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9925 SW GREENBURG ROAD-1 cC to to cr to G) X m m z 00 c X G1 v 1 ^J A� \ I f n r, ij 99215 SW GREENIBUR.G RD. CITYITY O F T i G A R D CERTIFICATE OF OCrUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00420 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 09/28/1999 PARCEL: 1 S126C0-01900 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 09925 SW GREENBURG RD Ca SUBDIVISION: P y BLOCK: LOT: CLASS OF WORK: ADD 'TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: SR2 OCCUi'ANCY LOAD: 3 TENANT NAME: CRESCENT GROVE CEPAETARY REMARKS: Storage building - Final Building Inspection and Certificate of Occupancy Approved 3/17/00 by Tom Plescher, Building Inspector Owner: CRESCEN i GROVE CEMETARY 9925 SW GREENBURG RD TIGARD, OR 9722.3 Phony: Contractor: HATTERAS CONSTRUCTION INC 2131 GOODALL CT LAKE OSWEGO, OR 97034 Phone: 503-699-8758 Rep 4: LIC 116793 rR This Certificate grants occupancy of the above referenced buildhig or portion thereof and confirms that the building has been inspected for compliance with the Sta►e of Oregon Sr,ec" Codes for the group, occupancy, and use uMer which ,the referenced permit was i s s BU DING INSPECTOR BUILDING_, FFICIAL POST IN CONSPICUOUS PLACE CITY OF T!Gi4RD BUILDING INSPECTION DIVISION MST 74-Hour Inspection Line: 639-4175 Business Line: 639-1171 00 SUP Date Requested AM to /' PM BLD Location_ =� ?A "` _ a --_ Suite MEC Contact Person LI cz� _ Ph L -_Q2_9 7 7 PLM Contractor Ph �� 7%�?_ SWR Tenant/Owner ��'�� 6-y-n- (Pkl ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slay I Drain Inspection Notes: �I2� „ bl SIT Post&Beam ----- - Ext Sheath/Shear I Int Sheath/Shear /. Framing Insulation Drywall Nailing Firewall Fire Sprinkler -� ----`f — -- Fire Alarm Susp'd Ceiling Roof M' - SS MA);;;' FAIL - - -- - --PrMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART MECHANICAL most& Beam ------ — — — -- Rough In Gas Line Smoke Dampers Final - — —-- PASS PART FAIL ELECTRICAL — — — -- r-- —� ServicE _ �---- Rough In UG/Slab - Low Voltage Fire Alarm Final PASS PAR i FAIL SITE Backfill/Grading _ - ----_ - - -- -_ Sanitary Sewer Stone Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Cat-h Basin [ ]Please call for reinspection RE. [ Unable to inspect-no acces Fire Supply Line - ADA Approach/Sidewalk Other Date Inspector 7 4 - Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour In,-..action Line: 639-4175 lousiness Line: 639-4171 BUP - --- Date Requested. / / C` ^AM—_--_PM _-- BLD Location .%S� ��`t i -+ ��% T�_-- Suite MEC _ u_ Contact Person _—. Ph -- PLM _---_ Contractor Ph _ SWFt BUILDING Tenant/Owner _ ELC C)7t Retaining Wall ELR Footing ACC@SSFp, Foundation -Fig Drain Drain /! hy��-�-L SGr'V _ ----- -----� Crawl Drain Inspection Notes: Slab - --- SIT _-- — Post Beam Ext Sheath/Shear --- - -- Int Sheath/Shear Framing - - -- Insulation Drywall Nailing ---.- --- --- --- Firewall ' Fire Sprinkler Fire Alarm Susp'd Ceiling --- - -------- _— Roof Mise Final PASS PART FAIL - -- - — — -`_ - PLUMBING Post R Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains --- ------- Final PASSPART FAIL _-_-_____ _. --- _--- - ----_----------- ----- --- MECHANICAL Post&Beam ---- ------------------------_ --- Rough In GasLine - _.--- ---_- - -_- - ___-------- --.__-.— —_ - - Smoke Dampers ------ ------ --- _-- Final SS PART FAIL _- —___—__-- ------ -(RECTRICAL Rough In JG/Slab - ----------_ ----- --- -- Low Voltage - Fir Iarm ----_------ -- -- F ASS PART' FAIL _- - -- --_--____ _—--- ---- .----. --- Backfill/Grading � --- - -----_-_ ----- __ -- - ------_. Sanitary Sewer Storm Drain ( J Reinspection fee of$ - -__-_r'quired before next inspection Pay at City Hall, 13125 SW Hall Blvd Gatch Basin ( ]Please call for reinspection ISI .--- _�-.�-{ 1 '.nable to inspect- no access Fire Supply Line ADA '" � Approach/Sidewalk Date --!. Inspector .__ ---Ext Other -- Final PASS _ PART FAIL .l DO NOT REMOVE this Inspection record from the job site. EL CITY CI� 1 OF ��G��D — F=CTRI'CAi_ I'ERMIT PERhAIT#: EL:;'999-00707 DEVELOPMEN r SERVICES DATE ISSUED: 11/23/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126C0-01900 SITE ADDRESS: 09Q25 SW GREENBURG RU ZONING: R-4.5 SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical for new storage building _RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: Pr IMP/IRRIGATION: EACH ADD'L 500SF: 201 403 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS- 0 200 amp: W/SERVICE OR FEEDER: 12 _ PER !NSPECTION. 201 400 amp: 1 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN "LANT: 601 - 1000 arnp: _ PLAN REVIEW SECTION_ 1000+ amp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect anh� SVC/FDR >�= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CRESCENT GROVE CEMETARY WINNER ELECTRIC INC 9925 SW GREENBURG RD 5950 SW PROSPERITY PK TIGARD ' R 97223 TUALATIN, OR 97062 Phone: Phone: 638-5028 Reg #: LIC 00014794 SUP 2825-S ELE 34-1500 FEES '--.Required Inspections Type By — Date Amount Receipt' FElect'l I Service PRMT BOM '11/23/1995 $149.70 99-319992 Final 5PCT ROPI 11/23/1995 $11.98 99-3'19992 Total $161.68 ORIGINAL This Permi!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-f work is rot started within 180 days of issuance,or it work is suspended for more than 180 days ATTENTION. Oregon law req,ures y)u to follow rules adopted by the Oregon Utility Iiotification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 YSu may obtain wpies of these rules or direct questions to OUNC at(503) 246-1987 ——� PERMITTEE'S SIGNATURE t t ISSUED BY: 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 SiCNATURE OF SUPR ELEC'N: Jr I tT I_` DATE:—_ — — LICENSE NO: ._`—_— — ---- -- — Call 639-4175 by 7:00pm for an inspection the next business day CITY OF'rIOARD Eiectrirall Permit Application PlaoCheck lt 13125 S"I HALL BLVD. Recd Date Rec'd_ 7 7 TI(,'RD OR 97223 Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST_ Inspection (503) 639-4175 Incomplete or illegible will not be acLepted Permit" E LC 711—TI , o Fax(503) 684-7297 _ -"��—�- --- --- Called_ 1. Job Address: / 4. Complete Fee Schedule Below: Name of DevelopmentL -- }v �'y?r2�� / Number of Inspect ons per permit al,„wed Name(or name of business) C-+"1 3C.cd1� �1�o s+' �l+M Service Included: Items Cost Sum Adu;4ss q z. ��' w• Crf 4a. Residential-per unit 1000 sq.If.or less $110.00 _ a City/State/Zip Tit4ad 011,14 C '_Z 3 Fach additional 500 sq.it.or portion thereof $25.00 1 Commercial It- Residential ❑ Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all current licenses) ns Services or Feeders .� Installation,alteration,or relocation (� Electrical ContractorW, 200 amps or less $60.000 Address_'"j Sb S.Y12. 6� at:�Srt A — 201 amps to 400 amps City.,�j&j ,n State 0�_ Ip ` 2 C L1- 401 amps to 600 amps Phone No._ So 3 -5 9- -0 d G 601 amps to 1000 amps $180.00 � Over 1000 amps or volts $340.00 Job NO. ' Recon 9ct only $50.00 Elec.Cont. Lice. No. if g_C Exp.Date 7 7�'01 OR State CCB Reg. No. I !Exp.Date t,1* 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or rolocation /} 200 amps or less $50.00 201 amps to 400 amps $ Signature of Supr. Elec'n 13 ��L�- ___- __ 401 amps to 600 amps $100.100.0 00 Over 600 amps to 1000 volts. License Nr 2 7 S - 5 _Exp.Dntp� _ see"b' above. Phone N, -C-t-'2 `>5- - _- ---- 4d.Branch Circuits New,slterati-i or extension per panel 2b. For owner Installations: a)The' branch circuits with (oy Z 0 p.• r service or Print Owner'sNary _ 1; Ev_ rcuit 12- SSae Address __ ---- - b)Tl,e It branch circuits CitytAte Zip _ -_ _ without purchase of Phone No. service or feeder fee. First branch circuit $35.00 The insta on is being made on property I own which is not Each additional branch circuit $5.00 inte for sale, lease or rent. 4e.Miscellaneous (Service or feeder not inluded) Owner's Signature __ Each pump or Irrigation circle $40.00 2 Each sign or outline lightingcir $40.00 c 3. Plan Review section (if required):" Signal 1lt r tor a limited energy panel,,aalteration or extension $40.00 2 Minor Labels(10) —__ $100.00 Please check appropriate item and enter fee In section 5B. _4 or more residential units in one structure 4f.Ench additional inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $3500 Classified area or structure containing special occupancy Per hour $55 00 as described In N.E.C.Chapter 5 In Plant -- $55('10 ' Submit 2 sets of plans with application where any of the above apply. Jam. Fees: Not required for temporary construction services Be.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ ON TILE Subtotal $ Sb.Enter 25%of line So for PERMITS F.ECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review i r 41r2g(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 a S Total balance Duej _ IL. --- ----- I t OSTSTLC96.APP new 8'96 CITY ®F T I G A R D ---- BUILDING PERMIT PERMIT#: BUP1999-00420 DEVELOPMENT SERVICES I N AL ATE ISSUED: 9/28/99 13125 SW Hall Blvd., Tiqard, OR 97223 (503) �' PARCEL: 1S12.6C0-01900 SITE ADDRESS: 09925 SW GPEENBURG RD ZONING: R-4.5 SUBDIVISION: BLOCK: LOT: JURISDICTION: TIG REISSUE: F'-OCR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 1,356 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: SR2 TOTAL AREA: sf ROOF CONST: FIFE RET? OCCUPANCY LOAD: 3 BASEMENT: sf AREA SEP. RATED: GARAGE: Af OCCU SEP. RATED: STOR: HT: ft BSMT?: ME.ZZ?: REQD SETBACKS _ _ REQUIRED_ FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR 3PKL: N Y SMOK DET:N DWELLING UNITS: FRNT: ft REAR: .t FIR ALRM : N HNDICP AGC:N BEDRMS: BATHS: IMP SURFACE: PRO CORR: PAPKING: VALUE: $ 34,086.00 Remarks: Storage building Owner: Contractor: CRESCENT GROVE CEMETARY HAT TERAS CONSTRUCTION INC 9925 SW GREF_NBURG RD 2131 GOODALL CT TIGARD, OR 97223 LAKE OSWEGO, OR 97034 Phone: Phone: 503-699-8758 Reg#: LIC 116793 _ FEES REQUIRED INSPECTIONS Type By Daie Amount Receipt Foot/Found Insp PRMY DEB 9/2.8/99 $330.25 99-318697 Framing Insp Gyp Board Insp 5PCT DEB 9/28/99 $23.1? 99-318697 Final Inspection PL.CK DE9 9/28/99 $214.66 99-318697 FIRE DEB 9128/99 $132.10 99-318697 Total $700.13 +This permit is issued subject to the regulations contained in t,ie Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law Al! work will be done in accordance with approved plans. This permit will expire if work is not started -iithin 180 days of issuance, or if work is s�ispended 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 s ns to OUNC b calling (503) 246-1987, these rules or direct questions Y 9 may obtain a copy o q Pennitee Signature: -- i lssue�By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit P.pplication Plan 13125 SW HALL BLVD. New Construction and Additions Rec'd B Date Recd - TIGARD, OR 97223 Daae to P.C. (503) 639-4171 Date to D T -vt Print or Type Permit# _ �� Incomplete or illegible applications will not be accepted Related SWR# _ Caller' Name of Development oje/ct Job Cr V SCe� U o �,e__ -- Existing Building E] New Building 91 Address Street Address Suile SG ei2-,� _ _ Building Bldg# City/State Zip v Data ziacr,/ Q _3 Existing Use of Building or Property: Name �I Property LL e-5cc- ..-1 -rq Owner Mailing Address Suite Proposed Usel of Building or Property: CitylSlate Zip cone — No. Of,,torics: Occupant— Name Sq. Ft. Of Project: 77-4� Occupancy Class(es) Contractor s , �- S— 3 1 Prior to permit Mailing Address / Suite e(s) of Construction Issuance,a copy 3 I C-{-- r-�-1�y-t �—_ of all licenses Gi I _ —� ------- are required II City/State ZIP(;)03 Phone Will this project have a Fire Suppression System? expired In C.O TI 4- Yes ❑ NO database �S b 5 )ST Americans with Disabilities Act(ADA) Oregon Const.Co . oard LIc.# Exp Date Valuation X 25% _ $ Participation / /(o /6 753 —. Complete Accessibility Form Name —� Project $ Architect �,—' \ ✓e.S � Valuation - Mailing Address SUIW .� t S W r /0 Plans Required: See Matra for number of set, to Submit City/State tip 9 W3 Phone on back __ LL a 12 -o Ss ------— �_.__ – -- I Engineer Nam ^� I hereby acknowledge that I have read this application,that the information — �X J e-5given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws O /1/6) 1y h� Sign4Lure of Owner/Agent Date City/State Zip , Phone 1 i y // VA, '� -6K- 7,11.45 3-57 Contact on Name Phone G� t- Indicate type of work: New 115-, Addition O Demolition O Accessory Structure O Foundation Only O Alters!ion O Repal; o Other o FOR OFFICE USE ONLY Descrlptlon of work: Q r Map(TL# Land Us Notes: Parks Estimated#of Employees / TIF: y� " ho above figure Is not wirplied at the time of arplication,the city will c!I. !*to the fee based upon the number of parking spaces. u Note: Site Work Permlt Application must precede or accompany Buildingko Permit Application IF) I ldstslfom slcomnew doc 5/10199 COMMERCIi `ALAN SUBMITTAL REQUIREMENT MATRIX Rl',, ,Review is dependent upon subrv,ittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must coniain 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 -tistribution purposes. (Copy for Contractor, City, Washington County, Tu 1latin ✓alley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans I KEY: Submitted__ S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = File Protection System M (New or Add or Alt) ` 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (Ne v, Add, or Alt) 2 E = 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 (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 -I *B & M i�P & E(Alt) 3 *B & M & P & E & t=(Alt) �3 NOTES: *Shaded areas designate ALT submittals on;y. \dsts\{orms\matrxcon)Choc 10%29/98