Loading...
14350 SW BARROWS ROAD STE 1 w Ul CD co D O O n v r i I a r' i 14150 SW BARROWS ROAD #1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- Date Requested /5� 7 AM PM BLD Location �� k�kSuite MEC _ Contact Person h _ ' PLM C/ Af I Contractor Ph SWR UILDING Tenant/Owner A (ZA Lzk' ;S/4t,O .,/ ELC _ Retaining Wall ELR Footing Access-. Foundation PC- G�e FPS Ftg Drain SGN Crawl Drain Inspection Notes-. _ Slab YAN $IT Post&Beam / J Ext Sheath/Shear / 1 Int Sheath/Shear Framing Insulation Drywall Nailing —_ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof .01 -- S PART FAIL — P NG Post&Beam �— - Under Slab Top Out -- Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - - ---— Rough In Gds Line — — Smoke Dampers Final — — PASS PART FAIL ELECTRICAL _ -- Service Rough In UG/Slab Low Voltage Fire Alarm _ — Final PASS PART FAIL SITE Backfill/Grading — — Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ [ J Unable to inspect-no access ADA Approach/Sidewalk DateV" 0 Inspector Ext Other Final PASS PART FAIL_ j 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 / ^ G Y BUP _ / .� bate Requested �� `/5� Y? CAM PM BLD Location 1 360 Suite MEC Contact Person Ph (PLML�J Contractor 17 Ph SWR BUILDING TenanUOwner �j 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 Misc: -- rinal PAS ART FAIL UMBING _ os eam _ Under Slab Top Out — Water Service Sanitary Sewer Rain Drains We) PART FAIL _ HANICAL Post&Beam —— — — Rough In Gas Line - — Smoke Dampers Final --- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading _ Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: ( ]Unable to Inspect no access ADA ApproachiSidewalk Date _y[ Z `�~—t-- `Inspector 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: 639-4115 Business Line: 639-4171 ----- - - -- -- BLIP �3 Date Requested C - AM _PM __ BLD Location 13 J lh4fsuite MEC Contact PersonPh 'Jr I Jr�' �G�� PLM Contractor Ph SWR i7 - BUILDING- Tenant/Owner (/f}2: ;; A ] �,�'(.�/L// L -/U SLS_ Retaining Wallo Footing Access:Foundation FPS Fig Drain SGN Crawl Drain inspection Notes: - Slab — ------ ------- —_ SIT Post&Beam —�- Ext Sheath/Shear Int Sheath/Shear _ W Framing ��.�- `if Insulation Drywall Nailing- _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mim Final PASS PART FAIL PLUMBING 4f- _ /✓. _� �����' Post&Beamtinder Slab Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL _ Post& Beam — -- -- Rough In Gas Line — Smoke Dampers Final — -- PA FAIL Service Rough In UG/Slab _ Low Voltage FIMAWrm 3 ART 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 Fire Supply Line [ J Please call for reinspection RE. ^ _ [ ]Unable to inspect-no access ADA / Approach/Sidewalk Date /�/ A Inspector— Ext Other Final PASS Pt.RT FAIL 00 NOT REMOVE this inspection record from the job site. Accumulative Sewer Tally nant Name: /g��LO/\/ SR LOBI This SWR# SliJ� dress: Zy3S0_Sic� 4,',qR ep US -S;U /7T C>U/ This PLM#:_ 4./19,P—C9,1..2 lure Value PreVICU S Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values pli!t /Font q th-lob/Shower q -Jecuzzi/Whirl ool 4 cr Wash-Each Stall 6 -Drive Through 16 ispidor/Water Aspirator 1 shwasher-Commercial 4 -Domestic 2 inking Fountain 1 ie Wash 1 oor Drain/sink-2 inch 2 3 inch 5 4 inch 6 -Car Wash Dm 6 arbage Disposal 16 Domestic;(to 3/4 HP) Commercial(to 5 HP) 32 Industrial(over 5 HP) 48 - .e Machine/Refrigerator Drains 1 ,il Sep(Gas Station) 6 ec. Vehicle Dump Station 16 hower-Gan Per Head 1 -Stall 2 ink- Bar/Lavatory 2 Bradley 5 Commercial 3 Service L#Wvb RXTRA 3 mirriming Pool Filter 1 Vasher-Clothes 6 Vater Extractor 6 Vater Closet-Tolled 6 Jrinal 6 'OTALS �' Total fixture values: _ divided by 16 EDU IISTORY 66Gt s C' ��F 'LM# 9,?- 6as 5 EDU# r SWR# 9,F -e/9b PLM# EDU# SWR# PLM# ?jr-pa&y EDU# 3 SWR# 91f- d19 e PLM# EDU# SWR# P_LM# 9F - 003/ EDU# A SWR# q,p - ooIF PLM# EDU# SWR# _ FLM# n/eif) EDU# SWR# PLM# EDU# SWR# ldsts%swrialy.doc M CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: El 543 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 09/14/98 PARCEL: 2"S 104PP-•07900 TTE Vd)DRESS;. . , : iii.:,t,ki SW BARROWS Rlr [Ia.'1ID1. A.JBD I V 15 1 ON. . . . : RUSSEL.L' S SCHOLI.-S FERRY SUP ZON I Nr:C--N I'AL.00K. . . . . . . . . . . LOT. . . . . . „ . . . . . . :ID&H. JI.IRISDICTTOhI: TTG 'ro.ject Description : Installation of 8 branch circuits. . ..RESIDENTIAL UNIT.-..----. -TEMP' 5RVC/FEEDERS- - 1.0(710 SF OR L...FSSE . . . . 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 CACI I ADD' I_. 500SF. . . : 0 201 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 11MITED ENERGY. . . . . 0 401. -- 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 1ANF`» HM/ SVC/FDR. . : 0 F,i11 +.-imps- 1000 yrltS. : 0 MINOR LAPEL_ ( 10) . . . : 0 - _ SERV ICE"'/F 1=ET)FR---...- ----BRANCH C I RCL1 T TS------ -•---A1)D' I- INSPECTIONS—- 200 NSPECTIONS---- x'00 ramp. . . . . . 0 W/SERVICE OR FEEDER: QA PER INSPECTION. . . „ . : 0 ?01. 400 atmp. . . . . . : 0 I St W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 '101. - 600 'IMF). . . . . . 0 EA ADD' L. PRNCH CIRC: 7 I N F'L..ANT. .. . . . . . . . . . : it ;;01 - 1000 rmp. . . . . .. 0 -.------.-.__.________F'I_ AN REVIEW SECTION--------- t 0004 ECTION-------._-______.______-.t000+ amp/volt . . . . . : 0 ) :=4 RES UNITS. „ . . . . . . : ) 6,00 VOI...T NOMINAL. . : Reconnect only. . . . . : 0 SVC:/FDR ) - '225 AMPS. . : CI..ASS AREA/SPEC OCC. : 'lwner: _____..__.._._._.____.._.__.__.... _._._.__..._._._____ ___._______.._._.____---______..__.__ FEES r)LBERTSONI S INC #576 type amoUrit by clate rec.pt. 00 PDX 20 PRMT $ '70. 00 DEB 09/ 14/98 98 -309097 1!.OI SE ID 83726 OPCT $ 3. 50 DEEB 09/111/98 98-309097 none #: !IORTON ELECTRIC $ 73. w TOTAI... 11226 SE 215T _......___ REDUI RED INSPECTIONS --- 11I1_WAIJKIr OR 97222 Ceiling Covs?v- F_lect' l Service Phone #: 659-8448 Wall Cover Elect' l Final Reg V. . 000008 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 wil'. be done in accordance with approved plans. This permit will expire if work is not started within 180 Jays of issuance, at, if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by '.he Oregon Utility Notification enter. Those rules are set forth in OAR ?52-PPI- h OAR 952-001-1987. You may obtain a copy f 'hese rules or direct questions to OUNC by ra q (50312! -1987. e r m i t t e e S i g n�a t i.t r e : -_ I s s'.i e d Y INSTALLATION ____------ FI-1p installation. is being made on property I own which is not intended for, ,ale, lease, or• rent. r1WNER' S S I GNATIJRE: DATE: _-.----.CONTRArTO TNrTAVTDTTON ONLY-------- I NLY--_.-._I GNA Tt..1RE OF SUPR. ELEC' N: DATE: '.I CENSE NO: 1+++++-t-+4.................................1-4........4...........................1-++i CFA I 639-4175 by 7:00 p. m. for- an inspection needed the next hl.rsiness day + ++++++++++++++++++++++++.+ •++++++++4-+A++++++++++++-+++++++++++-1-++++++++++++•++++i CITY OF TIGARD Electrical Permit Application Planeck•k _ 13125 SW HALL BLVD. Recd Date Recd TIGARD OR 97223 Date to P.E. Phone(503)639-4171, x304 Date to DST_ In3pection (503)639-4175 Print or Type Permit a AL3 Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 9 4. Complete Fee Schedule Below: Name of Development_ ) NumL of Inspections per permit allowed Name(or name of business) Q tact In t, 5C4 D VA Service included: Items Cost Sum Address ( Li 3 �5-0 5 4a. Residential•per unit 1000 sq.ft.or less $110,00 - 4 City/State/Zip- ---T cg,--cS Each additional 500 sq.ft.or portion l $25.00 1 Commercial El 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 c Ins rrent licenses) Services or Feeders Electrical Contractor_ h10 r n (� �- Installation,alteration,or relocation -• 200 amps or less � $80.00 2 Address 112- _ 201 amps to 400 amps $80.00 2 City)!A t IWauk,a State Wt^c Zip 9 Z 401 amps to 600 amps $120.00 2 Phone No._ G 5 9 1T`L t{4 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.00 2 Job No. Reconnect only $50.00 2 Elec. Cont. Lice. No. 3 I t Exp.Date OR State CCB Reg. No. L Ttf Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. .Date Installation,alteration,or relocation _ �,\L n 200 amps or less - $50.00 2 Signature of Supr. Elec'n Clea�.tJ1�/ 201 amps to 400 amps $100.0 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. g Exp.Date_&O u- see"b"above. Phone No. (aS`t $�l q_, -- 4d.Branch Circuits i New,alteration or extension per panel 2b. For owner installations: a) the fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b)The fee for branch circuits City State _ Zip_ _ without purchase of Phone No. _ service or feeder lee. First branch circuit 1 $35.00 2 The Installation is being made on property I own which is not Each additional branch circult' $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature- _ Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):" Signal 1,alteration ti or o limited energy panel,alteralfon or extension $40.00 2 Minor Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. _ 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal f cr inspection $35.00 Classified area or structure cuntaining special occupancy Per hour $55.00 as described in N E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans t+lth application where spy of the above apply. 5. Fees: D Not required for temporary construction services. So.Enter total of above fees $ 3 r u 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ Sb.Enter 25%of line Ss for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It 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 a If �3 •SD Total balance Due IDSMELC96 APP nm 418; CITY OF TIGARD PLUMBING FERMI DEVELOPMENT SERVICES PERMIT t#. . . .. . . . : FL.M90 13125 SW Hall Blvd- Tigard,OR 97223(503)639.4171 DATE ISSUED: 09/17/08 PARCEL..: 1.0413k:+ -0"' '1170 LTE ADDRE'.I:i. . . : 1.4'3`_i0 SW t1r-i1 R(JW;:, kD ##001 ';UBDIVIcol ON. . . . : RUSSELL'S) GCHf)L.LF FERRY SUB ZONING: C-N . . . . . . . . . . L(IT. . . . . . . . . . . . . :tbQtc.' JURISDICTION: TIC) "1.ACS OF WORK. . :'11.T GARBAGE D I SPIL)SAL!T. : 0 MOBILE HOME 917.'Arl-..f.;. : 0 TYPE OF USE. . . . :COM WnSH I NG MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : C 7("rt.1F'ANrY GRE'. . :P r-•i-OOR DRATWI. . . . . . r 0 TRArICE. . • . . . , . . . . "TORIES. . . . . . . . . 0 WnTE R HEATERS. . . . . . 1 CATCH S SINS, . . . . . .. . 0 -'I X'TURES_.._..._.. ._.. .. - LAUNDRY TRAYS. . . . . : SF RAIN DRAINS. . . . . 4 I NKa. . . . . . . . . . UP I NAL_S. . . . . . . . . . . . 0 GRFASE TRAPS. . . . . . . 0 _nvnTORIES. . . . OTHcr I"IX-rUREn. . . . . 0 rUP/SHOWERS. . . : 17, RFWF'F I INF ! ft) . . . . 0 wnTFR CLOSETS. : 0 WATER LINE ( ft ) . DT9HWASHER,. . . . : 0 RAIN DRAW (ft ) . . . : Qt Qemarks : Instalof naW F:01.imbing for rammvrr..iaa1 tenant. Owner: -.._.__ __._... ...______.__.__._______._ .....__... ........_...... --.-----_._ .- .._____.._. FEES __.__._._.__.._.._..._..__......... ALBE"RTSONS t }'Pe amOt_tnt by dat r I,c t; t''n BOX 21D PRMT 63. 00 JBL) 09/15/98 9P .7,919150 WISE 1D 0372C `:Pt"T k 3. t5 •J^IU 09/15/98 rat? :',09150 KF t"f1TTFR50N r''1 -INT?IHr. 028 S "'7 TCHEI_L L.ANF r_f'l(.N 1'*,I T Y OR - onr #: 632-77174 66. 15 Tr_ITnL. REOU I RCD 1 Nsr,rCT I RNr ,s perait is issued subject to the regulations contained in the Rr.,,.tgh—irt :.nsp yard Municipal Code, State of Ore. Specialty Codes and all ether l.it"clerfI am/Undc'r Aicable laws. All nor, will be done it accordance with 70rt-01_1t Insp � _._-..-__..__.......__..__.. roved plans. This perait will expire if work is not started Final Insppct i an 'hin !9 days of issuance, or it work is suspended for tore -n 188 days. ATTENTION; Oregon law requires you to fntlow rules :pied by the Oregon Utiliti Notification Center. Those rules are ' forth in OAR 952-608-0010 through OAA 952-MI-006. You lay `ain copies of these rules or direct questions to OK by calling 1)246.1987. r:d 13y : ..r__ ' 'et-mittee Sign 4-+,4- }{.+f+ I. F. + A. a...� � i a..4. r.4_ A- I. a_ , {- f + t ,. ,.4.a.,}+-'- h'-+++++4..F..l++++-#........4+4. }r in inrCFrti r. nePrJed thR+ next t1t_rsitic s - day + ++4 +++.p.y++ 1 l+4 :. p 4 4. a } 4 4 4 4 , } +..i. 4.a 4 1 �. + ,.., i + F i E+4 d-++•+++t+++... ..+.•.. F�. +..++.p , CITY OF TIGARD Plumbing Permit Application. Plan check � 13125 SAN HALL BLVD. Commercial and Residential Recd aj� — TIGARD, OR 97223 Date Recd (503) 639-4171 Dale to P.E. Print or Type Date to DST Permit# P/Z :z �. Incomplete or illegible applications will not be accepted Related SWR# Called 97- df— Name of Development/Project FIXTURES (individual) 4TY PRICE-Z AMT Job ___ Sink _ -- - _ �goo Address Street Address 5 ite Lavatory 9.00 5t,) (d Rrrd-js' !00 1 Tub or Tub/Shower Comb. 4 _ 9.00 Ble,g* City/stale Zip Shower Only 9.00 - gra q�zz 3 — — Name Water Closet 9.00 A l bn t, Dishwasher 9.00 Owner Mail' g Addresss'� Suite Garbage Disposal i 9.0e' ?0 Washing Machine 9.00 City/Slate Zip Phone Floor Drain/Floor Sink 2" — 9.00 Nage 3" 9.00 ��Va Iu A 541 O n 4" 9.00 Occupant Mailing Address �II Suite Water Heater O conversion O like kind 9.00 P-650-1 SW PMOW 3 /U _ Gas piping re uireb a separate mechanical permit. City/St to ZI Phone Laundry Room Tray Z 9.00 V �n �27 Urinal 9.00 N m Other Fixtures(Specify) 1 I kc (� �rs��. l,� ,�e — 9,00 Contractor Mailing Address Suite v _ 900 In J g S. 4ckl� 9.00 Prior to permit City/State Z Ph on Sewer-1st 100' 30.00 ssuance,a copy 0 (1, V n0y; t:3l3'1 Y Sewer-each additional 100' 25.00 of all licenses are Or gon Con t.Cont.Board LIc.0 Exp.Date required If 17 6 11- Q Water Service-1 at 100' 30.00 expired In COT Plumbing Llc.ax Exp.Date Water Service-each additional 200' 2500 database - S - g Storm&Raln Drain-1 at 100' 30.00 Name Storm&: Drain-each additional 100' 25.00 Architect Mobile Home Space 2500 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 2500 Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device- 1.500 (Irrigation liming devices require a separate Describe work to be done: restricted energy permit.) — New O 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: - Insp.of Existing Plumbing 40.i.. per/hr Specially Requested Inspections _ 40.00 per/hr Are you capping, moving or rept cing any fixtures? Rein brain,single family dwelling _ 30-00 Yes O No Grease Traps 900 If yes,see back of form to indicate work performed by QUANTITY TOTAL fixtutc. FAILURE TO ACCURATELY REPORT FIXTURE Isometric orrlserdiagram isrequireddQuantttyTotal Is >s WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL -T—hereby acknowledge that I have- ad this application,that the information given is correct,that I am the owne or authorized agent of the owner,and I 6% SURCHARGE that plans submitted are In compliance with Oregon State Laws. I Sig a u of O n rj gent Date d "PLAN REVIEW 26°x,OF SUBTOTAL /i 4( Required only B fixture qty.total Is>9 I 'b TOTALl Contact Person Name Phone 0 �.y bV-n•3n� *Minimum permit fee is E25+5%surcharge,except Residential t3ackffow qG4 Prevention Device,which is$15+5%surcharge ^� "All Now Commercial Buildings require plans with isometric or riser diagram and plan review I Wstslprrxnapp da:712/9e i PLEASE-COMPLETE: Fixture Type Quantity by Work Performed _ New Moved Replaced Removed/Capped Sink Lavatory - Tub or Tub/Shower Combination _T ___-- Shower Only -- Water Closet - Dishwasher - Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 3" _ 4" Water Heater— 'n eater_ _ Laundry Room Tray Y -- Urinal - Other 97:Aiure5 k pecify) COMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING PERMIT .,1 DEVELOPMENT SERVICES PERMIT #. . . . . . . : PUF198-0351 13125 SW Hd11 Blva, Tigard,OR 97223(505)639-4171 DATE ISSUED: 09/03/98 PARCEL: 2SIO4BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #001 SUBDIVISION. . . . : RUSSELL' S SCHOLL.S FERRY SUB ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO2' JURISDICTION:TIG ------------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS--------.--- r_XTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : 1505 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?-------__- TYPE OF CONST. :SN . . . : 0 sf N: S: E: W.- OCCUPANCY :OCCUPANCY GRP. :B TOTAI---------•: 1 505 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 15 BASEMENT. : 0 sf AREA SEP. RATED: S'1.OR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : ME Z Z?: READ SETBACKS--------- REQUIRED----- -- - -------- - -- F-LOOR L.OAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKL.: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICF1 ACCs BEDRMS: 0 LATHS: 0 TMP SURFACE: 0 FARO CORR: PARKING: 0 VALUE. $ : 3900 Remarks : Avalon Salon TI - new space Ist TI - walls and doors. Net. fire sprklr, mech, electric peroit. Owner: -____..__.------..---.__.-___..._._._.____----------_-----_________ FEES ALBERTSON' S INC #576 type amoI.:nt by date recpt I=SO BOX 20 PRMT $ 44. 50 JSD 09/03/98 98-308844 BOISE ID 83726 5PICT $ 2. 23 .JSD 09/03/98 98-308844 PLCK $ 28. 93 JSD 09/03/98 98-308844 Phone #: FIRE $ 17. 80 JSD 09/03/98 98-308844 (.;tint Tact or: -- _.--------__- --.------__—_—_ BLUESTONE R HOCKLEY REALTY INC 3835 SW KELLY AVE PORTLAND OR 97201 --------------------------------------- Phone #: 222-3807 $ 93. 46 TOTAL. 63068 --REQUIRED ACTIONS or INSPECTIONS— This NSPECTIONS--- This pereit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Ins applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not start:h d _ within 180 days of issuance, or if work is suspended for yore 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 952-081-0010 through ON 952-0101967. _. You aany obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. I,ermittee Signatl.:r4f- sso.led By : �'++++++++++++4+++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++.}+++ Call 639-4175 by 7:00 p. m. for an inspPr-tion needed the next usiness day +++++++++++++-+++++.++++++.++++++++++++++++++++++++++++++++++•*++++++++++++++++++ _y '"Ir,,aRD Commercial Building Permit Application l Rec'd By w HALL BLVD. Tenant Ir;;provement Date Recd 047 Date to P.E. 'i ikiAR.0, OR 51223 Date to DST/ (50 ) F IS-41 71 Permit! LI I- �s Print or Type Related SWR IncomN,ete or illegible applications vill not be accepted Called_ ---- -- ------ — Name of Develor ient/Project Existing Building X New Building ❑ " L6,1/r-TS0 ,,,r Adress Street Address Suite Building 13Sa Bi ro.✓ . sit Data _ "nir!n 0 City/State yip Existing Use of Building or Property: 1-1,;&AitO D/Z 91?;?23 V'14(2.A-.)7- Name - Proposed Use of Building or Property: Property P'1' A)'-�2 J Owner Mailing Address— Suite 966 S-h.) /�"-r'� No. Of Stories: City/State Zip Phone A£Ar&of at 9?&vSp3-4;4- Sq. Ft. Of Project: �— Occupant Name �f1 - 5Z)S Occ _ �Vr>~LPA SA�o�✓ upancy Class(es) Name Contractor ' 6,1 004 Type(s)of Construction � .fTz'.✓f L� �—� Prior to permit Mailing Address Suite &.oe K issuance,a copy Will this project have a Fire Suppression System? of all licenses 3 tj e are required If City/State Zip Phone No NO_ expired+n C.O.T. Americans with Disabilities Act(ADA) database �,c-z,�,�rQOR `j �� Valuation X 25% = $ Participation Oregon Const.Cont.Board LIc.0 Fxp.Date Complete Accessibility Form Project $ Name Valuation DO— Architect ti 14 Plans Required: See Matrix for number of sets to submit Mailing Address Suite f on back City/Stale Zip Phone I hereby acknowledge that I have read this application,that the information 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. Engineer Name 1 Signatui f Owner/Agept, to Mailing Address Suite Contact Person Kaift Phone City/State Zip Phone L�� �j �� c F-7-09-7-- - �– - FOR OFFICE USE ONLY _ Indicate type of work New�( Addition O Demolition O Map/TLIy Land Use: Accessory Structure 0 Foundation Only O Alteration O Repair O Other O Description of work: Ti, �-- ��,s'0 cc Phrf T7 77e.J G✓,A"-S Nota: Site Work Permit Applicatlor must precede or accompany Building Permit Application IICOMNEWTI.DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before pian review wall be conducted. After plan review approval, Plans Examiner wi!S contact the applicant to request additional pia;, sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin V-Iley Fire & Rescue) Tonal # of � TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) Y 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical BRM (New �r Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Ada, or Alt) 2 Ado = Addition B & F & M & P & E T3 Alt = Alternation to Existing (New , Add) Building *6 or B & M (Alt) 1 *BBMM & P (Alt) 'Bv& M & P & E(Alt) 3 *B & M & P & E & F(Alt) —3 — NOTES: —NOTES: *Shaded areas designate ALT zubmittals only. I\dsts\maxtnx 1 doc 07/06/9H �f '✓ l �w a 01 71 � � � rN � r• � r. CJyv 7�` ♦. c r. �--- — rr I im y n Z o � L �► A c r y � � o � � v fi $ oCD -� m o. Sr OCL \ / 7 i -�- J- Y h h n Z Z iA D c r n � y � � r 0 �• Z � J IN ti cT w 7p a a o CD Do nNT � � I � �? yam, •� � ^ u h a, IA � ? � At- < p � a h �j Received: 4/14/99 12:42PM; 5032451400 -y BLUESTONE & HOCKLEY; Page APR-14-98 TUE 12;56 PM HSM PACIFIC REALTY FAX N0. 5032451400 W Lf f1 •L�•4^ 1 w/W t NMi�Vm ai�� NOOiHO%mmu �.�.�1_.�!]�I�Qi�ldr erefii7ol° ,• ;:.lulaIIM.Id . 'r�. ae71?i?!afq�;Y ltil'1�0 SN081�HT /SAN UTAMd •� `OIIilr:Ezz'�i'LiEd� IiSiI� � ` - � I I I 1 1 I j I I I i I I .j Li ij I f o � I I I I I II 1 I 1 1 1 11 - - �- 1 If I ' � I I, i I II EMMIT "A" Ir Not exact or to scale - for illustration only Le 1 Z .10 Or N ' Op K4-1 I I 1r- - ------ '------ —D!L rMl-WTW RIM -------- ------------ ' h b CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By 'TGARD OR 97223 Date Recd Date to P.E. _ Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit# ---- Fax (503)684-7297 Called 1. Job Address: -�� 4. Complete Fee Schedule Below: Name of Development m I Kv%l Number of Inspections per permit allowed - Name(or name of business) Service included: Items Cost Sum Address ')�� �- _ �� j 4a. Residential-per unit 11 1000 sq.ft,or less $110,00 4 City/Stat 3 Each additional 500 so.ft.or portion thereof $25.00 1 Commercial K Residential ❑ Limited Energy $2500 Each Manut'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all urrent licenses 4b.Services or Feeders Electrical Contractor c. Installation,alteration,or relocation Address �' >� 200 amps or less $6000 2 -- 201 amps to 400 amps $80.00 2 City_ ` State (1�Zip __. 401 amps to 600 amps $120.00 2 Phone N0. _ - 601 amps to 1000 amps $180.00 _ 2 Job NO. _ Over 1000 amps or volts - $340.00 _ 2 - Reconnect only $50,00 2 Elec.Cont. lice. No. � Exp.Date .16-1-7T OR State CCB Reg. No. Exp.Dat@ - 4c.Temporary Services or Feeders COT Business Tax or Metro No. ` EYQ Date -1-119 Installation,alleratlon,or relocation 200 amps or less $50.00 to Signature of Supr. Elec'n +O Ct 401 ampPs amto 600 Pps $100.00 __ z Over 600 amps to 1000 volts, License No. . `1Exp.Date��9 _ see"b^above. Phone No. LI� -G3 k 3 4d Branch Circuits New,alteration or extension per panel 2b. For owner installations: a) rhe tee for branch circuits with purchase of service or Print Owner's Name _ feeder tee. Address Each branch circuit $5.00 -- ------ b)The lee for branch circuits City State_ __ Zip_.,__ _ without purchase of Phone No. , service or leader fee. First branch circuit $35.00 2 The installation is tieing made on property I own which is not Each additional branch circuli_ $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature_ Each pump or irrigation circle $40.00 ^ Each sign or outline lighting $40.00 2 3. Plan Review section (if required):" Signal circuit(s)or a limit-d energy panel,alteration or Pxtension $40.00 2 Please check appropriate item and enter fee in section 5B. Minor Labels(10) S100.00 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 apply. S. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reoulred(Sac 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 ❑ Tntsf Account# $ �, ,60 Total balance Due I,I ISTS4WW,,All' Rv,It W CITY OF TIGARD ' DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : SUP'�O-0;351 DATE' I SSUF17: PORCEL. 2S 104B1:1_.0 7')1710 1:117 ADDRESS. . . t14350 SW BARROWS RD #x01 JBDIVISION. . . . wRUSSE'i_LIE) St'1•UL.L.5 FERRY P)U13 ZONING+:C-N :+L. . . . . . . . . . . a LOT. . . . . . . ,, . . . . :HOP' JURISDICTION: T I G -ASS OF WORK. :AL.T YPF OF USE. . . :COM 1 Y 1-,E OF CONST FI:SN ICCUPANC Y GRP. 1B )C CUPANCY L LAD i 1 T`.i U-NANT NAh1L:. . . :AV AL.ON' SALON 2emarks : Avalon 'Salon l'I _BERTGON" S', INC � 1.1 BOX �0 {SE Ill 83726 ( one #: 1.or,t;ractnr : __._.___....._....._-..- '3LUE.STONE. 9. HUCK1_E:'Y REOLTY INC 313,35 SW REL.1_Y AVF r:�(11�T1_AND OR ')'7201 Phone tt: Rr;?q #. . . 53@Ea!3 'I h i.s Cert i fIc-Ate q1-o rt s accUpancv of the ebove referenced bui Iding or part ion 1:11c*r•eof ,arid confirm«; that the buiIding has been inspect Pd 'Tor comPliAnc.ur wit ' the 5t ate of Ov,gon Eippcialty Cc+des for thr yr o� p, ccuparrc:y, nd u.se ltnrv-t- which the referenced permit was iss"Od. BU11_LING INSPECTOR , U1l_UIN _ ri [' L. POST IN CONSPICUOUS PLACE