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11525 SW DURHAM ROAD #D-2
CITY GF TIGARD
ikDEVELOPMENT SERVICES
13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171
CERTIFICATE O
OCCUPANCY
PERMIT #. . BUF''-6--083 7
DATE ISSUED: 06/26/913
P(1FRCEL s 8S I 1 OD(=. 25400
5 I TE: ADDRESS. . . -. 1t525 SW DURHAM RD #D-21
SUBDIVISION. . . . :WILLOW BROOK PARK ZONINGiC--G
E3LOCK. . . . . . . . . . c L_01.. . . . . . . . . . . . . 1016 JURISDICTION: TIG
CLASS OF WORK. !ALT
TYPE:: OF USF:. . „ :COM
TYPE II.F C;ONSTR i SN
0CCUF=',ANC Y GRP. :A
OCCUPANCY LOAD: 176
11. 4ANT NAME- . . . I TALLY' S BAR & GP I LL
Remarks s T. I .
DLJP1AAM/9') ASSOCIATION LTD PTNIi
BY LAUREATE REALTY/DOTI FLE=MING
r_'27 WEST TRADE STREE" r #40+0
CHARLOTTE NC r_'820c
1'hor a #:
BLUE'✓STONE; R HOC KLEY Rt-AI_T`/ INC
3935 SW RE.'LL-E=Y AVE`
PORTLf1ND OR 97i7.'-'rh1
Phone #: 222-3807
Req 0. . : 0006.30
This Ger^tifirat.e grants occupancy of the above referenced buildint or portion
thereof and confirms that the building nas heen inspec�ed for ammpliance with
the Stant of Orgon Coper_ielty Codas for the grow , oc•c-upalic �f, and use under
which the referenced rermi t was i sq�_re�l. ,-
SUILDIN7 INSf-E ,TOR F., 11:' PING OFFICIAL
POST IN CONSPICUOUS PLACE-
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
U Date Requested 7 Z� " �r0 AM_ PM
_ ,TT� � � //� BUP
BLD
Location /5 2-5 SW d�—�.t/ A a-IM _— Suite ��� MEC
Contact Person Ph 5�� JCZ I PL.M ---
Contractor Ph _ _ SWR
UILDING Tenant/Owner TR L LE y S (3 4k'_ (L(�.� ELC
eTWning Wall
Footing ELR
Foundation Access: , ` ,/I
Ftg Drain .J - �-/Yd'- ItFPS
Crawl Drain Inspection Notes: SGN
—_—
Slab _�_� SIT
Post A Beam �/ p 1�77 -- -
Ext Sheath/Shear cs l.C.�C cerm u� G(�
Int Sheath/Shear ------
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ������✓�S/ r�C �/, /�� �a�(/y�!//t iCr/ /Z/
Fire Alarm
Susp'd Ceiling
Roof
PASS PART FAIL _
PLUMBING
Post R Beam -- - � —
Under Slab
Top Out -
Water Service -7
Sanitary Sewer -
Rain Drains
final
PASS PART FAIL
MECHANICA L
I'ost I Beam ---- _-----------
Rough In
Gas Line - - - - ==---�--__ -- -
Smoke Dampers
Final -------=
PASS PART FAIL
ELECTRICAL
Service
Rough In -- -- --""
UG/Slab
Low Voltage ---------- --------_----------- -- -
Fir3 Alarm
Final ---- ---- - - -- -----
PASS PART FAILSITE
Backfill/Grading -_-_---
Sanitary Sewei
Storm Drain ( ] Reinspection fee of _ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f ]Please call for reinspe0on RE_ "_— _ ( j Unable to inspect-no access
ADA
IJ
Approach/Sidewalk -7,�7 ' !���
Other Date —"-- `�� Inspector -- —-- Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: A.M. _ P.M. _ _ MST: _
Location: 1 !5a5 c�lr/,j a/tr" Q — 3 BUR
Tenant: (,(A, —^ Suite:_—__,Bldg: _ MEC: _
Contractor:— `��� _ Phone — —� •p{fi,} (,C — 0 3 3 3
Owner. �' C� VQ 1- C � C I ✓Cy/ T S I'honc ELC:—U I
' — _►—�i 0
F.LR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL —ELECTRICAL SITE
Site Post/flearn Posl/13earn Post/13eam Cover/Service Sewer/Storni
Footing Roof tJndFI/Slab Rough-In Ceiling Water line
Slab Framing Top Out Lias Linc Rough-In I1G Spnnkler
Foundation Insulafion Sewer IIml/Duct Reconnect Vault
Iismt Damp Drywall Stonn Furnace Temp Service MISC.
Masonry Ceiling Rain 1 ham A/C UG Slab G�
Shear/Sheath Fire Spklr/Aha Crawl/Found Ih Ifeat Ptunp Low Volt
Approved Approved Approved ripprov-Jan Approved
At)pr/Sdwlk Nod Approved Not Approved Not Approved ved Not Approved
FINAL FINAL FINAL, FINAL, FINAL
--------- --- ----- - - - -- Wiz, / tel- j -
(7 Call for reinspection einspection fee of$_ iLquired before next in tion O Unable h �x
'nspector— Date ` �V j
--— -- — ----- -------- I'ntt t
IGARD BUILDING INSPECTION DIVISION MST
,.v►_ _..cion Line: 639-4175 Business Line: 639-417
p _ euP � 3 _
;K 5 0 U Date Requested_�'� [ 0 AM M BLD
Location r�.�`� S( � �A� _ Suite ��i MEC _
Contact Person Ph `� ���- 7 5 �- PLM _
Contractor - ? Ph SWR
UIL,plA16 '�-- Tenant/Owner _CA U.- --_y �c, j>> `c ELC _
Retaining Wal' ELR
Footing Access: - -----
Foundation FPS _ --
Ftg Drain SGN
Crawl Drain Inspection No s: Q4 �0 ------ ---
Slab SIT
Post&Beam
Ext Sheath/Shear �'( ��C.� /� ✓j
Int Sheath/Shear
Framin9 _—_� _ -------------._. -
Insulation
Drywall Nailing
Firewall -- - -----___------_.___--
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
SPASI
- -------- --- --
PART FAIL ___._ ._. _._ .
PL MBING
&Bea --------- —-- -- — -----
f'n l m - ------� -
Under Slab
topOut _____---------- - --- -- ----- --
Water Service
Sanitary Sewer ----- ------------ --- ------- --
Rain Drains
Final ------ - -__-
PASS PART FAIL
_MECHANICAL
[lost& Beam - - - -
Rough In
Gas Line -- - --- - -
Smoke Dampers
Final --- -- ----- - - - --- --- ---- -
PASS PART FAIL
ELECTRICAL ._.__._._-------__-----------------___.—____--
Service
Rough In ----- - ------
UG/Slab
Low Voltage
Fire Alarm ----------- ---- ---- —, �— --------
Final
PASS PART FAIL
SITE
Backfill/Gradioq ---- -- --
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE' _-_ [ ] Unable to inspect-no access
ADA
Approach/Sidewalk Date ) InspectorEXt
Other -.---
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES IKJTI_DTNC PERMIT
13125 SW Hall Blvd., Tlga►d,OR 97223 (503)6394171 PF RM T T #. . . . . . . : SUP9H-O23'1'
Dr1TF TSS(IFD: 06/1.8/9(3
Prl RrFI. : :'S 1. 1 ODC-00400
7,!Tr ADDREfal3. . . : 1 152ri SW DIJRI IAM RE) 4FD
"1IBI7IVT 3TON. . . . : WTI...LOW BROOK PARK ZONING:C-L;
81._OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :016 ,JLIRMDICTTON:TI:r
RETr tiUE: FLOOR AREAS-._._..._.- - EYTFRInP WALL- CONSTRUCTTON•-
CIJ-)G0 OF WORK. :PLT 1=I RST. . . . : 39'35 f N a c= E: W
1DEr OF L1!M*. . . :C1'JM SECOND. . . : iz1 s F PROTECT
ME OF CONST. :c;N . . 0 s f N: S: E: W:
CtJPANI'Y BRP. :A". TOTAL ::3995 s f ROOF CO1gF)T: h=I RE RETI :
(.,,c r-,ANC:Y LOAb: 1.16 BASE* NT. : o sr AREA SFP. RATF'D:
^TOR. : 0 IIT: 0 f:f, GORAGE. . . : 0 s OCCO r,EP. RATEM:
1 131VIT^ : ME777': RF9D F..'TAACKS___.___._ __ REM.-IT RED--- _._.._-.- -.._._._._.....__.-__-_-
OOR LOAD. . .. . : 0 I-rs-I...C'71': 0 1=t Rt HTc 0 -rt FTR 13PKI_: !'s!*IOV DET. .
.F1__I..INr-3 UPITTS: 0 FRh11 : 0 'I:t RE(M- 0 ft FIR ALRM: HNDTUX, ACC.
ORM9: 0 BATHS: 0 TMr, r1.1PF PCEPRO CORR: PARK ENG: 0
t1t31.._LJ . $ : 984:'
,m asr,k s : Raised floor, accessible 12 to 1 rasp, handrails and non-structural
'Is enclosing video rios.
Ownp,r FEES
i Ir"c'iTON1" & IIOCKI_.FY t ype ,am01-111t by fiat a r^ecpt
3ti SW KELLEY AVE. PRMT 8 80. 50 DLH 06/1 P../98 98-30664:
!RTLAND Oil 971:01 SPC T' 1 4. 0: DLH 06/18/98 913- 1066,113
PRMT $ •11O. 50 UI H OF,/18/98 98--3O6643
Pt-i f)n p #: 2c'23- 31307 `PCT t 4. 0 3 DLH 06/18/98 98-3016643
PL..0"K $ 52. 33 DL.H 06/18/98 98..3O6E43
-;)ntractar: _ _._ 1=`I._CI, 1 _ D1_II Of,/113/98 98-306,643
lJE5Tf1NE A HOCKI..FY RFAI."FY T PIC F T RF t 3,-'. , ,0 fll_H 06/18/9S 98--3O6643
3R5 ^W KF:L.LEY AVE r.T RP t :32. i=0 DLH 06/18/98 8 `311 3O6643
.RTI. P1ND OR 97201
one #; TOTAt._
y #. . 4'�Ofr1C,,'3O
REC?U T RE D ACTT DNR r)r• 1 Nr3r1Fr.T T nNS.-----.
permit is issued subject to the regulations contained in the Fraiai.ng In iip
1 municipal Code, State of Ore. Specialty Codes and all o -Pr C3yE1 Hoar-d i nr'.I+ �.•�__ __ ..___.._ _._.
able laws, All work will be done in accordance wits
rd plans. This permit will expire if work ie not started
:n 189 days of Issuance, or if work is suspended kr sore
98 days. ATTENTION; Oregon law requires you to follow the
,y adopted by the Oregon Utility Notification Center. Those
es are set forth in OAR 952-NI-881E through OAR 952881B1987,
vnv many obtain a copy of these rules or direct questions to OIINC ._ ____�_.____r, _____ _ ___•LL_�___��_
7 a l l i n g
i
.mittee Oignatlirf� / ,s,iad By
r I•+{ f {.++.+-4-++•+++-+-+-+4-.++•+••+•1•+++•+••++++++41.++1-+48-+-+++-4•i•1 r+++++++ f-++ f-4 + +.+{ + +.4+4 +
f-all 6.39 -4175 by 7:00 p. m. For, insp+rr_i iori ripederl t,l,v nf,>+t hi.isiness d.-)��
4 4 .. -; I t , ..,. 1. 1 J a .. t. 1 d , ! I I . 1 f I J 1. 1. 1 1 1 : .,
Recd By
Cr-Y OP TIGARD Commercial Building Permit Application
13125 SWHALL BLVD. New-',enstfaetion and AdditionsDateRec'd 4/1
Date to P.E.
TIGARD, OR 97223 7 /�-' 101 l )�/Date to DST 4 '
(503) 639-4171 \ Permit*'!- P'y '
Print or Type -7--) _ Related SWR*
Incomplete or illegible applications will not be ac ed Called
Name of Development]Prolect�
.lob 7*-1111 Y' G i 1- _
Address Street Address
Existing Building Q New Building L
— Surle
II 525, S. pu�'�+ D
L—
Bld,7* CitylBuilding Zip Data
rr9and 9-7Z2.4 _
Existing Use of Building or Property.
Name lwK r44 f`r c `,Soy_. a,
PropertyiD[U57me-.`-POC 411,/
Owner Mailing Address —`- Suite Proposed Use of Building or Property.
3935 S.W JrcW az
City/State Zip Phone
p R 1-7201 ?z2- 38p7 No. Of Stories:
Pot7YAOdl
Occupant "7 441f-441fG,l2i Sq. Ft. Of Project: 49
Name -- Occupancy Class(es)
Contractor Nlieronef lydCKL�Yi« y.
Prior to permit qailing Address �/ Suite Type(s)of Construction
issuance,a copy
of all Ilcc!nses 3 93,5 S-W f Ke d4Y i4v r / 01.1 sw S
of
are required if City/Stale- Zip Phone Will this project have a Fire Suppression 'System?
expired in C O T. FOR4NQ
/JVD E 1 bQ q72.01 YeS No -
database Americans with Disabilities ActADA
Oregon Const.Cont.Bo d Lic* Exp. Date Act(ADA)
Valuation X 25% _ $ �1 Participation
Complete Accessibility Form yl�l
Architect
Name Project $
�= z
G�
Marling Address Suite I
-- Plans Required See
Matrix for number of sets to submit
City/state zip Phone
Name --_� -- - - --
Engineer 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
Madinr,Address Suite that plans submitted are in compliance with Oregon State Laws.
Signature of Owner/Agent Date c
CitylState Zip Phone 1.�-- .t i.; ' u r.; '�, - ( ) •- Q o
—1- Contact Person Name Phone
Indicate type of work New O Addition O Demolition O " �h(�f°'^ Y` 8 ti Z
Accessory Structure O Foundation Only O Alteration(3l
Repair O Other c FOR OFFICE USE ONLY _
DescripIll on of work: .t �r MaplTL* Land Use:
---
J Notes.
Farke Estimated*of Employees ? TIF — ---
If the above figure Is nr:supplied at the time of application,the city will
calculate the fee basod? on the number of parking
Note Site work Permit Application murtt precede or accompany Building
Permit Application
I COMNEW DOC (DST) 5/98
c
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Suhtrade Plan Review is dependent upon submittal of BOTH plans ANIb a COMPLETED
subtrade application. For an electrical submittal, the application must contain the
signature of the supervising,,electrician before plan review:will be conducted._
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS _ (Note a.)
TYPE OF SUBMITTAL T TAL CPE PPE =EPECPE PPE
SITE (j,o,u) --
B (New or Add) 1 1 -- -- 3 0,o,w)� —
F (New or Add or Alt.) 3 3 -- -- 3 O,o,f)
M (New or Add. or Alt) 1 1 -- -- 20,o)
B & M (New or Add) 1 1 4 (j,o,w)
P ,New, Add. or Alt) 2 -- 2 -- __ 20,o) --
B & M & F (New or Add.) 2 1 1 -- 3 (j,o,w) 20,o) --
E (New, Arid, or Alt) 2 - -- 2 -- -- 20,o)
5 & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 20,o) 20,o)
BorB & M (Alt) 1 1 .. 2 (j r,)
B & M & P (Aft) 3 1 2 - (j,o) 20,o) --
B & M & P & E (Alt) 3 1 1 1 20,o) 20,o) 20,o)—
NOTES:
(j,o)NOTES: KEY:
a. Before returning to DST, Plafis examiner gets app priate j = Job B = BUP
number of revised plana from applicant, stamps an o = Office M = MEC
core fetes, updates and adds actions. f= Fire P = PLM
u = USA E = ELC
b. Shaded areas designate ALT submittals only. w = Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers\and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved pians to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
I'matrix Doc:
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I5/98 BION 10:59 FAX 503 244 0417 MILDREN DHSICN CROUP PC Q002
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OVER THE COUN'[M(QTQ
(attachment to Submittal Chtena)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEVENT 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 resaily accessible to individuals with disabilities, unless
such alterations are disproport onate 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%).
THEREFORE, Each submittal for a building permit shall Include this form providing the following
information. (Excluding re-roofing, mechanical and electrical permit applications]
VALUATION of all renovation, alteration or modification being done �
excluding painting, wallpapering. [1] $ 1 �t
Multiply; 25% Barrier removal requirement —.25_
BUDGET FOR BARRIER REMOVAL (2] $
The dollar amount of the QW-M established on line (2) in the computation above shall be spent
providing the accessible elements in the following order
1. An accessible route -onnecting the building to accessible pedestrian
walkways, and the public way. $ _
(including but not limited to curb ramps,detectable warnings,
marked crossings,ramps handrails and landings).
2. Not less than one accessible parking space. $
(including but n t limited to adjacent Fccess aisle,signs and curb ramp
connecting with the accessible route).
3 Accessible entry or entne s.
(including but not limited to ramps,handrails.landings.
door sill height,door width and door hardware)
4 An accessible interior route to the altered area. $
(including but not limited to door-ways,maneuvering
clearances,door hardware and stairways),
5. At least one accessible restroom for each sex. $ _
6. At least one accessible telephone where public phones
are provided. $
7. When drinking fountains are required, fifty per-cent but
not less than one shall be accessible. $ —
8. Additional accessible elements such as storage, reach ranges,
alarms, etc.. $
TOTAL; 5-h eg _I line 2�f VoJue Compsrtation $ _.._-
v,otc41 docl DST)
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
i
i
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: FLC96-0333
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE' T SSUFD: 06,/18/118
PARCEL.: FJS 1 1.Mr-00400
L. ADDRC.L�. . . . ;. 1.5r.='5 SW DtJRHAM RL I*D-4'_
SDIVISIgN. . . . :WILLOW U1't001,1, PARK ZONING—C G
OCK. . . . . . . .. . . . LLT. . . . . . . . . . . . :01G JURISDICTION: TTG
o j ect De srrr i F t i on . installation of S branch circuits.
--RF,IDENTIAL. UNIT- ._.._... _._.....TCMP SRVC/F*EE:DERS-..••_.--_ __._MISCF:L_.L.ANEgi_IS - --
'00 SF OR LESS. . . . : 0 QI 2.00 amp. . . . . . . : 0 PLJMP/IRRIGATION. . . . : V
CH ADD' I._ `;005F. . . : 0 201 - 400 amp. . . . . . . ; 0 �3Ht3N/01JT LINE_ LJG. .
MITE=D ENFRGY. . . . . : 0 401 - 600 ainp. . . . . . . : Qr ESI CNAL../PANEL . . . . . . . .. 0
VF. HM/ SVC/FDR. . : O f;0l +amps -1000 val.ts. : 0 MINOR LABEL ( 1.0) . . . : 0
SERV I C:E=/FFFDE R --— ..---BRANCH C:1 RCU I TS------ ---ADD' L. I NSF'E GY I ONr-.
00 .imp. . . . . . : 0 W/GERVICC OR FEEDER. 0 PER TNOPECTION. . . ,. . :
— 400 amp. . . . . . : 0 1st W/q SRVC nR FDR. : 1 PER H(11_IR. . . . . . . . . . . .. O
1 (ZOO .amp. . . . . . : 0 EA ADE?' 1- DRNCH CIE?C: 4 IN PL..ANT. . . . . . . . . . . . 0
601 — 1000 amp. . . . . : 0 ____.__.__.____.___.._._F'!...ON RI"VIFW SECT ION---_____.____.__._.._._.
1000+- �7 m p/volt. . . . . : 0 ) :T4 RE'S UNITS. . . . . . . . : ) 600 V OL T NOM I NAL.. . :
Reconnect rrl l y. . . . . : 0 SVC/FDR > - 225 AMPS. . : CLASS ARF•A/SPF(: OCC.
Owner.,: - _ FEES
Dt.IRLIAM/99 AS 3C. L.TI) type arnor.lnt by date rerpt
HP7 W TRADF STRE'E'T PRMT t, 15 5. 00 DEL) 06/ 18:198 96- 306644
SI-JITF 400 5PCT $ P. 75 DFB 06/18/98 98--30'061+4
F.,!IARI_(1TTF NC '8202,
Phone #:
Contractor:
WESTS ME EL.ErT R I C CO INC 3 57. f, TOTAL
1834 SE ATH AVENOF
_.._._._....__ RC[7LJ I RED I NJPFCT I ONE; .__..._. ..
rnRTI_ANT) OR 971`314 Cei. liny Cover Elv(-01. Servir_e
F'L7one #-. 231 -1548 Wall Clever Fl ech' 1 Final
13 g #. . : 000133
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State or 9regon specialty Codes and all other
--^licable laws. All work will be done in accordance with approved plans. This permit will expire if wrek is not started within Is?
s of issuance, or if work is suspended for more than 180 days. ATTEW ON: Oregon law Tres you to follow tr,e rules adopted by
Cregon Utility Notification Center. Those rules are set forth in OAA 95?-001-8818 roagh 98" "u may obtain a copy
these rules or direct questions togal' '79)246-1n"
r•m i t t e e
INSTAI_L..ATIUN
installation i laming made on property i own alhif-h is not ini-enr'ed for
laO l.ease, or rent.
1,14F99 5 gIGNATLJRE: DATE
_rONTRfaF 1'I)R INSTja LorTON ONi..'r
GNl1T1_!RF' nF ,LIMR. FL.FCO N; .... �CI�C.r DATE.
[CEN SE NO-
V-1
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C-g1. 1 6-3q 417!- by 7.00c p. m. for• an insp- l- i rrn r,tzvHF%d t:!-ie next hrlr>in -�5- ;i;:�y
1 -f 4-+4.4 4 4 ++ P+++++++++-++4 4 I•+•++++4++++4 4 4 f-44+++++4-+t++++4-++4•4++ r+a-+••4 F+++-+••d-+4 i••h+
CITY OF TIGA.1D Electrical Permit Application Plan Ch a
13125 SW HALL BLVD. �� Recd®y
TIGARD OR 97223 i(ciclVILb 1(1y�i Date Recd •- %
Date to P.E.
Phone (503)C-39-4171, x304
Print br'Type Date to DST- - ,
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit a � r7, 7
Fax (503)684-7297 Called_-___
?. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed --
Name(or name of business) Service included: Items Cost Sum
Address �`� )/ 4 1 irc U. 4a. Residential-per unit
CI /State/Zi ` i'C 1000 sq,ft.or less $110.00 q
p __ Each additional 500 sq.ft.or
Commercial Residential 171 Limited
thereof $25.00 _ l
Limited Energy $25.00
Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00-
(Attech copy of all current license ) 4b.Services or Feeders
Electrical Contractor kikil , /< < ,C Installation,alteration,or relocation
Address 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City C State Zipc/ _� 401 amps to 600 amps $120.00 2
Phone No. Yc�' 601 amps to 1000 amps $180.00 _ 2
Job No. -r� S0/9' Over 1000 amps or volts $340.00 _ 2
Elea.Cont.Lice.No. 2 E - C-Exp.Date- _ Reconnect only $5000 _
OR State CCB Reg. No._ _Exp.Date_ 4c.Temporary Services or Feeders
COT Business Tax or Metro No. _Exp.Date Installation,alteration,or relocation
-� 200 amps or less $50.00 2
Signature of Supr. Elec'n 11 ( 201 amps to 400 amps $75.00
401 amps to 600 amps _y $100.00 _ 2
/�� t Over 600 amps to 1000 volts.
License Nr .J _Exp.Date_____. see"b^above.
Phone N S
--- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
put-chase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
- b)The fee for branch circuits
City State - ZIP without purchase of
Phone No. _ service or feeder fee.
First branch circuit $35.00 t: 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 _--7.SZ_ z
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not included)
OwnerS Signature_ ` Each pump or Irrigation circle $40.00 2
Each sign or outline lighting $40.00 __ 2
3. Plan Review section (if required):* Signal circuit(s)or a limited energy-
panel,alteration or extension $-#0.00 2
Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $10000
-
___4 or more residential units in one structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspe,aion _ $3500
Classified area or structure containing special occupancy Per hour $5500
as described In N.E.C.Chapter 5 In Plant A_ $55.00
Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for temporary construction services. Sa.Erter total of above fees $
596 Surcharge(.05 X total fees) $ r
NOTICE. Sub'otat $
5b.Enter 25%of line 6a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subt lel __.__-- $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. n,st Accou 7
Total bnlan Due �-
hOSTS\ELC99 APP Ren W9N
�.rri- 16-98 05 : 45P Kerr CunLractur-s , Inc - 503 6921854 P . 01
%/.S�rS Slv' 1��/��tin fid•
K,.`R R cON°T.�,� int
FACSIMILE TRANSMITTAL COVER SHEET
Date _ 06/16/98 ` \��` ] Hard Copy to Follow
Numher of pages including cover sheet 2 ( IN hard Copy to Follow
To: Bonnie From: Gordon Lee
City of Tigard -- Development l '' Phone (503)692-5514
1
Services�y_ �1 Fax Phone (503)692-1854
Phone (503)639-4171
IFax Phane (503)598-1960
REMARKS: - _._�� _�.�_______•^__-- — -
❑ Urgent Fj For your review ) Reply ASAP T❑ Please cornmenl
Attached is a copy of the letter from Darrel "Flap" Watkins (Inspection Supervisor for the
City of Tigard) to Uurham/99 Associates (Property Owner) dated May 15, 199P, granting
an extension to Permit #SIT96-0040 (Willowbrook Business Park) which I called you
about yesterday, You had said that the permit had expired, which is contrary to the
contents of this letter. This FAX is to serve as notice that Ker Contractors, Inc. is the
selected general contractor for the parking lot improvements on this permit, and work
was started on June 1f., 1998. We will call the City for inspection requests as the project
progresses. If you have any questions, please call me.
�L/�'�°V f v 1fr � 'r ��[. /� ^•t �'� i F 'All wr � 6/11 •'�T./ f'`I
fi r-,C e ems'11.0-A4,l AP e '� �/'v .s. �Sc� �,�� L-/7_9'r 4/1
r
9 19350 S.W. 89th Avenue, Tualatin, OR 97062
1%KERR-c0MP\0FFICE\J0BFILES\Active\.Iob980i6\Correspondence�061698a tax dor,
GL
c_J
J�irt- 16-98 05 : 46P Kerr Cantractars , Inc . 503 6921.854 p . OL
UO/ ID/46 1I'V Ib: I I t-AA !I U6 244 U4I7 HII.DRF.N UFSl(.N GRUMP PC
05/27/08 WED 17:28 FAX 503 548 1960 CITY OF TICARD ��, U()J
ui
Crff OF
OREGON
May 15, 1998
Durham/99 A --ociai`s Limited Partnership
CIO Carl Marks 8 Co., Oc
135 East 57tH Street
New York, N.Y- 10022-2032
' ReExtension of City of Tigard Building Permit BUP96-0379 and SIT96-0040
Dear Mr Sloss,
Thank you for your timely request for extension of the permits listed ahove
These permits are extended for a period not to exceed 180 clays from this date.
Please nota that per Section 106 4 Q of the Oregon Structural Specialty Code
this is. the only extension that will be granted,
Do not hesitate to call me at (503) 639-4171 ext. 416 of you have any questions
or need assistance of any kind
Si cerely,
GV.
Darrel "Hap" Watkins
Inspection Supervisor
cc. Paul Challencin FAX (360) 794-5841
Gene Mildren/Mildren Design Group, P.C. FAX (503) 244-0417
+I
13125 5W 1.1011 Blvd., Tigard, OR 97223(503)639-4171 TDD(5(33)684 2772 J