Oregon low requires you to follow rubs ad the Oragon U111rty Notlflcatlon Center. Those rules are set forth In("AR 952.001-0010 throug OAR 952-001-0080. You may obtain co of these ordked questions to OUNC at(503) 248-1981. 3 PERMITTEE'S SIGNATURE ._._— ISSED BY: ER IN The installation is being made on p:oQerry I own which is not Intended for sale,lease,or rent. OWNER'S SIGNATURE: _ DATE- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE- LICENSE NO: 5-7 It)_�) -- Call 639.41 75 by 7:00pm for on Mepsectlon the next business day CITY-OF TIGARD Electrical Permit Application Is" �� • 13125 SW HALL BLVD. - Data Recd TIGARD OR 97223 _-- Print Type t of T e este l0 P.F_. Phone(803)6391171,x304 Date to DST Inspection(503)639A175 Incomplete or Illegible will not be accepted pew Fax(503) 598-1960 Called _ 1. Job Address: 1,? -S_S s�-' /UoQ�/l 4. Complete Fee Schedule Below: Number of Ins ons per k allowed Name of Development v Service Included: Items Cost Total Name(or name of business).1. f Address 4a. Resldenunital-per un 1000 sq.ft.of less $147.15- 4 City/State/Zlp _ Each additional 600 sq.ft.or portion thereof $33.0:5 1 Commercial Er Residential❑ L1mW Energy 4-o.00 Each Marxrfd Home or Modular Dwelling Service or Feeder $90.90 2 2a. Contractor Installation only; 4b.Services or Feeders (Prior to permk Issuancb,applicants must provide contractor license Installation,alteration,or relocation information for COT date imm). 200 amps or has $60.302 Electrical ;ontractor ioif 4 O EC.1121` �N _ 201 amps to 400 amps - $106.65_ 2 Address 401 amps to 600 amps $180.60 2 City AF_N 11_ State ©e 7Jp 4 7 7 801 amps 101000 amps $240.60 2 Phone No. �'S'Y/ -� aP 2. S� f �_ over 1000 amps or volts $464.65 2 ,lob No. 20& 2 Reconnect only $86.65 2 Elec.Cont. IJrxi.No. - Exp.Date D- 4c.Temporary Services or Feeders OR State CCB R No. _3.�)F y Ex .Dr,te D-d Installation,.Relation,or relocation e9• � P �� 200 snipe or leas _-� $06.66 (fL COT Business Tax or Metro No. F-V.Date _ 201 amps to 400 snips $100.30 2 401 amps to 800 arms ;133.76 ? Signature of Supr. Elec'n ,flC 1\ over coo amps to toxo volts, see"b"above. License No. Gi S Exp.Date /� D/- d� 4d.Branch cimults "'hone No. _ I- - �e.Z New,alteration or Extension per panel a)The fee for bnvnch circuits fee 2b. For oKvh•1er installations: fPrxeha:e of service or feeder fee. Each branch circuit $6.65 2 Print Owner's Name- __ b)The fee for branch circuits Address without purchase or service _ City Slate Zip_ or feeder fie. First branch circuit $46.85 Phone Nn. Each additional branch circuli $8.85 The Installation is being made on property I own which is not 4*•mfCellaneOus Intended for sale,lease or rent. (gyp c"larder not Included) Each pump or hhigati0n drcb _ _ $63.40 Each sign or outline NDhling _ $03.40 Owner's Signature _ signal circuits)or a"ad energy panel,alteration or extension $76.00 3. Plan Roview section (if required):* Minor Labels(10) $126.00 IL 411.tach additional Inspection over Please check appropriate Item and enter fee In section 513. the allowable In any of the above N4 or mo;c"[dentist Imits In one structure Per Inspection $82.50 _ Service and feeder 225 amps or more Per hour $82.50 _ System cver 600 volts nominal In Plant $73.76 Classified area or structure containing special occupancy as 5, Fees: described In N.E C Chapter 5 go.Enter total of above fees $ tPV J ' Submit 2 sets of pians with application where any of the above apply. S tiInurfdlharge(.08 x total fees) $ ?� Not required for temporary construction services. e 6b.Enter 25%of Bne Its for -1 NOTICE Plan Review ifr_e(p*ed(Sec.3) S Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR ❑ Trust Account N WORK IS SUSPENDED OR ABANDONED FOR A F-ERIOD OF 180 DAYSAT ANY TIME AFTER WORK IS COMMENCED. Total balance Dun s i:\d9ts\fbmis\cIecIrlc_rev.dnc-8/)0 7001)JJ (I"V911 all , JAJ 11081 982._902 Xv-&-09:,01,jW CITY OF•TIGARD BUILDING INSPECTION DIVISION UST 24-Hour Inspection Line: 639-4176 Business Line: 639°4171 . • 8UP Date Requested -/ 'AM PM BLD Location A WA'c4A L 4C3 f Suite MEC Contact Terson Ph "41OLM Contractor Ph SWR Vf BUILDING Tenant/Owner ELC d �� 'retaining Wall ELR Footing Access: Foundation FPtlt _ Ftg Drain SON Crawl Drain Inspection Notes: Slab 8170 Post 6 Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler 90 tFire Alarm Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Wp!:i Scrvice Sanitary Sewer Rain Drains Final PASS FAkT FAIL MECHANICAL Post&Beam Rough In Gas Line — Smoke Dampers Finhl T FAIL ELECT C Service U) Rough In N UG/Slab Low Voltage J Fire Alarm Finale-) IFAW PART FAIL W WE J Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call f r7inaction RE: ]linable to inspect-no access Fire Supply Line +� -- --- — ADA Approach/Sidewalk Date Inspector _Ext Other Final PASS PART FAIL DO NOT REMOVE this Ins pectletl receW Acorn the jab aft. 'CITY OF T I GA RD PEBUILDING PERMIT S: SUP2000-00331 DEVELOPMENT SERVICE) DATE ISSUED: 8/17/00 13125 SW Hall Blvd.,Tigard.OR 97223 (503)639-4171 PARCEL: 1S134BC4)0700 SITE ADDRESS: 12655 SW NORTH DAKOTA ST SUBDIVISION: PP1993.058 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION I CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPEN64GS? TYPE OF CONST: of N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.0c of ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP.GATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: k FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: ATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: / - hD Remarks: Demolition`of concrete shelter and install new cabinets. Owner: Contractor: RICHARDS, M DALE_ + ":.AC INC ADAMS, HEATHER + iAWYER PARK PLAZA HOUSE, MICHAEL D/TAMMY L 63025 OB RILEY RD SP S8 T'Amv! OR 97223 BPttatri: 84T-388-4203 Rog#: LIC 138818 FEES REQUIRED INSPECTIONS e � Type By Date Amount Receipt Final Inspection PRMT DEB 8/16/00 $50.00 0004617 5PCT DEB 8/16/00 $4.00 00045'17 Total $54.00 IL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. R Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. rn This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rulers adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You m may obtain a copy of these rules or direct questions tc OUNC by calling (503) 248-1987. t9 J i Perm Ree ' Signature: Issued B Call A394175 by 7 p.m.for art Inspection the next businoso day CITY OF TIGARD Co�ra Ing Permit Application isimchaats ow Tenant Im vement ftdv IV -E EW 13125 3W HALL BLVD,j r-�' ,� ow a.aw TIGARL7, OR 9722 (503) 639-4171 / r oats b oar ---v�e1v 'f Prin r Type ,��l�f puma a But,"&!dOJ1/ 0 Incomplete or III a applications will not be WANWW Name of oar; ►fro Dnp WON O Now BuNd Q Job ScHeL.S,_ I-L511' CEIL Sirc Address at"Awns" suNDaft . Building 1Z�s so N. Dab Bldg aCNy/9taw Zip ExlatiflQ UN Of Building Or Property: V/- 997---3 C Lt.altrAR- S rTG Name pnopoW Use of Building or. Ky: }- Property A 'r" (( Owner Ma"Address BuiM C.C t,t-0 L 04 S i T ty r N. oiR No. Of Stones: ...-- CNylState zip » t OIL !_?7-7$ Sq. Ft. Of Pmjsa r Occupant Norne �ocwpency Claes(es) Na f Contractor IO W r "/ ) Types)of Construction �;�j �J Prior to pamN Ilkq Addms Sulfa WIN this project have a Firs Suppressw*MM? Iss"W",a Copy Yea No of ail Iloenses are required N City/Stow ZIP Phone Americana with isabllfts Act(ADA) NI or expired In C.O.T. ValuaWn X 25%=i.._.._.Participation database Form Oregon Const.Cont.Board lie.i Exp.Oats Cwnplets I of 2 11 1 valuation Name Architect Plans Required.. See Mstrix for number of sets to subndt Maims Address SUN on bade CNylstate zip phlone I hereby acknowleilp MM I Naw N Old ow k4bim"" V"n M oonera,Mat I am the owner or vAhort od agant of the ote W Wild tat hplans subndttad en in owripbrtoa with onspon Stolle LOW. Engineer """1e S noire Mailing Address 8uNa L Contact P`erreon Name C CRY/State zip phone — �2+b �[�' a `� 8,60- 114 FOR OFFICE USE ONLY Indicate type of work: New O AddMon O DemoiNion 0 Accessory Structure O Foundation Only O ANeratlon O ? Repair O Other O U Description of work: S i ori(o- S I{6 Lr 1511, j TN S r A Lt- tJ t w C A&iNt:'1'S 1. Note: alta work penm APPMr1r11110M moat pttie01116 W sum" 1A� pennitApplication �� 14 ) I:SCOMNEMDOf: (OST) SATS r COMMERCIAL PLAN SUBMITTAL REQUIREMFi14'i )'MATRIX :!2q: :G; `'y:'.l`i�f'Y{•:t:(ii�.;• :h,:::j�}SC'.;} .i>ii.�j':i:'•%'•i:"iii`:<Yx: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Aft) M = Mechanical B & M (New or Add) P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Aft) 2 Add =Addftion B & F & M & P & E 3 it =AltemaWn to Existing New , Add) Building co W 4y 1 h 1. L.IJI NOTES. 1:1dsUVprmo�itNrxoom.doC 1CJ30" r i r OA? U_ PLANS ci*cx MC- oc--Z Z-zZ!!C Pm=cr TrrLE: Menlo-ws G�..r �rr/sarz COUN'T'YWIDE TRAFFIC IMPACT FEE WORKSHEET (S�& wAooRE cf Hc.,,-mss T c (FOR NON-SINGLE F UMMY USES) 141c):76 cri,y A,,-a-j -7-err cITY/ZJP/P1ionE: RATE PER =r- nil LAND USE CATW20RY TP!!,, TAX MAP No-- RESIDENTIAL OaRESIDENTIAL 1159,00 (S / 1 yld C — o r lira BUSINEIS AN M _ StTI�N0.AOORESS: QFFqCE AM M% A) INDUSTRIAL 1 INSTITUTIONAL 188.00 PAYMENT METHOD: cREDrTmtmo�w,air. SANCROFT(PROMISSORY C►tsooer► OF UN AV& TWM WWWWAKVMSM T PAN Ol�rrt jG,'ZI r•r ,.ort BASt3: v 3l S or 2 F?co Ham' erg/ ofF,z� .�.•,�. % 'moi -,rV be K.Se-r( cyS e� rr?� e�STg•"? J ca►LcUt,AnoNs: anioxer ra.oaou� ADOMONAL NO � _ � row�ccauwru+o ru�aotEs oar.� _ '77 -7-07,11_ - rlwri�T wr W/4/0 A,/" 'MAitUNQfON CCUNIY TIP 40?2500K 1 11N10 COUNTYWIDE CDY OF T1 AAD TRAFFIC IMPACT FEE OREGON PAYMENT OPTION FORM Date Site Addms Project Name Plan Check 0 1 reale.e that I must make a decision on payment of the Traffic Impact Fee(TIF) at this time. Therefore, I rec,jest the following (choose whichever option or options ars applicable): ❑ Cash or Check ❑ Credit Voucher eeW Bancroft or Installmet it Payments and/or The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy pwmk if the TIF Is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF must to paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advisod that TIF rates may i, crease up to six percent each July 1 st. This rate increase is not subject to appeal. a U OWNER/APPLICANT APPLICANT W Building Penult File Payment Option Nobbook h:Ytpkldtl�VMwb 13125 SW Flop BW., llt)ard, OR 41'223 (5113100-4171 MD M" 64-2712 Carlson Testing, Inc. CO1s` "O"'� ,s,u;a P.O.Box 23514 Special inspection Tigard,O"on Mal Phone(503)584-MM FILIAL SU3D11R? REPORT FAX(503)854.0064 September 20, 1996 #96-5684 Permit No. BUP96-0080 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Re: Xeadows__GrgUjp qgLjluilding TJLCJ&M, rig—on Gentlemen: This is to certify that the items listed below are in accordance with Section 1701.3 of the Uniform Building Code. We have performed random/periodic specirl inspection at the contractor's request of the following items per our inspection reports only: Epoxy Anchor. Installation All inspections and tests were performed and reported according to the requirements o . URC Section 1701.3 and, to the best of our knowledge, the wor)- was to conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the Uniform Building Code and Standards, as well as the structural engineer's design changes and approvals. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any farther questions regarding this matter, please do not hesitate to contact this office. o. p'2 Respectfully submitted, CARLSON TESTING I v -tJ W Doug as W. Leach President mbh cc: Windwood Homes Reoeiveds oi$7/01 1.1217AMi s MEADONIe GROUP INOS rage 1 . LEMW-UX D_ M_ _ INC. The Specialist in French Doors Q Decernbar 2nd.1999 Lumber Pcoducts 19533, SW 124*Avenue Tualatin, OR Att.: Mr. Eimer Thwas Dear Elmer, This letter is to contmn that Lemlrux Doom ine. uses aaly �in its hmeh es doom. arch individual pikof Slaw should have the seeaV red WW to pMw it bot Owe bines the stamp is not as visible as it should be.. Here are the Baan"pbaaa naudwts of ovr main Sias* sumnass: Contour Industries(Sursoinsvills,TIV) 11(423)363 2000 -Techal-01"s(SurSoiAavill M (423)345-4527 - 103 (Lowellville Ohio) (330)536•62SI (ittsuk"d sises) If you have any questions. don't bositste to contact me or ottr Slag sQpplbr_ Beat regards, i4jdAmoig Mario Aubb Saks Manaser 2 j 6 PERMIT 0. . . . . . . s SIT96-0012 CITY QF TIGARD DATE ISSUED S 05/08/96 COMMUNITY DEVELOPMENT DEPARTMENT PAnrEL e 1 S 134BC-00700 S I TE a Mda T W-F"A'.l?W#MRR"404KDTA ST SUBDIVISION. . . . eM2ONIMOs C—P BLOCKLOT ------------------------------------------ TYPE OF WORK s ? PAVING?. . . . . . . . . e Y RESO. NO. s EXCV VOLUMES 0 cy GRADING?. . . . . . . . s N VALUE. . . ft 81765 FILL VOLUMES 0 Cy LANDSCAFTNG?. . . . e Y ENG FILL?. . . . . . e N SITE PREP?. . . . . . s Y SOILS RPT READ?e N STORM DRAINS?. . . 5 Y IMPERV SURFACES 22200 Of Remarkst Site and grading permit for real estate office Owners ---------------------------------------------------- FEES -------------- MEADOW GROUP type amount by date r9cpt 14076 SW BENCHV I EW TERRACE SW"! f 840. 91 JSD 05/08/96 96--279143 PRM1 $ 379.00 JSD 05/08/96 96—?79143 TIGARD OR 97223 SPCT f 18. 95 JSD 85/08/96 96—E'79143 Phone NS 590-4700 PLCK f 246. 35 JSD 05/08/96 96-279143 EROS f 80.00 JSD 05/88/96 96-279143 Contractors ---------------- -------------ERPC IS 226. 00 JSD 05/08/96 96-279143 WINDWOOD HOMES ERPC f 26.00 JSD 05/08/96 96-279143 14076 SW BENCHVIEW TERRACE T I GARD OR 97224 --------------------riW.Yri�AWwY.�rr.r.�r Phone Ms 590-4700 ♦ 1617. 21 TOTAL Reg #. . e 050196 REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Erosio., Control Tigard Nunicipal Code, State of Ore. Specialty Codes and all other Excavation Insp applicable laws. All work will be done in accordance with £tris Drain I n s p approved plans. This permit will expire if work is not started San S e ae r I n s p within 1M days of issuance, or if work is suspended for more Misc. Inspection thou IFA days. Final Inspection _ Permittee signatures 100�— Call for inspection — 639-4175 i j S i r I , Coinmilmlal Building Parmit Aoall�don City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 1 1 (503; 639-4171 Jobette Address: Tenant iutb M dee tJaa f'siv 1 Plenc�clRec�M I Vsluatton: U Q l 1769, M �..._ • P�nll�-�./�� ~rte.... ��rrri r Owners 7if, t• tiAep 6 TL � OM Q0, T PwMtno Phone: 520 . t.l ZnC' E V w j Other10A-z7-C, Contractor. _ � �L411 C�.'�� ;+.�:'rt� .� LL Address: «C�7 _ U) &fi c4 !, iw� @h h�.a..t C Type of cans �,,f!!,��,�� . , `•:�'�•,i,.. `7 •�`rad ,eJ Phone: ;j 72-1170)(0 /'' Occupen"fir Ir Contrrctoes License p 100 '- p SprinkNnd (Attach copy of cuns 04M .ay Sq. fL of project: Contact name b phone: 596- `t70DStory (tet, 2nd, Mm) �. Architect/Engineer: P, , use: Address: Previous use: _ a Note: Piumbinq d meoftar" plans - _ must be suWnMW at tate of U) Phone: bulkM Pew*0pNvgbn. 00 C9 JOB DESCRIPTION: w c �20_ Applicant Signature & Phone num r A ihl Received by: N ` f Permit 0 Account Description Amount Ana. Pd. dal. out Bldg. Pen nit (QUILQ) 7q- Plumb. ' 1-Plumb. Penn9t (PLUMB) Mech. Permit (MECH) State Tax ('I/►;) Bldg: Plumb: Mech: Plan Check 1 (PLANCK) Bldg: Plumb: Mech., — Sewer Connection SWUSA) SFwer inspection ( NSP -- - Parks Dov Charge (PKS Residential TIF -R) Mass Transit T (TIF-MT) cial TIF (TIF-C) Industrial TIF MF-I) Institutional TIF (TIF4S) Office TIF (TIF-0) Water Quality (WQIJAL) n Water Quantity (WQUANT) p Fire Life Safety (FLS{ Erosion Cntrl Permit (ERPRMT) U _' Erosion Planck/USA (ERPLAN) 2� Erosion Planck/COT (EROSN) -;k6 ,Z Z� TOTALS: .......... r law ems : PERMIT #. , . . . . . e BUP96-0080/ / cirf Of TIGARD DATE ISSUED: 05/08/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1S134SC-00700 SITL� '�:d:TP''�°9�� fs1bF �TF: ST SUBDIVISION. . . . , ZONA I�NG ooC—P BLOCK. . . . . . . . _ . : LOT. . . . . - . . . . . . • i -- --------------------- REISSUE: , ~" FLOOR AREAS--- ------ EXTERIOR WALL CONSTRUCTION— CLASG OF WORK zNEW FIRST. . . . s 7200 sf No So Eo1HR Ws TYPE OF USE. . . :COM SECOND. . . s 0 sf PROTECT UPENINGS7----------- TYPE OF CONST. :5N . . . 1 9 sf No S: EsN WI OCCUPANCY GRP. sB2 TOTAL------: '7200 sf ROOF CONST: FIRE RET?o OCCUPANCY LOAD: 57 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 1 HT: 0 ft GARAGE. . . : 0 tf OCCU SEP. RATED: BSMT' s MEZZ?: REGO SETBACKS-------- REQUIRED--------------------- FLOOR LOAD. . . . : 0 paf LEFT: 0 ft RGHTs 0 ft FIR SPKLoN SMOK DET. . oN DWELLING UNITSo 0 FRNTo 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFAC`o 0 PRO CORR:N PARKING: 0 VA!_UE. $i 414564 Remarkso Meadows Group Real Estate Office. Owner: ------------------------------------------------- ----- FEES ---------- ----- WINDWOOD HOMES INC type amount by date rocpt 14076 SW BENCHVIEW TERR PLCK t 793. 33 JMH 02/12/96 96-275845 FIRE $ 488. 20 JMH 02/12/96 96-275845 TIGARD OR 97224 PRMT f 1220. 50 JSD 05/08/96 913-279144 Phone #: 590-4700 5PCT f 61. 03 JSD 05/08/96 96-279144 EROS $ 136. 00 JSD 05/08/96 96-279144 Contractor: ------ - - --------- ----- --ERPC f 44. 20 JSU 05/08/96 96-279144 WINDWOOD HOMES ERPC $ 44, 20 JSD 05/08/96 96-279144 14076 SW BENCHVIEW TERRACE T IGARD OR 97224 --------------------------------------- Phone ---------------------------------------- Phone #: 590-..4700 f 2787. 4.6 TOTAL Reg #. . : 050196 ------- REQUIRED INSPECTIONS ------- This persit is issued :ubject to the regulations contained in the Foot/Found Insp Appr/sdwlk Insp Tigard Municipal Code, State of Dre. Specialty Codes and all ether Struc Steel Insp Misc. Inspection applicable laws. All work will be done in accordance with Slab Insp Final Inspection approved plans. This pereit will expire if work is not started Masonry Insp within 181 days of issuance, or if work is suspended for sore Framing Insp than IN days. Insulation Insp L Shear Wall Insp 2 Firewall Insp ` Gyp Board Insp _ Permittee Signature: —_JW" sp Ceiing Insp 3 - in concret O Issued Structural weldi _ Call for inspection — 639-4173 1iossL f �I�ildir�a Permit .AR Ilea Cky of Tigard 13125 SW Hall Blvd. - �0 Iq Tigard, OR 97223 - I L (503) 639-4171 �'y I- 3 s-0 (4 4 y C 7 J' k 2 v a, I Jobsite Address: Tenant: /Z _ Suite# Aflhs U"WIN Valuation: I S, no Pllenck/Rec 0 Z_ C •.owner: Dll��y e� s ..hie Map&TL Address: qx)7.6 S cJl Aporovah&saulrod ct Pkmnkv Phone: �00 �dO— -- --- EnglIMMMIM Oar•. ��h� ..,,.�, Contractor: 7 Address: _ 1,4A V, r , � ►c 17� Type of const: %f-'V U Occupancy Gass: `sez S' ADA �•u�,� Phone: _ 6 15-1 Sprinklered? Yes Contractor's License # �Y.� (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone: Story (1st, 2nd, etc.) Pr+upoaed use: D'�r�:+ Arch ltecdEngineer: , 1�rASACZ Previous use: /V RC1 Address: CL Note: Plumbing 8 mechanical plans f„ � �� yr `Y 7.�2 must be submitted at thne of N Pho,le: 2-3Z -- 7S�.3 building permit application. is W JOB DESCRIPTION: a&-z;:a&-z;: Md A o n ignature & Phone number r . Received by: � ' �tGit- Date Received: Q�+ j, Permit* Account Description Amount Xlnt. Pd.' EW. Due "0(^(�-oa sit 5-10 ) Bldg. Permit (BUILD) � Plumb. Permit (PLUMB) Mach. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mach: Plan Check (PLANCK) 1q33�J Bldg: Plumb: Mach: ewer Connection (SWUSA w Sewer Inspection (SWINSP Parks Dev Charge (P C) .� Residential TIF (TIF-R) _ Mass T� t TIF (T11--MT) Co mercial TIF MF-C) 0�m a atrial TIF (TIF-{) Institutl nal TIF (TIF-13) Office F (TIF-0) `. We r Quality (WQUAL) -� Quantity (WQUANT) A Fire Life Safety (FLS) 49 9, Erosion Cntrl Permit (ERPRMT) �. , Ll Erosion Plenck/USA (ERPLAN) _y4 Erosion Planck/COT (EROSN) / y y Z o J--V� qb 3 TOTALS: . CITY OF T PERMITU#LDING. . i BUP96-0440 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUEDs 07/30/96 13125 SW Hdl Blvd.Tip--,OmOon 07223.0100 (M)6304171 PARCELa 1S134BC-00700 SITE ADDRESS. . . : 12655 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONINGsC–P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . --------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION– C"LASS OF WORK. :ALT FIRST. . . . a 1700 sf Na S1 E s t HR WA TYPE OF USE. . . :COM SECOND. . . s 0 sf PROTECT OPENINGS?----------- TYPE OF CONST. :5N . . . t 0 s f N a St E s N We OCCUPANCY GRP. :B TOTAL------s 1700 sf ROOF CONST s FIRE RET?a OCCUPANCY LOAD: 11 BASEMENT. s 0 sf AREA SEP. RATEDs STOR. : 1 HT: 0 ft GARAGE. . . s 0 sf OCCU SEP. RATEDs BSMT?: ME Z Z?: READ SETBACKS---------- REQUIRED---------------------- FLOOR EQUIRED------------------•--- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKLsN SMOK DET. . :N DWEI.LING UNITS: 0 FRNT: 0 ft REARS 0 ft FIR ALRMsN HNDICP ACCsY BEDF(MS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORRsN PAPKINGs 0 VALUE. $: 10000 Remarks: T. I. Owner ------------------------------------------------------ FEES --------------- MEADOWS GROUP type amount by date recpt 12655 SW NORTH DAKOTA PRMT f 80. 50 JSD 07/30/96 96--282315 PLCK f 52. 33 JDA 07/24/96 96-282027 TIGARD OR 9722:4 FIRE f 32. 20 JDA 07/24/96 96-282027 Phone #: 5PCT E 4. 03 JSD 07/30/96 96-282315 Contractor : ---------._..___.---------------- WINDWOOD HOMES 1407E SW BENCHVIEW TERRACE TIGARD OR 97224 ----------------.___.___________--_.--- Phone #: 590--4700 $ 169. 06 TOTAL Req #. . : 050196 -- --- REQUIRED INSPECTIONS ----- - - T:4s permit is issued subject to the regulations contained in the Framing Insp Tigard Municipa: Code, State of Ore. Specialty Codes and all other I n s u 1 at i on Insp applicable laws All work will be done in accordance with Gyp Board Insp Iapproved plans. This permit will expire if work is not started Si-isp Cei ing Insp within 198 days of issuance, or if work is suspended for more Final Inspection _. than 188 days. _— Permittee Signaturesp� C7 / Call for inspection – 639-4175 Commercial Bull Annlio-nfinn City orf Tigard 13125 SW Hall Blvd. Tigard, OR 97223 61 , (503) 639-4171 01 co�F� 7�/F ® a asr '1 Jobelte Address: _U�s SCy Aorl �LJI�iEr // OfRce UN Only Tenant: Alt,ritJ�c�S �icti�y0 suite PlancwRec S7 s� Valuation: 19UV--(2 n '/ Permit:* 3 U 7 ogi—oq#o Owner: Gir��,Q_�`�.[ 3 Map i.TL 15134 i3C—bD z= Address: A&A"A Approval*Mulnd Planning Phone: J72 - /SAO Engineering Other Contractor: _! A .SAL Address: Z 2 �c.J Gr�V C yZ31�- - _ _ Type of const: Occupancy class:-4&3k Phone: 5�'J y7CPQ — 790y37s__ Sprinklered? Yec y�p Contractors License � S7J/�'L � d Q (attach copy of currant Oregon kense) Sq. h. of project: _Ido Contact name 7�� / �G S�� - `� Story (1st, 2nd, etc.) q 3,7S Proposed use: ,f��,Fl ce _ Arch itecUEngineer: _'n�� - Previous use: rce 4. Address: y - — Note: Plumbing & mechanical pians H p/� D✓� 7� must Lie submitted at time of e7 building permit application. Phone: a! •' 7,$�� n�'� CD W JOB DESCRIPTION: �tL144A-1— )!24 J ignature & Phone number Received by: Date Recelveo: Permit 0 Account Description Amount Amt. Pd- MIA Bldg. Permit (BUILD) ) '• Plumb. Permit (PLUMB) Mach. Per—.;I (MECH) State Tax (TAX) Bldg: PI b: Mec Plan Ch It (PLANCK) Bldg: Plumb: Mech: Sewer Connection (S SA) Sewer Inspection WINS Parks Dev Charg (PKSDC) Residential T (TIF-R) Mass T sit TIF (TIF-MT) Cr.m erciai TIF (TIF-C) I ustrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WOUANT) Fire Life Safety (FLS) Erosion Cntrl Permit JERPRMT) =rosion Planck/USA (ERPLAN) Erosion Planck]COT (EROSN) — ------------ PERMIT #. . . . . . . s PLM96-0029 CITY OF TIGARD DATE ISSUED: 05/08/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1S134SC-00700 S I TFt3 .Tlos-:,PeMI71#fa11r1WR LUTA ST SUBDIVISION. . . . : ZONING: C-P BLOCK__ LOT ----•--- -----•---- ---------•----- CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH,, . . . , . : 0 BACKFLOW PREVNTRS. . s 1 OCCUPANC,' GRP. . :B2 FLOOR DRAINS. . . . . . a 0 TRAPS. . . . . . . . . . . . . . 1 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . I 2 CATCH BASINS. . . . . . . 1 0 FIXTURES-------------- LAUNDRY TRAYS. . . . . I Q1 SF RAIN DRAINS. . . . . 1 0 SINKS. . . . . . . . . . 1 2 URINALS. . . . . . . . . . . I 0 GREASE TRAPS. . . . . . . a 0 LAVATORIES. . . . . : 3 OTHER FIXTURES. . . . 9 2 TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . 1 99 WATER ,'.LOSETS. . : 3 WATER LINE (ft) . . . s 99 DISP'.ASHERS. . . . : 1 RAIN DRAIN (-Ft). . . s 99 Remarks ; Meadows Group Real Estate Office, new building with associated sewer du e' s Owners -------------------------------------------------- FEES ------------..- WTNDWOOD HOMES INC type amount by date rec!st 14076 SW BENCHVIEW TERR PRMT f 216. 00 .;SD 05/08/96 9b-279145 PLCK f 54. 00 JSD 05/08/96 96-279145 TIGARD OR 97224 SPCT $ 10. 80 JSD 05/08/96 96-279145 Phone #: 590-4700 Cont Tact or s ----------------'---------------- JIM PLUMBING P O BOX 7160 ALOHA OR 970O7 _______________-----_----------------- Phone #: 649-4034 280. 80 TOTAL Reg #. . : 71860 --- ---- REDUIRED INSPECTIONS ------- This permit is issued subje:t to 'he regulations contaiud in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes 414 all rther Water Line I n s p applicable laws. All work will be done in accordance w,th Top-out Insp approved plans. this permit will expire if work is not starts d Rain Drain Ins p within 188 days of issuance, or if work is suspended for gore Misc. Inspection than 188 days. RP/Backflow Prev Final Inspection Final Inspection - � Fier mittee Signature: — �— 1SS1-ted�;_t_ . Call for inspection - 639-4175 W J City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _ , 13125 SW Hall Blvd. Permit # 6,1- 96-0 9 Tigard, OR 97223 96 - (503) 639-4171 MINIMUM$26.00 PERMIT PEE+ST. SURCHARGE Now Sirwle Family ReddsWA onh aWcs G,lot, o Qr: Jobsfbdures inn the i7 1 BATH HOUSE$140.00 ❑2 BATH HOUSE=195.00 O 3 $225.00 Address �,,,,.,,,. ,(LSC a Fee inckxles all phanbirrg dwelling and the fleet 100 feet of water service, sanitary sewer and stone sewer. See fess below. FIXTURES QTY PRICE AWT kv 4-1 to 71d F-s Sink 9.00 /$(TV MOM Ad*- Ph- Lavatory 3 9.00 Owner r L&2 f- S W Tub or Tub/Shower Comb. 9.00 �"+°1«• ae Shower Only 9.00 u/Ae Water Closet 3 9.00 wT.is n.m.«w..,...1 Dishwasher 9.00 Occupant ---. .3 Garbage Disposal 9.00 "v"°"" Ph- Washing Machine 9.00 IkA.t/n pr- Floor Drain 9.00 C"Y'°'•" ZIP Water Heater 9.00 ae- 7,2 laundry Room Tray 9.00 ld Urinal 9.00 914w Fixtures (SpeZ` 9.00 Q�ontractor M �.P /SW"fe «� 9.00{ q 9.00 lr c*vfm.,.� fGb MT •I_c� ,r. 9.00 Sewer let 11001 30.00 81«.n gnwm N. ap 11- T..N.� Sewer-ea.AMR. 100' 25.00 0 Water Servk9 1st 100' 30.00 1 hereby acknowledge that I have read this application, the the Water Service ea. Addk. 203' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are In compliance with State laws, that Storm a Rain Drain tat 100' 30.00 1 am egistered with the Construction Contractor's Board, that the Storm 9 Rain Drain Addle. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Horns Space 25.00 Back Flow Prevention Device or Anti-Pnliution Device 9.00 5 pn•""•'°""° ' °"' Any Trap or Waste Not f/ Connected to a Fixture 9.00 D@Seri% work new ) addition Q aReration repair Catch Basin 9.00 to be done residential Q non-residential Insp. of Exist. Plumbing 40.110/hr ---- _of Specially Requested Inspections 40.00fir a building or property use operty Rain Dain, single family dwelling 30.00 Residential backflow prevention N devices 15.00 Proposed use of - builoina or property J 'Mrcepf nsldhntial backflow prevention clowbea) W NOTICE *Minimum Fee$29.00 SUBTOTAL 6 LN J _ PERMITS BECOME VOID IF WORK OR CONSTRUC i ION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF s%SURCHARGE D CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER 'AURK IS � COMMENCED. PLAN REVIEW 26%OF SUBTOTAL `J� TOTAL Special Conditions _ _ Date Issued by Tenant Name: '--,( -.,j S G'I Accumulative Sewer Tally This SWR#: 9&" "`,9 Address: 5�J /J - This PLM#: 9 o-Otis Fixture Value Previous # Previous Credits Capped IFIXhM s Fixtures Now New Value Capped off value added# added total#s total Count off#s count value values Baptistry/Font 4 Bath- Tub/Shower 4 Jecuz/WWh i 4 Car Wash-Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher -Commer 4 -Domest 2 I �, Drinking Fountain 1 Z, EYe Wash 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom(to 3/4 HPI i Comm Ito 5 HPI 32 Ind (o-,or 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Static) 6 Recreational Vehicle Dump Station 16 Shower- Gong(Per Head) 1 - Stall 2 Sink-Ber/Lavatory 2 Bradley b _ Commercial 3 Service _ 3 Swimming Pool Filter 1 W3sher, Clothes 6 Water Extractor 8 Water 0oset, Toilet 6 3 J Urinal 6 TOTALS ( 3 i Total fixture values: 3q divided by 1I16 = . 13 EDU HISTORY oe%, 3LDCr tU% ��`lyJ(•� l LM# 6 CQj- FDU# d SWR# �� - 00 y q PLM# EDUr: SWR# PLM# EDU# FWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# �- a�tvean o , CITY Of: TIGARD PERMIT SUED s 0 s SWR96-0049 DATE YS8UEDs 05/08/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL t 18134BC-00700 5I1-E36 ,T1YM►d. 9l9`37 ►@fOR4Qs1SBFNtL17A ST SUBDIVISION. . . . : �-- ZONINNjGt �C—P -LOCK. LOT -------------------------------------------- TENANT NAME. . . . . sMEADOWS GROUP REAL ESTATE OFC USA NO. . . . . . . . — c FIXTURE UNITS. . . t 11 CLASS OF WORK. . . :NEW DWELLING UNITS. . s 2 TYQE OF USE. . . . . :COM NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR I MPERV SURFACE t 0 s f Remarks: Meadows Group Real Estate Office. SEWER SDC by fixture/dwelling unit Owner : -----------•-----•----------•---------------------------- FEES -------------- WINDWOOD HOMES INC type amount by date recpt 140076 SW RENCHVIEW TERR PRMT f 4400. 00 JSD 05/08/96 96-279145 INSP $ 45. 00 JSD 05/08/96 96-279145 TIGARD OR 97224 Phone #s 590-4700 Contractor- CONTRACTOR NOT ON FILE ---------------------------------------- Phone #: $ 4445. 00 TOTAL Reg #. . c -------- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 198 days fro@ the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the _ side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from _ the distance given. If not so located, this installer shall purchase a "Tap and Side Sewer" Permit and the a cy will install a lateral. is sued BQ, Call for inspection — 639-4175 3 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 19125$W H811 Blvd.,TVW,OR 97223 (SO)M4171 PERMIT #i 0/0682 DATE ISSUEDe 110/24/96 PARCEL: IS134BC-00700 SITE ADDRESS. . . : 12655 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONING:C-P BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . Project Description: INSTL BRANCH FEEDER ---RESIDENTIAL_ UNIT---- __ ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-------- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . 1 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/SDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 — SERVICE/FEEDER-- -_ ----BRANCH CIRCUITS------- ----ADD' L INSPECTIONS—- 0 NSPECT I ONS—--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 3 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDP. : 0 PER HOUR. . . . . . . . . , . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH C?RCa 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 - -- ----- -- -----PLAN PEVIEW SECTION---------------- 10004 amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner.: ___ ..___.___----__.......-------._____.____._..__..----.--- --.__.____.____—•-- FEES --------__---__---- AT&T WIRELESS type amount by date recpt ATTENTION: KEVIN MARTIN PRMT $ 75. 00 TA'f 10/224/96 96--285655 1600 SW 4TH AVENUE 5PCT $ 3. 75 TAT 10/24/96 96-285655 PORTLAND OR 97201 Phone #: 329-4781 Contractor. ---------------------------------------------------------------------.------ ALLIANCE ELECTRIC INC $ 78. 75 TOTAL 19590 SW 51ST ------- REQUIRED INSPECTIONS ------ - TUALATIN OR 97062 Elect' l Service Phone #: 691-2222 Elect' l Final Reg #. . : 000787 This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other perm it S i gnat ur applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not startFd within 198 days of issuance, or if work is suspended for @ore _ AdaLie IL than 188 days. Issued By F - ---- - ------ _----- —___-__— OWNER INSTALLATION ONLY------ --- ----___---------- ---_ 'The installation is being made on property I own which is not intended for sale, lease, or tent. - OWNER' S SIGNATURE: DATE: INSTALLATION ONLY----- ----------------------- W J SIGNATURE OF' $UPR. ELEC' N: �_- DATE: LICENCE_ NO: - - -- Call for inspection -- 639--4175 If Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # h Permit # J 9(�-iV&BZ A;;, Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by CITY OF TIOARD TDD No. (503) 684-2772 Inspoction (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Irtapeodotna par psrmtlt @wowed Address 125.55 -S-W North Q a k o t a serer Included: Items Cosgae) Sum fil City/State2ip T i q_a r d 4a. Reeldentlel-par unit 4 1000 p It or lees $11000 Name (or name of business) A T&T Id i r P 1 p c c FacPh adit eq n or yes oo t Commercial El Residential❑ L"`*`d Energy —"— in 00 Email Mi'd Hon»or Module 2 Dwe:krg Service or Feeder $tie 00 2a. Contractor Installation only: 4b.Services or Feeders Installation,aweralion,or relocation 2 Electrical Contractor_A 11 i a n c e E 1 e_c t r i c 2W amps or$me �_ oeo00 6 n _n n 2 201 amps to 400 amps $8000 Address 19590 SW al.rnv.ro eco.n,p. $12o 00 - 2 City -t n State 0�_ Zip 9 7 U 6 2_ sol.mpa ro 1000 amp. 111i so 00 2 Phone No.--U I_2 2 _._ Owr 1000 amp or vote 1000 2 Gontractor's License Na. 3-3,�,jj�_ R000nne°°"" f6000 Contractor's Board Rea, 7 A Zl!3 4c.Temporary sen lo«or Frwdsrs Installation,aheration,or relo Aon 2 Signature Of SUpr. E C'n 200 amps or Was X000 2 Licent:^ No. ?0?.1 hone No. - 401�w SSW 00 empe $:M 000 Over s00 amps to low vows 2b. For owner Installations: "a'b'above 4d.Branch Circuits Print Owner's Name New,alllrsAian or extereion per penal Address e)The lee for branch cirwIte with State Zip_ pweneN of*arOka or wedw Am.3 15 .00 2 City Each blench aroutl $600 Phone No. b)The tee for branch arruft without The installation is being made on property I own which is pwdw'a anvtca or tfee wa. 2 Rml branch arced 0600 not intended for sale, lease or rent. Each eddaional brand,dmA $600 Owner's Signature 46.Miscelianecus (Service or feeder not included) 2 3. Plan Review section Of required): Each pump or inipation arde $01000 2 Eanh Wgn or rxrlwns IigMing 511100 Signal amuw(s)or a Iinited energy 2 Plesse check appropriate Item and enter fat In*Wion 5B. panel alteration or extension "0 00 4 or more residential units in one structure Minor *bola(10) $10000 Q. Service and kw-dw 225 amps or more 4f. System over 800 volts nominal Each additional Inspection over the allowable in any of the above Classified area or structure containing special occupancy 00 CO) as described in N.E.C. Cha�l»r 5 Per rr.peenen �6 Per hour $81500 In F�mt $66 00 Submit 2 sets of plans with application whet*any of the above m apply. Not required for temporary construction"Moes. +6. Fees; Be. Enter total of above fees $ 75 .00 WNOTICE 5%Surcharge(05 X total fees) $ —1 subrofN = ___ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 8N,Enter 25°G of line A fa At ITHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan fill%of if,squired(Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Rol S A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Sub COMMENCED. 17 Trust Account 0 = Balance Due $ ?$ .adoeme.�-0mx.apo __U TRICRE PERMIT PERM CITY OF TIGARD DATE I M e Ds 05/0289 DATE ISSUED: 05/08/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1 S 134BC--00700 3I TL!3 Vfdff#ft��'.°:T.b�rd,P�°�� f�110F�PAA��STA ST SUBDIVISION. . . . : ZONINGSC-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : Project Description: Temporary service or feeder up to 200 amps / -7-(.e-------------------------------------------------- ---RESIDENTIAL UNIT---- -TEMP SRVC/FEEDLIS---- MISCELLANEOUS----- 1.000 SF OR LESS. . . . s 0 0 - 200 amp. . . . . . . I 1 PUMP/JRRIGATION. . . . 1 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 1 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 01ANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL t10) . . . S 0 -----SERV I CE/FEEDER----- ----BRANCH CIRCUITS------- ----ADD' L INSPECTIONS--- 0 NSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDERS 0 PER INSPECTION. . . . . 1 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRCS 0 IN PLANT. . . . . . . . . . . , 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTIO14---------------- 1000+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC. S Owner: --------------------------------------------------- FEES ---------------- WINDWOOD HOMES INC type amount by date recpt 14076 SW BENCHVIEW TERR PRMT $ 50. 00 B 05/08/96 96-279113 SPCT t 2. 50 B 05/08/96 96-279113 TIGARD OR 97224 Phone M: 590-4700 Contractor-: ---------------------------------------•-------------------------------- MT HOOD ELECTRIC INC $ 52. 50 TOTAL 0900 SW BURNHAM MF•-7 -------- REQUIRED INSPECTIONS ---- --� TIGARD OR 97223 Ceiling Cover Elect' , Service Phone fi: Wall Cover Elect' l Final Reel #. . : 113641 This permit is issued subject to the regulations contained in the — Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Issued By INSTALLATION ONLY------------------------------ 1he installation is be,i.s� made on property I own which is not intended for z sale, lease, or rent. / [OWNER' S SIGNATURES — DATEs —„ CU LLATION ONLY------------ ] a SIGNATURE OF SUF'R. ELEC' Ns - DATE: 1 jI....I CENSE NO: _ _ _--- Call for insp. ion - 639-41i5 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permft # Ctt lb -02-991 Date Issued Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503)684-2772 Inspection (503)639-4175 1. Job Address: 4. Complete Fee Schedule Below: I � 4 Name of Development V, 1 iDwo 0 *� Number of Inspeed" per pamdt slim Address L �� I n(Lrik, 1�1 � Service Included: ft" Coag") Sum City/State/Zip__jL g Lfl -q 11S 4a. Residential -par unit 1000 sq. ft.or less 8110.00 4 Name (or name of business) Each sddNWsl SW sq.n.or Portion thereof $28.00 t Commercial ❑ Residential ❑ Ll 0 Energy $2$.00 Each Manurd Horne or WduW D*** Service or Feeder "am 2 2a. Contractor installation only: 4b.Services or Feeders Electrical Contractor MT t'1W 9 cLevv` inst@WW,Wo im,or rstoatbn 200 amps or lea $e0.00 2 110.00 Address $100 1 wJ t3.+w l+w.aa--J� P�'� �1�to 400� $120.00 2 401 amps to 000 on" City j_(y _ State A� Zips_ 001�to 10W� �1�.� _ Phone No. �S`j_ Z�3'3_ Over 1000 an"orvolte 111,40.00 _ Job NO. Reconnect only $50.00 _ 2 contractor's ;cense NO. �Z..S- _ 4C.Temporary Services or Feeders C ontracto,s Board Reg' No innaNsnon,a onalam,or relocatlon � �e� Signatv;e of Su r. Elec'n 2W arMs or lose 2 License No. 610 1 one No. 4401«�m 6600� $$75.000 2 over eo0 amps to$000 vows $1100.00 2b. For owner installations: ter''°"sbovs 4d.Branch Cdrrults Print Owner's Name _ New,allerntion or extenslon per pens Address_ a)The rte for eronch cftAs Melt City State Zip EPS mid dreultsarieftia' or ° r"" $500 Phone No. _ _ b)The r«for branch cww,hs wrtrrore The installation is being made on property I own which is purchase ofswWceorAedarft* . 2 not intended for sale, lease or rent. Flet lxench nbr "boo Each addNloal al branch ckarN $5.1d0 Owner's Sgnsture 4e. Nllscellartma (Service or feeder not Included) 2 3. Plan Review section (if required): Each purnp or h1galbn ckce --- $40.00 2 Each sign or outflne lighting $40.00 2 signal ckeuN(s)or a INnNed energy ` Please check appropriate Item and enter tee In section 58. penal,Weralion or extension $40.00 4 or more residential units In one structure Mhor Lebsb(to) $ton.00 Service and feeder 225 amps or more 411.Each addl System over 600 volts nominal Nonal Irwpectlon awr Classmed area or structure containing special occupancy the allowable In any of the above pedlon as described in N.E.C. Chap',jr h Per hour r 5 Per our $35.00.00 $StS.00 O In Plantl5t5.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5" Fees: e J da. Enter total of above fees = w� NOTICE 5%Surcharge (.05 X total fees) ti _ • PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal = AUTHORIZED IS NOT COMMENCEL WITHIN 160 DAYS,OR IF 5b• Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR len Review If required (Sec.?) _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal _ COMMENCED. ❑ Trust Account A = Mm TP i>llalanea Due ELECTRICAL PERMIT CITY OF TIGARD DATEIISSUEDtC96-0526 08/08/96 COMMUNITY DEVELOPMENT DEPARTMENT 13146 tW Hal 8W.T4wd.Orapoe 97M4199 (NM 639,1171 PARCEL t i S 134BC-007P^1 SITE ADDRESS. . . : 1^655 c'W �11�gT,�{,r)AKOTA ST SUBDIVISION. . . . s /Vkpf71Nj5 uru'uF- ZON1NntC-P BLOCK. . . . . , . . . . : LOT. . . . . . . . . . . . . t Project Description: 60 BRANCH CIRCUITS AND 1 SIGNAL CIRCUIT W/ ONE 401-500 AMP SERVICE FEED 9Y MT HOOD ELECTRIC, PLANS WITH OFFICE COPY PER E. P. E. /MR --------•-------------- - -RESIDENTIAL uNir---- - --TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-•---- 1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . t 0 RUMP/IRRIGATION. . . . s 0 EACH ADD' L 500SF. . . s 0 201 - 400 amp. . . . . . . t 0 SIGN/OUT LINE LTO. . t 10 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . s 0 SIGNAL/PANEL. . . . . . .. t 1 MANF. HM/ SVr/FDR. . : 0 601+AMPS—•1000 volts. t 0 MINOR LABEL (10) . . . t 0 -------SERVICE/FEEDER---_.. ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDERt 60 PER INSPECTION. . . . . a 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. s 0 PER HOAR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . 1 1 EA ADD' L BRNCH CIRCe 0 IN PLANT. . . . . . . . . . . 1 0 601 — 1000 amp. . . . . : 0 -------------------PLAN REV'r--W SECTION---------------- 1000+ ramp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . a ) 600 VOLT NOMINAL. . t Rec:onne^:t only. . . . . : 0 SVC/FDR ) = 225 AMPS. ., s X CLASS AREA/SPEC OCC. : Owners --------------------------------------------------------- FEES ---------------- MEADOWS GROUP type amount by date recpt 1 .'655 SW NORTH DAKOTA ST PRMT $ 460. 00 JMH 08/08/96 96-282685 FL-CK $ 35. 00 JMH 08/08/96 96-282685 TIGARD OR 972234 5PCT f 23. 00 JMH 08/08/96 96-282685 F-'h cane #- 590-4700 (_;ontractor-- -------------------------------------------------------------------- MT HOOD ELECTRIr INC f 518. 00 TOTAL 8900 SW BURNHAM CF-7 — ------ REQUIRED INSPECTIONS -------- TIGARD OR 97;=23 Ceiling Cover Elect' l Service Phone #: Wall Cover Elect' 1 Final Rey ##. . : 113641 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other P t t ee Signature applicable laws. All work Mill be done in accordance with approved plans. This permit will expire if work is not started Mithin 180 days of issuance, or if work is suspended for more than 189 days. I s ued By N_ - _OWNER INSTALLATION ONLY----------------------------- The installation is beingmade on property 1 own which is not intended for sale, lease, or rent. - UWNER' S SIGNATURE: DATEt _m --------------------------CONT Roti ALLAT I ON�ONLY ------------------------------ r3 -------------------------..__ r3 J SIGNATURE OF SUF'R. ELEC' Ns DATE e — LICENSE NO: 3t_OL$� Call for inspection - 639-4175 Community Development ELECTWI ,AL PERMIT APPL��ATION 13125 SW Hall Blvd. I 1 C qi'O�Q5 Tigard, OR 97223 p�lrmit # 1 — Date Issued $0�'qC 4 Rhone (503)639-1171 CITY OF TIOARD FAX (503)684-7297 i"DL; No. (503)684-2772 Ins;,vAlon (503) 639-4175 1. Job Address 1 -L Complete An Schedule Below: Name of Development_ 'A1_ 's 0 t'P)CSC" I Number of Inspectloea per permit allowed Address-1 2i� � 9'W_ tJ f A r Service klduded: Item Cost,ea) Sum City/State/Zip_ 7 t-�ICD-D 4s. Residential -per unit 1000 sq. ft. or less 1110.00 4 Name (or name of bLsiness) _ Each addlllonel 1100 sq.n or Portion ttW" $2500 1 Commercial ❑ Residential ❑ united EnsW $25.00 Each Manurd 11on or Modu* DwM Servke or Feeder _.� in.00 2 2a. Contractor installation only: Ib.Services or Feeders Installation.aseratbn,or relocation Electrical Co !ractor 200 amps or Ir a �- $collo 2 Address_ L) la l_IJ * 201&Me to 400 amps $$0.00 2 City -n 4a_ State Zip9 401 am"to 000 cape �_ 8120.00 12.0000 2 �.- 001 amps to 1000 amps ,-- Phone No.�!1 Wit} Misr loon am$a volt. __ $W.W 2 .lob NO. Reconnect only -- $110.00 2 contractor's license NO. 1 t-3 s 41 4c.Temporary Services or Fadden Contractor's Board Reg. No. Z5'-G._ Installation,94"W,or relocrilon Signature of ne•r. Elec' 200 eror l•'• i License No. 1 one No. 4 201 anile to 400«rp. $110.0° 401 my"to NO appspe $75.00 2 710CST Sf�s O'er Wo off to 1000 volts $100.00 2b. For owner Installations: •°°'°'ibO9e 14d. Branch Clrcults Print Owner's Name _ ww,@49M n or extension per,ww Address — kq The fee for Isaodl cireub,oAft 2 City State Zip— Eseh brandr�ckadt savM °'Naesr ti. $s m Phone No. b)1M fee for Wand csarru wMrorR Tha installation is being made on property I c vn which Is purdn"ofine Vkeor Mdarf *. 2 not intended for sale, lease or rent. First aaneh ops -- t oo Each addNlonal bnndl drarN W$s.00 Owner's Signature 4e. Miscellaneous (10ervice or feeds, not included) 2 3. Pla- um i Review section (If required): Each lump or lrrg.tlon(,-ft* W.00 Each s pn or outline 11 IkV -- $40.00 2 S".drarlt(s)or a arras!anergy IL Please check appropriate Item and enter fee In section tib. pars 1,Am-Ion or rmtenslon $40.00 4 or more residential units In one structure Minor -awls(10) $100.00 1�.. �ervice and feeder 225 amps or more System over 600 volts rlcminal 0.Each add*3nal Inspectlon over Classified area or structlre containing special occupancy the allowable In any of the @bowInsp — as described In N.E.C. Chapter 5 Per Per hex hotw lbn 811.00 11195.00 In Plant 111111 OD Submit 2 sets of plans with application when any of the above apply. Not required for Ompormy construction services. 5• Fees: J8a. Enter total of above fees f NOTICE 5%Surcharge (.05 X total fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTION 3100fol AUTHORIZED IS NOT COMMENCED W11 HIN 180 DAYS,OR IF 5b• EAter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review N required (Sec.3) f r A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal�.roa _ COMMENCED. .�� El Acwjnt III Mm•PP Balance Dur : 57 00.iV 4 >� civf-6 All Am OV&I PERMIT #. . . . . . . s MEC96-0043 • CITY OF TIGARD DATE ISSUED a 05/08/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL a IS134BC-00700 S IT 03VNDVM50-TM -VA"W 1"I MI ROM SM.DTA ST SUBDIVISION. . . . a ZONINGS C-P F ) :NeLOT • 9_ .. ---------- -------- --------- --- CLASS 1-Z� � -,Y - -�-.-- ------ ---- - OF WORK. . a NEW FI-OOR FURN. . . . : 0 EVAP COOLERS s 0 OF USE. . . . sCOM UNIT HEATERS. . : 0 VENT FANS. . . e 2 OCCUPANCY GRP. - :B2 VENTS W/O APPL: 0 VENT SYSTEMSe 0 STORIES. . . . . . . . I 1 BOILERS/COMPRESSORS HOODS. . . - . . .. s 0 FUEL TYPES------------ 0-3 HP. . . . 1 5 DOMES, INCINe 0 : /GAS/ELE/ ! 3-15 HP. . . . s 0 COMML, INCINe 0 M(IX INPUT: 0 BTU 15-30 HP. . . . a 0 REPAIR UNITSe 0 VIRE DAMPERS?. . s N 30-50 HP. . . . 1 0 WOODSTOVES. . s 0 GnS PRESSURE. . . : 50+ HP. . . . 1 0 CLO DRYERS. . e 0 N0. OF UNITS----------- AIR HANDLING UNJ-.S OTHER UNITS. s 0 FAJRN < 100K BTU: 5 <s 10000 cfwt s 0 GAS OUTLETS. s 2 FURN > =100K BTUs 0 > 10000 cfm•, 0 RemarAse Meadows Group Real Estate Office. Owners --------------------------------------------•------- FEES --------------- WINDWOOD HOMES INC type aeount by date recpt 14076 SW BENCHVIEW TERR PRMT f 80. 00 JSD 05/08/96 96-279145 PLCK $ 20. 00 JGD 05/08/96 96-279145 TIGARD OR 97224 5PCT t 4. 0% JSD 05/08/96 96-279143 Phone #: 590-4700 Contractors -•---------------------------- ADVANCED HEATING & AIR CONDIT 6918 SE 48TH PORTLAWD OR 97206 ------------------------------------ Phone #: : 104. 00 TOTAL Reg #. . : 98573 ------ REQUIRED INSPECTIONS ------- Thi� permit is issued subject to the regulations contained in the Gas Line Insp _ Tigard Municipal Code, State of Ore. Specialty Codes and all ether Mechanical Insp applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Cooling Unt Insp within 180 days of issuance, or if work is suspended for sort Duct Inspection than 180 days. Mi sc. Inspection Final Inspection a _ — NF er-mittee Signature: -4. I s,ued _ — m Call for inspection - 639-4175 W J City of Tigard ---- �dl�`C IANICAL PERMIT Pianck/Rec. 0 13125 SW Hall Blvd. APPLICATI Permit # = 96- TI and OR 97223 (503) 639-4171 Y Descroin 0AW0`4 CAF"#$ /) Table 3r%Msdmarmlcal Coda QTY PRICE AMT Job � 0 1) Pei.. Fee -0. -a 10.00 Address MP QK !72-U 2) Supplemental Permit 3.00 xmm� '— umaa to 100'r= BTU pfd 0 p (��,� 1) Ind. ducts 3 vents 8.00 J Furnace + Owner I�?L So '�. 2) Ind. duds&vents 7.50 umance T-naeftl OW 3) W. vent 6.00 hooter, wallr 4) or Hoon mounted heater 6.00 ••• — en n Occupant /$8 ec j 5) appliance p� 3.00 Repairheating, 1 6) cooling, absorption unit 6.00 Borer or corrmp, host pump, aF conn. 7) to 3 HP;absorp unit to 100K BTU 6.00 Borer or oomp, host Pump. a co Contractor 0-S o 8) 3-15 HP;absorp unit to 500K BTU 11.00 Boger or comp, host pump, air cond 9) 15-30 HP; stso m unit .5.1 mN BCU 15.00 Ix`f, ,tt'Vo r or corM, r*qt pump, air cond. &47 10) 30-50 4P; absorp unk 1-1.75 mil BTU 22.80 hereby acknowle go trial I nave read this Application, that the Boner xocmp, hoe!pump, sir cond. information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mN BTU 37.50 agent of the owner, that plans submitted are in compliance with r an ng3tt—iFun �� State laws, that 1 am reglatewd with the Construction Cortractor's 12) 10,000 CFM 4.50 Board, that the number given Is correct. (if exempt from State anri wo -- registration, please give reason below.) 13) 10,000 "TM+ 7.00 on lm 14) evaporate cooler 4.00 —WM",,-con McM 15) to a sirRtle duct Z. 3.00 G Vent?talion system n 16) included In appliance permit 4.50 EMS Hood served'by"—` 17) mechanical exhaust _4.50 Describe work newaddition (2 Hire n es ommer a or industrial to be done residential Q1vn-reaidential Q 18) type Incinerator 30.00 xis n use ^ [�- /�— Other re., s ove, wo,er building or property /� t /u; 19) hooter, solar, clothes d,yen, etc. 4.50 IL i a Proposed use of 20) Gas piping one to four cutlets 2.00 Z N building or property 21) Moro than 4-per outlet (each) 2.00 Type of fuel -oil Q natural g'a-fr*OTPG O electric Q J_ Minimum Fee $25.00 SUBTOTAL V Uj PERMITS BECOME VOID IF WORK r'^3ONSTRUCTION 'j AUTHORIZE^ :-- "77'=C:.i1%geNCED WITHIN 180 DAYS,OR 6%SURCHARGE N IF r^;,iSTRUCTION OR WORK IS SUSPENDED OR /,BANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK'S COMMENCED. TOTAL /U Special Conditions Date issued _i by M%L001M05?$WEC PMT DRAWNG INDEX • • i.• •. • • • • • No DUK. No. DEbGRI1�T10N : : • ANIL Co1d O GPIORPO.CL03FW1-PTLOORI•R'11-A-I COVER 8HEET .• . �•. •�; ; • P Rlnolw Card • • • • . • � • •.. ErYe.G YES70 O G lORPOrCL03PR11-PTLD'-X'T 11-A-2 SPECIFICATIONS ' ": •� ; �•� O C010RFSOCL03P%-I1-PTLDORPR 11-A-3 SITE PLAN •[N[RAL OYNAMIO• .. .. rr.rrr•reww,.rr..A.,w. 00. O Gr$ORPO.CL03PR11-PTLOOPr RII-A-4 ECIUIPMENT LAYOUT AND ELEVATION ® •o• ; • • ;.• . : 4mmecakar"a • : :•e t•: : i.• '.rkr%LORMe 0 GM0RPO.CL03PR11-PTLD0RPRII-A-IS ECIUIPMENT DET41LO ••• • 05Ot"WI GSM Irate OVERLAY PROJECT O GMORPOrCL03PR'11-PTLDORPRII-RP-i RP DETAILa O C01ORPOrCLN3PR11-PTLDORPW1-RP-2 ANTENNA CABLE SCHEMATIC 19 O COIOM'D.GL03PR11-PTLOORPRl1-W-3 CiROMIC.NG DETAILS 7w•rum...TN AN s low,ft VN 1Ml c w" �O GM0RPO.CL03PR11-PTLDORPRII-W-4 ANTENNA CABLE RJKORMATION •"( W14-6410 MA.qw.L.TT..f..1q» —�.. " O Gt-1G1RPO:CLO?-+-�''I-PTLDORP1t11-E•I ELECTRICAL DETAILB 125M & SCHOLIS I O GMORPO�CL03PR11-lmTLDORPRII-E-1 EL ECTRICAL LAYOUT O GM0RP0,GL03PIt11-PTLDOPrWl-E-3 TELCO DETAILS SITE*: PTL DORPRI I . CASPR": Cs1°'iORPO.CLm3PR�� -PTL DOi Ito �J) Fc�APPM%.W.... �� auernrTAl v �y EFIMIT NO ..( ) DRIVING DIRECTIOW FROM PORTLANDr A a •NOIvry I � r-t r� e ��• OL `\,,\J\S\O`, TAKE wr AVE TUR!L�o ACCESS WARD WEST ONTO OiATILY�1�SARA CLMr- N s LWT ON o`N(3 ,�..MR v\\- ooftfarm oom HOT CON$"" ALT UrOd a TM LMAf I.P.M. Inf!MWOUrIO r DORADW NTH. WIT S COMM 6 FOOP•ATAW R"Anm AMT 1r an DMO.AA PROJECT "'PIOR-IATION VICINITY MAP NTS. ?W C nrr,AM a oy W%T ro 0" 0"44 NMS•wlOWA SITE A00111196 •••••• a COMM Or UNMANNED TELICOM"JW-ATIO N f�� I SCHOLLS MOW�RD. PACILlrMgC 'r MODATIO S Y TOARD.OR R'y'A'b CREe1c TDI!'r c PI10 t TFE MEADOWS MOIr REALTORS ATAT e#REI.Ess SERVICES.INC, o MA/R LLC 717!P"OfN"ECT PARC DR.9" � RD 7b *694,SW NORTH DAKOTA ST RANCHO CORDOVA.CA 90610 �HOLLb Flr ♦ TIMAW.OR 01"A CONTACT,TA-"r L HODS! 2w s 71343PI: E zmm .L PO � I� RMAL W 6 H Avg Am,LLS SITE 175TN 1 SG1aOLLb GITT Q TISAIp RTLAND OR 11704 SWIU!IO ) $a(PWCA ORI•R11) SM 310 SW HALL BLVD CONTACT:PAIL SLOTVIAKIR SE GORIER O>• SCWML/FffPWr MD. ul 1 _•� TKLAW.OR!1773 PMOL,(SM)7414121t �f 6 T16ARD.OR -1 wn x ff APPROVAL LIST �'JZ� Ill! F�I1NNTi06 i1AT�r r '��' Ci"RORSeIONAL)IAL TELECOP"JNICAT101A�fACL11T SW ANTON DR COVER SHEET nae QINAt Alt DAfI t /� C.NST.TTPI. V•N OMMRAL DTN.MIIC. OCG1•ANCY. WA Q� 'IU NORTH ATAT.IP.LI..InevPa. APR 0 8 2004 y T DAKOTA ST •�TNr� i C&VIOLI D AMA. t714 SQ PT. MAP,0 134SC TL 100 I) �& T.VALLE, "Owes con=; uns NSD ✓ b gas CQ y A-1 AI!101,N011 T an vws w wr PAM"16"d aps"heMII A daM/ Dor uvr COOMlllll ALr s LSAes TIIl1I. LAT171gr N Lam.W In'M'16r • o 0 r R1JR61EAU NC�THI31 �rIM_Ir�Au t dJILDMG GtX7Es AND 6TANDARDIIsT :' i 0 ' •• ARL 1, PRIOR TO TWE SUBM1661OV OF 5I06,TWE P31DONG CONTRACTOR '44-1-VISIT TWO CELL 617E TO BECAFE FAMILIARIZED WITH TWO L CONTRACTOR'S WOW SMALL C MPLY WITM ALL APPLICABLE NATKwAL,STATE,AND LOCAL CODE6 AS ADOPTED BT THE LOCAL VNk>lISN • EXISTING CONCITION6 AND TO C:OPFIRM TWAT THE WORK CAN BE AL *OMPLISWED AS 6WOUM ON THE CONJTRUCTION DRAWING•. AUTWOITY WAVING,1 MODICTION(AA4L)FOR TWE LOCATION. TMt EDITION OF TWO All)ADOPTED CODES AN�6TAI�;A7V06 M ANY DISCREPANCY FOUND SMALL EOE CAOUGWT TO TWO ATTENTION OF TME CO ISTRUCTK)N MANAGER EFFECT ON TME DATE OF CONTRACT A LAIRD SMALL GOVERN TWE DESIGN. • •• • • • 27n PR17EQ601 PWk DT,RIM ' i • •• • • ° i•i Raid Codd s,CA W M70 2. ALL MATERIALS FURNISHED AND INSTALLED SMALL Bt M STRICT ACCORDANCE!WITM ALL APPLICABLE CODIT6,RBGILATK)N!, ]. BWLDMG GODt(UMC). • 6 • • • • • • ' • AND ORDINANCES.CONTRACTOR SMALL 1651E ALL APPROPRIATE NOTICES AND COMPLY WITH ALL LAWS,ORDNANCE•.RULES. ••• • • •�' • REGULATIONS.AND LAWFUL ORDERS OF ANY PUBLIC AUTMORITY REGARDING TME PSWCAR1A4Ct RE-OF TME WOJ. ELECTRICAL CODE, • • ••• • NATIONAL FIRE PRIOTECTION ASSOCIATION(NTA)10,NATIONAL ELECTRICAL ODE.• !. ALL WORK CARRIED CUT SMALL COMPLY UIITW ALL APPLIGABIt MUNICIPAL AND U1ILITY COMPANY SPECIFICATIONS AND LOCAL GENERAL DYNAMIC• JURISDICTIONAL CODES ORDINANCES ANn AON'LICANLE MEGULATIONS. 4, LIGMTN040 PROTECTION(OD , vrw'�w+�M�e"nw NcsEn Jr�+ ^� 4. DRAWINGS PROVIDED WERE ARE orOT TO IN SCALED-%0 ARE INTENDED TO SMOW OUTLINE CNLY. NTA 150,LIGHTNING PROTECTION CODE. •G• °o• •••o ••• I•• 6•• AIMS N!C°MrITIdo Ileo S. CONTRACTOR'S WORK SMALL CO:MPLY WTN R!LATEST EDITION OF TWE FOLLOWING STANDA1R46� •• ••• •• • Poor"nd OR 07715 W S UNLESS NOTED OTWER6E,TWE WORK SMALL INCLUDE PJM16WNM MATERIALN,EQUIPMENT,APPURTENANCE•.AND LABOR • -i --*�• • • • 4 i• NECESSARY TO COMPLETE ALL INSTALLATIONS AS INDICATED LAN TME DRAWIN W. AMERICAN C:ON C RETE INSTITUTE(AGI)30.BUILDING rODE REQJIMEMENTS FOR STRUCTU4AL A;." N&TI'TUTt OF STEEL CON6TRUCTION(RISC),MANLAL OF STEEL CONSTRUCTION,A60,NINTH EDITION. 6. TWE CONTRACTOR SHALL INSTALL ALL EOIIIPFMENT AND MATERIALS IN ACCORDANCE WITM MA LIFACTURER'S RECOMMENDATIONS UNLESS SPECIFICALLY STATED 014ERWISE. - TELECOMMUNICATIONS INDUSTRY ASSOCIATION(TIA)277-10,STRUCTURAL STANDARD FOR STRUCTURAL ANTENNA TOWER AND ANTENNA 6UPP0R'rm STMLICTu11ES. 1. IF THE SPECIFIED EOUIPI•IENT CANNOT BE INSTALLED AS SHOWN ON TM!OE DRAWINGS,TWE CONTRACTOR•MALL PROPOSE AN ALTERNATIVE MSTALLAT'ION SPACL FOR APPROVAL BY TME C"TRU:TIOY MANAGER - INSTITUTE FOR ELECTMCAL AND ELECTRONICS ENGIJEERO(IEEE)SI,GUIDE FOR MEASURING EART'M RESISTIVITY,GROUND MPEDANCE,AND EARTH SURFACE POTEKTIAIA OF A GROUND SYSTEM IEEE 1100(ISMS)RECOMMENDED PRACTICE FOR P011ERMG 6. CONTRACT PIR SHALL DETERMINE ACTUAL ROUTING OF ANTENNA AND OFTOINDNG CABLES AS 8140 N. CONTRACTOR SMALL AND GRCA DIG OF ELECTRONIC EQUIPMENT, Im. UTILIZE EXISTING TRAYS AND/OR•HALL ADD NOW TRAYS AG NECESSARY.CONTRACTOR SMALL CONFIRM THE ACTUAL R011TM= WITM THE CONOM CT104 MANAWFIL IEEE C62.41.IItCC)IMt1END2D PRACTICES ONJ•URGE VOLTAGE$IN LOW VOLTAGE AC POWER CIRCaUIT&(FOR LOCATION CATEGOM -W-n•••-607W AVE 'Cl'AND'MfGW SYSTEM EXPOSIIU•). � me"��C�A S. TWE CONTRACTOR SMALL PROTECT BX167NG IM^ROVtMyNT6,PAVEMRNT6,CxURB6,LANDOC NP'MO AND 6TRUCI 6.ANY F,yF r•M "l• •"N DAMAGED PART SMALL Bt REPAIRED AT CONTRACTOR'&EXPENSE TO Tl-&SATISFACTION OF CONSTRUCTICN MANAGER - TIA 601 COMMERCIAL S UILDNND G GROUNDING AND BONDING RtQU1REMENT&FOR T'ELECOFMLNICATIOI S. r..'I-•n->tw-w R•w..,rlln,rrew V.CONTRACTOR SMALL LEGALLY AND F9WINVRLY 016POW OF ALL SCRAP MATRMAL6 SUCW AS COAXIAL CAISLE6 AI0 OTWER TELCORDIA GM-63 NETWORK VOUIPMENT-BUILDING SYSTEM(NEBO, PHYSICAL PROTECTION. ITEMS REMOVVO PROM TWE EXISTING FACILITY. ANTENNAS REMOVED SMALL OR RETUl"M TO AT4T WRdLE66 SERVICES'(AWT ) DESIGNATED LOCATION. TELCARDIA 00-341 CENTRAL CMIC41 POUEP WRING. 11. CORE CONTRACTOR SMALL LEAVE PREMISES IN CLEAN CONDITION. TTdLCORDIA OR-1219 GENERAL INSTALLATION REQJIREMENTS. ow'm 12. ANY NEW CONCRETE NEEDED FOR TWE CON6TRJCTION SMALL WAVE 2500 PSI STIQN^iTW AT 2S DAY6.ALL CONCRETE WC7141K TELCORDIA GR."ll COAXIAL CABLE CONNECTIONS. SMALL BE DONE IN ACCORDANCE WITW ACI 30 CODE REQJIREIMENTS. ALL CONCRETE REPAIR WORK SHALL BE DONE M ACCORDANCE WITH AMERICAN CONCRETE INSTITUTE rACI)301. 6. POR ANY CONFLICTS BETWEEN RECTIONS OF LISTED CODES AND STANDARDS REGARDING MATERIAL,METHODS OF CONSTRUCTION, OR OTHER REQUIREMENTS,TME MOST RESTRICTIVE REQUIREMENT SMALL 6OVEIRN. WWEIM THERE 16 CONFLICT BETWEEN A GENERAL ensue•.'ew 13. ALL STRUCTURAL STEEL UJORRK SMALL ISE DONE IN ACCORDANCE WITH AIDC 61PECFICATICN6. REQJIMEMENT AND A SPECIFIC REQUIPWN T,THE SPECIFIC REQUIREMENT 604ALL OOVURN. 14. CONTRACTOR SMALL VERIFY ALL EXISTING DIMENSIONS AND CONDITIONS PROM TO CMI MENCING ANY WORK.ALL DIMENSIONS OF law fts, wa� EXISTING CONSTRUCTION SWOON ON THE DRAWN06"JOT BE VEINED.CONTRACTOR WALL NOTIFY TWE CONSTRUCTION MANAGER OF ANY DISCREPANCIES PRIOR TO ORDERING MATERAL OR PROCEEDING WITM CONSTRUCTION. B. TWE EXISTING CELL SITE 16 IN FULL COMMERCIAL OPERATION. ANY CONSTRUCTION WORK BY CONTRACTOR•MALL NOT DISRUPT _SUOMITTAL$ TWE EXISTING NORMAL OPERATION. ANY WORK ON EX16TWO EQUIPMENT MUST BE COORDINATED WTN TWE OWER ALSO,WORK •WOULD ISE OCWEDIILW FOR AN APPROPRIATE MAINTENANCE WINDOW USUALLY M LUW TRAMIC PERIODS AFTER MIONIGWT. 16, SINCE TWE CELL 61 r 15 ACTIVE,ALL SA4TY PRECAUTIONS MST BE TAKEN WMEN WORKING AROUND W1G14 LEVELS OF ELECTROMAGINET'C RADIATION. EQUIPMENT SHOULD BE SIJUTDOUN POOR TO PERFORMING ANY WORK TWAT COULD EXPOSE TWE WORKERS TO DANGER PERSONAL RF EXPOSURE MONITORS ARE ADVISED TO BE LL10TN TO ALERT OF AMY DANGEROUS ••i••raR pim•r. EXPOSURE LEVELea. wrww•� m-m-121I 11. CONTRAGTCM TO PROVIDE/RECORD ALL CHANGES N DOCUMENTS IN REDLINE FORM AND PROVIDETO CONSTRUCTION MANAGER WTWM 3 DAYS OF COMPLETED WORK n F/+er =n.- ro*R u�yt-F. ALT~04 4l GAN rNI b. CONTRACTOR TO PROVIDE ANTENNA CABLE MARKINGS M ACCORDANCE WTW AWS DOCUMENT NUIFIER WN6-00711,REV IA.DATED 'LL�^Of1Qn6L•�'y*' 06/70107. 1•a CONTRACTOR TO PERFORM AND DOCUMENT ANTEN'A CABLE SWEEP TEST IN ACCORDANCE WITH AWS STANDARDS. ppoy y�pF n runlla wT I�°IR olRclAww 20.CONTRACTOR TO PROVIDE CLOSE OUT DOC LIMfNTS 46 DIRECTED BY CONSTRUCTION MANAGER NO a16rt wneo y•TwenT ro rwa■•nec,. 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DESCRIPITON: PARCEL 1, 7F PALRITION PLAT N0. 1413--OS8. AS FELINE MIWCDNITMCTORS TRDnt slMl COMPLY rRIT+ THF UMT[ST EdT10N OF THE FOLLOWING IN PARTITION WON 1993. PACE 078 STANDARDS; n S ILOIHO COOL - 2003 NSC PROPOITY OWNERS: SERSHENOLE ENTRPORMES ULC NAT k ELECTROCK COOL - 2003 NEC MNSMM SNOW LOAD - 30 PSF T+a R rtl LAtTUDE: 48.44305558 DESIGN RNID SPEED - 00 MPH -�� L0N0R1.17F: -122.80305" SUISCUNTRACTOII'S WORN SHML COMPLY WITH THE LATEST EDITION Or THE FOLLOFRNG �J L JURISDICTION: WMNRNGTT N COUNTY, OR STA14DAPM: CURRENT USE: OIIOUP U AMERICAN CONCRETE IN!mrvrE (ACI) 318. BLINDING CODE REOUAEif]rts IRRt STRUCTURAL tw ` 1 ru SITE PR77 PROPOSED USE: OR" U I:OMCIIL'TE fL ^� CONSTRUCTION TVPF• TYPE 2-F �EMCAN FWRRE OF STEEL CONSTRUCTION (AIS). MM11W.OF STEEL CONSTRUCTION, ASO. 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E1 •DETA" .w1Lo L SWEEP TEST REQUIREMENTS: TRANSMISSION UNE CONTINUITY TEST: ANTENNA SYSTEM RETURN DOSS: CINOULAR WREUMS TIB w MEAS M THE RL Of THE TRANSMwm UNE PORTLANDANTENNA NO TRANA sm REOUIRIM NTS mmuern:r.lyTHE se F2.1M0 TM MO olNllfRA. -, 1Etir c A THE rw MSIR'aF THE Itll R, BeT9BeN TINE BTe Am riM2 Tw►OR THE 1e MDL 1�iwORN• REQUIRED EQUIPMENT: t. ENTER TIC FREQUENCIES TO BE USED IM FI AND F2. 1 0�,q, Woo At THE ENP Lx THE LAST AALW01 L IR-UTAMTE TOtNT T EourM . p�1pME TiIE Tw a 11[uN[ UNO[N Tier. 3. q7 mI THE Two ARAPOM OONO ro MTENNA WvWM TMA) 2. ooNNSCT MULTTMt1OT To TI I LAw ABWEN IEOR[ Tt BiS, 1 1M1T110N/ANINTSU tli MASTEw sa1IA/e/C 011 EouNAIDR. NERD Im CAVW (/1099 DIME=) UMTS THE ON M RX I�/p��1, RME THE MADS LVID ON THE OUTER wa+, 1iN01FT LOAo. ro oMl (1�wNRcmlle. Iwrt TTI[CONNIC7 MQ THE IRP LEIiD ON THE CIt11i11 1 DIN FEIAALE To N *YPE MALE AWPTM (LOW Loge). 4. OPNNELT THE FMENNA ro THE UIIE UNDER 111w. �or" �. Ow 1 DN MALE ro N r►'PE WILE mowm (LOW LOM). S. COMM, Eft iWHPMENT ro M LAST Tx AUIWET (YULOw/IRD) 3. NIM►Y THE METER"MA SHORT. 2 DIN MALE To DN FEMME MAPTM(LOM LGSM). �ppR�THE CABx T, OF THE UK UIMiEW reef 4. RaMVE SHORT AND VOW METER RGNOe OPEN. 1 PRAM eTAeri CAKE. / POIIORM AISMLMANDrt. VEMFY NReLLT SERER STEP 10 THR12txWN 11. S. RECm m PN/l/PAL ON WW RST DATA WIFET, 1 11Rx-TNM 1ALTUTTETI. 7. DreDMMI Tx AAWETI, THEN COMM ME R"AAWO S. qtr aMPM ro TMA AND BTI. (Ln1BN/ORliN) TO DN M ADIPMR. 1. RV Tr 1m1 wmmw S Fa ills RowlwlD • FREQUENCIES TO BE USED: B. p�ltG TEST EGUWMtNT ro TME LAT R" AIM►ER cmlow/orm) �pRTME owv, 01 THE LINE UNDER TOT. 9. PERFORM MSA VAVff.VEMFY ROULTS NRH 91V 10 THROUGH 13. PCS FFAMKY emo 1/90MH2-I Sham 2 10. "M A MMM UM 01IN -' USM2 iI rMA1E-ally NA A RL Ltle Tow -cw, !DO :I MAx. N014 tDrt An eAx 011 ewme TO A 2.e•OIeK[TR 0110 TRANSM? FIIEOUENCY 1930WIl-t94OMMZ V riPE -lBN. E-MML A COP ro O 11. VDSFT'ANTf]ONA 1Y9TEA lFSN10 7'[/�w/AR-quo[ NA! IIMVOE A O0P1'OF MMM fYfRM TL�iT IIO11lTe NIM RECt" rM0Up CY llWwI•-IffMICZ 12. I"M me AN r NAS!SW;THAN -A O JOOFT MNe.�AL-15-MIL 7/e• o1NflTTe ON FNAI 1W1i NMK qw." RL-140. LuaTt w�-..`..!Lo__ 12. Ri011N0 TEST M9LULT:I ON ewi0 DATA*w.THEN Tri PM auerrons CONTACT' w'�`i: Ti'U MISSION LINE AND ANTENNA SYSTEM TEST: M A MMORY LOCATION. 14. F&UT SRP9 1 TMMOm 13 FOR W AM OF THE Al11ET111A'e CONTACT N": cotimm.rr1011 MMM64m: TEIRMCE CHE"MORE emE+. 1 INS MMM LOSS/CAelk LOSS coma NUMBER: 90.1-257-9700 :; ANTENNA/TRMNSMISWON uWc 01STANC[ Tn FAULT (RU ANTENNA SYSTSM MH DUPLEIQR AND TMA R MRN LOSS: ,i AN�ENNIIA enteral RETURN LM 4 MNT[NNM SYSraA WrtH OUPLDRM/IMA/ANTEFMA RETURN L.099 THIS TEXT M WAn THE RL Of TNR OMPLETi ANN"N[iNaBl MN e)))))) TSYIlSION LN[CONTINUITY Till ON THE Tx PATH. r" TEXT r%EUVCRSI PI-1930 F2-1/40 1. DRER rHE FMM MCIU To 5E USED N FI ANO M INSERTION LOSS: t TR-cAUBRnR UIP TEST tGMCNr. 2. RDMOMi ON (F TO DIM M caNNEr TOPS FROM BOTH TOP THIS RWILL MMME THE CAKE LOIN THE TIUW/MISVON 4' tN TTo DUPLD�.to TMA ANO 0o1lRLT Stltt'OM ST UNE MO JUMPERS KrMEE+THE CAME. ANO ANTENNA 5. COMM+ RST mppm9w To THE LAST Tx JUMPER (Y U.06/IRD). TEST rREOUDIGO: Ft-1BS0 F1-1290 e. Pvwoq l M susem. 1. ENRR THE nRalcrNaEX ro 5F USED N Ft AND F2. 7. VOMFY ANRNNA MMM ve9No 1 eh'NAVE-BADE !. RE-CIIARATE TEST EOIIWMTIIT. IW A Q ILSS rM1N -19.20. 20o rt MMI. 9tll 3. N mmm THE Two AMPOFS OgNO TO ANTEMA([1003.1. TYA) B. VONFY Mao" RETNORR USING 7n +AAV[-wa HAS AND THE CABINET([100[2 DUPUMM UPC THE DIN M L9. IFMpOR A RL U P" THAN -14.50, 20VT MAX ♦. LTo�gMN[CT A Copirctm.ME END of THE LAST JWP01 Rr'0RE 0. RCC+I RST IRIS T 9WM DATA� THEN SHY[ ewry 12.edb. ME ANTENNA,OF THE UNE LOW TM- To I WORT LOCATION. 5, CONNECT RST WPMM TO THE LMT Tx JUMPER (YELLOW/Ro) 11. RRP S1T9S 1 THROUGH 10 FOR THE REST OF THE ANTE PA'S BEfDISI THE CABINET, OF THE UK UNDER TOT. MEI...M. 7. 12. OIeC0NN[CTO1M1 AEMaXIIJUw",THEN THEN OU 7 THE R PE11R (TnLON/Dp[M)ro DN M AWA. ANTENNA SYSTEM WITH DUPLEM AND TMA RETURN LOSS: /. COW=TEXT 9QUPMENT To THE LAST Rx JUMPER (YELLOW/GREEN) KnM THe CAtBMT.Or THE UFR UNOEA Tear. NEWIMMMMIll M& •. PEMOIMN MUSS i1ENT, THEN MA STV 10 THROUGH 13 THIS TEST ME49UM TM PL THE COAW1l E ANiEMA NETWM 10. ADD THE MAXV A PUH TO THE W MUM VALLEY THEN OHC[ ON T1t Rx PAM, mw,in Tw TEXT MOMENT NT WILL TEWNATE �1�a l%m w.a Nw B1 M. TNS h TQ CABLE INSERRON LOBI. THIS VALUE WOUL0 9Nro TW ON THE Rx F.M. imm AN on NOT ME DREAM THAN -40118. R"TEST FIROUENM: rI-1B9O R-IBRD �rR� wnINlPrw 11. PEAx MAx (M1) ♦ LW1EY MN (M2)/2 - C/IBIE MWIT10N LASS. R/MYL IO MIMAMAIWIW WARM 12. REM D CALCULATED/MEASUIRD VALUE ON SSiEO DATA SHEET, 1. DM IM TIROL. 400 TO BE USED N F1 AND F=. MEN SAYE SNEER To A MEMORY LOCATION. e. At-cmi in Tial EGUIPMER, +'�' ��l.w -.. • 13. RMT STEPS I THROUGH 12 FOR THE REST OF ME TRN"Mt"1ON 2. ADEM ON M TO DN M CONTtCTORS FT10M BOTH TOP UNE9. 4. OOWMT TOP AJMPOR TO TTM AND cwaw BOTTOM m ToREVISION ANTENNA TRANSMISSION UNE DISTANCE TO FAULT(RU: e. m °wulPaw To Tt LAIR in Awn (YELLow/o11EEN). S• PDw0r1Y NeMLMMm. R0. MCNIFT" DATE T. VOW M1rONA SYSTEM USNC t 5/11`TERVE-CURE MIS TEST IS A PEWORWAM ANIMATION AND F'MA R AIMLY" IAB A RL I n$ MAN -19.90, 200 FT MO. A ISSUED FOR RENEW 6/7/05 TOOL FOR ANIENNYI TRINSM"ON LMS AND CONNECTORS. l vvwy mraw ME, USNO 7 WK-*J E SMS - L TEST rREpUECIES: Ft-1/90 F2-1M0 HAS A RL LEXe TMAN -15.50. 20017 MAIL 9. ESTER M[ ►REaRNpEX TO BE USED N Ft AND R. I. FOR AMMMA ME,woRx MOV[ 20011 1 y5//S� M.-140.wAr7 SIL-13.9910. 10. RECORD TEXT"EXULTS ON DATA SHEEP 9W.TItN Law 2.J. CONNNEECT�ME Two AMPOFS GOING To ANTENNA(YMASS TMA) ro A M SyMIONY LOGTIOU AND THE CABINET WM! OUPLEM) UM ME CN (F) 11. IR?U�RSTEPS t 11SIOlIOH t0 F'OR llt REST OF THE Rx AAITETINA ppNN (�n PAO.IiCT �1 PTLIDDRf�1177 4. C%NNECT SHE AN TO rHE LINE LNMR TEET. DRAWN BT: S. CONNECT TEST oM PMENT TO THE LAST Tx AlMPE11 (YELLOW/ ) As BEFORE THE cApm, of TIE LNt UNDER TEST. CHICICIED �m 9. FTDIFORM MEASUR IM M. THEN Wi STD' 10 THROUGH 12. t PGA V Mm) PMF THE Rx JUMPER OAR, S. CONNECT TEXT O7L/PtAM M ME LMT R" ^M PM(VELLAW/0"FEI) BCAIiI S SHOWNAAS or=ME CNMRT, of Tt UNE UNDER RST.V"-ii EACH ON CONNECTOR -S A ML LM THAN -3246 lwtT a N T4 -280 11. VL_-v HE TMN$kg=M LUt HAS A RL LESS THAN -490. RF1 12. VERIFY SHE ANTENNA NAB A RL LESS TTWN -1700. 13. RECORD PASS/FAL ON SwMP DATA WIVET, TIER W[NEO To A MEMORY LOCATION. 14. REPEAT STEPS I THROUGH 13 FOR ME REST OF THE AN mws MF 1/wev TM AND TRAMSMMSION LINES. REO111lIEBI►TNTS I • D n I I I I I il[]ii7i]i�laili i7[3i trlt.)ii7i1� rru-� . o m�3�alWI�4 SECTOR COLOR CODE Ve c 9. 1. •„1�.,.,. 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