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9600 SW OAK STREET STE 540-1 m 9600 SVV Oak Street#540 CITYOF A l GA R D - CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00501 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-417'o DATE ISSUED: 11/18/02 PARCEL: 1 S 135BD-00100 ZONING: C-P JURISDICTION: TIG SITE P JDRESS: 09600 SW OAK ST 540 SUBDIVISION: ASHBR.00K FARM B' OCK: LOT:005. -GLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 1FR OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: aSHMFAD COLLEGE REMARKS: FT- Owner: ASA PROPERTIES, INC BY PAUL DEVILLE PO BOX 3110 LU02 OF Contr7ctor: 22.3-9703 SUMMIT CONSTRUCTION PO BOX 10345 PORTLAND, OR 97210 Phone: F-42-3841 223-9703 Reg#: MET 00003246 LIC 63249 This Certificate issued 113101 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 Godes for the group, occupancy, ancj,uunder whi a referenced permit wa# iseupd. BUMMING INSPECTOR B L. ' MF1 POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 535-4175 MS INSPECTION DIVISION Business Line: (503)539-4171 - - _- - BLIPReceived _ _ Date Requested _ - '2 -3 D AM PM BUP Location ---- -'- G - -(�- - - --Suite .- MEC Gontact Person Ph( ---- ) CIS. _;Z� PLM Contractor --.- _-._ Ph( ) --___ _-_ SWR BUILDING Tenant/Owner -_-_ ELG Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain _ - Slab Inspection Notes: SIT Post&Beam Shear Anchors - — Ext Sheath/Shear _- Int Sheath/Shear Framing --- - Insulation Drywall Nailing - - - Firewall Fire Sprinkler -. --- -- -- Fire Alarm 7j Z Susp'd Ceiling Roof Other: Final PASS PARI FAIL- -k-UM-9 NG AILPLUMBING Poet&Beam - Under Slab ------------ Rough-In Water Service ---._ -------- -- - -- Sanitary Sewer Af Rain Drains - --- - --- ---- Catch Basin/Man e Storm Drain - - - ---- -� `- Shower Pan Other: --_.--- _ S PART FAIL - --- - ---�_----- - ANICAL Post&Beam Rough-In Gas Line Smoke Dampers - - - - Final PASS PART FAIL - ----- - -- ELECTRICAL Service Rough-in --_ — ------- — UG/Slab Low Voltage Fire Alarm �--! -- Final lPART FAIL L] Reinspection fee of$ __. required befcre next inspection. Pay at City gall, 13125 SW Hall Blvd. PASSSITE— Please call for reinspection RE: n Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk _._ IntpNslOR_._____._- _ -.a..._..-__---Ext__-- Other: I Final DO NOT REMOVE this InspAction record from the job site. PASS PART FAIL GIT ' OF TI+GARD BUILDING PERMIT PERMIT#: BUP2002-00501 DEVELOPMENT SERVICES DATE ISSUEU: 11/18/02 1315 SW Hall Blvd., Tiqard, OR 97223 (5031, 639-4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 540 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: _ LOT: 005 _ 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? T_ TYPE OF CONS"r: 1 FR Sf N: S: E W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS __ __ REQUIR_ED J "LCOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N _ SMOK DET:N DWELLING UNITS- FRNT: ft REAP: ft FIR ALRM : N HNDICP ACC. :' BEDRMS: BATHS: IMP SUF FACE: FRO CORR: Y PARKING: VALUE: $ 2,100.00 Remarks: TI Combining 2 suites into 1. Owner: Contractor: ASA PROPERTIES, INC SUMMIT CONSTRUCTION BY PAUL DEVILLE PO BOX 10345 PO BOX 3110 PORTLAND, OR 97210 HONOLULU, HI 96802 Phone: F-42-3841 223-9703 Phone: F-42-3841 Reg #: k23f9703 g0003000g3246 � — ---- LIC REO8MA INSPECTIONS FEES — _ Description Date Amount r Plumbing Permit Required �IitII1,I)I Permit Fee 11/18/02 $72.10 Framing I. Gyp Board ;�isp I.N 5tate'I'ax 11/18/02 $5.77 Final Inspection Ilil'1'1ILNI Pln Itv 11/18/02 $46.87 111 SI FLS Nil Rv 11/18/02 $28.84 Total $153.58 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 riot 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 952-001-0100. You may obtai-i a copy of these rules or direct questions to OUNC by c•.illntg (503)246-6699 or 1-800-332-2344. Issued BY: — Permittee Signature: Call 639-4175 by 7 p.m. for an inspection the next busin'SR day Building Permit Application City of Tigard _- Date received4 I I1,•t Permitno.:` / Address: 13125 SW Ball Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Y�Date issued' B Recei t no.: Phunp: (503) 639-4171 P _ Fax: (S03) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Mutu-lannly U New construction U Demolition U Addition/alteration/replacement enant improvement U Fire sprinkler/alarm U Other: .110111 SITE INFORMATION Job address: 9f= :WU _ Bldg.no.: I Suite no.: G Lot: I Block: Subdivision: Tar map/tax lodaccount no.: _ Project name: d Description and location of work on premises/special conditions: Name: WA f�1 _ (Floodislaln,sep'lic capacity,solar,Me.) Moiling address: t:i (,;yl< 1 /-C) — - 1 &2 family dwelling: City: �, LU' t State: ZIP: '.Z Valuation of work........................................ $ Phone: 2- Max: G•mail: Nu,of bedrooms/baths................................. _ Owner's representative: _ _ Total number of floors................................. I'honc; Fax: _ 113-mail: Nnw dwelling area(sq. ft.) ..........................Garage/carport arca(sq. ft.)......................•.. Name: / Covered porch area(sq. ft.) ......................... Mailing address —� Deck area(sq. t•t.) City:` U _ Stag ZIP: structure arca(sq.ft.)......................... Phone: ► E-mail: Commerelal/industriallmulti-family: lit, Valuation of work........................................ $ �-1 w Business name: ' ! r' Existing bldg.area(sq.ft.) .......................... —L — Address: New bldg.area(sq.ft.) ............................... Cit 2 Number of stories........................................ y' r Stat ZIP: - Type of construction Phone: Fnx' ,1 E-mail- Occupancy .................................... � , "- r'•f -- Occupancy group(s): Existing: ('CB nn.: Z _ New: City/metro lie.no.: Notice:All contractors and subcontractors are required to he licensed with the,Oregon Construction Contractors Board under Name: ` C�f�1�1 provisions of ORS 701 and may be required to he licensed in the Address: �_ ;t ✓ ";c'-r`' ,jurisdiction where work is being performed. If the applicant is Cit c.Q Sta ZIP: exempt from licensing,the following reason applies: Contact rsun: �' Plan no.: Phone 1 . F-mail: , Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: State: ?.IP: Amount received ......................................... $--_ Phone: Fax:_ E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the No dl}urisdictiom accep credit cards,please cdl}uridiction fa mote mformatmi, attached checklist.All provisions of laws and ordinances governing this ❑Vita U MasterCard work will he compliatd' Yhm erein or not, credit card number - - -- Authorized sign tU _ _ le: None of c older a shown on credo card 5 Print name: KiCV, C aipumte ---- Amount Notice:This permit application expires if a permit is not obtained within 180 days sifter it has been accepted as complete. 440-461.1(duorcoM) Commercial Flan Submittal , Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Flans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building �* Fire Protection System 3** Mechanical 2 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, and Tualatin Valley Fire S 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. iAdsts\forms\COM-mgtrlx.doc 9/24/01 Accessibility: Barrier Removal Improvement Plan City of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to Insure that the path of travel to the altered arca and the restroom, telephones and drinking fountains are readily accessible to Individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area.nay be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modification being done ? excluding painting,wallpapering. Ill $ '2 � !p pjy� 25% Barrier removal requirement. •25 BUDGET FOR BARRIER REMOVAL (21$_���--- In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ — (h) An accessible entrances $ (c) An accessible route to the altered area: $ 5 1 (d) At least one accessible restroom for $— each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $^—. -- (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: shall equal line 2 of Value Comautation $_�_ 2 i\dsts\forms\AccessibiUty.doc 06/07/02 CITY OF TIGARD - -- SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00336 1:3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/02 S!TE ADDRESS; 09600 SW OAK ST 540 PARCEL: 1S1 35BD-00100 SUBDIVISION: ASHBROOK FARM ZONING: ( -I' BLOCK: LOT: oo JURISDICTION: I TENANT NAME: ASHMEAD COLLEGE USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .3 EDU increase. Previous EDU=22 fpr a total of 352 fixture values. Addition of 4 fixture values, for a new total of 356 fixture values= 22.3 current EDUs. Owner: —� - -- - FEES _ ASA PROPERTIES, INC - BY PAUL DEVILLE Description Date Amount PO BOX 3110 [SWUSAI Swr Connect 12/13/02 $690.00 HONOLULU, HI 96802 [SWUSA]Swr Connect 12/13/02 $0.00 Phone: Total $690.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency dues 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 not so located,the installer shall purchase a"Tap and Side Sewer' Perm Issued by: �I « ` 1r, _ Permittee Signature;' Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nixt business day Accumulative Sewer Tally Tenant NamF: Ashmead Coilegu This SWRA 2002-00336 Address:9600 SW Oak 6yIv This PLM# 2002-00474 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#, count # value #s values Baptiste/Font 4 0 0 — 0 0 0 Bath-Tub/Shower 4 1 0 0 0 0 0 -Jacuzzi/Whirlpool �4 0 0 0 0 0 Car Wash-Each Stall 6 0 0 _ 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirotor 1 0 0 0 0 0 Dishwasher-Commercial 4 1 0 0 0 0 0 -Domestic 2 0 0 _ 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 Inch 2 0 _i0 1 2 1 2 _ 3 inch 5 0 0 0 0 0 4 inch 6 0 00 0 0 -Car Wash Dn 6 0 0 _ 0 0 0 Garbage Disposal Domestic to 3/4 HP) 16 0 0 0 0 0 Commercial to 5 HP) 32 0 0 0 0 0 -Industrial over 5 I-1P) 48 0 0 0 0 0 _ Ice Mach ine/Refrig Prator Drain 1 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 n 0 0 Rec.Vehicle Dump station 16 0 _ 0 0 0 0 Shower-Gang (per head) 1 0 0 0 0 0 -Stall 2 0 G 1 2 1 2 _ Sink-Bar/Lavatory 2 0 0 0 0 0 Bradley 5 0 0 - 0 0 0 _ Cummercial 3 0 __— 0 0 0 0 -Service 3 0 0 0 0 0 Swimming Pool Filter 1 _ 0 �0 _ —0� 0 0 Washer-Clothes 6 0 _ 0 1 0 0 0 Water Extractor 6 0 0 _ 0 0 0 Water Closet-Toilet _ 6 0 _ 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 22 352 352 Capped EDU Credit 0 TOTALS 1 0 352 0 0 1 2 1 4 2 1 356 Current Fixture Value 356 divided by 16 = 22.3 Current EDU 1 EDU = $2,300.00 Previous Fixture Value_352 divided by 16= _ 22.0 Previous EDU Change 4 divided by 16= - 0.3 over (under) $ 690.00- Enter EDU Change Here 0.3 HISTORY M _ _ PLM# EDU# _ _ _ SWR# l--� PLM# EDU# SWR# PLM# EDU# — -- SWR# . Name:r ��%� L= = -- Cate:.Signature of of person that calculated Mis tally sheet and date perfromed Is required wi CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLN12002 R 474 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13!02 PARCEL: 1 S 135DD-00100 SITE ADDRESS: 09600 SW OAK ST 540 SUBDRASION: ASHBROOK FARM ZONING- C-P _ BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: AL1' GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: i SINKS URINALS: GREASE TRAPS. LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: [I plumbing fixture: 1 lav replaced, 1- 2" floor drain, 1 primer, 1 shower tub, 1 water heater. FEES Owner: Description Date Amount ASA PROPERTIES, INC (pLl)MBI Permit Fcc 12/9/02 $83.00 BY PAUL DEVILLE [T'AX1 8`%o State Tas 12/9/02 $6.64 PO BOX 3110 HONOLULU, HI 96802 Total $89.64 Phone : Contractor: _ JAMES ROOD PLUMBING 2459 SE TV HWY PMB#168 HILLSBORO, OR 97123 REQUIRED INSPECTIONS Rough-in Insp Phon, : 503-648-3907 Top-out Insp Reg #: LIC 57355 Final Inspection P!.M 34-199119 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 Issued By: ,, s Permittee Signature: 4 , C cc LL., Call (503)639-4175 by 7:00 P.M. for asp inspection needed the ext business day Building Fixtures Plumbing Permit Application �— - - Date received: R -G c3-- Permit no.: �� i, a .!0.0/ y y CityCit of Tigard J` � Sewer permit no.: Building permit no.. Address: 13125 SW hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Dade issued: By: Y,ja) I Receipt no.: Land use approval: _ Cas-rile no.: I?ayment type. ❑ I &2 family dwelling or accessory U Commercial/industrial ❑Multi-family crf—enant improvement ❑N,:w construction -J Addition/alteration/replacement O Food service ❑Other: I 1 1oF address: `JGG'O .S(v' �i Description jQty.jFee(ea. ToUI New 1-and B'dg. no.: _ Suite no.: �`l�t= -fam ly dwellings only: (includes 100 ft.for each utility connection) ax map/tax lot/account no.: SFR(1)bath Lot: jBlock: Subdivisiorr� SFR(2)bath Project name: _ SFR(3)bath City/county: T�4etrs ZIP: Each additional bath/kitchen Description and logon Of work on prelnises: — Site utilities: L%(vai L!LA Catch basin/area drain [ist.date of completion/inspection: Drywells/leach line/trench drain EFn' rain(no. lin. fl.) tWOMEN= factured home utilities Business narne: Au c� ti,i. 4�, tiS oles Address: S F at' � N1�_ �f� drain connectorCity: 1 l ,( C YO State::C) - ZIP ary sewer(no.lin, fl.) Phone: 1 /mob Fax: GwK E-mail: Storm sewer(no lin. fl.) CCH no.: 5; 7 3 g5' 10 Plumb.bus.reg.no: Water service(no.lin. ft. City/metro lie.no.: jt e C C �-, .y,1 Qy Fixture or item: ----� -- Absorption valve Contractor's re resentative si nature;. ,��-� '' _ --�— �_�_ -- Hack flow preventer Print narne: .` C ." e c4 t Backwater vaWl. Ha ' s/lavato - ) Name: Clot es washer Address: v Dishwasher _ �1 Y1at Drinking fountain(s) City: ;(kary -��_,5-iat-- ?IP: /� T_ Ejectors/sump Phone: - `10 Fax: .0 F-mail V, �o Expansion tank Fixture/sewer cap Floor drains/floor sinks/hub " Name(print): -- _ ..___ Garbage disposal _ Mailing address: _ Ilose bibb _ City: State: ZIPS ^_ Ice maker Phone: Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actu d 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 Chi pter 447. Sink(s),basin(s),lays(s) _ Owner's signature: Date: Sump Tubs/. ower/shower pan Urinal Name___ _ Water closet _ Address: Water heater City: ------�..— -- State: ZIP: -- Other: Phone: J Fax: E-mail: Total Nnt all ji-rialictions accept credit.1d,pkaae ca11 lunadiction for marc information. Notice: This permit application Minimum fee..............) $ O Viae O MagtcrCerd expires if a permit is not obtained Plan review(at ni "n) s Credit card number _ within 180 days after it has been State surcharge(8 0).... $ L Name of c ttiholdet o a own on credit car accepted as complete. CaMhnlda aignaiure Amount 410"1616(600/COM) PLUMBING PERMIT FEES: r— �T PRICE TOTAL New 1 and 2-famlly dwellings only: FIXTURES i_nJivldual) QTY ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the tirst100 ft. QTY (ea) AMOUNT ], Lavatory 16.60 for each utility connection One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath _ $350.00 Shower Only 16.60 Three 3 bath Water Closet 16.60 _ SUBTOTAL :Innal 16.60 6%STATE SURCHARGE _ Disnwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 ___ —_ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 -- PLEASE COMPLETE: 3" 16.6o 4" 16.60 Water Healer 0 conversion O like kind 16.60 Quantic b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved I Replaced Removed/ permit Capped MFG Home New Water Service 46.40 SinkLav _ tory MFG Home New San/Storm Sewer 46.40 Tub or Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 1660 Shower Only Drinking Fountain 16.60 Water Closet _ - -- Urinal _ Other Fixtures(Specify) 16.60 Dishwasher _ Garbage Disposal -- Laundry Room Tray -- — Washing Machine _— —_ Floor Drain/Sink: 2" Sewer-1 at 100' 55.00 — 3" Sewer-each additional 100' 46.40 4" _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46,40 Other Fixtures (Specify) Storm 8 Rain Drain-1 st 100' 55.00 _ Storm 8 Rain Drain•each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 — Residential Backflow Prevention Device' 2755 Catch Basin 16.60 Inspection of Existing Plumbing or Speci y 62.50 Re Lasted Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 1660 -- QUANTITY TOTAL Isometric or riser diagram is required If Quantity Total Is >9 — — "SUBTOTAL i- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture yly total Is>9 __ TOTAL $ Minimum permit fee is$72 50.8%state surcharge,except Residential Backnow Prevention Device,which is$38.2.5•8%state surchai;le "All New Commercial Buildings require 2 sets of plana with Isometric or riser diagram for plan review. l:\dsts\forms\plm-fees.doc 12/21-!01 CITY OF TIGARD 24-Hour BUILDING Inspection Lire: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received __ Date Reques d-- _ I AM _-__ -- PM_ �.� BLIP Location -- -.- O StHs4 .5�7 �.._... .., MEC ` ��i� �7-�-(71 ,_ _ --- ----- Contact Person ___ _-_ _ - Ph(- ) PLM Contractor - _ ��L�EPh( ) - SWR — - �4 ELC �� — BUILDING Tenant/OwnerFooting ELC ELC Foundation Access: ELR Ftg Drain Crawl Drain --- "— SIT -- Slab Inspection Notes: Post&Beam --- Shear Anchors f Ext Sheath/Shear Int Sheath/Shear Framing Insulation Diywall Nailing Firewall Fire'=-pr!nkler - Fire Alarm Susp'd Ceiling Roof Other:_---- -- -- Final PASS _PART- FAIL PLUMBING — .--._ --- Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Par, Other: Final PASS PARI FAIL MECHANICAL - ---------- Post&Beam Rough-In Gas Line Smoke Dampers - --- — -- Final ----- PASS PART FAIL — `- -'-- -— LECT'RICIC- Service - Rough-In ---—--------- — - — UG/Slab Low Voltage _--- ---- ------ Fire Alarm *ST i'+rtT [� Reinspection tee of$— — _required before next inspection. Pay at City Fall, 13125 SW Hal!Blvd. PART FAIL E � PlPase call for reinspection RE:.— Unable to inspect-no access Fire Supply Line 1 ADA D �f C o �� Inspectors __.__.ExtDate _-- Approaci/Sidewalk "— Other: _ Final VO NOT REMOVE tlhllx Inspection tocord from the Jab site. PASS PART FAIL_ F CITY OFTIGAPD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION D►4':..ON Business Line: (503)639-4171 B � 56BLIP �"'� Received -_ Date Requested - AM _ -____PM —_ BLIP Location Suite_ 5r - MEC _ Contact Person 7t� V— Ph(__--_) y 7 �-�' l G __ PLM - Contractor ___ -_ - Ph ( ) — SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR ------ ---_---- ----- Crawl Drain — SlaL Inspection Notes: SIT - Post&Beam -- - -_--- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insu:.ttion Drywall Nailing - -- -- -Firewall Fire Sprinkler - - - -- Fire Alarm Susp'd Ceiling - - - - - -- Roof Other ------ - ---- - :SSS-) PART FAIL — -- - - Post& Beam Under Slab Rough-In Water Service ...... _-- - ___-- Sanitary Sewer Rain Drains --T Catch Basin/Manhole Storm Drain - — Shower Pan Other: —_ Final PASS PART FAIL ---- - --- MECHANICAL_ Post& Beam Rough-In Gas Line z2moke Dampers -__-- Fir,al PASS PART FAIL ELECTRICAL Service - --- Rough-in UG/Slab - _ow Voltage --- -------- - --- - Fire Alarm IFinal ❑ Reinspection fee of$—_ __--requires bef,)re next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART FAIL - n Please call for reinspection RE: Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Dab_ Inspector ✓ -- Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL , /� R _—ELECTRICAL PERMIT CITY OF I1 T I GA `�D PERMIT EL.C2002-00642 DEVELOPMENT SERVICES PATE ISSUED: 12/17,02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL' 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 540 ZONING: C-P SUBDIVISION: ASHBROOK FARM LOT : 005 JURISDICTION: TIGBLOCK: Projact Dos,�ription: Installation of(4)branch circuits. rRESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNlOUT LINE LTG: 401 - 600 amp: SIGNAL/PANEL: LIMITED ENERGY: MINOR LABEL (10): MANF HMI SVC/FDR: 601+amps 1000 volts SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER•. PER INSPECTION: - 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: EA ADD'L BRNCH CIRC: IN PLANT: 401 - 600 amp: PLAN REVIEW SECTION 601 - 1000 amp: __ >600 VOLT N5M1NAL:� 1000+ amp/volt >=4 RES UNITS: Roconnect only SVC/FDR—225 AMPS: CLASS AREAISPEC OCC: ` Contractor: Owner: ASA PROPERTIES, INC REESE+SONS ELECTRIC ORT BY PAUL.DEVILLE PA RHONE PORTLAND,OR 97236 PO BOX 3110 HONOLULU, HI 96802 Phone: 503-969-2191 Phone: Reg #: LIC 49883 SUP 1691S _ FEES ELE 26-506C Description Date_ _ Amount Required Inspections [ELPRM'I')ELC Pcrmn $fib HO Rough-in ['TAX)80,6 Slatc Tax l21 17,02 $5 ;�' Flect'I Final Total $72.15 This Permit s issued subject to the regulaoioeds contained. is permithe �gwill expire it work ard Municipa: o senot tsta ate olid withiR. n 1b'lldays of iss issand uance,toreif work is suspended plicable laws. l work will be done in accordance with app for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by thr,Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct quest s to OUNC at(503)24,-6699 or 1-800-332-2344. Permit Signature: Issued By: OWNF_R INSTALLATION ONlY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: �_. ------ -- --- �_ _--- CONTRACTOR INSTALLATION ONLY ���.L._cJ�.( .�-- t ' - SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: ---- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application �Datereceived: I,ZI7 p Permitno,:E"(,C' City Of Tigard Project/appl.no.: Expire date: City orfTigard Address: 13125 SW(fall Blvd,'figard,OR 97221 Date issued: 13y_*4i Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: t U I &2 family dwelling or accessory z onunctt:ctl/intlu:incl U Muldi-family cnant improvement U New construction U Addition/alteration/replacement j t itln•t UPartial JOB SITE INPORMAtION Juh address: ry Tax map/tax Iollaccount no.: Lot: Block: Suhdivision: Project name: Description and location of work on premises: -- — Estimated date of com Ilclion/ins ection: ('ON I HU I OR APPLICATION FFE .1-0 Job no: Pee ntax Business name: �� ic Ileccription_ 0)". (ea.) lotaI no.imp Ver rtritlenlial cingkormulti faanih lwt Address: t C drellingunit.Inclmlccatta(IKAgarage. City: State: Irj ZIP: serllccincluded: ---mail: IU00 sq.ft.or less 4 F'ach additional 500 s+It.or portion thereof CCB no_: Elec.hus, III:.no: I.Imttrdenergy,residenual 2 _ Cily/n)' ro plc,no,: Limited energy,non-residential 2 _ Fach manufactured home or modular dwelling ;Nam, quired) plate Service and/or feeder '- T S Services or feeders-Installation, l.name(print). License no: ahentlon or relocation: 200 amps or less 2 201 amps to 4W amps 2 ptinl)� 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps_ 2 ("jty; Stale: ZIP: _ Over 10(N)amps or volts 2 Phone: Fax: E-mail: Reconnect only I (honer installation:The installation is being made on property 1 own Iemporaryservic•-erfeeder which is not intended for sale,lease,rent,of,,=hange according to installation,p%,, a:unnon,nrrelvcaunn: ORS 447,455,471),670,701. 201 amps of lc-,iX)— -- — - 2 201 amps to 41N1 omps �-- _ 2 Owners si mature; Dale: _.....=401o,600 antic 2 Branch circullc-neN,allrrallon, or ettension per panel: Name: _ — A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit - City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,tint branch circuit: yG k5 `�(r _ 2 Phone: Fa X: E-lilall' Fach additional branch circuit (, Misc.(Service or feeder not included): U Service over 225 amps-commercial U Henldi-carr facility Each pump or irrigation nrelc_ 2 Fach sign or outline lighting 2 Us Scrvi cover 32(lamps-rating oft&2 U Hu�mdous heation g _ familydwellings U Building over 10,oix)square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 1 2 O Building over three stories U Feeders.400 amps or more •Iksn onn U occupant load over 99 persons U Manufactured structures or RV park tach additional inspection over the allowable In any of the above: U F".greWlightingplmr U other _----_-_ — l'et inspection Submit.___sets of plana with any of the above. Investigatinn fee_—_ the above are not applicable to temporary construction service. other _ Pernut fee Not std Jurisdictions accept cmttl cards,please call jutisthction for more infornmino. Notice: 1 his penny application U Visa U MasterCud expires if a permit is not obtained Plan review(at _ 96) $ Credit card member: �,__ within 180 days alter it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL .......................$ 2 / ttarne�r us—own on—c�r� $ -- Cardholder sipptatlue - — —Amount _ 440.4615 OKIQiCOMI ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below TYPE ed WORK INVOLVED -RESIDENTIAL -- --- ---- /� Restricted Energy Fee........................................... ......... $75.00 Number of Inspections per permit allowed (FOR ALL.SYSTEMS) Service included: Items Cost Total I check Type of Work Involved: Residential-per unit 1000 sq.ft.or less _ $145 15 _ _ 4 U Audio and Stereo Systems' Each additional 500 sq ft.or portion thereof $33.40 1 Burglar Alarm Limited Energy _ $7500 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 rr�11 Vacuum Systems' 201 amps to 400 amps $106.85 2 l_J 401 amps to 600 amps __ _ $160.60 _ 2 601 amps to 1000 amps $240.60 2 Other Over 100a amps of volts _ $45465 i 2 Reconnect only _ _ $6685 2 Temporary Services or Feeders e TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.............. ......... ............................... . $75.00 200 amps of less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100 30 _� 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension per panel a)1he fee for branch circuits with purchase of service or C1 Clock systems feeder fee. _l1 Each branch circuit $6 65 _._.. 2 I__rData Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feedor fee. First branch circuit $4685 _ ❑ Each additional branch circuit $665 ^ HVAC Miscellaneou- Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $5340 —..-- Intercom and Paging Systems Each sign or outline lighting _ %5340 Signal circuit(s)or a limited energy panel,alteration or extension $7500 _ Landscape Irrigation Control Minor Labels(10) $12500 Each additional Inspection over Medical the allowable In any of the above ❑ Per inspection $62 50 Nurse Calls Per how $62.50 _ In Plant T $73 75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ -�-___—_ Other 9%State Surcharge $ 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, Fees: Total Balance nue —�_" -- Enter total of above fens =_ Trust Account# 8%State Surcharge $ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i A8ts\roans\etc-fees doc 08/30/01