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14120 SW BARROWS ROAD
i • O 1 :3 T w O O V 14120 SW BARROWS ROAD Building 3 CITY OF TIGARD BUILDING INSPECTION DIVISION =! -1—L` 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � g B P '. �l S rvs _Date Requested S roc) AM Y PM B W-tM -600 :sLl Location I � ' Suite _ _E -fel Contact Person _6 4,V, Ph S C1 PLM Contractor Ph SWR UILDINf3- Tenant/Owner ELC fgetairing Wall ELR Footing Access: Foundation FPS _. Fig Drain SGN Crawl Drain Inspection Notes: '— Slab __ — SIT _ Post R Beam Ext Sheath/Shear _ Int Sheath/Shear �— Framing _ insulation DrLwall Nailing — FireWMI � �L.� nn1nED /�i� r ire r Susp'd Ceiling Roof (9A cvj To _'r I V� -•_q 10 ci`i-1 4 C7 Misr.: -- ------------ � � T- _ V w � i m PART FAIL — -- ---- - - - --- Post& Beam Under Slab _- Top Out - Water Service _ --- -- ---------- - -- - Sanitary Sewer ' �j 1 �� -� Rain Drain., `- --- Final PAM-2\RT FAIL MECHAN! A ) `,Q Post& Beam - - - - --------- ---- ---- Rough In 141 -7,I Gas Lina - — - --' Smoke Dampers L i A PART FAIL — _^ -- �•--�' _�'�.�./' W �.J��„� - _ CTRICAL — Service --- 'lough In . UGISIab --- Low Voltage Fire Alarm - Final 4 PASS PART FAIL `�1,20 •- - --- IT _ Backfill/Grading- Sanitary Sewer [[ 0 Storrr Drain al L7 [ )Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin G [ ]Please call for reinspection RE: _ [ j Unable to inspect-no access Fire Supply Line ADA A oach/ dewa ��, tr,e� us Date � Z'S �� —_Inspector � Ext�� �-PAW PART FAIL. DO NOT REMOVE this Inspection record from the job site. Mein Office selem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE P.O.Eox 7918 o igard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Carlson Te S I ri Phone(503)684-3460 Phone(503)589-1252 Phone(541)330.9155 FAX(503)684.0954 FAX(503)589-1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER April 6, 2000 T9902878B R�%� City of Tigard A�r� 1 u 7000 13125 SW Hall Blvd., _-- Tigard, OR 9722.3-8199 �r'" Attm Building Department Re Scholls Village Condominiums - Phase II - Building #3 14120 SW Barrows Road, Tigard, OR Permit No BUP99-00176 Dear Sir or Madam. This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Structural Steel - Shop All inspections and tests were performed and reported according to the requirements of Projact Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the Sty to Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal Instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reprodl-Iced except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office Respectfu submitted, CAa SO TESTING, INC. F. Hietpas y Ity Assurance Manager J IH jdk cc: Polygon Northwest Company P 1WOR0 Rr POR I�J INL IRkIPM'B 7BR CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --� -- BUIP Date Requested �A �/C.&AM FM BLD 1 2- 0 — I � T— Location C,ia''�I�t� S Suite MEC Contact Person -- Cp 0AA Pit 1�(,G7 it PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELIR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab - — — — ---- --- -- -..._---------- -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation — S�- — — -- -- ----- --- -- ------ Drywall Nailingv--/���----- Firewall -- Fire Sprinkler 'L�'._:-�: �_ _ Fire Alarm Susp'd Ceiling Roof ,Jp Final -- -- -- — — PASS PART FAIL — —_ PLUMBING Post&Beam Under Slab Top Out - — Water Service Sanitary Sewer — -_ Rain Drains Final ------ -- -- —_ __ ---- PASS PART FAIL MECHANICAL Post&Beam Rough -- ---------------- - �_� — Rough In Gas Line — -- — Smoke Dampers Final - - --- — PASS PART FAIL E F TRICA , -- Service Rough In — — UG/Slab Low Voltage Fire-Alarm ?SAS PART FAIL E Backfill/Grading -- — Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspecltan. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RF:_- _ / [ j Unable to inspect-no access ADA r ' Approach/Sidewalk41 / Other Date _ Inspector ` Ext Final fz PASS PART FAIL j 00 NOT REMOVE this inspection record 'rorn the job site. CITI( OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested �� _AM- _PM % BLD Location I _I 12 v e"?C1-j I s Suite MEC Contact Person t Ph SPLM �d y Contractor Ph SWR BUILDING Tenant/Owner , ELC Retaininr Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing01ILi — Insulation Drywall Nailing _ Firewall Fire Sprinkler ----- -- ------- Fire Alarm Susp'd Ceiling — Roof Misc� _— -- — Final y PASS PART FAIL -- — —� — -- MBI Post& Beam ------ -- — ---- --_..A— ------- Under Slab — ----- — -- — — —........ _ ------ Top Out Water Service ---- -- _- J^._ `._-- --.---- --- Sanitary Sewer Rain Drains Poll S PART FAIL CHANICAL — 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 [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: [ J Unable to inspect-no access ADA , Other proach/Sidewalk Date 3 _ Inspector_ �' Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. � BUILDING PERMIT CITY OF TIGARD PERMIT#: BLI01999-00534 DEVELOPMENT SERVICES DATE ISSUED: 1/5/00 13125 SW H?II Blvd., Tigard, OR 97223 (503)639-2171 PARCEL: 1S133CC-00500 SITE ADDRESS: 14120 SW BARROWS RD 3"" SUBDIVISION: SCHOLLS VILLAGE II ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS s p� —�--- --W-� TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf T4:OCCUPANCY GRP:GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR. HT: ft GARAGE: sf OCCU SEP. RATLiD: BS1J1T?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf ZEFT- -R-R�RT-- �ft —FTFF�FRL:YSMQK DET — DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC. BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,579 00 Remarks: Complete NFPA 13R sprinkler system w/FDC Owner: Contractor: POLYGON NORTHWEST DISCOUNT FIRE SYSTEMS INC 2700 NE ANDRESEN 7402 SE JOHNSON CREEK BLVD D-22 PORTLAND, OR 97206 VANCOUVER, WA 98661 Phone: 360-695-7700 Phone: 777-5f1-j:! Reg#. I Ic 00045441 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In _P513_MT BON 1/5/00 $96.25 00-320920 Sprinkler Final 5PCT BON 1/5/00 $1.70 00-320920 FIRE BON 16/00 $38.50 00-320920 - ORI � iNHn ' /rTotal $142.45 I This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oreqon Utility Notification Center Tnose rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of!hese rules or direct questions to GUNC by calling (503) 246--1987 Permitee Signature: OK nor' CA_+0Vk Issues; By: .J"r I- - - - --- --------- Call 639-4175 by 7 p.m. for an inspection the next business day x:-�W *12410/90 14:27 TS503 084 7297 CITY OF 11GARD __ 0002/003 Fire Protection Permit Application Plan ChecK0 �YIAa L :IT ' OF TIGARD Commercial or Residential RecdBy_-M- 3125 SW HALL BLVD_ _� ...., ...... .�.. -1GARD, OR 97223 Print or Type Date to P.E. M) 639•d171 Ext. 304 Incomplete or illegible applications will not be accepted nate to DST . Permit 1,14"Y-Lf Called of Dr•.velu ant/Project `- — ___ c r- ,r Typo of System (Complete A or D a.,applicable) Job . d 1`� V I 110 0 - -f � ----- Address Address A.) Sprinkler Wet - pry C] Namn Standpipes Pel u„ �Gl WA, .. Owner MailingA1 �7? Additional lazardc u R ' �, ���� -� �'eV` Information pQn —� i l5ialc Pho « r,WA 8�q -, ,vz • ' - �- Name. Area Z FT _ Occupant Mailing Addrrss K Factory _ S•( _ Ciry:Slate- Zip Phone-��— Sprinkler,?reject Valuation $ l9 JJi l.c� CUT Business lax or Metro tt Up.Date, 0.) Fire Alaf7rt �.__ aublTti(tal Shall Include u.-l"Calculations YES[] Contractor Name Ql1XT C Irk SIQk-5 �hCa (Sprinkler or Maitic Address - Cut S ual Component YES❑ Alam„ 6z SE�e_6 Cr. P>I vd Cut Sheets Company) ' p ryr Me Prione�----- Fire Alarm Project Valuation $ aaj Attach Copy Ste on t.�ConL Board Uc# Erate Project Valuation Subtotal(A or B) $ 6, Permit fee based on valuation CurT»nt CUT BuslPcr T9 ax or Melm Lx gate $ • t� �-Licenses - j Z(�1t0 I J / �/ _ (see chart on back) .� Na Q CS /.M I Ifj t�1�[i `� Surcharge $ Madin Adddre&r FLS Platt Review 40% of Subtotal Architect �{.5+ $ l,� , 5'o� a rt /State Zip Phone r TOTAL $ r� ____ �e(�gt e�_LWA 9 ?s_-451 X13 �o Desrll-e wlrk A.)New a Addition O Alteration O i2epair O PLAN,MV57 6E:UIM TE D.epprvwd and a pennk issued prior b lnstaltanon to hC Bono Thr"sM of puns and sfta plan(and vkinity,nap)("Llred wroch location of • ne /! 3flasemenO HoodNent O Spray Booth n I heoy 8cyn(a0oy„- Owt I have retail thti opvliweon trtat the rnfonnanon given is Complete Partial O Exitway O cared,trot I am lra owner or auuvwed agent of In-.cwnef.and that titans suhmitwd L— - —— — are in rlxnpllance with Oregon Slab laws. additionalDe ctiption of Worx w —- Cow,�(-p. NEPA I3 P-5prt h -5(J +,tJ'F0( Signattum of Own 1A ant K . Dato A.)In Existing Building p New Building Contaut P43mon Name Shone Building JWi YA 9( 4,K_ 5d3 1-11- 50-30 Data ©.) Commercial o ReaidcWtiaF� FOR OFFICE USE ONLY:�y �-_ � - -- _.—.._ PILI#� ._. •` - Ma�� ���. No.of at OO$: - - •'�r�i.�-''�=�moi';�►� occupancy Class +Type of truction - tsViiresupr.doq Clb L� V CITY OF TIGARD _-----BUILDiNGPERMEF PERMIT#: BUP2000-00039 DEVELOPMENT SERVICES DATE ISSUED: 2/10/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133C:,-005 0 SITE ADDRESS: 14120 SW BARROWS RD 3` SUBDIVISION: SCHOLLS VILLAGE= II ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALE- CONSTRUCTION—i CLAE,S OF WORK: FPS — FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? _ TYPE= OF CONST: 5N sf N: S: � E � W: OCCUPANCY GRP: R1 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: ST'OR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: __ REQ_D SETBACKS — _ RE_Q_UIR_ED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR. ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS' IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,377.00 Remarks: Fire alarm permit Owner: Contractor: POLYGON NW PRAIRIE ELECTRIC 2700 NE ANDRESON RD 6000 NE 88TH STREE-r VANCOUVER, WA 98661 VANCOUVER, WA 98665 Phone: Phone: 360-573-2750 Reg #: uc 60118 _ FEES REQUIRED 114SPECTIONS Type E?y Date Amount Receipt Fire Alarm PRMT BON 2/4/00 $50.00 00-321597 Final Inspection 5PCT BON 2/4100 $400 00-321597 FIRE NON 2/4/00 $20.00 00-321597 �+ Total _ $74.00 ORIGINAL This oerrnit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specia'�v Codes and all other applicable law. All work will be dcne in accordance with approved plans. This pern.it will expire if work is not started within 180 days of issuance, or if work is suspended for n-iore than 180 days. ATTENTION: Oregon law requires tou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe miitee Signature: i Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day 1 _ Fire Protection Permit Application Plan Check# �Z- /3 CITY OF i IGARD Commercial or Residential Recd By 13125 SW HALL, BLVD. Date Recd ^ % - T'IGARD, OR 9722 Print or Type Date to P.E. Z ?LD6 illegible Incom lete or (503) 639-41','1, x. 304 p applications will not be accepted Date to DST Permit# 151,) Called ,,jOkj Name of Development/Pr,;,:ct �- - - --" Type of System (complete A or N as applicable) Address Address - -- -- --- /�/�%J A.) Sprinkler Wet (] Dry Standpipes Owner Mailing Address ess Haza d group - Additional ity/State .dip PlIone Information Density - i ,liJ mac! Name I Design Area— - ---- Occupant Mailing AddressK - - -- , Factor City/state zip Phone A.1) Sprinkler Project Valuation $ Contractor me B.) Fire Alarm — — (Sprinkler or ) Alarm Company) ailinq Address Submittal Shall Include Battery Calculations YES -- Prior to permit A/ SS t J issuance,a ity/State "Zip Phone Individual Component YES [� copy Cut Sheets of all licenses � B.1) Fire Alarm Project Valuation are required if State Const.Cont. Board Lic.# Exp.Date— expired in COT cy — / —project Valion SDbtuta uatl (A & or B) -- database Cc�Cj�JO J•i'�/D.3 T —^7 '� 7 Name /�y� Permit fee based on %aluation $ , ENJ s Ir NOTr (see chart on back)- 5�:+ AICI11teCt 11Mailing1 Address - S 9 $ II 15 S"' —� tT u,7r DO o urchar e ` ity/state zip Phone FLS Plan Review 4061. of Permit $ �Y Dascribe work A.)New;14 Addition O Alteration O Repair O ------ TOTAL $ to be done: 7-1 - / 4N.59AN B) Modification to sprinkler heads only -=— ---- T -10 heads=No plans required Plans required Submit three sets of plans,including a vicinity map ano 2. 11+=Plan review required the location of the nearest q I hereby acknowledge that I have this application,that the information given is �'`r Number of sprinkler heads: correct,that I am the owner or authorized agent of the owner,and that plans submitted — —- are In compliance with Oregon State laws Additional Description of Work: t 3 ) 3 _ Ignat a°Owner/Agent Date -" a i 3-H ' / A.)In Existing Building �] New Building / ��� - Building Contact Person Warne Phone Data B.1 Commercial ❑ Residential ( . :c SD"J` ? c FOR OFFICE USE ONLY: No.of storle9: Plat# -- -- Map/Tl_#: Sq.Ft:0 ow Y - ,/_-V AL), 0Nc Nates_. - -- - — - -- - Occupancy Class Type of Construction-- _-- -------i-�.-------- --"_-.-_____-_ N� iNf is\dsts\forms\ftresupr.doc 7/2/99 Valuation of Project Permit fee Tax 8% FLS 40% Total 1 - 2,000 50.00 4.00 20.00 74.00 i 2,001 - 3,000 59.25 4.74 _23.70 _ 87.69 3,001 - 4,0 68 50 _ 5.48 27.40 _ 101.38-00 4,001 - 5,000 77.75 6.22 31.10 115.07 51001 - 6,000 _87.00 6.96 34.80 128.76 _ 61001 - 7,000 _ 96.25 7.70 38.50 142.45 7,001 - 8,000 _ 105.50 8.44 42.20 156.14 8,001 - 9,000 114.75 9.18 45.90 169.83 9,001 - 10,000 124.:0 _ 9.92 49.60 183.52 10,001 - 11,000 133.25 10.68_ 53.30 197.21 ^_11,001 - 12,000 142.50 11.40 57.00 210.90 12,001 - 13,000 T 151.75 12.14 80.70 224.59 13,001 - 14,000 161.00 12.88 64.40 238.28 14,001 - 15,000 170.25 13.62 68.10 251.97 15,001 - 16,000 179.50 14.36 _71.80 _265.66 _ 16,001 - 17,000 188.75 15.10 __ 75.50 279.35 _ 17,001 - 18,000 198.00 15.84 79.20 293.04 18,001 - 19,000 207.25 18.58 82.90 _306.73 19,-01 - 20,000 _ 216.50 _17.32 86.60 320.42 20,001 - 21,000 - 225.75 18.08 90.30 334.11 21,001 - 22,000 235.00 18.80 94.00 347.80 22,001 - 23,000 244.25_ 19.54 _ 97.70 361.49 23,001 - 24,000 253.50 20.28 101.40 375.18 24,001 - 25,000 262.75 21.02_ 105.10 388.87 25,001 - 26,000 289.50 21.56 107.80 398.86 26,001 - 27,000 _ 276.25 22.10 110.50 408.86 27,001 - 28,000 _ 28_3.00 22.84 - 113.20 418.84 28,001 - .29,000 289.75 23.18 115.90 _ 42428.83 29,001 - 30,000 296.50_ 23.72 118.60 438.82 _ 30,001 - 31,000 303.25 _ 24.26 121.30 448.81____ 31,001 - 32,000 310.00 24.80 124.00 458.80 _ 32,001 ---33-,00-0----316-7-6 - 33,00031875 25.34 128.70 488.79 _ 33,001 - 34,000 323.50 25.88 129.40 478.78 _ 34,001 - 35,000330.25 26.4_2 _137.10 488.77 35,001 . '36,6_06-----_ 337.00_ 26.96 134.80 498.76 36,001 - 37,000 343.75 27.50 137.50 9-0-05- ----5'83-4 ----- 08.75 r 37,001 - 38,000 - 350.50 28.04 140.20 5�8.74 's8,00 - 39,000 _ 357.25 28.58 142.90 K3.73 39,001 - 40,000 364.00 29.12 145.60 538.72 _ 40,001 - 41,000 370.75 29.66 _148.30 548.71 41,001 - 42,000 377.50 30.20_ 151.00 _558.70 42,001 - 43,000 384.25 30.74 153.70 588.69 43,001 - 44,000 391.00 31.28 156,40 578. 88 - ------- --- 28 -- _.._ 44,001 - 45,000 _397.75 31.82 159.10 _ 588.67_ 46,000 404.50 32.36 161.80 _ 596.66 _ 48,001 - 47,000 411.25 32.90 ^164.50 608.65__ 47,001 - 48,000 418.00 33.44 167.20 618.64.--- 48,001 - 49 -42-424.75 33.98 189.90, 628.63 49,001 50,000 431.50 _34.52 172.80 638.82 is\dstsUorms\firesupr.doc 12/23/99 -- BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP1999-00176 DEVELOPMENT SERVICES DATE ISSUED: 9/16/99 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4117'i PARCEL: 1 S133CC-00500 SITE ADDRESS: 14120 SW BARROWS RD 3"` SUBDIVISION: Z-ONiNG: R-25 BLOCK: LOT: JURISDICT ON: TIG REISSIIE- FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 212 sf N: 1 HR —S: 1 HR E: 1 HR W- TYPE OF USE: MF SECOND: 3,056 sf PROJECT OPENINGS? TYPE OF CONST: 5-11-IR 3.061 sf N- S: E: �W: OCCUPANCY GRP: R1 TOTAL AREA: 6,329.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 7 BASEMENT: sf AREA SEP. RATED: STOR: ', HT: 30 ft GARAGE: 2.962 sf OCCU SEP. RATED: 11-tR BSMT?: N MEZZ?: N READ SETBACKS _ _ REQUIRED _ FLOOR LOAD: 40 psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: 5 FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:N BEDRMS: 12 BATHS: 102 IMP SURFACE: PRO CORR: N PARKING: VALUE: L4,J D-,� Remarks: New unit residential dwelling. Mechanical, electrical and plumbing premits are required. Owner: Contractor: BARROWS LLC POLYGON NOF.THWEST CO 2700 NE ANDRESEN PO BOX 1349 SUITE D-22 BELLVUE,WA 98009 V%COUVER, WA 98661 one: Phone: 360-695-7700 Reg #: LIC 102912 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp Appr/Sdwlk Insp PLCK GEO 5/6/99 $889.20 99-314999 Slab Insp Reinf. Concrete final report Framing Insp Structural welding final rep FIRE GEO 5/6/99 $547.20 99-314999 Insulation Insp Final Inspection CDCB DEB 9/15/99 $125.00 99-318350 Shear Wall Insp CDCP DEB 9/15/99 $125.00 99-318350 Exterior Sheathing Insp ORIGINAL (additional fees not listed here; Firewall Insp Gyp Board Insp Total $11,694.86 Smoke Detector Roof naiing Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved pians. This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direc uestions to OUNC by calling (503) 246-1987. Pennitee r/ Signature _ Issued : K–L)Allb� Call 539-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD multi-Family Building Permit Application Plan Uwck< Dale Recd_ Y 30 IP712 13125 SW HALL BLVD. New Construction and Additions patetoP.E. 5-&-Fq- — TIG.f.RD, OR 9722.0 Date to DST ! tJ (503) 633-4171 Perrnit>R&_fff9 0_0/76 Print or Type called Incompleie or illegible applications will not be accepted —�-� Nan f Developmenl/Proa-A Existing Building ❑ New Building Job t � � D��S V 1 G( _ _ _ Address Site Addre,s � , , BuildingNumber of Units c 2_0 bA-cr-owData Bldg>r city/state zip Existing Use of Building or Property: i z( Cl -1 Z. _ W_ -- Name _Sq. Ft. of Dwelling: Sq. Ft. of Garage: PropertyJj U �J- L - L (o Owner Mailing Address Suit �� 11Y� ChProposed Use of Building or Property: /state Zip — I Phone No. Of Stories: NaL- e 3 General Occupancy Classes) _Contractor MailinAddre s Suite 1 Phone Type(s)of Const ction Yrkx to pnrmlt Cit�Gonst. I,�/�lP(/�� G�/ o n v 1 issuance.ofacopy 'V/'r=/ tjof an aco> (/ Will this project avea Fire Suppression System? are requtrrcl tt Oregon Cont Board L�./ Exp.Date Yes �, NO ❑ _Qta SJ8►� expired In GO Y ,c� o�''1 Americans with Disabilities Act(ADA) V database ' / r Valuation X 25% _$ __Participation Name /r � �7, Complete Accessibili Form f,rchltect /i�.�+ Project $ Mailing Address Suite Valuation A tpS f� x,00 City/State zaR Pnone 2 S Plans Required: See Matrix for number of sets to subm;t �,q/(!Q// (� �lkS S - on back Engineer Name T`- — ----- ---- / - ,/� to pc�nl / / _ 1 hereby acknowledge that I have read this application,that the Information Mailing Address Suite given Is correct,that 1 am the owner or mehorized agent of the owner,and /.fit U� , , ^ that plans submitted are in compliance with Oregon State laws. — `b,/�^� Cltylstate ZipI Ph xte b3 Signature o/Owner/bent Date Gnd 23 G}--Zq -9 9 C tad Person ame Phone Indicate type of work: New�( Addition O DemolKlon 0 �� _/, �S /_n _� -��OD Accessory Structure O Foundation Only O Alteration C Repair O Other O -- FOR OFFICE USE ONLY tDesortpllon of work: ofiee lit �a totr •Worh Pbmrrt Application must precede or accompany Building U �� X9"1 ppllcatlon G S W1t)LTINEVW_` / 3 C' - Note "I'll" hoes have not hccn ilddCd _ C I'TY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERNIIT#: SWR1999-00100 13125 SW Hall Blvd., Tigard, OR 91223 (503) 639-4171 DATE ISSUED: 9/16/99 PARCEL: 1 S133CC-00500 SIT-. ADDRESS; 14120 SW BARROWS RD 3*" SUBDIVISION: ZONING: R-25 F;,OCK: LOT: JURISDICTION: TIG TENANT NAME: BARROWS LLC USA NO: FIXTURE UNITS: CLAIIS OF WORK: NEW DWELLING UNITS: TYPE OF USE: MF NO. OF BUILDINGS: INSTALL i'YPE: BU:WR Ih1PERV SURFACE.. Remarks: Sewer connection for a new 5 unit residential dwelling. Building #3 Owner: FEES BARROWS LLC 2700 NE ANDRESEIV Type By Date Amount Receipt SUITE D-22 PRMT DEB 9/15/99 $11,500.00 99-318351 VANCOUVER WA 98661 INSP DEB 9/15/99 $45.00 99-318351 Phone: Total $11,545.00 Contractor: BAILEY MECHANICAL CONTRACTORS 11995 SW SETTLER DRIVE BEAVERTON, OR 97005 Phone: 579-0353 Reg#: LIC 00110956 RLM 37-378P Required Inspections Sewer Inspection ORIGINAL This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 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 ewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directic-. :, :m 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issuedd`pygPermittee Signature: Call (503) 39-4175 by 7:00 P.M. for an Inspection needed the next b ng day CITYO F TI GA R D __PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00144 13125 SW Hall Blvd., Tigard, OR 97223 ',503) 639-4171 DATE ISSUED: 9/16/99 SITE ADDRESS: 14120 SW BARROWS RD 3"" PARCEL: 1S133CC-00500 SUBDIVISIO'1: ZONING: R-25 _ BLOCK: _ LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 5 MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 5 BACKFLOW PZEVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: 3 WATER HEATERS: 5 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: 15 OTHER FIXTURES: TUB/SHOWERS: 10 SEWEN LINE: 20 ft WATER CLOSETS: 15 WATEP Lh:F: 20 ft DISHWASHERS: 5 RAIN DRAIN: 20 ft Remarks: Plumbing for a new 5 unit residential dwelling. Building #3_ Owner: __ FEES BARROWS LLC Type By Date Amount Receipt 2700 NE ANDRESEN MISC DEB 9/15/09 $33.75 99-318351 SUITE D-212 APPI_ DEB 9/15/09 $168.75 99-31851 VANCOUVER. WA 98661 PRMT DEB 9/15/00 $075 00 99-313351 Phone 1: Total $877.50 Contractor: HAILEY MECHANICAL CONTRACTORS 11995 SW SETTLER DRIVE BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: 579-0353 Sewer Inspection Reg#: LIC 00110956 Water Service Insp PLM 37-378P Rough-in Insp PLM/Underfloor Top-out Insp Storm Drain Insp Rain Drain Insp Final Inspection NA L This pennit is issued subj?ct to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 1 his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-OOQ1-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-V41 Issued � ) y, Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nIy(siness day I T l!r- I lk2A CU viumuing vermit Application Fla nCheck g�-t� 3125 SW HALL BLVD. Commercial and Residential Rec'dBy_�ci�^ IGARD, OR 97223 f Date R(,: iO3) 620`04M /a/ Date toP.E _-�--�� Print or Type Date tc DS,* Incomplete or illegible applications Will not be accepted Rermelatedd SWR S Related -poo/06 Called N,a�me�of Development/l' Octod dU Job I\ (, Sink 9Do s. Address Str'e�d�ss, / I Suite Lavatory I A.00 � s KA 0 Go jr Tub or Tub/Shower Comb, 9.00 3 Bldg aY cgity/State Zip 900 Only ---- _ -3 l lC a rd UI? y -- 9.oc i ,-, N3r Water Closet9.00 lC1.�h �Le. k)L`�� r: cV-1 LA1 Dishwasher - -- --- 9.00 q s- Owner Mailing AddressSuite Garbage Disposal _ A 9,00 467 lL•> NIC- yY 1 f V')(r1 L12- 2- Washing Machine 0.00 City/Stale Zip \.�} Phone 300 Floor Drain/Floor Sink 2' - -�� - \40fti . -t.��1( ri'ovL•it L-$J � l')� r ' T55 Name / 3' _ 9.00 4' 9.00 OCCUnBnt Mailing Address Suite Water Heater O conversion O like kind _ 9.00 Gaspiping requires a se rate mechanica+permn. City/State Zip Phone Laundry Room Tray 9.00 Name Urinal 0.00 A1L_E`t' _011terFixtnrer.(sl �fri_i -9.00 Contractor Mailing Address �Sune 9.00 �(,.' `.hi" V( J l� 9.00 Prior to permit CIW/State 730 _ fiPtnor►e j(.:y r 30.00 -,10 ii Sewer-1st 100' Issuance,a copy r �'G�dL/V (l1 () `? `� 7C i�y�, ---- Sewet-each additional 100' 25,00 of aU licenses are Orei9r nnst.Cont.Board LIc.I Exp.Dale required n _ /I UCI 5(�o l"( -Cj Water Service-1st 100' 30.00 i V ed In COI Plumbing Ur rr F,xD.Date Water Service-each additional 200' 25.00 +tabase j _ ?f lj , �1 ��� Storm 6 Rain Drain-1st 100' (] - 3u.00 Name - Storm 6 Rain train-each additional 100' 25.00 Architect Y \VaY ct - -Mobile Home Spas; --� 25.00 or Mailing Address Suite 1\-11� `�- C �_ Commrrdal Back Flow Prevention Device or Anti- 25.00 x Pollution Device Engineer y/s le J�P Nh«ne �Z Residential Backflow Prevention Device' 15.00 VV- ��t 1 ` (� ; -1t�t� Orrlgition timliN,devices require a separate Desrxi work to be.done: - restricted ene!Vy pennn.) _ New Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Reel a al O Commercial 0_ _ _ Catch Basin 9.00 -- Additional description of work: Insp.of Existing Plumbing 40.00 per/hr Specially Regtwsted inspections 40.00 _ r/hr �- Are you capping,moving or replacing any fixtures Hain Drain,single famUy dwelling 30.00 Yes O No O Grease Traps 9.00 If yes,see back of form to Indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or;1im alsP.n,k n,Wrvd I or,antny Tetat is >e %11 _ WORK COULD RESULT IN INCREASED_SEWER FEES. _ __ `SUBTOTAL ,- 1 hereby acknov&dge.that I have read this application,that the lnforrnaiion given Is correct,that I am ttxn owner or autlwrtzed agent of the owner.and 6%SURCHARGE that plans submitted ere In compliance wt0i Oregon State taws. Signature of OwnerfAgent.- - Date - -. "PLAN REVIEW 25%OF SUBTOTAL -99 Reqrired only f Ilxtn qty /oral Is>9 � .h TOTAL p t:anlact PersonPhone •Minimum permit fee Is$25*6%surcharge,except pesidential Backflow PreventJon.0Ewloe,which Is$15 4 Rpt surdharpe r ,5 a `.�• ",w.-'All Nehiv Convn4mlal Buildings require plans vAthysortiefriC or:freer diagram �;i r t ��p-��.' l Z� ♦�1 �rld �AaW. +r } 4.i„t .A L; Niyinrpp.A4rTf7/0t1 r 1'j 11 ^� CITY OF T I GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEG1999-00191 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/16/99 PARCEL: 1 S 133CC-00500 SITE ADDRESS: 14120 SW BARROWS RD 3'"' SUBDIVISION: ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 22 OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 3 `BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 3 HP: DOMES. INCIN: �•`� 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: WOODSTOVrS: GAS PRESSURE: M 50 + HP: FURN < 100K BTU: 5 AIR HANDLING _UNITS CLO DRYERS: 5 FURN —100K BTU: <= 10000 cfm: — OTHER UNITS: 5 > 10000 cfm: GAS OUTLETS: 5 Remarks: Mechanical for a new 5 unit residential dwellinq Owner_ _ -- _ FEES�- _ BARROWS LLC Type By Date Amount Receipt 2700 NE ANDRE. :N PRMT DEB 9/15/99 $159.00 99-318350 SUITE U PLCK DEB 9/15/99 $39.75 99-318350 VANCOUVER, WA 98661 5PCT DEB 9/15/99 $7.95 99-318350 Phone: Total $206.70 Contractor: --� OREGON COMFORT HEATING INC HUGHES, RON PO BOX 190 REQUIRED INSPECTIONS _ EAGLE CREEK, OR 97022 Gas Line Insp Phone:650-2933 fax Mechanical Insp Reg #: LIC 00042519 Heating Unt Insp Duct Inspection Misc. Inspection Final ORIGINAL Final Inspection This permit is issued subs :ct to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire it 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 int 1e Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 2-001-0080. You may obtain copies of these rules or direct questions to OUNC by callirlp. - 189. Issue B�, � � Permittee Signature: X— ' c Call (503) 639-4175 by 7:00 P.M. for inspections nPaded the'fie usine3s day I __ Plan Check CITY OF TIGARD Mechanical Permit Application Reda El — , y --- 13125 SW BALL BLVD. Commercial and Residential Date Recd - 3o y y TIGARD, OR 87223 Date to P.E. S (50311533-4171, x304 Date to DST Print or Type Permit#�j° /l/Yy-o /SI Incomplete or illegible a plications will not be accepted Called Name or Deveb{xr P'raod Description t,,, S� f L `�r-A--.k IIIA Table 1A Mec;ianical Code Qty Price Amt Job SbvetAddrrss -- Sunear Permit Fee 10.00 umace to 100,000 BTU Address 4) Sw _ __ Including ducts&vents _ 5' 6,00 13" crryr;ute zip ) Furnace 100,000 BTU+ —- -� ci I?--Z-3 Including duds&vents_ 7.50 Name(cx name of business; 3) Floor Furnace — Owner prp t�-�rJ 5 L l_-�-- Including vent 6.000 MaRN Address - '^�-- 4) S pe eate all hie er or m httator' -__ _ 6.00 L-7 M r-J 4U 5) Vent not Included in appliance permit Cky/Stale Zip Phone �(bp _ 3.00 _ V tii�.1UQ� _ 9 ro5 S_ CHECK ALL Boller Heat A4 — --- Name(ax none d b,srnesssj--� -- THAT APPLY: or Pump Cond Qty Price Amt Com "• 6)<3HP;absorb unit to Occupant Me�linp Address �� w 1 WK BTU _ 6.00 7)3-15 HP;absorb unit CNylStele hp F hone 100k to 5Wk BTU 11.00 - 8)15-30 HP;absorb - —�- - — j_�� unit.5-1 mil BTU _ 15,00 �ontractor Name 9)30-50 HP;absorb C>-V-fC:C-j0t4 unit 1-1.75 mit BTU -_ _ 22.50 Prior to perk Adches1 �- 10)>50HP;absorb unit '.Suanoe,a copy ._B( `,X �5 >1.75 mil BTU 37.50 of all licenses C#YMWS 2V ptv— SO 3 11)Air handling unit to 10,OW CFM Are required If [ r r 1 Q b�7 7%- ' ov 4.50 expired in COT X-4 d Lk.N Exp.Due 12)Air handling unit r 9,000 CFM+ -- — - ibase I� —O 0 _ _ _ _w 7.50 nitect None 13)Non-portable evaporate cooler L X17 t,..Z t�.r,.,1ca _ _ 4.50 or Make Addceas T ----- — 14)Vent fan connected to a single duct A 1 3,00 22- _ Q -71 G T • 15)VentilaWn system not included In Engineer cky/Sure zip I t't— -4 appliance permit 4.50 LqlqjC�a 4-6;q--7130 16)Hood served by mechanical exhaust — ascribe work to be done: 4.50 17)Domestic Incinerators New• Repair O Replace with We kind: Yes O No O ____ —_ 7.50 ResidenSal O Commercial O 18)Commercial or Industrial type Incinerator 30.00 c3dRkxhal k forrnabon or description of work: ---- 19)Repair units —� 4.50 20)Wood stove ^--�--- __ 4.50 21)Clothes dryer,etc. 5' ✓ 4.50 ype of fuel. oil O natural gas• IPG O el- rk O 22)Other units Y�—i�----- 4.50 °?d w v*y si*nowledge that I have read this applicatkxt,that the Information 23)Gus piping one to four outlets T von is correct,that i am the owner or authorized agent of — D 2.00 1 s owner,that plans sutm*ted are In comprwnoe with Oregon State laws. 24)More than 4-per outlet(each) .50 I rpnahirs of OwnedAgerd Date - _ •SUBTOTAL 5%SURCHARGE cH�iNfrstxt Ptu" PLAN REVIEW 25%OF SUBTOTAL. Required for ALL commercial pertnt OTAL R ff� — _M— -- 'lhirdmum permit fee b$26+6%surcharge Reskk4%sl AK;requires site plan showkhg placemerd of unit 1 lmechpr3 doc rev M423198 •--�rZ Q l CELECTRICAL PERMIT CITY O F T I��R D PERMIT#: EI_C1999-00269 DEVELOPMENT SERVICES DATE ISSUED: 9/16/99 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00500 SITE ADDRESS: 14120 SW BARROWS RD 3'"' SUBDIVISION: ZONING: R-25 BLOCK: LOT : JURISDICTION: TIG Pruiect Description: Electrical for a new 5 unit residential dwelling. (� RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ __-MISCELLANEOUS 1000 SF OR LESS: 53 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 9 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 5 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN kEVIEW_SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: [Reconnect only: SVC/FUR >= 223 AMPS: CLASS AREA!SPEC OCC: Owner: Contractor: 13ARROWS LLC PRAIRIE ELECTRIC INC 2100 NE ANURLbLN 6000 NE 88TH STREET SUITE D-22 VANCOUVER, WA 98665 VANCOUVER, WA 98661 Phone: Phone: 360-573.2750 Reg #: SUP 3562S LIC 000601 FLE 37-491C FEES J Required Inspections Type By Date Amount Receipt — Rough-in PRMT DEB 9/15/99 $900.00 99-318351 Wall Cover PLCK DEB 9/15/99 $225.00 99-318351 Underground Cover 5PCT DCB 9/15/99 - $45.00 99-318351 Elect'I Service ORIGINAL Elect'I Final Total $1,170.00 [his Permit is issued subject to the regulations contained in the Tigard Municipal Code.Stale 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 ifwork 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 OAR 952-001-OOW You may obtain copiesef these rules or direct questions to OU14C at(503) 246-1987 _ PERMITTEE'S SIGNATURE ' t— ISS�JED 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 ATE:_-_ —____CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:----_—_ LICENSE NO: -- - — -- -- -- — - _ — Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check MU /('7( 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd `z Date to P.E. S-G -y Phone (503)639-41711, x304 Date to DST_ Print Or Type .spection (503)639-4175 Incorrlplete or flip- ible will not be accepted Permit l� Fax (503)684-7297 Called_ 1. Job Address: - 4. Complete Fee Schedule Below: Name Of Development_ �J V1* 1*_ Number of Ir.anections per permit allowed Name(or name of husiness)_ �rr�L(. � L« Service Included: Items Cost Sum Address 1412 o4U_S 4a. Residential-per unit �J 7 1000 sq,ft.or less $110.00 -_ 4 CiCity/State/Zip11/��'I cid`�� Cacti additional 500 sq,ft car J 1 / Commer cial ❑ Reeide portion thereof $25.00 f ial 9 Limited Energy $25.00 Each Manuf'd Home or Modular [)welling Service or Fooder $68.00 2 2a. Contractor installation only: - (Attach copy of all curr licenses) , 4b.Services or Feeders Installation,alteration,cr relocation 200 amps or less $60.00 Add rep s I Contractor _ 2 -�~ 2C I amps to 400 amps $80.00 Cityf 1C Dc��(P�=State � _Zip 401 amps to 600 amps $120.00 p Phone No,_----- 7 3 � (301 amps to 1000 amps $180.00 2 Job N0. Over 1000 amps or volts -. $340.00 2 Reconnect only $50.00 2 Elec.Cont. Lice. No._ _ Exp.Date /V -/ ` -- -- OR State CCB Reg. NoC2.1 7 _Exp.Date S -1 S-`l 11 4c.Temporary Services or Feeders COT Business Tax or Metro No_________Exp.Date_ ___ Installation,alteration,or relocation 200 amps or less _ $50.00 2 Signature of Supr. Elec'n _^ 201 amps to 400 amps $75.00 2 ------- - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, ;cense Nr F_xp.Datesee"b"above. hone rJ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address _ ��- Each branch circuit $5.00 __- 2 -- b)Itie fee for branch circuits Pty _ State_ _ Zip_ without purchase of Phone No. service or feeder fee. First branch circuit _ $35.00 ? The installation is being made on property I own which is not I-ach additional branch circuit $5.00 _ 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not included) 9 _--_ _ Each pump or irrigation circle $40.00 __ 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal clrcull(s)or a limited energy panel,alteration or extension $4000 ---- 2 _- Please check appropriate Item and enter fee In section 58. Minor Labels(10) $100.00�--- _ 4 or more residential units In one sticture 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 _ Classified area or structure containing special occupancy Per hour $55.00 as described In N E.C.Chapter 5 In Plant - $55.00 "Submit 2 sets of plans with applicatlon where any of the above apply. S. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ - 5b.Enter 25`Y of line 5a for �` PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It r it (Sec.3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK. Subtotal $ ---_-- S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Accrxmt r TIME AFTER WORK IS COMMENCED. Total balance Due s I"TSNELC"APP net Q% CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00176 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/16/1999 PARCEL: I S 133CC-00500 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS: 14120 SW BARROWS RD 3"` SUBDIVISION: SCHOLLS VILLAGE II FILE COPY BLOCK: LOT: CLASS OF WORK: NEW TYPE OF USE: MF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 7 TENANT NAME: REMARKS: Scholls Village Condominiums - Building 3, Units 1, 2, 3, 4, 5 - Final Building Inspection and Certificate of Occupancy Approved 4/25/00 by Rick Bolen, Building Inspector Owner: BARROWS LLC 2700 NE ANDRESEN SUITE D-22 VANCOUVER, WA 98661 Phone: Contractor: POLYGON NORTHWEST CO PO BOX 1349 BELLVUE, WA 98009 Phone: 360-695-7700 Reg #: LIC 102912 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that t-he building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. 4LN BUILDING INSPECTORBUG OFFICIA! POST IN CONSPICUOUS PLACE Irk