The URL can be used to link to this page

6610 SW CARDINAL LANE STE 300 N J II 1 � O miry dry V H z r r z F A I( I I 1 i +t�1yk i S t 6' r ,w 6610 SW CARDINAL LANE SUITE 300 '- IDE R11 I T PERT *F. . . . . . : —. CITY' OF TIGARD OATEMIISSUED: . 12/01SWR950423/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)639-4171 PARCEL: 2SI12DA-0020V j U iJ JW C I11<G.ii4-1L ....N #300 SUBDIVISION. . . . : ZONING: 1—FI BLOCK,. . , . . . . . . . LOT. . . . . . . . . . . . . TENANT IIAME. . . . . :POUNDATION HEALTH USA NO. . . . . . . . . . : FIXTURE UN ITS 3. CLASS OF WORT{. . . :ALT DWLI-LING UNITS. TYPE OF USE:. . . . . :COM 1\10. OF BUILDINGS: 0 INSTALL TYPE. . . . .L T PS,W R IMI ';U R F A C E lb S f Remarks : 5, 325 sq. ft. tenant modification Owner: FEES CENTENNIAL BANK type amount by date reept PO BOX 15360 PRMT 2200. 00 B 12/01/95 95—L2734,7_13 EUGENE OR 97440 Phone #: 503-342--3970 Contractor: CONTRACTOR NOT ON FILE 1_41olle #: REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the L,nifiec Sewage Anency. The permit Mires 180 days from the date issued. The total amount paid will be forfeited if the ppreit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement olven, the installer shall prosvect 3 feet in all dire tions from the distance given. If not so located, the installer shall purchase a "Tan and Side Sewer' Permit and the Agency will in all lateral. I m i e e I I a t I-(t f� Issi-ted BV : Call for inspection 639--4175 Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 6394171 Jobsite Address: _� (O l C7 �`�1�) (�C�ur�L�n�q ("0 . Tenant:1LA,A �A�Lt0V1 }��G�Q{ Suite# �D Office Use Only Planck/Rec # Valuation: Permit # >iW Owner: V1 tw/ (7L °15_ p�0C7 2_ - Map & TL # Address: ;. px)� L(00 - AQ royals Required L l%7 0 (7f 1--rNo Planning V_ — Phone: X71.." 5�z- '7� Engineering • Other Contractor: Address: 5 CR f Z Type of const: l Phone: Jim - I Occupancy class: ��I, - - Contractor's License # Sprinklered? Yes No _ (attach copy of current Oregon license) Sq ft. of project: Contact name & phone Story (1st, 2nd, etc ) Architect/Engineer: Proposed use__ --`-` -- Previous use: ri�dreis --` Note Plumbing & mechanical plans — ------- _ must be submitted at time of Phone building permit application. _ JOB DESCRIPTION _ Applicant Signature & Phone number Received by _— Date Received Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECN) State Tax (TAX) Body: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAt► Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERP RMT) Erasion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: �rr�rr T enant Name:� 0,1 .f. I _ Accumulative Sewer Tally This SwR#:2S_D2z> Adess: �Lj Ast This PLM#: 03y Fixture Value Prewnus # Previous Credits Capped Fixtures Fixtures New New Value Capped off value added # added total #s total Count off #s count value values Baptistry/Font 4 Bath Tub/Shower 4 -Jacuz/Whpl 4 Car Wash - Each Stall 6 Drive Through 16 _ Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 Domest 2 Drinking Fountain 1 Eye Wash _ 1 Floor Drainrsink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 314 HPI - Comm Ito 5 HPI 32 Ind lover 5 HPI 48 Ice MachinelRefngerstor Drains 1 Oil Sep (Gas Station) 6 Recreational Vehicle Dump Station 16 Shower - hang (Per Head) 1 Stall 2. Sink - Bar/Lavatory 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor 6 Water Closet, Toilet 6 Urinal 6 ? TOTALS Total fixture values: divided by 16 _^ Euv p n( HISTORY PLM# I EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# Eli:.'# SWR# PLM# EDU# SWR# PLM# EDU# SWR# .son MEC Le' WEGROUPJARCHITECTS AND PLANNERS QAll, ? 240 COUNTHY CLUB ROAD, SUITE 100. EUGENE, OR 97401 (503) 344-3249 9 November 27, 1995 James Funk, Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, Oregon 972.2:3 Re: Foundation Health 6610 SW Cardinal Lane, Suite 300 �- PC10-22C BUP 95-0435 Dear Mr. Funk, The enclosed partial plans and information is in response to your review and letter concerning the above project. Fire and life Safety 1. Electrical contractor is instructed to provide and install EST 792-7A-006 hornistrobe devices at the Centennial Bank 3rd floor project at the following locations. • Room 302 (conference) new south avail above the counter top. • Room 313 (break) south wall adjacent to relite. • Room 316 (conference) north wall adjacent to relite. (see enclosed 8112" x 11" plan) 2. An existing 3rd floor sprinkler system had been installed prior to the proposed floor renovation. Onilid and Swinney Fire Sprinkler Systems of Springfield, Oregon has provided drawings showing the location of new sprinkler heads. 3. Detail 8/2 for lobby should read 9/2 which gives the lobby elevations and the fire assembly for Door#301. Accessibility 1. Enclosed is a partial floor plan showing the repositioning of the door jamb in compile with (Section 309 (i) 3, table 31 E and Figure 251. Jim, if you have any questions concerning the response please give me a call at 541-344.3249. Thank you, Michael Marczuk, AIA WEGROUP pc/Architects & Planners J BERNHARD.AIA CSI IM MARC7-UK AIA/K SEARL.CSI R WILLIAMS.AIA/P MAROUIS.AWP GALL,AIAIR SLUSARENKO AIA z 1 v} V O LA LA L j o j orILL D �J n n o r D L _ Z � m .� � rA;F. L.�- �� CA LO . a BBY N -a U I, Zn - �` �--- -- c70 Po CIO -;;n f Op r � N CPI 1 o 9 N N r n LOW ' N a: 10 01 r HI.Lt. T cn -%20 z � m En - -- -- F'LUIhE41 NG PERMIT CITY OF TIGARD PERMIT #. . . . . . . : P'LM95--0:300 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/05/95 13125 SW Hall Blvd.1(pard,Oregon 97223.9199 (503)639-4171 r-'ARcEL.: ;=:S112Dra.-002,00 SITE : 06b.10 SW GAkD I NNiL LN #300 SUBDIVISION. . . . : ZONING: I—F' BLnC,K. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS Mt7.F_WORE. . :ALT GARBAGE DISPOSALS. : i MOBILE HOME= CF'AC.A-'.G. : 0 TYPE OP USE. . . . :COM WASHING; MACH. . . . . . : 0 BACKFLOW P'REVNTRS. . : 0 .CUPANCY GRP". B-2 FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . : 0 OR I E a. . . . . . . . : a WA-'rLR HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 F I X TUBE -- -_._._.___.___.__.-. I._AUNDRY TRAYS. . . . . : IT S-)F RAIN DRAINS. . . . . : 0 J NKS. . . . . . . . . . . 1 URINALS. . . . . . . . . . . . ip GREASE: TRAP'S. . . . . . . . 0 . 4VAT091 E' S. . . . . . 171 OTHE:.P FI X T'URE. . . . . . 0 TUB/SHOWERS. . . . : 0 C;E WER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINEw (*t ) . . . : N 1)1 SHWA,SHE RSi. . . . : 0 RAIN DRA I i4 (f t ) . . . 0 F'remark's25 sq. ft. tenant modifiratian Uvmer: -..._.______._._.______ ._...______._._._.__.._--•---.._._...__..____._--•--___--- FEES Cr \1TENNIAI_. DANK t vpf? -imo,_rnt 1:y date rec,gt P'O BOX 1560 PRMT $ 2'5. 00 B 12/05/95 95•-273549 `,PTCI 4 1.. 25 B 12/05/95 95--J'73541) EUGE_NF_. OR 97440 Phone #: 503-34c-3970 Coritr'actor : DEAN WARREN F't_UMBING .3111 1111E 13TH POR I LANU OR 97202 P'honQ #: _;36-415:'. $ 26. 25 TOTAL Rerl #. . : 000172 ---_•---- REQUIRED INSPECT!ONS This oerait is Issued subiect to the regulations contained in the Ton—out Insp _ _------ __ Tigard Municipal Code. State of Ore. Specialty Codes end all other Final Inspection _ _-__.__•._�__,_.____ applicable iaws. All wcrk will be done ,n accordance with _.._.._-. approved plans. This oersit will expire if work is not stprted within 168 days of issuance. or if work is suspended for Bore than 168 days. f e r m i t.t e e 5.1 r n: Call for inspection — 639--4175 e7 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _ 13125 SW Hall Blvd. Permit # PLM its o-iota Tigard, OR 97223 moi' 4s �rz (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Slnale Family Residences Only c ENT- < '"&- ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job W CAk r3 L If.AN v 3 BATH HOUSE$225.00 Address 7Wqw. zd Fee Includes all plumbing fixtures in the dwelling and the first 100 feet r (y-gyp,, of water service, sanitary sewer and storm sewer. See fees below- - N.-(Cl-aewnw) FIXTURES QTY PRICE AMT sink 9.00 "''°'°'"'• ""°'" Lavatory __ 9.00 Owner Tub or Tub/Shower Comb. 9.00 ZIP Shower Only 9.00 Water C', set _ 9.00 "�"""`"'""°'"r"'•" ff I Dishwasher 9,00 5 A-�`✓ .. I ri t u4id (11-i' f C Garoage Disposal 9.00 Occupant - rrww Wasring Machine 9.00 Floor Drain 9,00 `^ "" tr► Water Healer 9.00 Laundry Room Tray 9.00 Urinal 9.00 L. Other Fixtures (Specify) 9.00 Contractor 4..,,�� ph" 9.00 \l 5, E-�_? �=,= G, y1�' 9.00 9.00 1-"14 0V-7 Cr 7;to Sewer 1st 100' 30.00 R.p.b.0.n w My T..w. Sewer-ea. Addlt. 100' 25.00 00 �1"� _-^211,9,3 IDFj Watdr Service 1st 100' 30.00 I hereby acknowledge that I have read thra ?pplicatlen, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of -the owner, that pians submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm 3 Rain Drain Addit. 100' 25.00 number given is correct. (If bxempt from State registration, please give reasop below) Mobile Home Space 25.00 Back Flow Prevention - Device or Anti-Pollution Device 9.00 ""'°"""0'"" °M• Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new addition alter3tio- - repeir Catch Basin 9.00' to be done residential O norPesrdentlai 0 Insp. of Exist. Plumbing 40.01)/hr Specially Requested Inspections 40.00/hr - building use of J N1/ Rain Drain, single family dwelling _ 30.00 - building or property 1 F� Residential backflow prevention devices 15.00 Proposed use of -•-- building or property _ �} N _ -- '(Except residential bacMlow prevention d"Ices) NOTICE *Minimum Fee $25.00 SUBTOTAL. Z S DL) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%. SURCHARGE CCNSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -- --r----- FOR A PERIOD OF 180 LAYS Al ANY TIME AF1ER WORK IS j COMMENCED. PLAN REVIEW 25% OF SUBTOTAL Special Conditions I __ TOTAL --------- --- -__._____ Date Issued 1 L S �j� by 4l, �'�1� w1,� �. ELECTRICAL PERMI't T #: ')6 03, CITY OF TIGARD DATEPERMIELC0 ISSUED: 1/29/0596 COMMUNITY DEVELOPMENT DEPARTMENT 13125 Sy�Hall Blvd.'rigard,Oregon V7223*8199 (503)639.4171 PA P C F7 L: `s.;1 1 2'DA J 4 J�j.11w L..i 41,300 SUBDIVISION. „ . , : ZONING: I —P., BLOLK. . . . . .. . . . . .. LO-1.. . . . . . . . pr-aject Desc!'iption : --RESIDENTIAL UNIT--- ERVC/FEEDERS— - __.__.__-MISCELLANEOUS._______.... 1000 SF OR LESS. . . . ; 0 0 — C1.00 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . - 0 EACH ADD' L 50OGF. . . i 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 0 LIMITED ENERGY. . . . . : 0 4.01 — 600 omp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . 0 MANF. H111 SVC/FDR. . : 0 601 +AMpS--10Qo?1 volts. : 0 111 NOR LABEL ( I QZI) . 0 —SE RV I CE/F LEDE R------— ._.-----BRnNC1A CIPCUITS--------- ----ADD' L INSPECTIONS—— 0 J,00 ramp. . . . . . : 0 W/SEPVTCE OR FEEDER: 0 PER TI'45PECTION. . . . . . 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 12 401 60!0 amp. . . . . . : 'A EA ADD' L... BRIACIA C.IRC. : I G IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 REVIEW SECTION- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR 225 AftirP S. . : CLASS AREA/SPEC OCC. : Owner-. FEES1 SUSINESSS INSURANCE CO. type amol.knt by date t,ecpt 66111.1 '5W CARDINAL LINI PR M T 1 115-1. 00 CJS 011L9/96 962=75416 E.,PCT $ 5. 75 CJS 01/29/96 96-275416 TlGARD OR 97223 Phone #: �_ontr-actor: Ol1NI 'ELECTRIC CONTRACTORS INC 120. 75 TOTAL PO BOX 1788 REQUIRED INSPECTIONS LAK[,_. OSWEGO OR 97035 Ceiling Cover- Elect' 1 Service Phone 0- Wall (,over- Reg This permit is issued subject to the regulations contained in the Tigarc' Municipal Code, State of Ore, Specialty Code, and all other e r--m 14:t-71.e—Signal t_(V,e applicable laws, All work will be done in accordance with approved plans. This permit will expire J work is not started within 180 days of issuance, or if work is suspended for more thar 160 days. Iss,1-ted By INSTAu-ATION ONLY - The installation is being made on property I nwn which is not intended for-, salp, lease, or` rent. OWNE'RIS SIGNATURE: DAJE: INSTALLATION ON1__Y -------------------- GIGNAJURL OF F3UPR. CLEC:' N: DATE- 916 LICENSE NO Call for- inspection — 639-4175 FROM : OMNI ELECTP I i PHONE NO. : 503 675 1391 Jan. 29 2036 06:15HM Pi Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Planck/Rec. # 'aE X7.5 /ib Permit # r2 96 --3 Phone (503) 639-4171 Date Issued i a 9y� FAX (503) 684-7297 ISSU6d b CITY OF TIGARD Tuu No. (503) 6Ha 0772 Y — Inspection (503) 639-4175 1. Job Address: JOB NO. 2132 4. Compleie Fee Schedule Below Name of Development Business Insurance Co. Number oflnaptactionsPer permit allowed Address 6610 SWCardinalLane #300 cervine lncluowdIt«ms Cost(i") SU n. City/SlatArlip T i c 1rd , OR -� _ aa. Residential- per unit 4 1000" n or leap $1 I CAO Name (or name of business)__5 ame tp`r'aAJdAi01O1 500 er1 rt nr ---. portion tharpuf 92600 1 Commercial ] Nesidential❑ k.•'+Mad Enerpv $2500 Frain Mpnul'd Wnrnr or A4nduhat 2 Dwelling ServlrB or Faerfyyr 660,00 2s. Contractor installation only: 4b.Services or Feeders — LbtallHhon,a"Arahun or relu dllurt 2 f lectrical Contractor Omni _Electric Contractors 200,n,psnrlaas sw002 Address PO Box 1788 _ r... amps to 400 amvt sac 00 ___ 2 CityLake Oswego State OR Zip 7401ampa ,fi00an'pl; $12000 2 of 1 ampu u,1000 anrt!' 11 pn no 2 Phone No 635-4306 : aOverIQOoornr>R-vollc 300.00 2 Contractor's License No 41.789 Rwoonad only - 33000 Contractor's Board Reg o 3-122(Y 4c. Temporary Services or Feeders �.—_� Installatmn,alleralton.or rplora4on 7 Signature of Supr. Elec'n h1 _ 200 amps or I". __ s5o 0o i LicHnse No. 2 3 4 5 S Pho a No. 635-4306 201 amps to400a ,p% 1'soc 2 -- - 401 •rnpF to 600 amis 11001 on Over 9rt0 xrlpt In Iam Voris - 2b. For owner insiallrytions. pep � ate• 4d. Branch Circuity Print Owner's Name� ,�� New Mufahon a wsten-pun per r-j,ol Addrf,a a)The Ips for branch orylr'p Irerh RAY or Yrvirs,or barerr fete ? City— '�--- Stale Zip_ p IIIf _ _ Farh Mar+^h am"t I f, ti,011) V Phone No ht The Ise Inr hrar_h clrcuds vArhorrr The installation Is being made on property I own which is purrhaae ol.arvice,or rinwh r imp z 1 Fust branch-trcvit 1 $35 00 35.0 0 not intended for sale, lease or rent. Each add4�onat branch arcu,l --' 95.00 - Owner's Signature+ _ -__ An. Miscellaneous (Service or foador not included) 1 3. Plan Review section (i1 required): Each pump or or pal on n rJa S4000 _ Ewit Fgo or otrtllrw IigMing W OJ Signal-cul(s)or a hmilro a—,pv Please check appropriate item and renter tar. fn s"ction 5B panel,altoralron or pdans,on 34u 00 d nr more rasidontial units in tone struclurA Minor Cabala(10) 110000 riWrvk a and fraidw 225 amps or pure System over F,00 volts�orninal 41. Each additional inspxtion over Classifis-d eras or structure containing special occupancy the allowable in any of the above an dr-scribed irl N.E C Chaptnr 5 - F�.,nc�or SSSD� - �n �- sV,cc Submit 2 sets of plans with application whnrn any of the 4bc.va ('1001 0r, apply. Not required for temporary cnnwtruction services. 5. Fees: � -` NOTICE 5s. Enter total of above tens 5 115 .00 5%Surcharge(05 X tntal fees) $ j, 7 5 PERMITS BECOME VOID Ir WORK on CONSTRUCTION Subtotal $ AUTHOII'7-FD IS NOT COMMENCED WITHIN t80 DAYS OR IF 5b• Fnler 25%of line D for CONSTRUCTION OR WORK Is SusrZNDED On ABANDONED FOR Plan Review if rp.tutred(Sec 3) f _ A PERIOD OF 1W DAYS AT ANY TIME AFTER WORK IS subtotal 3 COMMENCED n Trust Account 0 SS IBallance Due $ 0 CITYOF TIGARD _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP95-00435 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/01/1995 PARCEL: 2S 112DA-01000 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 06610 SW CARDINAL LN 300 FILE COPT SUBDIVISION: PP1995-098 BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: B2 OCCUPANCY LOAD: 0 TENANT NAME: FOUNDATION HEALTH REMARKS: 5,325 sq. ft. tenant modification with smoke detectors and alarm devices in lieu of rated lobby. Certificate of Occupancy Approved 1/19/95 by Tom Plescher, Building Inspector Owner: PACIFIC REALTY ASSOCIATION 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 Phone: Contractor: VIK CON,,TRUCTiON CO PO BOX 2250 EUGENE, OR 97402 Phone: 484-1188 Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building Fjas been inspected for compliance with the State of Oregon Specialty Codes fo► th o occupancy, and use under which the references permit was issued. ((/} BUILOING INSPECTOR BUILDING 6011CIAL POST IN CONSPICUOUS PLACE CITYOFBUILDING PERMITIGARD PERMIT #. . . . . . . : lour-.95....043°: T j: DATE ISSUED. 12/01/qcj COMMUNITY DEVELOPMENT DEPARTMENT . � 1 13125 SW Hall Blvd.Tigard,Oregon 972230199 (503)839.4171 C E L IR,5 1 122 D A-0 0,2.0 0 SITE ADDRESS. . . : 06610 SW LARDINAL LN #300 SUBDIVISION. . . . : Z ON I NG: I-P . . . . . . . . . . : LOT.. . . . . . . . . . . . . REISSUE: FLOOR AREAS---- EXTERIOR WALL CONSTRUCTION CLASS UF WORK. :AL,r FIRST. . . . - 0 s N: �j: E. W: TYPE Or USt-.'. . . :COM SECOND. . . : 0 s f PROIECT OF!ENlN(3S') -------- TYPE OF CONET. :3'N . . . : 0 s N: S: E: W: OCCUPANCY GRP. :B2 TOTAL----------- : 0 s f ROOF CONST:AFIRE RET" : OCCUPANCY LOAD: Q BASEMENT. : 12, s AREA SEP. RATED: 5TOR. : 3 HT -, 45 ft bARAGE 0 sF OCCU SEP. RATED: BSMT') :N MEZZ?:N READ SETBACKS--- ------- FLOOR LOAD. . . . : 50 p s,F LEF'T: 0 ft FRGHT,-, 0 ft FIR SPKL: SMOK DET. . : DWELLING UNI,rs: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BE DRIIS: 0 BATHS- 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 26 4,?79 RpmArks : 5, 325 so. ft. tenant modification with smoke detertot,s And al;Irm devic- in lieu of rated lobby Owner-: FEES CENTENNIAL BANK type amount by date r-eept PO BOX 1360 P L C I-'N $ 549. 58 B' 10/06/95 95--271392, rlRE $ 338. 20 13 10/06/95 95 4:7139: EUGENE OR 97440 PRNT $ 645. 50 B f2/01/95 95 2 7 3,4 23 Phone #: 91213-342-3970 5PCT $ 4c'. ;`J l3 1 i"?/01 /95 95--2734`3' Contractor-: Vill, CONSTRUCTION CO PO BOX 2250 EUGLNF OR 97402, Phone #: 484- 1130 1775. 36 TOTAL Rep #. . : 000571 REQUIRED INSPECTIONS Iris opreit is issued subject to the regulations contained in the Ft-aminq Insp Tigard Municipal Code, State of Ore. Specialty Cotes and all other Insulation Insp aDolicable laws. All work will be done in accordance with Gvj) Boav-d Insp avoroved plans. This oereit will expire if work is rot started Susp Cpj, lnq Insp _ - within 180 days of issuance, or if work is suspended for more Fit-ft Alar-m Insp than IN days. Smoke detector- i Misc. Inspection Final Inspection - tee 4'1 t 1-1 e;--in i 1, d t e Y. s,.-red Call for inspection 639-4175 Commercial Building Permit Application City of Tigard ,cc'� 13125 SW Mall Blvd. Tigard, OR 97223 (503) 63)-4171 t9�V 1` ` 1 Jobsite Address: 1 y •a �/, ',/�fllJ r,� `, • �'`"L�-` '_ Tenant: �!�' �'�IDN � TT suit•aK 3�T/ Office Use Only Valuationplanck/Rec # � C C? • " 241 ��1 ,_ 7� ([ r Permit # 1i o Owner: � Iv�C�{/ ` t� " Map P. TL # Address: _ Qh J_S" D Approvals F7__eguired Planning —_ PhOr1P' . r�v - — Engineering _ Other IBJ' r' ' �;.•^ ,.i Pzyl/ la-- Contractor. Address Type of const: Occupancy class: Phone. 4_9 i '1 ('�;�. IP ?2 — �-_' Sprinklered? CYes ( . Contractor's License # �_„ ��►SCINL� (attach copy of current Oregon licenses' Sq ft of project: Contact name & phone: ?JNA/ ( 11�� ,. `'" �( j Story (1st. 2nd, etc,) . � Jr+ ArchitecUEngineer: ?�,t% .� !p ,y+� i' 1� Proposed use: Previous L'SE: (V(AVV A;idress Ncte: Plumbing & mechanical plans must be submitted at time of Phone ;_4qbuilding permit application. v JOB DESCRIPT!ON Applican ignature & Phone number Recewed by _i___ Date Received: Permit # Account Description Amount Amt. Pd. Bal.'Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) _ Mech. Permit (MECH) 2,. State Tax (TAX) Bldg: PhAmb: Mech: G� Plan Check (PLANCK) JL�L� ✓ Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) _ Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FL.S) � / Erosion Cntrl Permit (ERPRIVIT) Erosion Planck/USA (ERPLAN) Erosion Planck;COT (EROSN) x7,6-e Sy TOTALS: ' cinr oI TiGaaD November 14 , 1995 OREGON W. E. Group/Architects 240 Country Club Road Eugene, OR 97401 Attn: Michael Marczuk Re : Foundation Health 6610 SW Cardinal Lane, Suite 300 PC10-22C BUP95-0435 The plans and specifications have been reviewed for conformity to applicable codes . Please submit three (3) sets of revised plans and specifications incorporating the following requirements : Fire and Life Safety Provide a strobe in roums 318, 302, and 313 [OSSC, Section 3109 (n) 21 . I Submit plans of sprinkler design wiL'i calculations prior to fabrication or installation. • 3 . Provide correct detail 8/2. for Lobby 301 . Accessibility � 1. Doors accessible for persons with disabilities shall have an 18" wide maneuvering space adjacent to the latch side of t.'.,q dour [Section 3109 (i) 3, Table 31E and Figure 25] . P^r,r.,> having closer and a latch shall have a latch side approac:. of 1.8" on the pull side and 1.2" on the push side for a frrnt approach [Section 3109 (1-3) and Table 31F] . Provide required maneuvering space at door number 303 . If you wish to discuss ar.v of these items, please rive me a call . Sincerely, James Funk Flans Examiner bup95-0435\pc10-22c '3125 SW Hal! B!vd., Tigard, OR Q7223 (5031 634-4171 TDD (503) 684-2772 -- — :x/1/1 40 ON ON IN WEOROUP,, /ARCHITECTS AND PLANNERS 240';UUNTRY CLUB ROAD, SUITE 100, EUGENE,OR 97401 (505)344.3249 November 27, 1995 James Funk, Plans Examiner City of Tigard 13125 SW Nall Blvd. Tigard, Oregon 9722' Re: Foundation health 6610 SW Cardinal Lane, Suite 300 PC10-22C BUP 95-0435 Dear Mr. Funk, The enclosed partial plans and information is in response to your review and letter concerning the above project Fire and Life Safety 1 Electrical contractor is Instructed to provide and install EST 792-7A-006 horn/strobe devices at the Centennial Bank 3rd floor project at the following locations. • Room 302 (conference) new south wall a:;ove the counter, top. • Room 113 (break) south wall adjacent to relite • Room 318 (conference) north wall adjacent to relite. (see enclosed 8'i2" x 11" plan) 2. An existing 3rd floor sprinkler system had been installed prior to the proposed floor renovation. Omlid and Swinney Fire Sprinkler Systems of Springfield Oregon has provided drawings showing the location of new sprinkler heads 3. Detail 8/2 for lobby should read 9/2 which gives the lobby elevations ana the fire assembly for Door#301 Accessibility 1 Enclosed is a partial floor plan showing the repositioning of the door jamb to compile with [Section 309 (i) 3, table 31 E and Figure 251 Jim, if you have any questions concerning the response please give me a call at 541-344-3249. Thank you, Michael Marczuk, AIA WEGROUP pc/Architects & Planners J BERNHARD.AIA Cyt IM MARCZUK AIA/K SEARL,CSI R WILLIAMS AIA/P MARQUIS.AIA P GALL.AIA,R SLUSARENKO,AIA ELECTRICAL. PERMIT CITY OF T I GA R D PERMIT#: ELC2000-00712 DEVELOPMENT SERVICES DATE ISSUED: 12/27/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112DA-01000 SITE ADDRESS: 06610 SW CARDINAL LN 300 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT : 001 JURISDICTION: T G Proiect Description: Tenant Improvement - Move Partitions Job#62-17967 RESIDENTIAL UNIT _TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS. 0 - 200 amp: PUMFIPRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL Reconnect only: _ SVC/FDR >=225 AMPS:_ CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES CHRISTENSON ELECTRIC INC 15350 SW SEQUOIA PKWY#300-WMI 111 SV`J COLUMBIA f IORTLAND, OR 97224 STE 480 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg #: LIC 000458 SUP 3289S PLM 2468S ELE 26-34C FEES Required Inspections _ Type By Date Amount Receipt Wall Cover PRMT CTR 12/27/00 $73.45 2720J)00000( Elect'I Final 5PCT CTR 12/27/00 $5.88 2720000000( Total $79.33 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 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PLRMITTEE'S SIGNATURE '--^� ISSUED BY: Electrical Permit Application Y� Date received: Permit no.: � Z City of Tigard r ti . Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hal 111-id,Tigard,OR 97223 Date iauai: A Phone: (503) 639-4171 ceiptno.: Fax: (503) 598-1960 i 1F�' ' le no.: Y Payment type: Land use approval: " ❑ I &i family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑Tenant improvement ❑New construction U Addi:ion/alteration/replace mciit ❑Other: U Partial Job address: 6610 SW CARDINAL, LANF B1tlg.nu.: Suite no.: Tax map/W lot/account no.: Lot: Block: Subdivision: -- - - Project name: CENTENNIAL BANK Description and location of work on premises:SMAL1 TENANT 11PROV Ff-',N7 Estimated date of com letion/inspection: QUESTION. .CONTACTCT SCOTT CARLSON -- Jobno: 62-17967 Fee Mrsx Business name:CHRISTEN SON ELECTRIC, INC. Description (Xy. (ea) Total nn.Ins ---- Ne"residential-sigk or multi-fr-tJly per Address: / / / SW COLUMBIA,SUITE 480 dweningwit Includes attached 1,a.age. City: PORTLAND Stat-R I�IP:9 _ Ser�tceincluded Phone503 2414812 Fax50324jjjj E-mal: It00sq-ft.orless CCB nom C.bus,lic.no. 26-34C Each add sal)sgsq—ft.or portion thereof - Limited energy,residential 2 City/metro ' o.: 5' 46 Limited energy,non-residential 2 T- — _ Each manufactured home or modulo dwelling Sinatuiliifof supervisin ectr cr_ re uiied) pat,_ 2 9 Service and/or feeder 2- Sup.elect.name(prin). BRIAN CHRISTOPHER License no: 8733 Servicrsorfeeders-installation, — - alteration or relocation: 200 amps or less _ 2 Name(print): 201 amps to 400 amps 2 Mailing address: - 401 amps to600amps -_ 2 601 amps to 1010 amps 2 City: _ State: ZIP: Over 1000 amps or volts 2 Phone: _ Fax: I E-mail: Reconnect only Owner installation:The installaiion is being made on property 1own Ten-atrary services or feeders- which is not intended for sale,lease,rent,or exchange according to Yotpliation,alteration,Pi relocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps 2— Owner s si nature: L`cte: ao l n,htx)amps 2 Branch circuits-new,alteraha� or extension per panel: Name' - A. Fee fer branch circuits with purchase of Address:__ _ service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first brach circuit: 1 6'8 4 6' 1) 2 Phone: Fax: E-mail: Eacbadditional branch circuit: y Misc.(Service or feeder not Included): U Service over 225 apps-eomove.rcial U Health-care facility Each pump or irrigation circle _ _ 2 U Service over 120 amps-rating of 1 R2 U Hazardous location Fach signor outline lighting _ 2 familydwellings U Building over 10,000 square feet four or signal circuit(s)or it limned ent i gv panel U System over 600 volts nominal moire residential units in one structure alteration,or extension* 2 •Building over three stories U Feeders.40(1 amps or more 'Description: U Occupant load over 99 persons U Manufactured structures or RV park Each additional inspection over the allowable in any of the above: U Egress/Iightingplat U Other Per inspection _ ��-- Submit,-wits of pip with any of the above. Investigation fee The above are not applicable it.,.mporary construction service. other Na all juridictiom accept credit cards,please call jurisdiction for morn infomuric Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number _ within 180 days after it has been State surcharge(8%) ....$ Name of cardholder a�shown one cid txpirr' accepted as complete. TOTAL . $ 79.33 f C'adhdder tipurrrrc Amount 444U tS(600R OMI OCT.2000 +FEES ON BACK OF FORK Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY �7 Restd,1ed Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-ptrr unit �7J 1000 sq.It.or less $145.15 4 I Audio and Stereo Systems Each additional 500 sq.ft.or portion thereof _ $33.40 1. Burglar Alar I.Imited Energy $75.00 n•,y„ s, 5� La <r:�^.. Each Manut'd Home or Modular `�— ❑ Garage Door Opener Dwelling Service or Feeder _ $90.90 2 Services or Fecders ❑ Heating,Ventilation and Air Con(' -g System* ' t Installatlrn,alteration,or relocation 200 amps or less - $80.30 2 ❑ '.W' ''�"'•. 201 amp,:to 400 amps $106.85_ 2 Vacuum Systems" r 401 amps to 600 amps $160.60 _ 2 601 amps tc�1000 amps $240.60 2 ❑ Other_ Over 1000 ar ips or volts _ $454.65 2 Reconnect onl, __ $66.85� � 2 Temporary Services or Feeders �wI '' ` TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alterabof or relocation Fee for each system................................................. ....... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260.260) 201 amps to 400 amps _ $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systams feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication 1-fstallation b)The fee for branch circuits without purchase of service ❑ Fire Alar Installation or feeder fee. First branch circuit $46.85 r HVAC Each additional branch circuit L $11.65 Miscellaneous ❑ instrumentation (Service or leader not included) Each pump or irrigation circle _ ;'33,40 ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuits)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension _ $75.00 Minor Labels(10) $125.00_ ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Calls Per inspection 462.50 Per hour _ 462.50 In Plant _ $7375 C7 Out(loor Landscape Lignting' Fees; Protective Signaling Enter total of above fees $ El Other 8%State Surcharge $ rf __Number of Systems 25%Plan Review Fee No licens^s are required Licenses are required for all other installations See"Plan Review"section an $ iron!of application -- -- =Fees: Total Balance Ocie $ —1 C , r--� J Enter total of above fees $ Trust Account p_ 8%State Surcharge $_ - Total Balance Due $_ i�dst0brms\elc-fees doe 10109.100 44OVER FOR PERMIT FORM CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2001-00001 DEVELOPMENT SERVICES DATE ISSUED: 1/3/01 13125 SWH,311 Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112DA-01000 SITE ADDRESS: 06610 SW CARDINAL LN 300 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA. 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ _ REQUIRED _ FLOOR LOAD: psf LEFT: tt RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,185.00 Remarks: Modification of(3) sprinkler heads in existing fire protection system on 3rd floor. Owner: Contractor: PACIFIC REALTY ASSOCIATES SOUND FIRE PROTECTION INC 15350 SW SEQUOIA PKWY#300-WMI 10756 SE HWY 212 PORTLAND, OR 97224 CLACKAMAS, OR 97015 Phone: 620-8860 Phone: 655-3775 Reg#: LIC 70003 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR _ 1/3/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 1/3/01 $5.00 27200100000 FIRE CTR 1/3/01 $25.00 77200100000 Total $92.50� -- � - — --- -- L— 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 viork 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 OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. PermItee Signature: Issued B�: ;�"QL'-r Vk- k ! Call 639-4175 by 7 p.m. for an inspection the next business day t Building Permit Application City of 'Tigard Date received: '/-o*1 /_ Permit no.:'6-400/.pp o/ rd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate: City of Tiga Phony: (503) 639-4171 Date issued: By: IReceipt no.; Fax: (503) 598-1960 ,�lllJo'1000 '�y1�' Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: t U &2 family dwelling or accessory �Commercial/industrial U Multi family U New construction U Demolition vAddition/alteration/replacement U Tenant improvement 4-Fire sprinkler/alarm U Other: t . Job adCress: v Bldg.no.: Suite no.: �p Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name: /V^/1 ryr -- Description and location of work on prgmises/special conditions: ► EN 4N 7'` r�>.ZbV dt M E N-r- C>D r r r,.,N OF t1f t`�- tr Q it t,. A'r)a , OF 1,LP)&L' d Name: Mailing address. I &2 family dwelling: City: State: /IP Valuauo;,of work........................................ $_ Phone: �L'ax: : nt,u l No.of bedrooms/baths................................. Owner's representative: 'Total number of floors............................ . . Phone: Fax: New dwelling area(sq. ft.) .......................... Garagercarport area(sq. fl.)......................... --__ Name: 0- /L"i i J w10 Covered porch area(sq. ft.) ......................... _- Mailing address: t,7 f . Nor 11 - Deck area(sq. ft.) ........................................ _-- C�ly6 C a ^ State:(#Q ZIP: 4 7t S Ot ter structure arca(sq. ft.)......................... Phone." 3')5 1 Fa " 29fd E-mail: ('ommercial/indnstriel/multi-family: Valuation of work........................................ $ Business name:fou No FiRQ Pfl»7!"G>~l o N ,_�G Existing bldg.area(sq.ft.) .......................... Address: /y?5 A S,C N ,,t y Z 1 7- New bldg.area(sq.ft.)................................ _ City: • 111 c'Ciq M^ I State:ore I ZIP: %7-11 Number of stories........................................ Phone:o - S.-1?-7!5 Fax:n4 S fq, E-mail: rype of construction................. ................. CCR no_7 n,0 3 I l- 07- Z_ - - Occupancy group(s): Exp New: City/metro lie.no.: 3 rf3 /0 Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: / ' a�F P u,,� provisions of ORS 701 and may he required to be licensed in the Address: o SF. 14wy At'7- jurisdiction where work is being performed. If the applicant is Cit :I_tA CeA M Of" State:uk ZIP: 9'o t j exempt from licensing,the following reason applies: Contact person: I plan no.: A Phones" r,5 _37-7; fax:'"' E-mail: — — Name: _ Contact person: _ Fees due upon application ........................... $ SO Address: Date received: _ City: Stale: ZIP: Amount received ...................................^$ Phone: Fax: I E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accein credit cards.please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard work will be complice whether sp dried herein or aol. Credit card number: _` L Expires Authorized si#nntu _ Date: A^/ m/ Name of cardholder as flown on credit crud r S Print name: d (�V (/ -- �_—_ cardnolckiiian.ture -- — Atrttwtn Notice:This perm'.application expires if a permit is not obtained within 180(lays alter it has been accepted as complete. 440-461.1(6AXI COM) Fire Protection Permit Check Li-3t A. ❑ New ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to CJ1 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:___5 Addilkwal descripti of work: Fti�N - Mr'Ro 40 .,,F,r7- Type of S stem Com tete A or B as applicable): A.)- Sprinkler Wet U-- Dry ❑ ------ _-- —. Standpipes Additional Hazard Group_ I.,6# Information Density Design Area T L 3 T_ V K. Factory Sprinkler Pro ect Valuation: $ B. Fire Alarm Submittal shall _Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal_(A & B):Permit fee based on valuation see chaff _8% State_Surchar e: FLS Plan Review 40% of Permit : TOTAL: $ i.ldsls\(ormsTPSchecklist doc 10/04/00 CITYOF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00512 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/28;00 SITE ADDRESS: 06610 SW CARDINAL LN 300 PARCEL: 2S 112DA-01000 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK.: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + Hp: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Tenant Improvement - Relocate And Add HVAC Grilles Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 12/28/00 $72.50 2720000000 PORTLAND, OR 972?4 SPCT CTR 12/28/00 $5.80 972000000C Phone: Total $78.30 Contractor: MARKMAN INC 9555 SE ASH STREET PORTLAND, OR 97216 REQUIRED INSPECTIONS Duct Inspection Phone:503-255-9923 Final Inspection Reg#:LIC 00102857 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are let forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503)248-9189 Issue By: �Q p2 Permittee Signature .- Call (503)' 39-4175 by 7:00 P.M. for inspections n@eded the next business day 12 '27 00 til{1) Ili 56 i'.1.\ 5O3 598 19(i0 (1'11 OF TIGARI) 10002 Mechanical Permit Application Date received. ) Perms -, )em _Co City Of Tigard Pro)ecdappl.no.: Fxptrcdate: nry(if Ti,peird Address: 11125 SW Hull Blvd,Tigard.OR 97223 Phone: (503) 639-4171 Date issued; By Receipt no.. Fax: (503) 598-1960 Cnse file no.: Payment type: Land use. approval: Buildingpermit no.: -LV P Z 0 v7 to 7 J I 'dt 2 larnily dwelling ur accessory lkComnlcrcialhndustrial U Multi-family tj'1'enant irnpnwcnicni J New construction , a Addit on/alteraliort/replacemeni U Other: ------- 101111 SI1rF INF.0111NIATION .lob address; -_ '� I Vl/ C.a t H r-, Lf�N� Indicate equgnneut quantities in boxes below. Indicate the t uhm Bldg.no.: I Suite no.: ?r cj rt_fi' value of all mechatdcal muterials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ - 2--0 n 0 O . Lot: Hle:k: Subd axion: � ''See checklist for imporlunt application intormution and Project name:C,o v,,•}•4 Y,V,,i "�. _�. 1� jurisdiction's fee schedule for resid, tial permit fee City/county: I ZIP: Description and location of work on premise t) t) Fee(em.) Tolw Est,date of cum pledon/inspection: Desai tion QtL. Res.unit% Res.oidy Tenant improvement or change of use: Is existing space heated or conditioned''-tTY.s U No Air handling unit ,_ CFM Is existing space insulated'!( "Ye. U No Air conditioning(site plan required) Alteration of c%isunngIVAC sysicm a U11161 n er/compressors - State boiler permit no.: Business name: r", l W\22 -L`� M_ _ IIP Tons 13TU/11 1 Address: 9 9 �: L _ hire/smn c umpe&/Juiismokedctcctors City:( t Ittx.t,Cr I State: O ER el I (to .:eat pump(site plan require ) -- -- — Phone: •) � ),` rax:)L), S 9 L E-mail: nstall/rep acc furnace/hurner — BTU/11 CCH no.: I --- r .-� Including ductwoik/vcnt liner U Yes U No Insln /rep nce/re ocatcheaters-suspen eJ. City/metro tic,no.: I Q GO _ __ wall,or flour mounted Nwne(please print): cat for lance other than fumace _ Refrigern n: Absurpuon units__ _ BTIJ/H _ Name: / a Chillers HP -- Address: a j r~ S L. A -- Compressors __ HP -- t nirtironmentall exhaust unit ren; at on: State: r ZIP: 1) ! 1, Appliance vent - — - Phone: ; S r1 Z ' Fax: '� _ r r� E-mail: )rycr_cxlio -ust _ 1 r cods, ypc res. tchen hazmat hood fue suppression system _ Name: 'r V 1 h K Exhaust fun with single duct(both fans) Mailing address: t• w ,S•`-V C cq Na. („Dill t IExhaust system a p art from heating or AC Cih r I State: LIP •tie p r o';-And distribution(up to 4 outlets) LPG NG Oil _ •l yup.- Fax; Email: tel i in•each additions u-T-ver44 outlets - Process piping(schematicrequitcd) Number of outlets Nome: -__ tee Uded appllanrenrequipment: - Address: Decorauve fireplace _ City: 51.11c.�ZiP: -_ naert-type W�Stove pC CIFIOVe Phone; Far.: G-mail; _ Applicant's signatures f e,..� --- er - - f late: I),- ),�-0 0 ter: Name (print): I / r..vtc uA Permit fee.....................$ ' Not all pmsdictlans xr:epi credit cord%,please call jurisdiction fur more in brteation. _— Q Vila J MnsterCurd Notice:if a permit application um fee ...............$ expires if a permit is not obtained - Crcditcurduuwtrer. — -- _L-L` Plan CBVtCW(at _ %; S / Es dies within 19()days ager it Hs been State surcharge(8%)....$ --- ---- — Nune of csrdliolder os shown on credit caw— accepted as complete. g TOTAL ........................$ Cu s p older mture_ — Armani —__ 460."17(&UVCOM) (2 AM, �U I ViTY OF TIGARD BUILDING INSPECTION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP —..-- ---Date Requested. r _ G /---AM—.--PM BLD Location �' �/ 1 U S .—<:. �► i h Suite ---_— MEC Contact Per-,on — — Ph ��'j %3�• — PLM Contractor _ `� <-�.�� _....___ Ph _ SWR BUILDING — Tenant/Owner - __— - ELC c,CG-G�Z�Z_ Retaininy Wall - ELR Footing /Access: Foundation FPS _ Fig Drain — SGN Crawl Drain Inspection Notes: Slab T-i�i Post& k3eamFxt Sheath/Shear Int Sheath/ShearFraming J �L1 - -- insulation - Drywall Nailing V ��r- Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling -- Roof Misc.- - ------------ - �� ---- (inal PASS PART FAIL -- —�-_ — _.— PLUMBING Post& Beam - --- Under Slab Top Out -------__---------- - Water Service l Sanitary Sewer Rain Drains Final - ------- --- — PASS PART ' FAIL _-- -- MECHANICAL Poet n Ream --- -- - -- --- Rough L, Gas Line -----, `imoke Dampers Final - - - -- ------------ - ---- --- PASS PART FAIL C -- ---- - ---- ._. Service Rough In UG!Slab I ow Voltage lV* m - ------------ ------- —-- -- - - ASS RT FAIL --- - ----- -------- -- -- - 81TE Backfill/Grading -- ---- - - ---- -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ _ _ [ ] Unable to inspect- no access ADA Approach/Sidewaik l Other Date - / //-_Inspector — �-�-C Ext --_ Final ^ _ASS PART FAIL_ noNOT REMOVE this inspection record from the job site. L ' v\ �IANCK# 12- 11C- Date;—j,2- APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM BUILDING DIVISION, CITY OF TIGARD 6394171 DATE: Y. =_ � S PERMIT ti ` Valuation: ,Akmt. Paid:._ �. w_ Permit Fee: —0 0 40% Plan Check Fee: Ealance Uue:,____; 5% State Tax: -- ---- G4:S3 �J.�C Plans must be submitted to the Building Division before installation. Three sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation: _— Addition: _ Repair:_ Alteration: Cumplete: —_ Partia�:__,_.,__,__ Exitway,__ Basement:___ Hood & Vent:__-___-_. Spray Booth; !N EXISIIN(; BUILDING:__ IN NEW BUILDiNC:_ N'JMf3:R & STREET: .._6�� =— NArnE qO. OF ST0RlFS:__,3 SIZE OF 8UlL01NG __._.____ OCCUPIFU ,oS:__aFct Q 6jk TYPE. OF SYSTEMS: v.'er:_�_ Dry:__ Comb nahon:,r--- STANDPIPES: OC:.HALARD: Light_4_ 0RD.GRP.HAZARf) i____2- 3-- 3_- 4Extra L7EN51'1Y�[ f7 _ GPM/Ft.2 DESIGN ARE.A_L.fgp R2 SPRINKLER AREA_ h2 SPRINKLER ORIFICE SIZE:_„_ ` "K” F:ICTOR ._ TCMP_ RATING; / JS � OWNER: CEKrt VAt14 & 6h u A-X)RE55: --�_.—_—�- --- CO':TRACfUR:.p�GlL1 � S WI N/K- L.V_ PLANS DRAWN B'r:_ S AMS. REMARKS: APPROVED perm!ts includes only work desrribed above and/or on clans and spodiication bearing, the same permit number and will comply with all appl :able cavies and ordin noes of the Cit- of Tigard. yo ^r1 10( SPRINKLeR COMPANY- I.,, !A/ PNUhE: 77 C– SIGNATURE OF APPLICANT: ____ _� Kl.�'.t...�7' t �� .t� Jltr�y �;J`�` ,A+►� /1/.�//gr DlJluv�r/el /1'�!�• �v,a.1! Y[.eve B ALDNG DIVI:ION: "ERMIT VALID FOR 180 DAYS BUILDING PERMIT CITY OF T I GARD P'E PPl I T #. . . . . . . : COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1212.,6/9 13125 SW Hall Blvd. , Tigard,Oegon 9722398199 (503)839-4171 Fn R CE L DA-'710_11. _.)�. . . . ic,W I-N iK.", IBDIVISION. OCK. . . LOT. . . . . . . . . . . „ . ZON ING: I-F, LOT. . . . . . . . . . . .. . . EXTERIOR WAI-L CONSTRUCTION—"---***'------'—'-'------'--,---"*,---1---'LOOR AREAS—------,-"----*-----",-*-*---'---,--*-"----*—,—,"-*----,—**--,-', , — 13EISSUEI OF WORK. :ALT F I REST. . . . - 0 s N: S: E: W: -rY[:'E OF USU�_ . . C(3M SECOND. . . 0 S r PROTEC'r TYPE OF CONST. .3N ' OP;EN I NGT:)?- 0 sf' N: S: OCCUPANCY GRP'. : TOTAL-------- 171 sf POOF CON 5T: FIRC RET? : OCCUPANCY L-OAD: BASEMENT. : 0 S AREA SEP. RATED: STOR. . IAT: 0 ft GARAGE. . . : 0 S OCCU SEP,. RATED. B!3MT?.- MEZZ?: REUD SETBACKS- 1:J_OOR L.OADI . . . : 0 Ps LEFT: 0 ft RGHT: 0 f is P I R GPIJL:Y SMOK DET. W4ELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: -)R M G. 0 BATHS; 0 I1ylP S(.)Rrf)CF,-: 0 PIRO CORP. PA R K I I I C3, 1A AJE. $ : 33,51 -mat-ks : Fire si.tporession �jvstaffj. :CNTE'NNIAL BANK FEES tvpe imoo-int tiv dat e R(70' 1560 rerpt PRMT 6 44. 50 B 12/05/95 95--273578 V,I RE 3 180 B ..(JLiENL OR 97440 14._/05/95 95--27`3!:;78 hone #: '303-34a-3970 5P'CT 2. 21 3 12/05/95 95-273576 IIYILTD & SWINNEY FIRP L65 N 35TH ST FIRINGFIEL-D OR 97478 A-IoTle #: 0- - - 062"IZ60 $ 64. 5Z TOTAL- REQUIRED INSPECTIONS ,)is permit is issued subiect to the regulations contained in the Sprinkler rirlal iqard Municipal Code, State Of 0?-F. Specialty Codes And all other Fire Ali a--Olicable laws. All work will be done in accordance with rj Misc. Inspectio ,00roved plans. This permit will Mire if work is not started FiTial jnso' ec.,tioyl n 180 days of issuance, or if work is susvqnded for more 190 days, fn i t;t e e S ix,1 111 1%AYU(Ij - e” Ao)IN(-C,-L ,_ted Pv - V1_ Call for insPPrtion 639- 4175 CITY OF TIGARD BUILDI"JG INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested 02-U / AM PM -- - BLD Location 6�6 -5G✓ Ce";-d-/ "- Suite MEC Rj�u - Contact Person _ PhPLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall Footing �- �L12 -- Foundation AC�P,SS FPS Ftg Drain --- Crawl Drain Inspecticn Nates. SGN —_ Slab Post& Beam SIT Ext Sheath/Shear Int Sheath/Shear ---- --T Framing - - ---- - Insulation - ----------- ----- �.. ------ Drywall Nailing --------------- Firewall Fire Sprinkler -----_,-.--_-_- __--- -------,-- -- - Fire Alarm -- -------_------.__-.-- Susp'd Ceiling -- -------__- - ------ -- - - - --- --------- --- --- Roof Final ---,---- PASS PART FAIL --- --- _-_._.__- _.-- --- _------ ..-.---- - ------- PLUMBING Post & "earn --- ----- -------— -- - ------ - —— _ —_----- - Under c ib Top Our --. ___----- - ------ -- ----- - ------ Water Service Sanitary Sewer Rain Drains --_ __-.-------------------- Final -`-- PAS T FAIL. ECHANICA-Fm --- -�— t& Beam -- --- - - ---- ------.�. -------,.". Rough In GasLine -- - ---- - --- --- --- -- — -------- -- ------- -- Smoke Dampers A ) PART FAIL -ELECTRICAL - ----- -- . - - Service Stough In (JG/Slab I ow Voltage I irp Alarm inal PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ __-- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE Unable to ins Fire Supply line [ j peel-no access ADA Approach/Sidewalk DateInspector ectorother -- _-�--�- --- ---Ext —_ Final PASS—PART FAIL_ DO NOT REMOVE this inspection record from the job site. CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Bl.isiness Line: 639-4171B BUP _ —�— _Date Requested 1- L L _AM PM _ BLD _ Location CS S►' �'�G' -5 U rd/.1 et- irk Suite ��' �' _ MEC Contact Person _ _ Ph _2 "�" G/ J Z 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC RetainingWall ELR Footing Access. -- Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes Slab ---- --------------- -- --- -- SIT Post& Beam - Ext Sheath/Shear int Sheath/Shear -- Framing - --- --------- -_ _— __—..- ------ Insulation Drywall Nailing _ - ---------------------------------------- Firewall — — Fire Sprinkler Fire Alarm Susp'd Ceiling --------_------ --_-- Roof Micc: --- F final ---------_.--- PASS PART FAIL_ --- ------- ------- --------- -- -- - - PLUMBING i'ost& Beam - Under Slab Top Out Water Service Sanitary Sewer ----. ---__-- Rain Drains --------------------------- --------- Final ----------- --- .___ PASS PART FAIL Post& Beam e _.--------...___- ---- -___-- h Gas Line - - Smoke Damper Sa PART FAIL ELECTRICAL - - -- - ------- - Service Rough In UG/Slab Low Voltage Fire Alarm ------ -----.- -_ ___ _ —__--_ -__- Final PASS PART FAIL SITE Harkfill'Grading -- ---- -- -------� - ------ -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ,Fite Supply Line [ ] Please call for reinspection RE: _ _ ---� - [ ] Unable to inspect- no access ADA Approach/Sidewalk 77 �) (Aher -- Date �� C�-C/ Inspector ----- Ext Final --�----------- L PASS PART FAIL. - DO NOT REMOVE this inspection record from the job ;ite. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP //�1 Date Requested - - Z. - / AM _PM BLD v Location (' l() -5 w CSG/�,(�l r �- Suite e 0 -- _ MEC Contact Person _---_ Ph !t' '� �,�,z- PLM Contractor_ - - Ph SWR _ Tenant/Owner ELC Retaining Wall —Y ELR Footing Acre.s: - Foundation FPS Ftg Drain -- — Crawl Drain Inspection Notes: SGN _-- - Slab Post R Beam ------ `— _ -- SIT - -- Ext Sheath/Shear Int Sheath/Shear Framing - Insulation -- --- Drywall Nailing _ Firewall — —� Fire Sprinkler --�- -__-- - Fire Alarm — Susp'd Ceiling Roof � ----- -- --- Misc: PASS -PART FAIL MBING — -� ,ITT Post& Beam - Under Slab _ --- Top Out -- --- — - - - Water Service Sanitary Sewer /� Rain Drains -- 1 'j _ ��_Y Final - --- - ' PASS PART FAIL MECHANICAL. - - Post hBeam RouyIn Gas Line Smoke Dampers Final - - -- _-- --- -- - PASS PART FAIL ELECTRICAL - -------.-_ -�--- Service Rough In ----------- ----------- --- --- - -- IJG/Slab Low Voltage - Fire Alarm Final ------- ___—_ ----- - ------------ PASS PART FAIL SITE Backfill/Grading --- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ]Please call for reinspection RE: ( )Unable to inspect-no access ADA Approach/Sidewalk Other Date. / 1 Inspector_ Ext ��___1__ PASS PART FAIL ) DO NOT (REMOVE this inspection record From the job site. CITY OF I i GARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00498 13125 SW Hal: Blvd,,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 12/20/2000 PARCEL: 2 S 112 DA-01000 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 06610 SW CARDINAL LN 300 SUBDIVISION: PP1995.098 BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3-1 HR OCCUPANCY GRP: B OCCUPANCY LOAD: 85 TENANT NAME: REMARKS: Commercial TI Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND. OR 9722.4 Phone: Contractor: BNK CONSTRUCTION INC 10730 SE FIWY 212 PO BOX 66 CLACKAMAS OR 97015 Phone: 55�-0866 Reg#: LIC 107555 This Certificate issued 112/119/2001 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was is d. BUILDING INSPECTOR > BUILDIN FFICIAL POST IN CONSPICUOUS PLACE CITY" T MECHANICAL OF IGARD PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95-075c) 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 DATE ISSUED: 11/30/95 PARCEL: RS 1 12DA-00200 si"ru ADDRESS. . . : 066 10 SW CARDINAL LN #S. .30 SUBDIVISION. . . . : ZONING: I-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . Cl-ASF OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF jSE. . . . sCOM UNIT HEATERS. . : 0 VENT FANS. . . 1 0 OCCUPANCY GRP. . :B2 VENTS W/O APDL: it VENT SYSTEMS: 0 SIORIES. . . . . . . . : 3 B07LERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0 :/UAS/ 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 1-4P. . . . .. 0 REPAIR UNITS: 0 V- IRE DAMPERS?. . ., 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+- HP. . . - 0 CLO DRYERS. . -. 0 NO. OF' AIR HANDLING UNITS OTHER UNITS. : 0 f-URN ( 100{ BTU: 8 10000 cfm: 5 GAS OUTLETS. : 0 FURN )=100K BTU: 0 10000 cfm: 0 Remat,l<s .- 5, 3t'=-'5 scl. ft. t eyiAr t modification Uwners FEES Cl--NTENNIAL BANK type amount by (date vecpt 1='0 ROX 1560 PRMT $ 60. 50 JSD 11 /30/95 95--273376 PLCK $ 20. 13 JSD 11/1'30/971 95-2'733 7b 1:UGENE OR 97440 5PCT $ 4. 03 JSD 11/30/95 95-J:'77,77(, Phone #.- 503--342-3970 C-antractor: AMERICAN HEATING, TNC. 1.339 SE GIDEON pr)RILAND OR 97202 Phone #: 239--4600 $ 104. 66 TOTAL Req #. . - 33135 REQUIRED INSPECTIONS This pervit is issued 31iblect to the regulations contained in the Mechanic.-Al Insp Tigard Municipal Code. State of Ore. Specialty Codes and all ether Heating Unt Insp applicable laws. All work will be done in accordance with Cooling Unt Insp .......... approved plans. This permit will expire if work is not started D�.iu t Inspection within 180 days of iss,.imp, or if work is suspended for sore Mi sc. Inspection P — 180 days. Final Inspection Final Inspection r-P i-m i t t e e Si NIX BV ....... Call for inspection 639-4175 i,tthAti 4, City of Tigard MECHANICAL PERMIT Planck/Rec. # c 13125 SW Hall Blvd. o, APS' ATION r �/ Permit # N Tigard, OR 97223 (503) 639-4171escription eZ�MAL NK 72) Supplernerital echanical Code QTY PRICE AMT Job S.LI) l JNA-( IA�t Fee -0- -0- 10.00 Address .. Permit 300 .m. a I-.,, «. - ----rurnace to 100,000 EJTU 1) incl. ducts &vents Furnace + Owner 1 5ty-' 2) incl, ducts 8,vents 750 Floor Fijrnance 3) incl. vent 6.00 .m. •• .m rx�-„-'f -+�-- Suspend-eThester, walleater tii(JQ "lll�) - 4) or floor mounted heater 6.00 ° "• °^• Vent not inc in L0� Occupant iI/H� Ka-1= /z0 J� 5) appliance permit 3.On ” '• G 56 epair of heating, re ng. 6) cooling, absorption unit 6.00 'm. Boiler or comp, heat pump, air cond. 7) to 3 HP; absorp unit to 100K BTU 600 c Boiler or comp, heat pump, au con . �. l/ l T(� 8) 3-15 HP; absorp unit to 500K BTU 11 ni0 Contractor 4� , offer or comp, heat pump, au con . t� C 9) 15.30 "P; absorp unit 5-1 and BTU 15.00 o er or comp heat ump, air cond. 10) 30-50 HP; absorp unit 1-1.75 and BTU 22.50 hereby ac now a ge that I have read this app icatio-n t at t he —9-01ler or romp, heat pump, air 70-rd- information con information given is correct, that I am tha owner or authorized 1 1) , 50 HPabsorp unit 1 75 and BTU 3750 agent of the owner, that plans submitted are in compliance with -----Air handling unit to „ State laws. that I am registered with the Construction Contractor's12) 10,000 CFM ` 4,50 _Y5- Board, that the number given is correct. (If exempt from State Air handling unit registration, please give reason below) 13) 10,000 CTM + 750 Non nona e 14) evaporate cooler 450 --7e-n-t-Tan;onnecteT - 15) to a single duct 300 Ventilation system not - 16) Included in appliance permit 450 Zwor�l oo seryer y 17) mechanical exhaust 450 esnew addition i, a teration 7T repair L Commeicia or In ustna to be done residential Q non-residential O 18) type incinerator 30 00 xI ting use o — ter i e. woostovr�'e.water building or property —_ ��✓�— _ 19) heater, solar, clothes dryers. etc 450 Proposed -ise of 20) Gas piping one to four outlets 2.00 building or property -- Type of fuel -oil natural as LPG 21) More than 4-per outlet (each) 200 Q g � Q electric (� NOTICE --- Minimum Fee $25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE L� 3 IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ' 'OR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL- AFTER WORK IS COMMENCED --- - f� TOTAL Special Conditions `- - - - --- ------.._._ _ Date Issued ------- -- --- --- --_ +'LC CSI M091SMECMPM 1 - BUILDING PERMIT CITY OF TIGARD _ PERMIT#: BUP2000-00498 DEVELOPMENT SERVICES DATE ISSUED: 12/20100 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S117.DA 01000 SITE ADDRESS: 06610 SW CARDINAL LN 300 SUBDIVISION: PP1995-098 ,ZONING: I P BLOCK: LOT: 001 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: 3-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL. AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 85 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ7?: REM) SETBAuKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE. $ 30,000.00 Remarks: Commercia; TI Owner: Contractor: PACIFIC REALTY ASSOCIATES BNK CONSTRUCTION INC 15350 SW SEQUOIA PKWY#300-WMI 10730 SE HWY 212 PORTLAND, OR 97224 PO BOX 66 CCKA 97015 Phone: Phone:��- 6 Reg #: LIC 107555 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 12/13/00 $320.80 27200000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 12/13/00 $128.32 27200000000 Plumbing Permit Required PRMT CTR 12120/00 $320.80 27200000000 Framing Insp PLCK CTR 12/20/00 $208.52 27200000000 Gyp Board Insp Susp Ceiing Insp (additional fees not listed here) Final Inspection Total $1,004.10 This p rmit Is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialt; Codes and all ot'1er applicable law All work will be done in accordance with approved plans. This permit will expire if vlork is not started within '180 days of issuance, or if work is suspended for more than 180 nays. ATTENTI ,W 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 OAR 952-001-1987. You may obtain a copy of these rules or direct questions tc OUNC by calling (503) 246-1987. Permitee Signature: a! — I Issued By: ---- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received:/r�'�3'(�C Permitno.:60'I Peae -pDy City of Tigard Address: 1312'i SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expiredate: City of Tigard Date issued: Ii Phone: (503) 639-4171 y: IR eil t no.: Fax: (503)598-1960 t Case file no.. Paymen -ype: Land use approval: _._ 1&2 family:Simple Complex: TYPE or, PERMIT U I &. 2 lamily dwelling or accessory U(-onimercialAndustrial U.vlulti-family U New construction U Demolition U Additiotm/atterution/replacement ,Tenant improvement 0 Fire sprinkler/alarm U Other: JOB SIT FINFORNIATION Job address pSw �, �� Bldg.no.: Suite no.: L.ot-. Block: Subdivision: Tax map/tit lot/account no.. — Project name: 7�NN I/�r TILS Description and location of work on premises/special conditions: 1 Floodplalln,seplic capacity,solar, Mailin address: g III dwelling: City: 1 I G it _ State -4,.. ZIP: Valuation of work........................................ Phone: I Fax: E-mail: No.of bedrooms/baths.... .......................... Owner's representative: - . Total number of floors....... ......................... Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... _ Garage/carport area(sq.ft.)......................... Name: { -, Covered porch area(sq. ft.) ......................... _ - 7 _ Deck area ft.) Mailing address• (:,q. ............................•.......... Other stricture arca(s . A.)......................... City: � l Stat i- ZIP: Phone: Fax: iYommcrclal/industrlal/multi family: t; ( �L(r,p� E-mail ' ,i�Zd'' 1 011 Valuation of work........................................ Business name: �[� J, i t Wsting bldg.arca(sq.ft.) .......................... • -- —�—__ New bldg.area(sq.ft.) ................................ . . Address: — - -�_. , Number of stories........................................ --- — City: State: ZIP: -- Type of construction................ ...... ....... .... Phonc Fax: E-mail: — Occupancy group(s): Cxisting: CCB no.: --- — _ New: City/metro lic.no.: ;Mice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: t provisions of ORS 701 and may be required to be licensed in the L s: jurisdiction where work is being.,performed.If the applicant is tate. ZIP: t exempt from licensing,the following reason applies: t perso : Mf.1 .,/�j' S Iannu.:ax: E-mail: Name: Contact person: _ Fees due upon application ........................... $ _ Address: — Date received. City: State: I7.IP: Amount received ....................................v$ _ Phone: Fax: E-mai': Please refer to fee schedule. I hereby certify I have read and examined this i f.loitcation and the Nowt all jutisdicthru accept credit cud%,plea"call juri,diction for more infornmtton. attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will he complied with,whether specified herein or not. credit cud number — _ __j_ /_ rtopirea Authorized signature: Date: —Name of cardholder as shown on credit card — Print name: Cardholder signature $ Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-46lm(6Maamxf) ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC200'1-00434 DEVELOPMPENT SERVICES DATE ISSUED: 8/29/01 13125 SW Hall Blvd., Tiqard. OR 97223 (503)F3to-4171 PARCEL: 2S112DA-01000 SITE ADDRESS: 06610 SW CARDINAL LN 3U0 SUBDIVISION: PP1995-098 ZONING: I-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: (1) branch circuit to HVAC. RESIDENTIAL UNIT _ TEMP 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: MANF HM/SVC/FDR: 601-,amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH C14CUITS _ ADD'I. INSF'ECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES CHRISTENSON ELECTRIC INC 15350 E W SEQUOIA PKWY #300-WMI 111 SW COLUMBIA PORTLAND, OR 97224 STE 480 PORTLAND, OR 97 201 Phone: Phone: 241-4812 Reg#: LIC 000458 SUP 3289S ELE 26-34C FEES Required Inspection:; Type By Cate Amount Receipt Wall Cover PRMT CTR 8/29/01 $46.85 2720010000( clect'I Final 5PCT CTR 8/29/01 $3.75 2720010000( Total $50.60 phis 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 Goproved 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. ATTEN i ION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: �] (� �1 �_"A t., r � y Issued By: � L _ 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: _ ( L1',(� ,y� G ��— DATE:_._ LICENSE NO, Call 639.4175 by 7:00prn for an Inspection the next business day Sent by: CHRISTENSON ELECTRIC 5032056/21 ; 08/27/01 11 :52AM;JaLfa&-_tt693;Page 1 /1 Flectrical ft riW tAQQlication -� Dalereecwed ` Permitno.: �^ 1 City of Tigard Rolecdappl.no.: Eupiredotet Address: 13125 SW Hell Blvd. Datc issued: B Receipt no.: ClryujTfgord 223 Y� P Phone: W3) 639-+4171 Fax: (503) 598-1960 Case file no. Payment type; Land use approval: ❑ 1 &2 family dwelling or accessory 7QCommcrcidl/industrial U Multi faintly O Tenant improvement7 0 New construction O AdditioNa{terauonlrep{acernenr U Other _ U Partial r fob address' 661 SW_PA__ZNAL. LAN - Bldg, no.: Suite nod Tax maphax lot/account no.: - --. U�t: Block: Subdivislon: Project nameCENTENIAL BANK 1 Ues ption and locauon of_work on prernises:CIRCU IT FOR HVAC LIN I T E•srimated datr of completiorJinspeetion: QUESTIOWCONTACT KEVIN SCHALLER (503)703-7301 Job nu; 62-22/10 Fee M. 6usluess name:CHRISTENSON ELECTRIC, INC. Description Qty lea) Taal too.imp SUITE 49x1 arwull�+Eaadfypar Addmss:l.11 SW COLUMBIA, dwagingwit.lacludraaeotdwdrAram Ci -PORTLAND State. pR zIP'972g"- 88 ServioeiaduMt: Phan 2.414812 Fa>603241051VE-mail: loots .ft.orless CCB no. 5 ch additinnal 500 sq ft nr porunn thereof hus lit.no; 26-34C Limi(edenergy,rafidendal 2 CITY/mClfO T+ S^/+h Lfmitndenergy,non-rrst:endal 2 h ma -(acturad homy of rnmiular dwelling Signut ofsupervisu+ ccnrnt requircd) Date Service utruorfeedrr 2 ------ - j-- _ — - Serlresorfea en-In Nation, sup,olaet.rwtnc(print)• 13p.[A.N C'HRISTOPHFR It.t�r, m N7?S slterahon or relocation: k213 111 j00 amps�r lest 2 Name(print): 201 amps to 400 amps 2 - - 401 unps to 600 amps 2 -Mailino address: -- 601 amps to 1000 amps _ City: �S taL ZIP: Ov=1000 amps of volts 2 Phone. I► I E mjul' Rcennnect only — Ov.•ner installation The installation is being made on pruperty I own Iempursrywry O&rs- wluch is not intended for sale, 1"se,tent,or exchange according to tnstsllahoe,aller'trnn.�.tehsotloa: 20amps ORS 447.455.-079.670.7Vi, 20 I - aL mps ro 400 w_ails__ � 2 Owner's signature: Uatc: At to 600 amps — 2 "ranch eirauits-pew,ellers6on, nr extension per panel: Name _ . A. Fee.`cr hrench circuits+vitt,purc.hr=of Address: service or feeder fee,each bramb circuit z City: $Ixlr. ZIP: _ Fee for branch circuits without -- _ or service or keder foe,first branch circuit 1 46.E5 2 Phone: Fifa: F mail' hadditionalbranchclrtud; --- Mbe.(Service at let der not Ineladed); ❑Snvimova 22-Srmra-enrtrttemat UIlealth-Carr faciUry6acltpurnpurirrigauonnrcle 2 O Service over 320 amps-nuirtB of 1612 O flamdoua lorsuon Exch sign or outline lighting 2 rajAy dWelhngs U Building over 10,000 squarc fort four or Signal circuits)or a limited energy panel, JSysumoverfimvolomminat rnomtctdenualurutsinonestructum alteratlrxt,oreatauim• 2 J BuIlLng over[hitt.sinnes 'J Ferdtn,400 amps or more •DeK� off. _ _ L)occapartt load orar 99 persons U Manuf u turd strucWtes ru R V part. E1df add-ttiotltd bupertintt over the allowabb iA any of thr above- .rress/ltahuh Ian i]Othrr —�--. _. E•C 6P --- --- Perinsparunn Subollt_—sets of plans ssitb any of the above Invcsu�auon fcc_ Tbosboye are out app6eable to tempomiry conarurorse aerrict_ other `—- ---- - -- Na all j.WdiWW-loop-c+eait cod.pksrr call)rtttdeum rw oust ire,xm+t.m Notice, This permit application Play, rt fee...�----.--- CIVltra 0MaucrCl rd expirrs if a permu ir.not ohwincd !'lar review(at __. ) $ esedn cad nataexr. Lw+thin 180 days after it has')ccn State.F_Urchater(11%) ....$ — 3.75 Exp ti accepted as cumplac. TOTAL ..-..................$ 50.60+ TRUST ACCOUNT DEDUCT******** A gaamrc -�atai ,tic►ws t s lltiavccut) OCT-2000 +FEES ON BACK OF FORM CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 639-4171 -- ----- BUP __v--- Date Requested AM PM _- BLD Location (a j C/, Suite MEC Contact Person _ Ph _ PLM Contractcr Yl �� Ph SWR _ BUILDING Tenant/Owner ELC G 143 J Retaining Wall -- ELR Footing Access: — Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: - -- Slab --------_T-- — — SIT Post& Beam -- Ext Sheath/Shear Int SheathiShaar — Framing - - -- - - ---- _ -- ---- -- ---- - -- Insulation Drywall Nailing ----- — ---- F irewall Fire Sprinkler -- --------_-- rile Alarm Susp'd Ceiling -------_ ----- Roof (Final PASS PART FAIL ---- ---- --- -- - --- - PLUMBING Post& Beam --------- ------ - -------------------- -- Under Slab -- Top Out Water Service Sanitary Sewer - - —� Rain Drains ---- (7 E� �r --- -----------._-. Final PASS PART FAIL — MECHANICAL Post&Beam ------ --- - �--- Rough In Gas Line - --- --- -- -------- Smoke Dampers Fjaal--- ------ - ------- PAS FAIL E CTRiCAL - --- -- ---- —_ --- ^- ------------------ Rough It, h -- ---- - -- -- - -- - i 1G!Slab Low joitage FnvAlarm - - ---- - ----- -- ---- - __—_ —_ PASS PART FAIL IT Backfill/Grading ------------- -- ----- - - — Sanitary Sewer Storrs Drain I )Reinspection fee of$- -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ] ] Please call for reinspection RE: - [ ) Unable to inspect-na access Fire Supply Line --- - ADA chlSidewalk Other � �� Other Date � � ) Inspector_ ` ' 1 —. -,_—Ext --__ Final PASS PART _FAIL 00 NOT REMOVE this inspection record from the job site. C CITY OF TIGARD BUILDING INSPECTION NOTICE 30 Inspection Line (Rer-O-Phone): 639-4175 BUSIness Phone: 639-417 Inspection: Footing Susp. Ceiling Sprink. ough-in Appr/ Foundation Plbg. Underslab Mech. Rough-in Fire e Post/Beam Struct. Plbg. Top Out Elec. Rough-in FIN Post/Beam Mech. San. Sewer Gas Line dg.—) Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation (::-:me I'. Underflr. Insul. Shear)W ill III Gyp. Bd. Elect. Date Requested: ` 1 C` V I Tim ��AAM PM Address:_ \ { Builder: Permit C' S, THE FOLLOWING CORRECT IONS ARE REQUIRED: 001, Ing ector: - Date: PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. I t It 1,It i'y tfif N I Hl 1, .1 Ni 1.t I lilt 11 jN I A-.61-1 F NN 1.I it I Wil' 1 1,V kI I 1 loll JI)1,11 -it 1141/I.V I I I 4 140 1 Wl 01,111 1, A ill I If 1 0, t'.t I litl i 111 1-iw 1"l-114011*0 1. 1 Wit I I. 1-11 1 IN 1-1 it ( 1: tVi- c'i-'i ttlill 11111 it 114 1 1 If-I.1 1