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— A U TO M AT I C i1RE PR(JITLI"
CITY OF TIGARD 19435 SW 129th Ave.
l'balstin, OR 97062
A "Irovod .........•...................................... (503) 69z-928
.. t onaily Approvod......................... FAY- (503) 692-1156
r only the wa tis described in:
MIT NQ.. 'MO-3 0 18 Q
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TRIPPEY0i:.
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otsTE ENG+NU.R
Q OA 7650 SW BEVELAND
LI-19 -03
A 409.
TIGARD 0R . .
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3.6 • Sprinklers
Fire Protection Equipment
"Automatic" Quick Response Glass Bulb Sprinklers
1 � -
1. Deflector
2. Compression Screw
3. Glass Bulb
4. ThimNe
5 5 5. Spring Seal
Q --056. Frame
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Upright Sprinkler Pendent Sprinkler
ORDERING INFORMATION FOR: j
E] "Automatic," Model H - Quick Response - 1/2" Orifice x 1/2" NPT - Upright & Pendent
T., Upright Pendent
Maximum Color Code
Tamoerature Ambient Finish 3 Symbol stock symbol Stock
1. Rating Temperature Location No. Code No. No. I Code Nc.
135° F (57- C) 100- F (38- C) f Brass '� None 38.6010 HOR 8566010 38-7010 HOR 8587010
(Orange Bulb) Chrome None 38-6011 HOR 8586011 38.7011 HOR 8587011
Lead Coated None 38-6013 HCR 8586013 38.7013 HOR 8587013
White None 38.6017 HOA 8586017 38-7017 HOR 858i717
Brigh( Brass None -- -- 38.7018 HOP 85870,8
155- F 168° C; 100° F (38°C) i Brass None 386020 NOR 8586020 33.7020 HOR 8587020
(Red Bulb) Chrome Ncne 3860._1 HOR 8586021 38-7021 HOR 8587021
Lead Coated None 38.6023 HOR 8586023 38-7023 HOR 8587023
White None 38.6027 HOR 9586027 38-7027 HOR 8587027
Bngrit Brass None - -- 38-7029 -fi0R1 6587028
175° F (79- C) 1500 F (660 C) Brass White on Frame Arm 38-6030 HOR 85x6030 38.7030 HOR 8587030
(Yellow Bulb) Chrome White on Deflector 38-6031 HOR 8586031 38.7031 HOR 8587031
Lead Coated White on Deflector 38.6033 HOR 8586033 38.7033 HOR 8587033
White White on Deflector 38.6037 NOR 8586037 38-7037 HOR 8587037
Bright Brass White on Deflector - - 33.7038 HOR 8587038
2000 F(930 C) 150- F (66- C) Brass White on Frame Arm 38.6040 HOR 8586040 341-7040 HOR 8587040
(Green Bulb) Chrome White on Deflector 38-6041 NOR 8586041 38-7041 NOR 8587041
Lead Coated White on Deflector 38.604;; HOR 8586043 38.7043 NOR 8587043
White White on Deflector 38.6047 HOR 9586047 38-7047 HOR 8587047
Bright Brass White on Deflector - -- 38-7048 HOR 8587048
286" F (1410 C) 225` F (1070 C) Brass Blue on Frame Arm 3TI-6050 HOR 8586050 38-7056 HORS B 7050
(Blue Bulb) C>•irome 7051
Lead Coated Blue on Deflector 38-6053 HOR 8586053 38-7053 HOR 8587053
White Blue on Deflector 38.6057 HOA 8586057 38-7057 HOR 8587057
- I Bright Brass Blueon Deflector i - - 38-7058 HOR I 8587058
-
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Fire Protection equipment � Sprinklerse 3 5
"Automatic" Quick Response Glass Bulb Sprinklers
p rs
A Model H -- 1/2" Orifice x 1/2" NPT Upright & Pendent K 5.6 (8.1)
■ UL Listed - FM Approved"
■ ULC Listed
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(56 mm) 2.7132"
(56 mm)
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D Upright Sprinkler C; Pendent sprinkler
'Temperature Ratings: Discharge Curve:
0 135° F (57° C)
�■�ir 155° F (63° C)
175° F (791, C) 50
r] 200° F (93° C) (345) .�
45
C 286° F (141 ° C) (310)
'Finishes: 40
(276)
r-7 Plain Brass 35
(241)
I
D Chrome Plated ,
M (207
White s 0
T 25 <o
Bright Brass 3 '172)
C Lead Coaled (1238)
15
(103)
10
' See back of page for available style, temp era- (69)
ture rating, and finish combinations (s)
5 10 15 20 25 30 35 40
(19) (38) (57) (76) (95) (114) (132) (151)
135°F:155° F
only, white finish not FM aPP roved 01&charge in 9p,n (Um►n.;
(8/98)
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7650 SUV Beveland Street#100
CITY 'TIGARD NG Inspection Line: (503)639-4175
INSPECTIOID VISION Business Line: (503)639-4171 BLIP
Received ___Date Requested_,�_�^c AM_.-_ —.__ PM BUP --
1-_
Location —1`' MEC
—•1�'`� - _ --_Suite_ c► d _
Contact Person — __-- _ Ph( —) --- ---- PLM --
Contractor— --- — -- — — Ph( —) -- - -- SWR -
BUILDING Tenant/Owner __.-__--- -------.--- ELC --
Footing ELC
Foundation Access: �:� < �� ri "S
Ftg Drain ELR mac_
Crawl Drain SIT
Slah Inspection Notes:
Po: A Beam ----
Shear Anchors
Ext Sheath/Shear - -- - - --
Int Sheath/Shear -
Framing -- -- ----- ----------
Ir sulation _--
Di,-wall Nailing - -- -- ---
Firewall
Fire Sprinkler - --
Fire Alarm — -- ---- - -- -
Susp'd Ceiling ----- -�
Roof _ ---------- --- - --. - - --
Other: ----- -- -_--� `^ --
Final
PASS PART FAIL
--
-
PLUMBING -
Post&Beam _-__-
Under Slab
Rough-In --- -- -- -----
Water Service - ---- --- - -----------
Sanitary Sewer
Rain Drains - ---..- _ -------__._..-_—.
Catch Basin/Manhole
Storm Drain
Shower PanOther:Final
---- _ ---- - --
--- -- -
PASS PART FAIL
MECHANICAL ---
Post& Beam
Rough-In - ----_-------------------- -
Gas Line
Smoke Dampers -- - ---
Final
p_ ART FAIL CTRiC --
LE - - --- - -
__ -----
Service
Rough-In -
UG/Slab
Ctow Vol --- -----
Fire Alarm
tY�� Reinspection fee of -.. _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
--PART FAIL
SITE E] Please call for rPinspection RF ---..--_ __ Unable to inspect-no access
Fire S qpply Line
ADA Inspector -- !i _ - Ext
Approach/Sidewalk Data -� --
Other__-_-
Final DO NOT REMOVE this Inspection roe, d from the j b site.
PASS PART FAIL
CITYOF TIGARD - BUILDING PERMIT
PERMIT#: BUP2002-00042
DEVELOPMENT SERVICES DATE ISSUED: 2/12/02
L 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171
`:ITE ADDRESS: 07650 SW BEVELAND ST 100 PARCEL 2S101BD 00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: VV:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _
TYPE OF CONST: 3N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL APER: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE- sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SE'T'BACKS REQUIRED___
FLOOR LOAD: f:sf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,000.00
Remarks: Minor tenant improvement. Install coffee bar& complete ceiling grid.
Owner: Contractor: A _
ST VINCENT MEDICAL FNDN TRUSTE C SCHIEWE + ASSOCIATES
C'ERLACH, ETHEL E TRUSTEE + 1024 NE DAVIS
HppURRoneNZIKER,, EDWARD
?�R PORTLAND, OR 97232
PPhNR30A897TQ6 Phone: 234-6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Type By Date Amount RecRipt Susp Ceiing Insp
PRMT CTR 2112102 $110.50 27200200000 Final Inspection
I'LCK CTR 2/12/02 $71.83 27200200000
5PCT CTR 2112/02 $8.84 27200200000
FIRE CTR 2/12/02 $44.20 27200200000
Total $235.37
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other ap,�Acabie law. All work will be done in accordance with approved plans. This permit will expire if work is
riot 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 OAF: 952-001-1987. You may obtain a copy of these niles or direct questions to OUNC by
calling (503)246-663, r 1-809-332-2344.
Permittee
Signature
ls�sued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit ApplicationMIN
7Daeceived: J Off' Permitno.:City Of T lgard t/appl.no.: Expire alma:
CltyojTlgnrJ Address: 13125 X Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: I I&7.familySimpi,` Complex:
U I &2 family dwelling or accessory U Commercial/industrial U Muiti-family U New construction U Demolition
U Addition/alteration/replaceme:nt t-S-Tenant improvt•mcnt U Fire sprinkler/alarm U Other
INFORMATION
Job address: -74!pw 0 S.L'd '�/�l.�^'L� -_-__ Bldg.no.: Suite no.: 106
Lot: I Block: Subdivision: Tax map/tax lot/account no.:
Project name: �" �Gc�1,�17n�E -Tx
Description and location of work on premises/sr,,,,cial conditions- �,k C4=?IGIE' _
Name: PACII'IG NW
(I Itoodplalli.%Colic capacity,solar,etc.)
Mailing address: (p Slit/ Aid-,FJ � 4-.$7 1 i ro I 1&2 family dwelling:
City: IState:Ole_ZIP:q-7005 I Valuation of work........................................ $ _
Phone(pZ7jirvW I Fax: E-mail: I No.of bedrooms/baths.................................
Owner's_representative: lW--e-RITECT. Total number of floors.................................
Phone: I,ir E-mail: New dwelling area(sq.ft.) .......................... —
Garage/carport area(sq.ft.)....................... .
Name: Mll. VJ:neJ '�r� fir' Covered porch area(sq.ft.) ......................... _
-- Deck area(sq.ft..)
Mailing address:'7fo�jC SW �Vf4A�Jt0 �-T� ........................................ _
City: --T'I(oprfzYV Stater ZIP: 2 Other structure area(sq. ft.).........................
Phone: 'Z ,.US'5 Fax: E-mail: CommerclaUindustAmi/multi-fanny: 7 000<-)S
Valuation of work........................................ $
Existing bldg.area(sq.ft.) ..........................
Business name: T f�17 New bldg.area(sq.ft.)................
Address: Number of stories 2
City: State: ZIP: Type of construction.................................... �
!'hone: — Fax --- E-mail: Occupancy group(s). Existing: —__ _-
CCB no.: New:
City/metro tic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: ��r7 �l_ I�p*'T provisions of ORS 701 and may be required to be licensed in the
Address: -- jurisdiction where work is being performed.If the applicant is
State: ZIP: -- exempt from licensing,the following reason applies:
Cit
Contact person: Plan no.: — - - — —_
Phone: Fax: E-mail: �--
Name: Contact person: Fees due upon application .......... ................ $
Address: — Y Date received:
City: SjE-,
7_IP: Amount received ......................................... $
Phone: Fax: ail Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions soLlpt credit cards,please call jurisdiction for more intormstion
attached checklist.All ision of laws and ordinances governing this o Visa U MasterCod
work will to compli w w er specifie erein or not. omit cad number -- —1--L
J t3spirea
Author't7ed S na Date: ( � D� Name or cardlwlder as shown on credit cavi-
F�t $
Print name: _� JA��'��"�_ Cardholder slratute Amount--
Notice:This pe t ap cation expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613 MA)DICOM)
Commercial Plan) Submittal
Requirement Matrix
Citv of Tigard
TYPE OF 31113MITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
""New fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
iAdstslforrns\COM-matrir..doc 9!24/01
i
CITY OF TIGARD ELECTRICAL
RESTRICTED ENERIGY
DEVELOPMENT SERVICES PERMIT#: ELR200;-00125
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 5/6/03
SITE ADDRESS:07650 SW BEVELAND ST 100 PARCEL: 2S1013D-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Prosect Description: Low eoltage for Data Telecommunication installation.
A.RESIDENTIAL _ B.COMMERCIAL _
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL# OF SYSTEMS: 1
Owner: Contractor:
PACIFIC NW PROPERTIES ADVANTAGE AUDIOVISUAL
9650 SW ALLEN BLVD STE 115 400 SW 141 AVE.
BEAVERTON, OR 97 005 BEAVERTON, OR 97006
Phone: 503-626-3500 Phone: 503-670-9238
Reg #: LIC 116050
still 753LEA
I Lf 34-63901-
FEES
4-639CFFEES Required Inspections
Description Date Amount_ Low Voltage Inspection
IE-1.I'RMT] E=LR Permit 5/6;03 $75.00 Elect'I Final
I TAX]8%State Tax 5/6/03 $6.00
Total $81.0u
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all ather applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started Nithin 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 throuc
Issuers by ( a.�� _ Permittee Signature_ _�_ _
ON:NER INSTAE_LATION ONLY
The installation Is being made on propr;ry I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE.
CONTRACTOR INSTALLATION ONLY
SIGNATURE Or SUPR. ELEC'N DATE:____
LICENSE MC)-
Call 639-4175 by 7:00 P.M. for an inspection needed the next ousinpss day
Electrical Permit Application
Date received .d 8;3 Permit no.:
.,, -
City Of Tigard Project/appl.no.: Expire date:
CiryofTigo,d Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B —�
Phone: (503) 639-4171 y- Receipt no.:
Fax: (503)598-1960 Case file no.: Payment type:
C_and use approval:
EJob
2 family dwelling or accessory Commercial/industrial ❑Multi-family U Tenant improvement
w construction U Addition/alteration/replacement U Other: U Partial
dress: �E `� Lfl►1'�11 �� g.no.: ute no.: 0C• Tax map/tax lot/account no.:
Blocktname: '7 Ivy ktppq Description and location of work on premises:ted date of completion/inspection:
Job no: _ Fee Max
MclSulLss name: �_� G AV�IC�'lSl'1 Destrlptlon Qtr. (ca.) 7btal no.ina
/�DJ I�'t r 1,�-
-- Newredde"tigl-singleurnmid-bmilyDer
Address: Ct+ i dwel161aunit.irk ludc,aUathedpromr.
C'ily_ti. _ C State: C ZIP: C �� 5ervieinrhid,d
Phone:.)-L3 &,11,94SFax: E-mail: _ la>n 11 Ic,, 4
9i Each additional 500 sq.ft.or rtion thereof
CCB no: lI L 1�Vit. @Ice.boa,lie.no: 3t}- +r Ct.F
Limited ane , residential 2
City/metro lie.no.: t - Limited energy, non-residential 2
Ci�`l,f 1 Each manufactured home or modular dwelling
Si t slot supe in electrician (requitted) pale Q,1-0 T L Service and or.(feeder 2
Slip elect.name(print): lrvl IZ l F n,i�r-2 License no:"IS3♦_t,A Services orfeedenr-Installation, —
alteration or relocation:
2(N)amps or lea _ 2
Name(print): 201 amps l0 400 amps 2
Mailing address: 401 amilts to 6W amps _ —_-- 2
--- -- ---- 601 amps to 1000 amps 2
City: state: Z.IP: Over 10911 amps or volt% 2
Phone: Fax: E-mail: Reconnect only --- I
Owner installation: The installation is being made on property I own Tewponry.ervIcesorfeeder%-
which is not intended for sale,lease,rent,or exchange according to Iattlalhtioa,oMeratlna,orrriocnnon:
ORS 447..'55,479,670, 701. 2111 amps or less _ 2
201 ams to 4011 amps__ 2
Owner's signature- _Date: 401 to 600 am _ 2
Branch rlrculra-new,allegation,
_Name:
or extension per panel:
--- A Fee for branch circuits with purchase of
gMldresa. _ service or fteder fec,each breach circuit 2
TCity: - ate: ZIP: B Fee for branch circuits without purchase
Phone: Thar E-mail- (If service or feeder fee.first branch circuit 2
Each additional branch circuit.
Mine.(Service or feeder not Included):
J Service ovet 225 m,p.rntnmrrcial J Health-care facility Each pump or irrigation circle 2
U Service over 320 am)r%-rating of 1&2 J[Imm-dour location Each sign or outline lighting _ 2
family dwelling% J Building over 10,1100 square feet tour or Signal circuu(s)or a limited energy panel,
O System over b111 volts nominal more re%idential Imus in one stmoutc alteration, or extension• 2
O Building over three stories U Feeders,4(10 amps or more 'Description,
0 Occupant load over 99 persons is ManuMctured structures or RV part: Each addhitmal Inxpecdon over the allowable In any of the above:
O Egress/lighting plan U Other Per inspection --
Submit sets of plans with any of the above. investigation fee--_ ^
The above are not applicable to temporary construction service. Other
Not all J'.. .dlctions accpt crWh cards•pleat*call jurisdiction for more inlbrrrntlon. Notice: This permit applicatic n Permit fee ......................S $75
I visa J MasterCard expires if a permit Is not obtained Plan review(at__ %) S
Credit card number: _ within 180 days after it has been State surcharge(11%).....S 4
—�'7ame of eardhal u a an ie�t
pbg*" accepted as complete. TOTAL........................S _ N 1.WIL ,
_ S
OW f`_ardhoi&f-iiputute ----- Amount.-
- - 146-1615 161xIH'QM I
BUILDING PERMIT
CITY OF TIGARD _
PERMIT#: BUP2003-00180
s DEVELOPMENT SERVICES DATE ISSUED: 5/6/03
13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 2S1n1BD-00100
SITE ADDRESS: 07650 SW BE\/ELAND ST 100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-C,
_ BLOCK: LOT- _—� JURISDICTION: TIG
REISSUE: FLOOR AREA_ S EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
IF TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
SEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 960 00
Remarks: Relocate(10)fire sprinkler heads and add (8)fire sprinkler heads for tenant improvement.
Owner: Contractor:
PACIFIC NW PROPERTIES AFP SYSTEMS INC
9650 SW ALLEN BLVD STE 115 19435 SW 129TI-1
BEAVERTON, OR 97005 TUAI_ArIN, OR 97062
Phone: 50:1-626-3500
Phone- FAX-592-1186
Reg #: ME3T692-9097l5®30443459
FEES LIC REQUIRED INSP-CTION'S
Description Date Amount Sprinkler Rough-In
(BUILD]Permit Fee 4/21/03 $62.50 Sprinkler Final
ITAX]8%Stale fa\ 4/21/03 $5.00
1 FLS]FLS Phi R� 4/21/03 $25.00
Total $92.50
This permit IS issued subject to the regulations contained in the 1 igard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved pians. 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 0 througF'OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
callin 503 246-6699 or i,,,800-332-2 4.
Iss ed By:
Perm ee
Signature:
Call 639-4175 by 7 p.rn. for an inspection the next business day
A
Building Permit Application
Due received: s-:• ! (' Pe^mlt no.:
City of Tigard
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Pmject/appl.no.!'+ Expire date:
-
Phone: (503) 639-;i/t Date issueAL By: Receipt no.:
Pan: (503) 5,98.1960 Case Pk:no.: Payment type:
Land use approval: t&.2 family:simple Complex:
TYPE OF PERMIT
U I &2 family dwelling or accessory U Commercial industrial U Multi-family U New construction U Demolition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
Job address: c' ,,l Bldg,no.: Suite no.: -)
Lot: Flock: Subdivision: Tax map/tax lot/account no.:
Project name: '1 Y 1 t L t r✓ �—• N
Description and location of work on premises/special conditions: QFr_r,C►1 C E j r k n e t_�`� Arica 'R
ILI 0 ILM
1
Name—�l3s.)���_LY e. t `
Mailing address: '�(�(, ' 1 ro 1 &2 family dwelling:
City: I State: ZIP: =, Valuation of work...............................
Phone:: Fax: E-mail: No.of bedrooms/baths.................................
Owner's representative: ,j, Total number of floors.................................
Phone: Fax: IF-mail: New dwelling area(sq. ft.) .......................... _
Gar•agelcarport area(sq. ft.)......................... _—
Name: Covered porch area(sq. ft.) .........................
—'- Deck s
Mailing address: area( q.ft)........................................ --
City: State: ZIP: Other structure area(sq.ft.).........................
Phone: Fax: E-mail: CommercinUindustriaUmalti-family: '
Valuation of work........................................ $ �tsV 1D 0
Business name: EYisting bldg.area(sq.ft.) .......................... 2 SOP is
Address: (.1 I New bldg.area(sq.ft.)................................
City: v t N State ZIP: Number of stories..............:........................ Z _
Phone: u. toFax:', Z_. E-mail: Type of construction...........I........................ccupancy group(s):
CCB no.:
,7 3 It
OExisting: 9
Citv/metro bc.no.: ►t New: _
t Notice:All contractors and subcontractors are required to N
licensed with the Oregon Construction Contractors Board under
Name: ` r e �,� R ft provisions of ORS 701 and may be required to be licensed in the
Address: i, t S. 'y�,t ,� .f 1 jurisdiction where work is being performed. If the applicant is
Cit r State:C ZIP: exempt from licensing,the following reason applies:
Contact n: --
Phone: )_m n 52 Fax: E-mail:
Name: "*"' '` ' Contactperson: Fees due upon po application
..........................S
Address: Date received:
City: - State: ZiP: Amount received ......................................... $
Phone: E-mail: J4 sb ' I JPlb:Plr.tse refer to fee schedule.
I hereby certify I have read and examined this application and the INa wt)xL*&cd tr"t credit nom,rksw call juHdktion for nwm tnfa,a.uan
attached checklist.All provisions of laws and ordinances governing this 'sll: 0Viss'tl O MasurCatd : r
work will be complied with,whether'specified herein or not. ' 3n°fit• aid(ti.rd aett�er
Fxpiree
Authorized signature: Date: 191 "03 { �
atee a Otl Cllldit c.atd
PrintntJlte "rt b.in4� R` `�'• $
ll; . +,n Amami
S Notices is permit application expires If a permit is not obtained within 190 do" millet It has been w=pGxtl n Tete � R ir:+ X13(t;MCOM)
n r7 i�: ��. �}`i r.. '.1. •l ;'t:4M�r_j1_ ,�N, 1
� 1q
t V .
;Room
IItll' YI a ' �1�"'9'4.4Er
Fire Protection Permit Check List
A. _ C] New ❑ Addition ❑ Alteration ❑ Repair_��
B.) Modification to sprinkler heads only:
Describe work to 1. 1••10 heads. No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprii,kler heads.-
Additional
eads:Additional description of work: -
Tye of System Complete A, B or C as apI�ble :
A. Sprinkler Wet _ Dry ❑
Standpipes
Additional Hazard Grou L
Information Density _ 0
Design Area
K. Factor J 15 ,l,
S rinkler Pro ect Valuation: $ °
B. jpe I - Hood Fire Suppression System k)
Hood Project Valuation $
C. Fire Alarm _—
Submittal shall Batte Cry alculations Yes LJ _ -
Include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
_
Project Valuation Subtotal (A, B & C): $ -
Permit fee based on valuationsee_chart : $
S% State Surcharge: $
FLS Plan Review 40% of Permit: $ -
TOTAL: $
Plan review requires a completed application and 3 sets of plans at SL bmittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level W technicians.
i
I:kistsVrxmslFPScfiBa.doc 11l21/01
ER4
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April 29. —2003
) )
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AFP Systems Inc.
19435 SW 129"
Tualatin, OR 97062
RE: 'I'. M. RIPPEY, FIRE SPRINKLER SYSTF,M
Protect Information
Building Permit: BUP2003-00180 ConstructionType: NA
Tenant Mune: T.M. Rippey Consulting Engineers Occupancy Type: B
Address: 7650 SW Beveland Street, Suite 100 Occupant Load: NA
Area: NA Stories: I
The plan review was performed under the State of Oregon Structural Specialty Code(OSSC)
1998 edition, and the Tualatin Valley Dire & Rescue Ordinance 99-01 (TVFR99-01) 1999
edition. The submitted plans are approved subject to the following.
• Add sprinkler head as noted on plans. The existing grid pattern, which appears to
be 13 feet center to center, has been interrupted. Without hydraulic calculations, a
determination can't be made fir ,;overage greater than 7 Ieet to a wall.
GENERAL NOTES
1. A supply of spare sprinklers (never less than 6) shall be maintained on the premises
so that any sprinklers that have operated or been damaged in any way can be
promptly replaced. These sprinklers shall correspond to the types and temperature
ratings of the sprinklers in the property. Standard 9-I, section 2-2.7.1 OSSC
2. A special sprinkler wrench shall be provided and kept in the cabinet along with the
spare sprinklers to be used in the removal and installation of sprinklers. Standard 9-1,
section 2-2..7.2 OSSC
3. A minimum of 18 inches shall Ix maintained between top of storage and ceiling
sprinkler deflectors. The distance shall be increased to 36 inches for large drop
sprinkler heads. Standard 9-1. section 4-4.1.6 and 4-4.3.2 OSSC
0 as a• rs a � ., a as
ry a ° r a r J • + J r a a s
n : Ja Ja r a
J as
4. Monitoring, Section 904.3.1 OSSC All valves cortrolling the water supply for
automatic sprinkler systems and all water flaw monioring devices shall be
electrically monitored where the nur_zbe-of mirk IPrN are;
• Twenty or;Wore in group 1, Divisions 1.1 and 1.2 Occupancies.
• One hundred or more in all other occupancies.
5. An approved audible sprinkler flow alarm shall be provided on the exterior ofthe
building in an approved location. Ana roved a•.idible sprinkler pp p ler flow alarm to, alert
the occupants shall be provided in the interior of'the building in a normally occupied
location. 904.3.2 OSSC
Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall
be maintained on the jobsite. The plans shall be available to the Building Division inspectors
throughout all phases of construction. 106.4.2 OSSC
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Trrmsmittal. The letter of transmittal assists the City of
Tigard in tracking and processing the documents.
Respect fully,
l
ian Blaloy c
Senior Plans Examiner
i
z
Tom ' Y rr; ,,d. 1� ;
i
SEE 35MM
ROLL #20
i
OR
OVERSIZED
DOCUM- ENI
,
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-"17i MST _
Received /_ —Date Requested ��Z Z—AM BUP
BLIP
I_GCBtIGn - �lo T' /� � i4 Suite _P C) MEC ����
Contact Person --- OC --2
Ph(— ) ��. ._ ��53 PLM _
Contractor
_ - ------- _ Ph( —) - - _ SWR
Fo
[Foundation
UILDING Tenant/Owner
ting ELC
Oti
ELC
Accesg Drain awl Drains ELR
Slab Inspection Notes:.
Post& Beam SIT
Shear Anchors ---
Ext Sheath/Shear -_-----,---
Int Sheath/Shear
Framing ------ --- - —
Insulation
Drywall Nailing _-..-- ---
Firewall ----
Fire Sprinxler
Fire Alarm -----
Susp'd Ceiling ---------__--- _-_-
Hoon �-- --_ -- - ----
Other:
Final - ---
PASS PART FAIL —
PLUMBIN(3 -
Post&—Be am
Under Slab — —
Rough-In — — --.- --- --- — --- __
Water Service _
Sanitary Sewer — —
Rain Drains
Catch Basin/Manhole
Storm Drain --- —
Shower Pay ---- - __
Other: - - -- -----
Final -
T FAIL - ------ -- —-----— -— -- _
ECHANICA
Rough-In ---- ____.-------- --- --
---
_ ---- —
Gas Line --
Smoke Dampers
PART FAIL
RICAL ---
Service - - _ _--
Rough-In - - ----- - --—
r/Slab
- -- ----
I nw Voltage ----- - - --
Fire Alarm -- --
Final II-�� _-.�_ -- --- ------- ----
_PASS PART FAIL u Reinspec;ion fee of$____--_ _required before next inspection. Pay at City Hall, 13125 SW Hal: Blvd.
❑ Please call for reinspection RE:-----__
Fire Supply Line Unable to inspec+ -no access
ADA Z /)
Approach/Sidewalk [late --_ _1 Inspector__.-_ 7
Other. - __ - - -- - Ext
FinalFAIL DO NOT REMOVE this Inspection record from the Job site.
PASS PART
1
CITY OF Ti IGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received __ __—_Date Requested '_._.____ AM___ _ PM _ BUP
Location suite—_.fir'
MEC
Contact Person — Ph( ) '---42 - PLM —
Contractor--- —------ Ph(-- ) -�lJ G -- SWR
BUILDING Tenant/Owner _--_— _ _--_ ELC
Footing -� ELC
Foundation
Ftg Drain - % ELR -
Crawl Drain
Slab Inspection Notes: S;T
Post&Beam -_�-- `_--.--- ----_.----
Shear Anchors
Ext Sheatn,Shear
',••Gheath/Shear
Framing - -- - - - --- ----
insulation /
Drywall NailingFirewall
Fire Sprinkler �_---------___---
Fire Alarm
Susp'd Ceiling -- --- - ------ ---_
Root
Other: - - -- --�
r
ASS PART FAIL -----___-_- --------- - _._. _- _ -- -- -- -
_PLUMBING ---
Post&Beam ----_ -- ----------
1 Inder Slab ----_--_.- -.-__ _ ---- --------- - --
Rough-In
Water Service -- --------------- -- --- - -
Sanitary Sewer
Rain Drains ----- ----- -- -..--- -
Catch Basin/Manhnie
Storm Drain ----- -- -- --- ----- ------
Shower Pan
Other: --------- -- -------- - -- --- --
Final _.._
PASS PART FAIL
MECHANICAL -- ------------ - ------- —
Post& Beam -�
Rough-In ---- -- -- - - - - --- — --
Gas Line
Smoke Dampers --- - - - -- -- -- --
Final
PASS PART FAIL - - --- - -- --- - - - -
ELECTRICAL
Service
Rough-In
UG/Slab
I.ow Voltage
Fire Alarm
Final l Reinspection fee of$ required before n xt inspec on. Pay at City Hall, 13125 SW Hall Blvd.
PASSPART _FAIL
$IT ❑ Please cEll for reinspection RE: - _ E] unable to inspect-no access
-------------
Fire supply Line
ADA
Approach/Sidewalk Date - InspectorOther-
Final
therFinal DSO NOT REMOVE this lr.-,peg on 4(ecord from the Job site.
PASS PART FAIL
CITY O F T g GA RD PERMIT
DEVELOPMENT SERVICESPERF,'dT#: ELC2002-00147
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE K4.SUED: 4/3/02
SITE ADDRESS: 07650 SW BEVELAND ST 100 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORAI E CENTER ZONING: C-C
BLOCK: LOT : J�IRISDICTION• l IG
Prosect Description: Installation c,f(5) branch circuits for tenant improve nent, lighting and recer6cles.
Job No. 3134
RESIDENTIAL UNI, _ TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 72.1 0 amp: PUMP/IRRIGATION:
L;MITED ENERGY-EACH AD RGY- 201 - 400 amp: SIGN/OUT LINE LTG:
401 - 600 amp:
MA!IF HM/SVC/ FDR: SIGNAL/PANEL:
601+amps - 10no volts: MINOR LABEL (101:
—SERVICE/FEEDER _ _ _ BRANCH CIRCUITS _
_ ADD'I_ INSPECTIONS _
0 - 200 amp: W/SERVICE: OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 snip: EA ADD'L BRNCH CIRC: 4
601 - 1000 amp: IN PLANT:
___PLAN REVIEW SECTION
1000+ amp/volt: >=4 IBES UNITS: > 600 VOLT NOMINAL:
Reconnect oniv: —SVC/FDR >=_?25 AMPS_ CLASS AREA/SPEC UCC
Owner: Contractor:
ST VINCENT MEDICAL FNDN TRUSTE BOONES FERRY ELECTRIC INC
GERLACH, ETHEL E TRUSTEE + PO SOX 628
HUNZIKER, EDWARD R Wll_SONVILI_E, OR 97070
PORTLAND, OR 97225
Phone:
Phone.
Reg#: 6943,1�0S
LIC 88- 32
_ ELE 3-2�-3C
_FEES _ _ Required Inspections
Type By Date Amount Recslpt Rough in
PRM T CTR 4/3107_ $73.45 272002100001Elecl'I Final
5PCT CTR 4/3/02 $5.88 2720020CM
Total $79.33
This Permit is issi ed subject to the regulations contained in the Tigard Munidpal Code,State of OR. Specialty Codes and all other applicable
laws. All work will 'o done in accordance with approved plans. This permit v+ill expire if work is not started within 180 days of issuance, or if
work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-()080. you may obtain copies of these rules or direct questions to
Permit Signature:
Y Issued By: '
--- --- OWNER INSTALLATIGN ONLY
I he installation is being made on property : own wh ch is riot intended for sale, lease, or rent.
1
OWNER'S SIGNATURE:
------------ - -----. DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: r
�.�:4! —T 7 � '���'-- __ ------ — DATE:____
LICENSE NO: � j 1j
Call 639-4175 by 7:00pm for an inspection the next buslwass day
i
Apr---02-02 02 - 17P bocltnaF� rear-ry Qlcctr-ic
P.O1
Electrical Permit Application -
ra
e
4. City of Tigard 1>'1e _iveed: �e.�•
Ferrol:no.:
Address 1312.5 S W Hall 11l v,1, I•Ip lRf,Ot: 9722 i �o�erUappl.no.: — 7`
Crrvn/Ti�urd date:
Phone: (503) 639-4171 nate issued: Il� .
Fax: (503) 598-1960 -- keecipt no.:
Case file no., --
Payment type:
Land use a
pPloval:
U I &2 family dwelling or accessory U t um mcrciaVindustnal
U New construction O AdditiuNalteratiuP !](rl/re Iacemenl U Xil Multi-family )d Tenant Impnlve.mcnt
er:.._ — U Partial
)uhnddit•S%: 76 SO Sti -
LA,t: - B• ' /an�— Bldg.nn.: Sufic na.' Tax nlaptla t lot/accounl no..
Block: Suhthvisiun
Prlljtxl n:n►tc+jp4 [k sc!!L_
o� n iand 10cation of work on prumigco: S
hitin cd dale.of eom llelior✓inao coon: r 2 e
r&
Job no: 3 G
Buitinegif nallle! i?nnnsa Fern Bet Max
Add
ress: p. B65r a 7 Y Nrwrrvkknti.! thtctiplivn qy. (ra) To411 no.ins
�a4'orrrrulti•fatnil�
City: W i l s o ny i l le StatdwellirtK lark.Includanartrcd�,�,
= nr
IP: 9707 ServirebcludpL
Phonc�j B 2 Fux: _ ••mail: 10001ft.or Itis
•C•B no; 8 A 4 8 2 Elec.bus. Uc,nrr; _ Cul h additMnel Sop fi ur p_onion thereof 4
C1 metm lie•.fit).:: in I energy.le-sidenual —
--- Lbniled cues ,non m-nJenuol Z
Each nrarurfnctured home or 1 2
nets of supervltin el ian ufrgT) -- nurlulsrdwellinR
Lrltle Service and/nr feeder
Sup. c name( tint) J i3 r] e r r o License
no. 9ervlea or feetkn-jnal .lbn, — 2
ofterstlen or relocation:
200 amA or Ices
Nanrr(print): 201 ant v to 4W&rnpt 2
Mailingaddress: —` --- --- - ---- 401un,&wtwn.m r — 2
City: 601 to 1000 am s 2
Ga -re ZIP: amps2
Over 1000 amps or volt _
Phunc_�— FAX _ L,;mail: 2
ecannect nal
amps fin stn a
Uwntr rn. aliation:The insta)latirnr is tx.ing made(M property I own n
70 mpury serving N•f n-
which is not intended fur sale.Icase,flent,or exchange according To aatlon,allenTlal,ortelonlba:
ORS 447,495,479,670,701. 200 amp& Iesy
UWnef•5 SI natufe: 201 p --
date: 401 1, 6111)arrtps `� - - 2
-
Rnlnch cis - 2
cults•sew,■Menrlolr,
Name: or extension put Martel:
A. Fee for hranch cirtulls with purch;rae Lf
City• _service or feeder fee,each branch circup
Stale: ZIP; A Fre for branch cirrvita without purrhne
Phone - .���---
Fax )r_n,. ofserviceorfecderfee.firstbranchcircuit
Each Willunal branch cirLvil - Z
Q Service over 227 sm s-mrona:nral 1 .(Senke off reel Inet&Ide11); -
p U HeAth•raturacility Each um orIrrl soon circle
U Scvlu nvn 110umps•rslln¢of I&2 U H,ncardouslasunn 2
hlnulydWelhnis Each si our uutlinc 11{h:inE
O huilding eve, l u,lxl0 square fee,foulnl 5lrnal clrcuir(.)�r a limited energy punrl,
U tiyslcm errs tAa)vnhA numhl;rl nrnle rrxidernlsl units io ars sins Iurc sllernllon.ur catcnslnn•
U Ruillloll:over three satncs U Rarlers.UIO um
U t k•t•ol+nnl Innd neer�Mt rMhh lis w marc •Disco nlun .
ti O Manurarwlctixnm•tures
U I or RV pork
ills s/llktlunk pl vi p Other or additional ins"Itan over the sllowaLle In any of the abort
Submit sets of Piaui"1141111 ANY of The above. .tier mspcctlan
•Ilse Love ass not a Inve
a
— pplkable.ro temporary coaatmellon Wvice.
Nn PII lunW,i lexl&tte a crbinl Fath, ••.- '�-- _
r pkate ern jarivlkrfnn for Mart infamarMn
�tVl�r U MaslelCa,d Noticc 11119 permit appllcaliun •7 PLmlil fee.....................s 3.t},S
�Tr-rvttn cant aumhn exIiines if n iscrrnit is nut ohtained Plan review fat %)
"1111 1110 days alter it hast hien State surchar c(81k
--� t a IMI l' 11 CYRO tt accepted as complete. TOTAL
-- V! r sdfinTfie irn:,are '" -- �- -
44(t-4G 15(frUfMCOM)
1
CITYOF TIGARD BUILDING PERMIT
r DEVELOPMENT SERVICES PERMIT#: BUP2002-00116
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/2/02
SITE ADDRESS: 07650 SW .SEVELAND ST 100 PARCEL: 2S10113D-00100
SUBDIVISION: BEVELAND CCRPORATE CENTER ZONING: C G
BLOCK:— ---- LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: —
TYPE OF USE: COM S• E: W;
SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N sf E: W:
OCCUPANCY GRP: B TOTAL AREA: 00') 5f ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKSREQUiRED
FLOOR LOAD: psf LEFT: ft RGHT: _--ft
—fFIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR:
VALUE: # I t. 'ic' Cc ' PARKING:
Remark,-,: Adding 31 fire sprinkler heads to spec space.
Owner: Contra,-tor: '~—
ST VINCENT MEDICAL FNDN TRUSTE AFP SYSTEMS INC
GERLACH, =THEL E TRUSTEE + 19435,r.W 129TH
HUNZIKER, EDWARD R TUALAI IN, OR 97062
P�PTLAND, OR 97225one: Phone 503-692-9284
Reg # LIC 67534
~-- - FEES ---- _
_ REQUIRED INSPECTIONS
Type By_ Date Amount Receipt Sprir kler Rough-In
5PCT CTR 4/2/02 $5.00 27 00200000
PRMT CTR 4/2/02 $62.50 27,'00200000
PLCK CTR 4/2/02 $25.00 27?.00200000
Total $92.50
This permit permit is issuec' subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applica ale law. All work will be none in accordance with apprcved plans. This permit will expire if work is
not started within 18C days of issuance., or if work is suspended for more then 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by Nie Oregon lhiGty Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR;§,2 2 001-1987 You may obtain a copy of these rules or direct questions to OUNC by
calling (1503)2.46\ 9 or f3 332-2344.
Pe mn it tee �
Signature:
Issued Ely.
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
City Of TigardDate received: Permit no.: ��,,py���
City of7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 I'rolect/appl.no.: date:
Phone: (503)639-4171 Date issued: By:kAReceipt no.:
Fax: (503)595-1960 ,-'7 /
01U b VP Case file no.: Payment type:
Land use approval: l&2 family:Simple Complex:
O 1 &2 family elling or accessory ® ndustrial U M family U New construction U Demolition
®Additio Iteratio placement FB Tenant improveinr-nt 'kl�s rink) alarm U Other:
Job address: S Elm), At ID Bldg.no.: Suite no.
a
Lot; Block: Subdivision: Tax map/tax lot/account.•o.: -
Project:naamc: -r- a —�- —
Description and location of work on fremises/special conditions:__T _ _
Name: .-
_Mailing address: 1&2 fondly dwelling:
City: - State: ZIP: Valuation of work
Phone: ... .
-- .................................... $
]lo 'ax: E-mail: No.of bedrooms/baths................................. --
Owner's representative: Total number c;'floors................................. -
Phone: Fax: T t.nl. New dwelling area(sq, ft.) . ....................... --
EMMU-4 I& Garage/carport area(sq.R.).. ............
.. ----
Name: �- 1 t Covered porch area(sq.ft.) ............. -
.......... ..
Mailing address: LI s Deck area(sq. R.)................... ---
City: State:Q� ZIP: (x, O 'r st cturearea(s .ft.)............ . ._.....
Phone:Co Fax: 11E-mail: ommere!a Indus3rialhnulll-famih:
Valuation of work........................................ 1 G9 IS
UC_Business name: .- Existing bldg.arca(sq,ft.) -C
Address: S SSI I 711 - New bldg.area(sq.ft.)................................
City: r Stifte:tpjj ZIP: 1 Number of stories. .....................................
Phone: `j Fax:(o 7)11 E-mail: Z Type of construction.................................... _
CCB no.: Go-1 -- — Occupancy groups):' ' Existing-
City/metro lic.no.: E Now:
RUMNotice:All contractors and subcontractors a required to he
f licensed with the Oregon Construction Contractors Board under
Name: i� nDp-A � provisions of ORS 701 and may he required to he licensed in the
Address: _ _ jurisdiction where work is being performed. If the applicant is
City: — —� State: ZIP: — exempt from licensing,the following reason applies:
Contact person: Plan no.: ---
Phone: --
Name: It',,nl.tct h _ Fees due u application $ 7
Address: _ _ m Date received:
-
Y State: ZIP: _ Amount received .........................................
Phone: Fax: E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all Jud"ctlons accept credit cardq,please call Jurisdiction for more informmion
attached checklist.All visions f laws and ordinances governing this U Visa U MasterCard
work will he complied ith,whet specified herein or not. Credit card number.— _ 1_L
Authorized si azure: _ Date: - OZ Expires
Name of cardholder a;shown on credit card
Print name: �.��i�� $
Cardholder signature Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete.
440J613 tbtYvf oMi
Fire Protection Permit Check List
A. ❑ New _❑_Additio_n_ Alteration _ ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Flan review required. ---
Number of sprinkler heads:
Additional description of work:
_Type of System Complete A or B asa�licable
- - --- ..
--� Sprinkler Wet W Dry
-----------
Standiems_ _
Additional Hazard_Gro_ up
Information Density
Design Area
K. Factor
-- -- -
Sprinkler Project Valuation: $ �Cc9b.gb
B. Fire Alarm
Submittal shall Battery calculations Yes
include: Individual Component Yes ❑
Cm Sheets
Fim Alarm Project Valuation: $
Project Valuation_Suktotqll LA & 113): $ 1,6M
Permit feebased on valuation see chart . $ C.Z.5-6
8% State Surcharge: $
FLS Plan Review 40% of Permit: $ ZS.ob
—.___ -- ------- —TOTAL: $ IZ.
Sb
iAdsts\forms\FPSchecklist.doc 10/04/00
F
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOCUMFNT
CITYOF TIGARD MECHANICAL PERMIT
�~ DEVELOPMENT SERVICES PERMIT#: MEC2002-001?1
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/28/02
PARCEL: 2S 101 BD-00100
SITE ADDRESS: 07650 SW BEVELAND ST 100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/CrMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP — DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Extend duct work from VAV boxes to diffusers.
Owner: _ _ FEES
ST VINCENT MEDICAL. FNDN TRUSTE Type By Date Amount Receipt
GERLACH, ETHEL E TRUSTEE + PRMT CTR 3/28/02 $72.50 272002000C
HUNZIKER. EDWARD R 5PCT CTR 3/28/02 $5.80 272002000E
PORTLAND, OR 97225
Phone:
Total $78.30
—
Conti-actor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED INSPECTIONS
Mechanical Insp
Phone:538-2953 Fina! Inspection
Reg#:LIC 125815
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit wil' expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obt pies of these rules or direct questio9vo *ng
/��0'A)9AR-01 RQ c
cl
issue By: i 14 J,
Permittee Signature: ' - -r-
Call(503) -4175 by 7:00 P.M. for inspections needed the next business day
,• 03/14/2002 16:34 :AA' 5095981960 CIT1' OF TIGAFD
16002
Al echaWcW-PenWt Application
C�' of •��,'r,;M� �s,>��
u
Address: 13175 SW Halt Blvd,71 PtgjoeVappl.n0. Expire date;
Carv,T nnef llwi.OR 97223
Phone: (3O3)639AI71 Dateisaued: By
Faz: (503)598-19G0 '/v� (�o�a�G'L"t�7 Cars Bb so i aeymenttype:
Land use Vpmval: - -�-- Building pt:rndtno
U 1&2 family dwelling or acces.nry qrommen•iallindustria) U Multi-family ;%Trnant improvenKnt
(] few rtrtstn►cdcxi r Addifion/alteratiun/repla(rment l)Other.
lobes' T— Indicate equipment quntrue,in Irtxcs below Indicate the dollar
81d`_n�,: Suite ao-; !" " - avaltr of all mechawcal rnatenals,equipment.lat»x,Overhead,
Taut map/rax IW&ccotmt no.: - profit. Value$ i3 1_
lit Blodr SuAdivisioa: _ '77-
See checklist for important xpplreation information and
Aaject name: , jurisdiction's he w midule for residantial perm it rte_
-OVI : 7'-1 r ZIP a
[)rac6pti0e sad of on
Etat.41111"Of oompl P:Mre+; i oW 1
t rodinti�eetlon: .---.--!!OM __ "rT Ree.only Res
recant irnpnt.rr tem ar dta�e of aye:
Is existing space hera.d or corditioried'r 0 Yes Ia No Air hadlnft,mi; , CFM
Is wtistinS a! tnsulitted1®Yes ❑No `--""'1101_00_� °p K9 )
Altc:arson or exutisrr y AC system - _---�
Bte� �- Stall he11v pertnh no T ATU/N I
UP _
"r amoka tldrxt smoke
City: Sate «- ZIP �' t t (rise as�re uitrd) -
n1O 53 Fax F.rnail: —rota l%wiEe�ia�va
� - 1 (� raeludingdwivees tventliner OYtnONo
R[ /n Vori HE no.: — mT dal[�faoeir.�ocaCe�tvs-sv>per��ei"
L — wall.Of floor mourned
f�atase tplt e r bent Ica iaocs otherfttrasot: -
None. Aliemptiee uniu _ STU/"
t?tilaras HP
10, --
CityStater AN _
Fart: �: .Appliance
- liancevent
• �' rrir�
H--6&.Type�aTiec6Nbf lare -
N - / hod fhe suPPM11im Willem
Fatn
_:_f,Lj�;x'•� �,,p`� � ao:t fan V46 single duct(bath rasa)
_ i�hauar sraarra -ar AL'
E71. State: c,- ZIP `j �i7w up le a ou
l'`osre: x- Faesil T Pc LPC NG _ _moil
PWMB " vet i outiea
ac
tante: _ Nuteba of outlets
Attidtrssy_,__
cy9_ . - T-- 1 -
zQ' m- PM: �_
MMtslgmtwe: —
s� --
ue ti}nt.neti,-+e r�r sail ash ptrw�Jaryr+ip M t.l�,.ri� — _— --Nome(print);
Plemdt for
iAvi" (3mkvmr and I Notioe:71.i3 OC'Mit application _
Lra/r sad arMaaIT ifs pteatit in snt obtainfA Minimum fee................$
wiarin 180 days alka it baa bene Plan review(n _ %) $
a eomplt�. Stw,"Mho R'e(1%)...._ -
�' - --R .......................5
:a.an tan,utoorp
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00100
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/25/02
SITE ADDRESS: 07650 SW BEVELAND ST 100 PARCEL' 25101 BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: 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:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: CTnER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER C L 0—10'-: WATER 1 ,NF: ft
DISHWASHERS: RAIN GRAIN: ft
Remarks: Install 1 breakroom sink �r–
Owner: _ I— FEES_-- _
ST VINCENT MEDICAL FNDN TRUSTE Type By Date Amount Receipt
GERLACH, ETHEL E TRUSTEE i. PRMT CTR 3/25/02 $72.50 27200200000
HONZIKER, EDWARD R 5PCT CTR 3/25/02 $5.80 27200200000
PORTLAND, OR 97225 Total $78.30
Phon(a 1:
Contractor:
DP PLUMBING
904 S. CHEHALEM
NEWBERG, OR 97132
REQUIRED INSPEC'rIONS
Phone 1: Rough in Insp
Reg#: PLM 110612 Final Insper.tion
LIC 36-70PB
This permit is issued sLhject to the regulations contained in the Tigard Municipal Code, State of OR.
c:pecialty Codes and al: other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuan(,e, or if work is suspended for more
than 130 days. ATTENTION: Oregon law requires you to follow rules adopted by the Orcgon Utility
Notification Center. Those rules -!re set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies !)f these rules of direct qu�siiuns to OUNC by calling (5031 -1987.
A
Issued By:
Permit.ee Signature /
Call (503; 639-4175 by 7:00 P.M. for an inspection needet),.triene b-u ness day
Ct cl{Z caC'j
Plumbing Permit Application
�Date!Teceived::: � � 9,1 Pern+it no.-7P1j I a
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard.OR '77223
CityojTigard phone: (503) 639-4171 r Project/appl.no.: Expire date:
G – r--–
Fax: (503) 598-1960 at�0� Date issued: Hyl i'. Receiptno.:
Land use approval• I Cas;file lip.. I payuu:u+iypc:
Sim
U 1 &2 f unily dwelling or accessory- .AJ Coni cial/industrial O Multi-family U Tenant improvement
❑New construction U Adcl' +tn/alteratior..Oepi.,cemcnt U Food service U Odic r:
IE(�j special lnfor�
Job address: //� /y' �..1` L,si Drscriptlon -- Ot . Fec(ea.) 'Total
JILJ ' yam- �_
Bldg.no.: Suite na.: pL, — New I-and 2-family dwelling.-only:
Tax ma — (Includcs100ft.for each utility couuection)
map/tax SFR(1)hath
Lot: Block: Subdivision: _ SFR(2)bath _
Project name: — -) J G_'T L _ SFR(3)bath
City/county: ZIP: Each additional bath/kitchen
Description zind location of work on premises: _ Slieutilities:
Catch basin/area drain
Est.date of completion/inspection— -- �— — Drywells/leach line/trench drain — —
Fcoting drain(no.lin.ft.)
Manufactured home utilities
Business name: Manholes — -- —
Address: 9e)q S. C +{,4r�n� _ Rain drain connector
City_ti E !R - State: O QrIP: 1?�13,Z Sanitary sewer(no.lin.ft.)
Phone:537-91719E Fax: E-mail: Storm sewer(no.lin.ft.)
CCB no.: Ile Plumb,bus.reg.neL I37
- 0 if 3 Nater service(no.lin.ft.)
City/met�n T l:iture or New:
lie.no.: �/t Absorption valve
Contractor's representative. signature: / _ -
�r1,Lc - Back flow pn•venter
Print name: ,-y",W aT F Date: ; ;25 '<_ Backwater valve —
Basins/lavatory
Nlutli Clothes washer _
Adress: _ – -- Dishwasher
A]
Drinking fountain(s) _
Cit"': =iatc: IF Ejectorstsump _
Phone: Fax: E-mail: Expansion tank
Fixture/sewer cap
Name(print): Floor drains/floor sinks/hub —
Mailing address: Garbage disposal
Hostbibb
City: _ _ State:_ Z1P: Ice maker
Phone: Fax: E-mail: Interco for/grease 'rap
Owner installation/residential maintenance only: The actual installation Primer(s) _
will be made by me or the maintenance and repair made by my regular Root drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s), lays(s)
Cwner's •io aturu. Date: Sump
Tubs/shower/shower pan
Urinal
Name:_ _ _ _ Water closet
Address: _ _ Water heater
City: State: 7_1P: - Other: — -- — _--
Phone: Fac Email: Total
Na all junidictiau accept credit cards,please call iuriuktion far mme infomutiixpP Minimum fee................$ 7oZ j U
Notice: Elms rnul application
UVisn U MaxtriCard expires if a pemsit is not obtained Plan review(a( _— %). $ �
Credit cad number:-- has been----I L_ within 180 days after it hbeen State surcharge(8%)....$ _
r:xpirea TOTA.T $
---- eccepteda_scomplete - ••••�•'••••••�•�•••••••
Nurse d crfior—Ger N�+�!m on nodi+crd
S +
--� Cardholder sipiawe Amount 4ID1616(6900CAM)
PLUMBING PERMIT FEES:
PRICE TOTAL flew 1 and Pamlly dwellings only:
FIXTURES individual) QTY, (ea)_ AMOUNT (Includes a!!dumbing fixtures In PRICE TOTAL
Sink �� 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
16.60 for each utility connection)_
Lavatory One(1)bth
a _.-_ $249.20
Tub o•Tub/Shower Comb. 16.60 Two 2)batt- _ $350.00
�_---
Shower Only 16.60 Three 3 bat:t $399.00_ _ - T - --
Water Closet SUBTOTAL __-
i 16.60 _ 8%STATE SURCHARGE
kc�-a-rbag.
16.60 PIAN REVIEW 25%OF SUBTOTALov -' ---- _TOTALIb Disposal -� ---- -------- __- -- -
Laundry Trey 16.60
Washing Machine - 1660
Floor DfaI RF in,-or Sink 2" 16.60
3„ 10.60 - PLEASE COMPLETE:
4" 16.60 --
Quantib�4 Work Performed
Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/
Gas piping requires a separate mechanical Capped
MFG Home New Water Service 46.40 Sink ----
46.40 I..avatory -
[iHTo-s-e
FG Home New San/Storm Sewer _-. Tub or Tub/Shower
Bibs 16.60 Combination
oof Drains 16.60 Shower Ong
rinking Fountain 16.60 Water ClosetUrinal
ther Rxlures(Specify) -16.60 _ Dishwasher _--
---� Garber a Disposal_ _---
--
Laundry Room Tri -
_
Washinq Machine -
__ Floor DrainiSink: 2"
1st 100' -- 55.00 _ 3" _- - -
Sewer-each additional 100' 46.40 4" - -
Water Service-tst 100' 5500 Water Heater
Other Fixtures
46.40 -�
Water Seiv r�e-each additional 200' -
Storm R Rain Drain-1st 100' - - 55.00 _-- --I
Storm 8 Rain Drain-each additional 100' 46.40 --- - -
Commercial Back Flow Prevention Device 46.40
Residential Backilow Prevuntiar Device' - 27.55
Catch Basin -- 16.60 -
Ingpeot1nr,W V0,11na Plumbino or S socially 62.50
Requested Ins eclions erlhr _ COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25 --
Grease Traps �------- .-. -16.60 ----------------- � -
QUANTITY TOTAL -
Isornetrlc or riser diagram Is required if
QuanfAjTotal Is,>9 --
'SUBT*SUBTOTAL _
OTAL -------- ___
8%STATE SURCHARGE -- ^----- -
*"PLAN REVIEW 25%OF SU6T�'TAL
Required only If fixture qty total h>9 _
TOTAL S
"Minimum permit fes Is$72.50+8%state surcharge,except Residential Pdckflo
Prevention Device.which Is$3825+a%slate surcharge
ASMI New Commercial Buildings require?sets of plans with Isometric or:?or
diagram for pion review.
i:1dstsVormslplrn-fees.doc 12/26/01
i
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00129
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/25/02
SITE ADDRESS; 076::0 SW BEVELAND ST 100 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C G
BLOCK: , LOT:
JURISDICTION: TIG _
TENANT NAME: SPEC SPACE
USA NO: FIXTURE UNITS: 2
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Owner:
Remarks: .1 EDU increase: Added fixture value = 2, for a current tot9I of 155 fixtures, for a total of 9.7 EDU's.
_
ST VINCENT MEDICAL FNDN TRUSTE i "FES
GERLACH, ETHEI_ E TRUSTEE + Type By Data Amount Receipt
HUNZIKER, EDWARD R PRMT CTR 3/25/02 $230.00 27200200000
PORTLAND, OR 97225 -- - — _
Phone: Tatal $230.00
Contractor:
Phone:
Reg#:
— Required Inspections
This Applicant agrees to comply with a!I the rales and regulations of the Unified Sewage Agency The permit expires
1110 days from the date issued. The total amount pard will be forfeited if the pennit 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 giveli If not so located, the installer shall purchase a"Tap and
Side Sewer Permit and the Agency will install a la,eral ATTE=NTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those r.;les are set forth in OAR 952 001-0010 through OAR 952-001-0080
You may obtain. copies of these rules or direct qup;tiol s to OUNC by calling (503) 246-1987
Issued by: � 117 /�. _ Permittee Signature:
Call (503) 639-41 5 by 7:C^, V.* for an inspection needed the next business day
Accumidative Sewer Tally
Tena,-J Name: Spec Space This SWRh 2002-00129
Site Address- 7F M SW Beveland Ste. 100 This 'LM# '4002-00100
Fixture Value Previous Previous Credits Capped Fixture Fixture Neva New
At value capped off value added added total total
_ count off#s count # �alue #3 values
B:.Mise /Font — 4 0 0 0 0 �0
Bath-Tub/Shower 4 0 0 U 0 0
-Jacuzzi/Whirl pool 4 0 0 0 0 _ 0
Car Wash- Each Stall 6 0 0 0 0 0
-Drive through 16_ — i _ 0 _ 0 _______O 0
Cuspidor/Water Aspirator 1 0 — 0_ 0 0 0 -
Dishwasher-Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0_ 0 0 0
Eye Wash 1 — -- 0 0 0 0 _ 0
Floor Drain/Sink-2 inch 2 0 0 0 0 0
3 inch 5 0 0 0 0 0
4 inch 6 _ 0 0 _ _ U 0 0
_ Car Wash Drn 6 0 0 0 0 U
Garbage Dispo,,,al
Domestic(to 3/4 HP) 16 0 _ _ 0 0 0 0
Commercial(to 5 HP) 37_ ( 0 0 0 0
_ industrial(over 5 HP) ^48 0 0 -_ 0 0 0--
Ice
__Ice Machine/Refrigerator Drain 1 _- U 0 _ 0 0 0
OSep(Gas Station) 6 — 0 _ 0 0 0 _ 0 ---
Rec.Vehicle Dump station 16 0 _0 _ 0 0 0
Shower_Gang (per head) 1 _ 0 0 0 0 0
_ -Stall _ 2 0 0 0 _ 0 0 _-
Sink- Bar'Lavatory 2 0 _ 0 _ 1� 2 —1 -2- -
Bradley
- -_Bradley — 5 _ 0 0 0 0 0
Commercial 30 0 0 0 _0
Service 3 0 0 _ 0 0 0
Swimming Pool Filter 1 - 0 0 0 0_ 0
Washer-Clothes 6 _ 0 _ 0 0 0 0
Water Extractor _ 6 0 0 0 0 0__
Water Closet-Toilet _ 6 0 - U __O 0 - 0 _-
_Urinal 6 --_! _ 0 0 _ 00 0
Previous EDU Count 9.6 153.6 153.6
Capped EDU Credit 0
1OTALS 1 0 1 153.6 1 0 1 0 1 ? 1 1 155.6
Current Fixture Value 155.6 divided by 16= _ 9.7_Current ECU 1 EDU = $2,300 00
Previous Fixture Value 153.6 _ divided by 16 = _9.6 Previous EDU
Change 2 divided by 16 = 0.1 over (under) $ 230.00
FWier EDU Change HF,re 0.1
HISTORY
Notes _ _PLM# 20111.00647 EDU4 9.6 _SWRil X001-00320
PlM# 2001-00182 _ EDU# 9SWR# 2001-00159
_ �- ---- -- PLM# 2000-00326 F_JUt+ 7 SWR# 2000-00284
Name: s ��z t /�/ � Date:3-';t, 7to. .�_
Sipnaturr of person that calculated this tally shece and date nerfromed Is required
u ii-Y OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION IVISI N Business Line: (503)639-4171
Received —Date Requested AM PM 1�--- BUP
Location .-.. Suite_ �- - MEC -_
Contact Person _. _-- --- Ph( ) _-_-- _- PLM — —
Contractor Ph(---) ----- SWR --------
-BU QIN Tenant/Owner _--._
- -- -- --..--- ELC ----- -----
1i ---- �.—v ELC -
Foundation Access:
Ffg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam ------ -- ---- - - ---e
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear /
Framing --
Insulation
Drywall Nailing
Firewall
ire Alarm -,��— - --�
Susp'd Ceiling ------ - -
Roof
Otho :------ --- - - ------- -- --._..�
�inal
PART
Post& Beam C
Under Slab - -- - -- - -
Rough-In
Water Service ---- ------- --
Sani'ary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:-_- ------
Final
PASS PART FAIL
MECHANICAL -_-- --. - - -- ---- --�/ -
Post& Beam
Rough-In - -- -- ----- -- ... ------<._ - - -
Gas Line
Smoke Dampers ---- __ - - - - - - - ----
Final
PASS PART FAIL --- --
ELECTRICAL
Service
Rough-In ---
UG/flab
Lc w Vnitage ---------- - - -
Firr. Alarm T
Final n Reinspection fee of$__ - -_ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL
SITE- �� Please call for reinspection HE:_- Unable to inspect-no access
---- --
Fere Supply'_ineADA
Approach/Sidewalk
onto� �- � 1 11"Ap"cExt
to� _ � _. 1 � --- - -
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF P aARD 24-F.,our
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4,171 MST
v
Received _ Date Requested Lt AM_— _-__ pM BUPFIUN
Location -�`�' `'��� �).-�.1��. ----- -- —
--- _ Suite_ /v0 MEG
Contact Person —-- --
--_— Ph(--- ---) ----- PLM
Contractor �, rr /��� -
- - ---- --- Ph( ) �1-�� SWR
BUILDING Tenant/Owner ____
Footing -_ - - - ----- ELC ,f-vim Z QCJ
Foundation -- ELC
Ftg Drain Access:
Crawl Dmin _ ELH
Slab insr@'tion Notes;- - -�-
Post&Bearn SIT
Shear Anchors - --..------ -- - --- ------ --
Ext Sheath/Shear -
Int Sheath/Shear
Framing ---
Insulation
Drywall Nailing —
Firewall
Fire"prinkler
Fire Alarm '� - --- -- ---- -__ _
Susp'd Ceiling
Roof DO
A4�5n
LL�-
Other: - - - - - � r&I -K�Vq(L (/
Final �---------
PASS PART FAIL -- - ---
PL_U_MBIN_G - --
Post& Beam-_ -- --------- ---- _
Under Slab _Rough--In
Water Service
Sanitary Sewer -
Rain Drain,
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -- ------- --_-- ---- --
Final
PASS PART FAIL -�-- ---- - --- -- --___
MECHANICAL --
Post& Beam --- - -- ---- -------
Rough-In
Gas Line -. -- - - - - --------
Smoke Dampers
Final - --- --- -
PASS PART FAIL ----------�-__
ELECTRICAL ---
Service -------- - ------------------
Rough-In
UG/Slab ------___ ---- ----- - -- --
Low Voltage -- - --
FUa Alarm - -- ---- -- --- ------ -- - ---
PART FAIL Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
S1TE - Pleas call for reinspection RE:_
Fire Supply Line -- -------- L � Unable to inspect-no access
ADA � f
(
Approach/Sidewalk Det® ._ b �J__
Other:- -- Inspector '- �1- Ext -
Final DO NOT REMOVE this Inspection record a�
PASS PART FAIL ine,Ob site.
CITY OF'r!-ARE► 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECT TIOIf DIVISION Business Line: (503)639-4171 MST
�tA4 P
�r . �I L BLIP
Received _Date Fequested— 7�`-`/-�� AM-----__ PM B
Location _--. BLIP
_Suite�U�`--_ MEC
Contact Person _ — _ Ph r PLM
Contractor — Ph( ) _
SWR
BUILDINGa ___ TenanUOwner -
Footing ELC
[Foundation
Ftg Drain Access: ELC -,
Crawl Drain ELR
Slab Inspection Notes: _
Post& Beam SIT
Shear Anchors - - -�
Ext Sheath/SI .,ar
Int'Sheath/Shear
Framing -
- - - --
Insulation - - - -
Drywall Nailing --_-----
-_ - - .--.
irowall - --
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling ---
Roof - -
Other: - l
Final ^_
PASS_ PART AIL -- �- -- - _
PLUMOIgp „—
___- ----
Post d. Beam -----
Under Slab
Rough-In -r - - --
Water Service _
Sanitary Sewer
Rain Drains _
Catch Basin/Manhole
Storm Drain -
Shower Pan _
PART FAIL —-- - _
_CHANICAL
Post& Seam -- - _ --- -
Rough-In - ----
Gas Line - -
Smoke Dampers
Final - - - --
PASS PART FAIL -- ---- -
-
- -
ELEC--TRICAL - - - --------- -
Service -- -- ---- —. _ - -- - -
-
Hough-In
UG/Slab — —-- _
Low Voltage
- _-
Fire Alarm
Final
--
incl
PASS -PART FAIL �� Hernspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
SITE _ � � Please call for reinspection HE:__—___ __�_-_--,w--_,
Fire Supply Line ___ �� Unable to Inspect-no access
ADA
Approach/Sidewalk Daus -L- __� Irnspector
Other:---- _ - "- _-_ -__ Ext -
Final
�� DO NOT REMOVE this Inspection record from the Joh site. ,
PASS PART FAIL
1rI ITY OF TIG,ARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2003-00110
'may_ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/8/03
PARCEL: 2S101BD-00100
ZONING: C-G
.JURISDICTION: TIG
SITE ADDRESS: 07650 SW BEVELAND 3T 100
SUBDIVISIONS BEVELAND CORPORATE CENTER
BLOCK: LOT:
CLASS OF WORK: ALT — ----
TYPF OF USE: CON
TYPE OF CONSTR: 5-1HR
OCCUPANCY GRP: B
OCCUPANCY LOAD: 35
TENANT NAME: 7M RIPPEY
REMARKS: Tenant improver—nt
Owner:
PACIFIC NW PROPERTIES
9650 SW ALIEN BLVD STE 115
BEAVERTON, OR 97005
Phone: 503-626-3500
Contractor: 503-244-0552
- 103- A--6 1Z
C SCHIEWE& ASSOCIATES INC
1024 NE DAMS ST
PORTLAND, OR 97232
Phone: 503-244-0552
503-244-0417
RPg#: FAC'-234-.ONllTl5
This Certificate issued 519102 grants occupancy of the above referenced
buildinn or portion thereof and confirms that the building has been inspected for
Compliance with the State of Oregor. Specialty Godes for the group, occupancy,
an rise)urjder which�,411e,referenced pe.--ii i ed
BUFLD!WG
BUIL OFFI IAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
Received �-
Date Requested_—___— —_ AM —_- PM
Location -.__......... _Ll��� MEC ---- —
Contact Person Ph( ) _ 3 �(�- y�(03 4921) —'a—
Contractor
921) —'L"Ccntractor _ Ph( -_) ------___-- _. SWR _
BUILDING Tenant/0wner ._ _ __--_ — ELC
Footing -
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain ----------
Slab Inspection Notes: SIT _
Post& Beam
Shear Anchors _
Ext Sheath/Shear _
Int Sheath/Shear ---------- -
Framing _--_--
Insulation -- -
Di ywall Nailing -- -- - ------------- Y- __ -----
Firewall ---
Fire Sprinkler
Fire Alarm -
Susp'd Ceiling ---- --.-__ ----- --._ _ -_
hoot
PASS PART -
FAIL ---- -— ---- ---__
PL
Under Slab
Rough-In ----- ----- -- — __... _--__
Water Service _
Sanitary Sewer — — -----
Rain Drains
Catch Basin!Manhole —
Storm Drain -- ----- -- -- --- -- ---- ------- ---
Shower Pan
00jgr --- -- -- - --- _ --- -— ----- _ ----
�Fift:t
S PART FAIL --
MECHANICAL
Post& Beam — - -- --^------------
Rough-In
Cas Line ------ - - ----- ---- --- ----
Smoke Dampers -- - -- - - --- ---
Final - -- -- --_--.-----------
PASS PART FAIL - --- - -
ELECTRICAL - ----- -- ------ -----
Ser�ice - ----- ------- - ------ --- ----
Rough-In
GiSlab - ----
Low Voltage i
Fire Alarm ----------
Final Reinspe.tion fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL.
SITE P Please call for reinspection RE: _ Unable to inspect- no access
i Fire Supply Line Q I
ADA i S- t9 t1- / � •�'W
Approach/Sidewalk pate -- 1 ll 1161APectot
---'--�----- -_Ext --- _
Other:
Final D-7 NOT REMOVE this Inspection record frorn the Job site.
PASS PART FAIL
1
ar....w.rrw.w�aw.=" .,:.:z. -... ..;wnm ".."_-Y.riYlo�+i.�uesnwur5.uu¢+IWMllil ".". _-..." '...'.:.•..
wA.an
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT M BUP2002-00042
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/12/2002
PARCEL: 2S101 BD-00100
ZONING: C-G
JURISDICTION: TIG
SITE ADDRESS: 07650 SW BEVEI_AND ST 100
SUBDIVISION: BEVELAND CORPORATE CENTER
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 3N
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: 5PEC SPACE
REMARKS: Mincr tenant improvement. Install coffee bar& complete ceiling grid
Owner:
PACIFIC NW PROPERTIES
9665 SW ALLEN #115
BEAVERTON OR 97005
Phone:
Contractor:
C SCHIEWE+ASSOCIATES
1024 NE DAMS
PORTLAND, OR 97232
Phone: 234-6617
Reg#: LIC 54105
This Certificate issued 5/3/2002 grants occupancy of the a:,ove referenced building or
Parti ereof and confirms that the building has been inspected for compliance with the
Sta of O egon Specialty Codes for the group, occupancy, and 4se under which the
refe encs plergtit was issued.
I'UG SPi CTOR BUILDINGID
POST IN CONSPICUOUS PLACE
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00149
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/18/03
SITE ADDRESS: 07650 SW BEVELAND ST 100 PARCEL: 25101 BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: 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:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: 1 RAIN DRAIN: ft
Remarks: Relocate (1)dishwasher and (1) sink.
t_ _ _�----�
Owner: - — — FEES
Description Date Amount
PACIFIC NW PROPERTIES
0650 SW ALLEN BLVD STE 115 1111 1 N1111 Permit fee 4/18/03 $7250
BEAVE RTON, OR 97005 11 A\I X State'fax 4/18/03 $5.80
Total $78.30
Phone : 503-626-3500
Contractor:
MP (MILWAUKIE) PLUMBING CO
P O BOX 393
CLACKAMAS, OR 970'15
REQUIRED INSPECTIONS
Phone : Rough-in Insp --- ------ - -------
Final Inspection
Reg #: i.l(' 5002
P`_,M 3-17PB
This permit is issued -jbject 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 st. spended for more
than 180 days. ATTENTION: Oregon !aw requires you to follow rules adopted by the Oragon UtJty
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By PermiL!ep Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the neat business day
APP-14-03 08:10AM FROM-MP Plllw I;u 503665172E T-099 P 02/02 F-171
Plumbing per
' Datarecalvnd: fs �?', Prrmitn�t iIlJ�i ,�
City of Tigard
Sewer permit no.: Building pernik no.
Address: 13125 SW Hall Blvd,4'faltri,OR 97223 --
MY 0,9l14rd Phone: (503) 639-4171 Prc Jcctfappl.no. expire date:
FAX. (503) 598-1960 DatcIssued;no.: PaymBy: Receipt no.;
Land use approval: ent type:
Case file J
U I k 2 family dwelling or accessvrymin t0al/indu-ctrial Cl Multi-family enant improvement
Ll Nov construction VA"dditit,n/alteration/replacerr"nt Cl Food setvi,.e ❑Other' _
Job adtlrram: Total
�ldg.no.: _ Suite no.: /-
New I-And 2-fw*:+:y tiweilin s only:
ax
- .^�- --— (lr4-1dw 100 ft.for eatrb atlliry cvnaoctlnn)
mout lot/accoum no.:
SFR(I)bath
Alock - _ Subdivision: _w_ �SFR j beth —
ect name: C r3) aW - --
__�___
ty/cnunry- ZIP: t ,•r�,3 Each,tddldonal ba schen
of work on pret ar6: __ Ca ch basial - —
f �f Catch basso/area dtnin
t,date of cr mpledunrnspection: 06g Drywella/leach line/trench drain
Ftxang rain(no. in. ) _
uaineme Rum. nufactured home utilities
� � �--- --------- —
Mrurho _
Add ress: _ gh
dit rs
connecto
State: ZIP: Sanitary sewer no.lin.
Phone: _ Fax: $-mail: Storm-sewer no.tin.h.
CLB n_o.: Plumb.bum.reg.no: Water service no.Un.ft
city/metro lie no.: Fitxtwe or Iters:
erttractot's re res;utative signature: — Absootion valve N 1'
aB ck flow preventer --��
t name + O'tt •� Backwater valve _ -
° 8aniasAavatory _ i
Name:/ C othes washer ---
.__L_—_1�a� ..._ . _- ---- . shwas er
Addmu: _ ,
----- - Drin Ing ountain s
City: Stat ;IP: �—--
I----- _._.._._ _�actot�alsttm
Phoae: Fax &mail: tank
llztu sewer cap '
Pismo(,►iat)�
Floor drairalfloor sinkAub
rllailing
address- —� — Garbage di sal M
(.tty� - rrState: �Ip. Home bibb
� cc maser
Phone. —_1Fa_x:_ _ £ mail: temepWr/ ase
downer installation/reside u»I maintenance only: The actual installation Primtr(s)
will be..made.by me or the maintenance and repair tnaf le by my regular oo c saln(cor:uncrcial) _
employee or.flit pmpetty I own as per ORS Chapter,47.
Owner's signature: Dim, _— _ Sump _
40 Ohl I u s ower/ ower,Pam
Name: �1 -
--- —- ares closet
Addms: --
__ �_ _._ __. air • :di
—
Phone: fax: - xil: of
Tr
a*u imiynlr,tao�.ostw caetfit ,aa,pts mi�urie'eicrtnn rar tww rmuTai' M awdollainmm fes................$
Notice:if&Permipennt
i appllcWain Fl review(at ___ %) S _
Vlts 7lvfun:rt'bre expires if a poiesis 1,sot Wainer! ,
width 180 days after it has been Std durohtuge(896)....$ J2 ¢
Nome or &f M.'hn�ft en[rtE7c r_.;r .--- acompted an oomplete. TQT.AL .......................$
S
Am WN
4404616(MICGM)
CITY OF TIGARD ELECTRICAL PE.<M1T
PERMIT#: ELC2003-00216
DEVELOPMENT SERVICES DATE ISSUED: 4/16/03
13125 SW Hail Blvd.,Yloard, OR 97223 (503) 639-4171 PARCEL: 2S101b0-00100
SITE ADDRESS: 07650 SW BEVEL.AND ST 100 ZONING: C-G
SUBDIVISION: BEVF_LAND CORPORATE CENTER
BLOCK: LOT : JURISDICTrON: TIG
Project Description: Tenant Improvemert
_ RESIDEN1iAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: —� 0 - 200 amp: PUMPIIRPIGATION:
FACH AUD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 40'1 - 600 amp: SIGNAL./PANEL:
MANF HMI SVC/FDR: 60!iamps - 1000 volts: MINOR LABEL. (10):
SERVICE/cEEDER _ _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: — W/SERVICE OR FEEDER: v F ER INSPECTION.
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'►.BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=
04/11/2003 U9:42i 5032332963 BACHOFNER ELECTRIC PAGE 01
Electrical Pern itApplication
Duc retched: Pemt no.:
City of Tigard1- t �jew,pp1.no.. - Expirc daft:
CiryojTraard Address: 13125 WNW Bl0d,ftga(Rdl,OR 97223 Dateinued By: pt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 �fac no.: _ p+ymnt tape:
Land use approval:
;(UNLew
o 2 family dwelling or arcessory U CommerciaUindusttial U Multi-itmily U Tenant improvement
onturucticm U Additiowalteration/mplac ement U Chhcr. ___— U Partial
s: 7050 SW 1IEVELANO _ Bldg.no.: Suits no.: Tax map/tax lot/account no.:
Lot: _ Block: Subdivision:
Pro t name: T_M- RIP-EY Description and location of work on premises: TENANT IMP. --
Bulmatod date of oom etleMl/1==
•
7trA Tao: _ 0741
Business name: jj"- -- Tani
Addimas: g SE _ y"' or tr
4rvr.�as+if.7.c1aMe atkeclyd heap.
City! RNMAMState ?IP: seavlataekettet
Phone:�r�,�} f TPaX: B(nail:—� I'J00 IS.n.or less 4
CCB no.: Eloc,bus-lice no: Bach additional 500 eq.ti or portion tlsereor
UrNmdss:m ,triidaetld 2
City tro lic.no.: II 'y- Limltedrway,nrn-eeeid.ntial - 2
Lech mmuW.urtd horse or nndulr dwelling
llikgm of a U Dae service ardlor feeder 2
aNrs same �. Ucar+•.enu 1 artee�ers-YNpUtade.,
aMaarlea er relee�ttea►:
200 w .ales. 2
Name ot). 201 imps w 400 n ps 2
MaWag address: -- — 401 Saye eo t+W argr+
--- -- 601 w 1000 W" 2
City: -� _.�3We: ZIP: ovQ 1 ar folio
Pfivae: I&mid: 1
Owner Inswistia.l:Rie-instaqation is being made on property I own rauporary marvien erR•.4M-
which is not intratded for sde6 lease,cent,or exchange accr riling to t°"�al'er"ge.r'r"lo'�as
ORS W.455.479,670,701 h zoo on"at len 2
201 wVs to 400 est 2
Ownea's ai .ttro: Dmc: 401 to -- 2
NIMMM� arm"drew"-new,alts- '•a,
er eactenslee Per p+ak
A. Fee to bmmcb chwAft w1\.rwckc of
Addtean: -_� Service Or feeder each bmach edsait 2
B. fbttKsnch •:x
Agne: �
State 6-ttlallZ� or eervia or hetlar hs,Arai brr •,r"'•+oirealL' �(o 2
lid I tt1N1 ractci tires�t:
a Snvko ever 221 amps VNES" U fiaitA-coe tadlN.y So&pow at itrig tusk 2
Q livvice over 320 amps-raring of 102 U Natardocr ICZWkn Baca+ ar"Wee li • 2
hm*r d-d ttp U Buildiop am 10,000 paw bo fbra rx SIPW cimait(s)or aSmiled enerp pmd,
D Syme over 600 voles nomine rare moklmaal mita is ane structure alb ooft,ar examabne 2
U Rdldlag over Iktvt slnria U Facies,400 grope or nyx • m
U Orcupaa kid over"pemm U M,vwfYcaued atnWW"r RV parkR!M torris my sedle
atsera
d 6pmAightbyplsa U u,.`-r. Par -1--.—�-.•-_
Siollt 0c phm*a-wy*fee.rra...
no Sieve an tact me"to wte'.nq esrral an MOM—
net rlrsi&*M~mea h'FhM Mn 1 1, lbs acaa Iderrwae Nodne:This parmil application Permit fee.....................$
0 Vim U MaterCrd expire.If a permit is nes Obtained Plan review(u — %) f _
a.&card dam:- — _ _ within 180 days after it has toren state surcharge(8%) ...-S
ewe r accepted as compljte. TOTAL ....... .............S
s
C r l 4"1 I�
bells r In PA I
t"'I TY OF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00193
13125 SW Hall Blvd., Tigard, OR 97213 (503) 639-4171 DATE ISSUED: 4/15/03
SITE ADDRESS: 07650 SW BE\/ELAND ST 100 PARCEL: 2S101FD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER
BLOCK: ZONING: C-G
LOT: JURISDICTI,)N: TIG
CLASS OF WORK: ALTFLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: ?0 -50 :P: REPAIR UNITS:
GAS PRESSURE: 50 + Hp; WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: 11VAC. Relocate ceiling dillsers, return ducts per attached plans. Value: $3507,00
Owner:
v
[De (Ascription
FEESPACIFIC NW PROPERTIES Date9650 SW ALLEN BLVD STE 115 Amount
BEAVF_RTON, OR 97005 EI] Perno I•ce 4/15/03 $7250
X] 8%StatcTax 4/15/03 $5.80
Phone: 503-626-3500
MEC I-N) flan Re% 4/15/03 $18.30
-
Contractor: __Total $96.60_
AMERICAN yEATING INC
"1239 SE GIDEON
:ATE 1
P,'1RTI-AND, OR 97202 REQUIRED INSPECTIONS
Phone: 239-4600 Mechanical Insp
Duct Inspection
Reg #• LIC 33135 Final Inspecticn
This permit is issued subje-t 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 952-001-001(ythrough OAR
952_-001-0100. You may obtain copies of these rules or direct questigr}�Xto OUNC by calling
(503)246-669 x
Issued By: �_�itQ�a { Perrnittee Signaturq! J
0
Call (503) 639-4175 by 7•.00 P.M. for inspections n7 t t business day
-
1 i
tom.
Z.
1
` C,`0.�4 0A7_H
A o.►(ZCz4z I�c
I � � I � � I 1 , i i � � I � � I I ` , CAS�C� �, ►-a��j L�1��-�:'�'��— (a5»�l._C �i.a,-. -�-��- _
Z. QC4 ;
ILa 0 - 11
mom
-�- _
neral Notes
j 1 I Scope of work = 31 new pendent sprinklers
I
All work and material to conform to NFPA 13. 96' edition.
Ii - - - - - -- --• ---•- --t 1 '
ArmoverS & drops to be Sch. 40 BSP with cast iron screwed fittings
i I
' ( Existing Grid ceiling C 8' AFF - BI's @ 11 '-00" AFF - Q Deck @ 12' AFF
2-�' Sprinklers to be Automatic Mod. HQR - Glass Bulb, 155 degree, '/2", White
I I ► -- Pendents - Centered in 2"d Look ceilingtiles.
I I i Hang armover's over 2'-00" to Q Deck with Hiiti Pin, Rod & Ring.
1 1 II I
I
CITY OF TIGARD Wet system to be maintained at or above 40 degrees F.
Approved --------------._------
t`oyApproved -lf is'therionsibility of the owner to maintain the integrity of the sprinkler
' + Conditionall _
or only the wor a Scribed in:.._ ____ _ system.
PERMIT-No, —� sc�-�
�t ____ �
1 i i ; f ,, ! See L, te� tc : Follow..-.._----- ------ ( l
((, r At ......... . --
! Job A re" z� -----
- l B _
y Date:
6 � I
- - AF? 511S INC
� AITTOMAnC FM P \D\ t`R?o7r,� 'C
` 19435 S.W.Uft A
o � _ _ .
1 - 9
1 r
I
NOTICE: IF THE PRINT OR TYPE ON ANY -rrijiIr rllllll 11i11111111111111111111111111 [T 111f11 ll�fr� 1 I�1 IJi111 "111 111 ! 11II11IMAGEIS NOT AS CLEA 1 I ( ( 1 I I I III 11 I
RAS THIS NOT,�E, 1 � � I
4 5 6 �
8 9 10
IT IS DUET T _ 11 12
O HE QUALITY OF THE No.36
O
RIGINAL DOCUMENT - — — _
E 6Z SZ LZ
Illl llllllilllllLlll (IIIIIIIIIIIII9L4Z fiZ EZ. Z .TZ OZ 6T 8T LT 8:T 9I fiT Ei ZT . TZ T Q I OtllwFiiiill [I.Il lll1111
1
1111111 11
i
/\ Mechanicai Permit Appli ration
Date received: Permit no. 1%G ' /,
City of Tigard ►:roject/appl. no.: Expire date:
City oj9�garcf Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 J:D�Ete�_issued: By: Receipt no.:
Fax: (503)598-1960 Case rile no.: Payment type:
Land use approval _ - - I Building permit no.: —
U 1 &2 family dwelling or accessory ,1a ommercialhndustrial U Multi-family Tenant irrproven,ent
L7 New construction U Addition/alteration/replacement a Other:
1 t t
Job address: 7,e,, e,L Indicate equipment quantities in boxes below.Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ -A 507.00
Lot: Block: Subdivision: 'See checklist for important application information and
Project name: T,, jurisdiction's fee schedule for residential permit fee.
City/county:_ ZIp: t , ►
Description and lockock.rT� oono work on premises: H mme- Ye..a" -- t t sALW I
P�ee(ca.) 'Iulal
Est.date of completion/inspection: Ucuriprion Res.only Res.duly
Tenant improvement or change of use: - 11 VAC: -
Is existing space heated or conditioned?MYes ❑No Air handling unit_— CPM _
Is existing space insulated?JA Yes U No Air conditioning(site plan required)
Alteration ofcxisting _ system
Boiler/compressors
Business name: State boiler permit no.:
I{P Tons__BTUM
Address 1339 SE Gidt3un St. _ Fire/smokedampers/duct smoke detectors
City: Portland _ State:OR ZIP:97202-2418 eat pump(site plan require )
Phone: 2_39--4600 Fax: 239-703q E-mail: Install/replace furnace/burner
CCB no.: Including ductwork/veni liner U Yes O No
33135Install/replace/relocate eaters-suspended,
City/metro lic.no.: wall,or floor mounted
Name(please rintJ`- ent fora liance other than furnace
e erat on:
Absorption units ATU/H _
Name: Chillers _ HP _
Address: S ron .•� - Compressors — 11P
Environmental exhaust and at on:
City: State:p ZIP: j,P Appliance vent
Phone: 1 -y(� Fox:�3 E-mail: Dryer exhaust
Ifoods,Type /rem s.kitchenlhazmat
hood fir.suppression system
Name: Exhaust fan with single duct(bath fans)
Mailing address- Exhaust s stem a art from heatingor AC
- Fuc piping an distribution(up to outlets)
Cit �Smte: ZiP: T LPG___ NO Oil
City: --- -- - -- -- YIR
Phone: Fax E ma.! ue i m enc additional uver 4 out ets
ProcessI"lei piping(sc ematic require ) _
Number of outlets
Add e: l3 r i�,cZn „a �C t erllsfea appliance or equipment:
Address: _7
l 'j_ � con '>� Decorative fireplace
pity: ,�o'.-�'i!�.�o/ State:oe ZIP: )Zpy Insert-type
Phone: - / V.- E77a -.p43Q -mail: 15i stove pe vl stove - �—
Applicant -A___si nature: r.
pp
Name(print): -O 7 e. --
Permit fee
Not all jurisdictions aRYq credit crrda,please call Jurisdiction for mon informatiur. •••••••••••••••••••••a
U Viso U MasterCard Notice: This permit application Minimum fee...•............
Credit card number: / / expires if a permit is not obtained plan review(at 2�5 %) $
Expires within 180 days after it has been State.surcharge(896).... $ _ _58c.)
Nerve of cardholder u shown an cm AR card accepted as complete. TOTAL.
s ....................... $ 9G
Car Ida signature Amount 4404617(611WK OM)
._,wr ...,..........weuw..n:iw.e.do.M,..,.,..+.,,ww.... .,.........«.,,.�,wy.,aviilwwlw:r.,..Ww+.....,...........
ELECTRICAL -
r CITY OF TIGARD RESTRICTED EN RIGY
DEVELOPMENT SERVICES - PERMIT#: ELR2003-00115
13125 SW Hail Blvd., Tigarr!, OR 97223 (503) 639-4171 DATE ISSUED: 4115/03
SITE ADDRESS: 07650 SW BEVELAfJD ST 100
PARCEL: 2S10 i BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Low voltage for HVAC thermostat.
A.RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER- LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/Tc:LE COMM: NURSE CALLS:
W-CUUM SYSTEM: FIRE ALARM- OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1 —
Ownei: Contractoi:
PACIFIC NW PROPERTIES AMERICAN HEATING
9650 SW ALLEN BLVD STE 115 1339 SW GIDEON ST
BEAVERTON, OR 97005 PORTLAND, OR 97202
Phone: 503-626-3500 Phone: 239-4600
Reg #: MET 00001077
LIC 33135
ELE 416-993CP F.
FEES — SUP AWMI inspections
Description Date _ Amount_ Low Voltage Inspection
[ELPRM I I ELR Permit 4/15/03 $7500 Elect'I Final
[TAX] R"/„State Tax 4/15/03 $6.00
Total _ $81.00
This Pen-nit is issued surject to the regulations contained in the Tigard Municipal Code, State of OR. F,pecialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire it work is
no! started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct 96stions to OUNC at (503)
246-6699 01
/1�,
Issued bye✓2,GtG1�Ll� �� t�_ Permittee Signature 07 —
OWNER INSTALLATION ONLY
The installation is being made on property l own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR ELUC'N DATE:
LICENSE NO:
Call 639-4175 by 7.00 P.M. for an inspection needed the next business day
l
r:
Electrical Permit Application / 1
--�---- Date received:Al-/c _U j Permit no.a ,�Uv3 x.17//9
City of Tigard Project/appl. no.: Expire date:
City of n84M Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Hy(bl� I Receipt no.:
Phone: (503) 6394171 ---
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:_
TVft'0fPEjkN11T
U I &2 family dwelling or accessory Commercial/industrial U Mkilti-hunily X/fenant improvement
U New construction UAddition/alteration/replacement U Ocher – U Partial
1 10
Job address: -
—� - ��� ��e/C u„cr Itl,lp no ti'1i(e nm 'i'ax.map/tax lot/account no.:
Lot: Block: Subdivision: —
Project came: Ty» /? ascription and location of work on premises: ,vysite_ T,(r-,,,o
Estimated date of comp let ion/inspection:
CONTRACIOR APPLICATIONp
Job no: S ,/ CS Fee Max
Business name: ..��., Descriplion Qty- (ea) Total no.Insp
Illfr'S1Cd11 flei3tlll�, Inc _ Newreswiatial tingle or snow family pew
Address: 1339 SE Gideon ST. _ dwellinrunk.Incle Its attached garage.
City: t'ortland k
State: OR ZIP:97202-2418 SerweIncIud--d:
Phone: 239-4600 Fax: 39-703 E-mail: 1000 sq.ft.or less 4
CCB no.: — EIeC,bus.lie.no: Each additional 5(x)sq.ft.or portion thereof
Umited energy, residential 2
City/metro lic.no.: 60114 Urnited energy, non-residential _ 2
Each manufactured home or modular dwelling
Signature of supxrvisin etc 1c
(required).-- Date Service and/or feeder 2
Sup c1co. name(print) rl clp'IF; S. Irccuse no: 2640IUT Senlcetorfeeders-Irnlallallon,
aneratlon or relocation:
/ 1 200 amps or less 2
Name(print): 201 amps to 400 amps — — 2
- —
`--"— 401 am to 600 amps 2
Mailing address -----
--- - - — — 601 arnps to 1000 amps 2
City: _ State: ZIP: --
y Over 1000 amps or volts - 2
Phone: IFax: E-mail: Reconnect only I
Owner installation: The installation is being made on propetty I own Temrorary services or feeders
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,onelocatioo:
ORS 447,455,479,670, 701. 200 amps or less — _ 2
201 amps to 400 ams_ 2
Owner's si nature: Date: 401 to 600 amps _ 2
arms"circuits-he",alterallus,,
or extension pet panel:
Name: ,� Ja,
A. Fcc fix branch circuits with purchase of
Address: service or feeder fee,each branch circuit _ 2
City: ,, Stat j ZIP: Z B. Fee for branch circuits without purchase
Phone:,2?j of service or feeder fee,first branch circuit: 2
e/ !+,') I ax:1,39_)� E-mail: – --- --
Fich tsdditional branch circuit: _
IIAN 11141,11111,011ease check -.111 that upidy)
MIK.(Service or feeder not Included):
O Service over 225 amps-crmmrercial U Health care facility Each pump m irrigation circle_ 2
U Service over:320 amps-riling of 1&2 U namnlous loc.don Each sign or outline lighting 2
family dwellings U Building over 10,000 square fett four or Signal cimuit(s)or a limited energy panel, 1
U System over 600 volts nominal more midenl'al units in one struct,re alteration, or extension* J+ 2
U Building over three stories U Feeders,400 amps or more apescri tion: _ --
0 Mcupanl bad over 99 persons U Mamdactured stmetures or RV naris EK*additional Inspection over the allonsible In any orthe above:
U Egress/lighting plan U other _ - —__-- per fnspeetlen
Submit_—sets or plant ttith any of the alcove. Investigation fee
The above are not applicable to temporary construction service. Other
Nd a11)unsdialons accept credit cards,pleuro c,ll jurisdiction for mors In AU Notice: This permit application Permit fee .............. ......$ _—
U Visa O MasterCard expires if a permit is not obtained Plan review(al — %) S
Credit card number _ _ —L_1within IRO days after it has been State surcharge(8%).....5
F.xpircs
-- Name of cardholder as shown qn credit asci accepted as complete. TOTAL......... ...............$ UU
S
Cardholder d6narure - Amount 4404613(6I WOM)
CITY OF TI GA R D BUILDING PERMIT`_
DEVELOPMENT SERVICES PERMIT# BUP2003 00,10
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/8/03
SITE ADDRESS: 07650 SW BEVEL.AND ST 100 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C CV
BLOC'(:_ — LOT: i JURISDICTION: TIG
REISSUE: _FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: _--"--- --
TYPE OF USE: COM SECOND: sf S.
TYPE OF CONST: 5-1HR PROJECT OPENINGS?
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCJPANCY LOAD: 35 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: __ REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL- 7__—
DWELLING UNITS: SMOK DET:
FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 19,500.00
Remarks: Tenant improvement
Owner: r � — Contractor: -----�----"" - -
PACIFIC NW PROPERTIES C SCHIEWE &ASSOCIATES INC
96.50 SW ALLEN BLVD STE 115 1024 NE DAVIS ST
BEAVERTON, OR 97005 PORTLAND, OR 97232
Phone: 503-626-3500
Phone: 503.244-0552
Reg #: 60-234-664'/05
FEES— -__ ___ REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
1111 JIL1)I Permit Fee 3/10103 $235.30 Plumbing Permit Required
I AXI 8%,State Tax 3/10/03 $18.82 Framing Insp
I11UPPLN) Pin Iz% 3/10/03 $152.95 Gyp
pBarInsp
1:1-S]FLS illi, I2N 3/10/03 $94.12 InspectionFinal
Total $501.19
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 worts 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
952-001-00161fifOugh OAR 952-001-0100. You may obtain a copy of these riles or direct questions to OUNC by
call' (503)246-669 r 1-800-332-2344.
Is
s
d By.
Permittee
Signature: -
Call 639-4175 by 7 p.m. for an inspection the next business day
building Permit Application (�`e ' ' '
Received �j y, liuil,ling
t Date/By: y�I D QP Ile![]-I'll Nu. /vrJa3���lQ
Cit O�Ti `sled Planning Approal — Other
y �-� Date/By: _ Permit No.:
13125 SW Hall Blvd. Plan Review Other
'Tigard,Oregon 97223 DateB�_ I Permit No.:Post- --
Phone: 503-639-4171 Fax: 503-598-1900 Datel Land Use
Internet: www.ci.tigard.or.us Contact
v case No. _
Contact See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: — I Supplemental Information -
�_-
T5 PF.0�WORK —��--- - - - -
- -- REQUIRED DATA:
New construct - Demolition Y 1 &2 FAMILY DWELLING
v Addition/aeration! placement Other:
CATEMORY O_ I CON'T_RUCTION Note: Permit fees"are based on the total value of the work performed. Indicate
-^1 &2-Family dwellin �WCommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
— overhead and profit for the work indicated on this application.
Accessory Building Multi-Family
- Master Builder _Other Valuation......................................................... $ _
JOB SITE INFORMATION and LOCA'T'ION No.of bedrooms: No.of baths:
Job site address: 7(0c.70 '.�W II&F-yek000i J �' Total number a aors(sq.....................................
---- -
Suite#: DO Bld /A t.#: New dwelling area(sq.ft.). ............................
g• p Garage/carport area(sq.ft.)............................
Pro act Name: -fC(("F°r O t CE Covered porch area(sq.ft.).............................
Cross street/Directions to job site: Deck area(sq. ft.)............................................
Other structure area(sq.ft.)............................
-----
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: _ Lot#:
Tax map/parcel#: -` Note: Permit fees'are based on the total value of the work performed. Indicate
DESCRIPTION OF WOP.K the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- - overhead and profit for the work indicated on this application.
uCILi2�lV 1.r1(o/N6F.(G�J(o c-'OM0:7AVJ Valuation........................................................ S Q '50 C)
--i----i - - Existing building area(sq.ft.)......................... _
---- ------- -- - -- New building area(sq.ft.)...............................
_ Number of stories............................................
PROPERTY OWNIPR TENANT Type of construction.......................................
-- Occupancy group(s): Existing:
Name: ro f1ei�t c N\.,l t'(Za''�f�C=,T,�S _
Address: q 4o SO '-w �4U.6.J F5�-�l�� S7� 15 — New: ----_ ----_--
Cit /State!Zi CLJ ��
9-7005
---�� _�---- NOTICE: All contractors and subcontractors are required to be
_ll_v 2j ��) Fax: NOTICE:
with the Oregon Construction Contractors Board under
APPI,TCANT- CONTACTPERSON_
provisions of URS 701 and may b. required to be licensed in the
Busincss Name: M t(_cJ!6fJ (7Q!4oJ 0Gg&lp __ jurisdiction where work is being performed. If the applicant is exempt
Contact Natae: - F- MI'LO)? J _ from licensing,the following reason applies:
Address: —/&SO SL_' E�
y, 0 lu7- 20 --
_Cit /tate/Zip: "TJk:^9'� i 0W- 617_?Z - �. - -- — --- -— - - ----
Fhone: 244 -05 SZ._ 1 Fax: -------- - -- -
-- ----- BUILDING PERMIT FEES"
)3-mail: — _ _ Please refer to fee schedule.
rON' RMA TOR --.-_ ------� _�_ ---
?3usi11esS Name: �C St'lr7rE.•d� -� /�K.SOC. Fees due upon application.............................. $
Address: 10'24 NF_ OAYIS
- —----
_^I•�, E - Amount received........................................ ....
City/State/Zip: POOT•A
_Phone: 23 -(Qct-7 Fax: Date received
Authorised / A Notice: This permit application expires if a permit Is not obtained wlthin
Signatur �-k - t).dc S [6 �j 1RO days ager it has been accepted as complete.
,.--_—_—_-_. *Fee methodology set by Tri-County Building Industry Service 3oerd.
(Please print name)
is\bsts\Pem»t Fotms\llldgPermttAI)p drx 01103
Cf)rm><merclal Plan Submittal
Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities
Building
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to i*equest
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*F or over-the-counter commercial tenant improvements, submit 2 sets of plans.
**"New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians
i:Wsts\torms\(.)M- ia.r1x.doc 9/24/01