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7128 SW GONZAGA STREET STE 100 MUM V J n� 00 W Y, 0 N w f.Q D) U) rt (D (D it J O i ik 7128 SW Grrizaga Street #100 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Iv-spection Line: 639-4175 Business Line: 639-4171 Date Requested. AM PM — BUP BL.D Location L /U U MEC Contact Person lc.,w Ph ---- PLM Contractor _ _ Ph _ SWR Di Tenant/Owner ELC Retaining Wail ELR Footing Access: FPS Foundation ---- --�—-�- Ftg Drain SGN Crawl Drain Inspection Notes: ---�T� Slab --- —— —---- SIT Post - Post& Beam Ext Sheath/Shear --- - ----- Int Sheath/Shear !� %�� S Framing __ __ - - --- Insulation Drywall Nailing - Firewall / -7 Fire Sprinkler _- Fire Alarm Suso'd Ceiling — Roof ``-- Misc: rAPART FAIL - - PLUMBING Post& Beam ,0micr Slab _ _ ---- Top Out --- --- Water Service Sanitary Sewer Rain Drains r ct _— ----- �-- Final \`- PASS PART FAIL ---- -- - -- MECHANICAL -- Post& Beam Rough In _ Gas 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 [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to Inspect-no access Fire Supply Line —� ADA Approach/Sidewalk Date i�AInspector / 't Ext Other ---� _. -!- 1- Final PASS PART FAIL DO NOT REMOVE this inspection _mord from/ the job site. ��'f'�... . Cdo �,�� ;�;��E ,� �� (�T=• CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00411 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41i'1 DATE ISSUED: 11/07/2000 PARCEL: 2S101 AC-00900 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 07128 SW GONZAGA ST 100 SUBDIVISION: BEVELAND NO. 2 BLOCK: LOT:015 CLAS1 OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 32 TENANT NAME: REMARKS: Commercial TI Owner: ROCKY MOUNTAIN LAND LLC 1240 SV!68TH PKWY TIGA?n OR 97223 Phone: 503-670-8585 Contractor: JOSEPH HUGHES CONSTRUCTION,INC 7035 SW HAMPTON TIGARD, OR 97223 Phone: 624-7100 Reg #: LIC 45645 This Certificate issued 111/19/211111 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, occupancy, and use under which the referenced permit was issued. ytdp BUILDING INSPECTOR f(L—IILDINCIAL POST IN CONSPICUOUS PLACE CITYOF TIGAR.D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00393 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/5/01 SITE ADDRESS; 07128 SW C'ONZAGA ST 100 PARCEL: 2S 101AC-00900 SUBDIVISION: BEVELAND NO. 2 ZONING: MUL BLOCK: LOT: 015 JURISDICTION: TIG TENANT NAME: PAHLISCH HOMES USA NO: FIXTURE UNITS: 7 CLASS OF WORK: ALT DWELLING UNJTS: 1 1 YPF OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMI-ERV SURFACE: Remarks: Sewer fee due for increase in EDU's. Previous EDU i,,ite was 4 EDU's, the addition of these tix.tures increased the rate to 5 EDU's. Owner: _FEES ROCKY MOUNTAIN LAND LLC 12540 SW 68TH PKWY Type By Date Amount Receipt TIGARD, OR 97223 PRMT CTR 1/5/01 $2,300.00 27200100000 Phone: 503-670-8585 —^ Total__$2,300.00 Contractor: Phone: Reg#: neguirer' inspections This Aoplicant agrses to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 nays from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. "tha sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utilitv Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain c-pies of these rules or direct questions to OUNC by calling(503) 246-178//,// Issued by-+t �' Permiiiee Signature: t �— 'T`—`Call (503639-4175 by 7;00 P.M. for an inspection needed the •iext business day CITY O F T I G A R D ___— ?1 UMBING PERMIT DEVELOPMENT SERVICES PERII !T#: PLM2000-00464 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/5/01 SITE ADDRESS: 07128 SW GONZAGA ST 100 PARCEL: 2S101AC-00900 SUBDIVISION: BEVELAND NO 2 ZONING. MUE BLOCK: LOT: 015 JURISDICTinrl: I-IG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PRFVNTRS: O:;CUPANCY Gnr: d FLOOR DRAINS: 'TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ _FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS 1 URINALS: CREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 0 RAIN DRAIN- ft Remarks: Installation of(1) new sink and (1) new ice maker Owner: FEES — —'--- - — Type By Date Amount Recoipt ROCKY MOUNTAIN LAND LLC -- -- —-- 12540 SW 68TH PKWY PRMT CTR 1/1101 $72.50 27200100000 TIGARD, OR 97223 5PCT CTR _ 1/5/01 $5.81) 27200100006 Total $78.30 Phone 1: 503-670-8585 Contractor: ASSOUTATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 331-0582 Top-out Insp Reg #: LIC 57890 Final Inspection PLM 26 412PB 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 suspender! for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-000 ' )010 through OAR 952-0001-0080 You may obtain copie', of these rules or direct questions to OL, :C by calling (503) 246-1987. Issued By: _ j Permittee Signature: Call (503) 39-4175 by 7:00 P.M. for an inspection needed the next business day 12-21-200 1 1 :44AM FPI P. 2 ,ITY OF 'l IGARD �7n/ IjOn Plan ecke 13125 SW HALL BLVD. �t�'L"1(QL> 63- 7)L Recd � t` FIGARD, OR 9722.3 ' Date Recd 503) 639-4171 Dale to P.E. Dale to DS -- Permit 0 Alf`-.r—r Print OI TypF- Related SWFI2Agnni?93 Incomplete or illegible applications will not be accepted Called 19 Name of Development/Prolecl FIXTURES (individual) O!y price Total Jub p, f I.SC,4 1�6►e1rrq Off fee 3alk, Sink 16.so -- P>ddress rtreeW st Sutte,p0 Lavatory taso H Tub or Tub/Shower Comb. 18 60 BI g e City/Slate ip Tiar-0 Or• shower Only 16 I Name Water Closet 16.60 Urinal 16.60 Owner Mailing Address Suite Lstvica Y / Garbage Disposal fity/State Zip Phone Laundry Tray 16 60 Name WsZlhinq Marl ine 16 60 1 5-6is *I Floor Drain/Floor-ink 2- tF g0 Occupant Mailing Address / Suite 3. 71.2 B ,W, cvoirlt OQ 1f 60 City/, T 16. -tale Zip Phone 60 ti pe., Water Heater 0 conversion O like kiril 1660 i Name Gas piping requires a separate mechanical permit, p45.5DG i are,/ /,/ f IMI", i MFG Home New Water Service 46,40 Contractor Mailin Address Supe MFC Home New SanlStorm Sewer 46.40 , 4 2 Hose Bibs — 16.60 Prn r to perrrnt City/Stale Zip Phone I Roof Drains 16.80 s� anrF a op PaVf a- 9Lq729—* 2- Drinking rounlain 16.130 of .tii hcenacs.,re Oregon Const Corit Br,td Lice Exp Date reawred it L 'I L'ill'-17l l-V S_ "D 11 Other Fixtures(Specify) 2175 expired in COT I'lumbiny Lit.8 Exp.Date � - database - y P rS "� Z - .� �C I rte/ Name Architect Cafe, u' Lryler A� Sewer•Int100' g500 or Mailing Address Suite !7l3 N.L••'� I?7.� CT_ #t��y. Walsewer.each additional 100' 46.40 ty/Slate Zip Phone rlr Service-1st 100' 55.00 Engineer Water Service-each additlonal 200' 46.40 Descrihework to be done- Storm 8 Ran,Drain-1 st 100' 55 00 New U Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 46.40 Residential U Commercial t1110� Additional description of work Commercial Back Flew Prevention Device 46,40 Residential Backflow Prevention Device' _ 27,55 Catch Basin 1660 Are you cappinn,moving or replacing any fixtures? in p.of Existing Plumbing or Specially Requested 72.50 Yes 0 No &1'r Inspections peNhr If yes,sea back of form to Indicato work performed by Rain Drain,single family dwelling 65.25 fixture FAILURE TO ACCURATELY REPORT FIXTURE recce Traps _ t8.80 WORK COULD RESULT IN INCREASED SEWER FEES. 1 hereby acknowledge that 1 have read this applicalion,that the Information OUANTITY TOTAL )wen is correct that I am the r mer or authorized agent of the owner,and Isometric m riser diagi vn is required It ouantay Total is >s that plans submitted are in compliance with Oregon State Laws. 'SUBTOTAL Sig urn of Owne ent Data -- r /r"-v ,� /2� t -,�- O 8%SURCHARGE Goma coon Name Phone 3•l�) -C 3,B1 "PLAN REVIEW 25%OF SUBTOTAL —n Required en a M1eure qty.low le�g 3 TOTAL r� -MlnMnurn pem ill hr is 372.50"5%eurM.Vye,cA mpt Residenital Haddlor PmNarju m Devlea,wMeh is$36.25+e%surcharge. An Now Gomnrereial t9ulldinge require M ms whh htwne1m ew nsw diagram and plan review. ,1i't JVnn3lrrRlTar1P_fav tv_•J/ail-A Accumulative Sewer Tally Tenant Name: [ �a . E�,►, �,� This SWR# SWR ;0M - 603g3 Address:_jf Z R 4*/Do This PLM#:JTE4 ) —0 W (L-- Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 Bath-Tub/Shower 4 -Jacuzzi/Whirlpool 4_ Car Wash-Each Stall 6 _ -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ - Domestic 2 _ Drinking Fountain 1 Eye Wash 1 Floor Drain/sink-2 inch 2 3 inch 5 4 inch 6 Car Nash Drn 6 Garbage Dispoza) 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 _ Industrial(over 5 HP) 48 Ice Machine/Retrig erator Drains 1 Oil Sep(Gas Station) 6 Rec. Vehicle Dump Station 16 _ Shower-Gang (Per Head) 1 -Stall 2 Sink-Bar/Lavatory 2 -Bradley 5 Commercial 3 Service 3 Swim+ring Pool Filter 1 Washer-Clothes 6 Water Extractor 6 Water Closet-To6et 6 Urinal 6 _ TOTALS VI l7q Total fixture values. divided by 16 = � - � 2- EDU E.DN5 �` O.,� --0 Ca-) $2 3 a O-C�0 HISTORY PLM#,-y,t7po--00-z-X3EDU# SWR#-,atr PLM# EDU# SWR# PLM# EDU# SWR# PLM# _ EDU# SWR# PLM# EDU—# -- SWR# PLM# EDU# SWR# PLNi# EDU# SWR# PLM# EDU# SWR# iAdstMswrtaip doc �� 11401 CITY OF TIGARD BUILDING INSPECTION DIVISION � MST 24-Hour Inspection Lire: 639-4175 Business Line: 639-4171 V-- - BLIP _Date Requested -AM---PM Bm Location 71 �� .5�., �G-�^ �-G�yG� _— Suite _.--. _ MEC y Contact Person Ph S%y PLM — Contractor Ph _ SNP, 'BUILDING Tenant/Owner ELC Retaining Wall F_LR Footing ._...__ -------------- Foundation Access: FPS Ftg Drain SGN Crawl Drain Inspection Motes — — - Slab -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - ---- --- -----.._- Fire Alarm Susp'd Ceiling -- --__-_-_ — - - Roof Misc: -- - -- - , -- - -- -- Final --�-- � PASS PART FAit. -- -------------------- - PLUMBING Post&Beam Under Slab -Top Out -•- --.-_�..-_, _. Water Servdce Sanitary Sewer Rain Drains "_r Final PASS PART FAIL E:CHAN71 j Post�8 Beam Rough In Gas Line - - Smake Dampers ART FAIL E :CTRL L Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ,Fire Supply Line [ J Please call for reinspection RE: [ Unable to inspect no access ADA Approach/Sidewalk pate 3)5--101 Inspector Ext Other - - Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. C'rY OF TIGARD BUI!.DING INSPECTION DIVISION MST "4-1 ivur Inspection Line: 639 Business Line: 639-4171 — -- �- i BUP Date Requested_) > _ AM^� PM __ BLD Location/�� S�_ - (-_( GI- 1'A --- _ Suite i�L-� -- MEC _ �_— Go, ict Person T Ph I G��/� �� PLM Contractor Cf— Ph — ---- SWR BUILDING Tenant/Owner. ELC Retaininq Wall ELR Footing Access. — — Foundation FOS Ftg Drain � Crawl Drain Inspection Nates: St:N — -------- Slab -- - _-- /' r,� r ,�� ,1�.r t_ SIT Post 8 Beam -- F-xt Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — - Roof ^� Misc: — -- ----- -- - Final PASS PART FAIL ---- --_ -- __ - PLUM13ING Post&Beam Under Slab Top Out ----- Water Service - -- ----- - - _ Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post 8 Beam — Rough In Gas Line --- - -- Smoke Dampers Final PAS PART FAIL Service Rough In UG/Slab Low Voltage Fire m'TIk SS PART FAIL - ITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RI _- J Unable to inspect no access ADA Approach/Sidewalk �-- Date _ �, Inspector - —i Z *� Ext Other 7- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY ®F 1 I G A R® _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: NIEC2001-00069 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/26/01 PAF.CEL: 2S101 AC-00900 SITE ADDRESS: 07128 SW GONZAGA ST 100 SUBDIVISION: BEVELAND NO. 2 ZONING: NIUE BLOCK: LOT: 015 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FERN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APDL: VENT SYSTEMS- STORIES: YSTEMSSTORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 3 HP: _ DOMES. INCIN: ^` 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HF. REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU. <= 10000 cfm: - GAS OUTLETS: > 10000 cfm: Remarks: Alteration & Ductwork- Location of work -rear half of first floor- Pahlisch !-fomes Office Owner: _ FEES ROCKY MOUNTAIN LAND LLC Type By Date Amount Receipt 12540 SW 68TH PKWY PRMT CTR 2/26/01 $72.50 272001000C TIGARD, OR 97223 PLCK CTR 2/26101 $18.12 272001000C 5PCT CTR 2/26/01 $5.80 2720010000 Phone:503-670-8585 Total $96.42 Contractor: OREGON COMFORT HEATING INC HUGHES, RON PO BOX 190 _ REQUIRED INSPECTIONS EAGLE CREEK, OR 97022 Mechanical Insp Phone:650-2933 fax Duct Inspection Reg#:LIC 00042519 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Yoe: may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. i�Issue By: � Permittee Signature: Call (503) 63)-4175 by 7:00 r-.`A. for inspections needed the next business day Mechanical Permit Application Date receivcd: City of Tigard Project/appl.no.: Expire date: Citvoffigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: INPE OF PERM IT U 1 &2 family dwelling or accessory Id Commercial/industrial U Multi-family XTenant improvement U New construction U Addition/alteration/replacctucnt U r 11wr _ COMNERCIAL V,41,UATION1 Job address: C` 7/dA S k" �4E z'4(5�:4 ST, Indicate equipment quantities in boxes below. Indicate the dollar Bldg,no.: Suite no.: /':�-� value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit. Value$ , e- ' _ . Lot: Block: Subdivision: *See checklist for important application information and Project name: A47AIZL —Alks 4zgre jurisdiction's fee schedule for r"idcntial pornlh fcr City/county: _ , 6 ZIP: g7Z73 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Dcsypptlon and location of work on premises: Flees ► r 1 t 1 J � '� Fee(ca.) Dotal Est.date of completion/inspection: W4,c•ription (r). Res.onh' Res.onh Tenant improvement or change of use: Air handling unit .—CFM Is existing space heated or conditioned?JA Yes U No Air conditioning(site plan required) Is existing space insulated? Yes ❑No Alteration o existing HVAC system -- 111'( IIANU %1, CONTRACUOR Boiler/compressors Business name �.e ��f y� - State boiler permit no.: _ HP Tons BTU/H Address:�7 t! Pire/smo cdamper uctsmo a defectors City; 4;C'A I Stata I ZIP ZZ Heat pump(site plan required) PI= F�-OZZI I Fa 3 4wE-mail: Install/replace furnace/turner Including ductwork/vent liner U Yes U No CCB no.: ,�.+�/ _ insta rcp ace rc ocate caters-suspen e City/metro lie.no.: 121 3 wall,or floor mounted Nam Name(please print): �Qj,� �j�_5�. Vent fora iance other than furnace -- Refrigeration: Absorption units BTU/H e: Chillers _ HP Address: �, _ /WCom ressors_ tip Environmental exhaust and vent at an: City: I State ZIP: e�ZZ Appliancevem "Name: 1 _C Fl giy E-mail: )rycrexhaust loo s,Type a lures. itc c iazmat hood fire suppression system //J _ Exhaust fan with single duct(bath fans) Mailing address: Exhaust systema art from heating or AC .try: - •— state: IIP: -- Fuelpiping an st ut on(up to outlets) Phone: I-ax: E-mail: F_u_cTypI,Iti Oil NG c n ea i i— h additional over 4 outlets rocess piping(sc emat c requited) Number of outlets Name: //'"iLter listed appliance or equipment: Address: •� Decorative fireplace City: _ _ _ Staic71P: T nseT rt-type Phone: F E-mail: Woo s— toc�l>el let stove other: Applicant's signature: Date: �'% ter: Name (print): Ile..s cH• Not all jurisdictions accept credit cants,please tail Jurisdiction for more information. Permit fee.....................$ U Visa U MasterCard Notice: i a permit application Minimum fee................$ cm-dit card number _L-_� expires if a permit is not obtained Plan review(at _ 96) $ v Expires within 180 days alter it has been State surcharge(8%)....$ _ Name of car older as shown on credit card accepted as complete. $ TOTAL .......................$ Cerdholdet signature Tr,ount 440-417(WWOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAM:LY DWELLING FEE SCHEDULE: _ --- Description: Price Total TOTAL VALUATION: FEE: _ fable 1A Mechanical Cods _ aty (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 - 1) Furnace to 100,000 BTU +elf $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and Includingducts&vents _ 1 ..00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including Including ducts&vents 17.40 $10,000.00. $1 ;,001.00 to$25,000.00 $140.50 for the first-$10 14.00 ,000.^0 and 3) Floor Furnace includin vent $1.54 for each additional 0 or 4) Suspended heater,wall heater fraction thereof,to and Including or floor mounted heater 14.00 $25,000.00. 5) Vent not Included in appliance permit $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 6.80 $1.45 for each additional$100.00 or 6) Repair units fraction thereof,tc and including 12,15 $50,000.00. Check all that apply: Boiler Neal Air $50,001.00 and up $742.00 for tho first$ 0,000.00 and $1.20 for each additional$100.00 or For footnotes Itembelow. comp* Pump Cond fraction thereof. - 7)<3HP;absorb unit 14.00 to 100K BTU ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb 25.60 Value Total unit 100k to 500k BTU Descrl Aon: at Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents __ _ 10)30-50 HP:allsorb 52.20 Furnace>100,000 BTU In- 7 1,170 unit 1-1.75 mil BTU _ ducts&vents 11)>50HP:absorb 87.20 Floor furnace includingvent 955 unit>1.75 mil BTU - Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included in applicance 445 13)Air handling unit 10,00 CFNI ermit _ 17.20 Re air units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1060 to 100k BTU 15)Vent fan connected to a single dura 6.80 3-15 hp;absorb.unit, 1,700 101k to 500k BTU16)Ventilation system not included In 15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 10.00 mil.BTU 3,400 17)Hood served by mechanical exhaust 10.00 30-50 hp;absorb.unit, 1-1.75 mil.BTU 18)Domestic incinerators >50 hp;absorb.unit, 5.725 17.40 >1.75 mil.BTU •19)Commercial or industrial type Incinerator Air handlin unit to 10,000 cfm 656 69.95 Air h indlln unit>10,000 cfm 1,170 20)Other units.Including wood stoves Non-portable eve orate cooler 656 10.00 Vent fan connected to a single duct 446 21)Gas wiping one to tour outlets Vent system not Included in 656 5 40 appliance ermit 32)More than 4-per outlet(each) 1.00 _ Hood served b mechanical exhaust 1 6566 _ -- - Domestic Incinerator Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 a Other urn(,Incl iding wood stoves, 658 80,16 State Surcharge Inserts,etc. $ Gas I in 1 4 outlets 360 25%Plan Review Fee(of subtotal) Each addlU6n31 outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: _ $ VALUATION -- - -'�1 OInspections and F r Other 1 Inspections outside of normal business hours(minimum charge-two hours) �� $72.50 per hour 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) $72.50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'State Contractor Boller Certification required for units>200k P;U. "Residential AJC requires site plan showing placement of unit. i.\dsts\forms\mech-fees.doc 10/11/00 CITYO F TIGARD BUILDING PERMIT PERMIT M BUP2000-00411 DEVELOPMENT SERVICES DATE ISSUED: 11/7/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AC-00900 SITE ADDRESS: 07128 SW GONZAGA ST 100 - $30.00 SUBDIVISION: BEVELAND NO. 2 ZONING: MUE BLOCK: LOT: 015 JURISDICTION: TIG REISSUE: FLOOR AREAS _ __EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N S: E: W: TYPE OF USE: COM SECOND. sf _ _PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 32 BASEMENT: sf AREA SEP. RATED: STOR HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?. MEZZ?: RE)D SETBACKS _ _ REQUIRED _ FLOOR LOAD: psf LEFT _ U RGHT: ft FIR SPKL.: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIE; ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 30,000.00 Remarks: Commercial TI Owner: Contractor: ROCKY MOUNTAIN LAND LLC JOSEPH HUGHES CONSTRUCTION,INC 12540 SW 68TH PKWY 7035 SW HAI`IPTON TIGARD, OR 9722.3 TIGARD, OR 97223 Phone: Phone: 624-7100 Reg #: LIC 45645 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PL.CK CTR 9/28/00 $24088 27200000000 Electrical Permit Required Plumbing Permit Required FIRE CTR 9/28/00 $148.23 27200000000 Framing Insp PRMT CTR 11/7/00 $370.58 27200000000 Gyp Board Insp 5PCT CTR 11/7/00 $29.65 27200000000 Susp Ceiing Insp Final Inspection Total $789.34 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 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 Orego Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions tc OUNC by calling (503) 246-1987. r� Pe nn it Signatu r� ..ued By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Hey 13125 SW HALL BLVD. Tenant Improvement Date Recd 9 �f TIG)ARD, OR 97223 Date to F.E. (9,03) 639-4171 Date to DST Print or Type Permit# Related SWR# Incomplete or illegible applications will not be accepted Called_ Name of Development/Project — Existing Building ❑ N�-w Building 17p Job {�AtIL i.�`\'+ �U tM�:S •►�t~�c rC 1 ` Address Street AddressSuite i✓uilding 17 If 2 y .5(-j�:�l��A /0-- Data Bldg# cityistate zip Existing Use of Building or Property - — Name LL` Proposed Use of Building or Property. Property kgv.Ky — Owner Mailing Address Suite ��"�'� �Z{S �tnl (y�S iPK� No. Of Stories: City/State zip Phone •T16R�+-+� Irl 14Z (070 bS � Z' n Sq. FtzOrfJject /�(Y ug _ �1 _ Occupant "'�ANy� s`H �'��S — — 0�� Oc_cncy Class(es) Name ":--s Contractor JQ�`Pill �'�1 � Type(s)pf Construction Prior to permit Mailing Address — Sulie —� -- ,—N Issuance.a copy 7v SCJ 4^0r, WII this project have a Fire Suppression System? of all licenses _ __— Yes ❑ NO n are required If City/Stat ezip Phone Americans with Disabilities Act(ADA) expired In c o T e Partici ation database 7LValuation X 25/e = $ 7POregon Board I_ic# Exp Date Complete Accessibility Form Project $ — Na Valuation _` _ Architect `T u-�� "��''` Plans Required Ser Matrix for number of sets to submit Malin,Address Suite --- on back VIC) JW City/State zlf Phone r1hereby acknowledge that I nave raad this application,that the information �ZyyZ,r/ n is correct,that I am the ner or authorized agent of the owner,and plans subm'tted are in corn liance with Oregon State Laws Engineer Namenature of Owner/Agent Date Mailing Address Suite 41 ! J 3Vi SW N !�� ontact Per on N-a-rne-�� Phone CitylState zip Phone --� FOR OFFICE_USE ONLY Indicate type of work New*�'Addition O Demolition O G T'L# r Land Use: Accessory Structure O Foundation Only 0 Alteration O Repair O Other 0Notes. Descrlptlon of work: �r /' TIF Note Site Work Permit Application must precede or accompa., Pullding 1c Permit Application --7 I+cOMNEWII DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans I KEY: Submitted S (Private) 1 S = Siie Work B (New or Add) -�--- -- - 1- - B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add)_______1___ P = Plunibing P (New, Add. or Alt) 2 F_ = Electrical B & M & P (New or Add) ` 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M_& P & E - 3 Alt \ Alternation to Existing (Ne-.,v , Add)_ \ Building *B or B & M (Alt) 1T *B & M & P (Alt) 1-3 *B & M & P & E & F(Alt) /3 NOTES: *Shaded areas designate ALT submittals only. I\dsts\formsimatrxcom doc 10130/98 CIT OF TIGARD — ELECTRICAL ENER - 1 RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2001-00008 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/16/01 PARCEL: 2S101 AC-00900 SITE ADDRESS: 07128 SW GONZAGA ST 100 SUBDIVISION: BEVELAND NO. 2 ZONING: MUE BLOCK: LOT: 015 JURISDICTION: TIG Proiect Description: Tenant Improvement A.RESIDENTIAL B.COMMERCIAL AUDIO & STERFO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 3 Owner: Contractsr: ROCKY MOUNTAIN LAND LLC GREENLINE INC 12540 SW 68TH PKWY PO BOX 230755 TIGARD, OR 97223 TIGARD, OR 97223 Phone: 503-670-8585 Phone: 968-1978 Reg #: LIC 103033 ELE 34-397CL FEES Required Inspections Type^By Date _ Amount Receipt Ceiling Cover PRMT CTR 1/16/01 $225.00 2720010000 Wall Cover Elect'/ Final 5PCT CTR 1/16/01 $18.00 2720010000 Total $243.00 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 wi!I be dine in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended fnr more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0030 Ycu may obtain copies of these rules or direct questions to OUNC at (503) ?46-1987 - Issued by ,�_ _ Permittee Signature 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 ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE_ NO _.------ —� �� -- -------- —^— -- -- - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Datercceived: i p/ Permitno.: O/-006-'8 City Of 'Tigard Project/appl.no.: Expire date: CilygTigard Address: 13125 SW Nall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.. Payment type: I Land use approval: TVPF OF PFRNIIT U 1 &2 family dwelling or accessoryO'ununcn_utVnulustrcd U Multi-family _J Tenant improvement t U New construction U Addition/alteration/n,-placement U Other: U Partial 1 1 . SITE INFORMATION Joh address: We. &A / sr FLOog f Bldg.no.: Suite nom Tax teal,/I;tx lot/account no.: —i Lot: I Block: Subdivision: Project name: Description and location of work on prerniaes:�� Y(�_�� Le & Estimated date of completion/inslxction: b Job no: ��}^^ Fee Max BUSIne55 name: L.JN6 .[I1JG — lk�criplion Qty. (ea.) Total no.insp / Ne"residential-single ur multi-fandly tier Address: d„elling unit.lncludcw attached ganrl e. City: State' ZIP: 2& Sersics•hu•hrded: "hone: I'ax. E-mail: - I(XX)sq it.urless d 1 Eaclm addmoual 500 sy.It.or onion thereof CCB no.: Elec.bus. Irc.no: C( - Limited energy,residential City/metro lic,no.: Limited energy,non-residential thfrl" � __ /�1_-_ Bach manufactured home or modular dwelling Signature of supervising electrician(regwrcd) pn { Service and/or feeder - y Sup.elect.name(print): License no Services or feeders--InstallalIon, alteration or relocation: 2110 amps or less _ 2 Name(fin fit): —.�/V� 201 amps to 4W at. _ 2 401 amps to 600 amps 2 Mailing address: 2 w 601 amps to 10X10 amps _ 2 city: �GA R� State LIP: 3.1 Over loot)amps or votes 2 Phone: Fax: E• .tail: Reconnect onlyI Owner installation:The 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,orrelocallen: ORS 447,455,479,670,701 200 amps or less 2 201 amps to 400 amps 2 Owner's SI nature: Date: 401 to 6W art s — —---- ------- 2 Rranch circuits-nee,alt-ration, or extension per panel: Name: A Fee for branch eirc•.its with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: ZIP: It Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: I ;t� E-mail' Eac t additional t•�nnch circuit. misc.SService o•,eerier not included): U Service over 225 amps-conimereial U Health-care facility Each ppmp or iml!anon circle _ _ 2 UService over 320amps-rating oft&2 UHazardouslocation F:achsignorouthnchghting 2 family dwellings U Building over 10,000 square feet four or Sign a circu ills)ot a limited energy panel, U System over 6W volts nominal more residential units in nne structure a1wration,of extension* S 15t- • 5tU Building over three stories U Feeders,400 amps or more • 11escri tion _ U Occupant load over 99 p^tsons U Manufactured structures or RV park tLc'h addiirnal Inspection oyer the alloNable In any of the above: U EgrgsVlightingplan U t Rher. _ 1'cf inspection .v s Submit__._sets of plans Mith any of the above. Investigation lee 'The above are not applicable to temporary construction service. other Nom all atisdictions acce ,relit cards, lease call urialic0on fon more tnfon Permit fee.....................y f M p i Notice: flus permit application U visa usterCard expires if a permit is not obtained Plan review(al _ 9h) $ _ Credit cant numbet _ _ within 180 days alter it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL $ 2 Name of c shown on credit card f �- Cardholder signature Amount ""Ms(fsAWOM) Electrical Permit Fees: limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ p Restricted Energy Fee..................._ ................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less $.45 15 4 ❑ Audio and Stereo System, Fach additional 500 sq ft or portion thereof _ _ $33.40 1 BLirgiar Ala, Limited Energy � $75.00 Each Manufd Horne or Modular (� Dwelling Service or Feeder _ $9090 2 L-J Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030_ 2 201 amps to 400 amps $10F 85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 ❑ 601 amps to 1000 amps $24060 2 Other - Over 1000 amps or volts r- 1454.65 2 Reconnect only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $7E.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 1 401 amps to 600 amps $133.75 2 Check Type of Work Involve(j: Over 600 amps to 1000 volts, see"b"above.. ❑ Audio and Stereo Systems Branch Circuits ❑ flew,alteration or extension per panel 9oiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder lee. Each branch circuit $665 � Data Telecommunication Installation b)The lee for branch circuits without purchase of service ' Fire Alarm InstallAtion r or feeder fee. First branch circuit _ $46.85 _ Fach additional branch circuit $665 HVAC r Miscellaneous Instrtfinentation (Service or feeder not included) Each pump or irrigation circle _ $5340 r-, Each sign or outline lighting $5340 Intercom and Paying Systems Signal circuit(s)or a limited energy panel,alteration or extension .3 _ $7500 ZZ•� ❑ Landscape Irrigation Control' Minor Labels(10) $125 00 Each additional inspection over — F-1 Medical the allowable In any of the above ❑ Per inspection _ $6250 _ Nurse Calls Per hour _ $62 50 In Plant $73 75 _ Outdoor Landsc ape Lighting' Fees: Protecti%-e Signaling Enter total of above fees $ Olhnr _ — 8%State Surcharge $ ---3----Number of Systems 25%Plan Review Fee See"Plan Review"section on $ �� No licenses are required Licenses are required for all other installations front of application - m, Fees: Total Balance Due $ 24 -- - Enter total of above fees ❑ Trust Accc. .t# _ 8%State Surcharge $ O• Total Balance Due $ ��• i'uistsUorms\elc-fees.doc 10/09/00 CITY OF T IG A R D _ BUILDING PERMIT PERMIT#: BUP2001-00445 < DEVELOPMENT SERVICES DATE ISSUED: 12/11/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101AC-00900 SITE ADDRESS: 07128 SW GONZAGA ST 2.10 SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL ZONING: MUE BLOCK: LOT: 015 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: 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: $ 9,000.00 Remarks: TI add two walls approximately 20'and two doors to create an additional office Owner: Contractor: 1 OMMY, BOB L SUDIE E CPS CONSTRUCTION INC 112.0 SW GONZAGA 124.54 SW 114TH TERRACE= I IGARD, OR 97223 TIGARD, OR 97223 Phonc: Phone: 503-579-0148 Reg #: LIC 102248 FEES REQUIRED INSPECTIONS Type By Date Amount Rviceipt Framing Insp sp PLCK CTR 12/4/01 $63.41 27210100000 Gyp Board Final Inspection FIRE CTR 12/4101 ;51.88 27209100000 Total $135.29 This permit is issued subject to the ; 'gulations 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 riot started within 180 days of issuance, or if work is suspended fcr more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rifles are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a cop,,- of these rifles or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Da�creceived: ; � � City of Tigard � /�) /� �' / Permitno.: 7 Dl .DU • Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecL/appl.no.: Expire date: Crr t ,/I itivlyd B Date issued: t Phone: (503) 639-4171 Y� Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: .;Incl use approval: 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement Tenant improvement U Fire sprinkler/alarm U Other: .1011 S1 I L'IN FORMATION Joh address: 7128,';!,d 0rJ Z r4&,4- 07 1 Bldg, no.: Suitc no.: Lot: Block: Isubdivis'on: _ Tax reap/tax lot/account no.: Project name: ry DS vJ #4.C.Co - Description and location of work onpremises/special conditions: '4'E C v�l�0_� t?�'<it11 //s Ars i.Cif �i .S �r MINI it FOR SPFCIAL INF04NIATION, USL' CHECKLIST Name: cv y A4Q C (Floodplain,septic Irapacift,War,etc.) Mailing address: /a_8 .57 Jonr 24-6.+4 2/0 1&2 family dwelling: City: aluation of work........................................ h Phone: Fax: E-mail: No.of hedroorns/haths................................. Owner's representative: Total number of floors................................. Fax: f:-m;ul: New dwelling area(sq. 11.) .......................... Garage/carport area(sq.ft.) ........................ --- _ Name: ;P(.5."J /�/►2f Covered porch wea(sq.ft.) ......................... Mailing address: S! < Deck area(sq. ft.) ..................................•..... City: �.� 4) Sta&_- ZIP: 2L Outer slructore area(sq. ft.)......................... Phone: '� iommercial/Industriallmult I-family: D1 pe3/E3 Fax:S` -01 / E-mail:E nutil: Valuation of work........................................ $ - S Existing hidg.area(sq. ft.) .......................... Business name: S _ / New bldg.arca(sq.ft.) ............................... Address: City: Fv ZIP: y1 Number of stories........................................ -- - Phone: 3 ,o fl s/�3 Fnx:jj �� E-mailTYIx of construction.................................... CCB no.: /Q 2 Z`�Pj Occupancy group(s): Existing: _. --- - New: City/nietro lic.nt' 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 he licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: 7,11' - exempt from licensing,the following reason applies: Contact person: Plan no.: — — �=— I'In�nr I a� P nrul- Name: l'tatlact perstat Fees due upon application ........................... $ _ Address: _ Date received: City: State: /.I P: Amount received ........................................ $ Phone: Fax: I E-mail: Please refer to fee schedule. hereby certify I have re d examined this application and the Not all juriw!;c ionx accept credit cardx,please call jurisdiction for mote information. attached checklist.ILII p v' ions o la s and ordinances governing this U Visa U Mastercard work will be coM le r cified herein or not. Credit card number: Expires Authorized s rat Date: Name of cardholder as shown on credit card 17 Print name: _ _ Cadholder signature Amount Notice:This pertnit application expires if pe it is not obtained within 180 days after it has been accepted ay complete. 4* alt teaorcoMl F45 51.,�s8 i Commercial Plan Submittal Requirement Mat>r•ix 01.1,of'T igard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible perking) - Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 j Plumbing - Building Fixtures 2 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, ar.d Tualatin Valley Flrf' & 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, or NICET level "3" technicians. I:\dsts\forms\COM•matrix.doc 9/24/01 cn •o „(-)i y f/ m � � v / � om sa - TD _ DtD ol VdI .4N 18a Ln FFY a � i V Ln w � N�.IN o,WG L 14 p N ww.4 . • •. ,.. 14 If gg,, , /i . (-4t NR (� o � Sent By: CPS CONSTRUC110N; 503 578 0221 ; Dec-4.01 8:0/N"; Page 2/.' NE r.04MCTOR 16 To MFrlvt PE T1E C*MtACfgR*to CftenjW *0 W6TALL,CZ L.M4 Cw)- r FOR EAGH LlT°ACz T6+E)wXT)illt Gr NOT, DY LAMOi.CRp u kj-b *Y10.op.f pat t�Pmh'amIgRANcl�tbi'-1�. IP L7!MMft W^4A RAM FUPPM FioTR 6)0606W rueMW/ Cell f"- 4 1 R ALL TSR MCLLtM'O M TMS:OG1oM Or m�IK Or—AS PS=TO STP= Arm, T-ElAR C CMECt L Is x to CrIL b—"-�` (� *GuIjmo=m SUBPENMACCT AT WAL LCOW"air LA LN3!Ys Wit, o � ^ OR"cauAL.. F wwom ocaft - PAOM TOP TRACK TO T1?+BRACE Ab bid'GYP.00,,Upw A%V MMM 9 v�MATM AL4.OLPFAG166-M6t4L N AGCOROI im OM&T*CAWD OTALX&iw pY Tw WTH 'ICaDt7-?3ad - -_.____ 3 IND"x a GSA 6?"* is,OG. r rcY t-DRJVR+ - (050 4465.01�1R r+ETAL elope! PH.Y MW"EACW ALt'i W"TE-tx4 U=OTXG 24'OG. - �- ' 1'0}R htt DLALPM TBiWT SPACE MLt.ENf SAW OYM FMLD(t BASE Ovrrt ' SNI.VWM n.Gx.7R cL C.ARVIET — --• 1-04T METAL LFCOW AT Gil SIDE cir TRACK AT STUD. '"'OP/E!CAPW,SL.AD! � ' PPVVVE P$"-WAO CMM fiiMT AT ALL QUTSID! ��COIMrAO E rev • • ° n < _— • MI FSR STO MALLS WAwa WLW-< C�lAPET uAi1l1 O> l� . 1f PIU tiMK T1P COFiAi. NMACTOR bL Lq.l` PROY"Mk A"I STW6 A 16,OCA •MOvTD!<TYP.,imb Whoa DACKm WW� WO=WALL BE u *M Fmr, 4: x FM N PWV ISY LOCAL cOpf TYPICAL P,IRTITION ��JIvP��.�n � /��T�C c.•4T.-e, rte, 12454 9W 114th Toram ague,OR M3400 SLta.31�.c1?1a sei sr�.ntTu � „�