7650 SW BEVELAND ROAD STE 120-1 i
7650 SW Beveland Street#120
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPEC7ION DIVISION Business Line: (503) 6.19-4171 MST
BUP
Received Date Requested AM---- — PM BLIP
Location Suite---- MEC
(.-ontact Person ---
Ph PLM
Contractor----- SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Fig Drain
Crawl DrainELR �2,
Slao Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulalion
Drywall Nailing
Firewall
Fire Sprinkler 00J��C'L
Fire Alarm
Sijsp'd Ceiling
Roof
Other-
Final
PASS , PART FAIL_
PLUMBING
Post&—Bea-in
Under Slab
Rough-in
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough-in
Gas Line
n
Si-oke Dampers
—
Final
PASS PART FAIL
Service
Rough-In
UG.!Fjlab
1tWV1Fqj
FM3�
sz -PART- FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
� Please call for reinspection RE: Unable to inspect-no access
Fire Supply line
ADA
Approach/Sidewalk $pope or
other:
Final DO NOT REMOVE this Inspection record from the b site.
PASS PART FAIL
C,iTY OF TIGARD L-A -U 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)6319-4171
BUP _
Received . — _ Date Requ stod /�[ -_ AM_ _ PM BUP
Location -----1—r I U �v '- — Suite Z� MEC ---- ---- -----
Contact Person �L Ph( ) -2-33 Z PLM -
Contractor__._ �� --— Ph( ) y� SWR
BUILDING Tenant/Owner ------ --_ _ ELC 66l 00 40�.Sf
Footing -�- ELC
FoundationAccess:
Ftg Drain ELR _
Crawl Drain —
Slab Inspection dotes. SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _---
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler -- -� - - ---- _ _ --
Fire Alarm
Susp'd Ceiling ----- ------- ---- _.__ —_.---�_.____
Roof
Other: — ----- - -- - - -Final
PASS PART _FAIL ---
PLUMBING - --- ------ ----- ---- --- - --- -- --
Post&Beam i_----
Under Slab
Rough-In 1 No � 0 �7 �(^
Water Service o
Sanitary Sewer V �--
Rain Drains —
Catch Ba,in;Manhole j - S• 0 Z S (� h W T�t�R' L.la(2-0
Storm Drain
Shower Pan _.- � �a `�` L'_ L t.��- �Q 0, - 0
Other:
Final �L-� - - J 1� L,
PASS PART FAIL
MECHANICAL
_
Post& Beam
Rough-In --- _ -- -
Gas Line
Smoke Dampers -- - - ---- ----- --
Final
PASS PART FAIL — -- - -------.__._._.-- �__-- _--
ELECTRICAL
Service — ._.— ---- --- -- -- - -----
Rough-In ---
UG/Slab
Low VoltagE ---- — -___-_- -- ---- �__®-_.
Firq_Alarm
1 i Ll Reinspection fee of$—� - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
S _ __ Please call for reinspartlon RE: __ _ ❑ Unable to inspect-no access
Fire Supply line
ADA
�'•PProach/Sidewalk Date � c��,?_- c3� Inspe
- --7 —
Other:
Final DO NOT REMOVE this Inspection record from th )ob site. ,
PASS PART FAIL
Cis , iGARD 24-Hour
boILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP ---- ---- -
Received Date Requested �_ l r '7 :1M __- PM --- —__ -- BLIP
Li�
Location 1�� uite MEC
Contac'. Person —�h,( ) PI-M -----
Contractor? -����__- ry,�, C4 _ Sy1li'
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Acc,•,ss:"�"�" ��/ ��
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT
Post&Beam ---
Shear Anchors
Ext Sheatn.iShear —
Int Sheath/Shear
Framing -- - - - -- -- -
Insulation
Drywall Nailing - - — -- --
Firewall _
Fire Sprinkler - fi
Fire Alarm
Susp'd Ceiling
Root
Final
PASS PART FAIL � �- -- -----�---- ------- --
PLUMBING _
Post&Beam -�
Under Slab -- - ---- - - _ ------- — --
Rough-In
Mater Service - - - - ---
Sanitary Sewer
Rain Diains
Catch Basin/Manhole
Storm Drain -- - _
Shower Pan
Other: ---- - ------
Final
PASS _PART FAIL ----
M_ECHANICAL_ —
Post&Beam —
Rough-In —
Gas Line
Smoke Dampers --- ----- —---- ---
Final
PASS PART FAIL
ELECTRICAL__ —
Service
Rough-In
UG/Slab
w ol�w
ireelarm
11115-h-) [� Reinspection fee of$— _ _._required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART_ FAIL
1 ! - Please call for reinspection RE.^__ Unable to inspect-no access
Fire Supply Line
ADA "�• /`
Approach/Sidewalk pate - 2 inspector_�� (—� �. ---- Ext ---
Other:_
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received Requested 2, 2- AM-.---- ----PM— BLIP _ —
Location7�e- Suite ?-zt� MEC
Contact Person - -- _. Ph( ) 7 �O q 7
Contractor -_------_--------_ _�.-- Ph(_. ) SWR -:2O
BUILDING Tenant/Owner _ _ ELC
.Foy,ing ----.-_____-_ ELC
F xrndation Access:
Ftg Drain del_ _✓ _ ELR _--
Crawl Drain a�•
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ,— - - - ----- -- - ---
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- -------- - - -
Roof
Other:
Final _
PASS PART FAIL - —
PLUMBING --— _----------.__. _
Post& Beam -
Under Slab - — - -- - -
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains _--
Catch Basin/Manhole
Storm Drain ----- _ --- --
Shower Pan
Other:- ---- - _ —
PAS PART FAIL
---
CHANICAL
Post&Beam
Rough-In -----._..--_-_ — -
Gas Line
Smoke D.,mners ----- ----- -- - - -- -- ------
Final
PASS PART FAIL
ELECTRICAL
Service_.--___-____ __-- ------.._-__-- •- ---- -
Rough-In
U:;/Slab
Low Voltage
Firth Alarm —
Final Reinspection fee of$ __�required before next inspection. Pay at ON Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE — — Please caii 'or reinspection RE:_____.--_ __-__.—._—_— _ Unable to Inspect-no access
Fire Supr ly Line
ADA Dab V Inspector �� l._-- ------ r?IJ� • Itxt
Approach;Si�ievialk
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
BASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISICN Business Line: (503)639-4171 --
������ BUR -
Received ____-_ _Date Requested—__ _�r___. AM _ _—_—PM BUIP
Location _ SL _2�->�* Suite 17.,- 0 _ MEC , 4)�'l On Y_'Q_
Contact Person __ -------__- / - Ph( —) —_S Q 41 y!2 PLM
Contractor__-__ _ - -___ ��% Ph( ) _- SWR
BUILDING Tenant/Owner _ -__ El-(,'
Footing
Foundation IFLC
Access:
Fig Drain ELR _---
Crawl Drain
Slab Inspection Notes: SIl --
Post& Beam
--------------
Shear Anchors ---- —
Ext Sheath/Shear
Int Sheath/Shear 17
Framing - ------ -- -
Insulation ---�---- -- - -
Drywall Nailing ---- —�------ f l��
Firewall
Fire Sprrnkler - -- ___ C
Fire Alarm
Susp'd Ceiling - -- -1 - --
Roof - -
Other: ---- --
Final
PASS PART -FAIL
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service -- -
Sanitary Sewer
Hain Drains
Catch Basin Menhole
Storm Drain
Shower Pan
Other: —
Final
PASSAT FAIL
Noug _'/ -- --- -- — —
Gas Line
SMQISe Dampers ---_ -- -
incl) i
_�_PART FAIL - -- _ —
l�6ft_TRICAL --
Service
Rough-In
UG/`;lab
Low Voltage
Fire Alarm
Final El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_PART FAIL
SITE L__1 Please call for reinspection RE: . _ � Unable to inspect-no access
Fire Supply Line
ADA fIl:? ! /
Approach-'idew,e.lk flats 1Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 539-4171 r,
BLIP
Received _—_hate Pannested �` -' — AM--PMS—__-_ BU '
Location --- .5 �� Suitee-4 —S1_ MEC -
Contact Person _- — �`�-�'-_ Ph( —) �?_ PLM -
Contractor_ .— -.-_- — Ph(---) SWR
Tenant/Owner ELC
FIEF" — _--_--
ELC -
Foundation Access:
Ftg Drain ELR _-
Crawl Drain �.
Slab Inspection Notes: SIT - ------,___--
Post t?, Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing -_—
Insulation
Drywall Nailing — ------ - --- _.__.--- -
Firewall
Fire Sprinkle; ----- -- — -
Fire Alarm �j� ,�ryr
Susp'd Ceiling ---�c�--�-� `M� -- - ---
Roof
Ott�r:
A PART FAIL
P BING - --- - ------- - -- ---_
Post&Beam
Under Slab ---------------
Rough-In
Water Service — ----- —-- -
Sanitary Seaver
Rain Drains —--- --- - V - - --_—_-_--
Catch Basin/Manhole ,
Storm Drain - -- — -- ---
Shower Pan
Other: -
Final _
PASSPART FAIL —T- — -
MECFI_ANI CAL —
Post 8 Beam
Rough-Ir, -
Gas Line
Smoke Dampers -- ----—- ---- -- - --
Final
_PASS PART FAIL --- --- -. -- —� -- ----- — -
ELECTFiICAL
Service ----
Rough-In - _ - - -------------- -- --
UG/Slab
Low Voltage - - ------- - --------_ ---- --- --
Fire Alarm
Final l Reinspection fee of$-_- __ _ requiresI before next Inspection. Pq at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _— �� Please call for reinspection RF:_ --- Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk DS"— U `�-_-- Inspector
Other:
Final — DO NOT REMOVE this Inspection record from the Jeb site. �
PASS PART FAIL
_ BUILDING PERMIT
CITY OF TIGARD _
PERMIT#: BUP2001-00424
DEVELOPMENT SERVICES DATE ISSUED: 12/3/01
13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101 BD-00100
SITE ADDRESS: 07650 SW BEVELAND ST 120
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING. C-G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ _ EXTERIOR WALL. CUNST_RUCTION
CLASS OF WORK: ALT FIRST: sf� N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 23 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: R_EQD SETBACKS REQUIRED
FLOOR LOAD: psf 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: $ 34,740.00
Remarks: Commercial TI
Owner: Contractor:
TRAMMEL CROWE C SCHIEWE + ASSOCIATES
1024 NE DAVIS
PORTLAND, OR 97232
Phone: Phone: 234-6617
Reg #: r IC 54105
_ FEES _ REQUIRED INSPECTIONS _
Type By Date Amount Receipt Mechanical Permit Require
5PCT CTR 11/9/01 $28.66 27200100000 Electrical Permit Required
Sprinkler Permit Required
PLCK CTR 11/9/01 $232.90 27200100000 Plumbing Permit Required
FIRE CTR '11/9/01 $143.32 27200100000 Framing Insp
PRMT CTR 11/9/01 $358.':~0 27200100000 Gyp Board Insp
Susp Ceiing Insp
Total $763.18 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipu; Code, State of OR. Specialty Codes
and all other applicable law. All work will be done i,i accorda.ioe 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. ATTEN'riON: Oregon law
requires you to follow the rules adopted by the Oreg,-r, Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-66991-800.332 4.
Permittee
Signature: G'
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Datereccived: //
Ai� k City of Tigard
Address: 13125 SW Hall Blvd,Tigard.OR 97223 ProjecUappl.no.: Expire date:
Cary of Tigard g
Phone: (503) 639-4171 Cate issued: By: Receipt no.:
Fax: (543) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
U I &2 family dwelling or accessory U Commencial/industriai U Multi-family U New construction U Demolition
U Addition/alteration/replacement JW Tenant improvement O Fire ;prinklerhdarni U Ocher:
JOH'SITE INFORMATION
J„l,address: )(.� �'� gEvr_-I��►r, _ 131dg.
Lot: Block; Subdivision: Tax map/tax lot/account no,:
Project name: M lt.-CJA,E4-1
Description and location of work on premises/special conditions: Tlr r�/4►�T I '''� �"'��+��'r
Name: a to m-m Tle” =j1IrMT1Qj3M1=i 7=1 mom
Mailing address: Il,(,IF sW Bour..t:vnp-b ".)'Ta 11.5, 1 &2 family dwelling:
City: v01be-1 `:;atc: 01F. IZIP: 9'1005 Valuation of work......................... _
PhoneAK-1.26-1500 Fax:Sa3-`,7r-eviiE-mail: No.of bedrooms/baths................. ....... ... _
Owner's representative: Total number of floors...............................
Phone: Fax: F-mail: New dwelling area(sq. ft.) ........................
Ian Grage/carport area(sq.ft.)......................... --
Nanre: &-fXW Covered porch area(sq.ft.) ......................... _
Mailing address: 11830 dw ?,f_vw^y 5utit: 325 Deck area(sq.ft.) ........................................
City: /Aril.0.0-6-60 State:09-- ZIP:170-,5Other structure area(sq.ft.).........................
Phone'Soa244-0S32 Fax: ;-Z4y-ovr7 E-mail: e. rs .den Commercial/indtutrlal/maltl-family:
Valuation of work $ -7,4,740"o
Business name: `" '.►'r„i l„r , S C
Existing bldg.area(sq.ft.) .......................... —
Address: , , J
New bldg.area(sq. ft.)................................ -r "�I
� State: ZIP:'112 Number of stories........................................ —2-
City: ?
Phone:4��{ — Type of i.onstrvction.................................... v✓
Fax: E-mail:
Occupancy Rruu (s): Existing:
CCB no.: —
7"-City/metro lic.no.: — � New: ri
Notice:All contractors and subcoarractors are required to be-
licensed
elicensed with the Oregon Construction Contractors Board under
Name: MrLp/-E1,.) DES1toN o Roue provisions of ORS 701 and may be required to he licensed in the
Address:1164c; Sw kEp-Iz I Apo -shY Su►TI: i2S jurisdiction where work is being performed. If the applicant is
Cit : 4/tt<E oSr�Et.o State: oN
ZIP: 903 exempt from licensing,the following reason applies:
Contact person:6.e4E 1Mtt-pR.o-3 I Plan no.: ---
Phone: 93.244.0552 I Fax:y -vi4m%l 11 E-mail: ---
Name: _ Contact person: Fees due upon application ........................... $___
Address: _ Date received:
City: _ State: ]ZIP- Amount received ..... ................................... $_! _
Phone: Fax: Email: _ Please refer to fee schedule. _
1 hereby certify I have read and examined this application and the Not all jurisdictions ecce"credit cards.please can Jurisdiction for morn information'
attached checklist.All visions q laws and ordinances governing this U visa U MasterCard
work will be complictryA.whe cified herein or not. <'redct card number
Authorized sigl re• — Date: l/ n/ -- 'Nome or cirdbotder u aMwn nn credal card r-x r'free
Print name:_ "' ,,E -- �:�Qyy at�ature s Amount
Notice:This perp "plication expires if a permit is not obtained within ISO days after it has been accepted as complete. 40-4611(WWOM)
5
I�
COMMERCIAL FLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a completed application and plans.
After plan revic.w approval, the Plans Examiner will cc-itact the applicant to
request additional plan sets for distribution purposes (for Contractor, Citv of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
'Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted
- - -- -
---�-_— 5 = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1
B Building
-F7---' F Add or Alt) 3**� F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Pluming
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
Alt = Alteration to existing
building
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
**'New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "S' technicians.
lAdsts\forms\matrxcom.doc 11/27/00
_� 1
CITYY OF TIGARD _MEC'HANICAL. PERMIT
DEVELOPMENT SERVICES PEP.MIT#: MEC2001-00453
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DAT t ISSUED: 12/13/01
PARCEL: 25101 BD-00100
SITE ADDRESS: 07650 SW BEVELAND ST 120
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: 2
STORIES: BOILERS/COMPRESSORS_ 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:
OD
GAS PRESSURE: 50 + lip: C
FURN 100K BTU: AIR HANDLING_ UNITS CLO DRYERS:
OTHER UNITS:
FURN >_-100K BTU: <_= 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks: Alteration of Existing HVAC system.
Owner: �~ �--- FEES_
TRAMMEL CROWE Type By Date Amount Receipt
PRMT CTR 12/13/01 $148.50 27200100C`1
5PCT CTR 12/13/01 $11.88 272001000C
Phone:
Total $160.38
— --
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND. OR 97232 REQUIRED INSPECTIONS __
Mechanical Insp
Phone:233-6911 Final lnspeclion
Reg #:LIC 38868
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. u may obtain co OUVC'es of these rules or direct questi9Jns to y calling
r,n,i»aF-q1 - --
Issue By: (,L �� o Permittee Signature:
Call (503) 639-4175 by 7:00 P.M.for inspections neede then business day
d
Mechanical Permit Application
Date received: ;L/;L-0 Permit no.y :e_,3 ••iv N 3
City of 'Tigard Project/appl.no.: Expire date:
CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97'22:1
Date issued: _ By-Bb Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Paymerttype:
Land use approval: Building permit no.:
a
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family Tenant improvement
U New construction U Addition/alteration/replacement U Other: _
Job address: /Yr�S 0 S 1�. t4" Indicate equipment quantities in boxes below.Indicate the dollar
31 1g.no.: Suite no.: value of all mechanical r-serials,equipment,labor,overhead.
ax map/tax lot/account no.: profit.Value$ JQ+OOD
Loo Blcx:k: Subdivision: *See checklist for important application information and
Pn:iject name: p - jurisdiction's tee schedule for residential permit fee.
City/county: ZIP: I
—
Description and location of rk on premises: _ACa____.__-_ f
( s► by l __ Fee(ea.) Foal
Est.date of completion/i-ispection: D Res.onl Res.only
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?U Yes U No it con toning(sto p an require )
Is existing space insulated?U Yes U No Alteration o existing HVAC system _
o er compressors
State boiler permit no.:
Business name: ��s;S. HP Tons BTU/11
Address: Q7_�/� it smo c amperduct smu ele
a ctors -
City:fJ ?�,p,t,a State HI A cat pump(sec an required)
Phone: Faxasy•9% E-mail: osis rep ace urnace/burner
9>� - Including ductwork/vent liner U Yes U No
CCB no.: vvrT.&pr nsta rep ac re ovate heaters-suspended,
City/metro lic.no.: wall,c:noor mounted
Name( lease tint): G`o�rt ✓w`T Vent for a� lance at er t an furnace
e gest n:
Absorption units BTU/H
�4/1`_�� Chillers HP
Name:
Address: Com ressors HP
ronmeeta a rot moo ventilation:
City: V!_ _ State: ZIP: Appliance vent
Phone: �;•r / Fax: silk E-mail: ryerex gust
01111 Hoods,Type 1 res. tea azmat
hood fire suppression system ---
Name: _ Exhaust fan with single duct(bath fans)
Mailing address: x- suits stem a art from heating cr
AC
State: ZIP: ne piping a distribution up to outlets)
City: _ - Type: LPG NO Oil
Plionc: Fax: E-mail: Fueln eacha it ons over ets
out
Morsrocessppng(schematic requi;c )
Number of outlets _
Name: Other listed appliance or eqr pment:
Address: Decorative fireplace
City: State: ZIP: 75sert-—type
0o atov pe et stove
Phone: 1: x: Email: --
� Other
Applicant's signature _ Date:, er:
Name(print): .t. .rr�y ,&5-r
Mot all jutisdictronv accept credit canis,pleme call jurisdiction for more infurmatlon. Permit fee fee
................$
No �U
Notice:This permit application Minimum fee................$
U Visa U MasterCard expires if a permit is not obtained
Credit card number:- --- — Expires -- within IRO days after it has been Platt review(at _ %) $
s State surcharge(8%) ....$
-'"Mame of TOTAL .......................$ �1,
(.�lLIL
enodetrteas win late.
Cardholder signsture - AtoouM 443-4617(6WCOM)
MECHANICAL. PERMIT FEES
r•OMMERC;AL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL JALUA1'ION: PERMIT FEE:V� Description: -- - Price Total
$1.0J to$5.000.00 _ Minimum fee$72.50 fable 1A Mechanical Code i Qty (Ea) Amt
$5,001-Ii7, .,$10,000.00 $72.80 for the first$F.000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$160.00 or Including ducts&vents 14.00
fraction thereof,to and Including 2) Furnace 100,000 BTU+
$10'(100.00. Including ducts&vents 1740
.10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or including vent 14.00
fraction thereof,to and Including 4) Suspended heater,wall heater
$25,1)00.00. __ or floor mounted heater 1400
325,U01.00 to$50,000.00 $371,.50 for the first$25,000.00 and 5) Vent not included in appliance permit
$1.45 for each adcitional$100.00 or 6 A
fraction thereof,to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.2:0 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Comp
Minimum Pormit Fee$72,50 SUBTOTAL: 7)<31-113;absorb unit
to 100K BTU 14.00 _
8!r°State Surcharge $ 8)3-15 HP;absorb
unit 100k to 500k BTU 25.60
2:1%Plan RevleIN Fee(of subtotal) $ 9)15-30 t tP;absorb
Required fur ALL commercial) ermits onl unit.5-1 mil BTU - 35.00
TOTAL COMMERCIAL_ PERMIT FEE: $ 30absorb
unnit 1.11.7.7 5 mmlil BTU _ 52.20
11)>50HP;absorb
unit>1.75 mil BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,00%)CFM
Value Total 1000
Desai tlp on: _ 0 Ea Amount 13)Air handling unit 10,000 CFM+ 17,20
Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler
ducts&vents �__ 10.00
Fumace>100,000 BTU Including 1,170 15)Vent fan connected to a single Lucl
ducts&vents _ _.-- 6.60
Floor fumar:e includin vent - 955
Suspended heater,wall heater or 955 16)Ventilation system not Included in
floor mounted heater appliance permit 10.00
Vent not Included in applicance 445 17)mood served by mechanical exhaust
mit 10.00
Repair units _ 805 18)Domestic Incinerators
<3 hp;absorb.unit, 955 _ 17.40
to 100k BTU 19)Commercial or industrial type Incinerator
- �- 69.95
3-15 hp;absorb.unit, 1,700 20)Other units,Includl•,g wood stoves
Wk to 500k BTU
15-30 tip;absorb.unit,501k to 1 2,310 _ 10.00
mil.BTU 21)Gas piping one to four outiats
5.40
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU 22)More than 4-per outlet(each)
- -- 1.00
>50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $
>1.75 mll.BTU
Air handling unit to 10,000 cfm 656
Air handling unit>10,000 cfm 1,170 8°/.Slate Surcharge $
Non-portable evaporate cooler 656 - -
Vent fan connected to a single duct- 446 _ - [�&AL REaIDENTIAL PERMIT FEE: $
Vent system not Included in 656
appliance permit __
Hood served by mechanical exhaust 656 t�therInnaaectigna and Fe•E:
Domestic Incinerator 1,170 1 Inspections outside of normal business hours(minimum charge-two hours)
--- $72 50 per hour.
Commercial or industrial Incinerator _ 4,590 _ 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour)
Other unit,Including wood stoves, 656 $?2 50 per hour
inserts,etc. 3 Additional plan review required by changes,additions or revisions to pians(minimum
Gas piping 1 4 outlets 360 - charge-ono-half hour)$72 50 per hour
Each additional outlet 63
- - - - 'Slats Contractor Boller Certiflcatioi�•squired for units 3-200k BTU.
1 OTAL COMMERCIAL $ "Residential AIC requires site plan showing placement of unit.
VALUATION: F _ All New Commercial Buildings require 2 sets of plans.
i:\dsts\rorms\mech-fees.doc 08/29/01
i
CITY OF T I GA R DELECTRICAL PERMIT
PERMIT#: ELC2001-00615
DEVELOPMENT SERVICES DATE ISSUED: 12/5/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101BD-00100
SITE ADDRESS: 07650 SW BEVELAND S'f 120
SUBDIVISION: BEVELA14D CORPORATE CENI ER ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proie t Description: Install 4 branch circuits
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT L;NE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER bRANCH CIRCUITS AGD'L INSPECTIONS
0 - 200 amp: W/SERVICL OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER Hf""2:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
L Reconnect only:
SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TRAMME,_ CROWS BACHOFNER ELECTRIC INC
55 SE MAIN
PORTLAND, OR 97214
Phone: Phone: 233-2006
Reg #: LIC 44569
SUP 2808S
ELE 2.6-451C
FEES _ Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 12/5/'l $66.80 2720010000( Wall Cover
Elect'I Final
SPCT CTR 12/5/01 $5.35 2 7 20010000(
-�^ - --- Total � $72.15
Phis Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopte,l by the Oregon Utility Notification Cr nter Those
rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-6699 or 1-800-332-2344
Permit Signature: 1 , Issued By. ��
OWNER INSTALLATION ONLY _
The installation is being made on p;operty I own which is not intended for sale, lease, or rent.
I
OWNER'S SIGNATURE: _._.— DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. IEL.EC'N: '�-Q �- C'` T�� DATE:_____._-..�
LICENSE NO:
Call 639-4175 by 7:00pm for art inspection the next bt.isiness day
Electrical Permit .
tooeived:/ _ c Permit no.:
City of Tigard lrrojewappl.no.: Expire dale:
Ciry,fr,aa/d Address: 13125 SW Halt Blvd,Tigard.UtC7�t 13` ('1 -
Phooe: (503)639-4171 lJJ .• �� V Dale Issued: By. Receipt no.:
Fax:(503) 598-1960 Cl„y OF-1-10AKD Case rile no.: Paymeat type:
Land use tlpproval: alai nINC3 DIV(31
Ol d 2 family dwelling or accessory %Corrtntermairindustrial U Multi-family O Tenant impmventent
U New Construction U Addition/alteration/replacerneut U Other U Partial
Job address: CW FEM _ Bldg.no.: Suitt- Tu TTtax lot/account no.:
Ut: Block: Subdivision:
"act Dam: MIIQEIIV EESRN GRIP Description and location of work on premises: ELSMUM
Esdamod dada of Com 'off 'on:
Jtab lane 9670 Nee INn
Business nate: Bachofrler Electric,Inc. d ..
Address: 55 SE Main St. New
City: Portland State: OR .2I 97214 Aladin"
Phone: 503-23:1-2006 Fax: 233-2963 1 Errrtail: 1000`9 R.orku 4
CCB no.: 445 Exec.bus.lic.no: 26-451 C _ Ead,additional son 89.ft«puxtion dherwt--- `-
Urnited eargy,residendal 2
Ciry/fClettU lies no.: _ Uinitedmazy,nontesidential
z
Each numifraued home at modular Wo ling
mt of Suparvising electrician(requiroCK Date Service and/or feeder 2
saQ.dam name Orin* W.Bachofner Ucahseso: 2808S lfla�knarfeeaera—hhstallatiaa,
aMeratlos err rebeatfsw:
200 amps or let. 2
Nww(print): 201 amps a 400 suapa 2
art$addren: ------ 401 to ti00 2
601 amps to 1000 SAPS 2
Ci _ state: 7IP Over 1000 amt«roll. 2
ne
Pho : Fax: &rrasil utewmehxortl — I
Own r lnslallekkw-The ration is being made on property I own Tesparary ssvtes t<feeiera-
which is not intended for sale,lease,rent,or excl Iwnge acaxding to Yraarmdom,allhaadaa.arrdaestlea
ORS 447,4.55.479,670,701. 2W W less _— -— 2
201 asps a)400 anM 2
1!:��
Date 401 to lion -- - 2 -
Steer tlre+sib-one,al6eratiaa,
err exteasiaa Eer l�A. Nae for branch dtrniu with prchaae ofservice or A,L fee,each I I coop 2
Stater7JP B. Neeforixim alrwinwNbapuduae Fax: F-mail: of aervioe«feeder fee.fru branch circuit 1/E .i 2
Fick additional beech dredt
Mlle.Merflteerfe eleruatlaelaietr
OSumbaova MSemp&ooammerdal Ottedlhaaretachy Vacs pyrop at Intpdomoaacle 2
•Service over 320ampe-raft of l&2 O Hosdous Ioeatlan Each sip or ouuWm ti 2
brolly dwellinp O Ba&ft aver 10,000 auluuare feet tour or Signal circail(s)or a limned a nee panel,
O Symm over 600 volt notriaal taore residential rite in am atracrute alteration,or eatemionO2
O Brading mer date abrin O Needea.4011 map or sae • F9cr :
O Oanprn toad am 99 peaoro 13 Mrrttact red str ecaua or RV put Each adddmd ever the dlawdk`any of the abam
O BpesdBgAdngpien ❑Ocher _
Pec ituptaioa
sd"—sets of plus Wife my of ere arse Invuud lee
ne Arecae we eat apprra1w w tompormy amara ctim MTIM Other �'--- —
tsw!itewener rep asst malt,planes alt j 3 vaser ft rata lalbsrtnel Notice:This pemit application Permit fee....................$ y :•C
O Via O Mw6mCwd expires if a permit Is not obtained Plan review(at _ 9b) $
CARIM era numbs. within 180 trays afla it has been State 5u-tuWge(8A,)....S
Name of eodbdhr r dmm as accepted as aw*ete. TOTAL .......................$ 7Capdhddw OF—
.. 440+611(6abOn1N)
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below TYPE OF WORK INVOLVED -RESIDENUAI. ONLY
Number of hyyec Ions per paa.. snowed Restricled Enwy Fee..............................
(FOR ALL SYSTEMS)
Service Included: Items Cost Total
Check Type
l4adrlsrlaai-per txllt
a Worts Invavod
1000 aq.R m lass $145.15 4
Each ad ❑ Audio&M Stereo Systems
atktnal 600 aq.K or
— SWAO$75.00 1 ❑ Burglar Alarm
Each Mmf d Home or h4oAfar — _—
Dwa ft Sw*e or Feeder _ $90.90 2 ❑ Garage Door rk>erxr
3ovtoes or Feeders
InS43118fort,0118 afork or rekxxlion ❑ Heating,Ventiiadxl grid Air Conditioning System'
200 onus or Is= 560.30 2
201 an"b 400 a" $100.115_+-'-- 2 ❑ Vacuum Systems'
401 amp"Io 000 affirm -- $100.60 2
601 amps to 1000 anps — $240.60---_ 2 Other
Over 1000 amps or volts _ �_ 5454.65 2
oom _ --—— -- —`---�——
Raed�Y —_---- $66.0.5 — 2
Tatlporsrry Servinsa or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
hiablellon,sperdon.or rdocetkm Fee for each aysfam-.................................................. $75.00
200 arips or lesx $66.65 2 (SEE OM 918-2W260)
201 amps b 400 amps $100.30 A $100.30—y— 2
401*oras b 600 amps — $133.75 2 Check Type of work Involved:
Over 600 amps to 1000 wt., ---� —
see`b'abovw. u Audio and Stereo uystimns
orartcih Cbruts
New,attonsdon or ext wWort per panel Boller Contorts
a)The fee fa branch dmuks
WM predwo of swv**or L� Clock Systems
foodrr Ise
Foch brwxh draft $6.65 2 L j Data Telecornmun4catlon Installation
b)The In far brwh cirauls _---- —
or f ouai Aga. a efservk+r Firs Atwn Installation
First branch drats _ 540.65
Each a branch c1a,i1 — S6.65--- - HVAC.
ktsc lWneow !r>,fixttanbulbn
(Sar Ace or fse4er not In*uded) ❑
"ch Pure or krlpdon chdq
Each stgn or oj*w IV db 553.40 Intnncom and Paging Systrxns
VVW clwait(a)or a
panel,"wis on or��i _ $75.00 �� l.andsoarm lffsp on Conti r
liner labels(10) 1125.00———
Each addflkmd kupedion wen --- _� Medical
On allowabW In any of Uw above
Per I x+ __ $6250 -� Nuse Cah
Per how 562.50 —In PLvd $71.75_---� _ ( Outdoor Landscatx.Lighting-
F;DeS' �� Prolertive Slgnallni7
Err6er tlofal of above ttsws $_ �� ��--•- ----- _— --- -
9%state Surrh qps 5
— __._—•----Number of systems
25%Plan Rsview Fee
Soo`Plan RA~section on $ No!banes are rarfAredhoenses are railtired for al other Installations
Mort of wrf"icn _
Total Balance Due $
--- Enter lad of above fres $_
�.� Trust Arr ixx f --
__—_._----�- FiX Stale Surcharge 5
----�+—v- ToMI Balance Atro 5
iidatrlrarnec4ic_renh�c Ir]�9110
ELECTRICAL
PERMITCITY OF TIGARD RESTRICTED ENERGY -
DEVELOPMENT SERVICES PERMIT#: ELR2001-00310
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/12/01
SITE ADDRESS: 07650 SW BEVELAND ST 120 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Installation of voice and data. ,lob No. C21-236
A. RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALA",": 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:
TRAMMEL CROWE CAPITOL DATA & COMMUNICATIONS
8625 SW CASCADE SUITE 500 12810 NE AIRPORT WAY
BEAVERTON, OR 97008 PORTLAND, OR 97230-1029
Phone: Phone: 503-255-9488
Reg#: uC 142457
ELE 26-1054CLE
SUP 31325
FEES _ Required Inspection.;
_Type By Date— — Amount Receipt Low Voltage Inspection
PRMT CTR 12/12/01 $75.00 2720010000 Eiect'I Final
5PCT CTR 12/12/01 $6.00 2720010000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty ;odes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expirr -f work
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregor law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-Op-1-00101hrough OAR 992-01-0080. You may obtain copies of these rules or direct quer' ns to OUNC at (503)
?-46-1987.
Issued by Permittee Signature r _
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N — _ _ _ DAT E::—
LICENSE NO: _ — ----- -— ------------ --- --
Call 639.4175 by 7:00 P.M. for an inspection needed the next business day
12/10/2001 12:47 5032577121 CAPITOL ELECTRIC
PAGE 02
Electrical Permit YomRj �QgIVED 1 1
rr �Q�� Date received:/9,ie or Permit
EL O Pro'ect/appl.no.: F-xplre dale:
City Of Tigard i) Date issued: By: Recei t no,:
CITY Of HC;ARD Address: 13125 'W'HALL BLVD,TICARD,QXM;JF'n(jAFJJ Case file no.: !Payrrient e:
Phone: (503)09-4171 Fax(503)598-1IRMDINQ DTMON
Land wic approval:
rl f�icrJ -- n 0 y i-
TYPE OF PERMIT
Q 1 F 2 family dc-wiling or acccssory E—j Commercial/industrial ❑ Multi-family ■ Tenant improvctnent
C3 New construction C] Addition/alteration/replact uu:ni ❑ ()d1c1. p Partial
IId JOBSITE INF01011AT
r address: 7650 SW BEVELAND ST. City:_ TIGARD Bld .Na; I Suitt-no IWIrolTax map/tax lot/account no,;
r Block;N,A Subdivision;
t"lect name; I I I uvkfeo~1__ LD
_escnption and location of work on tcmisel: Ol4 c'
:stimatcd date of cninpletion/irrspeclion:
CON'tRACCOR APPLICATION rEE SCHEDULE
ob no: C_ JIt,I Fee 7insp
husrness Name: CAPITOL DATA ICOM 1MUNIC TIONS Descr tion Qty. (ea,) soul
Wdress; _ 12810 NE Airport Way New residential-single or multi-faiully per
"') Portland State OR ZIP: 97230-1029 dwelling unit. Includes attached gni-age,
signs: 503-255.9488 Fax: 255-3488 L-mail: darrell cepdx,com Service included:
X13 no.; 142451 JElec,bus,lic.no: 26-1054CLE 1000 sq,fl or less S 145.15 4
�Itv/mo 0 lic.no 0 'r-' "a Each additional 500 sq.tL or portion thereof S 3340
12/10/01 Limited antra residential s 75,011 z
3ifingure of supewisinn electrician(required) date -i*f Limited energy,non-residential S 45.00 2
3up.elect,name rint): R ichard Martin License no.: 286" Each manufactured homt or modular dwelling
e Service and/or feeder S 90.90 2
Name tint): Services or feeders-instaliatrnn.
Mailing address; _ alteration or relocation;
City: _ ;tate Z1P; 200 ams or less s KAI 1
PhcnC: Fax; ):tttail: 201 amps to 400 amps 5 106.85 2
Owner installation. The installation is being made on property l own 401 amps to 600 ams s 160,60 _ 2
which is not intended for sale,lease,rent,or exchange accordirg to 601 ramps to 1000 amps S 240.60 2
URS 447,455,479,670,701, Over 1000 or volts s asa,es 2
Owner's signature.- Date, Rrronnect only 1 ► G6.85 I
Temporary services or feeders-
i4ame. installation,alrerations,or relocation:
Nddress: — 200 amps or leaf S 66.35 2
City; _ State: ZIP 201 aro s to 400 amps S i 00.30 2
Phone: 14x; B-mail 401 amps to 600 amps 5 13±.75 2
Branch circuits-new,alteration,
tien•ice o.cr±2S amps-commercial ❑11calth-cane Wlity or extension per panel!
❑Service over 320 umps-rating of 1&2 ❑Hazarduus location A, Fee for branch circuits with purchase of
ternity dwellings ❑sr.11ding over 10,000 square R,four or service or feeder rhe,each branch circuit S 6AS 2
0 System over 000 volts nominal more residential units in ore 5i:ucture B. Foc for branch circuits without purchase
i0 Building ruvur three rteries 0 Nd ders,400 amps ur mare of service or feeder fko,first branchcircuit: ! 46,83 2
L3 Oeeuoent load over 99 persons ❑Manus reties:1ructum or RV Park Each additional branch circuit: S 6,03
O eamsdlighting plan ❑%Thar: 11,10c.(Service or feeder not Included)-
Submit sets of plans with anv ortflc above. -Each pump or Itritiatton eirelc S 53.40 2
The a!Lave arc nut nrpGcable to tem oras constrtsntlan wla Each sign or outline li tin _ S Si.ao 2
Signal circuits)or a limited energy rsnel.
alteration at extension"
1
"Description:
Each additional inapectionover th allowable in any of the above:
I Per Inspection S 62.50 I
_ � Other
Visa O MlstetC Permit fcc..............r. s _ 7$.00
Credit card number• �+ 9100/03 Notice:this penult application Plan review ( ) g
Dotlald R Jones Ca t or ata _otnn»ulicdtron4 a.Phe.
�Eexpires It a perrntt Is not obtained State Surcharge( 845
Nxnr oraam s rnnwn on 4u�t
$81 00 withing ISO days after It has been
TOTAL.... . ... 3 81.0(
__ _l-urJholJu r�aneeure _ � � A""°"r accepted as complete. _
CITYOF TIGARD PLUMBING PERMIT
DEVELOPKE NT SERVICES PERMIT#: PLM2001-00647
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DAT' ISSUED: 12/10/01
SITE ADDRESS: 07650 SW BEVELAND ST 120 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK_ LOT: JURISDICTION: TIG_
CLASS OF WORK: ALT GARBAGE DISPOSAL.S: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRA'NS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of bar sink.
Owner: _ FEES
TRAMMEL CROWE Type BY Date Amount Receipt
PRMT CTR 12/10/01 $72.50 27200100000
5PCT CTR 12/10/01 $5.80 27200100000
Phone 1:
Total $78.30
--- - --
Contractor:
KSM PLUMBING INC
DBA SUNSET PLUMBING
PO BOX 23263
TIGARD, OR 97281 REQUIRED INSPECTIONS
Phone 1: 503-657-0010 Rough-in Insp
Reg#: LIC 141154 Top-out Insp
PI-M 34-366PB F=inal Inspection
This permit is issued subject to the regulations contained in the Tig, ••d Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued BYP /
-�y ==-� ------- ermittee Signature:
/
Call (503)639-4175 by 7:00 P.M. for an inspection needed a next busin daft
I,I
I
I
I
Plumbing Permit Application
Date received:/1,2// Xa/ Penmit no.:pz4Uj/-
City of Tigard
y Sewer permit no.:3�L p Building permit no.:
Address: 13125 SW Hall Blvd,Tiga:d,OR 91223
City Phone: (503) 639-4171 1'rojecUappl.no.: _ Expire date:
Fax: (503) 598-1960 nate issued: By,,�" Receipt no.:
Land use approval: ;4tjV'AQ01 00 Case file no.: Payment type:
I
;JN family dwelling or accessory 0 Commercial/industrial LI Multi-family U Tenant improvement
construction U Ac°dition/alte.ration/replaccnu•nt U Food service U(hher: ._,
all FF-E-SCHEDULE(for special h1rorntation use checklim)
ess: �D C�✓ T a� (a.�i IArwcri tion (?Iv. Fec(ca.) Total
New 9 and 1-family dwellings only:
Bldg.no.: Suite no.: 4 (include t0011.fir each idilityconuection)
Tax man/tax lot/account no.: _ SFR (1)hath
Lot: Block: I Subdivision: SFR(2)L'th -
Project name: SFR(3)bat, _
City/county: ZIP: Each additi mal bath/kitchen
IlgAcription and ovation of work on premise : SlteuHlH ee:
Catch bi.An/area drain
Est.date of completiattr'inspvction: D wells/leach line/trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: A(s/)? fjlyU� w Manholes
Address: Rain drain connector _
Sanita sewer no.lin.ft.
Ciiy_1� _,.,/ State• Z1P: rY ( )
Phone:
�c� Fax:d S;7—JY E-mail: Storm sewer(no.lin.ft.)
�
CCR no.: ! Plumb.bus.reg.no: Water service no.lin.ft.)
� y Fixture or item:
City/metro tic.no.: jQ Absorption valve
Contractor's representative signature: —� Back now preventer _
Print name: Date: —! ", Backwater valve _
Basins/layatory
Name: lr,,J Clothes washer
Dishwasher
Address: Drinking fountain(s)
City: Stat ZIP: Ejectors/sump.
Phone: _coFax: S? Email: Expansion tank
Fixture/sewer cap _
Floor drains/floor sinks/hub
Name(print):_ _ Garbage disposal
Mailing address: Hose bibb
City: —Mate: ZIP: _ Ice maker
Phone: Fax: I E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s)
Owner's si nature: Date: Sump _
Tubs/shower/shower pan _
Urinal
Name: Water closet
Address: Water heater
City: —�State: 7P:7_ Other:
Phone: Fax: E-mail: Tota
—' can uridktion fa more inrornunon. Minimum fee................$ 7a� SQ
Nd VI jartdkdms aecryA uernt crd..ptere ) Notice:'This pern�it application plan review(al 7F) $ _
U Visa U MasterCard expires it a permit is not obtained
credo card numtxr: wit!tin 180 days atter it has been State surcharge(8%)....$
L. �a TOTAL .......................$
Nww or iiaW&rm Awn on cmmt card — accepted as complete.
_ S
C �-� Amoant 440A6I6(~'OM)
_53R, �3J
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES Individual QTY ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL
Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory
16.60 for each utilityconnection
One 1 bath
Tub or Tub/Shower Comb. 16.60
Two 2 bath_--_ a $350.00 _
Shower Only 16.60 Three 3 bath - $399.00
Water Closet 16.60 - SUBTOTAL
Urinal 16.60 _ 8`/.STATE SURCHARGE
Di.,hwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
- - -- TOTAL
Garbage Disposal 16.60 -- .---_----- --- - ____._ -
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60
3" 16.60 PLEASE COMPLETE:
4 16.60
Water Heater O conversion 01-kekind--t 16.60 Quantity t ir Work Performed
Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/
permit. -_ - Capped
MFG Home New Water Service 46.40 Sink _7;__
MFG Home New San/Storm Sewer 46.40 - Lavatory -_
-- Tub or Tub/Shower
Hose Bibs 16.60 Combination
Roof Drains - 1660 Shower Only
Drinking Fountain 16.60 Water Closet____ _ -
Other Fixtures%^oecify) 16.60 -- Urinal
Dishwasher
Garba a Dis osal
-
Laundry Room Tray
- ---- -- - Washing Machine
__ Floor Drain/Sink: 2"
Sewer-1st 100' 55.00 3" -
Sewer-each additional 100' 46.40 4"
Water Service-1st 100' -- 55.00 Water Heater -
Water Service-each additional 200' 46.40 Other Fixlnres
_ -_... (SpecaZ -
Storm 8 Raln Drain-+st-100' 55.00
Storm 8 Raln Drain-each additional 100' 46.40
Commercial Back Flow Prevcntion Device 46.40 --- -
Residential Backflow Prevention Device' 27.55 ---
Catch Basin 16.60 -
Inspection of Existing Plumbing or Specially 7 2.50
Requested Inspections _ er/hr _ COMMEN I'S REGARDING ABOVE:
Rain Drain,single family dwellingGrease Traps Traps - 16.60 -__.--- -----.---
---- QUANT,"Y TOTAL ---- --�_ --
Isometric or riser diagram Is required If - ----� -_- M --
Quantity Total Is >B __ ----- -
--- "SUBTOTAL - - ---- ----�
8%STATE SURCHARGE - - --- ---- - --
"PLAN REVIEW 25%OF SUBTOTAL
Required on�8xfure qt L total Is>9
TOTAL E
"Minimum permit tea is 172.50+8%stato surcharge,except Rosidential Backflow
Prevention Device.whkh Is$36 25+8%state surcharge
"All New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan revl-ew.
1:\dsts\formstplm-fees.doc 01929/01
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00320
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/10/01
SITE ADDRESS; 07650 SW BEVELAND ST 120 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
TENANT NAME: MILDREN DESIGN GROUP
USA NO: FIXTURE UNITS: 2
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .2 EDU increase: previous value count of 151, or 9.4 EDUs; addition of 2 fixture values for a new
total of 153, or 9.6 EDUs.
Owner: FEES _
TRAMMEL CROWE Type By Date Amount Receipt
PRMT CTR 12/10/01 $460.00 27200100000
Phone:
Total $460.00
—
Contractor:
Phone:
Reg#:
Required Inspections _
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 1$0
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm
Issued by: ,�1 Z/-- Pprmittee Signature: lit
Call (50 39-4175 by 7:00 P.M. for an inspection needed the xt bualipiirs day
/ Accumulative Sewer Tally
Tenant Name: This SWR# -�0,0/—,M a __
Address:_- W- /i9D _—.— This PLM#:;20&-jJ G 9,7 —
Fixture clue Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added# added #s total
Count off#s count value values
Baptist!y/Foot -------- — 4— -- —-- --
Bath-Tub/Shower _ 4
-Jacuzzi/Whirlpool _— 4 — —
Car Wash- Each Stall 6
-Drive Through —_ 16
Cuspidor/Water As irator— 1
Dishwasher Commercial _ 4
Domestic— 2
Drin_kin Fountain_—
-fie Wash
Floor Drain/sink-2 inch _ 2 _—
___ 3 inch_ 5
_ 4 inch6
Car Wash Drn 6
Garbage Disposal 16
Domestic(to 3/4 HP) —
`Commercial to 5 HP _32
Industrial over 5 HP) 42
Ice_Machine/Refrigerator Drains 1 _—_--
Oil SeGas Station —_ 6
Rec.Vehicle Dump Station _ 16
Shower-Gana Per Head^ 1
— Stall
Sin'Bar avatory 2
-Bradley ________ _ 5 ----
-_ -Commercial _ 3—--`_— — --- — — — --
_ Service _ 3 ---
Sv.imming Pool Filter - -1 1
Washer-Clothes —6
Water Extractor 6
Water Closet-Toilet
Urin;31 — 6 — -- — ----
TOTALS I
Total fixture values: S3 divided b
—�-- ---- Y 16r� �2 EDU _ 9
HISTORY -' ,�Sao =� y6o t7-e
PLM, 00/-D/Az EDU# __SWR#AW,1- PLM# EDU# SWR#
PLM#,QoM�0 , , EDU# 7 ^SWR#aoo�Q..t & PLM# — EDIJ# SW_R_# _
PLM# EDU# wi14/ SWR# _ PLM# EDU# _ SWR#
PLM# EDU# SWR't PLM# EDU# SWR# —
i:lifsts%SWTtaly doc �_
ELECTRICAL PE
CITY OF TIGARD RESTRICTED M RIGY
DEVELOPMENT SERVICES PEKMIT#: ELR2002-00006
13125 SW Hall Elvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/11/02
SITE ADDRESS: 07650 SW BEVELAND ST 120 PARCEL: 25101 BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Low voltage to HVAC.
A.RESIDENTIAL B.COMMERCIAL _
AUDIO&STEREO: AUDIO & STEREO: � INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTEC-SIVE SIGNAL:
INSTRUMENTATION: OTHER:
Owner: TOTAL#OF SYSTEMS:
Contractor:
TRAMMEL CROWE D KIZER COMPANY
945 SW FILBERT ST.
MCMINNVILLE, OR 97128
Phone: Phone: 503-437-6816
Reg#: ELE 34-1000LE
LIC 148184
SUP 12899J
FEES Required Inspections
_Type By Date Amount Raceipt ^_ Low Voltage Inspection —
PRMT CTR 1/11102 $75.00 2720020000 Elect'I Final
5PCT CTR 1/11102 $6.00 2720020000
Total $61.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of iss+,jance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Cer.+er rules are set forth in OAR
952-001-OG 10 throggh OAR 952-001-0089. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987
Issued by Permittee Signature "142
OWNER INSTALLATION_ONLY _
'rhe installation is being made on property I own which is not Intended for sale. lease, or rent.
OWNER'S SIGNATURE:
—..� CONTRACTOR INSTALLATION ONLY
SIGNATURE OF S:IPR. ELEC'N DATE:
LICENSE NO: ---
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
I
10/2002 13:56 15034347223 D KIZER CO PAGE 02/02
•102002 11-51 FAX 603$981960 CITY OF TIQM 10002
s
Eleclr adPermitApplicadon
z:L`cnxetved: _ Permit tlu.:
Ak L
Oty of Tigard �� ��j'j I� Yrojecyappl.no.: Hx iredote:
CftyejTie-d Address: 13123 SW Hall 91v��tb�d� 97=1 Uatetasucd: By: rtaceipcno.:
}'hone: (503) 6394171
Fax-(503) SWIM jAN 1 0 2fifi7_ Caserlemo,: I'tyrnenttype:
Land use approval: _ _
=Ne%u
t&2 y dwelling or accessory Al C:.)mmercial/indusn-ial CI Nulii-fatnily Cl Tenant improvement
uctien ❑f►ddition/alteratioNfe+placetnent O'.ither:— O Parriai
JobaddrM.' —I{tr fur �7, T31uS no.- Suiten.. I-z.b T%xmapltaxlot/aeco—untno.:
Lot: Block: Subdivision:
Pro ect name: LI)eacr:pOorl and location of work on premises:
Batintgted dole of wtupletkwAiinspCodon:
-Job not tc+ 1►tatt
Business name' L T �10 n +ipr1�� (ltv.I(rte) Total ne.ipep
/4,usine3: 'f S �- '�,`�— e_*Mfd.otlal-SWjeormatti•huutlypei
]� � dwaibea►M Iedu&-—clyd ger r_
Qty: I Stnttlp We I ZIP: 9an4nelealaded:
Phone.503_q37-41 Fax: L E-mail: 1000 sq.s.or less a
CCB no: no-'3v- L� EachaddidonSJ 5009 .n.
Elec.bus.lie. to prierto.roof
Ci httetlr0ile.o4.: y � Umtedener�,raidendq �
�O-a -ni1 /a�pr /� umlterlcnyCy.nim�Kui God — 1
1 iQ Each manufoetuvA ham`or modular d+rdling
SigtoN_re of au c elcrtrk l.n ulrcd) rte f,'-r t&wonnrect
serAce.f0tvar WetSup.eteeL name rin:): t icrnsn ua: Z 200 amps or lossMaw(print): a 1am to 400 amus40 to 0`lops 2
Ci 51019: ZII': rnpe to 1arnite or vottePhone: Fax: `nail: ort I
Omer ation:TU%installation is being made on pr9pam l I own emperury taeeor feeders-
whimh is not intended fot sale+,Ittase,rent,or exch:tribte auct-milug tc or teloat on:
ORS 447,4,55.479.670,701. 200 n ell`s`- 2
201 amp r to 400 amps 2
n sIP e: Dem. t0 to 800 ampr
Bruch dretdta-rww,a teras op,
or erten lon per panel:
Name: _ A. Fee for branch rireulta with purchue of
Addre as: service or twirl ika,awry 6,utch wwrt 4
City, State �; F :1• w r branekarentte outpurehne
['bort: rax 4"a_vi,--.r.ei:trfe4 Oretbrowuh eirevltr s
Frnim]' 6aah n icfenil been�h ei•^,r r•
be.(service or4"erneer
0%Mceover225unpctorimr-nal U Health-carefeciliry, T;a hpump orinigadoncirda 1
U Strviceover320amps-tetUtt of 1P._! 0 Harar000etocrdon 2wh"Jin A,outline liMint _ _ 2
funilydwellings 0 Building over 10,0110 squanaftrer(furor Signal dtt uit(A)or a limlted energy panel,
►7 S.Itt st600volbnomnal rnorcrtaidentlalunlnlntrereatructutt alaervtion,orestension' 2
Onundlnae•ar�lwxatoder, gfr,�dam400nmpcormm
O Oecupant loaf over 99 penorm O Manu6Mr,j stomas or RV park Each ad dNlonal ingitr lon ovp.r Nit allowable Way of . ab n t:
Cl 6 yAirbdntplan O Other) ----- 1, p"sa�pfee
�= �i1. 7- r—
Vasmbveit _a isnr plana whh"y af the abor
Mee
abaft w not"amble to te_ p02!!Lr.•omtrtrt tion service. Other -
SIN.n t,,.a4%dmt aw9v credit 011,4+.rimers call tratsrt-don for trim Warnta tba 13otice:l•11ic petmit applicstlon Pemit fee.....................S �-1 5'-12D
O vlaa O Mrra at t7 ,•1 3 r.xpim5 if o permit is net 6"160 en pial R"ew it 9R) $
't cant 1�!2] _. within 180 days..flex it has 1>Den State surcharge(896)
accepted of«,mplobe. TOTAL AL o
1
CITYOF TI GA R D BUILDING PERMIT
DEVFLOPMENT SERVICESPERMIT#: BUP2001-00455
13125 SN/Hall Blvd.,Tigard, OR 97223 (303) 639-4171 DATE .SSUED: 12/21/01
SITE ADDRESS: 07650 SW BEVELAND ST 120 PARCEL: 2S101BD-00100
SUBDIVISION: BEVELAND CORPORATE CENTER
BLOCK: ZONING: C-G
LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS Y FIRST: sf N:
TYPE OF USE: S: E: {N;
SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: _
sf
OCCUPANCY GRP:
TOTAL AREA: 0 OG sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf
AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ.?: REQD SETBACKS FLOOR LOAD:
REQUIRED
psf : ft RGHT: ft FRSPKL: SM
OK DET:DWELLING UNITS: FRNT: ft
REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BA'T'HS: IMP SURFACE: PRO CORR:
VALUE: $ 1,226.00 PARKING:
Remarks: Allo.olIon and addition of 14 sp,inkler heads for commercial TI.
Owner: Contractor:
TRAMMEL CROWE AFP SYSTEMS INC
19435 SW '129TH
TUALATIN, OR 97062
Phone: 415-28R-8150 Phone: 503-692-9284
Reg#: LIC 67534
~FEES REQUIRED INSPECTIONS_
Type By Date Amount Receipt Sprinkler inspection
PRMT CTR 12/,10/01 $62.50 27200100000 Final Inspection
5PCT CTR 12/10/01 $5.00 27200100000
FIRE CTR 12/10/01 $25.00 27200100000
Total $92.50
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 he done in accordance with approved plans. This permit will expire if work is
not started within 160 days of issuance, or if v.ork 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
957.-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800.332-2344.
Pe rm ittee
Signature:
Issuers By:
Call 639-4175 by 7 p.m. for an Inspection the next business day
Fire Protection Permit Check List
A� ❑ New _❑ Addition _❑ Alteraticn ❑ 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: C-&4
_Type of SystemCo Clete-A or B as aplicable
-A�Sprinkler — _Wet � -- - _ D ❑---_—__ -_--
Stand ipes
Additional Hazard Group IS
Information Densit 0,10 --_..-
_Design Area _ 1500
K Factor S-b i7.
Sprinkler Project Valuation: $
B. Fire Alarm — —
Submittal shall BattCalculations Yes ❑
_�T---
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Pro ect Valuation:
Pro qct Valuation Subtotal A & B : $ 2 - _
Permit fee based on valuation_ see chart): $ so
--- _ --
8% State Surcharge.:_ $ Ao
FLS Plan Review 40% of Permit: -$ a5." —_
----_-------------- --------TOTAL: $
i•\dsts\forms\FPSchecklist.doc 10104/00