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9600 SW OAK STREET STE 400 9600 SVV Oak Street #400 �\ CITY OF 1 IGA1 e.D ELECTRICAL PERMIT PERMIT t1: ELC2002-00542 DEVELOPMENT SERVICES DATE ISSUED: 10/15/02 ..3125 SW Hall Blvd., Tigard, OR 07223 (503) 639 4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 400 ZONING: G-P SUBDIVISION: BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Electrical for sign lighting. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADJ'L 500SF. 201 - 400 amp: SIGN/OUT LINE LTG: I LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE 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 arnp: 1st W/O SRVG OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp. PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Roconnoct only: FVC/FDR>=225 AMPS: _ CLASS AREA/SPEC OCC: _ Owner: Contractor: ASA PROPERTIES, INC ES&A SIGN&AWNING BY PAUL DEVILLE 1210 OAK PATCH RD PO BOX 3110 EUGENE,OR 97042 HONOLULU, HI 96802 Phone: Phone: 541-485-5546 Reg . F.Lf. 20-25;c I. FEES___ - Description Date Amount Required Inspections 11 L('RM I Ir'i l'Permit In I� ��;----- $53.40 --------- lu I , ��' $4,27 Rough-In I IAX1 R State'Tue Elect'I Final Total $57.67 EXPIRED 'This Permit is issued subject to the regulations contained in the Tigard Municipal Coce,State of OR.Specialty Codes and all other applicable laws. All wort will be done in accordance with approved plans. This permit will expire if work Is not started within 180 days of Issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NotKrotion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1.800.352-2344. Issued By: tI.;_/�� -n ,r' �� a Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. Kase, or rent. DATE: OWNER'S SIGNATURE: - - - CONTRACTOR INS rALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ------------ LiGENSE NO. 62 Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: I).-I e _v y Permit no j ezr7,J_ f1 G' �Z City Of Tigard Project/appl.no.: Expire date: City nfTigard Address: 13125 SW I lall Blvd,Tigard,OR 97223 Date issued: By: eiptno.: 141onc: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commctcial/inlustrial U Multi-family C1'I•enant improvement U New construction U Ad(lilion/al(eration/replacemcnt J Other: �. J Partial 1 Job address: b� C)A 1` Bldg. nu.: Suite no.:4W ITax m,p/tux lot/account no.: _ Lot: _ Block_: Subdivision: Project name:A6HN n 1060,"-!" I rV;L dption and location of work on premises:`;(0W Estimated date of completion/inspection 4TIMCIOR 1 Job no: pee Max Business name: L`$' A ZIC;N !l UU 1 K)f!,, Description Qty. (ca.► 'Iirtzl no.ins Address: Newresidentlal-single ormulti-familyper dwelling unit.Includes attached garage. City: R91LANJ IStateuDPL JZIP: 41ZZG Service Included: Phone:',t," rA2.24tp I Fax:512 2IU5 I E-mail: Uxx)sq i of less Zj.5C,l�- a Each oddiuonul SW s .ft.or portion thereof CCB no.: 14"5119b FICC.hos. IIC,n0: 'LL Limited energy,resideptial 2 City elro 'c.no.: 2 'Z> Limited energy,non-residenual 2 drApfinch manufactured home or nodular dwelling Signature of supervising electrician(required) i Date Service and/or feeder 2 Sup.elect.name(print): W/ / nS License S�� Services or feeders-installation, alteration or relocation: 1(x1 snips or less _ 2 Name(print):PLW MJL:;, 111,4 jLrljlkll s �.IMPr:(%� 201 amps to 400 amps 2 � - — 401 amps to 6W amps 1 Moiling addref,: CIA SKI M(:R IS(N �,U t t 1_ 21-c.' 601 amps to 1000 amps -- _ 2 City' PL V_T1A NQ Slate:QfZ ZIP:r11over 1000 amps or volts t 2 Phone: I Fax: I E-mail: Reconnectonly I Owner installation:The installation is being made on property I own Temporary ser-Ices orfeeders- which is not intended for sale,lea,e,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 4(H)amps 2 Owner's si anaturc: Date: _ 401 to 6W nm—s — 2 Branch circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: s —Slate: ZIP: H. Fee for hranch circuits without purchase of seryice or feeder fee,first branch circuit: 2 Phone: Fnx: E-mail: liaeIt additional branch circuit. Mise.(Service or feeder not Included): U Service over 225 amps-commercial U Health-earc facility Each putop or irrigation circle 2 UService over 320amps-rating oft&2 OHazardouslocation Each sign or outlinelighring 34U 2 fimilydwellings U Building over IO.O(X)square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units 1,i one structure alteration,or extension* 2 U Building river three stories U Feeders,4(x1 amps or mw T •Ikscnpuow _____ _ U occupant load over 99 persons U Manufactured structures w R J park FAch additional Inspection over the allowable In any of the shave: U RgressAightingplan U Other. Y_�__ Per inspection Submit--itis of plan+with any of the above. Investigation fee The above are not applicable/o temporary construction service. other Na all jurisdicnnns accept credit cant,,please call juriuliction for trace inf,xmatinn Notice:This permit application Permit fel.....................$ Fj3 Ali: U Visa O MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Ctedit card number_. L...L within 190 days after it has been State surrharge(8%) ....$ _ accepted as complete. TOTAL ..... .................$ Name of c olAer rs shown oa crani card Cardholder sipatu a Amauot E X■ I F"n 440-4615(600(C'r vl) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Number of Inspections per Restricted Energy Fee............ ....... ...... $75.00 - p permit allowed ............................ (FOR ALL SYSTEMS) Service included: Items Cost Total Residential-per unit Check Type of Work Involved. 1000 sq.'t or le-S5 _ $145 15 - a ❑ Audio and Stereo Systems' Each additional 500 sq it or portion thereof $33.40 l Limited Energy S75.00 _-- ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $90.90 7 ❑ Garage Dour Opener' Services or aders Installation,alteration,or relocation ❑ Heating,Ventilation and Air Conditioning System' 200 amps or less _ $80.30 2 201 amps to 400 amps $108.852 ❑ Vacuum Systems' 401 amps to 600 amps $160.80 2 601 amps to 1000 amps �_ $240.60 2 ❑ Other_ over 1000 amps or volts _ $454.65 2 Reconnect only _ $66,85 r 2 Temporary Services or Feeders TYPE OF WORK I14VOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system...................•...................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 2 401 amps to 600 amps $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, - see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee fur branch circuits with purchase of service or u Clock Systems feeder fee. Each branch circull $665 _ ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous (Service or feeder not included) Instrum ^ration❑ Each pump or Irrigation circle $S340 Each sign or outline lighting �_ $53.40 r;,:13 .4C, ❑ Intercom cod Paging Systems Signal circult(s)or a limited energy panel,alteration or extension _ $75.00 ❑� Landscape Irrigation Control' Minor Labels(10) $125.00!-T. Each additional Inspection over ❑ Medical the allowable in any of the above Per Inspection $62.50 ❑ Nurse Calls Per hour - $62.50 - In Plant i $73.75__ _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ q Z� ----------�-^ -'-- ___Number of Systems 25%Plan Review Fee See"Plan Review"section on $ ' No licenses are required Licenses are required for all other Installations front of appiicatkm 51 •b7 Fees: Total Bal,�lnce Due $ Enter total of above tees $ v Trust,lccount p______ 8 State Surcharge : All New Commercial Buildings require 2 sets of plans. Total f3alance Dun i:tdsts\formu\elc-fees',oc, 08130101 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BUP Received __ Date Requested —_— AM v PM — BUP Location _ __� �� Q _�' Suite MEC Contact Person � �7 '�.+� Ph(---) `1L %" _ PLM —_—_ Contractor_ Ph( ) _ SWR BUILDING Tenant/Owner oz) - T Footing •LC vZ - D CJ 3 Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post&3eam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing Firewall - �— Fire Sprinkler - -- - - — Fire Alarm Susp'd Ceiling ---- Roof Other: FinalPASS PART PART FAIL `- -- _- - �- ---- — PLUMBING — -- ----------- -- Under Slabm LCV .� 3 �ff hl_ Rough-In Water Service Sanitary Sewer t �^ �� /�n , I I �„ -� \ Rain Drains `-_�- Catch Basin/Manhole Storm Drain --- -- --- - -- -- - Shower Pan Other: -----_ _ ----- --- - ----- Final PASS PART FAIL -- -- --- - ----- — -- MEC_HA_NIC_A_L PoFt _ &Beam Rough-In __--�- --- -- - —__ - —� Gas Line Smoke Dampers — ---- --------- ___ — -----— — Final PASS PART FAIL ------__ _- ELECTRICAL Service -_._-_ _- ---- ------ -- —__-- --- --- Rough-In UG/Slab -------- -- -_ -- --- Low Voltage - - - ------ - ---- ----- _— Fire Alarm n Reinspection fee of$ _requh ed before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL tj Please call for reinspection RE: -- Unable to Inspect-no access Fire Supply Line ADA �� zx�, .. ApproaclUSidewalk D�t. ______-__-_—� flnspMctor_� ftxt Other: Final - -- DO NOT REMOVE thin innpetatlon roaord hom tho site. PASS PART FAIL CITY OF TIGla RD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST -_ _- BLIP -- - Received __ - Date Requested -- Z - AIA -- PN1 ` BUP Location - � _�.��2_ Suite -- ------- MEC _ - Contact PersonPh (� ) 1(F, �i ( g 11 _ PLM - Contractor _ ---_-_ Ph(-- _—) SWR BUILDING - Tenant/Owner ELC -L'c, 3 3 Footing ---- - Foundation I Access: ELC Ftg Drain Crawl Draln ELR -__- Slab Inspection Note!;: ' SIT Post&Beam - Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---- --- --- -- - Roof ---- Other: FinalPASS PART PART FAIL - - - - PLUMBING Post& Beam -- Under Slab Rough-In .ater Service Sanitary Sewer Rain Drains -- - -- - -- - — Catch Basin/Manhole Storm Drain Shower Pan Other: ___ ----- ---- ----�_N—�_ _ Final - PASS PART FAIL ME CHA_NICAL Post& Beam Rough-In Gas Line Smoke Dampers Final -- -------- PASS PART FAIL ---- ------- - - EL_ECTRICAL - ServicQ_�i r. -----------.- - --- - -- �- __ - _ UG/Slab -- - ---- -- - - — - Low Voltage Fire Alarm nn PASS PART FAIL LJ Rsinspection fee of$__�.._�_required before next inspe.tlon. Pay at City Hall, 13125 SW Hall Blvd. SI _ Please call for reinsp ion RE:.---_ -.- - Unable to inspect-no access Fire Supply Line G�L2�� ADA Approach/Sidewalk Date -----�~� .---- Inspeetor '1�- `- _ Ext Other: e Final [)0 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGAPI D 24-Hour BUILDING inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 Received q tA �_ BLIP--- ---- Date RequestedBLIP Locational �� L �F Suitt) `�`'��lJ MEC Contact Person - Ph(-) 3 �t PLrA Contractor __ - Ph( ) SWR - BUILDING Tenant/Owner _ J1�1I� 0c4 ELC Footing ELC Foundation Access w� Ftg Drain ELR Crawl Drain -- SIT Slab Inspection Notes: - Post&Beam --_- - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- - --- ----- Firewall Fire Sprinkler �--C�W t?L �� --`-'•1__� �. A- Fire Alarm Susp'd Ceiling - -- - - --- --- - . Roof Other. _---__----------- Final PASS PART FAIL PLUMBING - Post& Beam - Under Slab ----_.- ------ -- --- - --- - Rough-In Water Service --- - ---- -- -- - - -- ___ __ Sanitary Sewer Rain Drains - -- --- — - - -" __-- Catch Basin/Manhole Storm Drain -- ---"- -- `- Shower Pan _- Other: ---------- _ __..-__.� -- --- Final PASS PART FAII. ---_ - ..ila'M4 NICAL __ ------- - -- ---- -.__ — -- _ -- Pc .16 beam -- Rough-In --- - ----- ------- - - Gas Line Smoke Dampers ---- ----- - ----- - ----_ ---- - - Final PASS PART FAIL ELECT RICAL"____- _ --_ ---•_ ___ -__..__ --- Service - Rough-In UG/Slab Low Voltage Fire Alarm c - PART FAIL u Reinspection fee of$____-" required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: _ - Unable to inspect-no acc6ss Fire Supply LineAnA ` U , Approach/Sidewalk -- - -_ IAIipN!!Or__.L - Ed Other: Final DO NOT REMOVE thla Inspectlon record from the job l#e. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (:'-Os) 659-4175 MST INSF' -TION DIVISION Business Line: (503)659-4171 r Received Date/Requested -- _ AM _ —PM-- 8UP -- Location ��GGu Sw C�ril� _ - -_--- --Suite_-q 4-U._----- - MEC Contact Person __- Ph(_—) 4�3 Z —73 ,V PLM Contractor Ph(_ _ -__) SWR BUILDING 1enant/Owner —_ --_. ELC _— Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes SIT _- Post&Beam --- - --- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drvwall Nailing - - --- - - - - Firewall Fire Sprinklerv"-- Fire Alarm Susp'd Ceiling - - — --- Roof Other: -_-- - r- _ ------ ------- _ Final PASS PART FAIL - - �- - Post&Beam Under Slab - ---.-__ —_- �- Roug WaterWaterSe Service �-- -- ---- -- -'- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -�-- ----- -- Shower Pan Other. ---- --- ----- -- - AS PART FAIT_ _ _ A_NICA_L — I host& Beam Gas Linb Smoke Dampers Final PASS PART FAIL --._-._— - - - -- -- _----- ------`�---- ELECTRICAL Service -- ----4----- --- -----_.____-----__._— Rough-In UCS/Slab Low Voltage ------ --- ---------- _ - ------- -- — -- Fire Alarm Final LI Reinspection fee of$._-_.-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE [] Please call for reins p ction RE: - -_ Unable to inspect-no access Fire Supply Line ADA Date_ inspsator l i� �__ T —_Ext Approach/Sidewalk Other.�- -_ Final _ DO NOT REMOVE this Inspoc;tion record from the job site. PASS PART FAIL CITY OF T'IGARD 24-Hour — BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST .a Received _- -- --_ Date R ted_ / -�' AM--- PM— BLIP Location __ 4_1&" Suite _�' �' �9 ------r — Contact Person _ _ _ Ph( ) PLM Ph ----) 3 703 SWRZIA - Tenant/Owner ELC FoundationELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: — -- Y SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Other:A; SS ---- -----)—PART FAIL FLU _ING Post& Beam Under Slab Rough-In ---- Wa!er Service - --�_--- - ---- -- -- Sanitary Sewer Rain Drains Catch Basin, Manhole Storm Drain -- - - - Shower Pan Other: - Final PASS PART FAIL MECHANICAL Post& Beam --- - Rough-In Gas Line - Smoke Dampers --- _-- —•— �.--___. _.-_--.._-__._._---_---- _-- Final PASS PART FAIL — --- -- - — --- ---- ELECTRICAL -.— iervice -- - Rough-In UG/Slab — -- ---- - -- -- _ Low Voltage Fire Alarm �— Final Reinspechnn tee of$— —required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. PASS PART FAII. SITE Please call for reinspection RE: _ _ __. F-1unableto inspect- no access Fire Supply Line ADAA Approach/Sidewalk Date A �_JMpoator _ Ext _ Other Final DO NOT REMOVE this Inspectlov recond from the Job site. PASS PART FAIL CITYOF TIGARD _SEIIVERCONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S'NR2002-00237 • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/7/02 SITE ADDRESS; 09600 SW OAK ST 400 PARCEL: IS135BD-00100 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LOT: 006 JURISDICTION: TIG TENANT NAME: ASHMEAD USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks.: 1.5 EDU increase, Previous EDU=20.5 for a total of 328 fixture values. Addition of 24 fixture values,for a new total of 352 fixture values=22 current EDUs. Owner: FEES -_--� ASA PROPERTIES, INC BY PAUL DEVILLE Type By Date Amount Receip!` PO BOX 3110 PRMT CTR 8/702 $3,450.00 27200200000 HONOLULU, HI 96802 --- —�--- Phone: — Tota: $3,450.00 --- — -- Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from 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 prospe(` 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm C Issued by �`� _ '!l i� J'3'+ Permittee Signature: ---.-.-- r �y+G Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Nam Ashr,iead Collage _- This SWRA 2002-00237 +� 2002 0030's Site Address: 9600 SW Oak #400 _- This PLM# Fixture Value Previous Previous I Credits Capped Fixture Fixture New New # value capped off value added added tonal total count off#S count # value #s values Baptise-y/Font4__ 0 _ 0 _ 0 0 - `-0 Bath-Tub/Shower 4 -Jacuzzi/Wf rlpool _ 4--__- _ 0 U _ — 0 �0 0 Car Wash Each Stall _ 6 0 _ 0 U_ _0- 0 Drive through 16 _ 0 -`0 0 0 0 Cuspidor/Water Aspirator 1 0 _ 0 0 0 0 Dishwasher Commercial 4 N 0 0 0 - 0 U -Domestic 2 U 0 _ 0 0 0 Drinking Fountainv 1 _ 0 0 _ 0 0 F_ye Wish 1. -—. OJ 0 0 - — Floor Drain/Sink 2 inch _ 2 _ 0 _ 0 1 - 2---1 - 2 3 inch 5 0 0 _ 0 0 0 4 inch 6 0 _0 - — 0 0 _ Ca.Wash Dr 6 0 -� 0 0 _ 0 0 Garbage Disposal — _ -Domestic(to 314 HP) '16_ 0 `0 0 0 0 _- Commercial(to 5 HP) 32 U __-- 0— 0 U 0 - _ Industrial(over 5 HP) 48_ _- 0 0 _ 0 0 '0 Ice Mach inolRefrigerator Drain 1 0 0 - -- 0 Oil Sep(GStation) 6 _0 _0 0 0 0 as Rec.Vehicle Dump station 16 0 0 0 0 - U Shower Gang (per head) 1 — 0 -0-- 0 0. _ Stall 2 0 - 0 Sink-Fl rlLavatory _? 1 2 3 6 2 4 - Bradley 5 0^ ^0 _ 0 0 — 0 Commercial 3 0 0 _ Service 3 -_0 0- Swimming Pool Filter 1 0 ----0 W;cher-Clothes 6 _- - U 0 r---- 0 0 0 0 0 _ Water Extractor _ 6 _ - Water Closet-Toilet 6^ - 0,_- ---0 --.- 3 - 18 _ 3 _ 18 Urinal 6 0- _ - 0 _ - 0- 0---- Previous -Previous EDU Count 20.5 328 328 0 Capped EDU Credit TOTALS U j 328 1 2 7 26 6 352 Current Fixture Value 352_ divided by 16 = 22.0 Cu-rent EDU 1 EDU X2,1(10 00 Previous Fixture Value 323_ divided by 16 = _ 20.5 Previous EDU ChangQ_ 24 _ divided by 16 = 1.5 over. (under) _$ 3,450.00 Enter EDU Change Here�1 5 HISTORY 20.5 EDIT frum Amanda. PL it 2001-00669 EDU# 20.5 SWR# 2001.00332 PI-M# '2000-00133 EDU# 20.3 SWP,# 2000 00090 PLM# F_DU# SWR# 1d 411 Date: Name: - signature of person that calculated this tally sheer and date perlromed is required CITY OF T I G A R D ______PLUMBING PERMIT � DEVELOPMENT SERVICES LM2 PERMIT#: P002-00303 ISSUED: LM2 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE SITE ADDRESS: 09600 SW OAK ST 400 PARCEL: 1 S135BC?-00100 SUBDIVISION: ASHBROOK FARM ZONING: C-P v _ BLOCK: LOT: 005 _ _JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF UcE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS- STORIES: WATER HEATERS: 1 CAI CH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAM'S: LAVATORIES: 4 OTHER FIXTURES: 1 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Add 3 lays, 3 toilets, 1 water heater, 1-2"floor drain (ocher fixture)cap 1 Ivv. _FEES Owner: Type By Date Amount Recelpt ASA PROPERTIES, INC PRMT CTR 8/7/02 $144.00 27200200000BY PAUL DEVILLE 5PCT CTR 8/7/02 $11.52 272.00200000 ` PO BOX 3110 - HONOLULU, HI 96802 Total _ $155.52 Phone 1: Contractor: MIKE PATTERSON PLUMBING 15028 S MITCHELL LANE OREGON CITY, OR 97045 REQUIRED INSPECTIONS Underfloor/Underslab Phone 1: 632-7374 Top-out Insp Reg #: LIC 81746 Final Inspection PLM 3-359PB This permit 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 he 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 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 to OUNC by calling (503) 246-1987. - ' Issued By: _ Permittee 3ignature:XI-- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Thursday, July 25,2002 1.43 PM MIKE PATTERSON 653-632 5647 n 0' o7/11t2o02 11.24 FAX 5095961960 CITY OF TIGARD Building Fixtures , Palumbing Permit A�cation Cl of Tigard Halo«eaiived:r �h f1,� 1'mait oo.: � r►j - -{l _ n Address: 13125 SW IWI Blvd,Tigard,OR 97223 Sever permit an.: building vomit Ory otnx-d Phone. (503)639.4171 Pro)ccvappl.no.: Wire dela: Per.(S03)398-1960 Mor ivwrA—_ -_ — BY:t Reeetpt na Land use approval: Cate Me no - Payment type. O 1 k 2 family dwelling or accessory j t6ommemial/industnal r t Muili-farn,ly JD Tenant improvement a Now toostruction I I Fncd sccvi--c UOther No!If kVoTFr—rZ=nM, Job address: 'r Des.cr;pt;on Qty, Fee(ea.) Total 60o Jf tJ Oa�--- lues•A turd 2-1UWy dwe:Lng only: Bldg,no.: � �9uite no.: yt3 _ (inclu&-A 100 k fat each ut&7 cvnwectiom{ Tax map/lex lat/seeount no. -� SFR(1)bath Lot Hlock: Subdivision: T S} b2 a' Project name! SFR(3)bath - Ci /county: lf;-eitiopsi bath/intehen_ I7c7C,tiptioo and IorbAian of v :rkon promises: _ �y- SiteutiliVtss: 1!dr -a-1 - ••.,.T_s:.� - w. e- , e.,�r`'1atl� COW t nsudarea drain Est.date of completien/inapection Drywall each line/trench dtato t i ooti0g drilin(au-Ttn — Manufactured home a tlaS Hunuessname: Menttnles _- ! _• Address: /KDzB SY Rain sin connetto�— -- ,y ;«nit Sewer no.iiu.ft. City:( ,yam Statn•OCKr ZIP' Qr/� ar7/_ Fax'(e�2-56y 8-trail; Sturm snwer(ne.llo.n. Phoee:ro 4s 2-}3}• star service no. n• Plumb.bus.reg.no: 3-95,1 ?b City/metrolit,no.:i F[�ure or Hata: - -- — Abcmvalve Coatraeoot'e represtmtagve apneturc; ,��L„L�- � - Back flow prevenler -- Ptinttume: Date: ' �2 S o Z Backwaler valve Basirtc%Iavnto7 --- - - Name. Mthes washer Address: blshwae er Dlirrlun� ountain s) - Ci --_`� — Slate: ZIP: /octan/s Phone: Fex E-mail: Expansion tank Fixnrtr/sewer eat_ Name(ptint)r Floor n�aor sinks/hub AP A,(") disooMsilfngsddrees: Ilsbh sal City: - Stale: �1P: Ice maker _+� Phnne: — Fax: E-marl: �ntemeptor/ggrieseirap owner installation/msidcniti^al rnairrenarx:e only. The arniai installationr(a)_ — will be made by me or the maintenance sod repair trade by my reouln 1Fno�t�1 n tonuncrcial) employee nn thr property I num ac prr URS Chapter 447. S' (s), (s),I&Vas Owtret's lignaturr Date. Sump --- _..-- s ever shower Pan _ - Name: Address- Waterhe_acr _ /t.__�o City: `_ Stale: ZIP' (ltd Phone: Fax: H-mail. ToW ? 0 c+N Nlj+dtlAsw.mp�ndn.ai.pIr�uejul4agbnfor eReIIA Trlen Minimum fee................5 Nodes: tbu P&MI SPpt�naeo Plan review(at K) s O vua Ma in! otpi+c. tf•peen:is not b to cn State surcharge(11%)....$ / r S3z$. zPoNid /0 rvW.ia leo dry.attar u M barn ( ... >t07'AL........................S _ ere! eoeeped as eompkta. it/ _ 0./C 2.. � n owe 4o+e�e(dedCOM) \l PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: - FIXTURES individual I ()a) AMOUNT (Includes at;plumbing fixtures In PRICE TOTAL Sink 16.60 - the dwelling and the first100 ft. QTY (ea) AMOUNT -� for each utility coneection�-_ Lavatory �__--- 16.60 One 1'bath _ $249.20 Tub of Tub/Shower Como. 16.60 •Two 2 bath _ $350.00 Shower Only�- 16.60 Threes bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 16.60 - Laundry Tray 16,60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 1660 3^ 16.60 - PLEASE COMPLETE: 4" 16.60 - Water Healer O conversion 0 like kind 16.60 Quantit b Work Performed -0t(ifng requires a separate mechanical fixture Type: New Moved Replaced Removed/ ag ls ermCa ed lt AIFG Home Naw Water Service 46.40 Sink MFG Home Now San/Stora r 46.40 Lavato ----- Tub or Tub/Shower Huse Bibs 16.60 Comulnation _ - Roof Drains 16.60 v Shower Only -_ Drinking Fountain 16.60 Water Closet ----- Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbage Disposal _ LaundoLtoom Troy_ - - - Washing Machine Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 3" _ :.ewer-each additional 100' 46.40 4" Water Service-1st 100' 55.00 Water Heater - - Other Fixtures Water Service-each arla'r'onal 200' 46.40 S eci Storm&Rain Drain-1 55.00 Storm&Rain Draln-eat. .:Itional 100' 46.40 Commercial Back Flow Prevention Devire 46.40 Residential Backflow Prevention Device' 2755 Catch Basin 16.60 - Inspection of Existing Plumbing or Specially 62.50 MENTS REGARDING ABOVE: Requested Inspections per/hr Rain Drain,single famlly dwelling 65.25 Grease Traps 16.60 - QUANTITY -- Isometric or riser diagram is required If Quantry 1 otal s >9 'SUBTOTAL 8%STATE SURCHARGE "PLAN RcVIEW 25%OF SUBTOTAL Required octy If fixtured total is>9 -_ TOTAL S 'Minimum permit fee is$72 50•8%state surcharge,except Residential Dackflow Prevention Device,which is$38 25•a%state surcharge ~All New Commerr let Buildings require 2 sets of plans with laomrtric or riser diagram for plan review. 1:Wsts\forms\plm-fees.doc 12/26/01 r CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC200;..00299 1"x125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 1 PARCEL: 1 S135F S135F3D-00100 SITE ADDRESS: 09600 SW OAK ST 400 SUBDIVISION: ASHBROOK FARM ZONING: C P BLOCK: LOT: 005 JURISDICTION: T IG —_ 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: 4 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNIT'S _ OTHER UNITS: FURN >=100K BTU. <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Rernarks: HVAC tenant improvement Owner: � _ _ � FEES ASA PROPERTIES, INC Type By Date An.ount Receipt BY PAUL DEVIL.LE PRMT CTR 7/30/02 $72.50 272002000C PO BOX 3110 PLCK CTR 7/30/02 $18.13 272002000C HONOLULU, HI 96802 5PCT CTR 7/30/02 $5.80 2720020000 Phone: Total _$96.43 _ _J Contractor: _ AIR RITE CONTROL, INC. 1623 SF 6TH ST PORTLAND,OR 97214 __ REQUIRED INSPECTIONS Mechanical Insp Phone:238-0388 Duct Inspection Reg#:LIC 63302 Final Inspection 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 work will be done in accordance with approved plans. This peri-nit 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 in tt o Oregon set forth in OAR 952-001-0010 through OAR Utility Notification Center. (hose rules ars, 952-001-0080. You may obtain copies of these rules or direct question to OUNC by cFAlling Issue By: _� / � l t !' Permittee Signature: l' Call (503) 639-4175 by 7:00 P.M. for inspections needed the ne'{t business day t Mechanical Permit Applicatiojj Dote received: '71 � 0 Permit no.: Cjt.of Tigard PmiecUappl.no,: L.x date: Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Date issued: t no.: _ B' <' Rceei Q Cityu(Tigurd phone: (503) 639-4171 Y� - p _ fax: (503) 598.1960 Case file ne.: Payment type: Land use approval Building permit no: U 1 &2 family dwelling or accessory U Commercial/industrial J Multi-family J Tenant improvement N J New wnstruction ddition/alteration/replacement J Other: _— `Q Job address: Indicate equipment quantities in boxes below.Indicate the dollar � Bldg no. I Suite nu : NjjW,q0() value of all mechanical materials,equipment•labor,overhead, profit.Value S /1,- Tax ma /tax,lot/srcount no.: Lot: Block: Subdivision: 'See checklist for important application information aad rt Project name: 10,CC • jurisdiction's fee schedule for residential permit fee _C City/county: ZIP: Description and location of work on premises: gen✓.sr N�A� Pee(ea.) Total Dene Rex.only Rex.only Est..date of cotttpletion/inspection: Tenant improvement or chcnge of use: An handling unit __ Is existing space heated or conditioned'?J Yes U No it condjtiomnj.(site p an requited)-7 Is existing space insulated'?J Yes J No �Allcralion(if existing system_-- Bot er/compressors State boiler permit no.: Business name: i C ' of��'�'1 HP Tons BTU,H Address: 2 ." k&A W Fire/smoke dampers/duct srrxtkr.detectors City: • q,l State: ' ZIP 71 t eat um (site required) reut ) _— rax:.? -6 r-- C-mail: nsta 'rep ace umace tmer.. Phone:2,3k-0 39V Inchtdin duclwork/vent liner U Yes U No _CC A no.: &j' — nsta rcp aceurc ocate heaters -suspended. City/metro lic.no.: O wall,or floor mounted Name(please print): Vent forappliance other than furnace e r Rerw Absorption units B11iiH Chillers _-- --__ HP Namc: Com ressors ___ HP Address: _ .0111 ronnK4K@ ex tut vent ar: Ci : State: ZIT': A chance vent Phone: fax: C-mail: U erex oust He s,hype r llircs. Itchen/ armat homi lire suppression system Name: I .haust Can with single duct(bath Ian>) II Nh;uca system a tart trom heating or.A( Mailing address. ---1 -- _w_ p p np and dimArlbullimIup to 4 out cis) Cit State: _ I ZIP: I, ,c _ L.PIi_-___ NG — ()d Phone: fax: E-mail. I uel pipingeach a3anional over 4 out ei roeem piping(sc sematic requtre ) !sumbet of outlets __— Namc: 01herlioedapp sit"orequil Address: DeLonime fireplace City: State: ZIP: Insert-t _ Woodsloveipel lei stove I Phone: _ haxE-mail. of er: Applicant's signature: rAtte: er. Namc(print): r Permit fee ..................... $ __—__-- Nrn all Italedictirnn AccM credit cards,please colt jurtsdictton fnr nnrc inGmmtion Notice: This permit application Minimum fee............... S U Viu J Mmlercard expires if a permit is two obtained Plan review(at _ °'n) S Credit card card number __ L_L __ within 1 BO days after it has been n. --- Fspires State surcharge(8 n) ... S Natnto c rider ns shown tar c accepted as complete. TOTAL ....... .... ........ S — S--� 440460 trdtxxcoM) Cardin 'si lute — ELECTRICAL PERMIT- CITY O F T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00162 13125 SW Mall Blvd., Tiqard, OR 97223 (503) b29-4171 DATE ISSUED: 8/22/02 SITE ADDRESS: 09600 SW OAK ST 400 PARCEL: 1S135BD-00100 SU3DIVISION. ASHBROOK FARM ZONING: C-P BLOCK: LOT: )05 JURISDICTION: TIG Proiect Description: Tenant Improvement - voice Gnd data A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCI MEDICAL- HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTAL ION: OTHER: __— TOTAL# OF SYSTEMS: Owner: Contractor: ASA PROPERTIES, INC MICRO ELECTRIC VOICE + DATA BY PAUL DEVILLE 300 S REDWOOD STE 120 PO BOX 3110 CANBY, OR 97013 HONOLULU, HI 96802 Phone: Phone: 503-266-5847 Reg #: LIC 131543 ELE 3-447CLE —F EES _ — Required Inspections F --— — --- r— _Type By Date _ Amount— Receipt Ceiling Cover PRMT CTR 8/22/02— $75.00 2720020000 Wall Cover Elect'I Final 5PCT CTR 8/22/02 $6.00 2720020000 Total $81.00 This Permit 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 riot 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 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by - �:, G`. �. _ Permittee Signature _ 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�^ _— ,� DATE: SIGNATURE OF SUPR. ELEC'N: --- ---- ------ LICENSE NO: _._.__ ��-------.-----.--- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day I;lectri=Permit Appy icationReceiveElectrical d � Date/p : b �_;i U i Permit No.: 2 Gra 3- OD City Z'1p.11'(� Planning Approval Sign It �- �' 'Test Form Date/6v: Permit No. 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No. _ Phone: 503-639-4171 lax: 503-598-1960 Post-Review land Use Date/By. Case No.: Internet: www.ci.tigard.or.us Contact luris.: D See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Me1hod:9Supplemental(nfornialion. TYPE OF WORK _ PLAN REVIEW Please check all that apple ENew construction _ _ Demolition Service over 225 amps- Ilcrlth-care facility commercial ❑I lazardous location Addition/alteration/re Iacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in 1 &2-Family dwcliin r omincrcial/industrial ❑System over(M volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more ACCesSo $uildtn Multi-Family s ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder ❑Other: ❑ligress/lighting plan ❑Other: J013 SITE INFORMATION and LOCATION Submit�-sets of plans with any of the almvc. The above are not a t licable to temporary construction service. Job site address: _600 CDC t�>(s FEE*SCHEDULE Suite#: 5VIM& YOO Bld ,/A t.#: Number of it pectlons per permit allowed Project Name: Description I Qly I Fee(ea.) Told New residentlal-single or multi-family per Cross street/Directlotis to job site: dwelling unit.Includes attached garage. Service Included: IOW sq (l.or less 145.15 4 _Each 500 sit.R.or pion thereof 33.40 I --- Limited energy.residential 75.00 2 Subdivision: _ Lot M Limited energy,non residential 75.00 2 Tax map/parcel#: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders-installation, �.Y J T c. , �.Z ' S V G �L'.. `k Z �. ��' allerallon or relocation: 200 amps or less Rn 302 --- �Z �JLIts,J.fr� f4J, to<�r.�\ 4- 201amps to400amps --__ --- 106.85 2 X I I VQ. , 401amps to6Wamps - -_�--- I60.60 2 PROPERTY OWNERTENANT 601 amus to 1000 ems240.60 2 Over 1000454.65 _ 2 Name: Reconnect only __— - - - 66.85 2 Address: Temporary services or feeders-installation, q alteration,or relocation: t Cticl Nms or less 66.85 I Phone: Fax: 201 amps to 4W amps __--. 1 W.30 2 401 to 600 ams 133.75 2 =APPLICANT CONTACT PERSON Branch circuits-new,alteration,or Name: extension per panel: A.Fee for branch circuits with purchase of 2 Address: _ _ _._— service or feeder fee,each branch circuit 111, City/State/Zip: �_' _—, b.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.55 2 Phone: t1X —~ Each additional branch circuit 6.65 2 E-mail: Misc.(Servicc or facdcr not included): CONTRACTOR Each um or irrigation circle 53.40 2 Each sign or outline lighting _ 53.411 — Job No: Signal citcuil(s)or a limited energy panel,- alteration or extension* 7500 Business Name: •Description: –—� Address: Z City/State/Zip:/Staff'/Zlr:` D�„ G Cl I Each additional inspection over tine allowable In an of the alcove: - IPernv ins coon r hour•mon. I hour)_ 62.50_J____7= Phone: C S y FBX: of cl t k- Investigation fee CCB Llc. #: j;I _t '� Lic. M —y� c. L[ Other: Electrical Permit Fear" Supervising electrician _ Subtotal S S• c Sistore required f �' Plan Review(25%of Permit Fee) S Print Name: r;.-� VVI .^ �.' L1C. #: � _ - State Surcharge 8%of Permit Fee S v -`TJ _ TOTAL PLRMI'f t LL S �1i L: c' Authorized ----- Notice: Thh permit application expires if a permit is not obtained withl Signature: _" a� Date:—.1-22-DZ 180 days after it has been accepted as complete. *Fee methodology set by Tri-County building Industry Service Board. (Please print name) I�� I��® ELECTRICAL PERMIT PERMIT#: ELC2002-00416 DEVELOPMENT SERVICES DATE ISSUED: 8/28/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK S1 400 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Project Description: (1) sign lighting and limited energy for fire alarm. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADDT 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 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 - 10G0 amp: _ _ PLAN REVIEW SECTION___ _ ___ 1000+ amp/volt: >=4 RES UNITS: ^�— > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ASA PROPERTIES, INC REESE t-SONS ELECTRIC BY PAUL DEVILLE 16310 SE REZONE PO BOX 3110 PORTLAND, OR 97236 HONOLULU, HI 96802 Phone: Phone: Reg #: I IC 00049883 SUP 1691S ELE 26-506C FEES —� _ Required !nspections _— Type By Date Amount Receipt — Lcvl r Voltage Inspection PRMT CTR 8/28/02 $128.40 2720020000( Rough-in Elect'I Final 5PCT CTR 8/28/02 $10.27 2720020000( Total $138.67 1 his Permit 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 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 questions to Permit Signature: /� ---- Issued B y 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:-__._-- -- CpNTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. F_LEC'N: �L,� ` /o..—�=— �'� _ [SATE: /. L+CENSE NO - Cail 639-4175 by 7:00pm for an inspection the vext busineis day Electrical Permit Application "Datcrecciv"ed: �n�` Permit no.: L(ffjrZ-C� / City of Tigard Project/appl.no.: a date: C'in• f u ligard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date.issued: Hy/ ., Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwellin.-or accessoryCommercial/industrial U Multi-tinnily Tenant improvement U New construction U Ad(lition/alteration/re{)lacemcnt U(itlici _ U Partial .1101111"SUCE INFORMATION Job address: Q' Bidg.no.: I Suite no.: ITax ntap/tax lot/account no.: Lot; Block: St,hdivision: Project name LfhNiwSG KrIA I)rtiu,Irli n, ;ind location of work on premises: F Estimated date of complc lion/inspection: Job no: fir nta� - `-- - _ 11"cripliou (pt. (ea.) Total no.inrp 11t1Siness name: _ -- Nen mcidential-single ur malli-fantilt lwr Address: duelling unit.lnclodes attached garage. City: tLf.�z�. —_ State Qy ZIP: Senlrelnsluded: p _ - I ax: E-mail: 1000 sq t. �r less - - 4 Each add 11 500 sq.ft.or portion thereof CCB no.: A _ Elec.hos,Ile.Ito:�— a Limited energy,residential 2 City/mgkro lic.no.: _ I.imitedenergy,non-residential 2 z — latch manufactured home or modular dwelling nature of supelviswg electrician(re tuird)�y Date Service and/or feeder 2 Soh eh,r nuncipru,u- �t(C'}" Licrnsenn Services or feeders-Installallon, alteration or relocation: URIIIJINIIIII ;fel amps or less 2 Name(print): 2o1 amps to 4W amps 2 -— - - --- 40i amps to 6(X1 amps 2 Mailing address: _ 601 amps to IWO amps 2 City: Slate: LIP: Over I(X)0 amps nr volts 2 Phone: Fax: I:-mail: Reconnectotdr -- — i Owner installation:The installation is being matte on property I own InviTernponry seraltvices or fee redo - which is not intended for sale.lease,rent,or exchange according to 200a nill..or less 0nn,nrrelneatlun: ).00 ungr:tit less .' ORS 447,455,479,670,701. 201 anips to 41X1 amps - -- - Owner's si mature: Dalt': _ 401 to 6011 ams 6*anch circuits-new,alteration or exlenslon per panel: Name: _ —_— _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit tI, �. N. Fee for branch circuits without purchase City: � 711 . -.�-— _- ---- of service or feeder fee,first branch circuit: 2 Phone: I'aX: I ttutih Each additional branch circuit. Mlsc.(Serviceorfeedernol Included): U Service over 125 amps-conmtercial U Healthcare facility trach pump or irrigation circle 2 U Service over 320 amps-rating of I&2 U Hazardous location Each sign or outline lighting K R,99 2 family dwellings U Building over 100K)square feet four of Signal citcuit(s)or a limited energ; .17-1 nel. U System over 6(1(Ivolts nominal more residential units in one structure aheration,orextension* 7_ 2 U Building over three stones U Feeders.AIM amps or more •Desai tion:_ /" ' i� U Occupant load over 91 persons U Manufactured structures or Rx'park fish additional Inapedion over the allowable In any of the above: U Fixtes%flightinirplait U Other -_. ferinspection — Submit sets of plans hath any of the above. Investigation fee 71he above are not applicable to temporary construction service. other Not all junsdictiam accept credo cards,pienw rapt jurisdiction fa mar information. Notice-Phis permit application Permit fee................I....$ _ Z U visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ ('redit ard numher _- within 180 days after it has been State surcharge(8%)....$ �a Expires accepted as complete. TOTAL .......................$ / Nameof cardhol r u shmsn on cr�lt cid — $ (ardhoider si6rrattue — _ Amount 440.4615(&KINCOMi ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Com /� Restricted Energy Fee....... ee.......................I............................. 575.0 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total 1 Check Type of Work Invclved. Residential-per unit 1000 sq it or less $145 15 — a Audio and Stereo Systems' Fach additional 500 sq ft or portion thereof _ $33 d0--`_ t Burglar Alarm Limited Energy —i $7500 Each Manuf'd Horne or Modular Dwelling Service or Feeder _ $9090 2 I� Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or loss _ $80.30_ 2 201 amps to 400 amps —� $106.85_ 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps — $240.60 `_ 2 Other Over 1000 amps or volts — $454.65i 2 Reconnect only $66.85� 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Installation,alteration,or relocation Fee for each system.................................................. ....... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ _ $100.30 2 401 amps to 600 amps N $133.75 2 Check Type of Work Involved Over 600 amps to 1000 volts, aas"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boller Controls a)1 he fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $665 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ $4685 ❑ Each additional branch circuit _ _ $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting $53.40 _ ❑ Signal circuit(s)or a limited energy panel,alteration or extension �� $75.00 Landscape Irrigation Control' Minor Labels(10) $125.00 Medical Each additional inspection over ❑ the allowable In any of the above Per inspection $82.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 �� Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _ ❑ Other 8`/n State Surcharge $ Number of Systems 25%Plan Review Fee Review" See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application -- Fees: Total Balance Due $ Enter total of above fees $ ❑ Trust Account# _—_ 8%State Surcharge $ All New Commercial Buildings require 2 sets of plans. Total Balance Due i:\dsts\forw\elc-fees.doc 08/30/01 CITY O F T I G A R� BUILDING PERMIT PERMIT #: BUP2002-00252 DEVELOPMENT SERVICES DATE ISSUED: 6/25/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SV`l OAK ST.*Tfq--44 q( c SUBDIVISION: ASHBROOK FARM ZONING: C P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FL_O_OR AREAS EXTERIOR-WALL CONSTRUCTdON _ CLASS OF WORK: ALT _ FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: 2.1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 276 BASEMENT. sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ R_EQ_D SETBACKS_ _ _ _ REQU_IRED__ FLOOR LOAD: psi LEFT: ft RGHT: ft FIR SPKL: N SMOK DETJ! DWELLING UNITS: FRNT: ft REAR- ft FIR ALRM - N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 155,600.00 Remarks: Create college classrooms, vocational rooms, offices and lounge. Owner: _ Contractor: ASA PROPERTIES, INC SUMMIT CONSTRUCTION BY PAUL DEVILLE PO BOX 10345 PO BOX 3110 PORTLAND,OR 97210 H joneyLU, HI 96802 Phone: 223-9703 gone: Reg #: LIC 6324q FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp Insulation Insp PRMT CTR 6/25/02 $962.70 27200200000 Gyp Board Insp 5PCT CTR 6/25/02 $77.02 27200200000 Susp Ceiing Insp PLCK CTR 6/25/02 $625.76 27200200000 Final Inspection FIRE CTR 6/25/02 $385.08 27200200000 Total $2,050.56 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 for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification h se rules are squestions toet Ith in OUNO by AR 952-001-UO10 through OAR 952-001-1987. You may obtain a copy these rules calling (503)246-6699 or 1-800-332-2344. Permitt a--- Sig�re: Iss ed By: �� -- Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit Application Date received:G Q'- Permit n7Reccipt ,5 City of Tigard ProjecUappl.no.: Exp a d Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ciq,r,f Dgar`l phone: (503) 539-4171 Date issued: B Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF FU 1 &2 family dwelling or accessory U ComU Other: Commercial/industrial U Multi-family ❑New construction U Demolition Addition/alter ition/replaccntcnt 'Al'enant improvement U Fire sprinkler/alarm _ O; SITE INFORMATION job address: O (.jdb! Bldg.no.: Suite net.: Lot; lock: Subdivision: — Tax map/tax lot account no.: Project name: ATAIII joAb Description and location of work on premises/special conditions: - t � t � � t Name: gg Mailing ad s: 1 &2 family drrellilig: City: Stnlc 7.1 P: C Valuation of work.......... ............................. r - - - Phonc: f:ax: G-mail: No.of hcclrooms/baths ................................ Owner's representative: _ 'Total number of floors.... .....I................ .... _--- Phone: Fax: E-mail: New dwelling area(sq. ft.) ...................I...... -- Garage/carport area(sq.1't.)........... ............. Namc: Covered porch area(sq.AJ ......................... /jj� Mailing address- — Deck arca(sq.ft.) ................ ........ ...... ....... —.-- City: ss- State: 7.1 P: Other strucdurearca (Ml. 11.)......................... -Phone: fax: Email Commerciallindustrial/nutlti-fantil�: t r ACI Valuation of work...... Existing bldg.area(sq. ft.) .......................... - Business name: (J1ti{ rr- _ New bldg.arca(sq. ft.) ............................... Address: Number of stories........................................ — City: �, /1/h StatcV ZIP: - -_ Type of construction.................................... / Photle: 2Z Fax2 2-T&# E-mail: — Occupancy group(s): Existing: _ CCB no.: _ -- — New: City/metro lie.no. �, Notice:All contractors and subcontractors are required to be fWSIGNER licensed with the Oregon Construction Contractors Board under ARCIIITECT Name: u.Jf _ _ provisions of ORS 701 and may be required to be licensed in the 1 Oft.) jurisdiction where work is being performed. If the a 1cant is Address: Ig&.-Z City: state 'LIP:r V Contact person: j7 stun/ Platt no.: C72 ---- Pltone: pf- Fax: E-mail: —�- — Name: Contact person: Fees due upon application ........................... Address: Date received: City: w State: ZIP: Amount received ......................................... `S ,-- Cty:Phone: - Fax: — Email — I'lease Mier to Iec schedule. hereby certify I have read and examined this application and the NM all jurisdictions accept credit cards,please call jurisdiction fox mnre inhxn4ation attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard cf reel herein or not. Credit card number work will he complied w' i e Authorized sign t _ -rte �&� Date: - Name of cardholder u shown nn credit crd --- Print name: L ! �lfUA� cardholder armature S Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-4613 tt MOM) I Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL_ # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must iiclude location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 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 additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & fescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET Ievel 1" technicians. LWsts\forms\COM-matrix.doc 9124/01 CITY OF TIG�RD ELECTRICAL PERMIT PERMIT#: ELC2002-00291 DEVELOPMENT SERVICES DATE ISSUED: 6/27/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 400 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: ' eauh sign/outline lighting. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amu: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI 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+ amolvolt: >=4 RES UNITS: � > 600 VOLT NOMINAL.: Reconnect onl rL. SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: NORR13,BEGGS & SIMPSON ES & A SIGN& AWNING 121 SIP, MORRISON 1210 OAK PATCH RU SUITE 200 EUGENE, OR 97042 PORTLAND,OR 97204 Phone: Phone: 541-485-5546 Reg #: LIC 1457755 SUP 435SIG ELE 20-255CL _ FEES — _ Required Inspections _ Type By Date Amount Receipt— Rough-in PRMT CTR 6/27/02 $53.40 2720020000( Elecl'I Final 5PCT CTR 6/27/02 ^4.27 2720020000( Total $57.67 This Permit 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 acoordance 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 adopted by the Oregon Utility Notification Center. Those rules are set forth iii OAR 952-001-0010 through OAR 952-001.0080. You may obtain copies of these rules or direct questions to Permit Signature: Y yf Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: ----- — — DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: OATE:______�__—.._ LICENSE NO: _---_-.-- �)'4(.4 -- Call 639-4175 by 7:00pm for an Inspection the next business day Flech ical Permit Application Datettxeived: 1, 0Z Permit no.: ki�� City of Tigard Prn)ect/app►.no.: Expiredate: -- Ci of Ti and Address: 13125 SW Nall Blvd,Tigard, (IR 9722_3 -� - ,r -- h 8 Date issued: y:V�CJ Receipt no.: Phone: (503) 639-4171 - .�________._��. _ - _— Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: �,1 TVPE Of PERMIT ❑ 1 &2 family dwelling or accessory Ac :nmercial/uu;u.strlal U Multi-family U Tenant improvement ❑New construction U Addition/alicr tion/rrplac(•rticni J Other: U Partial .100 SITE INFORMATION Bldg. no.:- Stntc no.. _'Cax map/tax lot/account no.: Lot: Block: Subdivision: Pro' 1 �t1 ect name: µL-A1)-Ctal Description and location of work an premises:SIC 11TSFAl iFNI F.stin)ated date of completion/inspection: Job no: I rrY M'i 1 �_—�- ~' _ __flesc'ripllon Qt . ea-) Ibtal ver.hrsp Business name: 5(( ( — y New rreidmtial-sinr*ormulti-family per Address:l(,113 "R-r- dwellinRunit.IncludesattachedRaMe. City: Cj ( ►p I State: ZIP:q 1,22Serriceinrluded Phone:�j(3j Fax: Z-ZJI�`.7 E-mail: IUOOsq.h Mess _ - _ -- a CCB no.: Elec.bus.lic.no: u 2t:5CLS Each additional 500 sq.ft.or portion thereof Z_ Limited energy,residential 2 City/metro lic.no.: .2AI( t'4 Irmitedenergy,non residential _ 2 Fach manufactured home or modular dwelling Sig ature of supervising electrician(required) _ Date Service and/or feeder _ — 2 Sup elect.name(print): 9r`�u �,�/ License no: 1' Services orfeeden-Installation, alteration or relocation! 200 amps or less 2 Name(print): �S � �)(C�(5,PSS 201 amps to 400 amps 2 Mailing address: (� S ,r C LIQ 1I 401 amps to 600 amps 2 K i 601 amps to I W)amps 2 city: vj)R�Wt) State: ZIP:%J LLej_ Over 1000 amps or volts 2 Phone: I Fax: I E-mail: Reconnectonly I Owner installation:The installation is being made on property I own Temporaryaervicesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ?00 amps tit less _ _ 1 ORS 447,455,479,670,701. 201 amps to 4W amps 2 Owner's si nature: Dale: 401 to 600 ams �— - 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purcha,c of Address: service or feeder fee,each branch circuit _ _ 2 City: State: ZIP: B. Fee for branch rircuits without purchase — of servire or feeder fee,first branch circuit- Phone: Fax: F mail: - -- ---- Each additional branch circuit: IL Mloc.(Service or feeder not Included): U Service,over 225 amps coinoy-miai U licalat carefacility Each pump orirrigation circle 2 ll Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 famiiydwellings U Building over I(1,(x10 square feet four or Signal circuit(s)or a limited energy panel. •System over 600 volts nominal more residential units it,,one structure alteration,or extension* 2 O Building over three stories U Feeders,4(1)amps or r T •Descri nore U 0=pant load over 99 persons O Manufactured structures vex RV parte tjch additional lmpection over the allowable M say of the above: U Egresallighungplan U other. — ----- Per inspection %barb__seta of pbms*M tiny of the above. Investigation fee _ Mile above are 001 appllalble 110 Ce Oponry construction service. other �- No all ltabdictiom wcW end,cards.pima.call itirhirsction for mere infonrusio>n Notice:This permit application Permit fee..................... U Visa U MasterCardexpires if a permit is not obtained Plan review(at -- %) $ r ! �►� _�__ I within IRO days after it has been Slate surcharge(8%)._- - ti Credit card rumba:__. -- M -y.�- Named Ida a abort+as clad accepted as complete. TOTAL .......................sL�4 _ S gpwrae A 4404615(60WOM) 5' CITY F T I G�►R D ELECTRICAL PERMIT PERMIT#: El_C2002 00339 DEVELOPMENT SERVICES riATE ISSUED: 7x22102 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135BU-00100 SITE ADDRESS: 09600 SW OAK ST 400 SUBDIVISION: AS,iBR00K FARM ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Install 30 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500EF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS — _ AD_D'L. INSPECTIONS _ 0 - 200 amn: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2() IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION_ 1000•} amp/volt: >=4 RES UNITS: — > 600 VOLT NOMINAL: Reconnect ons SVC/FDR >= 225 AMPS:_ CLASS AREA/SPEC_OCC: Owner: Contractor: ASA PROPERTIES, INC REESE + SONS ELECTRIC BY PAUL DEVILLE 16310 SE RHONE PO BOX 3110 PORTLAND, OR 97236 HONOLULLI, HI 96802 Phone: Phone: Reg/#: LIC 00049883 SUP 1691S ELE 26-506C FEES Required Ins_pectio_ns Type By Date AmountReceiptRough-in PRMT CTR 7/22102 $k39.70 2720020000( Elect'I Final 5PCT CTR 7122102 $19.18 27200200001 Total $258.88 This Permit Is issued subject io 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forthOP R 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to 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. C',01NER'S SIGNATURE: DATE:: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:--- ,LICENSE- NO: ---- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received Permit no.: a 3 City of Tigard Project/appl.no._ Expire date: C'ityo(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: iptno.: Phone: (503) 639-4171 — - — Fax: (503) 598-1960 east-file no. _ Payment type: Land use approval: 'I VPE OF U I &2 family dwelling or accessoryCommercial/industrial _j s,lidn-family Tenant Improvement U New construction U Addition/alteration/replacement J Otiter:_ U Partial Joh address: Bldg.num Suitt-•nt &V ITax map/tax lot/acceunt no.: Lot: Block: Subdivision: Projectname: 5,�jj2d- Description and location of work on premises: Estimated date of completion/inspection: ti l Job no: tt. nfa� Business name: p� v, _ llcscripllon 011_ (ea.) lol;rl nu.iusp f.- New residential-aingk or multi family per Address: A Ale it dwellinilunh.Includes atincheil{io uge. City: I Slate: .I P: 7 Senfrefill luded: Phone F:rx: c� + Email: Mill sq It or less 4 Vach additional 501 sq.ft,or portion thereof CCB no.: ! _ Elco.bus.lie.no: Limited energy.residential 2 City/ ctro lic.no.: Limited energy,non-residential 2 Bach manufactured home or modular dwelling i ature of su r ising_electtictall(re_uireHJv�L Date Servlet-nmUor feeder 2 Services orfeeders-Installation, Sup rlrsrname(print ayet 5 A, -f alteration or relocation: J.00 amps or less 201 amps to 400 anips '- Name(print): _ ___ - ------- 4.)1 amps it,600 amps Mailing address 60:amps to 10(X)amps City: State: Z1P: 0% I(xx)amps or volts Phone: I•'aX: 1�-n1t11I: tLe !,nncclonly I ._ Owner installation:The installation is being trade on property I own Temporary services orfeeders- which is not intended for sale, lease,rent,or exchange according to Installation,alteration,or relocation: 21xl amps rr Irss 2 ORS 447,455,479,670,701. 2II I mops to 4(x1 amps — — 2 thvner's signature: _ nate: _ aui 00aos '- Branch circuits-new,alteration, or extension per panel: Name: -- A. pec for branch circuits with purchase of Address: service or feeder fee,each branch circuit _— 2 - City: Slnle� ZIP: _ B. fee for branch circuits without purchase of service or feeder fee,first hranch circuit 2 I'll, n. --- — I :rs 1. tn:til' liachadditional hranchcircuit . Misc.(Service or feeder not Included): 7LJ over 225 amps-commercial ]R Ilealth-care facility Each pump or irrigation circle 2 "er 320 amps-rating of Idt2 is Ilatardouslocatiou Each sign or oulline lighting 2 wellings U Building over In,(xxl syumc feet four or Signal circuit(s)or a limited energy panel. over 600 volts nominal m•c residential units in one structure alteration,or extensions 2 11 Building overthrmstorid UPeeders,400amps ormorc •I)cscri+tion: X Occupant load over 99 persons U Manufactured structures or RV punk Fach additional Inspection over the allowable in any of the above: J F.Fressllightingplan U Other --... Per nspeduut Submit___sets of plan+with any of the above. Investigationfee _ The above are not applicable to temporary construction service. ()tiler -- Permit fee.....................$ NM all juditdictiotn accept credit cards,please call jurixtiction frac more information Notice:This permit application U Visa U Mastercard expires if a permit is not obtained Plan review(at -` %) $ Credo card number: I / - within ISO days after it has been State surcharge(8%).....`ti Ispires accepted as complete TOTAL ............. ... ..... Name ofcerdhol�ei u shown on crrdil card S Cardholder si6natute Amount T 440-4615(&W/COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF'R" 'tK INVOLVED -RESIDENTIAL O___^__f Complete Fee Schedule Below: - ^ -- Restricted Energy -ee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items COSI Total Check Type of Work Involved Residential-per unit 1000 sq it or less $145 15 ^ Audio and Stereo Systems' Each additional 500 sq It or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy _ $75,00 Each Manufd Home or Modular Garage Coor Opener" Dwelling Service or Feeder $9040 2 Services or Feeders F] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 ❑ Vacuum Systems' 201-.,nps to 400 amps _ $10685 2 1.i1 amps to 600 amps _ $160 60 2 ❑ 601 amps to 1000 amps $24060 2 Olhr'r Over 1000 amps or volts $454 65 2 Reconnect only $6685.-- 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Tempalteration,or relocationderFee for each system.......................................................... $75.00 Installation, 200 amps or less — $66 85 2 (SEE(JAR 518.260-260) 201 amps to 400 amps $10030 401 amps to 600 amps _ $133 75 Check Type of Work Involved. Over 600 amps to 1000 volts, �� see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a) the lee for branch circuits ❑ with purchase of service or Clock Systems feeder fee. Larh branch circuit $6 65 _ E�] Data Telecommunication Installation W I he fee for branch circuits without purchase of service L� Fire Alarm Installation or feeder lee. First branch circuit _ $46.85 HVAC Each additional branch circ uil $665 ❑ Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 _ ❑ Intercom and Paging Systems Each sign or outline lighting _ $53.40 Signal circuil(s)or a limited energy $'5 00 ❑ Landscape Irrigation Control" panel,alteration or extension i_ a_ Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per inspection — — $c250_—_— Per hour _ $6233 In Plant $73 75 ❑ Outdoor Landscape Lighting" Fees: ❑ Protective Signaling Enter total of above fees $ _- ❑ Other 8%State Surcharge $ ....___—..._ -------Number of Systems 25%Plan Review Fee No Ikenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application -- Fees: Total Balance Due $ ___ nn Enter total of above fees L1 Trust Account# -_ 8%Stale Surcharge s ------- ---- - -_ Total Balant7e nue =----- All New Commercial Buildings require 2 silts of plans. i\dstslformsklc-fees doc 08/30/01 CITY OF TIGARD ELECTRICAL ENERGY- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00124 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 7/30/02 PARCEL: 1 S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 400 SUBDIVISION: ASHBROOK FARM ZONING: C P BLOCK: LOT: 005 JURISDICTION: TIG Proiect Description: HVAC wiring A.RESIDENTIAL _ B.COMMERCIAL AUDIO & 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 I-ANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: _ 1 — Owner: Contractor: ASA PROPERTIES, INC: AIR RITE CONTROL INC BY PAUL DEVILLE 1623 SE 6TH AVENUE PO BOX :3110 PORTLAND, OR 97214 HONOLULU, HI 96802 Phone: Phone: 238-0388 Reg #: LIC 63302 ELE 26-814CRE r— —FEES_A� _ I Required Inspections — Type_ By Date Amount Receipt- Low Voltage Inspection PRMT C i 7/30102 $75.00 2720020000 Elect'I Final 5PCT CTR 7130/02 $600 2720020000 Total $81.00 This Permit 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 requires you to follow riles 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 questions to OUNC at (503) 246-1967. '�4 `6� /I Issued byLJL�et_�� Permittee Signature _ OWNER INSTALLATION ONLY —_ The installation is being made on property I own which is not intended for sale. lease. or rent. OWNER'S `,'IGNATURE: DATE:--- - - - CONTRACTOR INSTALLATION ONLY _ ------ SIGNATURE OF SUPR. ELEC'N LICENSE NO: — __.__-------- ---- - ----- -- -- -- -- --- ---- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application ID a t c received: /� Permit no.: City of Tigard Project/appl.no,: Bx ire date: city of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: [ Receipt no.: Phone: (503) 639-4171 - - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TVPF OF PERMIT-. U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant Improvement U New construction jd Addition/alteration/replacement A(Wier U Partial JORMTE INFOJOIATION, 1 Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: A Lo e 5--- ___I Description and location of work on premises: 46rj_ L iiyrr.�tG� l/v(l►K� Estimated date of contltJ(,til)n/intiI)rction: SUIEDILIF Job no: Z, Fee Max [iusinessname: /a r 1)Mz<rtptlon _ "y. (ea.) 'coral no.la+r 3 e �� _ Net residential viol k nr multi-familt IM•r Address: dwelling unit.Includes attarla•rl garage. City: h State: O ' ZIP: - Z2-1 L4 Sen lee liltlu.led: Pho : Z z:,3 j„ Fax:7 i Wl sy.It,of Ic,. 4 Z Elec.bus.tic.no: .Z fr/L �Z Each additionul 1L1l sq.k or portion thereof CCB no.: t 1 Limited energy,residential 2 ('ll / trOIIC, o.: (� 1' Limited energy,non-residential 2 I ✓�_ �i_D L Fach manufactured borne or modular dwelling signakk—oT'SupePAsIng electrician yuired) bate Service anti/or feeder 2 Su)rlect.nnnte( riot). ,� License nn: Serrlcesorfeeders-Inslalldlon, I P b fl z Z 12 t?(:T ZC alteration or relocation: 2(X)amps or less 2 Nance(print): 201 amps to 400 amps 2 - — 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps_ - 2 City: -- _-- State: ZIP: Over I(Nirt amps or volts 2 Phone: 1'ux: E-mail: Reconncctonl ------ — 1 Owner installation:'ncc installation is bring made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 2W amps or less 2 20 l amps to 400 amps -- 2 "i" PC: Date: 4111 to 6(X1 nm s 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee h,r branch circuits with purchase of Address service nr feeder fee,each branch circuit 2 City: State: ZIP: B Fee for branch circuits without purchase --- -----�— — of service or feeder fee,Cast branch circuit: 2 Phone: Ln x E-mail: — Eachadditional branch circuit PLAN R1111111V(Plense check all Ant appl.,l) Mbe.( rvice or feeder not Included): U Service over 225 amps-commercial U Health care Iacilttr Each pump or irrigation circle - 2 U Service over 120 amps-rating of 1 Ret U Hazardous locatino Fach sign or outline lighting 2 famllydwellings U Building over 10.0(X)square feet four or Signal circuits)or a limited energy panel. U System over-000 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders.400 amps ar more •Descn uon:r-4z- 6.j,I- 1,^"1 "6&C 6"d-4,w s_' '{L U Occupant load over 99 persons U Manufactured souc.dres or RV park Each additional Insp vtIon over the allowable litany of the above: UreasAi htin dan U Other: _ Eg R RF hI'erinsprchou _ L ( _---- Submit__sets of plans with any of the,above. In vest igstion fee _ The above are not applicable to temporary construction service. Other — Not all udedictionx acre credit code,please cell jurisdiction Irx man infarturic n' -- -- Permit fee.....................$ 'J 1 Pt l Notice:this permit application U visa U MasterCard expires it's pemiit is not obtained Plan tevl':w(at — %) $ --�.--. Credit card number: ��.— within 180 days after it has been State surcharge(8r%)....$ Expires accepted as complete. TOTAL .......................$ me o Nam ca r n shown oa credit card $ � Crdhatder tl�tiuure —----- A moani 4404615(6r WOM) Electrical Permit Fees: Limited Energy Fees: -- -- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY . 7500 Complete Fee Schedule Below: Restricted Energy Fee...................... .......................... -- — s... Number of Ins ctions per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 6q 8 or less $145 15 _ 4 ❑ Audio and Stereo Systems Lach additional 500 sq it or l� portion thereof __ $3340 t l Burglar Alarm limited Energy _ $75.00 Each Manufd Home or Modular (] Garage Door Opener' Dwelling Service or Feeder — $SO 90 ------ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 Ll Vacuum Systems' 201 amps to 400 amps _ $10685 _ 2 401 amps to 600 amps $160 60 _ 2 -t 601 amps to 1000 amps $240.60 F] Other Over 1000 amps oa volts $45465 Reconnect only _ $66.8 __—_- Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system..................................... .................... $75.00 Installation,alteration,or relocation (SEE OAR 918.260-260) 200 amps or less $6685 — 2 201 amps to 400 amps _ _ $100.30 2 401 amps to 600 amps $133 75 2 Cheek Type of Work Involved: Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits Boiler controls New,alteration or extension per panel a)The foe for branch circuits Clock Systems with purchase of service or feeder fee. Each branch circuit _ $6 65 ____ Data Telecommunication Installation h)the tee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $4685 HVAC Each additional branch circuit -'— $6 85 Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 _ Intercom and Paging Systems Each sign or outline lighting _ _ $5340 Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $75 JO _ Minor labels(10) $12500 ❑ Medical Each additional Inspection over the allowable in any of the above L� Nurse Calls For inspection $61"50 Pur hour $62 5O Outdoor Landscape Lighting' In Plant - - $73 75 - Fees: I �� Protective Signaling Entnr total of above fees $ -_. _- Other 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee " No licenses are required Licenses are required for e'I other installations See"Plan Review"section on $ front of application ---_ Fees Total Balance Due $ -____- Enter total of above fees = _� ❑ Trust Account# I 8%State Surcharge s _ - -- Total Balance Due \dsts',lorntc',cic-fee%duc III'"'lx) CITY OF TIGARD 24-Hour BUILDING inspection Line: (503) S39-4175 INSPECTION DIVISION Business Line: (NO3)639-4171 MST BUP - --- - — Received —_Date Requested /j AM_ PM------- BUP ------------ Location _ Suite VQ CJ MEC Contact Person Ph -S`'-S a PLM -- -_-__-- --_ _-- Contractor ___ -- Ph( ) _X l Q _ SWR —_ BUILDING Tenant/Owner _ _ ELC Footing ELC Foundation Access: - Ftg Drain ELR _ Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors --- Eat Sheath/Shear Int Sheath/Shear Framing -- -- -_- - Insulation - -- -_ --_-- —_— Drywall Nailing �. ---- - - - — Firewall Fire Sprinkler Fire Alarm al Susp'd Ceiling - - - Roof Other: — -- - - Final SS PART FAIL PLUMBING Post&Beam Under Slab - — ---- Rough-In Water Service — -- Sanitary Sewer Rain Drains - -- -- Catch Basin/Manhole Storm Drain -- Shower Pan Other: Final `--��- PASS PART _FAIL — ----- ------ _ - - ---- - -- - -- - -- -- --- -- MECHANICAL_ Post&Beam a Ac.ugh-In -- Gas!.Ine Smoke Dampers - - ---- - - Final PASS PARTFAIL - ELECTRICAL. +' Service — Rough-In IG/Slab ---- Low Voltage Fire Alarm (t PART FAIL F-1Reinspectionfee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. A SI _ E] Please call for reinspection RE:__—. F�] Unable to inspect-no access Fire Supply Line n ADA r- - Approach/Sidewalk Da is � '" �� Z- Insp�rcto qwl''�'Y�,��(��:� Ext — Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST /'/ BLIP Received Date Requested____--- -'- -.-- AM-- --PM--_ _ BUP - Location - d _-7-.-.L� �.�-- ----- --Suite MEC �- Contact Person __ --_ _ _ Ph ( _—) �g� PLM Contractor --_ Ph SWR BUILDING Tenant/Owner — �'�.� - -------_- ---- ELC --___----- --_---- - _- Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - Post&Beam - - - -- --- Shear Anchors —' Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Com! _ Get • Drywall Nailing Firewall Fire Sprinkler --- --- 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 Basin/Manhole Storm Drain Shower Pan Other: Final - -- - _PASS PART FAIL -___- MECHANICAL Post&Beam Rough-In - - --- ------ - ---- Gas Line S e Dampers --- -- -- -- -- -----_____ Fi ` S PART _FAIL TRICAL Service -�- —_- -- Rough-In UG/Slab - - - - - - Low Voltage Fire Alarm Final L] Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE _ L7 Please call for reinspection RE:- --_ _- j Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Date d�'� 1 'vector - �-� Ext Other: Final DO NOT REMOVE this Insp ctl n record from the Job site, PASS PART FAIL CITYOF TIGARD _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00252 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/25/2002 PARCEL: 1 S135BD-00100 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09600 SW OAK ST 400 SUBDIVISION: ASHBROOK FARM BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2-1HR OCCUPANCY GRP: B OCCUPANCY LOAD: 276 TENANT NAME: ASHMEAD COLLEGE REMARKS: Create college classrooms, vocational rooms, offices and lounge Owner: ASA PROPERTIES, INC BY PAUL DEVILLE PO BOX 3110 HONOLULU, HI 96,302 Phone: Contractor: SUMMIT CONSTRUCTION PO BOX 10345 PORTLAND, OR 97210 Phone: 223-9703 Reg #: LIC 63249 This Certificate issued 9/111/20112 grants OCCupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and Use under which the referenced permit was issued. G BUILDING INSPECTOR BIJILDI OFF'ICIA POST IN CONSPICUOUS PLACE