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11418 SW BULL MOUNTAIN RD
CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
.
13125 SW Hall Blvd., Tigard,OR 97223 (503)fi39 4171 F'ERMIT #. . . . . . . MSTnr; -T4P%:DATE ISSUED: 11/15/9E
PARCEL: 2S11OAC-01.200
S ITE ADDRESS. . . : 1 14 113 SW BULL MOI_NTA I N RD #5-.B
SUBDIVISION. . . . : ZONING: C---F`
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Remarks: New steel carport-4 spaces
-------------------------------------------------------------- BUILDING -------------------------------------------------------------
REISSUE: STORIES.......: 0 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBAI3(S---- REQUIRED-------------
CLASS OF WORK.:ACS HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:MIF FLOOR LOAD....: 0 SECOND...: 0 Sf FRONT.........: 0 PARKING SPACES: �+
TYPE OF CONST.:2N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:S4 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..1: 0 REAR..........: 0
------------------------------------------------------------- PLUMBING ------—--------------------------—--------------------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------- MECHANICAL -----------------------------------------—------------------
JEL
------------------------------------------------------------
JEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=188K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURKACES: 0 VENTS......,..: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
-------- ------------------------------------------------------ ELECTRICAL ----------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 8 - 200 asp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 alp..: 8 c81 - MW asp..: 0 1st W/O SVC/FDR: 8 SIGN/OUT LIN LT: 0 PER HOUR.,....: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp,.: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL...: 0 IN PLANT...,..' a
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 Eal+asps-1080 v: 0 MINOR LABEL -10: 0
1080+ aaplvolt.: 0 --- ---- ---- ------ --- -- PLAN REVIEW SECTION ---------------------------------
r-Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC DCC:
--------------------- --
---------- ELECTRICAL - RESTRICTED ENERGI' ------- ----------------------------------------
A. SF RESIDENTIAL------------------------- B. COMMERCIAL---------------------------—--------------------------------.-----------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: TIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER,.: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: -----------------------------------Contractor: - - - ---- ------------ - TOTAL FEES:$ 203.01
ANDREWS MANAGE W MCH CONSTRUCTION CO
4000 KRUSE WAY SUITE 270 COLUMBIA EQUITIES INC
8235 SW OLESON RD STE C
LAKE OSWEGO OR 97035 PORTLAND OR 97223
Phone A: 699-8645 Phone t: 224-7410
Reg C.: 049267
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all atre
applicable laws. All work will be done in accordance with approved plans. This per-sit will expire if work is not started within 180
days of issuance, or if work is suspended for tore than 180 days.
--------------------------------------------------------- REQUIRED INSPECTIONS --------- ----------------------------------
Footing Insp Post/Beam Mechan Electrical Servi Fireplace Insp Firewall Insp Appr/Sdwlk Insp
Foundation Insp Ple/Underfloor Electrical Rough Gas Line Insp Gyp Board Insp Sprinkler Underf
Erosion Control Crawl Drain Mechanical Insp Gas Fireplace Rain Drain Insp Sprinkler Rough-
Wtr Proofing Bss Slab Insp luebing Top Out Insulation Insp -`inter Line Insp Sprinkler Final
Post/Bean Struct Ple/undslb I p acing Insp Shear Wall Insp Nater 5er�ice In Additional ..;.,
mittee 1,ignat i-ir-e --, -- ISs1-rarj
Cal 1 for- inspect ion - G:39--4175 _
Commercial Building Permit Application
City of Tigard Ib�(� luli<'
13125 SW Hall Blvd.
,Tigard, OR 97223
(503) 639-4171
t
I led l
Jobsite Address: -9-12`36 Bull Mt. Road
Multi lu Units Office Use Only
Tenant: p Suite#
Valuation: _ $113�0 .00 2Y r y Planck/Rec #. l L_�.
r_
Permit# n�-,T q lJ— 0
Owner: Andrews Management, Ltd.
Map 8 TL #
Address: 4000 Kruse Way Place, Bldg. 1, Sui ie 270 Approvals Required
Lake Oswego, OR 97035 Planning
Phone: 69`•�-dG45
Engineering
Other
Contractor: MCH Construction Co.
Address: 8235 SW Oleson Road, Suite C
Portland, OR 97223 Type of const: 2 N
'�� Occupancy class: _ S 4
Phone: _244-0523
Contractor's Licanse # 49267
Sprinklered? Yes No
(attach copy of current Oregon license) Sq. ft. of project: 720
Contact name & phone: Phil wlcilugh 244-0523 Story (1st, 2nd, etc.) Ground Level
� Proposed use. Covered Parking
Architec Engineer' Van Ikrr>Ea1�min,VMr.Garricrly�j(nauf
-ice
Previous use: Uncovered Parking
Address 3933 SW Kelly y Av en ip
Note: Plumbing 8 mechanical plans
Por .1 a ud, OR 97201-4393 must be submitted at time of
Phone: .22-4453 building permit application.
JOB DESCRIPTIOti. 1 Space :heel Carport Structure
Applicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
r"r?
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
a v of u MIJ
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
t Fire Life Safety (FLS) ,c� (�-� ;?7, L16
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) �� �� •t
TCTALS: U10 �D ( U
J
_Commercial Building Permit Application
City of Tigard j b I F 1011<'
13125 SW Hall Blvd. /1
Tigard, OR 97223
(503) 639-4171
Jobsite Address: J_La;D 13u11_ Nit . 13cxid _
Tenant: Mutt-We Units Suite # Office Use Only
Valuation: $1;325.001 23 Planck/Rec
Permit #
Owner: Andrews Management, Ltd.
Map & TL #
Address: 4000 Kruse Way Place, Bldg. 1, Suite 270 ApproyAlsReguired
Lake Oswego, OR 97035 __ Planning
Phone: 699-8645
— ------- Engineering
Other
Contractor: MCII Construction Co.
Address. 8235 SW Oleson Road, Suite C
Portland, OR 97223 Type of const: 2 N
/,,. Occupancy class: S 4
Phone: 244-0523 -! �C Or t'Ifd
1 I r <k� Sprinklered? Yes No
Contractor's Licanse # 49267
(attach copy of current Oregon license) Sq. ft. of project: 720
Contact name & phone. Phil McHugh 244-0523 Story (1st, 2nd, etc.) Grour _ el
Proposed use: Covered
ArchitecEngineer' Van Iknml �� /Mc(�arrigle/Knauf
Previous use: Uncovered
Address: _3933 SW Kelly Avenue
Note: Plumbing & mechanical plans
Pnrtl and,_OR 9.7201-4393 must be submitted at time of
building permit application.
Phone: 222-4453
JOB DESCRIPTIOFj _4 Space Steel CarpQrt Structure
Applicant Signature & Phone number
Received by: Date Received:
I
_ U
C I •
� T' EH FP0
H ' L L.V l E,
=; `T"EOE R R A C
uN I r aUN11'"1ARY
.'
f:f IG •' �' f b nR/ lb 'A'WITS • II94 SQ RT. 3 DEDRC
34 '15•Wlfs • &
je* go FT. 2 eEDRC
r g I I 74 C WITS • ice FT. I DECW
v 2 'A 1] 'D WITe • •off ,r� pr , eacm
I II EkISr SO TOTAL DLLELLNG WITS
fDLCG I CRFICC • q17 SQ " tLC 'I
_ d 'e' 2T 33 GRCtND FLOGR WITS • 33 x �S . I;
or su"m _ /I} / f� 13 ACCESSIBLE WITS ARE XqWOvIDeC
11 2 / i MDICArED MT 'NC' CM4 TWIE SITE !",
t ! /2 GFF STREET PARKING
3T / 'c 1 32XAOA�SLLs
1 e rANTAS
"S ?a v 3 e• IS Si0 x 16/0 STANDARD STALLS
v RC 9CE 3 IJC 4S 010 X 1410 CC7'PACT STALLS_
t � �/' I
180 TOTAL SPACES PgOvIDED
INCLUDES 6 HANDICAP STALL4
- i INCLUDES SS CARPORT STALLS
A F ^ NC ace
e _
i 24' / (D)10•DAC TRIED
AISLE \
V 3C CPC SS ' d .3 •D
3 '!3' —
3 --
a 3 .0
v 3.�3 'C -
--CGIC (UNTERLL
\ T--
.• e_r, ��_—_.R LLWfO'1 sky"R 1
3 'A"
2 2.�.IT -- - ;�B' ON JOB S�tE
44,who".�lvAcr. O� �Y 6F l�ARE)
• AS - �'E S �L� ..•.. .1
`1 ♦ Approved
' Conditio�Hl ^ Arr�rlOn4aJ/CANITT AS INDICATE
\ L
-G IeL� ' ��, / �` For only%I' `a+ f x AND V+Gtcnne -
PERMIT NJ& INTERNAT1CNAL WANDICAP STT-+BCL
CZNTCU" • 10' MTER':ALS AtAA1'1�w
t ;r 1 \a.
�L i i AddF��'- rel �r*tE erica RACK l'I
I 'LUMBING PERMIJ
CITY OF TIGARD PERMIT 9. . . . . . . : PLIY195
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/30/95
13125 SW Hall Blvd.Tigard,Oregon 97223e81gg (503)639-4171 FIARCEI- : 21:3110AC-0jr-'q7to
ADDRIL-SS. . 1 3 SIN MOUNTAIN RD
SUBDIVISION. . . . : 70NING:
BLOCK. . . . . . . . . . : LOT. . . . . . . .. . . . . .
CLASS OF WORK. . :NEW GARBAGE nIRPO SAL.S. A mnDTLF HOME SPACES. - 0
,ryr--,E OF USE. . . . :MF WASHING MACH. . . . . . : a BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRI.-.1. . :R3 FLOOR DRAINS. . . . . . : 2 TRAPS. . . . . . . . . . . . . . . Qi
STORIES. . . . . . . . : 0 WATER HEATERS.....: 8 CATCH BASINS. . . . . . . 0
F I X TLJRES--- LAUNDRY TRAYS. . . . . 0 SF RAIN DRAINS. . . . . 0
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . 0
LAVATORIES. . . . . : 16 OTHER FIXTURE=S. . . . 0
TUB/GHOWERS). . . . . 16 SEWER LINE (ft ) . . . 0
WATER CLOSETS. . : 16 WATER L I 114E (ft) . . . . 300
DISHWASHERS. . . . : 8 RAIN DRAIN (ft ) . . . : 200
Remarks : Bldg 513
Owrier: FEES
ANPRFWS MANAGEMENT LTD type amol.int by clat a rprpt
4000 KRUSE WAY PRMT $ 9210. 00 B 11 /30/95 95-27341c-.
PLCK $ 2't'30. 00 B 11 /3171/95 95 c734 1
LAi-<F OSWEGO OR 97035 5PCT $ 46. 00 B 11/30/95 95-27341�'
Phone #4 699-8643
Contractor:
TAPANI PLUMBING INC
1707 NE 2'06TH AVE.
PO BOX 145A
BATTL..E GROUND WA 98604-0000
Plicine #: 2_06-15A73983 T01AL
Req #. . : 60956
REQUIRED INSPECTIONS
This pet,sit is issued subject
ject to the regulations contained in the Sewer Inspection
Tioard Municipal Code, State of Dre. Specialty Codes and all other Water I. inp Insp
applicable laws. All work will be done in accordance with PLM/Und P r f I nor
approved plans. This pit-sit will empire if work is not started 'To P—c,(it I n s P
within 180 days of issuance, or if work is s.ioended for sore :storm Drain Ins p
than 180 days. Rain Drain Ins
lyl i sr_. Inspection
Final Inspection
Permittee 5iqT1at1..(t`P :
Issl.(ed Vv :
Call for insvec--t i on 639-4175
City of Tigard /' III /11 �` 5 PLUMBING PERMIT APPLICATION Planck/Rec. #
131.�_',5 SW Hall 8Ivd. Permit # rro r
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N.m.of D...gynW.
New Single Family Residences Only
Aft"' 1 BATH HOUSE$140.00 Cl 2 BATH HOUSE$195.00
� I
Jab 1 LI ,1 1 �% �( 0 3 BATH HOUSE $225.00
Address cows... ac Fee includes al; plumbing fixtures in the dwelling and the first 100 feet
i of water service, sanitary Sewer and storm sewer. See fees below,
wm.i«nom.of ewnw. FIXTURES CITY PRICE AMT
- i i Sink 900 -
1I A,"... �^«• Lavatory 100
b-Ovvner Tub or Tub/Shower Comb_ 9.00 rw
Shower Only 9.00
Water Closet 900
Dishwasher 9.00
Occupant I Y s � � Garbage Disposal 9.00
ph-. Washing Machine 9.00
Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray 9.00
Urinal 900
�L _11&11i1�ily- L rl r Other Fixtures (Specify) 9.00
MNhp u
ph—
Contractor _ 9.00
d a / YS s.00
u1y191N. -- •—
/ J° 9.00
L11I pit `L. Sewer 1st 100' 30.00
7 Sewer -ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 s
information given is correct. that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm 8 Rain Drain 1st 100' r 30.00
1 am registered with the Construction Contractor's Board, that the Storm R Rain Dram Addit. 100' 25.00
r umber given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention --
C ' Device or Anti-Pollution Device 9.00
W.".4r.«.p.ml r p.l" —�—
Any Trap or Waste Not
56- //Z.0 Connected to a Fixture 900
scribe work new Q f addition U alteration Q repair Q Catch Basin 9.00
to be done residential Q non-residential Q Insp. of Exist. Plumbing 40 00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention -
Proposed use of devices 15.00
building or property - i �,�
`— (Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE 6
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --- ,
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. FPLAN REVIEW 25% OF SUBTOTAL
C TOTALCr-
Special Conditions
Date issued by i -�
MECHANICAL Cl"tY OF T I GARD PERMI*T
PERMIT #. . . . . . .
COMMUNITY DEVELOPMEWDEPARTMENT Dnl"E I5f7DlJFD:
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2S110AC-01200
I TE 15 '5W TkUL.L MOUNTAIN RD
;UBD I V I r-ION. . . . : ZONING:
,LOCK. . . .. . . . . . . . . . . . . . . . . . . .
'LASS OF WOPI!. . -NEW FLOOR TURN. . . . : 0 EVAP 0
1 YPE OF' USE. . . . MF: LINIT HEATERS. 0 VENT FANS. . . : 14
)CCUPi')r,i(,Y (;Rr,. . RG VFNT7, W/0 APPL- 0 VFNT SY"137FMS: 0
T()RIEG. . . . . . . . . 0 SOIL-.ERS/COMPRESSORS HOODS. . . . . . . : 0
UEL TYPE13' -- 0-3 1 4P. . . . : V1 DOMES. INCII'4. 0
3- 15 Fir'. . . . 0 COMML. INCIN: 0
Y)X I N P,U T. i;) P,'T L) 15---30 1 1P. . . . 0 REPAIR UNIT`,: 0
.IRE DAMPERS?. . : ;30-50 HP. . . . 171 WOODSTOVES. . : 0
'Ar) PRESSURE. . . . 550+ 1 1P. . . . 0 CLO DRY(_'RS. . : (zli
10. OF LJ N I T Co--- AIR HANDLING UNITS OTHER UNITS. : 0
1.4?N < 100K 13TLJ: 0 10000 cfm : 0 GAS 1UTLETS. : 0
URN ) z: 100K BTU- C1 > 10000 c f m : 0
Bldri 5D
cieric)t iriclUde? f)_tr-nac,e!: 0)% gr.tc fir'ed water- heaters
lwnev-: FFP7
4NDRL'W5 MANAG1."MFr\17' I Tp type Amcll.mt by date V,ecrt
1000 VP(1,:A:- WAY PI R 11 T $ 00 .IID OJ /1?/96 96-0: 74901
PLC1J\ $ 13- 00 JSP 01 /12/96 96--27490(
(WE" (7'31,41--'GO OR 97035 75 PC T 111 17'. 60 JS D 01 1.2/96 96 C-:.'7 4'_„
Rorie # : 699--8643
CONSTRUCTION CO
OLUMBIA EDUITIES INC
r;,W OL_r'3ON RD T 11 C
ORTLAND OR 97�7.'c-`3
1-10 ri P 1#: i E,7. 60 TOTn1_
0492(, 7
REDUIRZ-1) TN1-'jPFCTT0Nq_
'Ili! permit is issued subject to the regulations cnntawd in the Gas Litre Insp
,aara Punicioal Code, State of Ore. Soecialtv Codes and all ether Mec-hariic,al Iriso
"colicable laws. All work will be done in accortarice with Heating Urit Incip
aDDroved nlan;. This riereit will mire if work is not started cricilirlu Utit Ir)Sp
1.:thin 18@ days of issuance. or if work is susoended for more Duct Inspect ion
ian 180 days. Misc.. Inspection
Final Inspect i.on
m i t 1, o 1 1.1 TI a tLL
Ij V
63q--4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # All-L
Tigard, OR 97223
503 639-4171
"7M M j escription
0Table 3A Mechanical Code QTY PRICE AMT
Job 1) Permit Fee -0- -0- 10.00
Address w -
' 2) Supplemental Permit 3.00
• "" °'"••" urnace to 100,000 BTIJ
11 incl ducts &vents 600
BTU +
Owner 2) incl. ducts &vents 7 50
"�•• Floor Furnance
"/ ('• �. 3) incl. vent 6.00
• n.—.1 bu.in.•• Suspended eater, wall eater
41 or floor mounted heater 600
�' °^• ent not me n
Occupant 5) appliance permit 3.00
eparr oTTeatrng,reTng
6) cooling, absorption unit 600
• of er or comp, heat pump, air con .
/ 7) to 3 HP; absorp unit to 100K BTU 300
0 or comp, neat pump, air con
8) 3-15 HP, absorp unit to 500K BTU 11 00
Contrart�)r oyer or comp, heat pump, air cond.
R-- 9) 15-30 HP absorp t 5-1 and BTU 1500
"� or
` pier or comp, heat pump, air con
10) 30-50 HP; absorp unit 1-1 75 and BTU 22 50
nereby ac now edge that I nave read Fs application, that the Boiler or comp, heat pump, air con
information g;ven is correct, that I am the owner or authrnzea 11) > 50 HP; absorp unit 1.75 mil BTU 37 50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10.000 CFM 4 50
Board, that the number given is correct (If exempt from State Air hariMing unitW-
registration, please give reason below) 13) 10,000 CTM + 7 50
—! on porta e
14) evaporate cooler 450
Vent an connecte
15) to a single duct 3 00
Ventilation system not
16) included in appliance permit 4 50
Hood serve y
171 mechanical exhaust 450
Describe work new ada—itio—n-0 ad —rho—n-0alteration lepa r lJ Commercial or industrial
to be done residential U non-residential 0 18) type incinerator )00
Existing use o Other i e. woo stove, water - --
budding or property ��r��t�R. T 19) heater, solar. clothes dryers, e,c 4.50
Proposed use of 20) Gas piping one to four outlets 200
building or property _
21) More than 4-per outlet leach) 2.00
Type of fuel oil (j natural gas (7 LPG Q electric (7
NOTICE
Minimum Fee $25.00 SUBTOTAL S�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR .
5;o SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR - - -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 25°e OF SUBTOTAL
AFTER WORK IS COMMENCED -- --- -- —
TOTAL j
Special Conditions
i
Date issued
H 1LOGIN08 SMECHW
ELECTRICAL PERMIT
#. 13605,ul
'J
CITY OF TIGARD DATEPERMIT ISSUED:ELC02/010/S6
'COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: -;2S11121AC-014210
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503);839.4171 `iV RD
�,Tr
ill)I V I S I 0111i. . . . II y le ZONING:R-25
QCV. . . .. . .. . . . 1-01.. . . . . . . . . . . . .
oject DescripLior, . Residential to 9, 000 sq ft.
._DG rD.
RE51DENTI171L. UNIT- TE11P GRVC/FEEDERS--------- _.__ _MISCELLANEOUS-_.
J00
-MISCELLANEOUS._
J00 SF OR LESS. . . . : 8 0 200 amp. . . . . . . 1c4) PUMP/IRRIGATION. . . . :
fiDD' L 5005F. . . : --' x'01 400 ,imp. . . . . . . : 0 SIGN/OUT LINE LTG. . ; 0
1_1111TLD ENERGY. . . . . ; 0 '101 600 amp. . . . . . . 0 SIGNAL/PANEL. . . . . . . . 0
MANE. HM/ SVC/FDR. . ; 0 G011-amps -1000 volts. 0 MINOR LABEL (10) . . . : 0
..--.--SERV I CE/FEEDER- . ----BRANCH CIRCUITG-- ....-.-.ADDIL INSPECTIONS----
200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
1 400 amp. . . . . . : 0 1st W/O SRVL OR FDR. 0 PER HOUR. . . . . . . . . . . : 0
ti 1 600 amp. . . . . . : 0 EP CIDD' L LARNCH CIRC : 0 1 N PLANT. . . . . . . . . . . : o
it 1000 amp. . . . . : 0 ------ ---PL AN REVIEW SECTION___._____________.._
100-l- amp/volt.....: 0 -4 RES UNITS. . . . . . . . : ) GOO VOLT NOMINAL. . :
reconnect only. . . . . SVC/FDR > = 225 AMPS.. . CLASS AREA/SPEC OCC. :
.,jnev . -, - --... - --- .-I '. _ . - FEES
'IL)REWS MANAGEMENT type amol.tnt by date t,ecpt
A;110QI 11JZU'1-)E WAY PR11T $ 3V_1. 00 cis 02/01/96 96-27557L.,
bL!)G 1 #27121 5PCI $ 46. 50 CJS 02/01/96 96-275573
1-nil'L 05EWOO OR 9 7 0 3 r_5
F1.10TIe #:
Lontractoi-:
JI-4RMER ELECTRIC INC. t `)7C.,. 50 TOTAL
51 v15 SW 45TH
RLUUIRE=D INSPECTIONS
OR C-oiling cover L.lectl I Gervic.-e
Wall Covet- Electl Final
Reg #.
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, ;tate of Ore. Specialty Codes and all other PPI-Inittee Signat '_We
applicatii latis. All work will be done in accordance with
approved plans. This permit will expire if work is not started
81tMr 180 OdYS Of ISSUnLe, ar if work is suspended fcr more
9,a- SAe days. I s sled By
11 fi? i T1 5 t�A 11 LAtior is being made on property I own which is not intended for-
ulI-erit .
COIATR ACTOR I NS3T ALLAT I UN 01,1LY
T i.RF:. DIF `UVIR. 1_-.LEC' N; DATL:
C41 I I f 0 C I T)t- P LIL t i on - C-39-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 96. _')75Y7_3
Permit # hil-96 CfoS-y _
Phone (503) 639-4171 Date Issued /- 96
FAX (503) 684-7297 Issued b
CITY OF TIGARD FAX
No. (503) 684-2772 Y `��ct�/ter sc _
Inspection (503) 639-4175
1. Job Address: 11 ��., 0-1()to5 4. Complete Fee Schedule Below:
Name of Development V 101� Number of Inspections per permit allowed
Address Inti ll' Service included. Items Costliest) Sum
City/State/Zip 1 J ��{� Y� 4a. Residential-per unit 4
1000 sof ft or lase $ $11000
Name (or name of business) i Each additional 500 sq II or
portion thereof $2500 1
Commercial❑ Residential❑ Limned Energy $2500
Each Manufd Home or Modular 2
Dwelhng Service or Feeder $6800
2a. Contractor Installation only:
4b.Services or Feeders
W
1 Installation,alteration,or relocation 2
Electrical ContractcIYy kc W ee-1 f i� r 200 amps or less $6000 2
Address _� 201 amps to 400 amps $8000 2
401 amps to 600 an pc $12000 2
City Stateo ( Zip 601 amps to 1000 amps $18000 2 I
Phone No. P Over 1000 amps or vona $34000 —� 2
Contractor's License No. a Io -I N L4C Reconnect only 15000
- i
Contractor's Board Reg. No. _ 4c. Temporary Services or Feeders
Installation,alteration.or relocation 2
Signature of Supr. El`ec'n 200 amps or tees $5000 2
G
License No. 3 L4 O T; Phone L� —5E 201 amps to 400 amps $7500 2
401 amps to 600 amps $10000
Over 600 amps to 1000 volts
2b. For owner installations: see V above
4d. Branch Circuits
Print Owner's Name _ New star
abon m extension per panel
Address e)The lee for branch circuits with
City State Zip purchase of eervke or NWrr 1". 2.
Phone No. Each branch circuit $500
b)The tee for branch circuits wffhouf
The installation is being made on property I own which is purchase of servke or ttvedw Am. 2
not intended for sale, lease or rent. Fuss branch circuit $35 00 2
Each additional branch circuit $500
Owner's Signature _ 4e.Miscellaneous
(Service or feeder not included) 2 I
3. Plan Review section (if required): Each pump or irrigation cirde $4000 2
Each sign or outline Ightmg $4000
Signal crmun(s)or a tinned energy 2
Please check appropriate Item and enter fee In section 58. panel,sheratron 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 Par mmpection $3500
Ppr hour $5500
Submit 2 sets of plans with application where any of the above n Plant $5500 --
apply. Not required for temporary construction services. 5, Fees:
NOTICE 5a. Enter total of above fees $
5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal SbEnter 25%of line A for $
.
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 3) $ _
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS —---
COMMENCED ❑ Trust Account Ir
Balance Due $
wtiii,f,c�V%flec-port amI
I
C11Y OF TIGARD f EF2MIT ##. . . . . . . . MSTr?E--03"
COMMUNITY DEVELOPMENT DEPARTMENT
nAI'TE ISSUED: 07/10/96
13125 SW Hall 81vd.Tigard,Oregon 97223@,9199 (503)83-41711
I I q (8 u1 4,V L(_ MF" P-
`-DW *NL,. ADl',iN'LSS i_'RPRT*
U1.11_il)IV.1t',1GP,l. . . . . ZCINING:
131._0(:1'.., . . . . . .. . . . . i._fl T I . . . . . . . . . . . . .
Remarks: ACS/NEW CARPORT 4 SPACES NEAR 14M-11418
-------------------------------------------------
---------- ---- BUILDING ---------------------------------------------------------------
REISSUL: SI ORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REItJIRED-------------
CLASS OF WORK—AC'S HEIGHT........: 9 FIRST....: 648 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETFCTRS:
TYPE OF USE...:MF FLOOR LOAD....: 0 SECOND...: 0 sf FRCNT.........: 0 PARKING SPACES: 4
TYPE -'. 1:'NST.:2N DWELLING UNITS: a F1NBSMENT: 0 sf RIGHT.......... 0
or,_CUKR!ZY GRP,:54 EDRM. 0 bAT'1: 0 TOTAL- ---: 648 sf VALUE.,f: 7474 REAR....,.....: 0
-------------------•-------------------------------------- ------ PLUMBING --------------------
iNKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 1RPA.........: 0
,-AVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
JB/SHOWERS...: 0 GARBAGE DISE.. : 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------ ----------------- -- ------ ---- ----- MECHANICAL ---------------------------------------- _-----------------------
_UF.I TYPES----------- FURN 1108K .. : 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN i=100K ..: 0 UNIT HEATERS..: 0 MODS..,......: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLMR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
--- - ---------- --- - - ----- - ---------- - ELECTRICAL -----------... --- - - - -
---RESIDF-NTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - 2& amp..: 0 0 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADG L 5MV.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERbY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDI_ BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDA: 0 601 - 1000 amp.: 0 6014aeps-1000 v: 0 MINOR LABEL -10: 0
10001 amp/volt.: 0 ----------------- PLAN REVIEW SECTION ---- -- ----- - -— --------- ----
Reconnect only. : 0 )=4 RES UNITS..: SVC/FDA)=225 A.: 1 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ElfRGY -- -- - _
A. SF RESIDENTIAL- ------------------------- B. COMMERCIAL----------------------------------------------------------------------------------
.11110 6 STEREO.: VACUUM SYSTEM..: AUDIO E STEREO.: FIRE ALAN.....: INTEP.COM/PACING: OUTDOOR LNDSC LT:
CJRGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG. PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK...,......: INSTRUMENTATION: MEDICAL.........: OTHR:
HVAC..........., DATA/TELE COMM.: MJRSE CALLS....: TOTAL M SYSTEMS: 0
Owner: - .... - .... - - ----- - ---- --Contractor: -------------------------------- TOTAL FEES:S 186,76
oll)REWS MANAGEMENT MCH CONSTRUCTION CO
,000 KRL'SE AY SUITE 270 COLUMBIA EQ'-jITIES INC
6235 SW OLESON RD STE C
_uKE OSWEGO OR 97035 PORTLAND OR 9723
hnne 0. 699-8645 Phone t:
Reg A.. : 049267
nis pe"eit is issued subject to the regulations contai•ed in the Tigara Municipal Code, State of Ore. Specialty Code= and all other
applicable laws. Ali work will be done in accordance with approved plans, This permit will expire if work is not started within 180
days of iss.ance, or if work is suspended for more than 180 days.
.- - - - -------------------- ------- -- - REQUIRED INSPECTIONS -- --- ----- ------- ---- -------- -----— -
outing Insp
isior. Control
rasing Insp
Building Final
IL
%A# _4
e t t . N Ci I q n A_ t: 1_r r e : _ I s m .led Lr
C:r,Il fc,i tr',� tin - 639--417
P eco
Cir, of'Tigard Commercial Building _Permit Applicatio
--
13125 SW Hall Blvd. I '
Tigard, OR 97223
(503) 639-4171
�l
Jobsite Address: A/c V 0 C '_rk-R,/ZA6C �-
Tenant: . SuOffice Use Onlypite # ��
Valuatior .:Pf'+� ; , 7 0 . nn Planck/Rec#
Permit# M. I %
Owner: �;r rt�w s //��.✓ s N? ��i,�T D Map $ TL #
Address: '416'00 k R u 5 E 6VAt- Approvals Required
/-A k e �*�cv R. _- Planning
Phone: - (1911 - Engineering
Other
Contractor. _C 14
,address:
?0 Type of const: ;L
tLA�a, LIP"
Occupancy class: 1 (-[
Phone-
Sprinklered? Yes No
Contractor's License # T_
(attach copy o/current Oregon license) Sq. ft. of project:
Contact name & phone: C' `1 9 ' a 7 Story (1st, 2nd, etc.)
Architect/Engineer: � (� ASA rf Proposed use._
Previous use: _
Address
� _�• `I l `�.L1J. 6 Ami-c.u ✓is -
Note. Plumbing 8 mechanical plans
A k[ 0s wie 61.e OnQ X1-7 must be submitted at time of
building permit application.
Phone: (, 3 q � SS D y 5 _:--
.108 DESCRIPTION: CA R F0 R T
_�
_ 1 Y
j� -
applicant Sigrfature 8 Phone num ' r
I
Received by: � ^�a'tit' � Date Received: 17 �-
l
Ct Permit S Account Description Amount Amt, Pd. Bal. Duo
M TO,t Bldg. Permit (BUILD) �_"`�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg: i
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech-.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF."
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0) _
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Eresicn Planck/USA (ERPLAN) Yom,
Erosion Planck/COT (EROSN)
TOTALS:
=Rl
i
BUILDING PERMIT
CITY OF T I GARD PERMIT #„ . . . . . . . SUP95--0344
COMMUNITY DEVELOPMENT DEPARTMENTDATE ISSUED: 11/30/95
13126 8W Hall Blvd.Tigard,Oregon 97223.6190 (503)030-4171 PARCEL: 2S 1 10AC--01200
1.Th ADDRE,_ 1. 141G �,W i. l_i.._�_. MOUN 1l-4IN RD
.,(JBDIVI SIGN. . . . : ZONING:R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
------------------------------------------
REISSUE: FI._OOR ARE:Ar`i--------•--- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :NEW FIRST. . . . : 4110 sf N: S: E: W.
TYPE OF USE. . . :MF S1=COND. . . : 41. 12 s•F PROTECT OPENINGS?•_.___.._._... --
TYPE OF CONST. :5N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP'. :R 1 TOTAL--------: 8224 sf ROOF CONST:AFIRE PET? :
OCCUPANCY LOAD: 36 BASEMENT. : 0516 sf AREA SEG. RATED:2HR
')TOR. : I-IT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: 11-IR
BSMT? :Y MEZZ? : REDD SETBACKS---------
FLOOR !...OAD. . . . : 0 psf LEFT: 0 ft RIGHT: 12t ft FIR SPKL :N SMOK DET. . :Y
DWELLING UNITS: 8 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 18 LATHS: 16 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. t : 483695
Remarks : Bldg 5B
Owner: -------------------------------------------------------- FEES
AIUDrI IJ^ MANAGEMENT LTD type amoi_int by date r-ecpt
4000 KRUSE: WAY PL.CK $ 905. 45 JSD 08/10/95 95-269095
FIRE $ 557. 20 .JSD 08/10/95 95-269095
AKE OSWEGO OR 97035 PRMT $ 139..3. 00 S 1 1/30/95 95-2724
pane #: 699-8643 5PCT f 69. 65 11 11 /30/95 95-2724i .
EROS $ 136. 00 B 11/30/95 95-272412
Contractor: -- ------ - ---- -_____.____._.__._ __.ERPC f 44. 20 B 11/30/95 95-27241 ::
MCH CONSTRUCTION CO ERPC $ 44. 20 B 11/30/95 9S.-272:1412
COLUMBIA EQUITIES INC
S'!35 SW OL.ESON RD STE C
PORTLAND OR 97223
Phone #: E 3149. 70 TOTAL
Req #. . : 049067
------- REQUIRED INSPECTIONS --This persit is issued subject to the regulations contained in the Footing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other FoUndat ian Insp
applicable laws. All work will be done in accordance with Post/Beam Insp
approved plans. This permit will expire if work is not started Slab Insp
within 188 days of issuance, or if work is suspended for sore Fr-A m i n y Insp
than 188 days. Insi.ilat i on Insp
C, Shear Wall Insp
l I Firewall Insp
Gyp L o a r-d Insp
Permittee Si nat�_ire+ : I� /il Appr/Sdwlk Insp _._..
Final Inspection
1 <: '.ted By • 4 ayw
Call for^ inspection - 639-4175
I
PE: j
E
CITY OF TIGARD PERMIT
ISSUED: . . . : SWR95-033
/95
COMMUNITY DEVELOPMENT DEPARTMENT DATE
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)530.4171 PARCEL: 2S 1 10AC-01200
�3I TE:: ADDRESS. . . : 11418 SW BULL MOUNTAIN RD
SUBDIVISION. . . . : ZONING: R-25
flI-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
--------------•------
TE NANT NAME. . . . . .H I L1._V I EW COMMONS BLDG 513
USA NO. . . . . . . . . . . FIXTURE UNITS. . . : 404
(-LASS OF WORK. . . :NEW DWELL I NG UN I TS. . . A {
YPE OF USE. . . . . :MF" NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :BUSWR IMPI=RV SURFACE: 0 sf
Remarks : Bldg 5B
Owner,: ------------------------------------------------------ FEES -----
ONDREWS MANAGEMENT LTD type nmol-Int by date r^ecpt
4000 KRUSE WAY PRMT f 17600. 00 S 11/30/95 95--273412-
I_AI',E. OSWEGO OR 97035
INSP $ t15. 00 B 11/30/95 95 -27341
Phone #: 699-8643
Contractore -------------_._______________
t:t]NTRACTOR NOT ON FILE
--------------------------------- .. _
hone #: E 1.7645. 00 TOTAL
Peg #. . .
--- ---- REQUIRED INSPECTIONS ----This Applicant agrees to cosply with all the rules and regulations Sewer, Insper.tion
of the Unified Sewage Agency. The persit expires 188 days frot �-
the date issued. The total aaount paid will be forfeited if the --
oereit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the seasurenent
given, the installer shall prosoect 3 feet in all directions frac ___--
the distance given. If not so located, t ller shall purchase
a "Tap and bide Sewer" Pereit and t encv wil install a lateral
c w
Per-mittee Signati.lr^e : n'(
I 1-led By
Call for inspection - 639--4175
• 7
-�Commercial Building Permit Application
City of Tigard
13125 SW Hail Blh,d.
Tigard, OR 97223 l
543 639-4171 -
1
Jobsite Address: IVA /_"� p,WWI-fl �i!!
Tenant: AV1-- Suit.0
Office Use Only
Valuation: •� ~�~^� . �S .C1!._._."
Planck/Rec # y �' ��•�{
Permit# "V"
Owner. L.7Ti. _ Map & TL #
Address: t21 �` Gx � G�JG;i' Approvals Required
Planning
Phone: Engineering
Other
Contractor: ��
� rr off . 7 G
Address: raw t, `y
Type of const: _ V/`r
Occupancy class: Al
Phone:
Sprinklered? Yes Ngo
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project: A 3D�
Contact name & phone: Story (1st, 2nd, etc.) : ' ��r
Proposed use: �kl�'litrfL:1_� -• _
ArchitecUEngineer: ��.�(1d/-'�y �,�5/�r'.�1.1�:. 1�!tt<'n1 kduJSti,Ht�
Previous use: a�,�
Address: l�Z_7� `�!'� �fl;,'{;;ri� ,l[�%
Note: Plumbing & mechanical plans
,f,e must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION. 1Jl'-2 42T 12 Ll M
Applicant/S-ignature & Phon n er
f( /'
Received by: 1~ -�llt V + -- __ Date Received-
Permit 4 Account Description Amount amt Pd. Bal. Oue
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) ._
Bldg: _
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _
Plumb:
Mech:
Jl Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF MF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
!nstitutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Firs Life Safety (FLS) �". 2o
- }
7 � /
Erosion Cntrl Permit (ERPRMT) J .74 — 16
Erosion Planck/USA (ERPLAN)
J �
=rosicn Planck/C0 (EROSN) `I'/
TOTALS:
t Accurnylative Sewer Tally
Address: `� r0u� (>I.l� ¢ M `` I "iI�i This PLM#: ('" �'�
Fixture V Niue 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 C{
Jacuz/Whpl 4
Cuspidor[Water Asp 1
Dishwasher Commer 4
Dourest 2 _
Drinking Fountain 1
Floor Drain 2 inch 2 _
3 incn 5
4 inch 6
Garbage Disposal 16
Dom Ito 3/4 HP)
Comm Ito 5 HP) 32
Ind lover 5 HP) 48 --
Oil Sep iGas Sta) 6
Shower - Gang 1 _
Stell 2.
Sink Bar 2
Bradley 5 _
Commercial 3
Service 3
Washer, Clothes 6
Water Ext R } 1
Water Closet 6
Urinal 5
Total fixture values: _ divided by 16 = EDU Z S bO
I�ISTQRY ! �,,.� ek
I
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PI-M# EDU# SWR# PLM# EDU# SWR#�
PLM# EDIT# SWR7 PI-M# EDU# SWR#
CITY OF TIGARD
DEVELOPMENT SERVICES
gEjWjM 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CERTTFICATE OF
OCCUPANCY
F.,ERMIT #. . . . . . . 3 BUr'95-034,4
DATE ISSUEDi 07/3119r-�
PIARCEL: 2SI10AC-012oo
;ITE ADDRESS. . . : 1i418 SW BULL MOUNTAIN RD
vUBDIVISION. . . . a ZONINIGiC-P,
. . . . . . . . . . : LOT. . . . . . . . . . . . .
;',LAS3S OF' WORK. NEW
"YPE OF USE. . . sMF
IYPE OF CONSTRs5N
,JGUUPANCY GRP,. #R1
OCLUI-IANCY LOAD 36
rENONT NAME. . . :HILLVIEW COMMONS
Bldg bs
Wier" : --------------------------------
ANDREWS MANAGEMENT LTD
GF7 WAY
000 KRL! -
AKE OSWEGO OR 97035
' 'hone #t h99-8643
MCH CONSTRUCTION CO
COLUMBIA EQUITIES INC,
8235 SW OLESON RD STC C_.
PORTLAND OR 97223
P,hone #1 224--7410
119p #. . 1 049267
This Certificate grants oi.,cupAticy of the above t-efevont-,ed building or-, portion
thev,eof and confit ms than, the building has [,,een inspected for compliance with
the State 0!' Organ Speciar.1ty Codes for the 14rOU151 occupancy, And u%F- under-
which the referenced pvrmit was issued.
r -4 T
T4 114�
j I L 96 ElYNG qFF I C I-AL
vus,r !N CONSPICUOUS PLAC'F
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Bub;ness Line: 639-4171 --
BUR
—_Date Requested /O O / AM PM-2 ' 3C BLD _
Location / k C. w R., I/ l I r 1 D Suite D MEC _
Contact Person l at r Mt.� h��75" �'a _ PLM ()Y
Contractor _ Ph _ SWR
BUILDING Y Tenant/Owner -- ELC
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
Mise --
Final —
PARR PART FAIL - -- ------- -------- _ ._ �—
UMBING
Under Slab
Top Out
Water Service
Sanitary Sewer
R ' rains
final
PART FAIL
_T464HANICAL
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 FAILSITE
Backfill/Grading -- _-- -- _-—_--- -- — ---- _ —
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Gatch Basin
Fire Supply Line [ J Please call for reinspection RE: [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date U Inspector __ Ext
Other — ——'
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYY of TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00481
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/5/01
SITE ADDRESS: 11418 SW BULL. MOUNTAIN RD 5-B — PARCEL: 2S110AC-01200
SUBDIVISION: HILLVIEW COMMONS ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 8
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of (8)water meters on cold water side of water heater
v FEES
Owner: — --
Type By Date Amount Receipt
ANDREWS MANAGEMENT LIMITED PRMT C1R 10/5/01 $132.80 27200100000
11336 SW BULL MOUNTAIN RD #103
TIGARD, OR 972.24 __GPCT CTR 10/5/011 $10.62 27200100000
_ --
__ Total $143.42
Phone 1:
Contractor:
ROTO ROOTER SERVICE + PLUMBING
HOFFMAN SOUTHWEST CORP
4248 NE 148TH AVE REQUIRED INSPECTIONS
PORTLAND, OR 97230
Phone 1: 682-9774 Rough-in Insp
Reg #: LIC 13989 Final Inspection
PLM 37-76PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: Permittee Signature: `—
Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Peronlit Application
Datereceived: i Permit no. �� I
City of Tigard Sewer permit no.: Building Address: 13125 SW Hall Blvd,Tigard,OR 97223 p g permit no.:
City of Tigard Phone: (503) 639-4171 Projecdappl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By:42 Receipt no.:
Land use approval: Case rile no.: Payment type:
t
Ll 1 &2 family dwelling or accessory U Commercial/industrial (H'Ntulti-family O Tenant improvement
U New construction U Acttlition/alteration/replacement U Food service U Other. _
INFORMATIONJOB SITE at loll uve checklist)
lob address: //y/$ S' / , 71 Descri tion _ (ity. Fee(ea.) I Iota)
Bldg.no.: Suite no.: Ne" 1-and 2-family dwellings only: �
-- (Includes 100 A.fur each uttliiv counectiou)
Tax map/tax lot/account no" SFR (1)bath
Lot: Block: Subdivisi n: SFR(2)bath --- — -�
Project name: Sjil -�— /�� P� S SFR(3)bath
City/county: T Z[P: X17 Each additional bath/kitchen
Description antflocution of,workop premises:- Site utilities:
me f t r , Catch basin/area drain
Est.date of completion/inspection: Drywells/leach line/trench drain
PLUMBING CONTRU"FOR Footin drain(no. lin.ft.) _
Manufactured home utilities
Business name: Manholes
Address:2 S t q CA - Rain drain connector
_City: (,t);ISCMState: ZIP: Sanitary sewer(no, lin. ft.)
Phone: .33 Fax: E-mail: Storm sewer(no.lin. ft.)
CCB no.: Plumb.bus.reg,no: -7G e water service(no. lin.ft)
City/metro lic.no.: OQ101699 Fixture or Item:
Contractor's representative signature: — Absorption valve
Back flow preventer
Print name:
I Date: / 3 O/ Backwater valve
Basins/lavatory
Name: ,� ,� Clothes washer
Address; - Yl4 �� Dishwasher
City' State:U,Q ZIP:9�o 7
Drinkingfountain(s)
Ejectors/sum
Phone:
;2 Fax: c 7 E-mail: Expansion tank
Fixture/sewer ca _
Name(print): Floor drains/floor sinks/hub _
Mailing addrr« -- Garbage disposal
Hose bibb
City: I t:ue: ZIP: lee maker
Phone: Fax: Email: Ittteree tar/ rease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the pmpenv I town as per ORS Chapter 447. Sink(s),basin(s),lays(s)
owner's A naturc. _ _ Date: Sum
Tubs/shower/shower pan _
Name, Urinal
Water closet
Addrees: Water heater
City: State: ZIP: Uthcr: TVW
Phone: I F-mail: Tota
Na eft iudsdittions accept credit cards,please can}udidicdon ror mac infom iia, Notice:This permit application Minimum fee................$ I J
U via U MuterCard expires if a permit is not obtained Plan review(at _ %) $
Credo card number .— F I within 180 days after it has been State surcharge(896) ....$
Name of car older as shown on credit card — p accepted as complete. TOTAL .......................$ / `1 /Z
- - - Cardholder signature Amount 11QIGIl 1Ml(V(OM1