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Conditiona;ly App . d............... ...........(
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Date:
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:. INSTALLATIONANUMAINTl_NAKC;'lOA6SW BURNHA,TIGARD, OWE-CON 9723
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12254 SW GARDEN PL BLD
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT 14. . . . . . . : SUP98-0040
DATE 15GUEn: 03,' 13/98
PARCEL-. 2SIC-111111-01500
IiITE: ADDRESS. . . : 1'1.' `54 SW GARDEN Pl- #DLD.
SUM)11)19 1 ON. . . . sCROW PARK 217 ZONINCJiC-G
OALOCK. . . . . . . . . . a LOT. . . . . . . . . . . a . 1003 JURISDICTIONz TIG
CLASS OF WORK. twLT
rypE OF USE. . . :COM
TYPE OF (,-,0N1-3TR.51\1
OCCUPANCY CARE'.. 1(a
OCCUPANCY LOAD
i-1-1,NANT NAME. . . : 1NDE V,Ilr NDENT ELECTRICAi.
Retiarksi Tenant improvement - Providing classvnom with office tenant spaces (:h ,
tiout, separation required between 0 and F occ:up,-,,nc-,,/.
Owner .
..,PIEKER
P0 BOX E1.909
PuwrLAND OR 97226
Phone #t
Corltr&�torl
D 'WILSON CONSTRUCTION CO
3007 NE MIST
DORTLAND OR 97230
V-4ione #%
Peg #, . : 110530
this Cert ificctp grants occvpAncy of th,3- above referenced builditir
.j or pot-tion
thereof tend confirms that the building has teen inspected I-or compliance with
tHfo Gtate C:f Orpon Spoulalty Cocle,-; for the grOLIF) cov-vvp*ncy, and use -.tntipr
which reference t Wal JSSLk9d.
I r
M IL 66 TN"- ECT BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CIT V OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: 3 13 7 6A. �_ P.M. ---- MST. p
I,oc:atiou: -1.1 —� 9A ) / eBU�P ,.Q�� �
Tenant- � d _ Suite: Bldg: i1i�, `/O —60
Uontractor: L Phone: Z)a --• PLM: _
Owner: Phone: ELC: _
ELR: -
SIT: _
BUILDING BLDG cont) PLUMBING �.0 NIC/>y� ELECTRICAL SITE
Sile1TosTjficam I'ost/13eam rttr'' Cover/Service Sewer/Storni
I-opting Roof Ilndl-l/Slah Rough In Ceiling Water line
Slab I-r using I*op Out Gas Lau Rough-In I JG Sprinkler
I-ounc4rtaon Insulation Sewer I hood/Dukl Reconne"t Vault
lisrnt DEunp Ihywall Storm Furnace Temp Servicz MISC.
Masonry Ceiling Rain Main AW I M Slab
Shear/Sheath #Mr5-p1Y/Alm Crawl/l'ound DI I leat.1)IIL i� Low Volt _
i Approved ,proved Approved Approved
Appr/Sdwlk Nut rved Not Approved oved Not Approved Not Approved
N11VAL /Zcl FINAL FINAt FINAL FINAL
C1 Call for re spec io 17 Reinspection fee of S_ _.required before/next inspection 17 Unable to inspect
Inspector`--- _ Date _ _ _ _L j Page—_ of -----
e No. 1 LOG NOTES FOR CASE NO. : BUP98-0040
SPIEKER PROPERTIES
12256 SW GARDEN PL Unit : BLD.
()2/05/98
By Date Text of log note
J7 02/05/98 Kit Church did a site visit and talked to tenant . TECO is
currently in suite 12256 . But, they are doing a T. I . next door
at 12254 . When T. I . is completed, TECO i_s moving out of 1225E
and will occupy 12254 .
CITY OF TIGARD
DEVELOPMENT SERVICES R-UTL.DING PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUP98-0040
DATE ISSULD: 01/27/98
PARCEL: 2S101BB-01500
51TE ADDRESS. . . : 12254 SW GARDEN PPL #BLD.
SUBDIVISION. . . . : CROW PARK 217 ZONING:C—G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :003 JURISDIC'TION.-TIG
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
C,LASS OF WORK. :ALT FIRST. . . . : 4500 sf N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS''-----------
TYPE OF CONST. :5N . . . . 0 sf N: S: E: We
OCCUPANCY GRF-,. :B TOTAL----------: 4500 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: -W BASEMENT. : 0 sf AREA SEP. RATED:
9TOR. : 0 HT: 0 ft GARAGE. . . : 0 5f 0CCLJ SEP. RATED: 1HR
PSMT? : MEZZ": RE:DD SETBACKS----------- REOUI RED----------------------
FLOOR LOAD. . .. . : 0 p s f LEFT: 0 ft RGHT: o ft F I R SPKL: SMOK DET. . -.
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HND1CP ACC:Y
BE'DRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.. $ : 23000
R e m A t-k s : Tenant improvement - Providing classroom with office tenant space: One
hour separation required between B and E occupancy.
(')vJneV-: -—------ FEES
SPIEKER PROPERTIES type amoi-int by date V-Pcpt
PO BOX 5909 PIRMT $ 158. 50 JSD 01 /27/98 98-312128=', '
PORTLAND OR 97228 5P C T $ 7. 93 JSD 01 /27/98 98-3.0282
2"
PLCK $ 103. 0:::, JSD 01127198 98--302822
1--itinne #: FIRE $ 63. 40 JSD 01127198 9 8—3 0 2 BE!
D WILSON CONSTRUCTION CO
3007 NE 181ST
PORTLAND OR 97230
Phone #: $ 332. 86 TOTAL
110` 30
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Fr-aniinq Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
than IN days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR W-014010 through OAR 952-MI91987.
You many obtain a copy of these rules or direct questions to WL
by calling (503)246-1987.
[-,F,t,mittPe SicInati.it-e : ISSI-ted By : .4� V)
4++4.......... .................4-+++-1............4................F++++4•.......4++++++
Call 6373--4175 by 7:00 p. m. for an inspection needed the next bi-isiness day
..........4.+++4...........................................................4-++++
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT #. . . . - . - : BUP98-0040
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 01/c27/98
PARCEL: 2S 1 O 1 BB-01500
SITE ADDRESS. . . : -4-P.?5C, SW GARDEN FSI._ #BLD.
SUBDIVISION. . . . : CROW PARE! 217 Z.ONING:C-G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JIJRISDICTION:TIG
HEI:SSUE: FLUOR AREAS----------- EXTERIOR WALL CONSTRUCTION-
(."LASS OF WORK. :ALT FIRST. . . . : 0 s f N: S: E: W:
TYPE OF USE. . . -COM SECOND. . . : 0 s f PROTE('T OPEN T NGS )----- -__-...
TYPE OF CONST. :5N . . . - 0 s f N: 6: E: W:
OCCUPANCY GRP. :B TOTAL-------: 0 Sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 Sf OCCU SEP. RATED:
BSMT?: MEZZ? : REDD SETBACKS------------- REPUIRED-- -- ------ - - - - -
FLOOR I..OAD. . . . : 0 ps f L-EFT: 0 f t R(.iH-F: 0 ft F I R SPKL..: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft. FIR AL_RM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMF, SURFACE : 0 PRO CORP: PARKING: 0
VALUE. E : 23000
Remarks : Tenant improvement Providing classroom with office tenant space: One
hour separation required between B and E occrrpancv.
C)wner,: ___.------___._.________-_. -_ --.--- ---------_________-_____ FEES ----------------
SPIEKER PROPERTIES type amor_rnt by date recpt
PO BOX 5909 PRMT $ 158. 50 JSD 01 /27/98 98-3O2822
PORTLAND OR 97558 SPCT $ 7. 93 JSD 01/27/98 98-:30585'-2
PLCK $ 103. 03 JSD 01 /27/98 98-302822
Phone #: FIRE f 63. 40 JSD 01/27/98 98-302825:
Contractor:
D WILSON CONSTRUCTION CO
3007 NE 181ST
PORTLAND OR 97230
Phone #: $ 86 TOTAL
Req 4,6. . 1 t 053
- - - - - RFQU T RED INSPECTIONS
This permit is issued subject to the regulations contained in the F r—am i n g I n s p
Tigar- Municipal Code, Stdte of Ore. Specialty Codes and all other Gyp Boar-d Insp
applicable laws. 111 work will be done in accordance with
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more
than 160 days. ATTEI.TTON: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-x01-#010 through OAR 952-NIe1967.
You many obtain a copy of these rules or direct questions to DUMC
by callinq (503)246-1967.
Permittee Signati_r : Iss�-red By: ""o-
-e
F++-++++-++++++++++++++++++++++++++++++++f++++-F+++++++++.. +-+++ ++++++++++++++.+
Call 639--4175 by 7 :00 p. m. for an insper.tion needed the next bi-rsiness day
+++++-F+.++++++++i-+i-+++++++++++++t++++++++++++t++++++++++++++++++++1-+++++++++-4 1-
C!TY OF TIGARD Commercial Building Permit Recd By
3125 SW HALL BLVD. Tenant Improvement Date Recd - -2
TIGARD, OR 97223 7 (�� Date to P.E. <-
(503) 639-4171 I / ,. Date to DS
/i Permit#
Print or Type Related SWR
Incomplete or illegible applications will not be accepted Called_ `9
�� -- --- Name of Development/Piolect Existing Building New Building ❑
Job
Address Street Address suftr�,�.rl Building
/',,4p(j e J Data _
Bldg# City/State Zip Existing Use of Building or Property:
%lilt{ /,�
Name `<
I ^
Property . ° /�%/''1'/f j Proposed Use of Building or Property:
Owner
Mailing Address Suite (���` C
_ No. Of Stories:
City/State Zip Phone /
Sq. Ft. Of Project:
Occupant
Occupancy Class(es) --
I__— Name � ko
Contractor t . L,VQ (_ctt•;+faVk Type(s) of Construction
Prior to permit Mailing Address Suite /.J. _
issuance,a copy I Will this project have a Fire Suppression System?
of all licenses �(,C ) /l,'�= I r — _ Yes No (] i
are required if City/State zip Phone
expired In C.O.T. Americans with Disabilities Act(ADA)
database )�L`�" "+�, � )2 3�_ �;�' 3 Valuation X 25% = $ Participation
Oregon Const.Cont Board Lic.* Exp.Date Complete Accessibility Form
1 I as3v I is( q� Project $ _
Name Valuation ,Q C c" L , `�t'
Architect t i) (a,t�:e., i,r Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
I
C ty/state Zip Phone I hereby acknowledge that I have read this application. that the information
0 P( (;(r cJ r21, 2'Z y..9570 given is correct,that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws
i'// (. Signature of Owner/Agent Date
Mailing Address Suite
Contact Person Name Phone
City/State Zip Phone
FOR OFFICE USE ONLY
Indicate type of work New O Addition O Demolition O Map(T, Land Use:
Accessory Structure O Foundation Only O Alteration
ct Y?
Repair O Other O Notes
Def cription of work:
/ TIF
l illli) 1rf/ 1,
Parks: Estlmated N of Employees /�
te: Site Work Permit Application must precede or accompany Building �. r�J(/ —e)
o rnit Application (�6
')MNEW DOC (DST) 8197
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT .MATRIX
DISTRIBUTr)N TO PLANS OUT TO UST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL ��TOTAL CPE PPE EP1 1-- CIIE PPE E PE
SITE 1 1 -- 3 O,o,u) -- -
B (New or Add) 1 1 -- -- 3 O,o,w) -- --
F (New or Add or Alt.) 3 -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & Ni (New or Add) 1 1 -- -- 3 (j,o,w) -- --
P (New, Add. or Alt) _ -- -- -- 2(j,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j.o,w) 2(j,o) --
E (New. Add, or Alt) 2 -- -- 2 -- -- 20,o)
B & N1 & P & E (New, Add) 3 1 1 1 3 (j,o.w) 20,o) 20.o)
Ff or 13 & M (Alt) 1 1 -• -- 2 (j,o) -- --
B & M &- I' ( ilt) 3 12 _ 2 (I,o) 2 (j,o) --
B & M & P & F (Alt) 1 1 1 2 0 o) 2 (1,o) 2 (j.o)
a. Before returning to DST, Plans examiner gets appropriate j = Job B _ BUP
number of revised plans from applicant. stamps and completes, o = Office M = NIEC
updates and adds actions. f= Fire P = PLM
u = USA E= ELC
b. Shaded areas designate ALT submittals .Ay. w= Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved Plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h Vnalnc Doc
Sent by: GROUP MACKENZIE 5032281285; 01 /21 /98 8:32A%1;JetFax #852;Page 2/2
G ft P
0690 SW Bancroft Strdel r PO bo.n903�j . Po vanh.ON 47201
Tel S09 22a 9580�Net inlafcgrprnackmrn■Fsr 503 3?8.1,85
MEMORANDUTIAX
DATE'. Janum) 21, 1998
SUBJECT'. Independent Elec:mcal Contractors of Oregon
Tenant Improvement
Tigard,Oregon
BY: Bill Bezio
TO. City of Tigard Building Department
It is our opinion,based on Site obsetvations,that the tenant space for the proposed TECO rrrnodel is currently
accessible and in compliance with the State of Oicgon Structural Specialt> Code of the.. Uniform Building Code.
A disable parking space is currently provided adjacent to the main entry and no apparent barrierN wcrr observed
along sidewaLk or at entry. Exming Men's and Women's bathtuutns are provided with grab bars and ar.scciated
hardware as required.
As a result of them- finding,,, we have not indicated additional act:csmibility upgrades as part of the Tenant
Improvement Pennit SubmUlal.
Sincerely,
Bill Beziu,AIA
cuvt.nO'A satrcc.w.+wtt)
CITY OF TIGARD ELECTRICAL PERMIT
wEVELOPMENT SERVICES PERMIT #: ELC98
-0206
DATE ISSUED: 04/21/98
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL: 2S101BB-01500
;1. T[--. ADDRE,3S. . . : 12254 SW GARDEN P'L #BLD.
SUBDIVIPiON. . . . :CROW PARK 21.7 ZONING:C-G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG
Project Description : IECO - Addition of signor outline lighting Service to
commercial tenant occupancy.
_.. RESIDENTIAL. UNTT---- ---TEMP SRVC/FEEDERS---- -- - MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 1
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0
------SERVICE/FEEDER_-___ -----BRANCH C I RCU I TS-- ----._.._. _..-.._ADD' L. INSPECT IONS----
0 - 200 amp. . . . . . : 0 W/SERVICE. OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 1N PLANT. . . . . . . . . . . : 0
6,01 - 1000 amp. . . . . : 0 -- ------- _._._-F'l_AN REVIEW SECT I
1 000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect; only. . . . . : 0 SVC/FDR ) - 225 AMPS-.3 CLASS AREA/SPEC OCC. :
Owner: -_..._____-_.____.__.__...._.___.... _....... ..._._.. _______
FEES ..._._.__..___-._....._.._....____.....
c,PIEKER PROPERTIES type amount by date recpt
PO BOX 5909 PRMT $ 40. 00 DLH 04/21/98 98-305137
PORTLAND OR 97228 5F'CT L 2. 00 DLH 04/21/98 98-305137
Phone #:
Contractor:
PHOENIX ELECTRIC CC] 42. 00 TOTAL
7379 SW TECH CENTER DR. ----- REQUIRED REQUIRED INSPECTIONS --- -
IIGARD OR 9723 Ceiling Cover Elect' 1 Service
Thane #: 684-3600 Wall Cover Elect' l Final
i�eg #. . . 004.0522
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and ali other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mork is not started within IBB
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 '352-8014M through OAR 952-001-1987. You lay obtain a copy
of these rules or direct questions to Ol1NC by calling (563)246-1987.
F,Pi-mittee Signature : .,,AlL/C £Z Issued
____ ..---------------------------OWNER -
11)(> installation is being made on property I own which is not intended for
; ale, lease, or rent.
f IWNF.R' S S 1 GNATURE: DATE
-----___--------_.--------CONTRACTOR INSTAI.-I_.AT ION ONLY----------------------- -
DATE:
IGNATURE: OF SUPR. ELEC' N: ---
L_l CENSE NO:
+++++++++++f+++++ +-+++++++•+++•+++++++++4-++44+4-4....................................F
Call. 639-41i5 by 7:00 P. M. for an inspection needed the next business day
++++++-+++++++f++++++ f++++++-++++4 +-++-f+++++++++++++++++++...++++++++++.+++++++F+++f
PR-21-98 TUE 12,30 PM PHOENIX ELECTRIC FAX NO, 503 684 3611 (, 02/02
CITY OF TIGARD Electrical Permit Application Plan Chvck«
13125 SW MALL BLV[). Recd By l .yy
Date Recd _`/Zi,/-2,,P- _
TIGARD OR 97223 Date to P,E.
Pt,une (503) 539-4171, x304j Date to DST
Inspection (503) 639-4175 Print or Type Permit M EC C FIf-DSO(o
Fax (503)684-7297 Incomplete or Illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development`._ __ __ ._ Number of Inspections per permit allowrd — —
Name(or name business) -�r-- C � Y� Service included: Items Cost Sum
Addres �?���._?'\-wt i k,,� 4a. Residential-per unit
1000 sq.It.or less $110.00 a
City/Statefzp _G -��} .__ F3ch additional 500 sq.h,or
Commercial Residential ❑ penton l s25.0
Limited Energyergy y25.o
c 1
o
Each Manufd Nome or Modular
Dwelling Service or Feeder __ $68.00
2a. Contractor installation only: _
(Attach copyt current licenses), 4b.Services or Feeders
Electrical Contracto Installation,alteration,or reloca6nn
200 amps or less $6000
A ftss - t 201 amps to 400 amps S8000
City\ State C>4— mp '1.1 a'Z- 401 amps l0 600 amps $12000 _ _
PhonR N ^ �tS Z v 601 amps to 1000 amps . s i go on ___� 2
Job No. - Over 1000 amps or volts $340.00 2
Vec.Cont. Lice. No. rg-b C-._Exp.Datet e,9 p - Reconnect only $50.00
OR State CCB Reg. No. `»� , Exp.Date Oe.Temporary Services or Feeders
COT Business Tax or Metro Nc). Exp.Date Installation,alteration,or relocation
200 amps or less $5000 _
Siginature of Supt. Elec'n _�^� - — " 201 amps to 400 amps _.— $79 00 _
401 amps to 600 amps 5100 00
Over 600 amps to two volts,
License Nc116
- --f Ll)lr Exp,Date ape^b"above.
Phone Nr -�Q&- G -- -- —
4d.Branch Circuits
New,alteration or e>nonsion per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of"ryle•or
Print Owner's Name feeder tee.
Address Each branch circuit $5.00 z
- b)The fee for branch circuits
City __ Slate- Zip without purchase of
Phone No, .�_.�_— __- service or looser fee.
First branch circuit 535,00 ?
The installation Is being made c in property I own which is not F a,,h additional branch circuit_ 55.00 —_ _- 2
intended for sale,;ease or rent
de-Miscellaneous
Owners Signature (Service or feeder not included)
9 _ Each pump or irrigation circle $40
Each sign or oW"ne lighting $4001) 2
3. Plan Review section (if required):' Signal circult(s)or a limited energy
panel,alteration or errt®nsion 540.00 — 2
__.
Please check appropriate item and enter tee i.t section 58Minor Labels(10) S l X0.00. _-
4 or more residential units in one structure 4f.Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection
Classified area or structure containing special rxxaupa. icy Per hour SSS.oO
as described in N E.C.Chapter S In Plant
I
Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for t"porary construction service. Sa.Enter total of above fees S 4
596 Surcharge(.03 X Intal fees) S
NCTIQ Subtowl $
46_Enter 25%of tine 53 for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTI IOR12ED IS Plan Review it rgge wrsid(See,3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal S
IS SUSPENDED OR ABANDONED cOR A PERIOD OF 180 DAYS AT ANY � l
rIME AFTER WORK IS 001,-AENCED ;0"Trust Account r-..sl —j
Total balance Due S mac'
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-11our Inspection Line: 6394175 Business Phone: 6394171
Date Requested: ' ---- A M — t'•M• MST:
---
Bi1P:
location.
Tenant:_ �. / .�- -
Suite: Bldg: MFC:
Contractor:-- V /1Phonc: PLM:
Owner: _ Phone:
-- FLR:
T -- sr r: _
BUILDING BLDG(coe't) PLUMBING MECHANICAL CTRICAL SITE
Site Post/Beam Post/Beam m Post/BeaSewcr/S►otni
Footing Roof UndFI/Slab Rough-In Ceiling Wc►er Line
Slab Frmning Top Out Gres line Rough-In i1Ci Sprinkler
Foundation Insulation Sewer llood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C 116 Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir 1 vast Pump 1(2 --
Approved Approved Approved Approval Approved
ov
Appr/Sdwlk Not Approved Not Approved Not Approved cd Not Approved
FINAL FINAL
FINAL FINAL FINAL
4-,
D7 Call for reinspects rl Reinspection f S_ requireJ before 7 next inspection 0 Unable to inspect
lnspector.� _ _ Date _ _- 9-i—,
Page— of 1
CITY OF TIGARD MErHAN1CnL
.RMIT
DEVELOPMENT SERVICES PERMTT #.Pr-. . . . . . ..
13125 SW Hall 61W.,Tlg8rd,OR 97223 (503)6394171 r)nTE TSSUED: 03/011/qR
PARCEL: 2T3)101SB--0I`)00
ADDFzFS�7). . . 12254 ',OW UARDEN PL BLU
11D I V 19T ON. CROW PORK 217 VIN TNI-3: r---ri
LOT. . . . . . . . 003
0 C K. .
--------------
1�'jo nr WORK. ALT FLOOR FURN. . . . : 0 EVAP C001-ERS: 0
'PE OF USE. . . . COM UNIT HEOTERS. . : 0 VENT FANS. . . : 0
_1UPPNCY Spr. -P Vr7NTTj W/0 APPL : 0 VFNT SYSTEMS: I
1RIES SSORR HOODS. . . . . . . .. 0
7 POILFRSMOMPRE
s-l- 0-3 HP. . . . 0 DOMES. INCTN: 0
;AS 3-15 1 ff". 0 COMMI TWIN: 0
X I'NPUT: 0 VTU t5-30) HP W
. . . . . 0 RFPR UNITS: 0
RF 'DAMPFRS% 3050 HP. . . . 0 wor)STOVES. 0
1-3 PRESSURE. . 504- HP. . - 0 CLO DRYERS— : 0
1. OF UN1TS----------- AIR H(4NDl..TNG UNITS (11'HER UNITS. : V,
,RN 'LOOK CTIJ: 0 t0000 cfm: 0 C-4S) ClUTI....F.TS. - 0
!RN 100H, BTU: 0 > t0000 rfm: 0
m av-k s - Installation of a ventilation system
FEES
,I r-V'r R rRmERTIES type amoi.tnt by date t-ernt
1) BOX 5909 PRMT $ 25. 00 b V13/04/98 98--303&-14
PL.rK $ G-. R.5 P 03/04/98 98-,3038'2,4
P`I_PNT) OR n,r,r T t t. 25 P 0310i+19S
.
,one #:
)ntr,ort r)r-
-IMATE CONTRnl_ INC --------------
"15 NW 26TH71'L:J. 7-50 TOTOL
IRTI-PND OR 9721 VI
0006L,I REPUIRE=D INSPECTIONS
Ss permit is issued subjert to the regulat:ons cortairfd in the Mechanical 7n5p
Gard Munivioal 700, State of Ore. Specialty Codes and all other Fiii,-Al
:plicable laws, All work will be dare in accordance with
Iroved plans, This permit expire if work is not started
.4t will
,thin IN days of issuance, or if work is suspended for mere -------
--an 180 days. ATTENTION, Gregor law reaui-es vo!.l to follow -U!Ps
'opted by the Oregon Utility Notification Center. Those rules are
!t forth in DAR trough DAR 952-881-2888. YOU I&Y
,,tain conies of these rules or direct qupstiors tc 0UNC by calling
13)246-9187.
y
4.+-++++++++4 j_4 .4-+,4+++4-+++-++++4--&-+++4-4........4-++4...4.............4-++-+4 4-++-+-+4-4-+4 4-++
V P f n v,p P c t S T)P P d e(1 t ti e next b 1-t s i e S S d A- y
14.4-4-++a--+•+i : 4-+.+-•+++++++ ++++++++++++++++-4 •+-4..+4. j_++++++4-+.+.++4,++-k+4-+4-4-+++++
CITY OF TIGARD Mechanical Permit Application L`4Plan Checki#
Rec'd ByL
13125 SW HALL BLVD. Comrt9rcial and Residential / Date Recd Z
TiGARD, OR 97223 03te to P.E. I - f 1
(503) 639-4171 x304 'U
f Date to DST-2-1 L'3 I
Print or Type Permit# ��`t ' >iy
Incomplete or illegible applications will not be accepted Called ��
Nama o DDa.,vo_lopmerUProica Descnplion_ p
lei. Table 1A_Mnchanical(-,-de CiTr PRICE AMT
Job Street Address sudea A) f-ermd Fee - 0 0- 10 00
Address
Bidga CityrStote Zipo 1.) Furnace to 100,000 BTU 6.00
including ducts&vents_
Name(or name of business) 2) L rnace 100,000 BTU+
7.50
Owner ' S�� ' ��o wc)uding ducts&vents
Mailing Address o. "- 2.) Floor umace
6.00
including vent
City/State may' Dp Phone 4.1 Suspended heater,wall heater
rf 6.00
��
or floor mounted heater
Name for name of usnessi 5.) Vent not included in appliance permit
300
CG O
Occupant Mndlnq Address 6) Boiler or comp,heat pump,air Gond. 600
_ to 3 HP;absorb unit to 100K BUT"
Ciryrstete zip Phone 7) Boiler or comp,heat pump,air cond. 1100
Contractor Neme _ 3-15 HP;absorb unit to 500K BTU'-
�G _ 8.1 Boder or comp,heat pumg,air Gond. 15.00
CoNJ�GL � 15-30 HP;absorb und.5-1 and BTU
Prior to permit Medlnq Address 9) Boder or com heat um air Gond a
issuance,a copy 3/�j /(/w /r 30 50 HP;absorb unit mp,air c BTU" 22_0 t
of all licenses C State Zip Phnne
are required if / �jP, 10) Boder or comp,heat pump,air Gond. 3750
2l3 `/ >50 HP;absorb unit 1.75 mil BTU" _
expired in COT Oregon Const.Cont BoardLic a Exp Date 11 ) Air handling unit to 10,000 CFM 450
database /G
Architect Name 13.1 Non-portable evaporate cooler 4.50
or Mailing Address 14) Vent fan connected to a single dud 3.00
Engineer Cry/State Lip Phone 15) Ventilation system not included in 4.50
appliance permit
Desrnbe work New O Addition O Alterationffl R3pair O 16.) Hood served by mechanical exhaust ------450
to be done Residential O Non-residential*
Additional Descnption of work. 17) Domestic incinerators 7 50
18.) Commercial or industrial type 30,00
—. Incinerator
Ex sting use of 19) Repa,r•tnits
budding or properti_ �1�F��� 450
20) Wood stova 4 50
Proposed use of 21 ) Clothes dryer.etc.
building or property 4 50��) C
22) Other units 4 50
Type of fuel-oil-6 natural gas 105 LPL;O electnc O 23 1 Gas piping one to four outlets 200
I hereby acknowledge that I have read this application that the 24 1 More than 4-per outlets(each) --
information given is correct,that I am the owner or authorized agent of �0
the owner,that plans aubmitted are in compliance with Oregon State QTY SUBTOTAL
laws
Signature of Owner/Agent Date 'SUBTOTAL
5%SURCHARGE — Z.
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL. 2 s
I
?2 3 Y3 r!3 -- TOTAL
Imechprnt doc (rev 9
Minimum permit fee is 525+ 5%surcharge
-Residential A/C requires site plan showing placement of unit.
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . . BUP98—Qio7(,
MUM& 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUEr): 02/24/98
PARCEL: 2S10IBB-01500
I. rE ADDRE13S. . 12254 SW GARDEN PL #13 1. D.
JJBDI V ISION. . . . CROW PARK 217 ZON I NG:C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION.-TIG
------------------------------------------------------------- ------------------- -----
RE T SSUE: FLOOR AREAS----.-------- EXTERIOR—WALL coi\!—arRUCTION-
rLASS OF WORK. -FPS FIRST. . . . : 0 sf Ne S: Ea W:
I 'Y'l IE OF USE. . . v.CUM SECOND. . . : 0 sf PROTECT OPENINSS?-----------
I YPE OF CONST. :5N Vi sf N- S: E: W.
OCCUPANCY ORP. :B TOTAL.--------: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
s i,n R. : o HT: 0 f t GARAGE. . . : 0 s f OCCU SEP. RATEL,
BSMT? - MEZZ'1- REDD SETBACKS------- --- REQUIRED----
FLOOR LOAD. . . . : 0 r.)sf LEFT: 0 ft RGHT: 0 ft FIR SPKL :Y SMOK DET. . :
DWELLING UNITS- 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNOIC-P ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUF. $ -. 933
Remarks., Fire suppression system
rIwner: ------------------------------------------ -------------- FEES
SPIEKFR PROPERTIES type amoi-int by date rer-pt
PO BOX 5909 PRMT $ 25. 00 DRA 021/06/1..38 98-303107
PORTLAND OR 97228 5PCT $ 1. 25 DRA 02/06/98 98-303107
F I RV $ 10. 00 DRA 02/06/98 98-1103107
Phone #: PRM7 $ 25. 00 B 02/24/98 98-31A3538
5PE"T $ 1. 25 B 02/24/98 98-303538
Contractor:
WYATT FIRE PROTECTTnN INC.
9095 SW BURNHAM
TIGARD OR 97233
-------------------------------------
Phone #: 684-2928 $ &2. 50 TOTAL
Req #. . , 080640
REOUIRED INSPECT::ONS ------
This permit is issued subject to the regulations contained in the Sprinkler Rough—
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days, ATTFNT!DN: Ortoon law reouires You to folloh the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in CPR 952-0014010 through OAR 952-00101987,
You many obtain a copy of these rules or direct questions to OM
by calling (503)246-1987.
[,e)-mittee Si gnat i.tre �Issi.tecl By-
4•........................ .........f........................A-4.........4
Call 639-4175 by 7:00 p. m. for An inspection needed the next bo.tsiTiess day
f++4•................4-+...4+4........................................................4
Fire Protection Permit Application Plan Chec ��7�
CiTY OF TIGARD Commercial or Residential Recd By r, >
13125 SW WALL BLVD. Date Recd
TIGARD, OR 97223 Print or Type Date to P.E
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Data to DST I ,
Permit# r —G6 l(Q
Called '-' 0,;(3
Sob —T a�ma of De I IopmenUPraiect Type of System (Complete A or B as applicable)
Address Addre ` 1� � A.)Sprinkler Wet Dry O
Standpipes
Name
Owner M ling 1Address Hazard Group
Additional
City/State 1 zip Phone Information Density
Name Design Area
Occupant Mailing Address K.Factor
city/state Zip Phone A.1) Sprinkler Project Valuation $
Contractor
Name B.1 Fire Alarm
`
(sprinkler or V� `,1y*_ (�)A C1 u j
Alarm Company) M
Ili ddres� . Submittal Shall Include Battery Calculations YES Q
Prior/arm to permit /�(} c, ryYV Y(1' .111 �_C{ . -
issuance,a City/State zip Phone Individual Component YES
Cut Sheets
°0py '( (( (1 Y(� 0`'L
of all licenses (nil B.1 Fire Alarm Project Valuation �I I A
1 ) $ 1
are required if State onst.Cont. Board Lic.# Exp.Dated r'j 1 _
expired in COT �1 („ i _T { Project Valuation Subtotal (A 8 or B) $(4')::5
database i i 1 /
— Name Permit fee based on valuation $ 00
(see chart on back)
Architect Mailing Address 5% Surcharge $
City/State — Zip Phone r LS Plan Review 40%of Permit $ (:iV
11 �-
I)escnbe work A.)—)N
New O Addition O Alteration Repair O TOTAL $
to be done /i,
B) Modification to sprinkler heads only: Plans required: Submit three sets of plans,including a vicinity map and
1 1-10 heads=No plans required _the location of the nearest hydrant. _
2 11+=Plan review required I hereby acknowledge that I have read this application that the information given is�
correct,trial I am the owner or authorized agent of the owner,and that plans submitted
Number of sprinkler heads: are in compliance with Oregon State laws
Atldibonal Description of vYQrk:
WE (<V'r,
r c;t'1r1Q C_ 40 PX 1`�Q � �i 5 Signature of Own /Agent Date
A.) n Existing BuildingNew Building ❑ Y
C intact Person cnp
Building �r�'
Data B.) Commercial ig" Residential ❑ (--1
FOR OFFICF USE ONLY:
N0.Of 5i ries:
Sq Ft -- ---- Notes
Occupancy Class Type of Construction
iMresupr.doc
Cl-MQEDGRD
BUILDING PERMIT FEES
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601-1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901-2,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15.40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,001-5,000 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 b1.93
6,001-7,000 62.50 25.00 3.13 90.63
7,001-8,000 68.50 27.40 3.43 99.3
8,001-9,000 74.50 29.80 3.73 108.03
9,001-10,000 80.50 32.20 4.03 116.73
10,001-11,000 86.50 34.60 4.33 125.43
11,001-12,000 92.50 37.00 4.63 134.13
12,001-13,000 98.50 39.40 4.93 142.83
13,001-14,000 104.50 41.80 5.23 151.53
14,001-15,000 110.50 44.20 5.53 160.23
'15,001-16,000 116.50 46.60 5.83 168.93
'16,001-17,000 122.50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 6.43 186.33
18,001-19,000 134.50 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21,001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 63.40 7.93 229.83
23,001-24,000 164.50 65.80 8.23 238.53
24,001-25,00 170.50 6820 8.53 247.23
25,001-26,000 175.00 70.00 8.75 253.75
26,001-27,000 179.50 71.80 8.98 260.28
27,001-28,000 184.00 73.60 9.20 266.80
28,001-29,000 188.50 75.40 9.43 273.33
29,001-30,000 193.00 77.20 9.65 279.85
30,001-31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 292.90
32,001-33,000 206.50 82.60 10.33 299.43
33,001-34,000 211.00 84.40 10.55 305.95
34,001-35,000 215.50 86.20 10.78 312.48
35,001-36,000 220.00 88.00 11.00 319.00
36 ' 01-37,000 21450 89.80 11.23 325.53
37,001-38,000 229.00 91.60 I 11.45 33205
i:'firesupr.doc
SEE 35MM
ROLL# 2 .3
FOR
LARGE
DOCUMENT
CITY OF TIGARD EL_EC;TRICAL. PERMIT
DEVELOPMENT SERVICES Pr RMIT #: FL-C98-0049
13125 SIN Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/28/98
PARCEL.: 2S 101 PP-015,00
SITE ADDRESS. . . : 1 c'25# SW GARDEN PL #lA1 D.
.3UBDIVISION. . . . :CROW PARK 2:17 7.ONING:C-r,
BL_OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .003 .JURISDICTION: TIG
1=r o.j ect Descri pt i on : ADD FIFTE'_ll (15) BRANCH CIRCUITS TO AN EXISTING TENANT
OCCPY.
- --RESIDENTIfL UNIT---- ----TEMP SRVC/FEEDERS----- -------MISCEI_.L.ANEOUS- - -
1000 SF OR L_ESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' I 500S`-. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE I_TG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 6014-amps- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SE:RVICE/FEEDER------ - --NRANCH CIRCUITS----.-- -----ADD' L INSPECTIONS- _-__0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' L- EIRNCH CIRC: 14 IN PLANT. . . . . . . . . . . : 0
F,01 - 1000 amp. . . . . : 0 -- --- --- -- -_.___.____PLAN REVIEW SECT iON - --- -- --
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. .
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -- - - --- __-._.__________________...____.___.___.---__-__-.-- FEES
SPIEKER PROPERTIES type amocint by date r-ecpt
PO BOX 5909 PRMl $ 105. 00 GEO 01/2B/98 98-302839
PORTLAND OR 972*28 5PCT f 5. 25 GEO 01 /28/98 98-302R39
phrne #.
C:ontr•art or-: ---------------------------------------------_ ------- ---- ------- -
JARMER ELECTRIC INI; E 110. 25 TOTAL
5105 SW 45TH AVE
-- --- - REQUIRED INSPECTIONS
PORTLAND OR 97221 Ceiling Cover Undergroi.rnd Cove
Phone #: 246-5381 Wall Cover F1ert' 1 Service
Req #. . : 000069
This per@it is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This peru t will expire if work is not started within 180
days of issuance, or if work is suspended for @ore than 180 days. ATTENTION: Oreyon 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 say obtain a copy
of these rules or direct questions to DUNG by calling (503)546-1987.
f'e r m i.t t e e S i g n a t t r P: I s s i_r e d P y•
______________________-------•-..-OWNER INSTALLATION ONLY- -- ----__________._------------.-.--.
The installation is being made on property I own which is not intended for,
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
----------------------------CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELEC' N: DATE:
LICENSE NO:
+....++.+......-f-•F............h.f- ....++ti......H-F+++x-..4-+ -4.4f-+....•F•F....F+++ ++4.+++•F++
Call 639-4175 by 7:00 p. m. for an inspection needed the next; bl-tsiness day
�-+ 1 1
CITY OF TIGARD Electrical Permit Application Plan Check 4
13125 SW HALL BLVD.
Recd By_-
Date Recd
TIGARD OR 97223 Date to P.E.
Phone (503)639-4171, x304 Date to DST!
Print or Type
Inspection (503) 639-4175 Permit# «
Fax (503)684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business) �- �+ Service included: Items Cost Sum
17 / c 1
Address 4a. Reside,itlal per unit
- Iu00 sq.ft.or less $110.00 4
City/State/Zip-I 2 1-1 c-)?) tII-��7 - Each additional 500 sq.ft.or
/ portion thereof $25.00
Commerci Residential ❑ Limited Energy $25.00 _
Each Manuf'd Home or Modular
Dwelling Service or Feeder _- $66.00 ,
2a. Contractor installation only:
(Attach copy of all current licenses 4b.Services or Feeders
Electrical Contractor i Installation,alteration,or relocation
--- 200 amps or less $60.00 2
Ad S r- ' ` cJ' `L _ 201 amps to 400 amps $80.00 _ 2
Cl ty State_ c i r` Zip rl 7 d J 1 ....... 401 amps to 600 amps $120.00 2
Phone No, S 601 amps to 1000 amps $180.00 2
^ 1 3 Over 1000 amps or volts $340.00 - 2
Job No._ _V sa_L -_
Elec. Cont. Lice. No. . t,- 1 �! t� Exp.Date I ea Reconnect only $50.00-"-' - 2
OR State CCB Reg. No. le -1 + Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No.,:-;(,(A p.Date kL _ Installation,alteration,or relocation
f / 200 amps or less $50.00
Signature of Su r. Elec'n 201 amps to 400 amps $75.00
9 p -��-- 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
License No. �-> 5 Exp.Date / C, r see"b"above.
Phone No. 3 4 (r' S_? r
4d.Branch Circuits
New,alteration or extension per panel
2b. For owner Installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Each branch circuit $5.00 2
Address -- b)The fee foi branch c rcuits
City Staff?- Zip _ without purchase of
Phone No. __ _ service or feeder fee.
First branch circuit $35.00 -- . 2
The installation is being made on property I own which is not Fach additional branch circuit 14 $5.00 70 - 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or Irrigation circle $40.00 ?
Each sign or outline lighting $40.00
3. Plan Review section (if required):* Signal circult(s)or a limited energy
panel,alteration or extension $40.00 2
Minor labels(10) _ $100.00
Please check appropriate item and enter fee in section 58.
_4 or more residential units in one structure 4f.Each additional inspection over
_Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00 _-_-
_Classified area or structure containing special occupancy Per hour $5900 as described in N.E.C.Chapter 5 In Plant $55.00
*Submit 2 sets of plans with application where any of the above appl f. ,5. Fees: „� 0,0Not required for temporary construction services. 58.Enter total of above fees $ 5
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $ - -
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If re uir (Sec-3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. Trust Account# l� _
Total balance Due
I TnSTSkEtC96 Apr' Rev w96
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PFc3TRICTED ENERGY
PERMIT #. ELR96--0364
DATE ISSUED: 12/10/96
PARCEL: 2S101BB-01500
TE ADDRESS. . . : +P_?_1515--SW GARDEN Pl__ OBLD.
;..)UBDIVISION. . . . : CROW PARK 217 70NTNG:(-,—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3
Project Desct-iption -
-----------------------=�-------------------------------------------
A. RESIDENTIAL ------ B COMMERC I
AUDIO 9. STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : I..-ANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :X
INSTRUMENTATION. - OTHER. . .- P. :
TOTAL. # OF SYSTEMS: I
Owner,: FEES ----------------
SPIEKER type amoi.int by date recpt
FIR.Ml $ 40. 00 JSD 12/10/96 96-28*7489
5PCT $ 2'. 00 JSD 12/10/96 96-287489
Phone #:
Ccintt-actot-g
COL.UMSIA SECURITY SYSTEMS 42. 00 TOTAL
PO BOX 1651
------- REQUIRED INSPECTIONS -------
PORTLAND OR 97216 Ceiling Covet, Elect' l Final.
Phone #: 760-7170 Wall C ev,
L
'C/
Reg #. . : 54346
This permit is issued subject to the regulations contained in the
Tigard Municipal Code; State of Ore. Specialty Codes and all other TIP,Wall
e S33 gnat a;t I
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. IsVued By
INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, at, rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION ONLY-------
S113NATURE OF SUPR. ELECIN: DATE.-
L-I('ENSE NO:
Call fat, inspection 639-4175
CIT(OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: `�'✓4l—1
13125 SW HALL BLVD. Date Recd: / /0
TIrARD OR 97223 PRINT OR TYPE
V - 503-639-4171 X304 Permit#
F - 503-684-7297 Incomplete or Illegible will not be accepted Cust CaII'd:
PLEASE COMPLETE ALL SECTIONS
Name of Development Project
--- /, TYPE OF WORK INVOLVED -RESIDENTIAL
�^( L% Restricted Energy Fee........................................ $40.00
jOB Street Address /. Ste# � (FOR ALL SYSTEMS)
ADDRESS >�"�"� Cf� C",¢J,ps ,rD
City/Slate Zip Phone#
Check Type of Work involved
20�-`/ Audio and Stereo Syst@ms
Name
C
Burglar Alarm n1
OWNER Marlin,•address Garage Door Opener-
City/State Zip Phone# ❑
Heating,Ventilation and Air Conditioning System"
Name
Vacuum Systems'
CONTRACTOR Malting Address Other
(Prior to issuance a Cit,*State Zip Phone# TYPE OF WORK INVOLVED -COMMERCIAL
copy of all licenses T �� �J �% L%" �� �' —� --J
Fee for each system..,.......................................... $40.00
are regwred if Oregon Contr Brd Lic.$r Etc a (SEE OAR 918-260-260)
expired in C.O.T 3 e / tj
data base) Electrical Conlr Lic # E p ate Check Type of Work Involved
C O T. or Metro-L C.# E Ap D to Audio and Stereo Systems
_-- Owner s Name Boder Controls
OWNER - Mailing Address Clock Systems
,APPLICANT
City/State 77-7
Phone# F� Data Telecommunication Installation
This permit is issued under OAE 918.320-370 This applicant agrees to Fire Alarm installation
make only restricted energy installations 1100 volt amps or under this
permit and to do the following ❑ HVAC
1 Only use electrical licensed persons to do installations where required Instrumentation
(Certain residential and other transactions are exempt from licensing
These have asterisks(') All others need licensing) Intercom and Paging Systems
2 Call for inspections when all of the installations under this permit are Landscape Irrigation Control'
ready for inspection at 503-639-4175
3 Purchase separate permits for all installations that are not ready for an n Medical
inspection when the inspector is out to inspect under this permit.
Nurse Calls
4 Assume responsibility for assuring that all corrections required by the
inspector are done, and Outdoor Landscape Lighting'
5 Assume responsibility for calling for a final inspection when all of the Protective Signaling
corrections are complzted
Other— ---------------
Permits are non-transferaL(e and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days
The person signing for this permit must be the applicant or a person ------- ---Number of Systems
authorized to bind the applire No i tenses are required Licenses are required for all other installations
FEE
Sig 62tUre ENTER FEES
5°%SURCHARGE(05 X TOTAL ABOVE) $
Authority if other than Applicant ~T TOTAL $ _—