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1.2362 SW ANTON DRJIfE
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CURTIFICATI OF
OCCU
CITY OF TI GARD PERMIT #. . . . . . . :PANCY
MST93-031:35
COMMUNITY DEVELOPMENT DEPARTMENT DATE IGSUED-. 11/ 16/95
12126 SW Hall Blvd.Tigard,Oregon 972234199 (503)639-4171
PARCEL: I5134CB-17ift
SITE ADDRESS. . . 12362 SW (INTON DR
gUBDIVISION. . . . s ANTON PARK 11 ZONIAJC 30-7 PD
BLOC'K. . . . . . . . . . a LOT. . . . . . . . . . . . . 1096
CLASS OF WORK. oNEW
I'Y,�,E OF USE. . . t 5F DD
OCCUPANCY GRk. e'!7N
OCCUPANCY LOAD s,',
Remarks PATH I
Own ir v-c ---------
FOUR D CONSTRUCTION
If P 0 BOX 1577
9EAVERTON OR 17075
Phone #.- 64t--0935
-ontractoril
YOUR D CONSTRUCTION
PO BOX 1577
LAE;IVERTON OR 97075
Phony? #z 641-0935
Rep #. . .- 71L437
['his C'ertific-atp grants occupakncy of the ebove referenced buildit)y ov- port .koij
thereof and confirms that the buildilig has been jn%psctq(j fav• compliance witjtl
the State of Orepqn Specialty Codes for- the gt'OUP, OCCLIEF.ftricy, and use under
wiiic1-r t h ad.
i-11JILDING BUVDINI OFFICIAL
Pos)-r IN CONSPICUOUS PLACE
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Mall Blvd,Tigard,Aragon 07223.6199 (503)530-4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 CW HAH Blvd.Tigard,Wpoo 97223.6199 (503)639.4171
SEWLR CONNECTION
CITY OF TiCaARD
P E k,Y,I T #. . . . . . . .. .
COMMUNITY DEVELOPMENT DEPARTMENT DA"'I"E, ISGUE-Dt 07/20/931
13125 SW Hill Blvd.T19ard,0m9on 972230199 (503)639-4171
PIWREEL.. .- 1S1,34GB--i7100
ZUNINGa R-7 P.1b
'.All NIJ. 1--- IX";'LJRF- UNITS. . .
DWELL 1'4G UN I I S.
NO. JF BUILDINGS: I
FM,
ku(."l I LIN
t y 1.1 v -A M a I.All t by dit v I'EA c t
13 U A r-1 rim I S 120124. 00 jF1 07/, -,1*1--
I
ij414 3 5
Oro I-
1 2235. 00 To MI.
Reg 0. .
RLQU I RLD I N ES PE C-f 10 N'.-
this Applicant Agrees tc cniply with ail the and rquint-.0-S �ipv- et- Inspect iorl
t� the 0hified cexage AgFTCV. T�,e persit pipires '61? days frets
the tjStj issued. The &gopt paid Will be forfeited it Ve
persit expires. ''ie kjency noes not iuA!,antri t?,F acxl.racy of 01
iiae ieotr :' the ,ewer is not located at t`e prasurevernt
Sjvv, t-e prcspsct *3 feet it all oirtni:rs frov
f ne, so located, the installer shall purcnasr
Ce'll for inspect I 'III
fil--
CITY OF �,1lJL�].1�1J 1"zs$wt�,uaw�a PLK/R#CT # /Z
5_�-'CCo -
05
Tigard,Oregon 97M PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT -`—
(503)6'¢"" DATE ISSUED
JOB ADDRESS: _l` 3 �� �`� p�/�I '1J TAX MAP/LOT /�/ 3`�C' !
SUB: Arj O C� _ LOT: / LAND USE: i` t2i� _
VALUATION: s
OWNER SPECIAL NOTES
NAME: . AOLIA ,(�)� REISSUE OF:
ADDRESS:_ ✓ . o �� Zs;-7 7 LAST REISSUE: _
ur72 GAJ �� C7 7s FLOOD PLAIN/
PHONE: 1! SENSITIVE LANG:
CONTRACTOR APPROVALS REQUIRED ,St,j t3 2 V 04)9
NAME: ,•� __�s .�7rd �/ _ PLANNING: S 1dAC,E"5T' 2,241
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: -1-1/7-
CONTR.
7 %f7CONTR. BOARD #: EXP DATE: .
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: PL(,meI IN LIST/SUBCONTRACTORS: _
MECH: _�^ ' �7,L BUS TAX:
ARCH/ENGINEER CALCULATIONS: —_
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE: /U = L E_ -
COMMENTS: � _
i
APPLICANT GNATURE
Received By: 'E=2�- ____ Date Received:
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
/P.50-?o -'8> 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees / U —
10-431 01 Mechanical Permit Fees _y '�-D
10-230 01 State Building Tax (5%) S,
Building _ u.
Plumbing
Mechanical -;2,�
10-433 00 Plans Check fee '
Building Ems).
Plumbing
Mechanical
8.
10-230 06 Fire
().33Z 30-202 00 Sewc. Connection v' J
30-444 00 Sewer Inspection 3.)
25-448-02 Commercial TIF Fees
2.5-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448••01 Residential Traffic Fees /� / 0
25-44P-05 Mass Transit TIF Fees _ � 1�y
52 449 00 Parks System Dev Charge (POC) ��`��
21-450 00 Storm Drainage Syst Dev Chrq
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Mater Quantity (Fee in lieu of)
TOTAL
nm/3587P.W111-
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
c� BUP
01
Date Requested / 41'0AM PM BLD
Location- /z 3 6 Z- S� �'�/��M _ Suite , MEC
Contact Person Ph PLM
Contractor Ph _ SWR _
BUILDING Tenant/Owner LLC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab — _—_ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation --
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc.
Fi ial
FASS PART FAIL -- -----_— —. —
PLUMBING
Post& Beam - —
Under Slab
Top Out -- ----- I
Water Service
Sanitary Sewer —
Rain Drains _
Final
PAS - FAIL
CHANICA ' —�— ------- -- --
P am —
Gas Line
jBmae Dampers
FAIL -- _—�v— --FbEOT–RICAL —
;1c
-�In
UG/Slab
Low Voltage ^Y
P PART FAIL
91-TE
Backfill/Grading -- ----�-- — --�
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _ _rNquired before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE:_ _ __ [ J Unable to inspect- no access
ADA
Approach/Sidewalk LI
Other Date Inspector— Ext _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD LECTRIC:1a PF.RMT-r
DEVELOPMENT SERVICES PERMIT #: E=L_1798--0331.
13125 SW Hall Blvd.,Tigard,OR 97223 (507)6394171 DATE I SSI.JE.0: 06/17/98
F'f1 RCEL.: 1.6134C-P.-- 17100
sI'TF ODDRC.SS. . . : 1.2362 SW ANTON DR
E;HDI)I V 1931 ON. . . . :ANTON PARI! Nn. 2' xC1Pd1 NG:R-.7 Pl)
f`,L.0I:L:,• . ., . . . . „ . . l..L,•r, . . . . ,• . , . . . . . :0.98 JIJRISDTC:TI(.)N-. rrr
"jr0,jr:ct Description- 5HAUKLAS JMKII-001
RC':aIDENTIAI_ IJNiT-..___..-- rEMF' SRVC/FEEDERS _ .MISC:ELLANEOIJ,13- . .._
'. 000 SF OR LESS. . . , : 0 0 E.00 amP. . . . . , . : 0 PLIMP/IRRTGnTION. . . . .
ACH ADD' L_ 50055. •. . : 0 L'(Oj - 400 amp. , . . . . . 0 SIGN/nUT LINE LTG. . : 0
IMITED ENERGY. . . . . : 0 401 — 5,00 amp. . . . . . . : 0 SIGNAL_/PANEL... . . . . . . : 0
MANE. HM/ SVC/F•DR. . : 0 G0l +amps-• 1000 volts. : 0 MINOR I-A!AE-1- (1.0) . . . : V,
- "lE'RVIC,F;FEfD Rw_ — _ __......._pIRANCH CIROUTT•S•-._-.__.-_ __-_..AD17" L_ INSPE"CTIONS--
n "V10 ainP. . . . . . : 0 W/9,ERVICE: CIR r7E EDFR: 0 PFR INSPEC"rI.ON. . . . . : 0
01 - 400 amp. . . . . . : 0 1 st W/L? PiRVC: OR FDR. : t PER HC:tJR. . . . . . . . . . . : 0
+01 G0471 amp. . . . . . v 0 EA ADD" i_ )IRNCH CIRC: 0 IN PLANT'. . . . . . . . . . .
01. 1000 amp. . . . . . 0 ___..__ __.__,__._. __._ . p,L.AN REVIEW SECTION—_•._.......__._._-__.__.__
000+ amp/volt. . . . . : 0 > -=ii RF"!-; (.)NITS. . . . . . . . : ) 600 VOI..T NOMINAL_. .
Reconnect only. . . . . : 0 SVC/FDR > r25 AMPS. . s CLASS ARTA/SPEC' nCC:.
FEES
HOMAS SHPLJKL.AR typf? amoUnt by date reC r,t
I E,3rJ _ SW ANTON DR PQMT t 35-., 00 .ISD 06/17/98 98
T T(iARD C)R 5r, r $ 1. 75 JSD 06/17/98 98-3171F,60,
"hone #:
WE ST13I D(_" El._ECTR I C CO .INC 0, 6, 79 T01.111.
1, 834 SF BTIA AVEN11
_-........._.. RED?31 RED I NSPECT T ONS
1:,nPTL_ANI) OR 97, 14. Roi;gh ir; E.I ert' l t"1 n a i.
"'hone #s Fler.ts I !•ler•vit^e
'?eu 4. . : 0�►OJ133 __
This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
-)pplicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is not started within. IN
nays of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregan law requires you to foliohe rules adopted by
tl:e Oregon Utility Notification Cpnter. Thos- •uIV-are et forth in OAP W-MI-0010 through OAR 9Se 00I 19 ,. You may obtain a copy
J Viese rules or direct questions to L". r -alling 3)287.
� .
E,v-Fr C,jrinat�.it N.. T=s'_:4>d Hy: —
___._._..._.__.._._._.._....._.._..,._.... ._._.__... __-OLJNFR 7NSTALL r)TIC)N CINLY----•--•.._______ .__.._...___.___.._._ ..
The installation, is being made on property I nw^ whir.-h is nct intended Fov-
ialt, lease, or rent.
961hlrRI S SICRINATUIRF: DATE:
-r.(*3NTRACTOR II\I9Tt1i_I. ATTON
!r ipF nF 4I IPR. F"1_F.C1 N: DATF:
r 4.,. ,. %.4-+ f 4 1 -1 ++ ++1, L,.{..4.++ -4.+,f-4+++4++++ f-1-444++ 1-4 !-+4-4
I C ",'? 417;--j by 7:101 ' P n. fnr aii inspect i on needt?d 'tlie ne)'t hUs i
+-+4 4-f-++++++4++++4 +4-4 ++4 +++4+++•++-1-++.++a..}.-}+.4.++++t-+ L 4 1 A
CITY OFTIGARD Electrical Permit Application PlanChecka_.r„L�
13125 SW HALL BLVD. RC;r_ RE.'d
TIGARD OR 97223 Date Recd 4.
Date to P.E.
Phone (503)639-4171, x304 JUN �q9 Date to DST
Print or Type
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit IV
Fax (503) 684-7297 Called
1. Job Address:: 4. Complete Fee Schedule Below:
Name of Development_ Number of Inspections per permit allowed
Name (or name of business) '�'Lvr4's Gay /t C41, �/ t', Service Included: Items Cost Sum
FF
Address- 4a.�'C_��✓ �r!%�• 4a.
_ Residential-per unit
1000 sq.It.of lass
$110.00 4
City/State/Zip 1>>1'6
Each additional 500 s%ft.or
Commercial ❑ Residential portion thereof $25.00 1
Limited Energy $25.00
Each Manuf"d Home or Modular
2a. Contractor installation only: Dwelling Service or feeder $66.00 � 2
(Attach copy of all current ce es), / 4b.Services or Feeosrs
Electrical Contractor ' r ��P � � �- Installation,alteration,or relocation
200 amps or less $60.00 _ 2
Addresses ' 7jef"- 1111201 amps to 400 amps $60.00 2
city. / F r State Zipr 1 �� 401 amps to 600 amps � $120.00 _. 2
Phone No. O `/ 601 amps to 1000 amps $180.00 2
Job No. // C k'1/ Over 1000 amps or volts $340.00 2
Reconnect only $50.00 ,_ 2
Elec. Cont. Lice. No. //,, - /_7s C- Exp.Date _.
OR State CCB Reg. No. /3 0 h Exp.Date_ 4c.Temporary Se•vices or Feeders
COT Business Taor Metro No. _Exp.Date Installation,alteration,or relocation
200 amps or less $5000 2
Signature of Su r. Elec'n_ 201 amps to 400 amps $75.00 __ 2
g p 401 amps to 600 amps - $100.00 _ 2
Over 600 amps to 1000 volts,
License Nr /S S L S Exp.Date _ see"b"above.
Phone N � �-/ S YS' 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Addre7s Each branch circuit $5.00 _ _ 2
b)The fon for hranch circuits
City_ Statei_ Zip without purchase of
Phone No. service or feeder fee. r
First branch circuit $35.00 _ 3 S 2
The installation is being made on property I own which is not Earh additional branch oirutt _ $5.00 _ _ 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 __ 2
Each sign or outline lighting - $40.00 2
3. Plan Review section (if required):* Signal circult(s)or a limited energy
panel,alteration or extensi(, $40.00 2
Minor Labels(10) � $100.00
Please check appropriate Item and enter fee In section 5B.
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00 _
as described in N.E.C.Chapter 5 In Plant $55.00
*Submit 2 sets of plans with application where any of the above apply. 5. Fees: -
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X totai fees) $ -
fD:L CE Subtotal $ -
5b.Enter 250,.of line 5e for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it require (Sec.3) $ --NOT COMMENCED WITHIN 18o DAYS,OR IF CONSTRUCTION OR WORK Su bt $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY -71
1IME AFTER WORK IS COMMENCED. Trust Account
Total balance Due 61. (J 40�if/
I 01;T1;\rLCnfi AFT Fin 4Y46
CITY OF TIGARD MFrHn'.'4TrAt
DEVELOPMENT SERVICES RM 1 1*
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
J)ATF 'M'3(JF-1.D. 06/1B,19,13
PARCEL-- ISI34-CS--17100
ITE ADDRECG. . . ji23Fo2, 914 AN ON OP
ASD I V I c-,I ON. . . . ANTnN PARH NO. 70"ITN(3: R-7 PI)
. . . .. . . . . . .. . . . . . . . H I TG
POS FIF WOW,. . :P.I.T FI 0011 r"t J R N. . . . . Itfi EVAP C001-ERS. 0
YPE OF JJSF. . qF LIN IT HEATERS. . : 0 VENT FANS. . . : 0
(:",-I 11r"A1,41"y ORP. R- 7 VE.NT�') W/O APPI-: 0 vr.:pq'f S'Y13,11:1419: 0
'rORTEri. . . . . . . . 1 0 B011L.FRS/rOMPPERSORG HOODS. . . . . . . : 0
"El. 'ryrr-c.- I Nf',I N 0
0 DOMES.
3 -15 HP. cnmmL-. INCTN: 0
I hjpi j,r: 0 11Tll 1, 0 REPATR LIN IT13: 0
TRF nnmr,F-Rs?. 3'0--;,10 HP. . . . 0 WnODSTOVES. . .- 0
Aa p 501 HP. . . i_*[..O DRYERri. 0
In. OF HNITFI- AIR HANT)',_TNr-) 1ANITS nTHFR 11N1Tci. 0
-URN ? tOOV 1M.1% 0 1017.100 (:.-fin : 0 G A r:) 131 J T I.,[ T C 0
(JRN ) —tOOI< 191711- 0 10000 v,fin : 0
'enij-p-k.s : 'Installation of Carrier air conditioner, Placesent to cosply with
etbacli requirpoents,
lwtlf�r.. FEFS
'OM (31 0tJKL.P0 t'/PC arwrit IDY clat e r-PCPt
0257 RW KF_NT CT PRMT 00 DES OF) 18 9S 9,9 7,0CS
rTGARD OR 17L"L-14 15 1)E fl 21e t a 96 913. 30r,
ollt�
AjW-33 FIJF--I.- CO
-0 BOX /4,2PS7
IIPTLAND OR
RFMUIRr'l) TN9PC—('T1ON1_-',
-his pervit is issu0 subject to the regulations contained in the Me47haiviva1 Ttit;p
-d Municipal ipal Code, State of Orr. Specialty Codes and all other C,'uc)l0ig Livit Itisp
pplicabip laws. All wurk will be done in accordance with Finial T11SPPL'Li0V1
kpproved plans. This perait will empire if work is not started
4it-hin 181 days of issuance, or if work is suspended for we
'.han 1W days. PTITENTIONt Oregon law requires you to follow rules
,adopted bt the Oregon Utility Notification Center. Those rides aye
itt forth in OAR 952-091-011 through OAR You $11Y
btair copies of these rules or direct questions to OUK by calling
Pei-mittev Si !]nal, ,
-i ++f 4 4-4 +-+-++++++-+,++ F+ 1-4++ 4 ++++4-4 4-4-+4+4+4-+-+++4-+++++-+-
11 63,1) 4 1'797 try :in!-3pect: ictis needed ffiv next t,11-ririess d,ly
City of Tigard MECHANICAL PE �T,,, Ianck/Rec. #
13125 sw Hai Blvd. APPLICATION F ermit # _-�
JUN
Tigard, OR 97223
(503) 639-4171 I'
Table 3AMechani--al Code QTY PRICE AMT
Job I a 3(p Q- S. W, I��n D( 11) Permit Fee -0- -0- 10.00
Andress — )
AresI D Q. `7 7a23 2) Supplemental Permit 3.00
umace to 100, W BTU
w k 1 o93 1) Incl,duds 6 vents 6.00
umace 100,000 BTU +
Owner , aS7 W- Ke C�, 2) incl.duds a vents 7.50
Lp-
Floor umance
3) incl,vent
6.00
— ,.,.Of w..,...t spa heater,w eater
int E�a�►s S 03�aa1 4) or floor mounted heater 6.00
«. Vent not R3.to
Occupant I a3 5(v, n�h �� 5) apprianoo permit 3.00
_- Repair ofeating,reing.
t ArA 0 6? cooling,absorption unit 6.00
Boiler or comp,heat pump,air cond.
7) to 3 HP absorp unit to 1t0K BTU 6.00
.a A"W Boiler or comp,Wat pump,air cond.
PO P-yA_0V%1 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor _ teror comp, at pump,air co .
� o?, 011;L4426�' c,Aa O1iL44011;L44269) 15-30 HP absorp unit.5-1 mil BTU 15.00
S. s.....N.. '.W— --. Boiler or comp.heat pump,air Gond.
,y ,1164tQ 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
r y a
owledge that I have read is application,1113(the Boiler or comp,heat pump,air cond.
inkm mation given is correct,that I am die owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Au handing unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that die number given is correct. (II exempt from State registration, Air handing unit
please givu reason below.) 13) 10,100 CTM+ 7.50
Non portable
14) evaporate 000le( 4.50
Vent Ian connect
15) to a single dud 300
enti aeon system not
16) included in appliance permit 4.50
M WHoodserved by
17) mechanical exhaust 4.50
Describe work new addikon - alteration repair Corn mwc'W or n steal
to be done residential O non-residential v 18) type incinerator 30.00
Existing use of Other Le.,woodstove.water
building r, Ivoporty 19) heater,star,clothes dryers,etc. 4.50
Prorosed use of 20) Gas piping one to lour outlets 2.00 —_
h,jiking or property_-------- —
21) More Than 4-per outlet
Type of hrol -oil O nrtural gas() LPG Q electric O
OTIGL — e
M;nimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION �C
AUTIIORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE rz
IF CONSTtrJCTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. 1
TOTAL Ip
Special conditions n5'�►a 1\ Arc e�-- -
�1\ Sun Crl pYl e r-- Date issued by ---
..uresvur
su
FUEL C!:)MPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND,OR 97242-0287 TELEPHONE 234-0611 FAX#503-234-0380
tN
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as