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16250 UPPER BOONES FERRY ROAD BLDG E-1 W EL m i 16250 6W Upper Boones Ferry Bid E CITYOF T O G A R D MECHANICAL PERMIT DEVELOPMENT GERVICES PERMIT#: MEC2001-00117 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/13/01 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD BLD.E SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS. VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENTSYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL___TYPES 0 - 3 HP: 1 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN 100K BTU: AIR UNITS CLO DRYERS: < OTHER UNITS: FURN >=100K BTU: <_ 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Tenant Improvement- Reconfiguration of existing duct work -Addition of 3 HP A/c Unit-Weight is less than 400# Owner: FEES _ PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY#300-WMI PRMT CTR 4/13/01 $597.00 272001000C PORTLAND, OR 97224 PLCK CTR 4/13/01 $149.25 272001000C 5PCT CTR 4/13/01 $47.76 2720010000 Phone: Total $794.01 Contractor: PORTLAND MECHANICAL CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 REQUIRED INSPECTIONS Gas Line Insp Phon,-:503-788-5510 Mechanical Insp Reg #:LIC 126003 Duct Inspection S.D. Shut-down inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by callin X503)246-9189." IssBy: �,� N Perrnittee Signature: 0 � Call (503)$39-4175 by 7:00 P.M. for inspections needed the next business day Mechanic. ' ceived: Pcrmn kC aOVI M City Of Tlgaru ,.-Uappl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U I &2 family dwelling or accessory U Commercial/industrial U Multi-Iamily U Tenant improvement U New construction U Addition/alteration/replaccrnent U Other: Job address: /�1%1 D Indicate equipment quantities in hoxcs below. Indicate the dollar Bldg.no.: y A Suitc no.: value of all mechanical materials,esgttlrtitent,.)abor,overhead, Tax map/tax lot/account no.: profit.Vaftie$ *o n CO3 ) i Lot: Block: Subdivision: *See checklist for important applicatlon information and Project name: 1Gj- —7 jurisdiction's fee schedule for residential permit fee. City/county: y;.ynj 17.1 t t Descoption and location of work on premises: t t 1 t t 2 _ Est.date of complction/inspcction: t►c.cripliun toy. Res.otdy Res.onls Tenant improvement or change of use: Is existingspace heated or conditioned?U Yes U No Air handling unit —CFM,I r P i r cond itioning(site elan required) Is existing space insulated?U Yes U No Alteration o existing HVAC system Boiler/compressors Business name: , �, , ,e' State boiler permit no.: HP Tons HTU/H Address: / C ^ 1F i, > Fre/smoke a amper uct smoke detectors City: y ~ , Slalc6j' ZIP: „2G cal pump(sue p an—required) Phone 6 ' j61 Fax: � ''- e E-mail rises rep ace furnac urner Including ductwork/vent liner U Yes U No CC,i3 no.: i .r+ rises rep pc reDears eaters-suspended, Citiftetro lic.no.: wall,or floor mounted Name(please print): , Vent orappliance other an furnace ,i , e gent on: KNOW Absorption units BTU/H Name: r j i Chillers _ HP _ Address: ,i i n, ' 'G4) )r' / 11 J% Com ressors_ _ IIP nv ronmema ex ustust and vent .al on: City: ✓t' State:AZIP: '''�l' Appliancevcnt Phone: Fax: .,141 ' E-mail /j, I/lln� ryerex gust Hoods.Type I/ I res. itckTiciAazmat _ hood fire suppression system — .--- Name: } c Exhaust fan with single duct(bath fans) Mailing address: Exhaust system apart from heat n or C City: Slate: ZIP: Fuelpiping andistribution up to outlets) Type: LPC NO Oil Phone: Fax: E-mail: 'uc i in eac a itiona over out ets rocesspiping(.7 iematicrequire ) Name: /�� , I ,Number of outlets <c y terdTppllaoce or equ ppmmenl: Address: Decorative fireplace City: State. ZIP: 7nsert-type Phone: F E-mail: sa,v pc etsta,c _ Other: Applicant's signature: % C.<__ Date: S' 0 / ter- Name(print): 'ii - I/ / /,q Not all jurisdictions accept credit cardsplease call jurisdiction fir more information. Permit fee.....................$ > LIZ U visa U MasterCarrdi�,$ / Notice:11tis permit application Minimum fee................$ c cud number:".#5W y '�t 1 i'4' �/ /C9 expires if a permit is not obtained Plan review(at � %) $ - ; Hs tea within Igo days after it has leen State surcharge(8%)....$ -11, anwm or c-rdholder as shown on coadit cad s accepted as complete. TOTAI. Cardholder uRnsture Amount 410-0617(W/COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Coda Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 0 BTU $1.52 for each additional$100.00 or Including ducctsts&8 vents 14.W fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10 000.00. including duras&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000,00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000-00. or floor mounted heater 14.00 $23,001.00 to$50,000,00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or __ 6.80 fraction thereof,to and Including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond _ fr30on thereof. footnotes below. Com 7)<3HP;absoib unit ASSUMED VALUATIONS PER APPLIAN3-15 CE: to BTU 14.00 Value Total 8)it 15 absorb unit 100kk tto 500k BTU 25.60 Description: Q Ea Amount 9)15-30 HP;absorb _ Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1.1.75 mil BTU 5720 ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 1 unit>1.75 mil BTU 87.20 Suspender,healer,wall heater or 955 12)Air handling.Inst to 10,000 CFM floor mounted heater 10.00 Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+ permit 17.20 Repair units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-13 hp;absorb.unit, 1,700 6.80 101k to 500k BTU - 16)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 1 10.00 _ mll.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10,00 1-1.75 mil.BTU 18)Domestic incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm _656 69.95 Air handling unit>10,000 cfm 1 170 20)Other units,Including wood stoves Non-portable eve rate cooler 656 _ 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not Included In 656 5.40 a Ip lancepermit 22)More than 4-per outlet(each) Hood served by mechaniral exhaust656 1.00 ----- Domestic incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or industrial Incinerator 4,590 Other unit,including wood stoves, 656 8%State Surcharge $ Inserts etc. _ Gas piping 1.4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $� VALUATION: Other Inspections and Fess' 9 tr' 1. Inspections oul3ide of normal business hours(minimum charge-two hours) $72 50 per hour `? 5 2. Inspections for which no fee Is specifically Indicated (minimum rharge-half hour) $72.50 per hour 3. Additional plan review required by rhanges,additions or revisions to plans(minimum 9 7 , charge-one-half hour)$72 50 per hour 'State Contractor Boller Certlficatirni required for units>200k L tU. "Residential A/C requires site plan showing placement of unit, I:\dstsUomis\mech-fees.doc 10/11/00 CITY OF TIGARD _ BUILDING PERMIT — T PERMIT #: BUP:001-001'7 DEVELOPMENT SERVICES DATE ISSUED: 04.27/2001 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL 7`�113AB-0*01 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD :SUBDIVISION: BAWEO CREEK ACRE TRACTS ZONING: I-1 BLOCK: LOT: JURISDICTION: JIG REISSUE: FLOOR AREAS _ EXTERIOR WALL_CONSTRUCTION_ _ CLASS OF WORK: FPS FIRST: sf N: 3. E: W: TYPE OF USE: COM SECOND: Sf PROJECT OPENINGS? TYPE OF CONST: 3N 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_?: REQD SETBACKS_- REQUIRED FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL: Y SMOK DET. DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HADICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,000.00 Remarks: Add, relocate or raise sprinklers due to tenant improvement. Owner: Contractor: PACIFIC REALTY ASSOCIATES VIKING AUTOMATIC SPRINKLER CO 15350 SW SEQUOIA PKWY#300-WMI 3245 NW FRONT AVE PORTLAND, OR 97224 PORTLAND, OR 97210 Phone: Phone: 227-1171 Reg #: LIC M37 FEES REQUIRED INSPE=CTIONS Type By Date Amount Receipt Sprinkler Rough-In 5PCT CTR 04/18/2001 $10.38 27200100000 Sprinkler Final PRMT CTR 04/18/2001 $129.70 27200100000 FIRE CTR 04/18/2001 $51.88 27200100000 Total $191.96 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee Signature: ivj"LL dw Issued BY: Call 639-4175 by 7 p.m. for a,: inspection the next business day 04/16/Ul NOS o9:c8 FAX 503 sn,+ t^�^ as Z�I "1GARD 0002 Buildi Daeereceived: Permitno.t L1Paor/-e0/,77 City of Address: 13125 SW Hall Blvd,Tigarl,OR 97223 Project/appl.no.; Expiredate: City of Tigard phone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503) 598-1960 Can filen.: Payment type: Land use approval: 1&2 family:Simple Complex: IMI " 0 1 &2 family dwelling or accessory O�Commer<ial/industrial -I'Mulu-family 0 New construction ❑Demolition 0 Addition/aiterauon/replacement d Tenant improvement Fire sprinkler/alarm 0 Other: JOB S1111E INFORMATION Job address: I(,2 Sv 4v✓J s-A l3%x> "` r-'z.�t-� Z b. Bldg.no.: Suite no.: Lot Block: Subdivision: Tax map/tax lot/account no.: Project name: �- Descnption and location of work on prtlnises/special conditions: JF. ot1E.�/ .n/al..� - �IvH''-�Z c.�lU c�� . d —o t2:st�o✓y l-. o—��I�'-�o��o I.-Oil r ' t Name: _ (Floodplain,septic capacity,solar,cti_ Mailing address: I&2 family dwelling: 1814 _ ., .... o City: State: t[P: Valuation of work..........,.! $ Phone: Fax: E-mail: No.of bedrooms/baths......... ............... _Owner's representative: _ Total number of flours................................. 1'Lnm Fax: li mail New dwelling area(s ft. 0 crawl Garage/carport area!sq. ft.)......................... Name: +� ,+ I� c as.01 :• -_.�t1IJ K L�tl Covered porch arta(sq. ft.) ......................... Mailing address:VZ 1j"(" o i..17-' a4✓�. Deck area(sq. ft.) ........................................ City: fab3 FJ state:0 Z ;:IP: Z O Other structure area(sq. ft.)..... ................. . Phone.:227 I Fax:,ev •i; Z E-mail: Comm,.reimUindustrial/multi-family: 1 Valuation of work........................................ $ � CONYRACF Business name: lz 4 1-145-4 -, i b �/^ I L Existing bldg.area(sq.ft.) .......................... jockA! New bldg.area(sq.ft.) Address: 2�vr/ 2 .A.✓?• ........................................ _ - r��i> Number of stories City: tZ Statc:or2=:IP: 2 .� Type of construction CCBnono..; X041 Fax:228.Z Z E-mail:_ Occupancy group(s): Existing: CCB .: _ New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be requited to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ::I P: exempt ftum licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: Email: Name: lContact person: Fees due upon application ........................... $ Address: _ Date received: _ City: State: .!iP: Amount received ......................................... E Phone: Fax: Email Please refer to fee schedule. I hereby certify I have read and examined this applic pion and the va ait,urisdictions accept undii carts,please can jurisdiction for more infctrumn. attached checklist.All provisions of laws and ordina ices governing this D vt:a J Mastercard work will be complied whether sI 'flied herein or not. Crani cmU nurny"' --- Expires Authorized signature: G;N� D tte. !'- I ly o I Name of cardAol u n an credit caw S Print name:_ o -- cardhnider,unman "�ma�ni Notice:This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. 44o.d613(&&CUM) 04/16/01 LION 09:09 FAX 503 898 1960 CITY OF TIGARD 1Z 003 ORIGINAL Fire Protection Permi", Check Lis --- -- - - A ❑ New ❑ AdditionF2Alteration J Repair B.) Madification to sprinkler heads only: Describe work to 1-10 heads: No plan review required. be done: � 11+ heads: Plan review required. Number of sprinkler heads: (.0 t. _ Additional description ofTor � ' �rtAl�,En ��I�:i.1cy� 4f-.j I-> �Ivj � K -.�i2l-s 17 G V b '4 r7 i'�i z �f v�✓ �.Vta L.L " `�y] { tC.�)-' T e of S stem Com lett3 or B aas apPlicable�: Wet D � A. S rinkler Ita Stand )i es Addltional Hazard Group--- - Infoi mation Density - Desi n Area _______ K. Factor Sprinkler Project Valuation: $ re Alarm. Subml + all Battery Calculations - Yes include: dividual Component Cu _ ets --- ----._, Fire Alarm ct Valuat' - Pro ect Valuatio ! otal A Permit fee basedpffaluation see chart 8% State Surchar e: $ FL F.eview 40% of Permit: $_` ----- -- --- TOTAL: is\dst.\forms\FPSchecklisLdoo 10/04/06 LETTER OF TRANSMITTAL_ Viking Automatic Sprinkler Company 3245 NW FRONT AVE. PORTLAND, OREGON 97210 Vl Ce 41D PHONE: (503) 227-1171 TO CITY OF TIGARD 13125 SW HALL BLVD.____ ��►��N,1 - TIGARD, OREGON 97223 ATTENTION . _ PLAN REVIEW __ DATE :_04/16/2001. CONTRACT PGE - TENANT IMPROVEMENT- ._A( �rTI N LEGtRU___. APPROVAL A INFORMATION I VIKING CONTRACT N OC. 1206 _ _ CONSTRUCTION C h. E-MAII. RECORDS R FEDEX AS REQUESTED AR MAILED _ OTHER( I n BY HANE X _ ENCLOSURES ARE FOR ACTION AS INDICATED BY ABBREVIATION DRAWING REV DESCRIPTION OR DRAWING TITLE ACTION NUMBER �or,iL�:. rn, __ `• —�_.._�. - - �� 4 - FIRE PROTECTION SHOP DRAWINGS _ V1 PERMIT APPLICATION 1 PERMIT CHECK $191.96 �!- �_�_� 1 COPY METRO/CCB LICENSE _ 1 _ FIRE PROTECTION PERMIT CHECK LIST REMARKS^_ _ SEE APPLICATION -_ - _ , tf 'iMl fiuprd DRAWINGS MARKED WITH YOUR ,;TAMP OF ALCEPTANCE AND1OR 0LIRCOMMENTS VIKING CONTACT TOM MADERA CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2001-00214 DEVELOPMENT SERVICES DATE ISSUED: 04/27/2001 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD SUBDIVISION: BANtRO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(2.)branch circuits. Wiring for UPS. Job #34.0456 _ RESIDENTIAL UNIT _ TEMP SRVC/FE_EDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 2.00 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS --- _ ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 2.01 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ _ _ PLAN REVIEW SECTION__ _ 1000+ amp/volt: >=4 RES t rNITS > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225,,MPS: CLASS AREA/SPEC Owner: Contractor: PACIFIC REALTY ASSOCIATES TICE ELECTRIC 15350 SW SEQUOIA PKWY #300-WMI PO BOX 15009 PORTLAND, OR 97224 2139 SE BELMONT ST PORTLAND, OR 97293-5009 Phone: Phone: 233-8801 Reg #: LIC 166 SUP 2586S ELE 26-126C FEES Required Inspections Type By Date Amount Receipt Wall Cover 5PCT CTR 0412712.001 $4.28 27200100001 Elect'I Final PRMT CTR 04/27/2001 $53.50 2720010000( -- — Total $57.78 — This Permit is issued suhlect 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 s permit will expire if work is not started within 180 days of issuance,or rf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1.800-332-2344 Permit Signature: > r r Issued By: I:.�ZzZL 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 i SIGNATURE OF SUPR. ELEC'N: f �-� dg ��' DATE:— LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day (!fr2 11:55 503-872-8290 TICE ELErT.SERv.DEPT PAGE 02 10/10/00 TUE 09:00 FAX 503 588 1090 CITY OFD ®007 I(� Eledrical1 indtApplication Duerrmlvtd l! j Fr�eiltno.:l% 21 City of Tigard Rojwvappl.na: 8xplre date: City eJ7iaard Address 13125 SW Hall Blvd,Tlgard,OR 97223 Dare iaavad: By: Ret elparlo.: Phone! (503) 6394171 --- Fac: (503) 5911.1960 Cane file no.: Payment type: Land use approval: O 1 &2 family dwelling or acceaao ry )p Commero)a1/ladltrtrial O MhuIU-family O 7'amml improvement 'J New construction AD Addition/el leradnn/mpltmen-rani Q odzr. - (�Pattel Jnh address: SkiIdg no. Suite no.: fax-a&Wtax lottacwunt no.: Lot: @1tx1c u ►vision: A-I Proleci Hama; SpacE? ileac'- don And locaUOn of WOtk on promisee: Wi ro fnr IJM Piumatad date of eom ledcrOna Uuo: Job no:_ 414.0456 v.. l3co. CQ. mai _ ems) TLI to si,r usln�+s name: —R Y _._IL_a�.too -CityNow rald"OU.61M)i or rmr tit•6 I r Ib 4ddrus: Box --- city; ; pC=t I State: ZLP: 0,77rza 9er7iv 6ek4od: Phone• ,3-z3-j--99 ail: _ En1d11; lot»sq.norluu • R.clt add UrorJ R a tafbeteof CCB v0.: 166 1 Feet.bus.Lie no: _ 11MMad wargy,reddeniW 2 cily/5m lir,n0,: 2014teJar mn r■ai �4a1 eachre■uuftn"hwa■aroodoludw RtS S' n d bla ■IeeRio an r ulnad Dau Narks■Alor ludo 2 Sit.cleel.nems(►nny r l�annaaro; cerise a f n-4YWYtlai, als■ratina or rel■catim: =wnptorlm 2 Name(print): Pac'Prust ' 1 env to&W s 2 Mulin,�sddress. -- sod." a�ua e� 2 M lDa4 a y� 7 Cit : Slate: 71?: Ova It100niporWro Z Phoee: Ig-telall: Runerwetonly 1 Owner Insttiletinn:Tho insulladon is beiaa made on property I ovrtr IQ1`wW?a`ffar'etlaaw,tfrobcaLLee, which is not intended for sale,lease,rent,or eachanae aecorWnS to ORS 447,455,479,670,701. 10Darrt�enrlas■ z 701 :otWa s �� Owner's si slurs; 17rlet got to sea z hoc rdo-now,glia dloa, of■at•sba per pull A. Fu Far branch drauiu with porerrase of - Addresl: sanls er h■darfs■,uch bronco decoil z City: --- — _ Staid: MP. ®. 6a rat urch atrwlu*IiImt paronw � 6.8 : Ptkmc Fax; &Mail: &I service a fmAer foe,Om branch 0kcuie ado kwch circuit. lar naw loaderwt d■ )r Q Sc,v"over 225wrrc.a - mrd-! U Iteeltheanhdlltr Rgeh P'Jlhp Orinl adeseitde ! J Servierover320r.,ps-ntlrt4of 1A d Haxardoabadoa seh OrotidireI hos family dveUlnts 0 0rl1dln3 ova la,nr[l aquary ren hwr or Sijo c�u A Umlud maty pus{, D Svurraever 1100velunantoal moron endaluniulsonerjunwis a wW4on,e�extanalon• 1 9 D BuUdinaovertivsstnrlcs 0 roosters,400■arparnaaeONIM e O r>cK+a,r load O•or 99 prwnr 0 Mor,ulaorwed strvelum at IV pAt f ow an TIW.=In say of W■ ']EarmillehUa/plan 0 Other. —__--�-- hrl Submit•_seta of plana with soy of filo abate. nvuu on Me above are slot!g&kaole to renot orary aostrllclon eerMea calm v.x M JuMidl Won,amw exedit nrd,.pMuo rAn hatw4kouo to nue■rrata■uee Noises:This permit application Permit fax.....................S _ S�,4h u Y.as a MuterCue expires if a pehalt is sot oWifted Ph nvlaW(K S6) S - Cmat ar,4 n mha.. [__ wllbjn lf0 days aflar It has baa ShamststabLMO(8*) -$ _ 4 " oo ;zd -" aeoaptedacomplete. TOTAL ..... .................S W-416 .......................... a av,ura �� •/061� brn* ,i 04/26/2001 12:55 503-872-0290 TICE ELECT.SERV.UEPT PriF 1_I 16750 SW Upper Boones Ferry Rd Tice Electric Co - ,lob # 34/0456 Ele•.;irical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY P Restricted Energy Fee............... ��-- Number of Inenr w lonsper permie allowed (FOR.ALL .SYSTEMS) Service included' IterTis Cost Total � Pasldentlal-per unit 0000 sq " or lecw $14515 4 Audlo and Stereo Systems Fact additional 500 sq 11 or portion thereof , fJJ,40 -- 1 Burglar Alarm Limited Energy S75,00 rauJn Manufd Home or Modular I c arwgr:Door Opener' vM Dwelling Sar :n ix Fnedw _ $90 00 w -_- 2 Servlcesr or feeders Heating,Ventilation and AJ(Conditioning 5ysic-m' Installation,aleratton,of relocation 200 drays or less $8030 2 U Vacuum Systems' 201 amps to 400 amps _ _ _-__ S 106.85 - 2 401 amps M 1500 ampsf 160.60 2 - — _- Other fi01 amps to 1000 amps S240 6n 2 Over 1000 nmps or volt& $454.65 -R. 2 _-- Pemonect only S65 A5 2 Iernporary 5ervicar,or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY instaloowiamh dor latiratl ion.or rolonn ors s Stili t35 _ _ 2 Fee fro each system.........................................................- 576.00 70 a 01 amps to 40mps MU 30 2 (SrF OAR 91&900 2601 401 amps to 000 amps $133,75 2 over 600 amps to 1000 vols, Cheat Type o1 Work Involved: see"b"above 13 Audii.and Stereo Systems Branch Circultf; N(ra,alteration or rrnenslon per par-0 Holler Controls ai The)Ina for branch urculz with purchase of nerviee or feeder fee t_ clock Systems Earth brenclh circuit Was 2 h) [me fee for branch areurls U L)ata reiernnimunhraUnn InstAlatlon without pumhese of service or fender foe• 1 46 C3 Fire Alam Installation First branch 6muh .85 I.arts ahrlltIonal branch circuit $6 6.i &166 j HVAC Miscellaneous 4.J (Serv)ce or feeder not indiided) E] Instrumentation tudI pump ur IrTwOun L*ule $53,40 Lech sign or o illine sighting $83.40 0 Intercom and Paging Sysleru ynal clrcult(c)of;limited energy panel,alteration or extension _ $78.00 EJ Minor Laws(10) $125,00 _ Landscape Irrigation Conh,31- Farh additional inspection over Molral tlhe ailowabin In any of the above I'er ir„ptxlion 512.80 Nurse C2119 real hour _ 362.50 In Plant $73.15„»- , ❑ Outdoor Landscapra Lighting* Fees: Protective Slgnaling Enter total of above fees S Other - 9%State Surcharge Number rA£yslems 25%Plan Rovlew F on -- see 1,tan Review'sedlon c0 S No Ncenses are re0ulred tXgnans ere R_'d:rlred Inc all nlhvr Ingharletlnnr, 6pnt M appllrabon. -- rota!Balance Due 51.78 Fees.' �ry Enter total of above fees f _ LJ Trust Accou�f��KK' _- - --. a%State Surcharge >i _ Total Balance Due i �.nty rorms�lc•ItiesrJnr InT1900 CITE( OF T'IGARD ERESTRICTED EN RIGY DEVELOPMENT SERVICES � � PERMIT#: ELR2001-00054 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/1/01 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD BLD.E PARCEL: 2S113AB-01201 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data &Telecommunication �A..RESIDENTIAL _ _ B.COMMERCIAL AUDIO & STEREO: lAUDIQ & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS. VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: --- ---- _ TOTAL#OF SYSTEMS: 1 Owner: Contractor: PACIFIC. REALTY ASSOCIATES PORTLAND GENERAL ELECTRIC 15350 SW SEQUOIA PKWY#300-WMI 121 SW SALMON STREET PORTLAND, OR 97224 PORTLAND, OR 97204 Phone: Phone: 503-464-8852 Reg at: FEES Require_d Inspections Type By Date Amount Receipt _ Ceiling Cover PRMT CTR 3/1/01 $75.00 2720010000 Wall Cover 5PCT CTR 3/1/01 $6.00 2720010000 Elect'I Final 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 work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by k2—k Permittee Signature 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 SIGNAL URE OF SUPR. ELEC'N DATE: LICENSE NO: —� Call 639-4175 by 7:00 P.M. for an inspection needed the next business day �� Electrical Permit Application -- rDatceived: Permi �a/-ex City of Tigard Project/appl.no.: Expiredate: Ciryu('rillard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory Commercial/industrial U Multi-family U'('enant improvement U New construction U Addition/alteration/rclil;irrment J Other:—_ U Partial Joh address: s Y✓ CO lilrlt:. n.. suite tiff . Tax map/tax lot/account no.: _ _-- Lot: T.5-C,,I Block: Subdivision: Project name: I Description and location of work on premises: Estimated dale of arta ledicnt/inspection: Job no: d ee 1 eta+ �� .aecrric _ I>r+cription - 1)ly. (ea.) Judet no.in+p BU91nCSS name: &, - New rrsidefdlal +iugleormuld faodls dwr Address: 0.) :7 2.C/ dwelliog unit.Inclutim attaclied r,arugr. -Z IZIP: Sericelocluded: City: Style:01 �^- I(XXI sy I or less 4 - -- Fuch additional 500 sq.h or portion thereof CCB no.: „l Elec.hus. tic,no: 1.imitedenergy.residential 2 City/metro lie.no.; Limited energy,non-residenlial 2 F.ach manufactured home or modular dwelling r ------- Service an pc 2 Sr��atuw- of supervising electrician(required) Date — I i nsr�� Serricerorfeeden-Inrtalldlon. Sup Oro name(pnntY alteration or relocation: 2(x1 amps or less 2 -�^'n 201 amps to 4W amps 2 Name(print): RC l L US T —-- -- 401 amps to 600 amps 2 Mailing address: 0 -�t.f1-4 601 amps to 1000 amps 2 City: State: e, ZIP: liver IU0(1 nm a or volts 2 Ph011l`: FaX: E-mail:-- Reconnectonl Owner installation:The installation Is being made on property I own 1•emponry services or feeders- stallatlon,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to I 11111fis of le++ _ 2 ORS 447,455,479,670,701. amps to 41x1 amps _ 2 Olvner's signature: Date: 401 til 61x1 urtt s 2 Branch circuits-new,alteration, or exlenslon per panel: NAnte: _ A. Fee for branch circuits with purchase of service or feeder fee,each branch circuit 2 Address _ -- - _ H. Fee for branch circuits without purchase City Stair.: ZIP: _ of service of feeder fee,first branch circuit: Phone: I•as 1. mail1:achadditional hranchcircuit Mire.(Service or feeder not Included): U Service over 22.E amps-confinercial -1 1lr.dth care facility Each untp or irrigation circle O Service aver 320 amps-rating of 1&2 U Harwdous Imation F•.ach sign or outline lighting familydwellings U Building over lo,(Xx)square feet four or Signal circuit(s)or a limited energy panel. •System over 61X1 v Its notional nacre residential units in one structure olleration,or extension" U Building over three stories U Feeders.40t)ampsormorc -Drscnptiow _ O Occupant load over rW persons U Manufaclumd structures ar RV park Each additional Inspection over the allowable in any of the above: U Fgress/Itphtingplftn U other ., --- Per inspection Submit +el+of plans with arry of the alcove. Investigation tee Fhe above are not applicable to temporary construction service. Other - Petmit fee.....................$ 7 •-0-2 Nor oil ienoicdons accep credit cards,please call Jurisdiction for morr infonruii m Notice:This permit application U visa U MasterCard expires if a permit is not obtained Plan review(at Credit cud number _._ L L_ within 180 days eller it has been State surcharge(8%) ....$ Fxplrcs accepted as complete. TOTA I. .......................$ g J G7 L Nunfe of cardlfol r as shown an credit cetd s cardholAer signature 440015(6"Wom) Electrical Permit Fees: Limited Energy Fees: - --- TYPE. O`=WORK INVOLVED -RESIDENTIAL _ONLY Complete Fee Schedule Below: Restr;c►ed a rjrgy Fee...................................................... $75.00 Number of Ins ections per permit allowed (FUR ALL bYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential•per unit 1000 sq.ft or less $145 15 q Audio and Stereo Systems Each additional 500 sq 0 or portion thereof -- $33.40 1 Burglar Alarm Limited Energy — $75.00 Each Manufd Home or Modular ❑ Garage Door Opener" Dwelling Service or Feeder $9090 2 Services or Feeders Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $16060 2 Other 601 amps to 1000 amps _i_ $240.60 2 ❑ – Over 1000 amps or volts $45465 2 Reconnect only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system....................................................... .. $75 00 Installation,alteration,or relocation 200 amps or 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, Audio and Stereo systems see"b"above. Branch Clrrults Boiler Controls New,alteration or extension per panel a)1 he.fee for branch circuits Clock Systems with purchase of service or feeder lee. Each branch circuit $665 _ .. Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder lee. First branch circuit $4685 HVAC Each additional branch circuit $6,65 Miscellaneous [� Instrumentation (Service or feeder not included) Each pump or Irrigation circle _ $53.40 Intercom and Paging Systems Each sign or outline lighting _ $53.40 Signal circuit(s)or a limited energy El Landscape Irrigation Control' panel,alteration or extension $75.00 _ .- Minor Labels(10) _ $125.00 , ❑ MPdlcal Each additional inspection over the allowable in any of the above Nurse Calls Per Inspection $6250 Per hour $62.50 ❑ In Plant $73.75_ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fp•;1 $ _ Other -- B State Surcharge $ _--_ Number of Sys' ms 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application _.___– --- Fees: Total Balance Due $ _ Enter total of above tees $. ❑ Trust Account# 8%State Surcharge S__yL' op ---- - $,� , L d Total Balance Due. rAdstsllorms\elc-Iees doc 10/09%00 CITYO F T I G A R D — ELECTRICAL PERMIT DEVELOPMENT' SERVICES DATE SSUIED: 227/0101-00110 13125 SW Hall Blvd., Tiqard, OR 97223 150311 639-4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD SUBDIVISION: 13A61f$O CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical permit to allow for branch circut alterations due to demolition of walls per master BUP2001-00066. Per B.O. 2hrs@ $62.50 per hr+$10.00 (8% state surcharge) --_RESIDENTIAL UNIT TEMP SR_V_C/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE!FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDEP: PER INSPECTION: 0 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 0 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ A _ _ PLAN REVIEW_ SECTION__ _ 10004• amplvolt: > 4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: i_ _ SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC:_ Owner: Contractor: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC CONST/GROUP 15350 SW SEQUOIA PKWY#300-WM1 1010 SE 11TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: Reg #: LIC 203 SUP 1302S ELE 26-95C FEES _ _ Required Inspections Type By Date Amount Receipt� —`- -- ------ ------ Flect'I Final PRMT CTR 2/26/01 $125 00 27200 10000( 5PCT CTR 2126101 $10.00 2720010000( A - Total $135.00 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 work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE DN f}f/oLJC'�Tn�l ISSUED SY: 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 S!GNATIIRE OF SUPR. ELEC'N: Di✓ �P�G/C�h'Ti0 DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day FEB-23-2001 15:55 P-01/02 Electrical Permit Application_ Date received �' City of Tigard 771y `7 Projcet/eppl.no,: : City of Tigard Address: 13125 SW H4 Blvd,,TiS p 9,Phone: (503) 6394171 f C.Cs <- t i f Li Date Issued: Receipt no. --- - Fax: (503) 598-1960 Case file no.: Payment type: CQMMIIMIt1 IN Vll i)I M;r, Land use approval: O 1 & 2 family dwelling or accessorytrEornmefeial/industeial O Mltltl-family 0 Tenant Improvement 0 New construction )U A ition/alteration/replacement O Other. 1 a a Job address: SW Upppr. BDGDe's Ferry Btd& no.: Suite no: ITax map/(.-lx lot/accounr no.: B1601, k: SuMivision: _ Project name:,,,.-.-i4a4�,litioa Desert tion and locauon of work on remises — M` —�--''--;�� ZP p demolitipn of iRterlvr �a is Estimated date.o'complerion/inspeccion• Job no: - aZ1Z FieMot 9uaittess name: p r e g n n r^_1 r?r-t r i s GL411( _ -_ Dt�aipUwr (� Tref as Nen teaidesstlal•tdrtple°r tauld-Lutd(y per.... Address: i-nr-v - -- drrcllirsgtdtlacludes.mdtedptntpe Axi- city: State: ZIP'-�r 4 sa,1rrincluded Phone: _ E-mail: 1000 sq It nr tett e - - - 3a�� - — Each additional 500 sq,ft,or portion thereof t CCB no,' Elec.bus tic no: 26__ SC l,inlra additional 500dendal 2 „ City/metro he no.; Ur hod energy,non-residential 2 2-23-01 Each manufactured luime nr mndular dwolling St nature of SuPerVisins elecOcian uirx+d) Dela I Service andtor feeder 2 Liute ; Nervieaarfeedtnun,SuP electnam(pmt): _- alteration or reloodon: aWNFR 200►nips or I sa 2 Name(print): 201 amp,in 400 aropc - 2 Malling address: --- 401 amps to foo amps -- - --- - --- &)I amps to I ow unpsR City: state! Z�: Over 1000 wraps or volts _ Phone. Fax: E-mail: Rewrinect.only_ t Owner installation:The installation is being made on property 1 own Temporary serrlrts or feeders- which is not intendtd for sale, lease,rent,or exchange according to Irtsetlladnrr aherattm•°rrelotafioo: URS 447,4j'5,479,670,701 .00amps or less ------_- 2 201 amps to 400 unps 2 Owner's signature: Date: oat to 600 amps - -- `-- 2 RUM I Ilraneh efrcaln raew,aNera+Noq or exrenslon per panel• Name: A r,f,r hranch circuits with purchaw of Address: se.rvia or feeder far,each b mch arcuit l i 11 Fcr for branch curvits without rchasr. City: State: ZIP: w ' - - - - of urvta or feeder fee,tint branch circuit. Z 1 Phone: F tz E-mall: Each additional branch cimviu Misc.(,Se"icc or render not Included) 7ftfldingmverthriaestorie:s er225 amps hnmrwrrial tj Health-carefarility Each pumpnr int anon thele 7 er 320 amps-rating of 1 A2 O HarardnusIncadnn h sign or oudins lighdng 2 ellirtgs V Building over 10,000 square feet Fnuror Signal circuit(,)or a limited energy panel, er 600 volts ronunal more residential units in one structuns alteration,oreatansion•ories Ct Feadm,400 amps or more •Desert don:___ -- __ 0 occupant load aver 99 persnns O Manufactured tuucpjrea or RV park Fich r.Jditinnal inapertion urer Use allowable d any o4 de sbo.v: O Egrmss/Iighlingplan O Other. — Per irupccuon T Submit_T_ sets of plane with any of the above InvestlgaUon fit - The above sire not applicable to temporary eounraction stMee. N,v all jtuisdictiow accept credit card,,please rdl luriartictlnn famote irtformsoe Notice:1 his permit application Perinjt fee..... .. ......... $1-�,� 0 n 7 vis, O MmirrCmd expires if a permit is not ob'ained Plan review(at %) S - Crrdit card numher ,_,f_1..-- within 190 days after it has teen State surcharge(R%) ....S -0-11— F rpitwr accepted as complete. TOTAL 1 Z S ,n p arae n((' of tan•1 Ob CeeQil cam S _ Cardholder ingri.urc Amnael—_. aa(1311!(F~'QMi P.02/02 Electrical Permit Fees: Limited Energy Fees;, Complete Fee Schedule Below: TYPE OF WORK INiirOLVEp-RESIDENTIAL ONLY 1 Rostrlcted Energy F Nwes................... .. :..... ........... ..... ..'.i nber of Impactions r rmlt allowed (FOR All 5vSTE .� .x=75p Service included: Items Cost Total I Residential-per unit Chock Type of Work Involved: , 1000 sq It or less - S 1 ag 15 a Audio and Stereo Syslerns Face additional 500 sq ft or Dwtlon tllereo/ $33.40 1 LimiledF-nerpy - 575.00— ❑ t3urplarAlltnd�:.�`?it 7'v P,E,>r' :TdI Lace Manurd Home or Modular _. 1 Dwelling So vice or Feeder $90,90 _ 2 (-� Garage Door Open%. ' Servicers Feeders _ Hearing,Ventilailon and Air Conditioning Sysleril IInstallation,,alteration,a relor�bon 20U amps or Iasimos to 400 amps $_ $80,30 2. L] 201 a1U6 R5 Z Vacuum Systems 401 amp,to 600 amps $160 60 2 r 601 amps to 1000 amps J S24060 2 �l Other lover 1000 amps or voha ___ -- $454,652 Reconnect only $66,8K __._ 2 ---- -- - - Temporary Services or Feeders _— f Installation,aMeratlon,a mloratian TYPE OF WGRIf INVOLVED -COMIV!E!RC IAL 4011 200 amps or less $66.85 2 Fee for each system....................... • 201 amps to 400 amps ___ _ S100.10 2 (SEE OAR 918.2M2fa) $75 no w a�; 401 ampe to 600 amps S133.75 _ 2 _ Over 600 amps to 1000 voh,. -� Check Type of Work Involved. see"b•'above. Branch Circuits Audio and Sterno S)r,•tems New,alteration or eAensior.per panel a)The fee for branch circuits LJ Baler Controls With purchase of srtry/co or Each b fee orcuit U Cluck`;yntems _ 56,65 2 b)The ten for tlrnrrlr urcuns Data Telecommunication Installation without purchased/,dery/ce a.F - . w _,�^ +'a t 1 or fooder lee. 1Z ''S�!!..ca First branch Orr•JlitSdG.fiS ❑ Fire Herm Installation �_ :.✓ t Each adoitklnal branUl chcuh - $6.65--- Miscellaneous HVAC (Set vice or feeder not included) r--i Instrumen�itlon ' I_J , Lacf1 pump or irrigafbn circle _ _ $53.40 • • - r'ach sign or oudlne lighting 16340 -- _ Signal circuits)or a firnitee energy ❑ Intercom t1-J Paging Syslerns+ _. panel,alteration or ertenswn _ x75.00 Minor L abets(10) � $125.00'^ l landscape Irrigation Control' Fach additional Inspection over theMedical allowable In any of the abmm ^ , Per inspnction 562.50 ., if.,.' :4' ..A`:<.,' ..r Per hour $62,50 ! Nurse Calls In Punt _ $7375 - - – OutdoorLendaarpelighting' ers.btr� . Fees: (� Protective Signaling Inter total of above fees $ _ r -a,.•s , T.! . .� f.•� ur�i�� c Other Demolition Permit zl hou.to', Ax State Surcharge $ -- 11-77 rr - -- 252.Plan Review fee �- __Number of� gg'j' 0()+ 1 0 1.00=1 3 $ar'Plan Rav*W section nn $ front of application. No Ncenswr are repu rvA Licenses are required for all nuwrr uLstaNartxrs Total Balance Due $ Fees: El Trust Account e Enter total of above ices $ 115_00 _ _ . - — - - 8%State Surcharge Total 8111181ICO DUO $-1 2S n o_ 3 i\dsWfnrm\eIc-I•ees.doc 10IM100 TOTAL F .Cl-' BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2001-00066 DATE ISSUED: 02/20/2001 DEVELOPMENT SERVICES G 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERR.YRD ZONING: I-L SUBDIVISION: BANIFO CREEK ACRE TRACTS JURISDICTION: TIG BLOCK: LOT: `– REISSUE: �Jr FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION (.Y� '- FIRST: sf N: S: E: W: CLASS OF WORK: nEM PROJECT OPENINGS? TYPE OF USE: COM SECOND: sf __— -- sf N: S. E- W: TYPE OF CONST: 5N OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? 0(:CUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQD SETBACKS REQUIRED BSMT?: MEZZ?: FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: , "/ ' Remarks: demo of interior partionsand finishes to prepare for t.i. Contractor: Owner: PACIFIC REALTY ASSOCIATES REIMERS + JOLIVETTE INC 15350 SW SEQUOIA PKWY #300-WMI 2344 NW 24TH AVE PORTLAND, OR 97224 PORTLAND, OR 97210 Phone: 22.8-7691 Phone: Reg #: 1-1c; 011614 —y FEES _ _REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection 5PCT CTR 02/20/2001 $5.00 27200100000 PRMT CTR 0212012001 $62.50 27200100000 —y Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. Al; work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work i- suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001 -0010 through OAR 952-001-1987 You may obtain a copy of t se rules or direct questions to OUNC by calling (503) 246-1987. Permitee lAIC , Signature: – – issued By: ---- �� C1 639-4175 by 7 p.m. for an inspection the next husiness day 1 � Building Permit Application #Datereeceivedfjj?K,,e) Permit nIlk o.: City of Tigard Project/appl.no.: Expire date: ii4 Tigard Address: 13125 SW Hail Blvd,Tigard,OR 97223 CiryoI R Date issued: By: Receipt no.: Phone: (503) 639-4171 — ---- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF PERMIT ❑ I &2 family dwelling or accessory Commercial/industrial U Mulu-family O New construction XDemolition U Ad(lition/alleration/replaccment '❑tenant improvement U Fire sprinkler/alarm U Other: ! 1 SITE INFORMATION Job address: i toZ`5D ALJ iJPPro— ].!JV/.1Ci rjz1 2 Bldg.no.: I Suite no.: LAA 1 hack: Subdivision: Tax maphax lot/account no.: a'3 v's-• �� Project name: r--C _ Descri tion and location of work on premises/special conditions: Deo e.tn0jQ b1r t N 1-k al0 f? _PAA 7i t10t4[, F1 NI 4E'5 TV ZEANa FiJIz N ul,) T t-4/k-o t(Floodplain,septic capicili,solir,etc.) OWNE.11 70ill SPECIAL INFORMATION, USE CHECKLIST Name: 4ALY'2e1 "PAC-1 rr C, /,< .z I Mailing address: 16352 34) 5E I A p+e� &2 family dwelling: City: y(21LR�1 _Statc: ZIP_: 7 Z aluation of work........................................ $trail: _ o.of bedrooms/baths................................. Owner's representative: SOMA/ J/ /�lL otal number of floors.................................I'htmc I-av E-mail: ew dwelling area(sq.ft.) .......................... _-_---—-- APPLICANT Carage/carport area(sq.ft.)......................... _ t�V - �UC'S Y�I 1 LU l � _ Covered porch area(sq.R.) ......................... Name: - Mailing address: Z. `JAt✓t.Vl -- Deck area(sq.ft.) ........................................ Cit Stale:,��-�ZIP a I2D Other structure area(sq.ft.)......................... y: Vol` �� rZC m erclaUinduistrial/multi-family: Phtarc:50 �1U1 l7 I ax: Yl�B�b'0 Gmail:fib_ ti 1 1 atuaUon of work........................................ $ -- Existing bldg.area(sq.ft.) .......................... Business name: 14_.t IMNew bldg.area(sq.ft.) _Address: .Z yy NW y Number of stories t City." State: ZIP: 12-10 Tyle of construction.................................... Phone: 16 ax:fja• 1 E-mail: -_ _ F - Occupancy group(s): Existing: 8 ('( B no.: I j 10 1 o New: Ci(y/metro tic.no.: -- Mt=-Tpo pUUD I?-I Notice:All contractors and subcontractors are required to be tj 1 ' licensed with the Oregon Construction Contractors Board under r provisions of ORS 701 and may be required to be licensed in the Name: C �j C 8�IZ)411 L1.i> _ Address: — jurisdiction where work is being performed.If the applicant is _ /pp_jL__56 M4^t4 l�✓E — D - exempt from licensing,the following reason applies: City: �f '� State:Q/Z I ZIP: 2) -- Contact person: t p, y,MWZ Plan no.: P hrmc:il''L'� 1C Fax: l Z&'I E-mail: N,iinr: Contact person: Fees due upon application ;,l�.l?i;r1'L' Address: Date received: City: State: Z(P: Amount received ............................ ��. .... .. $ Phone: Fax: E-mail: Y Please refer to fee schedule. 4 I hereby certify 1 have read and examined this application and the Not dl jruisdictiom accept credit cud+,pleue call jurisdiction far more inrormuion attached checklist. All provisio s of 1 d ordinances governing this U Visa U Mastercard work will be c beth spc tied herein or ant. credit cad number -- _- _ .xpires Authorized sig Date:Z""ZV' _ Nn+k at c rder as sr,osrn ou credit c - $ Print name:_ 5c:— I ntC . — caab�Tdel si"tum -- ---- Notice:Ibis permit application expires if a permit is not obtained within 190 days after it has been accepted as complete 440-4613(r>✓OWOM) ELECTRICAL PERMIT- CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES n ^ PERMIT#: FLR2000-00006 13125 SW Hall Blvd.,Tigard. OR 97223 (50. G11 DATE ISSUED: 1/6/00 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD BLD.E // 4 PARCEL: 2S113AB-01201 SUBDIVISION: FANNO CREEK ACRE TRACTS , l C ZONING: I-L BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of protective signaling. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 _ Owner: T Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL INC 15350 SW SEQUOIA PKWY#300-WMI 15495 SW SEQUOIA PORTLAND, OR 97224 STE '100 PORTLAND. OR 97224 Phone: Phone: 968-3300 Reg #: SUP 941-JLE LIC 00057824 ELE 2G207CLE FEES _ Required Inspections _Type �By Date _Amount Receipt Low Voltage Inspection PRMT DEB 1/6/00 $60.00 00-320972 Elect'I Final 5PCT DEB 116/00 $4.80 00-32.0972 V Total $64.80 This Permit is issued subject tc 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATT EN1ION Oregon law requires you to.follow rules adopted by the Oregon Utility Notification Center Those riles are set forth in OAR 952-001.0010 thra gh OAR 952-901-0480 You may obtain cof yes of these rules or direct questions to OUNC at (503) 246-1987 /.. Issued by Permittee Signature �� C` yti uiy��uz, 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 NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day i 0961 065 ZO9 6b:9t 6651-t�-�nr 5-0,d l Il RESTRICTED ENERGY ELECTRICAL APPLICATION d"by CITY OF TIGARq Date �'0--- 13125 SW HALL, BLVD PRINT OR TYPE �G/22000 -e� TIGARD OR 97223 lyerrnit#:_ �— v- 503-639-4171 X304Cust.CalIV F -503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS WILL NOT BE ACCEPTED TYPE OF WORK INVOLVED •_RESIDENTIAL ONLY Nartte Restrirted of Oeveiopment Nroleul -- E60 00 Energy Fee........................ .. ...... . / L (FOR ALL SYSTEMS) JOB Street A /9ddress / Ste A Check Type of Work involved -7 � ADDRESS /�• I` Zip h Audio and Stareo Systems Cityf5tate �1 Burglar Alarm Name i Garage Door Opener' M�a�lli'ng Address OWNER " Ventilation end Air Conditioning System' City/State 7lp oneq _ ❑ Vacuum Systems' ---- ---- time -- Other — -- -- HONEYWELL CONTRACTOR Melling Address H 1 nct -�_ 15495 ss _p TYPE OF WORK INVOLVED•COMMERCIAL ONLY___ -� .......................... 160.00 21p 'lions N Fee for each system..-••-•••••.......•• (Prior to issuance a City/stale r>F,S-3301 (SFF OAR 918.260-266) copy of all licenses PcxtlrAl ,-Q Exp Date are inquired If Oregon Conti.prd Llc M '/27 Check Type of Work Involved expired inCOJ. a rlr�7fi7a -� Exp Ute Audio and Stereo Systems data base). EICCtrlcal Confer.Or ] 00 sl T or Metro Lic.ft Boiler Controls _ - -—" Owner's Name Clock Systems OWNER- Mailing Address _ Data Telecommunication Installation APPLICANT Zip Phone M City/Stag Fire Alarm Installation � This permit isnued under OAE_918-320-370 This applicant agrees In L� HVAC is installations(100 voMr11 Issued d energy amps or sit under this make only L permit and to do the following instrumentation Only use electrical licensed persons to do installations where required Intercom end Paging Systems Ej cminin residential and other ortn to need lensing pt from licensing These have asterisks(') Q Landscape irrigation Control' 7 Call for inspections when Installation under this permit are ready for El Medical inspection at 503.639.4175; to,all hat are 3 Purchase so sv6men the inspector s outstoliations inspecttunderr thisiperm t,for an ready Nurse Calls Outdoor Landscape lighting* 4 Assume responsibility tot assuring that all corrections required by the TVI Piotedrve Signaling Inspector are done,and, 5 Assume res►?onsihllily for calving for a final inspection when all of the El Other corrections are comPleled Permits are non•lransterahle and non-refundable and expire it work is not Number of Systems started within 180 days of issuance or it work is suspended for 180 days. . No Uoenses we required Licenses are required la as other instaaetlons The person signing for this permit must be the applicant or a person -- authorized to bind the applicant ! FEES: S60 . 00 Er TER FEES ftKature y W.SURCHARGE(05 X TOTAL ABOVF) b— TOTAL__ _ -- Autliority if other than Appll�nt ia.r..vevmaYesek.doc 31241 / CITY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00058 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/8/01 SITE ADDRESS: 162.50 SW UPPER BOONES FERRYRU PARCEL: 2S113AB-01201 SUBDIVISION: BANI'ffO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _^ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: 2 GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI: ACED 1 sink and 1 tub/shower, MOVE 1 lavatory, CAP 1 lavatory, 2 water closets, 2 urinals, 1 2" floor drain and 1 drinking fountain. Owner: _.,_ ---.— FEES Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRN1T CTR 3/8/01 $166.00 27200100000 15350 SW SEQUOIA PKWY #300-WMI PICK CTR 3/8/01 $41.50 27200100000 PORI LAND, OR 97224 5PCT CTR 3/8/01 $13.28 27200100000 Phone 1: Total $220.78 Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Rough-in Insp Top-out Insp PLM 26-2�PB Reg #: LIC 2510 Insp existing/capped fixtures 6-2 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. h P ` Issued l3 (� Permittee Signature:nature: < tY, C By: 9 Ct, n 7 rti c-.l C� `�C21,° Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 12/05/00 TUE 17:13-FAX 503 596 1960 CITY OF TIGAkl) 1&02 Plumbing Permit Application "Dateeived:o?a�41' �Pwmnl�itno.: 114 M MM City Of Tigard Sewer permit no.. Building Address: 13125 SW Nall Blvd,Tigar1,ok 10722; permitno.: t> CirynJTigard Phone: (503)639-4171 Prnject/appl.no.: Expire date Fax: (503) 598-1960 Date issued: By: r._.,'ptno.: t Lund use approval: __ Case file no.: Payment typr J I &2 family dwelling or accessory hdf'onun,rual/uuhurrial IJ Multi family J Tenant improvement J New construction TA nddiu malt,ruiun/rrldacrmenr iJ Food service ❑Other- Jobaddress: ,� >t� az,116 r2a Description Qty. Fee(ea.) 'Total Bldg.no.. Su to no.: New t-and 2 family d"ellings only: hrdes 190 A.for each utillty connection) Tax map/tax Iotlaccount no.: 5171(1)baht — . Lot! Block: Subdivision: SFR - Project name:?66 f3 -- City/wwriy: ]�4a��- z Each a itional bath/kitchen --- -- Description and 16catiou of work on premises:W� r vim— 9lteutiUlles: G..•h Awa'5-W -f_,iia oma•- •ti+ �yj��, _ Catch basin/area drain F-t.dale of completion/inspection• _ D wells/leach line/trench drain - Footing drain(no.lin.ft.) Manufactured hume utilities Business name-,he LeLk,(ll! C x 1� +G Manholes - Address: K Ll_Q,Ie� Rain drain connector City: -_- 5tatc; 21P: % l 7 Sanitary sewer(no.lin. ft.) -- Phone:-54:3 ,2Fox;;, E-mail: Storm sewer(no.lin. ft.) CCB no.: Plumb.bus.reg,no: , c- efet K�c Water service(no.lin.ft.) City/metro lic.no.: g Fixture or item: Contractor's representative signature: Absorption valve Back flow preventvr Print name: I Duic: Backwater valveor — flaains/lavatory Name: Clothes washer Address: -- Dishwasher Drinking founmain(s) City _ �Statc: fT'_---- Ejechirs/sump - --- Photic: !~ax: E-mail: Expansion lank lam M ixture sewer cap Name(print): H76ur drains/tloor sink—ub Mallin.g address: - ---�- --`--- Garbage disposal City: —_ — State: 2.1P --- Hose bibb]ee maker Phone: Fax: E-mail: Intercc for%grease trap Owner installation/residential maintenance only: The actual installation rimt:r(a) will he made by me or the maintenance and repair made by my regular -Root drain(commercial) employe.t:on the property I own as per ORS Chapter 447. Sink(s),basin(s), lays(s) 0�%ner's signature: Date: Sump Tubs/,rluiwer/shower pan Name: Urinal Address: -- - '— Water closet ate—heater City: State: e:IF': _ Olher: _ -- Phone: v ^{ Fax: E-mail: Total , -- Nm alt)udrdictiom Accept credit ends.plem Cali ludedkaon for-more tarn;.dew Notice:Ibis permit application Minimum fee................$ --.-._ 161 V1511 ❑MasterCard Plan review(at _ %) $ expirca if a permit is not obtained Uredit card number`L� ��/�:`i 1�7S k1 fe � din 180 days after it hos been State surcharge(8%) ....$ _ ' �` r�i rear ° accepted as complete. TOTAL ....................... one cu r u s ,wn an e r cad p --Cudholder signurae =—�mo�n �IO.IRIb(61ONCOM) 12/05/00 TUF. 17:22 ITX/RX NO 95731 [ 002 12/05/00 TUR 17:11 PAY 503 595 1900 CITY OF TIGARD Z003 rr• PLUMBING PERMIT FEES: (ld aliIr ' i P ICI! i P A hclul � � { 1 t!N Sink 16.6) p I laPilin ii ;. ' ISS " " cc Lavatory - 1 6 8) ,haul _ _---_ — 249.20 - Tub or Tub/shower Comb. j 16.6) T_wo(2)bath __- 350.00 Three 3 bath _ 9 00 Shower Only t6 6) ,----------- ---- f39 Water Closer 116 6) - - SlBTOTAL Urinal 16.6) 3" 8%STATE SURCHARGE 18 6) PLAN REVIEW 25X.OF SSUBTOTAL Dlahwarher --- -- --- TOTAL Darbage Dlapoaal 16.6) - -- - 16.6)Laundry Tray a Washing Machine Floor Drain/Flow 2' 1661 /l / ,- 1663 PLEASE COMPLETE: Water lloaler U c0nve(elon O Ilke kind 19 6) III�IxiYlr'�T�rPo d j!II I I Ilii I' � iOrh y placd 'R4iifu Gas piping requires a separate mochanlcul ill 'ii '(I'I, cappod MFG Home New Water SaNloa ae 4) Sink `- MFG I lae Naw Sen/Slorm bower g667 Tijb tort or Fa—mW—New Tub Tub/Shower / Hose Biba -- — 13 6) _ Combination _ Hoot lkalna — 16 6 Shower:)nly ^_ Watel Closcl Drinking Fountain 16 67 /(" 60 - — -- Urinal Other Fixtures(Specify) 1663 Dishwasher _- I Garbage Disposal i_ _-- -- Launder r_Room fray__ w — -Washing Machine Floor DrainlSink: 2' Sewer•tat 100' 54.03 3' Sewer-each additional 100' 43.4D 4a Water Service-1d 100' 55 00 - _Water Healer _ Other Fixtures Walar Ban a each add t.—n.1 200' 46.40 S ecl ;,form 6 Rakl Drain---I at 100'^ -- 65,Ca Storm d Raln preln-each additional 100' Commercial Back F ow Pravantlon Davila 46.40 Reeldanllal Beckflaw F'revanlion Oavlce' 27!B Catch Basin — 16 e EA - Inspectlon of Existing Plumbing or Specially 77;0 Ru uu�twl Inspections perAlr _ COMMENTS REGARDING ABOVE: Rain Drain,Single family dwelling 65 i,5' - Oraase 16.0 ---- QUANTITY TOTAL .ry --- - +�' .; looamldc or riser diagram Is inquired 11 �uanul TWulls�a II I • `SUBTOTAL aY.SPATESURCHARGE "PLAN REVIEW 255E OF SUBTOTAL sU no Wiwi old 11 Ilxture qty.IoW la>a �'i 1 `+;i".�ILI TOTAL. r.: '' �,i',�"Lh 'J .Minimum parnll Ho If$12 50•a%slate surcharge,except Roslderaal ear:klaw Ireventlon novice•whkh Is W 25 r a%$lata surcharge **Ali Now Comrnoreld Buildings ryqulry plans with bornaute or riser diagram and pan review I\dsts\I0rmalplm-feos dor. 10110/00 ,j 12/05/00 TUB 17:22 1TX/RX NO 95731 Z003 Accumulative Sewer Tally Tenant Narne: I`' 6 This SWR# Address: /l SD S a uSPE/', (9XIVeS �t vkX 8c 1.67 E This PLM#X00 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font _ �- 4 _— Bath -Tub/Shower _ 4 -JacuzziM/hirlpool -- 4 Car Wash - Each Stall 6 _ Drive Through 16 - Cuspidor/Water Aspirator 1 _ Dishwasher-Commercial _ 4 Domestic 2 Drinking Fountain - 1 Eye Wash 1 — Floor Drain/sink-2 inch 2 / oZ - 3 Inch 5 -4 Inch 6 _ - Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6_ Rec.Vehicle Dump Station 16 Shower-Gang (Per Head) 1 - Stall 2 Sink-Bar/Lavatory - 2 - Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer-Clothes_ 6 _ Water Extractor _- _ 6 Water Closet - Toilet 6 Urinal TOTALS Total fixture values ---divided by 16 = _. �-3 EDU .t - �o C VARE-A/7_ Cie e, HISTORY _ y cc- CAEa iT PLM# /999-jd11,q E D U# SWR#/�- j� e PLM# _ _ EDU# _SWR# PLM# EDIJ# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# SWR# i vlsts\swrtaly dor: 'r CITY OF T I GA R D _BUIL.DING PERMIT PERMIT M BUP2001-00068 DEVELOPMENT SERVICES DATE ISSUED: 3/9/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD SUBDIVISION: BANIW CREEK ACRE TRACTS ZONING. I-L BLOCK: LOT: JURISDICTION: TIG REISSUE: _FLOOR AREASEXTERIOR WALL. CONSTRUCTION__ CLASS OF WORK: ALT FIRST: sf N. — S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL. AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 199 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RECID SETBACKS _ _REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL:-Y SMOK DET.- DWELLING ET:DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: ' BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 425,000.00 Remarks: Tenant Improvement Owner: Contractor: PACIFIC REALTY ASSOCIATES RUIMERS + JOLIVETTE INC 15350 SW SEQUOIA PKWY #300-WMI 2344 NW 24TH AVE PORTLAND, OR 972.24 PORTLAND, OR 97210 Phone: 503-680-5661 Phone: 228-7691 Reg #: LIC 011614 FEES _ REQUIRED INSPECTIONS Type By Date ! Amount Receipt Mechanical Permit Require PLC! CTR 2/20/01 $1,301.98 27200100000 Electrical Permit Required Sprinkler Permit Required I-IRE CTR 2/20/01 $801.22 27200100000 Plumbing Permit Required PRMT CTR 3/9/01 $2,003.05 27200100000 Framing Insp `iPCT CTR 3/9/01 $16024 27200100000 Gyp Board Insp Susp Ceiing Insp Total $4,266.49 Final Inspection I 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. Fhis permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987 i - Pe rm lee J_ Signature: ,r' ,fit -- Issued By: Call 639-4175 by 7 p m. for an Inspection the next business day t./r� L ) r Building Permit Application — Date received; �� Permit no.: City of Tigard - City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projecl/appl.no.: Expiredate: Phone: (503) 6394171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: 1&2 family:simple Complex: 1 ' ❑ 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction ❑Demolition U Add ition/al(cration/replacement )ITenant impmveinent U Fire sprinkler/alarm U Other: Job address: 1(02-50 `JI.J UPPCi2 g1) Bldg,no.: Suite no.: Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name: Descrinlion and location of work on premises/special conditions: f'`elf) 1 1 1 Nance: F�AL�lZ4J — 6�Q(,i /4 ' � ' t Mailing address: 15350 3aJ 5E OI A feA.0i 0:310p 1 &2 family d"elling: City: VVrzrU r1 State: ZIP: Valuation of work........................................ 4 Phone: 1y3Z ' Fax: mail: No.of bedrooms/baths.............................._ Owner's representative: rx-bj*/ WIf 1r4 Total number of floors................................. Phone: Fax: F?-mail: New dwelling area(sq.ft.) .......................... APPLICANT Garage/carport area(sq.ft.) Nuc' t7V $U['� I'V1!Lt_I GA�.� Covered porch area(sq.ft.) Mailing address: 7, )Ai_ Vf Deck area(sq.ft.) ................................ -- City: PVrz rL 6 State: ft ZIP: 72_0 Other structure arca(sq. ft.)......................... Phone:5p ./(j/ Fax; Y�� F40 E-mail:&1o_t&4t c,/ �nmerclallinductrlal/mu1N family: Valuation of work........................................ $ 4115,p o Business name: 7 1� 1�„ , f I N� Existing bldg.area(sq. .... ................ Lli�0 Address: -�y�/ �N W y �"". New bldg.area(sq.ft.) ............................... —0— Address: o _ Number of stories ' City: State: ZIP: /U ........................................ Phonc: '' 16 Fax: 1 7-7,41 E-mail: Type of construction.................................... V--N l Occupancy group(s): Existing: T3 CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are requital to be t licensed with the Oregon Construction Contractors Board under Name: �' �j /�/, provisions of OKS 701 and may be required to be licensed in the Address: /�jn� $� _��Z�qN qy --W_ -- jurisdiction where work is being performed.If the applicant is City: State:Q/L ZIP: exempt from licensing,the following reason applies: Contact person: .LI5PY,3j46Eg1 Plan no.: -- Phone: ' l Fax:em -, L t Email ----- — ENGINEER Name: l ontaclperson: Fees due upon application ........................... $ Address: Date received: _ City: State: ZIP: Amount received ......................................... $ Phone: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all juridiclions accept credit cards,please call jurisdiction for more infonnatiott. attached checklist.All provisio s of laws and ordinances governing this U Visa U Mastercard work will be compli iethe s -ified herein or nol. Credit card number: _ _ Authorized signature: Date: Z' ame UI Nof cudholdrr u shown on credit cud Print name: S _—_ ��/�__�_ -- _- s Cardhdder sltamture Amount Notice:This permit npplication expires if a permit is not obtained within 180 days after ii',is been accepled as complete 4104613(6AXWOM) 3, Form 2a Project Name: Pac Trust I';"1'rn.uit Improvement for PGE Page. SUMMARY --� -- - - Frgject 1 Project Pac Trust - BLDG E Tenant Irnprovement for 2. Project Address 15250 -90 SW Upper Boones Ferry Road 3. City/Town Portland. Oregon 97224 5. County 4_Building, Gross Area (ft") 21,000 6. No. of floors 1 Chapter Type ID Description Attached Attached Building Envelope Form 3a Building Envelope-General ❑ Forms and 3b Prescriptive Path-Zone 1 ❑ Worksheets 3c Prescriptive Path-Zone 2 ❑ check boxes to indicate attached _3d Simplified 1 rade-off _(use CodeComp software _— ❑ forme and worksheets Worksheet 3a Wall U-factors EJ 3b Roof U-factors ❑ 3c Floor U-factors ❑ Systems Form — 4a Systems-General ❑ 4b Complex Syl _ _ _— —_ ❑ Worksheet 4a Unitary Air Conditioners-Air Cooled ❑ 4b Unitary Air Conditioners-Water Cooled ❑ 4c Unitary Heat Pump-Air Cooled ❑ 4d Unitary Heat Purnp-Water Cooled ❑ 4e Unitary AC&Heat Pump -Evaporatively Cooled ❑ 4f Packaged Terminal Air Conditioner-Air Cooled ❑ 4g Packaged Terminal Heat Pump-Air Cooled ❑ 4h Water Chilling Packages-Water and Air Cooled ❑ 4i Boiler-Gas-fired&Oil-fired ❑ 4j Furnaces and Unit Heaters-Gas and Oil-firedL1Lighting Form 5a Lighting-General — I] 5b Interior Lighting Power-Occupancy Method O ^_ 5c Interior Lighting Power-SRace-by Space Method — ❑ Worksheet 5a Interior Lighting Power __ U 5b Lighting Schedule C] 5c Interior Control Credits Cl Applicant 7. Name _ 10. Telephone _L�U 7 8 Com ap ny _ 11. Date 03/02/2001 9. Sr nature Attached No of-Pages — _ Description of Document Documen- tation ocumen tation — - -- - --- - -_.-..---- ---- 1 """ ' Lighting OnOE 2000b(2) Bonn 5a Proiect Name: P,tc Trust - BLDG E Temint Improvernent for PGE Page. LIGHTING - GENERAL 1. Interior Exceptions (Section 1316.1) Exceptions I 1 No Interior Lighting. The building plans and specifications do not call for new or Discussion of qualifying aitered interior lighting Skip to item 4, Exterior building Lighting - General, below. exceptions on page 5-7 Ll Exception. The building or part of the building qualifies for an exception from code lighting requirements. The applicable code exception is Section: � 1316 1 Exception(s) [1_& 8 Meeting room, Display room and Light lab, 2. Local Shut-off controls (Section 1316.1.2.1,1) 1.1 Complies. At least one local shut-off lighting control for every 2,000 square feet of Exceptions lighted floor area and for all spaces enclosed by walls or ceiling heioht partitions. I Discussion of qualifying This control(s) is detailed in tha building plans on drawing number: oxceptionson page 5 r, f_-] Exception. The building or part of the building qualifies for an exa an. The applicable code code exception is Section 1316.1_.2.1.1, Exception: Portions of the building that qualify: 3. Office Controls (Section 1316.1.2.1,2) Exceptions I I Not Applicable. Contiguous office floor area is not over 2,000 square feet. Discussion of qualifying I I Complies All interior lighting systems are equipped with a separate automatic exceptions on page 5-9 control to shut off the lighting and local override switching. These control(s) are detailed in the building plans on drawing number K=_1 I I Exception. The building or part of the building qualifies for an exception. The applicable code exception is Section 1316.1.2.1,2, Exception: Portions of the building that qualify: 4. Exterior Building Lighting - Genc:di Definition P No Exterior Building Lighting. Skip the rest of this form. O r;{TERIOR BUILDING Complies. Complete items 5 and 6 below. t IGHTING illlighting minatethednd io 5. Exterior Building Lighting Controls (Section 1316.1.2.2) illuminate the exterior of the building and Complies, The building plans require that all exterior building lighting is equipped adjacent walkways and loading areas wrlh with automatic controls described in Sec. 1316.1.2.2. These controls are detailed or without canopies in the building plans c n drawing number. �- Exception. The exterior building lighting is intended for 24-hour continuous use. 6. Exterior Building Lighting Power (Section 1316.2.2) 1 1 Complies. The plans do not call for incandescent lamps greater than 10 Watts for use in exterior building lighting. f I Exception. The building plans indicate luminaires with incandescent lamps greater than 10 Watts, but they are 5 percent or less of the total installed exterior lamps Total number of exterior lights. _71 Total number of exterior incandescent lights: Form 5e Lighting ODOE 2000b(2) 0310V2nOl Worksheet 5a Project Name: hic 'frust - BLDG, E Tenant Improvement for ME: Page LIGHTING SCHEDULE Kilda 8bis the -�-- identification (a) -(b) (c) �- -- (e) number or letter ID Type I-amp/Ballast Description Power(W) user]in your plans — _ or specification Al Compact Fluorescent Triple _ V 1 CFM42W/Gx24q-3 1-ELECT 46 Enter the number A2 Incandescent `I V 5o Watts 500 — ' — __ ♦ and type of lamps in the luminaire. F6- � 411 Rapid Start T8 ♦ 2-F32T8 1-ELECT 62 — See Table 5b for F7 Compact Fluorescent Quad 9-16 Watt ♦ 2-CFQ13W/G24q-1 2-ELECT typical lamp codes - - _ 31 F21 4ft Rapid Stan T8 V 3-F327`8 I-ELECT 03 Enter the number and type of F22+_4ft Rapid Start T8 V 2-F32T8 1-ELECT 62 ballasts in tieH h luminaire.For F$ b Output TS 1-F55T5/HO 1-ELECT V 58 fluorescent and F10 Compact Flurxescent Quad-9.16 Watt V 2-CFQ13W/G24q-1 2-ELECT high intensity 31 discharge lamps. F11 4h Rapid Start T8 ♦ 2.1`3278 1-ELECT typical 62 abbreviations are F19 High Output T5 -- I-F55T5/HO I-ELECT _ ' JJJ _ 58 MAG STD for A26 Incandescent ♦ 5o Watts __ 50 Magnetic Standard F35 —Fluorescent Twin(40 50W) 4-Fr40W/2611 2-ELECT V 142 MAG EE for F42 0-Tube T8 2-F831T8 I-ELECT 15 61 Energy Efficient _ Magnetic F8O High Output TS V 2•F24T5/HO I-ELECT - v 52 ELECT for 1`79 Fhwrescent Twin(40SOW) V 2 FTSOW/2GI I 1-ELECT _ 106 Electronic w • Wattage See Table 5b for V Wattage other ballast _ - 9 abbreviations Wattage . Wattage . Wattage w Wattage Wattage w Wattage w Wattage --- w Wattage_ -- w Wattage ----- - — -- 'w 1WattaRe User Defined Fixtures-Cut Sheets must be included to verify_wattage of complete__lu_minaire _ Fixture and Lamp Description Power Worksheet 5a Lighting ODOE 2000b(2) 03,0112001 Form 5b Project Name: Pac Tn.tst - BLDG E Tenant Improvement for PGH _ Page. INTERIOR LIGHTING POWER - occupancy Method - Lighting; (a) (b)_v _ ( c)` (d) Budget Max Power Lighting Group Occupancy Use Ceiling Fluor Area Height (s�ft) Density Power Budget RoMil or i— "— MW/sq f1 �W Morchandiso M Retail lighting,department stores,drug ((.rrngr M only) _ stores, markets, etc. Any varies under 15ft n/a A Use tor e Occupancy/Y/ 15ft or more – n/a See page 5-11 for under 15ft 18,948 1 2 22,738 instructions n ♦ orocr, ♦ _ 15ft or more 3,078 1 5 4,617 under 15ft n/a E15ft or more n/a _ I ♦ ♦ under 15ft n/a 15ft or more n/a under 15ft n/a 15ft or more n/a _ i under 15ft n/a + 15ft or more -- n/a _ r under 15ft n/a R _ ♦ - _ 15ft or more n/a Total Interior Lighting Power Budget(Watts) for building. 27,355 '['rack 2__ Total length of track lighting (ft) 24 4'j§J4Wng 3. _ Line 2 multiplied by 37.5 Watts/ft 900 V' ;ng 4. Total amperage of circuit breaker(s) serving track lighting (amps) 20 5. Voltage of circuit breaker serving track lighting (volts) 120 6. Wattage of circuit breaker serving track lighting (line 4 x line 5) 2,400 7. Track Lighting Power(lesser value of line 3 or line 6) 900 Building's 8. Track Lighting Power (line 7) 900 Lighting g Total Interior Lighting Power frorn Worksheet 5b � Power + 27,277 — 10. Total Control Credit from Worksheet 5c 1,920 11 Total Adjusted Lighting Power _ line 8 + line 9- line 10) = 26,257 12. Does design meet budget? Line 11 must be no greater than line 1 YES Form 5b Lighting ODOE 2000b(2) n.trntr?n01 Worksheet 5b Project Name: Pac Trust- BLDG E Tenant Improvement for PGE Page: INTERIOR LIGHTING POWER _ worksheet No 5b-1 Enter the quantity (a) (b) (c) (d) (e) for every non- Ltgl fling exempt luminaire Room or Quantity of Luminaire Power(d)x Do not consider track lighting on this Sheet No. _ Room or Plans Designation Luminaire ID luminaires' Power(Watts) (e) worksheet Track E Meeting room 118 At • 19 46 874 lighting Is - ---- -- accounted fo on E Meetingroom 118 A2 • - Form 5b 9 50 450 ---- - --. — E Meeting room 118 F6 • 3 62 186 Additional pages -_ �..- may be necessary E _ Meeting room 118 r7 • 5 - 31 155 if building has more E Office area's 103- 111, 120- 139 F21 • 120 93 11,160 rooms then there -- are lines In this E Meeting room 118 F22 • 3 62 — 186 form - --- --_.---- E Oen ceiling office area F9 • 40 58 2,320 E Open ceiling office area F10 V 10 31 310 _ E Lab Flt • 8 62 496 E Daylight room F19 • 11 58 _ 638 E Lobby A26 • 10 50 500 E Lobby F35 • 1 _ 142 142 E Lobby Feo • - 3 52156 E Display room F47 100 61 _ —6,100_ E Office area's 103- 111 120 139 F79 • 34 106 3,604 r --- • - 0 -- 0 ---- I- - — • ------ 0 - --0--�- _ • 0 0__ • 0 0 • 0 0 -- -- --- • _--- 0 0 -- • - 0 0 - - ----- -- • -- --- 0 0 - - IFYOU DO NOT HAVE ENOUGH SPACE FOR ALL YOUR FIXTURES,USE ADDITIONAL PAGES RIGHT Worksheet 5b 1 Total 27,277 Outer Pages — - - ust the additional Worksheet No Description(optional) Worksheet Totals ,worksheets necessary - 77--� - ---_- 2 io catalog all 5b-1 27, ---- --- -- ---- --2 7 luminaires in building 5b-2 5b-3 5b-4 Total Interior Lighting Power(of all worksets)E:::27772he Worksheet No 5b•1 Worksheet 5b LNhting ODOE 2000b 12) 1' Worksheet 5c Project Name: Pac Trust-BLDG E Teriant Improvement for PGE_ Page: INTERIOR CONTROL CREDITS if applicable Definitions - --------(a)-�--- - -- (b) (c) � (d) (e) LUMEN #of Power MAINTENANCE Luminaires Luminaire Control Code Adjustment Control Credit CONTROL Room or Plans Designation w/Controls Power(Watts) (see below) Factor (b)x(c)x(e) A device capable of Meeting room 118 19 46 SS • 0.10 87.4 maintaining a preset - illumination level by Meeting room 118 _ _ 50 SS • 010 0.0 - automatically adjusting the Meeting room 118 - 62 Ss • 0.10 0.0 - luminaire power Meeting room 118 -- 31 • 0.10 0.0 _ DAYLIGHT SENSING Offire area's 103- 11 1, 120- 1 6 93 55 • 0.10 55.8 CONTROL Meeting room 118 62 CD • 0.30 0.0 A device that automatically adjusts Open ceiling office area 40 58 CD • 0.30 696.0 the power Input to O an ceiling office area 31 iss • ! 0.10 0.0 electric lighting neer ---- --- windows to maintain Lab_ 62 SS • 0.10 0.0 desired workplace -- illumination,taking Daylight room 58 'S5 • 0.10 0.0 advantage of dnylight Should be capable of Lobb_ _ - - _ 50 55 • 0.10 0.0 reducing electric Lobb- 142 55 • 0.10 0.0 power to 50 percent --- -- --or less of maximum Lobby 52 Ss • 0.10 0.0 power Three typical - - ----- - - - --�� types of daylight Display room _ 61 S5 _ • 0.10 0.0 _ sensing controls are Office area's 103- 111, 120_ - 13 34 _ 106 CD •1 _0.30 1,081.2 Single-stepped control 0 0 SS • 0.10 0.0 -Automatically turns a - -- - i --- --- light on or nff when 00 SS • 0.10 0.0 daylight levels exceed - lighting requirements 0 0 55 • 0.10 0.0 - Multi-stepped 0 --------- 0 ss 'W� 0.10 0.0 -- - dimming-Dims light 0 0 SS • 0.10 0,0 in discrete steps For example,dims light by 0 0 SS • 0.10 0.0 25 percent,50 - ------- -�- percent,75 percent 0 0 SS • 0.10 0.0 end off - _ 0 _ 0 S5 _ 0.10 0.0 Continuous dimming 0 0 s5 • 0.10 0.0 Dims light in a -- -- ---- -- -- continuous fashion 0 0 SS • 0.10 0.0 0 0 SS • 0.10 0.0 ------------ - 0 0 55 • 0.10 0.0 0 0 ss • 0.10 0 0 1. Total Control Credits Watts 1,920 Power Automatic Lighting Control Control Code Power Adjustment Factor l Ad justmetlt Single-Step On/Off Dimming SS 0.10 _-- Factors Factors Multiple Stepped Dimming MS 0.20 Daylight Sensing -_ - Continuous Dimming CD 0.30 Lumen Maintenance LM 010 y, Worksheet 5c Lighting ODOE 2000b(2) 03/01,2001 CITY O F T■li G A R D v-- ELECTRICAL PERMIT- — RESTRICTED ENERGY PERMIT ELR2001 00106 DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 04/12/2001 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD BLD.E SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of Low Voltaqe HVAC control. A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO:. AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS:_ 1 _ Owner: Contractor: PACIFIC REALTY ASSOCIATES CHRISTENSOh i- LECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 111 SW COLUMBIA PORTLAND, OR 97224 STE 480 POR rLAND, OR 97201 Phone: Phone: 241-4812 Reg #: LIC 000458 SUP 3289S PLM 2468S _ ELE 26-34C FEES ` __ Required Inspections Type By Date Amount Receipt _ Low Voltage Inspection PRMT CTR 04/12/2001 $75.00 2720010000 Elect'/ Final 5PCT CTR 04/1212001 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 YOU may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by �u';, /� r�jLC �. �; Permittee Signature j ) ,I 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. Ft_EC'N _ _ �� DATE:-- LICENSE ATE: -LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Sent by: CHRISTENSON L �r l;lc 5032058721. 04/11 /01 5:05PM;JetFaY N997;Page 1 /1 Electrical PermitApplicktion ME DaRood"Yeid-, ov • } PPentialt no City Of Tigard Ro)rsvappl.00,: Expire date: Ciryofi'igord Address: 1312.5 SW liall Blvd,Tigard,OR 97223 Datcisaued. By- -- R.Jptbo.: ` Phone: (503) 639-4171 — Fax: (503) 5915-1960 Cate file no: . _.. Payment type: Land use approval: O 1& family dwelling or aeaseiay - 'i'QC 66iiimial/nkusrrial 3 Multi-family )"i'tatiiuii ifnptiivcmrut ' L)New coustnrcdoa U„�, ,O Addiriort/aJtcradon/repl;=Ancnt O OUu-.r- —- _ O Pattlal Job address: t'„ t UPPER 800NES' 'F')'"Y Kiij Bldg.no.:6- Suite no.: SubdivtsroTaz mspltau lodtteeourlt iio, 5 , ,'`�` ,” Lot. Bloch � n- FAL;Fl(, 'RUST .-I c'• — Project name: PGF Descnprion and locution of work on premises: LOW~VOLTAGE HVAC CONT M ESrimatcdtlattofcvmpleUnahnspcctiou. 5 01 QU1 STi01v57CONTACT_ KEN SWFO' Sb73—i U 7 7-1 y , Jobntr. Ao-'0085 Fee Maas Busine-m oame:CHRISTENSON ELECTRIC, INC. 1A�rl lad f (ea) Taal oo.hu Addrr�a:111 SW COLUMBTA,SUITE 480 � -�eOr��PW _ ___ _ dwell!rgaakloclirirsmaaitdr>trwee City` PORTT,A State:p 2�: -5y86 �*kXkK*t�d phortc503 24_14812Fw60. 3241051 F.-M0jI: ._ 4 CCS no. S bus,Hc.no: 26-34 C Farb additio"500 tq.ft.or portion themor —— I irnitrd encttry.rMidential 7 Cit /metiv o.: 5 4 I�rrutesenerEy,nn �r� dctial 2 _ FJch manufanwed home or mudular dwelling Signa ofsuparvis__ cs required) —� Dec fit�-i-}gi` S#"Ir'knNo?fr.Mr _ _ 2 — Senlworfre-itwi111Utioo, ` Sup elan name(prio). BRIAN CHRISTOPHER license nn. 8 7 3S alteration or reloeatlon: ZM wraps or less 2 Name(print): 201 anps in 400 srnps - - 2 --—----- — 401 amps io 600 amps 7 Mtullug nddrr�.'. _— 601 amps in 1000amps 2 Cityff rr 1000 run aur volts ) - i __. Phone: — a71. F Il18jl: ntiriecro y -- - 1 Owner ittsuillation:The irwallauou r, hetog made.on property 1 own Teaaporeryerr*irrnorfe*den- which v;not intnndod for%.elle,lease,rent,or exchange according to '00knitw`n"n-'lu'r'tl""'uretrKsrti,n OR.S 447,455,479,670,'!t)1 :�enhps or less 2 ?U t urtps u>1(10 amQ 2 Owner's ,,I rtawlt: -- _ 1JdIC: 401 in 600 ntn�x 2 arwa,h clreul"-flew,altendon, or taLerttluu Mer panni N+Unr' __— 4 Fs for branrh circa with pumlinar rt Address service or feeder ret,each branch circuit l City: Sti[e' 7JP H Fee forbranch arcuils;withoutpurvjum — — —_ of wrArr nr fonderPec fust branch cuculc Mom )'-ha E mail7Fa�oiddidr,tulbranch dradt: (Ser*Ine of Gxdernot Included)• U Scr.iaz.r� 25 arnpe.�rnrrnctwl U Flra;th-carefaciliry(3Senus over 320 atnps-raunR of I h.7 U Harardnuslocation ign or outina lig_flab - fawlydWcllings O suildusgover 10,000 square reri four or Signal circuit(s)of a limiw4 energv pend, U Cyvem ever 600 ,1[1.1 nrnn4rnl irate residential units tin ane itlVcwrtalteraten,ore:crnsinn• 2 Ll ftuildingn+ -rthrrrstoncs O Seed em 400 amps orevort •pra.n tan _H�gY_ 'MRUL U ckr tpani load o. '?9 mmuL, U Maent:at.uired sasucthrres cat RV PAA FAch additional"pr*•tian over the allowable U fly of the abor J f,g,ns/ItF.hangpinr U Other Sabrnit—arta of plass with any of for above. Invrttl atlon fee The above are not applicable to temporary cora truction service- Notice:TEis permit application er -- - Permit fee.....................$ 75;. Nn all lwirlkWau rerpr aredti rarvk pMas sail jruia3crim fes eras.inforaunun Q Vi.a U Muiercud capires if a pcmtit is not obtained Plan".Vir_w(at _ %) $ Credit cud aambu: _— a� within ISO days after It has been State surcharge(8%) ....$ 6_ --wiliew d CU&Wqdw At owwoas alai end almeptedus,:omplctc TOTAL -.....................3 91 Q❑ _ s TRUST ACCOUNT DEDl1CT****** a Araeuat 640'M14 tMkaK oM OCT. 2000 '-FEES ON BACK OF FORM CITY O T I G A R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2.001-00104 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4;11/01 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD BLD.E SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: JURISDICTION: 'FIG Proiect Description: Access Control A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM. NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: ACCESS X TOTAL# OF SYSTEMS: 1 Owner — Contractor: PACIFIC REALTY ASSOCIATES ENTRANCE CONTROLS INC 15350 SW SEQUOIA PKWY #3004VMI 12606 NE 95TFI STREET PORTLAND, OR 97224 SUITE C-100 VANCOUVER, WA 98134 Phone: Phone: 283-2533 Reg #: LIC 65581 ELE 37-365CL FEES u_W Required Inspections Type_By — Date — Amount Receipty — Ceiling Cover PRMT CTR 4/11/01 $75.00 '2720010000 Wall Cover Elect'I Final 5PCT CTR 4111/01 $6.00 272.0010000 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 he 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 rules adopted by the Oregcn Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. ! V Issued by .,G-7y t, '7 Permittee Signature_,_ OWNER INSTALLATION ONLY rhe instalLition is being made on property I own which is not intended for sale. lease, or rent. OWNER'., SIGNATURE: T� -- — --------_—__-- DATE:__ ____ ___-- CONTRACTOR INSTALLATION ONLY_________. SIGNATURE OF SUPR. `LEC'N LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: Permit no,�h�C.jf-001 G City Of Tigard Projecdappl.no.: — Expiredatc: City(if figatd Address: 13125 SW Hull Blvd,Tigard,OR 97221 pate issued: By: I Receipt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 7UNew2 family dwelling or accessory Commercial/industrial 'J Multifamily U Tenant improvement construction U A(I(lilion/alteration/replacement J Othee U Partial 3011 SUIL INFORMATION Job address; //e�5_ s� �JPP�rL o1GyVE� /ti I)Idg. nu. tiottc no.: Tax map/tax IoUaccuunt no.: _Lot; I Block: Subdivision: Project name: X46 /QsHfBt48l Description and location of work on premises: 4��5 CONTROL,_ Estimated date of completion/insnection, /,5'=0/ CONIRACI 0,11 APPLICATION Job no: Eee nta� Business name: 6WM,%Y e Cotes 1� _ lkscription _ Qtv. (ro) lotal no.insp 4 New n-sitkrtial-single or multi-family Iwr Address: p ts9 _ ntm-r Sd�' 4e–�C dwrllingunit.htrinrMrattaclsedgnrage. City: pvd Slate.� ZIP: Ser.icelnclude-d: Phone: }�Pj;� Faxa'� mail: IIXN)sy ft.oil Ice _ Bach additional SW sq.A.or portion thereof _ CCB no.: CiSS>t'/ l;lcc,bus. tic.no: 3TC —G[.C: I,imitcdenergy,residential 2 CitylmS4ro lic.no.: Limited energy,non-residential 2 _ Fach manufactured home or modular dwelling t ----- -- /-- Sign. tee of supe ing electrician(required) Date Service rind/or feeder ti Services or feeders-installation, Sup vlvo nnmrlpnnnJA-MM f{X1(� /,[Lt- nhrrglhnntr.lncnth•tt: ' 200 amps or less 2 Name(print): 1 amps to amps _ 2 40 600 401 amps to 600 amps 2 Mailing address: – 601 amps to IOW amps 2 City: Slate, 'LIP: over I NN)ampsorvolts — - — -- 2 Phone: Fax: I Entail: Reconnecionl ---- — I Owner installation:The installation is being made on property I own 'Iemporsty services or feeders- which is not intended for sale„lease,rent,or exchange according to hntallation,altetrrt lon,or re locoflon:2(91 angn or less 2 ORS 447,455,479,670,701. 201 amps to 400 amps _ 2 Owner's si mature: Date: nal to 600 mit t� — 2 Brandt circuits-new,alteration, or extension lwr panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: - B. Nee for branch circuits without purchase Stale: ZIP_ — -- of service or feeder fee first branch circuit: 2 Phone: Fax: I' nail — ---__-_ Each additional branch circuit: Mbc.(Service or feeder not Included): O Service over 225 amps-commetciai U 11calth can•iaciliiv Each pump or irrigation circle — ? U Service over 320 amps-rating oft&2 ❑Hnznrdous Inration Each sign or outline lighting 2— - familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 6IX)volts nominal more residential units in one structure niteration,or extension* — 2 U Building over three stnties U Feeders,4W amps or more •1 escn tion ----- U Occupant Iond over 99 persons U Manufactured structures or RV park Each addlilonal Inspection over the allowable In any of the above: U Egress/lightingplan U Other. _._ --- Perinspection Submit_sets of plans with any of the above. I Investigation fee The above are not applicable to temporary construction sertice. I other — � 4ao _ NM all Jurisdictions accept credit ant,please call Jurisdiction fa rm incite infoation. Notice:This permit application Permit fee.....................$ U visa U MasterCard expires if a permit is not obtained Plan review(at — 96) $ Credit card number r within I RO days after it has been State surcharge(8%) ....$ _� -- -- rx re. accepted as complete. TOTAL. .......................$ -- Name of rs- aio—Wr as shown an credit card S -- OCTawier signahae -- _ Amount+ 4404615(60WOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RETIr.JENTIAL ONL Complete Fee Schedule Below: --_� Restricted Energy Fee....................... ............................. $75.00 Number of Inspections r 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 Audio and Stereo Systems Each additional 500 sq If or r� portion thereof $33.40 t u Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular u Garage Door Opener' Dwelling Service or Feeder $90.90 _ •' Services or Feeders F-] Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 _ 2 Vacuum Systems* 201 amps to 400 amps $10685 2 El 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $24060 2 Over 1000 amps or volts _ _ $454.65 2 Reconnect only $66.85 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system..................................................... .. $75.00 Installation,alteration,or relocation 7 (SEE OAR 918-260-260) 200 amps or less $66.85 201 amps to 400 amps _ $100.30 - Check Type of Work Involved. 401 amps to 600 amps $133.75 Over 600 amps to 1000 volts, E] Audio and Stereo Systems see"b•'above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The lee for branch circuits Clock Systems with purchase of service or feeder fee. Each branch circuit $665 F-1 Data Telecommunication Installation b)The fee for branch circuits without purchase of service Ej Fire Alarm Instaiiation or feeder fee. First branch circuit $46.85 n HVAC Each additional branch circuit _ $6,65 _ Miscellaneous Instrumentation (Service or feeder not included) Each pump or Urigation circle $5340 Intercom and Paging Systems Each sign or outline lighting _ $53.40 w _ Signal circuits)or a limited energy EJ Landscape Irrigation Control' panel,alteration or extension $7500 _ Minor Labels(10) _ $125.00 O Medical Fach additional Inspection over the allowable In any of the above Nurse Calls Par inspection _ $62.50 Per hour _ $62.50 In Plant $73.75`__.. Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other - 191%State Surcharge $ Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other Installations See"Plan Review"section on front of application - Fees: -7 Total Balance Due $ Enter total of above fees $-. r S Trust Account#. 8%Stale Sur,:hargt O - _- -"- Total E•+lance Due --- i:ldsts\fnrrns\eic-fees.doc 101090) CITY O� �I��D _ ELECTRICAL PERMIT PERMIT#: ELC2001-00181 DEVELOPMENT SERVICES DATE ISSUED: 04/09/2001 13125 SW Hall Blvd., Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD SUBDIVISION: St NNEO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(4)services/feeders with (15) branch circuits. Job #25053 RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS —_ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp_ PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR. 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _BRANCH CIRCUITS _ _ ADD'L. INSrIECTI_ONS 0 - 200 amr): 4 W/SERVICE OR FEEDER: 15 PER INSPUCTION 201 - 400 amp: -rst W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _PLAN_REVIEW SECTION_ 1000+ amp/volt: >=4 RES UNITS: v > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: _ CLASS AREAISPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC CONST/GROUP 15350 SW SEQUOIA PKWY #300-WMI 1010 SE 11TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: Reg #: I IC 203 SUP 13025 LI F 2b-95C —FEES _ _ — Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 04/09/2001 $420.95 2720010000( I Elect'/ Service 5PCT CTR 04109/2001 $33.68 2720010000( Elecl'I Final Total $454.63 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 Wmit will expire if work is not started within 180 days of issuance,or if work is suspended for mcm than 180 days. ATTENTION Oregon law requires you to'ollow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) ,--;5-1987 J j� PERMITTEE'S SIGNATUREr �,. ,,�► .-} ;, Q;, l_: .._ ISSUED BY_1�.1Ltd.�-�•`-cam- 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: LICENSE 140: ----- — ---- -- -- Call 639-4175 by 7:00pm for air inspection the next business day 61 Electrical PermitAl,pplication PEEP Datereeeivod:4 �. Penwtno.: City of Tigard g Roju:Jappl.no Etpiredate: CtrycjTi+:ard Address. 13125 SW Hall Blvd, 1'j*FMF1W223 — Pttone (503) 639 41 11 nate issued Dy. Receipt no: F:tz ;x03) `.9B•196U fCase file no.. Payntenttypr Land use approvauPR • r; rnnl: 4 18c"l family dwelling or assessor, Commercial/industrial 0 Multi-family U Tenant improvement O New :onsuucrion "' ' Q A=tet3(iorJteplacemrnl U Odner. —_ U Partsal Job address: 1'P�=1 _Horner Fez; f3f tic' - Suite no.: Tax maplra�t lot/ace no: Lot: Block: Subdivision: — -- Project nime- PGEDesctipdon and location of work on premise,: u ld�.n E tenon t Estimma date of completionlinspection. improvements Job no: r,D y 4 _ F4M MW 4usinessname: Oregon Electric Group De *+ tkits ram .o.IML Address: ter* nal �ortaasle-boftPW L daeUin((rsuQ.Inchttlea rrtOs�ficd t�>+� City: - crate p 21P: 97214 - Sr,riahxlarLd: Phone: Fax: , mW; 1000 sq.R,or less 3 A�.9.r3 Q O l- ._. CC n no' Elco bus.lie,no: - Each additional:o0aq,ft or portion thereof - tlnutcncBY,rgidential ,.,2 , Ci cite Lc a. - Untitedenergy,non-residential _ 2 4-.6-0 1 Each manufactured hnmc or modular duelling 5i a'As nin);dcCTmrt uu ) pate Scrviccand/or feeder _ 2 Sup.elect,n une(print); Dori uh r h i (,-rLitrnrr no: ;0 6 4 5 Senior or ferdem-bsrdllatton, 2 2 Q altenllon ear rrincyfiun 200 amps of leas 4 2 Name(print): 201 amps m coo vnpt 7 --- - Mailingaddae5s. -------- - 401unpsto600unps - - - - 2 - 6o1 camps to I WU amps - - -- City: Sate; ZIP' r.r 10W amps or volts - Z Phone: �I ax' E mail. ReeunnectoN _ I Owner installation:The installation is being made on properly I own Teropotaryamtsrsorfenlen• — _ which is not intruded for sale, lease.rear,or exchange according to lastapadon,altttutioa,o►n1u�Hoo i ORS 447,455,479,670,'701 sun amps ar Its; z 201 amps to coo amps - -- 2 Owne1'S Si naNte: Date: _ 401 to 600 amps --- -- 2 '- Branch clrealta-oM,a lenliors Name: or e2,1easloo per pastil: A. Fee for branch ua[,meof Address: P _ service or fwJer fee,each branch cimJt 15 9. 5 2 , City: $ �; B. For for brunch circuits without purchase Phone: Fax. - - - — --- - o f'mice or fonder ftp first branch circuit z � E-mall:�'' Each additional branch circuit: tsc.(Service or fader not included): 0 Servim otIs 2:3 amps c,rmrnrn:ial n Health-our facility Each pump or imgation circle 2 O Service ov n 1211•Tps•ratirtl(of 1&2 (]Ha2asdous location _ch sign or outline lighting — 2 famllydwr Ilings D Ruilding over 10,OW square feet four or Slgnal circuit(;)or a limited energy panel QSystem ovtr600voltsnonunal marcresidentlalunits inoncstnrcaure altcration,oreatenaion" 2 Building over than stories O Prates,aUo amps or marc --- O Occupant load over 99 Desai tion:. P perxotts a Othei.Manufactured avuctures or RV part Each MdklonAl irupnction or-the allowsihle In any of dw abort G F.grrsa/IrglnangPlyt O(hher. - -- perinspection ----�"' Submit_set,orphans with am ortlw above. Investigation t.r The r above are not applicable to tempoharry constradion serrlce. NM all jurls4icdom auept e,rd,t cants•�ku uq ju iadieum fa rr[sn infanaWiora, Notice:This permit application Pertrut fee ............$4 f] 9 S G V1198 0 MlLstereard expires if a permit is not obtained plan Mview(at _ %) $ -- cRe t ■d onmSer wlthim 180 days after it has been State surcharge(8%)....S 33 68 N accepted as complete TOTAL S % ame o easdselder as a w*s on eC t—aA —-— __ s _ _ rder si9nMVrt '— mount -- alar6lJ(dmCOM) c0%T0'd 8T:ST T00z-90-ddd ^I�'d �HlIJ.1 Electrical Permit Fees: Limited Energy Fees: --- - "--- TYPE OF WORK INVOLVED • RESIDENTIAL ONLY COmphate Ftde Schedule Below: Restricted Energy Fee.................. ••............ s.00 _Number of Ins ctlona per permit allowed (FOR ALL SYSTEMS) Service ncluded: Items Cost Total I Ctiea Type of Work Involved- Aesidenliui-3er unix ra Audio and Stereo system 1000 sq.ft.,),less 15 _Fach additkr'd Sr)sq It.or $33,40 __ 1 (� Burglar Alarm pod=0,61 ed Limited Ene py $75.00 f Each Manut'd Horne or w2,dular Garage Dow Opfner* Dwrill;nq Service or rvoder $sao y0 - U Services or Feeder, r j Healing,Ventilation and Air Conditioning System' 11t." r . Installation.alteration,or relocation J Yfi 200 amp-I or less 4 106.30 3 2 .?_0 7 n vacuum systems" 201 Amp,to 400 amp% $106,85_ -_______ 2 Ont am to 600 amps $160.60 2 r�l Other p.; $240,130 2 iL.JI 601 arnp;to 1000 amp- Ss5e 65 �_ 2 - -- — - - Ovgr 10(!0 amps o"volts __- -- -- 2 Recorim i only f_ $66 85 .. = t, Temporal) r'servlaes or Feeders "TYPE OF WORK INVOLVED •COMMERCIAL OMLY Installation,alteration,or reloratiun Fee toe each system............... . $7S.00 200 amp.;ox lass SBti.flS --- z ;FF OAR 91&260•?611) 701 Amp.to 600 amps $100.30 2 401 ama i to 600 amps $133.75 2 Check 1 ype of Work Involved. (Nnr 60( amps to 1000 v0IM. see"tr'above. Audio and Stereo Systems Branch CII cult+ New,ahgrmion or axtension per panel Boiler Controls a)The lee for branch circuhs " with F urchasa of serv)ce w Clock Systems foodrl,•lee. Fach branch ck=il 1 5 S6 65 9 9 . '15 2 O - Data Telecommunication Installation b)The fee fa branch circuits rt w(tho purrhaso of service U ..: t or too lair flee. F11r Aland Installation Fas(b,anch cietvit 5,46$0 _ Fach additional brarkh cticuA S6.65_ _- -- HVAC Y Miscellanc ous (.Service Lir seeder not includrd) IftslrumPnta6on Ead ,pump or-irtlpation circle _ $53.40 Lack sign or outline lighting $53.40_ C] Intercom and Paging Systems Signal clrcu t(s)of a limited energy panel,allerdW,1 or estnnsinn $15 U0 _ l.andscApe Irrigation Control' Minor Labe�s(101 S 125 00 _ Fach addi'iunal inspection over Medical the allowa)le In any of the above 562 50 Per ins^. xr --... Nurse Calls Per hour 592.50 In Plant 573.75 - Q Outdoor Landscape Lighting' Fees: proterlivr.Sigraling Enter total N aeovq fens $ $5 - - - - -- Other 81A State S irchargs S - 33-68 _-- _--_—._.Number of Systems 25%Plan F evlew Fee S Seeq•plait Rewievf swlior oil No licenses are reQuited Llcanxes are reQuireet for all other instatbdons front of applicationFees__ --- " —..... $ 4'54.6.3 _ Total ea.'ance Due Enter total of above fear s--- -- %,I rust Account A 03 --- 8•!.State Surcharge rota►Aaf,4nce Due i.tdsu\fontrdelc•feel.doc 10/09/00 9j:St TOOZ-90-21dH EO/Fo,d CITY OF TIGARD BUILDING INSPECTION DIVISIONy 24.-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST —_ Date Reauested __—AM PM _ BLD Loci.tion &Z 3-& �oj, /C.,2yc S !eSuite MEC —GV f/ Contact Person ---_ — _ Ph � " �G c/ PLM Contractor �`-- Ph _ SWR Tenant/owner _ — _ — — Ei.0 Retaining Wall A ELR Footing Access: Foundation FPS Ftg Drain — - -- — Crawl Drain Inspection Notes SGN Slab — - ----- - SIT T_.____.. - - - --- -- --- ost 8 8earn ----- Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation - Drywall Nailing - . -_ `(�yyl / T - Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling L � �7�/1 L C/C)/L�� 7-6 ------ Roof -- - ---- _ Misc.. 17 SS PART FAIL - PLUMBING -.----- Post& Beam — - -----�__ Under Slab Top Out - — - Water Service Sanitary Sewer - ---- Rain Drains /- Final /�- PASS PART FAILMMI _ p� Post 8 Beam --- c7 1/ 10910641 Rough In Gas Line S q ke Damp rs — SS PART FAIL i RICAL Service — �� Pe"%�2 i Cfit/ U/U Rough In UG/Slab �Ci/h iCy C Low Voltage - Fire Alarm c4-/U C%(>/Z- Final PASS PART FAIL siTE Backfill/Grading -- — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: [ J Unable to inspect-no access ADA /Approach/Sidewalk Date �/ V I Other -_ _ /� / Inspector 'Lj EXt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — ----- — l (t � — •�. -1!'� BUP ----- _Date Requested__ ��r AM— PM -- _— BLD _ — LocationYZ 1_.� 1>d>tc�., lf��/ ite MEC --- ------- Contact Person Ph ^ � � � PLM Contractor _— _ _ Ph SWR BUILDING — Tenant/Owner --- _—�--- ELC Retaining Wall ELR Footing Acr.,ess: Foundation FPS Ftg Drain --- SGN ---------- ---` Crawl Drain Inspection Notes: — - --- ----- -- Slab SIT ---- ------------------ Post& Beam __ .__..------------ --_ Ext Sheath/Shear Int Sheath/Shear Framing InsulationDrywallNailingNailiny Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL ---- PLUMBING Post& Beam - - -------- ----- - - — Under Slab Top Out -_-- -- ------------- Water Service Sanitary Sewer Rain Drains Final _a PASS PART FAIL MEC,HANICA_L Post& Beam ------ ----------- --- _ Rough In Gas Line - ----- Smoke Dampers Final PASS PART FAIL_ ' ELECTRICAL -- Service Rough In Uv/Slab Low voltagF — — LiLQ Alarm PART FAIL SITE Backfill/Grading - _. — ---" -------- --- --- Sanitary Sewer Storm Drain ( j Reinspection fee of$— _—required before next inspection Pay at City Hall, 13125 SW Hall Blvd Latch Basin Fire Supply Line i ] Please call for reinspection RE: __ _ [ [ Unable to inspect no access ADA Approach/Sidewalk �+-�c�� Other Date _ w�a`-t— - Inspector — -- c Ext Final PASS PART FAIL DO NOT REMOVE this inspection. r ec—ord frorr, the job site. CITY OF TIGARD BUILDING INSPECTION DIVISIONG� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 r_ BLIP Date Requested_ �G AM PM BLD Location 2- .s &=3,Ld Suite (MEC Contact Person Ph ::2!272, PLM Contractor Ph SWR BUILDING Tgnant0vvner , �-wI (�- _ ELC _ Retaining Wall /(G CJ - ELR Footing Access: G� - --- Foundation J FPS Ftg Drain SGN Crawl Drain Ir]s a tion Not - —--- Slab ,�- Post&Beam U U -"--- -- Ext Sheath/Shear Int Sheath/Shear Framing -- - -- -- -- Insulation Drywall Nailing Firewall z Or) Fire Sprinkler Fire Alarm Susp'd Ceiling Roof j Misc: - Final , PASS PART FAIL. PLUMBING Post& Bpam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final I FAIL _ -CHANT Post - ----- ----- 1 Rough In Gas Line — Smoke Dampers PART FAIL ELTMIRICAL -- - --- --- --' -- Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL- SITE Backfill/Grading -- -- ---- __ -_----.—.-- Sanitary•Sewer Storm Drain [ j Reinspection fee of$ —i required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RE:______ _ [ j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �t Other -�� Inspector -- - - ! - ----------Ext Final PASS PART FAIL DO NOT REMOVE this inspection record, from the job site. y,3 zv CITY OF TIG.ARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -BLIP Z- ---Date Rei ested _ �_ -__ AM----PM —_ BLU i - I_ocation �i� ��✓ wry' L L-y0 Sw'46P#1 MEC � _—LQo� .mite Contact Person —_��— Ph J `� PLM _ Contractor _ Ph _ _ SWR _ BUILDING — Tenant/Owner El_C — Retaining Wall - - ELR Footing Access: FPS Foundation T Ftg Drain --- - SIGN Crawl Drain Inspection Notes: - Slab _ — --_ _... - SIT Post& Beam T - Ext Sheath/Shear I Int Sheath/Shear Framing -_---- _--_-- Insulation Drywall Nailing Fes _ �+ it Fire Alarm Susp'd Ceiling -----_ _2 Roof rvlis - - - -- ----- - ------ ----- PARTFAIL ------- ------------- --- -- _._---.-_ PL MBING f'osl& Beam _._--------------.-- Under Slab lopOut --- ._---- ---___--__- --- -- --- ---- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam -- -- -_ -- --- - �_--- ----.--- —-------- Rough In Gas Line --- -- - - ---- ----------— --- - .__._.--- -- Smoke Dampers F inal - - - -- - -- --------- --- PASS PART FAIL. ELECTRICAL -- - - - - - - - - _-_ ------------ Service Rough In UG/Slab Low Voltage Fire Alarm _- --------- f -- PASS PART FAIL - _... -- - - -- ------- - ----- - ----- ------- 8ITE Backfill/Grading _._---- -..__.-----------_ ------- --- ---._--._---- Sanitary Sewer Storm Drain [ ] Reinspection fee of$-__- _required before next inspectioi Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] Please call for reinspection RIF [ ]Unable to inspect- no access Fire Supply Line - ----- ---------------____--.__ ADA Approach/Sidewalk Date 15 -zhvInspector ExtOther -- - ---/ 7 -.-- -- --- --_ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �,13P CITY OF TIGARU BUILDING INSPECTION DIVISION MST 2444our Inspection Line: 639-4175 Business Line: 639-4171 ----�- - - BUP __ Date Requested y, Z ,<i —AM_-_- PM . _ BLD --------- Location 5 c.,,-�Ghh=e, ae, �L _ Suite ---- MEC — Contact Person --._ �.-- _-- _--- Ph _GL�—�'� PLM -- ----- Contractor _ __--_— ---- ---- Ph �— — SWR --_ .. ----- BUILDING — Tenant/Owner _—_ ELC _--- Retaining Wall �- — - ELRG� Footing Access: FPS Foundation -- --- Ftg Drain SGN Crawl Drain Inspection Notes. _--- � -- Slab SIT Post& Beam - - -------------- --_-- ---- -------- ---_�---- Ext Sheath/Shear ------------- -- -- Int Sheath/Shear Framing Insul-tion Drywall Nailing ----- -.... -------- - ---- _ ------- - --- - -- Firewall Fire Sprinkler -------- Fire Alarm Susp'd Ceiling _ _ -- -_ ------ - - --- - - Roof Misc: - -- Final ---- - PASS PART FAIL -- - - - - - -- PLUMBING Post&Beam Under Slab T op Out Water Service l Sanitary Sewer Rain Drains Final PASS PAPT FAIL - MECHANICAL Post&Beam -- Rough In Gas Line -- - - - -- - - Smoke Dampers Final PASS PART FAIL Service Rough In //v UG/Slab - - ------- _r�w�ilid� I'irry Alarm _ -- - - ------ - -- -- -- I roll PASS PART FAIT_ �- --- ---- — -- --SITE backfill/Grading - Sanitary Sewer Storm Drain [ J Reinspection fee of$— �_-required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line ADA r� Approach/Sidewalk pate G- Inspector Ext Other ��--�— Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-I1our Inspection Line: 639-4175 Business Line: 639-4171 ---� ------ BLIP —_ Date Requested �'`� AM —_PM _— BLD Location 7_L S��_ �, t �� 2 f�► ^ Suite ---- MEC _ �— ------ Contact Person Ph �f! - /3/ _ PLM Contractor _ Ph SWR BUILDING Tenant/Owner4 - ELC Retaining Wall EL-R _ Footing Access: F oundation FPS Ftg Drain ------ SGN Crawl Drain Inspection Notes: ------ - Slab ---- --_-- ------- - .._..- - — --- -- SIT Pos!& Beam - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm __ --- --- - --- -- Susp'd Ceiling Roof --- --- -- - Misc: — Final PASS PART FAIL - �' `'� PLUMBING Post& Beam -- Under Slab Top Out - - -- — Water Service \ --- -- ------_.- --- Sanitary Sewer — - - Rain Drains ------ PASS PART FAIL. - MECHANICAL _ Post& Beam -- --- -- Rough In Gas Line Smoke Dampers Final PASS PART FAIL — Service Rough In UG/Slab Low Voltage Fire Alarm —_ - ------ - ------_- ------- - F' ASS' PART FAIL Backfill/Grading Sanitary Sewer Storm Drain I ] Reinspection fee of$ _- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:-_--_-_�_ __�. I ] Unable to inspect no access ADA Approach/Sidewalk (� ,,.� Other _ Date —��-_L — Inspector - —_ e` �' _'-- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITYOF T I G A R D CERTIFICATE OF OCCUPANC'i DEVELOPMENT SERVICES PERMIT#: BUP2001-00068 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 03/09/2001 PARCEL.: 2S 113AB-01201 ZONING: I-L JURISDICTION: 'FIG SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD BLD SUBDIVISION: FANNO CREEK ACRE TRACTS BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 190 TENANT NAME: REMARKS: Tenant Improvement Owner: PACIFIC REALTY ASSOCIAIES 15350 SW SEQUOIA PKWY 11300-WMI PORTLAND, OR 97224 Phone: Contractor: REIMERS + JOLIVETTE INC 2344 NW 24"rH AVE PORTLAND, OR 97210 Phone: 228-7691 Reg #: LIC 011614 This Certificate issued 11/1'1/211111 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 Spr.,;ialty Codgs for the group, occupancy, and use under which the referenced permit was iss 1 BIJILDtNG INSPECTOR BUIL 13NG'O IC POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 04119 24-Hour Inspection Line: 639-4175 Business t ine. 1639-4171 Requested .----AM PM `_.__ BLD Location--_,_- I � 2� �r U Suite r MEC _ Contact Person ' `—'.__ - Ph PI -m Contr or Ph SWR Tenant/Owner _ (�— ELC Re a n ng Wall ELR Footing FPS FoundationCe Ftg Drain SGN Crawl Drain Ink ion Notes. ,r „ /� �� ✓ _ SIT Slab --� — -- — Post&Beam Ext Sheath/Shear - - Int Sheath/Shear Framing -- -- -- - --- Insulation Drywall Nailing - - ---- ---� Firewall �' �- (>($�0 ( 6 Fire Sprinkler - Fire Alarm J� �► �„�j Susp'd Ceiling Roof /Jyp-7 UU / z7 MI r� �—' r'! � C ZG'v I — 00/l PARI" FAIL UMBING ZOG Post& Beam Under Slab Top Out l Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL — MECHANICAL e Post& Beam _ Rough In _ Gas Line _ - - Smoke Dampers r_ Final - PASS PART FAIL- _ ELECTRICAL Rough In UG/Slab - - — Low Voltage Fire Alarm Final PASS PART FAIT_ SITE Backfill/Grading - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: _^ ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk ) C /��7 17 0 Other Date �C / _Inspector— _ --- Final PARS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G.A R D TEMPORARY CERTIFICATE OF DEVELOPMENT SERVICES - OCCUPANCY 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT#: BIJP2001-00068 DATE ISSUED: 3fEJ1@•f S 5 -e) PARCEL: 2S 113AB-01201 ZONING: I-L JURISDICTION: TIG SITE ADDRESS: 1F 0 SW UPPER BOONES FERRYRD BI-D.I SUBDIVISION: FANNO CREEK ACRE TRACTS — — BLOCK: LOT: -- ORIGINAL- CLASS OF WORK: ALT TYPE OF USE: COM OCCUPANCY GRP: B OCCUPANCY LOAD: 190 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR DAYS FROM DATE OF ISSUANCE, Tenant Ifnprovement ) 1✓ Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300-WMI PORTLAND, OR 97224 Phone: Contractor: REIMERS + JOLIVET TE INC 2,344 NW 24TH AVE PORTLAND, OR 97210 Phone: 228-7691 Reg #: LIC 011614 It is understood by the owner/tenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grant or convey to the owner or tenant any property right or other protectible property interest in the use and/or cccupancy of the structure for any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of Issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specifi3d,unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use cases)issued by the City's Development Services Department or the County's Department of Land Use and Transportation and/or the Unified Sewerage Agency and all building and related code requirements and any other applicable requireAINSPEN een comp) ly fulfilled and complied with to the City' or Co satisfa ) SPECTOR SUPERVISOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE / CITY I�� O� �I��D _ ELECTRICAL PERMIT PERMIT#: EL_C2002-00472 DEVELOPMENT SERVICES DATE ISSUED: 9/13/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01201 SITE ADDRESS: 16250 SW UPPER BOONES FERRYRD SUBDIVISION: B, NATO CREEK ACRE TRACTS "ZONING: I-L BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 3 KW/iOKW fuel cell. Job No. 72192. _RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: T EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT- LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAI_/PANEL: MANE HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER T_BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION_ 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION__ _ 10004 amp/volt: >=4 RES UNITS: _—� > 600 VOLT NOMINAL: _— Reconnect only,. __ _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC CONST/GROUP 15350 SW SEQUOIA PKWY #300-WMI 1010 SE 11TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: Reg #: LIC 203 SUP 4460S ELE 26-95C FEES v— Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 9/13/02 $53.50 2720020000( Elect'I Final 5PCT CTR 9/13/02 $4.28 2720020000( Total $57.78 --- This Permit Is Issued subject to the regulations oontalned in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 clays. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or 1-800-332-2344. Permit Signature: _ _ _— _ Issued By- OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent OWNER'S SIGNATURE: - — _ _ _-.._.._---___— DATE:___.-__ CONTRACTOR !NSTALL.ATION ONLY SIGNATURE OF SUPR. ELEC'N' -- --- ___--� _- DATE- LICENSE ATELICENSE NO: _-----_.----- - ---- Call 639-4175 by 7:00pm for an inspection the next business day �e Jectricai PL%niiit Application • „,.,�,/ recewcd, �,:, p y Petioli no.�(,C ^ Cr� oaf 1 igdrd — -xTt 1 Address: 13125 SW Hall$�p��Tia Project/appl.no,; F.itpire date: Cftyajnilrom JCr { fV, 7223 _ Phone: (503) 639.4171 Date issued: By:r Receipt no.: Fax; (503) 598.1960 O t I s, !: Case file no.: - I Payment type: Land use appreviij 0 1 &2 farnily dwelling or accessory Q-•Contmercia:rindustrial ❑Ncw cnnstnret,utt 0 Multi-family C1 Tenant improvement ,aAddrtiorValtatation/replacement Q Other, 7 Partial 1 1 Job address: =%U—SX--umper Boon es F no.: Suite no,. T' Lot: Block. Subdivialon, _ax map/tax lodaccount no.: Pro ecu name: 12C.PLi q t i nQ r esenption and location of work on premises: Estimated date nfrornpleriorLrinspecnon. In't811 3 KW 10KW Job no: 2 -4 tin Business name: �`- �� Matt Dbcriprl0n Q oa) 'total no,Ine Address: Newraldential- koretrulli•femilyper dweiiingortlt.includesattached mmg, City Pott 1 an State �R ZIP: 9721 Smitelstoluded; hhone_?3 4 Fax:- 4-10 .mail: 1000 sw R.or less CCB n 4 o.' _ Elce.bus.Ho,no, Each additional 30o s .R.or portion thereof 1110 A ro I n0 Limited energy, residential 2 Limited encrgy_nor,ii iidentral 2 A_1 f)_f17 Each manufacturer home or modular dwelling Si azure of sup: in cctr_dan (re vire -� _~ pate Service and/or fr,,jar -�� 2 Sup. elect name(print) j-]� p Cirrose nor 9enicesorfeeders-installation, / OWNER alteration or relocatlon; Name(print); 200 amps or Icsa 2 PGR 201 amps to 400 amps 2 Mallin address: 4UI am ll 10 600 amps 2 C� �A 601 amps to 1000 amps �' State ZIP; 9-, --- -- 2 O Q Over I Opo amps or volts 2 Phone: Reconnect only _ .�2 -- - '�7� E-mail: I Owner installation: The installation Is being made on property I own Temporaryscrfiresorfeeders- which is not intended for sale,lease,rent,or exchange according to Installatlon,alteration,atrelocation: ORS 447,455,479, 670, 701. 200 amps�r llesit 2 Owner's si ature: 20�amps to 400 amps 2 -- — _ pate 401 to 600 a..rps 2 Branch ircoits-nth,alteration, Name: or extension per panel! Address n, Fee for branch cireults with ptuchase of - - -- - service or feeder fee.each branch circuit Cltyt - $tate ZIP; �` B. Kee for branch circuits wldrout purchase - Phonc. Fax: I E.ma11; or service or feeder rve,ftrstt branch circuit; 1 6. 5fill ul -illAA 2 Each a d(tional branch circuit: Mlsc,f9errice or feeder not included), ❑Service over 225 arips-ccmimerc,al 0 Healthcare facility Fath pump or imgarion circle 2 0 Service over 120 amps-ruing of 122 0 Hazardous location Each sign or ou11(nehting 2 fandy dwellings ❑bulldins over 10,000 square feet four or Signal cimu(t(s)or a limited energy U 5 tem over 600 volts nominalpanel, � more residential carts in one structure alteration.oicxtcnsion• 2 l ❑Suilding over three dories 0 Feeders,400 amps or more - U Occupant 10311 over ilii persons ❑Miutufacturtd structures or Rv park 'Oestri hurt: 3EgressAighting pian UOthce Each additional inspection over the-allowahleinsn}orlheabovr Submit 1015 of plain with any of the above, per int: ection fK The above are not ApPUcoble to temporalnvcstigadpn temporary construction service, Olhcr - Not,111 tuNsdlniens accept credit cords,pic.tsr call junsdiction rot more information Noltee: This Permit fee . ........... .......a -- ❑visa p MasterCard pcnnil application �.50.----_-_--- cxpircc if a pennit is not obtained Plan review(a, %) S _ 50— Credit rani number-_. _ ,-/ / __ within 190 days after It has been Statc surcharge(8°/a} $ fig_ spires arc oaccepted as complete. TOTAL..., e f cp w der es rhuwn an urodu nrd ��•�•••�••.•••.•_,•-•� Co al er is rwtun ArnWnt` 44 4615 t6i00rC0hfi ON ZOO/100 d M-1 -flood 6z:10 ZO-01-d3S \ CITY O F T I G A R D __- PLUMBING PERMIT — \\\ DEVELOPMENT SERVICES PERMIT#: PLM2002-00346 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/30/02 SITE ADDRESS: 117250 SW UPPER BOONES FERRYRD PARCEL: 2S113AB-01201 SUBDIVISION: E341131310 CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE_ DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURESLAUNDRY'rRAYS: SF RAIN DRAINS: SINKS: _ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE- ft WATER CLOSETS: WATER LINE: 80 ft DISHWASHERS: RAIN DRAIN. ft Remarks: Installation of 80'of water line and backflow prevention device. Owner: _---FEES-- ----------- -- — —--- - Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 8/30/02 572.50 27200200000 PORTLAND, nR 97224 5PCT CTR 8/30/02 $5.80 2.72002.00000 Total $78.30 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Water Line Insp ---------------------------------_ RP/Backflow Preventer Reg#: LIC 2510 PLM 2.6-25PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes nncl all other applicable laws, All work will to done in accordance with approved pians. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center -Those rules are set forth in OAR 952_-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: ll „ 1. :1_i_ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 08/29/02 THU 15:09 FAX 5032747686 DeTEMPLE COMPANY INC Z001 Plumbing Permit A lieat' s .�d.re Fr City of Tigard P Y� Sower permit no,: Building permit no.:-- Address: 13125 SW Hall Blvd,Tigard,OR, 9722 Project/appl.no.: Expire date: CiryuJTlgard Phone: (503) 639-4171 1� ltu` Fax: (503) 598.1960 ! ' Date issued; By: eceiptno.: �_ i' ,Ry('e ► ,�� Case rile no.. Payment type. I.and use approval: J I Ar 2 family dwrllmt,�, ace cs :,r� ur.,nercial/inilusulal 7 Multi-family D Tenant improvernent 0 New xmstrvcttor .+dditi�n/alteratiun/repiatement LJFaod service J Offier: i' Job address:WVV_CIO %A-) j Devcrlption COI.. Fee(".) Total New 1-and 7•fatuily dwellings eptly: Bldg_no.: Sui no.: r-- - (itteludrAl00f'•fnrrarhrrtilityernncetfonl Tax map/tax lot/account no.: — 917h (1)haul Lot; 18lock. Subdivision: — S (2)bath A_ Project flame: L SFR(3)bath 2IP; Z'j�t ach additional bath/kitchen City/county. _ _ - Description and ca on of work on premi s: Sltcr>+ilitles: Catch basin/ama drain �) — �•— - — Drywe cae ine/trenc�i rain Est.date of con►pletian/tnsprt lion. ooung rain(no.lin.ft.) PLUMBING s Manufacturediome Utilities _ Business name:� � _ anholes --- Address: I G drain ain connector Cit : State: ZIP. anit sewer(no. lin. ft.) — _--_..- Phone: (�� Fax: E-mail• Storm sewer(na,lin.ft.) _ Plumb.h re no Water service(no. in,ftJ CCB no.: _ _ — —_— Fixture or Item: C1 /metro lic.no.. Lq,� Absorption valve Contractor's reresentative�sl aturti: '� ack flow preventer _ _ • Print name: DMe: -�3ac c�water v vat a --- __ asins/lavatory Uothes washer _ Name: _— ----..-- I)ishwas Address: _ .- rinlung fountain(a) Ci State: ZH': jectors/surn _ Phone:'— Fes• li pout: xpansion JAIMEixtureJsewer cap _ nor rains/floor sit ub Name(print): —-- Cama e- r7 oeaT�- Mailing address: Hose bibb _ City: --- - —_ State: ZIP: __ Ice maker __ -- -- Phone: Fax: E•trtail: ittercc for/gra se. Owner installatiiinhCsidential maintenance only: The actual installation rr,er(s) _ Mtill he made by me or the maintenance and repair made by my regular Roof�n commerci ) _ employee on the pmpetty I own as per ORS Chapter 447, in (s), .asin(s), ays(s) owner's xi nature: Date: gwnp . -- ubs/s ower/showet pan Ulinal� Name: -_-— Water clrset Address: _ ater heater �. r State: ZIP: Other: �W_Yl I City: -- -- —�- — - Fax: _ E•maiL Phone: Tota� _. e can urlydletion for more inrormaia. Minimum fee...A..S d..$ __2.a" S _ tear VI Jwieclicno,.rapt oat:euMr,ple>u i Notice:This permit application Plan review(at 96) S "in 0 Mu expires if a permit is not obtained t State surcharge(89 )....a tmait „um h ` p TOTAL $ C accepted as complete. IN carrlhnl&r a ehowo on ate it card _T- Car,rhpldrr Iip►eturti -- -- Amoulm I .�f,�/� 4"16(fYQ1IC:OM1 C00 fL089 ON /1Z] is NO CO-390A IUIO' I G � i CO c tv I - - - - 0. rn cc COD- 1 • 1 I , 1 1 I ( I 1 1 --'t-- I l I 1 1 y I I 1 I J I 1 1 �,Ilu� ISI .l��d{1u.1 3Li{i3.L��11 fIs�9LFL7.l;n� XF.i 170 8Z 90 CITY OF TPGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 iNSPECTION DIVISION Business Line: (503)639-4171 MST - - BUP -_ Received Date Requested AM PM_ BUP Location _ L _6.zz'v t'- uite MEC Contact Person Ph )_.S`q 7 PLM Contractor .----------- _ _ PhSWR ) — _ _BUILDING - TenanUOwnet ELC Footing -- Foundation ELC Access: - -- - Ftg Drain ELR Crawl Drain _._ Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/ShearShear --- - Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof — Other: Final — PASS PART FAIL - PLUMBING _ _ Post& Beam -- - Under Slab Rough-In — Water Servico Sanitary Sewer ---� Rain Drains Catch Basin/Manhole ---- Storm Drain Shower Pan —� Other: Final -- ---.._ -- ----- _PASS PART FAIL MECHANICAL Post& Beam Rough-In ----- - --- �- Gas Line - ------ -- ---:_.. Smoke Dampers - _ Final -------� --. PASS PART_ FAIL ----- ELECT_RICAL - Servico -- _ -- — - - __ ------_ — ----- Rough-In UG/Slab -- Low Voltage Fire Alarm - -- - - -- ___ -.�---------- --- -- - III-71W 1 S PART FAIL 0 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: -_- �� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dats InspectoF Other: - _ Ext Final DO NOT REMOVE this Inspection record from th job site. PASS PART FAIL ^.ITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hoer Inspection Line: 639-4175 Business Line: 639.4171 - BUP _Date Requested (-/' Z q --AM. PM BID Location ,2�8 _ sw �-� _lam" Suite MEC Contact Person ( 'S-LnPh _ Z� S�Z- Z PLM Contractor _ _ _ Ph — SWR — BUILDING I enant/Owner _ _----r --_� ELC Retaining Wall ELR Footing Access Foundation FPS ---------._-- Ftg Drain SGN Crawl Drain Inspection Notes --- Slab -------- --_-____------- ______.___ SIT Post& Beam --.----- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation _-.---------- -------------------- Drywall Nailing Firewall Fire Sprinkler - - -----.._..------- ---- - -- Fire Alarm Susp'd Ceiling _.. -- -- - - --- -� Roof - - Final PASS PART FAIL -------- — - PLUMBING Post& Beam Under Slab T op Out Water Service Sanitary Sewer Rain Drains �. 1 ✓ _ Final PASS PART FAIL MECHANICAL. Post& Beam -- - — _ Rough in Gas Line J — - Smoke Dampers i Final - - P S PART FAIL --- Service Rough In UG/Slab - ------ -- Low Voltage F.iLejAlarrn - - - - - --------- ---- -- PASS PART FAIL. -_- -------- ---- -- --- — Backfill/Grading - — - --- - -- Sanitary Sewer Storm Drain [ ) Reinspection fee of$, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply tine ( �Plea.e rill for reinspection RF _ ( ] Unable to inspect-no access ---� --- ADA J Approach/Sidewalk Date r w�' Inspector '�I ,�/' Ext Other — _ -- - -- - Final PASS PART FAIL DO NOT REMOVE this Inspectlon record from the job site.