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7128 SW GONZAGA STREET STE 210 J, N 00 C G) O N C1 d fD CD M N 4 i as ep, I 1 1� . i 7128 SIN Gonzaga Street #210 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00445 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/11/2001PARCEL: 2S i01AC-00900 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 07128 SW GONZAGA ST 210 SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL BLOCK: LOT:015 CLASS OF WORK: ALT TYPE OF LISE: COM TYPE OF CONSTR: 5N OCCUPANCY GRF: B OCCUPANCY LOAD: TENANT NAME: REMARKS: TI add two walls approximately 20' and two doors to create an additional office Owner: TOMMY, BOB L SUDIE E 7120 SW GONZAGA TIGARD, OR 97223 Phone: Contractor: CPS CONSTRUCTION INC 12454 SW 114TH TERRACE TIGARD, OR 97223 Phone: 503-579-0148 Reg #: LIC 102248 This Certificate issued 01/23/2002 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the ';tate of Oregon Special'.y Codes for the group, occupanc , and use under which the referenced permit was it eyed. BUILDi�JG INSPECTOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 R�tsiness Line: 639-4171 BLIP _ Date Requested '4 -_— AM__ PM Location Suite MEC Contact Person �i1¢ty _—_ Ph -,5 77 3 E // PLM Contractor Ph S11VR BUILDING Tenant/Owner ELC -_ Retaining Wall ELR Footing ACr,eSs' Foundation FPS _ Ftg Drain SIGN _ Crawl Drain Inspection N / ----- Slab SIT Post&Beam ----- -- Ext Sheath/Shear _ Int S;ieath/Shear — Framing _ Insulation Drywall Nailing - -- - l CC '�`� ,� L- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Mise A PART FAIL - 71� UMBING Post& Beam - Under 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 V- 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 S.rpply Line [ )Please call for reinspection RE _ - [ )Unable to inspect no access ADA Approach/Sidewalk .rG p actor Other Date -LY— _— Ins _ �C _Ext _ Final PASS PART FAIL 00 NOT REMOVE this inspection record the ,fob site. CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00163 -- 13125 SW Hall Blvd., Tigard, OR 97223 (503)63941'11 DATE ISSUED: 05/11/2001 PARCEL: 2S101AC-00900 ZONING: MIJE JURISDICTION: TIG SITE ADDRESS: 07128 SW GONZAGA ST 210 SUBDIVISION: PAHLISCH/GUNZAGA PROFESSIONAL BLOCK: LOT:015 CLASS OF WORK: ALT — TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 6 TENANT NAME: REMARKS: Commercial TI. Owner: ROCKY MOUNTAIN LAND LLC 12540 SW 68TH PKWY TIGARD, OR 97223 Phone: Contractor: PLATINUM CONSTRUCTION SERVICES 15635 SE 114TH AVE STE 106 CLACKAMAS, OR 97015 Phone: 503-625-4219 Reg #: LIC 125511 This Certificate issued 0 711 812110 1 grant 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 perin)tyv��ajjs issued. BUILDING INSPECT6R BUIL O FI IAL -- POST IN CONSPICUOUS PLACE ZZ, CITY OF TIGARD BUILDING INSPECTION DIVISION rAST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Requested _—.AM.---PM _ BLD ___ --- ,- Location2 , 5"' G�i'� w Suite Ll(1 MEC Contact Person —_ Ph S �� 7 PLM — Contractor _ _ Ph - SWR -- --- BUILDING Tenant/Owner _ — ELC Retaining Wall ELR _�- Footing Access: FPS Foundation ••'� __.----__----____-- Ftg Drai S�,,, �c,.,,1, S G N ---- Crawl Drain Inspection Notes: ---- _ — Slab --- - SIT --_------------ Post& Beam Ext Sheath/Shear —--- ---- --- - -- Int Sheath/Shear Framing _ _ -------------- Insulation -----Insulation Drywall Nailing _ ----_.— --- - Firewall Fire Sprinkler — --- - - Fire Alarni Susp'd Ceiling - Roof Final _ PASS PART FAIL. --- -- .II Rf NG Post 2 Beam-- - — Under Slab Top Out Water Service Sanitary Sewer Rain Drains S ART FAILMEMUNICAL [lost& Beam r �! Rough In Gas Line -- Smoke Dampers Final PASS PART FAILP-- ELECTRICAL Service _ — Rough In UG/Slab -- - Low`.'oltage Fire klarm --- Final PASS PART FAILSITE Backfill/Grading Sanitary Sewer Storm Drain I I Reinspection fee of$ required i More next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin , Unable to inspect-no access Fire Supply Line [ ,Please call for reinspection RE:,—_ -- � 1 p ADA � - .' ' Approach/sidewalk .__y' '_3 /C' / G�F . ExtOtherDate Inspector �'� / �"�' _ -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TI GAR D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: 5 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4'171 DATE ISSUED: 5//24/0124/01 1 00165 PARCEL: 2S10 AC-009()0 SITE ADDRESS: 07128 SW GONZAGA ST 2.10-FOR FUTURE SUBDIVISION: P3WLISCH/GONZAGA PROFESSIONAL ZONING: MUE BLOCK: LOT: 015 JURISDICTION: TiG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: b VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. iNCIN: 3 - 15 HP: COMML. iNCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE- 50 + HP. CLG DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Mechanical tenant improvement, adding ducts and grills. Owner: FEES TOMMY, BOB L SUDIE E Type 9y Date Amount Receipt 7120 SW GONZAGA PRMT GTR 5/16/01 $72.50 272001000C TIGARD, OR 97223 5PCT CTR 5/16/01 $5.80 272001000C Total $78.30 Phone: -- _ - Contractor: GOHMAN MECHANICAL INC 412 S BEAVERCREEK 602 REQUIRED INSPE_G1"IONS _ OREGON CITY, OR 97045 Duct Inspection Phone:650-1588 Final Inspection Reg #:LIC 119952 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This perm;. will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of theseples or direct questions to OUNC by calling (503)246-9189. Issue By: /l [e � � Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the nexibusiness day Mechanical Permit Application '— Date received: /4j C Permit nu: l:� / ep/ City of Tigard Project/appl.no.: Expiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receiptno.:_ Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ Building per,nit no.: 1 ❑ I &2 family dwelling or accessory U Commercial/indusifial _1 N1u111 lannlc enant improvement U New constniLlion U Add ition/al leration/replaceme,! J r 111 cl --_----_--_____ 1 ' SFtE NIPORNt1 Jot)address: 71.z V.A/;A Alp 10 Indicate equipment quantities in boxes below.Indicate!ne dollar Bldg.no.: I Suite no.: value of all Incchanjcal materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.value$ /_x �C - I'ot: Bluck: Subdivision: *See checklist for important application information and Project name: 1�,)v ; �r � dC, jurisdiction's fce schedule for residential permit fee. City/county: �r r:y �Zha '� Z 2 �'i 1t Description art location of work on premises: N��f t�,�.� r t ► 1 t Im 't7 c,tC-t .,•s n,�, � a,i +):L�-r�q .�t tt of r'1.. l rY(c:t.) 7 ulal Est.dale vi complelion/inspeclion: Ilcwcri tan Oty. Rm.onlr Res.onl Tenant it tprovement or change of use: Air handling unit _CFM__ - I!i existing••pac, heated or conditioned?V4es U No tr conditioning(sue plan require ) _ 1;existing.,Pace t,islilatcd?W Yes U No Alteration of existing HV system of er compressors u State boiler permit no.: Business name: e7ry/pl/i�/ r £�H"� /����- HP Tons BTU!14 Address. r / .AOr1;F` iZZ►F_ K Z- --ire/smoke amper uctsmokc etectorr, FIty;, t -i. Statet, ZIP:4470Y5- em pump(site plan required) Phone ;A 1 ax:�r•o'' E-mail: nsta rep ace furnac urner B Including ductwork/vent liner ❑Yes O No CCB no.: Sx. _ i sia rep ac re ocale heaters-suspended, Cityimclro lic.no.: of I wall,or floor mounted Name(please print): Vent fora iance other than furnace e gerat on: CONTAUF PERSON Absorption units BTU/H i .r Chillers HP T r �f r•.tr-•IG~'/..��'J"� Comressors HP Address: — env rontnenta eximust and ventilation: City: State: ZIP: Appliance vent _ Phone: '' R' Fax:, -,deg E-mail: ryerex aest — no s, ype Tres. itc a azmat hood fire suppression system _ - -- Name: Exhaust fan with single duct(bath fans) Mailing address: Exhaust systema art fnnn hcaun or AC _ Cit Stale: ZIP: Fuelpiping an st at on(tip to ocUcts) Y Type: LPG NO ---Oil Phone: Far E-mail: Fuc i in e'ch aTditio'na over er 4 outlets win IN a roeesspp.ag(schematic required) Number of outlets Name: A Other Ned appliance or equipment: Address: _ Decorative fireplace City: ate: ZIP: nsert-type ' Phone: x: 4494 1 -�iL-- Woodstovclpcllel stove _ Othec: Applicant's signature: Date:5 /b o/ Of er. Name (print): Nd NI jurisdfrauns acce(a ctdtit cants,plense call jurixlictlrm ftx nxrce iu/orrnarion Permit fee.....................$ N visa O uns accMasterCtvd Notice:This permit application Minimum fee................$ _ expires if a permit is not obtained plan review(al ^ 96) $ v^ Credit card mmnher _ _ _ Hoo L within 180 days atter it has been State surcharge(8%)....$ --C]--�— acce ted as complete. Nemo of canatol ren fhmrn on c ii crud s pTOTAL ................ ­ Crdholder sipiatwe Amount ")-4617(15WCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: i- Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table a Mechanical Code Qty (Ea) knitm $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace t 0 BTU $1.52 for each additional$100.00 or including dd ucctsls&vents _ 1400 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00, including ducts&vents 1740 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $1)0,001.00 and up 1 $712.00 for the first$50,000,00 and Check all that apply: Boiler Heat AU $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comy* 7)<31­11P;absurb unit rASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00 Value Total 8)3-15 HP;absorb VAmount unit 100k to 500k BTU 25.60 Descd Non: Q al 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 rrtll BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mi,BTU 1 87.20 Suspended heater,wall heater or 9.55 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not included In applicance 445 13)Air handlir q unit 10,000 CFM+ ermit _ _ 17.20 Repair units 805 14)Non-portable ev.3porate cooler <3 hp;absorb.unit, 955 10.00 _ to 1100k BTU 15)Vunt fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU - 16)Ventilation system not included In 15-30 hp;absorb,unit,50 to 1 2,310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 1000 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 18)Domestic Incinerators 17.40 >1.75 mil.BTU - 19)Commercial or industrial type incinerator Air handlingunit to 10,000 cfm 656 69.95 Air handling unit>10,000 cfm 1,170 20)Other units,Including wood stoves Nor,portable evaporate cooler 656 1000 Vent fan connected to a sin le duct _ 446 21)Gas piping one to four outlets - Ven:system not included in 656 5.40 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1,170 1 _ Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590_ Other unit,including wood stoves, 656 -� -�8%State Surcharge $ Inserts,etc. Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other Insaectlons and Fees: 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>:00k BTU. "Residential AIC requires elle plan showing placement of unit. I:Wsts\formsVnech-fees.doc 10/11/00 CITYO F T I G A R DELECTRICAL PERMIT PERMIT#: ELC2001-00271 DEVELOPMENT SERVICES DATE ISSUED: 5/24/01 13125 SW Hall Blvd.. Tiaz ' nR 97223 (503) 639.4171 PARCEL: 2S101AC-00900 SITE ADDRESS: 07:28 SW GONZAGA S-f 210-FOR FUTURE SUBDIVISION: P",Ml-ILISCH/GONZ-AGA PROFESSIONAL ZONING: MUE BLOCK: LOT : 015 JURISDICTION: TIG Proiect Descriptio,: Installation of feeder and 9 branch circuit;;. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SiGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF HMI SVC/ FDR: vUl+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRC LIIT5 — ADD'L INSPECTIONS----- 0 NSPECTIONS ___ 0 - 200 amp: W/SERVICE OR FEEDER: 9 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 amo: _ __ PLAN REVIEW SECTION _ 1000+amprvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPSCLASS AREA/SPEC OCC: Owner: Contractor. TOMMY, BOB L SUDIE E MAYER ELECTRICAL CONSTRUCTION 7120 SW GONZ-AGA 1736 NE 54TH CT TIGARD, OR 97223 HILLSBORO, OR 97124 Phone: Phone: 503-844-9700 Reg #: LIC; 141323 ELE 34-564C SUP 4682S II_— FEES__ _ Required Inspections I i;,pr e By Date Amount Receipt ( Wali Cover PRMT CTR 5/24101 $140.15 2720010000( I Elect'I Final 5PCT CTR 5/24/01 $11.21 2720010000( Total $151.36 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specizlty Codes and all oiher 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 I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregr r'Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain (.)Dies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344 Permit Signature: — Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is rot intended for sale, lease, or reri', OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �� 1 1 �"���_ DATE: LICENSE NO: ___ L\ L Call 639-4175 by 7:00pm for an inspection the next business day 05/17/01 THU 08:19 FAX 503 588 1960 C1'1'Y OF TiGARU @002 Flcctricai Permit Application -�� 2a !i /) Permit no.; Q� " "1>:y of Tigard I'tojccUappl.no.: lsxpiredate: — City of'%l�gard Address: 13125 SW Nall Blvd,Tigarll,OR 97223 Dateissuml: N,y' Itxelptno.: Phone: (503)639-4171 — - Fax: (503) 598-1960 Case file no: Payment type: Land use approval: ❑1 8t 2 family dwelling or accessory U CotndixnciaVindustriai U Mldti fruuily Tenant improve mean U New construction U Additiordaltcrution/rcplat:eruenl ❑Other. Partial Joh adds s: ''I\2 W (® zA(.(aHldg.w Suite no.rMM Tax m frac lot/account no.: Lot: Block: _ Subdivision: _ -X�1 u 1'toir•.ct name: ion and location of work on Premises: � i~`L0. , _ _I Fstlrnated ilale I ti cnrnPiet ion/inspection: Job no: t,'•' Ufa, Business name: tZ 'E Y cl\ t� Ct)�iT, Description W ea I ural no.fns it-+ingle or mull family per Addreea� CT` it.locMnksaltachedgnrage. City: State.cr[v z[P: q��"2 y� ,enwel"rladed_ Phone: Pax: (Al- t\Y E-mail: 1000 sq.A.or lees 4 CCB no.: Elec.bus.lic.nu: 3►.1�.- yL Each additicnal 500 sq.ft.of portion thereof Limited energy,residential 2 City/marc,lie.no.: �� 1raSU`e T 0 PiT Llwiletlens y,non-residential _ Z Ener menu factures)horns or nodular dwelling Slgttttutre of supervising electqE uitud) Date n Service and/or feeder 2 _ Sup.elect.nanle(print): \ t�L 1,iccnscoo:Lk6%I Serviceearfeeders-I"allation, alteration or relocation: 200 amps or Icss _- Q 2 201 amps to 4013 amps 2 Name(print): - --- Ml.iling address: - 401"a to 600 amps 2 — -- 601 amp$to 1000 amps 2 City: — State: L 1P Over 1000 smps or volts2 — Phone: Pax: 1-nmil: ttccowletxonly 1 f-t,mcr installation:The installation is being,made on property 1 own Teroportryservkevorferders- which is no!intended for sale,lease,rent,or exchang:ammrd:ng to iraltUallon,dterallon,rxrrlocatitra: ORS 447,455,479,670.701. 200 amps or lem _ 2 201 amps err 40r1-amps 2 Owner's si aturc: Dsie: _ 401 to 600 ams 2 MOM TI Branch elmoits-sew,alteration, or exta Igloo per panel: :Addji;!,, 11eA. Poefu ranch circuits with purwascof : — service mrler e,each branch circuit ,Q 2 : SlutC. : U. Fee fur r elrcul s without purchase ne:: Fax 1F-mail' of$erviceorfeeder fee,first branch circuit: 2 L'uch additional hunch circuit Misr.(Cervlce or feeder not Included): G Service over 225 amps-mmrroercial :J I kahh-care facilit ILrch pump or irrigauon circle 2 G Service over 320 amps-rating of 1 tk2 O Hazardous locauo r Pach sign or outline lighting _ 2 familydwellings U building over 10;*Ll square tett fuut or Signal circuit(s)or a limited etrergy panel, U Systemovee 6W volts nominal more residential uaiis to one structure alteration,orex�eruclun' 2 UBuilding over date stories UFeeders,400amp;ormore •Deuri Linn* _ G Occupant hind over 99 persons U Manufactured stn ctures or RV park FAch addlnuaal Inspection over the allowable in any of The above.• U ligrats/lighungplan U Odra. — -- Perimtpecuon Submit—ars of plans whb any of the above. Investigation fee The above are not applicabM to tempor m7 comb cation service. Other — Permit fee.....................$ Nut all jurteclkuans weep coedit cards,plesac call junwscuon for morn hlftsmulnn. Notice:Tills permit application U Visa U MasterCard expires if a permit is not ohlained Plan review(at _ %) 5 _ l� within 180 days after it has been State surChRMe(13%)....$ ►\ 7-� Gap res accepted as complete. 'l'U1'AL $ \C\r Nuns ut con.11looldtt u shows on im t:$M S Cardholder$iysnure' Aim ani 440.4615(bMW M) z� id' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 r D U P --_Date Requested- (p 2 I — AM __PM __ BLD Location 7/Z� 3c✓ Go 17 L?G 4 Suite GU MEC Contact Person / Ph Z !-U PLM — Contractor f0y l►�,> Pia / U V., Ph _ SWR BUILDING Tenant/Owner EL C Retaining Wall T! ELR Footing Access: _ t Foundation FPS _ Fig Drain SGN Crawl Drain Inspection Notes' — Slab ---- - --- '4 C{ ` �' L' V► -_ -- SIT Pos & Beam - Ext Sheath/Shear Int Sheath/Shear Framing iosulation Drywall Nailing - - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc - - -- ---- ---- - Final PAS 3 PART FAIL -- PLUMBING Post& Beam ---__- - ---- Under Slab Top Out Water Service IL kill - Sanitary Sewer - Rain Drains Final PASS PART FAIL _- M. C_HANICAL Post& Bearn _.__--- Rough In Gas Line --- - --- --- ------ -- - -- Smoke Dampers Final - -- --- A" --PART FAIL Service F;ough In t;G/Slab ow-CTo = - SS ART FAIL --_— - ----- ------- 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 [ ] Please call for reinspection RE -- _ j Unable to inspect no access ADA Approach!Sidewalk Other Date G Inspector –'ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL PERMIT- CITY OF TI GARD RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT#: ELR2001.00167 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED. 6/20/01 SITE ADDRESS: 0712.8 SW GONZAGA ST 210 PARCEL: 25101 AC-00900 SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL ZONING: MUE BLOCK: LOT: 015 JURISDICTION: TIG Proiect Description: Installation of restricted energy for data telecommunications. A RESIDENTIAL B.COMMERCIAL AUDIO & STERF J: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSFIRE ALARM: OUTDOOR LANDSC LITE: OTHER- HVAC: PROTECTIVE SIGNAL: INSTRUMENT.JON: OTHER: TOTAL#OF SYSTEMS: 1 Owner: — v Contractor: ROCKY MOUNTAIN LAND LLC NORTHWEST I IFTWORKING + CONSULT 12u40 SW 68TH PKWY DBP, 3D TECHNOLOGY INC TIGARD, OR 97223 9150 SW PIONEER CT ST 4T-1 WILSONVILLE, OR 97070 Phone: Phone: 582-1190 Reg #: LIC 112306 SUP 2852JLE ELE 34-416CL FEES Required Inspections Type _ By Date Amount Receipt r Low Voltage Inspection PRMT CTR 6/20/01 $75.00 2720010000 Elect'I Final 5PCT CTR 6/20/01 $6.00 2720010000 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 pern-A 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 req uirasyouTo--follow rules adopted by the Oregon Utility Notification Center. Those rules are set f6rth in OAR 95 ,e001 1010 lhrough-OAR 952-001-0080. You may obtain copies of these rules o rec stiors to OUNC at (503) 246-1987 Issued by ; a ��� ( jl Permittee �ignahire OWNER INSI kLLA,ION 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 -- Date received: (r D C/ Permit no.: City of Tigard Projecl/appl.no.: Expire date.- City ofTigard Address: 13125 SW Ilall Blvd,Tigard,OR 97221 Date issued: By: Receiptno.: Phone: (503) 639-4171 Payment Case file no.: Y type: Fax: (503) 598-1960 Land use approval: f U I &2 family dwelling or accessory #fConunerciel/indi ,vial U Multi-family U Tenant improvement U New construction U Addition/altcration/replacement U Othe.: _ U Partial Joh address: /' Bldg.no.: Suite nu.:�l 0 Tax map/tax lot/account no.: _ Lot; Block: Subdivision: Project name: Description and location of work on premises: e��c FaHinaied date of completion/inspeclion: 1'ee MAX Joh no: _ Ikrtn(rion Ipy• (cu) ratui no.sus, Business name: dl c 0 -L New teddaltlal-sb,gFrorneuld-famih per _ AddA - SCeJ r1 Sv - dwellinganit.Includes atta:•ladgarage. City ), • / Stat ZIP: 7 Servlcelncludtd Pho -//�tfj Fax: )- �j/v Email: 1000 sq.ft,or less 4 Each additional 5o0 sq.ft.or portion thereof CCa� U Elec.bus.lic.no:3-4 -q/ G t Limited energy,residential 2 City/mClto H Limited energy,non-residential 2 l ii Each manufactured home or modular dwelling Signature of rvising electricia�ttequigcd) Date Service and/or feeder 2 ' /( License no $s� Servvicesorfeeders-Installation, Sup.elect.name(print): nr V alteration or reloralion: 200 amps or less--- 2 201 amps to 4W amps 2 Name(print): 401 amps to 600 amps 2 Mailing address: 601 amps to loon amps 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: Fax: Email: Reconnect only1 .----- Temporary aervkea or feedei>r- Owner installation:The installation is being made on property I own Installation,site-ation,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or less _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps _ _ 2 Owners signature: Date: 4 s 2 01 to 6110 am Branch circuits-new,alteration, or extension per panel: Name., A. Fee for branch circuits with purchase of service or feeder fee,each branch circuit 2 Address: - city: Stale: 7.1Fr: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: F-mail: Each additional branch circuit: it kv MIAs.(Service or feeder not Included): Each pomp or imitation cireie 2 U Service over 225 amps-commercial U HealUrcare facility Each signor outline lighting 2 U Servlcx over 320 amps-rating of l&2 U Hazardous location Signal circuit(s)or A limited energy panel, / familydwellings UBuildingoverROWsquarefeetfouror B 2 U System over 600 volts nominal more residential units in one structure alteration,or extension* U Building over three stories U Feeders,41x1 amps or more *Descri tion: U Occupant load over 99 persons U Manufactured structures or RV park Each additlonal Ia-peetloo over the allowable in any of the above: U Egress/lighdngplan U Other — Per ins Ilion Submit J sets of plans with any of the above. Investigationfee The above are not applicable to temporary construction service. Other —� Pernlit fee.....................$ Not all Jurisdictions rccela credit car&pleaw call jurisdiction for moue Information. Notice:This permit application Plan review(at _._ %) $ U Visa U MasterCard expires if a permit is not obtained 6' Credit card number l�> �_1_— within 180 days after it has been State surcharge(896)....$ Exl:irer------ �'r— _ accepted as complete. i'OTAL .......................$ 6'-- Name of cw&older a&wn on crembi cud $ C of riffnalure Amount 440-4615(tL00ICOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEFS: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY /� Restricted Energy Fee........................................... ........ $75.00 Number of Inspections per permit..flowed) (FOR ALL SYSTEMS) Service Included: Items Cost Tot.,( y Check Type of Work Involved: Residential-per unit 1000 sq fl.or less $145 15 _ 4 ❑ Audio and Stereo Systems" Each additional 500 sq it or portion thereof _ $33.40 1 �1 Burglar Alarm Limited Energy – $7500 Each Manufd Horne or Modular Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener Services or Feeders Healing,Ventilation and Air Conditioning System' InstaVation,alteration,or relocation 200 amps or less _ $80.30 2 ❑ 201 an Ds to 400 amps _ $106.85 – – 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 ❑ 601 amps to 1000 amps $240.60 _ 2 Other Over 1000 amps or volts $454.65 _ 2 Reconnect only _ $6685_ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,aliaration,or relocation Fee for each system......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-2.60-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Invctved: Over 600 amps to 1000 volts, tee"b"above. ❑ Audio and Stereo Systems Brarch Circuits ❑ New,alteration or extension per pone) Boiler Controls a)Tha fee for branch circuits with purchase of service or ❑ Clock Systems fe,r,er foe. L3 branch circuit $665 _ 2 Ej Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $4685 Each additional branch circuit – $665 ❑ HVAC Miscellaneous LJ Instrumentation (Service or feeder not included) Each pump or irrigation circle –� $5340 _ ❑ Each sign or outline lighi ng $5340 –_–__ Intercom and Paging Systems Signal circuits)or a limiteo energy panel,alteration or extensioc -- – $75.00_ ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over F–] Medical the allowable in any of the above ❑ Per Inspection $62.50 T_ Nurse Calls Per hour _ 562.50 In Plant — °.73.75–_– ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ n Other R%State Surcharge $ of Systems 25%Plan Review Fee See"Plan Review"section on g No licenses are required Licenses are required for all other installations front of application -- - -- - Fees: Total Balance Due $ r—� — -- Enter total of above tees s – lJ Trust Account tl.__ 8%State Suronarge s_ Total Elalance Due i kdsts\fornu\cic-frcs.doc 06/07/01 CITYOF TIGARD _EWER COVNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWIR2001-00190 13125 SW Hall Blvd., Tigard, CQ 97223 (503) 639-4171 DATE ISSUED: 6/21/01 PARCEL: 2S101 AC-00900 SITE ADDRESS; 07128 SW GONZAGA ST 210 SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL ZONING: MUE BLOCK: LOT: 015 _ —JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS 5 CLASS OF WORK: ALT DWELLING UNITS. TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: IMPERV SURFACE: Remarks: .4 EDU increase: 5 new fixture value added to previous value of 81 for current total of 86 fixture values. Previous EDU count 5 plus .4 new = current total 5.4. Owner: _ FEES ROCKY MOUNTAIN LAND LLC Type By Date Amount Receipt 12540 S'IV 68TH PKWY — TIGARD, OR 97223 PRMT CTR 6/21/01 $920.00 27200100000 Total $920.00 _ Phone: Contractor: -- Phone: Reg#: Required Inspections ___--____ –, This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If riot so located. the installer shall purchase a"Tap and Side Sewer" Pennit and time Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted by time Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA P52-001-0080 You may obtain copies of these rules or direct o,uestions to OUNC by calling (503) 246 1987. 7 Issued by: Permittee Signature: G �C1Cl �r Cali ) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name:.,�4e111_57/leM This SWR#. JD�'r'C'/9`a f\ddress: %/�0 .Sud �/ZiJc�r� �w _ This PI_M#:,:)zn/- 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 Batt, -Tub/Shower 4 — -Jacuzzi/Whiril ool 4 Car Wash-Each Stall 6 -- - -Drive Through — 16 - CuspidortWaler Aspirator _ 1 _- Dishwasher-Commercial 4 _ _ - -Domestic 2 --- Drinking Fountain _ _ 1Eye Wash 1 — - Floor Drain/sink-2 inch 2 — - - - 3 inch 5 ---- _ -4 inch 6 --- Car Wash Drn 6 Garbage Disposal _ 16 Domestic;(to 3/4 HP) _ -- Commercial to 5 HP 32 Industrial over 5 HP 48 Ice Machine/Refrigerator Drains 1 _ Oil Se Gas Station _ 6 - - — Rec.Vehicle Dump Station 16 — Shower-Gan Per Head 1 - - Stall 2 -- - Sink-Bar/Lavatory 2 — Bradley _— 5 Commercial 3 — -- — Service ~— 3 - - Swimming Pool Filter 1 _ - - Washer-Clothes _ 6 Water Extractor _ 6 Water Closet-Toilet 6 — _— Urinal 6 TOTALS �' Total fixture values:___ divided by 16 = � _ -EDU S� 1Y HISTORY PLMVodd-Op _, EDU# SWR# PL�.�# _ EDU# SWR# PLM# EDU# c SWR#,-'o0o-4OJ7J PLM# EDU# SWR# PLM# EDU# _ SWR#.� rp/3� PLM#_ EDU# SWR# PLM# EDU# SWR# PLM#~ EDU# SWR# \dsts\swrtaly.doc CITYOF TIGARD PLUrvrdINGPER441T DEVELOPMENT SERVICES PERMIT#: PLM2001-00251 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/21/01 PARCEL: 2S101 AC-00900 SITE ADDRESS: 0712.8 SW GONZACA ST 210 SUBDIVISION: PAHLISCH/GONZAGA PROFESSIONAL ZONING: MUE BLOCK: LOT: 015 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 �~ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing fixtures for commeracial TI Other fixture includes primer Send copy of tally sheet to Amanda after issuin9 plbg. permit. FEES _ Owner: —`� Type By Date Amount Recaipt ROCKY MOUNTAIN LAND LLC 5PCT CTR 6/15/01 $5.80 27200100000 12540 SW 68TH PKWY PRMT CTR 6/15/01 $72.50 27200100000 TIGARD, OR 97223 - _ Total $78.30 Phone 1: Contractor: CASCADE MECHANICAL SYSTEMS INC PO BOX 399 ESTA(;.ADA, OR 97023 REQUIRED INSPECTIONS Phone 1: 630-4492 Rough-in Insp Reg #: LIC 127012 Final Inspection P[t M 3-324PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246- 87. i Icsued By �� -e-�j'}��� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Date received: Permit no.•._,1_t_M 'VO -oca5 City of Tigard ' ��CI Sewer permit Building permit no: Address: 13125 SW liall Blvd,Tigard,blt-97 `-- City oj7'igard Phone: (503) 639-4171 Project/appl.no. Expi,edate: ` Fax: (503) 598-1960 Date issued: _ By: Receipt no.: Land use approval: _ Mase file no.: Payment type: 7LUJI &2 family dwelling;or accessory U Commercial/industrial U Multi-family Tenant improvement New construction U Addition/alteration/repi aceniclit U Food service U OILer. - 1>Mscription (Xy. Fee(ea.) Total Job address; ( o+'L' New I-and 2-fatnily dwellings only: Bldg.no.: - Suite oto.: /�1 (includes 100 n.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: _ Subdivision: SPR(2)bath Project name: PL4-f cwt Cv"S FR(3)bath - City/county: 7, ate ZIP: -71,x.. Each additional bath/kitchen Description and oration of work on premises: Slteutilitles: Catch basin/area drain Drywells/leach line/trench drain Est.date of completion/inspection: t Footing drain(no. lin.ft.) _ '7 Manufactured home utilities Business name: Cv Ca AldC-A SuC4dot S Manholes Address: Q, O. Rain drain connector Cit a State , ZIP: 7 p d, Sanitary sewer(no.lin.ft.) City: Storm sewer(no.lin.ft.) _ Phone:603 L30,Y1401flx: E-mail: Water service(no.lin. ft.) —� CCB no,:/a 72Q/,Z Plumb.bus.reg.no: 2q-13Fixture or Item: City/metro lic.no.: -_ L41 I—S Absorption valve _ Contractor's reprev sentae si—gnattuur�e-:�o..�. Back flow reventer _ Print name,: �v c t,c S wa Date: Backwater valve CONTACT PERSON Basins/lavatory _ Clothes washer Name: _ Dishwasher _ Address: ___ Drinkingfountain(s) City: State: ZIP: - ce tors/sump PId„nt I l: mail: Expansion tank ) Fixture/sewer cap Floor drains/floor sinks/hut) Name(print): _ _ _ Garbage disposal Mailing address: _ Hose bibb — City: State: "LIP: Ice maker — Phone; Fax: Email: Interceptor/grease trap owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sum — Tubs/shower/shower an Urinal — Name: _ Water closet Address: _ Water heater City: --_— State: ZIP: Other: �v --- Fax: E-mail: Total Phone: _� Minimum fee................$ Not all jurisdictions accera credit cards,please call jurisdiction rot more Information. Notice:This pennil application U Visa U MasterCard Plan review(at — rXn) $ expires if a permit is not obtained , Credit card number: _ / / Slab surcharge(8%) ....$ .�0_- Expires within IRO days ager it has been p accepted as complete. TOTAL .......................$ Name of cardholder as shown on credit card $ Ez Cardholder,iruture Amount 4403616(60WOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual QTY TOTAL ea AMOUNT includes all plumbithe dwelling and the nfi st100 ft.ln QTY PRICE AMOUNT fixtures Sink _ 16 6° for each utillit connection Lavato 16.60One 1 bath Tub or Tub/Shower Comh 16.60 Two t2j bath $350.00 Shower Only 16.60 Threej3Lath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 J _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW_ 25%OF SUBTOTAL Garbage Disposal -- 16.60 LaundryTray 16 60 Washing Machine 16.60 I Floor Drain/Floor Sink ? 1660 — 1 PLEASE COMPLETE: 0.. 16.60 4^ 16.60 — Quantity b _Work Performed—� Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical _Carped permit. Sink MFG Horne Now Water Service 46.40 — 46.40 Lavato M FG Home New San/Storm Sewer Tub or Tub/Shower Close Bibs 1660 Combination Roof Drains 16.60 Shower Only 16.60 Water Closet Drinking Fountain _ Urinal Other Fixtures(Specify) r k �,�. 16 60 Dishwasher Garbage Disposal _ — Laundry Room Tray -- Washing Machine Floor Drain/Sink: 2" Sewer-1 st 100' 5.5 00 3^ Sewer-each additional 100' 46.40 4" Water Service-1 st 100' 5500 Water Heater 46.40 Other Fixtures Water Service-each additional 200' (Specify) Storm 8 Rain Drain-1- s1 10055.00 Storm 8 Rain Drain-each additional 100' !46.40 Commercial Back Flow Prevention Device 46.40 --- Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 — —_ Inspection of Existing Plumbing or Specially 72.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 1660 ------ - - __ QUANTITY TOTAL _ Isometric or n5er diagram is requirad If __.Quantity Total Is >© 'SUBTOTAL ---- -- _- _.-_ 8%STATE SURCHARGE - -- ""PLAN REVIEW 25%OF SI IBTO'IAL Requ4ed only II fixture qty.total fss�ri — TOTAL $ .Minimum permit fee is 172 50-8%slate surcharge,except Residential Backflow Prevenoor.Devine,which Is$36 25•8%state surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review is\dsts\foims\plm-fees.doc 10/10/0J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - -- BUP _--Date Requested _ AM_ PM BLD Location_ ZZ b� 5(-r," C,v - Suite /w MEC ze, Contact Person _ Ph I) P2 PLM _ Contractor __ Ph _ SWR BUILDING Tenant/OwnerELC Retaining Wall u - ELR Footing Access: Foundation FPS -- - - Ftg Drain SGN Crawl Drain Inspection Notes."lab __—._ -- ----__--------- ------— SIT _ Post R Beam Ext Sheath/Shear _- Int Sheath/Shear Framing ---. _------- - ------ Insulation Drywall Nailing - LC I.e �2' -- ------- --------.-_-_- - Firewall Fire Sprinkler --- --- ------ - -_ -------- --------------- Fire Alarm Susp'd Ceiling -------------- -------- -- - ,__._ _---- -_.. .._ —_ Roof Misc: -- ------- - __- ---- - ------- -- Final -- -- PASS PART FAIL -- -- _.. - ----- _ - -- ------ ------- - ---- PLUMBING Post& Ream Under Slab T op out Water Service -- - _....._T-�---- _ _.__---- ----- - ------------- -------.._------...._-- Sanitary Sewer Rain Drains Final PASS PART FAIL MEMAMAL IlostABeam -- ---- ---------- -- -- - Rough In c;as Line -- --- --- Smo� mpers f irJD'� - - -- ----- --- --------- - -- t'ASS PART FAIL. *LFCTRICAL -------- -. ---------- - -------,ervice ------ Rough ----- -- Rough In UG/Slab ---- -- -- -- ---------- Low Voltage Fire Alarm --- ---_— - —-- - - - Final PASS PART FAIL ------_-----_-_--�--- --SITE I_lackfilllGradrng - ----- ----- ---- - ---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$-_ _.__required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: _ _- _—. [ ]Unable to inspect -no access. ADA Approach/Sidewalk Date �" C / InspectorExt Other _ --- - --� Final - PASS PART FAIL DO NOT REMOVE this inspection recon J from the job site. CITY OF TIGA.RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —Date Requested —AM_ _PM BLD _ Location ( ( � �fl H Z_ aq g Suite MEC Contact Person Ph _ PLM Contractor A �/A 114 urn�lLw:9 i Ph _ — SWR BUILDING Tenant/Owner ELC — Re'.aininq Wall ELR ;,.Glp/ on/ 6? Footing Access: Foundation EPS Ftg Drain SON Crawl Drain Inspection Notes: Slab ------ ----- - _ a.n-, _ Sn- 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 FAIL --/✓ ��`�/_._ --.___._._. �____--_ 4�_, PLUMBING Post& Beam — _ --. ---- -`--- Under Slab Top Out _-_—._-_ ------------ Wat3r Service Sanitary Sewer --- -- --__ ..-__-------------------- -- ----- Rain Drains Final -------------------- ----- ---- -- -------_._. PASS PART FAIL MECHANICAL Post& Beam -- ---- - ---- Rough In Gas Line ----- -- ------- Smoke Dampers Final - -- P FAIL SECTRICA Rough In --- - ___..---- ------- C Low voltag -_._... Fire`Atarm--� -- - ----.--- _ - Fina1 C PASS-.PART FAIL Backfill/Grading -- -` Sanitary Sewer Storm Drain ( ;Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd hatch Basin Fh4 Supply Line ( )Please call for reinspection RE:_-_ ( ]Unable to Inspect-no access ADA Approach/Sidewalk _ Q Other Date �` InspPtaor —Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �+►RD EiUll_DINGPFRMIT CITY OF TIG �_ PERMIT#: BUP2001-00163 DEVELOPMENT SERVICES DATE ISSUED: 5/11/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1014C-00900 SITE ADDRESS: 07.28 SW GONZAGA ST 210-FOR SUBDIVISION: BUTURAND0J0. 2 ZONING: MUE BLOCK: LOT: 015 JURL;DICTION: TIG REISSUE: FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: St _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: C• E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: __ _READ SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT• ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Commercial TI. Owner: Contractor: IOMMY, BOB L SUDIE E PLATINUM CONSTRUCTION SERVICES 712.0 SW GONZAGA 15635 SE 1 14TH AVE STE 106 l IGARD, OR 97223 CLACKAMAS, OR 97015 Phone: Phone: 503-625-4219 Reg #: LIC 125511 FEES REQUIRED INSPECTIONS _ Tyne By Date Arrount Receipt Mechanical Permi! Require PRMT CTR 5!11!01 $2,15.30 27200100000 Electrical Permit Required Sprinkler Permit Required 5PCT CTR 5/11/01 $18.82 27200100000 Framing Insp PLCK CTR 5/11/01 $152.95 27200100000 Gyp Board Insp FIFE CTR 5/11/01 $94 12 27210100000 Susp Ce ing Insp _ Final Inspection Total $501.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Pe rm it tee Signature: Issued By -- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application �1r Date reo:ived: Permit no. -l/f,1 L11jl City of i,igar� Projecl/appl.no. E'zpiredalc: GrynJ7i�nrd Address: 13125 SW Ball Blvd,Tigard,OR 97223 ----- T - Phone: (503) 6394171 Date issued: - By: I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: )..rid use approval: _ _ 1&2 family:Simplc Complex: TVPE OF IPEIINI IT U 1 &2 family dwelling or accessory U Conuucicial/induslrial U Multi-family U New conslntction U Demolition U Addition/alteration/replacement V'1'cnant improvement U Bite sprinkler/alarm U()(her. - I ! SITE INFORMATION Job address: -71Z 45N C I Bldg.no.: 77 Suite no.: , I) Lot: block: - ISubdivision: _ Tax map/tax lot/account no.: Project name: -- Description and location of work on premises/special conditions:- T'Et�lAs.1T I Mv(�OvBMF1JT f-ao. Oi�G£S _ 1WNT-11 FO11 SPECIAL INfoRNIATION, Name: SUM DSTReM " A6500I A 5c ��1r It , solar, Mailing address:P.O. 2101f 1 &2 famuJ dwelling: City: _Uy1 Slate6jL ZIP: 704S" Valuation of work........................................ $_ Phone: 713.90 3 Pax: E-mail: No.of bedrooms/baths................................. Owner's representative: /�) Total number of floors................................. Phone; E Fax: -mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... la III A FWAILI Name: STePHGN W1a3QjTf_`*C7 Covered porch arra(sq.ft.) ......................... Mauling address: 1e1237 S.CAS9TrA4- IOW17. Deck area ft.) ........................................ City: c tTY Stale:OIL- 7.1P: q'G Other stnrcluraur r arca(s ft.)......................... _- I'ttone: E-mail. ('ommerciaUindastrial/mutts-family: 1 1 Valuation of work........................................ Existing bldg.area(sq. ft.) ......................... Business name: r-tokTI WVM Ce*j5T17l7G'nQN I uG _ S� 14 New bldg.arra(sq.ft.) 2 - — Address: Number of stories .............................. StatC:r'.ZL I1P ci'IG I S^ V N City: G;,�.�� T of censtructon YID .................................... - ----- Phone:Soba !oZ$- 2 Fax: E-mail: _ - (kcupancy group(s): Existing: CCD no.: 12455'11_ _ - ._--- New: City/metro lic.no.: Notice: All contractors and subcontractors are requires'to b ARCHITEC1171DESIGNER licensed with the Oregon Construction Contractors Board under [Address: ame: WIti1ST'tA4) /w0 Assnc.raTGS provisions of ORS 701 and may be rrquired to be liccnscd in the P•o• $vrc 21y jurisdiction where work is being performed.If the applicant is exempt from licensing,the following reason applies: ity: r Gt Statc:ontact person: -A" Wwu Plan no.: _ ------ - - -- -- Phone: "611 : ?1J y 1,-mail: `— — McItil mot Name: lContact person: Fees due upon application............................ $ Address: Date received: __ --- Stale: IP: City: Amount received ......................................... $,------- Phone: I E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Na at jarirdkriau.o pit credit ca*.Mrs carr juriuriction for pian i o"flatiaa attached checklist. All provisions of laws and ordinances governing tris U visa U MasterCard work will be complied with,whether specified herein or not. Credi,card numtwr Authorized signature:___- -- I hate - _ ?4—uwof r"dio1 as drown oo ciiit erd $ Print name: _-.--_ _ CArdhdder d ue Amotet Notice:This lq permit a ,lication expires if a permit is not obtained within 190 days alter it has been accepted as oornplete_ 4404613 t6MOMM1 Date Rec'd: CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL. REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME:J -------- PHONE ff:—.._�__J_ ---____—_�__ FAX f# --- -- ---- 2. SITE ADDRESS: -- -- --- ---- --- __ _ -- 1. SITE PLAN (Fully dimensional, drawn to scz le, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot f#, ❑ project name, 0 site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan Suf�mittal Requirement Matrix" for number of plans required based on submittal type (ro redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATEQ INTO THE PLANS A. Floor plans) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project I:\dsts\tams\cantiapp.doc 10/4/00