7236 SW DURHAM ROAD STE N-800 N
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7236 SW DUREifu•, ROAD, N SOO .�.
� CITY (JF' TIGARD -- BUILDING PERMIT___
PERMIT#: BUP2002-00101
- r DEVELOPMEN r SERVICES DATE ISSUEG: 3/20/02
13125 SW Hall Blvd., 7iaard, OR 97223 (503) 639-4171 PARCEL: 2S103AC-00103
SITE AUCRESS: 07236 SW DURHAM RD BLDG N-800
SUBDIVISION: COUNCIL_VIEW ACRES ZONING: I P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT ^FIRST: i sf W S: E: W.
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD. 27 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BS4-JIT?: MEZZ?: _READ SETBACKS REQUIRED
FLOOR LOAD: psf LEFT ft RGHT: �ft FIR SPK!: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO GORR. PARKING:
VALUE: $ 10,000.00
Remarks: Enlarge breakroom,demo wall and convert 350 square feet of warehouse to office
Owner: Contractor:
PACTRUST H L. GREEN, HL CO. INC.
15350 SW SEQUOIA BLVD
STE 300 CSR 7�2
Phone: 503-639-7864 Tl one'. N 7174
Reg#: LIC 41328
�FEES _ REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require
PRMT CTR 3/19/02 —$l39.30 27200200000 Electrical Permit Required
Sprinkler Permit Required
5PCT CTR 3/19/02 $11.14 27200200000 Framing Insp
PLCK CTR 3/19/02 $90.55 27200200000 Insulation Insp
FIRE CTR 3/19/02 $5572 27200200000 Susp Ceiing Insp
_ i Final Inspection
_—` Total! $296.7'1 _
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accord3noe with approved pians. This permit will expire if work Is
not started within 180 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notif',cation Center. Those rules are set forth ir+ OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions t,)OUNC by
calling (503)246-6699 or 1-800-332-2344.
Pennittee
Issued By:
Call 639-4175 b� 7 p.m. for an inspection the next business day
Building Permit Application MENOEM
FDatcr-eceived: /q/ Z Permir no. '�lty Of Tigalid �
Address: 13125 SW hall Blvd,Ti � lect/app1.ne.: Expire date:
City of Tigard -M E 1 Y E —
Phone: (503) 639 4171 �w ateissurd: By: Rereiptno.: _
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: I&2 family:Simple Complex:
rr"'. ,
max
❑ 1 &2 family dwelling or accessory U
Commercial/industrial U h'.nl(i-farnily 1-1 New construction ❑Demolition
0 AddiUon/alteration/mplacement $,Tenant improvement U Firr U Other-
AM
ther 11 SITE INrORMAT111
Job address: _ s7kV, -
i.,ct: Block: ISubdivision: Tax map/tax lot/account no.:
Projec
Description and location of work on pmmises/s ial conditions: G f 1G aCC- .r�i� 1y.�/�/V z//i`
�r -+
1 1 1
Name: Pac-i rust
Mailing address: 15350 SW S e u o i a Pkwy. , #300 1&2 family dwelling:
city: ort a n-d 0 R ZIP:
State: 7 2 2 4 Valuation of work........................................ 5
5UJI Phone: 624-6300 Fax624-775 E-mail: No. ,f:-dn-ours/baths................................. ---
Owner's representative:D e n n i s P a n�_ Total number of floors.................................
Pho
ne: � rI't'; F-snail New dwelling area(sq.ft.) ..........................APPUCANT -
Grage/catport arra(sq.%).........................
Name: P a c T r u s t Covered porch area(sq.ft.) ......................... -_
Mailing addrrss:l!,:i50 SW Sequoia Pkwy. #300 Dxkarea(sq.ft.) .......................................
City: P o r t l a n a _ State: OR I ZIP: 9 7 2 2 4 ether structure area(sq. ft.).........................
503 Phone: l:;IA E marl: Commercial/indtustrial/multi-family:
624-6300 62.4-175 , ��
1 1 Valuation of work........................................ $
Business name: H L Green Existing bldg.area(sq.ft.) ...........................
� Sequoia
Address: 1'5 3 5 0S W S e u o i a P k w . , N 3 0 0 � New bldg.ansa(sq.ft.)................................
City: Ort a n State: ZIP: `� Number of stories........................................
5 0 3 Phonr:6 2 4-7 717 Fax: E-mail: Type of construction....................................
��28 - --- — Occupancy group(s): Existing: Z
CCB no.: ^�-
_
City/metro lie.no New:Notice:All contractors and subcontractors are wired to be
1 licensed with the Oregon Construction Contractors Board under
Name:J o h n R om i S h proAsions of ORS 701 and may be requited to be licensed in the
Address:15350 SW Sequoia Pkwy. #300 jurisdiction where work is being performed. If the applicant is
city: Port l a n d State: 0 R ZIP:9 7 2 2 4 exempt from licensing,the following reason applies:
Contact person: Plan no.: -
'>'�'3 Phone: -- 300 C"ax{24 175 c m.til 'ohnr@ act s c III
---._. --
Name: -- -- Contact person: Fees due upon application ........................... $
Address: - _ - Date,received:
City: - _ State: Amount received ......................................... $-------__.._--.-
Phone: _ Fax: - E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all lurisdicrlau accept credit cants.—rte„e un Jurisdiction for more Wformatiau
attached checklist.All provisiors of laws and ordinances gc vem'ng this ❑visa o MasterCard
work will be complied with, hether spe 'ft _ emin or not. Gedit card numbs L--
l:rpires
a
Authorized si atur ' � -
Name l Cardholder as dav+n no cndil cad
Print name:-� ,' _'
Cardholder aiarurure Arnomt
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 140-4617(WYCOM)
h, !f1
PERMIT
CITY OF TIGARD tF.;a�TE ISSUE : . 09/09W99F_ 040`
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hau End.Tigard,Oregon 97223.8199 (503)830.4171 PARCEL: 21G 1 1 3AC_00100
SI 1 i ,. . . : t. l:URIb,16 RU W800
SUBDIVISION. . . . : ZONING: I--P
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . .
TENANT NAME. . . . . :C:ASI..-F &• CtiONNEUTRO WI)REh101..)SE
USA NO. . . . . . . . . . : FIXTURE UNITS. . , : 21
CLASS OF' WORK. . . :NE_W DWELL.I NG ON ITS. . : 1
TYPE OF USE. . . . . :COM NO. OF' BUILDINGS- 1
1 NSTALL TYPE. . . . :BUSWR IMPERV URI=-ACE: 0 S f
Remarks : Tenant Improvement
Owner: --- ________.___...__._______._..__.______--_.__._......___.._...__.__._.___ FEES __.._.
FIAC:TRUST type amount by daterar_p't
15350 SW SEQUOIA PKWY PRM1 $ 2200. 00 JSD 09/09/96 96-2837E&
'sl.J I T'E 300
T I GARD OR 97224
Phone #: 6x4--6300
(lilt r^actor^:
ON T RACTOR NOT ON FILE
-110 T-r P 4 : $ '2200. 00 TOTAL
Fteq #. . :
------- REQU I REO INSPECTIONS
This Appl,cant agrees to comply with all the rules and regulations
of the Umifi;d Sewage Agency. The permit expires 160 days from
the date issued. The total amount paid will he forfeited if the
permit expires. The Agency dies 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 purchase
a "Tao and Side Sewer" Permit and the Agency will in tall a lateral,
F-'er'mittee Sign AtUre : r
l:s5,I.red
Call for inspection - 639-4175
CITY CSF TIGARD
DEVELOPMENT SERVICES
MT.100"M 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
ELECTRICAL PERMIT
PERMIT #: ELC96--0550
DATE ISSUED: 08/22/96
PARCEL: 215113AC-00100
SITE ITE ADDRESS. . . :07226 SW DURHAM RD �8010
SUBDIVISION. . . . : ZON ING. I--P
BLOCR. . . . . . . . . . .. LOT. . . . . . . . . . . . . JURISDICTION: TIG
Project Description: Installing two services or, feeders to 200 amps and six
branch circuits.
--------------------------------------------------------------------------------------
UNIT------ ---TEMP SRVC/FEEDERS- -_-_-MISCELLANEOUS-___.._
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP,/I RRIGATION. . . . : 0
EACH ADD' L_ 500SF. . . : 13 201 - 400 amp. . . . . . . : CA SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . ; 0 SIGNAL/PANEL. . . . . . . : 0
IYIAI\IF*. HM/ SVC/FDR. . : 0 601+amps-1000 VoIcs. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER---- CIRCUITS------ ---ADDIL INSPECTIONS——-
0 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 6 PER INSPECTION. . . . . : 0
c!01 1 400 amp. . . . . . : 0 1st W/O SRVL. OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' l_ BRNCH CIRC : 0 IN PILANI.. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 -------____-_-_.---PLAN REVIEW SECTION
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES ----------------
LABLE & CONNECTION type amount by date recpt
'7236 SW DURHAM RD PRMT $ 150. 00 CJS 08/22/96 96-28318E
SUITE 800 F5PCT $ 7. 50 CJS 08/22/96 96--283162
TIGARD OR 97224
Phone #:
Contractor:
BEAR ELECTRIC $ 157. 51? TOTAL
PO BOX 389
28085 BUTTEVILLE RD NE REUUIRED INSPECTIONS
DONALD OR 97020 Ceiling Covet, Elect' l Servic,
Phone #: 503---678-1355 Wall Covet, Electil Final
Reg #. . 1 000209
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee
appticable laws. All work will he done in accordance with
approved plans. This permit will expire if work is not started
wi hin 180 days of issuance, or if work is suspended for more
ti an 180 days. Issued By
-..-------,-OWNER INSTALLATION
lHe installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DAJE :
INSTALLATION
SIGNATURE OF SUPIR. ELELIN: DATE:
LICENSE NO:
Call for, inspection - 639--41 /5
PERMIT #. . . . . . . . 91.
CITY GF TIGARD DATE ISSUED: 09/20/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 1 1'1kC:•-01111 004)
13126 SW Hall Blvd.Tigard,Orspun 9722308199 (603)939.4171
buEl; 1 G ZONING: 1—P
. i
--r
D-4A.Leyem.-v9d
________�
I?F-- I5 �:3I I`.: FLOOR ARFraS-- ---- EXTERIOR WAIL. f"ON TRUCThOI',
!.Pcb;.; OF WORK. :AL_T FIRST. . . . : 502't; s•F Ns a: E: Ws
P,E C1F U5E. . . :COly1 SECOND. . . : 10 :, 1- F:,1-,Ol.EI...T OPEN INIGS? ._.__.__.._ ...
,'C'E OF. CONST. :5N . . . . 0 s f r S. E: W.
-C;UPANCY GRP. _G1 TOTAL—_ 5025 u F HOOF' CONST:: FIRFS RET? :
,CUPANC:Y LOAD: 22 BASEMENT. : A Sf AREA SEF''. RATED:
R. : 1. HT: 0 Ft GARAGE. . . : 0 s-F OCC:U SEP. RATED:
11T? : MEZZ? : REDD SETBACKS--._____.._._._
.00P LOAD. . . . : Vi p f LEFT : Q.1 ft RC:I-4T: 0 ft F.1 R SF'KL._:Y S M 0 K 1)ET. .
-JELLING UNIT : 1zi FRNT : 0 ft REAR: 0 ft FIR ALRM: NNDICE' ACC:Y
DP.11 ' Vi W41 HS: 'LI IMP SURI-Acri... 0 PRO CORP: PARKING: V1
1LUE:. $ : 45O00
-marks : Tenant 1,,,provement
mer: --------- ____.._.____.______.______..__.._._._.__.__.._____.___._�__...____.___ FEE, ___.-------•---_. .-.
aCTRUST type amn,_rn w by date r-ecpt
1!5'0 I"W SE OU01A F'KWY F-1 RE $ 11214. 20 08/14/96 96-282886:
F'I__CK 4 161�. 313 08/14/96 96--282'88,,'
UIIRD OR 97 :24 1:1 RMT 4 :x.'60. 50 DRA 09/20I96 96-•2842:3;:
one #: 624-6:120 5PCT 4 13. 03 DRA 09/20 96 9G--x:'84
L. r BEEN
,.:Eiji Si4 SEUtio1A B1..V[;, SUITE �OIr
GARD UR 97LL4 ...... ..
brie #: 624-- 7117 4 541. 'Ab TOTAL.
eq #. . : 4132f3
-- - --- — REQUIRED I NSPEU I ONS --
is perm is issued subject to the regulations contained in the Framing Insr:r
gard Municipal Cjd;, State of Ore. Specialty Codes and all other I n s Lr 1 at i crit Insp
olicable laws. All work will be done in accordance with byra Board Insp
.:proved plans, Trus perait will expire if work is not started �.;i_Isip Lei Ing Insp
,thin 168 dav� of issuanca, or if work is susoended for *Sre
har. IBB idvs.
jr! _ll
f
0 e C 17 1 rr 631)--4175
Commercial Building 0ermJt Application
^.ify of Tigard
13125 SW Hall Blvd. rV1q`
Tigard, OP 97223 1�
(503) 639-4171
Jobsite .Address:
Office Use Only
Tenant:'�� 01� �i I uhe #
Planck'Rec #
Valuation:
Permit #
Owner: _Pacific Realty Associates, L.P. (PacTrust) Map & TL # _
Address: 15350 S.W. Sequoia Pkwy, Suite 300 Approvals Required
Portland, OR 97224
— -- Planning
Phone: 503/624-6300
Engineenng
Other
Contractor: H.L. Green Company
Address: 15350 S.W. Sequoia Pkwy, Suite 300
Portland, OR 97224-7199Type of const:_ _
Phone: �-
503/624-•7717 Occupancy class: S
_
Sprinklered? C:YTNo
Contractors License #_41328 _ _ ��
(attach copy of current Oregon license) Sq. ft. of project: Lam" e ell'
-7717 St ' .
Contact name & phone: _ Chris Green, 503/624 Story (1st, 2nd, etc.)
Proposed use. r✓
Architect/Engineer: John H._Romish
Previous use: /47-A-
S-7-
Address: 2216 S.E. 24th Avenue _
Note: P'umbing & mecnanical plans
Portland, OR 97214 must be submitted at time of
building permit application.
Phone. 503/236-6306 -�
JOB DESCRIPTION
licant Signature & Phone number
Received by: ��_ rate Received:
Permit x Account Description Amount Amt Pd. EW. Due
Bldg. Permit (BUILD)
�- Piamb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) 1� a) 3
Bldg:
Plumb.
Mech:
Plan Check (PL�NCIH
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (-nF-R) /
Mass Transit TIF (TIF-MT)
Commercial TIF F-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUA )
Water Quantity (WQUA T)
f �
Fire Liff Safety (FLS) �I 1 7P L'
Erosion Cntrl Pe (ERPRMT;
EroofcM IF aanc- 'USA (ERP'.-AN)
Erosion Planck/COT (EROSN)
TOTALS: ��
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)63.9-4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . i BUP96--0i2i24
DATE ISSUEDs 08/07/17
PARCELo 25113AC-00100
I TE ADDRESS. . .. a 07236 SW DURHAM PI) WS 0 0
S
SUBDIVISION. . . v ZONING- 1 -P
BLOCK. . . . . . . . . . t LOT— . . . . . . . . . . .
CLASS OF WORV. :ALT'
TYPE OF USE. . . :COM
TYPE OF" CONE TR:5N
CILCUPANCY GRP. 3G1
OCCUPANCY LOAD: 2L,
IT NANT NAME. . . i CA131.1 A, CONNEC. rop
ilemarks .- Tenant lmf)v,(jvpmpnt
Owne'...
V,ACTR05T
15350 SW SEDUOIA PKWY
TIU(-4PD OR 97224
Pone #: 6 '4-6300
H. L. GRFFN
15350 SW REPOOTA BLVD, SUITE 300
I' lGAW) OR
Phone #x 624 771•i
Req 41'J28
This Certifi ate qrants oct:%.%pancy of the abo-p roferrvrired bt.tiLdxnq car portio
thereof and r4jnfirms that the building has been Inspected for coml.-31tance with
the State of Organ Specialty Codps far the pari-qp 0(71(-!Qp'#nc-y, and 1146- Under
r-'h
Whi '.the Ow-
I' feOt'Wed pOt'Mit Was if*1.10d.
iw9--e'ET`"TOR SUIL;NG
POST IN CONSPICUOUS PLACF-
Tigard: CABLE AND CONNECTION WAREHOUSE,INC
First Plan Review
LP'A Job No. 96522.062
City No. BUP 96-0224
MEC 96-0291
SEPTEMBER 12, 1996
JOHN 1-I. ROMISH
2216 SE 24TH AVENUE
PORTLAND,OREGON 97214
LP'A (Linhart Peterson Powers Associates)has completed revie, of the following documents. Thes
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 me ditications.These shall be submitted and revieA eel by the City of
Tigard.
Architectural Drawings,Sheets: A-1,A-2,
Mechanical Drawings, Sheets: M i
Energy Compliance Packet
PROJECT INFORMATION
7236 SW DURHAM RD.
TIGARD,OR 97223
OCCUPANCY GROUP: [3/S-1
CONSTRUCTION TYPE: V-N SPRINKLERED
STORIES: I
FLOOR AREA: 1.640 SQ. FT.(OFFICE)-3,385 SQ. FT. (WAREHOUSE)
OCCUPANT LOAD: 15 (OFFICE)- 7(WAREHOUSE)
LP=A RECOMMENDS THE ISSUANCE OF THE BUILDING PERMIT FOR THIS PROJECT.
1. Please provide a minimum 2,AA0, BC fire extinguisher in the office area and the warehouse.
If we can be of further service to you, please call us at 371-2212.
Respectfully,
LINHART PETERSEN POWERS ASSOCIATES
Gary ampella
Building& Mechanical Inspector/Plans Examiner
c: David Scott, Building Official
LINHART PETERSEN POWERS ASSOCIATES
3855-3 Wolverine Street NE•Salem,OR 97305
(503)371-2212 •FAX:(503)371-3853
MECHANICAL
CITY FERMI.T
OF TIGARD PER11IT #. . . . . . : MEC96-0291
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUE"D: 09/20/06
13125 SIN Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
SIT[-.:, ADDRESS. . . : SW DURHAM PT
SUBDIVISION. . . . : ZONINCS, T-P
T-ALOG.K. . . . . . . . . . .
CLASS OF WORK. ALI FLOOP TURN. . . . : 0 EVAP COO!-ERS: 0
I'YPIE OF USE. . . COM UNIT HEATERS. . - I VENT ':ANS. . . : 3
O(I"CUPONCY GRP. :91 VUNT5 W/O APS-:'L: 0 VENT SYSTEIIS: 0
STORIES. . . . . . . . : I BOILERS/lECMPRESSORS HOODS. . . . . . . . 121
F-UEL 17) HP. lb DOMFG. INC'(1\1: 0
/bAS/ 3-.L5 HP. 0 COMMi— INCIN- 0
11AX INPUT-. 0 BTU 15-30 HP, 0 REPAIR UNITS: 0
IFI RE DAMPERSf 1. 1\1 30-50 HP. 0 WOODSTOVES. . : 0
GAS PRESSURE. . 35 12A HP. 12) CLO DRYERS-- 0
NO. OF UNITS-.--------.- AIR HANDLING LIN? ►"S OTHER UNITS. : 0
PURN ( 100141 131LJ: :-:', d= 10000 (::fm ,, i7- (3AS OUTLETS. - 3
FURN ) =10121K Br(-I: 0 10000 cfirl 0
Remair--(<s - Tenant Irrij.)v-ovpinent
OWTIet" FEES
P A C TRUST tyre arncil-tnt by date t'ecpt
15350 SW SEQUOIA PKWY PRMT $ 48. 00 JMH 09/20/96 96-2842'16
GUITE #350 PICK $ t 2. 00 JMH 09/120/96 96-28421 L,
PORTLAND OR 97224 5PGT $ 2. 40 JMH 09/20/96 96--2'842A6
111horie #. 624-6311710
Cciritt-ac.,tor: -- -- - - -- --____ _______..___.____ f
PROT1--'.MP AS50CIATES INE
,1107 NE COUCH
PlIPILAND OR 97C`32 -------------
["h on e # C`33-6(31 I 1 6 je. 4'3 TO T P L
038868
REUUIRED I NSPECT IONS
1h)s ptriit is Issued s-lblect to the regulations contained in the (.gas Line I r)s F:t
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
-
applicable laws. All work will be done in accordance with Heating Unt Insp
approved
pproved plans. This permit will expire if work is not started F- i ria I Inspect i or)
within 180 days of issuance, or if work is suspended for more
}han 180 days.
J
Cc
..A 11 for, insp,ect i or. 6:, i-4175
Plan Check
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 QI_ Date to P.E_ '
(503) 639-4171, x304 1`) Date to DST
Print or Type Permit N_PI!LC9[�
Incomplete or illegible applications will not be accepted Called
Namp of DeveiopmerNPropct Description
KU5T �y t Table 1A Mechanical Code OTY PRICEAMT
Job street Address sudeN A) Permit Fee 0 -0-_] .-
10.00
Address 7231, :hj ,'gam _
BIdgN I cnyistne zip B) Supplemental Permit 300
Name(or name of business) 1 ) Furnace to 100,000 BTU 6.00
Owner /Fj� �r/1t T1l ��SDC/�JTE -t incl.ducts&vents /z
Mailing Address 2.) Furnace 100,000 BTU+ _ 7.50
.35Z�) OyywAun,AG wt/ 30(, incl duds d vents
cayrstateZip Phone�Zy. 3) Floor Furnace
6.00
97?. 2� lr3CX� incl_vent _
Name(or name of business) a) Suspended heater,wall healer 6.00
(" S12 //QC. or floor mounted heater C�
1 Occupant Mailing Address Sv 5.) Vent not incl in 3.00
7Z 3(�z_d w Ly(2jj��J g appliance permit
CapstateZip Phone 6.) Boiler or comp,heat pump,air Gond. 6(10
__• __�
/2 Ll 97ZZ L/ to 3 HP;absorp unit to 100K BTU _
Name 7) Boder or comp,heal pump,air Gond. 11.00
1011` ASSOL• , :3-15 HP;absorp unit to 500K BTU _
Contractor r Maung Adc. 8) Boder or comp,heat pump,air Gond 15.00
LiLo Z 1"E. CCoc'O _ 15.30 HP;absorp unit.5.1 mil BTU
Attach copy of CMisu�e zip e PhonZ.33 9) Boiler or comp,heat pump,air cond. 22.50
Current LicensesF�'�j j��/Q/ p L g7e;3 4 (¢j J f 30-50 HP;absorp unit 1-1 75 mil BTU
Oregon Const Cont Board Lie N Exp.Date 10) Boder or comp,heat pump,air Gond. 3750
-3 g f;"2-0 1 >_50 HP;absorp unit 1.75_mil BTU _
CO Business Tax or Metro a Exp Date 11 ) Air handling unit to 7 A 4,50 p
Q`/- 10,000 CFM__ / -
Archi•cct rdame 12) Air handling unit 7 50
_ _ 10,000 CTM+ _
or Mmbng Address � 13) Non portable� � 4 50
_ ee aporate cooler
Engineer Cay/slate 'ip Phone 14) Vent fan connected 300 -
_ to a single dud
Describe work New,K5 Addition O Alteration 0 Repair O 15) Ventilation system not 450
.o be done Residential O Non-residential _ included in appliance permit
Additional Description of work a 16) Hood served by��
mechanical exhaust 450
17) Domestic incinerator V 50
Existing use of �i 18) Commercial or industrial
building or property type incinerator
19) Clothes dryers,etc 450
Proposed use of 201 Other units 450
budding or property
Type of fuel-oil O natural gas Q LPG O electric O 21) Gas piping one to four outlets 3 200 .,-
I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet teach) 50
infomtation given is corre1.that I am the owner or authorized agent of
the owner,that plans submitted are it compliance with Oregon State QTY.SUBTOTAL
laws 1
Signature of Owner/Agent Date 'SUBTOTAL
—-- ---`—
5'/s SURCHARGE
Contact Person Name Phone PLAN REVIEW 257/e OF SUBTOTAL
tlC�hfN /4c7A�ttc,
vJ _ TOTALJi
i 1dst\mechpmt doc 'Minimum permittee is$25+5°h surcharge -
Rev 7t96
i
CITY OF TIGARD
DEVELOPMENT SERVICES BUTLDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUP96--0497
DATE ISSUED: 01./07/97
PARCEL: u'S]. 1 QAC—iZrO].00
SITC= ADDRESS. . . : 07':36 SW DURHAM RI) 900
SUBDIV 1 SIGN. . . . s ZON.I.NG: I--F'
—LOCK. . . . . . . . . . . Ln"I.. . . . . . . .
. . . . . .
RF'_ISSUE: FLOOR AREAS-----•------•— EXTERIOR WAL_L.. CONSTRUCTION—
CLASS OF WORK. :FPS FIRST. . . . : 0 s f N: S: E:: W:
TYPF` OF USE. . . :COM SECOND. . . : 0 s f PROTECT OPEN I NGS?
TYPE OF CONST. :3N . . . s '7.r s f N- S: E- W:
OCCUPANCY 9RP. :SI TOTAL_ ___.____.._: 0 's f ROOF- CnNST: FIRE RET" .-
OCCUPANCY
ET" :OCCUPANCY LOAD: 0 BASEMENT. : 471 s f AREA SEF'. RATED:
STOR. : 0 HT: 0 f t GARAGE. . . .. 'A s f OCC1..1 9FP. RATED:
BSM-1 '7: MEZ Z? : RFC;D SETFxACKS—.-.------- RE(,U I RED---------
FL.00R I-OAD. . . . : 0 ps f LEFT: 171 ft RCH T e 111 ft F I R SPI-J- :Y SMnV DF.T. . :N
DWELLING UNITS: 0 F RNT: 0 ft REAR: 0 ft F=IR ALRM:Y HND I CF' ACC:Y
BEORMS: 0 l:iA THS: V1 MP SURFACE- 0 PRO CORR:N PARK I NC : 0
VALUE:. $: 1630
Rer,iarks : Frrra sl.lprwessiOn system
Owner: -- —_--- - --____... ----- —_ _---- — ------------------- FEES —__-- --------
PAC;TRUST type ain01m-h by date recpt
19350 SW SEQUOIA F'KWY PRMT $ 29. 40 JH 09103/96 96-283541.
STE 300 F I RF $ 11 . 20 JH 09/03/96 96--O.13941.
TIGARD OR 972:24 5PCT $ 1. 40 JH 09/03/96 96-283541
Pl-.o n e #: 624--67,,00
I
Ccntractor: __________.___._________.---•-_-- i
FIRES or, Cn.
9384 SW TIGARD sT
TIGARD OR 97223
Phone #: E,20--6140 $ 4E-. 00 TOTAL
Reg #. . : 063646
-- --- REDUIRED INSPECTIONS
This permit is issued subject to trut regulations contained it the Sl-tsp Cei. l.ng Insp
'igard Municipal Code, State of Ore. Specialty Codes and all other Spr^ink 1 er F i.na 1 V_
applicable laws. All work will be done in accordance with
approved plans. Thin permit will expire if work is not started
within 188 days of issuance, nr if wore is suspended for more
than 188 days.
P r r"m i.t t e e
C811 for inspection — 639-4175
/A\ CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC96-0659
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/17/96
PARCEL: 2SI13AC-00100
SITF.*! ADDRESS. . . : 07236 SW DURHAM RD �80173
SUBDIVISION. . . .. : ZONING: I- P
BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . .
Project Description: INSTL SIGNAL CIRCUIT OR LIMITED 'ENERSY PPNEL, EXT OR rILTE RAT
TON
-----____
-----------
---.- --RESIDENTIAL UNIT------,---- -------TEMP SRVC/FEEDERS---- -----MISCELLANEOUS- - -----
1.000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . . 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1
MANE. HM/ SVC/FDR. . : 0 601+amps--1.000 volts. '. 0 MINOR I-ABEL 0
------SERVICE/FEEDER----- ------BRANCH CIRCUITS------ ----ADD' L INSPECTIONS—
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401. 600 amp. . . . . . : 0 EA ADDIL BRINICH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 --____—__—_—____—_PLAN REVIEW SECTION-----------------
1000+ amp/vol.t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FT)R 225 AMPS. . s CLASS AREA/SPEC rCC. :
Owner: FEES
CCW type amount by date reept
7236 SW DURHAM RD PRMT $ 40. 00 TAT 10/16/96 96-285233
STE 800 5PCT is 2. 00 TAT 10/16/96 96-286233
TIGARD OR 97224
Phone #c
Contractors
CHRISTENSON EL.ECTPTC INC $ 42. 00 TOTAL
III SW COLUMBIA
SUITE 480 --- --- REQUIRED INSPECTIONS -------
PORTLAND OR 97201 Ceiling Cover Undergrai.ind Cove
Phone #: 50324148:12 Wall Cover Elect' l Set-vice
Reg #. . : 00458
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. 5pecialty Codes and all other Perm i t 9 i gnat
applicable laws. All work will be done in accord4nce with
approved plans. This permit will expire if work is not started
within 186 days of issuance, or if work is suspended for more
"W 'J/ 1A,
thar, 188 days. Ist<ied Dy
OWNER INSTALLATION ONI-YI.-.1
The installation is being made on p,,operty I own which is; not intended for
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
--------- INSTALLATION ONLY---------___.—_--_--___--.-_--
IGNATURE
NLY-----------------------------
IGNwrURE OF SUPR. ELECIN, DATt.:
ITCENSE NO:
Call for inspection 6_313-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hal Blvd,
Tigard, OR 97223 Permit #
Date Issued
Phone (503) 639-4171 —
CITY CIF TI •! FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639.4175
1. Job Address:— �- =- 7Zq 4. Complete Fee Schedule Below:
S,uwL�-
CCW SUITE 800
Name of Devielopment — _— _ _ Number of Inspections per permit allowed
Address 7216 SW DURHAM ROAD _ — Service Included hems Cost(ea) Sum
City/State/Zig, PORTLAND OR 97224 _ 4a. Residential -per unit
1000 sq h or less $110 no 4
Name (or name of business)__- COW Each additional 500 sq If or
_ - --- - -
portion thereof $2500
Commercial Residential Ld Limited Energy $2500
Each Manufd Nome or Modular
Dwetfng Service or Feeder $6800 —
2j. Contrac!ct, installation only: 4b. Services or Feeders
Electrical Contractor CHRISTENSON EI,ECTR1C, INC Inslellabotlon or relocation
200 ams oor r less $6000
Address 111 SW COLUMPIA,SUITE 480_ 201 amps to 400 amps $8000 _ 2
City PORTLAND _ State OR _ Zip9 7201-588( 401 amps to 600 amps $12000
001 am
Phone No. 241— 2 _ _ Oveto mo amps or ns
81 $34000 — 2
Job NO. 509-2294 Reconnect only -- $500c
contractor';. license NO. 2b-34C 4c, Temporary Services or Feeders
Contractor's Board Reg. No,,___ e Installation,alteration or relocation
Signature of %upr Flee 200 amps or less — ?
7 3 201 amps to 400 amps $5000
License No. Phone No 401 amp,to 600 imps $750o
Over 600 amps to 1000 volts $10000
2b. For owner installations: sae 'b"above
4d. Branch Circuits
Print Owner's Name New alteration or extension per pane
Address a)The fee for branch circuits with
City —_— ,hate Zip— purchssa of service or feeder fee
Each branch circus _ $500
Phone No. _ b)The lee for branch circuits without
The installation is being m^de on property I own which is purchase of service or feeder fee 2
not intended for sale, lease Or rent. First branch circus —_ $35 00
Each additional branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or feed?r not Included)
Each pump or Irrigation circle :40.00
3. Plan Review' sect/on (If required): Each sign or outline lighting $4000 _-
Signal circult(s)or a limited energy
Please check appropriate item and enter fee in section 58. panel.alteration or extension 1_ $40 00 40
4 or more residential units in one structure Minor 1 abets(10) — $10000
—Service and feeder 225 amps or more
_ System over 600 volts nominal 4f. Each additional Inspection over
Dwsiffed area or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per inspection �— $35 of
Per hour $5500
In Plant $SS 00 —
Submit 2 sets of plans with application where any of the above ^- ---�-
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 40
5°% Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal --W
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5h. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR PlanReview if required (Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal
$ ---
COMMENCED Trust Account #
$
Balance Due S _ -
CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
JWM 13125 SW Hall Blvd., rigard,OR 97223 (503)639-4171 RESTRICTED ENERGY
PERMIT #: EL-R96-0351.
DATE ISSUED: 11/18/9C
SITE ADDRESS. . . : 07236 SW DURHAM RD W800 PARCEL: 2SI13AC-00100
SUBDIVISION. . . . : ZONING: I--P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
Project Description: add protective signaling
---------------------------------------
RESIDENTIAL----------- B. COMMERCIAL-----________________________________
AUDIO & STEREO. . . : AUDIO 8. STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOIL.ER. . . . . . . . . . .. LANDSCAPE/IRRIGAT. . :
GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . = DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: It HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 1
Owrier: ...... FEES ----------------
SOUTH PACIFIC type amourt by date recpt
1.975 SW 6TH AVE Y PRMT $ 40. 00 TAT 11/18/96 96-286613
5PCT $ 2. 00 TAT 11/18/96 96-286613
PORTLAND OR 9'7201
Phone #: 223--5822
Contractor:
SONITROL PACIFIC $ 42. 00 TOTAL
1974 SW 6TH AVE
------- REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Coyer Elect' l Service
Phone #- 503-223--5822 Wall Cever Flect' l Final
Reg #. . : 000535
This ppreit is issued subject to the regulations contained in the /"l- 12-4
Tigard Municipal Code, State of Ore. Specialty Codas and al; other Permi ei signat+r)
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 _e
than 180 days. Issfied By
-----
___-__-----._._-------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:
INSTALLATION ONLY-.---_-_--____--_.___..___-______.
�JIGNATURE
NLY-.------------------
�JIGNATURE OF SUDR. ELECIN: DATE-.
L, I.'(-ENSE NO:
Call fat, insper-tion - 6313-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd
Tigard,OR 97223 PERMLI #
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
I. LOCATION OF INSTALLATION 4. TYPE OF WORK
Al
Ad Jr,, - RESIDENTIAL—Restricled Ener ggyy Fee . . . . . 140.00
,;• �� � �1� y (FOR ALL SYSTE7v1S)
City State zip Check type of Work Involved:
rfRMi fS ARE NON-TRANNtRABLE AND NON-REFUNDABLE AND EXPIRE IF WORK [J Audio and Stereo Systems
IS t'tT STARtED WITHIN Ino DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
Inst DAYS. ❑ Purglar Alarm
2. CONTRACTOR APPLICATION C3 Garage Door Opener* I
/ ❑ Heating,Ventilation and Air Conditioning System* )
Contractor "x. � Type_ ❑ Vacuum Systems* j
Address f _� t` f� j!'�,�L✓ ❑ Other
I
COMMERCIAL--Fee for each system . . . . . . . S40.00
',I I ( )AR 918-2bO-260)
Property Owner_ __— _ Check Type of Work Involved:
Contractor's Board Reg. Nor. ��S ❑ Audio and Stereo Systems
Phone# ,11,l T�1 L ❑ Boiler Controls
-- ----- ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone Nit
❑ Instrumentation
Address —� ❑ Intercom and Paging Systems
❑ Lardscape Irrigation Control*
C ty State Zip ❑ Medical
Tlns permit is Issued under OAR 918.320.370 This applicant agrees to make only ❑ Nurse Calls
e,!energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape lighting*
1 only use electrical licensed persons to do installations where required.(Certain 'r otective Signaling
restiential and other transactions are exempt from licensing.These have ❑ Other
aste•Isks(*).All others need licensing).
2. Call for an inspection when alt of the Installations under this permit are ready
f,tr im:perion at 503-63q-4175.
❑ Number of Systems
3. P,nchas••separate permits for all installations that are not ready for inspection
when the insftector is out to inspect under this permit. •No licenses are required. Licenses are required for all other Installations.
4. Assume msponstbility for as,ring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
jf
!tel
The person signing for this permit must he the applicant or a person a. Enter Fees $_-. 4
authorized to hin the applicant.
(J,� 4A; b. 5% Surcharge(.05 x total above) $ '00?
Sig urt, $ I �..�
TOTAL02
Authority if other than applk ant
ENERGARCHP
CI1Y OF TIGARD Pi_1tMI+1L"U#I�IhdG PE: P M96. 0245
COMMUNITY DEVELOPMENT DEPARTMENT DATE_ ISSUED: 09/10/96
13125 SW Hall Blvd.Tigard,Onporr 97223+8199 (503)839.4171
PARCEL: 2S i. 13AC--00 t 100
11-E NliLltLaa. . . : 072'36 GW DURH(�lrl RD �t31LI141
UBDIVISION. . . . : ZONING: I—P
ol_OLK. . . . . . . . . . : LUT. . . . . . . . . . . . . .
LASS OF WORK. . :NEW (_GARBAGE: DISPOSALS. : 0 MOBILE:. HOME S1=+AGES. �
YPE OF USE. . . . :COM WASHING MACH. . . . . . : 17.+ BACKFLO14 PREVNTRS. . 0
..,CX:UPANCY GRP. . :B FLOOR DRAINS. . . . . . : I TRAPS. . . . . . . . . . . . . . . IZr
STORIES. . . . . . . . : IZI WATER HEATERS. . . . . : 1 CATCH BASTNG. . . . . . . : 0
E'IXTURE='Ei __._____.._.__..___ 1_I=a1JNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . IXi
FiINKb. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . 0
LAVATORIES. . . . . s 2 0"flEER FIXTURE_,;. . . . : 111
(UD/SHOWERS. . . . : 0 `_)EWER LINE: (ft ) . . . . 0
WATER CLOSE I'S. . 2. WATER LINE ( ft ) . . . 0
1.).1SHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Pemarks: Tenant 1mpr,(1vement
Owner: -- --____._..._.__._.____—_________._. ._.._____.____.__.__._---____.__.__ FEES
PACIFIC TRUST FEALTY type amo+_Int by date recpt
15350 SW 5E0001A PKWY FIRMT t 63. 00 JDA 09/10/96 96—
STE:: #350 3. 15 JDA 09/10/96 96--
T IGARD O 1 97224
Phone #: 503-624-_6300
LentV-actor- :
DEAN WARREN PLUMEAING
*311 .1 SE 13TH
PORTLAND OR 97c-'+:+� __--__.—_- ----____—_—__..________--___..____
Phone #: L36-- 415J_' $ 66. 15 TOTAL
Recti #. . 0170172
REQ.UIRED INSPECTIONS
This perait .s issued subject to the regulations contained in the Top—out InSp
Tigard Muni.ipai Code, State of Ore. Specialty Codes and all other Bets Line _
applicablr laws. All work will be done in accordance with Mi =ce. Inspection
appro-ted plans. This perait will expire if work is not start. Final Inspection
.ithin M days of issuance, or if wrrk is suspended for we
an 10 days.
of mittee
i
C0.111 far inspect ion — 63C -•4175
��✓ DO)e'��'
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13,125 SW Hall Blvd. Permit # it Mqo -bdyS—
T .'ard, OR 91223 -
(503) 639-4171
Mui/l PA v ' wWf&0 - C'�� Y�
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
- '•""'""" New Single Family Residences Only
Ls�o�vN��r.,.
"'•" S ' ❑ 1 BATH HOUSE $140.00 ❑ 2 BATH HOUSE$195.00
JOU O 3 BATH HOUSE�225.00
Address h,... rb Fee Includes all plumbing fixtures in the dwelling and the first 100 feet
of water Service, sanitary sewer and storm sewer. See fees below.
"""•'^•"' """ FIXTURES QTY PRICE All
G 'Ll 5 �_ Sink 900
f kTi 'rL OD Lavatory 9 00 00
Owner Tub or Tub/Shower Comb 900
Shower Only 9.00
Water Closet- 9,00
Dishwasher 9.00
Garbage Disposal 9.00
Washing Machine 9.00
Floor Drain 9.00
Lb Water Heater — 9.00 of A
Laundry Room Tray 9.00
Urinal - -- 9.00
I contractor L�}r,/ (,�aOL�gan, Other Fixtures (SWCfy) - _ 900
r..
900
900
'
.. m �+C 9.90
o La Sewer 1st 100' 30.00
a.&A rn N. Sewer-ea. Addit. 10J' - - 25.00 1
ao Water Service 1st 100 - _ 30.00 �r
iereoy acknowledge that I have read this application. that the Water Service ea. Addit 200' 25.00
nforrwuurr given is correct, that I am the owner or authorized agent of _-
:ne ownef, th it plans submitted are in compliance with State laws, that Storm & Rain Drain 13t 100' 30.00
I 3rn registerec. with the Construction Contractor's Board, that the Storm &Rain Drain f ddd 100' 2500
umber given is correct. llf exempt from State registration, please
jive reason a ow i Mobile Home Space 2500
Back Flow Prev antion
- Device or Anti-POlution Dev,:e 9.00
'" ' """""° °i'• Any Trap or Waste r;-lt
Connected to a Fixture Soo
Describe work -new addition (75 alteration 0 repair Catch Basin 900 -
:o oe dcne res(Jentia) ) non-residential p Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40 00ihr
crrsUng use of
Rain Drain, single family dwelling 30.00
;:wldrng or property _ - � _ —
Residential backflow prevention
devices 15.00 j
Proposed use of - -
j ou lding or property
`- '(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
P RMITS BECOME VOID IF 'NORK OR CONSTRUCTION
AUTHORIZED IS NOT CCMMENrED WITHIN 180 DAYS. OR IF 371. SURCHARGE f,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED — - ---FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
:CMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
aPecral Ccndit;ons --- ---'�M'� - --'-
Date issued --
ELECTRICP
CITY OF T I GARD PERMIT #:AL ELC96ERMIT---171550
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED 08/22/96
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCELi 2S113AC-00100
.ITE ADDRESS. . . : 07236 SW DURHAM RD �80121
,(JBDI V I SI ON. . . . : ZONING: I-P
,LOCK. . . . . . . . . . : LO"l . . . . . . . . . . . . .
-roject Descriptions Installing two services or feeders to 200 amps rnd six br at
h
irct-tits.
UNIT-- -..----TEMP SRVC/FFEDERS----- -----MISCELLANEOUS---
1.000 SF OR LESS. . . . : 0 0 200 amp. .. . . . . . : 0 PUMP/IRRIGATION. . . . : 0
1-:.ACH L-.DDIL 500DSF. . . : 0 201. 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 'it
i IMITLD ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
11ANF. Hlvl/ SVC/FDR. . -. 0 601+amps-1000 volts. . 0 MINOR LABEL ( 10) . . . : 0
-----SLRVICE/FEEnER----- CIRCUITS----- ---ADDIL INSPECTIONS—
0 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 6 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. li 0 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANI . . . . . . . . . . . .. 'it
601 1000 amp. . . . . : 0 REVIEW SECTION-------------___-.
1000+
N-----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . • . . . : > 60e VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 20.5 FMPP. . ii CLASS AREA/SPEC OCC. :
Owner: --- FEES
LABLE & CONNECiYON type amount by date recpt
7236 SW DURHAM RD PRMI $ 150. 00 CJS 96-28318c.
.
SUITE 800 5V1CT* $ 7. 50 CJS 08/22/96 96
TIGARD OR 97224
Phone #s
Contract orl
BEAR ELECTRIC 157. 50 'TOTAL
PO BOX 389
!::,8085 BUTTEVILLE RD NE REQUIRED INSPECTIONS
DONALD OR 97020 Wall Cover Elect' l Final
Phone #- 503-678--1355 Elect' l Service
Reg #. . : 20919
This persit is issued subject to the -egulations contained in the -------
Tigard Municipal Lode, State of Ore, Specialty Codes and all other Vlet-mittee tai gnat i-tre
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended For mor,,
than lea day-. ISSUed By
INSTALLATION
Iho installation is being made on property I own which is not intended for
,,ale, lease, or rent.
OWNER' S SIGNATURE: DATE:
-_-..____.-----------------CONTRACTOR INSTALLATION ONLY-----------_-------_---._..__. __
IGNATURE
NLY-----------------------
IGNATURE OF SUPIR. ELCLIN- -aa- gs
_WL,Lp DATES
i- ICENSE NO: ---- ---
Lail for inspection 63.9-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # ,1., a iU —
Permit # q �L —
Phone (503) 639-4171 Date Issued L-,-
CITY OF TIGARD FAX (503) 684-7297 Issued by
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 S W Durham Rd ,— Service included Items Cost(ea) Sum
City/State/Zip Portland, OR 97224, 4a. Residential.per unit 4
11100 me If or Mee $110 00
M eq
Name (or name of business) Cable & Connection apoion red It° ` $2500 1
Commercial® Residential Q Warehouse Llmaed Energy $2500
Each Man1A'd Han or Moddar 2
Dwelling Semm of F-aeder _ SM 00
2a. Contractor Installation only:
4b.services or Feeder
IneWlalion alteration,or rebcation 2
Llectrical Contractor8achofner Electric 200antreorlese 2 $F,000 1 20 . u0 2
Address 55 SF: Main 201 amps to 400 amps $no 00 2
'-Port ]-and O R 401 amps to 600 amps $12000 2
CityState Zip 9-/21 4 501 a„p6 to 1000 amps $led o0 2
Phone No. 23T- Over IWOair"or volts _F V54000 - 2
Contractor's License No. 2 6- 5 1 C Reconrod only $5000 ---
Contrac!or's Board Reg. No.—, 4 5 6 9 4c.Temporary Services or Feeders
Installation alleralam,of raloation 2
Signature of Supr. Elec'n �' e� _ 200 amps or lase V%00 _ 2
License No. 2808S PhoneNo. iFi 44001"toea.� --- $$00�
Over am amps to low v0II6 --- --
2b. For c)wnet installations: ase W abwe
Print Owner's Name4d. Bnnch Cirtmits
-_- New,alter-lion or aetsrrynn per pen&
Address e)The tee for branch arcvda with
City—— State Zip___
purcAaw of owvks or Audw Im.
Faris branch cxwa Et $.`0C 30 . 00
Phone No. b)titre fee for branch anxrds wirhnwn
1 he installation is tpi ig made on property I own which is purrheN of atee Of ftedw Am. 2
not intended for sale, lease or rent Frsl!caul,amid $35 00 2Earp,add,lonal brmch am,a $500
(4ner's Signature-- -_ T �- 4o. Miscellaneous
(Sernco or feeder not included) 2
3. Plan Review section (it required): Each pump or n aide $40 00 — 2
Lad aqn or oaaMie hall" $40 00 —
Signd arcua(e)or a Mnsed anergy 2
Plestne check appropriate Nem and enter fee in section SR. penal,WWratrar or erdemon $w no
4 or more nskWtial units In one structure Minor Labsk(10) $10000
_ _Service and twxiw 225 amps or mom
— System over GO0 volts nominal 41.Each additional Inspection over
Classified area or structure containing spocial occupancy the r:Jovt,,ble in any of the above
as described in N E C Chapter I'er,ep"Cho., -- $3.900 — —
Per hair _ $5500
in Plant $5500
Submit 2 seta of plans with application where any of the above —'—'—
apply. Not required for temporary eanstructior services.
5. Fees:
5a. Enter total of above fees $ 150 . 0 0
NOTICE 5%Surcharge 105 X Intal fees) $ 1 . !)U
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal E TST.Tfl
d 5b. Enter 25% lirhe A for
Plan Review it rAgtwori)'.;pc 31 $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OF, ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTERWORK IS ^
COMMENCED n Tnsst Account
Balance Vue $ 157 . 50
G 24-Hour
Lir` Inspection Line: (503)639-1175
INSPECTION DIVISION Business Line: (503)639-4171 MST —
BUP —
Received _ — --Date Requested —_ f r 1 -7 __ AM_ _ PM — BUP _
Location _ � ___—��"�'!'� --_Suite
C—_ E
Contact Person Ph( __) y `7 �- PLM --
Contractor _ — _ _ Ph(_ _) —_ __ SWR
BUILDING - ^ - - Tenant/Owner . ► C � w���` �' W 1 ELC —
Footing ELC
I-oundation Access:
Fig Drain - ELR ---- -_._- ��-
Crawl Drain
Slab Inspection !Votes: i SIT
Post& Beam --_ _- _---_—__--
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - --- - ----- -- —. - -t---
Insuiation
Drywall Nailing - - - - - -- -----.�..- - ——
Firewall
Fire Sprinkler - - -- - - -- -- `-------
Fire Alarm
Susp'd Ceiling - - -- --- - -- / - ----
Roof
Other--- - ——
Final
PASS PART FAIL
--
PLUMBIN_G
Post& Beam —
Unoer Slab
Water Service ---- ------- -- J --
Saoitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain -- ------- —"
Shower Pan
Other -- - --
Final
PASS PARI' FAIL - --
MECHANICAL --
Post& Beam
Ro ;h-In - - - ---
las Line
Smoke Dampers ---- - ---- - - `
1S�PART FAIL F
'ELECTRICAL
Service --- ----__--.. ----
Rough-In
UG/Slab
Low Voltage
l=ire Alarm
Final PART FAIL Reinspection fee of$___ —_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASSSITE LJ Please call for reinspection RE. -- Unable to inspect-no access
Fire Supply Line —, 1
Approach/Sidewalk (Date `�1 d Z- Inspector '_�.!�` J" Ext S --
Other
Final DO NOT REMOVE this inspection record from the job site.
L PASS PART FAIL
CITY OF rIGARD 24-Hour
BUILD 4G Inspection Lire: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
F?ecaived ------ Date Requested- `_�/7- AM PM _ BUP _
Locationqr� Suite MEC ----
1��� -
Contact Person ���_- Ph(_ ) __._ � .�� PLM _
Contractor ------ Ph- -- �_— Ph( �) SWR ---- --- -----
BUILDING Tenant/Owner vL � '\ _�- l �•�� " �-S ELC
Footing EL(;
Foundation ------._- _. -
Ftg Drain Access:
ELR
Crawl Drain
-- - ---
Slab Inspection Notes: �.r-- - SIT
Post& Beam _-_-.-
Shear Anchors ---
Ext Sheath/Shear
Int Sheath/Shear �-
Fa
Insulation ----�-'"_--""'.- - _ S j;,�
Drywall Nailing ----- ---- -- t'
Firewall 7
Fire Sprinkler
Fire Alarm /� L L.
Susp'd Ceiling --- -`--`�--- 5 G _ l/rr2_.1CfA
Roof
Other• _ ---------- ----- - _�-�.
SS PART FAIL ---- - v— --- /'�
BING --- -- 1!L ��+- lL
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Crains - - -_-_-- -- --
Catch Basin/Manhole
Storm Drain - - - --- -- --
Shower Pan
Other: - - _-----r- --- -
Final - --
PASS PART FAIL - -�-
MECHANICAL
Post& Beam ---
Rough-In - - _ --- —�-IL---
---- ------
Gas Line
Smoke Dampers - -- _- ^-- --
Final
PASS PART FAIL
ELECTRICAL
Service - ----
Rough-In
UG/Slab - -------
Low Voltage
Fire Alarm
Final Reln
PASS PART FAIL spection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd.
SITE [-1 Please call for reinspection RE: _ �..— Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date � � - ��� Inspector � �/ ` t- /�?- �� Ext
Other:
Final ®O NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF T6%.AAr4D 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 ,,MMS;;T-- _
Received _ Date Requested AM-_ -__ __ PM BUP
i
Location MEC
--
Contact Person __ -__ Ph(.—) PLM {
Contractor Ph ) SWR _ f
Tenant/Owner
BUILDING ��/�>J�i` G� %..'�'(. j/`�y! G S ELC _--_—
Footing T ELC
Foundation ACCESS:
Ftg Drain ELR
Crawl Dram _- - ---
Slab Inspection Notes: r SIT
Post& Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkled
Fire Alarm
Susp'd Ceilingnoof
'n
ASS• PART FAIL -
PL BING
Post& Beam
Under Slab
------------- —
Rough-In -- ---.-_.-.-_-------
Water Service -_ --- --
Sanitary Sewer
Rain Drains - - - -—
Catch Basin/Manhole c
Storm Drain - - - -
Shower Pan j
Other: --
Final
ASS PART FAIL
-- _
MECHANICAL �r
Post& Beam
Rcugh-In
Gas Line
Smoke Dampers --- ---_ —
Final
PASS PART FAIL - - -- -- - -----
ELECTRICAL
Service - _ - - - - - -- - ---
Rough-In
UG/Slab
Low Voltage
Fire Alarm
final Reinspection lee 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-no access
Fire Supply Line `
ADA
Approach/Sidewalk. hate - I -`�i d Z Inspector Ext - --
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PANT FAIL
CITY OF TIGARD 24-Hour
BUILnING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Receive.: - _ _ Date Re nested____ _�S — AM- PM— BUP
Location --_.. 7 _'L U-A�,��LZ�+tJ __—Suite � MEC
Contact Person Ph( ) _C;�3,j" c2- c PLM _
Contractor_.— r t - Ph( ) --/ 60 SWR —
BUILDINGS Tenant/Owner ELC
Footing - —
Foundation ELC —
Access- —
Fig Drain ELR
Crawl Drain _ -- --- —
Slab Inspection Notes: SIT __—
Post& Beam — — v—
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear - _ — ----—
Framing -- — - ---- - -
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler _`l—.11,� --_ --- --------- --- --- - —-----_—
Fire Alarm
Susp'd Ceiling ----- -- --- - -- -- -- _
Roof
Other:
Final —
PASS_ PART FAIL ------ -— — --- ----- ....` ---- -----
_PL_UMBINR � _
Post 8 Beam -- --
Under Slab
Rough-In
Water Service — -_-- _
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain _ -- -- -- - --- -.
Shower Pan
Other: - - - --- - - - -
Final -- ---- - _
PASS_ PART FAIL _ -
MECHANICAL-
----- -- - -- —_ - -
Post& Beam
Rough-In -_-
Gas Line - ------- - --
Smoke Dampets -
Final
PASS PART FAIL - - ----- --- - ___— _—
ELECTRICAL _
Service --- - - --- -
Rough-In
UG/Slab --- --- ----- ------ -- -—— —
Low Voltage
Fire Alarm
PART FAIL I Reinspection fee of$ - ___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE I Please call for reinspection RE - -- � Unable to inspect -no access
Fire Supply Line
ADA )ateApproach/Sidewalk ects -f Insp
Ext
Other:— - — -
Final DO NOT REMOVE this Inspection record ffern the Job sRe.
PASS PART FAIL
R
i
CITY OF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERIL IT#: BUP2002-00101
13125 SW Halt Blvd.,Tigard, OR 97223 (503)639.4171 DATE ISSUED: 3/20/2.002
PARCEL: 2S 103AC-00103
ZONING: I-P
JURISDICTION: TIG
SI1 E ADDRESS: 07236 SW DURHAM RD BLDG N-800
SUBDIVISION: COUNCIL ViEW ACRES
BLOCK: LOT:
CLASS OF WORK: ALT _----
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 27
TENANT NAME: it RIGHTON ELECTPONICS
REMARKS: Enlarge breakroom,demo wall and convert 350 square feet of warehouse to office
Owner:
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 972'?4
Phone:
Contractor:
1-1 1. GREEN, HL CO Irl(;
1550 SW SEQUOIA BLVD
STE '300
TIGARD, OR 97224
Phone: 624-7717
Reg#: LIC 41328
"This CertificaVe issued 4/17/211112 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State 0 Oregon Specialty Codes for the group, occupa cy,^and use Under which the
referenced perp t was issued. /
BUILDING INSPECTOR RILDING O FICIA _
POST IN CONSPICUOUS PLACE
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: F_LC2002-00118
DEVELOPMENT SERVICES DATE ISSUED: 3/20/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 539-4171 PARCEL: '2")103AC-00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-800
SUBDIVISION? COUNCIL VIEW ACRES ZONING: I-P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of (3) branch circuits for tenant improvement. ,lob No. 9901
RESIDENTIAL UNIT _TEMP SRVC/FEEDERS MISCELLANEOUS_
1000 SF OR LESS` 0 - 200 amp: PUMP"IRRIGATION:
EACH AOD'L 500--F: 201 - 400 amp: SIGN/CUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 vults: MINOR LABEL (10):
SERVICEIFEEDER BRANCH CIRCUITS
ADQ'L INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amn: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 111. IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
-� 1000+ amp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: $VC/FDR >= 225 AMPS: CLASS ARLA/SPEC OCC: J
Owner: Contractor:
PACIFIC REALTY BACHOFNER ELECTRIC INC
'15350 SW SEQUOIA PKWY #300 55 SE MAIN
PORTLAND, OR 97224 FORTIAND, OR 9-72 14
Phone: 503-624-6300 Phone: 233-2006
Reg #: LIC 44569
SUP 2808S
ELE 26-4510
FEES Required Inspections
Type By Date Amount Receipt Rr,ugh-in
PRMT CTR 3/20/02 — $60.15 2.720020000; rlect'I Final
5PCT CTR 3/20/02 $4.82 27200200001
Total $64.97
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 d,ne 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 952-001-0080. Y may-Main copes of th9se rules or dirud quEstions to
Pormit Signature: 1 / 1 f ' - f - is tied B%: Y�
OWNER !NSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, leas(, or rent.
OWNER'S SIGNATURE: _ _. _ DATE: —
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELr-'N: .�-� �r�l�l � ` L4 « ' —� DATE:_--
LICENSE NO:
Call 639-4175 by 7:00pni for an inspection the next business day
-oo1a
.Electrical Permit Application
r•,y Date received: Iq 0�' Permit no.:
City of 'f igard" �L-�{j � � D Project/app[.no.: Expire doe:
Cirt,o1 Trgm-1 Address: 13125 SW Hall Blvd,Tigard,OR 97 bate issued:
Pttcxse: (503) 639-4171 ,� Receipt no.:
`---
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
U I A 2.family dwelling or ecce-mory U C(mimemial/industrial U Multi-famil,, U Tenant improvement
U Nc.w cuMniction U AdditioW&I(•xation/teplacerttent ❑Other. U Partia;
Job adclrrss: ] , DUREjF1M - Bldg.tto:_ Suitr n :.o. Tax map/tax lottaccount no.:`
Lex: Block: Subdivision: o
Ptojoct name: BRIGEUMN. E f iF�i 6N—la -pttion and location of work(m prrmises: T.1 ut?M()D :I. —-
Fatimatel date of caln .Ii(xt! oa
Job Iso: A 9 01 FeeMai
Business notice: Bachofner Electric,Inc Qly- �) Tom .o
-- - - rues tdradLt-.f�tr.r..rtt-ta.ii t
Address: 55_SE Main St.
t-ity: —0 Poftland State: UR ZIP 97214 _ Snrice[ar�id
Mom ^503-233 2006 Fax: 233-2963 E-mail:
100()sq. of less -- —I !—
Ead111"11«ral 5110 q.tL«gonion dWWf
44569 Elec.bus.liz.no: 26-45IC umitedemgy,residential 2
(pity/fnetro 0C.n0.: . fL_-- — urnitedexpergy_rton�esidu11ia1 --_ 2 _
F-mch none facnuM home«modular d-Hing
of riciul(� Oate Scrvi(x and/or feeds 2
sal�a6_ �- tsetr{eea of tcerlera-rrt�dtatlaa.
sap dr,- namowinty W. Bachofner Itia.. 2Q08S alnratlarortelooatiaa
200 amps or kora
Name(print): f'A C l f 1 C )f A LT y 201 amts to 400 ataps _--- -- 2
—), 401 amps to 600 amps
Matting addreaa: I j7rjt � CI/f t IOW — 601 uryx to 1000 stops
City: 1`f I-fJ _ State:Q2 7•IP 4 7� � -- Ova 1000 amts(r vole
Phaoe: , Fag: 1 E-mail' Raa+nnerx or s� 1
Owna•inttallelion:The insufittial is being made on propcity I own
which is not intended fix We,lease,neo[,or exchaW.axonling to
zoo"mor lea
ORS 447,455.479.670,701. 4W --- 2
201 amps b 100 scope 2
Ownes s) ere: Date- 401 to 600!M - --- -2
ermeh Ariake-new,alteaado.,
Orel, . lierNse1:
Nagle: -._-- ,a lee for hroKh circuits with patch- of
_x_lvkx rx foods fire.each Multi"dtcuil- _ 2
Cil — S WG 111' N lee f«hnwll circuits whhtwl para,aw — �q
__��- -- ---- ---�_ - - of aervioc«fader[oe fvrt latndl ciruut: +( 4e 2
I'lfooe: lax E-mail: Eacti additional braec6otrca;t L r!
In 1
Mbc.(Sa�lce err ketltr rM bacfdelr
USc:vk-e0va225WffiP- esarxial k]l'eahh-corefacility lxhPon -oriTigNIUMitck
-�
- 2
Umr
Si(e ova-120 arMs-eaNgt of 1 R2 U Harrdo4a Indtion Tach aiga«outline lighting .!___ 2
family dwelliryh Ll Balichng truer 10,000 swor feet fixe ca Si`nal citceit(s)or a lit.lted rAcW P-1.(r Sy tern over 600 vnlat rroraisal conte n%L& 6al v-ta in om ttrudmir attention,or examsic*0 -- 2
U Ruiltling over"Ire oxies U IYrrlrts.400 am1r ,more •Des<xi 'x1 - —--
U(x"pra load(liver 99 pen(rrn U Mararfa(-tured arr'�, 's r►R V Intl; Heir toldill"ol Yrpeeilm owr tie allowable In my of[lar abom
L)1*reuAi inpptal -
� ❑Olhr•p -- -. . -_ - - hamsp•rticrn - ------ �__�_-�
arts of plans wft>,try of dw.rote. Invcs�alinn
---
ille nbote.rr NI appy:otic to wpor.ry eeraRrrilos aetrtice• Otho
lea,e}alasceera amep crest ore[-t�ort lrtasrris W-*;; trraiamtlort Notice:This permit application Permit fee.....................
U VM U Mastercard expires if a pe miit is not obtalned Plan review(at _ %) $
Gln ki cad mr8er ! L... within ISO days after it has been State surcharge(8%) ....$ A.82- _----
t accepted as aprrlplete. 'f(n All .......................S
f
--.—.— -�• —_ - _^Amri�r--- 44n 46111F.WCOat1
Electrical Permit Fees: Limited Energy Fees:
— --` - TYPE OF WORK INVOLVED -RESIDEN,IAL ONU
Complete Fee Schedule Below: RestricWd Energy Fw_._._._................_.. . . ` :75.00
Numtser of Ins
poctkxA per permit a WWW (FUR ALL SYSTEMS)
Service Included: Items Cost Total C tmck Typo of worts Irwoh ed:
R�al-psr unit
1000 sq.R or bxs 1145.15 r 4 ❑ Audio and Stereo Systems
Each addlkrW 500 sq.f<or
parfwt wwoor $33.40 -- 1 U B rgim Ahum
UmWJ Eivn'y $76.00_ __--
Esdi Mom"!tam or Modular GaraW torr Upener•
D#m&V ServIce or Feeder _ $90.90— — 2
Servtoes or Feedo"A ❑ V-iatint: Ventilation arM Air CondMordn0 System"
kutala/om aitrxarks c,or reWcelkxt
200 amps tr ten __ =60.30 2 Vacuum Systems'
201 Imps b 400 snVe _ $106.65--- 2
401 amps to 600 wWs $160.60 2
601 amps Mu 1000 nope ~� $240.60 2 7 -- — --Over 1000 antes or va6s $454.65 i 2
ocrtrt
Reect utff $66.65�— 2
_.
Ts:rtpauMry Services or Feeders TYPE OF WORK INVtIt VED -COMMERCIAL ONLY
katalatlurt Ser vicek4L nr nie edor Fee for each system.........................._......_..................._ $75.00
20,amps or k" _ $60.65 2 (SEE OAR 918 2t�0.289)
201 amps b 400 sn fA $100.30 r 2
k"i Anes b 600 amps $133.75 2 r tndc Type d Work Involved:
Ovor600 antes to 1000 vrds,
see"tf above. Audq and Stt^eo Systems
❑
klrsndr Ckcu s ❑ "er Controls
New,skkxadon or extension per parte)
a)The be for branrh ckcu b ❑
ssfdo purchase of serMw or cock Systems
feeder fee.
Fedi branch ck-uk $6.E5--1-- 2 ❑ Data TelomrnmuNcation irrstaflation
b)The lee for brwxh drain
wWKWApfffV vete tarswvics r i Fire Alan InstaUaWn
or feeder fee- di
Firrte/
First brw*ft dead �( $46.65 1=�/ ❑ M/AC
E:dt addtkxml boa dt stil rte- 16.65
Mtsrtlsneols E} InsInm.xftVon
(Service or leader riot kv*XW)
Wt pwV or k%;sfion ckcia i53.4U ❑ InWrrxn mid f s&V System
IFrit van or ocisrte 1109% —-- $53.10^_�^
131"drpd(s)or a irrlitad srWW Lard»Irripatkxt Control'
peniK aasratkon or*)Awwkm $75.00 --+ EJ
Mrf"!.shako(10) —__ $125.00~ ❑
Eerft a!k 9 ional ktapedkon over Medical
tlw saovtrable In arty ar the above ❑ Nurse Cass
Per Inspection -._--.-- %62.50 (�
Per hour $61.50 v" ❑
In Man! $13.75 _. (rrtdoot Landscape(AP&tp'
AeeS: Prowdlve SgVnal tg
Entex bofal of above lees f_lL`1_.. Cl other
6%state Surctwpa $-- < - Number of Systems
25%Plan Review Fee No Monoses we rerrrimd tkvrner are regrirad for el aster inSWAa&x-
$Ao'Pian R@v%W wcdon on $ ---
hon)d W*abonFee.,:
Total
Total Bclance Due =
Enter tow of above teen %--_--
❑ Tnust Acodsnt 1 ti%State Surdsar9e % —
�— Total Balance Due $-
i Acukro"MI.Cle-rees rine 10AWloo
CITYOF TIGARID MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00124
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/1/02
PARCEL: 2S103AC-00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-500
SUBDIVISION- COUNCIL VIEW ACRES ZONING: I-P
BLOCK: LOT: JURISDIC110N: TIG
CLASS OF WORK: ALT FLOOR BURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANZ:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSrEfi4S:
STORIES: _ BOILERS/COMPRESSORS HOODS:
FUEL TYPES_ 0 - 3 HP: DOMES. INCIN-
! PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITSOTHER UNITS:
FURN —100K BTU: <- 10000 cfm:
GAS OUTLETS:
10000 cfm: 1
Remarks: Tenant Improvement - roof top unit less than 10 feet of gas line
Owner: _ FEES
PACTRUST Type By Date Amount Receipt
PRMT CTR 4/1/02 $72.56 2720020000
5PCT CTR 4/1/02 $5.80 2720020000
Total $78.30
Phone: _ _ --
Contractor:
PRECISION AIR
19840 S REDHOUSE RD
MOLALLA, OR 97038 REQUIRED INSPECTIONS
Gas Line Insp
Phone:829-2400 Mechanical Insp
Reg #:LIC 138730 Duct Inspection
Final Inspection
1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. Ail work will be done in accordance with approved
plans. This permit will expire if work is not started within '180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
lJtility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080 You may obtain copies of these rules or direct questir'.jg OUNCP7x.alling,
Issue :B Permittee Signature:
Y � � - --
Call (5 3) 639-4175 by 7:00 P.M. for inspections needed th6aYert business day
Mechanical Permit Application 11
pate received: - -b Pe.4 �Jr,6e_�j 5(
Ai City of Tigard Project/appl.no.: Expire date:
CbyofTigard Addrene: 13125 SW Hall Blvd,Tigard,OR 97223 pale issued: By: Receipino.: -
Phone: (503) 639-4171
Fax: (503) 5913-1960 Case file no.: Payment type:
Land use approval: _----_-----__--_ --_ Building permit no.: L v U ? D w
U 1 &2 family dwelling or accessory Commercial/industrial U Multi-family U Tensa!i-.inovc.m.Pnt
J New construction U Addition/alterition/replacemenl U Usher:
306,S111 I-E INOORMATION 0111 NI FRCI All, VA 11,111 A I I ON SUII L
L.h addlt-".ti: i v A '1M IC-J U Indicate equipment quantities in boxes hotels. ndlcatc the doll;a
lildg.no. _ Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/lax lot/account no,: profit. Value$ 370W -_ _- .
t.ot: Block: Subdivision: *See checklist for important application inFormation and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP:
Description and location of work on premises:
Iree(co.) ToW
Est.date of completion/inspection: Description Qt . Res.only Res.2U1
'T'enant improvement or change of use: t
Is existing space heated or conditioned'?U Yes U No Air handling unit Ct�M -w 1�
Air conditioning(site plan required)
60Is existing space insulated"U Yes U No teration Re xisting system_
Boiler/compressors —
Business name: State boiler permit no.:
HP Tons BTU/14
Address: -C 9A,)/& LI3/: it smo c Dampers/duct smo a delieclors
City: O C (,L. State: p,Q ZIP: X0,3 cat pump(site plan require )
nsta re acefurnace iurner._
Phone: �'�9 - yUv Fax: - 2v E-mail: P
Including ductwork/vent liper l8�es U No �X _
CCB no.: f i S' ?3p nstallreplac re ocate caters-"Suspended.
City/metro lic.no.: wall,or floor mounted
Name(please print): / entent four u lianceof eA r Irian furnace%C11'PERSON -
r gerat on:
Absorprion itnits _ BTU/H
Name: 08(1 a Chillers HP
Address: Compressors - — HI
- - -- ---- - -- ;nv ronmrnta ex aunt an vent at on:
City: Slate: ZIP: Appliancavent
Phone: Fax E-mail: ryerexhadst
0o s, ypel/Il/res.kitchenthazmal
hood file suppression system
Exhaust far.with single duct(bath fans)
Mailing address: Exhausts stem a art from heatino or AC
— -- -- A-FueTp-lpingFuel
piping an att ut (up to outlets)
City: Type: LPGNG Oil
Phone I ax I: mail each additional over 4 outlets
Process piping(sc temaucrequired) —
Nanic: Number of outlets
- -------------. - -- - -- tersl ar p free or equipment:-^
Address: _ Decorative fireplace
-- -- -
City: late: ZIT': nscrt-type- -- _ - -- ---
Phone: _ -- )- mail: - t stov pe let stove - —
Ottem r
Applicant's signature:��
Name(print): _---
Na all judslictions accept cttxlit cards,please call jurisdiction for roam infunnation Permit fee.... ................$ yT t.5
U Visa ❑MasterCard Notice Viis permit application Minimum fee................$
expires if a, -mit is not obtained
Credi and number: Pi
Plan review(at ___ %) $ __Y
piwithin IRO dad :flet it has been
Name of cardhoi t as shown on cmdit cud-- accepted as compState surcharge(8°i)....$ _S
TOTAL ............... .......$
$ - _
Cardholder signature --- Amou.i
—. 440-461'1(fvtX1K'()Ati
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 fee$72.50 Table 1A Mechanical Code_ Qty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$3,000.00 and 1) Furnace to 100,000 BTU -
$1.52 for each additional$100.00 or I Including ducts&vents _ 1400
fraction thereof,to and Including 2) Furnace 100,000 BTU+
_ $10,000.00, including ducts&vents 1740
$10,001.00 to$25,000.00 $148.50 for he 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 1400
$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 5) 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 rump Cond
fraction thereof. footnotes below. Comp ••
-- 7)<3HP;absorb unit
Minimum Permit Fee$72.50 SUBTOTAL: l 100K BTU ta.00
8%State Surcharge $ 8)3-15 HP;absorb
unit 100k to 500k BTU 25.6O _
25%Plan Review Fee(of subtotal) $ 9)15-36 HP;absorb
_Ree uired 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
1)>50HP;absorb
--
unit>1.75 roil BTU 1 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM
Value Total 13)Air handling unit 10,000 CFM+
Description: Ol Ea Amount 17.20 _
Fumace to 100,000 BTU,Including 955 14)Nnn-portable evaporate cooler
ducts&vents 10.00
Furnace> 100,000 BTU including 1.170 1 5)Vent tan connectr t to a single duct
ducts&vents 6.80
Floor furnace including vent 955 1 --
Suspended heater,wall heater or 955 - ti)Ventilation system not Included In
floor mounted heater _ate lip ance Permit _ 1000
Vent not included in applicance 445 17)Hood served by mechanical exhaust
10 00
permit 18)Domestic incinerators
Repair units 805 1740 _
<3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator
to 100k BTU
69.95
3-15 hp;absorb.unit, 1,700
101k to 500k BTU 20)Other units,including wood stoves
10,00
15-30 hp;absorb.unit,501k to 1 2,310
mil.BTU 21)Gas piping one to tour outlets
--- 5.4(1
30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1-1.75 mil.BTU 1 00
>50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL:
>1.75 mil.BTU
Air handling unit to 10,000 cfm 656 -
Alr handling unit>10,000 cfm _ 1,170 8%State Surcharge $
Non-portable evaporate cooler 656 --
Vent fan connected to a single duct 446 TOTAL RESIDENTIAL PERMIT FEE: s
Vent system not Included In 656 _
appliancepermit _
Hood served by mechanical exhaust636 Other Inspections and Fees:
Domestic incinerator 170 1 Inspections outside of ncrmal business hours(minimum charge-two hours)
$52.50 per hour
Commercial or industrial incinerator 4,590
_ 2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
Other unit,Including wood stoves, t?56 $62.50 per hour
Inserts etc. _ --I 3 Additional plan review required by changes,additions nr revisions to plans(minimum
Gas piping 1-4 outlets 31;0 l+ charge-one-half hour)$62.50 per hour
Each additional outlet -- 63 1
- --" 1 'State Contrach•RnOar Certification required for units>200k BTU-
TOTAL CUM_ME RCIi\L $ -Residential 1,1C require%site plan showing placement of unit.
VALUATION: All New Commercial Buildings require 2 seta of plans
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BLIDG. N (PTR 4187)
7238 SW DURIJAM RD. #800
PORT11lNU,OR 97224 ►41�' • y'
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2/28/02
A P%9ShWT
EXHIBIT C
\IITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES DATE IS UIED: 12 102002-001172
2002 00117
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 2S103AC 00103
SITE ADDRESS: 07236 SW DURHAM RD BLDG N-800
SU9DIVISION: COUNCIL_ VIEW ACREo ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. FPS FIRS) :� sf N: � S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S E: _ W:
OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
93SMT?: MEZZ?- _ REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 500.00
Remarks: Tenant Improvement - installation of 4 sprinkler heads
Owner: Contractor:
hA(;TRUS1 FIREST OP CO
9384 Sb"! TIGARD ST
TIGARD, OR 97223
Phone: Phone: 620-6140
Reg #: i-ic 63846
FEES _ REQUIRED INSPECTIONS _
Type By Date Amount Receipt Sprinkler Rough-In
PRMT CTR 4/2/02 $62.50 27200200000 Final Inspection
5PCT CTR 4/2/02 $5.00 27200200000
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all c,ther applicable law. All work will he 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 through OAR 952--001-1987 You may obtain a copy of these rules or direct questions to OUNC by
caiiing (503)246-6699 or 1-800-332-2344.
Permittee
Signature: 01
C L Cl (_'� —
i
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next br•siness day
i
Building Permit Application
CityDate received:
ty of Tigard , �0�- Pennitl'�hc -Ocv'17
Address: 13125 SW Hall Blvd.Tigard,OR 97223 Pro,lect/appl.no.: Expiredate:
Cirvr l it�,uri
Phone: (503) 639-4171 Date issued: By: I Receipt no.:
Fax: (50a) 598-1960 Case file no.: Payment type:
Land use approval: .__ 1&2 family:simple Complex:
TYPE 1
U I &2 family dwelling or accessory Commercial/industrial U Multi-fancily U New construction U Demolition
U Addition/alteration/replacement I6d't'cnant improvement U Fire sprinkler/alarm U Other: —
JOB SITE 1
Job address: ,W Bldg.no.: Suite no.:
Lot: I_Block: Subdivision: Tax map/tax louaccount no.:
Project name: eW11WTCW f6r O/V/CS
Description and location of work on premises/special conditions:
Name: {'' ( septic
Mailing address: - I &2 family dwelling:
City: �ja/� State: ZIP: Valuation of work........................................
Phone: -Z 4 > Fax: E-mail: - No.of bedrooms/haths................................. -
Owner',, representative: I Total number of floors................................. - -
Phone: Fax: E-mail: New dwelling area(sq. ft.) ..........................
Garaye/carport area(sq.ft.).........................
Name: Covered porch area(sq. ft.) .........................
Mailing address: G"S—Gt� - / �'1ZQ Dcck arca(sq. ft.) ........................................
_ b Stale.e9 ZIP Other structure arca(sq. fl.).........................
City: _
Phone: 14 0 117aX: 7,t7 E-mail Commerelal/industriai/multi-Tamil)•: r and
Valuation of work........................................ $ 5a�
Business name: Existing bldg.area(sq.ft.) ..........................
New bldg.area(sq.ft.)
tJ. � ...............................
Address:
City: Q St;►te: /Q ZIP: ZZ Number of stories........................................
-- Type of construction
Phone: 6W-040 U Fax:W (� E-snail: ......... —
CCB no.: �� �, -- Occupancy group(s): Existing: �-
_ _ New:
City cetltr ic.no.: c Notice:All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board under
Name: _e, ,L/ S provisions of ORS 701 and may l ,required to he licensed in the
Address: C 3Sp w jurisdl�tiun where work is being performed. If the applicant is
City: Q State: ZIP: exempt from licensing,the following reason applies:
Contact person: _ Plan no.: --
1'hont - Fax: E-mail: —
Name: Contact person: Fees due upon:application ........................... $
Address: Date received: —
City: IStal Amount received .................................... .... $—.--,.._--
Phone Fax: �: snail: Please refer to fee schedule,
hereby certify I have read and exam' ed this application and the Not all judsdicticns rrcept credit card,.,please call;arisdictio n for more inforruation
attached checklist. All provisions I s and ordinances governing this UVisa U MasterCard
work will be complied ith,whether ifieJ herein or not credit rand^amhet
Expires
Authorized signat ti+- )ale: / Z Nnnx of cardholder as shown on credit card
Print name:_— 8/ZGI /f'nSoN -- — -- s
_ Cardholder sianarwe Amoum
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4611(Noor OW
i
Fire Protection Permit Check List
l
-A—.) U New_ ❑Addition ❑ , Iteration^ ❑ Repair —
B.) Modification to sprinkler heads onl;,:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:_____-___._______
Additional description of work:
Type of System Complete A, B or C as applicable
A. S rinkler Wet ❑ Dry ❑
Standpipes -
Additional Hazard Group_
Irforrnation Densis I -
Desi n Area _— -- - - --- —K. Factor _
Sprinkler Project Valuation: $_
_B.)__Type I - Hood Fire_Suppression_S stem -
Hood Project Valuation $
C.)_Fire Alarm ---
Submittal shall Battery Calculations _ Yes ❑
Include: Individual Component Yes ❑
Cut Sheets _
- Fire Alarm Pro ect Valuation_-]$
Pro ect Valuation Subtotal A, B & C): $
-
Permit fee based on valuation see chart): $ (o,Z So _-
- _ 8% State Surcharge: $_ S.C)C) _ -
FLS Plan Review 40% of Permit: $
TOTAL: ----
Plan review requites a completed application and 3 sets of pians at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
iAdsts\forms\FPScht^.klist doc 11/211(11
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 6394171
Footing Rein Drain Cover/Service IA
NAL
Water line Ceiling Plumb,
Fost/Beam Mach. Shaar/Sheath Framing -M- 1.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct. Mach. Rouch-in Gyp. Bd. 1--5;;;-)
San. Sewer Gas Line Appr/Sdwlk Rens.
Other:
Date: _�� // 9(� A.M. _-P.M. e Entry:
Address: .7L-?( S�✓ Qv�.1��
Tenant:(� ��3 S!-00'0- MST: .
Con/Own: - BLIP- -
-- _ MEC: _
PLM
THE FOLLOWINa C ELC.
""0175- AE-;1EQUIRED: ELR:
Inspector: — - - - ---- Date/-04&A�
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639.4175 Business Phone. 639-4171
Footing
Rain Drain Cover/Service FINAL
Founda!ion
Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing
-Mach.
plby.Und/Flr/Slab Plbg.Top Out
Insulation le
Post/Beam Struct. Mech. Rough-in Gvp Bd. -Bldg.
San. Sewer
Gas Line ` Appr/Sdwlk Reins It
�
Other: —
0 A M _P.M. Entry:
Date: 1J
Address: Ile-
Tenant: Ste:_ ?0(_)MST
-- — --- - BUP
p GjZ_ - MEC: -- --
Con/Own: -- _ — PLM:
ELC:C?4-
THE FC LLOWING CORRECTIONS ARE RFOUIRED ELR:
i�
C Date: 4b
In pector, 1 __—t -
PPROVED -DISAPPROVED/CALL FOR REINSP. CF CO
r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line CeilingPlumb
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: Z— �1(. G"A.M. / P.M _ Entry:
Address: _ (�—rXd� 1s ) �-�
Tenant: Ste744 MST
BUP:
Con/Own: MEC-
2. ELM:
THE FOLLOWING CORRECTIONS ARE REQUIRED- ELR:
In actor: -- - --- Date: 1 ��,
ROVED -__-DISAPPROVED/CALL FOR REINSP. CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Bt:siness Phone: 639-4171
Footing Rain Drain Cover/Service F NAI
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech Shear/Sheath Framing -Meeh
Plbg Und/Fir/Slab Plbg. Top Otit Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.NA. P.M._--Entry:
A.Jdress: ._
T-T-
Tenant:_ el" ..�_Gs,,,? Ste1ST:
Con/Cwn — - - --- ---- BUP:
MEC:
PLM pr R
ELC r6•r �-._
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
Of
ca-Ti
Inspector: ` Date• ,
CO
APPROVED —DISAPPROVErNCALL FOR REINSR CF
i
t
f
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639.4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling (�Q�
Post/Beam Mech, Shear/Sheath Framing -Mech
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
PoSUBeam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
I� San. Sewer Gas Line Appr;Sdwlk Reins.
li
Other: _Date: A.-L-_d I_ - A.M.�!irP.M. Entry._ � —
Tenant: - — -- - _ Ste o-')MST
_ BUP: ._�..._
Con/Own _ _Y_� ?.'-- MEC
PLM
�f _
EI.0
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
Inspector s J% --- -- -- Date t'
CF O
( (
�_ ROVED _ bISAPPROVED/CDISAPPROVED/CALLFOR REINSP
N
CITY OF TIGARD BUILDING INSPECTION NOTICE
nspection Line: 639-4175 Business Phone: 639-4171
FlbgUnd/F1'r/Slab
Rain Drain Cover/Service FV1 .
Water Line Ceiling -Plumb.
Mech. Shear/Sheath Framing Meeh.
Plbg.Top Out Insulation Elect.
Struct. Mech. Rough in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ------
Date: �0 A.M._P.M. Entry: ----
Z
Address: -
Tenant:rn -a_ „rte Ste:.��MST: _ --
q ' r BLIP
Con/Own:_- _1�1- MEG7-
PLM - --
ELC —
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
I
Inspector: —_ - Drc
C.,�ROVED __DISAPPROVED/CALL FOR REINSP. CF CO
— CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Meeh.
Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other — - -- -- —
Date: M. P.M. Entry:
Address: �7 2 <,, -
Tenant: Ste:�(X-�MST: _
_ BLIP: -- 7
Con/Own _ —__-_ MEC:
PLM: --
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED ELPI l
(�
i
Inspector:Z� i Date:
APPROVED —_ DISAPPROVED/CALL FOR REINSP1 CO