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10775 SW GREENBURG ROAD-1 10775 SW GREENBURG 111) ry OF TIGARD — ELECTRICAL PERMIT PERMIT#: ELC2002-00660 DEVELOPMENT SERVICES DATE ISSJED: 2/3/03 13125 SW !-fall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL. 1S135BC-00100 SITE ADDRESS 1077 SW GREENBURG RU ZONING: C-G SUBDIVISION- BLOCK: LOT : JURISDICTION: TIG Project Description. D T RESIDENTIAL UNIT _ TEMP SRVC/FEEDE=RS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FOR: 601+amps - 1000 volts: MINOR LABEL (10): __SERVICE/FEEDER BRANCH CIRCUITS _—„ --ADD'L INSPECTIONS 0 - 200 amp: W/SLRVICE UK FEEUEK: PER INSPECTION: 201 - 400 amp: list W/O SRVC OR FUR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: SECTION 601 PLAN - 1000 amp: -- --ION 1000+ gimp/Volt: >=4 RES UNITS: > 600 VOLT NOMINAL_: Reconnect only SVCIFDR>=225 AMPS- CLASS AREA/SPEC OCC: Owner: Contractor: PHILIPS PETROLEUM BOYLES ELECTRIC,INC. 3977 LEARY WAY NW P.O.BOX 1227 SEATTLE,WA 98107 BORING,OP 97009 Phone: 206-706-2203 Phone: 503-668-7440 Reg #: LIC 137002 ----- ELF 3-465C FEES _ SIIP 1404-5 Description Date Amount Required Inspections - I I'.I,PItfv1'1 f 1,C Pcrmit 12/24/02 $46.85 Rough-in I AXI 8 Mate fax 12/24/02 $3.75 Elect'I Final I IRLCKI I I r'Pln Rev 12/24/02 $13.21 Total $63.81 I This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate 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 lave requires you to follow rules adopted by the Oregon Utility .Jotification Center. Those rules are set forth in OAf 962-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800(dB 2344. Issuy: Perr•it Signature: L, _ 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: � `: w M _ DATE:___ LICENSE NO: ----�- Call 639-4175 by 7:00pm for in inspection the next business day Electrical Permit A ',•anon00FICE USE ONLY, tate received: Permit n4i6 �- City of Tigard ProjecNappl. no.: Expire date: City uj Tigard Address: 13125 SW liall Blvd,Tigard,O@M299 J 1002 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 CITY OF TIGARD Case file no.: Payment type: " �>J Land use approval: ___ 3UILDING DIVISION � 1 a W 01 jo I IU. ❑ 1 &2 family dwelling or accessory )111c'omrnercial/Indir trial ❑Multi-family ❑Tenant improvement ❑New construction ❑Addition/altemtionircplacement ❑Other: ❑Partial lob address: Bldg, no I Suite no.: i— ITax map/tax louaccount no.: _ Lot: Block: Su division: Project name: QI djr.P I Description and lo.ation of work on prerrhses: Estimated date of completion'inspection: �!s t?h►��3� y_� 4�r+�,,ts�'It.1 'V) 1 ► ; , M 1 1 Job no: jter I Max Business name; Z6YU6, FL��-Xlr'',,,, / Description Qtr. (ea,) Total nrr.insp -r —' Now resideMW-rbKleormultt family per Address Q 9)( /A;,,7 dire)litnaunit.includesenschedgarage. City: ,Qi/�"o LtaTOA tWY; 7p4 Senice{ncluded: Phone: 6-0,5469-700 B-mail: loon sq.a.or less 4 CCB no.: i3-?paA _ Elec.bus.tic.no: - Each additional 5110 s . A.or own thereof Limited energy, residential _ 2 City/metro lie.no.: Limited energy, non-resicicnnal '_ Each manufactured hume or modular dwelling Signature of supervising electrician (required) Datc'—� Service and/or feeder — Sup.elect. name iprit): License no• sersleesnrtreden-installation, ■llerallon or relocation: 1PIERTY MG amps or less Name(print):OW11A.�Si>' �/ 201 amps to 400 amps Meiling addres : 13a.717 t 401 amps to 600 amps 601 amps to 1000 amps 2 City: �♦ Stale ZIP: —� -- -- �� Over IOW amps or volts _ Phon , 22,.E I Fa4 f _I,{.-i3 E-mail: Rccoimcct wdv l —C' remporary services or feeders- Ownc installation: The installation is being made on property I own which is not intended for sale,lease,rent,or exchange according to installation,alteration,orrelocaIon: ORS 447,455,479,670, 701. 5�•�(`r �c ,C+yr. / 200 amps or less 2U1 amps to 400 amps Ownef's si nature: Date: 401 to 600 amps Branch circuits-new,alteration, Nam or extension per panel: 7 A. ree i'bir branch circuits with purchase of f- Address: D I/ f + _ + .G • ser.ice or feeder fee,each branch circuit l lty: 1�t1 _ Stat ZIP: a�4• B. sec for branch circuits without purchase PhOn�:,�:��w21•�7 p fax: +• Q E-trail: of service or feeder fcc,first branch circus: _ 2 F'ach nddmonal branch circuit C Misc.(service or feeder not Included): 14ervtw over 225 amps-cummeretal U Health-sue facility Each pump or imgauon circle 2 U Service over 320 amps-sung of 1&2 041arardous location Each sign or oudlnc lighting '_ family dwellings U Pudding over )0.00(1 square feet four or Signal nrcuito,or a limited cncny panel. O System over 600 volts nominal morn residential units in one structure niteranon• or extensions 2 O Budding over three lona O Feeders,400 amps or more `Descri urn, O occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the rllursable in any of the abme: O GgrcsvLghnng plan `f$othee �--- Per inspection T— Submit�.,sets of plans with any of the above. Invcuiation fcc The abore are not applicable to temporary o t-nstrttcHon service. Other Not all jurisdictions Keep cmbl cards.please call 4,r more mfnrmautat Notice: This permit appliealion Permit fee ......................S .� O vim O Mu•crCard expires if a permit is not obtained Plan review(at r� %) S •�/�r— Credit earl number within 180 days aver it has been State surcharge(8%).....S --- -- - F%prtce . Name of cardhaldcr ar shown on credit rod accepted as complete. TOTAL........................S g1 - / �lardhuldcraanoiur�----- S__ ,:4 'P •i. t'•?.d- '`rJ 9:-'cs?c'X. t�jv' �. g[„f �'►�i/!'f.+� r.: �rJ�•)�tCL'f A v"'rs! •E7iL Vy. con y i C - 't �d CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 .1 BLIP --------------- - V Received __ --_Date Request d J AM -_-___ PM—_ __ _ BLIP Location `_ U Suiten —_ MEC Contact Person �_ kJ Ph(_ t) ) -� 9 PLM - --- - - - ---- Contractor __ B _ - --_ Ph 1Z_ SWR BUILDING Tenant/Owner ��, �~ U* _-`J_'L _ ELC Footing ELC - - Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: � t � ����'� yl _ - ------ Post&Beam —.__- 4_ Shear Anchors Ext Sheath/Shear t Int Sheath/Shear Framing —- - - - Insulation Drywall Nailing - - -- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other. Final �_-.----- PASS PART FAIL -- PLU_MBINCu� - Post&Beam Under Slab --- -- Rough-In Water Service -- ------ -- __ _.._,. - -- - - -- - ----- -- Sanitary Sewer Rain Drains --- - - —--- —�-- Catch BL-i !Manhole Stora 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 FireAlarm l ❑ Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SS PART FAIL SITE — ❑ Please call for reinspection RE:__ ❑ Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk DMO. Ext Other: Other: r i �a Final — - DO NOT REMOVE this Inspection record'from the job site. PASS PART FAIL FRIM BOYLES ELECTRIC FAX NO. : 5036687615 Feb. 03 2003 11:39AM P2 CITY OF TIGARD Q 002 U2U:1'2000 1101 FAX 60:19981080 , CITY OF TIGARD RECEIVED �1 13126 O.W. HALL BLVD. V C,D TIGARD, OR 91223 FEB 0 3 2003 IMPORTANT pERMIT NOTICE 19 G'r�OF TIG48D U1CnING BOYLES ELECTRIC, INC- DIVISION p.co. 130X. '1227' BORING, OR 97000 EleCtric:el Signature Form, Permit#: ELC2007-00660 Dccty Issued: 213103 Parcel: 1 S135OC-00100 Site Address: 10770 SW OREENBURG RD 5ubdivi510n: Lot, .jurisdiction: Tie Zoning: C-G Rnmerkti: 13 company heti been indicated as the electrical Contractorfurtile ic ens s it indrlvdted above. ibovase have gid`"'fur the �1r P Y 9 ervlA r g electrical rx)rmit to bpi valid,the signature of the yup appropriate individual fmm your curnpany sign below and r©turn this �.IectricAl Signature Form prior to the start of the yvc�rlt to the addre:��s above, A1�'N: building Divls nn. I h® authorized until this completed farm 1% recoived No electrical Irl s:peatloryS wil CtEGTRICAI. CON TRACTOR: OWNCR: BOYLES ELF-CTRIC, INC. PHILIPS PETROLEUM p,0, BOX 1227 3977 LEARY WAY NW BORING, OR 97009 SEATTLE,WA 98107 Phono#: 209.706.2203 Phune #: 503.668-7440 Reg W LIC 137002 t✓LF- 3-465C SlJP 1404S AN INK SIGNATURE IS REQUIRED O THIS FORM Sig ure of Supervi ' Electrician r if yrju have nny quastlonn, plear;13 call (503) 039-417 1, ext. 4 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---�--- -- BUP Date Requested '^Z(�! /`i ANi_ PM BLP Location ' _ � i,/G Suite G MEC Contact Person Ph �� ��� p S PLM Contractor Ph SWR — _-------- BUILDING Tenant/Owner ELC Retaining Wall J ELB Footing Access: J Foundation FPS Ftg Drain SGN -- Crawl Drain Inspection Notes: - -- - - Slab --_-- SIT Post& Beam ----- Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall � ---�-- Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof — Misc Final PASS PART FAIL --- - PLUMBING Post& Beam - Under Slab Top Out - Water Service Sanitary Sewer - -� Rain Drains Final PASS PART FAIT_ _ MECHANICAL -^ Post& Beam -- ---- ------- Rough In Gas Line - - ----- Smoke Dampers � _ ----------- - ------_-_----- — Final - -- PASS PART FAIL �ItLECTR - SerGice Rough In _-- --..--_- ---.__, UG/Slab Low Voltage Fire Alarm lvtii CVTqS PAK. FAIL Backfill/iiading - --- - -- Sanitary Sewer Stone Drain [ ] Reinspection fee of$ T required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] please call for reinspection RE _�_. __ ( ] Unable to inspect no access Fire Supply Line — ADA Approach/Sidewalk Date eViO Inspector T t-C-t�� Other _ — — - Ext Final PASS PART FAIL J DO UT REMOVE this inspection record from the Job site. `^\ CITY OF T I G A R D -- ELECTRICAL PERMIT PERMIT#: E 0.00158 DEVELOPMENT SERVICES DATE ISSUED: 04/06/2/06/2 000 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135BO-00100 SITE ADDRESS: 10775 SW GREENBURG f:D SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Protect Description: Electrical TI RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _�— ADD'L INSPECTIONS_ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FOR: 1 PER HOUR: 401 - 600 amp: EA ADD'L RRNCH CIRC: 4 IN PLANT: L601 - 1000 amp: _ _ PLAN REVIEW SECTION___ __ 1000+ amp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL _ Reconnect only: _SVC/FOR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TOSCO CORP PREMIER ELECTRICAL CONTRACTORS PROPERTY TAX DEPT-DC17 115 NICHOLAS WAY PO BOX 52085 PO BOX 7010, BEAVERTON, OR 97 PHOENIZ_, AZ 85072 NEWBERG, OR 97132 Phone: Phone: 259-1305 Reg #: LIC 001264 SUP 4427S ELE 36-79C FEES _ i_ Required Inspections _ Type By Date Amount Receipt Elect'I Service PRMT BON 04/06/200C $58.90 0001222 Elect'I Final –5PrST BON 04/0612000 $4.72 0001222 ORIGINAL� � � ( �� r Total $63.62 L 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 issuanoe,or I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of there rules or direct questions to OUNC at(503) 246-1987 / PERMITTEE'S SIGNATURE ISSUED BY: t� 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: �Ati1 /i �(L/ _ _ DATE:-r If LICENSE NO: —�— Call 639-4175 by 7:00pm for an inspection the next business day CITY CF TIGARD Electrical Permit Application PlanChPck _ _ 13125 SW HALL BLVD. Recd By &111161 .— TIGArRD OR 97223 Date Recd 4=-L-fid Date to P.E. Phone (503)639-4171, x304 Date to DST_ Inspection (503)639-4175 Print of Type Permit Fax (503) u98-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) '7W,� i ,� Service included: Items Cost Sum Address 1077 5 5 w GI Yr.'s I t l 4a. Residential-per unit 1000 sq ft.or less $ 117.75 4 City/State/Zip �)/ — Each additional 500 sq ft.or - portion thereof $ 2675 1 Commercial Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $ 7275 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). 1 brstallahon,alteration,or relocation Electrical ContractorQ;Crv+1ev' L rrcliyi( 4 etn,&, Pvt. 200 ampsoi less $ 64.25 2 Address�U, )(1132 ^_ 201 amps to 400 amps _ $ 8550 2 —�— 401 amps to 600 a rips $ 128 50 2 City Nem-�,{.tvrq State U/'- zip � 601 amps to 1000 amps $ 192.50 2 Phone No. S s 7i_?Ibc�/ Over 1000 amps or volts $ 363.75 2 Job No. 3-7 V2. I Reconnect only , $ 53.50 2 Elec. Cont Lice No. 3b-71 G_Exp.Date 12.101 4c.Temporary Services or Feeders OR State CCB Reg. No )24n 4i0[ Exp.Date_L2�____ Installation,alteration,or rely cat un COT Business Tax or Metro No. Exp.Date 200 amps or less _ _ $ 5350 -� 2 7.01 amps to 400 amps _ $ 8025 _ 401 amps to 600 amps $ 10700 Signature of Supr. Elec'n,T-t - — Over 600 amps to 1000 volts, --- License No. ABY �/S/i27 SExp Date 1vsee"b"above. - C/ 4d. see" circuits Phone NO .'Jr "7 j[aEJ! Newalteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Fach branch circuit $ 5.35 2 Address b)The fee for branch circuits — — ---- without purchase of service City_ State _Zip or feeder fee. Phone No. _ First branch circuit -�1 $ 37.50 3 7- S� - Each additional branch circuit �L $ 535 The installation is being made on property I own which is not 40.Miscellaneous intended for sale, lease Or rent. (Service or feeder not included) Fach pump or irrigation circle $ 4275 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy 3. Plan Review section (if required): panel,alteration ur extension $ 60.00 Miner labels(10) _ " $ wrerr — ---- Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over or more residential units in one structure the allowable in any of the above — Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: A�1 5a.Enter total of above fees $ Y7. 11J " Submit 2 sets of plans with application where any of the above apply. Dy1Strrcharge(4*X total fees) $ 1L__ Not required for temporary construction services. Subtotal '09 $ _ 8b.Enter 25%of line 6a for NOTICE Plan Review if required(Sec,3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#_ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ U3117- i dsts�.1irrm,0cicclrlc,doc CITY OF TIGARD BUILDING INSPECTION Di✓ISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 10-7 -7 Date Requested—__ Z AM PM BLD Location � .��I 'LXX ' 04 - Suite _— MEC _ Contact Person If( , J Ph �' yg=? — PLM -- Contractor Ph SWR _ ILDING Tenant/Owner — —_ ELC ng Wall ELR -----_-_-- Footing Access: Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes: ----- — _----� Slab - --- SIT Post&Beam ---------- --- --.----- Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing ----- Firewall Fire Sprinkler -- — -- - - --- �..- Fire Alarm Susp'd Ceiling —---- ------ _ - Roof A M' 6S �PART FAIL-41110MING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains -- Final PASS PART FAIL ---_-------_---- --------___--_ _-- MECHANICAL Post&Beam --- -- - -------- ---- --- - .� Rough In Gas Line -- Smoke Dampers Final --------------------_ -- -.- __ ..— PASS PART FAIL ELECTRICAL - Service __ - -- --- -- -- --_ -- Rough In UG/Slab --- --.__-- -- ---- Low Voltage Fire Alarm -- -------------- ---- -_- Final PASS PART FAILSITE Backfill/Grating -- Sanitary Sewer Sturm Drain i ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line [ ]Please call for reinspection RE —_• ( 1 ADA Approar ti/Sidewalk �- p Other Date Ins ector --- Ext Final PASS PART FAIL_ DO NOT REMOVE this Inspection record from the ,lob site. CITY OF TIG�►,RDFtWI_DINGPCRMIT _ PERMg1 +i. 13'.;7'1;'99-00422 DEVELOPMENT SERVICES nn ' DATE ISSUED. 2/. : �r� 13125 SW Hall Blvd., Tigard, OR 57223 (503) 63 all SITEADDRESS 10775SWGREENBURGRDA(A Hi',�tC' I_. 1E ';.56C-00100 SUBDIVISION: ZON fVGC-G BLOCK: LOT: JURISDICTIO;�4 TIG l REISSUE: LOUR AREAS EXT_ ERIOR WALL CONSTRUCTiO_N__ CLASS OF WORK: ALT FIRST .,,400 sf � N. � S^� E: � W: TYPE OF USE: COM SECOND: Sf _ PROJECT OPENINGS? TYPE OF CONST: )N st N: S:_ E: W: OCCUPANCY GRP- U1 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEME44'f: sf AREA SEP. RATED: STOR: 1 HT: 16 ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: R_E_QD_S_"TBJkCKS _ _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RUHT: ft FIR SPKL: SMOK DE1: DWELLING UNITS- FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 49,500.00 Remarks: Remove existing canopy fascia and replace. No Certificate of Occupancy required, no change in occupant load - No changes to original approval for B2 requirements. Ownpr: Coi,tractor: TOSCO MARKETING CO SME CORP 76 BP )ADWAY AVE 2302 A ST SACRAMENTO, CA 95818 TACOMA, WA 98402- Phone: Phone: 253-572-3822 Reg #: LIC 40659 _FEES _ _ REQUIRED INSPEC',_'ONS Type By Date Amou it Receipt — Misc. Inspection T ----- Final Inspection PL,.K DEB 9/29/99 $100.00 99-318710 PLC2 DEB 2/22/00 $183.50 00-321791 PRMT DEB 2/22/00 $436.15 00-321791 FIRE_ DEB 2/22/00 $174.46 00-321791 (additional fees not listed here; Total $929.00 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTF'JTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. 1-ho:;e 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 1303) 246-1987. A i Pe nn itee Signatu►o Issued'43y: Call 639-4175 by 7 p m. for an inspection the next business day u9 u1 99 o9: 12 V5n.7 6S 72217 CITY OF TIG.ARD ZOU3 005 � ea d By 'ITY OF TIGARD Commercial Building Permit Application 13125 5W HALL BLVD. New Construction and Additions nate.soca Vete to'.E. %^ NGARC, OR 9722'3 uate to c4,r L 1t> i V 503) 639-4171 Print or Type Related SWR R Incomplete or illegible applications will not be accepted celled , ------ --- -- tame of Development/Project JoL I-iW1orj 'I(c 57A"* '-,)©OclZ -----_ Existing BuildinpIg New Building Addrf!ss Street Address sufte 10,715 sw olzeakl15ueta Building Bldg0 citylstate 7JP Data _ 1 c pr2O 2 F�cisbng U."of B ding or Property: Nartaa Property To-,cu C Sk2ylcli STpr,o� - _ �lN�l��i Iry o Owner Mailing Address suite Proposed Use of Building or Property: Gty/state zip Phone (,q 1(o aw ---- -- No Of Stones: _ _ ` Pc.tZNN►,:a.► u GP q5 I`S 55b � ?bo � __ _ ______ ___ Occupant Name Sq. Ft- Of Project: — - Name -- --- Occupancy Classes) Contractor Prbr to permit Mading Addreue suite m- Typo(s)of Constnlction Issuance.a copy Of all IK;UMei ! I ! ------ are neqt*wd it t;IlyrState p7''�y- Phom Will this project have a Fire Suppression System? expired In C.O.T. 1 "/ /G� r/ '' �r)x yes ND eataease � t'1 / �l �`---- Oregon carat.Cont.Bose+IAL* FSP.Dat. Americans with pisabllitieS Act(ADA) �( aluation X 25% 3v Partirinatwn Oomnlete ACCassib(Ilty Nams Project $ _ Amhltect C3(zuu Valuation Mailing Address suite (o99-I_ GPM��13tx,u. -3v Pians Required: See Matrix for number of sots to submlt- citynitsts -7JP Phone Q+f3 U) on back Pt✓' 325 1 `=1A5- o 40 — Engineer Notre T (hereby ocClowledga that 1 have read this ttppftcrrtion,that the rnfortnation U y-1 - 1 U r A 5 5 c 1 9 T6c 7 given�9 wrtetl,thud I aur,the owne,or authorized aclenl of thto owner and Mailing Address Suite them plans subrnkted are in compl;.,ue with Ui%gon State Lns ' T ►J G u it.' eo. Sgnatum of owner/Agem - - -- Pate �- city/tibia ZIP Phone C-71 4 "Z raCA q1, 1-4$ - 41i Contact Perron Name phone indicate type of work: New,O Addition O Demolition O i�p►Y 1 1350 t-) C4 80 Cj 4 5-(p o er c) A(=ensory StruMre O Found2ban Only O Aflrratian* _ Re N-o other o FOR OFFICE USE ONLY noacrfption of work: Maar —,""�un V �1.:• 1c'v1=. l--x_%5-171 V cr4-+oP`F FtaScta A- 0 1� F%_-Ac.E Notes-. parlor: fatimeted d of Employees "--'_— TIF If the atwrve figarw U not suppried at the time of appli"tion,the city will calcuiats thw fee based upon&on cumber of parfal -spgSas. - Nota Sita Work Fermat APPlicadon mra.-t precede or accompany Bulldinq ( - 4 ( 3. v!•wkF i Perth":oplicatlon 1COANE11 r60t 41�Et�� y�lM�Pt rt•tee r1J :J&, ff CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 PiLine: 639-4171 MST Blip oats uw ct_').2— t OL —AM_ PM _ bLD _ ocation �� _ ! � � �,� Suite M1 MEC ,;ontact Person _ Ph PLIV 1 Contractor Y Ph _ SWR BUILD - Tenant/Owner � J'n S f zt,. _�-t,� ELC Retaining Wall ELR Footing Access: — FoundAtion FPS Ftg Drain — Slab l Drain Inspection Notes: _%j�n� .7 c� SGN Post&Beam �r SIT Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation + Drywall Nailing ,_�l.P 1 SZ .✓ r G�, .�� Firewall - Fire Sprinkler Fire Alarm Sus 'd Ceiling „J , F \ )____!��,/ jyS. S r7 T a`1L� "(.�c.,�,�eT Misc: �� 0-41•L� �JLQ.c..l i- - V u ASS PART FAIL Ptt*BING (� Post& Beam Under Glab Top Out Water Service Sanitary Sewer "- Rain Drains Final - - PASS PART FAIL MECHANICAL - Post& Beam ---- _ Rough In Gas Line ------ _ Smoke Dampers Final -- -- PASS PART FAIL ELECTRICAL - — — — Service Rough In - -- -- - A_ UG/Slab Low Voltage - Fire Alarm Final - — PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin — Fire Supply Line ( ]Please call for reinspection RE: ( ]Unable to inspect- no access ADA Approach/Sidewalk Other Date i �' t �' � Inspector_—_�_— Ext l Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F TIG A R D BUILDINU PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUF-198-01. 15 13125 SW Hall 131vd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 03/11/98 PARCEL: IS135BC-00100 SITE ADDRESS. . . : 10775 SW GREENBURG RD SUBUiVISION. . . . : ZONING:C—B LOT. . . . . . . . .. . . . . . JURISDICTION:TIG ------------------------------------------------------------------- REISSUE: FLOOR EXTERIOR WALL. CONSTRUCTION_. CLASS OF WORK. :ALT FIRST— . : 0 st N.- S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS'l---- TYPE OF CONST. : . . . : 0 sf N: S: E: W: OCCUPANCY bHP- :b2 TOTAL------: 0 sf ROOF CONST: FIRE RET": OCCUPANCY LOAD: 0 BASEMENT. : 0 s AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. 0 sf OCCU SEP. RATED: Bsm,r? -. MEZZ?: REDD SE REQU I RED------------------ FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT'.- 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP AC-1: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: V1 VALUE. $ : 9737 Remarks : Reroof existing BP service station. Tear off and reple-.e. Owner: FEES --------------- B P OIL COMPANY type amount by date reept 7320 SW HUNZIKER ROAD PRMT $ 80. 50 GED 03/11/98 9/3-304009 TIGARD OR 9722*3 5PICT $ 4. 03 GED 03/11/98 98-304009 PLCK $ 52. 33 GEO 03/ 11/98 98-1304009 Phone #: 624-4640 Contractor: ABBOTT & SIMPSON ROOFING & SHE 2144 NE 2.2ND PORTLAND OR 97212 Phone #: 287-5552 $ 136. 86 T01-AL Reg #. . .- 004074 ------- REOUTRED INSPECTIONS 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 188 days of issuance, or if work is suspended for more than 189 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in BAR 952-10I-11I0 through DAR 952-00101987. You many obtain a copy of these rules or direct questions to DUNG by calling (563)246-1967. Permittee Sj.gnatur P sued By .........4............ ....................................4.................. Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ............4...........f......................4-++++4--1-++4..F........+.-F......-h.... CITY OF TIGARD Recd By: 13125 SW HALL BLVD. Date Recd- TIGARD PR 97223 RE-ROOFING PERMIT APPLICATION Date to PE: V-593-639-4171 X304 Incomplete or illegible applications will not be accepted Date to DST: �-- Permit F-503-598-1960 Called: T Name of Development/Business STEP 2 NEW ROOFING ASSEMBLY i/1( , 1 Materia(Documentation(UBC Appendix 151 Street Address Ste# Please fill out applicable section and attach cn,iy of roofing Job Site `�14) (7re�c'rJ)r I rq specifications. Bldg# I City/State Zip ted Assembly Clrcle&Comptetr3 A,B or C_) Name pecification#: Owne• Mailing Address 2 Manufacturer: I 1r'4 /�)ili y,lli; City/State Zip Pho3a UL Classification:- '(l ne _ Rc ofing Name Listed UL Building Materials Directory Page �,t Cor ,ractor 1 f f ' ' q l (OR) (fluor t i issuance Mailing Address 3b Warnock Hersey applicant must 22K)( nrovide a copy of City/State Zip Listed Warnock Hersey Directory Page#: all cot tractor (PROVIDE COPY OF ASSEMBLY) licen!es if Phone# Fax# – ---------------- --------------------- expired in COT � �' / -------- j'-1 B. ICBQ ;research#: datat tse) State Constr.Contr. Boara# Exp. Date _ _ECID_A_TE_D: _ BIiIILDI"3 INFORMATION r~� C SPAL PURPOSE ROOFING. WOOD SHAKES' Building-Type Of Use. (circle one ('review required by plans examiner) SF SFA COM MF Building Type of Construction: VALUATION OF PROJECT $– Existing Deck Deck Type: Permit fee based on valuation" Combustible (j<) Non-Combustible ( ) _ _ ' see Chart on back $ RESIDENTIAL ONLY-CIO*$of Work:Alteration Y City use only WACO: p /; 'J REPAIR (MAJOR) (BUILD) (UBUILD) py, Permit required ONLY when spaced sheathing is covered by solid sheathing. 5% State Surcharge $ City use only: -- VvACO: SUBMIT_THREE(3) SE_T i_Q_�LAUS..SFE< I_FYINQ (TAX) (UTAX) 14. C) '3 A. Roof area&nearest street. _ 55% Plan Review 1 $ B. Attic vents - Providel sq.ft. for each 150 sq. ft of attic (city use only: WACC, S .. � space&vents shall be located in the upper 1/3 of the roof (BUPPLN) �kUBUPLN) �( Provide 1 sq. ft. for each 300 sq ft. when eaves&attic _ �.• TOTAL $ ?STEPI. �COMMERCIAL� ONLY I acknowledge that I have read this application and that the Class of Work: Repair information given is correct, that I am the owner or authorized I)Fscribe work to be done (check appropriate box) agent of the owner, and that the plans (if applicabel) are in Ll�F_-ROOF (circle A ,B or C) compliance with Oregon State law. IFxisting built-up roof r;overing to be REMOVED and deck repaired- Signature of Owner/Agent Date B Existing built-up roof covering to REMAIN: note applicant - must submit an enyineer's review of the roof structural + �� -0 Lot, ,lents Review shall bear the seal (or stamp)of the 3 / �— arcoitect or engineer licensed in Oregon. Con c person Narne Tee horror C Asphalt or wood shingle/shake �+--�-5 (PROCEED TO STEP 2) I.ROOF1 DOC(dsts) DING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40%) (65%) (5%) FEES s- 1-1500 25.00 10.00 16.25 1.25 52.50 1,501-1600 26.50 10.60 17.23 1.33 55.66 28.00 11.20 18.20 1.40 58.80 1,601-1,700 1,701-1,800 2y.50 11.80 19.18 1.48 61.96 1.801-1,900 31.00 12.40 20.15 1.55 65.10 1,901-2,000 32.50 13.00 21.13 1.63 68.26 2,001-3,000 38.50 15.40 25.03 1.93 80.86 3,001-4,00 44.50 17.80 28.93 2.23 93.46 4,001-5,0, 0 50.50 20.20 32.63 2.53 106.06 5,00,1-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.25 7,001-8,000 68.50 27.40 44.53 3.43 143.86 8,OC1-9,000 74.50 29.80 48.43 3.73 156.46 9,001-10,c00 80.50 32.20 52.33 4.03 169.06 10,001-11,000 86.50 34.60 56.23 4.33 181.66 11,001-12,000 92.50 37.00 60.13 4.63 194.26 12,001-13,000 98.50 3940 64.03 4.93 206.86 13,001-14,000 104.50 41.8C 67.93 5.23 219.46 14,001-15,x00 110.50 44.20 71.83 5.53 232.06 15,001-16,000 116.50 46.60 75.73 5.83 244.66 16,001-17,000 122.50 49.00 79.63 6.13 257.2 17,001-18,000 128.50 51.40 83.53 6.43 269.8b 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 20,001-21,000 146.50 58.60 95.23 7.33 307.66 21,001-22,000 152.50 61.00 99.13 7.63 320.26 22,001-23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 154.50 65.80 106.93 8.23 345.46 24,001-25,000 170.50 68.20 110.83 8.53 358.06 25,001-26,000 175.00 '70.00 113.75 8.75 361.50 26,001 -27,000 179.50 71.80 116.68 8.98 376.96 27,001-28,000 184.00 73.60 119.60 9.20 386.40 28,001-29,000 18850 75.40 122.53 9.43 395.86 29,001-30,000 193.00 77.20 125.45 9.65 405.30 30,001-31,000 197.50 79.00 128.38 9.88 14.76 31 ,001-32,000 202.00 80.80 131 .30 10.10 424.20 32,001-33,000 206.5C 82.60 134.23 10.33 43366 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 86.20 140.08 10.78 452.56 35,001-36,000 220.00 88.00 143.00 11.00 462.00 36,001-37,000 224.50 89.80 145.93 11.23 471.46 37,001-38,000 229.00 91.60 148.85 11.45 480.90 1 ROOF DOC(dsts)