The URL can be used to link to this page

7228 SW DURHAM ROAD STE O-800 i P7ru►f w 5 4 , 3 2 1 Ow>.f;llpAVt!. ACKAYAs c 1 rm i I I I I I a OF ,c 1 , , r'RI'%Jf'<'•f(i 11 00 R e LOCATION 49, N - -- _ � r I �5 0 �, rt 1 _- r 1 1 1 •n � r^1 I SITE LOCATION AIAP oL h P T II,fc.Ll► W r 1 2 t I I I I I x tt � � x B - - - -♦ - - -� i- - - - -- - -- � - - - - - - - - � - � - - - --¢ - - -- - - - - ; - -- -- - - [� .� � � W RA4rw4�M 104 ert-1w INr iJ 1�'�..M 1 K •J bI1411 ROO4OAIM4 I M ON 0 0 Ar. BUILDING INFORMATION U I AREA OF WORK ,,,,,,,,R� I I I I I 'S pl•nl•c:c��I•rr■ rl[IrIC R[,ILTY ASS(�C1.1Trs I.r mwf I ' 1 , 741 r h 119Sc S�A 1r u(:O to rr,v Rion _ ROOM,REST I I ` r�.•t TLAVC.oII wT?2A SEV��+1 w /fWr NAl/TtRTOOOM� F -M 14PV M RfAAf A�3 AAAA IMO or OOONI paho I IRr1A�ro AArOaN 0o01r 7ww (f o.r i 2 f f.!00 r110 Nt 1 "' , u+r M 0 -l er►ro M Alm"rMAO f1R ODOR row ►--. I • 4Mtl�l • 1 co-em ROOM."r. 1 L 77?!t IA% Li Z 1. M pl I(. O II-,R M I w. - - �tAwwr R•ASI[ -*Af[R OYCR 14e _ _ - 1 1 -_ _ �101AATV"w�wrs.4 11 CV ArRltiRltprrTr` (lot M:ApvnA7ARr I - wN I I err lc■ u.n. COYStRI'C RO?t nTrl•N.I•oM 1 4 If I%W TENANT INFORMATION TT`N(,NT- irrc L mcr Ai,vmr�t x OCCITAI(1 p F� nnc•N AR,A • 1 70N FI• I er•Ic4 or4M eTnce r%IS i1XG ORIc►Pow rojv"wu . 600 S► , I I I I w.wr I .1rrIT10VAL ORICY 9p0 Sr 7 1 fD TOTA1.1`T►ICC 1,7!O S► � TOTAL tr,%cr, 12.p01 Sr ( f+.1 • 7 - N GENERAL NOTES W 9 _.- __. -._ -.- - --,- --- -• 1. A"OONWrNL I.TIOM NO41S"IM Dow IM OOFv I{W -' -- -_ 00"1t. M ►ATWT rTION OF"L44IC 0A RAIALo4N OOOI AO Mit4D W TIO ATTAIN OF CIONOO"MIO A&L LJRINIt !h'r•'. r', ITAT4 OR WrAL COW 1roM4NMRAAT Y"',AA7lV. r, ce(L 4. TT41 ooNrllACTriIA/R'Vii VNId"AAA oM1RcwI4 AAo G G 0o1OfIwA1w 4N1otY1.ON atImm g14AT ARO q"a sorrow fY fAl40014 AAO 011 ri 410 7.I 1LT-AIN 014K1AlAACt• 1041 10 ATrostrow T1!W0.4C J "1 ? %. UPARTITION AN[-) PO\VER MAN M. cowT„AI.„KL"WT„IImm%CW*cow j 1J � -.6 F ti 11 Iw• .. .. _. N MAMI4 A.0 Odeon On A OM(r Wr1. /. ALL I/I W taMD ro Y A MMIY or M TI.4 0.r_ VINO7GAtL►ATAO�TO.M MRM IfN04 W O.G4elo 4-a f..L4weR 1 o r M ARTALATTAATO MI O.G 10 •, A00Yor11•K CaLme MHI�AM • �MR T� • Rf:V11,IC'INS -/I00R ANf/Od Nr10Y iTRU!•t Ylt TMf I KM i•r7.xT 4rtY1r4L'TNY a«atw M/TM. - HAMS ITR PAN T111 r t L 11,V.A.C TO M A GALApmI 04MIAK^D OVorl L HAMS M INCT111 -Aff 11 I eNAI NANRNt AT All VA 1 w/ 7. I I Nf1M1ar-/U41•Is1040 Ot1AA4 Pat 00m. RIT6P 1 . 121,4100`4 O�� NIN t• of I.. /tNl NtTtN AT. �VR74 MATT R11t Ip701ff�JRMRAl,4l FOR -A►1ROYtf KRT I SAI f IRAC AT I t011 e.C. IA. WAY Rpp1I/,O M./.T►AATTv"Am/CwIre '� NMrrr7OO410"Cm$I04M.romom�Tlw.wrA nplw To 114 �. I ?/7/00/�� --- ••11 MTT MIAATKV ■11N I TIAT IARNAL fNAC11N INeY TIt WIN --wr1OM SAM 4UMtf to 11R fr111C TVRt OYCt. tle1N RITNIN f•-R• N TIt 1141117TtN AMD r' /YON A 1Y091 MAWCO -�1�m G7.me •�`1 R I 1 WT owuL^-0M .. 17bVR AQn m jq mmM fMlAT rWl IMTrM4LY0 IAr AI.Tl,..I.O.C. CITY OF TIGARD '; onx 10. AAL eR..rar AA.,e/A[A1 er./1T11DS7[1Mw. .en+4177•.o..fY ATTA04N7 -- (f -csrrrl 4. w Or Anuo -AAR.&T%m AW oc. Approved. .......................•..^......•.......... •\ OrrwM44 IU/M. V 1 RR PM-0",%rTurm To ALLOW owl" ...... • •_•- -__'" .._-. O/41 B4.ITT MC.0w0 AMC FV.-AAM Condit[ y ...................................A/V ' ovally,�p�rov®d. -- " "� """"�' For only the work as described i r aa. At1wnT ftIOTrN J CONSTRUCTION LEGEND MAX NAIN 1V1*K tY, ----LT1N17♦A 111AT Or wT1A PERMIT NO. ' 4V `•�'•�-go°2p iN RiplRfNt AT .•-e- f.a S@@ L.@th4f t0: FOIIOW.... _.__ f -r MAN IU►►efI nTO 10111I IMIT' 101121110 rp to nNt Ar A a• - Attach (\/ PTR/\11 1 �I.f M III, �ID•1t AT A'-e• 0.t. Attach '" •��•••••••••••••••••••••••••••••• 1:- t'JII.TRIe to ge RAWWW {OQI711: 1 K HAMAN It YIN[ I fRlYV OIRC[T'O wARpIf,K/R!ATR.wwLt ............................... ......., �•� - W olooTT 0441A.no"T r. i[C Ir• L I a rllw _ Job Address: � V1� p W*wTr*mII 1ARTm(W �•14+MAT1 tM/R M. 3ICMI All NAN1f pt t0 KN. - - -_-Y 111A41411 ATA4f1 tr1•. fIN11c1YRf M A t..AttiT ION - �r N0140ROA•TRAIM To ISOOR.1MiT1 �•1� a I,IIAO RANI.A1 rytl RTi<1Mt 11RWO M>f10M T CMr TO ITf&W YATM WS1 Ulat" II/t PAIN[ /�� / [+n ifn•.R+•J••1Y./'.1 A7 4A°n C. j,Jp..Ll.. I1NRr I.in"F ONYVl1 ANG7IIA 111 W OG. / RI•- Date: '4M MPFUN�T►ACM L+.Ifnclow NOTE: All CONNECTION DEVICES TO or UBC --�,tt, WAAZ"CK#5e CW"LV APPROVED TYPE AND HAVE 1000 CAPACITY VY EV07 O A " R It 4 rLLOOVJFACIWT R7(R7RC Of A1Gfi'L1C CSI[ OFFICE TO WAREHOUSE SEE'. DETAIL SUSPENDED CEILING DETAIL TYPICAL INTERIOR PARTITION ■1tIAT111 at"?tLjIFVR.W,'a.'Ityuclrw s'._ ui 1 � 1 .r. orf 11•SL,U.►. .. sir r 1 . -•��>,..� • i. � ► �-� � � � � l l l l l l � � � I l � l l l l i � l l l l l l ! ! Ill l � � l � ! ! � � I f i �-�-�-- -��•. .•� � � �r j .� �. l I � � I.-� i ..L� �, .1 T I M I �._�a 11 �. � � I �_` � ,-�_► _r1� r l �_�_ I_� i. .i_i I ��- i.�-�_.._.�....��... . _...��:.. _..._..-_. NOTICE: IF THE PRINT OR TYPE ON ANY I I I l l I I I I I I i t ` l I 1 1 f f I i111 .1 C 1 1 III I11 -111-� III ! I I III I I 11111 1 � � I I I I r' l I I I / IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 , 3 4 �I 1 7 8 9 - 10 11 1� �� IT IS DUE TO THE UALITY � -•- �._ _- �y-- - �__ _ .�_-�__-� .- -•- -_ No.3i-�,M.YA.IAA X0.1..,• �:,.:* / O OF TF E e .�T1_ .•. --- �., ORIGINAL DOCUMENT J- - --�- --- (i - - --- -- E �6Z 8Z LZ 8Z SZ �Z ZTZ OZ 16I 8I LT 9I 5i � I ET i9ZVAN jj�'11 li X111 lll1 I�il- 1lLl ��. �� IIII IIIIIIIII III!IllII�II II111` 11111ll 111 elle elle Illi elle VIII lU1ll� 11U I 111 Ill 1411 i'18" POVAN D DECK I � MIM IM 011 , 1 G G.A. MTL. JOISTS ® 1 G• O.C. caw LOCATE DIRECTLY OVER STUDS — .� G' P.G. INSULATION — — -- — — -- -- �' OF PROW.CT 00 1 10 uGttr ---- 3-1/2' P.G. INSULATION I I —_ 3-1/2' 2!3 S GA MTL. STUD ® 1 G' O.C. "0 GIT. eRD. ZZ - _ 5/e' GYP. eRD. MfRltdr. I I H �• „ ---- , }` FUTURE R T ROOM G 3-O' ( U -S STUD CUT t CAP I II ( PLUMBING I M Z l-- CENTER UNE OP STUD - ---- 0 �— --- - _—�—_--- i- z °1 I _ I I -c 1 ---- - ----- M I Z Pw�nc VCM. I WALL SECTION � --- , PLASTIC LAM. �� I L C1 iv '� rya 'S/S' TYPE WR . eRD. All ___ _ _S►if�T VINYL COveD D/�.'JC — I mere VINYL.COvm 5"e > > G -t rn x �; � ` - ILI 3-1/?' N.G. INSULATION Il - G" COVED MASE--TYP. - / 4' RUBBER BASE-TYP. ti r r Z ( ✓ rr�� SEE PIN19H 9CHEDUL.!• u L+ RlJNNERCHANNEL 1` �-�S I R�_ OM F;I�F . A I IONS _ _ _ _ SANIIARY WASTE POR MATERIAL IJTTID� — —-WATER OVER SHEET VINYL SCALE 1 /4 1 '-0" n I 1t FINISH PLOORrTOP OP SLAD A-3 -- 109 5v (q coNc. RF,S'I'ROOM SIDEWARF,IiOiISE SIDE I RR 0 77 INE1 r 1 O S ROOM WALL SEC I ION � SCALE I "= l '-O" RESTROOM FLOOR PLAN 2 V) w SCALE. 1 /4"= 1 '-O" C� 0 o r CABINET SPECIFICATIONS TO i 1E'?' ROOM ACCESSORIES I w 1 . AWI CUSTOM GRADE STANDARDS FOR CASEWORK AND 7. HINGES -- BLUM 475M3580, 110 DEC. SELF CLOSING ITEM MANUFACTURER U COUNTERTOPS U. 0. N. ( DEFAULT TO IF NO OTHER CLIP ON ( OR EQUAL ) . Z STANDARD GIVEN. ) nn a 8. PULL -- 96 MM C TO C WIRE PCiLL5. VERIFY FINISH. PAPER TOWFL DISPENSER BOBRICK B-4262 w 2. HIGH PRESSURE LAMINATE ( P—LAM HPL ) ALL EXTERIOR —SURFACE MOIiNt SURFACES, INCLUDING 4" TOE KICK. EDGE BANDING 9. GENERAL CONTRACTOR TO PROVIDE CABINETMAKER � rA ( MATCHING PVC ACCEPTABLE ) , FIN ENDS, DOORS, WITH SINK TEMPLATE ( SPEC SHEETS ) FOR EACH JOB. TOILET SEAT COVER DISPENSER BOBRICK B-4221 ETC. SINK CUTOUT WILL BE DONE IN SHOP WHEN FEASIBLE —SURFACE MOUNT RFA'fC,IO 1.0 ANI) BEFORE BACKSPLASH IS INSTALLED IN ALL ( ASES. 1 . 12/11/00 3 . TOE KICK PLWOOD 4"H WITH P—LAM COVER ( THIS ALLOWS CUT OT1T TO RF POSITIONED PROPERLY. ) SOAP DISPENSER 34 FL. OZ. BOBRICK 8-8226 L 12/7/00 RAW EDGES OF CUT OI1T AND BACKSPLASH TO BE SEALED. LAV MOUNT, 6 " SPOUT LENGTH 4. DOOR FRONTS PRELAID PLASTIC LAMINATE MINIMIZE COUNTERTOP RUI1,D UPS AT FROiT AND BACK OVER 11/16 " PARTICLE BOARD WITH MATCHING P—LAM OF SINK C1..1T OUT TO ACCOMMODATE PLUMBERS SINK MULTI --ROLL TOILET TISSUE BOERICK B-288 .1 OR AVC EDGES. CLAMPS CLEARANCE. DISPENSER —SURFACE MOUNT G. rani►: 10/ 12/0,15. MELAMINE ( TOW PRESSURE LAMINATE/ LPL ) ALL 10. RESTROOMS/I,AVS -- 24 " D P—LAM TOP ON PLYWOOD MIRROR —WALL LENGTH FROM TOP rr,Rn1I r sr.t INTERIOR AREAS, DRAWER PARTS, SHELVING ETC. DECKING WITH 4"H P—LAM AACKSPLASH. 5"H FACE OF SPLASH TO BOTTOM OF SOFFIT MOl1NT AT 34 " A. F. F. 6. FLUSH OVERLAY/FRAMELESS STYLE CONSTRUCTION. GRAB BAR —SATIN FINISH BOBRICK B-6806 SERIES A - 0 NOTICE: IF THE PRINT OR TYPE ON ANY I��III ► 111111 111111 ► Illllll I ( illll VIII TT { [791 f �'rl.C�fi. IlT � ll.f .11 { Ill 111 II ? Ill { � { III III III III III 1111111 �.� .rr�T-li 111 III III fil { 111111 III rT1 1�TI..iI-I � II � I ! I 11111 ! 1 ` , II I I l I I I I I I I I I ,- IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 3 5 6 1Cl 11 1� ��dZ �- IT IS DUE TO THE QUALITY OF THE _ No.36 ORIGINAL DOCUMENT E---6Z-- SZ— LZ 8Z - � Z �F3H EZ _ Z TrOZ 61— 8I '111111 91 4T � T ET ZT iT i 6 8 L 8 �9 I� Z T �Iai3w .I!II III! IIII IIIc fill III! TIII III! IIII IIII TIII �lil 11111�lLlll! !Ill 1111.11111 '1111IIII IIIIIIIII IIII Iili '1111 11111 TIII IIII IIII IIII IIII TIII IIII III) IIII Illi fill fill ll Illi fill fill ILII Illi. ll.11 �I L(.I 1IIIIIII I s y N N CO cn v s 3 M M O 00 0 0 7228 SW Durham Rd 0800 CITYOF T I CSA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00437 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/7/00 PARCEL: :S 103AC-00103 SITE ADDRESS: 07228 SW DURHAM RD 0-900 SUBDIVISION: COUNCIL VIEW ACRES ZONING: I-P BLOB V: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLEPS: TYPE OF USE: COM UNIT HEATERS: ','ENT FANS- OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _FUEL TYPES0 3 HP: 1 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: STU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: 1REPAIR NITS: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING_UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Adding Unit Owner —"---- — -------- _ FEES ---- PACTRUST Type By Date Amount Receirit 15350 SW SECJLIUTA PKWY PLCK CTR 1117/00 $18.13 272000000C #300 5PCT CTR 11/7/00 $5.80 272000000C PORTLAND, OR 97224 PRMT CTR 1117100 $72.50 272000000C Phone: Total $96.43 Contractor: — - — ---- REQUIRED INSPECTIONS Gas Line Insp Phone: Mechanical Insp Reg #: Duct Inspection Final Inspection This permit is issued si"jbje( + to the regulations contain ed in the Tigard Municipal :'ode `,tate of Ore. Specialty Codes and all other applicable laws. I work will be done in accordance with approved plans This permit will expire if work is not star , within 180 days of issuance, -)r if work is cusp-nded for more than 180 days. ATTENTION: Oregc 3w requires you to follow rules adopted in the Oregon Utility Notification Center. "Those rules are set Furth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: Permittee Signature: � - Call (503) 39-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit ApplicaHtin Date received:/i 3 Permit no.: iyEi+X00_ Js City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 �,r/ �� Tri _ �� / Case file no.: Payment type: Land use approval: Building permit no.: 7U 1 &2 family dwelling or accessory U Commereial/hndustrial U Multi-family �d Tenant improvement U New construction U Addition/alteration/replacenhcn / t U Other: , ___ Job address: 7 Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: qat?, value of all mechanical materials,equipment,labor overhead, _Tax map/(ax Iot/acc tint no.: profit. Value$ 3yVC7 Lot: Block: Subdivision: 'See checklist for important application information and Project name: 5�`�: C e _ jurisdiction's fee schedule tier residential permit fee. City/county: -� ZIP: Description and location of work on premises: Feetea.) Total Est.date of completion/inspection: De'Wripllon (Jity. Res.onlr Re-.onl) Tenant improvement or change of use: TAu (: Is existing space heated or conditioned'L0 Yes U No uldling unit CFM Air con itionmg(stte pan required) Is existing space,insulated?U Yes U No 7teration of existing HVAC system oilencompressors - Stale boiler permit no.: Business name: �` *: �7l- L✓� . _ HP Tons_^BTU/11 Address: e, 7 ti G Fir•smo e amper: uct smoke detectors -- ---- City: j=' a uQ Slate:&& ZIP: ca 7• -bent pump(site plan require ) —- Phonc; Fax: E-mail: nsta rep ace urnace seiner / -- Including ductwork/vent liner U Yes U No CCB no.: z ,_ y nsta IlrepIace/re locate heaters--suspended. — — City/metro lic.no.: y, �� _ wall,or Moor mounted Name(please print): enc for an iance other than furnace �-- --- e Rerallon: Absorption units BTUiH _ Name: Chillers HP - - - ---- Address: — tApp�lian:cc rssors— _ HP City: — State: ZIP: 4enta exhaust an ventilation: vent Phone: Fax: E-mail: erexhaust — Dods,Tyl7c I/I I/res. itc a tet) aazmat hood fire suppression system Name: 1 iQG f ,��j 4 Exhaust fan with single duct(bath fans) Mailing address: �, tv)j' 7 - 'shaost s stem a art from hc�tin or AC — ue p pIng endistribution(up to out ets) City: - , , Stater ZIP: 7 e/ Type: LPG; NC __ oil Phone: Fax: E-mail: sec piping cacti additiona over 4 outlets rDeesspiping(schematicrequirc ) _ Number of outiets Name: Other app ance or eq—Tment- -- Address: Decorative fireplace City: State: ZIP: nsert--type Phone:--` --�P _ [i-mail: woo stogy ve/pelletstove _-- A i licant's si nature: , Of e _ - I P t; —fes _ i Date: � . 3, �Y Of er: Name Lcard secepi credit canis,please call jurisriktien fn more it nnnaiion. Permit fee.....................$ Notice:This permit application ierCard Minimum fee................$ expires if a permit is not obtainedEx�_ within 190 days aRcr it has beenPlan review(at __ ' ) $State surcharge(8%) ....$dbuldb—i r ho;, oncmW1i card�--- accepted es complete.$ TOTAL .......................$rdholder signature Asttotml 49li-4617 ItyUtYCOMI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL V4LUATION: FEE _ _ Description: `- Price I otai $1.00 to$5,000.00 MiNnwm fee$72.50 _ Table 1A re to 1 0,0 Code - oty (Ea) Amt $5,001.00 to$10,000.00^' $72.50 for the first$5,000.00 and 1) includce to cls& 0 BTU $1.52 for each Fdditional$100.00 or includir ducts&vents �- 14.00 fraction thereof,to and including 2) Furnace 101,000 BTU+ $10,000.00. includi jLducls&vents 17.40 $10,001_.00 to$25,000.00 $148.50 for tht,first$16,000.00 and 3) Floor Furnace - $1.54 for each additional$100.00 or including vent _ 14.0 i fraction thereof,to and including 4) Suspended healer,wall heater $25,000.00. or floor mounted heater 14.0` $25,001.00 t0$50.000.00 $379.50 for the first$25,00000. and 5) Vent not included in appliance permit $1 45 for each additional$100.00 or 6.80 hactlon thereof,to and including 6) Repair units $50,000.00. '2.'S $50,001.00 and up _ $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional 6100.00 or For itpms 7-11,see or Purnp Cond traction thereof. footnotes below. Comp* --- f- �� - 7)<3111";absorb unit - to 100K BTU 14 00 AS`rUMED VALUATIONS PER APPLIANCE: g)3-15 HP;absorb -� Value Total unit 100k to 500k BTU 2560 Descrntion: _ Qt -_1Ea Amount g)15-30 Hf;absorb Furnaco to 100,000 BTU,including 955 uni:.5-1 mil BTU 350o - ducts&,,ents 10)30.50 HP;absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 and BTU 5220 ducts&ven!s -- 11)>50HP:absorb Floor furnace int�udin�vent _ 955 unit>1.75 mil H1 U L_ 87.20 _ Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater_ _ __ ____ ____.- 10.00 lent not Included in applicance 445 13)Air handling unit 10,000 CFM4 permit_____ _ -_... 1720 fair unfts�_. _ _ 805 -- 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU --- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, A 1,700 6.80 101k to 500k BTU ---- 165)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 1000 - mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU -- 18)Oomesffc incinerators - - V >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or industrial type incinerator - Air handling unit to 10,000 dm 656 69.95 Air handling unit>10,000 efm 1,170 20)Other units,including wood stoves - I In ortable evaporate cooler _ 656 _ 10.00 Vent fan connected to a single duct 446 ^1)Gas piping one to four outlet Vent systern not Included In 656 540 - a plia ice permit 22)More than 4-per ourlet(each) Hood served by mechanical exfiaust 656 1.00 Domestic)nclnerator 1,170 Minimum Permit Fee$72.50 §-L TOTAL $ Commercial or Industrial incinerator 4,590 _ Other unit,including wood stoves, 656 -^- 8%State Surcharge $ inserts,etc. - Gas pTi ni l-4 outiets _,- 360 --- 25%Plan Review Fee(of subtotal) $ --- Each additional outlet 63 1 Required for ALL commercial permits only TOTAL COMMERCIAL __ S TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: ------ _-.--- -_--_-___�_ Other Inapactlana and FeeE: 1 Inspections outside of normal business hours(minimum charge.-two hours) $72 50 per hour 2 Inspections for which nc fee is specifii ally indicated (minimum charge-half hour) $72 50 per hour 3 Addiliona!plan review required by changes,addrriors or revisions to plans(minimum charge-one-half hour)S72 50 per hour 'Slate Contractor Boller Certification required for units>2001.BTU. "Pesidentlal A/C requires site plan showing placement of unit. i iidsLclforms\mech-fees.doc 10/11/00 CITYOF TIGARD BUILDING PERMIT PERMIT M BUP2001-00055 DEVELOPMENT SERVICES DATE ISSUED: 2/6/01 �-" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07228 SW DURHAM RD 0800 PARCEL: 2S113AC-00103 SUBDIVISION: PACTRUST ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RE's? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ REQUIRED F OOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELk ING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: r�_l.5 O() Remarks: Alteration of 1 sprinkler head. Owner: Contractor: PACTRUST FIRESTOP CO 15350 SW SEQUOIA PKWY 9384 SW TIGARD ST #300 TIGARD, OR 97223 P�Pone:TLAND, OR 97224 Phone: 620-6140 Rea #: LIC 631946 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection PRMT CTR 2/6/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 2/6/01 $5.00 27200100000 FotaF $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All worK will be done in accordance with approved plans. This permit will expire if work is not started with i 1b days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee u r ` Signature: Issued By: Call 639-4175 by 7 p m, for an inspection the next business day Building Permit Application ► \ Date received:c47G Q / permit no. -Q _5:.j� City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolect/appl.no.: Expire date: Cltyn/Tignrd hDate issued: By (503) 639-4171 4 eceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2 family:Simple Complex: OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Null. lalmly U New construction U Demolition U Addition/alteration/replacement U Tenant improvement I ser prinklcOalarm U Other: 1INFORMATION Job address: 7 ZZ6SyJ PUl`KA►h V,10—__ I Bldg. no.: 0 1 Suite no,: g Loc: Block: Subdivision: Tax map/tax lot/account no.: Project name: r•C `;2 ---- Description and location of work on premises/special conditions:_ _- OWNFR Name: Marling address: p Say/ -_ I & 2 family d"elling: City: _?p f4Low _ State: 0& JZIP:__Alti-� Valuationol work. ...................................... $-- ---- Phone: _ Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: mmnTFaIKxE-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq, fl.) Name: Covered porch area(sq. 11.) ......................... Mailing address: Dec area(sq. t.) ....................... ..... ......... City: Statr: ZIP: Other structure arca(sq. t.)...... . .. ............. Phone: F,t, E-mail: ConimpreiRlA td listriallmultI-family: Valuation of w.irk........................................ $_ I 1 - --- - Busincss name: F t L V Fxisting bldg. irea(sq.ft.) .......................... S L-? New bldg.area=(,Sq. ft.) ..................I......... ... AddAddress: S T -- - -- - ---- : Stare:p ?.IF': Number of stories........................................City Fax: Lo, E-mail: Tyle of construction.................................... Phone: _ IIZo-Lt Occupancy group(s): Existing: `---- CCB no.: &-36-416---- - New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to he ARCHITECUDESIGISLIA licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: — jurisdiction where work is being performed. If the applicant is City: --_ Shur: LIP: exempt from licensing,the following reason applies: Contact person: ---- Plan no.: - - �- ---� -- Phone: Fax: I E-mail: Name: lConlactpersow Fees due upon application ........................... $ /A 1 tj Address: _ Date received: City: State: ZIP: _ Amount received ......................................... $ Pht,ste: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictinos accept credit cards,please cndl jurisdiction for more inforntntion attached checklist. All provisions of laws and ordinances governing this U visa U Mastet('nrnl work will he complied willa, whether • n ified herein or not. credit card number __ —.. - - 1 / Expires Authorized signature: _ _ Date: It �-�1 v 1 Name of cardholder as shown on credit earl Print name: _ c L�.f!� --— s Cardholder signature Amount Notice:1'his permit application expires if a permit is not obtained within 180 days after it has heen accepted as complete. 440-461.1(WWOM) Fire Protection Permit Check List A_)__❑ NPw ❑ Addition Alteration ❑ Repair -- B.) Moditication to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:_ Additional description of work: CTL-o? 5i'(zIK 1044 1:F-ew` 9-avf Al!PovCZ To NEw APA i3A1W%**4l bclao. Type of System Complete A or B as applicable): A.) Sjrin_kler_ Wet ❑ I Dry- -L.] Standpipes Additional Hazard Groin _— Information Density Design Area _ K. Factor Sprinkler Project Valuation: $ tt�•� B. Fire Alarm Submittal shall Battery CalculationsYes ❑ Include: Individual Component _ Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ - - - - --- '---A & - - Project Valuation Subtotal A 8 B): $ Permit fee based on valuation (see chart): $ _ _8% State Surch_a ee_ $ _ FLS Plan Review 40% of Permit: $ TOTAL: 1:\dstsVorms\FPSchecklist.doc 10/04/00 Accumulative Sewer Tally i enant Name: ti'w /10c c c_� This SWR#SOU/- P100 Address: J u/tl This PLM#: Fixture Value Previous Previous Credits Cappr;d Fixtures Fixtures New total New # Value Capped off value added# added #s total -Count _ off#s count value -- values ©aptstry/Font — - 4 - - Bath - Tub/Shower 4 - Jacuzzi/Whirlpool 4 _ — Car Wash -Each Stall 6 _ -_ - Drive Through 16 - - -- - -- - - -- - Cuspidor/Water Aspirator _ 1 _ Dishwasher-Commercial 4 - Domestic--- 2 DrinkingFountain —_ 1 Eye Wash 1 _ - Floor Drain/sink - 2 inch 2 3 inch _ 5 _ 4 inch 6 _ Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) _ Commercial (to 5 HP) 32 _ _ _Y— Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 T Oil Sep(Gas Station) 6 Rec. Vehicle Dump Station_ 16 Shower-Gang (Per Head) 1 - _-- _Stall 2 -- -- -- ---- ------ Sink - Bar/Lavatory 2 - �7 - Bradley 5 - - ----- - - - - Commercial-_ 3 _ • Service_ A_ 3 — Swimming Pool Filter- 1 - — Washer-Clothes _ 6 - _Water Extractor _6_ Water Closet -Toilet _- 6 Urinal 6- _ TOTALS - 1- 1/1(11 ----- ------- / J --- �-,�- t Total fixture values �_� _divided by 16 = _� 3 EDU 3o o = HISTORY PLM# _ EDU#_ SWR# PLM# EDU# S%,VR# EDU# SWR# _ PLM# _ EDU# SWR# _ PLM# _ _ C_DU# SWR#___i __P_LM# EDU# SWR_#_ PLM# EDU# —SWR# PLM# EDU# SWR# i\dstslsw 7.ry ooc CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00013- 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/16/2001 SITE ADDRESS; 07228 SW DURHAM RD 0800 PARCEL: 2S113AC-00103 SUBDIVISION: PAC TRUST ZONING: I-P BLOCK: LOT: JURISDICTION: TIG TENANT NAME: NW ROLLER USA NO: FIXTURE UNITS: 10 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: DUSWR IMPERV SURFACE: Remarks: Sewer permit for;ommercial TI. Previous EDU was 3 for a fixture count of 48, plus 10 new fixture count, for a total of 58 fixtures or 3.6 EDU, for an increase of 6 EDU. Owner: —_ -- -- - FEES PACTRUST 15350 SW SEUUuIA PKWY Type By Date Amount Receipt #300 PRMT CTR 1/16/2001 $1,380 00 27200100000 PORTLAND, OR 97224 _ Phone: Total $1,380.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 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 riot located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, ihe installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD PLUMBING PERMIT PERMIT PLM?_001 00014 DEVELOPMENT SERVICES 13125 SW Ball Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/22/01 SITE ADDRESS: 07228 SW DURHAM RD 0800 PARCEL: 2S113AC-00103 SUBDIVISION: PACTRUST Z01!ING: I-P BLOCK: LOTS _ _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE. ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of plumbing fixtures for commercial TI. Owner: FEES _ _--___ — PACTRUST Type By _ Date _ Amount Receipt 15350 SW SEQUOIA PKWY PRMT CTR 1/22/01 $66.40 27200100000 #300 5PCT CTR 1i22101 $5.31 27200100000 PORTLAND, OR 97224 Total v 071.71 Phone 1: Contractor: CASCADE MECHANICAL SYSTEMS INC PO BOX 399 ESTACADA, OR 97023 REQUIRED INSPECTIONS Phone 1: 630-4492 Rough-in Insp RPg #: LIC 127012 Underfloor/Underslab PLM 3-324PB Top-out InsD Final Inspection This permit is issued subject to `he 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 approvec plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by c�ginp (503) 246-1987. Issued By: - Permittee Signature: _ Call (503) 639-4175 by ':00 P.M for aio inspection need the next business day f�' Plumbing Permit Application -- Date received: Permit no./_�n - 00 / City of Tigard - Address: 13125 SW Ifall Iflvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Cirynf7iRorA phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: - _ By: Receipt no.: Land use approval- Case file no.: Payment type: 1 U I &2 family dwelling or accessory U Conunereial/industrial U Multi family U Temutt improvement U New construction U Addition/alteration/replacement !I Fond service U OTher: lob address: ZZ 8 tM I- I1Mscription Qty. Fee ea. Total H3— _ -- ) Bldg.no.: 1 Suite nu•; $p p New 1-and 2-family dwellings only: Tax map/lax luL'accuuttl no.: (includes 100 R.for rash utility connection) -- SFR(1)hath [,of: Block: I Subdivision: it'_ra S i� _ SFR(2)bath - - Project name: �, ��: G_ - -- SFR(3)bath - - City/county: I ZIP: Each additional batlt/kitchen _.- Description and location of work on premises:- Site utilities: _ Catch basin/area drain Est.date of completionhn.fjwction: Drywells/leach line/trench drain PLUMBING 1 Footing drain(no. lin. ft.) - Manufactured home utilities Business name t�Ei.SC.�o��1-_ N�.N�.4L T6 Manholes — Address: Rain drain connector City: VA StateG 2 ZIP: 70,2-3 Sanitary sewer(no.lin. ft.) Phone:L 3 O yy 9Z-I Fax:&30=Cj E-mail: Storm sewer(no.lin.ft.) CCB no.: /Z7 O /Z Plumb.bus.reg.no: -3 Water service(no.lin.(l.) City/metro lic.no.: 417 yy / 1y' IA t �) a Fixture or Item: Contractor's representative signatu .. u�( - Abso tion valve Back flow preventer Print name rOtr4 g'_A'j Date: -,,Zat 41 Backwater valve 1 Basins/lavatory Name: Clothes washer Address: - - Dishwasher - - - --- — Drinking fountain(s) City: —15t;ttr: /IP: Ejectors/sump Phone: -- fax: Email: Expansion tank Fixture/sewer cap - — Name(print): fJe?/lh� Flour drains/floor sinks/hu.) -_ Mailing address: Garbage disposal _ g /S 3 tS� S ) '5 ko.�4 - - -r--- P Hose hibb_ Cite _ I State:o LII': _ Ice maker - Phone: Fax: E-mail: Interce for/grew`::trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) - Owner's signature: Date: Sump Tubs/shower/shower pan Name: Urinal Water closet --- Address:_ — Water heater City: __ State: _ ZIP__ Other: E -`- -- -- Phone: Fax: -mail: Total —' Not all juriadicuons accept credit card,,please call jurisdiction ror more lnrorrnstion. Notice.This pei;nit application Minimum fee........ . $ _ U Visa U MasterCard Plan review(at _ 96! $ Credit card nurrher -__ _- / / expires if a permit isnot obtained Ex M ms within ISO days after it has been State surcharge(896).TOTAL ....................... $ . Name orf cardholder as shown on credit card accepted as complete. _ S Cmdholder signature-- Amount - 4M1 4616�MxVI'(rpll PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility_connection� Lavatory _ % One 1 bath _ _ $249.20 Tub or Tub/Shower Comb. 16.60 �1 — -^ Two 2 bath $350.00 Shower Only 16.60 Three(3)bath — $399.00 Water Closet - 16,60 -- _ SUBTOTAL Urinal 16.60 ____8%STATE_SURCHARGE Dishwasher — 16.60 PLAN REVIEW 25%OF SUBTOTAL � — Garbage Disposal 16.60 --- - TOTAL _ - Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 -- PLEASE COMPLETE: 1" — 16.60 __. uantic b Work Performed Water Heater O cot.vrrsion 0 like kind 16.60 ' Q Gas piping requires a separate m.ichanical Fixture Type: New Moved Replaced Removed/ Permit, _ _ _— Capped MFG Home New Water Service — 46.40 Sink -- MFG Home New San/Storm Sewer 46 40Lavatory _ -- Tub or Tub/Shower Hose Bibs 16.60 _ Combination Roof Drains 1660 Shower Only Drinking Fountain — 16.60 Water Closet _ Other Fixtures(Specify) — 16.60 Urinal Dishwasher _ Garbage Disposal Laundry Room Tra _ — -- - Washing Machine Floor Drain/Sink: 2" Sewer- 1 st 100' 5306— 31, -- Sewer-each additional 100' 4640 4" _ Wat,. Service-1st 100' 55.00 Water Heater — Water Service-each additional 200' —46.40 Other Fixtures (Specify) Storm&Rain Drain-1st i_607_' __ 55.00 Storm&Rain Drain-each additional 100' 46.40 -- Commercial Back Flow Prevention Device 4F 40 - - — -- Residential Backflow Prevention Device' 27.55 - - -- Catch Basin 16.60 -- Inspection of Existing Plumbinc or Specially 72 50 Requested Inspections _ — per/hr COMMENTS REGARDING ABOVE- Rain Drain,single family dw:lling 65 25 — ---__ Grease Traps — 1660 QUANTITY TOTAL -- — -- Isometrl;or riser diagram is required if ----- — fWantit,Total is >9 --- — "— — "SUBTOTAL /0 — -- — 8%STATE SURCHARGE "PLAN REVIEW 25'/o OF SUBTOTAL Required only it fixtrr_P.qty to'al is>9 _ TOTAL *Minimum permit fee is S72 50 4 8%state surcharge,except Residential Racl;Aow Prevention Device,which is$3e 25+B%staff surcharge "All New Commercial Buildings require plat s with Isometric or riser diagram and plan review Is\dstslforms\plm-fees.doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �-- ----- BUP Date Requested_ AM PM _ BLD Location ?l 2 .5�✓ Do kli '&W Suite %�'�� _— MEC Contact Person 2 Ph _ _ PLM — Contractor Ph SWR BUILDING Tenant/Owner -- E'.0 L, Retaining Wall ELR Footing Access: _ Foundation FPS _ Fig Drain Crawl Drain Inspection Notes. SGN Slab - -- -_ --- _ .--- ---- SIT Post& Beam --- -- -- Ext Sheath/Shear Int Sheath/Shear -- Framing - -. - --- Insulation Drywall Nailing Firewall - -- Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof --- ------- - Misc: Final PASS PART FAIL - - - - ----------- — ---- - PLUMBING Post&Beam -- Under Slab Top Out ------- -- -- -- Water Service Sanitary Sewer -- Rain Drains Final ---- ------------ — ---- PASS PART FAIL. MECHANICAL_ Post&Beam -- - -- - ------- - Rough In Gas Line Smoke Dampers Final - --- --- --- --- PASS PART FAIL - Service Rough In - --- --- UG/Slab Low Voltage -- -- - — -- - -- — Fire Alarm - ASS ART FAIL Backfill/Grading -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW'HlA Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: .__ ( ]Unable to inspect-no access ADA Approachi3ioewalkDete 2 -�- C L / - ,Other _---- _- Inspector -- Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the lob site. CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: I'i_M2000-00396 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/20/00 SITE ADDRESS: 07228 SW DURHAM RD 0-900 PARCEL: 2S 103AC-00103 SUBDIVISION: COUNCIL VIEW ACRES ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Move one sink. _ Owner: FEES -- -- +-- — Type By Date Amt,Lnt Receipt 50 SW SEQUOIA PKWY ST 153PRM T CTR 10/20/00 $72.50 27200000000 15350 S5PCT CTR 10/20/00 $5.80 27200000000 #300 _ PORI LAND, OR 97224 Total — $78.3p Phone 1: Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236-4152 Rough-in Insp Reg #: LIC 172 Underfloor/Underslab P11-1`1 26-83PB Top-out Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Ali wort, will be done in accordance with approved plans. This permit will expire if wor', s not started within 160 days of issuance, or if work is suspended for more than 180 days. ATTEN i :ON: Oregon law requires you to follow rules adopted by the Oreg-n Utility Notification Center. Th�:se rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. issued By: `tom Permittee SiQnature: S Call (503) 639-4175 by 7:00 N.M. for inn inspection needed the next business day Plumbing P_-rmit Application Datereceived: Id ?d e--6 Permitno.;AZ,•7er*-40,2 City of Tigard Sewer permit no: Building permit no.: Address: 13125 SW Ilall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: ❑ I &2 family dwelling or accessory U Conuncicial/industrial U Multi-family U Tenpnt improvement U New construction U A(I(li:ion/alteration/replacement U Food service U Oti:er: 1 Job address: t S I�J lA ,� Description Qty. Fee(ea.) I Total Suite no.:a New f-and 2-family dwellings only: Bldg.no.: T'axma /taxloUaeeountno.: (includes 100tt.for each utility connection) P SFR(1)bath Lot: Block: Subdivision- SIR(2)bath - -- --- Project name: P1. r, A t�5 �� SFR(3)bath _ City/county: (-,: I ZIP: ( Each additional bath/kitchen Description and location of work on premises: Site utilities: t /�l( -�.JF'• _ _ _ Catch basiuiareodrain Est.date of completion/inspection: Drywells/leachline/trench drain Footing drain(no.lin.ft.) _ Manufactured home utilities Business name: Manholes _ Address: '� ,�„ l i--- Rain drain connector _ City: f1c iot )•. f State�^,K sl ZIP:(7/ ;jee ik Sanitary sewer(no.lin. f:.) _ Phone:,79,; (_, �)(' I'ax:�,�r_- ) 7 Email: Storm sewer(no.lin.ft.) CCB no.: r'' / % Plumbbus.reg.no: Water service(no.lin.ft.) _ City/metro lic.no.: / 9 E� L Fixture or item: Contractor's represertatdve signature: - r Absorption valve Back flow preverter Pript name: t (. Date: n0 Backwater valve Basins/lavatory Name: ( j r , / t� L Clothes washer Address: Dishwasher City: State: ZIP: Drinking fot•+itain(s) - rjectors/s r-p Phone. Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): J r Floor drainUfloor sinksiliub - - --- Garbage disposal Mailing address: ' y( �^t 1r t A. t - -- Hose bibb City: ,.W State: r-r ZIP: '/ ,,a_1 Ice maker - - Phone:r.-✓ I (, , � , Fax: -,; ' • G=tAail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's si mature:_ Date: Sum --_ Urinal Urinal ower/shower pan - Nnme: Water closet _ Address: _ _ Nater heater_ City: -^-- - - State: LIP: tither: — - Phone: Fax: state: - — - - Total Not all jurisdictions tcerx credit cards,On-call jurisdiction for more informationNotice:This pernid application Minimum fee................$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit card number: _- --- -- / / -- Within 180 days afler it has been State surcharge(8%)....$ Name of cardholder Jr Chown on credo Expires card - accepted as complete. 'TOTAL .......................$ S -- Crdholder aiRnnure A 440 41,16;(AW t + PLUMBING PERMIT FEES: f----- PRICE TO7A.L New 1 and 2-family dwellings only: FIXTURES (individual) _^ QTY ea AMC.- T (Includes all plumbing fixtures in PRICE TOTAL Sink16.60 _ the dwelling and the first100 ft. QTY (ea) AMOUNT ( 16.G0 for each utiles connection Lavatory Obath _ $249.20 Tt-b or Tub/Shower Comb 16.60 ne 'Two 2)_bath _ $350.00 _�- Shower Only J 16.60 Three 3 bath $399.00 Water Closet 16.60 _-_ _SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher T--� 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 -- TOTAL Laundry Tray 16.60 Washing Machine - 16.60 Floor Drain/Floor Sink z" 16.60 PLEASE COMPLETE: 3" 16.60 4.. 16 G0 Water Heater O conversion O like kind 16.60 Quantity b-Work P_orformed Gas piping requires a separate mechanical Fixture Type New Moved Replace•' Removed/ permit. Caped MFG Heme New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.4u Lava _y_ Tub or Tub/Shower Hose Bibs 16.60 _ Combination Roof Drains - 1616 h0 Shower Only Drinking Fountain - 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal Dishwasher Garbage Disposal _ --- Laundry Room Tra _ - -• - -- _Washing Machine Floor Drain/Sink: 2" -§ewer-1st 100' - 5Ci 00 --` 3" ---- Sewer-each additional 100' 46.40 -� _ 4" ,- Water Service-1st 100' 55.00 Water Heater _ - Water Service-each additional 200' 46.40 Other Fixtures - - S erify) --- -- --- Storm&Rain Drain-1st 100' F5.00 - Storm&Rain Drain-each additional 100' 46.40 i _ -- Commorci:I Back f low Pre,enlion Device 46.40 -- Residential Backflow Prevention Device' 27.55 - Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 - F.eguesled lns�ections perlhr CGMMENTS REGARDING ABOVE: Rain Drain,s'ngle family dwelling 65.25 -.__-- C--,.nse Traps^ - 1660 - QUANTITY TOTAL - Isometric or riser iiagram is required it -� Quantity Total is >8 _ ---- - - --- 'SUBTOTAL - --- -- - 8%STATE SURCHARGE --- -- "PLAN REVIEW 26%OF SUBTOTAL Reoulred only If fixture qty total is>9 _ 7( TOTAL $ r-7c, -_.._--- Minimum permit fee is$72 50•8%state s icharge,except Rnsleential Backflow Prevention Device,which Is$36 25+8%stare surcharge "All New Commercial 6ulldings requira plans with isometric or nser diagram ani plan reviev iAdsts\forms\ptm-fees.dcc 10/10/00 CITY.`- TIGARD BUILDING INSPECTION DIVISION 24- MST lour Inspection Line: 639-4175 Business Line: 639-4171 — SLJP Date Requested-7 --AM---PM -- BLD _ - — Lo(.ation-,LZ 2..X' =✓1."� U 1,Suite yG ', MEC _ Contact Person — Ph PLM — - Contractor — f�,1c _ _ • Ph SWR _ L3UILDING - f-- Tena ,!/Owner 6 hT/� -(, - -- ELC c v Retaining Wall ELR _ Footing /Access: — Foundatior i FPS Ftg Drain ------ Ciawl Drain Inspection Notes: SGN - -- -- Slab Post& Beam ----- -- SIT ---- Ext Sheath/Shear Int Sheath/Shear �- -- - -- Framing Insulation _-_ .---- --- ----- - --- ---- ------ —_------ — Drywall Nailing ___--- Firewall - - � -- - - - ---- /_- Fire Sprinkler Fire Alarm ------------ _--•-_._�_-____-__ Susp'd Ceiling Roof I - Misc: - — --- - --- - ---- ----..Y_ - Final PASS PART FAIL ------ -- -- PLUMBING -�- 0,_-_ �- Post&BeamUnder Top ToOut Water Service N Sanitary Sewer ---- - ---I✓ _ [�_-.-'a`=j�`'r-��` -_ ✓� Rain Drains I ---- --- - - ---------_ - -- Final PASS PART FAIL_ MECHAFIlCAL -- Post& Beam ----- ----- -._. ------ - -- --- -- - Rough in Gas Line -- --- - -- - --- ----- - -- - Smoke Dampers Final PA PART FAIL -- EL —- Rough In - - --- - LIG/Slab Lr,w Voltage Fire Alarm PART FAIL Backfill/Grading --- Sanitary Serer Storm Drain ( ]Reinspection fee of$ __-required before next inspection. Pay at Cite Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Linc, ( ]Please::Pit for reinspection RE:_ _ ( ILInqble to inspect-n.)access ADA I /� ApproachfFidewalk Other _ _ Date 1 Inspector Ext — Final PASS PART FAIL DO NOT REMOVE this Inspection record from the joh site. CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC2000-00612 DEVELOPMENT SERVICES DATE ISSUED: 10/31100 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S103AC-00103 SITE ADDRESS: 07228 SW DURHAM RD 0-900 SUBDIVISION: COUNCIL VIEW ACRES ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Proiect Description- installation of three branch circuits. Job No. 8896. RESIDENTIAL UNIT— _ TEMP SRVC/FEEDERS _ _ — MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amo: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amu: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL Oft _—SERVICEIFEEDER _ _ BRANC'i CIRCUITS AGD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: J PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: �> 600 VOLT NOMINAL: Reconnect ova: _ — SVCIFDR >= 225 AMPS: CLASS AREAISPEC OCC_ Owner: Contracior: PACTRUST r3ACHOFNER ELECTRIC, INC 15350 SW SEQUOIA PKWY 55 SE MAIN #300 PORTLAND, OR 97214 PORTLAND, OR 97224 Phone: Phone: 233-2006 Reg #: LIC 00044569 SUP 2808S ELE 26-451C FEES — Required Inspections_ ___ Type _ By Date Amount Receipt Wall Cover PRMT CTR 10/31 00 $60.15 2720000000( Elect'I Final PCT CTR 10131100 $4.81 2720000000( Y� Total $64.96 I kis 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, arted within 180 days of issuance,or if work is ,,pended for more than 130 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notrfica'.,on Cente, Those s arp set forth in OAR 952-001 0010 through OAR 952-001-0080. You may obtain copies4f these rulds or direct questions to OUNC a'(503) -1987 / PERfVIITTEE'S SIGNATURE–/RX , y)l) ISSUED L— ,[ --- _ OWNER INSTALLATION ONLY I he inStall3tion is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ _ DATE:_ R _ _CONTRACTOR INSTALLATION ONLY __ l SIGNAL URF OF SUPR. ELEC'N: DATE: _ LICENSE NO: _.— Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application s�r_�+rssrrtl Date received:/s a:AO Parnt no.: F�'be�d-+tom(�•/ City Of Tigard Project/appl.no.: Expire date: Citvo(Tigard Address: 13125 SW Ilall Blvd,Tigard,OR Qi2i32 r ?On Date issued: By: Receiptno.: Phone: (503) 639-4171 — Fax: (503) 598-1960 COMMUNITY OW1.01 h1Iltbscfileno.: Payment type: Land rise approval: _-- TVPE i U I &2 family dwelling or accessory Commercial/industmil U Multi-family U Tenant improvement U New construction U Other: U Partial JOB SITE INFORM Job address: (,. Bldg. nu.: Suite no.: Tax map/tax lot/account no.: Lot: 'Block: Subdivision: C-900 Project name: _ _ Description and location of work on premises: _a jy1(t- Estimated date td cnmplclion/inslrcclloll, WURWTOR APPLWATION Job no: _ ___ 1 ee Max BUSinCSS nan1C: Ucscription Qty (ea.) Total no.Ills - New residential-single ormuhifandlyper Address: _ dvielliogunit.Includrsaltaclred[arngr. Cily: Stale: ZIPS Seniceincludetf: r — IOOO sq N of Icss 4 1 hone: rax: E-mail: _ tach add q.sq.ft.or portion thereof CCB no.: Elec.bus.tic.no; - Limited energy,residential 2 City/metro Ie.no.: Limited energy,non-residential 2 Each manufactured home or modular dwciling Signature of supervising electrician(re fired) bete Service and/or feeder 2 Sup elect.name(print) License no: Services or feeder-installation, dlenlI norrelocalion: 1 200 arnps or less _ 2 Name(print): 201 amps to 400 amps ___ 2 - -- -- 401 amps to 600 amps 2 _ Mailing address 601 amps to 1000 amps _ 2 City: State: ZIP: Over IOW amps or volts —�_— 2 Phone: _ rax: _ Email: Reconnect only I Owner installation:The installation is being made on property I own Temporary servimorteedes- which is not intended for sale,lease,ren(,or exchange according to Installation,alteratIon,orrelocali n: ORS 447,455,479,670,701. 200 amps or less _ _ 2 201 amps to 4(x)amps 2 Owner's signature: _ Date: _ 401 to 600 ams _ 2 N-anch circuits-new,rdteratioo, or extension per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 Slate: ZIP: B Fee for branch circuits without purchase City: -- — -��'�- of service or feeder fee,first branch cm uiC n 2 Phone: rax Email: — Enchadditional branch circuit: AL Misc.(Service or feeder not Included): J Service over 22.5 amps-con imercia] U livalth-care facility Each pump or irrigation circle 2 OServiceovei320amps-tivingof1&2 Uliazardouslacadon Eachsignorouthnelighting 2 faHlydwellings U Building aver 10,000 square fret four or Signal circuit's)or a limited energy panel, —If U System over 600 volts nominal mere residential units in me structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more *Mscfi tion: U Occupant load over 99 persons U Manufactured suvcturrs or RV park FAch additional Inspection over the allowable In any of the alcove: U Egress/lighiingplan U Other _ - _-- -- Perinspection Submit _sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction ser ice. Other Nat all jurisdictions accrpr credit cards,please can jurisdiction for more InRxmarioo Notice:This permit nppfication Permit fee.....................$ Visa U MasterCard expires if a permit is not obtained Plan review(at ^ %) $ _ Cmdo cad number —�L— within 180 days after it has been Slate surcharge(8%) ....$ Expires accepted as complete. TOTAL .............. ...... .$ _ Name of-cardholder u shown on cr it card � 1 S 1 --- Cadholdrr cignawre�`^--__.. Amount 44G461(6, WOM) Electrical Permit Fees: Limited Energy Fees: —�� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: _ Restricted Energy Fne...................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq If or less $145 15 Audio and Sterec System-, Each additional 50f •q it or portion thereof $3340 _ Burglar Alarm Limited Entergy $75.00 Each Manufd Home or Modular U Garage Door OPener' Dwelling Service or Feeder $9090 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 _ 2 Vacuum System" 201 amps to 400 amps _ $106.85 2 El 401 amps to 600 amps $160602 Other Got amps to 1000 amps $24060 _ 2 f Over 1000 amps r, 11s $454,65 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY installation,alteration,or relocation $75.00 200 amps or less $66.85 2 Fee for each sys!em.............................................. 201 amps to 400 amps $100.30 2 (SEE OAR 9'i8-260-260) 401 amps to 600 amps _ _ $133.75 2 Check Type of Work Involved Over 600 amps to 1000 vollS, see"b"above. LJ Audio and Stereo Systems 9ranch Circults Naw,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6.65 2 b) the fee for branch circuits J Data Telecommunication Installation without purchase of service or feeder fee. C_] Fire Alarm Installation First branch circuit %46.85 Fach additional branch circuit $665 HVAC Miscellaneous (Service or feeder not included) E] Instrumentation Each pump or irrigation ircle $53 40 _ Each sign or oulline lighting _ $5340 _ E] Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $75.00 Landscape Irrigation Control' Minor Labels(10) $125.00 Fach additional Inspection over Medical the allowable In any of the above Per inspection _ $62 50 _ u Nurse Calls Per hour $62 50 In Plant __ $73 75 _ Q Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above ices $ _— _ Other ------- -------- 8%State Surcharge $ _ Nrrnber of Systems 25%Plan Review Fee Sea"Plan P.eview"section on $ No licenses aha required Licenses are required for all other installations front of application Total Balance Due $ Fees: �—} Enter total of above fees S I J Trust Account# _ ____ 8%State Surcharge S Total Balance Due S. i.tdsts\formsklc-fees.doc 10/09/00 IR D BUILDING PERMIT CITY OF T I G A PERMIT#: BUP2000-004261 DEVELOPMENT SERVICES DATE ISSUED: 10/19/00 13125 SW Hall Blvd.,Tiriard, OR 97223 (503) 639-4171 SITE ADDRESS: 07228 SW DURHAM RD 0-�0,0 PARCEL: 2S103AC 00103 SUBDIVISION: COUNCIL VIEW ACRES ' I ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf ___ PROJECT OPENINGS? TYPE OF CONST: 3N sf N S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y �SMOK DFT: DWELLING UNITS: FRNT: ft REAR: ft FIR Al_RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 14,000.00 Remarks: Tenant Improvement 1550 Sq, Ft. New Partitions Owner: Contractor: PACTRUST H L GREEN 15350 SW SEQUOIA PKWY 15350 SW SEQUOIA BLVD #300 STE 300 PqZ� Ph8o a ND. OR 97224 TIRone'. 4 77'14 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt— Mechanical Permit Require PLCK CTR 10/12/00 $115.51 27200000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 10/12/00 $71.08 27200000000 Plumbing Permit Required PRMT CTR 10/19100 $177.70 27200000000 Framing Insp 5PCT CTR 10/19/00 $14.27 27200000000 Gyp Board Insp Susp Ceiing Insp Total $378.56 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended fo, more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm[tee Signature: Issued By. f`. I ---- Call 639-4115 by 7 p.-,n.for an inspection the next business day 01 it Building Permit Application Date received: -'/1.--t:•' Permr no.� tJ-Do y1� City of Tigard Gty uJTigurrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 femily:Simple Complex: TYPE OF PERMIT ❑ I &2 family dwelling or accessory O Commercial/indus!rial U Multi-family U New construction U Demolition Q Addition/alteration/replacemcnt lelcnant improvement U Fire sprinkler/alarm U Other: JOB SITE INFORMAT116N Job address: -re SW Du/ �a v►�t �'�( , Bldg,no.: Suite no.. Lot: I Block: ISulxfivision: Tax map/tux IoUaccount no.: Project name: rj Gl 166y SA. — Description and IoCalior.of work on premises/special conditions:_St ItG�I��o r ro Qw rl_r le, VLr n CA,-e ww t„ t i t.✓�O r`► :111111MINIF11 Name: 12A.G •f- Mailing address: 153570 S lnJ S e et 1 &2 family d"elling: City: r1,0LStat :Q ZIP: -7 Z- Valuation of work........................................ $ Phone: (/ Fax:G y 7.77 E-mail: No.of bedrooms/baths................................. - Owner's representative: ,fes Total number of floors................................. Phone: (e2 p I ax: 7 7 E-mail:&nnrr dr �lw dwelling area(sq.ft.) ............A. .............. - - ^.-- ---- APPLICANT Garage/carport area(sq.ft.) Name: Sa vire if�5 CL boUQ — Covered torch area(sq.ft.) ......................... Mailing address: Deck arca(sq. ft.)........................................ City: State: Zip: - Other structure area(sq. ft.)......................... - Phone: I E-mail Commercial/Ind usfrial/radii-innil ly: cONTIRAC10114Valuation of work................ $ JI/, .De Existing bldg.area(sq.ft.) .......................... ( r8O! _ SF Business name: -J�7f. G. G►^;t N pr.� 4«* -�--' New bldg.arca(sq.ft.)................................ .12$Q - Address: 15350 St,�1 Sri a w Sao City: -,� Number of storiesState: ZIP: 2Z, - - ........................................ TY1�of construction. .................................. _y Phone: 2,Y-'7 / Fax: fi mail: CCB no.: _ -- - �- Occupancy groupk's): Existing: �------.. ------ -- 8 City/metro lie.no.: New:Notice:All contractors and subcontractors are required to k t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: /5 3 o SLA) (,. ,,, 3ov jurisdiction where work is being performed.If the applicant is CitState _1P; Z exempt from licensing,the following reason applies: Contact person: -�,x Hr - -^ J Plan no.: ---- - ---- - _..-- Phone: 2 y. - VO Name: tontact person: Fees due upon application ........................... $ _ Address: Date received: City: _ State: !_Ip: Amount received ......................................... $ Phone: Fax: _ E-mail:_ _ Please refer to fee schedule. _ I hereby certify 1 have read and examined this application and the Na all Jurisdictions accept ci-dit cads,please call)udwllction for more informaann. attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will he complied with whther specified herein or not. Credii cad number: Expires Authorized signature/ 5kd Date; _lo•/2•oo - Name of eLdnoider.,sneWn nn c,td;,cue - I Print name: .�laer-fi.� �c - -.-� S HSOsn---- — C _Idcrsiianaure Amount Notice:Iris permit application expires if a pertnit is not obtained within 180 days after it has been a%txpted as complete. 4104613(6/00000M) C ___. ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC2000-00708 DEVELOPMENT SERVICES DATE ISSUED: 12/22/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AC-00103 SITE ADDRESS: 07228 SW DURHAM RD 0-800 SUBDIVISION: COUNCIL.VIEW ACRES ZONING: 1-N BLOCK: LOT : JURISDICTION: TIG Proiect Description: Service and 40 branch circuits. Job No. 1001. _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500bF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 40 _ PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: 7 user; Contractor: W,CTRUST GENIE ELECTRIC CONSTRUCTION 15350 SW SEQUOIA PKWY 20395 SW AVERY Cf #300 PO BOX 575 PORTLAND, OR 97224 SHERWOOD. OR 97140 Phone: Phone: 691-8403 Reg#: LIC 56635 SUP 45365 ELE 34-488C FEES _ — Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 12/22/200C $587.20 2720000000( Elect'I Final 5PCT CTR 12/22/200( $46.97 2720070000( Total $634.17 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 952-001-0010 through OAR 952-0,01-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: m�n� _ _OWNER INSTALLATION ONLY The installation is being made on property I ow i which 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 next business day Electrical PermitApplication "- �DaIeTeceived: �Pemitno -�p70 city of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 47223 Date issued: By: pt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Pnyment type: Land use approval: - U=1 &2 family dwelling or accessory LVommcrcial/indu.stnai U Multi-family U Tenant inllm tv rnuent U New construction Li Addition/alteration/replacement U Other. U Partial tub address: LZ 5 f, ,a, /Z` ' Idg.no.: Suite 'L'c' x map/tax lot/account no.: L ut: Bltxk: Subdivision: Project name: Al e, t. �; Description and location of work on premises: iy.i,-1 ; -Y-,•r Estimated date of com letion/inspecdon: 7 t, 114 s mown I 14L'Imiteltal W1 Job no: ! ( c ' / Fee Mm Business name: — _ Description _ Qty. (ea.) Total no.ins ' L. ,-,/c - Nen resideal)al-single or multi-family per Address: d nelliug unit.Include;attached gariage. City: ,2C. c ( State- ZIP: 7 1-y service Included: Phone: F= 1 . -?/ y yi r IONI s Fax:C f/•-f'f c/ E-mail: q ft.or less 4 _ CCD no.: c Each additional 500 sq,ft,or portion thereof �— Elec.bus.lie.no: y� 'C Limited energy,residential 2 City/metro lic.no.: 'Y / Limited energy,non-residential 2 •Z 1- se' Each manufactured home or modular dwelling Signature ofsupliNis in electrician(re uired Date Service and/or feeder 2 License t -3 SerAcesorfeeders-installation, Sup.elect.name(print): L f.= ,'C f ( _5 tamps relocation: ess �� L/ 2 Name(print): 00 amps - 2 Mallin address: (M'an:ns _T_— 2 g _--� '100 amps 2 City: Slate: ZIP: Over 1000 at Ips or volts 2 IF Phone: I E-mail: Reconnectonl i Owner installation:The installation is being made on property 1 own TeraVroryserricworfeeders which is not intended for sale,lease,rent,or exchange according to instaIInflon,alteration,orrelocalion ORS 447,455,479,670,701. 200 amps or less -_ 201 amps:o 400 amps 2 Owner's signature: Datc: 401 it)6(x)amps 2 branch circults-nen,alteration, or esterrsion per prnel: Name: A Fee for branch circuits with purchase of c Address: service or fader fee,each branch circuit _ City: Stale: Z1P: r B Fee for branch circuits without purchase - of service or feeder fee,first branch circuit 2 Phone: E-mail Each additional branch circuit. Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardouslocadon Each signor outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)orallmitedericrgvpmiel U System over 600 volts nominal more residential units in one suvctare alteration.or extension* U Building over three stories U Feeders,400 amps or more •Description: U Occupant load over 99 persons U Manufactured structures or RV park Fich additional Inspection over the allow Ible In any of the above: U EgiessAightingplan :7 0-her � _ Per inspection Submit__sets of plans with any of the shave. Investigfltion fee The above are not applicable to temporary condiveilloe service. other Na oil)urisdictimu accept credit cards,please call)urisfi:tion for niore Infornaticn Notice:This permit applica:,on Permit fee..................... U Visa U MasterCard expires if a permit is not obtained Plan review(at _ 96) S Credit card oumher1__ within ISO days after it has been State surcharge(8%)....$ Fir4re` accepted as complete — ----- TOTAL .......................$ - Name of cardholder u shown on credit card -�-- CwdWder signature Amount 440-461t(WOCON1, Electrical Permit Fees: Limited Energy Fe.is: TYPE OF WOR'- INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: — Restricted Energy f-e ....................................................... :75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total w� Check Type of Work hvnlved: Residential-per unit 1000 sq ft or less $145 15 4 Audio and Stereo Sy Stems Each additional 500 so ft or portion thereof $3340 1 Burglar Alarm I Limited Energy _ $75,00 Fach Manufd Home or Modular r-1 Dwelling Service or Feeder $9090 2 LJ Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioring System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 201 amps to 400 amps $106 85 � 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454 65 2 Reconnect only _ $6685 2 temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 2 401 amps to 600 amps _ $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ^� see"b"above. Audio and Stereo Systems Branch Circuits LJ New,alteration or extension per panel J Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $665 i 2 Data Telecommunication Installation b)the lee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ $4685 r� Each additional branch circuit $6.65 L— HVAC Miscellaneous f 1 (Service or(seder not Inrluded) L J Instrumentation Each pump or Irrigation circle $5340 �1 Each sign or outline lighting $5340 CJ Intercom and Paging Systems Signal circuits)or a limitL-d energy panel,alteration or extension $75.00 �� Landscape Irrigation Control` Minor labels(10) $12500_ Each additional Inspection over ` ❑ Medica the allowable In any of the above Per Inspection _ $6250 Nurse Calls Per hour $6250 In Plant $73.75 J Outdoor Landscape Lighting' Fees: Ej Protective Signaling I Enter total of above fees $ Other 8%State Surcharge $ -- — Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application — �— Fees: Total Balance Due $ ---- Enter total of above fees : ❑ Trust Account# ,-- --_� 8%Stale Surcharge $_ Total Balance Due S i\dsls\fc rmsleIc-fees doc 104Ml00 CITYOF T I G A R DELECTRICAL PERMIT PERMIT#: ELC2000-00706 DEVELOPMENT SERVICES DATE ISSUED: 12/21/2000 13125 SW Hall Blvd.,Tiqard,OR 97223 (503)639-4171 PARCEL: 2S103AC-00103 SITE ADDRESS: 07228 SW DURHAM RD 0-800 SUBDIVISION: COUNr'IL VIEW ACRES ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Tenant Improvement. Job No. 8988. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: Y0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL-/PANEL- MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSP%i iONC_ _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPFCTION- 201 - 400 amp: 1st W/O SRVC OR FDR: 1 P' R HO ,R. 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 it. PLANT. 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: — > 600 VOLT NO INAL: Reconnect only: SVCIFDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: _ Owner: Contractor: PACTRUST BACHOFNER ELECTRIC INC 1535C SW SEQUOIA PKWY 55 SE MAIN #300 PORTLAND, OR 97214 PORTLAND, OR 97:24 Phone: Phone: 233-2006 Rey#: LIC 00044569 SI IP 2808S ELE 26-451C FEES Required Inspections _ Type By Date Amount Receipt Wall Cover PRMT CTR 12/21/200( $53.50 2720000000( Elect'I Final 5PCT CTR 12/21/200( $4 '8 2720000000( Total $57,78 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 d work Is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain corps of these rules or d rect questions to OUNC at(503) 246-198' PERMITTEE'S SIGNATURE IN �"�'/1 �, r, ISSUED BY: OWNER INSTALLATION ONL`t IIIc installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _- _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _e. DATE:- LICENSE NO. �._—_--- —_—__`__---------- ----__—_-- __-- Call 639-4175 by 7:00pm for an inspection the next business day Electrical PerinUApplication i - CErI Date received: Permit no.��ffV City Of I 'Figard Re Project/appl.no.: Expire date: CiryofTigard Address: 13125 SW lull Plvd,Tigard,O �u I)ale issued. AY Receipt rro.: Phone: (503) 639-4171 —_-- Fax: (503) 598-1960 OtvF.IUY�'"' r %v file no: Payment typ-:� Land use approval: _ C� TVPE 4)F PERMIT U I &2 family dwelling or accessory )A Commercial/industrial U Multi-fainily U Tenant improvement U New construction U Addition/alte.ation/rcplacemcnl J ether U Pallial INFORMATIONJOHNITE Job address: "� Z�„ g.no.: Suilc m I;tr nl;rh/l;i• I, U;,r uunl no.: 1,0t:_ Block Subdivision: Project name: l,i ,&.�jcj _ --FDescriplion and location of work on premises: F^slim;red date of contpletion/inspeclion -CONTRAffOR 1 i Job no: Pn-riB 1 ee etas Business name: -- --- - --- - --- Description _ Jty. (ea) li,tal� no.hrsp E3aehofnez Electric ---- ---- Nrwrmidernial-singkor-muhifamilyper Address: l � ..E Main _ _ - ___ drsrllingunit.InclurlcsattaeltMgarngc. City: Portland SlatC: Z1I': 07214 "-1 0opincluded Phone: 233-2006 Fax. E-mail: IWo�g It of lv% - - -- - 4- Each additional 500 iqftor portion therew CCB no.: 44569_ Elec.bus.lic.no: 2b-451C L.imiledenerg),residential - 1 City/metro he.no.. Limited energy,non-residential 2 fl- FAch manufactured home or modular dwelling Signauire of supervising 164ectf ejan(required here Service and/or feeder 2 Sap elect name(print) Wj_111 am Raehofner ILicenseno. Services or feeden-installation, alteration or relocation: PROPERTVOWNI It 200 amps or less 2 _Name(print): 201 amps to 400 amps 2 Marling address: 401 amps to 600 amps__ 2 — 601 amps to 10W amps 2 City: State: ZIP: Over 10(x1 amps or volts 2 Phone: Fax: _ -JE-mail: keconnectonl 1 Owner installation:The installation is being made on property I own Temporary services or feeders- which;s not intended for sale, least,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701 200 amps or less 2 201 amps to 400 amps 2 ewner's si nature: Date: 401 to 600 am s Braurh circuits-new,alteration, or extension ler panel: Name: — _ A Fee for branch circuits with purchase of Address. _ service ur feeder lee,each branch circuit City: _ Stale.: ZIP_ B Fee for branch circuits without purchase - -- of service or feeder fec,first branch circuit. 4 92 Phone: Fax: Ii-snail: ('ash adduioual branch circuit tdS Misc.(Service or feeder not Included): UService over 225amp.,commercial Jlb,drh xvfa'ilo� rivtchj,umnorirrigation circle 2 U Service over 120 amps rating mf l&2 l.,flaiardous location Each sign or outline lighting 2 fanolydwellings U Building over 10,000 square feet four or Signal cirrun(s)or a limited energy panel. U System over 600 volts nominal nwre rrsidenlial amts in one structure dteratiot orealension• _ 2 U Building over three stones U Feeders,400 mnp5 or more "Description. U Occupant load over 99 Person. U Manufactured structures or IDV park Each additionalInspedior,over the allowable In any of the slave: U lgress/IighunFplan J Other Per inspection — Submit -- sets of plrns with any r,(the a1Nr,c. Imve ugetion fee The above are not applicable to temporary construction service. other - Not all iwidictrom a-cera credit cards,please call juduliclim for more nriarnauon Notice:•(1,is pe-mit application Permit fee................... .$ S_ .— U Visa U MasterCard expires if a permit is not obtained Plan review(al — 9h) $ C,rda card nuratrrs within 180 days alter it has been State surcharge(8%) ....S spina a^cepled as complete. TOTAI S Name— of c Iger at thown on etedrl a-w7-- Crdholder signature — Amount — --- 140-46 s(6IOOr`.'oM) Electrical Permit Fees: Limited Energy Fees: — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fec Schedule Below: Restricted-- --- - p lrlcteJ Energy Fee..................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTCMS) Service included: Items Cost Total Check Type of Work Involved. Resioenlial-per unit 1000 sq ft or less —_ $145 15 - 4 Audio and Stereo Systems. Each additional 500 sq It or portion thereof — $33 40 _ 1 �� Bur:7lar Alarm Limiter!Energy $75.00 — Each i.lanufo dome or Modular � Garage Door Opener' lhveli,ng Service or Feeder $90 90 Services or Feeders Heating,Ventilation and Air Conditioning System' Installalicn,alteration,or(elu ation 200 amps or less _ $8010 -- _ Vacuum Syslers' 201 amps to 400 amps _ g 106,85 — 2 l-� 401 amps to 66,1._mps $16060 — 2 601 amps In 1000 amps $24060 Other 7 u Over 1000 imps or volts — $45465 2 --- ----- Reconnect only -- $66 85 — ---- Terlporary Services or Jeeders TYPE OF WORK INVOLVED -COMp,1ERCIAL ONLY In,i.nation,alteration,u,relocation 200 amps ni less $66.85 r see for each system......................................................... $75.00 701 amps In 400 amps $100.30 _ (SEE-E OAR 918-260-260) 401 amps to 600 amps — ',Q3,5 — —` _ 2 Over 600 amps to 1000 volts, Check ype of Work involved sec"b"above. CJ Audio and Stereo Systems Branch Circuits New,alteration ur extensior per panel Boller Controls a)The lee for hi inch circuits fled purehas•of s@rvic@ or feeder fee. Clock Systems Each branch ciri:0 $6.65 1 b)1 he lee lot branch circuits F-1 Data Teiecummunication Installation wifhouf purchase of service or/ceder fee. l� Fire Alarm Installation I irst branch circuli I $46.65 0160-'86 Each additional hrar,c h circwt _( — $6.65 HVAC Miscellaneous (Servk;e or feeder not includes" Instrumentation Lach pump or irrigation circle $5340 _ tach sign or outline lighting $53.40 Intercom and Paging Systems Signal circuits)o a limited energy panel,alb- atlnn or extension $1 Minor labels(10) $12500 Landscape Irrigation Control' �.. Each additional inspection over CJ Medical the allowable in any of the a., we Per rrspechon $62.50 Per hour _ __— $62.50 Nurse Calls In Plant $73 75 r Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ 8%State Surcharqe $ �I Other---- -------- ---- --number of Systems 25'/.Flan Review fee See'Plan Review sect on on $ Imn1 of appb aUon ' No ocenses are required Licenses are required for i I other installations Total Balance Die I Fees: — 1 -� I Enter total of abov a gees $ - U Trust Account p --_-_ J — _- 8%State Surcharge = Total Balance Due $—— i\dst-\fomuklC-fees.doc 10/09/00 CITY OF TIG ARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _--___--Date Requested /Z- ZJ _-_ vAM PM BUP --- — - B L D location-�Z- ZY ,5+✓ ,��,,, ,� � & /� '10_ Suite —Poo MEC _ Contact Person Ph PL IA 3 G- y/ S;2-- h7 Contractor _ --_ Ph —i SWR _ BUILDING Tenant/Owner — ELC — — — Retaining Wall - - Footing ELR Foundation Access: _ _- �------- — Ftg Drain �. FPS __---,__-- Crawl Drain Inspection Notes: ) SGN Slab Post R Beam ---- `-"- — ---�= -- SIT Ext Sheath/Shear - — ------ Int Sheath/Shear __ Framing -—____-- Insulation - -- -- --_--____-_-_-__---------.- rrry sail Nailing Firewall - -- - -------------------__ ___ -__ Fire Sprinkler Fire Alarm -- -- -- ---------_�__�__. Susp'd Ceiling Roo! ---------- _ _- --- ----------- -- ----- Misc: Final PAS-:' PART FAIL rust& Beam -- - -- Ulid,-F Slat) Tr'p Out - -- --- ------ —.. Water Service .---- - -.--_._ ----_--_—_-� ';anitary Sewer Rain Drains �n --. - ---- - S PART FAIL --------- --------- -----MMAAWA _-- --- Post& Beare - - - ----....-- -- Rough In �—------ ------ - - - - Gas Line Smoke Dampers - -~ ----- — Final PASS PART FAIL — __--- ELECTRICAL -- -_.- - _ `— ---_--- Service Rough In --- - - - -� -- --- - - (IO/Slab Low Volta,re - - - - Fire Alarm Final - --_._ -- —.--__._- ---— ----------- -- PASS PART FAIL Backfill/Grading --- ------ Sanitary Sewer — - Storm Drain ) Reinspection fee of$ -required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line f I I'leasr. call fcx ernspectn. 1 I.F [ J Un-ible to inspect-no access ADA Approach/Sidewalk `J r ' Other Y Date Final ;w ,---- - lnspeCtor_ Ext PASS PART FAIL 170 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- Blj ' — ---- - )ate Requested 1 ' Z Z -_�" r —AM_ --PM _ BLD ----- --- Location C' ? � -5 �: ��v�1..f — Suite I'c MEC A—� - f-- — -- — Contact Person _ Ph �� ,'a� 1 PLM Contractor �;-t c„ ,Ph `l L: ' �' 7 _— SWR — BUILDING ------- Tenant/Owner -C_�� / R / Lj r (�.r ,_-� — ELG �,w�' -c•� J�'`�' ROaming Wali 1,15A -Sr, h( ELIR Fooling Access: Foundation FPS Fig Drain ---- SGN - --- Crawl Drain Inspection Notes -- -- — Slab SIT Post& Beam -- ---- - -_------ -- Ext She-ith/Shear Int Sheath/Shear — - -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: - - --- ----- -.. Find ------------ PASS PART FAIL PLUMBING Post&Beam ---- -- --- — Under Slab .i op Out - --- - Water 7-ervice Sanitary Sewer -- - - --- �� Rain Drains Final __--- ---- -- ----- -- PASS PART FAIL MECHANICAL --- - --___,_ _ -- Post& Beam ----...---------- Rough In Gas Line --- ----- - - - -------- - Smoke Dampers Final ----- - -_ - --- --------- ----- PAS PART FAIL Service - Rough In UG/Slab Low Voltage ___----------...`----- ---------• --�— FireAlKm 66grik AS 3 PART FAIL ---- -- -- _------ ----- ------- ------ Backf:!I/Grading -- -- ------ ----- — - -..—. —_-_ Sanitary Sewer Storm Drain ( J Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire St,pp!y Line [ )Please call for reinspE^tion RE:— [ Unable to inspect- no access ADA Approach/Sidewalk / - ! Other Date _�C__1 Inspector pe Or Ext _ -�-f-! - —- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF T I GA►R D -. BUILDING PERMIT PERMIT#: BUP2001-00020 DEVELOPMENT SERVICES DATE ISSUED. 1/18/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00103 S;T2 ADDRESS: 07228 SW DURHAM RD 0800 SUBDIVISION: PACTRUST ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL_ CONSTRUCTION'__ Cl ASS OF WORK: ALT FIRST: sf N: S�� E: W: TYPE OF USE: COM SECOND: sf PROJECT_ OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL_AREA- 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: ,.TOR: HT: ft GARAGE: sf OCCU SEP. RATED: B,c,MT'?: MEZZ?: _ READ SETBACKS _ REQUIRED FLOOR LOAD: psi LETT. ft RGHT: �ft FiR SPK_ --SMOK DET: DWELLING UNITS: c�RNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURrACE: PRO CORR: PARKING: VALUE: $ 6,400.00 Rem,:-ks: Commercial TI. No Chnage in Occupant Load - Adding ADA Bathroom Owner: Contractor: PACTRUST MARK HEMMINGSON CONSTRUCTION 15350 SW SEQUOIA PKWY 6775 SkN 111TH AVE, SUITE 200 #3C9 PO BOX 1552 P��J-n-e D. OR 97224 B` ,VERTP�, �R5$971175 ne: Phone: Reg #: LIC 110660 _FEES _REQUIRED INSPECTIONS _ T pe B Date Amount Receipt Mechanical P i ' Y Y pPermit Require PRMT CTR — 1/16/01 $110.50 27200100000 Electrical Permit Required Sprinkler Permit Required 5PCT 7-1'R 1/161101 $8.84 27200100000 Plumbing Permit Required PLCK CTR 1/16/01 $71.83 27200100000 Framing Insp FIRE CTR 1116/01 $44.20 27200100000 GYP Board Insp T — Final Inspection Total $235.37 This permit is issued subjFct to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other appl.cable !aw. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon (iti!ity Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-001-1987. You may obtain a copy of hese rules or direct questions to OUNC by calling (503) 246-1987 Pennitee 1 Signature: J ��t✓1-CZ _ — Call 639-4175 by 7 p.m. fog an inspection the next business day Building PerngtA►.pplicadon Daterecrived: '/'" / Permitn hQ _ % ' ,n t •`� City of Tigard - -- rf Address: 13125 SW Ball Blvd,Tigard.OR 97223 Prvlcxt/appl.no.: Ecpirsdau: • CiryofTrgnrd — Phone: (503) 639-1171 Date:issued: BY- % e I Rmeipt no.: Fax: (503) 598-1960 Case file no.: Payment type: * L1nd use approval: _ 1&2 family:Simple complex: 1 ❑ 1 &2 family dwell-ug or accessory Q Cpmmerrial/industnal 0 Multi-Family 0 Ne•i construction ❑Demolition 0 Addition/alterationtreplacement �aTenam improvement Cl Fuc sptinkleda lawn U Other. M1111111161 1321 1 — Job address: _2 2 5tnl �.uv, =_ 8LZ? Bldg.no.: C7 I� Strife no.: fir =? l.at Black Strtrdiviston: - Tax.m tp/tax lot/account no.. '— Project name: S ,2G. c T t L/ e< < [ O _ Description and Ion of work on p'terttiseslsptecial wnditioru _ GF Ol t� �2G LZ 6.0 (o /L ,r Nom'"_PacTt'ust Ivlaulrngaddress: 15350 S.W. Sequoia Pkw . #300 t&Zfamily dwPwng: City: Portland 9=: OR x-97 34 Valuation of wnrk.................................. .... S— Phone503/624-63001Fax624-7755 Owner's repreesea)tanve:Denni P ill _ Tot.-d uumbecof floors _ Phone: Same Fax: $ E-mail: New dwelling ir*.a(sq.ff.) .......................... _ Garage/carport area(sq. ft)......................... Name: P a c T rust Coveted porch area(sq. ft) ........................ Mailing address: 15350 S,W_ r Deck area(sq. ft) ................................. .... _ City: Portland State: , Ocher structure area(sq. ft.)......................... Phon8_-'03 624—()300 Fax,5 E-mail: Commerciaifindustrial;multi-family: - 1 Valuation of work........................................ Existing bldg.are: (sq. ft) ........:....».»....... Business name. f•feA,w, __.-- <�__�AYLS fi�E - �n� New bldg.area(sq.ft.) t,i�.. -- Number of stories . __- eityState: �zlPP: »................ „.... -- h ��. Phan - Typeafconsttvctian.........»........:..` X03 Fax,Sa . l E-mail: 1� CCB no.: / Occupancy group(s): Existing: New: Cityhnetry lic.no.: — INodci--;311 contractors and subcontractors arc required to be r heensed with the Oregon Construction Contractors Board under Name: Marti n• Hanson provisions of ORS 701 and may be enquired to be licensed in the -kddMS:15350 S Wqunian , jurisdiction where work is being perfonaed. If the applicant is roti: ?Or*.1 end Stare:l)Rkwv ~ �'97' 'Q exempt from li.:ensing,the following reason applies: Cjntact personf4art'n Hanson I Plan no.. -- Phon W36 Fax: q_7 7r r1 E-mail: - a t a t as Name: Conuct person: Fees due upon application ............... :address: Date received: City: State: ZIP• _ Amount received .................. ... Phone- Fax: E-marl: Please refer to fee schedule. i hereby certify I have read and examined this application and the vr»W ii,+,«n wDIx„eo;,cwdL a ou jWt MWM!a„wm,nICW;M attached checklist. All provisions of laws and ordinacces governing dns ❑visa 13 MasieK:jrd work will l--complied w,rl whe er specified herein or not. Cmdir mrd hamper. .app ALILhonzed -.ig lantre:. 1t'/t�1- -� Date: V.roe(.;yraeoider u.bow„ua a"WI cams Print name:-_ , l I at.r- I — _ a as _ � i�rdtwldgw�ue �moum Nonce: This permit applicatdon expires if a permit is not abuuned within 180 days after it ha::been acoepted as Complete. 4*•-+613(MXWOM) 3S, SEE 35MM ROLA,# 22 FOR LARGE DOCUMENT CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00013 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/16/01 SITE ADDRESS; 07228 SV`J DURHAM RD 0800 PARCEL: 2S 113AC-00103 SUBDIVISION: PA.CTRUST ZONING: I-P BLOCK: LOT: JURISDICTION: TIG TENANT NAME: NW ROLLER USA NO: FIXTURE UNITS: 10 GLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer permit for commercial TI. Previous EDU was 3 for a fixture count of 48, plus 10 new fixtuif count, for.j total of 58 fixtures or 3.6 EDU, for an increase of .6 EDU Owner: - -- FEES PACTRUST Type By Date Amount Receipt 15350 SW SEQUOIA PKWY _ _ #300 PRMT CTR 1/16/01 $1,380.00 27200100000 PORTLAND, OR 57224 Total $1,380.00 Phone: - -- — Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and reaulatio is of the Unified Sewage Agency The permit expires 1 f'0 days from the date issued The total amount paid will be f;)rfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If riot so located. the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION OrFgon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 1-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: _ '� T.�i =`�_ Permittee Signature: �',��G%Z 0-,- Call (503) 639-4175 by 7:00 rl.M. for an inspection needed the next busin s day Accumulative Sewer Tally Tenant Name: A/kJ 24c e-E'er This SWR# W1- e00 4 `.ldress:_2,9 .2, SSW Z u2,66q^/ O _ This PLM# F:.tare Value Previous PreviousCredits Capped r ixlures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font — ^— 4 Bath-Tub/Shower 4 -Jacuzzi/Whirlpool 4 _ Car Wash -Each Stall _ 6 _ Drive Through 16 _ CuspidorM/at:i Aspirator 1 Dishwasher-Commercial 4 _ Domestic _2 Drinking Fountain _ 1 Eye Wash 1 -- Floor Drain/sink 2 inch 2 _ — — 3 inch 5 4 inch 6 Car Wash Dnp Garbage Disposal 16 _ Domestic(to 3/4 HP)_ _ - Commercial (to 5 HP) 32 Industrial(over 5 HP) 48 _ Ice Machine/Refrigerator Drains _1_ -- _— — Oil Sep(Gas Station) 6 Rec. Vehicle Dump Station 16 _ Shower- Gang (Per Head) _ 1 _ - Stall 2 Sisk- Bar/Lavatory 2 Bradley 5 Commercial 3 _ Service 3 Swimming Pool Filter 1 _— _Washer-Clothes 6 Water Extractor _ 6 _Water Closet - Toilet —_ 6 Urinal 6 lJ TOTALS Total fixture values. s� divided by 16 = _ �0 3 EDU HISTORY P_LM# _ EDU_# _ SWR# _ _PLM# _ EDU# SWR# PI-M# _EDU#_ ! S_W_R# PLM# EDU#_ ^ SWR# PLM# EDI.!# SWR# PLM# _ _EDU# _ SWR# ^ PLM# _ECU# SWR# PLM# EUI# SWR# i�dsts\swrtay doc L� Plumbing Permit Application City of Tigard Date received: Permit no.:Address: 13125 SW Hall Blvd, Tigard,OR 97223 Sewer permit no.: Building_ permitno.: City of I igard Phone: (503) 6394171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: + 1111UMI Will U I Rt 2 family dwelling or accessory bdComnlercial/industii.il U Multi-faini'y i2FTenanl improvement U New consuoction U ndtlitiun/alter;u+onhrld:icctncnt U Food service U Other: Job address: %rJ „;p-/ ��rr/�f1� Dew•ri c!^^ (Ay. Fee(ea.) Total Bldg.no.: '1 - - - New I-and 2-fandl)dwellings only: Suiteno.: _ (includes 100It.for each utility connection) Tax map/tax lot/account no.: 2 S// !f)� _ �QSFR(1)bath lot: Block: Subdivisio r: SFR(2)bath -- — — T--- Project name: 4/14J /:dL, _ — SFR(3)bath — - City/county: I ZIP: Each additional hatli/kitchen - - Description and location of work on premises:_ Siteutilities: Catch hasin/area drain Est.date of completionhnsNvction: - Drywells/leach line/trench drain - Footing drain(no.lin.ft.) -- -- Manufactured home utilities Business name: _ Manholes —` Aciciress: _ _ _ Rain drain connector -- - City: Stttte: 7.IP: Sanitary sewer(no.lin. ft.)_ ---- Phone: Fax: E-mail: Storm sewer(no.lin. t.) - CCB no.: Plumb.hits.reg.no: - -- Water service(no.lin.ft.) City/metro lic.no.: --- —� Fixture or Item: -- Absorption valve Contractor's representative signature: Back flow prr..venter __— Print name: — Date: Backwater valve - Basm%/lavatory _ _ L / G d ' 4;0 Name: Clothes washer Address: — Dishwasher Drinking fountain(s) _ City: Y State: ZIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Name(pant): Floor drains/floor sinks huh / G • /L• 0 _Mailing_address: _ Garbage disposal City: _ State: _ ZIF'_ Hose bibb -_ Ice n.aker -- Phone: Fax: E-mail: Interceptor/grease trap__ _ Owner instal lationh esidential maintenance only: lice ac!ual installation Primer(s)- /G .G p /G•t:•o will he made by ine or the maintenance and repair made by my regular Roof drtin(commercial)_ _ employee an the property I own as per ORS Chapter 447. Sink(s),basin(s),lays_(s) Owner's signature:_ Dale: Sum Tubs/showcr/shower pan Urinal _ Name: _ _ Water closet Address: Water heater -- — _ City: _ State: "Lie: — Phone: -- —- - Fax: G-mail: ToM 3. Now all jurisdiction%accept credit cards,please cell jurisdiction fa mac information. Notice:flus permit application Minimum fee................$ U Visa U MasterCard Plan review(at __ %) $ , '' expires if a permit is not obtained Credit card number: _ — �_ within 180 days after it has keen State surcharge(8%)....$ Expires TOTAL $ -` --- ecce ted as com Ic:c ..••...•..•.....•...... Name of anlrolder u shown err credit cid p p _ _S l ^-- Cardho:der sipatme v Amami 4(14616(WWOM) PLUMBING PERMIT FEES: PRICE TOTAL Now 1 and 24amily dwellings only: FIXTURES (Individual) QTY es AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory16.60 , for each utilityco_nne_c_tion) - _ ��- t� One 1 bath $249.20 _ Tub or Tub/Shower Comb. 16.60 Two 2 bath _ $350.00 ower Onl _ Shy 16.60 Threes ba'h _ $399.00 Water Closet - - 1660 it , ,^ - _S_UBTOTAL -- Urinal 16 60 K%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%C. 3uBTOTAL _ Garbage Disposal — 16.60 TOTAL Laundry Tray 16.60 - Washing Machine 1660 FlrZr Drain/Floor Sink 2" 16.60 a" 16.60 s``" ' PLEASE COMPLETE: 4" 16.60 Water Heater 0 conversion O like kind 16.60 Quantit h Work Performed Gas piping requires a separate mechanical n Fixture Type: New Moved Replaced Removed/ ed permit — __ MFG Home New Water Service 46.40 Sink __- MFG Home New San/Storm Sewer 46.40 Lava l-)rry -- Tub or Tub/Shower Hose Bibs 16.60_ Combination Roof Drains 1660 Shower Only Drinking Fountain 16.60 Water Closet- Other Fixtures(Specify) 16 60 Urinal _ �� c.n Dishwasher _ _ Garbage Disposal -- — Laund Room Tray WashingMachine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3" Sewer-each additional 100' 46.40 4" Water Service- 1 st 100' 55.00 Water Heater_ _ - Water Service-each additional 200' 48.40 Other Fixtures _ (Specify) _ Storm&Rain Drain-1st 100' 55.00 _ Storm 8 Rain_Drain_.each additlonai 100' 4640 — Commercial Back Flow Prevention DcvK1F! 46.40 --- - — -- Residential Backflow Prevention Device' 27.55 -- -- — -- Catrh 16.60 -- — Inspection of Existing Plumbing or Specially 72.50 Requested Inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 -- - QUANTITY TOTA 1 _ _ Isometric or riser diagram is re Vired if - Quantit Ty_otal is >9 __ ----- --- --- - - *SUBTOTAL l�; --- - --- 8%STATE SURCHARGE -- -- — "PL.AN REVIEW 25016 OF SUBTOTAL Ro_c3wreA orrlY d fixtum total is 1 9 - TOTAL a�� Minimum permit tee is$,2 50•B%state surcharge.except Residential Backflow Prevention Device.which is$3(t 25•B%state surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan review i:\dsts\foTns\plm-fees.doc 10/10/01) CITY OF T I G A R DELECTRICAL PERMIT PERMIT M ELC2001-00066 DEVELOPMENT SE".VICES DATE ISSUED: 1/29/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00103 SITE ADDRESS: 07228 SW DURHAM RD 0800 SUBDIVISION: PACTRUST ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of one branch circuit in bathroom. ----.-RESIDENTIAL. UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp- SIGN/OUT LINE LTG: LIMITED ENERGY: 491 600 amp- SIGNAL/PANEL: MANF 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: 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: PACTRUST JC ELECTRIC INC 15350 SW SEQUOIA PKWY 118 NW 184TH STREET #300 RIDGEFIELD, WA 98647 PORTLAND, OR 9722.4 Phone: Phc;ie: 360-887-7889 SUP 4289S ELE 3Y-724C LIC 118452 FEES _ Required Inspections Type By Date Amount Receipt_ Wali Cover PRMT CTR 1/29/01 $46 85 27200100001 Elect'I Final 5PCT CTR 1/29101 $3.7 2720010000( Total $50.60 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 notstafted within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law rr ites you to follow ro's adopted by thL* regon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thrnugh OA'952-00 V80 You may obtaO copies of these rules o irect questions to OUNC at(503) 246-1987 / PERMITTEE'S SIGNATURE i I�SUED BY: ' OWNER INSTALLATION ONLY 1 he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __. _ _-- DATE:-- CONTP,XCTORZLATION ONLY SIGNATUi7E OF SUPF2. LEC'N: !�� - � ____—__-- DATE:_ LICENSE NO: - `�� y5 �i Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application — �— Date received: "-;l�j-G� Permit no.: City Of 'Tigard Project/appi.no.: Expire date: City rr/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 Date issued: By: Receiptno.: Phone: (503) 639-4171 — - -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _- ❑ 1 &2 family dv'eiling or accessory )Commeictul'iudu,trial U Multi-family U"Tenant improvement U New construction U Addition/alteration/replacement U Other:_ U Partial 11 1oh address: 7 �L�LK, Ill if n.. (') Suite no.. Tax map/trx lot/account no.: _ Lot: _ Block: Subdi�.sion: _— Project name: Description and location of work on remises: -T t"ALL Q �t� 1 p F�limated date of completion/inspection: Job no: fee Ma. Business nature: E -- - - _DmIrriptimi v_ Qty. tea,) Total no.insp New residential single ormultl-fandhper AddTss: , e L_ dwelling unit.Inchudesstfactavtgarage. City; p State: ZIP: Service Included: _ a Phone:� p�1. Pax: E-mail: axl sd1 ft.or lesti�7 55�, mail: — -- --- — - --_. Each additional 500 sqft.or portion thereof CCB no.: Elec.bus. tic.no: 3 - Limited energy,residential 2 Cityhriia ic.no.: Limitedenergy,non residential _ _ -_2 v_ 7 Each manufactured home or modular dwelling Signet g electrician(required) Date Service and/or feeder Su lect nante(print): r Licenseno: 2. P Services or feederInstallrtion, alteration or relocation: 200 amps or less 2 Name(print): 20 i amps to 400 amps - 22 - 401 amps to 600 snips Mailing address. 601 amps to Itx]0 crop!. City: State: ZIP: Over'000 amps or volts - Phone: Fax: E-mail: Reco erect only -1 owner installation:The instailation is heing made on property I own Temporary services orfreden- 4 which is not intended for sale,lease,rent,or exchange according to Installallon,alteration,orrelocation: URS 447,455,479,670,701. 200 amps or less 2 201 ar.ips to 400 amps 2 Owner's si nature; _ Date: 401 to eat amps _ Branch circulb-new,alteratlon, or extet,sion per panel: Name: A Fee foi branch circuits with purchase of Address: service or fa-der fee,each branch circuit 2 City: Slate: ZIP B. Fee for branch circuits without purchase Phony F moil: of service or feeder fee,first branch circuit 2 I ar Each additional branch circuit: Mise.(Service or feeder not Included): OService over 225amps-commercial UHealth-care facility Each pump or irrigation circle -_ 2 U Service over 320 amps-rating of!&2 U Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,0(10 square feet four or Signal circuit(s)or a limited energy panel. 0 System over 600 volts nominal mote residential units in one structure alteration.or extension* _ '- U Building over three stories LI Feeders.400 amps or more 'Description U Occupant load over 91 persons U Manufactured structures or RV park F,ch additional Inspection.Icer the allowable In any of the above: U Egressnightingplan U Other —.-- Pct inspection Subuti t—_-sets orplaw"itb any of the above. Investigation fee The above are not applicable to tempoira"cosiallmd1on KiAce. Other Not all jurisdictions accept crank cards,please call)uridiction for more inforrrmtion. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit isnot obtained Plan review(at — %) $ _ Credit card number _ within 180 days after it has been State surcharge(8"-1 ....$ Expires accepted as complete. TOTAL . ...... ... . ...$ Name of ctualhoklet as shown on credit card _ S _ Cardholder signature- -- Amount 4404615,,100K'OM) l� Electrical Permit Fees: Limited Energy Fees: Com tete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee....................................... .............. $75.00 Number of Inspections per permit allowed (FOR ALL SYoTEMS) Sgrvice included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq it or puna,n thereof — $33.40 t ❑ Burglar Alarm Limited Energy _ $7500 Each Manufd Home or Modular Dwelling Service or Feeder $9090 _ ❑ Garage Door Opener' Services or Fef dens ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 _ 2 1 201 amps to 400 amps $106 85 _-A 2 LJ Vacuum Systems* 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240 60 2 ❑ Other.r... Over 1000 amps of volts -_v $45465 2 Reconnect only $66,85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................... ._............................ $7500 200 amps or'-aa $66,85 2 (SEE OAR 918-260-260) 201 amps to/30 amps $10030 _ 2 401 amps to 600 amps $133.75 ^� 2 Check Type of Wor'<Involved: Over 600 amps to 1000 volts, see"b"above ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel E] Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 _—� ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service �l Fire Alarm Installation or feeder fee. First bramh circuit $46.85 ❑ Each additional branch circuit $6.65 I HVAC Miscellansods ❑ Instrumentation t,+ervice cr feeder not Included) E.:ch pump or irrigation circle $53.40 __ Ead gn or outline lighting $53.40— _ ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over F-1 Medica! the allowable in any of the above ❑ Per Inspection _ $62.50 Nurse Calls Per hour _ $62.50 _ In Plant _ _ $73 7� T ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ - - ___Number of Systems 25%Plan Review Fee See'Plan Review'section on $ f No licenses are required Licenses are required for all other installations front of application - — Fees: Total Balance Due $ ----�— Enter total of above tees R_ ❑ Trust Account a_ _ 6%State Surcharge Total Balance Due $ i Asts',lorrnsklc-lees.doc 10/09/00 CITY OF TIGARD BUILDINC INSPECTION DIVISION MST 24 Hour Inspection Line: 639-4175 Business '-ine: 639-4171 ----- -- BIJP Date Requested "� _AM_-- PM BLD - 1 ocation-_1Z L b' > C� G�� I !� �'c-+�'� Su;te 8'p('U MEG _ - ---- Contact Person _ G'I n Ph �i6apLM Contractor �.� 'f ar r� Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall _ ELR Footing Access: Foundation FPS Fig Drain -- Crawl Drain Inspection Notes: SGN _ Slab At Post& Eeam - .___-- -- -'--------,--- SIT — - Ext Sheath/Shear Int Sheath/Shear `— Framing ------- - - _—_Insulation Drywall — — `- Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm ��- Susp'd Ceiling Roof - ---- — -- ---- Misc -- --- - - - - ---- Final �- _ --- ------ ---- PASS PART FAIL --- PLUMBING V — — Post&Beam — --- -"-- - --- Under Slab Top Out -- -- --------- —_ _� Water ServiceSanitary Sewer Sewer --_-- Rain Drains Final -- - - PASS PART FAIL MECHANICAL Post& Beam --_. _ -- ---__-----`__--- -- Rough In GasLina - --- - ---_w.--------- --__ _ Smoke Dampeis Final PASS PART FAIL Service Rough In _-------- ------ - - ---- ------ IJG/Slab Low Voltage - - - _----�- -- - - _FMqlann 9PASS PAR'r FAIL T Backfill/Grading _ -- --- ---- - —-- _ Sanitary Sewer Storm Drain [ j Reinspection fee of 5 -_-required before ne,t wspe-tion Pay at City Hall, 13125 SW Hall Blvd Catch Basin - ,r Fire Supply Line ( )Please call for reinspection RE:- /_ ( )Unable to inspect-no access ADA Approach/Sidewalk Other Date - Inspector / �C-�-_ ^Ext 'sinal —� - / PASS PART FAIL DO NOT QF..MOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ ) 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - --- Dale Requested BUR )� —AM PM BLD — Location C� ZZ Sc✓ o�v'.�� Suite & MEG Contact Person — _ _ Ph �� PLMu Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELIR Footing Access _ Fnundation FPS F-Ig Drain SGN ---- Crawl Drain Inspection Notes: -- Slab SIT Post& Beam - -- - --- - Ext Sheath/Shear Int Sheath/Shear - T Framing - - __-- Insulation --- -- ---- ---- Dr,wall Nailing Firewall Fire Sprinkler ,------- Fire Alarm -� Susp'd Ceiling Z Roof _.- IMisc ----- � ''ASS PART FAIL. — LU _ st& Beam I —_-_— --- --- --------_.- Under Slab Top Out - — Water Service Sanitary Sewer - — — -- V--`--- in Drains A - PART FAIL MIMHANICAL - Post& Beam - - -- --- Rough In — Gas Line - - ---- - --- Smoke Dampers Final - -- . --- - -- PASS PART FAIL ELECTRICAL -- Servica RoughIn ----------- ----- ------------------ --------- UG/Slak Low Vol'age Fire Alai n Fmal PASS PART FAIL SITE - - ---— ---- -� _- ----- Backfill/Grading -- -- --- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reins Fire Supply Line [ ] pection RE: [ j linable to inspect -no access ADA Approach/Sidewalk / } Other Date ,—� I _ i L_Inspector _y� _ 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: 639-4175 Business Line: 639-4171 MST _�— [iUP _ _-- Date Requested. Z `��7 AM PM _ Location .� z 7 �C+y`i`,�-- Suite ��y MECO Contact Person Ph S/ 9 -�� `L__ —_ PLM Contractor - Ph SWR r BaIILQING- Tenant/Owner ELC Retaining Wall ELR _ --- Footing Access: Foundation FPS Ftg Drain - --- Crawl Drain Inspection Notes: SGN Slab Post& Beam - -- -- SIT ----- - -- Ext Sheath/Shear Int Sheath/Shear Framing - insulation -------- Drywall Nailing Firewall -- --- - -- -- Fire Sprinkler - ---_ , Fire Alarm Susp'd Ceiling Roof — Misc! -- - Final --_---- —PASS PART PART FAIL. PLUMBING - Post& Beam --- — — Unt.'Pr Slab Top Out --- --�e- — ------ Water Service Sanitary Sewer ----- Rain Drains Final - - - - --- - ---�- — -- PASS PART FAIL oq& Beam - -- -- Rough In .�-,,., ----__------------- --- Gas LineSm" --- e Dampers PART FAIL --• ---------_--' ffECTkICTL - i Service Rough In - -- - - --,_— - - UG/Slab Low oltage -- Fire Alarm Final I ---- - —� PASS FART FAIL SITE --------------- .- --- Backfill/Grading - -- ---- Sanitary Sewer — Storm Drain [ ] Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE [ ]Unable to inspect- no access ADA Approach/Sidewalk Other Date ' `"� \� ` Inspector C _ Ext _ Final PASS PART - FAIL DO NOT REMOVE this inspection record from the joh site. CITYOF TI CSA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00056 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/14/01 PARCEL: 2S•113AC-00103 SITE ADDRESS: 07228 SW DURHAM RD 0800 SUBDIVISION: PACTRUST ZONING: I-F BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 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 DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING _UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHFR UNITS: > 10000 cfm: GAS k-JTLETS: Remarks: Tenant ImprDvement - Install exhaust fan in ADA bathroom, located in shop area. Owner: FEES PACTRUST Type r.y Date Amount Receipt 15350 SW SEQUOIA PKWY PRMT CTR 2/14/01 $72.50 272001000C #300 5PCT CTR 2/14/01 $5.80 272001000C PORTLAND, OR 97224 Total $78.30 Phone: _._ •_•— _-- Contractor: CASCADE MECHANICAL SYSTEMS INC 275 SE 4TH AVENUE PO BOX 399 _ REQUIRED INSPECTIONS ESTACADA, OR 97023 -_--� Mechanical Insp Phone:503-630-4492 Final inspection Reg #: LIC 127012 i I This permit is issued subject to the regulations cor.:ained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordan��-� with approved plans. This permit will expiry if work is not started within 180 days of issuance. or if work is suspender~ :r more than 180 days. ATTENTION: Cron law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to 1XINC by calling (50:1)246-9189. Issue By: Perrnittep Signature: Call (5 ► 639-4175 by 7:00 P.M. for inspections needed the next,business day Mechanical Permit Application —�` -- Datereceived: Permit nn. - City Of Tigard ProjecUappl.no.: Expire date: l'ItVofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 1 -- Phone: (503) 639-4171 Date issued: By: no._ Fax: (503) 598-1960 �,,U) 4 A) Lew Case file no.: Payment type: Land use approval: f Fu ilding permit no.: U I &2 family dwelling or accessory /15-f-ommerciaVindustrial U Multi-family U Tenant improvement U New construction U A(Idition/alteration/repl;icemenl U()Ther: _ VALUATION Joh address: 7 Z Z 2, 00 Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,ow-Aicad, Tax map/tax lot/account no.: profit.Value$ lot: Block: Subdivision: _ *See checklist for important application information and Project name: of ) — iurkdiclion's fee schedule for residential permit fcv, City/county: I ZIP: t ---- t ascription and location of work o(Apre ises: /q 2g 0 1'er(ea.) Total Est.date of complelirnhnspcction: C.&U-0t, Dv%cription (py. Res.onh Res.only Tenant improvement or change of use: Air hanrJling unit CFM Is existing space heated or conditioned?0 Yes U No Air con ition�ing(site plan required) _ _ Is existing space iir nlaled?0 Yes U No Alteration of existing IIAC system MECHANICAL CONIRACII-014 oiler compressors - Businr,Fs name: State boiler permit no.: HP Tons BTU/H Address: e- hip smoke dampers/duct smoke detectors City: I State: , C, ZIP. ;)ez - eat pump(site plan require ) _ Phone , Fax: /�jp S'st E-mail: n7sta7rtp ace furnace/burner Includ,ng duciwork/vent liner U Yes U No CCB no.: �^ I �Q� InstnflTreplac re oca(e eaters-suspended, City/inetro lie.no.: C t)C (r wall,or flog mounted Name(please print): ,v, Vent for l lance other an furnace e gest : Absorption units-.------. BTU/11 Name: Chillers HP Address: - Com ressors HP - -- Enviromental Environmentalexhaust and rent at on: Oily_ State: ZIP__ Appliancevent Phone: I a 1: limil Dryerexhaust tHoods, ype I r'TTTTes�citcTie h - hood fire suppression system 0il _LI'(; N(7'Type.. Name: Exhaust fan with single duct(hath fans) _ Mailing address: x gusts stem apart from heatin or C City: State: !I!' ue p p ng an sr Won up to outlets) Phonle: ---- rax: -- -- I mai! - - —„ Fuel pivinjit each additional over 4 outlets rocess PI P1 ng(sc emauc require ) Name: Number of ouflets _ ------- ------ - I erRi appliance or equpment: Address: Decorative fireplace City: -___---� State: L(P: _--_- nsen-t)ke -- - - Phone: Fax: E-mail: Woods(ove/pellet stove Applicant's signature: Date: (Xher: ter: Noi all jurisdictions accept credit cards,please call imiWiction for more Information —i --t ermit fee.....................$ U Visa U Ma t_-Whid Notice:i leis permpertnit i application Minimum fee................$ expires If a permit is not obtained Credit card mnnher / / Plan review(Al __ %) $ - --- -- —"'- Expires within 180 days after it has been State surcharge(8%) ....$ _ Name of cardholder n shown on credit card -- accepted as complete. _ s TOTAL. .......................$ `j !L 3 U Cardholder signature — — Amount—_ 440.1617(ISWCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLINr, FEE SCHEDULE: TOTAL VALUATION: FEE: Dmcription: Price Total $1.00 to$5!000.00 _ Minimum fee$72.50 Ttible 1A Mechanical Code_ Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 11 Furnace tis&vents 14.00 0 BTU _ - $1.52 for each additional$100.00 o; Including ducts d fraction thereof,to and Including 2) Fumace 100,000 BTU+ $10,000.00, Including ducts&vents _ 17.40 -_ $10,001.00 to$25,000.00 $148.50 for the first$1U,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent - 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00' or floor mounted heater 1400 $25,001.00 to$50,000.00 $379.50 for tho first$25,000.00 and 5) Vent not inLluded In appliance permit $1.45 for each additional$100.00 or _ 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 1215 - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump I Cond _ fraction thereof. footnotes below. Comp* - 7)<3HP;absorb unit ASSUMED VALUATIONS FIER APPLIANCE: v to 100K BTU - 14.00 T Value Total 8)3-15 HP;absorb unit 100k to 500k BTU _ _ 25.60 _ Descri tion: Ot Ea Amount 9)15.30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU Incl iding 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor fumace Including vent 955 unit,1.75 mil BTU 1 1.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ 10.00 Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+ permit - 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 _ _ 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00 mil.BTU ---- 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 1000 1-1.75 mil,ATI.1 - - >50 hp;absorb..init, 5,725 18)Domestic Incinerators 17.40 >1.75 mil.BTU 19)Commercial or Industria(type Incinerator Air handling unit to 10,000 cfm 658 69.95 Air ha,idling unit>1U,000 cfm 1,170 20)Other unIL4,including wood stoves - Non-portable evaporate cooler 656 1000 Vetit fan connected to a single duct 446 21)Cas piping one to four outlets Vent system not Included If, 656 _ 5.40 appliance permit 22)More than 4-per outlet(each) _ Hood served by mechanical exhaust 656 1 00 _ Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL. $ Commerclam or industrial incinerator 4,590 _ Other unit,Including wood stoves, 656 - - 8%State Surcharge $ Inserts,etc. Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: - -- i-- - �_----- ojher n long and Fees: 1 Inspectio,,s outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) $72 50 per hour 1 Additional plan review reyuiied by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 Wr hour 'State Contractor Boller Certification required for units>200k BTU. "Residential AIC requires site plan showing placement of unit. I\dsts\forrns\rnech-fees.doc 10/11100 cu ry OF T I G A R D BUILDING PERMIT PERMIT#: BUP2000-00440 DEVELOPMENT SERVICES DATE ISSUED: 3/7/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171. PARCEL: 2S113AC 00103 SITE ADDRESS: 07228 SW DURHAM RLQ 0800 SUBDIVISION: PACTRUST ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR_W_ ALL CONSTRUCTION I CLASS OF WORK: FPS FIRST: sf N: v^ S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf Id: AS: E W: OCCUPANCY GRP: TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED• BSMI?: MEZZ?: REQD SETBACKS _ _ _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR !§PKL: SMOK DET: W DWELLING UNITS: FRNT: fit REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,020.00 Remarks: 8 new heads Owner: Contractor: - PACTRUST FIRESTOP CO 1F'j0 SW SEQUOIA PKWY 9384 SW TIGARD ST #300 FiGARD, OR 97223 P- PojLAND, OR 97224 Phone: 620-6140 one: Reg #: LIC 63846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 10/26/00 $62.50 27200000000 Sprinkler Final 5PCT CTR 10/26/00 $5.00 27200000000 PLCK CTR 10/26/00 $25.00 27200000000 total $92.50 T;i s permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes ano all other applicable law. All work will be done in accordance with approved plans. This permit will expire if wc,k is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTE=NTION. Oreoan law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 2.46-1987. Pemritee 1 Signature: Issue By: Call 639-4175 by 7 p.m. for an Inspection the next business day Fire Protection Permit Application Plan Check# _ CITY OF T•iGARD Commercial or Residential Recd By_----. 13125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not he accepted Date to DST Permit# -4,t.r .t Called T7jr74 77�/afTnr� 1// r JDIy Na ie of DevelppmepyProject — Type of System (Complete A or B as applicable) ONW Address Address - --_— A.) Sprinkler WetDry J Name Standpipes bu Owner MailinAddress— � — Hazard Group /M3 0 StT)"rrcccl'_/)/<Wy Additional Ci /State zip Phone Information Density —---- ple�1 rl�a 9.7 Z 04- 7787 Name J MA OM-Mr 6�^SI0 rDesign Area Occupant Mailing Address / K Factor 12-5 S cJ. AukhWAI Q _ City/State ! Zip Phone J A.1) Sprinkler Project Valuation Contractor Name -- 1 F —.— T_— _ Il> Z•(.�— p de Alarm (Sprinkler or ��firr Alarm Company) Mailing A ire e-- - Submittal Shall Include Battery Calculations YES Prior to permit /� IJ. /,GID"d o issuance,a City/State Zip Phone Individual Component YES ❑ copy4�'l� �l 722 f%0?O.�lao Cut Sheets of all licenses I B.1) Fire Alarm Project\/aluation $ are required If State Const.Cont. Board Llc.# Exp. Date expired in COT database �3 q 9! ? C Project Valuation Sub2:.ta1(A & or B) $ O v Namen' SON— Permit fee based on valuation $ Sc 'v � (see chart on back Mallin Address n - - -- --char-) Architect _ I 7 ity 3a J % Surcharge $ Soo C5ta @ Zia Phone --- — - -- � 77.19 �7 -��p FLS Plan Review 40% of Permit $ ��Sw Describe w•xk A.)N,�w O Addition K Alteration O Repair O —---- TOTAL. $ .7 7 SD to be done B) Modification to sprinkler heads only: — - 1. 1-10 heads=No plans required Plans required Submit three sets of plans,inrAuding a vicinity map and 2. 11—Plan review required the location of the nearest hydrant. __ _ I hereby acknowledge that I have read this application•that the Information given is I Number of sprinkler heads: correct,that I am the owner or authorized agent of the owner,and that plans submitted Additional Description of Work: are in compliance with Oregon State laws Aphl Pool Signature rlAgent Date A.)In Existing Building MF New Building ` (C2 S VIP Building Contact Person Name ,,(/ Phone Data B.) CommercialResidential - -- J312t.06 D '/ ��If�"' _--(-— l4t^� FOR OFFICE USE ONLY: No of stories —�i-- - Plat# — MaprTL#: Sq -FT -- _ Notes ------ Occupancy Class Hype of Construction — i:\dsts\forms\firesupr.doc 7/2/99 CITYOF T I C A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00426 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/19/2.000 PARCEL: 2S113AC-00103 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07228 SW DURHAM RD 0800 SUBDIVISION: PACTRUST BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: CUM TYPE OF CONSTR: 3N OCCUPANCY GRP: OCCUPANCY LOAD: TENANI NAME: REMARKS: Tenant Improvement 1550 Sq. Ft New Partitions Owner: PACTRUST 15350 SW SEQUOIA PKWY #300 PORTLAND. OF; 97224 Phone: Contractor: H L GREEN 15350 SW SEQUOIA BLVD STE 300 TIGARD, OR 97224 Phone: 624-7717 Reg #: LIC 41328 i his Certificate issued 111/19/211111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referen ed permit was issued. �. BU LDING INSPECTOR BUILDIN FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Requested /L -z-z-- qnq 'M BLG 7ZZiS / � �Location_ uite �GU MEC -C�- Contact Person _ _ Ph PLM Contractor _ Ph - - SWR Tenant/Owner _ ELC Retaining Wall .��- -� -- - ------_--- Footing Fr_R _ _--- - - Foundation Access: FPS Ftg Drain --------- . - Crawl Drain Inspection Note —' SIGN Slab - --�_ --- Post& Beam SIT-- v ------ -_ Ext Sheath/Shear Int Sheath/Shear - _-~- Framing ------------�. Insulation _-_-- Drywall Nailing - _ / r Firewall -- -- - Fire Sprinkler Fire Alarm -- Susp'd Ceiling Roof ------ - — - - -_ --- Misc in -- A. 'ART FAIL PLUMSMG - rost& Bearn -- ------------- ---- - - - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final ----- PASS PART FAIL MECHANICAL Post& Neam Rough In 1 Gas Line Smoke Dampers Final PASS PART FAIL_ ELECTRICAL -- Service Rough In -- UG/Slab Low Voltage Fire Alarm Final -- PASS PART FAIL SITE Backfill/Gr&ding - -- - ---------- - --- --- - p-- 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 ( )Please call for reinspection RE _ - - [ j Unable to inspect-no access ADA Approach/Sidewalk Other Date __ _ Inspector_-_�_ — --- Ext Final -PASS- PART_ FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST .-� _---- 24-Hour Inspection Line: 639-4175 Business Line. 639-4171 BUP — — Date Requested__2 - � AM FM _ _ _ BLD Location JZ i S ��' ^Du��ti^ --_�—_ - Suite Q c' J MEC Contact Person — — Ph h� / 5 y PLM Contractor Ph SWR tittOt — Tenant/Owner ELC —_— Retaining Wall �— - _ ELR Footing -- Foundation Access: FPS _ Ftg Drain Crawl Drain Inspection Notes: SGN — Slab -- - - -- ------------ --- SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear --T--- Framing Insulation -- — Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ Z/Q e- E Alr-"ZXrQ a CC F'SS 5/6- Root T` (v r ::>dd /41 Qq Up Mis • 7&PPOPART FAIL Lsut BING Ream -- --- — Under Slab Top Out Water Service _ ;, A Sanitary Sewer Rain Drains Final ------ _ PASS PART FAIL MECHANICAL �— Post& Beam Rough In i Gas line Smoke Dampers, - ~- Final PASS PART FAIL / J� ELECTRICAL -- i Service Rough In UG/Slab �/ J � Do e--S - C Low Voltage Fire Alarm -- l cJ /Y�c�//✓4�7/Z<�-� .�Z U Z-I 4—:7— Final �T PASS PART FAI SITE - Backfill/Grading -- - Sanitary Sewer Storm Drain [ ]Reinspection f-.e of$•__ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin l Please cal pins ection RE: Fire Supply Line Pl ( ] p _— _ _ ( ]Unable to inspect-no access ADA Approach/Sidewalk Other _ Date Z� 6 / Y Inspector_ d Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. C !TY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 -�- - BLIP -- --Date Requested z---C _—AM PM — BLD — .-7. — Location l `;� L�'y" 1AC _ Suite MEC LL Contact Person Ph PLM Contractor _ — — -----__-_-- --_-- Ph —v SWR — --- Tenant/Owner ELC Retaining Wall i �~ ELR Footing Access: Foundation FPS - -_ Ftg Drain `J SGN Crawl Drain Inspection Notes: ---------- Slab - SIT Post&Beam 11 / , /� Ext Sheath/Shear (�• ` ` .1._- Int Sheath/Shear a''A� Framing ------ ----- ----..� Insulation Drywall NailingFirewall Fire Alarm Susp'd Ceiling _ -- Roof J MIN PART FAILG Post&Beam - Under Slab Top Out - Water Service Sanitary Sewer - _- Rain Drain.. Final PASS PART FAIL MECHANICAL _ Post& Beam Rough In Gas Line Smoke Dampers Final - -- -- - - ._ _ ._ -------------- PASS PART FAIL ELECTRICAL Service Rough In - ---- ----- UG/Slab Low Voltage Fire Alarm --_--_-- ---_- -- -- -�- Final PASS PART FAIL - ----.-__-- - —_- - ---__--- --- SITE Backfill/Grading _--- -_ -T - -- - -- - Sanitary Sewer Storm Drain [ j Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE _____ -___ [ ) Unable to inspect nu access ADA Appreach/Sidewalk Ya 16, 1 Other Date _ Inspector �_ _ Ext Final _PASS PART_ FAIL DO NOT REMOVE this inspection record from the. job site.