6713 SW BONITA ROAD STE 210-1 Lnrn
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—"6713 SW BONITA ROAD .rrr
SUITE 7.10
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-flour Inspection Lime: 639-4175 Business Line: G39-4171 ---- ---- ---___
�/ BLIP
Date Requested
� C7 cl 1 AM�,__PM BLD
`- _—�- - _-6-- -
Location UJ I (?A. 11 Suite ��_ MEC
Contact Person _ Ph 23N•-(OW 7 PLM
Contractor r �4 �• 7 �� Ph 9 4r4l SWR —
BUILDING Xeriantipwrier ELC (}-
Retaining Wall ELR t? XJA(-
Footing Access:
Foundation �j(� �'� FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab SIT _
Post&Beam
Ext Sheath/Shear L14 f 1
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 PART FAIL
Rough In
UG/Slab
Low Voltage
Fire Alarm
fin
PAS 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: ( ]Unable to inspect-no access
ADA
Approach/Sidewalk Date �_��_ pe
other _ ` Z inspector_ Ext
lFinal
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST n�, /
r / Bl1P �h
Date Requested S����l �I AMPM _ BUP
�� 1 Suite G c�0 MEC
Location '�
Contact Person Ph v "�t17�� PLM
Contractor N _ Ph SWR
B qL1JTft trwrier ,( l[� xELC
Retaining Wall
Footing
ELR
Foundation ACCe�S:
Ftg Drain S C FPS
Crawl Drain Inspection-Notes: SGN —
Slab
Post& Beam --- -- - SIT -
Ext Sheath/Shear
Int Sheath/Shear — --- ---
Framing _
Insulation - -----
Drywall Nailing
Firewall — — - - -- -
Fire Sprinkler
Fire Alarm v� /
- - -
Susp'd Ceiling i
Roof --
Misc:
S PART FAIL
PLUMBING
Dost&Beam _
Under Slab
Top Out - - --�— ---
Water Service
Sanitary Sewer
Rain Drains
Final
P Q._._P RT FAIL
IIIII&CHA ICA - _-. -- ---------
Post&Beam
Rough In
Gas Line
Smoke Dampers
------•_.---
PART FAIL
E TRICAL -
Service
Rough In -- ---�
UG/Slab
Low Voltage - -- — -
Fire Alarm
Final -- - -
PASS PART FAIL
SITE
Backfill/Grading --- -----
Sanitary Sewer
Storm Drain I I Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line Fieasc call for reinspection RE: _ _
Unable to inspect-no access
ADA —�
Approach/Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd, Tigard.OR 97223(503)639.4171 F..L_.ECTR T GAL PERMIT
F2ES rr'Ir_TF:D ENERGY
PERMIT #i EL-R99-0004
PARC:FI. : 251 12AA-0060o
ITE F�DDRFSG. . . :06713 SW LAONITII R17 #211 10
yIJHDIVTSTON. . . . -NEI.-SON BUSINESS CF=N-rFR ZONING: I--L
13L..00K. . . . . . . . . . . ! SIT. . . . , . . . . :F:: D JURISDTumt TIG
Pr-o.jer:t Description : Add HVAC systea for T-I.
A,
RFS IDr-NT IAI_ _... -. ..._..__ B. COMMERCIAL--
AUDIO R STE.RF O. . . : AL1D I O ✓1• STEREO. . T NTE RCOM R PAGING. .
BURGLAR A1.31PI1. . . . DOT LER. . . . . . . . . . : I..ANDSf.:AF'F/IRRIGAT. . :
CARnGE OPE'NE'R. . . . . CLOCK. . . . . . . . . . . . MFDTCAI_.. . . . , I
HVAC. . . I . . . . . . . . . DATA/TF'I_C COMM. . NURGE CAI-L.G. . , • • • • .
VAC:I.)LIM SYSTEM. . . . : FIRE At-(IRM. . . . . . DLITDOOR LANDSC LITE:
OTHER: . . IIVAc. . . . . . .. . . . . . : X PROTECTIVE SIGNAL_. . :
INSTRUMENTATION. s OTHER. . -. : Z
TSITAI.
it, SIF SYST!`M G:
LOGIC GENF...RAI- type am )(Int by data rr-.r.pt
-p7 t 3 OW BON I TA RD PRMT k 40. 00 GFrl 0 :''.!01/99
'iLIITE F:1.0 5PC'7 4 P. 00 GEO 02/01/99 99-312565
!'I rARD OR 97223
)ME R I CAN HEATING r 4 . 00 TOTGIL.
' 339 SW GTDEON 5T
RFOU T RI=T-) T Nc)PFCT T ONS --
-'ORTI-AND IIP '372'W", Low Voltage In p _.
. . ............ .
'bane #: x`':39 4f,00 F=lect' 1. Final
?rg it. . 000331
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All pork will be done in accordance with approved plans. This permit will expire if work is not started within 1h^'
'lays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by th
9regun Utility Notification Center. Those rules are set forth in OAR 952101 9010 through STAR 952-001-0080. You may obtain copies cf
'hese rules or direct questions to e1C a 3)246-1987,
r ss1.1ed h
Y .. _ -_.__..._.__ 1='e r m i t:t e e
_. . ..__... .. _....._.__. OWNEfT IrJSTAI_L.A'TT.ON 1aNl_Y
I)P itlstallot irm is being made on plt'operty I own which is r1oi; intended for,
?T P, l PaSe, 01- 1-1?1',t.
'IWNF"R, r SIGNATURE.- DATF:
CONTRACT p 7NSTAI__I.ATTONI
T GNAT1 IRF OF SLIPP. FI_.F CI N e DATE. :
444.+4-+++44••4•++-f--1•.{.4 +}++++4.+}.+ 4-4-4-4.4. 1_4..1,}•44 ! ++4-++++++++++1-+++++++++++4...l-......
C,;? l E,39 4175 by 7:00 P. M. fcl ,I, ivi, pec--tion needed ihiisinr6S da"
i 0- 1 1 +++4.+ F+++++++++.++q -f-+4 a 0 4 1 1 4 4 V 1•4 4 c f++4-4 1 4.4.++4.4..1-4 4 -4+++++ 1-4
Corrtmunity Development RESTRICTED ENERGY ELECTRICAL. APPLICATION
13125 SW Hall Blvd. p I'I Kn111� G� �0
Tigard, OR 97223 I �'_
Phone(503)639-4171
FAX(503) 684-7297 DATE ISSUED_-
._.-------
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Ad
Address RESIDENTIAL—Restricted Energy Fee. 540.00
wilotrl law (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems
15 NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
ContractorJ� Type Iflr�. _— ❑ Vacuum Systems*
Address _1339 .4F e3i/d=h 574- El other
Date /-]- q� _ CUMMURCIAL—Fee for each system . . . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner_ _ —_ Check Type of Work Involved:
Contractor's Board Reg. No. 33/3-sr ^` ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# 2 38..4/460 _ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address - ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip — ❑ Medical
This permit Is issued under U.AR 918.320.370.this applicant agrees to make only ❑ Nurse Calls
restrirtrd energy installations(100 volt antis or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following
1, Only use PIPciri1:3
residential
licensed persons to do installations where required.It erlain Protective Signaling
residential and other transar tions are exempt from licensing.1 herr have ❑ Other
aitrrisks0).All others need licensing), --
2 Call for an inspection when all of the installations under this permit are ready
for inspection at 303"639-417
0 J Number of Systems
I I'urchasr•srparete permits fur all installations that are not ready for inspection "--�
when thr,inspector is out to inspect under this permit, •No licenses are required. licenses are required for all other installations.
4 Assume respNn sihillty for assuring that all correctlnns inquired by the inspector
are done,and
Asiumr responsibility for calling for a final Inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a personG nC
a. Enter Fees $
authorized lind the applic t. "—
I /� • r
b. 5°r6 Surcharge(.OS x total above) $
Signature
TOTAL $
Authority if other than applic•1nt
ENFRGAP.CHP
CITY OF 'TIGARD MECHAN I CAI
DEVELOPMENT SERVICES PERMIT
13125 SW Nall Blvd., Tigard,OR 97223(503)635-4171 PERMIT #. . . . . . . .. ME' 339-0 4?I i
DATE TS-SUED: 02/01 /9'9
PARCEL- 2S 1 12'AA-00E-,00
.i I TE ADDRESS. . . : 06713 SW ETON I TA ISD #='10-1
SUBDIVTF31ON. . . . : NEI BON BUSINESS CENTER ZONING: I-L
131.Or.,l!. . . . . . . .. . . . L..f]T. . . . . . :C D TURISDICTION: 1- Cr,
CLASS OF WORK. . -.0L.T FLOOR F URN. . , .. : 0 CVAP COOLERS: 0
I'YP'F OF—' USE. . . . :CC)M UNIT HE=ATERS. . : 0 VENT FANS. . . : 0
9CCUP'ANCY GRP., . :B VENT; W/O AP'PL- - 0 VENT SYSTEMS: 0
''iTORTES. . . . . . . . : 0 NOIL_ERS/COMPRE=',r-SORS HOODS. . . . . . . : 0
"11EL_ TYPr-G— ..._.. ...__ .. _ .. _...... 0-3 HP'. .. . ,, : ; ' I:f1hIFS. IhJCIN: b'1
GA`) -1.5 HP'. . . . : 0 rOMMI.— INCIN: 0
'1A X T NP'UT: 0 1311.1 l"; 30 11p" . 1. 0 R177PA I R UNI T T S: 0
(`TRF DOMPERS). , 30--50 HP'. . . . : 0 WLIODSTOVES. . : 0
':.iAS PRESSURE. . . . 50- IIP'. . . . . 0 I_L.O f)PYE175). . . N
N0. OF L.INITS --__.._____ AIR HANDLING (..INITB OTHER UNITS. : 0
"URN ( 1.0 R BTU: V1 (- 100010 CFM: 0 GAS OUTI-..ETS. :
1="L.1RN ) -100V PTU.- ? 100001 rf m: 0
'Immarks : Add HVAC systes for T-1.
I411r?I-: - - ....._..-.-.-_. ._-_._ .._._..-._._-•....._.-..-....__-_._._.._.-.--_._.-._.__._ - FFES -- ___.__.._..._._._...._..
_MGIC GF"NE'RAL. type Amnunh by date r-ecpt
(=0713 SW BONITA RD PRMT $ 39. 00 OFO 02/0i /99 99-3125(.5
1XITTF_ 210 Pt.CE( $ 9. 75 CPEO 0?/011 /9`.3 99 31 65
F I CARD OR 97223 5PCT 1. 95 GE(:1 02101 /99
,11YIERTCAN HEATING
1339 .';W G T DEON S1 8 '5,0. 70 TOTAL.
1''ORTI.AND OE7 97POF,
x_'39. . 4.1-.6'10
000331
REQUIRED INSPECTIONS
— ---
Th1s persit is issued subject to the regulations contained in the Gas l ine Insp
Tigard Municipal Code, State of Ore. Specialty Codes and sll other MPr_•haf;ical Tnsp -__-_--_- __
1pplicable laws. All work will be done in accordance with H ea t i n r Lint l n s
pproyed plans. This perait will expire if work is not started Di.1ct; Inspect i nn
within 198 days of issuance, or if wo1 is suspended for err; S;, I). Shc.1t-dnW11
khan 198 days. ATTENTION: Oregon law requires you to follo►c v.. le! Final Tnsps-c,t inn
adapted by tie Oregon Utility Notification !enter. 'hose rules are
-et forth in DAR 952-881-NIP through OAR 952-ft81-8898. You say
hbtain copies of these rules or direct questiurs to O(W by calling
Py : `-{ P'ar'mitt'fte f�i na'•
4-+•++++++-+++•++++44+++++4-++4+ f+4 a++4.4 4�++++-4 +++-4-++4.++++}t+.+.........+i++-i
i l 771 +417", 1 7;1yII" Ii,: rh ! i i 1if-- t: i ]nc_, nf�1?r. ed the nt`mt bllsilip S5 r1A,1
I ++++ F++ ++++}++'414•+hi.+ 4•++444- 1- F4.444.1..+.{ 4.+ ++4.4-+++•++'4-+•+4++4++-+•+++++4.++++++++ ff + +
Plan Check
CITY OF TIGARD Mechanical Permit Application Recd By 1 71 e
13126 5W HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E.
(503) 639-417'1, x304
Date to DST
Print or Type Pe'n'is#
Called
Incomplete or illegible applications will not be accepted
Name of DevelopmenuProloo Description —
Table to Mechanical Code OTY PPICE AMT
Job Sheet Address SudsiM A) Permit Fee 0 -0 1000
Address I`, (-710
BidtN CRY/State Zip 1.) Furnace to 100,000 BTU 6.00
_ i ni including ducts&vents _
Name(or name of businosft' 2) Fumace 100,000 BTU+ 7.50
Owner ); i, l including ducts&vents
Mail nT Address 3.1 Floor Furnace, —6 00
_ including vent
City/State Zip Pnone 4.) Suspended heater,wall haater
6.00
or floor mounted heater
Name for name of business) 5) Vent not included in appliance permlt 3.00
Occupant Marling Address 6) Boiler or comp,heat pump,air cond —60-0
_ to 3 HP:absorb unit to 100K BUT—
CRY/State Zip Phone 1) Boiler or cornp,heat pump,air cond 11 00
3-15 HP;absorb unit to 500K BTU—
(5-o-—ntractor
TU—Contractor Name 8.) Boder or comp,heat pump,air cond. 15.00
15-30 HP: absorb unit.5.1 mil BTU—
Poor to permit Mailing Address 9.) Boiler or comp heat pump,air cond 22.50
issuance,a copy v 30-50 HP,absorb unit 1-1.75md BTU_"
of all licenses CRY/Stale Zip Phone 10.) Boiler m
er or cop,heat pump,air cond 37 50
are required if ! ( flt,; ,50 HP:absorb unit 1.75 and BTU—
expired in COT Oregon Cons..Cont.Board L c.ts Exp Date 11 ) Air handling,inns to 10,000 CFM 4.50
_ database
Architect Name _ 13) Non-portable evaporate cooler v 4.50
Qr Mailing Address 14) Vent fan connected to a single dud 3.00 -
Engineer City;State — Zip Phone 15) Ventilation system not inGuded in 4.50
Describe work New O Addi ion(F Alteration O Repair O 16.) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential O
Additional Description of work 1i) Domestic ncmerators 7.50
1 18) Commercial or industrial type 30.00
fl,n� ) .r.!•^• NV�� ?�IS7ll I)I C! tij Incinerator
ExiLiing use of ---4 — --
19) Repair unrts ,50
budding or property C
20) Wood stove ---� - 450
Proposed use of 21 1 Clothes dryer,etc v 4 50
budding or property._—
22) ntt,'er units 450
Type of fuel-71,O natural gas 0 LPG O electric O 23) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application,that the 24) More than-4--per outlets(each) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws
Signature of Owner/Agent —3—ate *SUBTOTAL
5%SURCHARGE
Contact Person me �u Phoneo ' -
PLAN REVIEW 25%OF SUBTOTAL
TOTAL — —
i ,rnechpmt doc (rev 9 'Minimum permit foo is 525+5*,o surcharge
"Residential AJC requires site plan showing placement of unit
Community Development RECE19WRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 FEB 1 ITf�{v14t,# C4,1?-99 e-
;. Phone(503)639-4171 I���SSll fZo��
FAX(503)684-7297 COMMUNITY UEV�WW J ED a
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503) 639-4175 SSUED BY
k1 W, ' PLF_ASF COMPLFTF_ ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address 0 RESIDENTIAL—Restricted Energy Fee. 140.0o
9-7 `-''! T (FOR ALL SYSTEMS)
City State Zip
�t Check Type urk Involved:
PERMITS ARE NON-TRANSFERAIILE AND NON-REFUNDARLE AND EXPIRE IF WORK _11�
IS NOT STARTED WITHIN 180 GUYS OF ISSUANCE(7R IF WORK IS SUSPENDED FOR `�r ❑ Audio and Stereo Systems
inn onus. (�q O) 1- _ I l_Cf��C: 11 ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
��� l_ El Heating,Ventilation and Air Conditioning System'
Contractor!lu _ Type.�VYINlILIIIItL'Q�1�0�1`, ❑ Vacuum Systems'
Addressqa�a_ �Q�1►'1�[`�1 V)'" #(J ❑ Other_
Date -C) _ COMMERCIAL—Fee for each system . . . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner _ Check Type of Work Involved:
Contractor's Board Reg. No. rJ3e� � 9p ❑ Audio and Stereo Systems
"`�1 3- 9 a3
El Boiler Controls
Phone# � ❑ Clock Systems
3. OWNER APPLICATION PTI Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No 0 Instrumentation
Address ❑ Intercom anti Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is Issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(1tx1 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following
1 ()nlv use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(•).All others need licensing). -
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175. ❑ Number of Systems
I Purchase separate permits for all installations that are not ready for inspection —
when the inspector is out to inspeo under this permit. •No licenses are required Licenses are required for all other installations.
4 Assume reslKmsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
cnrrectlons are completed.
1 he person signing for this permit must be the applicant or person
I g g P PP p a. Enter Fees $
authori d to hind the applicant. 0.1
b. 5%Surcharge(.05 x total above) $ J,0 V_
SiKnatury
TOTAL $ i. � 0
Authority if other tha -tfj)I)ht,1st
ENERGARCHP
CITY OF TIGARD ELECTRICAL r1l:'�RMIT
DEVELOPMENT SERVICES PERMIT
DATF
13125 SW Hall Blvd., Tigard,OR 97223(W)639.4171
SW BU1\1 I I ii RD #�10
(.!rAr)TVTf-3TON. . :P.10-or'0114 BUS TWO!3 CENTER ZONING: T
�L-Ocv.. . . . . . . . . . : L..OT. . . . ., . ., . . . . . . :C---D TURV:)DTCTTr)N, TTG
11.10,ik--:t DeSr-1-jj-)tioT1 - Install two 028M, one (D 201-4NAW service and 17
.ranch circuits.
--Rr---!7)1Df7NTIAL.. UNIT --TF"MP G3RVC/r-r.-rDrP73 -
000 SF OR I-ESS. . . . - 200 amp. . . . . . . . 0 r1UMP/IP.RTc;rTTON. . . .
-An-4 ntoirl L 500!~F. . . . 0 i::'01 41",1175 Amp. 0 13TON/0111" 1. THE t TO., . : 0
IMITED ENF---RG'Y. . 0 401 600 amp. 0 SIGNAL-1PAN1771.... . . . . . . : 0
I I M/ f7 r 4 Imps V1
..01A vol.t !- » 0
MINOR I.PBEt-
SFRVTCF/FErDFR-- BRANCH ------ADDIL. lNtSPECT'1113r\l�
amp. . . . .. W/3ERVTrF (IR 17 PER INSPE(,"rTON. . . . .
01 X100 .amp. . . , . . . I Ist W/D SRVC OR FDP. :: 0 PER HOUR. . . . . . . . .. . . :
"01 Goo amp., . , . . 0 EA ADA" L- SRNCH CTF)C. 0 IN P1J)NT. . . . . . . .. . . . i?
,ler 14, 1000 amp. . . . 0 --------------r1L AN RFVIFW SF CT I nN--
' 0004 agip/Volt. . . . 7 71 ) :=4 RE'S iJNTTS. . . . . . , GOO Vnl..T NOM T1JAl
Ipc-onnert only. . . . . . 0 'Wr/FDR C-29 PMV,-. . - CLAWS nRr.P/FiPFC Orr .
'wrier-. FE,.r
001 C, WNERAL. t y F)e m A T1 t by date v-rcpt
71 .3 SW BONITA PD PRMT t ;-1 CA 9, 00 f.�Fn 01/27 `31 99 71 ;'
AITTE *210 9PT"T fi .14 GF r 1 9.11 /27/1.3 9 -31 L7-4 6 7
-rnmpr) nr2
.1 a ri P '4:
0�--
'1F'T Tn I- r1-.,E7 r"r 13 1 r C,r) 4 t\i r
i"I"). 'L25 TOTAL..
10 Nr.' AT RrIn R T Wrl',
NJ T I -- - RFOU T RE 11) I Nr)*rF(-'T I r
fl P T I-r-1 N 1) (1R r'7 12"""V, i ng Cover- r I (Z.c A I
lione #: ;-`55-948f, W,-kl 1 Cover- F"1 P,r t 1
,-y #., . - Q`14 0748
-tris persit is issued subject to the regulations contained in the Tigard Nunicipal Code, State of Oregon Specialty Codes and a:,
pplicable laws. All work still be done in accordatce with approved plans. This persit will expire if work is not started within tat
-)ys of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
P Oregon Utility Notifi-stiiir Center. Those rules are set forth in OAR W-W-00111 through OAR 'r2 001-1987, You may obtain a cop)
these rules or direct questions to OW by calling (58311J46-1987.
*1 t CE;i Gn�lt 00%,fildi-0 /— - �? V, -I P
in, ... I ;M 01
_..__._.___.____..___.OWNER 7 NF,T r 1. t AT 7 ON 0191-Y__-.__._.
V)r i n g mok d i, n i i p r,a p r,t f: T n w r) iA-i i(-h i v
NF7- R1 !-i SIGNATLIRF- DAT[
('f1NTPnr"rnr7 th'(7re-11 t 07 T UIN fINI!
CITY OF TIGARD t _,_r q
Plan Check#
13125 SW HALL BLVD. ELECTRI #AL PERMIT APPLICATION Recd By -
'i iGARD, OR 97223 ---
Date Recd
Phone(503)R39-4171,X304 Date to P E
Inspection(503)639-4175 Date to DST
Fax(503)684-7297 PRINT OR TYPE Permit# �e_ _ -Q�'f"
INCOMPLETE O:t ILLEGIBLE WILL NOT BE ACCEPTED Called
1. O r@SS: 4. COMPLETE FEE SCHEDULE BELOW: 1
Narrin of Development Number of Inspectionps�ennit allowed]
{- Service Included: Items Cost Sum
Name(or name of business) LOGIC GENERAL '�� ��� Resldentlal•per unit--- -- --
1000 sq.ft.or less $110.00 $0.00 4
eIress 6713 SW BONITA RD. _ Each Additional 500 sq.ft.
or portion thereof $25.00 _ $0.00 1
(City/Stale/Zip TIGARD,OR Limited Energy $25.00 _ $0.00
CommerclalX Residen7ial Each Manu"d Home or Modular --
Dwelling Service or FeAfi-, $68.00 $0.00 2
a. Contractor installation only: - -
(Attach copy of all current licenses) b. Service or Feeders
Electrical Contractor _CAPITOL ELECTRIC CO.,INC. Installation,alterations or relocation
ddress 12810 EAIRPORT
WAY 200 amps or less 2 $60.00 $120.00 2
City PORTLAND State OR. Zlp97230-1029 201 amps to 400 amps 1 $80.00_ $80.00 2
Phone Na. (503)255-9488 _ 401 amps to 600 amps _ _ $120.00 $000 2
Job No. 99-26 601 amps to 1000 amps $180.00 110.000 2
Elec.Contr.Lic.No 26-496C Exp.Date 10.1.98 -_ Over 1000 amps or volts $340.00 $0.00 2
R State CCB Reg.No. 48748 Exp.Date 8-22-99 Reconnect only $50.00 $0.00 2
.OT Business Tax or Metro No. 00004UZ. Expiate 10-1-98 -- T----
c. Temporary Services or Feeders
Signature of Supr.Elec'n �/ Installations,alterations or relocation
200 amps or less $50.00 $x.00 2
License No. 2865•S Exp.Date 10/1/01 201 amps to 400 amps $75.00 ;15.06 2
Phone No. (503) 255-9488 401 amps to 600 ams __
-__ P P _ $100.00 $0.00 2
Over 600 amps to 1000 volts
see"b"above.
20. For owner installations:
-� d. Branch Circuits
Print Owner's Name New,alteration or extension per panel
ddress _ a)The fee for branch cit cults with
City `-State Zip _-�-�
Phone No. purchase of service or feeder fee -
Each branch circuit 17 $5.00 $85.00 2
b) The fee for branch circt'Its without
he Installation is being made on property I own which Is not purchase of servic:,)r feeder fee.
Intended for sale,lease or rent. First branch circuli $3500 $0.00 2
Owner's Signature
Each add'nl br,,nch circuit $5.00 $0.00 2
_ -- -
e. Miscellaneous(Service or Feeder Not Included)
Each pump(r irrigation circle $40.00 $0.00 2
3. Plan Review section (if required): " Each sign or outllne lighting $40.00 $0.00 2
Signal circutt(s)or a limited energy-
Please check appropriate item and enter fee in section 59, panel,alteration or extension $40.00 _$0.00 2
4 or more residential units in one structure Minor Labels(10) $100.00 $0.00
Service 8 feeder 225 amps or more -----
System over 600 volts nominal Alf. Each additional Inspection over
_Classified area or structure containing special the allowable in any of the above
occupancy as described In N.E.C.Chapter 5. Pei,inspection _ $35.00_ $0.00
Per hour _ $55.00 $0.00
Submit 2 sets of plans with applica,lon where any of the above apply. In Plant $55.00 $0.00
Not required for temporary construction services.
5. f=ees:
ERMITS BECOA E VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 5a. Enter total of above fees $ $285.00
OT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR W01K50
Surcharge(.05 X total fees) $ _$14.25
IS SUSPENDED ON ABONDONED FOR A PERIOD OF 180 DAYS AT ANY Subtotal $ $299.25
TIME AFTER WORK IS COMMENCED 5b. Enter 25%of line 5a.for $71,25
Plan Review if required(Sec.3)
Subtotal $ $299.25
Trust Account#
I
CITY OF TIGAR
D
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 9722.3(503)639-4171 PERMIT #. . . . . . . : BUP198-0564
DATE ISSUED: 12/23/98
PARCEL: ESI 12AA-00600
9
.)ITE ADDRESS. . . - 06713 SW BONITA RD #210
SUBDIVISION. . . . : NELSON BUSINESS CENTER ZONING: I-L
BLOCK. . . . . . . . . . : LOT. . . . . . . . .. . . . . :C-D JURISDICTION:TIG
----------------------------------------------------------------- ---------------------
REISSUE: FLOOR EXTERIOR-WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST— . : 0 s N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 2000 s PROTECT OP,ENINGS?-.--------.--.
TYPE OF C0NST. :3N . . . . 0 5f N: S: E: W:
OCCUPANCY GRP. :B 'TOTAL_------: 2_,000 Sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 20 BASEMENT. : 0 sf AREA SEP. RATED:
9TOR. : 0 HT: 0 ft GARAGE. . . : 0 s OCCU SEP. RATEI :
BSMT?-. MEZZ?: RFJD SETBACKS--.-.--.----- REQUIRED------- ------------
FLOOR I.OAD. . . . : 0 p s f I EFT: 0 f t RGHT: 0 f t FIR SPKI..-.Y SMOF, DET. . :
DWEI.LING UNITS: 0 r:'RNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ e 9800
Remarks: Tenant loprovement - add partition walls.
Owner: ----------------------------------------------------- FEES
1...OGIC GENERAL type amot.int by date reept
6713 SW BONITA RD #210 PRMT 4 80. 50 GEO 12123198 98-311741
TIGARD OR 9*7223 `PCT $ 4. 03 GEO 12/23,198
98-311741
PLCK $ 52. 33 GEO 12/23/98 98-311741
Phone #: FIRE $ 32. 20 GEO 12/23/98 98-3111741
C' SCHIEWE & ASSOCIATES
1.024 NE DAVIS
1_10RTLAND OR 97232
Phone #: 234--6617 $ 169- 06 TOTAL
Reg #. . : 000541
ACTIONS or INSPECTIONS---
This
NSPECTIONS—This pervit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all rther Gyp Board Insp
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within IN days of issuance, or if work is suspended for sore
than IN days. ATTENTIEW: Oregon law requires you t„ fcllow the
rules adopted by the Oregon Utility Nntification Center. 'hose
rules are set forth in DAR 952-08I-WO through OAR 9521-0181987.
Ynu sany obtain a copy of these rules or direct questions to O[K
by calling (583)246-1987.
-mittee Signat1kr,?:
Issiied By:
+++++i-+++++++++.+++ ++ +++++++++++++++++++++++++++++++++++++++++ ++++++++++++++.
Call 639-4175 by -:00 pm. for an inspection needed the next bkisiness day
4......4.++++-f.............4,+4....................4-+-f......4......4..................
CITY OF TIGARD Commercial Building Permit Application Recd By
13125 SW HALL. BLVD. New Constructicln and Additions Date Recd_
TIGARD OR 97.223 Date to P.E.
' 11-1a to DST 1'i l %(•j r F7
(503) 639-4171 PermitS&geff--3-D;S'LeC/
Print or Type Related SWR x
Incomplete or illegible applications will riot be accepted Called-----
Name
alled-_ -Name of DevelomtenVProied
Jab I1j,'fsoti g�s�►�cgs ce�.��,.
Existing Building KF New Building
Address Sh-et Address — Suite
Building
131dy t- City/State Zip Data
Existing Use of Building or Property �!
Name
�
' 1 cic�►- Pro �'cs `F R« lc, 01ftoo6Hr vs
Property .G P ("G'- _
I Owner Mailing Address –;-Suite Proposed Use of Building or Property
I -- C�F=l G�� (lea•£,!-1 oU
City/State Zip Pnone - -
�►-�-t.at+d Nu. Of Jtorlcs: r
Occupant Name Ft. Of Project: ��T,00Z� -to-FtLq�
- Name �. -- _ ------ OCCunancv Glasb(es)
Contractor
Prior to permit Mailing Address Suite
issuance,a copy Type(s)of Construction - N
of all ticensss (c7,2,4- f46, pa v1'S'
are required If clty/stato Zip Phone Will this project have a Fire Suppression System'?
expired in C.QT [I _ Yes �_ No
[�
dalebase f bY��Q.wyf r OR- ��Z ��. �4`- �oG f 7 ---- - --.--
Oregon Const.cont.Board LIc.r1— Exp Date --- Amerlc7rt5 with Disabilities Act (ADA)
�fbs Valuation X 25% =$ ^Participation
Complete Accessibility Form /aCr• -'�,, it �•
Name --- Project - --�--_
Architect h^•i l ifeet,. besiajN Cri-IrP.C-.
_ting Ad__ _ Valua on
Maldress__
11�3o vr� >•�pili 3 2 Plans Requlredd See Matrix for number of sets to submit
city/Stale ZIP Phone an back
I -- C,a(tc 0%ve•ti o,97o351 Z++-09 S --- — —
E ngineer Name
I hereby acknowledge that I have read this application,that the infonnation
N given is carred,that I am the owner cr authorized agent of the owner,and
Marling Address Suile that plans submitted are In compliance with Oregon State Laws
ig lure of lent -- T—P �—�� ----- i
City/State _--��Zlp Phone Y _-- 12 .'?,S -9-
C91ritact Person Name — Phone _~
Indicate type of workNew O Addition O Dernollllon O
Accessory Structure O roundalion Only O Allerntionto
_ Repair0 Other o FOR OFFICE USE: ONLY _
tescrtptlon of work: f.
Ia4eviov r
Notes
s
w.
Parks: Estimated 8 of Employees "
TIF ecu tt.�i•
It the above figure Is not supplied et the Ume of appllcation.the city willft'5...
74
calcu
late the foe-based u on the number of parking spaces. ""� ' T`7r, �__,n.,,fC
--— - ---p--_—_.—- -
N,te: Site Work Permit Applicatlnn must precede or accompany Building
Per-nit Application /�
11('OMNEW LOC (DST) 5198 n 1
70o Q� QNVOI.L .•t0 ,[.LI:) 3961 96[: £05 Yt•1 S 1 '61 NOM 98!17;71
/ CITY OF TIGARD i MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00389
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/4/02
PARCEL: 2 S 112AA-00600
SITE ADDRESS: 06713 SW BONITA RD 250
SUBDIVISION: NELSON BL)SiNESS CENTER ZONING: I-L
BLOCK: LOT: C-D JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: G
> 10000 cfm: AS OUTLETS:
Remarks: Install paint booth exhaust.
Owner: _ -- - FEES - --_
SPIEKER PROPERTIES LP Type By Date Amount Receipt
4380 SW MACADAM AVE STE 100 PRM r CTR 9/4/02 — $72.50 2720020000
PORTLAND, OR 97201 5PCT CTR 9/4/02 $5.80 272002000C
Phone:
Total $78.30
_-- _..
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OP 97202 Final Inspection
Phone:2394600
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
I.Jtility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
Issue By: Permittee Signature:
Call (503) 639.4175 by 7:00 P.M. for inspections need!#Ihe next business clay
Mechanical Permit Application OFFICE VSE ONLV
Date received 7i' Permit no.: �G3ov1 .(,�3
City of Tigard
Project/appl. no.: Expire date:
CifyofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:_ Building permit no.:
OF P']rRNIIT
U I & 2 family dwelling or accessory UConitnercia/industrial U h1ulti-fancily U Tenant improvement
lj New cow-jruction U Addition/all eration/replacement U Other-
1 1
Job address: 671 W ,T,A AJ 0 0 Indicate equipment quantitt,!s in h()xcs hclow. IndLrate the dollar
Bldg. no.: Suite no.: value of all mechanical ma.terials,equipment,labor,overhead,
"fax map/tax lot/account no.: profit.Value$ 5"S'0
Lot: Block: Subdivision: 'See checklist for important application infinmation and
Projr-^t name: C jurisdiction's fee schedule for residential permit fee.
City/county: k� ZIP:
J�__—
Description and loc ion of work on premises: _ 1 1
fN51?lLt, jt H4V3T V1aM"r Pee(ea.) 7'0181
Est.date of completion/inspection: Description "y. Res,only Res.only
Tenant improvement or change of use:
Is existing space heated or con tionr,i7 O'Ycs (J No Air handling unit CFM
Air conditioning(site plan required)
Is existing space insulated. es U No ieratron o existing UVAC system
1 1 i Boiler/compressors Y
Business name: State boiler permit no.:
Attterican HF atiny, Inc. HP Tons BTU/H
Address: 1339 SE Gideon St. Fire/smoke dampers/duct smoke detectors
_City: Portland — I state:OR I ZIP:97202-2418 Heat pump(site p aTn require ) - -
Phone: 239-4600 1 Fax: 239-703 E-mail: nsta rep acT c fuiiiac-effiu-rner -
CCB no.: Including ductwork/vent liner U Yes U No
nsta rep ace relocate h atcrs-suspend,
City/metro lic.no.: a Y avall,or floor mounted
Name(please print): p ht t?�t Vent for appliance other than furnace
ReFrigcratlon'
Absor}7tion ,it,_ B T U/H
Name: - 3� _ - Chillers -
Address: -- -- Compressors
Environmentalex taus) and vent of on:
City: - -^- a State: — ZIP_ Appliance vent
Phone: Fax: E-mail: Dryer c*haust —
Hoods,Type I/Il/res, kilchenthazmat -- t -- _--
r,, hoot) re suppression system
J
Name: �v _r1Jfire
K9duCTs, SNC. Exhaust fan with singic duct(bath fans)
Mailing address: 61 1.3 --T-11
�S-Q Exhausts stem apart from heating or AC
city: i rt , • tate:0/l 7.11: � z ,
Fur- piping andistribution(up to 4 outlets)
-- c — Type: LPG-_— NG Oil
Phone: Fax:j z 14411.,-mail• TuT cjinn eac-}�3 trona over outlets -�--- -- -
T.—C g _
Process piping(schematic required)
Name: Number of outlets
- ---- — — terllsf apeppplranir or equipment:
Address: _ _ Decorative tir_-��� cc
City: _ State: LIP: lnsc_rt- type _
Phone: I ► mail: oodslove/pellet stove
Applicant's signature: ` I Da e: 2L.
Other:
Other:
Name(print).
NM all jurisdictions accept credit cards,plea v call jurisdicticai for erre infurnation Permit fee ..................... �O` aJ
Notice: This permit application
C7 Visa U MasterCard Notice: fee................ $
Credit card nurnher expires if a permit is not obtained
Plan review(at — 96) $
F.xpir s within 180 days eller it hes been State surcharge(8%)..., $ 0
--— —
Name of cardholder as shown on credit cad accepted as complete. Q W
r� holder signr.ure – — Amot nl 440-4617(tJallN-0M1
ci d
C b N
[70 N N
c c�
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rn
T(3O
O
m U 16
N c
E"'a°
`tel
t I
o
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OCIO Q'
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Go Go A
y
to�p F-
CITY OF TIGASD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP —
Received ..-.____---_,—Date Re nested_ �___—_ AM_. PM-_ BLIP _
location
--- —` --2--� " -- A0111,(- '�----- ------__. Suite 2� _ MEC �1�21L�-�'y��
Contact Person _.�- A" _ Ph( —_) —_ PLM _.-__--
Contractor --- Ph(---) �Zt' �ti
-- .____. SWR _--BL. DING Tenant/Owner r-LC
Footing-- ELC - _-_---- -----
Foundation Access:
Ftg Drain ELR
Crawl Drain ----- -
Slab Inspection Notes: SIT
Post& Beam -�
Shear Anchors --- --------
Ext Sheath/Shear
Int Sheath/Shear - ---------
Framing
Insulation _ I- /r +jj
Drywall Nailing r� U V e- + t (1_/ Q D t'�'� �� G k'"At U d ! L1
Firewall J
Fire Sprinkler --
Erre Alarm v� ��✓S 1t" ��-�v� L
Susp'd Ceiling - --�-- - ----
Root
Other: _ - -- -- -
Final
_PASS PART FAIL - --- -- - -
PLUMBING
Post 8 Beam .- ------- ------ — - --_._
Under Slab
Rough-In
Water Service -------- --____- ---___
Sanitary Sewer
Rain Drains -- -
';atch Basin/Manhole
,storm Drain — -- - - - —_
Shower Pan
Other: ��-
Final
PASS PART FAIL - - -- -- --- -
Cft
---- - - -- ----------- --._-.
Post 8 Beam
Rough-In -- ---_ - -- - ---- -_---- - -
Gas Line
a
rnpers P � FAILCAL
Service --_---------- -- ---- -- -----------
Rough-In
U(;/Slab ------------- - -- -- --- --
Low Voltage
Fire Alarm
Final U Reinspection fee of$ inquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
110ASS PART FAIL
SUE _ Please call for reinspection. RE:_ __- L] Unable to inspect-no access
1--ire Supply Line 01,
C'
ADA �-' r
Approach/Sidewalk Date Z Inspector �-Xf 1L-1 �k Ext _
Other:
Final i30 NOT REMOVE this Ipspection record from the Job sine.
PASS PART FAIL
A ELECTRICAL PERMIT-
CITYOF TIGARD RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2002-00167
13125 SW Had Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 8/27/02
SITE ADDRESS: 067.13 SW BONITA RD 210 PARCEL: 2.S112AA 00600
SUBDIVISION: NF L.SON BUSINESS CENTER ZONING: I-L_
BLOCK: LOT: C-D JURISDICTION: TIG
Project Description. Installation of burglar alarm.
A.RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: BRGLR ALRM X
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP ADT SECURITY SERVICES, INC
4380 SW MACADAM AVE STE 100 2815 SW 153RD DR
PORTLAND, OR 97201 BEAVE RTON, OR 97006
Phone: Phone: 503-469-7244
Reg#: LIC 59944
ELE 26-209CLE
FEES - Required Inspections
Type By Date Amount Receipt Lnw Voltage Inspection
PRMT CTR 8/27/02 $75.00 2720020000 Elect'I Final
5PCT CTR 8/27/02 $6.00 272.0020000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable laws All work will be done in accordance with approved p13ns. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center 1 hose rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987. /
Issued by,- Permittee Signature
OWNER INSTALLATION ONLY
The inst.,ilation is being made on property I own which is not Intended for sale. lease, or rent.
OWNER'S SIGNATURE: -- �Y DATE:- _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N � _ _ DATE:
LICENSE N O: ---------- ----- _--- _ - _— - --------- -------- —
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
08/26/2002 08:12 FAX 5094897110 ADT SECURITY Z001
i
Electrical PermitApplic on
1
PD3"rec.-RaM4,; 0 "ftnit mrx-l. �("I ,
?+ City of Tigard !� I.' A- i0'>`' Projec0ppl.na.: Expiredats
L7 Address: 13125 SW Hall Blvd,Tigird,OR 97223
V1 ; City ofTivurd �• 17aleisstreal: Hy: Recoiptno.•
Phone: (503) 639-4171 --
t.
-
- o
�• rax: (503) 599-1960 Casenrou Paymenttype:FAKE -
?j l Land use approval:
1
U I &2 hunily dwelling or accesacry 21 Cnrnmercialfindustrial O Multi-family C1 Taoant improvement
U New construcrion ❑Addicon/alter.Uitm/replat:ctuenl U Odtrr. _ _ O pallial
OB SITV INFORMATION
Job address: _ — iBldg,no-: Suite na:2 1'Yj Tax ma tax lot/account no.:
C ot: Blcx k: Subdivision: _
Project name Q__ DescdEtion and location of work on premises: gt�yp� �
11stimateci bate of completion/ins?xtion:
7
VAIMLICATION
Job no: Q10. 1 r 4 70-Q T Fre tits
Business name.. 1*acrtptlor► Qty. (CL) Tntstl so.
" • � — NewtrdirtMal-%Weorrmrtti(amnrprr
Addross: $_ M rA- drvellincunit.Iloclaeganajrra prarage.
Cit State:Q Ztp 1 - yet�irntrtcin"
Phone. ,. 100 ltttx j• • �rnall: I OW sq.it or less 4
each ulditional 500 W ii oe portion thenad
t.Ct3 no.: Elm bus.lic.ao: _
Uttuted rne�r,rcr;denuel
city/meou lis t19_- ►emit energy,nonrrs�eentliJ`_ - 2
� �. �aohm.nufu.,turod(xtmeormndularclwelling
9 of MqAf?lilhg electrlchut r ulred pate Semco anrVnc fccdrr_ 2
- lSerrlceaorfirdep-Irtsf■Ilatinn,
S ,des same dnU: r~lu / 1�/il u4 laccaexr nn: 3$ alferatioa or relocativm
�`..� 1 200 antpa m iraa_ y
Noetic(priat):t r7aGh /7 V 22 1 arnpe to W 0 amps 2
VAX) i���}'ji� 401 em :to 600 omits Q
Mailing addiene: ---- -
------- _ —. 601 mnpa to IOM tmp+ 2.
City: Stale:` ZIIr� Clvri Itt(p amtnofvolty 2
1'ix: E mail liecomrestnnly
Owttcr inslallattut ,tallatinn is being made oriproperty 1 uu n Tetnlonary wrvi e,or frr.icn-
which is not intcruled fur sale, lease,rent, or cxchan;,r accortlirt to Inttallanou,ahetat+on,or relorntion
OR-S 44.1, 455, 479,670, 701. ztx�amps Or Ire; - _ 2
201 amps to 400 amps
Owners slguature:_ bale: 401 town mops- - --- - - 2
ftrwrcb Ir it
-sen,alteration,
or extemlon per panel:
Name. _ A. Fee for bmich eire,rit9 with purchase of
Arlfl[tS9: _ ser,icrorfeeder fee,each branch eirruir
_ z
City State: L1P: R.Frr forbrinch ckt:uits without purchase
— ----- of srrvicr,or heder Icr,first Wrulch circuit• q
Phone: Nax: F-snail; Each uldiUonalManchcircuit: --
Mlse.(Service ortetkrnot ineleded):
U 8ervire over 219 amps-wntmercial 1J Hda d, cue Facility Pveh pump or lrn aeon circle 2
❑Service ovex110amps-rating of 1,V.2 q Hazudnusloeadon ±chtip oroutlinolighting
fanuly dwellings O Hulldk. over I0,0W square fact four or signal circ ult(s)nr a limited enersy panel. rte•
USystem ovrf600vr7c,naminni marerrmleatlslunits inone stnteture alteration,orextension, �- /.� 2
U Building overthrre.atnrieu L Feeders,4tdunpsorrnore •303cNPtion. - _ —
U f7.a:upant load over 99 persnns A Manufncnnrd ttructurrs or RV parkar�1t� additional Impnetion over the allowable In stay of tim above;-
Cl F m/lighttngplan 'J 0(t) �- — perinmpm,.nun
Submit_ sett orpism with any of the above. lnvateadon fere
The abole we not Applicable to temporary construction serrice. ether --_ -T -
Nd allalt iurlKllctloaa rtreep eraat cards,please evil)urltdletten I«m«e Inf—on. Notice:This pemtil application Pennit fee.....................$
U Vila U MttnatGN expires if a peinut h not ohtained plan review(at %) $
Cmdlt rare nrrtobrr - -�— - strillru'18ndstva aReeitJ�s lkeo --Stale�sllt�hArgr_(M_. 4
p ter ercepted as complete. TOTAL s _
—• -Terme a r w shown ea t r� Fr
f
"meuar 7/f'G j�' /`�C'c:'7. 4404611(6o MR)
�_ I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
c BLIP --__--
Heceived - Date Requested AM AM_._- PM _ BLIP
Location _ __----_.___ L -Suite MEC
Contact Person - ___ �G -�1�-«^-1 Ph( ) G' PLM
Contractor-----_-_ ---_��- + Ph -) U - rio [ S` SWR
BUILDING Tenant/Owner - _ FLC
Footing ---- -- ._J ELC _..
Foundation Access:
Fig Drain EL R
Crawl Drain
Drain
Slab Inspection Notes: SIT � ___--
Post& Beam ----
Shear Anchors
Ext Sheath/Shear
--- ---------------------
Int Sheath/Shear
Framing f - -- - -------- - - - -----
Insulation L
Drywall Nailing - -� --�-- - --�
Firewall
Fire Sprinkler -------- - -- - - --- - _--_ - --- - -
Fire Alarm
Susp'd Ceiling - �--- - - --- _
Roof
Other: ------- _ - -- ------- --
Final
PASS PART FAIL -- - - --- _ -- - - ----� �----- --
-------FAIL
_PLUMBING _
Post& Beam -
Under Slab
Hough-In
Water Service
Sanitary Sewer
Rain Drains -- ---- - -------
----
Catch Basin/Manhole
Storm Drain -- - �- --------
Shower Pan
Other: - - - ---- -------
Final
PASS PART FAIL - ----- - - - ---- -- -
MECHANICAL
Post& Beam _
Rough-In --------- - ----- -----..
Gas Line
Smoke Dampers - - --------
Final
PASS PART FAIL -- -- -- - --
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
fi�Rft ❑ Reinspection fee of$-_ -_ ronuired before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_ 5 _PART FAIL_
SITE - Please call for rohispectlon RE:_- __ - - Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Oath �� �. Inspect `- C �` - Ext
Other:
Final DO NOT REMOVE this Inspection record-trom th ob site.
PASS PART FAIL