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12064 SW GARDEN PLACE
CITYOF T I GA R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2001-00395
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/07/2001
PARCEL: 2S10'BB-01400
ZONING: C-G
JURISDICTION: TIG
SITE ADDRESS: 12064 SW GARDEN PL 5LD5
SUBDIVISION: PARK 2'17
BLOCK: LOT:002
CLASS OF WORK: ALT
TYNE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCYLOAD:
TENANT NAME:
REMARKS: TI - Restroom upgrade
Owner:
SPIEKERPROPER rIES LP
4380 SW MACADAM AVE. STE 100
PORTLAND. OR 97201
Phone:
Contractor:
LAKE FIR HOMES, INC.
PO BOX 2424
LAKE OSWEGO, OR 97035
Phone: 503-635-6332
Reg #: LIC 50921
This Certificate issued 01/28/2002 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specialty Codes for the group, occupancy, and use under which the
referenced permit was,issued. ,
BUILDINGINSPECTOR BUILDItQgWf IC1AL.
POST IN CONSPICUOUS PLACE
CITY OF TIGARU BUILDING INSPECTION DIVISION
MSl
24-Hour Inspection Line: 639-417. E usiness Line: 639-4171 ---��-
�GC� ,��,c �
Ate Requested l _AM PM BLIP ��iS
BLD _
Location -��� U? `'t 'n ��_ Suite MEC -
h
Contact Person — P, - _`�--7 6 3 - PLM
Contractor Ph — -- SWR --_.—_-- —
B ILDING Tenant/Owner _ —�_ ---__ EwIC --- -- --
P,e.ming all EL IR
Footing Access: �Y
Foundation L G t FPS ---- --
Ftg Drain _x• SGN
Crawl Drain Inspection Notes. --- --
Slab SIT
Post&Beam
--__ -- - -`---_--.-_--
Ext Sheath/Shear _- -
Int Sheath/Shear
Framing ---
Insulation
Dryvrall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 'S
Roof
SS PART FAIT_ --- —�-----
PLUMBING
Post& Beam _.
Under Slab
Iop Out --
Water Serv,ce _
Sanitary Sewer
Rain Drains czr tr 1-17" c o A" _�_ 1 •
ina --- -- — I /� �
SS PART FAIL /7� !/t:(t >l�;' (1�i�✓c.r - i�-' �%
ANICAL
Post&Beam - — -
Rough In
Gas Line _ ...- �'1L _
Smoke Dampers /G' C �/p ct' CX 77 6 u IS 6l6— �
Final
PASS PART FAIL
ELECTRICAL_ - •L�rj;�
Service L<Al f /_�'?LL/ [ c /�-in''/L'
Rough In �� rC' /L LZ,1-AwF c,,W(c c
UG/Slab _-- • � n /L - / C'v,�
Low Voltage + • „
Fire AlarmI�r 11L! /�4 S / S l'U✓4 �-
Final
PASS PART FAIL
SITF
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay a,City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ 1 Please call for reinspection RE: — [ ]Unable to inspect no access
ADA
Approach/SidewalkDatQ / ! y � `' L Inspector � �' Ext
Other - -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TICARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -� --�---
BLIP —
Date
Requested� � / �--O/ AM PM __— BLD
Location . �b �c��c���� _ Suite _A—_ MEC - —— -
Contact Person Ph 4�� 3 , PI-M
Contractor N ,cti.1; �� a /L!4a� Ph /��: 5 �.�7 -O�f� SWR
BUILDING Tenant/Owner
Retaining Wall ELR
Footing Access EPs
Foundation _.—_-
Ftg Drain SGN
Crawl Drain Inspection Notes -
Slab ---- -- ----- ---- -- -- SIT
Post&Beam -
Ext Sheath/Shear _-
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
�—
Fire Sprinkler �f L 1• - '� -'�'X�
Fire Alarm �� 'Co'f"�`
Susp'd CeilingRoof
M sc:_ _ _ r/ A LM2-S 7-0 R1J L.E I
Finer
PASS PART FAIL /! I �Z.a�`�.-�� ✓�'IF/C�G�� e7,c� l�'
PLUMBING
f4 , Tn n �r�-{- �_� u�r C dF-
Post& Beam
Under Slab
Top Out ---' -
V';'ater Service
Sanitary Sewer --
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post& Beam ---
LZ
Rough In
Gas Line —
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
?45@P-'b
UG/Slab
Low Voltage
Fire Alarm _
Im PART FAIL
SITE
Backfill/Grading - —" -
Sanitary Sewer
Storm Drain ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please call for reinspection RE: [ ]Unable to inspect-no access
ADA
Approach/Sidewalk - t
Date /�
Other J - � Ing Brant _ ___�r�p1 EXl
Final
PASS PART FAIL DO INO'T REMOVE this inspection record from the job site.
CITYOF TIGARD ELECTRICAL PERMIT
FERMIT#: ELC2001-00527
DEVELOPMENT SERVICES DATE ISSUED: 10/29/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101BB-01400
SITE ADDRESS: 12064 SW GARDEN PL BLD5
SUBDIVISION: PARK2'i 7 ZONING: C-G
BLOCK: LOT : 002 JURISDICTION: TIG
Project Description: Two branch circuit;:
RESIDENTIAL UNIT -TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: �0 • 200 amp: PUMP/IRRIGATION: V EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601+amps - 1000 volt,: MINOR I-ABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
- ---_.— —.. ADD'L iNSPECTION_S
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: I IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL
Reconnect onlY� SVC/FDR >= 225 AMPS: CLASS AREA/SPEC
Owner. Contractor:
SPIEKER PROPERTIES LP DARNELL TECHNICAL SERVICES
4380 SW MACADAM AVE STE 100 2986 B STPF_ET
PORTLAND, OR 97201 HUBBARD, OR 97032
Phone: Phone: 503-951-0415
Reg#: LIC 141495
ELE 24-429C
SUP 46845
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 10/29/01 $53.50 2720010000( Wall Cover
Elect'I Final
5PCT CTR 10/29/01 $4.28 2720010000(
Total $57,78
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 dore in accordance with approved plans. This permit will expire H work is not started within 180 days of issuance, or if
work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952 001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to
Permit Signature y ` �„ Issued By: �
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OINrNER'S SIGNATURE: _ _ DATE-
---
CONTRACTOR INSTALL/' riON ONLY _
SIGNATURE OF SUPR. EL.EC'N: _/) –i: ��'�r'.� 1 _. DATE:_-
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical PermitApplication //
Datereceived: 10/11, 0/ Permitno
City of Tigard Projecl/appl.no.: Expire date:
0tvn/77l;ard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By j Receiptno.:
Phone: (503) 63r'-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Do 9 .
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family enant improvement
U New construction U Addition/aiteration/replacement U Other: U Partial
1 1
Joh address: 12064 r Bldg.no.: Suite no.; ITax map/tax lot/account no.:
Lot: I Block: Subdivision:
Project name:46,E e r � Doscription and location of work on premises:
Estimated date of completion/in,pcction:
APPLICATION 1
Job no: > 773al.
Business name: t7A T" ILIt� � Description no.htsp
K'N—� Ne"residential-single or multi-fandly per
Address: ' fi 6 )- doellingunit.Inclndesutfacheugarage.
City:14V e,6 Slate:p�k'_ ZIP: 3 2 !xnicchucluded:
Phone:yu2.q: -011 Fax:SZ -57E-mail• 100054.ft.orIess 4
q Each additional 500 sq.ft.or portion thereof
CCB no.: q 2-- Elec.bus. lic.no: Limitedenergy,residential 2
City/rrzlr lict,no.: /0/ Cy Limitcdenergy,non-residential 2 _
- 10 7,e— jjj Each manufactured horn or modular dwellinf,
Signature
upervising electrician ucyonidl _ Dat i a 5erviceand/or feeder 2
Su elect.name( ria'): ' /1 License no Services or feeder-installation,
P P AV (� I�I�f VL alteration or relocation:
OWNER 200 amps or less 2
Name(print): 201 amps to 400 amps - 2
401 amps to 600 amps 2
Mailing address: _- 601 amps to I(xxl amps 2
City: Stale: ZIP: _ Over 1000 amps or volts 2
Phone: Fax: E-mail: Reconnect I
Owner installation:The installation is being made on property 1 own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to Installation,ellerntion•or relocation:
(TRS 447,455,479,670,701. 2(x1 amps m less 2
201 amps to 4(N)amps 2
(hvner's signature: Date: 40 10 t'00 ams 2
_ -- Branch circuits-new,alteration,
or a%lenslon per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: zip: 7 B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit ' 2
Phone: 1'ax: E-mail: Fach additional branch circuit
Misc.(Service or feeder not Included):
O Service over 225 amps-conunrcial U health-cure facility trach pump or irrigation circle 2
O Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outime lighting -_ 2
family dwellings UBuilding over l0,(xx)syuarefeet fourot Signal cucuit(s)oralimited energy panel..
U System over 600 volts nominal more residential units in one structure alterat m,or extension' 2
U Building over three stories U Feeders,400 amps or more •Ilam,ion;-
U rkcupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
U Epressllightingplan U Other. -_- _ 1'cr111spccuon
Submit_sets of plans with any of the above. l ncesigati"'The above are not applicable to temporary construction service. unlet
+lot all Jurisdictions accept credit cants,pteme call jurixaction for mote infamaticau. Notice:This permit application
Perntit fee.....................$ S,7, 541
U Visa U MwICK'ard expires if a permit is not obtained Plan review(at _ %) $ _
r reds card number —— _ L-- within ISO days after it has been State surcharge(8%)....$
accepted as complete. TOTAL .......................$ 7
Name of cardholdet as shown on credit cod
S
Canlholdet signature -- - Amount tti4R15(&Wcom)
�w
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEEIE:
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee ScheduVF, Below; --- --.
Restricted Energy Foe...................................................... $75.00
Number_of Inspections per permit allowed
)I (FOR ALL SYSTEMS)
Service included Items Cost Total y Check Type of Work Involved:
Residential-per unit
1000 sq ft or less $145.15 4 ❑ Audio and Stereo Systems'
Each additional 500 sq.ft.or
portion thereof $33.40 - 1 Burglar Alarm
Limited Energy _ $75.00
Each Manuf d Home or Modular Garage Door Opener'
Dwelling Servicc or Feeder $90.90
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 2 Vacuum Systems'
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $24060 2 C_1 Other
Over 1000 amps or volts _ $45465 2
Reconne..:only $6685 _ 2
• Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Fee for each system.......................................... ... ........... $75-00
Installation,alteration,or relocation
200 amps or less $66.85 (SEE OAR 918-260-260)
201 amps to 400 amps _ $100.30 _
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts, E]see"b"above. Audio and Stereo Systems
Branch Circuits ❑ Poiler Gonlrols
New,alteration or extension per panel
a)The fea for branch circuits
with purchase of service or n Clock Systems
feeder fes.
Each branch circuit $6.65--_- ___ 2 F-1 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of servlca Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 yGr HVAC
Each additional branch circuit _L $8.65 . - 7r
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40 _ ❑ Intercom and Paging Systems
Each sign or outline lighting _ $53.40
Signal circult(s)or a limited energy Landscape Irrigation Control'
panel,alteration or extension w $75.00 rrg
Minor Labels(10) $125.00
Medical
Each additional inr.pection over
the allowable in any of the above Nurse Calls
Per inspecti n $62.50 ❑
Per hour $62.50 ❑
In Plant $73.75 Outdoor Landscape Lighting'
Fees: Protective Signaling
❑ --
Enter total of above ices $ ��� 5� Other --
8%State Surcharge $ Z _ Number of Systems
25%Plan Review Fee No licenses are required. Licenses are required for all other installations
See"Plan Review"section on $
front of application
Fees:
Total Balance Due $ _`���- rfF
Enter total of above fees $
❑ Trust Account p 8%State Surcharge : —
Total Balance Otte $
All New Commercial Buildings require 2 sets of plans.
i\dstslforTm\cic-fees.doc 08130/01
I
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2601-00536
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/29/01
SITE ADD^ESS: 12064 SW GARDEN PI_ BLD5 PARCEL: 2S10113B-01400
SUBDIVISION: PARK 2.17 ZONING: C-G
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING, MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
-- SINKS- 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB/SHOWERS: 1 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing fixtures for COM TI: CAP one shower&one 2"floor drain; MOVE one sink, one lavatory, one water
closet&one water heater;ADD one lavatory&one water closet.
FEES
Owner:
Type By Date Amount Receipt
SPIEKER PROPERTIES LP PRMT CTR 10/29/01 $'32 80 '7200100000
4380 SW MACADAM AVE STE 100 5PCT CTR 10/29/01 $10 G2 !200100000
PORTLAND, OR 97201
Total $143.42
Phone 1:
Contractor:
JIM'S PLUMBING
PO BOX 7160
ALOHA,OR 97007 REQUIRED INSPECTIONS
Phone 1: 649-4034 Rough-In Insp
Reg M LIC 71860 Top-out Insp
PLM 34-186pb Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503 24y,-1987.
Issued By: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
1101�414a0 - 3
Plumbing JPe>r-.,,iit Application
Date received: /4/ Permit n
City Of Tigard Sewer permit no.;)4g Building permit no.:
Address: 13125 SW liall Blvd,'Tigard,UR X1722
city of Tigard Phone: (503) 639-4171 ProjecUappl.no.: Expire date:
Fax: (503) 598-1960 Date issued: Bye;, �V I Receipt no.:
Land use arproval: 8uPa04/-003 9 (ase file no.: Payment type:
U I &2 family dwelling or accessory 0 Commercial/industrial LI Multi-family T"nanl improvenicnl
U New construction U Addition/alteration/replacement ❑Food service U t phot:
Job address: (p y - Uescription _ Ory. Fee(ea.) "Total
Bldg.no.: /`'% Suite no.: Z p New 1-and 2-family dwellings only:
(includes lOUfl.forrachutility connection)
Tax map/tax lot/account no.- /DQ
SFR(1)bath _
Lot: Block: Subdivision: rejrk Z. 1SFR(2)bath _
Project name: - Y, SFR(3)bath _
City/county: I Z : Each additional bath/kitchcn
Description and location of work on premises: Siteudilities:
Catch basin/area drain _
Est.date of completion/inspection: T Drywells/leach line/trench drain
Footing drain(no.lin.ft.)
t Manufactured home utilities
Business name: t N.'S Pit Manholes
Address: O,'R4 ll t0 Rain drain connector
City: los A— I Slatc:V ZIP: 100-7 Sanitary sewer(no.tin. ft.) -
Phone: L 4 7-qD39 I Fax: I E-mail:
Storm sewer(no.lin. ft.)
CCB no.: 7 1 il&O ?P16 1 Plumb.bus.reg,no: 3y' S'Lo Water service(no.lin.ft.)
City/metro tic.no.: pc9c"t� �$ I_ e - Fixture or Item:
Contractor's representative signature: Absorption valve
p � Back flow preventer
Print name: ;(( Tr} Date: /O 5- Backwater valve
CON'I'A.ff PERSON Ba.sins/iavatory L
Name: Clothes washer
Address: nishwasher
Drinkn fountain(s)
City: State- r ZIP: (2' � Ejectors/sump
Phone ` Z Fax: E-mail: �.,. Expansion tank
Fixn re/sewer cap
Name(print): Floor drains/floor si aks/hub _
Mailing address: — Garbage disposal
Hose bihb
City: State: ZIP: Ice maker
Phone: Fax: I E-mail: Interceptor/grease trap
Owner instal lation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s), lays(s)
Owner's signature: _ Date: Sump
Tubs/shower/shower pan
Urinal
Name: Water closet __ y
Address: Water heater
City: -- �^ State: ZIP: Other.
Phone: Fax: Email: Total p
Na all Jurisdictions accept credit cards,please call Jurisdiction for mme IrdmeWim. Notice:This permit application Minimum fee................$
U visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $
clydit card number. State surcharge(8%)....$
within I f30 days after it has been
Nnmr rr cardholder as aha vn on credit card
accepted as complete. TOTAL .......................$ �/ y
_ S
—v— cardholder signatum Amounts / 44-1-616(6MWOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-famlly dwellings only:
FIXTURES (individual) QTY (ea). AMOUNT ;includes all Plumbing fixtures in PRICE TOTAL
Sink / 16.60 the dwelling and the fir:t100 ft. QTY (ea) AMOUNT
Lavatory 16.60
for each utility connection)
- � 1 i - - - --One 1 bath $249.20
Tub or Tub/Shower Comb. 16.60 Two 2 bath _ $350.00 _
Shower Only i 16.60 �� Three 3 bath _ $399.00
Water Closet �' 16.60 �� �D --
- _ SUBTOTAL
Urinal 16.60 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbage Disposal 16.60 TOTAL
Laundry Tray 16.60
Wash!ng Machine 16.60
Floor Drain/Floor Sink 2" 16.60
3" 16.60 PLEASE COMPLETE:
4" 16.60
Water Heater O conversion O like kind 16.60 - Quantic by Work Performed
Gas piping requires a separate mechanical �,:. /moo Fixture Type: New Moved Replaced Removed/
permit. Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer 46.40 - Lavatory
Hose Bibs 16.60 Tub or Tub/Shower
_ _ Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 Water Closet
Other Fixtures(Specify) 16.60 - Urinal s -
Dishwasher _
Garbage D!sposal
Laundry Room Tray
Washing Machine
Floor DralnrS!nk: 2"
Sower-1st 100' 55.00 3"
Sewer-each additional 100' 46.40 4"
Water Service-1st 100' 55.00 Water Heater
Water Service-each additional 200' 46.40 - Other Fixtures
(Specify)
_
Storm&Rain Drain-1st 100' 55.00
Storm&Rain Drain-each additional 100' 46.40 _ -
Commercial Back Flow Prevention Device 46.40 -- - -
Residential Backflow Prevention Device- 27.55 - -
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 72.50
Re vested Ins ectionsper/hr _ COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps 16.60 -- - _
QUANTITY TOTAL -- -
Isometric or riser diagram Is required If -
Quantity Total Is >9 G
'SUBTOTAL fo -- --
8%STATE SURCHARGE ---
"PLAN REVIEW 25%OF SUBTOTAL
Required only If fixture rity total Is>a
TOTAL E�y3 y
"Minimum permit fee is$72 50+e%state surcharge.except Residential Backflow
Prevention Device,which Is$3e 25+e%state surcharge
"Ail New Commercial Buildings require 2 sets of plans with isometric or riser
diagram for plan review.
I:\dsts\foffns\plm-fees.doc 08/29/01
CITY OF T I G A R D BUILDING PERMIT
PERMI'i#: BUP2001-00395
DEVELOPMENT SERVICES DATE ISSUED: 11/7/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101613-01400
SITE ADDRESS: 12064 SW GARDEN PL BLD5
SUBDIVISION: PARK 217 ZONING: C-G
BLOCK: LOT: 002 JURISDICTION: TIG
f _ REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: ALT FIRST: Sf N: S: _ E: � W
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _
TYPE OF CONST: 5N sf N: S: E: W:
OC��J11ANCY GRP: B TOTAL AREA: o0() sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
S'fOR: HT: ft
GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ _REQD SETBACKS __ REQUIRED_ __
FLOOR LOAD: psf LEFT- It RGHT: ft FIR SPKL: SMOK DET
DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 15,000.00
Remarks: TI - Restroom upgrade
Owner: Contractor:
SPIEKER PROPERTIES LP LAKE FIR HOMES, INC.
4380 SW MACADAM AVE STE 100 PO BOX 2424
PORTLAND, OR 97201 LAKE OSWEGO OR 97035
Phone: Phone: 503-635-6332
Reg #: LIC &0921
_ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK CTR 10/25/01 $121.75 27200100000 Gyp Board Insp
Final Inspection
FIRE CTR 10/25/01 $74.92 27200100000
PRMT CTR 11/7/01 $187.30 27200100000
5PCT CTR 11/7/01 $14.98 27200100000
Total $398.95
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800- 32-2344.
Permittee
Signature:>
Issueo By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
I '
"Datercccived: IrJ 0 I Permit no2U I
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,(1!2 97223 !'rojecUappl.no.: 'Expire date:
Cityu�Tigard Phone: (503) 639-4171 Y ftecei Pt ro
Date issued: B
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ 1&2 family:Simple Complex:
1 ,
U I d; 2 lamtly dwelling or accessory -'U(Ionuncrctal/tndustnal J htulu-Ianuly J New construction U Demolition
U Add ition/al terat ion/replacement I'cnant improvemer! U fire sprinkler/alarm U Other:
1 ' SITF INFORMATION
7-77
Job address:_ ,� ry� 'eI Bldg. no.: Suite no.: ,,7, 1
Lot: BI(xk: Subdivision: Tax map/tax I Wacco ❑t no.: }
Project name: ' -- CIA a /', Ct
Description and location of work on premises/special conditions:
Name: solair,
Mailing address: I & 2 family dwelling:
City: State: ZIP: Valuation of work
Phone: Fax_ E-mail: No.of bedrooms/baths.................................
Owner's represer,' re: Total number of floors.................................
Phone: Fax: E-mail: New dwelling tirea(sq.ft.) ..........................
APPLWANT Garage/carport area(sq.ft.)......................... -
Name: Covered porch area(sq.ft.) ........................
Mailing address: Deck area(sq.ft.)......................................
Other structure arra(sq. Il.)........................
City: State: ZIP: .
Phone: !f;tx
Phone- `ax:� Qin G I' mail E-mail: Commercial/industrial/nmlti-family: ` •-
Valuation of work.......................................
Business name: Existing bldg.area(sq.ft.) ..........................
�1 L New bldg.area(sq. ft.)................................ --
Address: 1 r �C
City: Stat ZI t Number of stories........................................
Type of construction....................................
Occupancy group(s): Existing:
CCB no.: [—�.,.� . — _ New:
City/metro lie.no.: Notice:All contractors and sutwontractors are required to be
it I Vat licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
Address: �! jurisdiction wh(re work is being tx.rformed. if the applicant is
Cit "� a1 l IP: exempt from licensing,the;ollowing reason applies:
Conta•t person: Plan no.: _— f
i
hone:''i"44C 7
I..� f:-mail --• \i
Name: lContact person: Fees due upon application ........................... $
Address: Date received:
City: State: 'LII': Amount received ......................................... $.---
Phone: I E-mail: Please refer to fee schedule. '
hereby certify 1 have read and examined this application and the ^lot all jurisdictions accept credit cards,please coil jurisdiction rot nine inforotntion
attached checklist.All provisi ns of 111ws and ordinances governing this LJ Vigo UMasterCard
work will he complied2l ha pecifi I hereiji or nq credit card number.
10.
�'� Name M cadholder as shown on credit curl lr\
Authorized signature:
$ �-
Print name:— , 14 eoArl L K S _ n c
Cardhddet d�ttatttrc Amours
Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. 4dl*4t,l t trnXV(Oma)
V
F L 7 cJ f—
G• . .71
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a completed application and plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
TYPE OF SUBMITTAL. Total # of
(Includes New, Additions or Plans
Alterations) Submitted
I
Site Work (must include location of I `)
all accessible parking)
Plumbing - Site Utilities 2
Building
1*
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
**"New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
lAdsts\forms\COM-matrlx.doc 9/4101
CITYOF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00290
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10i29/01
SITE ADDRESS; 12064 SW GARDEN PL BLD5
PARCEL: 2S1011313-01400
SUBDIVISION: PARK 217 ZONING: C-G
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME: RREEF MANAGEMENT
USA NO: FIXTURE UNITS: 2
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: 0.1 EDU increase: previous 4 EDUs for a total of 64 fixture values, less capped fixture value of G,
plus added fixture value of 8; new fixture value 60, F_DUs = 4.1.
Owner: __ --- — --
FEES —
SPIEKER PROPERTIES LP _ _ —
4380 SW MACADAM AVE STE 100 Type By Date Amount Receipt
PORTLAND, OR 97201 PRMT CTR 10/29/01 $230.00 27200100000
Phone:
Total $230.00
--• —
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accura„y of the side sewer laterals. If the s ewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given If not so located,the installer shall purchase a "Tap and Side Sewer" Perm
Issued by: L Permittee Signature:
Call (503) 6394175 by 7:G0 P.M. for an inspection needed the next bu mess day
Accumulative Sewer Tally
I cnen� Name: RREEF Management This SWRA 2001-0029_0
Address: 12064 SW Garden PI., BLDG#5+A40 This PLM# 2001-00536
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off#s count # value #s values
Baptisery/Font _ 4 0 0 0 0 0
Bath-Tub/Shower _ 4 U 1 4 0 A -4
-Jacuzzi/Whirlpool 4 0 0 U _ 0 0 ,
Car Wash-Each Stall 6 U 0 U 0 0
- Drive through 16 0 0 _ _ 0` 0 0
Cus idor/Water Aspirator 1 0 0 _ 0 0 0
Dishwasher- Commercial 4 _0 0 0 0 0---
-
`_- Domestic; 2 _ 0 0 ��o
0 0
Drinking Fountain 1 0 0 0 0
Eye Wash 1 U 1 0 _0 0 0
Floor Drain/Sink - 2 inch 2 0 1 2 0 _ -1_ -2
_ 3 inch 5 0 U 0 0 0
4 inch 6 0 0 _0 —.-0 0
Car Wash Drrj 6 0 0 0 0 0
Garbage Disposal _ — —
Domestic(to 3/4 HP) 16 0 _ 0 0-- 0 0
Commercial (to 5 HP) 32 0 _ _0 0 _ 0 _ 0
Industrial(over 5 HP) 48 _0 0 0 0 0
Ice Machine/Refrigerator Drain1 _0 0 0 0 0
_Oil Sep(Gas Station) __ 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 _ 0
Shower-Gang (per head) 1 0 0 0 0 0
- Stall _ 2 0 0 0 0 0
Sink- Bar/Lavatory 2 0 0 _ 1 2 - 1 2
_ Bradley 5 0 0 _ 0 U 0
_ Commercial 3 0 0 _ 0— 0 0
Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 _ 0 0 0
Washer-Clothes _ 6 0 0 0 0 0
Water Extractor _ 6 0 0 0 0 0
Water Closet- Toilet 6 0 0 1 6 1 _6
Urinal 6 0 _0 0 0 0
Previous EDU Count 4 64 64
TOTALS 0 64 2 6 2 8 1 0 66
Current Fixture Value Cif; divided by 16 = 4.1 Current F DU 1 EDU = $2,300.00
Previous Fixture Value 64 divided by 16 __4.0 _Previous FDH
Change 2 _ divided by 16 = 0.1 "_wer (uwler) $ 230.00
Enter EDU Change Here 0.1
HISTORY
Notes: P[-M# 97-0061 ED_U# 4 SWR# 97-0058
_ PLM# EDU# SWR#
PLM# EDU# SWR#
Name:_- �'Z_ Date: W4 -
5ignature of person that calculated this tally sheet and date perfromed is required
CITY OF TIGARD BUILDING INSPELTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BLIP -
_ _Date Requested l -2 AM PM _ BLD
Location ? 0 JL4 k4-zt�, _ ,-, Suite _ MEC
Contact Person Ph 2 7 Ce PLM
CJ
Contractor Ph SWR� —
-BUILDING Tenant/Owner _
ELC '24 e) UC)
Retaining Wall ELR
Footing Access:
Foundation FPS -- --
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab - --- --------. SIT _
Pcst&Beam - --
Ext Sheath/Shear
Int Sheath/Shear
Framing --- ----- -- -------- - L7z-------
Insulation
Drywall Nailing -
Firewall -
Fire Sprinklerns�Jri �r'c�Y �---TL )4-, c i2!2,C4
Fire Alarm L '
Susp'd Ceiling �L�X ��_—,��f1fi►� cT7 'tel _XL.�
Roof
Misc: __,l•, a �� /i —Sc��.»l�d 2 7 LZ
Final - -----_- � / � rjL)'•�
PASS PART FAIL _ '
O/�JZiC�
PLUMBING
Post&Beam
Under Slab
Top Out ----
Water Service
Sanitary Sewer
Rain Drains
Finally
-
PASS PART FAIL 1 X -
MECHANICAL
Post& Beam - --
Rough In
Gas Line
Smoke Dampers
Final /—
��}" /�/ ,
PASS PART FAIL _ Z�JL /��✓E,Un --- �°�
ELECTRICAL �[ -
Service - ��Q-kxk+-t -- -- — ---
Rough In
UG/Slab --_ --�- --
Low Voltage
fjL2 Alarm --
ic�l-,iL.�4R_L3-
PART FAIL
SITE
Backfill/Grading -- - -- T
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required beforeext inspectlon. P City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE [ ]Unable to inspect-no access i
ADA _
Approach.'Sidewalknate _{J Inspector. (, � c-}---Ext
Other ----
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BILIP D001-
Date Requested 5 AM PM _ BLD _--
Location Suite MEC —�
Contact Person Ph �� j 7 &33(, PLM
Contractor_ Ph _ SWR
_LDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: FPS
Foundation -----------
Ftg Drain - SGN
Crawl Drain Inspection Not(-,s,, CLG �UUI-vU S a2 _
Slab _-_-.-----_ SIT -_--_
Post& Beam ��
Ext Sheath/Shear •� --------
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing — ------ ---- -\�- _ ---- -.._. - -- -- - --
Firewall
Fire Sprinkler
Fire Alarm /
Susp'd Ceiling -- ---� - - -- ------- - ----- --
Roof
n
PART FAIL - ------- -�;��c — -- —
ING
Post& Beam -
Under Slab —
Top Out
Water Service
Sanitary Sewer
i
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Inst& Bearn —
Rough In
(_;as I ine
;smoke Dampers
Final - - - - --
PASS DAR1 FAIL
ELECTRICAL - - - - -- -------�
Service,
Rough In
LIG/Slab ----- - -- - - ---
I ow Voltage
Fire Alarm final
PASS PART FAIL - - - - — - -- ------ --- - --- - ---..
SITE
Backfill/Grading - --- ----..__. --------- _--- ----- -- _------- ---.. --
Sanitary Sewer
Storm Drain t R inspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I I Please_ call for reinspection RE Unahle to inspect no access
Fire Supply Line
ADA
Approach/Sidewalk DateInspector Ext
Other ---_� ----- +----- — - "--- - — --- -
Final
LPASS PART FAIL_ DO NOl" REMOVE this inspection record from the job site.
----------
CITY OF TI FARD
CMOFTMID
COMMUNITY DEVELOPMENT DEPARTMENT 0*100"
13125 SW Hell Blvd. P.O.Box 23397.Tipod.Oregon 97223(503)6394175
PLUMBING PERMIT
#. . . . . . . :
DAT: ISSUED: 05/11/92
A J D P S SW GARDEN P L #BLD. 4 PARCEL:
1-iVI0IUN. . . . CROW PARK 217 ZCNING: C--G
�ti. . . . . . . . . . . LOT. . . . . . . . . . . . . :2
(._I_FIGSOF WORK. . :ALT GARBAGE DISPOSALS. 1110811J. HOME GPACES.
)*'PE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
f-1UPANCY GRP. . I A i:-:, FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . .
JRIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . I
LAUNDRY TRAYS. . . . . . : F3F RAIN DRAING. . . . . ..
.INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . :* GREASE TRAPS. . . . . . .
LAVATORIES. . . . . : 1 011AER FIXTURES. . . . . : 1
"UB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
-VITEP CLOGETS. . . 1 WATJ-_R L. INI (ft ) . . . .
1 SHWAS
'HERS. . . . RAIN DRAIN (ft ) . . . .
.
Delete int r3ar,t it i onsv t It vms, add int partitions, t It 1m, fol.s.nta
,tc. NOTE ; CALL FOR INSPECTION OF CAPPED OFF AND CC)N('-'EALFD PLUMBING.
.11"'T1 e V,: - ...... __._..___... ..-.- ...-......I—— --------- --------- FEFS
1U10MATLD OFFICE SY!bTEMS type amount by date recut
P R M T $ JLH 05/11/92
PILLK $ 6. 25 JLH 05/11/92 -
`_7PCT $ 1. i,__1 5 JL.H 05/11/9,2
UTItt-actor:
I2UWLONV P'_UMSING
,'+5L4 N LUMBARD
PORTLAND OR 97203
Phone L852,586 32. SO TOTAL
Rey
05628
REQUIRED I NSPECT IONS
this oermit it issued subject to the regulations contained in the Rol-tph--in Insp
Tioard 401CILal Code. State of ]re. Specialty Codes and all other TopoUt Insp
Applicable laws. All work will be done in accordance with Misr. Inspect i on
3oproved plant. This permit will expire if work is not started Final Inspection
within IN days of issuance, or if work is suspended for more
than JN days.
leA at'..t e
rm it. tee Sirrl
9 1.1 e d v -
Call r, :inspection 639-4175
CITY OFTIGrARD C-ERTIFICATF Or
CFTYOFTWARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT
13 1 Jd SW Hell Blvd. P.O.Box 23397,Tigani,Oregon 97223(M)&304175 PERMIT #. . . . . . . BUP92-0070
DATE 15c.3UED: 06/02/9Z,
ITE ADDRESS. . (JARDCN PL #Sl-v.16' PARCr� L: 2SI0188-01 :,00
11113DIVI0T0N. . . . I I OW PARK 217 ZONING: C-6
0LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . t2
I -t4,-'�!-3 Or. WORK. iALT
I yvS or USE. . . .COM
OCCUPANCY GRP. :B2
OCCUPANCY LOAD44-4
TENANT NAME. . . cAUTOMATED Or-FICE SY'H-TF.Mq
PomarkFs Delete int partitions, t1t rm-.4, irld int partitions, tlt rm, etc.
Owners
S'PIEKER PARTNERS
75550 SW mA(.-.r40(41vj
PORTLAND OR
Phons? #: -,,5700
Contractor:
C. SCHIEWE & ASSOC;IAICS
10R4 NE DAVIS
PORTLAND OR 97P3c',,
Phonp #v 2'34-6617
Req i;. . 1 5410')
nrcupimc,$ of tht- above referenced building is hereby given, anti cevtifieb
the compli...Ance with. the State OF Oregnn rpecimlty Code% f0t" the jjV01.Apf
OCC'Up C-%/, 011d USE? Ulvdpr wh-tch the refs rpncod pet,mit war, isftted.
FIRE DEPAPTmCNT
-DJN0_-1*7.CTOR
Su iL I At"
POST IN LONSPIGUOUS PLACE
INfaI g(`T1U1_NOS' lc
City of Tig—d Building Depart Ont
13125 S11 Ball Bird. Tigard, Oregon 97223 l
Inspection Line ((RRec-O-Phone): 639-4175 Business Phone: 639-417
ec
InspecLi:)ns_---- �—
rooting Plbg. ��
erslai, Me^.h. Rough-in Appr/Sdvlk
Pound. Plbg. Top Out
Gas ILne FINALS
Post/Beam Struct. San. Sewer
Prami:sg -Bldg.
Poet/Beam Mach. Rain Drain
Insulation -Plumb'
Plbg. Underfloor Water Line Gyp. Bd.
-Mech.
Date Requested:
---Time,
Time. AM P1+
Address .!
Builder: -----
Till FOLLOWING CORRECTIONS ARE REQUIPED:
Inspectors
��— — Data:__ _
APPROVED --- DISAPPROVED APPROVED SUBJECT TO ABOVE
Call
For Rainsp.
CITTYOFTIOrARD �%
C"OF RD BUILDING Pi:.RmiT
COMMUNITY DEVELOPMENT DEPARTMENT 041160m ; 'ERMIT #. . . . . . . : BUP92-0070
13125 SW HWI Blvd. P.O.Box 23397,TigmM,Oregon 97223 (603)03"176
1 JJ A I n t 1 r L) 917f
1 TE ADDRESS. 4r
17W GARDEN PL PIARCEL. : 2SI0IBB-01401/1
:3 -
SUBDIVISION. . . . e CROW PARK C-.'17 ZONING: C-G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..2
RE I',)SUE FLOOR AREAS-------- EXTERIOR WALL CONSTRUCTION-
CLAbS OF WORK. iALT' FIRST. . . . : 14064 sf N: S: E: W:
TYPE OF USE. . . :COM SPCOND. . . : s-F PROTECT OPENINGS"
TYPE OF CONST. :3N THIRD. . . . : sf N: S: E- W:
OCCUPANCY GRP. TOTAL. --- 14064 s-F ROOF CONST:B FIRE RFT'? :Y
(IUC,'UPANCY LOAD:44 BASEMENT. : sf AREA SEP. RATED:2HR
STOR. : 1 HT. : 18 ft GARAGE. . . : s-F OCCU SEP. RATED:
BSMTI :N MEZZ'):N REOD SETBACKS-------- REG�UIRE:D-_.____._._.___________
FI._OOP
ETBACKS--------
FLnOP LOAD, . . . - 125 p s f I-FFT : ft RGHT: ft FIR )PKI...:IV SMOK DET. 1\1
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP AMY
BEDRMS: BATHS: IMP, ',3sURFACE: PRn CORR;N r,A R 1-1,T N G-
VALUE. $ - 53300
Hemarksc Delete int partitions, tlt rms, add int partitions, tlt rm, etc.
Owner: FEES
bPIEKER PARTNERS type amount by date recpt
57-550 5W MACADAM PIRMT 1 '2'95. 00 JL'-H 03/2'7/912
PLCK $ 191. 75 JLH 0-3/19/92 224880
FIORI LAND OR FIRE $ 118. 00 JL.H 03/19/92 224880
Phone #: 221-5700 F)r"'C T $ 14. 75 JL.H 03/27/92
Contractor:
C. SCHIEWE & ASSOCIATE'S
10,--'4 NE DAVIS
PORTLAND OR 972321,
Phone #: 234--6617 G 19. 50 TOTAL.
Peg #. . .- 54105
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Frafftlnq Insp
Tigard Municipal Code, State of Ore. Specialty Codes and ail other Roof nAilrip Insp
applicable laws All work will be done in accordance with lnsr.tlation Insp
approved plans. This Urlit will expire if work is not started Gyp Board Insp
within 180 days Of 'SSWCf, or if work is suspended for more SLISP Ceilnq Insp
than 180 days. F i n a I Inspection
e r m i t t e e S i qnAt i-tr-f,
CAI 1 foil inspect ion 639--4175
I11(OF T'I GA RD
CMOFTWARD
COMMUNITY DEVELOPMENT DEPARTMENT 17 ORMON MECHANICAL
13125 SW Hell Blvd. P.O.Box 23397,Tigwd,Oregon 97223(603)639-4175 PERMI I
F
639-41.71 DATE ISSUED: 06/01/92
. ITE ADDRESS. . . : rt-tt-t1r-SW GARDEN PL #BLL. r PARCEL: 2SIOIBB-0140V,
71UBDIVISION. . . . : CROW PARK 217 ZONING: C-C.
SLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . - EVAP COOLERS:
1 YPE OF: USE. . . . 'COM LJN IT HEATF PS. . '. I VENT FANS— :
ULCUPANCY GRP. . -LAC" VENTS WIO APPL- VENT SYSTEMS:
13 R I L(,;-j. . . . . . . .. : 1 BOILERS/COMPRESSORS HOOD�33. . . . . . . :
!-*UEL rYPES------------------ 0-3 HP. DOMES. INCIN:
. /173AG/
3-15 HP. COMML. INC IN:
MAX INPUT: BTU 15-30 HP. REPAIR UNITS:2
FIRE DAMPERS?. . :N 30-30 HP. WOODSTOVES. . -
GAS PRESSURE. . . :L 50+ HP. . . . CLO DRYERS. . :
1\)0. f-W UN*,L'TG--- -- - - - - AIR HANDL-ING UN I TS" OTHER UNITS. -
URN ( 100K RTU: 10000 cfm : GAS OUTLETS. 12'
URN 7 =100K BTIJ. 10000 cfm ,
-emar+s : Delete int pal-titions, tlt v-ms, acid int partitions, -tlt t-m, etc.
)wner,.- - -'L'-'-------L--'--'---.--.---'-'- FEES
i-�UTOMATED OFFICE SYSTEMS type amount by date r-ecpt
PRIYIT I L
50. 071
jj._jj 06/01/roc
r-,L-('.K $ 7. 50 JLH 06/01/92
5PCT $ 1 . 50 JLH Or-,/0 1/9L.
1`11011v #:
ontv-ac,tori
ilrLAS HEATING'
i5635 SE 114TH
JJITE 201
OLKOMAS OR 97015
!-'tmne #: 650--001-34 $ 39. 00 TnTA1-
Peq #. . . 23682
-------- REOUIRED INSPECTIONS
i. pewit is issued subJect to the regulations contained in the Gas Line Insp
-i9ard Municipal Lode, State of Ore. Specialty Codes and all othet, Mecham iral Insp
�Dplicable laws. All work will be done in accordance with Heat inq Unt Insp
looeoved plans. This permit will expire if work is not stat,ted Cool inq Unt Insp
oithin IPA nays of issuance, or if work is suspended for more Duct: Inspection
'nor) 14 days. Final Insoect ion .......
vi i L t 9 e F,i n n'.'k i,1p,
(z4nalLo_
-.ued By
F iA I I f ct, inspection 6394175
1: I I F*I CA TF OF
CITY OF TIGARD CJCC,lJPANCY
PERMYT #. . . . . . . : B11P93-014'o
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/13/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8169 (503)639-4171 PprzCEL. -
12LA64 SW U-JARDEIll Pl.. #BIA). 5
FE AI)ORESb-
''-68L)I V 101 ON" CRUW PIARK 217 70NING3 sC--G
01,10CK. . . . . . . . . . LOT. . . . . . . .. . . . . . .
.05S OF WORK. ifli-T
I 'k7 OF USE.. . . c f."011
UPAN,Y GRP. :B.i'
lJV'ANL',' LOW)c 95
IN'T NAME. . . -A1JT0tr',r, ' ED Or-FlCE SYSTEMS
Romarks . Tenant Impt— Delete, add int walls, partitimis, ti-litet roum,:x.
"hiner:
PARTNE.-."R5
BOX. 5905
PORTLAW) OR 97228
Phone
C. SCHIEWE. d ASSOC AATES
1024 NE DAVIS
110PTLkNI) OP 9*7232
Phone Olt 234-66-17
P t--g #. . - 54 1.075
Uc,cuj-.)ancy of the above ref Pi-ruced hu i Id i nq is h1mv,pby given, and cert i f i e,-,
Lhe compliance with the !hate Of Ch,egon Sperialty Carie: for the L
u cc 1.1 p a tic y, and LlSe under whirt-i the refpr.enced permit 1+1 i s-.4 m e d.
F I RE DE PARTMENI L4 U.1 L-MjI NaSS P E El-
B L 6 yr r,I A L
POST IN (,ONSPICUOUS PLACE
11ION
City of Tigard Building Department
13125 StBail Blvd. Tigard, Oregon 97223q
��
Inopection ..-
Line (Roc-O-Phone)r 639-4175 Business Phone: 639-4171
Inspection:.,__
Footing Plbg. Underslab Hech. Rough-in kppr/Sdalk
round. Plbg. Top Out Gas Line rINALt
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested: I r�!! ( ! 1 G�,5 Tient ,�`_AH ! PH
Gl4 L`
Address: 2cu'Ll 6� .a', �1�� Permit #s. '
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Datef/Z /2
APPROVED DISAPPROVED APPROVED SURJECT TO ABOVE
Call For Reinsp.
i
CITY OF T I GARD -'
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 972230199 (M)639-4171
F'IE
OATE !SSUEV4 071,?;;;/93
i UN CM]w PORK 17 Z'j,'111NG-. C'-G
LU i
WU'.
. . . . . . . BALKIFLOW PREVNI'RS. .
v)(.'M URk!N1-:). . . 1 WW"".j. . . . . . . . . . . . . .
LArLH BASINS. . . . . . . .
WWER HLATLW3. . . . . . .
. . . . . . r. OBF t4p.1N URA'dvt
UI?i NALBRUISE I RACIS. . . . . . . .
I..'L-WER LINL (ft ) . . . .
Wr't !'ER t-I NL (f t-
N
1,rt wai j. p.-i- i-t it ion t o
t ypo 'Amount by
I^RIR I' 1 6 7. 50 JH
VIC T 11 Z3. 138 JI-)
UN
0'51.62,3
RE,.L!LJI RED INI-44-C-1 1 JNEi
is Issuto jqbjert, to the regulations mtsined it the Roagh--in insp
nv-clpal cadt, State of ort, $pecialty codos 8.c ail After PLMi'Undei
!owl, All work wi.1 be done in accoi-dar'-p with Top.-Out *1 nvp
p1siq, jhjS pr,pit wtil expire if wvrk it not started F= incl ripection
W dgyq of issum"tt, or if Nor,', is susvfrtec for %of'e
i n s p e:A 7 bn zi 175
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 EL
- �.T««�,«+ escnpUon
j •" �,���y= S, �y� S ORS 814-21-G 10 OTY PRICE AMT
Job � —2.1',z, %'„� � L FIXTURES
Address Sin 50
valory 7.50
Tub or u ower GoW
7.50
Shower Only 7.50
�' q" Water Closet 7.50
DISWaShRowner 7
7.50
Garbage Isposa
f or Washing Machine _ 7.50
— _ «y.. i -Tloor rain 7.50
G FF/�� A,S P'_: alar eatrx — 7.50
7)
Laundry Room Tray
()ecupant , L
1 I ,.i.� t.��/, / ,r Urinal — 7.50 —
.« �T+ Other Fixtures( peci ) 1.50
7.50 K'<,
7.50
.w 7.50
r.q A.ff� �
MISCELLANEOUS
Contrart„i zP _
Sewer 1st 100' 30 W
.. ....« . C4r rk, I U Nn Sewer-ea.Addt. 100' 15.00
mer Service 1st 100' 20.00
sere y ac ow ge ri_tTT5ve_(0ad1 this application, that die Water Service ea.Addit.200' 15.00
information given is correct,that I am the owner or authorized agent of --
the owner,that plans submitted are in compliance with State laws, that I Storm 6 Rain Drain 1st 100' 30.00
am registered with the Construction Contractors Board,that the number Storm 9 Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration,please give reason —
bolow.) Mobile Nome Space _— 2500
c w reventwn
Device or Anti-Pollution Device 7.50
Mi- w.'4 Any Trap or Waste Not
Connected to a Fixture _ 7.50
>oscrt work new a rtlon alteration repair l Catch 7.50
to be done residential O non-residential 0 40.00
Insp.of Exist.Plumbing per hr
40.00
Specially Requested Inspections per hr
C xisting use of n rain,single family
building or property-- — —� dwelling 15.00
Residential baridlow prevention
devices 15.00
Proposed use of
building or property
'( xcepf residential backhow
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF -
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 259E OF SUBTOTAL � 7�
FOR A PERIOD OF 100 DAYS AT ANY TIME AFTER WORK I
COMMENCED.
TOTAL
Special Conditions __ �-
yx G
Date issued by
..mrwan.i
CITY CSF TIGARD
COMMUNII Y DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard,Onpon 97223.8199 (503)839.4171
1
�L
CITY OF TIGARD r BUILL)INU PL
COMMUNITY DEVELOPMENT DEPARTMENT PT JAI I 1 4.
13129 SW Hall Blvd.Tigard,Oregon 9722399199 (503)639.4171 Tj rl f L ItiSUC-"13.
B L L11.
Z ON liNG- L'
1 19000 f E W
1 16 0 0 f 10JUI Q 1'4'-:3LA I I i IF I
'"A SEP. - _+lR
S1 f ARE S RATE'D,
1� i0 L. N �.J) '-L- I bALeB REOUIR(A)
_J,I . -
f".; R L3 I Ft FiR �;I_*'i.. �,-,mul-" L
1 FIRNI ft REAR: ft VIR r4LUM0\1 HPIWICP
P C4 I 1l 11"10 0 f i k,,N 1-1f4k ,1N
1't I ivpr- cy J.i?t r--, 'td c! i,ri t, wal I pzwt it i tcki lot t,o,'s m Er
1. Y, i-, i:�.10 0 1A T'I- t d,'k t P
L 3 A9. 08 DR 06
0 7
t
R(A c.v u14 1.-10 1.11 f I 1....1.
C1, 1u
14LUUI RED i NSPEL, IONS
pvtit is issuers subject to the regulations ccntained in the Fr,,mm i ng I ri%p —-----
;ard �fvmicipai Cojt, Rate of Ore. Specialty r1ades and all other I ri f,%I a t it)rl J.Tirip -------
A;c9ble lams, 411 work will be dont in Amordance imith Gyp Basi-d !msp
rovec plans. this P11,111, will expire if wc,rw is not started ti.,l S p P I I ti r
-bin 180 0ayl of issuance, oe i4 work it'suspended 1r" V inAl 1rir_A(.-?Pctic)n
:r IN days.
CITY OF T I GARD SE::; U"R CONNECZION
COMMUNITY DEVELOPMENT DEPARTMENT
1312C SW Hall Blvd.Tlgard,Or"on 97223*8199 (503)639.4171 PIEP1111' it. . . . . . . . S W k 9 3-Q1,34 01
1800.4 '3W GORDEN PL #B[A).
ALI I V I I UN. C--ROW VIA RK 2 17 ZUNIN6s L--6
. . . . . . .. . . . . . . ..
NPN C IAPA,,".
kA NG. . . F i x,ruRt;-. UN I TS. 23
J1, IAC kP, OLT DWEA-L I NG UNI I S. . t
[> LP3E. ;COM NO. OF BUILDINGSt
I:aT(11_..p._ 1 Y i'I o 2 14U'E':'W R IMPLRV !:iURFALX. . r
"T e n a n t lmpr--�, Delete, :Add int wAlls, par'titions, toilet rooms.
FIEES
type amount by date
PIRIVIT i:�200. 00 JH 0 7 4)j
LAND OR 9 7c"'P-a
o 44 !�
31�1 1 m(-"roli NUF (A F- ILAn.
RLUU114ED INSPLIC11UNK.',
is Applicart agrees to cconly %lth ali the rules ano requiations -Iewer- inspect ion
the .,nffieu ;kvisjj Agency. The pit-sit expires IN days frog ------
I date lssarc. Tot total avokint paid will it farfelted if the
^Nit expiret. The 4gfnry does not guat'Ontef the acculacy of the
" sirvier laterals. if the sewer is not located at tne aeasu-ritnt
wen, he installer sha`l prospect '4 feet in all 'rot
F C;starce given. if not to loc"ted, tl- —hose
'v mlt Side. sower, persit Arc the P
C& foi- inspection 639- 4l. '15
f�
G�
CITY13115 SW Hall o1v& PLNCK/RECT #OF TIGARD PERMIT # 1oiy�
COMMUNITY DENELOI'M ENT DEPARTMENT Tibanl to6-19-4171
(S03)6-19-4171 DATE ISSUED
ao6 AnoREss: /l �- 2T 7, vU/Co%u6 TAX P�LPROVED G !�'`jtlF_ ••
LOT: LAND _....,,....:,:;. ., ..
SUB: ------ - __� --- - - -
VALUATION: /-7- (f 0<n
OWNER SPECIAL NOTES
NAME: =���C�E� �� 7/,/��S REISSUE OF: --
ADDRESS: gnn K LAST REISSUE: _--
Pop-7G��- rf- 97276- SW9 FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
S&CA745 PLANNING:
NAME:
ADDRESS: /G—24 _N �QvrS __ ENGINEERING:
FIRE DEPT: ---
PHONE: 29g- &<ev/7 OTHER: At) '� _7/F
CONTR. BOARD #: _ EXP DATE:
ITEMS REQUIRE[)
SUBCONTRACTORS: PLUMES: _. �_— LIST/SUBCONTRACTORS:
-� -- — MECH: �/_� BUS TAX: _
ARCHENGINEER CALCULATIONS:
NAME: lCl�i�,Ei/ OGS/ lo,�ouf', fjC • 32R SS DETAILS: __--�—
ADDRESS: / S W KED PsxGv 15-7c- OTHER: —
P • G�,GR �2Sar`Fo, ��
PHONE: _ oSs
PROPOSED BLDG. USE:
COMMENTS: �1J.:.' I� ku . / 7 /e.L
i
A P CANSIGNATURE
Re ed By: --------- --
Date Received: �` "�
PERM] k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL_ DUE �
10-432 00 Building Permit Fees 5"'G
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit. Fees
10-230 01 State Building Tax
Building
Plumbing __A^
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire
i /1 30-2.02. 00 Sewer Connection
30-444 00 Sewer Inspection _ —
25-448-02 Commercial TIF Fees -
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) —
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _.
4-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
UNIFIED SEWERAGE AGENCY OF WASH INGION COUNTY
F I XT jgE UNIT RAT I NGS
TOTAL TOTAL
FIXTURE VALUEL�� NUMBER NUMBER
RAPT 1 S"TRY/FONT 4
BATH — TUB/SHOWER 4
ACUZ/WHPL 4
C7 dSP 1 DOR/WATER ASP I
U 1�iM/ASHER — C OMNER 4
— DOMEST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN 2. INCH 2 j
3 INCH 5
4 INCH 6
GARBAGE DISPOSAL
— DOM (TO 3/4 HP) 16
— COMM rm 5 HP) 32
IND (OVER 5 HP) AS
OIL SEP (GAS STA) 6
SHOV4ER — GANG I
STALL 2
S 1140 — BAR 2 liz}
— BRADLEY 5
— COMMERCIAL 3
— SERVICE 3
WASHER, CLOTHES 6
WATER EXT 6
WATER CLOSET 6 a7
URINAL 6
Fx value this ten
EDU - this tenant _ ►'
Run, fx value - bldc < �1
Run. EDU - bldg.
Sewer permit ff
DATE
1 NSP TOTAL
EDU _
BUSINESS -
/ PERMIT NO.
DDR —
AESS V J",
COUNTED FROM
TAX MAP/LOT
73-25 R83
CITY OF TIGA RDCRY TWA BUILDING PERMIT
Ai 610 Comm1
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT' #. . . . . . . : BUP92-0344 1
13126 SW HWI BW. P.O.Box 23397,TlgaW,(Wagon 972M (6W)&19-4175 ; ,
iP44-4 i i k ri,44*E 1SSWFE), ie7o&F�qe
SITE ADDRESS. . . : 12064 SW GARDEN PL #BLD. 5 PARCEL: 2S 10113b ie1L,iw11,
SUBDIVISION. . . . : CROW PARK 217 ZONING: C-6
BLOCK. . . . . . . . . . c LOT. . . . . . . . . . . . . s2
-
------------------------------------------------------------------------------------------
REISSUEs FLOOR AREAS—---- EXTE:iIOR WALL CONSTRUCTION--
CLASS OF WORK. SALT FIRST. . . . :5782 sf Na 151 Ei W:
TYPE OF USE. . . iCOM SECOND. . . a sf PROTECT OPENINGS?-----------..-....
TYPE
PENINGS?----------- -- --
'T'YPE OF' CONST. e5N THIRD. . . . I sf No So E: W:
OCCUPANCY GRP. eB2 TOTAL-------: 5782 sf ROOF CONST sB FIRE RET? :Y
OCCUPANCY LOADt74 BASEAENT. t sf AREA SEP. RATED.-2HR
!3,rOR. - I HT. * 18 ft GARAGE. . . - sf OCCU SEP. RATED:
BSMT?s N MEZ Z )c N READ SETBACKS---------- REQUI
FLOOR LOAD. . . . ! 125 psf LEFT. f t RGHT: ft FIR SPKL:N SMOK DET. o N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDJCP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VALUE. $: 18000
Remarlisc Tenant Impr: Delete, add int walls, partitions, rated dears.
Owner: FEES
SV,lEKER PARTNERS type amount by date reept
P R MT $ 128. 50 JH 12/04/92 --
PLCK $ 83. 53 JLH 11/30/92 92-234072
5PCI s 6. 43 JH 12/04/92 —
Phone #:
Contractor-: -------------------------------
C. SCHIEWE & ASSOCIATES
1024 NE DAVIS
PORTLAND OR 97232
Phone #: 234-6617 $ 218. 46 'T'OT'AL
Reg #. . : 54105
-------- REQUIRED INSPECTIONS
This pervit it issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other InsLtlation Insp
applicab'e iaws. All work will be done in accordance with Firewall Insp
approved plans. This permit will expire if work is not started Gyp Board Insp
within 180 days of issuance, or if work is suspended for more SLtsp Ceilng Insp
than 180 days. Final Inspection
1 'ermittee Signatilre :
fssued By :
Lall for inspection 639-4175
►si
�� t T u sw Mill l �d. PLNCK/RECT #
CI7 OF
Z GAR 110 1 x2397 PERMIT a
(-'OMMUNI•I'l' 1)CVl,-1.0Ph4BN'I'I)EPARTMI?NT Tigard,Oregon 972-23
,so3)b39-+rn DATE ISSUED
JOB AOORI_SS: __/2����/ S Lv (y�.���.:✓ P�z TAX MAP/ T ' `*
SUB: _ _ LOT: LAND USE ily
VALUATION: -
OWNER SPECIAL NOTES
NAME: 51'/E � �/`t�Tic/E�S • REISSUE OF:
ADDRESS: P '%l ;K �`�`�° LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
IRED
NAME: G ��" ifiEw� /JSSd�. _ PLANNING: (,_e 0K45Pot)--t= f'DAyru-�1
ADDRESS: lU 2ef /1/ e J �5 r!�'� � 'ow,�-J u�rt-� , ).'r7
ENGINEERING: a�
F'CK%Cithn c'aE —_ FIRE DEPT:
PHONE: ' y�G'�^/ 7 OTHER: No A7nlG rrf buf
CONTR. BOARD #: EXP DATE: —
ITEMS_ REQUIREO
SUBCONTRACTORS: PLUMB: /vhf+ _ LIST/SUBCONTRACTORS: --- —
MECH: //� BUS TAX:
/iRCH/ENGINEER CALCULATIONS:
NAME: .�F�./ � ��;�/ ,��� �' T' c- TRUSS DETAILS:
ADDRESS: i/� �' �`i f'%C �✓�7, OTHER: ---`-
es-
PHONE! 'y
PROPOSED BLDG. USE: d'4/ e4 ZA
% �-✓ Y�
COMMENTS:
-70
fill
70UAPP NT SIGNATURE
I. ceived By: aJ1. Date Received: /�
PFRMII # ACCT # DI.SCR1ill ION AMOUNT AMOUNT PD. BAL. DUE
1u-432. 00 Building Permit Fees
10-431 00 Plumbing Permit Fees _
10-431 01 Mechanical Permit Fees _
10-2,;0 01 State Building Tax (5%)
Building
Plumbing
Mechanical
53
10-433 00 Plans Check Fee �� f
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection _
30-444 00 Sewer Inspection _
25-448--02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52.-449 00 Parks System Oev Charge (POC)
31-450 00 Storm Drainage Syst Oev Chrg
(SSOC) _
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
/J
TOTAL �
nm/3587P.WPI-