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16655 SW 72ND AVENUE STE 200 16655 SW 7211d Avenue #200 CITYY OF T'IGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2)02-00468 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1 1,:4'02 PARCEL: 2S113AC-00101 ZONING: I-P JURISDICTION: TIG SITE ADukESS: 16655 SW 72ND AVE 200 SUBDIVISION: COUNCIL VIEW ACRES NO 2 BLOCK: LOT:029 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: LJNI< OCCUPANCY GRP: E OCCUPANCY LOAD: 250 TE0ANT NAME: FLIGHT DYNAMICS REMARKS: C99 4-r e ,4AJD ,� �G°RI<a-��m Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-1,NM1 PORTLAIND, OR 97224 Phone: 624-7717 Contractor: H L GREEN 15350 S%V SEQUOIA BLVD STE 300 11 :0R!il?-A 7 Reg #: LIC 41328 This Certificate issued ISI1'10 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, andyse� inder which tl�. f renced permit was ssued. fjUILUNG I SNECTOR -- BUILDYW-0—r-NWAL - POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection line: (503)639-4175 MST —_ INSPECTION DIVISION Business Line: (503)639-4171 BLIP —_-- — 1 Received _ _f Date Requested__ 2 AM PM — BLIP Location �O�� UJ—r, Suite_--- _ MEC -- Contact Person _—_-- _------rt 1�- Ph( ) - - PLM -_—_ -- Contractor _ --- —� -----. Ph( ) — — -- SWR BUILDING Tenant/owner _ -- l r ��z�y/�' �A------ --- ELC 2=_94� 3�- Foo rng ELC Foundation Access: Fig Drain ELR -_ Crawl Drain - Slab !rispectiorl Notes: ,,iT _ --- Post&Beam Shear Anchors Ext Sheath/Shear ---- ----- Int Sheath/Shear Framing - ----- --_ - Insulation Drywall Nailing - -- - - Firewall Fire Sprinkler - Fire Alarm � �' p' ' ..fling - --•- - - - -...---- -- �us d e - Roof Other: Final -_—,.-- PASS PART FAIL PLUMBING _-_ ---- - -- — Post&Beam -- - Undc:r Slab ----- - -- - Rough-In / Water Service - - -- - Sanitary.ewer -- Rain Drains ---- -- Catch Basin/Manhole Storm Drain -- --- Shower Pan Other•. _— ---�- --- - - Final PASSP_AI,T FAIL- - MECHANICAL_ -- —_ -_ --- - -- _ Post&Beam Rough-In -- - - - - - - --- -- -- - ---- Gas Line Smoke Damper —_ _..-- __---- -- - --- Final _ PASS PART FAIT_ --- - - / - Service Rough-In _ --- - --- - UG/Slab Low Voltage -- - ----. Fire Alarm asPART FAIL El Reinspection fee of _______.__ required before next inspection. Pay at City Hall, 131?-5 SW Hall Blvd. ..._.--- (� Please call for reinspection RE:_--� -..— Unable to inspect--no access Fire Supply line �r App each /Sidewalk Data ?�--'"�"�'F—��- Inspector __ r! � ext -_-_ Other. _ --- -�s " Final DO NOT REMOVE this inspection record from the job site. PASS PART FALL CITYOF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION F3ueiness Line: (503)639-4171 UP C.1260 Z_ OOY 9 Z_ Received ____ — Date Requested7 AM- —PM__ BUP _ — Location --Suite MEC -_- Ph _ G F 33 .� PLM Contact Person ( ) -17, 3 - Contractor _- ___ Ph(_ ) - SWR BUILQI _ Tenant/Owner _- ELC Footing ELC - Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: �— Post& Beam Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear Framing -- --- -_ --- Insulation Drywall Nailing - --- � - Fnewall - F-ro Sprinkler ire Alar i 1,1i s Susp'd Ceiling — — Roof __ -- - ---- I'Final_ l - _------- -_ PART FAIL - _ING_ -- -_----- - --- ---- ----- Post&Beim - Under Slab - ----- --- - -- - -- ---- -- ----------- -- Rough-In Water Service --- - -_- --- - --- Sanitary Sewer Hain Drains --- -- - -----"- - ------- - Catch Basin/Manhole Storm Crain —----"- Shower Pan Other: -- --------- - ------------- Final - - - --- -- --- ---- -- ---- ------- ---- - PASS PART FAIL --- -MECHANICAL _-_._-- Post& Beam - - --- Rough-In -- ------ -- ---- -- -------- - --- Gas Line Smoke Dampers -- ----- - - - ____-_---_---- - ---- --- ---- - Final PASS PART FAIL -- -- -- --- - -- - -- ELECTRICAL ----__-_-_ --- --------..___Service Rough-In Rough-In --- UC/Slab - - -- --------------- -- - LowVoltage ---.-.." -- -- .. --- -- -- --- - ----- -- - -- - Fire Aiarrr Final �.� Reinspection fee of$._--__...--_-__-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL ----- - - -- - I Unable to inspect- no access SITE LJ Please call for reinspection RE:_._"__-__-_ - _- � P fire Supply Line - ADA __/ l C ' . Approach/Sidewalk 7� , Dates - Inespe�ctor � � Ext Other: Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY OF Ti ➢OARD 24-Hour BUILDING Inspection Lire: (503)633-4175 INSPECTION DIVISION Business Line: (503)635 4171 MST —_ BUP Received -__ Date Requested- (a` AM PM_- - BLIP Location - ,� 7oZ - Suite C� _ MEC -- - Contact Person Ph(-) --g.a6 PLM mtractor _— -- Ph(- ) ----- ---- SWR _ BUILDING G TenanUOviner _- ELC Uc� Footing Foundation Access: El•C - - Ftg Drain Crawl Drain ELR - Slab Insl:?ction Notes: SIT Post&Beam — Shear Anchors -- Ext Sheath/Shear L Int Sheath/Shear Framing Insulation ---- --- Drywall Nailing -- - Firewall -- — ---- -- Fire Sprinkler Fire Alarm --- Susp'd Ceiling ---- Roof -- -- -- - ----------- Other:--- - -- - - — -- — Final — PASS PART FAIL PLUMBING_ Post&Pdam ---___-------- ------- -- — - Under Slab Rough-In --------- ------ - _ Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - ---- --.._ Shower Pan Other: % Final i - PASS PARTFAIL MECH_ANIC_AL_ Post& Beam - --- Rough-In Gas Line ---------- Smoke Dampers Final -- --- PASS PART FAIL --- - — ELECTRICAL Service - - ---- Rough-In UG/Slab --_ ---- - Low Voltage Fir Alarm A _PART FAIL Reln-.pection fee of$- --__required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection HF --_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk �� Inspector � C Kxt Other. . Final DO NOT REMOVE ;his inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (bj3)639.4171 BUP Received __ ___.Date Requested l _ ' _ AM__�'_PM—_. _ BUP Location —L �� --LI Suite- __ MEC --1 --- --- --- -- _ Contact Person _ Z '�1zsen'_�` Ph(----) 3 62 PLM - Contractor___ -- Ph( -.) — — SWR v_ — BUILDING Tenant/Owner _ _— --._ ELC — Footing CLC -- __-- Foundation Access: Ftg Dram ELR Crawl Drain SIT ---- Slab Inspection Notes: -- —-- Post&Beam --- - Shear Anchors Ext Sheath/Shear -- -- - Int Sheath/Shear Framing Insulaticn _ Drywall Nailing - - -- - — Furewall `• ____ __ Fire Sprinkler -- Fire Alarm Susp'd Ceiling ----- Roof Other:----- Final _ .A*%9....PAA T FAIL --- - -- uMBlr_ - -- - Under Slab Rough-In Water Service — -- — - / Sanitary Sewer Rain Drains - --- - _ Catch Basin/Manhole Storm Drain -_.-- Shower Pan Other: n -- AS J PART FAIL M _ANICA_L Post&Beam Rough-In -- Gas Line Smoke Dampers - Final PASS PART FAIL ----- ------- ----•- ELECTRICAL -- Service Rough-in — UG/Slab Low Voltage _ ---- - ---- -------- Fire Alarm First cleinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART ,'AIL SIS'E n Ple,se call for reinspection RE:_.__ _-� Unable to inspect-•no access Fire Supply Line , ADA 77 7 -Ext Approach/Sidewalk PJa+tre !_.�.__1_�.__--/ -- lwtspactor _ Other: Final DO NOT REMOVE this hispection record from the job site. PASS PAnT FAIL CITU OF TIGARD 24-Hour 'IIILDING Inspectioo Line: (503) 639-4175 i ION DIVISION Business Line: (503)639-4171 MST BUP -- _._-___ Date Requested3 AM_______-PM BUP 2 Suite - MEC ------ - - tPerson �'l.C.¢ ph( ) 7� - c7 -1 PLM intractor --_. — _ Ph( ) _ Lff 3 33 3 SWR -- ---- -. BUILDING Tenant/Owner — J �C.,I�YI ELC Footing C C_4,� i Foundation 5& g Drain Ft Access: ' oZ Crawl Drain ELR ��.7 Slab Inspection Notes: SIT' Post&Beam Shear Anchors --- - - Ext Sheath/Shear Int Sheath/Shea,- Framing heath/SheaiFraming --- - - --- _ - - Insulation Drywall Nailing --- —_ -�_---- ---._.- Firewall Fire Sprinkler -- - --- - -- Fire Alarm Susp'd Ceiling ------ ---- Roof Other: Final PASS PART FAIL PLU_kIB_IN1,G_— Post& Beam Under Slab Rough-In Water Service --------- ----- -- _ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - - - Shower Pan Other: __ _ --- - ----- - -- - _ --- - Final - - PASS PART FAIL MECHANICAL Post&Beam - -----_ _----____--- —_.- ----_-___ Rough-In _------ ._..- ----- - - -- ----- — Gas Line Smoke Dampers Final PASS PART _FAIL_ ELECTRICAL— _ Service — —-- - — - -- Rough-In UG/Slab _ -_.___- -- ------------ ----,—. Lori Voltage Fire Alarm ----- ----- -- -- ----------...----- AS l PART FAIL Reinspection fee of$ _ required before next Inspection. Pay at City Hell, 13125 SW Hell Blvd. SITEF-1 Please cc q for reinspection RE:. _-- [� Unable to Inspect-no access Fire Supply Line ADA �- �� 1 - Approach/Sidewalk oeb. � I� ��� apec4or 4 f-7 CACo% Other: -NXt Final DO NOT REMOVE this Inspection record from the Joh site. PASS PART FAIL CITY OF T r G w R D ELECTRICAL PERMIT ! H PEP.MIT#: ELC2002-00633 DEVELOPMENT SERVICES DATE ISSUED: 12/11/02 13125 S1N Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 2S113AC-00101 SITE ADDRESS: le655 SW 72ND AVL 200 SUBDIVISION: COUNCIL VIEW ACRES NO.2 ZONING: I-P BLOCK: LOT : 029 JURISDICTION: TIG Project Description: Install 3 branch circuits. Lighting relocation. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ — MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: u PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALiPANEL: MANF HM/SVC/FDR: 601+amps - 1000 vo'ts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: S01 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: v >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC CONST/GROUP 15350 SW SFOUOIA PKWY#300-WMI 1010 SE 11TH AVE PORTLAND,OR 9722.4 PORTLAND,OR 97214 Phone: Phone: Reg #: LIC 203 SUP 44605 FEES --_--__� ELE 1.6-95C Description Date +Amount —_ Required F.sp ictlons IFLPRMT)ELC Pcrnnt 12/111W $60.15 r — f.AXIS%State TiN 12/11-02 $4.81 I Rough.-in Elect'I inal Total $64.96 This Permit is issued subject to the regulations conteined in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of the.;9 rules ordirect questions to OUNC at(503) 246.6699 or 1.800-332-2344 Issued By 1-moi,� �1z t{� -� t lPermit Si4lnature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE:---- -CON rRACTOR ATE:____CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. E!-EC'N: r:%l l ,l !��_ DATE:_._— LICENSE NO: ------- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application —_— Date received: l�_� y Permit no.: —GI'j(e" 'h City of Tigar" I Projccti,ppl, no.: expire date: City ofTigard Address: 1315 SW H Date issued: Ely; ��� Receipt no.: Phone: (503) 6:19.4171 — Fax: (503) 598-i960 DEC 0 9 2Q02 Case rile no., Payment type: Land use approval: J 1 &2 family dwelling or accessory CkCommcre;al/indLstrial O Much family 71 Tenant improvement D New construction CkAddition/sitcration/replacement ❑Other U Partial JOB 1 1 Job add;css: 16 6 5 5 SW 72nd )I dliq n , S1,11:' itn.; Tax map/tax lot/aecouilrnp ; Lot 91ock: Subdivision: Frojcctname: ��_� Description and location of workon pfemiscs: ca ted._Gk ` Estimated date of complctionhnspection. t cx / t Job no-7 3 9 38 _ Fee Max -- ��"- Ucxcripnun (jty. (fata) Total no-rasp Busin'Isnamr Oregon Electric Group --- -�'- Address; — New residential-single or"mill E 1 11th dtrelllnpuO lncludcsottathedgarage. City: Portland Statc: OR I ZIP: 97214 Serviceinciudcd. Phone - 990 j Fax: i tlUO sq.a,or Icsa 4 Euch additional 5.00 sq,n or portion thereof CG8 no.: Elet:, bus.lie_y. 7 F—9 5(' Limiled ener residential 2 tt ic. _ Limited energy, iron-rcxidontial 2 100,41 'I _9—02 Each manufactured home or modular dwelling • r„r m )r a rvit n rJoc dei require ) _ Dote Scrvico and/or feeder 2 Sup,-Vett n rin License no: 4 4 OR Services or feederv-installotion, al tarolion or relocstlen: 1 1 2011 amps or loaf - 2 tdamc(print): Flight DyrtamiCs 201amsto400amrs 2 401 amps to 60o amps 2 Mailing address: r_ 601 am to o 1000 amps 2 City: 'tate' ZIP. _ I Over 1000 amps or volts 2 Phont: _ Fax; l: mail: Reconnect cni — I A Owner installation: The installation is being made on property T own f-mrro.rr7serviccsorfee ler,- which is not intended for sale,lease,rent,or exchange according to Imullallon,alteration,urreiocation: 0, S 447,455,479,670, -01, 207 amps or less ___ _ _ 2 201 ams to 400 ompii 2 Owner's si elute: Date 401 to ata amns R11111�� Branch circuits-nen,attention, or a Venslon per panels Name: A Rae fpr branch„rvuns with purchase of 4,ddtess; service or 11:c ler W.each branch eitwlt 2 City — State: ZIP: B. Fee far lmmeh circuits without purchase Phnnc: Fax: E-mail- otacrvicc at Poaelar n4.Arai branch tumult: Each additional bmeeh rireu,t: Mhat.ISort Ica or reedsrnot lacluded)i ❑Service over 223 amps-eooiroLmial n Itcalth-care facf Each pumF or irrigation circle 2 O Service over 32U amm acing of 1&2 ❑Htimrdous loeaunn Each tie or outline lighting Willy dwelling U Building over 10,000%quite feat four or Signal eircuh(s)or ti limited energy panel. O systam over 610 volt+nonoral more residential units in o.wr structure AIMMIJon, or extcnslon• Y 2 ❑Bwlckng nvet three stories ❑Petition,400 amps or more •Dcwri ooh_ _ O Oecupunt land over 99 persons ❑Munuieeturad structures or RV park F,a-Adldnnal inspection over the aU rs-blas in any of tbraMrre ❑Earc'✓Ilghuny plan ❑Othan -- ;+ct impaction Submit_-__sets of plata Nhb any of the shave. lrvestiganon fel: The above are not applicable to temporary construction service. 0 her i Nut all'urisdiwiuns ace t credit cant.,please adl ladsdlaion for rnnro inrurnaanti Perrr I,fee...................... 6 � 1 ep Notice: this permit application ❑visa ❑M:rttcreard expires if a permit Is not obtained Plan review(ar r ”) S _ _-- trait card nam)+,er _— _ _ within 180 days ifter It has been State surcharge(804).....5 4. 81 _ ,p vas accepted ate completc. TOI A)L.........................$ ,�nTJer at Ihuwn un cmda ca 64 96 -- -- Cuidhotdcr signature Ams„t_� M I•xi13(bolllcom) 01H Z00/100 d 1190-1 -INO:Id 99:01 ZO-10-090 CITY O F T I GA R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00288 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 12/10/02 SITE ADDRESS: 16655 SW 72ND AVE 200 PARCEL: 2S 113AC-0010'1 CUB.)IVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 029 JURISDICTION: TIG Proiect Description: Tenant Im.oroven ent A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X _ INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/:..'RIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS. VACUUM SYSTEM: FIRE ALARM: OUTDOOR (_ANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _TOTAL# OF SYSTEMS:___ Owner: Contractor: _ PACIFIC REALTY ASSOCIATES XTREME COMMUNICATIONS, INC 15350 SW SEQUOIA PKWY#300-WMI 901 W COLUMBIS RIVER HWY PORTLAND, OR 9.7224 TROUIDA[,(-'-, OR 97050 Phone: Phone: 503-618-8816 Reg #: ELE 3-515CEP LIC 147263 FEES Required Inspections -Description V Date �! Amount Ceiling Cover [ELPRMT] ELR Permit 12/10/02 $75.00 Wall Coves Elect'I Final [TAX] 81/0 State Tax 12/10/02 $6.00 Total 881.00 This Permit is issued subject to the regulations contained in the Tigard Municipol Code, State of OR. Specialty Codes and all other applicable laws. Al! work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by ---- Permittee .Signature elm e2 OWNER INSTALLATION ONLY istallation is being made on property I own which Is not Intended for sale, lease, or rent. Or...L:'R'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATUNE OF SUPR. ELEC'N DATE: LICENSE NO: ---------_,,.- --------.. ._ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Dec-05-02 09 : 22A RTG P .02 El c�.l Permit Application Croce moei ved- FemUtnokh City of Tipst'toxcUappl.no.: (xperedaae: Coy ofTignrA Address. 13121 SW 1it]I Blvd.' tate ranted By, Receiptw Phomt - (503) 639-4171 — — -- -- Fm (503) 598 1960 DEC 0 6 Casefl-no.. Prymo,�type Land use approval: (3 1 R 2 family dm ilins or mccuM a Commereia)hrd "nal U Muh;-mnily U Tcaamt imptovenXmI U New cone talon Cl Additutri/alternbon/mosiceavid U Critter.._.�,,,.._ ❑Patin, lob iA*t.c: / 'S�1/ �z d tlyC _ t3W ay._ sour,no.;��cp taa me pftx lot/woout0 mm (.nf: BIocY S4ttltSlvtstan: 4r DY t�ro?,wet toric: Uescril4ioa and lo¢atlon of wont oa peemiaem—: vc � _ FAfj=Md dao of dort/ia _ 'rtiwr as ETuainmflamc: )(If tw Hrw,#4 C r�w5 Atidtess:- .-_ q't w w wttt�fttarAy�.. __ jcl` / Cly- t�rirerala.btllisaNatt+adpeq`o. cly. .�y/ L Stats. ,a �,IP: yz� !➢a.aklaela/ai � Pax: -matt: loal tq fl.to ie. _ _ ccB rtv.: I Elm.bus.lic:.eo: 3 .1/5 62' p PAM i edld+�a.l 300 11%n orportkrirlrorcot _ ..._. t,aawee ,testdeodal 2 Cqyjq0MXra .417t.i�aw.d ow+mdaroal __ ? F.t►�terrD%Fftmd l at moddxr drreI1 'A'We Umvec tot" _ SV e_ �m davklan - . Dtm - �4i eieu mm(tarty) /F,I; !,eY l/ e -- aramkill M rateeWim loo u rx Iva 1 r lo (print): _ -- - - 1•r - -- — W l Nap.to ow rrw 1000.q.arrets 1 �— Fut- fi mal I Ortl t Owner inuMbdivn:TM indmiuticm is b"macre ov pmwrty 10,*n whkh Is rnx rntemkid for sak.ka w,rens.of exchtm+e a c Vdiag to wdrtrrtlstt'atatrafhra'aaraloaWw OR-%447.155.479,670,101. 701 wawa s _ 2 Owner's re: Utile: 40110 600!2c1 tb+Daeh clrvatt•pnr,aNartxttrs W esarntoa pr pram: A pie fa trwca aFrrib rvxle ponhNt of Address:� rw.ice a te4ran Ara trtcft acnce cucur _ _ 1 J __ __-- of eetvtte n hmlel Ala,put branrfi arttut: p ----- I'ax ti mail tied adeaawl-ImnnCt+airNu' _ at bAu ;"_ �• 2 U SW900mrerl7-'Iangamnae+cioJ p Haelrlrtttwarrh y Flach_�trroeot it code 1 USeverevN)7oettttr�ttlntio11A3 Uitaeanbu.lorslwn �h-eft.-taanaowlr�n r &a*dweRbW Dawidtemetto.1110wpm*Art ID-a x+Wld►cn4,),rr10?6*d9"yfmwl. J gyftre o er 5W wilts aonrnei nt+m nadneui t ek%lr,me'"Worm" aMtaaMt Of CA 611310n* - - -- - 1 U Sup.iew nrer 6 ee mWial O Fentlert 40o eor i Jnr oxer •Daa..c�d..� _q ra tksr,orx Nes r v"99,ON PIN U MAMINAMW rtr IC—a RV ma Mwaaal�walna s•n Mss aamnrrtt r arr� abate lJ 14P"VNaauatelar U Iftor --- --- ------...- -pwumpeetlt>• 1ViAaatt wts M}Mas wN�arp of ttil.i.t� v too - tU she"we trar to centre.____ - rl.c tM Mrrirr�•r:■M n.ar o..r,pro..un 1..Uder.a.aw trtr::.r. ..,.................f NmK* thh pomit apphcatirs 1't nrttt fr+e. a►(a lrertpit:s rsol otrtatncA 19at1 tr.viear(R ._._ wr) f ❑orae as wmectd "4'a Stene at►rctcfr�e(846) ..: YVk d Add !tr l i '/ JiJ whbin 190 days after it tux h"" — tSaaradtrCc - u.. TOTAL. ... ... . ..........S ___. / o c, r�netNed at enmrleta .r SfL.. y ad �a� 40Ja1l talmlCJf�f) CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00547 13125 SW Hall Blvd., l igard, OR 97223 (503) 639-4171 DATE ISSUED: 12/4/02PARCEL: 2S113AC-00101 SITE ADDRESS: 16655 SW 72ND AVE 200 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 029 JURISDICTION: TIG CLASS OF WORK: ALT _ FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APDL: VENT SYSTEMS: STORIES: _ BOIL_ERS_/COMPRESSOR S HOODS: FUEL TYPES 0 3 'AP: DOMES. INCIN: -- _ 3 1E HP: COMML. iNCIN: MAX INPUT: BTU ,5 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITSOTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Mechanical tenant improvement, relocate distribution d'icts for new tenant. Ownar: FEES -- PACIFIC RFALTY ASSOCIATi=S Descripbon Date Amount 15350 SW SEQUOIA PKWY It 300-WMI [MECH1 'Permit Fee 12/4/02 $72.50 PORTLAND, OR 97224 'TAX]8%StateTax 12/4/02 $5.80 Total $78.30 Phone: Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 _ REQUIREC INSPECTIONS Duct Inspection Phone: 213-6911 Final Inspection Red #: I IC 38868 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes end all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work Is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to-follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 /1 C / 1 Issue By: \ 4\- Permittee Signz'ure:k- Call (50 6394175 by 7:00 P.M. for inspections needed the ne�A'business day Mechanical Pern::f Application Date received: 49- Permitno.: cc' City Of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 972231 — Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: I Payment type: Land use approval: Building permit no.: o U I &2 family dwelling or accessory Commercial/indus,rial O Multi-family Tenant improvement LJ New construction LI Addition/alteration/replacement ❑Other: INFORMATION Job address: /l e 15" S wJP. Indicate equipment(Joann ICC in boxes below. Indicate the dollar Bldg.no.: Z Suite no.: AVO value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ qlc? 7 Lot: Block: Subdivision: *Sec checklist for important application information and Project name: fGsyn/c S jurisdiction's fee schedule for residential permit fee. City/county: ZIP: _ t t Description and I anon of work on premises: �� oc A t t IIgNa =I -15 A11EL2-1 3 4� a5Z= AAA ?a5VA,�71- _ Fee(ea.) Total Est.date of completion/inspection lkace,inion _ (Xy. Res.only Res.only Tenant improvement or change of use: Air handling Is existing space heated or conditioned'l es O No dling unit CFM_ .�� Aircondition ng(sue p nn require ) Is existing space insulated?)41e-s O No Alteration of existing HVAC system BEll t 77o iler/compressors mpressors - Besiness name: /- t� ler permit no.: HP __Tons BTU/14 Address: 7 _ SLev - a amper uctsmo a etectorsCity: StateQk, ZIP:e� - p(site an requ re )Phone: _ Fax: -97E-'7 E-mail: p ace urnace urner i CCB no.: ? -- Including ductwork/vent liner O Yes O No Instalrep ac re ocate Heaters e , City/metro lic.no.: �,�" s��, wall,or floor mounted Name(please print): _) A�mm V �, ent'ara eother t an furnace Refrigeration: Absorptionunits_ - BTU/H Name: V Chillers _ Hp -� Address: Com ressors HP �Appliancevcnt nv ronnlcnta ex uO■n vent at on: City: State: ZIP: Phone: 7 - 9� hax [:-mail: rycrex oust -- _ tIlood,,Type Well. tc c azmat hood fire suppression system _ Name: _ Exhaust fan with single duct(bath fans) Mailing address: Ex gusts stem aan from ca1Ti-in of C City: tate: ZIP: uc piping mindistribution(up to out ets) STy 1,110Nd Oil Phone: Fax. E-muit: ue 1 in each additional over ou!cts - 1011-1 n►cess p p ng(schcmat c require ) N tuber of outlets Name: ter stea Lapps p a�T am-Ce ur equipmenl: — - Address: _ Decorative fireplace City: State: ZIP: Insert-type _ Phone: I Fax: I E-mail: stov et stove -- Applicant's signaturt£_ Date: Other: Name (print): Not all Jurisdictions accept credit cei,please call Jurirdlcdon It*ftwe Inf:xmnalon Permit fee.................... U Visa U MastercardNotice:This permit application Minimum fee................$ expires if a permit is not obtained _ Credit card number Plan review(al 96) $ _ within 19(1 days ctler it has been State surcharge(11%)....$ Name of c rkr as fimvn on i-- rcr i ra--� $ accepted as complete. TOTAL $ — ....................... Cwlholdei siAnarure ---—, Amount -- — 410•414171fYt11YCOM1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Cude Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000 00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts_&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents _ 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,0(T.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent _ 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00_. or floor mounted heater _ 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 680 $1.45 for each additional$100.00 or _- fraction thereof,to and including 6) Repair units $50,000.00. _ 12,15 $50,001,00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heal Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Co,d fraction thereof. footnotes below. Comp Minimum Permit Fee$72.50 -� SUBTOTAL: $ to 1 100 7) HP;absorb unit 0K Bl'U14.00 _ 8•/"State Surcharge $ 8)3-15 HP;absorb - 25.80 unit 100k to 500k BTU 25%Plan Review Fee of subtotal 9)155-1 HP;absorb Required for ALL com,nercial permits only $ unit.5-1 mil BTU 35.00 _ TOTAL COMMERCIAL PERMIT FEE: $ unit 301.7 mi absorb 52.20 unit 1-1.75 mil BTU 11)>50HP;absorb - unit>1,75 frill BTU 87.20 _ ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total 13)Air handling unit 10,000 CFM+ Descri ton: Q Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents __ 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 16)Ventilation system not Included In Suspended heater,wall heater or 955 appliance permit 1000 floor mounted heat3r 17)Hood served by mechanical exhaust Vent not Included In appliance 445 10.00 permit 18)Domestic incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU _ 69.95 3.15 hp;absorb.unit, 1,700 20)Other units,Inuludhig wood stoves 101k to 500k BTU _ 10.00 15-30 hp:absorb,unit,sulk to 1 2,310 21)Gas piping one to four outlets mll.BTU 5.40 ,10-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1 1.75 mil.BTU 1.00 >50 hp;absorb,unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.73 frill.BTU _ Air hat,gling_unit to 10�4U0 dm� 656 e'/.State Surcharge $ Alr hano'ing unit>'u,000 cfm 1,170 _ _- Non- ortOle evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE- $ Vent fan r„nnected to a single duct 446 Vent system not Included In 656 --- a ilance etmit _ d t mechanical exhaust 656 Other poecun and Fees: Hood serve _ ------ 1 Inspections outside outside of normal business hours(minimum charge-bvo hours) Domesticincin3rator _ 1,170 $6250 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Other unit,including wood stoves, 656 $62 50 per hour inserts etc. 3 Additional plan review required by changes,additions or revisions to pians(minimum Gas pl Ip ng 1-4 C utlets 380 charge one-hell hour)$82.50 per hour Each additir-al cutlet B3 --- "State Contractor Boller Certification required for units>200k BTU. TOTAL C0MME4CIAL s *"Residential AIC requires site plan showing placement of unit. VALUAIIQN: All New Commercial Buildings require 2 sets of plans. Odsts\fonns\rnech-fees.da- 02111/02 CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2002-00492 DEVELOPMENT SERVICES DATE ISSUED: 12/2/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00101 SITE ADDRESS: 16655 SW 72ND AVE 200 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P _ BLOCK: LOT: 029 _ JURISDICTION: TIG REISSUE: FLOOR AREAS_ EXTERIOR WALL. CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT' OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: B TOTAL. AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _REQUIRED __ FLOOR LOAD: psf LEFT. ft RGHT: ft FIR SPKL: SIAOK DET DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,897.00 Remarks: Alterations to an existing Fire alarm system relocate and add some devices due to walls being relocated as result ofaTI. Owner: Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL INTERNATIONAL INC 15350 SW SEQUOIA PKWY #300-WMI PO BOX 524 PORTLAND, OR 97224 MAIL STATION MN 27-2189 MINNEAPOLIS, MN 55440-0524 Phone: Phone: 503-968-3300 Reg #: LIC 150191 FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp il3tIILUl Permit I-ce 11!8/02 $139.30 Final Inspection i'!'AXj 8%Statc Tax 11/8/02 $11.14 irLtij FT's Pin nv 11!8/02 $55.72 Total $206.16 phis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: Pennittee Signature: C.-Il 639-4175 by 7 p m. f-r an Inspection the next business day BuDding Permit Application_ Date received: Permit no.: City of Tigard g F56� V�DPro;ect/aPpl.no.: Eapi:a date: City ofTigard Address: 13125 SW Hall B Phone: (503) 639-4171 Date issued: Hy4t*) I Receiptno.: Fax: (503) 598-1960 Case file no.: Payment type_: NOV 0 8 2002 1 — Lmd use approval: 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Mufti-family U New construction U Demolition U]Addition/alteration/replacement Xftenant improvement U Fitr sprinkler/alarm U Other: Id Ll I Job address: j S K� f ' / '� Bldg.no.: Suite no.: Lot: _ Block: Subdivision: -- Tax map/tax lot/account no.: Project name_ f-�. I qtn r /N Air ►l C 5 C A - T Description and location of work on premises/special conditions: I- I& {3'c''^ �,ys 7_`'," ` }�e'rc <Y c',2 )< )( t5 Tr r>7 CIC c-w� t Q fI fj-M4_4 - 0%%NIR I OR Sill 11%1. INFORNIA]ION, I SL UIII'CI%LISI Name: tL t t h T 1 Mailing address: / a s 'r v. 1&2 hmlly dwelling: City: 5t2 Tt f},nJb. State: n� ZIP: 1 '72---z Valuation of work..................................... -- Phone: y 3 zy Fax: E-mail: No.of bedrooms/baths................................. - —� Owner's representative: .0 M c C a r e 4.o Total number of floors.................... 1'lione: y `i fr Fax: E-mail: New dwelling area(sq.ft.) ......................... ----__-_-� UNE Garage/carport area(sq.ft.)......................... Name: 1 -) Covered porch area(sq.ft.).......................... — Mailing address: — .J �'� ko r l�✓� Deck area(sq.ft.) ......... City: Tl/{yv'� /S Y 9_:_ Slate: ZIP 7 _ Ott)cr structure arca(s .ft.)......................... Phone: �1Gl`3;7Fax:�'6f 3;`, E-mail: ('ommerclaUlndturtrial/multi-family: Valuation ol'work........................................ $ q6 J-7 •-" Existing bldg.are•t(sq.ft.) .... ..................... Business name: ti: (1 ✓T� e c !"� New bldg.area(sq. ft.) Address: i S �, `a,w Q r Ln, °' - Number of stories........................................ State:[.'r L ZIP: Z 7 7 Type of construction Occupancy�) (B): Existing: CCB n(,.: ._�!t•'1-1—1 _-- _ New: City/meta lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: _ provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is State: IP_ exempt from licensing,the following reason applies: City: ------ - -- Contact _ person: Plan no.: Phone: Fax: E-mail: Name: Contact person: Fees due upon application ........................... $ Address i Y_ Date received. _ City: �State: ?.IP: Amount received ......................................... Phone: Fax: E-mail: Please refer to fee icbedule. �-I hereby certify I have read and examined this application and the Ntm m pniadicdam accep ctvtit cw&.piew call Juuiedkuan for marc infomwion attached checklist. All provisions of laws and ordinances governing Utis U vies ) Uter'md 'Nork will )e complied with,whe If ified herein or not. Cmdh cmd numbs z�a<o� Lie elio Y4 Q P.>< reg Authoriz signature: �- _ Date: _%1/2110 z-- Nurse or curawldet u ihown on credit card — i Print natal:: ca s---- —---�'udholder aiptutae — Amoant Notice:This pirmil application expires if a permit is not obtained within ISO days after it has been accepted as complete. 11r►Irit l tbWCOMt I Fire Protection Permit Check List --- _ A. ❑ New ❑ Addition ❑ Alteration —d Repair --- — B.) (Aodifi—cation to sprinkler heads only: r escribe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: —` Additional description of work: - — ape of Systgm Lorry lete A or B as applicable : D ❑ — A.� Sprinkler Wet _ -__. -�--- `'sand i es _ _ -- --- - Additional Hazard Grou __ -- Information Densit _____ _---------- -----Design Area K�Factor—__ v f —Sprinkler Project Valuation:_ $ B. Fire Alarm-------------- -- —_— .— - --- ---- -- Submittal shall Battery Calculations_ _ Yes ❑ __ include: Individual Component 'es ❑ Cut Sheets _ -- -- - - Fire Alarm Project Valuation: _— Project Valuation_Subtotal %23W!Permit fee based on valuation see --- 8%_State Surcharge: $ - FLS Plan Review 40%—of Permit: $ _— ------ TOTAL: $ -- 1 1\dsts\fonns\FPSchedklist,doc 10/04/00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _ Date Requested AM PM BUP _ Location �- `�-- Suite MEC Contact Person ----. � - Ph( )3�� (� �� - PLM -.-_ Contractor --- ------- _--- Ph( ) -_----- SWR - — BUILDING _ Tenant/Owner otiELC Fong � Foundation ELC Ftq Drain Access: crawl Drain ELR v�Uoo�-12)a Slat, Inspection Notes: SIT Post& Beam Shear Anchors -- ---------�� ------ -__-._— — Ext Sheath/Shear Int Sheath/Shear - -- ---- -_ Framing --- -- - - -— — — - Insulation Drywall Nailing _— Firewall Dire Sprinkler __- -- - --- --- — — --- ---- Fire Alarm Su!;p'd Ceiling Pool Cthor. - Final PASS PART FAIL - -- —�--- PLUMBING post 8 Beam Under Slab Rough-In - - -- - -------- - -- Water Service - Sanitary Sewer Rain Drains - — - - - Catch Basin/Manhole Storm Drain - - - - -- - - - - --. Shower Pan Other: - - Final PASS _PARTI. FAI - - - - - — ---- ---------- MECHANICAL_ Post Q Beam Rough-In Gas Line Smoke Dampers -_-- -- _--- Final PASS PART FAIL - ----- ---- - ---- - - --- - - ELECTRICAL --- -_ Service Rough-In UG/Slab Low Voltage Fir rm If� PART FAIL I--� Reinspection tee of$-.__ required before next inspection Pay at City Hal', 13125 SW Hall Blvd. 15 TE — -- _ Please call for reinspection RE E] Unable to inspect-no access l=ire Supply Line ADA /--/' >. Approach/Sldewalk Daft- �`� Inspector � /�a� —_Ext/ Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00593 DEVELOPMENT SERVICES DATE ISSUED: 11/7/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AC 00101 SITE ADDRESS: 16655 SW 72ND AVE 200 SUBDIVISION: ZONING: I-P BLOCK: LOT: 029 JURISDICTION: TIG Project Description. Install 26 branch circuits. _R':SIDENTIAL UNIT_ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF ON. LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD"-500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTICNS ',i - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 25 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC R.ALTYASSOCIATES STONER ELECT RIC 15350 SW SEQUOIA PKWY 9300-WMI 1904 SE OCHOCO STREET PORTLAND,OR 97224 MILWAUKIE,OR 97222 Phone: Phone: 503-462.6500 Reg #: ELE 26-122C FEES Description Date Amount I I PRMT eLc Pcrmn I Required Inspections I 1 �— $213.10 — I A X j 8%State Tax I I "n' $17.05 Rough-in Elet+.'I Final Total $230.15 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or rf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) 246.6699 or 1-800- 2-2344 yy " Permit Signature: LJ r Issued By: F-�-t✓- " cEv'l-GR_ [ c thc.�� . _-- g OWNER INSTALLATION ONLY______ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ —� _. _ DATE: CONTRACTOR INSTALL.ATION ONLY SIGNATURE OF SUPR. ELEC'N: L C. L!111!�fl�' — DATE:_ LICENSE NO: --'I A:)_( --- Call 639-4175 by 7:00pm for an inspection the next business day 11. 06. 02 WEE) 10:50 FAX 5036594968 nM STONER GROUP 2001 Electrical PermitAppiicatioll - Date tr oeived: I I c-,-I- P:trait no.: . t C City'J d Tigard ProjecVappl.no.: EapIre date: Ci,yof7-iS d Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Phone: (503) 639-4171 Date issued: 13,; Receipt no. Fax. (503) 598-1960 Case the no,: P iymenttype: Land use approval: TYPE OF PERMIT �T# �W- U 1 &2 family dwrVing or accessory O C ommercial/industnal C]Muiti-family 1 rnant improvement D New construction �llddltion/aiterationhnplacrmcnt U Other: p i?tinl JOB SITE INFOOIATIONII Job address: 1(0(vt5s' 7 Z v �_; dg_do Suite no.;Z� T_mapha; Indaecounr no.: Loc Block: Subdivision: ---- - --- - - - Project name:Fi.,c„yr'Dy,,,�o-,,,, y Uescn ttion saki itxation of work on premises -- I fistitnared date of completionrnspec[ion_ --�— ----- -- - -- Job no: y3' 2-t-1 c- Fit M Business name: SAN to lJtsmpti«I -_ - Qtr. (n.) 7atn1 no.itnp Address:l 9o,fk r r,LtD ---- New remierrtial-sirgrn or asuh!•famlly per - City: f f tc�t�Srt';►i� State p UP. dw-Itht,-unicIncludesattacirrdgarage, 9 7;222.- Scmiceincluded Phone p3"t L LSA Fax gr ` I Email; 1000 i .ft ar less t CCB no-: 44 48 -- Mee.bus-lir.no: LZ FAch additional 500 sq.ft.or portion therm! - ----�------ Urnitedenergy,residettial j City metro 'c.no.: A — _ mutedetweY,non-residential_-- 2 _ // 0.2_ Each manufarturrd hoar or modular LIu clli Signature orsupervising elxtsic�(lequir•.A)- - Date - Serviceand/ot ruder 2 Sup-rint uamr.(prinl):M/ GeN l;rrncrno-3gq,�,5 5erviomarfeeders-Irtstallalion, PROPERTY OWNER alteratfonorrelocation: 200 u"Ps or Ins 2 Nr me(p[wt):v 201 amps to 400 naps - J � 2 Mailing address: 4011 amps to G00 arrtps - 2 - 601 amps to 1000 asps _ 2. City. S��: r Over 10001tmpsof volts 2 I'lutnc: �rFax: rF.-mail: Reconnectonly 1 (Jwtux insrtliahon;The installation Is being made on property I own Teroporasyaertieerrorfetdrrs - which is not intcoded for sale,leave,rant,or exchange according to insbUalioa,alteratlot,orrel•�oGoo: ()RS 447,455,479,670,701. 200 emits or less 2 201 amps to 400 amps - 2 Owner's signatrur.: Date - --- 401 to 600 amps 2 Branch ch cults-oew,alteration, Name: or extension Per panel: - --- - A. Frye for branch cirruita with parehtue of dd Amss' service or feeder fee,each branch circuit 2 ----- ---- City:. $�: �;p• 8 Fav:for branch dreuiu without purchase Phone. Fax. E mail: - -- of urvice or feeder fcc,vast branch circ r: Each addi6_0_A hranch circuit: Mier.(Servirr or feeder not Included): U Setvitr ovrr 225 amps-commrrraat U firth:,;.uefx.ility Each wnp or irrigation circle PW 2 U S�tvlce aver 370 amps-rating of 1 k2 O NsM(lons location Each sign or audit*lighting --- - 2 txmilydrvdlingr U Budding ova 10,000 squarr frrt four or Signal circuu(s)or a Ifmjtedenrrgy panel, T_ U Systemovrt6Wvnitsnomin;d more irsidentialunit-,innurauucturr dierstion.orextension• 2 G Building aver tlusx atotties U Fretfets,400 artim or more •Description: ¢ _ - U Occupant load over 91.)persons C1 Manufacturr i smurturs nr RV park F-ach additiosW�ar�t the allow ri:In any b[the abores _ U Farr ,ss/IighHngplan C)Other - -- Prr inspection _ $ubrnit —sets of plans with any of the above. -Investigation fcc — - - 71re alrove are riot applicable to serrp4raty eonstroctloe service. Other - f c —,— -- - Permit fez.. •.. .............. Na all jndyftc,;em a"eteYat ctedaplease all)urtrdrttoa oe irfcrvrfm Notice. [his permit epplial.on G visa U MxsrerVjvd chPirrs if a permit Is not obtained Aan review ;al CreAit rand numtw. _ .[ within IRO days after it has been State surr:he ,;t:(get)....E /7•�� , ---- nIR. accepted m complete TOTAL .... S TtuM of cvdlM,l,3ir a:stq,rn rn.cmtir,Lfl -- ••••••••••••••••• • .r - ,i fr111llrr dl ar[/11r11 -.. (60WCUhp CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00416 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/7/02 SITE ADDRESS: 16655 SW 72ND AVE 200 PARCEL: 2S 113AC-00101 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: -- FIXTURES —_ LAUNDRY TRAYS: 0 SF RAIN DRAINS: SINKS: 1 URINALS: 1 GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 1 TUB/SHOWERS: 2 SEWER LINA: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing Fixtures. New 1 lav, 2 showers, 2-2"floor drains, replaced; 2 toilets, 1 water heater: capped: 1 urinal, 1 mop sink and 1 drinking fountain (other fixture). Owner: — FEES _ - -- Description Date Amount PACIFIC REALTY ASSOCIATES ----- --- - 15350 SW SEQUOIA PKWY #300-WMI JI'LUMBI Permit I ec 11/7/02 $182.60 PORTLAND, OR 97224 II'LUMHi 1'ennit [cc 1117/02 $0.00 I'TAXI `'°('State Tax 11/7/02 $14.61 (TA X 1 8 Statc"I ax 11/7/02 $000 Phone 1: Contractor: Total $197.21 - - — DEAN WARREN PLUMBn4G 3111 SF_ '13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS — Phone 1: 236-4152 Rough-in InspTop-out Insp Reg #: LIC 172 F nal Inspection I'LM 26-83PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be rune in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: Permittee Signature: Call (503) 615-0175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Applimflon City of Tigard iy.a reivea: / _ �U; PGfII1a no. ,G��/a - 2_6 Srwer permit no.: Building permit no.: Address: 13125 SW HzJI Blvd,Tigard,OR 97223 - City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date- Fax. (503) 598-1960 hate issued: B) Receipt no.: Land use approval: . _ Case file no.: -- Payment type: U I &2 family dwelling or accessory U Commercial/indostrial U Multi-family reTenant improvement U New eanswction U Addition/alteration/replacement U Food service U Other: loll SkIE INFOHNI%1101% Job address: b 6 w DescrhWon Qty. Fee ea. Total Bldg_. no.: Suite no.: ---- Neff 1-and 2-famUy dweUings only: Tax map/tax lotlaccount no.: (lo eludes 100ft.foreachutillhycoonection) SFR(!)bath Lot: -- jBlock: Subdivision: SFR(2)bath --- - Project name: `' jjA t SFR(3)bath City/county: ZIP: C4 Each additional hath/kitchen -- Description and location of work on premises: ,s heutilitles: _ Catch basin/area drain Est_date of completion/inspection: / Dr_ywelWleach_line/trenrh drain Fasting drain(no. lin. ft.) - Manufactured home utilities Business name: lJ SAN W A pEtv NA 1N 6 _ Manholes - -- Address: t Z E L+'_ Rain drain connector — - City: I,j 1 State: f ZIP: Sanitary sewer(no.lin. ft.) Phone:' _ Fax_:,3,' E-mail: Storm sewer(no.lin.ft.) CCB no.: i- I r7 I Plumb.bus. reg no: Water service(no.lin. ft.) City/metro lic.no.: - Fixture or Item: Contractor's representative signaturo: - ., -Absorption valve - flow presenter Print name: 1. t U IU Date: I ; t�v BacBackwater valve Basins/lavatory Name: .62')_PI•., r.j EE L L c Clothes washer Address: Dishwasher Drinking fountain(s) - City: State: ?.IP: _ - Phone: Fax: E-mail: Ejectors/sumpExpansion tank - -- Fixture/sewer cap < Name(print): P.,C� 4 �i U 57- +.'"Tr 3 0CC Floordrains/floor sinks/hub Mailing address: "� �'" y t.t ^ j . FlowGarbbe tits saJ I `'t°t��"�`� Hose bibb�- City: P A MZ j � 3Ice maker Phone: -4o Fax: E-mail: Interve for/grease trap — Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s)_ Owner's si nature: Date: Sum _ Tubs/shower/shower pan Name: Urinal -- — -- Water c oset Address _ Water heater ��- City. _-`--------�-r-tate. ZIf_- - Other. -- dtlone: Fr �� E-mail: Tota Na all juriadktlar seep+%credit cards,please call iurik ictlan for nww inf wbwim. Notice:This perMinimum fee................$ — mit application Uv•a UMaarerCard Plan review(at __ %) S expires if a permit is not detained Credit cwd mmner ------- ----- -1�RL-- within 180 days after it hn.4 hcen State surrtharge(8%) ....S Neof eabu --- accepted as complete, v— _ s C'snlholder rianrture Anroml-- 4404616(Wrk"h l l�� PLUMBING PERMIT FEES: PRICE TOTAL New, nand 2-family dwellings only: FIXTURES individual OTY sa AMOUNT (Includes all plumbing fixtures In PRICE TOTAL 16.60 the dwelling and the firstl00 ft. QTY (ea) AMOUNT Sink for each tttili connectlo�_M Lavatory - 16.60 G, One�1_ba -_-- 3249.20 - Tub or Tub/Shower Comb. 16.60 Two $350.00 Three�3 bath $399.00 Shower-Only -- 16.60 _ --- _- - Water Closet 16.60 _� • .� -- SUBTOTAL Urinal 1 16.60 _ -8•/.STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ - -- TOTAL Garbage Disposal 16.60 --- ` --- Laundry Tray 16.60- Washing Machine 16.60 FloorDrain/Floor Sink 2 5, '6.60 3 ' '�' PLEASE COMPLETE: 16.60 4- 16.60 16.60 � _ Quantic b Work Perfor- 1' _ Water Heater O conversion O like kind Fixture Type: New Movod Replacod Removedl Gas piping requires a separate mechanical �� - Capped ennit. 46.40 Sink _ MFG Home New Water Service _ -- _-- Lavatory _ --- ---- MFG"Home SerUStorm Sewer 46.40 Tub or Tub/Shower Hose Bibs - 16.60 Combination - Roof Drains 16 60 Shower Only - 16.60 Water Closet Drinking Fountain _ Orinal Other FlxtureW(SpecHyl 16.60 Dishwasher _ Garbage Disposal a - Laundry Room Tray_ - Wishing Machine Floor Drain/Sink: 2- _-_-- Sewer-1 st 100' --- 55 00 - 3" Sw eer-each additional 100' - - - 46.40 _ 4" -- - 55.00 Water Heater Water Service. 1 st 100' Other Fixtures Water Service-each additional 2UW46.40 - � - Stlxm 8 Rain Drain-1st 100' 55.W _ ---- 46.40 Storm&Rain Drain-eacl additional t0U' Ccxnmis,lal Back Flow Prevontioic Fn Deve _46 40 -- _- Residential Backflow Prevention Device' 27.55 - - Catch Basin 16.60 ----- Ins pWAIon of Fxlsling Plumbing or Specially 72 50 Requested Inspectlons COMMENTS REGARDING ABOVE` Rain Drain,single family dwelling 6525 Grease Traps 18.60 - ----- ----J QUANTITY TOTAL ---- Isnmetrk:or riser diagram le required if -___-�- -• -- -QuenlIty Total Is;a - -� 'SUBTOTAL J �' _- 8'/.STATE SURCHARGE "PLAN REVIEW /. 25' OF SUBTOTAL Re aired only It IlKturo notal 1-�,g- n -------TOTAL f c�r 7 I ✓ 1�11.JP.A(, (/\�C"r `�( " �1• (, .Minimum pormlt fes Is 172 so•a%slate stirrharge,except Residential Bark low J prnvMalon Device,which Is 575 25•a%flat•surcharge "'All how Commrrold Buildings require Mane with isnrrrrltir.or riser diagram and plan revMw I\dst4s\forms\plm-fees.da: 10/10/00 Accumulative Sewer Tally Tenant Name: Flight Dynamics This SWR#NA Address: 16655 SW 72nd Ste. 200 This FLM# 2002-00426 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Baptisery/Font 4 0 0 0 0 0 _ Bath- Tub/Shower 4 0 0 _ _0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash-Each Stall 6� 0 0 0 0 0 - Drive through_ 16 0 0 0 0 0 Cuspidor/Vlater Aspirator 1 0 0 _ 0 0 _ 0 Dishwasher-Commercial 1 J_ 0 0 _ 0 _ U 0 -Domestic 2 0 _ 0 1 0 0 _0_ Drinking Fountain 1 0 1 1 0 _ -1 -1 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch _ 2 0 0 _2 _ 4 2 3 inch 5 _ 0 0 _ 0 0 0_ _ 4 inch 6 0 0 0 _ 0 _ _0 Car Wash Drn 6 _ 0 U v _ 0 _ _ 0_ _0 Garbage Disposal Domestic(to 3/4 HP) 16 0 _ _ 0 _ 0 0 Commercial (to 5 HP) 32 0 0 0 U 0 Industrial(over 5 HP) 48 _ _ 0 _ 0 _ 0 0 0 Ice Mach inelRefrig erator Drain 1 0 0 0 0 0 Oil Sep(Gas Station) 6 0 0 _ U 0 0 _Rec. Vehicle Dump station 16 0 _ 0 0� ___0 0� Shower-Gang (per head)_ _ 1 0_ 0_ __~ _ 0 0 0 Stall 2 i 0 0 2 4 2 4 Sink- Bar/Lavatory 2 _--- 0 __ 0 1 _2_ 1 2 Bradley 5_ _ 0 _ 0 0 _1 0 _ 0 Commercial 3 0 0 0 ' 0 0 I Service 3 _ 0 1 _ _3 _ 0 -1_ •3 _ ( Swimrning Pool Filler 1 0 _ 0_ 0_ 0 0 Washer-Clothes 6 0 0 _ 0 _ 0 _ 0 _ Water Extractor 6 _ 0 Y 0 _ 0 —0 Water Closet-Toilet 6 0 _ 0 _ 0 0 _ 0 Urinal 6 0 1 6 0 _ -1 -6 Previous EDU Count 12 192 192 Capped EDU Credit 0 1OTALS 0 192 1 3 1 10 1 5 1 10 2 1 192 Current Fixture Value 192 divided by 16= 12.0 Current EDU 1 F PH $2,300.00 Previous Fixture Value 192 i divided by 16 = Y 12.0 Previous EDU Change 0 _ divided by 16= _ 0.0 over (under) $ _ Enter EDU Change Here (T—,oil,) i f/x},alr�L HISTORY Current EDU count(12)from PLM# EDU# SWR# _ Sheryl in water department. PLM# EDU# SWR# PLM# EDU# SWR# Name: / 1a1.r1_ ,`-- -_t Date: Signature of person(fiat cal;elated this tally sheet and date perfromed Is required A /��� BUILDING PERMIT CITY OF T'G _ PERMIT#: BUP2002-00468 DEVELOPMENT SERVICES GATE ISSUED: 10/24/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00101 SITE ADDRESS: 16655 SW 72ND AVE 200 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 02.9 JURISDICTION: TIG RE'3SUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: C_)M SECOND: sf _PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONN: FIRE RET? OCCUPANCY LOAD: 250 BASEMENT: sf AREA SEP. RATED: STOR: HT'. ft GARAGE: sf OCCU :EP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DE i-: DWELLING UNITS: FRNT: ft REAP.: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 105,000.00 Remarks: Create new offices and workroom. Need sprinkler flow alarms ins all TI spaces over 100 heads. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY'#300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 TIGARD, OR 97224 Phone: 624-7717 Phone: 524-7717 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Description Date Amount — Mechanical Permit Require 1131ill.Uj 11crmu I cc 10/24/02 $763.80 Electrical Permit Required ITAX]89%State lax 10/24/02 $61.10 Plumbing Permit Required 131 fPPLN Pln Its 10/24/02 $496.47 Framing Insp I I Gyp Board Insp II 1 til FI S Pln Its 10/24/02 $30a.1-2 Final Inspection -- — , Total $1,626.89 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 10 through OAR 952-001-0100. You may obtain a cony of these rules or aired questions to OUNC by calling (503) 2.46-6699 or 1-800-332-2344 Issued By: — Pemnittee 11 Signature: Call 639-4175 by 7 p.m. for an inspection the next business day Building PermitApplication City of Tigard 77777 t no. ` l'1 _City of�gard Address: 13125 SW Hall Blvd,Tigard.OR 97223 edate:Phone: (503) 639 4171 Dateissued: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment qW: - Land use approval: 1&2 family:Simple Complex: ❑ 1 &2 family dwelling or acce.&.cory .U-(':ommercial/industrial ❑Multi-family ❑New construction ❑Demolition Addition/alteration/replacement ,afcnant improvem;nt ❑Fire sprinkler/alarm ❑Other. -101 KLUUM Job address: / (p(P S— Ave . Bldg.no.: L /(v�i Suite no.: Lot: Block: Subdivision: Tax map/=lot/acrount no.. Project name: )C(r�6.,fns tnn r r- - Description and location,)f work on/premises/special conditions:. Tl aA tet 1 Name: PacTrust Mailing address: 15350 S.W. Se uo i a Pkwy. #300 _ 1&2 family dwelling: City: Portland state: ZIP OR • 97224 Valuation of work........................................ $. Phonc503/624-6300 Fax624-7755 E-mail: No.of bedrooms/baths................................. Owner's tepmsenwive-Dennis Pagni _ _ Total number of floors............I.................... Phone: SdIP? Fax: jjjj Email: - - New dw^It.ug area(sq.ft.) ............. .. Garage/carport area(sq.ft.)......................... - Name: PacTrust Covered porch area(sq. f.) ......................... - Mailing address: 15 3 c 0 S W 7� Deck area(sq. ft) ........................................ — City: Portland _ State fir -24 Other structure area(sq.ft.)......................... Ph0nM3 624-6 F E-mail: Commercial/industrial/multi-family: Valuation of work........................................ $ 0�oo 0 Existing bldg.area(sq.ft.) /S2 2 'r;3u.;inessname: H. L. Green .......................... New bldg.area(sq. ft.) ................................ O Address: 153 i0 S.U' (:iLYLPQLt1nStara Number of stories........................................ , Phond103/6 2 -7 7 r Fax: I E-mail: Type of construction.................................... 110 p - Occupancy group(s): Existing: CCB no.: 41328I : -'X- City/metro lie. no.: New, a Notice:All contractors and subcontractors am requited to be ARCHITut/DESIGNE6 licensuf wit.`t the Oregon Construction Contractors Board under Name: Martin Hanson provisions of ORS 701 and may be required to be licensed in the a,ddnss:15350 S.W .aaqu,, i� i inn jurisdiction where work is being performed.If the applicant is City: Portland _ Slatc: ZIP: exempt from licensing,the following reason applies: Contact personflarti n Hanson Plan no.: Phon Fax: G E-mall: d _ p Name: Contact person: _ Fees due,upon application ........................... S -•_ Address: Date received: City: Stere: ZIP_ � Amount received ................ .................... S Phone: - Fax: - maul: — _-_ _ Please refs to fee schedule. - I hereby certify I have read and examined this application and the Nnr all junadtcootn tarn Gnat cards.Plass:oil i nrljcnm for mac tafarmenat attached checklist. All provisions of laws and ordinances governing this ❑Visa ❑MasletCard work will be complied with,whether specified herein or not. Updt card number V �� Authorized Slgncuurr;1 —_ Date: L �2 Name 4 cardholder u abown on credit card Print name:��[�gt�r -� Gl hS O.S . -- artfrw�l.fer nptume — _$ Aawwar Notice:'.lsis Permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-a613(690MM) SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (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 and the restroom, telephones and drinking fountains are readily accessible to individuals wiih disabilities unless such alterations are disproportionate to the overall alterations in terms 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 per-cent(25%). VALUATION of ali renovation, alteration or modification being done / — excluding painting, wallpapering. 11 J $_LO -5-/ UD J multi 25% Barrier removal requirement. _ 5 BUDGET FOR BARRIER REMOVAL [2) $ off— O In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order (a) Parking $ (b) An accessible entrance $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains. and $ (g) When passible, additional accessible /n elements such as storage and alarms TOTAL: Shall equal line 2 of Value Computation- $ �� 2 i Adsts\fnrtns\access.doc EF-EC CITY OF TIGARD RFST ICTE PERMIT- r2FSTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00250 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 GATE ISSUED: 11/18/02 SITE ADDRESS: 16655 SW 72ND AVE 200 PARCEL: 2S113AC-00101 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 029 JURISDICTION: TIG Proiect Description: Limited energy for access control/alarm system. Job Nu 724-88-24980-07 A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO &STEREO: INT- (COM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: ACCESS CNT X L TOTAL#OF SYSTEMS: 1 Owner: Contractor: PACIFIC RFALTY ASSOCIATES HONEYWELL INC 15350 SW L'EQUOIA PKWY t/300-WMI 15495 SW SEQUOIA PORTLAND, OR 97224 STE 100 PORTLAND, OR 97224 Phone: F-968-3398 Phone: F-968-3398 968-3300 Reg #: S903300411-EA LIC 150191 ELE 26-207CEP _ _FEES _ Required Inspections _ Description — Date — _ Amount Low Voltage Inspection — �— I I PRNTI1 ELR Permit 11/18/02 $75.00 Elect'I Final 1A X state Tax 11/18/02 $600 Total _$81.00 This Permit is issued subject to the regulations contained in the Tigard Muniupal Cade, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire i`work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001.70040 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 99 24G- Issu d by �� I YVL Permittee Signature 1 J OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended ft aale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEG-N DATE: LICENSE NO: --.— Call 639-4175 by 1:00 P.M. for an inspection needed the next business clay NOU-07-2002 10:14 HONEYWELL 503 968 3398 P.04/04 Electrical Permil Application hrdrreceived: j c7' PermiInc.! City of Tigard ProlccVappl,no.: Exp cdatc: _ Crryl,f'ltra,d Address: 13125 SW Mall Blvd,'1'ipard.OR 97223 Date issued:Phone: (503) 0:39.417] _ is Receipt no.: Fax. (503) 598-196() Co'c Ilia no.: Payment type: Land use approval.- U 1 k 2 family dwelling or accessory Commercialhndustrjal 0 Molri-family 0I enanf impro omen( D Ncu,ronctruclion O Addilion/,lleralioNrcplarrrnenl O Uthcr ❑Punial 1 SITE INFORMA"ON ]ob address: U lL 6 - �,vl IAV _LHldg no.. Suuc no.: Tax map/tax IuUaccount no,: Lot: _ Block: Subdivision: ---- Project nam�cI-Pw- (fj DaeetiPln_n a_nd loeatiun of work nn Fslimaled dote of ci�rnpletic ,nsprcuon: 5. )p CONIUMTQK Aprtmrm ITT -SCOILD111f (nFK NuttF1115ineb5name HONEYWELL _ rlrscnption Ie17. Ica) 7bul na.iuup New mr4todal-Fico or muhi-fondly per Address: 15495 SW Sequote Pkwy, #100 dr+rllirw u6(.Inrltrdes 2tlatiae4 ramRr. Cily; Port 1 an d 5tnle:CR Z)P.' 97274 Semiceincluded: Phone6103-9 8-3304 Fax: 968-339 Email: Ilxx1 sq.it.or lea: a` CCB un,: ( 01,9lFICC,bice.lie.no: Z6`2Q7(�F p Fach additional 500 sq.n.or ponion thereof "Limilarl energy,reaidentlal 2 Ci /nreir0 ic.n 4619 i Limircdenergy,oon-residendal p� Each mwuNletuted hun,c or modulat dwelling n Lure -1 supervising clecuician(rag4,red) _ Uat Service andfor reader 2 u,alert name(prifirreteve-Moreh p�-JW 4-6 pA Services or leaden-Instsillation. ahetationat relocation: 400 amp,of less _ Name(print): 201 s to 400 amps — 2 Mailing address: ��- 401 srtpsto6Miurips 2 601 amps to 1000 amps _ 2 City: �- —_ _ S(AIcIZIP: --- ova 1000 amps or volu ? Phone; Fax; E•ma(1: Reconnect only i Ownei Installation:Thr installation Is being made on properly 1 own 1rmponr)arr*norleedeh- "- which is not Intended for We,lease,rent,ur exchange according to hsstallalloh,alleratlun,orrelocation! ORS 447,455,479,670,701. _2m amps Of less -_-- 2 701 amps to dOQ rm� 2 Otvnrrs signature: 1)Alt: 4(11if)60llamps ,p NrrnrLrirculls- newlalltr'alloa, _ ur ttcminn per panel: �nrnr• _ A. hu for hraneh circuits with purchase of AddfCss: servree or feeder fu.each brunch circuit_ 2 City! —�-1 stale: Z1P: -I . Fee for branch circuits without purchme - - ` of service or feeder fee,first brunch circuit: _ Z Moor: 6echadditional branch circuit: Misc,(Service or lender mot included)s- UScmrrave unp,�iomrr.r6P1 Ulirhi�,mrlacihty Lach pump of impouon circle 2 CIS! icr over 120 amps-rounp or lU U Mur.urdous Immuon E" h sipn or nudine lirhbnh 2 family dwellings U Build np over In,000square feet four or Sipnal cireuh(s)or a limited enerlry panel, r7` / Q System over 6(10 vett nominal mune resldenllal units In one stmourr dterallumnl eslemion• ' /✓ 77 2 0 8uildinp over Ihree etorier 0 Feeder.ern amps m mnrr .rXit„ oo C)(kcupani Iuad over 99 porton, G hianutacrored sWctures or RV pore -->4— "— �-- farh addirinatal insprvilon over the allowable In any of the a1Mve: U L:pre.401phtingplan 0(hher. Pe,sns�arnon _C SahmH_eels of pian' Ailit ant of the above. lnvesugnhon ter The above err tool applicable to term)) rn construction service, bums --- ------ - - _ _ -- S '7 . r Nor altjut»dMny^'tccete ctuW.,rltax call non to num inrummti;rl. Notice:This permit uppheation Prrmif tee..................... 50 d faVtsa 6 M expires if a permit ix not obtained I'lan review(at %) S (rcaLt rpth nu Within ISO da)',efier it hurt been State surcharge(84e) ,...$ ccepird n•cumplele. TOTAL ......5 _ _l 0 O 1 Ism"- ...ot IV111o+m Ale hCar .--- 'too _&dhoftkt sireallot _Amount "34613 Ih"MCOW T1FOL F'.114 ELECTRICAL - ERMIT CITY OF TIGARD RE TRIC EDPENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00249 UM 13175 SW Hall Blvd.,Tiqard, OR 97 223 (503) 639-4171 DATE ISSUED: 11/18/02 SITE ADDRESS: 16655 SVV 72ND AVE 200 PARCEL: 2S113AC-00101 SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 029 JURISDICTION: TIG Project Description: Limited anergy for fire alarm. A.RESIDENTIAL _ B.COMMERCIAL _ AUDIO &STEREO: �— AUDIO &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: �')THER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: — TOTAL.# OF SYSTEMS•_1 Owner: Contractor: PACIFIC REALTY ASSOCIATES HONEYWELL INC 15350 SW SEQUOIA PKWY#300-WMI 15495 SW SEoUOIA POR rl_ANC, OR 9722.4 STE 100 PORTLAND, OR 97224 Phone: F-968-3398 Phone: 1-968-3308 8 968-3300 Reg#: SOM-330041 LFA LIC 150191 ELE 26-207( 1.1' FEES _ Required Inspections Description Date_ _ Amount Low Voltage Inspection ELPRNIT] ELR Permit 11/18/02 $75.00 Elect'I Final TAX]8%State Tax 11/19/02 $6.00 Total $81.00 This Pen-nit is issued suhject tc the regulations contained in the Tigard Municipal Code State of OR. Specialty Codes and all other applicable 1r.ws All work will be done in accordance with approved plans. This permit will expire if work is not started w'thin 180 days of issuance, or if work is su3pendad for more than 180 days ATTENTION: Oregon law requires you (o follow rules adopted by the Oregon Utility Notification Center Those piles are set forth in OAR 952-001-4)6,i4rough OAR 952-001-0100 You may cbtain ;opies of these rules or direct questions to OUNC at (503) 246 (i�9. 4 IS! 6 by �` .rY.�nd --- Permittee Signature ) OWNER INSTALLATION ONLY The installatlor, c being made on property I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRAC.T.OR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N DATE: LICENSE NO: ----- -----.�-_—.---- -----------__— Cal1 639-4175 by 7:00 P.M. for an inspection needed the next business day NOV-07-2002 10:13 HONEYWELL 503 968 3398 P.03iO4 ` Electrical Permit Application )ete Ivd. 7 - Petno,: e0 fL —, - ...ZoCitiof Tigard Nruiccunppl.no,: pir sic: Clrvof Ptpard Address: 13125 SW Hall Blvd,Tilra d.OR 97223 halcirsned Phone: (503)639-4171 __ B _ Receipt no.: Fax: (503) 5911-1960 ` Gaxe file no.: Payment type: Land use approval; ST"111 O 1 2 family dwelling or accessory Cntnmercial/Industrial O Multifamily 0 Tcnant impruvcmcni D New consm -lion U Addition/alteraunn/rclil.,c:i!�,Tv ❑Othcr; G Partial 1.1111 d 101 DI TV!IM 1 Job address: IUU56 9�N I VfftwLAt BIdF. no.: ISU11CTax ma lali lot/alccoum no.: L014, Puhd lock; —IS - Project name:F1( Description and location of work un yremiscs; r� Byrn -- Estimated dale of mpletio in tion; y 91,101114111111jiff'I mum Iff11111 7A�ddrcss; Fee titin HONEYWELL• De4rd , les) Tool5 SW S uoia Pkw "e'"'"`id"'"'f'` 'Ot°"'�'le1�y perIan d stale: Z1P: 97224 Service inclu". PhoncbO3-9 8-3304 Tax: 968-339 E-mail: fawsq.n.orlaa 4 CCB Ito.: 26-Z()7Gli P L'arh addition 300 eq.n.or portion rhereol I 01°11 Elec. bus, lie.no: � Llmiltulerter ,ra{denud ? C'i /melfo ic.n 461 UniircdenerEy,rwn-res{dentiel 2 11 1 D2 Loch maoufenured home or modulo dwelling tore o1 supervisinp electrician(requited) Date Service artdlor frwet 2 Sq�-ttT6et-ffRne(prfnVJ--� gg- Op��r�,;;�z-- t}� A 5enicd or(eeden-lnmallalion. alteration or relocollaw 2W am s or lean 2 Name(print): 201 em to 400 amps p Mallin address: _ 401 amps to 600 amps j 60I ems 10 11100 amps City; ZIP. Over I Im amps or vola — 2 Phone: Fax: E-mail; kvconnectonl 1 Owner installation:The installation is heinp made en properly 1 own eervirmorkedens• _ which is no►intended for sale, base,rent,or exchange according to hrstanatim,etlerallon,orreltaotaw OAS 447,455,479,670,701. 200 Nt,Ipe or Iat _ 2 101 amps to 400 amps — 2 Owner's sip _ Dale: 401 to 600 011)PS 2 N At rich Ortoks-rten,elleration. Name: or iotrolan per panel! - A. Fee lar bramh rirruits with purchase of AddreFa: .trvicc or IcrAer fie,curb Irtutch circuit City: Slate. ZIP: B. Fa for branch circuits without purehme Phnnc: Faxof service or feniet fee,first branch circuie _ 2 7 __!nail: Each additional bench circuit: Mitr.Iftervier ut feeder out Incl ed)t O Serv„r ova 225 amps.,cnmmerdtl ❑Heakh-cmr facility ELack pump or irritation circle O Sen-tar over 320 amp+-ratlnt of lj:? O HU.Irdow locauon edi tl n rn nullfne llyhdnp_ 2 landlydwell inpi U 1lullriinr ovet lu.wI square feet lour Of Stpnal circultis)a a limited energy panel. (J m Systenter 600 vrtlu nominal n>nre residemiel units to one snucture alivra atfon,at s75 tensiona 2 OAulldtnpover Ihrersu,rier pFrcdeff Optiter.mMore •Ih►cripdon r _ _ O Or.cupam loco neer 91)persons O Malufacaured ewetuto or RV parts (arh eddhimal inaprellttlt oat t e elloNe�bk In my of rAe e�bov—e! U L•pretsdliphdnpplot, O Qdier _ — tic,inspecnnrt St1Mnl1 self of plans With 61111,of the above. lnverb a� IlOntit Tltt stNttr err not applicable to teml►oritry runsttvetioneerviee. fhhet hM au iumefirit a av ran u uduLnn�mon iMrrnwtat. Notice This permit ttppllcation Permll fee............. ....... ovtse expires if a pennti iv nol obtained Ilan r•view(at 96) $ — Cm&ruin ani within IAO dues after it has Meer, State %ureharpe (8%),...S -- actxpled e•complete TOTAL .......................S _Inv to ,U ao er"If Card &rdhdtkt ryartulc Mnuunt --- - "14615 BUILDING PERMIT CITY OF T I G A R D — PERMIT#: BUP2002-00484 DEVELOPMENT SERVICES DATE ISSUED: 11/13/02 13125 SW Hall Blvd.,Tiaard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00101 SITE ADDRESS: 16655 SW 72ND AVE 200 SUBDIVISION: COUNCIL.VIEW ACRES NO. 2 ZONING: I-P BLOCK: LOT: 029 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: CUM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS. FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,710.00 Remarks: Fire sprinkler tenant improvernent. Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 5'.^/ SEQUOIA PKWY#300-WMI 9384 SW TIGARD ST PORTLAND,OR 97 224 TIGARD, OR 972.23 Phone: 620-6140 Phone: 620-6140 Reg#: LIC 63846 _ FEES _ REQUIRED INSPECTIONS Description Date Amount Sprinkler inspection ISUILDj Permit Fee 1111102 $91.30 Sprinkler Final 1 PLSj FLS I'In Rv 11/1/02 $36.52 i ITAXJ 8%State Tax 11/1102 $7.30 Total $135.12 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specia ty Codes and all other applicable law All work will be done in accordance With approved plans. This permit will expino. if work is not started within 180 days of issuance, or if wort( is suspended for more than 180 (Jays. ATTENTION: Oreg)n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 0152-001 0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-12344. Issued By: Permlttse Signature: ,all 639-4 175 by 7 p.m. for an inspection the next business day �Z Building Permit Application Date receiv / p;r Permit no.: ,ej "-5 City of Tigard � 7 CityajTigard Address: 1312 SW Hall Blvd.Tigard,OR 97223 Project/appl. date: Phone: (503) 639-4171 Date issued: Eiy Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: - 18c2.family.Simple Complex: UPEOF.PERIMIT ❑ 1 &'L family dwelling or accessory 447ommercial/industrial ❑Multi-family U New construction U Demolition QAddition/alteration/replacement U Tenant improvement &Uire sprinkler/alarni U t tther 1 ' SITE INFORMAIVON .� Job address: 166 55 Suite no.: ZUC) Lot: Block: Subdivision: --- Tax trap/tax lot/account no.. --.- --_ roject name: GLI 0141 I-UMRM-C. Description and location of work on premises/special conditions:---- r Name: Ph c`Te LILT' Mailing address: 1535t^ ejo f�&rkjr),A_ PRku)j rt 7C+--t 1 &2 family dwelling: City: O - I State: ZIP _. _ U Z Z Valuation of work........................................ 'l; Phone:% 5 QU Fax) L-24 �:� nail: No.of bedrooms/paths................................. — Ownei's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.).................... .. . -- — — Narne:_ )-I(j j �' L Covered porch area(sq. ft.) ......................... _� I Mailing address: 33 y c'i t r�r. — Deck area(sq.ft.)........................................ _ City: GA L NI State:(,)ILZIP: ( Other structure area(sq. ft.)......................... Phone:G Fax:, E'-mail: ('�inimercial/industrial/multi-family: lillomiW Valuation of work........................................ $ Business name: Existing bldg.area(sq. R.) .......................... ---- New bldg.area(sq.ft.) Address: ��� �. - City. _1_1 C-,/�4_l� __ State: LIP = Number of stories....................................... Type of construction................... ............ �— Phone: Fax: E-mail: _ Occupancy group(s): Existing: CC_B no.: City/metro lie.no.: New: Notice:All contractors surd subcontractors are required to be licr.nsed with the Oregon Construction Contractors Board under Name: Lk, t ._,L IJ provisions of ORS 701 and may be required to be licensed in the Address: - �, c � , jurisdiction where work is being performed. If the applicant is Cit : P St;d � ZIP: G exempt from licensing,the following reason applies: Contact person: Plat,rn_►.: — -- — --- Phone: ,, L _ ' �, Faxr ..!1> -mail: — -- Name: _ Contact person: Fees due upon application ........................... $ _ 'h`:� Address: _ Date received: City: State: ZIP: Amount received ................. .... $^ Phone: Fax: &mp.i1: Please refer to fee schedule. hereby certify I have rea,^qd exnmine d this application and the. Na all Jarisdictivtr accept credit catdA.please call Juriadiction fm more Infarmation. attach.d checklist. All pruviszons of laws and ordinances governing this Uvisa U'dasterctud work will rte compliedLith,whether s cified herein or not. credit cow numtcr Authorized signature: U �. Nnme of t rcr � � ��_ cmltrolder a shown at c It cirt7--� Print name: i FFA —__ — Cardholder rl .tore -- $ AtttouM� Notice:This permit application expires if a permit is not obtained within 190 clays after it has been accepted as complete. 4,10-r II(6"WnM) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DB !VISION Business Line: (503)639-4171 UP UP 721 Received __----- Date Requested-- � -/I . AM_—___—PM BLIP Location _. _._._ �' S s _ Qk=. _ Suite— �©�� MEC Contact Pe,son _ -_ _ Ph(_ ) 2-3 12 PLM Contractor —__ _ Ph( ) ___—__ SWR BUILDING— – Tenant/Owner DZ74-vl�I-4-6,0 ELI: Footi,ig U Foundation Access: Access: Ftq Dmin ELR Crawl Dain �- Slab Inspection Notes: SIT Post&Beam Shear Anchors /,Or ( �-1 2`0 CJ Ext Sheath/Shear l l Ti Int Sheath/Shear - J Framing --- ------ - -- _ . ---- -- _ - - Insulation Drywall Nailing ------ ------ Firewall Fire Sprink er - - --- -.- Fire Alarm Susp'd Ceiling ----- ---- >---- - - -------- _.-_ Roof - --- Other: JUART FAIL I�NJC ------- ----- -- --- _- _� - Post& Beam- Under Slab --- -- - --- - --- -- Rough-In Water Service -- ---- -- ---- - ------ ---- - Sanitary Sewer Rain Drains -- ---- - -- -- Catch Basin/Nanhole Storm '-)rain - --- -- - - Shower Pan Other: -- - - -------- ----- --- Final PART ART FAII. - --- ---- - - ---- ----- --- ---- -- SS PA - MECHANICAL __--- --- ---_-_-- -____-- --- - Post& Beam Rough-In _-.- ------- - -- -- - -- --is Line ,nuke Dampers - - ---- ----- - -- - - - -- _ Firial PASS _PART FAIL ---- — -- --- --------- ------- ----- - - - ELECTRICAL Service _--------- Rough-In UG/Slab Low Voltage Fire Alarm Final F1 Reinspection fee of$_ _ required before next inspection. Pay at City Holl, 13125 SW Hall Blvd. PASS_ _PA__R_T_ FAIL_ SITE Please call for reinspection RE _ -_ - --_____.__. �� Unable to inspect- no access -- ----- _ Fire Supply Line / ADA 1 '' !!,� Approach/Sidewalk Date / v_ nspsctor - __ - Ext Other: Final DO NOT REMOVE this Inspection reward from the Job site. PASS PART FAIL