14350 SW BARROWS ROAD STE 1 w
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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
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Received: 4/14/99 12:42PM; 5032451400 -y BLUESTONE & HOCKLEY; Page
APR-14-98 TUE 12;56 PM HSM PACIFIC REALTY FAX N0. 5032451400
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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