Loading...
14178 SW BARROWS ROAD BLDG 11-1 4 co 00 H N � A r O 00 o O c A m N CK) < t cLU o- � 7040 �o � O,^ N i O F o �I i i i 14178 SW BARROWS ROAD Building 11 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUI' Date Requested_- L 4�j —AM�,./ PM BLD ---`—vY Location ek— _ _ Suite / MEC Contact Person 6a-L4 Qtk,liflt -- Ph 5-1'9-14)(-/ PLM c?k'O'Z Contractor 'l 'tkelh w a -K� Ph a09-ova 1 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ✓ ;�`' [i/ J J /l�`%� Misc: - --- — '/ Final PAS _ RT FAIL — -__ __ Post&Beam -- Under Slab L Top Out Water Service Sanitary Sewer Rain Drains __ n PART I _ __— ECHANICAL 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 PA,-kfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: [ j Unable to inspect-no access An DA Approach/Sidewalk Z Other DateInspector _k7VII Ext Final PASS PART FAIL D NOT REMOVE= this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISIO �� �� _ 0 0 L'?��.� 24-Hour Inspection Line: 639-4175 Business Line: 639- ya,W41 / � BUP qfl' q" _ _ Diate Requested I I r (<F� AM PM �!�� BLD Location ��On. -�S L� SuiteMEC _ Contact Person �L4 RA, A-clilldPh `��7�1 ��' PLM Contractor D,+ � U)C)4a� Ph -X SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes: -- Slab ___ SIT Post& Beam Ext Sheath/Shear I _ Int Sheath/Shear Framing Insulation Drywall Nailing Flrew I ire ire OT Susp'd Ceiling Roof Misc: -- -- — ;VXSS PART FAIL Post& Beam Under Slab Top Out Wpter Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line -- Smoke Dampers Final - — PASS PART FAIL ELECTRICAL - - - --^ -- —� Servic _ Rough UG/Slab Lo V ire Al ASS PA T FAIL — — SITE Backfill/Grading -- Sar tary Sewer Storm Drain ( ]Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date __ .1___ Inspector.- - —�.-- C-----" __—Ext 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 — - - - Date Reyuestea_ / 1 �M PN1 _ BLD Location 1 q l 1X _ I��'y ry w' l�-r�! uite _rt ME c,t) y-2 Z Contact Person _ Ph -,2�TJ-- PLM _ - Contractor Ph SWR 00257 1 Tenant/Owner ELC -- gWall ELR Footing Access: /� FPS Foundation `-i - Fig Drain SGN Crawl Drain Inspection Notes: -- Slab _ _—_- SIT _ Post&Beam Ext Sheath/Sheri Int Sheath/Shear Framing _ -- Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -------- — — Roof Misc: in _ ASS PART FAIL -- YWAIING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Draina Final kS T FAIL NI earn — Rough In Gas Line - -- --- ------- Smoke Dampers in A PART FAIL. UkrCTRICAL -- -- --- _- --- — ---- _ --- Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAILSITE Backfill/Grading - — _— - --— Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE _- [ ]Unable to inspect no access ADA ^� Approach/Sidewalk Date /D Inspector Ext 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: 639-4175 Business Line: 639-4171 MST _ i BUP _-Date Requested /I l q� AM / PM BLD Location_ �� -?8 , -6 -UO-)S 2 k- Suite MEC Contact Person �DC�/L! Ph S/L) ���� PLM .- �- Contractor 1-� (.yl-�S01,c _ PhSWR BUUILnING Tenant/Owner ELC 6V-54 d Retaining'Alall ELIR _ Footing Access: _ Foundation FPS Flg Drain Crawl Drain Inspection Notes: SGN — Slab - -------- SIT Post&Beam --- �-_� Ext Sheath/Shear Int Sheath/Shear Framing Insulation — -- Drywall Nailing Firewall -_- Fire Sprinkler Fire Alarm -- -- - Susp'd Calling .------- -----_--_-_-- ___ Roof Misc: Final PASS PART FAIL - - -- - - -------- PLUMBING -- Poet&Beam - Under Slab Top Out --- Water Service Sanitary Sewer - Rain Drains Final - - PASS PART FAIL MECHANICAL host& Beam - -- _ Rough In Gas Line - Smoke Dampers Final - -- - PASS PART FAIL CTRiCAL Service Rough In - - - UG/Slab _ Low Voltage - - - Fire larm ASS PART FAIL _ Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next Inspection. P y at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:_______ [ ]Unable to inspect-no access ADA Approach/Sidewalk /l D _Ext Other Date L_ ___,._ Inspector Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITYO F T I G A R D BUILDING PERMIT PERMIT#: BUP1999-00130 DEVELOPMENT SERVICES DATE ISSUED: 4/19/99 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S133CC 00400 SITE ADDRESS: 14178 SW BARROWS RD 11XX 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?: MFZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf L—FF—T: ft RGHT: �ft SMOK DET: YELLING 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 system. Owner: Contractor: POYLGON NORTHWEST PRAIRIE ELECTRIC 2700 NE ANDRESON 6000 NE 88TH STREET VANCOUVER, WA 98665 VtNNCOUVER, WA 98665 Phone: 360-695-7700 Phone: 360-573-2750 R,)g#: LIC 650178 FEE;i _ _ REQUIRED INSPECTIONS Type By _ Date + Amount Receipt Fire Alarm a 1 FIRE GEO 4/1/99 $10.00 99-314196 Final Inspection PRMT GEO 4/19/99 $25.00 99-314626 5PCT GEO 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. Permitee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Fires Protection Permit Application Plan Chec*M CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd TIGARD, OR 9 i 123 Print or Type Date to t'.E. (603)6394171, x. 304 Incomplete or Illegible applications will not be accepted Date to DST Permit trB4� 'Do/c30 Called Job No •or pm r Type of System(Complete A or B as applicable) Address Addm -Al A.)Sprinkler Wet Ll Dry O Hazard Group Owner a Additional Phone Information Denailly —-- Design Area occupant Melling Address K.Factor city/state Zip Phone A.1) Sprinkler Project Valuation $ — Gontractcr ,J �� � B.) Fire Alarm � �. —^_------ ( NO1 ram ✓���i�� w Submittal Shall lnrJude Battery Calculations YES(I Alarm to par ry) WcaymWo–tin � fit s � � c orfar to permlt .�.�'�. Individual Contponerit YE.. O , Mswnce,a Zip hone _ Cut Sheets of cillo.teas l �,,� %6.0-s;P.;r 8.1)Fire Alarm Project Valuation are rtpulnd K r.`'t,ata Cont. 'rd UeA Exp.Date /3 w*W in COT Project Valuation Sub otal(A S or B) $x 3 Permit fee based on valuation ast chart on back Architect lCrdp 5% Surcharge $ citylstab 4LW IPhone FLS Plan Review 40%of Permit $ Desorabs yrotk"– A,)N�Itlon O Alterstlon O Repair O TOTAL $ , to be done: 2 5" Modlflatlonto aprktkier Mads only: Plane required: Sutxitlt three sets of plans,Including a vic k ty map and 1. 1-10 h"&-No plans requked the locstlon of the nearost hydrant. 2. 11+a Plan review requked I f1e1epy&&MW* a that I he"road We oPPIkAtIM,that me trrtortneNon pNen ae �r oonscl that I em UM awrw or a~zed.gent or are Owner,and thet ptu:e%d"Nted N1NtIbM____or sprinkler head. are In on n *&vx whh OrsW!Stat Mrwe Addklonal Dasorlption of Wo Signature of DaLte� A.)In Fa'AV Bl�llding Cl Now BuRding ! / Building - conta P Ilam Phone Data e.) c0n""°�°l ° Reelaent+e� FOR OFFICE USE ONLY: - ---- No of stories: Sq.Ft MOWt pccrNy Type or C strudlon 1 't t:\dsUs forms\firesupr.doc 11/3/99 CITY OF T I G A R D BUILDING PERMIT PERMIT#: BUP98-00395 DEVELOPMENT SERVICES DATE ISSUED 4/12/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 SITE ADDRESS: 14178 SW BARROWS RD 11 XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION 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: 16 ft GARAGE: 3,113 sf OCCU SEP. RATED: 1HR 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 11 - Units identified as DBBBD Separate Plumbing, electrical and fire alarm permits required Owner: Contractor: BARROWS LLC POLYGON NORTHWEST CO 2700 NE ANDRESEN#D22 PO BOX 1349 VANCOUVER, WA 98661 BELLVUE,WA 98009 Phone: Phone: .3&O - 6 9_S 'J70U Reg#: 40.9 V/2 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Erosion Control Insp 844-8 Gyp Board Insp PLCK JSD 9/22/98 $890.83 98-309368 Footing Insp Appr/Sdwlk Insp Foundation Insp Reinf. Concrete final report PRMT DI-1-1 4/12/99 $1,368.00 99-314439 Post/Beam Insp Structural welding final rep 5PCT DLH 4/12/99 $68.40 99-314439 Slab Insp Final Inspection FIRE DLH 4/12/99 $547.20 99-314439 Framing Insp Fireplace Insp (additional fees not listed here) Insulation Insp Total $10,888.78 Shear Wall Insp Firewall Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Petmitee Signature: Issued By: Call 639-1175 by 7 p.m.for an Inspection the next business day CITY OF TIGARD Multi-Family Building Permit Application Plan Check# 13125 S%N HALL BLVD. New Construction and Additions Date Rccd TIG ARD, OR 97223 Data to P.E. (503) 639-4171 Date to DST Permit IF I ��? ��•`�( l/ Print or Type r;alledkE� f� .s. y Incoplete or illegible applications will not be accepted AIV- 1 NanNf Developmenlmroieci -- Existing Building p New Building Job _Cir( D�/`) V/1 1(telCr Address site Address ppp Building Number of Units G -� �Gc rr'hwS Data Bldg aR Clty/State TJp Existing Use of Building or Property: Tlaoz017 2 Z_, Name Property Name t2S L Sq. Ft. of Dwelling: Sq. Ft. of Garage: Owner Mailing Addressn -- Suit r„ �j Z �p Z Ivo N& , f' � / ZZ- Proposed Use of Building or Property: y/Stale Zip ��IPhone 5_p�"'_D70n(ouW'r k ghdW --77oLr b General Name No. O-f Stories: :POccupancy Class(es) Contractor Mailing Addiesuite — rtor to permit Ctty/State O',` Ip �( - / Phom! Tyre(s)of Const tion lesuanr�,a copy ou�Y"VY` �v�( 9J�?Iyo `�_17 1 of all Noenses �hl -__ _� Will this project have a Fire Suppression System? are required If Oregon Const.Cont.Board Llc.f Exp.Date expired In C.O.T. � ,Yes p No E] database J t�o��lv`— Americans with Disabilities Act(ADA) Name �� " Valuation X 25% =$ Participation Architect m/ u. / 7t"�r Complete Accessibility Form _ Project $ Suite Mailing Address Su 1/7 f S /�,o Valuation � ��jL City/State Phone ��- Flans Required: See Matrix for number of sets to submit &Zip Sass S - on back Engineer Name (A)/CC, �/, � -- — _ I hereby acknowledge that I have read this application,that the Information Mailing Address / Suite given Is correct,that I am the owner or authorized agent of the owner,and b Jv / i '�(iiM!�U cj 'e'q that plans submitted are In compliance with Oregon State Laws. City/State Zips/ Phone v3 Signature of Owner/Agent Date— I AP4144W 2 _ZZ?3 Coad Ppfson Name Phone Indicate type of work: New 0( Addition O Demolition O Acoessory Structure O Foundation Only O Alteration O Repair O Other O Description or work: �--� FOR OFFICE USE ONLY 'P��t ,.'�� �,�� � o a'Ip�.'�";��'� j ��Na'Ilst'I� 9..one: 1: F iota. Site Work Permit Application must precede or accompany Building erm"Application WtULT INEWDOC (DST) ".8 CITY OI TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . , . : BUP98- 396 13125 SW Hall Blvd„ Tigard,OR 97223(503)635-4171 DATE ISSUED: 04/01/91-1 PARCEL: 1 S.1 33CC--00400 13ITE ADDRESS'. . . : 1.4178 SW BARROWS RD #11XX SUBDIVISION. . . . : ZONING: R-25 IILOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: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 sf PROTECT OPENINGS . -----.---- - TYPE PENINGS . -----.---- - TYFE OF CONST. :5N . . . : 0 sf N: S: E: W.. OCCUPANCY GRP. :R1. TOTAL—•-----: 0 sf ROOF CONST: FIRE RET? : r1CCL.IPANCY LOAD: 0 BASEMENT. : 0 s f AREA SEP. RATED: ,TOR. : 0 HT: 0 ft rF4RgGE. . . : 0 s f OCCU SEP. RATED: I3SMT? : MEZZ7: REOD SETBACKS---------- REQUIRED--____.______._______ . FLOOR LOAD. . . . : 0 ps f LEFT: 0 f t RGHT: 0 ft F I R SPI-Q.:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AI_RM: HNDICP ACC: BEDPM5: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 9331 Remarks : Scholls Village Bldg 11 Fire Suppression System Owner: ___.._._._.._.. _. .._....._. _.____.___ _____.....-.------------.__._...----_---___-- FEES ---------.----._— BARROWS LLC type amount by date recpt :'700 NE ANDRESEN #D22 PRMT $ 80. 50 GEO 04/01/99 '39-314218 VANCOUVER WA 98661 SPCT 9 4. 03 GEO 04/01/99 139-3i4218 FIRE $ 32. 20 DRA 03/16/99 99--313713 Phone #: 360-695-7700 FIRE SYSTEMS WELT INC F,00 SE MARITIME AVE #300 VANCOUVER WA 98661 F'h o n e #.- 360-693-9906 6 116. 73 TOTAL Reg #. . : 49732 --REOU I RED ACTIONS or INSPECTIONS— This NSPECTIONS--- This permit is issued subject to the regulations contained in the Sprinkler Rol_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 188 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 952-981-9919 through OAR 952-N191987. You many obtain a copy of these rules or direct questions to UK by calling 1593>246-1987. — J '�;' Permittee Signati_tre: Isst_ted By: ++++++++++++++ .++++++++++++++}++++++++...+++++4•++++++++++++++++++++++++++++++++ Call. 639-4175 by 7:00 p. m. for an inspection needed the next bi-tsiness day +++++A•++++++a-+++++++++++•++++++++...++++++++++++++4-+++++++++++++•1-++++++++++++4 +.+ _J Fire Protection Permit Application Plan Ch CITY OF TIGARD Commercial or Residential Recd By ' 13125 SW HALL BLVD. Date Recd 4 TIGARD, OR 97223 Print or Type Date to P.E. (503) 6394171, x. 304 incomplete or UWgible applications wiii not be accepted Date toD 3 ( 1� / Permit U S Called Job - Ne of vol inent/ r9ifd Type of System (Complete A or B as applicable) rov, 674c a h�ta Address Address R A.)Sprinkler Wet Dry p - Na -- - Standpipes I on ar wcs Owner Malling ss Hand G oup 2 Yom© ��,�ri r, 1�:: Additional % la` (5r C y/Stats Zip J Phonnoo^� In,urmation Density 3.5 Narrm Dea(gn Area Occupant Mailing Address �K Fk6or City/stole -- zip I Phone _ A.1) Sprinkler Project Valuation Contractor Name 1 B.) Fire Alarm (Sprinkler or e—S14C VJW f -- Alarm Comps iy) -MailingA ress � Submittal Shall Include Battery Calculations YES El Prior to permit g L _Il;, Vet 3&0 -_ hsuanee,a CRY/State Zip Phone Individual Component YES❑ Cut Sheets copy , /of all licenses ✓l4ev-1/"� SPG - 9 -M xP S.1) Fire Alarm Project Valuation $ are required M State Const.Co t.Board LM.# Exp.Date expired In COT �`3 2 -- Project Valuation Subtotal(A &or B) $ � ams Perimit fee based on valuation n r r br'.0N .-..__ we chart on back a •��' Architect Malting Address — — 5%Surcharge $ City/State Zip Phone FLS Plan Review 40%of Permit 1k&1AVU-t1k-I11L-eM0%, -3 Describe work A.)New Addition O Alteration O Repair O TOTAL to be done � B.) Modification to sprinkler heads only: Plans required Sribmk three sets of plans,including a vicinity map and 1. 1-10 heads-No plans required 2 11—Pion review required the location of the nearest h Brent. I herefry acknowledge that 1 have read this application,that the information given Is Number of sprinkler heads' correct,that 1 am the owner or suMorized agent of the owner,and Dist plans submitted are in compliance with Oregon State Tawe. Addlonal Description of Work: Signature of Owner/ApOnt Date — A.)In Existing Building O New Building Building iltaCt a Phone Data 9.) Commercial ❑ Residential 2. �- FOR OFFICE USE ONLY: Plat MOISITLX. No of storks. Sq. Ft: Notes Occupanev claw Type of Construction -- 71 i-\dsts\forms\faesupr.doe 11/5/98 ELECTRICAL PERMIT CITYOF T I G A R D PERMIT#: ELC98-00580 DEVELOPMENT SERVICES DATE ISSUED: 4/12/99 13125 SW Hall Blvd..Tigard. OR 97223 (503) 539-4171 PARCEL: 1S133CC-00400 SITE ADDRESS: 14178 SW BARROWS RD 11XX ZONING: R-25 SUBDIVISION: SCHOLLS VILLAGE_ TOWNHOMES LOT : JURISDICTION: TIG BLOCK: Proiect Description: Scholls Village Bldg 11 _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ _ _ — MISCELLANEOUS 1000 SF OR LESS: 53 0 200 amp: 0 PUMPIIRRIGATION: 0 EACH ADD'L 500SF: 3 201 - 400 amp: 0 SIGN/OUT LINE LTG: 0 LIMITED ENERGY: 0 401 - 600 amp: 0 SIGNAL/PANEL: 0 MANF HMI SVC/ FDR: 0 601+amps - 1000 volts: 0 MINOR LABEL (10): 0 SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 0 W/SERVIrE OR FEEDER: PER INSPECTION: 0 1st WIO SRVC OR FDR: 0 PER HOUR: 0 201 400 amp: 0 IN PLANT: 0 401 600 amp: 0 EA ADD'L BRNCH CIRC: 0 601 - 1000 amp: 0 _ PLAN REVIEW SECTION >=4 RES UNITS: X > 600 VOLT NOMINAL: 1000+ amp/volt: 0 : L,Reconnect onl 0 Y SVG/FDR >= CLASS AREA/SPE _225 AMPS: C OCC — Owner: Contractor: BARROWS LLC F/<,./Z/c Et-jF('/-A/C /N(- . 2700 NE ANDRESEN#D22 VANCOUVER, WA 98661 Phone: .3 (u 0 6,:17-5 - ';7,;706 Phone: _�6 0 - Reg #: FEES _ Required Inspections Rough-in Type By Date Amount Receipt — Elect'I Service PRMT DLH 41'l 2/99 $625 00 99-314440 Elect'l Final PLCK DI_H 4/12/99 $156.25 99-314440 5PCT DLH 4/12/99 $31.25 99-314440 Total $812.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or I work is s YOU to low les ed by the Oregon Soles areed for set forth n than OAR 980days 2 001 001ATTENTION 0 E oughNOARregon law 952-001-0080�Youu may olbtainucopes oftthese rules ord direlity ctquestions toron OUNC at(503), se 246-1987 -- Permit Signature: ������-___ Issued By: OWNER INSTALLATION ONLY ------------------- The insts'lation is being made on property I own which is not intended for sale, lease, or rent. ''VNER'S SIGNATURE: /✓�— -- — DATE: CONTRACTOR INSTALLATION ONLY ---------------..__ — 0ti1 A�l'4/C9 i i0�/ — DATE: - SIGNATURE OF SUPR. ELEC'N: LICENSE NO: — - — Calll 639-4175 by 7.00pm for ars inspection the next business day I CITY of Ti,atARn # -io 3e Electrical Permit Application Plan Check 13125 3W HALL SIND. Redd By Date Rec TF BARD OR 97223 f �� l` fP.E.- Phone d _ Date to P.E. Phone (103)639-4111,x304 Print or Type Date to DST Inspectit•n iGU3j 639-4'76 Incomplete or Incom illegible will not be accepted Permitil JL Fax(50.x)084-7297 p g p Celled I swf-f 1. �Aj,')Address: _ �-Ir� i4. Complete Fee Schedule Below: 00Cf_.e, V1, _.I�_�_l��'L- Number of Inspections per permit allowed '-- �J fNam, ,'..r name of busin�esss�)) P yyfd�,�S�S LCC._�` Service Included: Items Cost Sum Ad(r:a, _�+l .�f / � w s Rid- 4a. Residential-per unit .�-_, � -/-71000 sq.h.or less S 5110.00 q City,-,tatr 71^ i I G� � o k ?, � Z _ Each additional 500 sq.ft,or portion thereof $25.00 1 Comm. Residential Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68 00 2 2a. Contractor Installation only; (Attach copy of all cuff II enses) , Ins Services or Feeders Electrical C ntructor._ / Installation,alteration,or relocation 200 amps or less $60.00 2 Addr@ s 201 amps to 400 amps $80.0 _- 2 City _State Zip_ Phone No.:35- __ 401 amps 10 600 amps $120.00 _ 2 0 5-7 3 7�- 601 amps to 1000 amps $180.00 2 Job N0. Over 1000 amps or volts $340.0 _ 2 Reconnect only $50.0 _ 2 Elec.Cont.U,.e.No. Exp.Date /a -/ - OR State CCB Reg. No. dxp.Date - 4c.Temporary Services or Feeders C 7T Business Tax or Metro tp.Dl� - Installation,alteration,or relocation .'00 amps or less $5000 2 201 amps to 40 amps $75.00 2 Signature of Supr.Elee'n -;zL`'t i 401 amps to 61]0 amps $10$10 0.0 2 Over 600 amps to 100 volts, license Nr vS _Exp.Date U-4 -01 see"b"shove. Phone Nr - 4d.Branch Circuits New,alteration or extension per panel 2b. For O'vner Installations: a)The fee for branch circuits with purchase of.senlce or Print Owner's Name feeder fee. Address ___ Each branch circuit $5.x 2 t)The fee for branch circuits City_ State__- Zip without purchase of Phone No.._ _ service or feeder fen. 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 feeder not included) Owner's Signature___ - Each pump or irrigation circle _ $4U.00 2 Each sign or outline Ilghiing $40.0 -- 2 3. Plan Review section if required):* Signal circult(s)or a limited energy $40.0 2- panel,alteration or extension Minor Labels(10) _ $10.0 Please r•►-^ck appropriate Item and enter fee in section 5B. re residential units In one stricture 4f.Each additional Inspection ever _o JIce and feeder 225 amps or more the allowable In any of the ebtve System over 600 volts nominal Per inspection -- $55.0 - -. Classified area or structure containing special occupancy Per hour as described In N.E.C.Chapter 5 to Plant $55.0 _ - "Submit 2 sets of plans with apnilcatior where any of the above apply. J. !Fees: Not required for temporary construction services. Be.Fater total of above fees $ r Surcharge(.06 X total fees) 5 NOTICE . A .list $ 5b.ren„-r 25%of line Se for qq Z�� PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it (Sec 3) $ fir Ft r NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY CJ Trust Account 0 TIME AFTER WORK IS COMMENr'ED. i i c!=,1 balance Due 11nSTSV.I.r;Bfi 111N' Rey A/M, CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC98-00422 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9 PARCEL.: 1 1513 S133CC•00400 SITE ADDRESS: 14178 SW BARROWS RD 1 1X SUBDIVISION: SCHOLI-3 VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW FLOOR IFURN: 0 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: Scholis Village Bldg 11 Units identified as DBBBD Owner: _ FEES _ BARROWS LLC Type By Date Amount Receipt 2700 NE ANDRESEN#D22 PRMT DLH 4/12/99 $139.00 99-314440 VANCOUVER, WA 98661 PLCK DLII 4/12/99 $34 75 99-314440 5PCT DL.H 4/12/99 $6.95 99-314440 Phone:, p 9 3- • ;Toe) Total $180.70 Contractor: 13o/2IA16� ox REQUIRED INSPECTIONS Gas Line Insp Phone: Mechanical Insp Reg #: /�-�t-yam? Duct Inspection Misc. Inspection Final Inspection I his 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 Flans This permit wil, 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 -ollow 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 obtain ccQRG of these rules or direct questions to OUNC by calling (503)246-9189 Issue By: i-_:A Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD Mechanical Permit AP P licat'ion Plan Check Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Reed '7— TIGARD, OR 97223 _ Date to P.E. 69 V, 2 •7x- (503) 639.4171 r X304 �ej�d 11 Date to DST Print or Type Permitg Moe qq—(Y'/Z2' Incomplete or illegible a plications will not be accepted F Nana of oeveM4wor*woled I Description Table 1A Mechanical Code Price Amt Job street Address neo A PenrR Fee 10.00 — 1) Fumace to 100,000 BTU - Address t � r0u 1 ti _ Including duds&vents �' 6.M cltymtwe LP 2) Furnace 100,000 BTU+ L- Z� including duc.s&vents 1.50 Nana(«name of business) 3/ Floor Fumace Owner �aff(QLt_� LCL / r 0y1 41Including vent _(5.00 Me"Address r--- 4) Suspended heater,wall healer t)`Q�- r� or of nor mounted heater 6.00 '(''��(,� 5) Vent not Included In appliance permit CaytsweZip Phone b 3.00 r r u C �c�_-��v CHECK ALL Boiler Heat Alr ams(«sane M bushes:) THAT APPLY: or Pump Cond Qty Price Amt Com 6)<31i13;absorb unit to Occupant Mal"Addf°u 100K 9'fU 6.00 7)3-11,;HP-absorb unit Chtyfswe zip MIMI 100k tc 500k BTU _ 11.00 8)15-30 HP;absorb unit.5.1 mil BTU 15.00 ContractorT79)30-(10 HP;absorb J �L k C.UU unit 1-1.75 mil BTU I 22•r)O Prim to perm(( mwwv1Addr�ess� � 10)>50HP;absob unit issuance,s copy 59A I >1.75 mil BTU _ _ 37.50 of aA licenses zip Phone ,o�5 11)Air handling unit to 10,000 CFM are required If 1 illi - t*1 T--3 1 4.50 expired in COT CoraL C« Lk.M i cAwn Date 12)Air handling unit 10,000 CFM+ � database _ (-e-3= 7.50 ArChIt6Ct (� 13)N,)n-portable evaporate cooler 4.50 - " "1 14)Vent fan connected to a single dud 1 ' or4 /C0 `� 3.00 '15 5 `�"_ .`4- 4 /C U 15)Ventilation system not Inducer!in Engineer �►'�e y► zip pf10fN'��c, appliance unit 4.50 _ h Ile VW IUj/-r e1 m) y- 7/ u 16)Hood served by nw-chanical exhaust f7escrrbe work to be deme: _ N 4.50 17)DorrhEstk;Incinerators New n Repair O Replace with ince kind: Yes O No O 7'50 Residential O commercial O 18)Comme"Aal or industrial type Indnerator 30.00 Ae itional information cr description of work: 19)Repair units -- 4.50 20)Wood stove 4.50 21)Clothes dryer,etc. ri 4.60 22. Type of fuel: oil O natural gas O LPG O electric O 22)Other units 2 Z, 4.50 I hereby acknowledge that I have read this application,that the Information 25)Gas piping one to four outlets 6. given is coned,that I am the owner or suth:sizeJ agent of 2'00 the owner,that plans submitted are in romr(ianc*with Oregon State laws 24)More than 4-per outlet(each) .50 Signature of OwnerlAgent --- Date—Y_---- - *SUBTOTAL 1 LL 5%SURCHARGEPwo" (�.4 Nath Phone� PLAN REVIEW 25'14 01"SUBTOTAL U _ � r _ R.eq,:trod for ALL commercial pennits on ~),A Eva S ��'�7 j- TOTAL ...r ., *Minimum permit fee Is=25 6X surcharge ••Peskiential AIC requires site pian showing placement of unit ia%medpm3.doc rev 06/23/98 CITY OF TIOARD _— PLUMBING PERMIT PERMIT#: FLM98 00342 DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4112/99 PARCEL: 1 S133CC-00400 SITE ADDRESS: 14178 SW BARROWS RD 11XX ZONING: R 25 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES JURISDICTION: TIG BLOCK: LOT: 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 —T 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: Scholls Village Bldg 11 — FEES Owner: Type By Date Amount Receipt BARROWS LLC PRMT DLH 4/12/99 $1,093.00 99-314440 2700 NE ANDRESEN#022 PLCK Dl_H 4/12/99 $273.25 99-314440 VANCOUVER, WA 98661 5PCT DLH 4/12/99 $54.65 99-314440 Total $1,420.90 Phone 1: --- Contractor: 41F W41 u/2G- REOUIRED INSPECTIONS Sewer Inspection Phone 1: Water Line Insp Reg #: // 0 D Water Service Insp PLM/Underfloor Top-out Insp Stone Drain Insp Rain Drain Insp 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 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 c,,lling (503) 246-1987. Issued By: Znl' _ Ferrnittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business, day CITY OF TIGARD Plumbing Permit Application Plan Che(*# 1 a112C- SW HALL BLVD. Commercial and Residential Recd By TIGARD OR 97223 Date Recd 9-.N-7r 533 639-4171 I r� Date to P.E. i Print or Type Date to QS - Incomplete or illegible applications will not be accepted Permit PRelated SWR# a✓�MAW �S Called F_/� Name of Qevelopmenup Jed. d rildua,� O Job , Sink - 9.00 747 t} &As Lavatory 9.00 Address at. 1..5�' C(70( f7c l Tub or Tub/Rhower Comb. 9.00 0 Bldg 9t/Stale zip , Shower Only 9.00 `lcy� ��n�- Water Closet ---- / 9.Oo L'1 j. Na l - 1�_ C 1 Dishwasher 9.00 °° Malls Ad�djresa Suite Garbage Disposal 1� 9.00 e Owner Lk> N� V75( Z ---� - Washing Machine 9.00 �� C" /State Zip Phone t / 'O 1 Flee Drain/Floor Sink 2' 9.00 N / 3' 9.00 Name -- 4' 0.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 D Gas piping requires a separate mechanical permit. City/State Zip Phone Lawidry Room Tray - 9.00 Urinal 9.00 1, Name ,/�T� 1 p_ _e Y, � �` Other Fixtures(Specify) 9.00 Contractor ailing Address r� Sune(}� 9.00 ��i�7 r_ . .yGl�v► 9.00 Prior to permit /Stale �j Phone S p3 Sewer-1 at 100' / 30.00 QrG Issuance,a copy ( Y k oU Sewer.each additional 100' / 25.00 of all licenses are Oreg Co a nt.Board Ue.t! Ftp.Dale -- O r Water Service-1st 100' 30.00 required H 10.� '��3� r� Z- 1 � v expired In COT Plumb ng fp t le Water Service-each additional 200' f 25.00 database - �J 1 r' -`�C Storm R Rain Drain-1st 100' 30.00 vs -- NameUCS Storm b Rain Drain-each additional 100' �� 25.00 Architect ( Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prever&,n Device or Anti- 25.00 Zvi\r-,, Pollution Device EngineerM/S to , p Phone Z i Residential Bad flow Prevention Device' 15.00 ' ev (t f _'1 1 ( dgiation rims devices require a separate Desai work to be done: restricted energy permit.) New Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Reslde al O Commercial O Catch Basin 9.00 Additional escription of work: Insp.of Existing Plumbing 40.00 rthr Specialty Reqs.fisted Inspections 40.00 _ per/hr _ Rain Drain,single family dwelling ! 30.00 �' z_) Are you capping,moving or replacing any fixtures? Grease Traps s•a Yes O No O - If yes,see back of form to Indicate stork performed by -- QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE leomeftordwdlagremisrequired NOuarrieyTotal b >9 WORK COULD RESULT IN INCREASED SEWER FEES._ *SUBTOTAL hereby acknowledge mat-1haw-read this application,that the information (r given Is cored,that I am the owner or authorized agent of the owner,and _.. . . 6%SURCHARGE lL�, that plans submitted are In compliance with Oregon State Laws. _ Signature of Owner/Agent Date "PLAN REVIEW 25%OF SUBTOTAL j 7 ReWirad only 9 fixture qty.total Is>9 Corti Person ante Phone TOTAL ;Minimum permit fes B$25+596 surcharge,e?rcepI Realdengal addluw f/�(il t7l) '77c- Prevention DeAce,which Is$15+5%surcharge "All New Commercial Buildings require plans with Isometric or'flaer diagram ` and plan review dgeoltm .doe717J" t r ' r app �ceW �a, 9& CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR98-0025- 7 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/12/99 SITE ADDRESS; 14178 SW BARROWS RD 11XX PARCEL: 1S133CC-00400 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES BLOCK_ ZONING: R-25 --- LOT: _ JURISDICTION: TIC TENANT NAME: SCROLLS VILLAGE BLDG 11 USA NO: FIXTURE UNITS: CLASS OF WORK: NEW 0 TYPE OF USE: MF DWELLING UNITS: 5 NO. OF BUILDINGS: 0 INSTALL TYPE: LTPSWR IMPERV SURFACE: 0 Remarks: Scholls Village Bldg 11 RE: PLM98-0342 Owner: _ FEES BARROWS I_LC Type By Date Amount Receipt 2700 NE ANDRESEN#D22 -- _ VANCOUVER, WA 98661 PRMT DLH 4/12/99 $11,500.00 99-314440 INSP DLH 4/12/99 $45.00 99-314440 Phone: Total $11,545.00 Contractor: Phone: Reg #: _Required Inspections Sewer Inspection 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 the distance given. If riot so located, the installer shall purchase a"Tap and Side Sewer" Pennit 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 952-001-00 10 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: � ;' � �- `�_. Permittee Signature: y Call (503)(503) 639-4175 by 7:00 P.M. for an inspection needed the next business day L Main office Branch office P.O. Box 23814 4060 Hudson Ave., NE Tigard, Oregon 97281 Salem, OR 97301 Carlson Testing, Inc. Phone (503) 684-3460 Phone(503)589-1252 t7� FAX (503)684-0954 FAX (503) 589-1309 Special Inspection September 3, 1999 FINAL SUMMARY LETTER #99-1123J City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn Building Department Re: Scholls Village Condominium Development — Building #11 14178 SW Barrows, Tigard, OR Permit No.: BUP980395 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 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, CA -SO ESTING, INC. . Hietpas it Assurance Manager r JF dk cc: Polygon Northwest Company — Ron Lightner CT Engineering Milbrandt Architect P WORMPE POP TSTINUR'M9-1123J CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEPERMIT#: BUP98 00395 DEVELOPMENT SERVICES DATE ISSUED: 04/12/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS: 14178 SIN BARROWS RD 11 XX COPY SUBDIVISION: SCHOLLS VILLAGE I FILE BLOCK: LOT: 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, Bldg 11, Units 1, 2, 3, 4, 5 Final Building Inspection and Certificate of Occupancy Apprc ved 11/30/99 by Rick Bolen, Building Inspector Owner: BARROWS LLC 2700 NE ANDRESEN#D22 VANCOUVER, WA 9866 1 Phone: 360-695-7700 Contractor: POLYGON NORTHWE;.;T CO PO BOX 1349 BELLVUE,WA 98009 Phone: 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 Code for the group, occupancy, and use under which the referenced permit was issued. yJ BUILDING INSPECTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE \ - ELECTRICAL PERMIT- CITY OF TIGARDRESTRICTED RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00316 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/22/1999 PARCEL: 1 S133CC-00400 SITE ADDRESS: 14178 SW BARROWS RD 11-5 SUBDIVISION: SCHOLLS VILLAGE I ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG Project Description: Low voltage alarm installation. A.RESIDENTIAL __ B.COMMERCIAL — — AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: ALARM X _ TOTAL#OF SYSTEMS: 1 Owner: Contractor: BARROWS L L C BRINKS HOME SECURITY BY POLYGON NORTHWEST 8080 SW CIRRUS DR PO BOX 1349 BEAVERTON, OR 97008 BELLEVUE, WA 98009 ORIGINAL Phone: 641-0574 Phone: Reg #: SUP 2650JLE LIC 00044421 ELE 34166CLE FEES Required Inspections _ Type _ By Date Amount Receipt Low Voltage Inspection l PRMT KJP 12/22/199E $60.00 99-320614 Elect'I Final `iPCT KJP 12/22/199 $4.80 99-320614 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oreqon law i squires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAF,' 952-001-00 10 throu�q R 952-001-0080 You may obtain copies of these rule$6r tf rect �uestions to QUN�1 �t (503) 246-1987 Issued by a.._� Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: ^_ ---_ DATE: __— CONTRACTOR INSTALLATION ONLY — SIGNATURE OF SUPR. ELEC'N -� �L DATE:--_— LICENSE NO: -- - - -- -� Cali 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by. 13125 SW HALL BLVD Date Rec'd:_ TIGARL7 OR 972.23 PRINT OR TYPE V• 503-639-4171 X304 Permit#: CL F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_ WILL NOT BE ACCEPTED Name of Development Project __TYPE OF WORK INVOLVED-RESIDENTIAL ONLY r Restricted Energy Fee........................................ $60.00 kc (FOR ALL SYSTEMS) JOB Street Address Ste# ✓ r f0� Check Type of Work Involved ADDRESS 11-41 Cit / tate Zip Phone# ❑ Audio and Stereo Systems Na 4— ❑ Burglar A:ar:n t —1 t Y-1�- ��---- ❑ Garage Door Opener' OWNER MailinP Addressx �ty`Slatp J�l — Zi P c r� Heating,Ventilation and Air Conditioning System" F S II II �— WAc�rP J Vacuum Systems- Name 1 CONTRACTOR Maili f d ress �- �6 'L ( TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a ity/State Zip hone# Fee for each system.................. ........................... $60.00 copy of all licenses -Qt �'J (SEE OAR 918-260-260) are required if Oregon Contr Brd Lic # Exp Date 7h� expired in C O 7 o LiuyAL I _—_— (���f Check Type of Work Involved data base) Electrical Contr i # Ex Date V ❑ ') Audio and Stereo Systems COT or Metro Lic # Exp Date ��_ — ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this [J HVAC permit and to do the following ❑ Instrumentation I Only use electrical licensed persons to do installations where required Certain residential cnd other transactions are exempt from licensing ❑ Intercom and Paging Syster,is These have asterisks('). All others need licensing, 2 Call for inspections when installation under this permit are ready for ❑ Landscape Irrigation Control" inspection at 503-639.4175: �❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdour Landscape Lighting" inEpector are done.and. ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the C v�`I� corrections are completed � Other N Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if works suspended for 180 days — Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations authorized to bind the applicant FEES: Signature - �NJER FEES J° W.SURCHARGE I.A�X TOTAL.ABOVE) S Authority if other than Applicant — OTAL $ AsWfornns�resele doc 3/98