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14170 SW BARROWS ROAD BLDG 15 s 14 M O ~ U► o f o o � f � N a' m D Q. in N ` X 0 r Imp f,. i I r i i I 14170 SW BARROWS ROAD Building 15 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST -- BIJP Date Requested_ AM PM — BLD Location— � S —� Suite MEC Contact Person 672Z Ph QPLM)_ y y Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: -- Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab -- SIT Post&Beam -- _...------- — _..__ -------------- Ext Sheath/Shear Int Sheath/Shear - --— Framing _ Insulation Drywall Nailing _ L-a Firewall Fire Sprinkler C.G-�l Qti Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL P BI - - _ Pos -&Seam Under Slab Top Out Water Service Sanitary Sewer Rain Drains IrAPS 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 [ ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bash Fire Supply Line ( ]Please call for reinspection RE: —_ [ ]Unable",o inspect-no access ADA Approach/Sidewalk Other Date _Inspector_ / /moi Ext Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. c• CITY OF TIGARD BUILDING INSPECTION DIVISION Ms'; 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP - -- - Date Requested LAM------PM � B;_D --- - `- Location l yl �� 5 u V✓G w S Suite _ j M MEC Ph )-I �T PLM Contact Person r - - Contractor - - ___. Pr _/ cWlr --- — ELC 11,11 DING Tenant/Owner _ --- —�- Retaining Wall FLR __ -�__�_• Footing Access: ��c_ ( i` FPS Foundation Ftg Drain SGN —_ Crawl Drain Inspection Notes: Slab -- ---- —� -- --- __ ---— SIT - Post& Beam Ext Sheath/Shear _-- - — Int Sheath/Shear Framing Insulation Drywall Nailing -------_-_-._ - — Firewall h�/q �cc/'• pn C'� _�� v� --- -- Fire Sprinkler ----- - T—' ---� Fire Alarm Susp'dCeilingQtc'o�N a'?�� --.------ Roof - Misc -- Final — --- -- �� (�ri ✓ t ri u,or S — PASS PART FAIL -- PLUMBING --- Post& Beam Under Slab _-__—__-- Top Out Water Service _ - -- Sanitary Sewer Rain Drains Final I _ PASS PART FAIL -- a rRoughn' - Smoke Dampers PASS 1 PART FAIL i ECTRICAL Service Rough In r--_ 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 Holl, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE. _ [ J Unable to inspect-no access Fire Supply line ADA Approrch/Sidewalk Date 7-�i c�/ ^Inspector__/-``/__�!"'�'" Ext S Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 M Date Requested ( AM _PM BLD Location ✓161-6( S Suite MEC Contact Person Ph PLM Contractor_ Ph SWR UILDI Tenant/Owner _ ELC 1 Retaining Wall ELR ' Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: I— l SGN Slab I�NI IT Post&Beam _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation - ---- Drywall Nailing Firewall --� Fire Sprinkler _ Fire Alarm - - - -- Susp'd Ceiling Roof -- buillILY— rAA PART FAIL KLUMBING Post& Beam Under Slab Top Out -- --- - - Water Service Sanitary Sewer `---- Rain Drains Final - - --- -- -- - P PART FAIL _ Post ------------ Rough In - -------___ -._�_ Gas Line Smgke Dampers PART FAIL - --- _ - ----__ RICAL -- ------- --_ --_---- Service Rough In - - -- - - UG/Slab _ Low Voltage --------- Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE: [ ]Unable to inspect-no access ADA ApprOtheoach/Sidewalk Date b �_ Inspector��`� Ext (9 Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - — q BUP _— Date Requested r d AM ---PM — BLD - I..ocation I Ll-1 D CtQ?bUs �. &+teMEC _-- r Contact Person _ - Ph 1 /t X�'� PLM Contractor Ph SWR r� BUILDING Tenant/Owner —_ — ELC �- Retaining Wall ELR Footing Access FPS Foundation Fig Drain _ SGN Crawl Drain Inspection Notes: Slab SIT Post R Beam Ext Shoath/Shear --—-- -- Int Sheath/Shear Framing -- —- ------ - -- -- Insulation Drywall Nailing - - Firewall Fire Sprinkler - -- - - — - - Fire Alarm Susp'd Ceiling -- Roof Final PASS PART FAIL --- ------ - -- _.. . _ PLUMBING Post&Beam Under Slab - Top Out Water Service — Sanitary Sewer Rain Drains — -- Final PASS PART FAIL — MECHANICAL Post R Beam Rough In Gas Line - Smoke Dampers I Final — fY PASS PART FAIL Service --- -- Rough In UG/Slab —_ Low Voltage Fire Alarm _• — -- — �SSr RT FAIL — Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin J please call for reinspection RE: [ ]Unable to inspect - no access Fire Supply Line � ADA /— Other -- --Approach/Sidewalk Date — _ InspectorExt _ Final PASS PART FAIL DO NOT REMOVE this inspection record) from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lino-, 639-4175 Business Line: 639-4171 — J(� Date Requested J <` 7 AM PM BUPBLD Location_ l�l l.7 L� Lffw S Suite MEC q�� Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain 3GN Crawl Drain Inspect' �V e Slab —� — SIT Post&Beam Ext Sheath!Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fii e,aiarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Post 6 Beam Under Slab Top Out a er e Sanhary Sewer BpjkjDraIns PAS PART FAIL M ANICAL — Post&Beam — -- -- Rough In r Gas Line ---- Smoke Dampers Final PASS PART FAIL ELECTRICAL — Service _ Rough In UG/Slab _ Low Voltage Fire Alarm _ Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of 3._ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE: Fire Supply Line [ ) p _ I )Unable to inspect-no access ADA Approach/Sidewalk Other Date <17 Inspector_ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r� y r r r r r r r r r r r n n n n n n n n 0 0 0 m m m m v v v g 'D'" m g o m 0 m 0 m 0 m 0 m 0 No C-11 �11 N Loll g 113 o 0 0 W N 00 N x r2 > m m x T �o p N CL O a Mpg : :I_ W N T7 N C1 U d a N � O CD 0 _ N X1 � c3 v z�ry O � N a CL `N° `� m to o m El (n 3 N N i N N A n o c. to m. J J 0 J J 0 LO N J 0 OL o o ma CO CO 03 a) CO p v rTl W x p T -0 T b z r w 0 OD p vv x � v ti v �n o � v � O O D O D D D D m O m A m m p vi vyi m o T' 0 OD PJ 0 o r x x x - ° qL 0 m a CL n C 41 w a) c ril r- m p � �i 2 2 Z to A a 0 0 0 0 o 0 c N �_ G J _ 00 loso ron op o o Q N oW o r� X m o MM. N m W W W W W W c W W W W W W W D C C C C C C C C C C C C C C 0 0 0 0 0 D Q 0 g 0 g 0 ° z N O J, co O 01 O U, O W N N O N OD On O n N to Nm 0 co ^) o T ti co ;udi cb cCi� y W 'o > 6') N a W m rlj < o ^ _ �' N O O ro a CI n �' � � � $ � g � O 10 � n s 2 :3 RI;DUU < ug m < 3 n '9 3 m a (n a -� o 'COD crj N W o a 0° m mm W z p C W � QO '0 D u T v n, o m O T z z vDi vn vDi (fin zDi v T z z cn cn cn cn m m X -A m v 41, O 0 o A= 0 0 0 a Cl- a — Dy Ci x p p do z 0 �1 z z 000 � c s o N O q N C fD P P P P r, @ ® k § / \ \ \ \ 7 a m m m Td \ £ m 2 un � M $ } \ / 2 E 2 A 7 i E § � v | � � n = o < m m. @ \ � � \ o$ m � \ \ \ \ D ca w n I $ m 6 $ q 7 § k � ' � � a) � \i � CL § \ § k k k k 7m & Cl � k � k k k ¢ ) ) ) k {8 (322 0 . k ( § m 10 $ � 'OIL � { c � n \ § 0 _ _ % � CITYO F I I G A R D __ PLUMBING PERMIT DEVELOPMENT SER !ICES PERMIT#: PLM1999-00134 13125 SW Hall Blvd., Tigard, OR 97273 (503) 639-4171 DATE ISSUED: 4/29/99 SITE ADDRESS: 14170 SW BARROWS RD 15-1 PARCEL: 1S133CC-00400 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TFAPS: LAVATORIES: OTHER FIXTURES: TUBiSHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Connection of temporary sales trailer to water service. FEES Owner: _ -- Type By Date Amount Receipt V"L-V r�'r'' �Lo PRMT DST s 4/29/99 $30.00 99-314967 A,3-bt4'-,f�3 b-a1 MISC DST 4/29/99 $1.50 99-314967 Total $31.50 -- Phone 1: Contractor: BAILEY MECHANICAL CONTRACTORS 11995 SW SETTLER DRIVE BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: 579-0353 Water Service Insp Reg #: LIC 00110956 Final Inspection PLM 37-378P 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:--s�.�.��i��i Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Planed', 13125 SW HALL BLVD. Commercial and Residential Rec'd'ey A"- TIGARD OR 97223 Date Recd 'i <i Date to P.E. (503) 639-4171 Print or Type Date to DS _ Incomplete or illegible applications will not be accepted Permit ��! Related SWR R Called --" -_ Name of Development/Project FIXTURES (Indivldtlt " '" '" t" CTY''' -PRICE' AMT Job a e- Sink - - 9.00 Address Street Add as Suite Lavatory -` 9.00 i 7c i-tievi,n Tub or Tub/Shower Comb. 9.00 Bldg RIs CI /Slate Zip Shower Cnly 9.00 C arA ?,7 Z A3 Water closet 9.00 Name F _ygoA)(y) Dishwasher 6.00 Owner Mailing Address ' Suite Garbage Disposal 6.00 A)E re L '2-Z" Washing Machine 9.00 City/State Zip Phone Floor Drain/Floor Sink 2" 9.00 a r WA. 91W Z21 -I9Z0 - -�-- 3" 9.00 Name 4" 9.00 Occupant Mailing Address Suite Water Healer O conversion O like kind 9.00 Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 9.00 Urinal 9.00 ----� Name C_sf�L(-e. fv_v��. CY117, Other Fixtures(Specify) 9.0 Contractor I telling Address 9.00 W ) Suite i - Cf 9 c, C` , T l 9.00 Prior to permit /Stat ip Pho Sewer-1 st 100' 30.00 Issuance,a copy 47,c,J 5 35 Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lie.# Exp.Date Water Service•1 at 100' 30.00 30- required if expired in COT Plumbing Lie.R Exp.Date Water Service-each additional 200' 25.00 database Storm R Rain Drain-1 at 100' 30.90 Name 11 Storm 6 Rain Drain-each additional 100' 25.00 Architect Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 I ' S t- S' 5 4 I Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 Q .11 vut_W M5 `I1.S 4S'-i-'713CJ (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) _ New 0' Repair O Replace with like kind. Yes O No O Any Trap or Waste Not Connected to a Fixture � 9.00 Residential O Commercial O Catch Basin 9.00 Additional description of work: Cour!(} �a I�g Insp.of Existing Plui.1bing 40.00 4 �,._,,..<. �,e11. � gnu! truAv LA,-II 4cfr'AiI[r'. flhr Specially Requested Inspections - 40.00 rthr Rain Drain,single family dwelling 30.00 Are you capping,moving or replacing any fix+s,--s7 Grease Traps 'Iles O No O 9.00 If yes,see back of form to Indicate -,ork performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is requked If Quantity Total la >9 WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL I hereby acknowledge that I have read this application,that the Information given Is correct,that I am the owner or authorized agent M the owner,and 5%SURCHARGE that plans submitted are in compliance with Oregon State Laws. S*gature Qf_C>pnerl}4gent Date ""PLAN REVIEW 25%OF SUBTOTAL " ) N Z.q q p Required only R Mure qty total is,9 _ 4 one I 1 TOTAL coniact Person Nams Phone ' 'Minimum permit fee is$25+5%surcharge,except Residential Backflow l _ Prevention Device.which is$15+5%surcharge - "All New Commercial Buildings require plans with Isometric or riser diagram and plan review I tdsteipkx ri r doc 7r2M PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only — Water Closet_ Dishwasher Garbage Disposal Washing Machine _ Floor Drain/Floor Sink 2" 411 Water ;!,�a`er Laundry Room Tray _— Urinal Other Fixtures (Specify) — — — - — COMMENTS REGARDING ABOVE: t "•oa�mMe / CITY OF T I G A R D BUILDING PERMIT _— PERMIT#: BUP1999-00134 DEVELOPMENT SERVICES DATE ISSUED: 4/19/99 131:5 SW Hall Blvd., pard, OR 97223 (503) 639-4171 PARCEL: 1S133CC 00400 S'-'C' ADDR-SS: 4170 SW BARROWS Rn 15XX 1BDIVISION: S, HOLLS VILLAGE TOWNHOMES ZONING: R-25 F _Jk-K: LOT: JURISDICTION: TIG P1 FLOOR AREAS EXT_ERIOR WALL CONSTRUCTION ( .LASS OF W`.jRK: FPS FIRST sf N_ S: E: W: TYPE 01" USE: MF SECOND- sf _ PROJECT OPENINGS? 1 oc. OF C,'OP .T: 5N sf N: S: E. W: t' ' " ANCY 6111: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCt -ANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1-11: tt 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: $ 1,379.00 Remarks: Add fire alarm system. Owner: Contractor: POLYGON NORTHWEST PRAIRIE ELECTRIC; 2700 NE ANDRESEN 6000 NE 88TH STREET D-22 VANCOUVER, WA 98665 VQho OUVT6f�, &7��i61 Phone: 360-573-2750 Reg #: LIC 60178 _ FEES REQUIRED INSPECTIONS-----.---- Type By Date Amount Receipt Fire Alarm FIRE GEO 4/1/99 i $10.00 99-314200 Final Inspection PRIM T BON 4/19/99 $25.00 99-314626 -5PCf BON 4/19/99 $1.25 99-314626 -- Total $36.25 This t, .ioit is issued subject to the regulations contained in the Tigard Muni'pal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in c ccordance with approved plans. This permit will expire if work is not started within 180 C4"-'rs of issuan(e, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you ') follow the ruies adopted by the Oregon Utility Notifir,ation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a c• v)y of these rules or direct questions to C-M-If 'r by calling (503) 246-1987. f Permltee Signature: azo / ✓'t Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protect6on Permit Application Plan Check M CITY OF rI(7IBRD Commercial or Residential aec'd By r4- 13125 SW HALL BLVD. Date Wd 7— WARD, OR 97223 Print or Type Date to P.R. (603)639.4171, x. 304 Incomplete or illegible applications will not be accepted Date to OST Permit 10.tf4�IPAi-O / Called Job Nw2e°fri r�°a,��r / lyre of System (Complete A or B as applicable) Addroas A.)Sprinkler Wet p Dry El /(IVAALL 1�—37��1 ' Btendpipes -- r/� w_ Owner ' Additlonal Hats 11 (cup ram zipPte"" Information ane - rrte Design Area Occupant Mailing Address - -' K.Factor C"yMtate zip Phone A.1) Sprinkler Project Valuation $ Contractor 7rfr�/✓/� %�-��lr/c. B.9 Fire Alarm - J _ apelrnslar - Alarm Camp") MMWW AddressSubmittal Shall Include Battery Calculations YES-[] Prior to perm" a 0 Sl7't�J Issuance,a Clty/staM Zip Phone Individual Component YES C] COPYCut Sheets of aI kern" enw ,w ,/i,�, !Go-4i Ar-29 B. Flre Alarm Project Valuation � arequired If Srne Coat Board Liar# Exp.fate �-3 ha ~ sogrked�+GDT Project Valuation Subtotal(A &or 9) database _6o t/ o — ---- — 3_�'�-_.L 11 Permit fee based on valuation $ MaINRg 'L- ✓• -__ __an chart on back S 00 ArchitectS. r "POS 5%Surcharge City Zip Phone -- FL.3 Plan Review 40'lr.of Pstmll ; Ito be o Addition O A4eration o Repair n - — — - -- TOTAL ro b.done: •��'- 11. 11-10 i to spA Alar heads only: Plans fequired: Submit thin,*sets of plane,Including a vicinity map sled 1. 1-1Q hosds�No plans requk+ed 2. 11;•Plan review required the IocaUon of the nearest hydrant. 1 Manby acknowledge MM I have rood thle application,that me 4nronnatnn given is _ Number of kion heads:— oonsct.that I am the owner M authortzed agent or Wkb e owner.and that plane submd a Additional Description of Work: are h oorrrpltenoa wales+Oregon£IaYr bhvf Siiggnaatum of Date — A.)In Existing Bulkfing ❑ New Building --- Building Conta Pod Nam Phone Data a•) +:onxnemisl ra Residential n Li itG•� 57 3-s'��_ ? FOR OFFItE USE ONLY: No.of stories: W1t rA c .r, 'i1 i u ikA Sq.Ft- au c Occupsnc.Y Type of C�j strudion i tdst_+forms\fIresupr.doc I P999 CITY OF TIGARD PUILDING PERMIT DEVELOPMENT SERVICES r'ERMIT #. . . . . . . : BUP198 0401 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 04/01/99 PARCEL. I`3133CC—00400 SITE ADDRI-SS. . . : 1. r 1.'70 F1W BARROWL; RD #15XX SUPDI V 191ON. . . . : ZONING: BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDTCTION:TIG REISSUE: FLOOR AREAS-----,--- _.._..._.. EXTERIOR WALL CONSTRUCTION-- CLASS OF WORK. -.FPS FIRST. . . . : 0 s f N: S: E: W: TYPE OF USE. . . :MF SECOND. . . : 0 tf PROTECT OPENINGS?---__..._.._..-_.... TYPE OF CONST. :5N . . . 0 of N: S: E: W: OCCIJPANC"Y GRP. : R 1 TOTAL--.._._.._- -. : 0 <;f ROOF CONST: FIRE RET" : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 f I. GARAGE. . . : 0 s f OCCU SER. RATED: BSMT '1 : MEZZ?: REDD SETBACKS--------•----- REQUIRED FLOOR LOOD. . . . , 0 p s f LEFT: 0 ft RGHT: 0 ft F I R SRKI.- :Y SMOK DET. . DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS. 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 93131 Remarks: Scholls Village Bldg 015 Owner: —__—___._______._______________..___.___.---._....___._.._._.--.--......._.__ -_._..... FEES ..__.__..- POL_YGON NORTHWEST type .amo _int by date reept 2700 NE ANDRESEN PRMT $ 80. 50 Gr-'O 04/01 /99 9':a 31422'.4 STE D22 SPOT $ 4. 03 GF0 04/01/99 99-314224 VANCOUI)ER WA 98061 FIRE 'F 32. x'0 ORA 0.5/16/99 99—.313717 Phone #: 360-695--7700 Contractor : FIRE SYSTEMS WEST INC GOO SE MARITIME AVE 0300 I1ANCOUVER WA 98661 Phanf? #: 360-693-99VIE $ 116. 73 TOTAL._ - —REQl1 112ED ACTIONS or I NSF'ECT I ONr, -- -- This permit is issued subject to the regulations contained in the Sprinkler Ror_rgh Tigard Municipal Code, State of Ore. Specialty Codes and all other ypr i x71:l .r 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 issuanre, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-881-8018 through OAR 952-80181987. You many obtain a copy of these rules or direct questions to OIArC by calling (583)246-1987. permittee, Signatr.ire: _. 1ss�_red By: lC +++++•N++++++++++++i•++++++++++++++++++++++++++++++++++++++++i �+-++-4_+++++-f 4-4+++4-+-4 Call 639-4175 by 7:00 p. m. for an inspection needed the next bfasi.ness Flay ++++4-+4•++++++++++++++++++++++++4++++++++++++++++++++++++++++++++++++++++++++++ Fire Protection Permit Application Plan Chec�« CITY OF TIGARD CAmyffi'ercial or Residential Recd By 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P E. (503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepted Date to DST '317"111 Pennit it Called Job Nao/ vel lnenU r ct ---�—-- --- r _ r�,, Type of System (Complete A or E3 as applicable) Address <,edreae I'd T % s A.) Sprinkler Wet Dry C] Na Standpipes �_laon ar �es _, Owner Mailin ss " Hazard G oup — 20 E h,_Kj�,�� Additional C'y/State Zip Phone Information Density - -- - -- d 3.s_��n Name Design Area Occupant Mailing Address K.P or —' S& Clty/State Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name I _- B.) Fire Alarm (Sprinkler or <j` 1f4-emx wk _ Alarm Company) Mailing AckillressSubmittal Shall Include Battery Calculations YES❑ Prior to permit r 0 'S Ic r-AQ 140-C it 3� Indiviival Component YES Issuance,a City/State Zip Phone p ❑ cAPY � Cut Sheets of all licenses ✓ ✓ All, jn�& '9= B.1) Fire.Alarm Project Valuation aro required N State Const.Cat Board LIc.$ Exp.Date expired In COT /T, �3 Z Project Valuation Subtotal(A & or B) $ r�atabese ' Permit fee based on valuation n ra 7,IV1 i bra ��_chart on back Architect MaP1ng Address -- e fa W�.' / s h surcharge $ clty/state �� Prone FLS Plan Review 40%of Permit $ � oescribe work A.)NewAddition O Alteration O Repair O TOTAL to be do w) --- //i& 8.) Modification to sprinkler heeds only 1. 1-10 heads No plena required Plana required: Submit three sets of plans.including a vicinNy,map and 2. 11+•Plan review required the location of the nearest hydrenI. I hereby acknowledge that I have read this application,that the Information gN*n Is Number Of sprinkler heads: corect,that I am the owner or authorized agent of the owner,and that plans submitted —_ are in compliance with Oregon State laws i nd(ibonal_ Des_cription of Work• Signature of OwnerfAp'1tt� Date A.)In Existing Building O New Building Building Contact sip!, hone B.) Commercial ❑ Residentla! ��`f 5Z 3 _ 5__ F'_ Data �! FOR OFFICE USE ONLY: No of stories: __�_ — -- -- -- Plat �M 2-2Z Notes OccupenK�y cl2-11- 1- 117 s Type of Construction fin 11 7 i.Wats\I'orms\tiresupr.doc 11/5/98 CITY CSF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99-0169 DATE ISSUED: 03/25/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL: 1S133CC-00400 SITE ADDRESS. . . : 141. 70 SW HARROWS RD #15- 1 SUBDIVISION. . . . : Z ON 1 NG:R-25 BLOCK. . . . . . . . . . : t-OT.. . . . . . . . . . . . . . JURISDICTION: TIG 1:,ro..j ect Descri pt i on : Temporary electrical service for temporary sales trailer, 281 - 488 amps. ---RES IDENT I RL-UNIT------ -TEMP SRVC/FEEDERS---- .-.-----.MI SCELL.ANEOUS-------- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 1 SIGN/OUT !_INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0 -------SERV ICE"/FEEDER--------- ---HRANCH CIRCUITS------ ----ADD' L INSPECT IONS----- 0 ONS----0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L HRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ----------------'--FLAN REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 800 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. - Owner: CC. -Owner: ___ __ _ FEES --___--.--___..__.__ POLYGON NORTHWEST _ -_.-.___-.______.-____.--•--type amount by date recpt ATTN: FRE=D GAST F'RMT $ 75. 00 GEO 03/25/99 99--313978 700 NE ANDRESE.N, SUITE D-22 5PCT $ 3. 75 GEO 03/25/99 99-313978 VANCOUVER WA 98661 Phone #: Contractor: ---- PRA I R I S ELECTRIC INC $ 78. 75 TOTAL 6000 NE 88TH STREET ------- REG!U I RED INSPECTIONS ----- - VANCOUVER WA 98665 Rough-in Elect' 1 Final Phone #: 360-5'73-2750 Elect' 1 Service _...._ Reg #. . : 000601 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-881-1987. You may obtain a copy of these rules or di-ect questions to OUNC b callir., 1583 246-1987. 6'e r•m i t t e e Signature :..r'�-- _ _� --�.: Issued HY �-----_- --------OWNER IINSTALLATION ONLY--------------------------------1he installation is being made on property I own which is not intended f sc-rle, lease, or, rent. OWNER' S SIGNATURE: DATE: - - -.--.-----. -----------------_____--CONTRACTOR TNSTALLAT ION SIGNATURE OF SUPR. F1_Fr' N: �'� _ DATE: LICENSE NO: 5 ++-+-+++++++++++i-.+++.f.+.++++++++++++++4 ++++++++++++++++++++++++f++++++++++++++++++++ Call 639•-4175 by 7:00 p. m. for, an inspection needed the next business day ++++++++++•f+++++++++++++++++++++i•++4•+++++++++++++++++++++++++++++++++++++•++++++ Z001 03/24/99 WED 17:29 FAX 360 578 7422 PRAIRIE ELEC. Toolt [269L ON XV/X11 T0:91 QHM 86/fii'�r t' RECEIVED CITY OF TIGARDElectricall Permit Application Plan _ 13125 SW HALL BLVD. 1��t. Recd`" Data Roe'd TIGARD OR 97223 CO MMIINIIV III Vi I Ul'Ml N! Date to P.R. Phone(503)639-4171,x304Date to Dal - Print or Type Pafreft#I-- tA_. I Inspection(503)639-4175 Incomplete or Illegible will not be accepted Caned Fat(503)fiB41297� -- --- 1. Job Address: 4. Complete Fee Schedule Below: N.,mn of Develop)rwrit, l_�5_ R K Number of Inspedr mm per permit allied Name(or name of business) PoL'4 Service Included: list 1a Cost Sum Address (� 5•W f�A�ROAIJ 5 i _D.- 4", Residential-par unit 1(100 oq Ir,er seta _ _ $110,00 4 CltyiSTnIn/ZIP_--T I C>ArQ m9.7� 3 .- Each addlione(SDo sq.1!.or -" oonlon!hereof _ 325• _-. 1 f;nrnmnrolal❑ Residential Limited Enorgy $24 00 Each Menul'd Home or Modular Dwelling Service or Feeder --__ ti59.W __. Z 2a. Contractor installation only: 4h.Illervlcas or Feeders (Attach copy of oil current lice/sea) Installation,alterafton,or relocation Electrical Conunctnr PRAIRtf- tC�-��TRkc- 200 amps or leas $60.00 2 Address_ 4000U W E gam~ S•r _ 201 amps to 400 amps $80.00 � 2 City._VjAh4QUVMc- State__V[_y._____ZIP 9 401 amp$to 600 empe --- $120.00 ---- 2 -��_21 5c) 601 amps l0 1000 amps _ $180.00 2 Phone N0. yl -- over 1000 amps or-nits S340.00 2 Jab No __ Rer:anneet only $50.00 2 Floc Cont.ilea.No. 17'4 11 Exp.Date ON State CCB Rag.N0._ 17 8 6xp,DateS-. L_9 4c.Taimpormy Services or Feeders CO I Duslness Tax or Matra NFtp, ate Irlafallalion,ahetation,or reloratton 200 amps or leas $50,00 2 201 amps to 400 amps $75.( 2 `-ignature of Supr Fie _ 401 amps to Roo amps $100.00 _ 2 Over 800 snips In 1000 volts, license No. _�_5(oZ 5 ___Exp,Dete 1D•Oj sae"b"above. Phone No. � _-Ta ZZSQ --- 4d.Branch Circuits Naw,alteration or ettonalon par panel 2b. For owner Installations: a)The Is*for branch circuits with purchase of Service or Print Owners Name __ feeder res. Each brenel,elrwN $5,00 2 Address----.--.._ - - b)'rhe fee for branch circuits city __ Slate__ 7-1p.__.---_ wfrhout purdtaae of Phone ssMce or feeder No. Flret branch orcUl _ $36.00 2 The installation Is baring made on property I Own which is not Each additional Dranch circuit^_ WWI 2 intended for sale,(ease or rare 4a MIstielleneeue (Service at hsCsr nol ItrcMrded) Owner's Signature Each pump or InIgallon elrele $40,00 Eadi e19r1 or outline lighting $40.00 , Plan Rlwlew section(it required):' signal elrcuh(s)or o Ie ted arvrrgy .7 •001,altnlllbn or atftansten Minor Labels(10) _�- $100.00 Please check appropriate Item and enter fee In section 59, 4 or mora retial units In orm structure 4f.Each s4diltionaf Inspection over Service and fonder 225 amps or more the allowable In any of the above - $35.00 - _ System over t300 valtit nominal Per irrepedion classified was or ntrucdua containing special mcupwry Per hotu S15 00 --- - at;deacnbed in N.E..0 Chapter 5 In Plant S55.00 _ Subm!t 2 sets of plans wfth sppllcatien where any of the above apply. 5. Fees: 00 Not required for temporary construction earvlees. 5e.Enter total of above tees S 51Y.Surrharge(.05 x total loss) S NOTICE subrow S -- Sb.Enter 25%of line 5e for PERMFTS BFCOME VOID IF WORK OR CONSTRUCTION AUTHO!"IM IS Plan Review It rMj[g0(Sec.3) S N01 ccyvmAr.NCED WITHIN 180 DAYS,OR IF CONSTRUCTION On WOPK Subtotal S IS SUSPENDED OR ABANDONED FOR A PERiOo or 190 DAYS AT ANY I J Trust Account M �S TIMF AFT Fn WCIFIX 19 COMMENCED. - s A� �I Q� OJ. C- �� y I•_� total bYfence We rratyslautta4r* nw trw Poo fill (INV9I3. do A3.13 0961 982 902 IVA LS:ST Q3M 66/fir/S0 CELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC98-00582 DEVELOPMENT SERVICES DATE ISSUED: 6/24/99 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 SITE ADDRESS: 14170 SW BARROWS RD 15XX ZONING: R-25 SUBDI'JISION: SCHOLLS VILLAGE TOWNHOMES LOT : JURISDICTION: TIG BLOCK: Prolect Description: Schoils Village Bldg#15 _ RESIDENTIAL UNIT TEMP SRVC/F'EDERS MISCELLANEOUS 1000 SF OR LESS: 53 0 - 200 amp: 0 PUMP/IRRIGATION: 0 EACH ADD'L 500SF: 3 201 - 400 amp: 0 SIGNIOUT LINE LTG: 0 LIMITED ENERGY: 0 401 - 600 amp: 0 SIGNAL/PANEL: 0 MANF HMI SVC/ FDR: 0 601+amps -1000 volts: 0 MINOR LABEL (10): 0 S_E_RVICEIFEEDER __ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 0 W/SERVICE OR FEEDER: PER INSPECTION: 0 201 - 400 amo: 0 1st W10 SRVC OR FDR: 0 PER HOUR: 0 401 - 600 amp: 0 EA ADD'L BRNCH CIRC: 0 IN PLANT: 0 601 - 1000 amp: 0 PLAN REVIEW SECTION 1000+ amp/volt: 0 >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect oniy__!� SVC/FUR >=225 AMPS: CLASS AREAISPE(: OCC: Owner: Contractor: POLYGON NORTHWEST PRAIRIE ELECTRIC INC 2700 NE ANDRESEN 6000 NE 88TH STREET STE D22 VANCOUVER, WA 98665 VANCOUVER, WA 98661 Phone: 360-695-7700 Phone: 360-573-2750 Reg #: _FEES Required Inspections Type By Date Amount Receipt _ RougElect'hService PRMT DEB 6/24/99 $625.00 99-316380 Elect'I Final PLCK DEB 6/24/99 $156.25 99-316380 5PCT DEB 6/24/99 $31.25 99-316380 Total $812.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate 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 K work is suspended for more than 180 days ATTENTION Oregon law requires you to follow riles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies_oi these rules or direct questions to OUNC at(503) 246-1987 n Issue By: Permit Signature: OWNER INSTALLATION ONLY _ —The installation is being made on property I own which is nt,: intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Au .��t '� ' LICENSE NO: `35 Lo =b - - Call 639-4175 by 7:00pm for an ins,-ection the next business day CITY OF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. v l� „ Recd By TIGARD OR 97223 Date Recd_ Date to P.E. l 1 Phone (503)639-4171, x304 Date to DST Inspection (503)639-r'175 Print or Type Permit N Fax(503) 684-7297 Incomplete or illegible will not be accepted called a r, , 1. Job Address: I le- VI' llaq 4. Complete Fee Schedule Below.Name o1 Development, 471/017 Number of Inspections per permit allowed Name(or nameof Of/business) r - _ Service Included: Items Cost Sum Address I!1 1 - O) �L�-`� 4a. Residential-per unit Ci /State/Zi 7 d �� 3 1000 sq.ft.or less ,L_ $11000 4 ty p 1 Ic Each additional 00 sq ft.or portion 3 $25.00 1 > Commercial ❑ Residential Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder __ $66.00 2 2a. Contractor installation only: (Attach copy of all Curses) 4b.Services or Feeders Electricalr II no Contractor t tO Installation,alteration,or relocation Address 200 amps or less $60.W _ 2 201 amps to 400 amps $80.00 2 City (./ StateZ.Ip��- 401 amps to 600 amps $120.00 2 Phone No. :3 "1 -0 601 amps to 1000 amps � $180.00 2 .lob No. Over 1000 amps or volts $340.00 _ 2 Elec.Cont. Lice. No.� Exp.Date1�%-Me Reconnect only $50.00 2 OR State CCB Reg. No. j xp.Date 5---'1�1 4c.Temporary Services or Feeders COT Business Tar.or Metro No Exp at -j •_crr Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n <<i�-- 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License Nr 3 J(� S Exp ate�j� / see"b"above. Phone Nr C-' 4d.Branch Circuits New,alteration cr extension per panel 2b. For owner installations: a)The lee for branch circuits with purchs.-m of service or Print Owner's Name _ _ feeder fee. Address Each branch circuit $5.00 2 - b)The lee for branch circuits Clty_� _ StateZip_ __ without purchase of Phone No. service or feeder fee. First branch circuit _ $35.00 2 The installation is being made on property I own which is not Each additional branch circuit- $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or fonder not Included) Owner's SlgnatUreJ_ Each pump or irrigation circle $40.00 e 2 Each sign or outline lighting $°0.00 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Par 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 application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above legs $ 5%Surcharge(.05 X total fees) $ NQME Subtotal $ 5b.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account Total balance Due iIDsTM roc APP n-WW, CITYOF T I GA R D __ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC98-0042.4 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/24,99 PARCEL: 1 S133CC-00400 SITE ADDRESS: 14170 SW BARROWS RD 15XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: (1 EVAP COOLERS: 0 TYPE OF USE: MF UNIT HEATERS: 0 VENT FANS: 15 OCCUPANCY GRP: R1 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES: 3 BOILERS/COMPRESSORS HOODS: 0 _ FUEL TYPES _ 0 3 HP: 0 DOMES. INCIN: 0 ("As 3 - 15 HP: 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 - 30 HP: 0 REPAIR UNITS: 0 FIRE DAMPERS?: 30 - 50 HP: 0 WOODSTOVES: 0 GAS PRESSURE: M 50 + HP: 0 CLO DRYERS: 5 FURN < 100K BTU: 0 _ AIR HANDLING UNITS OTHER UNITS: 5 FURN >=100K BTU: 5 <= 10000 cfm: 0 GAS OUTLETS: 0 > 10000 cfm: 0 Remarks: Scholls Village Bldg #15 Units identified as DBBBD Owner: _ _ FEES _ POLYGON NORTHWEST Type By Date Amount Receipt STE NE D222 ANDRESEN PRMT DEB 6/24/99 $139 00 99-316380 STE PLCK DEB 6/24/99 $34.75 99-316380 VANCOUVER, WA 98661 5PCT DEB 6124/99 $6.95 99-316380 Phone:360-695-7700 Total $180.70 Contractor: FROSTY'S HEATING + COOLING FROST ENTERPRISES INC 27522 SE HWY 212 REQUIRED INSPECTIONS ,as Line Insp Phone:695-3447 Mechanical Insp Reg #: Heating Unt Insp Duct Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved pla:is. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for inore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Yoa may obtain copies of these rules or direct questions to OUNC by calling (503)24 -9189. Is a By: � .�(� Permittee Signature: — ------ �` Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next biiisiness day CITY OF TIGARD Mechanical Permit Application Plan Che • ^ p p a Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd- .T TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 �, ( `/ l ' Date to DST_2•T Print or Type Permit 0 — Z�( Incomplete or illegible applications will not be accepted CaIledFxa &.,&4/vff 0Non", °rD°°° 'OIDQ Description l 5 I(oaf Table 1A Mechanical Code oty p Amt .lOb St"Address neM A) Pernik Fee 10.00 Address O 1) Furnace to 100,000 BTU B ria Including ducts,s vents Q, 6.00 ° 00 2) Fumaco 100,0('0 BTU+ G (( , 2 Including ducts&vents 7.50 Name(or nam of business) .j 3) Floor Furnace Owner P C a•VI L Including vent -- — 6.00 Me"ndd,ess 4) Suspended heater,wall heater - or floor mounted heater 6.00 5) Vent not Included In appliance permit — c1tylstate zip W(-\- Pho-36 V 3.00 u 0IL V 1b95-_r1QW CHECK ALL Boiler Heat Alr Name(or name of bushesij7 THAT APPLY: or Pump Cond Qty Price Amt Com MakV 6)<3HP;absorb unit to Occupant °u 100K BTU 6.00 7)3-15 HP;absorb unit cityrswe - zip, Phare 100k to 500k BTU _ 11,00 8)15-30 HP;absorb unit.5-1 mil BTU 15,00 Contractor 9)30-50 HP;absorb lyb{J 5 6M`l unit 1-1.75 mil BTU 22,80 Ptbr to Pik AAldrus% --�-- 10)>50HP;absorb unit Issuance,a copy I >1.75 mll BTU _ 37.50 of ak Ncenses aIJP Phone s - 11)Air handling unit to 10,000 CFM are required H f I W De— -. _��_ y—' 4.50 expired in COT �Const. tJc.e rn Dale 12)Air handling unit 10,000 CFM4 _database +'S 0�3 - _ AtcPtltect "� , (. l b � 13)Non-portable evaporate cooler 7.50 _ 4.50 or MMkV Address1 14)Vent fan connected to a single dud 7 5 5 r �"'' /C_)a _ 3.00 r ., 15)Ventilation system not Included in Engineer Crt'rswez� Prione 2�; appliance permit _ _ 4.50 be Ite y(�' w/y / 60 _ 7 U 16)Hood served by mechanical exhaust Describe work to be done: _ 4.50 17)Domestic incinerators New t( Repair O Replace with Ike kind Yes O No O 7.50 Residential O Commercial U 18)Commercial or industrial type Incinerator '0.00 AddWnal Information or des(:rption 05W__ 19)Repair units _ 4.50 20)Wood s—to ve 21)Clothes dryer,etc. 4.5_0_ 2� Type of fuel: oil O natural gas O LPG O electric O 22)Other units —' 4.50 �•7i• 1 hereby acknowledge that I trove read this application,that the Information 23)Gas piping one to four outlets u �„ phreCn Is coned,that I am the owner ot authorized agent of y 2.00 the owner,that plans sub mkted are in compliance with Oregon State laws. 24)More than 4per outlet(each) Signature or t?wnerlAgent Oahe — 50 'SUBTOTAL i 3tr _ -� 'W►5SZ. t' _ `-- -- SX SURCHARGE '1 41 C'Onitod Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial nri is on t r"'cam l»G( S 1 <3�)-�1 S- — TOTAL *Minimum permit fee is$25*6%suruharge V` )'1•ya! "Residential A/C requires eke plan shcewing placement b1 un W +" I:'4medtiprm3.doc rev 06/23/98 v"•it, CITY �0 F T I G A R D BUILDING PERMIT PERMIT#: BIJP98-00400 [DEVELOPMENT SERVICES�� DATE ISSUED: 6/24/99 13125 SW Hall Blvd., Tigard, OR 97223 (503 4G11VA PARCEL: 1S133CC-00460 SITE ADDRESS: 14170 SW BARROWS RD 15XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TiG REISSUE: _FLOOR.AREAS EXTERIOR WALL CONSTRUCTIO14 CLASS OF WORK: NEW FIRST: 3,192 sf N: 1 HR S: 1 HR E: 1 HR W: 1 HR TYPE OF USE: MF SECOND: 3,026 sf _ PROJECT OPENINGS? TYPE OF CONST: 5-1 HR DECKS : 654 sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 6,872.00 sf ROOF CONST: B FIRE RET? OCCUPANCY LOAD: 12 BASEMENT: 0 sf AREA SEP. RATED: STOR: 3 HT: 18 ft GARAGE: 3,113 sf OCCU SEP. RATED: 1 H BSMT?: N MEZZ?: N REQD SETBACKS _ REQUIRED _ FLOOR LOAD: 40 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: 5 FRNT: 0 ft REAR: 0 ft FIR ALRM : Y HNDICP ACC:N BEDRMS: 12 BATHS: 15 IMP SURFACE: 0 PRO CORR: N PARKING: 2 VALUE: $ 473,649.00 Remarks: Scholls Village Bldg#15 - Units identified as DBBBD Separate plumbing, electrical and fire alarm permits required Owner: Contractor: POLYGON NORTHWEST POLYGON NORTHWEST CO 2700 NE ANDRESEN PO BOX 1349 STE D22 BEL LVUE, WA 98009 V yCJUVER, WA 98661 done: Phone: Reg#: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Erosion Control Insp 844-8 Gyp Board Insp PLCK BON 9/22/98 $890.83 98-309373 Footing Insp Appr/Sdwlk Insp Foundation Insp Reinf. Concrete final report 5PCT DEB 6/24/99 $6840 99-316380 Post/Beam Insp Structural welding final rep FIRE DEB 6/24/99 $547.20 99-000000 Slab Insp Final Inspection CDCB DEB 6/24/99 $125.00 99-316380 Framing Insp (additional fees not listed here) Fireplace Insp Insulation Insp _ Total $10,888.78 Shear Wall Insp Fir ewall Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and al! other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not stF-ted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon iaw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rales or direct questions to OUNC by calling (503) 246-1987. Pannitee Signature: — v Issued�y: ) , C, — Call 639-4175 by 7 p m. for an inspection the next business day CITY CF TIGARD Multi-Family Building Permit Application Plan Check# 9_1'p'1(_? 13126 SW HALL BLVD. Date Recd New Construction and Additions Date to►� —_--T�`--�--�-,+/--- TIGARDr OR. 97223 Date to T 'L Lot 1 (503) 639-4171 - Perm"s ' IY Print or Type cooed rte' ^ Incomplete or illegible applications will not be accepted NP.7f DeveiopmentlProiect Existing Building (] New Building Job !J[� U��5 �f/ ��Gf _ Address Site Address — Building Number of Units �. j 111) �jGiri-Gw Data f_5 Bldg a Roare/4L /state Zip Existing Use of Building or Property: �72Z_Name Property /M ) L Sq. Ft. of Dwelling: Sq. Ft. of Garage: Owner Mailing Address ,��--" Sulu — 3 2 q r7 G� 7 700 AJ& ff>' i-->ifn J)ZZ Proposed Use of Building or Property: ty/Stale Zip Phone ?&D V(,lncoul'i^.t'" gSiS al --77CUb — -- `— Name /Q � No. Of Stories: AA Goineral d�,!�C / lormGS- — —_ Contractor: Malliog Adareds Suite Occupancy Class(es) Z Z— f to Perm" City/State D'•v, Ip �{ P hone � Type(s)of Const ction Issuance, s licenses y (/L L��V'vIV �v�fl 77(� � '� Will this project have a Fire Suppression System? are requked if Oregon Connt.Cont.Board Lic.1r te expired In C.O.T. Yes ❑ Nom___ ,-- database ' Americans with Disabilities Act(ADA) ---- Valuation X 25% =$ Participation Architect Name_ y�/1 6�u� /1�, " Complete Access ibili. Form _ _/.�(� �--7'7� Mailing Address Suite Project $ C - 00 Valuation Z-7 City/State Zi °hone 2S Plans Required: See Matrix for number of sets to submit ��e�u �� s7/ on back Engineer Name v- kC40 — I hereby acknowledge that I have read this application,that the Information XMailing Address Su"/e� ^ given Is correct,that I am the owner or authorized agent of the owner,and that plans submitted are In compliance with Oregon State Laws. City/State ZOO& Phone S b3 Signature of Owner/Agent Date Ci � tact Pe on Name Phone Indlcste typo of work New�( Addition O Demolition O Arxssory Stricture O Foundation Orq O Alteration O � � Repair O Other O Description of work:----------- — FOR OFFICE USE ONLY oto: Sita Work Permit Appllcatlon must precede or accompany Building rL;!.t �� = f' . V wmft Applicaflon l„ iMULTINEW.DOC (DST) 888 rr r� C CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICERILGINA PERMIT#: PLM98-0034413125 SW Hall Blvd.,Tigard, OR 97223 (5 DATE ISSUED: 6/24/99 SITE ADDRESS: 14170 SW BARROWS RD 15XX PARCEL: 1S133CC 00400 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 5 MOBILE HOME SPACES: 0 TYPE OF USE: MF WASHING MACH: 5 BACKFLOW PREVNTRS: 0 OCCUPANCY GRP: R1 FLOOR DRAINS; 0 TRAPS: 0 STORIES: 0 WATER HEATERS: 5 CATCH BASINS: 0 FIXTURES LAUNDRY TRAYS: 0 SF RAIN DRAINS: 5 SINKS: 5 URINALS: 0 GREASE TRAPS: 0 LAVATORIES: 17 OTHER FIXTURES: 0 TUB/SHOWERS: 10 SEWER LINE: 500 ft WATER CLOSETS: 10 WATER LINE: 500 ft DISHWASHERS: 5 RAIN DRAIN: 500 ft Remarks: Scholis Village Bldg#15 FEES Owner: - -- Type By Date Amount Receipt POLYGON NORTHWEST PRMT DEB 6/24/99 $1,093.00 99-316378 2700 NE ANDRESEN PLCK DEB 6/24/99 $273.25 99-316378 STE D22 5PCT DEB 6/24/99 $54.65 99-316378 VANCOUVER, WA 98661 Phone 1: 360-695-7700 Total $1,420.90 Contractor: BAILEY MECHANICAL CONTRACTORS 11995 SW SETTLER DRIVE BEAVERTON, OR 97005 REQUIRED INSPECTIONS Inspection Phone 1: 579-0353 Sewer InsP37-378 Water Line Insp Reg #: LIC 56 Water Service Insp PLM 37 378P Rough-in Insp FLM/Underfloor Top-out Insp Storm Drain Insp Rain Drain Insp Final Inspection Final Inspection 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 expi,e 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 m,.v obtain copes of these rules or direct questions to OUNC by calling (503) 246-1987. Issued : �1,D '[l�n�Q_ q Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bf(91n*ss day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERV C S PERMIT#: SWR98-00258 P—"71111111"M 1 � DATE ISSUED: 6/24/99133 13125 SW Hall Blvd.,Tigard,OR 9 T SITE ADDRESS; 141,70 SW BARROWS RD 15XX PARCEL: 1S133CC 00400 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG TENANT NAME: SCHOLLS VILLAGE#15 I1SA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 5 TYPE OF USE: MF NO. OF BUILDINGS: 0 INSTALL TYPE: LTPSWR IMPERV SURFACE: 0 Remarks: Scholls Village Bldg#15 Owner: FEES _ POLYGON NORTHWEST Type By Date Amount Receipt 2700 NE ANDRESEN STE D22 PRMT DEB 6/24/99 $11,500.00 99-316378 VANCOUVER,WA 98661 INSP DEB 6/24/99 $45.00 99-316378 Phone: 360-695-7700 Total $11,545.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection l� 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 sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from t'ne 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 952-001-0080 You may obtair.copies of these rules or direct questions to OUNG by calling(503) 246-1987 Issued Permittee Signature:.t – J , Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next busines9--d"ay CITY OF TIGARD Plumbing Permit Application Plan check 01 13125 SW HALL BLVD. Commercial &-id Residential Reed By_��t. • TIGARD, OR 97223 Date Recd (503) 639-4171 }� ,r Date to P,E. if. I Print or Type Date to DT Incomplete or illegible applications will not be accepted 'Permita� Related CelledflP6G -,fix �/z./� Name of Development/P ojed d�' Job �j � G l /v Sink 9.00 Address Street Ad"Sk y�, I Sure Lavatory_ 600 t I V 7�' `�ur�)1 71�(l Tub or Tub/Shower Comb. 9.00 Bldgf'7 \l(tate U z P( f-rl' ,j Shower Only -- 9.00 ----------- Na — _. \ Water closet 9.00 �•• , Dishwasher 9 .00 Owner Malling Add ss Suite Garbage Disposal 9.00 � ;T rp5e' 2-.z Washing Machine — 9.00 Gt /State LP u Phone --- �C�y� btc-,L-1 o Floor Draln/Floor Sink 2• 9.00 Name / 3" 9.00 4• 9.00 Occupant Mailing Address Suite Water Healer O conversion O like kind 9.00 Gas piping requires a separate mechanical nnit. g Gly/Slate ZJp Phone Laundry Room Tray 900 Nang_ Urinal _ 9.00 Other Fixtures(Specify) 9.00 Contractor 9.00 �alling�j d > ,�„ srlitq 9.00 Prior to permit /State 02 Phone 503 sewer-1st too' 30.00 , Issuance,a copy Trk sz-2D 01 Sewer-each additional 100' 25.00 of all licenses are Orege Coo. nt.Board Llc.f Ev.Date required H ?j� �72-_"1C1 Water Service-1st 100' 80,00 E explrrol in COT Plumbing U ! Oft Water Service-each addrflonal 200' –T5700— database -,2, Pj�-A) -30`�$ Storm b Rain Dfain-1st 100' 80,00 2' Name Architect ,11\ Storm 6 Rain Drain-each additional 100' 25,00 r`� { " , Mobile Home Space — 25.00 or Mailing Address\� c-, Suite Commercial Back Flow Prevention Device or Anti- 25.00 JM Slir X010 Pollution Device Engineer ty/v to p PlIvo Z� Residential Backflow Prevention oevlce' 15.00 _ ' 11 _�� C ( —1t3U (Irrigation timing devices require a separate Desai work to be done: restricted energy pennit.) New Repair O Replaoai with Kke kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Pesideat O Commoncial O Catch Basin p ddttional description of work: 9'.0 Insp.of Existing Plumbing 40,00 _ fft Specially Requested Inspections 40.00 � rlhr Rain Drain,single family dwelling Lm g0,00 Are you capping,moving or replacing any fixtures? -� Yes O No O Grease Traps 9.00 If yes,see back of form to Indicate work performed by fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL Isornetrk«,lax d _ b K t]wmky Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. •SUBTOTAL � 0 I hereby acknowledge that I have read this application,that the Information given Is correct,that I am the rwvner or authorized agent of the owner and _ _ that plans submitted are In compliance with Oregon Stale Laws. 6'/a SURCHARGE q. S Signature of Owner/Agent Date •. -. .. "•PLAN REVIEW 25%OF SUBTOTAL n Q o< ` R214ed any Ir f6ctureqty totW Is>G rontact Person Mann Plane TOTAL 'Minlmum permit foe Is$25*5%surcharge,except Residential Baddlow Prevention Device,wh'.'Is$15*5%surcharge 'All New Cornmerclat uulldings require plans with Isometric or riser diagram �• %1".04d Plan review a i d*N%A..wpp doc rrb% _,i�, 'rir;!'h,. •�, � . •i: ri S.'/��I�S;:,PnAi• ,'tt �••^:' " �•r x'11(/ ' , Main Office `, ' Branch Office P.U. Box 23814 1 4060 Hudson Ave., NE Tigard, Oregon 97281 Salem, OR 97301 Carlson Testing Inc. Phone (503) 684-3460 Phone(503) 589-1252 FAX (503) 684.0954 FAX (503) 589-1309 Special Inspection FINAL SUMMARY LETTER September 3, 1999 #99-1123N City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Scholls Village Condominium Development — Building #15 14170 SW Barrows, Tigard, OR Permit No. BUP980400 Dear Sir or Madam: This is to certify that in accordance with Chapter 17 of the Uniform Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete 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 there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARL U ESTING, INC. 1` Hietpas 14 ty Assurance Manager �F :jdk cc: Polygon Northwest Company - Ron Lightner CT Engineering Milbrandt A,chitect P 1'N0RD\REP0R?ST1NL LR\99 1123N Main Office Branch Office P.O. Box 23814 4060 Hudson Ave., / Tigard, Oregon 97281 Salem, OR 97301 Carlson Testing, Inc. Phone (503)684-3460 Phone(503) 589.1252 FAX (503) 684-0954 FAX(503) 589-1309 Special Inspection FINAL SUMMARY LETTER ***Amended*** December 16, 1999 #99-1123N City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Scholls Village Condominium Development— Building #15 14170 SW Barrows Road, Tigard, OR Permit No.: BUP980400 Dear Sir or Madam: This is to certify that in accordance with Chapter 17 of the Uniform Building Code, we have performed special inspection of the following item(s) per our inspection reports only.- Reinforced nly:Reinforced Concrete ***Structural Steel — Shop & 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 there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CAR Of� ESTING, INC. � j e F. Hietpas Mali Assurance Manager JF :jdk C.C. Polygon Northwest Company— Ron Lightner CT Engineering Milbrandt Architect P 1WOR"EPORTSTINl(R199.1!23N CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP98-00400 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/24/1999 PARCEL: 1 S133CC-80151 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS: 14170 SW BARROWS RD 15XX SUBDIVISION: SCHOLLS VILLAGE CONDOMINUMS FILE COPY 40 BLOCK: LOT: 15 CLASS OF WORK: NEW TYPE OF USE: MF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 12 TENANT NAME: REMARKS: Scholls Village Townhomes - Building 15, Units 1, 2, 3, 4, 5 Final Building Inspection and Certificate of Occupancy Approved 1/31/00 by Rick Bolen, Building Inspector Owner: POLYGON NORTHWEST 2700 NE ANDRESEN STE D22 . \NCOUVER, WA 98661 Phone. 360-695-7700 Contractor: POLYGON NORTHWEST CO PO BOX 1349 BELLVUE, WA 58009 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 Cos for the group, occupancy, and use under w h the referenced permit was issued. 7 /' - A BUILDING INSPECTOR BUIL IN OFFICIAL POST IN CONSPICUOUS PLACE CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: N4EC2001-00239 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/28/01 PARCEL: 1 S 133CC-8U 154 SITE ADDRESS: 14170 SW BARROWS RD 15.4 SUBDIVISION: SCHOLLS VILLAGE CONDOMINIUMS ZONING: R-25 BLOCK: LOT: 15 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 • 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of exterior A/C unit. Cannot be set within the required setbacks. Owner: _ FEES BROOK GARNER Type By Date Amount Receipt 14170 SW BARROWS PRMT CTR 6/28/01 $72.50 2.5U 272001000C 155-4 , OR 97223 5PCT CTR _ 6/28/01 $5.80 272001000E TIGARDPhone: 503-524-8294 _ Total $78.30 Contractor: SUNSET FUEL CO PO BOX 42287 2944 SE POWEL_L BI.VD _ REQUIRED INSPECTIONS PORTLAND, OR 97242 i Mechanical Insp Phone:503-234-0611 Cooling Unt Insp Reg #:LIC 00002374 Final Inspection ELE 26-113C This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080. You may obtair�pies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: _J(� 4.E ca it Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business 01/11/2001 14:37 FAX 5036847297 City of Tigard 0002 Mechanical Permit Ap 'cation - Date taceiId""t Pexrnb no.: City of Tigard Rojecti vpl nn.: explreaale: City nf .i.ga►d Aekiress: 13125 SW Hall Blvd,Tij1 .OR 97223 Dateiswred: Sy: Receiptao.: Phooc: (503)639A171 Fax: (5D3)598-1960 Case flee no_: Payment type: Land use approval. _ t#ntWioaorwo.: U 1 &2 family dwelling or accessory U Co mert•iallindustrial O Multi-family ❑Tenant impm"Mat U Ncw const ucuon O Addaiaolakerift nl eplacemeut U Other. Job adRjWp6lLZRIOqInWcate equipment quantities in boxer lxio v.Iodic w rho dollar Bldg.no.: —-- Suite 00.: value of all mechanical materials,t guipmemi.labor.ovahead. -.Tax ma&x lotlaccotmt no.: profit.Values Lot: 1plock. Subdivisiwr: .cm checklist for important application lnformatiem and Project n no., cr jurisdiction's fec sdtodule for residential permit fie city/muttyrT t9a crft IZIP. DcwtWogmd l0dtl0lk Of PICIMLIn. t Est.due of rAXnp etiaolinsptaaiaa: v--- —— Dc.tai )A�a. lla.ary Tenant imp,ovt went as change of use: hacdfia6 unit CFM b existing space Mated or 't 0 I*Yes O No condi wng(um pTann s taitxln -- tq spec insulate.? Yes U No terahga stilt .yedan et/oamprasaree Business flame: Stare boiler permit no.: HP -__Toa AT." Addres ' rredsn.oke net sono pry Cit Heal pump(siteplan re"ared)PAIV514-OLD � I IInstalifteptWevn - - including ductwockNeat baa U Yts U No CCB no.: _ �as�alllieplacdneioca-mss-sum ed. - cityluletro be.no.: wall,oe nope mounted _ Name(please print). f` ( , F'-( ) rm —Zaace other town Tuneace IlehiaeaaMlaae Absotptionemits _- MVM Name- prlllttir. __ HP — — Add—rt-ss- - ---- s up - ------ ----- - - City. Stan. 71P: tutnae vent 1: :e yperes:tatcn n narmat - hood fut wppresslon sysrem Name- Exhaust fan with ainsle dura(bath fans) Maillap address: j 1-- syeoc,et r act fYom orA Ci _ --_ Stats I.IP: ►`� Pod pilin[and disbWoRks(up to a n exs Ph Fax' - B trail Type: --LPG rsch i i meatal ovec4 (scbcmatcrcquire -Number of outlets Name- ---_._.— tbw SiR ijorm—naegn - Adilm": —�- - --- � DeLnracivctirc�I -{ _ City: -_ stat _.��__ ux"-type P6ose: Fax: f wiiPcvjet s ---- Ap licarrf, - Name(print): -- -aw; --- sea ia...65io a Me"Or C M&CWk Plum car e.A i.. -Wein i =Wd.d Permit fee............ ........$ ' t]rty. u ManeeCerd Nom.This permit sppbeeaan Mimtrarm fee .........S ca.aa ..t.,.� ----�` e,ftm if p days it a oa has Platt review(at— 96) � - - -- within 180 days atter n has bxrt Statr�sua��.aLa.aW� - Nano d ae�tdct Y c�---- .CCLj7tCd.5 COmpteft. TOTAL (8%).. I rn