16125 SW 72ND AVENUE-1 i
4..
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CITY OF TIGARD BUILDING INSPECTION DI\dSInN MST
24-Hour Inspection Line: 639-4.175 Business Line: 639-4171 - -
_
Date Requested —�' c� AM __PM BUP
V gl-D
Location Lp Atlxe Suite ��—�— MEC _
Contact Person �2Y'e '� �lhDg��CG�--�� PLM
Contractor �.� Ph SWR _
BUILDING tenaj"rt,/Owner ELC
n
Retaining Wall ELR �C�(Cj
Footing Access:
Foundation FPS _.
Ftg Drain .S'
SGN
Crawl Drain Inspection Notes:
Slab ��- -- _ — S11 _
Post& Bearn
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
Pust&Beam — — --- --
Under Slab _
Top Out
Water Service
Sanitary Sewer --
Rain Drains
Final -- --------- -- - - -
PASS PART FAIL
MECHANICAL
Post& Beam -
Rough In
Gas Line --
Smoke Dampers
Final - - - - -- -- - -----
PASS --PART FAIL
--
a. Service
R Rough In
N UG/Slab
Low Voltage � -
r- Fire Alarm - - -
J
ca AS PART FAIL
c.7
J Backfill/Grading --- —�
Sanitary Sewer
Storm Drainj Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin j Please call for reinspection RF 1 j Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk C��
Other Date _ _ Inspector —Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
a ELECTRICAL PERMIT-
CITYOF TIGARD RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR199900122
IL 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 DATE ISSUED: 5/13/99
PARCEL: 2S113AB-00600
SITE: ADDRESS: 16125 SW 72ND AVE B
SUBDIVISION: =ANNO CREEK ACRE. TRACTS ZONING: I L
BLOCK: LOT: � NIMISDICTION: TIG
Proiect Description: Instgllatior of protective signaling.
A.RESIDE14TIAL B.COMMERCIAL —
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARArF OPENER: CLOCK: MEDICAL:
FIVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ADT SECURITY SERVICES, INC
15350 SW SEQUOIA PKWY #300 703 NE HANCOCK
PORTLAND, OR 9724 PORTLAND, OR 97212
Phone: Phone: 503-284-3265
Reg #: LIC 005994
ELE 26-209CLE
FEES Required Inspections _-
�nig, t/o�Tl��E /ti15!p
Type By Date _ Am �ount Receipt _ lect'I Fin I
PNMT DRA 5/13/99 $40.00 99-315360
5PCT DRA 5/13/99 $2.00 99-315360
"notal $42.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Coder
and a:l other applicable laws. All work will be done in accoroa ice with approved plans. This permit will exp,re if w, ,, is
not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION: Oregon 'aw
requireS you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952;1-0010 thrr)bigh OAR 952-001-0080 You may obtain copies of these rules or direct ques tons to UUNC at (503)
N
24t1987
Iss ed by QiJYbt _ Permittee Signature A C J-4�
OWNER INSTALLATION ONLY _
The installation is being madc on property I own which is not intended for sale. lease, or rent.
iDWNER'S SIGNATURE: _ — — T�— 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
CITY OF TIGARD TRICTED ENERGY ELECTRICAL APPLICATION Recd by ,�, I "{
13125 JEW HALL BLVD RECEI `' Date Recd: 5-1; i
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 MAY 1 ) 1Q9t� Pe mit#: �—
F - 503-6134-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS ;ust.Call'd:
COMMUNITY I)FVFIOPMFNI WILL NOT BE ACCEPTED _
=r a roject TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
,JOB Streit Address Ste#
ADDRESS Check Type of Work Involved:
�S 5 t✓ ir,c
City/State,- Zip s Phone
# ❑ Audio and Stereo Systems
Na q / ��j Burglar Alarm
-rs � ❑
OWNER Mailing Address Garage Dior Opener"
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems-
AOT SECURITY SERVICES,)NC. ❑ other_
703 NE HP.fJ� - --
CONTRACTOR Mailing Address F 37212
15031284-326 _TYPE OF WORK INVOLVED -COMMERCIAL ONLY
(Prior to issuance.a City/State Zip Phone# Fee for each system......'.�...................... $40.00
copy of all licenses I (SEE OAR 918-260-260)
are required if Oregon Contr Bird Lic #'/ Exp Dat
expired in C.03 5y9 y y- Jam-7-O Check Type of Work Involved.
data base). Electrical Contr.Lic # Exp t✓ite ❑
�o le-1-11i/-p� Audio and Stereo Systems
rY C.O.T.or Metro Lic.# Exp. Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm Installation
This permit is issued under OAE 918-320-370.This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑
2 Call for Inspections when installation under this permit are ready for Landscape Irrigation Control'
Inspection at 503-639-4175; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
Inspection when the Inspector is out to Inspect under this permit;
~ 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
I- inspector are done,and;
IJ i
Protective Sipneling
5. Assume responsibility for calling for a final Inspection when all of the
J corrections are completed. ❑ Other
CZ
Permits are non-transferable a on�ndable and expire if work is not
started within 180 days of I ance If work is suspended for 180 days. _ Number of Systems
IJ!
J
The person signing fo is p it must be the applicant or a person No licenses are regar id. Lirenses are required for all other Installations
authorized to bind Ir ap
FEES:
Sj Ure ENTER FEES
5%SURCHARGE(.05 X TOTAL ABOVE) S /
Authority if other than Applicant TOTAL $ 41r Ofd
%dstsvesele dor.7/97 - —
Page No. i CASE HISTORY FOR CASE NO.: PLM96-0319
PAC TRUST
16125 SW 72ND AVE Unit: B
10/13/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- ----------------------------- --------- ---- --- -------- ---
PLMA050 (F) issue permit / / / / 10/22/96 PASS TAT 10/22/96 TAT
PLMA050 (F) Issue permit / / / / 10/22/96 PASS TAT 10/22/96 TAT
PLMC003 Application received / / / / 10/21/96 RECD TAT 10/:2/96 TAT
PLMC005 Permit Created / / / / 10/22/96 PASS TAT 10/22/96 TAT
PLMC799 Final Inspection / / / / 10/24/96 PASS TLP 11/22/96 TLP
PLMC800 Case Finaled / / / / 10/24/96 PASS TLP 11/22/96 TLP
a
n_
r
w
r
cc
ca
v.,
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98-0219
PAC TRUST
16125 SW 72ND ,VE Unit: B
10/13/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------- ----------- -—----- -------- -------- --------------------------------------- ---- --- -------- ---
ELCCO01 Application received / / / / 04/27/98 RECD CEO 04/28/98 CEO
ELCCO03 Permit created / / / / 04/28/98 DONE CEO 04/28/98 CEO
ELCC500 (F)Issue permit / / / / 04/28/98 PASS CEO 04/28/90 CEO
ELCC'700 Ceiling Cover 04/28/98 / / / / 04/28/98 CEO
ELCC700 Ceiling Cover / / / / 06/05/98 PASS CD 06/05/98 CD
ELCC720 Wall Cover 04/28/78 / / / / 04/28/90 CRO
ELCC72U Wall Cover / / / / 05/05/98 wall. cover approved for cleanroom & PASS CD 05/05/98 CD
office remodel only.
ELCC720 Wall Cover / / / / 05/08/98 additional. plugs added in clean room PASS CD 05/08/53 CD
ELCC725 Underground Cover 04/28/98 / / / / 04/28/98 OEO
ELCC730 Elect'l Service 04/28/98 / / / / 04/28/98 CEO
ELCC730 Elect'l Service / / / / 06/05/98 ground service service Cisconnect - FAIL CD 06/05/98 CD
ground secondary;a of xfmr's (2) -
plaque service disccnr.ct as previc,isly
discussed - low voltage permit permit
required k inspection - cleanroom final
ok only.
ELCC799 Elect'l Final 04/28/98 / / / / 04/28/98 CEO
ELCC799 Elect'l Final / / / / 06/12/98 plaque services'- install 2- ground >_.)ds FAIL CD 06/12/98 CD
At main service
ELCC7V, Elect 1 Final / / i / 06/30/98 PASS CD 06/30/98 CD
ELCC?JO Case Finaled / / / 06/30/98 PASS CD 07/02/98 J"H
ELCC920 Miscellaneous action / / / / Ob/08/98 inspection cancelled by dave a phoenix FAIL CD 06/08/98 CD
elec.
C1
H
to
H
J
CA]
f,7
111
J
Page No. 1 CASE HISTORY FOR CASE NC,: ELC98-0159
PACTRUST
16125 SW 72ND AVE Unit: B
10/13/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Lode Sent Dong! Done Date By
------- ----------------------•------- -------- -------- ---- --- --------------------------------------- ---- --- -------- ---
ELCC001 Application received / / / / 04/01/98 RECD DLH 04/01/98 DSI'
ELCC003 Permit created / / / / 04/01/98 DONE DLH 04/01/98 DST
EI.CC500 (F)Issue permit / / / / 04/01/98 DONE DLH 04/01/98 DST
ELCC799 Elect'l Fina. / / / / 06/30/98 PASS CD 06/30/,8 CD
ELCC809 Case Finaled / / / / C7/u2/98 PASS CD 07/07/98 J•H
L
t
n
J
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CITYOF T I G A R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES DATE ISSUED:
BUP98 98
13125 SW Hall F'-jd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2S11 AB-
PARCEL: 2 S 113A6-00600
ZONING: I-L
JUK'SDcCTION: TIG
SITE ADDRESS: 1'5125 SW 72ND AVE B e
SUBDIVISION: F-ANNO CREEK ACRE TRACTS ,1 y
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2,14
OCCUPANCY GRP: B
OCCUPANCY LOAD: 58
TENANT NAME: P ! MEDICAL
REMARKS: TI - ADA bathrooms, ;lean room , open office. no change in occupancy load.
Final Building Inspection and Certificate of Occupancy Approved
2/2/00 by Tom Piescher, Building Inspector
Owner:
PAC TRUST
15350 SW SEQUOIA PKWY
#300
PORTLAND, OR 97224
Phone:
Contractor:
IN LINE COM10ERCIAL CONSTRUCTIO
PO BOX 5837
ALOHA, OR 97006
Phone: 6,,2-5'17
Rlag #:
a
n.
J
CJ
This Certificate g7ants 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,.Cbdes, forthe gr np;occupancy, and use under which the referenced permit was
issued y/ , I/ ,
//
BUIL INSPECTOR BUILDINd OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business Line: 639-4171 Cup) 2 71
_Date Requested ';� /;L_/C) C AM_ —PM _ BLD _
Location S 1 �. _ Suite _� MEC
Contact Person Ph PLM
Contractor Ph SWR
ILDING - T nan Owner Irn�L GL(i u X� ��G T�c.�`S� ELC
Re atrhtgWall _ ELR _
Footing P NOT REQUESTED FPS
Foundation
Ftg Drain FOUND DURING RESEARCH ������ SGN
Crawl Drain h NO INSPECTION(s) IN FILE
Slab SIT
Post&Beam / y
Ext Sheath/Shear / E ClfAl
_—
Int Sheath/Shear
Framing __-- —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- - -- ------- - -.
Roof
Misc:
i
PART FAIL - ----- - --- - ---- -------
PL MBING
Post& Beam ------- ----.___ --- ----- ------ ----------- ------
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Pu:t& Beam -- -- -- --- ....__ -- ---
Rough In
Gas Line - ---- -_ __ __ ---------- ---_-__
Smoke Dampers
Final ---- -
PASS PART FAIL_
ELECTRICAL -
Service
rt Rough In
N UG/Slab
> Low Voltage
~ Fire Alarm --
Final
W, PASS PART FAIL -
LL SITE
J Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Bled
Catch Basin [ ]Please call for reinspection RE [ J Unable to Inspect-no access
Fire Supply Line --
ADA
Approach/Sidewalk
Other Date _� CJ -__ Inspector_-- Ext
Final
PASS PART FAIL DO NOT REMOVE this in 3pection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (.50?)639.4171 PERMIT #. . . . . . . : BUF19H-0171
DATE ISSUED: 04/22/98
PARCEL.- 2::51 1..3AB--00600
EDITE ADDRESS. . . : 1.6125 SW 721\11) AVE #B
SUBDIVISION. . . . : FANNO CREEK ACR.F_ TRACTS ZONING: 1-1-
BLOCK. . . . . . . . . . :
-1-
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: FLOOR AREAS------------ (_XTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE. . . :COM SE=CC' ,D. . . : 0 S f PROTECT OPEN I NGS?.-._._.----_._..-.
TYPE OF CONSI. :2N . . . . 0 si= N: S: E: W:
OCCUPANCY GRF'. :B TOTAL------: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
S TOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? : ME?7_? : ---
FLOOR
-FLOOR LOAD. . . . : 0 psf I I � -- DET. .
DWELLING UNITS: 0 1 ( -P ACC:
BEDRMS: 0 Bf IS: 0 lv� t� � � � � �, ING: 0
VALUE. $ : 20V11110
Remarks : TI - ALR bathrooms, clean rot.
change in occupancy load. Separate electrical
permits are required. �?
Owner-:
F'AC TRUST ����p ��--�,f e,k— recpt
1.5350 SW SEOUO I A PKWY '98 98--3051. 15
STE 300 (/ y� ) 18-305 1 1`;
PORTLAND OR -97224--7199 � -' -��--- ..i � r '98 98-305115
Phone #: 624-6300 � � � 90 98-' 05115
Con ft-act ot,: ---_----.-_------
I N LINE COMMERCIAL. CONST RUC r
PO BOX 5837
ALOHA OR 97006
P11-ione #: 642-5117 � �
Re g #. . : 51880 ` jlLp j t/�/ '�' t../
5F'ECTIONS-----
This permit is issued subject to V'e regulatior IGV IY'�
n_ Tigard Municipal Code, State of Ore. Specialty
N applicable laws. All work will be done in acct
approved plans. This permit will expire if wor
within 198 days of issuance, or if work is cusp
than 188 days. ATTENTION: Oregon law requires
riles adopted by the Oregon Utility Notificatio
W rules are set forth in OAR 952-081-8618 through
-� You many obtain a copy of these rules or direct
by calling (503)246-1987.
T'rr,mi.ttee Signatr_rre : �r!7� � 4�WVJed By :`
++++++++++++++++++++++++++++-f+++*+++++++++-F ++++++.++++++++++++++++y++++++++++
7F
+++i-+++++++++++.+++++++++-F+++++++++.r++++++++++++4-4.++-4-+++4-+4++f+++++++++++++++h+
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING P,ERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 P,ERMIT #. . . . . . . : BUP1980171
DATE ISSUED: 04/22/98
PARCEL: 2,5113AB-00600
',:SITE ADDRESS. . . : 16117'5 SW 7,?ND AVE #B
SUBDIVISION. . . . : F-ANNO CREEK ACRE TRACTS ZON ING: I--L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION—
CLASS OF' WORK. :ALT F'I RST. . . . : 0 s N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 9 f F,ROTECT OP,EI,JINGS?——-----
TYF,E OF CONST. :2N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP,. B TOTAL—: 0 s ROOF' CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 s AREA RATED.
!3,r 0 R. 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEPI. RATED:
BSMT'7 .- ME Z Z? : Rl:--'(;!D SET BACKS --- REQU I
F-LOOR LOAD. . . . : 0 ps-F LEF-T: 0 ft RGHT: 0 ft F I R SFIKL:Y SMOK DET. .
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP, ACC:
BE-DRMS: 0 BATHS: 0 IMP, SURFACE: 0 P,RO CORR-. P,A R KI NG 0
VALUE. $ : 5;0000
R?mat-ks : fl - ADA bathrooms, clean room , open office. No C of ( required, no
change in occuoancy load. Separate electrical, mechanical, plumbing, and sprinkler
permits are required.
Owner-: FEES
PIAC TRUST type amol-int by date v-ecpt
15350 SW SEQUOIA PKWY F,RMT $ 193. 00 DEB 04/21 /98 98--305115
STE 300 '_;PCT $ 9. 65 DEB 04/21 /98 9830',5115
PORTLAND OR 97224--7199 FILCK $ 125. 45 DEB 04/21/98 98-305115
P11ione, #: 624-6300 FIRE $ 77. 1::'0 DEB 04/21/98 98-30511.5
Contr-actor-:
IN LINE COMMERCIAL CONS1"RIJCTIO
PO BOX 5837
ALOHA OR 97006
Phone #: 64;?-5117 $ 405. 30 TOTAL.
Ppq #. . : 51880
--REDHIRED ACTIONS or IN5P1ECTI0NS------
This permit is issued subiect to the regulations contained in the Framing Insp
Tioard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
LA applicable laws. All work will be done in accordance with
ti approved plans. This permit will expire if work is not starten
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law require] yoli to follow the
67 rules adopted by the Oregon Iltility Notification Center. Those
0
U) rules are set forth in DAR 952-00I-0010 through DAR 952-00101387.
_j You many obtain a copy of these rules or direct questions to OLINC
by calling 1503)246-1987.
Permittee Signati-tr1e : V-i e ri B y
+++++.++4.......++++*+.............4.........................+++4......4..........
1 75 hV 7olAIA p- m- f ni- An i nrppr-i- inn np#a rip ri +-hsa n as wi-, hi a gin is cc HAV
+4.........................V...........4•......................................4 ++4+4 ++
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
2 Date Requested /,- - ��Ci �-/9t� AM PM BLD
Location --{�T -� ` C ��I (�C� Suite MEC
Contact Person Ph PLM
Contractor _ Ph SWR C�
BUILDING Tenant/Owner ELC <2 -015
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheathlc'.year
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _ !-
Fire Alarm
Susp'd Calling
Roof
Misc: __ --- - --�
Final -
PASS PART FAIL -- -- --�% --- -
PLUMBING
Post&Beam -`- —
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final �- ---- �-- --
PASS PART FAIL
MECHANICAL
Post&Beam ---- ---- -- - ^--- __
Rough In
Gas Line --
Smoke Dampers
final — ----- - - — -
PASS MART FAIL
Service -- -- ---------- --_ ---
Rough In
UG/Slab -
Low Voltage
Fir lean _---------- -- - _ --
.� Fin
AS PART FAIL
Backfill/Grading - ----
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ j Please call for reins pection RE: [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date .30 - -7k Inspector �.a _ � Ext.-3.L/-
Other -
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION r� a
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
V
BUP
Date Requested (J� �� AM PM BLD
Location �' f /5 �a co di�, _ _ Suite MEC
Contact Person GLSV Ph -)-�q ' & �_ () PLM
Contractor ✓ Ph SWR
BUILDING _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slabn NPO
-- SIT
Post& Beam
Ext Sheath/Shear 00 V,,( � ['� � I `� PO 67-f�/C--tj _
Int Sheath/Shear
Framing __
Insulation `
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -
Misc:
Final
PASS PART FAIL - - -
PLUMBING
Post&Beam
Udder Slab
Too Out
Water Service
Sanitary Sewer
Rain Drains
Final —
PASS PART FAIL
MECHANICAL
Post& Beam
Rough
---- --- - -
Rough In
Gas Line -- --------._ _ � �� _
Smoke Dampers
Final --
PASS PART,.,- FAIL
c Service
n Rough In ---------- ----- -----
,�,� UG/Slab
Low Voltage
�- Fire Alarm
in
c� SS) PART FAIL
c.�
-� Backfill/Grading --- --- - _ — —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ j Please call for reinspection RE' _ [ j Unable to inspect- no access
ADA
Approach/Sidewalk
Other Date1-?tL) Ci _Inspector C�49-c- -% Fxts_, —
Final
PASS PART FAIL D N07' REMOVE this inspection roc or,d from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Z� n
Date Requested �� � AM PM BLD
Location -- J_(O(Zt 5W '72- ,AVC, Suite MEC
Contact Person Ph _ PLM
Contractor - (ti Ph SWR _
BUILDING Tenant/Owner ^ 5' /- C
Retaining Wall ���ELR _
Footing Access:
Foundation FPS
Ftg Drain 5GN
Crawl Drain Inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear ( _
Int Sheath/Shear
Framing
Insulation _
Drywall Nailing
Firewall
Fire Sprinkler .-
Fire Alarm ✓!s ` ` G✓`i,�� /1�
Susp'd Ceiling ��-*' (�
Roof /L
Misc,
Final
PA FAIL
Post&Beam -
Under Slab
Top Out �--
Water Service
Sanitary Sewer
Drains
%JOS—V PART FAIL _
QW0HANICAL
Post& Beam -- -- --
Rough In
Gas Line ----
Smoke Dampers
Final ---- --
PASS PART FAIL
ELECTRICAL - ------- --` --
Service
RoughIn _ ._--------------- ----- ----- -----
UG/Slab
Low Voltage -
Fire Alarm --- -- ---- — - - — --- -
Final
PASS PART FAIL
SITE _
B^-ckfill/Grading
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ requned n`xt insf-ctirni Pay at City I call, 13125 SW I call 1110
Catch Basin
Fire Supply Line [ J Please cal!for reinspection RE: [ J Unable to inspect-no accr.,,.
ADA
Approach/Sidewalk
Other Date A Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . . BUP'98-0171
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/21/98
PIARCEL. 2S1J.33AB-00600
SITE ADDRESS. . . : 161.25 SW 7i�ND AVE #B
SUBDIVISION. . . . -! FANNO CREEK ACRE TRACTS ZONINB: I--L
BLOCK. . . . . . . . . L-01.. . . . . . . . . . . . . .. JURISDICTION:TIG
----------------------------------------------
REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE. . . :C'O M SECOND. . . : 0 sf PROTECT OPIENINGS'?----------—
TYPIE OF CONST. :2N . . . 0 sf N: S; E- W:
OCCUPANCY GRP,. :B TOTAL-------------: 0 s f ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP,. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
DSMT') : MEZZ ) : REDD SETBACKS------------ REQU I RED---------------------
FLOOR LOAD. . . . : 0 psf LEFT- 0 ft RGHT,r o ft FIR SPVL:Y SMOK DET. . :
DWF LING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP, ACC:
BEI ARMS: 0 BATHS: 0 IMP, SURFACE: 0 PIRO CORR: PARK ING: 0
VAIUE. $ : 30000
Remav-ks : TI - ArA bathrooms, clean room , open office. No C of 0 required, ro
change in occupancy load. Separate electrical, mechanical, plumbing, and sprinkler
permits are required.
Owner-: FEES -----------------
PAC TRUST type amol-Int by dat e I-ecpt
15350 SW SEQUOIA PKWY P'RMT $ 193. 00 DEB 04/21/98 98-3051. 15
STE 300 5PICT $ 9. 65 DEB 04/21/98 98-305115
PORTLAND OR 97224-7199 F,LCK $ 125. 45 DEB 04/21/98 98-305115
Phone #: 624-6300 F I RE $ 77. i:`0 DEB 04/21/98 98-305115
Contractor :
1i DREEN, HL CO. INC.
15,350 SW SEQUOIA BLVD
STE 300
TIGARD OR 97224 -----------------------------__------
P'hone #: 624-7717 $ 405. 30 TOTAL
Req #. . : 000413
--REQUIRED ACTIONS or INSPIECTIONS--- --
This permit it issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
V)
within 180 days of issuance, or if work is suspended for sore
than 180 days. PTTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those -------
rules are set forth in DAR 952-00I-00I0 through DAR 99,22-00101967.
LL You many obtain a copy of these rules or direct questions to OW
by calling (503)246-1987.
-s d
el-inittee B
........ .............4........................4..................................
Call 639-4175 by 7:00 F_). m. for an inspection needed the next business day
r
C:rY OF TIGARD Commercial Building Permit Recd By
13125 SW HALL BLVD. Tenant Improvement Date Redd
TIGARD, OR 97223 Date to P.E.
(503) 639-4171 Eft` Date to DST
Permit# K/ ->�
Print or Type Related SWR x
Incomplete or illegible applications will not be accepted called
Name of Development/Prolect --
Job �! 4 f� �� l�- Z Existing Building New Building
l �f
Address Street Address Suite J Building
14,1.."' 7�4 ( Data
Bldg s '~ city/State Zip Existing Use of Building or Property:
LZ
Name
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of B}lilding or Property:
Owner Mailing Address Suite
15350 SW SEQUOIA PKWY 30C No. Of Stones:
CitylState ZIP Phone
PORTLAND, OR 97224 624-6300 Sq. Ft. Of Project:
Occupant Name
Occupancy Class(es)
Name
Contractor H. L. GREEN COMPANY 1 110 !r Type(6)of Construction
Prior to permit Mailing Address suite
issuance.a copy
ofall licenses 15350 SW SEQUOIA PKWY 300 Will this project have a Fire Suppression System?
of
are required if City/State Zip Phone Yes k NO
expired in C.O.T. Americans wit Disabilities Act ADA)
database PORTLAND, OR 97224 624-7717 Valuaticn X 25% = Participation
Oregon Const.Cont.Board tic.* Exp.Date Complete Accessibili Form
41328 Project T
Name Valuation
Architer, JOHN H. ROMISH Plans Required: I SEn
Mat x for number of sets to submit
Mailing Address Suite ack
2?.16 SE 24TH AVE. +
City/State Zip Phone I hereby acknowledge that I have read this application,that the morrnation
PORTLAND, OR 97224 236-6306 given is correct,that I am the owner or authorized agent of Lie owner, and
Engineer
Name that plans submitted are in compliance with Oregon Slate Laws.
Signature of OwneriA en Date
A A�7
Mailing Address Suite J r
Contact Person Name Phone
CitylSlata Zip Phone
—4 -
I '
FOR OFFICE
o USE ONLY
Indicate typo of work: New O Addition !molltlon O t /TL#
Accessory Structure O Foundation Only O Alteration O p Land Use:
Repair O Other U
Description of work: Notes:
J4�lrsr'�/�rlr !"- Jf� TIF:
Parks: Estimated f of Employees
Note: 31te Work Permit Appllcatlon must precade or accompany Building
Permit Application
I\COMNEW.DOC (DST) 8197
QUER THE COUNTER (OT_ GR1
(attachment to Submittal Criteria)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
RECIUIREMENT OREGON REVISED STATUTE(ORS)447.741.
(1) Every project for renovation, alteration or meddication to affected buildings and related facilities shall be
made to insure that the path of travel to the altered area and the restroom,telephones and drinking
fountains are readily accessible to indlvrduais with disabilities, unless such alterations are disproportionate
to the overall alterations in terms of cast and scope.
tra '
(2) Altbrations nw4e to the path of vel M an altered area may be deemed disproportionate to the overall
alteration when the cost exceeds twenty-rive per-cent(25%).
THEREFORE; Each submittal for a building permit shall Include this form providing the following
informatinn. [Excluding re-roofing, mechanical and electrical permit applications]
VALUATION of all renoNation, alteration or modification being dorie
excluding painting,wallpapering. �1] $ 1"
IDSIW 2hG 25% Barrier removal,requirement 25
BUDGET FGR BARRIER REMOVAL ]2]
The dollar amount of the RIj2CiEj 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 building to accessible pedestrian
walkw-ys, and the public way.
(including but not limited to curb ramps,detectable warnings,
marked crossings,ramps handrails and landinnsl
2. Not less than one accessible parking space. 5
(includinri but not limited to adjacent access aisle,signs and curb ramp
connecting wrth the accessible route.
3. Accessible entry or entries. S
rinciuding but net Ilmded to ramps,handrails,landings,
door sin height,dots width and door hardwarel
4. An accessible interior route to the altered area. S
[including but not limited to door-ways, maneuvering
dearances. door hantware and stat wa sl
5. At least cne accessible restroom for each sex. S jr C
A, !east one accessible telephone where public phones
�- are provided. S
�- 7 When dunking fountains are required, Fifty per-cent but
not less than one shall be accessible. S
c�
8. Additional accessible elements such as storage, reach ranges,
alarms, etc.. S
�T �311gQU�l.�n_e Zof ValUCvrnu4'�1t14.'! 5
i_.otc6.doci,DST)
OVER-THE-COUNTER (OTC) PER IT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: I �tiVA r-r��r+"�'snM►, . i'"LEU4J C(,V _ ODs �-�r
Imo_ � �- 1rJ'O CLrrtytyC.�_ v-a to-'•�OIa� �- �."r�3'QQ/ItrfZ`' �I rFI,.I.I� ��etnlC.l.11� ���
n/�
Q/Ili Q
CLASS OF WORK: Jftt-'r" FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF USE: to W, _ FIRST _ SQ. FT. N: S: E: W
TYPE OF I r
CONSTR: ^� SECOND SQ. FT. PROTECT OPENINGS?:
� I
pp
OCCUPANCY GRP: ' b i THIRD SQ. FT. i AI: S: E: W Y
OCCUPANCY LOAD: N[A _ TOTAL SQ. FT. i ROOF CONSTR: FIRE RET:
� I
STOR:`_ HT FT BSMNT: SQ. FT. P..-ZEA SEP. RATED'
i
BSMNT?: MEZZ?: GARAGE: SQ. FT. OCCU.SEP.RATED
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: - ACCESS:
COMAIERCIAL INSPECTION ACTIONS FEE MENU
_ Foot/Found Post/Beam $_43- Permit Fee
^_ Masonry , Frartting •r�� $ 146 Plan Review
Insulation Shear Wall ! $_ t 5% State Surcharge
Firewall Gyp Hoard t' $ FLS Plan Review
Suspended Ceiling Sprinkler Rough-in $ Add'I Permit Fee
Sprin'der Final Fire Alarm $ _ Add'I FLS Pln
__- Smoke Detector Approach/Sidewalk S _ _— Inspection
—� Mr:cellaneous _ Pinel $ MIS Fes
FOR OFFICE I ISE ONLY.
TYPE OS USE OPTIONS(CONI-commercial: CMS�comrnercial manufactured strufture)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new: Addadditiort: ALT-alteration: ACS=accessory:FND-foundation.
OTR=other: DEM=demolition: REP--repair: FPS=tire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALKS, DETACHIED DECKS. SIGNS, AWNINGS, CANOPIES)
I tovrcntr2 doc (DST) 419i'
CITY OF ■Il IGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC 3-021'D
13125 SW Hall Blvd.,Tigard,OR 97223 (5,13)639.4171 DATE ISSUED: 04/28/98
PARCEL: 2S1 3FIR-00600
SITE ADDRESS. . . SW 72ND AVE #b
SUBDIVISION. . . . :FANN0 CREEK. ACRE TRACT; ZONIh1G: I-L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
Project Descript ion. Installation, alteration or relocation of three (3) 2OW
service/feeders and twenty (2O) h,anch circuits to a cossercial tenant occpy.
---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP,/I RR I GAT I ON. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGPI, OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
----SERVICE/FEEDER------ -.---BRANCH CIRCUITS-•---- ----ADD' I- INSF'F_.CTIONS----
0 - 200 amp. . . . . . : 3 W/SERVICE OR FEEDER: 20 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . 0
401. - 600 amp. . . . . . : 0 EA ADD' L B RNCH CIRC: 0 I N PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -_____._____.----_-_F'L.AN REVIEW SECT ION----_--- - ----_-
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL... . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : Ci-ASS AREA/SPEC OCC. :
Owner: - ----- -- - - ---- ------------------------------------ FEES ------------
PAC 'TRUST type amoo_int by date recpt
15350 SW SEQUOIA PKWY PRMT $ 280. 00 GEO 04/28/98 98-305313
STE 300 SPCT $ 14. 00 G':0 04/28;198 98-305313
PORTLANI) OR 97224--7199
Phone #:
Contractor: --------------- ---------------
PHOENIX
-------------- ----------_-._-
PHOENIX ELECTRIC Ci $ 2`34. 00 TOTAL.
7379 SW TECH CENTER DR.
--- ---- REQUIRED INSPECTIONS ----
TIGARD OR 972-23 Ceiling Cover UndprgroLind Cove
Phone #: 684-360,71 Wall Cover Elect' ] Service
Reg #. . : 000522
This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started within 180
days of issuance, or if work is suspended for more than i8O days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-0010 through DAR 952-001-1987. You oay obtain a copy
of these rules ar direct questions iv Off by calling ( )206-1987.
F f, m i t t e e S i g n a t i_tr e: ly.L,tr _ '- -s i_i e d P �� -_-...-- ----
_____ I Y - -
a
(A
---- -------------.---.--- -OWNER INSTALLATION
J 1ha installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: __--_ DATE:
J
-----------------------CONTRACTOR INSTALLATION ONLY------___.__----_-_-_-------.-__
i GNATURE OF SUr-R. ELEC' N: _� Grts,e DATE
yo -
I_ICENSE NO:
f++++++++++++++++++++++++++++++++.F+++++++++++++++++++++++++++++++++++++++++++-++
Call 639-4175 by 7:00 p. m, for an inspection needed the next business day
+++++++++++++++++++++++4+++++++++++++++..+++++++++++++++++++++.++++++++4+++++•++++
CITY OF TIGARD Electrical Permit Application Plan Check s
13125 SW HALL BLVD. Rec'd By
Date Recd
TIGARD OR 97223 Date to P.E.
Phone( Print or Type 503) 639-4171, x304 Date to DST
-z--�
Inspection (503) 639-4175 Permit a-E
Fax (503) 684-7297 Incomr)lete or illegible will not be accepted Called
1. Job Address: 4. .0omplete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name(or name of business)��T/a/t�/1L. 14&j.0.-fr-tService included: Items Cost Sum
Address. I c,,i -L 5 -sw rr4a. Residential-per unit
1000 sq.ft.or less $110.00 4
City/Stale/Zip it Each additional 500 sq,ft.or
Commercial Q Residential ❑ portion thereof $25.00
Lim
ited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
"u.ani vwns ur re"uurs
Electrical - i Installation,alteration,or relocation
hontraCt
Address J - 200 amps or less $60.00 �. 2
201 amps to 400 amps $80.00 2
City_ r ' T State_ ,__Zip Z V-7-2 1 401 amps to 600 amps $120.00 2
Phone No-_ G„r;y (r p�J 601 amps to 1000 amps $180.00 2
Job No. ce. ido.J I _ Over 1000 amps or volts $340.00 2
Elec. Cont. Li _��_5�.� Exp.Date $50.00 2
Reconnect only
OR State CCB Reg. No. J �c.�S�f _Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. Elee'n 201 amps to 400 amps $75.00 2
'- 401 amps to 600 amps $100.00 _ 2
05
t� Z Over 600 amps to 1000 volts,
License Nr ,-7Exp.Date _ see"b"above.
Phone N, 4d.�' �l'�1� 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name _ feeder lee. g,
Address U
Address Each branch circuit $5.00 _ 2
City State _ Zip b)Twithout purchase circuits
Phone No. _ service or feedfr lee.
t-lrst branch circuit $35,00 2
The installation is being made on property I own which is not Each additional hranch circuit_ $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature (Service or feeder not Included)
g Each pump or irrigation circle $40.00 2
Each sign or outline lighting $4000
3. Plan Review section (if required): Signal circuit(s)or a limited energy
panel,alteration or extension $40,00
rr Please check appropriate?tem and enter fee in section 5B. Minor Labels(10) $100.00-
N 4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more I the allowable In any of the above
System over 600 volts nominal Per inspection $3500
�- Classified area or structure containing special occupancy Per hour S5300
�J as described In N.E.C.Chapter 5 In Plant $5500 --
t
LL "Submit 2 sets of plans with application where any of the above apply. S. Fees: 0 ,
__jNot required for temporary construction services. I 5a.Enter total of above fees $ Z'
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $ -
5b.Enter 25%of line 5e for
PERMITS BECOMF VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rhe uired(Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account
Total balance Due s
I
IkDsts\ecc4s APP Rey was
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
A 13125 SW Hall Blvd.,Tigard,OR 97223 (503)b39.4171 PERMIT #. . . . . . . : PLM9602,19
DATE ISSUED: 10/22/96
PARCEL_: :!'.9t 1.3AB-00600
SITE ADDRESS. . . : 1.6- 1.25 SW 72ND AVE #B
SUBT)I VISION. . . . : ZONING: 1--L
BLOCK . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. . NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. 0
TYPE OF USE. , . . COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . I
OCCUPANCY GRP. . :AI FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . .. . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINK%S. . . . . . . . . . 0 UE'INALS. . . . . . . . . . .. : V1 GREASE TRAPS. . . . . . . . V,
LAVATORIES. . . . . : 0 OTHER r-TXTUREG. . . . - 0
TUB/SHOWERS. . . . 0 SEWER LINE (ft ) . . . 0
WATER CLOSETS. . . 0 IJPTER 1._THE 0
DISHWASHERS. . . . : 0 RAIN DRAIN ( ft ) . . . 0
1
[ir. marks -. ADDING BACK FLOW DEVICE
FEES
PAC, TRUST type Rmol.tnt by date t-er_pt
15350 SW SEQUOIA PKWY PRMT $ 25. 00 TAT 10/2E/9E, 96-28547r-,'
STE 300 ;PCT $ 1. 25 TAT 10/22/96- 96-283479
PORTLAND OR 97224 7199
Phone it:
REINHARDT PLUMBING (JOHN)
P 0 BOX 129
NEWBERG OR 971 '2
Phine #: 538-'3Z'4 $ 26. 25 TOTAL
Reg Iff. . : 00 1870 -------- REOU I RED INSPECTIONS
This pervit is issued subject to the regulations contained in the Final Irispec:tiuii
Tigard Municipal Ccde, State of Ore. Specialty EL10S and all other
applicable laws. PH work will be done in accordance with
approved plans. This per2it will expire if work is not started
within IN days of issuance, or if work ,s suspE.ided for sore
than 18@ days.
rL
i__
Flev,mittee S
ig
lssi-ted By:
all for- inspection 6,39-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # -
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N. a0..WPffWA New Single Family Residences Only
P. I . JEDICAUPAC TRUST
AJ&" ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job 16125 SW 72ND. AV , ❑ 3 BATH HOUSE$225.00
Address aweM. w Fee includes all plumbing fixtures in the dwelling and the first 100 feet
PORTLAND O R . 97224 of water service, sanitary sewer and storm sewer. See fees below.
N..,.(«"-0fil"" "l FIXTURES QTY PRICE AMT
PAC TRUST Sink 9.00
M#*V Adu... - Ph.- Lavatory 9.00
Owner 15350r_1'10_'R
SW S E Q U T A P. R K W A Y #300 Tub or Tub/Shower Comb. 9.00
A' Shower Only 9.00
TLAND, ORE. 97224-7i^.9 Water Closet 9.00
Dishwasher 9,00
Garbage DisposPi 9.00
Occupant Mayiwnw r,a._ 1 Washing MacF5ne 9.00
I Floor Drain 9.00
`"Y'81Ni a^ Water Heater 9.00
Laundry Room Tray 9.00
N.m. Urinal 9.00
JOHN 1". R E I N A A R D'C PLUMBING Other Fixtures (Specify) 9.00
M""°Ae4«. ph.. 9.00
Contractor
P.O. BOY 129 503 538-9464 9.00
enviftwo ZIP 9.00
NEW 11 F,R G , O R . 97132 Sewer 1st 100' 30.00
S'"•""a'h"'°"N0 01V s'"T"'N. Sewer-ea. Addit. 100' 25.00
36-9 1870 Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance mth State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit, 100' 25.00
number given is correct. (If exempt from State registration, please -
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
10- 17-90 Device or Anti-Pollution Device 9.00
"°'°hM..nw.r "'• Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition Q alteration Q repair Catch Basin _ 900
to be done residential Q non-residential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property - Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
budding or property _ _
- - '(Except resldenUel backflow
prevention devices)
NO'iCE *Minimum Fee $25.00 SUBTOTAL J f
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIL'I D IS NOT COMMENCED WITHIN 190 DAYS, OR IF 5%. SURCHARGE I
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - --FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN PEVIEW 25 OF SUBTOTAL
TOTAL
Special Conditions
Data issued by
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : FILM98-01 1 1
DATE ISSUED: 04/28/98
PARCEL: 2S113AB-00600
SITE ADDRESS. . . : 16125 SW 72ND AVE #B
S1_IBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE: f_'F USE. . . . :COM WASHING MACH. . . . . . : 0 BAC1(r7LOW PREVNTRS. . : 12,
OCCUPAi;CY GRP. . :B FLOOR DRAINS. . . . . . . 1 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 1 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 2 OTHER FIXTURES. . . . : e.
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 2 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 1. RAIN DRAIN (ft ) . . . : 0
Remarks : P1i_imbing TI - adding one sink, one 2" floor drain, replacing two lays,
two water closets, relocating one dishwasher-, removing one lirinal
Owner: ----------------------------------------------------- FEES ___----------
PAC TRUST type amoi_tnt by date recpt
15350 SW SEQUOIA PKWY FIRMT $ 72. 00 B 04/28/98 98-305339
STE 300 5PCT $ 3. 60 B 04/28/98 98-305339
PORTLAND OR 97224-719'..3
Phone #:
Cunt ract or-----------------------------------
WESTERN PLUMBING
9460 SW 'TIGARD STREET
TIGARD OR 97223 -- ..._..--- ----- _-- -- - ---_ ___- - -- - -- -
Phone #: 503-639-5296 $ 75. 60 TOTAL
Reg #. . : 000024
------- REQUIRED INSPECTIONS ------ -
This permit is issued subject to the regulations contained in the Roi_igh-in Insp
Tigard Municipal rode, State of Ore. Specialty Codes and all other PLM/Underf 1 o o r
applicable laws. All work will be done in accordance with Top-oi-tt Insp
approved plans. This permit will expire if work is not started Misc. Inspection
ti. within I•-0 days of issuance, or if work is suspended for more Final Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules
y adopted by the Oregon Utility Notification Center. Those rules are
'- set forth in DAR 452-0001-0010 through OAR 952-0001-0080. you may
obtain copies of these rules nr direct questions to OUNC by calling ---
�= (503124b-1987.
LD100,
J
v
Iss�_ied By : �tM' `-- Pe;•mittee Si gnat 1ire
:
+++++++++++++ ++++++++++.F4•+++++ F++++++++++++++ +++++-#-+++-F...........4
Call 639-4175 by 7:00 p. m. for an inspection needed the next b1_ISinPss dly
+++++++++++++++++++++++•F++++F+++++4-++++++++++++++++++++t+++++++++•+++++++++++++
`='ITY OF TIGARD -4-17Plumbing Application Reda By
'3125 SW HALL BLVD. Commercial and Residential Dew Recd 1
TIGARD, OR 97223 Date to P.E.
(503) 639-4171 Date to DST~�
Pertnrt s
Print or Type Related = Q
Incomplete or illegible applications will not be accepted Called `
or Devetopn,enuProtoo �_ FU(TURES,Qndlvlduaf •,-L.
Job i'%O.C//r'L �/J G°zL ". sk* e.00
Address treatress� Suits .11 �a�a1of1' 9.00
Tub or Tub/SAow,r Comb. 900
Bb9 s Ci State ZIP_ Shower Onry 9.00
_ G� Water closet Name 9.00 ,
J%G I;i fJlattwaaher - 0.00
Owner Mt*N AddRise f Sate apoW Gadmge Dt
9.00
� Weaning Madhtrhe9.00
G+rytStan ZIP Phone Floor Dran
� l( �Il 2 9.00
Name_, s• 9.00
�7 4• 9.00
Occupant Mah9 Address Swte wear Nater 900
Laur"Room Trey 9.00
City/Stilts ZIP Phone Unna)
___ 9.00 L
Odhar Fixtures(Spa") 9.00
Nan" .'/c:".�1.%�Lr�/ :�/�I����
:ontractor Suits 9.00
'rior to issuanmP 9.00
applicant must /L 9.00
tr Yore COr%�Const. onL�card Lic s Exp. to 9.00
on
9.00
fntkense �1f1DoqcuesGL PSewer-tsc t0
om.adon - 30.00
Exp. Sewer-each addittonet 100 23.1
for CGT COT BOnuhess Tax or Metros _Da _
database). -J� fj water Sor.%A-121 1W 30.00
Name C� Water Service-each additional 200' - 25.00
Architect Storm 8 Ran Dram-1st 100' 30.00
or Mailing Address Suva Stam&Rain Dram-each a mmonal 1007 M.00
Mobil Horne Spam 25.00
Engineer CitVistate 7-ip Phone Corthrrhexa&I Back Flow Prevention Devtm or And 25.00
Palkidon Device
srnbe work New O Addition O 71festaniC Repatr O Resrdentiai Backflow Proventbn Devnc 15.x0
-
"done-' Rewential O Non-mscdentlet O Any Trap or waste Not Connected to s Fixture
C1 onal clescnption of work 9.00
Catty 3asin
'4&19.00
lir r T?ui� a ,L C/,�jiYijlL ASM sp.of Existing Plumbing
40.00
in ging use of ally Requested Inspections 40.90
Jing or property perMr
~ Ra in Dram,single family dwelling 30.00
r cosec use of Grease Traps 9.00
_ acing or property
- QUANTITY TOTAL
r. You Capping, moving or replacing any fixtures? Yes Ll No C Isarrretc or roar dlaq is required dQusMy Tocol is >9 ort,wlL �!A
+s>see back of form? ., 'SUBTOTAL
treby ariv►owkdge that 1 have.tad 00105 application.th: .:he information
�n le correct that I am it*owner utllonxed agent of the owner.and S% SURCHARGE -
t'alens suDrm ,rn _-ni on Slate Laws
Age / Date PLAN REVIEW 25% OF SUBTOTAL
7qsquwd mN f!t:tun dty totals>9 ;
A Person TOTAL
P n• >,
~� G Mlncmum Permit fee is S25-5%surdnarge.except R"!derm+!Bactflow,
Prevention Device,which is S 15•5%surcharge
L\pitnapr,doc 12/96 (dst)
'LEASE TFASAPPROPRIATE TO PRO,lEGT:
Fixtures to be capped, moved or replaced
Sink
Lavatory
i ub or Tub/Shower Combination
Shower Only
Water Closet eG,��
Dishwasher 1
Garbage Disposal
Washing Machine
Floor Drain 2" �dd
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
;OMMENTS REGARDING ABOVE:
I:�plmapp.doc 12.`96 (dst)
BUILDING PERMIT APPLICATION TIGARD DATE _,�s_—_ 576
THF UNDERSIGNED HEREB`!APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE —
LOT 140. `f l I','
;
`OWNER 'r trun t JOB ADDRESS 72nd Ave :3' ;Sa�C
orl:J'Arlel ARCHITECT
ENGINEERBUILDER
:r ADDRESS i7 �'% "r)L'4mv,, DESIGNER
STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ HENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE ❑:COMM ❑ EDUCATIONAL Ll GOVT 0 RELIGIOUS Cl PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE 1 'BLDG.TYPE 1 t I. FIRE ZONE PLAN CHECK BY --------HEAT----
ice
HEAT— --
ice- vmr�. nround
Y rater li:irl3, '! r. ,f.r ..::tl llayi17'! c(,mierntn. %iilrl- c,tly?!r than
sivices
-� SEWER PERMIT M -___ _ �• _
OCC.LOAD F=LOOR LOAD vo„c. HEIGHT •”' NO.STORIES ' AREA ,' r NO,BEDROOMS VALUE
w Permit — HIS PERMIT IS ISSUED SUBJECTREAR LEFT SIDE RIGHT SIDE
BUILDING DEPARTMENT
— --
TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
7 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURREIJT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ,
Total ( -.
PDC# APPLICANfi OR AGEN 1
BY
Receipt No.
Approved ADDRESS 'PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
JV_ Contractor
,110
Permit No.
Rough-in
j Fixture
Final
HEATING
Contractor
INSP.
Permit No.
Got 0, Oil
R,,ugh-in
&64 4--k—E
If sawt
Final
DRIVEWAY
tr
Q3 Final
Storm Drainage
_j Main Drain)Final
Sidewalk
Curb&Street Final
Approach
NL 06._v rp—T.FIN A 7'UMF'Oftj 12Y ERTIFICATE OCCUPANCY
."EIRTIPrICATIEr OCCUPANCY Final
4 Landscaping
t 9 Final
• - Accumulative Sewer Tally
Tenant Name: This SWR#
Address: This PLM#:
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added# added #s total
Count off#s count value values
Baptistry/Font 4
Bath -Tub/Shower 4
Jacuzzi/Whirlpool 4 _
Car Wash -Each Stall 6
_ -Drive Through 16
Cuspidor/Water Aspirator 1 _
Dishwasher-Commercial 4 I
- Domestic 2
Drinking Fountain 1
Eye Wash _ 1
Floor Dra!n/sink-2 inch 2 Z
3 inch 5 _
4 inch 6 _
Car Wash Drn 6
Garbage Disposal 16
Domestic(to 3/4 HP)
_-Commercial (to 5 HP) 32
_ - Industrial(over 5 HP) 48 _—
Ice Machine/Refrigerator Drains 1 _
_Oil Sep(Gas Station) F _
Rec. Vehicle Dump Station 16
Shower-- Gang(Per Head) 1 _
- Stall 2 ( `
Sink - Bar/Lavatory 2 _ ( U
_ Bradley _ 5 _
Commercial 3 t
Service 3 _
Swimrrnng Pool Filter 1
Washer- Clothes 6 r
Water Extractor 6
Water Closet- Toilet 6 � 17-
�
Urinal 6
Nf V L1 t` `lly JJ
ti TOTALS
Total fixture values divided by 16 = i �1 EDU
m Q
J
HISTORY
PLM# EDU# SWR# PL'A# EDU# SWR#
PL M# _ EDU# SWR# PLM# _ EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR# _
PLM# EDU# SWR# PLM_# EDU# SWR#
\dstsyswrialy doc