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12064 SW GARDEN PLACE-1 N Z b C V3 I i 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-