7228 SW DURHAM ROAD STE O-00 J
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CITYOF T 9 G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999-00757
DEVELOPMENT SERVICES DATE ISSUED: 12/22/1999
13125 SW Hall Blvd., Tigard. OR 97223 (5010 639.4171 PARCEL: 2S113AC-00103
SITE ADDRESS: 07228 SW DURHAM RD 0100
SUBDIVISION: PACTRUST ZONING: I-P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of two (2) branch circuits
RESIDENTIAL UNITTEMP SRVC/FEEDERS MISCELLANEOUS _
1000 5F OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 arrip: SIGNALWANE:.:
P,1ANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
— -- `_ _---. _ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L. BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: _ _ _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIAT BACHOFNER ELECTRIC INC
15350 SW SEQUOIA PKWY #300 55 SE MAIN
TIGARD, OR 97224 PORTLAND, OR 972'14
Phone: Phone: 233-2006
Reg #: LIC 00044569
SUP 2808S
ELE 26-451C
FEES — _ -- Requirea Inspections
Type By Date Amount Receipt
Flect'I Service
PRMT GEO 12/22/1990 $42.85 99-320624 Elect'I Final
-5PCT GEO 12/22/1990 $3.43 99-320624— ORIGINAL
Tota! $46.28
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR Specialty Codes and all other applicable taws
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 ATTENTIOr! Oregon lay.,requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules ar° set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
24C-1987 �-
PERMITTEE'S SIGNATURE ISSUED BY:
_ OWNER INSTALLATION ONLY _
The installation is being made on property I owr, whi.h is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the ne,.t business day
C;TY OF TIGARD trical Permit Application Plan Check#
13125 SW HALL BLVD. RECEPPE Recd By
TIGARD OR 97223 Date Recd
Date to P E.
Phone(503)639-4171, x304 EC 1999 , -I Date to DET
Inspection (503)639-4175 COMMUNITY DLVELOPMENI Print of Type Permitfif f;cF
Fax(503) 598-1960 Incomplete or illogihle will not be,1r epted Called_
1. Job Address: -?.4evf-urf° 4. Complete Fee Schedule Below:
Name of Development_._7228 -,9W purbain _F3d Number of Inspections per permit allowed
Name(or name of business) 1F1 Vacancy _. ___ Service included: Items Cost Sum
Address 7228_ SW Durham Rd. 0- /004a. Residential-per unit
1000 sq.ft or iess $ 117.75 _ 4
City/State/zip m i da rd. OR -_ -_ Each additional 5pr1 sq.N.or _
portion thereof $ 26.25 M� 1
Commercial® Residential❑ Limited Energy f , $ 60.00
Each Manufd I tome 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 rjeders
Information for COT data base). Installation,alterallin,or relocation
Electrical Contractor_ Bachofner Electric I 200 amps or less S 04.25 � 2
Address 5 5 S E Main S _ 201 amps to 400 amps $ 85.50 2
401 amos to Goo amps Y $ 128.50 2
City Portland State QR __Zip 97214 -_ 601 amps to 1000 amps �^ S 192.50 2
Phone No. 233-2006 over 1000 amps or volts `-`--- a 363.75 2
Job No 8206 Reconnect only , $ 53 50 2
Elec.Cont. Lice. No, 2 6-4 51 C r Exp.Date7/1 /00 - 4c.Temporary Services or Feeders
OR State COB Reg.No. 4 4 5 6 9-- Exp.Date 316/0 0 _ Installation,alteration,or reloca+Ion
COT Business Tax or Metro No. Exp.Date _- 200 amps or less _ _ s 53.50 _ 2
201 amps to 400 amps $ 8025 _ 2
`r-7 401 amps to 600 amps S 107.00 J_ 2
Signature of Supr. Flec'r� _ over 600 amps to 1000 volts,
see"b"above.
License No 280$S -Exp.Date 10 1 01 4d.BranchCirc,tlts
Phone No _..`__. -_-- Mew,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
rr 7 feeder fee.
Print Owner's Name 1l�t�T(r`u�7� Fach branch circuit $ 535
b) The fee for branch circuits
Address - -_ without purchase of service
City State Zip_ or feeder fee.
Phone No First branch circuit _ 1 $ 37 50 _17_._ _
Each additional branch circuit ��- $ 5.15 _ j 5
the installation is being made on property I own which is not 4e.Miscellaneous
intended for sale,lease or rent. (Service or for-der not Included)
Each pump or Irrigation circle $ 42.75
Owner's Signature� Each sign or outline Ilyhling _ $ 42.75 _
Signal circult(s)or a limited energy
3. Plan Review section (if required):" Minor Labelss((101panel,ell10)0 er axton;Ion -`�- S- 80.00 _
$ 107.00
Please check appropriate item and enter fee In eeetion SB. 4f.Each additional Inspection over
4 or more residential units In one st,ucture the allowable In any of the:+rove
Per
Service end feeder 225 amps or mere Per hour hour ion 50.00
- $S 50.00 _
System over 600 volts nominal In Plant "- $ 59.00
_Classified area or structure containing special occupancy as
described in N.E.0 Chapter 5 5. Fees:
6a.Enter total of above tees $ 42.85
" Submit 2 sets of plans with application when any of the above apply. 5%Surcharge(05 X total fees) s
Not required for ternporary constructiomservlces. Subtotal $
6h.Enter 259 of One 6a for
NOTICE Plan Review M re uired(Sec.3) a
PERMITS BECOME VOID IF WORK OR uONSTRI,ICTION AUTHORIZED Subtotal S
IS NOT COMMENCED WITHIN 180 DAYS,CR IF CONSTRUCTION OR i
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# _
AT ANY TIME Alii ER WORK IS COMMENDED I II Total balance Due _ S46. 28
700f aNYDIJ. �f) ,ILIO 0981 R6S) Cos t-t.q Zz:of 111,11 88.111190
—CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL.:
Foundation Water Line Ceiliry Piumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Fir/Slob Plbg.Top Out Insulation -Elect,
Post/Beam Struct. Mech. Rough-in Gyp, Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _��j� q��-----��----
Date: —��"-`' ►—^_�0— A.M. P.M. Entry:. _
Address: �C?,�
Tenant ---.------------- Ste;,-00 MST: --
BUP:
Con/Own:. --_-- — MEG'.
PLM:74=7�0
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
I 1 pector! /_ ...�" -- — Daae:c,
APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Eusiness Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Wates Line Ceiling -Plumb.
Post/Beam Mach. Si,ear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Pibg. Top Out Insulation -Elect.
Post/Beam Struct. Mach. plough-in Gyp. Bd. -Bldg.
San, Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: 17J A.M. P.M. EnRt=_ —
Address: Z _(,�,L�i ,t —
Tenant: _ Ste:-MST:
Con/Own: BUP. !�
/ — MEC:
14ELC
la Lf.0 1� PLM:THE FOLLOWI CO ECTIONS ARE REQUIRED: ELR: D
—— -- —,� X Jr�L
)�Inspector: _ Dater
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
L�_
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service SINAL:
Foundation Water Line Ceiling -Plumb
PosUBeam Mach, Shear/Sheath Framing QLec>l
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-In Gyp. Bd -Bld9)
San, Sewer Gas Line Appr/Sdwlk 9eins.
Other: If 0
Date: _ �! A.M. P.M._ Entry: M
Address: _ 72 ?v=.Z if
Tenant: J�8 _ Ste:/Or—i MST:
Q
BUP:96
Con/Own: _ MEG.
PLM: �
ELC:
THE FOLLOWI G CORRECTIONS ARE REQUIRED: ELR:
Ins ector _-- _ __.-- _—�-- Date:
APPROVED __DISAPPROVED/CALL FOR REINSP, CF CO
CITYO F T I G A R D CERTIFICATE OF OCCUPAKCY
u DEVELOPMENT SERVICES PERMIT#: BUP96-00333
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/31/96
PARCEL: 2S 103AC-00103
ZONING: I-P
JURISDICTION: TIG
SITS ADDRESS: 07228 SW DURHAM RD 100
SUBDIVISION: COUNCIL VIEW ARES
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 3N
OCCUPANCY GRP: S2
OCCUPANCY LOAD: 69
TENANT NAME: MICROFLECT
REMARKS: Tenant improvement
Final Inspection Approved 9/6/96 by Tom Plescher, Building Inspector
Owner:
PAC TRUST
15350 SW SEQUOIA PKWY
SUITE 300
TIGARD, OR 97223
Phone:
Contractor:
H GREEN
15350 SW SEQUOIA BLVD
STE 300
Tl : ':049 4
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been insVected for compliance with the State of Oregon
Spe,c�altjtodes a-Woup, occupanr..�, and use udder which the referenced permit was
is lc
,
BUILDING INSPECTOR BUILDINf, OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour inspection Line: 639-4175 Business Line: 639-417' -- ----— --
BUP
Date t3equested_.,__--- AM --_—__�M BLD !� ,—
Location �� �� S t�-f F T &doe- " MEC
Contact Person Ph (o300_ PLM
Contractor_ i /t�(� _�_ Ph SWR -
BU!LDING Tenant'Owner _—_ /�/G/O IC��c�� BLC
Retaining Wall ELIR
Footing Access'
Foundation FPS
Ftg Drain I r NAL �i3u�-C c94- C-i
SGN
Crawl Drain Inspection Notes: _
Slab "IT
Post&Beam � � ------
Ext Sheath/Shear --
Int Sheath/Shear
Framing
Insulation t '�
Drywall Nailing ����.��[� �QL1 erf -------------
Firewall j
Fire Sprinkler _. _--.-- _--- —._ --------..__
Fire Alarm
Susp'd Ceiling - - --- --- ..- . -- --- ---- ----- _
Roof
Misc:
Final
PASS PART FAIL ------- _-____ ---- -
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service _ _ ---
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam - - - —
Rough In _
Gas Line - - ---------- - -- --- -- -- --------
Smoke Dampers
Final ---- - _ - - ----
PASS PART FAIL _
CTRICAL —
PASS
--
Rough In
UG/Slab -- - --- -
Low Voltage
Fire Alarm
Fi
ASS PART FAIL —
Backfill/Grading — -
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at C ty Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE:_ [ )Unable to inspect-no access
ADA /
Approach/Sidewalk Date inspector < Ext
Other -
Final
PASS PAR1 FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24.-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP
Date Requested is f -AM PM \
BLD
Location �,}vim e <.Stk, ( 4' (NC( )w`
_ SUItB M-D MEC
Contact Person J'//i iPLM
l'Alr�}� 6- L�� Ph ��33 �o��
Contractor — Ph SWR
BUILDING —� Tenant/Owner _` ELC 9 6�16 7S 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain
Crawl Diain Inspection Notes: SGN
Slab _
Post&Beam SIT _
Ext Sheath/Sh-,.ar
Int SheathiShear -- —
Framing ,-
Insulation -----`
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm ---1! 1-� --------------
Susp'd Ceiling
Roof
Misc. ------------.-
Final
PASS PART FAIL
PLUMBING
Post& Beam —
Under Slab
Top Out - ---- ---------
Water Service
Sanitary Sewer - -- ---- -
Rain Drains
Final -^- ---
PASS PART FAIL.
MECHANICAL
Post
-------- -------- -
Post&Beam
Rough
-- -
Rough In
Gas .cie - - - --
Smoke Oampers -
Final -------
PASS- -PAELT FAIL �-.-- - -
ELECTFdCA -
Service
Rough In - - —
UG/Slab
Low Voltage
F' m
PASS)PART FAIL
Backfill/Grading --
Sanitary Sewer
Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE:
Fire Supply line _ __ ( ]Unable to inspect-no access
ADA 17
Othroach/Sidewalk Date ^�� Inspector _ / ----- - Cxt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY CSF TIGARD PE PMI TBUIL
# . . NG. PERMIT. --033
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/31 / ,Ery
'.3x75 SW Hell Blvd.Tigard,Oregon 97223o6lQ9 (503)630-4171
PARCEL:
ADDRESS. . . : 07228 SW DURHAM RD ®1'7)0
;UNDIVISION. . . . : ZONING: I—P
BLOCK. . . . . . . . . . : L01.. . . . . . . . . . . . . :
REIS;SUF_: FLOOR AREAS---_.___._._._ EXTERIOR WALL CONSTRUCTION—
CLASS OF' WORK. :ALT FIRST. . . . .- x'7500 sf N: S- E: W:
TYI='k 01 USE. . . :COM SECOND. . . : 0 sf PROTECT OP1-NINGG?—_—___.--__._....._.
TYPE OF' CONST. :3N . . . . 0 sf N: f3: E: W:
0(:LUPANCY GRP. :S TOTAL _—___..__: 27500 sf ROOF- CONST : FIRE RET, :
OCCU'ANCY L.OAD: 69 BASEMENT. : 0 sf AREA SEF'. RATER:
STOR. : 1 H1 : QI ft GARAGE. . . : 0 sf OCCU SEP. RATED:
DSMT? : hIEZZ?: REOD SETBACKS-— REQUIRED_.—_—___..__________.__.._.
FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT : 0 Ft is I R SPKL: Y S010K DET. . :N
DWE_l._I_.ING UNITS: 0 FRNT: 0 ft REAR: 0 ft F`IR AL_RM:N HNDI:"F' ACC: Y
REDRMS: 0 BATHS: 0 1111 GURFACE: 0 PRO CORRIN PARKING: 0
VALUE. $ : 751,100
Remar•ks : Tenant improvement
Owner: —_______._._.______--•--.____.____._..__---_.____ _.____.._...__._..__._..__—_--- FEES
PACT RUST t ye amount Icy date r'eecp�
15350 SW SQUOIA PKWY PLCK $ 232. 70 JH 06/17/96 96--280662
'3U I TE 300 F I RE: $ 14:3.:'0 JH 06/17i 9F.- 96--280662
TIGARDND OR 97 :24 PRMT $ 358. 00 B 07/31/96 96-282329
f:1h on e it: 624--6300 5PCT $ 1"". 90 B 07/31/96 96-282329
11. L.. GREEN
15350 SW SEQUOIA BLVD, SUITE ;300
TIGARD OR 97224
i='hr o rr e #: 6247717 $ 751. 81ZI TOTAL
Reg #. . : 41.328
------- RE OU I RE D INSPECTIONS
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other I n s i_r l at i on Insp _____
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started S u s p C e i l n g Insp
within I80 days of issuance, or if work is suspended for more F i n a I Inspection
than 180 days.
P e r m i t t e e t
Iasi—ted By :
Ca' l for, inspection — 639--4175
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: .�• S�/ U _ /� ���
Office Use Only
Tgnant• _ Suite # _
C'flKii /jI�C i<0
n• Planck/Rec
Val atlo
Permit#_1'?r 1_ P e3�1,—rN-2-z 1
Owner: Pacific Realty Associates, L.P. (PacTrust) Map & TL # 'z
Address: _ 15350 S.W. Sequoia Pkwy, Suite 300 Approvals_Ro uired
Portland, OR 97224 _ Plannino
Phone: 503/624-6300 Engineering
Other
Contractor: H.L. Green Company
Address: 15350 S.W. Sequoia Pkwy, Suite 300
Por' 1 and R Type of const.-
Portland,
onst:
t , 0 9724-7199
Occupancy class:
Phone. 503/624-7717
Sprinklered" Yes No
Contractor's Liccnse # 41328
(attach copy -.f current Oregon license) 5q. ft. of project: 27.-0Z2
Contact name & phone: Chris Green, 503/624-7717 Story (1st, 2nd, etc.)
lie
Pr000sed use: --J�Y04
�'�
Architect/Engineer: _ John H. Romi sh
Previous use:
Address: 2216 S.E. 24th Avenue
Note: Plumbing & mechanical plans
Portland, OR 97214 must be submitted at time of
Phone: 503/236-6306 building permit ap Acation.
/JU,J BLVrti PLLO/�lt3/ E:CFc_
E'. Al et rf 19 r 5:185
JOB DESCRIPTION:
L`G .r
— '
0
—z
App ant Signature & Phone numer
i
Received oy: ��"� ' � Date Received: ��
Permit ;$ Account Description Amount Amt. Pd. Bal. Due
su
05t)3-,--Bldg. Permit (BUILD)
Plumb. Permit (PLUMB?
Mech. Permit (MECti)
State Tax (TAX)
Bldg:
Plumt,:
Mech:
Plan Check (PLANCK) 113 ol3)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) _
Mass Transit T?F (TIF-INT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (-rIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) 11 3,0
Erosion Cntri Permit (ERPRMT) _
Erosio~ PlancklUSA (ERPLAN)
Er,) ' q Planck=i IEROSN)
TOTALS: CY )���4
CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL r-"E'RMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 FIE RM I T #: E.LC96--O755
DATE ISSUED: 11/27/96
PARCEL: 251 13AC01111 OO
SITE ADDRESS. . . : O'i -'8 SW DURHAM RD 49100
,A)BDI.VISION. . . . . ZONING: I--P
RL_OCK. . . . . . . . . .
. t_OT. . . . . . . . . . . . . .
ProJect Description : add signal circl.tit/limited energy panel
--RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- -------MISCELLANEOUS------
1000 qF OR I...ESS. . . . : 0 0 - P.00 amp. . . . . . . : 0 PUMF'/ IRRIGATION. . . . : 0
EACH ADD' L_ 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SII--;N/OUT I.-INE 1_.TG. . : 0
LIMITED ENERGY.. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : 1
MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR L-AREI_. ( 10) . . . : 0
--•----.--SF_RVICE/FEEDER------- --------BRANCH CIRCL.JI'rS---_.-.__ .----ADD' I_ INSPECTIONS------
0 -- 200 amp. . . . . . : 0 W/SERVTCE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - FOO amp. . . . . . : 0 EA ADD' L HRNCH CIRC: 0 IN PLANT. . . . . . . . . . : 0
601. - 1000 amp. . . . . : 0 _._._ _.._-----_--.___._._.-_PLAN REVIEW SECTION--------- -------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOL..T NOM 1.NAI.. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CI-.ASS AREA/SPEC OCC. :
Owner-. - ----------------._________----------.----------_____._-- FEES _------_-----___
PACTRI.IST type amoi-ini: by date r-ecpt
1.5350 SW SEQUOIA PKWY PRMT $ 40. 00 TAT 11/27/96 96-2'87OJ='7
STE 300 SPCT $ c'. O0 TAT 11/27/96 9F,-2870.:;'7
T I rARD OR 97224
Phone #: 624-6300
Contractor: ----- --__._____.---------------_._-----------______
HONEYWF_'t-L_ $ 41='. 00 TOTAL
1549 ; SW SEQUOIA SUITE 1.00
REQUIRED INSPECTIONS ----
PORTI.OND OR 97224 Ceiling Coven Under•gi-ortnd Cove
Phone #: 503-968-3333 Wall Cover Elect' l Service
Reg #. . : 57824
This perp t is iss7ed subject to the regulation, contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Per-miee SignatI_ire
applicable laws. 011 work will be done in accordance with / )
approved plans. This pewit will e.,pire if work is not started
wither 1941 days of issuance, or if work is suspended for more
than 180 days. Ie'sl.ied By
- r�WIUFR INSTAL-LATION ONI. Y--.__
The installation is bei-rig made on property I own which is not intended for•
Sal e, I.ease, or- r`en+ .
OWNER' S SIGNATURE: DAI'E:
INSTALLATION
SIGNATURE: OF SUPR. ELEC' N: DATE:
L_.ICENSE NO:
Call. for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit #
Phone (503) 639-4171 Date Issued --
CITY OF TIGdRD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. job Address: 4. Complete Fee Schedule Below:
Name of Development GL Number of inspections per permit allowed
� � Sid ; )UK&Am .tel
Address � _ Service Included Itenns Cost(ea) Sum
�,i,t�y/State/Zip [: _�D,� ` 4a. Residential - per unit
NAI IC �e 1000 sq ft. or less — - J t to n[! —._ n
me (Or atn � usiness)� � - Eed additional 500 sit h or
portion thereof _ 825 Pic
Limited Energy 825 0n –_-- 1
Commercial Residential Each Manurd Home or Modular
welling Service or Feeder 868 00
2a. Contractor installation only: D
4b.Services or Feeders
Electrical Contractor ) Installation,alteration,or relocation
200 amps or less $60.00
Address 6tJ�,�qcl !�(' 201 amps to 400 amps $6000 -
City State Zip���( 401 Pimps to 600 amps $12000 _
Phone No. 1 a" 601 a 5160
Pimps to 1000 amps 00
Over 1000 amps or volts $340 00
Job NO. '- ) Reconnect only -- $5000
contractors license NO. cc'l 4c. Temporary Services or Feeders
Contractors BoGrd eg NO Installation,alteration,or relocation
Signature of S r. Elec'n — 200 amps or less �_ 2
License No.—�� — P e No j ' 201 amps to 400 amps _ $50 00 2
401 amps to 600 amps $7500
Over 600 amps to 1000 volts $10000 -- --
T.b. For owner- installations: "b"above
4d. Branch Circuits
Print Owners Name _ New,alteration or extension per pane
Address __ a)The fee for branch circuits with
City _ State Zip____ purchase of service or Nader rlw,
Each branch circuit _ $500
Phone No. _ _ b)The fee for branch circuits withour
The installation is being made on property I own which is purchase of sertilce or feeder fee
not intended for sale, lease or rent First branch cireelt $35 0
Each additional branch circuit $5 00
Owner's Signature__. _ 4e. Miscellaneous
(Service or feeder not included) 2
Each pump or Irrigation circle $4000 2
3. Plan Review S@Ct/On (it required): Each sign or outline lighting $4000
Fignal circult(s)or a limned energy 2
Please check appropriate item and enter fee in section 5B panel,alteration or extension � $4000
4 or more residential units in one structure Minor Labels(10) $100.00 _
Service and feeder 225 amps or more V�
System over 600 volts nominal 4f. Each additinnal inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as described in N E C Chapter 5 PQf intpr,1inn -- $3500
Per hour $55.00
-
Submit 2 sets of plans with application where any of the above In Plant $5500
apply. Net required for temporary constriction Cervices. '± Fees:
NOTICE Be. Enter total of above fees $ !,
-- 5%Surcharge (05 X total fees) $ ,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal 5
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
3
required (S
e
if Review rqu (Sec )
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Rev $ —
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account #
rm+nn $ —
Balance Due $
CITY OF TiGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4'175 Eusiness Line. 639-4171
MST --_
BUP
—Date Requested_.— r -1 0 �q� _PM _ BLD _ -
Location ..v2 o1 5, ''/ o Y- i G r,-� Suite _ « MEC --_
Contact Person ��t r Ph 1 �� - � _ PLM
Contractor —_ Ph _ _ SWR _
BUILDING Tenant/Owner --� ELC
Retaining Wall ELR _
Footing Access: ��— ----� —
Foundation �� FPS
Ftg Drain 2jp -_ _------" -
/ C
Crawl Drain Inspecfi n Notes: SGN
Slab _..-- — -__-_ --- --- -- SIT
Post& Beam T_ - ----- ---
Ext Sheath/Shear
:nt Sheath/Shear _----- ---
F naming
Ir,Sulation -- _---
Drywall Nailing _
Firewall
Fire Sprinkler
Fire.Alarm --- - �---
Susp'd Ceiling
Roof --
NP,isc -_-_
Final
PASS PART FAIL ---- -- - _------ ---- - - - - -
FLUMBING
Post 8 Beam
Under Slab
Top Out - --
Water Service
Sanitary Sewer ----
Rain Drains
Final
PASS F A.il_
---
MECHANICAL-
IT
HANICA in ------ - .--. _. --- -- --- --------- -------
Smoke Dampers
F' — - - -- - ------ - -- --.- -- — -- ---
ow PART FAIL
ELECTRICAL -._--- -- -- —
Service
RoughIn --------- --_- ---- --.. --.—_ ---
UG/Slab
Low Voltage ._-.—_- ------Fire Alarm
Alarm
Final —
PASS PART FAIL
SITE
Backfill/Gradin, --- - ---_ __— —_ _--__
Sanitary Sever
Storrn')rai,i I Reinspectioi;fee of$ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cat lasin
Fir jul,ply Line [ )Please call for reinspection RE:_ [ j Unable to inspect- no access
ADA
Approacii/Sidewalk
Other Date � _ Inspector �' _ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF T I GA R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00537
Elk 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE Ef_1: 12/0
7/1999 PAR R CEL: 2 S 1 U3AC-
3AC-00103
SITE ADDRESS: 07228 SW DURHAM RD BLDG 0-100
SUBDIVISION: COUNCIL VIEW ACRES ZONING: i-P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP DOMES. INCIN:
3 - 15 HP. COMML. INCIN-
MAX INPUT: BTU 15 - 30 HP:
FIRE DAh1PERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS CS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1
10000 cfm:
Remarks: Installation of a new gass line for tenant improvement
Owner: _ FEES
PACTRUST Type By Date Amount Receipt
15350 SV`J SEQUOIA PKWY #300 PRMT GEO 12/07I19f $60.00 99-320236
TIGARD, OR 97224 5PCT GEO 12/07/19 $4.00 99-320236
PLCK GEO 12/07119 $12 50 99-320236 ,
Phone:503/624-7787 Total $66.50 J
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OP 97232 REQUIRED INSPECTIONS
Gas Line Insp
Phone:233-6911 Final Inspection
Reg #:LIC 0011'x8868
ELL 20',JHA
�R
1�1N AI-
This permit is issued subject to the regu;ations 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. This permit will expire it work is not s`arted within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are !;et forth in OAR 952-001 -0010 through OAR 952-001-0080
You may obtain copie,, of thesb rules or direct questions to OUNC by call inA,(503)246.-9 89
Issue By: �_ ! � � % '' Permittee Signature: - /�_ �-
---- --
Call (5 -�'639-4175 by 7:00 P.M. for inspections needed the 4ext busing day
Plan Check#
CITY OF TIGARD Mechanical Permit Application Rec'dBy
13125 SW HALL BLVD. Commercial and Residential Date Rec'd__ -
TIGARD, OR 97223 Date to P.E
(503) 639-4171, x304 Date to DST (7-l'1
Print or Type Permit#/W./?7
Incomplete cr illegible applications will not be accepted Called -
Name of Development/Projery Description^ —
1 Table 1A Mechanical Code Q Price Amt
� A) Permit Fee 16.00
Jot,
Street Address SuheM /M
Address , "(i f A 1) Furnace to 100,000 BTU
Bldgs chyrst 6— a Zip including ducts&vents - 9.65 — -
2) Furnace 100,000 BTU+
_ Xj I F,, , t' including ducts&vents 1200
Name or name of business) J 3) Floor Furnace
Owner -�,et C _ including vent �- 9.65 _
Mailing Address 4) Suspended heater,wall heater
or floor mounted heater _ _ 9.65 _
c i t �� / W. E' 5 Vent not included in ap liance ermit _ 4.75
city/stats, zip Ph
one Check all that apply r"'7 PP Y 'Boiler Heat Air
At.:T ri y7„��L/ „Z t For Items 6-10,see or Pump Cond (qty Price Amt
Name(or name of business) footnotes 1,2 _Comp _
6)Repair units —
Occupant Meiling Address 7)<3HP;absorb unit to 8.40
_ 100K BTU 9.65
chyrsiate, zip Phone 8)3-15 HP,absorb unit
-- 100k to 500k BTU _ _ 17.65
Contractor Name ���1111 9) 15-30 HP;absorb
unit.5-1 mil BTU _ _ _ 74 15 _
10)30-50 HP;absorb
Prior to permit Mailing Address - unit 1-1.75 mil BTU _�- _ 36.00 _I
issuance,a copy 7 = 6cli C/J 11)>50HP,absurb unit>1 75 mil BTU
of all licenses Chylstate zip Phone _ 60.15
are required if �-�t71 a,�7' `7.2 ' 2 35 , i_ 12)Air handling unit to 10,000 CFM
expired in COT Oregon Const Cont Board LIC 0 Exp Dale 7.00
database -21 k C' •r3 13)Air handling unit 1C,u00 CFM+
Architect Name _ 1185
14)Non-portable evaporate cooler
0- Mailing Address 7.00
i _ 15)Vent fan connected to a single duct --
Engineer city/state zip Phone 17j
g _ 16)Ventilation system not Included in - -
_ appliance permit 7.00
Describe work to be done 1)f,.00d served by mechanical exhaust
_
700
New O Repair O Replace with like kind: Yes O No O 18)Domestic incinerators -
Residential O Commercial 0- Modifl,ation O _ 12.00
— - _ 19)Commercial or industrial type incinerator —
Additional information or description of work: _ 48.25
20) Other units,including wood stoves
7.00
NOTE: For Commercial projects only;Units over 400 lbs,;,)cate(t on the 21)Gas piping one to four outlets- -
roof,require structural calcs.prepared byIT icensed engineer _ _- _ 3.75
Type of fuel oil O natural ga3,0' LPG OO electric O 22)More than 4-per outlet(each) 75
Minimum Permit Fee$50.00 SUBTOTAL A5v1k?tb, V
I hereby acknowledge that I have read this application,that the information -- - --- gala SURCHARGE
-
PLAN
is correct,that I am the owner or authorized agent of -` _ _
PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon Stale laws Required for ALL con mercial permits only
Slgnaturgof Owner/Agen Date TOTAL. `
A----- -
s Other Inspections and Fees
CoAtact PersonName Phone
1 Inspections outside of normal business hours(minimum charge-two hours) $50 00 per hour
J M r f 7?3 �cri1 2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
Foonotes for comme la projects only: .� $50 00perhour
3 Additional plan review required by changes,additions or revisions to plans(minimum
1 Provide full schematic of existing and proposed gas line and pr3ssure. charge-one-half hour)$50 00 per tour
2. Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required
units. _ -Residential A/C requires site plan showing pocement of unit
I Vnechperm doc rev 11/1!99
ELEc,rRICAL PERMIT
CITY OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0277
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830.4171 DATE ISSUED: 09/05/96
PARCEL: 2S113AC-00100
)ITE 01A)R 'Li:;i. . . : 072;;:b SW DURHAM RU 0610111
SUBDIVISION. . . . : ZONING: I—P
LAI_.00V. . . . . . . . . . : LOT. . . . . . . . .
L•.Iro ject Descriptions Installation, alteration, o1^ extension of signal
1:ircr_1i.t/limited energy power.
RES IDENT IAi`- -_.______ B. COMMERCIAL____._.__.—_-_---______._.__._________________..__.
AUDIO & STEREO. . . a AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . s BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. , :
GARAGEOPENER. . . . s CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . a DATA/TELE COMM. . : NURSE. CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
C1T1-IrR: s : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . :SIGNAL C I R: : x
TOTAL # OF SYSTEMS:
uwner, _._._.__.__________,___...__.._____.._._._._—_--___..__._..______. ____-- FEES --_________.__._
PACT RUST* type amount by date recpt
15::350 SW SEQUOIA PKWY PRMT E 40. 10 D*A 09/05/96 96-28:3639
SUITE 300 5PCT $ 2. 00 D«A 09/05/96 96--.283639
TIGARD OR 97224
Rhone #:
Contract or.: ----- ----------------_—.--------.----.—__----_-_—____-----_—_—_—_—_--_—.
ADVANCED COMMUNICATION TECH. E 42. 00 TOTAL
9500 SW TUALATIN SHERWOOD RD
PO BOX 1665 REQUIRED INSPECTIONS
--
I-UALATIN OR 97062-1.665
Phone #: 503-692-4040
_ . . _.----------.__.-----_-_
Reg #. . : 71684
This permit is issued subject to the regulations contained in the
Tigard
-�
Tigard Municipal Code, State of Ore. Specialty Codes and all etherr-lem1 aSignat+-rre
applicable laws. All work will be done in accordance with
approved plans. This pewit will expire if work is not starter,
4ithin 188 days of issuance, or if work is s!!spended for sorethan 189 days. issued R y
_..__(]WNC_R INSTALLATION
The installation is being made on property I own which is not intended for
stile, Lease, or rent.
OWNER' S SIGNATURE: DATE:
--------CONTRACTOR INSTALLATION
S 1 GNA I-URE OF SUF'R. ELEf.:' N: �1�-E!5. DATE:
LICENSE NO:
Call for inspection — 639--4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# �7 __P 421?7 2
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED 9-6
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PI.EASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
?a?;Q 8 NIL
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $4SlAU
2 (FOR ALL SYSTEMS)
City State Zip Check Tyne of Work Involved;
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
EJ Heating,Ventilation and Air Conditioning System'
Contractor (' Type w Lb/,� !—As ft L El Vacuum Systems'
Address S({] ln-�• 1�- h pr_��,K►jd Py Other—
( �+ /
Date -I OMMERCIAL—Fee for each system . . . . . . . $4O.pp
(SEE BAR 918-200-200)
Property Owner _ Check Type of Work Involved:
Contractor's Board Reg. No. 6q 44 ❑ Audio and Stereo Systems'
n n ❑ Boiler Controls
Phone# `T pf " QLIT) _ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No [] Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
rhis permit is Issued under OAR 918-320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
fallowing:
1 Only use electrical licensed parsons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have Other Is 1
asterisks(•).All others need licensing). t�,'.4...� 6r
2. Lail for an Inspection when all of the installations under this permit are ready
for inspection at 503.639-4175.
❑ Number of Systems
1 I'ne hasr separate(,omits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. •No ltrenses are required. licenses are required for all other installations.
4 Assume responsibility for assuring that all corrections required by the inspector
are done,and
S Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
the person signing for this permit must he the applicant or a person a. Enter Fees $�Q r
authorized to bin th pplicant.
b. 5% Surcharge(.05 x total above) $ Q p
r 'rn ur
TOTAL $ C��r
Authority if other than applicant - — --
ENERGAP.CHi'
BUILDING PERMIT
PERMIT #. . . . . . . : BUI-D96-0418
CITY OF TIGARD DOTE ISSUED: 218/07/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2SI13AL-00100
a�l,qlvd..Tip:rd, ro9p.q 2
it?� :. 111fV17, at 00
S I T I j'iMll "" t?'4, lirpil,
SUBDIVISION. . . . i F L_C-C-T- ZONINGsI—P
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . .
RF_' ISSUE: FLOOR EXTERIOR WALL. CONSTRUCTION—
CLASS OF WORK. :ALT FIRST. . . . o 0 sf No So E: W:
TYPE OF USE. . . :COM SECOND. . . - 0 sf PROTECT OPENINGS?----------.—
TYPE OF' CONST. :3N . . . : 0 sf No So E: W:
OCCUPANCY GRP. iB TOTAL----- : 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. .- 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: MEZZ?: REDD SETBACKS----------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMSt 0 BATHS; 0 IMP SLIRFACEs 0 PRO CORR: PARKING: V)
VPLUF... $: 1520
Remar-ks : Fit,@ suppression system
Owner-: ---------------------------------------------------------- FEES
PACTRUST type amoi-tnt by date r-ecpt
15350 SW SEQUOIA PKWY #300 FIRE $ 10. 60 JD 07/05/96 96-281364
PRMT $ c'6. 50 .TMH 08/07/96 96--2A2643
TIGARD OR 97224 5PCT 4 1. 33 JMH 08/07/96 96-282643
Phone #: 624-63100
Contractors
FIRESTOP CO.
9384 SW TIGARD ST
TIGARD OR 97223
Phone 0: 620-6140 $ 38. 43 TOTAL
Reg #. . : 06.1646
REQUIRED INSPECTIONS
This permit is issued subject to the rejuiations contained in the SLtsp Ceilng Insp
Tigard Municipal Codel State of Ore. Specialty Codes and all other Spt,inkler Final
applicable laws. All work will be done in accordance with Fire Alar-m Insp
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for sort
than 18@ days.
Pri-inittee Si Ti a t i_t r,e
ISS1.1ed By :
Lail fcjv- inipectior) 639-4175
>/ PLANCK# ? Date:
APF . ;CATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
DATE: o `�'S --------- PERMIT #
Valuation: 1 S7Zo Of
Amt. Paid: Jr). 6(_ �. Permit Fee:
40% Plan Check tree:
Balance Due: 7 _ _ 5°'o State Tax:
l
Pians must be submitted to the Building Division before installation. Three se s ni the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation; Addition: _ Repa-r:_ Alteration:
Complete: k1 Partial: Exitway: Basement:—_-- Hood & Vent: _
Spray Booth:— IPI EXISTING BUILDING: IN NEW BUILDING`:
NUMBER & STREET: _ 22� S � .ta14 I�• T' I on _
NAME OF BUILDING or BUSINESS: _ CMDF �� C�a/►��,�iv� ��__
NO. OF STORIES: I SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet:__ Dry: __ Combination.
STANDPIPES: OCC.HAZARD: Light._X ORD.GRP.HAZARD 1_ 2_ 3` 4—Extra
DENSITY. (G GPM/Ft2 DESIGN AREA (TOO ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: r 2. `_ "K" FACTOR_ l•• 6 — TEMP. RATING (SS6
I
ADDRESS: IS-35b� S
SCJ- � u6
OWNER: /�C�(,1,�% _ v _ � /A FKy. �_13op
CONTRACTOR:
PLANS DRAWN BY: N�/ 1?t)/J ADDRESS:
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same 4
permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: �l005-$p_0P PHONE:
SIGNATURE OF APPLICANT.
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
h;11oSm4J51sV i rrprrm
BING
CITY OF TIGARD PERMI'TU#. . . . . . . : PLM96-0173
""COMMUNITYDF,ELOPMENTDEPARTMENT DATE ISSUED: 08/01/96
13125 SW Hell Blvd.Tigard,Oregon 67223.9166 (503)636-4171
PARCEL: 251 13AC--00100
11"L 1il)DRLbb. . . : V) +3 ;'W TaU1'liAili 1%1) igIV10
AJBDIVISION. . . . : YONINGs I--P
BL.00K'. . . . . . . . . . : I_01.. . . . . . . . . . . . .
EL.ASS Of' WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
YPE OF' USE. . . . .-COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
,I;CUP'ANCY GRP. . :S2 FLOOR DRAING. . . . . . . 2 TRAPS. . . . . . . . . . . 0
5*TOR I ES. . . . . . . . . 0 WATER HEATERS. . . . . . 2 CATCH BASINS. . . . . . . . 0
X1"UREG -------•---------- LAUNDRY TRAYS. . . . . : q) SF RAIN DRAINS. . . . . : 0
INKS. . . . . . . . . . . i3 URINALS. . . . . . . . . . . . 0 GREASE 'TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 4 OTHER FIXTURES. . . . : 0
IUD/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
Wf=1T R C-L.OSETS. . : 4 WATER LINE (ft ) . . . : 0
DI SHWASHE RS. . . . .1 0 RAIN DRAIN (ft) . . . : N
,mar-ks : Tenant mod: MICROFLECT
wrler^: --___._._----__.._...__._.____.___..-------__._._._--___.___..__..-----.._.-•__-_-- FEES •------------.__-_--
1 CaCTRUST type amol.tnt Ly date recpt
15-350 SW SEQUOIA PKWY PRMT $ 1 ::6. 00 JSD 08o"01/96 96-2:82418
SUI•TL 300 PLCK $ 31. 50 JSD 081101/96 96--2824113
1IGARD OR 97224 5PCT $ 6. 30 JSD 08/01/96 96-282418
F1hune #: 624-6300
Cantractar:
DEAN WARREN PLUMBING
3111 SE 13TIA
PORTLAND OR 07202 ____-_____-._._.___._________._______.___..___
Phone #: 236-4152 $ 163. 80 TOTAL
Reg #. . : 000172:
--- — — REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—out Insp _.....
applicable laws. All work will be done in accordance with RF'/Bari(flow Pr-ev
approved plans. This permit will expire if work is not started Final Insper_tian
within 198 days of issuance, or if work is suspended for more
than 188 davE.
v-initL•ee Si gnat ure!>Y/ ,.
Call for- inspection — 639--4175
I
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # r'1 7
Tiatird, OR 97223
(503) 639-4171 �' y0e
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
14—'•' "0an"" New Single Family Residences Only
} AI �t1C) f- f n7 G
•••• ^ - ❑ 1 BATH HOUSE $140.00 712 BATH HOUSE$195.00
Job / ,) Ing lJ t� ' ❑ 3 BATH HOUSE $225.00
Address zr Fee includes all plumbing fixtures in the dwelling and the first 100 feet
/ ! of water service, sanitary sewer and storm sewer. See fees below.
-- N.m.rrn.m..l9u.nw.r FIXTURES QTY PRICE AMT
C J d !i zo_ Sink --_ '� 9.00
M.iq Mu•u -Ph— Lavatory 9.00
Clwner '' J � Tub or TubiShower Comb 9 00
;�UJ _r Kw`
u OW@ Shower Only 9.00
I r:i ) <� c LA Water Closet >, 900
— N• J.^•m•.l M. l Dishwasher 9.00
Garbage Di.;posal 900
Jccupant MNny,,,M••• ph— Woshing Machine 9.00
Floor Drvi 9.00
+s•I• L^ Water Heater 9.00 p
Laundry Room Tray 9.00
N•m• Urinal 900
Other Fixtures (Specify) 4 00
M"",We... vnon. 9.00 --
Contractor
3E,—LIl�a. �— — 900
�.. ro 9.00
PT L l v c Sewer 1st 100' 30.00
Slot.Fleowsom Ne. Gry 9u..To NO
,�1 Dewar-ea. Addit. 100 — 25.00
? �(� (!1 — (, Y Water Service 1st 1000 30.00
I hereby acknowledge that I have read this application, that the Water Service ea Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of — -- --�
the owner, that plans submitted are in compliance with State laws. that Storm & Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Storm & Rain Dram Addit. 100' 2500
number given is correct. (If exempt from Staie registration, please —
give reason below.) Mcbile Home Space 25.00
1 Back Flow Prevention
Device or Anti-Pollution Device 9.00
^r.• ••^�a•w^Ir Any Trap or Waste Not
Connected 'o a Fixture 9.00
Describe work nt-w'W addition Q alteration (D repair i ) Catch Basin — 900
to be done a Q non-residential 0 Insp of Exist. Plumbing •10.00rhr
Specially Requested Inspections d0 00/hr
Existing use of — — —
building or property — Rain Drain, single family dwelling ,0 00 �—
Residential backflow prevention
devices 15 0o
Proposed use of
building or property h/II�IJ C tL 5/1 1 j — --
•(Except residential backflow
prevention devices)
NOTICE •Minimum Fee $25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION L
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5', SURCHARGE /-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
17,')R A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENDED PLAN REVIEW 25•. OF SUBTOTAL
TOTAL
Sreaal Conditi»s
Date issued `by
MECHANILFil-
CITY OF TIGARD PERMIT
PERMIT #. . . . . . . : MEC96-0226
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08.f29/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)039-4171
PARCEL.: 2SI13AC-00100
SIor/;?;::,8 SW
TE ADDRESS. DURHAM Rl' 100
SUBDIVISION. . . . : (9 ZONING: I-P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . I
---------------------------------------------------------------------------------- -
CLASS OF WOFiJ. . :ALT FI-OOR 17URN. . . . 1 121 EVAP COOLERS: 0
TYPE OF COM UNIT HEATERS. . ; 3 VENT FANS— : 5
OCCUPANCY GRP'. . :S2 VENTS W/O APPL.c 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 'TYPES--.----------- 0-3 HP. . . . : 2 DOMES. INCIN: 0
- /GAS/ 3-15 HP. . . . : 0 COMML. INCIN , 0
MOX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS- 0
FIRE DAMPERS?. . s N 30-50 HP. . . . -. 0 WOODsToVES. . .- 0
GAS PRESSURE. . . i M 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTUs 2 10000 cfm: 0 GAS OUTLETS. : 2
FURN )-100K BTUs 0 > 10000 efin: 0
Remarksis Tenant improvement
OwnerFEES
PACTRUST type amai.tnt by date t-eept
15350 SW SEQUOIA F-*,KWY #300 PRMT $ 71. 00 DST 08/29/96 96--26341L
PLCK $ 17. 75 DST 08/29/96 96-283412
11GARD OR 97224 5PCT s 3. 55 DST 17,8/29/96 96-28 ,41
Phone #11 624-6,300
(7ontractore
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND OR 97232
Phone #: 233-61311 91— 30 TOTAL
Reg #. . e 038868
------- REUUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicab:t laws. All worl, will be done in accordance with F i na I Inspect i on
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.
PeY-m i t t e e Si qna,t Urf cdc--�
issi.ted By:
Call for inspection -- 639-4175
CW
r a¢
City of Tig;gd MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd.,W, ," � �� APPLICATION Permit # M ifl -0Z 2-&
Tigard, OR 97223
(503) 639-4171 0/Iy 1Pc� goved not vC(Gcy
escnption
'(LiTB(.t5/it1�SS ��,2 Table 1. Mechanical Code QTY PRICE AMT
w
Job 7Z Z 5Ar.) 1) Permit Fee - -0- -0- 10.00
Address , .•
72 11 2) Supplemental Permit - 300
a^•m•• •^••• urnace to 100.000 BTU
FAC reuS 1) incl. ducts &vents Z 6.00 l L
• a ••• °^�— Furnace 100,000 BTU
Owner lSS s VV # c 2) incl. ducts &vents 7 50
-. •• � oor urnance
%'TLl4,T(�gn/V q7,-e41 3) incl vent 6-00
m• •^••• Suspended eater, wall ealei
t11 CRCr-LELl C • 4) or floor mounted heater _�S 600 iL
• a ••• Vent not inc7. n
Occupant 7Z 2,9 s AA?HA 5) appliance permit 300
7117, epair or heating, re ng.
rJ, ,L)�, 0A4C o/✓ 97Z,-41 6) cooling, absorption unit 6 00
m• of er or comp, eat pump, air con .
-�rq 7) to 3 HP; absorp unit to 100K BTU 600
-um• ••• r —y�� Boiler or comp, heat pump air can
Contractor �07 /�F_ 60U..GH 7-33-639 11 9) 3-15 HP. absorp unit to 500K BTU 11 )0
•• -v Boiler or comp, heat pump, air con .
y7Z?Z 9) 15-30 FIR absorp unit .5-1 and BTU 1500
•• •a•I•� u- of er or comp, heat pump, air conS.
Z-764 10) 30-50 FIR absorp unit 1-1 75 and BTU 22-50
There y ac now ge t at I have read this app ica,.-jn, t rat t eof er or comp, heat pump, air cond.
information given is correct. that I am the owner or authorized 1 1) > 50 HP; absorp unit 1 75 mil BTU 3750
agent of the owner, that plans submitted are in compliance with nit to
State laws. that I am registered with the Construction Contractor's 12) 10.,`00 CFM 4.50
Board, that the number given is correct. (If exempt from Stateit �n ing uni
registration, please give reason bele-,) 13) 10,006 CTM + 7 50
Non portable
14) evaporate cooler 4.50
ent an conneded _
15) to a single duct 300 1 5
enti ation system riot
16) included in appliance permit 450
•I"• �•^«•o•^' — Hood serves
-q J6, 17) mechanic knaust 1.50
--O—escvte wark new ( a i ion a terabon kN repair ( ommerc a or industna
to be done residential Q non-residential .8F 16) type incinerator 3000
Existing use of Other i e, woo stave, water
building or property 19) heater, solar clothes dryers etc ,L ii 4 50
Pr000sed use of 20) Gas pipinge
one to four outlets 4 2 00
building or property � -- ---
21) More than 4-per outlet (each) 2.00 Z
Type of fuel -oil Q natural gas LPG O electric L) — —
NOTICE
Minimum Fee 525 00 SUBTOTAL k15 ~
PERMITS BECOME VOID IF WORK OR CONSTRUCTION S t Lt
ALTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS .SUSPENDED OR ---
ABANDONED FOP. A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25".. CF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Srecial Conditions —
nv
�LUOIM[37SMECMPMT
ELECTRICAL PERMIT
CI1Y OF TIGARD PERMIT C
DATEISSUED: 06/21 r96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722396109 (503)639-4171 )oO O I'AF2C:E:L :' i="3 1 1 QAC- 0 100
SITE ADDRES . . . : 07.::- A3 �;W DURHAM -
lel-)SUBDIVISION. . . . ii ZONING: I--P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
Project Descriptions Installing 4 service or, feeders and 19 branch circuits for-
Microfield Graphics.
BUILDING 169
--------------------------------------------------------------------------------
---RESIDENT"I FaL U, I T----- ---TEMP SRVC/FEEDER S---.-- -----MISCELLANEOUS-----
1000 SF r)R LESS. . . . s 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
OCH ADI.' L 500SF. . . a 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 60111 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . 1 0
MANF. HM/ 3VC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVI[-E/FEEDER----- ----BRANCH CIRCUITS-.---- ---AICD' L INSPECTIONS----
LA - 200 amp. . . . . . : 4 W/SERVICE OR FEEDER: 19 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . s 0 EA ADD' L BRNCH CIRC: 0 IN OLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . a 0 ------------------PLAN REVIEW SE:C T'I ON------___-_--_--
1000+ amp/volt. . . . . a 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . 1 0 SVC/FUR 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: __.__.______________________________.___._._.----.----•__-- FEES
MICROFLECT CO. type amount by date recpt
7228 SW DURHAM RD PRMT $ 335. 00 CJS 06/21/56 96--28087-
5PCT f 16. 75 CJS 06/21/96 96-280873
TIGARD OR 97224
Phone #:
Lo n t tact or: ---------____.__________----___.__---•---__________------____._.__. ..
BACHOFNE R ELECTRIC, INC. $ 351. 75 TOTAL
95 SE MAIN
--- ---- REQUIRED INSPECTIONS -----
1-,(_ HTLAND OR 97214 Ceiling Cover Elect' 1 Service
Phone #s 50:3-233-2006 Wall Cover Elect' 1 Final
Reg #. . a 44569
this permit is issued subject to the regulations contained in the
ligard Municipal Code, State of Ore. Spemlty Codzs and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for torec _ _________
than 1% days. Issued By
INSTALLATION
iho installation is being made on property I own which is not intenc-ed for
!pile, lease, or rent.
OWNER' S SIGNATUREa DATE:
_ _-----_------------------CONIRACTOR INSTALLATION ONLY------------------- --....
___
SIGNATURE OF SUPR. ELEC' N a _ _ DATE:
LICENSE NO:
Call for- inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 P,anck/Rec. # 4< -QA�l
Permit # F-LC4C-D YO 3 _
Phone (503) 639-4171 1
Date issued �; ) 9C
FAX (503) 684-7297 Issuer by
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of D,)velopment 11L Green _ Nomber of 1;..pectior,s per permit allowed
Address 7228 SW Durham Rd Bldg. 1991 ����Q�� Service Included Items Cost(ea) Sum
City/State/Zip Tigard, OR 4s. Residential- per unit ^
1000 aq 1' or lesc $11000 ,--
I
Name or name of business 14IC�ROnECT r-'U. Fach addifiocal 500 sq h or
).� portion thereof $2500Limit !_
Commercial® Residential❑ Each Energy $2500
Foch Manufd Home or Modular
Ow,illing Servim or Feeder $6000
2a. Contractor Installation only: 4b.Services or Feeders
Installation,alteration or relocation 2
Electrical Contractor Bachofner Electric 200 amps or leas 4 Se000 240.00 2
Address_55 SE Main � 201 amps to 400 amps _— $90 00 � 2
2
City Portland Stale OR Zip_21214 _ Sol amps to 1000 amps _ —401 amps to 600 amps $12000$18000 2
Phone No. 233-2006 Over 1000 amps or votes $04000 2
Contractor's License No 26-4510 Reconnect only 55000
Contractor's Board Reg. No. 44569 _
9 _ 4c. Temporary Services or Feeders
„ p ` -,/ y Ir 200a m alr less
m relocation -Signature of Su r. Elec'n (/010 200 amps or less s5o 00
License No. 2808S Phc, No. 2f3-2006 201 amps to 400 amps $7600
_— —_ - 401 amps to 600 amps $100 00
Over 600 amps to 1000 Vohs
2b. For owner installations: see•b'above
4d. Branch Circuits
Print Owner's Name New,aheration or extension per panel
Address n)Th, for Manch arcuds With
CI State Zip purchase,of service or reeds reel 9 r 95,QO 2
`7 -- Each branch circuit $5 00
Phone No. b)The fee for branch crcu-ls wirhor r T
The installation is being made on property ' own which is purchase or service or~oder Am
First branch a
not intended for sale, lease or rent. Each
$
Each aadditionall bbranch circuitcircuit $500
$500
Owner's Signatur6� _ 4e. Miscellansolus
(Service or feeder not In(.luded) %
3. Plan Review section (it required): Each pumpot irrigation arae $4000 _
Each sign or outline hChbng $4000
Signal cn:uil(s)or a limited energy
Please check appropriate item snd enter fee ire section 58. panel alteration or extension __ 24o 00
4 or more residential units in one structure Minor Labals(to) $10000
_Service and feeder 225 amps or more
_ System over 600 volts nominal 4t. Each additional inspr�ction over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E.0 Chapter 5 tin`` tl $55 Co 5Co
$5500
Submit 2 sets of plans wi.h appliceticn where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 335.00
-- I 5%Surcharge(05 X total fees) $
PERMITS BECOME VO!U IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of lute A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FCR Plan Review if required(Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. D Trust Accountill $
Balance Due S 351.75
odds W'sift PT op
SEWER CONNUCTTON
PE RM I T
CITY OF T1GvARD IPERM I T #... . ..
. . . . . " . SWR96-0312-c-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/31/96
13125 SW Hall Blvd.Tigard,Oregon 97;23.81 00 (503)639.4171
PARCEL:
STYE ADDRESS— : SW DUNHAM RD #100
SUBDIVTSION. . . . - ZONING: I-P
EALOCV.. . . . . . . . . . LOT. . . . . . . . . . . . .
TENANT NAME. . . . . .MIC,"�OFLECT
USA NO. . . . . . . . . . : FIXTURE UNITS. 42
CLASS OF WORN.. . . :Al-T D14rLL I NG UNI TS. . 3
TYPE OF USE. . . . . :COM NO. OF' BUILDINGS! 0
INSTALL TYPL. :L.TP IMF-ERV SURFACE: 0 Sf
Remarks : RE: PLM96-0173
Owner; FEES
IDACTRUST type amol-krit by date r,ecpt
15350 SW SEQUOI0 PIKWY PIRMT 6 6600. 00 B 07/31/96
SUITE 300
TIGARD OR 97224
V-1-ione #-. 6,2,4-6300
Contr,ac,tor-.
CONTRACTOR NOT ON FILE
F-11-10TIP 6600. 00 TOTAL
Reg
REQUIRED INSPECTIONS
%iS Applicant agrees to comply with all the -files and regulations
of the Unified Sewage Agency. The permit expires IW days from
the date issued. The total amount paid will be forfeited if the
Permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is net located at the measurement
yiyen, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lat@T-al.
Permittee 3 1 q T i I t 1_k V-e -
I s s k-t e d By
CA11 fo - inspection 639-4175
Commercial Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:(
Tenant: V r,1 ' ' Suite 0 ""1 _ V Office—Use Oniy
Valuation:
Planck/Rec #
-- — �� Permit
Owner: _ _ Map & TL #
Address _ — Approvals Required
--- Planning
Phone: _ — _ Engineering _ ---
Other_
Contractor:
Address:
Type of const: —
Occupancy class:
Phone: —
Sprinklered? Yes No
Contractor's L cense #
,attach copy of current Oregon license) Sq. ft. of project:
Contact name & .hone: v _ __— Story (1st, 2nd, etc.)
Proposed use:
Architect]Engineer: —
Previous use.
Address —
Ncte: Plumbing & mechanical plans
must be submitted at time of
Phonebuilding permit application
.
JOB DESCRIPTION:
applicant Signature & Phone number
Received by _ Late Recewed
Permit # Account Description Amount Amt. Pd. Bail. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
` Mach. Permit (MECH)
State Tax (TAX)
Bldn-
'�lurnb:
IAech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
✓U)� 1` Sewer Connection (SWUSA) 0
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT") _
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-ij�
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (Fl_S)
Erosion Cotrl Permit (F.RPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: vC'
I
'Tenant Name: /`^ '`r `�/�cT AccumWative Sewer Tally This SWAk:
Address: �c'�74� �� 1�„h,.„ /f-� J' This PLM#:
"ixtuce Value Previous # Previous Credits Capped Fixtures Fixtures Now New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Bath - Tub/Shower 4
- Jacuz/Whpl 4
Car Wash - Each Stall 6
Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4
Domest 2
Drinking Fountain 1
Eye Wash 1
Floor Drain/sink 2 inch 2 — Z
3 inch 5
4 inch 6
Car Wash Drain 6
Garbage Disposal 16
Dom Ito 3/4 HP)
Comm Ito 5 HP) 32
Ind lover 5 HPI 48
Ire Machine/Refrigerator Drains 1
Oil Sep (Cas Stationl 6
Recreational Vehicle Dump Station 16
`.shower - Gang (Per Head) 1
Stall 2
;ink- Bar.Lavatory 2
Bradley 5
Commercial 3
Service 3
'wimmrng Pool Filter 1
Va,_h� Clothes 6
Water Extract,r 6
Water Closet. Toilet 6 4,j
Urinal 6
TOTALS
Total fixture values: divided by 15 = Z5 EDU _.t-
HISTORY HISTORY
PLM# _-EDU# SWR# PLM# EDU# SWR#
PI-M# EDU# SWR# PLM# EDUSWR#
PLM# EOU# SWR# PLM# EDU# SWR#
I'LM#w EDU# SWR# PLM# EDU# SWR#
1
CITY
O� �I���� BUILDING PERMIT
PF_RMIT #. . . . . . . : BUP96-0457
DATE !SSUED: 09/03/96
C&AMUNITt' DEVELOPMENT DEPARTMENT PARCEL_ : 2S 1 i sAC-02A 13128 SW Hall Blvd.Tigard,Ore! n o7223•61oY 4003 030-4171
SITE. ADDRE ':i. , ;. v 7:' .H f:iW I'il.lf H( I+I RD C100
SUBDIVISION. . . . : ZONING: I--P
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . .
REISSUE: FLOOR AREAS------- --- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . 1 7000 sf N: S. E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 Sf PROTECT OPENINGS?___--._.-...- .
1'YPE OF CONST. :3N . . . : 0 Sf N: S: E: W:
OCCUPANCY GRP. :S2 TOTAL--- -_- : 7000 Sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SEP. RATED-.
GTOR. : 0 HT: 0 ft GARAGE. . . : 0 cf OCCU SEP. RATED:
BSMT? : MEZZ?: REQD SETBACKS--------.--- REQUIRED-------------------
VLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMO!` DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
SEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR:N PARKING: 0
VPL..UE. $ : 29000
Remar^ks : Rac:k:n13 system
Owner: -------------------------------------------------- -.- FLE.S ------------ ---
PACIFIC
___-____--_ _._PAC:IFIC TRUST REALTY type amount by date r,ecpt
15350 SW SEQUOIA F,KWY VILCK $ 122. 43 JD 07/30/98 98-282308
FIRE $ 75. 40 JD 07/30/98 98-282306
f*IGARD OR 97224 PRMT $ 188. 50 JDA 09/03/98 98-283523
Phone #: 5PCT $ 9. 43 JDA 09/03/98 98-283523
Contractor:
MICROFLECT COMPANY INC
3575 25TH ST SE
SALEM OR 97302
Phone #: 503--383-92187 $ 395. 76 TOTAL
Req #. . : 64710
-- ----- REQUIRED INSPECTIONS
This permit is issued subiect to the regulations contained in the Bolts in concret
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
[p e r m i t t e e 1-3i nature :
1 s s ued Fly : �/1 ._.....
Call tot, inspect icn - 839--41'75
Commercial Building ermi_ t Ap lication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 ( `?
(503) 6394171
/1 c
Jobsite Address: -72, S(✓ rte''-�u3� �
Tenant: J" suite # ��� Office Use Only
Planck/Rec #
9 � tIT ,,I .1 ,. ,; � � ��� �
Valuation: 4 22o�
r"
Permit #
Owner: � C
Map & TLC '
Address !� z�U w v�2�1d / ��a� Approvals Required
s4t o' �'-/z
f Planning
Phone: (e1�� �jOc.� Engineering
/11? /" _ Other _
Contractor:
Address:
Type of const: 't'lk4 AZ.—A-3
--
_ Occupancy class.
Phone.
»`/ �) I II-- Sprinklered? CYer No
Contractors License # � '' (� q7/0 y �r�ac LY6
(attach copy of current Oregon license) Sq. ft. of project:
Contact namr� & phone: 6A6A`0 Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer:
_ Previous use.
Address
Note: Plumbing & mechanical plans
must be submitted at time cf
building permit application.
Phone:
JOB DESCRIPTION: ve`w
7--
Q
App lican Signature & Phone number
Received by: ,�� Date Rectwed
Permit Account Description Amount Amt. Pd. Bal. Duel
Bldg. Permit (B!J!:_D)
r
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
tate Tax (TAX) .L.� r c
Bldg:
Plumb:
Mech:
t
P n Check (P \ NCK) I (T tl�? 77 T
13 d g, —--_
PI b:
MeA:
_ Seweronnection (SUSA)
Sewer In pection (SWINSP)
1
Parks Devharge (PKSDC)
Residentlal1TIF (TIF-R)
Mass ransit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF TIF-1
InstitutiorallJF (TIF-IS).
i
Office TIF (TIF-O)
i 1 --
Water Qualit} (WQUAL)
Water Quant ty (WQUANT) I
-ire Life Safety (FLS) 7 J.>,L
i
Erosion C►htrl Permit (ERPRMT) .—
Erosic4lanck/USA (ERPLAN) _
i
Erosibn Planck/COT (EROSN) _
TOTALS: