15975 SW 72ND AVENUE ADDRESS:
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Page No. 1 CASE HISTORY FOR CASE NO.: BUP98-0306
PACIFIC REALTY ASSOCIATES
15975 SW 7.:ID AVE
09/04/98
Action Description Ray/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Donn Dane Date By
DUPC�05 Application receiv=d / / / / 08/C1/98 PASS JSD 09/03/98 TLP
BTJPC008 Permit created / / / / 08/04/98 PASS JSD 08/04/98 JSD
BUPC012 Plans routed to Plans Examiner / / / / 08/04/58 PASS JSD 08/04/98 JSD
BUPCO24 Plans Approved by CPE / / / / 08/04/98 PASS JHF 08/04/98 JSD
BUPCO26 Approved Plans routed to DSTs / / / / 08/04/98 OTC J11F 08/04/98 JSD
BUPC09C (F) Ready to issue / / / / 08/04/90 Need current CCB info. Fees alreadv PASS JSD 08/04/98 JSD
paid. Jed
SUPC100 (F) Is,lue permit / / / / 08/04/98 PASS JSD 08/04/98 JSD
BUPC74u Framing Insp / / / / 08/12/98 Electrical inspection needs to be FAIL WDJ 08/18/98 TLP
approved prior to framing inspection.
BUPC740 Framing Insp / / / / 08/13/98 PASS TLP 08/18198 TLP
BUPC76U Gyo Board Inep / / / / 08/17/98 PASS TLP 08/19/98 TLP
BUPC762 Suep C g Inap / / / / 09/03/98 N/A TLP 09/03/98 TLP
BUPC802 Final I —ection / / / / 09/03/96 PASS TLP C9iO3/98 TLP
BUPC950 (F) issue Cert. of Occupancy / % / / 09/03/98 09/04/98 JT
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Page No. 1 CASE HISTORY FOR CASE NO.: BUP98-0308
PACIFIC REALTY ASSOCIATES
15975 SW 72ND AVE
09/04/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- - ------ ------------------ ------------- ---- --- -------- ---
BUPC005 Appli�,ation received / / / / 08/05/98 PASS JSD 08/05/98 DST
BUPC008 Permit created / / / / 08/0-/98 PASS JSD 08/05/98 DST
BUPC100 (F) Issue permit / / / / 08/05/98 PASS JSD 08/05/98 DST
BUPC783 Sprinkler Rough-In 08/05/98 / / 08/28/98 PASS TLP 08/28/98 TLP
BUPC784 Sprinkler Final 08/05/98 / / 08/28/98 PASS TLP 08/28/98 TLP
BUPC802 Final Inspection / / / / 08/28/98 PASS TLP 08/28/98 TLP
BUPC960 Case Finaled / / / / 08/28/98 PASS TLP 08/28/98 J+H
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Page Nc. 1 CASE HISTORY FOR CASE NO.: ELC98-0465
PACIFIC REALTY ASSOCIATES
15975 SW 72ND A%E
09/04/98
Action Description Req/ Schd/ En / Action Notes Disp By Update Upd
Code Sent Done Dr is Date By
ELCCO01 Application received / / / / 08/07/98 MAIL DEB 06/07/98 DRA
ELCC003 Permit created / / / / 08/07/98 DONE DEB 08/07/98 DRA
ELCC500 (F)Issue permit / / / / 08/07/98 DONE DEB 08/07/98 DPA
ELCC720 Wall Cover / / / / 06/13/98 PASS CD 08/18/98 JT
ELCC720 Wall Cover / / / / 08,'13/90 PASS CD 08/20/98 CD
ELCC799 Elect'1 Final / / / / 09/01/98 PASS CD 09/01/98 CD
ELCC800 Case Finaled / / / / 09/01/98 PASS CD 09/01/98 J^H
ELCC920 Miscellaneous action / / / / 08/28/98 unable to inspect, a3p. for 8/31/98 FAIL CD 08/28/98 CD
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Paye No. 1 CASE HISTORY FOR CASE NO.: MEC98-0355
PACIFIC REALTY ASSOCIATES
15975 SW 72ND AVE
09/04/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
----- - --------- -------------------- -------- -------- -------- ---------------------------------- --- - ------ ---
MECC007 Application received / / / / 08/19/98 RECD DEB 08/19(98 DRA
MECC008 Permit cleated / / / / 08/19/98 DONE DEB 08/1Q/98 DRA
MECC090 (F) Issue permit / / / / 08/19/98 DONE DEB 08/19!98 DRA
MECC735 Duct Inspection 08/19/98 / / 08/28/93 PASS TLP 06/28/98 TLP
MECC750 Misc. Inspection 08/19/98 / / / / 08/19/98 DRA
MECC799 Final Inspection / / / / 09/03/98 PASS TLP 09/03/99 TLP
MECC800 Case Finaled / / / / 09/04/98 09/04/98 JT
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Page No. 1 CASE HISTORY FOR CASE NO.: ELR98-0244
PACIFIC REALTY ASSOCIATES
15975 SW i2ND AVE
09/04/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date Ry
ELRC001 Application Received / / / / 09/01/98 RECD GEO 09/01./98 DST
ELRC003 Permit Created / / / / 09;01/98 DONE GEO 09/01/98 DST
ELRC500 (F) I3sue permit / / / / 09/0:./98 PASS GEO 09/01/98 DST
ELRC725 Low Voltage -ibpection / / % / / 09/01/98 DST
L•LRC799 Elect'1 Final / / / / / 09/01/98 DST
ELPC799 Elect'l Final / / / / 09/03/98 PASS CD 09/03/98 CD
ELRC800 Case finaled / / / / 09/04/98 09/04/98 JT
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: G39-4175 Business Line: 639-4171oup
�/1�
—Date Requested _AM _-PM BLD
Location_ 15 C17,5 ,_S`6 0 �_��•CU Suite r
Contact Person Jh& 6- — Ph 23 13 r 7 PLM
[IQ
Contractor _,(� lv Ph
SWR
BUILDI Tenant/Owner /I��'//Ciz 0 Farn��-f�f�
ELC
Retaining Wall ELR
Footing Access: r C w
Foundation . '� ��, ��_ C) 'L_ J FPS
Fig Drain - SGN
Crawl Drain Inspection Notes: n -
Slab / CM �` � SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -- --
'nsulation -`
Drywall Nailing ---- -- — --- - -------------
Firewall
Fire Sprinkler
Fire Alarm %
Susp'd Ceiling
Roof
S PART FAIL -----
ING
Post& Beam
Under Slab
Top Out - - — --
Water Service
Sanitary Sewer
Rain Drains
&11 A N ze A t�7=—;
AIL
Post&Beam ----- —-- — --
Rough In ��--
Gas Line -- — ---
Smoke Damper
"p—St"p-rst PART FA
JI
RICAL — - __ ---- —
Service
Rough In -- - -
UGISlah _
Low Voltage
►- f=ire Alarm
_ Final -- -----
PASS PA1,17FAIT- ----- ---- -- — -
SITE -
u' Backfill/Grading
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ requited before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ] Please call for reinspection RE — ( ]Unable to inspect-no access
Fire Supply L e
ADA
Approach/Sidewalk Date 9 �1)_Inspector i Ext
Other
Final
PASS PART FAIL DO NOT R MOVE this inspection record from the job site.
CITY OF TIr4R=J' BUILDING INSPECTION DIVISION MST
24-Hour Inspect Line: 639-4175 Business Line: 639-4171 —
11 GBUPAgo;-7( —Date Requested q" I- q 0 AM_— PM — BLD —
Location— i 6E 75 5)W -7 Vl(J- ---
Suite MEC -- _—
Contact Person C0,01mei c c u I Ulf C, Ph 2 5 5' 9 Y ZZ_ PLM
Contractor /—Ph _ _ SWR —
BUILDING _ Tenant/Owner ELC
Retaining Wall _ ELR _
Footing AcceS 3:
Foundation FPS --
Ftg Drain
Crawl Drain Inspection Notes. SGN - - —
Slab _-_.—_- _- _ SIT
Dost& Beam - —
I- 1 Sheath/Shear
nt Sheath/Shea.
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm _
Susp'd(veiling -----_--_- —� - _ _.
Roof
M isc: -- -- --- - `i- --
Final
PASS PART FAIL -- --- - - --
PLUMBING
Post&Beam ---- --
Under Slab
Top Out - - - - - --- --- -
Water Service -- --
Sanitary Sewer -
Rain Drains
Find
PASS PART F i,::-
MECHANICAL
,:LMECHANICAL
Post& Beam --- --- ---- —
Rough In
rias Line --- -- ----- - --
Smoke Dampers
Final ---
PAS T FAIL
LECTRICAt. --------- - --- ----------- -- -
Servire
Rough In
r UG/Slab -- --- ---- - ---
U-1 Low Voltage
Fi larm
PAR. FAIL
On
E
LL' Backfill/Grading —�-- --—--_--- -- -- - -
J Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ required before next insp�.tion. Pay at City Hall, 13125 SW Hall Blvd
Catch Basir ( ]Please call for ieinspoction RE: _ _ ( ]Unable to inspect-no eccess
Fire Supply Line
ADA
Approach/Sidewalk
Other Date 9_ �� �,�_Inspector _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD PUILDING PERMIT
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . .
: PUF'9H-03fi8
DATE ISSUED: 08/05/98
PARCEL: 2SI12DC-00701
SITE ADDRESS. . . : 15J75 SW 72ND AVE
SUBDIVISION. . . . : FnNNO CREEK ACRE TRACTS ZONING: T—P,
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :038 JURISDICTION:TIG
REISSUE: FLOOR AREAS------------- EXTERIOR WALL CONS-;"RUCTION--
CI ASS
ONS-;'R(JCTION--
CIASS OF WORK. .FPIS FIPST. . . . .- 0 5f N: S: E: W:
TYPE OF: USE. . . :COM SECOND. . . 0 s PROTECT GP1:�NING9?--------
TYPE OF CONST. :3N
0 sf N: S: E: W:
O(-CUPANCY GRP. B TOTAL--------: 0 s ROOF .30NST: FIRE REIT?
OCCUPANCY LOAD: 0 BASEMENT. : 0 s AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARqGE. . . - 0 5f OCCU SEP. RATED:
DSMT'): MEZZ?: REDD SETBACKS--------- REQUIRED-----------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKL:Y SMOK DET. . :
DAELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP, 13URFACE: 0 PIRO CORR: PARKING: 0
VALUE. $ : 495
Remarl(s : American Family Insurance aiteration of 3 sprinkler heads
Owner-: -------------------------------------------------------- FEES
PACIFIC REALTY ASSOCIATES type amoi.(nt by date recpt
15350 SW SEDUOIA PKWY STE 300 PRMT $ 25,. 00 JSD 08/05/98 98-308033
PORTLAND OR 97224 `;PCT $ 1. 2b JSD 08/05/98 98-308033
Phone #: 624-6300
contractor': --------------------------
FIRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97223
----------------------------------
Phone #: 620-61 '+0 $ 26. 25 TOTAL
Reg 14. . : 000638
--REQUIREI ACTIONS or, INSPECTIONS--
This pe-mit is iss,jed slibject to the regulat-ons contained in the Sprinkler Under-s
Tigard Municipal Code, State of 6-e. Specialty Codes and all other Spr,inlilcar- ROUgh—
applicable laws. Al: work will by done in accordance with 5pt,ink1er, Fiv;%l
approved plans. this permit will expire if work is not started 6L'-0-
within IPA days of issuance, or if work is suspended for sure V
than 180 days. ATTENTION: Oregon law requires you to follow the C
rales adopted by the Oregon Utility Notification Center. Those
rules are set fr)rth in DAR 952-0@14819 through OAR W., -0@191967. '101r4
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
BY :
............. ++�......4-++++,+++++-f-+++f+++++++•++++++++++ 4...........I........ +++
Call 639-4175 by 7:00 p. m. for an insper-tion needed the next bi-isiness day
4++++++++++.+++++++++++++++++++++++++•++++++++•I.++++++++++++. .....4-++..........4.+++
_j
Fire Protection Permit Application P13nCheck.#
CITY OF TIGARD Commercia, or Residential Recd By_ _
13125 SW HALL BLVD. Date Recd
TIGARD, OR 97223 Print or Type Date to P E. _
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
Permit
Called_
Job Name of Development/Project Type of System (Complete A or a as applicable)
Address
Address IS�'TS �w -7-L';9- V4 A } Sprinkler Wet P9 Dry C]
�NameStandpipes
Owner Mailing Address , Hazard Group
(S3SV S�,v Syo_ t�_P y 3n Additional L-1 GI-It T
C' ?tate yzip Phone Information Density
o r_or+'1u DR 1"L4
I lame r—
Design Area
Af,,�►��, f_�,,tt��r lis. _
Occ:, )ant Mailing Address H. Factor —�
W
City/State Zlp Phone A 1) Sprinkler Project Valuaticn 6�
_11tahR0r�Q _ 4-GS
1 Contractor Name B.) Fire Alarm
(Sprinkler or t a.)FS T1,i—�V
Alarm Company) Merlin Add res (� Submittal Shall Include Battery Calculalions YES ❑
Prior to permit ��4 T 'Acb J T.
issuance, a City/State Zip Phone Individual Compr.ncnt YES❑
copyT v� —671
_ Cut Sheets_
of all licenses I VPAOL0 Ok- gl-L13 ('ZV -(„1 �},0 B 1) Fire Aiarm Project Valua_tion $
are required if State Const.Cont.Board Lic.# Exp.Date
expired in COT Project Valuation Subtotal (A 8 or B) $
database �3�d (o OZ o� p�
Name �y-r'---
'Permit fee based on validation $
(see chart on back)
Architect Mailing Address — --
5%° Surcharge $
City/State Zip Phone FLS Plan Review 40016 of Permit $
Describe work A.)New O Addition O Alteration X Repair O — TOTAL $ /'
to be done: l�
B) Modification to sprinkler heads only -�---�—
1. 1-10 heads=No plans required Plans required: Submit three sets or plans,including a vicinity map and
2 11+=Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application,that the mformation given is
Number of sprinkler heads 3 axre-t,that I am the owner or authorized agent of the owner,and that plans submitted
--- are in compliance with Oregon State laws
Additional Description of Work:
15 r r+5ture o;O r/ opt Date I
A.)In Existing Building New Building ❑ e VJ IEA,lu g S 9 Y,
[�D
ilding C�o(gta�ctPer( on Name Phone
ata 8.) Commercial X Residential ❑ lL�t E Q-S r-' p ("�4
FOR OFFICE USE O_PJLY:
No of stories: Plat# Map/Tl-A:
kr-
Sq. Ft
)votes /n
Occupancy Class Type of Construction
is+firesupr.doc
CITY OF TIGARD
BUILDING PERMIT Z=EES_
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 1.0.00 1.25 362-
1,501-1600 26.50__'_______l_0.60 1.33 38.43
1,601-1,700 28.00 11.20 1.40 40.60
1,701-1,Si)0 29.50 11.80 1.48 42.78
1,80,11-1,900 31.00 12.40 1.55 44.95
1,901-2.,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15.40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,001-5,00 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 81.93
6,001-7,000 62.10 25.00 3.13 90.63
7,001-8,000 68.EID 27.46 3.43 99.33
8,001-9,000 74.50 29.80 3.73 108.03
9,001-10,000 80.50 32.20 4.03 116.73
10,001-11000 86.50 34.60 4.33 -125.4.3
11,001-12,000 92.50 37.00 4.63 134.13
12,001-13,000 98.50 39.40 4.93 142.83
13,001-14,000 104.50 41.80 5.23 151.3
14,001-15,000 110.50 44.20 5.53 160.23
15,001-16,000 116.50 46 F0 I 5.H 168.93
161,001-17,000 122..50 4900 6.13 177.63
11,001-18,000 128.'iO 51.40 6.43 186.33
18,001-19,000 134..10 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.' 3 58.6,0 7.33 212.43
21,001^22,000 152.r'0 61.00 7.63 221.13
22,001.23,000 158.50 63.40 7.93 229.83
25,001-24,000 164.50 65.80 8.23 2 8.53
24,001-25,000 170.50 68.20 8.53 247.23
25,001-26,000 175.00 70.00 8.75 253.75
26,001-27 000 179.50 71.80 8.99 260.2.8
27,001-28,000 18400 73.60 9.20 266.80
28,001-29,000 188.50 7;'�.40 9.43 273.33
29,001-30,000 193.00 77.20 9.65 279.85
30,001-31,000 19750 79.00 9.88 286.38
31,001-32,000 202.00 90 :^0 10.10 292.90
X06.50 82.60 10.33 29 .43
32,001-33,000
33,001-34,000 2 1.00 84.40 10.55 305.95
34,001-35,000 215 50 36.20 10.78 312.48
35,001-36,000 220.00 E3.00 11.00 319.00
36,001-37,000 224.50 89.80 '11.23 325.53
37,001-38,000 22.9.00 91.60 11.45 332.05
i:''firesupr.duc
CITY OF TIGARD
DEVELOPMENT SER\t ICES
13125 SW Hail Blvd„ Tigard,OR 97,123(503)639-4171 SIGN PERMIT
PERMIT it : SGN`_ 8- 0163
DATE ISSUED. . . . : 12/15/98
PARCEL.. . . . . . . . . . 25.112DC:-0070 1
'LONE. . . . . . . . . . . . I-P
JURISDICTION. . . TIG
BUSINE:.,3 NA.ME'. . : NW RUG GAL.LERIE.S
SIGN LOCATION. . : 15957 SW '/2ND AVE
APPLICANT/AGENT; NW RUGS
BUSINESS TAX NO:
SIGN:
PERMANENT ( ) 1;NEESTANVIwr ( ) FREEWAY
TEMPORARY (X) WALL ( > i LECTRONIc; ( >
OTHER t ) BILLBOARD ( > BALLOON (Y)
SIGN DIMENSIONS. . . . . . : 24 ' X 29'
'rOTAL SIGN AREA. . . . . . : 0 sq. f't.
WALL AREA. . . . . . . . . . . . s 0 aq. ft.
WALL FACE (DIRECTION) : N
SIGN HEIGHT. . . . . . . . . . . 24 ft..
PROJECTION FROM WALL., s 0 in.
1.LLUMINAT ION. . . . . . . . . : NON
DESCRIPTION OF SIGN : Temporary sign permit for a balloon, bailoon may Tema
in up fc)r a max. of
1.0 days. BaIloon will be up from 1/08/99 to 1/181'99.
MATERIALS. . . . . . . . . . . . t
EXISTING SIGNS. . . . . . . : 1
hL ECTRICAL PERMIT REQUIRED: N
BUTL,D1NG PERMIT REQUIRED. . : N
ADMINSSTRA'r1.VF. EXCEFTIONS. : N/A
PERMIT FEF-: $ 15. 00
Thio ppiw-t in 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
approved plane. A sign permit shall expire 96 days from appro^al date.
A teeporary eine shall expire 36 days trap approval date. A balloon sign
ehali expire 10 dayR from approval date.
A.LPRUVQ Hyl
PERM1 TTE6 SIGBAIURR:`� -' �..J.U—
DATE: 12115/98
CIT' CSF TIGARD
- DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171
CERTIFICATE. OF
OCCUPANCY
PE RhII T #. . . . . . . s BUF 98---W-;06
DATE ISSUED: 09/03/98
I
PARCEL_: 2S112DC 007+ 1.
.ITE ADDRESS. . . 059?'.:, OW 72ND AVE::
SUBDIVISION. . . . WAh1NO CREEK ACRE TPAC:TS LON I NG a I-P
BLOCK. . . . . . . . . . . LOT_ . . . . . . . . . . . zO 38 JURISDICTION: TIG
__
CLASS OF WORN.. :AI._T
TYPE OF USE. . . t OM
TYPE OF CONST R.3N
C)CCUPANC:Y CRP. -..v3
UPANCY LOAD: 10
E::NANT NAME, , :AME RICAN FAMILY ItMSURANLE
r+m.arkv : Tenant Impro .--zment
AC;IFIC REALTY
SW SEQUOIA PKWY 0 300
,0117 ..AND OR 77214
'hone %.
ontract:or^: _.._.._ ...._._._...,_. ....__.......____ .._._...__..____._..
1AK C,ONSTRUCTIOhl INC
0 BOX 66
I_OC;KAMAS OP 9*7013
,'ivne #e 557-121866
eg #. . i 001005
nip C p-t i ficHe grants ocaupmna- v! the above re.>ferencen' building or portion
""roof and confirms that the b ildiog has been inspected fnr compliance with
5* State of Orgon specinity coves ror the group, oruupanc:y, -And 1.iae ender
h4 h low-referenced ed pr+r•mi. G was issIA&d.
Ln i1IL JNs SPE.CTOFt EaIJIL.LTINr AF`FIC4Ifll
POST IN C'Ohl`:P.l C:UODU PLACE
c�
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CITY OF TIGARD MECHANICOL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : MEC98-0355
.13125 SIN Hall Blvd., Tigard,OR 97. '3 (503)639-4171 DATE ISSUED: 08/19/98
PARCEL: 2SI121)C-00701
_)ITE ADDRESS. . . : 1.5975 SW 7211\11) AVE
-aLJBD. V I S I ON. . . . : FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O38 JURISDICTION: TIG
---------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM uNTT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . :B VENTS W/O APDL: 0 VENT SYSTEMS: 1.
STORIES. . . . . . . . : 0 BOIL.FRS/COMFIRESSORS HOODS. . . . . . . : IZI
FUEL TYPIES- 0-3 HP. . . . 0 DOMES. INCIN: 0
3-15 HP. . . . 0 COMM .. INIC IN: 0
MAX INPUT: 0 BTU 15--30 HP. . . . 0 REPAIR UNITS: 0
FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE_. . . : 50+ HP. . . .. -, 0 CLO DRYERS. . : 0
NO. OF UNITS—---- AIR HANDLING 1..IN IT'S OTHER UNITS. : 0
FURN ( 100K BTU: 0 10000 cfm : 0 GAS OUTLETS. : 0
FURN > =100K BTU: 0 10000 cfm : 0
Remarks : Reduct eiisting HVAC syster.
Owner-: ----------------------------------------------------- FEES
PACIFIC REALTY ASSOCIATES type amol.trit by date r-ecpt
15350 SW SEDUOIA PKWY STE 300 PRMT $ 25. 00 DEB 08/1.9/98 98-308407
PORTI_.nND OR 97224 5PCT $ 1. 25 DEB 08/19/98 98-308407
Phone #:
Contr-actor-:
PRECISION AIR LLC
7300 NE VANCOUVER MPLL. PR
STE G-64 $ 26. 25 TOTAL
VANCOUVER WA 98662
Phone #: 360-2'43-7804
R
-------- REQUIRED INSPECTIONS
This pertit is issued subject to the regulations contained in the DiAct Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
apprrved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in CAR 952-001-00I0 through OAR 952-001-0080. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
...........-
W
I s s I-( P t-V,I 1.,ee Sit]nA t i-ir e
..........#...... I................+++++++++4................4..............H+4•.......
Call 639-4175 by 7:00 p. m. for inspections needed the ne)(t btisiness day
...........f-4-++++4.............................................................
Plan C ck
CITY OF TIGARD Mechanical Permit Application Rer.'d a __
13125 SW HALL i3l VD. Commercial and Residential Dale Rec'd�
TIGARD, OR 97223 Date tc P.E.
(503) 639 4171, 2304 ��'(� � rate to DST
Print or Type �vl't Permit# -cQl�•03s_S
Incomplete or illegible applications will not be accepted Called
Name of Development/Project �� Description
41, = A•./ I-A/Li/c —L,\J.; Rvr Table 1A Mechanical Code Qty Price _Amt
Job Street Address Suite# A) Permit Fee 10.00
Address /s- 1s Si,,' 7L 1) Furnace to 100,000 BTU
Bldg# City/State Z;r includingducts&vents 6.00
2) Furnace 100,000 BTU+
_ %/iA 6r. includin ducts&vents 7.50
Name(or name of business) 3) Floor Furnace
Owner inCILding vent 6.00
Mailing Address 4) Suspended heater,wall heater
or floor mounted heater 6.00
_ _ 5) V,-'not included in appliance permit
City/State Zip Phone _ 3,00
Ct IECK ALL. 'Boilr--r Heat Air
Name(or name of business) THAT APPLY: or Pump Cond (lty Price Amt
_ Comp ..
__ _ 6)<3HP;absorb unit to
Occupant Mailing Address IOOK BTU
_ 6.00
7)3-15 HP;absorb unit - I
City/State Zip Phone 100k to FOOk BTU l l.er
8) 15-30 HP,absorb
Contractor Name
unit.5-1 mil BTU 15 h0
9)30-50 HP;absorb
/�E'Fi!Slu•v 4 ile unit 1-1.75 mil BTU _ _ 22 1.1-'
Prior to permit Maith g Address _ 10)>50HP;absorb unit
issuance,a copy "'L& 3) S 1ti >1.75 mil BTU_
_ _ 37.50
of all licenses Cfty/State Zip I Phone 11)Air handling unit tc 10,000 CFM
are required if �F.Q�r.:fT Un/ r,Q 9 7uc+71 !y1 4Zt�
_ 4.50
expired in COT Oregon Const Cont Board l-Ic# Exp Dale 12)Air handling unit 10,000 C;-M+
database 119`)o'7 ,2.7_e 7.50
Architect Name 13)Non-portable evaporate cooler
4 50_
Or Mailing Address 14)Vent fan connected to a single duct
_ 3.00
_ 15)Ventilation system not included in
Engineer city/stale Zip Phone appl;ani;L perms, _ I X 4 50 y. S'u
16)Hood served by mechanical exhaust
Describe work to be done: _ _ 4.50
17)Domestic incinerators
New O Repair W--Rep!-=c with':.e kind Yes O No O 7 50
Residential O Commel'Jal O 18)Commercial or industrial type incinerator
3000 _
Additional information or de, iiption of work. 19)Pepair units
r - (h I i k S71•'1 20)Wood stove — — 4.50
4.50
21)Clothes dryer,etc
4.50
Type of fuel oil O natural qas O LPG O electric O 22)Other units
450 _
I hereby acknowledge that I have read this application,that the informatics 23)Gas piping one to four outlets
given is correct,that I am the owner or authorized agent of 2.00
c� the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each)
.50
Signature of Date a5 4'
Minimum Permit Fee$25.00 SUBTOTAL �y 5�
5%SURCHARGE r
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
Required for ALL commercial permits ons
` Al
� y Z _V2 F TOTAL
'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I\rnechperm.doc rev 07/20/98
CITY OF TIGARD F_.LEL"TRICAL PERMIT
DEVELOPMENT SERVICES PIERMiT #: ELC96-0465
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/07/98
PARCEL: E'S112DC-00701
SITE ADDRESS. . . : 15975 SW 72ND AVE
SUBDIVISION. . . . :FANNO CREEK. ACRE TRACTS ZONING: I-P
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . :038 JURISDICTION: TIG
Pro J ect Description: Instdllation of 5 branch circuits.
-----------------------------------------------------------------------------------------
RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 _. 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 X21 - 400 ?.yip. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER---- ----BRANCH CIRCUIT'S------ ---ADD' L INSPIECTIONS---•
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/0 SRVC:' OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC- 4 IN PLANT. . . . . . . . . . . : N
601 - 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION-----------------
1000-4- amp/volt. . . . . : 0 ) =4 R:-.S UNITS. . . . . . . . : ) 600 VOLT NOMINAL— :
Reconnect only. . . . . : 0 SVC 'F'DR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner: _________.__---.--__--------__._._.______.._______________._._.____ FEES ------------------
PACIFIC REALTY ASSOCIATES type amot"int by date reept
15350 SW SEQUOIA PKWY STE 300 PRMT f 55. 00 DER 08/07/98 98--308093
PORTLAND OR 97224 5PCT $ 2. 75 DEB 08/07/98 98--108093
Flhane #:
Contractor: -----------------------------
COMMERCIAL
-------------------_-_.-_---
COMMERCIAI_ ELECTRIC CORP. $ 57. 75 TOTAL
10928 NE KILLINGSWCRTH
REQUIRED INSPECTIONS -----
PORTLAND OR 9720--1097 Ceiling Cover Elect' ] Service
Phone #: 255-9822 Wall Cover Elect' l Final
Reg #. . : 000061
This permit is issued subject to the ragulations Lontained in the Tigard Muni.ipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work rill to „one in accordance with approved plans. This permrt will expire if work is not started within 188
days of issuance, or if work is ,uspended for more that 188 days. ATTENTION: Oregon law requires you to follow the rule; adopted by
the Oregon Utility Notification Center. Those rules are set forth in DAP 9552-001-8818 t 801-1987. You may obtain a copy
of these rules or direct quer,tions to OLW by callin (503)246-1987. �-
Si g n a'��_i r e : ✓�_ I s s l.r e d : (-^��� � ( � �•
CL'
vi --------------_____---_____--OWNER
INSTALLATION
ONL.Y ---._.____--------.-----------____--
y (he installa'`.- ion is being made on property I own which is not intended fr.r
�- ;ale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
_.--------__-----__--_---CONTRACTOR INSTAL.L.ATION ONLY- -______._______- --_------_•___-.
�,I GNATURE OF SUPIR. ELEL' N: A.Q_ DATE: 0' 90o
IICENSE NO:
+ t+++++++++++.+++-F++++++++++++++++++++++i+++++++++++++++++++++4++++++•+•+++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next b�rsiness day
++++++++++++++++++. ...+++++++++++++t1 ++++++++++-r+++++++++++++++++++++++++++++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 N tECEIV70 Planck/Rec. #
Permit # E1_C?T-- 0
Phone (503) 639 41411^ — 7 1998 Date Issued R- 7 -sq
CITY OF TIGARD FAX (503) 684-7297 Issued by r
TDD No. (503) 684-2772 r!EVELOPI F
Inspection (503) 639-4175
1. Job Address: 4, Complete Fee ?chedule Below:
Name of Development Ai14t c,e,A f^) rr4"41('y 1A1,e.ralj)C. _ Number of Inspections pct permit allowed
Address I rinfi 7 S 5 W l Z M D Service included, Items Cost(ea; Sum
City/State/Zip 4s. Residential-per unit 4
1000 sq It or lose $11000
TFoch additional 500 sq It or
Name (or name of business _ 6YNI��-YN i"rl(�f�l". portion thereof $2500 1
Commercial T Residential Limited Energy $2500 _
Each Manufm
d Hoe or Modular 2
Dwelling Service or Feeder $6600
2a. Contractor installation only: 4b.Services or Feeders
Inslallr,lion,alteration,o,relocation 2
Electrical Contractor CL'tIl?I2CTAly ij,Ti(",lzT(',Al, Coll- 200 amps or lets $FO 00 2
Address109 73 N_1 _ 1;T i.i.T pjj Sj1( 12 ji.j 201 amps to 400 amps $8000 _ 2
_
401 amps to 800 vnps $120 00
City__ PORTL��D _ State_ji __ Zip 97 801 amps to 1000 amps $18000 —� 2
Phone No. 255-91322 _ _ over to0oamps orvolts $34000
2
Contractor's License No, 2()-?t3(; _ Reconnect only $50ou
Contractor's Board Reg. No._bl4.,r, _ 4c. Temporary Services or Feeder
M, M ) �� n Irxctallation,alteration,or rel,xalio�i 2
Signat�ire of Supr. Elec'n X41 ( -n- _ zoo amps or lees $5000
PN -98�— 201 amps to 400 amps $7500
License No._ Z"`�rJ hone -� 401 amps to 800 nmpe $100 00
Over 800 amps to 1000 volts
2b. For owner installations: see•b-above
4d.Branch Circuits
Print Owners Name Now allernlon or extension per panel
Address a1 the fee for branch circuits With
purcheee of eavks,or As Ase.
City _ State Zip Each branch circuit $500
Phone No. h)The fee for branch circuits Wthout
The installation is being made on property I own which is purchAN or eervke or boder be. I 3 - 2
Fest branch circa S35 nL 2
not intended for sale, lease or rent. Each additional branch circuit $5 ot, Le
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump of urigafion circle $4000 _ 2
Each sign or outline lighting $4000
Signal cirrud(s)or a limited energy 7
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) $too 0e
Service and feeder 225 amps or more
System over 600 volts nomiral 41. Each additional inspection over
c~it Classified area or structure containing special occupancy the allowable in any of the above
as described in N E.0 Chapter 5 Per hour coon $35 no
� Per hour Est,no
In plant555 00
Submit 2 sets of plane with P,,p'cation where any of the above
apply. Not required for temporary oonstruction services. Jr. Fees:
��Qc
LL NOTICE So. Enter total of above fees $ _J
5%Surcharge(05 X total foes) $ ` -1.K
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ y I-7)i--
AUTHORIZED
7)i=AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b• Enter 2596 of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec.'t) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Account a $
Balance Due S D 7
eM!1''M�•NN We pnr Alt
CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
,VAIL�� 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERGY
PERMIT #: ELR98-021+4
DATE ISSUED: 09/61 /99-
PARCEL: 2S1. 12DC-00701
,*:-),-rE ADDRESS. . . -, 1.5975 SW 72ND AVE
SUBDIVISION. . . . :FANNO CREEK ,CRE TRACTS ZONING: J--P
81-OCK. . . . . . . . . . : L OT. . . . . . . . . . . . . :038 JURISDICTN- TIG
Pro.j ect De scr i pt ion- Data telecommunication installation.
A. RESIDENTIAL-----•------ B COMME RC I
AUDIO & STEREO. . . : AUDIO & STERE=O. . : INTERCOM & PAGING. . :
BURGLAR At-ARM. . . . BOILER. . . . . . . . . . : LANDSCAPE/I RR I BAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . - : MEDI k-Al... .. . . . . . . . . . —
HVAC. . . . . . . . . . . . . DATA/TEL.E COMM. . :X NURSE CALLS. . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE.:
OTHER: HVAC. . . . . . . .. . . . . : PFJTECTIVE SIGNVIL,
1 N,TR U M E NT AT 10 N. : OTHER. . :
-OTAL # OF SYSTE1,12 I
Owner: FEES
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOTrJ PKWY STE 300 PRMT $ 40. 00 GEO 09/01/99 98-308777
PORTLAND OR 9-224. 5PCT $ 2. 00 GEO 09/01/98 98-308777
Phone #: &.214-11`300
Cl)ntraCtOr:
ALLEN/FALK INC $ 42. 00 TOTAL
9020 SW GEMINI DR
REQUIRED INSPECTIONS
11FAVERTON OR 97008 Low Voltage Insp .......
Phone 646-0533 Eler-tll Final.
Reg it. 000472
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 worth will be done in accordance with approved plans. This permit will Pypire if wore is not started within 180
days of issuance, or if worth is suspended for more than 180 days. ATTENTION: Oregon law requires ou to follow rule adopted by the
Orrqnn Utility Notification Center. Those rr.W are set forth in OAR 952-00I-00I0 through OAR 952 ,1-0060. You may obtain copies of
those rules or direct ��KAHVC at 3126-1987,
1 s d t
OWNER INSTALLATION ONLY-----------------------------
ti
The installation is being m--,de on property I own which is not intended for
salL-, lease, or rent.
OWNER' S SIBNATUPE, DATE:
-------------------------CONTQACT-OR INSTALLATION
1,:;IGNATURE OF SUPR. ELEC9N-. DATE.-
I .ICENSE NO:
...............4........4.........................................................
Call 639--4175 by 7:00 P. M. for i,n inspection needed the next business day
................. ......................;..........I .......................1 .......4-4
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date RecdDate to P.E.
Phone(503)639-4171, x304
ST
In::pection (tv3) 639-4175 °'int Or Type permit Date tos,jCC%Lf/�5"
Fax (503)684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ _ Number of Inspections per permit allowed
Name(or name of business) ft) f c G G cv Service included: Items Cost Sum
Address an 4a. Residential•per unit
1000 sq.ft.or loss $110.00 _ 4
City/State/Zlp�_\GG.r C) I�[�`Y Each additional 500 sq.ft.or
Commercial 10 ] Hesidential ❑ Limited
thereof - $25.00 1
mited Energy � $25.00
Each Manuf'd Homo o-Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00 2
(Attach copy of all current 11 enses) 4b.Services or Feeders
Electrical Contractor, Installation,alteration,or relocation
Address 0; . f-IIJ 400 $8
200 amps or - 0.00 2
201 amps to 4D0 amps $80.00 2
City-. CAilt-t''k-n, State Q 9, Zip -I� i 401 amps to 600 ,mps $120.00 2
Phone No._ 601 amps to 1000 amps $18000 2
Job No. 1=' Over 1000 ps or volts $340.00 2
Elec.Cont. Lice. No. - S Exp.DateO Reconnect . ny $50.00
OR State CCB Reg. No._��7 Exp.Date S-cl`� 4c.Temporary Services or Feeders
COT Business Tax or M u. � 5_Exp.Date \\J`IS Installation,alteration,or relocation
200 amps or loss $50.00 2
Signature of Sup r. Elec'n . (��(4n 201 amps to 400 amps _- $75.00 2
- 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No.( '_1Exp.Date.-� ��-_ see"b"above.
Phone No. �Q3- o y � - O5 3� / '
_ - 4d.Branch Circuits
Now,alteration nr extension Por panel
2b. For owner installations: a)The fee for branch rircuits with
purchase of service or
Print Owner's Name _ feeder tee.
Address Each branch circuit $5.00 2
b)The fee for branch circuits
City J �_ State T Zip _ without purchase of
Phone No. _ service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit- $5.00 2
intended for sale, lease or rent. 4e.Mlscir taneom.
(Service of,coder not Included)
Owner'-,Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):' Signal circult(s)or a limited ens
Lt?ool'alteration or ex 1-slon �- $40.00 �,yx 2
Minor Labels(10) $100.'1')
- Please check appropriate item and enter fPe in section 5B.
V, 4 or more residential units in one structure 4f.Each additional Inspection nver
Service and feeder 225 amps or more the allowable in any of the above
_ System over 600 volts nominal Per inspection - $35.00
-' Classified area or structure containing special occupancy Per hour $55.00
w as described in N.E.C.Chapter 5 In Plant $55.00
c.7
Submit 2 sets of plans with application where nn y of the above apply. 5. Fees: GV
Not required for temporary constn ction servir�ea. 5a.Enter total of above tees $ L
5%Surcharge(.05 X total fees) i
NOTICE Subtotal $
5b.Enter 25%of line 5a for
PERMITS DECOME VC'ID IF WORK OR CONSTRUCTION AUTHr r1IZED IS Plan Review if r r it (Seo.3) $
NOT COMMENCED VATH(N 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY rr��
TIME AFTER WORK IS COMMENCED l__J Trust Account# LA{ 1, up
notal balance Due $
I�nST 51El C9f�I'1' Rev 4�9F
CITY OF TICARD
BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUF198-0306
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/04/98
PARCEL: 2S112DC-00761
SITE ADDRESS— : 15975 SW 72ND AVE
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I—P,
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :038 JURISDICTION:TIG
---------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . : 1050 sf N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT
TYPE 01- CONST. :3N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP,. :B TOTAI--------: 1050 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 10 BASEMENT. : 0 sf AREA SEP. RATED-
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT'1 : MEZZ?: REDD SETBACKS-------- REQUIRED--------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIKI.-- SMOIi DET. . :
DWELLING UNITE. 0 FRNT: 0 ft REAR: 0 ft FIR (41...RM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 6000
Remarks . American Family Insurance T1 constructing (3) office. A fire sprkir,
elec, oech permit is req'd
Owner:
PACIFIC REALTY ASSOCIAIES type amol-trit by d.-I-e reept
15350 SW SEQUOIA PKWY STE 300 PRMT $ 56. 50 JSD 08/04/98 98-307954
PORTLAND OR 97224 `=PCT $ 2. 83 JSD 08/04/98 98-307954
PLCK $ 36. 73 JSD 08/04/98 98-30795A�
Phone #: 624-6300 FIRE $ 22. 60 JSD k',18/04/98 98-307954
Contractor: ----------------------------
BNK CONSTRUCTION INC
PIO BOX 66
CLACKAMAS OR 97015
---------------------------------------
V'L)one #: 557-0866 $ 118. 66 TOTAL
Reg #. . : 001075 -
--REULJIRED ACTIONS or INSPECTIONS_--
This permit is issued subject to the regulation, contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Coles and all other Gyp Bcird Insp
applicable laws. All work will be done in accordance with St-isp Ceilng Insp
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. These
riles are set forth in OAR 952-98I-NIO throagh OAR 952-98I81987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)2,16-1987.
le.so.Aed By..
Permittee Si gnat i.tre
++++-#•++++++++++++++ ............ ............ .. 4- +-++++++4+++f i+++++++++ + +
Call 639--4175 by 7:00 p. m. for �n insper-tion needed the next bi-isiness day
.......................................................................4-4-++++++
CITY OF TIGARD Commercial Building Permit Application Recd By e r
131 _25 SW)-IALL BLVD. Tenant Improvement Date Recd 2 - V��/,"
Dale to P.E. L
TIGARD, OR 97223 VEL Date to DST
(503) 639-4171 4 v7 Permit s 2� _
/)7 —fS3Gl�
Print or Type �� lJ Related
Incomplete or illegible applications will not be accepted Called
Name of Development/Project ^T Existing Building g New Building p
Job 0e`vAl 10.* S- �''�A/��
Address Street Address Suite Building
/ r'7S ihl,"7Y Data
Bldg a Citylst_le Zip Existing Use of Building or Property:
- -- A �«ro" � Pic ;r,4---r
Name _ _
Property 14 G 7,Ck � f�roposed Use of Builth t�or Property:
P _ t
Owner Mailing Address Suite
/;_V5_0 5 w f�. 3 0� No. Of Stories: , ~—
City/Stale Lip Phone /
Gy�f�G�ojJ Sq. Ft. Of Project: 1
Occupant NameAll e-lz7 G W �.�/,ZGY -`
,-F4,A9,✓G Occupancy Class(es)
Name i
Contractor �f� Type(s) of Construction
Pn or to permit Mailing Address Suite
issuance,a copyWill this project havC d Fire Suppression Syst,?m?
of all licenses o if ox 6 6.
--- Yes _ No
diP fP,rtUlfP.d If City/Stale lip Phone -
expired in C O 7r77 y r Americans with Disabilities Act(ADA)
database G�If'G���5, .0 >'f 7-44(4 Valuation X 25% = $ /S"Oo Participation
Oregon Const Cont Board Lic0 Exp.Dat Complete AcceFsibility Foran
e7£- O Project _ $-_--�
Name Valuation __ 6�
Architect •/�y/ ,� Plans Requireo See Matrix for number of set;,to submit
Marling Address Suite on back
City/State Zip Phone I hereby acknowledge that I have read this application,that the information
given is correct,that I am the owner or authorized agent of the owner,and
- _ that plans submitted are in compliance with Oregon State Laws
Engineer Name
Si nature of Owner/ of _ Date,..-- - �/-~-
Mailing Address
Contact Person Name Phone
CitylStatc _ Zip Phone
FOR OF_F_ ICE USE-ONLY
Indicate type of work New O Addition O Demolition J MaprTL# �! - Land_Use.
J Accessory Structure O Foundation Only O AllerationX l
_ _ Repair O Other O Notes -�— -
Description of work:
Mote: Site Work Permit Application must precede or accompany Building
Permit Application
I\COMNEWTI DOC (DST) 5198
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes.>(Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Total # of
[TYPE OF SUBMITTAL Flans KEY:
Submitted
S (Private) 1� S = Site Work
B (New or Add) _ 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) i 1 P Plumbing
P (New, Adc�, or Ait) 2� E = Electrical
B & M & P (Neer or Add) �2 New = New Building
E (New, Add, or Alt) i 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
'B or B & M (Alt)^ 1
'B & M & P (Alt) 3
P & E(Alt) 3
'B & M & P & E & F(Alt) 3
NOTES:
'Shaded areas designate ALT submittals only.
I%dstMmaxtrixl.doc 07/08/98
SUBJECT ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
RE::QUIREMEN 1': OREGON REVISED STATUTE (ORS)44'.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area anJ the restroom,
telephones and drinking lountaii s are readily accessible to individuals with disabilities, unless
such alterations are disproportionate to the overall alterations in to ms of cost and scope
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%)
VALUATION of a;. renovation, alteration or modification beirg done
excluding painting, wallpapering. (1J $
multiply: 25% Barrier removal requirement. —.25—
BUDGET
.25_BUDGET FOR BA ZRIER REMOVAL (21 $_� v
The dollar amount of the BUDGET established on line (2) in the computation above shall be spent
providing the accessible elements in the following order
1 An accessible route connecting the builtlPng to accessible pedestrian
walkways, and the public way. $
(including but not limited to curb ramps,delectable warnings,
marked crossings,ramps handrails and landings)
2 Not less than one accessible parking space. $ _
(including but not limited to adjacent access aisle,signs and curb ramp
connecting with the accessible route)
3 Accessible entry or entries. $ r y �
(including but not limited to ramps, handrails,landings, 7
door sill height,door width and door hardware)
4. An accessible Interior route to the altered area. $ �l
(including but not limited to donr-ways,maneuvering
clearances,door hardware and stairways)
5 At least one accessible restroom for each sex $
6 At least one accessible telephone where public phones
are provided $
7 When drinking fountains are required, fifty per-cent but
not less than one shall be accessible $
J
8 Additional accessible ments such as storage, reach ranges,
cz alarms, etc $
41
TOTAL: Shall equal line 2 of Value Computation $
r "
is/otc4.doc(DST) U�,
A
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF '.'YORK: FLOO,'. AREAS: !" �� EXTERIOR WALL CONSTRUCTION
I i
TYPE OF USE. _ FIRST SQ. FT. i N. S: E: W:
TYPE OF
CONSTR.-__ ~; /'% SECOND SQ. FT. i PROTECT OPENINGS?:
OCCUPANCY GRP_ 1. THIRD SO. FT. N: _i S: E: W:
OCCUPANCY LOAD TOTAL SO. FT. ROOF CONSTR: FIRE RET:
i I
STOR:, HT FT BSMNT. SQ, FT. AREA. SEP. RATED:
BSMNT? MEZZ2—_ GARAGE: SQ. FT i OC'�U.SEP.RATED:
FIRE_ FIRE SMOKE HANDICAP
SPRINKLER: _ ALARM DETECTOR: ACCESS:
COMMERCIAL INSPECTION ACTIONS' FEE MENU
Foot/Found Post/Beam $ 5-E �' Permit Fee
7
Masonry Framing $_;(, Plan Review
Insulation _` Shear Wall $ `�-' 5% State Surcharge
� C
Fir&.Nall Gyp Board $f �- FLS Plan Review
Suspended Ceiling _ Sprinkler Rough-in $ Add'I Permit Fee
Sprinkler Final _ Fire Alarm $ Add'I FLS Pln
Smoke Detector _^ Approach/Sidewalk $ Inspection
Miscellaneous Flnal $_, MIS Feg
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (CUM-cunrrttcrcial; CMS=commerciai manufactured structure)
CLASS OF WORK OPTIONS FOR ALL. PERMITS(NEW-new: Add-addition; ALT=alteration; ACS=accessor%:FND-foundatiurr:
OTR=other: DEM=demolition: REP-repair: FPS-tire protection system. NOTE: USE OTR FOR FENCES. RETAINING
WALLS. DETAC'I{ED DECKS. SIGNS. AWNINGS. CANOPIES)
I 'ovrcntr2 doc (DST) 4/97
American Famihv Insuranec
45975
r Oregon Business Part. III
• Building A
Portland. OR. 97:2;
LEGEND
I 11 7-
3 ', 25 gauge metal stud. insulated mall built to
3 7 underside of T-bar ceiling. 518" gyp board each sidt.
„n - 7 Wall to be removed
`%l y ee Apr
�iX Fite Sprinklers
NORTH Floor plan SCALE: 1/8" = I FOOT Existing light fixtures
Relocated light fixtures
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I L I Specific Notes- �f I
w .T
1. S X 4 Timely relite.
Existing Reflected Ceiling Plan 2. Door frames 3 X 7 brown tone timely with doors stained to match tenants furniture.
3. Designweave carpet as selected by owner.
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Permit No SP 89-19
CITY 01: I'IGARD
SIGN PLIRIM11-1 APPLI.CATION
The applicant hereby applies for a permit For the work indicated or as shown it Jio
accompany i rig plans and specifications .
T 'ON ADDRESS: 15975 SW 72nd Ave., Tiqard, OR 97224 ZONING:
SIGN LOCA I —.L
NAME OF 0U:3[NI---SS: ---Ford-Graphics--.-,
COMPANY: Beaverton Neon PHONL : 649-1544
The City of Tigard imposes an annual Business Tax which must be kept current (in all
persons doing business in the City . Do you presently havo a current Busincnst;
Tax?
PROPOSED SIGN: (Chock as many <as Apply)
PERMANJ,r NI V) Fdf-[ !:TANDINCI FREEWAY
TEMPORARY WAI, L FLECT'RONIC
OTHER [1,11.1 110m) VAt LOON
SIGN DIMI-'NSTONS: 2' x 617" EXPIRATIOW DATE:
TOTAL SIGN AREA (Sq, Ft. ) : sq L�
WAt 1. ARLA (,3q. t-j-- approx 550 S9 ft
WALL f7A(,[.
: NE
(ft) : --
PROJI-CTLON I-ROM WALL: 511
I IJAIMI NA-1 ION: YES ( X ) NO 'TYPE:
COPY: "Ford Graphics'
MATERIALS: metal and pLexi qlass, neon, transformers & UL hardware
EXISTING SIGNS: to be removedupon placement of new signage
ADMINISTRATIVE EXCEPTION: AP11POk -0 N/A AREA HEIGHT HOW MUCH—%
COMMENTS:
PLANNING DErARTMENI All sign permits must be accompanied by a scale drawing
Permit Fee: $10.ur) and plot plan. if work authorized under a sign permit
Receipt No: 1.02561 has not been completed within ninety days after the
Approved E3-IL njm issuance of the permit, the permit shall become null
Date: 2/13/89 and void.
ELECTRICAL PERMIT I CERTIFY THAT I AM THE RECORDED OWNER OF THE PROPERTY
F
REQUIRED: YES ( X ) NO ( ) OR AN TAGFA BY THE OWNER.
BUILDING P67'RMI-1 ti
REQUIRED: YES ( No ( X ) Applicant' Signature
Address Telephone
37221 -07 G$,1
I AP?FOVED F R CONS F-YUCTION
CITY CI:
SLv 72
SY---/ _TITLE DATE L�/��
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RPAL- LIT LE_TCt S/F
. 1U" INTCQ0AL 1.-IT C.NAh1NEL GAF
::LETfEaS
s _ /
GREG WILLIAMS
-)wear
18275 S.N'.BHOADOAK BLVD.
ALOHA,OR 97007 649.1544
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Locaticn (AltrlgLl CCN11-CK
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Designer T 1:, Tones I Dale ,qc'tjg I
Scala 3�y"- I CE Type CHANNEL
Permit No. SP 4–S8
t;1TY OF IIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for Lhe work indicated or as shown
in the accompanying plans and specifications.
SIGN LOCATION ADDRESS: :5975 SW 72nd AVE ZONING: I-P
NAME OF COMPANY: Ford Graphics
APPLICANT/AGENT: Jerry Scott Sign Craft 639-4910
The City of Tigard imposes an annual Business Tax which must be kept current
on all persons doing business in the City. Do you presently have a current
Business Tax? pec
PROPOSED SIGN:
PERMANENT (xx) FREESTANDING ( )
TEMPORARY ( ) WALL (XX)
BILLBOARD ( )
SIGN DIMENSIONS: _ 2' x 6'
TOTAL SIGN AREA (Sq. ft. ) : 12 sq. ft.
WALL AREA (Sq. ft. ) : 192 sq. ft.
HEIGHT (ft) : __ N A
PROJECTION: N/A _
ILLUMINATION: YES (XX) NO ( )
COPY: Ford Graphics
MATERIALS: _ p exig as
EXISTING SIGNS:- none Yr this storefront
OTHER PERMITS REQUIRED: YE`, ( ) NO ( x )
CONMENIS: Sign will go on east elevation _
PLANNING DEPARTMENT All •ign permits must be accompanied by a
NPermit Fee: � scale drawing arid plot plan. If work
�- Receipt No. : 28 44 authorized under a sign permit has not been
Approved By:
ds completed within ninety days after Lhe
Date: 1 8 88issuance of the permit, the permit shall
C^ — become null and void.
LL;
J I CERTIFY THAI I AM i HE RE} RDE D OWNER OF 111E
PROPERTY OR AN AGENT AUTHO LED BY THE OWNER.
AI
i
pRl yZu� �j ----
Ad re3s Telephone
DAS:bs62
Permit No.
i;1TY OF IIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit fur the work indicated or as shown
in the accompanying plans and specifications. JJ
S,T.GN LOCATION ADDRESS. !S�I�-S .SGC) ? ZONING:
NAME OF COMPANY: �'/'!T 9�/J/h L C ,
APPLICANT/AGENT :
The City of Tigard imposes an annual Business Tax which must be kepi. current
on all persons doing business in the City. Do you presently have a current
Business Tax? i
PROPOSED SIGN:
PERMANENT FREESTANDING ( )
TEMPORARY ( ) WALL ( ,
BILLBOARD ( )
SIGN DIMENSIONS.
TOTAL SIGN AREA (Sq. ft. ) : 12_
WALL AREA (Sq. 'Ft. ) :
HEIGHT (ft) : _ (-
PROJECTION:
ILLUMINATION: YES (i NO ( )
COPY: _ �"�r - -`t Ie-
MATERIALS: •� nEXIST"ING SIGNS:L
OTHr R PERMIT! REQUIRED: YES ( ) NOCOMMENTS:
PLANNING DEPARf ENT All sign permits must be accompanied by a
Perin scale drawing and plot plan. If work
Receipt No. : authorized under a sign permit has riot been
Approved By: ` _ r_omplet.ed withl.n ninety days after the
Date: _ issuance of the permit, the permit shall
become null and void.
I CERT[I Y THAI l: AM THE RECORDED OWNER OF ]VIE
PROPERTY OR AN AGENT AUTHORIZED BY THE OWNER.
Applicant' s Signature —
Address Telephone
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