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7236 SW DURHAM RD BLDG N
CITY OF TIGARD T #. . . . . PERMIT -,
COMMUNITY DEVELOPMENT DEPARTMENT D(aTE ISSUED: 09/1 1/9u
13125 SW Hall Blvd.Tigard,Oregon 87223.8180 (503)839.4171
SITE ODDREOG. . . : 07236 SW DURHAM �, I
'_,LJBD I V I G 10N. . . . : ZONING , I--P
LOT. . . . . . . . . . . . . .
fit IS53UE: FLOOR RRI:Aa - __.__.---.._._ EX rrR.I OR WAIL. CONSTRUCTION
'" -ASS OF WORK. ::NEW FIPST. . . . :,25000 sf N: S: E: W:
PE Or. USE. . . :Com SECOND. . . : s F r.ROTECT OPI=NING731...._,_....__ .-__
r r OF CONGT. :3N TH I RD. . . . . 5 f N: ` E: W
r IJPf IV( f GRP. :D2 TOTAL. : ".5ILI00 s•F ROOF rr1Nc',T: r I I+C RET'
r'rCUPANrY LOAD: PPSE:ME=_NT. : s f AREA SEP. RATCD:
Or,'. : 1 117'. . -Ft GARAGr. . . : s f OCCU 1rr. RATED
L UMT" :ISI MEI Z' :N R1 0r) SETBACKS-----
FLOOR
__
FLOOR LOAD. . . ., . P's f 1_..I:,FT. Ft R(37HT: ft FIR '1PKI-:Y 73MOK DFT. . :Y
"WE1..'ING UNITS: F'RNT: ft REAR: ft FIR ALRM:Y NNDTCP ACC: Y
11RM15; SOTIK_e IMP, URFn%'E: RRC? CORR: PARI{INC,
,L.Uf-:. t : 430(j11Z10
A rks: CONSTRUCTION Or 1 NEW TILT-UP, r;l..F1F' LIN GRADE, SERKELCI Y PUCtr", rULL..'r
QTN14LERED ", 17L14�1 hf? rT M.ITI-DING. 730-1- ONI-Y f(31- Buildirng *-V-17 ir,I) .
__._._..___- ---.. -._..------._.._ __.__. F=EES
C'VPU'131T t ypp kmn1_tnt by riat e rgcpt
351'11 E';W OUOIA PKWY PRMT $ 1258. 00 ;Et 09/11/95 95-L'70:s,39
'IT17-: 300 PL-f-1-11 t "317. 70 J73D 05/1.0+/'35 95 1716 5`730
GARDND OR 97224 ). 1 RF. 4 503. 20 Et 09/11/95 95- L70339
nne 0r {};.4.. I 700 )PCT f 61-1. 1)0 1_' 01)/I1/9'- ^451 IL.70+ s,st3
U R 0 !1 1. 0. 00 D 09 /11/95 9a--;_703?')
R r''C >l 44. "'0 h. 171'3(1 1 !9 5 '?5 1-1.7ILI''
CORMACK F'nClf-IC FRPr- 1>; 44. 20 S 09/11/95 95--2703:1
r)O G. W. SANDTAURG 1!.?TRF.FT
GfIRT) OR 97,x'23 _._.-.._.._ ......_._.._..._._—--
T
...._....._.___
;r1P # 2'866. i:0 TOTAL
RECD U I PED I NF;r*'CC T I,fN
s permit is issced s&iect to the regulations contained in tha F-r-Am:mg Inrp
;arra Municipai Code, State of Om Specialty Codes and all other I n s u l GAt i on I n s Cl
1icable laws. All work will be done in accordance with Gyri PutAl^d Insp
:roved p:a~s. 'hi; permit will expire if work is not started ti1_tr,fs Ce! Ing IneF,
-Mr IN days of issuen.e, or if work is suspended for more rival Inspection _
:;r. 1811 days.
Call felt- inspection - 6:39-4175
J
Commercial Building Permit Appligation
arty o,` Tigard /
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
K� r
11
Jobsite Address: I -�
Tenant: h i ( L. f_li_( Su1t�aM Office Use Only
Valuation:
�-y=� f r v n r� v PlanddRec #
-L1''�
Permit # u `?� � 0 ;10?
Owner:
Map 8 TL #
' Address: ' t 'j ( ,�, w'; ��)•r'
Approvals ReWlred
Planning (J
�1
Phone: Engineering
Other
Contractor:
Address:
Type of const:
Occupancy class: _
Phone:
Sprinklered? Yes No
Contractor's License
(attach copy of current Oregon license) Sq. ft M project: �•_f�
Coniact name & phone: _ Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer: _
Address:
b1ACKENZIE/SAITO do ASSOCIATES, P.C. Previous use:
Archifecture a Plannlnpp • Interior Design Note: Plumbing & mechanical plans
0690 S. W. Bancroft Sfreef • P.O. Box 69039 must be submitted at time of
Po o—ndOrre9on 97201-0039 building permit application.
Phone Phone: 1503)224-9570 • FAX: (503)228-1285
JOB DESCRIPTION: ,' �,1� 1i'_!J1r'I 1 "�1 _&tE r.lt i j 1 «7 -.0 ✓L&ft 'Oki ',�•�� .. i
Applicant Signature & Phone number
Received by: Date Received:
Permit# Account Description Amount Amt. Fd. Bal. Due
Bldg. Permit (BUILD) / v = ^
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) r—
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) 59
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
v'
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) L y
1J
Erosion Planck/COT (EROSN) t/L/ J _ `�y A:10
TOTALS: i i S ,Pr[
\ � r
DATE: PIANS CHECK NO.:
C 4 1 8 N 5- S -SSC_"
PROJECT TITLE:
COUNTYWIDE `T
TRAFFIC IMPACT FEE C � APPLICANT:
WORKSHEET �.� �s .., �. . 7_Z1 a <<
(FOR LION-SINGLLE FAMILY USES) SUNG ADDRESS:
GTY/ZIPLPHON
R,A,1•E PER
ND USE Q,ATQ30RY TRIP TAX MAP NO.:
RESIDENTIAL �— • $159.00 c`' ��/�f — OC,lrr
8 SINESS AND OMMER IAL 40.00 SITUS NO.ADDRESS
OFFICE I
$146.QQ !,y
r INDUSTRIAL $153.00
INSTITUTIONAL $66.00
PAYMENT METHOD:
CREDI•r INSTITUTIONAL ONLY.
BANCROFT(PROMISSORY NOTE) LM10 USE CATEGORY rEWPIPTION OF USE EEKDAV AVM TRIP RA WEEKENO AVE TPJP RATE
DEFER TO OCCUPANCY chi
,ISn �j Q JOSC'S n ilucT-Dn
I �� � /.-�• � � �_� f of � orr I.L`1 �,,:�r�•<•c.. tf
5 rFC:—�G.. �gT• Zr CF Or. 1
Chi 5S r/�e 7a rp rea
CALCULATIONS:
T C"rt
PIIONCT TIIM OWNIMATIAN:
IFF
ADDITIONAL NOTES: FOR ACrrOUNTING PURPOSES ONLY-
ROAD AMT.:
1.i F T"
TPAMWr MAT.:
PREPARFD BY:
Com. WASHINGTON COUNTY
TIF NOTE900K
f"Wo
CITY OF TIGARD
July 18, 1995 OREGON
MacKenzie/Saito & Associates
PO Box 69039
Portland OR 97201-0039
RE: PacTrust Bldg 187
Address: To be determined
Plans Check #5-55C
BUP95-0223
The rates for Traffic !mpact Fees (TIF)s vvere increased on July 1, 1995. Since your
original TIF assessment letter was prepared on May 17th, 1995, the fee will remain
$18,300.00 unless you defer payment to occupancy. If you defer payment of the TIF
until occupancy, the fee will be $18,666.00.
Please find enclosed a TIF worksheet prepared this date using the new rates. Again,
the new rate will apply only if you defer payment to occupancy.
Also, please find enclosed a TIF payment option notice. TIF guidelines require
applicants to declare the proposed method of payment at the time of Flans submittal; a
payment option plan was mailed to you on May 17, 1995 but we have yet to receive your
response. Since we have no indication of which payment method you are intending to
use, please return this notice at your earliest convenience.
If you have any questions, please telephone me at 503-639-4171.
James S. Duckett
Development Services Technician
'3.125 SW Hall Blvd., Tigard, OR 97223 (503) 639-1171 TDD (5031684-2772 —
DATE: PLANS CHECK NO.:
PROJECT TITLE:
COUNTYWIDE ` r C 1f 7
TRAFFIC IMPACT FEE APPLICANT:
WORKSHEET M-,c Ke.,z. e Al �9��s��
(FOR NON—SINGLE FA�NCLY USES) MAILING ACDRESS: �
C o
CITY/ZIP/PHONE:
RATE PER
LAND USE CATEGORY TRIP TAX MAP NO.: _
RESIDENTIAL $155.00 3�-1 C' c 1 or
BUSINESS AND COMMERCIAL $39.00 SITUS NO.ADDRESS: 134
FFI - $14.9.00
INDUSTRIAL $150.00
INSTITUTIONAL $64.00
PAYMENT METHOD:
SH i .H CK
CREDIT
INSTITUTIONAL ONLY:
BANCROFT PROMISSORY NOTE) LAND USE CATEGORY ESCRIFMON OF USE EEKDAY AVG TRIP RA WEEKEND AVE TRIP RA
DEFER TO OCCUPANCY l��� !�r_�eh,.;e ��iecr,
BASIS: (-y,I `
CALCULATIONS:, �/r
)s"1 -5/1,-
(L
�.C' T'�°i
PROJECT TRIP GENERATION:
FEE.
ADDITIONAL NOTES: FOR ACCOUNnNG PURPCSES ONLY:
`I:1 F r.1 ` Y�12�rr
ROAD AMT-:
-T.J L'K
_ = TT F 'T?7A L - i L C I-i =J 3(. L'
6 I -; .3"L — .���'�.tF TRANSIT AMT.:
PRE-PAAED 8Y: —�
CC' WASHINGTON COUNTY
TIF 40rE800K
form cif10
i
MEMORANDUM
CITY OF TIGARD, OREGON
TO: Engineering, Planning
FROM: J. Duckett - DSTs
DATE : May 17, 1995
SUBJECT: SDR95-0008 - Parcel : 2S113AC-00100
Plan Checks : 5-53C, 5-54C, 5-55C, 5-56C, 5-57C, 5-58C
PacTrust Property
Please find attached plans submitted on 05/16/95 for site work and
five multi -tenant buildings .
Please review these plans with respect to the conditions listed in
SDR95-0008 .
Please make notations in the conditions file as appropriate .
Please return the plans to us as soon as possible as they need to
be forwarded to the commercial plans examiner for review.
Thanks !
cc : Building File
M: \ • • • \SDR95 00 . 08\SUB5-54C. DOC
------ ----------
'M
A C K E N Z I E FILE COPY
April 12, 1999
City of Tigard
Attention: Hap Watkins
13125 SW Hall Boulevard
Tigard,OR 97223-8199
In Re: Final S-immary Report
P
N PacTnist Business Center, Phase 6/Nilding N Shell#187
7236 SW 1hirham Road, Tigard, Oregon
p N
N N
Permit 9BUP95-0293
o Group Mackenzie Project#990072
� L-
C
N �
Dear Mr. Watkins:
fT A
E The purpose of this letter is to certify that periodic structural observation of the above-captioned
oproject was performed in accordance with Section 1702 of the Oregon Structure! Spmialty Code. To
o `__ the best of my knowledge,no unresolved discrepancies remain, and the work is in acceptable general
z conformance with the plans and specifications.
N
0 O
O o
V P Sincerely,
C
N /
y /
T M
Mark Hettim, RF
Group Director of Structural Engineering
Macken+.le.
In cc,rporaIed MPHlwp 4.f 16,
„-t,,t, .. q,9k HE t�J
h,rerloi nasign c: Dick Krippachnc- PacTrust
(and Uae Planning EXPIRES 4'f 0• 1
Dennis Woods-Group Mackenzie
Gn-up
Mackenzie
Engineering,
Incorporated
Clvlt/9ltuciural
Engineering
Transportatlun
!'Innning
The tradition a!
Mackenrio
Enpineerinp and
Mv.kanstc5nitu
continues.
A 1PROJFM.\9900?2NWP\9ll12FSP2 SK
Main Ohice Branch Office
P.O. Box 23814 4060 Hudson Ave., NE
Tigard, Orrgon 972.81 Salem, OR 97301
Carlson Testing Inc. Phone (503)584-3460 Phone(503) 589-1252
FAX(503) 684-0954 FAX(503) 589-1309
Special Inspection
FINAL SUMMARY LETTER
April 7, 1999
#95-4205 �0City of'Tigard FILE
PY
13125 SW Hall Blvd.
Tigard, OR 97223-8199
Attn: Building Department.
Re: Pactrust Business Center Phase#6 (186-190)
Tigard, OR
Dear Mr. Re:
This is to certify that in accordance with Chapter 17 of the Uniform Building Code, we have performed special
inspection of the following item(s) per our inspection reports only on the following buildings:
Building Number Address Permit Number
Building M Shell#186 7244 SW Durham Road, Tigard OR BUP95-0289
Building N Shell#187 7236 SW Dunham Road, Tigard OR BUP95-0293
Building O Shell#188 7228 SW Durham Road, Tigard OR BUP95-0290
Building P Shell#189 7216 SW Durham Road, Tigard OR BUP95-02.91
Building Q Shell#190 7204 SW Durham Road, Tigard OR BUP95-0292
Reinforced Concrete Installation of Wedge Anchors Structural Steel - Shop and Field
All inspections and tests were performed and reported according to the requirements of Project Documents and, to
the best of our knowledge, the work was in conformance with the approved plans and specifications, approved
change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the
structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested/inspected only Information contained herein is not to be reproduced,
except in ful!, without prior authorization from this office
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Res ctful submitted,
CA S TESTING, INC.
Ja ietpas
Q ali surance Manager
JFH:jc
cc. Pacific Realty Associates LP (Pactrust)
McCormack Pacific
MacKenzie/Saito and Associations
1'1WORI ARFTN)R TW"TTW,ATT'
CITY OF TIGARD ELECTRICAL PLkl1IT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELC96-04;35
13125 SW Hall Blvd.Tlgard,Oregon 97223*8199 (503)639-4171 DATE ISSUED: 07/03/96
SI IL (�DDRESS. . . : SW DURHAM PL, J� Irw PARCEL" 2SI13AC-00100
SUBDIVISION. . . . : ZONING: (-P
BLOCK. . . . . . . . . . : 1-01
Project Descriptions
----------------------------------------------------------------------------------
—-RESIDENTIAL LIMIT------ ---TEMP SRVC/FEEDERS------
1000 SF OR LESS. . . . 1 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 1 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . 1 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0
MANE. HM/ SVC/1--DF2. . -. 0 601+amps.-1000 volts. : 0 MINOR LABEL ( 10) . . . 0
CIRCUITS------ ---ADDIL INSPECTION:;----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDERI 0 PER INSPECTION. . . . . .. 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : CA PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN P1..ANT. . . . . . . . . . . 0
601 - 1000 amp. . . . . : 0 REVIEW SECTION-------------- -
1000+ amp/volt. . . . . .. 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . ; SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: FEES
PALTRUSI type amount by date recpt
15,350 SW SQUOIA PKWY PRMT $ 50- 00 CJS 07/03/96 96--281301
SUITE 300 5PCT $ E. 50 CJS 07/03/96 96-281302
TIGARDND OR 97224
Phone #s 624-6300
Contractor:
BACHOFNER ELECTRIC, INC. $ 52. 510 TOTAL
55 SE MAIN
-------- REQUIRED INSPECTION"..
PORILPND OR 97214 Elect' l Service
Phone 0: 51213-233-kW6 Elect' l Final
Ileg #. . : 44569
This pertit is issued subject to the regulations rontained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee SignatUre
applicable laws. All work will be done in accordince with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for sort
tman 188 days. Issued By
INSTALLATION ONLY-
11-ie ..nstallation is being made on property I own which is not intended for-
e, lease, or runt.
I)WW RIS S1LANA TUREt DATE:
______._.___--_--__-.___--CON'TRAC'TOR INSTALLATION
IHNAJURF OF SUpR. ELECIN- DATE:
7
LiLLNSE NO:
Call for inspection 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # C]t; a p, r,
Permit # Eicrl E c _
Phone (503) 639-4171 Date Issued 4-12%
FAX (503) 684-7297 Issued by C-liar/Ps S_
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 7236 SW Durham Roed Bldg. 187 Service included: Items Cost(ea) Sum
City/State/Zip Tigard, OR-
4a. Residential-par unit
1000 W If or lase $11000
Name (or name of business) Each n iorW 500 aq ft or `
porton trrrsd $2500 1
Commercial El Reaioential❑ CanAed EneV $2500
Each Maord Homs or Modular 2
Dweang Seryiry or Fender SM 00
2a. Contractor Installation only: 4b.Services or Feeders
Installdnon,ahendon,or 111oca1M)n 2
Electrical Contractor Rachof ner. Electric _ ;W arnm or le" 16e0 00 2
Address 55 SE Main — 201 amps b 400 amps sm 00 2
City Por and StateOR Zip 97214 401 aVto son a $18000
12000 2
H01 wnnpe b 100)ammps f 1 BO QO 2
Phone No. 233-2.006 over 1000anps or Vohs ,;34000 —" 2
Contractor's License No. 26--451c Reconrwrda* T Is00°
Contractor's Board Reg. No. 44569 _ 4c.Temporary Services or Feeders
Instaftinn,ehoratnon,or ralocalnon 2
Signature of Supr. Elec'� 200 ampe or Ines ty_00 2
License No. ZA )fi;; Phone Nol 3 -2006 201°"'pb 400"ma :r..00 2
— — -- --- 401 amp In 000 amps 11I a)00
OVer eco amps to 1000 Vohs —
2b. For owner Installations: eme Vabove
4d.Branch Circuits
Print Owner's Name — Now.ahendw or edenuon rat panel
Address a)The lee for branch orards with
city-- State Zip— — Pwthw of soneke ew boder Iso. 2
Phone No. — -- Each branch arard $500
b)Ttw Ina for tnrench arards wlthoo
The installation is being made on property I own which is puraasr or aryke or boder$tabs. 2
not intended for sale, lease or rent. F"sl b'ar'd sand -- $3500 - - 2
Each afdrlornl brarxin cirand $500
Owner's Signature 4a. Miscellaneous
ISomm or lewder riot includoet 2
3. Plan Review section (if required): Each perp or rnpehon arde $40 00 _ 2
Each sw or online"NV $40 00
Signal cies AAs)or a bmAed energy 2
Please check appropriate Item and enter fee in section 5B. parnti,dbralnn or sndenwor. X0 00
_4 or more residential units in one structure FMnor Caber(to) _ rico DO
Service and feeder 225 amps or more '
System ovrlr 600 volts nominal 41. Each additional Inspection over
Classified brea or struciurp containing special occupancy the allowable in any of the above 1
as described in N F C Chapter 5 per rspcaon _ 1:75 00 6
Pot herr $55 00 _
Submit 2 seta of plans with application where any of the above In Finite $5500--
apply. Not required for temporary construction services. .5. Fees:
NOTICE
5a Enter total of above lees $ 50.00
5%Srrdwrge(05 X total fees) S _£r —
PERMITS BECOME VOID IF WORK OR CONSTRUCTION S"b row $ 4.
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Revtaw;f required(Sec 3) $
A PERIOD OF 190 DAYS AT ANY TIME AFTER NORK IS Subtotal $
COMMENCED 0 Trust Account r $
Balance Due $ 52.50
..rr.sawrr.P Am
PERMT
CAL
CITY OF TIGARD PERMITI#: ELC96I0267
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/9/96
13125 SW Hall Blvd.T;gard,Oregon 97223.8199 (503)830.4171 i PARC EL: i=S 1 1 3AC- 0 100
SITE ADDRESS. . . : 011=136 SW DURHAM 12D�'� ill# r
SUBDIVISION. , . . : ZONING: I-P
BLOCK. . . . . . . . . . . 1_01.. . . . . . . . . . . . . .
Project Destcr_iptiOr)_ _Installing-one
_signal cir'Llcit or a limited energy pa, 1.
----RESIDENTIAL UNIT---- --TEMP SRVC/FEE.DERS-.--- _ -------MISCELLANEOLIS -k~
1000 SF OR LEGS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . .EACH ADD' L 500SF. . . : 0`01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 -401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1
MANF. HM/ SVC/FDR. . s 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . 0
-------SER,lICE./FEEDER--.._.. _._..._.._pRANCW CIRCUITS------- ---ADD' L INSPECTIUIVS- _
0 - 200 amp. . . . . . 1 0 W/SERVICE OR FEEDERS 0 PER INSPECTION. . . . . s 0
201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . . 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRCs 0 IN PLANT. . . . . . . . . . . : ia
60). 1.000 amp. . . . . : 0 --___..______________._PLAN REVIEW SEC1`ION-------.-----_--_-.
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . I ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) 225 AMPS. . : CLASS AREA/SPEC OCC. o
Owners _.__.._._________.______.__._________.____.._.____.___----______-- FEES ------------------
PACIFIC REALTY ASSOCIATES type amoi_Int by date r^ecpt
15-350 SW SEQUOIA PKWY 0300 PRMT $ 40. 00 CJS 04/29/96 96-276694
TTGARD OR 972:4 SPCT f 2. 00 CJS 04/:9/96 96-27869,4
Phone #:
Contractor,:
HONEYWELL $ 42. 00 TOTAL_ - -
15495 SW SEPUOIA SUITE 100
-- - --- - REQUIRED INSPECTIONS
-- ---
PORTLAND OR 97224 Wall Cover- Elect' l Final
Phone #: 503-966-3398 Elect' .l Service
Reg #. . : 57824
This permit permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore, Specialty Codes and all other Permittee Si gnat ur,e
applicable laws. All work will be done in accordalce with
approved plans. This permit will expire if work is not started
within 186 days of 1ssliance, or if work is suspended for more
than 186 days. Issued By
.OWNER INS'T'ALLATION
The installation is being made on prliperty I own which is not intended for,
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION ONLY------- ----_-
SIGNATURE OF SUPR. ELEC' N: _C�n aapJ,c,�_tran DATE.: _y- 19- 9iC
L_:CENSE NO s
1 Call for inspection -- 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 Permit # E4Ca6 -v i6J
Date Issued y- a6
Phone (50") 639-4171
CITY OF TIGARD FAX (503) 684-7297
TDD No (503) 684-1772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address to L� 6L) Service included Items Cost;ea) Sum
City/State/Zip TO Ll __�� _y7_._ __ 4a. Residential -per unit
1000 sq ft or less $11000
Name (or name of business)f"ll e tR U 5 T 8 N P&L% F/ Each additional 500 sq ft or 325 00
portion thereof
Commercial ® Residential F-1Limited Energy $2500 _
Each Manurd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
411. Services or Feeders
Installation,alteration,or relocation
Electrical Contractor f fon 200 amps or!ess S6000
Address c �� Unia. �kU�� /pV 201 amps to 400 amps $2000 _ 7
p—�- 401 amps to 600 amps $12000
�
City ]-orf n d _ ate Ok Zl 9 7,21 S/ 601 amps to Wo amps $12000 _
Phone No. $D 3 rf(d F 3 3 3.3 __ Over 1000 amps or volts —� $34000
Job NO. . :� .5 o L, Reconnect only $5000
contractor's license NO. ;11, 07 in L L _ _ 4c. Temporary Services or Feeders
Contractor's Board Beg. No, I F g Y Installation,alteratioc or relocation
Signature of Supr. Elec'n 200 amps or less 2
201 amps to 400 amps $50(to 2
License No Phone No j.G R .3-j 3.3_ 401 amps to 600 amps $7500 7
Over 200 amps to 1000 volts S too 00 -
2b. For owner installations: see 'b"above
4d. Branch Circuits
Print Owner's Name _ New,alteration or extension per pone
Address a)The fee for branch circuits with
City State lip purchase of service or feeder fee.
f ach branch circuit 55 00
Phone No. _ bl'he fee for branch,arcuds without
The installation is being made on property I own which is purchase of service or feeder fee.
First not intended for sale, lease or rent Each additional
Wrench c
Eacbranch $35 o0 anch circuq $S 00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle __. $4000 2
Each sign or outline lighting $4000
Signal circud(s)or a limited energy
Please check appropriate Item and enter fee in section 5B panel,alteration or extenstoti �_ $4000
_4 or more resrdertial units in one structure Minor Labels(10) $10000
_Service and feeder 225 amps or more
4f
System over 600 volts nominal . Far h additional inspection over
_Classified area or structure containing special occupancy the allowable in any of the above
Per
as described in N E C Chapter 5 hour uon $35 00
`
Per hour $5500 _
In Plant --- E55 00
Submit 2 sets of plans with application when.- any of the above
apply. Not required for temporary construct'on services. 5. Fees: I
i
iia. Enter total of above fees $ 41U o
NOTICE 5%Surcharge (05 X total fees) $ � nn
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Fnter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec 3) g
A PERIOD OF 180 DAYS AT ANY TIMF AFTER WORK IS Subtotal g
COMMENCED. ��� • Trust Account #
p.m sen
Balance Due $
11
'::LECTRTCAL PERMIT
CITY OF TIGARD PrR111IT"14 : 141
COMMUNITY DEVELOPMENT DEPARTMENT 1 I)r.)TC I1.33r_,UED: 03,/27/9C,
13126 SW Hall Blvd.Tigard,(Dragon 9722398199 (503)639.4171
I PAnCrL . `S11*1AC b
IT'- 1- 1
J'r'n'r VISION. ZON I NO: I -P
t; De%L,:."iptivint
TCMP SRVC/,, ErDCr%(, M I C L L ri.,.i CO U C
SW" OR LESS. . . . 20121 EAMP. . . . . . . : 0 PUMP/IRRIGATION. . . .
Z,C, I_ 13 I'll Q)G r- QZ 1 400 amp. . . . . . . : 0 SIGN/OUT LINT" LTC.,, .
4171 600 anip. . . . . . . .. SIGNAL/PANFL.. . . . . . . 0
r. 0 (.01 l ,-.%inp!i 1,000 vol.t ., i1TNrJP
CIRCUIT' IN::`r_CTIONr,,
x'00 arrip. . . . . . g I w3rnvicE or rrrDcr; 4 P17P INSPMCTI'0r:. . .*'.
403 amp. . . . . . : 0 1st W/O ORVC on rL)R. . 0 PER HOUR. . . . . . . .iJk . . .
AM SPNCII rTPf7 : 0 IN rLANT. . . . . . . . . . .
--PLAN PEVIEW SECT I r)N'L-'--
• 0100 VOLT NOMINAL— i
'Vc/1-rP ; X APEA,eSr-rC OC7 -
Flo;
F.,
ZT 7'
liwz M 0 u 1.1 t F,y clot rocp
7q.1
J,J DFOLJOin ri{wy PRMT f .60. 00 T` '7 '27/96 lfeP767fl�
PL C V I 6S. 0e, C J r 0- /L,7/13 C,
71 7 '-
'"PET T
13. 00 C v wrJ 0 3 7 11)6
7
,I !OrN*-r, r,Lr_'.CTrTC, INC.
SE MIN
"'rl.-(7-11" CrZ '�7,* IN,
C e
Wal I cco%,L I
5 PPI'llit is issued sAject to the regulations contained in the
A!'-C' M,--i:ipal Code, State of 1�% Gp!cialty Codes and all other _,er#k i t.i
hubli laws. Ali work will be dole in acurdance with
proved plans. This ptrait will expire if ark is not started
da)-5 o` issialce, of I,, Aork is suspended for P^ro
-1 Ise days.
,ed TAY
e i rl St-111 at i or, is be i ng m,-itl I
I w, I ,
I —ISQ, or'
GNATUri-
T '1TIC
77
,)()b $4272 Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 96-- D—;;7t7 38S
Permit # c7icVe. c}lai
Phone (50) 639.4171 Date Issued _.3 -
FAX (503) 684-7297 Issued b / <
CITY OF TIOARD FAX
No. (503) 684-2772 Y —_ Cie �•s S,(�.n. r
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 7204 S.W. Durham Rd. _ _ Service included Iteris Cost(e3) Sum
City/State/Zip Tigard, OR 57223 4a. Residential- per unit 4
1000&I 11 or lest; $11000
Name (or name of business) __ _ Bldg 187 I `ac'�"i°nal 500 so II or —
portion Ihereol 625 00 1
Crminercial[� Residential [l Limited Energy $2500
Each Manuf d'4omo or Modular 2
Dwelling Service or Feeder _ _ £F:F7 00
2a. Contractor Installation only: 4b.services or readers
Installation,alteration or relocation
Electrical Contractor Bachofner Electric, Inc. 200 amps or leas _]_ woo 60.00 2
Address 55 S.E. Main St. 201 ampato400snips P000 _
401 omps 10 600 amps $1 Y0 00
City Portland_ State_QR Zip 97214 601 amps to 1000 amps $18000 2
Phone No. 233-2006 _ A Over 1000 amps or volts $34000 2
Contractor's License No. 26-451C Roconnecionly £5000
Contractor's Board Reg No. 44569 4c.Temporary Services er Feeders
Installation atteral,on or roW rrw•i
Signature of Supr EIeC'n � 200 amps or less £'+000
I wense No 1769S Phone NO 201 amps to 400 amps -
- — --- 401 amps to 600 amps £100 Oft
Over 6100 amps to 1000 volts - —
2h. For owner Installations: see W above
4d. Branch Circuits
Print Owner's Name __ _ New alteration or cxtensron per panel
Address _ a)The lee fur branch ciratlts wlfh
City---- State Zip _ nwohom of eervke or bade►be.
-- Fa" branch arcus _4 s5 On
Phone No. h) Iho;as for branch circuits wlfllmd
The Installation is being made on property 1 own which is purchaur of smrko or boder M.
not intended for sale, lease Of rent. First branch arcus $3500
ndderonal brand,arcs $5 00 ——`
Owner's Signature_ _ *a. Miscellaneous
(Service or feeder not includeo)
3. Plan Review section (i► required): Fact+pump or engation orde $4000 _
Fart,sign or outline lighting __ $4000 _
Signal amus(s)or a limited energy
Plaase check appropriate item and enter lee in section 5B. panel aherstwn or extension $40 00
4 or more,-estdenhal units in one structure Mmn•Labels(10) $10000
Service and feeder 225 amps or more
_System over 600 volts nominal 4f. Fach additional in�poction over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 I•e' 63500
Pw hili. $5500
Submit 2 sets of plans with application where any of the above $5500 --
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa. Enter total of above tees $ 260. 9
5%Surcharge(05 X total fees) $ - 1 3.00
PERMITS BECOME VOID'F WORK OR CONSTRUCTION Subtotal $
All THORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25`5,of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan n"ew if require.$(Sec 3) $ 65.00
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS ffS'�--u��btotal $
COMMENCED LJ Trust Account# $
I `
LLBalance Due $ 338.00
Wort. -ftiMliIK-QIT app
March 14, 1996 O'TIf OF TIGARD
OREGON
Bachofner Electric Inc.
Attn: Robert H. Bachofner \
55 SE Main Street
Portland, OR 97214
Project: Pactrust Phase VI
Subject : Electrical Plan Review for Bldgs.
186 (M) , 187(N) , 188 (0) , 189 (P) , 190 (Q)
The plana submitted were reviewed for conformity with the 1993
National Electrical Code (NEC) and the State of Oregon Electrical
Specialty Code. The following was noted:
1. The 1993 NEC is the minimum electrical requirement.
2 . The clearance required by NEC 110-16 (c) would be condition (2)
because of grounded parts (conduits) on opposite sides of the
Electrical Room. This distance would be doubled because of
the amperage (1200 A or more) . The total space required would
be 7 feet from live parta to grounded parts.
3 . No plumbing, mechanical or HVAC lines in Electrical Room. The
sprinkler line may germinate in the Electrical Room, but may
not pass through to another room.
4 . The Electrical Room Note #15 calls for " (2) ground rods_ " The
rebar WFER) will be used for the grounding electrode.
5 . Restrictive Energy permits will be required for fire alarm and
irrigation systems.
Please contact Michael Rudd at 503 -639-4171, ext: . 356, to discuss
the electrical notes.
Thank you for our cooper tion,
Michael Rudd
Electrical Irisnector
elc96-0119\bach(-,fnr.dor.
13125 SW Hall BMd., T)gard, Oft 97223 (503) 639-4171 TDD (503) 684-2772 --
BUILDING PERMIT
PERCITY OF TIGARD DAfC1ISSUED: + 01/26/965._tZr41_--.
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon o7?r233•B Qp /ggpp�630.4 71 PARCEL:
Ul)i V.�:,1.JN. . . . . /�� ('�O %�r�.! ZilN1NG: I-P
LOCK. . . . . . . . . . . LOT. . . . . . . . .. t- d 7 WA
EISSUE: FLOOR ARE0S------------ ;:XTFRIOR-WALL--CONSTRUCTIO11
LASG OF WORK. :NEW FIRST- -- 25000 s f N: S; E: W-,
TYPE OF USE. . . :COM SECOND. . . : 0 !- f PROTECT OPENINGS?-___-.-_.-._._.--
TYPE: OF CONST. .3N . . . : 0 sf N: 5: E:: W:
OCCUPANCY TOTAL----.----: 25000 s f ROOF CONST t FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 s f AREA SEP. RATED:
STOR. : 1 HT- 0 ft GARAGE. . . t 0 s f OCCU SEP. RATED:
BSMT? : MEZZ?: REQD SETBACKS____-.__--- REQUIRED-•---__.____.___._-__.
f L_OOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :
DWELLING UNITE";: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
LEDRMS: 0 BATHS. 0 IMP SURFACE: 0 PRO CORR-. PARKING: 0
VOLUE. i s 11592
Remarks : Fire suppression system " Incorr-ect address" 7%:36
Note ! no tenant; at this time. reg1-tit-ements for rack storage and spr inkler•
protection not applicable at this time. TI permit not to be issi_ted withol.rt
addr-essing rack :,torage gr.iestions.
Owner : -- FE.ES
PACIFIC REALTY ASSOCIATES type amol_Int by date recpt
15350 SW SE=QUOIA PKWY #300 PRMT s 92. 50 JD 10/21/95 95-2721ti:
FIRE t 37. 00 .11i 10/27/9C 95--27:xIGI
TIGARD OR 97224 4 SPCT $ 4. 63 JD 10/27/95 95-2,721,81.
Phone 1t:
Contractor:
GUARDIAN SPP I NKLE=R I14C
P O PDX 30265
PORTLAND OR 97230 --.----------------------------._.-_....___._
Phone #: f 134. 13 TOTAL
Reg #. . : 7030634
- ------- rEQU I RED INSPECTIONS
-- ---
'his permit ii iss,6ed subject to the regulations contained in the Sprinkler Rough-
Tigard Municipal Codt, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done In ar_cerdarce with Fire Alarm Ins p
approved plass. This permit Mill expire if work is not ster•ted Misr. . Inspection _
within 1618 days of issuance, or if work is suspended for more __ '�-
than 181? day.,
e° •rittee Signature :
Call for inspection - 639-4175
� r
I' Ivy PL.ANCI� � iC Cc�IC Date: 10-25-95
1
APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
�G 611
DATE: 10-25-95 PERMIT Vl1P q j'Ot��{
Valuation: 11 .592
Amt. Paid:1S 34. 13 ' Permit Fee: x.50 v
j 40% Plan Clack Fee: _- _on
Balance Due: = 5% State Tax: 4.63
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation:_ X — Addition: Repair: _ Alteration: _
Complete: _ Partial Exitway: Basement: Hood & Vent: _
Spray Booth: IN EXISTING BUILDING: — IN NEW BUILDING. X
_/./ % (I —
NUMBER & STREET: 7*'(I
Durham Road ,
NA IIE OF BUILDINGS or BUSINESS: PACTRUST BUSINESS CENTER ,87
1 +-
NO. OF STORIES: 1 _ SIZE OF BUIL.DING: 24,E72 OCCUPIED AS: �. r
TYPE OF SYSTE,vS: Wet: x _ Dry: Combination:
STANDPIPFS: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4 Extra
DENSITY_495 — GP.vVFt2 DESIGN AREA 2000 ft2 SPRINKI-ER AREA 95.8 ft2
SPRINKLER ORIFICE SIZE:_ 17/32 _ "K" FACTOR_8 Tr VIP. RATING 286
OWNER: ADDRESS:
CONTRACTOR: Guardian Sprinkler, Lnc.
PLANS DRAWN BY: Guardian Sprinkler, WODRESS: 10239 NE Marx St. Portland, OR 97220
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: Guari %dri9y4l1r, Inc. PHONE: 256-0586
SICNATL.RE OF APPLICANT: /4'1/
BUILDING DIVISION:
PERMIT VALID FOR 180 C,�YS
�oRnv7itSfircxR„
JAN 19 '96 13:40 GUARDIAN SPPINKLEP 2579804 P. 1
P.O. Bos 30.286
uardi an Por w%4 O►nyoft 97294
i (603)216-0486 Paz (503)257-9804
SPRINKLER, INC. ; CCB 078084
I
JANUARY 19, 1996
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OREGON 97223
ATTENTION: JAMES FUNK
PLANS EXAMINER
PROJECT: PACTR'.'-ST BUSINESS CENTER
7204 S.W. DURHAM ROAD #187
TIGARD, OREGON
THE FIRE PROTECTION DRAWING FOR BUILDIN; X187 AS DESIGNED FOR A
DENSITY OF .495/2000 SQ. FT, FOR POSS113LE FUTURE TENANTS . THE
WAREHOUSE IS CURRENTLY UNLEASED, AND WHEN IT IS LEASED OUT THE NEW
TENANTS WILL HAVE TO DO A TENANT IMPROVEMENT TO BRING THE BUILDING
UP TO THE PROPER N.F.P.A. CODE FOR THEIR PROPER OCCUPANCY.
,rHE HYDRAULIC CAL:ULATIONCOVER SHEET SHOWS A COVERAGE PER
SPRINKLER OF 100 SQ. FT. - THIS IS A MISPRINT AND 7 HAVE INCLUDED
A NEW COVER SHEET SHOWING, THE ACTUAL SQ. FT. OF 95 . 83, WHICH
REQUIRES A MIN. FLOW OF 47.44 G.P.M. AND A MIN STARTING PRESSURE OF
35. 16 P.S.I.
ALL HANGERS AND EARTHQUAKE BRACING WILL BE INSTALLED AS PER
N.F.P.A. STANDARDS.
ALL PIPE EXTENDING THROUGH WALLS AND FLOORS WILL BE ItISTA.LLED AS
PER N.F.P.A. STANDARDS.
GUARDIAN SPRINKLER WILL BE SUPPLYING THE TAMPER SWITCHES AND FLOW
SWITCHES, BUT WILL NOT BE DOING THE WIRING FOR THEM, OR WILL NO_ BE
SUPPLYING THE ANNUNCIATOR PANEL OR ANY OF THAT HOOK UP.
T HOPE THIS GIVES YOU ATL THE ANSWERS YOU ASKED FOR,
IF NOT PLEASE GIVE 10 A CALF AT 256-0586 .
SINCERELY,
GUARDIAN SPRINKLER, INC.
DAN GRISAAM -- ��
Post iY Fax Note 1'671 DagCS��
To 7AME5 F(,Anik From bAN GQ15tktA
"D""CiT-V of -T,r,A1,0 c°.(;uAROrkrl) SFF+1.1kLF
Phm)"Y C-37 - 4 r _11 phme r a s c- _ c �
5 8�
Fu M G s _ — Fax 4Q �--
r�
1
GUARDIAN SPRINKLER, INC.
10239 N.E. MARX STREET
x .4 ys-� y �, S� PORTLAND, OR 97220
� 0. 7- Ff t
►�� e 'V
Z �1 HYDRAULIC CALCULATIONS �
FOR
7
PACTRUST BUSINESS CENTER ----
^IGARD, OREGON -------
FILE NUMBER: 95-�4
DATE: Oct 17 , .1995
BUILDING% 187
REMOTE AhE "A" �J
0�
-DESIGN DATA-
OCCUPANCY CLASSIFICATION: RACK STORAGE TO 20 ' CLASS IV
NON-ENCAPSULATED COMMODITY
DENSITY: .495 gpm/sq. ft.
AREA OF APPLICATION: 2000 sq. ft.
COVERAGE PEP SPRINKLER: 100 sq. ft.
NUMBER OF SPRINKLERS CALCULATED: 21 sprinklers_
' TOTAL SPFINKLER WATER FLOW REQUIRED: 1014 . 8 qpm
TOTAL WATER REQUIRED (including hose) : 1864 . 9 gpm
FLOW AND PRESSURE (at base of riser) 1464 . 8 gpm @ 79 . 3 psi
SPRINKLER ORIFICE SIZE: 17/32 inch K= 0
NAME OF CONTRACTOR: GUARDIAN SPRINKLER, INC.
DESIGN/LAYOUT BY: DAN GRISHAM
AUTHORITY HAVING JURISDICTION: TIGARD FIRE MARSHAI,
CALCULATIONS BY HASS COMPUTER PROGRAM
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PLUMBING PERMIT
PERMIT #. . . . . . . : PILM95-02,65)
639-4171 DATE ISSUED: 09/26/95
SITE ADDRESS. . . : 07236 SW DURHAM RE) PARCEL: --5113AC-00100
SUBDIVISION. . . . : ZONING: I-P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. MOBILE HOME SPACES.
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . .2
OCCUPANCY ORP. . :B21 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . . I WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . : SP RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE rRAPS. . . . . . .
LAVATCRIE3. . . . . : OTHER FIXTURES. . . . . :5
TIJB/GHOWERS. . . . : SEWER LINE (ft ) . . . . :400
WATER CLOSETS. . : WATER LINE (ft ) . . . . : 100
DISHWASHERS— . - RAIN DRAIN (ft ) . . . . :
Remarks : CONSTRUCTION OF I NEW TILT.-Ur"., SLOB 01\1 GRADE, BERKELEY ROOF. FULLY
SPRINKLERED 25, 12100 SO FT BU.LDING. SHELL- PLUMPING ONLY for Building #187 (N) .
Owner : FEES
P A L T'R U S T type amol-trit by date r-eapt
175,-.50 SW SDUOIA PKWY PRMT $ 1^',R. 00 JSD 09/2'6/95 95-270971,
SUITE 300 PLCK $ 49. 50 JSD 09/26/95 95--270971
TIGARDND OR 97224 5PICT $ 90 JSD 09/215/95 95-271119 71
Phone #: 624-6312710
coritt-ac.-tot- :
ASSOCIATED PLUMBING COMPANY
PO BOX 301362
PORTLAND OR 97230-9362
Phone #: 256-16B5 ,257. 4121 TOTAL
Reg 57690
REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Sewer- Inspection
Tigard Mitn4cipal Code, State of Ore. Soecialty Codes and all other Water- 1-irie Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This pervit will expire if work is not started RP/Backflow Pr-ev
within 180 days of issuance, or if work is suspended for tore Final Inspection
than 180 days.
mil tee Signat ^e1 I�Z,44C f.
I ied By
-7-
Call for- inspection 639-4175
-1 195 1 ] At 1 FROt 1 ASSOCIATED PLBG. 256 080E P- 2
City of Tigard PLUMBING PrRMIT APPLICATIQN Planck/Rec. # _
13125 SW Hall Blvd. Permit #
Tigard, OF 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE
SIn010 FamTA O-qsL cg. Only
,2 ��s� P�asc_ g�;1�1,�► 190 -- -
Job RR� ❑ 1 BATH HOUSE$140.00 0 2 BATH.'OUS€5145.00
7.131. S W w� r'I Q L-1 3 BATH HOUSE 1725.00
Address calla.: _ ar Fee indudes 26pkmnbiry fixtures in the cf*W xj and the rust 100 feet
r o of Water servicr., sanitary sewer anel storm sewer. See fees below.
FUtTURES _-- QTY PRICE AMT
Sink--
9.00
"rs Ad*— � P%- t ivatary __� 9.00
Owner _ Tub or"f ubShower Comb. 9.00 -
°�°"' a' Shower Only 9,00
Water Closet —
..._r� .+..+...i Dishwasher 900 -
Garbage Disposal 9,00
Washing Machine 9.00
Flax Drain -— 900 --
�, Water Reefer 900
- --
Laundry Room Tray �r 9.00
Urinal 9.00
----
---.._ --.---
C/� Q _
S S G C I Q}t' f P I ji4i L; Other Futures (SpecAy) 9.00
ContracVx
9.00
PO SoK 30174 X56 1645 900
O
I s
4rJ W{ Qf- Sewer st 100' ( 30.00 30.w
w..n....,..n w pn`-+•• • Sewer-.a. AQdR 100 3 - 25.00 ;to
103 - 57090 -¢11 lig water Service 1st 100'_ - — 30.00
I hereby adcnowWjje that I have read this application, that the Water Servt.e ea.Addit 200' 25.00
infomration given is correct, that I am the owner or authorized agent of
the owrx•.r. that plans submitted are in compliance with State laws, that Storm a Rain Drain 1st 100' 3000
I am registered with tfre Construction Contr.zdoes board, that the Storm&Rain Drain Addit 100' 25.00
ive
nxlmTbef gn is correct (If exempt from State registration, please .— _
give reason below.) Moue Home Space 25.00
-/T,-,�_-,�/�- / Bade Flow Prevention
Devioe or Antf Polution Devim 9.00 I g•rc
Any Trap or Waste Not
Conneded to a Fixture 9.00
Dlsrxrbe wcxic new (Z addition Q alteration O repair U Catch Basin —� 9.00
tc) oe dare residential - - —- ------
__-- - -- marresidential Q Insp. of Exist. Plurnhing 40.00Rv
----T -
F ristirg tree d Specially Requestrc Insprcims 40 00Jhr
buidrrrg arprapetV Rain trait, s;;xT family dwelling 30.00
backflow prevention — - _-
aevioes 15.00
Proposm use of —
Widirg or property lQr�•••rrei/ll
'(Exrcp!residerreW backflow�
pmv"derr &Wcasl
NOTICE *14nimum Fee 525.00 SUBTOTAL
PFftAM BECOME VOtO IF WORK OR CONSTRUCTIQN
AUlTHORDFD IS NOT COMMENCED V4MIN 1130 DAYS,OR IF ter:SURCHARGE Q 4�
CONSTRUCTION OR VXWX IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TiMF AFTER WORK IS
Ct:MWNCFO PLAN RFIIEW 25Y. OF SUBTOTAL
--
Special ConAtioru TOTAL_�_
CITY OF TIGARD ELECTRICAL PERMIT__
\ PERMIT#: ELC2003-00681
DEVELOPMENT SERVICES DATE ISSUED: 11/14103
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
PARCEL: 2S1 13AC-(10103
SITE. ADDRESS: 07236 SW DURHAM RD N600
SUBDIVISION: PACTRUST ZONING: P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical tenant improvement, (2)200 amp or less services& (20)branch circuits.
Job No. 8392
RFSIDENTIAL UNIT TEMP SRVC/FEED_ERS _ MISCELLANEOUS_
1000 SF OR LESS: s 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL:
MANF HMI SVC/FDR: 601+amus 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS AJD'L INSPECTIONS
0 200 amp: J WISERVICE OR FEEDER: �0 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:
t_ Reconnect only: SVC/FDR—225 AMPS: _ _ _ CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY 0300-WMI 10948 SE VALLEY VIEW TERR
PORTLAND,OR 97224 CL.ACKAMAS,OR 97015-000
Phone: Phone: 503-698-3417
Reg #: I IC 51539
--- SUP 20535
_ FEES F:I F 1-2430
Description Date Amount
Required Inspections
[hLPftMT'] FLU Permit 1 I 1.4 cit $293.60 -
(TAXI 8%Slate Surcharge 11 14 uz $23.49 Elpct'I Service
Rough-in
Total $317.09 Elect'I Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance,or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 95Y 001-0100. You may obtain copies of these rules or direct Questions to OUNC at;593)246-6699 or
1-800-332-2344.
Issued By ' li,Y �'' Permit Signature:
OWNER INSTALLATION ONLY
The 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: �'� � � ` �� DATE: —_
LICENSE NO: -
Cail 639-4175 by 7:00pm f, r an Inspection the next business day
From Charlynn i Leifsen To City of Tigard Date 1 1/12/2003 Time 10.31 16 AM Flacip
11"lixtr1cal Pern
Applicaticiii
odElectrical
so Viftit No.: &4_1
OfR, SCIFIVED Planning Approve) 3,611
city rgarw— uawu Pem-tit No.:
U 12.5 W H vtL Plan Review othcr •
'tigant, MWI ParoW No
Phone: 50-6394 171 Fax: 503-598-1960 Lind Use
Cow No
Contact See Page 2 for
2';-hour InIVIMIDItW411MISIM-039-4175 L Name/Mothod: I'A upplemontal Inrormallon.
4e_- el,5
"VLIF
OU WORK Please chesi:�;jl thit it
-Mervwe over�25 elan., 11 aUh-are lrulil�
0, urmn11-1�I,dwig Ift3tion
ew constniction F1 Denioli-tion
X ..Other: r.]SoNue ovvi 3,10 iiiiirts-raliritt nt' 0 Bjiiklind uve,IfOsIM!sAjukdr.fir',
"t T
A.2 I'armly dwAinip jni:sW. !t
fit-,61,31ortrio. fb�ir or metc tefldi;
`Ism over 6M volIA norriTial I.,11PAII,chre
f&2-Tami 116 CorrimerciaLiffidustrial
L)I holding over three stories [3reseed, 00amps.;i yoi,-
Ac MOM IIuilciin.g Multi-Family U Ninnitractwed xtrucurcs or 16'pwk
L]C)ccliessint Inad over 99 givirsts)tu,
Mester Builder Usher:e r: a Ustes4lij+1111!I�Inn rl
Submit %4,14 a f plant W11 h any of the ak-'IN e
�(*Ni icys it(W OCATIO
.. ....... L I'll% sbok.•art but (is,obIc to IC41% oiar�
!W _.- 'P cankiruttion St
hlbslteaddrc�s:-72' 36 SW Durham Rd, Z
dr,2k,-I
sulte 0. 60 Hldp.iA t:.L Numberoff spectiqn.spurperiint llt'+Ntd
mers-------M
2 M cel Name: "O* New rer3dontial-sitlele or multi-fame)per
Cross s;rcel/Directions to job bile: i1siriling unit.Includes attached jutiettv.
Nei vke lucludiati;
Lack witIMI'lissil 501-j!"j.ft.or portion Themr
J"j 2
=Lot
I Irl i!ed energy,ror.residentia I
dwelling
CRIPTION MWOKK
9ervk6a a,r finuilm-Installation,
Tenant Improvement alleration or relocation, 2 80'0 160.60
"(9)Omit of less
L) J,)4(10 Isolij,.
0. _M 85
401 to of* 10.
(q l afoot to I OW am
r Wr 240.60
7 Of_;u00 4. 2
Name:Pacific Realty Associates Pecoaract onlv TL_
Address:. 15350 SW Sequoia Pkwy, 300 Temportar*r services or feedrrs Inkfalladna.
1114-rifflon,or relocation:
City,,StatejZjp: Portland, OR 97224
_10 I Am to 400 arilm
Phone. 603 624-6300 4141 in M0.xn,,rj.
7-ri_AV FII�C lit stitch ch colts-new,serration,or
Militic'. Johansen Electric Inc. svxtsrn%Inn per panel:
Addrcs� 10948 SE Valle View Terr. each branch cirruh 20 tl Its 133,00
ff Fee for starch eticu,11 w411-11 rurchatse nr
CiMSIRIC/Zip: Clackamas, OR 97015 service or kvdvi 11�r firMinatich circuit 2
- �Z.L_ ---. i
Phone-750
3) 698-3417 j Fax:(503) 698448d 60 1 2
Mioc(Service or sake impt It,cl,ided)
FACII M Irrigaii.on Circle 3341)
CQN1j4CT0 .40
Job No:8392 Sipal 01CU14"I)-a levied triet .cl.
PA.t2
Business Name: Johansen Electric Inc. ------ Dei(Ar.-for:
10948 SE Val,!,jy View Terr.
Each additional IqpE!!uo tivirt (lie 91116 Wahl!? art%of the Move:
_jC�W'Slaie,1ip: Clackamas OR OR 97015 !1Yi_in!qWiI;1 rMI .KW Cr4in. I how)
Phone (503) 696-Rf7 F:tx (5ff) 8-2446
'il
CUB LI(:, # 51.5391 t-''. 3-243
3-2439 W
ll
A
nature i squired: Nan Review (25%of Penrit Pee)
'_�um�igg. 8%of Purmit 23.49
Print Nanw-dart- i(, j Lie i.,� 2053S _ _ �_L_
LvL_ __o Johansen
11/12/03 _71io,1W.-4�k permit Applicadon expires If R permit 14 not ahtalate4f within
Ate I So dayo after It hm%been atrtpietl pi complete.
AI -Pre mrflindolog)all by'rrl-Uourjty Building industry Strwice floard.
CharlynkJ. Leif n
1111casc prim r.n-vr I
r`kts'Pvrn6l I,otn,s+IrPrrm;tA-np.doc 01/0
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP _�_—_--
Received _ Date Requested _ AM PM BLIP
Location
Suite__ GQn MEC _'—
Contact Person
- _ __���"`—� _ Ph(_._.—__._) _q � =� �-- PLM
Contracior�.ds1 Ph(__----) --- --_— SWR
BUILDING Tenant/Owner —�_._—__.__.____—.�_____�_—_—__-- LC _S -
Footing —
Foundation ELC
AGC@SS:
Fig Drain ELR —_
Crawl Drain
Slab Inspection Notes: 4 �^ / i/ SIT
----------------------
Post& Beam _-
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear — ^—
Framing --- --- ------ -- ----- - _—
Insulation ,
Drywall Nailing -- �^- - -- - - -
Firewall - -r
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - - -- -- --- ---�—
Root
Other: --- -- -
Final
PASS PART FAIL --
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service - - - - - `-
Sanitary Sewer --
Rain Drains
Catch Basin/Manhcle
Storm Drain --
Shower Pan
Other: ------
Final
----Final
PASS PART FAIL -..-
MECHANICAL
PoBeam _
Rough-In ghh In /L� �- ---- -- -
Gas Line �-
Smoke Dampers
Final i
RT FAIL - - - ------ -
LECTRICAL -u-_
Rough-In --- - -�-_------ ------ i
UG/Slab
Low Voltage _ ��5 L.s /` _ - ------ ---- ---- ---
F arm
anal U Reinspection fee of requirr- f before next ii spection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
STM_ Please call for reinspection RE:_-_ -_ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Fid
Other � � J
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
PERMIT V
CITY OF 1 v GARD PERMIT #. . . . . . . : MEC96-0146
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/26/96
13125 SW Hall Blvd.Tlpard,Orcpon 97223.8189 (503)838.1171 PARCEL: 2S 1 13AC-00100
SITL- 1l(JURL*".Ji.:). . . : "JW DURHAM RU �(,00
SUBDIVISION. . . . . ZONING: I-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . , . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 1 VENT FANS. . . - 2
OCCUPANCY GRP. . :B VENTS W/O APDL: 0 VENT SYSTEMSe 0
STORIES. . . . . . . . : i BOILERS/COMPRESSORF) HOODS. . . . . . . : 0
1=UE1_ TYPE.S.__.._._.__._.__.._.__-._-. 0-3 HFA. . . . : i DOMES. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. I.,iC l N. 0
MAX INPUT. 0 LTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FI RE: DAMPE:RS'7. . : N 30-50 HP. . . . : 0 WaODSTOVES. . : 0
GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLC DRYERS— : 0
110. OF UNITS --- -- ---- AIR HANDLING UN I Thi OTHER UNITS. : 0
FURN i 100K STU: 1 t- 10000 cfm : 0 GAS OUTLETS. : 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks, : Tenant impr^ovement --- GSW Ac_quisir. ion - office/waretior_rse
Irlechanical, sprinkler-, plbg and electrical permits r^egr_lired before occupancv
Owner,: ______________.._._____._.__.._._____.__..__----__._.___________._.____ L:EVS
PACTRUST type amount by date recpt
15-1150 SW SEQUOIA PKWY PRMT $ 36. 00 .TSD 07/26/96 96-28._157
SUITE 304' F-'L: K $ 9. 00 JSD 07/G6/96 96--28219]
TTGARD OR 97224 5PCT f 1. BO .JSD 07/26/96 96--282177
Phone #1: 624-6300
1=,ROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND OR 970'32
Ph on a 14: 2133-691 1 f 46. 80 TOTAL
Req 02?8968
--- - - REQUIRED INSPECTIONS
This permit is lssl'ed subject to the regulations contained in the Gas Lire Ins-,
Tigard Municipal Cade, State of Ore. Specialty Codes end all othrr Machan i ca l I n s p
apol icable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if cork is not started _
within 19@ days of issuance, or if work is suspendea for more
than 18@ days.
Permittee Signatr_Ir•e :
Issued By�`-_ �' -�"' ` `e �
Call fns inspection - 639-4175
i
l_
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 sVJ Hall Blvd. APPI_ICATIO Permit: #
Tigard, OR 97223
(5r:; 639-4 171 / /l
.,�.a ,.•.wym•m escnption
Table 3A Mechanical Code QTY PRICE AMT
Job 7Z 3� It��/fin #Cefr" 1) Permit Fee -0- -0- 1000
Address .*
I 14 TL/9N0 - 2.7 D Suoplemenla! Permit 300
F— em•rd nam• n•o Furnace toTiZTtf.��'ATQ-� —'�
- 7
L 1) incl, ducts 3 vents 600
• o ••• _ •^• Furnace 100,000 BTU +
Owner 2) incl. ducts 8 vents 710
^r� Floor urnance
?,v 7e f�/j_)!� 7!` 3) rcl ,ent 600
an•ra n•m•a . n•
3Uspended heater, wall ,eater
4) or floor mounted heater - 600
• a •• �+— - of riot ncl in
Gccuoent , j� /.�,C 5) apoliance permit 300
w r • L Y•nRepair of heating, re r,y
61 cooling, absorption unit 600
i-- •m• // Boiler or comp, hedt pump, a.r conn /
7) to 3 HP absorp unit to 10UK BTU _L '00 C
•+no •.• syr — �^� —�•oi er or coma, ea—fi t pump, a,r coria
18) 3-15 HP absorr unit to `:OOK EJU 11 OC
Contactor .� Ir
v, —
r —�+ler or comp, heat pump, air con
IV 11411,111,107 7 2.5 9) 15-30 HP; a orp unit 5 1 and 9TU - 1500
�•rj••• •a^ ua °• of Ar or comp, neat pump, air can
3r' �• Z? 10) 30 50 HP: absorp unit 1.1 75 and BTU 2: 50
i hereby ac nuwlAdge that I have read tnis app ica ion, at t e Boiler or comp, ieeat purnp, air can
information given is correct, that I am the owner rn authorized 11, , 50 HP: absorp unit 1 75 and BTU 37 50 —�
agent of the owner, that plans submitted are in compoance withI 7 and inngun t to
State laws, that I am registered with the Construction Contractors 12) 10,000 CFM 4 50 II
Board that the number given is correct. (If exempt from State it an ing unit
retgistration, please give reason below., 13) 10.000 CTM + ' SO
-- — on porta a --- --4-----
14) evaporate cooler 1 50
ent
far, nonrecte0 `-
15) to a single duct 3 00
Ventilation system not i
16) included !n appliance permit 4 50
ya• � —` °• Hood seried by
095.7[ 17) mechaniral exhaust
�7Scribe wog radi i
new ' on U a era ion U repair lJ Commercial or inclustrial --7
:o be done residential Q non-residential 0 18) type incineratc, CC
c stirg useso -- Ctrier i e., woodstove water i
builr6n of orooei<y _ 191 heater, soler, clothes (rvers. etc 4 SC
I
Proposed use of 201 Gas pipinq one to four outle'.s L_ 11 10 7-
building or property
21) More than 4-per outlet (each' 2 00_
Type of fue! -oil C) catural gas W' LPG 0 electrc 0
NOTM
M,mum Fee 5..5 10 SUBTOTAL ? �,
PERMITS" BECOME VOID IF WORK CR CONSTRUCTION
AUTHORIZED IS SIO' COMMENCED WITHIN 180 DAYS. OR 5°n SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR --�—"�-
ABANDONED FOR A FERIOD OF 180 DAYS AT ANY TIME PL-AN REVIEW 25% OF SUBTOTAL _
AcTER 'WORK IS COMMENCEC -- — _
TOTAL I � /
Special Conditions — —
Date i,rjued
r tCOtM[11TbYECMMT
F - - -
I
CITY OF TIGARD PERMITI##ALELC9610291
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/09/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (502)830.4171
Su PARCEL: 2S 1 13AC-00100
U 1 1 L. AUURL:SS. . . : 079--_'3b SW DURHAM RD 600
SUBDIVISION. . . . : 20NING: I-P
BLOCK. . . . a . . . . . a LOT. . . .. . . . . . . . . .
11
Project Descriptions Installing 2 services or feeders And 8 branch circuits.
_._.__RESIDENTIAL UNIT---- -- -TEMP SRVC/FEEDERS----- ------MISCEL!_ANEOUS------
1000 13F OR LESS. . . . a 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGA'I ION. . . . : 0
EACH AUL' L 500SF. . . a 0 201 - 400 amp. . . . . . . : 0 SIGN/DUT LINE LTG. . : 0
LIMITED ENERGY. . . . , : 0 401 600 Amp. . . . . . . t 0 SISNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . s 0 601-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
- - - -SERVICL/F=EEDER---"- -•----DRANCH CIRCUITS--- ----ADD' L INSPECTIONS----
0 - 200 amp. . . . . . : c W/SERVICE OR FEEDER: B PIER INSPECTION. . . . . a 0
G'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . a 0
401 - 602 Amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . s 0
601 - 1000 amp. . . . . 1 0 ------------------PLAN REVIEW SECTION------_________.-._
1000+ amp/ lolt. . . . . : 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . s
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP1 . . : CLASS AREA/SPEC OCC. :
owner: _____________.____.____.______._________________.____._.__ FEES
i.i6W ACOUISTIONS type amount by date recpt
/ :36SW DURHAM RD F'RMT $ 150. 00 CJS 05/09/96 96-279197
f3UITE #600 5PCT $ 8. 00 CJS 05/09/96 96--279197
TIGARD OR 97223
'hone #:
Contractors -____.____.__._---.__------•_----_---�_____-- -•.--_-----____
BACHOFNER ELECTRIC, INC. $ 166. 00 TOTAL
55 BE MAIN
REOUIRED INSPECTIONS ----
POrRTI_AND OR 97 :14 Ceiling Cover Elect' 1 Service
Phone #: 503-233--2006 Wall Cover Elect' 1 Final
Reg #. . : 44569
This permit is issued subject to the regulatians contained in the _�
Tigard Muricipal Code, State of Ore. Specialty lodes and all other Permittee Signature
applicable lairs. All work will be done in accordance with
approved plans. This permit gill expire f wo,^k is not started
withir IP,Q days of issuance, or it work :s suspended for- more
than 168 days. Issued By
. ..---------_OWlAE.R INSTALLATION ONI_Y--__._.___.______.__--_--•--.____-.
lhie installation is being made on property I own which is not intended for
salsa, lease, or, rent. I
OWNS:R' S SIGNATURE: DATE
---_-------___---_-__-CiNTRACIOR INSTALLATION ONI-Y--_------_-.-______________-
5 l F7NA"PURE OF SURR. ELEC' N: �j► ayl rA i ea_
Df TY"E;
l � I
( l CENgE. NO
Call fo+ inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
1312.5 SW tall Blvd.
Tigard, OR 97223 Permit # r•7 . .�r� ___
Date Issued
Phone (503) 639-4171
CIlY Of TIOARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development HL GRFEN Number of Inspections per permit allowed
Address 7226 SW Durham Rd 11600 Service Included Items Cost(ea) Svm
Ci!y/State!Zip Tigard, OR _ 4a. Residential -per unit
1000 sq ft or less $1 10 00 _ _ 4
Name (or name of business) GSW Acquisitions Each additional 500 sq If or
— --' portion thereof __ $25 00 _
Commercial Residential F] LimitedEnergy $2500 _ 1
Each Manurd Home or Modular
Dwelling Service or Feeder $6800 _ 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor Installation alteration,or relocation
Bachofner Electric_ _ 2 $6000 1 2
200 amps or less 20.on_
Address _55 S.E. Main 201 amps to 400 amps —a $8000 2
Cit Port arl�- d. __ State OR 2_ip 97214 401ampato600amps �— $1200(1 _ — 2
City ---- — 601 amps to 1000 amps $18000 2
Phone No, 233-2006 Over 1000 amps or volts -- $34000 2
Job NO. 4905 - Reconnect only -- $5000 2
contrnictor'£ license NO. 26-4510 4c. Temporary Services or Feeders
Contractor's Board Reg NN�45 Installation,alteration,or relocation
Signature of Supr Elec'n 7 200 amps or lase __
License No Phone No 201 amps to 400 amps $5000
2 �5__. -- - _ ZQ�-- 401 amps to 600 amps $7500
Oyer 600 amps to 1000 volts $10000 --
2b. For owner installations. see"b"above
4d. Branch Circuits
Print Owner's Name _ New,alteration or extension per pone
Address w The fee for branch circuits with
City_ State_ Zip.- _ purchase of service or feeder lee
Each branch:ircult 8 $500 40.00
Phone No. b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee.
lot Intended for sale. lease or rent First branch arcus $3500
Each additional branch cirruit $500
Owner's Signature_ 4e. Miscellaneous
(Service or feeder not included)
3. Plan RP ;-w section (if required): Each pump or Irrigation circle --- $4000 — -
Each sign or outline lighting $4000
Signal circuits)or a limited energy
Please check appropriate Item and enter fee in section 5B panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) v_ $10000 _
_ Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N EC Chapter 5 PP, nspection $3500
Per hour __ $55(10
In Plant $5500
Submit 2 sets of plans with application where any of the above - ---
apply. Not required for temporary construction services. S. Fees:
5o. Enter total of above fees $ 1 10.00
NOTICE 5%Surcharge (05 X total fees) g
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g __
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) 5 __
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCEL Trust Account tY
,n,•pr
Balance Due g 16J;_on
SEWER CONNECTION
CITY OF TIGARD PERMIT #. . . .PERMIT. . . : SWR96-0202
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/22/96
13125 SW Hall Blvd.Tigard,Orogon 9722398199 (503)639-4171
PARCEL: 2S113AC-00100
SITE ADDRESS. . . : 07236 SW DURHAM RD W600
SUBDIVISION. . . . ". ZONING: I—P
FLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . :
—
C ENANT NAME. . . . . :GSW ACQUISITION
USA NO. . . . . P . . . . . FIXTURE UNITS. . . : 21
CLASS OF WORK, . .-AL.T DWELLING UNITS. . : 1
1 YV'-'E OF USE. . . . . :COM NO. OF' BUILDINGS: I
INSTALL TYPE. . . . .-BUSWR IMPERV SURFACE: 0 st
Remarks) Tenant improvement GSW Arql.iisitioyi — office/warehouse
Owners FEES --------------
PACTRUST type atnokint by date recpt
15.350 SW SEDUOIA PKWY PRMT $ 2—'1.200. 00 FA 05/14/96 96-2*79364
SUITE 300
rIGARD OR 972'24
Rhone #1 624-6300
�antractora
OWNER
Phone #1 t 2200. 00 TOTAL
Req #. . :
REOUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Case Finaled
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid w,II be forfeited if the
permit expires. The Aqency does not guarantee the accuracy of the
side sewer laterals, It tne sewer is not located at the measurement
given, the installer scall prospect 3 feet in all directirns from
the distance given. If not so located, the installer shall purchdsE
a "Tap and Side Sewer" Permit and the Agincy will install a lateral.
P v r m i t t e e S i g n a t Ll t-e
I s s1-red By ......
Call for inspectio-i 639-4175
Tenant Name: &5U) Lit AGCumulativ a Sewer Tally This SWR#: c>oj
4ddres ;: SW Q1AChaltti This PLM#: Vj�jMq6— ��
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Path Tub/Shower 4
- Jar.uz/%Vhpl 4
Car Wash - Each Mall 6
Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - C:onimm 4
Domest 7_
Drinking Fountain 1
Eye Wash 1
Floor Drainisink 2 inch 2
3 inch 5
4 inch 6
Car Wash Drain 6
Garbage Disposal 16
Dom Ito 3/4 HPI
Comm Ito ri HPI 32
Ind over 5 HP) 48
Ice Machine/Refrigerator Drains 1
Oil Sep(Gas Station) 6
Recreational Vehicle Dump Station 16
Shower Gang (Por Head) 1
Stall _ 2
Sink - Bar/Lavatory — 2 �-
Bradley --- 5
Commercial 3
Service -- 3 -�_- ---- I �-
Swimming Pool Filter 1
Washer Clothes 6
Watc Extractor 6
Water Closet, Toilet 6
Unnal — 6 - — —
TOTALS
Total fixture values:_ div;Jed by 16 = / /_ EDU
HISTORY
PLM# EDU# SWR# 1't M# EDU# SbVP# _ 1
PLM# EDLr# SWR# PLM# EDU# SWR# --1I
PLM# EDU# SWR# PLM# EDU# SWR#
l� PLM# EDU# - SWR# _- oLM# EDU# SWR#
CITY OF TIGARD P'FRMITU#EKING PERMIT iiPLM96-0109
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/22/96
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)839-4171
1TE ADDkESS. . . : 072:'36 SW DURHAM RD 4600 PARCEL: 2S113AC-001cZI
wUBDIVISION. . . . : ZONING: I-P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . -.COM WASHING MACH. . . . . . : 0 Bk1-KFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . : 1 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . a 0 WATER HEATERS. . . . . : 1 CATCH BASING. . . . . . . : 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . + 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 1 URINALS. . . . . . . . . . . : el GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 2 OTHER FIXTURES. . . . : 0
T'UB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
Wi"il 1--R CLOSETS. . : ` WATER LINE (ft ) . . . : 0
DISH'IASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks., - Tenant improvement •- GSW Acquisition - officre/t,;arehouse
Owner-: --__.___._________--•----------_.__.______-_._-_-._ __..__.__ FEES
PACTRUST tyl.)e amol_int by date recpt
15350 3W SEQUOIA PKWY FIRMT $ 63. 00 B 05/22/96 96-279696
SUITE: :1100 5PCT E :1,33 B 05/22/96 96--2 7C)k.,1)
1IGARD OR 97224
PhoTte #: 62:4-6300
Cont r actor^: __--
DEON WARREN PLUMBING
3117. SE 13TH
PORTLAND OR 97202 ________..•--W_._.__------___._..___-
Phone #: 236-.415L $ 66. 15 TOTAL
Reg #. . : 000172
-------- REQUIRED I NSFIECT I GNL.
This pertit is issued subject to the regulations contained 1n the Rough-in In7.o —
Tigard Municipal Code, State of Ore. Specialty Codes and all other FILM/Underf 1 oor _
applicable laws. All Mork will be done in accordance with Top-u ut I n s p
approved plans. This perait will expire if work is not started Final Inspection
within 198 days of issuance, or if work is suspended for sore
than 198 days.
I r ,
m i t t e e 5i tulat -it•e : a-, /4
ed By: �^+.-
-----
Ca.11 for- inspection - 639-•4175
i
i
i
E
City of Tigard PLUMBING PERMIT APPLLGATION Planck/Rec. #
13125 SW Hall Rlvd. _ Permit # p�Ly
Tigard, OR 97223
1\503) 639-4171 -Pitt-r- 1
M $25.00 PERMIT FEE + ST. SURCHARGE
r ` r New Single Famll Re ildences Only
�
u.1TVZ. Gr^r. O 1 t3AT17 HOUSE $140.00~� O 2 BATH HOUSE$195.00
Job ?�(� r O 3 BATH HOUSE$225.00
Address rwrr,. Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
N"I«.."�w errrl FIXTUFIES
i QTY PRICE AMT
A Sink / , 9.00
M.0 A" "'""' lavatory -;. 9.00 c7 77-
Owner (r,3 e Tub or Tub/Shower Comb. 9,00
at Shower Only 9.00
( !�e Water Closet 9.00 e
Dishwasher 9.00
Garbage Disposal 9,00
Occupant U."1d„ Washing Machine 900
c Floor Drain 11 9.00
Water Heater 900
_ Laundry Room Tray 9,00
Unnal
` 9.00
r Ar' (^JA L Other Fixtures (Specify) 9.00
Contractor +f 900
-
II
900
I I 9.00
Sewer 1st 100' 30.00
ert s'ra"° Sewer-ea. AddiL 100' 25.00
Water Service 1st 100' 30.00
I hereby acknowl".�ge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board, that the Stone R Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
rye reason below.) Mobile Home Space 26,00
Back how Prevention '-
`� Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
_ Connected to a Fixture 9,Q0
Cescnbe work new addition Q alteration_O repair Q Catch Basin 9.00
to be done residential Q non-residential Q Insp. �f Exist. Plumbing TQOlhr
existing use of
Specially Requested Inspections 40.00/hr
bu,iding or property I.. LAG i Rain Drain. single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed Uie of
building or property
'(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECAME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _
FOR A PERIOD OF 130 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN 71EVIEW 25% OF SUBTOTAL
FTOTAL
Scec:al Conditions — -- - -
_ Date issued by
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 5W Hall 81,1d., Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANC Y
PERMIT #. . . . . . . I BUP96 - 0200
DATE ISSUEDe 11/26/96
A.- ADDRESS. . . t07a,36 SW E)tJpj4(4m pD Wel 0 0 PAKEL i 2q_ ll3AC.--oojoLi
JUD I V I S I ON. . . . : ZONING I -P
1-.OC14. . . . . . . . . I L-07. . . . . . . . . . . . . JURIGUICTIONg I IG
CLASS OF W014K. cALT
IYPE OF' 06F. . . jCOM
IYPE OF CONSTRe3N
OCCUPANCY GRP. sD2
OCC(Jl::IAN(.',Y LoAr)t
I F..:NANT NAME. . . :GO W AC n.U 1 S I T I ON
PPmar'Ps : Tenant impr-ovement CSW Acquisition
office/wav'ehousp iM
Owner
PACTnuST
15330 SW SEQUOIA PKWY
SUITE 300
tICARD OR 97224
Phone #:
H GREEN
15350 SW SEQUOIA BLVD
IE 300
TIGARD CIR 97224
Dhane 624 - 7717
Req 000413
Thin Certificate ok-mrits occupoincy of the above 1-efl-,-Priced building or pnt•tion
theveof arid confirms that the building has t a InsPlIcted for- complianc@ with
the State of Orpon Specialty Codes frit, the 91,C)UP,I Occupant, &rld USP Under
which rlF t-efev,enceud permit was 115qued.
..........
BUILDING OFFICIAL
PUS-",T IN COWSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
InspNction Line 639-4175 Business Phone: 639-4171 I
Footing Rain Drain Cover/Service
Foundation Water Lino Ceiling iirnb
Post/Beam Mech, Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Elect.
Post/Learn Struct, Mech, Rough-in Gyp. Bd. yldg
San. Sewer Gas Line Appr/Sdwlk
eI�1S
Other-
Date: A.M. P.M. nE try -
Address: �3__ — -
YL[. MST:
Con/Own: BUP: _
- — - - MFC:_
PLM:
THE FOLLOWING CORRECTJQNZ, REQUIRED: ELR: —
Inspect;Z�
[!��PPROIED --DISAPPROVED/CALL FOR REINSP.
CF CO
BUILDING PERMIT ;
CITY OF TIGARD DATEIISSUED: • 05/14/196-0`00
90MggMUH}NITY DEVELOPMENT DEPARTMENT
PARCEL: 2S 1 13AC-00 100
�131��1W1?I:°P Q�vd:TlQud,f�r�uonEG7�23 61BUIiHf-ir83Dit�.�� �,I�QI
SUBDIVISION. . . . s W ZONINGe1—P
BL.00K. . . . . . . . . . e LOT. . . . . . . . . . . . . .
_----------------------- ..
RL:ISSUE: FLUOR AREAS----------- EXTERIOR WALL CONSTRUCTION
CLASS OF' WORK. :ALT ' IRST . . . s 0 sf N: S: E: W=
TYPE OF USE. . . eCOM SECOND. . . a 0 sf PROTECT OPENINGS?---------
TYPE OF" CONST. :SN . . . : 0 sf Ne S: E: W:
OCCUPANCY GRP. :B2 TOTAL-----_—: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? a MEZZ?: REQ.D SETBACKS-------- REQUIRED-------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPIAL: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ s 0
Rematrkse Tenant improvement • GSW Acgoisition -- office/warehouse
Owner: --___________._.---._._________--•---._______—__._____._.___—____.._._ FEES ----------------
PACTRUST type amount by date recpt
15:350 SW SEQUOIA PKWY PLCK $ 91. 33 BON 04/11/96 96-278040
SUITE 300 FIRE $ 56. 20 BON 04/11/96 96-278040
TIGARD OR 97224 PRMT $ 140. 50 B 05/14/96 96-279360
Phone #: 6e4-6300 5PCT $ 7. 03 B 05/14/96 96-279360
Contractor:
H. L. GREEN
15350 SW 13EQUO I A BLVD, SUITE 300
TIGARD OR 972E4
14-ione #: 624-7717 t ;x:95. 06 TOTAL_
Reg #. . : 41328
------ - REQUIRED INSPECTIONS — —
This permit is issued subject to the regulations contained in the Framing lnsT) _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation t n s p
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started S u s p C e i l n g Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Permittee Sig ature :
I ti s u e d By I i, AIL&
Cell for inspection — 635-4175
Commercia; Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �✓f'--3�4 �s, f'►i, �'�, GY-��%
0' bt� Office Use Only
Tenant: 4;.�ff. ►?,-�
Valuation:
'rte Planck/Rec # �1 (01
Permit#
Owner: Pacific Realty Associates, L.P. PacTrust)
-- Map & TL #
Address. 15350 S.W. Sequoia Pkwy, Suite 300
A rovals Required
Portland, OR 97224
— Planning N Gi4
Phone. 503/624-6300
Engineering N ja
Other -i
Contractor. H.L. Green Company (5L'r, `3
Address 15350 S.W. Sequoia Pkwy, Suite 300 �1
Portland, ORType of const:
_97224-7199 e
Phone
503/624-7717 Occupancy class:
_
J Sprin.klered'? CYe ' No
Contractor's License # 41328 0 /-/��•
attach cc
( copy c°current Oregon license) Sq. ft. of project
710
�..
Contact name & phone: Chris Green, 503/624-7717 Story (1st, 2nd.
_— Proposed use. - ���`=- 1
Architect/Engineer: John H. Rumish /7-
Address 2216 S.E. 24th Avenue Previous use: /Ple9y
Note: Plumbing & mechanical pians
Portland, OR 97214 must be submitted at time cif
phony. 503,'236-6306 building permit application
-01
j(De DESCRIP-rION:
ac icant Signature & Phone number —
K,
Receive by: �'
Y Date Received:
Permit# Account Description Amount Amt. Pd. Bai. Due
Uldg. Permit (BUILD) l L41, G �f'� l y�•�(J
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) C,
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Cev Charge (PKSOC:)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C) i
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
t•
Office TIF (TIF-0)
�y Water Quality (WQUAL)
/ Water Quantity (WCUANT) _
Fire Life Safety (FLS) �� -2a
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _!
Erosion Planck/COT (EROSN) _
TOTALS: I
SE.. IP 35MM
ROLL# 22
FOR
LARGE
DOCU'MEN'T
BUILDING PERMIT
PERMIT #. . . . . . . . 8 U P,1-)6-0 7 0
CITY OF T IGARD DATE ISSUED: 07/26/96
F.
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW FlAll Blvd.Tigard,Oregon 91223.8199 (603)839-4171 PARCEL: 2S113AC-.001ii.10
SITC*. (iDI)I., /S. . . . 071-236 '.,W DUPHiDill W600
SUBD I V I S I ON. . . . : ZON ING: I
BL 0 C 1-11. . . . . . . . . . .. I-OT. . . . . . . . . . . . .
------- - -----------------------------
RFISSUE: r--Loon 0Rr--n- s------ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :AL r-I RST . . . . 0 5f N: S: E: W:
TYPE OF' US 3E. . . :COM SECOND. . . : 0 s PROTECT OPEN I NGS',
TYPE OF' CONST. :3N 0 s N: S: E: W:
OCCUPANCY GRP. B TOTAL 0 s ROOF CONST : FIRE RET? :
OCCUPONCY LOAD: 0 BASEMENT. : 0 S'. AREA SE.P. RATED:
S TO R. : 0 IAT : 0 -Ft GARAGE. . . : 0 s-f OCCU SEP. RATED:
BSMT? : ME.Z Z?: RE DD SETBACKS-- REQUI RED-
FLOOR LOAD. . . . : 0 p-,f LEFT. 0 -Ft RGI--iT : 0 ft FIR SPKL:Y SMOK DE'T. . :Y
DWELLING UNITS: 0 FRNT: 0 rt REAR: 0 ft FIR ALRM:Y HNDICP1 ACC.- Y
BEDRMG: 0 BATHS: 0 IMP, SURFACE-. 0 PRO CORP: PARKING: 0
VALUF-. $ : 860
Remarks : Fire suppr�essicin system
Owner-: FEES
PIACTIRUST type 'Amol-int by (Jat e i-er-pt
15350 SW SEQUOIA PKWY PRMT * 25. 00 JD 06/12'A4/96 96--280189
I
5U 11-L 300 FIRE $ 10. 00 JD o6/04/96 96- 280189
TIGARD OR 97224 5PTIT $ .1. 25 JD 06/04/96 96-280188
Phone #: 624-6300
FIRESTOP CO.
9384 SW TIGARD ST
TIGARD OR 97223
Plione 60.06140 $ 36. 25 TOTAL
Peq 063846
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained i(i the Gpi-irihlcr, FiriLAl
T�gard Municipal Code, State of Ore. Specialty Codes And all other Fit,e AJ.EAr,m Insp
applicable laws. All work will be done in accordan!-%: with Smc)kt, cJPtectuv- i
approved plans. This permi. will expire if work is not started Final Inspection
within 160 days of issuance, or if work is suspended for more
than 1130 dols.
ev,mittee 'Signoti-we :
s t ed
Call for, ii-ispec-tic-ri 639--4175
We
2 PLANCK#( 6-/QC- Date: 0�20L//?(�
APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION' SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
DATE: (P q L PERMIT # I 0
.�/ Valuation:
Amt. Paid: 7� ���' Permit Fee:
40% Plan Check Fee:
E3 rl.ux e Due: 5% State Tax: _.
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation: _ Addition: _ Repair:. Alteration:
Complete: Partial: Exitway:_ __._ Basement: Hood & Vent: _
Spray Booth: , IN EXISTING BUILDI\NG: IN NEW BUILDING:
NUMBER & STREET: � 17-3 L S A)-IUUK04-IL4 //Q ' i(V00
NAME OF BUILDING or BUSINESS: 4�42UWTIVfJ5
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:�_
TYPE OF SYSTEMS: Wet: ✓ Dry:—Z-Combination:
S?ANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1— 2_ 3_ 4__ Extra._
DENSIT) . 10 GPM/Ft2 DESIGN AREA t SDS' ft2 SPRINKLER AREA IZo ft2
SPRINKLER ORIFICE SIZE: Z" "K" FACTOR S- t. TEMP. RATING15'S"
OW +NER: Acrytts - ADDRESS: 1S-350 SIJ-- r vc/ kl _ 3°r
CONTRACTOR:/'ermla �D '
PLANS DRAWN B�4(je�__j_efo,-/ ADDRESS: �38¢ St
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: — Cl Tt o HONE: bZ0- to 14b
SIGNATURE OF APPLICANT: ✓ _, �C ti� �-�
BUILDING DIVISION: _
�4[��6- �y LJ'S/�Ic e
PERMIT VALID FOR 180 DAYS
h;\IoSmWehlflrrorrm