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7340 SW BONITA ROAD - BLDG 2
CITYOF TIGARD SITE WORK PERMIT
DEVELOPMENT SERVICES PERMIT# : SIT2000-00037
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 3/6/01
SITE ADDRESS: 07340 SW BONITA RD PARCEL : 28112AC-02.700
SUBDIVISION. EMPIRE BA-i TERIES MLP2000-00002 ZONING : I-L
BLOCK: LOT: 002 JURISDICTION : TIG
CLASS OF WORK: PAVING ?: Y RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: $139,731.00
EXCV VOLUME: cy LANDSCAPING?: Y
FILL VOLUME: cy SITE PREP ?: Y
ENG FILL?: Y STORM DRAINS?: Y
SOILS RPT READ?: Y IMPERV SURFACE: 40.800 sf
Remarks: Building#2.
Owner: -
--- FEES
SHOEPE• GARY& JUDY Type By Date Amount Receipt
C/O ENGINEERED STRUCTURES _ _ _ p
7360 SW HUNZIKF_R RD STE 101 PLCK DL.H 8/14/00 $529.10 0004149
TIGARD, OR 97223 FIRE DLH 8/14/00 $325.60 0004149
PRMT CTR 3/6/01 $81400 27200100000
Phone: 5PCT CTR 3/6/01 $65.12 27200100000
Contractor: _ _ _ FIR2 GTR 3/6/01 $191.20 27200100000
ENGINEERED STRUCTURES INC - PLC3 CTR 3/6/01 $310.70 27200100000
7360 SW HUNZIKER WQUN CTR 3!6/01 $4,250.00 27200100000
SUITE 101 EROS GTR 3/6/01 $100.00 27200100000
TIGARD, OR 972.23 ERPU CTR 3/6/01 $32.50 27200100000
ERPC CTR 3/6/01 $32.50 27200100000
Phone: 968-3118 Total $6,650.72
Reg #: LIC 103613
Required Inspections
Erosion Control Insp 846-8444
Grading
Paving Insp
Strm Drain Insp
Culvert/Catch Basin
San Sewer Insp
Domestic water line inspect.
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable !aws. 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 worts is suspended for more than 180 days ATTENTION. Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are sit forth in OAR
952-001-0010 through OAR 952-001.0030 You may obtain copies of these rules or direct questions to OUNC by
calling (503) 246-19F7
Permittee Signature:
Issued By: 174'C:-- --- ----
Call (503) 6?9-4175 by 7:00 P.M. for an inspection needed the next business day
cirY OF TIGARD Site Permit Application � Plan Check
13125 SW HALL BLVD. Commercial, Residential �� he 'd By
TIGARD, OR 97223: : and Multi-Family Date Recd
Dale to P.E. J
(503) 639-4171 x304
SU 2aao-- C000—A— Date to DST
Permit#
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Galled_
J
Project N%We ;� � -� Utilities(Complete all that apply)
.lob ' -.•,.t�lizr 1�N�:•-� I t~\1Lc_
Addrass !`,I Storm Sewer
Name Sanitary Sewer
� �\ Linear Ft.
Owner Mailing Addr ss Fresh Water
.�I� L►� A1C.-Tu rS ���0• Linear Ft.
City/State Zip hone Catch Basins
General NiWne '10 1 L)) Clean Outs
Contractor 1 1t'1�yCr _
Prior to permit Mailing Address �s u t D I Describe work to be done:
Issuance,a
copy of allIt,J z K iz ? El New Addition❑ Alteration❑Repair
liLVnses are y/State V Zip -hone Additional Description of Work`
required if �� 0(Z 9 l 21.3 _� 1
expored in COT State'CQnst Cnnt. Board Lic.# E x pid ida e
database
02<,/-S
�iSName Project
alL LN>?-ID Valuation
Architect Mailing Address Plans Re uired: See atrix o back page
r q P 9
�Q , nl Z.11C(7 aZ Za. Tho following, must accorn�an this application:
CitCit / Zip hone Site plan with Vicinity Map Parking(including
1 D Showing ADA ccmpliance — AD_scAL8 Li titin Plan
Name' Grading Plan and detail, Landaping Plan
Engineer Mailing Address Erosion Control Plan and Retaining Structures
details _ t—S1
ding calcula lions
City/State Zip Phone Site Utility Plan and detailss Report
(showing connection to quired)
a roved systemL _ _
Excavation Volume I b I hereby acknowledge that I have read this application,that the
information given is correct,that I am the owner or authorized
cu.yds. agent of the owner,and that plans submitted are in compliance
with Oregon State laws.
Grading Volume Si attire r/Agent Date T
(Soils report required for>5,000 cu.Yds,) 71
-- cu.yds. YJ
Fill Volume ontact Person Name Phone
(Fill exceeding 12"In depth shall be compacted 597
To 90%of Maximum Density) -
u. ds.
Retaining structure?(check one) Rock FOR OFFICE USE ONLY
❑CMU Notes:
❑Concrete
'Noll+•+
rolal new impervious area including all Land Use Case#
buildings,sidewalks,and paving _ ,�. Ft.- _ _ �eZS�/�F 'Iv
CITY OF TIGARD
COMMERCIAL SITE WORK P 'RMIT tiN
iAdsts\fonmtas\site-app.doc 3/1 u
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CITY O F TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2001-00127
DEVELOPMENT SERVICES DATE ISSUED: 3/9/01
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112AC-02700
SITE ADDRESS: 07340 SW BONITA RD
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LOT : 002 JURISDICTION: TIG
Proiect Description: Electrical work Building#2. Job No. 8143
_
RESIDENTIAL UNIT TEMP SRV_C/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
ADD'L INSPECTIONS_
0 - 200 amp: 2 W/SERVICE OR FEEDER: 13 PER INSPECTION:
201 - 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR>= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
T-3 ENTERPRISES LLC PHOENIX ELECTRIC CO
320 SW BONITA ROAD DBA/ENCOMPASS ELECTRICAL TECH
TIGARD, OR 97223 7379 OW TECI I CENTER DRIVE
TIGARD, OR 97223
Phone: Phone: 684-3600
Reg #: LIC 00052288
SUP 41405
ELE 34-247C
i SEES —� Required Inspections _
Type By Date Arnount Receipt
Ceiling Cover
PRMT CTR 3/2/01 $407.25 2720010000( Wall Cover
5PCT CTR 3/2/01 $32.58 2720010000( Underground Cover
PLCK CTR 3!2/01 $101 81 2720010000( Elect'I Service
Elect'I Final
Total $541.64
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 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 by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE N&1 l f` ISSUED BY:
OWNiR INSTALLATION ONLY _
1 he installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:`
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUNR. ELEC'N: ^_ �M DATE:__---_-__
LICENSE NO:
Call 639-41175 by 7:00pm for an inspection the next business day
Electrical Per>lnit Application
"Daleceived: . 1;2 Pernt�n,: CL'Xn6404/-
City of Tigard Project/appl.no.: Expire date:
IIgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: � 1 _ ��u� - oc,33I
OF PERM IT
❑ 1&2 family dwelling or accessory O't'ommercial/industrial ❑Multi-family ❑Tenant improvement
Wlf4ew construction U Addition/alterafion/replacentcnt ❑Other: ❑Partial
It SITE IN11:01111VIATION
Job address: 7 3 . 0 LO 30 W1 Bldg.no.: Suite no.: Tax map/tax lot/account no.:
Lot: I Block: Subdivision:
Project name: E^,.,, ` i3 Debt ription rued location of work on premises: ACA,,,,,1 e.r�1 I ----
1?stimated date of cornpletiordin.,ixeoon:
CONTRACTOR APPLICAT1SCIIEDULE
Job no: 1903 Fee Max
Business name: i ,,,c ,., J, ��! �, 1 Description Qty. (ea.) Total no.insp
Nero residential-singk or multi-family per
Address: 1__ C�� Te'h Cc,ler p" dwelling unit.Includes attached garage.
City: 7, �.,1 _ State: East ZIP: yJ,T servicrinrludeel:
�.-. _ ._..__ .. _— Ill_0_0 sq.ft.or less 4
Phone: b y tit Fax: E t=y 3G// E-mail: _
CCB no.: S 2 L t'e Elec.bus.lic.no: 3 y -2 y)(, Each additional SW sq.ft.or portion thereof ___
l.imitedenergy,residential _ 2
City/me lic.no.: Litritedcnergy,non-residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician(required) Date Service and/or feeder 2
Sup.elect.name(print): M<t. u ao a v -r License no:7j S, Services or feeders-hsUllation,
alteration or relocation:
200 amps or less Z V, 2
Name(print): - = j c- t / 201 snips to 400 amps ,> ,, 2
Mailing address: a r, t�, I 2 401 amps to 600 amps _ 2
601 amps to lUW strips 2
City. T4wk Statexia ZIP: ' � Over 1000 amps or volts 2
Phone: Fax: E mail• Reconnectonly I
Owner installation:The installation is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to installation,alteration,orrelocation:
200 amps less 2
ORS 447,455,479,670,701.
2111 amps to to 400 amps 2
Owner's signature: _ Date: _ 401 Io oW ams 2
Branch circrdts-neo,alteration.
or extension per panel:
Name: _ _ A. Fre for brunch circuits with purchase of
Address_ service or feeder fee,each branch circuit 2
Cit 51a1c: ZIP: B. Fee for branch circuiswithout purchase
City: ---- - -— —- of service or feeder fee,first branch circuit: 2
Phone: Fax: F. mail
Each additional branch circuit:
LWQLz Misc.(Service or feeder not Included):
7r.n.�Iyd.wellings
e=225,imps commercial U Healdr cue facility Each pump or irrigation circle 2
er320arnps-rating oft&2 U liazardouslocation Each sign or outline lighting 1 s3 10 2
U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel,er 600 vols nominal more residential units in one structure alteration,or extension*
2
•Building over three stories U Feeders,400 amps or more *Description:
U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
•Fgres0ightingplan U Other _ — -- Per inspection �r—
Submit—_sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction setTice. other
— — --- -----
Not all jurisdictions accept credit tends,please call jurisdiction for mac information. Notice:This permit application Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) S /V j•fl I _
Credit cord number:__ _ _ / / within 180 days after it has been State surcharge(8%) ....$ 3)• Sit
Expires accepted as complete. TOTAL .......................$
-- Name ofIden u on c it cord
c
Cardholder signature Amount };0 1Rls r(SIOlYCO' )
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fe& Schedule Below: Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential-per unit r,
1000 sq it or less $145.15 4 U Audio and Stereo Systems
Each additional 500 sq h or
portion thereof $33.40 — 1 Burglar Alarm
Limited Energy $75.00
Each Manufd Hume or Modular Garage Door Opener'
Dwelling Service or Feeder _ $90.90 _ _ _ ._
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30 _ 2 Vacuum Systems'
201 amps to 400 amps _ $106.85 2
401 amps to 600 amps $160.60 2 r�
6n1 amps to 1000 amps $240.60 2 L Other
Over 1000 amps or volts ,^ $454.65 2 -- — - - -- - --
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation
200 amps or less — $66.85 __ 2 Fee for each system.......................................................... $75.00
201 amps to 400 amps _ — $100.30_ 2 (SEE OAR 918-260-260)
401 amps to 600 amps $133.75 _ 2
OCheck Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. a
Audio and Stereo Systems
Branch Circuit.;
New,alteration or extension per panel C� Boiler Controls
a)The fee for branch circuits
with purchase o/service or ❑
feeder lee. Clock Systems
Each branch circuit $6.65 2
b)The fee for branch circuits LJ Data Telecommunication Installation
without purchase of service
or feeder fee. Fire Alarm Installation
First branch circuit _ —T $46.85
Fach additional branch cirruit $6.65 _ r 1
LJ HVAC
Miscellaneous 1
(Service or feeder not included) LI Instrumentation
Each pump rx irrigation circle $5340 �W
Each sign or online lighling _ $5340 — Intercom and Paying Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $7500
Minor Labels(10) �__ $125.00 _— n Landscape Irrigation Control'
Each additional Inspection over L� Medical
the allowable in any of the above
Per inspt cion $62.50 _
Per hour $62.50 ❑ Nurse Calls
In Plant _ $73.75
Outdoor Landscape Lighting'
Fef'S.
Protective Signaling
Enter total of above fees $
—---- L� ------ --_---- - -
8%State Surcharge $ Other.--
Number of Systems
25%Plan Review Fee ---- - �
See"Plan Review"section on $
_ - No Gcenst,are required Licenses are required for all other installations
front of application
Total Balance Due $ Fees:
Enter total of above fees
Trust Account#
8%State Surcharge
Total Balance Due
i:\dsts\fomu\eic-fees.doc 10/09/00
09.2b.'01 FRI 10:39 FAX 503 684 0954 CARLSON' TESTING ^_ 1100.3
Main office sarem Office Bond Oflfee
Inc. P.O.FSox 23814 4W Hudson Ava.,NE P.O.Box 7916
Carlson Testing Ihone Oregon3) 4-. el salem,OTI)5WI1 r��+d,oAsancs
Phone(503)694:'i4H0 Phone(SCxi}58D-1252 Phone(341)3308165
FAX(503)684.0984 FAX(503)569.1309 FAX(541)M0163
Special Inspection
FINAL SUMMARY LETTER
September 28, 2001
I 0106598.A
City of Tigard FILE COPY
13125 5W Hall Blvd.,
Tigard, OR 97223-8199
A.ttn' Building Depaitment
Re: Empire dattery Ruilding#2
7340 SW Bonita Rd, Tigard, OR
Permit No.. BUP20G0-00334
Doom Sir or Madam.
This is to certify that in accordance with Section 1701 of the Unifuim Building Code and Chapter 24.20,
Title 24, we ha,.-:. performed special inspection of the following Rem(s)per our inspection reports only,
Reinforcing Steed
+''Concrete-- Compressive Strength Testing
Installation of Cast-In place Anchors
4 Installation of I sigh Strength Bolts
All inspections and tests were parfornled and reported according to this requirements of Pruject
Documents and, to the best of our knowledge, the work was in conformance with the approved plans and
specifications, approved change orders and epplirAble workmanship provisions of the State Building Code
and Standard:,, As well as the structural engineers design changes, approvals And verbal instrucUuna
Our reports pertain; to the material teste0hrispected only. Information contained herein is not to be
reproduced, except in full, without prior authorlration from this oMce,
If there air, any further questions regarding this matter, please do not hesitate to contact this office.
Respect Ily submitted,
CARI_S J 7E_.STING, INC.
r �
F, Hletpas
'r)u ity Assurnnro Manager
J As
cc• Engineered Structures, Inc_
0'Wr"rWj-naTmni 1"314w.A
CITY OF TIGARD , 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP __--.-_—_--- -
Received -_ Date Requested - `� AM BUP
Location - �'` S M Zf� MEC ..-----�. - -
Contact Person _-__ Ph a`c PLM
Contractor _- Ph� ) SWR _
BUILDING Tenant/Owner -_ -_ � ELC _
FootingL�� 1
Foundation Access: ELC
Ftg Drain ELR :;?Q& 32-
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors - --- -
Ext Sheath/Shear
Int Sheath/Shear - -
rem nq - - ------ -
Insulation
Drywall Nailing
Firewall
Flre Sprinkler ------------ _--_--
Fire Alarm —
Susp'd Ceiling
Root
Other: - - - --- -
Final --- - --._-. ..--
PASS PART_ FAIL - --�- ---- - --
I LUMBING
Post 8 Beam
Under Slab -- _-- _ - -,--.---. _-- - --
Rough-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 Voitagn _
Fire Alarm - -- -- -
m PJ t'��2icr�
S PART FAIL [] Reinspection fee of$ , required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
T55 - _
SIT ,___ 11 Plaaaa call for reinspection HE: _ _ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date y Inspector :;o7bsite.Ext _
Other:
Final DO NOT REMOVE this Inspection record fromt
PASS PART FAIL
A CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00097
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/29/01
PARCEL: 2S1 12AC-02700
SITE ADDRESS: 07340 SW BONITA RD
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LOT:002 JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 4 VENT FANS:
OCCUPANCY GRP: S2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 3 HP: DOMES. INCIN:
GAS J A 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 Cf m:
GAS OUTLETS: 4
> 10000 cfm:
Remarks: Building #2: Mechanical tenant improvement.
Owner: FEES__
SHOEPE, GARY& JUDY Type By Date Amount Receipt
C/O ENGINEERED STRUCTURES PRMT CTR 3/29/01 $72.50 272001000C
7360 SW HUNZIKER RD STE 101 PLCK CTR 3/29/01 $18.13 272001000C
TIGARD, OR 97223 5PCT CTR 3/29/01 $5.80 272001000C
Phone: Total $96.43
Contractor:
HVAC INCORPORATED
5188 SE INT'L WAY
MILWAUKIE, OR 97222 _ REQUIRED INSPECTIONS
Gas Line Insp
Phone:462-4822 Mechanical Insp
Reg #: LIC 50897 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and al! other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC 7 y,cailing (503)246.-9189.
Issue By: ,_ Permittee Signature: ( l LC �U ]c_� 0 b !^_
Call (5 3) 639-4175 by 7:00 P.M. for inspections needed the next business ;lay
Mechanical Permit Application
Date rcceived:-3 :: 0/ Permit no.011r:
City of Tigard ProjecUappl.no.: Expire date:
City of Tigard Addee3,;: 13125 SW Hall Blvd,TigardfOR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 ^ Case file no.: Payment type:
mo -d0y_l
Land use approval: __ _ Bung permit no.:
TYPE OF
7❑ 1 &2 family dwelling or arcessory -W Commercial/industrial U Multi-family ❑Tenant improvement
U New construction U Addition/alteratiordreplaccmetit U Outer.—
JOB SITE INFORMATION COMMUilICIAL VALUATION SU11111101ij-
Joh address: 7J14L� `,(.v13vit1fC4- Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: , 1;L I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ ..3 og , cy
Lot: Block: Subdivision: *See checklist for important application information and
Project name: _ yt o7jurisdiction's fee schedule for residential permit fee.
City/county:Tc " ` t ZIP: I?i!Z.'! t t
Descriptio andi I'od of work on premises: 111KIM ILI INA Evil F1 10 111,611
to Inca ti i�c cc n� c cl` t�-n< -- Pce(ca.) Total
Est.date of completion/inspection: Description Qty. Res.only Res.only
Tenant improvement or change of use: 11VAC:
Is existing space heated or conditionce,,1 U Yes U No Air handling unit ---CFM—.,-
Is existingace insulated?U Yes U No Aircon nioning(site p an require )
space Alteration of existing A system
Bo er compressors -
Business name:+{(�;�( 1�L� State boiler permit no.:
t _- — HP Tons 9TU/H
Address:, -�
.J� " ' C S„� 4 �E 'a- it smo a amper uctsmo a detectors
City' ZIP:c �7 cat pump(site p an require ) _ J_
Phone: (, ,) L '4_1_ Fax: E-mail: Instal uumac urner B'1
7 - Including ductwork/vent liner U Y-s❑No
CCB no.: i nsta I/rep ace/relocateheaters-sus-_,d,
City/metro lic.no.: wall,or floor mounted
Namt.(please print):
ent ora iance other than furnace
t PERSON11 e gest on:
/ Absorption units BTI1/H
Name: Lr��l� Chillers HP
Address: �- Com rcssors_ _ HP
s �c c ?nv ronmenta exhaust an ventilation:
City: ,a F I St ZIP:q IL Appliance vent
Phone: = ,) Fax:J (,) ,,� E-mail: )rycrcx 'au st -- —�Iljygl floods,Type / /res.kitcFeThamiat
hood fire suppression systern
71j�
Exhaust fan withsingle duct(b;tth ianO
s: J 'x taust s stem a an from h.,attn or AC
ue p p ng an str ut or. up to out cis)
til;ale: LII' Type. _LPG NG Oil /
I'hone: Fax: I E mail: Fue ,�g each additional over 4 outlets
AMM 121111 Process piping(sc tematicrequired) _
Name: Number of outlets
ter sl app ance or equipment:
Address: Decorativefireplace
City: State: ZIP: Insert-type
Phone: - _- I`a.x: E-mail: - oo stov pe et stove -- _
Other:
Applicant's signature. Date: Other-
Name (print): -
Not all)urisdichom accept credit cards,please call)e;aliction fix more information NotPerfmi:fee.....................$
i _
U Visa U Master0rd ice:This primoapplication Minimum fee................$
Credit card nwnber _
expires If a permit s not obtained Plan review(at Y %) $ _
•spires within 180 days after it has been State surcharge(8%)....$
Rwtw or cardhohkr its shown on credit card__ accepted as complete. — -
S TOTAL .......................$Cardholder tiltnature Aoiouni
J
ELECTRICAL -
CITY OF TIGARD RESTRICTED ENRIGY
' DEVELOPMENT SERVICES PERMIT#: ELR2001-00069
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 3/29/01
SITE ADDRESS: 07340 SW BONI TA RD PARCEL: 2S112AC-02700
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LOT: 002 JURISDICTION: TIG
Proiect Description: Building #2: HVAC system.
A._RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MED'-;AL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE AL \RM: OUTDOOR LANDS%; LITE:
OTHER.: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
SHOEPE, GARY& JUDY HVAC INC
C/O ENGINEERED STRUCTURES 5188 SE INTERNATIONAL WAY
7360 SW HUNZIKER RD STE 101 MILWAUKIE, OR 97222
TIGARD, OR 97223
Phone: Phone: 503-462-4822
Reg #: LIC 50897
ELE 26-571CL
FEES Required Inspections
Type By Date Amount Receipt _ Low Voltage Inspection
PRMT CTR 3/29/01 $75.00 2720010000 Elect'I Final
5PCT CTR 3/29/01 $6.00 2720010000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rales are set forth in OAR
952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987
Issued by Permittee Signature
Cj
9 )—
_____—_ _ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO: ------ ------- -�
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Datereceived: 7 (r Permit no.:E X00/-j��0
City of Tigard Project/appl.no.: Expire date:
".
Gryn/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: �• pt no.: f
Phone: (503) 639-4. 71
Fax: (503) 59$-1960 Case file no.: Payment type:
Land use approval:
U I &2 family dwelling or accessory qTommercial/industrial IJ Multi-family U l enant unprovcntcni
U New construction ❑Addition/alteration/replacement U Other: U Partial
Joh address: ' ' Bldg.no.: Suite no.: ITax map/tax lot/account no.:
Lot: I Block: Subdivision:
Project name: t t LI Description and location of work on premises:
Estimated date of completion/inspection:
.lob no: Fee Mat
-- "` -- Description Qty. (ca.) Total no.hisp
Business name: - - --_ New residential-dnglc or multi-family per
Address: r� dwelling unit.Includes attached garage.
City: U Ian. (�_- Stat • c 7a.)` - Service included:
�-a- OW sq.ff.or leas 4
Phone: ;,1- - " Fax: ,� E-mail:il _
CCB no.:• c r Elec.bus.Iic.no: �(c, `] CLL res
Each additional 500 sq.A.orponionthereof
Limited energy,residential 2
Cit /m tro lic.no.:
y _ � Limiledcrergy,nnn-residential 2
L 0-4?c. 2;3 Each manufactured hone or modular dwelling
Signature of supervilog electrician(rcyuocu) hat Service and/or feeder 2
Sup elect natne(print): _ I.iccnseno Services or feeders-Installation,
alterationm relocation:
Wmmi 21x1 amps or less 2
Name(print): �am_ps to 4W amps 2
- - to 60U amps 2
Mailing address: - -
to IUOU amps 2
City: Slate: ZIP: Over IWO amps or volts 2
—
Phone: Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on property 1 own Temporaryservleesorfeeders-
which is not intended for sale,lease.rent,or exchange according to 2(MI snips or lessalteration,or relocation:
ORS 447,455,479,670,701. 21x1 amps to less 2
2111 amps to 4110 amps 2
Owner's signature: Dale: 401 to NZ nm s 2
Branch circuits-new,alteration,
or a atenshrn per panel:
Name: A Fee fur branch circuits with purchase of
Address: service or feeder fee,evch branch circuit 2
--- -
City: S[aU': ZIP_ R. Fee for branch circuits without purchase
--- of service or feeder fee,first branch circuit: 2
Phone: Fear — E-mail: -
Fitch additional branch circuit:
Misc.(Service or feeder not Included):
O Service over 225 amps commercial U Health-care facility tach pump or irrigation circle - 2
U Service over 320 amps-rating of 1de2 U Hazardous location Each sign or outline li ting - - r 2
familydwellings U Building over 10,000 square fet.t foutot Signal circuil(s)or Cimited energy panel,
U System over 601 volts nominal more residential units in one structure alteration,or extension"i"— , _ 2 -
U Building aver three stories U Feeders,41x1 nmps of more t Ikscri tion.
U(kcupmn load over 99 persons U Manufactured structures or RV park Fitch additional Inspection over the alto"stile In any of the above:
U F.gress/lightingplan U t4her - Per nspection
Submit_—sets of plans with any of the above. _Investigation fee___ _
The above are not applicable to temporary construction service. Other
— Permit fee.................
....$
Not all jurisdictions accept credit cards,please call iurMictiun fin mace inf)xmatien Notice:This pemtit application ---- -----
U Visa U MasterCard expires if a permit is not obtained Plan review(al _ 9F)
creetit cud number I L within 190 days alter it hits been State surcharge(8%) ....$
Expires accepted as complete. TOTAI, .......................$
-- Name of cudholdrr u ahawn on credit card -- --
S
- —Cludlwlder ii nature -- Anwuut
— _8 "146IsIMxVI'UMI
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
/� Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items frost Total Check Type of Work Involved
Residential-per unit 1�1
1000 sq ft or less $145 15 4 t_ Audio and Stereo Systems
Each addilior it 500 sq ft or
portion thereof $33 40_ _ 1 ❑ Burglar Alarm
Limited Energy $75.00 __.
Each Manufd Home or ModularElGarage Door Opener'
Dwelling Service or Feeder $9090 _ 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $8030 — ? El Vacuum Systems'
201 amps to 400 amps $106.85
401 amps to 600 amps $16060 2 ❑
601 amps to 1000 amps $240.60 2 Other
Over 1000 amps or volts $45465_ 2
* Reconnect my ,—� $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -CJMMERCIAL ONLY
Installation,alteration,or relor stern Fee for each system.......................................................... $75.00
200 amps or less — $66.85 2 (SEE OAR 910-260-260)
201 amps to 400 amps $100.30 __ _ 2
401 amps to 600 amps $133.75 — 2 Check Type of Work Involved
Over 600 amps to 1000 volts,
see"b"abov). ❑ Audio and Stereo Sys,ems
Branch Circuits ❑ Boiler Controls
Now,alteration or extension per panNl
a)The fee for branch circuits
wlfh purchase of service or ❑ Clock,Systems
/seder lee.
Data Telecommunication Installation
Each branch circuit $665 2 ❑
— —
h)The fee for branch cucuils
without purchase of service ❑ Fire Alarm Installation
or leader lee.
First branch circuit J $46 HVAC
65 T_ T
Each additional bran6fich circuit $6 _
Miscellaneous ❑ Instrumentation
(Service or feedor not Included)
Each pump or Irrigation circle $5340 _ _ ❑ Intercom and Paging Systems
Each sign or ou0ine lighting $5340 _—__—
Signal circuits)or a limited energy r�
panel,altaration or extension $75.00 Ll Landscape Irrigation Control'
Minor Labels(10) _ $12500
Medical
Inspection aver
Each additional Ins ❑
the allowable In any of the above ❑
Per inspection $6250
Nurse Calls
Per hour $62.50
In Plant $73.75 f Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ _J ❑ Other
8%State Surcharge $ _ _Number of Systems
25%Plan Review Foe
Sae"Plan Review'section on $ No licenses are roqui ed Licenses are required for all other installations
front of application -----._—_ --- — v"
Fees:
Total Balance Due
— Enter total of above fees i
TrustAccountf1 _ _. 8%State Surcharge $
Total Balance Due
'a1:fs'•-Ihnns�rlr Iris dnr I11'fl�r'ix!
CITY OF TIGARD J BUILDING PERMIT _
PERMIT#: BLJP2000-00334
DEVELOPMENT SERVICES DATE ISSUED: 3/6/01
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112AC-02700
SITE ADDRESS: 07340 SW BONITA RD
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LUT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW FIRST: 3,766 sf N: S: E: W:
'TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: S3 TOTAL AREA: 3,766.00 sf ROOF CONST: FIRE PET?
OCCUPANCY LOAD: 35 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 15 ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS _REQUIRED_
FLOOR LOAD: 100 psf LEFT: it RGHT: ft FIR SPKL: SMOK DE.T:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS- BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 165,000.00
Remarks: Building#2. TIF DEFERRED
Owner: Contractor:
SHOEPE, GARY& JUDY ENGINEERED STRUCTURES INC
C/O ENGINEERED STRUCTURES 7360 SW HUNZIKER
7360 SW HUNZIKER RD STE 101 SUITE 10C1� g ?2
Tl one, OR 97223 TlRone'. _%1183
Reg#. LIC: 103613
i^ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mecho ical Permit Require
PLCK DLH 8/14/00 $590.04 0004149 Electrical Permit Required
Plumbing Permit Required
FIRE DLH 8/14/00 $363.10 0004149 Foot/Found Insp
PRMT CTR 3/6/01 5907.75 27200100000 Reinf Steel Insp
5PCT CTR 3/6/01 $72.62 27200100000 Framing Insp
Gyp Board Insp
(additional fees not listed here) _ Structural welding final repr
Total $2,534.11 High strength bolts final ref
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 ATTE-NTION Oregon law requires you o follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct alcestions to OUNC by calling (503) 246-1987.
Permitee
signature:
Issued By: �r
Call 639-4175 by 7 p.m. for an inspection the next business day
CITYOF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00043
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/6/01
SITE ADDRESS; 07340 SW BONITA RD
PARCEL: 2S 112AC-02700
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS: 20
CLASS OF WORK: NEW DWELLING UNITS:, 71
TYPE OF USE: COM NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Building#2: Sewer connection permit for fixtures in new building. Fixture value added equals 20,
for a total dwelling unit count of 1.3 EDUs.
Owner: – —
_ FEES
SHOEPE. GARY& JUDY —
C/O ENGINEERED STRUCTURES Type _ By Date Amount Receipt
7360 SW HUNZIKER RD STE 101 INSP CTR 3/6/01 $45.00 27200100000
TIGARD. OR 97223 PRMT CTR 3/6/01 $3,220.00 27200100000
Phone. Total $3,265.00
Contractor:
Phone:
Reg #:
Required Inapections
Sewer Inspection
This Applicant agrees 1j comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued The total amount paid will be forfeited if the perint expires The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given If not so Ionated, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lat.aral ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center T' ose 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 (503) 246-1987.
Issued by: r _ Permittee Signature: V
Call (503) 639-4175 by 7:00 P.M. for an inspection needed th ext business day
CITY OF 'T!GARD Commercial Building Permit Application Plan Check.
13125 -S`JV HALL BLVD. New Construction and Additions 6. Recd By
TIGARD, OR 97223 Date Recd - )12
Date to P E /
(503) 639-4171 Date to DST
Print or Type Permit# 86c/'a000
Incomplete or illegible applications will not be accepted Related SWR# —
(I 1 10- LXX O Called
Name of Development/P•oiecl
Job000 'X
1 K Existing Building ❑ New Building
Address Street Add ss Suite
--.
i Elxw I Building
Bldg# I City/State Zip Data
_ _I y7o-0 1'Z�2Z 3 Existing Use of Building or Property:~'
Name Property C;ikh �� , - (Jf pc 5/') U C HI NIatJ L_
Owner Mailing Addr s !, Suite Proposed Use of Building or Prooerty:
f r,c Qrl rP,c� �TRUcrWc
° ► '-JLt R%z I 01 5 L s�l�NDy' �FZ�A
i y/, a e Zip Phone No, Of Stories:
Occupant Name Sq. Ft. Of P-oject:
Name — -- --W--- Occupancy Clasbkc.�,)
Contractor r-/VGJN)cr_l --
_ _
Pnur to permit Mailing Address Suite Type(s) of Construction
issuance,acopy - 1
of all license, � Q r�v 1 V/J ZII Z �N
are required It City/State Zip cP�hone Will this project have a Fire Suppression System?
expldatain C baseO.T ' t(; ZtD�� � z l(9 _3�1 _ — Yes_ _ No ---
Oregon Const Cont Board Lic# Exp.Date Americans with Disabilities Act(ADA)
Valuation X 25% = $ Participation
Complete Accessibility Form
e C�O Project $
Architect _ 1�ILL�iZL') SSI Valuation (.0 0o
Mailing Address 1 Suite
(f►� Vj ihYJ ZI tt r Plans Required: See Matrix for number of sets to submit
Clly/State Zip Phone on back
Engineer Name — — —
0 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
Mailing Address Suite — that plans submitted are in compliance with Oregon State Laws
S' re of O nt Date
City/State Zip Phone 00r
Con act Person Name Pho e
Indicate type of work New15>\ Addition O Demolition O �
Accessory Stricture O Foundation Only O Alteration O
Repai, O other a _ FOR OFFICE USE ONLY
Description of work: -------- —
Q►J:;,rR0(_I- L►cls.) MaprrL# Land Use:
/J V'�1��L L 1�0 Notes:
Parks: Estimated#of Employees
TIF TCS
If the above figure Is n7l supplied at the time of application,the city will
calculate the fee based upon the number of parking spaces.
Note Site Work Permit Application must precede or accompany Building
Permit Appllrotlon ;•1 I r
\dsts\forms\cornnewdoc.5/10/99 �� �% ,vWN
,1IV�3
CITYOF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2001-00485
DEVELOPMENT SERVICES DATE ISSUED: 10/1/01
13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S112AC-02700
SITE ADDRESS: 07340 Svv BONITA RD
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LOT : 002 JURISDICTION: TIG
Proiect Description: Adding (5) branch circuits and data telecommunications system. Job No. 8144.
RESIDENTIAL_UNIT _ TEMP SR_VC/FEEDERS MISCELLANEOUS _
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 arm): SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER — �^ BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: — PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
_ Reconnect only: SVCIFDR >= 225 AMPS: _ — CLASS AREA/SPEC OCC:
Owner: Contractor:
T-3 ENTERPRISES LLC PHOENIX ELECTRIC CO
320 SW BONITA ROAD DBA/ENCOMPASS ELECTRICAL TECH
TIGARD, OR 97223 7379 SW TECH CENTER DRIVE
TIGARD, OR 97223
Phone: Phone: 684-3600
Reg#: LIC 00052288
SUP 38635
ELE 34-247C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
5PCT CTR 10/1/01 X11.88 2720010000( Wall Cover
Elect'I Final
PRMT CTR 10/1/01 $148.45 2720010000(
Total $160.33
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 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 by the Oregon Utility Notification
Center. Those rules are set forth :n OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to
Permit Signature: \ Issue By:
_ OWNER INSTALLATION ONLY
Tlie installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: — DATE:-
___ _ CONTRACTOR INSTALLATION ONLY — __—
SIGNATURE OF SUPR. ELEC'N: r - ���-� —.—_ DATE:—
LICENSE NO: :_�LZ�D ► !� _ --- -- — --
Call 639-4175 by 7:00pm for an Inspection the next business day
SEP-28-2001 FR I 03:04 PM FAX NO, P. 01
Electrical Permit Application
Da
terwelved: 7 Aai
` Pemlitao.:tct�,e�-�c/k,
City Of Tigard Project/appl.no.: Upiredate:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: ' lteceiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
Win lig ligm
Ll 1 4, 2 family dwelling or accessory jXCr -unerc:ial/industrial U Multi-fatnily O'rc,iant improvemt•.nt
Ncw cunshuction U Addition/alterxlinn/replatxmctrt U Other: _ U Partial
job addirss: 3 U !�t/ ' l�r� 'rl, BIJ , no.: Suite nn.: Tax map/tax lv
-t1� t/account no.:
1-
--tBlock: Subdivision: _- - --
I'n)cct mane ;fle ge eti ,_ l�eacription and location of work on i-ettuirs; r f'
Cstimated date of cumpleuon/imipee4on: ,,
Job no: ) fee Max
Business name: y1 CSC�j� - Description - . (ea) Total no.hup
New residential 4nk or sonhi family per
Address: 7: /1 ` dwc[ftwits.InchMksattachefi atm
City: jjJ& (-a _ State: ZMcYZZ Sueicrindoded:
Pho Fax $9..;6/I h mail: l OGO sq ft or irsh _ - 4
EacCCB no,:-5 Z Z ' Elec.bus.lic.no: 'tuddiuonil 500 all.ft.or porion thurc f
United ,traidertual i 2
City/me lic.no.: LirwteG eraetgy,non•rosidenual - 2
Each rnanufam mA berm at mrrlulm dwelling
-
s artaNro of supervising elomman(requited) Date_ Ser inr arOnt feeder_ 2
Sup.da t none(print): l� o�� 6 ✓�--v�, llcrn4G no:� b 3 S &�nlrrs or feeders-IrestallatloIt,
alteration or relocation:
700 smile or less 2
Narne(ptint): M I anyis to 400--ucyn_ - 2
_�- -- _._-------. 401 ceps to 600 unps 2
Mailing address: - - .
crops to 1000 amps 2
City: StatC; ZIP: Over 1000 iunps or volts 2
Phone: Fax: E-mail: -- keCornnlunly
Owner installation:The inataQaWn is being made on property I own Temporary snvMes or te«lers-
which is not intended for sale,lease,rent,or exchange according to lnstalladno,aiteration,or relocation:
ORS 447,455,479,670,701. '(x)im s or 1= 2
ltd amps ur 400 amps 2
ONI1el'S ai M: -- Date.: _ 401 it)60(1ar�tr is 2
At etch clr,cala new,alleratlmn,
of eatension per panel:
Nam: - _.-- -- A I re for branch circuits with purrhasr of
Address: __ service or frnlrr far.,each bi nch circuit 2
H. I ee forbmnrh circuits without urrhasr
qty. ----------- ------t
State: 7.II': � P !� - 2
j� of s"vice or Imier fee,first branch circuit; I 'or - %
Phone: Fox Email: Each additional txanch nnvit: -
Mir.(Service at feeder not Includrdd):
UService ovrr111ampsmmmerrti: UNealth-rarr(araliry Fichptimporirigation_circle 2--
(I Service over 320 amps-rating of 1 Ai:? n Haztutious loctunn Each sign of oufline li`hting -- 2
family dwellings U Building over IOA(1n&guar fret(our or Signal eircuit(s)or a limited energy parol.
*System over 600 volts nominal more resicirotial ur.,r:in one structure alttralfon.or er t-nsion• L 2
U Huilding over three stouts O lll�rrdnm,41X1 amps or more •i)ra:n tics,. - —
O Ckeupant loam over 99 persons 4 Manul■ctuted structures or RV parte - �'- —'r'—=-- - '-"- -
Il FprnsOtghtingills" U Other _ - Fachadditional Inspedtonoyerthe allowahl, inanyoftheabove;
Submit-_Beta of plant;wife any of the above. _Invretigatlnn fee
Use above are not applicable to temporary construction service:, t)ihrr
- - --- Permit fee.. •..... ...........�
Nn VI JruirticNorts arrept isaLt cards,pleuro call Juriadlcti"n I«roue rrdornuudr, NOIICe'This permit application ---—
rl visa U Mastert'.ard expires if a permit is not obtained Plan review(at _.__ %) $ tr
(:Reit cud aum,be*, __._ ._. L / within IAO days after it hits been Slate 6uCc'kuye(R%) ....$
accept ds complete. TOTAL .......................
Name of rantlruldrr aaiiAeaa on credit card
t Canthulder r_6muure - - s Amount
- - _
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT M PLM2001-00031
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/30/01
SITE ADDRESS: 07340 SW BONITA RD PARCEL: 2S112AC-02700
SUBDIVISION: EMPIRE BATTERIES ML.P2000-00002 ZONING: I-L
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: 1 SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 3
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Building #2 - (2) lav's, (2)water closets, (1) laundry tray, (2)2"fl drains, (1)water htr, (3) hose bibs
FEES
Owner:
Type By Date Amount Receipt
SHOEPE, GARY& JUDY PRMT CTR 3/30/01 $182..60 2.7200100000
C/O ENGINEERED STRUCTURES 5PCT CTR 3/30/01 $14.61 27200100000
7360 SW HUNZIKER RD STE 101 PLCK CTR 3/30/01 $45.65 27200100000
TIGARD, OR 97223 __
Phone 1: _ Total $242.86
Contractor:
PACIFIC GASWORKS
PO BOX 30646
PORTLAND, OR 97220 REQUIRED INSPECTIONS
Phone 1: 503.408-1465 Water Line Insp
Re #: LIC 136391 Water Service Insp
g Rough-in Insp
PLM 26-710PB Final Inspection
This permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicab;e laws. All work will be don-3 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 by the Oregon Utility
Notification Center. Those rules are sei forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: moi _ Permittee Signature:
Call (503) 6i9-1175 by 7:00 P.M. for an inspection needed the bust ss day
L
Plumbing Permit Application
Datereceive(d: l U p Permit no.A111bl•- ;J
City of Tigard Sewer permitBuilding permit no.:
done:
13125 SW Hall Blvd,Tigard,OR 97223
Cifyuf7Tgurd (503) 639-4171 Projmlitppl.no.: Expireilatc:
y /Fax: (503) 598-1960 Date issued: By: Receipt no
f� i
6 Land use approval: ��L�/�c �� "L/ )00.2-
Case file no.: Payment type:
U 1 K 2 family dwelling or accessory *ommercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/al teration/replacement U Food service U fhhei:
i
7_3
Description Q Fee(ea.) Total
Job address: O
Bldg.no.: Suite no.:
Cts_ New I-surd 2-family dwellings only:
/
tax lot/accounl no.:
(includes IOOfl.foreachutllityconnection)
Tax ma
P/ SFR(1)bath
Lot: Block: I Subdivision: _ — SFR(2)bath
Project name: j 11- _ SFR(3)bath
City/county: I ZIP: Each additional bath/kitchen
rkscription and location of work on premises: Site utilities:
Catch basin/area drain _
Est,date of completion/inspection: Drywells/leach line/trench drain
Footing drain(no. lin.ft.)
Manufactured home utilities
Business name: �Z�1( zs Manholes
Address: /�,�j Rain drain connector
City: State: ZIP: ���_ Sanitary sewer(no.lin.ft.)
Phone: I E-mail: Storm sewer(no.lin.ft.)
CCB no.: p Plumb.bus.reg.no:J.ag Water service(no. lin.ft.)
City/metro lie.no.: / Fixture or Item:
Contractor's represenfati've signs urs: Abso tion valve
Back flow preventer
Print name: e: !" - _Backwater valve _ Y
Basins/lavatory
Name:t.S.�! �7e� tcc Clothes washer
Dishwasher
Address: � — -- -- —
—�-� Drinking fountain(s)
City: State: v 71 P: Ejectors/sump -- —
Phone: / Fax: E-mail: Expansion tank
MANfixture/sewer cap
Name(print): Floor drains/floor sinks/hub
Mailing address: - Garbage disposal
_
Hose bibb
City: __ State: ZIP: Ice maker — —
' one: Fax: E-mail: Interco torp /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s) _
will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on Ute property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) .
Owner's signature: ____ Date: Sump --
Tubs/shower/shower pan _
Urinal
Name: Water closet
_Address: _ Water heater
Cit State: ZIP Other: L9uti o T7z4
r'Ftone: Fax: E-mail: Total
Not all jurisdictions accept credit tarda,pleuR call Jurim fiction for mrxe information Notice:This permit application MtnWamwfee................$
ys • 6
C]Visa ❑MasterCard expires if a permit is not obtained Plan review(at � %) $
Credit card mimber_ __��- State surcharge(8%)....$
t:apirca within ISO days eRcr it has been �
accepted as complete. TOTAL .......................$ .2.
Nome of cardholder u shown on cnJll card
t�
S _
— c'anau>Ider sidnattue —---- -- Amount "a 16(6MWCOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES (individual) QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
for each utilityconnections - _
Lavatory - - a 16.60 �! �l)
One 1 bath
Tub or Tub/Shower Comb. 16.60 -- -,---- ------ 3249.20 -
- Two 2 ba! ____h __ -- 3350.00 _
Shower Only 16.60 Three 3)bath $399 00
Water Closet -----^--- 16.60
- - - SUBTOTAL
Urinal 16.60 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _
Garbage Disposal 16.60 _— - TOTAL
Laundry Tray -- , 16.60
Washing Machine 1660
Floor Drain/Floor Sink 2" -� _16.60 e e)
3' 16.60 PLEASE COMPLETE:
4" 16.60
Water Healer O conversion O like kind 16.60 Quantit b Work Performed
Gas piping requires a separate mechanical / Fixture Type: Nriw Moved Replaced Removed/
permit Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer 46.40 Lavatory
I lose Bibs 16.60 Tub or Tub/Shower
Combination _
Roof Drains 16.60 Shower Only _
Drinking Fountain 16,60 Water Closet
Other Fixtures(Specify) 16,60- Urinal -
_-_ Dishwasher
Garbage Disposal
Laundry Room Tray
" -
Washing Machine
L
Sewer-1st 100' 55,00 -Floor Drain/Sink: 2"3„ -
Sewer-each additional 100' 46.40 - q"
Water Service-1 st 100' 5500 Water Heater _
Water Service-each additional 200' 46 40 Other Fixtures
SS eci
Storm 8 Rain Drain-1st 100' 55.00
Storm 8 Rain Drain-each additional 100' 46.40 _
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55 - - -
Catch Basin 16.60 - - -
Inspection of Existing Plumbing or Specialty 7250
Requested Inspections erlhr _ COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 6525
Grease Traps 16 60
QUANTITY TOTAL ------- -
Isomeh c or riser diagram is required II -- ---- --
Quantity Total is >9 --- _ _--
`SUBTOTAL
8%STATE SURCHARGE
"'PLAN REVIEW 25%OF SUBTOTAL
— RejtLi d onYif fixture gly total is.-0
TOTAL // a
'Minimum permit fee is$72 50-8%state surcharge,except Residential Backflow
Prevention De rice,which Is 1130 25+8%state surcharge.
"All New Commercial Buildings require plans with Isometric or riser diagram and
plan review
i:Wsts\fonns\plm-tees doc 10/10/00
Accumulative Sewer Tally
I enani Name: / ue-' f # Z This SWR# ,0()
Address: 1.3�f b SN (fir Lt -�1{'10 This PLM# Q D 01 –oro 31 _
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added# added #s total
Count off#s _count _ value values
Baptisu y/Font 4
Bath-Tub/Shower 4
_ -Jacuzzi/Whirlpool 4
Car Wash - Each Stall _ 6
- Drive Through16
Cuspidor/Water Aspirator 1
Dishwasher - Commercial
_
- Domestic 2
Drinking Fountain 1 _
Eye Wash 1
Floor Drain/sink - 2 inch 2
3 inch 5
4 inch _ 6
_ ^ Car Wash Drn_ 6
Garbage Disposal 16
Domestic(to 3/4 HP)
Commercial (to 5 HP) 32
Industrial (over 5 HP) 48
Ice Machine/Refrigerator Drains 1
Oil Sep(Gas Station) 6 _
Rec. Vehicle Dump Station 16
Shower- Gang (Per Head) 1
- Stall 2
Sink - Bar/Lavatory 2
Bradley 5
Commercial 3 —
_ Service 3 _
Swimming Pool Fllier 1 _
Washer-Clothes 6
Water Extractor _ 6
Water Closet- Toilet 6 s�--
Urinal _ 6 —
TOTALS
Total fixture values_ 3 divided by 16 —EDU /41
HISTORY
-
_PLM# _ EDU# SWR# PLM# EDU#_ SWR#
PLM# EDU# SWR# �i PLM# EDU# SWR#
PLM# EDU_# SWR# PLM_#_ EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
i Wsts\swrtaly doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BUP
_- Date Requested AM PM BLD
Location '��.3`�C �da 7 �.-� r� Suite
MEC
Contact Person , Ph PLM --
Contractor � ,;x ��F�fric �C,_�� ,n� .,Ph SWR
BUILDING Tenant/Owner ELC OOL- iCg;�
Retaining Wall ELR
Footing —
Foundation
Ftg DrainS� Pf �«+, G�+cJm sS ��� rnan ���` FPS
Crawl Drain Inspection Notes: SGN
Slab ' SIT
Post$Beam
Ext Sheath/Shear ./
Int Sheath/Shear / 1 —
Framing -5 V7x'0C L. C L.r L w/� C 61 e l :=
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise _
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
ELECTRICAL — -
Service _
Rough In —
UG/Slab -
ow Voltage --------------- ,_
Fire Alarm
Ina is1-
S PART FAIL
Backfill/Grading ----- —
Sanitary Sewer
Storm Drain ( [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RE:.-- _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date , �'`1� ;; ��'L` Inspector _Ext
Final _ _ _ ` — ——
PASS PART FAIT. 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
—[gate Requested /,D ' � _AM PM BLD
LocationSuite _—Y MEC _—
CARRRSOMmon 3 G) /3(G� sal _ Ph PLM -
Contractor 7/2LC,1;x L�ccfrlr_ Ph SWR _
BUILDING-----" Tenant/Owner — o � 1_,eELC
Retaining Wall ELR _
Footing Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes: c c ,
Slab - - -- � ��` �- SIT —_
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ) _—
Drywall Nailing - -� ---- 4_'.`- s }� � � ►`l� _�--
Firewall `J '
Fire Sprinkler
Fire Alarm -�----------- - ---- ---- 1 - 1
Susp'd Ceiling ----
Roof
Misc - - --- _---- ----------
Final
PASS PARI FAIL _.----
PLUMBING -
Post 8 Beare --- --- -------- ---------- -------
Under Slab
lop Out -- -- --- -- --
Water Service
Sanitary Sewer -_- - ---- - - -- -�
Rain Drains
Final
PASS PART FAIL —
MECHANICAL IT—
Post& Beam - - ------ -------- --
Rough In —
Gas Line —
Smoke Dampers /
Final - -- - ----- ---- - - --
PASS PART FAIL
ELECTRICAL —
Service
Rough In
UG/SI
or
ire Tarm -- -- — - ------ — -- -- --
fA§3 PART FAIL
SI E
Backfill/Grading — - -- — �— ---
Sanitary Sewer
Storm Drain I )r,einspection tee of$-- regvired hefore next inspection Pay at City Hall, 13175 SW Hall Blvd
Catch da.;in
Fire Supply Line ( J Please call for reinspection RE [ ) Unable to inspect- no access
ADA
Approach/Sidewalk '�«'� r
Other Datet. , T�fT ,,1��</ _ nspector— — c "� _— Ext _
Final
LPnss PART FAIL DO NOT REMOVE this inspection record from the ,job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP
___-- Date Requested �C AM PM
7 BLD
Location / j �� �' Suite — MEC
Contact Person - Ph _le"' W=1q1 PLM 00
Contractor Ph — SWR _27Dy/ _�
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing —
Foundation Access:
FPS
Fig Drain —
Crawl Drain Inspection Notes: SGN
Slab — SI'T L�UOU
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear -- —
Framing
Insulation
Drywall Nailing -
Firewall — -- —
I-ire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc.
Final -- - --
PASS PART FAIL
PLUMBING ---
Post& Beam
Under Slab i
Top Out ---
Water Service
itaryS w -) -- -- —
Rain Drains
S PART FAIL
HANICAL — -- —
Fost& Bearn --- ------ ----------
Rough In — —
Gas Line
Smoke Dampers —
Final --- - ------- - --- —
PASS PART FAIL- —
ELECTRICAL - - — --- — -- —
Irvice
Rough In — -- -- —-- — ----— —
UG/Slab
Low Voltage - — --
Fire Alarm
Final --._.._. - ---------------- ----- - — --- --------
PASS PART SAIL
SITE
Backfill/Grading --- -- --- --- ---- — _
Sanitary Sewer
Storm Drain [ j reinspection fee A$ required before next inspec?ion Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I j Please call for reinsper_tion RF - — — [ Unable to inspect-no access
ADA
Approach/Sidewalk - ,/�1 t_ y i — L/? ��
Other Date LC _ Inspector -�.► Ext
Final -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T!GARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BUP _
Date Requestedn l 6) Sp AM —pM _ Bt D
Location ); 0 �'L � _ Suite —__ MEC a eek
Contact Person �� D r. Ph ;. ,' �_Z_ PLM
Contractor _ Ph _— SWR —
BUILDING Tenant/Owner ELC
Retaining Wali — — ELR
Footing Arcess:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes SIGN
SlabSIT
-------------------
Post 8 Beam --------_..._�_ -
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall - _---
Fire Sprinkler
Fire Alarm -- -- ---- _ _--r
SUsp'd Ceiliog
Roof
Mise— ---- — - - S/-te/t
Final
PASS PART FAIL
P!UMBING
Post& Beam --- ---�
Under Slab C�
Top Out —
Water Service
------------------- —
Sanitary Sewer -'
fain Drains
Final ----- -- ---' -
P PA FAIL
Rough In
Gas Line ------- �__�
Smoke Dampers
PART FAIL
ELECTRICAL - -` ---- -
Service. \
Rough In
UG/Slab
Low Voltage -- ---- —
Fire Alarm
Final
PASS PART FAIL
SITE -------------- --_._LL.__..— --- - --
BackNI/Grading ---- — — -----
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Fall Blvd
Catch Basin
Pleas
Fire Supply Line ( ( e call for reinspection RE: — _ `__ [ )Unable to inspect-no accesa
ADA ,.
Approach/Sidewalk
Other Date � G� —_- Inspector_ L ------ -- Ext
Final
PASS PART -FAIL DO NOT REMOVE this inspectirn rescord from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
--. MST
24-Hour Inspection line: 639-4175 Business line: 639-4171
BUP
-- Date Requested AM PM BLD
Location —2 1 U ,1, _ ,Z' — Suite PIIEC _
L
Contact Pei son _ ( ,t �,/' Ph O �Q => PLM
4 --
Contractor Ph _ SWR _
BUILDING Tenant/Owner (� r--t S Ei.0
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes SGN
Slab ------.___-- 42 C) ��3(oy _ SIT _2000 00 0 3$"
Post&Beam -
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation N /
Drywall Nailing �-T/—�•+- I � k- _ 'ln s���1/ � L
Firewall
Fire Sprinkler
Fire Alarm --
Susp'd Ceiling
Roof
blisc:
PASS PART FAIL ----_ ,
PLUMBING
Post& Beam ' -
Under Slab
Top Out
Water Service
Sanitary Sewer --- ---- - -- --— — — ------
Rain Drains
Final
PASS P ART FAIL
MECHANICAL
Post&Beam ---- -- - - . _ ---- -- - — -- ----
Rough In
G,as Line - - - ----- ---- - -- -- — --
Smoke Dampers
Final — ---
PASS PART FAIT_
ELECTRICAL — -
Service -
Rough In -- -- - ----
UG/Slab
Low Voltage - -— -------- ----- ---------- —
Fire Alarm
Final ----- - ------- - — ---
PASS PART FAIL
SITE '— ----- --- ---_-----_------_._—._._.— � —_—— --
Backfill/Grading -- -- - ------- --- -- ----
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13 125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection PE [ ] Unable to inspect- no access
ADA
Approach/Sidewalk Date / Insp@etor �" �� �� Ext
Other } - ,� _. — --- --
Ffhat
PAbS PART FAIL DO NOT REMOVE this inspection record from the job site.
ELECTRICAL
CITYOF TIGARD RESTRICTED ENERGY RESTRICTED ENEt�2GY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00323
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/28/01
SITE ADDRESS: 07340 SW BONITA RD BLDG #2 PARCEL: 2S112AC-02700
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002 ZONING: I-L
BLOCK: LOT: 002 JURISDICTION: TIG
Proiect Descrintion: Installation of burglar alarm. Job No. 083-13939-01
A. RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: N!IRSk2 CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: BURG ALARM X
—_____TOTAL#OF SYSTEMS: 1
Owner: Contractor:
1'3 ENTERPRISES LLC ADT SECURITY SERVICES, INC
1-10 BOX 23962 2815 SW 153RD DR
HGNRD, OR 97281 BEAVERTON, OR 97006
Phone: Phone: 503-469-7244
Reg#: LIC 59944
ELE 26-2D9CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 12/28/01 T $75.00 2720010000 Elect'I Final
5PCT CTR 12/28/01 $600 2720010000
Total � !81.00
I�
This Pennit 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 plans. This pei mit will expire if work is
riot started within 180 days of issuance, or if wort; is suspended for more than 180 days. 1TTENTION: Oregon law
requires you to follow rul s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 0WQUgh OAR 952-001-0080. Yon may obtain copies of these rules or direct questions to OUNC at (503)
246-1` i �
Issuekby �� +�L vv�4� _ PPnrittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
_. _CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL EC'N DATE:
LICENSE NO: ---
Call 639-4175 by 7:00 P.M. for an inspection needed the next auslness day
12 '28/2001 10:05 FAX 5034697110 ADT SECURI'T'Y oo1
Electrical Ferndt A L' ' n
�Daterecelved:,2 A Pr Di Permit no.: &,F���_oo j n 3
A4Ci of Tigard — ----- -
'✓ b Projecl/appl.no.: E.'xpire date:
r uv /l rgurd Address: 13125 SW Hall Blvd,Ti � 877.12811 - — — -------
Phone: (503) 639-4171 0 NC Date issued: T_ - Hy: Receipt no.:
Falx: (503) 598-1960 Q.y O F 11G ('ase file no.: Payment type:
Land use approval: gjR b NG DMSION
1
U I &2 family dwelling or accessory �I('oma ..r.;,tl/nuhttilri;rl U Mull]-fannly LI Tenant improvement
U Now construction U Arldition/alteratiott/replacen)ent U Other:_-_ _--__ U Partial
1INFORMATION
Job address: -IL Q SO j p� _ Bldg, no.; Suite no.: Tax map/tax lot account no.:
L ot: Block: Subdivision: - ------------
Project name: p Deacripdon and location of work on premises: r✓rq, A��r kv�
Estimated date of colin lei ort inspection:CONTRACTOR -------
Job no:
Business(lame: Ter
r -- Description Qty. tee
'Total no.Max Ins
Address: — New resi evitial-single or multi family per
dwellingunh.Inclydra attached garage.
City: Statc:QKZIP: Q tiorvlceftKju ed:
Phone. 41. app Fax=- W•7 E-mail IOoo ay.it of less
_CCI-no.:_ —_ Elec. no: Z6.210 - Each additional 503 sq.A.or portion thereof
Limited energy,reaid
City/m TIC.tt0' enual 2Limiledener -- '—
- — gy,noa-residenuel 2
Fachmanufacturedhome or modulnrdwdling -
Si ore of su ry a ectrician(rimed) - Dateete Service
�Z'91--61-
and/or feedar 2
Sup,elecL name(print): License no; Se►vlcesorfeeden–Inslallotlan-�---
alteration or reloculton:
200 amps or less 2
_Name(print): "1 3 i:>J' l�P/j 1��71E-mail:
'(,r 201 anrpa_12400 amps 2
Mailing address: p – 401 empatnti00arapa _ 2
`� 39 601 amps to 1000 amps 2
City: ft"e fy2Tj SZIP: $fOver IOOOampsol volts — — --- — 2
Phone: rax: IteccorauctonlY —`-- ----^ l
Owner installation:The installation is being made on property I own Temporury services or feeders- —
which is not intended for sale,lease,rent,or exchange according to installatlsvr,alteration,orrelocation;
ORS 447,455,479,670,701, 21x1 amps or less 2
201 amps to 400 vnps -_� --- -z-
Owner's signature: - — Date: 401 to 600 ams ---� -- -- – z --
Branch circulta-new,alteration,
Name: or extension per panel:
— — A. Fer for hi anch covults wrth purchase or
Address_ _ service o feeder fee,cacti branch circuit 2
City: $tate: Z1P; R Fee for hunch circuits without pvrchasc
Photle. !-a t E-n3ail: —� of service or feeder fee,first b, nch circuit 2
Bach additional bench circuit:
Misc.(Service or feeder not Included):
U Servicenvu22Snnp,s-conunrn-inl U Ilealth-carefacility Eae�Lumpor2
U Service over 320 amps-raring of 1&2 U Hazardous locau n Each signor outline lighting 2
family dwellings U nuilding over 0OX)square feet four or Signal circui(s)or a limited energy panel, x .•�
OSystem over 600volts nominal moreresideniir unitsinonestmcture alteration,or extension* _ ' /-� {5 2
U Building over three stories U Feeders,400 am,s or more •Detcti uon: __ v
U occupant load over?9 persons U Manufactured stns;tures or RV park " eh ad tion: l Inspection over the allowable In any of the strove:
U F:gmss/Iighungplan U Odrer FAchaddillo --
Submit sef.,of plans with any of the above. PerinInvesig_ct,ontion fee
The above are nol applicable to temporary construction service.
Na all)udwlicuons acceist credit cards,please can fudsdkaon for rnore Informallon. Notice:Ibis permit Opplicalion Permit fee...�...........$ _.W
U Visa U MasterCard expires if n permit is not ohlAned Plan review(at _ %) $
Credit cod numhes: —_ within 190 days after it has been State surcharge(9%) ....$
�xpire�
Name ofcardhof�a shown one it c accepted as complete. TOTAi, .......................$
Cardholder signature— Amount
-- — 440 4615(NONCOM)
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES � PERMIT#: BIJP2000-00334
13125 SW Hall Blvd., i dyard, 1-oR 97223 (503)639-4171 DATE ISSUED: 03/06/2001
PARCEL: 2S 112AC-02-700
ZONING: I-L
JURISDICTION: TIG
SITE ADDRESS: 07340 SW BONITA RD
SUBDIVISION: EMPIRE BATTERIES MLP2000-00002
BLOCK: LOT:002
CLASS JF WORK: NEW
TYPE OF USE: COPI
TYPE OF CONSTR: 5N
OCCUPANCY GRP: S3
OCCUPANCY LOAD: 35
TENANT NAME:
REMARKS: Building #2
Owner:
SHOEPE, GARY& JUDY
C/O ENGINEERED STRUCTURES
7360 SIN HUNZIKER RD STE 101
TIGARD, OR 9722.3
Phone:
Contractor:
ENGINEERED STRUCTURES INC
7360 SW HUNZIKER
SUITE 101
TIGARD, OR 97223
Phone: 968-3118
Reg#: LIC 103613
This Certificate isnmed 01/14/2002 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specialty Codes for the group, occupanr, and use,vnder which the
refer nc d permit was issued.
ZCA-
BUILDING
h t v�/)
BUILDI G INSPECT09 _ BUILDIN FFICIAL
POST I;V CONSPICUOUS PLACE
CITY OF TIGA►RD BUILDING INSPECTION DIVISION MST
24-Hous Inspection Line: 639-4175 Business Line: 639-4171 -
�y BUP
.Date RegUested ....(��� O -_ AM� PM L� "_ BLJD
Location 4 l_�,�,C�'�_ _ Suite
Contact Person Ph PLM
Contractor0 Ph JG� ' L/ SWR
ILDING a Owner E� ELC _
Re ain g Wall ELR
Footing Access: _
Foundation FPS
Fig Drain
Crawl Drain Inspection Dotes: /9// ������ r! „4'I�q lFd SGN
Slab _-- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear - �^
Framing
Insulation ---- --�- --_— ._._---____--
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roo(
Mi SLC
al
in PART FAIL - -
PLUMBING
Post&Beam -�—
Under Slab
Top Out
Water Service _
Sanitary Sewer -
Rain Drains
Final
PASS,-.PART FAIL _
NJITHANICP#-
Pt& Beam -
Rou -In
Gas Line ---- - - - ---- --- -- -- -
smoke Dampers
RjQSS I PART FAIL.
ELECTRICAL. --- - - -
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final --_---- _
PASS PART FAIL
SITE
Backfill/Grading ------- —_._-..._ --
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ -- required before next inspection. Pay at City Hall, 13125 S V Hall Blvd
Catch Basin
Fire Supply Line I ] Please call far reinspection RE [ )Unable to inspect-no access
ADA
Approach/Sidewalk Date f/" �'0 Inspector �y� Ext
Other - --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
DATF August 16, 2000 PLANS CHECK NO
BUP2000-00334
PROJECT TITLE: Empire Batteries '
COUNTYWIDE
TRAFFIC IMPACT FEE
WORKSHEET APPLICANT John^'Bo�u_tinneenn
(f 0R NON SINGLE FAMILY USES) MAILING ADDR[SS G3 v!r'HULFLIRCI Rd �IL
CITY/ZIP/PHONE Tigard Or. 97223
TAX MAP NO.: 2S112AC-EB00_2
LAND USE CATEGORY RATE PER TRIP � _
SITES NO,ADDRESS: 7340 §l,V Bonita Tigard Or 47223
_
RESIDENTIAL $213.00
BUSINESS AND COMMERCIAL $ 54.00
OFFICE $ 195.00
X INDUSTRIAL $ 205.00
INSTITUTIONAL $ 86.00
PAYMENT METHOD:
CASH/CHECK
CREDIT
BANCROFT(PROMISSORY NOTE)
_ INSTITUTIONAL ONLY
DEFER TO OCCUPANCY LAND USE CATEGORY DESCRIPTION OF 115E WEEKDAY AVG WEEKEND AVG TRIP RATE
110 General light Industrial TRIPP 6.97
BASIS:
Applicant proposes construction a new 3,766 Sq Ft buildilog for light industrial
Use.
CALCULATIONS:--___�_.,_ -_--- -- ---— ----
TIF = Avg.Trips X T.G.S.F. X Rate / Trip
$5,381 - 697 3.766 $205
Transit AMT = Ava.Tnps X T.C.S.F. X $16
$420 = 6.97 3.766
PROJECT TRIP GENERAT-ION
26.25_
FEE
$ 5,381
----- - --- ----- »,_ - --------- --- FOR ACCOUNTING-----1
?URPOSE.S ONLY
ADDITIONAL NOTES
No credits are applicable
ROAD AMT..$ 4,961 '
TRANSIT AMT
$ 420
PREPARED BY
S.S. Cas er,
I:TIFWKST.DOC (DST) EFF: 07.01-98
August 16, 2000 (OREGON
F TIGARD
John Boutinen
7360 SW Hunziker Rd.
Suite 101
Tigrd, OR. 97223
TRAFFIC IMPACT FEE FOR Empire Batteries 7340 SW Bonitia Rd. building
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 Fee (TIF) to be paid for the
project noted above. The amount of the TIF is $5,381.
You have 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 exercise this second option please contact me for additional
details). Traffic impact fees are. subject to an annual increase of up to 6% if not paid or
financed prior to July 1 st of each year.
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 no later than 5:00 p.m. on August 30, 2.000 and must
be accompanied by the $638.00 appeal fee required by Washington County. Although filed
with the City Recorder, an appeal would be heard by the Washington County Hearings
Officer.
If you have any questions, or if I can be of further service, please contact me at 639-4171.
Sherman Casper
Perm;ts Coordinator
c: TIF file
Building file
I VSTS�:1N rX)1
13125 SW Hall Blvd„ Tlgard, OR 97223 (503)639-4171 IDD (503)684-2772 —
CITY OF TIGARD Commercial Building Permit Application Plan ChyGy���,
131' 5 SVN HALL BLVD. New Construction and Additions Reo'd a
TIGARD, OR 97223 Date,Recd
Date to P.E.211-Yl
y/�
(503) 639-4171 Date to DST_
Print or Type Permit �P�oeD "fid
Incomplete or illegible applications will not be accepted Related SWR
— --- ritL� � bUCY�1 Called.
Name of Devciopment/Project
Job 1st y u S - --�ooa- c��a --
Address Slreel Adds, Site el
Existing Building �� New Building
I _� Building
Bldg City/State Zip Data
- ._�L +�.. Existing USe of Building or Property.
Name
Property G'CgLy�,Qo-r 1-itir_r-r_ �O
Owner Mailing Add,&s sr,,,, -- Proposed Use of Building or Property:
� 1�11N?�k- I 0 1 ��Nr 2t.,
r yi ISIaTc- Zipp f',,u„e- -- ..� -S S:l r_�
1 GASZD a2 /-f 3 No Of Stories
Occupant Name Sq. Ft. Of Project:
`1 (D L
- -
Name - --y Occupancy Class(es)
Contractor
Prior to permit Mailing Address Suite
issuance,a copy Type(s)of Construction
'
of all licenses ] �0—r�� ' V'Av,Z� L _
are required if city/state zip Phone Will this project have a Fire suppression System?
expired C O T. ' t G 1_ ^R 9�Z 9(,�_3�1 YesE] No's--
databl)ase _ _ --
Jregen Const.Cont.Soaru Lic.0 Exp.Date Americans with Disabilities Act.(ADA)
Valuation X 25% = $ Participation
Nallie--- --- -_ -__ _Complete Accessibility Form
,rchitact11�1 Cho �S Project $ ----
D ____- Zt7 � 1- Valuation U-05 00o
Mailing Address Suite -
] (p0 �( 1VJ Z V
10 s Rf- wired: See Matrix for number of sets to submit
City/Stale Zip Phone on back
Engineer 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 file owner,and
Mailing Address —� Suite _ that plans submitted are in compliance with Oregon State Laws
S ire of O nt Date -- - --
City/Stale Zip Phone 0
Gon act Person Name Pho e V
-,�
Indicate type of work New",` Addition O Demolition U 1��
Accessory Structure U foundation Only O Alteration 0 -- - -
Repair U other o FOR OFFICE USE ONLY
----— —
C -
[�scrlptlon of work: -- fdaplTL>y ---
o►•�rRw er �� Land Use
�i ` /': '�AYt/c�sbx�-
NQrJSjjZ� L Notes:
Parks: Estimated R of Employees
if the above figure Is not supplied at the time of application,the city will
calculate the fee based upon the number of parking spaces._
? /� s, D
Neto: Site Werk Permit Appllcetton must precede or accompany Building �d u P/�L,� .J 9
Permit Application
i ldstsVormslcomnew.doc 5/10/99
SEE 35MM
ROLL# 22
FOR.
LARGE
DOCUMENT