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11515 SW DURHAM ROAD STE E-5 r. r. R ;„� ww .. ...... --©C ' I MECH. l.LAJSI�T`je� PCL M R!.. . •....... l I M.....see L6 Z_ 657ro e, ...k war.•• . �/� 7 Ll .e e lzr4ci job • _ _. ..arms b"/�'.'p..�► .w. i i � T I LO LE 1p i I I i f I � i i C I I I I I ............... i , i0 li4 � .. I 7 g i L OW OH Jill IIIIIII 111IMAGE IS NOT AS CLEAR A THIS NOTICE, 6 _IIII 11NOTICE: IF THE FRINTORTYPEONANYII III I II . III1II2II ._..✓.-��- G�7i,- rx-�j CSC� '�7, / IT !S DUE TO THE QUALITY OF THE No.36 �� w, • .w. —All ORIGINAL DOCUMENT E 6 Z 8 7. L Z 8 Z 5 Z fi Z E Z Z t Z t-6 t 8 [ L tT1,11 ,11 5 t t t Z T t T t 6SL 8 9 �' E IA IIII IIII IIII IIII IIII I��I II�l� ���� ���� ����111��I�1�� ���, Ili< <�<< iu1� I111 �� �1��►��.�� .��� � 1.� ����f��� d C O v R R I I 11916 S W DURHAM ROAD E•5 CITYOF TIGARDBUILDING PERMIT PERMIT#: BUP2000-00046 DEVELOPMENT SERVICES DATE ISSUED: 2/14/00 13125 SW Hall Blvd., Tipp rd, OR 97223 (503) 6394171 PARCEL: 2S110DC-00400 SITE ADDRESS: 11515 SW DURHAM RDE-5 SUBDIVISION: WILLOW BROOK PARK ZONING: C-G BLOCK: LOT: 016 JURISDICTION: TIG REISSUE_: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUC T!,LN CLASS, OF WORK: ALT FIRST: 2,790 sf W S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 24 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: Interior alteration for tenant improvements. Owner: Contractor: DURHAM 99 ASSOCIATES SPECIALIZED CONSTRUCTION 135 EAST 571-H STF EET 21479 SW 95TH COURT NEW YORK, NY 10022 TUALATIN, OR 97062 ORIGINAL Phone: Phone: 692-5646 Reg #: LIC 00063371 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fra-iing Insp F'RMT KJP 2/14100 $77.75 00-321701 Gyp Board Insp 5PCT ;<,IP 2/14/00 $6.22 00.321701 cusp Final nsIns eg Insp pection PLCK KJP 2/14/00 $50.54 00-321701 FIRE KJP 2/14/00 $31.10 00-321701 Total $165.61 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speciaity Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, of if work is suspended ;or more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon LRility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9.52-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day :;t fY OF TIGARD Commercial Building Permit Application Plan ch 13125 SW HALL BLVD. Tenant Improvement Recd lililit 6 --- TIGARD, OR 97223 tate RecdDate to P.E. (503) 639-4171 Dale to DST Print or Type �� Permityo Related SWR* _ Incomplete or illegible applications will not be accepted called- Name of Development/Proiect Existing BUlldirg New Building [� Job ��'� � Address Street Address Suite �— Building /s� r SJ 1a:1/ .�. /-- .- Data -- Bldg# City/State Zip Existing Use of Buil Ing or Property: t+ r- N me Proposed Use f Buil i g or Property: Property 4SW'Itt Owner Mailing Address Suite 3 57 <J c —� No Of Stories: / ify/St Zip Phone _ _ �/,; D 222 3?0O Sq. Ft. Of Project: Occupant Name RFs Aell(.,E' CSE/? I C.I Ci c S�0//cr12 �� Occupancy Class(es) Name Contractor / �/ �� 0- M t r ��(, ' / Type(s)of Construction ' Prior to permit Mailing Address Suite issuance,a copy Will this project have a Fire Suppression System? of all licenses /y7�j S J �s. C - Yes [] _ No are required If City/State Zip Phone -- expired In C 0 �/� Americans with Disabilities Act(ADA) database Z /�LY` t x S� - Valuation X 25% =$_ Participation Oregon Const. Cont.Board Lic.# Exp.Date Complete Accessibilit Form J ✓ Z ; 160 ) ---'Project $ ,I Name Valuation _ C� �vM _ Architect Plans Required: See Matrix for number of sets to Submit I Mailing Addret s Suite -- on back — City/State 7Ip Phone^ I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and _ that plans submitted are in compliance with Oregon State Laws. Engineer Name ig lure ofnl Date Mailing Address Suite -7__ Contact P on Name 1 Phone J L City/State Zip Phone — --`�- ---- — FOR OFFICE USE ONLY Land Use: AcIndicate type of work New O Addition O Demolition b- Map/TL# Accessory Structure Structure O Foundation Only 7 Alteration B Repair O �— Other O Notes:— Description of work: TIF. - ~---- Note Site Work Permit Application must precede or accompany Building Permlt Application I�COMNEWTI DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX irlan Review is dependent upon submittal of BOTH plans AND a COMPLr_TED ,application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: __ _ Submitted S (Private) ____ 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) �1 ^ M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2� E = Electrical B & M & P (New or ndd) 2 New = New Building E (New, Hu'd, or Alt) 2 Add = Addition B_& F & M -&—P_& E-______3____ E3 Alt = Alternation to Existing (New , Add) Building *13 or B & M (Alt) *B & M & P (Alt) 3 *B $ M & P & E(Ait) " 3 " 'B & M & P & E & F(Alt) 3 NOTES: *Shaded eroos designate ALT submittrals only. ``�_. . _.. NOW I klstslformsvnalrxcom doc 10/30/99 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-11our Inspection Linc: 6394175 Business Phone: 639-0171 Date Requested: — / A.M _ P.M. MST: Location: - �AJ j BlJP: Tenant:_ Suite:E– r Bldg: MEC: 1 Contractor: t Ltill' Phone: 44 60 PLM: (hwmer:— -- 1'honr. ELC: --- -------- ----- ELR: r�F SIT- BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Rearn PosUHcam Post/Beam Covcr71;iirvice Sewer/Storm Footing hoof tlndFUSlab Rough-In Ceiling Water Line Ski) Freuning Top Out Gas Line Rough-In 11(3 Sprinkler Foundation Insulation Sewer llood/Duct Reconnect Vault 13smt Damp I rYwall Stonn Furnace •temp Service MISC. Masonry Ceiling Rain Thain A/C UG-WL.- Shear/Sheath Fire Spklr/Ahn Crawl/Found Dr Ifeat Pump Lobe volt Approved Approved Approved Approyvo Approved Appr/Sdwlk Not Approved Not Approved Not Approved Ved Not Approved FINAL FINAL FINAL. FINAL FINAL r n Call for reinspection CI Reinspec tion fere of ll required before next inspection C3 Umble to inspect :-rspector: _ —__�� .If Date:_ __ Page of� – CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Insspeciionn t.ine: 639-4175 Business Phone: 6394171 Date Requested: F_/I)-- A.M. L-_ P.M. _ MST: Tenant: ) r Suite:-5— Bldg: __ MEC: Contract Phone: � �^ PLM: Phone: ELC: ELR: SIT: _ BUILDING BLDG(con't) — PLUMBINGMECHANICAL LECTRICAL SITE Site Post/Beam Post/Beam Post/Beam wrlSetxiee Sewer/Storm Footing Roof Ihtdl'l/Slab Rough-In Ceiling Water Line Slab Framing TOP Out Gas line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Purace Temp Service misc. Masorroy Ceiling Rain Drain A/C I1(;Slab Shear/Sheath fire Spklr/Alm Crawl/I'ound Ir l(eat hunp Low Volt _ Approved Approved Approved Approv�..__ Approved Appr/Sdwtk Not Approved Not Approved Not Approved roved Not Approved FINAL FINAL FINAL FIN FINAL 0 Cal;for rein spection 0 Rei spection fl of Srequired before next inspection O Linable to inspect In%pector , r-� - ___'ki.4Date:�� _�—q ../ Page—, of / CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 9722.3 (503)6394171 PERMIT PLM9''-0289 DATE TSSUED. OS/11/97 PARCEL: L_:.'G110DC--00400 STTr. ADDRESS. . . : 11515 SW DURHAM RD #E,--5 SUBDIVISION. . . . : WILLOW BROOK PARK ZONING: C--G Ek OCR. . . . . . . . . . c LOT. . . . . . . . . . . . . .. I G- JURT!3DICTION: TIG CLA573 Or- WOR- K. A[_T GARBAGE-- DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP''. . ;B F1.._OOP DRATNc'.3. . . .. . . : 0 TRAPC.. . . . . . . . . . . . . . STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : FIXTURES—— LAUNDRY TRAYS, . . . . : 0 75F RAIN DRAINS. . . . . 7 INK S. . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . qVATORTES. . . . 0 OTHER rIXTURr!3. . . . 0 UB/SHOWFRS. . . 0 SEWER LINE (ft ) . . . 0 wn'rrn C1_0""ET0. 0 wnTrn 1..INE ( ft ) . . . » 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0 Rpmar-ks : Seni ui­ & (Ii -;abled ;(?rvi1-_,es tenant improvement;. Owner-: DURHAM 99 ASSOCIATES1�3 C3 amolmi; try r-ecpt M. 00 JSD 06/11/97 97-2981L�9 135 EAST 57TH STREET PRMT $ �C.W YORK NY 100i"'12 5PCT $ 1. 27 JSD 08/11/97 ?'7-;:'98 t 2 9 Tip # P PLUMBING CO WAURIE PLUMnING CO nox 393 OR 97015 lorip #: 695-9t6l 7? TOT01. REOUTRET) INSPECTTONS is pervit is issued subject to the regulations contained in the Rc)i.1 gti—i vi I ri s p .pard Municipal Code, State of Ore. Specialty C(des and all other PLM/UTicJer,f 1 om- icable laws. All worN will be done in accordance with Top--ot.tt Tiisjr.) ,proved plans. T1,,is pet-tit will expire if cork is not started Final Irispectioti thin 180 days of issuance, or if wort is suspended for sore in 160 days. ATTENTION. Oregon law requires you to follow rules -,)pted by the Oregon Utility Notification Center. Those rules are forth in BAR 952-MI-019 through GAR 1"jL ON1406C You say ,ain copies of these rules or direct questions to OLAC by calling ;I Ily ttee S i gcy ' +++++++•+++++4 4+4+ +4 1-4+•++++++4++++++ f•++-1++++++ +-+.++++i+.... F-4+ ;. l I C; 0 Ion �14.Ap =IT".' OF TIGARD Plumbing Application Recd By_& X125 SW HALL BLVD. Commercial and Residential 0a1e Recd 7- -17 SARD, OR 97223 Date to P E. 03) 639-4171 Date to DST Permit 0 0..,q�" p l Print or Type Re1atilid sw S j 0 Incomplete or illegible applications will not be accepted Caiiwj27 Z 9 oy7s+- 03 Name of DevelopmenvProNet .FIXTURE340ndividtwi)tgwo Job bi i t3 R)0 k Sink 9.00 777 ti Address Smut Address Suate Lavatory _ 9.00 S u rjc-kVj(A m (erl c= - 5 Tub or TUblShower Comb. 9.00 8 Q0 CltytSwIle ZIP Shower Ony 9.00 (J 4 z z 3 Water closet 9.00 Dishwasher 9.00 Owner Me"Address Suite image Dlaposaf 9.00 13" E- 5-i T " -5,1 Washing Maudlin 9.00 CRY/State Zip Phone -Fr,)3 Floor Dram 2- 9.00 Lf o/1 fe r-)j 100`2-1 7 39 3' 9.00 / S71. dr iviL��ISAI��Y.N , opvrca.l L>p _ 9.00 Occupant Suite Water Healer 9.00 Laundry Room Tray 9.00 t�tryiStan Zlp Phone unnol 9.00 3-L i Dew Fixtures(Specity) 9.00 Meme ,J 1 1 CA,-.,f6- o - 9.30 Ontractor Ma0v Addreq wte 9.00 ,Kwto issuance ncs City/State Zip Phone --- applicant must 9.00 provide an Oregon Const.Cont.Board I_rc-a Fac-.Oate 9.00 c ontrsda s __.. 9.00 license Plumbing L1C 0 Cxp.Date Sewer-1st lour '- 30.00 Information Sewer-each sddkJortel 100' 25.00 for COT COT Busyness Tax or Metro• Exp.Date- database). 1st 10t database). 30.00 -._. Name _ Water Service-each adCMlons1 2QO' 25.00 Architect Yv1 fC p/2 10 Se, GnJ Storm a Rain Drain-1st tar 30.00 Or Adm 3Wte Storm&Rain Dram.each addMiorhal 1ar 23.00 162,V1 ff 3 Z S Mobile Home.Space - 25.00 Engineer cay/State Zdp Phone C mineraal Bade Flow Prevention Device or Ari 25.00 _ ).A t Cv IS ct 9 2 44-<.5 S z Poltutlon arvice ?esrnbe worst New O Addition 0 /Uterabon to Repair O Re,identiad Baddlow Prevention Device' 15.00 be done: Residential O Non-residential O Any Trap ur Waste Not Corxheded to a Fixture 9.00 ,,ddkbonal description of work / Cahill Basin 9.00 )'(�P(� � �N Insp.of Existing Ptum ,rq - servo V MuV-� F _ _ perfir Spe+aaily Requestei Inspections 40.00 .asbng use �1`°i•j C{, Perfir akfUhg or prom perty. Rain Dram,single fwn*y dwelling 30.00 reposed use of f - Grease Traps - _- 9.00 iudding or pwperw_Ar _ __ _ QUANTITY TOTAL - stye you capping moving or replacing any ftrtures? fes Oj No❑ 1zmn c or riser diegrnn a reawed a Ousn"Tar is- -9 c. N. fit yesae back of forml _ 'SUBTOTAL 1 hereby acknowledge that I have read this application,that the informahon ,en is coned,that I am the owner or authonred agent of the owner.and 5%SURCHARGE :at oians submitted are in comoliance with Oregon State Laws. gruturs ofr/A ent _ f '- ^Date PLAN REVIEW 25%OF SUBTOTAL goquaed wh 4 ttx6re oy bW re;9 J ✓L 1�-JG`j - �� TOTAL orhta Pe 011 tiarrle �_-- Phone Minimum permit fee o S25+5%surcharge,except Pesiderdel Beddlow Prevention Dev".which is S 15+5%surcharge Uplmapp.dm 1196 (dst) '„EASE COMPLETE AS APPROPRIATE TO PhtOJECT: Fixtures to be capped, moved tr re laced!- :• Qty Sink / Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Llplmapp.doc 12196 (dst) (��I Accumulative Sewer Tally c' G Tens nt ivame: �'� ' _ r s This SWR*,_�> —0 c • Address: L.!Z C5; Ptis PLW, �•���tn g Fixture Vaiue Previous Previous Credits Capped ~ Fixtures Fixtures New total P�t:v # Value Capped off value added# added #s total Count off#s cotuti_ value _ values --- Bath -Tub/Shower — •Jacuzzi/_Whirlpool 4 �_ �• - _ ---�--- __— Car Wash.- Each Stall _ _6 - Drive Through 16 Cuspidor/Water Aspirator 1 _ _Dishwasher- Commercial �4 - Domestic 2 Drinking Fountain Fountain _ 1 i — Ey«,Wash — 1 - -- --- -- ,_ Floor Drain/sink-2 inch 2 -3 inch— - - 5 ,---y- -4 inch 6 Car Wash Drn 6 _ Garbage Disposal 16 Domestic(to 3/4 HP) Commercial (to 5 HP) 32 _ Industrial (over 5 HP) 46 Ice Mach ine/Pefrigerator Drains 1 Y �— Oil Sep(Gas Station) 6 Rec. Vehicle Dump Station 16 Shower-Gang(Per Head) 1^ -Stall 2 _. Sink- Bar/Lavatory 2. / L' Bradley 5 Commercial 3 —__`- Service 3 Swimming Pool Filter 1 _ _Washer- Clothes 6 `Nater Extractor 6 _ Water Closet - Toilet 6 Urinal 6 TOTALS ► - C� Total fixture values: 1 7 _divided by 16 = (�``_ EDU C 7--�o �/'•�� ULA HISTORY PLLM� # EDU# is SWR# / ' i v PLM# _EDU# _SWR# PLM#� F_DU# G SWR# PLM# EDU# _SWR#_— _PLM# ci4 -033 3 EDU# -7 SWR# 2 c;cx 3 PLM# EDU#_ SW_R_# PLM# EDU# SWR# 9C,-O'JF PLM# EDU# SWR# ldsts�swnaly doc y CIT'V OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 619-4175 Business Phone: 6394171 DateRequesLA: i l�3'" �/ A.M. ✓r P.M.— --- MST: Location: �l_LG�— 1 — — BUP:�LQ��ri Tenant: V/6&6 Suite: Bldg: MEC: Contractor. Phone: PLM: Owner: Fhone: �--T_ ELC. SII — BUILDING BLDG on'q PLUMBING MECHANICAL ELECTRICAL SITE Site eam Post/Beam ' Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault f1stnt Darnp Storm Furnace Temp Service MISC. Masonry Ceili Rain Drain A/C UG Slab Shear/Sheath T,ere S klr/Alm CrawVFotmd Dr IIcat Purnp Low Volt A_�_F ov Approved Approved Approved Approved Appy/S,hvlk cd Not Approved ovcd Not Approved Not Approved FINAL, INAL FINAL FINAL 1 tall for SO Reinspection fee of 3 required before next inspection D Unable to inspect Inst>L,t.,r ----- Date: .��-� - — PaRe of CITY OF TIGARD BUILDING INS�eECTION DIVISION 24-Hour Inspection Line. 639-4175 Buzzness Phone: 6394171 Date Requested: _ A.M. � P.M. MST: location: BUR Tenant: U 1&4&L EC 5C U 1 CC-5 Suite:�Bldg: MEC: Contractor: Phone:� �t �}�f _Phone: '-7 ` ?_ _ PLM: _ Chvner: Phone: L L. ELC: /�-3 _j:, (iJ'1_ t�.(ll1�� ELR: —___. SIT: BUILDING BLDG(con't) PLUMBINGCHANICAL ELECTRICAL snE Site Post/Ream Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water line Slab Framing 'fop Out Gas line Rough-In UG Sprinkler Foundation Insulation Sewer IIood/Uuct Reconnect Vault Iismt Damp Drywall Storm Furnace 'Comp Service MISC. Masonry Ceiling Rain Drain A/C DIG Slab Shear/Sheath _ Fire Spklr/Ahn Crawl/Found Ur l lent Pum I.ow V-.)It Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved No( Approved Not Approved Not Approved FINAL, FINAL FINAL FINAL M Call for 177 Reinspection fee of SyEyti 1 he'rc next inSIK-0011 D Unaht_to inspect Insp-ctor _�i_ Date: Page _ of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION I1 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: _ �� z // _ A.M. P.M.-- MST: Location — 1;L e .�.� rl a- C/t BUP: _ Tenant: `- ` 2suite: Bldg: ]� MEC: Contractor: Phone: 7������LJ PLM: Owner: Phone: ���-�� EL•C: RI ELR: SIT: _ BUILDING BLDG(coe'lj PLUMBING MECHANICAL ELECTRICAL SITE site Post/BeamoP—,;VFJFmn Post/Beam Cover/Service Sewer/Storm Fo,.)ting Roof I1ndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Chit Gas Line Rough-In IJ(,Sprinkler Foundation Insulation Sewer flood/Duct Reconnect Vault lismt Datnp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Cr I leat Pump Low Volt ApprovedA�INAL Approved Approved Approved — Appr/Sdwlk Not Approved ecu Not Approved Not Approved Not Approved FINAL. FINAL FINAL FINAL C7 Call rq��, Ctrll C3 Ron of S_ required before next inspection D Unable to inspect Inspect( — Date: ��_ Page— of -- r CITY OF TIGARD BU DEVELOPMENT SERVICES PERMIT #. . .ILDING PERMIT . . . . : B U P 1.3 7 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED- OA/04/97 PARCEL. ;=:F)1JODC­00/t00 iTE ADDRESS. . . : 1151' SW DURHAM RD 44E_5 'j JSDTVTSI0N. . . . : 1411-LOW BROCK PARK ZONTNG;C—G OCK. . . . . . . . . . : LOT. . .. . . . . . . . . . . I G. JURI SDICT ION:TI 0 :IS UE- FLOOR AREAS- EXTERIOR WALA_ CONSTRUCTION ASS OF WORK, :ALT FIRST. . . . . 3300 sf N: S. E: W I_YPE (IF' USE. . . :COM 1-3ECOND. . . : 0 *f PROTECT OPEN ING131--­­ TYPE OF CONST. :5N . . . . 0 Sf N. 9: E: W: OCCUPANCY GRP. :P TOTAL.- -. --- : 3800 s ROOF CONST.- FIRE RET? : if;CUPIONCY L.OAD; 30 BASEMENT. : 0 s AREA SEP. RATED: FOR. : 0 111 : 4) ft GARAGE. . . . 0 G f- OCCU G)EP'. RATED: ')MT'*' : Mczz? : REOD SETBACKS----------- REC?.LJ I RED­------------------- I .00R LOAD. . . . : 0 f- LEFT. 0 ft P0111 -. Q) ft P I R SPKL:N SMOK DET. WELLING UNITS: 0 FRN'r. o ft REAR: 0 ft FIR AL.RM:N HNDICP ACC.-Y FDRMS; 0 BATAS: 0 IMP, P31JPFACE : 0 PPO CORP.:N PARKING: 0 VnLUE. $ .- -..,00O PPmAvJ(9 : Senior I disabled services tenant improvement. Ovilipp : . FEES DURHAM 99 ASSOC LTD type amoi.tnt by date I-ecpt 1 1715 E 57Th ST rLCV, $ 0. 00 SON 07/1'13/97 97-29771.40 NEW YORK NY 1.002't2 FIRE $ 0. 1710 BON 07/15/97 97--297140 PRMT $ 15 2. 5O B 08/04/97 97---2")7883, Phone #: 122.. 3607 PLCK $ 99. 1'; FIRE $ 61. 00 (.',ontr,aCt0V-•: 5PCT $ 7. 63 S 08/04/97 97 -2978813 NORTH RIM DEVELOPMENT INC PO BOY 6 WFST !_.INN OR 9706S Phone #: 320. 26 'TOTAL. Reg #. . 1 001180 REQUIRFD INSPECTIONS This permit is issued sub Pct to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Insi.tlaticin Ins p applicable laws. All work will be done in accordance with Gyp Sciat-d I n s p approved plans. This permit will expire if work is net started SI-tsp Ceiltly TTISP within 180 days of issuance, or if work is suspended for more than 180 days. 07ENTION: Oregon law requires you to follow the rAes adoptod by the Oregon Utility Notification Center, Those r,jles are set forth in OAR W0014010 throng OAR 952-001011.167, j many obtain a copy of these rules or direct questions to 9UNC calling (503)246-1987. or-mittep Signattti-e : s s,-t e d ByQ"A-- f-+4 +++++•1•+++++++++++•-.+++++++++++++t+++++++++++++++++• .+++++++++++++++++ Call 639--417'; by 6:00 p. m. for, an inspection needed the next bLisiness day #•++++.1+.......1-4+++•+++++++4-++++4-4++4........... ++++++.....4-++4+4-++-t-++4.++++++++ ` Csz�mercia( building PermiLADDlication '�-� Cay of Tigarts 137ZS SW Hall ONCL n9ara,OR 97:23t (Sol)439-AI?1 �i b ��' 8 y 97 Jub�;ite Address: rVIW / OFFICE USE QNLX-- Tenant: f02 Suite 0 Planck/Rec. 14zj �'' Valuation: 22 OO(D '� / Permit S M1 Map b TL's � � ��;• C�'j owner: u2 H ern `�? 94sS CC . L 7-r-) ---- Address: 13 C-- 5 � 5� , A�iil.QY;a1i 13QQ l Planning Engineering Telephone: =�� - Z 2 STt Lie Other } Contractor. NUi1T f+ V fn-, Ue ck Cc��1rv+ w4 Address: .• f3c'X -- Type of constr. Telephone: 02!:r- Occupancy Class: 1l Contr-octor's License go 4e.". Sprinkler? Y,�s No (attach copy of current Oregon license) Sq. Ft. Of Fr-)ject: Contact name & telephone: Izcc - i t 'Y Story (1st. 2nd, etc.): (` 4 Architect & Engineer: /li i( Address' '5O kL Proposed Use: CSF Fr'cc c� Previous use: l r-('-C rFlephone: _ `,o 3 - ' �' USSR Note: Plumbing & mechanical plans must be submitted at time of building permit application. 1106 DESCRIPTION: �� N ry q- /� `JRo v4 AI t f�p Vii 'F{�.�� c mac.��cS ,412-c (Apppidant 4' nature 3 Tel phone Number) r, Received by: _ Date Received: / c'cc,%rn --cc ,cS7 c, Account Description Amount Amt Pd. Balance Due, ` Building Perriit (BUILD) ?_� I rj Z •'� Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) ,�(0 Bldg. Plumb. Mech. z Plan Check (PLANCK) r � ✓ .$ Bldg. Plumb. Mech. Sewer C jnaectlon (SWUSA) Sewer Inspection (SWINSP) F arks Dov Charge (PKSDC) Residential 11F MIF-R) Mass Transit TIF (TIF-MT) Commertial TIF (TIF-C) Industrial TIF ;TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntri Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion P!anck/COT (EROSN) TOTALS: I CCMTI "CC ICS: tG95 �,� 07/24fL%7 ' E3:P p1© 0002 July 23, 1997 M(Idren Design CITY OF TIG 111330 03W Kerr Parkway#325 Lake Oswego, OR 97035 OF RE: 11:15 SW Durham#E5 Building Plan Review EcE/vFD PC#: 7-44c BUP#: 97-0351 t,O�gM�NIrY Submittal documents for the above referenced prolP2t have been reviewed for f�flt7PMF"V1 conformance with the applicable Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1. Submit Completed Energy Compliance Forms 5a through 5c, Oregon Non-Residential Energy Code. 1. An amount equal to 25% of the alteration cost shall be budgeted for removal of architectural barriers within the site and tenant space [ORS 447.2411. A. Barrier removal is determined in f ccordance with OSSC, Section 11 1.3.1 ORS 447.241 (4). ! B. The barrier remodel plan shall Include exterior improvements. i) Complete and return the enclosed form with your response to the items in the plan review letter. 1. Provide data showing how you will achieve compliance with Chapter 12, OSSC. Please submit tour copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 039-4171 if you have any questions. Sincerely, R Bert Poskln,CBO P ANS EXAMINER �.+.ww,er etee.rer r. 13125 SW Hall Blvd., Tigard, OP 97223(503)639-4171 TDD(503)684-2772 ----- ORS 447.241 (4). B. The barrier removal pls i shall include exterior improvements. i) Complete and return the enclosed form with yuur response to the items in the plan review letter. 1. Provide data showing how you will achieve compliance with Chapter 12, OSSC. Please submit tour copies of revised suk.–nittal documents and a letter indicating your response to the ebove comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, 61bert Poskin, CBO PLANS EXAMINER 13125 SW Hall Blvd., Tigard. OR 47223(503)6.,19-4171 IDD (503)6644-2172 — LCITY OF TIGARD a DEVELOPMENT SERVICES 13125 S W Hall Blvd., Tigard, OR 97223 (503)639.4171 CERTIFICATE OF 000 IPPNCY FERMI T #. . . . . „ . : BUP97--0:3 i. DATE ISSUED: 08/13/97 PARCEL: 2SIlODC-00400 SITE ADDRESS. . . : 11515 SW DURHAM RD #E-5 SUBDIVISION. . . . :WILLOW BROOK. PARK ZONING:C--G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 16 JURISDICTION: TIG ----------------------------- CLASS OF WORK. :ALT TYPE. OF USE. . . :GUM TYPE OF CONSTR:5N OCCUPANCY GRP. :B OCCUPANCY LOAD: 30 1EtiNANT NAME. . . :SENIOR DISABLED SERVICES Remarks : Senior & disabled .services tenant improvement. Owner: DURHAM 99 ASSOC LTD 1:35 E 57TH ST NEW YORK NY 10022 Phone #s Contractors NORTH RIM DEVELOPMENT INC PO BOX 6 WEST LINN OR 97068 Phone #s Reg #. . s 001180 this Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Or••gon Specialty Codes for the gro1Apy--%ocCt4qncy, and use under which th referent mit was issued. BU I I_D I NG INSPECT R BUILD N ' OF FI C I L FROST IN CONSPICUOUS PLACE CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00205 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/13/00 SITE ADDRESS: 11515 SW DURHAM RD BLDG E PARCEL: 2S110DC-02300 SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G BLOCK: LO r: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS- SF RAIN DRAINS: SINKS: URINALS- GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of commercial backflow prevention device. - FEES Owner: --- --- Owner: - — – Type By Date Amount Receipt DURHAM/99 ASSOCIATES LTD PTNSH BY CRIIMI MAE SERVICES LP PRMT DEB 6/13/00 $56.00 0002912 ATTN LOAN SERVICING 5PCTDEB 6/13/00 64.00 0002912 ROCKVILLE, MD 20852 i Total $54.00 Phone 1: Contractor: KENNEDY PLUMBING 13985 SW FARMINGTON RD BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: 543-5535 RP/Backflow Preventer Reg #: LIC 001009 (CORRECT#10967) Final Inspection PLM 34-42PB 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You ►ray obtain copies of these rules o, direct questions to OUNC by calling (503) 2.46-1987. �� J1 Issues By: Permittee Signature: — `— Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CiTY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By, '/1 TIGAR (503 63 �-4 �`� D9R 97223 �V ` Dale Recd C� /2�/^< Date to P.E. _ Print or Type ate to D� -� Incomplete or illegible applications will not be e acC��101{0dF��Q��Related SWR# "<r , ,v4 Called Name of Developmenl/Project FIXTURES (Individual) --� QTY PRICE AMT Job )A)l�1Clr�1( �OC`(ZC1U.S1,1P`S F GVH Sink 11.50 Address /Street Address Lavatory 11.50 ` ' ✓ CUA FSuite G rvl ' Tub or Tub/Shower Comb 11 50 Bldg# CitWState Zip Shower Only 11 50 . . f. ' Mrd Namue 11, Water Closet 11 50 L�iUt° Mme, f _�t'CQ Urinal 11.50 Owner Mailing Address Suite Dishwasher 11.50 3�, �,o Ke Il' e --- Garbage Disposal 11.50 C:!v ite Zip Phonc ----- - Cf g I a D1 1 1 ASU Laundry Tray _ 11.50 Name Washing Machine/Laundry Tray 11,50 Floor Drain/Floor Sink 2" 11.50 Occupant Meiling Address Suite 3" 11 50 City/State Zip Phone __ 4 - 11.50 Water Heater O conversion O like kind 11,50 —� Name l/ I Gas piping requires a separate mechanicallermit. K'p no,0, T t it.,t fl ti l I"I MFG Home New Water Service _- 32.00 - Contractor Mailing AddressSuite MFG Home New San/Storm Sewer 3200 I ✓rntrlC C-)V') Hose Bibs 11.50 Prior to permit City/State ZIpf Pone Roof Drains 11.50 issuance,a copy � -� (1v' �[Y4- ?, 35 - — Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required if 1 L, ,a 4, Other Fixtures(Specify) -- _- 1500 - expired in COT Plumbing Lic.# Exp.Dotep� database y -4 2-pili T - Name -- Architect Sewer-1st 100' 38.00 Or Mailing Address Suite Sewer-eaf,h additional 100' 32.00 Engineer City/State Zip Phone Water Service-1st 100' 38 nn Water Service-each additional 200' 32.uO Describe work to be done Storm&Rain Drain-1st 100' 3800 New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 3200. Residential O Commercial �- - - Addltional description of worker It r;, Commercial Back Flow Prevention Device 32.00 yrs R< ,'(7l� _ _ A-V I C t r i; IA'AlivA 1 r r'C(^ r k�i 11�( • 11-s Residential BackBow Prevention Device' 19.00 _ Catch Basin 11.50 Ar_ you capping, moving or replacing any !xtf Ures? Y Insp of Existing Plumbing or Specially Requested 5000 Yes O No X Inspections -per/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 _WORK COU'_D RESULT IN INCREASED SEWER FEES. — QUANTITY TOTAL I hereby acknowledge Ih•'I have read this application,that the information Isometric or riser diagram Is required if Quantdy Total is ,9 given is correct.that I am the owner or authorized agent of the owner.and *SUBTOTAL that plans s mined are in compliance with Ore on State Laws _ X71 Signature of '-ner/Agent D to &S 8% SURCHARGE 1 Contact Person frame I 1 Phone _tnP r_i + E q 2,S 5 "PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE$178.00 1 Required only if fixture gt�ntal is-g 2 BATH HOUSIE=;x60.00 TOTAL 3 BATH HOUSE$28S.00 -- --- IThis fee Includes all plumbing fixtures In the dwelling and the first 'Minimum permit tea is S50+8%surcharge,except Residential Backflow Prevention 100 feet of sanitary sower storm sewer and water service) Device whlrJh Is$25+8%surcharge **All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldslMfonnMptumapfi 1111&191- ` - w PLEASE COMPLETE: Fixture Type Quantity by Work _Performed New Moved replaced Removed/Capped Sink _-..- - — --- Lavatory Tub or Tub/Shower Combination Shower Only — _ — Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" _Water Heater ___ _ _ Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: I ld8tVd0rMS\Pk)m9(m do 11118.199 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _Date Requested ' _AM _PM _ BLP Location_ //3/� nu V hy� / (; Suite _ Com_ MEC _ Contact Person Ph _ 7 13 3 S 3 r PLM 2-e,4 - UU Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access. Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN — Slab I —. -- --__ — —�-- ----- SIT Post&Beam I - Ext Sheath/Shear Int Sheath/Shear -- ---_—__�— Framinq Insulation Drywall Nailing Firewall --.--------------- FireSprinkler --------------------------_---- �__-_.-_-_--�_ _.__.__._ - Fire Alarm Susp'd Ceiling ----_ �__--- Roof Misc: -- -- --- - -- --- -._._T_ Final P S----P RT FAIL - - ---- --- LUMBI Under Slab Top Out - - -- -- Water Service Sanitary Sewer — Rain P4aips Fi PART FAIL -CHANICAL Post A Bearr. - Rough In Gas Line - --- -.._ ._ - ------ Smoke Dampers Final -- - - --- -- --- ---- PASS PART FAIL ELECTRICAL ---- -- Service Rough In ----- ---�—. — -----___�— UG/Slab - — — — - --- ------ --- ------- Low Voltage Fire Alarm Final ---_--...__.- -------- --_— — _—_�_ _ PASS PART FAIL SITE Backfill/Grading -- -— — - — -— -- - ----- -- - __— Sanitary Sewer Storm Drain )Reinspection fee of$—_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ) Pic ase call for reinspection RF _ I 1 linable to inspect- no access Fire Supply Line - ADA i 1 Approach/Sidewalkq1 Other Date -__-, Inspector =-,-- ---- —._ _-_ Ext Final PASS PART FAIL 0 NOT REMOVE this inspection record from the job site. Mum CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested_ AM PM BLD Location 1 Suite _ MEC _ Contact Person _— [.1)�L ��i Ph 7 PLM Contractor ,n_ Ph _ SWR BUILDING Tenant/Owner rZ �C ourtc� C Retaining Wall ELR l=ooting Access Foundation FPS Ftq Drain SIGN Crawl Drain Inspection Notes: `;lab _— _ -- - ------ ----�._._ SIT Post& Bearn -_- — — F xt Sheath/Shear Int Sheath/Shear Framing insulation ---- -------- ----------_.--- ---- Drywall Nailing I-irewaN Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: - —-- — - -- — --- -- Final PASS PART SAIL PLUMBING Post& Beam -- ------ — Under Slab Top Out ----------- Water Service Sanitary Sewer - Rain Drains _ Final PASS PART FAIL MECHANICAL Post 8 Beam -- -- - ---_ —__ Rough In Gas Line - - --- - -- Smoke Dampers Final --- - -- -- -PASS—FART FAIL 1ECTRI - --- - - - - ----- -- ---- -...--- Service Rough In - ------- UG/Slab Low Voltage t Fire I'm a P4SS ART FAIL --�- S Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bain Fire Supply Line ( )Please call for re?nsoection RE:_. [ )Unable to inspect-no access ADA 2 /� Approach/Sidewalk Date �/~/ ��i Inspector �'L / _Ext Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, I I CITY OF T I GA R DELEC rRICAL PERMIT PERMIT M ELC2000-00074 L,,EVELG;3'1'.".ENT SERVICES DATE ISSUED: 02/23/2000 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S110DC-00400 SITE ADDRESS: 11515 SW DURHAM RD E-5 SUBDIVISION: WILLOW BROOK PARK ZONING: C-G BLOCK: LOT : 016 JURISDICTION: TIG Proiect Description: Electrical TI RESIDENTIAL UNIT v _ TEMP S_RVCIFEE_DERS _ — MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: —PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ---- __ADL`'I- INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPE"TION: 201 - 300 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT- 601 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ imp/volt: >=4 RES UNITS > 600 VOLT NOMINAL: I — Reconnect only _— SVCIFDR >=225 AMPS_ _ CLASS AREA/SPEC OCC: Owner: Contractor: DURHAM/99 ASSOCIATES WILLAMETTE ELECTRIC INC CRIIMI MAE SERVICES PO BOX 230547 11200 ROCKVILLE PIKE TIGARD, OR 97281 ROCKVILLE, MD 20852 Phone: Phone: 624-3631 Reg #: LIC 000750 SUP 1965S ELE 34-283C FEES _ Required Inspections Type By Date Amount Receipt — — Elect'I Service PRMT BON 02/23/200C $48.20 00-321812 Elect'I Final 5PCT BON 02/23/200C $3.86 00-321812 Total $52.06 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Muniupal Code, State of OR Specialty Codes and all other applicab a laws All work will be done in accordance,with approved plans This permit will expire if work is not started wrthin 180 days of issuance,or 6 work is suspended for more than 180 days ATTENTION Oregon I;-w requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions tc OUNC at(503) 246-1987 Q PERMITTFE'S SIGNA'fURE�7L� "?f ISSUED BY: �J` OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S f�IGNATURE: _ _ _ DATE: — — CONTRACTOR INSTALLATION ONLY — --- - ---- — — SIGNATURE OF SUPR. ELEC N• _ e �i LeQ (��L�. LICENSE NO: Call 639-4175 by 7:00prn for an inspection the next business day CI fY OF T'IGARD �e�t�ical permit Application Plan Check# _ '13125 c W HALL BLVC. EVES Recd By , TIGARD OR 97223 Date Recd jr'Z Z) _ FEB � � ,�ln() Date to P E --- _--__-- Phone(503)639.4171, x304 Date to DST �'�vy Inspection (503)639-4175 COMMUNITY UVELOPAIfEW Of Type Permit#aLzo ., y Fax (503) 598-1960 Incomplete or illegible will not be accepted Called _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development lt1 lley 9'W'.I Number of Inspections per permit allowed Name(or name of business) S'r 4;Iv e(' 0 e Service included: Items Cost Sum Address_ 11 )r-15— SW W K kI - __ 4a. Residential-pe, unit CI /State/ZI f 1000 sq.R.or less $ 117 75 4 City/State/Zip p v - Each additional 500 sq.ft or portion thereof _ $ 2675 _ 1 Commercial fa Residential ❑ Limited Energy $ 6000 Each Manurd Home.or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 _ 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). , Installation,alteration,or relocation Electrical C ntractor e.—J. ��it-Kra �/P , [ �^L 200 amps or less 3 84.25 2 Address Y 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 12850 _ 2 City—riSwa n State U/'- Zip Z 601 amps to 1000 amps $ 192.50 —_ 2 Phone N(e G Z y `34 S 7 _— - Over 1000 amps or volts $ 363.75 _ 2 Job No. 714 ( _ Reconnect only $ 53.50 2 Elec.Cont. Lice. No. '9 4 - 74 3 C Exp.Date- /0 - / -00 4c.Temporary Services or Feeders OR State CCB Reg. No. 7 5-vS"' Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No.1j y c xp.Date S-/-00 200 amps or less $ 53.50 _ 2 201 amps to 400 amps __ $ 80.25 2 401 amps to 600 amps _ $ 100.00 2 Signature of Supr. Elec'n - - Over 600 amps to 1000 volts. JV see"b"above. License No - G �- Exp.Date%G , / - 0/ y- L - i 4d.Branch on or is Phone No. .+� � -- New,alteration or extension per panel a)The fee for branch circuits 2b. For owrc'r Installations: with purchase of service or fee6?r fee. Print Owner's Name - Each branch circuit $ 5.35 _ 2 Addressb)The fee for branch circuits - without purchase of service City State Zip or feeder fee. C Phone No. First branch circuit $ 37 50 Each additional branch circuit L $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or rent. (Service or feeder not Included) Each pump or irrigation circle S 42 75 Owners Signature. _ Each sign or outline lighting � $ 42 75 Signal circuit(s)or a limited energy If required):* panel,alteration or extension $ 60.00 3. Plan Review section Minor Labels(10) $ 10000 —vV� Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over 4 or more residential units A one structure the allowable In any of the above Service and feeder 2.25 amps or more Per inspection $ 50 00 _ Per hour $ 5000 System cvc�r 600 volts nominal In Plant W $ 5900 _Classified area or structure containing special occupancy as described in N E.0 Chapter 5 5. Fees: 0 6a.:n 2 ter total of above fees $ _ �� o Submit 2 sat of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services. Subtotal $ Sb.Enter 25%of rine 6a for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Accountlit! ` AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ S I ` i.\dsts\forms\cicciric doc CITY OF TMFrHAN I CAL DEVELOPMENT SERVICES PrRMI1 FrRMTT #. . . . . . . .. MEr'3'7 0`''3 P-1.2:11mlim 13125 SW Hall Blvd.,Tlgam,OR 97223 (503)639.4171 DATE TOSU :D: 00/0',/97 1-'ARCE'L s ;�51 1+7rT3r -0r'1�r00 TFC' ADDRESS. . . : 11511 :3W DURHAM AM RD A1C -5 lay)IvimnN. . . . : Wit-LOW T1RnOK WARN ZONING; C •C . . , . . . . . . LOT. . . . . . . . . . . . . .. if, JURISDIrTION: TICS ()SS Or ''OR — i AL.T rl._OnR rf;rtN. , , , 171 E'VAP rr10L.ERc: 0 PF Qa l.!"3E'. . . . :COM UNIT HCATCRS. . : 0 VONT FANS. . . : 1 f_"(IPANCY GRP. . :P. Vr_NTO W/O APPL: 0 VONT SYSTEMS- 0 ORICS. . . . . . . . . 0 SOI1_ERS/C011 '1RE:SSORS HOODS. . . . . . . .. 0 . . : 0 DQMF'S. ih;t;:IN: rl, 3w-15 FIFA. . . : 0 COMML. T NC I N: 0 I 11;1.71I.1T : 0 r TU 15 30 HP. . . . : 0 111-PO I R UN T T!7i: 71 'RE 1f-JnmPE:RS , 5 ". . : 0-- 0 HP. . . . : 0 WOQDSTOVE'S. . : 0 i7 PP'!".SGURE. . . . 50+ !I"'. DR`''1-117,. . 0 r,r UNIT5;--....____._ _._.... AIR HANDLING UNITIG OTHER UNITS. : 0 11'71`4 11 1001-1 F1"!.t; 0, ( 10000 cfm ; 0 GAS OUT1. f-TS. 0 RN 1 IOVSTU: fi 10000 fm : 0 ma r' 5 s Installation of o're vent fan, '11112W __ _....,_ ......_---__._._. .... .-- -_... _ . _... _._._._.....__._. __._..___..__._-_...._ FEES R+ICM1 '39 f'aS^f CTnTr_'a type cAmul-irrt by date vec:Pt. FAST 57TH 5TREET r:ry 1T $ ":5. L710 DRA 061/06/97 97-298011 TJ Yr'W' NY 100120 PLCK A G. IDPA O B 06/'3 7 "?'7 "9001 1 5f,CT 1. 2n U'RA 08/06/97 97-29P01 ' crnE #: AC INC 1 50 TOTAL_ +RT!_.AND OR '97i21/4. `9I� y #. . : 0t0" �iS£37 REQUIRED T"17,r f 17T T ONS :s ptrvit is issued subject to the reyr.lations contained in the hec.-hanical Irisp ,ard Municipal Code, State of Ore. Specialtl Codes and all other Mi,_;u. Insp3er_•t;icn lizdbie laws. Fl: worx will be done in accordance with -i,1ai Irispec-tion oved plans. This per-tit wi'l expire if Work is not start!d _,,ii 188 188 days of issuance, or if work is suspended for tore r 100 days, 47W,70N: Oregon law requires yo'J to fellow rules pted by the Oregon Utility Notification Center, Those rules art Perth in OAk 952-001-0018 Through OAR 952401-0080, )*o. say ain copies rf these rules or direct questions to t1tK bi ralling '?1;4 918]. 1 \• C b/ _... .. ._ __ C'e, m i t t:ri k• C ;g I'l:-i t'.r v r _..... .. . - 1 + {_4 ., ... _ .+ ,_r., 4 4-+-+ i1-++++++++-,4 +4++++++f•444J .f-+++_}.44 +.+ ,.r .,..+.+.4.4..y : Cri; 1 6,39 4177 by 6-.00 F , in. f'or' irrsprer.-tions needed the next: bi-tsine5 -j cloy t...i,. . 4-4-44-4 a.+.+ i_..F.+.+ +-+-1`i-L++ -++..F..}..+.r.4-4.4-L..i,.a..l..44-4-L4+4 !++44-1 ++++-1 +4+4-1 ++-r+_1-4+++4++4 r.+i 1-4 Plane, CITY OF TIGARD Mechanical Permit Application Recd13s� �•_ 13125 SW HALL BLVD. Commercial and Residential Date Recd r;_rte TIGARD, OR 97223 t. ' Date to P E._ (503) 639-4171, x304 "� Date to DST_ Print orT P Permit A Mfr: 7' Type �� Called Incomplete or illegible applications Ivill not be accepted --T- Nrm of DevetopmentlPmpet � Description� I - :,;. !j Table 1A Mechanical Code CITY PRICE AMT ,lob 9tnvA Address .Il� .' A) Permit Fe t -0- -0- 10.00 Address I I /r 1 )r. vl v, ease Cttyrstate Z 1.) Furnace to 100,000 BTU 5.00 including duds d vents Name lot name of business) 2.) Furnace 100,000 BTU+ 7.50 Owner Including ducts&vents Mating Address i .l.) Floor Fumace 611'.1 including vent _ C",51sta z.p Phone 4) Suspended heater,Nall heater 6.00 or floor mounted heater rvwrje(or name of busncas) 5.) Vent not Included in appliance permit 300 Occupant Mailing Address 6% ;,oiler or comp,heat pump,air Gond. 6.00 to 3_HP:absorb unit to 100K BUT" _ cmrsiats �� 21v Phone 7.) Boiler or comp,heat pump,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU" GOntractor Name 8.) Boller or comp,heat pump,air Gond. 15.00 (Prior to IL 30 HP:absorb und.5-1 mil BTU" Issuance Mating Address _ 9.) Boller or comp heat pump,air Gond. 2250 applicant _ 30-50 HP:absorb unit 1-1 75mil BTU" must provide all Cdyrstate Zip Phone10.) Boiler or comp,heat pump,air Gond. 3' S0 contractor r. >•i0 HF,absorb unit 1.75 mi!BTU" license Oregon c mst Cont eoorrc L c a Exit.Dan 1 i.) Air handling unit to 10,000 CFM 4.50 information _ for COT CDT Busnesq Tax or Metn.a Fail• 12.) Air handling unit 10,000 CFM 7.50 database). Architect NaA1e� 13.) Non-pcdahlr ^vauorate cooler 450 Or Mailing Address 14.) Vent fan connected to a singly duct / 3.00 , Engineer CMvlsteie 2.p Phone 15.) Ventilation system not included in 450 appliance permit DescriLe work New.C7 Addition O All:ration O Repair O 16.) Hood served by mechanical exhaust 4.50 to be done_ Residential O Nonresidential O Additional Description of work 17) Domestic incinerators 7.50 18) ComrmerciJ or industrial type 3000 Incinerator Existing use of 19.) Repaid units 4.5J building or property 20) Wood stove 4 50 Proposed use of 21 ) Clothes dryer.etc. 4 50 building or property __ther _ 22; Uunits 4.50 Type of fuel-oil O natural gas O LPG electric O 23) Gas pip ng one to four outlets 2.00 i hereby acknowledge that I have,read ttus application,that the 24 j More than 4-per outlets(each) 50 information given is con act.that I am the oM'ner or authorized agent of 'he owner,that plans submitted are In complia^ca with Oregon Stare QTY SUBTOTAL. laws Signatium of OwnerlAgent Date 'SUBTOTAL 5416 SURCHARGE Contact Person Name V Y Phone 4 i PI-4,N REVIEW 25%OF SUBTOTAL I WstYnechpmI-do, (rev 9 'Minimum perm i fee is S25+5%surcharge "Residential A/C requires site plan showing placement of unit. I CITY CSF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT' 13125 SW Nall Blvd.,Tigard,0R 97223 (503)6394171 PERMIT#. . . . . . . . MEC97--0261 DATE I._rSLrED: 08/04/97 PARCEL.: 2S 1 10DC--00400 'LITE. ADDRESS. . . : 1, 1515 SW DURHAM RD #L -5 t.1BDIVTSI0N. . . . : WII._LOW BROOK PARK ZONING: C--G Rl..CCK. . . . . . . . . . . i..OT. . .. . . . . . . . . . . .. IG JURISDICTI0N. TIG .,L_AS S OF WORK. . :Al T r"L..00R r"URN. . . . . 0 EVAP COOL.ERG. 0 fYr'E: QF USE. -COM UNIT HEATERS. . : 0 VENT FANS. . . : 1 (3rX,!)PANCY GRP. . .8 VENTS W/O API-'I._: N VENT SYSTEMS: 0 ST OR 1'.FSa. . . . . . . . : 1 S0ILEkS,'C0MPRESSOPS HOODS. . . . . . . : 0 ;7UEL. TYPE; __ .. _.- _._. _.___ .. 0-3 HF'. . . . : 0 DOMES. I NC I N: 0 —15 HP. . . . : 0 C:OMML. INCIN; 0 MAX INPUT: 0 E TU 15- 30 HP. . . . ; 0 REPAIR UN T TS: 0 F IRE DAMPERS". . . 30--50 hl.'. . . . : 0 WOODSTOVE"S. . : 0 !3AS PRESSURE. . . °:O+ HP. . . . . 0 r,l_.O DRYERS. . . 0 NO. OF LIN I'T'S--- -- - -- AIR HANDLING UNITS OTHER UNITS. : 0 I='IJRN ( 100K ETU: 0 (= 10000 c f m : 0 GAS OIJTL..ETS. : 0 -URN > -100K BTU: 0 ) 10000 c_fm: Q, 9 p m ar,k s : Senior t disabled services tenant improvement. ']wnev: —_.____..._._ -__._ _.__._.._._.__.__..__....._..___......_____._____..__._...-•-----.---..._...-....._ FEES DURHAM 99 ASSOC LTD type amor.rnt by date recpt 135 r 157TH ST PRMT $ L'S. 00 S 06/04/97 97- 20788-3 NEW YORK NY 1002P PLCK ! 6. 25 B 08/04/97 97-29788? `SPOT $ 1. 25 S 08/04/97 97-29788. 17-1I1one #: 11VAL Tt'r, 815 SF SHERMA'V $ 32:. 50 TOTAL_ ='ORTL.AND OR '37214 Phone #: 239--48^C.. Reg It. 000508 --_- - -- REQUIRED INSPECTIONS .__. ...-.- fhv permit is issued subject to the regulations contained ir, the Final Inspect ion T•gard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All w4r6 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 DAR q5^ 901-0010 through OAR 9521014M v u may obtain copies of these rules or direct questions to OW 'jr calling 15031246-9187. t r e i3 y : �..'_Y r ���t"_`_-'�.__— P v v-m i t t e e S i g n a t r_+v +4++ .. +++++++++++++++++++++++++++i+++i ++-F+-F++++++++++++++i+++++.•+++++++++++.. ++ Cal i 639 -4175 by 6:00 p. m. for- inspections needed tyre next bi-rsiness day +-L+++++4-+++++4...+++++++++++4-++++++++++++++++t++++++i-+4 +-A -F+++++++++++++++f-++-: +•++ Plan Check,/ heck n -7 Ll CITY OF TIGARD Mechanical Permit Application Recd By b'1-IJ 13125 SW HALL BLVD. Commercial and Residential Date Recd I I'j, `1� TIGARD, OR 97223 Date to P E. C'c 7 (503) 639.4171, x304 Date to DST Print or Type Permit# Incomplete or illegible applications will not be accepted called f- Name of DevsiopmentiProlea Description b4j1tho(A-) h3oevuk 13u,4> • Table 1A Mechanical Code QTy PRICE AMT Job Street Addreea Bud" A) Permit Fee -0 -0- 10.00 Address II CS- I`, 5w D(A-RHAty 1 F - S Btdga '- Ctty'state zip t ) Fumare to 100,000 BTU 6.00 _ 15:: `5 1 r 107 A(e C"i Oft 7�Z z including ducts&vents Name for none of business) 3.) Furnace 100,000 BTU+ Owner (J t��'I�f. ` `9 f)S S -�� including ducts&vents 7 50 Mame Address 3) Floor Furnace 600 incl,idirx�vent �MrSute Zip Phtats Sb3 4.) Suspended heater,wall heater 6.00 —v UO2.7Z2-t.'3fd0r4 or floor mounted heater Name ldr"ar"e,nr a,sl ,r4 7-e 5.) Vent not included in appliance permit 3(: SF'n/rc z . OrSArs( c�Su�u v„� of O/c , Occupant Mailing Address d) Boiler or comp,heat pump,air Gond. 6.00 S I t Sus D C/1i'(-(A rl l (e -S to 3 HP;absorb unit to 100K BUT" CayistateLp Phoria 7.) Bciler or romp,heat nump,air Gond. 11.00 7 16 f1 i� U k' y one 5 ISI 3-15 HP;absorb uo.1 o 500K BTU- Contractor Nam8.) Bailer or comp,heat pt Tp,air Gond 15.00 (Prior to r 1 A --T /,.j C 15-30 HP;absorb t,nd,:,-1 mil BTU" issuance Maung Address 9) Boiler or comp,heat lump,iir Gond. 22.50 applicant 30-50 HP;absorb colt 1-1.75mil BTU" r must provide all CRYrS(ale — ZIP Phone 10.) Boiler or comp,heat pump,air Gond 3750 contractor >50 HP_,absorb unit 1.75 mil BTU" Ik.,ense Oregon Cunei.zorn.soaro OR Exp.Oats 11 ) Air handling unit to 10,000 CFM 4,50 information '^r COT COT Buslftass To or MWO -EXP Oate 12.) Air handling unit 10,000 CFM 7.50 database). _ ArchitectI) (Z AV 5r b�J 13.) Non-portable evaporate cooter 4.50 y or Mailing Address w A3 7 S 14) Vent fan connected to a sinale dud 300 t.- � Engineer CAyBtata Lp Phone 15) Ventilation system not included in 4.50 t-'('I, c_)'; 0'Q 03S Mq-oS3 Z appliance permit Uescnbe work New O Addition O Alteration Repair O 16.) Hood-;erved by mechanical exhaust 4.50 to be d�,ng Residential O_Non-residential O Additional Description of work —`— 17) Domestic incinerators 750 Commerpal or industrial type 3000 Incinerator Exisling use of 19.) P pair units 4.50 bwkting or property 4 F F 1 (-,e 20 j Wood stove 450 Proposed use ut 21 ) Clothes dryer,etc. 4.50 building or property 22.1 Other units -- — 4.50 Type of fuel-oil O natural gas 0 LPG O electltcp 23) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application,that the ')4) More that,4-ptr outlets(each) 50 informatwn given is mrrect.that I am the owner or autt•onzed agent of the nvner,that plans submitted are in compliance with Oregon State OTY SUBTOTAL laws. Sigrl' re OwneriAgent Date •SU3TOTAL S� 5%SURCHARGE — U_f14_ — - (J Contectloemon Nim phone PLAN REVIEW 25116'iF SUBTOTAL S7 5-19 2-S TOTAL ,S 11 Z i tdstlmlthpmt.doc (rev 9 'Minimum permit fee is S25+5%sur0arge T -Residential A/C requires site pian shcwing placement of un1L (-I& CITY 4F TIGARD DEVELOPMENT SERVICES ELECTRICAL.I CAL. PERMIT 13;25 SW Hall Blvd.,Tigard,OR 91223 (503)639.4111 R — RESTRICTCD ENERGY PERMIT tt : ELR97--0219 DATE ISSUED. 07/311/9-1 PARCEL: CS1 I ODC-00400 'TF ADI)Rr"SS. . . : I 1755 19 '?W DURI WIM RD #C= :f ,L10DIVI0jION. . . . :WTI-L.OW HROOK Pf'iRK ZONING:C-G 'LOCK. . . . . . . . . . . I_=. . . . . . . . . . . . . : 1f', JURISDICTN: CIC `Iro,ject Description : add handicap egress RC'SIDENT IAI__ ___.__..-- P. COMMF.RCIAL.__-. . . _.. ._._.__ .__ ._._.__._ .. _....__....__ AUDIO R STEREO. . . : AUDIO & STEREO. . : INTERrOM & PAGING. . : 5UROI .AR ALARM. , . . .. 130TL..F_R. . . .. . . . . . . . LAND CArr/IRRIGAT. . : ;f1Rf)C;F OF-,ENF'R. . . CL: iCl:. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . , DATA/TEI..E C]MM. . . NURGE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. „ . . . . : OUTDOOR L_ANDSC LITE: r3T1 ICR. : : 1AVAr. . . . . . . .. . . . . : PROTECTIVE 515NAL. . : TNSTRUMENTATT.ON. : OTHER. . :HANDICAP : : X TOTAL. # Or- SYSTEhlf7. 1 FEC', DURHAM 99 ASSOCIATES type amor.tnt by date recrot 1;LP5 EAST 557TH STREET PRMT 4 40. 00 GE0 07/3.1,107 97 .;"'97827 'qFW Y[>r<K NY 10022 5PCT 4 00 GFO 07/31 /97 97-297827 '"'horse #. ^L=c .31327 P'I ICN I X CLECTR I C rn 42'. Q10 TOTAL_ 737' SW TECH CEN J-P DR. _--.___....._ REQUIRED INSPFCTT01'; ._.__.. ..._....__. TICARD OR 972C Ceiling roV(.11 r1e,.:1 , 1 Final "1hone #: 6A4-3,€�0Q7, Wall C mer 'his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 'tris pe,-wit will ex.pire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification "enter. Those rules are set forth in OAR 952-H1 OOlt through OAR 952-801-8080. You rel 4+ain copies r ' these rules or direct !. ^' , at 15831246-1987. mer! Permit"-ee 9igr72t1-tre c OWNFR INSTALLATION ONLY.-_. _.._.__ .... .... ....._... ;lallatioveiny mace on property I own which is not intend( ' lecl5el or rant. 7R" 3 SIGNATURE. DATE:, . C:ONTRnCT,OR TNSTnl-L.ATION ONLY / nintl lRE" hF SI..1PR. FLr--r' N: DATE: 3! -- — — --� _CI;,3E NO: F+++•-r"4--1-+++-1"++ +-;-+++.+r++++++++ F+++++++++.++++++++++++•+++++++++++++++++-I-+++ ++++-+i 637- 417`_) by C,:00 P. A. for- an inspect ion deeded Vie next hr.rsi nes,, day r-.4-A.+4+++++4•++++•+++f+ F++++ r•++4++.+++++++44.4-F+++++-1-+;4+++++++-++i { +++-t._r. +-F+ r + F+ + ' i JUL01-97 THU 07;34 AM PHOENIX ELECTRIC FAX NO. 503 684 3611 P. 02/02 07/3E/>i� 1_6:18 $503 664 729T CTT1 of TIG.kRi) CITY OF TIGARD RESTRICTED ENERGY ELECTkr"AL APPLICATION 13125 SW HALL BLVD "V- Rec,d TIGARD OR 97223 PRINT OR IYPF V-503-639-4111 X304 ' �►:nrc X L" 9�_' �� L -503-AA4 7201 INCOMPLCTF OR ILLEGIBLE APPLICATIONS ' usccalt'd:- WILL NOT BE ACCEPTED Name of Developman!project _TYPE OF WORK INV^.,!-V'.:V •RESIL.ENTIAL RaxEr Ced Energy Fee 540.00 (FOR ALL SYSTEMS) JOB 5tmnt Address Ste• r� Cherie Type at Wolk Invr.,-ed: ADDRESS xv:� .r�- � Lits/state rp Phone a [ ] Audio and St- •eo Syrtwms Nha3k ❑ Suraler A*-i C `�' -- ❑ Garage Drier Colonel' OWNER Mxtlinq Address ;pari,+� 'rami Zip Pflana! Aon■ro!Air Condktoninq System' Ci1�rJ5tAte ' vacuur~ systems' Name n \. �u ` ❑ Omer -- —•-- CONTRACTOR Malling Address TTPE OF WORK INVOI.VuD •COMMERCIAL (PAor to Issuance a itylsAts ,Zip Phone 0 Film for each sysMent.............................................. 540.00 mpy of all IiQnsr4 ILf L\L- 'i 1 (SEE OAR 918.260-260) are required if C)rwV t Czontr BMLir s Elp.Date eapireJ in C,O T a4-.)4== C- 10 9 Check Type of Work InvrrvtM- data base). Enctrlcal Ccn1rrr..Lk It Errp. Dete t eY4 ❑ Audio and Store*Systems C O T. or Metro Ia s nil Boiler Comt-Y's OwnRr•s Name ❑ Clock systams OWNER - Mailing Adirmnz APPLICANT -J'J [ ] Nta Tekcamnrunicxtion Installation CRyrStata j Zip F hone x ❑ ri.p Alarm Insfalfadon This permit is issued under OAE 919.126370 This applicant ngrrtas to ❑ mike only r*strlmd energy installations(100 volt amps or less)under this HVAC pr•mtit anri Indo Ore following: [J InsWtttentation Only use eiertical Iicon4ed per9ons to do instailsunns where rr'quowd CRmiin reslderttlal and otfler tran_tadtons aM exempt frtml li¢nsinq L 7 intercom and Paging Systems These have astnrlr,ks(7 All orjeM loped IrcRmslMn: 2 Call for mspec mns*men Installation under this permit are road,for ❑ LxnAsrapa Irtlgstion Carrttol' inspection at S03439AIIS; ❑ Medical I Purcnaee separate.permits for all installabon9 that are not ready far an Nurie calls inspection when the inspedor IF out to inaped under this permit; 4. Assure_msponsibibly for assuring that all corredvrits regimpri by the ❑ Outdoor Landsone Ljghtlng' Inspector are done.and. [ � Rroheclire Signaling Amwa,e rwponsibl!!h'fnr ruling for a final inwrwmon when all of ter• corrections are completed Pr-,its are non transMrahh+an4!+nn-refundable and expire if work(s not star►d within 1e days of issuance or If work is suspended for ISO days -__- Number of System!; I r.person sigrivig fer thls pRrmit must be the applicant or a person Nc I,MM84F iT"Mkel Uecns&s am nsau rme kw et oth_'+Irrmtetltroo•ti rithnrizaA to bled we apphr-ant. - ------ - EMS' �. -_ .---- - "TLR rLE5 E VC,•1 L Signature 5%SURCHARGE(.OS X TOTAL ABOVE) 5 Authority ifother than Aeolicant DOTAL 5.�,t% '__— s RECEIVED JUL 31 1997 COMMUNIfY DEVELOPMENT CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL.C97-050¢ DATE ISSUED. 07/28/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL. : i='S l 10DC-00400 STTE ADDREGS. . . : 11515 SW DURHAM RD #E SUBDIVISION. . . . :WILLOW PR0011, PARI; 'LONINO:C---G BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . .. IG JURISDICTION: TIC F'r•(.).j ect Descr,i pt i on : Add signal circuit or limited energy panel, alteration or extension, -----RESIDENTIAL UNIT"--.- -- TEMP SRVC/FEEDERS.. - ---MISCELLANf=OLJS-.--- 1000 SF OR LESS. . . . : 0 0 — 200 amp. : . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' I._ 5005F. . . : 0 ='01 — 40Z amp. . . . . . . : 0 SIGN/OUT LINE LT(3. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1 MANE. HM/ 9VC/FDR. . : 0 FJ01+e:mps--1.000 volts. : 0 MINOR LABEL ( 10) . . . . 0 - -- SERVICE/FEEDER------ -----BRANCH CIRCUITS--------- ---ADD' L INSP'EC'TIONS-----. 0 - 20r1 amp. . . . . . : 0 W/SERVICE OR f:7E.EDER: 0 PER INSPECTION. . . . . : 0 201 - 4eO amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . 0 E=SA ADD' I_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -..____________--____.__FLAN REVIEW SECTION --------- - -- - 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT' NOMINAL. . : RVL-onnect only. . . . . 0 SVC/FDR > - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner-. -- ____________._.._..._._._____._—_._________.___ ._______._______ FEE,, DURHAM S,9 ASSOCIATES type amor.tnt by dat.- recpt 135 EAST 57TH STREET PRMT $ 40. 00 GEO 07!2'8/97 97--297635 NEW YORI� NY 10022 5PCT 4 2. 00 GED 07/28/9'i 97--297635 Phone #: ContraQtot-; ALLEN/FALK INC 4 "'. 00 TOTAL... 9022' SW GEMINI DR REQUIRED INSPECTIONS BFnVERTON OR 97008 Ceiling Covet- Underground Cove Phone #: 64.:; .0533 Wall Cover, Elect' 1 Service Reg #. . .- 000472 This permit 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 permit will expire if work is not started within 180 I days of issuance, or if work is suspended for more than 100 days. ATTE-NT;ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatinn Center. 'hose rules are sut forth in DAR 952-001-0010 through r)AR 952-081•1987. You may obtain a copy of these rules or direct questions to OX by calling (5031 1987, 47 I Pe)•mi.ttee ii gnat1_tr-e : 1 ,j Issi-ted By : INSTALLATION The installation is being made on property I own which is not intended for, ,ale, lease, or^ rent. OWNER' S SIGNATURE: _ DATE: _ ._.....__.._.---... ..___..__..___--.._.___.__.__.CONTRGG�ACTOR IN5I'')LI_ATTON ONLY— -___._... .-_. S T GNATURE OF SUPR. ELEC' N: ! 12�L.r !__ DATE : ICENSE NO: ___15 FF++++++++++++•++++++++++++++++++•+++++++�+++++++++++++++-++++++++++++!°+++++++++++• Call G39 -4175 by 6:00 p. m. far an inspection needed ! rie next bi.tsiness day h h+++++•h+•+•+++•r++++++++++ 1 1 ++-1++ r-+++++++-1-+-F+++A-++++++++++F+++++' +++++++;-+++i 1 t I CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rec'd By Date Rec'd TIGARD OR 97123 Date to P.E. Phone (503)639-417 1, x304 Date to DST _ Print or Type Inspection (503) 639-4175 Ir►,;omplete or illegible will not be accepted Permit Fax (503) 6134-7297 Called 1. Job Address: _ 4. Complete Fee Schedule Qelow: Nnme of Develop.nent. Number of Inspections per permit nllowed Name(or name of business) HE� 2 Service included: Items Cost Sum i Address_ Vt�)`i_c ` A, 1)v�.r r' xti, "RA 4a. Residential-per unit I 1000 sq.0.or less $110.00 4 City/State/Zip C �_ z 2✓ Each additional 500 sq.ft.or Commercial Ate_ _ Residential ❑ portion thereof $2500 1 ZLo Limited Energy $25.00 l� Each Manulid Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of al �yrr,e�n��t lic uses) 4b.Services or Feeders Eloctrical ontraetor Y" ��r.. - In,Iallation,alteration,or relocation 200 amps or loss __ $60.00 _ 2 Address t, 201 amps to 400 amps _ _ $80.00 2 IZ} �tL; State ( Z .Zip_ I, t 401 amps to 600 amps -- $120.00 _ - 2 Phone No._-I(n r-�_��; 601 amps to 1000 amps __ $180.00 .;rb No. q Li _ Over 1000 amps or volts -_ $340.00 - 2 Elec.Cont. Lice, No. S L Ex Date Reconnect only _ $50.00 _ _ 2 OR State CCB Reg. No.__ Exp.Date '4 1 A311 4c.Tempornry Services or Feeders COT Business Tax or Metro No. Exp.DateaInstallation,alteration,or relocation 200 amps or less $50.00 _-_.._ 2 201 amps to 400 amps $75.00 Signature of Supr. Elec'n �j G�►� �/ 401 amps to 600 amps $100.00 2 9 , C Ex Over 8l amps 1000 veils, 7�J License No. (•-� p.Date l U�q� sea"�"above.. Phone No may(o DC:,-2-1 1, 4d.Brarrh Jr.^arts New,alteration extension per panel 2b. For owner Installations: 'he fee for branch circuits with punch 9sf of service or Print Owner's Name feeder!as. Address_ 4 _ Each branch circuit $5.00 -- --- - --- b)The fee for branch circuits City_ _._-__ State___ Zip____._ without pr,rchaseof Phone No _ _ service or feeder he. First branch clrcult $35.00 2 The installation is be;ng made on property I own which is not Each additional branch circuit_ $5.00 -_ 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ Each pump or irrigation circle $4000 2 Each sign or outline lighting $40.00 _ 2 3. Plan Review secr`ion (if required):' Signal circult(s)or a limited energy $40.00 morel,alteration or extension $100 Minor Labels(10) -_. -- Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per,nspectir n _- $35.00 Classified area or structure containing special occupancy Per hour $55.00 Rs described in N E C Chapter 5 In Plant $55.J0 Submit 2 sets of plans with application where any of the above apply. 5. Fees' / Not required for temporary construction services. 5a.Enter"otal of above fees $ 5%Surcharge(.05 X total fees) $ - NOTICE Subtotal $ 5b.Enter 25%of line 5a for rl 1IMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Seca) $ -- --- N.IT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -- I S SUSPENDED OR ABANDONED FOR A PERIL o OF 180 DAYS AT ANY T IME AFTER WORK IS COMMENCED. ❑ Trust Account Total balance Due I tnSTSTLC9fi APP Rev 9/90 RECEIVED JUL 2 8 1997 WMMUPIITY DIVE.LUPMI N CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL.C77--0490 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/25 /97 PARCEL_: 2SIlODC-00400 TE ODDRF.7155. . . : 11.515 SW E-ORHAM RD #E-C, i)BDIVISION. . . . :WIL.LOW BROOIJ PARI', ZONING.C . G BLOCK. . . . . . . . . . L_.OT. . . . . . . . . . . . . : IF, ,JURISDICTION: TIG P ,jr,oectDescription : Senior/Disabled Services .. ---RFSIDENTIAI-. I.1NIT--__.- _ .._ TE :r' SRVC/FEEDS=RS--._...... _ .._.-MISL,ELLANEOUS-- --- 1000 SE' OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OLJ'T LINE I-TO. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . . 0 SIGNAL_/PANEL.. . . . . . . : 0 MANE-. HM/ SVC/FDR. , : 0 6O1 '-amps-- 1000 Volts. : 0 MINOR LABEL ( 10) . . . : 0 ---SERVICE/FEEDER-- --- -------BRANCH C.RCUITS-------- ---ADD' I- INSPECTIONS--•--- 0 7,00 amp. . . . . . : 0 W/GERVICE OR FEEDER: 0 PIER TNISPE:CTION. . . . . . 4'- 201. - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . ., . . . : r'I 401. 600 amp. . . . . . : 0 En ADD' L BRNCH CIRC: 9 IN PLANT. . . . . . . . . . . . 0 601 — 1000 camp. . . . . : 0 -- -- --_._._.__—__--_FLAN REVIEW SECTION--___—_—_-----__ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . : Reconnect only. . . . . : 0 SVC/FDR ) x 225 AMPS. . : CLASS AREA/SPEC OCC. : owner-: _..__ __._..____ _...-__ _ _...-_-.------._..__- -.-...- --._.____-.---.---.-..._...... __._.____._.. FEES DURHAM 99 ASGOCIATES type amoi.Int by date rccpt 135 EAST 57,'H STREET F'RM1- $ 80. 00 J,D 07/25/97 97--297569 NEW YORK h!`( 1OO217' 5PCT $ 4. 00 JSD 07/25/97 97-5'97569 Phone #- rontratrtor: pr.)RTLAND STATE EI FCTRIC $ 34. 00 TOTAL FIC) BOX 14646 -- - REQUIRED INSPECTIONS - F"'C]RT'L..AND OR 97214 Ceiling Cover Elect' I Service E'lionp # : 233-8030 Wall Cover Elect' 1 Finz Reg #. . : OOO966 This permit is issued subject to the regulations contained in the Tigard Municipal Oode, State of Oregon Specialty Codes and all othe applicable laws. All work will be done in accordance with approved plans. This permit will Fxpire If work is not started within 1861 day: of issuance, or if work is suspendFd for more than 188 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-!VV.7 �p-W'obtain a core of these rules or direct questions to Ol1NC by calling (583)246-1987. Permittee Signati.lret/f I',STALLATION TIF installation is being made on proper-ty I own which is not intended for s-qle, lease, or rent. �1WNER' S SIONATLIRE: _ DATE: _. ------------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. E"L.EC' N: DATE- LICENSE ATE:I_.ICENSE NO- 4-+4+4++++++++4++++4 O:++++++++++++++++++i+++++-++++++++++++++•+i-+4--1-+++++-+ f 4+++++++4•++++++4•+++++4•+1I-+++ Call 6;39-4175 by 6:00 p. m. for• an inspect: ion needed the next bl_I=_ iness d-ay F+++4+++++-I ++++++++-+++4+++++++++i++++++++++++++4++++++++++++4--++++++4+++++i-++++ Commt~rtity Development L:LECTRICAI_ PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 CITi OF TIOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development (1), I low V3(��,�L � Number of Inspections per permit allowed Address- 1 SIS -�_ M SCJ, E-`� Service included Items Cost(ea) Sum City/State/tip �1�> �1 4a. Residential - ir unit — lj— Y 1000 sq ft or less $'11)00 4 Name (or name of business) - - Each addrhonal Soo sq fl c• portion thereof $2500 (Ammercial Residential ❑ Limited Energy $2500 �- Each Manufd Home or Modulen Dwelling Service or Feeder -_ $6800 2 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,of ielncation Llectrical ontr ctor� �� 't e CU_ 200 amps or less $6000 Addre. _ Y 201 amps to 400 amps $8000 _ Cit _ State Zip �2�_ 401 amps to 600 amps ---- $160 00 y - 601 amps to 1000 amps _ Phone No. t� Over 1000 amps or volts $34000 Job NO. Reconnect only _ $5000 contractor's license NO- '_5_`1 4c. Temporary Servict.s or Feeders Contractor's Board Reg No. _ -0yf-t Installation.arleratlon,or relocation Signature of Supr. Elec'n 1 200 amps or less L icense No. t2157-_. Phonr.. No :133-q 201 amps to 400 amps $5000 Y- 401 amps to 600 amps $7500 Over 600 amps to 1000 v�fls $10000 ---- 2b. For ow'1er installatfonr: see"b"above 4d. Branch Circuits Print Owner's Name New alteration or extension per pane Address - - a)The fee for branch circuits with purchase or service or feeder fee. City - -- Statt zip - Each branch cutult $500 Phone No. _ hi The fee for branch circuits without The installation is being made on property I own which is purchase of service orfeedarfoe. Fast branch circuit I $3500 �_(Y not intended for sale, lease or rent. Each additional branch circuit $500 l/ Owner's Signature_ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrig•Jon circle $4n 00 Each sign or outline lighting $4000 Signal circulus)or a limited energy Plea-e check appropriate Item and enter fee in section 58. panel,al eratlon or extension $40 oo _4 or more residential units in one structure Minor Labels(10) Sinn oo _Sr;rvice and feeder 225 amps or more _ — 4f. Each additional inspection over System over 600 volts nominal Classified area or structure containing special occupancy the allowable in any of the above 1'Pr $3500 1'er hrn as described in N E C Chapter 5 '",ur _u --- }SS DO rl,lr•t $5500 Submit 2 sets of plans with application where a..�r of the above apply Not required for temporary construction sc vices. 5, Fees: 5a. Enter total of above fees W ! NOTICE 5%Surcharge (05 X total fees) c �_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCT!ON OR WPX IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAN S AT ANY TIME AFTVR WORK IS Subtotal $ ------ COMMENCED _ __COMMENCED Trust Account # Balance Due $ CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PLUMBING PERMIT PERMIT #. . . . . . . : 1--ILM94- 0,`,- E139-41"71 DATE ISSUED: 01/09/95 PARCEL: 251100C-00400 1-11 ADDRESS— : 11515 SW DURHAM RD 0S. E. -5 JSDIVISION. . . . : WILLOW BROC PnRK ZONING- C-13 3CI-1. . . . . . . . . . : L07 . . . . . . . . . . . . . : 1 ,:, ,-ASS OF WORK. . RAt_1 GARB*AGE DISPOSALS— ; MULAILE HOME 5PACI' 5. YPE OF' USE. . . . -L(JM WASHING MPCH. . . . . . . : BACKFLOW PRE-VNTRS. . ILA-UPANCY GRP. . -A3 FLOOR DRAINS. . . . . . . . TRAP5. . . . . . . . . . . . . . . . . . . . . . .. I WATER HEATEF<s. . . . . . : CAICH BASINS. . . . . . . LAUNDRY TRPYS. . . . . . : GF RAIN DRAINS, . . . . G I NKS. . . . . . . . . . URINALS. . . . . . . . . . . . : CiFZA15-E TRAPS. . , . . . . LAYATORIES. . . . . -2. u'ri-IER r" IXTUREG. . . . . :2 1 UB/SF40WLRS. . . . : SEWER LINE (ft ) . . . . .1 WATER CLOSE I'S. . :E WPILR LlIAE (ft ) . . . . I 1)1 !:iHW".'-,HL HS. . . . i RAIN DRAIN (ft) . . . . - litimai-ks . Hor,izori Community C1-i1-tt,c:I-- Tc�nait Improvement other fixti.tt-es= drinking fol-tritzkins Uw;ier. FEES 1.01PHPA 99 (4SGUGIOTES type irnol.tnt t)V dat P V-ecpt AASI 57TH STHLE7 PRm,r s 54. 00 JG 01/09/95 - PLLK 1 13. 50 JG 01/09/95 - i4i-W 'YORK NY 5PC T $ 2. 10 JCS 01 /09/95 -- t-rlulle #- iYBO RN I 1; PLUMBING. I 114C. 4990 SW CIPOI-E ROAD !.jALFiTAN OR 97062 692-41311 '10. C,20 TOTAL RE14U I RE D INSPECTIONS ..is permit is issued s-lb)ect to the regulations contained in the up--aLlt I r1sp igard Municipal Lode, State of Ore. specialty Codes and all ether Misr. Inspection ...... viplscab' laws. All work toil] be done in accordance with Dt-inF(inq FoLintai approved pians. This permit wii I expire if work is not started Final inspect ion within 180 days of ISSUMt, or if work is suspended for acre thar 180 days. Call for, inspection 639-4175 City of Tigard PLUMBING PERMIT APPLICATION Pl inck/Rec. # 13125 SW Hall Blvd. Permit # F!rr 'rlc Tigard, OR 97223 (503) 639-* 171 MINIMUM $25.00 PERMIT FEE+ ST. SURCHARGE hw i MOi""""' NrH SIn91e Famity Residences Only Q T (:Qh.. [Ffe, 1 13ATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job r L S J W .f� 4 � 0 3 BATH HOUSE M. 00 Address 5= a f 'includes all plumbing fixtures in the dwelling and the first 100 feet 7 water service, sanitary sewer and storm sewer. See fees below. FIXTURES OTY PRICE AMT _ Sink 9.00 Lavatory ,) 9.00 Owner Tub or 00 Tub/Shower Comb. _ 4. Shower Only 9.00 Water Closet g.00 Dishwasher M 9.00 Garbage Disposal 9.00 Ocrupent ,,;M,,,rte - Washing Machine+ 9,00 Floor Drain 9,00 Water Heater _ Laundry Room Tray 9,00 Urinal 9.U0 Other Fixtures (Specify) 9.00 Contractor !Yl kt 7 c� i otfZlGrw. 9.00 �7 _ 9.00 c+r+a.0 >e _ 9.00 Sewer 1st 100' 30.00 'h1i"'O"""'""` cov T. Sewer-ea, Addit 100' 25.00 _ Water Service 1st 100' _ 30.00 1 hereby acknowledge that I have read this applk ation, that the Water Service ea. AddtL 200' 25.00 Information given is correct, that I am the owner or authorizea agent of --- _ the owner, that plans submitted are in compliance with State laws, that Storm b Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm b Rain Drain Addif, Wo' 25.00 number given is correct (If exempt from State registration, please _ give reason below.) Mobile Home Spax 25,00 Back Flow Prevention Device or And-Pollution Device 900 Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new O addition Q alteration repair Q Catch Basin 9.00 _ to be done residential Q non-residential Q Insp. of Exist. Plumbing 40.00thr Specialty Requested Inspections 40.00/hr sting use of Rain Drain, single family dwelling 30.00 wilding or nreperty 9 ty 9 Residential backflow prevention devices 15.30 Proposed •ise of - buildino or property *(Except residential beckfinxv prevendon devices) NOTICE *Minimum Fee 525.00 SUBTOTAL PERMITS 917-COME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1110 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENUED OR ABANDONED -- --FOR A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS / CO!,AMFNCED. PLAN REVIEW 25% OF SUBTOTAL Special Conditions TOTAL ' Date issu,)d by CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL 13125 SW Hal)Blv,7. Tiger,' Oregon 97223*8199 (503)639.4171 'ERM IT PLRMI7 #. . . . . . . : MEC94-03L,, 639-417.1 DATE ISSUED: 1&/09/94 PARCEL: ESIIODC-OLA400 I Tl---- ADDRESS 1'51;:, SW DURHAM RD #S. E-5 -UP'.j I V I S I ON. W I LLOW BROOK PrIPP. ZONING: C-0 }J JCAJ. . . . . . . . . . .. LOI.. . . . . . .. . . . . . . . . 16 -------------- LASS OF WORK. ALT FLOOR FURN. . . . EVAP COOLERS: Y;-'L 01P U!�E. . . . ICOM UNIT HLATERS. . : VENT FANS. . . :2' )CCUPANCY GRP. . :A:3 VENTS W/O APPL: VENT SYSTEMS: JORIES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . : UF-L. 0--:3 HP. . . . :2 DOMES. INCIN- ., /GAS/ 3-15 HP. . . . : COMML. INCIN: MAX INPJ"i": 1'0-30 HP. . . . REPOIR UNITSs2 F I HE DAMPE RS 30-5Q71 WOODe'PTOVES. . : (-jAS PRESSURL. L 50+ HP. CLO DRYERS— NO. OF Al HANDLING UNITS OTHER UNITS. [ URN < 100K BIU: <= 100,11ta C-Fm : GAS OUT LETS. 1 TURN ) =100K. BTU:L' > 10000 (.-fm: 1'+emal-ks - Horizon Community Chu -ch-- Tenant Impar-c-'vement repair- units= ducts Llwner: FEES DURI-40M 99 A13SOCIAIES type Amount by date r,ecpi 135 EAST 57TH STREET PR11T * 57. 00 JF-- IE/09/94 PLCK $ 14. 2,.i JF 12/09/134 114EW YORK NY 5PCT $ 2. 65 JF IE/09/94 Phone #: Lontr-actor-1 --------------------------------- ALLIED MECHANICAL CONTRIS, LTD. ! ,S00 NE 481H AVE STE WOO HILLSBORO Uft 971e4 Phone #- $ 74. 1V_+ TOTAL Rog -tv. Q15607 RLDWRLD INSPECTIONS This perct is issued subject to the regulations container' in the Gas Line Insp -------- Tigard Municipal Lade, State of Ore. Specialty Codes and all other Heating Unt 1nsp applicable laws. All work will be done in accordance with Looliny Unt Insp approved plans. This persit will expire if work is not started Duct Inspection within 180 days of issuance, or if work is suspended for taro t- incl inspection than 180 days. Per-mittee Signature : by .- fov- l.t1spect �01 City of Tigard MECHANICAL PERMIT Planck/Rec. # 1*3125 sw Hall Blvd. APPLICATION Permit # _ac 9q Tigard, OR 97223 (503) 639-4171 .m.o .ve m.n e —DeSCnption kid'.+' Table 3A Mechanical Code QTY PRICE �MT Job S � ;V1) Permit Fee -0- -0` 1000 Address .. -- - — �J � 2) Supplemental Permit 3.00 urnace to 100,000 BTU 1) incl. ducts 8 vents 600 y Furnace + Owner S r' �� / 2) incl. ducts 6 vents 750 �- Dor urnance 3) incl. vent 6.00 Suspended ea er, wall eater M,y Z_ \ 4) or floor mounted heater 6M Occupant Y Vent not incl. in 5) appliance permit 3.00 Repair of heating, re ng j r 6) cooling, absorption ur r�-, 6.00 m° offer or comp, ea pl!rnp, air cond. LAO 7) to 3 HP; absorp unit to 100K BTU 6.00 ; offer or comp, heE,t pump, air cond. Contractor 8) 3.15 HP; absorp unit to 500K BTU 1100 " Boiler er or comp, heat pump, air cond. 9) 15-30 HP; absorp unit .5-1 mil BTU 1500 Boiler or camp, heat pump, air con . 10) 30-50 HP;absorp unit 1-1.75 mil BTU 2250 ere y acknowledge tharTFa—veread this application, that the Boiler or comp, he&t pump, air cond. information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If exempt from State 717iF handling unit �— - registration, please give reason below.) 13) 10,000 CTM + 750 on portable - 14) evaporate cooler A50 Vent an connected ` 15) to a single duct 3.00 Ventilation system no 16) included in appliance permit 4 50 ... ....a.o.� — -- Hood served y 17) mechanical exhaust 450 escn .. worli new addition a era ion repaoCommercial or industrial to be clue residential O non-residential O 18) type Incinerator 3000 Existing use oT other i.e., woodstove, water - building or property — 19) heater, solar, clothes dryers, etc. 4.50 Proposed use of 20) Gam piping one to four outlets 2.00 building or property _t 1 More than 4-per Dattel Type of fuel -oil 0 natural gas Q LPG Q electric nNOTICE i Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUC i~ON AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR — -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. -- TOTAL Special Conditions �'-- — Date issued MNMOnwr 1°SA°°mJ1Y SEE 35MM R. 01 L# 22 FOR LARGE DOCUMENT