9730 SW CASCADE AVENUE STE 212 ADDRESS:
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is\records\microflm\targets\building.doc
CITY OF TIGA.
RCS 7•I F I GA7'fr; OF
COMMUNITY DEVELOPMENT DEPARTMENT OC.I:.. . . . ti
ISM SW Wink Blvd.TWW,Cs� ennellOP (5"$04171 F'EiZM i T li. . . . . . , s BUP95•-4.t�t49
DATE ISSUED. la/19/TS
GARCEC.t 1 S I Z'7DD-•00100+
SITE ADt?Rew�iS. . . ¢ 09730i �"aW CASCADE AVE 1�:�
SUBDIVISION. . . . i 7..ON I NG s C-G
BLOC'K. . . . . . . . . . t LOT. . . . . . . . . . . . . a
CLASS OF WORK. s AL7
TYPE OF USE. . . s CUM
OCCUPANCY GRP. s 3N
OCC:UPnNCY LOAD s 0
I rLNANT NAM2. . . i nR HAWK I P45
Pemarksr MOVO walls and instill doors
T. MICHAEL & ASSOC. _
' 200! F MINERAL PVL
ENGLEWOOD CO 8011►
Phone #- 303-792-:33il
24
MILLENNIUM BUILDING SERVICES
141.4 N M14SON
PORTLAND OR 972.17
Phone #s 281--1949
Rey #. . : 036351)
Oct:u.pancy of the above referenced building is hereby give,,-i, And certifies
the compliance with the ;state Jf 3Pecialty �-odRs for the gr^oi..tp,
ocrUpaniaW-1 ..iAnd Uscr Under which the ref'prencecl p, mit ways issued.
E�UILLIINO Nc3F�icC1C1R HUII.•.DI,NG OF CI-L
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone):6QQ39-4175 Business Phone: 639-4171
Inspection:_
=ooting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line �c g.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: / — Time: AM PM
Address: te —7 l_ ( I ?j C-�j �, Q �' Qom-�� • ��(/
Builds �Y)i GZt� — Permit
THE PLOWING CORRECTIONS ARE REQUIRED:
J
�- • .�,..-�1.��.s,�.c�,�-sem � i►�c.. �,r�[
ct 77�,,
Inspector:_ _ Date:
APPROVED DISAPPROVED /-- APPROVED SUBJECT TO ABOVE
_Call For R,3insp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE 4
Inspection Line (Rec-O-Phone),;•6S1a�1 `5 Business Phone: 639-4171
1;Inspection: CLr.,( rv] ,� >r it w D .rl�
in r
- � "�
Y � � iwl
Footing Susp. Coiling S rink. Rough-in A NSdwlk " !' `• "� ��
Foundation Plb Underslab Mech. Rough-in Fireplace 9• 9 P r 3s yr 1�i ; ' L14
edo ,' I'
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL: ,~' !!� ". �"! ,� iL '
Post/Beam Mech. Sari. Sewer Gas Line
Plbg. Undortloor Rain Drain Framing -Plumb.
Alam Water Line Insulation -Mach. "`r v
atl
r ��4 I ,• � i �fy �r
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: ��- ��;ti Time: AM PM 1' C
Address: �.� �_f�-�' _ '•'y;' w1 )C rC/,f.l�"1Q"
Build — Permit !12�
THE FOLLOWING CORRECTIONS ARE REQUIRED: • z i"
11�1 ACO
� • a
77_H •. �c�v r• s.. �b .1.1 - �1 r�
i, N)
Inspector: _ D tel/t 1
-� 7 Z� 111 ;r
APPROVED DISAPPROVED /,'-'APPROVED SUBJECT TO ABOVE
_Call For Reinsp. ' r ' •` d
' .F'.r V r' •ill ` '.r `r
- 'I� ..�. .. ' C't 5�r '•1 a� r'J�• i ��''!G` 1rriR' �r' �' !r�%. " �'`Fi' 111►
20 'd SZO&K 'ON XVJ OAS ON I M I AG wn I NN311 I W OE:01 03M S6-02-030
C -
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plog. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underfl,. Insul, Shear Wall Gyp. Bd. CAC)
Date Requested: �. .� Time: AM PM
Address: C�
Builder: : 2-Permit #: jC' �--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
l f �
Inspector:'( L? gy Date:
—APPROVED DISAPPROVED _NAPPROVED SUBJECT TO ABOVE
— _Call For Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: V <
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk I
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Cas Line -Bldg.
Plbg. Underfloor Hain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul Shear Wall G> -Elect.
Date
to Requestod: Time: AM PM
Builder: rj Permit N:� �0
THE FOLLOWING CORRECTIONS ARE REQUIRED: I
I
Inssptor: Date:—/
p
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
-`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-0-Phone))://619-4175 Business Phone: 639-4171
Inspection: L
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underelab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer aas Line -Bldg.
Plbg. Under,,00r Rain Drain Ffaml -Plumb.
Alarm Water Line Insulation -Mach.
Underflr, Insul. Shear Well/ Gyp. Bd. -Elect.
Date Requested: rl�� I l I `J Time: AM _ PM
Address: G
Builder-- ��t.n (• (�l �� { _Permit #4-L.c, • - G����r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
41/17
Inspect r. .sCLd i Z_ _
_ Date:1?__—
�AP"ROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
BUILDING PERMIT
CT #. . . . . . :ITY OF TIGARD DATE 1 ISSUED: . 11/30/995-04495
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)630-4171 PARCEL: 1.91.2'71)D-001090
SITE ADDRESS. . . : 013'730 SW CASCADE AVE. #212
SUBDIVISfON. . . . : ZON G:C-G
� IN
BLOCK. . . . . . . . . . : LOT. . r
____.___----------•--------_____-----•---------- ��.�...�._----------
REISSUE: FLOOR ARF_AS ------- - EXTERIOR WAI_I_ CONSTRUCTION-.
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W..
TYPE OF USE. . . :COM SECOND. . . : 0 's f PROTECT
TYPE OF CONST. -5N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :132 TOTAI-------: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. 0 sf AREA SEF'. RATED:
STOR. : 0 I-IT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
SSMT? : ME:ZZ?: REUD SETBACK.3-------- REQUIRED--
FLOOR LOAD. . . . : 0 ps•F LEFT: 0 ft RGIAT; 0 ft FIR SPKI-.: 5110K DET. .
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BF_'DRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 5000
Rema_t-l(s : Move walls and install door^s.
Owner:
I. MICHAEL. & ASSOC. type amount by date r•ecpt
9200 E MINERAL AVE PLCK $ 32. 83 JSD 10/27/95 95--272197
FIRE $ 20. 20 JSD 10/27/95 95-•272197
ENGL_EWOOD CO 80112 PRMT t 50. 50 JSD 11/30/95 95-273384
Phone #: 303-79,2-3500 3500 15P PCT $ . 53 JSD 11/30/95 95-273384
Contractor: -- ____.---.____---•--_________-__--
MILL.ENNIUM BUILDING SERVICES
1414 N MASON
PORTLAND OR 97217 --...------------------_----._-----------.--
phone #: 281 -1 )49 $ 106. 06 TOTAL
Re❑ 4. . - 036359
------- REOUIRED INSPECTIONS
This permit is issued subject to the 7:,lations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Caps and all other I n s U 1 at i on Insp
applicable laws. All Mork will be done ire accordance will-. F i rewa 1 1 Insp
approved pans. This permit will expire if work is not started Gyp Board Insp
within 190 days of issuance, or if work is suspended for more Susp Cei lnq Insp
than 180 days. Mi.s^. Inspect ion
Final Inspection
F'c�rmitEee `. �. P3 �.ir� ,
_. __._ _._____ __ �..__..-._..__._._._
Iss�_ied Bv :
_.__...._..........._
Call for inspection - 639•-4175
C I T Y OF T I GARD - WL:F I V T OF Pi aYME'A T Wk-Gk X k( NO. d 41i--c?l:S:st14
f.HL-.I":K W41UUNT o `l.i. (a S
N11MF a M I I_L..kNN 1 UM BUILDING GASH 1.1MOUN r 1 0. Olb
ADDRESS a SERVICIES PP.'IMk-NI DAA r II/;0 1.45
1*41t N MASON ST SUBDIVISION s
PORM-ANI1 OR 4 7P 17—;3P 3N
PURPOSE OF PAYMENT 0111.11.JN T PAID PURPOSE OF PAYMENT flM1.lt.)N! PfA l b
141.11 I..0 T N13 PERM MUP45--0444 050. "51A 81. 111_I 1 tJ) PER k'. 5.3
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection: � �, lglj t,,, At-/N
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-inINAL.
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp, BdElect.
Date Requasted: Z Time: AM PM
Address:
Builder: Permit #: /S'- "'G rj �, Z.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- /
—S_'_LZC7-7
-T
f
Inspector.
Date:
,APPROVED —DISAPPROVED AAPPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC95-0562
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/15/95
13128 SW H&N ellvd.Tlgud,Onoon 97223W99 (503)639-4171 PARCEL: 1 S 12 7 DD 00100
ITE ADDRESS. . . : 1419730 SW CASCADE AVE #212
SURDIVIGION. . . . : ZONING:C-G
L?L-OCV. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Project Description : First branch circuit
-----RESIDENTIAL UNIT---- ----TL-"MP SRVC/FEEDERS---••- - ----MYSCELI_ANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
ErICH ADD' L 500SF. •, . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
IhANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL {10> . . , 0
- SF_RVICE/FEEDER-•---- ----BRANCH CIRCUI'1'5---- - ---ADD' L INSPECTIONS——
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 •- 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . .. 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ____________..___.._.F'L.AIV REVIEW SECTION-- _.____.___.___._-__._.
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Rer_onnect only. . . . . : 0 SVC/FDR ) = 225 AMPS— : CLASS AREA/SPEC OCC. :
Owner: --__.__----_- ----___________.__..____.___.____.___._..__.________ FEES
DR. HAWKINS type amount by date recpt
9730 SW CASCADE BLVD #212 PRMT $ 40. 00 P 11/15/95 95-2721936
5PCT f 2. 00 B 11/15/95 95-272936
T I GARD OR 97223
Phone #:
Conti•actor,
4.x. 00 TOTAL
dR%HREFN F- Ice-, CM, ,1Ms .
(07-60 SUJ Id wlakS five ------- REOU I RED INSPECTIONS
------ -
`1`1zz3 Ceilifrg Cover Elect' 1 Service
(hone #: (F -7`1`52-- Wall Covet° Ulnct' 1 Final
Rey #. . :
This perait is issued subject to the regulations contained in the Pa Code, State of Ore. S ►-, _ �{/
Tioard Munici 1 Specialty Codes and all other e>~b itt ee Si g
_ P
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. Issued By _ W
INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
(IWNER' S SIGNATURE: DATE:
- -------- - -------------CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELEC' N: DATE:
I__T CENSE NO:
Call for inspection -- 639- 417`,
Community Develonrnent ELECTRIC,pL PERMIT APPLICATION
13125 SW Hall Blvd. t L
Tigard, OR 97223 Permit # ���' 'r 5(0 Z-
Date Issued If -
Phone
I -Phone (503) 639-4171
CITY OF TIC3AI�D FAX (503) 684-7297
TDD No, (503) 684-2772
Inspection (503) 639-4175
1. Job Addrp r:a: 4. Complete Fee Schedule Below:
Name of Development 5//-4 �I k c c , azQ Number of Inspectionspar permit allowed
Address-49-736_ _S/-0 C ,3�-A --Qq -4Yl= Service included: Items Cost(es) Sum
City/StatE/Zip S�r� ����_�j �?..�Q� 4a. (Residential -per unit
'� 1000 sq, ft or less $110.00
Name (or name of business) _ ff tai /L-�j I Each additional 500 sq ft or
portion thcreof $28.00
Commercial Residertial ❑ Limited Energy -- 025.00 1
Each Manut'd Home or Modular
Dwelling Service or Feeder $88.00 2
2a. Contractor installation only:
r� 4b.Services or Feeders
Electrical Contraetor(lyp 1i4 1C[�EE� Install-lionrmp alteration,or rolacallon
200 amps or less $60,00 2
Addres51 C, li0t 145}S 1>! 201 amps to 600 amps 11180,00 2
� 401 amps to 800 amps 3120.00 2
Sr21El rt Zip e7_ 801 amps to low amps __ $180.00 2
Phone Q �'l rs�� �_ YUra� Over 1000 smns or VOM$ $340.00 2
Job NO. Reconnect only _ 5550.00 2
contractor's license No.�.s 4c. Temporary Services or FaeCers
I Contractor's Board Reg. No. r _ Installation,alteration•or relocation
Signature of Su . Elec' - 200 amps or I-ss !_ 2
r
License No. S Phone Nol[ -rS2 _ 201 amps to 400 amps 550.00 2
401 amps to 800 amps $7900
Over 800 amps to 1000 volts 5100.110
2b. For owner installations: see'V above
4d. Branch Circuits
Print Owner's Name New,alteration or extetlslrm per pane
Address a)The fee for branch cirrults with
Purchase of service or feeder fee.
2
City _ State, ZIP__ Each branch circuit $5.00
Phone N0. _ b)The fee for branch circuits without
The installation Is being made on property I own which is purchase of service or feeder fee. ere,) 2
Fist branch circuit
not intended for sale, mase or rent. _L $35,00
Each additional branch circuit 1 $_ 55.00
Owner's Signature _._. __- 4o. Miscellaneous
(Service or feeder not included) 2
3. Plan Review se,-tion (if required): Each pump or Irrigation circle $40.00 2
Each Sign or oultine lighting $40.00
Signal rlrcult(s)or a limited energy 2
Please check appropriate Item and enter fee In section 68. panel,alteration or extension $4000 r_
4 or more residential units in one structure Minor I-Abell(10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or stnrcture containing special occupancy the allowable In any of the above
as described in N E C Chapter 5 Per Inspection $35.00
Per hour $5500
In Plant $5500
Submit 2 sets of pians with application where ,y of the above
apply. Not required for temporary constructlov :ervices. $. Fees:
6a. Enter total of above fees $ tn'r�'
NOTICE 5%Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTIONSubtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 'DAYS, OR IF 6b.Fnter 21511, of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Re dew if reouired (Sec,3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS sublltot'rl $
COMMENCED r, .^�•��• I-1 Trust Account #
n^•an
Balance Due $
CITY [IF, 1,jC3j4MDPAYMI-.*Nl RF(',FIP'T NO.
PIP cWcK MMIJUNT r 4i4. 00
C149H AMLJIJN 1 0. 95Q)
NAMS CREFURFEN L:.1-ECIRICAL v'PVMV-NT DWE I 1 15 95
joebe SW NIMAUS AVk M- HUBDIVISIVIN
PORTLOND OR
97P—P3--.
pLjVp()qF'. cif:- PAYMENT (4MOLIN T PA 11) PURPOSE op PAYW-Nr AMUUNI PAID
E. 40. 00 87'. BUILD PFR
1,1 (.,TRlrAl- PFRMI*l
4 OW CASCADE #21P ELG 95-056e
l (iiiji- AMIAM PAIL)
i
• Com ercia TSul (Permit Application
City of Tigard " f T2
Y3125 SW Halld.
i� -
1 igard, OR 97123 c i 9
f503) 839-41
C'¢, �% I
Jobelte Address: 4,0F& Ac/�
�/ Office Use Only
Tenant: yam � Az 'W—j- suite# �./�Z _
AF! Planck/Reu
Valuation:
Permit
-�-�
Owner: /" , ^ s-_ xe Map & TL#
Address: 91, _ � /�li.�r.A�+l a►°v� ApprovalR
eguired
��arl ✓ 001_ C a. 2o4//� Planning
Phone: X9 a- SOC Engineering ) '
Other l / C� 771
Contractor:
(� Address: �//�/ A/ .�l.�S�Y✓ 1'l-
Type of const:
Occupancy class:
Phone: 1w)
� o-3 r Sprinklered? Yes
Contractor's License #_ r
(attach copy of current G n icense) Sq. ft. of project: 114b
Contact name & phone: f Story (1 st,4 gnetc.)
Propose, se: _,!�100111te- �
Architect/Enginser:
Previous use: ehl i CC
Address:
r
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: jloye
Applicant Signature & Phone number
Received by: Date Received:
Permit* Account Description Amount Amt Pd. Bal;Dia ,
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mach:
Plan Check (PLANCK) L,` ✓ J �
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parke Dev Charge (PKSDC)
Residential TIF MF-R)
Masa Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) �,�0 C c'�?
Erosion Critri Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
lid ,_.�
i
C..l I Y OF 1 1014 RD - Rt.Ck 1 f-''1 Uf- PO4YMl::.N"I IRFAA I FI T NI'1.
CHEEK AMIJIIII 1 x. 00
hJf�l a Mt1._LF.14NIUM 13LDG E:iRRV CMWA NMOIINf
S3. 03
Hl)UftEss, r 14] 4 N MASON HT PAYNII-N1 DviII:
Pi..)RI LAND UR 4U1301 V Ji I C►N
ri 7: 1.7.-
PI)PPOSV tIf PAYW N F 4MlAIN1 1-11.111) PURPOSE C)F P14Y!,1 +1l MNCIONI Pt-111)
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