10575 SW CASCADE AVENUE STE 130-3 V1C1MT-, Y,* ' MA,0,mw'* •�r
A,
CITY OF TIGARD
• • • • s. • App'OVed............... ... ....................................
• • • • • • • • • • •
Conditionally/approved.....................................( )
• • ` `r y ' 90 For only the wor described in:
• �•1I� 'r? ' y M� � : , f
PERMIT N a.�G7-ter -- z-Qom?-'�--
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GENERALNOTESL 3 1/2x3 1/2x1/4x0'-4", „
4 —0 OC MAX, STAGGERED,
8" MIN 8" MIN W/ 1/2of0 THREADED ROD
GENERAL 18" MAX 18" MAX W/ SIMPSON SET EPDXY W/
I. THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS BEFORE CONSTRUCTION. THE ARCHITECT SHALL BE 4 1/4•" EMBED W/ SPECIAL
NOTIFIED OF ANY D1S�REPANC;ES OR IN;ONSISrENCIES. INSPECT
2. METHODS, PROCEDURES, AND SEQUENCES OF CONSTRUCTION ARE THE RESPONSIBILITY OF THE
CONTRACTOR, THE CONTRACTOR SHALL TAKE ALL NECESSARY PRECAUT!ONS TO MAINTAIN AND
ENSURE THE INTEGRITY OF THE STRUCTURE AT ALL STAGES OF CON TRUCTION. •
S�TRLI -TI tR AL STEEL
I. ALL S7RU,, AL L VILL HA _ AND PLATES SHALL CONFORM TO ASTM A36. E E1 1 2„ C�
2. STRUCTUR*4L STEEL PIPE SHALL; AONFQRA� TO ASTM A53, TYPE E OR S, GRADE B OR ASTM A501. �y / WPC LL BE SUBMITTED FOR APPROVAL. 3�1r, _
3. STRUCTURAL STEEL TUBING SHALL CONE RM TO ASTM A500, GRADE B (FY = 4b KSI).
r►lj 'iL;>I $1 ;; ��`~3''. TL1;�C IFx9Alidl�T►0
4aA A.307. UNLESS NOTED OTHERWISE. f
FIN FLR
SPECIAL INSPEC uON
6uus A H , T OLLOWING TYPES OF WORK REQUIRE SPECIAL INSPECTION EQ1iAL 12'—'O" MAX EQUAL
AND STRUCTURAL OBSERVATJON UNDER THE D ECT10N OF THE ENGINEER OF RECORD, SEE THE —
i ;»'� Ii�i� h �1 �'�►!'�O; WNrG `KOA:-A3DIT08V L REQUIREMENTS FOR INSPECTION AND TESTING.
NOTE: PLACE 2) ANGLE
8$817tJ03 lutttrdf ITEM PEF�,�NTER 7 DESCRIPTION TYPE
CLIPS AT TOP AND BOTTOM
OF TS STRONGBACK
/ ��� 1• .8pt,TS ,�,�ALL — ALL EPDXY ANCHORS PERIODIC
1
- ALL TS STRONGBACKFIELD WELDING PER CHAPTER (0- ALL SHOP WELDING 17, UBCC"* 1/4„
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hd AN 0690 SW Bancroft St / PO Box 69039 Portland.OR 97201.0039 t�•IEd�ED BY:
Tel- 503.224.9560 / 360.695.7879 Fax, 503.228.1285
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0690 SW Wj=dt St / PO Bax 69039 Portland.OR 97201.0039 CHEOCED 8Y.
Tel, 503.224.9560 / 360.695.7879 Fax- 503.228.1285
,,oe No: PANEL, OPENING
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®CNOTH NAROPERT 2002 All MACK ZIE j,ED 020053 l A�' CASCADE BUSINESS PARK
71 ORAMNCS ARE THE PROPERTY OF GROIN' YACKENZIE ANO ARS MOT TO EE 'I
U OR REAROOUCED M ANY WMI R. TATHOUT PRIOR Mg1T1ET1 PEIWISSIpI Il
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10575 SW Cascade Avenue #130
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2002-00453
13125 SW Hall e!vd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 10/15/02
PARCEL: 1 S135BB-00501
ZONING: I-P
JURISDICTION: TIG
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION:
BLOCK: LOT:
'CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: F1
OCCUPANCY LOAD: 67
TENANT NAME: HEMCON
REMARKS: Commercial TI - create demising walls Deferred clean room, mechanical & plumbing
Owner:
AMB PROPERTY L P
BY TRAMELL CROW NVQ'INC
8930 SW GEMINI DR
B%A TO�03n-§297ff-f3
Contractor:
RAVEN CONSTRUCTION
8625 SW CASCADE AVE STE 510
BEAVERTON, OR 97008
Phone: 503-526-1099
Reg #: LIC 63403
"This Certificate issued 1/I7/03 grants occupancy of the above referenced
building er portion thereof and confirms that the bijilding has been inspected for
compliance ,with the State of Oregon Specialty Godes for the group, occupanf;y,
and use under which the referenced permit wa� issq�d
BUILDING INSPECTOR ---- - --- - - ff-A D W ICIAL - -- - -
POST IN CONSPICUCUS PLACE
CITY OF TIGARD 24-Hour
Inspection Line: (503)639-4175 ST
INSPECTIONI DIVISION Business Line: (503)639-4171 &BUP - —
Received -Date Requested 3 r_-L-- AM PM--- SUP
�0 —
Location
10 5- 7 S _� t�� Suite-/3 MEC oZe1--
Contact Person — Ph( ) — PLM
Contractor
- Ph(- -) SWR ---
----- --- --
BUILDING Tenant/Owner --__ -- ELC —
Footing ELC,
Foundation ACC@S8: �-��� ELR
Frg Drain
Crawl Drain SIT
Slab Inspection Notes;
Post& Beam - ---- -
Shear Anchors _
Ext Sheath/Shear J -
Int Sheath/Shear < -�/�/�f' (,�SL-+'� ► 4' _ _
Framing ---
i
Insulation
Drywall Nailing - -
Firowall --
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 __ ---- --- - ---_
PAS% T_FAIL - --- -- -- -
�1fEC�_ AL--- - __--- --- ------------ - — -- -
Post&Bsam
Rough-In --- --- -- ---- ----
Gas Line -
Smoke Dampers - ---- -
S PART FAIL —_ -- -—---
ELECTRICAL --- ------- ----- --- -- -- - ---
Service
Rough-In ---- -_ ---
1.h3/Slab
Low Voltage -- -- ---- - -- —
Fre Alarm
Final F-1Reinspection fee of$_.- required before next inspection. Pay at City Hall, 19125 SW Hall Blvd.
PASS PART FAIL
Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line -
ADA ----- ---Ext---
Approach/Sidewalk Date- Inspector ___
Other.
Final DO NOT REMOVE this Inspection record from the job *Its.
PASS PART FAIL
MA};-.Ii!-2003 05:38PM FROM- T-521 P 003/003 F-227
r DeparEment of Consutner"& 46!i ness Services
Building Codes D'ivisidn , 1535 Edgewater NW, Salem, OR
Mailing address: PO Box 14470, S'sfkem, OR 97309-0404
(503; 373-7499, Fax: (503) 378--2327.
www.oregonbcd.org
'This temporary operation permit is valid for 90 days from the inspection date. ORS 480.585(3)
Mates no person shall operate a boiler or pressure vessel without a valid permit; a violation may
result in fines up to $1,000((5R'S 480.665).
Owner/responsible patty name: /_ Responsible patty no.:
Address(street or P.O. box):
City: - State: zip
Contact Warne: — - - _ -Phonv --
r
Site name: � �� lJ � -_'------ Site no.: _.-
Address(street or P.C), box):
Ci / State: � � . �'
Contact name: Phone:
Loc.�tyrni; Vessel
emit no.: Expires:
Agency of record: Code: IJ - Service: — —
Mfr. nnmc.: -�-.�.1. Year of mfg.: Code symbol: -�--—
NE no.: I G Serial no.: Ok State no,:
____JO
DIA(inches): / Length(inches): D Volume_- KW
Boiler design capacity: �_ Boiler horsepower:
MAWP: G1 SV SET: / CAP: rtdNriOred: -^ --
>~ixed/port: PUlna
A: d: Alarm: �5 Fu�� q
- ----
Installation company: �, ''r,V Permit no.:7C /
Special instructions:
UE: `f7Repla:ceZmenrinkind! Q YesNo CSD-1 verifW>(-Yes ❑No O N/A
issue peror req.:0 Inspection time: 4S Travel time:
/� ---- Insp.no.:
Inspector signature: G'
sINT
:t:n»oF(t WmMe, en:.- nnn JPW
g •d 9ilET -Si►Z-EOS ONI ,NOOW3H 29r91 EOOZ 8T
MA};-.Ii!-2003 05:38PM FROM- T-521 P 003/003 F-227
r DeparEment of Consutner"& 46!i ness Services
Building Codes D'ivisidn , 1535 Edgewater NW, Salem, OR
Mailing address: PO Box 14470, S'sfkem, OR 97309-0404
(503; 373-7499, Fax: (503) 378--2327.
www.oregonbcd.org
'This temporary operation permit is valid for 90 days from the inspection date. ORS 480.585(3)
Mates no person shall operate a boiler or pressure vessel without a valid permit; a violation may
result in fines up to $1,000((5R'S 480.665).
Owner/responsible patty name: /_ Responsible patty no.:
Address(street or P.O. box):
City: - State: zip
Contact Warne: — - - _ -Phonv --
r
Site name: � �� lJ � -_'------ Site no.: _.-
Address(street or P.C), box):
Ci / State: � � . �'
Contact name: Phone:
Loc.�tyrni; Vessel
emit no.: Expires:
Agency of record: Code: IJ - Service: — —
Mfr. nnmc.: -�-.�.1. Year of mfg.: Code symbol: -�--—
NE no.: I G Serial no.: Ok State no,:
____JO
DIA(inches): / Length(inches): D Volume_- KW
Boiler design capacity: �_ Boiler horsepower:
MAWP: G1 SV SET: / CAP: rtdNriOred: -^ --
>~ixed/port: PUlna
A: d: Alarm: �5 Fu�� q
- ----
Installation company: �, ''r,V Permit no.:7C /
Special instructions:
UE: `f7Repla:ceZmenrinkind! Q YesNo CSD-1 verifW>(-Yes ❑No O N/A
issue peror req.:0 Inspection time: 4S Travel time:
/� ---- Insp.no.:
Inspector signature: G'
sINT
:t:n»oF(t Wmn�e, en:.- nnn , JP
9 , 9ilET -Si►Z-EOS 'OHI NOOW3H ZSr9T EOOZ 8T W
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIV:SION Business Line: (503)639-4171
Received Date.Requested _- _ -___ - AM --_-- ____ PM __-____-__ BLIP
r i
Location Q S S �+ Suite__-� 1L_ MLC
Contact Person - - - - -- Ph ( - ; -- ----- -
PLM _- ----- ----- -
Contrac r..,- _.---------- -- ---- _ Ph ( _ 1 - - - - SWR -- -
"EUILDINV TenanVOwner - - - - - --- -- - ELC - -- -- - - -
Foundation ELC -_ _---- _--- _ -__
AGC@SS:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ,\ Sal �� SIT
Post& Ream `
Shear Anchors -- ---- - - --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: -
i-n-a U -
PART FAIL
P_UM#ING -- ___- --------_ ---- --
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
Smoke Daftipprs, --- --
Final
PASS PART FAIL --_--
ELECTRICAL
Sei vice
Rough-In -
UG/Slab - --
Low Voltage
Fire Alarm
Final n Reinspection re,of$ _required before next inspection. Pay at City Hall, 12,125 SW Hall Blvd.
_PASS_ PART FAIL
SITE _ _- Please call for reinspection RE:-..—. Unable to inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Data f \ /(N --Z� _ Inspector 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)6394175
ST
INSPECTION DIVISION Business Line: (503)639-4171 ,MR
Received — Date Requested 73 - ( 7 _ AM --PM _ BUP __-----.
Loc-.tion �d � r]� ���-Q� _ —_—Suite_� 3 MEC _ __--
Contact Person _ _ —_ Ph(_ ) —_ PLM
Contracto _ ._ —_ __ Ph( ) _ — SWR
ggiu Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR —_
Crawl Drain
Slab Inspection Notes: / `, SIT ---- - --
Post& Beamy —
Shear Anchors ----- ---
Ext Sheath/Shear _
Int Sheath/Shear
Framing -- — — ---
Insulation
Drywall Nailing — —.___.---------_-----�--- — _ _
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling
Roof
-- --
_ 8 PART FAIL --- --- --------- - - ---------
INGi
Post& Beam — --._.--.._._---
Under Slab
Rough-In —
Water Service --- — — - -- -- ---- —
Sanitary Sewer
Rain Drains - --- - --
Catch Basin/Manhole
WOOF-
Storm Drain -- -- -- - - --- — - ---
Shower Pan
Other: --------- --- ----- ---
Final —
PASS PART FAIL
MECHANICAL —
Post& Beam
Rough-In
Gas Line
Smoke Dampers ------ — ------- --- ----_____-_-. —._
Final
PASS PART FAIL
ELECTRICAL
-----------
Service
Rough-In — -- ------ ---- --- --- -
UG/Slab
Low Voltage
Fire Alarm
Final F] Reinspectior fee of$_ _ required before next inspection. Pay at City Fall, 13125 SW Hall Blvd.
_PASS PART_FAIL
_
SITE — _ Please Dell for reinspection RE:— —._— Unable to inspect -no access
Fire Supply Line
ADA �
Approach/Sidewalk Daft, - — — Inspector—,
Other: _
Final ,-- DO NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL
1 1
l`
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00605
13125 SW Hall Blvd., Tigard, OR 97223 (503, 639-4171 DATE ISSUED: 12/27/02
PARCEL: 1 S 135BB-00501
SITE ADDRESS: 10575 SW CASCADE. AVE 130
SUBDIVISION: ZONING— I-P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES _ 0 3 HP: i DOMES. INCIN:
I PG 3 - 15 HP: 1 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 UNITS
--- OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of gas piping, vert and combustion air for state permitted boiler.
Owner: FEES
AMB PROPERTY L P Description Date Amount
BY TRAMELI_CROW NVV INC IMIA-111 1'elivil Fee 12/27/02 $96.82
8930 SW GEMINI DR
BE=AVERTON, OR 97008 1 MF C'PLN I I'Lin Rev 12/27/02 $24.21
11"AXI lax 12/27/02 $7 75
Phone: Total Y$128.78
Contractor: --- ^– -- —` - --
MCKINSTRY CO
5400 NE COLUM31A BLVD
PORTLAND, JR 97218 REQUIRED INSPECTIONS
Phone: 311-0234 Gas Line Insp
Mechanical Insp
Reg#: LIC 40981 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable lads. At:work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law
requires you to follow rules adoptPd in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: t , 7� }Z tom_ Pennittee Signature: _ _ _
Cali (503) 639-4175 by 7:00 P.M. for inspections needed the net business day
AbD:
Mechanicgly!hre. ation
P Date received:/.?a 27 �, Permit no�EL'ZOpL
Cit of Ti and
Y gr Projlrot/appl. no.: Expire date-
01Y of Tigard Address: 13125 SW Hall WKTQar7,4W P223 ---
Phone: (503) 639-4171 Date issued: By,�Fj Reccip, no
Fax: (503) 598-1960 CITY OF TIGARD /G. Case file no.: Payment type:
BUILDING DIVISI Building —
Land use approval: g�mm't"O u/°•�O ,t -Opp
❑ 1 &2 family dwelling or accessory Commercial/industrial J Multi-family Q Tenant improvement
U New construction ❑Addition/alteration/replacement J i mth r
Job address: /16r7!; G f)S C.11 G 6' A V9 Indicate equipment quantities In boxes below. Indicate the dollar
Bldg. no.: Suite no.: / ? value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit.Value$ 0000,00
Lot: Block: I Subdivision: 'See checklist for important application information and
Project name: *1 C-0/V jurisdiction's fee schedule for residential permit fee.
City/county: -r#4 0k ktt ,, I ZIP: 7 2 Z
Description and location of work on premises: SO It.C (e,
L-y#"N( Fer(ea.) Intal
Fs!.date of completion/inspection: / /D-U Z Description Qty. Res.only Res.only
Tenant improvement or change of use:
Is existing space heated or conditioned?%Yes ❑No Air handling unit
Air conditioning 1 tiilc plan requital i
Is existing space insulated? -Yes ❑NoAlteration n exi�ung_HVAC'sytilcm _ _—
Boi er/compressors
Business name: /1 h k'/A/5%e y Co . State boiler permit no.:
� HP_—Tons_�� BTU/H I
Address: �/ U Me- COL I)M d/ 1i3 LV C+ — ire/smo�duct smoke detectors
City: PQ ie 71:A 1(j I State:c)tzl ZIP: r't l I eat pump(s to p an regw )
Phone:jp,r .S I (j1 Fax:,�g pyq;q 40 E-mail;,,r�,i nsta rep ace urnace urn e�-8TU111
Including duct work/vent,liner U Yes U No
CCB no.: H Q y Qj _ Instal rep ace re Dears Eeaters suspcn e
City/metro lic.no.: _ wall,or floor mounted
Name lease ptint): r C( N C Al Vent for appliance tither than� furnace
Refrigeration,
Absorption units BTU/Ii
Name: Ce-/F IIA*-CN Chillers HP --
Address: e C:.e%.OM r17 IA r,L-A//J C'om ressors — _ HP
n ronatenta exhavall and rent. on:
City: I-0/Z.I&AN!d _ State: 2 ZIP: r7 7��! Appliance vent
Phone: 1,0125' Fax: %si, 55 -mail: Dryer exhaust
Hoods,s, ype /II/res. itc a azmat
's hood fire suppression system
Name: I M i•!4' iNjf C` Exhaust fan with side duct(bath fans)
Mailing address: 10 5, IS U.) -A r�C A D� �L (, Exhausts sterna art from heating or AC
Ci } r State:t\It ZIP: 9 2.3 Fuelpiping distribution(up to 4 outlets)
Type: __ LPG NG _ Oil
Phone,, j,I rk; nv; 1 Fax: C-mail: uc I"tn each additional ovetToutiets
rocen piping(sc ematic require )
Number of outlets
Name:
Other listed appliance or equipment:
Address: .')"4/QO L / /tNl t J, ► j V l r Decorative fireplace
City: : -^`ifll is State: ZIP:170 Q nsem type _
Phone: Fax: E-mail: _Woodstovelpellet stove
Ot er:
Applicant's signatutc, t err — --
Name(print): /F N
Not all Jurisdiction*accept credit cards•please call jurisdiction for more information' Permit fee .....................S
U visa U Mastedard Notice: This permit application Minimum fee...... .........S
Credit card number
/ / expires if a permit is not obtained Plan review(at'S %) $ y. .2/
�___�_._ __—_—
Fwpire* within Igo days after it has been State surcharge(8%).... S
Name or carr es shown an credit card— accepted a%complete. f, 7,f
Ca,ldcr slanstum Amount 4404617 IWWCOM1
CITY OF "T I G.A R D BUILDING PERMIT
PERMIT#: BUP2002-00^22
DEVELOPMENT SERVICES DATE ISSUED: 4/9/02
13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf N: S: E: W.
OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE REIN'?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: I)sf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,883.00
Remarks: Installation of(2)additional windows, into an exisiing concrete wall
Owner: Contractor:
AMB PROPERTY L P OPEGON OFFICE CONSTRUCTION CO.
BY TRAMELL CROW NW INC DBA RAVEN CONSTRUCTION
89EE3Aq0 SEEW GEMINI DR 86E2A5 SW Cn�A��SC[�A�DE AVE STE 510
BWAhV a TRN3_&TO-091768 BPhVo T5"1b'-108897008
Reg#: uc 63403
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 4/4/02. $65.59 27200200000 SMRF welds final report
High strength bolts final rer
FIRE CTR 4/4/02 $40.36 27200200000 Final Inspection
PRMT CTR 4/4/02 $100.0 27200200000
5PCT CTR 4/4/02 $8.07 27200200000
Total $214.92
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 worts is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are sat forth in OAR
952-001-0010 through OAfl,952-004.1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 9r',1-8Q -332-)344.
Permittee
Signature:
Issued
�y-- /:
Call 639-4175 by 7 p.m. for an Inspection the next business day
�1
Pwilding Permit A,pplica6on
Dateleceivecf: Permit no.:
City of Tigard
Address: 13125 SW [fall Blvd,'flgard.OR 97223 1'roject/appl.noExpire date:
.: 1\
City ofTigard phone: (503) 639-4171 Date issued: -_ liy: Receipt no.:
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: I&2 family:Simple Complex:
U I &2 famil mg or accessory +Commercial/industrial U Multi-family U New construction U Demolition
0,Additio a teraCro eplacement U'renant improvement U Fire sprinkler/alarm U Other: _
J019,SITE INFORMATION
Job address: / T-K 0-1 13 b I I► wwalBldg.no.:/p�'l f Suite no.: 13
--U)-t. _ I Block: Subdivision: _ Tax ma /tax Iot/account no.: �.
Project name:V&IIC Atimm..
Description and location of work on premises/speci I conditidutl Z W� '�+
_1111110�_ tl UW%4cc. ,w TtV4&VW�r i
Name: -t�/t►M�r1�CLL �1A.o�.1
Mailing address: qka.r Sw (ASCOM OVZ t.. St►o1 &2 family dwelling:
City: State: K ZIP: �{'�O• Valuation of work........................................ $_
- --
Phone: 4`t - 44V Fax: _ E-mail: No.of bedrooms/paths.................................
Owner's representative: T^ojn -- IW4 Total number of floors.................................
L
Phone: ��y Y. s fax mail: New dwelling area(sq.ft.) ..........................
APPLICANT Garage/carport area(sq.ft.)......................... 1
Name: n M+Rh Co,,. �v �-+�.., Covered porch area(sq. ft.) .........................
h ��' --- -- — Deck area(sq.ft.)
Mailing address 54) C (4� f..% SIO ............. .........................
City: aq � ,�,, Slate:gtl( 1.IP; b• Other structure arca(sq. ft.))..................... . .
i
one: -(p Fax: ` L E-mail: ('omnterclal/lndustriallmultl-family:
1
Valuation of work........................................ $
Existing bldg.arca(sq, ft.) ..........................
Business namL: ..
b
New bldg.area(sq. f1.)................................
Address: {W &A3 CA0k M ' Ste% Number of stories
('fry: Alit -V I State: C W_ ZIP: 7 s O t Type of construction.................................... _
Phone: S' -.(p Fax:61 q IIV Email Occupancy group(s): Existing: __—
CCB no.: O 1 New.
City Ciro C.no.: '2 4'l� Notice:All contractors and subcontractors are required to be
tilmiimljnffuujklmkzla licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
Address: ju isdiction where work is being performed. If the applicant is
Cit State: ZIP:
exempt from licensing,the following reason applies:
Contact person: Plan no.:
Phone: I r mail
113
Nano: µ_ L4 Contact person: S" %u4%1 Fees due upon application ........................... $
Addnsss: 0 411 0 151.4_ t Wtv Date received:
Cit _ v
State:&K ZIP: Lo Amount received ... ......... $
Y _
•
11
Phone: T& • Q E-mail: Please refer to fee schedule.
i I hereby certify I have read and examined this application and the Nor dt jurisdictions accept credit card%.please call Jurisdiction for rnr"infort minn
attached checklist.All pr-A
ms of laws and ordinances gavernin this a visa U MasterCard
work will be compiled hether spec
ified herein or not. cmdit card nntntwt a^--- --L--L-
Plispircs
\ Authorized signature: ��— hate: Name or cardholder as%shown on credit card
Print name: Z f I "• _ I— Cardholder signature s Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4411/61/(VOCoMI
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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 plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
Total #of
TYPE OF SUBMITTAL Plans KEY:
_ Submitted
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
Alt - Alteration to existing
building
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
**"New" requires that plans bear the original seal of an Oregon ilcensed fire
suppression engineer, or NICET level "3" technicians.
lAdste formMinatmoom.doc 10/27/00
SE.,E 35MM
ROLL # 2 0
FOR
OV..ERSIZED
DOCUMENT
ELECTRICAL PERMIT-
CITY OF
TI GARD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2002-00222
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/02
PARCEL: 1 S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I P
BLOCK: LOT: JURISDICTION- TIG
Project Description: Installation of burglar alarm system.
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 LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER. BURGLAR AL X
TOTAL OF SYSTEMS: 1
Owner: Contractor:
AMB PROPERTY L P PROTEC INC
BY TRAMELL CROW NW INC 720 NE FLANDERS
8930 SW GEMINI DR PORTLAND,OR 97232
BEAVERTON, OR 97008
Phone: 235-4000 Phone. 23;-4000
Reg#: I K' 55414
1.1.1 .14-_15C
FEES Required Inspections _
Description nate Amount Low Voltage Inspection
1I:LI'ItMTj 1:1,R Pcrmil 10/15/02 $75.00
Elect'I Final
TAXI K t itc'I'as 10/15/02 $6.00
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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
Issued by Wil, ' ''��c�'7 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
SIGNATURE OF SUPR. ELEC'N DATE:_ _
LICENSE NO:
Call 639-4175 by 7:f10 P.M.for an inspection needed the next business day
Electrical Permit ApplUcation
--t- parr raesiwQ: r c l I.1 Il 2� Pertalr to: 'lJ0 Z'00Wa.
4City of Tigmd Projeu/appl.no.: P�pircdate:
Ciryo/Tiros' Address: 13:?SSW EIJI Blvd,Iiaud,OP 9722) Datelssucd: � BY: dl Raeiptno.:
Pfiont:: (503) 674.4171 ('wu file nn�—� I Payment type:
Fu: (50:3) 598-1960 -
Land use approval: �—
O l &2 family dwzlling or ece4-1907 0 CommerciaUindusttiil 0 Multi-ramily :3 Ter:ant impmveiru t
Q New eonsuUctiort tKAddidantalteratiorJrcplace ment C)Othcr. a Partial
will: 1 1
Job addresa: Suite no.:MO!Tax madam lot/account no.:
Lot: —��lock: Subdivision: -
Pto'ectname: k�iM•C�s.. — —
Dee� ptona_ets- "
spem
-•
Estimated date of comPictionf►na ect(on: 'v n s
sIRAN1 t
Job no: Tata) no.is
Ilusiness narttc: r-' PG- �~ ___,-- --- Na�resdontaY•dndeorn+)tl•(aMl per
Address:— 72 --E- _�_ - dwellinpun)tla,rt■det■ttsr` Trs�c•
•'zrP: r
C1ry: ;1�i _s� — 5tste: D `1 =.. eeitelerd■d 4
ry,/r-ar Iraa
__1v r-- �Z'� E mail: T_
1'hOnt:: 2 � - '1'__ F'><. --OS 1. _ —. Each sdd�tien■! .--
CCB no,: 5 1 -" Elee, bus.IiC,no: -2.: l�mired uwEy.relid el
� V I,i:nitcdrncr-� rsn•tcaiduttial =
Ciry/marts llc.n 4z et
Each M. i4 red home cr module 4.611ns 2
or f.Zr■-in
Seawr wising eletvielan(reguiredl_ Due IJ � k
6 Solrtsi.�tton,
Licensenll 2/
Su ft t.P+mo(print): To)•rt •:e•ti -�- sltendenerreloorloa:
1 200 ale or Ies -- 2
018m a to 400 amt
401 amps 600 sr+'i�_ — — 2
b
hiailiogaddrrsc: -- _
doll,uoietwoueDc v 2
State' - 1000 re l or volu _ t
Gltr; _ Reconnx,anl) —
Phooe: i<mail: - .._�. ,
Tarttpor■ry ver tltes or frcdon
Owncr ir^;talla:ron:The insrnllidon is bung madc on p:epc. Y I own InctallrAonulhras:ae,orrrlocrtioa
WAieh is not intcndcd for salt,(case. rent et ccckinge accrrdlns to lb sT s or ten _- _
()V64a7,455, 479,670,701, 2ol0.Rlpl le X00■m s 2
2owner's signarum. �
Irate: 40110 600 arr+Ps
8tancA ci,,:uiU•new,■Ihr7tion•
EMM e,earemsion ptr p■rnl:
Name: el F;-for ltl ,irn circuit,with P'Imhuc of 2
ser*iee a frelcr fee,ooh tel cit:Iit
Addrrds: __ - "- - ' g. Pat roe br■ncd druiu vritheut pur:
CITY OF YICARD __ BUILDING PERMIT
PERMIT#: PUP2002-00453
DEVELOPMENT SERVICES DATE ISSUED: 10/15/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135138-00501
517E ADDRESS: 1OG75 SW CASCADE AVE 130
SUBDIVISION: ZONING: i-P
BLOCK: _ LOT _JURISDICTION: TIG
REISSUE: J FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: At.T FIRST: �sf N: S: E:— W:
TYPE OF USE: COPA SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: F1 TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 61 BASEMENT: sf AREA SEP. RATED-
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED___
FLOOR LOAD: psf LEFT: it RGHT:�Y ft FIR SPFL: Y SMOK DET:
DWELLING UNITS: FRNT: it REAR: it FIR ALRM : Y HNDICP ACC:
13E7Rk4S: BATHS: IMP SURFACE: PRO CORR: PARKING.
VALUE: $ 18,000.00
Remarks: Commercial TI - create demising walls. Deferred: clean room, mechanical & plumbin(
Owner: Contractor:
AMB PROPERTY L P RAVEN CONSTRUCTION
BY TRAMELL CROW NW INC 8625 SW CASCADE AVE STE 510
8930 SW GEMINI DR BEAVERTON, OR 97008
BEAVERTON, OR 97008
Phone: 503-526-1088
Phone: 503-526-1088
Reg#: LIC 63403
FEES REQUIRED INSPECTIONS_
Description Date Amount Framing Inso
IItt'PPLNl I'In Its- 10/15/02 $140.46 Insulation Insp
Gyp Board Insp
1I 1 S] FLS Pln 16. 10/15/02 $86.44 Susp Ceiing Insp
�IitiI1 I)1 Permit tee 10/15/02 $216.10 Final Inspection
IA NJ R";.State Tax 10/15/02 $17.29
Total $460.29
This permit is issued subject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicabiP 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 Center. Those rules are set forth in OAR
952-001-0010 through (DAR 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By:
Permittee
signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Date received. �Q /s y Permit no. .j i
r Cityof 7•igard
Addie,- 13125 SW Hall Blv Tlgard,OR 97221 Pruject/appl. no.: Expire date:
('11),4llgnrrl � --
Phone: (503) 639-4171 Date issued BY0074 i Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type: —
Land use approval: _ I&2 family: Simple Complex:
U I &2 family dwelling or accessory U Commercial/industrial U Multifamily U New construction U Demolition
U Addition/alteration/replacement XJ Tenant improvement U Fire sprinkler/alarm U Other _
1
Job address: 10575 SW Cascade Drive BIdQ. nu.: Suite no.: 130
Lot: Block: Subdivision: _ f•ax map/tax Iot/account no.: I S 135BB00501
Project name: Hemcon Tenant Improvements
Description and location of worl, un premises/special conditiolls10544 SF Tenant TmnrnvPmr:!ntn
IOR SPECIAL 11MORNIA 10N, USI 111111A KVISI
imps
Mailingaddress: 10575 SW Cascade: Drive, Suite 130]clTNcw
1 X12 rantilii dwelling:
City: Tigard Statc:OR ZIP:97223_ Valuation of work ......................................... $
I'hr,:.�S03-245-0459 Fax503-245-13UIfmail: No.of hedrooms/baths..................................
Owner's representative: m HenselTotal number of floors ...•........... _
A
ne:
.� —i I .1\ E:-mail. J m. temcondwelling area(sq. ft.)............................
Garage/carport area(sq.11.) .............•...........
Name: LRS Architects, Inc. Covered porch area(sq.ft.) ..........................
Mailing address�_1121 SW Deck area(sq.ft.)......................................•... _
City:Portland State: ZIP:972(15 Other structure area(sq.fl.)..........................
Phone: c( -family:
5(l3 'l�l c .com
alttatrcn of work ......................................... $ 18.000.00
Business name:
Raven Cons t l lct ion Existing bldg.area(sll. fi.)............................ 10.544 9F.
Address: AvgSoitp n
New bldg.area(sq. It.)..................................
Number of%tunes..........................................
City:Beaverton Slate- IIP: -- -_ _ -
- �---- I"7 pc of construction ............ ... . ..
................
one:503-526-108 Fa'S03-644- Ir2tnall: —_
--
CCB no.: 63403Occupancy group(s):
I ;Lung:
-----------
Nely: _
Cily/mctrolic.no.: 2' 92L) Notice:All contractors and subcontractors are required to he
licensed with the Oregon Con%trucUon Contractors Board under
_Name: LRS Arch 1 tec ts, enc, pnly,siow,of ORS 701 and may he requi,ed to be hcen,ed in the
Address: 1 121 SW Salmon, Suite 100 jurisdiction ll here%%ork is being performed. If the applicant Is
City: Portland SlalcOR GIP: 97205 exempt lion,hcensiny,the following reason applies:
Contact person _g flan no.: - - — -- - — - --- —
I'hunc: Fa - _-- mall:
Name: WDY, Inc. 1contactricrsonCreg Munsell Fees due upon application........................... .$
Address: 6443 SW Beaverton Hillsdale Hwy #210 hate received: .
City:_ Stale: OR '1.11': 97221 Awounl received .... ......................................$ _—__--- -
Phonenj-201-R1 1 1 llh:3-) : mail L Please refer to fee schedule.
I hereby certify I ha%e read and examined this application and till' �\ all lunvh.uun,a.a•pr oed,I,aid, plra,c call lunvlklnm Ga marc m(mmauon
attached checklist. All prm Isiow,of lakys and ordinances emernme This I -1 y l.l J%livervarti
work will he complied,lith,lyhethet spel,ilied here,,,r,I not 1+ala,.rid nurmrr L
r.par.
-
AIlt -
lOrlled %It!Ilatllrl` Name of'mdholdrr a,,haven an rrr,hl,.ud
Print name: - ---- s
------ - ----.---._----—_. .-. _._ __ —. 1.0 Jh.+ldrr „Fnamrr \•noun
Notice this permit apphcathm expire, if a pcmlq is mol ohimned %%Ilhul ISO daN s alter 11 has been accepted a.i amiploc 440 4611 16011 mil
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _
INSI3ECTION DIVISION Business L!ne: (503)639-4171 -" ----- -"---
/ BLIP --- - --- -
Received .__ -._.__ _____ _._____ Date Requeste — `��7 - AM— PM BUP
Location _ _� '5 -7 J Suited MEC
Contact Person Ph ) 3-�' do� PLM _---_-------_ ----_--_-_--
Contractor _ { _ ��) _ 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
Drywall Nailing --- — - - - - - - --
Firewall -
Fire Sprinkler -- - - -
Fire Alarm
Susp'd Ceiling - -- —
Roof
Other: -�
Final
PASS PART FAIL
_ --— -- - — ---- --- —
PLUMBING
Post& Beam
Under Slab -- -: { -! 42(
Rough-In
Water Service - — - ----
Sanitary Sewer
Rain Drains
Catch Basin/Ma. hole
Storm Drain -
Shower Pan
Other: — --
Final -
PASS PART_ FAIL
_MECHANICAL
Post& 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$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
R�6 PART FAIL
fffff— Please call for reinspection RE:_ _. [ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk bate ���" - Inspector —
Other: _
Final DO NOT REMOVE this Inspection recoird from the job site.
PASS, PART FAIL
BUILDING PERMIT
CITY OF TIGAR®
PERMIT#: BUP2002-00469
s DEVELOPMENT SERVICES DATE ISSUED: 11/6/02
13125 SW Will Blvd.,Tigard. OR 97223 (503)6394171 PARCEL: 1 S'35BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I-P
BLOCK: LOT: JURISDICTION: TIC
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf Pd: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY CRP: NONE TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 5 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:^
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: Tenant Improvement - clean room
Owner: Contractor:
AMB PROPERTY L P RAVEN CONSTRUCTION
BY TRAMELL CROW NW INC 8625 SW CASCADE AVE STE 510
8930 SW GEMINI DR BEAVERTON, OR 97008
BEAVE RTON, OR 97008
Phone: 221-1121
503-526-1088 Phone: 221-1121
Reg #: 6(3-526-198603
FEES REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
Ill I111I.N] PinIts 10124102 $40.63 Sprinkler Permit Required
Framing Insp
FLS SI FI.S 11111 RN, 10/24/02 $25.00 Framing Insp
lit'll.l)I Permit Fee 11/6/02 $139.30 Bolts in concrete final repot
IAN R"b State"Tax 11/6/02 $11 14 Final Inspection
(additional fees not listed here)
Total $296.71
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 Center. Those rules are set forth in OAR
952-001- 19--threu h OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 03) 246-669 1-800;;7
Is ued By:
J. M ;;—
>> --
Perm
Signature:
i
�' Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Date received:) -0;� Permit no
City of Tigard
CltyofTigard Address: 13125 SW fWf DW: 19gard,OR 97223 Ro;eeUappl.no,: Expire date:
Phone: (503) 639-4171 Date issued: By:3, Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approvaS: _ 1&2 family:Simple Complex:
❑ I &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U New construction U Demolition
U Addition/alter ition/repfacemcnt U Tenant improvement U Fire sprinkler/alarm U Other: _
JOB SITE INFOkMATION
Joh address: laej,7f31dg.no.: I Suite no.:
Lot: Block: Subdivision: Tax map/tax lot/account no.: $ 0O$�
Project name: {} M(,pty - lyAlyT IIfV1 0Y VACI- Cr — ZA—CO IA
Description and location of work on premises/specia!conditions: ywr_r�3 -TI4 �IMPGaoVtlMta.(1'� (n7 Sir.
Name:
Mailing address: 1 &1 family d++cllhrg:
City: (aA _ State:Z7.IP: Valuation of work........................................ $ -- ---
Phone: Fax: L' mail: No.of hedroonts/baths.................................
---
Owner's representative: S Total number of floors.................................
Phone: Fax: Email: 'rlti New dwelling area(.sq. ft.) ..........................
Garage/carport area(sq.ft.)......................... _
Name: } (,+�1 'jS� JN( Covered porch area(sq.ft.) .........................
Mailing address: b2l W 5A1-VVjW ,So t I qQ_ Deck area(sq. ft.) ........................................
City: State: ZIP: �.Q� Other structure area(sq. ft.).........................
Phonc:5C13.�2: 2i F,tx Zp^I 1;-mail: Q ('ommercliti/indnatrial/muili-farniir: l&� OCIC�
f?nluation of work........................................ $ ?.
Business name: V� j {
Existing bldg.area(sq.ft.) ..........................
Address: r >LtNew bldg.area(sq.ft.) ...!?I .�CaAS�.......... _U 1
r ( �.�. Number of stories........................................
City: ,L .__ State• ' � 'LIFE � -
rypc of construction..............I........:............ _
Phone: i i Fax: E-mail: _ Occupancy group(s): Existing:
CCB no. L,
New:
City/rnetm tic. Notice:All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board under
Name _ CHI(Ea~ci I1lL, provisions of ORS 701 and may he required to he licensed in the
Address: jurisdiction where work is being performed. If the:.pplicant is
Cit RT State: ZIP: exempt from licensing,the following reason applies:
Contact person: an no.: __—
Phone
Name: IN(—• Contact person:t M t. Fees due upon application ................ •.........
Address: N 4 *2110 Date received:
City: State: ZII': -7 I Amount received ......................................... $ _
Phone 5tigta Ir i i i I Fax:9tK Ipp jd2jj E-mail Please refer to fee schedule,
hereby Certify I have read and examined this application ark.'the Not all Jurisdictions accept credit cards,Tease call jurisdiction lot more information
attached checklist.All provisions of laws and ordinances gcveming this O visa ❑Mastercard
work will be complied wi4 w ether specified herein or not. Credit card number _ Lr_teL
Authorized signature: Date: / —G-OL Name or cardholder as shown on credit card T
Print name: � e ss s _ --- s
Cardholder signatarc Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440461.1(6a VM)
ew q0(03 �12-.,�3
FVj 45.017
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 include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
___j
Plan review is dependent upon submittal of a completed app;ication and plans. After
plan review approval, the Plans Examiner will conte ct the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*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 level "3" technicians.
1:\d9t9\formMC0M-matrtr.doc 9124101
CITY O F T I G /� R D ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: ELC2002-0058.3
DATE ISSUED: 11/7/02
13125 SW Hall Blvd., Tigard. OR 97223 (.503) 639-4171 PA.'CEL: 1S135BB-0050.1
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
Froject Description: Increase(1)service panel from 125A to 200A,adding/relocating (28)branch circuits and(1)limited
energy system for data telecommunications. Job No. 22-1044
RESIDENTIAL UNIT _ TEM_P_SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
rAANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: 1 WISERVICE OR FEEDER: 78 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: __ __ PLAN REVIEW SECTION
1000+ amp/volt: >=4 P.ES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
AMB PROPERTY L P
BY TRAMELL CROW NW INC
8930 SW GEMINI DR
BEAVFRTON,OR 97008
Phone: Phone:
Reg #:
FEES
D9scription Date Amount
�TA\I V"„Statc Tax I I!7M2 $27.32 Required Inspections-- --
(I:I XRMTj I'.LC Pcrnu! 11 7 n? $341.50 Elect'I Service
Rough-in
Total $368.82 Elect'I Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specially 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 wil yin 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 ir,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
1 800-532-2344. ,
Issued By: _ J —G( I l Permit Signature:
_. OWNER INSTALLATION ONLY
1 he installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE.: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: La DATE: _
IJGENSE NO: / 7;�)
Gall 639-4175 by 7:00pn. for an inspection the next business day
A1
�r\ E!(.'Cti'ICal PE'1'Illlt A ) }IICi1t10I1 _ Date received: , Permit 11o..
Pro'ect/a I.no.: re date:
City of Tigard Date issued: litl&ecelpt no.:
CITY OF TIGARD Address: 13115 SW HALL BLVD,TIGARD,Olt 97223 Case file no.: Payment type:
Phone: (503)639-4171 Fax(503)598-1960
Land use approval: �7
r-
❑ 1 &2 family dewlling or accessory a Commercial/industrial ❑ Multi-family a Tenant improvement
New construction 0 Addition/alteration/replacement p Other: ❑ Partial
Job address: 10575 SW CASCADE AVE City: TIGARD Hld No: _ Suite no 130 Tax map/tax lot/account no,:
Lot: Block:N/A Subdivision:
Project name: HEMCON IDescriptionand location of work oI premises: NEW WORK RMS,LIGHTING AND POWER
I.stinutted date oft oinslclion/ins ecti in IN WAREHSE AREA, INCREASE SERVICE FROM 125A TO 200A
.lob no: 22-1044 i Slat.
Business Nance. Capitol Electricc Co., Ina.. Itr•scri ulna t! Intal no.Insp
Address: 11401 NE Marx New residential-single or muni-Gnnify per
City: Portland Slate: OR ZIP: 97220-1041 dacllink unh. Includre nuachcd t;n at c.
I'hcme: 503.255-9488 Fax: 257-7121 F-mail: darrellLcepdx corn Service included:
CCI3 no.: 48748 -JElec.bus.lic•no: 26496C 1000 sq,ft,or less _ $ 145.15 4
t'tl /metro lic.no.: NIA Lach additional 500 s4.Il.or ortion thereof _ $ 1.1.40
1117/02 Limited energy residential S 75.00 2
Signature of su urs isin g electrician(required) l l its Luniled energy,nun-residential S 45.00 2
Su .elect,name riot Darrell McNeel License no.: 3132-S Each manufactured home or modular dwelling
Service and/or feeder S 90.90 '
::
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: S
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10//2410224/02 -0o290
SITE ADDRESS; 10575 SW CASCADE AVE 130 PARCEL: 1S135BB-00501
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
TENANT NAME: HEMCON
USA NO: FIXTURE UNITS: 266
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .6 EDU Increase. Previous EDU = 16 for total of 256 fixture values. Addition of 10 fixture values,
for a new total of 266 fixture values = 16 S EDUs.
Owner: FEES
AMB PROPERTY L P Description Date Amount
3Y TRAMELL CROW NW INC
8930 SW GEMINI DR SWI ISAI Swr Connect 10/24/02 $1,380.00
BEAVERTON, OR 97008
Total $1,380.00
Phone:
Contractor:
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the data 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 instal ar shall prospect
3 feet in all directions from the distance given. if not so located,the installer shall purchase a"Tap and Side Sewer" Perm
Issued by: CtL Permittee Signature: 1
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES E ISS iT#: P /24/02 00399
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 10/24/02
PARCEL: "S13588-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCrUPANCY GRP: F2 FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
S!NKS: 5 URINALS. 1 GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Install 5 rinks, 3 floor drains, 1 dishwasher, 1 urinal, 1 water heater,
FEES
Owner: Descriptinn Uate Amount
AMB PROPERTY L P 1111UMIiI Permit fee 10/24/02 $182.60
BY TRAMELL CROW NW INC II11.1AMIiI Permit fee 10/24/02 $0.00
8930 SW GEMINI DR I I AX I S4.„State Tax 10/24/02 $14.61
BEAVERTON, OR 97008
I fAXI 8`4.State Tax 10/24102 $0.00
Phone 1: 1111.MPLNI I'lan Review 10/24/02 $45.65
Contractor: II'LMPLNI I'lan Review 10/24/02 $0.00
Total $242.86
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Rough-in Insp
Phone 1: 331-0234 Underfloor/Underslab
Reg#: MF'T 00001 179 Final Inspection
LIC 40981
PLM 37-22111'
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 rules adopted by the Oregon Utility
Notificaticn Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may-obTa1n copies of these rules or direct questions to OUNC by calling (503 246-6699.
Issued \ �. �� Permittee Signature:
Cali (503) 63. .175 by 7:00 P.M.for an Inspection needed the next busine3s day
-71 DVO 01
Plumbing Permit Application
Date received: Permit no2a,le "L' ' 1
City ofTigard Igard Sewer permit no.: Building pen-nit no.
Address: 13125 SW Ilall Blvd,Tigard I Ili 'r
Cal,u/l igard Phone: (503) 639-4171 r' ' r'rolect/appl.no.: _ Expire date:
Fax: (503) 598-1960 Unate issued: By. Receipt no:
Land use approval: clic no Payment type:
t
U I &2 I'amily dwelling or accessory JCommercial/indusirtul J Multi-family )(Tenunt improvement
J New construction J:ltidinon nllcraliton'rrplacvIllent J I uod wrviie J()ther:
Job address: Description Qty. Fee(ea.) Total
I Q tj �('� L��t•_ili�[ + Y-4 k'�-= New -and 2-fare ly dwel ngs only:
Bldg, no.: Suite no.: I ,,C) pnclude.l00 Pl.for each utility connection)
Tax map/tax lot/account no.: SFR (1)bath
Lot: Block: Subdivision _ SFR 12)bath
Project name: i=1+'1 tc1 n1 -TSI-IAN_L cwt+-h11 t SFR(3)bath
City/county: : iiJAR17 ZIP: �°]IAL? Each additional bath/kitchen
M Description and location of work on premises: _ Site utilities:
_ T,%"A"T XI_W O,E M�N'f _ Catch basin/area drain
-- —
Est.date ofcom lotion/inspt-,li"nl DrywellsIleac line/trench drain
Footing drain(no.lin. 11.i _
Manufactured home utilities
Business name: �,l r\,�;I rz:LL� . Manholes
Address: 54OLI � it,t" C) Rain drain connector
City: p Stater ZIP: Sanitary sewer(no.Im. 11.)
Phone: Fax: � t(� E-mail: Storm sewer(no.lin. ft.)
— -!�"� -- Water service(no.lin. ft.;
CCB na.:
4oiifo, I Plumb.bus.reg.no: �j'� (:�13 Fixture or Item:
City/metro lie.no.: 117 -- Absorption valve _
Contractor's representative signature: Back flow pireventer
Print name: rz.L `SO.U, Dute: -f` C72- Backwater valve
Basins/lavatory
Clothes washer _
Name: IU._�Al.`�C'�t+t Dishwasher 1
Address: I)rinking fountain(sl
City: Y _ State: ZIP_ Ejectors sump
Phone: Fax: E-mail: Expansion tank I
Fixture/sewer cap
Floor drains/floor sinksihub "
Name(print): Garbage disosal
Mailing addressI lose bibb _
City: _ State: Z1P: Ice maker
E-mail [nterceptorgrease trop
Phone: Fax:
owner installat ion,residential maintenance only: The actual installation Primer(s) 3
will be made h�, lite or the maint•nanct:and repair made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sinkls),basin(,),lays(s) 5
Owner's signature:— Date: Sump
Tubsis owershower pan
Urinal I
Name: _ Water closet
Address: _ Water heater J 1
City: State: ZIP: — Other.
Phone: Fax:
--IF-mail: Total
Minimum fee............... $
Not all iunsdtchom accept credit cards.pleaw call pmsdtennn for more mronnahon NoticeThis permit application
.t�lasurc•:+lit Plan r.:view tat _ "n) S
�vtso
expires f a permit is not obtained State surcharge(Say).... S _
credit card m+mber _ __--- -- -- —_- --1 -- within 180 days atter it has been
h�p+res
_ TOTAL.............. .........
Name of cardholder as shnan.+n cred+t.ard
accepted as complete
Canlholdcr agnature Unc.m 440.4616,eiN+i;til+
PLUMBING PERMIT FEES:
PRICE TOTAL Now 1 and 24amly dwellings only:FIXTURES (individual)__- OTY es AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 5 16.60 the dwelling and the 11ret100 R. QTY (ea) AMOUNT
Lavatory 16.60 for each uti ft connection)
T'ub or Tub/Shower Comb. 16.60 One(1)bath $249.20Two 2 bath $350.00
Shower Only 18.60 Three(3)beth $399.00
Water Closet 16.60
Urine) 16.80 SUBTOTAL
8%STATE SURCHARGE
Dishwasher 1 16.60 PLAN REVIEW 25%OF SUBTOTAL _-
Garbage I)iaposal 18.80 TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sinl, 2" 3 16 60 (� O
3" - 16.60 PLEASE COMPLETE:
4" - 16.60
Water Heater O conve elan O like kind 18.80 _ Ousmtl work Performed
Gas piping recuires a separate mechanical ' Fixture Type: New Moved Replaced Removed/
permit. 1& L40
Capped
MFG Home New'.Nater Service 46.40 Sink S
MFG Home Nero San/Storm Sewer 46.40 LavatoryI _
Tub or Tub/Shower
Hose Sibs 18.80 Combination
Roof Drains 16.00 Shower Only _
Drinking Fountain 18,80 Water Closet
Other Fixtures(Specify) 16 60 Urinal
Dishwasher _
Garbage Disposal
Laundot Room Tray _
WaShlrlg Machine _
Sewer-1st 100' 55.00 Floor Drain/Sink: 2"3"
Sewer-each additional 100' 46.40 4"
Water Service-1 st 100' 55,00 Water Heater
Water Service-each additional 209' 46,40 Other Fixtures
Storm 8 Rain Drain-list 100' 55.00 (Specify)
Storm 8 Rain Drain-each additional 100' 46.40 t:w Pr,N 5r orj n Irk
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device* 27.55 -
ratch Basin 18.60 -
inspection of Existing Plumbing or Specially 62.50
Requested Inspections _ per/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25 _
Grease Traps 16.60 -- _
QUANTITY TOTAL:
Isomelnc or n dlatfr�i is required it -- --Quantity
uantil Tota s 9 /
__ suBTOTAL:
8%STATE SURCHARGE:
**PLAN REVIEW 25%OF
SUBTOTAL:
Required only if fixture qiy total is-9
TOTAL PERMIT FEE: s2 S
•Mlnlmum permit fee is$72 50-8%state surcharge,except Residential Backilow
Prevention Device,wh,ch Is$38.25-8%state surcharge
••kll Now Commercial Buildings require 2 sets of plans with isometric or riser
diagrain for plan review.
1:ldstslforrns\plm fees.doc 02/05/02
BUILDING PERMIT
CITY OF TIG ARD PERMIT#: BUP2002-00458
DEVELOP JIENT SERVICES DATE ISSUED: 10/24102
13125 SW Hall Blvd.,Tioard. OR 97223 (503) 639-4171 PARCEL: 1 S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I-P
SUBDIVISION: LOT: JURISDICTION: TIG
BLOCK:
FLOOR AREAS EXTERIOR WALL CONSTRUCTION
REISSUE: if N: S: E: W:
CLASS OF WORK: FPS FIRST:
SECOND: sf PROJECT OPENINGS?
TYPE OF USE: COM sf N: S.. E: W:
TYPE OF CONST.
OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
BASEMENT: sf AREA SEP. RATED:
OCCUPANCY LOAD: GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft READ SETBACKS REQUIRED
BSMT?: MEZZ?:
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: FINDDICOP ACC:
DWELLING UWTS: FRNT: ft REAR: ft FIR ALRM :
PRO CORR: PARKING:
BEDRMS: BATHS: IMP SURFACE:
VALUE: A 11 9 4-,. 0
Remarks: TI sprinkler heads.
Contractor:
Owner:
AMB PROPERTY L. P MCKINSTRY COMPANY
5400 NE '^OLUMBIA BLVD
BY TRAMELL CROW NW INC PORTLAND, OR 97218
8930 SW GEMINI DR
BEAVERTON, OR 9-008
Phone: 331-0::'_4 Phone: 331-0234
Reg #: MET 00001179
� ISPECTIONS
FEES LIC
"
Date Amount Sprinkler Rough-In
Description Sprinkler Final
10124/02 $62.50
�lil'ILI)� rn.it Fac $x.00
(FAXJ S" Statc'Fax 10124/02 — - —
Total $67.50
alty
des
T�is permit is issued subject to the regulations will be donarin accordance with approved plansined in the Tigard Municipal , This permit expire if work i
and all other applicable law. All work days
on law
not star'9d within 180 days ofssadonted bylthe Oregon hf work is e ty No f catnded for ion Center 80 huse rules are set forth in OAR
requ;.-es you to follow the rule p of these rules or direct questions to OUNC by
952-001-0010 through OAR 952-001-0100. You may obtain a copy
calling (503)246.6699 or 1-800-332-2344.
Issu�d By:
Pe mlxttee
Signature:
Call 639-4175 by 7 p.m. for an Inspection the next business clay
Building Permit Application
Date received: IU `I(� G��- Permitno
Ci of Tigard City �S ProjecVeppl,no.: Expire dote:
city ofngard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (5103) 639-417! Date issued: 8y: Receipt no.:
Fax: (503) 598-1960 Case file no.: Paymenttype:
Land use approval: 1&2 family:Simple Complex:
U I &2 family dwelling of accessory Commercial/industrial UMulti-family U New construction 0 Demolition
Ll Addition/alteration/replacement XTUnant improvement U Fire sprinkler/alarm a Other:
Jab address: nr' �� • ;.A�i'ADE DIVE Bldg.no.: Suite no.: 1 3C�
Lot: Block: Subdivision: Tax ma /tax lot/account no.:
Project name:
Description and location of work on ptemises/special conditions: /�Dl��$.'� SpR•tNt�C.C(�- NEIL
Pi7r-Gsw:P p C-�.�Ar_)-- M - - ---
Name:
Mailing address: — 1 &27tion,
elling:
City: State: ZIP: Valurk.................... h
Phone: Fax: E-mail No.os/baths.................................
Owner's mpresentative: Total number of floors.................................
Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... -
Garage/carport area(sq. ft.)........................ - -
e- nO. Covered porch area(sq.ft.) ........................ - -
Name:g d E v G � Y—�— Deck area(sq.ft.)
Mailing address: S E' YM i !^VLA.
Cit State:p Z[P: ' es Othe:structure area(sq.ft.).........................
y' y ommerclaUlndttstriai/multi-famll
Phone:' Fax: 331,10 t! E-mail fF J►1IKPASr4
ra:ation of work....................ing bldg.area(sq.ft.) ......................... _
Business name: 1 . e�', New bldg.area(sq.ft.)................................ + —
Address: 'eAA'M>F` A'7 Number of stories........................................
City: State: ZIP: _ Type of construction
Phone: Fax: E-mail: _ Occupancy group(s). Existing:
CCB no• 2-t-5-01 (C 14) C 40 9 6 1 C+t,Wtr 'pt {'ISE" New__
City/metro lic.no.: *M^ . 1 U Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: _ provisions of ORS 701 and may be required to be licensed in the
�. --- ---- jurisdiction where work is being performed.If►hp applicant is
Address. - exerapt from licensing,the following reason applies:
•Llf': -
Contact person: — ('Ian no.:
Phone: TFax: 7L' mail:
Na:n.: I Contact person: _ Fees due upon Hpplication ................. ......... S
Address: Data received: __ ///
State: ZIP: Amount received 1" ' J
City: ....................... ..............
rPhone: I Fax: Email: Please refer to fee schedule.
I hereby certify I have read and examined this application and the to Wt Juri,dicriom WcW citcl+i cwds,aeaw call junxdictioIfiminm nVW i0"attached checklist. All provisions of laws and ordinances goveniinY.this ❑�ixa o MasterCvdrCmdilcercinumber: —�-- �—
work will be complied witty whether s cified herein or not. / esAuthorized signature: A"-Date: /�_z y CZ None of cerdhaider u rhmvn on orificard
Print name: ,oolder npwurc - um
Notice:This permit application expires if a permit is not obtained within I SO days after it has been a:cepted as complete. -04611(&MCOM)
Fire Protection Permit Check List
A New Addition Alteration ❑ Repair _
r
A. _— � --
d.l Modification to s rinkler heads only:
_
- nly: . —
Desci ibe work to 1. 1-1 U h :ads 7� plan review re uired
be done: 2. 11+ heeds: Plan review required.
Number of sprinkler heads: E —
Additional description of work: P,�ovif ��,1 �. fid e--,V(UNKCx�tZ-
-Type of System_tCom lete A, B or C as applicable
A.) Sprinkler Wet
T ,�l —_-- U�r r LI
tandpipes _ _ �A _
Additional Hazard Group ___ C��w- -''_ i4 PA 31
Information Densis _—_ o'� wp r,(Le-tr6k A'Ijl
Design Area
K. Factor___
J—Sprinkler Project Valuation, $ _.
B Type I - Hood Fire Suppression_System
Hood Project Valuation_t$_��
C.)Fire Alarm _ --
Submittal shall Battei _galculations_ --- Y'es ❑__ —
include: Individual Component Yes ❑
--_L ut Shaets __
Fire Alarm Pro ect Valuation= $
__ Project Valuation Subtotal �A, B & C ` $ ---
J Permit fee based on valuation see chart : $ �.,�� _`-
8% State Surcharge: $ _ X
- FLS Plan Review 40% of Permit: $
—. --- TOTAL:
Ran review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans beer the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
iAdsts\torrns\FPScheckIIst.doc 11/21101
CITYOF T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002 00522
DATE ISSUED: 11/20/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I-P
BL.00W LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENTFANS:
OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES. BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
I-PG 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 UNITS Ol HER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 1000u cfm:
Remarks: Add new gas line for new water heater and future boiler, vent for water heater. Project value. $1,545.00
Owner: _ _. FEES
AMB PROPERTY i_ P Description Date Amount
BY TRAMFLL CROW NW INC 111 t'III I'crnut Prc 11/20/06 $7250
8930 SVS' GEMINI DR I%11 c III 11(.1 1111t Pte 11/2002 $0.00
BEAVE F.TON, OR 97008 I v\ ti tit cteTax 11120!02 $5.80
Phone: 111\I S'',,State Tax 11/20/02 $000
Contractor:------,---.-- _ Total $78.30
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS_____
Gas Line Insp
Phone: 331-0234 Misc. Inspection
Reg #: 409,91 Final Inspection
This permit is issued subject to the regulations contained �n the Tigard Municipal Code, Statr; of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with adr,roved
plans. This permit will expire if work is not started within 180 days of issuance, or if wr,k is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules arF F-it forth in OAR 952-00 1-0010 through OAR
952-001-0100. You may obtain copies o; these rules or direct questions to OU�IC by calling
(503)246-6 99. w
�sued By: l ( Permittee Signature:
� _ Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day V
Mechanical Permit Appld�cation
D:re received: / ria' Penna no.1/fei
V '
City Of Figard Projectiappl. no.: Expire date:
01.1(it Tipard Address: 13125 SVS I f,!II Blvd,Tigard,OR 97223
Phone: (503) 639-4171 bate issued. By: Recc!I! !
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
J 1 &2 family dwelling or accessory JCommercial/industrial J Multi-family J Tenant improvement
'New cons(rucuon -1 Addition/alteration/replacement J(rrlw!
SCHEDULF
Job address: +_ i l�;' 1 Lj �«t Indicate equipment quanuues rn boxes below. Indicate the dollar
Bldg. no.: i Suite no.: value of all mechanical materials,equipment, labor,overhead.
Tax map/tax Iot/accomo rn, profit.Value$
Lot: BlotJ Subdivision: _ 'See checklist for important application information and
Project name: N-rr-H<.0 t jurisdirtior's (.!c schedule firr residential permit fee.
City/county: T t G/►eiZZIP: t
Description,and location of work on premises: _ AND
Avo L)ww:j GAS Ltniit To tJ� �O.adPM� Fee(ea.) Tolal
Fit,date of completion/inspection: nd•.c riprlor• (fty.I Res,onl) Iter.cont
Tenant improvement or change of use:
Is existing space heated or conditioned?J Yes J No Air handling unu CFM _
Is existing space insulated? Yes J No Air con itMning(site Tn requirec'(1
g P teranon of existing FIVAU system _
WNEINBoiler/compressor
State boiler permit no.: �pg� 11
Business name: ��(� k,d.a Tt Cc. — �.g— His To BTU/H _
Address: 5df 0(D t�t2 C o Lk.�' 1 I N D• Fire/smo aampers/ uct smoke detectors
City: State:Cj{j ZIP: a eat p_mp— (s- r pan required)
Phone: 2_ Fax: E-mail: nsta ir.Tc furnace/burner
CCB no.: ,10 _ _ — Including ductwork/vent liner U Yes U Nr
nsta /rep aceire ocate eaters suspC�,,7
City/metro tic.no.: I wall,or floor mounted _
Name(please print): Fpn[_ r�l.S(3tn ri Ven1 far a dance of er than filmace
e r gra oa:
Absorption units BTU-N
Name: Chillers — —i- -- HP -
- - -- ---—
Address:
Compressors HP
- -` novnmenta exhand an ventilation:
pCity: State: ZIP: Ace
vent
Phone: T I .r [.-mail: ryer ex aust
ype Ii 1/res.kite ett azmat
hood fire suppression system
:Nome: Exhaust fan with single duct(bath fans)
ling address: :x must.vstem a art from eatin or AC
: —tete: Z[P: ur p p r g R st n lop to out etst
Tvpa LM Nr �_ Oil
ne: Fax. E-mail: ue pipm enc t a atoneI over 4 outlets
roeess piping 1 schematic required)
Name: Number of outlets
address: — Other listedapp ranee or equ prnent:
_ _ _ _ Decorative fireplace
_City. State: ZIP: Tsen-type
Phone: Fax: E-mail: oo stoveipe et stove
---�—^ of et r:___—
Applicant's signature: Epp,L Date _ 1 e'1 other: G pS t ;A7�- ►lam CX_R
Name(printf: —
_ Permit fee ..... .............. S
Not all runWicnnns accept credit cords.please call runsdicuan lift more ml, abort.
ion
J visa J Mastercard Notice: This emipcnt i a oticbtain Minimum fee.. ......... ... S
expires if a permit is not obtained °.,) $ —
Credit cara plan review tat —d number ,�-- ___---_. ��(--
within ISO days atirr has been
—_ State surcharge IS",,,,a)..,. S .� •t3C
Name 4 cardholder ar shown nn credit card accepted as complete.
urdhnldor sirrrature- — AWount 1 44406171 ORCOW
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J 5400 N E, COLUMBIA BLVD
INS TR Y PORTLAND, OREGON
(503) 331--0234
(503) 331-69067{�3
G o0
ip
MECHANICAL_ ENGINEERS fi
AND CONTRACTORS
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H,V,A,C,, PIP L'LM
OREGON CCB #0, 0981
& FIRE ❑T C.T 1N WA. 223-01 #MC—KI—N-372N❑
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I
G R Q u r--- --- ----- -
ACKENZIE
1
October 2, 2002
FILE COPY
City of Tigard Building Department
13125 S.W. Hall Blvd.
Tigard, OR 97223
Re: Final Summary Report
Cascade Business Center Panel Opening/Permit#t3UP-2002-00122
m j Project Number 020053
O N
P N
o The purpose of this letter is to certify that periodic structural observation of the above-
°' captioned project was performed in accordance with Section 1702 of the Oregon
Structural Specialty Code. To the best of my knowledge, no unresolved discrepancies
remain, and the work is in acceptable general conformance with the plans and
E
n specifications.
d J
7
o shicerely,
N x
r
} M o h McDowell, P.E.
a
P ojcct Engineer
0 w
U h
AA./sulk
Group
Mackenzie. j
Incorporated
I
Inlenor Design
I and Use Planning 1
Group j
Mackonzte
Engineering.
Inrorperatwd
i
Engineering III
Transportetlon
Planning
The trur'lllon of
Markenrre
Fngineerinp and
Macken:lerSartn
con 4 n ues.
II�PRCIJtiC'TS70200S1�Wf'�:.IO2f•'SRI WIx1
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST ------- -----
INSPECTION DIVISION Business Line: (503)639-4171
BUP --- —__---
Received Date Requested— _3_
— AM.---- PM------ BLIP
Locatior __. 0 s-7 S Suite J 3Z) p .-- MEC
Contact Person � Ph S 7 PLM - D!J 32
Contrac',or _.__ —_ Ph(_—) -- -- SWR --
BUILDING Tenant/Owner —__— -�C.e' i�J - ELC
Footing ELC ----
Foundation Access:
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT —
Post&Beam _ - - --- -----
Shear Anchors
Ext Sheath/Shoar
Int Sheath/Shear
Framing
Insulation
Drywall Nailing — -----
Firewall
Fire Sprinkler - -- - ---- _.. ---- -_
Fire Alarm
Susp'd Ceiling --- ---�— — -
Roof
Other. --_ ------- - ------ -
Final 7 _
PASS PART FAIL �- c
PLUMBING -
Post&Beam
Under Slab -- -- ------- --- -- - ---
Rough-In
Water Service - --- - ---- - —— - —
Sanitary Sewer
Rain Drains - ----- -- ------- _
Catch Basin/Manhole
Storm Drain -- - --
Shower Pan
Other: - -- - - ----_ ------
ASS PART FAIL
-- ANIC_AL ---- - --- ------ -
Post&Beam
Rough-In ------ - -- - ---- _ ------------ -
Gas Line
Smoke Dampers -- ----- -- .... — -._...-- -- -- --
Final
LASS PART FAIL --------..___ ----- ---- -- --
_ELECTRICAL_-
Service
Rough-In - -- ------ ------- — -
UG/Slab
Lew Voltage --_----_-.._ -- _-- - --
Fire Alarm
Final FiReinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [] Please call for reinypectioi, RE:p___ ____— [ Unable to'ncpect -no access
Fire Supply Line
ADA
Approach/Sidewalk Date - - Inspertar
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS FART FAIL
11
CITY OF TIGARD 24-Hour
BUILDIN- Inspection Line: (503)639-4175 MST
INSPECTION Dhr. Business Line: (503)639-4171
Received -----Dais.Requested -�L'C AM ---___ PM.____-_ BLIP
�G - - --Suite..---- — ��'�r;
Location _ __—f -----------
Contact Person _— Ph( ) PLM
O( - -- O
Contractor Ph_ _— ---_ -- __ -- -__ ) ,2--1-5J SWR
-
BUILDIN Tenant/Owner ELC
,---- ------------ ELC - —
Foundation Access.
Ftg Drain PLR
Crawl Drain --- --- ---
Slab Inspection Notes. SIT –
Post& Beam - - — ---- -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -
Insulation
Drywall Nailing -- --- _ - - -
Firew
life S r i n jka&> ----- -- --- -_ ------- -
ire arrn
Susp'd Ceiling -------- -- ----- ---- -
Roof -
01her -- ---- -- -- ---�
A PART FAIL
Post—& Beam
Under Slab ------ - --- - ---- --
Rough-In
Nater Sorvice ------ - - li
- -
Sanitary Sewer _
Rain Drains --- --- --�
Catch Basin/Manhole
Storm Drain -- - ---- - _- --
Shower Pan
Other: ---
-- -----
Final ---- _-- -- -----
PASS PART FAIL
MECHANICAL — ------
Post 3 Beam
Rough-In - -
Gas Line
Smoke Dampors ------- --- - ---— -
Final
PASS PART FAIL ---- - -- - --- --- -- -
ELECTFIICAL ---
Service
Rough-In ------- - ----- -
UG/Slab
Low Voltage --_ _- --- ----- - -
Fire Alarm
Final F-] Reinspection fee of$ _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
-
SITE --- [7] Please call for reinspection RE _ —_-- Unable to inspect-no access
Fire Supply Line
ADA Diets
/ �,�� <_ Inspector -__ __-- . . Ext
Approach/Sidewalk -
Other: _ -
Final DO NOT REMOVE this Inspection recoral from the Job site.
PASS PART FAIL
.Il
CITY OF TIGARD inspection Line: (503)639-4175
BUILDING MST _
INSPECTION DIV;.;ION Business Line: (503)639-4171 BLIP
Receivers _____ _ Date Requested _ / 3 AM _ PM BUP -
I.ocation __�0 ,n — _ Suite 13 0 MEC
�:,ontact Person Ph(-- ) ) PLM - — --
Contractor _. - _ - ----- I h SWR t Oy S 8O
vOwner�
Tank ELC _BU.LDING � - —
i Footing ELC
Foundation Acce-so: --
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam -
Shear Anchors I
Ext Sheath/Shear �--+
!nt Sheath/Shear
Framing --
Insulation
Drywall Nailing -- -- -- - - - -
Firewall
Fire Sprinkler - --- - - - -
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
-
1'4SS PART FAIL
-- - -- /
LUMBING
Post&Beam
Under Slab "—
Rough-In
Water Service
Sanitary Sewer j
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 SART FAIL - --- ---- - ---- _--- -- -- _-- - ----
ELcCTRICAL
.�erVIC
ough-In -
UG/Slab
Low Voltage __ _ - -. __ -. -- -------
Fire
----Fire Alarm
r7 ,
i PART FAIL Reinspection fee of$_ -- _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIE �� Please call for reinspection RE: —_-_ -_ - -- E] Unable to inspect-no access
Fire Supply Line /
ADA [pao 7�/-a . l ~'u,03_ Inspector --- q
Approach/Sidewalk t {
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
\`II
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 &WOSMOUS-PT
Received Date Requested -3 ` AM PM — BUP
Location !LI 5-?C �,R.. _Suite_ /S 6 -- <09 -dd
Contact Persont/L_ Ph( )��' S�� PLM
Contractor �. _-_--_ -- Ph(_ ) SWR
BUILDING Tenant/Owner �___ ___� — ELC
Footing _ ELC
FoundationAccess:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: / � f- SIT
Host 8 Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling � --�� 3____� --
Roof V ��
Other.--- ----- - �—
Final
PASS PART FAIL
PLUMBING
Post Beam — /•� /� ����Cl �/ - 1��•�LL�` —
Under
SlabRough-In /1/Z'1
Water Service ---
Sanitary Sewer
Rain Drains -- -- -- -
Catch Basin/Manhole
Storm Diain --
Shower Pan
Other:
Final
-PASS--ART _ FAIL -
MECHA L -
"0;0--.-T rBeam -�-
Rouc_1h-In
Gas Line
SsSmoke Dampers
— - — -- - - — --
in
PASS PARTAI -- - -- - --- ---
ELECTRICAL
Sen1ce
Rough-In
LIG/Slab
Low Voltage
Fire Alarm
Final Rainspection fee of$ required before next inspection. Pav at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE — Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line 1
ADA
Approach/Sidewalk Data- / /d_�_ Inspector
Other:
Final DO NOT REMOVE this Inspeotlon reoord from the job site.
PASS PART FAIL
(t�*�
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00605
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12./27/02
PARCEL: 1 S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I-P
BLOCK: LOT: JURISDICTION: T'IG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM JNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG _ 3 - 15 HP: 1 CUMML. 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 UNITS
OTHFURN >=100K BTU: <- 10000 cfm: —
> 10000 cfm: GAASS R UNITS:
OUTLETS: 1
Remarks: lnstallalion of ga5 piping, vent and combustion air for state permitted boiler
Owner: _ FEES _
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC — — --
8930 SW GEMINI DR �h114 III Penni! fee 12/27/02 $96.82
BEAVERTON, OR 97008 I M-;.('I'L.N1 flan Re% 12/27/02 $24.21
i 1 AX 18",-0 StateTax 12/27/02 $7.75
Phone: Total $128.78
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INiWECTIONS
Phone: s;I-u?t4 Gas Line Insp
Mechanical Insp
Reg#: LIC 40981 Final Inspection M
This permit is issued subject to the regulations con'ained in the Tigard Municipal Code, State of Ore. Specialty Codes 1
and al! other applicable laws Al I wc,rtc Wll be dr,ne in accordance with approved glans. This permit will expire if work is
not started within 180 clays of isst, nce, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon ' Itility Notification Center. Those rules are set fortn in OAR 952-001-0
Issued By: - u. Permittee Signatur
Call (503) 639.4175 by 7:00 P.M. for inspections nerrde thb ne t business day
ti
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 3..Lspection Description Date Passed B
Footin /Setback Underground cover _
Foundation walls _— Wall cover
Footing drain Ceiling cover
Waterproof bsmt w__alls Electrical rough-in —
Slab Electrical service
Crawl drain _ Electrical final
Underfloor insulation
Post/beam structural
Shear walls/anchors ELR. - Restricted Ener Permit
Roof nailit� Ins ction Description Date Passed B
Firewall Low voltage
Tilt-up panel Electrical final
Masonry/Reinforcement _
Framing
MFG Structure set-up E ' - Mechanical Permit
Insulation Ins ection Descri tiou Date Passed By
Dr wall nailin _ Post/beam mechanical
Suspended ceiling Gas line I
Engineered soils Mechanical rou h-in
Welding Lab Final _ Fire dam r _
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Structural observation _ Mechanical final
Fire roo ing Lab Final _
Final inspection
PLM - rJumbing Permit
Ins ection Description Date Passed By
BUP— Fire Protection S stem Permit Plumbin undersiab
Inspection Description Date Passed _PL_ _-Crawl drain
Sprinkler underfloor/slab Post/beam Aumbin
Sprinkler rough-in — _ Plumbing top-out —
Sprinkler final RP/backflow preventer
_
Fire alarm final _Pain drain
Storm drain
Water service �—
SIT - SitePermit Sanitary sewer
Inspection Description _ Date Passed -By Culvert/catch basin
Footings _ Pum /fill septic tank
Foundation walls _ Plumbing flnal
S§rinkler su 1 lines _
Springier underfloor/slab
Catch basin/Manhole _ SWR- Sewer Permit
En ineered soils _ Inspection Descri tip on Date Passed By
En i eering acce tance .. Sanitary, sewer
Final inspection _ Final ins ection —
lnspectiol, Record - lit:11, PLNI. SWR, ELC, ELR, MEC, SIT Permits
i:\dsts\fort.nUnspReeordBUP.doc 0417/01
Clef OF 71GARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MSTINSPECTION DIVISION Business Line: (503)639-4171
3UP
Received
Dat F Requested _ / ( � �"1 AM_ PM BLIP
Location _ _ D SZ _ -- �'_ Suite v - MEC ------
�—--- _
Contact Person _—___ __— Ph(_ ) J- `� C, 3 f',� PLM —
Contractor ___ ________ Ph( ) SWR _
BUILDING Tenant/Owner _—__.___-._ _.—__ ELC
Footing ELC
Foundation Access:
Fig Drain ELR
Crawl Drain
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
RoofT`
Other: 7
_ �----d-� Y- ��F--
Final -- ---- - _
PASS PART FAIL
PLUMBING
Post Beam
Under Slab ---
Pough-In
Water Service --- - - -- - - ----— -
Sanitary Sb rarer
Rain Drains _---
Catch Basin Manhole
Storm Drain - ----�
Shower Pan
Other- ------ --
Finsi
PASS PART _FALL
MECHANICAL
Post& Beam
Rough-In -- - --- -
Gas Line
Smoke Dampers -- - - —
Final
PASS PART _FAIL ------ -- - --
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage -
Fhe Alarm
Fin
ASS ART FAIL u Reinspection fee of$_-_. required before next inspection. Pay at City Hall, 13125 SW Hal!Blvd.
- [ Please call for reinspection RE: --___ - Urahle to inspect-no access
Fire Supp e _
ADA
-1*A) _- 11speeter etApproach/Sidewalk DMs
Other:
Final __..
DO NOT REMOVE this Inspection record frotm the Job site.
PASS PART FAIL
C ITY OF TIOARD 24-Hour
EUILD,NG Inspectiot, Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUR
. �
Received _ ____. _ Date Requested /13 AM_-_---PM__ BUP
Location Z _--_.suite—2 -30 .--- - MEC
Contact Person -___ Ph PLM
Contractor�? + +ice. Ph( ---- ) ----- - -- —�._ SWR
BUILDING Tenant/Owner -- T_— ELC
Footing
Foundation ELC
Ftg Drain CCes :, ELF! _
Crawl Drain ___ ✓' aC D
Slab Inspection (V+ es. SIT
Post&Beam
Shear Anchors
Ext Shea.h/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -- -- ---
Firewall
Fire Sprinkler A! —�-- - --- --- -______.-_--
Fire Alarm
Susp'd Ceiling - -
Roof
Other
Final
PASS PART FAIL
PLUMBING
1'ost&Beam
Under Slab --
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:—
Final
ther:_Final
PASS_ PART FAIL
MECI•IAfiICAL —
Post&Beam
P.ough-In - — --- --
Gas Line
Smoke Dampers ---
Final
PASS PART FAIL -- -- -
ELECTRICAL _
Service "�
Rough-In
UG/Slab
Low Voltag ' -_ _.___
Fire.Alarm
Fi Reinspocffon feo of$ _._._ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS PART FAIL
_ [� Please call fur reinspection RE:____ -� ___ - _ �] Unable to inspect-no access
�r Supply LlneADA
�, 1 `-
Approach/Sidewalk Dab�'b Lj Q - - - Inspeetor -
Othpr
Final JO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
�s
CITY 4F TIGARD 24-Hour
BUILDING Inspection Line: (503)635-4175 MST ----
INSPECTION DIVISION Business Line: (503)639-4171 BUP --
AM__..-_ - PM-
BUP ---
Received --____ _ Date Requested-- �, ?�,
Location — t7 �,1 -.Suite.
MEC
_- -_�-rZ� - —
�� P LN1 - -
- - -------.--- Ph
Contact Person
— Ph( .) _—. _ — SWR
Contractor ELC
Te iant/Owner
BUILDING —.--_-----
_ -----
- EL ----
Footing
Foundation Access: E!R --
Ftg Drain _,— —
Crawl Drain ---- "` SIT -_
Slab Inspection votes:
Post&Beam ' --- --
Shear Anchors { L> --.-- ---
F
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation - —
Drywall Nair ,g -
Firewall
Fire Sprinkler - f
Fire Alarm
Susp'd Ceiling
_ k
Rootother:—__ -
Final
PASS PARI 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_ --
M—EC H—AN ICA L
Post&Beam --
Rough-In -
Das Line
Smoke Dempers —
Final
PASS PART FAIL -
ELECTRICAL
Service
/Slab --
e—
Lov.Voltage
Fire Alarm
Fina' L J Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13t 25 SW Hall Blvd
PART FAIL Unable to inspect-no access
SS Please call for reinspection RE:__ -
Fire Supply Line ,�/ / �j � Ext
ADADate .��� �- lacpf►ctor .. �- ✓ f --
Approach/Sidewalk
Other: -- DO NOT REMOVE thill" Inspection record from the job 0te.
Final
PASS PART FAIL
OF
ELECTRICAL PERMIT"
CITY Ip F T I G A R D � PERMIT#: El;2.002 Q0588
DEVELOPMENT SERVICES L DATE ISSUED: 11/7/02' 1.
13125 SW hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135BB-OG501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I-P
SUBDIVISION:
BLOCK: LOT: JURISDICTION: TIG
Project Description: Increase(1)service panel from 125A to 200A,adding/relocating (28)branch circuits and(1)limited
energy system for data telecommunications. Job No.22-1044
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
1000 201 - a500SF: 400 amp: SIGN/OUT LINE LTG:
EACH SF O
L'MITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL rYI L INSPECTIONS
SERVICE/FEEDER _ BRANCH CIRCUITS AD
0 - 200 amp: 1 W/SERVICE OR FEEDER: 28 PER INSPECTION:
1st W/O SRVC OR FDR: PER HOUR:
201 - 400 amp: IN PLANT:
401 - 600 amp: EA ADD'L BRNCH CIRC:
PLAN REVIEW SECTION_
601 - 1000 amp: >600 VOLT NOMINAL:
1000+amp/volt: >=4 RES UNITS:
: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Reconnect
Owner: Contractor:
AMB PROPERTY L P
BY TRAMELL CRO'N NW INC
8930 SW GEMINI DR
BEAVERTON,OR 9/008
Phone: Phone:
Reg#:
FEES _
I Description Date Amount Requires! Inspections
S�::te Tax I I/7/02 $27'32 Elect'I Service
[ELPRMTj ELC Permit 11/7/02 $341.50 Rough-In
I 7 otal $368.82 Elect'I Finr I
T`tis Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. A
work will than
done in days.
',TTENTION pOregonoved �law requires eis s you to followermit will
rulesirules adopted by the Oregonwithin
Utiil ty No4ficatbn Centers�I irk ose�rules suspended e set
for more than 180 days. ,
forth inOAR-952--001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(50j)248 or
1-60 =332-2344.
Xe uled By' ll'L�i L� Permit Signature:
OWNER INSTALLATION ONLY R
The installation is being made on property I own which is not ,niended for sale, lease, or rent. O
OWNER'S SIGNATURE:
:; DATE:
ONTRACTOR INSTALLATION ONLY
-- ..�-- -— ----�
SIGNATURE OF SUPR. ELEC'N: DATE:...
J�
LICENSE NO: � —
Call 639-4175 by 7:00pm for an Inspection the next busin ass day
BUP .7 Building Permit ELC - Electrical Permit •_
Ins ection Description Date Passed B Inspection Description Date Passes! By
Footing/Setback Under round cover. _
Foundation walls Wall sever
Footing drain_ _ _ Ceiling cover �»
Waterproof bsmt walls _ Electrical rou h-in I I- —0
Slab Electrical service
Crawl drain _ _ Electrical final
Underfloor insulation I 1 >
Post/beam structurcl
Shear walls/anchors _ ELR - Restricted Energy Permit
Roof nailing Inspection Description Date Passed B _
Firewall Low voltage
Tilt-up anel Electrical final
Masonry/Reinforcement
Framing
MFC-Structure set-up MEC - Mechanical Permit_
Insulation inspection Description Date Passed B
_wall nailing Post/beam mechanical
Suspended ceiling _ Gas line
Engineered suits Mechanical rough-in
Weldini Lab Final Fire damper
Concrete Lab Final Duct work
__p2lting Lab Final Smoke detector
Structural observation _ Mechanical final L _
Fire roofing Lab Final _Y_
Final ins ection
PLM - Plumbing Permit
Inspection Descri tion Date Passed B
13UP— Fire Protection System Permit Plumbin u_ndersiab_
in! Descri tion Date Passed B Crewl drain _
S rinkler underfloor/slab Post/beam plumbing _
Sprinkler rough-in Plumbing top-out
S rinkler final RP/backflow preventiq
_Fire alarm ; :al Rain drain
Storm drain _
Water service
SIT - Site Permit Sanitary sewer _
Ins ection Desert tion Date, Passed By Culvert/catch basin
FootiIRS _ Pum /fill septic tank _
Foundation walls _ Plumbing final
5 rinkler su I lines __
S rinkler underfloor/slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils Inspection Description Date Passed By
En in:ering acceptance Sanitary sewer _.
Final inspection Final in,!pection
Inspection Record - BUP, PLM, SWR, ELC, EI ,R, MEC, SIT Permits
Odsts'form+Un pRecord8UP.doe 04/17/01
�IEMCON
James F. Hensel
presldent nod ihle)ecerutive 01cer
10575 SW cascade Ave.Suite 130
Tigard,OR 97223
7.503.245.0459 ^ F503.245.1326
IImWhemcon.com www.homcon.rom