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14166 SW BARROWS ROAD BLDG 17 rn N m E D M m h � yo U) 0 0 � l. i F i J{I 1 i i 1 1 ( i 14163 SW BARROWS ROAD 9uiloinq 17 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP98-00403 131:3 SW Hall Blvd., Tigard OR 97223 (503) 539-4171 DATE ISSUED: 02/09/1999 PARCEL: 1 S 133C C-80000 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS: 14166 SW BARROWS RD 17 FILE � SUBDIVISION: SCHOLLS VILLAGE I PY BLOCK: LOT: CLASS OF WORK: NEW TYPE OF U`'E: MF TYPE OF CONSTW 5-1 HR OCCUPANCY GRP: R't OCCUPANCY LOAD: 12 TENANT NAME: SCHOLLS VILLAGE TOWNHOMES REMARKS: Scholls Village Townhomes, Building#17, Units 1, 2, 3, 4, 5 Final Building Inspection and Certificate of Occupancy Approved 8/18/99 by Rick Bolen, Building Inspector Owner: POLYGON NORTHWEST 2700 NE ANDRESEN STE D22 VANCOUVER, WA 98661 Phone: 360-695-7700 Contractor: POLYGON NORTHWEST CO PO BOX 1349 BELLVUE,WA 98009 Phone: 360-695-7700 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 Cad for the group. occupancy, and use under which the referenced permit was issued. BUILDING INSPECTOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE l Main Office / Branch Office P.O. Box 2.'.914 4050 Hudson Ave., NE Tigard, Oregon 7281 SeJem, OR 97301 Inc.Carlson Testln�, lPhone (503) 0 Phone 3589-13092 FAX (5033) 634-0954 (50 ) Special Inspection FINAL SUMMARY 1_ETTER December 15, 1999 #99-1123A City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn. Building Department Re: Scholls Village Condominium Development— Building #17 14166 SW Barrows Road, Tigard, OR Permit No.: BUP980403 Dear Sir or Madam: This is to certify that in accordance with Chapter 17 of the Uniform Building Cocle, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Structural Steel — Shop lig Field All inspections and tests were performed and reported according to the requirements of Project 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 State 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 reproduced, except in full, without prior authorization from this office. If thele are any further questions regarding this matter, please do not hesitate to contact this office. ;jd submitted, TESTING, 'NC etpas urance Manager cc Polygon Northwest Company -- Ron Lightner CT Engineering Milbrandt Archi!ect P 1WORD`PL"-"7��INL TR,99 11'1A CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. 639-4175 Business Line: 539-4171 q� BLIP Date Requested �� _ r � AM >` PM _ BLD — Location Contact Person l _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall — El_R Footing Access: Foundation FPS _ Ftg Drain --- SGN — Crawl Drain Inspection Notes: ---- Slab ----- ---- c Post& Beam - - ---- ---- Ext Sheath/Shear _ Int Sheath/Shear -� Framing -- - -- --- — I` Insulation Drywall Nailing Firewall Fire Sprinkler �:�F Fire Alarm } Susp'd Ceiling CL•G�-L.- '� _ Roof , Misc. Final P6,9&-;,PART FAIL QLUMBTNG •' Posf& Beam —� Under Slab Top Out Water Service _ Sanitary Sewer _ -- Rain Drains PART FAIL VrCP—HANICAL Pest& Beam - - -- Rough In Gas Line - — Smoke Dampers Final -- - - -- - PASS PART FAIL ELECTRICALService Rough Rough In UG/Slab — Low` 0age 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 Hell Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:.-- _-- [ ]Unable to inspect no access ADA Approach/Sidewalk -� + L Other Data Inspector — Ext _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. m cc E` 8 C) f° cv oo rn o aC: ao o a tV O)O (Y N p g o cn m °x EOE a'o d O �j 0) 0 a) O Ir. 7 0 v❑ O Z v > a m I O o '0O CO 00 CO 0) a) eO 00 0) 00 0) a, 0) a) y 0) O 0) O 0 m O O 0) O) O 0) rn rn rn rn rn a) rn rn a, m m rn va O g CL O O N O O 0 O O zo oo o 0 0 4) z z z Cl a a s d = ") > O O O 0 0 Y Y0 0 Y fY J Q m m m m rK d d tx d p O p d d D v v D v o 0 o > T. _ = J O O 2 Z N `T o w a w Z w a a a d a � n z cnj z p d d a 'L T- a o a o CO � a U m W Ld a a a m m Q z m o m m ° = i x o 0 0 cn a *k c Q) rn 0 a 4D d a) (� rn � rn C) ° a) �) 0 Orn) rn c� arn) rn m a) 0) rn a_) rn �) 0) a) c rn U_ g g 0 io c � rn 3 a o 0 a a a a � ; O O O O O O O N O Y � O O co OD CIO Q O a) 0) rn W )0 �, O a C11 a C:� U U) W N C � E 8 °) v o o > w a fY fY CL v c d c a c c o - c c m m n c O a v a C c a d x c y U a u a a � Q) a 6 m rn 00 a - ma) 0 m -' L p a N b 4) N �) 7 N c O O y C N N d a K d fY 0 � n � u. T 2 LL. ii r- a0 -r t2 Ln u) n o r O W) O o) o (J N o F N m cp rn O O o 0 0 0 n t- r-1r o o O r- o >_ o f] p o p 0 n C) 0 0 o 0 0 m m v u y y u u )-) �-) v r-) Q) u u u u Q w w w w w w w w w w w w w w w r. 2 2 2 zi 2 2 2 l CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- �)!� BUP Date Requested 7 1 AM PM — BLD —_ Location i"� /� �7CZ YSuite �/ d — MEC Contact Person Ph �� '(OS/� _ PLM _ contractor_ Ph _ SWR BUILDING — renant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS — Fig Drain ----- SGN Crawl Drain Inspection Notes: Slab _ --------.__._ -----____._�. —.--- SIT _ Post& Beam Ext Sheath/Shear I Int Sheath/Shear / Framing _ � Ins.:lation Drywall Nailing ---------- Firewall , Fire Sprinkler Fire Alarm Susp'd Ceiling - — - -- - .�.•�i==�.�-- ----- Roof Misc: Final r— ?�•� UN PASS PART FAIL -- --� ------- -- ---" ..._. ... --- — PLUMBING Post&Beam Under Slab Top OutWater Service Service Saritary Sewer Rain Drains _ — — Final / PASS PART FAIL _ �_ �✓ — _ —_ MECHANICAL Post& Beam — - — -- Rough In Gas Line --- Smoke Dampers Final --- '— PASS PART FAIL _ LECTRI OP It> i Service Rough In — — UG/Slab — -- Low Voltage Fir Alarm — --- A S PART FAIL --_ - Backfill/Grading Sanitaiy 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: _ [ ]Unable to inspect no access ADA Approach/Sidewalk Other Date Inspector : �'' Ext _ Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-hour Inspection Line: 639 175 Business Line: 639-4171 MST L �jG Luh I - OCA �3 7 i R Date Requested �I"I I PN[ I — Location_ Suite L MEC Contact Person Ph PLM Contr or Ph V 5WR UIL Tenant/Owner _ _ ELC Retaining Wall ELR Footing Access: Foundation ,, FRS Fig Drain (�`�C Crawl Drain Inspection Notes: : SGN Slab �T, j" SIT Pest&Beam Est Sheath/Shear Int Sheath/Shear Framing l _�_L4AJ n�. ^ Insulation Drywall Nailing F_irewtW Fire ire Sprinkler! �� Susp'd Ceiling r Roof Mi , w PART FAIL .C) BI&MBING Post&Beam Under Slab Top Out r �� Water Service � �t Sanitary Sewer — — Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In "— Gas Line Smoke Dampers S Z 7 7144Final Cc _ PASS PART IL Sw tz —t b — 0oz3ci — s►-T ELECTRICAL n l Service _ V-1— -?� Rough In UG/Slab C L - l�' 3 4� Low Voltage Fire Alarm _ t`1 S4 - 3 q� �"1.,.e 11 it PASS PART FAILAA SITE _ Ba II/Grading �� l e k �� . Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE:reinspection i Please call for rens Fire Supply Line [ p [ [Unable to inspect no access ADA Approach/Sidewalk Date `J [ Inspector " "" `-' �— Ex, 1 Other � Final PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site. l -- E ® m ) ( § ( Q c m ) ( / r2 # 0 fE ) - g &m ] } ƒ i i ƒ i ƒ 3 \ 5 § § 7 ) § \£ i j E § § 2 § [ § f » CL (D e o of w « m = o « _ 7 2 § 7 f f § 0 5 » I I I = I I I I I = I � 2 2 ) 2 ) 2 k ) ) p k ce) _ 0 / k ) k \ C 6 f / § § \ � r � / \ jj5 mmj / , m \ _ \ 0 ' \ 2 \ \ « m m � Lƒ ? f f ƒ 2 ? � ± % & & 4 i § 3 a a & k k k § / 2 } k k ) \ k V) 7 ci \ \ 2 0 2 3 2 ) \ § cc% \ r ) ` ` | m 2 E Ecl { \ / \ 2 c k ® k r G / ! j \ \ ) \ E 5 / ( $ % e % e 0 CN \ ° < I )f / Ll- § w : gJ = A ° 7 G § 2 $ R S y 3y E k 308 G 2 / L aa a a m a \_ a a < e = _ _ _ _ _ = a e = = m m m m m = _ _ = m CITY OF TIGARD 1iUIPERMI"rDEVELOPMENT SERVICES F' =. 7MI7 #. . . . . . . : RL) r 98-0 +03 AmMm 13125 5W Hall Blvd., Tigard,OR 97223(503)639.4171 DATE I SSLIE D: 02/0W99 f"'ARr,El_: 1 S i 3Z;CC' 00400 ITF. ADDRESS, . . . 141C-6 SW BARR1114S RLQ #1.•7XX IJDDT,VISTON. „ w . : 7.0NING:R -Y,5 'LOCK.. . . . „ . , . . . . L_nT. . . . . . . . . . . . . . ,TIJRI9DICT'ION:TT C.Ir",S-aUG: Fr._OC"R AI?!•"AS_.__.__...-_._ . - - KU-)(TrWALL_ CONS;TRIaCTION- L.AP , OF= W(')RK. :NE.W FIRST. . . . : S N: 1HR S. IHR E: 1HR W: IHR r'YPC OF USE. . . :MF SECOND. . . : 302F, s f PROTECT Or*N I Nb9'' _..-... YriF OF CONST. :5--1 HR DE'C;KS 654 s f N: S: E- W: irCUF'ANCY GRP'. :R 1 TOTAL_.._............._.; 6872 S f ROOF CONST:BFT RE PFT"l 11CCL)WANCY L(:7AC): 11=' pASE:MF'N'T. : 0 sf AREA SEF,. RATED: �TCnR. : 1 1-IT: 1C) ft GARAOC'. „ -113 sf [ rCAJ SEP. RATED: iIAR I"SMT?:N MFZZ?:N REGrD SF'T'RAi:FcS--___.___.__. RECJLURED--_.____.....____------------ LOAD. . . . : _._-___...___LOAD. . . . : 4017s � I_Ef'T: 0 Ft RGHT': 0 ft F"T P SG'F(i._:Y SMOK. [?CT'. , :Y ')WELLING L..INTTS,- 5 F'RN'T: 0 ft FRFAR: 0 ft FIR AI_ RM:Y HNDT(".r' ACC';:N '".EDPMS: 1I2: SATHS): IS TME' 1.IRFACE: 0 PIRG CORD:N MARKING: �7'' '-rAI..L..IE•, f : 473649 ,' mart<s : Scholis Village Bldg 017 - Units identified as WK, - sEGARATE !_11MPM, eLECTAICAL ANC Eire Alai's persits required 'owner: FFFS "OLYGON FdOR11 W..-S1 type emci,,mt by date rr,c-pt ,700 NF AN1)RF.=SEN t'L CK t, 890. 83 DRA 019/21e/38" 98-301937(: )TF` LYw'�� C'IIht1" 6 1 ,3f 13. 00 116 F3 0?lth'=1/r711 1)nNL'0IAVE R WA '1(36.6:1 68. 40 DFB 06'/09/9 1 9q-317"'7133 360 695-.7700 1' TRF $ `i47. 20 DEB 02/09/99 99. 3I,;?71.1le, CDC"11 0 1 P5. 00 DFB 02/09/99 99-31 P783 r,tr-arctor : 1_1'`('rl I 1P`% 00 DEB 02/09/9') 99 3127S.' 'OLYC3nN NORTHWFST CCt FPCIS 1 ?r,. 00 DFP 0;7:,/Vt9/99 ,0 FOX 1.x,14-9 I:RV,C $ 44. 20 DEP 001/09/9' ')"'1 312783 1'�EI.L_VLtt' WA 911009 Ar.i(ii t- i rin al fees not shown he+re. .. . . . . . . . r`f)orle #: 360-F.'35- 7700 1 10888. '7p T0Tn1_ ►leg - -RF r..A..1T RFI') ACT I ONS or I NSI:'F:r'-r T ONS..-___.._ 'his per-sit is issued subject to the regulations contained in the Erosion Control. Reinf. Conry-ete ".Igard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Sti•t.tctr.tr-al weldi applicable laws. Ali work will be done in accordance with Fnr_tndation Insp Final Inspection "prcvod plans. This pervit will expire if work is not started Fust/Ream Insp Lays of issuance, or if work is suspended for sore c 1.ah Insp ATTENTION: Oregon law requires you to follow the Fr-Aming Insp kiles . the Oregon Utility Notification Center. Those Fireplace Trisp 'al?s nrE sct forth in OAR 97-W-W8 through MR 952-801611987, I n s r_L 1 at i tan Insp oi- many obtain a copy of these rules or direct questions to OUK St'rear Wall Insp �y tailing (5931246-1.987. Firewal I Insp I;.,,,..m; tJo-e! Oirinatl_tre: Issr H Hy : r ,/1 i"-I1 671- 1,175 by 7:00 p. m. fov. an inspection nr �?dpd ttie+ next t7i.tsi.ne5,s day ► r-++ t••� r..+.+.++. + i ;+-t-•}+++-t-++++-t-+►-r•}++ +++++}f•++•f;-++++•t•-w++-++{•+++++++++-►..f +a -+ + .i.++•a-{+++ CITY OF TIGARD Multi-Family Building Permit Application Plan Check 13125 SW HALL BLVD. New Construction and Additions Date Recd TIGARD, OR 97223 Date to P.E. Gate to DST rT 1Tsl (503) 6"s$-4171 -— $ N / Permit# 17 - r) n 7" 1 Print o.Type caned �xE� f�«, A49Ly )A Inco.::plete or illegible applications will not be accepted --"-- Na Developmenwrojea ExistingBuilding 7,:' Job �� .--- 9 O New B tiding Addy ess Site Address — Building Number of Units dam' �jGi.rrow5 ' Data Bldg 0 city/State Zip Existing Use of Building cr Property: Name Property ,30./7'0 s L Sq. Ft. of Dwelling: Sq. Ft. of Garage: Owner Mailing Address --- Sult — 3zq Voo N& ,Qidve'S /✓ZZ_ Proposed Use of Building or Property: Crtvrotate Zip Phone 56 V --- n No. Of Stories: GeneralQG-lq �_� Q_rvi (,ftDs� _ _ Contractor Mailing Addreess— suns Occupancy Class(es) Poo AJC Z z- f� I dor to perm" City/State D' `�ip Phoonee `�,D Type(s)of Const n�ction issuance,a copy (/l�� u�'L-"'rV� �v�'l h/,,l•�7()0 �l or art --- are requhed If Oregon Const.Cont.Board LIc.R Exp.Date Will this project have a Fire Suppression System? expired In C.O T. Yes O– NO O database '�j '� Americans with Disabilities Act(ADA) -- Name Valuation X 25% = $ Participation J _ ,/ I'Z1,h6t�J� �)• Complete Accessib$ Form Architect Project $ Mailing Address Suite Valuation 11 /A 'S /DO b- cn;.State ZI Phone 2 S Plans Required: See Matrix for number of sets to submit _. 34 on back -fE:�glneer Name 'Cf'91 hereby acknowledge that I have read this application,that the information X Mailing _Address suns given Is correct,that I am the owner or authorized agent of the owner,and u 5 that plans submitted are In comptiarce with Oregon State Laws Date G �ty/Stale ZIp� Phone S c,5 Signature o Owner/Agent —T r Cc/1 23 O J1133 �� I - ---- �( Co act P on Name Phone Indicate type of work- New(Y Addition O Demolition O Accessory"tructure O Foundation Only O Alteration U Repair O Other O --- -Descrtptlon of wort: FOR OFFICEI��U++SE ONLY Rf lrieetirg � F. .t ob: Site Work Permit Appllcatlon must precede or accompany Bkiilding wmtt Applkatron 11MULTINEW.130C (DST) M8 J CITY C F T I C A,R D PLUMSTNG PFRMTT DEVELOPMENT SERVICES Pr-'RMTT #. . . . . .. .. - PILM98-034' 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUFD: 02/09/99 PARCEL: 1731,33CC-00-400 qTTE' ADDRESS. I 41.('X, t.)W i'.iakROWS RD #1. X I SLIBD I V 16 1 nN. . . . ZONING: R-25 rm nry. . . . . . . . . . . LOT. . . . . . . . . . . .. .. . fURIGD1('.T'f0N: TIG t^!ASS or Woni"N. . :I\1FW rjARFA0E DISPOSAL.S. : 5 M01311 E HOME SPACES. 0 -'N'PE 0f- USE. . . . :MF WASHING MACH. . . . . . : 5 RACKFL.nw PREVNTPS. . 0 Ir-CUPAW"Y GRP. R1. FLOOR DROTNS. . . . . . : 0 TRAPS . . . . . . . . .. 0 CATCH BASINS. . . . . . . : 0 . . . . . . . . : 0 WATE=R HEA7!-"*S. . . . . 1 55 TXTJ -IRr LAUNPIRY T'RHYS. . . . . .. 0 SF PAIN DRAINS . . . r�T NRS. . . . . . . . .. V1 r-mrn'"'F TRAPE : 0 50 ORTNALS. . . . . . . . . . . . AVATCRIES.. . . . . 17 OTHCR riX111RES. . . . ft. ''1..1B/r3140WFR9. . . : tO SEWER LINF (ft) . . . 500 1.1ATIF.P m..ns 'T :;. : 1:C WAT17R L INE' (ft ) . . . t*-0(A T)T SHWASHE RS. . . . : 5 RAIN DRAIN (ft ) . . . 500 FEES POLY(InN ivRTI 1WEST type Amokint by date i^e(:Pt NF ANDRESEN PRM"r s 1093, 00 DEP 02/09/91.3 99-312784 ,r!- r'I ("N, 2 7 3. 25 n E FA 0 1.2/09 ".)9 '39 - 1 �-?7 4 D 2,., a -- VANCOUVER WA i74A6F,1 '9r'CT $ 54. 65 DEB 02/09/99 99 --3 1,2'78, C,0.1 t t-art()i--.- DAYTON RI,UMSTNO INr 11.50 INDUSTRIAL WAY lti05 !4 F W 8 F R ri 0 R 9 7 17, r-1hilne #: ri 1713,C, 3 1420. 90 F01'AL RF*PIITRFI) TNf-jPFrTTC1NC,3 This permit is issued Subject tr tke regulations contained in the Tvpwpt- Tnspert i tin Tigard Municipal Code, State of Ore. Specialty Codps and W1 other Water L.irip Ins;p ------ ............ applicable laws. All worts will be done in accordance with WAter, Ser-yirp Tri approved plans. This permit will expire if worP, is int started PLV,/Ljt1rier-f1 00i,- within IN days of issuance, or if worli is suspended for more Tinp—atit Insp than 180 days, ATWICN: Oregon law requires yokt to follow rules Stai-m Dt,ai it Tnsp adopted by the Oregon Utility Notification Center. Those rules are Rain ni-aiyi lyiqp --- get forth in OAR 9S?-8801-NII through OAR 9W-WI-80. You may Pitial TyisBeet irn obtain copies of these rules or direct questions to XW by calling Final ITisperticin 190 7)246-198'x. 7) r -m i t t e e S i g at 1.11..e F.4 +4-b+•++•4-+++•4++i+1- 4-+ F+++++4-4•+++++4•++++++++i•+-F+k+-!••4•+++++++1••4••4• ++-1-+4+4-4-4-4-4+-t ++ Call 639--4175 ',y. 7- 0 " I'm- .Ari i rsppf:t i ati Tieefled the next bits i rie is s day +++++++-}+4-4-4-4-4-++4--#-++ 4-.+++4-t-,4 4-+++44 +,++++++4-+,-4-+-++ CITY OF TIGARD Plumbing Permit Application Plan check t 13125 SW HALL BLVD. Commercial Lind Residential Recd By TIGARL, OR 97223 oateRec'd ' %•�!'-q'Q*' �- (503) 639-4171 P r Date to P.E. Print or Type Date to CST777 t• Incomplete or illegible applications will not be accepted Permit RelatelSWRf Strip -0259 Galled,2E`D'fi9x Name of Development/P ject — _ ESS Zd 4M41)� Job ` l� Sink 9.00 Address Street Ad Suite Lavatory - -� 90p �5 •e Tub or Tub/Shower Comb. 9.00 e0 Bldg# Cly/Slate Zip Shower Only 9,00 Nap,f, Water Closet 7 5! 9.00 ,) �,1 Dishwasher 9.00 r e.r Owner Mailing Add ss Suite Garbage Diupisal 9,00 15 e,�? ( � lI� rrs Z' Washing Machine Cfty9.t0 too /State Zip Phone Floor Drain/Floor Sink 2' (�l'�.�LIV�t blrf�•l I� �� 9.00 Name 3' 9,00 4- 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 v Gas piping requires a separate mechanical erm /�it. 4`' City/State IJp Phone Laundry Room Tray 9,00 Name (i ` Urinal • 9.00 i I v 1 1 r ` r 1 Other Fixtures(Spey) 9.00 Contractor Mailing Address idle 9.00 9.00 Prior to permit /State �- Phone Cj o3 Sewer-1st t 00' 30.00 c Issuarwe,a copy l i _ j926.00 Sewer•each additional 100' � r of all licenses are DregsI.Cont.Board LlcJ Date required K 3-5 Is Water Service-1st 100' / 30.00 9 expired In COT Plu bing # Dale Water Service-each additional 200' 26,00 rV e database _ —3Q-1117 c 1$ Storm R Rain Drain-let 100' 30.00 7 e. Name p` Storm R Rain train-each additional 100' 25.00 'e Architect 0\' s�1/ Mobile Nome Space 25,00 Or ill, Sc in' Address Sidle wCommercial Back Flow Prevention Device or Anti- 25.00 �\ 100 Pollution Device _ Engineer /;''fate P Phone js� Residential Backflow Prevention Device* 15.00 I,t �� —"I1s0 (Irrigation timing devices require a separate Desai work to be done: �— restricted energy permit.) New 9k, Repair O Replace with Oka kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.66— ResidenGal O Commercial O Catch Basin 9.00 Additional description of work, Insp.of Existing Plumbing 40.00 rRv Specially Requested Inspections 40.00 rmr Are you capping,moving or replacing any fixtures? �1aln Drain,single family dwelling 30.00 Yes O No O Gr.ase Traps 9,00 If yes,see back of form to Indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE "bie.Tdwd Isgram Is regaled N t]u Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. •SUBTOTAL O hereby s Juiowledge that I have read this application,that the.Information IL7�g given Is correct,that I am the owner or aufhottred agent of the owner,and _ ..�.. 6%SURCHARGE / GS that plans submitted are In com fiance with Oregon State Laws. .�7 f Owner/Agent r» Dab W 25%OF SUBTOTAL - -PLAN REVIEW 8 o Signature of R ted ani M Mkxe .total Is>8 'J TOTAL 9/ conact Parson Name r Phone •Minlmum permit fee Is$25 4 6%surcharge,except Residential Backflow ��«.�—^" _ ►'` Prevention Device,which Is$15+596 surcharge "All New Commercial Bulldings require plans wtt h Isometric or i(ser"diaDram i and Plan review a Asi�.4mar+�Ao-If7i99 , ..11,• ,5 .�� 4,, � ,.�J t' 'ki. .r��. i, T• �ri'1 � � � 't • Atli / �•� ��1��w b. . , - - r- --' � | / CITY OF TIGARD Electrical Permit Application Plan Check N 13125 SW HALL BIND. Recd By__ y Date Rec'd ' T'IGAIRD OR 97221 7 Data to P.E.- Phone(503)639-41;'1, x304 Date to DST Print or Ype Inspection (503) 639.4175 accepted or Incomplete illegible will not be Permit" r_ n' Fax (503)684-7297 P 9 P Called --� 1. Job Address: 4. (Complete Fee Schedule Below: Name of Development__x �� Number of Inspections per perm"allowed Name(or name of business)_ o1%QL,r, «L- _ Service included: Items Cost Sum Address-\A\",��4V rr LULU`� - 4a. Residential-per unit 1060 sq.ft.or less L1 $110.00 4 City/State/ZipI_' (a i r%y L1� I?I? �� Each additional 500 sq It.or 1 $25.00 \ Commercial ❑ Residential Limited thereof J - 1 ) Energy $25.00 Erich Manurd Home or Modular Dv,elling Service or Feeder ,__ $13P.00 2 2a. Contractor installation only: (Attach copy of all currft4rt-P- nses) , r 4b.Servu as or Feeders Electrical Contractor �-'� Installs mp orb1tto tion,or relocation - ��, 200 amps or loss $60.00 2 Addre s-_L�LS.�r"f�l`�(= --- 201 amps to 406 amps $80.00 2 Cityrl (,l ' State._ �-Zip- 401 amps to 600 ernes _V $120.W 2 Phone No.- 5-U '-'�_ =s 7 601 amps to 1000 amps $180.00 _ 2 Over 1000 amps or volts $340.00 _ 2 Job No.. _ Reconnect only $50.00 2 Elec.Cont.Lice.K;. .Y 9 1 C Exp.Date�fJ OR Slate CCB Reg. No. xp.Date S :-/S- 4c.Temporary Services or Feeders COT Business Tax or Mgtfac_ - Exp.Date�2 .-f--H 6 Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Su r. Elec'n_,, z. _ 201 amps to 400 r mps _ $75.00 _-_ 2 g p � - 401 amps to 600 amps $100.00 2 Over 6C0 amps to 1000 volts, License NC _ e r _Exp.Date ) -- -Y�� see"b"above. Phone N( _Q` " '�_ 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 Cwnees Name:_ _ feeder fee. „__ __�_ Each branch circuit $5.00 2 Adules b) The fere for branch circults City _-- State _ Zip without purchase of Phone No. __�. service or feeder fee. First branch circuit $35.00 _-- 2 _ - The installations being made on property I own which is not Fitch additional branch circuit $5.00 2 i intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signat.ire -� Each pump or irrigation circle $40.00 _ 2 Each sign or outline lighting $40.00 2 3. Plan Review oection (if required):* Signal 1,alteration or a limited energy panel,atieration or extension $40.00 2 I'Alnor 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 _Serv6;e a xf Ioeder 225 amps or more the allowable In any of the above Syr tam over 600 volts nominal F'ei Inspection $35.00 - Classified area or structure contairing sptcial )ccupancy Per hour _ $55.00 _ as described In N.E.C.Chapter 5 In Plant $55.00 +Submit 2 into of plans with application where any of the above apply. 5. Fees: �~ Not required for temporary constructlon services. So.Enter total of above fees 5%Surcharge(.05 X total fees) $ L40TICE Subtotal $ �--- 5b.Enter 25%of line 6a for $ PERMIT..DECUME VOID IF WORK OR CONSTRUCI ION AUTHORIZED IS Plan Review 0 reqUir (Sec.3) $ NOT COMMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORK SuL•fotal I IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY El Trust Account TIME AFTER WORK IS COMMENCED. Total balance Due 1%D51seLcee.APn Rewe -- 1 CITY OF T SEWER CONNE rT I ON DEVELOPMENT SERVICES —PMTT 13125 SW lint/Blvd., Tigard,0R 97223(503)639.4171 PF RM I T #. . . . . . . : SW R98•-0,-x`^;9 DA-!E TSS,"-D: 021' Z+9/99 PARCEL: 1 S 133 SCC,--00400 ITE ADDRESS. . . : 1416F, 9'W BARROWS RD #17X X +l1BIDIVI5ION. . . . : ZONING: R �1.ocv,. . . . . . . . . . LOT. . . . . . . , : JL1RI5DI(-"T TON: TIG f_NnNT NAME. . . . . :SCaHfll._.I.-S V111-AGE BLDG 17 ISA NCI. . . . . . . . . . : F I XTl1RE UNITS. . . : 0 '.l-.ASST OF WORK. . . :NEW DWr-11-1_.I NG LIN I"T"). . : YPF OF LIST. . . . :MF NO. OF' BUILDING,,: 0 r,!r7'r0L.L TYPE. . . . :I_TPSWR IMPF'RV SI_IRFhlCE: 0 s;f �F: mrir Fcs : Schol :ls Village Sl(-ira #17 FEES 110L.YnON NORTHWEST type amolllrt: by date ti.ecpt 700 NF.. ANDRF:SL"N PRMT >K 11900. 00 DEB 02/09/99 99-31278, "JE D82 I NSF' $ 45. OVI 1)F 3 rr� i 171,E;,..T, 1-49-3t,2783 'ANrOL1VFR WA `9661 i'honet #: hone #: E 11545. 00 TOTAL. REOt—I I RE D I NSPECT I ONS This Applicant agrees to comply with all the rules and regulations Sewer- Inspection .,f the Unified Sewage Agency. The permit expires 188 days frog ------ 'he date issued. The total amount paid will be forfeited if the ,)ermit expires. The Agency does 1'ot guarantee the accuracy of the Side sewer laterals. if the sewer is not located at the measurement__ rim, the installer shall prospers- 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. n*TENTION, Oregon law requires you to fellow rules adopted by the Oregon Utility Notification Center.- Those rules are set forth in OAR __� _� _�_-_•_ _ ____._.....__.___._._._____ _.. ?52-0el -0010 through OAR 352-0ea1 008e. You may obtain copies of --- `.hese rule tttr"t..questions 'o off b} calling 15031246 1987. /I.L..Q� Per mittee 5i gnat1.,re ++++++ ++++++++.4-+4+++•++4• -+++++++++++++•++++++++++++++++;-++4.4-++++++++++++++4+++++-+.a Call. 639-4175 by 7:00 P. M. Fov- an it sper-t i on needed the next b1Asiness d.ay +•++.++++++ +-+++++++++++++++•+++++++++++++++•+-+++•++-4-++•f•+++•+++++++++++++++#.++++++•+ I CHAN I C ,A CITY OF TIGARD ME PFRMTT AL mkDEVELOPMENT SERVICES PERMIT #. . . . . . . : M FIC 9 8 0 4,2 13125 SW'Hall Blvd., Tigard,OR 97223(503)639-4171 DATE 79SHED.- 02,'091C)F.) PARCEL: 16133CC-004,00 ITE ADDR[75r,;. . . L 143GS 914 Briprinwo RD #17XY 70NTN0: R-25 'ISDIVTSION. . . . : 't-0011.. . . . . . . . . . : I-OT. . . . . . . . JURISDICTION: TIG ---.-----------I------ [..PGS OF W09K. . -NEW rt-.OrR F'I!RN,. . . . : 0 r--:vnp rnOL-EPS- 0 YPE OF USE. . . . iMF UNIT HEATERS. . : 0 VrNT FANS. 15 C1''t)PANCY ORP. . :R I VC19TS W/O OPPI - 0 VENT SYSTEMS: 0 . . . -TORIES. . . . . . . . : 0 PC)I LERS/COMPRES,rmR y HOODS. . . . . 0 UE-L TYPES— 1*1 :3 1 IF'. . . . : 0 DOMFS. INCIN: 0 GA9 3-11-1 HP. . . . - 0 COMMI.... INCIN: 0 IA INPUT: 0 BTU 15 -30 IIP. . . . 0 REPAIR I-INiTS: 0 IRE DAMPS IRS ). . N 30-50 TIP. . . . rm wnoDSTOVES. . : 0 C.*41.4HP. . C 1.0 L)R Y r.'--'RS. . : )AS PREGOIJRE� . . M " . 0 fl. OF AIR HANDLING I-IN I T9 OTHER UNITS. : 5 *I-IRKI ( 100V STU: 0 10000 Cf"1: 0 GAS 131ITLE19. : 5 1IRtJ ) -100v p7t). 50 > 10000 rfms 0 ,mol-kg: 56olls Village Bldg 1117 wner,: -*----,-",,*-,-,--- ,-"-"--*-------'---,-- ---*,--,---"--**---"-,,--,*,--,-,---,------, FEES -ni- Yrm "flN NoRTn"r type i-.A in n 1.t n t; 1)y dat e `700 ONDRFSEN PRMT f 139. 50 DEB 02/09/919 99-311278' ,,rr- PI.r-111 t 34. 88 DES 99-3121784 )'ANCOUVER WA 98661 5PCT 4 6. 9S DEB 0P/09/99 99-II2764 "hone "P01TY' S ITEAT TNG 9 COOLING, "RO'3T UNTERPRIS)ES INC -'75,712 Sir" 1414'e ;-.- 1;2 $ to I.. 3F. TO TAI. T10RINr3 nR "'hone #: 69'.5- 3447 0177ri4 RF OHI INSPECTIONS 'his pervit is issued subject to the regulations r9iltained in the GAS I ivir Insp 'igard Municipal Code, State of Ore. Specialty Code= and all other applicable laws. All work will be done in accordance with Di.irt Ins pert ion approved plans. This pervit will expire if work is not started Misr. ltispent ion within 190 days of issuance, or if work is suspended for eore Final Inspect ion ihan 18? days. ATTENTION: O-rpgtin law req,firies you to follow rules rules are I adopted by the Oregon Otility Notifiratinn Comter. Those —------ rt forth in OAR 95?AVI-010 through OAR 71? "I-M- YOU 94Y .btain copies of these rules or direct questions to RK by calling ... TAY Pev-mi t t PF, 5 gn,.AtL1V-e: +++•++++++++++++++4 -4 ++++4-4 -4 ++-++++++i•+++++++++•++++4++-1•+++1- 1 .+++++++#•F+++-+ -7 41715 by 7:00 p. m. For- insrov7t i oils neer-Iled the next bois inps s day I-+++4 4-+4++•++4 4.++-++•++4-+++•1-+4-4-++4.t.+++4 4+++++•H+++-+4.4.+.+-++-+-+++-+-+++++4 f 4 4 -f Plan Check tF2 CITY OF TIGARD Mechanical Permit Application Redd By �, ) 13-125 SW HALL BLVD. Commercial and Residential Uste Recd 9- . TIGARD, OR 67223 Date to P.E. -Z� (503) 636-4171, X304 .ii -) Date to DST I I S RLI Print or Type Permit 0_0 -c Incomplete or illegible applications will not be accepted Called N"'`,g Develop1enWrojed Description 5' L _l� Table 1A Mechanical Code Priceam Job eaeet Address mea A Permit Fee 10.00 Address L' W 1) Furnace to 100,000 BTU blA.h Induding ducts&vents 6.00 1 v� 6re�r C4yf-%We z 2) Furnace 100,000 BTU+ _ (,( "7 Z� Incudin ducts 6 vents 7,50 m Narne(or nae of business) 3) Floor Furnaceowner �a.(r c l.Js r` P Including vent 6,00 Ol'n M Malkrp Address 4) Suspended heater,wall heater _ or floor mounted heater 6,00 '91L2 �LC 5) Vent not IncudPd In appliance permit C#ym°'e zip w Phon!3 b y 3.00 VCA M u��— bq _-Fjo CHECK ALL Boller Heat Air Norm(or nrne of business) THAT APPLY: or Pump Cond Qty Price And _ Cpm occupant nt �q Address 6)<3HP;obsorb unit to Pa 100K BTU 6.00 7)3-15 HP;absorb unit utylstme l p Phone t 00k to 500k BTU 11.00 8)15-30 HP;absorb �rnit.5-1 mil BTU 15.00 CQntfACtOf n 9)30-50 HP;absorb iy-55-iu S AfcoMunit 1-1.75 mil BTU 22,50 Prior topermit Address nc10)>50HP;absorb unit Issuance-a copy I >1.75 mil BTU 57.50 of all ioenses zip r I Phone r o 11)Air handling unit to 10,000 CFM are required N f-I ne— _ - 4.60 expkhsd in COT 01r,conu.C c4. cod Lk-0h o��- 12)Air handling unit 10,000 CFM+ database 4'� `7 "7.60 ArchitectII J /� 13)Non-portable evaporate cooler Tk( _d 1 4.50 14)Vent fan connected to a single dud or r-715 S — -t-a7_ � �f- /O a 1�✓ g.00 �S 15)Venbtation system not Included In Engineer Uyf'S"1e n ZiP I Ph— S appliance permit 4.50 16)Hood served by m chanical exhaust Describe work bo be done: 4.60 17)Domestic indnerators New�( Repair O Replace wY ice kind: Yes O No O 7.50 Mmide tial O Commercial O 18)Commercial or Industrial type Incinerator 30.00 Additional k*o mation or description of work 19)Repair units 4.60 20)Wood stove 4.60 21)Clothes dryer,etc _ 4.60 �Z Type of W* oil O natural gas O LPG O electric O 22)Other units 4.60 �z' I hereby srclaho fledge that I have read this application,that the information 23)Gas piping one to four outlets given is eonec,that I am the owner or suthortzed agent of _ _ 5 ?00 /0 V*owner,that plans subrnitted are kin compliance with Oregon State laws. 24)More than 4-per outlet(each) Slgnatufe of OwnerfAgent Date 'SUBTOTAL _ x4951• V�'�, 5%SURCHARGE c'x"d PNSTNam PIAN REVIEW 25%OF SUBTOTAL:, ;" _ , / � ,/ Requlrod for ALL commercial rtntls on , f I ed Eva S �D�(O¢�` TOTAL r, 'Minimum Permit fee Is$25+6%stwd arpa :'►+lr � �i ?�L/r I` "Residential AIC requires eke plan showing placerneih� Clmecgam3.doc rev 06/23/98 CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . . BUF198-0405 AL,k 13125 SW Hall HIM, Tigard,OR 97223(503)6394171 DATE ISSUED: 04/01 /99 rnRCEL: I.S1373CC-001400 SITE ADDRESS. . . ; sw Bn.-i'fRnwt-j #17XX SUBDIVISION. . . . : ZONING: R--25 SLOCK. . . . . .. . . . . : LOT. . . . . . . . . . . . . JURTSDICTION:TIG REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- r7L.(17,,cj' OF WORK. :FPS FIRST— . : 0 Sf N: 9: E: W: IWIE OF USE. . . :MF SECOND. . . : 0 s PROTECT OPEN I NGc3 )----------- TYPE OF CONGT. :5N . . . . 0 sf N: 13: E: W: (')CCUPANCY GRP. : R1 : 0 F,f ROOF CONST: FIRE RET' : OCCUPANCY LOAD: 0 BASEMENT. . 0 Sif AREA SEP. RATED: WOR. : 0 1I-r: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED: T1r3MT".- MEZZ7: REDD SETBnCKS-------------- REQU I RED---------- FLOOR LOAD. . . . - 0 s f LFFT: 0 ft RGHT: 0 f t FIR Sr-,KL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft F 7 IR ALRM: HNDICP ACC: 9EDRMS: 0 BATHS: 0 IMP SURFACE, 0 PRO CORR: PARKING: 0 VALUE. 3 : 9331 RPMat-Ns : Scholls Village Bldg #17 Owner: FEES F'OL YGON NnRTHW,7.13T type ("AM01171t by dame r-eept c'700 NE ANDPESCN PRMT $ 80. 50 GEO 04/01/99 99-314226 L:TE D22 5PCT $ 4. 03 GEO 04/01/99 99--314226 VANCOUVER WA 98661 FIRE $ 20 DRA 03/16/99 99-313719 Flhone #: 360-695-7700 Cont t-ar--t or-.- FIRE EYS)TE'MS WEST INC C100 SE MARITIME AVE #300 VANCOUVER WA 98661 171tione it: 360-693-9906 4 116. 731 TOTAL 49732 --REQUIRED ACTIONS or INSPECTIONS- This permit is issued subject to the regulations contained in the Sprinkler- Roi.tgh-- Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final 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. Those rules are set forth in OAR through OAR 92-00101987. You many obtain a copy of these rules or direct questions to OX by calling (93)246-1967. F-,c--),mi.ttee Signati-we : Tssl-ipd By +++-+++-+++++++++.+++++++-++-1-4 4-++-4-+++f++++++++++++++.++++++-+++++++++++++++++++.+++ I Call 639-4175 by 7:00 p. m. for- an inspection needed tfie next bl-tsiness day 4 4--++-+++-+++4-++4-+--1-+-1--+++4-++4-+-F+-1-4-4 +-+++++4++4+4 4-++4-.+ 1-4-4 +4 +++-1-++++++4-+4-++++++ 1 + Fire Protection Permit Application Plan Ch CITY OF TIGARD Cor �rcial or Residential Recd B 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. �4 (503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepter! Date to DST -3-IA- Permit# / -O J Called Job Ne ofvel menu r ct Type of System(Complete A or B as applicable) ,Plate !a Address Add s A.)Sprinkler Wet Dry El Ns Standplpes t1/ Onar wcs Owner Mailin ss Hazard G oup-s L��o a Ar, er. �p-Z� Additional �Lcs=f,a( AH" Crek CoWstate Zip Phone Information Density d L3,s r Names;n Area Occupant Mailing Address or $- City/State - 77p Phone A.1) Sprinkler Project Valuation S Contractor Nam1r��'./ B.) Fire Alarm (Rprinkler or �Yr� Kj qT r'C) Wes Alarm company) Melling Adiress Submittal Shall Include Battery Calculations YES❑ Pnol to permit6' *t!�E r rrtQ lI��30&7 issuance,s Cfty/State Zip Phone Individual Component YES❑ COPY Cut Sheets of all licenses alf4e,-li,� `Pr: - 9 - B.1) Fire Alarm Project Valuation $ are required If State Const Cot Board LIc.# Exp.Date expired In COT Project Valuation Subtotal(A &or B) database 'L9-?L3 Z _ $ 3:3 C> &R1ePermit fee based on valuation g Architect Melling Address � dress w —5% Surchchart on arge e t4 jgr�mt $ � City/State — t- Zip Phone It-4a. FLS Plan Review 40°/. of Permit o S -fes - o Descrkle work A.)New dditIon O Alteration O Repair O TOTAL_ to be done $ B) Modification to sprinkler heads only Plans required Submit three sets of plans,Including a vicinity map and r. 1-10 heads-No plans required 2 11+u Plan review required the location of the nearest hydrant. I hereby acknowledge"I I have read this application,th it the Infonnation given Is _ NumGer of sprinkler heads- correct.that I am the owner or authorized agent of the owner,and that plans submitted Addlflonal Description of Work' are In compliance with Oregon State laws Signature of OwruriA t Date - A.)In Existing Building C] New Buildirg Building Contac a Name Phone Data B.) Commercial ❑ Residential FOR OFFICE USE ONLY: No.of stories: - Plat } MapRl Sq. Fl: Notes R� t0c7PsCl Type of Construction i•\dsts\fornis\frresupr.doe 11/5/98 h i xvy- BUILntNG PERMIT CITY OF T I G A R D _ PERMIT M BIJP1999-00136 DEVELOPMENT SERVICES DATE ISSUED: 4/19/99 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S133CC-00400 SITE ADDRESS: 14166 SW BARROWS RD 17XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION _ CLASS 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: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED 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: $ 1,378.00 Remarks: Add fire alarm systerrr. OwnRr: Contractor: POLYGON NORTHWEST PRAIRIE ELECTRIC 2700 NE ANDRESEN 6000 NE 88TH STREET D-22 VANCOI i',/[ P WA 98665 O: gg061V one7r '6M7 Phone: 360-573.2750 Reg #: LIC 60178 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm FIRE GEO 4/1/99 $10.00 99-314202 Final Inspection PRMT BON 4/19/99 $25.00 99-314626 5PCT BON 4/19/99 $1.25 99-314626 Total $36.25 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee Signature: Z-1f Issued ByV:�, VbAi'lQ`4 L _ Call 639-4175 by 7 p m. for an inspection the next business day Fire Protei;tion Permit Application PlenChnk$ CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd_ TIGARD, OR 97223 Print or Type Dote to P.E. (503)639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS1 Penn"0,�Q�� -a Celled _ `lob Noin°of °Hm Type of System(Complete A or B as applicable) Address AddrsaS&r"� n p A.)Sprinkler wet p Dry—� w M az /Ur//~� - ftndpipes -- Owner �- �` Additional Hard iTr Prone Information �11sky �^� OesIgn Aron OCCUpant Malkv Adders K Fedor Clty/suKe —Zo Phone A 1) Sprinkler Project Valuation $ Contractor l ��K� /ice 8.) Fire Alarm (eprtrt W or 1r4Ir/*C TY _ AWM C0e01810 AddmW Submittal Shall Include Battery Calct+Ndions YES p Prior to perm" 0 f l%1r1PVy�-4 i"Uance,a Cltyfstft Zip Phone Individual Corrtponem YES[] COPY Cut Sheets of aA Ikneneas ef-'l J60-Ir ' 8.1)Fire Alarm Project Valuation - we requlnd If Sbft Const.ccbrrtteaard Lim# Exp,Data �/3 dolkabees l 7_ _ r Project Valuation Subtotal(A a or B) 3 M �� rPermh tee based on valuafbn $ �0"chart on t atck,L Z$:Ot Architects.. s� r �ro� 574 Surcharge $ CKy Zip tenon. FLS Plan Re%lew 40%of Permit $ work A.) Addition O ARe►stlon O Repair O -- i d.00 to b.done: TOTAL f. -3 B.) M1odMwft to sprWer heeds only - pttwns required: SutxNl three nab M pt ,Indulin a v1 ' 1. 1-10 heedew No plans required Plans location i ed rtSubmi h t7 an"1t n�and 2. 11-Plan novkrw required ydmnL I haftty acitnowledge that 1 twee reed thte oppiicallm,that ft Wmmiatlon piwm is Number of sprinkler heads: otrrect that I am a*owner or aulhortzw spent(A ere owner a-d that plans submtlle0 Add"lonal Descrlptlon of Work: are in onmpftrm wRh orvW atoll kwf Signehne of Date/ - --1 A.)In Exkttlrtg Building p New SuAdlnq Building Costa Pha'n � . Phone_._.. - -` --� Data a) Commercial p wsmeftsI '-- r1 FOR OFFME USE ONLY: Pk" 4,; ", -- Ne d stories � , 13 Sq.F't' l�c,epupancy Tyyppe.of Construction i�\dst,t\forms\fhvsuprdoc 11/5/96