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DUCT ........... ...................:.................RVAC , 14LTFD �� o�NS Conditionally Approved...................... ...
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For only tho work as described'in ,
ANSPERMIT N0
-
See Letter to'. f"'ollow........ ... . .. ..... .
Attach....... ,..,.
Job Ar-idress: ��� S'�• r'�1����t�
By.. Wft
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No.38
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_9730 SW CASCADE BLVD.
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PIERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: ELR98-0076
DATE ISSUED: 03/16/98
PARCEL: IS127DD-00100
SITE ADDRESS. . . :09730 SW CASCADE BLVD
SUBDIVISION. . . . : ZONING:C—G
B I OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTN: TIG
Project Description : Add protective signaling to and existing commercial tenant
acepy.
0. RESIDENTIAL----------- B. COMMERCIAL-----------------------------------------
AUDIO & s'rERE0. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCOPE/I RR I GoT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: I
Owner: FEES ----------------
SHANE CO type aMOLint by date reept
9730 SW CASCADE AVE PRMT $ 40. 00 GEO 03/16/98 98-304131-:'.
TIGARD OR 972'23 5PCT $ 2. 00 GEO 03/16/98 98-.30413E
Flhone #.- 598-7900
Contractor:
ADT SECURITY ALARMS $ 42. 00 TOTAL
703 NE HANCOCK
------ REDUIRED INSPECTIONS
PORTLAND OR 97212 Low Voltage Insp
Phone #: 284-3265 Elect' l Final
Reg #. . : (1100599
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 mccardanre 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 W days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-88I-8818 through OAR 952-MI-M. You may obtain copies of
these rules or
o Alf: at f58312M6-t9®7, �
ied,�;lrct:�e7ZP U e r m i t t e e S i g n a t r e
I r, -z.
— OWNER
INSTALLATION ONLY---------------------•-------•--`
The installation is being made an property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
--
-._--_--------CONTRACTOR INSTALLATION ONLY--------------------------------
K. e,
/
S I GNATURE OF SUPIR. ELECI N: DATE: A
I ICE NSE NO:
4.........4 4++*+4......4 4•.................i.......................1-+4+++++-+-+4-+
Call 639-4175 by 7:00 P. M. for an inspection needed the next biAsiness day
4-+t-++4--4-++++4-+-+-+++++•4+++++++++++++++++++.++++++++++++++++++++++.4-++++4-+++++++-+
CITY OF TIGARD RESTRI'ZTED ENERGY ELECTRICAL APPLICATION
13125 SW HALL BLVD
TIGARD OR 97223 M3.6oW✓'OA PRINT OR TYPE
V - 503-639-4171 X304 j1fli�tyjt#: 199 6c)eWt.)�G
F - 503-684-7297 eyKOrMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED C,0;1111MJMTY DEVELO M NI
Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
JOB Street Address e#
ADDRESS S Check Type of Werk Involved
Cit fta e� P # Oo ❑ Audio and Stereo Systems
Name �T ❑ Burglar Alarm
SSC a • __ [_1
Garage Door Opener'
OWNER Mag Addres
E]CitylState Zip Phone#
Heating,Ventilation and Air Conditioning System"
Narr�t SECURITY SERVICES,i ❑— Vacuum Systems'
1111P� 703 NE HANCOM ❑ Other_—CONTRACTOR Mailing 214-3265
T"PE OF WORK INVOLVED -COMMERCIAI.ONLY
- — --- -- ------
(Prior to issuance a City/State Zip Phcne# Fee for each system...............................I.............. $40.00
copy of all licenses (SEE OAR 918-260-260)
are required if OreLic # E
expired r in C O T Check Type of Work Involved
data base) Ele i I C ntr c # E
Q ❑ Audio and Stereo Systems
C O T or Metro Lic #- Ex Date
__ � ❑ Boiler Controls
Owners Name
❑ Clock Systems
OWNER - Meiling Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm Installation
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 ❑
Instrumentation
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,
❑ Landscape Irrigation Control'
2 Call for inspections when installation under this permit are ready for
inspection at 503.639.4175; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume responaibildy for assuring that all r;arrections required by the ❑ Outdoor Landscape Lighting'
inspector are done, and, �V5?
Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other nstallations
authorized to bind the applicant _
"i -L ��_ A) FEES:
f 1 4 .Sign-t-re ENTER FEES
5%SURCHARGE(.05 X TOTAL ABOVE) $_
Authority if other than Applicant — TOTAL E.,_��.
�dstsvesele doc 7197 ------
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PIE F.MIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . .. . . . . : MEC98-0053
DATE ISSUED: 02/ 13/98
FIARCEL: 1 S 1._'7DD-00100
SITE_ ADDRESS. . . : 09730 SW CASCADE BLVD
SUBDIVISION. . . . : ZONING: C".--G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
(:LAS; OF WORK. . :ALT FLOOR FURN. . . . : 0 F-VAP COOLERS: 0
TYF'E OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :M VENTS W/O APF'L_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPIRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. I NC I N: 0
3-15 HF'. . . . : 0 CBMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
F IRE DAMPERS?. . : 30-50 HF,. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE... . . : 50+ HF,. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----- AIR HANDLING UNITS OTHER UNITS. : 0
TURN ( 100K BTU: 0 (- 10000 cFm: 0 GAS OUTLETS. : 0
TURN > -100K BTU: 0 > 10000 cfm: 0
R p m a r-k s : Adjustment of return air and supply. No new equipment.
Owner-:
1 MICHAEL & ASSOCIATES type amol.knt by date recpt
x3200 E MINFRAI . AVE F'RMT $ 5. 00 B 00'/13,/98 98-303264
FNGLEWOOD CO F,LCK E 6. 25 B 02/13/98 98-30.3264
5FICT $ 1. 25 B 02/13/98 98-303264
Phone #:
COMFORT AIR INC
3634 SE. POWELL BLVD -_._______.______________._.-_------__-•---____.
$ 32. 50 TOTAL
P,ORT1_AND OR 97202
Phone #: 236-68E'9
Req #. . : 000043
-- -- --- REWIRED I NSPEC T I ONS -- -----
This permit is issued subject to the regulatiomi contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accoAance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notifiration Center. Those rules are
set forth in OAR 952-001.4010 through OAR 95244144. You may
obtain copies of these ,ules or direct questions to OUNC by calling
503)246-9187.
L./ �,.. i
IsS�_ip
By : �^^'!� Fer•mittee Signati.ire :_�1
+ t•++++-f-++++++++++f+++++++-h+++++.....+++++++++.I•+++++++++++++++++++++i-++++++
Call 639-4175 by 7:00 p. m. for intippctions needed the next bl_isiness day
4 ++++++++++++++++++++++++++++++++f•++4•++++++++++++++++++++++++++++++++++++•++++++
Plan Check 0
CITY OF TIGARD Mechanical Permit Application Redd By
13125 SW HALL BLVD. Commercial and ResidentialDate Recd
TIGARD, OR 97223 -4 Date to P.E.
•�� � f �
(503) 639-4171 x304 � ) Date to DST
Print or Type y Permit* -^ 1 L7 ✓.
Called
Incomplete or illegible applications will not be accepted
Nnme of Development/Pro act Description
Table 1A Mechanical Code_ (]Tr PRICE AMT
Job Street Address / suiteM A) Permit Fee -0- -0- 10.00
Address `-73�CAlt1 e..,,.'1,4I f'
Bldgrl Cd /state zip 1.) Furnace to 100,000 BTU 6.00
including ducts&vents
Name(or nary/e of husines 2.) Furnace 100,000 BTU+ 7.50
�
Owner r�j�1�C including ducts&vents
Mailing Address 3.) Floor Furnace 6.00
including vent
c / tat zip Phone 4.) Suspended heater,wall heater 6.00
or floor mounted heater _
N (or name of business) 5) Vent not included in appliance permit 3.00
_rCAlP rb
Occupant Mailing Address 6.) Boiler or comp,heat pump,air cond. 6.00
to 3 HP;absorb unit to 100K BUT"
Ctry/state 21p Phone 7.) Boiler or comp,heat pump,air Gond. 11.00
3-15 HP;absorb unit to 500K BTU"
Contractor Name Boiler 6.) Boiler or comp,heat pump,air Gond. 15.00
_
�r,� 15-30 HP;absorb und.5-1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp,heat pump,air Gond. 22.50
issuance,a copy 36 y 30-50 HP;absorb unit 1-1.75mil BTU"
of all licenses /s a Zip Phone 10.) Boiler or comp,heat pump,air cord. 37.50
are required if >50 HP;absorb unit 1.75 mil BTU-
expired in COT Oregon Const.Cont.Board t.Ic.N Exp.Date 11.) Air handling unit to 10,000 CFM 4,50
database O y36:;7
Architect Name 13.) Non-portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single dud 3.00
Engineer c ty/sina zip Phone 15) Ventilation system not included in 450
_ appliance permit
Describe work New O Addition O Alteration Repair O 16.) Hood served by mechanical exhattst 450
to be done Residential O Non-residential O
Additional Description of work. 17) Domestic incinerators 7.50
f 16.) Commercial or industrial type 30.00
_ Incinerator
existing use of 1 19) Repair units 4.50
building or property _ l
20) Wood stove 450
Prnposed use of ! 21.1 Clothes dryer,etc 4 50
ouilding or property _
22) Other units 450
Type of fuel-oil O natural gas O LPG O electric 23.) Gas piping one to four outlets 200
I I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50
information given is correct,that I am the rwner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State CITY.SUBTOTAL
laws
SlgnatureAb Age Date 'SUBTOTAL �.
//
L/ �___/ -)� p�. 5%SURCHARGE
Contact Person Name Phone / PL,1N REVIEW 25%OF SUBTOTAL
t1�►/ •jt t✓�1 ✓ 36 - 6' �/ - TOTAL y �/
I
vnechpmt doc (rev 9 'Minimum penult fee is$25+5%surcharge
"Residential A/C requires site plan showing placement of unit.
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK: ..� L � � FLOORAREAS. �n- �. EXTERIOR WALL CONSTRUCTION
TYPE OF USE. r-r Wit, I FIRST SQ. FT. 1 N:_ S: E: W:
TYPE OF I I
CONSTR: L�/Y I SECOND SQ. FT. i PROTECT OPENINGS?:
l7J _ i I
I
OCCUPANCY GRP: THIRD SQ. FT. N: S: ' E: W;
' I I
OCCUPANCY LOAD:�L i TOTAL -- SQ. FT. i ROOF CONSTR: FIRE RET:
I I
I I
STOR:— HT: FT: i BSMNT SQ. FT AREA SEP RATED:
I I --
BSMNT?: MEZZ?: GARAGE: SQ. FT. OCCU.SEP.RATED:
—— I I —
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS.
--COMMERCIAL INSPECTION ACTIONS — FEE 1`1ENU
Foot/Found Post/Beam $ Permit Fee
Masonry Framing S Z S Plan Review
__— Insulation Shear Wall $ I —5% State Surcharge
-- Firewall Gyp Board $ _FLS Plan Review
Suspended Ceiling Sprinkler Rough-in $_--_Add'1 Permit Fee
`— Sprinkler Final �— Fire Alarm $ Add'I FLS Pin
--_ Smoke Detector _—_ Approach/Sidewalk $ Inspection
Miscellaneous Final $ MIS Fee
�2— S-A
FOR OFFICE USE ONLY: — —
TYPE OS USE OPTIONS(COM=crnmmercial: CMS=commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS INEW=-ne%v: Add-addition: ALT--alteraticti: ACS=accessorv:FND.-foundation.
OTR=other. DENT=demolition: REP=repair: FPS=tire protection system, NOTE: USE OTR FOR FENCES RETAINING
WALLS. DETACHED DECKS. SIGNS. AWNINGS, CANOPIES)
I'ovrcntr2 doc (DST) 4/97
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: ELP98-0015
DATE ISSUED: 01/`^,'98
PARCEL: 1S127DD-00100
SITE: ADDRESS— :09730 SW CASCADE BLVD
SUBDIVISION. . . . : 7.ONING:C-G
BLOCK. . . . . . . . . . . LO. . . . . . . . . . . . . . JURISDICTN: TIG
Pro J ect Description- Misc.: Signal circuit ora limited energy panel, alteration
or extension to an existing tenant occpy.
ia. RESIDE:NTIAL---------- B. COMMERCIAL---------------------------------------
AUDIO & STEREO— : AUDIO R STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVA(.. . .. . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR L.ANDSC LITE:
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL_. . .
INSTRUMENTATION. : OTHEP. . :LIM-ENERGY: : X
TOTAL # OF SYSTEMS: 1.
Owner: -------------- - --- --------------------------------- FEES -_.---__.___-----__-_--
THE SHANE COMPANY type amol.mt by date recpt
9730 SW CASCADE BI-_V'•). PRMT $ 40. 00 GEO 01/29/98 98-302879
TIGARD OR 97223 5PCT E 00 GEO 01 /29/98 98-302879
Phone #:
r)DT SECURITY AI- ARMS 3 42. 00 TOTAL_
703 NE HANCOCK.
- -- --- REQUIRED INSPECTIONS
---- ---
PORTLAND OR 97212 Low Voltage Insp
Phone #: 284-3265 Elect' l Final
Reg #. . : 000599
This permit is issued subject to the regulations contained in the Tiqard Municipal Code, State of Ore. Specialty Codes and all other
Applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oreqon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAF 952-P01-0010 through OAR 952-001-0080. You may obtain copies of
these rules or direct qu4stlo 1t �t 15031246-1987.
T ,,stled by !�- Fermi+,tee Signat�_ire___ Y.-
---OWNE'R
._-_-OWNLR INSTALLATION ONLY- - ---- -------------- - _ .__-.___.._
the installation is being made on property I own which is not intended for
a] e, I Pase, or rent.
F)WNFRI S S I GNATLIRE: DATE :
-----_-- ---- ------CONT RACTCIR INSTAL L_ATION ONLY---------_-_-_..___--_-----------_.- --
S I GNATURE OF SUPR. FLEC' N: _ _ DPTE:
L_T CENSE NO:
++++++++++++++++++++++++++++++++a•+++++++++t++++++++++++++a-+++++++++++. ....++++++
Call 639-4175 by 7:00 P. M. for an inspection needed the ne>:t business day
.{.+. ...F. ..+...{.+.F.f...F.f'... ... . ..F f..F+.. .. .. . .....F.w. .'}"}'}'F."F' ...;........................
L
Id
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Rec'(:By
DateRecd
TIGARD OR 97223
Date to P.E.
Phone (503)639-4171, x304 Date to DS
Print or Type
Inspection (503) 639-4175 Incomplete or illegible will not be ac„epted Permit#
Fax (503) 684-7297 Called
1. Job Address: 4. Complete Fee .0%;nedule Below:
Name of Development12Z �,, �_,zP, C[X "x� Number of Inspections per permit allowed
Name(or name of business)_ Service included: Items Cost Sum
Address
11' 3 U _��/ C►L� y{, [ Al �I�iX� _ 4a. Residential-per unit
1000 sq.ft.or less _ $110.00 __ 4
City/State/Zip---j- - S-L 7��i 3 _�- Each additional 500 sq.ft.or -
Commercial Residential ❑ portion f $25.00 1
Limited Energy $25.00
Lach Manuf'd Home-)r Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00 2
(Attach copy of all cu It 1 c Hees 4b.Services or Feeders
ADi sEturify VSTEK IK Installation,alteration,or relocation
Electrical Contractor - 20o amps or less $60.00 _ 2
Address #pit A NO OR 9 Q1 2 201 amps to 400 amps $60.00 2
City- - State OWI 2j1:326i Ip_ 401 amps to 600 amps -_ $120.00 __ 2
Phone No. 601 amps to 1000 amps $180.00 2
Job NO. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. - ; Exp.Date _ Reconnc-,t only $50.00 _- 2
OR State CCB Reg. No,�j-. .1i_ xp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. __Exp.Date_--_ In,tallatlon,alteration,or relocation
200 amps or less $50.00 2
G 201 amps to 400 amps $75.00 2
Signature of Stlpr. Elec'n -_ 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License Nr 7S 3 it E _Exp.Date see"b"above.
Phone N
- �-_-- 4d.Branch Circuits
New,alteration or oxtensicn per panel
2b. For owner installations: a)The lee for branch circuits with
purchase nl service or
Print Owner's Name. CZZ-R_ el 'Y', feeder tee.
Address Each branch circuit $5.00
h)The fen for branch circuits
City__ A _ State_ Zip__ without purchase of
Phone No._ ��/� S `��- service or feeder fee.
First branch circuit $35.00 _ 2
The installation is being made on property I own which is not Each additional branch circuit, $5.00 -_ 2
intended for sale, lease or rent. 4e.[Alscellaneous
(Service or feeder not included)
Owner's Signature _ -__-,__^__-_^ Each pump or irrigation circle $4000 -_--__ 2
Each sign or outline lighting -_ $40.00 --- 2
3. Plan Review section (if required):' Signal circuit(s)or a limited energy $40 00 _ t�+(Q 2
panel,alteration or extension
Minor Labels(10) _ $100.00
Please check appropriate item and enter fee In section 5B.
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 606 volts nominal Per inspection $3500
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 ary cf the above apply. 5. Fees: --����
Not required for temporary construction services. Sa.Ental total of above fees $
50'.Surcharge(05 X total fees)
NOTICE Subtotal $
5b.Enter 25%of line 59 for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AM HORIZED IS Plan Review if re uire (Sec.3) $ -- ---
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $IS SUSPFNIDFr OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 4
TIME AFTER WORK IS COMMENCED ❑ Trust Account#_. -. $
Tot.,l balance Due L
1\USTS*LC96.AI'P Rev 4'98
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
t ,a
per-sat 15 iWueu SVQWk to V,v ,tgUluticrs contained in the Tigard M,nicipal Code, State of Oregon Specialty Codes ar,d all c
,.cable laws. Rll wnrk will be done i•� accorc,ance with appro,,ed plans. lMs permit will expire if work i5 not started Ail'
i, of iysi.ance, or, if work is suspended for mere than 180 days. ATTENTION. Oreyan law requires you to foilow the rules ado;.
U.A r. a: ., rr.,i., 'N...f ,. .,.. ^" fG�'t`, in TAR qj�-�1-0e+16 "15 nae_an, r f0i., may attair .,
x:46-139?. Q
J /
i
yo��
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit #
Date Issued
Phone (503) 639-4171
CITY OF TIOARD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection (503) 639-4175
t. Job Address: 4. Complete Fee Schedule Below:
Name of Development._____bgr�e CCMpany _-- Number of Inspections per permit allowed
Address 9730 SW Cascade Blvd _ Service included Items Cost(rta) Sum
City/StatelZip_ Tigard, Or 4a. Residential -per unit
1000 sq f1 or less �T $11000 4
Name (or name of business)_Shane Ompan�_ Ea,h additional 500 sq it or
portion thereof $2500
Commercial rXi Residential L-_] Limited Energy $2500
Each Manuf'd Home or Modular
Dwelling Service or Feeder $6800 _ 2
2a. Contractor installation only:
4b. Services or Feeder
Installation,alteration,or ielocation 2
Electrical Contractor Rural F 1 Pc, 200 amps or less $60 00
Address_ 5285 NE Elam Y_c)i Pkwv 4A9On 201 amrs to 400 amps $8000 z
Cit Gyro State.__C2_ Zip_g� 401 amps to 600 amps $leo 00 — 2
Y_...H1..11- sot amps to t000 amps
Phone No_&4B=_ kq_ ___ Over 1000 amps or volts —� S34000 2
Job NO 7066 _ Reconnect only $5000 _ 2
contractor's license NO, 34-82c _. 4c. Temporary Services or Feeders
Contractor's Board Reg. No 47478 installation alteration or relocation
Signatul e of Supr Elec'n 200 amps or less 2
201 amps to 400 amps $5000
License NO 4062-S Phone No 648-fijl9E—__ 401 amps to 600 amps $75 0n --- 2
Over 600 amps to 1000 volts $100 01
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name.----------- ____ New alteration or extension per pane
Address a)The fee for branch circurts with `
Cit Stat@ Zip purchase of service or feeder fee.
Y� -- -- Each branch circuit $500 _
Phone No. __ h)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch nal branch
�_ E$500
5 00
not intended for sale, lease or rent
Each edC floral branch circuit -1� S5 00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included)
3. plan Review Section (if required): Each pump or irrigation circle $4000
Each sign or outline lighting $4000 _
Signal circuit(s)or a limlted energy `
Please check appropriate Item and enter fee In section 5B. panel alteration or extension _ $4000
- 4 or more residential units in one structure Minor Labels 110) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per inspection — _ $3500
Per hour $9500
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply Not required for temporary construction services. Jr. Fees:
5a. Enter total of above fees g fio_on
NOTICE 5%Surcharge (05 X total fees) g --a,DQ_
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 63 00
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Fnter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) g �^
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED Trust Account # $ _ 0 _
Balance nue S 63.00
RECEIVED
NOV 6 6 1qq,
COMMUNIS OEVEIUNMENi
CITY OF TIGARD
DEVELOPMENT SERVIkES BUILDI—IG PERMIT
A4 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUP,97-0468
AUJEM DATE ISSUED: 10/ 14/97
PARCEL: 1SI2,7DD--00100
;ITE ADDRESS. . . : 097710 SW CASCADE BLVD
SUBDIVISION. . . . : ZONING:C-G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: FLOOR AREAS----------- EXTERIOR WALL. CONSTRUCTION—
r'LASS OF' WORK. :AL.T FIRST. . . . N: S: E: W:
[ ,(PE OF USE. . . :COM SECOND. . . : 0 sf PROTECT
FYPIE OF CONST. :5N . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :M TOTAL_-------- '990 sf ROOF CONST: FIRE RETI :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
)TOR. : 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED:
B 5M T ? MEZZ? : REDD SETBACKS------------- REOU I RED
FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft F'I R S PK L SMOK DFT. . ;
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP1 ACC:
BEDRMS: 0 PATHS: 0 IMP SURFACE: 0 PRO CORR. PARKING: 0
VALUE. $ : 11,435
Remav-ks - Tenant Improvement - No C of 0 required - No change in occupant lead.
Owner: ---------------------------------------------------------- FEES
WESTERN STONE 9. METAL CORP, type amot-tnt by date r-eept
9200 E MINERAL AVE #4-00 PLCK $ 0. 00 JDA 10/06/97 97-2::199807
FNGLEWOOD CO 801 12--,-2414 FIRE $ 0. 00 JDA 1.0/06/97 97-299807
PRMT $ 1122. 50 B 1.0/14/97 97-300038
Phone #: 303-792-3500 5PCT $ 6. 13 B 10/14/97 97-300038
PLCK $ 79. 63
Contractor: FIRE $ 49. 00
NORTHWESF AWNING & SIGN CO
,JEFFRY W HENKEL-MAN
19365 SW 89TH AVE
TUAL.ATTN OR 97062
Phone #: 257. 26 TOTAI.-
Rt-y #. 0002561,
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc-. lirispection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. These
rules are set forth in OAR 952-W14010 through DAR 952-90I0I987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (5e3)246-1987.
Permittee
ssLied By -
++.+++++4-++-f-+.++ V...........A .....+-F++.4.1 .........4....................4.-F+++++++..
Call 639--4175 by 7:00 p. m. for an inspection needed the next hi-isiness day
+++++++-F................4.................4.++++++++++++++++a.....4......4-+++4++++
Commercial Building Permit Appligation
city of Tigard
13125 SW Hall Blvd. pl "ton
Tigard, OR 97223 1!410
(503) 539-4171
Jobsite Address: G 7 30 (2 � � 4X17
Tenant: E--, -14r.1E_ (�MPAfsfij Suite# Office Use Only
g� Planck/Rec #i � -fi�
Valuation:
Permit#
Owner: _lyE-�T�rznl S7o-.1� ME7AL ��f� _ Map & TL #
Address: 92,00 6- h _1(tjLVnL_ A4C. 4� lob
Approvals Required
"6I�0&J--L CPlanning _
Phone: 3 D 3 -7`1 2- - 3 Engineering
Other
Contractors !-1 Orz 4 IxJE�T Pr r.l,-sb !�1CTwl
Address: ..I-7 2 I IA LJ "J CV-74"'F
Type of const: u'
�Q*_TLprm � Il-204
Occupancy class.
Phone: Z 2 � 33Z-''a
Contractor's License -I 3 c'x�! I �E' �'
Sprink!ered? Yes No
(attach copy of can t Oregon license) Sq. ft. of project: 'tTS ,,ZL.
25r- rryq
Contact name & phone: f`1 o w\.A WL)P_A✓ __ Story (1st, 2nd, etc.)
Proposed use:
A rchitec Engineer: �*►m bfv\
Previous use.
Address iq o,4 (—UL Anft� _
Note: Plumbing & mechaniral plans
C1 l 3Z must be submitted at time of
building permit application.
Phone: 2-01 . 2 2-q _JOB DESCRIPTION:DESCRIPTION: T 3 moi-". t.,�LUFyA1rvAt� EXT WN, 46=61 . NO SI[rt-loaG�
;! �► � 5 LarJ .� PU kA r r.1(z AT 55' LZ N G . A t_.L S
Iib'
-63
Appli nt Signatu & Phone number
'Pt IJ 7 1�
RE�ceived by: �' l C� 1�— Date Received: -7
Permit# Account Description Amount Amt. Pd.� , Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mach. Permit (MECN)
Mate Tax (TAX)
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mach:
Sewer Cor:7ectlon (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TiF (TIF-C)
Industrial TIF (TIF-1) _
Institu:.onai TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMIT)
Erosion Planck/USA (ERPLAA)
Erosion Planck/COT (EROSN) y
TOTALS:
SHANE COMPANY
9730 SW CASCADE
1 (QTY THREE NONALLOMINATED AWNINGS
2. NO SIGNAGE
3. 1" X 1" WELDED ALUMINUM FRAME
4 COVERED WITH SUNBRELLA FABRIC
1 , --(3
I
-r-
- 9' [
fmT-.w ' 150.
SOUTH ELEVATION - PARKING LOT SIDE
CF1*Y ()V TIGAFID
Approved..................
... .............
Conditiorlially A
et
For only the work g,/d ;,crik�erJ '.i;..........� )
PERMIT Nn. 'l?;,u0 t ,.
SIDE VIEW Seo Letter to. Folic, .. . . :`� b SITE PLAN
Job Address: [ I
I -
N SCHOLLS FERRY ROAD r
5' r` f•-150' _..�
50. � � 1
A jPARKING '
HNEA
E
- 1
F=
NORTHWEST AWNING & SIGN
17.21 NDN NORTHROP STREET PORTLAND, OREGON 97209
PHONF- AX 50,3-226-6169
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #. . . . . . . : BUP"37-049&
13125 SW Not/Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/24/97
PARCEL: 1.9127DD-00100
STIF ADDRESS. . . : 09730 SW CASCADE BLVD
SUBDIVISION. . . . : ZONING:C-G
BL..00K. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION:TTG
RFTS)SUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
F1_n5)S OF WORK. :ALT FIRST. . . . : 2200 sf N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?-----------
TYPE OF CONST. :5N . . . . 0 sf N- S: E: W:
OCCUPANCY GRP. -M TOT*Al..-------: 1200 sf ROOF' CONST: FIRE RET? :
OCCUPANCY LOAD: 56 BASEMENT. : 0 sf AREA SEP. RATED:
9TOR. : 0 HT: 0 Ft GARAGE— : 0 sf OCCU SEP. RATED:
RSMT')- ME77?: RE DD SETBACKS---------- RFOUT
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft F T FR SF-,KL-:N 93MOK DET. .
DWELLING UNITS: 0 F RNT: 0 ft REAR. 0 ft FIR ALRM:N HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 15000
Rpmarlts : Tenant Improvement
Owner: FEES ------------------
T MT('.'HPFI R ASSOC type amol-int by date r,pcpt
9200 E MINERAL. AVE PLCK $ 71 . 83 DRA 10/24/97 97-300395
STE 200 FIRE $ 44. 20 DRA 10/24/97 97-300395
LNGLEWOOD CO 80112 PRMT $ 110. 50 DRA 12/24/97 97-302030
Phone #: 303-792-3500 5PCT $ 5. 53 DRA 12/24/97 97-302030
Contractor:
JOSEPH HUGHES CONSTRUCTION
7035 SW HAMPTON
TIGARD OR 97223
Phone #: 6C-0-8134 $ 232. 06 TOTAL
Rt�g 000456
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp -----------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All worl( w0l be done in accordance with S�.tsp F-eilng Insp
approved plans. This permit will expire if work is not started Misc. Inspection
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
rifles are set forth in BAR 952-88I-8818 through OAR 95?-88181987.
Yoli many obtain a copy of these rules or direct questions to OW
by calling (903)246-1987.
11prmittee SignAti-irp - TISSIAed
.... ...........
4+4........................4.................v+-�................4-++++4 ...........
Call 639-4179 by 7:00 p. m. for An inspection needed the next bi-isiness day
...........t..........4-++4.......4.........4-++44..................4-+++4............
"
CITY OF TIGARD Commercial Building Permit t'N
Date Rec'd G
1.3125 SW HALL BLVD. Tenant Improvement I t� Rec'd B
�7 Date to P.E. I
TIGARD, OR 97223 Date to DST X 1 47
(503) 639-4171 Permit•WiFT"r�
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Called__l
Name of Development/Prolect Existing Building;, New Building O
Job
Address Street Address Suite Building
-3Q CAw I Data
Bidn A City/State Zip Existing Use of Building or Property:
Name
Proposed Use of Building ur Property:
Property , tti1 IC t-WAt, 4
Owner Mailing Address Suite Ol
No. Of Stories:
City/State Zip Phone 3� —2— _
--- ' I-C "G C0 LCI1? �� �-.�" .,, Sq. Ft. Of Project:
Occupant Name Occupancy Class(es)
-Ak(\' A
Name
Contractor �C;SE��4 j h4 U_ � C'cw;;rtrrTh�l Type(s)of Construction .A'
Prior to p3rmrt Mailing Address Suite IV
issuance,a copy Will this project have a Fire Suppression System?
of all licenses IN-ryt anti) Yes I3 No
are required if City/State zip Phone
expired in C.O T Americans with Disabilities Act(ADA)
database l I' fMf ` '.'.. ' ��%`I 11 C; Valuation X 25% = $_ Participation
Oregon Conal.Cont.Board L c.* Exp.Date Complete Accessibility Form _
-1
) (A'5 Project $
Name Valuation
Architect �, �( �1, ��X41 �- Plans Required: See Matrix for number of sets to submit
Mailing Address suits on back
7 3., r- A\&
City/State Zip Phone ,3L, I hereby acknowledge that I have read this application,that the information —i
given is correct,that I am the owner or authorized agent of the owner, and
0C that plans submitted are in compliance with Oregon State Laws
Engineer Name
Signature of OwneriAgent Date
Marling Address Suite
Contact Person Name Phone /�
CitylState Zip Phone (Z t LJH 1W4) 41t IA /W I—l_ ��(vr
FOR OFFICE USE ONLY !v
Indicate type of work New O Addition O Demolition O Ma rTLM Land Use.
Accessory Structure O Foundation Only O Allerationm p
Repair O Other O Notes: —�
�Dexcrlption of.work:btMC, tXtST: W;,\Lk-'_ g'y(Lt1
'!�
%,)A Lk-A-) aeucCori YbW TA?11k�, NEW t F-yX T TIF.
Parks: Estimated t of Employees
r�
Note: Site Work Permit Application must precede or accompany Building 'ILI
Permit Application
I\COMNEVV DOC (DST) 8/97
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLATYS OUT TO DST
EXANIJNERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 O,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 0,o,f)
M (New or Add. or Alt) 1 1 -- -- 20,o) -- --
B & M (New or Add) I I -- -- 3 O,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- 20,0) --
B & M & P (New or Add.) 2 1 1 -- 3 O,o,w) 20,o) --
E (New, Add, or Alt) 2 -- -- 2 -- -- 20,0)
B & M & P & E (New, Add) 3 1 1 1 3 O,o,w) 20,o) 20,o)
B or B&M (Alt) t } -- -- 20,o) -- --
B & M& P(Alt) 3 I 2 -- 20,o) 26,o) --
B &M & P& E,(Alt) 3 I l I 20,o) 2 (j,o) 20,o)
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes. o = Office *vl = MEC
updates and adds actions. f= Fire P = PLM
u = USA E = ELC
b. Shaded areas designate ALT submittals only. w= Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997. Tualatin Valley Fire and Rescue no longer requires a set of'
approved plans to be forwarder; to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
n�matric Doc
Community Development ELECTRICAL PERMIT APPLJCATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # G=/ �"' t
Phone (503) 639-4171 Date Issued
CITY OF TIOARD FAX (503) 684-7297 Issued by X77—
TDD No. (503) 684-2772
Inspection (503) 639-4175 _
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 4 4 F' _�{�__ Number of Inspections per permit allowed
Address ` Service Included Items Cost(ea) Sum
i
City/State/Zip t C T`._•�( 4a. Residential- per unit "
' 1000 sq it or less $11000 _
or name of business _
Each additional f s 7 It on
Name
) pportionn thereof $2500 1
Commercial F1 Residential❑ Limited Energy S2500
Fri;Menul'd Home or Modular ?
Llwelhng Service or Feeder $66 00
2a. Contractor Installation only: 4b.Services or Feeders
Inslallatiun alteration,or relocation
E lectrical Contractor_ ) r �r h G f arc ra.t- /,-1, 200 amps or less $60 00
Address_)''C' /yn ti C SU 'j`1 201 amps to 400 amps $60 00 2
401 enpe to 600 amps 5120 UO
Cityj f( &I ez 0 _ State e j Zip y�s 601 amps to 1000 amps S.8000 2
Phone No.' ( ?., - Sl, I Over 1000 amps or volts $3000 2
Contractor's License No. Orr Reconnect only $50 00
Contractor's Board Reg. No._ Vic, C1 4c.Temporary Services or Feeders
�I r Installation alleralion or relocation 2
Signature of Supi. E.lec'n� �G� _ L� 200 amps or less $50 00
License N0. /t: �_— Phone N �, Ly ;L 1 f 201 amps to 400 amps ars Do —__
401 amps to 800 amps $10000
Over 600 amps In 1000 volls
2b. For owner installations: pee'b'above
4d. Branch Circuits
Print Owner's Name __— _ NM alleralron or extension per panel
Address a;the fee for branch circuits with
Cit State` Zip purchase of*mke or Awder be.
Y -- Each branch orcurt
Phone N0. _ b)'he fee for branch circuits wilhouf
The installation is being made on property I own which is purchase of service or~.diff Aso. Z 2
not intended for sale, lease Or rent. Firs!branch arcual E35 DD
Each additional Manch circuit 19- 55 00
Owner's Signature _ —__ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle __ $4000 2
Each sign or outline lighting $4000 -
Signal cncud(s)ur a hmded energy '
Please check appropriate item and enter fee In section SB. panel aBeration or extension $4000
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
_ as described in N E C Chapter 5 Per inspection $31,00
Per how $55 00
In Planl $5,100
Submit 2 seta of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: -
NOTICE So. Enter total of above fees $ /1 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _
AUTHORIZED IS NOT COMMENCED WI rHIN 180 DAYS,OR IF Sb. Enter 25%of line A for
GONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required(Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account 0 $
�-Balance Due Due $ 1 J
•n,d cm,hwdtt pm sip
-iGA*F Of
14 1 F
OCCUPANCY
PERMI f #. . . . . . . : BUP45- OE75
CITY OF T IGARD DATE IG�;UED:•
It/01/q5
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Orogon 9722308199 (503)639.4171 PARCEL c I S 1 277DD- 00 100
E PUliREt'itS. 09-730 SW kl: (.,PD bLVD
SUBD I V I S I Ohl. . . . ZONING:C-G
BLULK. . . . . . . . . . I uO I.. . . . . .. . . . . . . . .
CLASS OF WORK. AL.T
TYPI.--' Or U13E. . . ii CON
OCCUPANCY GRP. :'5N
OCCUPANCY LOAD: 35E,
fNANT NAME. . . :SHANE COMPANY
Remarks : Tenant Improvement
Owner :
1JUSIERN STONE A114D METAL
.'VO F:'.. MINE13AL WAY SUITE 200
;,IGLP.'WOnl') GO 8011.2
tone #: 303--792 -3500
ILS, INC.
I ."04J NE ERIN WAY
ORTLAND OR 97220
linne #1 254-3008
Ig #. . - 755162
c�cupancy of the above referenced building is hereby given, and certjLfie-
lie compliance with the S)Latv Of Oregan Spec-041ty Codes for ti-le gt'Q'.(P,
mnrJ i.tse under which the referenc-ed permit was issUed-
...............
F DEPART FNT LNSPErwTOR
WILD N OF ICIAL
POST IN CONSPICUOU"j PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ �� Cj
Footing 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 lineBld
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulati,n ec
Underllr. Insul. Shear Wall I Gyp. Bd. -Elect.
Date Requested: r! ` AM i�• PM
Time:
Address: � ��C_� ��
Builder: S `
THE FOLLOWING CORRECTIONS ARE R _ UIRED:IYI�-
r
_ / t
-�
Inspector: Date:1i-
[.�PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
i
V .
MIT
CITY OF TIGARD PERMITU#. . . . . . . :ILDING BUP95--0':75
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/28/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (',W-aq2QA1771
PARCEL: 1S127DD-00100
SITE ADDRESS. . . : LA9730 SW CASCADE BLVD
SUBDIVISION. . . . . (� � ZONING: C--G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
REISSUE. FLOOR AREAS - — — ----- EXTE"RTOR WALL CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . : 11942 sf N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : Sf PROTECT OPENINGS?------------
TYF'E OF CONST. .-5N THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL------: 1.1942 sf ROOF CONST:B FIRE RET?:Y
OCCUPANCY LOAD:352 BASEMENT. : sf AREA SEF'. RATED:
STOR. :2 HT. :26 ft GARAGE. . . : sf OCCU SEP. P.ATED:
BSMT? :N MEZ Z?:N REDD SETBACKS_._ .._ - - RF-PUT RED
FLOOR LOAD. . . . :50 psf LEFT: ft RGHT: ft FIR SPKL:N SMOK DET. . :N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE.: PRO CORRIN PARKING:
VALUE. $ : 105079
Remar-ks : SMALL TENANT INPROVEMENT WITH REMOVAL AND RECONFIGURATION OF SOME
INTERIOR WALLS, CEILING GRIDS AND LIGHTS.
Owner. . -------------------------------------- ------- ._— -- FEES --_...________-..._
WESTERN STONE AND METAL i_ v r,e -vino ,T)+ 1-,v c1:-1k p recRt
9k10 E. MINERAL WAY SUITE 200 PRM1 � 448. 00 5W 07/18/95 95--268160
5PCT $ 22. 40 SW 07/18/95 95--268160
ENGLEWOOD CO 80111' PECK $ 291. 20 SW 07/18/95 95-268160
Phone #: 303--792-3500 FIRE $ 179. 20 SW 07/ 18/95 95-2G8160
Contractor,:
TCS, INC.
1204.1 NE ERIN WAY
PORTLAND OR 97220
Phone #: 254•-3008 f 940. 80 TOTAL
Reg #. . 55162
---- --- REOU I RED INSPECTIONS
-_.--This persit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other I n s'_i 1 at i ren Insp
applicable laws. All work will be done in acc^-,ance with Gyp Board Insp
approved plans. This persit will expire if work is not started Stisp Cei ing Insp
within IN days of issuance, or if work is suspended for sore Final Inspection
'han 180 days.
Permittee SiWature:
I s s 1-i e d B y: � 1'1M�
Call far inspection 639--4175
Com ercial Building Permit AWlication
City of TigardE i
13125 SW Hall Blvd. l,1�I: h'j
Tigard, OR 97223 26 /
(503) 639-4171 oq,
Jobsite Address: 9IYO_C�.w CIA iAM AVI
Tenant: &MNE XMpA N`{ Suite # Office Use Only
105��� �Q PlanckfRec #
Valuation: � _J
Permit# 6 U-P 45— C Z 75
Owner: U��ST tZN uTON� #� MI%Tl�lc- Map & TL # I S 121r"] DP' CX) 100
Address: Approvals Required
J Planning _
I - ?Jp3 l �- 0
Phone: 350Engineering
Other
Contractor:
Address: ` /
Type of const: X _
Occupancy class:
Phone. _
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project: J2�j,
Contact name & phone: Story (1st, 2nd, etc =t
11c ) 1 I_
Jk� D�tC� iT� Proposed use: Metall &twraam
ArchitecUEngineer: _�
��// Previous use: Ke}all 13 �rLUr" � Ce'
Address _JZD_ �W T'AILOtZ. ,�I,11�. � 2't�
�VFT.Lat� I Dkr-_& l Q��� Note Plumbing mechanical plans
L must be submitted
bmitted at time of
building permit application.
Phcne
JOB DESCRIPTION: -
_� �GIN'�Pi tV�f/rtor wall Miiq rV c_-
Applicant Signatu e & Phone number
Received by ���c �L� _�__, Date Received:
Permit #r• Account Description Amount Amt. Pd. Bal. Due e
I�Z )�Idg. Permit (BUILD) ��
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
- O
State Tax (TAX) s i - 40 Ci
Bldg:
Plumb:
Mech:
20
Plan Check (PLANCK)
Bldg:
Plumb:
Mec h:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF.1) _
Institutional TIF (TIF-IS)
Office TIF ;TIF-O) _
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EPOSN)
TOTALS:
CITY OF TIGARD BUILDING INSPECTION NOTlrr
Inspection Line (Rec-O-Phone): 639-4175 Business Ph,.ne: 639-4171
Inspection: �� L� Y— C—L - —
Footing 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 -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumes`
Alarm Water Line Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: J j� Time: AM PM
Address: 1� ,l .�� r��C� ,L C'cZ _ •pG�
Builder:__ j ?T Permit #4- -t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ipspecto . �� Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigard,Oregon 972230199 (503)639-4171 PLUMPING PERMIT
PERMIT #. . . . . . . : PL1195-0199
G.39--4.171 DATE ISSUED: 08/29/yj5
PARCEL: IS127DD -00100
LITE ADDRESS. . . : 09730 SW CASCADE BLVD
SUBDIVISION. . . . : ZONING: C—G
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. . : MIDSTLE HOME SPACES. :
TYPE Or USE. . . . sCOM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GPr-,. . cB2 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : CATC11 DA51NS. . . . . . . :
FIXTURES---------------- LAUNDRY TRAYS. . . . . . : 5f RAIN DRATNS. . . . . .
SINKS. . . . . . . . . . .. I URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . .
LAJATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LTNE (ft ) . . . . :
DISHWASHERS. . . . . PAIN DRAIN (ft ) . . . . :
Remarks : SMALL TENANT IMPROVEMENT WITH REMOVAL AND RECONFIGU",ATION OF 1:301YIE
INTERIOR WALLS, CEILING GRIDS AND LIGHTS.
Owner : FEES
WESTERN STONE AND METAL type amount by date recpt
9200 E. MINERAL WAY SUITE 200 PRMT It 25. 00 B 08/29/95 95-269917
SPCT $ 1. 25 B 08/;?9/95 95-269917
ENGLEWOOD CO 8011-L
Phone #: 303-792-3500
Contractni, :
RAYBORNIS PLUMBING, TNC,.
19990 SW ClPOLE ROAD
TUALATIN OR 97062
Phone #: 692-4139 1$ 26. 25 TOTAL
Req #. . .- 87852
REOUIRED INSPECTIONS
This permit is issued subJect to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
app-oved plans, This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than '&@ days,
r no i L t ee 15 Tlat 1,-tre
T s s u e d By . ,
Call for inspection 639--4175
L
City of Tigard 1��� r�,�y4 PLUMBING PERMIT APPLICATION Planck/Rec. # ->-
13125 SW Hall Blvd` Permit # 2W i s 21
Tigard, OR 97223 y
(503) 639-4171
` MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
'""' �^ • New Slnale Family Residences Only
F i
A+•� Q 1 BATH HOUSE$140.00 Cl 2 BATH HOUSE$195.00
Job 7 U �'� 0 3 BATH HOUSE 5225.rA,
Address w..+. a. Fee includes all plumbing futures in the dwellG•rg and the (trot 100 feet
,�d7 of water service, sanitary sewer and stone sewer. See fees below.
FIXTURES QTY PRICE AMT
ent' Sink 9.00
V.+� 1 Phan' Lavatory 9.00
Owner V %J,�i�7 / h/!2 Tub or Tub/3hower Comb. 9.00
Shower Only 9.00
L Water Closet 9.00
Dishwasher 9.00
Garbage Disposal 9.00
Occupant *.» Washing Machine 9.00
Floc Drain 9.00
a Water Healer 9.00
Laundry Room Tray 9.00
Urinal 9.00
VA 5 1( tislet Other Fixtures (Specrh) 9.00
><'
Contractor 9.00
9.00 I
9.00
Sewer 1st 100' 30.00
91wa"a++�w "�'�"• Sewer-ea. Addit 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. AddtL 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State IaMrs, that Storrs S Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Bo.:rd, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registratir,:1, please Mobile Home Specs 25.00
give reason below.)
Back Flow Prevention
Device cr And-Pollution Device 9.00
Mr."- . Any i rap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition Q alteration (D repair L) i Catch Basin 900
to be done residential Q non-residential O irsp. of Exist Plumbing 40.00/hr
Specialty Requested Inspections 40.001hr
Existing use of
building or property _ Rain Drain, single (army dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
-(Except residential backflow
prevention d4vfces)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5y.SURCHARGE L S"
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL ��$
TOTAL
Special Conditions
Date issued by
Accumulative Sewer Tally
AcLdress: l C� J ( S c r5�= i- This PLM#:
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New New
# Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Bath Tub/Shower 4
.Jacuz/Whpl 4
Cuspidor/Water Asp 1
Dishwasher Commer 4
Dourest 2
Drinking Fountain 1
Floor Drain 2 inch 2
3 inch 5
4 inch 6
Garbage Disposal 16
Dom Ito 3/4 HPI
Comm Ito 5 HP) 32
Ind (over 5 HPI 48
Oil Sep (Gas Sta) 6 —
Shower Gang 1
Stall 2-
Sink Bar 2
Bradley 5
Commercial 3
Service 3
Washer, Clothes 6
Water Ext 6
Water Closet 6
Urinal 6
TOTALS
Total fixture values: divided by 16 = EDU
HISTORY
PLM# Ci I • ' EDU# SWR# PLM# EDU# SWR#
PLM# S(n ' EDU# SVVR# PLM# EDU# SWR#
PI_M# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
c BUP
— Date Requested r AM_ PM BLD
Location ��� Suite MEC
Contact Person [��t,tiU Ph Sft 7200 PLM
Contractor (� Ph SWR
BLDING reeen�Owner ��V l��_ 17 . ELC
UI
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain — SGN
Crawl gain Inspection Notes:
Slab — —_ SIT
Post& Beam
Fxt Sheath/Shear
Int Sheath/Shear
Framing --- ----------- ---- -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---- ------- T - __.--_--_-- -- ----------___._______--
Fire Alarm
v
Susp'd Ceiling - --C-----��--�-�- �-�-----------._.------- ---
Roof
Misc: ---
Final T --
PASS PART FAIL ------ -- ---- — ------- — -
PLUMBING
Post aBeam ----
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PAR f FAIL
MECHANICAL
Post& Beam - - - --
Rough In
Gas Line --- - -
Smoke Damperr,
Final
PASS PART FAIL
LtCT ---
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
PASS tART FAIL
Backfill/Grading _—
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE' _ '� - ]Unable to inspect-no access
Fire Supply Line
ADA �/ (Zr
Approach/Sidewalk Dete ? —Inspector Ext
Other --
Final
PASS PART FAIL 00 NOT' REMOVE this inspection record from the job site.
CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: �r �% �� M. _ I'.M.� MST:
Location: t )/' ��'_ =a BUR 97 16
Tenant:_ Suite: `Bldg: MFC:
Contractor: Phone: PLM:
Owner: _ Phone: _ _ _ ELC:
ELR:
_ SIT:
BUILDINGIGcon't) PLUMBING MECHANICAL. ELECTRICAL SITE
Site Post/Bcam Postflieam Post/Heam Cover/Service Sewer/Storm
Footing Raof I IndFl/Slah Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In TJG Sprinkler
Foundation Insulation Sewer IlocxUluct Reconnect Vault
Hsmt Damp Drywall Stonn Fumace Temp Service MISC.
Masonry Ceiling Rain Irain A/C IlU Slab
Shear/Sheath Fire Spklr/Alm Crawl/I'ound Or Ileat Pump Low Volt
QttEd Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
IN FINAL FINAL, FINAL FINAL,
-------------
0 Culi for reinspection M Reinslwction I&of S regaired)beforre next inspection O linable to inspect
Inspector_ ;� _ Date /__✓7. Page_ of,^
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: 3 3 — M. MST:
Location: 1 3(� � CC F BUR
Tenant:-- `�{7(,� ) _ Suite: p / Bldg: M>:C:
Contractor:___ -- ACr- Phone. :5 7-/ —/c, PLM: q _
Owner:----- Phone:
-- — _ 1 r .sty LiLR: LL/C--,?J- 61076
1A _ < SCI':
BUILDING BLDG(con't) 61 PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Bearn Post/Bearn Cover/Service Sewer/Stonn
Footing Roof IJndPI/Slab Rough-hr Ceiling Water Line
Slab Framing Top Chit Gas line Rough-In I IG Sprinkler
Foundation Insulation Sewer I hxxl/Duct Reconnect Vault
IISmI Damp Drywall Stonn Furnace 'I'm.p Service MISC.
Masonry Ceiling Rain Drain AVC (JG Slab
Shear/Sheath Fire Spklr/Alm CrawIfFound IN I lent Pump Low Volt _
Approved Approved Approved Approved _�) Approved
Appr/Sdwik Not Approved Not Approved Not Approved -N roved Not Approved
FINAL FINAL. FINAL. FINAL FINAL
M call For reinspection T)teinspection fee of S -required before next inspection f 1 I lnable Io iwgx�c!
Inspector�— `-J�- _ -- Dale:
LT �--
3-3 �
CITY Or'TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: — �
W _ A.M. _ P M. MST:
Location:' i 1 ( =-� �.G? r�� L BUP:
Tenant: //I�// Suite: Bldg: _ MEC: ;
Contractor. �/) /�Cl�n ]� �-/t I 7`ZC�' 5—/J 3 _ PI.M: _
Owner Phone: _ /��� ELC:_ _
ELR:
✓� 2�n SIT:
BUILDING BLDG(con'q PLUMBING CHANICAL , ELECTRICAL SITE
Site Post/13eam Post/lleam Post/Bearn- Cover/Service Sewer/Storm
Footing Roof 11ndl,I/Slab Rough-hr "41 Ceiling Water I.ine
Slab Framing Top Out Oas Line P1eLC55(,44216Rough-In UG Sprinkler
I'ounda(inn Insulation Sewer 11ocxU1hict ,0L,teconnLct Vault
Iismt Damp Drywall Stonn FurnaceS y'a � I'emp Service MISC.
Masonry Ceiling Rain Thain A/C 7 1JG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found lr Ileat Pi 7,-4jL/kI.ow Volt
Approved Approved -
rov___ 01111 Approved Approved --
Appr/Sdwlk Not Approved Not Approved Not AV roved Not Approved Not Approved
FINAL FINAL FINAL, ) FINAL FINAL
01
D Call for reinspection 0 Reinspection fee of S requireLd!v.fore,rest imlkcti m n I hwhle to n "pet I
Date:—z _/ / Pave of
CITY OF TIGARD BUILDING INSPECTION DIVISION -
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: J` A.M. P.M. MST:
Location: q 73c' �!Z C-.G!L-G,% E �L BIJP:
Tenant:_ 4� 41, 4 N� C Suite,'/ Bldg: MI:C
Contractor: OCL "l C(� Phone: PLIA:
Owner: _ Phone: _ _ F.I,C: 7 74/
FLR:
SIT: _
BUILDING BLDG(eon'q PLUMBING MECHANICAL ELECTRICAL" SITE
Site Post/Beam Post/Bcum Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Linc Rough-In U0 Sprinkler
Foundation Insulation Sev,,r llood/Duct Reconnect Vault
Rsmt Damp Drywall Storm Furnace I crop Service MISC.
Masonry Ceiling Rain Ihain A/C illi Slab
Shear/Sheath Fire Spklr/Alai Crawl/Pound Ir Iteat Pump I,ow_ t _
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved N , roved Not Approved
FINAL FINAL FINAL FINAL FINAL
n Call liar rcinst a Reinspection fee of S._ n•(1nrred I.tiliae nest inspection C1 l hvahle it)inspect
Inspector
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 Plbg. Undersl..b Mech. Rough-in Fireplace
Post Ream 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 -Mach.
Underflr. InSUI, Shear Wall Gyp. Bd ec .
!
Date Requested:__L an Time: AM PM
,I,ddress: 7 �6)
Builde � �, �4 3( hermit tZG Clsy3 '
1 H FOLLOWING CORREC'IONS ARE REUUnRED:
T'
Inspector:.&� c— rL��f' `— )ate:%
;APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp. L
CITY OF f I G A R DELECTRICAL PERMIT
PERMIT#: ELC95-00336
DEVELOPMENT SERVICES DATE ISSUED: 08/15/1995
13125 SW Hall Blvd.,Tiqard,OR 97223 (503) 639-4171 PARCEL: 1S127DD-00100
SITE ADDRESS: 09730 SW CASCADE BLVD
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: 10 branch circuits.
RESIDENTIAL UNIT TEA"P SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 48 0 - 200 amp: 0 PUMP/IRRIGATION: 0
EACH ADD'L 500SF: 0 201 - 40C amp: 0 SIGN/OUT LINE LTG: 0
LIMITED ENERGY: 0 401 - 600 amp: 0 SIGNAL/PANEL: 0
MANF HMI SVC/FDR: 0 601+amps -1000 volts: 0 MINOR LABEL (10): 0
SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 0 W/SERVICE OR FEEDER: PER INSPECTION: 0
201 - 400 amp: 0 1st W/O SRVC OR FDR: 1 PER HOUR: 0
401 - 600 amp: 0 EA ADD'L BRNG'H CIRC: 15 IN PLANT: 0
601 - 1000 amp: 0 PLAN REVIEW SECTION
1000+ampIvolt: 0 >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: 0 SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WILLAMETTE ELECTRIC INC
PO BOX 2.30547
TIGARD, OR 97281
Phone: Phone:
624-3631
Reg#:
FEES _ _ Required Inspections
Type By Date Amount Receipt Elect'I Final
PRMT TMP 12/07/199E $110.00 95-269843
5PCT TMP 12/07/199E $5.50 95-269843
Total $115.50
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utirity Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE ISSUiD BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ ---- DATE:- _
CONTRACTOR INSTALLATION ONLY _ —
SIGNATURE OF SUPR. ELEC'N: �._. !^. DATE:-___
LICENSE NO ----- -- ----- — -- - ---- — —__��_v_—__..-- __�.—�
Call 639-4175 by 7:00pm for an inspection the —xt business day
!1FICHAN I CAL
PERM I T
CITY OF T I GARD PERMIT #. . . . . . . : MEC95-0276
COMMUNITY DEVELOPMENT 61k1i-A*W9NT DATE ISSUED: 10/06/95
13125 SW Hall Blvd.T19mrd,Oregon 9722398199 (503)639.4171 PARCEL: 15127DD-1.10100
SITE- ADDRESS. . . : 09730 SW CASCADE BLVD '
SUBDIVISION. . . . : ZONING: C*,—G
BLOCK. . . . . . . . . . I LOT. . . . . . .
CLASS OF WORK. . :ALT FLOOR FURIA. . . . EVAP COOLERS:
TYPE OF USE. . . . :COM UNIT 1-1 ITERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :92 VENTE:") 1410 APPL." VENT SYSTEMS:
STORIES. . . . . . . . :` BOILERS/COMPRESSORC) HOODS. . . . . . . :
FUEL 0-3 1 IF'. . . . DOMES. INC111-
COMML. INCIN:
3-15 HP. . . .
MAX IN[-,(-J'T- BTU 15-•30 1 IP. . . . REPAIR UNIT'.:)"
FIRE. DAMPERS?. 30- 50 HP. . . . WOODSTOVEco. . :
GAS PRESSURE. . . : 501- HP. . . . . CLO DRYERS. . :
NO. OF AIR HANT)LING UNITS OTHER UNITS. :
FURN ( 100K BTU- (-- 1171000 cfm :: GAS OUTLET).
VURN ) =100K BTU: > 10000 ef"l.
Remar-14s : SMALL TENANT IMPROVEMENT WITH REMOVAL AND RECONFIGURATION (31- 50MI
INTERIOR WALLS, CEILING GRIDS AND LIGHTS.
Own@r.- FEES
WESTERN STONE AND METAL. type afl)OUnt by date t-ecpt
`)-`00 E. MINERAL WAY SUITE 2V0 PPZMT $ 25. 00 JGD 10/06/95 95-27135)L1'
5PC*T $ 1. 25 J5[) 10/06/95 95-27135:=,
ENGLEWOOD CO
Phone #: 303-792- 3500
Cunt actor,; -
OREGON AIRF
7921 SW NIMBUS AVE
BEAVERJON OR 97005 ---
Phone #: 626----2:,000 $ 26. 25 TOTAL
Req #, 64235
- ------ REQUIRED INSPECTIONS
This pewit is issued subject to the regulations contained in the MeUhAni(-.`Rl Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mise. Inspection
applicable laws. All work will be done in accordance with Final. Inspection
approved plans. This pervit will expire if work is not startpd
within 180 days of issuance, or if work is suspended for more
than 180 day:.
l
Pet-mittee Sigr!c
u
-'re
JSSUed By
Call for inspection 639-4175
City of Tigard N°TrrP �`' °`7y MECHANICAL PERMIT Planck/Rec. # '7- E y c-
13125 SW Half-Blvd. APPLICATION Permit # /QFC 95 _ o.2 74
Tigard, OR 97223
(503) 639-4171 L
DescriptioFf
Table 3A�Mechanical Code OTY PRICE AMT
Job 1) Permit Fee -0- -0• 10.00
Address
2) Supplemental Permit 3.00
uinace to
v 1) incl. ducts d vents 6.00
•q •� Furnace 100,000 81 U +
Owner t) u + F a 7^-p k 2) incl.ducts 3 vents 7.50
Floor Furnance
3) incl. vent 600
'"' •••
Suspended heater,wall water --
r Y,)/k Tom_ 4) or floor mounted heater 6.00
Occupant Vent not inc in
5) appliance permit 3.00
-------- Repair o sating,re ng
6) cooling,aosorpbon unit 6.00
Boiler or c5-rr0-,-FP—aI c5—m0—,—FP—apump, air cond.
\�(Iy 7) to 3 HP;absorp unit to 100K BTU 6.00
Boiler or comp,heat pump,air cond.
Contractor _ 8) 3-15 HP;absorp unit to 500K BTU 11.00
Boiler or comp,heat pump, air con .
9) 15-30 HP;absorp unit 5-1 mil BTU 15.00
u Boiler or comp, heat pump, air cond.
10) 30.50 HP;absorp unit 1-1.7.5 mil BTU 22.50
ere y acknowI58go that I have road this application,- - that e Boiler or comp, heat pump,air conU--
information given is correct, that I am the owner or authorized agent 11) >50 HP,absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Constniction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration., Air an ing uni
please give reason below.) 13) 10,000 CTM+ 7.50
on portable
14) evaporate cooler 4.50
Vent an con nec eof - --
15) to a single duct 300
enti aeon system not
16) included in appliance permit 4.50
sT o. -- --- -— Hood served y --
17) mechanical exhaust 4.50
Unscribe work new U addition alteration U repair U Commercialor industrial -to be done residential O nonresidential 0 18) type incinerator 30.00
xis ing se or-- Other i.e.,wo siove,water —
building or property 19) heater, solar, clothes dryers,etc. 4.5G
Proposed use of 20) Gas piping one to four outlets 2.00
building or properly ---
hype of fuel - oil natural as LPG 21) More than 4-per outlet
O 9 0 O electric O
NOTICE
Minimum Fee$25.00 SUBTOTAL w
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AtiTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,ORS
596 SURCHARGE �
IF CONSTRUCTION OR WORK IS SUSPENDED OR — —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL -
AFTER WORK IS COMMENCED. --- —
TOTAL
Special Conditions ----
Date issued _by—
CITY OF T I GA R D ELECTRICAL PERMIT-
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR95-00156
13125 SW Hall Blvd..Tigard, OR 97223 (503) 6394171 DATE ISSUED: 10/04/1995
SITE ADDRESS: 09730 SW CASCADE BLVD PARCEL: 1 S127DD-00100
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description:
A.RESIDENTIAL B.COMMERCIAL
AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAfTELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: '
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
ADT SECURITY SVCS"'SEE 5994"
703 NE HANCOCK
PORTLAND, OR 97212
Phone: Phone:
Reg#: 284-3265
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT TMP 12/29/199, $40.00 95-271241 Wall Cover
5PCT TMP 12/29/1991,: $2.00 95-271241 Elect'I Service
_ Elect'I Final
Total $42.00 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 more than 180 days. ATTENTION. Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAF 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1981 --
Issued by Permittee Signature __
OWNER INSTALLATION ONLY
The installation is being made on property I own wMch Is not Intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO: --A- — ---- --�
Call 639-4175 by 7:00 H.M. for ar inspection needed the next business day
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
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 COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
��d�A —-Z&-- J,-'
AdQ RESIDENTIAL—Restricted Energy Fee. . . . . . . . . j�,90
— —61) 7")-g-3 - (FOR AL L SYSTEMS)
City GStata Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Audio and Stereo Systems'
180 DAY% ❑ Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
Contractor Type_ .. ❑ Vacuum Systems*
— /V/ �jC.vi e_c _ ❑ Other
Address _
4
Date COMMERCIAL—Fee for each system . . . . . . . . . s4o.0
(SEE OAR 918-260.260)
Property Owner _A-Ale Check Tyne of Work Involved:
Contractor's Board Reg. No. _ ❑ Audio and Stereo Systems*
Phone#
❑ Boiler Controls
-c- � !��3G'�---------- -
❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
�'3�j 11 Fire Alarm Installation
—SL^!L=�S ❑ 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
n,stricted energy instaltatlons(100 volt amps or lead under this Permit and to do the ❑ Q
following Oor Landscape I ighling*
U-f
1 Only use electrical licenssf persons to do installations where required.(Certain rotectiVe Signaling
residential and other transactions are exempt fmm licensing.These have ❑ Other
asterisks(*).All others need licensing). - -
2. Call form inspection when all of the installations under this permit are ready
for inspection at 503-639.4175.
I. El Number of Systems
Purchase separate permits for all installations that are not ready for inspection
when the inspector Is out to inspect under this 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
5. Assume responsibility for calling for a final inspPrlinn when all of the corrections 5, FEES
are completed.
The person signi ort s permit must he the applicant or a person a. Enter Fees ` -;f-'L1L�
authorized I the ppli-ant. ' �)�
b. 5% Surcharge(.05 x total above) $ d
5ignatulr
TOTAL $_���
Authority if other than applicant
FNERGAP.CHP
CITYOF TIGAR® SEWUR CONNECTION PERMIT
DEVELOPMENT SERVICES PFRMIT#: SWR95-00366
13V W Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SITE ADDRESS; uj730 SW CASCADE BLVD PARCEL: 1S127DD-00100
SUBDIVISION: ZONING: C-G
BLOCK: LOT: JURISDICTION: FIG
TENANT NAME: THE SHANE CO
USA NO: FIXTURE UNITS: 3
CLASS OF WORK: ALT DWELLING UNITS: 0
TYPE OF USF: COM NO. OF BUILDINGS: 0
INSTALL TYPE: BUSWR IMPERV SURFACE: 0
Remarks:
Owner: -'- —` -
- _FEES _
Type By Date Amount Receipt
Total
Phone: — —
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Age icy 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 measuremFnt 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' Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow ru'es :jdopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You .nay obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987
Issued by: _ - Permittee Signature:
Call (503)639-4175 by 7:00 P.M. for an Inspection needed the next business day
}
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CITYITY O F T I GA R D _ ELECTRICAL PERMIT
PERMIT#: ELC2000-00458
DEVELOPMENT SERVICES DATE ISSUED: 8/10!00
13125 SW Hall Blvd.. Tigard, OR 9723 (503) 639-4171 PARCEL: 1S127DD-00100
SITE ADDRESS: 09730 SW CASCADE BLVD
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of(1) signal circuit
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS _
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
_ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 40n amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION _
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL__
Reconnect only: SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor.
T MICHAEL 4 ASSOCIATES LTD ADT SECURITY SERVICES, INC
A I TN. JOHN WEGMAN 2815 SW 153RD DR
9200 E MINERAL AVE, SUITE 200 BEAVERTON, OR 97006
ENGLEWOOD, CO 80112
Phone: Phone: 503469-7100
Reg #: LIC 0059944
ELE 26209CLE
FEES N _ Required Inspections _
Tyre By _^ Date _ Amount Receipt EleLt'I Final
PRMT GWL 3i 10/00 $60.00 0004399
5PCT GWL 8/10/00 $4.80 0004399
Total $64.80
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 1 work is
suspended for more than 160 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE _—�— –` ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE: _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:___ _.
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
h 503 59e 1960 •.
03/17/00 FRI 12: 15 VAX 503 598 1960 CITY OF TICARD I�joo.3
CITY OF TIGARD
131126 SW HALL BLVD. Electrical Permit Appli p�F�' Plan Check
Recd By `_-
TIGARD OR 97223 /� ,����( Date Recd
le
Phone(503)639-4171,x304 "` Date to P E.
Inspection (503)639-4175 Pint of T e \\,�\VO4\ Date to DST
Fax(503) 598-1960 yP ""``,,uu,MM\1'�\1� \. Permit* = C Z Oc+o .
Incomplete or illegible will nots>��IcceptedI. called __
Job Address: 4. Complete Fes Schedule Below:
Name of Development Number of Inspection&per permit allowed
Name(or name of business)`" ' �� Ei'C1 j 'S9rvlce included: Items Cost Sum
Address r" I 4a. Residential-per unit
City/State/Zip 1 �- 1000 sq.ft.or less `-- S 11775 4
Each additional 500 sq ft or
Commercial a Residential ❑ portion thereof _ _ S 2675 1
Limited Energy $ 60.00
Each Manufd Home or Modular - —
2a. Contractor installation only: Dwelkng Service or Feeder _ $ 72.75 2
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data base). Installation,alterollon,or rolocallon
f=lectricalContractor_ AnT Security Services-, Inc. 200 amps orlers $ 64.25 2
Address-2B1.5-SW-1-53rd br_ 201 amps to 400 amps $ 85.50 2
City- Itaava r t on _ State r1R zip _- 401 amps to 600 amps - $ 118.50 2
Phone No 601 amps to 1000 amps $ 192.50 -- 2
Over 1000 amps or volts $ 36375 2
Job No. j') - Reconnect only �_� $ 5350 - 2
Elec. Cont. Lce. No. 7r;-709C1.F. -Exp,Date� )_ 4c.Temporary Services or Feeders
OR State CCB Reg NO i9-UAA ___Exp.Date".SL7_/_UJ__._ Installation,alteration,or relocation
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps —_ -- $ 19025 - -�- --
2
Signature of Supr. Elec'n 401 amps to 600 amps — $ 10000 -` 2
` --' -- Over 600 amps to 1000 volts, --`- -
License No. Fxp.Date_ see"b"above.
Phone No. - -- 4d.Branch Cimuks
-- " - New,alteration or extension per panel
. a) the nee rry
branch circuits
2b. For owner installations
whllr purchase of service or
feeder lee-
Print Owner's Name V f ar;,branch circuit $ g 35
Address b)The fee for branch r;ucuits - `
City- Statezip Without purchase of service
Phone NO. "-- or feeder fee.
rust branch dreuil $ 3;50
I Each additional branch circuit - '-`-_-
( $ 5.35
The installation is being made on property I own which is not —
intended for sale, lease or rent (S Miscellaneous
Servicx or feeder not included)
Each pump or ungation circle _ $ 42 75 _
Owner's Signature Each sign or outline lighting S 42 75
Signal circulf(s)ora limited anergy —`
3. Plan Review section (if required):* panel,alteration or extension __-1 $ 60 00 X6000
Minor Labels(10) $ 100 oO _
Please check appropriate item and enter fee in section 5B. 4f.Each additional inspe.--tion over
4 or more re•sidentral units in one structure the allowable In any of tLo above
-Service and feeder 225 amps or more Per Inspection $ 50 oo
_ r
_T
-System over 600 volePer hour
s nominal $ �o on
- --- -
--Classified area or structure containing special occupancy as In Plant $- --
described in N E C Chapter 5 5. Fees:
Submit 2 sets of plans with applfration where any of the above apply.I Sa.Fnter total of above fees $
II`QC-'
Not required Surcharge(08 x total fees) $d fnr temporary construction services. Subtotal 4' n--
$
NOTICE 6b.Enter 25%of line sa for
Plan Review if requlred(Sec 3) $
,3LRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
'S NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR --
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ T rust Account M
AT ANY TIME AFTER WORK IS COMMENCED. -- — -
Total 1lelance Quo g
y--
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP97-00498
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/24/97
PARCEL: 1 S 127DD-00100
ZONING: C-G
JURISDICTION: TIG
SITE ADDRESS: 09730 SW CASCADE BLVD
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: M
OCCUPANCY LOAD: 56
TENANT NAME: SHANE COMPANY
REMARKS: Tenant Improvement
Final Building Inspection, passed by review 5/3/99 by George Steele, Building Inspector
Owner:
T MICHAEL. + ASSOC
9200 E MINERAL AVE
STE 200
ENGLEWOOD, CO 80112
Phone: 303-792-350u
Contractor:
JOSEPH HUGHES CONSTRUCTION
7035 SW HAMP-ION
TIGARD, OR 97223
Phone: 620-8134
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which he referenced permit was
issued.
'i 0.1 ' 1" 7'4"
BUILDIN NSPECTOR BUILDING FFICIAI.
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP C'G'
Date Requested AM PM
BLD _
Location ?� �� _�:��?c _ _ Suite MEC
Contact Person _ Ph — PLM
Contractor_ Ph _ SWR
ILDIN renan Owner --� �'�' -- " --� ELC _
Retaining Wall % ELR
Footing
F-oundatam ACCP.SS: i _
FPS
Ftg Drain _
Crawl Drain Inspection Notes: SGN --
Slab
Post& Beam -- - -- - SIT _
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation l----- - - —------ __- .
Drywall Nailing
Firewall -
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling
R oof
Misc:
Fin T
PASS') PART FAIL
PLUMBING
Post& Beam
Under Slab
'Top Out
Water Service
Sanitary Sewer -
Rain Drains
Final
PASS PART FAIL
MECHANICAL__
Post& Beam ---
Rough In
Gas Line - --
Smoke Dampers —
Final - —
PASS PART FAIL
ELECTRICAL _ --- — -- --
Service�
Rough In —
UG/Slab -_
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ 1 Please call for reinspection RF - [ Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date — , _ _ Inspector _Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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