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7175 SW SEVELAND STREET #100
CITY OF T
-* DEVELOPMENT SERVICES
13125 SW Nall B.'vd., Tigard,OR 97223 (503)639-4171
CITY OF TIGARD Electrical Hermit Application Plan Check p tJA
13125 SW HALL BLVD. Rec'dBy_ 6 C.D
TIGARD OR 972^43 Date Redd if It III ` -1 -
Cate to P.E. NA
Phone(503)639-4171, x304 Date to DST A
Inspection (503) 639-4175 Print or Type _
Incomplete or illegible will not be acce trd Called
Permi
n c
Fax (503)684-7297 p g P
1. Job Address: 4. Complete Fee Schedule Bel:-w:
Namo of Development_ Bevelarld office Building Number of Inspections per permit allowed -
Name(or name of business)A-f� t> Service inctvded: Items Cost sum
Address
7175 SW Beveland S� �Cj�
4a. Residential-per unit
City/State/Zip_- miV1000 sq.It.or less $110.00ard, nR 977?3 Each additional 500 sq.ft.or -
Commercial® Residential ❑ portion thereof - $25.00
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $66.00
2a. Contractor installation only: - ---
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Cop tractor�I,it Installation,alteration,or relocation
Address 2459 SE- V: pry ST'--- - 200 amps or less $60.00 2
Hillsboro OR -- - 1 201 amps to 400 amps $60.00 _ 2
CityState Zip 87123 401 amps to 600 amps $120.00 2
Phone No. 693-9775 --__- 601 amps to 1000 amps $160.00
Job No. _ Over 1000 amps or volts $340.00
Elec.Cont. Lice. No. --� Reconnect only _ $50.00 2
��,�__Exp.Date10-1-98
OR State CCB Reg. No. _Exp.Date-_1-22-9A 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
�{� 200 amps or less $50.00
7
g- re o j ao 201 amps to 400 amps $75.00
upr. Elec n
401 amps to 600 amps $100.00 ---
ps to
LicenseNr 4041S Exp.Date '0-i-98 Oseeeb"00 amabove. ttX)Ovolts,
Phone N _- 3-177---
- --- 4d.Branch Circuits
New,alteration or extension per p,iel
2b. For owner installations: a)The fop for branch circuits with
purchase of service or
Print Owner's Name-- feeder fee.
4ddress - Each branch circuit _._ $5.00
- -- - --- b)The fee for branch circuits
Zip - without purchase of
Phone No. _ servicr or feeder fee.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit $5.00
intended for sale, lease or rent. 4e.Misceflan.nus
(Service or feeder not included)
Owner's Signature_ - Each pt:mp or Irrigation circle $40.00
Each sign or outline lighting $40.00
3. Plan Review section (if required):* Signal circult(s)or limited energy
panel,alteration or extension $40.00 _ 2
-
Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.tx
_--_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 _
i Submit 2 sets of plans with application where any of the above apply. I 5. Fees:
Not required for temporary construction services. 5e.Enter total of above fees $ - -
50o Surcharge(.05 X total fees) $ _�• 7
NOTICE Subtotal $
Sb.Enter 25%of line Ss for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Pian Review If peguir (Soc.3) $
NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subt ital $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trus'Account A
I
Total b.0ance Due $
1 teSTSAELC96 AVP Rm B196
CITE` OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125
-
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: El_R97--0?43
DATE ISSUED: 11 /46/97
PARCEL. : 2S1O1AD-02000
SITE ADDRESS. . . :0'/175 SW BEVEI_AND ST #100
)USD I V I S I Ohl. . . . :BEVEL_PND ZONING:MUE
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO4. JURISDICTN: TIG
T'ro.j ect Descri pt i on: Add data telecommunication installation to existing tenant
A. RESIDENTIAL---------- B. COMMERCIflI--------------------------------------------
AUDIO
_------------------_---._--___._-_--_------
AUDIO & STEREO. . . : AUDIO & STERE.O. . : INTERCOM & PAGING. . :
BURGLAR Al-ARM. . . . : BO T I-ER. . . . . . . . . . : LANDSCAPE/I RR I GAT. . :
�3ARAGE OPENER. . . . . CLOCK, . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC* . . . . . . . . . . . . . : DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . , . : OUTDOOR t_ANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
'TOTAL # OF' SYSTEMS: 1
Owner: - ----______________-__._.__.__.__._____----------.----_.____-- FEES -------------- ---
TOHN BERMAN type amol_int by date recpt
;HAW DEVELOPMENT CO. PRM1 f 40. 00 GEO 11/26/97 97--301 -,7r)
147110 SW OPREY DR SUITE 295 SPCT $ 2. 00 GEO 11/26/97 97-3012 79
BEAVERTON OR 77007
Phone #: 579-5001
Contractor:
C'CIMMWORLD f1F PORTI--AND $ 4P. O0 TOTAI__
ROBERT WARREN OL_SEN
PO BOX 3675 ------ REQUIRED INSPECTIONS - -
PORTLAND OR 97203 Low Voltage Inge _
Phone #: Elect' l Final
Reg #. . : 001039
This permit is issued subject to the regulations contained in the Tigard Munic pal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will op done in accordance with approved plans. This permit will expire if work is not started within IN
days of issuance, or if woo is suspended for more than 189 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregen Utility Notification Center, Those rules art set furth in DAR 952-001-0A1N through DAR 952-MI-06N. "oi may obtain copies of
these rules or direct questiou m uvc aj 45031245-1%7.
Issued b y __ � � P e;,m i t t e e S i y n a t i_i r e
r' v
------ - ----- ---------- -------OWNER INSTALLATION ONLY
The
-------- _- - ----
The installation is being made on property I own which is not intended for-
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
IN`;TALLATION ONLY---------------------- ---------
S I GNATURE
-----___-----------.__ ____-----SIGNATURE OF SUPR. ELEC' N:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++-+-+++4++++++++++-f+++++++++++++++++
Call 639-4175 by 7:00 P. M. for an inspection needed the nQxt bi.igi.ness day
+i ++++++++++++++++++++++++++++.+++++++++++++++++++++++++++++++++++++++++++++++, +
CITY OF TIGARD RESTRICTED ENERGY EI ECTRICAL APPLICATION Recd by:
13125 SW HALL BLVD Date Recd:
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 Permit#: G�Cf�
F - 503-664-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'&
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL
• Restricted Energy Fee........................................ $40.00
• /,(t' �)C (FOR ALI. SYSTEMS)
,JOB Street Address Ste#
ADDRESS 717-5 ;�w un�& Check Type of Work Involved
X_J
Cit State Ize Phone Audio and Stereo Systems
Name (❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener"
-- City;State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
Name -- ❑ Vacuum Systems'
CommWorld of Portland ❑ Other__
CONTRACTOR Mailin9Address
S.W. Arctic DR. 1-YPE OF WORK INVOLVED -COMMERCIAL
(Prior to issuance a City/Stale Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses Beaverton, OK.97005 20-1220 (SEE OAR 918-260-260)
are required if Oregon Contr Bird Lic # Exp Date
expired In C O T 1 0391 03/09/98 Check Type cf Work Involved
data base) Electrical Contr Lic # Exp Date
26-890QLE– ❑ Audio and Stereo Systems
C O T or Metro Lic # Exp Dale
.97-6132 _ 12/31/97 ❑ Boiler control
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City/State Zip Phcne# ❑
L Fire Alarm Installation
This permit is issued under OAE 918-320-370 This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this HVAC
permit and to do the following
❑ Instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other transactions are exempt from licersing El intercom and Paging Systems
These have asterisks(') All others need licensing,
❑
2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control'
Inspection at 503-6394175;
❑ Medical
3 purchase separate permits for all Installations that are not ready for an L7 Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done, and, f�
F] Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations
authorized to bind the applicant
. I
/Si natture — ENTER FEES = 7C
5%SURCHARGE(.05 X TOTAL ABOVE)
r
Authority if other than Applicant — - TOTAL = �-�-
vesele doc 12!96
\ CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: EL-R97--0365
DATE ISSUED: 12/22/97
PARCEL : 25 1.01 AB-02000
SITE ADDRESS. . . :071.75 SW BFVELAND ST #100
SURD I V I S I OIV. . . . :BE VELAND L()N I NU:MUE
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTN: TIG
Project De scr i pt ion : Installing protective signaling
A. RES I DENT I AL ----- ---- R. COMMERCIAL----------------------------------------
AUDIO
--------------------------------------_AUDIO & STERFn. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DOTA/,TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECT IYE SIGNAL. . : v
I NST RUMENTAT ION. : OTHER. . : . .
rOTAI_.. # OF SYSTEMS: 1
UWnPr$ _.___._.__—__—._._—_____. _.____ ____._____—.-.-.__.____.____.___.._____ FEES -__.__-----__-.--
HENEDEX type amount by date recpt
7175 SW BEVELAND PRMT $ 40. 00 B 12/22/97 97-301967\
STE 100 5PCT $ 2. 00 B 12/22/97 97-301967\
TIGARD OR 97223
Phone #:
Contractor: ._-----•__-
HONEYWELL INC t 42. 00 TOTAL
15495 SW SEQUOIA
STE 100 -------- REQUIRED INSPECTIONS --- -
PORTLAND OR 97224 Ceiling Cover Low Voltage Insp
Phone #: 968-3333 Wall Cover Elect' l Final
Reg #. . : 000578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of pre. Specialty Codes and all other
applicable laws. All w -k will be done in accordance with approved plans. This permit will expire if work is not started within 198
days of issuance, or if %j,k is suspended for more than 189 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Thnse rules are set forth in DAR 952-881-0810 through OAR 952-981-9989. You may obtain copies of
,hese rules or dir quest /aIt 15031246-1987,
e d b Y. tions MIC� _.___.__.. permittee 5 z q n a t u r
INSTALLATION ONLY--------------------------------
The
------. ------------------.--__The installation is being made on property I own which is not intevded for
sale, le-ase, or rent.
OWNER' S SIGNATURE: DATE:
------------- - ---- -- - -CONTRACTOR INSTALLATION ONLY- --------------------------- - -
SIGNATURE
.-_---._-------------------- -SIGNATURE OF SUPR. ELEC' N; _ DATE:
I_I CENSE NO-
.............................................4.............4........4..............
O:.++++++++++++++++++-f+++++++++++++++++++++++4.++++++++++++4+++++++f•++++++t++++++
Call 639--•4175 by 7:00 P. M. for an inspection needed the next business day
� �+++++++++++++++++++++++++++++++++++++++++++++f++++++++•H+++++++++++++++++++++++
CITY OF TIOARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by.
13125 SW HALL BLVD Date Recd: 'L
TIGARD OR 97223 PRINT OR TYPE �—
V- 503-639-4171 X304 Permit
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: i
WILL NOT BE ACCEPTED
Name of Development Pro)ect TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Ener Fee....
�'A o�. 9Y $40.00
I „ (FOR ALL SYSTEMS)
JOB Street Address Ste#
ADDRESS or) Check Type of Work Involved:
Cit /State e7-ip91.4.4 Y Phone# ❑ Audio and Stereo Systems
ar
a ❑ Burglar Alarm
OWNER Mailing Address
❑ Garage Door Opener'
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
Vacuum Name E] VSystems*
❑ Other --- -- — —
CONTRACTOR Mailing Addie s
/±,y�S _.-,&-) Se r1ci2 l.J
" #/ �� TYPE OF WORK INVOLVED -COMMERCIAL
/'iC
(Prior to issuance a City/State Zip PhcAe# Fee for each system.............................................. $40.00
copy of all licenses :c,, f la d- G y,-;kyr,, (SEE OAR 918-260-260)
are required If Oregon ontr.Blid Lie.0 Exp.Date
expired in C.O.T. , 7 s".z V /�2 1 Check Type of Work Involved:
data base). Electrical Contr.Lic.# Exp.Date
2C' L`G�- c ❑ Audio and Stereo Systems
C O.T.or Metro Lie.# Exp. ate
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunice-ion Installation
City/State Zip Phone# ❑
Fire Alarm Installation
This permit Is issued under OAE 918-320-370. This applicant agrees to
make only restricted energy;nstallations(100 volt amps or less)under this ❑ HVAC
permit and to do the following
❑ Instrumentation
1 Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing,
� 2 Call for inspections when installation under this permit are ready for E] Landscape Irrigation Control'
inspection at 603-6384176; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit
4 Assume responsibility for assuring that all corrections required by the ❑j Outdoor Landscape Lighting'
inspector are done,and,
Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other.
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days. _Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations '
authorized to bind the applicant.
r• - FSS:
Sl na re
ENTER FEES f_ ( Ll
5%SURCHARGE(.05 X TOTAL ABOVE) S __
Authority if other an Applicant TOTALS- t��0 0 I
i Vesele doc 12/9(1 1• _ q.2 00
I _
CITY OF TICSARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM'j7-0463
DATE ISSUED: 12/05/97
SITE ADDRESS. . . : 07175 SW BEVELAND ST #100 PARCEL: 2S101AB-02000
SUBDIVISION. . . . : BEVELAND Z014ING: MUE
BLOCK,. . . . . . . . . . : LOT. . . . . . . . . . . . :004 JURISDICTION: TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFL.OW PREVNTRS. . : 0
OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . .. . . . . . .. Z1
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . :, 0 CATCH BASINS. . . . . . . : o
FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : URINALS. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . :
LAVATORIES. . . . s OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . s 0 SEWER '.INE (ft ) . . . 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 1T
DISHWASHERS. . . . I RAIN DRAIN (ft) . . . : 0
Remarks : Genedax 11
Owner: FEES
TnHN BERMAN type amount by date rer-pt
SHAW DEVELOPMENT CO. PRMT $ 25. 00 GEO 11/14/97 97--300937
t4780 SW OPPEY DR SUITE 295 SPCT $ 1. 25 GEO 11/14/97 97--300937
BEAVERTON OR 97007
Phone #:
Contract
L40LCOTT PLUMBING CONT. INC
PO BOX 2007
GRFSHAM OR 97030 ----------------------------------------
Phone #: 667-9891 $ 26. 25 TOTAL
1leg #. . .* 000238
REDUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rough—in Ins
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underf I oor
applicable laws. All work will be done in accordance with Top—out Insp
approved plans. This permit will expire if work is not started Final Inspection
itithin 184 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon low requires you to follow rules
adapted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-MI-010 through MR 952-Ml-@W. You may
obtain copies of these rules or direct questions to OtK by calling
(563)246-1987.
Issued B y Permittee Signature:
...........4-++++ .4................................. ...................
Call 6313-4175 by 7:00 p. m. for an inspection needed the next business day
4........................................................4....................
CITY OF TIGARD 1,Ar Recd By
Plumbing Application
13125 SW HALL BLVD. Commercial and Residential Date Recd I�
TIGARD, OR 97223 Date to P.E. W'11'
(503) 639-4171 l 4 DatFi to DST A-
p { Permit#_jamM q 7 (D
Print or Type VIYrv,/' Related SWR#a,' i! o-I
Incomplete or illegible applications will not be accepieCf ' alled
4uf <_i 4 -(-C;,c''
Name of Development/Project On back Indicate work Performed by fixture.
Job 7 175 BU i Id i nq FIXTURE$ (in
dlvlduai) QTY PRICE AMT
Address Street Address Suite Sink 9.00
7 t 75 SW BevelandSt l0i)
City/State Lavatory 900
Bldg# g a r Zi Tub or Tub/Shower Comb.
Tigard, UR �71z3 9.00
Nerve Shower Only 9.00 -�
utn M. Berman/Michael L, summer , 1
Water Closet 9.00
I Owner Mailing Address Suite Dishwasher 9.00 J
7175 SW Beveland St 21U
Garbage Disposal g 00
CitylState Zip Phone
Washing Machine 9.00
'I'i aril OR 9722.3 670-1.1.33
Name Floor Drain 2' / 9.00
C —�enedax 3" 9.00
Occupant Mailing Address Suite
5335 SW Meadows Rd 370 9.00
City/State Zip Phone Water Heater O conversion O like kind 9.00
Lake Oswego, OR 97035 684-7255 Laundry Room Tray 9.00
Name Wolcott Plumbing Urinal 9.00
Other Fixtures(Specify) 9.00
Contractor Mailing Address Suite —
PO Box 2007 9.00
Prior to permit City/State Zip Phone : d
9.00
issuance,a copy —flLua1 7030 667-1'/81 —+ 9.00
of all licenses are Oregon Uonst.Cont.Board Lic.# Exp,Date 9.00
required if 23847 10-19-98 Sewer-1st 100" r� 30.00
expired in(.';OT Plumbing Lic.# Exp. Date Sewer-each additional 100'
database 26208 PB 8--31-9>3 25.00
Name Water Service-1 st 100' 3000
Architect Argo Archi tget Water Service-each additional 2C0' 25.00
or Mailing Address Suite — Storm&Rain Drain-Isl 1:0' 30.00
16325 SW Boones Ferry Rd 201 Storm&Rain Drain•each ad4itional 100' 25.00
Engineer City/Stale Zip Phone Mobile Home Space - 25 00
_ __ I lyeUswc go, OR 9700 636-075 Commercial Back Flow Prevention Device or Anti- 25.00
r Describe work New Addition O Alteration O Repair O Pollution Dev,.,
to be doneResidential O Non-residential O _ Residential Backflow Prevention Device' 15.00
Additional description of work. - —
Any Trap or Waste Not Connected to a Fixture 9,00 —�
Tenant Improvement r;atch Basin 900 --
Insp.of Existing Plumbing 40.00 "
I _
—per/hr
Existing use of Specially Requested Inspections 4000
budding orpropertyUnder Construction _ _ per/hr
Rain Drain,single family dwelling 30.00
Proposed use of `� i
ouilding or property Commercial Off ices Grease Traps 9.00_ —
I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL
Isometric or riser diagram is required d Ouanity Total is >9 t r
given is correct,that I am the owner or authorized agent of the owner,and _ *SUBTOTAL
that plans submitted are in compliance with Ore on State Laws.
Signature of OwnetlAgent 5/, / ° ——
J 5 Je SURCHARGE
,l4 th //- - I `'
Co—ntac erooq ame Phone PLAN REVIEW 25°,OF SUBTOTAL.
Required onty!future Qty total ip:9 _
�,— TOTAL
'Mlnlmum permlt fee is$25-5%surcharge,except Residengal Backflow
Prevention Dev!ce,which is S15�5%surcharge
i tdaisipim aop doc S/97
C_�
PLEASE —QQ PLE1
Fixture Type -Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory -- ----- _
Tub or Tub/Shower Combination
Shower Only -
Water Closet
Dishwa:,her
_—_ _- - --- _—^-
Garbage Disposal--- - - _ -
Washing Machine
Floor Drain 2"
Water Heater
Laundry Froom Tray --
Urinal__
Other Fixtures (Specify)
I
COMMENTS REGARDING AE',OVE:
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard.OR 97223 (5(13)639.4171 FIE RM T T
PERMIT #. . . . . . . f;WR'717-•04O7
DATE ISSUED: 12/05/97
PARCEL. : 2S 101 AN—O2000
SI1 - f)DDRESS. . . :071 7°i SW BE.VELAND ST #100
SUBDIVISION. . . . :BEVELAND ZONING: MUE
BLOCK. . . . . . . . . . I._0T. . . . . . . . . . . . . :O04 Tl_IRISDTCTION: TIG
TENANT NAME. . . . . :GENEDAX
USA NCI. . . . . . . . . . : FIXTURE UNITS. . . 7
CLASS OF WORT!. . . :AI-T DWELLING UNITS. . : 1
TYPE OF USE. . . . . .COM NO. OF BUILDINGS: 0
TNSTALI... TYPE. . . . :IIUSWR IMPERV SURFACE: 0 sf
Remarks : RE: PI_.M97—O463
9wner; - _.___._._._.______.._-- ---..._._.____.__.____.__.__.__.__.._...____.. .._.._.._._.____._ FEES
JOHN BERMAN type amol_mt by date recpt
';HAW DEVELOPMENT 03. PRMT $ 2200. 00 JSO 1.2/04/97 97-301.445
14780 SW OPREY DR SUITE 295
BEAVERTON OR 97007
Phone #:
f.,Ontract Or,: _._._.____. _...__.___ _ ____.__ _ _..---•-.—_.--_
nWNER
-------------------------------
I-,hone #: 9 2200. 00 TOTAL_
Reg #. . .
-------- REOU I RED INSPECTIONS
— — ---
This Applicant agrees to comply with all the rules and regulation=of the Unified Sewage Agency. The permit expires 189 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
qiven, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTFNTION: Oreqon law requires you to follow rules adopted by the _
Oregon Utility Notification Center. Those rules are set forth in OAR
952-981-9819 through OAR 952-3891-9989. You may obtain copies of _
Giese rules or direct questions to OX- b Calling (593)246-!987.
I ,;s 1-1 e d by _ \ Permittee S i.g n a t r_t r e :.
4..................+++•r-+-1 +++.t.....F...........4...+f....4...........+++t+++++i-•r-+-1 +
Call 639-4175 by 7:00 p. m. for an inspection needed the next blisi.ness day
4. +... ....'1" .. .+. ..I."F•F•Fa ....+++•F•F..........F.....++++•F•Fi•.......F
Accumulative Sewer Tally
Tenant Name: Ppiee- _ This SWR# `5—K �77 - oyC
Address: This PI-M#: -1 ,
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New t-1tal Nle-.,v
# \alue Capped off value added# added #s total
Count off#s count _ value v
Baptistry/Font _ 4
Bath-Tub/Shower 4
Jacuzzi/Whirlpool — 4 _ t
Car Wash- Each Stall 6 —
Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher- Commercial 4 / / L
_ - Domestic _ 2 v
Drinking Fountain 1
Eye Wash 1
Floor Drain/sink-2 inch 2
---- )
3 inch 5
4 inch 6
Car Wash Drn 6
Garbage Disposal 16
Domestic(to 3/4 HP) _
Commercial(to 5 HP) _ 32
Industrial(over 5 HP) 48
Ice Machine/Refrigerator Drains 1
Oil Sep(Gas Station) 6
Rec. Vehicle Dump Station 16
Shower- Gang(Per Head) _ 1
- Stall 2 _.-
Sink- Bar/Lavatory 2
Bradley `5
Commercial p 3 �_
Service 3
Swimming Pool Filter 1
Wazher-Clothes _ 6
Water Extractor 6
Water Closet-Toilet 6
Urinal 6
TOTALS r �/
Total fixture values t-' _divided by 16 = G;,cI' L" EDU L `7�Lt �+ ��5�►eF
HISTORY
PLM# 3 EDU# y SW_R# 9-7 -1SF PLM# _ EDU# SWR#
PLM# ��.y rS cam, EDU# S S_WR# :76- G_`1�S PLM# EDU# SWR#
_PLM# EDU# ,-0-' _S_WR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# _ SWR#
I\dsts\swrtaly doc
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT" SERVICES PERMIT #. . . . . . . : BUP97--05,55,
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/23/97
PARCEL: 2S 101 AB-02000
SITE ADDRESS. . . : 0717U SW BEVELAND ST ##100
SUBDIVISION. . . . : NEVELAND 7-ONING:MLIE
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION:TIG
------------------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS----- EXTERIOR WALL CONSTRUCTION--
CLASS OF WORK. :ql�T� � F I R5T. . . . 0 s f N: S: E: W
TYPE OF USE. . . :/COM SECOND. . . : 0 sf PROTECT OPENINGS?------------
TYPE OF CONST. :5-IHR . . . : 0 sf N: S: E: W:
OCCUPANCY GRF,. :B TOTAL-----.--: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY (_DAD: 0 BASEMENT. : 0 sf AREA SENA. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REDD SETBACKS------- REQUIRED-
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. , :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRIre: HNDICP ,SCC:
BEDRMS: 0 BATHS: 0 IMP SURFACE:: 0 PRO C:ORR: PARKING: 0
VALUE. $: 2500
Rema*,ks : Fire suppression system
Owner-: FEES -------------..
SHAW DEVELOPMENT type amn+-int by date recpt
14780 SW OSPREY DR PRMT $ 38. 50 B 12/15/97 97-301734
9TE 295 SPCT $ 1 . 93 B 12/15/97 97-301734
BEAVERTON OR 97005 FIRE f 12. 40 P 12/ 15/97 97-301734
Phone #: 579-5001
WYATT FIRE PROTECTION INC.
9095 SW BURNHAM
j TIGARD OR 97233
� Phone #: 684-2928 ---$.---_-..52. 83~TOTAL
Req #. . : 000640
-------- REQU I RED INSPECTIONS
- ----- I
This permit is issued subject to the regulations contained in the Sprinkler Rok.igh—
Tigard Municipal Cnde, State of Ore. Specialty Codes and all nther Sprinkler Final
applicable laws. All work will be done in accordance with
appruved 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 the
rules adopted by the Oregon Utility Notification Center. Thuse
rules are sit forth in OAR 952-MI-Nif through OAR 4,52-0101987.
You Pany obtain a copy of these rules nr direct questions to OUNC
by cailinq 15031246-1987.
�7
Permittee SignatLsre: Issued By :
+++++++++++++i.+++++++++-h+++++++++i+++++++++++++++++++4++4-+4..+ .++++++++++++++1
Call 639-4175 by 7:00 p. m. for an inspection needed the nF:vt hi-,siness day
+•h+++++•.•++++++++•1•+}++tt•1•+.t+++++++++++++++•1-+++++++ 1-+++++++++++++++++++++++++++
Fire Protection Permit Application Plan Checkx
TY OF TIGARD Commercial or Residentialt`
Recd By
"-.,d 761 .1 / ci q
111
CARD, OR 97223 1 Print or Type OAte to P E 1
X03) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted oate to D T z
Permit# l
Called I o?- '773 -
� D Name of Development/Prof
Job � v L�(� ' �;�Q Type of System (Complete A or B as applicable)
— Address Ard�eil� �J 1 J I l� A.) Sprinkler Wet
i pry L7
Nim A - - Standpipes
CA c )� Hazard Group
Owner arl�n� Iodress
"�D1"I MOSS �� ireL .�( � Additional
C slate �y InformationDensity
Name,k v c- Zip c7° Clestgn Area
I
Occupant Mailing Address K. Factor --
citylstate Lip Phone Sprinkler Project Valuation
COT Business Tax or Metro K Exp. Date B•) Fire Alarm
_ _ r
Contractora Submittal Shall Include Bakery Calculations YES
(Sprinkler or actin Qdres� Individual Con ponent YES O
Alarm t r Cut Sheets
m 0
Company) State , Phone Fire Alarm Project Valuation
r
-Jim
Attach Copy State pns ont 'Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $ t>>
of I )f7-1 ` .1 F:� O.
Current COT Business T3A or Metro 0 Exp Date Permit tee based on valuation $
Licenses _ ( •Lti�` t ��. �� cCf"7 (sate chart on Lack)
Name — 5% Surcl urge $ I
Architect NawrnJ Address - --- - -F�
FLS Plan Review 40% of Subtotal
C.ry Siate Zip Phone TOTAL $ �--
Describe work A.)New O Adddron O Atteratron O Repair C PLANS MUST BE SUBMITTED approveo and a pehhrt Islued prior to installation.
to be done. Three sen f pians and site pun land v000ty map)mQurred which shows kx2bon of
nearest hvdnnt.
B.) Basement C Hood/Vent O Spray Booth O
I neretry au.-owratdga dear 1 nave read yrs apriKatan,that the informahon given is
Complete U Partial O Exrtway O correct_Tut I am die ovrrer or autnonzed agent of me owner,ano that Mans submitted
are in tomoliance with Cregon State uws
Addrtlonal Descrrpucn of Wont.
Signature of ChvnerlAgent Date -
t
A.)In E.tshng Bwlding New Budding L Corrgct Person Nafhe Phone
130din
_ I
Dnta B.) Carnmerc:al _ Residential n FOR OFFICE USE ONLY:
Nc of stones Plat# MaplrL#:
Sq. Ft: — Notes
rCc oancy Class Type of Corstrudion �—
,:s�firesuor doc
Cr7r eFT_
TO rAL
PLAN STA- BUILDING
VALLA i CCN PE:IM1T FLS RENIEIN TAX PERMIT
PRC.:E,2' r=`=S (40°`�1 (65'.�a) 5i's FG=C
25.00 SO.CO 16.25 1.25 52.50
:5.=0 10.:.7 1TZ3 1.33 55.66
1,501-1,7C0 29.00 11.20 18.20 1.40 x8.80
1.701-1,8C0 29._0 11.30 19.18 1.48 61.96
1,801-1,9C0 31.00 12.40 20.15 1._5 65.10
1,S01-,,:CO 32..0 13.00 2 1.1 1.63 68.25
?,001-3.000 3x.50 15.10 25.03 1.93 80.86
3,C01-4,000 44.50 17.80 28.93 2-23 93.46
4,C01-5,CC0 10.!0 20.20 32.83 2.53 106.06
5,00 i-0,CCO 56.50 22.501 36.73 2.23 115.66
6,001-7,CC0 52.!o 2S.00 40.53 3.1.3 131.25
7,001-3,CCC 68.:0 27.40 44. 3 3.43 143.96
S,C01-9,000 74.50 29.80 48.43 3.73 150.46
9,001-10.CC0 80.50 32.20 52.33 4.03 169.06
10,001-11,CC0 86.50 34.40 56-13 4.33 181.66
11,C01-12,CC0 92.50 37.00 60.13 4.53 194.25
'2.001-13,000 58.50 39.,0 64..03 4.93 206.86
13,C01-114,CC0 104.50 41.80 °7.53 5.23 219.46
�,C01-15,000 110.57 44.20 71.83 5.53 232.06
1 CO1-15,CC0 116._0 40.=3 75.73 _ 93 24-'.!ES
CC',-47,`"CC 1"?..0 -:9.:0 73.93 0.13 257.=5
17,C01-18,CC0 129.50 51.10 83.53 6.13 269.96
13,001-19,^CO 134.90 53.30 87.43 6.73 282.46
15.001-20,000 110..0 56.2Q 91.33,' 7.G3 2G5.C6
_ :.0 .-_ .cco '.5t1 53._0 55.23 7..3 301.56
_
I.:1-0i--._.CC'J =.7 A-1. 0 S�.�3 7.=3 320.25
E3.-0 103.03 7._3 332.96
01-2-1,ZCQ 15 '._'3 :..?0 ;05.53 8.23 3•'5.46
170.:0 53._0 1110.83 8.53 ?58.CE
--,=01 __ _-7 - 3.75 '367.50
('i1-_ ,�Cl� i r :.:-3 7,.-- 11o.�d ISS 376.0'0
_ ,.C1-i?.--c-7 12 '.00 I2.-20 11 ti.E0
3.c7 •:86.40
5,001-_9,cc 1°8.�� i '105.25
C= c01-=C cco 153.:0 7. J 125.=J 9.C. 406.20
31,ICC0 197.50 i 9.00 28.2818 414.75
. 1'CC1-?� :CO 0C2.�0 80.:0 131.30 1C.10 421.20
3
001-_1.;,00 211._0 81.-0 1 7.15 13.0: X3.10
001-_ ,CCD S.:v110.08 10.73 45
r —
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., rigard,OR 97223 (503)639.4171
nA 25. 97 14:36 $503 684 7297 CITY nF TIGARD /0003/007
CITY OF TIGARD Commercial Building Permit Rec'dBy--u ------ —
1312E,'SW HALL BLVD. New Construction Daie Recd
TIGARD, OR 97223 Dale to P E.
T .I PennDatea s
oDST
(503) 639171 Print 1:L --
or Type Related SWR 1
Incomplete or illegible applications will not be accepted celled C
Job Name of DevelopmenVProlect
I3eveland office Building F— Existing Building ❑ New Building
Address Street Address Suite
7175 SW Beveland
Bldgs Cltyfstata zip Building Under Construction
_ Tigard, OR 97223 Data
Property Name Existing Use of Building or Property.
John M. Berman, Michael L. Sumr ,rs 9 9 P rtY
A, ' "Neveland suite 210 Under Construction
Owner 111'I,�G
Cnyistate zip Phone Proposed Use of Building or Property:
'I'igarcl, OR 97223 670-1 133
- CemmerciaJ. offices
►Damp
Ge nedex No. Of Stories:
Occupant Mailing Address sulte
X335 SW Meadows Rd 370 2 —
City/State zip Phone Sq. Ft. Of Project.
Lake Oswego, OR 970 5 684-7255 4392 sq ft
Name Occupancy Class(os)
I1
_:.i11c1.1ei_1
Contractor Mailing AJdress sate --
1175 SW 13e%-el alid 210 Types) of ConstructionN r
City/State — Phone
'I'igarft, tilt 97223 670-1133
(Prior to issuance Oregon Const.Coni.Board Lic s Exp.Dale Will this project have a Fire Suppression System?
a copy of all 4 3_1 )-yg Yes ® No
licenses are Oregon Const.cont Board L c s Exp Dale
reowred if
77
expired in COT Busim ss Tax or Metro s Exto Dale Project Valuation , Gf
c.o T_data ease) _ —�_ — Americans with Disabilities Act(ADA)
Npme
Valuation X 25% = S Participation
Architect Argo Architects CompleteAcc.ssibility Form__
Malllrg Address Suite —J
s Ferrt Rd 201 ` I eq �4ee r n r of seels_W_submit
Cllyistats— zip Phone fir, acl s 1 r quirement sheet_J
_ I,i,ke Usticyu, OR 970' 6.36-0755 � — -
Engineer W Name 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
Merl ngdd
Aress Suite that plans submitted arp in compliance with Oregon State Laws,
3607 SW CurbetI Ave -
TP^ -- City/Slate](1 Zip
PttJdp Phone SI t o Pf ng Dam ,
, OR 97201 1.2 7-77Ft3
Indicate type of work New 6 Addltlon O Demolition O Co cuPerso me Phone
Accessory siructure O rou ndabon Only O Alt�rat on O
Repair 0 Other C
Description of work: FOR OFFICE USE ONLY
`Tenant Improvements MapITLN Land Use.
NotnS -
Parks: Estimated t of Employees TIF
Note: Site Work Parrinit App6cation mutt precede or accompany Bulldlnn
Permit Applirtion
11COMMAPP DOC (DST) 1n'gF
1 QQ7 14:Z4
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK. FLOOR AREAS. EXTERIOR WALL CONSTRUCTION
TYPE OF USE cO FIRST SQ. FT. i N: S: E: W
TYPE OF
CONSTR. l ' i SECOND SQ. FT. PROTECT OPENINGS?.
� I
n i i
OCCUPANCY GRP: i THIRD SQ, FT. N: S E: W
I I
OCCUPANCY LOAD: 'I�� TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
i I
STOR__ HT FT: i BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ?. i GARAGE: SQ. FT. i OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: — DETECTOR: —` ACCESS:
C_ COMMERCIAL INSPECTION ACTIONS _ FEE MENU
Foot/Found Post/Beam $ 31t - " Permit Fee
r5
Masonry Framing $ 15 Plan Review
Insulation _ Shear Wall $ Ito _5% State Surcharge
Firewall Gyp Board $ 1'32`x° FLS Plan Review
Suspended Ceiling Sprinkler Rough-in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector — Approach/Sidewalk $ Inspection
Miscellaneous _—� Final $ MIS Fee
FOR OFFICE USE ONLY
TYPE OS USE OPTIONS(COM=corn CMS=comrnercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new: Add=addition: AI-T=alteration: ACS=accessory:FND-foundation:
OTR-=other: D':M=demolition; REP=repair. FPS=tire protection system. NOTE: USE OTR FOR FENCES. RETAINING
WALLS. DETACHED DECKS. SIGNS. AWNINGS. CANOPIES)
I�ovrcntQ doc (GST) 4197
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspcction Linc: 639-4175 Business Phonc: 6394171
Date Requested: —_ t, f A.M. —_ P.M. _ MST: _
I.ocation: — _ -- _ F3lIP:
Tenant:_ � AS 6 4 Suite: Bldg: MEC:
Ontrnctor:` "° _ Phone: —CZ
Owner: PLM:
-- --- Phone:
- — --- ---. _-.— _ FLR:
BUILDING BLDG tcon'tl PLUMBING MECHANICAL 11 ECTRICAL SITE _...
Site Post/Ilcfuu Post/licam I•ost/Beam Sewer/Stonn
Footing Roof Ilndll/Slat Rough-In g1 Ceiling Water Linc
Slab Framing 'I op Out Gas Line Rough-hr UG Sprinkler
Foundation Insulation Sewer Ilcx>d/Duct Reconnect Vault
Bsmt Damp I mall Storm Furnace 'I emp Service MISC.
Masonry Ceiling Rain Thain A/C Illi Slab
Shear/Sheath Fire SpHr/Alm Crawl/Found Dr Itent Pump Low Volt �( � C �TYj
Approved Approved Approved Approve Appy 'ed
Appr/Sdwlk Not Approved Not Approved Not Approved roved Not Approved
FINAL FINAL FINAL FINAL ' FINAL
CI Call f'or reinspection C7 inspection fee of S required before next inspection O Unable to inspect
Inspector.- Date: __ g _ —
Page of
CITY OF TIGARD BUILDING INSPFCTIbN DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: -7
1 T A.M P.M. Ms'f:
Location: / _ �.I' BUp. —
i enant- 'L�LG-G Suite:-1rt'� Bldg: MEC: _
Contractor: _— — Phone3 PI,M: —�
7--
Owner: �� Phone: ?^ ' ELC:
ELR:
srr:
BUILDING BLDG(con't) PLUMBING—,' MECHANICAL ELECTRICAL SITE
Site Post/Beamov unn Post/Beam Cover/Service Sewer/Storm
Footing Ralf I IndFl/Slah Rough-In Ceiling Water Line
Slab Framing Top Out (Tits line Rough-In IJG Sprinkler
Fowdation In•;ulalion Sewer Il(RwDuct Reconnect Vault
Itsmt Damp I hvwall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C I IG Slab
Shear/Sheath fire Spklr/Alm Crawl/I'ollnd Dr Ileat Plunp I.ow Volt
Approved v• Approved Approved Approved �—
Appr/Sdwlk Not Approved Not oved Not Approved Not Approved Not Approved
FINAL NAL FINAL FINAL FINAL
C1 Call for reinspection CI Reinspection fee of S required before next inspection 0 Unable to inspect
Inspector:� -- hate:_��j�/�I'-1 � Page__ __of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: --I tC- !�? A.M. P.M. MST:
Location c _ BUR
r
Tenant: ' / Suite:,L�. _13ldg: _ NEC: 7 �
Contractor: Phone: PLM:
Owner: / Phone:
Z01
SIT:
BUILDING ` LDG(cotl't) PLUMBING EC 'ELECTRICAL SITE
�i
Site ' HANICAL vsdf3trm Post/Beam Post/13eam Cover/Service Sewer/Ston
Fooling Roof I IndFI/Slah Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line (tough-In UG Sprinkler
Foundation Insulation Sewer I food/Duct Reconrimt Vault
13smt Damp Drywall Stone Furnace Temp Service misc.
Masonry Ceiling Rain I rain A/C' I1G Slab
Shear/Sheath Fir S klr/Alm (rawl/I ound I h I feat Pump Low Volt
Ilp rov __ Approval Approved Approved Approved
Appr/Sdwlk pproved Not Apptr,-•-,i Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
17 Cal; for rein n l7 Reinspection fix of Srequired before next inspection 0 Unable to inspect
Inspector -- Ih+te '�� 9 :0F _ Page_--of
I
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-11our Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: lG7 A.M. _ P.M. MST: _
Location: /�' ./ _- b'T:C? C�
Tenant: ?4VLi-` l(/' Q�,[..- _--- Suite: Bldg: _ MFC: --
Contractor: -Lo- Phone PLM:
(honer: _ Ph mc: ELC:
%&4 l��__...u, z A _ ELR:
(C ' _ �,� ' ' _ _ SIT: _
BUILDING PLUMBING MECHANICAL / ELE ICAL SITE
Site Post/Bearn Post/Beam Post/Bcam Covcr/Service Sewer/Storni
Footing Roof Undl-'l/Slab Rough-In Ceiling Water line
Slab framing "fop Out (ins bine Rough-In IKi Sprinkler
foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsml Damp Drywall Stonn furnace Temp Service MISC.
Masonry Ceill Rain Drain A/C 116 Slab
Shcar/Sheath Elie Spkl Alin CrawUfound Ir I lent Pump l,ow Volt _
i ro ' Approved Approved Approved Approved
Appr/Sdwlk Not�Ah roved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
O Call for Cl Reinspection fee of S—_ required before next inspection 0 l)noble to inspect
Inspector: _ Date _ _ Page_,__of
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Half Blvd., Tigard,OR 97223 (503)639.4171
CERTIFIC:AIE OF
OCCUPANCY
PERMIT 11. . . . . . . : BUP97 0'.
DATE. ISSUED: 02/06/96
PARCELS �8101A)1 0:'000
,I i E . . . :07175 SW BE"VE1.-AND ST #100
-UF+I)I V IS ION. . . . :BI:VEL.AND XGN I NC s MLIE
irL(]CI{. . . . . . . . . . : LOT. . . . . . . . . . . . . .404 JURISDICTION: 1I1-3
.LASS OF WORK. :ALT
' YPE OF USF`. . . :COM ,p
YPE. OF CONSTR:5--'1J i[
i)CLUPANCY CARP. :0
)CCUPANCY LOAD: 77
s"ENAN1 NAME. . . :GENE.DE.k
i?emarkmi Genedex terATJ improvement
Owners
JOVIN BERMAN
-THAW DE.VFI-OPME'NT CO.
14781A SW OPREY DR SUITE C:295
BEAVERTON OR 97007
'hone #:
Controc tor:
G11AW DEVELOPMENT CO
t4780 5W MPRE Y DR
SUITE ,'95
HEAVE:RTON OR 97007
I'-',hone #t 579-3001
Reg 000473
ihix C:Prtifir..ate grants vcc•upancv of the abr-vo referwnced bkrildiny Or portio::
thereof and confirms that the building has been spec.ted for c:ompliance with
the State of Ot--grirr sper.ialty Codes for the group or.tupanc'Y, and use under
which thr_ r•efvrenc:e r-mit was is-.iued.
77
IN13 1SK'f F Tt R BUILD NG/OFFICIAL
PO,-,T IN CONSPICUOUS PLACE