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CITYOF T I GAR D CrRTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP97-00461
13`125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 LATE ISSUED: 10/3;1997
PAR:EL: 1 S135A,,-05800
ZONING: R-12
JURISDICTION: TIG
,31TE ADDRESS: 11535 SW DURHAM RD C-6
SUBDIVISION: MAPLE RIDGE ESTATES
BLOCK: LOT:013
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 14
TENANT NAME: HBH ENGINEERING
REMARKS: Tenant improvement
Owner:
DURHAM 99 ASSOC
437 E 57TH
Phone: 503-222-3807
Contractor:
NORTH RIM DEVELOPMENT INC
POBOX6
WEST LINN, OR 97068
Phone:
Reg #:
This Certificate issued lo/22/11197 grants occupancy of the above referenced bu,"ding or
portion thereof and confirms that the building has been inspected for compliance with t`,e
State of Oregon Specialty Cod�Ior the group, occupa cy, and use under which the
referenced permit was issued -
BUILDING INSPECTORBU. DING .)F 1 C1
POST IN CONSPICUOUS PLACE
CITY GF TIGARD
- DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd„ Tigard,OR 97223 X552)639.4171 PERMIT #. . . . . . . : 13UP97-046.1
DOTE ISSUED: 10;03/97
PARCEL: E'S11ODC-00400
SITE ADDRESS. . . : 11535 SW DURHAM f'. � #C-6
SUBDIVISION. . . . : t:I LLOW BROOK PARK ZONING:C--G
BLOCK. . . , . . . . . . . LO T. . . . . . . . . . . . . :O16 j'.RISDICTION:TIG
REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 1625 sf N: S: E: W:
TYPE. OF USE. . . :COM SECOND. . . : 0 sf PROTE=CT OPENINGS?-------
TYPE OF CONE-)T. :5N . . . : 0 sf N: S: E: W.
IOCCUPANCY GRP. :B TOTAL------: 1625 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 14 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSM-i? : ME Z Z? : REDD SE'TBACKS--------.-._- REGIU I RED - ---- ----- -- - --- - -
FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CGRFt:N PARKING: 0
VALUE. $ : 11500
Re m ar-k s : Tenant 4 @prove@ent
Owner: ------_. __.______.____._.____._______.__---____.__-_____.----_-___ FEES
DURHAM 99 ASSOC type amoLint, by date r-ecpt
437 E 57TH PLCK $ 56. 23 bEO 09/26/97 97-29960
NEW YORK NY FIRE 1 34. 60 GE:O 09/26/97 97-299602
PRMT $ 92. 50 DST 10/03/97 97-299762
Phone #: 503-222--3807 SPCT $ 4. 63 DST 10/03/''97 97-299762
PLCK $ 3. 90 DST 10/03/97 97--299762
Contractor: --_.._._. ___.-_--.------__-_--___-_-_ FIRE t 2. 40 DST 10/03/97 97-299762
NORTH RIM DEVELOPMENT INC
F'0 BOX 6
WEST L I NN OR 97058
---------------------------------------
Phone #: $ 194. 'Es TOTAL
Reg #. . - OO1180
-- - -- RE0'_,I RED INSPECTIONS
--This per@it is i�sutd subject to tht regulations contained in the Framing Insp
Tigard Nu;;•:ipal Code, State of Ore. Specialty Codes and all other Tns+_ilat ion Insp _
applicable laws. All work will be done in accordance with Gyp Board Insp _
approved plans. This perait will expire ii work is not started
within 180 days of issuance, or if work is suspended for @ore _
than 180 days, ATTENTION: Oregon law requires you to follow the
rules adopted by the M-egon Utility Notification Center. Those
rules are set forth in OAR 952-001-018 through ')AR 952-80181987,
You @any obtain a copy of these rules or direct ques0 ons to OUNC
by calling (503)24E-1987.
Permittee S i g n a t u r e :� _ I s s i..i e d By : ?++
L��+ �++++++++++++++++++++*+ +.f++ +++++++++++++++++++++i � ++++++� f++++++++f++++
Call 639-4175 by 6:00 p. m. for an inspection needed the neut bLisiness day
++++++++++f++-F+++++-*+++++++++++++++ . ++++++•►+++++++++++++++++f++++++++f++. +
CITY OF TIGARD Commercial Building Permit Recd By_ ci ��
13125 SW HALL BLVD. Tenant Improvement Date Recd
Date to P E. 2E,_
TIGARG, OR 97223 oats to DWb I z ) '
(5Q3) 639-41 T1 Permit# !. ' 11
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted called
�� T Name of Development/Project Existing Building New Building 0Job W t I(.oru P�RBnF /3t l( 'qx fC
Address Street Address —T3uite Building
JIS 35 5W p GLZH~y C - 4 Data
Bldg# City/State zip + Existing Use of Building or Property-
----- T1Ga yeti oe `r I OFFiC-t /APeTacC
Name
Property Gt.�-te r{,4 n-, Proposed Use of Building or Property:
Owner Mailing Address Suite cQ
i
No. Of Stories: j `-
City/State Zip P_h i e
IV 1•,..) �E�2r�. N �� i Sq. Ft, Of Project.
ZZ? 3bb�- I
Occupant Name
H r3t4 r ',��, �� G Occupancy Class(es)
Name /•�
Contractor "Pr Ht++� �►a�rp,r��t Type(s) of Construction ` ,
Prior to perms Mailing Address fiuite _ y of
issuance,a cr,py ,,//��� Will this protect have a Fire Suppression System?
of all licenaos `&o S� M'4�b/)� ^ Yes [� _ No
are required if City/State Zip Phone -
expired in C.C.T D Amer;cans with Disabilities Act(ADA)
datahase /co R7-c4,Jr� �d/Z '5 1-7 0( 9z'�' Valuation X 25% = $.2e:-S°"-
_ Participation
Oregon Const Cont.Board Lia# Exp.Dale Complete Accessibility Form
_
oil 102 I B Project $ �—`� ---- -
-� Name Valuation
Architect M 10)a#,-) i�Viz&'-J Plans Required. See Matrix for number of sets to submit i
Mailing Address Suite — on back
1(8 30 5w (4 ele('few 3 2 S
CltylStale Zip Phone I hereby acknowledge that 1 have read th's application,that the information
•CJ SwQ GVI QIe 9 9 074 given is correct,that I am the owner or authorized agent of the owner,and
that plans submitted are in compliance with Ore7on Slate Laws
Engineer Name
gnau of Ow t/Ag¢ Oats o,
Mailing Address Suite
Co ct Person Name Phone
CitylState �Zlp Phone J CF L,U(C—Y'r=Z :7 '3
-- FOR OFFICE USE ONLY
Indicate typo of work: New O Addition O Demolition O'. MapfTL# r b�) Land Use:
Accessory S! .jc,ure O Foundation Only O Alteratior�7
'enarr O Other O _ Notes:
Description ork-
C-APT10n WAZ(.s t be)V i F-r'2 nf` 7C,17 S TIF
Parks EslJn -x of Employees
Note: Site work Permit Application must precede or accompany Building
PerrrIt Application
II Soo
is\COMNEW DOC (DSTI 8/97
Sap
ads
COMMERCIAL PLAN SU13MITTAL
REQUIREMENT MATRIX
Applicant DSTs to Plans Examiner Plans Examiner to DSTs
Initial No. Plans required to complete
Plans Routing (processing(see note a.)
Submitted
TYPE OF SI MMITTAI_, TOTAL. CPF PPE EPE CPE PPE EPE
SITE I 1 -- -- 3 --
B (New or Add) 1 1 - - 3 O,o,w) -- --
F (New or Add or Alt.) 3 3 _ 3 (j,o,f)
M (New or Add. or Alt) I
13 & M (New or Add) 1 1 -- -- 3 O,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- -- 20,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 20,o) -
E (New, Add, or Alt) �— _? -- ? - -- (J,o) —�
B & N1 & P & E (New, Add) 3 1 1 1 3 O,o,w) 2(j,o) 2 (j.(,,
B or B & M (Alt) 1 l -- 2 (j,o) -- --
B & M & P (Alt) 3 1 2 -- 10'o) 20,o) --
B & M & P & E (Alt) 3 1 1 1 20,o) 20.o) 20.o)
KF:YL
a. The applicant will be requested to submit the correct number of j = Job B = BUP
revised plans when all plan review issues have been resolved. o = Office M = MEC
f= ':ire P = PLm
o. Shaded areas designates initial submittal requirements. = u = USA E = ELC
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - ------ --____
BUP
Date Requested__ AM� PM — BLD
Location i 3—� S,✓ Suite _ c`�-� MEC ------–
Contact Person _ Ph PLFA Uvv= U 0,2-6-
Contractor
Contractor Ph SWR
SUILt)iNG Tenant/Owner ELC
Retaining Wall — ELR
Footing Access:
Foundation FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes: ---- --------
SlabSIT
Post 8 Beam - -- ------- _ .--- __ - ---- -
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Alarm - - -
Susp'd Ceiling _._ -__ __—
Roof --�
MIS("
Final
PASS PART PAIL
< PLUNG
'ost& Beam - — —
Under Slab -�
Top Out - -�
Water Service
Sanitary Sewer -
Rain Dra ns
FinaLc ���w- --- — —_ - - - - -
ASS PAR FAIL
VECHANICA L �_.------------ ----- _-__—.---
Post& Beam
Rough In
Gas Line -----------___. ..__ --
Smoke Dampers
Fina! - --
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
Backfill/Grading - - -- -- ---—-- -..--------
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE _- [ J Unable to inspect• no access
ADA
Approach/Sidewalk
CherDate Inspector �� _ Ext s _
FI„at
PASS PART FAIL J 00 NOT REMOVE this inspection record from the job site.
CITYOF T I G A R D PLUMBING PERMIT
DEVELOPMENT ,SERVICES PERMIT#: PLM2000-00252
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 HATE ISSUED: 7/6100
)ITE ADDRESS: 11535 SW DURHAM RD BLDG C--to PARCEL: 2S110DC 02300
SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPr-)SALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR LRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURFS _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE. ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of pressure relief valve.
Owner: FEES.—_
—� Type By Date Amount Receipt
DURHAM/99 ASSOCIATES LTD PTNSH PRMT DEB 7/6/00 $50.00 0003484
BY CRIIMI MAE SERVICES LP 5PCT DEB 716100 $4.00 0003484
ATTN: LOAN SERVICING -- _
ROCKVILI.E, MD 20852 Total $54.00
Phone 1:
Contractor:
KENNEDY PLUMBING
13985 SW FARMINGTON RD
BEAVERTON. OR 97005 REQUIRED INSPECTIONS
Phone 1: 643-5535 Misc. Inspection
Reg #: LIC 001009 (CORRECT#10967) Final Inspection
PLM 34-42PB
OWGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans
This permit will expire if work is not started within 180 days of issuance, or 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 052-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct gUestions to OUNC by calling (503) 246-1987.
i
Is ea gy: �+ Permittee Signature.
Call (503) 630-4175 by 7:00 P, for an inspection needed the 455ct business day
CITY OF TIGARD Plumbing Permit Application Plan Cck _
13125 SW HALL BLVD. Commercial and Residential Recd I_
TIGARD, OR 97223 Date Read O
(503) 639-4171 Date to P.E.
Print or Type Date to DSrj �-
Incomplete or illegible applications will not be accepted Permit# VR
Related SVVR#
Called_`_____ _
Name of Development/Project FIXTURES (individual) PRICE AMT
Job
Sink _ 11.50
Address Street Address $u to Lavatory 11.50
1C.3 K ['u rl^,G W _�_ Tub or Tub/Shower Comb. 11.50
Bldg# (I Clty/Stole lip Shower Only _ 1 .50
---- Water Closet it 50
Name �T _ -r--._ _ -
4,;UrhC,m�n asSoC) Urinal _T J 11.50
Owner Mailing Address Suite Dishwasher _ 11.50
I.MA n :5 le 6(1'r_1 n r _ Garbage Disposal 11 50
Qty/state, Zip Phone Laundry Tray 1.50
_ -O(K, till° and Aos5z ----
Name Washing Machine 1.50
Floor Drainfloor Sink 2" 11.50
Occupant Mailing Address Suite 3" _ 11.5L
_ 4" 11.50
City/State Zip Phone --
II Water Heater O conversion O like kind 11.50
Gas i ing re uq fires a separate mechanical permit.
Nam Tome New Water Service 32.00
MFG
Contractor Melling Address /' MFG Home New San/Storm Sewer _ 32.00
g e
139 g k) T u✓(nisi _ Hose Bibs 11.50
Prior to permittyl$tate Zip hone Roof Drains 11.50
Issuance,a copy V pY E 5 35 Drinking Fountain 11.60
of all licenses are Oregon Const.Cont,Board Lic.# Exp.Gate Other Fixtures(Specify) 15.00
required It
expired In COT Plumbing Lic.# Exp.Date
database 1,2s"4 2 f3
Name
Architect Sewer-1st 100' 38.00
or Mailing Address Suite Sewer-each additional 100' 32.00
Water Service-1 st 100' 38.00
Engineer
City/State Zip Phone
g Water Service-each additional 200' 32.00
Describe work to be done: Storm&Rain Drain-1 st 100' 38.00
New O Repair O Replace with like kind: Yes O No O Sic.m S,Rain Drain-each additional 100' 32.00
Residential O Commercial O - Commercial Back Flow Prevention Device 32.00
Additional description of work: 19.00
7 - Residential Backflow Prevention Device'
Catch Basin 11.50
Are you capping,moving or replacing any fixtures? lnSD.of Existing Plumbing or Specially Requested 50.00 I
Yes O No O 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 tt5o
WORK COULD RESULT IN INCREASED SEWER FEES. -� QUANTITY TOTAL
I hereby acknowledge that I have read this application.that the information 'U "
Isometric or riser diagram is required,f^ amity Total is >9 _
given Is correct,that I am the owner or authorized agent of the owner,and ^SUBTOTAL
that fps submitted are In compliance with Oregon Stat_e Laws. -
Slgnatu►l of Owner/Agent ``�� Date `- B%SURCHARGE
'►�1 p+t -1 6 '/'v g ,
Contact Pa n Na Phone - -- -
hP 0 (-('� 3 G t ✓;, •'PLAN REVIEW 25% OF SUBTOTAL -
1 BATH HOUSE$178..gD �� Re uq fired o d fixture ty total is- 9
2 BATH HOUSE$250.00 _ TOTAL f (1 n
3 BATH HOUSE$285.00 --�
(This fed Includes all plumbing fixture`In the dwelling and the first 'Minimum permlt fss is$30+B%surcharge,except Resldenhrl Backflow Prevention
100 feat of sanitary sewer storm sewer and water servlco) Device wnich Is$25+8%surcharge
-All New Commercial Buildings require plans with Isometric or riser diagram rm `and
plan reVIPW
I W810oMplumapp doc 121171" (S,vu`\
a5 mak) �Ac( t 0Ivcl ,.
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink -- ___--
Lavatory
Tub or Tub/Shower Combination___
Sh)wer Only _ �—
Water Closet —
Urinal ---- -� —� --- -- -
Dishwasher
_Garbage DisposalLaundry Room Tray
Washing Machine_
Floor Drain/Floor Sink 2"
Water Heater
Other Fixtures (Specify)--
COMMENTS
Specify) —COMMENTS REGARDING ABOVE:
CITYOF TIGARD _- PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P 13/00 00201
DATE ISSUED: 6113100
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11535 SW DURHAM RD BLDG C-�e PARCEL: 2S 110DC-02300
SUBDIVISION: PARTITION PLAT 1998-128 ZONING: C-G
BLOCK: LOT: _ — JURISDICTION: TIG __
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE- CONI 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: tt
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of commercial backflow prevention
FEES_
Owner: Type By Date Amount Receipt
DURHAM/99 ASSOCIATES LTD PTNSH PRMT DEB 6113100 $50.00 0002912
BY CRIIMI MAE SERVICES LP 5PCT DEB 6/13/00 $4.00 0002912
ATTN LOAN SERVICING —
ROCKVILLE, MD 20852 Total $54.00
Phone 1:
Contractor:
KENNEDY PLUMBING
13985 SW FARMINGTON RD
BEAVERTON, OR 97005 REQUIRED INSrEC;TIONS
RP/Backflow Preventer
Phone 1: 643-5535 Final Inspection
Reg #: LIC 001009 (CORRECT#10967)
PLM 34-42F3
1 �
This permit is issued subject to t,)e regulations contained in the Tigard Municipal Code, State of OR.
Speciaity Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rales are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to GUMC by calling (503) 246-1987.
Issued dy: �� - ` �� f�tPermittee Signature:^ �?J --a'_� --
Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan Ch #
13'125 SW HALL BLVD. Commercial and Residential J�C� Reed
TIGARD, OR 97223 n's Date Recd A6f / •e ('-
(503)
('-(503) 639-4171 140G ��' ���% Date to P.E. _
Print or Type Date to DSrT
Incomplete or illegible applications will not1W apted Permi�0
�� Relate WR
��J %lejkjc J -/
Name of DevelopmenUPro ect FIXTURES (Individual) QTY PRICE AMT
Job �•����ctob�or(�- businr!,S PnVt(_ Sink - 11.50
Address Street Addie Suite � Lavatory 11.50
/53 4, C U( he4 rvi IC Tub or Tub/Shower Comb. 11.50
Bldg# CilvfState Zip Shower Only 11.50
�^
Na _ Water Closet 11.50
Urinal 11.50
Owner Mail ng Address Suite Dishwasher 11.50
3 K3✓ Ave- Garbage Disposal 11.50
city/ to Zip Phone -
Laundry Tray 11.50
Name Washing Machine/Laundn Tray 1150
Floor Drain/Floor Sink 2" 11.50
Occupant Mailing Address Sulte 3" 11.50
City/Slate Zip Phone
4" 11.50
Water Heater O conversion O like kind 11.50
Name Gas piping requires a separate mechanical ermit.
Name,./ -Gas
no{�_A Y �,b�r, MFG Home New Water Service 32.00
Contractor MaillnAddress "_r- Suite MFG Home New San/Storm Sewer 32.00
121�5 <<to VYY)'vl, or1 Hose Bibs 11.50
Prior to permit Cit State Zip Phone
Root Drains 11.50
Issuance,a copy Cit State
ova' MW, b`�?,5 5,35
Drinking Fountain 11.50
of all licenses are Oregon Const.Cont.Board Llc.ar Exp.Date
required It 1(r ;.ab.C).3 Other Fixtures(Specify) 15.00
expired in COT Plumbing Llc,0 E p.oto
database 34-421"r.A
Name
Architect Sewer-1st 100' 38.00
or Mailing Address Suite Sewer-each additional 100' 32.00
Engineer Clty/State Zip Phone Water Service- Ist 100' 38.00
Water Service-each additional 200' 32.00
Describe work to be done: Storm iS Rain Drain-1st 100' 38.00
New Ch Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00
Residential O Commercial X °
Additional description of work SV s ( Rr;,�� 5B;: c-o Commercial Back Flow Prevention Device / 32.00 .�
ctik 14t' c w�i� IMRu vd 1 N 2:'•C�^ , 1 r1r t1.5 Residential Backflow Prevention Device- 19.00
r 4.� Catch Basin 11.50
Ar6 you cap prng moving or rep acing anyfixtures? Insp.of Existing Plumbing or Specially Requested 5000
Yes O No X Inspections perthr
If yes,see back of form to Indicate work performed by Rain Drain,single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50
WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the Information Isometric or riser diagram Is required d Quantity Total is`9
given Is correct,that I am the owner or authorized agent of the owner,and - 'SUBTOTAL O
that plans s mittPil are In compliance with Ore on State Laws.
Signature of n,.,Agent ' Ite --- -- _ _
91 r.kNXL W� .`1,CU 8% SURCHARGE Gb
Contact Person"`ep P f-&< Pho 4 3 5 1_ --„PLAN REVIEW 26%OF SUBTOTAL
r 11
Required only M fixture qty total is-9
_
1 BATH HOUSE 1118.00 - 00
2 13ATH HOUTOTAL
$250.00
3 BATH HOUSE$285.00 ---- 7
(This foe Includes all plumbing fixtures In the dwelling and the first 4Mi•Imurn permit fee Is$50+9%surcharge,except Residential Backflow Prevention
100 foot of sanitary sower storm sewer and water service) De ;e,which Is$25 4 a%surcharge
All New Commercial Buildings require plana with Isometric tv riser diagram and
plan review
I WslsVormslplumepp dM 11118M
CITY OF TIGARD MECHANICOL
DEVELOPMENT SERVICES PERMIT
1 13125 SW Hall 31vd., Tigard, OR 97223 (503)639.4111 PERMIT #. . . . . . . : MEC97-0375
DATE ISSUED: 10/OL/97
PARCEL- 2S 1 10DC-00400
SITE ADDRESS. . . : 11533 SW DURHAM RD #C-6
SUBDIVISION. . . . : WILLOW BROOK PARK ZONING: C—G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :016 JURISDICTION: TIG
--------------------------------------------------------------------------------------
CLASS OF WORK. . :A[ T FLOOR FURN. . . . : 0 EUAP COOLERS: 16
TYPE OF USE. . . . :COM UNIT HEArERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :B VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TYPES—----- 0-3 HP. , _ 0 DOMES. INCIN: 0
3-15 HID. . , - 0 COMML.. INCIN: 0
MAX INPUT': 0 BTI) 15--30 HP. . . . 0 REPAIR UNITS: 0
FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOODSTOVLS. . : 0
GAS PRESSURE. . . 50+ HP. . . . : 0 CLO DRYERS'. . : 0
NO. OF AIR HANDLIND UNITS OTHER UNITS. : 2
FURN ( 100K BTU: 0 10000 --fm - 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 (-fm: 0
Remar-ks .- Rel orate duct work and relocate 2 T-stat 9.
Owner-: FEES
HBH ENGINEERING type amoi.m?_ by date r-ecpt
11535 SW DURHAM RD PRMT $ 25. 00 DRA 10/02/97 97-299740
TIGARD OR 97223 P I-C V, $ 6. 25 DRA 10/02/97 97-299740
5PCT $ 1. 25 kiRA 10/02/97 97-2:99740
Phone #:
Contractor:
HVAC INC
815 SE SHERMAN ---------------------
32. 50 TOTAL
PORTLAND OR 97214
Phone #: 239-4822
Reg #. . : 000508
REDUIRED INSPECTIONS -------
This pereit is issued subject to the regulations contained in the Duct Inspection
Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection
,nplii able laws III work will be ticne in accordance with Final Inspection
apprtved oians. This p!rvit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore —__,_
than 180 days. ATTENTION: Orevon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in BAR 952-00I-010 throv* OAR 952-001-WO. You sey
obtain copies of these rules or direct questions to OUNC by calling
15031246-9187.
W
Iss(e By : Permittee Si gnat 11VIPItELW_:LA itu LJt.Jt11<q_
.....................................f ++,4-++++4-++4.............4-++4............r•++4++
Call 639-4175 by 6-00 p. m. for- inspections needed the next business day
+4..................4.................... .....4....................4-++Ir........++++
Plan Ch
CITY OF TIGARD Mechanical Permit Application RecdB d
13125 SW HALL BLVD. Commercial and Residential Date Rec'd__
1 iGARD, OR 97223 Date to P C -----
(503) 639-4171, x304 fri ! oats to DST
Print or Type Permit x ►�t C �l '1�
Called
_ - Incomplete or illegible applications will not be accepted _ �_—
Name of DevelopmentiProl•et
Table 1A Mechanical Code CITY PNCE AMT
Job Street Address Sudso A) Permit Fee -0- -0- 1000
F cress 11 .33,5`w OLUVI"j L(r,
Bldg# CRYistate Zip 1 ) Fumace to 100,000 BTU 6.00
including duds&vents _
Name for name of business) 2.) Furnace 100,000 BTU+ Y 7 50
owner including duds&vents
Mailing Address 3) Floor Furnace 6.00
ncludin�vent _
Cdyistate Zip Phon• 4) Suspended heater,wall heater C 00
or floor mot inted heater
,flame or n+ma or busm�ss) i 5) Vent not included in appliance permit 300
J Y L4V aI_.
Mailing g Address �') Boiler or amp,heat pimp,air Gond. 6.00
! I _ to 3 HP;absorb unit to 1 jOK BUT"
Crtypstate ZI hon• 7) Boder or comp,heat pump,air Gond. 11 00
__ -7 7- __ 3-15 HP;absorb unit to 500K BTU'"
Contractor Nfrtie ^ 8) Boder or romp,heat pump,air Gond. 1500
(Prior to i I IV/f� i ` 15-30 HP,absorb und.5-1 mil BTU"
issuance MVIng.ACdresa 9) Boder or comp,heat pump,air rand. _ 22.50
applicant - .1, _,,)o ���� t TACT r�_ 30-50 HP;absorb unit 1-1.75md BTU"
must provide ail G vistate Zip Phone 10) Boiler or comp,heat pump,air Gond, 3750
contractor ` ^(- � _Vt r�� - >50 HP;absorb unit 1.75 mil BTU'" _
license Or". onst.Cat L)o.N Exp.D • 11 ) Air handling unit to 10,000 CFM 450
information D061q7 G)L;
for COT COT Business Tax or Mttt•o a ExO Data 12) Au handling and 10.0(10 CFM 7 50
database)
_
Architect Naf10 13) Non-portable evaporate cooler 4.50
or Mailing AddiLss 14) Vent fan connected to a single dud 300
Engineer Cityistate Zip Phone !' 15) Ventilation system not included in 450
appliance permit _ _
Describe work New O Addition O Alterationt� Repair O 16) Hood served by mechanical exhaust 4.50
to be done Residential O Non-residential _
Additional Description of work 1 .t v << 1\ 17.) Domestic incinerators w 750
{
`' u-,0— L cxL l ,l Y ili_ �`v�_ A'- 18.) Commercial or tndustnal type 3000 -
r' ` 1_ Incinerator
Existing use of 19) Repair units 450
building or property
20) Wood stove 450
Proposed use of 2.1.) Clothes dryer,etc --------
4.0
budding or property
22) Other units450
Type of fuel-oil O natural gas O LPG O electnc O 23) Gas piping one to four outlets 2110
I hereby acknowledge that I have read this:pplication,that the u 24) More than 4-per outlets(each) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in campiiance with Oregon State Y QTY.SUB TOTAL
laws
Signature of Owner/Agent Date 'SUBTOTAL
C - - 5%SURCHARGE
Contact Person Name Phone PLAN REVIEW 25°x°OF SUBTOTAL.
—TOTAL
i V1stVmechpmt.doc (rev 9 `t•0 inimumpermit fee is S25+5h surcharge
-Residential A/C regvims site plan showing placement of unit
CITY OFTIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: XM. P.M. MST:
l.wition: — BIJP:- 27-6 -;141
llldg:Ci��— 1,4 F C: 9 - r "
['enant:- H FAI 7 nQ 3
Contractor: 1�71 --�
/y, Phone: PLM:
Oymer. I'llone: ELC:
EIK
SIT:t)
BLDG(con' PLUMBING C KH�-N k
E L ELECTRICAL SITE
o�
Site PostAleam Post/11CA1111 0. 1 Cover/Service Sewer/Storm
l,'(x,'ing Roof UndFl/Slab Rough-In Ceiling Water line
S'.", I-reusing Top Out Gas hyle Rough-In I J(r Fpfinkler
I-oundation Insulation `ewer I looLuDuct )ZLcormLct Vault
l3snit Damp Drvwall Storm !'11111ace Tunp Service misc.
Masonry Ceiling Rain Drain A/C Ili Slat)
shex/Sheath Fire Spklj/Ahn cta'.0/1.,oluld I)i I lent l'unip low Volt
) Approved -GL9)U3—W> Approved Approved
Apt -/Sdwlk Not -))ro v,--(I Not Approved 1715- roved Not Approved Not Approved
NAL FINAL NAL FINAL FINAL
fl Call for re rl Reinspection fee of S required bdore next inspection rl I liable to inspect
0
Date
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
e
—�
Date Requested_ C/ / U AM PM BLD
Location ��+1^ Suite MEC
Contact Person _ —_ Ph PLM
Contractor Ph SWR
UILDING,) Tenant/Owner — _ ELG —
Retaining Wall ELR
Footing FPS
Foundation _—_
Ftg Drain N T QUESTED SGN _
Slab Crawl Drain F l t D 11 J I- A r SIT
Post& Beam N NSP 0 ) IN ILE
Ext Sheath/Shear
Int Sheath/Shear
Framing —_— — --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm —
Susp'd Ceiling ,
Roof
PART FAIL
INDzz
Post 8 Beam
— �� r`�
Under Slab
Tap Out -------- -- - — --
Water Service —
Sanitary Sewer
Rain Drains --
Final
PASS PART FAIL
MECHANICAL
Post& 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 _._- ---- ----------_-------_^—�_.--.--_—� —
SITF
t - -.',,fill/Grading -- ------ - --- — ---- —
banitary Sewer
Storm Drai-i [ ]Reinspection fee of$— required before next inspecJon. Flay at City Hall, 13125 SW Hall Blvd
Calch Besin
Fire Supply line [ ] Please call for reinspection RF: _—� ( ] Unable to inspect no access
ADA
Approach/Sidewalk Date yl ! Inspector Ext
Other ------ _— —--
Final -------�--
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.