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7086 SW BEVELAND ST
CITY Off' TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171
CF8CCfjF�PJF_ OF
..v
F,Epm I T M. . . . . . . : SUP92-004
DATE ISSUED# o9/03/96
VIARCELi c?SlOiAB- 0 .,500
'.';ITE ADDREGG. . . z 07086 SW BEVELAND ST
'SUBDIVISION. . . . : SL VELAND Z ON I NG s C-.,P
BLZ)CK. . . .. . . . . . . : 1-UT. . . . . . . . . . . . 17
CLAE39 Or WORK. oPUT
('YPE OF USE.. . . i COM
1-Yr'E OF CON3M-514
OCCUPANCY GRP. &S21
BICC UPANCY LOADN 22
1 NANT NAME. . . I
,?OmAt,kr_ Convv!-t occuprancy. No ch,AnWv in structure.
AICHFIFL GORDON
kq95 SW SIUSLAW
(UPLOTIN OR 906
i'honr Or
Font#
-act or i
YNiq rorius
�123 LAMELCIT
1701JR T
!:1URT1_OND OR 9722!:
: 'hone Or .-'97 -0009
00000
ti i s Ce v-,t i f i ve t v Urant s C)':.r-Ll Pam,y of t h e 3ttic v e v e f ev-enced building or pot-,t i v n
fhev-,pof and confiv,ms th,-d- the bl!tlding has been inspected for Lompliance w0f
' tie State of Ot'gofi SpeciAlt, Codes fmt the qv,oup, o9cupancy, and kive undt ,-
�_Jhich the was issued. 4
16 INSPECTOR SQILDING OFFICIAL
POST IN CONSPICUOLr4 PLACE
CITY QF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171
rERTIFICATE OF
OCCUPANCY
PF:RMIT #. . . . . . . : BUP9R -0464
DATE ISSUED: 11/30,,'98
PAR(Xt.
'i I TE ADDRESS. . . 107086 SW DF:VELAND ST
-V-1131.1I V 19 I ON. . . . ;FSE"VE LANK Z ON 1 NC a MUf~
BLOCK. . . . . . . . . . . 1_171'. . . . . . . . . . . . . ..007 ,JUhISDICTIONa TIG
Q-AG,15 OF WWW. :f-4L7
XYVIE Of" USE. . . r COM
rYPE: OF` CONSTR:'iN
:TC ULIPANCY GRP. r B
�7CCLJPANC;Y LOAD- 210
ITNAN T NAME., . . a SH I M OF F I CF HU I L.C)1 NG
,;<emArks : l enant improvement, enclose walls.
Owners ---_.� .. ._.._.,_._. __._.__�._......._. ...... ._..._..._... ......
WILLIAM KIM
"086 {;W SE:VELAND STREET
TIGARD OR 972i.3
OAV I D E YMANN
1,221b NE: HRA7EF
PORTLAND OR 97,_30
;'honN itr
to g #. . : 104 146
rhib Certificate grants occuprinc.y of the above referenced buildirrq or portion
thereof and conFirms that the building haw been inspected for compliance wit:
' he lt"�tmte of Orpon Spec i al t ,� Codes fore the group, or..cupj,rrcy, and r.rsF+ 1.111de1
ahricir the r e!frrrencp pe Writ aiarg issued.
C-1
ra /1%�! IE:cT . .........
-...__ DU I I_E)I NG �pr=F"L�_
POST IN CONGPIL_LJOI-J-r PLACE
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13129 SW Hall Blvd.Tigard,Oregon 07223.0100 (503)030.4171
j� lli13125Sw IW MY& PLNCK/RECT I
mCHHOF
.�l IGt� RD vj PERMIT /
COMMUNITY DEVELQ�i'MENT DEPARTMENT T'�td(50'�� 71)63 " DATE IStUED
,..._........_.. E *.
JOB ADDRESS: 7086 Beveland SW _____�_�_ �__ TAX tMP/Llrr% ,�,
SUB: _ __ LOT: _ 2')0U - LAND USE:
VALUATION: ----
OWNER � �17��0� SPECIAL MOT S
NAME: Michael J. Gordon REISSUE OF:
ADDRESS: 9995 SW Siuslaw La.- _,_� LAST REISSUE: _
Tualatin, OR 97062 FLOOD PLAIN/
PHONE: (Home) 692-2831Bus 620-9650 SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED SDRZ-ODZ 3
i
None PLANNING: (-6Yb* mNs7
NAME: Vf ve to
ADDRESS: ENGINEERING:
FIRE DEPT:
,.� OTHER:
PHONE: (c':�. ��C -_�___ - ---
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACT ORS: PLUMB: Mike Gordon _ LIST/SUBCONTRACTORS:
MECH: Mike Gordon BUS TAX: _ --- ---
ARCH/ENGINEER CALCULATIONS: _ ---�
NAME: TRUSS DETAILS:
ADDRESS: OTHER: -
PHONE: (' % r�
PROPOSED BLDG. USE: _gales & Service of hanking equipment _-.-____
COMMENTS: Taking existing building & repairing to make tsable as an
The existing building will not chane rlral hAR_bee --app vvA- -
-by ashington County.
' Z2, 511;CO&I,C3,L", i 2f=t
A LICAN TG E
Received By: /L' Date Received: 6A
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE'-k
10-432 00 Building Permit Fees
_
10-431 00 Plumping Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Bu lding
P 1 umb i ng
Mo,-hanical
10-433 00 Plans Check Fee
Building
PIum!)in9
Mechanical
10-230 06 Fire
30--202 00 Sewer C maection
30-444 00 Sewer Inspection _
25-448-02 Commercial 1IF Fees J/0•aa_ 1i�
25-448-04 Industrial FIf Fees
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF Fees IZaS oQ _
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 F'arks Syst�,q Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _-- --
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of )
nm/3587P.WPF
5b ",`Tn
ZrDpZ3
DATE: PIANS CHECK NO.:
3/v/,g.3
PROJECT TITLE:
COUM YWIDE r aoAo
TRAFFIC I M PACT' FE E APPLICANT:—
WORKSHEET rnlewNrl__-_s
OR WN-SINGLE FAMILY USES) ►ems ING ADDRESS:
(PI
_ 9k' 5- Scy S/u5t Ake GAJ
CITY/zIP/PRONE: i'I - b4z /
RATE PE_R TU&A-iN 9'191W _ w -6zn-9GSD
LANDUSE CATE Ofl1L_ TRIP TAX MAP NO.:
1 RESIDENTIAL _ $ 46.00 -_-Z�2 / _ �_
BUBMES AND COMMERCIAL_—$37.00 SITUS NO.ADDRESS:
_IF1C1` _.-._.--___-.- x_1_ 4 -_ 70
1 1ND�ISTRIAL �1
_ 41.00�
-
INSTITUTIONAL `$60�00�
PAYMENT ME-TROD:
_ r,.,ASH/CHECK
_CREDIT_ _- --- -- INSTIrUT10NALONLY.
_BANCROFT(PRO'4ISSORY NOTE LAND USE I;ArEG{2�{Y fKSCIUF TION OF USE F_IQIrIY AV TRIP RA WEEKEND AVE T1i1P RAT
DEFER TO OCCUPANCY Bm4' E ey:>'_r1L_ 07—z' �f� /G.3�
BASIS:
�•A,('.r_'-
F BE ^'ex"Ve-fir-, ���i�E �. - >>
CALCULATIONS:
G,E�vE.C'A7io�J _ 7�'i/�G �v� 'Aro�tJ 7/,'
I
(1v x�) tL-��- X J� l 3�1•Db !, I �/ �,z( PROJECT IT','"GENERATION:
A1,31S.49U FEF: p
i. 3/s.
7 o 7A t- zW 1 Buoy 7 _ .,
ADDITIONAL NOTf.:S: FOR ACCOUNTING PURPOSE s ON[Y
-r k►� GF,v�.�A7�v�� =(a �'z 3 x il,. 3 ►� + (1 3 o x I/. -rClPS—MI15 -r AA.1 it �
IV"=A.)` 13 <� 7_ + TOC I P-5 19 'I'D-1110
_ l q. ( -rR 1 P s
iPRFPNiED8/Y�:
CC: WASHINGTON COUNTY
TIF NOTEBOOK
form trf10
1
' `:iTY OF TIGARD
OREGON �
March 8, 1993
Michael J. Gordon
9995 SW Siuslaw Ln
Tualatin, OR 97062
RE: Traffic Impact Fee for conversion of single family residence to combined
office and storage/service space
Dear Mr. Gordon:
Enclosed with this letter you will find a calculation sheet showing the
computation that has been performed to determine the amount of the Traffic Impact
F•--re (TIF) to be paid for the r ro ject noted above. The amount of the TIF is
$1,315.00.
You havrA two payment options available to you. The first Is to pay the TIF at
the time you are issued a building permit. The second :is to arrange for payment
over time by signing a promissory note. If you wish to exerciiie this second
option please contact me for additional details.
Please note that you may appeal the discretionary decisions made in determining
the appropriate category and the amount of the fee based on that category. A
notice of appeal must be received by the City Recorder nu later than 3:30 p.m.
on MArch 22, 1993. Although filed with the City Recorder, an appeal .4ould be
heard by the Washington County Hearings Cfficer.
If you have any questions, or if I can !ie of further service, please contact me
at 639-4171 ext. 390.
Sincer ly,
Vi Goodwin
nevelopment Services Pac .litacor
c- TIF file
13125 SVJ Hall Blvd., Tigard, UR 97223 (503) 639-4171 TDD (503) 6842772 -- --------______
' I
TUALATIN VALLEY FIRE & RESCUE AND
BEAVERTON FIRE, DEPAPTMENT
• 4755 S.W. Griffith Dtive • P.O. Box 4755 • Beaverton, OR 97076 • (503) 526.2469• FAX 526-2538
April 23 , 1993
Michael J. Gordon
9995 S.W. Siuslaw Ln.
Tualatin, Oregon 97062.
Re: Sales & Service of Banking Equipment
7086 S.W. Beveland
609OB-159-000
Dear Mr. Gordon:
This is a Fire and Life Safety Plan Review and is based on
the 1991 editions of the Uniform Fire Code (UFC) and those
sections of the Uniform Building Code (UBC) and Uniform
Mechanical Code (UMC) specifically referencing the fire
department, and other local ordinances and regulations.
Plans are conditionally approved subject to Tigard
Building Department requirements and the following items:
1. The tenant space number must be prominently displayed
on the street front where it is readily visible to
drivers and officers of responding fire apparatus and
other emergency vehicles. UFC Sec. 10. 2.08
2 . Not less than one (1) approved fire extinguisher (s)
with a rating of not less than (*) shall be provided
for each (**) square foot of floor area or fraction
thereof. The travel distance to an extinguisher front
any portion of the building, shall not exceed 75
feet. UFC Sec. 10. 303
(*) 2A10B:C - Light and Ordinary Hazard
4A10B:C - Extra Hazard
(**) 3 , 000 - Light Hazard
1, 500 - Ordinary Hazard
1,000 - Extra Hazard
"Norklnx"Smoke Detectors Save i.ives
0
Michael J. cordon
April 23 , 1993
Page 2
Note: Where flammable or combustible liquids are
used, "B" ratings of extinguishers may need to be
higher and travel distances shorter. See
requirements in National Fire Protection Association
Standard 10-1.
Approval of submitted plans .is not an approval of
omissions or oversights by this office or of non-
compliance with any applicable regulations of local
government.
If I can be of any further assistance to you, please feet
free to contact me at 562-2469 .
Sincerely,
Bradley N. Wanamaker
Deputy Fire Marshal
BNW:kw
cc: Tigard Euilding Department ;,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4174FINAL:Footing Rain Drain Cover/Service
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Bd. BI`g�)-
Sen. Sewer Gas Line Appr/Sdwlk Reins,
e.o.tiL)ejzr/ )c(_ccP4tiGY- A)L) sreucTutE Clj.*V
Other:
Date:StA 3a4 Y- A.M. —P.M. Entry.
Address: ---
Tenant: II Ste: _ BIP
Con/Own- AA `'Y� :
_ MEC:
p PLM:
(. � — / e �;� ELC: _THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: —_ A-� Date
CF CO
ROVEG DISAPPROVED/CALL FOR REINSP.
i
CITY OF T I G A R D MECHANICAL
ERMIT
D
DEVELOPMENT SERVICES r
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC913-0489
DATE ISSUED: 10/30/98
PARCEL: 2SI0IAB-02500
SITE ADDRESS. . . : 07086 SW BEVELAND ST
SUBDIVISION. . . . : BEVEI AND ZONING: MUE
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :007 JURISDICTION: TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :B VENTS WO APPL- 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . .. 0
FUEL 03 HP. . . . - 0 DOMES. INCIN- 0
3-15 Hf-*,. . . . : 1. COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 H[.',. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . 504- HP. . . . : 0 CLO DRYERS. . : 0
NO. OF (ANTTS— ATR HnNDI.- ING U N I'T S LTHER UNITS. : 0
FURN ( 100K BTU: 0 <= 10000 cfm. 0 13AS OUTI_ETS. : 0
FURN ) =100K BTU: 0 > 1.0000 cfm: 0
Remarks : 4 ton air conditioner unit
Owner: FEES
)TEVE SHIM type amount by date rec-pt
1.4,:347 SW KOVEN CT CIRMT $ 25. 00 B 10/30/98 98--31044'.--
TIBARD OR 97224 PLCK $ 6. 25 b 10/30/96 98- "11044
5PCT $ 1. 25 B 10/30/98 98-31.044�.-_'
Phone #:
C'.ontractor:
DAVID EYMANN
12218 NE PRAZEE -----------------------------------------
$ 3:'. 50 TOTAL
PORTI-AND OR 97230
Phone #: 255-6017
Reg #. . : 1041.46 REOUTRED I I\ISF:,F'CT T ONS -------
This pewit is issued subject to the regulations contained in the Mechanical I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and oll other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within IB@ days of issuanre, or if work is suspended for sore
than 188 days. ATTENTION- Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 9552-001-0010 through OAR 952-881.8888. You lay
obtain copies of these rules or direct questions to OLINC by calling
I s s t.i e By : Flermittee Signature
.................................................4..............................
Call 639--4175 by 7e00 p. m. for inspections needed the next business day
4+++++4..........................................4...............................
:ITY OF TIGNRD Mechanical Permit Application Plan Che
P P Recd By
13125 SW HA__L. BLVD. Commercial and Residential Date Recd i
TIGARD, OR 017223 Date to P.E.
(50) 639-4171, x;04 Date to DST
Print or Type Permit#
Iter im lete or illegible a lications will not be accepted Called
P 9 _ pP p
Name of Development/project Description
eJ k t-WIL 664.ctl 60..t C '10 _ Table 1A Mechanical Code oty Price Amt
�b StreetAddrsee sun A) Permit Fee 10
.00
Addr ,ss -7U e� J`�"' �Y_(LIiAj 1) Furnace to 100,000 BTU
including duds&vents 6.00
Bldgs CRY/State Zip 2) Furnace 100,000 BTU+
ov, including duds&vents 7.50
1,e,,e(or
Nagame of buslness) _ 3) Floor Furnace
l Owlref �Arvr eAl,t1 includim_vent _ 6.00
Mailing Address4) Suspended heater,wall heater
or floor mounted heater _ 6.00
5) Vent not included in appliance pen-nit
ylStale Zip Phone _ 3.00
CHECK ALL 'Boiler Beat Air
Nance or name of business) 1. THAT APPLY: or Pump Cond Qty Price Amt
VtComp ,.
Occupant Mailing <
6) 3HP;absorb unit to Address 100K BTU
600 _
7)3-15 HP,absorb unit
Gay/state I 00 to 500k BTU_ 11.00
8) 15-30 HP;absorb
unit.5-1 mil BTL _ 15.00 _
Contractor Ne^� 9)30-50 HP;absorb
It r
' v 1(� (�(ilhh unit 1-1.75 mil BTU 22,50_
Prior to permit Mellen?Address(� 10)>50HP;absorb unit
issuance,a copy l 2 Z ?, N,e '�K"Zd� >1.75 mil B'I lJ 37.50
of all licenses C!tyllStet�gl J� tl Phone 11)Air handling un°t to 10,000 CFM
are required if �ovT IC�+o Ql� —r 7Z � 7JrS-(a0i 7 _ _ __ _ 4.50 _
expired in COT Oregon st.Cont.Board Llc.N Exp. e r 12)Air handling unit 10,000 CFM+
database _ !� 4 I �1 7
r7 7.50
Architect v Name 13)Non-portable evaporate cooler
4.50
or Mailing Address 14)Vent fan connected to a single dud
_ 3.00
15)Ventilation system not included in
Engineer Coy/Stela 11 zip Phone _ appliance permit _ 4.50
16}Hood served by mechanical exhaust
Describe work to be done: 1 4.50
17)Domestic incinerators
New O Repair O Replace with like kind Yes O No O 7.50
Residential O Commercial 18)Commercial or industrial type incinerator
30.00
Additional information or description of work: 19)Repair units
U _ 4.50
ltny�Gt �� F� lr t�Dl'�tuu. (rltac4 20)Wood stove
It S
Air— J ;j ram P µ`es^x'44 21)Clothes dryer,etc 4.50
4.50
Type of fuel oil O natural gas O LPG 0 electric. ---- 22)Other units
4.50
1 hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets
given is correct,that I am the owner or authorized agent of _ _ 2.00
the owner,that plans submitted are In compliance with Oregon State laws 24)More than 4-per outlet(each)
Signature of Owner/A ent Date /
Minimum Permit Fee 1.15.00 SUBTOTAL Lj
5SURCHARGE
/o _ tZ
Contact Person Name Phone p PLAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits only_
TOTAL
'State Contractor Boiler Certification required
—Residential A/C requires site plan showing placement of unit
I Vnechperm doc rev 07/20/98
CITYOF TIGARD
Approved...........
Conditional)y Approved
....................
. _.....
For only the work as described in: ( ]
PERMIT NO.
Soe Letter to: Follow.....,.
Attach.
Job Address: _...._..»... .._. ]
B V' ---- _ _ Date:—-
I � � I
A { .
Itgle"
-x4fa *ssojppv qor
.. ......................... 40811V
......... 0 1 :01 jelial gas
'7 CIN ifflltl3d
v Se )4r
p9q.jDsqp se 4 Om 041 AIUO J0:1
............................POAoiddv AjIguojppuo3
..............1... ... ...... I.... ..I... I ..Pq.AojddV I
,4 r
A ' ---- 4'' �' EX151'G 5ULF-)ING
LlrAMV
('4 PAD
6,
W.-C.
PRIVEWAT 4-
�j
.5. W. 5 E V E I- A N P Y.
&ITE T=1_4N SHIM OFFICE BUILDING
c fif +c)1- 0 10a& c;,UJ L=_,EVEL,4Nr_ 6T
y, TICzARC�. OREGON
Va%,"t &y
SSS—cc-, 0
CITY OF TIGARD ELECTRICAL_ PERMIT
DEVELOPMENT SERVICES FERMI T #: ELC98--0681
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 D�)T E ISSUED: 11/12/98
F'ORCEi : c'S 10I AB-0 :500
SITE ADDRESS. . . :07086 SW BEVELAND ST
SUBDIVISION. . . . :BEVELAND ZON I NG:Mt_E
SI...00K. . . . . . . . . . L.-OT. . . . . . . . . . . . . .007 JURISDICTION: T I G
P.-o..ject Description: Alteration of electrical service.
--RF_S?DF_'NTIAL UIVIT------ ---'iFMA' SRVC/FF_F_DERS---- -.----_ MISCEL-L.ANEOUS-----__.
1000 SF OR LESS. . . . : 0 0 - 200 amp. . „ . . . . : 0 PUMP/IRRIGATTON. . . . : 0
EACH ADD' L 500SF. . . : 0 201. -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
I.-IMITED ENE.RGY. . . . . . 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--10Q'0 volts. : 0 MINOR LABEL ( 10) . . . : 0
___SERVICE/F'EEDE:R--- - ---•--BRANCH C'[RCUITS------ ----ADD' L. INSPECTIONS——
0 2,00 amp. . . . . . : 0 W/SERVICE:_" OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 AN REVIEW !3ECTICIN_______.__--.___-.____
1000- amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > E25P AMP= . . 17,1..ASS AREA/SPEC OCC.
Owner: ------- FEES
aTEVE: SHIM t ype amount by date recpt
14347 SW KOVEN CT PRMT $ 55. 00 DL-1-1 11 /12/98 98 -310738
TIGARD OR 97224 5PCT $ 2. 75 DLH 11/12/98 98--310738
Phone #:
Contractor:
DAN CORREL.L ELECTRIC INC $ !`t7. 75 TOTAL
1. 1712 SE RHONE ST
------- REQUIRED I NSPECT I ONS ----
I'TIRTi._W) OR 97266 Ceiling Cover Eler_t' 1 Service
111-ione +f: 761-21.78 Wall Co pr Elert' 1 Final
Raq tl. . : 000673
This pervit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregur. Specialty Codes and all other
Applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is not started within 1118
Mays of issuance, or if work is suspended for tore than 188 day,. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in DAR 452-881-88le through OAR 952-WIA 387. You may obtain a copy
of these rules or direct questions to %K by calling f5631246-1W.
►'nrmit.tNe Siynat .rre : _ ,u,e� M-a►„n Issued By -
INSTALLATION
y4INSTAL_LATION
The installation is being made on property T own wfri.r_h is not intended for,
Ale, lease, or rent.
OWNER' S SIGNATURE: _- ----_----._.._.__-_- DATE:
INSTFII-.I-..ATIOhI (]r,ILLY---- ------------- ---____.._._._
f,IGNATURE OF SUPR. ELEC' N: — 7�I _ �L# 'f.6-7`70 —_ DATEo
I.-I CENSE NO:
++4.+++++'++++++++t.+++++++++++++t+++++++++++++++4-4-++++++444++44,+4+4-+-+4-+-++++++++4--+4-
Call
•-4•++++++4++++++++++-++-++++++++++•++Call 6:39-4175 by 7:00 p. m. for an inspection needed the next: business day
i+++++++t+++4+-!-+++++++++++++++4 +++++++++++++++++++++++++•+•++++++++++++++++++++++
l _i
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SAN HALL BLVD. Rec'd By�
TIGARD OR 9722.3 Date Recd i /y _
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 a EGA
Fay (503) 684-7297 Called
1. Job Address: 4. Complete .Fee Schedule Below:
�J G71
�
Name of Development rr«" ►.�- (� Number of Inspections per permit allowed --
Name(or name offJbusiness) ', 1 _ t-�((1 Service included: Items, Cost Sum
Address 1 U `' Y e� ' �'��`�`"` N 41. Resideotial-per unit
City/State/Zip TLc,Ctva ()K - IWOsq ft. lLss $110.00 4
T Each additional 500 sq.ft.or
Commercial Residential❑ portion thereof $25.00
Limited Energy $25.00
Each Manul'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00
(Attach copy of all urrent lice ses) 4b.Services or Feeders
Electrical CO ractor- i 47 e Installation,alteration,or relocation
Address_ C e- C' •c ?.�' 4 200 amps or less $60.00 _ 2
201 amps to 400 amps $80.00 _ 2
City or �. State Zip �' -_ 401 amps to 600 amps $120.00 2
Phone No. 7 2!j!z 801 amps to 1000 amps $180.00 _- 2
Job NO., Over 1000 amps or volts $340.00 2
��
Elec.Cont. Lice. No._ 6- t�Exp.Date_ f}- Reconnect only 00 2
$50. -----�-
OR State CCB Reg. No. 7,33(t. Exp.Date r 4c.Temporary Services or Feeders
COT Business Tax or Metro N� Exp.Date - Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr. Elea,J�[r� 201 amps 10 400 amps $75.00 N _
�+ 401 amps to 600 amps $100.00
�v t Over 600 amps to 1000 volts,
License No._-__A,7=�__Exp.Date / �VI. see"b^above.
Phone No.__ _J1, _
4d.Branch Circuits
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 lee.
Address Each branch circuit $5.00 _-
--- -- b) rho gee or branch chcuits
City _ State__ - Zip - without purchase ul
Phone No. _ _ service or feeder tea.
First branch circuit _ $35.00
The installation is being made on property I own which is not Fach additional brenrh circuit $5.00
intended for sale,leasR or rent. 4e.Miscellaneous
(Service or leader not included)
Owner's SlgnatUfe _._ 4_ Each pump or irrigation circle $40 00 -
Each sign or outline lighting $4000 -
3. Plan Review section (if required):* Signal circuits)or a limited energy
panel,alteration or extension $40.00 _ 1
J _-
Plense check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00-^
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allov,able in any of the above
-�System over 600 volts nominal Per inspPl�-nt f $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. 5. Fees:
Not required for temporary construction services. 5a.Fater total of above fees $
5`o 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 it reauir (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.
1:1 Trust Account N _ S
Total balance Due
I NDSTMELC96 APP n6v N66
CITY SOF TIGARD
DEVELOPMENT SERVICES BUILDING; PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : BUF'98--0464
DATE ISSUED: 10/30/98
PARCEL: 2S101AB-02500
ITE ADDRESS. . . : 0708E SW BE=VELAND ST
SUBDIVISION. . . . : BEVELAND ZONING:MUE
BL.00K. . . . . . . . . . .I LOT. . . . . . . . . . . . . .007 JURISDICTION:TIG
----------------------------------------------------------------------------------
REISSUE: FLOOR AREAS------------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . : :'36 sf N- S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?---------
TYPE OF CONST. :SN . . . : 0 sf N: S: Ee W:
OCCUPINCY GRE'. :B TOTAL—--•---: 2;36 sf ROOF CONST: FIRE RET"?
OCCUPANCY LOADa 20 BASEMENT. : 0 sf AREA SEF'. RATED:
STOR. : 1 HT: 0 ft GARAGE_'. . . : 0 sf OCCU SEF'. RATED:
BSMT?a MEZ Z" : READ SETBACKS----.—_—__._ REWIRED------------------- -
FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 f7 FIR SPKL:N SMOK DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICF' ACCsY
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $: 198017f
Remarl(s : Tenant improvement, enclose walls.
Owner; ____—.-----.---.---_-____.______-----_____--------___—_-____ FEES ---------------
STE=VE SHIM type amot.!nt by date recpt
14.347 SW KOVEN CT PRMT f 140. 50 B 10/30/98 98-31044:'
TIGARD OR 97224 aPCT f 7. 03 B 10/30/98
98--310+42
PLCK f 91. 33 B 10/30/98 98-31044E'
Phone #: 524--3683 FIRE f 56. 20 20 P 10/30/98 98-31.0442
Contractor: ---------------------------_--
DAVID E.YMANN
1.2218 NE BRAZEE
PORTLAND OR 97230
Phone #: 255-6017 E 295. 06 TOTAL
Reg #. . : 1041.46
--RE[?U 1 RED ACTIONS or INSPECTIONS—
This
NSPECTIONS---This permit is issued subjert xi the regulations contained in the Framing Insp
Tiyard Municipal Code, State of btp. Specialty Codes and all other Gyp Board Insp _
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspenderl for more
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Nc:ification Center. Those _
rules are set forth in OAR 952-001-0010 through OAR 952-00101987.
You many ibtain a ropy of these rules or direct questions to DUNC
by calling 15031246-1987.
Permi l tee Si- naturelvV 6 �� Issmed By: ���----
+++++++++++++++++++ +++++++++++++ ++++++++++++++.I++++++++++1-f.+++++++++++++++++
Call 639-4175 by 7s0Q1 p. m. for an inspection needed the next tai-isiness day
+-++++++++++++++++++++++++++++++++++++++++++++++++f+++++4-++++++++++++++++++++++
CITY OF TIGARD Commercial Building Permit ApplicatioDRec'd By13125 SW HALL BLVD. Tenant Improvement ate Recd.J,0TIGARD, OR 97223 ate to P.E.,,'503) 639-4171ate to os'ht'��c 2 - AhO
ermits IA>C d
Print or Type / Related SWR tr
Incomplete or illegible applications will not be accepted Called_ __
Name of Development/Project --- Existing Building New Building E]
Job ?h ern G{•4��-�. ��ct r l�.r�e - �----�� _
Address St eet Address — Sute Building
70 8 L- SW Data
Bldg 0 City/State Zip —� Existing Use of Building or Property:
- -7 c ci rd' i7p- 1777 3
Ce
Name _
' Proposed �r Pro e
Property c� eve 5!"r+r sed Use of Building P 9 P rtY
Owner Mailing Address ll,J� suite
14 �1*7 -�I Myr•_o(l p�) No. Of Stories:
City/Stale Zip I Phone
iq 6,,,4 `i l?-1A S z4-31.,5 Ft Of Project:
Occupant Name (ln �Q/ 2- In
1 � Occupancy Class(es) —f
Name /,r
Contractor 71AV-d -- urn t
Fy�•au� 6 �v � � ----, Type(s)of Construction
Prior to permit Mailing Address Suite
issuance,a copy i NE Fra rill e _- Will this project have a Fire Suppression System?
of all licenses Yes �] _ No
_
Ph
are required if City/State Zip one --
expired In C O T fv, +taf,cC L ��Z w Americans with Disabilities Act(ADA)
database _ Valuation X 25% = $ Participation
Oregon Const Cont.Board Lic 0 Exp.Date Complete Accessibility Form
fu 4 1 At, i /z 1/ti`1 Project $ / ---
Name -- — VaIUatliJn
Architect Plans Required See Matrix for number of sets to submit
' Mailing Address Suite on back
City/State Lip Phone I hereby acknowledge that I have read this application,that the information
— — I given is correct,that I a n the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in cumpliance-with Oregon State Laws
Si lure cf Owner/Agent Date �—
Mailing Address Suite W iy,i
Contact Persun N me Phone
City/State — Zip Phone 7
���- E r ?
Indicate type of work: New O Addition O —� FOR OFFICE SE ONLY -
�4a /TLand Use:
Accessory Structure O Foundation Only O Aq _,7/O//9`6^ Z-s-70
_ Repair O Other O - --- Notes:
Description of work:
--- — -- — I 71F:
Note: Site Work Permit Application must precede or accompany Building
'emelt AppNcafion
,coMNEWTI.DOC (DST) V98
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 plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, "Tualatin Valley Fire & Rescue)
Total # of
TYPE OF SUBMITTAL plans KEY-
Submitted
S (Private) 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
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2J New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) _ Building
*Borg & M (Alt) � 1
*B & M & F (Alt) 3 �
*B & M & P & E(Alt) 3
*B & M & P & E & I=(Alt) 3
NOTES:
*Shaded areas designate ALT submittals only.
I WsWmaxtrix1 doc 07/06/98
OVER-THE-COUNTER (OTC) � ..,�
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT
CLASS OF WORK —_�'T _ i FLOOR AREAS _ i EXTERIOR WALL CONSTRUCTION
TYPE OF USE t.�e rv� i FIRST Z SQ FT i N S E W:
TYPE OF i
CONSTR Sa SECOND SQ. FT PROTECT OPENINGS?.
OCCUPANCY GRP _� THIRD SQ FT N S E W.
OCCUPANCY LOAD TOTAL SQ FT ROOF CONSTR FIRE RET.
� I
STOR ,- HT FT: BSMNT SQ FT AREA SEP. RATED
BSMNT? MEZZ?, GARAGE SQ FF OCCU SEP RATED
FIRE_ � (( FIRE 1 SMOKE HANDICAP
SPRINKLER: _ N� ALARM K10 DETECTOR: OD ACCESS
—COMMERCIAL INSPECTION ACTIONSFEE MENU --i-
- _------------------- --
^_ Foot/Found Post/Beam s12(0,50
Permit Fee
Masonry Framing) $ 4�3 Plan Review
Insulation Shear Wall $_ e3 5% State Surcharge
Firewall __ Gyp Bo $ ��� FLS Plan Review
Suspended Ceiling — Sprinkler Rough-in $ T Add] Permit Fee
Sprinkler Final ___ Fire Alarm $ Add'I FLS PIn
Smoke Detector Approach/Sidewalk $ Inspection
�— Miscellaneous _ Fin $ _MIS Fee
FOR OFFICE USE ONLY:
TYPE.OS USC OPTIONS(COM-conrrnerciaL CMS=commercial manutiutured structure)
CLASS OF WORK OPTIONS FOR ALI. I'I:RMITS(NEW--neNN; Add addition;ALT=alteration; AL'S accessory:I:NI)-foundation:
O I'R other; DEM=demolition: REP=repair; FPS=-firc protection system, NOTE: USE OTIC F(W F NCES, U I AININ(i
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANt)i'IES)
kovrrntr2 doc (DST) 4197
I
SUBJECT: ACCESSIBILIT`(
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the
restroom,telephones and drinking fountains are readily accessible to individuals with
disabilities,unless such alterations are disproportionate to the overall alterations in
terms of cost and scope.
(2)Alterations made to the path of travel to an altered area may be deemed
disproportionate to the overall alteration when the cost exceeds twenty-five percent
(25%).
VALUATIQN of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $_
multipl5t 25% Barrier removal requirement. 25
BUDGET FOR BARRIER REMOVAL [2] $ '
In choosing which accessible elements to provide under this section, priority shall be given to
those elements that will provide the greatest access. Elements shall be provided in the following
order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: __^i
(d) At least one accessible restroom for
each sex or a single unisex restroorn: $ _
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g)When possible, additional accessible
elements such as storage and alarms:
TOTAL: Shall equal line 2 of value computation $ �cy,Q
I
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S I TE f=L,4N SHIM OFFICE BUILDING
�108rc, SW BEVELAND ST
TICsoRD, CREGON
,?SS-�-c 1-7
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- S. UJ. BEvELAND T.
51 TTE FLAN SHIM OFFICE BUILDING
708h SW 15EVELAND ST
Ca�,1i�a c�v�- T ICs,4RD, OREGON
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
our Inspection Line: 639175Yusiness Line: 639-4171
X53 1- 30- BUP
Date Requested AM PM _ BLD
Lo ration _7C_SL� C /Suite ME
Contact Person _ a.'�L Ph 55 �0( PLM -
Contractor Ph SWR
BUILDIN r +Tenant/Owner _— ELC
Retaining Wall -_--_� ELR
Fooling Access -�7FPS - ---�-
Ftg Drain Ei ,024��v- ► l ft s 4 AI
Ftg Drain C / ` SGN
Crawl Dlain Inspection Notes. -- --
Slaby}�, SIT
Post 4 Beam
G'/I � l �'L✓ tet (��1 f�� t` �... —
. Ext Sheath/Shear
hit Sheath/Shear f" J, ✓- - ��-� >���'fi C i�r Cr( 7T—
Framing --
Insulation 11 ' 6 ) �t__.__
Drywall Nailing _
--Firewall
Fife
Fire Sprinkler SLFire Alarm
Alarm
Susp'd CeilingL-
Roof
-XITS1 PART FAIL -- — -
BING �-�
Post&Beam — -
Under Slab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS---PARI FAIL.
,NLEHIANICAL - --
-- - - -
Notigh In
Gas Line
e Dampers
PART FAIL. -— ---
EL CTRICAL - -- - - - ---- - -
Service
Rough In !------ - -----
UG/Slab
Low Voltage �,— — ----_.--.-- -_
Fire Alarm -- -- ------- ------ - -- -- - - - —
Fin-^I
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 ( ]Please call for reinspection RE 1— [ ]Unable to inspect-no access
Fire Supply Line --- ___�------ -
ADA
Approach/Sidewalk Date II }C Inspector Ext _
Othir _ --
Final
PASS PART FAIL DO NO? REMOVE this inspection record from the job site.