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15862 SW 72ND AVENUE STE 100-1 00 rn Ila cn V I C C 6D 4t a O U 15862 SW 72"" Avenue #100 CITY ®F TIGARD BUILDING PERMIT _ OF PERIVIT#: BUP2001-00326 DEVELOPMENT SERVICES DATE ISSUED: 9/24/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15862 SW 72ND AVE 100 PARCEL: 2S112DD OU200 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I-P BLOCK: LOT: ,JURISDICTION: T!G r REISSUE. FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD 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: B TOTAL AREA: 0.00 of ROOF CONST: FIRE RET? OCCUPANCY LOAD: •41 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 : HNDICP ACC: BEDRMS: BATHS: IMI' SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: TI (SUb divide existing space) Owner: Contractor: PACIFIC NFALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300 WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 (�B g7�2 Phone: TI�1,'�no F74-7TI74 Reg#: LIC 41328 FE!:S REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRM'i CTR 9/11101 $187.30 27209100000 Electrical Permit Requires; Sprinkler Permit Required 5PCT CTR 9/11/01 $14.98 27200100000 Framing Insp PLCK CTR 9/11/01 $121,75 27200100000 Gyp Board Insp FIRE CTR 9/11/01 $74.92 27200100000 Susp Ceiing Insp Final Inspection Total $398.95 This permit is issued subject to the regulations contained in the Tigard RAunlcipal Code, State of OR. Specialty Codes and all other arnlicable law. All work will be 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 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 OU14C by calling (503)246-669e9 or 1-800-332-2344. Permittee Signature:0 4W Issued By: Call 639-4175 by 7 p.m. for an Inspection the next business day Building Permit.Application Date received: Petmitno.: City of Tigard Address: 13125 SW Hall Blvd,Tigard-OR 97223 ProlecUappl.no.: Expiredate: �\ Ciry of Ngard C Phone: (503) 639-4171 Dare issued: - By:r Receipt no.: Fax: (503) 598-1960 Case filcno.: Paymenttype: Land use appt'cval: — 1&2 family:simple Complex: rr Q 1 &2 family dwelIlng or accessory Q Commerciallindus.rial Q Multi-family Q New construction Q Demolition Cl Addition/altrmtion/repracerrient XTenant improvement Q Fire sprinkler/alarm Q Other. 01 SITE INFORMATION Job address: 1 S L I� `�'1" Bldg.no.: - Scute no.: �L✓ r Lot:__ Block Subdivision: Tax mapitax lot/account no.: D`)j tlh b Project name: Description and location of wmic on reraises/ ia!conditions: � / E aINFORMATION, cl game: pacTrust , . Mailing address: 15 3 5 0 SW Sequoia Pkwy. ,-1-300 1&2 family dweUing- City: ort a n state: O R L P. 97224 Valuation of work........................................ $ ( 503 Phone: 624-6300 Fax:624-775Email: — No.of bedrooms/baths......................... Owner's representative:D e n n i s r a n i _ Total number of floors................................. Phone: Same Fru: Uu IF-mail: New dwelling area(sq. ft.) ......................... Ciarage/ra�port area(sq.ft)......................... Name: P a c T r u s t Covered porch area(sq.ft) ......................... Mailing address:15 3 5 0 SW Se u o i a Pkwy. , 113 i10 Deck area(sq. t.) ........................................ City: Portland I state: OR I ern: 97224— Other structLic area(sq. f,.)........................ -- ( 5031 Phonc:6 2 4-6 3 0 0 Fax 6 2 4-7 7 5 E-rn :ailCommerciaULrdnstrial/multi-far_dly: tValuation of work........................................ $ Existing bldg.area(sq. ft.) .......................... R Business name: H. l.. G r e e n 15350 SW Sequoia Pkwy. , 11300 New bldg.area(sq.;�.) ............................... Address Number of atones..... City:Portland State: R zie.- 9 _� ... r_ Type of construction. ( 5 0 3 P'ttonefi 2 4-7 71 1 Fax: �E maiL _ Occupancy gmup(s): Existing CCB no.: 41328 _ _ +� New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractor:Board under Name: J o h n R om i s h provisions of ORS 701 and may be required to be licensed in the Address:15350 SW Sequoia Pkwy. #300 _ jurisdiction where work is bring performed. If the applicant is City: P ti r t l ;t n d State: 0 R ZIP:(-"17224 7 2%4 exempt frnm licensing,the following reason applies: Pkwy. per.on: Plan no.: (503 Phone: 6 7ax:624-775 E-alaiI- 'cane@ D act I usLT-:C 0 M —Y------- � t y Nance: Cuntact person: f=ees due upon application ........................... $ - - Address: Date received: City: —State: IZIP: Amount received ......................................... $ Phone: Fax: .-mail: Please refer to fee schedule. I hereby certify I have rrad and examined this application and the Na ur iunzabctions accept weir cads.orae carr junWic+,an for mat lalam.n� attached checklist. All provisions of laws and ordin:utces governing this ❑Visa ❑Wstet'ard work will be complied wi ,WhAther spe 'fted�eretn or t. aetf r card number —FLvtms Authonzed signature: �` �' 01 N.me„r iwWwida a.hown an cordo card Print name: li; i,--T - -+- -- _CAa arae,siUmum Amaue� Notice:This permit application expires if a permit is not obtained within 180 days after it has been acrrn-4 --- ' 44(t-MQ 46"WOM) V I� .crn Ii•, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested r�AMPM BLb Location _�� Z "2, ::2 )k1-',--Suite r MEC Contact Person 1 Ph L_ �7 3S PLM Contractor _— Ph 7L SZ sSWR BUILDIfdd TenantlOwner ELC / Retaining Wall ELR i ��,C �- Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab s1i. Post&Beam AZ.4e Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywal!Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -------- -- ------- -- ---- --_ - - Roof Mise --- - -- - --- - --- ---- FinalJDb4r-, _/_ PAS", PART FAIL ---- - � �a' ! /r �4---- PLUMBING --- Post&Beam Under Slab Top Out ---- Water Service Sanitary Sewer Rain Drains r0 Final ------- ---- — j� PASS PART FAIL MECHANICAL Post& Bear) -- - ---- - Rough In 1 l Gas Line Smoke Dampers Final - ^.--- -- ------------ - --------�--,�' PASS PART FAIL ELECTRICAL -- ------- - -- - —- — ----- --- Service Rrnrgh In voita Fire Alarm -- - - - -- -- - ----- ---------- --- Ffn S PART FAIL 81 Backfill/Grad.ig - ---- - -- — Sanitary fewer Storm Drain ]Reinspection fee of$ _ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE. -_ ( ]Unable to inspect- no access Fire Supply Line ADA ,/ / Approach/Sidewalk Date Inspector -�- Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPEC►ION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST / BUP Date Requested �L7 " �2 AM ✓ PM __ BLD _ Location_ - A-U--g— Suite MEC Y Contact POrson _ % Ph PLM ll-- — Cont. .or Ph _ SWR BUILDING Tenant/Owner '�' -� ELC Retaining Wall _ ELR Footing Access: Fcundation FPS Ftg Drain �� Crawl Drain Inspection Notes, �„ �'1X12L�� SGN Slab Post& Beam -- Ext Sheath/Shear �'' int Sheath/Shear ^ �• --— Framing Insulation Drywall Nailing Firewall Fire Sprinkler 77-)17` Fire Alarm — Susp'd Ceiling Roof < Misc: _ _ Final PASS PART FAIL r Y PLUMAWNG - Post&Beam Under Slab Top Out Water Service _ 1 �''/n.�t i''✓rr l'S'c�+2 L Sanitary Sewer Rain Drains -- L�`) ,1,14 /-2& -im : (n!Final PASS PART FAIL MECHANICAL — Post& Beam —_�`_l�1L-1 F�✓ �'/G f/� / /'1 C !� Rough,In Gas Ling -- Smoke Dampers Final PASS PART FAIL r ELECTRICAL Servicey A ' Rough M �C� T— —' UG/Slab �s15r�=f 4' Zd 4 ---T —z ow Voltage � Firo Alarmfrn A PART ' '� •'--�' ., ��t 51`� WE Backfill/Grading Sanitary Sewer ,.r Storm Drain ( I Reinspe tion fee of$ _ required before next inspection, Pay at City Hall, 13125 3W Hall Blvd Catch Basin I j Please ca I for reinspection RE: Fire Supply Ina _ ( j Unable to Inspect-no access ADA Approach/S ewalk Other Date 'C'1_11 t Inspector "y "' Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job alto. /� CITY OF TIOAR® ELECTRICAL PERMIT PERMIT#: ELC2001-00469 DEVELOPMENT SERVICES DATE ISSUED: 9/24/01 Z�'I�- A"ILUM 13125 SW Hall Blvd., Ticiard, OR 9722.3 (503) 639-4171 PARCEL: 2S112DD-00200 SITE ADDRESS: 15862 SW 72ND AVE 100 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 200 arnp meter and (10) branch circuits. RESIDENTIAL UNIT -TEMP SRVC/FEEDER:, MISCELLANEGIIS 1000 SF OR LESS: 0 - 200 amp: 1 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 arnn• W/SERVICE OR r EEDE6: 10 PER INSPECTION: 201 - 400 amp. 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: — PLAN REVIEW SECTION_ ____._ 1000+ amolvolt: >=4 RES UNITS: —� > 600 VOLT NOMINAL: Reconnect or.lV: SVC/FDR 225 AMPS: r CLASS AREA/SPEC JCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 55 SE MAIN PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: 233-2006 Reg#: LIC 44569 SUP 2808S ELE 26-451C FEES Required Inspections ---- --- Type By Date Amount Receipt Ceiling Cover Wall Cover PRMT CTR 9/24/01 $146.80 2720010000` Elect')Service 5PCT CTR 9124/01 $11.75 2720010000( Elect'I Final Total $158.55 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 acoordance 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 160 days. ATTENTION: Oregon I w 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 Issued By: / Permit Signature: y1 _ k y-c l �Ltad. �if OWNER INSTALLATION ONLY _ The ir.3tallation is being made on property I own which is not intended iur sale lease, or rent. OWNER'S SIGNATURE: __ _ DATE. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPr. ELEC'N: -X22-cal AO-L DATE: LICENSE NO: ��— Call 639-4175 b;t 7:00pm for an Inspection the next business day Fiectrical Permit Application Date received: `� l& I Pcrmit no-QC-dM)_OD YO City of Tigard pp�� ,p� Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,'l9R'V1'go Dale issued: By: 0 1 Receipt no.: Phone: (501) 639-4171 Fax: (503) 598-1960 S Chi 2 20G Case file no.: Payment type: Land use approval: —6AMMIIN1111bPVWJe -- 1 U I &2 family dwelling or accessory U Commercial/industnal U Multi-lanuly U Tenant improvement U New construction U Addition/alteratiott/replacement U Other: _ — U Partial 1 1 !ob address: 15862 SW 72ND AVEBldg.no.: Suite no. () Tax map/tax lot/account no.: Lot: Block: Subdivision: _ Project name: CORPORATE, 6E RF Description and location of work on premises: E E L711MCAL Estimated date of completion/im:pectioe: FEE SCIVEDULE Job no: 9494 Fee Max Description "y• (ea.) Total no.lnsp Business name: chofner Electric Newresideshtial-single ormolu-family per Address: dwelling unit.Includes sttaclied garage. City: PortlandState: ZIP: Service included; 1000 sq.ft.or less ___ 4 233-2 016 ax: Phone: f' E-mail: Each additional 500 sq.A.or portion thereof CCB no.: 44569 Elec.bus.lic.no: 26-451C Limited energy,residential 2 City/ elm lic.no.: 4e Limited energy,non-residential 2 9-18-01 Each manufactured home or modular dwelling Signature of supervising electrician uired) — Date Service and/or feeder 2 Services orfeeders—Installation, Sup.elect.name(print):Wi 11 iam Baehof ner License no: S alteration or relocation: PROPERTYOWNER 100 amps or less �� 2 Name(print): 201 amps to 400 amps _ 2 40l.mps to 6a)amps — _— 2 Mailing address: 601 snips to 1000 amps 2 City: Slate: ZIP: Overrx)a IOmpsorvoltA 2 Phone: T Fax: E-mail: Reconnectonly I Owner installation:The installation is being made on property I own Temporaryservicesorfeedets- Installation,alteration,or relocation: which isnot intended for sale,lease,rent,or exchange according to eat amps or leas 2 ORS 447,455,479,670,701 201 amps to 401)amps 2 owner's signature: Date: Of In 600 an- s 2 Branch circuits-new,alteration, or extension per panel: Name: �— A Fee for bunch circuits with purcha a of 1U Address: service or feeder fee,each branch circuit _ 2 Cil Stale: 'LIP: 13 Fee for branch circuits without purchase 2 City. �— of service or feeder fee,first branch circuit: phone Far E-mall: Each additional branch circuit M6e.(Serslce or feeder not Included): Foch ump or imgation arcle 2 U Servihxover 225amp nohercial U Nealth•cerefecility — —2 U Service over 120 amps r:umg of 1&2 U Ilazardous Ioc tion Fach sign or outline lighting rang ly dwellings U Building over 10,0x)square feet four,v Signal circuit(s)or a loniled energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension' 2 _ U Building over three stories U Feeders,400 amps or more *Description: — U occupant load over 99 persons U Manufactured structures or RV park 1Ach additional inspection over the allowable In any of the alcove: U F,gresstlighungplan U 01her _ -----..-_ _ _ I'rr inspection Submit_-__sets of plans with any of the above. In,estigalion fee -- 1'he above are not applicable to temporary construction service. Other — - Permit fee..................... Nm all pnidicriore accept credit car Jr,Please call Jurisdiction for came tnfnrrruuon. Notllt' Ibis pCflnil appllCaliOn Plan review(at —_- %) $ mit Uvisa UMasterCard expires it a peris not obtained — credit cod numM _�._. __ .___-.-- .�--- within Igo days alter it has been State Surcharge .... ....$ -- Aspires accepted as complete. TOTAh .......................S _�- -�ime d r r a 116w01 one it e S C r ugnnhue Amount 440461116ReYCt1Mh w Electrical Permit Fees: Limited Energy FeLs: ------�—�___ --_ TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Free Schedule Below: --^--� � �- Restricted Energy Fee...................................................... 575.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items COSI Total y Check Type of Work Involved: Residential-per unit 1000 sq fl or less $145 15 4 Audio and Stereo Systems Each ad6tional 500 sq ft.or portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 Each Manufd Horne or Modular Garage Door Opener' Dwelling Service or Feeder $9090 ? Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 Vacuum Systems' 201 amps to 400 amps $106.85 _ 2 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps $240.60 2 lJ over 1000 amps or volts $454.65 2 — - — - - Reconnect only $66.85 2 Temporary Serilces or Feeders TYPE OF WORK INVOLVED -CCMMERCIAL ONLY Installation,alteralion,or relocation 200 amps or less $6685 _ 7 Fee for each system................ ........................................ $75 00 201 amps to 400 amps $10030 'l (SEE OAR 918-260-260) 401 amps to 600 amps $133 75 _ f f Check Type of Work Involved: over 600 amps to 1000 volts, see"b" move. C� L Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with pwchase of service or ❑ Clock Systems feeder fee. I ach branch circuit _ _ $6,65 2 b)I he fee for branch circuits ❑ Data Telecommunication Installation wifhouf purchase of service or feeder fee. Fire Alann Installation F irsl branch circuit _ $46.85 - F ach additional branch circuit $6.65 _ HVAC Miscellaneous (Service or feeder not included) Instrumentaton Each pump or irrigation circle _ $53,40 Each sign or outline lighting $5340 ❑ Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension _ $75.00 _. I Landscape Irrigation Control' Minor Labels(10) $125,00 Each additional inspection over Medical the allowable!n any of the above Per inspection - $62.50 Nurse Calls Per hour __ $62.50 In Plant - $73.75 El Outdoor Landscape Lighting' Fees: n Protective Signaling Enter total of above fees $ r- 1 Other ------ 8%Stale Surcharge $ Number of Systems 25%Plan Review Fee See'Plan Revlew"seri on on $ No licenses are required Licenses are required for all other installations front of application Total Balance Due $ Fees: Enter total of above fees ElTrust Account M _ _ 6%State Surcharge Total Balance Due $.� ----- i Wsls\fonm4lc-fees doc 10AINI N) 1 TY OF T I G A R D _ MECHANICAL PERMIT!_ DEVELOPMENT SERVICES PERMIT ft: 9/25/ 00328 DATE ISSUED: 9/25/0101 13125 SVJ Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112DD-00200 SITE ADDRESS: 15362 SW 72ND AVE 100 SUEDIVISION: OREGON BUSINESS PARK III ZONING: 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: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES 0 3 HP: 2 DOMES. INCIN: 2LL= 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOOD STOVES: GAS PRESSURE. 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Mechanical tenant improvement — Owner-._,-- �_ _-FEES = PAC. Type B+� Date Amount _ Receipt - 'FIC REALTY .ASSOCIATES YP Y 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 9/2.5/01 $72.50 2720010000 PORTLAND, OR 9-7224 PLCK CTR 9/25/01 $18.13 2720010000 5PCT CTR 9l?_5/01 $5.80 2720010000 Phone: — --= Total $96.43 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND,OR 97224 REQUIRED INSPECTIONS Mechanical Insp Phone:453-4822 Duct Inspection Reg#:LIC 62196 Final Inspection This permit I ; issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicablR laws. All work will be done in accordance with approved plans. This permit will expire if work ib not started within 180 days of issuance, or if work is suspended for rnorp inan 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in GAR 952-001-0010 through OAR 952-001-0080. you may obtain copies of these rules or direct questions to OUNC by calling Issuemn,AWAs )sI �.. _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day �AMechanical Permit Application � Datereceived:)�//7 0/ Permitno.:rfLvagp/-G103'2g City of Tigard Project/appl.no.: Expiredate: CirynfTigard Address: 1312.5 SW Hall Blvd,Tigard,OR 9722 Phone: (503) 639-4171 �), Date issued; By: Receipt no.: Fax: (503) 5915-1960 Q I �QI Case file no.: Payment type: Land use approval: Building permit no.: 1 C 7New mily dwelling or accessory Ut4Commercial/industrial 0 Multi-family 'Tenant improvement e� struction O Additio:lalteration/replaceme.nt ❑Other: JOUSITF INFOItMATION1 Job address: 1 S z SLtI 72 --a 7v77. ' ui- IOD Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: _ I Suite no.: value of all mechanic rrJaterials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.value$ 0 , . Lot: I Block: Subdivision: *See checklist for important application information and Project name: CU�C'PO�C,47—e CX '13 jurisdiction's fee schedule for residential permit fee. City/county: 716,AW d"W Z.IP: 972.2 11=11111 lei q� Description and location of work on premises: 1 1 Pte(ea j 'total Est.date of completion/inspection: /11- -Q/ HVAQ Desch on Qty. Res.only Res.onl Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?IXYes ❑No Air con itioning(site plan required) Is existing space insulated? Yes ❑No Alteration of existing AC:system Boiler/compressors State boiler permit no.: Business name: GL llr1�� _�/V?i�lL� _— HP ___Tons- )3TU/EI Addiess: 00 15W .2� _ ire/smo et amper ductsmokedetectors _ City: 6 �Mt10 _ Stnte: ,(', ZIP:�ZC ant pump)site plan require ) -_ Phone:Sp3-q5? -ylF ax:_ E-mail: nsta repacefumace/burner__HT CCB no.; lncluding ductwork/vent liner U Yes U No — _ nstn /replac re ocate heaters-suspen e City/metro lic.no.: /�/� _Y _ _ wall,or floor mounted Name(please print) W11-jeX .-G��rG Ven for a fence other than furnace — e gena on: Absorption uni I1TU/H Name: Chillers HP — Address: Compressors HP nv wnenta ex ust■n ventilation: City: —_ State; �7..IP� Applianccvent Phone:503 Fax: E-mail: ryerex gust -- 0o s,ME1'ype res. itchenihazm�l hood ilre suppression system Name: /rjt'_7`�l!Sr Exhaust fan with sin le duct(bath fans) Mailing address: /5350 5[,t/ 5' a e& 3ee- .x oustSys em a art from heating or A City: State: ZIP: 9 7r�.7 Fuelp p ng andistribution(up to outlets) Type: LPG __ NG __ Oil Phone:5-03-41 -7 Fax: I F.-mail: Fuel pipingcacti a iuona over 4 outiets rDeem piping(sc ematicrequire ) Name: Number of outlets _ ter lifted app since ur- equTpm(ml: Address. _ Decorative fite lac_ City: S'ntc ZIF': n-T scit-ttype --- — I'Itone: F E-n oo stovcTeTletstwe -- Applicant's s;gnatur Date: Other: _ / t� ter. Name (print): _ --- _ Not ell jurisdiction%accept cmin:ands,pleose cnll lurisd,ciinn for moue informntinn Prltlll fee..................... U visn G MasterCard expires if a permit isnot obtained ie:This hermit application Minimum fee................$ — t tedu card number_— expPlan review tat _ rhe) $ - within ISO days after it has been � State surcharge(87v) .... n Name of cardholder as drown on credit card accepted ti,complete. Car holder garniture mm�unt __ .— _ 410.4617(6Ax1R'UM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: I & 2 FAMILY DWELLING FEE SCHEDULE: Description: Price TOTAL VALUATION: _ - -1 - aTor ) $1.00 to$5,0;10.00 Minimum fee$7250 Table Mechanical Code (t)' (Ea) Arr $5,001.00 to$10,000.00 $72.50 for tie first$5,000.00 and 1) Furnace ce to 100,000 BTU including ducts&vents 14.00 $1.52 for each additional$100.OU or 2) Furnace 100,000 BTU- fraction thereof,to and including includin ducts&vents 17 40 _ $10,000.00. 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent 14 00 _ $1.54 for each additional$100.00 or 4) Suspended heater,wall heater fraction thereof,to and including 14.00 ___ $25_000.00. or floor mounted heater $25.001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not inr,;uded in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and including o, Repair units 12.15 $50.000.00___ F_170_101�1 -00--a 0grid up $742.00 for the first$50,000.00 and` Check all that apply: Boiler Heat Alr $1.20 for each additional$100.00 or For Items 7-11,see orPump Cond fraction thereof. foctnotes below. Com- 7)QHP;absorb unit 14.00 - to 100K BTU _ ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb -"-- Value Total unit 100k to 500k BTU F 25.60 DescrlLtion, ofy a)_ Amount g)15-30 HP;absorb Furnace to 100,000 BT___U,Including 955 unit.5-1 mil BTU _ _ 35.000 ducts&vents _ _-_ 10)30-50 HP;absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU _ _ 52.20 ducts&vents _ ----- 11)>50HP:absorb Floor furnace including vent _ 955 - unit>1.75 mil BTU _ 87>0 Suspended heater,wall heater or 955 12)Air h••idling unit to 10,000 CFM floor mounted heater _ _ 10.00 Vent not included In applicance� 445 13)Alr t..ndling unit 10,000 Cr M+ permit _ _�__� _ 17.20 Re a_p Ir units 805 14)Non-portable evaaorate cooler <3 hp;absorb.unit, 955 10.00 W 100k BTU_ 15)Vent fan connected to a single duct 3-15 tip;absorb.unit, 1,700 _6.80 101k to 500k BTU16)Ventilation system not included In 15-30 hFabsorb unit,501k to 1 _ 2,310 appliance permit 10.00 mil.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 lip;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Comrnercial or Industrial type Incinerator 69.95 Air handling unit to 10,000 cfm 656 _ _ Air handling unit>10,000 cfm 1,170 _ 20)Other units,including wood stoves Non- ortable eva orate cooler _ 656 10.00 Vent fan connected to a single duct 446 _ 21)Gas piping ono to four outlets ant system not included in 656 540 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 Other unit,Including Hood stoves, 656 _--- 81i6 State Surcharge $ Inserts,etc. Gas_PP Di In 1-4 octlets 360 25%Plan Review Fee(of subtotal) $ .__ �' Each additional outlet 83 Required for ALL commercial permits only TOTAL COMMERCIAL II $ TOTAL RESIDENTIAL_ PERMIT FEE: $ VALUATION: --- Other Ins ec lona andFee 1 Inspectionr,oulside of nonnal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections lai which no tee in specifically indicated (minimum charpe-half hour) $72.50 per hour Additional plan review required by changes,additions or revisions to olans(minlr charge-one-half hour)$72 50 per hour `State Contractor Boller Cerllfleptlon required tot unitr>200k I]TU. ""Rasidentlal AIC requires site pian showing placement of unit. I:1d:,ls�formsmcrlr-fees.dar, 1U/11/l1U CITY OF T I GA R D — PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2001-00436 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/11/01 SITE ADDRESS: 15862 SW 72ND AVE 100 PARCEL: 2S112DD-00200 SUBDIVISION: ORE-GON BUSINESS PARK III ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE. COM WASHING MACH: BACKFLOW PREVNTRS: OCCI • %NCY GRP: B FLOOR DF,AINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of one kitchen sink to replace a previously demo'd sink. FEES Owner: Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 9/11/01 $72.50 27200100000 15350 SW SEQUOIA PKWY #300 WMI 5PCT CTR 9/11/01 $5.80 27200100000 PORTLAND, OR 97224 �— Total $78.30 Phone 1: Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236-4152 Top-out Insp Reg #: LIC 172 Final Inspection PLM 26-83PB 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 dr ne 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: Oreqon 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. Yoy,w(p%,4 obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: l[t�� _ Permittee Signature: Call (503)639-4175 by 7:00 P.M. for an Inspection needed the next business day Plumbing Permit Application Datereceived: `"� I Permit no.: (;qty of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 — CaYof'1'igard Phone: (503) 639-4111 Project/appl.no.: Expire date: Fax: (5031 598-1960 Date issued: — By: Receipt no.: 1 -1 Land use approval: __- _ -- Case file no.: Payment type: — 7U 172i y dwelling or accessory Commercial/industrial UMulti-family U Tenant intprovemettt U Newconsruction Addition/alteration/replacement U Food service U 01fier: 1Information Job address: ISS y�Vj — IMscriptlon —_ Qty. Fee(ea.) Total Bldg.no.: _ Suite- /�� New 1-and 24amily dwellings only: Tax map/tax lot/account no.: (includes 100 fl.for each utility connection) SFR(I)bath Lot: Block: Subdivision: __—_ SFR(2)bath --— Project name: t_ RESS _— SFR Q)bath _ City/county: 6-Anj I ZIP: a Each additional bath/kitchen Description and locdtion of work on premises Tom_ Sheutillties: $L,�� D�_�_a_.V1lY �F�a t�--tea ! - _ Catch basin/area drain -- Est.(late of completion/inspection: Drywells/leach line/treach(train 1 Footing drain(no.lin. ft.)PLUMBING CONTRACT � ^ Manufactured home utilities l3usinc�s n:unr: � �J- Eh/ �. Manholes — — Address: 1\\ S � Rain drain connector City: 7 State ZIP:ff 7A -Sanitary sewer(no.Iilin.ft.) Ph(013&-4 1 S E-mail: Storm sewer(no.lin.ft.) CCB no.: 0102. 1Plumb.hus. reg.no: 2 693 FIE Water service(no.lin. 11.) City/metro lic.no.: fixture or Item: Contractor's representative signature: Abso tion valve Back flow preventer Print name: OF I'V lZ+ rr u_ ' It 911' 0 Backwater valve --- — Basin%navatory_ - _ - Name: ��- - �✓ Owo- Clothes washer ---- --- -- Address: Dishwasher City: State ZIP: _ Ejectors/sump lain(s) ctor foun � — E ectors/sump - Phone: 11 -- E-mail Expansion tank — -- - - Fixture/sewer sap - - _ -- Floor drains/floor sinks/hub _ Name(print): hS 7— - .v' Garbage disposal Mailing address: w SrQt4 PXW 3'g Hose bibb City: ZIP Sta(C012 - Ice m5 aker -- Fax: E-mail: Interce for/trap Owner installation/residential maintenance only: The actual installation Primer(s) ih be made by me or the maintenance and repair made by my regula Roof di air.(commercial) employee on tyle properly I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owncr's si nature: Date: _ I Sum Tubs/shower/shower pan !)rinal Name: Water closet -- Address: Water heater City: ----- State: 7,IP: Other: -- Phone: -- Fax: 1 E-mail: _ Total -- No all iudidictimu accept credit cede,please call iwisdienan fnr mare infommion. Minimum fee.................S Notice:'Phis permit application - U Visa U Mneter(:xcd expires if a permit is not obtained Plan review(at ,_ %) credit card number:__ L_L State surcharge(896)....$ — ) -�Eaplree within 180 days after it has been — roeme err r a on tow accepted ns romplete. TOTAL .......................$ 71T, f — e�m�mtwe Amount W%Mts ttwacoMt Accumulative Sewer Tally Tenant Name: k ATL This SWR# Andress: l !o v_ -7 ate' ffiU�.- This PLM#: N oa Y(�? _ Fixture Value Previous ?reviot s Credits Capped Fixtures Fixtures New total New # Value Czpped off value added# added #s total Count off#s count value values Baptistry/Font _—^ 4 Hath-Tub/Shower _-- —4 — -Jacu?i.i/Whidpool -- — 4 _-- Car Wash-Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator____ 1 Dishwasher-Commercial 4 -Domestic 2 Drinkin- Fountain—_—_— 1 e Wash 1 Floor Drain/sink-2 inch — 2 _ 3 inch 5 4 inch 6 Car'Nash Drn _ 6 Garbage Disposal 16 —=Domestic(to 3/4 H") Commercial(to 5 HP) -- —32 --- —_-- ---� -- _--. Industrial(over 5 HP) _ 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) Rec.Vehicle Damp Station-- 16 Shower-Gang(Per Haad) _- _ .Stall_ 2 I — —---Sink-Bar/Lavatory 2 i -BrsdicY_— --— 5 -Commercial 3 -Service 3 Swimming Pool Filter —_ —1� .Washer-Clothes _ 6 Water Extractor — ti Water Closet-Toilet _ 6 Urinal 6 ,y TOTAL, Total fixture values "C divided by 15 = --j;L EDU —4-44 14LC L:1.1`L. o-�� el �7D4-1 HISTORY __41C PLM# EDU# CWR# r ,n_ PLM# JU# SWR# P_LM# EDU# /,v ,R# P_LM# _— _EDU# - SWR# PLM# _EDU# SWR# _ PLM# _ EDU# - SWR# PLM# — EDU# SWR#� _ PLM# EDU# SWR# i kdstsWwrtsly,doc ELECTRICAL PEW41!T- ,\ CITY OF TIGARD _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M El R2001-00242 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/1/01 PARCEL: 2S1 12DD-00200 SITE ADDRESS: 15862 SW 72ND AVE 100 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage install for voice/data. Job#01489 A. RESIDENTIAL B.COMMERCIAL — — AUDIO & STEREO: AUDIO & 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 Contractor: Owner: PACIFIC REALTY ASSOCIATES ESP TECHNOLOGIES 15350 SW SEQUOIA PKWY #300-WMI 7929 SW BURNS WAY STE. F PORTLAND, OR 97224 WILSONVILLE, OR 97070 Phone: Phone: 503-628-4195 Reg #: LIC 73872 FEES'— Required Inspections _ _Type By Date _ - —Amount—Receipt Low Voltage Inspection PRMT CTR 10/1/01 $75.00 2720C10000 Elect'I Final 5PCT CTR 10/1/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of R. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if we k is not started within 190 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 throw h OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. j / -l'�___ Issued by `i�� ,' G�f —_ Permittee Signature OWNER IN_STA.LLATION ONLY The installation Is being made on proYorty 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 NC: - - ---- -- - ---- ---� —.__ ---- Call 639-4175 b� 7 00 P.M. for an inspection needed the next business day cti 2UU1 09:12 FAX 503.5951960 C111 tit 11GARD cc trica1 Permuiti A,pplication I Permit no.: �- �� — gstereeeivei: D �� Ftojeet/appl.ns.: Fapiredate; City of Tigard �F ��v _ __---- Address: 13125 SW Hall Blvd ,Tigat 7223 �ateissued: By: Rcceiptno,: CirynjTi�ard �- - Phone: (503) 6394171 k- k 1 O �, +aye tilt Payment ripe: Fax: (503) 598-1960 SSP Land use approval: tf{yRJME — ra C'ommcrcitil/industrial O Multi-family C)Tcnanr improvement U 1 &.2 family dwrlling or acccssory ❑Partial O Ncw consttvctti>n ddition/eirelation/replacement El Other. Job address: ' BIdB,no... Suite nu.: 1 Tax :nap/tax lothaccount no.: t; r k: Suivision: pescnption attd)oration of work on premises: - Pto'ect.name: — Estim_ djtie of eompicUon/inspccLion: Fee Ll�nl;l' Job BO: Qty• (a•) Total W�' <<C�r 1;j� P c Suslnets name: — I�ewraeldasstial-rin�Mottnuld•tatatlyp'�' Address: r J dneWnp talk 11,ctudaa'attachod� C State: : 1,-? ServieeineWdeelc Ci : 1000 s .ft.or last a Phone: . L Fax: ^ E-mail: t"C {� J r E.ch additlonsl 300 sq.ft,or porion thrrrvt 2 CCB no.: �y'7 Flet.bus.lie.no: i.imitedenergy.residential Citylmett0lic.no,: �'f�'dJ~ Limirdencr$y,ro�n-tesidu,ud Farh manufncttu'i hnme er madulardweiling ` ��_ -- Sesvice andlor f=dei — 5tptreli upmisingelees,lelan(tiulm i) D+fe rrt+ $er�leeaorfeeden-Irerhltation. Sup elect.name(Print):�'*� G *✓SCI c'✓ UtsOse no: "F dteration or relo®tion: Iq a Wo 200 arnpa or lea% _ 201 amps m AOo amp_•�---- 7 301 omps to 600 tun a _,- -- - 601 Amps to 1000 arn,ns 2 Mailing addrr s: - — 2 Slate: Z1P: _ OVU 1004 amp or vr,1.- City: -----. preonneeivnly -� 1 Phone: r:sx: E•tnail: I own emp°terry��or[eedn�. Owner installation:The installation is being made on property hsstailadon albmtioeL orrrInc:tium 2 which is not Intended for sale.lease,tent,or exchange actor diU to 200 aMps or IrAl -- 2 ORS 447,455,479,670.701. 201 amps to 400 am 2 2 * Date: 401 to 600 ams Owners signattue: BR„�c4vulte-new,alterxtion, or catension per panel; Name: _ A. Fez for brwich circuits with purrhave of - - setvice or feeder fee,each bramch eitcult Address _ _ _ ll Fee for branch circuits without purchase State: '� orserviw or fuer fes,Grsr btnneh eircuir 2 City: _ _ _ _. �- -- phone: Fat E-mail Each ad idonal hraneh circuit, Mi L."rice or feeder nut Included): 2 Fwc ❑Nenlrh rM fariliry h um yr ini adon circle _____ _ 2 0 Service ovv 2/5 amps�ommrxi&I Perch grin or ouvliro liEhdnq U Service ovv,120 amps-rsilnA of 1 Art 0 Haitrdaus loc►dan Sf nal eireur(s)or a limited energy pAnel. ` (onulydwellinFt O Building over Mono square feet four of ai�.m{on.ifito)orLitnsion• ,___ r7 System ovv 600 volts nominal mote residertdd units in one structure O srories Feedus,400 amps or more •peweri tion: _,—_— CI Bulldln{nvertluee _ - = per+ona ❑Mahe structures or Rv perk Each addistennal it epeetiun ov.r rhe allowable In any of t O Occupant loud overhe itu above t7 EptcilliRhtlrtgplan U Other _ _ Pcrinepeetlon Stshmit__sets of pleat with any of the abeee. Investlpadon rte _ ------ enasltveUon cet'rlee. Other — 111e abotr ate not applicable to tetnPDMFY, ---—- _Mn Nw dl)tutuli�+a'ts'zorFr aeeti Are please >fl)urltdlrunn rot mse infartrvt�a Notice:'I11Is pennit application ....3❑viPlan review(err `b) sa ❑MssterCatd expires if r penult not atoter 5 i tute surcharge(>5961 within 180 days aftec r ft hers r hesn Crertit calif numea — ml accepted as cnmplctr TOTAL . .............. >s sp "-�j'arrm o w ,nr+ar u i t�uW s en r�. t c $ _ eJr1J61t --fJr�hoT tlRouW! —� _Amoar C!TY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Linn- 639-4171 — — BUP _ _--, Date Requested �� "-�� AM PM BLD _ Location /�S (o Z- �� -c%_ Suite ;C MEC C)D 3 Z Contact Person KY-1 �1 — Ph `f,-� y ry» Z-- PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain a Crawl Drain Inspection Notes: SGN _ Slab _ -------...------- SIT Post& Beam i------- 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 Final — PASS PART FAIL. M( ECHANICAL ---- --- -- - -- - —_ __ 11c,st�ra Beam ------------- --_- .�_ —r.- - - - -- Rough In Gas L ne - ----- - -._...._-- Smoke Dampers SS PART FAIL .TRICA!: - --- --- -- 5ervice Rough In UG/Slab Low Voltage ----- -- --- _ --- Fire Alarm Final PASS PART FAIL _V-_—_— SITE Backfill/Grading --- -.— -_ _ _-__.-- -----------_._ Sanitary Sewer Storm Drain ( I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Holl Blvd BasiB Catch n Fife h Basipply Line ( Please call for reinspection RE' _ --- _ [ ]Unable to inspect- no access ADA Approach/Sidewalk Date 1" / Inspector Ext Other � - - ------ — --- Final PASS PAR r -FAIL 00 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 — — — BUP _ —Date Requestedl� AM_ i/ PM BLD Location��i� -2- 7 �C/ Suite j C L _ MEC Contact Person �.,�,�.� Ph PLML)Ci Contractor Ph SWR BUILDING -- "tenant/Owner ELC Retaining Wall Footing ELR -_ ACC2S5: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab Post& Beam -- - SIT Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation _ — --- Drywall Nailing -- Fi,ewall — ----- Fire Sprinkler _-- Fire Alarm Susp'd Ceiling _- — - ----------_— — Roof — fJ Misc: _ 7 Final - _- "�---- --- ---- ----- —�..—_ PASS PART FAIL - ------------ _-_-_------ PLUMBING Post& Beam -`--- — - ------- - --- Under Slab Top Out --- -- - - - -------- Water Service Sanitary Sewer ---- Rain Drains PASS ART FAIL ....%-AL Post&Beam ----- ---- --- --- --- - ------- Rough ;n Gas Line ------ ----- ----- --- - --- - - Smoke Dangers Final -- --- --------- -- ----- --- --- ---- PASS PAR'S FAIL ELECTRICkL .-- ------ -- - - -. Service Rough In UG/Slab Low Voltage - — — Fire Alarm ---- -- -- --- ------- - - _.. -------..-. ----- ------ - Final PASS PART FAIL --- ---- --- -------- -- -------- SITE - - ----_ __---- --- Backfill/Grading -------___- - Sanitary Sewer Storm Drain I ] Reinspection Fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ [Please call for reinspection RE:— _ -_- _ [ )Unable to inspect no access Fire Supply Line ADA _ Approach/Sidewalk Other DateIng� � t pactor Ext G G Final PASS PART —FAIL__J DO NOT REMOVE this Inspection record from the job site, CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00326 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 09/24/2001 PARCEL: 2 S 112 D D-002 00 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 15862 SW 72ND AVE 100 SUBDIVISION: OREGON BUSINESS PARK III BLOCK: LOT: CLASS OF WORK: ADD — TYPE OF USE: CUM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 41 TENANT NAME: REMARKS: TI (Sub divide existing space) Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA P♦ VVY#300-WMI PORTLAND, OR 977.24 Phone: Contractor: H L GREEN 15350 SW SEQUOIA BLVD STE 300 TIGARD, OR 97224 Phone: 624-7717 ' eg#: LIC 41328 This Certificate issued 10/11111/21111011 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referencett,permit was 'sued. AIRE INSPECTOR BUILDIV9 OFFICIAL POST IN CONSPICUOUS PLATE CITY OF TICARD BUILDING INSPECTION DIVISION MST 244, rispection Line: 639-4175 Business Line: 639-4171 BUP -del- -3_Z-i�i Date Requested �G Z"_/ AM PM _ BLD Location rl S Z -�G,� Suite Z2G' MEC �— Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _4/�- ELC — Retaining Wall 64 ��— ELR Footing -- Foundation Access: y� �,x,�� C� /�-- FPS Fig Drain I '7 SGN Crawl Drain Inspection Notes: -- Slab _^_-- IT Post& Beam — --- — Ext Sheath/Shear Int Sheath/Shear — Framing ---..------ -- — ------------- Insulation Drywall Nailing --------____-- Firewall f Fire SprinklerFire Alai Alai m Susp'd Ceiling -- — ------ --_--- Roof % Mise ---- -- --- i J Afi8"' PART FAIL ING Post& Bearn --- — -- --------- Under Slab Top Out --- —— ----- Water Service Sanitary Sewer -- ------- - `--- Pain Drains Final PASS PART FAIL MECHANICAL — Post& Beam Rough In Gas Line - — -- Smoke Dampers Final - — -- --- PASS PART FAIT_ ELECTRICAL -- "— -- Service Roush In UG/Slab _ Low Voltege Fire Alarm --- Final PASS PART FAIL ------- SITE Backfill/Grading -- -- ` -- — --- Sanitary Sewer Storm Drain I Reinspection fee of$ _ required before next inspection. Pay of City Hall, 13125 SW Hall Blvd Catch Basin I Please call for reinspection RE: — — I J Unable to inspect- no access Fire Supply Lina - - ADA OtherApproach/Sidewalk -- Date _�G f _u �G1 Inspector r ' ext Other - —�.---- --_--- Final PASS_ PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL P - CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00275 13115 SW Hall Blvd.,Tiqard, OR 97,e23 (503) 639-4171 DATE ISSUED: 11/5/01 SITE ADDRESS: 15862 SW 72ND AVE 100 PARCEL: 2S112DD-00200 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Descriotion: Security System Job No.2362-247 A. RE01DENTIAL _ 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: PRG','"CTIVE SIGNAL: X INSTRUMEN rATION: G'THER: _ TOTAL# OF SYSTEMS: 1 _ Owner: Contractor: PACIFIC REALTY ASSOCIATES SOUND SECURITY, INC. 15350 SW SEQUOIA PKWY #300-WMI 1975 SW 6TH AVE POF:TLAND OR 97224 PORTLAND, OR 97201 Phone: Phone: 223-5822 Reg#: LIC 53535 ELE 26-370CLE _ _FEES Required In:,pections _Type By Date Amount _Receipt Ceiling Cover PRMT CTR 11/5/01 $75.00 2720010000 Wall Cover Elect'I Final 5PCT CTR 11/5/01 $6.00 2.720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done,in accordance with approved plans. This permit will exoire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may ohtain copies of these, rules or direct questions to OUNC at (503) 246-1987. Issued by _ ' Permittee Signature1,� OWNER INSTALLATION ONLY The installation is being made on property I own which Is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE: _ LICENSE NO: Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day Electrical Permit Application CEIVED PLANi�INVG Dalereccived: Perink no. City of Tig> Projcct/appl.no.: Expire date: City uJTigard Address: 13125 SW Hall$v lgardi O t� 223 Date issued: p Phone: (503) 639-4171 �� 0 1 F Y Receipt no.: Pax: (503) 598-1960 Case file no.: l vyment type: Land use approval:C'ITY OF TI�ARC; 7Nwcfons ily dwelling or accessory Commercial/industrial U Multi-family ❑'1`tN6t'iniptovement truction U Addition/alteration/replacenient U 0111or - U Partial Job address: nj0KTFBldg. no.: Suite no.: ITax map/tax lot/accoun(no.: Lot; I Block: Subdivision: - -- -- — Project name:a)-f `ik lY 4? ; Description and location of work on premises: ,— Estimated date of completion/ins ction: Job no: -3 (k-1 Fee Mas Business name: Sound Security Dmcri tion QtY. (ea) total no.Int Address: 1975 SW 6th Avenue --- New residential-ftleorrnulll-ramilyper dwelling unit.Includes attached garage. City: Portland State: OR ZIP: 97201 Service included: Phone: 223-5822 Pax: 223-060 E-mall• IOW sq.rt rrless 4 CCB no.: 53535 Elec.bus.lic.ro: 26-370CLE Each additional 5Ws- ..ft.orportiontherrof- _ — --- City/M12 energy,residential t; 11C.no.: Urnitedenergy,non-residential j Each manufacturrd home or modular dwelling tgna are ar su ry sin electrician ulted) Date Service and/or re...-der 1 Sup.elect nanu(print) Licensci , Servrcetorfeedcri-InstallItU etlan, alteration or relocation: 200 amps or less 2 Name(print): 201.utps to 400 amps — - —� 401 am s to 600 amps Mailing address — P p —_— __2 -- 601 amps to 10(0 amps City: -_- -- SIa1c. ZIP: —_ Over 1000 emps or volts— �— -- 2- Phone: _ TPax: E-mail: Reamnect only --- Owner installation:The installation is being made on property 1 own Temporary servlrworreederh which is not intended for sale,lease,rent,or exchange according,to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2(x)amps or lens _ 2 201 nntpt to 400 amps -� -- - 2 Owner's si nature: Date: 401 a,61x)ams — - 2 Branch clrcults-new,ailenllon, Name: or extension per t,aneh —-- -- --- - A ree for branch circuits with purchase of A Jdress` _ A_ service or feeder fee,each hranch circuit 2 City: Stale: 7,1 P: N. ree tar branch circuits without purchase �— T - of service or feeder f s litho branch ha euic 3 1111111111111-_Phone: Pax: E-email — Eech additional hrsiO circuittiny I KIM Ulun"HugWril ---- M isc.(.Service or feeder nol Included)- U 75e-l-.,,,,-225.mps-commercis1 U Healtit-care facility Each um orlrrigetiuncircle2 aver320amps-ratingof1&2 UIlazardnuslocation Eachsi�noroutlinelighting 2 weliings U nuilding over 10,00()square feet four or Signal circuit(h)or a limited Ntcrgyr 600 voles nominal more residential units in one xtmcmre sheraUan,or extenslons 2 U Boildlnx over thrre stories U reerlent,400 strips or more *Description: __--_--�- -- - - _ U occupant lond over 99 pen tont U Manufactured structures br AV park F,ach addillonal Intpertlan over the allowable In any of the drove: U rgresh/liRhtiogplan U Other erticm Submit sets of lana Mth an of the abovx --- L�---L—� p Y Investigation The above are not applicable to temporary condrued it service. other —— ----- t Not all lortsdletions accept credit canes,pk-sw can ludedictlen ear more Inromwlon. Nollee:This permit application Pl<rrltit fee.....................$ U visa U MasterCard expires if a permit is not obtained Plan review(at —_ %) S Credit card number. - _ L 1within 180 days after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL .......................S -�arne�n -cii�iadTn u aTiawn on rr�r�r---�_ S Cadhofiii Ay .tore --- - - --Amnunr — 44C4611(MM-oM) ' Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY P Restricted Energy Fee...................................................... $75.00 Number of Inspections per perm) allowed (FOR ALL SYSTEMS) Service Included: Items Co:-,t Total Check Type of Work Involved: Residential-pet unit 1000 sq ft.or less $145.15 4 ❑ Audio and Stereo Systems Fich additional 500 sq,fl.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular E-1Dwelling Service or Feeder $90,90 2 Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 anips or less $80.30 2 i 201 amps to 400 amps _—__ $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $16060 2 --� 601 amps to 1000 amps _ $240.60 2 Other Over 1000 amps or volts _ $454.65 2 Reconnect only ^^ $66.85 2 Temporary services or Feeders' . TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteratlon,or relocation t F66 f6r 9ndh systetn......... .........:........................................ $75.00 200 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, see"b"above. L� Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The fee for branch dicuits with purchase of service or ❑ Clock Systems feeder fee. Farh branch circuit $6 65 _— 2 E] Data Telecommunicalinn!;,s(nllatlon b)the lee for branch circuits wlfhouf purchase of service or feeder fee. E] Fire Alarm Installation First branch rin.ult $46 85 Each additional branch circuit — $6.n5 ❑ I t\/A(', Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle _ $53.40 n Intercom and Paging Systems Each sign or outline lighting $53.40 Signal clreult(s)or a limited energy panel,alteration or extension _ _ $75.00 , (7, Q� ❑ Landscape Irrigation Control' Minor Labels(10) _ $125 00 Each additional Inspection over _ Y ❑ Medical the allowable In any of the above Nuf9e Calls Per Inspection $62.50 Pnr hour $62.50 _ In Plant $73 75 – _ ❑ Outdoor Landscape Lighting' Fees: Protective S!gnaling Enter total of above fees $ ✓ '_ ❑ Other B%State Surcharge tw ___ Number of Systems I 25%Plan Review Fee � No licenses are required L Icri sns erp required for all other installallnn� Sop`Phn Review"section on $ q front of application —_.�- ---V ,4 : Fees: Total Balance Dve $ ��( � I Enter total of above leets S r ❑ Trust Account 0 "' I 9%State Surcharge _ 4 IL 0(-) ----------- - -__-- - - -------------- To'ral Balance Due OCA i atilt rnma�rlli•rs ilni In urrx; CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6,39-4i75 Business Line: 639-4171 BUP Date Requested AM. PM BLD Location S- O Z 7. �" _ Suite � � _ MEC Contact Person Ph �"3 -') 9ZZ— PLM Contractor Ph SWR _ BUILDING — enaOwner ELC — Retaining Wall - ELR Footing Access:Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection No'.es Slab SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler < -J -I �l� �� 6�% ' r' Fire Alarm /" (j ,t / Susp'd Ceiling -.l.c•��_�_ �j1��1 7-M - Roof Misc: - Final - PASS PART FAIL - - PLUMBING Post&Beam - -' Under Slab Top Out Water Service Sanita,y Sewer Rain D,,ains Finai ---- - -. ------f--- PASS PART FAIL MECHANICAL. Post& Beam - -- -.... -- --- �— --- ---- Rough In Gas Line Smoke Dampers Final ---- - PASS PART FAIL ELECTRICAL -- __ ..�------------Service Rough Rough In UG/Slab QF72-1-1,"R-0 IfAlarm - ---- --- - ------------ ---- ----- - - f n'aiT- PART FAIL - --- - -- .. ------ -- - --- ---- S _ Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$_ rerluned before next inspection flay at City I tall, 13125 SCJ Hall Blvd Catch Basin Fire Supply Line I ) Please c211 fog reinspAdion RI ( ) Unable to inspect nn ar cess ADA , Approech/Sidewalk J - Other Date �. l_l..i.v Inspector- - 1.� � _. Fxf Flnel PASS PART FAIL DO NOT REMOVE this inspection record from the jab -,ite.