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14184 SW BARROWS ROAD
Building 8 �a
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --
BUP _
Dates SU)
��LQAM PM BLD
Location_��� SU) � �l� I�G�- Suite ___ MEC —
Contact Person Ph � q-�G�- PLM
Contractor —� c" Ph SWR
BUILDING Tenant/Owner �I_�,v(�S (Jl �C (QZ�1 ko,-X� ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig 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
Misc:
Final
PASS PART FAIL
PLUMBING
Post& Beam - -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final `-
PASS PART FAIL
MECHANICAL
Post& Beam —
Rough In
Gas Line — --- --
Smoke Dampers
Final
PASS P.4,RT FAIL
CTRTC�'it'
acviee-_
Rough In
UG/Slab
Low Voltage
Fir Alarm
ASS 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 [ ]Please call for reinspection RF [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk _ _ ` (�
Other Date /�. �D ` ( Inspector _ _ -Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM --PM By
Location `'f� _ Suite _ MEC
Contact Person PhG G X- - PLM
Contr r Ph SWR
G TenantlOwner ELC _--_
Retaining Wall ELR
Footing Access: FPS
Foundation - —
Ftg Drain SGN
Crawl Drain Inspection Notes
Slab - -- - ._-- SIT
Post 8 Beam ------------ �_i
Ext Sheath/Shear
Int Sheath/Shear 1 ��
Framing 1.�.` �� lit,✓1 0 ----- ---
Insulation
Drywall Nailing
Firewall
•'fire - _
ire A�m. Z� V
Susp'd Ceiling
Roof
Misc _ --
S i PART FAIL -
BING �g jS -
Post Beam
Under
Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains r 1 C -
Final
PASS PART FAIL
MECHANICAL
Post& Bearn
Rough In C:,�,NrQ
Gas Line {�--
Smoke Dampen
Final - -
PASS PART FAIL
ELECTRICAL --- - —
Service
Rough In
UG/Slab -
Low Voltage
Fire Alarm -
Final
PASS PART FAIL
1 SITE
Backfill/Grading ---'- +-
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to Inspect-no access
Fire Supply Line [ J Please call for reinspection RE _ [ 1
ADA
Approach/Sidewalk Date ' f!1 Inspector— `r l /' Ext
Other -
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 -��
BLIP
_
Date Requesteed� AM PM BLD
Location ly`� 51L& 2V_ l __ Suite MEC
Contact Verson A)(4 Ph o - 1 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ��'N-o�� U �buJ41 _ ELC
Retaining Wall ELR
Footing Access. FPS
Foundation —-
Ftg Drain SGN
Crawl Drain Inspection Notes: -----
Slab — SIT
-------------
Post 8 Beam -----_-----^- -
Ext Sheath/Shear I ---------- - -
Int Sheath/Shear
Framing --- -
Insulation
Drywall Nailing - --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -- — - --- - - -
Roof
Misc. --- --
Final
PASS PART FAIL - - - - -
c MB I
Post&Beam
Under Slab --
Top Out
Water Service --
Sanitary Sewer
Rain Drains
PART FAIL _
CHANICAL
Post& Beam
Rough In
Gas Line - - - --
Smoke Dampers -- - _
Final --
PASS PART FAIL
ELECTRICAL
Service -- -- - --- - -- - - _
Rough In
UG/Slab ----- --- ---- -
Low Voltage
Fire Alarm - -- - — —
Final
PASS PART FAIL — -- - — —SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE [ J Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector //y( Ext �J
Other
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION AB
ST
24-Hour Inspection Line: 639-4175 Business Line: 639-41
i� UP � -GY� 3ADate Requested /( !J r I AM RMLD
Location /419 nn rOS ��--- Suite C C MEC gJ-67VYIS
Contort Person
s� -e PtJ�--� Ph `� ��0 7��" U' � PLM
Contractor kt.,t) ' Lt)al e _ Ph 1C)&l ✓)u�l'Jc� SWR
h%b
UILDII� Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing `'-
Insulation y ��� `
Drywall Nailing -+'� `� r"
Firewall
Fire Sprinkler
Fire Alarm V� '
Susp'd Ceiling
Roof
S PART FAIL
BIND
Post& Beam n
Under Slab 1�, ; J+ I — _
Top Out
Water
ar�itary Sewer
Final
PAS . -- Ai4.
< ECH NIC — T-- —� - �-
Post eam -- ------ ---
Rough in
Gas Line — — - - --- -- —
Sn%ke Dampers
drin So PART FAIL
TRICAL }
Service
Rough In
UG/Slab �-
Low Voltage "L
Fire Alarm t X
Final
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ i Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RF \ [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk �/ ��..—�
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspeetlen record from the job site.
CITY OF TIGARD BUILDING P
DEVELOPMENT' SERVICES PERMIT
PERMIT #. . . . . . . : BUF'98-0389
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 04/01 /99
PARCEL: 15133CC -00400
ITE ADDRESS. . . : 141.84 SW BARROWS RD #8XXX
SUBDIVISION. . . . : ZONING:R-2c
DL_OCK. . . . . . . . . . . I....OT. . . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: C7 FLOOR AREAS-_.___-.-...-._.._._._. EXTERIOR WALL. CONSTRUCTION
CLASS OF' WORK. : �'Q FIRST. . . . : 0 sf N: S: E: W:
TYPE'. OF U53E". . . :MF SECOND. . . : 0 s f PROTECT Or1EN I NGS'?___—_--.--__.-.-.
TYPE OF CONST, :5--1 HR . . . . 0 s f N: S: E: W:
OCCUPANCY GRP. :R 1 TOTAL--- - : 0 Ei f ROOF CONST: FIRE PET' :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED
:,TOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MF_.ZZ? : REDD SETBACKS—--
F1 OOR
ETBACKS—_.___---FI.._OOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft FIR SFIKL:Y SMON DET. . ;
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICF1 ACC:
BEDRMS: 0 BATHS: 0 GMP SURFACE: 0 k'F',O CORR: PARKING: 0
VALUE. $ : 7985
R e m;a r k s : Sprinkler for new four (4) unit oulti-fasily dwelling.
Owner: --- __.._____.___..---._.._______________-._________..____.._ _.__.__.. FEES
BARROWS LLC/PLOYGON NORTHWEST type amoi.tnt by date recpt
1 70
C..0 NE ANDRESON PRMT $ 68. 50 BED 04/01 /99 99 - 314215
D__212 SPCT $ 3. 43 BED 04/01/99 99---314215
VANCOUVER WA 98661 FIRE. $ 27. 4O DRA 03/16/99 99-31371.0
Phone #: 360-6,95-7700
rontr actor : _._---•----___._.._..---
F'I RE SYSTEMS .4FST INC
rw SF mnRITToiE AVE #300
VANCOL.Il1FR WA 9866- 1
Phone #: 360-693-9906 $ 99. 313 TOTAL
Reg #. . . 49732
----REQUIRED ACTIONS or INSPECTIONS;
This permit is issued subject to the regulations contained in the Sprinkler Ror.tgh— _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 day=. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAP 952-001-9010 through OAR 952-00101987.
You nary obtain a copy of these rules or direct questions to OLINC
by calling (503)246-1987.
Permittee Signatr.tre : __. ...__. � Issr_ted By : _
f++++++i•++++++++++++++++•t++++++++++++++•+++++++.+++++-+++++++++++++-++++++++++++++-
Call 639-4175 by 7:00 p. m. for- an inspection needed the next bLtsiness day
4 4-++4-+++++-4++++++++4-++++++++++++++++++++++++++++++++++++++++++++•++.4-+++.+-++++++-+
Fire Protection Permit ApplicationPlan cne,:ISJi� ` `
CITY OF TIGARD :commercial or Residential Recd By;,; i
13125 SW HALL BLVD. Date Recd b7
TIGARD, CR 97223 Print or Type Date to P.E,'
(503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepted Date toD�T � I
Permit a 1 mi - .3 j
Called
Job Na of vel �t,en r a Type of System (Complete A or B as applicable)
Address Address — —"'�-
JE A.)Sprinkler 'Net Dry L]
Na� i -- Standpipes --
I c��lb.1ts
Owner MMI ss M erd G
2 o_ ►h Additional t �/a ( nar' e."',V10
C y/Stste Zip Phone w Information Density
Name De�;'Gpm
n Are "7"=�J _
Occupant Mailing Address K. or ._
_ 3. S
City/State , Zip Phone A.1) Sprinkler Project valuation
Contractor N,me B.) Fire Alarm
(Sprinkler or r41!_S 4 y-4 f Wes f _
Alarm company) Me ling A roes Submittal Shall Include Battery Calculations YES C]
Prior to permit �Q _S �>t ue ,X
Issuance,s Cltyistate Zip Phone Individual Component YES 0
copy _ Cut Sheets_
L
all licenses rlt�G✓G- ( - 81) Firr.Alarm Project Valuatiun $
ro required If State Const Co t.Board LIc A Exp. Date
ired In Cot T3 Z Project Valuation Subtotal(A d�or B)
database $ ��5.-�0
aR1B ,'/ Permit fee based on valuation $
n r r Jb�-a �
ArchitectMai���eroas Tic .5� 4'-/60 ��- (see
Q% Surcharge $
Aaty/S0� Phone ftr-07/-' FLS Plan Review 40% of Permit $
Describe work - A,)New 7 Addition O Alteration O Repair O TOTAL
to be done $ r�
B) Modification he s sprinkler heeds only: Pians re ulred Submit three sets of plans,Including a vicinity map snd
t. 1-10 heads-No plans required 4 9 hY
2 11-Plan review required the Jocation of the nearest hydrant.
1 hereby acknowledge that I have read this application,that the information given is
_ Number of sprinkler heads: ou+rect,that I am the owner or authorized agent of the owner,and"t plans submitted
Additional Description of Work'
-- — are in compliance with Oregon State laws
Signature of Owner/A Date
A.)In Existing Building U New Building ���
Building co Na Phone
Data B.) Commercial p Resklentiat S-Z ^5
FOR OF CE USE ONLY:
No. of stories I
Sq.Ft:
--?Lt'o 7 _ Notes
Occupsr�y CII Type o1 Construction
hr L
is\dsts\forms\firesupr.doe 11/5/98
CITY O TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Bled., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : SW R98-0;56
DATE ISSL.IED: 03/29/99
PARCEL: 1 S 133CC---004OO
.SITE ODDRESS. . . : 14184 SW BARROWS RD #BXXX
SUBDIVISION. . . . : ZONING: R-25
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: 'riG
-----------------------------------------------------------------------------------------
TENANT NAME. . . . . rBARROWS LLC/POLYGON NORTHWEST
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELL_I NG Ul I I TS. . : 4
TYPE OF USE. . . . . :MF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :LTPSWR I MPERV SURF.=ICE: 0 s f
Remarks : Sewer for new foi-rr (4) r.mit multi-family dwelling.
Owner: _______.____,_.___.____.____.___________.___.__.______-._.__._____-- FEES ---------------
BARROWS
----------_- -
BARROWS LLC/PLOYGON NORTHWEST type a;nor.rr;t by date recpt
P700 NE ANDRESON PRMT f 9200. 00 DES 03/23/99 99-31.4050
D-22 INSP $ 45. 00 DEB O3/29/99 99_-314050
VANCOUVER WP 98661.
Phone #:
Contractor: ---._-------------------.----_-._
OWNER
--------------------------------------------------
f 9245. 00 TOTAL_
Peg #. . .
-------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
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 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
952-901-018 through OAA 952-MI-SBA. You may obtain copies of
these rules or direct """tions to by calling 15031246-1987.
Issued by : Permittee Si gnat:r.rre: ;sJ -
+-F+++++++++++4•+++++++ +h++4-4.4-4-4-++++++,+++-4++++++++++•4..4.4+++++++++++++++•+++ -+++++++
Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day
++++++i+++++++++it+++++++++++++++++++++++++++++++++++++++++++r+++++++++++++++++.f
_ 1
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM98-0341
ik 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 03/29/99
PARCEL- IS133CC.-00400
SITE ADDRESS. . . : 141.84 SW BARROWS RD #8XXX
SUBDIVISION. . . . : ZONING: R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 4 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : 4 BACKFLOW PREVNTRS. . : 0
f)CC(..JPANCY G RP. . -R t FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 4 CATCH BASINS. . . . . . . : 0
FIXTURES---------._-_-_ I...(.ILJNI)RY 'TRAYS. . . . . : 0 SF RnTN DRAINS. . . . . : 'i
SINKS. . . . . . . . . . 4 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 14 OTHER FIXTURES. . . . : 0
TUB/SFIOWERS. . . : 6 SEWER LINE (ft ) . . . : 400
WATER CLOSETS. : 12 WATER LINE (ft ) . . . : 400
DISHWAS14ERS. . . . : 4 RAIN DRAIN (ft ) . . . : 400
Remarks : P11-imbing for new foo.ir (4 ) i-Init int.titi-family dwpll. ing.
Owner: FEES
BARROWS LL.C/PL-.OY(-3ON NORTHWEST type ainoi.int by date recpt
C700 NE ANDRESON PRMT $ 896-. 00 DEB 03/29/99 99-314050
D-22 P 1—C K $ 224. 00 DEB 03/29/99 99--314050
VANCOUVER WA 98661 5PCT 44. 80 DEB 03/29/99 99-314050
Phone #:
Ca nt Sac ,or--.
DAYTON PLUMBING INC
1150 INDUSTRIAL WAY
#105
NEWBERG OR 97132
Phonp #- 537--5036 $ 1164. 80 TOTAL
Reg #. . : 000113 REDUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sewer Inspection Storm Drain Insp
Tigard Municipal Code, 9+atp of Ore. Specialty Codes and all other Water Line Insp Rain Drain Tnsp
applicable laws. All work will be done in accordance with Wat e Line Insp Rain Drain Insp
approved plans. This permit will expire if work is not started Water Service In Misc. Inspection
within 180 days of issuance, or if work is suspended for more Wa t e r Service In RFI/Backflovs Prev
than I80days. ATTENTION: Oregon law requires you to follow rules Rol-tgh--in Insp Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are Roi.tgh—in Insp Final Inspection
set forth in OAR. W-MI-NIO through OAR 952-008I-*80- You may PLM/Underfloor
obtain copies of these rule, nr direct questions to OUNC by calling PLM/Un d P r f I o o r
(903)246-1987. Top--ot.tt Tnsp
Top—ovit Insp
Storm Drain Insp
I s s it eLFSky Permittee Si gnat i-trel-
++++++ 1-++++.4-++++++++-++4-++-+--4-+4-+++++-+-+++++++-1-•+++++.4•++++++•+++++++++++++++f 4+++ 4-
Call 639-4175 by 7:00 P. m. for- an i n s pert inn needed t he next bi-ts i n e s 5 day
........................f...........4-++-+++4......................4................
CITY OF TIGARD Plumbing Permit Application Plan Check@
13125 SW HALL BLVD. Commercial an4 Residential{ Recd By /
TIGARD, OR 97223 r� I j;�� 1� l � Date Recd
(503) 639-4171 ;,. f!<6 J I r:7 - ' Date to P.E.
Print or Type Date to DST e,'
Incomplete or illegible applications will not be accepted Perm it
Related SWR
Called OWL "79
Name of Development/P Jeot
Job 6 , G Sink 4 9.00 °o
Address Streetzy
Ra �Ca Suite Lavatory 900 / rd/. 00
i ti kRl Tub or Tub/Shower Comb. 9.00 U
Pldg*�L tale ()� p� Z Shower Only _ 9.00
Na j // Water Closet 9.00 , 9)
Dishwasher 11,00 °
Owner Mailing Address Sidle Garbage Disposal 9,00
Washing Machin9.00 ,p0
/State Zip Phone �� ..
�l`(�LC�1 A,lj b�Ll Floor Drain/Floor Sink 2' 9.OU
Name ./ 3- 9.00
4- 9.00
Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 a
Gas piping requires a separate mechanical permit. y u
City/State Ap Phone Laundry Ron It Tray 9.00
Urinal 9.00
� w< Yu•
Nemo rr_ _ei1i Other F-ix!ures(Specify) 9.00
.I
111W S UL
contractor Man dress Atm syee 9.00
Prior to permit /state ��7�p Phone Spm Sewer-1st 100' / 30.00 V •e
Issuance,a copy L 0 Z 51-11 — Sewer..each additional 100' 3 25.00 00
of all licenses are Oreg Gust.Coard U .l �cDate
1°,
required H GuZ - ) Water Service-tsl 100' 30.00
1J'o?t LiY _
expired In COT Plumbing >« Date _,t Water Service-each additional 200' 25.00
database 4 . -?D 11-30-`�U Storm&Rain Drain-tat 100' / 30.00 6-1
r.e
Name —inn 6 Rain Drain-each additional 100' 17 25.00 00
Architect M\'
\ \Vaal cAq mobile Home Space 25.00
or Mailing Address Suite Flow Prevention Device or AnH- 25.00
�� 1 N Sc. �c � 1i t-A-) PolluUon Device
Engineer /S le p ,1� Phone z�- Residential Backflow Prevention Device- 15.00
_ *Te"v Lt C �l —10c) (Irrigation timing devices require a separate
Desai work to be don: restricted energy Penfl•)
New 4K Repair O Replace with tike kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00
Reside al O Commercial O Catch Basin 9.00
Additional description of work: ---
Insp.of Existing Plumbing 40.00
pe
rmr
Specialty Requested Inspections 40.00
per/hr
Are you capping,moving or replacing any fixtures? Rain Drain,single family dwelling 30.00 n, ,
Yes O No O Grease Traps 0.00
If yes,see back of form to Indicate work performed by
fixture. FAILURE TO ACCURATELY REPORT FIXTURE a riser QUANTITY TOTAL
laometric ser diagram b rcqulred N Quantity Total b >9
WORK COULD RESULT IN INCREASED SEWER FEES. — *SUBTOTAL
1 hereby acknowledge that I have read this application,that the Information Q"` '
given Is correct,that I am the owner or authorized agent of the owner,and 6%SURCHARGE
that plans submitted are in compliance with Oregon State Laws.
Signature of Ow�dAgent Date - "PLAN REVIEW 26%OF SUBTOTAL
R uked only If fixture qty.notal Is>9
TOTAL
conftd Pert Name Phone
" _: *Minimum permit fee Is$25+5%surcharge,except Residential Baddlow
/ l Prevention Device,which Is$15+5%surcharge
"All New Commerclal Buildings require plans with Isometric oa rl3etdlepram
and plan review
do"W"P.&L.7R/aa '
Ye)
1
/A\ CITY CF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98-0579
"FAFM DEVELOPMENT SERVICES DATE ISSUED: 03/29/99
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
PARCEL: 1S133CC--00400
SITE ADDRESS. . . : 141.84 SW BARROWS RD #113 X X Y,
SUBDIVISION. . . . : ZONING:R-25
BLOCK. . . . . . : LOT. . . . . . . . . . . . . . .JURISDIC'TION: TIG
Project Des cri pt ion: Electricial for new four (4) unit multi-family dwelling.
- --RESIDENTIAL UNIT ---- ---TEMP' SRVC/FEEDERS---- -------MISCELLANEOUS---
1000 SF OR LESS. . . . : 4 0 - 200 wimp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
FACH ADD' L 500SF. . . : 3 201 - 400 amp . . . . . : 0 SIGN/OUT LINE LTG. . : 0
I__IMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
-- --SERVICE/FEEDER---- -----BRANCH CIRCUITS------- ---ADD' I. INSPECTIONS——
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
='01 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 — 1000 amp. . . . . : 0 --.—__-----_.._.___.__.----FLAN REVIEW SECTION------------------
I000+ amp/volt. . . . . : 0 ) =4 REG UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Rer.onnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: _.___________.________.____._._____________________--_____ FEES
BARROWS LL.0/PI_OYGON NORTHWEST type amol.int by date recpt
E'700 NE ANDRESON PRMT $ 515. 00 DEB 03/c3/99 99-314051
D-22 PLCK $ 128. 75 DEB 03/29/99 99-314051
VANCOUVER WA 98661 SPCT $ 25. 75 DEB 03/29/99 99-314051
Phone #:
Contractor:
PRAIRIE ELECTRIC: INC $ 669. 50 TOTAL
6000 NE 88TH STREET
------- RELIUIRED INSPECTIONS --
VANCOUVER WA 98665 RoLigh--in Elect' I Final
Phone #: 360-573-2750 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 app-oved plans. This permit will expire if work is not started within 198
days of issuance, or if work is suspended for more than 198 days, ATTENTION: Oregon lawrequires you to follow the rules adopted by
the Oregon Utility Notification Center, Those rules are set forth in OAR 952-881 OAR 952-01-1987. You may obtain a copy
of these rules or direct questions to OIK by calling (583)246-1987.
r
Permittee Signati_ire : .�_� IssLie By:
......_________.__._______.___.__.._._OWNER INSTALLATION ONLY------------------------- -------
The
-----___—_--__--_—_—__—_ -----_.The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTA LATION ONLY----------------------
SIGNATURE
---------------------SIGNATURE OF SUPR. ELEC' N: DATE:
LICENSE NO:
+ +++++44+-4-+-++4-++++4-+++4.............................4.................4 .............
Call 639-4175 by 7:00 p. m. for an inspection nFeded the next bi-tsiness day
4--+-4-++++++-++++++++.++++++++++++.++++++++++++++++++++-+, .............................
CITY OF TIGARD Electrical Permit Application Plwi Check
13125 SW HALL BLVD. Rec:'d By
TIGARD OR 97223 (� Date Rec'd__
Date to P.E.
Phone (503)639-4171, x304 .
Print or Type Date to DST �L
Inspection (503) 639 4175 Permit a /�
Incomplete or iilegible will not be accepted
Fax (503) 684-7297 Called �r�?
1. Job Address: 4. Complete Fee Schedule Below: ��ixE�r fir's
� �
Name of Development_ 1. Number of Inspections per permit aII0 >�
Name(or name of businepss) _ rtc_ Service included: Items Cost Sum
Address_I I �t �L�/� �,/ t'f'�(C �(� 4a. Residential-per unit
I OWCI /State/ZI l 61(tel.� 7 Each adsq.ft.Or less _y $110.1X) 4
ty p_-_ ✓ - �� � h�. Each additional 500 sq.ft.or
Commercial ❑ Residential
portion Energy
thereof $25.00 1 >
I.im�'od Energy $25.00
Each Manurd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder _. $58.00 2
Attach co or all curr II ens 4b.Services or Feeders
( PY es) �
Electrical Contractor t io Installation,alteration,or relocation
Address n
200 amps or less
m e $"0'°° 2
+���-�� 201 amps to 400 amps $80.00 2
City e-c� ` State_ _Zip S(2(�_ � 401 amps to 600 amps $120.00 2
lsa U < - 01 amps to 1000 amps Phone No. .�� 3 ��,?�"� 6 P P $160.00 _-- 2
Job No. over 1000 amps or volts $340.00 2
Elec.Cont. Lice.No. 'q-2JL_Exp.Date_ v- t - Reconnect only ^� $50.00 _._ 2
OR State CCB Reg. No. 01 Exp.Date 5�S^r 4c.Temporary Services or Feeders
COT Business Tax or Metro N .� �' _Exp.Date �G -/ Ti( Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n_ Z`Ef ` 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License Nr 0a S Exp.Date.�U /�� see"b"above.
Phone Nr -_- l: =
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)the lee ler branch circults with
purchase of service or
Print Owner's Name feeder:ee.
Address Each branch circuit v $5.00 2
- - - - - b)The fee for branch circuits
City._ _ Mate.__ Zip - 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 seeder not included)
Owner s SignatureEach pump or Irrigation circle $40.00 2
Each sign or outline lighting $40.00 _ 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 F6. Minor Labels(10) $100.00-"-
__4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour __ $55.00
as described in N E.C.Chapter 5 In Plant $55.00
"Submit 2 sets of plans with application where any of the above arply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $
NST Subtotal $
6b.Enter 25%of line 6e for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewffrreguired(Sec.3) $
NOT COMMENCED WITH!N 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 k_ $
Total balance Due
1 V75t SV'lCYO AfM' Rav 99fi -
CITY OF TIGARD MECHANICAL
PERMIT
! ��EVELOPMENT SERVICES F'E�RMIT #. . . . . . . : MEC98-0418
13125 SW Hall Rlvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 03/29/99
PARCEL: 1S133CC-00400
bi7E AnDRESS. . . : 141134 SW BARROWS RD #8XXX
iUPD I 1!13 I ON. . . . : ZONING: R--25
BLOC". . . , . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG
CLf,ZJE OF' WORK. , - NEW FLOOR FURN. . . . : 0 F_.VAP COOLERS: 0
' 1'PE OF USE. . . . :MF UNIT HEATERS. . : 0 VENT FANS. . . : 12
OC.UGANCY GRP. . :Rt VENTS W/O APDL: 0 VENT SYSTEMS: 0
STOR"E";. . . . . . . : 3 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
1 FUEL. "YF'F'S _._..__.______..._.-_-- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
•fiAS 3-15 HP. . . . : 0 COMML_. i NC T N: 0
I NPL}( : 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
IRE DAMPERS?. . : 30--50 H1='. . . . : 0 WOODSTOVES. . : 0
CTAS PRESSU! E. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 4
NO. OF UNI?S----------- AIR HANDLING UNITS OTHER UNITS. : 4
FURN ( !00k BTIJ: 0 (= 10000 r f m : 0 GAS OUTLETS. : 4
TURN ) =100K BTU: 4 > 10000 r_fm : 0
Remark s : Mechanical for new four (4) unit multi-family dwelling, - Units
identified as DBBU
Owners _____._____..._______._._.___.______.__.________ _---_.._.---•---._._._ FEES
PARROWS L_LC/PLOYGON NORTHWEST type amol_int by date recpt
'700 NE ANDRE SON PRMT f 1 14. 00 DEB 03/29/99 99-31405in
D--22 F'►_CK $ 28. 50 DEB 03/29/99 99-314052
VANCOUVER WA 98561 5PCT $ 5. 70 DEB 03/29/99 99--31405:
Phone #:
FROSTY' S HEATING & COOL.ING
FROST ENTERPRISES INC --------------_._----------------_
'27522 SE HWY 212 148. 20 TOTAL
BORING OR
Phone #: 695-3447
Reg #. . : 017754
- - -- REDUIRED INSPECTIONS -------
This permit is issued Subject, to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
appl icabi e! laws. All work will be done in accordance with Heating Un t Insp
approved plans. This pereit will expire if work is not started Dl.ict Inspection
within 186 days of issuance, or if work is suspended for• more Final Inspection
188 days. ATTENTION: Oregon law requires you to follow rules
,ted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-*14810 through OAR 952-01-WRO. You may
obtain copies of these rules nr direct questions to O1.INC by calling
(93)246-9187,
I s s u eC—
............
_ F'e r m i t t e e S i g n a t i_r r
++
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
+++++++++t+f++++t++++++++++++++++++t+++t++++++++++++++++t++++++++t+++t+++++t+ + !
CITY OF TIGARD Mechanical Permit Application Plan Cheat
p p
13125 SW HALL BLVD. Commercial and Residential Recd ByDate Rec'd3 a1-411TIGARD, OR 97223 ''f�i e` Date to P.E.
(503) 633-4171, x304 Date to DSTA1L�Qb__
Print or Type Permit# ' :S—
Incomplete or illegible applications will not be accepted
Called -4�£A
NWW or Develolxnenl/Pm)ed •1 Description —
�� Table 1A Mechanical Code Q Price Amt
Job St1J°J°t as _ � mea A Permit Fee 1000
Address I I r } , 1) f urnace to 100,000 BTU
r�u Including ducts 6 vents 4 6.00 2L --
ekjo 1a1e 2) Furnace 100,000 BTU+ _
CAC(v'i IV cj-77Z.5Including duds&vents 7,50
Name(or name of bushess) 3) Floor Furnace
Owner U0((CU-)`, („� PJL (FVI ) Including vent _ 6.00
MaUhp Address f 4) Suspended healer,wall heater
or floor mounted heater _ 6.00
V' Cit D 5) Vent not Included In appliance permit
c""Istate hp II(N, "!"3 V l) 3.00
( )C U�,(V�Y `�td t ��� '�-)O CHECK ALL Boiler Neat Air
Name(or Rene a business) THAT APPLY: or Pump Cond Qty Price Amt
Ccm ••
Occupant WIN Address -- 6�K g�bsorb unit In 6.00
7)3-15 HP;absorh unit
CNyfstate IJp I phone 100k to 500k BTU _ 11,00
8)15.30 HP;absorb
Contractor
unit.5-1 mil B FU 15.00
N
9)30-50 HP;absorb+
unit 1-1.75 mil BTU 22.50
Prior to permit Malliry Address L l 10)>50HP;absorb unit -
Issuance,a copy g - I o >1.75 mll BTU _ 37.50
of all licenses cjwsulte Lp Phone ? 11)Air handling unit to 10,000 CFM
are required If I 111.� Icer 4.50
expired in COT Orem Const. LIc.M rn Date 12)Air handling unit 10,000 CFM♦
database_ � 5 -�S e_5 -rj� 7.50
Architect Name 13)Non-portable evaporate cooler
kI l'J At�i-) — 4.50
or Ma%V Address 14)Vent fan connected to a single duct
# I L��- 15)Ventilation system not Included In
Engineer (Ayrstate Zip phorx appliance permit 4.50
/IAC W� fltx` 16)Hood served by mechanical exhaust
Describe work to be done: f )!_ — - r o _ 4.50
17)Domestic incinerators
New�( Repair O Replace with like kind: Yes O No O 7.50
Residential O Commercial O 18)Commercial or Industrial type Incinerator
_ 30.00
Additional information or description of work: 19)Repair units
4.50
20)Wood stove
4.50
21)Clothes dryer,etc.
4.50 � l
Type of fuel. oil O natural gas O LPG O electric O 22)Other units
A 4.50 ,Z
1 hereby acknowledge that 1 have read this application,th it the Information 23)Gas piping one to four outlets r,
gtven Is correct that I am the owner or authorized agent c' 2.00
tiro owner,that plans submitted are in compliance with Ore(jin State laws. 24)More than 4-per outlet(each)
Signature of Owner/Agent Date _ ---— I
_ 'SUBTOTAL
/) V Q 5%SURCHARGE 5 x
Con isa P-eerr�is Name Phone PLAN REVIEW 25%OF SUBTOTAL SU
/ Required for ALL cnrnrc.la�rml
mets only _
TOTAL
•Mlnlmum permit fee Is$25 F 5%surcharge ?
"Residential All;requires sHe plan shoving placement of unit
I:Yriiechr,m3.doc rev 06/23/98
CITY CF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
FIERM I T #. . . . . . . : BUF,98-.0388
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 03/29/99
F'ARCEL: 19133CC-00400
`;ITE ADDRE:SS. . . : 14184 SW DO RROWS RD #BXXX
!;UBDIVISION. : . . : ZONING: R-25
BLOCK,. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTION:TIG
REISSL_1E: FLOOR AREAS------------- EXTERIOR WALL CONSTRUCTTON-
C:l_ASS OF WORK. :NEW FIRST. . . . : 263.2 sf N: IHR '-;: IHR E: IHR W: IHR
TYPE OF USE. . . :MF SECOND. . . : 2452 sf PROTECT OPENINGS"----------
FYIDE OF CONST. :5-1HR DECKS . . . : 564 sf N: S: E: W:
OCCUFIANCY GRP. : R 1 TOTAL-.-------: 5648 sf RnoF- CONST: FIRE RET?:
OCCUPANCY LOAD: 10 BASEMENT. : 0 sf AREA SEP. RATED:
STOP. : 3 HT: 18 ft GARAGE. . . : 2630 =f OCCU SEP. RATED; 1HR
NSMT'? : ME,-I : REQD SETBACKS---- REQUIRED---__________
F"L OOr LOAD. . . . : 40 ps f LEFT: 0 ft RGHT: 0 ft F I R SFIKL_:Y SMOK DET. . :Y
DWELLING UNITS: 4 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICF, ACC :
SEDRMis 10 BATHS: 12 IMr, SURFACE: 0 PRO CORR: PARK, NG: 2
VALUE. f : 389971
R e m ar^I<s : New four (4) unit multi-family dwelling. - Units identified as DODD
Owner: --- FEES ._-..------_---_._
BARROWS LLC/F'LOYGON NORTHWEST type amol.int by date recpt
'700 NE ANDRESON PLCK t 752. 70 DEB 09/22/98 98--3O9364
D-22 F'RMT $ 1158. 00 DEB 03/29/99 99-314050
VANCOUVER WA 96661 SF'CT f 57. 90 DEB 03/29/99 99-31405:'
F'honp
#: 360-695--7700 FIRE f 463. : 0 DEB 03/29/99 99-314050'
CDCB E 125. 00 DEB 03/29/99 99--31405=
CDCF' f 125. 00 DEB 03/29/99 99--314052
POLYGON NORTHWEST CO EROS $ 112. 00 DEB 03/29/99 99-31.4052
I-10 BOX 1349 ERPC $ 36. 40 DEB 03/29/99 99-31405:
IIF LL...VI..IE WA 98009 Additional fees riot shown here. . . . . . . . .
Phone #: 360-695-7700 $ 8898. 56 TOTAL
10291:,
-- REQUIRED ACTIONS or- I NSF'ECT I ONS-----
This permit is issued subject to the regulations contained in the Erosion Control Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp
applicable laws. All work will be done in accordance with Fol-indat ion Tnsp
approved plans. This permit will expire if work is not started Frost/Beam Insp
within 188 Jays of issuance, or if work is suspended for more Slab Insp
than 189 days. ATTENTION: Oregon law requires you to fnl low the Framing Insp
rules adopted by the Oregon Utility Notification Center, Those Fireplace Insp
rules are set forth in DAR 952-991-8919 through DAR Tra2-99191987. I n s l.t 1 at i on Insp _
You many obtain a copy of these rules ar direct questions to OUNC Shear- Wall Insp
by calling (593)246-1987. Firewall Insp
Gyp Boar-d Insp _
Appr/Sd .hh I-ns _..
F,ermittee Signati.rre: �•---' Iss�_red y:
+++++++++++++{.+++++++++.i-++++++++++-r•+++++++++++++++++++++++++++++++++++++++-�+++
Call 639-4175 by 7:00 p. m. for an inspection needed the next br-rsiness day
+-++++++++++i+.f..++++++.4-++++4•+++++++++++++++++++4•++++++ +.+++++++t++++-F++++++4+4-+++,
CITY OF TIGARD Multi-Family Building Permit Application Pan chectk e 9- G C
13125 SW HALL BLVD. New Construction and Additions Date Recd_
T IGARD, OR 97223 Date to P,E `
503 639-4771 ft Date to DST
) Ebi jt� Permit#fi& 4E-O 38
Print or Type calledfL /z•/.+y
Incomplete or Illegible applications will not be accepted
-�- Naf Deveiopment/Projevioav-
Address
ctExistintt Building❑ N
'7ew Building X-
Job '7400--)Site Address 0 Building Number of Units
14 1 kd`4'� (O ?)CA r r6L'0'a _�d Data
Bldg# City/State zip Existrl,c, Use of Building or Property:
Name-
Property balm CS S L c__ Sq. Ft. of Dwelling: Sq. Ft. of Garage:
Owner Mailing Addressn oc)
Ivo NE >VveSrn J ZZ--- Proposed Use of Building or Property:
y/Slate Zip Phone 666
(,t11c0[A.
NameNo. Of Stones:
General Q lvor //pp wn� --
Contractor Mailing Addres supe Occupancy Class(es)
,x/00 Ji4e �>!n P ZZ- _
to permit Clty/S1ate ',1 Ip Phone �1D Type(s)of Co`n�trU on
Issuance,a spy � pu VIM ���b 95.77Uo V -�V1__
of an licenses I Will this project have a Fire Suppression System?
are required If Oregon Const.Cont.Board t.ic.! Exp.Date
expired In C.0.1 Yes NO [�
database 'b 9 Americans with Disabilities Act(ADA)
Valuation X 25% =$__ Participation
Name
Architect 7 1✓/ / Complete Accessibility Form Mailing Address $dress Suite Valuation
City/State Zip Phone 2 S Plans Required: See Matrix for number of sets to submit
rj (4)/ '35 5 - on back
Engineer Name __—
_ I hereby acknowledge that I have read this application,that the Information
XMailing Address Suite given Is correct,that I am the owner or authorized agent of the owner,and
16 b V-50 &UW U5 k?A that plans submitted are in compliance with Oregon State Laws.
City/StaleZlp�/& Phones t73 Signature of Owner/Agent Date
a O _-CIY33
Indicabi type of work: New�( Addition O Demolition O nlact rson Name Phone 1,1
Accessory Structure O Foundation Only O Alteration O � �j 3�p G>
Repair O Other O
Diiscriptionof work: — — FOR OFFICE USE ONLY
cote: SIN work Permit Application must precede or accompany Bueldinilf f�� ,-76
ermlt Application G ;
WULTINEW.DOC (DST) 8198
BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP1999-00127
DEVELOPMENT SERVICES DATE ISSUED: 4/19/99
13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 1 S133CC-00400
SITE ADDRESS: 14184 SW BARROWS RD 8XXX
SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf' N: S: E: W:
TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,102.00
Remarks: Add fire alarm system.
Owner: Contractor:
POYLGON NORTHWEST PRAIRIE ELECTRIC
2700 NF_ ANDRESON 6000 NE 88TH STREET
VANCOUVER, WA 98655 VANCOUVER, WA 98665
Phone: 360-695-7700 Phone: 360 573-2750
Reg #: LIC 60178
FEES REQUIRED INSPECTIONS _v
Type By Date Amount Receipt Fire Alarm
FIRE GEO 4/1/99 $10.00 99-314193 Final Inspection
PRMT BON 4/19/99 $25.00 99-314626
5PCT BON 4/19/99 $1 25 99-314626
Total $36.25
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans
T his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
Pe nn itee --
Signature:
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application pP Plan crack# 14//C
CITY OF TIGARD Commercial or Residential Recd By_ &-
13125 SW HALL BLVD. Dat Recd _ -
TIGARD, OR 97223 Print or Typo Date to P.E.
(503)639-4171, x. 304 Incomplete or illegible applications will not be accepted Dale to DST
Permit N,¢I�/t7yti-DO/R
Called
Job Now or eaType of System(Complete A or B as applicable)
Address addreaa A.)Sprinkler Wet E) Dry p
bndpipes
Owner Mng a Hazard Group
Af Additional
WataftZip Photw ? Information "'
Name r Design Area
Occupant MalAng Address K.Factor
CRY/State zip Phnno A 1) Sprinkler Project Valuation $
Contractor NMR
B.) Fire Alarm
Am" „triMagm Ark'me "'—"-- Submittal Shall Include Sabery Calculations YES p
Prier to pem* ar(,Q p— InT S� �OGf Individual Component 'YES
Nsuance,a Clty/state Zip Phone Cut Shoats U
COPY
or a1 pce"M 8.1) Fire Alarm Project Valuation $
are required M Stab Const.C6M Board Lica Exp Date z
expired in COT d/ / Project Valuation Subtotal(A 3 or B) ;detabose / C0
2
_' !.!a `r� ►Arty. Permit fee based on valuation
Architect �I1.14 Address _� ria chart on s_
//'��SC__5 ►- /+� 5%Surcharge ;
cuy t10 � Ph i, FL8 Plan Review 40%of Permit
Door the work A.) Addition 0 Akeratlon O Repair O TOTAL
to be done: S 3 G•.2 t►
B.) ModMladlon to sprhtkler hostile only:
1 1-10 heeds-No plane requhed Plans required: Subrnk three sets of plans,including a vkinky ear and
2. 11+e Plan revlew nequit the location of the nearest hydrant. r,
_ _ I hereby ada+awrftip that I have reed this application,that the Infornalim gtwn e.
Number of r heads. _ am, ,ami I am the awner or etAKxt:ed apart of he awrwr,and hat plans subrdlted
Addibonal Deecrlptlon of Work aro In oomplranes with Oregon State*vs
--r - --
Slgrah"OfDale
A•)In Existing BuNding C] Now New Buil ��—...___.,}
Building Con n og tam Phone�� -�
Data e•) Commercial p Rasldential)z .� G
FOR OF E USE ONLY:
No d storbs: r,l,•
Sq Ft ,
Notes'
OcGuPancY ss ype ofdlon
0dsts\forTna\firesupr.doc 11/5/98
4
1
Main Office Branch Office
P.O. Box 23814 ` 4060 Hudson Ave., NE
Tigard, Oregon 97281 Salem, OR 97301
Carlson Testing Inc. Prione (503) 684-3460 Phone(503) 589-1252
FAX (503) 684-0954 FAX (503) 589-1309
Special Inspection
FINAL SUMMARY LETTER i
September 3, 1999
#99-1123G
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223-8199
Attn. Building Department
Re: Scholls Village Condominium Development— Building#8
14184 SW Barrows, Tigard, OR
Permit No.: BUP980388
Dear Sir or Madam-
Chis 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 testea/inspected only. Information contained herein is not to be
eproduced, 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.
Resectfully submitted,
JR' N TESTING, INC.
Hietpas
ssurance Manager
cC: Polygon Northwest Company— Ron Lightner
CT Engineering
Milbrandt Architect
I' WbRP\REP0RTS\nNLTR\99-1173(.
CITYOF T I G A R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BIJP98-00388
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/29/1999
PARCEL: 1 S133CC-80151
ZONING: R-25
JURISDICTION: TIG
SITE ADDRESS: 14184 SW BARROWS RD 8XXX
SUBDIVISION: SCHOLLS VILLAGE CONDOMINUMS
BLOCK: LOT: 15 'i E COPI
CLASS OF WORK: NEW
TYPE OF USE: MF
TYPE OF CONSTR: 5-1 HR
OCCUPANCY GRP: R1
OCCUPANCY LOAD: 10
TENANT NAME:
REMARKS: Scholls Village Townhome, - Building 8, Units 1, 2, 3, 4
Final Building Inspection and Certificate of Occupancy Approved 11/15/99 by Rick Bolen, Building
Inspector
Owner:
BARROWS LLC
2.700 NE ANDRESEN#D22
VANCOUVER, WA 98661
Phone:
Contractor:
POLYGON NORTHWEST CO
PO BOX 1349
BELLVUE,WA 98009
Phone: 360-695-7700
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Co s for the group, occupancy, and use i.inder which the referenced permit was
issued.
BUILDING INSPECTOR B U I L-0111N G OFFICIAL
POST IN CONSPICUOUS PLACE