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11440 SW TIEDEMAN AVENUE-1 2X6 JOISTS @ 24 " D .C . I I 1 / 2 " PLY \v El ❑ D I 2X6 JOISTS @ 24 " a J 00 II r / co I v� I A ' CIRCUT 1 / 2 " GYPSUM CD , � BREAKER – i BOX litI co 1. C) C) IA CD T SCALE. 3/8.v _ 10" 2X4 STUDS 1 / 2" GYPSUM — @ 16 " D .C . R- 19 BATT ' INSULATION EXISTING ( TYPICAL ) CONCRETE SLAB ``' A � a I I2x rR O � =j c S I I JO IT @ 24 0 „ : > . = -� 1 1 2 X16 RIO O FI 1 ;� - 1T I I I 1 � JOIS@I I I I I LEGEND 1 1 2 41 ❑ "C ' I I I 1 LIGHT F I X T .!R E LIGHT SWITCH EIRE SPRINKLER PA 1 T ELECTRICAL SJCKET ON, A-, FLUORESCENT l_ TGHT SCALE: 3/ 4 " - 1 ' - 0 " SCALE : 3/ 16" = 1 ' - 01' FIXTURE SHEET ! C - 1 �- Fi�SHING WIDTH, �_ . F. ) DRAWN BY �RA�,NIrJG NUMBER LEGEND: REFER TO SPECS/DE1./ _S, SYSTEM : SS—MFRS 1 2" ELASTOFORM == 1 ,0 L/F Ai_ �__ E D E� �_� �� RC D U CTS C C� R P 1 .--_-- LAP SPLICE.: 6' WIDE 4 �, .� __ RSD REED 2Z= WALKWAY _ P 1 4 O `�W I l F_ E M A N AVE DATE / TOTAL SQ. FT. ROOF DECK. WOOD INSULATIOr . TYPE P,NU THICKNESS TI GAR D R EGO N 9 72 2 3 FEB 12 , 199 4 3. cn r. I i I m � cn •n r� r-- •;� a Ll I C- C �ri m 3 _ r, _,,�T, I �-. 01 i� c) Q) m W ry O(F-+I" ;U,II.., O r) X :J O c+ 0) rt• fL O C ,_. I H. Cil [U y C, n r� mr+ 7 � Z) CT 3 rt• p) m o'�n�-o cn cn �•• � � � a; r= -'I C-t- CD W r CJ' 7- x 1-+'J A O cn r1 H•. `n o' o � ti D7, Ln C f �1' Cf) D P. UI m rt, a F., mm al� � m r+ I� I CD �--1 I T) '1 �l -0 Co U', I-J L,I 1 rIl C ]a - I�• m w rr m H m r. Y r [= E F.. �� f cn r1 7 .; r•i m c [1t m rJ F r)• 1 I� m N• y c) r� n z, r � o c� r, v cu l o I— n, M to '1 0 m r p• ~ -`I " I �I a m o I� o rr I O C rn 7 11 m ro _ o T, >' in cn -� �• (+ `r ro m ro i rY1 Fl � I CD a r*� rig i N'O,#PnATL M, nb6TT CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : 13UP99-00651 DATE ISSUED: 02 /24/99 PARCEL: IS135CB-00700 SITE ADDRESS. . . : 1. 1440 SW TIEDEMAN AVE SUBDIVISION. . . . : Z ON I NG: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . J U R I SD I CT I ON:'F I G, RE 1:Sc:)LJ E FLOOR AREAS----------- ExTERIOR WALA.. CONSTRUCTION CLASS OF WORK. :ALT FIRST. . . . : 220 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?------- - TYPE PENINGS?---------- TYPE OF CONST. :5N 0 5f N: S: E: W: OCCUPANCY GRP. :S2 220 s ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 of OCCU GEP. RATED: BSMT" : MEZZ" : REDD SETBACKS--------- REQUIRED--------------------- FLOOP LOAD. . . . : 0 p s f LEFT: 0 ft RGHT- 0 ft FIR SPKL.:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. `6 : 2500 PemArl�!-, : Interior malls for tint booth. No C of 0 required, no change in occupant ;uad. Separate fire sprinkler permit required. (Awner: FEES MCCALL OIL t YPP amottrit by deet e recut I308 914 15TH AVE PRMT $ 38. 50 DEB 02/24/99 99-313193 PORTI-AND OR 97205 5PCT $ 1. 193 DEB 02/24/99 ?9-313193 PLCK $ 25. 03 DEB 02/24/99 99-313193 Phone #: 228--2600 FIRE $ 19, 1:0 DEB 02/24/99 99-313193 Contrartor: ALLIED BUILDING PRODUCTS 11440 SW TIEDEMAN TIGARD OR 97223 Phone 4: 639-1579 $ 80. 86 TOTAL Reg ACTIONS or INSPECTIONS-- This permit is ISSULd subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Ins,_tlation In-,p app!icablp laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for Pore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oreqon Utility Notification Center. Those rules are set forth in OAR 952-MI-010 through OAR 952-0101987. You many obtain a copy of these rules or direct questions to OUNC by calling (593)246-1987. Permittee Signature: '' s s 1.t e dVl ++4...........1-++++4-4.................F++++-'-+++++-4......4........................44+ Call 639-4175 by 7:00 p. m. for- an inspection needed the next bi.isiness C4-,y ................ ++++++++++++++++++++++++++++++++++i+++++++++++++++++++++++++ CITY OF TIGARD Commercial 3uilding Permit Application Recd By 13125-SW HALL BLVC. Te.i3nt improvem t DateRec'd�, e 1 TIGARD, OR 97223 ' �,V Date to P.E. k'503) 639-4171 �' I✓ t)/�•. Date to DS / Permit* Print or Type .�'' Relatd /Incomplete or illegible applications will not be accepted Cellei !T - V Name of Deveiopment/Project — Existing Building'r3 New Building Job Address Street Address - Suite Building /i� ► 7�c71f".4 Data Bldg# City/State Zip I Existing Use of Building or Property. i 1 'U t?rk �i7,V ------- Name -- Property to 0 L -. L 1_ 0111— Proposed Use of Building or Property: Owner Mailing Address —— ] Suite — — CoinC� o.) N I ailI iLr' --- -- o. Of Stories: City/State Zip Phone / 1 O.. >�i�r7 c� �"1,:�' '� 2��`'C t� Sq. Ft. Uf Froject: Occ;pant Name Occupa is Glass(es) ------ — Name - Contractor , ! 7 Type(s)r,f Construction 5^ Prior to permit Mailing Address Suite __-1—_-__--- issuance,a copy Will this project have a Fire Suppression System? of al!licenses _ are required If City/state Zip Phone - Ye expired In C.O.r I Americans with Disabilities Act(ADA) database Valuation X 250/0 -- $___ Participation Oregon Const.Cont.Board Lica Exp.Dale Complete Accessibili Form Project $ Name r ---- Valuation Architect -f',C�D �EEc� Plans Required: See Matrix for number of sets to submit Melling Address Suite on back iN44o Sin.: 'T%socMAn1 -- --- ---- _!_ Clty/Stale Zip Phone [that hereby acknowledge the+ I have read this application,that the information 7��_� 4,-L"'i 'i � �Z given is corred,that I am the owner or authorized agent of the owner, and N.3me plaac submitted are compliance with Oregon State Laws. Engineer �— Sign of OwnenA;gent Date i i-Vailing Address Suite r�^ Contact Person Name Phone Cit;/State ZIP - Phone ! - - FOR OFFICE USE ONLY___ _ Indicate type of work New 0 Addition 0 Demolition O Map/TL# Land Use: Accessory Stn Inure O Foundation Only O Alteration Qf Repair O Other 0 Notes — -- Doecrlptlon of work: - TIP -----_--.-------------------�_� Note: Site Work Permit App tcatimi must precede or accompany Building Permit Application I tCOMNEWTI.DOC (DST) 5199 tea. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) V 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F - Fire Protection Syste- M (New or Add or Alt) 1 h1 = Mechanical B & M (New or Add)^ 1 P = Plumbing P (New, Add, or Alt) e 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition _B_& F & M & D & E 3 Alt = Alternation to Existing (New , Add) _ Y Building *B or B & M (Alt) I1 *B & M & P (Alt)� � ��3 *B & M & P & E(Alt) .W 3 *B & M & P & E & F(Alt) 3 NOTES. *Shaded areas designate ALT submittals only I\dsts\forms\matrxcorr,doc 10/30198 I } OVER-THE-COUNTER (OTC) QERMU PLAN REVIEW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: ^r;.} ca pAA,ts� e 4Z -t�%,; r P,;tioc tg — r GIGO HiQ^A�o 0 44"W c K) 6 dCA A PA.4 T' C-0414 CLASS OF WORK: FLOOR AREAS EXTERIOR WALL CONSTRUCTION TYPE OF USE: FIRST SQ. FT N S E: W TYPE OF - —i— CONSTR: '�� i SECOND SQ. FT'. PROTECT OPENINGS?: OCCUPANCY GRP: -0.5—z' THIKu SQ, FT N: S: E. W' OCCUPANCY LOAD: TOTAL Sr.. FT. ROOF CONSTR FIRE RET ! I STOR HT' F1: BSMNT: SG. FT. ARE-,SEP. RATED: BSMNT'? MEZZ? i GARAGE. SQ. FT OCCU SEP.RATED FIRE FIRE SMOKE HANDICAP iPRINKLER: _ — ALARM. — DETECTOR: ACCESS --_ V J C2 i I r, � __ COMMERCIAL INSPECTION ACTIONS v _—FEE MENU --- l 5� Foot/Found Post/Beam $ g Permit Fee _ Masonry framing $ 2$0`t Plan Review Insulation J Shear Wall $ -5916 State Surcharge T Firewall Gyp'Board $ 1 ` FLS Plan Review Suspended Ceiling _ Sprinkler Rough-in $ _ Add'I Permit Fee _ Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector _ Approach/Sidewalk $ Inspection Miscellaneous Final $ MIS Fee FOR OFFICE 115E ONLY: �—� �T ------� TYPE OS USE OPTIONS(COM=commercial: CMS=commercial manufactured stnicture) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=ne,v:.Add-addition.ALT=alteration: ACS=accessory:FND-foundation; OTR=other: DEM=demolition: REP=repair: FPS=fire protection system. NOTE.- USE OTR FOR FENCES, RETAIiwi*:G WALLS, DETACHED DECKS, SIGNS. AWNINGS. CANOPIES) 1Aovrcntr2.doc (DST) 4197 1 FPD 22 1 1 o:? 23 37 P -4 PC)t'-'I N 0.OREaWS 972()-; ebt wry"'I, Mr. P:11-'vjjjj(r2., I*)W!" )n 'Urns tit AM,., 13.11iijilIgPr' (ducts(Icq). 11441-SWTv-dernim R(,Ilij Tihwr 1, OP,9 '.!23 or 11711111, (Ait t( thy jr r)r: 't, Ii vfm biwe w, lk!g'o jk N-ni NJ(.( t. ;I Z q. Gil . IGARD 24-Hour _QING Inspection Line: (503)639-4175 MST INSPLZTION DIVISION Business Line: (503) 639-4171dcu Q -, - - Received _ Date Requested __t � Y�AM__—_PM—e I� 11- ��0 6- Location � � ,, Suite - MEC - _ - Contact Person h CD 4�V� Z 1` 2-4 PLM c - Contracyc --- - J`,�-- h(— ) - - - J SWR _ ILDING Tenant/Owner APV/ w' I Z—;, _W. ELC Foo 'ELC Foundation Access: Fig Drain EL.R _- Crawl Drain Slab Inspection Notes: /� SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing �-- Firewall Fire Alarm _,SuT .... . ................_. . sp'd Ceiling -^ Roof OthLBING PART FAIL_ -- Post& Beam ' Under Slab -- — Rough-In Water Service Sanitary Sewer /! 4-4-g o Q - 0c)0 Q Rain Drains Catch Basin/Manhole (G[A,poo' Storm Drain - - — Shower Pan Other: Final _PASS_PART FAIL _ MECHANICAL_ _ _— Post&Beam ' Rough-In A — Gas Line Smoke Dampers � ---- Final PASS PART FAIL - — ELECTRICAL Service — Rough-In UG/Slab Low Voltage Fire Alarm Final F] Reinspection fee of$. _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _-_-- — F] Unable to inspect-no access Fire Supply Line ADA 1� c Approach/Sidewalk Dots--- -- Ins;,actor Ext Other:_ Final DO NOT REMOVE this InsgPection record from the Job site. PASS PART FAIL ELECTRICAL PERMIT- CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2002-00004 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 DATE 6SUED: 1/8102 SITE ADDRESS: 11440 SW TIEDEMAN AVE PARCEL: 1S135CB-00700 SUBDIVISIO14: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of burglar alarm. Job No. 083-14309-01 A. RESIDENTIAL _ _ B._CO_MMERCIAL _ AUDIO & STEREO: — AUDIO & STEREO: INTERCOM & PAGING: ' f_:URGLAR ALARM: BOILER: LANDSCAPE/IRR.IGAT: GARAGE OPENER: CLOCK: MEDICAL: FIVAC: DATA/TELE COMM: NURSE CALLS: V V71JIUM SYSTEM: FIRE ALARM. OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: BURG ALARM X TOTAL#OF SYSTEMS: 1 Owner: Contractor: MCCALL OIL ADT SECURITY SERVICES INC CHEMICAL CORPORATION 2.8'15 SW 153RD DR 808 SW 15TH AVE BEAVERTON, OR 97006 PORTLAND, OR 97205 Phone: Phone: 503-469-7244 Reg #: LIC 59944 ELE 26-209CLE FEES — Required Inspections Type By Date Amount Receipt Low Voltage Inspection RMT CTR 1/8/02 $75.00 2720020000 Elect'I Final 5PCT CTR 118102 $6.00 2720020000 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 permit will expire if worts is not started within 180 clays of issuance, or if work is suspended for more than 180 days. ATTEN i ION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are sr i forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct que3ns to OUNC at (503) 246-1987 l r Issued by d�, I \, [ �� ' �' r Permittee Signature,--ii/Al I, i_t C J __— OWNER INSTALLATION ONLY — The Installation Is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE N O: ------- -------_ --------- -- —--– Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 01/07/2o0z t l . •4� I �\ 50316!1 I Io ADT SECURITY IM 002/002 Electncal�Po�pi!iqg r' ' • 'on 'i -- hatercceived 7 Permit no. 1-2a"�/-O� a� City of Tigard Projeceappl.no.: Expire date: r n of'!'igard Address: 13125 SW Hall Blvd,Tlgard, R'07223 Date issued:__� _ HY Receipt no. Phone: (503) 639-4171Case file no.: Payment type: Fax: (503) 598-1960 (;1T� OF Ill>FAItU — BOLDING DMSION Land use approval: all 0 011113 1 7(U &2 family dwelling or accessory 19 Commercial/indust iial U Multi-Ianuly U Tenant improvement Now construction J Addiliolt/altcration/ie{il;t cnu+nt IJ Other] _ - _ Cl Partial 1 Slide- Job address: d r' G1yQ �._ — Bldg.no.: Suite lax, map/tax lot/account nu.:—--- — Lot, Block: Subdivision: ---- project name: ( Description and location of work on premises: Estimated date of coo letion!ins ion: -FEE SCHEDULL 1 1 _ Per Max Jeb no: O�j' �YtsirLq- — Ueseription Qty. (ea.) 1.01311 no.lnsp Business naine.: s r — New estdealhl-single or^mlll family per Address: dwellhrgunN.Inchrd"Altaetxdgnrage. City: .� I ooU sq.ft.or less Phon •1i`!�� 100Fa cam• '.7 E-mail: --- — Each additional 500 sae ft.or portion thereof CCB no.: Elec.bus.lic.oo:v— t.rnitedenergy,msid I 2 City/me tic.no.: / _ Limited energy,non-re,suendal _2 Enchrnanufecwredhomeormodulsrdwelling - -'---'--` Service and/or feeder _ 2 3ienatu a of super si g electrlcien(r ufred)— Date Srrrlcesorfeeders-Inslallalion, Sup elect.nsme(prirvl ljcWWno; alteration orrelocation: 111161PERTY OWNER 200 stops or less —_ 2 201 AMPS to 400 sm s 2 D F - -- -- ---- 2 Name(prizTemporary 1'ia c r Gr �{ G G 401 amps to 600 amps Mailing ad -- 601 amps to 1000 amps 2 City: Stale: ZIP: Over 1000 amps or v011s phone: Pax: E-mail: Reconnectonl services or freders- Owner installation:The installation is being made on property 1 own Inslallatlon,alteration,ortelocation: which is not intended for sale,lease,rent,or exchange according to 20)amps or less - _ 2 ORS 447,455,479,670,701. 201 amps to 4UUamps ___ 2 __ Date' 401 to 600 amps 2 owners signature: Branch clrculb-nen,alteration, or extension per panel: Na111C: _y_-___ A. Pee for branch circuits with purchase of 2 service or feeder fee,each branch circuit Address: _ �--P _—._-- ---- - B. Peeforbranch drcuiu without purchase2 State: of service or feeder fee•first branch circuit:City:Phone: I ;ts fEach additional branch circuit: THMAIR Mbc.(Service or feeder not Included): Bach um or irrigation circle 2 ❑Service over 225 amps-commercial U Health-carefacilityBachs� noroutlinelighting O Service over 320 amps-rating of I&2 U BuildilayArdnus er10.n Si nalcircult(s)oralimitedenergypanel• I 7�flmilydwellings UBuildingoverlO,O011equatefeetfourur g f27 ❑System over600voltsnondnal more residential units in one structure altention,oreatenaion• — _ O Building over three stories U Peelers,400 amps or mora *Description: —�- --- — U Occupant load over 99 Warms U Monufactured structures or RV park 1•'jch 2dd111onal inspection over the Allowable In any of thee aob7o—u—t.-- O Egtrss/lightingplan O Other .__. ------ — per inn lion -- Submit cels of plans with any ofthe above. Investigalionfee -- oral construction service. Other 'Ills above are not applicable to p y -- _ Permit fee..................... Na all lud,tactton,accept credit cud,.pewee call{uriadlcuon far more Information, Notice: This pentttl application Plan review(at —_ %) $ _ --� expires if a permit is not obtained U Viso O Me+trrCard within I8U days after it has been Stale surcharge(8%)....$ . _�-- credu card numb: _—__-- - t=—`T accepted as cornpiete. TOTAI. .......................$ ----_ -_-_-- Name o ser o r Ass own one It card S 4404615(6r"Or.1) Cordhol er denature _-- CITY OF TIGARD DEVELOPMENT SERVICES PILLIMSING PERMI'r 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 PERMIT #. . . . . . . : r,L1197-00L-''_i DATE ISSUED: 02/04/97 IS135CB-.00700 TTE ADDRESS. . . : 11.44-0 SW TIEDEMAN AVF 1SDTVTSJ0N. . . . i ZONING: I-P _OCK. . . . . LOT. . . . . . . . . . . . . A9S OF WORK. . ALT GARBAGE DISPOSALS. MOBILE 1-40ME SPACES. 17, YPE OF USE. . . . :COM WASH I NO MACH. ., . . . . -. 0 BACKFLOW PREVNTRS. . QA !XUPANCY ORP. . -B Fi nnR DRATNS. . . . . . 0 TRAPS. . . . . . . . . . . . . . ... 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . 0 CATCH BASINS. . . . . . . : 0 FTXTUPES---..--------.-.- ----.-- I-At. NDRY TRAYS. . . . . . 0 SF ROIN T)F?ATNS. . . . . : 0 SINKS. . . . . . . . . . . (A URINALS L71 GREASE TRAPS. . . . . . . . 0 LAVATORTES. . . . . - 0 OTHER F=IXTURES. . . . : 0 TUB/SHOWERS. . . . - 0 SEWER LINE (ft ) . . . : 0 WATER (71...OSETS. . 0 WATFP LINE (ft ) _ : 300 DISHWASHERS. . . . 0 RAIN DRAIN (ft ) . . . : 0 Remavl(sc TtistalliTig water- Set'Vj (--.(2 Owr�ei,: FFES mf""CALI.. Oil COMPANY Y P F1 amat-int; by tlat e I-ec.pt CHEMICAL CORPORATION PRMT $ 55. 00 1A 02/04/97 97289'-.i.V"� B08 SW V3TH AVF 19 P C T $ 2., 79) B 02/04/97 97 -28991719 PORTLAND OR 97205 FUL.I., SERVICA'.' PLUMBING R. DRAIN CLEAN I NG I NC 141.30 SW 1 17 n-i Aw #i BEAYERTON OR 97005 Phone #. (.,':'41 --J:J-',791 $ 57. 75 'TOTAL Reg #. . : O10698 REDUIRED INSPECTIONS This pervit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, Sfatp of Ore. qnecialty Codes and all other Final. Iiisf)ectian applicable laws. All work will be done in accordance with approved plans. This pet-sit will expire if work is not started within 180 days of issuance, or if work is suspended for sere than 180 days. -lei-mittee Sli r), t 'f, A Air a f4A LAY Call for inspection 639-4175 'ITY OF TIGARD Plumbing Application Recd By ;125 SW HALL W_VD. Cammerrial and Residential Date Recd-- ,GARD, OR 972'23 Date to P E Date to DST . 503) 639-4171 Permit 0E, �7- f0� Print or Type Related SWR s- Incomplete or illegible applications will not be accepted Called___ Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job A S'nk 9 00 Address Street Address Surle Lavatory 9.00-- b .00b or Tub/Shower Comb 900 Bldg 0 CdylSlate Zip Shower Only 9.00 —Jrz-,- �'.j uj'2,; Water Closet 9 Ou Name Dishwasher 9.00 Marling Address Suite Garbag3 Disposal 9.00 Owner - Washing Machine 900 C'y/State Zip - Phone Flour Drain 2• 900 -- 3" 9.00 Name 4" 900 Gccupant litailmg Address S AE — Water Heater 9.00 Laundry Room Tray 900 City/State Zip Phone Urinal — 9.00 ---- Name Other Fixtures(Specify) 900 •--- - c 9.00 Contractor Mailing Address R� S ile 9.00 900 rPnor to issuance City/State Zip Phone 9.00 .ipplicant must It 1, / ��rr C n 5 -(GiC --- ---- provide all Oregon Const.Cont.Board Lie.0 Exp Date 9 00 contractors CC16 �`��<�c� 900 license Plumbing Lic.x Exp Date Sewer 1st 100' 30.00 nformation ? Sevve,-each additional 10025 00 for COT COT Business Tax or Metro rx Exp.Date Water Service- 1 st 100' 300 �j p database) — �. _ — Name Water Service-each additional 200' 2500 z45 a, Architect Stoat B Rain Drain- 1st 100 30 00 Mailing Address Suite Storm 6 Rain Drain-each additional 100' 2500 nr — Mohile Homy Space 2500 EngineerCitylState Zip Phone Commercial Back Flow Prevention Device or Anti 2500 IL Pollution Device escribe work New O Addition O Alteration O Repair O Residential Backflow Prevention Device' 1500 :o be done. Residentra'O Non-residential O Any Trap or Waste Nut Connected to a Fixture 900 Additional description of work j,�1-151_:: 6.r-.F Z,,y1-L 14AI Vlf_ Catch Basin — — 1,1100 {� r� Insp of Existing Plumbing 1000 — _ peNhr _ - — Specially Requested Inspewons 4000 ".tsting use of per/hr nlding or property,___ -_—__- Rain Drain.single family dwelling I 3000 ^ Proposed use of Grease Traps l-- 900 budding or property--__ --� -----_- _ _- ----r — QUANTITY TOTAL Are you capping. movvlg or replacing aoy Fiixtures') yes O No)g lsomemc or riser diagram is reauved d Ouandy Totals >9 It f yes see back of form) _ 'SUBTOTAL L_i1 -7 I neieby acknowledge that I have read this application,that the information I givens correct that I am'he owner or authorized agent of the owner and 5% SURCHARGE that plans submitted are in compliance with Oregon State Laws ignature,of Ow riAgent Date PLAID REVIEW 25%OF SUBTOTAL _ _ -- / ------ --, Peawred only r rnnure:ry *orals>_9 —� i .•-L�/,T-z._ -t--.. TOTAL Coliftet Person Name Ptione -_ L- -• �' 3 I1 'Minimum permit fee is$25-5%surcharge.except Residertial t3ackflow J_ ,.)1A ' Prevention Drvrce,which is 515-5 surcharge (01 - t % 70 1. plrnapp-loc 1' 96 (dst) RLEASE COMPLETE AS APPRQPRIATE TO PROJECT: �Fixtures to be capped, moved or replaced Qty Slnk _ — �l.avatury -- Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher -Garbage Disposal Washing Machine — Floor Drain 2" Water Heater------- Laundry_Room Tray _ Urinal _ Other Fixtures (Specify) —_ — COMMENTS REGARDING :ABOVE: I: plmapp doc 12 96 (ds!) CITY CF TIGARD DEVELO►PPENT SERVICES 13125 SW Hall Hl gard,OF 97223 (503)639.4171 I CIT 7 GAF TIGARD Electrical Permit, ►pplicaticin Plan Che 13125 SW HALL_ BLVD. �� Rec'd B �GCJ�' Date Recd 'TIGARD OR 97223 �' -- Date to P.E. Phone (503)639-4171,y"JJ4 Date to DST p ( ) Print or, ype � �3S Inspection 503 639-4175 Permit# Fax(503)664-7297 Incomplete or illegible will not be accepted Called._____ 1. Job Address: 4. Complete Fee Schedule Below: Name of DPvelopmerlt--_ _ . _ Number of Inspections per permit allnwed Name(or name of business),, (? lj Ulj((, eAUC+ Service included: Items Cost Stam Address 1 A90 j. Ik-)- Tj+Irle fj fl J 4a Residential-per unit City/State/Zip � -jC?d,3 RM sq.it,(if less $111.00 _ _ Each additional 500 s,j Ir portion thereof __ $25.00 Commercial Residential❑ Limited Energy $15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder � $68.00 2a. Ct^ntractor installation only: (Attach copy of all rur tit Icenses) j 4b.Services or Feeders Electrical Contractor J_ . ��1Lf�l rel:-Q (,,_ Installation alteration,or relocation Address r .. t1si1 l•�el u 111 U 1 200 amps or less $60.00 91St 1 n r r 201 amps to 400 amps _ $80,00 2 Ciity_� 4 r P�State t,)L Zip '7;j..-. 401 amps to 600 amps - $120.00 2 Phone No. 5L.3 b54 -13J-45 601 amps to 11100 amps $180.00 _ 2 Job No. --:g, Reconnect only $50.00 __Over 1000 amps or volts $340.00 2 -� 2 Elec.Cont. Lice. No.,,d Exp.Date -- OR State CCB Reg. No. 'C', Exp.Date_T 4c.Temporary Services or Feeders ;OT Business Tax or Metro No. _Exp.Date installation,alteration,or relocation 200 amps or less -_ $50.00 201 amps to 400 amps $75.00 Signature of Supr. Elec'n . . 401 amps to 600 amps $100.00 -.- 1 ' C Over 600 amps to 1000 volts, License No- J _ Exp.Date� see"b"above. L,`54 3.w)5 Phone No.- L14d.Branch Circuits Nnw,alteration or extension per panel 2b. For owner installations: a)The fee for branch cirvilts with purchase of service or Print Owner's Name._ _ feeder too. Each branch circuit $5.00 Address - b)The fee for branch circuits City _ _ State Zip without purchase of Phone No. I service or feeder fee. First branch circuit $3900 The Installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sane,lease or rent 14e.Miscellaneous (Service or feeder not Included) Ownei'3 Signature Each pump or irrigation circle $4000 2 Each sign or outline lighting $4n,00 _- 2 3. Plan Review section (it required):* Signal circuit(s)or a limited energy panel,alteration or extension _^ $40.00 2 ._-- Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $10000 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.011 _ Classified area or structure containing Special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 ! In Plant i $55.00 _ "Submit 2 sets of plans with application where any of the above apply. I I J. Fees: Not required far temporary construction services. 58.Enter total of above fees $ �T= - °",,Surcharge 1.05 X total fees) $ ' - NTL(;L St-btotal $ --- 5b.Enter 25%.of line Be for 11EFIM11 S BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguirgd(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 r-1 TIME AFTER WORK IS COMMENCED. 1_.l Trust Account# S Total balance Due i c�Ost tcas nPr r,w sae I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 3usiness Line: 639-4171 - - -- - ` C q Lo _Date Requested �� ' —AM — PM _ BLD Location t4 4n- 'I� p�M/�rj Suite MEC — _..___------------------ Contact Person G+JI Ph /L PLM Contractor_ )( 4 ' �''U't'T Ph .� -T - 3 SWR BUILDINGS Tenant/Owner �L C��yG PI\ODU.C7 ELC �J Retaining Wall ELR _ Footing Ac-:ess: Foundation FPS Fig Drain _ SGN Crawl Drain Inspection Notes Slab SIT _ Post R Beam - Ext Sheath/Shear I.it Sheath/Shear Framing IInsulatioii ------ / Drywa!I Nailing -_1-\�{_S��I �C,2c1 �.�� l +(L _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — ----------- Roof Misc: -- Final PASS PART FAIL PLUMBING = Post& Beam - -- -- - ---- -- Under Slab Top Out Water Service Sanitary Sewer �- Rain Drains Final PASS PAR r FAIL Po ECHANICAL st& Beam Rough - - - - - - --- Rough In Gas Line - --- — Smoke Dampers Final - —._. - ------- _ 1 _ASS T FAIL 4LECTRICAL) Service Rough In UG/Slab - ----- — --- --- Low Voltage FAS. ' PART FAIL - - -- - -- ------ Backtill/Grading _—.._ -.— --- -- ---- --- - -- .. Sanitary Sewer Storm Drain ( I Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Har!Blvd Catch Basin Fire Supply Line f I Please call for reinspection RE: ( )Unable to inspect no access ADA !`,pproach/Sidewalk - Othr.r Gate 7-Z Inspector f --__-__-- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #• ELC9a-0606 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 10 05/98 PARCEL: I S 135CEI-007OO SITE ADDRESS. . . s1144O SW TIEDEMAN AVE SUBDIVISION. . . . : ZOhJIhIC�: 1-F! BL.O^N,. . . . . . . . . . : LOT. . . . . . . . . . . . JURISDICTION: TIG Project Description . Add electrical to an existing coeaercial building. -----RESIDENTIAL —UNIT---- _ ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS—— 1O00 SF OR L.ESS. . . . : 0 0 - 210 amp. . . . . . . .. 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . s 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 60CI amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 611+amps-1000 volts, -. 0 MINOR LABEL ( 16ti1 . . . : 0 ----SERVICE/FEEDER- -----BRANCH CIRCUITS------- ---ADD' L INSPECTIONS— 0 NSPEC'TIONS-- 0 200 amp. . . . . . : 1 W/SEFVICE OR FEEDER: 11 PIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W10 SRVC OR FUR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLONT. . . . . . . . . . . .. 0 601 - 1000 amp. . . , . : 0 -- ------- ---- -_-FILAN REV I FW SECTION------------------ 1000+ ECTION------------------ 1000+ amp/volt. . . . . : 0 i =4 RES UNITS. . . . . . . . : ) C100 VOLT NOMINAL_. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMT'S. . : CLASS AREA/SPEC OCC. : Owner: --.___.._._...___. _-----__ - .__.----____.__.._____._____...._-__-___._.....__...__._..._..__...... FEES MCCALI._ OIL COMPANY type amount by date recpt CHEMICAL CORPORATION PRMT $ 115. 00 GED 10/05/98 98---30'97.='3 808 SW 15TH AVE 5PIC1 $ 5. 75 GED 10/05/98 98-309723 PORTLAND OR 97205 rlhone #: Contractors _____---_—.-- JPIC EI-rCTRICAL SERVICES INC >t 1212. 75 TOTAL 4120 SE INTERNATIONAL WY STE A-107 ------- REQUIRFD INSPECTIONS --- - - MILWAUKIE OR 97220' Ceiling Cover Underground Cove Phone #: 654-3325 Wall Cover Elect' l Service Req #. . : 001255 This permit is issued subject to the regulations contained in the Tigard M,,aicipal Code, State of Oregon Specialty Codes Qnd all othe� applicable laws. All work will be done in accordance with approved plans. This permit will expire if wrrk is not started within 180 days of issuance, or if work is suspended for tore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatirin Center. Those rules are set forth in OAR 952-081-0010 through OAR 952-N01--1987. You may obtain a copy of these rules or direct questions to DJNC by calling 15P31?46-1987. O / FIer•mittee Signature: �rf, Issued By : .._._.OWNER I NSTALLATI OSI The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNA'�URE: DATI=: --CONTRACTOR I NS tALLAT I ON - SIGNATURE OF SUPR. ELEC' N: DATE: - dr� LICENSE NO: ! ++++++++•++++++•4•++f-1-+ + + ++++++i-4-+++-++++-+-+++4 f+++++++++++++++++++++++++-+ Call 639--4175 by 7:00 p. m. for an inspection needed the next business day +++++•+•+++++++++++++++++++++++++++++++•+++++++++++++++++++++++++++++++++•f++++++++ CITY OF TIGARD Electrical Permit Application Plan Check q 13125 SW HALL BLVD. Rev'd By i IGARD OR 97223 Date Recd Date to P.E. Phone(503) 639-4171, x304 Date to DST Print or Type ��•r �� Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permits ,:z7 Fax (503) 684-727 Called - 1. 1. Job Address: 1 4. (:o►nplete Fee Schedule Below. Name of Development_ ,l` �,�_ Number of Inspections per permit allowed dame(or name of business) I I, �f j,j� � ""� Service included: Items Cost Sum T Address Z. VA Cj 4a. Residenfial-per unit ")r f 1000 sq.It.or less _ $110.00 �l _ 1 City/State/Zip .�. Q E4 V-(/ �,K?- / � dd 3 Each additional 500 sq.ft.or Commercial iResidential portion thereof $25.00 -�- Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of all c went licenses) Electrical Contractor_ 1 O-L lY-I C[I�,I.tt"1 L Installation,alteration,or relocation --r 200 amps or less $60.00 1 2 Address A IL` (1,Ict t c (1 Wi 201 amps to 400 amps $80.00 2 City 1 LL.ac�ti.Q�.t.State_ DV Zlp l 1,) .1 401 amps to 600 amps $120.00 2 Phone No. ` U - 3 3 ) _`.j 601 amps to 1000 amps ___ $18000 2 -- -[�Lo No. 11, Over 1000 amps or volts $340.00 2 � _ Elec. Cont. Lice. No. 3-4:)y Ir Exp.Date_ Reconnect only - $5o.00 2 OR State CCB Reg. No. /.�- g W Exp.Date 4c.temporary Services or Feeders COT Business Tax or Metro No. 5 I'i E) Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 _ � _ 201 amps to 400 amps $75.00 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 _ pp Over 600 amps to 1000 volts, License No. V � Exp.Date see"b"above. Phone No. G- ! tl->6&,..4 S "- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name__ _ feeder lee. Address _ J Each branch circuit $5.00 - - - - -- j)The fee for branch circuits City _ State _ _ Zip without purchase of Phone No-.- _________ service or feeder fee. First branch circuit $35.00 The installation Is being made on property I own which is not Each additional branch circuit $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 r 3. Plan Review section (if required):* Signal circuit(s)or a limited energy panel,alteration or extension $40.00 Minor Labels(10) $100.00 - Please cheek appropriate item and enter fee in section 5B. 4 or more residential units In one structure 4f.Each additional Inspection over Servire and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35 00 ----- _.Classified area or structure containing special occupancy Per hour $f15.00 as described in N.E.C.Chapter 5 i In Plant _ $55.00 r S.ibmlt 2 sets of plans with application where any of the above apply. Jam. Fees: Not required to, temporsry construction services. 5a.Enter total of above leas $ 11,3 5%Surcharge(.05 X total tees) $ NOT CE Subtotal $ -- - 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZEU IS Plan Reviewfig it (Sec.3) v NOT COMMENCED WITI I I N 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal 5 IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account a S Total balance Due i\05TSTI-C98.At'r' Rev W99 } CITY OF TIGARS- "IJILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- - -- % BUP Date requested I �! -AM---PM -- BLD -- -__ Location_�I � 4 yU S ) Suite MEC Contact Person Ph 2 PLM _ Contractor _ " �' L.� Ph �G J 3�� SWR BUILDING Tenant/Owner LC Retaining Wall ELR Footing --� T Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: -- -- ---- ---- Slab _ SIT Post&Beam -- — -- - Fxt Sheath/Stiear Int Sheath/Shear Framing Insulation — — Drywall(Jailing Firewall C Fire Sprinkler _ _� �• "' _�_1 — s __--_ Fire Alarm Susp'd Ceiling — Roof Misc: _ - ---- __---_ ----- ---- --- ___ Final PASS PART FAIL. PLUMBING Lost&Beam Under Slab 1 up Out Water Service Sanitary Sewer -- - --- ----- -- -- ------- ----- _ - — Rsin Drains Filial PASS PART FAIL MECHANICAL -------------- - - --- [lost& Beam -- -- ------- Rough In Gas Line - ---- - -- --- - -- - Smoke Dampers Final PASS PART FAIL LECTi31CAL - Servic:e Roug i In UG/Slab Low Voltage __-- ---- Fire Alarm Fi PASS PART FAIL_ Backfill/Grading -'- ---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City hell, 13125 SW Hall Blvd Catch Basin RE ti i Please call for reinspection : )Unable to inspect no access Fire Supply Line [ ) _— [ ADA rFitrn proach/Sidewalk her Date _ _ Inspector _Ext al ASS PART FAIL DO NOT REMOVE this inspectiori record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP /Date Requested—r' AM_— PM BLD Location `7 7 / itItiiLt/1 f�c _ Suite MEC _ Contact Person Ph _ PLM7Zz (20-2- j ' SWR Conlractor �L �� ,L ��1�_ ph -� -- _ —. El_C BUILDING Tenant/Owner _— Retaining Wall ELR Footing Ac �ZPO�•�� /j`D` �, FPS Foundation �, - . •''' �tii�� '� " "✓ Ftg Drain SGN _ ___--_--_-- Crawl Drain I n: Slab __ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear w Framing -- Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm _ Susp'd Ceiling -- - olerZ 1 Roof — Misc. �, -- Final �= P RT FAILPolffSeam — Under Slab — Top Out Water Service __ —- -- ---------- Sanitary Sewer ' rains -------__-.._'-------- PART FAIL — _ _-------- MECHANICAL ------- --- --- Post&Beam - Rough In - --- ----- -- Gas Line - Smoke Dampers -------- Final "ASS PART FAIL -- -- ----- - ELECTRICAL Service ---� --- Rough In _. UG/Slab Low Voltage Fire Alarm — —Final PASS PART FAIL ----SITE - Hae;fiill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of$— _required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd catch Basin ( ; Please call for reinspection RE:— [ ]Unable to inspect - no acc3ss Fire Supply Line ADA p Approach/Sidewalk Date //— ?-- 7cInspector Ext Other _—.. —�—�----- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99-0105 DATE ISSUED: 02/22/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL: 1 S 13,5CB-00700 SITE ADDRESS. . . : 11440 SW TIEDEMAN AVE SUBDIVISION. . . . : ZONING: I-P BI_.00I... . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TTG Project Description: Installation of 2 branch circuits. -RESIDENTIAL_UNIT----�- ---TEMP SRVC/FE"EDF_RS----- ------MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 TACH ADD' L 500SF. ,. . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 11ANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 1.0) . . . : 0 -._.._..._.SERVICE/FEEDER-- ----- _-----BRANCH CIRCUITS----- ---.-ADD' L INSPECTIONS - -- 0 - 200 amp— . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . ;; 0 ist W/O SRVC OR FDR. : i PER HOUR. . . . . . . . . . . : 0 401 - 600 amp- -. . . : 0 EA ADD' I__ BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 - 1000 aml.. . . . . : 0 --..______.__. ____..__._._FLAN REVIEW SECTION---- -__..._______._. . 1000+ ramp/volt. . . . . : 0 > -4 RES UN.ITS. . . . . . . . . ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owners ------_______,____________.._.__ ...____._._.__.._____._..._._._........_..-----.__._._..- FEES ALL.IED BUILDING PRODUCT type amol.tr,t by date recpt 1 .1440 SW TIEDEMAN PRMT $ 40. 00 DEB 02/22/99 99-313105 TIGARD OR 97223 5PCT $ 2. 00 DEB 0E/2E/99 99--313105 Phone #: Contractor: JPC ELECTRICAL SERVICES INC f 42. 00 TOTAL. PO BOX 905 ---•--------- REQUIRED INSPECTIONS •--_...___ BEAVERCREEK OR 97004 Ceiling Cover Elect' l Service Phone #: 654-3325 Wall Cover Elect' l Final Reg #. . . 001255 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work i5 not started within 190 days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth ,n OAR 952-001-081il through OAR 952-001-1987. You lay obtain a copy of these rules or direct questions to 0 by calling l 31246-1987. Permittee Si.rinati..sre: ��e � Tss�_�ed __ _________.__.__OWNER INSTALLATION The installation is being made on property I own which is not intended for stale, lease, or rent. OWNER' S SIGNATURE: _• DATE: ---CONTRACTOR INSTALLATION CINLY ------- ----- ----------- S I GNAT URE OF SUPR. EL.EC' N: _Az(clDATE: L_ r.CENSE NO: --z ++i-+++•+-+•t++•f+++++++++++•+-1•++++•1^+++++++++-h+++++++++....}+++++++-h+++++.+++•i--F+++++•++ Call 639-4175 by 7:00 p. m. for an inspection needed the next btAsiness day +++++++++++++++++++++++++++++•*+++++++++++a-+a-+++++++++++++++++++++++++++++++++4+ 7..r L1 f CITY OF TIGARD Electricdl Permit Application Plan heck a 13125 SW HALL BLVD. Rec By Date Rer,'d TIGARD OR 97223 r C Date to P.E. FEf3 , 1q�1'' -- Phone (503)639-4171, x304 Date to DST Inspection (503) 639-417 � Print Or Type y�&O'A tete or illegible will not be accepted fie n/'-7 �pNtlAUN11Y Ol. L F MENI Permit 1r Fax (503) 684-7297 p 9 -.-.-- 1. Job Address: 4. Complete Fee Schedule Below: I Name of Development_- Number Number of Inspections per permit billowed Name(or name of business) Ill Ited )t1d► JC}S Service included: Items Cost SLI-n iIA Addressc 4a. Residential-per unit 100)sq.fl or loss $11000 t City/State/Zip_�jC�rs�___S2� I a a'q - -- Each additional 500 sq,ft.or `fes( portion thereof _ $25 00 -------- Commercial --_-__ Commercial IBJ Residential ❑ Limited Energy $:)00 - --.---- Each Manuf'd Home or Modular )welling Service or Feeder _ _ $U)noo _- 2a. Contractor installation only: (Attech copy of all ci rent licenses) 1, -7- Its Services a or Feeders Electrical Contractor J CSF le-C-{c( 1 Ca-t 1 n C.• It stella amps alteration,or relocation � 200 amps or leas $6000 2 Address �Q 4._ Lp� 2O1 amps to 400 amps $60.00 2 City-Qrq�\h¢r C rMlc=State_ Zip f�U4401 amps to 600 amps �. $120.00 2 Phone No. 601 amps to 1000 amps _ $160.00 2 Over 1000 amps or volts $340.00 2 Job No) ja 1(oD _ -- Reconnect only $50.00 -. Elec.Cont. Lice. No._ 3 -9•-4C- Exp.Dafe OR State CCB Reg, No._L2_5 SS 4lo Exp.Date _-.T.- 4c.Temporary Services or Feeders CUT Business Tax or Metro No. S Exp.Date_---__- Installation,alteration,or relocation 200 amps or less $50.00 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n �f. - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. _Exp.Date see"b"above. Phone No (�.��__$_�_- --__ -- 4d.Branch circuits New,alteration or extension per panel 2b. For owner installations: n)The fee for branch circuits with purchase of service or Print Own-r's Name feeder tee. Each brands circuit $5.00 - -- - Address_ h)The fee for branch circuits City State Zip __ without purchas.c of Phone No. service or feeder fee. OU First branch circuit I $35.00 2 The installation is being made on property I own which Is not Each additional branch circuit�_ $5.00 S• 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) $40.00 Owner's Signnture� _.._.... Each pump or irrigation circle Each sign or outline lighting $40.00 - Man Review section ('f required):* linterO or o limited energy 3. - panel,alteration or extension $40.00 Minor Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. 4 or more residential unils in one structure 4f.Each additional insnertion over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 _ _ Classified area or structure containing specini occupancy For hour $55.00 _as described In N.E.C.Chapter 5 In Plant $55.00 *Submit 2 sets of pinnF with appCcntior.where any of the abr've apply. S. Fees: �D o> Not required for tempo iry construction services. 5a.Entut total of above fees $ 5%Surcharge(.05 X total fees) $ -�=-� NOTICE Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF 1AlORK OR CONSTRUCTIO14 AUTHORIZED IS Plan Review if reauir (Sec 3) $ --- NOT COMMENCED WITHIN 11,0 DAYS,OR IF CONSTRUCTION OR WORX Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIO^OF 180 DAYS AT AN'v L7 Tnrst Account a.-,_� TIME AFTER WCRI(IS COMMENCED. $ Total balanre Due 1 kDsrs\eLcss APP R&W% �- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-x'171 - >-, I,- SUP Date Requested 4-1—Ict _ AM__'�_PM _ 13LD Location_��U -F I' 0'yy-yU-\ Suite MEG �-1 -- 12S Contact Person I k��.Q�'�--� Ph ' �' PLM - Contractor _ Ph _ SWR BUILDING Tenant/OwnerELC ,S Retaining Wall ELR Footing Access Foundation FPS Ftg Drain _ _-- --- SGN Crawl Drain Inspection Notes — -— Slab ---- SIT Post& Beam I Ext Sheath/Shear --- Int Sheath/Shear Framing - InsUlation Drywall Na;ling - --- - --- _�� Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling ---- - - -- - -- Roof Misc: _ - -- -- - --- -- - - -- Final PASS PART FAIL - - - - -- - - - — PLUMBING Post&Beam Under Slab Top Out Water Service - Sanitary Sewer Rain Drains --- Final i PASS PART FAIL MECHANICAL _ Post R tai ani ---- - - Rough In t. Gas Line -- -- Smoke Pampers Final - PASS PART FAIL L ECTR C AL, --- - erVlce _ Rough In 11 UG/Slab __— --- Low Voltage Fire Alarm PASS PART FAIL Backfill/Grading - Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Flail, 13125 SW Flail Blvd Catch B?nin ( ] Please call for reinspection RE: Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Date � ` r � __—Inspector� Q �� f iYY��j„ Ext Other — —_�L1_ — Final PASS PART FAIL DO 'NOT FIEMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION �"~_ C 24-Hour inspection Line: 639-4175 Business Line: 639-4171 k G BUP _. Date Fcp 4ueste_1_ �4 �U ��1 —AM _PM _ BLD Location- � rnf_l��pICC`t`� Suite MEC -----___--_--- Cc ntact Person ._112. �� _ _ Ph PLM (.ontractor CL -_� �: fA ct a,& Ph 'J ` 3 SWR Ll BUILDING Tenant/OwnerEL , _ Ob 0 -- Retaining Wall — CLR - ---__--- Footinr Access Foundation T/C C��[ �� FPS -.-------_- -_—_ Ftg Drain ''1 Crawl Drain Inspection Notes SGN Slab --- --�—_�' IO� -� 7�. - SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- - - -- ---- -- Roof f - Final - --�--___ PASS PART FAIL PLUMBING Post8 Beam -- -------------- _ ---...__--- ------ ___-.._ .__-------- -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL. MECHANICAL Post B Beam - -- - - - --- - - - Rough In Gas Line - - - - - - - - -- - - Smoke Dampers Fina! - PASS PART FAIL .ELECTRICAL - _ ---- - - --- ----- ---- - --- -- _._ _ Service Rough In UG/Slab --------- _--- Low Voltage Fire Alarm -- - --- ,- - ------- F inal PASS PART FAIL_ --- ----- - --- - - -- _SITE _ CiackTill/Grading Sani!ary Sewer Storm Drai 1 [ ]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 Other Date —_-- Inspector - ----_-_ _ _-_---- _Ext --- Final PASS PART _FAIL- I 00 NOT REMOVE this inspection record from the job site. FIRE MARSHAL TO BUILDING DEPARTME14T IOLATION INE RMATION FILE COPY Nature of Problem 1k�AW&�Q Address of Violation: & Bate and Time of Violation: _0b day of 1SMat _ a.m./p.m. Business Name: kW �� - AA Responsible Party - Name: Address: -- Person to Contact: _� v _J__ _ Phone: Company / Person is Responsible as the (Circle all Applicable): Property Owner Coniractor Subcontractor Other (explain) � Wm a Description of Violation (Who What, When, Where): Code Section: _ UAA 1Vr1hIAA x -- _ Vic_ - -MA, Action Desired (check one) Ci Letter Notice of Civil �Infraction (formal notice of violation with deadline to correct) Citation 1�-Information, Such as Prior Violations, That Warrant Aggressive Enforcerr,ent Action. Action RE guested b t� 1 V� Date: , Q y 3JNN't 1�L�� ' --- Fire Marshal / Supervisor Approval: GS J,SCAA CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -. INSPECTION DIVISION Business Line: (503) 639-4171 BUP --- Received -- DateRequested— _ AM_ PM -_ __ BUP -- Location __ i-� ` `�'- —T V� I�Lt�'Y�_ Suite MEC - — Contact Person __ �l/��.�CwLJPh(— —) 1 -7 PLM - — Contractor Ph _.—.__-- SWH BUILDING (Te600U0wner ELC Fooling r-�- I U ELC Foundation Access_ ELR 1�1062_ Q U� Ftg Drain Crawl Drain — -- SIT Slab Inspection Notes: Post&Beam -- - - ----- Shear Anchors Ext Sheath/Shear Int Sheath/Shear C Framing r - -- --- Insulation Drywall Nailing r-1 Firewall Fire Sprinkler — -- Fire Alarm Susp'd Ceiling Roof �..<- ------------ Other: Final PASS PART FAIL PLUMBING — Post&Beam�T- _ Under Slab — Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Showe. Pan Other: Final PASS PART FAIL MECHANIC_A_L____ - Post&Beam Rough-In Gas Line Smoke Dampers - Final _ PASS PART FAIL -- ELECTRICAL — Service Rough-In -- -- UG/Slab Low Voltage -_-- -- -- ---- Alarm [ Reinspection fee of$._ - required before next inspection !ay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire,Supply L'ne ADA I Datriz-� L" Inspector—Li7 c�-'�'- pp .xt— Approach/Sidewalk Other:--------- Final DO NOT REMOVE this Inspection record from the 16b site. PASS PART FAIL BUILDING PERMIT__ CITY OF TIGARD PERMIT#: BUP2.000-00009 DATE ISSUED: 01110/2000 DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135CB-00700 SITE ADDRESS: 11440 .3W TIEDEMAN AVE ZONING: I-P SUBDIVISION: JURISDICTION: TIG BLOCK: LOT: sf N: S: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ FI REISSUE: __ -- E: W: f CLASS OF WORK: AL1` t' f SECOND: sf PROJECT OPENINGS? —_— TYPE OF USE: COM sf --5: E: — W' TYPE OF CONST: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft _ REQUIRED BSMT?: MEZZ?: READ SETBACKS SMOK DET: FLOOR LOAD: psf LEF, . ft RGHT: ft FIR SPKL: DWELLING UNITS: FRNT: ft REAR: ft PRO CORR:FIR ALRM ' HN PIPARKING: BEDRMS: BATHS: IMP SURFACE: VALUE: Remarks: Add 3 sprinkler heads to existing sprinkler system. Contractor: Owner: WYATT FIRE PROTECTION INC. MCCALL OIL 9095 SW BURNHAM CHEMICAL CORPORATION TIGARD, OR 97233 808 SW 15TH AVE ORIGINAL. PgTLAND, OR 97205 Phone: 684-2928 On@• Reg#: LIC 00064( –�-- REQUIRED INSPECTIONS FEES Date Amount Receipt Sprinkler Rough-In TyMT I<JP pe By Sprinkler Final PR01/10/200C $50.00 HAND RECPT [PGT IQP 01/101200C $4 00 HAND 'RECPT - Total $54.00 This permit is issued subjE:1 to the regulations contained in the Tigard Municipal arse This will expire Specialty work is and all other applicable law. All work will be done in accordance pp not started within 180 days of issuance, or if work issuspendedUtility d morthan Center80Those rules aNe IseNforth�OAR law requires you to follow the rules adopted by the Oregon N t f cato 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nn itee Signature: ISSUe 1 By: -- Call 639-4175 by 7 p.m. for an insl_ection the next business day Fire Protection Permit Application CITY OF TIGARD PP Plan Check# Commercial or ResidWial Recd By___ 13125 SW HALL BLVD. Date Recd -riGARD, OR 97223 Print or Type Date to P B _ (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit# 5('10 x000 -poo o9 Called— Job Name of Development/Pro)ect -- �A I i i"_ 1 d.Ck _Vr C)CJ • Type of System (Complete A or B as applicable) Address Address — A.)Sprinkler Wet lU W Dry 0 Name — --- —. - Standpipes Owner Mailing A&PSS � - Additional Hazard Group - _ - City/State --- _ ZipPhone Information Density -- Name Design Area - Occupant Mailing Address - K Factor city/State - Zip Phone _ A 1) Spri lkler Project Valuation $ n C-0 as C,,ntractor Name n B.) Fire Alarm `t (Sprinkler or �k) , (� V LYe `�yc�LO ic,— � Alarm Company) Malling dress Submittal Shall Include Battery Calculaboris YES Q Prior to permit ��c��-� c,CA,) r vi hCG..yY) issuance,a Clty/State Zip Phone Individual Component YES❑ copy y� 0, , , 2 Zti, _ Cut Sheets of all Pcenses t and C q B 1) Fire Alarm Project Valuation $ are required if State nst-.Cant.Board Lic.# Exp.Date er data in CUT ^^ Project Valuation Subtotal A 8 or 8 ,( databaseG"-1-Q � � O 1 (f)� � ( ) $ "f �.�--�•� Name ----- - — — — - Permit fee based on valu $ ation r� Architect Mailing Address — ______- _______ (nee chart on back) �q'l, "o Surcharge $ - /L d City/State Zip Phone -- – _ `7" FLS Plan Review 4d% of Permit $ toDescribe work A.)New O Addition O Alteration O Repair v to �- �- TOTAL —$ • �� be done: B) Modification to sprinkler heads only: Plans required Submit three sets of plans,including a vi;init ma and 1. 1-10 heads=No plans required 4 p g y p 2. 11—Plan review required the location,of the nearest hydrant. --------- _ r I hereby acknowledge that I have read this application,that the information given is Number of sprinkler head!: :— I correct,that I am the owner or authorized agent of the owner,and that plans submitted Additional Description -- {I are in compliance with Oregon State laws /'� of Work: -} �; V V 1�� D + Signatuur�rw A Date A.)In Existing Building New B&.ilding p� BuildingContact Pago Name Phone Data B.) Commercial�-Kesidentia FOR OFFICE USE ONLY: No.of stories - flat# — Mapr'L#: Sq. Notes — Occupancy Class Type of Construction —__ is\dsts\forms\ftresupr.doc 11/5/98 CITY OF TIGARD BUILDING NE 7MIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.UU 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601.1,700 28.00 11.20 1.40 4P,.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 4-,.95 1,901-2,0)0 32.50 13.00 1.63 47.13 2,001-3,000 36 �0 15.40 '1.93 55.83 3,C01-4,C00 44.50 17.80 2.23 64.53 4,001.5,0100 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 '1450 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10.001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12.,001-13,000 98.50 39.E+0 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,0( 1-16,000 1116.50 46.60 5.83 168.93 16,001-17,000 12250 49.00 6.13 177.63 17,001-16,000 128.50 51.40 6.43 186.33 18,001-19,000 x ;4.50 53.80 3.-�3 195.73 19,00 i-20,000 140.50 56.2.0 7.03 203.73 20,001-21,000 146.50 5860 7.33 212.43 1,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.5u 63.40 7.93 22.5.83 23,001-24,000 164.50 65.80 8.23 233.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.P3 898 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 5.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 2.79.85 30,001-31,000 19750 7900 988 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 1033 299.13 33,001-34,000 21100 84.40 10.55 305.95 34,001-35,000 21550 86.20 10.78 31 x.48 35,001-36,000 220.00 88.00 1100 319.00 36 001-37,000 224.50 8980 11.23 325.53 37,001-38,000 I 229 00 91 60 11.45 33205 is\dsts\forms\firesupr.doe 11/5/98