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14865 SW 72ND AVENUE-1 14865 SW 12rd Avenue Y OF TICARQ 24-4our BUILDING Inspection Lina: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP -- Received . __-Date Requested AM— PM BUP Location MEC Contact Person _—_— _ __-- Ph -_-- PLM r Contractor Ph SWR ------- BUILDING Tmant/Owner _ _ _ ELC Footing ELC Foundation Access. ELR Ftg Drain Gti � � -- -- Crawl Drain — - Slab Inspection Notes: SIT Post&Beam -------- Shear Shear Anchors Ext SheathiShear lit Sheath/Shear Framing - insulation Drywall Nailing -- Firewall i P Fire SprinklerFire Alarm Susp'd Ceiling Root Other: Final PASS PART FAIL PLUMBING Post& Beam Under Slab Rough-In Water Service Sanitary Sewor Rain Drains - - �- Catch Basin/Manhole Storm Drain Shower Pan Other: - --- - PART FAIL ._..--._. --- ---_ - _---_ _ ----- --- -- -- ZCkA APost& Beam m Rough-In Gas r ine Smoke Dampers - Final PASS PART FAIL --- ELECTRICAL Service Rough-In _ UG/Slab Low Voltage Fire Alarm Final 1leinspection fee of$___--__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_PART FAIL SITE _ _ R Please call for reinspection RE: Unable to inspect-no stress Fire Supply Line ADA Dot* Approach/Sidewalk Dot* � �-'" Inspector _ri___. __--___ _------- �__ -_._Ext-. Other: Final NOT REMOVE this Inspection record from the Job site. PASS PART FAIL fY OF TIGAR 24-Haar BUILDING Inspectiotr Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP Received —__Date Req"sled -_ _� _� !--_ AM— PM 13UP Location L'o Suite -— MEG Contact Person T -— ---` - Ph --) G —37PLM Contractor Ph ( ) SWR BUILDINGl Tenant/Owner -_ ELC Foohrg Foundation Access: ELC Ftg Drain ELR Crawl Drain _ --- Slab Inspection Notes: — SIT _ Post& Beam _ Shear Anchors _- Ext Sheath/Shear Int Sheatn/Shear - - - — Framing Insulation Drywall Nailing - - Firewall r Fire Sprinkler -- ------.____ Fire Alarm Susp'd Ceiling - - — Roof -Other- Final therFinal - r PASS PART FAIL PLUMBING _ Post& Beam Under Slab zJ Rough-In Water Service -.-.____ Sanitary Sewer Rain Drains _ -- Catch Basin/Manhole Storm Drain ------- _ Shower Pan Other: - - — ------ -- i Final PASSPART FAIL — M_E_C_H_A__NICAL Post&Beam -- -- Rough-In Gas Line Smoke Dempers _ Final PASS PART FAIL -- ELECTRIC_AL Service -- Rough-In UG/Slab _ Low Voltage Fire Alarm in-ell [] ReInspection tee of S required before next Ins PART FAIL 4 pectlon. Pay at City Hell, 13125 SW Hell Blvd. SITE Please t 11 for relnspectlon RE:_ Unable to Inspect-no access Fire Supply Line ADA A ' �-. 1 Approach/Sidewalk Date�_+_14-pp- inspector ��L�•. �t Final DO NOT REMOVE this Inspection record front the Job site. PASS PART FAIL CITY OF TIGAIRD -Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST ReceivedDate Requested AM. PM Location 14 9�0_`5 _� � _Suite— _ MEC _Uy Contact Peron 2141 m Ph(_ --) �I " 324- PLM elf Contractor Ph( ) SWR BUILD! Tenant/Owner - E".0 FQ6tin --------- u n Access ELC I- r ELR t in - --- Inspection Notes: SIT c I's Ex; e S ar Sha -- --- ---- Ins 11 ti '\ Dr Fir wa re Al ` wr►�1 3 '% G4 L az Cu' ----. _ -- - --- - - - Ro t, FAIL --- -- —_ --_ -- ----- - PL Post&Beam Under Slab Rough-In i -- - -- — Water Service - _-.- Sanitary Sewer Rain Drains - --- - --- -____ Catch Basin/Manhole Storm Drain - RhowerPan Other: — Final - T T FAIL -- h► Rough-In --- -.- -_ -- Gas Line Smoke Dampers - --- - -_ -__ Ah = PART FAIL - 61CAL_ Service s -- --� - - - - Rough-In UG/Slab �- Low Voltage Fire Alarm - -- Final f Reinspection fee of$__-__ before next ins required re PASS PART FAIL -] - q pection. Pay at City Hell, 13125 SW Hall Blvd Please call for relnapection RE: _ „ E] Unable to inspect-no access Fire Supply Line ADA 2 Approach/Sidewalk Date Inspoctnr Other: Final DO NOT REMOVE this inspoction record from the job site. PASS PART FAIL CITYOF TIGARD _ BUILDING PERMIT T PERMIT#: BUP2002-00365 DE'4ELOPMENT SERVICES DATE ISSUED: 9/12/02 " 13125 SW HMI Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 23112AC-02100 SITE ADDRESS: 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L 91-OCK: LOT: 047 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: ^ TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: RSMT?: MEZ..Z?: REQD_SETBACKS REQUIRED _ 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: $ 2,800.00 Remarks: T! fire protection Owner: Contractor: PARRISH-CHURCH L.LC AFP SYSTEMS INC 16370 SW RHUS CT. 19435 SVV 129TH TIGARD, OR 97224 TUALATIN, OR 97062 Phone: 5r3-452-9457 Phone: 503-692-9284 Reg#: LIC 67534 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Spr inkler inspection PRMT CTR 8/27/02 !$72.10 27200200000 Sprinkler Final 5PCT CTR 8/27/02 $5.77 27200200000 FIRE CTR 3/27/02 $28.84 27200200000 Total $106.71 This permit is issued subject to the regulations contained in the Tigard Municipal Cade, 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 f�-)rth 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)2.46-6699 or 1-800-332-2344. Permittee Signature: i Issued By: Cali 639-4175 by 7 p.m for an inspection the next business day Building Permit Application - Dati;received: 2 Permitno.i 7 _b� -57-' City of Tigard Address: 13123 SW Hall Blvd,Tigard,OR 97223 Projrct/appl.no._ Expire date: C'ily o/Tigard Date issued: By: Phone: (503) 639-4171 ' ) Receit no.:p Fax: (503) 598-1960 Case file no.: Payment type: Land Use approval: _ 1&2 family:Simple Complex: J I &2 family dwelling or r.ccessory J CommerCial/industrial J:Multi-family O New construction J Demolition J Addition/al teration/replacement U Tenant improvement �1Fire sprinkler/alarm 0 Other: (� 1 ' SITE INFORMATION Job address: 5bj. 1270 Bldg.no.: Suite no.: Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name: _._ Desch tion and location of work on premises/special conditions:_AAAA IQ "—_�tep� " -to mom Qlbei& Name: U (Flitiodplain,septic"piicityj solar,etc.)_ Mailing address: _ T _— I & 2 family dwelling: r City: Statc:p ZIP: ' �� _ Valuation of work........................................ $ Phone: 7G11.1 Fax:44 .W)% E-mail: No.of bedrooms/baths................................. Owner's representative: 1,ti' Total number of floors Phone: c.i I`00 Fax: E-mill: New dwelling area(sq. ft.) .............. ....•....... F APPIAUANir Garage/carport area(sq, ft.) Name: AF`- V10 C►. Covered porch area(sq. ft.) ......................... Mailing address: Deck area(sq.1't.) ........................................ --___--- - -- City: State: ZIP: Other structure area(sq. ft.)......................... --_--_-- �`� Commercial/Indastrfallmultf-famNy• Phone: Fax: E-mail: Valuation(,fwork........................................ $ )Ax) Existing bldg.area(sq.it.) .......................... —�SQL2SL-_ Business name: ew bldg.areas ft.) . Address: y5 7, '5W. 1=:'tLf Number of stories..................•..................... City: , Statco ' ZIP: ' --- Type of construction.................................... Phone: i Fax:LU 11 B1, I E-mail;gfpw_,a ttr,c.CG Occupancy group(s): Existing: 1500c) CCH no.: 6")i3`I New: City/metro lic.no.:",�1; Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: cW provisions of ORS 701 and may be required to be licensed in the Address: ' ' i ) l - jurisdiction where work is being performed. If the applicant is Cir State:G► ZIP:q exempt from licensing,the following reason applies: Contact person: \ ` Plan no.: -- --- - Phone: 7 ; 416 1 Fax: E-mail: -- --� -- Name: Contact person: Fees due upon application ........................... $,_ Address: _ Date received; City: Stare: ZIP: Amount received ......................................... $ - Phone: Fax: E-mail: — Plcasc refer to fee schedule. _ I hereby certify I have read and examined this application and the Not all juriad!ciims accept credit coda,please call lurirdiction rot mune inrnrmation attached checklist.All provisions of laws and ordinances governing this u visa o Mastercard work will be compiled with,whether specified herein or not. Credo cud number: p I� -- l;.plrn Authorized signature: _e u� Date.: Now of cater older as shmvn an c It cr.' s Print name; P -- "-- cw'holJer rlpuurc Amount Notice:This permit application expires if a permit Is not obtained within 190 days after it has been accepted as complete. Wo 4613(6MWOM) Cn1T 7,;1 ,/0' 5".77 F s 91? ty Fire Protection Permit Check List j A. ❑ New ❑ Additio_n ❑ Alteration _❑ Re p air B.) Modification to sprinkler heads only: Describe wort: to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkt,-,r heads: Additional description of work: T peof S :.tem Complete A, B or C as applicable A. Sprinkler Wet W Dry ❑Standpipes Additional Hazard Group Information Density _ 0 Design Area K. Factor Sprinkler Pro ect Valuation:/$ LWI 0;11 B. Type I - Hood Fire Suppression System Hood Project Valuation C. Fire Alarm Submittal shall Battery Calculations Yes ❑ Include: Individual Comm-ent Yes ❑ _ Cut Sheens Fire Alarm Project Valuation: $ Pro ,►!ct Valuation Subtotal A, B 8_C : $ Permit fee based on valuation see chart : $ 8% State Surcharge: $ �v _ FLS Plan Review 40% of Permit: $ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systerns require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. IAd9t9Vorms\FPScheck11st.doc 11/21/01 —� ELECTRICAL PERMIT- CITY O F 1 I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00200 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/19/02 PARCEL: 2S112AC-02100 SITZ ADDRESS: 14865 SW 72ND AVE SUBDIVISION- FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: 047 JURISDICTION: TIG Proiect Descr3atior.: Low voltage for protective signaling. A.RESIDENTIAL _ B.CG".4MERCIAL ALIDIO & STEREO: AU0110 & 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: Contractor: PARRISH-CHL. RCH LLC SONITROL (AKA SOUND SECURITI) 16370 SW RHUS CT. 8220 N. INTERSTATE AVE TIGARD, OR 97224 PORTLAND, OR 97217 Phonq: 503-639-9694 Phene: 503-223-5822 Reg #: LIC 53535 ELE 26-370CLE SUP 2260JLE FEES Required Inspections Type By Date Amount Receipt_ Low Voltage Inspection PRMT CTR 9/19/02 $75.00 272002000 Elect'I F.^?! 5PCT CTR 9/19/02 $6.00 2720020000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Stat-i of OR Specialty Codes and all other applicable laws All work wi,i be done in accordance with approved plans. This permit will expire if work is not started within 180 clays 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 L � �I_ ', r_ 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 SIGNATURE OF SUPR. ELEC'N. 'I) 1 CL „� �i' ,_�__ DATE:____ L!rENSF 0:0: -) C,-U —jLIC_ — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application 1110, I�Daterece�iived:q PermitO 2 p City of Tigard , Project/appl.no.: Eixpiredate: Cin r..;7'iganl Address: 13125 SW hall 111W,Tigard,OR �7�1ffi^ Dale issued: Ry: Receipt no.: Phone: (503) 639-4171 JG` Fax: (503) 598-1960 i;0fOw Case file no.: Payment type: 'i Land use approval: t+ Cv��'. ❑ I &2 family dwelling or accessory XG.mrmercial/industrial U M19u1(i-Family U'fenant improvement U New construction U Addition/alicralion/rclrl;a cnir•�t _j Olhcr: U Partial JOB SITE INFORMATIONi 1(:o address: IR (r } t- a ru- t Bldg.no.. Suite no.: Tax map/tp.x IoVaccount no.: l.ol: BI(x k: Subdivision: Pmject name:(YJL'W ) r Q_ Description and location of work on premises: Ty (�j �QW� ` Estimated date of cont Ilion/inspection: Job no: ��tc 1ln 1 re, Mas —Business name: Sonitrol Security Description �_)r). (ca.) Intal no.Imp Newtesiderdtal Angleormulii-Tamil)per Address: 8220 A1. Interstate Avenue dwelling unit.Inclmlcsaltaclrnlgarage. City: Portland S1atc:OR ZIP: 97217 servireirrclu,b,d: Phone: 223-5822 Fax973-7773 E-mail: 1000 sq.ft.or less 4 CCB no.: 53535 Elec,bus.lic.no: 26-370 CLE Each .ft.or punion thereof Limited energy,residential 2 City/Ile 11C.r .: Limited energy,non•residentisl 2 C{-(k-U Z Each manufactured home a modular dwelling Slgneime of supervising electrician(required) ante - Service and/ar feeder 2 Sup elect name(prim)( � `1 ,, License 11n:1 TIC Services or feeders-Installation, ■llerallon or relocation: 200 amps or less 2 Name(prat]): 201 strips tu 40U amps j 2 - 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: _ Stale: 601 _ - over l(Nx)strips orvolis 2 Phone: �ax: �E mail: Reconnectonl -- — j owner installation:The installation is being made on property I own Temporary services or feeders which is not intended for sale,lease,rent,or exchange according to Imlallallon,allerallon,orrelocation: ORS 447,455,479,670,701. 2(x)amps or less — 2 101 ion sp 10 40<l amps_ 2 Owner's signature, Date: 401 to 601 ams --- — -- — Branch clrcella-new,alteration, or e enslon per panel: Name ——-- — A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ 2 Stale: ZIP: B. Fee for branch circuits without purchase Phone: I ax: E-mail of service or feeder fee,first branch circuit 2 f:nch additional branch circuit: Misc.(ServiceorfeedernotInclude )- U Service over 223 amps-commercial U I lealth tare facility Finch pump or Irri ation circle 2 UService over 320smps-ralingof1&2 Uliaratrdnuslucation "ch sign oroullinelighting _ 2 familydwellings U Building over 10,(xx)square feet four or Signal circuli(s)nr a limited energy panel. USystem over 600volts nominal more residenielunits inonestructure alletation,orestellMon• ' '15 2 U Building over three stories U Feeders,4(N)amps;atroom 'Drscnption U Occupant load liver 99 persons U Manufactured structures or RV park Fic i additional Inspection over the allowable In any of the slave: U litrcssAightingplan U other. -- —, Per ins ctiuu -- --�`-- -L Submit—,_eels of Alam will,any of the above. Invests ationfee The above are not applicable to temporary construction service. other NM all)urisdicnaw arcept cmdH cants,please call Iuristhoinn fix ruse information Notice.:This permit application Permit fee.....................$ U visa u Mutett and expires if a permit is not obtaincJ Plan review(at -___ %) Credit card oumrtter _—_— -_._L L._ within 180 days after it has been State surcharge(8%)....$ 1.4 �� r'pirc' accepted a complete. TOTAL --Fiame�cr ur�rer. i AllsTiownoocr ir'rard ...•••.••............. (moi r slgniirrc -- Amount 44046 15 VA)AM) Electrical Fe-rnit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY B l d h S F Complete Fee Schedule Below -- - ----- — p Restricted Energy Foe...................................................... $75.00 Number of lospections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total _ Cherk 1 ype of Work Involved: Residential-per unit 1000 sq.ft.or loss _ T_ $145 15 �— 4 Audio and Stereo Systems Each additional 500 sq ft or portion thereof _ $33.40 ^, 1 Burglar Alarm Limited Energy $75.00 F.arh Manufd Hume or Moauldr ❑ Dwelling Servicq or Feeder —_ _ $Q0 90 _ 2 Garage Door Opener' Services or Feeders u Heating,Ventilation and Air Conditioning System' Installation,alteration,w relocation 200 amps or less $80.30 201 amps to 400 amps S106.85 2 ❑ Vacuum Systems* 401 amps to 600 ampr _ $160.60 _ 2 t 601 amps to 1000 s nps $240.60 2 u Other Over 1000 amps or volts _ $454.65 2 — —— --` - Reconnect only $66.85_ 2 Temporary Services or Feeders TYPE OF WORK INVOLVEU -COMMERCIAL ONLY I Installation,altyallon,or relocation Fee for each sys!em.......................................................... .175.00 200 ampt,or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 1 401 ar ips to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boller Controls a)the fee fix branch circuits with purchase of service or F-1 Clock Systems feeder fee. Each branch circuit _ $6 f,5 i Data Telecommunication Installation b)11 ie fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46 Bpi ❑ Each additional branch circuit c,65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $5140 ❑ Each sign or outline lighting _ $5340 Intercom and Paying Systems Signal cl,alts(s)io a rextlimited anergy _ �O panel,alteration or extension _( $75.00 Landscape Irrigation Control' Minor Labels(10) $125.0 _ Medical Each additional Inspection over A' ❑ the allowable In any of the above Per inspection _ $62.50 Nurse Cells Per hour $62.50 In Plant ❑/1,, Culdoor Landscape Lighting' Fees: Prolective Signaling Enter total of above lees Other_ 0'4 Stale Surcharge $ �a ----L--Nurnber of Systems 25%Plan Review roe ' No licenses are required Uw.mass are required for all other installations See"Plan Review'section on $ front of application _._..._ c, Fees: 1-01al Sol-ince flue $ �, '�� Enter total of above foes LJ Trust Account N. 8%State Surcharge -- --- Totsr Balance Due $ rbnnsWc-fees doc 10/07/00 CITY OF T I G A R® _ BUILDING PERMIT T PERMIT#: BLIP2002-00338 DEVELOPMENT SERVICES DATE ISSUED: /6/02 13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4171 PARCEL: 2S112AC-02100 SITE ADDRESS: 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L (� BLOCK: LOT: 047 JURISDICTION: TIG I e` REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY G2P: TO-IAL AREA.: 0.00 sf ROOF CONST: FIRE RET? OCCIJ;'A'.,rY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ R_EQD S_ ETBACKS _ REQUIR_ED _ FLOOR LOAD: psf LEFT: ft RGHT:V ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 29,000.00 Remarks Create offices below with a storage mezzanine above Owner: Contractor: PARRiSH-CHURCH LLC OSWEGO DRYWALL INSTALLERS, INC 16370 SW RHUS CT. PO BOX 2302.83 TIGARD, OR 97224 TIc;ARD. OR 97281-0283 Phone: Phone: 639-8694 Reg #: LSC 2141 FEES _REQUIRED ,INSPECTIONS Type BV DateAmount Receipt Mechanical Permit Require _ PLCK CTR 8/6/02 $203.65 27200200000 Y Electrical Permit Required Sprinkler Permit Required FIRE CTR 8/6/02 $125.32 27200200000 Plumbing Permit Required PRMT CTR 9/6/02 $313.30 27200200000 Framing Insp 5PCT CTR 9/6/02 $25.06 27200200000 Shear Wall Insp Gyp Board Insp Total $667,33 Susp Ceiing Insp Final Inspection 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 JAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-61799 or 1-800-332-2344 Pe mr It tee Signature: / L_ 1.�ZLG�. L� �.1�� t4 (W Issued By: Call 63^-417.5 by 7 p.m. for an inspection the next business day Building Permit Application Date received: Permit no City of Tigard �L '�IJL s UCS ('iry n(Ti,gnrd Address: 13125 SW Hail Blvd,Tigard,OR 97223 ProjecUappl.no.: Expi:edate: Phone: (503) 639-4171 Date issued: By: ,1(i Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Ladd use approval: 1&2 family:Simple Complex: \� c ` U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replac.ment ,id Tenant improvement J Fire sprinkler/alarm U 011ier: { SITE INFOItMATION".. Job address: � .L,7 C't' Bldt. no._ _ Suite no.: Lot: I Block: Subdivision: Tax map/tax lot/account no.: ----- ----- ---- Projcctnamc: �iL.J�. 1�v ctl �ttp►.1 InnyvoVc�w%rryF Description and location of work on premises/special conditions: r t Name: f ci► ;is{1 — !. !,C` (An tic capiclty;solar,etc Mailing address: &S 7 1 &2 family dwelling: City: r, n r State:C R ZIP: q7 J 2 Valuation of work........................................ Phone: - �o° Fax: D - E-mail: No.of hedroorns/baths................................. — Owner's renresentative: C',t 1. r r h Total number of floor~ Phone: y,y Fax: ;gcvvvc E-mail: New dwelling area(sq. ft.) .......................... ` Garage/carport area(sq.ft.)......................... Name:�yt�,,�� ►Icv, 1 r.[' . Covered porch area(sq.ft.) Mailing addre4rPC. - ll•.- Deck area(sq.ft.) ........................................ Cit 'T� ..,I State: 7.IP: Other stnlcture tum(sq.ft.)......................... P1iY--T C� r d`t i Commercial/industrial/multi-family: : — _ E-mail: ��,� �� Valuation of work................. ..........y.......... $41,r.•`• Existing bldg.area(sq. ft.) .. ....................... Business name: 4 n ,,I f, I ry I. r!' Address: New bldg.area(sq. fl.) .............. ................. , --- Number of stories City: State: ZIP: ........................................ Phone: —TFnx: E-mail: Type of constru.tion.................................... ------ Occupancy group(s): Existing: CCB no.:_ ,)I y/.-- New: -- City/metro lie.niNotice:All contractors and subcontractors are required to he I licensed with the Oregon Construction Contractors Board unlet Name: C ,/)�,�.� provisions of ORS 701 and may be required to be licensed in the Address: 1 ;f a « — jurisdiction where work is being perforated. If the applicant is rl 1k exempt from licensing,the following reason applies: City: >-, State: Ck IZIP: ) I Contact person: Plan no.: Photic:, Name: l-cmlaLl nelson: Fees due upon application ........................... $ Address: Date received: — City: State: Z1P: Amount received .... .................................... -- Phone_ Fax: E-mail• Please refer to fee schedule. — hereby certify I hove read and examined this application and the Not all Juris ictianr wcept credit card%,pleore call Jurisdiction for more informelion. attached checklist.All provisions of laws and ordinances governing this U vise U Meste Card work will he complied wit whethe spd1fiedherein or,not. Credit cera numt,er apirei Authorized signature: ti — Date: 7 ?^ 1 Name of cardholder aeon creditcord Print nam i• v• S►. ---- Cv der sipluwe —_— s Amount Notice:This permit application expires ire permit is not obtained within 180 days el�!r it has been accented as complete. 4411,4611 MQWOM) tl Vi1V i� ?, .j „ ..; 17 l 5 '. Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building Fire Protection System 3** Mechanical 2 Plumoing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contactor, City of Tigard, Washington County, anti Tualatin Valley Fire & Rescue). 'For over-the-counter commercial tenant improvements, submit 2 sets of plans. ""New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I ldsts\formslCUM-matrix doc 9/24/01 01ED THOM SHAW, ARCHITECT DATE: 07102/02 4242 SW HEWETT BLVD PORTLAND, OR 97221, (503)296-6816 J 41" V Gary Larnpeila Building Official-City of Tigard PROJECT: Oswego V,ywall Offices __j Gary: As per our discussion the other day 1 Mezzanine allowable area (UBC 504 4) -tie attached I I"x 17"site plan dipicts 31ze arid location of the me/ranine wilnri the larger warehouse space Sorry about the confusuicir 2 Wood I beam design for 125 psf Lt. I'm sure Bryon will submit Ine correct drawings this time. 3. Center becring walls. In review )f this issue and the fact that the wood I beams will be on 12" centers, we hove decided to construct 2 x 6 walls with -tuds at 16" o.c. 125 psf _L - 15 psf UL=M psf TL x 12 span -- 1500 p14 of wa 1 1500 plf / 5*): 181 psi The weakest portion of the wall is gram crushing at tap and bottom plates (grain c-ushing perpindicular to load). Allowable grain cushing is 370 psi. jD(?_,j aii.-i W ILk, RV--D LI-3 IL p V_,4,q_0tQ 4o5 4 Slab faili- . We hove confirmed through slob Section removal that the existing Slab i-q 6" in i.. _,ness with AJAL4'. S!nce we don't know the design mix,we will assume the minimum for, concrete at 2500 psi. Assuming worst case with no reinforcement,concern would be that the pnint load of the wall would puncture through the slob (concrete in tension) Ilsoo FIA A LJ_VLVA 6Lff, V To 1,4 DIV iflJOU A 2. *.Z 'i,. it#-110 Lt V 3"A '.4 6 q, "t 4to a P-st Please feel tr,-,e to contact me with any AdClitionSl questions or corcerns TRAPA46 Thomas Show, Archftnct fine"f, CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ BLIP Received ____w�D��a��te,,R-e�quested__.___�� __ AM__ PM BUP Location 1c __.__ Suite — — MEC ----__ Contact Person p --- Ph(---) --4 `� 7 PLM — Contractor _ -__--- Ph(-.-------) -- _-- SWR BUILDING —- - Tenant/Owner ELC"= Z�_ Footing --- ----- Foundation ELC _ Ft Drain Access: Crawl Drain EL `�- 6 U Z Q a� Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sneath/Shear Int Sneath/Shear -^ -- - - Frami,ig — — ---- --- — Insulation - - Drywall Nailing — ------_-- -----_---- - -- _ Firewall Fire Sprinkler Fire Alarm L Susp'd Coiling DU -/ ��, Root -- Other: f /�lLl )i "V� --_ - Final PASS PART FAIL -- -- PLUMBING -- -Post!3< Beam ------- —^- __- - _--------- -- Under Slab Rough-Irl — Water Service S`s _ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other Final PASS PART FAIL ----- --- — -- -- — - — - M_ECHANICAL Post 8 Beam — -- -- ------ .—. -- ------ -- Rough In Gas Line — ----- -�----_---- Smoke Dampers Final — PASS PART FAIL _.- - - -- --- ----- ELECTRICAL Service --- Rough-In U3/Slab ---- --- - -- ---- --- -__ w Vo Fire^A arm - E] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PAR•f FAIL _ Please call!or reinspection Unable to inspect .-no access Fire Supply Line ADA ^ '' . s Approach/Sidewalk a%--�1U 9-O;Z Inspeetor40 __ l Ext Other. `J -- -- Final -- DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour - BUILDING Inspection Line: (503)639,4175 INSPECTION DIVISION Business Line: (503)639-4171 MST U� -2!JG1 -�C�3E,5� Received — Date Requested ��'� G 2-__ AM—___—_ PM PI ?- C�U �� — - Location G`� Suite—___.___--.____ MEC Contact Person _ _--- Ph(�__ _) _ _-- PLM Contractor — — --- Ph(� ) ----------------- SWR --- Tenant/Owner -- - ---- --- -----.--. —_-- ELC — — F-oting ELC Foundation ACC@S_S— --� -- Ftg Drain ELR Crawl Drain ------- Slab Inspection Notes i SIT Post& Beam Shear Anchors —�. -- — -- - ----.---- ----- Ext Sheath/Shear Int Sheath/Shear - - Framing Insulation Drywall Nailing _ - - -- --- - --- --- Firewall Fire Sprinkler — - -- - _— -------- ------ --- --- - Fire Alarm Susp'd Ceiling - - ---- -- -- ------------ - __ Roof Other. ASS ;PART FAIL - -- PLUM GING -- Post&Beam ---- Under SlabRough-In Water Service - — _- ------ - --- - - - --- - Sanitary Sewer Rain Drains --- - - ------� - --- - - - - --- Catch Basin i Manhole Storm Drain ---- Shower Pan Other:_ --- - ---- _ Final ----..--- _PASS PART _FAIL --- - - MECHANICAL _ ..Post&Beam — __ ------ _------- — - ---- Rough-In --- Gas Line Smoke Dampers -- -- -- - -- - --- - --- - ----- Final PASS PART FAIL - - -- - - ELECTRICAL _ Service - Rough-In UG/Slap Low Voltage Fire Alarm Final 0 Reinspection lee of$ -_-_ -_ -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection REi: ..__ _ - -_ __ �� Unable to inspect-no access Fire Supply Line ADA �j/i1 Approach/Sidewalk Date fl - ` (, -- Inspoetor---- -__ - Ext Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL "perspe 40, f ,bet 4 Models Available" Horn/Strobes P1215 P121575 P2415 P241575 P2430 P2475 P24110 " Strobes S1215 5121575 S2415 5241575 52430 52475 S24110 Horns H12/24 Refer to ordering Information for other cnnfiguratlons /Wdy&V Y , Product Overview Meet UL and ADA signaling requirements System Sensor's SpectrAlert wal•mount series includes a complete line of electronic horns, strobes, and horn/strobes. Intended for primary signaling use, SpectrAlert Low current draw products meet UL1971, UL464, and Americans with Disabilities Act requirements. More devices per loop Lowar installed cost Performance. With its extremely efficient reflector design and Xenon flash tube. Universal mounting plate included SpectrAlert offers current draw reductions as high as 40% over previous gener ation designs. By consuming less current, the flexibility to connect more devices Accessory mounting plates available per loop Is possible, for a lower installed cost. Field-selectable horn tones Installation. SpectrAlert products offer installation ease which also lowers the Electromechanical / 3kHz Installed cost. By taking up no room in the back box, SpectrAlert strobes and Temporal 3 / Non-temporal 3 horn/strobes make wiring connections simpler and faster. Each SpectrAlert High / Low d9A output Includes a universal mounting plate for 4"square and single gang back box Available in 15, 15/75, 30, 75, and 110 mounting. Accessory mounting plates are also available for small footprint or surface mount applications. candela Flexibility. SpectrAlert offers the flexibility to meet a broad range of Synchroniz horns and strobes with requirements. The SpectrAlert horns and horn/strobes feature a number of Sync•Circuit'"'"module field-selectable/reversible horn tones. For visible requirements, SpectrAlert Aesthetic design strobes and horn/strobes are available in a wide variety of configurations to address non-sleeping area, sleeping area, and corridor requirements. Offerings include 24 volt models at 15, 15/75, 30, 75, and 110 candela, and 12-volt dfwices it 15 and 15/75 candela. u� I I)Lcq Aesthetics. To meet building owner aesthetic requirements, SpectrAlert RM — Incorporates a stylish, low profile design. And this aesthetlr Is consistent across ItSTED all SpectrAlert wail-mount products. Engineering Spell icatlons t a a• . • • s . . General , Nom/Strobe Combination StlectrAlert horns, strobes and horn/strobes shall be capable Horn/Strobe shall be a System Sensor SpectrAlert Model of mounting to a standard 4" x 4"x 11/2" back hqx or,a listed to UL 1971 and UL 464 and shall be single_gang 2" x 4" x 17/a" back box using the Wilvitrsal. ': approve&f&fir4protective service. Horn/strobe shall mounting plate included with each SpectrAlert proii&t. be wired es'a primary signaling notification appliance Also, SpectrAlert products, when used In conjuction with and comply with the Americans with Disabilities Act the accessory Sync-Circuit Module, shall be powered requirements for visible signaling appliances, flashing at from a non-coded power supply and shall operdt�,ofl:1'2.'. 1Fiz dJer diastrobe's entire operating voltage range. or 24 volts. 12 volt rated devices shall have an o,peraflng:.. Thi Ano*b4lIjht shall consist of a xenon flash tube and voltage range of 10.7- 17 volts. 24-volt rated dewlces ••• associated"4uns/reflector system. The horn shall have two shall have an operating voltage range or 20-30 volts. tone options, two audibility options (at 24 volts) and the SpectrAlert products shall have an operating temperature option to switch between a temporal 3 pattern and a of 32• to 120•F and operate from a regulated DC or full non temporal continuous pattern. Strobes shall be powered wave rectified, unfiltered power supply. independently of the sounder with the removal of factory Installed jumper wires. The horn on horn/strobe models Horn shall operate on a coded or non-coded power supply Horn shall be a System Sensor SpectrAlert Model (the strobe must be powered continuously). capable of operating at 12 and 24 volts. Horn shall be listed to Ul. 464 for fire protective signaling systems. The Synchronization Module horn shall have two tone options, two audibility options Module shall be a System Sensor Sync-Circuit (at 24 volts) and the option to switch between a temporal listed to UL 464 and shall be approved for fire protective 3 pattern and a nontemporal continuous pattern. All horn service. ThP module shall synchronize SpectrAlert strobes models shall operate on a coded power supply. at 1 Hz and horns at temporal 3. Also, the module shall silence the horns on horn/strobe models, while operating Strobe the strobes, over a single pair of wires. The module shall Strobe shall be a System Sensor SpectrAlert Model be capable of mounting to a 411/Is" x 411/10"x 21/8' back listed to UL 1971 and be approved for fire protective box and shall control two Style Y (class B) or one Style Z service, The strobe shall be wired as a primary signaling (class A) circuit. Module shall be capable of multiple zore notification appliance and comply with the Americans with synchronization by daisy chaining multiple modules Disabilities Act requirements for visible signaling appll- together and re-synchronizing each other along the chain. ances, flashing at IHz over the strobe's entire operating The module shall not operate on a coded power supply. voltage range. The strobe light shall consist of a xenon flash tube and associated lens/reflector system. Specifications Walk Test SpectrAlert horn'strnbn and horn only Weight hnrn nnly Weatherproof(horn and horn-strobes) work on"walk tests"with time durations of 7.2 02 operating Tamperatun, 4 seconds or greater Weight, shobrf and horn.strobe 32'F to 1501(0•C to 66T) Input Terminal% 8.802. (outdoor strobe only) 12 to 18 AWG Mounting •40'F to 158'F(40T to 70'Ci ULC Carradlan Models Dirrienslons 4"x 4"x 11/2"or 2"x 4" x 1?/it" -40'C to 66'C Strobe and huin,'%trube with universal plate starlderd boxes -- --- 5"x6We"x2'Vie" r2 Indoor Operating lernpNr rope 12 12 or 4VD(:and FWR unfiltered Strobe and horn'strobe with small 321 to 12.0'F(0'C to 49'C) footprint pinta _ operating voltage rangN' 3a/a"it 56/•"x 2sha" Maxirtxun humidity 12V: 10.5.17V; 24V:20-30V Horn with universal mounting plate 95%as tested per UL464 Operating voltage range* 6"x 56/0"x I$/te" (with Sync•r,ircidt module. MIA) Horn without mounting p'ote 12V. 11 17V, ?4V 20 3nV 216/le' x 56/ta"x 1 Wis" * The"products should he operated within their rated valtag.rnngo,UL doeshowevertest functional integrity to 20%and•10%of manufacturer s Staled ranges U S Patent Numbers 5,593.569 5,914,6135 6,049,446 CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00349 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/6/02 PARCEL: 2S1 12AC-02100 SITE ADDRESS: 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: 1-1- BLOCK: LOT: 047 JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: 2 TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 BOILERS/COMPRESSORS _ HOODS: FUELTYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP. COMML. INCIN: MAX INPUT: 100,000 BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: M 50 + HP: CLO DRYERS: FURN < 100K BTU: 2 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 2 > 10000 cfm: Remarks: Mechanical for TI Owner: _ _ F=EES PARRISH-CHURCH LLC Type By Date Amount Receipt 16370 SW PHUS CT. PRMT CTR 9/6/02 $72.50 2720020000 TIGARD, OR 97224 PLCK CTR 9/6/02 $18.13 272002000C 5PCT CTR 9/6/02 $5.p9 272.0020000 Phone:503-639-9694 Total $96.43 Contractor: ---- ROTH HEATING &COOLING 6990 ANDERSON ROAD CANBY, OR 97013 REQUIRED INSPECTIONS Gas Line Insp Phone:503-266.1249 Mechanical Insp Reg #:LIC 14009 Mechanical Irisp Cooling Unt Insp Cooling lint Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: L►;,� (t. '(� )•� f ,� Permittee Signature: i <<, � lill Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application --- Date received;'^ D i 7rnmii • � 3 City of Tigard �-- �: , „ Project/appl.no.: e: Ciry of Tigard Address: 13125 SW Hall iI i et1d,t31e1'/ •® Phone: (503) 639-4171 Date issued: By: r Receipt no. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: �) ❑ 1 &?family dwelling or accessory �f.ommercial/indUstrial :1 Multi-family ❑Tenant improvement ❑New .onstruction U Addition/alteration/replacement ❑Other: r IULIJU k]10 M1111 ILMILI]OML-imiimliml Job address: /,y 81..E Sev 2 r-41 Ae Indicate equipment quantities in boxes belo%\.Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials,equipment.labor,overhead. Tax map/tax lot/account no.: profit.Value$&i 9 nC' Lot: Rlock: I Subdivision: *See checklist for important application information and Project name: -St.44 c u tV t✓ e v S jurisdiction's fee schedule for residential permit fee. City/county: r j. ,,& I I ZIP: Descri tion and loc ion of work on remises: r �..s Il 5'2)'T _ Fix(ea.) Total Est.date of completion/inspection; WDescription Qh. Res.only Res-.only Tenant improvement or change of use: Air handling dling unit CFM Is existing space heated or conditioned?❑Yes D14No Air conditioning(site plan required) Is existing spare insulated ee J No Alteration of existing HVAC system - Boiler/compressors Business name: ��` }� ;�, State boiler permit no.: ---�— — I' HP Tons BTU/H Address: (p 1 b S �nc�t r e0Firc/smoke dampers/duct smoke detectors City: c"nl State: ZIP: •}p t Heat pump(site plan require ) - Phone: _ l Fax:Z(,&-3y E-mail: nsta rep aceuma— a )urner BITUIF CCB no.: _Including ductwork/vent liner O Yes❑Nn - ti no`e'� — Install/replace/relocate eaters-sus,en e . Ctt!//metm lie.no.- //' wall.or noor mounted Name( lease rint): My v �— Vent for appliance other than furnace Refrigeration: Absorption units 3'fU/H Name: _ /�t r'► Chillers -- Address: Com ress�ots nv ronmental exhaust iid v7 at on, City: —State: ZIP: Appliance vent Phone: 2llla IZy`� Fax: E-mail: Dryer exhaust Hoods,Type I/ 1/res. its en/hazmat hood fire suppression system :Phone. me: C)-L,t v �1^g i I.,c Exhaust fan with single duct(hath fans)lingaddress: ly �,ra g Zed raExhay: '1; ^, State:v d., ZIP: 'ue p p ng an rtr�aul on(up to outlets) 'fypc: LPG NG Oil Fax: Email: a"TrTiLn•roc a mons overnut its -ocesr piping t sc emat"required i Name: �/ Numher of oudets __--- ter listed appliance or equipment: Address: Decorative fireplace City: State: ZII': Insert-type Phone: E-mail o stov pc et stove -- O er: Applicant's signatur . Lt,__ k' I Date: 9 1 _C 2- 0ter:— _ t Name(print): Not all Juvledictiom accept credit cards,please call 4th4diction felt mme mfermatlon Notice: This permit application Permit fee ..................... $ U Vise ❑MahetCaol Minimum fee................ $ Ctedit cud oumta•r _ expires if a permit is not obtained Plan review(at _,• %) $ v Lq,hes within 180 days after it has been State surcharge(89F).... $ Name of cardholdn a.:shoam on credit Lord accepted as complete TOTAL........................ $ Cardholder siRr,anne Amount ..�� __�_. 110-1617 r610000M, CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR200200248 DATE ISSUED. 9/6/0213125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112AC-02;00 SITE ADDRESS; 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: 047 JURISDICTION: TIG TE RANT NAME: OSWEGO DRYWALL USA NO: FIXTURE UNITS: 42 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .6 EDU's increase. Previous fixture count was 32, this permit added 10 fixture values for a new total of 42 fixture values or 2.6 EDUs for an increase of .6 EDU. Owner-_ -- FEES PARRiSH.-CHURCH I.LC Type By Date Amount Receipt 16370 SW RHOS CT. — -- TIGARD, OR 97224 PRM-l' CTR 9/6;02 $11,318.00 27200200000 Total $1,318.00 Phone. 503-639-9694 -- — -- Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules ind regulations of the Unified Sewage Agency The permit expi,es 180 days from the date issued 1-he total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATI ENTION 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 952-001-0090. You may obtaw copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: Permittee Signature: �— Call (303) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name:_Oswego Drywall This SWRA 2002-00248 cite Address: i4865 SW 72nd.Ave. This PLM# 2002-00308 �Fixtutt Value Previous Previous Credits Capped Fixture Fixture New New # value rapped off value added added total total count off#s count # value #:- values Baptiscry/Font 4 0 0_ 0 0 J Bath Tub/Shower 4 0 0 0 _ 0 0 -.1acuzzi/Whiripool 4 0 _ 0 0 0 0 _ Car Wa. _ach Stall 6 0 0 1 0 0 0 Drive through _1 1,6 0 0 0 _ 0 Cuspidor/Water Aspirator 1 0 0 0 0 p Dishwasher-Commercial 4 0 0 _0 0 0 -Domestic 2 0 0 0 0 __ 0 Drinking Fountain 1 0 A v 0 0 0 0 Eye Wash _ 1 _ 0 0 _ 0 0 0 Floor Urain/Sink-2 inch _ 2 0+ 0 _ _0 0 0 _ - 3 inch 5 _ _0 � _ 0 _ �0 0 _ 0 4 inch 6 Oi_ 0 _ 0 0_ 0 _ _ Car Wash Drri 6 _ 0_ 0 0 0 0 Garbage DiSDOSai _ Domestic(to 3/4 HP) 16 0 0 s 0 0 _ 0 _Commercial (to 5 HP) 32 0 _ 0 0 0 0 Industria!(over 5 HP) 48 _ 0 0 0 0 _ 0 _ Ice Machine/Refrigerator Drain 1 _ 0 0 1 1 1 1 Oil Sep(Gas Station) _ _ 6 0 0 _ 0 0 � 0 Rec.Vehicle Dump station_ 16 _ 0 _ 0 0 0 0 _Shower• Gang (per head) 1 0 0 0 0 _ 0 Stall 2 0 _0 _0 0 0 _ Sink_- Bar/Lavatory 2 _ 0 4_ 8 4 8 0 0 Bradley _ 5 0 0 0 0 _0 _v Commercial 3 0 0 _ 1 _ 3 _ 1 3 _ Service 3 _1 0 0 0 _0 0 Swimming Pool Filler 1 _ _ 0 0 _ 0 0 0 Washer-Clothes 6 0 0 _ 0 3 0 Water Extractor _ 6 _ 0 �0 0 0 0 _ Water Cl�-,sct-To_ilcl _ 6 0_ _3 18 4 24 1 _ 6 Urinal � 6 _ 0 1 _ 6 _1 6 t; _ 0 i Previous EDU Count 2 32 32 Capped EDU Credit 0 TOTALS 0 32 8 32 1 11 1 42 1 3 42 Current Fixture Value 42 _ divided by 16= 2..6 Current EDU 1 EDU = $2.300.00 Previous Fixture Value 32 divided by 16= 2.0 Previous EDU Change 10 divide a 1 16 = _ 0.6 over (under) $ 1,380.00 Enter EDU C nge Here 0.6 HISTORY Notes:Previous count 2 EDU pe PLM# _ _ EDU# _ _ SW_R# .Jamie. Sewer tally p,,)r Mike S. PLM# V EDIJ# SWR#__ PLM# EDU# SWR# Name: 7� y�i� _��_ Date: r� /!/ :LJ Signature of person that calculated this tally sheet and date perfromed Is squired W CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00338 13125 SW Hall Blvd.,Tigard, OR 97223 (603)G39-4171 DATE ISSUED: 9/6/02 PARCEL: 2S 112AC-02100 ZONING: I-L JURISDICTION: TIG SITE ADDRESS: 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS BLOCK: LGT:047 CLASS OF WORK: ALT — IYPE OF USE: COVI TYPE OF CONSTR: )N OCCUPANCY GRP: OCCUPANCY LOAD: TENANT NAME: OSWEGO DRYWALL REMARKS: C REATIE' D FPI C. E5 5721 RC,-4E M5Z2. A-Al11VE- Owner: PARRISH-CHURCH LLC lb370 SW RHUS CT. TIGAPD, OR 97224 Phone: 56-639-9694 C 503-29C 5816 Contractor: ------ ;3q-AAQd OSWEGO DRYWALL_ INSTALLERS, INC PO BOX 230283 TIGARD OR 97281-0283 Phone: 503-296-6816 639-8694 Reg M LIC 2141 This Certificate issued 11/8/112 grants occupancy of the above referenced buil ling or portion thereof and confirms that the building has been inspected for complianc Ith the State of Oregon Specialty Codes for the group, occupancy, and use r which �h need permit wa,k ssue. BUILDING IN PFCTOR [3UILD G POST IN CONSPICUOUS PLACE CITYaD F T I G A RD BUILDING PERMIT PERMIT#: BUP2002-00487 DEVELOPMENT SERVICES DATE ISSUED: 12./16/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112AC-02 00 SITE ADDRESS: 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: 047 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CO_NSTRUCTiON CLASS OF WORK: FPS 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: TOTAL AREA: 0 sf ROOF CONST: FIRE FLET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEH. RATED: BSMT?: MEZI-'?: REQD SETBACKS REQUIRED _ FLOOP I CAD: asf 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: $ 990.00 Remarks: Fire alarm Owner: Contractor: PARRISH-CHURCH LLC SONITROL 16370 SW RHUS CT. DBA SOUND SECURITY TIGARD, OR 97224 8220 N INTERSTATE AVE PORTLAND, OR 97217 Phone: 503639-9694 Phone: 503-223-5022 Reg # LIC 53535 REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp IIllill. � Pernnt FCC 11/5/02 $62.50 Final Inspection ll [TAX]8%State I'ax 11/5/02 $5.00 [FLS] FLS P!- R% 11/5/02 $25.00 Total $92.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i^ 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 youto follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0Qk-19_10 1hr'ou h OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by Galli (503)246.66 or 1-800-332-2344. Issue ------- Pe rm It tee _ Signature: Call 639-4175 by 7 p m. for an Inspection the next business day Fire Protection System Building Per>lnit Application Cit Date received:�` -�j-Q Permit no.-Ed 1-r City of Tigard F ProjecUappl.no.: Expire date: City n(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: U 1 &2 family dwelling cr accessory U CommerciaUindustriJ U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: ttINFORMATION Job address: j '" v-+ y Bldg.no.: Suite no.: Lot; I Block: Subdivision: Tax map/tax lot/account no.: Project name: w c --D"w eL 1 —.- Description and locatic- of wori-on premises/special conditions:011NIN (Flood plain,Sept Ic cupack V.solar,e tc.) =ifl 1 &2 family dwelling: State: Z1 P: Valuation of work........................................ $Fax: E-mail: No.of bedrooms/baths................................. -- Owner's representative: Total number of floors................................. Phoneme Fax E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)..................•...... J �. Name: Covered porch area(sq.ft.) ..................... - 1) Mailing address: Deck area(sq.ft.)..............................•......... _ _ - r w I 1City: State: ZIP: Other structure area(s ft.).........................� — CommerclaUindustrial/tnultl-family: � Phone: I'ax: Ii m:ul 990 , Valuation of work.....................................•.. $�!q 90_ 1 Existing bldg.arca(sq.ft) -- 1341sinesw-tame: v n\ 1+u New bldg.arca(sq.ft.) ................................ !� Add_res,,. ? -Jjj—I Y1 k t34-','ti Number of stories........................................ 0 P(1 City: Vn( A I,wK c _ State: p ZIP: Type c r construction Phone: Fax: Occupancy group;s): Existing: CCB no.:' �' MJ,3� 1 � � � n�/ � New: ('idy/metro lir. no.: ` U'� Notice:All contractors and subcontractors arc required to be Y licensed with the Oregon Construction Contractors Board under '�. ast provisions of ORS 701 and may be required to be licensed in the N rya . - - jurisdiction where work is being performed. If the applicant is _ Address: exempt from licensing,the following reason applies: City: ------�--- State: LIP: Y-- �J Contact person: —_ Plan no.: — Pltunc; F, xI F t ,,,,a;,�( I,t, ,„ Fecs due upon application $ Name: __—L --.—_-- ,. (__r_2 Address: _----- Uale received: _ City: State: Z.IP: Amount received ...................................�.,��$ Phone: — Fax: E-mail: Plea9e refer to fee sc c. hereby certify I have�c.A and exam'ned this application and aIle Not all iurhdicaimr accept credit earls,please call Jurisdiction ftx more mfornmuon attached checklist. All provisions of ws and ordinances governing this Uviae U MasterCard work will be complied W' soeciffed herein or notcmdit card number �/ .spires- Authorized signature: ru b v =. DaIE: - Nome of cadMilderr n ownonciijitcard s Print Warne:— :�1L C �`'�� — ----- Cardhoidrr rl9nature —�— — Amouni- Noli-c:This permit application expires if a permit is not obtained within 180 days eller it has been accepted as complete. 4 u14613(6xxvt•oM) Fire Protection Permit Check List - - A. _❑ New _❑ Addition ❑ Alteration ❑ Re air B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:_____ — Additional description of work: T pe of System Com tete A, B or C as applicable)__-^`_. A�Sprinkler Wet Cal , Dry ❑_-_-._-- Stand ipes _ — Additional Hazard Grou __ _ - Information Density Desi n Area K. Factor - - SprinklerPro ect Valuation: $ @.L Type I- Ho_od Fire Suppression system Hood Project Valuation $ _ C. Fire Alarm -- Submittal shall Battery Calculations Yes_ ❑_ include: Individual Component Yes ❑ Cut Sheets _ Fire Alarm Project Valuation: $ __ Protect Valuation Subtotal A B & C : $ Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review_ 40% of Permit: $ --- TOTAL: $ --- Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i.\dsts\fonr;s\FPSchecklisl do(: 11121101 CITY O F �T I G�►►R D ELECTRICAL PERMIT PERMIT#: ELC2002-00402 } DEVELOPMENT SERVICES DATE ISSUED: 8/19/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 63q-4171 PARCEL: 2S112AC-02100 SITE ADDRESS: 14865 SW 72ND AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT : 047 JURISDICTION: TIG Proiect Description: Electrical tenant improvement, (1)200 amp or less service and (20) branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH AOD'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: 1 W/SERVICE OR FEEDER: 20 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect ons SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PARRISH-CHURCH LLC WEBER ELECTRIC INC 16370 SW RHUS CT. PO BOX 231154 TIGARD, OR 91224 TIGARD, OR 97281 Phone: 503-639-9694 Phone: Reg #: L IC 44087 SUP 40285 ELE 34-442c _FEES Required Inspections Type By Date Amount Receipt Eiect'I Service PRMT CTR v 8/19/02 $213.30 2720020000( Rough-in Elect'I Final 5PCT CTR 8/19/02 $17 06 2720020000( Total $230.36 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 I- done in accordance with approved plans. This permit will expire if work is not starter;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 Permit Signature: �( ;� Issued By: _OWNER INSTALLATION ONLY The installation is being made on property I own which is not intr.nded for sale, lease, or rent. 0ANER'S SIGNATURE: _ —_ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE.- OF SUPR. Lt.EC'N k ��s>/� ��1 =-��—___ DATE:___e____ LICENSE NO: .__ ,.)v :� -- -- ----- -------- - - Call 639-4175 by 7:00pm for an Inspection the next business day NLY Electrical Permit Application FOR ' USE ' Receival Electrical ,- ,G^� Permit No.:L L�A-eaex we, Datc/By: W19 ' Planning Approval Sign City of Tigard Test Form Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Datc/B : Case No.: Internet: www.ci.tigard.or.us Contact S Sec Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _1 Supplemental Information. TYPE OF WORK PLAN REVIEW Please check all that apply New construction Demolition El Service over 225 amps- U Health-care facility commercial ❑Hazardous location dditlon/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, _ CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in 1 &2-Family dwelling ommereial/Industrial ❑System over 600 volts nominal one structure ElAccessory Build ng Multi-Family ❑Building over three stories ❑Feeders,400 amps or more ry _ y _ ❑Occupant load over 99 persons ❑Manufactured structures or RV park ❑ Master Builder Other: ❑Egress/lighting plan ❑Other: JOB SiTE INFORMATION and LOCATION Submit sets of plans with any of the above. The above are mol applicahle to temporary construction service. Job site address: 865 Z2,"� AVe. FF.E*SCHEDULE _ Suite#: ' Bldg./Apt.#: — Number of ins ections per pertnit allowed Project Name: Description Qty Fee(ea.) Total Cross street/Dircctions to job site: u New residential-single or mild-family per dwelling unit.Includes attached garage. Service Included: 1000 sq..H.or less 145.15 4 Each additional 500 sq.R.or portion thereof 33.40 1 Subdivision: _ — Lot#: Limited cnergy residential 75.00 2 _ Limited energy,non residential 75.00 2 Tax mav/pareel#: Each manufactured home or modular dwelling DESCRIPTION or WORK serviceon(Vor feeder 90.90 I or feeders-Installation, alteration or relocation: V 200 amps or less / 80.30 2 -- ------------- --- 201 amps to 400 ams 106.85 -i- 401 amps to 600 ams 160.60 2 ROPERTY OWNER �--T [ TENANT 601 ams to 1000 ams 240.60 2 -- Over 1000 amps or volts 454.63 2 Name: eC d�( (�5 __ Reconnect only66.85 2 Address: tea— 7� t Temporary services or feeders-in..t allNlon, UO : alteration,or relocation: City/State/ziy: 200 am or less �— ':85 1 Phone: Fax: 201.+.mps to 400 amps 100.30 _ __2 fr APPLICANT —� CONTACT PERSON Ili ht 600 ams 133.75 aneh circuits-new,alteration,or Nanie: estens'on per panel: Address: A.Fee It r branch circum,with purchase of g _— _ servicer,:r:.Jet fee,each bi anch circuit '20 6.65 ` ('It /State/Zl B.Fee fur branch circuits without purchase of ——�—--�-- -- service or feeder fee,frst branch circuit 46.85 2 Phone: —�j'ax _ _ Each additional branch circuit 6.65 _ 2 E-mail: Misc.(Service or feeder not included): CONTRACTOR Each um or Irrigation circle 53.40 2 Each sign or outline Ii htina 53.40 2 Job No: Signal circuit(s)or a IimitrJ energy panel, ��L�f y � alteration or extension• 75.00 2 Business Name: r •[)cacriplion: -- — Address: t-, _City/State/Zip:T4t,.�l 'l rj 71 :x/5 Each additional Inspection over the allowable in an of the above- _ Per inspection(per hour-min. I hour) Q. Phone: Investigation fee: CCD Lic. #: � q Lie. #: 3 - Other: Electrical Permit nesse'' Supervising electrician "'-* _ Subtotal $ si nature re uired: Plan Review 25%of Permit Fee $ I �_-._._1 _ - _ I L Print Name: Lie.#: D -zState Surcharge(8%of Permit Fee) S 1 — TOTAL PERMIT FEE S 3n Ue Authorized Notice: This permit application expires if apermit Is not o mined wit In Signature: z 180 days aner it ham been accepted as complete. *Fee methodology met by Tri-Point} Handing Industry Service Board. (Please print name) CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00308 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/6/02 SITE ADDRESS: 14865 SW 72ND AVE PARCEL: 2S1'12AC-02100 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK: LOT: 047 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: 2 GREASE TRAPS: LAVATORIES: 8 OTHER FIXTURES: 3 TUB/SHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 7 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Cap 4 lays, add 4 lays, add 1 sink, cap 3 toilets, add 4 toilets, cap 1 urinal, add 1 urinal, 1 shower. Other fixtures: 1 ejector pump, 1 hose bibb, 1 water heater. FEES Owner: Type By Date Amount Receipt PARRISH-CHURCH LLC PRMT CTR 9/6/02 $365 20 27200200000 16370 SW RHUS CT. 5PCT CTR 9/6/02 $29.22 27200200000 TIGARD, OR 97224 PLCK CTR 9/6/02 $91.30 27200200000 Phone 1: 503-639-9694 _ Total $485.72 Contractor: WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 503.639-5296 Underfloor/Underslab Reg #: LIC 2439 Top-out Insp PLM 34-29PB Final Inspection 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) 246-1587 Issued B )/y Permittee SI naN.ire: Call (503) 639-4175 by 7:00 P M. for an inspection needed the ,.,xt business day WESTERN PLUMBING S0aGS49015 09/09/02 11:S0am P. 001 Plumbing Permit Application �r��j / Pate received: Permit no.: .7✓_0 City of Tigard Sewer permit no,: Building permit no.: Cir �- Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ti ark ProJecVappl.nu.: Expire date: Coy ofTigard Phone: (503) 639-4171 Fax: (503) 596-1960 Date issued: By: Receiptno,: Land tlse approval: _.,--_ ,_ Case file no. Payment type- V ` 1 I] 1 & 2 family dwelling m uccss:nyj 4=«mlmcrCial/incluslrial J MUlli-family ><;nant improvement New construction p Addition/alteration/replacement 0 Fund service U Other. 1 1 1 t f Description Qt . Fee(ea.) Total l Job address New I-and 2-famliv dwellinKs ratty: Bldg.no.: Suite no.: _ - (Includes IOO R.(preach tttUily cmrncctinn) Tax map/tax Iot/account no.: __ ) R(I)bath Lot: ---- Block: Subdivision; SPK( bath of Project name; v „�Gt � SFR(3)bath City/county: �' ZfP; - Ench additional bath/kitchen — Description and location of work on premises: 5iteutillties: i Catch basin/area drain -- D wells/leach line/trench druu. - Est..date of completion/inspection` Footin drain(no.lin.ft.) _ �- PLUMBING 1 1 Manufactured home utilities Business name:b/ Man o es Address: =�h/ - _ Rain drain connector City: �it.,j Stated, Z1P: "� Sanitary sewer(no.lin. ft.) Phone: 3S" f Fnx -r?olJ� E-mail: Storm sewer(no.lin.ft.) Plumb.bus.re no; y water service(no.lin. ft.) CCR no.: g' Fixture or item: Citylmetro lic.no.: /y Absorption valve Contractor's representative signnture: - Back-if ow reveriter Print name: TJ l��/.- Dat e: 9 O�Z Backwater valve CONTAIIII:PERSON Basins/lavatory y C othes washer Name:_ f �� . Djshwasher _ Address: ____._ oinking fountains) City: _- _ State: 7.iP:� Ejectors/sump _ -- Phone, I ,: f-mail; lxpnnaion tank fixture sewer cap Floor drains/floor sinks/hub _ _N:{rnc i pnntl � - --.� G_a_rb_ee,.d�is�'osal _ Mailing address: _ Hose bibb _ City; State: ZIP_ Ice maker _ E-mail: ntcrce for grease tra Phone Fax: Owner installution/residential maintenance only: I he actual installation Primers) _ will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. ink asin(s), ays(s) Owner's sl nature: _ _-- Date: -- p - - - -- 'Pubs. owe shower ran _ Urine _ Name: ---_—__. Water c oset __--- Address: _ _ Water henter City _ State: �1P: --- _ - uta ' Y � Phc it: Fnx: - E-mail: J " plan review e..Minimum fee...............%) Not All lutlidinlau Accept rxedil ardA.pkne cell jurlvrtcunn fox ranee Inlnemul^a Notice:This permit application U VISA U Musci nrd / expires if a pennit is not obtained State surcharge f R96) , $ r.redf:caval numbr, --- -- - / —�-- within IRO days after it lim been ... - �iptrAA TOTAL . . .... ..... ... ..g _ �,��a- _ accepted as complete. � iAmc car n oA A own on cre fiat cirri S 4104616 t6I0tu 0M) Plumbing Permit Application _ "Datereceived:b 102 l' ?/ IPermit no.:lCO City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.Tigard,OR 97222 CiryofTigurd phone: (503) 639-4171 ProjecUappl.no.: Expiredate: Fax: (503)598-1960 Date issued: By:ev I Receiptno.: Land use approval: _ Case file no.: Payment type: TVOE OF PEIRMIY U 1 &2 family dwelling or accessory 0 Commercial/industrial U Multi-family 7drenant improvement U New construction U Addition/alteration/repl icement U Food service L Other: 1E LNFORMATIONt r. use check,Ist) Job address: +� ' ,vc_ Description 21 Fee(ea) 'Fo13tl Bldg.no.: Suite no.: _ Ne" 1-and 2-family dnellings only: (Includes lull A.(oreachulilifI conneclion) Tax map/tax lot/account no,: SFR(1)bath Lot: 11311 division: SFR(2)bath — - Project name: 'ib� litt�„,.-� _I v+M tees f SFR(3)bath City/county: ZIP: - Each additional bath/kitchen--- - _ - — - - Description and location of work on premises:_ Slteutillties: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain r 1 ' Footing drain(no.lin.ft.) Manufactured home utilities Business name_ A.7 "�Q:e.� ��, Manholes Address. r&' - 10 L Rain drain connector Cjty �e -�'a_ _5tntc: ZII': Sanitary sewer(no. lin. ft.) Storm sewer(no.lin.ft.) Phone:( Fax: � E-mail: _ CCB no.: Xy X” Plumb.bus. reg. no Water service(no.lin.ft.) City/metro lir„no.: I r X);; I Ixture or item: Absorption valve Contractor's representative signature: Back flow preventer Print name: •.� 't Dal,.?- .dyBackwater valve _ 111 1 Basins/lavatory Name: Clothes washer -- --- - I-Expansion Dishwasher Address: prinking fountain(s) — City: _ — State: ZIP: Ejectors/sump-Y_ Phone: Fes: E-mail: tank ixturc/sewer cap _ Floor drains/floor sinks/hub Nome(prim); Garbage disposal Mailing address: — - - Hose bibb _ City: T State: ZIP: Ice maTcr Phone: Fax: E-mail: Imerc2tor/grease trap Owner installation/residential maintenance only: rhe actual installation Primers) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property 1 own as per ORS Chapter 447. Sin s),has in(sys — Owner's signature: Date: • m Tubs/shower/shower pan Urinal _ Name ` _ _..— Water closet _ Address: _ Water heater City: _ State: ZIP: Other: -- -- Phone: Fax: E-mail: Tota Not all jurisdictionq accept credit card+.pleax call)nd.dkilon fm more InformationMinimum fee................$ Notice: 17ris permit application O Vise U MasterCard expires if a permit is not obtained Plan review(al _— %) $ Credit card number —_ L within IRO days afler it has been State surcharge(11%)....5 �xplrca --- Name oor cvdholder as shown on cmdir cater — — accepted as complete. T 11'AL .......................$ t _ C"ulder siLnaltae _ Amount 41(Y4616((AYV(t t t PLUMBING PERMIT FEES: -"" PRICE TOTAL New 1 and 24amily dwellings only: - FIXTURES individual) - QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and f he first100 ft. QTY (ea) AMOUNT for each utility connection) Lavatory 16.60 One 1 bath _-_ $249.20 I ub or Tub/Shower Comb 16.60 - Two(2)bath $350.00 j 5�ower only 16.60 Three 3 bath $399.00 Water Closet Y 16.60 SUBTOTAL Urinal 16.60 8%STATE SURCHARGE -- -- 16.60 PLAN REVIEW 25%-OF SUBTOTAL i Dishwasher ---;'OTAL Garbage Disposal 16.60 -- - -"- Laundry Tray 16.60 Washing Machire _ 16.60 Floor Drain/Floor Sink 2" 16.60 3F 16.60 PLEASE COMPLETE: 4^ 16.60 - _ Quantit b Work Performed_ Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped permit. MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavalo _"_ Tub or Tub/Shower Hose Bibs 16.60 Combination - Roof Drains16.60 Shower Only Drinking Fountain 1660 Water Closet _ Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbage Disposal - -- Laundry Room Tray Washing Machine _ Floor Drain/Sink: 2" - Fewer-1�al 100' 55.00 3" Sewer-each additional 100' 4640 4" Water Service-1st 100' - 55.00 Water Heater Other Fixtures Aly 40 Watt r Service-each additional 200' I (specify) - Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 - Commercial Bark Flow Prevention-Device 4640 --- ,_ -- v- Residential Backflow Prever iJn Device' 2/.55 Catch Basin - 16.60 -_ __- Inspection of Exlaling Plumbing or 5peci211y 62.50 Re uested Ins ections perlhi COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - Grease Traps 16.60 --- - - - QUANTITY TOTAL - Isometric or riser diegiam is required if Quantity Total Is ,9 -- -_--_ 'SUBTOTAL - -- _ 8%STATE SURCHARGE -- --'-J- - _ "PLAN REVIEW 25e/s OF SUBTOTAL Required only lffi 2 Qty fatal Is,9 TOTAL 5- 'Minimum permit fee is$72 50+B%%tete surcharge,except Residential Backflow Prevention Device which is$an 25 4 9%state surcharge ..All New Commercial Buildings require 2 sets of plans with isometric or flier diagram for plan review. is\dsts\forms\plm-fe+es.doc 12/26/01 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00515 13125 SW Hall Blvd., Tigard, OR 97223 (503)6:,9-4171 DATE ISSUED: 9/29/03 SITE ADDRESS: 14865 SW 72ND AVE PARCEL: 2S112AC-02100 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I--L BLOCK_ LOT: 047 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: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 200 ft DISHWASHERS: RAIN DRAIN, ft Remarks: Install 200'wataer service and (1)commercial backflow preventer. Owner: FEES _ Description Date Amount CHAMBERLAIN-I-IUSSA PROPERTIES -- 18755 SW TETON II'LIINllil 1'er1161 I rr 9/29/03 $147.80 TUALATIN. OR 97062 II AX]8%State Ta. 9/29/03 $11.83 Total $159.63 J Phone : �-- Contractor: MURRYHILL PLUMBING 11675 SW NICOLI PL. TIGARD, OR 97224 REQUIRED INSPECTIONS Phone : 5o3-469-1231 Water Line Insp a RP/Backflow Preventer Reg#: LIC 155238 Final Inspection I'I_M 34-4241113 This permit is issued subject to the regulations container) in the Tigard Municipal Code, State of OR. Specialty Codes and all othei applicable laws. All work will be done in accordance with approved {.dans. Thi:: permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTiON: Oregon law requires you to follow rules adopted by the Oregon Issued By: �� l�i+�f Gl�'�(,� r ��l/�J Permittee Signatu'e: Call (503) 639-4175 by 7:00 P M. for an inspection needed the next business day Building Fixtures FOR OFFICF USE 0,N'I,Y Plumbing Permit Application Received Plumbing B r %,^ e _ Date : E;4/"01 136 Permit No �Oi Z UG73"Gd 5 V CitCit of Tigard �" E i � � PlTnning Approval Sewer y g Gate/B : Permit No. 13125 SW Hall Blvd. ;) ,) Plan Review Other Tigard,Ore-"on 97223 - '� ��I DateB : Permit No.: _ Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Dale,'B : _ Case No.: Internet: www.ci.tigard.or.us OF r Contact Jwis.: Ser Page"t for 24-hour Inspection Request: 503L639405 I Name/Method: I tG Sup lemental Information I_ 'TYPE OF WORK FEE*SCHEDULE(for special information use checklist) New construction _I I Demolition Description (J EEE-1 Twill Addition/alterationire ]a.cement Other: New I-&2-family dwellings C CATEGORY OF CONSTRUCTION Includes 100 ft.for each utility connection J 1 & 2-Family dwellin Commercial/Industrial SFR(2)bath 350.20 00 i ljl 1. —�_ SFR(2)bath — 350.0(1 _ Access�Building — ulti-Family SFR(3)bath 399.00 Master Builder _ ❑ Other: Each additional bath.lkitchcn 45.00 JOB SITE INFORMATION and LOCATION Firesprinkler-sq. ti.: Pae 2 _Job site address: (,�S �,W, 7 Z",AVS Site Utilities SUlte#: — Bldg/Apt.#; latch basin/area drain 16.60 Dr ell/lea:;h line/trench drain 16.60 Nro ect Name: (2,564,,,C& u✓' Footing drain no. linear ft. Pae 2 Cross street/Directions to job site: 13ncManufactured home utilities 110.00 /C/,?9 L O T T Sl de 0 c T 2 "1 Manholes _ 1660 �— Radrain Rehl'vJ i7�/)CD , Sanita sewer(no. linear ft.) Page 2 Subdivision: Lot#: Storm sewer(no. lincar It ) Pae 2 Tax map/parcel #: —^ _1 Water service(no. linear ft.) Pae 2 DESCRIPTION OF WORK Fixture or Item Absorption valve 16.60 <e. ,L Backflow,preventcr Pae 2 _ Backwater valve 16.60 Clothes washer _ 16.60 —-- -- —-- -- Dishwasher _ 16.60 -- Drinking fountain — 16.60 PROPERTY OWNER TENANT E'cctors'sum 16.60 Name: Y Expansion tank16.60 Address: Fixture/sewer cap �. 16.60 r .ate/Zip: --- - --------- '� Floor drain/floor sink./hub -- _ 16.60 — —--- — — -- Garbage disposal 16.60 Phone: Fax: Hose bib 16.60 rl APPLICANT CONTACT_PERSON_ [cc maker 16.60 _ Name:_A1 C QA TInterco tor, tease trap 16.60 Add[esS:_��I &, 0 f j /1L, Medical gas-value: 5 Pae 2 City/State/Zi 0 Primer _ 16.61) % Roof drain(commercial) _ 16.60 Phots:So3- --12 3 I Fax: Sink/basin/lavatory 16.60 E-mail: Tub,'shower/shower pan — 16.60 CONTRACTOR Unnal 16.60 Business Name: P(,o?r1)y�i �,,t l ;Jvc• Water closet 16.60 — - Water heater 16.6(1 Address: 7S 1, k C OSI, {�L , _ Other. City/State/Zip: 1'C o (� 17 2 Z `1 Other: in Plumbing Permit Fees* Phone: t S Fax: ` " - / IF, - ----s— _ Subtotal S N CCB L1C. # 2 _ Plumb. Lie.#: _-3llvJP "-- Minimum Permit Fee$72.50 5 Authorized Residential Dackflow Minimum Fee$36.25 Signature: _ DatePlan Review 2590 of Permit Fee) _- State Surchar a 13%of Permit Feet 5 (Please mint name) 'TO'TAL PERMIT FEE I 5 16cf, Notice: This pc�mit appllcorlon expires if o permit Is not obtained within All new commercial building%require 2 sets of plans with Isometric or 180 do%s after It ho%been screptcd as complete. riser diagram for plan re%le%. *Fee methodology set h% Tri-(ounty Building Industri Ser%ire board. i Dsts'Permit Forms Phnl'rrmuApp.doc 01'03 Plumbing Permit Application - City of Tigard Pagt 2 - SNupplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(es) Total LS'uare Footage: Permit_Fee: Footing drain- I" I(N)' 55(NI 0 to 2.(1(N) $115.00 -- -- Foonn drain-each additional lain' 46.40 2,101 to 3,600 _— $160 00 g 601 to 7.200 _ $22000 - Sewer-I st 100' 55.00 7,201 angeater-_ $30900 - Sewer-each additional 100' 46.40 Water Service-Ist 100' 55.00 Medical Gas Systems' Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm& Rain Diain- 1st 100' 55.00 j SI.IN)to$5,000.00 Minimum tee$72.50 ,torni&Rain[rain-each additional 100' 46.40 t �C0 $50)1.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total including 510,000.00. Connnercial flack Flow Prevention Device / 46.40 /6, $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee 536.25 27.55 _ and including 525,000.00. Rain Drain,single family dwelling 65.25 $25.001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional 5100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72.50 $50,0010eacaonast$50,00000 and$1.20 for Subtotal: 00,00 or fraction thereof. Fixture Work: Are you capping. utosing or replacing exacting Fixtures! If "des". please indicate Rork performed by fixture. Failure to accuratel report fixtures could result in increased sewer fees*. uantit b (Flit re)Work Performed ('onunents regarding fixture�sork: Fixture Type: Replace New Moved Exletlnj Capped -------- -- Ita List Font ---- Hath -Tub/Shower -lacuzzirWhid ool —_ --- --- —' ('ar Wash -Each Stall — - -Drive Thru Cuiidor'Watet Aspirator -- Dishwasher -Commercial - -Domestic Dnnking FountainEye Wash — — -----. Floor Dram/sink .2" — --- .4" Car Wash Drain Garbage •bomesuc *tote: If the fixture work u�.:for this ,,ermit results it an Disposal -Commercial — —_ increase ol'sewer EI)C's,a sewer permit will be issued and -industrial _ fees assessed for the sewer increase must be pair) before the Ice Mach.Refri .[rains plumbing permit can be Issued. Oil Separator (las Station) _ Rec Vehicle Dump Station v _- Shower -Gang -Stall Sink -Bar Lavatory — - -Bradley _ -Commercial -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal Other Fixtures. ODst0ermit Fnrms\P1mPemiitAppPg2 doc 0l 03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _ —_-- INSPECTION DIVISION Business Line: (503) 639-4171 BUP _ Received — Date Paquested --� — AM PM ---- SUP -- Location -- --- 7 ,�a� __Suite_ - -- MEC 'n,, - � c `� � Contact Person Jj_I� 6 Yi 9,1��_ Ph(_� 3 r _-� ,� CP_M Contractor -- --_----------------- Ph (L/?) —(-��^ Z 5 SWR _—_-- BUILDING Tenant/Owner —_. _ _ — _ ELC _— Footing ELC _-_-- Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SfT Post&Beam ------..- Shear Anchors Ext Sheath/Shear - ---- - -- Int Sheath/Shear Framing ------ .._ ---- -- -- - -- - Insulation Drywall Nailing --- ---- ----- --- -- -- -- ---- Firewall Fire Sprinkler --------_----- _-------- ----- - --- ------- _- --- --- - - -- Fire Alarm Susp'd Gerling -------- --- -- - ------------ - - -- Roof Other: _ Final PA§S$--. PART FAIL PLUM_BIN `Post eam / -- Under Slab J -- - —-'--"------- Rough-In Water Service -- Sanitary Sewer _Rain Drains ------- -.- - - �- Catch Basin/Manhole Storm Drain ------ ---------- -- -_______- — Shower Pan ___ -.--_--.- --- - ---- 01b9tr. - -- --- -- S PART FAIL Post & Beam--- - Rough-In - --- — --- ---- - - Gas Line Smoke Dampers - - - -- -- ------ - - - - Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage ---— --- -------- _--- -- - ---- Fire Alarm Final Reinspection fee of$ - required before next inspection. Pay at City Hall, '3125 SW Hall Blvd __PASS PART FAIL_ SITE �� Please rill for reinspection RE. �w --_ Unable to inspect-no access Fire Supply Line ADA 1 I,� Ext Approach/Sidewalk Date -1 -L� i_ Inspector - - Other: Final Do NOT REMOVE this Inspection record from the job site. PASS PART FAIL.