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12154 SW GARDEN PLACE BLDG 3-2 N n 2 rd -12154 SW GARDEN PL BLD. 3 ELECTRICAL - CITY OF TIGARD RESTRICTED ELNERIGY DEVELOPMENT SERVICES PERMIT M ELR2001-00258 1.125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 11/9/01 SITE ADDRESS: 12154 SW GARDEN PL BLD3 PARCEL: 2S101BB-01400 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURISDICTION: TIG Proiect Descriotion: Instali date telecommunication A. RESIDENTIAL —` B.COMMERCIAL. AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: — BURGLAR ALARM: BOILER: LANDSCAPE/IRR!GAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS. 1 Owner: Contractor: SPIEKER PROPERTIES LP ALPHA TECH VGICE+ DATA SOLUT 4380 SW MACADAM AVE STE 100 7405 SW TECH CENTER DR PORTLAND, OR 97201 SUITE 130 TIGARD, OR 97223 Phone: Phone: 503-610-4332 Reg#: LIC 0011105 ELE 2351RET SUP 2351RET FEES _ Required Inspections _ Type By Date Amount Receipt Low VnItage Inspection PRMT CTR 11/9/01 $75.00 2720010000 ElecH 1-mal 5PCT CTR 1119/01 $6.00 2720010J00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of 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 riles are set forth in OAR 952-001-0010 thr ugh OAR 952-001-0080. You may obtain copies of these rules or direct que„tions to OUNC at (503) 246-1987. Issued by �: 'tJ Permittee Signature OWNER INSTALLATION ONLY I The installation is being made on property I own which is not intended for sale_ tease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business clay LL ,01`Y0o1 11:45 FAX 60369819/30 CITY OF TIGARD X002 f Electrical Permit Ap lication� /• IDRt�e-„..etved. 1 t Cfy (J ) Ptufrlit no CiTigard ty oas' '1 igard � �. &0�"t/app1.no.; Bxpiredate. <_lfy of ll °rd Address: 13125 SW Hall Blvd.TtLscd,4$37,T7t3 patelapied ByPZ) Receipt no: Phone. (50?)63).4171 -------_ - - - Fax 003) 598-1960 Cass flit no.: Payment type. I.arid use approval: i 0 1 dt 2 fanuly dweluulg or accessory ^CommerciaVindustnal 0 Mulu•felnii, -J'fenant Improvement U New comtructiva A AddiuotValterm ttorVrer,Weniell, 0 Vther :]Pluttlu Job address: i 4, y l C) n,(ttkkf► iia Hidg nn.. SuI:e nn: Tart m r&A lot/arcount no.: Lot; I Block: Subdivision, Pea ca name' T*(I Description and location of work on premises: Estimated date of oomplitiorJnspc.ction: Job no: sl'. INmr I- Utactlfxiun I ` (ea) Total M ppp�l 1 usla f•B flame: + 011ta 51adici T New eM/wlld-+�v.M w�a`� y� Address: jt, t1+reCl�wklMitta.attart+rlltarylc. ~ - city. � ct o.(1_c1 _ State:(''k TI}': `1' le c 2 Slr.iceiwcM+dtd: Phone: ;ijt ifN1.@[. r3 7 E-mail�on,r4( rrat.l� IOW.., R.or las _ CCB�•; \� G< Elec.b .lic.no: �� Each s00R - ' -- Lrnwad enriy,mstdentwl - - CYt Ac.no.: i tin-corner y,non•mvidandil _ 2 e7`777, - h minafaoturm l+ome or,uodnlat dwel3ris ' "'- J ' Serviu Md/or roe cr 2 natum of r b e actrlCI”fr u. d) a.e _ - UP deet calm(pnnt) ��y utanv a no:. I _ icataaee�rM ghat rM. riteniion N reloaatiew 20O.mpl or less _ 1 Name(pnnt)• _ 201 Boni w40oampa r - - 2 401�tr +�to3b�IM�P f Mailing adre dss. __ I tmpa to 1=am;" Ci --- 8tri LIP: Over 10W v .a m vol s - _ 2 Mon-,: r— Fimllll: � �_ Yte_.oivWord- t Owner installation: RIa;nsswlladon it being made on property I own which is not Intended for sale,lease,rent,or exchange aaoorlin f to 2ooarr rraeatl..t f 1, at:.r ti.e,°reel xethra' DRS"'1,451,41t),170 sol. -- _�•- 20 t am to InuxJ .pa y Qwn es ti store: Date 401 to 600 wnys BrwK&tlrreit■ naw, nt , or eateminn per pawl: Nam": A. Pet for htanch cltculu pith qrn hrue of Addrew tarvioe of fonder fat,each Cnnch arcus; 2 T§1'ate: 6 Fee for bruwh eua a rl Rheas putehue C1tY• ----- _------�j,.--T ;--�:�__--_-_ -.- of service or fader(a,Pm. bmwh circuit — s - Phorte �� Fax C mail' Each bona cuxhcircuit MMe.lBervleevteadernel nw od):� x"ICe over U5+-,pe-ccinmer1W 7Ne,'h•e►.f.elltty F�cl pompe m�uon circle - 2 n w o,:dur.li 2 Iint J Srrvro : eo� :''2fl.npo rrur.to 1&2 -1NaurdouyioceaEach rIEon - _� h.._.._..�.- foralyr rt7lnta ]6eildingover 10,000tqusr:feet fo rror itt.d circuit(.)or a Itwed ertevty panel, ISyaurlim mtovtrWOvolt+nal mom midendrluriuIttone at►uctwt dtttalfon,ortaunran• 2 U Nwldint nve+tlwte etc let .:Needen,400 amp of mon ebb _ DOavpantladover il9pesura 7Manulacturcd.oxwmorRl)puir Gc-i1rQ fZWexpevi ivit a,*rtke WPovrawainwyo tt.t sibis►e: J Ettatarhthbinsplan arwhe:_--- Fes inapmuon ��- Sab rlt__sett c f plum with say of the above. 1%ve+ti aeon fee _ T1s abors st•4.eol aptocaMe to ism eowtraetlus aenitr. i he — — Pc"nit tee...................$ Not WI ruruwtx i«u xKM care w•Dere tau j1dwk1. for rre.I,uv*.Weo Nodm:This ptrmil application O Vita O MssAKard expires if I permit is nen obtained Plan review(a) rredn:we I'IM . -------__- __. ,11_ within Iso days after it hat been State turcharge(11%)....S Q. actsward as a otnpietw. TOTAL �"-PTirnt7e�r i awn a;cacti oirT'�"�` � �`-—� r4Mi ol�ralae r �mtK r 340 $i s(60MOM) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 -----_- — BUP _ Date Requested'_�_U AM PM BLD Location-12L-C( s"�.✓ cwc�.,- ,.,.c DO,a,c Suite AILi MEC Contact Person IS _ �--� Ph SZ � ��_ (� PLM Contractor �- U _ PhSWR BUILDING �- Tenant/Owner f ELC 'G a(' Petainmg Wall i ELR Footing - - -- - - Foundation ACCeSS: `,^ _ FPS Ftg Drain _ (y_/ /� Crawl Drain Inspection Notes: SGN - Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------- Firewall ----Firewall - ------____-_ Fire Sprinkler ^� Fire Alarm Susp'd Ceiling Roof Misc.--- - -- Final - PASS PART FAIL ----- --..---------- Pi UMBING . Post& Beam Under Slab Top Out ----- --- - -- - Water Servir_e Sanitary Sew(-- Rain ewerRain Crains Final PASS PART FAIL MECHANICAL Post R Beam Rough.n Gas Line Smoke Dampers Final PART FAIL Service Rough In UG/Slab _ Low Voltage Fire Alarm F' at . ASS PART FAIL Backfill/Grading - ---- - — Sanitary Sewer Storm Drain [Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Will Blvd Catch Fasin Fire Supply Line I J Please call for reinspection RE - [ I Unable to inspect- no acres ADA j Approach/Sidewal;c Other Date , _�f Inspector / -C Ext lFinal I i LPASS PART FAIL j DO NOT REMOVE this inspection record from the job site. CITYO F T I G A R D — ELECTRICAL PERMIT PERMIT#: ELC2000 00606 DEVELOPMENT SERVICES DATE ISSUED: 10/27/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1r11B13-01400 SITE ADDRESS: 12154 SW GARDEN PL BLD3 SUBDIVISION: ZONING: C-G BLOCK: LOT , 002 JURISDICTION: TIG Proiect Description: Service and thrr„e (3)branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LESS: 0 - 21719 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS BRANCH _ _ADD'L, INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 3 PER INSPECTION:�~ 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amr/volt: >=4 RES UNITS. > 600 VOLT NOMINAL. Reconnect only: SVC/FDR >=225 AMPS: _ _CLASS AREA/SPEC OCC: Owner: Contractor: SPIEKER PROPERTIES LP RURAL ELECTRIC INC 4380 SW MACADAM AVE STE 100 5285 NE ELAM YOUNG PKWY PORTLAND, OR 97201 SUITE A900 HILLSBORO, OR 97124 Phone: Phone: 503-648-6696 Reg #: LIC 00047478 SUP 4062S ELE 34.82C FEES _ Required Inspections _ Type By Date Amount Receipt Elect'I Service 5PCT CTR 10/27/00 $8.02 2720000000( Elecl'I Final PRMT CTI? 10/27/00 $100.26 2720000000( —� -- —Total $108.27 --- 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 ifwork is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules ad,)pled 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 ordirect questions to OrJNr;at(503) 246-19,37 PERMITTEE'S SIGNATURE ISSUED BY: _ _OWNER INSTALLATION ONLY The installation i, being made on property I own which is -ot intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:— CONTRACTOR ATE:CONTRACTOR h 3TALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Calf 639-4175 by 7:00pm for an inspection the next business day 10/04/00 RBD 14:02 FAX 503 598 1960 CITY OF TIGARD 11002 Electrical PermitApp Date received:.p 7'71o7) Permit no.:t'[C;-pgj- City of Tigard nC 1. 2 ?f)flp Project/appl.no.: Expire datc: City 0f Tigard Audress: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503)639-4171 COMMUNITY Dual.,. Fax: (503)598-1960 1 Case file no.: Payment type: Land use approval: TYPE 01PERMIT 0 I &2 family dwelling or accessory BCW Commercial/industrial ❑Multi-family Xfiil Tenant improvement O New construction U Addition/a)teration/replacement U Other: O Partial =111101 do 1,41111114,194 11110 Job address: 12154 SW Garden Place _ Bldg.no.: 3 1 Suite no.: ITax map/tax lot/account no.: Lot: Block. Subdivision: park 217_ Project name. Vacant Space -rDrscription and location of work on premises: demo, ad] plugs/switches etc. Estimated date of completion/inspection: CONTRACTOR ! Job bot 0 J 10 7 r Fee Max Business mune: RURAL--ELECTRIC, INC. t�rri "ti _ �r (ea.) Total no.imp residential-single or multi family per Address: 5285 NE Elam YounR P A900 dlveWngunit.Includes x1fi ) rlgarage. City: Hillsboro State Op 97124 Serviceincluded: Phone: Fax: E-mail: I 000%q ft.or less 4 — 47478 Each additional 500 sq.ft.or onion thereof _ CCB no.: Elec.bus.lie.no: Limited energy,residential 2 City/mr .no.: 5 Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature o supervising electrician(required) _ Dare Servl. and/or feeder 2 t.iansena!}Q�i2$ Services orfeedess—installation, Sup.elect name(print): Paul. A. ELljs alfeution or aocat:on: Ij 1 200 ramps or less 1 2 Name(print): Spieker Properties _ 201 amps to 404 ams _2 401 amps to 6tJ',)amps 2 Mailing address: 4949 Sts Meadows Rd 601 amps to 1000 ams 2 City Lake OSwP_C3o State: OR ZIP: 97035 Over 1000 amps or volts _ 2 Phone: _ Fax: E-mail: Reconnectoniy I Owner installation:The it is being made on property I own Temporary secrtces or feeder- which is not intended for sale,lease,rent,or exchange acceeding to Yutallatlon,alteration,orrelocation! 200 amps or less ORS 447,455,479,670,701. 201 amps to 400 amps —^ 2 Owne?s si nature: Date: 401 to 66(55 s 2 Branch circuits-twvv,alteration, or e-.teaslon per panel: Name: _ _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 3 I`i5 2 City: State: ZIP: 8. Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,first branch circuit: _ 2 Eschadditional branch circuir. Misc.(Service or feeder not included): ❑serviu,over 225 amps commercial ❑Iteallh-carefacBity EK4 pump or irtiRstion circle 2 U Service over 320 amps-rating of 1&2 ❑Haindtwslocation Iachsign oroutline li h6ng _ 2 famllydwellings U Building over 10,000 square feet fouror Signal circuit(s)or a limited energy panel, ❑System over 600 volts nominal more residential units in one structure alteration,or extension* 2 ❑Building over three stories U Feeders,400 amps or more oVescciption — ❑Occupant load over 99 persons ❑Manufactured structures or RV pork FAch addhional inspection over the allowable in any of the above: U Egress/lighongplan ❑Other: _. _— Perinspection r r Subunit_.seta of plans with may of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee.....................$ ( _- Nol all Orivaedurn accept credit cmdr,ptuae call lur'Acdoo fo"mom Infammtlon. IiCe:This�peRTlll applucatian Plan review(at _ %) $ U Visa ClMastercard expires if il ermit is not obtained / within 180 da after it has been State surcharge(8%) ....S Credit card Bomber__.— -- --1---� days (:spimc TOTAL .......................$ _ accepted as com,•lete. Name of—1-rd—WIFli as shown on credit cud S T—Cerdht>tder sivlature Amount 4404615(bWKw UM) 4. Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ N irnber of Inspections per permit allowed Restricted Energy Fee. $75.00 Service included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Work InVOIlCd 1000 sq.f!.or less $147.15_ 4 Each additional 500 sq ft.or Audio and S±ereo Systems portion thereof $3340 1 Limited Energy $75 00 Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $90.90 _ 7 LJ Garage Door Opener 4b.Services or Feeders Installation,alteration,or relocation " (� Heating,Ventilation and Air Conditioning System' 200 amps or less _�_ $80.30 p L �" 2 201 amps to 400 amps S106.85 2 Vacuum sy:tems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 E] niher Over 1000 amps or volts $454.65 ? --�T -"- --- --- Reconnect only _ $6F 85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders �- Installation•alteration,or relocation I - - -- Fee for each system.............................................. (75.00 200 amps or less $66.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved Over 600 amps to 1000 volts, -ee"b"above. Audio and Stereo Systems 4d.Branch Circuits flew,alteration or extension per panel _� 130iler Controls a)The fee for branch circuits with purchase of service or GIOCk Systems feeder fee. f ach branch circuit $6.65 i`1 L� a b)The fee for branch cirwits Data Telecommunication Installation without purrhase of service a-feeder fee. Fire Alarm Installation Firsl branch circuit _ _ $46.8.5 Each additional branch circuit - $6.65 i l IVAC 4e.Miscellaneous (Service or feeder not included) Instrumentation Each pump or Irrigation circle $,'1 40 Each sign er outline lighting v $53.0 Intercom and Paging Systems Signal circull(s)or a limited energy panel,alteration or extension $75.00 Landscape irrigation Control' Minor Labels(10) $125.00_ 4f.Each additional Inspection over Medical the allowable in any of the above ❑ Per inspection T` $62.50 Nurse Calls Per hour _ $62.50 in Plant $73.75 Outdoor Landscape Lighting' 5. Fees: f. Protective Signaling ba.Enter total of above fees $ ��--�- 8%Shxcharge(.08 X total fees) $ -- Other - -_ subtotal $ 6b.Enter 25%of line ba for Number of Systems Plan Review If required(Sec 3) $ Subtotal $ No license+$are required licenses are required for all other Installations j ❑ Trust Account III _ FEES: Total balance Due $ ENTER FEES S 8%SURCHARGE(.08 X TOTAL ABOVE) f TOTAL f BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2000-00434 DATE ISSUED: 10124100 DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tivard, OR 97223 (503) 639-4171 PARCEL: 2S10168-01400 SITE ADDRESS: 12154 SW GARDEN PL BLD3 ZONING: C-G SUBDIVISION: LOT: 002 JUkISDICTION: TIG BLOCK: _ ----- - `FLOOR AREAS __ EXTERIOR WALL CONSTRUCTION REISSUE: - - S: E:�W: CLASS OF WORK: DEM FIRST: sf J N PROJECT OPENINGS? _ TYPE OF USE: COM SECOND: sf __ �- W- : sf N: S:� E: TY-JC- OF CONST: OCCUPA�JCY GRP: TOTAL AREA: 0.00 sf ROUE CONST: FIRE RET. BASEMENT: sf AREA SEP. RATED: OCCUPANCY LOAD: GARAGE.: sf OCCU SEP. RATE STOR: HT: ft READ SETBACKS REQUIRED BSMT?- MEZZ?: ft _ _ _ __ — FIR FLOOR LOAD: psf LEFT: ft RGHT: ft FIR PS rtM : HNLIOP ACC. DWELLING UNITS: FRNT: ft REAR:IMP SURFACE: PRO CORR, PARKING: BEDRMS: BATHS: VALUE: / J Reniarks: [Demo walls and 100 lin.feet and 1206 of ceiling. There will be a separate permit issued for the tenant improvement. -� Contractor: Owner. TRIANGLE CONSTRUCTION L.1-C SPIEKER PROPERTIES LP 19393 SW TUALASAUM DRIVE 4380 SW MACADAM AVE 5TE 100 TUALATIN, OR 97062 PORTLAND, OR 97201 Phone: 503-638-9968 Phone: Reg#: l-Ic 144370 FEES _ _—__- REQUIRED INSPECTIONS Date Arnount Receipt Finnllnspection Type By t _ -— 'OOOUOOOC PRl',I CTR 10/24100 $62.50 27.. Type CTR 10124100 $5,00 27200000000 Total $67.50 F This issued subject to the regulations contained in tate Tigard Municipal Code, Srte of OR. Specialty Codes P and all other applicable law, All work will be dons in accordance with approved plans. This Hermit will expire if work is law not started within 180 days of issuance, or it work iaesru U'Utility Notification ed for CAnter.than 80Tt Those rules are s. IONfoO�eg OAR requires you to follow the rules adopted by the Oregon Y 552 001-0010 through OAR 952-001-1987. You may oritain a copy of these rules or direct questions to OUNC by callwq (503) 246-1987. Pe nnitee Signature: Issued By: c-E' Call 63 -4175 by 7 p.m. for an inspection the ne)J businQss day Building Perridt Application Uaterec:eived: � Permit no.• ��$�y 7 City of Tigw l.r Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: C-iry of Til and Phone: (503) 639-4171 Date issued: i, t'__ 13y: Receipt no.: Fax: (503)598-1960 Case ti:^no.: Payment type: Land use v; mval: 1&2 family:Simple Complex: 1 U 1 8.2 family dwelling or accessory U Commercial/industrial U Multi-family 0 New construe' n molition 0 Addition/alteration/replaccmt�nt U'l enant improvement U Fire sprinkler/alarm U�7thcr: .100 SITE'INFORMATION-,, Jobaddress: JLIy 5L_1 (�3A¢.D LV) PL.. IBldg.no.: 3 Suite no.: Lot: $lock: Subdivision: '�s t :. 1.1" _I Tax map/tax lot/account no.: Project name: petit[ . 7-t- 5L�, t 1 Z.At5 Description and location of work on premises/special conditions: ._g-Ls- FOR SPECIAL INFORMATION, Name: SR It K-LR Mailing address: tir,J �,p gotr�� tZ 1 &2 family duelling: City: 1..,►'.VAL©eYL-Z r o State:O r ZIP: Valuation of work........................................ $ Plione: 41.-jv5"81oo Fax:G7517th E-mail: No.ofbedrooms/baths................................. Owner's representative: q ft4,'t M, Total number of floors................................. I'hune: 6,115 4`7oo Fax: 1F.-mail: New dwelling area(sq.ft.) .......................... MMMIGarage/carport area(sq.ft.)......................... Name: TRr l4�I Gt Con 5'.T C L-c Covered porch area(sq.ft.) I........................ Mailing address:jej 3%b Deck area(sq. ft.)........................................ �— City yam[ 5tate:a ZIP: D6 Z Other structure area(sq.ft.)......................... Phone: G3 ,� Fax: �3ng E-mail: CommerciaUindustrisUmulti-family: CONTRACrOR Valuation of work........................................ $ - �f Existing bldg.area(sq.f.) .......................... Business name: i dr Lal, --- Address: New bldg.arca(sq.ft.) ............................... / f u<►a s>, D2- Number of stories........................................ City' u ptr pd 1 State: ZYA ZIP: 706 L Type of construction.................................... - Phone:e,3j, Fax: E-mail: Occupancy group(s): Existing: �_- CCB no.: / L6*,4 7 ci _ New: _ City/metro lic.no.: 6 Gj99 Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Good under Name—_ provisions of ORS 701 and may be required to be licensed in the Address: - jurisdiction where work is being performed.If the applicant i,,, State: ZIP: exempt from licensing,the following reason applies: Cit Contact person: fpttm AM: Phone: Fax: IE Name: Contact_ Contact person: Fees due upon application ........................... $ Address: �'�� Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: -mail: Please refer to fee schedule. hereby certify 1 have read and examined Utis apply ion and the Not tit Jurisdictions accept credit cards.please call Jurisdiction for more intornutbM. attached checklist. All provisions of laws and ordinances governing this ansa U MasterCard work will he comIle ' r wh her s 'ced herein or not. Credit card number:—r._ Exp res Authorized signature: Date: Z Name of cardholder as shown on credit card S Print name: �rnA Cardholder signature Amount Notice:TbiF permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. "04611(baoti'oM) CITY OF T I GA R® --- BUILDING PERMIT PERMIT#: BUP2000-00435 DEVELOPMENT SERVICES DATE ISSUED: 11/1/00 13125 SW Hall Blvd., Tigard. OR 97223 (b03) 639-4171 PARCEL: 25101 BB-01400 SITE ADDRESS: 12154 SW GARDEN PL BLD3 SUBDIVISION: ZONING: C-G BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: _ _ FLOOR AREAS EXTERIOR WALL. CONSTRUCTION_ CLASS OF WORK: ALT FIRST: sf i N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: —� OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ.Z?: _ REQD SETBACKS _ __ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDKMS: BATHS. IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,582.00 Remarks: Remove existing interior partitions for open floor space and replace T-Bar grid Owner: Contractor: SPIEKER PROPERTIES LP TRIANGLE CONSTRUCTION LLC 4380 SW MACADi"'M AVE STE 100 19393 SW TUALASAUM DRIVE PORI I-AND, OR 97201 TUALATIN, OR 97062 Phone: Phone: 503-638-9968 R,fg #: LIC 144370 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK CTR 10124/00 $18.07 27200000000 Framing Insp ng PRMT CTR 11/1/00 $120.87 27200000000 Susp CFinal Insspecpec Insp tion 5PCT CTR 11/1/00 $9.61 27200000000 FIRE CTR 11/1/00 $48.04 2.7200000000 T Total $256.59 --- This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of OR. Specialty Codes and all other applicable law. All work will be dobe 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 direst questions to OUNC by calling (503) 2.46-1987. Pe nn itee Signature: r Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application u` ,. Date received G, a r7JE ermitno.:I' ,. \ City of Tigard � Address: 13125 SW Ball Blvd,Tigard,OR 97223 Project/appl.no.: x-piredatc: Cify ojTigar�! R 77 Phone: (503) 639-4171 Date issued: _ By: _ Receipt no,: _ Fax: (503)598-1960 Case file no.: Payment type: trlC 8j�t�Val: I ;�' -tea 1&2 family:Simple Complex: TVI`sE Of PERMIT U I &2 family dwelling or accessory U Commercial/industnal U Multi-family U New construction U Demolition C U Addition/alteration/replacement WTenant improvement U Eire sprinkler/alarm U 011ier: _ 16$11TE INFOAMATION. Job address: 12�5�1 5 Af�.c� ACF Bldg.no.: 3 Suite no.: Lot: Block: Subdivision: �`.rz 'L l'1` Tex map/tax lot/account no.: Project name: A rr_V_ Zt-1 5 11 Z.I Cj _ -----_._ Description and location of work on prernises/special conditions: P-N0,A L-t t on 1 Oo � oEw W l t cs_. t 1 2.,c — Name: oic, t Mailing address: S U _t,JS I &2 family dwelling: City: L-.o.,\e.J, OS I State: p rI ZIP: Valuation of work........................................ $ Phone: %� g'16 0 1 Fax:C g E-mail: No.of bedrooms/baths................................. Owner's_representative: -TA#%4 f,E M t _ f t t✓� Total number of doors................................. Phone: 5 yg Fax: r:-m.til: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... L� r�ST (� Covered porch area(sq.ft.) ......................... Mailing address: /`939 '� -sem A+t SAann Deck area(sq.ft.) ........................................ City: --1 .-^��;',j State: p ZIP:of Other structure arca(sq.ft.)............ ............ Phone:6 g F'Fax:C 3 E-mail: Commerciallindustrial/multl-family: Z Valuation of work........................................ $ - Existing bldg.area(sq.ft.) .......................... Business name' /Z r✓a,JL.SL,� d,ncT . L.(�L Address: l�3 .�cJ u4• A U✓Vt C New bldg.area(sq.ft.) ................................ Numberof stories........................................ City: 'T q -T re State: ✓ ZIP: q 7046 2 -- Type of construction.................................... _ Phone: 639 99� 9 Fax:638 E-mail: Occupancy group(s): Existing: CCB no.. New: City/metro lie.no.: ! y ,ARWITMI„ Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: 77 77 provisions of ORS 701 and mai a required to be licensed in the Address: I jurisdiction where work is being performed.If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: - Plan no.: _ Phone: Fax: E-mail: Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: State: ZIP: Amount received ......................................... $. Phone: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and die o Nor all jurisdictions accept credit cods,pleare call Jurisdiction fnr mese inromwion attached checklist. All provisions of laws and ordinances governing this U Visa U Mastercard work will be complied with,whether fied herein or not Credit cud number: 1 / \ l3aptres Authorized signature: \ ) alC: `0 Name of cardholder as shown on credit cud Print name: nnPS 1rVl ��/1f"!'�� — atRnatwe $ amount Notice:This permit application expires if o permit is not obtained within 180 days after it has been accepted as complete. 440161.1(aaorcotit) SUBJECT. ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alleratien or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent (25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1]$ rQ-7 Z, mult�y_ 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [21 $ l 15�5, 150 In choosing which accessible elernents to provide under this section, priority shall be given to those �'qn.:nts that will provide the greatest access Elements shall be provided in the following order. , qj'm P (a) Parking r--,r tAJoLAcd. Exce—eO $ (b) An accessible entrance: $ (c) An accessible route to the altered area: (d) At least one accessible restroom for E.xrE-f•.p5 $ each sex or a single unisex restroom: Zt'--7S (e) Accessible telephones: N o N r:_ $ _ (f) Accessible drinking fountains: and $ (n) When possible, additional accessib;e elements such as storage and alarms $ TOTAL: Sha!I a ug al line 2 of Value Comoutation. $ ildsts\forms\nccess doc 10. 24. 2nu TLE 08:47 FAX 875 8(3 soi ZQ02 002 Exhibit 6 CITY OF TIGARn Approved..... . .............-.................... ........... (TT t;,ondit►onally Approved .........................( :-or only the work as described in, 'PERMIT NO. �� See Letter to:Follow......................................... Atthch .......^...........!0 Job Address: ____L B.W.Hsi VWd. xc r�cn r � i rn • I - PYA- 41 � i i ��R7 � � • ~ `�rPt$cO � e N 1\ n M U H-1 S T— _ i I i /r1 I i K I ' f s D C7 7 n n ON 0 IT CD rl b m r- i A ti W r*1 Z 0 rn U 0Ar-J � 1' 1 G?N4U it z t '? o b � G�n��i D� y11 ?, fh U � 2Uf M -i OC1V!U Y IS f)Q to ; off _ -�►., � � : to to Ir -, � .� . tit . �� CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00435 13125 SW Hall Blvd., 'igard, OR 97223 (503)639-4171 DATE *;SUED: 11/01/2000 PARCEL: 2S1011313-01400 TONING: C-G JURISDICTION: TIG SITE ADDRESS: 12154 SW GARDEN PL BL D3 SUBDIVISION: BLOCK: LOT:002 CLASS OF WORK: ALT �~ TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: REMARKS: Remove existing interior partitions for open floor space and replace T-Bar grid Owner: SPIEKER PROPERTIES LP 4380 SW MACADAM AVE SfE 100 PORTLAND, OR 97201 Fho.,e: Contractor: TRIANGLE CONSTRUCTION LLC 19393 SW TUA!ASALIM DRIVE TUALATIN. OR 97062 Phone: 503-6389968 Reg#: LIC 144370 This Certiticate issued 112'110/211111 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, occupa cy, and use under which the referenced permit was issued. 1 t_e" L{�1 r L BUILDING INSPECTOR' ' BUILDI1�3)b I AL POST IN CONSPICUOUS PLACE /V " CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Bus'eness Line: 639-4171 G) I BUP �.�Ut1-G u t(-3i Date Requested �= _PM PM BLD Location / Z �� e( ,5 c.' (9 r_,' 142-K — Suite MEC l I .K- Contact Person s ` Ph S !�K 4�e JiL PLM -- Contractor _ _ Ph SWR --_---— UILDI tenant/Owner 1,V/'_� G ,, C4Z-K ICI 1�e�� ELC Retaining Wall OF ELR J _ Footing Access Foundation FPS ,- Ftq Drain SGN Crawl Drain Inspection Notes: // — Slab - _ ---- � �f.�'L�C/ �+�+�. -- SIT — Post&Bearn Ext Sheath/Shear Int Sheath/Shear Framing - - - ------ - -- Insulation / Drywall Nailing (. t?e7 Firewall Fire Sprinkler _ -_ _. -- ------ --- Fire Alarm Susp'd Ceiling - ------------------- -__ .__ — Roof A S \FART FAIL L - BIND Post& Bearn Unc sr Slab __ ____ �..✓ _ Top Out Water Service Sanitary Sewer �^ Rain Drains _- Final PASS PART FAIL_ MECHANICAL. Post& Beam Rough In Gas Line ---- ---- ---- - - --- - ----- --- - -- Smoke Dampers Final --------- -- -- -- - PASS PART FAIL ELECTRICAL _—._- ----------- ------ --------- �—.^ Service Rough In M',, Slab Low Voltage Fire Alarm Final PASS_PART FAIL- --------__- -- ----.__--_SITE - Backfill/Grading — Sanitary Sewer Storm Drain i 1 Reinspectioi fee of$ required before next Inspection. Pay at City Hall, 13171-SW Hell Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE:___ � � ]linable to inspect-no access ADA -� ��/Inspector Approach/Sidewalk Date _—�- _ Ext Other Final PASS PART FAIL DO 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 - BUP Date Requested _ --AM---PM BLD Location % �� ( _ _< ; �- _�_�� Suite MEC Contact Person �-YL _ Ph `I �7 L PLM —37 Contractor / Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes -- Slab ----- -----------------_ �__ SIT Fust R Beam ---- - Ext Sheath/Shear Int Sheath/Shear Framing - - � t-- - -� --> Q Insulation Drywall Nailing Firew311 Fire Sprinkler --- Fire Alarm Susp'd Ceiling - - >------ - --- Roof Misc: - Final PASS PART FAIL -- --- - PLUMBING Post&Beam ---__._-_ ---- -_-, ---- Under Slab Top Out Water Service Sanitary Sewer R Drains �-._...• AR_T FAIL CHANICAL Post&Beam --- - Ro igh In ('a i Line Smoke Dampers Final PASS PART FAIL ELECTRICAL — — Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS 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 [ j Please call for reinspection RE: Fire Supply Line — [ )Unable to inspect no access ADA Approach/Sidewalk Date d Inspector, '� Ext Other - - -- -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. OUILUING INSPECTION DIVISION Z4-hour Inspection Line: 639-4175 Business Line: 639-4171 MST — BUP Date Requested �� AM PM _ BLD I_ocation___.__L SuiteMEC Contact Person ;fE-�C �'_ nA� -� Ph PLM Cont _ _—_ Ph ` C.�z �� SWR UL I — Tenant/Owner ELC Retaining Wall ELR Footing Access: ----- -� Foundation I-PS Fig Drain ISGN Crawl Drain Inspection Notes: Slab --- -- -.. �l.c�- �� / {-- _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear rng � ----- --- on [drywall Nailing ritewall Fire Sprinkler �-; ��Z 7- -K10-es 46, 7hif v Fire Alarm Susp'd Ceiling CS L' �� TE 22 , Roof Misc -- -- - ASS PART FAIL ------- — P R�ING Post& Beam �- ---� Under Slab Top Out - - - --�- Water Service Sanitary Sewer Rain Drains Final P R FAIL ANIC Pas eam -- ------- Rough Rough In Gas Line --- ------_ -- ---- Smoke Dampers PART FAIL EMIMIRICAL Service Rough In UG/Slab ------- -------- -- - --- Low Voltage Fire Alarm -- Final PASS PART FAIL -_—_-- —_ -SITE Backfill/Grading — ---- `------- — Sanitary Sewer Stone Drain ( J Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:—_ _— [ J Unable to inspect no access ADA Approach/Sidewalk Other Date Z_ �,' �� Inspector_ _ _� Ext Final PASS PART FAIL DO No'r REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Lone: 639-4175 Business Linc: 639-4171 M's --- BUP —__ Date Requested -V3 -10/_ AM_ _ PM _ BLD Location �� v�" �F'3— PLp Suite MEC _ Contact Person Ph 51/>— 6 PLM Contractor �r ,1��+�:. ,� �r 4j/j'Lg.! _ Ph _—� SWR BUILDING _ Tenant/Owner _ _ ELC Z"/ (2:) Retaining Wall ELR Footing Access. - — Foundation FPS Ftg Drain Crawl Drain Inspection Notes. SGN Slab _—` SIT Post& Beam -- --- Ext Sheath/Shear Int Sheath/Si sar - -- - '— - Framing Insulation -"---`Drywall Nailing Nailing Firewall Fire Sprinkler ---- `-` i'- - �`� — --- ---- ------ - Fire Alarm T Susp'd Ceiling Roof - -- ------ Fina! ------- -- - --- -- ----- PASS PART FAIL PLUMBING Post& Beam Under Slab TopOut ---- ---- -- -------- --...__.- Water Service Sanitary Sewer - - -- - - ----- ---- --------- Rain Drains Final --`- --- PASS PART FAIL. MECHANICAL Post& Beai i -- - - - - -- ---- Rough In - � -^------Gas Line - ---- -_------ - - Smoke Dampers - \\ -�------------------- --- Final PASS PART FAIL � -�---�------ �- ELECTR,CAL Service Rough In UG/Slab Low Voltage --- - - --- --- Fire Alarm --- ------ ----- AS PART FAIL Backfill/Grading --- - -- ------ - ----- - Sanitary Sewer Storm Drain [ ]Reinspection fee o $-— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call fci reinspection RE: _ ( ] Unable,o inspect- no access ADA Approach/Sidewalk Other —` Date �,,��7.;—D ____ Inspector _ _ Ext Final �- PASS PART FAIL DO NOT REMOVE tats Inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — --- / BLD , BUP Requested—1 _ Date RZ AM PM - _ _& Location >�` �. (,��„ � �' ,, f (' �cp Suite MEC .-- Contact Person _ Ph PLM _ Contractor c i9±j- ,r'' Ph SWR — _- 6(JILDING Tenant/Owner ELC Retaining Wall --- ELR 0C) Footing Access: Foundation FPS _ Ftg Drain Crawl Drain Inspection Notes. SGN Slab __._- ------ ---___ _ . SIT Post& Beam �— r•xt Sheath/Shear Int Sheath/Shear Framing — - - ---- —_— - - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd CeilingMisc: Roof yC Final PASS PART FAIL e-- � uoz �, PLUMBING Post& Beam - - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Drains Final PASS PART FAIL MECHANICAL Post&Beam - - Rough In Gas Line --- - -- Smoke Dampers Final - -- - -- -PASS PART PART FAIL_ ,ELECTRICAL -------- -- -- Service Rough In - �^-�-- UG/Slab Fire arm I PART FAIL SITE Backfill/Grading - �- Sanitr,v Fewer Storm tj ain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE [ ]Unabl�to inspect- no access ADA _ Approach/Sid=walk Other Date Inspector�c `� E Kt - - Final Q _ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD _ ELECTRICAL PERMIT PERMIT#: ELC2001-00538 DEVELOPMENT SERVICES DATE ISSUED: 11/5/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503)6394171 PARCEL: 25101 BB-01400 SITE ADDRESS: 12154 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT : 002 JURISDICTION: l IG Proiect Description: Installation of 4 branch circuits. RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS k",ISCELLANEOUS 1000 SF OR LESS: 0 - 200 arrrp: PUMP/IRRIGATION: 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 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only; SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: SPIEKER PROPERTIES LP DARNELL TECHNICAL SERVICES 4380 SW MACADAM AVE STE 100 2986 B STREET PORTLAND, OR 97201 HUBBARD, OR 97032 Phone: Phone: 503-951-0415 Reg#: LIC 141495 ELE 24-429C SUP 4684S FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 11/5/01 $66.80 2720010000( Elect'I Final 5PCT CTR 11/5/01 $5.34 2720010000( Total $72.14 This Permit is issued subject to the regulations contained in the Tigard Munirapal Code.State of OR Specialty Codes and all other applicable laws. All work will be done in aceordan,:e with approved plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for mo a 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 952001.0080 You may obtain copies of these rules or direct questions to P>>rmit Signature: � , Issued By: - _ OWNER INSTALLATION ONLY _ T he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ell l LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Eyectrical Permit AppEfication - Date received: // j ® Pcrmitnu.: 5 City of Tigard Project/appl.no.: Expire date: City„(Tigard kldress: 13125 SW Ball Blvd.Tigard,OR 97223 bate issued: By,�j� Receiptno.: P tone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: , U I &2 family dwelling or accessory U Commercial/industrial U Multi-family enant imurovement U New construction U Addition/alteration/rcplacenuvu (Wuw _ U Partial 1011 SH L INI 1 Job address: 15'41 W tJ " Dj,,L ce I Bldg"no.: Suite no,: 'I ax map/tax lot/account no.: Lot: I Block: Subdivision: RT p- Ak .'2, ! Proicct name: 't'f,�t�, , i ation of work on premises: Estimated date of completit i/inspection: _- Joh no: fee Max Business flame: _ )I`j,�/ 5CCo6�� Description Qty- (ca.) Total nn.11tsp New residential-singe or mrdli-(andly per Addi dwelling unit.lncludm anached guraw. City: HUGAAf2b __ Stai•.:n ZIP: `rj03.2- ienicelocluded: Phone: s - / Pax: I(x)O sq.It.or less _ 1 9 r S 9�"-�I S E-mail: Each additional 500 sq.it.or portion thereof CCB Elec.Nils.lic,no: 2 q"f 2 i Limited energy,residential --- Cil / Ira lic.no.: Limited energy,non-residential 15JO I?ach manufactured home or ntodnlar dwelling Sign&krcAf supervising electrician(required) _ Ua a Service and/or feeder License no✓ Services or feeders-Installation, Sup.^lett.name(print): D�o, �1�1_ (D alteration or relocation: III Ito]Id 0 it 1111K 1111101 a I= 2W amps i less 2 Name(prinq: ; �- / f G 201 amps to 4W snips 2 ,. 401 amps to 6W amps 2 Mailing address: f c �(L` 601 amps to 100()amps 2 City: v r ^ y C . ale' ZIP: '772-05— Over I(x)o amps or volts —, — 2 Phone: - ",S rax: E-mail: - Reconnect only I Owner installation:'rhe installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration.or relocation! ORS 447.455,479,670,701. 2W maps or less 2 201 amps to,40f)amps 2 Owners signature: date: 401 to 6W am n ' Branch circuits-new,alteration, or extension per panel: NamC: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit cj(y; Stale: ZIP: 1) Fee for hranch circuits without purchase - -- — - - of service or feeder fee,first branch circuit: f Phone: Pax: E-mail: 1,uchadditional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial U I Iealth care facility f ach pwnp or irrigation circle — '_ U Service over320 amps-rating of 18x2 U Hnrardouslocauon !inch sign or outline lighting '- familydwellings UBuildingover100)Osquarefeetfouror tiignalcircuits)oralimitedenergy panel, U System over Mitt volts nominai mom residential units in one structure Atc-ration,or extension* 1 '_ U Building over three stories U Feeders,4W amps or more *Description U(kcupanl load over 91 persons U Manufactured structures or RV pork Vach additional Inspection over the allowable In any of the above: U Egress/lightingplmi U Other -_ - -- Per Inspection (—� Submit _ _sets of plans with any of the above. Investigation fee _ 1 ret.Lave are not applicable to temporary construction service. 1 (ether Permit fee.....................$ W'GG . Nor till jurisdictions accept credit cards,pleas call jurisdiction for more info rrattion Notice:This permit application ------ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ ch,) $ Credit card number:._^-_-- _ —/ I - within 180 days atter it has been Slate surcharge(8%) ....$ expires accepted as complete. TOTAL . $ `70� Nerve of cardholder as shown on credit card S C"'Idet sipature u—Amount 440-4615(60WOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL Complete Fee Schedule Below: Restricted Energy Fee.............. .......................... ......... $75.00 Number of Ins ections per permit alloweo (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 4 1 $14`'15 , Audio and Stereo Systems' 000 sq ft or less Each additional 500 sq 11 or portion thereof _ $33 40 ❑ Burglar Alarm Limited Energy $7500 Each ManuTd Home or Modular2 �] Garage Door Opener' Dwelling Service or Feeder $90.90 Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 2 200 amps or less _ _ $80.30 _ L] Vacuum Systems' 201 amps to 400 amps _ $10685 2 401 amps to 500 amps $16060 2 ❑ 601 amps to 1000 amps $24060 2. Other_- _ - ------- -- Over 1000 amps or volts $454.65 2 Recunnecl only $6685 2 Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary rice or r Fe ion Fee for each system.......................................................... $75.00 Installation, S 200 amps or less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030 2 Check Type of Work Involved: 401 amps to 60U amps —� $133.75 J 2 yp Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits LJ Boiler Controls New,alteration or extension per panel a) the lee for branch circuits ❑ Clock Systerns with purchase of service or feeder fee. Each branch circuit Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit — _ U6 A5 ! HVAC Larh additional branch circuit _ ? _ $665 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 circuit(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration.or extension _— $7500 Minor t abets(10) $12500 — ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Calls Per inspection $62 50 Per hour $62 50 ❑ In Plant _ $73 75 Outdoor Landscape Lighting` Fees: ❑ Protective Signaling Enter total o1 above fees $ Other 8%State Surcharge 5 -_____ -- _ 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 — Enter total of above fees S ❑ 1 rust Account# _ 8%State Surcharge s — Total Balance Due All New Commercial Buildings require 2 sets of plans. i\dsts\forms\eic-fees.doc U1i-0/01 �1,R D BUILDING PERMIT CITY OF T!G PERMIT#: BUP2001-00394 DEVELOPMENT SERVICES DATE ISSUED: 11/7/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101BB-01400 SITE ADDRESS: 12154 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 ZONING- C-G BLOCK: LOT: 002 JURISDICTION. TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: & _ N: S: E: W: TYPE OF USE: COM SECOND: st _ PROJECT OPENINGS? TYPE OF CONT: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 �sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED. BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 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 #: i-ic 50921 FEET y REQUIRED INSP,"CTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 10/25/01 $121.75 27200100000 Gyp Board Insp PLC2 CTR 10/25/01 $74.92 27200100000 Final Inspection PRMT CTR 11/7/01 $187.30 27200100000 5PCT CTR 1117/01 $14.98 27200'100000 Tot,-,i $398.95 �� I 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. -'hose 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 1-800-332-244. ! Permittee X \\ �/ Signae ture: t / Issued By. �._ lit-L�-a.�i-CL ''.: GL-'L!" Call 639-41715 by 7 p.m. for an inspection the next business day Commercial Plan Submittol Requirement Matrix Cit,of Tigard i TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alt rations) Required at Submittal Site Work 4 (must include location of all accessible parking) P!umbing - Site lei+Mies 2 Building 1* Fire Protection System Mechanical / Plumbing - Building Fixtures 2 i Electrical 2 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). *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, of- NICET level "3" technicians. I:Wsts\forms\COM-matrlx.doc 9/24/01 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P /29/01 00537 DATE ISSUED: 10/29/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 25101 BB-01400 SITE ADDRESS: 12154 SW GARDEN PL BI-03 ZONING: C-G SUBDIVISION: PARK 217 JURISDICTION: TIG _ BLOCK: LOT: 002 -- CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PRETRAPS: OCCUPANCY GRP: FLOOR DRAINS; 1 STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN CRAINS: SINKS: 1 URINALS- GREASF i RAPS: LAVATORIES: 3 OTHER FIX URES: TUB/SHOWERS: 1 SEWFR LINE: ft WATER CLO:ETS: 2 vvATER t INE. ft DISHWASHEPS. RA'N DRAIN- ft Remarks: Plumbing fixtures for CiM TI: CAF` unp -,Itik, one lavatory, ori,- shower & one 2"floor drain; MOVE one lavatory, ort %,:a►er closet R. onN wntoi Beater, ADD one 'dvatory & one wafer closet. FEES Owner_ _ — -- Type 3y Date An►ount Receipt SF'iEKER r DOPER FIES LP PRMT C FR 10/29/01 $149.40 272001110000 4380 S%N MACADAM AVE STE 100 5PCT CT!; 10/29/01 $11.95 27^00100000 PORTLAND, OR 97201 - -- Total ?1 u1.35 Phone 1: Contractor: — --- JIM'S PLUMBING PO BOX 7160 ALOHA, OR 97007 REQUIRED INSPECTIONS Rough-in In!-.) Phone 1: 649-4034 Top-out Inst: Reg #: LIC 71860 Final Inspec on PLM 34-186pb 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 he 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 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those ruk s are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copie of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By. �`��{,, l CiclL �Gt. Permittee Si mature: Call (503) 639-4175 by 7:00 P.M. for an inspection needec0he next business day Plumbing Permit Application Date received: Permit no. City of 'Tigard Sewer permit no.: Building Address: 13125 SWI1allBlvd,Tib,4rd,OR 97223 perrnitno.: i ir; 1 nrd Phone: (503) 639-4171 ProjecVappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: ryaa cia39` Case file no.: Payment type: U"Newconstruction ly dwelling or accessory U Commercial/industrial U Multi-family I cnanl Improvement U U Add ition/alterat„on/replacement U Food service U Other: Job address: /2/ 'q &Ct tae 1 r' A ✓ Description Qty. Fee(ea.) To(al Bldg.no.: — New 1-And 2-family dwellings only: o Suite no.: 12 15 (Includes 1000.for each utility connection) Tax map/tax lot/account no.:Lot: Block: Subdivision: SFR(1)bath SFR(2)bath - --- — - Project name: SFR(3)bath City/county: IP: Each additional bath/kitchen Description and location of work on premises: i Site utilities: Catch basin/area drain Est.date of compiction/inspection: Drywells/leach line/trer.c:i drain _ - Footing drain(no.lin. ft.) Manufactured home utilities Business name: i�rr.y {) l b Manholes Address: D KK + '1 1(o0 w Rain drain connector City: 14 1.0 m-- States) I ZIP: (,V7 Sanitary sewer(no.lin. ft.) Phone: "I -4Fax: E-mail: Storm sewer(no,lin. ft.) - CCB no.: -116,410 Plumb.bus. reg.no:3 "fj4, Water service(no.lin.ft.) City/metro lic.no.: OrX-0 0 C $' Fixture or item: Contractor's representative signature: - - — Absorption valve Back flow prevemer Print name: i 1"p Date:eO �� Backwater valve - Basins/lavatory _ -zv Name: ( Clothes washer Address: Dishwasher Drinking fountain(s) City: State: - ZIP_ _ Eject- - -um Phone: , Fax:,".,- t E-mai I: Expansion tank - Fixture/sewer cap - Name(print): iP/'FEL� �Er/�l j Floor drains/floor sinks/hub� - Mailing address: ,31 S J W Si i/ST. JTF7/U Garbage disposal Hosc hibb - - City: State: ZIP:9 Ice maker Phone: Fax: E-mail: Interco for/grease trap Owner installation/reside,tial maintenance only: The actual installation Primer(s) will be made by me or the m:»nlenance and repair made by my regular Roof drain(commercial) employee on tht. property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump �— Tubs/shower/shower pan Name: Urinal Address: -- ---- Water closet _� a•� Water heater City: _ --- State: ZIP: _ Other: —_— Phone_ Fax: E-mail: A Total Not all Jurisdictions accept credit cards,please cell jurisdiction rot more inhxmatiort. Minimum fee................$ %`,��%• VQ Notice:This porn;it application - U visa U MasterCard %) $ `_ C�edu card number: within if a Permit is not obtained Plan review(al — a --�—L within IRO days alter it has been State surcharge(8%)....$ Espirc< .TOTAL .....$ /6/ ?.S• -�-_�— accepted ascom tete. •••••••••••••••••• Name n(cardholder as shown on credit card p p _ S _ Cardholder sipWure Amount-- .404616((AWOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24amlly dwellings only:� FIXTURES (Individual) QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 / 1; Ll the dwelling and'.le fir'at100 ft. QTY (ea) AMOUNT Lavatory , 16,60 for each utility connection One 1 bath $249.20_ Tub or Tub/Shower Comb 16 60 — _ Two c bath _$350.00 Shower Only 16.60 Three(Abash_ — _ $399.00 _ Wa,9r Closet 16.60 —__ SUBTOTAL Urina. 16.60 — 8y.STATE.SURCHARGE Dishwasher 16.60 r PLAN RFVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 L�� ____TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16,60 3" - 1660 PLEASE COMPLETE: 4" 1660 Water Heater O conversion O like kind 16.60 QuantitybyWork Performed_ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Remove ;' permit % Ca ed MFG Home New Water Service 46,40 Sink _ MFG Home New San/Storm Sewer 46.40 1,avatory TO or Tub/Shower Hose Bibs 16.60 C, nb?nation Roof Drains 1660 Shower Only Drinking Fountain 16.60 Water Closet — Other Fixtures(Specify) 16.60 _ Urinal Dishwasher _ _ Garbage Disposal Laundry Room Tray _ Washing Machine -- i. Sewer-1st 100' 55Floor Drain/Sink: 2".00 -- 3„ - Sewer-each additional 100' 46,4G — 4" — Water Service-1st 100' — 55.00 Water Heater__ Water Service-each additional 200' 46,40 — Other Fixtures (Specify) Storm 8 Rain Drain-1st 100' 55.00 - — Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 - Residential Backflow Prevention Device' 27.55 — Catch Basin 1660 - inspection of Existing Plumbing or Specially 72.50 — Requested Inspections —2-e 241- COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 1660 QUANTITY TOTAL Isometric or riser diagrarn Is required 11 -- — _— Quantity Total is >9 — "SUPTOTAL - -- -- 8%STATE SURCI- LARGE "PLAN REVIEW 25%OF SUBTOTAL Reyulred only it flxtu a qty total is>g _ TOTAL "Minimum pennit fee is$72 FO 8%state surcharge,except Residential Backflow Prevention Device,which Is•jfi 25+8%state surcharge 'All New Commercial Bi.Nines require 2 sets of plans w"h Isometric or riser diagram for plan review. i:\dsts\forms\plm-fees doc 08/29/01 Accumulative Sewer Tally 1 en,-int Name: Strategy Custer- Publishing _ This SW %v a Address: 12154 SW Garden PI., BLDG#3 This PI-M#.2001-00537 I ixr ire VaiuO 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 _ 0 1 4 0 _ -1 -4 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wavh- Each Stall6 0 0 0 0 0 -Drive through _ 16 0 -----.—o _ 0 0 0 Cuspider/Water Aspirator 1 0 - _ _ 0 0 0 0 Dishwasher-Commercial 4 0 0 _ 0 0 0 - Cornectic 2 0 - 0 0 0 0 Dri,king Fountain 1 0 0 0 0 0 Eye Wash_ 1 0 0 0 0 0 Fluor Drain/Sink-2 inch 2 _ 0 1 1 2 0 _ -1 -2 _ 3 inch 5 0 0 _ 0 0 0 — 4 inch 6 _0 0 0 _ 0 0 _ _ Car Wash Crr 6 0 _ _0 0 0 —0-- Garbage —Garbage Disposal -- - _ Domestic(to 3/4 HP) 16 0 0 _ 0 ---0-- 0 Commercial (to 5 HP) 32_ 0 0 __-0 _ 00 Industrial(over 5 HF') 48 _ 0 0 — _ 0 - -. 0 0 Ice Machine/Refrigerator Drain _ 1 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_ .1 0 - -Stall _ 2 0 i 0 0 0 0 Sink-Bar/Lavato - 2 0 1 2 1 2 0 0 _ _ Bradley 5 0 - _ 0 0 0 0 Commercial 3 0 0 0 0 0 — _ Service 3 _ - 0 1 - 3 0 -1� 3 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 2 32 32 TOTALS 0 32 4 11 2 1 6 -2 29 Current Fixture Value 29 _ divided by 16-- 1.8 Current EDU 1 EDU = $2,300.00 Previous Fixture Value 32 divided by 16 = 2.0 Previous EDU Change -3 divided by i6 = 0.2 over (under) $ (460.00) — Enter EDU Change Here -0.2 11STORY Notes: _ PLM# 98-00320 EDU# 2 SWR# 98-00234 PLM# EDU# SWR# PLM# EDU# SWR# Name:._'- --- Date: gignaturk of person that calculated this tally sheet and date perfromed is required - BUILDING PERMIT CITY OF TIOARD PERMIT M BUP2001-00451 DEVELOPMENT SERVICES DATE ISSUED: 12/7/01 VIL 13125 SW Hall Blvd..Tiqard, Ok 97223 (503) 639-4171 PARCEL: 2S101BB-01400 SITE ADDRESS: 12154 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? —� TYPE OF CONST: Sf N: S: E: v W. OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: 6;OR: HT: ft GARAGE: sf OCCU SEP. RATED: BSM1 :': MEZZ.?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf DEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: it , � "e ( ' I � Remarks: Add (4) additional beams for new roof top unit. Owner: Contractor: SPIEKER PROPERTIES LP PORTLAND MECHANICAL 4380 SW MACADAM AVE STE 100 6521 SW CROSSWHITE WAY PORTLAND, OR 97201 PORTLAND, OR 97206 Phone: Phone: 503-788-5510 Reg #: LIC 126003 F _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRM1 CTR 1217/01 $62.50 27206100000 Final Inspection 5PCT CTR 12/7/01 $5.00 27200100000 Total $67.50 — This permit is issued subject to the regidatiops contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable la%v. All work will be done in accordance with approved plans. This permit will expire if'Nork 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-OOT-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-80q-332-234,4. Permittee Signature _ Issues By: Call 639[4175" y 7 p.m. for an inspection the next business day Building Pei mit Application Dale received: !i Permit no.: ,( -X 4rd City of Tigard --- Address: 13125 SW Ball Blvd,Tigard,OR 97213 ProjccUappl.no.: Expire date: Ciry u(Tigurd Date issued: Hy: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: I uymcnt type: Land use approval: _ 1&2 family:Simple Complex: TVPE OF PERNIrr U I & 2 family dwelling or accessory U Commercial/industrial J Multi-family U New construction J Demolition U Addition/alteration/replacement U Tenant improvement U Fire spnnklcr/ahem U Other: _ 1 ' SITF 1NFCikNtAirION Joh address: 1, li ��7B!Idg,. no.: t Suilc no.: J Lot: Black; Subdivision: Tax map/tax lot/account no.: Project name: _ — Description and location of work on premises/special conditions:. Name: •� - . t7 IJ Mailing a ess: I & 2 family dwelling: Cityis ZIP �� U Valuation of work........................................ $ Phone: Fax: _ E-mail: N 1.of bedrooms/haths................................. Owner's to resentative: _ Total number of floors............................ .... Phon• e S TFax: F,-trail• New dwelling area(sq.ft.) .......................... - Garage/carport arca(sq.ft.) Name: Covered porch area(sq.ft.) .......... .............. --- _ Deck area(sq.ft.) Mailing address: ........................................ ---- —_ ' Other structure arca(s t.)......................... City: State. Z11 Phone: IE?-mail: Commercial/industrialimuitI-family: Valuation of work........................................ $ot?�f) — Existing bldg.area(sq. ft.) .......................... Business name: — -- - New bldg.area(sq.ft.)................................ Address: "/ if ' " i Number of stones City: Stat ZIP: 0 � ..................................... .—._ Phone: � /t. Fa>yi�� Y E-mail: Type of construction.................................... Occupancy group(s): Existing: _ CCB no.: CX New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.if the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: I ax: I E-mail: — Name: 1contact person: Fees due upon application ........................... $ Address: _ Date received: State, 'LIP: Amount received 0 City: ........................ ................ $_ 1,S Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the N(4 all jurisdictions accept credit cards.please call jurisdiction for more infnmrvation. attached checklist. All provision I ws and ordinances governin, this Uvisa UMasterCard work will be complied wi vy e r shcciti herein or not. credit card number:.__ _ t,xpires L—L— Authorized si i ' Date: Ndme of cardhrlder as shown on credit cud $ Print name: _ Cardholder signature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has bun accepted as complete. aue-4611 Innxvovr o Commercial Plan Submittal Requirement Matrix j City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) - Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical I 2 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). *For over-the-coutiter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire su,,ppression engineer, or NICET level "3" technicians. \dsts\forms\COM-matrix.doc 9/24/01 J2K Engineering , Inc . 1 207 S.E. Oak Street, Suite 200 Hillsboro, OR 97123-4031 (503) 640-6808 FAX (503) 693-9738 www.j2keng.com PROJECT NO. : 01. - 240 December 5, 2001- PROJECT: Mech. Unit Tenant Improvements (T. I. ) Page 1 of 9 1-2154 SW Garden Place Tigard, OR ( For: Portland Mechanical Contractors ) CALCULATIONS FOR Vertical Members ( Supporting Mechanical Unit ) DESCRIPTION PAGE Dead Load Review 2 CITY OF FIGARD 3 Framing Membors Approved Conditionally Ar' roved................................... i Roof Framing Plan For only the work as described in: 6 PERMIT " 'Beam Detail. See or Follow --:dn a 7 ach .........( i Job A dr /�f5�!_ 1 8 Mechanir_al U11- 4-- Technical Data Sy. -rte, c,,. -� 10,975 / L C, I� 19. 19° O N. C`�!1` NOTICE TO USER/REVIEWER: ENGINEER'S SIGNATURE AND DATE SHOULD BE IN "BLUE" INK, AND SHOULD BE THE ONLY HAND-WRITTEN INFORMATION ON THIS PAGE. ANY ADDITIONAL MARKINGS, OR DEVIATIONS IN THE INFORMATION PRESENTED MAY INDICATE UNAUTHORIZED USE OF THESE DOCUMENTS. (PLEASE REQUEST VERIFICATION FROM J2K ENGINEERING, IF UNCERTAIN) our design responsibility is limited to only those specific areas of the structure/project as presented herein. The attached calculations and construction details were prepared for the above referenced plans for. the ONE-TIME USE at the noted site. MECHANICAL PERMIT DEVELOPMENT SERVICES CITE' Off' TIG/,�R� PERMIT#: MEC2001-00408 13125 SW Hall Blvd.,Tigard, OR 97223 (507) 639-4171 DATE ISSUED: 12/7/01 C2 PARCEL: 2S1011313-01400 SITE ADDRESS: 12154 SW GARDEN PL 131-03 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURISDICTION. TIG GLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM L)Nll HEATERS: VENT FAN'S: OCCUPANCY GRP- B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 1:, - 30 HP: REPAIR UNITS: FIRE DAMPERS?- 3u • 50 HP: WOODSTOVES: GAS PRESSURE. 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS ` OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: TI Installation of Nevv Roof top HVAC unit and Structural supports THIS WORK REQUIRES A BLIP Owner: _ _ FEES _ SPIEKER PROPERTIES LP Type By Date., Amount Receipt 4380 SW MACADAM AVE STF_ 100 PRMT CTR 12/7/01 $129.70 2.720010000 PORTLAND, OR 97201 PLCK CTR 1217/01 $32.42 2720010000 5PCT CTR 12/7/01 $10.38 272001000C Phone: Total $172.50 Contractor: PORTLAND MECHANICAL CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 _ REQUIRED INSPECTIONS Gas Line Insp Phone:503-788-5510 Mechanical Insp Reg #:LIC 126003 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may d tainries pf these rules or direct questions to OUNC by callirfg ISSLie By: j/ q fnittee Signature: Cell (501) 639-4175 by 7:00 P.M. for inspections needed the next busine4day Mechanical ' � an�cal Perm>tt Application I- 'J Dalereceived:i �,;; I'ernuln�� 11 )X— _ � City n i Project/appl.no.: Expirc;#me: City of Tigard "y fTigard Address: 13125 SW Hall Blvd,Tigard,O�� , Phone: (503) 639-4171 Date issued: - Ry: Itecetpt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building Permit no.: U I &2 family dwelling or accessory Commercial/industrial U Multi-family U 1,C11:1111 iatpro\CmCnt U New construction Addition/alteration/replacement U Other: JOB SITF INFORMATION COMMERCIAL VAI,tJA'I ION SUIL-DI-1141, Joh address: �1,7?7 -777771: Indicate equipment quantities in hoxes hclo\s. htdicatc file dollar Bldg.no.: Suite no.: 5' value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value Lol: Block: I Subdivision: 'See checklist filr important application information and Project name: _ `eV enT�` $' ,^U 7p/ jurisdiction's fee schedule for residential permit fee. City/county: ` a, ZIP: / �7,, t Descr�)(Ition and location otyi�ork on premises: t / 9 Zj 1 -- -- %%?1Z,I Fee(ea.) •10181 Est.date of complelion/inspeclion: IkKcription Qty. Res.only RCK.oi6 Tenant improvement or change of use: U<es handling unit CFM_ Is existing space heated or conditionedt '.tltr es UN, Aireonditioning(site plan require )6 Is existing space insulated?. Yes U No Alterationofexisting AC system of er compressors Business name: State ho':er permit no.: ►_ 1l' /.11z -%1' - HP Tans BTU/H Address: ,5.1 -S > A Fire/smoke dampers/ uct smoke detectors City: ^, t.si Stab; ' I ZIP: /,/ Heat pump(site p nrequired) r r �:�. nsta /rer;ace furtacurner ll Phone:` jt �/t• Fttx:f 1C/y E-mail: Includrig ductwork/vent liner U Yes U No CCB no.: / G ((mss' ,;;:;;;,il replac relocate heaters-suspended, City/metro lic.no. wall,or fluor muunlM Name( lease tint Vent for affiance other than furnace e geral on: Absorption units BTU/H _ Name: 1`_cc_K_ _ R_ Chillers __ A_ HP - —— C�nnprexsors HI, — Address: ixy l -5, C c r r r4 7 c -- -- �f -�, m torments exhaust andveal at on: sta ?IP:� i Appliance vent Phone:�' ' ' Far: ' ' E-mail: e c c ryerex aunt Hoods,s, ype 'res. itc ten/hazmat _J hood fire suppression system Name: X . ,� '�' �:7 Exhaust fan with single duct(hath tans) Mailing address: Lx taust system a art from heating or AC �, Fuelpiping■ndistribution(up to oul ets) City: :' ;, a a Stat . ZIP: hype: _ LPt i NG Oil Phon • "`" I it\ E-mail: Incl piping each additional oveoutlets -- Process piping(schematicrequirc ) _ Name: Number of outlets Other listedApp ance or egtTment: Address: _ — UecorativeIireplacc Pity: State: _ 7TP' Insert-type— Pltone: Fax: I E-mail: oo stov pc et stove A t licant's si natu r Ot er: Name (print): X , ;lr,�, 4) Nol all jurisdictions accept credit cards,please call jurisdiction for more information. Notice:This pernit application Permit fee..................... _�� -- U Visa U MasterCard Minimum fee................'1, expires tl'a pernit is not obtained Credit card ru nhec -,_—_ _ Plan review(at _ %) $ _ — spun within 180 days after it has leen State surcharge(896)....$ Name of cardholder as shown on credit card accepted as complete. — _ s TOTAL, .......................$ Cardholder signature — — At,wunl 4441617(WlCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 7 FAMILY DWELLING FEE SCHEDULE: Al TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.5.0 v Table 1A Mechanical Code _ City (Ua) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts 8 �rnts — 14 00 _ fraction thereof,to and including 2) Furna,:e 100,000 BTU+ _ $10,000.00. including ducts&vents _ _ 1740 T $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 fur each additional$100.00 or including vent 1400 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. of floor mounted heater 14 00 $25,001.00 to$50,000,00 $479.50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.45 for each additional$100.00 or 680 _ fraction thereof,to and including 6) Repair units $50,000 00. 12.15 $50,001.00 and up $742.00 for the first$50,00'd-.6-0 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: a7)<3HP;absorb unit to 100K BTU 14 00 ---- T-- '/.State Surcharge — — 8)3-15 HP;absorb 8 ----— E unit 100k to 500k BTU 20.60 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb 35 00 Required for ALL^ommerclal permits only unit.5-1 mil BTU _ — — 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1 1.75 mil BTU 5220 11)>50HP;absorb unit>1.75 mil BTU 87 20 ASSUMED VALUATIONS PER APPLIANCE: 12',Air handling unit to 10,000 CFM _ 10.00 _ Value Total 13)Air handling unit 10,000 CFM+ Description: Q Ea Amount 17 20 Furnace to 100,000 BTU,including 955 �ja)Non-portable evapor?!e cooler ducts&vents J 1000 Furnace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents 680 Floor furnace Including vent 955 16)Ventilation system not included in Suspended heater,wail heater or 955 10.00 floor mounted heater a Licence permit _ Vent net Included in applicance 44g 17)Hood serve d by mechanical exh2ust 1000 ermil --- 18)Damper',:incinerators Repair units ^ 805 i7.40 <3 hp;absorb.unit, 955 -to 100k BTU 19)Commemial or industrial type incinerator 6995 3.15 hp,absorb.unit, 1,700 — 101k to 500k BTU 2.0)Other units,including wood stoves 10.00 15-30 hp;absorb.unit,501k to 1 2,310 _. _ mil.BTU 21)Gas piping one to four outlets 5 40 30-50 hp;absorb.unit, 3,400 1-1.75 mil.BTU 22)More than 4-per outlet(each) - 1 00 I >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Minimum Permit Fee$72.50 SUBTOTAL: $�T _ _ _ Air handling unit to 1_0,000 cfm 656 1 — - -- - Air handlingunit>10,000 cim 1,170 8%State Surcharge $ Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct _ 446 Vent system not Included in 656 8ppliance permit Other Inspections and Fees: Hood served by mechanical exhaust _656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 _- $72 50 per hour Commercial or industrial incinerate e_ 4,590 2 Inspections for which no fee is specifically Indicated (minimum charge-hall hour) Other unit,Including wood stoves, 656 $72 50 per hour Inserts,etc. 3 Additional plan review requ-red by -.hanges additions or revisions to puns(minimum _GBS piping 1-4 outlets 360 � change-one-half hour)$72 50 per hour Each additional outlet 63 --- `State Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL $ ..Residential A/C requires site plan showing placement of unit VALUATION: — _ All Now Commercial Buildings require 2 sets of plans. I:tdstetforms\rnech-fees,doc 08/29/01 ra CITY OF TIGARD OR November 19, 2001 Portland Mechanical 6521 SW Crosswhite Wy. Portland, OR 97206 Re: Lake Fir Homes -- Permit# MEC2001-00408 12154 SW Garden PI. Tigard, OR 97223 The City of Tigard has completed the review of the submitted plans for the mechanical installation at the above referenced address. This review was performed under the provisions of the State of Oregon. Mechanical Specialty Code (OMSC), 1999 edition. The following information is required prior to issuance of the permit for this projec',. 1,,-Olease submit energy calculations on the approved forms for review. / 2. Please provide structural calculations showing the roof will support the added weight and calculations for seismic attachment to the roof curb and to the roof. -Please provide one-line gas-piping diagram showing total developed length of piping, any other fuel burning equipment connected to this line and their Btu ratings. Sincerely, Gary Lampella Building Official C. File 13125 SW Hall Blvd., Tigard, OR 97223(`j�3)639-4171 TDD(503)684-2772 �. CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00394 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/07/2001PARCEL: 25101 BB-01400 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 12154 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: REMARKS: TI-Restroom upgrade Owner: SPIEKER PROPERTIES LP 4380 SW MACADAM AVE STE 100 PORTLAND, OR 97201 Phone: Contractor: LAKE FIR HOMES. INC PO BOX 2424 I-AKE OSWEGO, OR 57035 Phone: 503-635-6332 Reg #: LIC 50921 This Certificate issued 12/17/21101 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 referencad permit wa G ,Yr BUILDING INSPECTOR BUILNRO OFFICIAL v POST IN CONSPICUOUS PLACE CITY IuF TIGARD BUILDING' INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Une: 639-4171 BUP BUP ZED __— _Date Requested � -_AM DM PM _ BL — _ I ocation- 1 u � /:R, Suite #: 3 _ MEC �C.>I —00 Q t;ontact Person — �. _�:2� Ph �— PLM —_— C;ontr� _ Ph Seo 1'7 a — SWR — R,i11i. IN ' Tenant/Owner Et C — Rkaini,ig Wall - ELR rooting Access' Foundation FPS ——_ Ftg Drain — SGN Crawl Drain Inspection Notes ----- Slab SIT --- Pest&Beam Ext Sheath/Shear _—._-- Irt Sheath/Shear 1n9rtI - --- ---- ---- ------ - --- Drywall NrAing - Firewall /' Fire Sprinkler ¢' r� lr��C ` Fire Alarm J Susp'd Ceiling - Roof Misc: -- --- -._ - -- --- - -- ASS ART FAIL - J` -- -- -- rMNIBING —1 --- �JGt S er - 1A Ilost R Beam - -- �.--- -- Under Slab Top Out Water Service Sanitary Sewer ----_-_-_- Rain Drains Final ---- F R FAIL -- ANIC Pos eam --._ -- ----- - - -- - -- Rough In Gas Ling ---- - - --- --- - -- 15moke Dampers _ -_ --- ------ - ---- -- 'jf ` PART FAIL Service ---- -- - - - - -- -- -- Rough In UG/Slab Low Voltage Fire Alarm ---- - - -- — ---- ---- -- Final PASS PART FAIL SITE =i . Backfill/Grading -- --� ---- ---� `-- ----- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ i required before next inspection. Pay at City Itall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: Fire Supply Line _`-__ __.__ ( ]Unable to inspect-no access ADA 1 �� Approach/Sidewalk / Other Date I? Inspector L—� ti —.—_—�Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record fro the job site.