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4 CITY OF TIGARD '
Approved.......................................
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poc Conditionally Approved... ribe ....................... [ ;
11 For only the wort, doscbed in: 2'' W S N.
(E� 4 W PERMIT NO. _1!"1 /.q__ --
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,cola Act
-- . 31301 a �� Assoclatedoate / � PlumbIng
6712 Role 46th Are.
Potttand,0 97218
Phone: (SOM91-OST2
SAXD (.090.05Y1
No. 1242 11 " x 17" 35016' ISOMETRIC
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12000 sw GARDEN PL
/�. CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #. . . . . . . : BIJF-198-0144
1,!?2 72WAM 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE IS)SUED- 04/10/98
PARCEL: 213101BB-00700
I FE ADDREI-)b. . . 12000 SW GARDEN Pl.-
'IUBD I V I S I ON. . . . : TIGARD ROAD GARDENS ZONING:C-G
P31-OCK. . . . . . . . . . : LOT. . . . . . . . . 0;F' JURISDICTION:TIG
-----__--------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :FPS FIRST. . . . : 0 sf N- S: E: W:
TYPE OF USE. . . :COM SECOND. . . : o sf PROTECT OPENINGS?--------- --
T YPE
PENINGS?--------- --
TYPE OF CONST. :2FR : 0 sf N- S: E: W:
OCCUPANCY GPPI. :B TOTAI--------: o sf ROOF CONST: FIRE RET'? :
OCCUI-,ANCY LOAD., 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. - 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BBM-[*?- MFZ7" : REDD SETBACKS--------- REQUIRED-------------•------_
FLOOR
ED---------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKL:Y SMOK DET. . :
DWELLING UNITS: 0 FRNT- 0 ft REAR: 0 ft FIR ALRM: HNDICP' ACC:
BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 0
Remarks : Fire suppression system
Owner: --------------------------------------------------------- FEES
RODDA PAINT type amount by date resp--
1000SW GARDEN FIL PRMT $ 5E. 50 B 04/02/98 98-30461-7..'1
TIGARD OR 5PCT $ 2. B3 B 04/02'/98 98-304621
FIRE $ 22. 60 B 04/02/98 98--304621
Phone #: 221 -5700
Contractor: ---------------------------
AFF, SYSTEMS INC
19435 SW 129TH
TUALATIN OR 9706C?
Phone #: 503-6912-92B4 t 81. 93 TOTAL
Peg 000675
--REQUIRED ACTIONS or INSPECTIONS—-
This permit is issued subject to the regulations contained in the Sprinkler Rough-
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
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 the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in DAR 91)2--*I-0010 through OAR 952-88I@1%7.
You many obtain a copy of these rules or direct questions to OW
by calling (503)246--1987.
Permittee Signature : Issued By.:
.........................................................................4......
Call 639-4175 by 7:00 p. m. for- an inspection needed the next business diy
.............................................4•............f+++.................4
Fire Protection Permit Application Plan Check# !
CITY OF TIGARD Commercial or Residential Recd By
13125 SW HALL BLVD. Date Recd '7
TIGARD; OR 97223 Print or Type Date to P.E.
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to D T
Permit# )
Called
Job Nerrrepf Develop r nt/Proiect Type of System (Complete A or B as applicable)
Address Ad ss
- � �, SW (1��`\ A.) Sprinkler Wet 0
Gyame Standpipes
Owner Mailing Address Additional Hazard Group
_
City/State Zip Phone Information Density
Nawe Design Area
DD C-A
Occupant Mallin Address ! ^ �, K. Factor
tate ( Zip Phone A.1) Sprinkler Project Valuation
Contractor No" B.) Fire Alarm
(Sprinkler r
ar mpany) M ng Address 1 ` Submittal Shall Include Battery Calculations YES ❑
Prior to permit 1
issuance, a City/State Zip Phone Individual Component YES❑ —
copy Cul Sheets
of all licenses J -CM B.1) Fire Alarm Project Valuation $
are required if State Const i,;ont Board Lic# Exp Date l
expired in COT r Project Valuation Subtotal (A & or B) $ ` U
_database � i
--?-
Nam-- Permit fee based on valuation $
-- - _(see chart on beck)
Architect Mailing Address T 5% Surcharge $ �93
Cltylstate zip Phone FLS Plan Review 40% of Permit $ no1 A (00
Describe work A.)New O Addition 0 Alteration Repair O --'- TOTAL
to be dr.ne -•�s16 _�
B.) Basement O HoodNent O Spray Booth O -- --
Complete q� Partial O Exitway O Plans required: Submit three sets of plans including a vicinity map and
/ the location of the nearest hydrant
-- -- I hereby acknowledge that 1 have read this application that the information given is
A Clonal Descnphon Of Work'~ correct,that I am'.he oNner or authonze?.aQent of the owner and that plans Submitted
are in oompl c-e with Oregon State:laws 1
Signature of Owner/Agent ent D
g g ate
A.)In Existing Building New Building ❑
Building con t Perst,n Na a Phon
Data e.) Commercial Residential --- FOR OFFICE USE ONLY:
No of stories
Plat# Map/TL#:
Sq Ft
Notes
Occupancy Class Type of Construction>i� ___ `
I
is tiresupr.doc
F CITY OF TICARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 EL-ECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR98-0119
DATE 15SUED: 04/21.2/98
PARCEL:
SITE ADDRESS. . . : 12000 SW GARDEN PL #6
SUBDIVISION. . . . :TIGARD ROAD GARDENS ZONING:C--G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .006 JURISDICTN: TIG
Project Description: Tenant improvement for installation of telecommunication
system.
----------------------
A. RESIDENTIAL.—_._.._.-_____ B. COMMERC I
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING., . :
BURGLAR ALARM. . . . - BOILER. . . . . . . . . . : I_.ANDSCAPE/1RRIGAT. . :
GARAGE OPENER. . . . - CLOCK. . . . . . . . . . . MEDICAL... . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . DATA/TELE COMM. . - X NURSE CALLS. . . . . .. . . :
VACUUM SYSTEM. . . . : FIRE Al-ARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: IAVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
I NSTRUMENTATI ON. OTHER. . :
TO AL # (IF SYSTEMS: I
Owner: --- FEES
SPIEKER PROPERTIES type amol'Int by date recpt
4380 SW MACADAM FRM1 $ 40. 00 DLH 04/22/98 98--305177
STET. 325 5PCT $ .!. 00 DI-J-4 04/�'-'2/98 98-305177
PORTLAND OR
Phone #: 221-5700
ADVANCED COMMUNICATION TECH. 42. 00 TOTAL
12010 SW GARDEN PLACE
------ REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Low Voltage Insp
Phone #: 6-70-7777 Wall Cover-, Flect' 1 Final
Reg #. . : 000716
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 IN
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oreqnn Utility Notification Center. Those rules are seL forth in DAR 952-0e1-0010 through DAR You may obtain copies of
these rules or direct auestions to OUNC at (503)246-1987.
I s s,1.t e d b y Permittee Signatl_rre l 1 �.4
---------------- INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION ONLY---------_.-_—_-___---___—_—....
SIGNATURE
NLY-----------------------------
SIGNATURE OF SUPR. ELECIN: DATE:
LICENSE NO:
...........+++............................................................
Call 639--4175 by 7:00 P. M. for an inspection needed the next business day
....................................................................4......4-++++4-+
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: L
13125 SW HALL BLVD Date Recd 2 z
TIGARD OR 97223 PRINT OR TYNE
V- 503-639-4171 X304
F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Permit#:
Cust.CPermitall'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL
/1l 4)(1 t 1 Restricted Energy Fee....................................... $40.00
LL (FOR ALL SYSTEMS)
JOB gtrr@@rlel/rt Add e# y !,
ADDRESS 70 )u (,a Kd e � , i. I " Check Type of Work Involved,
tatty/St el � itL 7 Phone# ❑ Audio and Stereo Systems
Name, ❑ Burglar Alarm
ry-
OWNER M il�.A dress r
❑ Garav-e Door ipecc'
J4N `/ t L( ❑ Heating.Ventilation and;,i,Cunditianing System'
i Ph #.
Name/Iii L�/A r 1^ r o!-r/1,�! I r r q- rp
�,1 ❑ Vacuum Systems'
LT I O� TFC' 1/J r f/t rte S El Other
a —
CONTRACTOR n��I(ngi4d ass' `---'--
I'G` ff
� TYPE OF WORK INVOLVED -COMMERCIAL
(Prior to issuance a / t P. # Fee for each system.........................�................ 540.00
copy of all licenses T1f (SEE OAR 918-260-260)
are required if Orego Contr rd 4ic. Exp Dal
expired in C.O T � I Check Type of Work Involved
data base) Electrical Conti l-ic # Exp Date El
Audio and Stereo Systems
C O Metro,[1 _ Exp. Pat
--- _ — /D v ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City/Slate Lip Phone# ��
Fire Alarm Installation
This permit is issued under OAE 918.320-370 This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this HVAC
permit and to do the following
❑ Instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems
These Fave asterisks(') All others need licensing,
❑2 Call for Inspections when installation under this permit are ready for Landscape irrigation Control'
inspection at 503-63941175; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an F-]inspection when the Inspector is out to inspect under this permit, Nurse Ca!Is
4 Assume responsibility for assuring that all corrections required by the LJ Outdoor Landscape Lighting'
inspector are done. and,
❑ Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Pormlts are nontransferable and non-refundable and expire 4 work is not
started within 180 days of issuance or if work is suspended for 180 days 1--Number of Systems
1 he person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations
authonzed to bind t appHEant
�� FEES:
Sillffiv6ples —- ENTER FEES
5%SURCHARGE(.05 X TOTAL ABOVE) $ C(/
Authority If other than Applicant TOTAL $
i Vesele doc 12/96 v
CITY CF TIGARD
DEVELOPMENT SERVICES PERMIT #:ELECTRICAL PERMIT
PERMIT #: El_C97-0016
13125 SW Hall Blvd., Tlgerd,OR 97223 (503)639-4171 DATE I E SUET): 01/10/97
PARCEL: 2S 101.BES--00700
1 TE ADDRESS. . . : 1.000 13W GARiDEN PI.-
IBD T V I S I ON. . . . : T I GARD ROAD GARDENS
OCK. . . . . . . . , . . LOT. . . . . . . . . . . . . :6
o.ject Description: install 12 branch Citcuits/feeder-s
--RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS-----•— ------MISCELLANEOUS----•---
1000 SF OR LESS. . . . : 0 is - i2oo amp. . . . . . . : it PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . s 0 231 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : i1,
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : y!
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
_-.-_SEF'V ICE/FEEDER_ —-- ----..__BRAhICH t.I RCIJ I TS--- -- ---•--RDD' L INSPECT IONS—.--.-
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
40t - E00 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 11 IN PLANT. . . . . . . . . . . : 0
601 1000 -+mp. . . . . : 0REVIEW SECTION----__—.___..-__.____
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/F'DR > = 2.25 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ---------------._.___.._.__._._..__.___.__—______.____________ FEES
SPIEKER PROPERTIES type amni-int by date rec_pt
43830 SW MACADAM PRMT $ 90. 00 TAT 01/10/97 97--288751 '
STET: 25 5PC 1' $ 4. 50 TAT 01/10/97 97-288752
PORTLAND OR
Phone #: E'21-5700
Contractor: —_.----------_—_--_—_---_.____.____....____.�----
STONER ELECTRIC 94. 50 TOTAL
2701 SE 14TH
REQUIRED INSPECTIONS
PORTLAND OR 9720c Ceiling Inver• Under-grol.And (-ove
Phone #: 503-233-3631 Wall Cover Elect' 1. Service
Reg #. . : 000448
This permit is issued subject to the regulations contained in theQ-4>�
Tigard Mkinicipal Code, State of Ore. Specialty Codes and all other Pe it).,e#-Cignature 1
applicable laws. All wore, will be done in accordance with I
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
in 188 days. IsvIted By
--_.__.____________..-•--_-.-__-•.--OWNER INSTALLATION ONLY.___.__
�e installation is being made on property I own which is not intended far
)lr', lease, Ot- r-P_nt.
1NER' S SIGNATURE: DATE:
_. . ___-..-._. _.......__.....______._...__.__-CONTRACTOR INS TAI I f1TION 0114Y--_.___._._.__.______...___.
,NATURE OF SUPR. ELEC' N: DATE:
CENSE NO:
Call for- inspection - 639-4175
CITY OP TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By_
TIGARD OR 97223 Date Recd_
Date to P,E
Phone (503)639-4171, x304 Date to GST
Inspection (503) 639-4175 Print or Type Permit a
Fax (503) 684-7297 Incompleie or illegib!e will not be accepted Called
r"--
1.
-1. Job Address: C\` 4. Complete Fee Schedule Below:
Name of Development ``��L k _ Number of Inspections per permit allowed
Name(or name of business)_ I Service included: Items Cost Sum
Address �.Q )C C, .\ ,r s c \'l 4a. Residential-per unit
1000 sq 1I or loss $110,00 i 4
City/State/7-ip Each additional 500 sq 1t or
Commercial FJ Residential ❑ portion thereof $25.00 1
Limited Energy � $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor_ UCJL: 16�\c t-,�LC\L- Installation,alteration,or relocation
Add200 amps or less $60.00
City 5 L. 201 amps to 400 amps -` $80.00
City o A State _r�!A,,4 Zip �� 7 -z C''A _ 401 amps to 600 amps i $120.00 _ Jv
Phone No. ``c 601 amps to 1000 amps $180.00 _
Job No. c Over 1000 amps or volts $340.00 _
p
Elec. Cont. Lice, No. Exp.Date IC-1 -11' Reconnect only $50.00%
OR State CCB Reg. No. Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date _ Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 ......
401 amps to 6u0 amps $100.00
cher 600 amps to 1000 volts,
License NoExp.Date 1 .�� � " spa"b"above.
Phone No.i -2 3 -3
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder lee.
Address Each branch circuit $5.00
CI State Zip b)The fec for bunch circuits
city P without purchase of
Phone No. __ ___ service or feeder lee. c
First branch circuit $35.00J r 2
The Installation Is being made on property I own which is not Each additional branch circuit�L $5.00 `-� " 2
intended for sale,lease o rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or Irrigation .Ircle $40 00
Each sign or outhoe Ilgh,ing $40.00
3. Plan Review section (if required):' Signal circult(s)or a limited energy
panel,alteration or extension $40,00
Minor Libels(10) $100.00
Please check appropriate item and enter fee in section 5B. --
4 :)r more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspe:tion �35 00
_ Classified area or structure containing special occupancy Per hour _ $55.00 _-
ati described in N.E.C.Chapter 5 In Plant $55.00
*Submit 2 sets of plans with applicrt-ri where any of the above apply. 5. Fees: c,r
Not required for►empornry construction services. 5a.Enter total of above fees $ aLil
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $
5b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It reagired(Sec.^) $ -
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ Trust Account# < r
Total balance Due $
1WMEcc9e AN, nry ass
CITY OF TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : SWR96-0510
13125 SW Hall 191vd., Tigard,OR 97223 (503)639-4171 DATE ISSUED% 11/12/96
IDARCEL- 2S101BB-00700
`33I TE' ADDRESS. . . : 12000 SW GORDEN PL, #1
SUBDIVISION. . . . : TIGARD ROAD GARDENS ZONING: C—G
DI—OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . ..
------------------------ ----------
TENANT NAME. . . . . : PODDAPAINT
,JSA NO. . . . . . . . . . : FIXTURE UNITS. . . : 13
1,*I—ASS OF WORK. . . :AL I- DWELLING UNITS. . : 1
rY[::,E* OF USE. . . . . :COM NO. OF BUILDINGS: I
r1\15TnI.J-, TYPE. . . . :IAUSWR IMPERV SURFACE: 0 s
Pp.inat-ks : Tenani-. i.mpt-nvement
FEES
9PIEKER PROPERTII.:.9 type amoi.tnt by date reept
1138O SW MACADAM PRMT $ 2200. 00 JDA 11112196 96-286350,
113TE 325
PORTLAND OR
Fll-ione #.- 221-5700
Cantractot—
CONTRACTOR NOT ON FILE
','_00. 00 TOTAL
REQUIRED INSPECTIONS
this Applicant agrees to coo?ly with all the rules and regulations Case Finaled
of the Unified Sewage Agency. The permit expires IN days from
'he date issued. The total aeolit paid will be forfeited if the
permit expires. The Agency does iot guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospec, 3 feet in all directions from
fhe distance given. If not so located, the installer shall purchase
i "Tap and Side Sewer" Permkf and the Agency will install a lateral.
)'Mi.t t e e S i gT1 At I-kv,p
d Py .
Call for, itispec7tiovi 639--4175
CITY OF T
DEVELOPMENT SERVICES PLUMBING PERMIT
...y. 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . .. PLM9E-032:8
DATE ISSUED: 11/12/96
SITE ADDItE:SS, . . : 120011, ;;W GARDEN PL #t-, PARCEL: 2SIOIBB-00700
SUBDIVIS"ON. . . . : 7-IGARD ROAD GARLENS ZONING: C-G
BLOCK. . . . . . . . . . . LOT. . . . . . , . . . . . . .6
CLASS OF WORK. . :ALT GARBAGE DiSPOSALS. : 0MOBILE HOME: SPACES. :-o_._.___._..
TYPE. OF USE. . . . :COM WASHING MPCH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 1 TRAPS. . . . . . . . . . . . . . t�
STORIES. „ . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . » 0
FIXTURES LAUNDRY TRAN'S. . . . . .. 1 SF RAIN DRAINS. . . . . : 0
SINKS. . . .. . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . : 0
TUB/SHOWIERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 1 WATER LINE (ft ) . . . ; 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : Q
Remarks : Tenant improvement
Owner,: FEES ---------------
I=
SPIEKER PRO-1,ERTIES, type amount b date recpt
4380 SW MACADAM PRM"r $ 45. 00 DST 10/31/96 96-285966
STE 325 5 P C T 4 2. 25 DST 10/.31/96 96--285966
PORTLAND DR
Phone #: .21-5700
Contractor:
ROWLAND PLUMBING
4524 N LOMBARD
PORTLAND OR 97203 _.____________________-----•--_____..___
Phone #: 285-2586 $ 47. 25 TOTAL.
Reg #. . : 000056
------- REQUIRED INSPECTIONS
This permit is issued subject t,, tha regulations contained in the Rough—in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor
applicable laws. All work will be done in accordance with Top—out Insp _
approved plans. This permit will expire if work is not started Final Inspection
within 198 days of issuance, ;M if work is suspended for more
than 190 day!. "—
h e r,m i t t e e S i g n a t u r e : /-t��C� -
T ;,s1ied By:
Call for inspection - 639-4175
�Lt. P�iti n,.T
t?,uPgb - vSSv
:iiTY OF TIGARD Plumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd 3
TIGARD, OR 97223 Date to P E.
(503) 639-4171 Date to DST.--/,
Permit s
Print or Type Related SWR Ar, r k,-55
�,'G,
Incomplete or illegible applications will not be accepted Called
Name of DevelopmerUPro)ect FIXTURES (Ind(vldual) QTY PRICE AMT
Job
Sink y
�R� I� L- 1 �
Address Street Address Ste i,I lavatory __ 900 r
(r_> J Tub or Tub/Shower Comb 9 00
Bldg a City/State Zip Shower Only 900
Name , 1 Water Closet 900 c 7
1 / f"n R U("C' aC I�C Dishwasher ( 900
Owner Mailing Address quiteGarbage Disposal 900
-n X4.4 1• t. 3.2 Washing Machine 9.0U
ty/State Zip Phone Floor Drain
c 'N i L2- .L ! �-?U(' 2. --- / 9.U0
r
Naf�p)� r( ++ 3' 9.00
('� U�Y.!c, r'�/��ni� 4" 9.00
Occupant Mailing Address Su,19 Wafer Heater 9.00
m
1 Il n,tin' I C Laundry RooTray 9,00 i
City/Stale Zip Phone Urinal
9.00
Nafne n Other Fixtures(Specify) 9.00
9.00
Contractor Mailing Address Suite
115 2 A nJ Lr✓.r� v -- _ 900
ity/State Zip Phone 900
r _
,�
Oregon Const,Cont.Board Lica Exp.Dim- 9.00
Attach Copy of _ 9.00
Current Plumbing Lic.0 Sewer-1 st 100'
Llr-anses 30.00
C07 Business Tax or Metro 25.00
t Exp.Date Sewer-each additional 100'
`;
'LEA5f,COMPLETE ASApPROPRIATE TQpROJECI:
Fixtures to be capped, moved or replaced y
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal _
Washing Machine
Floor Drain 2"
3"
4"
Water Heater
Laundry Room Tray _
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
Tenant *,jme: KcOPA y i Accumulative Sewer Tally This SWR#: SUI ci, S/C
Address: , ? Oc r)41 �-(--'),tt (i( cc _ This PLM#:��'
I x'�ro Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4 i
Rath - Tub/Shower 4
Jacuz/Wnpl 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer h
- Domest 2
Drinking Fountain 1
i
Eye Wash I
Floor Drain/sink 2 inch 2 L,
3 inch 5
4 inch 6
Car Wash Drain 6
Garbage Disposal 16
Dom Ito 3/4 I4P)
Comm Ito 5 HPI 32
Ind lover 5 HPI 48
Ice Machine/Refrigerator Drains 1
Oil Sep IGas Stati m) 6
Recreational Vehicle Dump Stahnn 16
Shower Gang (Per Head) 1
Stall 2
Sink Baril-avator, 2
Bradley 5
Commercial 3
Service 3
Swimming Pool Filter 1
Washer, Clothes 6
Water Extractor 6
Water Closet, Toilet 6
Urinal 6
TOTALS
Total fixture values:, divided by 16 EQIJ �� ` \
HISTORY
PLR"# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# P[M# EDU# SWR#
PLM# FDU# SWR# Pl r1# EDIT# SWR#
PLM# EDLJ# SWR# PLM# EDU# SWRA
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC96-0669
DATE ISSUED: 10/21 /96
PARCEL: 2S1O1BB-00700
SITE ADDRESS. . . : 12000 SW GARDEN PL #(,
SUBDIVISION. . . . : TIGARD ROAD GARDENS ZONING:C—G
BLOCK. . . . . . . . . . : LO"f.. . . . . . . . . . . . . .6
Project Description: ADDING BRANCH CIRCUITS
--RESIDENTIAL --------------------------------------
UNIT---- ---TEMP SRVC/FEE:C)E F7,___.__ -----.MISCELLANEOUS--.-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
TACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-_1000 volts. : 0 MINOR LABEL. (10) . . . : 0
SF_R V I CE/FEEDER- -- -
---.---BRANCH C I RCIJ I TS--._--. —•--ADD' L INSPECTIONS—-
0
NSPECTIONS—..0 _ POO amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
'1111 400 amp. . . . . . . 1T 1st W/0 SRVC OR FDR. : ] PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0
601. - 100,7.1 amp. . . . . : 0 _____._._. _._._____.--_FLAN REVIEW SECT I
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVG/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: —_.______________._.______._______----_.___._._____----__— FEES
SIIIEN,ER PROPERTIES type amo1_:nt by date r-er_pt
4380 SW MACADAM PRMT E 55. 00 TAT 1O/21/96 96-285462
GTE 325 5P(.:T $ 2. 75 TAT 10/21/96 96--285462
PORTLAND OR
Phone #: 221--5700
Cont t-actor:
CAPITOL ELECTRIC CO INC $ 57. 75 TOTAL_
12810 NE: AIRPORT WAY #1
--- REQUIRED INSPECTIONS
- _....._ ..
PORTLAND OR 972=:30 Elect' l Service
Phone #: 503-. 255-9488 Eler_t' l Final _.
Reg #. . : 48746
This permit is issued subject to the regulations contained in the __ _ y �,QdE _ _
Tigard Municipal Code, State of Ore. 5pariatty Codes and all other Perm` ee Signature
applicable laws. All work will be done in accordance with /
approved plans. This pereit will expire if work is not started /
within IN days of issuance, or if work is suspended for sore
than IN days. - s,s e d B y
_.............__.__.__._--_--___--OWNF_R INSTALLATION ONLY-
The installation is being made on property I own which is not intended fol
��ale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION ONLY-------_-__
SIGNATURE OF SUPR. ELEC' N: DATE:
I...I CENSE NO:
Call for inspection 639--4175
=>�yIG 73'7
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Race #
Permit #
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 Issued by � -
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175 —
1 Job Address: 4. Complete Fee Schedule Below:
J��� Number of Inspections per permit allowed
Name of Development �
Address _ CC' Y , L✓ t� ►1% �L , Service Included Items Cosgea) Sum
_ 4
City/StatelZip 1000 eq II n•less f C=–1'�E' h ' �� _ Residential- per unit $11000 _
100 ----
Ead,additional 500 sq It or 1
Name (or name of business) podronthereof $2500 —_
Ilmded Energy $2500
Commercial�(7` Residential ❑ Eor:h Manul d Home or Modular
Dwelling Service or Feeder W 00
2a. Contractor installation only: 4b. Services or Feeders
T w Installation,alteration or relocation
•�—
Electrical Contractor >�L !_ %1�c- e-ir' -a — 200 amps or lose $6600
201 amps to 400 amps $8000
Address < <- L lYJ t l �'� T 401 amps to 600 amps __ $12000 2
State t , Zi �-i 7 z <., 180 00 2
City l- ._''✓'rc s- � P 801 amps to 1000 amps $ _.
Phone No. 2�]' ! .U-3 Over 1000 amps or volts $34000
* �� Reconnect only $5000
Contrrictor's License No. � _
Contractor's Boa-d Reg, No. 7 4c. Temporary Services or Feeders
Installation,alteration,or relocation
J�% ZLcr- 200 amps or lees $5000
Signature of Supr. F.)ec'n _ • 201 amps to 400 amps $7590
Phone No.r "�fl'/�C`` . $too 0o
LICen�^ Nn '�i I±3 7- -'S^ 401 amps l0 600 amps Over 800 600 amps to 1000 volts
2b. For owner installations: soft't'ab've
4d. Branch Circuits
Print Owner's Narne New alteration or extension per panel
Address _ _ a)The Ise for branrh cvcuds with
Citypurchase or servke,or Mader he.
State ZIP— Each branch circuit $`-`0('
Phone No. b)The fee lot branch circuit- without
The installation is being made on property I own which is purran h circuituit or seor reader W.
Firstl bramd _/ $A5 00
not intended for sale, lease or rent. Each addilonal branch circuit _ $500 c
Owner's Signature 4e. Miscellaneous
(Service or feeder not included)
Fach pump or Irrigation circle $4000
3. Plan Review section (if required): Fach sign or outline 1phting $4000
Signal circuit(s)or a landed energy
Please check appropriate item and enter fes in section 5B. panel alteration or extension _— SAO 00
$10000
4 or more residential units In one structure Mmor Labels(10) �—
Service and feeder 225 amps or more 4f. Each additional inspection over
System ever 600 volts nominal the allowable in any of the above
Classified area or structure containing special occupancy Ppr rnInr, $3500
as described in N.E.C.Chapter 5 „r ,, . $5500
n„I
$5500
Submit 2 sets of plana with application where any of the above
apply. Not required for temporary construction services. §. Fees:
5a. Enter total of above teas $ S ,
NOTICE 5%Surcharge(05 X total foes) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUc$ION 5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec.3) $ _
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Suhrotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORN, IS
T
COMMENCED Trust Account>Y $
Balance Due $ 3L�
wonivwdMWr-Pre am
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . : SWR98-0048
DATE ISSUED: 04/02/98
PARCEL: CESIOIBB-00700
SITE ADDRESS. . . : t 2000 SW GARDEN PIL #E:j
SUBDIVISION. . . . :TIGARD ROAD GARDENS ZONING: C--G
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :006 JURISDICTION: TIG
TENANT NAME. . . . . : RODDA PAINT
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 59
CLASS OF WORK. . . :AL-I DWELLING UNITS. . : 3
TYPE OF USE. . . . . ..COM NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Pcemar-ks .- Plumbing T'I
Owne r,�- -------------------------------------------*- --,-------- FEES
RODDA PAINT type amol-int by date r-,ecpt
12000 SW GARDEN FIL PRMT $ 6600. 00 DL-H 04/02/98 98-304631
TIGARD OR
Phone #-
OWNER
$ 6600. 00 TOTAL
--------- REQUIRED INSPECTIONS
This Appliednt agrees to comply with all the rules and regulations
of the Unified Sewage qgency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side setter 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" Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-88I-8818 th-ough OAR 952-8ii814888. You may obtain copies of
these rules or cirect questions to OUNC by calling (503)246-1987.
X
I 1,ted by Plev-mittee Signa
+--1-+++++++++-i...........4•................I.........................4-+4................
Call 639-4175 by 7:00 p. m. for, an inspection needed the next bi-tsiness day
4 +4.................4..............................................+++++4.......... f-
L
CITY OF TIGARD Commercial Building Permit Recd By_ _-
13121; SW-HALL BLVD. New Construction and Additions Date Recd
TIGARRD, OR 97223 Date to P.E.
Date to DST
(503) 639-4171 Permit#
Print or Type Related SWR
Incomplete or illegible applications will not be accepted Called _
Name of Development/Project Existing Building ❑ New Building ❑
Job
Address Street Address Suita Building
�_����r ( )U,,A., (' Data
Bldg# City/State Zip -- Existing Use of Building or Property:
— Jame —'
Proposed Use of Building or Property
Property
Owner Mailing Address Suite
No. Of c tortes: _--
i CitylSlate Zip Phone
Sq. Ft. Of Project:
Occupant Name � —
Occupancy Class(es)
Name
Contractor Type(s) of Construction
"rior to permit Mailing Address Suite ---- —
issuance, a copy Will this project have a Fire ti�,npression System?
A all licenses _ Yes [] No ❑
are required,f City/State Zip— Phone Americans with Disabilities Act(ADA)
database
expired. T Valuation X 25% = $ Participation
Date Oregon Const Cont.Board Lic# Exp. Da �. Complete Accessibility Form
Project $
Valuation
Architect
Mailing Address — Suite on
Required: See Matrix for number of sets to submit
on hack
�;ry/Yale ---- Zip Phone — ---- -- -- — —
I hereby acknowledge that I have read this application,tnat the information
given is correct.that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in c.,mphance with Oregon Slate Laws
Madmq nddre_;s Suite
Signature of Owner/Agent Date
City'state Zip Phone Contact Person Name Phone
Indicate type of work New O Addition O Demolition o FOR OFFICE USE ONLY
A _
Accessory Structure cD Foundation Only O Alteration O MapfTL# Land Use
Repan Other O
Description of work: Notes ��—
i
TIF
Parks: Estimated#of Employees—
Note Site Work Permit Application must precede or accompany Building
F'armit Application
I (iOMNEW DOC (DS 71 8197
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL 'TOTAL CPE PPE FPF CPC PPE. E P E,
SITE 1 1 -- -- 3 (j.o,u) -- -
B (New or Add) 1 1 -- -- (j.u,w) -- --
F (New or Add or Ak) 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) I 1 -- - 2 (j,o) -- --
B & M (New or Add) 1 1 -- -- 3 O,o,w) -- --
P (New. Add. or Alt) 3 -- 20,o) --
B & ki & P (New or Add.) 2. 1 1 -- 3 O,o,w) 20,o) --
E (New, Add, or Alt) 2 - 2 -- -- 20.o)
B & rvi & P & E (New, Add) i 1 1 3 (j,o.w) 2(j,o) 20.0
B or B & tit (Alt) --
B & Mk P (Alt) 3 1 2 -- 2 O.o) 20,o) --
B & N•1 & P& E (Alt) 3 1 1 (i.o) 2 O,o) 2 (i,o)
1\0 M-1 ISL
a. Before returning to DST. Plans examine eels appropriate j =Job �• B = BUP
number of revised plans from applican , stamps and completes. o =Office M =MEC
updates and adds actions. t'= Fire I"'— PLM
Ll USA E = ELC
b. Shaded areas designate ALT sub tttals only. w = Wash. County F = FPS
c. FPS is a new permit Category s t aside for fire sprinklers and (ire alarms.
d. Effective August 15. 1997 ualatin Valley Fire and Rescue no longer requires a set of
approved plans to be fo arded to their office.
Exception. continue to Forward a copy of approved fire sprinkler, and fire aiarm plans with
calculatior.s.
h r'ldir-C Doc
^� CITY OF TIGARD
E:L_ECTRICAL. P,E:RMIT
DEVELOPMENT SERVICES PIERMIT #: ELC98-0118
DATE ISSUED: 03/12/98
13125 SW Hall Blvd.,Tgard,OR 97223 (503)639.4171
PARCEL-: 25101 BB-00700
SITE ADDRE SE*) SW (.GARDEN P,L #E,
SUBDIVISION. . . . :TIGARD ROAD GARDENS ZON1.NG:C--6
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O06 JURISDICTION: TIG
Pro j ect De scr i pt i on: Install 2 200 amp or less feeders and 48 branch circuits.
----RESIDENTIAL L.JNIT----- -•---'TF_-MP' SRVC/FEEDERS---- -----MISCELL.ANEOUS——
1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 VIUMF'/I RRI GAT I ON. . . . : 0
EACH ADD' L 5O0SF. .. . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE. LTG. Qi
L. 1111TED ENERGY. . . . . 0 401. - 600 amp. . . . . . . : 0 SIGNAL./F'ANEI.. . . . . . . : 0
11ANF. HM/ SVC/FDR. . : 0 60t+amps--1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----------SERV I CE/FEEDER-------- ------BRANCH C I RCU I l S-•--.__.._. ----ADD' L_ I NSPIECT IONS----- .
0 - '"�00 amp. . . . . . : 2 W/SERVICE OR FEEDER: 4H PIER INSPECTION. . . . . :
L
201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN F'L.ANT. . . . . . . . . . . : 0
601 - 1.000 amp. . . . . : 0 -------------------FLAN REVIEW SECTION-----------------
1.000+ amp/volt. . . . . : V-i ) =4 RES UNITS. . . . . . . . : ) 800 VO1_T NOMINAL_. . :
Reconnect only. . . . . : 0 ! X/F'DR > = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner; ________________________._______.____.___.___._-•---____ FEES
RODDA PAINT type amol_int by date recpt
12000 SW GARDEN P,L PIRMT $ 360. 00 DEB 03/12/98 98-304036
TIGARD OR 5F,C-f $ 18. 00 DEB 03/12/98 98-304036
V,hone #:
Contractor:
CAF,I TOL ELECTRIC CO INC $ 378. 00 TOTAL_
12810 NE AIRPORT WAY
UNIT i ------- REDU I RED I NSPIECT I ONS ------
V,ORTLAND OR 97230 Ceiling Cover Elect' 1 Service
Phone #: 255-9488 Wall Cover Elect' 1 =ina1
Reg #. . : 000487
This perm' is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes end all other
applicable lasts. All work will be done in accordance with approved plans. This permit still expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon laa requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in DAR 952401-0010 throu h DAR 952-01-1987. You may obtain a copy
of these rulei or direct questions to OUNCE by callin (503)246--1987.
V,ermittee Signat1.sre : 147) _ _ L 15s1_ied
-----------------------------OWNER I NSTALL-AT I ON ONLY---------------------------------
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S S I GNATI;RE: --- DATE------------------------CONTRACTOR INS-fALLATION ONLY-----------------------------.-
yp
SIGNATURE OF SUVIR. ELE:C' N: S.DGD .',AA - /art- DATE-
LICENSE
ATE :L.ICENSE: NO:
++++++++++++++++++++++++++++++++++.+++++++++-►++f+++i.++++-++++++++++++++++++++++++
Call 639--41.75 by 7:00 p. m. for an inspection needed the next bi.isiness .lay
+++++++++++++++++++++++a-++++++++++++++++-F++++++++++++4.++++++++++++++++++++ F++++
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. �r�\'40 Read By P a-c-. '
TIGARD OR 97223 Rt Date Recd _ �,-
�� Date to P.E. ...►-----`
Phone (503)639-4171, x304, 1 9. 19 Print or Type Date to DST
Inspection (503) 639-4175 )t�AEt'' yP Permit a Lc.
Fax (503) 684 7297 rd.tA��N�w \11" ,plete or illegible will not be accepted Pelted_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Develnprnent PPS VC 2�_� Number of Inspections per permit allowed
Name(or name of business) Rc>ttm A, Service Included: Items Cost Sum
Address._,_ 4 O O 5 %.23 �/ �] _Pr ^_ 4a. Residential-per unit
Ci /State/Zi �(Z 1000 sq.ft.or less $110.00
tY p_. --- --- Each additional 500 sq.ft.or
Commercial Resloential ❑ portion thereof $25.00
Limited Energy _ $25.00 _
Each Manul'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00-- - `
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor GAcp[(d L JZC-- ,
Installation,alteration,or relocation _
200 amps or less .
$6000 -L�z- 2
Address O _4y pmt po f2t"�es 201 amps to 400 amps $80.00 _ 2
City O State Q� Zip_g'7�_L_�_ 401 amps to 600 amps $120.00 2
Phone No. 2- Sy Irff _ 601 amps to 1000 amps $180.00 2
Job No. 9217-!YS' Over 1000 amps or volts $340.00 2
Elec.Cont. Lice. No. Z6Ex-j'n IC Date_ Reconnect only $50.00 2
T P LSA=�
OR State CCB Reg. No. V fr'7V9C Exp.Date__Tr_-_?2f�7& 4c.Temporary Services or Feeders
COT Business Tax or Metro No. f3 Z _Exp.Date��!^ Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr. Elec'n�> 201 amps to 400 amps $75.00 2
--��-.�--r 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. Exp.Date_ /C�' "�$ see"b"above.
PhoneNo. 2S�9 $� ---- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee. Al
Address Each branch circuit $5.00
b)The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00
The installation is being made on property I own which is riot Each additional branch circuit_ $5.00
intended for sale,lease or rent. 4e.Miscellaneous
ce or feer not
Owner's Signature. _ Eachipump ordirrrrigation ci included
$40.00 _
Each sign or outline lighting $40.00
3. Plan Review section (if required): Signal circuit(s)or a limited energy
panel,alteration or extension $40.00 2
�
Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00-
4 or more residential units in one structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour __ $55.00
as described In N.E.C.Chapter 5 In Plant $55.00 _
'Submit 2 sets of plans with application where any of the above apply. J. Fees:
Nor required for temporary construction services 5s.Enter total of above fees $
501G Surcharge(.05 X total lees) $ --�- --
NOTICE Subtotal $ -
5b.Enter 25%of lir,- is for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rimer it (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ a7 I±
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ Trust Account a
s 371
Total balance Due
I A)STSIELC96 APP Rw 0'96 ^
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP96-0550DATE ISSUED: 10/22/96
PARCEL: 2SIOIBB 00700
SITE ADDRESS. . . : I-.000 SW BARDEN PI... #6
5UBD I V I S I ON. . . . : TIGPRD ROAD GARDENS ZONING:C--G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :6
REISSUE: FLOOR AREAS----- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E.- W:
TYPE OF USE. . . :COM SECOND. . . : 0 5f PROTECT OPENINGS?-------
TYPE OF CON-IT. :3N . . . : 12) sf N.- S: E: W.
OCCUPANCY GRP. :M TOTAL--------: 0 sf ROOF CONST: FIRE PET ) :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
GTOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
PSMTI: MEZ7? : REOD SETBACKS----- REQUIRED--------.---------
FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft, FIR SPKL:Y SMOK DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING- 0
VALUE. $ : 12200
Pemat-ks : Tenant improvement
Owner-: FEES
SPIEKER PROPERTIES type amoi_tnt by date r-ecpt
4380 SW MACODAM PRMT $ 98. 50 13 10/16/96 96-285223
S r I- 3 257 PLCK $ 64. 03 B 10/ 1.6/96 9 2 852,1 3
PORTLAND OR FIRE' $ 39. 40 B 10/16/96 96--285223
Phone #: 1_2t-5700 5PCT $ 4. '33 B 10/16/96 96-2189223
Contractor: -------------.__--.—_--.—_---___..
C. SCHIEWE: >t ASSOCIATES
1.024 NF DAVIS
PORTLAND OR 97232
Phone #. iD
_34-66 17 206. 86 TOTAL
Req #. . - 54105
REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Framing Insp
Tigard Mitnicipal Code, State of Ore. Speciaity Codes and all other Inst.ilaticin Insp ------
applicabip laws. 1411 work will be dove in accordance with Gyp Board Insp
approved plans. This pervit will expire if work is not started 51.1sip Ceilng Insp
withir 180 day, of issuance, or if work is suspended for more
than 180 days,
Pet,mi.ttee Signati-tv,e :
Tsi-t e d B V MA410 Call for i n s pe r-,t i on 6. 9--4175
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line. 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FIN(41)
Foundation Water Line Ceiling -Plumb
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -_E1atiL
Post/Beam Struct. Mech Rough-in Gyp. Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk eins.
Other:
Date: 7 A.M. —P.M. _ Ent
Address. U O . S-.L )_ _ L
!t
Ste: MST:
Con/Own:CMEC
PL.M:
— � �� ELC: _
THE FOLLOWING CO REC 10 S ARE REQUIRED ELR:
Inspector: ex
Dat
� _ —_ -
- PROVED DISAPPROVED/CALL FOR REINSP. CF CO
Commercial Buhdio�; Permit-A lication
City of Tigard 13125 SW Hall Blvd. Tigard.OR 972:3
(503)6394171
.Jobsite Address: 1 zo06 I;;., W- QEF&Ey- ONLY
Tenant: aPOA f'Aw T suite # Planck/Rec. #
Valuation: ,I , ���' Permit#
Map &TL# � ( _-
Cwner: _ Sf'/E I t`'- PNaf Er✓
Approvals Required
Address: l �'So S�'✓ N)AC �'4'''� `-7 i E Ic�U
Planning _
Engineering
Telephone:
Other
Contractor: It7►=w►r -�) �4c
Address: ��-
I� Type of constr: M N
Telephone: <-'>14--(LL 1-7 Occupancy Class:
Contractor's License # `^c( ( L' c Sprinkler? (Y-e;l No
(attach copy of current Oregon license)
Sq. Ft. Of Project:
�;ontact name & telephone: 4 &to-1 C k Scr'(
?7 17 Story (1st, 2nd, etc.):
Ar(-.hitect & Engineer: /rl ILor,?'�� L2r--`-S1&-I �;-020' Ur'
�
Proposed Use:
Address: , -2 �� I�/ ACL�t2 0-
Previous use: - C
Note: Plumbing & mechanical plans must
Telephone: 24.4 -CDS,Ci-2 - be submitted at time of building permit
application.
J�)13 DESCRIPTION: :t _
(Applicant Signature & Telephone Number)
Received by: �' ' ��� r "�� V� Date Received: h' 4u i r
PF RMIT# Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) 7j (�
Bldg.
Plumb.
Mech. _
Plan Check (PLANCK)
Bldg.
Plumb.
Mech.
Sewer Connection (SWUS�,,
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R) /
Mass Transit TIF (TIF-M-n
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �lL�.G(D _
CITY OF TIGAR ® PLUMBING PERMIT'
SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 P,ERMIT #. . . . . . . : PL.1198-0085
DATE ISSUED: 04/07/98
P,ARCEL: 1::.5l0lB&5-00700
13ITE: ADDRESS. . . : 1.2000 SW GARDEN P11- #6
SUBD I V I S I ON. . . . : TIGARD ROAD GARDENS ZONING: C--G
BLOCK. . . . . . . . . . : L.OT. . . . . . . . . . . . . :006 JURISDICTION: TIG
CI..ASSOF WORK. . :AL.T GARBAGE DISPOSAI-S. : 0 MOBILE HOME SPIACES. : 0
'TYF,E OF USE. . . . :COM WASHING MACH. . . . . . . IZA BACKFL.OW PIREVNTRS. . : 0
OCCUPANCY GRP,. . :B FLOOR DRAINS. . . . . . . 2 TRAPS. . . . . . . . . . . . . . .. 0
STORIES. . . . . . . . : 171 WATER HEATERS. . . . . : 2 CATCH BASINS. . . . . . . : 0
F I X TURES— LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 2 URINAL.S. . . . . . . . . . . I GREASE TRAPS. . . . . . . . 0
L.AVATORIES. . . . : 4 OTHER FIXTURES. . . . : 1
TUB/SHOWERS. . . : E, SEWER LANE (ft ) . - - 0
WATER CLOSETS. : 5 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
P(lmar,ks : P'li-imbing 11
Owner-: ------ FEES
SPIIEKER PROPERTIES type amoijint by date i.-ecpt
4380 SW MACADAM PIRMT $ 171. 00 JSD 04/0C2/98 98--304620
PORTLAND OR 97L'!:_'01 P,L.CK s 42. 75 JSD 04/02/98 98-304620
5FICT $ 8. 55 JSD 011 /02/98 98-304620
Phone #:
Contractor-----------------------------------
ASSOCIATED PLUMBING CO
P, 0 BOX 301362
PORT L(IND OR 97230
r1hotie #: 331-0582 $ 222. 30 TOTAL.
Reg #. . : 000578 REQUIRED INSF,ECTIONS
This permit is issued subject to the regulations contained in the Roi..tgh—in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other FILM/Under-f I oor-
applicable laws. All work will be done in accordance with 'fop—oi-tt Ins
approved plans. This permit will expire if work is not started Final. Inspection
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 152-888I-0810 through BAR 952-888I-8888. You may
obtain copies of these rules or direct questions to OLK by calling
—
(5031r':46-1987.
st-tePler-mittee Si gnat 1-ir-e
1qd By :
+++++++..............4-+4 .............4..........4...................... 4
Cal 1. 639--4175 by 7:00 p. m. for an inspection needed the next bi.ts i nes s day
4......................4..................................4.............
CITY OF TIGARD Plumbing ApplicationRecd 6
`
13125 SW HALL BLVD. Commercial and Residential C Date Rec d _
TIGARD, OR 97223 � �' ' � DaletoPF
Date to D
(503) 6394171 'ermit# l
Print or Type Related SWR ra
Incomplete or illegible applications will not be accepted Called
Name of Development/Project '1 "'h
Job ?ark 117 FIXTURES (Individual) QTY PRICE AMT
Address Street Address suite Sink :k9 00
00C S w (rc1 �'fn 1'/(. Lavatory 4 , goo
Bldg 0 City/State Zip Tub or Tub!Shower Comb. 9.00
T a A-a� OIQ Shower Only 9.00
Name
17 Water Closet -- 9.00
Owner Mailing Address Suite Dishwasher 9.00
13�c 5 v� Garbage Disposal 9.00
Ci !Sae Zip Phone
,-Ne0 Qq 7'u 1 1 J I S OC' Washing Machine 9.00
Nam eFloor Drain 2" 9.00
ADJA 3" 9.00
Occupant Mailing Address Suite 4' 9.00
IA00( )VV (i-md i" 11c' Water Heater O conversion O like kind 9.00
City/State Zip Phone
laundry Room Tray 9.00
T Nam Unnal 9.00
t
�(, _ Other Fixtures(Specify) 9.00
Contractor Marlin Address Suite
eCY – 9.00
CK 30136,, _ ��, 9.00
(Prior to issuance C�ty/St�te Zip Phone
applirant must C)R q 7 41i 1 331 r 5 a A 9.00
provide all Oregon Cons.Cont. Board Lic• Exp.Date 900
contractors tj(= 9.00
license Plumbing Lic.• Exp.Date Sewei -1st 100' 30.00
information if
expired Z 11 Ij Sewer-each additional 100' 25.00
in COT COT Business lax or Metro 0 Exp.Dale Water Service-1st 100' 30.00
T database) 4 I Water Service-each additional 200' 25.00
Name
Storrs&Rain Drain- 1st 100' 3000
Architect I(Ir(n Ail �a , Storm&Rein Drain-each additional 100' 2500
or Mailing AddressSuite 715 Mobile Home Space 2500
I�3c si,l w1,4
Engineer C' /Tale Zip Phone Commercial Back Flow Prevention Device or Anti- 2500
g7035 C'55,E Pollution Device
Pesidential 9ackflow Prevention Device' 15 00
�Describe work New O Addition O Alteration O Repair O _J
to be done. Residential O Non-residential)o Any Trap or Waste Not Connected to a Fixture 900
Additional descnption of work Catch Basin 900 —�
Insp of Existing Plumbing 4000
_ per/hr
e"11✓t} ,Tln0,,uy(m t-il Specially Requested Inspections 40.00
Existing use of per/hr
building or property l C m M r- L'A` Ram Drain single family dwelling 3000
Proposed use of Grease Trans 900
ouildmgorproperty Cc ,►�,VIN, (�� A �� QUANTITY TOTAL Iq
�. -- Isortxtnc or nser diagram is required A Quandy Total is >9
Are yrrvt capping moving or replacing any fixtures Yes C] No p 'SUBTOTAL M
(1f yes see back of form) �I
I hereby acknowledge that I have read this application.that the information 5% SURCHARGE
given is correct.that I am the owner or authorized agent of the owner.and �)
that plans submitted are in c mpliance with Oregon State Laws PLAN REVIEW 25%OF SUBTOTAL
Slgn�a+tue of "'norlAgen �t Required only T fixture qty totals>9
3 23 y0 TOTAL lin
:.ontact Pers'/on Na r Phcne 'Minimum permit fees$25-5%surcharge,except Residential BacVow
�f'1 Ll CF
Lk �✓n�✓1.1 _ 311 05 Prevention Device which is 515- 516 surcha•ge
aI
cstsbunaro doc S97 '1/
PJ,.EASE COMPLETE AS- APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink _
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine_
Floor Drain 2"
3"
4"
Water Heater _
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I alststr tnapp]oC S9
t
P� L Accumulative Sewer Tally
Tenant Name: �� JC This SWR#
Address L I 'V) ! CP This PLM#: ' UU
Fixture Value Pr(vious Previous TCreditsCapped Fixtures Fixtures New total New
Value off value added# added #s total
Count count value values
Baptist /Font ,4
Bath - Tuh/Shower 4
-Jacuzzi/Whirlpool 4 _ --
Car Wash -Each Stall 6 — — -
-Drive Through_ 16 _ _ --
Cuspidor/Water Aspirator '. -
Dishwasher-Commercial 4 -- --- ----
Domestic 2Drinking Fountain 1 — --
Eye Wash _ 1 — — L4
Floor Drain/sink -2 inch 2
3 inch 5 -
4 inch 6 --
Car Wash Drn 6 --
Garbage Disposal 16
Domestic(to 3/4 HP) —
Commercial(to 5 HP) 32 -
Industrial (over 5 HP) 48 — —
Ice Machine/Refrigerator Drains 1
_Oil Sep(Gas Station) 6
Rec. Vehicle Dump Station 16
Shov,it-Gang(Per Head) 1 _ —u
-- — Z y Z
_ Stall 2
'6 �1
Sink - Bar/Lavatory 2 — —
Bradley 5 - —
(� 7- le
Commercia! --_ 3 —
Service 3 —
Swimming Pool Filter _1 --
Washer- Clothes 6_
Water Extractor 6
Water Closet-Toilet 6
Urinal _ — _ —
TOTALS /
Total fixture values _divided by 16 = ID,�� EDU
HISTORY
PLMP c'; - ;- X20 EDU# %> SWR# r -b-%A\ FLM# EDU# SWR#
PLM#-Ili -(132-' EDU# SWR#,77& ()q 10 PLM#— EDU# SWR_# _
PLM# ?52 Fus atr gr(l EDU# Z SWR# __ PLM# EDU# SWR# —..-_.
F'l_M# — I EDU# SWR# PLM# EDU# SWR#
I \dsis'swrialy dor
SEE 35MM
ROLL# 23
FOR
LARGE
TT
DOCl��ENT
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6.9.4171 kk77� II[[qq
CEOC�WNIN � OF
PERMIT #. . . . . . . : DUP`6 -0550
DATE ISSUED: 01/a4/91
PARCEL t 2 S 1 O I BB--00700
Y T L ADDRESS. SW GARDEN PL. #6
�jUbD M G I ON. . . . :T I GARD ROAD GARDENS 7 nN I NG I C--G
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . Ih .1URISDICTIUNt TIG
CLASS OF WORK. :AL.T
TYPE OF USE. . . :CUM
TYPE OF CONSTR t 3N
(A1,. )PANCY (]RP. IM
1►f'A-UPANC Y LOAD: 40
r I r,WNT NAME. . - :ROL►nA PA I.N I
mar,k> : Tenant improvement
?>IEKER PROPERTIrS
:80 cow MACADAM
I I; 325
ORIL.AND OR
trans #:
cnt►••act ort --.-._ _._.._.__.._...__..__
SCgEwE & ASSOC.IA'TES
024 NE. DAVIS
11PT1_ANU OR 97'3i'
hone #: c:324-6617
oeg #. . : 54105
hia Cer,tific:ate grants or.cupanrry rf thN ahc,ve refer' need building or, portion
hereof and v_:onf irm3 that the building has been inaspet-ted for c:onrpliance wits
t,e Statp of Or`gon Specialty Cc)des fo►• the group,' cc �_r y, ant] +Str �.rncip►
,h ich the referenced permit way i S sLled.
+IJ�t_DIN13 IN�iPECT(]It BI.IIL IhG O
POST IN CONSPICUOUS Pl_AL'1-
CITY OF TIiGA
RD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
CC-RTTr'7CATE OF'
OCCUPANCY
PE RN I T #. . . . . . . z
DATL. psucut 07/0;D/98
► I'E ADDRESS. . I j!9100 SW OARDEN PL #BLD6 PARCELt 2SIOIBB-0.1400
IND IVISION. . . . sCFLOW PARK 217 1ONINO;C -6
AXK. . . . . .. . . . . t LOT. . . . . . . . . . . . . : JURISDICTION: 1 1(
-Ac3S OF WORK. sALT
PIE OF USE. . . x cc)m
PE OF" CONST RiSN
;'?(_-'CUPANC;Y GRr-,. s
CUPANCY LOAD: 114
rLNAN,r NAME. . . v ROWA PAINT
Flema)-ks : 71 - offices
1,PIEKER PROPEIZTI F.,-1.3
4380 SW MACADAM
GTE 100
PORTLAND OR 97-201
Phone #:
C OCH TEWE & ASSOCIATES
1OL4 NE DAVIS
P(IRTLAND 1311 9723E
Fhone #s 834--6617
000541
III-is Certificate gi-mms 0CCUPffinCY of the abovp t-efev-pl-leed building or pot-tion
ther-eoe And conl`ir-mio that the hiAilcling has been inspected for compliance with
fh*;! State of Orgon Specie.ity Corie% for ths, tiro ocr.,uparicy, And urn invier
which this v-efPr-@ncPd per- t Was issued.
k
14(111-F)ING TW.'.;PE _r() su' l fIP10 OFFICIAL_
P,o,;r IN CONSPICUOUS PLACE
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR98-0127
DATF ISSUED: 05/05/98
PIARCEI- : 2SI0IBB-00700
51 TE ADDRESS. . . -. t2OOO SW GARDEN PIL
SURD J V I S I ON. . . . :T I GARD ROAD GARDENS ZONING:C--G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :006 JURISDICTN: TIG
Project Description: Installing protective signaling
A. RESIDENTIAL----------- B. COMMERCIAL---------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING— :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPIE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAI.. . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. FIRE ALARM. . . . . . ! OUTDOOR LANDSC LITE:
OTHER- HVAC. . . . . . . . . . . . : PROTECTIVE S I GNAL. X
INSTRUMENTATION. : OTHER— :
TOTAL # OF SYSTEMS: I
Owner: ----------------------------------------------------- FEES
RODDA PAINT type amol'.1rit by date recpt
12000 SW GARDEN PL PRMT $ 40. 00 B 05/05/98 98-305489
fIGARD OR 5PCr $ 00 B 05/05/98 r98-.305489
Phone #: 221-5700
Contractor: ---------------------
SONITROL PACIFIC $ 42. 00 TOTAL
1975 SW 6TH AVE
REDUIRED INSPECTIONS -------
PORTI-AND OR 97201 Ceiling Cover L.ow Voltage Insp
Phone #: 223-5822 Wall Cover Elect' l Final
Reg #. . : 000,535
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 18A days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-18I-W18 through OAR 952-88I-8888. You may obtain copies of
these rules or dir
, questions OLINC at (503)246--1987.
1 1 t o(1 b LIL__ Permittee Si nature AOI�ffijm
y � �__-____u %I
----------•-----------------OWNER INSTALLATION ONLY--------------------------- - -- ----
flip installation is being made on property I own which is not intended for
sale, lease, or-, rent.
OWNER' S SIGNATURE: DATE
..-._--------------------------CONTRACTOR INSTALLATION ONLY------------------------------
1-1IGNATURE OF SUPIR. ELECIN: fit DATE:
LICENSE NO:
+.++++++++++++++.+++++++++++t...44..++•+.......................t...4.t........+......4
Call 639-4175 by 7:00 P. M. for an inspection needed the next business day
++++++++++-++++4....... .........4...++.+++++•+F.........................4-+++4-++++ -
Community Development RESTRICTED ENERGY ELEC1 RICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT # 1 `
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
�-OPPA FAI NT PLEASE COMPLETE ALL SECTIONS RECEIVE[
I. LOCATION OF INSTALLATION 4. IYPE OF WORK
120_00 - vJ 614 zDeN f'►�� _ � << M-gg (1 1998
Address RESIDENTIAL—M-4 (FOR AI L.16�111A&,eenEVELUYh'E1V1 ' ' '�
- q i� 0 F2- `tel2.23 F
City Slate lip
heck Type of Work Involved:
IPERMITS ARE NON-'TRANSFERABLE AND NUN-kLI UNUAIILL AND LXI'lkE IF WORK ❑ Audio and Stereo Systems`
S NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar alarm
❑
2. CONTRACTOR APPLICATION Garage Door Opener*
❑ t leafing,Ventilation and Air Conditioning System*
Contractor -60-(-1 ITPLOL- Type_ALA M ❑ Vacuum Systems*
Address 13"5 6.4 LITH AVG ❑ Other -------- --- -
Date 2 " 9$_ _ _ COMMERCIAL—Fee for each system . . . . . . . 140.00
(SEE OAR 918-260-260)
Property Owner Check type of Work Involveds
Contractor's Board Reg. No. r7 3r73Jr' - ❑ Audio and Stereo Systems*
❑ (loiter Controls
Phone# 2,2a-6622-
--. ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Instalio9nn
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Pig;ng Systems
❑ Landscape Irrigation Control*
City State Zip ❑-1 Medical
This permit Is issuer)under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1 Only use elecirical licensed persons to do Installations where required.(Certain ® Protective Signaling
residential and other transactions are exempt from li,ensing.These have ❑ Other
asterisks(•).All others need licensing). —
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 103-63')-4175. Number of Systems
3. Purchase separate permits for all installations that are not ready for Inspection —-- f
when the inspector is out to inspect under this permit •No licenses are required Ucenves are required for all other installations, {
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
d
5. Assume responsibility for calling for a final inspection when alp of the correct.,ms 5. FEES
aro completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $ -4o• oo
authnrix to ind the applicant. _ — -
_ b. S% Surcharge(.05 x total above) $_ 2- 00
dry
TOTAL $ 42- 00
Authority if other than applicant
ENERGAP.CHP
/� CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP98-0119
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 03/13/96
PARCEL: 251.OIBB-00700
SITE ADDRESS. . . : 12000 SW BARDEN Pl- #6
S
SUBDIVISION. . . . : TIGARD ROAD GARDENS ZONINle:C-(3
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..006 JURISDICTION:TIU
REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 16076 sf N: 5: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 s f PROTECT
JYPE OF CONST. :3N . . . . 0 sf N: 5: E: W:
OCCUPANCY GRP. :B TOTAL--------: 16076 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 1. 1.4 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ? : REOD SETBACKS-------- REQU I RED--------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 f t RGHT: 0 f t F I R SPKL.-,Y SMOK DET. . :
DWELLING UNITS- 0 F RNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : '35000
1�emat-l(s : T1 - offices
I -
Jwnev-: FEES
SPIEKER PROPERTIES type amount by date r'ecpt
4,380 SW MACADAM PRMT $ 418. 00 GED 03/11-5/98 98-304119
STE 100 5PCT $ 20. 90 GEO 03/13/98 96-304119
PORTLAND OR 97201 FILCK 1 271. 70. GEO 03/13/98 98-304119
F-1hone #: 221-5700 FIRE i 187. 20 GED 03/ J "3/98 98-3041. 19
SCHIEWE: & ASSOCIATES
1024 NE DAVIS
PORTLAND OR 97232
----------------------------------------
1--lhone #: 234-6617 $ 877. 80 'TOTAL..
Peg #. . : 000541
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with Susp Ceilng Insp
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. These
rules are set forth in OAR 952-08I-80I8 through OAR 95c-00101967.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
Per-mittee Signat, , L'e Issued By : � Ild��/ �-�
(6 /
+++++++++++.+++++++ 6,-e++r +++++++++++++++++++++++++++++++++++++++++
+,A ...........................4 ............... ..............
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
..........4.........................4-+++-4....................4...................J+
CITY OF TIGARD Commercial Building Permit Recd
13125 SW HALL BLVD. New Construction and Additions DDale to P.E.ate Recd -
TIGARDr OK 97223 - VIP- _
� Date to DST �
(503) 639-4171 tit Permit# -
Print or Type,__- / Related SWR#
Incomplete or illegible applications will not be accepted r;alled-
I
Name of Development/Project Existing BUllding New Building []
.Job MpDA A� I°P K
Address SrEet,4d ess Suite Building
'� SW mr) � Data
Bldg# City/State zip Exlstirg Use of Building or Property:
(i -n4ps t) 012• 1223 W-Ml- 1Q AMT-, ))�
Name
Property SPI�.I� rkDPcxT►t✓� {
Proposed Use of Building or Property:
Owner Mailing Address —Suite 6 1 W/ voru"j�' �
y3bsw mA4ff) M l;O No. Of Stories
City/Stale zip I Phone _
P6KTOWL) 0K IU1 ZZ 1- Sq. Ft. Of Project'
Occupant Name luoK6 WA Occupancy Classes)
Name — —— 8 S I
Contractor 6. c-'CA L-1,11"fit, k7l)(166, / Type(s) of Construction
Prior to permit Mailing Address Suite 1/1 Iq
issuance,a copy I6,L �S Will this project have a Fire Suppression System?
of all licenses �_ _ Yes �_ No
are required if City/State Zip Phone Americans with Disabilities Act (ADA)
expired in C.0.7 , ��"
database u12�Ick 13 VA-1,� Valuation X 25% = $Z 60• Participation
Oregon Const.Gont.Board Lic# Exp Date WqY Complete Accessibility Form
5,1105- � 3 I e Project $ ^_
Name Valuation 9��0
Architect MILD" t)"
Mailing Address SuitePlans Required: See Matrix for number of sets to submit
IN30 Sw KIN, p� _j1�.C— � on back
City/Slate Zip Phone --- — —'—
LW,-"D ACIA��1 n 6K 91;�t 24q-0%Z- I hereby acknowledge that I have read this application,that the information
Engineer En iName '�' �— given m correct,that I am the owner or authorized agent of the owner and
g that plans subs ed are in compliance with Oregon State Laws
Al
Marling Address Suite
S1 oAon
I gent Date
�� mart 0
City/State — Zip Phone ac Peme Phone 1I
f✓h 55z- ---
Indicate type of work New O Addition O Demolition o FOR OFFICE USE ONLY
Accessory Structure 0 VFoundation Only O Alteration MaprTL# (, Land Use —
Repair O Other O
Description of work: -
r�NNir 111'lprf.,,,.•M ff4'- Notes
t wJ�W�� TIF
Parks: Estimated#of Employees
Nr,te Site Work Permit Application must precede or accompany Building
r„rmit Application
t , 0MNEW DOC (DST) 8/97
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DS
EXAMINERS (Note a.)
TYPF1 OF SUBMITTAL TOTAL CPE PPE EPE CPE =11PF
SITE; I l -- -- ; (j,o,u) --
B (New or Add) 1 1 - -- 3 (j,o,w) --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1. 1 -- -- 2 (j,o) --
E & M (New or Add) 1 1 -- -- 3 (j,o,w) --
P (New, Acrd. or Alt) ? --
B &
-B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o)
E (New, Add, or Alt) 2 -- --
B &
-B & NI & P & E (New, ,Add) 3 l 1 1 3 (j,o,w) 2(j,o)
B or B & M (.Alt) 1 I -- --
B etc M & P(Alt) 3 1 2 -- 20,o) 2 (j,o)
B & M & P& E (Alt) 3 1 1 1 2 ( ,o) 2 (j,o)
NOTES: KIw
a. Before returning to DST. Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MF.t
updates and acids actions. f= Fire P = PIAI
u = USA E = ELS'
b. Shaded areas designate,ALT submittals only, w = Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997. Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception. continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h Imatr c Doc
OVER THE COUNTER QTC)
(attachment to Submittal Criteria)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities, unless
such alterations are disproportionate to the overall alterations in terms of cost and scope
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
THEREFORE, Each submittal for a building permit shall include this form providing the following
information. [Excluding re-roofing, mechanical and ei-icmcal permit applications]
Y/3l UAJM of all renovation, alteration or modification being done
excluding painting, wallpapering. (1) $
nlul;IWWy;. 25% Barrier removal requirement. —.25—.
BUDGET FOR BARRIER REMOVAL [2] $ 2 .j 5i;2' G`
The dollar amount of the BUDGET established on line (2) in the computation above shall be spent
providing the accessible elements in the following order
1. An accessible route connecting the building to accessible pedestrian
walkways, and the public way. $f,OG
(including but not limited to curb ramps,detectable warnings,
marked crossings,ramps handrails and landings).
2 Not less than one accessible parking space. $
(including but not limited to adjacent access aisle,signs and curb ramp
connecting with the accessible route)
1 Accessible entry or entries. $
(including but not limited to ramps,handrails, landings,
door sill height.9oor width and door hardware)
4 An ac^essible interior route to the altered area. $ _
(including but not limited to door-ways, maneuvering
clearances,door hardware and stairways)
5. At leFst one accessible restroom for each sex $
& At least one accessible telephone where public phones
are provided. $ _�-
7. When drinking fountains are required, fifty per-cent but
not less than one shall be accessible
t3. Additional accessible elements such as storage, reach ranges,
alarms, etc..
TOTAL: bA egu_alline 2 o�V?A_ue Compul-aAWn $
i:,otc4.doc(DST)
CITY OF TIGARD MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98--0103
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 03/23/98
PARCEL: E'S IOIBB-00700
SITE ADDRESS. . . : 12000 SW GARDEN PL #6
SUBDIVISION. . . . : TIGARD ROAD GARDENS ZONING: C—G
BLOCK. . . . . . . : LOT. . . . . . . . . . . . . :006 JURISDICTION: TIG
CLASS OF WOPK. . ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF' USE. - - - COM UNIT lo-ATERS. . : 0 VENT FANS. . . : 2
JOCCUPANCY GRP. . :B VENTS W/O APP1—: 0 VENT SYSTEMS: 0
TIEI� : 0 BOILERS/COMPRESSORS HOODS. . . ,, . . . : 1
FII T� ES------------- 0-3 HP. . . . : I DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
-GAS
MAX INPUT: 500000 LATU 10—;30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : N 30-50 0 WOODSTOVES. . : 0
GAS PRESSURE. M 50+ HP. 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 1 10000 cfin : 0 GAS OUTLETS. : I
FI-IRN ) =100K BTU: 0 7 10000 cfm: 0
Rpmar-Jis : No change of use: New furnace, air cond, 2 vent fans and gas piping.
()wner% FEES
9PIEKER PROPERTIES type amol.int by date r-ecpt
4380 SW MACADAM #100 PRMT $ 30. 00 DEB 03/23/98 98-304329
PORTLAND OR 97201 PLCK $ 7. 50 DEB 03/23/98 98-304329
5PCT $ 1. 50 DEB 03/23/98 98-304329
Ph ie #:
Contractor: ---------------------------------
PROTEMP ASSOCIATES INC -----------------
807 NE COUCH $ 39. 00 TOTAL
PORTLAND OR 97232
Phone #.- 233-6911
Ppg #. . : 000388 REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanir--al InSP
applicable laws. All work will be done in accordance with Heating (Ant Insp
approved plans. This permit will expire if work is not started Di-ict Inspection
within 1F0 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspect i.on
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-001--0010 through OAR 952-00I-0080. you may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
S s I-le B Permittee Si grist i-tre:
-f•+++++++++++++++++++++
I-+4-4.+++++++•4... .+++++++++4-+-F........4.......++++++++•f++ .4 +
Call 639--4175 by 7:00 P. M. for inspections needed the iie)(t bl-tsiness day
...........................4.....................4..................................
Ptan Check# J1—is 3 ty
.ITY OF rlGA,RD Mechanical Permit Application Rec'd By -.e.. 44 _
13125 SW HALL BLVD. Commercial and Residential Date Recd —,1/1
rlGARD, OR 97223 Date to P E.—�-�--
(503) 639-4171, x304 Date to DST 19 t
Print or Type Permit# •�
•—`�l
Incomplete or illegible applications will nc.+._be acceptedCalled_
Name of Development,lPralect Description
'ZO MIA IlN Table 1A Mechanical Code On PRICE AMT
Job Street Address Suites AI Permit Fee -0- -0- 10.00
Andress t X) (-A/'A N r'L I .
Bldgil Cdylstate Zip B) Supplemental Permit 3.00
6ilil17.Z�
Name for name of business) 1 ) Furnace to 100 000 BTU 600
OwnerS►'Il_IU. i1t S incl ducts&vents ( (1
Mailing Address 2) Furnace 100,000 BTU+ 750
J'360 `;o -1 ( ACA bN'V1 f-1[-' _ incl.ducts R vents
C,tylstateZ p Phone 3) Floor Furnace 600
01 incl.vent _
I
Name tot name of business) 4) Suspended heater,wall heater 6.00
f_(� ,". — t#j ,._ or floor mounted heater_
Occupant Mailing Address 5) Vent not incl.in 300
I l IC)C) %w'C SAP 1'l appliance permit
CrtylState Zip Phone 6 1 Bolles or comp,heat pump,ars cond I 600
to 3 HP absorp unit to 100K ETU_ 1 VJ
Name 7) Boder or comp,heal pump,air cond. 11.00
3-15 HP:absorp unit to 500K BTU _
Contractor Mailing Address 8) Boder or comp,heat pump,air cond 1500
IbOl �j' 'LA[ { 15-30 HP,absorp unit 5-1 and BTU
Attach copy of City'state Zip Phone 9) Boder or comp,heat pump,air cond 2250
Current Licenses >j) %2 ci 7 Z.3 Z ,3 / 30`50 HP.absorp unit 1-1 75 and BTU
Oregon Const7 Cont Board L c a Exp ate 10) Boder or comp,heat pump,air cond 3750
r�) & 5� !-1 y` >50 HP:absorp unit 1 75 mil BTU _
COT Business Tax or Metro a Exp Date 11 ) Air handling unit to 450
/-/S /U �` 10,000 CFM
^ Architect Name 12) Air handling unit 7.50
10.000 CTM+
or Ma ung Address 13) Non portable 450
_ evaporate cooler
EngineerCMrstate Zip Phone 14) Vent fan connected 2 300
_ to a single duct
Descnbe work New A Addition O Alteration O Repair O 15) Ventilation system not 4 50
to be done Residential O Non-residential W included in appliance permit
Additional Description of work 16) Hood served by mechanical exhaust 4 50
1 17) Domestic incinerators 7 50
Existing use 18) Commercial or industnaltype 3000
budding or property ZY'L %.4 r )AA?P 1- 9 C e.1X incinerator
19) Repair units 450 _
Proposed use of 20) Woodstove 450
budding or property :�eg
tt) Clothes dryer.etc _ 450
Type of fuel-oil O natural qas C LPG O electrc O 22) Other units 450
I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 2.00
information givens correct.that I am the owner or authonzed agent of I Z
the owner that plans submitted are in compliance with Oregon State 24) Mori than 4-per outlet (each) 50
laws
Signature of Owner/Agent Date QTY.SUBTOTAL
'SUBTOTAL.
i intact Person Name Phons 5%SURCHARGE I X24
A 14ly REVIEW 25°'o OF SUBTOTAL
1✓ Ll) l TOTAL 3ci cr.
dstvrrechpmt doc (rev 7196) 'Minimum permit fee is 325+5%surcharge
MEMORANDUM
CITY OF TIGARD, OREGON
TO: Gene Birchill
i
FROM: Bob Poskin. Plans Examiner F c O� 0,
l
DATE: January 8, 1998
SUBJECT: BUP 98-0011
Gene
Attached is a copy of a permit, issued over the counter I did the initial review for this floor area, and
the plans showed a conference room and two classrooms in addition to the "F" occupancy. The
occupant loads total 149, requiring a rated corridor. (The building is sprinklered 100 is max).
The applicant retur-led the plans showing the classrooms as office area, and after reducing the areas
exempt from occupant loads. reduced same to 90
told the applicant, that I would advise the Fire Marshalls office of this change, knowing they will
convert the two areas back to office after their final.
Will you please tap; this space, and on your annual inspections, confirm that these areas are indeed
office and not classrooms. If they convert to classrooms, they will be required to one-hour the
corridors
'Thanks
,/` , 1
Bob P
Thank you
Robert Poskin
639-4171 `C 392
(fax) 684-7297
CITY QEF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
CERTTFIMTE OF
OCCUPANCY
PERMI T #. . . . . . . i SUr-,98- qty.i !.
DATE ISSUED: 03/18/98
.1 TE ADDRESS. . , SW GARDEN PL.. #SL.'D6 PARCELS IRSIOISS-oj ":Q)o
�UBDTVISTON. . . . :C'ROLL 1--,ARI< 17 17LIN I NG:C--G
ILOCK. . . . . . . . . . r LOT'. . . . . . . . . . . . . JURISDICTION: 1'1 '
LASS OF WORK. iALT
YPF OF lj:l'rz'. . . :CON
YPE OF CONST P.3N
4-CUPANGY GRP. P P
1-0ADt
I[J9ANT NOME. . IKON
Remav-1(si l'unant i.mpv-ovement.
'MIEKER PROPERTIES
1,10 BOX 5909
ORTLAND OP `37028
i'unt'-Actor-o
SCFE IEWE & AS 7)0C I A T rr"-Go
024 NE DAV I S
()RTLAND OR 97Z,32
Norte #o 1234-6617
his Certificate gr-hints or-v#.tpj.,nc.-y of the at'Ovv r-eferenced b_til.dinp t,r^ portion
herpof and ronfii-ms that the building has been i.nspec 4:1 for comoliance with
the gtoup, ncc'upaC�..Y, and i,ise undspi,
�ie E�tAtp of Or-gon Specialty Cocit,, RL for
Mich the r,efo)-enced permit was i.sq,jed.
INS{ Tt)
T1-.D N
POS T 1 N CONSPICUOUS PLACZ
i
CITY OF TIGARD BUIL:DING INSPECTION DIVISION
24-Noor Inspection Linc: 639-4175 Business Phone: 639.4171
Date Requested: � �-3 — A.M. P.M.- MST:
Location:_ � BUP:-51y
T,=
t: Suite: Bldg: _ _ MEC: r' 0c4e
Contractor: P'one: ::;--, "�D ,/ 7 _ PLM:
Owner: Phone: (a ELC;
ELR:
SIT:
BUILDINGcon't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Beam Post/13c Cover/Service Sewer/Storm
Footing Roof UndFJSlab Rough-hi Ceiling Water Line
Slab Framing 'fop Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Iiood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service misc.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire S klr/Alm Crawl/Found Dr Heat Pump l.ow Volt
Approved Approved 41 roved Approved Approved
Appr/Sdwlk oved Not Approved "1Qo't proved Not Approved Not Approved
(ON AX; FINAL FINAL FINAL
t7 Call for r ' specti C1J. nspection fey of S_,_ requ' before next inspection 01h,able to inspect
Inspector: _ --— 11"te _ Page —of--_-�—