6650 SW REDWOOD LANE STE 350-1 ADDRESS:
i:\records\microflm\targets\building.doc
c� a .CITY OF TIGAfiD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Busir,..ss Phr�ne: 639-4 % I
C "
Inspection: � I
Footing Susn. CGH Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Tech. Rough-in Fireplace
Post/Beam Struct. Plbc. Top Out Elec. Rough-(n FINAL.
Post/Beam Mech. San. Sewer Gas Line CBldg i
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation To
Underflr. Insui. Shear Wall Gyp. Bd. -Elect.
Date Requested:__ J j _ Time: AM PRA
Address:
Builder:— Permit #: c
THE FOLLOWING CORRECTIONS ARE REQUIRED: ma -j 2—
010
Say — -- —- —
�yy
1
r
Inspector: _ Dale:
1"7 yG3�
ROVED DISAPPROVED APPROVED SUBJECT FO ABOVE
_Call For Reinsp.
�i-
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
f
Inspection:.
Footing Sus . Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Cut Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Diain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd.
Date Requested: � �� Time: AM PM
Address: n CT �P
i
Builder:6,4.jGG,hrmit #:
THE FOLLOWING CORRECTIONS ARE REQUIQFD:
C
v
Date: ''//`` �'7" 7►�
Inspector G
7'_
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
uLk I if I it
It. i- ,
CITY OF TIGARD OCCUPANC Y
PE"R111 I #. . . . . . . : BUP95-036',
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: .1, 1/03/95
13126 SW Hall Blvd.Tigard,Oregon 97223e8199 (603)639.4171
PARCEL-, j'S112DA-00700
!3ITE (40DREG,,,.j. 066',:o/i ;,,W REDWOOD LN -4,350
SUED V I SION. . ZCIN fNC;t
BLOCK. . . . . . . . . . . .. . . . . . . . . . . . .
CLASS OF WORK.
TYPIL OF USE. . . : IND
O(MUPANCY GRP. —3-1HR
OCCUPANCY LOAD: 0
TENANT NAME. . . I ALBANY INSURANCE
Remmrks-. Tvnamt jmpruvpmpnt
Owner:
PACIFIC REALTY ASSOC.
15115 SW SEQUOIA PKWY.
PURTLPND OR 97224
Phone 6,:,4--6301A
Cont r.mctur-:
H. L. GRE11*N
1511,5 GW SLOU010 BLVD, SUITE E-00
TIGARD OR 147224
Phone #? 624-7717
Reg #. . . 41328
Occupancy of the Above refer-enced buiidiviW is hereby given, rind certifieri
thR COMPlianC.-e with the State Of Ot-egon ripecialty C#Id4s for the graup,
OrCkApancy, and use under which the vi issued.
BUIL.DfNG INSPECTUR BUIL.bIN " OF, At
POST IN CONSPICUOUS PLACE
o
:j
CITY OF TIGARD BUILDING INSPECTION NOTICE `,
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 71
16Inspection:
Footing Susp. Ceilin Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Idg.'
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
-ate Requested: A-5— Time: AM PM
Address:
Builder: Permit tk: �
THE FOLLOWING CORRECTIONS ARE REQUIRED: ma� S'4�
Inspector: Date:e �
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICES-
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: -4171
Inspection: —
Footing Susp. Ceiling, Sprink. Rough-in UNp dwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in L;)
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing im
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: G' —Time:--AM PM
Address:
Builder: Permit #AJQ2jS
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IJIn ector: Date:
APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41
Inspection: „
Footing Susp. Bilin Sprink. Rough-in �' Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall yp. Bd. Elect.
Date Requested: �G l/�� �Ls Time: AM PM
Address: <-Q'-,1 -_ > Z 1
Builder: Permit 7 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
so
ZA1'"U
4�� c�'•e �`i,G' ' /c HEC""' G//T'h
CIA ;!22
v Acv ilei'
Inspector:_ Date:
APPROVED DISAPPROV D APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
5. 3�
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: L r�1- �✓� C _' _`
C�
Footing Susp. iling Sprink. Ro h-in pp/ dwl�
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 1 // } I/' .1 Time: AM PM
Address: At
I , ti'BuilderufPermit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4/e�e /r^ c 1., J7 .S Iez
C �k.�0
Inspector: Date: Ac j
PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
`` _Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Re/c�-,O Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A / Ik
Foundation Plbg. Underslab Mech. Rough in Fir ce
Post/Beam Struct. g� Elec. Rough-in FINAL:
Post/Ream Mech. San. Sewer Gas Line -Bldg.
Plbg. Ur ierfloor Rain Drain Framing -Plumb.
Alarm at-'W er Line _�� Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd.
Date Requested: G f (a— I Time: A�t.
PM
Address:_ �v„
Builder: Permit II' { G aS-3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insp r; Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 71
Inspection: 7)
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersiab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas ine Bldg.
IN
Plbg. Underfloor Rain Drain ramingg) -Plumb.
~r -
Alarm Water L ine Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �D -11"°�Ja Time: AM PM
Address: �,1, b
Builder: L--(-Ty'C2d/\ (o Permit #: � ' ��3157
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date: 7
F'I'FtOVEb _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF T I GARD �`
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT
13125 SW Hall Blvd.Tigard.Oregon 97223.8199 (503)639-4171 PERMIT #. . . . . . . : PLM95-025�'
DATE ISSUED: J-0/11/95
PARCEL: 2S112DA-00700
SITE ADDRESS. . 06650 SW REDWOOD LN #5. 350
SUBDIVISION. . . . : ZONING:
SLOC K. . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. . :ALT GARBAGE DISPOSALS— MOBILE HOME- SPACES.
TYPE OF USE. . . . : IND WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. .
OCCUPANCY GRP. . -B2 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STOF41ES. . . . . . . . : 1 WATER HEATERS. . . . . . : i CATCH BASINS. . . . . . . :
FIXTURES-- -________.____. LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
SINKS. . . . . . . I URINALS. . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FI XTURES. . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :
WATER CLOSETS. . : WATER LINE ("t ) . . . .
DISHWASHERS. . . . : RAIN DRAIN
Remarks: New tenant improvement.
Owners FEES _---------------
PACIFIC REALTY ASSOC. type amo,.tnt by date recpt
15115 SW SEQUOIA PKWY. PRMT $ 25. 00 JDA 10/11/'95 95271564
=PCT $ 1. 25 JDA 10/11/95 952'71564
PORTLAND OR 97224
Phone #: 624-6300
Luntrac---tor-
DEAN WARREN PLUMBING
3111 SE 13TH
PORTLAND OR 97202
Phone #: 236-4152 $ 26. 25 TOTAL
Peq #. . : 000172
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Top—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
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.
Permittee Signat -tre ,
Issi-ted By :
Call for inspection 639-4175
City of Tigard PLUMBING PE • MIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # _
Tigan' OR 9722.3
(50.., -4171
MINIMUM $25.00 PERMIT FEF + ST. SURCHARGE
""nio1° NopnYM NewSingle Family Residences Only
/ft— ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job I L^ ---� `1!n� (,iX-/ __A)- ❑ 3 BATH HOUSE $225.00
Address cr,�suu �j Fee includes all plumbing fixtures in the dwelling and the first 100 feet
rt " r' ✓ of water service., sanitary sewer and storm sewer. See fees below.
W (d n s W b.--) FIXTURES CITY PRICE AMT
TASink 900
Lavatory 9,00
Owner Tub or Tub/Shower Comb. 9.00
ZIP Shower Only 9.00
Water Closet 9.00
1hi1°"") Dishwasher 9.00
Cl , �/li) .)` J. Garbage Disposal 9.00
Occupant Y."Ad*w vO—• —
Washrng Machine 900
Floor Draln 9.00
"�rsws ZIP Water Heater 9,00
Laundry Room Tray 9.00
N.— Urinal 9..00
1 �1�`/ L^JA t �1 I .. Other Fixtures (Specify) 9.00
MMnp btrw ANrw 9.00
Contractor
9.00
u�Ir _ n a' 9.00
Sewer 1st 100' 30.00
"•pY°'"°"No. M'b T"W Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 3000
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the ow isr, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 3000
I am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please —
give reason below.) Mobile Home Space 25,00
Back Flow Prevention
Device or AntkPollution Device 9.00
Any Trap or Waste Not i
Connected to a Fixture 9.00
Describe work newC) addition Q alteration Q repair Catch Basin 9,00
to be done residbntial Q nonresidential 0 Insp. of Exist. Plumbing 40A0ihr
Specially Requested Inspections 40.00/hr
Existing use of
auilding or property lam' Jl L- [ : Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
'—' '(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE ?�..
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
Date issued by ZT —�
(n ! L
CA I i
I I
J i
re
F
A 11 k I
ll'! I
CITY OF 11GARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6339-4175 Business Phone: 639-4171
Inspection: Ic
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundatior. Plbg. Underslab Mech. Ro Fireplace
Post/Beam Struct. Plbg. Top Outc. R uo gh-rn FINAL:
Post/Beam Mcch. San. Sewer -Bldg.
Plbg. I ndertloor Rain Drain Framing -Plumb.
41.,rn- Water Line Insulation -Mech.
Underllr. Insul. Shear Wall y�,Gyp. Bd. -Elect.
Date Requested:/�� Time: M PM
Address:
Builder:_ Permit #:-54 C__
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector. � Date/ Ic-
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp. r
MECHANICAL V,
CITY OF TIGARD PERMIT #. PERMIT+. MEC95-032,�-'
COMMUNITY DEVELOPMENT ddfA#1WNT DATE ISSUED- 10/10/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL : 2SI 12DA-00700
SITE ADDRESS. . . : 1716650 SW RI—DWOOD LN #S.
SUBDIVISION. . . . : ZONING:
SLOCKN. . . . . . . . . . .. LOT.. . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . . EVAP COOLERS:
TYPE OF USE. . . . : IND UNIT HEATERS. . : VENT FANG. . . :
OCCUPANCY GRP. . :B2 VENTS W/O APPL.. VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
r-'--1-1EL 0-3 HP. . . . : DOMES. INCIN:
- /ELE/C /
3-15 HP. . . . COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . - REPAIR UNITS :
FIRE DAMPE RS?. 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : !;0+ I-AP. . . . . CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU,-;2 (= 10000 cfm: GAS OUTLETS. :
FURN ) =100K BTU: > 10000 cfm :
Remarks : Now tenant improvement:. "mechanical "
Owner: FEES- --------------
PACIFIC REALTY ASSOC. type amop.tnt by date recpt
15115 SW SEQUOIA PKWY. PRMT $ 25. 00 jSD 10/10/95 95-271439
PLCK $ 6. 25 JSD 10/10/95 95-271431)
PORTLAND OR 97224 5PCT $ 1. 2`5 JSD 10/10/95 95-271439
Phone #: 624-6300
Canty-actor-
PROTEMP ASSOCIATES INC.
807 N. E. COUCH
PORTLAND OR 97232
Phone 233-6911 t 33. 50 TOTAL
Reg 38A6P
REQUIRED INSPECTIONS
This permit is issued subject to the regulations coptained in the Mechanical Insp
Tigard Municipal Code. State of Ore. Specialty Codes and all ether Heating Unt Insp
applicable laws. All work will be done in accordance with Cooling Unt Insp
approved plans. This permit will expire if work is nct started Dl.ict Inspection
within 180 days of issuance, or if wor1l, is suspended for more Misc. Inspection
than 180 days. Final Inspection
Permittee Signati-We'
syl Al
Call for- inspection 639-4175
V
CITY OF TIGARD PERMITBU#ILDING PERMIT
. . . . . . . . BUP95--0387
COMMUNITY DEVELOPMENT DEP4Ft.TMq14T DATE ISSUED: 10/10/95
1312.5 SW Hail Blvd.Tigard,Oregon 97223*8199 (6-01)939-4i71 PARCEL: 2SI12DA-00700
SITE ADDRESS— : 06650 SW REDWOOD LN #S. 350 ZONING:
SUBDIVISION— . :
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .
ul-a--- ---
------------------------------------------------ ----
REISSUE: FLOOR EX�TEXOR WALL CONSTRUCTION'--
CLASS
ONSTRUCTION—CLASS OF WORK. :ALT FIRST. . . . sf N: S.. Es W:
TYPE OF USE. . . : IND SECOND. . . : sf PROTECT OPENINGS?---- ---_._
TYPE OF CONST. :3-1HR THIRD. . . . sf N: S: E- W1
OCCUPANCY GRP. :92 TOTAI--------: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD BASEMENT. - sf AREA SEP. RATED:
STOR. : 1 HT. : ft GARAGE. . . : 5f OCCU SEP. RATED-
BSMT?.- MEZZ", REDD SETBACKS—---— REQUIRED------------------_ _ ._ -
FLOOR
EQUIRED------------------ - -
FLOOR LOAD. . . . ." psf LEFT- ft RGHT: ft FIR SPKL:Y SMOK, DET, . :
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:Y
BEDRMS: BATHS: IMP, SURFACE: PRO CORR:Y PARIJ,11\115:
VALUE. $ : 35000
Remarks: New tenant improvement.
Owner: ------------ FEES
PACIFIC REALTY ASSOC. type amount by (late recpt
15,115 SW SEQUOIA PKWY. PLCK $ 140. 08 B 09/08/95 95-270319
FIRE $ 86. 20 B 09/08/95 95-27031.9
PORTLAND OR 97224 PIRMT $ 215. 50 JSD 10/10/95 95-271439
Phone #: 624-6300 5PCT $ 10. 78 JSD 10/10/95 95-271439
Contractor:
H. L. GREEN
15115 SW SEQUOIA BLVD, SUITF 200
TIGARD OR 97224
Phone #: 624-7717 $ 452. 56 TOTAL
Reg #. . : 41328 REQUIRED INSPECTIONS
This permit is issued sub'iect to fnp equiations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Firewall 1 n s p
applicable laws. All work will be done in accordance with Gyp Board I n s p
approved plans. This permit will expire if work is not started S u s p Ceilng I n s;p
within 188 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. Final Inspection
nr'inirtee S i Itn4at iAv-.,e
t:,F,i-t e(J By
Call for inspection 639-4.175
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �O
Tenant:
�/ylulte # OttTce Use Only
v25"-I Pland</Rec`# q'"
Valuation:
Permit
Owner: Pacific Realty Associates , L.P. (PacTrust) Map`& TL#
Address: 15115 S.W. Sequoia Pkwy. , Suite 200 approvals Required
Portland, OR 97224-7199
Planning
Phone: (503) 624-6300 Engineering
Cather
Contractor: z�C-.�,L� it�//1/,L.a
Address:
Type of const:
Occupancy class:
Phone: _
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project: .3 ?
Story (1st, 2nd, etc.) ,d _
Archltect/Englneer: John H. Romish — Proposed use:
ddress: 2216 S.E. 24th Avenue Previous use:
l� Portland, OR 972:4 Note: Plumbing & mechanical plans
must be submitted at time of
Phone: (503) 236-6306 _ building permit application.
COMMENTS:
App cant Signature & Phone number
Received by: �� heti`tr_ Date Received:_ e�l�/err"
Permit# Account Description Amount Amt. Pd. Bal. Due
` Bldg. Permit (BUILD) 7 1_y sr'
Ph,mb. Permit (PLUMB) _
Mech. Permit (MECH) _
State Tax (TAX) Ac
Bldg:
Plumb: /
Mech: — IG{0 o��7
Plan Check (PLANCK)
Bldg:
Plumb:
Mech: y
14Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PK-9DG)
Storm Drainage Chg (SL)SDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _
Water Quantity (WQUANT) C' (,0
Fire Life Safety (FLS)
Erosion Cntrl Permit (F_RPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
TOTALS:
�,'' .�� ���•-,`S --' ✓'S..rte....- �r �j
Accumulative Sewer Tally
Address: � _ — This PLM#: `> –c c`�3
F ture Value Previous Previous Credits Capped Fixtures Fixtures New New
# Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4 _
Bath - Tub/Shower .1 / f
- Jacuz/Whpl 4
Cuspidor/Water Asp 1
Dishwasher Comrner 4 [j -
Domest 2. _
Drinking Fountain 1
Floor Drain - 2 inch 2
3 inch 5
4 inch 6
Garbage Disposal 16
Dom Ito 3/4 HP)
Comm Ito 5 HP) 32
Ind lover 5 HP) 46
Oil Sep (Gas Sta) 6
Shower Gang 1
Stall 2
Sink - Bar 2 �� -� CI L
Bradley 5
- Commercial 3
Service 3
Washer, Clothes 6
Water Ext 6
Water Closet 6
Urinal 6
TOTALS
Total fixture values:_
divided by 16 EDU
HISTORY
PLM# ` I ''� EDU# G SWR# �/ PLM# i EDU# %- SWR# S
-
PLM# l�? �'r'gG EDU# SWR# 9r .�, 3U cr PLM# /t-' 1 J`� EDU# SWR#
PLM# S-r t c EDU# / ' SWR# �� -C'3�/ PLM# EDU# SWR#
t/�
PLM# �� �'� /� EDU# / SWR# PLM# EDU# SWR#
City of Tigard MECHANICAL PERMIT Planck/R.ec. #
13125 SW Hall Blvd. APPLICATION ,,�ermit # Mfg� i5- o�z
Tigard, OR 97223 �,�'
(503) 639-4171 ��--�'"� '/�
/ 1
Descripti6n
Table 3A Mec'ianical Code QTY PRICE AMT
Jobj,^ S✓► ! ,� ' 1) Permit Fee -0- -0- 10.00
Address 11
` 7 2) Supplemental Permit 3.00
f-urnace to 100,000 BTU
1) incl. ducts 3 vents 6.00
Furnace 1 0 BI +
Owner i •S U' ' / �� 2) incl ducts &vents _ 7 50
.. Floor Furnance
7, Z 31 ncl vent _ 600
,, .m." ..... S uspend ed eaT–wei, eater
/ i7 41 or floor mounted heater 600
u wVent not me—in
—
Occupant / ) / e ) 5) appliance permit 300
.. wRepair of heating, re ng
6) cooling, absorption unit 600
Boiler or romp,7eat pump, air con
71 to 3 HP. absorp unit to 100K BTU 690 I 1
o(er or comp, heat pump, au cond
8) 3-15 HP absorp unit to 500K BTU 11 00
Contractor ,--►_ o Boiler or comp, heat pump, au con
9) 15-30 HP, absorp unit 5-1 and BTU 1500
•u" . " o(er or comp,Tmait pump, airconn-
10) 30-50 HP: absorp unit 1-1 75 and BTU 22 50
hereby ac now edge that ave readn
this application. that the Boiler or comp,–Fiieat pump, air con
information given is torrent, that I am the owner or authorized 11) > 50 HP, absorp unit 1 75 mil B71j 37 50
agent of the owner, that plans submitted are in compliance with Air an (ng unit to
State laws, that I am registereJ with the Construction Contractors 12) 10,000 CFM 4 50
Board, that the number given is correct. (If exempt from State r Fan ing unit
registration, please give reasoo below) 13) 10.000 CTM + 7 50
on ponab–T--
14) evaporate cooler 4 50
ent ,an -,onnecied
t 51 to a smile duct 300
� Ventilation system not
16) Included in appliance permit 4 50
Hood served by
1_) mechanical exhaust 4=0
--Describe worK new a d(ion �_. a terat( i repay ;-, Commercialor n ustria
to be done es(d4bal Q non-residential 18) type incinerator 30 00
n
ter e. woo stove. water
Existing use o
bu ldinq or prooertyl'//� J 1 9) heater, solar clothes dryers, etc 4 50
L=�
Proposea use of 2 0) Gas piping one to four outlets 200
building or prGNerry
21) More than 4-per outlet (each. 200
Type of fuel -oil Q natural gas Q LPG Q electricNOTICE
(�
Minimum Fee 525 00 SUBTOTAL f
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED JVITHIN 160 DAYS. OR 5"o SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25" OF SUBTOTAL
AFTER 'WORK IS COMMENC'--D
TOTAL A J 9 f
Special Conditions )
Date ssued by
y 11-COWDSTTMECHPMT
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1 fl)1'4 1.1 it I I 1 111 Ill I i
FLIM-'1 4 1 It y I'll r I It I lHk$I ill I
.1 WIN I t.i4l PLAINI CHUCK
?4"'50 IRW 101A.W010 I'.JA
ii 17MN'y
Job #4163 ire
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # �7Z(9 - ry2-r
Phone (503) 639-4171 Date Issued _ic, y- y5
CITY OF TIOARD FAX (503) 684-7297 Issued by �'��-les 5<�r.,_,-11`
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 6650 S.W Redwo d Ln.—_C.�� r Service included Items Cost(ea) Sum
City/State/Zip Tigard, Oregon, 4e. Residential-per unit a
1000 sq II or lata 5110 00
Name ( )or name of business Albany suaInrnce co. I Fach addd'onal 500 W 11 or 1
portion thereof $2500
Commercial® Residential❑ Limited Energy 52500
Each Manufd Home or Modidar 2
Chvelhng Service or Feeder S66 00 r
2a. Contractor installation only: 4b.Services or Feeders
InsInllalion,alteration or relocation 2
Electrical Contractor Bac-hof ner Elm r i -, Tnc- 200 amps or less �_ SEw no 60.00 2
Address 55 S.E Main _ 201 amps to 0 Amps $00 00 2
ao1 snipe to 60 600 amps $120 00
CityPortland State o__ Zip_332_U_ 601 amps to,000 amps $180 00 2
Phone No. 233-20Qf C)vnr 1000 amps or votes $340 00 2
Contractor's License No. 26-4510 Reconned only $5000
Contractor's Board Reg, No. 44569 _._ 4c. Temporary Services or Feeders
�Wiation,alteration,or relocation 2
Signature of Supr. Elec'n 2 20060
11 Amps or lase
$5000 2
amps to 900 amps $7500 2
License No._ 28085 _ Phone No. 2 - 006 401 Amps to 600 amps s10000 _
Over 600 amps to 1000 Vohs
2b. For owner Installations: see"h-above
4d. Branch Circuits
Print Owner's Name Now alterntion or extension psi panel
Address al The lee for branch cncuds with
City StateZip purchase of servke or Reeder Aw. 2
Each branch circuit —9- 5500 45.00
Ptione No. b)The fee for branch cacuds without
The installation is being made on property I own which is purchase of service or feeder Aar. 2
ast branch a
not intended for sale, lease or rent. FFambit $3500
00
_
och Additional branch racwl $500
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation arcie $4000 2
Each sign or outline lighting _ $4000
Signal amud(s)or A limited anergy 2
Please check appropriate Item and enter fee in section 5B. panel Alteration or extension _ San 00
4 or more residential units in one structure Minor Labels(10) $10000
^�Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 psi axmprvl'on —__ $31,00
Per hour $5500
In Plaw S55 00
Submit 2 sets of plans with application where any of the above
apply. Not requited for temporary construction services. 5. Fees:
NOTICE So. Enter total of above fees $ 105.09
5%Surcharge(.05 X total fees) $ �5.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5h. Enter 25 of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED ❑ I t Account k $
Balance Due $ J10.25
eddteMMNNWip'al.�ip
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