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7400 SW CHERRY DRIVE Ik .36 HIGH 2 J PIPE RAILINC� 11 Am I3'-m1 , �---8 CONC RETAINING WALL / SEE DETAIL a-4 SNT 614 1;77 �•- , T �. V j n r .... .... .... , � 1 r, :01 JOl)sl CONC 6 ATIO RELOCATED . a�q!J:h30 � ;� C, , ,OM 0(41 Aluo J0� 226ZO' Fr-.E. REMIGERATOR .. ..... ......... of = ' . Cl" VOnoJddb 011 1a A.110 J' 0. - NEW 4xw r7/- '. �� � NEW 3G�' ��ICON C:OUN R _. ...�.. � o � _ A .. AND �:Ak�WETS , o • 'NEW GUTTD1 DOIUNS C� OFF I C I I NEW ROOF, O 2x6 R.R. +� I OF ROOF I •. f 24-' O.C. `n © cc;)� LJ 4 6:12 x XISTING FIREPLACE ® , OPEN O N OFFI //A I ." NEW 6x10 FL.USN I NEW 42 36` NIGH, 1-1/2't Via# WALL AI 4 ►- PIPE RAILING NEW x6 ����;�t• 40, mp 14 D ; 7 r.... NEW CABINETS /ATORY � LINTER 41 WIDE PLANT ® SHELF I. Room NEW LINEN 3 WALL 1 , CLOSET Iz '"4 • - c� WALL LINE 3ELOU1 e . 1 r •� T OFF I z OFF I 3 —NEW 30HIGH COUN'M=R AND CABINETS 1 � � c`J � ►vE-IU DQ -3 1 NEw 1/21 C� NOTICE: IF THE PRINT OR TYPE ON ANY rll_ II � � III III III III III IIS III III Ili � !-�_� iil � I � � I � � I � ilr ► Ili ili i Ali iii iii il � ili � ili illlili I ! i ili ili ► li ilililr 1Ir- .r� i ili ili i � ilil � � ! i ili i ! i ! ; ! i I ! i ill ililili I I r I I I I ! 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If�ll 06 0 0 n 2 m M m m I 7400 SW CHERRY STREET � � d lot � r � TI v a � o z CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT' #. . . . . . . : BUPI97-0384 DATE ISSUED: 11 /18/97 PARCEL: J'S101DC-00500 SITE ADDRESS. . . : 13615 SW 72ND AVE SURD I Y I S I ON. . . . : ZONING:C--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION:TIG -------------------- REISSUE: FLOOR AREAS-------------- EXTERIOR WALL. CONSTRUCTION— C'LASS OF WORK. :(_.)LT FIRST. . . . : 1350 s f: N: 5: E: W: TYPE OF USE. . . :COM SECOND. . . : t230 S f PROTECT OPEN INGS'!­­­­­- TYPE OF CONST. -5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP,. :B TOTAL.------- : 2580 sf ROOF CONST: FIRE RET'? : OCCUPANCY LOAD: ._..7 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 2 HT: 0 ft GARAGE. . . 0 sf OCCU SEP. PATTI). B5MT? : ME Z Z ) : RE DD SETBACKS--------------- FLOOR LOAD. . . - 60 psf LEFT: 0 f t RGHT: (3 f t FIR SPKL : SMOK DET. . : DWELLIN13 UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y' BEDRMS: 0 SATHS: 0 IMF, SURFACE: 0 PRO CORR:N PARKING: 0 VALUE. $ 40000 Hpmar-ks : Converting an existing residence to office space Owner- : FEES 7LND VENTURE LLC type amol.knt by date t-ecpt 4852 SW SCHOLLS FERRY RD PRMT $ 238. 00 B 1- 1/18/97 MANUAL 1,ORTL.AND OR 97225 5PCT $ 11. 90 B 11 /18/97 MANUAL PILCK $ 154. 70 BON 08/04/97 97-297881 Phone #: 292-7000 FIRE: $ 95. 20 BON 08/04/97 97-2'97881 C_DCB $ 125. 00 B 11/18/97 MANUPt Contractor: CDCP $ 125. 00 B 11/ 18/97 MANUA1_ BROOKPARK HOMES, INC. F Ft'IF) $ 40. 00 B 11 /18/97 MANUAL 11080 SW ALLEN BLVD. E-RP't— $ 13. 00 B 11/18/97 MANUAI.. STE # 600 ERPC $ 17. 00 8 11 /18/97 MANUAL BEAVERTON OR 97005 Phone #: 643-9417 $ 815. 80 TOTAL Req 000556 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Fv-ainiriq Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Insi.ilat ion Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started c;,.,,p Ceilng Insp within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to foll3w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR through OAR 952-00I01967. You many obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Permittee S ig n at 1-tt-e o �QO T s s Lt e d B y 4 f 4 4.......4...................4................►4-+A.+++++++.1-++++-F+++++•+++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl-tsiness day +++A-+4..............................................4..............4........4-++++ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- % BUP Date Requested 1 --_,.:—AM PM _ BLD Location 1 J I __ Suite MEC Contact Person _ XI Ph / PLM _ Contractor- `,/_ ` a 12 Ph 6 Z' �^ �( �' SWR r_ BUILDING Tenant/Owner 'WELC — Retaining Wall ELR Footing Access: Foundation % FPS —_ - Ftg Drain SIGN 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 Misc. — Final — _..-PART FAIL - --- --- - -------- -------— PLUMBING Posi TReam ---� (bider Slab Top Out ____.---- Water Servl,7e. Sanitary Sewer ASS) ]PART F�IL --'- --- A NICAL ___T----- - -------- - ------ -- Post& Bearn ----- ---------- -----____� Rough In GasLine - - _ . -- -- ------- - _..--------- --- - ---- Smoke Dampers Final PASS PART FAII ELECTRICAL - _..___.._ -.--.-----------._-_- Service Rough In ---- UG/Slab ---- --- -- - ----- -- Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading ---- Sanitary Sewer Storm Drain ( ]Reinspection fee of o required before next"ction Pay at City Hall, 13125 SW Hall Blvd B Catch asin ' Fire h asy Line I ]Please call for reinspection RE: � ( ]Unable to inspect- no access ADA Approach/Sidewalk �..•• C: Other Date ,�_/ f Spector _yExt Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. /� CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 CERTIFICATE OF OrCUPAhic y PEl?lvlJ T 1*. . . . . . . .. PATCE 1 "AR-0: rz,rA i?c c.. ADDR(,'),::' :0/40C1 0 r�W 11r.',PPY ;T 11.31111)1.91.0N. . . . : I ON I N1.;-.C -P ()Uf. . . . . . . . . . . . . . . . . . . . . . JUR 1 GA)l 17.T ION (.VA OV WORK. :01-1 PF.- or USE. . . -com f:.+-' OF CON51 R:51A CCPO NCY LOAD- 1.7 NVINI NAME. . . -SYLVAN WOO) VIRODLJCT6 RE�miwkq ,- C"onvprtinq an exist. ing -esirJenc-e t-o oFf i(..'e :,piAce VENT UI' LI.-C:: otic` :.-,W SC.HOLIA3' FERRY RI! if?T I-A N 0 0P 13 7 Phoye #' V.,I uni rart or EAPOOKPARK 14011F;3, JN(' . 11080 Sw 1ALLEN Fal_VI). Tr_ # coo BL(WERION OR 97005 Phorie #e 643--'341. " pep #_ . 000554, this Certi. f)c._-1f' 1p qrsyltf: orL.cupi.-Itll v t-to, -tbf�vv t�eferc-rscpcl blijidinq or potl: im. 1:;,k,.,1-eof and i--onfiv-los !-hi?t the Iioild.iriq ;iai t?een in,%pct?cJ­(.1,J for c:otopl -ianc - lh& 5t-at.e (if Orgon Fpe(- Iv C,d v or l fsr- tp cooip, 0 c.c "I p a I I t. 11 4 F. I, .41,1 u:h t I-) V ef el-pTic-pti hA L I I I it; 1pl13PE(1�To1;x r (It'.1-11.-F,1.NG nF F I G 11-11- ' 1 " PrIc.14 HN c-0r'F:­.P i (Alt 1�5 l"L.AcT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —T— F3UP _ 7G" —Date Requested/ AM PM if r 97-03?cf Location `70 Jw �Gt�P.1'1'') b- �f�_ '/ Suite MEC Contact Person `II C�+� �dY gni Ph 0 PLM Contractor_ �l� 11/Cavt r-a '��� 0' �1� _ Ph _ SWR ILD! Tenant/Owner ELC TZ& n-ing Wall ELR Footing Access: Foundation �1� /6�a ,�i FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab — SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Sheer Framing — Insulation Drywall Nailing FirewallFire Sprinkler Sprinkler _ ----- Fire Alarm Susp'd Ceiling _ Roof i RT FAIL — -- ------ -- - MBING Pos earn Under Slab Top Out Water Service Sanitary Sewer Raw Drains S PART FAIL _ MECHANICAL_ Dost& Beam – ---– — – -- Rough In Gas Line - – –– Smoke Dampers Final -- ------ –_ PASS PART FAIL ELECTRICAL --� Service Rough In — UG/Slab Low Voltage Fire Alarm Final P PART FAIL _ r I/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: ( I Unable to inspect-no access Fire Supply LineIVEYORP ADA 7 /' Approach/Sidewalk Date /L� -30��� Q9wr Inspector Ext ism PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY QF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR97-0358 DATE ISSUED: 12/16/97 PARCEL: 2SIOlDC-00500 SITE ADDRESS. . . :O74O0 SW CHERRY AR SUBDIVISION. . . . : ZONING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG Pro.j ect Description: installation of protective signaling. ----- A. RESIDENTIAL------------ B. COMMERCIAL------------------------------------------.-.. AUDIO & STEREO. . , : AUDIO A STEREO. . : INTERCOM R PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X I NSTRUMENTkT I ON. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 Owner: -------------------------- FEES SYLVAN WOOD PRODUCTS type amount by date recpt 13615 SW 72ND PRMT f 40. 00 TJH 12/16/97 97-30182O TIGARD OR 97223 SPCT $ 2. 00 TJH 12/16/97 97-301820 Phone #: Contractor: ---------------------------------.----------------------.----.-----._---_. WILSONVILLE LOCK. A SECURITY f 42. 00 TOTAL- Pfl BOX 517 ------ REOUIRED INSPECTIONS ---- — WILSONVILLE OR 97070 Ceiling Cover Low Voltage Insp Plhnne #: 682-2323 Wall Cover Elect' l Final Reg #. . : 000493 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 188 days of issuance, or if work is suspended for more than 188 days. ATTENTIIN: Oregon law requires you to follow rule adopted by the Oregon Utility Notificatioa Center. Those rules are set forth in DAR 952-MI-NIO through OAR 952--881-8888. You may obtain copies of these rules or direct questions to OLK at 15631246-1987. Issued by ���� _ _ Pl e r m i t t e e Signature Or _._.------------- ._-------GWNER INSTALLATION ONLY------------------------------ [tie installation is being made an property I own which is not intended for Sale' lease, or rent. [OWNER' S SIGNATURE: _ DATE: ----------------------CONTRACTOR INSTALLATION ONLY-------•-------------------- gTGNATURE OF SUPR. ELECT N: _ _ DATE: _ LICENSE NO: +++++++++++++++++++++•f++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++.....+++++++++++++++++.H+++++++++++++ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# EL-WI -055b Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED By PLEASE COMP!ETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Add ss J [] RESIDEN TIAL—Restricted Energy Fee . . . . . . . . . $40.00 - fGla�, �r]�.� - (�t{I (F-OR A[I-SYS IIMS) (-it� State Zip Check Tyne of Work Involved: I'FRMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS CF ISSUANCE OR IF WORK 15 SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm 2. CONTACTOR APPLICATION ❑ Garage Door Opener• I I,S�nVf I Ie- ❑ Heating,Ventilation and Air Conditioning System' Contractor Type ❑ Vacuurr.Systems* ^,� -�X+ 11 Other Address ) U A .517 - -- ——-------- — - Date �(�' f 7 COMMERCIAL—Fee for each system . . . . . . . . . QQ,QQ (SFf OAR 91 B-200-200) Property Owner ��c,fn Fo ICC61 --P�'�c f C f L• _ Check Tyne of Workloyalyss Conlrartor's Board Reg. No. 19 ^ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# _ y�� r13 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations 1100 volt amps ni less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: ig 1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other _ asterisksi•l All others need licensing). 2 Call for in -aspection when all of the installations under this permit are ready for inspection at 903-639.4175. ❑ _Number of Systems T Purchase separate permits fnr all installations that are not ready for inspection when the inspector is out to inspect under IN-permit. 'No licenses are required. Licenses are required for all other Installations. 4 Assume responsibility for assuring that all corrections required by the inspector are done and i. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ 4U no authorized to bind the ap Ii ant. h. 5% Surcharge(.05 x total above) $ :Pfd Si adore TOTAL $ Authority if other than applicant ENERGAP.CHP L August 8, 1997 CITY OF TIGARD OREGON Peter Magaro, Al A 10570 SVV Citation Beaverton OR 97008 RE: Plans Check Number: 8-10C This letter is to confirm receipt of your building plans which have been routed to the plans examiner. As a reminder, the associated land use case(s) is/are: SDR90-0021 Please be aware you are responsible for satisfying the conditions of the land use case(s) and must submit plans directly to the appropriate staff person(s) indicated on your final order. Your building plans are no routed to the planning or engineering departments; you must satisfy the land use permit conditions independent of the building permit plans review process. After the building plans review process has been completed, y m-r to lding-Wrmi ri) not be issued without a.Pproval from the engineerin_ awl r n 'ngd artments. If you have any questions regarding this notice, please feel free to telephone me and I will be happy to explain further. 4VuwX VA"01a L-- Bonnie Mulhearn Development Services Technician cc Building file cc Planning Department cc Engineering Department I\DSTSMUPLUC DOT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 — August 14, 1997 Peter Magaro, Architect CITY OF TIGAR6 10570 SW Citation OREGON Beaverton, OR 97008 RE: Sylvan Wood Products Building Plan Review M46 SW 72nd PC#: 8-10c /� '' BUP#: 97-0384 Occupancy: Change of Use from R3 to B/A3 - Construction VN Occupant Load: First Floor - 24 Second Floor- 8 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1. Under the provisions of Chapter 13, OSSC, Section 1301.1.3, any component changed shall comply with Chapter 13, therefore, the following requirements may be required: a. Walls - R13 b. Roof - R19 C. Windows U.54 Shading 0.57 d. Lighting 1.5 watts per square foot 2. Submit Completed Energy Compliance Forms 5a through 5c, Oregon Non-Residential Energy Code. ACCESS11910_ V ` M, ';.,Oki�_ JVM, ` y( . "' . , f Stairs to the second floor shall comply with OSSC, Section 1109.8. Sinks in classrooms, lunch rooms and similar common use areas shall be accessible in accordance with OSSC, Sectior, 1109.11.3. Provide a plan detailing compliance. FIRE�AND!UFE SAFETY. , A*&* 4M rhe stairs on the first floor require at least one handrail extending not less than 12 inches beyond the riser, OSSC, Section 1006.9. This will reduce the aisle width to the exit and floor areas to 24 inches from the required 36 inches, OSSC, Section 1014.2.2. Show how you will comply. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503)684-2772 -- -- - Sylvan Wood Products Building Plan Review PC#: 8-10c BUP#: 97-0384 Page #2 2. Except within individual dwelling ..;c. guest rooms and sleeping rooms, exits shall be illuminated at any time the building is occupied with light having intensity of not less than 1 foot-candle at floor level [OSSC, Section 1012.1]. 3. Provide a key hox (Knox) mounted to the exterior wall 10' above finish gradA ;nd adjacent to the right side of the main entry door. The box shall contain keys to gain access as required by the Fire Marshal [UFC 902.4]. If you have any questions regarding this requirement, please contact the Fire Marshal at 526- 2502. 4. Provide Type 2-A fire extinguishers throughout so that the travel distance to an extinguisher does not excaed 75 feet [UFC Std. 10-1 3.2.1 j. SYIR 1. The structural calculations submitted usa a live load of 40 PSF. OSSC, Table v� 1 16-A requires designs to be based on 50 PSF. Please provide a new analysis. 2. Provide details on joist size. Base on the loads imposed, 2 x 10 #2 DF-L at 16" O/C will be required. O'E-0 1. A separate application and plans will be required. PIVI , E: 1. Provide details showing how you will comply with OSSC, Chapter 12. Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, e _. Robert Poskin, CBO PLANS EXAMINER .r,.wvew..raMr_m u�..a.we CITY OF TIGARD Commercial Building Permit Rec'd By 13125 SW HALL BLVD. New Construction Date Recd TIGARD, OR 97223 Date to P.E._ (563) 639-4171 Date to DST / Permits! b / Print or Type Related SWR s Incomplete or illegible applications will not be accepted Called .4,11 If 14-1 Wit ,i, rr• .r Name of DevelopmenVProlect A.) In existing building$] New Building ❑ Job �--.k_t -.---SSt- r Address Street Address Suite B.) Commercial g] Residential ❑ SEA3 1a-A -gtix . Bldg: Gityrstate `— Zip Building No. Of stones: - i Aa n Name Data Z- _ t N-tu r< LiUc— Sq. Ft. of project Owner Mailing Address Suite tqb r4cT /gyp,( ,e 1%_S-;L SW Slit Occupancy Class(es) ' City/State Zip Phone 'i Name( rJ ° Type(s)of Construction Pim C -F\S OW pj E72 Occupant Mailing Address Suite Will this project have a FIRE City/Slate Zip Phone SUPPRESSION SYSTEM? Yes ❑ No �---- Name _. I Contractor Mailing Address Suite r i 11 I �, //o gV SU_) Zi L�Lvr`? o e I hereby acknowledge that I have read this application,haat the information City/State Zip Phone given is correct,that I am the owner or authorized agent of the owner,and �v1 2t oN a t1- 9 7 o�ay' �4 -9 41 g r that plans submitted are in compliance with Oregon State Lews. (Prior to issuance Oregon Const.Cont Board Lic.• TExp. xp Date a copy of all , Signature of Owner/Agent Date !C -x� flicenses are Oregon Const.Cont.Board Lica Date required d _ !�0.�e b{n ► - 1 3 (^�7 expired in CO Business Tax or Metro at Exp.Date Contact Person Name' Phone rata base) - _ Name �tE(L Yh A6A2-, Architect W-rg- MAcAar) AIA or Mailing Address Suite t os7c, SW C.,tv'rib►) FOR OFFICE USE ONLY: Engineer City/State Zip Phone f�vtotv o©$ S7 -� ,)P.scribework to be done , _ New O Addition O AMeratlon)o repair O Notes n'r Additional description of work , r r,�w ST w a< z tt Room Tc ..`1 y?1_'` _ '✓' , .; rAIL,, -A '�En.uott_ 'bmf n PSR STANOf1t0S eEL0C_AT'E COME d KfMKt Ort r ` Existing use of building or prope,1y,�S i IkL Proposed use of building or pmperty._QUyr-t_S.L_ — (_v+A d-t e.. �W�kE kS lACOMMAPP DOC (UST) 10,943 1000 PERMIT# ACCOUNT DESCRIPTION AMOUNT AMT.PD. BALANCE DUE ^�c Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. _ Plumb. Mech. Plan Check (BUPPLN) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) CDC -Planning (CDCPLN) CDC -Building (CDCBLD Mass Transit TIF -(TIF-MT) Ll1 0� Commercial TIF (TIF -C) Industrial TIF ( \ (TIF -1) Institutional TIF 0.f (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Control Permit (ERPRMT) ' Erosion Planck/USA (ERPLN) Erosion Planck{COT (ERQSN) L I\COMMAPP DOC (DST) 10/96 DATE. L5_�� PLANS C�HECx yOi PROJECT TITLE. 1l COUNTYWIDE �\JAdn TRAF=FIC IMPACT" FLEE WORKSHEET APPLICANT (FOR NON-SINGLE FAMILY USES) MAILING ADDRESS. - CITYfLIP/PHONE: TAX MAP NO q/! I LAND'J3E CATEGORY RATE PER TRIP SITES NOARESS. _1JL�J -,Z/— Ave CJ RESIDENTIAL $ 179.00 � n BUSINEbS AND COMMERCIAL $ 45.00E OFFICE $ 164.00 INDUSTRIAL $ 172.00 INSTITUTIONAL $ 74.00 PAYMENT METHOD: _ CASH/CHECK CREDIT _ BANCROFT(PROMISSORY NOTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY LAND USE CATEGORY DESCRIPTION O�f(4v&E I WEEKDAY AVG WEEKEND AVG TRIP RATE TRIP RATE 1�D-5` BASIS. 7 to p�llct�. I`7 rC I��f c°.I(�1 �j z,c7�,t'� rE'�I ( a- w4f) c4l'u_ CALCULATIONS. _(1 IF -`�ja �fv �If' �ev"Aem X u.t Z �`Ao x I to -151 �4 2 .o-7k_!P� PROJECT TRIPGENERATION 0 .07-Tr�� h1ww', 1,0 I e}�rP���S _ 3z.0-7 7{fI L`t,/'b e�3,2-1 �� (11Z FEE. FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES. ROADAMT 12 C1� TRANSITAMTr PREPARED BXj !O I `'IFWKST DOC ,DST) August 25, 199 CITY OF TIGARD OREGON Peter Magaro, AIA 10570 SW Citation Beaverton OR 97008 TRAFFIC IMPACT FEE FOR SYLVAN WOOD PRODUCTS Enclosed with this letter you will find a calculation sheet showing the computation that has been pertormed to determine the amount of the Traffic Impact Fee (TIF) to be paid fo, :he project noted above. The amount of the TIF is $5,259.00. You have three payment options available to you. The first is to Nay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annwil increase of up to 6% if not paid ur financed prior to July 1 st of each year.. Please note that you may appeal the discretionary decisions made in determining th13 appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Becorder io later than 5:00 p.m. on Sept. 8, '1997 and must bo accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- 4171 . / 41A-V Bonnie Mulhearn Development Services Technician c: TIF file Building file 1312.5 SW Hall Blvd., Tigard, OR Q7223 (503)634-4171 TDD (503)681-2772 — `•._ Dove Civil Engineering Job JJ 4914 S.W. OakA-iclgc Rd. Lake Oswego, OR 47035 Date: Phene/Fax (503)697-5926 Pawe of CIL. 4(6 0 ?4 V 1 0 4w W — lair 6" • 0? Cie! (4) Itok T (x w i H z y 4 1116"7 (n, JF r A$,t I It"s k, ptwo t r) At "I k,ilk I'. t h. A, 4✓# tz' V, r -7 77" t7L A mx P'A -4 ( ; Ix, i r �_4 144 'CIO SEE 35MM ROLL# 22 FOR LARGE., DOCUMENT CITY OF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : SIT97-0029 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 TATE ISSUED: 11/18/97 PARCEL: 2SIOlDC-00500 SITE ADDRESS. . . : 13615 SW 7;_'I\II) +-WL BLOGKSUBDIVISION_ . - I S I ON. . • . LOT. . . . . . . / � � � ' r ZONING: C—P . . . . . . : �j JURISDICTION: TIG ---------------------------------------------------------------------------------------- CLASS OF WORN.. . :ALT : PAVING?. . . . . . . . . : Y RESO. NO. : 7 YPE Or- USE. . . . :COM GRADING?. . . . . . . . : Y VALUE. . . $ : 8000 EXCV VOLUME: 20 Cy LANDSCAPING?. . . . : Y FILL VOLUME: 75 ry SITE PRE►"'?. . . . . . : 1! ENG FILL?. . . . . . N STORM DRAINS-?. . . : Y SOILS RPT READ? : N IMPERV SURFACE: 4506 sf Remarks : Site Mork for conversion of residence to office use. Owner,: —......._____.___.___--- - __- _____.______._.-------------------- FEES ------------ 72ND VENTURE LLC type amoi.rnt by date recpt 4852 'SW SCROLLS FERRY RD PLCK $ 44. 53 DRA 07/18/97 97-297323 r-,ORTLAND OR 97225 P'RMT $ 68. 50 P 11/18/97 MANUAL SPCT $ 3. 43 R 11/18/97 MANUAL Phone #: EROS $ 80. 00 H 11 /18/97 MANUAL FRPU $ 26. 00 B 11/18/97 MANUAL Cont Tactor,: --------------------- - -._.._.._ ----.-ERP'C: $ 26. 00 B 11/18/97 MANUAL BROOKPARK HOMES, INC. PUI_-X $ 420. 00 P 11/18/97 MANUAL 11080 SW ALLEN BLVD. WQ1J1\1 $ 580. 00 P 11/18/97 MANUAL STE # 600 NE_AVE.R r ON OR 97005 Phone #: 6,43-9- 417 i► f 1248. 46 TOTAL Rey #. . : 000551., - -- - REQUIRED INSPECTIONS — — -- Ihls permit is iss,,M subject to the regulations contained in the Er-o s i on Control Tigard Municipal Code, 5tete of tire. Specialty Codes and all other Grading Insp applicable laws. All we•k will be done in accordance with St r,m Drain Insp _ approved plans. This permit w11 expire if work is not started Lia n Sewer- Insp within 180 days of issuance, or it work is suspended for more Domestic water 1 than 180 days. ATTENTION: Oregon law requires you to follow rules Landscaping Insp _ adopted by the Oregon Utility Nitification Center. Those rules are Misc. Inspection set forth in JAR 952-001-0010 throil;h OAR 952-001-0080. Your may Final. Inspection _— obtain copies of these rules or direct questions to OUNC by calling (503)216-9187. Is s i_r e d by : P e r m i t t e A Si gnat ++++++++++++++++i•. +++++++++++at+++++++++++++++++.4-+++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for, an insper_tion needed the next bLrsiness day +++++++++++++++++++++++++++++++++++++++++++++++++++++, ++•++i•++++++++++++++++++-+++ Plan chac:(� CI1Y OF TIGARD Site Permit Application Recd By 13125 SW HALL BLVD. Commercial: Complete ENTIRE form Date Recd TIGARD, OR 97223 Residence: Complete SHADED areas Date to P E. (503) 539-4171 x304 Date Permit t DST � Called ; O 'T Print or Type Incomplete or ;Ile ible applications will not be accepted C—) � Protect Name Utilities(Complete all that apply) .tab Addriliss Address Storm Sewer S8 /�('f � a , 1/ — Linear Ft. Name S+initary Sewer V AJC_ Linear Ft. Owner Mailing Address Fresh Water ,S Sts Cl�,l kit" Linear Ft. StatePhon6 Catch Basins blame Clean Outs Gon ':ontractor Mail"Address Describe worts to be done: (prim to O D�. � New(] Addition Alterationo Repair[] vauenee soar ant mwt city/suftZip Pitons Addirtiorut Description of V%k)rk. / �► & -,ttCenl�:`�`A : . �� _",�` .t}4�yS•r �3 ='.�.. �l.,'.vi.<< 'ld .. � 3 � t ,��K` <na ; �\�. '�lrtlfrrlMf011111 `' ` COT 8tmoess Taxa.flAetro� Exp.Date = . `' ,���, �; , • _• .. ��.��,�. COT Name pmect -W K lS ^ Ysfusfion .` � Architect Mailing Address Pba3ubmhfells Msift contalhilli wactkv! [owing,must accomps this appllcadon: �Y C=tyjSlate— Zip Phone Site plan with Vicinity Map Parking(including Showing ADA complance AOA)&Lighting Ptan Name Grading Plan and details Landscaping Plan Engineer MailingAddress Erosion Control,rftn and Retaining Stnxdures C Via►, o t 0 rJ details r.<. ir►�tt ng ,'. CitylState Zip Phone Sffe Udfff)r Plan mid detdo Sofls Report connection tofired appspm) ) ccavadon Volume 1 hereby acitnowledge that I have read this application,that the repeal required for X5,000 cu..Yatds infonnawn grven=s coned.that I am the owner or authorized Cil.ydsagent of the owner,and that plans submitted are in compliance .nth Oregon State laws. ,::If Vokone Signature of Q erIAgem Date "Soils report regwred for>5.000 cu Yds.) C fV4 _ cu. "` ` AM ft fill support a structure Contact Person Name Phone (Engkww regtnred if answer is yes) YE Sp NO Retaining structure?(check one) ORock FOR OFFICE USE ONLY A CMU Notes: S pConcrete ❑mer !tai new mpervious area including ail [Land Use Carne# — I Map/TL# ,:icings. sidewalks. and pavir� oZ O©C� Sq. Ft ,:i . weapp.doe(DST)4,97 1 /Y °° Acct COT WACO Amount Amt. Pd. BSI. Permit Descritpion Due SIT. Permit (BUILD) (UBUILD) �-o gV Co Plumb. Permit (PLUMB) (UPLUMB) State Tax (7,0001UTAX) 2 BLDG: PLUMB: 1/ Plan Check SIT. (BUPPLN) (UBUPLN) Plumb: (PLUMB) (UPLUMP) _ CDC Review (BUILD) (CDCBLD) (UCDC) CDC Review (PLN) (CDCPLN) N/A Reimbur. District ( ) ( ) Sewer Inspection (SWINSP) (USWINS) Water Quality (WQUAL) (UWQUAL) ,� Zo �r'?6-�' Water Quantity (WQUANT) (UWQANT) _ �' V Erosion Control Prmt (ERPRMT) (UERPMT) Erosion Planck/USA (ERPLN) (UERPLN) Erosion 7/ (, � c Planck/COT (EROSN) (UEROSN) -- - - TOTALS: I sitevp.doc(DSII 5.97 T" August 14, 1997 J.H. Sigmund CITY OF TIGAlRD 4 L 8835 SW Canyon Lane #402 OREGON Portland, OR 97225 RE: Sylvan Woed Products Site Plan Review 7 13618 SW 72nd PC#: 7-62c -1 U� SIT#: 97-0029 LUC# SDR90-0021 Map/Tax Lot# 251010c-00500 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and stat,^lards. The following comments are noted: AW O 1. Provi­u the total square footage of impervious area. Include roofs, sidewalks, parking lot, play grounds and gravel areas. 2. Provide the total cubic yards of each of the following: A. Excavation _ B. Fill [structural and non-structural] 3. Your drainage report takes into consideration areas identified C and D. [There is no mention on how the runoff from the area footprinting the building and areas associated with same]. Provide a drainage plan that addresses the whole site to include the building. 14, Catch basins shall be trapped by using the inverted one-quarter bend or welded baffle. Provide catch basins constructed to OSSC, Section 1108 specifications. 5. Submit revised plans with details and specifications for the Lynch-type catch basin. The design shall be in accordance with OPSC, Section 1108 requirements. 6. No building shall be constructed, altered, enlarged, moved or repaired in a manner that by reason of size type of construction, number of stories, occupancy or any combination thereof, creates a need for a fire flow in excess of 3,000 gallons per minute at 20 psi residual or exceeds the available fire flow at the site of the struc,. re [UFC, Section 903.31. A. Provide Fire Flow Testing pursuant to NFPA 291 using the enclosed "Hydrant Flow Tc.7i Report Form." 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 — -- — Sylvan Wood Products Site Plan Review PC#: 7-62c SIT#: 97-0029 Page #2 B. Complete the enclosed "Fire Flow Work Sheet" and forward to Tualatin Valley Fire and Rescue, 4755 SW Griffith Dr. [P.O. Box 4755] Beaverton, OR 97076 [Ph. 526-2469], and return a copy to the City of Tigard, attn. Plans Examiner. Note: These documents shall be on file before a building permit will be issued. ACCO 1. The van accessible parking space adjacent to the access aisle shall be not less than 96 inches wide. OSSC, Section 1104.1. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, i Rob rt oskin, CBO PLANS EXAMINER SIGNI I TND CONSULTING ENGINEER CIVIL I:NGINEF:RING LAND SURVEYING September 12, 1997 ROBERT POSKIN, CBO Plans Examiner City of Tigard 13125 SW Hall Blvd, Tigard, Oregon 97223 Re: Sylva_n__W_o__od-Pxud"tts--- -t-3ST S3 W 72nd-Av--enue -7 SIT# 97-0029 Dear Mr. Poskin, Thank you for your comments letter of August 14, 1997. Per your request, I am providing the information as follows: SITE WORK I. Impervious Area: Existing impervious area = 2302 SF Proposed additional impervious area=4506 SF Total impervious area on site =6814 SF 2. Earthwork: A. Excavation = 20 CY B. Fill = 75 CY 3 Diainage Report Drainage firom the existing building is routed into an on-site drywell. The location and approximate piping location are shown on the revised plans 1 Catch Basins. A note has been added to the plans. 8835 SW Canyon lane, Stuile 402 1'Itone: 503-292-5825 Portland, 0"-got,97225 Fax: 503-291-1613 5. Revised Plans Plans have been revised and a Trapped Catch Basin detail has been added. 6. Fire Flows: A. A Hydrant Flow Test Report has been obtained and is attached with comments. B. A Required Fire Flow Work Shee, has been completed demonstrating a required fire flow of 1500 g.p.m. and is attached. A(VESSIBILITY 1. The van accessible parking space is designed to be 9 feet (108 inches) wide. Enclosed please find two sets of the revised plans. Sincerely, AJC/ • I . SigmunL7° , PLS CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING F'— PL PERMIT #. . . . . . . F'LM97-0323 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 1c DATE ISSUED: 01/06/98 r PARCEL: 2S I O l DC-00500 SITE ADDRESS. . . : 113615 SW 72ND AVE � SUBDIVISION. . . . : ZONING: C-F' BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG ----------------------------------- CLASS OF WORK. . :AL.T----�-GARBAGE-DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :f'OM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTLJRES-------.___.__.____- L..AI_INDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : N OTHER FIXTURES. . . . : TUB/SHOWERS. . . : 1 SEWER LINE. (ft ) . . . : 0 WATER CI. OSETS. - 0 WATER L.TNE (ft: ) . . . : 0 F)ISHWASHFRS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Pemarlts : Converting an existing residence to office space Owner: ______________.____.-_..________._______...------------------ FEES -------------- PETER MAGARO AIA type amoLint by date v ecpt 10570 SW CITATION PRMT $ 2'5. 00 JSD 01/06/98 '38--302292 BEAVERTON OR 97008 5PCT $ 1. 25 JSD 01/06/98 98-302292 Phone #: --..-_______.__..__--------------____-- VALLEY PLUMPING R I FA T I NG INC 1535 WIL.LAMTNIF, F'OREST' GROVE OR 97116 ------------- ------ ---_--- -Phone #: 503-357-0606 $ 26. 25 TOTAL Peg #. . : 001036 " ------•-- REQUIRED INSPECTIONS ------This permit is Issued Subject to the regulations contained in the Top-oi_it Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with — approved plans. Tl is permit will expire if wnrk is not started N .___..__....._......__.�-_...._._..__ within 180 days of issuance, or if work is suspended for morethan 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are — set forth in OAR '352-0001 0010 through OAR 952-0001-0880. You may _- obtain copies of these rules or direct questions to OLRIC by calling (503)246.1987. -- Issi.ted By: �f .../-. _ _ Permittee Signati.trem-��—k-a'. +++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++F++++++++++, Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isiness day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-� (V!' 0,(4 r vevieto W-C.0 -;nor iTY OF TIGARD Plumbing Application Recd By + � � " X125 SW HALL BLVD. Commercial and Residential Oats Recd IGARd, OR 97223 Oats to P E.Oats to DST 503) 639-4171 Pefmit 8 � Print or Type Related SWR, V 7- b�'9 Incomplete or illegible applications will not be accepted cakd Name of Dsvelopment/Prolea .FUCFURES.(individual) !,;,A t*42 T! 6 Job <_k"g !;X Sink _ ! 9.00 Street Address Suits lavatory 9'00 Address l3�%S SW 7a-L Avsi Tub or Tub/Shower k;omt. 9.00 Bldg a city/stats Zip Shower Only 9.00 t K Water Closet 9.00 Name Dehvasner - 9.00 7�1-„d �•.�t"��x L L.L Owner Mahang Address Suns Garbage Disposal 9.00 Washing Machine 9.00 citylsute Zip Phone Floor Oram r 9.00 .�-0 7 �9a-7ok�u ]• 9.00 Name SA„,r As Gw n if m 4 9.00 ,:cupant Marling Address suite Water Heater 9.00 Laundry Room Tray 9.00 cityistate ZIp Phone Urmal 9.00 Name Other Fudures(Specify) 9.00 tjV-044r'Ale --Lj,3 c 9.00 Untractor Mailing Address Suds 9.00 b$fJ S w LLE, 61_-v0 C,O U 9.00 'ror to issuance City/State Zip Phone 9.00 jovik:ant must R of O O`d 4 ,7 9.00 provide all Oregon Const.Cont.Board Lic.0 Exp.Date uxhttvdors ll;S6`/(o S 9.00 license Plumbing Li¢S Exp.Date Sewer-1st 100• 30.00 nformatlon Sewer-each additlanl 100' 25.00 rnr COT COT Buarnow Tax or Metro a Exp.Date Wow Service1st 100, 30.00 :atabasel. Water Service-each additional 200' 25.00 rchitect Stomh 8 Ram Drag,-tat 100' i 30.00 or Marg Address Suns Storm 8 Rain Orson-each addftiorhal 100 23.00 IE�L�,,/Vstta '-. ) A� k. Mobi•Nome Space 25.00 _ngineer Zip Phone Commercial Back Flow Preventicn Device or Anti- 25.00 o.) `)-1 0 S7 -,-)-41 t Pollution Device tcnbe wort New O Addition O Alteradon,!!!l Repair O Residential Baddbw Prevention Device* 15.00 re done Residential O Non-residential O ^- Arry Trap or Waste Not Corxhecteu to a I i-thwe 9.00 l[ib1onal dee�s�Qrn_1/ytion of work Catch Basin 9 DO 4000 ��.t+wosL BRt►-+ Fob 4WA Rntb�n�w�n��"s • -�.^ ADD S 1ww ut R Insp.of Existing Plurninnp perRhper/h r itlnq use of L Specially Requested Inspect^ns 40.00 Ling or property''£c Og M A OAF CA Rain Dram,singe family dwelling 30.00 -Dosed use of Grease Traps 9.00 ,riding or property -- ___ QUANTITY TOTAL .you capping. moving or "placing any fixtutes? Yes No❑ lsorrwax:or now diagram is round R Quaiay Total is >9 fYes -see back of form) 'SUBTOTAL tha __ Z �tj ^ereby acknowledge that I have read this application. t Elie mformaoon ,en is correct.that 1 am the owner or authonzed agent of the owner.and 5% SURrHARGE at pans submitted are in compliance with Oregon State Laws. PLAN REVIEW 25%OF SUBTOTAL G gnature of OwnerlAgent Data Recurw only 4 rbtere dry.!aai s>9 - J7e 477 TOTAL intact Person Name +_.-----� Phone --- 'Minimum perms 4s rs S25+ 5%surcharge..except Resdential Pr7venbon Device.which is$15 -5%surcharge _ l:\plmapp.doc 12196 (hist) TEASE COMPLETE As oppg(,pRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray Urinal _ Other Fixtures (Specify) OMMENTS REGARDING ABOVE: io c4 GJ Lg C.R-0 I:\plmapp.doc 12196 (dst) Tenant Name. V" -7— RC24A�� cumulative Sewer Tally This SwAx: Address: ! Atle This PLM#: Fixture Value Prenm# Previous Credits Capped Fixtures Rxtures New New off Value Capped ovakm added # added total Na total Count off#s cotsrtt value values Baptis",'Font 4 Bath-Tub/Shower 4 '4 '1 - Jacuz/Whpl Car Wash - Fach Stall 8 -D,ive Through 18 CusoidorMster Aspirator 1 Dishwashar - Cormner 4 - Domest 2 _ drinking Fountain 1 Frye Wash 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 8 Car Wash Oram 8 '3arbage Disposal 18 Dom Ito 3/4 HPI Comm Ito 5 HPI _ 32 Ind lover 5 HPI 48 Ice Machine/Refrige ator Drains 1 Oil Sep IGas StaUonl� 8 Recreations:Vehicle Dump Stanon 16 Shower-Gang (Per Headl_ I Stall _ _2 �I Sink - Bar/Lavctory 2 Bradley _ 5 Commercial 3 Service 3 Swirnmmg Pot. Filter 4--i Washer, Clothes 6 r �� Water Extractor _ 8 Water Closet, Toilet 6 Urinal n r+n��V' TOTALS F y, .l„�, r� ►N,�_e n ( I Total fixr-re values: I divided hV 16 = / ? EDU /n HISTORY _ Nv C vga a,Ja cc'VVAJJ FLM# EDIJ# SWR# PLM# EDU# SWR# `1 1 PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# -h1# EDU# SWR# PLM11 EDU# SWRrr FLM# EDLI# SWR# I � ELECTRICALF�FRMIT CITY OF TIGARD (DEVELOPMENT SERVICES PERMIT #:DATE ISSUED: 11D: 11 /224/4/1 97 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL : 25101DC--00500 SITE ADDRESS. . . : 13615 SW 72ND AVE SUBDIVISION. . . . . ���� } ZONING:C--F' BLOCK. . . . . . . . . . . LOT. . . JURISDICTION: TIG F'r-o.)e c t Descr i pt i on : Insta.Iing service or feeder to 20N asps and 30 branch circuits - RESIDENT ]:AI__ UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELL.ANE_.OUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EA(.;11 ADD' I__ 500SF. . . : 0 201. - 400 amp. . . . . . . : VSIGN/OUT L. INE LTG. . : 0 I- TMI TED ENERGY. . . . . : 0 401 600 amp. . . . .. . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --•---SERVICE/FEEDE=R------ ----BRANCH C;I RCU I TS--------- -----ADD' L INSPECT I ONS-- - 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 30 PER INSPECTION. . . . . : 0 2:01 - 400 amp. . . . . . : 0 1st W/(l SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD( L.. BRNCH CIRC: 0 TN PLANT. . . . . . . . . . . : 0 601 - tQ100 i,mp. . . . . : 0 __________.. .... .._......___._Pt...AN REVIEW SECT ION-----________.________. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLE NOMINAL_.. . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ----------------------------------------------­------- FEES SYLVAN WOOD PRODUCTS type amol_Int by date recpt 13615 SW 72ND PRMT $ 21.0. 00 B 11/24/97 97-301160 TIGARD OR 972E3 `;PCT $ 10. 50 B 11 /24/97 97-301180 Phone #: I Contr-Fict or; EAGLE ELECTRIC LLC $ c'2,0. 50 TOTAL 4540 MOSS 5T - - - - -- REQUIRED INSPECTIONS -- - - PORTLAND OR 9719 Ceiling Cover Elect' 1 Service Phone #: 452-8026 Wall Coven Elert' l Final Reg #. . .- 124834 This permit is Issued subject to the regulations contained it the Tigard Municipal Code, State of Oregon Specialty Codes ar,d all other applicable laws. All work will be done in accordance with approved plans. This permit Mill expire if work is not started withii 180 days of issuance, or if work is suspended for sore than 1(•10 days. ATTENTION: Oregon law requires you to folliw the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-NI-010 throw h OAR 952-0@1-1997. you say obtain a ,opy of these rules or direct questions to OUNC b c llj;q4(906-1 7. Permittee Signatl..kr•e : Iss�.�ed By , �—J- _ ---------------------------OWNER INSTALLATION ONI-Y- -------------------__----------- The installation is being made on property 1 own which is not intended for, stale, lease, or• rent. OWNER' S SIGNATURE=: DATE: _--------------CONTRACTOR INSTALLATION ONLY------------ 7----- SIGNATURE OF SUPR. ELEC' N: X41 ! 1 ��M_- DATE: It LICENSE NO: +++++++++++++++++t•t+++++++++++++++++F++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspec' —n needed the next bi_isiness day + CITY OF TIGARD Electrical Permit Application Plan Check 9_ 13125 SW HALL BLVD. Recd By I`Z TIGARD OR 97223 Date Recd - Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST - Inspection (503)639-4175 Fax (503) 684-7297_ ;,l Incort�pPermit k yLC !-U /D1 lete or illegible will not be accepted Called 1. Job Address: �1 4. Complete Fee Schedule Below: Name of DevelopmentNumber of Inspections per permit allowed Name(or name of business) C .Lk� Service included: Items Cost Surn 4s. Residential-per unit Ci /S /Zi c � c>k- q 7 ZZ3 1000 sq.ft.or Iuss _ $110.00 4 tytateP-�_ _ Each additional 500 sq.ft.or Commercial Residential ❑ portion thereof $25.00 Limited Energy y $25.00 Each Manut'd Home or Modular Uwelliny Service or Feeder $68.00 2a. rontractor installation only: (Attach copy of all current license) 4b.Services or Feeders Electrical Contractor,_ --� ��` Installation,alteration,or relocation r Address ys,,td 200 amps ur less 1 _ $60.00 �O - 201 amps to 400 amps $80.00 City�.•�l�. State-04 _Zip_eLZ 7 1 e1 401 amps to 600 amps $12000 1 Phone No. 45 L-87 Z10 601 amps to 1000 amps $180.00 _ ,lob No. Over 1000 amps or volts $340.00 Reconnert only $50.00 Elec.Cont. Lice. No. ZG- Z Exp.DateJ_L�f��OR State CCB Reg. No. 17-4(d 3y Exp.Date 0-t'� 98 . 4c.Temporary Services or Feeders COT Business Tax or Metro No.15�Z(e Exp Date-ILL f_ - Installation,alteration,or reloration 200 amps or less $50.00 _ ? Signature of Supr. Elec'n 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No, 3S Exp.Date_,�o-/- 9F see"b"above. Phone No. 2ST- ?7C.f _ - 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. o_v - -- � - Address Each branch circuit � $5.00 , - -- h)The fee for um ch circuits City_ State Zip_- without purchast. of Phone No service or feeder fee. First branch circuit $35.00 - The installation is being made on property I own which is not Fach additional branch circuit $5.00 _ intended for sale, lease or rent. 4e.Miscellaneous Owner's Signature_--- (Service or feeder not included) 9 Each pump or irrigation circle -_ $40.00 _ Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circult(s)or a limitnd energy panel,alteration or extension $40.00 2 Please checkMinor Labels(10) $100.00 appropriate item and enter fee in section 58. - 4 or more residential units in one structure 4f.Each additional Inspect!on over _ Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 �-Classified area or structure containing special occupancy Per hour $55.00 as described in N E C Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 2-10 i�� Not required for temporary construction services. 5a.Enter total of above fees $ - - 5%Surcharge(.05 X total fees) $ -�-= NOTICE Subtotal $ - 5b.Enter 25%of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRJCTION AUTHORIZED IS Plan Review It reguit (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust ACCount 8 ti z?Q j D Total balance Due t i\DSMFLM APP Rev a9P CITY OF TIGARD DEVELOPMENT SESVICES PLUMBING PERMIT 1312! SW Hall Blvd., Tigard,OR 9720 (5031'619.4171 PERMIT #. . . . . . . : PLM98-0251 DATE ISSUED: 07/29/98 SITE ADDRESS. . . : 0741,0 SW CHERRY ST PARCEL: 2S 101 DC--0Qi5OO SUBDIVISION. , . . : ZONING: C-P ESL.JCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : JUk I SD I CT I ON: T I G -------------------------------------------------------------------------------- -. CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------- -LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 UP I MALS. . . . . . . . . . . . 0 GREASE TRAVIS. . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Installation of commercial backflow prevention device. Owner: ---•------------------------------------------------ FEES -------------- SYLVAN WOOD PRODUCTS type amount by date recpt 7400 SW CHERRY DR F'RMT f 25, 00 DEB O7/29/9& 98-307814 TI(_,ARD OR 97223 SPCT $ 1. 25 DEB 07/:9/98 98-307814 Phone #: Contractor------------------------------------ PROontractor----•------------------------------ PRO LANDSCAPE INC 3045 SE 61ST CT HILLSBORO OR 97123 Phone #: C42-5696 $ 26. 25 TOTAL Reg #. , ; '7013 -------- REQUIRED INSPECTIONS --- - - This permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, Statp of Ore. Specialty Codes and all other Final Inspection 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 follnw rules _ adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952AW1-0010 through OAR 952-0001-•0080. you gay Obtain copies of these rules or direct questions to OLNC by calling (50246-1987. — - IBy : Permittee Signature : +++++++++++++++i-+++++++++++++++++++......++++++......+tet+++tt++t++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++......++++++t++++++++++++++++++f1+++++++t++a +++t++++++++++++++++++++ 07/29/1998 12:50 50:36494621 PRO LANDSCAPE PAGE 02 W?00) ntU 13;uo FAX So ee6 :ear) CITIof rir.Ak, .._—_......� E City of Tigard ®oat P BIN PE M(Tj�j�k ION NlancK/fZec. #13123 SW Hall Bivd. Tigard, OR 97223 , ,ta��i Permit # (503) 839-4171 6NNIMl7M X25.00 PERMIT FEE +ST. SURCHARGE Nom+Brnnle Pamlh Rarsr4ertc� On►1 Job r ^ I ❑ 1 BATH HOUSE 914C.oa ❑ 2&ATH HOUSE S1B!,00 Address w.l, L7 3 BATH HOUSE 7 9.00 Fee indrelse all plurr" %dums in the 0samfiv and Ula Arot 100 feat r C vrslYr ewvtna, w4a WOW oral s• y.l..r nrtn seraer. See(lam below. FIXTUReg QTV 10 a ET ry B 00 viler -- Tub ar TuprBhoarer Comp ob 4nmw Only B. wow O°W goo y C=Wpant �i ,�, _ Oarpsge txspusal 9.J0 W nq .Uatltlns 900 Wein l l wft B,00 laundry Room Tray Ceneacser �"• r^ % 0.00 9.00 s. �( Seaver 15T 1D0' 30.00 8;wer-ee. Add! 100. --- I 25.00 r1 f� ' i �- Wsler tMcs 1s110G' � 30.D0 -- l hereby 00trowledpe that I have raw of the suhrnbW wr In Water S11"1010S11"1010 tui- Addle 7Gd ` Infomslien pNen a COMM trml f am togtfMNc � YEtenl of 25.00 cur-W. that pla a I lNo ns 5fdnn 9 Rivin Drain tat ins' ]0.00 a nPX1110M lllrrlr paws, that X II,,.:regisftAred *kh fhr Con:s&wC5on Car t Mat tib nranbar 91ven a ronsct (1f dror,pt tram Stf�Y np lltbn, please SWM A Rain Oraln Addt- tory 25.00 9Ne reran below.) MaWle Nome Spsaa Baa*Firs f'rovsrltkm Or.iee cr Ar4-Pofatbn Device Tf^(� 9.00 Arry rep or sats Nor / c• - �-. i Com vched to a FbAur• 6.00 De im wort row scldtMon C y- repdr�- 1 oh 9oein to be done rwidon4.l Q x:►restdursYl (� I Insp d Eayi PtwnJ,lnp ao.Ctimr pncbdy Rtfld Inc cions ` a" F�iariq use of 9 �esP° b%ildlnq or property ------ Rsrn Drah, shpts hrmiy "@LUN - -_ Resklencsl QackRow prevanson — deviews t 5 09 Proporw0 use of 11' N Jfnq or property •(prCrpf re,ddbrfRa/Aee4lfcw "w4nitnum Fee Mae SUBTOTAL _ � --- PP.RMfTS BECCME vOlf] .V WORK OR COklCT10N - —" AUr?10RIU0 1$NOT CCl4MeMCED WW1 ep TS,CR'F !7•SURCHARGe J CON37RUCT10N OR v1r?ftK IS 6USPENtd + a$ANCpNEp r °OR A PEa:OC OF 1E0 0AV1i A r,wrr T'1dt R WC)RK IS ; WENCED. PLAP R"Eft 23% OF SUBTOTAI A — SpTOTAL ?r zs. I , arcial CondVau _. Owe visaed �y f'8. CITY OF TIGAR D DEVELOPMENT SERVICES 13125.1,W Hall Blvd., Tigard,OR 97223 (503)639-4171 ELECTRICAt... PERMIT RESTRICTED ENERGY PERMIT #: EL R98-0200 DATE ISSUED: 07/29/98 PARCEL-. 2SI01DC-00500 SITE ADDRESS. . . :07400 SW CHERRY ST SUBDIVISION. . . . : ZONING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTN: TIG Project Description: Installation of tieing device for commercial backflow prevention device. ---------------------------------------------------------------------- ------------ A. RESIDENTIAL.-- B. COMMERCIAL----------.----------------------------. - AUDIO OMMERCIAL---------------------------------------- - AUDIO & STEREO. . . : AUDIO & STEREO. . - INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . - X GARAGE OPENER. . . . . CL(.-)CK. . . . . . . . . . . MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . VACUUM SYSTEM. . . . : FI RE: ALARM. . . . . . OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL. . : I NST R(JMENTAT I ON. OTHER. . : TOTAL # OF SYSTEMS: I Owner: FEES SYLVAN WOOD PRODUCTS type amoUnt by date reept 7400 SW CHERRY DR PRMT $ 410. 00 DEB 07/29/98 98--307814 TIGARD OR 97223 5PCT $ P. 00 DEB 07/29/98 98-30*7814 Phone #: '.ontractor: --------------------------------------------------------------------------- PRO LANDSCAPE INC $ 42. 00 TOTAL ,-1045 SE 61ST ------ REDUIRED INSPECTIONS HILLSBORO OR 97123 Low Voltage Insp Phone #: 642-5969 Elect' l Final Reg #. . : 7013 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 worts is not started within IN days of issuance, or if work is suspended for tore than IN days. ATTENTION: Oregon law requires yuu to follow rule adopted by the 0"egnn ljtillt iflration Center. Those rules art set forth in OAR 952-001-00I0 through OAR 952-061-068N. fou may obtain copies of these r or direct estions to W. at (503)246-1987. -0 Permittee Si gnat J- '� A6.1 -Lf f -----___---_-__._----.---------_—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 SIGNATURE OF SUPR. ELECIN: DATF: LICENSE NO: +++................4........................................4........... .......+++ Call 6-1- 9-4175 by 7:00 P. M. for a-, inspection needed the next business day ...................I............j 4.....................................4-+4...... CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd bL 13125 SW HALL BLVD JUI 199` Date Recd: 7 -a9 HGARD OR 97223 PRINT OR TYPE V- .503-639-4171 X304 Permit#: (fZ-k9y- 0-204 F - 503-684-7297 INCOMPLETE OR 'LLEGIBLF APPLICAtIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ���� �� Restricted Energy Fee........................................ $40.00 — )' FOR ALL SYSTEMS) JOB Stre r Ste# ADDRESS '� ( Check Type of Work Involved. City/stale ZI ,lzl Phone# Audio and Stereo Systems Name ❑ burglar Alarm >V) it 1 ❑ Gar,ige Door Opener- OWNER Mailing Address City/State Zip r Phon # u Heatirnt,Ventilation and Air Conditioning System' fume / ee�� n ❑ Vacuum;systems' l-0� Coc1I LZf�� ��1� - ❑ Other ---- CONTRACTOR Mailing AddreW ')( -/ TYPE OF WORK INVOLVED -COMMERCIAL _ (Prior to issuance a iSy/Sta_t Zip Phone# Fee for each system.. ................ ................. $40.00 ,.opy of all licenses 1 ) 1 Ili (SEE OAR 918-260-260) are required if Oregon Contr Brd Lic # Ex .Date expired in C OJ1 � I J I ( r Check Type of Work Involved data base) Electrical Con Lic # xp Date Z C ' ❑ Audio and Stereo Systems C O T or Metro Lic # Exp Date _ ❑ Boiler Controls Owner's Name __ ❑ Clock Systems OWNER - Mailino Address APPLICANT [] Data Telecommunication Installation Cily/State Zip Phon:eO— Fire,varm Installhoon This permit is issued under CAE 918-320-370 This applicant agrees to �� make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following ❑ Instrurnentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing. 2 Call for inspections when Installation under this permit are ready fur a--Landscape Irrigation Control' inspection at 503-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspectors out to inspect under this permit. Assume responsibility for assuring that all corre .tions required by the ❑ Outdoor t_andscape Lighting' inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ OR,P ��— Permits are non-transferable and non-refundable and(-+nL a if work is not started within 180 days of issuance or if work is suspender for 180 days Number of Systems T he person signing for this permit must be the applicant r,r a person No licenses are required licenses are required for all other installations authorized to bind the applicant. Signature ENTER FEES S _ 5%SURCHARGE(.05 X TOTAL ABOVE) Authority if other than Applicant --- TOTAL $ r i Vesele doc 12196 _. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 X. Business Line: 639-4171 MST BLIP Date Requested ( ( r� l :� q(N PM — BLD Location / ,� ,� 4 Suite MEC _ Contact Person Ph _;�; — �j' < C PLM _ Contractor Ph 4''i(-I —'`' ' SWR BUILDING Tenant/Owner _ ELC Retaining Wall -- Footing Access ELR ! — Forrndation FPS Ftg Dram -Otq- `_ --- - - Crawl Drain Insper'ion Notes: SGN Slab -- Post& Beam ---------- — SIT Ext Sheath/Shear Int Sheath/Shear — ---- Framing Insulation -------- --------- --- ----- —-�, _ Drywall Nailing Firewall --- - Fire Sprinkler --- Fire Alarm - -- Susp'd Ceiling _-----__-------_ __..._-._-- Roof �- �- --------- --- Misc wL- ------ ---------..._-- Final PASS PART FAIL ----__--_-----_-...--- -__ _ PLUMBING Post&Beam Under Slab Top Out -- -- Water Servica Sanitary Sewer - - - Rain Drains Final —- PASS PAR i FAIL MECHANICAL Post& Beam - -- - ----- —_. ------.__.__------- Rough In --- - ---- - Gas Line - -------- -- -- __ Smoke Dampers Final PASS—?A I FAIL ELECTRICAL — -- - _ ervice Rough In ------ --- ---— UG/S ow Volt• Fire Alan.. PASS PART FAIL SITE ------------- Back fill/Grading Sanitary Sewer Sh, rn Drain ( ]Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Barsin Fire Supply Line ( J Please call for reinspection RE:—_ ( ]Unable to inspect-no access ADA Approach/Sidewalk Othvr — Date _//'�o S'p Inspector__ rx Ext Final PASS PART- FAIL DO NOT REMOVE this inspection record from the job site. t CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hell Blvd.,Tigard,OR 91223 (503)639.4111 RESTRICTED ENERGY 7400 SW CHERRY DRIVE PERMIT #: ELR98-0001 DATE ISSUED: 01/02/98 PARCEL: 2S 101 DC-00500 SITE_ ADDRESS. . . : 1.3615 SW 72ND AVE #PRFV SUBDIVISION. . . . : 7.ON I NG:C—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTN: TIG Pro.j ect De scr i pt i on : Sylvan Forest Products ---------------------------------------------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAL--------- ---------------------•------------ AUDIO & STEREO. . . : AUDIO & STEREO. . . INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCPdE/IRRIGAT. . : GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE COL.LS. . . . . . . . . VACUUM SYSTEM. . . . : F"I RE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . .- TO—AL THER. . :TO—AL # OF SYSTEMS: 1 Owner: -------------------------------------------------------- FEF' PETER MAGARO AIA type amoLint by date recpt 10570 SW CITATION PRMT $ 40. 00 JSD 01/02/98 98-302227F HFAVERTON OR 97008 SPCT $ 2. O0 JSD 01/02/98 98-3O222g Phone #: 579-2421 Contractor: ------------------------- ------------------------------------•----. --------- CCMMUNICATIONS INSTALLATION $ 42. 00 TOTAL. SERVICE 243 4TH ST ------ REQUIRED ;NSPECTIONS ------- - L.AKE OSWEGO OR 97034 Ceiling Cover Low Voltage Insp Phone #: 635-0810 Wall Cover Elect' 1 FinAl Reg #. . : 011159 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 staried within lee days of issuance, or if work is suspends -f6r more than IN days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. s trules are set forth in OAR 952-001-0010 through OAR 952-001-0000. You may obtain copies of these rules or direct questions to J%*e'46t1987. IssI_:ed by Permittee Signati.tre C -------- ------------ --- --OWNER INSTALLATION ONLY----------------------------- rhe installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE- -------------------------CONTRACTOR ATE:------------------------CONTRACTOR INSTALLATION ONLY---------------------------- S?GNATURE OF SUPR. ELEC' N: DATE: LI' ENSE NO: ++ -+++++++++++++++++f-++++-?•+++++++++++++++++++++++4•++4•+++++++++++++++++++++++++++ Call 639-4179 by 7:00 P. M. for en inspection needed the next bLtsiness day ++++++++++++++++++++++++++++++++.J +++++f+++++++++++++++++++++++++++++++++++++++++ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SW HALL BLVD Date Rec'd: O TIGARD OR 97223 PRINT OR TYPE Z4C 9q- e 1 V- 503-639-4171 X304 Permit#: �- F - 503-e84-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Gevelopment Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Ay1�L ,1u Restricted Energy Fee........................................ $40.00 041 1 (� (FOR ALL SYSTEMS) SOB Set Address Ste# /L,�vt Check Type of Work Involved. ADDRESS l5 SW WZ� A C /5t e ., 1,a Phone# ❑ Audio and Stereo System.9 Name ❑ Burglar Alarm Garage Door Opener- OWNER Mailing Address ZIP Phone# ❑ Beating,Ventilation and Air Conditioning System' City/State - � Vacuum systems- Name C 6 ❑ Other _ CONTRACTOR Mailing A dreg TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a ity Stata,5 Z�_ Phone # Fee for each system.............................................. $40.00 copy of all licenses (U� 7[ (SEE OAR 918-260-260) are required ifOre on Contr Brd Lia# �Za1 Check Type of Work Involved: expired in C O T Q CL r data base) Electrical C�or9tULirC (�?`Dade ❑ Audio and Stereo Systems C.�O T.or M((ppetttSSro Lic # Exp. Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370. This applicant agrees to ❑ HVAC make only restricted energy installations(1 00 volt amps or less)under this permit and to do the follcwing ❑ Instrumentation 1. Only use electrical hce.ised persons to do installations where required. Certain residential and ocher transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, ❑ Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 501-639-4175; Ej Medical 3 Purchase separate permits `or all installations that are not ready for an ❑ Nurse Calls inspection when the inspectc. is out to inspect under this permit, 4 Assume responsibility for ass firing that all corrections rraquired by the ❑ Outdoor Landscape Lighting* inspector are(lone,and, Protective Signaling 5 Assume responsibiliry for calling for a final inspection when all of the ❑ corrections are completed Other Permits are non-transferable and non refundeble and expire if work is �iot Ftarted within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signiny for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant FEES. /J / ENTER FEES s U Signat r T� 5%SURCHARGE(.05 X TOTAL ABOVE) S t Authority if of tha pplicant — TOTAL s — i Wstsvesele doc 7 ;I 10643 N F. Simpson INVOICE Complete ^ortland,Oregon Industrial 97220 Waste -- Removal Septic Tank Cleanin Sump Line Clowning 1120899 SANITATIQN DBA McInnis Ent.Lid.Co. (503) 253-7587 Customer PC) # _ - Date_ vr. Billing Name EFFR Pi Address_._ , 00 S14 SOUT11 P,'t 17,A STON , nn ^71 1 't Job Site# City State -- _ 7ip Code Ordered B Y!) Y----- _ Phone# _ _'_. Date --.- __--- Job Lo`sation�'� `°" r''A R D ..X N E R P Y 77 Service Call $ Labor $ Pumping _ � � I r gallons _$ Misc $_ Conditions of tank/Distribution Box _— -_ TOTAL CHARGES Schulz Sanitation Is in no way responsible for damage to the septic tank or lids on the system. TERMS:Net 10 days.1'h%per month will be charged on past due accounts.(18%per annum) Customer's Signature' Service Driver's Signature, ��-' --Time----- Date TERMS AND CONDITIONS ON REVERSE SIDE REDEEMABLE!N MULT JOMAH COUNTY. TERMS & CONDITIONS THE CUSTOMER AGREES TO PAY ALL INVOICES ARISING OUT OF PUMPING, SERVICES, AND ANY OTHER SPECIAL SERVICES HEREIN WITHIN 10 DAYS FROM tHE DATE CF INVOICE. THE CUSTOMER AGREES r0 PAY SUCH EXTRA & OVERTIME CHARGES AS MAY BE INVOICED FROM TIME TO TIME FOR SERVICES RENDERED, OVER AND ABOWE THE NORMAL SERVICING SCHEDULE, ON BEHALF OF THE CUSTOMR. THE CUSTOMER AGREES TO ASSUME RESPONSIBILITY FOR ANY DAMAGE TO CUSTOMERS OWN REAL. OR PERSONAL PROPERTY ARISING FROM PUMPING SERVICES WHICH TAKE' PLACE ON CUS- TOMERS PREMI�'ES, WHEPE THE DRIVERS P,!,D VEHICLES OF SCHULI_ SANITATION HAVE BEEN INSTRUCTED TO ENTER, THIS IN- CLUDES, BUT IS NOT LIMIT ED TO DRIVEWAYS,TREES, POWER LINES OR POLES, AND BUILDING STRUCTURES. IF SCI IULZ.SANITATION FINDS IT NECESSARY TO ADD LIQUID TO THE TANK ON JOBSITE, CUSTOMER WILL BE CHARGED FOR THE ADDI- TIONAL GALLONAGE RESULTING FROM THESE CONDITIONS. CUSTOMER AGREES TO REIMBURSE SCHULI SANITATION SERVICE FOR ALL REASONABLE ATTORNEY'S FEES, COURT COSTS AND OTHER EXPENSE INCURRED BY SAID COMPANY TO ENFORCE COL- LECTION OR TO SERVE THEIR RIGHTS UNDER THIS AGREEMENT. CUSTOMER AGREES TO THE ABOVE CONDITIONS. AEDEEMABLE IN MULTNOMAH COUNTY.