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7505 SW BEVELAND ROAD p 'n V/ S W m m r ' D Z v 0 D v '7505 SW BEVELAND ROAD CITY OF TIGARD Commercial Building Permit Application Recd By .3125 SWHALL. BLVD. Tenant Improvement Date Recd Date to P.E.`?`/- " TIGARD, OR 97223 Date to Ds ! 2» $9 (503) 639-4171 Permit Print or Type Related SWR fe incomplete or illegible applications will not be accepted Called_IL-? Name of Development/Project Existing Building New Building ❑ ,ton ItJ tW tt C t Address stree Address Suite Building 7 0 5W tVuA►JD Data _ Bldg# City/State zip — Existing Use of Building or Property: ---- -T16ARP ")7021 �-ts) Q t u-1 ► h �- Name. Prop Property TVI V F W%QA kk �wi Proposed Use of Building or Property. Owner Address Suite Q, Cr 1 1 ibD syj 016t1 h# No. Of Stories: kJ t City/State 2.p Phone ( ) Sq. Ft. Of Project: Occupant Name 2 74 G _ Occupancy Class(es) -�1 Name Contractor `D��j h �� Ay 1` IVC;1^1 Type(s)of Cons`tJruction Prior to permit Mailing Addres, Suitey Issuance,a copy ` 15N Yes this project have a Fire Suppression System? of all licenses _ Yes NO are required If City/State zip Phone expired In C.O.T Americans with Disabilities Act(ADA) database Valuation X 25% = $ Participation Oregon const.Cont.Board Lic.9- Exp.Date Cornplete Accessibili Form I,J Fi Project $ 1 Name — — Valuation Architect Plans Required: See Matrix for number of sets to submit Meiling Addr:as Suite on back City/Slate Zip Phone 1 hereby acknowledge that I have read this application,that the Information given Is correct,that I am the owner or authorized agent of the owner,and that ns subnlitted are in compliance with Oregon Slate Laws Engineer Name ,�, 1 I �i t I" 1 ,,b N�! ` "O vi a U S v al k)(Ali Si" t re Agent Date — —--- Mailing Address Suite 2 Con d on ame Phone City/Stale ZIP Phone 312 3 - - -__ FOR OFFICE USE ONLY _ Indicate typo of work: New O Addillon)K Demolition O IAap1L#.-,, Lan lis Accessory Structure O Foundation Only O Alteration ,.,, IR�-Z `7 � 9-6c Repair O Other O plof�s: Necriptlon of work: C'ur��► �CtT (161DkUCt To 00'CTIF: --- ---- (�I! Note: Site Work PormIt Application must precede or accompany Building I� Permit Application D � (4) ar, � 1:%COMNEWTI.DOC (DST) 5/98 'I COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans'ANU a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL !Tans KEY__ _ Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Pl,:mbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition __tf_&T_& M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Ali)— �1 *13 & N1 & P (Alt) 3 *B & M & P & E(Alt) 3 *B & M & P & E & F'Alt) _ 3 NOTES: *Sh did arias d sigrti t ALT su riyittals only;:!:::-.., ,r ..:' I dstsUnaxtrixt.doc 07/08/98 CITY v, O F T I G A�`D BUILDING PERMIT _ PERMIT#: BUP99-00033 DEVELOPMENT SERVICES DATE ISSUED: 5/11/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AB-01609 SITE ADDRESS: 07505 SW BE JELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 020 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: AL1" FIRST: 1,200 sf N: - S: E: W: TYPE OF USE: COM SECOND: 1,200 sf _ PROJECT OPENINGS? TYPE OF CONST: 5N 0 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 2,400.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 22 BASEMENT: 0 sf AREA SEP. RATED: STOR: 2 HT: 0 ft GARA3E: 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRIED _ FLOOR LOAD: 50 psf LEFT: ) ft RGHT: 0 ft FIR SPKL: N SMOK DET:N DWELLING UNITS: a FRNT: 1) ft REAR: 0 ft FIR ALRM : N I-INDICP ACC:Y BEDRMS:0 BATHS: 0 IMP SURFACE: 0 PRO CORR: N PARKING: 1:1 VALUE: $ 60,000.00 Remarks: Convert existing single family residence to Commercial Office. Owner: ---- ----------- �i Contractor: -- ------- ------ II JEFF TAYLOR DAKOTA CONSTRUCTION 750E SW BEVEIAND 15000 SE CROSSCREEK CT TIGARD, OR 97223 BORING, OR 97009-8295 Phone: Phone: Reg #: LIC 49904 FEES _ _ �__ REQUIRED INSPECTIONS Type By Date —Amount Receipt Mechanical Permit Require Final Inspection PLCK GEO 1/28/99 $203.45 99-312371 Eect ical Permit Required Plumbing Permit Required FIRE GEO 1/28/99 $125.20 99-312371 Framing Insp PRMT BON 5/11/99 $313.OU 99-315289 Insulation Insp 5PCT BON 5/11/99 $15.65 99-315289 Shear Wali insp ORIGINAL Gyp Board Insp (additional fees not listed here) Susp Ceiing Insp Appr/sdwlk Insp Total $6,386.30 Misc. lnspection 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1981. You rnay obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe mi itee Signature: ---------- Issued By: l� '�c l•�V' L-- _ — -- Call 639-4175 by 7 p.m. for an inspection the next business day ell F:ATY OF TIGARD Commercial Building Permit Application Recd By ► �� 13125 SW HALL BLVD. Tenant Improvement Date Recd r_)2c'_ _ TIGARD, OR 97223 Date to P.F. (503) 639-4171 Date to DST l IBJ Permit#A Print or Type Related SWR# Incomplete or illegible applications will riot be accepted Called _ Name of Development/Project Existing Building New Building L-]Job P-_—FF59 L1OF-rT�.S' Address Street Address Suite Building Data Bldg#-- City/State Zip Existing Use of Building or Property- 111,64,A" roperty - — �11 L," GYM- 9'72-1J Names Property i—ki-- / Proposed Use of Building or Property.- Owner roperty:Owner Mailing Address Suite QF�-"lC-E No. Of Stories: City/State Zip Phone Sq. Ft. Of Project: Occupant __--5141610 __ Occupancy ClaSs(es) NameContractor - ^y ��y rSJ,�Et� Type(s)of Construction Prior to permit Mailing Address Suite issuance,a copy t 7 Will this project have a Fire Suppression System? of all licenses J n OC 3�. L�'OSX�Q 1- Yes ❑ No are required If City/Stele Zip Phone expired in C.G.T. 9 c Americans with Disabilities Act(ADA database ,,1 �o0 9. 0!5, 3��/ Valuation X 25% = $-__ Participation Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessi ility Form fig, 4 y Project _ $ Nil _—_ - NaValuation Architect 57FA' 47 5T9/4-os Plans Required: See Matrix for number of sets to submit Mailing Address suite on back rjo S) (�" Nrtr.., - City/State /rP Phone I hereby acknowledge that I have read this application,that the information (J-)tt 671.-75) 7 given is correct,that I am the owner or authorized agent of the owner, and Engineer Name --- that plans submMed are in compliance with Oregon State Laws Signature of Owner/Agent Date Melling Address Suite - *W99 Contact Person Name Phone City/Mate Zip Phone rm~-— ,S7X-" rX 67 Z 7577 �— FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition`K MaRL# L d Ur* Accessory Structure O Foundation Only O Alteration p '' Repair 0 Other O Notes: Description of work: 10ple filla_Od/3 EX� rqC/(,VP.JTIF: -- — Not-: Site Work Permit Application n+ust precede or accompany Building Permit Application I:ICOMNEWTI.DOC (DST) 5/99 I COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a. COMPLETED' application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will he conducted. After plan review approval, Plans Fxaminer will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) : < Total # of l TYPE OF SUBMITTAL_ Pians KEY: Submitted_ S (Private) 1 S = Site Work B (New or Add) —- — 1 - B = Building F (New or Add or Alt) 3� F = Fire Protection System M (New ok- Add o: Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) - -- `B NOTES: *Spaded areas designate~ALT submittals only. I\fists\forms\matrxcom doc 11/10198 SUBJECT: ACCESSIBILITY BARRIER REMOVAL_ IMPROVEMENT PLAN REQUIREMENT- OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. $ �' OSE 25 muttlply: 25% Barrier removal requirement. — BUDGET FOR BARRIER REMOVAL �1$ � In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order. (a) Parking $__3 (b) —_(b) An accessible entrance: $ —a42 � — (c) An accessible route to the altered area. $ (d) At least one accessible restroom for $ -- each sex or a single unisex restroom. (e) Accessible telephones $ (f) Accessible drinking fountains s!nd --- (g) When possible, additional accessible $ /r6 elements such as storage and alarms -- TOTAL: Shal!a ual line 2 of Value .: mputation_ $ i\dsts\foms\access.doc DATE: P`6 t e0. PROJECT TITLE: : CITY OF TI GAR D _ELECTRICAL PERMIT T PERMIT#: ELC2003-00454 DEVELOPMENT SERVICES DATE ISSUED: 7/25/03 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S101AB-01609 SITE ADDRESS: 07505 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT : 020 JURISDICTION: TIG Project Description: JOB NO. 1540 Add 40 amp A/C circuit bullet _ RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'l- 500SF: 201 - 400 amp: SIGN/OUT LANE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 2.01 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: I IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: ^ >=4 RES UNITS: >600 VOLT NOMINAL: L _ Reconnect only: SVC/FDR—22.5 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: TAYLOR,JEFFREY R ELECTRIC TECH INC 7505 SW BEVELAND RD 2352 SE TANAGER CIRCLE TIGARD,OR 97223 HILLSBORO,OR 97123 Phone: Phone: 503-640-4773 Reg #: IIF 34-638t' I'P 49125 _ FEES _ II(' 155210 Description Date Amount — — Required Inspections 1Ii1.1)RM'f] FIS'Permit 'ti nt $53.50 —� � FAX 1 8`.State Tax _' nz $4.08 Elect'l Final Total $57.58 This Permit is issued subject to the regulations contained in the Tiga,i 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 v,ithin 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted hy the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules ar direct questions to OUNC at(503)246.6699 or 1-800-332-2344. Issued By: Permit Signature: �,rL 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 7:00pm for an inspection the next business day CITY OF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00424 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 7/24/03 PARCEL: 2S101 AB-01609 SITE ADDRESS: 07505 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES S 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIP;: MAX INPUT: BTU 15 - 30 IIP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 A!R HANDLING UNITS OTHER UNITS: 1 FURN 100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfrn: Remarks: Install exterior A/U unit,do not place\0111111 'hc sluiced setbacks. Replace furnace including ductwork,'vent liner Owner: FEES TAYLOR, JEFFREY R Description Y Date Amount 7505 SW BEVELAND RD IMIA,IlI 1'rr111ii Fee 7/24/03 $72.50 TIGARD, nR 97223 I fANJ 8"., titate'fa.x 7/24/03 $5.80 Total $78.30 Phone: -- Contractor: SPECIALTY HEATING& COOLING 1601 SE RIVER RD HILLSBORO, OR 97123 _ REQUIRED INSPECTIONS _ Mechanical Insp Phone: 503-WO-3607 Duct Inspection Reg #: LIC 66578 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: Permittee Signature: [v Call (5 3) 639-4175 by 7:00 P.M. for inspections needed the next bu iness day lul 23 03 09: 15a Specialty Heating 50:3 598 0718 p. 1 Mechanical Permit Application natereceived! Permitno.fllk, OD City of Tl and �. Projtxt/appi.no.: EYpirr.date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 _ City o�gard Ti B Date issued: ---Y� : Receipt r o.: Phone: (503) 639.d171 -- By-- Fax: (503) 598-1960 Case filcno.; Payment typo: Land use approval: Blrildingpermicnu.T ® 1&2 family dwelling or accessory 18Commer'cial/indusulal 0 Mulh-family ❑Tenant iniprov,ment Q New construction O Additlon/alteration/replacemenc 0 Other.,10H SITE INUORNI.-A I ION s MT s I 1oh addrose: $T S' 13.e V". a.,k Indicate equipment quao4des In buxes below.Indical a the dollar Bldg.no.: _ Suite no.: value of all merhanicii materials,equipment,labor,cverhead. Tax map/tax lot/accounc no.: profit.value S __ _I • Loa Block: Sulxllviaiva: *Set checklist for important application information lnd Project name: jurisdiction's fee schedule for residential permit fee. Cl /county: j o-,( 23P: 11 z L ' -- a l s Descriptlon and location of work on prey ses: 1 s 1 Fee( rorstl Est.date of completionlins tion: ll)eyt�i ob. Qty. Res.1 taly l+'.es.oal Tanant improvement or change of use: handling Air handlin unit _CFM 18 existing space(tented or conditioned?(]Yes ❑No Au•conditioning(site plan re - Is existing space insulated?0 Yes Q I it Alteration o taxis n vA ,s stem Boiler/compressors -- State boiler permit no.: Business name: S 424 ^1 a k f7 HP Tong BTU/H j Addrc3s:-1 1.,o = t(tiQ.r r�G smo an w�t5wv c ett%tors City: ty IZIP r I L cat um site plan r Ural)J Phone: (p LI b • o Fax: }y E•malL• ns replacec urncr=L- / CCR eo 6S Including ductwork/vent liner 11 Yes O No �._ rn -mip 1 ac ateeaters-suspend ed, City/metro he.no.: wall,or floor mounted Name(please print)- Vent for appliance other than furnace eft*o on: Absorption units _— BTU/H Name- HP Address: CompressorsHP City: State; ZIP: .uon ec exhn _in . oru Appliance vent Pthone Fax: F-mail: Dryerexhaust t oode, vttnIf Wres.Vittehm7liazimat hood fire suppression system Name:"T)- i L -)+Q11,__ !c 4j L _ Exlaust fan with single duct(bath farts) Mailing address: Exbausts stem artom heating ngorAC Cit State: ff Z1P: Fuel mp tmm(up to ou ets L� type: I.PCt Nr, Oil _ Rhone: 10-b I S Fax 1r (nail: Fuer�iP ng each a dicionai over 4 out els - 1'rocn�pt (schernaticMuired) Number of outlets Name: Otber Usted app T.rceorae: Address: _ D000radveCtreplace _ City: State: ZIP: 09voletstove Fax: E.� Applicant's signature: ( Date: -;;i r-0 5 p - Name( rint)t Not di lmtdktioot Aw"t a"t cards,Pltaar toll jorwititu,for mote tarottr—A-0 Penult fee....,% $ vzRas ❑MasterCard Notice:This permit application WnimtslfiTee. .,.....$ Croda rwd rtolubw.L 5 a tt Oc__c j v(S 2fr (JL vc j expirex if a permit is not obtained 4q=ILV4"-(at _ %) S within Igo days after it his been Ststa $ _ Wd accepted as complete. TOTAL.......................$ dawu,rw mart I,l �'� eUC, f-e e) 440 4417 ti(OGMM) Jul 23 03 09s15a Specialty Heating 503 598 0718 p. 2 SITE PLAN PL PL 1S al 2eF�4Ye Pi. STREET Specialty Heating & Cooling, Inc 9528 SW Tigard Street Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 Hillsboro Phone 503.640.3607 Fax 503.681 .079? FROM :ELEC7;'IC TECH FAX NO. :5036407443 Jul. 24 2003 09:32AM P1 i Electrical Permit Application - - _- Dam received: Ptumh no. City of Tigard pmjeet/appl. Expiro date: City of 7Ygard Addrw: 13125 SW Hall Hlv(L i ward,OR 97223 lam iaauedt By: Iteeeipt net.: Phtmv t.iO3)6394171 type: Cue ffie m.; Paytttmc Land use approval: p ❑ 1&2 family dwelling or accessary CpfitmctcmDindustrial ❑Multi-family LlTenant improvt-tncnt O New cO11s411C1iQn ll�'�ddition/altcration/replaccmcut O Other. ❑Partial ab address: Bldg.no,: Suite no.: 1'a2t map/tax lot/account no.: Lot: Block: Subdivision: Projrel name: — pescttiption and locution of work on premises: Estimated date of complction W an' — Job no: Ma � -- - trew*tptioo (s,I- T.t■i no. Business narnc, r -re.C IL— _-- New rse,ielm iol ealtkormulti ypet AddrCSl: dwellmaratit lodadleaatbddudbuag'e- ci Stala Z11: 77 sSwYkvuwl,"-- Plte)lte Fax H-mall: 1000 sa.ft_oc leu 4 LE"alonal 500*9-Roc portion Waroof CCB no.; Eloc,bus.tic.no: f:d" enag,, reiridedial 2 C' metro Uc.no.: _ os [ � m>�amir A borne or modular dweiling hits of rUpefr'leins CIOG1YiGlan (mmirod) to ia arrd�M I'w�1rr S clod,acme(print): g r Liamto ncr. SlcrvtraeorlAvdrrr •is4lbt'rw, dlssalioaeK rclocdoa: :1 x It SWUM 2M Sep rx less 2 —- Name 2 t): �' 201 amps to 400 amps - - 2 401 am 00 tni to 6pK�_ Mailing address: W, Per _ 601 s w.10(40 amps - 2 City: State ZIP: (Mr loco ams or wltx 2 Phone: " e9 Fax: Email: tMon„ea only t Owner installation: T to installation is being made oto property I own Taepnrarytln.teerrorreeders- which is not Intended for sale,rcase,rent,or exchange wcording to I'"t"tl.1tr'wya'°rrdoottom 1M amp5 cc a loss 2 OR9 447,453,479,670,701, 101 4W amps 2 Clrvtter's s nature: Date: ant too00 2 tttra■rlr eireaYs-■ew,alteiar irrs+, or exteado■rm pwet- Na inc: _ A. Fec far bnoeb chwirx with leattw4e of service ar fcoda fee,esti brmcb circuit 2 - Clt - ---- 15t3tc. ZlY_--- R. r"far tnwdr ciuriht�Y patty e —1 --- of savioc or fbe4a fee fust hralDcb circuit: Phony i.re k.-mail. Each additional brracb cbr,;t: _ Mite.(9ecelsees feederaot l winded)t ❑Servioe over 225 anfpr..uTnnerrjal U ticahh-CAM bezuty Eadr Lmar kr1 _Circle 2 fireu U Service over32t,amps-ming of 182 U t111,294us locatne Each sign of owtine lighting _ 2 timilr d"eillogs ❑Buildb^ovt7 lfl,tltl0-4#wAe leer four or Siaael cicrde(m)ter a IiorMed mere paod, G Symm over bolt ,otos namitut motr it idmtial roix in ane Vrw-.ftu to extelrliono —_ -..._ 2_ O RuiMing ave dwre Norics ❑Feeders,400 amps or axxe •Dmuription: O Occup rnt sod over 99 reams U MarrAHreuwed aruduros or RV ptuk Emb tddhic al ii,pecliey ever the.allowable Is say of&eabarr. Cl lipettdligmirt® plan U fnlwr I'eR innoebeo 1 L- - sabodl_ sett'of plms with my of lore above. lavesligaliou the ---_- nte ttMore era act rppamble to twyoran_coy abuctim service. Utley Nor all heri►dfedgttCarcepr credo card+.p"m an Idewieeion far more information. Ntrtla:: 'tltln permit sppGcstinn Permit fee..................... S -- - O VINE +(MasterCard e �! at. bvs if a ponnit Is not obtained Plan twit%(at_ %) S Crodl and number _ .63w within I No days after it has luxe State surcharge(84A).....$_ Ad� L _ -- l,xp roe act.eyted as coelplew. TOTAL.........................3 CN me of can oTrjirr tl t cud �7� t'a ldei fip?rellUe Amount M0-0615(6X61COM) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5031639-4175 MST INSPECTION DIVISION Business Line: (505)639-4171 BUP Received :Date Requested ` ` �A�dl PM _ _. BUP i Location Suite MEC _ ContLOt Person _- Ph(----) SWR - BUILDING Tenant/Owner EL .3 � Footing ELC _-- Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection dotes: ` SIT Post&Beam _..__ -- - - V� VL Shear Anchors 116qw) .QACder trc� L,c,>ry jCK�G� Ext Sheath/Shear ----------- --- Int Sheath/Shear , L Framing ^ �' ' --- ---- ---- --- -- - - Insulation Drywall Nailing --- -------- - ----- ----- -- ----- - -- Firewall Fire Sprinkler - ----- -- ` ------- -....�--------- --_._.,---.__- Fire Alarm Susp'd Ceiling - ----- - -- ------ __ - - ---- -- --- ...--------- Roof Other: - - - - _ -_-_ -------------J. -- Final PASS PART FAIL PLUMBING_ Post&Beam Under Slab - - --- --— -- - --- Rough-In Water Service -- - - - --- ----- ---- Sanitary Sewer Rain Drains -- --- -- -- ------ Catch Basin/Manhole Storm Drain Shower PAn Other: Final PASS PART _FAIL Post& Beam Rough-In - - - Gas Line Smoke Dampers - -- Final Fv4SS - T _FAIL --- -- - --- -- -ELECTRICAL UG/STab Low Voltage Fire Alarm rn F Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL - am �— LlPlease call for reinspection RE:---____-- Unable to inspect-no access Fire Supply Line j Approach/Sidewalk AD A Date/ _ � - Inspector _17-Ext- Other:_- Final DO NOT REMOVE this Inspection record from the job'site. PASS PART FAIL I� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 M5 f _. BUP Received Date Re nested AM PM__—T BUP Location __�S�s _ c°^� ��_.LSO Suite___ Contact Person _--- _ Ph (_ ) _& (Z 309_7 PLM —_— Contractor-----_------_-___.___-- --_-- Ph (_ ) —__-__ SWR _ BUILDING Tenant/Owner _--_ __ ELC — Footing ELC Foundation ------___.A_.-- Access: Ftg Drain ��' ��(�_ ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam -------- --------- - Shear Anchors - - - -- Ext Sheath/Shear Int /Shear Framingming PCA6!6ma ., / � --- Insulation /4&L_ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Suspd Ceiling ------- -- - Roof Other:_ ,----- - — —-- Final — PASS PART FAIL ---�-- ---- — PLUMBING Post 8 Beam -- --- — .__---__—_-- Under Slab Rough-In Water Service ----- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ---------- ------- -- Shower Pan Other:_ --- — --- ---- ------- Final -4A9j FAIL r_ _�_ ----- M CHAN—IC __ - ---------- --- Post& Beam Rough-In Gas Line ApQKDampers -_ PART FAIL - -- -- RICAL Service Rou4, -In UG/Slab - Low Voltage Fire Alarm - Final Reinspection fee of$ PASS FART FAIL p required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: Uj able to inspect-no access Fire Supply Line ADA 1 Approach/Sidewalk Date /�� _- Inspector Ext Other: Final DO NOT REMOVE this lospection record from the Job site. PASS PART FAIL r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- - BLIP Date Requested 0 AM _PM BLD Location —7L S t &).dSuite MEC Contact Person 4'k-_--- e&224 __ Ph `7 �`J" J PLM Contractor Ph _ SWR �} BUILDING Tenant/Owner ELC Retaining Wall —� ELR Footing Access FoundationFPS _ Fig Drain Crawl Drain Inspection Notes: SGN Slab _ _.._ — SIT Post& Beam --- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing _- _- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling __— Roof Misc: -z C Tinel PASS PART FAIL �- ------ PLUMBING Post& Beam Under Slab Top Out Water ServicezZ Sanitary Sewer —---- Rain Drains Final _ _ -- ------PASS PART FAIL MECHANICAL — Post& Beam - -- -- Rough In Gas Line -- - —__ Smoke Dampers Final _ -- PASS PART FAIL ELECTRICAL - - - - - - - -- - Service Rough Irr - -------- ----._._..____-_--- -- UG/Slab Low Voltage W— Fire Alarm _ Wit PART FAIL Backfill/Grading '-- --------_ Sanitary Sewer Storm Drain [ J Reinspection fee of$ __required before next inspection Pay at City Hall, 13125 PV.1 Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE: —_ _ [ ] Unable to inspect-no access ADA Approach/Sidewalk Date U Other Inspector___�_ amu ' Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. FIEF MEMO TO: Darrel "Hap" Watkins (sent via FAX:503/624-3681 )40taS &eai CC: Lori Queen (via FAX: 503/620-0913) FROM: Bob Pankratz, PE DATE: October 22, 1999 RE: Triangle Profess._ial 01'ices 7505 SW Beveland Rd "Water Quality Facility As-Built Certification" I have inspected the referenced pond and it substantially conforms to the design intent. Over time, as the vegetative plantings (i.e. Columbia Sedge grass) grow along the basin sides and bottom, co-mingling %x ith the round rock along the bottom of the pond, water treatment by the "extended detention pond" should reach design intent. r 1 _��eEor��FFss. _.orr ,o PON_rnc eNGMENRING COMMATON 1505 Seattle Slew a SF . Salem.OR 97301 Tel:(5031391-234? Fac:(503(391-2687 CITYOF TIGA►RD MECHANICAL PERMIT 045 DEVELOPMENT SERVICES PERMIT#: M /28/19 9 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/28/ PARCEL: 2.S 101 AB- AB-01609 SITE ADDRESS: 07505 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: 0 EVAP COOLERS: 0 TYPE OF USE: COM UNIT HEATERS: 0 VENT FANS: 2 OCCUPANCY GRP: B VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES: 2 BOILERS/COMPRESSORS HOODS: 0 FUEL TYPES 0 3 HP: 0� DOMES. INCIN: 0 3 15 HP: 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 - 30 HP: 0 REPAIR UNITS: 0 FIRE DAMPERS?: 30 - 50 HP: 0 WOODSTOVES: 0 GAS PRESSURE: 50 + HP: 0 CLO DRYERS: 0 FURN < 100K BTU: 0 AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS: 0 > 10000 cfm: 0 Remarks: Mechanical for conversion of a single family residence to Commercial Office. Owner: _ FEES LORI QUEEN Type By Date Amount Receipt_ 7505 SW BEVELAND PRMT DST '10/28/19 $25.00 99-318395 TIGARD, OR 97223 PLCK DST 10/28/195 $6.25 99-318395 5PCT DST 10/28/195 $1.2.5 99-318395 Phone: Total $32.50 Contractor: REQUIRED INSPECTIONS__,_ Mechanical Insp Phone: Duct Inspection Reg #. Final Inspection P,RM71NAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Cre. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon 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 by calling.{ 03)246-9189. y I Issue By: � /� t -- Permittee Signature: -- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Plan Check `� �7 CITY OF TIGARD Mechanical Permit Application Reid By ��- 13125 SW HALL BLVD. Commercial and Residential Date Recd— TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit#elf V5- _ Incomplete or illegible applications will not be accepted Called Name of Development/Project Description (J C A L cf{ZC_E'r Table 1A Mechanical Code at Price Amt Job Street Address Suite# - A) Permit Fee 10.00 Address j y��/�1. ) r^ 1) Furnace to 0 BTU including ductscts&8 vents 6.00 Bldg# CRY/State Zip 2) Furnace 100,000 BTU+ ,W0 e71YZ?, including ducts&vents _ 750 Name((or name of businesO L O�+ / 3) Floor Furnace j t Owner &_- 7T,A ` including vent _ _ 6.00 Meiling Address }'" 0fik� 4) Suspended heater,wall heater or floor mounted heater 6.00 5) Vent not included in appliance permit City/State Zip Phone _ 3.00 �1�� 7Z2_ CHECK ALL 'Boiler Heat Air Name(or name of business) THAT APPLY or Pump Cond Qty Price Amt 7Z 4AW&L-- Com _ ti) �3HP;absorb unit to Occupant Mailing Address 100K BTU 6.00 1 t L O S cJ lyvod 7--4 K E 7)3-15 HP;absorb unit City/State Zip Phone — 100k to 500k BTU 11.00 �� "pn _ •�2�'� �U�S 8) 15-30 HP;absorb unit.5-1 mil BTU 15.00 Contractor am° fI F r�i�C_W 9)30-50 HP absorb unit 1-1.75 mil BTU _ 22.50 Prior t0 permit Mailing Addn+ss 10)>50HP;absorb unit issuance,a copy �__ >1 75 mil BTU 37.50 of all licenses CRY/State Zip Phone 11)Air handling unit to 10,000 CFM are required if — 4_50 expired in COT Oregon Const.Gont.Board Llc# Exp Dete - i2)Air handling unit 10.000 CFM+ database 7.50 Architect Name '-I 13)Non-portable evaporate cooler 7JPitl10,X . Q� J� — — . 4 50 or Meiling Address 1 14)Vent fan connected to a single duct / _ 3.00 � 6� S� Ll I�rl �r 15)Ventilation system not Included In Engineer CRY/Stale Zip Phone appliance permit 4.50 ��(� 6�� /� ( 16)Hood served by mechanical exhaust Describe work to be done: - 4.30 17)Domestic Incinerators New O Repair.O Replace wi!h like kind Ye!/,<No O _ __ 7.50 ReskJential O Commercial, 18)Commercial or industrial type incinerator 30.00 Additional information or description of work: Y 19)Repair units 450 20)Wood stove -- -- !�, 1r� 4.50 21)Clothes dryer,etc. _ 4.50 _ Type of fuel oil O natural gas LPG O electric O r22)Other units Y 4.50 'hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of _ 2.00 the owner,that Flans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) 0 5 _ Signature of Owner/Agent Date v�— Mlnlmum Permit Fee$25.00 SUBTOTAL / / xGf ��I ✓i?'`�/ i15`�1� �� ,�� -- -- ----- 5%SURCHARG_E ' Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits or,l S77 •0/91r l 7� 77l 7 TOTAL 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit Ianechperm doc rev 07/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested 1G6>' __AM _PM BLD location `7 5 �' ,� Suite MEI; _ Contact Person __ Ph PLM _ Contractor _ Ph _ SWR BUILDING Tenant/Owner — ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: - Slab ---- ----------- --- — ---- SIT _--- ---- Post& Beam Ext Sheath/Shear — Int Sheath/Shear Framing -- - ---------- -_ - --- -- - Insulation Drywall Nailing --- - -- --.--- _---_ Firewall Fire Sprinkler - -- -- - - - - --- -- --�._. Fire Alarm Susp'd Ceiling --- Roof Final - ---+ PASS PART FAIL - --� - -_ PLUMBING Post&Beam — - — Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL -- MECHANICAL _ Post&Beam - - -- - Rough In -- Gas Line Smoke Dampers _ Final PASS PART FAIL ELECTRICAL -- Service -- Hough In UG/Slab - - Low Voltage Fire Alarm — S - PART FAIL MY- Backfill/Grading --- Sanitary Sewer Storm Drain [ J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE: - ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date inGpector Q41- Other F '` Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BLIP _ _1 J V D 2� Date Requested (0�� A�. PM BLD Location--? Suite —_ MEC Contact Person Ph 7P- OS9(, PLM (�� -06�J� Contractor Ph SWR BUILDING Tenant/OwnerELC _ Retaining Wall _ ELR _ Footing Access: — Foundation FPS _ Ftg Drain SGN Crawl Drain nspectio Note Slab SIT Post&Beam --— Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall -�. -------------- __._____ Fire Sprinkler Fire Alarm — Susp'd Ceiling ---- ----- - - - Roof Misc, -- -- ---- -- ---- Final PASS PART FAIL - - --<ALUM9ING'--)) Post& Beam -- -- ---- - - - _— Under Slab Top Out --------- - Water Service Sanitary Sewer Rain Drains_ _ (2C PART FAIL CHANICAL Post& Beam ---- ---- — Rough In Gas Line ------ '----� Smoke Dampers Final - —- -- PASS PART FAIL ELECTRICAL -- — _ Service _ Rough In UG/Slab — Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE. [ [Unable to inspect no access ADA Approach/Sidewalk Other Date Inspector. Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 08/18/1999 13:49 KERR CONTRACTORS, INC. 4 6847297 NO.880 P02 ORVALL T. CAPE JOB INVOICE BYER'S SEPTIC TANK SERVICE P.O. BOX 549 / OREGCN CITY, OREGON 97045 (503) 656.3326 654.9785 I, 7_2_99 655-6412 � ,. ,e•,�r :4e,.r;'*�_ _ =race 7423 - oti: 94. . err Contractors 16 5514 I40DpPS5 19350 SK 89th. Avenue � CIN , _ Tualatin 97062 _ - 97062 .CO NANR-AMC LOCATION _ Tri Angle Properties / SK Hevelaa b Ae o MCI•Ir^ICN OP wOP Mrd :Jennifer or Sherrie = �^'• Qwm4T. :Ea CPIP'CM CF'WEPIAi.USED J '—ICE 1 A&&CVNT I --- - --1 -P--D a4aaa—_ - — INrn ,+oYM -AeCP n^� WCUNT TOTAL MECHANICS D MATRIALS wELPEN5 -- TOTAL LANOR .4'201acomawoNe'No arsew-0 -r,-IL .1 ACP 13I M."011101 m tat ac"s d4lvt"Mem. 910N-AT L a6 10/2t/1999 11:21 5033912687 P1014EER ENGINEERING PAGE 132 r• s V r { MSM 1► 1�s hub Ppnk cart.• �F;' Il�l►fili', e;)otv*r 22.IWO �. 1. ILS,,,: t.rra►�Ia PeulipR "l.Vi I ;, . �t,�1�.�t It��ap • NeiMt�x hmhy nnn� ! .r�glwt►uc htrinw., that the:K:4�elL lank u< the ra�cramcu ,rite"4"4 4434U0 poilular Thiit wim dank niter they tuA, ttr puttnped dew. < ow%loRet'.K+ int a vrh lV4114 Otl r1k itt 111 li id-4 Eft uWomnj , 1tt��4ttti to +, I)ut: to/;w f '. f hs* �h`fnr itaprta�.t►tut�vc•t � Karr f`mtnecwn I"twd�ttin•4R t�t4t+►e�arm 10/25/1999 15:06 5033912687 PIONEER ENGINEER INS PAGE 01 w � MEMO M. Darrel"Hap„ Watlr;ins (sent via FA.X:�031624-3681)bks Ae C(:': Lori (ween (via FAX: 50IM20-119t3) r,ROW -13ob Pankram PE DATE. tntcrk►cr 22, 1999 RE: Triangle Prollessionai Offices \� 77()5 SW Bevel"Rd �"Water QuaUtyFoe ity As-Built Certification" _-- 1 Move inspactutl the refuencod pund and it substantmily confornns to the desipp jown►, Over time, tty the vegetative L+Litttings{t.r. Columbia Sedge wrens grow along the basin sides And Ntt.mm, armingling with the round rock along the bottom of the wood.water treatmcnt by tl7c -cx-tended detention,pond" should reach design intent, PR 1 h'r P0 l )A5 i .V rIv�14 ctsr�roatt+>wtaw I%I Ma"fto D W . qdw�ate 97301 T40 (%1)291 23AV Fmr.(IM)391.2687 j CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 /Q BUP Date Requested" /1) + [ Ar,A PM BLD Location 7�� t,cJ (� Suite MEC Contact Person .��k 1 61 e &�7/ C� Ph x,31` 61*y'-3 PLM Contractor Ph SWR Tenant/Owner ELC Mne-Wi-ng Wall ELR Footing Access: Foundation FPS _ Ftg Cr=iin SGN Crawl Drain Inspection Notes: Slab — �� SIT Post&Beam Ext Sheath/Shear 13Q24-14- N eW `l ro,( 01 OStJ Int Sheath/Shear Framing —� — Insulation — Drywall Nailing Firewall r ^' Fire Sprinkler �vC' 4uo/ 6"46 Fire Alarm / _�r Susp'd Ceiling �U — Roof Misc: — Final PASS PART FAIL — PLUM11IN13 Post& Beam — -- u- --' Under Slab Top Out - — ----- -- — Water Service Sanitary Sewer Rail Drains Final -- - ------ — _ PASS PART FAIL MECHANICAL Post& Beam - Rough In Gas Line _ Smoke Dampers Final --------- — -- --- - PASS PART FAIL ELECTRICAL --- -- Service Rough In --- --- UG/Slab _ _— Low Voltage 74 Fire Alarm Final — PART FAIL_iWa _ -- E fill/Grad,, — --- _ --- Sanitary Sewer Storm Drain [ j Reinspection fee of$ regrniiJd before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE' [ j Unable to inspect-no access- ADA Approach/Sidewalk Other Date '? /A! — Inspector j Ext -- I -42ART FAIL 00 NOT REMOVE this inspection record from the job site. MEMORANDUM CITY OF TIGARD, OREGON TO: Doug Dransfield ,Ion Howe FAX - 279-3398 FROM: Robert Poskin, C.B.O. Senior Plans Examiner Community Development--- Building Division DATE: April 16, 1999 SUBJECT: Linu.,Nishi-Strattner, PH.D—Permits#SIT 99-0003, BUP # 99-00033, MEC#99- 00045 - 7505 SW Beveland—Tigard,Oregon o To Whom It M,,►y Concern: This will serve to advise all parties concerned that fhe subject permits were approved on April 15, 1999, and will be ready for final issuance on or about April 23, 1999. If you have further questions regarding the contents herein, please feel free to call me at 639-4171 X 392. R-4, 1�M Ro crt D. Poskin, C.B.O. Senior Plans Examiner CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00452 13125 SW Hail Blvd.,Tigard, OR 97223 71 DATE ISSUED: 10/21/1999 typ3r6INAL PARCEL: ?_S101AB-01609 SITE ADDRESS: 07505 SW BEVELAND RD ZONING: MUE SUBDIVISION: HERMOSO PARK BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: �EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES i 0 - 3 HP:^ DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODS":)VES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: G > 10000 cfm: AS OUTLETS: Remarks: Additional ventine. Owner: — ---`—Y--- FEES .- JEFF TAYLOR Type By Date Amount Receipt 7505 SW BE\iF I AND — '- 5PCT DST 10/21/19 $4.00 99-319261 TIGARD, OR 9/223 PRMT DST 10/21/19f $50.00 99-319261 Phone: _ Total $54.00 i Contractor: CLAWSON HEATING + AIRCONDITIONING 4350 SE 4TH ST _ REQUIRED INSPECTIONS _ GRESHAM, OR 97080 Mechanical Insp Phone:618-9646 Final Inspection Reg #•LIC 110307 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952- 1-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by callir�g (503)246-9189. Issue Sy: Permittee Signature: 3� Call(503) 639-4175 by 7.00 P.M. for inspections needed the next bulsiness'day 0 CITY OF TIGARD Mechanical Permit Application Recd` `k# , — .13120 SW HE1 LL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. _— (503) 639-4171, X304 Date to DST Print or Type Permit#��,_o, Incomplete or illegible applications will not be accepted Called -- Name of Development/project Description Table 1A Mechanical Code City Price Amt A) Permit Fee Job r,") �',; 16.00 Street Address I , Suile# 7s��s Address Sts v�(grr 1) Furnace to 100,000 BTU ✓ including ducts R vents see footnote 1,2 9.65 elder City/State zip _ 2) Furnace 100,000 BTU+ zq: kr� q . 1 including ducts&vents see footnote 1,2 — 12.00 Name(of Dome of husin s) 3) Floor Furnace C' � � � `Q including _ see footnote 1,2 965 Owner : Mailing Address v 4) Suspended heater,wall healer _. r r ) or floor mounted heater see footnote 1,2 9.65 7 , r' �S' �� -5) Vent not included in appliance ermit _ _ 475 Cdyfstate zip Phone Check a!I that apply 'Boiler Heal Air If f ,- i ,�J. . For Items 6-10,see or Pump Cond Qty Price Amt Name for name of business) footnotes 1,2 Comp 6)<3HP;absorb unit to 100K BTU _ _ _ 965 Occupant Mailing Address 7)3-15 HP;absorb unit /)1--m 100k to 500k BTU 1765 City/State zip Phone 8) 15-30 HP,absorb unit.5-1 mil BTU _ 24 15 9)30-50 HP,absorb tiontractOr Name �.fat., } unit 1-1.75 mil BTU 36.00 W ' I G`., S U^ �r`" r'' � 41 r 10)>50HP' absorb unit Prior to permit fillailing Address /h / >1 75 mil BTU W 60.15 issuance,a cop, .� (1 ' /I f 11 Air handling unit to 10,000 CFM of all licenses Ilylstatq zip pone 7.00 are required if _� )„ -0V . I y 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont Board Lic a Elp Dote 11.85 database //'- . w (^C 13)Non-portable evaporate cooler Architect Nance 700 14)Vent fan connected to a single duct — or Mailing Address 4.75 — 15)Ventilation system not included in appliance permit 7.00 Engineer Cnyrstate zip Phone 16)Hood served by mechanical exhaust _ 7.00 _ Describe work to be done 17)Domestic incinerators 1200. New U Repair O Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator Residential Commercial 48.25 19)Repair units r Additional information or description of work' _ ��r. ' - IT _- 8 40 20)Wood stove/gas Mother units/clothe dryer/etc. NOTE: For Commercial projects only;Units over 400 lbs. equire 21)Gas piping one to four outlets 1 375 structural as talcs _ See footnote — -- Type of fuel oil O natural ga,)R-- LPG O electric O 22)More than 4-per outlet(each)— .75 Minimum 7 00 threPermit Fee$50.00 SUBTOTAL 1 hereby acknowledge at I have ad this application,that the information _ 8%SURCHARGE71; given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTFtLthe owner,that plans submitted are in compliance with Oregon State laws —._Required for ALL commercial permits only TOTAL Signature of O nfrl nt Date - — — - -- ---- --- / � Other Inspections and Fees: r ,L. L " — 1. Inspections outside of normal business hours(mininurn charge-two Contact P on Name Phone hours) $50.00 per hour 2. Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $50.00 per hour ?. Additional plan review required by changes,additions or revisions to Foonotes for commercial projects only: plans(minimum chati cr•.c :,dlf hour)$5200 per hour t. Provide full schematic of existing and proposed gas line and pressure 2 Provide drawings to scale showing existing and proposed mechanical 'State Contractr,r Boiler Certification required units --- "Residential AJC requires site plan showing placement of unit 1:11irttechperm.doe rev 7119/99�/r ,t c�t r - ,fes Gt c� i SEWER CONNECTION PERMIT CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: SWR1999-00226 DATE ISSUED: 10/19/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 25101 AD-01 GOJ SITE ADDRESS; 07505 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 020 JURISDICTION: TIG TENANT NAME: TRIANGLE PROFESSIONAL OFFICES USA NO: FIXTURE UNITS: 27 CLASS OF WORK: ALT DWELLING UNITS: 2 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for office conversion. Existing septic system to be drained, filled, capped or removed. _ Owner: �— FEES _ LORIOUEEN Type By Date Amount Receipt 7505 SW BEVEL-AND — TIGARD, OR. 97223 PRMT GEG 10/19/199E $4,600.00 99.319193 iNSP GEO 10/19/199E $45.00 99-319193 Phone: Total $4,645.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection Septic Tank Filled I�. A L This Applicant agrees to 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 permit 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 riot so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in CAR 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: Permittee Permittee Signature: Call (503) 619-4175 by 7:00 P.M. for an inspection needed the next business day _ Accumulative Sewer Tally "enant Name�' / �Ff_ 51hdAc- 5"FICEs This SWR#frr�r'ct'r�o��G �dd�ess so?- 3w 6JAe_e_A"C> This PLM#:�-o03 C16 -fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added tts total Count oft#s count value values 3aptistry/Font 4 3ath - Tub/Shower 4 -JacuzziNVhiripool 4 — �ar Wash-Each Stall 6 �! Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ _ - Dome;tic 2 Drinking Fountain 1 _v Eye Wash 1 Floor Drain/sink -2 inch 2 3 inch5 _ 4 inch _ 6 Car Wash Dini 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 Durno Station 16 Shower-Gang (Per Head) _ 1 _ Stall 2 Sink_-Bar/Lavatory 2 JBradley_ 5 _-Commercial 3 w Service 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 Water Closet-Toilet 6 Urrnal .� 6 TOTALS Total fixture values _ divided by 16 = EDU = �� i HISTORY A)he __ ___ PL,,1# EDU# _ _SWR# _ PLM# _ EDU#_____SWR# PLM# EDU# PLM# EDU# SWR# ` �^ _PLM# _EDU# � SWR# PLM# -- _-- EDU#---�------- SWR# PLM# -- ___._---- EDU# SWR# ---�� ---- i Wstmswrtaly.doc CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00340 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/19/1999 SITE ADDRESS: 07505 SW BEVELAND RD PARCEL: 2S101AB-01609 SUBDIVISION: HERMOSO PARK ZONING: MUE -----BLOCK:-- LOT: 020 _ JURISDICTION: TIG CLASS OF WORK: AL-1 GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES — LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Add sewer line. SWR1999-00226. Existing septic system must be drained, filled, capped or removed. Owner: _ FEES_ _ LORI QUEEN Type By _ Date Amount Receipt 7505 SW BEVE LAND PRMT GEO 10/19/199 �5000 99-319192 TIGARD, OR 97223 5PCT GEO 10/19/199 $4.00 99-319192 Total _~ $54.00 �I Phone 1: Contractor: OWNER REQUIRED INSPECTIONS Phone 1: Sewer Inspection Reg #: Final Inspection C( . Inn 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies'Qfthese rules or direct questions to OUNC by calling (503) 246-1987 Issued By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By Date Recd TIGA-RD, OR 97223 Date to P (503) 639-4171 Date to T Print or Type Permit t Incomplete or illegible applications will not be accepted Related SWR#19f9-6°079;Z4 Called AMT ^— - Name of Development/Project FIXTURES (individual) QTY PRICE 1 11.50 1 Job •__ Sink -- 11.50 Address Street Addrdo Suite Lavatory _ _— Tub or TubfShower Comb. 11,50 Bldg# gMState ZipShower Only 11.50 ( j Z_ -- Water CloseWrinal (Specify) 11 50 Name l r l�f'�'c1 Dishwasher _— 1,.50 y Mailing Address Suite Urinal 11.50 Owner 7 -vc• Garbage Disposal 1150 Cqy/State Zip Phone laundry Tray 11.50 ,�I U 1z2� -(r843 Washing Machine/Laundry Tray (Specify) 11.50 Name -- Floor Drain/Floor Sink 2'• 11.50 - Occupant Mailing Address Suite3" 11.50 ]; )� 5LJ('�c�«�a,Y•� 1(1`{ 4.. 11.50 City/State Zip Phone _ ?1,50 ` ` r j ��/-6' 1 Water Heater O conversion O like kind _ Gas piping requires a separate mechanical permit. Nam MFG Home New Water Service 32.00 y , =� - Mailing Address Suite MFG Home New Sari/Storm Sewer 32 00 Contractor Hose Bibs _ 11 50 Prior to permit City/State Zip Phone Roof Drains 11.50 issuance,a copy _ Drinking Fountain 11.50 of all licenses are Oregon Const.Cont Board Lic.# Exp.Date Other Fixtures(Specify) 1500 required if expired in COT Plumbing Lic.0 Exp.Dale database Name _ Architect _ Sewer-1st 100' 38011 ��+ or Mailing Address Suite Sewer-each additional 100' 32 00 Water Service 1st 100' 38.00 Engineer City/State Zip Phone Water Service-each additional 200 32.00 — Describe work to be done Storm i4 Rain Drain-1st 100' 38 00 New ft Repair O Replace with like kind: Yes O No O Storm 8 Rain Drain-each additional 100 _ 32.00 Resid ntial O Commercial O _ A it Commercial Back Flow Prevention Device 3200. Additional description of work: Residential Backflow Prevention Device' 19 00 K Q.uOt (L (ry 1STIrJ(f 61LI,y(IC Cut_ _ _ Catch Basin Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00 Yes O No 0 Inspections perthr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INC_REASEL SEWER FEES. — QUANTITY TOTAL -The acknowledge that I have read this application,that the information Isometric or riser diagram is required d Quantity Total is >9 — given is correct that I am the owner or authorized agent of the owner,and "SUBTOTAL t��1 that plans submitted are in compliance with Oregon State Laws. — Signa re of OwAor/Agent Date — 8%,SURCHARGE J Contact Person Name Phone --- ,,� (, W3 "'PLAN REVIEW 25% OF SUBTOTAL � �'r'i t Re uired onty 0 fixture qty total is 1 BATH HOUSE$178.00 TOTAL 2 BATH FIOUSE$260.00 3 BATH HOUSE$285.00 (i Ills foe Includes all plumbing fixtures In the dwelling and the first •Mlnlnum permit fee Is s5o*a%surcharge.except Residential Backflow Prevention 100 foot of sanitary sower storm sower and avatar service) Devi"AllcNow Commercial Buildingsyequire plans with Isometric or riser diagram and plan review I xdsblrormslplumapp doc 10/8199 PLEASE COMPLETE: - Fixture Type _ Quantity by Work Performed New Moved t Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination _ Shower Only _ Water Closet Dishwasher Urinal Garbage Disposal Laundry_Room Tray Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: i j I I\dSts%fa"Mplumapp dot 10/8199 - - CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP99-00033 9 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:PARCEL: 2 2S 101 AB-S101AB- 01609 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 07505 SW BEVELAND RD FILE n SUBDIVISION: FiERMOSO PARK BLOCK: LOT:020 O "' I" CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 22 TENANT NAME. REMARKS: Convert existing single family residence to Commercial Office. Final Building Inspection iind Certificate of Occupancy Approved 10/29/99 by George Steele, Building Inspector Owner: JEFF TAYLOR 7505 SW BEJELAND TIGARD, OR 9722.3 Phone: Contractor:i_ DAKOTA CONSTRUCTION 15000 SE CROSSCREEK CT BORING, OR 97009-8295 Phone: Reg #: LIC 49904 ('his Certificate grants occupancy of the above referenced building or portion thereof and confirms tilat the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDING INSPtCTOR BUIL-DA-G OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION , " MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested_ AM PM BLD _ Location SGS � C, - Suite _ MEC �c' ULl Contact Person -�— � C��t Ph ��'U59 � i pbr �� - .qL Contractor Ph 'S - '�� S—WR B(7-DING' Tenant/Owner ELC —_— Retaining Wall ELR _ Footing Access: Foundation , FPS Ftg Drain S ?; , ., �_./ f';•»�I Crawl Drain Inspec •on NSIGN Slab riLtASL C SIT Post& Beam -- Ext Sheath/Shear /wl►� ��b Int Sheath/Shear - -� Framing — -- - --- --,__-_ ---- Insulation i Drywall Nailing 4ei14- - --s Firewall , Fire Sprinkler -- - ✓' _.��e '�__1�.L✓`� �a""� Fire Alarm „ Susp'd Ceiling Roof b Misc: In AS / ART FAIL PIMBING Pc-,t R Bearn -�- — Under Slab Top Out - Water Service Sanitary Sewer - Rain Drains Final ----------------_— __,_ �_. -- - PASS PART FAIL --- -- t _._ _ ___----- ---- ------ --_-- MECHAWAL Post& Beam - - -- _ -- - --------- Rough In Gas Line --- — - ----- --- ---��_-__- Smoke Dampers Final __- PASS PART FAIL ELECTRICAL -- SWrvlce Rough In - UG/Slab - -- -- - -- Low Voltage Fire Alarm Final PASS PART FAIL ------ SITE Backfill/Grading - - --- - ---------- ------- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection.RE: [ j Unable to inspect-no access ADA Approach/Sidewalk Other Date /C? _ Inspector _-- Ext Final PASS PART FAIL J 00 NOT REMOVE this inspection record from the jab site. 02!n3i99 WED 10:47 FAX 5036934490 WASH CO HHS 0002 WASHINGTON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH AND SANITATION " 155 N. First Avenue � + s ' K Hillsboro, Oregon 97124 (50:1) 648-8722 CR. #: 3 _ Tax Map H: — — 4 Road Narne: � n _ PERMIT L� New Construction Repair ( Major, Minor ) Alteration An On-Site Sewage Disposal Permit is issued tofor a period of one year from the date issued. (This Permit is NOT transferable) All septic systems must be installed as indicated on the approved plot plan. If any changes are anticipated, a revised plot plan must be submitted to the Washington County Department of Health and Human Services for approval. The plot plan is pari of the permit. Before a drainfield can be backfilled, a pre-cover inspection must be made. The inspection will be made within 7 work i.nu days after it is requested. Date Issued: — Environmental Health Specialist 02/,03/99 WED 10:48 FAX 5036934490 WASH CO HHS f1003 O,' -Site Sewage Treatment System Layout S51 6evetq��to 9 ( Using Dosing Septic Tank to Seepage Trenches) 10' Set Back proposed Drainfield 1 d I 1q, (4 lines, 1251inear feet) Storage Shed `s ,*--50%Slope Hyde R'3 ZSR 94'11" 6— 400/,e Slope , splicer % ® Test \ Existing p . 9N S. �� pit y.. \v' Patio 9R'f" Proposed kIC 35 Reserve Tj 1500 gal. 0r 61wr TOM=4'1 •R 351, Drainfield Dosing Septic ,100, 9N 4„ Existing Talik Existing House Septic Tank (48'x24') 45' Initial Ift,pT+�o be abandoned) fo tx tr.ay. Drainrield � �v a•t--{i`rI - New Storm Line CA a� o RECEIVED Proposed Parking Area Existing kr D-Box SEP 10 1998 lept.of H6811116 Hurnan Services t % Driveway Environmental Health New Curb Notes: Daily Flow: 6x 15 gallons=90 g/d (minimum=150 g/d) Soil Type: Silt Loam 12x'/150 g/d (ee4rc i0r) Sizing: OAR 340-71-280 Calculations: (4x/ts)/(3+2x2')=9 I' of seepage trench required + reserve ( ) Sewage Treatment System Layout for: Dr. Wm. Robert Cavasher Mailing Address: P.O. Box 1201 Tigard, OR 97035-0514 Property Address: 7505 SW Beveland Ct. Tigard, OR Designed by: Robert F. Sweeney MS, RS40206202513 4108 NE 30th Ave. Portland, OR 97211-7128 V: (503) 287-0206 Fax: (503) 280-8772 Date: 9 September 1998 Scale: 1"=30' CkgR� c iH L(St - E.tts�fw1 r.s�c�tnct� u►+n.w�i,/ v}'F��C oJI-t-A 6 t?N 02/03/99 WEU 10:49 FAX 5036934490 WASH CO HHS Z004 ' Proposed \ O / RECEIVED �J Parking Existing Area �D-Boz SEP 18 1998 )ept.of health&Human Services � 1 uriveway Environmental Health New Cu—rb Notes: Daily Flow: 6x 15 gallons=90 g/d (minimum=150 g/d) as Soil Type: Silt loam 12S'1150 g/d Sizing: OAR 340-71-280 Calculations: (4x/ts)/(3+2x2')zz)f' of seepage trench required + reserve Sewage Treatment System Layout for: Dr. Wm. Robert Cavas;bex 'i Mailing Address: P.O. Box 1201 Tigard, OR 97035-0514 , Property Address: 7505 SW Beveland Ct. Tigard, OR Designed by: Robert F. Sweeney Ni S, RS#0206202513 4108 NF 30th Ave. Portland, OR 97211-7128 V: (503) 287-0206 Fax: (503) 280-8772 i fate: 9 September 1998 Scale: 1"=30' u st - �,[I.`>l�I K�J ✓1 S 1 L �.w �-I`�1✓1M l�I' �1 l�YT r �/6/t 6 lot Qyl c'!G�-�� vGlNt.e Dr fpFCll�r��l/ t.ill�� cdeq ^ -r'q,11/ GA/ c� r7✓vC r q YCS'.L/` IN S��IL� T� vc�✓dtl►, SNS 2y 0� 71H 92/03/99 WED 10:50 FAX 5030934490 WASH CC HHS 0005 .5:57 5032808772 R F SWEENEY PAGE 03 -Ste Sewage a e Treatment System Layout Jsing Dosing Septic Tank to Seepage Trenches) Seepage Trenches' �.�., from!14y. ' - !�'3 ^ _ 1u'%.4 Back - - `* - ,.. �. p► 158, of EZ Dram ,,��' -� � 20► ' 2' Wide x 42" DeeP SO St.rogo Shod , �• ' lnit'al. & Reserve sbp• ;3�"ie - 5' ,, ', �,2 j Systems to be Pt�p ON R.r Instilled /w Do.1a,s sRptk Task Half of Valves to Repla«I irttn9 Open od°� 4eptic Tank il� RrdHOLM 7 a.w Task to be T'rted ; LsMd.{1' t„1Ww.ter=rl�e 1to be Wyb I Iler A 24" D1at+eter Ploorr, e I to Surf.-.RR2408")' aoY.rd to n' Prwvont Pump: 081 p1003 1 Trttllk ` —. 0' Set Back 11 IN,v3 Parking WI l 1/4" i D• Tank coatpel Pavel: Area OSI Al •r! OC'f �, Float Ase mhlq, n.,.ms U".a 091 MI?A I ROTA& Dralnyr reatr Notes: Daily Flow: 60 S gallons—'90 8/d (minimumsol's0 Rfd) Soil Type: Silt Loam=1251/1150 g/d / OAR 344-71-280 Calculations: (4x125')/(3+2X2,')'171' of seepage treett-6 71' reserve = 142' Total Required (1S8' shown) Sewage Treatment System layout for: Dr. OR q Robert 4 avasher Mail;-ig Address: P.O. Box 1201 Tigard, Property Address: 7505 SW Reveland Ct. Tigard, OR Designed by: Robert F. Sweeney MS, W0206202513 4108 NE 30th Ave. Portland, OR 97211-7128 V: (503) 287-0206 Fax: (503) 280-8772 Scale: 1"=30' Date: 26 September 1998 _ ----- { Ti February 1, 1999 CY OF T1GARD Stewart Gordon Straus OREGON 6170 SW Cherry Hill Dr. Beaverton, OR. 97008 RE: Professional Office's SIT# 99-0003 7505 SW Bcvcland BUP# 99-0033 Code Reference: t1CBC 1997 -OSSC 1997 Structural Specialty Code 1 Your plans for the proposed alteration have been reviewed for compliance with the above mentioned codes; the following items require your attention: Site: 1. Provide details for the roof drainage system. 2. Provide Washington County approval for the septic fie',d as well as approved drawings of it Aeces,sibility Under the provisions of UCBC A304.1, alterations shall comply with the provisions of OSSC, Chapter 11. 1. Stairs 201 — Provide details showing compliance with OSSC 1109.8.3 (Nosing) 2. Stairs 201 - Provide details showing compliance with OSSC 1 109.8.6 (Stairway handrails) 3. Doors shall comply with OSSC, ADAAG figure 25, proOde details. 4. Water-closet rooms 104 and 206 shall comply with OSSC 1 109.10.3, Provide details. UCBC A304.2 (3.2) 5. Provide details showing an approved accessible route from the curt) cu, at the street, to the main entrance of the building. OSSC, Sectior. 1103. Structural: 13125 SW Hal! Blvd., Tlgurd, OR 972.23(503)639-4171 TDD(503)684-2772 I I I. Provide a structural analysis that floor loads comply with OSSC, Section 1604, table-]6A. (Note) UCBC, Section 505.1, Exception 1 may be used in the analysis. 2. A seismic load analysis shall be provided using OSSC, Division 1V, section 1626. Provide details. Fire Li c'Sa e! >: 1. Provide details outlining the specific use of the 2"d floor staff room. We are of the opinion this will be used as a conference room, thereby, requiring a second exit from the second floor. 2. Room 110— if the hot water tank is gas fired, provide compliance for combustion air. Secondly, if gas fired, the refuse storage must be removed. Ener-er Compliance: 1. Replacement windows shall have a shading coefficient of 0.57, provide details. 2.. Provide Oregon Non-Residential Energy Code :,fighting load }orms 5a— 5c. Provide (3) three revised sets of plans, and 1 set of required analysis set out in the above text, sealed by a licensed State of Orc;gon Engineer. If you have questions, please call me at 639-4171. Siliccrely, Robed D. Poskin, CBO Scnior Plans Examiner --------------- February 10, 1999 CITY OF TIG,ARD 6170 SW Cherry Hall Drive Staverton, OR. 97008 OREGON RE: Professional Offices SIT# 99-0003 7505 SW Beveland BUN 99-0033 Dear Stewart: In reply to your letter dated February 1, 1999; I can advise you of the following: Site: Item #1 Roof drains must be connected to the storm system, provide details.!�� u a Item #2 - We are in receipt of the approved septic system. Accessibility: Item #1 — Provide details on revised drawings. Item #2--Since this is a new stairwell, the handrails shall comply with OSSC, ADAAG 19. Provide details. . . ... 1 r Item#3 —Under the provisions of UCBC A304--3.2, the toilet facility#104, shall be n!sex identified, with anpropriate signage and hardware. Toilet rooms #206 OR 207 i� 4choice shall also be accessible, with appropriate signage and hardware. Provide �t details. �., Item #4 — Your drawing indicates an approximate elevation of 194. The building is at approximate 201, a slope of seven feet over forty five feet. Since the sidewalk to the building fronts Hermosa, an accessible route can be trade available from that point. Provide details. Structural: Item #I - A written analysis is required for all loads imposed from foundation to the rool'. to include roof loads. Provide details. Item #2 - The Engineer submitted an analysis for wind only. Is he statins; that wind exceeds seismic? 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-2772 Item#2 -The Engineer submitted an analysis for wind only. Is he stating that wind exceeds seismic? Fire Life Safety: Item 41 - Our records will indicate your response. Item #2 -- Your proposal for a one-hour separation is approved subject to the installation of a self- closing, smoke tight, forty-five minute door. The door shall bear a rating label "S"one-hour/ The combustion air requirement as well as the door change shall be indicated on the revised drawings. Non-Residential Energy Code: (a) Forms 5a - 5c are required for audit purposes. We have not received same, as your letter seems to it.dicate. (b) Provide shading cofficient ratings on the drawings. Provide 3 complete sets of revised drawings. If you have questions please call me at 639-4171 X 392. i I Sincerely, ' � I Robert D. Poskin,CBO Senior Plans Examiner i MEMORANDUM CITY OF TIGARD, OREGON TO: Stewart Straus FRONT: Bob Poskin 639-4171 X 392 DATE: February 11, 1999 SUBJECT: Professional Office—7505 '3W Beveland Stewart: Further to our conversation yesterday,the following in is provided: 1. An accessible route from a public way will not be required. You will not be required to make a portion of either bathroom on the second floor accessible. 2 ed with the appropriate The accessible bathroom on the 1 boor shall be signed"Unisex"equipped hardware. 91 revised, as 3. The Fb to be used shail be 1265.This is based on tNational e allow bleign Standards sstress for DF #1 and increased setout in UCBC 1997,Table A-I-D,which allow allowances NDS 1991. Allowable Stress NDS 1991 = 1000 X 1.1 X 1.15 Bob Poskin i ELECTRICAL PERMIT- CITY OF TIOARD _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00198 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/20/99 PARCEL: 2S 101 AB-01609 SITE ADDRESS: 07505 SW BEVEL.AND RD SUBDIVISIUN: HERMOSO PARK ZONING: MUE BLOCK: LOT: 02.0 JURISDICTION: I IG Proiect Description: Protective signaling A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: JEFF TAYLOR PHILLIPS ELECTRONICS 7505 SW BEVELAND (DBA FOR MASTER ALARM L.L.C.) TIGARD, OR 97223 1110 NW FLANDERS PORTLAND, OR 97209 Phone: Phone: 222-5083 Reg#: L.1C 00125364 SUP 329JLE ELE 26213CLE FEES Required Inspections Type By Date Amount Receipt, Elect'I Service PRMT BON 8/20/99 $60.00 99-317796 Elect'I Final 5PCT BON 8/20/99 $420 99-317796 'Total' $64.20 ORIGINAL 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 9.52-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 (� Issued by {I ' I� �.t �I I ll�X- Permittee Signature OWNER INSTALLATION ONLY I Ile installation is being made on property I own which is not intended for sale. lease, or rent. ()WNER'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 RUG-20-99 FRI 10:02 PHILLIPS ELECTRONICS FAX NO, 15032274992 P. 02 CITY OF TIGARD RESTRICTED ENERGY ELECTRIGAI.APPLICATION Recd by: 13125 5W HALL BLVDDate Read: ^SIL"�1� TIGARD OR 97223 F'RINT OR TYPE 0, Per7nil ak; v. I;n3-839-4171 X304 F -503-684-7297 INCOMPLETE OR ILLEGIBLC APPLICATIONS Cust,Call'd: WILL NOT BE ACCEPTED Narns of eve opment Pro)ect TYPE OF WORK INVOLVED-RESIDENTIAL ONLY estr tied Ensrpy ewe....•..—.....................•.... 14WIM (FOR ALL SYSTEMS) (Va.Ck2 It ro"Ich A, JOB Street Add es to N Check Type of Work Involved- ADDRESS -7 Soy s.. tats , �,iD hone � Audio and Stereo Systema TyI A I Lz3 °7.6$1+3 -- Name Burglar Alarm S r Garage Door Opener' OWNER Mai i—ng A dress E] Heating,eatlnp,Ventilation and Air Coridltloning System* ilyl tate —� Zip _:TPhone 4 — vacuum Systems' I--'t r � L.1 — CONTRACTOR Jarl,ig Ad r s TYPE OF WORK INVOLVED-COMMERCIAL ONLY _ sr, rip. P _ _ „� Zi `S_ Fhone N --Te-c' for each h s—ystem.............................................. (Prior to issuance a Clly 4lala i (SSE OAR 916-260.2.90) f to copy of all licenses Gf^a e are required II 17regon onlr r ie,0 xp Clreck Type of Work Involved; expiied in C.O.T. date base). EI a ical Contr.Lie.* a F-1 Audio and Stereo Systems co T. Biro c N a lo, ❑ f Buller controls caner s ame Clack Systems OWNER- ailing AA revs Cj Data Tolecommunlcntiorr,Installation APPLICANT __ _ city,State P �'1 fire Alain Installation his petrtus Issued un er OAE 919.320-370 This app icont ttgreos to rl NVAC make only restricted energy installations(1n0 volt amps or less)under Ihis L I rerinit and to do the following: Instrumentallun 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; Landscape Irripallon C0111101'1 Cali for inspections when Installation under this permit are reariy for inspection a1 603-639-4176; J Medical i Purchase separate permits for all insiailations that are not ready for an IJurse Calls inspection when the Inspector is out to inspect under this permit; Outdoor Landscape Lighting' 4 Assume responsibility for assuring that all corrections required by the inspector are done,and; Protective Signaling 5 Assume responsibility for nailing for a final inspection when all of the r--1 Other ---- corrections are completed, Permits are non lransfernble and non-refundable and expire if work Is not Number of Systems alerted within 180 days of issuance or if work is suspended for 190 days, -__ y The Prvoh signing for this permit must be the aeplicant nr a persen Nn licen.ns ars.equi:ed. UrAthses are required for all other Inslallatlons authorized to bind the applicant. - �'— EEE,;at: F.NTER FEES Signature 5%SURCHARGE(•Oti X TOTAL ABtJVt) !,� • L.o__ Authority if other t an TOTAL Applicant _ i v1s!svesels doe 7107 CITYOF TIGARD _ SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT99-00003 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 5/11/99 SITE ADDRESS: 07505 SW BEVELAND RD PARCEL : 2S101AB-01609 SUBDIVISION: HERMOSO PARK ZONING : MUE BLOCK: LOT: 026 JURISDICTION : TIG CLASS OF WORK: ALT 12AVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $16,000.00 EXCV VOLUME: 50 Cy LANDSCAPING?: Y FILL.VOLUME: 10 Cy SITE PREP ?: Y _ ENG FILL?: N STORM DRAINS?: Y SOILS RPT READ?: N IMPERV SURFACE: 3,330 sf Remarks: Site work for parking lot and water quality facility associated with conversion of existing single family residence to Commercial Office. Owner: FEES _ LINDA NISHI-STRATTNER Type By Date _ Amount Receipt 7420 SW HLii!?IKER RD ---- TICARD, OR 97223 PLCK DRA 2/1/99 $75.73 99-312521 FIRE DRA 2/1199 $46.60 99-312521 PRMT BON 5/11/99 $116.50 99-315289 Phone: 5PCT BON 5/11/99 $5.83 99-315289 Contractor. EROS BON 5/11/99 $80.00 99-315289 ERPU BON 5/11/99 $26.00 99-315289 DAKOTA CONSTRUCTION ERPC BON 5/11/99 $26.00 99-315289 15000 SE CROSSCREEK CT — -- BORING, OR 97009-8295 Total $376.66 Phone: Reg #: LIC 49904 Required Inspections Erosion Control Insp 844-8444 Paving Insp Strm Drain Insp Culvert/Catch Basin ORIGINAL San Sewer Insp Manhole/Cleanout - PVT Landscaping Insp Misc. Inspection Driveway surfacing FinalInspection — This permit is issued subject to the regulations contained in the Tigard Municipal Code, State P'OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. Thi, permit will expire if worts 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 riles are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules it direct questions to OUNC by callirg (503) 246-1987 Permittec Sinnature: cc - Issued By: �Wt-�'W L— _ _ _ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day / f ( Rec'd By CITY OF TIGARD Site Permit Application Date Recd 177c-7 77 13125 SW HALL BLVD. Commercial and Multi-Family: Complete ENTIRE_ form Date to P.E. TIGARD, OR 97223 Residence: Complete SHADED areas Date to DST Peint (503) 639-4171 x304 Related SWR t__ Calle6_, Print or Type Incomplete or illegible applications will not be accepted Name Utilities(Complei�all that apply) Project Job Name Address Storm Sewer Address Linear Ft. Name Sanitary Sewer Linear Ft. Owner Mailing Address / Fresh Water 10 Linear Ft. City/State Zip Phone Catch Basins General N e Clean Out Contractor l S�lsfiG>!Gt't ---- Prior to PermitMailing Address U�yr�Vdw.V Describe work to be done: issuance,a Newo Addition❑ Alteration Repair❑ copy of all licenses are City/State Zip Phone Additional Description of/Work: required If _� /j,,,t�jyg ��„�i-/� Lc'K� %✓C� ,xpired in co State Const. Cont. Board Lic.# Exp Date /,9 database /i✓/ / G/� Name— ---� —_—�- -- Project Valuation $ �p Architect Mailing Address Plans Required: See Matrix on back i following,must acc_om an this application. Ci /State Zip Phone Site plan witVic h inity Map Parking(including �_ —_ Showing ADA compliance ADA)&Ll. Ming Plan Narne Grading Plan and details Landscaping Plan Engineer Mailing Address Erosion Control Plan and Retaining Structures details _ — including calculations City/State � r/�jOf/ Zip Phone �j Site Utility Plan and details =requirpd) rt (showing connection to s stem _ _ —_ —) E=xcavation Volume I hereby acknowledge that I have read this application,that the (Soils report required for>5,000 cu. Yards) information given Is correct.that I am the owner or authorized ,j� cu.yds. agent of the owner,and that plans submitted are In compliance with Oregon State laws. Fill Volume Signature of Owner/Agent Date (Soils report required for>5,000 cu.Yds.) cu yds. Contact Person Name P Will the fill support a structure hone 52-.f (Engineer required if answer is yes) YESE) NOK 1;1eb AW4�'/�'` � S f/ '3Yq Rtai ening structure?(check one) E]Rock FOR OFFICE USE ONLY U CMU Notes: K � j —Cvy ❑Concrete "�+�C 5 O ❑Other �< O 1—(I S C Total new impervious area including all Land Use Case V. � MaplTLp �' buildings,sidewalks,and paving i\fists\forms\site-app doc 10130198 �r l�v'7 ' 3 I G�' COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Pians Examiner will contact the applicant to re, u,, S :....' additional plan sets for distribution purposes. (Copy for Contractor, Washington County, Tualatin Valley Fire & Total# of TYPE OF SUBMITTAL Plans _KEY: Submitted S (Private) 1 S = Site Work B (Now or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mecl.anical B & M (New or Add) 1 P = Plumbing P New, Add, or Alt) i2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition 8 &—F—& M &—P & E 3 Alt = Alternation to Existing (New , Add)_ Building *B or B & M (Alt) 1 *B & M & f (Alt) -T 3 *B & M & P & E(Alt) 3 � *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. NAUS Y I\dsts\formsVnatrxcom doc 12/17/90 CITYO F T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00246 13125 SW Hall Blvd.,Tigard, OR 97223 503) 639-4171 DATE ISSUED: 8/5/99 SITE ADDRESS: 07505 SW BEVELAND RD PARCEL: 2S101AB-01609 SUBD!`IISION: HERNIOSO PARK R 1t GI, ` ZONING: MUE BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS� OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work involved with conversion of single family dwelling to commercial office. Removing the kitchen and laundry, moving 3 bathrooms. Other fixtures are 2 hose bibs. FEES Owner: Type By Date Aniount Receipt JEFF TAYLOR 5PCT DEB 8/5/99 $9.91 99-317431 7505 SW BEVE LAND PRNIT DEB 8/5/99 $141.50 99-317431 TIC.ARD, OR 97223 Total $151.41 Phone 1: Contractor: NORTHWEST CENTRAL PLUMBING 2870 SW 2.21 ST HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone 1: 642-2067 Water Service Insp Re #: LIC 000722 Rough-in Insp Reg Top-out Insp PLM 34-197PB Final Inspection 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rales adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0030 You may obtain copies of these rules or direct questions to OUNC by calling (503) 24$-19$7./ / / Issued By: It^ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed�e ext business day L CITY OF TIGARD Plumbing Permit Application Plan Che tk 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Rec,'dig -5 -`� 1503) 6394171 Date to P.E. Print cr Type Date to D Incomplete or illegible applications will not be accepted Permit# 1aL11Q`t9-M�/w Related SWR# Called-.__ Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job Z5-6,5— 5-4-1 e��ln�c� Sink 11.50 Address Stree Address Suite Lavatory i ?� 11 50 , Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zip Shower Only 11.50 ------ N Water Closet/Urinal (Specify) 11.50 S Dishwasher 11.50 Owner Mailing Address Suite Garbage Disposal 11.50 7'5G Washing Machine/Laundry Tray (Specify) 11.50 _99/State Zip Phone floor Drain/Floor Sink 2" 11.50 A (2 LL � 3„ -- 11.50 Name 4" 11.50 Occupant Mailing Address Suite Water Healer O conversion O like kind 11.50 Gas piping requires a separate mechanical permit. City/Stale Zip Phone MFG Home New Water Service 28 00 _ MFG Home New San/Storm Sewer 2800 Name ti. 1 I / Hose Bibs 11 50 R�n-1.6,t� C MailingAddress Suite Rain Drains 11.50 Contractoryr - Q Drinking Fountain 11-50 Prior to permit City/Stale Zip Phone Other Fixtures(Specify) 1500 Issuance,a copy ,1`c_, ,Qt,6/Z. �t?1 ZS &`{Z'&)l'v'7 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date - required if 7 2?5 j q-0-tin — expired In COT P6qbing Lic.# Exp.Date databasey ---- Name Sewer-1st 100' 38.00 Architect _ Sewer each additional 100' 32.00 or Mailing Address Suite Water Service-list 100' 38,00 Water Service-each additional 200' 32.00 Engineer City/State Zip Phone -- Storm 8 Rain Drain-1st 100' 38.00 Describe work to be done: Storm&Rain Drain-each additional 100' 32.00 New O Repair O Replace with like kind: Yes O No O Commercial Back Flow Prevention Device 32.00 Residential O Commercial 4a— Residential Backflow Prevention Device' 19.00 Additional description of work: Catch Basin 11.50 Insp of Existing Plumbing 50.00 Are you capping, moving or replacing any fixtures? perthr Yes O 140 O Specially Requested Inspections 50.00 If yes, see back of form to indicate work performed by per/hr fixture FAILURE TO ACCURATELY REPORT FIXTURE Rain Drain,single family dwelling _ 45.00 WORK COULD RESULT IN INCREASED SEWER FEES. Grease Traps 11.50 I hereby acknowledge that I have read this application,that the information — QUANTITY TOTAL given Is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram Is required it Quantity Total is :-99 that plans sub ted are in co Iiance with Oregon State Laws. 'SUBTOTAL ,,-Slgnat of nor/ a Dat 9 iyr9 1ti �g 7%SURCHARGE ct qumen Name no 6f); �y1�g lL'tl Z�e- "PLAN REVIEW 25%OF SU133TOTAL 1 BATH HOUSE$178.00 <1 yZ Required only ii'inure qty total is>9 _ 2 93AIH HOUSE$250.00 s rOTAL �/� / 3 BATH HOUSE$285.00 1 -- (This feA Includes all plumbing fixtures In the dwelling and the first 100 feet of sanitary sewer stonn sower and water service) 'Minimum permit lee a 950, surcharge,except Residential Backflow Prevention Device,which is$25+7%surcharge ge "All New Commercial Buildings require plans with isometric ur riser diagram and plan review I ldalstformslpkun"r:oe 71igr99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed /Capped Replaced -Removed/Capped Sink I - Lavatory ----_— - _ �'— Tub or Tub/Shower Combination Shower Only --- Water Closet _ 3 Dishwasher _Garbage Disposal _Washing Machine - Floor Drain/Floor Sink —2" 3 — -- „ J Mater HeaterLaundry Room Tray Urinal __ — — ---- - Other Fixtures (Specify) COMMENT REGARDING ABOVE: ��_'�H ' .,c �`�t.�c� •t- �,A mss^-cl ey _.--_ --- _—. -- C' Q f ” tom,a % _ ---- --- 11dslsVom,slplumepp doc 7119199 CITYO F T I G A R D �'LFCTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUED: 8/9/9PERMIT#: 8/9/9 1999-00491 13125 SW Hall Blvd.. Tigard, OR 97223 ,503) 639-4171 9 SITE ADDRESS: 07505 SW BEVEI_AND RD PARCEL: 2S101AB-01609 SUBDIVISION: HERMOSO PARK BLOCK. ZONING: MUE Proiect Description: I,stallation of a 200 AMP service/feeder and 20 bOranOch circuits.JURISDICTION: TIC RESIDENTIAL UNIT TEMP SRVC/FEEDERS __ MISCELLANEOUS 1000 SF' OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (101: SERVICE/FEEDER _ BRANCH CIRCUITS 0 - 200 amp: 1 ADD'L INSPECTIONS W/SERVICE OR FEEDER: 20 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: p: PER HOUR 401 - 600 am EA ADD'L BRNCH CIRC: IN PLANT: 6,01 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: ,=4 RES UNITS: Reconnect only: 600 VOLT NOMINAL: — _ QVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: JEFF -TAYLOR Contractor: SAM t�+ARDING INC; 7505 SW BEVEl1-1ND 23833 NE GLISAN TIGARD, OR 97223 WOOD VILLAGE, OR 97060-2942 Phone: Phone: 780-3159 Reg#: LIC 00087048 SUP 3376S _ ELE 26-5490 FEES �---- Required Inspections Type By Date Amount Receipt F'RM1 GEO 8/9/99 Ceiling Cover $171.25 99-317497 Wall Cover [-5PCT GEO 8/9/99 $11.99 99-317497 Elect'I Service Total Elect'I Final ORIGINAL $13.24 � This Permit is issued subject to the regulations contained in the Tigard Municipal Code Statf:of OR. Specialty Codes and all other applicable laws. All work .vill 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'or more than 180 days ATTENTON Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAP.;52-001-0010 through OAR 952-001-0080. You may obtain or pies of these rules ordir 1 stion OUNC at(503) 246-1987 Permit Signature: 070 Issued By: _ OWNEA TALLATION ONLY L The installaFon is being made on property I own which is not intended for sale, lease,or rent. OWNER'S SIGNATURE: _ CONTRACi'OR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: fi—L LICENSE NO: =— � _S DATE: �— C?II 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check#_ 13125 SW HALL BLVD. Recd By _ TIGARD OR 97223 Dale Recd Phone(503)639-4171, x304 Date to P E MU� --- � Date to DST Inspection (503)639-4175 Print of Type ��(� Permitl�� Fax (503) 598-1960 Incomplete or illegible will not he accepted,_-�7l lled v� 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of:nspections per permit allowed Name(or name of business) - __— Service included: Items Cost Sum Address ,'SOS S GlJ - c ISS _r]L _ 4a. Residential-per unit City/SCity/State/Zip1000 sq it or less $ 117 7!i 4 ---- ---- - --- - - - --- Each additional 500 sq (1 or portion thereof $ 2615 1 Commercial Residential ❑ I.imited Energy i $ 6000 Each Manurd Home or Modular Dwelling Service or Feeder $ 72 775 2 2a. Contractor installation only: (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor IM'e //V a 200 amps or less $ 6425 �r y�� 2 Address . 201 amps to 400 amps $ 65.50 _ 2 401 amps to 600 amps $ 128.50 _ 2 city i State o)r Zip Q _ 601 amps to 1000 amps $ 192.50 2 Phone No _ 7 60- 'c 12 i/G -LS 7 S- — Over 1000 amps or volts $ 363.75 2 Job NO. _ Re( .inect only _ $ 53,50 2 Elec Cont Lice. No. alE, ; `C Exp.Date /O-J!"ql4c.Temporary Services or Feeders OR State CCB Reg No. f Zee` ,Exp.Date_��11"�!"�t Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 - 201 amps to 400 amps _ $ 8025 2 Signature 401 amps to 600 amps $ 107.00 2 ,ignature of Supr. Elec'n Over 600 amps to 1000 volts, — — see"b"above. License No. 3 3 74 S' Exp.Date 4d.Branch Circuits Phone No. 73L33 _ New,alteration of extension per panel a)The fee for branch circuits 2b. For owner Installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit - C $ 5.35 ��'7r� 2 Address - b)The fee foi branch circuits Clt � .,tate Zip - - without purchase of service ip - - or feeder fee. Phone No First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale, lease or rent (Service or feeder not Included) Each pump or irrigation circle $ 42.75 _ Owner's SlgnatUfP. _ Each sign or outline lighting $ 42.75 ------ - Signal circult(s)or a limited energy p 3. Plan Review section (if required): anel,alteration or extension $ 60.00Minor Labels(10) - $ 107.00 Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over _ 4 or more residential umis in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 5000 _ System over 600 volts nominal In Plant __ $ 59 00 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 6a.Enter total of above fees * Submit 2 sets of plans with application where any of the above apply. , 0 546 Surcharge(05 X total fees) $ � Not required for temporary construction services. Subtotal $ 6b.Enter 25%of line 6a for NOTICE Flan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total batence Due $ q� °? J -- i.\dsts\ti rms\electric.doe CITY OF TIGARD DEVELOPMENT SERVICES k 13125 SW Hall Blvd,, Tigard,OR 97223(503)639-4171 NPOR T ANT IDERtl) -i N(JT.ICE W, : Plan Chnr,k # yo LANDA N113- H.1-91*HATTNEP 74201 SW HUN7TKER RD TWARD OR 972o-?3 �lar'cej_ I P11 0l 146-0 t t'07) 1ite Addr,etis : 07505 SW BEVELVIND RD iubd i v J s i oil. I HI.P11090 PARK 1Iork. . . . . . . I o f; . 020 fru i sd i ct i on I J V, Cl n j T1 g. . . . . . . MAE_ .-v mat-k s - 11te Work for- pao-king Jot and water (.11jality f.--Acility Witt'. :-anvet'•sion of existing sing-le family 17ri (10MIT1111'Clol. Offirp. his lettol- is to confirm r.preipt (if V01.4t, Site Work ot., Building Permit .APPII 'i.011on Which has tlpr'rl forwar'ded to the plans f4xAnlirlpt' tod-.4y for, rpyiew. �S'- is a reminder , the associate 101111 1.1 c;f.3 I-a S e r V R" , 1r-.'iAt'tp by a%.JAr'p vol., are resprinsib) V- fu? 5'_At1elf yJ.yIu trio-, cc)(ICH Li Otis of the 1 ,411(1 u case (s) Ayid must si.tbmit' p I an'i Hil-prtly to tho Apl-w-opcii.Je sk :aff pvvnoy) (e ? a Oioir- tecl ori yol.w final oct.1k,l.. ,'our building p.lavic, ARE NOT r-outed to the ri)arminq ov, enq.inp,et-itiq c1vp,,-wfmpntc;. , all must satisfy the Jand lition pormit conditi(3111S indeperident of the bu-jiding lei plit plAw- ro;.iew ifi ev, the hl.tildiflq f-11c.-ITIS review prorpsu, hAr' Leen complet'vil, your. site worl, .-ji. 1ding permit wi. 11 NUT be is-.iiled withnut lApprov.1.41 =rnilrr the Priqineet-inq And lanninr.4 dc-pat tmonts. i you have ai'iy quet.,uinns tegardint m d i r v C,t; I .4 t.I I i s rent, i v P. p) r a s r u o I I t;4 41 7 1 f b ir- f mi-t h P r c I at-,i f i us t i on. I I C 03 1,e L'CA ejjt 5prVj(:j.3q 'j'er1jjjjjrjA CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST I BLIP 3 _mace Requested l AM PM --__ BLD Location �f' .Gp �� Suite MEC _ Contact Person �. Ph PLM _ Contractor _ Ph SWR _ BUILDING --� Tenant/Ovvner ELC Retaining Wall ELR Footing Foundation ACC@S5: FPS Fig Drain 1 Crawl Drain Inspection Notes: SGN Slab Post&Beam -- SIT — Ext Sheath/Shear Int Sheath/Shear r Framing Insulation Drywall Nailing Firewall — Fire Sprinkler L� Fire Alarm Susp'd Ceiling _. Roof -- J - Mis C: ne�arr PA S PART FAIL. PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer - Rain Drair.^ r,l.,e e._ �Gc- . 1 u�a i 33 Final PASS r'ART FAIL __[_L/�-� .r`" � � ��t,�,•�..P �� MECHANICAL Post& Beam Rough In ' Cas Line - Smoke Dampers Final - - PASS PART FAIL. ELECTRICAL Service Rough In - -- -- — UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _ SITE �-- rr— Rackfill/Grading -- ----- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd catch Basin Fire Supply Line [ ]Please call for reinspection RE: [ ] Unable to inspect-no access ADA Approach/Sidewalk Other _ Date Inspector Ext Final - --_ - L PASS PART FAIL DO NOT REMOVE this inspection record from the job site. City of Tigard ME !COPT Washington County Oregon Voluntary Compliance Agreement q� To: Lori Queen \►-� 7505 SW Beveland Rd Tigard, OR 97223 Re. Conditional Certificate of O p nc J I, Lori Queen, as responsible person for Tax Map 2S101AB, Tax Lc'i 01609, agree to the following conditions: A Certificate of Occupancy will be issued on a conditional basis for a period not to exceed fifteen days from this date, by which time the following conditions must have been met and approved by the City of Tigard: Permit BUP99-00033 must be completed and approved, including all outstanding corrections, ancillary permits and fees. I understand the City will withhold action until November 12, 1999. Upon compliance with all above conditions, this case will be closed and the Certificate of Occupancy will become permanent. I further understand that if these conditions are not complied with fully, I may be served with a Summons and Complaint without further notice for violation of requirements set forth in the Oregon Structural Specialty Code (Final inspection, approval required prior to occupancy). Signed: di� - Date: Signed: ` Date:__ G (Witness) Note: Sign and return one copy of this agreement by Oct 29, 1999, otherwise, this documei it is tc,",inated and a Certificate of Occupancy will not be issued. 1 CITY OF T I GA R DELECTRICAL PERMIT PERMIT#: ELC2000-00664 -"' .5 DEVELOPMENT SERVICES DATE ISSUED: 12/04/2000 13125 SW Hail Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S191AB 01609 SITE ADDRESS- 07505 SW BEVELAND RD SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT : 020 JURISDICTION: TIG Proiect Description: New electrical service drop. Job No. 79351-201 - Lowes Project. RESIDENTIAL UNIT TEMP SRb_C/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 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: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC- Owner: Contractor: TAYLOR, JEFFREY R ELECTRICAL CONSTRUCTION CO 7505 SW BEVELAND RD PO BOX 10286 TIGARD, OR 97223 PORTLAND, OR 97296 Phone: Phone: 224-3511 Req #: LIC 049737 SUP 29865 ELE 26-45C - _ FEES — Required Ins Type By Date Amount Receipt - -pectic Elect'I Service Inspections PRMT CTR 12/04/2000 $80.30 2720000000( Elect'I Final 5PCT CTR 12/04/200[ $6.43 2720000000( Total $86.73 This Permit.is issued subjc„t to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and ail other applicable laws All work will bl:done in accoManr a with approved puns This permit will expire if work is not started,vithin 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 ISSUED BY: — ____ 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 6394175 by 7:00prn for an Inspection the next business day 1 11/29/2000 14:29 15032953112 E C COMPANY PAGE 09 Electrical Permit Application Date received: Permit no.: tC 0 City of Tigardias � A Projecl/appl,no.: Espiredate- City of rigartt Address; 13125 SW Hal City Blvd, OR 9 Date issued: By. . Receipt L� Phone: (503) 639-4171-14q* a I ay-d Fax: (503) 598-1960 Mail CC to: CC, t . Cast file no: _ Payment type: Land use approval: _ C41 e,I toy, O I &2 family dwelling or accessory CommPMcial/industrial U Multi-family ❑Tenant improvement New construction 1_1 Addiuion/alterHtion/replacement O Other: Q Partial Jub address:'? f.ABldg. Ia.: Suite no.: Tax map/tax lot/account no.; Lot: _ r13k Subdivision:S TDescription and location of work on premises: 'Eiu S&L-4 Estimated date of coin ledon/inspecti Kim 1:2,11 Ljj; Few Mas Business name I �I[AfS�'''`(b _ pescrtplien Qty. (e:) Pull no.ins New rmidentid-single or multi-ramlly per - Addtras: $ dwelling unit includes otmchrd garW. City: _ State: ZIP: Som—included: Phone 0 Fax E-mail: 1000 sq.rt.or less 4 Finch additional 500 ft.or portion thereof CCB no:: .c.bus_tic•no: 11.. �,, Limited energy,tesidenrlat 2 Cit /me I no.: VAZVft7 Limited energy,non-residential 2 kQKA Each manufactured home or modular dwelling $i witness n qupervisi g electrician ! aired) bill Service ttnd/orfeeder 2 __— Seniea or feeders-Installation, Sup.elect name(print): Lictrlse no; attention or reloeadon: 21x1 amps or less 2 Name(print): 201 amps to 400 amps 2 - Mailing address: — 401 amps to 600 amps 2 601 amps to 11100 amps 2 City: Stale: ZIP: Over 1000 snips or volt 2 Phone: Fax: B•mail. Reconnect only I Owner installation:The installation is being made on property l own Temporary eenieets or feeders- which is not Intended for sale,lease,rent,or exchange according to Imtallation,alteratlon,orrelouUon: ORS 447,455,479,670,701. 200 amps or less 2 2 1 Ito 100 am 2 Owner'9 31 nature: Date: . 401 w 600 amps 2 Branch circuits•item,alterstlon, or extension per panel: Name' A Fee fnr branch circuits with purchase of p ddreaS: _ rsrvira,or feeder fee,each branch circuit 2 CState:- ZIP: B. Fee for branch circuits without purchase Ph PTFa*. E mail: of ce eddiservice or feeder fee,prat branch circuit: 1 Ecunnai branch circuit: Mise.(Service orfeeder not inclu ed): O Service ovv 225 amps-commercial U Health-Cate facility Each pump or irrigation circle 2 O Service over 320 amps-rating of l&2 O Hasardous location Each sillo nr outline lightinj 2 familydwellings 0 Building ever 10,000 square feet four or Signal circuit(s)oralimited erergypanel, ❑System over 600 volts nominal more residential unit in one structure alteration,or extension* 2 O Building over three stories 2 Feeders,400 amps or more •Description, O Occupant load over 19 persons O Manufactured structures or RV put f,+ch additional inspection over the allowable in any of the above: O 5gtvadlighUngplan O Other - Per inspection Submit-_ sets of planv with any of the above. Inveitigationtee --- _ The above ore not applicable to temporary eo ldruction service. other Not all jurisdictions accept credit suds,plasm call Jurisdiction rat morr Wnrawt-m Notice:This permit application Penllit fee............ O Vise O Mastercard expires if a permit is not obtained Plan review(at M 96) $ Credo cera number: State surcharge 8% within lR0 day9 ewer it hes been 8 ( )••••$ TOTAL ams c u s ern enc It a accepted at completr. ....................... _ S C o r stllnaty: Amount aa04615 f60DICOM►