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7007 SW CARDINAL LANE STE 185-2 7007 SA Cardinal Lane #185 / \ CITY OF T I G A R G _ BUILDING PERMIT _--- PERMIT#: 13UP2003-00036 DEVELOPMENT SERVICES DATE ISSUED: 1/21/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07007 SW CARDINAL LN 185 PARCEL: 2S1?2AD 01000 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P —_--__---BLOCK: _ LOT: — _�— JURISDICTION: TIG Y — 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: 51+1 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET^ OCCUPANCY LOAD: 39 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 61,000.00 Remarks: TI: Add accessible restrooms, copy/work room and breakroom. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY#300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 Phone: TIGARD, OR 97224 Phone: 624-7717 Reg #: LIC 41328 FEES_ REQUIRED INSPECTIONS_ Description Date —Amount -- Mechanical Permit Require [BU1, 17]permit Fee 1/21/03 $530.97 Electrical Permit -equired TAX] 8%,State Tax 1/21/03 $42.48 Sprinkler Permit Required Plumbing Permit Required 113UPPI.N] Pln Rv 1/21/03 $345.13 Framing Insp I I'I'S I FLS Pln Rv 1/21/03 $212.39 Gyp Board Insp Total $1,130.97 Susp Ceiing Insp Final Inspection This permit is issued subject to the regulations contained in the rigard 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 requites you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OFNR 952-001-0010 through OAR 952-001-0100. You may,jbtain 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 II Building Permit Application _ City of Tigard naterecerv- ; - n �. L Permit no. y Address-. 13125 SW Hall Blvd,Tigard,OR 97223 Projecdappl.no.: Expirer.,tc,: Citof regard Phone: (503)639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Can file no.: Payment type: Land use approval: 1&2 family:simple Complex: 0 1 &2 family dwelling rr accessory 0 Commercial/industrial 0 Multi-family O New construction 0 Demolition 0 Addition/altcmtion/replacement Tenant improvement 0 Fire sprinkler/alarm 0 Other. JOB SITE INFORMATION Job address: _ 1 Bldg.no.: Suite no.: Lot: Block: Subdivision: — Tax map/tax lot/account no.: Project name: — Description and location of work o_n pmrmses/special conditions: � J _ - ..,r OWNER :0 1 SPE 'IAL INFORMATION, USE CHECKLIST blame: PdtTrust Mailing address: 15350 S _Sequoia kwy. , #300 1&2 family dwelling- City: Portland IState: O R ZIP: 9 7 2 2 4 Valuation of work........................................ $ 503 Phone: ax624- 624-6300 J775 E-mail_ No.ofbedrooms/baths................................. Owner's representative:D e n n i s P a n i Total number of floors................................. Phone: Same Fax: E-mail: New dwelling area(sq.ft.) Garage/carport area(sq. ft.)......................... -- o W Name: P a C T r u 5 t Covered porch area(sq.ft.) ......................... — Mailingaddress:15350 SW Sequoia Pkwy. , #1300 Deck area(sq.ft .................................... City: Pert 1 a n d _ State: G R zlP: 9 7 2 2 4 Other structure arra(sq.ft.)......................... _ 5031 Phone-6 2 4-6 3 0 0 Fax 5 2 4-715 E-mail: CommerciaUtndustrinUmulti-family: I^1 1 1 Valuation of work........................................ Existing bldg.area(sq.ft.) .............. ........... 'r -- Business name: H.L. Green Address: 15350 SW Sequoia Pkwy. , /300 Nbldg.area(sq.ft)................................ !� — Number o of stories........................................ -- City: 0 rte-a and State: zip: 97224 Type of construction5031 Pttone5 2 4-7 717 '+ax: E-mail: '""""""'"""'"""""""' Occupancy group Existing: CCB no.: 41328 — _ City/metro tic.no.: New:Notice:All contractor.,and subcontractors ate required to b^ licensed with the Oregon Construction Contractors Board ander Name:J o h n R 0111', 5 h provisions of ORS 701 mrd may be requited to be licensed in the Addmss:1 5 3 5 0 S W Sequoia Pkw 0300 jurisdiction where work is being performed.If the applicant is city: Portland state: O R ztP:9 7 2 2 4 exempt from licensing,the following reason applies: Contact person: I Plan no.: - - --- - - 503 Phone:'24-6 3 00 Fax:624-775 E-mail: 'ohnr@ act u`sUlD: CO M — — Name: _ Contact person: Fens due upon application ........................... S Address: Date received: City: State: ZIP: Amount received ......................................... S _ Phone: 7 Fax-7 _ E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Na all jariadicdom wcex credit cads.dew call jtm"coon for m«e iofor nadou. attached checklist.All provisions of laws and ordinances governing this O Visa 0 MasteK'ard work will be complied with.whe r �Iiemin . Cmdit r ,A number: Authorized si Nm of cardholde atu - Expims ` �� r u+hown on credli toed Print name: L Q _Cwdhokler aig"lum _ s Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. as -460(tw;l "M) 01/21/03 11:10 FAX 603 624 7756 PACTRUST IM002 RECEIVED JAN 21 2003 CITY OF TIGARD G3UILDING DIVISION PLYWOOD DECK / 8 IgAJMTL JOISTS w 16' =� LOCATE GIR CTLY OVER 5T 5 --- --- b' Fr,. Irv6 JLATION _—SU�F'ENDEn CEILING, 5/9' GYP. BRD. --- -- rjC,. INSULAT ON 2!3 GA MTL. STUDS ib° O.C. 5/9' GYP. 5w. ----r—ENTER LINE OF STUD 5/8' TYPE WR uY BRD.-- —FG. INSULATION F.' BASE-TYP.--- - 4' QIJBBER BABE-i"'r. -RIMER CHANNEL ATTACHED TO FLc)&N FINISHED FLOOR- -- � FINISH FLOOR __ FINISH FLOOR-TOP OF SLAB FZE61'R00M SIDE OFFICE 51DE 1 Y.PICAL RESTROOM WALL SECTION SCALE 1"=1'-0" Al ELECTRICAL PERMIT CITY OF TIGARD / PERMIT#: ELC2003-00031 DEVELOPMENT SERVICES DATE ISSUED: 1/24/03 13125 SW Hall Blvd., Tiaard. OR 97223 (503) 639-4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 07007 SW CARDINAL LN 185 ZONING: I-P SUBDIVISION: PACIFIC CORP. CENTER LOT : JURISDICTION: TIG BLOCK: Project Doscripiiun: Job No.8772 Tenant Improvement ---- TY RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: —� 0 - 200 amp: PUMP/IRRIGATION: SIGN/OU T LINE LTG: EACH ADD'L 500SF: 201 - 400 amp: LIMiTED ENERGY: 401 600 amp: OR LABEL (1 L: MANF HMI SVC/FUR: 601�arnps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER _—_ —`- BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 10 PER INSPEC'riON: 201 - 400 an.p: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLAN'r: _PLAN REVIEW SECTION 601 - 1000 amp: -__-�- - —--- - - 1000+ amp/volt: >-4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFDR>=225 AMPS: CLASS AREA/SPEC OCG: Owner: Contractor: PACIFIC REALTY ASSOCIATES BRIDGETOWN ELECTRIC 15350 SW SEQUOIA PKW'f#300-WMI 22732 NW GILLMAN ROAD PORTLAND,OR 97224 PORTLAND,OR 97231 Phone: Phone: 503-621-7122 Reg #: LIC 103824 SUP 41775 FEES E:LEi 26-8870 Description , Date Amount Required Inspections ^_ — (TAXI 8%State Tax =J ut $18'16 Ceiling Cover IF[.PRMTI ELC Permit I 14 n{ $227'10 Wall Cover Total $245.26 Elect'I Final 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 forth In OAR 952 001-0010 through OAR Oregon-0010100 requires You�may obtain copies of thu to follow rules ese by or the direct ugon lestion to OUNC at(5 3)246-66699 oNotification Center. Those rules r,set 1-800-332.2344. i _ ; l _ Permit Signature Issued By: �_ (i OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale, lease, or rent DPTE: - OWNER'S SIGNATURE -- - - CONTRACTOR INSI ALLATION ONLY SIGNATURE OF SUPR. EI_EC'N: DATE: -- - LICENSE NO: _ ---- ---- — ------_ - ------ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: I'c:rrtil no.;_(1.. HEGEIV City of Tigard -� ProjexVappl.nu: - Expiredate: CrI ,fTg,,rd Address: 13125 SW Ifall Blvd.T� $[)d,Q. 97223 Date issued: By: Receipt no.: Triune: (503) 639-4171 Fax: (503)598-1900 c1se file no.: Payment type: I;fl Land use approval: U I &2 faruily dwelling or accessory �otmnercial/industrial U Multi-family FJ Tenant improvemr.nt U New construction U Addition/alteration/replacement U Other. U Partial O; SITE INFORM X I ION Job address: —7 00-7 S 1,U h-Ak E6 ij I Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: w LA-- I Description and location of work on premises: 0 t:tiy-t-va f7 Estimated date o compiction/inspection: CONTRACTOR APPLICATION YEE SCHEDULE Job no: -7-72- _ vee Max Business name: rd E-f-OLU'-1I--L--T- ie' e- i>rurtplbo —_ IQry. (am) Total no.ina -I---- NewresGknrial-sinf*urroniti-faml'yper T Address:�-"13�-'z1 w t 1 Irt�+rv� � drMellingrmii.lncldesdtadtnlGarage. . City: k1twIftCt IK Statc: O ZtP: 117 231 ser in�ladrd Pllone: t 21-71 Z t r. 1000sq ft.or Ice _ 4 CCB no.: f U 3 43 yy Elec.bus.He.rid: Z(p-19 7 e- Foch additional 500 sq.R.or portion Ihen:of Limited energy,residential 2 City/ try lie.no.: Rt b _ __ Urniledenergy,nnn-rrsidenGal 2 ,-e—1 �- 4 U 3 Each manufactured hone or modular dwelling Slg pavlsing clextrkIon(- �u"lred) Uatr Service and/or feeder 2 Sup civet name(print): IGS It ,i Strt'PhServices orfeeders-Installation, alferatfun or relocation: . r f 200&-nits or foss _ U 2 mps Name(print): 201 ato 400 ,_ps 2 401 amps to 600 amps— 2 Mailing address - - - --- 601 amps to 1000 amps 7. City: - state... ZtP --- — over 1000 amps or volt: --- ---- 2 Phone: Fax: B•mail: RecorutEtonl 1 Owner inswllation:The installation is being made an property 1 own Tempomryvetvicesorfeeders- which is not intended for sale,lease,rent,or exchange iiccording to (mmanxtltat,alteratcorr,urrrincation: ORS 447,455,479,670,701. 200 snips or less _ 2 z01 amps to 400 amps _ 2 Uwnct's signature: [)arc 401 to 600 ams 2 --- - Braarh cirealts-nen,alleralltra, er exteasion per panel: Name: A. Fee for bench circuits with purchase of Adder s, ser vice or feeder for,each branch anvil 2 City: ---- State V11. - B. lee for branch circuits without purdaw of service or feeder fee,first branch circuit: 2 Phone: rax: F..-mail -- Each additiunalbranch cirzuic Mee.(Ser-rive or feeder sat hlcluded)- 0 ade d):0 Service over 225 ontpsrommerrial U Health-camfedlity Each pump o•irrigation cirde - - 2 U Service over 320 amps-rating of 1 R2 U Hazardous location Each signor outline It�hUng ? family dwellings U Ruilding over 10.000 square feet fouror Signal cireait(s)or a limited energy panel, t 13 System over600volts nominal mom trsidentialunits it,onestmefum alteration.oreximsion• 22 U Building mer three stories U Fmicrs,400 amps at inure "Description: U Oocupant load river 99 persons O Manufactured structures or RV park FAch additional Inspection over the allowable in my of the above: U P.gress/lightingplan U Other. _., _ Perinspeeuon Sabmk _eet%of plant wllb any of ftabo". Investigation fee The above are trot applicable to limparary c_onstractloo saTice. Other -- rust au psi trocept CndiI Catch,please all jraiaactiar:fir mere infornratian Notice:This pemtil application Permit fee.....................$ r 1� ❑VLsa asterCaN / r expires if a permit is not obtained Plan inview(at __ %) S c ears aamtr�� "�q o� "'� , /a within Igo days eller it has been State surcharge(896)....$ .me ` , 1`^ accepted as complete. TOTAL .......................$ �� cadbatder at we Amoue/ — 1404615(60MR':OM) � 'd EZTG- TZ9-E05 pt ) sttaa-4(; y4t8>1 CZE :60 EO *a ufaf. CITY OF TIGARD / PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00021 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/23/03 PARCEL: 2S112AD-01000 SITE ADL'RESS: 07007 SW CARDINAL LN 185 SUBDIVISION: PACIFI;. CORP CENTER ZONING: I-P B!OCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Addition of fixtures for(2)new restrooms&(1)new breakroom: (1)floor drain, (1)sink, (2)lays, (2)water closets, (1)water heater and (2)other fixtures (primer&expansion tank). FEES _ Owner: Description Date Amount PACIFIC REALTY ASSOCIATES II'LUM13) Permit Fcc 1/23/03 $149.40 15350 SW SEQUOIA PKWY#300-WMI PORTLAND,OR 97224 ITA XI 8°/,State Tax 1123/03 $11.96 Total $161.36 Phone Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND,OR 97202 REQUIRED INSPECTIONS Underfloor/Underslab Phone : 236-4152 Top-out Insp Reg#: LIC 172 Final Inspection PLM 26-83PB 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 fcr more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Permittee Signature w <Issited By: L Call (503) 639-417:) by 7:00 P.M. for an inspection needed the next business day Plumbiug Pennit Application City of 'Tigard J'`'i'' _,i J I Ui l i• �Date received: i . / Oj Permit no.: 2/Y ,0 3- (71,t1911 110 Sewer permit no.: Buildingpe 11no,:,Z0 3 CityojTigard Address: 13125 SW flail Blvd,Tigard,OR 97223 � Phone: (503) 639-4171 HU 6 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: -Receipt no.: Land use approval: asc file no.: Payment type: O 1 &2 family dwelling or accessory Commercial/industrial 0 New construction OMulti-family ,(�Tcnant intpro�rcmem Adclition/alteration/replacement Ll Food service U Other: Job address: ;,W C. Descri rlitm �— �1 L-1�,n,E 1 Qt` Fee(ea.) 7tNa1 Bldg.no.: Suite no.: New 1-and 2-family dwelling;tmh: Tax map/lax lot/account no.: (includes 100 n.furcach utility connerriun) Lot: Block: Subdivision: SFR(1)bath Project name: SFR(2)bath - - - c SFR(3)bath City/county: 7—j UCQ Zip: 2 Each additional bath/kitchen Description and location of work on premises: R SA Mleutllitles: 1 BREak g Catch basin arca drain fist,dole of completion/inspection: -- D wells/leach line/trench drain iiiiiiiiiiiWROJI11 #At , Foolia drain(no,lin. ft.) Business nam E Manufactured home utilities Address: ��WA V� N �L Manholes -- 3l Rain drain connector City: p A Statep IQ IZIp: - Sanitary sewer no.lin. ft.) — Phone- _ Fax. .- -7 E-mail: Storni sewer(no.lin. ft.) CCB no.: Plumb.bus.reg.no:a'Z (0 83 R Water service(no.lin.ft.) City/metro to.: 8 Mixture or Item: Contractor's representative signature: Absorption valve Print name: L A,1v U_ S Date: O- Back Bow rcventer Backwater valve Basins/lavatory �o 3 Name: L " ,i, /-,, f"lothes washer Address: Dishwasher — City: State: ZIp; Drinking fountains) — Phone: E ectors/sum --- Fax - E-trail: J -- Expansion—tankIwo 0 Fixture/sewer cap Name(print): A Q? siLirE 360 Floor drains/floor sinks/hub i t? Mailing address: 5 �s7 S 5w tin P w Garbage dis sal City: �- 24 __ ZIP: ffosc bibb Phone:6a q-4,3 o Fax: State-eq l: �oZ Ice maker — — Owner instal Int ion/residenton' maintenance only: The actual installation Intereeplor/grcasr.trap Primer(s) y will be made by me or the maintenance and repair made h mregular employee on the properly I own as per ORS Chapter 447. Y re gular Roof drain(commercial) Sink(s),basin(s),lays(s) , t Owner's s;i nature: _ Date: Sum Tubs/shower/shower an Name: Urinal — Addr�ss: - - -Water closet LIP: — Water heater State: Other: — ?F1one: Fax: E-mail: • o Na All Judsdicdats wcept credit earth,please call Jurisdlctian for mote infomtation. Minimum fee................$ O Visa U MasterCard Notice:This permit application Credit card number:___`_____— / expires if a permit is not obtained Plan review(at -- %) $ gt ires within 180 day,,after it has been State surcharge(8%) ....$ ° TOTAt, $ Name of cttrdlrolder n shown on credit card accepted as complete. ••..................... Cetdholdtr�ignatute f Amount 4101616(6RIaMM) PLUMBING PERMIT FEES: PRICE�y TOTAL New 1 and 2-famlly dwellings only: FIXTURES individual T_ QTY., ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink • 16.60 �� the dwelling and the first100 ft. QTY (ea) AMOUN __. 16.60 ad for each utilityconnection Lavatory _ _ 3 =. One 1 bath _ _ $249.20 Tub or Tub/Shower Comb. 16.60 _ Two 2 bath $350.00 Shower Only 16.60 Three(3)bath _ - _ $399.00 v Water Closet 16.60 3 v SUBTOTAL Urinal` 16.60 8%STATE SURCHARGE i Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 TOTAL _ Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 1s.so PLEASE COMPLETE: 4" 16.60 uantlty b Work Performed Wateater O conversion O like kind 16.60 er h Fixture Type: New Moved Replaced Gas piping requires a separate mechanical (,p ,/"- -- - CaappeppeRemoved/ Capped 3rmit. MFG Home New Water Service 46.40 Sink _ MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 1660 Combination Roof Drains 16.60 Shower Only Drinking Fountain r 16.60 Water Closet Other Fixtures(Specify) _ 16.60- Urinal _ Dishwasher PAI*t,.%EAF Garbage Disposal Laundry Room Tray A ( - Washina Machine Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 3„ Sewer-each additional 100' 46.40 4" _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures(Specify Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 4640 Commercial Back Flow Prevention Device 46.40 - Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 - QUANTITY TOTAL Isometric or riser diagram Is required If Quantity Total is x 9 �^ 'SUBTOTAL -- ` 8%SPATE SURCHARGE - --- "PLAN REVIEW 25%OF SUBTOTAL Re ulrad only if fixture qty total Is>9 TOTAL a "Minimum permit fee is$72 50 4 e%state surcharge,except Residential Backflow Prevent;on Device,whish Is$36.25.e%state surcharge ~All New Commercial Buildings require 2 note of plans with isometric of Hser diagram for plan review. iAdsts\forms\plm-fees.doc 12(2610l A CITY OF T I S ARD SEWER CONNECTION PERMIT DEVELOPMEN r SERVICES PERMIT#: SWR2003-00036 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1123/03 PARCEL: 2S112AD-01000 SITE ADDRESS; 07007 SW CARDINAL LN 185 SUBDIVISION: PACIFIC ( u!tl' c'! N'l ER ZONING: I-P BLOCK: LOT: _, JURISDICTION: HG TENANT NAME: PAC TRUST USA NO: FIXTURE UNITS: 21 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: t3USWR IMPERV SURFACE: Remarks: 1.3 EDU increase: Previous EDU = 6.8 or 108.8 fixture value; plus 21 added fixture value for a new total of 129.8 fixture value, or 8.1 EDU. Owner: _ _ _FEES_ PACIFIC REALTY ASSOCIATES Description Date_ Amount 15350 SW SEQUOIA PKWY#300-WMI _ -- - PORTLAND, OR 97224 JSWUSASwrConnect 1/23103 $2,990.00 �S\ti'LISAJSwrConnect 1/23103 $0.00 Phone: Total $2,990.00 ----] 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 date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm 1 I Issued by: _ . f/ Permittee .ignatu Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Accumulative Sewer Tally Tenant Name '3pec Space _ 1 his SW RS 2003-00036 Site Address: 7007 SW Cardinal Ln., Ste.#185 This PLM# 2003-00021 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Baptisery/Font 4 0 0 0 0 0 Bath-Tub/Shower _ 4 0 0 0 0 0 _ -Jacuzzi/Whirlpool _ 4 0 0 00 0 Car Wash- Each Stall 6 _ 0 0 0 0 0 - Drive through 16 0 0 0 1 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher-Commercial 4 0 0 0 _ 0 0 -Domestic 2 0 0 0 G 0 Drinking Fountain 1 0 0 0 0 _0 Eye Wash 1 i 0 0 0 0 0 Floor Drain/Sink-2 inch 2 0 0 1 2 1 2 3 inch 5 _ 0 0 0 0 0 4 inch 6 _ 0 0 0 _0 0 _ Car Wash Drr 6 0 0 1 0 0 0 Garbage Disposal_ Domestic(to 3/4 HP) 16 0 0 0 0 0 Commercial(to 5 HP) 32 0 0 0 0 0 Industrial over 5 HP) 48 _0 0 0 0 0 Ice Machine/Refrigerator Drain 1 _ 0 _0 0 _0 0 Oil Sep(Gas Station) T� 6 0 3 0 0 _ 0 Rec. Vehicle Dump station 16 _ 0 0 0 0 0 Shower- Gang (per he:d) _ 1_ 0 A 0 0 0 0 - Stall 20 _ _0 0 0 _ 0 _ Sink- Bar/Lavatory 2 _ 0 0 2 4 2 _ 4 Bradley 5 Y 0 0 0 _ 0 0 Commercial 3 0 0 0 0 0 Service 3 _ 0 0 1 3 1 3 Swimming Pool Filter 1 _0 0 0 _ 0 0 Washer-Clothes 6 0 0 0 0 9 Water Extractor 6 0 _0 0 0 0 Water Closet- Toilet 6 0 _0 _ 2 12_ 2 12 _Urinal _ 6 0 00 0 0 Previous EDU Count 6.8 108.8 108.8 Capped EDU Ciedit 0 TOTALS 0 1 108.8 0 1 0 1 6 1 21 6 129.8 Currant Fixture Value 129.8 divided by 16= 8.1 Current EDIT 1 EDU = $2,300.00 Previous Fixture Value 108.8 divided by 16 = 6.8 Previous EDU Change 21 divided by 16 = 1.3 over (under) $ 2,990.00 Enter EDU Charge Here 1.3 HISTORY Notes: PLM# EDU# _ SWR# PLM# EDU# SWR# PI-M# EDU# SWR# f4ame: rL _ Date: //02� 0.3 Sign Lure of person brit calculated this tally sheet and date pe�rowed! 'required �1 CITY OF TIGARD —_MECHANICALPERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00061 �- � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/18/03 PARCEL: 2S112AD-01000 SITE ADDRESS: 0700i SW CARDINAL LN 1✓35 SUBDIVISION: PACIFIC CORP. CFN T ER 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: B VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 -1. C • HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: ��— � > 10000 cfm: GAS OUTLETS: Remarks: It�S�.�„�, G��I Owner: d FEES _ PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97221 I MEC11] I'ennit I ec 2/1810:3 $72 50 ITAX)K StatcTax 2/18/03 $5.80 Phone: Total _ $78.30 Contractor: PRO'i EMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Phone: 233-6911 Mechanical Insp Duct Inspection Reg#: LIC 38868 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All wolf( 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 130 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 J Issued By: T ,�,9 a Permittee Signature: -------- Call (503) 639-4175 by 7:00 P.M. for Inspections neede the next business day i Mechanical Pe. 11th Application Received Mcchamcal M Date/B : �gle 3- Permit No_NEe ILGC Planning Approval Building City O Y;a rd Date/By: Permit No.: Plan Review Other 13125 SW Haii Blvd. ��Q j 700 Dale/B : Permit No.: Tigard,Oregon 97223 Post-Review I-and Use Phone: 503-639-4171 Incl)6Q3f5"r1XWD r Date/By: Case No.: Internet: www.ci.tigard:e�W ►aIN(a ( See Page 2 for �i L�iQ� Contact Su lementallnformallon. 24-hour Inspection Request: 503-634 T3 I Name/Method: -' TYPE OF WORK COMMERCIAL FEE"SCHEDULE-USE CHECKLIST New construction Demolition Mechanical permit fees*arc based on the total value of the work Addition alteration/re lacement ❑Other: performed. Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead and profit. CATEGORY OF CONSTRUCTION ^ See Page 2 for Fee Schedule y RESID 1 &2-Family dwelling, Commercial/Industrial value: $ E 8 ENTIAL E UIPMENT/SYSTEMSFEE"SCHEDULE rM.Accessory Building Multi-Family Descri tion I QtyFee ea. Total Master Builder _ _Other: _ Heatin i Coolln JOB SITE INFORMATION and LOCATION_ Fumace-add-on air conditionin ti Gas heat pump 14•UO 7 Job site address: ?cosw � �� Due,,wort, 14.00 Suite#: Bld ./A t.#:/27 H dronic hot waters stem 14.00 Pro'ect Name: Residential boiler Cross street/Directions to job site: for radiator or hydronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct„suspended,etc, 14.00 _ Flue/vent for any of above) _ 10.00 Repair units 12.15 _ Subdivision: Lot M Other Fuel A (lances Tax ma / erect#: _ Water heater 10.00 DESCRIPTION OF WORKGas fireplace 10.0O �✓�FXc/St �e, Flue vent(water heater/gas fireplace) —10.00 Io.00' "��"�s--- •tel Lo li hter as — ^Gr, !� Wood/Pellctstove 10.00 Wood firc�ce/insert 10.00 - —"--- Chimney/liner/flue/vent 10.00 Other: 10.00 ROPERTY OWNER�TENANT -- Environmental I:=xhaustVen(Ilation Name: /�,a-'_*c/S / __— _— Range hood/other kitchen equipment 10.00 Address: �3� '�� o �i�KClothes dryer exhaust 10.00 City/State/Zi : 7e 01-7 �_. Single duct exhaust Phone: rY 3C� Fax: (bathrooms,toilet compartment:,,, CONTACT PERSON utility rooms) 6.80 --- APPLICANT Attic/crawl s ace fans 10.00 Naine: ,1 � _/U�'�' ------ Other, 10.00 Address_ ------ __ Fucl Plping city/State/Zip: -- "(115.40 for first.4,$1.00 each addltlonal _. Furnace,etc. Phone: _ F_ax: _ _ Gas heat pump Wall/sus ended/unit heater �• CONTRACTOR %atcr heater Fire lace " Business Nam ,rr, t1P��_�C� Ran c Address: 7s� �.Z_—�� BBQ_ Citv/State/Zi : /-iPC "n a?_ 932_?P4F _ clothesdryer(Bas) *� Phone: (moi/ Fax: r- �-7 Other: --- - -- — Total: CCB LIC. #: F --t Mechanical Permit Fees" Authorized _ St.btotal: S Signature: _ Date:. > n3 Minimum Permit Fee 072.50 $ CL/ Plan Review Fee(25°6 of Permit Fcc $ r (Please print name) _ State Sur c 8%of Permit Fee) $ _ Y� TOTAL PERMIT FF.F S Notice: "rhls permit application expires if it permit Is not obtained within "Fee methodology set by Tri-County Building' ustry Service Board. I NO dqs after It hex been accepted as compltle. **Site plan required for exterior A/C units. i\Usts\l'ennil Fonns\MccPemritApp.doc 01/03 Mechanical_Permit_Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total V aluatiow _ Permit Fee: _ $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 572.50 for the first$5,000,50 and$1.52 for each additional$100.00 or fraction thereof,to and'ncludin $10,000-00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.50 and $1.54 for each additional$100.00 or fraction thereof,to and including _ $25,000.00. 525,001.00 to$50,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction tnereof,to and including $50,000.. . $50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per Appliance: Value Total Descriptio t Ca Amount Furnace to 156,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents Floor furnace including vent _955 Suspcnde i heater,wall heater or floor 955 mounted heater _ Vent not included in appliance permit 445 Repair units 805 <3 hp;absorb.unit, 955 to 100k BTU 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 15-30 hp;absorb.unit,501 k to 1 mil. 2,310 BTU _ .40-50 hp;absorb.unit, 3,400 1-1.75 mil.BTU _ >50 hp;absorb.unit, 5,725 >1.75 mil,BTU Air handling unit to 10,000 cfm 65b Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit 112o served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or Industrial incinerator_ 4,590 _ Other unit,including wood stoves, 656 inserts,etc. (las piping 14 outlets 360 Each addilior..d.cutlet _63 TOTAL COMMERCIAL VALUATION: is\Dsts\t'ennit Forms\MccPcrmitAppPg2.doc 01/03 CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003- 2UO3-00066 DEVELOPMENT SERVICES DATE ISSUED: 2/11,03 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112AD-01000 SITE ADDRESS: 07007 SW CARDINAL LN 185 SUB'JIVISION: PACIFIC CORP. CENTER ZONING: I P r BLOCK: _ LOT: JURISDICTION: TIG I 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: 5N sf N: S: E: W. OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSMT?: MEZZ?: _ REOU 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: $ 400.00 Remarks: R Owner: Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL IN1 ERNATIONAL INC 15350 SW SEQUOIA PKWY #300-WMI PO BOX 524 PORTLAND, OF? 97224 MAIL STATION MN 27-2189 MINNEAPOLIS, MN 55440-0524 Phone: Phone: 503-968-3300 Reg #: LIC 150191 FEES REQUIRED INSPECTIONS Description — Date Amount Fire Alarm Insp Final Inspection 11 ILD] I'rrmit Fee 2/11/03 $62.50 I AX] 8%,Swic Tax 2/11/03 $5.00 Total $67.50 I This permit is issued subject to the regulati^r.s 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 ire yet forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued Permittee `q - Si Jnature: - Call 639-4175 by 7 p.m. for an inspection the next business day I HI-1HEY11 t-I- 503 968 3398 P.01iO3 a, arc Protection 3YSIClil Building;Permit Application Detred' mut no.Cityof TigardRECEIVED ' uF -�� Proiectlappl.no.: Emfuredate: Cr �1 t.t �� Address: 13125 SW Flail lilvd,'I'igard,OR 97223 -- 4 x phone: (503) 639-4171FEg 5 2003 Dateseauev. ____ $)R kcccipt no.: Fax: (503) 598-1960 Cage file no.: I'.yrnent type: Land use approval CITY OF TIGARD - y•Simple Atex ppI& IP1rs;�l�/lS10tu— ?.femll tc rim t U 1 &2 fancily dwelling or accessory 11-CommercinVindustrial U Multi fanuly G New construction U Demolition U Addidort/alteradon/mplacement U Tenant improvement r" re sprinkler/alarm U Other: t . Ell Job address: '2 1r;0 t' 7 f�4V _ CA e,al� /� , Bldg. no Suite no.: /8 - -- - - L. v Blnck' TCilhrlivision: Taut map/taxlotJaccount no.: Project name: r £C- �P��'-� - �- - Dcsc ' do and I-tcation of work on premises/apccial conditions: 74-�!-/-f - lNaw�nc. V-L",; ' Mailing address: /S-3 S a f• T w I &Y family dwelling; City: State:4211 ZIP: 9 A Valuation of work....................................... 5 - I'hone: - Fax: jrmall: Nn,of bedrooms/hates................................. --- Owner's reprrrertative: Total camber of floors.. ......................... .. ----------- I'ftone: Fax: L-mail; New dwelling area(sq ft ) .......................... --- i;arage/carpott area(sq.ft.)......................... ----------- -- Namt: -`_ Covered porch area(sq ft.) .................•...... Mailing addres> S' S -- !- Drck mires fc) City: Slate: 7.IP Other stnrcture area(sq.ft.)...,....•............... Phone: 8 -3f r6 Fax: 6 -Iff iI I,mail: Comtnerclallindustrial/multi-family: � Velualion of work........................................ S Business name: HONI:YW_E_Ll., 1 N'I'1:I?NA'TIONAL INC. FAiating bldg.tree(sq.ft.) .......................... Address: 15495 uW Sequoia ['hWy. 1(�O .� New bldg.area(sq.n.) ............................... 5tmtt: R 17,11'97Z?A Number of stories........................................ City; fsorlf litld -- Phone_503-968-3 Fax: 968-3398 l uail Type of construction.................................... y CCB no.: 150191 ------_____ Occupancy gruup(s): Existing- New; City/metmlic.no.:no.: 4 619 ro _ Notice:All contractors and!subcontractors are required to he licensed with the Oregon Conetrucdon Contractors Board under Name: provisions of ORS 701 and may,be required to be licensed in the Address: _ _ - -" jurisdiction where wort:is being performed.If the applicant Is T. - -- exempt from licensing,the following reason applies: ('icy: � titrue• l _Contact person: ^- I'lan no.: - — - -- f'{tone I1-am C mail: Namc: Confitct person: Fera due upon application :..........................S (.7 Address: - - - ---- Date received: City: Stale: ZIP' !.� -- Amount received ........................................S -- -- Phone: Fax: 13-mail: Please refer to fee schedule. _ I hereby certify 1 have read and imamined this application and the Na vl Um a=pt aeon wds,ties ceh J.xiufpcti.n(at mac MretmKm attached checklist.All provisions of laws and ordinances governint this O Visa uwCud work will be complied ith,whether specified herein or nob. Cn ' m.m -1900-6o 2-w-r O O( espies Authorized signal Date- 3 ►ate d w flu aAPWrWWr8&f cae S 67 SV Print name F771 __ _ elptuarc Notice:This permit application expires if a permit is not abialned within 190 days eller it has w!en accepted as compleir 4444613(M COM CITY CJ F TIGARD BUILDING PERMIT _ PERMIT#: BUP2003-00052 DEVELOPMENT SERVICES DATE ISSUED: 2120103 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112AD-01000 SITE ADDPESS: 07007 SW CARDINAL. LN 185 SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P BLOCK: LOT: 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: 5N sf N_ S: E: W: OCCUPANCY GRP. B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: S'rOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ'T: _ RECID 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: $ 1,780.00 Remarks: Rt:LoeArt-�� Vq�4,1,a PtUS, Pfbg (5) ?,)>`LQ Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300-WMI 9384 SW TIGARD ST PORTLAND, OR 97224 TIGARD, OR 9722.3 Phone: Phone: 620-6140 Reg #: LIC 63846 FEES _ REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough-In [BUILD] 1'ennit Fee 2/5/03 _ $62.50 r Sprinkler Final [TAX] 8%0 state'rax 2/5/03 $5.00 (FI SI FLS Pln Rv 2/5/03 $25.00 Total $92.50 This permit is issued Subject lo the regUintions 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 is-•uance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules a0pted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 rough OAR 952-C 01-0100. You may obtain a copy of these rules or direct questions to OUNC by calling )246-6699 or 1-800-332-2.344. Issue Pem"ittee Signature: A I -- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application C � / Uate received:) �-O�' Permit no.: City Of 'Tigard �i EG G I V E D Project/appl.no.: Expire date: Cary uJ 7't�urJ Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 I:�E B 0 � 2003 Date issued: Tay Receipt no.: - Fax: (503) 598-1960 1 Case file no.: Payment type: Land use approval i'TY OF TIGARD 1&2 family:Simple Complex: TYR OF U I , 2 la roily dwelling or accessory )dCommercial/industrial U Multi-fancily U New construction U Demolition 7)1 Aldi,.con/alteration/replacementTenant improvement Fire sprinkler/alarm U Ocher: w JOB SITE INFORMAIrIO ��.. Job address: - J g)fq L L�e Bldg.no.: Suite no.: S `a Lot: I Block: Subdivision: _ Tax map/tax lot/account no.: Project name: 5 "'> _ `� Description and location of work on premises/special conditions: OWNER FOR SPECIAL'IN FORMATION, USE CHECKLIS I (Flood plain,%ept le capacit.i,solar,etc.) Name- Mailing 12-L1�2 _ Moiling address:1,52 ,jc-L) ,,_„ 30c' 1 &2 family dwelling: City: '> State: 7.[ Valuation of work....................................... Phone:t;o - =S(C' Fax: . . E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: rax: E-mail: New dwelling area(sq. ft.) .......................... \ Garage/carport area(sq.ft.) Name: Ems:`Y j•> ( t Covered porch area(sq. ft.) ...... .................. (Nailing address: )S q e / - Deck area(sq. t.) ........................................ ----- City: State:Cjjr_I ZIP: Other structure area(sq.ft.)......................... — Pnone:°>,;") 40 (1 Fnx• W E-mail: Commercial/indusirinllmulti-family: Valuation of work........................................ $ — Existing bldg.area(sq.ft.) ............. ............ -- -- Business name: New bldg.area(sq.ft.)................................ Ad areas: � c)� -- — Number of stories........................................ City: T i,/1�' l State:(. ZIP: 7� Fax: E-mail: Type of construction.................................... Phoney r - Occupancy group(s): Existing: CCB no.: ''-- �--- -- - New: Ci metra 'c.no.: 7 Notice:All cone actors and subcontractors are required to he licensed with the Oregon Construction(Contractors Board under Name: Y provisions of ORS 701 and may be required to be licensed in the Address: r ' 1 r, r jurisdiction where work is being performed. If the applicant is City: P . J state ZIP: r , r exempt from licensing,the following reason applies: Contact person: Plan no.: ii! - — Phone:� � , Fax: 1, � r-mail•— - — Name: Contact person: Fees due upon application ........................... $ C1 '5 Address: Date received: - Cit y: State: ZIP: Amount received ......................................... $ _ Phone: Fax: I E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the NM all jurisdiction accept credit cant+,pleas call luriadktion rot more information attached checklist. All provisions of laws and ordinances governing this u Visa U MasterCard work will he complied v wheth tied herein or not. t'redit end"amber _--- —.--- — --G--1-_-- Eapires Authorized signature: ll�lL l r�� r r {,' ✓ Name d carcamldrr u aTiown on credit cad $ Print name: Nl L Cwdtudder sipature Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440.4613(&MrOM) I I1 Fire Protection Permit Check List _A. l New ❑ Addition _❑_AlterationRepair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heeds: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: , _ Additional description of work: Type of_§ystem_Complete A. B or C jas a Widablr3 -A.)_ S rinkler Wet ❑ Dr ❑ Standpipes ---- Additional Hazard _Group Information -Density ---- UesiK. Factor ---- Sprinkler Pro ect Valuation: 11 ED B. Type I Hood Fire Suppression System --. Hood Pro ect Valuation - -_ C. Fire Alarm --- — - --- Submittal shall Batt�Calculations _ Yes ❑ include: Individual Component Yes O Cut Sheets _T — Fire Alarm Project Valuation: $ _ Project Valuation Subtotal AA. B $ C): Permit fee based on valuation see chart _ 8% State Surcharge: $--16.00 —_ FLS Plan Review 40% of Permit: -- TOTAL: $ iAdsts\forms\FPScheckIist.doc 06/07/01 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00036 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/21/03 PARCEL: 2S 112AD-01000 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07007 SW CARDINAL LN 185 SUBDIVISION: PACIFIC; CORP CENTER BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 39 TENANT NAME: SPEC SPACE REMARKS: TI Add accessible restrooms, copy/work room and breakroom. Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: 624-7717 Contractor: H L GREEN 15350 SW SEQUOIA RL\/D STE 300 TI .OR(X2M 7 260-9556(RANDY) Reg#: F 1R-8831 4I96gGHT) "This Certificate issued 3/27/113 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with th �ta r Oregon Specialty Codes for the group, occupancy, an use under w is t n6ferenced permit w 'r�sued. 95f.DING INSPECTOR - - - BUILDINGijLJILDING OFFICIAL1 POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INESPECTION DIVISION Business Line: (503)639-4171 Received _ -- Date Requested r 2 7 AM_---_ PM - _..._ __ r U ' d b( —� - ------ Suite_��-----✓, ll-�i) 4► Location - �)) i-- U3 _ Contact Person �____ _ Ph(_ ; _c` _-�_`? - ,\PL ContraWW_.'____ _ Ph UILD^ �� Tenant/owner --- — - ELC -- -- 'a9-- ,�.,.., .. 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 - - - --------- - - - - Root — — Other: - - Waeam FIT FAIL71 ------ Undei Slab — Rough-In Water Service --� -- Sanitary Sewer Rain Drains - - --_7 ----- — Catch Basin/Manhole _ Storm Drain -- - -- - —` Shower Pan a r• T FAIL -- - - Vs ear-In - - Gas Line *LE ampers -— -- — PART FAIL - --- _ RICAL Sorvice Rough-In UG/Slab Low Voltage - -- - --- ----- - - -- -- --- Fire Alarm Final LJ Reinspection fee of$—_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIT_ SITE Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Ext - / �D -- — InspoClor.._ —_ __ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TItGiARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — INSPECTION DIVISION Business Line: (503)639-4171 BUP Received .._ --_ Date Requested___.. �_�___. AM------ -__ PM _ RUFF _-.__-- _-—------ — / Suite.— _ MEC Location --- -- -700 �, — =--- - -- $5-— - ---- -- Contact Person -_- —_.- - Ph! - ) - PLM --- ---____-_- Contractor __.___--- Ph -- ) - �G L``L-`_v SWR --..--- ---._.._-- _BUILDING Tenant/Owner ELC a 77_0_,;n —�-- Footing ELC Foundation Access: Ftg Drain ELR — -- --- -- -- Crawl Drain SIT -- Slab Inspection Notes: --- Post&Beam - - Shear Anchors Ext Sheath/Shear - — ----- ---- ---- Int Sheath/Shoar Framing Insulation Drywall Nailing - - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -— Roof ^� - Other _---- -- — Final PASS PART FAIL PLUMBING - --- --------- - Post&Beam Under Sl;rb - —-- --- - -- Rough-In Water Serviuc - — Sanitary Sewer t Hain Drains Catch Basin/Manhole _ Storm Drain Shnwer Pan Other: Final - PASS PART FAIL- _.._--- — MECHANICAL— & _ - - - -- Post Beam _ -- - Rough-In — Gas Line Smoke Dampers Fina PASS PART FAIL --- -- -- ELECTRICAL - - - Service Rough-In UG/Slab Low Voltage _ -- - ----- — Fire Alarm Ri4nspect on fee of$- - required before next inspection. Pay at CityHall, 13125 SW Hall Blvd, t- AS�S) PART FAIL. Picase cs.11 for reinspection RE:—____.. �_ _ Unable to inspect-no access Fire Supply Line ' J ADAdab EXt----- Approach/Sidewalk i Other Final - ®O NOT REMOVE this Inspection record from the jd� site. PASS PART FAIL