7236 SW DURHAM ROAD STE N-100 i
(`--J—`-- BUILDING PERMIT
C11Y OF TIGARD PERMIT #. . . . . . . : BUP96--0_a''
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/25/96
13125 SW Hell Blvd Tigard,Oregon 97223.6199 (503)639 0171 PARCEL. 231 1 3AL;• 001 00
SITE: ADDRESS. . . : 012: 6 SW DURHAM RD #100
SUBDIVISION. . . . : ZONING: I- F'
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
REISSUES —_________.___—_---FLOOR—AREAS-- -- _ EXTERIOR .JALL CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . : 10051 s f N: S: L.- W.
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?______.__._
TYPE OF' CONST. :5N . . . : 0 sf N: S: E: W�
OCCUPANCY GRP. :B TOTAL—-_.--: 10051 s f ROOF CONUT: FIRE RET'? :
OCCUPANCY LOAD: 35 BASEMENT. : 0 gf AREA SEP. RATED:
STOR. : 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? : ME:ZZ? : REGID SETBACKS--------- REQUIRED---------...-----
F LOOR LOAD. . . . : 0 lag F LEFT: 0 f t RGHT: 0 ft FIR R SPKL:Y SMOK D1=T. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMF' SURFACE: 0 PRO CARR: PARKING: 0
VALUF_. f : 50000
Remarks: Irwin/Hodson tenant improvement
Owner: -_..__.___.___.......__...__..-----___._.__.._.._ .---____._._--_ ..._..._.___---_--._____
FEES
PACTRUSI type amount by date recpt
15.350 SW SQUOIA PKWY PLCK $ 183. 95 BON 05/14/96 96-27939E-
SUI I E 300 T=I RF E 113. 20 BON 05/1.4/96 96-27939to
TIGARD OR 97224 PRINT 0 283. 00 JMH Ofh/25/96 96-28098c-
N'hone #: 624-6300 °.:,!-'I_T E 14. 15 JMH 06 S/96 96-28091:31
Contractor:
I.1. L. GREL:N
15350 SW SEQUOIA BLVDI SUITE 300
f IGARI) OR 9724 _.-.-----Phone #: 624--771 7 0 594. 30 TOTAL
Ije #. . : 41,28
g -------- REQUIRED I NSF'ECTI UN5 -------
ihis permit is issued subject to the regulations contained in the Framing Insp
d Municipal Lode, State of Dre. Specialty Codes and all other 1 n s i_f 1 at i nn Insp
a, cable laws. All work will be done 1n accordance with Gyp Board Insp
app oved plans. This permit will expire if work is not started SU y lr Dat i l n g Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days,
K='ermittee '3ignatUrrF : --
lr.Sf.kP(1 LAY :
Gall for inspection - 639-4175
I
Commercial Builditl_g_-Permit Ap I� ication
City of Tigard _ ( /- ( t 'L- 1�r
13125 SW Hall Blvd. �'
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
� coffice Use Only
'Tenant: quite # _��.__
Planck/Pec #
Valuation:
Pemut
Owner: Pacific Realty Associates, L.P. (Paclrust) Map Tl t# "� � "4 rJ
Address 15350 S.W. Sequoia Pkwy, Suite 300 Approvals Required
Portland, OR 97224 Planning i
Phone 503/624-6300 - Engineering
Other _-
Contractor: H.L. Green Company
Address 15350 S.W. Sequoia PWy, Suite 300
Type of const:
Portland, OR 97224-7199 ,
Occupancy class:
Phone: 503/624-7717 _
Spnnklered7 es Na
Contractors License # 41328 _
(attach copy of current Cregon license) Sq. ft. of project:
Contact name & phone. _ Chris Green, 503/624-7717 — Story (1st, 2nd. etc.) _
Pr000sed use: 0Te::� �
ArchitectlEnginier: _ John H. Romi sh
Previous use:
address 2216 S.El24th Avenue
--� Nate Plumbing & mechanical plans
Portland, OR. 97214 must be surmitted at time of
—--- building permit acplici'- .�.
Phone. 503/236-6306
JOE DESCRIPTION:
licant Signature ,g Phone number
r
Received by i 1 �( � 1 Date Received: ._�_
Plt;nit 0 Account Description Amount AML Pd. Bal. Due
,'Bldg. Permit (BUILD) ��.ub `+�'3. o �
Plumb. Permit (PLUMB) _
Mech. Permit (MECN)
State 'fax (TAX) _< 5
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) _
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSQC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial Tl'-' (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
1
� ) Office TIF 1,T1F-0)
Water Quality (WQUAL.)
Water Quantity (WCUANT)
Fire life Safety (FLS) l ��•l{
Erosion Cr►trl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
Erosion PlanckJCOT (EROSN) _
TOTALS: L 15 ..�...r...N
MECHANICAL
CITY OF TIGARD ..MIT
PERMIT #. . . . . . : MEC96-01:�P
COMMUNITY DEVELOPMENT DEPARTMENT DAFE ISSUED: 06/25/96
13125 SW Hall Blvd.Tigard,Orogan 97223*9199 (503)639-4171 PPRCEL: 2SI13PC-00100
SITE ADDRESS. . . 1217236 SW DURHAM RD #100
SUBDIVISION. . . . ZONING: I-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..
CLASS OF WORK. . iAL.T Fl..(-IOR f-::(.JRN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UN I T HEATERS. . : 3 VENT FANS. . . : 2
0 C U U P A 1\1 C Y C3 R P. . :1i VENTS W/0 APPL.. I VENT SYSTEMS: 0
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FULL 16-3 HP. . . . : Vl DOMES. INCIN: it)
- /GAS/ 3-15 HP. . . . 0
COMML. INCIN: 0
MAX INPUT : 0 BTU 15-30 HP. Q) REPAIR UNITS: 0
F IRE DAMPERS;'. . : 30-50 HP. . . . : 0 WOODEE)TOVES. . : 0
PRESSURE. . . 50+ HP. . . . : 0 CLO DRYERS. . - 0
NO. OF UNI AIR HANDLING UNITS OTHER UNITS. : 0
1 URN < 100K B1 U: 2 10000 C-fm : 0 0AU (TUILF-TS. : 6
TURN > =iviim BTU- o > 10000 cfm . 0
Pemay-l49 : Irwin/Hodson tenant imp)-ovement
Owner,: --.-—- - --.-- ------ ---- --.-- ---- FEES
F:.,AGJRUST type amot.111t by date recpt 10t)
15350 SW S(-,).(JOIA PKWY P R Ml 1 56. 50 JMH 06/25/96 96•--28014 W
SUITE. 300 PLCK $ 14. 13 JMFq 06/25/S6 96--c.8014.8
I' lGARD UR 971--',24 5PC'1 $ E. 8 2 JMH
Phune #11 624-6300
Cont r,A(::t ov-:
CLIMATE CONTROL INC
5315 `6 T I
NW 2 -1
FIOR (*LPND OR
PtIone 13. 45 TOTAL
RE(JUIFLED INSPECTIONS
This permit is issued subject to the regulations contained in the Sas Line Insp ---
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Olech,rA-iic:al lnc;p
applicable laws. All work will be done in accordance with Final Inspect tots
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.
e r,m i t t e e i L4 n a t t-i v-e
I S S 1-1 e d ):'.Y :
L"a I I fat, inspection 639--4175
R
' r
Tigard: 114"'I N-HODSON
Second Plan Review
LP2A Job No. 96522.028
City No. BUP 96-0265
MEC 96-0138
June 17, 1996
John H. Romish
2216 SE 24th avenue
Portland,Oregon 97214
Re: Tenant Improvement- Irwin-Hodson,7236 SW Durham (toad
Floor Area: 2,208 Sq. Ft. (Office) ('onstruction Type: V-N Sprinklered
7,843 sq. ft. (Warehouse) Occupant Load: 20(Office)
Occupancy: B/F-1 15(Warehouse)
Use: Printing Office/Warehouse
LP2A(Linhart Peterson Powers Associates) has completed re-review of the following documents. These
documents were reviewed only for their conformance to the City of Tigard building regulations and the
State of Oregon Specialty Codes, 1996 Edition. This review does not include plumbing, electrical or
fire sprinkler and fire alarm modifications. These shall be submitted and reviewed by the City of
Tigard.
1. Architectural Drawings, Sheets: A-1,A-2.
2. Mechanical Drawings: Sheet M-1.
LP2A recommends the issuance of the building and mechanical pe,•mits for this project.
Structural/Fire Life Safety
I. Please submit the interior lighting budget for our review.
Lighting budget submitted to the City of Tigard for their review.
2. Please provide us with the framing detail showing the roof support for the new mechanical
equipment to be installed •.i the roof. Please include size of members and type of framing anchors to
be used.
Additional drawings reviewed and approved.
3. The transaction counter in Entry 101 shall have a space not less than 36 inches wide that is not more
than 36 inches above the finished floor. Section 1 109.23.2 O.S..S.C.
Counter eliminated and a desk will be provided.
4. Offices 103, 104 and 106 have glazing within a 24-inch arc of the doors. Plrase provide labeled
safety glazing for these relites. Section 2406.4 O.S.S.C.
Response to this item accepted.
Provide a minimum 2:A,I0:BC fire extinguisher for every 3,000 sq. Ft. of floor area with a travel
distance between extinguishers not exceeding 75 feet. UFC standard 10-1.
Response to this item accepted.
LINHART PETERSEN POWERS ASSOCIATES
3855-3 Wolverine Street NE*Salem.OR 97305
(503)371-2212*FAX:(503)371-3853
r
Note: The occupancy type was identified on the permit application as an F-2 Occupancy for the
warehouse. After our review of the plans and of the code, we believe it more closely resembles
an F-1 Occupancy, Therefore,we performed a review based on this classification
Mechanical
I. When more than one mechanical unit is installed on the roof of a building, it shall be permanently
identified as to the area or space served. Section 304.5 8 O.M.S.C.
Response to this item accepted.
2. Furnaces located on the roof shall be readily accessible. Section 321.8 O.M.S.C.
Response to this item accepted.
If we can be of further service to you, please call us at 371-2212.
Respectfully,
LINHART PETERSEN POWERS ASSOCIATES
Gary Lampella
Builclink dl Mechanical Insi)eclorMans Examiner
c: David Scott, Building Official
Tigard: IRWIN-HODSON
First Plan Review
LP2A Job No. 96522.028
City No. BUP 96-0265
MEC 96-0138
June 6, 1996
John H. Romish
2216 SE 24th avenue
Portland,Oregon 97214
Re: Tenant Improvement - Irwin-Hodson,7236 SW Durham Road
Floor Area: 2,208 Sq. Ft. (Office) Construction Type: V-N Sprinklered
7,843 sq. ft.(Warehouse) Occupant Load: 20(Office)
Occupancy: B/F-1 15(Warehouse)
Use: Printing Office/Warehouse
IT2A(Linhart Peterson Powers Associates)has completed review of the following documents. These
documents were reviewed only for their conformance to the City of Tigard building regulations and the
State of Oregon Specialty Codes, 1996 Edition,This review does not include plumbing,electrical or
fire sprinkler and fire alarm modification%.These shall be submitted and reviewed by the City of
Tigard.
1. Architectural Drawings, Sheets: A-1,A-2.
2. Mechanical Drawings: Sheet M-1.
LP?A is unable to recommend the issuance of the building permit for this project until the following
items have been satisfactorily addressed.
Structural/Fire Life Safety
I. Please submit the interior lighting budget for our review.
2. Please provide us with the framing detail showing the roof support for the new mechanical
equipment to be installed on the roof. Please include size of members and type of framing anchors to
be used.
3. The transaction counter in Entry 101 shall have a space not less than 36 inches wide that is not more
than 36 inches above the finished floor. Section 1 109.23.2 O.S..S.C.
4, Offices 103, 104 and 106 have glaring within a 24-inch arc of the doors. Please provide labeled
safety glazing for these relites. Section 2406.4 O.S.S.C.
5. Provide a minimum 2:A,1 O:BC fire extinguisher for every 3,000 sq. Ft. of floor area with a travel
distance between extinguishers not exceeding 75 feet. UFC standard 10-1.
Note: The occupancy type was identified on the permit application as an F-2 Occupancy for the
warehouse. After our review of the plans and of the code, we believe it more closely resmbles an
F-I Occupancy.Therefore, we perfomed a review based on this classification.
LINHART PETERSEN POWERS ASSOCIATES
3855-3 Wolverine Street NE a Salem,OR 97305
(503)371-2212 a FAX:(503)371-3853
Mechanical
1. When more than one iechanical unit is installed on the roof of a building, it shall be permanently
identified as to the area or space served. Section 304.5 8 O.M.S.C.
2. Furnaces located on the roof shall be readily accessible. Section 321.8 O.M.S.C.
If we can be of further service to you, please call us at 371-2212.
Respectfully,
LINHART PETERSEN POWERS ASSOCIATES
Gary 4mpella
Building& Mechanical Inspector/Plans Examiner
c: David Scott, Building Official
----- ---__---- -- — _.._..--- BUILDING PERMIT
�,IIY OF I I GARD DATEI ISSUEDs , 06/07/966-0276
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S1 13AC-00100
`�I T h131 Y1� X11 Blvd.Tigard,l91 �a722 Bt�ppl131 iF�113014�171 #1��
SUBDIVISION. . . . . l ZONINO: I-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION -
CLASS OF WORK. :ALT FIRST. . . . : 0 s f N: S: E e W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?------------ .
TYPE. OF CONST. :3N . . . s 0 sf N: S: E: W:
OCCUPANCY GRE=G. e B TOTAL-------: 0 S f ROOF CONST: FIRE RE RET' :
OCCUPANCY LOADS 0 BASEMENT. : 0 sf AREA SEP. RATEDe
S'FOR. : 0 HT: 0 ft GARAGE. . . : Ia S OCC:U SEP. RATED:
BSMT?: OIEZZ?: REOD SETBACKS-----_.___.__ REQUIRED------------_-__---___.
FLOOR LOAD. . . . : 0 ps'F LEFT: 0 ft RGHT: 0 ft F 1 R SF,KL e Y SMOK DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC: Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 0
Remaarks : Fire suppression system modification
Owner-. __.._._._____._._._........__._.____.___._._...._.____. .._..._.___.._.___----._._.__._.__.....___ FEES
RAC-FRU ST type amount by date recpt
1531.0 SW SQUOIA PH.WY F'RMT $ 38. 50 B 05/20/96 96-279651
SUITE 300 F 1 RE f 15. 40 B 05/20/96 96--079651
TIGARD OR 97224 5F'CT $ 11 93 B 05/20/96 96-21
Rhone #: 624-6300
C:ontr^actor:
F•I RESTOP CO.
9L84 SW TIGARD ST
TIGARD OR 972,::3
Phone #: 6i20-6140 $ 55. 83 TOTAL_
Keg ti. . : 063646
____.__-• REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Susp C:eilnq Insp
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Sprinkler Rc1tIgh-
applicable laws. All work w>l l be done in accnrdance with Sp1•i n k l er Final
approved plans. This permit will expire if wort- is not started
within 188 days of issuance, or if work is suspended for more
than 188 days.
P a r^m i t t e e S i g n a t i_1 r e :
I sus i.1ed By v
Call for inspection - 639--4175
PLANCK# Date: `% -P
APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY ._1F TIGARD
634-4171
DATE: = Lu L PERMIT #
/ Valuation:
Amt. Paid: Permit Fee:
400/10 Plan Check Fee: 1, -A _
Balance Due: _ 5% State Tax: 1 .15
5 t- /71 j
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 BUILDING: X INNEWBUILDING:
-11:3-f, ".
NUMBER & STREET: -1� S 6 VR..1-A or k /'t 3TL 1 D u
NAME OF BUILDING or BUSINESS: )?--w Ito I—L)hsoP M)C,2o 1i1-1t-(rl t�� �RcT-(Mr13Lec. N
NO. OF STORIES: ) SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: X Dry: Combination:
STANDPIPES: OCC.HAZARD: Light_ ORD.GRP.HAZARD 1_ 2_ 3, 4—Extra
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: 1�t- "K" FACTOR 5— TEMP. RATING I Sri
OWNER: PtC-T fL.0 S T
ADDRESS:
CONTRACTOR: 1 R-LS T-0e C—t' •
PLANS DRAWN BY: 1tW 'Q%ADDRESS: q3 $4 �t� I li,/ a Si. IG OIL q� zz3
�� i
REMARKS: T-6—p-jr -t4r
,APPROVED perry its 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: 11pu-7t T-oP PHONE: ZO 14-
SIGNATURE
d-SIGNATURE OF APPLICANT:
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
h:11ojin\ditslnnWrm
QENTRAL 0
8094 . ." l
prinkler
Upright, Pendent and Recessed
Pendent
Glass Bulb Automatic Sprinkler
Manufactured by: Central Sprinkler Company
451 North Cannon Avenue, Lansdale, Pennsylvania 19446
iProduct Technical '
Description UData
The Central Model GB Upright and Model: G13
Pendent and Recessed Pendent Style: Upright, Pendent or Recessc-d
Automatic Sprinklers are standard Pendent (adjustable) I
spray sprinklers. They incorporate the Escutcheon: Model G8 'i"Recessed
latest in heat-responsive, glass bulb Note: For the recessed version,only the
technology, which results in a much Model GB v," Recessed
Escutcheon assembly may be
smaller more attractive sprinkler than
used. Substitution of other
those manufactured with a more "recessed"escutcheons may
traditional design approach The impair the operating sensitivity and
operating mechanism consists of a distribution pattern and void
liquid-filled 5 mm diameter frangible manufacturer's warranty.
capsule that is only 1.6 cm in length. Orifice Size: '/" (12.7 min) T
The Model CSB Automatic Sprinklers K-Factor. 5.6 (Bao8) nominal
are intended for installation in Thread Size: '/2" (12.7mm)N.P.T.
accordance with current NFPA 13 Temp. Rating&Glass Bulb Color:
Standards. They are available in '/a" 135°F/57"C Orange
orifice size and a variety of 155"F/68°C Red
temperature ratings,finishes and 175',F/79°C Yellow
decorative coatings. 200"F/93°C Green
The Model GB Recessed Glass Bulb 286,F/141°C Blue
360"F/182°C Purple (360 not F.M.
Automatic Sprinkler incorporates a Approved)
significant cost saving feature; a 2- Approvals: UL, U.I..C,F.M.
piece special escutcheon assembly Meets: MIL-STD-910C,MIL-STD-167-1,
that provides for 5/s" of field adjustment And MIL-STD-810-C shock.
resulting in an easily accomplished vibration,and salt fog tests for
tiqht fit against the ceiling. maritime applications.
Maximum Working Pressure: 175 p.s.l.
Operation: The glass bt.ilb capsule Factory Hydro Test: 100%at 500 p.s.i. � 11 "O i,� !
Standard Finishes: icT
operating mechanism contains a heat- Sprinkler: brass-)r chrome plated
sensitive liquid that expands upon Escutcheon: brajs or chrome plated
application of heat. Al, the rated Corrosion-Resistant Coatings (U.l.Only): Automatic
temperature,the frangible capsule white and black painted
ruptures thereby reieasing the orifice Highest Allowable Ambient Temperature for Sprinkler
seal. The sprinkler then discharges Storage of Sprinklers: 100"F/38"C
water in a pre-designed spray pattern Adjustable Range Below Ceiling:
to control or extinguish the fire. 1/4"to 1'/a"
Length: 2"(31.8 mm)
Width: 1"(25.4 mm)(frame arms)
Weight. 2.0 oz. (56.7 grams)Pendent
Fut specific tiding requuernents,see the appropriate 2.5 oz. (70.9 grams)Upright
information contained in this brochure 3.5 oz.(99 grams)Recessed Pendent
No.3.6.0
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOCUMENT
FCITY OFELECTRICAL PERMIT Lr'
TIGARD PERMIT #: ELC96-0335
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/30/96
1311.5 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL: 2S113AC-00100
3111-- ADDRESS. . . : 07236 SW DURHAM RD #100
:;UBDIVISION. . . . a ZONING: I--F'
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
Oroject Description : Installing two se,^vic_esar- feeders
11 to 200 amps and 36 brat;,
(.-ircLlits.
---------------------------------------------------
UNIT----
_.--_-----------------------------------
UNIT---- ---TEMP SRVL/FEEDERS---• --MISCELLANEOUS---
1000 SF OR LESS. . . . : 0 0 - 200 o m p. . . . . . . 1 0 PUMP/IRRIGATION. . . . 1 0
EACH ADD' L 500SF. . . s 0 201 - 400 amp. . . . . . . : id SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601.+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 0
----5ERVICE/FEF'DFFt-- -- -----BRANC:H CIRCUITS--•---- ---ADD' L INSPECTIONS---
0 -- C200 amp. . . . . . : 2 W/SERVICE (JR FEEDER: 36 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . e 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 600 camp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0
601 1000 amp. . . . . : 0 --------�.._-_----___FLAN REVIEW SECT ION----_---.____.___
1000+ amp/Volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR >_ 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: _.______.___.___._-----__.__.______._.___._.__._._.__.__._____.___.___ FEES
IRWIN HODSON type amount by date recpt M
7236 SW DURHAM RD PRM) $ 300. 00 TMID 05/30/96 96-27987`,
'31JITE 100 5PCT $ 15. 00 TMP 05/30/96 96--279875
)'IGARD OR 97223
Phone #:
Contractor:
STONER ELECTRIC $_._.. 315. 00 1-U'rAL_..___-....__._-----•___---
i
c:701 SE 14l'i-i
-- -- - _ REQUIRED INSPECTIONS - _- ----
PORTLAND OR 97;:-:24 Ceiling Cover Elect, I Service
Phone #1 503-233-3631 Wall Cover, Elect' l Final
Reg #. . : 44823
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started /
within IN days of issuance, or if work is suspended for more
than 180 days, Issued By
__.....---•--...___..__..____---•---___._._ _.OWI'JER INSTALLATION ONLY-------------___..__..____...-.-___..
The installation is being made an property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE
__-.__—.-----._._._ -_.•___.__...__..._ DATE
TOR INSTALLATION
SIGNATURE OF 5UPR. ELEC' N: ___QCZ_ rJQJ-111Cn A. A DATE: 9
I CENSE IVO:
Call for inspection 639-4175
;I
Co- imunity Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # �Ac a? x .-,
Permit # irk X L1 -,li _—
°
Phone (503) 639-4171
( Date Issued rj - aj-
FAX (503) 684-7297 Issued by l <<r[�r �r7�,,,•Jf
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development �.� �cv��'T Number of Inspections per permit allowed -
Address—I�1i�S•. jl.'t V��.r.tv�" i c t So-vice included Items Cost(ea) Sum
City/StatelZip c i t\yr► ��� 4 _ 4s. Residential-per unit --- —�-�
1000 Aq 0 or I~ $1 1000
,` Fach addronal 500 so h or
Name (or name of business) .C_ \-,,,,r� lVyA� : _ portion thereof $z5 or
commercial 2� Residential❑ Limited Fna,gy 5 on
F
arh Manuf d Home or Modular
Owelhng SONICe or Feeder W 00
2a. Contractor installation only: 4b.Services at FeWers
e- Installation,afteralron,or relocation t .
FlectriGal Contractor _�,�c, `r__; \c_�j � __ 2Z amps or lose W00 t a c, 2
201 amps to 400 amps $8000 z2
Address a 7L 1 �E 1`\�`' — 401 amps to 800 amps !12000
City �L ��r .r �� State�� Zip �� 801 amps to 1000 amps s1e000
Phone No. 3 �- =' \ _—_�_ Over 1000 amps or vont $34000
Contractor's License No. Reconnect only 1!5000
Contractor's Board Reg. No. ' 4c. Temporary Services or Feeders
Installation,alteralron,or relocation
Signature of Su r. Elec'n-,// ` C –rC 200 amps or less ---- $5000
201 ampa to 400 amps $1600
License No. !t " ,: P rte Nq. ' _-_ 401 amps to 800 amps --- $10000
Over 800 amps to low volts
2b. For owner Installations: see•b•above
4d.Branch Circuits
Print Owner's Name New,alteration or extension per panel
Address a)the IPA for brunch cucuds with
purctuu or nervier of 100&r les rY`� r r.
(ilty State Zip —__-- neEach brnrrh cncurt V.on 11 _
Phone No. b)The tee for branch circuits without
[he installation is being made on property I own which Is pumhasa of sarvke or trader tee [
First brarxl,.cucuit $a1,rtU
not intended for sale, lease or rent. Each additional brand,arcual �— $`no
Owner's Signatura_ _ _ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Fach pump or rrrigntron circle $4000
Fach sign or oufhne lighting 14000
Signal cimurl(s)or a limited energy
Please cheek appropriate item and enter fee in section 5B. panel alteration or extension $4000
4 or more residential units in one structure Minor I abets X10) $10000
_Service and feeder 225 amps or more
41 Each edditional inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
Pay�i s,x~iuvi $3500
as described in N E.C. Chapter 5 p,, — $5500
S5P
00
Submit 2 eels of plans with application where any of the above
apply. Not required for temporary construction services. a. Fees:
NOTICE 5a. Enter total of above tees
$ �
5%Surcharge(05 X total fees) $ - -
PERMITS BECOME VOIC WORK OR CONSTRUCTION Subtotal $Sb. Enter 25%of line A for
AUTHORIZED IS NOT Cu, AENCED WITHIN 180 DAYS,OR IF plan Review if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED n Trust Account a $
I
f?aianrr Due $ �
_ - --— -
.owrr:Md.N�Mt Pix�
Form 5a
INTERIOR LIGHTING
u
Interior (a) (b) (c) (d) (e) (f) (9)
Lighting Max Ughting
Power Occu• Floor Power Power
Budget pancy Area Allow. Budget
'List ail lighted Grouo Space Type' (ft') (Wife) ((c-d)x 9) +f
Boor areas. If area under 1,00J ft',
Brclude exempt enter area in (i;) this row 0 2.0 0
anus and areas
ofsrairwaya. Office If area between 1,000 and 1,000 1.8 2,000
shafts,telephone 6,000 ftz, enter area in (c) this row z5Z5
rooms,eta
If area over 8,000 ft', 18,000 1.2 110,000
enter area in (c)this row
If area under 2,000 fe, ( q 4.0 0
enter area In (c) this row
Retail If area between 2.000 and 2,000 I 3.0 18,000
6,0001't', anter area in (c) ;his row
If area over 8,000 ft', 16,000 2.0 20,000
enter area in (c) this row
cxa
EXEMPr
1. Total Interior Ughting Power Budget(W). Add amounts in column (g) 444-0
Adjusted 2, Sum the Page Total(s) from F=orm ScZ
Interior
�(✓
Lighting 3. Total lineal feet of track lighting I _
Power 4, Multiply line 3 by 50
'!f you nave Total Interior U htln Power.Add line 2 and line 4
QayNghting or S. 9 9 Z,G IZ
lumen mainte-
nance controls. S. Total Control Credit from 'Norksheet San
use worksheet 7 Total Adjusted Ughting Power(W). Subtract line 6 from line 5
sa to calculate 6 7 L
talo mol a. Does design meet the budget^. Enter"Y"if line 7 is less than line 1, cthenvise redesign.
Interior, g, Do all non-exempt spaces have local lighting controls? Enter"Y"if true, otherwise redesign. I ��
Lig'�iNsg -1
�,,, `t:roy9 i v. uJ dii �GG3i ugi iifig w�lii iib ,..:�iii i.i iado ii id(, ['.,wu iiZ ui di od i Ct iici '("ii ii tea,vii iei wise
redesign. YI
ii. u,�dii ntaiici dismay ails: inc;,,diog p;ug-lo, tiaLi and ;isplay ;asa;;ghz1J1Y,
have separate lighting controls. Enter"Y"if true,otherwise redesign.
12. In buildings over 4,000 fe, do the luminaires in office spaces have separate automatic controls to shut
off the lighting during unoccupied periods? If yes,check the type of contrails)used.Otherwise redesign.
• • Automatic Time Switches
Q Occupancy Sensors
O Other
nroa, Forms 5.1
LIGHTING SCHEDULE
'Enter the (a) (b) (C) (d) (e) M .
number and type
of lamps in the Lamp' Ballast' Tab
lummairo.See Lum. Fixture Luminaire 5b
Table 5b for 10 Description No. Descttption No. Description Power X.
typical lamp
codes.
j r-3-2 -r-e, I L l:=T" y
A � yob o {e.
°Enter the
number and type S dr 1 C F r 1 a t J -z3 Z MhbrT
of bailestsr in the
luminaire. For
Buanrsoentand
high intensity
discharge lamps,
typical ballast
abbreviations aro: !
•MAG STD for
magnetic
standard
•MAG EE for i
magnetic I I
energy-efficient
E—;=:T*for
electronic
-MAC,HC for
magnetic heater
cutout
Sae table 5b for I _
other ballast
abbreviations.
i
J
I
I
Chapter 5-Artificial Light
r orm oc
INTERIOR LIGHTING POWER
o°Enter the Quantity (a) (b) (c) (d) (e) (f)
for every
non-exempt Lighting
luminaire.Do not Room or Room or Plans Luminaire Quantity of Luminaire Power
consider tack Sheet No. Oesignation IO Luminaires' Power (d) x(e)
Ifghtng on this
form. This Is If '--tsr F c IP A 2>? 9.3 Zlo o,�L
accounted for on
Form 5a. B Z. 3
I
I
• 1. Page Total.Sun the amounts in column
I nM Forms 5-3
CITY OF TIGARDrELECTRICAL. PERMITRETRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #s ELR96-02e6
13126 SW Hall Blvd.Tigmrd,Oregon 97223e8199 (503)6311-4171 DATF ISSUE L) 07/ 12/96
VIARCELi .2S113AC--1210i00
I I E ADDRESS. . . : 07236 SW DURHAM RD #100
UBDIVISION. . . . ZONING: I—P
I-OCK. . . . . . . . . . I..(7T. . . . . . . . . . . . .
Desc.'r,iPtion :
-
AlUDIO & STEREO. . . 2 AUDIO & STEREO. . i INTE RLUM & PAGING. . :
1307GLAR ALARM. . . . BOILER. . . . . . . . . . : L.ANDSC I RR I(:-A T. . :
(3PRAGE' OPENER. . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .I
1-4 V(r)c. . . . . . . . . . . . . r)A"f'A/TlzL.E ('CMM. . sX NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
?1'1-1ER i HVAC. . . . . . . . . . . . 1R 0 TE(""T I V E S)I G'N A L.
INSTRUMENTATION. : OTHER. . ,*
TOTAL # OF SYSTLMf-.:, -. 1
Wn F F'Es
11..'RO PRINTING type Amof.mi by date t-ecpt
r-,W DURHAM RD PRMI $ 40. 00 CJ S 07/1c_/96 9 El-28 1
UI TE:. 100 5PCT $ 2. 00 CJS 07/12/96 96—a81574
HAIRD OR 97224
hone #ll
oil t r act oy'..
,ML-RICAN TELCOM INC 4 t?. 00 TO I AL
sw WATER
REQUIRED INSPECTIONS
ii:tiLPND OR 97214 Wztll Covet- Elect' I
hone #: i itact' l bprvice
o 1a #. . : 26 76.:,
nis persit is issuel; subject to the regulations contained in the
igard Municipal Code, State of Ore. Specialty Codes and all other PE-t—llit E-e Si gnat I-We
pplicable laws. All work will be done in accordance with
�pproyed plans. This perait will expire if work is not started
,thin 18@ days of issuance, or if work is suspended for sore
ran 18@ days. Issued By
-OWNER INS1ALLAI ION ONLY—
he installation is beinq made on proper-ty I own Whirh is not intended for
,-A
. 1, e, 1.e,a s e, or, rent.
VNLRIS SIGNATURE - DAIF1 ------
INSTALLATION C)NL*V-------------------------------
i(jNAlURE OF (SUPR. FLLL I N- DATE:
NO: ......
(1a II f o r, inspection 6.39-4175
Community Development RESTRICTED ENERGYELECTRICALAPPLICATION
13125 SW Hall Blvd. PERMII #
Tigard,OR 97223
Phone(503)639-4171 DATE ISSUEDFAX(503)684-7297
TDD No. (503)684-2772 T-
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY -
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION
4. TYPE OF WORK
I�� 1�i7 �J�✓
,,,,-A RESIDENTIAL — Restricted Energy Fee . . . . . . . . . %40-00Address q-7 (L(-)R.ALL SYSTEMS)
City 7i- p Check Tvoeof_WorkInvolved:
State
PERMITS ARE NON•TItANSf ERAlilf.AND NON-REFUNDABLE AND EXPIRE IF WORK
❑ Audio and Stereo Systems
IS NOt STARTED WITHIN Ifit)DAYS Or ISSUANCE OR IF WORK IS SUSPFNDEI)FOR ❑ Burglar Alarm
180 DAYS.
❑ Garage boor Opener"
2. C'ON I RAC1 OR APPLICAi ION ❑ Heating,Ventilation and Air Conditioning System"
tW(,
❑ vacuum Systems"
contractor 04/0 �CIM1 '!veAswTyp,_ -. ❑ r)ther___—_
Addressl
L2a'y S.tv"_ N�'/_-ei�/!N'��R.TLJHJa df{.ct'1L1'i
COMMERCIAL—Fee for each system . . . . . . . . . 140+00
Cate -7-12''PCo ---- — (SEE ()AR rn t1-200-260)
Property Owner Check_____—_.r
Contractor's Board Reg. No._�G _3 LL 10 - I -`SCP
❑ Audio and Stereo Systems
- -- ❑ Boiler Controls
Phone# , 15v 3 - 2��iG.-&`?`fr .- ---
[3 Clock Systems
Data Telecommunication Installations
3. OWNER A�'LICATION [3Fire Alarm Installation
l,� y .►rut/-� �� V '�?. 1{� ❑ HVAC
Phone No
Print Owner's Name ❑ Instrumentation
�73U sj�-✓ ,����'-r• t� ❑ Intercom and Paging Systems
j
Address ❑ Landscape Irrigation Control'
7 22�{
❑ Medical
City State Zip ❑ Nurse Calls
I his permit is Issued under OAR 918.320.370.This applicant agrees to make.only [] Outdoor Landscape Lighting"
mstricted energy installations 110)Volt AMPS or less)sorter this permit and to do the ❑ protective Signaling
following:
1. Only use electrical licensed persons to do installations when,required.(Certain [� Other
residential and other transactions are exempt from licensing.These have
asterisksM.All others need licensing).
2 call for an inspection when all of the in;talL,o ms under this permit are ready ❑ Number of Systems
for Inspection at 503-639 4175. —
3 1'urchasseparate p erm{ts for all ins that are not ready for inspx+ctinn .No licenses are required. Licenses are required for all other installations.
when the inspector is out to Inspect under this permit.
4 Assume responsibility for assuring that all cormctinns required by the inspector
are done.and 5. FEES
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed. $� ef 6
The person signing for this permit must be the applicant or a person a. Enter Fees
authorized to bind the applicant.
b. 5%Surcharge (.OS x total above) $_-_�________
$ -0 0
Signature TOTAL
Atdhor"`ityif other than applicant ENERGAKCHP
CITY OF T I GARD SEWER CONNECTION
PERMIT
C%JMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR96-02_71f,
13125 SW Hall Blvd. Tigard,Coragon 97223*8199 (503)639-4171 DATE ISSUED: 05/20/96
PARCEL: 2SI13AC-00100
SITE ADDRESS. . . 1 07236 SW DURHAM RD #100
�--.')UBDIVISION. . . . 9 ZONING: I—P
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . .
ILNANT NAME. . . . . # IRWIN/HODSON
USA NO. . . . . . . . . . I FIXTURE UNITS. . . 21
L-LASS OF WORDS. . . :ALI DWELLING UNITS. . : 2
IYPE OF USE. . . . . .COM NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 s
Remarks : Irwin/Hodson tenant improvement
Owner: ----------------------------------------------------------- FEES
1-.ACTRUST type amol-trit by date reept
1'5350 SW SOUOIA PKWY PRMT b 44014. 00 JSD 05/20/96 96--279b1
�:.)U I I E 300
11GARD OR 97224
1-'hone #- EIE4-63101121
1.,ont ract or
CONTRACTOR NOT ON FILE
t 4400. 00 TOTAL
Req
REO.UIRED 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 issqed. 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 not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall pdirchase
a "Tap and Side Sewer' Permit and the Ajeo dill install a l4teral.
--
— --- -- --•---__
---
. --- - -— —
-- -
Permittee Sign,.-Ati.tre - , I,,- —,
cl-
I ssi.ted 61— f
Call for inspectiori 639-4175
Commercial Building Permit Application
Citi, of Tigard ' (.-e�
l y�pN
13125 SW HalBlvd. i10;���°
Tigard, OR 9722
(503) 639-4171 _
Jobsite Address:
yr(S� (� f t-p Use U�
Tenant:���w '�`/ / Suite # G O
Planck/Rec#
Valuation: / /) ! -
Permit #
Owner: --- \ <1 �' ""� _-- Map & TL # _
Address- Approvals Required
Planning
Phone: --- Engineering
Other — _• `_
Contractor: —
Address: —
Type of const:
— Occupancy class: —
Phone: —
Sprinklered? Yes No
Cortracto,'s License # _
(attach copy of current Oregon license) Sq. ft. of project. _
Contact name & phone: Story (1st, 2nd, etc.)
Proposed use
Architect/Engineer:
Previous use.
d d res s ----------- --
Note: Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone
JOB DESCRIPTION:
Apolicant Signature & Phore number —
Received by: — Date Recewed:
Permit # Account Description Amount Aint. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State 'fax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg.
Plumb:
Mecn:
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-tS)
Office TIF (TIF-O)
Water Quality (WQtJAL)
Water Quantity (WQUANT)
Fire L;fe Sa.`ety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Fresion Planck/COT (EROSN)
T�..,�1 ALS:
i
4
Tenant Name: Accumulative Sewer Tally This SWR#• 71 '` u c:'c
Address: I��3 / f This PLM#: q o"•;
Fixtur: Veluo Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added 0 added total #s total
Count off #a count value values
baptistw/Font 4 _,— --
Path- Tub/Shower 4
lacuz/Whpl 4
Car Wash - Each Stall 6
- Drive Throuqh 16 —
Cuspidor/Water Aspirator 1
Dishwasher Commer 4
- Dourest 2
Drinking Four twin 1
Eye Wash 1
Floor Diain/sink 2 inch 2 C-
3 inch 5
4 inch 6
Car Wash Drain 6
I
Garbage Disposal 16
Dom Ito 3/4 HPI
Conim Ito 5 HPI 32
Ind lover 5 HF) 46
Ice MachinerRefrigerator Drams 1 — ---1
Oil Sep IGas Station) 6
Recreational Vehicle Dumn Station 16
Shower Gang (Per Headl� 1 —
Stall 2
link - BarrLavatory_ ?
Bradlev 5
Commercial _ 3
S
- Service 3
Swimming Pool Filter 1
_4,-her. Clothes 5
Water Extractor 6 –
Water Closet, Toilet 6
Urinal _ 6 —
TOTALS i
Total fixture values: `- divided by 16 = EDU r (_ '� ` �` t' 4`
HISTORY
PLM#Cllr -01cc, EDU# 1 SWRa PLM# EDU# SWR#
PI-M# EDU# SWRI/ /�,`�-._7.J PLM# EDU# SWR#
PLM# EDU# SWR# PLf,1# EDU# SWR#
I
PLA1� EDU# SWR# PI P'Iv EDU# SWR#
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC96-0746
13125 SW Hall Blvd„ Tigard,OR 97223(503)639.4171 DATE ISSUED: 12/23/96
PARCEL: 2S113AC--00100
STTE ADDRESS. . . :07236 SW DURHAM RD #N-tOOfJ
SUBDIVISION. . . . :COUNCIL VIEW ACRES ZONING: I-P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTION: TIG
Project Description: Irvin/Hodson Micro Print
---------------------------------------------------------------------------------------
---RESIDENTIAL UNILT-•---- •----TEMP SRVC/FEEDERS----- -.-----.-MISCELLANEOUS--•_-
1.000 SF OR LESS. . . . .. 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/GUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. .. 0 MINOR LABEL ( 10) . . . : 0
----SE RV I f E/FEEDER---- -----BRANCH CIRCUITS---- -- -ADD' L INSPECTIONS—-
0
NSPECTIONS----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
x'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 6 IN PL.ANT. . . . . . . . . . . ..
601 - t 000 amp. . . . . : 0 ____.____ _._.___---._-F'L.AN REVIEW SECTION-------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC C)CC. :
Owner: _______._...__..._.___._______.___.._____.__..._ FEES ___.__.__...._.__..___._._....
PACTRUST type amoLint by date rer_pt
15350 SW sounIA mwy PRMT 65. 00 JGD 12/13/98 98-31. 172
SUITE 300 SPCT $ 3. 25 JSD 12/23/98 98-•311722
TIGARD OR 97224
Phone #:
Contractor:
STONIER ELECTRIC 68. 25 TOTAL.
270t SE: 14TH
-- ----- REQUIRED INSPECTIONS
-----
PORTI-..AND OR 97202 Ceiling Cover Elect' l Service
Phone #: 233-3631 Wall Cover Elect' l Final
Reg #. . : 0004413
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All Mork 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 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set fth in OAR T2101 0010 through OAR 452-001-1961. You may obt n a copy
of these rules or direct questions to OlK by call ng 1 ) 11987
Permittee Signatkire : C�' ��' Issoed By: ' �...
INSTAL..LATION ONLY------------------------------
Thp installation is being made on property I own which is not intended for
stale, 'lease, or rent.
r114hIF R' S SIGNATURE: DATE:
---CONTRACTOR TNSTAI-.I_ATION CINI_Y
SIGNATURE OF 4UPR. EL..EC' N: DATE:
LICENSE_ NO:
i 1 i++4. +++++f+++++ -I-t++.+++++-Fh+•H+.+++++•1-+++++++++++F+++ti-++++t++++++•1-+t++++-F.
Call 639-4175 by 7:00 p. m. for, an inspection needed the next business day
+++++++++++-h+++++++++f+++++++++++++++++++++++++++++++++++++++++++++++++++++++++
,1
e'i-Ff OFTIGARDElectrical Permit Application PlanCheckN
13125 SW HALL BLVD. Recd 0
Deto nwft
TIGARD OR 97223 -
Date to P.E.
Phone (503)639-4171, 004 Date to UST_
Print or Type
Inspection (503) 639.4175 Permit n,/. z C _
Fax (503)684-7297 ncornplete or illegible will not be accepted Called_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ _ Number of inspections per permit allowed
Name (or name of business) ni 4�05a.w1A'#&kJA4 Service included: Items Cost Sum
Address '� Sk- "w �191s�r f\� �eL 4a Residentlal-perunit
1000 90.,M.or 1955 $110.00 -- -- 4
Cit)//StatYRip I—em f\«r � ��� ��z�� � Each addilwnal 500 sq.ft.or
ponies thereof $2500
Commercial� L Residential❑ _Invited Energy $7.5.00 j
Lavh Mar,jd liomo or Modular
Dwelling Service Qt r-Peder $613.00
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Service9 or Fenders
natallallon,aileraWn,nr relocation
Electrical Contractor_ t r►k: a-i r<r�, ti's 200 amps or less $60.00 _
Addrof E jil�� _—.. 201 amps to 400 amps $90.00 _
City t —State tee- Zip- 72 Z 401 amps to 900 amps $120011 -- 2
Phone No. 's '� <' � !� _ 601 amps to 1000 ampa $1 o0(xi
Over 1000 amps or volts $34000
Job No. $5000
Elec.Cont, Lice. No. 4 t z 1 _ Exp.Dale Reconnedt only $so 00OR State CCB Reg. No.,44F�, Exp.Date 3 zr 4c.Temporary Services or Feeders
COT Business Tax or Metro No -11114 Exp.Date ,1- Installation,alteration,or relocation
21X1 amps or less $50 04
Signature of Su r, Elec'rt, 201 amps to 400 amps $7500
y p 401 gimps to 600 ampsOver 600 amps to 1000 volts
License No. 'f-- _ Exp.Date 2 see„b,.above.
Phone No._i'_ � 1 — -- ---- 4d.Branch Clrcuits
New,alteration of extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name leader h+e•
Eacn r h circuli $5.00 2.
Address --. b)The for branch circuits
City Stale______ lip. _ wkilout purchase or
Phony No, service or feeder flee. y 17� C
First branch circuit ! $35.00 _
The Installation is being made on properly I own which Is not Each addillonal branch circuit. $5 o0 3` 1
intended for sale,160.06 or rent. 4e.M19cslleneous
(Service or Nader not Included)
Owner's Signature Each pump or irrigation circle $40.00 __-_--
Each sign or outline lighting $4000 _.. 2
3Signal eireuit(e)or a limited energy
. Plan Review section (if required):'
panel.allerelion or extension _ $40.00 '
Minor Labols(10) ,_ $100.00
Please check appropriate item and enter lee in section 5B.
_ 4 or mere residential units in one structure 41.Each additional Inspiaolon over
Service and feeder 225 amps or more the allowable In any of the ahove
System over 600 volts nominal Per Inspection $75 no
Classified area or structure containing speclal occupancy nnr hour - $55 r'o
As descdbei:in N E C.Chapter 5 In Plant _ $55.00
".511hmlt .sets of plans with application where any of the ahove apply 5. Fees:
Not ranulred for fnmporary constructir n!services. 5a.Enter total or above fees $
5%Surcharge(•05 X total fees) $NOTICE Subtotal —
sb.Enter 25%or line se for
PERA"T S BECOME VOID IF WORK oR CONSTRUCTION AUTHORIZED IS Plan Review if re ug Irsd(Sec,3) $
NOT 0MMENCED WITHIN 180 GAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPE dDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTF-A WORK IS COMMENCED. i ❑ Trust Account 1rd r•�,
Total balance Otte
ADS'SkE,05.4PP Rev 4DC
D�v3�
CITV OF TIGARD BUILDING INSPECTION DIVISION
24-11our Inspection Linc: 6394175 Business Phone: 639-4171
C
Date Requested: _ - _ AM. _— 1'.M IR MST: ,
Location: -t,civ Bi1P:
Tenant: MEC: —`
Contractoc,r „ '�-`� 161
-- Phrntc--� \ 7- PLM: _
Owner: _ - - Phone -----_-- C,21 --�
_ _---- - � ELC:
----- -------- ---- ------ - -- ELR: _
BUILDING BLDG(con't) PLUMBING MECHANICAL 311':
ELECTRIC�� SITE
Site PosUBewn F'osUl3eam Post/Beam — Cover,eS rvice Sewer/Storni
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Ihtct Reconnect Vault
B mt Damp lhywall Storm Fumuce; 'temp Service MISC.
Masonry Ceiling Rain Thain A/C 110 Slab
Shear/Sheath Fire Spklr/Alm Crswl/Tound Ih Beat Pump Low Volt
Approved Approved Approved ,1) v• Approved
Appr/Sdw1k Not Approved Not Approved Not Approved �1 Not Approved
FINAL FINAL FINAL INAI FINAL
M Call for reinspect' rt 0 Reinspection fee of S.._ required W'otc next inspection 17 I enable to inspect
inspector: _� _ thcte: _. r - _ Page of- --
CITYOF T I GA R D _ CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2002-00429
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUFD: 10/2/21,02
PARCEL: 2S 103AC-00103
ZONING: I-P
JURISDICTION: TIG
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-100
SUBDIVISION: COUNCIL VIEW ACRES
BLOCK: LOT:
CLASS OF WORK: ALT y
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 30
TENANT NAME: KINGSTON
REMARKS: Tenant improvement, demo walls & create conference room & demising wall between office area &
warehouse
Owner:
PACIFIC REALTY
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
Phone: 503-624-6300
Contractor:
624-7717
H I- GREEN
15350 SW SEQUOIA 13LVD
STE 300
TI :ORt,� 7
Reg#: LIC 41328
This Certificate issued 1111/31/2002 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 tinder whic..1t a referenced permit wa ed.
,J,
BUILDING INSPEC.J y BUIL
POST IN CONSPICUOUS PLACE
`I
CITY OF TIG,ARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP
Received — -.._. Date Requested` /d�� _ AM PM - BUP <D
Location _ _- � -Suite�� _ MEC Qt _ l� f
Contact Person _rm-,M,) - r�y ,-_- Ph(—) — PLM
Contractor_ 1s 4Ph( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation c cess: -- -
Ftg Drain ELR
Crawl Drain -
Slab Inspection Notes: SIT _
Post& Beam
Shear Anihors - -
Ext Sheath/Shear
Int Sheath/Shear -
Framing - --- -
Insulation
Drywall Nailing -_
Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Celling -- --
Roof
Othar
e s/
SS PARI � AIL 100'--�'�'- VolPma BlrlG
Post&Beam
Under Slab
Rough-In
Water Service _
Sanitary Sewer �� D �► • o Z Z
Rain Drains
Catch Basin/Manhole /
Storm Drain —
Shower Pan
- ,--
Final
PASS PART FAIL —`- — ----
MECHANICAL
Post& Beam
Rough-In —
Gas Line S
Smoke Dampers -- —
SS PART FAIL --------
AL
..Service --
Rough-In
UG/Slab -- -- - --
Low Voltage
Fire Alarm
Final rr,, Reinspection fee of$ required before next Ins
PASS PART FAIL u Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: _ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date--/—�-/ - � �rgnecicDr Ext__
Other:
Final —� DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
.SI
I
CITYOF TIGARD _ __ BUILDING PERMIT
PERMIT#: BUF'2002-00420
DEVELOPMENT SERVICES DATE ISSUED: 1012102
13125 SW Hall Blvd., Tiqard, OR 97223 (5031639-4171 PARCEL.: 2 S103AC-00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-100
SUBDIVISION: COUNCIL VIEW ACRES ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: AL1' FIRST: sf N: S: E: W.
TYPE OF USE: COM SECOND: sf _ PROJECTOPENINGS?
TYPE OF CONST: 5N sf W S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 O0 sf ROOF CONST: FIRE RET?
OCCUPANCY LC:AD: 30 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MET_Z?: REQD SETBACKS REQUIRED__ _
FLOOR LOAD: psf LEFT: ft RGHT: , ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNIDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRG CORR: PARKING:
VALUE: $ 25,000 00
Remarks: Tenant improvement, demo walls & create conference room &demising wall between office area &warehouse.
Ov ener: Contractor:
PACIFIC REALTY H L GREEN
15350 SW SEQUOIA PKWY#300 15350 SW SEQUOIA BLVD
PORTLAND,OR 97224 STE 300
Phone: 503-624-6300 TIGARD, OR 91'224
624-7717 Phone: 624-7717
Reg#: LIC 41328
FEES —� REQUIRED INSPECTIONS
Description Date Amount Electrical Permit Required
1111 II I)1 Pel-11111I ee 10/2/02 $243.30 Framing Insp
Gyp Board Insp
1111 ILD] permit FCC 10/2/02 $0.00
Susp C
I I AX 18",,State'fax 10/2/02- $22.66 pInsp
Inspection Final Insspection
I I'AX18"i State fax 10/2/02 $0.00
(additional fees not listed here)
Total $60343
Thi:; 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 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 thrown OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
callin94503)246-66 -or 1-800-332-2344.
Issu d 6y:
� ✓
Permittee`-- � .�j •'
Signature:
Call 639-4178 by 7 p.m.for an inspection the next business day
Building Permit Application
Datereceivei: j 0 A dA Nr:mit
City of Tigard —
Addmss: 13125 SW Hall Blvd,Tigard,011 97223 ProJecUappl.ru.: prTndate:
City of Tigard B
Phone: (503) 639-4171 Date issurd: y Rcceipr:ro.:
Fix: (503) 598-1960 Case file no.: Paym.mttype: _
Land use approval: _ 1&2 family:simple Complex:
U I &2 family dwelling or accessary ❑Commercial/Industrial i-?Multi-family U Nrw construction U Demolition
U Addition/altciationrreplacement X'I'cnant nnpnrve.mmit U Fire„nnnkler/alarm U Other.
II SITE INFORRIA'dt
Job address �- IihJk.no:� ..Suite nc .
Lot: Block: SulAivision: -'I.x map/tax lot/account no.:
Project name:
Description and location of work on prem]ses/special conditions:
Name: Pacirust _
�� W-11it'111glow,a"
Mailingaddress: 15350 S Sequoia Pkwy. , 300 1 &2famllydwelling:
City: Port a n — State: O R KIP: 97224 Valuation of work........................................ S
503 1 Phone: 624-6300 Fax524-775 C-mail: No.ufbedtoomc/baths................................. --
_Owner's representative:D e n n i s P a n i Total number of floors.................................
Phone" Sam . I ax I;mail: New dwelling area(sq.ft.) .......................... _
Garagelcarport area(sq.ft.) ........................ _
Name: P a c T r u S tCoveted porch area(sq.ft.) .........................
Mailing address:15 3 5 0 SW Sequoia Pkw . #300 Deck area(sq.ft.)........................................
_City: Portland State: 0 R ZIP: 9 7 2 2 4 Other structum area(sq.ft.).........................
503 Phone:G24- 3U0 F FaxV F-marl: t ommercialMdustrial/multi-fandly:
624-115
f 1
Valuation of work .......................................E•A,_-
$
Existing bldg.area(sq. ft.) ..........Ar JA%<
Business naunc:
H.L. Green -
Address: T5 3
50 SW Sequoia Pkw . , #300 New bldg.area(sq. ft-)........... ,e�,l
city: ort
land State: UR ZIP: 9
Number of stories........................ ...............
Phnnc524-771: Fax: f�.�mail:
Type of construction..................................
503 ..
CCB no.:--4T3 - - — Occupancy group(s): Exi;ting:
City/mrtm lie.no.: Notice:All contractors and subcontractem are required to be
t licensed with the Cmgon Construction Contractors Board under
Namc: J o h n R om i s hprovisions of ORS 701 and may he rr_quited to be licensed in the
Address: 15 3 5 0 SW S e u 0 i a Pkwy. #300 jurisdiction where work is being performed.If the applicant is
city: PortlandState: O R ZIP:9 7 2 2 4 exempt from licensing,the following reason applies:
Contact person: _ Plan no.: -
503 Phone:6 2 4- Fax�24-775 e-mail: Johnr@ act us
Name: Contact person: Fees due upon application ........................... $_
Date received:
City: State: ZIP: Amount received ......................................... $
Phone: Fax: E-mail: Please refer to fee scHedule.
1 hereby certify I have read and examined this application and the Not tit Jurisdictions accept aedir�«at,pirme uu iwisswon for mote iarormW
attached checklist.All provisions of Ir.ws and ordinances governing this 13 Mist o MtsterCArd
work will be complie wi ,whet! s fled herein not cndir cad nmb / /
�,►� FiRt
Authorized signs �' r� Nu,ie of wdhoide,its shown on c,edii and
Print name: --- -- S
4. -- _ Cardhdder signature Amouol
Notice:This permit application expires if a permit is not ohtained within ISO days after it has been accepted as complete. 4404613(WOM"OM)
I
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: ML;2002-00471
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/22/02
PARCEL: 2 S 103AC-00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-10u
SUBDIVISION: COUNCIL VIEW ACRES ZONING: I P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: AL1 FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP. B 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:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD :
GAS PRESSURE 50 + HP: CLO DRRYERYFRSS:
FURN < 100K BTU: AIR HANDLING_ UNITS C
OTHER
FURN >=100K BTU: <= 10000 cfmGAS OUTLET: LETS'S-
> 10000 cfm:
Remarks: Mechanical tenant improvement, extend ducts and grilles. Project value: $1,500
Owner: FEES _
PACIFIC REALTY Description Date ^Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 91224 [MECII] f'crmit fcc '10/22/02 $72.50
]MEC'H] Permit Fcc 10/22102 $0.00
[TAX] X%.StutcTax 10/22102 $5.80
Phone: 503-624-6300 [TAX] 9' StatcTax 10/22/02 $0.00
Contractor: Total $78.30
PRECISION AIR
19840 S REDHOUSE RD
MOLALLA, OR 97038 REQUIRED INSPECTIONS
Phone: 929-2400 Duct Inspection
Final Inspection
Reg#: 139730
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
req uirps-ycru tufol low rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: Permittee Signature:
Call (503)6394175 by 7:00 P.M. for Inspections needed the xt business day
Mechanical Permit Application
"Datereccive0,1;,J,�V, Permit
City of Tigard Project/appl.no.: pjre date:
City of Tigard Address: 13125 SW Hall Blvd,"figard,Ok 1)72'
Phone: (503) 639-4171 Date issued: eceipt no.:
R J R
Fax; (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT o�
U I &2 family dwelling or accessory U C incrcial/indusUtal J Multi-family LI Tenant unprwctncnl
U New construction f;Addition/alteration/replacement U t)III,I
1 ' SITE INFORMATION1 1SCHEDULE'
Joh address: G St,,✓ tJ/'? /00 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no.: value of all mcchanicaJ materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.value$ /J V 0
Len: Block: Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fcc
City/county: ZIP: _ - DWELLING
Description anti location of work on premises_ I 1 I 1 I
Ier(ea.) lolal
Est.date of t.omp'otion/inspection: Destedilition tpr. Ittw.mhh Ites.onh
Tenant improvement or change of use:
ace heated or conditioned'?U Yes U No Air handling unit ___Cl-M__
Is existing
space Ir con itening(site�un required 1
Is existing space insulated'?U Yes U No terat ion of existing system
holler compressors
Business name: State boiler permit no.:
}� tiJ (� 1 _V HP Tons_ _BTU/11 _
Addicss: 9 J'4/t) S 'f0/1oV ,� �ir smo etampers/ductsmokee electors
('Ity; en State:OlL I ZIP: 9 7U3 Heat eump(site pinnrequired)
Phone: g2y - b4Ut, Fax: I E-mail: InstaiVreplacefurnace/but ner . l
Including ductwork/vent liner U Yes O No
CCB no.: / '?3o i sta /rep ACC re ocate heaters—Sas11CnC t'
City/metro lic.no.: _ wall,or floor mounted
Vent for n lance of er than furnace
Name(please print): J"/,�l �/Z T Refrigeration:
CONIAQ PERSON Absorption units _ BTU/H _ _-
Name: Chillers__ _ ---— HP -
--- -- Cum ressorsHP
Address: — -Environmental exhaust and ren'Hallow
City: Slate: ZIPS_ Appliance vent
Phone: I:u. E tnnil: )yerexhaust
Hoods,Type Vis.k1clicn7liaitiiaF
hood fire suppression system
Nance: Exhaust fan with single duct(hath fans) _
Mailing address: .x haunt system apart to Itcatin or AC
City: Slate: ZIP: -Nue p p ng an str ut un(up to outlets)
1'y LPG NO Oil _
Phone: Fax: I? mailFile] hipin each additional over 4outlets
"rocess piping(schematic required)
Number of oullels
Name: ter st ap— ice nr equipment:
Address: Decorativefiteplace
City:
_ Ten=ty e
Phone: f$fR L mail: oo stov pe let stove
_
cnher:
Applicant's signatures -- C Date:
Name (print): ,�� %7n -_.
Not all judsllctions nrepi credit cards,please call jurisdiction for more inrormauon Permit fee.....................$
Uvisa ❑MasterCard Notice:11his permit application Minimum fee................$ _
expires if a permit is not obtained plan revic w(at _ %) $ _
Credit card number: _._ —
Espirea "- within 18(1 days after it has been State surcharge(8%)....$
Name of cardholder-as sTriwn on credit card $
accepted as complete. TOTAL
A
Cardholder tiprature _ mount
4"17(6AMCOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Price Total
$1.00 to$5,000.00 Minimum foe$72.50 Table 1A Mechanical Code Oty (Ea) Amt
$5,001.00 to$10,OOC.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or Including ducts&vents 14.00
fraction thsreof,to and hicluding 2) Furnace 100,000 BTU+
$10,000.00. Including ducts 8 vents 17.40
$10,001.00 to$25,000.00 $148.50 fol the first$10,000.00 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 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit
$1.45 for each additional$100.00 or 6.80
fraction thereof,to and Including 6) Repair units
$50,000.00. 12.15
$50,001,00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Comp •'
Minimum Permit Fee$72.50 SUBTOTAL: $ 7)I0absorb unit
l0 100K�K BTU 14.00
8'/.State Surcharge $ 8)3-15 HP;absorb 25.60
unit 100k to 500k BTU
25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb
Required for ALL commercial permits only unit.5.1 mil BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb
unit 1-1.75 mil BTU 52.20
11)>50HP;absorb
unit>1.75 frill BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,600 CFM
- � W v'
Value Total 10.00
V
-Description: City al Amount 13)Air handling unit 10,000 CFM+
17.20
Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler
ducts 6 vents 10.00
Furnace>100,000 9TU Including 1,170 15)Vent fan connected to a single duct
ducts&vents _ 6.80
Floor furnace including vent 955 16)Ventilation system not Included In
Suspended heater,wall heater or 955 appliance permit 10.00
floor mounted heater 17)Hood served by mechanical exhaust
Vent not Included in appliance 445 10.00
-permit - 18)Domestic Incinerators
Re air units 805 17.40
<3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator
to 100k BTU 69.95
3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves
101k to 500k BTU 10.00
15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets
mil.BTU 5.40
30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1.1.75 mil.BTU 1.00
>E0 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $
>1.75 mil.BTU
Air handling unit to 10,000 cfm _656 _ 86,16 State Surcharge $
Air handling unit>10,000 cfm
Non-portable evaorate cooter - 656 TOTAL RESIDENTIAL. PERMIT FEE: $
Vent fan connected to a single duct 448 _! __
Vent system not Included In 656
appllance permit
Hood served by mechanical exhaust 656 Other Inspections and Fees:
t Ingoections outside of normal business hours(minimum charge-two hours)
Domestic,Incinerator 1,170 $82 50 per hour.
Commercial or industrial Incinerator 4,590 _ 2 inspections for which no fee N specifically Indicated (minimum charge-half hour)
Other unit,Including wood stoves, 656 $62 50 pet hour
Inserts etc. 3 Additional plan review requimd by changes,additions or revisions to plans(minimum
Gas piping 1-4 outlets 360 _ charge-one-half hour)$82.50 per hour
Each additional outlet 83 State Contractor Boller Certification required for units>200k BTU.
TOTAL COMMERCIAL - **Residential AIC requires site plan showing placement of unit.
VALUATION: All New Commercial Buildings require 2 sets of plans.
I:\dsts\forms\mech•fees.doc 02111/02
1
_ ELECTRICAL PERMIT
CITY OF TI GARD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2002 00228
A-- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10,22/02
PARCEL: 25103AC-00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-100
SUBDIVISION: COUNCIL VIEW ACRES ZONING: I f
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Installation of low voltage for data telecommunications systern
A. RESIDENTIAL —, B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS____ 1_
Owner. — Y Contractor:
PACIFIC REALTY ONE STAR COMMUNICATIONS INC
15350 SW SEQUOIA PKWY #300 6915 SW 68TH AVE
PORTLAND, OR 97224 PORTLAND, OR 97223
Phone: 503-624-6300 Phone: 503-701-5376
503-701-5376 Reg#: LIC 106470
ELE 34-448( 1 1'
FEES Required inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 10/22/02 $75.00 Elect'I Final
[TAX]8%State Tax 10/22/02 $6.00
Total $81.00
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'•pork is not
started within 180 days of Issuance,or if work is swspended for more than 180 days. ATTENTION: Oregon law requires
you to pt ow rules a ptad by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
1158 ed by vt Permittee Signathrre _1 Z-tom
_--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____ _-
L I C E N S E N O: ----- — --- --- — -- —
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application MM
Uateteceived: /0 IA p,� petmitno.: �G� a poi S
City of Tigard Project/appl.no.: date:
City of Tigard Address: 13125 SW Ilall Blvd,Tigard,OR 97223 Date issued: E Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
TVPE 1
U I &2 family dwelling or accessory 2 t;'ommercial/industr ml U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other: _ U Partial
JOB SITE INFORMATION
Job address: 't4; 3 6 S ✓ h aM� 2 e Bldg.no.: L) Suite no.IOa Tax map/tax lot/account no.:
Lot: Block: Subdivision:
tK Descr k tion and location of work on premises:
Project name: p�,�Id t p – d ------
Estimated date of com letion/inspection:
1 I )
Pyr Max
Job no: --- - - I)euriplluu Oty. (ea.) total no.ln.,
Business name: t± it orQ�aLr x%f�[� NewreshMnlial-shtgl ormolu-famlly per
Address: lip I Za �� � dwellingunit.lnoodesattnche4lgarage.
City: V^'#- I'd State: (1110 I ZIP• ely1! Siervieelnctoded:
Phone:0& 7f t f 57 fax:al4C•5q -mail: Cru _
o. S7a IOW sq.fl.or less -
Bach additional 500 sq.ft.or portion thereof 4
CCB no.: /D Elec.bus.lie.no: I iq L Lintitedenergy.residential 2
City/metro tic.no.:r' CG f-- Limitedenermy,non-residential 2
Each manufactured home or modular dwelling
nate Service and/or feeder 2
Signature of supervising ncian(required)
_ %_TU Servicrsorfeeden-Installation.
Sup.elect.name(print): LAt(1 J l �[�lM Lse icenno: � C J alteration or relocation:
PROPERI-V OWNER gal amps or less 2
201 amps to 400 amps 2
Name(pont): _ _ 401 amps to 600 amps
2
Mailing address: 601 amps to 1000 amps 2
City: State: ZIP: over 1000 amps or volts _ z
Phone: Fax: E-mail:
Reconnect only I
Temporary services or feeders-
owner installation:The installation is being made on property I own Install dion,alteration,orrelocallon:
which is not intended for sale,lease,rent,or exchange according to 2W amps or less 2
ORS 447,455,479,670,701. 2t11 amps to 4a)amps _2
Owner's signature: -- — Date: 401 to Gal am s
r Branch ell Culls-new,alteration,
or extension per panel:
A. Fee for branch circuit..with purchase of
Address: service or feeder fee,each branch circuit
State: Zip bran
B. Fee for ch circuits without purchase
City: -- of service or feeder fee,ftnl branch circuit: _ 2
Phone: Pax: F-mall. Each additional branch circuit:
*V11 L,1777MIM W-11 Is 11111111111 Mise.(sen ice or feeder not Included 1:
Each pump or inigation circle
❑Serviceover225amps•mmmercial l]Nealdn-carefacihly F.nchsign oroutline lighting _ _-
U Service mer.120 amps-rating of 1&2 U Hazardous location Signal circuit(s)or a limited energy panel.
anel.
(lsq
familydwcllings UBuildingover10.0uarefeelfourot g —�
U S stem ovcr600 volts nominal nage residential units in one structure alteration,or extension•
U Building over three stories U Feeders,400 amps or more +Ikscni tion: t —-- -
*occupant load over 99 persons U Manufactured structures or RV park Mach addltional Inspection over the allowable In any of the above:
U Egresstlighting plan U Olhei __--- Pei wslIecuon E:: —_T
Submit__sets of plans with any of the above. Investigation fee _
le above are not applicable to temporary construction service. Other
ir
Permit fee.....................$
No all Jurisdictions accept enrdit cants,please call jurisdiction for ma a infzxmmlinn Notice:This permit application plan review(at _%) $
U Visa U MasterCard cxpircs if a permit is not obtained OU
_ within I f30 days after it has been State surcharge(896)....$ _.
Credit card number:_ ___ xpirer r�U
_ accepted as complete. TOTAI. ......................$
Name of c older u a own on c 1 end S
Cardholder signature Amount 440-4615(NOaKOM)
�1
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
—" TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: -- -
Restricted Energy Fee...................... .............................. $75.00
Number of Inspections per earmlt allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4 Check Type of Work Involved:
Residential-per unit
1000 Sq it Of less $145 15 4 Audio and Stereo Systems'
Each additional 500 sq ft of
portion thereof $3340 _ — 1 F-1 Burglar Alarm
Limited Energy — $7500
Each Manufd Home or Modular n 2 Garage Door Opener'
Dwelling Service or Feeder $90.90
Servi,as or Feeders E] Heating.Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps nr less _ $80.30 — 2 n Vacuum Systems*
201 amps to 400 amps _ $10685 2
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 $66.85— � 2
TYPc OF WORK INVOLVED -COMMERCIAL ONLY
Temporary Services or Feeders
Fc,for each system.......................................................... $75 00
Installation,alteration,or relocation
2.00 amps of less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work,Involved:
Over 600 anfps to 1000 volts, ❑
see"b"above. Audio and Stereo Systems
Branch Circuits Boiler Controls
New,alteration or extension per panel
a)The foe for branch circuits F-1with purchase of service or Clock Systems
feeder fee.
Fach branch circuit $6.65 2 Data Telecommunication Installation
b)The fee for branch circults
without purchase of service Fire Alarm Installation
or feeder lee.
First branch circuit _ $46.85 HVAC
Each additional branch circuit _ $6.65
Miscellaneous I Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle _ _ $53.40 Intercom and Paging Sysl6ats
Each sign or outline lighting $5340
Signal anel,alteration o
lr extension imited rgy — $75.00 _ C Landscape Irrigation Control'
Minor Latals(10) $125 00 _
Medical
Each additional Inspection over
L�
the allowable in any of the above
Per inspection — $62.50 tJurse Calls_ ❑
Per houf $62.50__
In Plant $73.75 Outdoor Landscape Lighting'
Fees: [j Protective Signaling
Enter total of above fees Other
8%State Surcharge $ — -- Number of Systems
25%Plan Review Fee ' No licenses are required Licenses are required for all other installations
See'Plan Review"seclion on $ _
front of application _—
Fees:
Total Balance Due $
— Enter total of shove fees $
❑ Trust Account# 8%State Surcharge $ —
Total Balance Due $ --
All New Commercial Buildings require 2 sets of plans.
f\dsts\fnmis\elc-fccs dnc 09/30/01
a
CI'T'Y OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
Received __ __ Date ReAuested ___ � AMPM. _._ BLIP
Location --Suite CJEEE Z� j_2 -CCS y7
Contact Person ..______ Ph( ) 3/p - ���f PLM
Contractor---.-_-- -__ _ — Ph(—) _- SWR
BUILDING _ Tenant/Owner - _ ELC _--_ -- ---_
Footing
Foundation ELC
Access: ELF!
Drain
Crawl Drain _
Slab Inspection Notes: SIT
Post& Beam
Shoar Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing _..
Insulation
Drywall Nailing -.---- - -
Firewall
Fire Sprinkler - ------------._ __- -
Ff rem lar
bll6A,d Ceilln� ---
Root
Other: -
PART FAIL —. - - - --- --
PL GING ___
Post A Beam
Under Slab --- -
Rough-In
Water Service - -
Sanitary Sewer
Rain Drains --- - -
Catch Basin/Manhole
Storm Drain ---- -- - —
Shower Pan N
Other. --
Final
PASS PART FAIL - -
CHANI
Po Ra1Tf _ --
Rough-In
Gas Line
SmDamper:
PASS PART FAIL —
ELECTRICAL
Service - —---
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final [j Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE:. _—____— ___ [] Unable to inspect nn nc r n
Fire Supply Line
ADA Doff 101,17.3/0 z__ �, x�
Approach/Sidewalk Inspector F
Other:
Final DO NOT REMOVE this Inspection record from the job site,
PASS PART FAIL.
�l
CITY O F T I GA R D __ ELECTRICAL PERMIT
PERMIT#: ELC2002-004_t8
DEVELOPMENT SERVICES DATE ISSUED: 9/17102
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S103AC-00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-100 ZONING: I-P
SUBDIVISION:
BLOCK: LOT: JURISDICTION: TIG
Project Description: JOR NO.7941 Demo work for(2)branch circuits.
Additional (12)bmrch circuits added to permit on 10110/02.
RESIDEW IAL UNIT TEMP S_RVCIFEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI Sb^I FDR: 601+amps - 1000 volts: MINOR LABEL (10):
3ERVICEIFEEDER 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: 13 IN PLANT-
601 - 1000 amp: _ _ _ y_ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>= 225 AMPS: _ CLASS AREAISPEC OCC:______
Owner: Contractor:
PACIFIC REALTY ASSOCIATES LP JOHANSEN ELECTRIC INC
15350 SW SEQUIOA PKWY#300 10948 SE VALLEY VIEW TERRACE
PORTLAND,OR 97224 CLA11iKAh1AS,OR 97015-000
Phone: 503-624-6300 Phone: 503-698-3417
Reg #: ELE 3-2430
FEES
Description Date Amount
_ Required Inspections
IEI.i,wT1 I LC i einut 9/17 u_' $53.50 — —� �— —'--
j'I'AX18%State'Iux 9/17,1)2 $4.28 Rough-in
[ELPRMT]ELC Permit 10/11/0 $79,80 Elect'lFinal
(additional fees not listed here)
Total $143.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Core,State of OR Specialty Codes and all other applicable laws.
All work wt.'l be done in accordance with approved plans. This permit will expire if w)rk is not started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to folloN rules adopted by the Oregon Utility Notification Center. Those
rules are set forth In OAR 952-001-0010 through OAR 952-001-0100. You may obtb'n copies of these rules or direct questions to OUNC at(503)
246-6699 or 1-600-332-2344
Issued By:
- Permit Signature:
OWNER INSTALLATION ONLY
Thr' installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: __ _ DATE:—
CONTRACTOR
ATE:CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SOPR. ELEC'N:
LICENSE NO:
Call 639-4175 by 7:00pn, for an inspection the next bUSinVSz; day
From Charlynn J Leifsen To City of Tigard Dote 1017/2002 Time 1 36 10 PM Daye_t
Electrical Permit Application URI
— "' -- —- — nate received: Permit no ! ,'�t�
City ofTigard igard Pmjecdppl.no.: Fxptre elate:
-juf7 n/TI il aJ Address: 13 1 J`t 1W 11a11 Blvd.
EVE 23 Aatc Issuoil: ny: Receipt no.:SPhone: (503) f►3S-4171 -- — - -
.r 4 i i• Fax: (503) 5519-1960 Vase file no.
l e M Tl oymnn type: t -
r
Land use approval: -�}t-t.---- — 1 O P6Z4-'�r rM W4 ,
r , ULP
•p•1 0 1 &2 fhttiily dwelling or accessory omtAdlLial/industrial hlultl fa.nll J 7cnenl mtprovcn•I t l
a New construction Addition/allerationireplacemcnt ❑Other J Partial
�$I®t® Sulte MI.: Tax map/tax lot/account no.
Job address 14 __-----
Lot: —Wt, k: Subdivision:
Project name. -- --- i Description and location of work on prcrniace: f -- ---
Eetimated date R-contpletion/mspectior;
Job no: Fee
Hullnexs ttamc. - Ib+r*iee►°. ll+1. tea 1, Total ■n.11sry
-- -- -_ ---_-- - --
1,41
- NewmYrMlal iialenrmolH/ewayler
Address: _ ---- ---_ /wr/iearaY.bd+MaN�aeirAprsetr.
city' �S1atC: ill %W"*elaetalled:
- -- 4
Pl10ne: Fax: [:-R1:+Il 1000sq R.on Ir„
auh W.II.rite patine thaeeol
IY:It no.: Elec.hue.lie.no - Mikk 4
- ---- - -- -- --- -_ LfmiOed mope• reshlgltuJ 2
City/metro lic.no.: l.im;lnd nat•residmllial I
telergy,
Fa h mituulacwenl home w modular drrelliny
Si atttte nl sopervls{aa electriclao (rcyuirerl) - dale Servier alat'or leader _ 2
Su .elerr.name(print) -- -- I,ioonse eo 9arrkesorfeadere-Isa kltlna, -
almredemerrebeadea:
minima Zo saps or less I
- _ 7
Name(print): 1 amp►m 41111 amp+_ Z
-- ---1;(;)
an toMeilingaddress: l amps to IW amp+ 2
State: ZIP: ver X000 amps a Mitt
_ ___ 2
Phone: ---- Fax: F.-mail: Rewswl only 1
tor
Owner installation lite lnstalLihon is being made on propeoiy I own lis�7eoapanrl illilm a loo, en-
which is not mtmoled for sale,lease,rent,or exchange according to 200 alt amps
Or■aelftlsa,rxrdnreaMsa:
2110 amps er Ins __ Z
ORS 447,455,479,670,701 2111 amps 10 4UU acaPs -- _-^ 2
Owner's si cure: ___ _ bate: _ 401 m Foo ams - ,
ism, rkrsNs arw,dtenlMa,
or @alta•los per peseta
Name: •-- — A. Fere for branch cntruits wdl purchase Of
Address' —� service or feeder lim,each brae,:b cirertil
CON
Mimic
--- -`
late. 11- rTP: n Few fnr Mu»:h circuih without nwrhase -
I -- - - t of service•or rexvler rer.nnl brn,ch cireuil:
Mimic rAx F-mal): tAcb additional hromb cimmt. ----
Nose.(Fernee w feeder scot laeladed):
U Lys»i: �.rve 1.'ti coin•.Hoorn »I U Iheal dt-tart+ frdity FA&primp As Irripttilm circic
U Service ova i2o l IAU 111narhnus loraurm baeh_sldn to I tnc lighting
Grmily dwellings U 111011 tnq over IU,(W square:eel foto or Signal clmtAN)or a limited man paa'i,
U Sysirm over 610 m1o.nominal mise residmual unth in cite fOticetm alleration, or exlensum• ---
U fbnihlmg over thrtr strrim U healer..,sial apps tr m••m •l)E1cr. loon. _---------
❑01rp tit We mei 99 pervaus U Mamufw-tumd senctares or RV pwt Faeh aadltlasatlsnectlnaover dw Wewablelaaq. -%rabeir-
U Fprmoilominp pian U Other — Per mspm1i'u
L-
r
SaSabahseta of phaa with say of t♦rt above. tnvraismitm fee
- ----- . -T-
Yabove are W4 appllcaMe to temper±eolotrlaetloa ser►Ire.
--.._
- - --------- -- --- Permit fee .. .... .. S •_
Noi all rraldrrinna Wept resin cab,pleas all rrsdRuun M mite tnso fin Notice: This permii application Plan review(at °b l S -
U visa U Maletcard expires if a permit is nr,l chlsined
CwAr card twmbae:- __._--___-- I / within 190 days after it tuts teen State sun;harge(9°/ie).....S _
rarnrn accepted ax complete. TOTAL _..........S —0-11
e�-
Nam!of Catr01u1rierJ--U ado 1 an Cr ttdrd
S
- c.r�inhier sip:w:r --- -- nmeum 440.461}r6m0rnMt
From Charlynn J.Leifsen To City of Tigard pate 9/11/2002 Time 3 10 46 PM Pape 5 of 5
Electrical Permit Application
® - Vete roceived: --- Permit ra- � �?tyri,�•G1U ._.
City of Tigard L1V L l Projewappl.Do.: Expire date:
ion rel 7i,qurd Address: 13125 SW flail Blvd.Tigard.OR 97223 Date issued- By: Receipt ren-
Phone: (503) 639-4171 C�L l r --- - -—
Fax: (303) 598-1960 .)C.P I / Case file no.: Payarat typo:
Lend use approval: GS l 1 t'•poll
U 1 &2 family dwelling or accessory D Cam.neirial/mdastrial O Multi-family O Tenant improvement
U New construction U Addition/aiterationireplacement Ij Other _,O Partial
lob address: /�) U t' '��i'h- -_ BldgTno.T Suite nn.: Tax map/tax lot/account no.:
Lot:_ lBfi Subdivision _
Project name: I Description and location of work on premises:
Fwtimatcddatcofr,mplction/irrs ctiun:
Job no! I Mu
(iusiness name:�� Ts l c- l►esctt�- (nep raw ae.ieq
Address, I e>A !b 5C I r V I -r,/ T0—i Y New n�wtw rr.sr t..�r a.ay�. -
N�„ - ZIP-.7r-_70
— tlweisaeovk.lselairr.wtrrtild'praae.
City: �j Stste:(,7� ZIP ` 0 Ps l4wr.+r.r.ekdood!
Phon j1'( Fa P-mail: �— axon u.ft or lets —__ — -- 4
Fish additlosw Soo sq.R.a pottim dtwaof
CCB no.: e:.bus. Irc.no: Liolyd r.RaWeaelld - Z
City/metro HC.no.: Limbal messy. noa-rasidentiat 2__
Each msaulroved hamr o taodulm dwellhie
S Pepe s in IN, 11Ngn1Data Service aeu�ur featler -_- 1
Sap at CL Gams(Print) (. �(j I�Gr Kitt l - License no--535 Nenlcrsoffedarr-lartallie".
along does sr rolnrtelae:
2fa1 amps ov ler% 2
Name(print): zo .alt1n 400 amps 2
Mailin address: - 401.m�sip ami -- 2
8 6011amps o 11"10 amps 2
1 try: — J State. ZIP: _ (leer 104")amp of volb _ _ 2
Phttnc rax. F rlall: 1t=umect mFy l
Owner in"tallation: The installation is being made on property 1 owu Temporary senkesartereere-
which is not intended for sale,lessic,runt,or exchange according to Psrwlanea aneran°a'n'relnr'n°a'
2011 tops 2
ORS 447,ASS, 474,670,701. 261 am_jrs to Iai slops _ 2
Owner's si lure: Date:
tevrf rl"alts-sew,oltrna
tlo ,
rn rstruMr pe►'pawel:
Name:
___- ----- -- A. I.- Goo btuKh cirtutb rilh pumbaae of
Address: Service or rentlra rm,cad branch 6MI'll 2
City. - - --� state: T.IP: -- ---- 9 Fee rue bran•L virmib withrul purchase
Phone- �T Fax: l'!-Mail. - of servios to fester fere,not branch eirmit 6S r 05 7
Frh athlltinoal twaarh cittu". �-
Mire.1[Serviecor feeolerone Incldd):
U Sarvre own 223 ampravenrmeial U llealtlKam faeiluv Fsrh pomp Is irri�titm eimle_
U%rsvim river 1211 unit-rattnp of 1&2 U Harardttua luratinn FA-a Sir Or outline 11 tiaL�---- t
fttatity dwellioss fa Fluiledus I"10.6("1 Upset hxt four rr Stlutal cin:ait(s)tx a t;tnitm enemy purl, - -- - -
U Sy"M rive low told aminal rarer rrsilltetlal roNt in nmtenrtuer drrraian, t>.exsensino•._._.---- --- _-- ----. __-_- 2 ---
U truildina ovrt dm reunion U F'mi n,400 amps ov move •Descttgtiw: �-
U o-,-trpmot bad nva no"mon. U Mstnurschoad etrrscd"its or RV pr! F.aebAdditional Inspection over aeapmraNals.tyefduo sYeSe:
U F.1m:sa9ipNinp plan L the' -- Per intpeetlm ----
S,eMM nets of pleaw with asst of for abate. tv"Ifillancon fen _
ILe about are not apdlnNe to temporart reaalnlella I Writhe. Mer —
NM alt ParisAktr.rw•,r.pt creat wrM.place call jt
aladrtK,n Roo ntna rnikrmation Notice: This permit artpm
lication _ Permit fee ... ..............
� vtpirca if a permit 1s nM ohtained Plan review(at— 04) S
within 190 days aner i.has been State surcharge(111%).....S L_--
accepted as rfimpletr TOTAL.................. .....S
UtlJli1S(fLVDtC't1M1
1�
CITY 4F TIGARD 24-Hour
BUILDING Inspection Line- (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received _____- Date Requested__�L �� AM_. PM BUP
l-ocation I _ (a l J1�\ - Suite__-`0 & MEC
Contact Nsrson _ �_tG_�y„�� Ph(—) l z PLM
Contractor [ -1_t. Ph( ) . SWR
BUILDING Tenant/Owner _ - ELC r " �''' ��-
Footing - ---- —
Foundation Access: �. ELC
Fig Drain
ELF!Crawl Drain
Slab Inspection Notes: W SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall ��- "-
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Other: _ --- - -- - -
Final
PASS_ PART FAIL
-'�
PLUMBING i _ �--- - �'- •_.. --- �_____--_
Post&Beam
Under Slab - -- ------ - - —
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART GAIL
MECHAIVIC_AL- _
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
AAIWPAFiT FAIL El Reinspection fee of$ _-required hefore next inspection. Pay at City Hall, 13125 S N Hall Blvd.
_ __- Please call for reinspection RE:, -- _ u Unable to inspect-nc.access
Fire Supply Line
ADA
Approach/Sidewalt DamAW -./(2 ' -- Irspsrtnr _
/ tExt
Other:
Final DO NOT REMOVE this Insp,,ctlon record ,from the job site.
PASS PART FAIL
1�
BUILDING
CITY OF TIGARD
PERMIT #: BIJP2002-00445
DEVELOPMENT SERVICES DATE ISSUED: 10/0/0"
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S103AC-00103
SITE ADDRESS: 07236 SW DURHAM RE BLDG N-100
SUBDIVISION: COUNCIL VIEW ACRES 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?
T"PE OF CONST: sf N: S: E: W:�^
OCCUPANCY GRP: TOTAL AREA: 0 0U sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED.
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETISACKS _ _ REQUIRED_
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING KNITS: F=RNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:10 1/814" C- D
Remarks: Add (2)sprinkler heads and relocate (5)existing heads.
Owner: Contractor:
PACIFIC REALTY FIRESTOP CO
15350 SW SEQUOIA PKWY#300 9284 SW TIGARD ST
PORTLAND,OR 97224 TIGARD, OR 97223
Phone: 503-624-6300
620-8'140 Phone: 620-6140
Reg#: LIC 63846
FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough-In
[BUILD] Permit I-ce 10/9/02 $62.50 Sprinkler Final
[TAX] S%State Tax 10/9/02 $5.00
Total $67.50
This permit is issued s tbject 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 80 days of issuance, or if wort; is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule. are set forth in CSAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
caning (503)246-6699 or 1-800-?32-2344
,l
;ssued By:
Permittee
Signature: i �((� — h i 1� _ --- -
Call 339-4175 by 7 p.m. for an inspection the next business day
Building Permit Application
Dalereceived: AIV//: - I'ernul no.: J1 e'?
City of 'Tigard
I'rajccUappl.no.: Tc date:
f tet„�lignrd Address: 13125 SW Hall Blva.,Tigard,OR 9/223 -
Phone: (543) 639-4171 Date issued: f : /y Iteccipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
- --
TYPE
t
U I & 2 family dwelling or accessory EQC'ontrnercial/industrial U Mulli-family U Ncw construction U Demolition
Ad Addition/alt`eraUo replacement JQ Tenant improvement fin' prinkler/al'u'm U Other:
Jh addtvss: —
- Bldg.no.: suite n L
ubdivision:Block:Lot: -
Tax map/tax lot/account no.�
Project name: �jTp N
Description and location of work on premises/special conditions: -
- - t t
Name: t
Mailing address: IS350 15W` ij 4 15W 1 & 2 family dwelling:
City: _0 Stale: (2, ZIP: qq'&2q Valuation of work........................................ r
I'honc: Fa : mail: No.of bedrooms/haths........•........................ - _-
()wner's representative: 'Total number of floors...................•.............
I'ax: 1. until: New dwelling area(sq. ft.
Garage/carport area(sq.ft.)....................•....
Covered porch area(sq. fl.) .........................
Mailing address:q 5e6LA ` _li Deck area(sq. ft.) ..................................... - - --—
City:
state- cl 2.zOther structure area(sq. Il.)............ ........ ... _
Phone �- f.tx ' ,; Aj I:-ntail: Commercial/industrial/mulll-family-
t t Valuation of work....................................... $
��,, Existing bldg.area(sq. ft.) .......................... -
Business name: 12&�'ZU> �) New bldg.area(sq.ft.) ...........•....................
� --
Number of stories
City: State , ZIP:C . —
� Type of construction.............................•......
Phone•t,o - fa*1A f mail: Occupancy group(s): Existing: -
CCH no.: (�3�, — New: -- —
Ctly tart• 1 no.: Notice:All contractors and subcontractors are required to he
licensed with the Oregon Construction CoNractors Board under
Name- >V provisions of ORS 701 and may he required to he licensed v
Address:�� T_t [ii(l ) 4 3CC) jurisdiction where work is being performed. If the applicant
C Z_ exempt from licensing,the following reason applies:
Cit : �( . State: Z
Cantata pctson: Plan no.: i --
Phonf
Name: _ lC'ontact person: Fees due upon application ...... .................... $
Address: Date received: -_ -
City: Slate: ZIP: Amount received ...........................I.............
Phone: Fax: E mail' Please refer to fee schedule.
hereby certify I have read and examined this application and the No all iuriWictions accept cmlit card.plena call iunwiction fot more information.
attached checklist. All provisions of laws and ordinances governing this Uvisa UMasterCard
work will he complied with,whether s c'fied her or nut. crrdtt card numhe __-- --- —_--
respir�s
___
,11C: C �T Name of cardhnldei as ahnwn on crtttil card
Authorized si-g7na�ture:. — $
Print name:_ f Amount
Notice:•chis permit applicdllAn xp es ifa permit is not obtained within 180 Clays af)ci is has been accepted as complete440"461)rtwtut� -'
Fire Protection PE rmit Clieck List
A. ❑ New ❑Addition Alteration ❑ Repair_
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be doi e: 2. *11+ heads: Ply-An review required.
Number of sprinkler heads:__
Additional description of work: 'I I
melre r s i1flipeArr, fk.IS I. X125
Type of SystemComplete A or B as applicable :
A.)_ Sprinkler Wet ❑ D ❑
Standpipes ------ —_
Additional Hazard Grou _
Information Density
_Design Area
K. Factor
J Sprinkler Project Valuation:
B. Fire Alarm –
Submittal shall j Battery Calculations Yes ❑
Include: Individual Component Yes ❑
_ Cut Sheets
Fire Alarm Project Valuation: $ _
Pro ect Valuation Subtotal (A & B): $
— Permit fee based on valuation _see chart): $ — (0415U
8% State Surcharge: $ _ �
FL.S Plan Review 40% of Permit: $ — _
-- TOTAL: $ b.-7. 'Std
iAsts\forms\FPScheckfist doc 10/04/00