7272 SW DURHAM ROAD STE 100 ULJM
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7272 SW Durham RD #100
CITYOF T I GA R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2003-00143
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/25/03
PARCEL: 2 S 113AC-00102-
ZONING: I-P
JUPISDICTION: TIG
SITE ADDRESS: 07272 SW DURHAM RD BLDG I-100
SUBDIVISION: COUNCIL VIEW ACRES NO 2
BLOCK: LOT:025
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 11
TENANT NAME: F„ARTH PROTECTION SERVICES
REMARKS: Commercial tenant improvement
Owner:
PACIFIC REALTY ASSOCIATES
;53550 SW SEQUOIA PKWY 11300-WMI
PORTLAND, OR 97224
Phone: 236-6306
Contractor: 624-7717
H L GREEN
15350 SW SEQUOIA BLVD
STE 300
TI K&:O R j(7?t�L��(
6,'•1-7717
Reg #: C40-95564 R3' M I)Y)
,10-8831 (DW161II-)
This Certificate issued 5/22/01 grants occupancy of the above referenced
building or portion thereof and confirms that the building has been inspected for
compliance with the State c#f nregon Specialty Codes for the group, occupancy,
and use lidler which Xh4( rqfqfenced permit wa (Zed.
BUIL DING INSPECTOR BUIL IN )O FI AL
POST IN CONSPI(;000S PLACE
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP .... —
C
Received Date Requested p� AM------- PM--- BLIP -___._._
Location --- -�__� 7 a_ Suite--J-= /0�----- MEC — —�
Contact Person .--_ �, �— Ph(_�.—) --_— PLM _j "� 1 ,3 U_
ContractorSWR
BUILDING Tenant/Ownei _.-. —_ �___—__ —____ _ ELC —
--_-___ ..-------------
Footing ELC
Foundation Access:
Fig Drain ELR _—
Crawl Drain
Slah Inspection Notes: SIT --_-_
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - - - - --- - --
Insulation
Drywall Nailing - - - ---- --� -
Firewall
Fire Sprinkler ----- - --- -. _-- - __-- -
Fire Alarm
Ssup'd Ceiling ------
Roof
Other: — — —
Final -__---.._---
PASS PART FAIL
--- —
U�
Post& Beam
Under Slab — - -
Rough-In
Water Service -
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain - --
Shower Pan
I nibs
S PARI FAIL
_MECHANICAL -
Post& Beam
Pough-In
Gas Line
Smoke Dampers
Final
PASS PART _FAIL -
ELECTRICAL
Service
Rough-In -.
UG/Slab
Low Voltage
Fire Alarm
Final I Reinspection fee of$ ___required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE f Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line ,n
ADA Daae _ Inspodor_L -- - ----E-
Approach/Sidewalk -
Other:
Final DO NOT (REMOVE this inspection record from the job Mite.
LPASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING inspection Ling: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 h9�T
BOP —
Received —__—Date guested L r AM--_-_ PM_ SUP
Location
`� a t . .a� _—_Suite / 4 C� MEC 3 —
_ _
Contact Person ----_--- _;_( m Ph(—) - ' V�' PLM
Contractor - _— __-_-- Ph(____ ) _ __—__ SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: --
Ftg Drain ELR
Crawl Drain Y —
Slab Inspection Notes SIT
Post&Beam
Shear Ancfhnrs
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
Post& Beam --
U-Jer Slab ---_-.�-----.-_
Rough-In
Water Service —-— -- ---
Sanitary Sewer
Rain Drains -
Catch Basin/Manholc
Storm Drain - --- - --- - —
Shower Pan
Other: ---
Final
PASS T FAIL —- - - ---- - —
HAM
Rough-In
Gas Line
Smoke Dampers
Fina
AS ) PART FAIL
E L
W-TRICAL
Service - - - —
Rough-In
UG/Slab ------
LowVoltage _ _____---- ---.— -- ----------- ----- ---_—._..__.__.—
Fire Alarm
Final 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-no access
Fire Supply Line
ADA /
Approach/Efdewelk Oats _- � /z / J Inspector ( = Ext
Other: _
Final DO NOT REMOVE this inspention record from the Joky site.
PASS PART FAIL
\y'
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _—______ __._._._____.
BUP
Received __ —Date Requested _ `� - AM-—___ P'M BUP --____ --
Location — ____1_��. —. ) — Suite_�� — MEC
Contact Person -- -___ _ _ Ph( ) v2 �' � PLM
Contractor--- - --...-— Ph( )
--- --- - SWR -_
BUILDING Tenant/Owner - __-- _ - _ __.—_ ELC
Footing ELC _
Foundation
ACC@SS:
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shea.r
Framing - -
Insulation
Drywall Nailing - ---
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling - - -
Roof
Other:
Final
PASS PART FAIL
PLUMBING -- -
Post& Beam
Under Slab ---
Rouyh-In r --
Water Services ---
Sanitary Sewer
Rain Drains — -- —
Catch Basin/Manhole
Storm Drain - - ------- Z.
Shower Pan
Other -
Final
_PASS PART FAIL
MECHANICAL_
Post & Beam
Rough-In
Gas line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
,Service
�Roughdn
UG/Slab
Low Voltage
Fire Alarm ---- - -- - -
I)
L� Reinspection fee of$ —_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
rI) PART FAIL _
SITE Please call for reinspec on RE:-__- _ - - — U Unable to inspect-no access
Fire Supply Line
•^' "� � � ) S'
Approach/Sidewalk Date -- l.. Inspectot_ `�% 3
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF
T I G A R D PLUMBING PERMIT
DEVELOPMENT SERVICESSPERMIT#: PLM2003-00130
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4.16/03
PARCEL: 2 S 113AC-00102
SITE ADDRESS: 07272 SVS/ DURHAM RD BLDG 1-100
SUBDIVISION: COUNCIL_ VIEW ACRES NO. 2 ZONING: I-P
BLOCK: LOT: 025 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MATH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: WAI E"' HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES-
TUB/SHOWERS:
IXTURESTUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Adding 1 lav, 1 kit. sink, 1 water closet, replacing 1 lav and 1 toilet _
FEES
Owner: {
— Description Date Amount
PACIFIC REALTY ASSOCIATES — - - —
15350 SW SEQUOIA PKWY #300-WMI 1111 1 N1111 Permit I.cc 4/7/03 $8300
PORTLAND, OR 97224 l I A\J ` staic fu\ 4/7/03 $6 64
Total_ $89.64
Phone :
Contractor:
DEAN WARREN PLUMBING
3111 SF_ 13TH
PORI-LAND, OR 97202 RFQUIRED INSPECTIONS
Phone : 236-4152 Rough-in Insp
Top-out Insp
Reg#: LIC 172 Final Inspection
PLM 26-83PB
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.
his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 thrOUgh OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By: _ ,! �_ Permitter Signature:` .: ) 2
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
»a�atom
Building Fixtures FOR OFFICE USE ONLY
Plumbing Permit Application ReeeBy: I'lumhing
— Dete/ :� - /- `- NSF, Permit No.: Z —
Planning Approval Sewer
City of Tigard Date/By- Permit No.S 007 _00
13125 SW Ifall Blvd. Plan Review Other
Date.,B : Permit No.:
Tigard,Oregon 97223 Post•Revicw Land Use
�
Phone: 503-639-4171 Fax: 503-598-1960 Date/By: Case No.: O
Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for W
24-hour Inspection Request: 503-639-4175 Name/Method: _� Supplemental Intw-motion.
TYPE OF WORK FEE*SCHEDULE(for special information use checklist)
New construction Demolition Description Qt)' (cc(c°•1 7
New i-&2-famlly dwellings r
Addition/alteration/replacement Other: pndadea loo ft.for eaeh utllit connection
_CATEGORY OF CONSTRUCTION SFR I bath 249.20
1 & 2-Family dwelling Commercial/Industrial SFR 2 bath _ 350.00
Accessory Building _- Multi-Family _ SFR 3 bath 399.00
Master Builder Other: Each additional buth/kitchen 45.00
JOB SITE INFORMATION and LOCATION Firesprinkler-s q. ft.: Pae 2
—� U e /'F Site l)tili les
Job site address: _
Catch basin/arca drain 16.60
Suite#: Bld ./Apt,#: Dr well/leach line/trench drain 16.60
Project Name: &"A ♦tom Footing drain no.linear ft. Pae 2
Cross street/Directions to job site: Z�r`t' �' 1 l Manufactured home utilities _ 110.00
Manholes 16.60
Ram drain connector _ 16.60
Sanitary sewer(no. linear ft.) _ Pae 2
-------- — t Storm sewer no.linear ft. _ Page 2
SubdiVtsion: _ Water service no. linear ft.) Pae 2
Tax map/parcel # Fixture or Item
DESCRIPTION OF WORK__ Absorption valve 10.60
Backflow prevcnter Page 2
Backwater valve 16.60
- Clothes washer
Dishwasher 16.60
Drinking fountain 16.60
PROPERTY OWNFR TENANT E'ectors/sum 16.60
Name: +tet g�ET Ex ansion tank 16.60
Fixture/sewer ca 16.60
Address: iS3 S v� �� a�r� tv Floor drain/floor sink/hub
16.60
City/State/Zip: ,si .(_� FO►e V Garbage dis osal 16.60
Phone: bLY to 30a Fax: GZ -776S— Hose bib I6.60
APPLICAN _ CO_NTACT PERSON ice maker 1 G.GO
Name: Interco tor/ reese trap 16.60
Medical gas-value: S Pae 2
Address: Primer 16.60 _
City/State/Zip: Roof drain commercial 16.60
Phone: Fax: Sink/basinnavatory EZ
- — Tub/shower/showcr an
E-mail: — Urinal
CONTRACTOR —
Water closet Business Name: JD 14 l ,4 N >��/� Water heater �jSubtotal
Address: �/j� ,4� /� � —_ � other:City/State/Ztp: ice trot — (J Other. plumbinPhone: 23�, y� S 2 Fax:Z� �./773
CCB Lic. #: o/ 1 Z Plumb. Lic.#: 26 -93P Minimum Permit Fee$72.50 S
Authnrized � Residential Backflow Minimum Fee$36.25
Signature: - tc:-�-f—� _Plan Review(25%of Permit Fee) $
State Surcharge 8%of Permit Fee $
_-1Z4— TOTAL PERMIT FEE 1 $
(Please print name)
riser Notice: This permit application expires Ifs permit is not obtained within w commercial uildings require 2 sets of plans with Isometrlr or
180 days after It has been accepted ns complete. Fee 111agnm ram f or plan gy met by vie County Building Industry Service hoard.
i:\Dsts\Permit Forms\PlmperrrtitApp.doc 01103
PlumbinE Permit Application - City of Tigard
Page 2 -Supplemental information
Fee Schedule: Residential Firc Su ) )cession SN'Slelns:
Site Utilities Qty. Fee(ca) Total ---
S Square Foota c 1 errnit fcc: �1
— — --- -�— - ----- -__
Footing drain- I" I(N)' 55.00 0 to 2,000 _ S 1 15.00
Footing drain-each additional 100' 46.40 2,001 to 3(r(X) I $160.00
3,601 to 7 200 5220.00
Sewer- Ist 100' 55.00 7,201 and rester $309.00
Sewer-each additional 100' 46.40 —
Water Service- Ist 100' 55.00 _ Medical Vias S stems'
Water Service-each additional 100' 46.40 Valuation: Permit Fee: _
Storm&Rain Drain- Ist 100' 55.00 $1 00 to$5,(X10.00 Minimum lee$72.50
Storm&Rain Drain-each additional 100' 46.40 $5,001 00 to$10,000.00 $72.50 for the first$5,0(X1.00 and$1.52 for each
Fixture or Item Qty. Fee(ea) Totrl additional$100.00 or fraction thereof,to and
including$10,000.00.
Commercial[lack I-low Prevention Device 46.40 a $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 end$1.54 for
Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to
minimum permit fee$36.25 27.55 and includinu$25,000.00.
Rain Drain,single farnily dwelling 65.25 $7.5,(X)1.00 to$50,000.00 $379.50 for the first$25,000.00 and$1 45 for
Inspection of existing plumbing or
each additional$100.(X)or fraction thereof,to
and includin $50,000.00.
specially requested insnections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.(X1 and$1.20 for
Subtotal: each additional$I W.00 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased server fees*.
—uanflt l v1Fliture Work Performed Conllnents regarding fixture work:
Fixture Type: Replace
New Moved E:lathr Capped — --- ---
Ba fist /Font _
Bath -Tub/Shower — -- —�"
-Jacuzzi/Whirlpool — _— -- -- —
Car Wash -Tach Stall
-[hive Thru --- — _ —
Cur idor/Water Aspirator -- --
Dishwasher -Commercial
-Domestic — — ---
Drinking Fountain — -----
E e Wash _
Floor Drain/sink -2" —
3„ ---.4"
Car Wash Drain *Note: If the fixture work under this permit results in an
Garbage -Domestic 1
Disposal -Commercial increase of sewer EDUs,a sewer permit is-ill be issued and
-Industrial _ fees assessed for the sewer increase must be paid before the
Ice Mach./Refri .Drains plutnhing permit can be issued.
Oil Se orator Gas Station
Rec Vehicle Dumr Station
Shower -Gang
-Stall _
Sink -Bar/l.avatory
-Bradley
-Commercial
-Service
Swimming Pool Filter
Washer-Clothes
Water Extractor _
Water Closet-Toilet
Urinal
Other Fixturcs. —
is\Dsts\Petmit Forms\PlmPcrmaAppPg2.doc 01/03
CITYOF TIGARD _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: S 16/03 00117
DATE ISSUED: 4/16/03
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171
PARCEL: 2S 113AC-00102
SITE ADDRESS; 07272 SW DURHAM RD BLDG 1-100
SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: 1-1,
BLOCK: LOT: 025 JURISDICTION: 11(
TENANT NAME: EARTH PROTECTION SERVICE
USA NO: FIXTURE UNITS: 119
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .7 EDU increase. Previous EDU=6.8 for a total of 108.8 fixture values. Addition of 11 fixture values,
for a new total of 119.8 fixture values = 7.5 Current EDUs
Owner: FEES _
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 S\N SEQUOIA PKWY #300-WMI —
PORTLAND, OR 97224 1SWUSA]Swr Connect 4/16/03 $1.150.00
1SWUSA] Swr( inmmrl 4/16/03 $00()
Phone: Total $1,150.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total arnount paid wil! be forf,„iied if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals If ;he 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"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to fcllow 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 obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued by: �_— Permittee Signature: Q17((�+.0� ,�
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
i
1�
Accumulative Sewer Tally
1 enant Nand: Earth Protection Service _ 1 his SWRA 2003-0011"
Address: 7272 SW Durham Rd. #100 _ This PLM# 2003-00130
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off#s count # valuc,_ lis values
Baptisery/Font 4 0 0 0 0 0
Bath- Tub/Shower 4 0 0 0 0 0
_ -.Jacuzzi/Whirlpool 4 0 0 , v 0 0 0
Car Wash- Each Stall 6 _ j _ 0 _ 0_ 0 0
- Drive through _ 16_ 0 0 0 _0 0
Cuspidor/Wator Aspirator 1 0 0 0 0 0
Dishwasher- Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 1 0 0
Dr. eking Fountain 1 0 0 _ 0 _ 0 0
Eye Wash _ 1 0 0 0 0 0 -
Floor Drain/Sink-2 inch 2 _ 0 0 0 0 0
-3 inch 5 _ 0 0 � 0 0 0
4 inch 6 0 0 _ _ 0 0 _ 0_
Car Wash Dn 6 _ 0 _ _ 0 _ _ 0 0 0
Garbage Disposal _
Domestic(to 3/4 HP) 16 0 0 _ 0 0 0
_
Commercial(to 5 11P) 32 0 _ 0 _ __ 0 0 0
Industrial(over 5 HP)_ 48 _ 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Oi' Sep(Gas Station) _6 _0 _ 0 _0 0 _ 0
Re-.Vehicle Dump station 16 0 _ 0 0_ 0 0
Shower- Gang (per head) 1 _ 0 _ _0 0 0 0
_ - Stall 2 0 0 _ 0 0 0
Sink-Bar/Lavatory _ 2 0 Y 0 1 2 1 1 2
Bradley 5 0 0 _ 0 0 0
Cori rnercial 3 0 0 1 3 1 3
_ Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 _ 0
Washer- Clothes 6 _ 0 _ 0 _ 0 0 0 _
Water Extractor 6 0 0 -4_ 0 0 _ 0
Water Closet-Toilet 6 0 0 1 6 1 _ __6
Urinal 6 0 0 OY 0 _ 0 _
Previous EDU Count 6.8 108.8 108.8
Capped EDU Credit 0
TOTALS 0 108.8 0 0 2,, 11 3 119.8
Current Fixture Value_119.8 Ovided by 16 = 7.5 Current EDU 1 I_PI I
Previous Fixture Value 108.8 d vided by 16= _ 6.8 PreviouS EDIT
Change 11 _ divided by 16 = 0.7 over (under) $ 1,150.00
Enter EDU Change Here 0.5
HISTORY
^er Sheryl:current billing 7 EDU PLM# EDU# _ SWR#
Previous count is 6.8. PLM# EDU# _SWR#
.2 credit brought forward. PLM# EDU# ` SWR#
Name: �rL — Date: —
Signature of person that calculated this tally sheet and date perfromed is required
1 (1t
ELECTRICAL -
CITY OF TIGARD RESTRICTED EN RIGY
DEVELOPMENT SERVICES _ PERMIT#: ELR2.003-00112
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/15/03
SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-100 PARCEL: 2S113AC-00102
SUBDIVISION: COUNCIL VIEW ACRES NO 2 ZONING: I-P
BLOCK: LOT: 025 JURISDICTION: TIG
Proiect Description: Limited energy for HVAC wiring.
A.RESIDENTIAL __ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC- X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC
15350 SW SEQUOIA PKWY #300-WMI 807 NE COUCH
PORTLAND, OR 97224 PORTLAND, OR 97232
Phone: Phone: 233-6911
Reg #: FIX 2o-1063CRI.
LIC 39868
-_ -- _ MET 001104556
_ FEES SUP F46401046Inspections _
Description Date Amount Low Voltage Inspection
I I I'RMT] FLR Permit 4/15/03 $75.00 Eleet'I Final
I \ rt°„Mate Tax 4/15/03 $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 work is not
started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you t9,f&tt6w nils ad pled by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
sued by Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for a-3le, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELE C'N DATE:
LICENSE NO.
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
FOR 0 FFICIE USE ON 1,Y
Electrical Permit-Application Received I;.Icctrtcal
- --- - Datc/i3 : �/ /`� %;r' Permit No.:
GL/•- III�'�
J
Planning Approval Sign
City of Tigard Date/By: Permit No.
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Band Use
Datetp : Case No.:
Internet: www.ci,tigard.or.us Contact 0 See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: _ �'� supplemental Information.
TYPE OF WORK PLAN REVIEW Please check all that apply)
New construction lkinolitlttn ::crviccover 225r.mps- Ilcalfh-care facility
commercial ❑i lazardous location
Addition/alteration/re lacement Other: ❑Service over 3,70 amps-rating of ❑Rodding over 10,000 square feet,
CATEGORY OF CONSTRUCTION I &2 family dwellings tour or more residential units in
❑cy;tem over 6t r7 volts nominal one structure
1 & 2-Family dwelling �'ommercial/Industrial ❑iluilt'ing over three stories ❑feeders,400 amps or more
Accessory Buildin Multi-Family Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑Egressiiighting plan ❑Othcc_ _- __
JOB SITE INFORMATION and LOCATION Submit sols pians with any of thcnst above
_— The above are n—apot pllrab
le to temporaryconstruction service.
Job site address: _ FEE*SCHEDULE
Suite#: .[_Bld ./A t.#:..T _ Number of It rectioq!yer permit allowed
-Project Name: rdAZT?t �_ sT,oAJ
Description
Qty Fe (ea.) Total
New resldentlal-clnalc or multi-Gmlly per
Cross Street/Directions to Job Site: dwelling unit.Includes attached gitrage.
Service Included:
1000 sq.fl.or less 145.15 _4
Each additional SW s .R.or bion thereof 33.40 -_.-_ 1
----- - Limited energy,residential 75.00 2
Subdivision: - LOL#: Limited energy non residential 75.00 2
Tax reap/parcel #: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service andlor feeder 90.90 2
Services or feeders-Installation,
-7- alteration or relocation:
— - 200 amps or less 106 06.85 2
.30 2
_- 201 amps to 400 amps
—_— --- 401 amps to 600 ams J� 160.60 2
PROPERTY OWNER TENANT 601 ams to IOW s
am _ 240.60 2
�— Over 1000 amps or volts _ 454.65 2
Name; �+ 5 Reconnect onl 66.85 2
�-�6 —�_�-- --...
Address: _ -_--- Temporary services or feedt rs-installation.
---- --- alteration,or relocation:
Cit /State/Zip: _ 20O am s or less G6.g5
—� 201 amps to 400 amps 100.30 2
Phon • ' -� 401 to 6W ams -T—--�_ 133.75 2
APPLICANT CONTACT PERSON Branch circuits-new.alteration.
Name:
— extension per panel:
-- A.Fee for branch circuits with purchase of 6.65 2
Address: service or feeder feel.each branch circuit
City/State/Zip: B.Fee for branch circuits without purchase of
service or feeder fee,first branch circuit 46.85 2
Phone: — rax_ _ Each additional branch circuit 665
r
E-mail:
Misc.(Scrvice or feeder not included):
Each um or irri ation circle 53.411
CONTRACTOR Each sin or outline li hting_ 53.40
Job NO: — Signal circuit(s)or a limited energy panel,alteration,or extension ._P7�E
2
Business Name_ ription:
Address: Q 1 - r 7 Each additional inspection over the allowable in on I of the above: _
City/State/Zip: Pcr inspection pet hour min. I hour — 62.50
Phone: =:3 3->�'J2/ Fair JJ."f#X Investigation fee
L10. #: _- _� - Other: �___
CCB Lic. #: 17-9 ' Eleetrlcal 1'ermlt Fees*
Supervising electricia Subtotal $ 75 _
si atone re uired: 1' aG _ Plan Review 25%of Permit Fee) E
Print Name• •elw.�i ScN� LIC. #: ��i `> _ State Surchar a 8%of Permit Fec S �
^_ TOTAL PERMIT FEE S
"? ' Native: This permit applicAllon expires If a permit is not obtained within
Authorized G
-� ___ Date: � d IRO days after has been accepted as le.l/ *Fee melhodalogy set Iy Tri-County Building Induslr3 tienicc 8aard.
Signature:
-� - (please print n )
i:\Dsts\PermitFomis\ElcPcrmitApp.doc 01103
i
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor all systems............................................................ $75.00
Check'fype of Work Involved;
DAudio and Stereo Systems*
E] Burglar Alarm
E] Claragc Door Opener*
L1 Heating,Ventilation and Air conditioning System*
Vacuum Systems*
nOther— --—— —
COMMERCIAL WORK ONLY:
Fee for each syswm......................................................... $75.00
(SHL OAK 918.260.2611)
Check Type of Work Involved;
Audio and Stereo Systems
Holler Controls
Clock Systems
Data Telecommunication Installation
rite Alarm installation
llVAC
Instrumentation
MIntercom and Paging Systems
DLandscape Irrigation Control*
M Medical
Nurse Calls
❑ outdoor Landscape Lighting*
Protective Signaling
other- —__---------- —
Number of Systems
* No licenses are required. licenses are required for all
other installations
i:uhts\Penmt Forns\!1cPermitAppPg2.doc 01103
1�
CITYO F T I G A R D _ MECHANICAL PERMIT
PERMIT#: 4/15/03 00188
DEVELOPMENT SERVICES
DATE ISSUED: 4/15/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AG00102
SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-100
SUBDIVISION: COUNCIL VIEW ACRES NO 2 ZONING: IP
BLOCK: LOT: 025 JURISDICTION: TIG
CLASS OF WORK: ALT _ FLOOR FURW EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILER_ SIC_OMPRE_S_SORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
I f'(; 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOOr)STOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 _ _AIR HANDLING UNH S OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm. GAS OUTLETS: 1
> 10000 cfm:
Remarks: Installation of new 2-lun rooftop unit, distribution ducts,gas piping and(2)bath fans. Project valuc. M;.`;���
Owner: _ FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY#300-WMI INII c'III Permit Fee 4/15!03 $72.50
PORTLAND, OR 97224 (ME:CPL,N) Plan Rev 4/15/03 $18.13
ITAN 1 ti"-f,State l ax 4/15/03 $5.80
Phone: Total $96.43
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND,OR 97222 REQUIRED INSPECTIONS
t z t>��l l Gas Line Insp
Phone: Mechanical Insp
Reg #: L.IC 38868 Duct Inspection
Final Inspection
This perrnit is issued subject to the regulations contained 'n 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 requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR :952-001-0010 through OAR
952-0 -0100. You may�btain copies of these rules or direct questions to OUNC by calling
(50 246-016 00
ISS(ed By: Permittee Signature:
Call (50d) 639-4175 by 7:V0 P.M. for inspections needed the nek business day
`4
Mechanical Permit Application Received FOR OFFICE EI
ONLN
Date/By: 4 Panna No. (�C�,9�IQ
City of Tigard Planning Approval building
Datc/By: Permit No.:
13125 SW I lull Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By; Y-15-0-7df perm+.t No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Internet: www.ci.tigard.or.us Date/By: Case No,contact I Jaris.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: T7 fr Supplemental Information.
_ TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
New eonstnletioll Demolition Mechanical permit fees*are based on the total value of the work
Addition/alteration/re placement Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equi ment,labor,overhead and profit.
I & 2-Family dwelling_ Commercial/Industrial Value: S -S See Page 2 for Fee Schedule
Accessory Building I Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE
LJDescription —Qty _ Fee(e0. Total
Master Builder Other: _ Heatin Conlin
JOB SITE INFO_RMATiON and LOCATION Furnace-add-on air conditioning" 14.00
Job site address: 2s;j Us�✓ ;���g�/�,yl Gas heat pump 14.00
Suite#: /Q� Bld /A�t.#; Duct work 14.00
�, ��i�T)1?1J -�
Project Name: ZAt�T/Y — ll dronic hot waters stem 14.00 Cross street/Directions to job site: Residential boiler
for radiator or hydronis system 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc. 14.00
_ Flue/vent(for any of above) 10.00
Subdivision: Lot#: Rc ait units 12.15
--�--
Tax map/parcel Other Fucl A �Ilanccsap/parcel #: Water heater t
DESf 1t1PTION O'r'WORK Gas fire lace _ _ 1 .00
0.00 _
/Z;-r)!" 1—m ca Flue vent water heater/ as fireplace) It.00
Log lighter(gas) Ib.00
Wood/Pellet stove 10.00
---- -- Wood fire lace/insett 10.00
--=TENANT
Chimnc /liner/flue/vent 10.00
PRUPERTY OWNER — TENANT Other. 10.00
Name: �"�d S j Environmental Exhaust 6r Ventilation
Address:
-- Range hood/other kitchen equipment —10166-
City/State/Zip:
0.1)0Cit /State/7.i
-- -- Clothes dryer exhaust 10,00
Single duct exhaust
Phone:c�y pO Fax: _ <(bathrooms,Vilet compartments,
APPLICANT 1 171 ACT PERSON utiIit- roou s) 6,80
Name: — 1/ i Attic/crawls ace fans 10.00
Address: Other: 10,00 _
Cit /State/Zi – - --- ** Fuel Pipina —
p: 55.40 for first 4,31.00 each additional
Phone: Furnace,etc. ++
�—� ----- Gas heat u_mp
rr
E-mail: _ Wall/suspended/unit heater ••
CONTRACTOR Water heater �+
Business Name: Pg�-,1.n, - Fireplace r• --
Address: g ZTa' 8' __:56 . AuG Range
+•
�J
City/State/Zip. J"'c=7e_ _— BBQ --
Phone: Clothes dryer(gas) ►•
.x cog/I Fax:a > Other: •
CCB Lic. #: 3� r, Total: — -
AuthoriredG'1 Mechanical Permit Fees*
Subtotal• S -
'S
Signature: )) bate: hS �'-; Mi_nimum Permit Fee$72.50 S
yt Iv t Plan Review Fee 25%of Permit Fec S ij , ' '
(Please p ' t name) State Surcharge(8%of Permit Fee) S _
TOTAL PERMIT FEE S
Notice: This permit application expires Ifs permit is not obtained Nirhin *Fee methodology set by Tri-County Building Indus;-v Service Board.
180 days after It has been accepted as complete. "Site plan required for exterior A/C units.
is Dsts\Permit Fomts\MccPcmutApp.doc 01/01
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Cummercial Fee Schedule:
Total Valuation: Permit Fee: _
51.00 to$5,000.00 Minimum fee$72.50
$5,001.00 to$10,000.00 $72.50 for the first$5,0()0.00 and 51.52
for each additional$100.00 or fraction
thereof,to and including$10,000.00.
$10,001.00 to$25,000.00 $148.50 for the first$10,0(1).00 and
$1.54 for each additional$100,00 or
fraction thereof,to and including
$25,000.00.
$25,001.00 to$50,000 00 $379.50 for the first$25,000.00 and
$1.45 for each a tuitional$100.00 or
fraction thereof,to and including
S501000.00. _
$50,001.00 and up $742.00 for the first$50,000.00 and
$1.20 for cath additional$100.(X)or
fraction thereof.
Assumed Valuations Per Appliance:
Valuc Totel
Descri tion: Qty (ES) _Amount
Furnace to 100,000 BTU,including 955
ducts&vents
Furnace>100,000 BTU including ducts 1,170
"ents
Floor furnace includinit vent 955
Suspended heater,wall heater or floor 955
mounted heater
Vent not included in appliance permit 445
Repair units 805
<3 hp;absorb.unit, 955
to 100k BTU
3-15 hp;absorb.unit, 1,700
101k to 500k BTU
15-30 hp;absorb.unit,501k to I mil. 2,310
BTU
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU
>50 hp;absorb.unit, 5,725
>1.75 mil.BTU
Air handling unit to 10,000 cfm 656
Air handling unit>10000cfm I1170
—Non-portable evaporate cooler 656
Vent frn connected to a single duct 446
Vcnt system not included in appliance 656
atilt
Hood served by mechanical exhaust 656
Domestic incinerator 1,170
Commercial or industrial incinerator 4,590
Other unit,including wood stoves, 656
inserts,etc.
Gas piping 1-4 outlets 360
Each additional outlet 63
TOTAL COMMERCIAL $
VALUATION:
1:\Dsu\Pemlit Forms\MecPennitAppPg2.doc 01103
CITY OF TIGARD — BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT#: BUP2003-00143
13125 SW Hall Blvd., Tigard, OR 97223 15031 639-4171 DATE ISSUED: 3/25/03
SITE ADDRESS: 07272 SW DURHAM RD BLD(, 1-100 PARCEL: 2S113AC-00102
SUBDIVISION: COUNCIL VIEW ACRES NO 2
BLOCK: LOT: 025 ZONING: I-P
JURISDICTION: TIG
REISSUE: --�---- -------
CLASS OF WORK: ALT — FLOOR AREAS EXTERIOR WALL CONSTRUCTION
TYPE OF USE: COM FIRST: sf N: — S: E. __.
sf W'
SECOND:
TYPE OF CONST: 5N PROJECT OPENINGS?
OCCUPANCY GRP: B `f N: S: —E-
OCCUPANCY
:OCCUPANCY LOAD: 11 yy_
TOTAL AREA: �) sf ROOF CONST: FIRE RET'?
BASEMENT:
sf AREA SEP RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?:
READ SETBACKS _REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: _ ft — FIR SPKL Y —
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDISMCP DET
BEDRMS: BATHS: IMP 'SURFACE: ACC:
VALUE: $ 65,000.00 PRO CORR: PARKING:
Remarks: Commercial tenant improvement.
Owner: ---- ----- — __
_
PACIFIC REALTY ASSOCIATES Contractor:
15350 SW SEQUOIA PKWY 4300-WMI H L GREEN
PORTLAND, OR 97224 15350 SW SEQUOIA BLVD
STE 300
Phone: TIGARD, OR 97224
Phone: 236-E306
Reg #: 60-7 717 41328
_ _FEES _ REQUIRED INSPECTIONS
Description Date Amount
Mechanical Permit Require
Il3Ul'PLNI Ilii Rv 3!25/03 $359.35 Electrical Permit Required
ITAXI 8%State Tax 3/25/03 $44.23 Plumbing Permit Required
IFLS] FLS Pin Rv 3/25/03 $221.14 Framing Insp
I13l�l1 DI Permit Fee 3/25/03 $552.85 Gyp Board Insp
Susp Ceiing Insp
Total $1,177.57 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended 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 952-001-0100. You may obtain a copy of these rules or direct question-. OUNC by
cal'.ng (503)246-6699 or 1-800-332-2344.
J
Issued B
Pe mn ittee
Signature:
Call 639-4175 by 7 p.m. for an inspection the nexfBus;ness day
FCding Permit Application
Datereceived:� �,
City of 'Tigard t: Permit no.• / t
Roject/appl.no.: Expire date:
CilyoJTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: _ By}.::,.*_) Receipt no.:
Fax: (503) 598-1960 Cas;.file no.: Payment type:
Land use approval: _ 1&2 family:Simple Complex:
❑ I &2 family dwelling or accessory U Commercial/industrial ❑Multi-family O New construction ❑Demolition
❑Addition/alteration/mplacement Tenant improvement U Fire sprinkler/ala.m LI Other. _
JOB SIJE INFOliNIATION
Job address: I Bldg.no.: - Suite no.:
Lot: I Block: Subdivision: Tax map/tax lot/account no.:
Project name:
Descri aon and location of work on remises/special conditions:
OWNER 00^W SPECIAL INFORMATION,
Name: Pr7c'Trust " ' solar,
Mailing address: 15350 SW Sequoia wy. , f 300 1 &2 family dwelling:
City: Portland State: OR ZIP: 97224 Valuation of wo:h........................................
503 I Phone: 624-6300 75413-mail: No.ofbedrooms/bade................................. -
Owner's representative:Den n is P a n i Total number of floors..............................
Phone: Fax: F-mail: New dwelling area(sq. ft.) ..........................
MMGarage/carport area(sq.ft.).........................
Name: P a c T r u s t Covered porch area(sq. ft.) ........................
Mailingaddrrss:15350 SW Sequoia Pkw�.- 4_0_
0Deck area(sq.ft.)................................... ..
city: Portland State: R ZOther structure area(sq. ft.).........................
---
- _ Commercial/industrial/multi-famil
503 I'hona:C)14 -6300 I'�'r1i24- 175 F-mail: Y:
1 1 Valuation of work........................................ $
Business natnc: 11. L GreenExisting bldg.area(sq.ft.) .......................... _
Address: 15 3 5 0 5 W Shu o i a Pkwy. , #300 _ - New bldg.area(sq.ft.) ............................... _
City: Ort a n State: 7.11': 9 2 4J Number of stories........................................ J
503 Plranr,5 2 4-7 717 Fax: Email: Type of construction.................................... _
328 Occupancy group(s): Existing:
CCB no.: :L
New:
City/metro lir. no
-- '
Notice:All contractors and subcontractors are tequ ted to be
ARCI&MIDIESIGNER licensed with the Oregon Construction Contractors Board under
Natne: J u h n R um i s h provisions of ORS 701 and may be required to be licensed in the
Addmss:15350 SW Sequoia Pkwy. #300 jurisdiction where work is being performed. If the applicant is
city: Portland State: OR ZIP:9 7 2 24 exempt from licensing,the following reason applies:
Contact person: Plan no.: --
503 VP - Fax:624- 775 I?-mail: 'ohnr@ act
Ig
Name: Contact person: Fees�fuc ulxm application ..... ..................... $ —�___�---
Addross: _ Elate received: _
City: _�� State: 7.{P: Amount received ........................................ $
Phone: Fax: E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and(lie Not all iad"coons woetx credit cards,please can Wicktion for more iolarnutfa
attached checklist. All provisions of laws and ordinances overning this U Visa U Mastercard
work will be complied with,whethe hemi o ot. Gedrt card number. _ - -_. ---1--1—.
� F�cpues
Authorized signatu �y ` N mx.d cardholder as shown on credit card
Print name:-�1,L� S
Cardhdder uputute AaauM
Notice:This permit application expires if a permit is not obtained within 190 drys after it has leen i ccepted as complete. 1404at3 itSR 4COMt
i1
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2003-00201
DEVELOPMENT SERVICES DATE ISSUED: 4/8/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AC-00102
SITE ADDRESS: 07272 SW DURHAM RD BLDG 1-100
ZONING: I-P
SUBDIVISION: COUNCIL VIEW ACRES NO. 2
BLOCK: LOT : 025 JUPISDICTION: TIG
Proiect Description: Installation of(6)branch circuits.
RESIDENTIAL UNIT _ TEMP SRVC/FEEDERF _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH A 'D'L .500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+arnps - 1000 volts: MINOR LABEL (10):
SERVICEIFEEDER BRANCH CIRCUITS ADD't INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR•
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
301 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREASPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY#300-WMI 10948 SE VALLEY VIEW TERRACE
PORTLAND,OP, 97224 CLACKAMAS,OR 97015-000
Phone: Phone: 503-698-3417
Reg#: LIC 51539
— -------- STIP 20535
FEES ELE: 3-2430
Description Date Amount
Required Inspections
(f•.LPRM"I-J hL( I'crmu -1 � ur $I;U 111 — —_ _
ITA�tJ 811.Statc Tux Rough-in
Elect'I Final
Total $86.51
This Permit is issuad subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or If work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952.001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800-332-2344.
Issued By: Permit Signature: L /'/"L /C 4QT7Q�l/
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: e/1/ ��LlCfj-�C-�►�/ _ DATE:—
LICENSE
ATE:LICENSE NO: ----- - --- - —.
Call 639-4175 by 7:001)m for an inspection the next business day
From Charlynn J Leifsen To City of Tigard Date:4/8/2003 'nine: 10:07:04 AM Paan?r,I
Electrical Permit Application
_- Ualc rccx:ivcd C1 ; Permit Oo.r- L"QQ} *O X l
City of Tigard. " '1 "► Projecdappl.no.: Expoe dam:
fin,s j i,Krr,d Address: 13125 SW Nail SIv Tigard,OR 97221 Date issued: H Receipt nu -
Phone: (503)639-41 1/1 ---
Fax: (503) 598-1960 Case We wPayment type _
Land use approval:
7address.
dwelling(jr accessory POC'ommerc,al/mt itorial 7 Multi-family ZI Tenant improvement
ction CJ Addition/alterstnm/rcplacemem �Other: --CI Partial
72 SW Durham Bldg.no.: Isuite no.: 100 jTax map/tax lot/account no.:
Lot: Block: Subdivision. �— — -
_
Project namo: Earth Protective I Description and location of work on premises: Tenant Improvement
A
mated date of coin letion/ine ction: 4/15/03
slobso: 8164 For Max
Business risme: Johansen Electric Inc. ►►arst�do. xnr. (t..l `alai 'a.l.ry
-
N,"reaWsaal rale or amid tamer perAdlhess: 10948 SE Valley View_Terr.
city: Clackamas _ - State:OR ZIP:97015 8enkebc :
Phone:503-698-3417 Fax:5o�ose-zeas 1?•mdl: luhsnxonala exul�Y,m lam lt• leis 4
CCHno.: 5_1539 131ec.bus.tic.no:3-243C --- Each.ddiatmal 5M"y—n_4R puns dwwf
4896 t.imilai anergy, rmidemial 2
_ l.tmitel auergy, ciao rssidmtisl 2
4/8/03- Plach towifectued hone or niticlular dwelling
Sisnatura of art#616as ela,lriciae (ro9uiredl byte Service and/or feeds 2
So clad o.same Carl K. Johansen 1-iome no: 2053S a�"kNNsheeen-LuasNN,
altenllaa or►eJaearoa:
201 rnps ar less _ 2
Name(pfint)' 201 amps'"400 onps -- 2
-- -.---_ .. - -_ _---- - --- 401 amain In Ann amps __ _ _ 2
Mailing address: 601 amps 10 1000 amp. 2
City' 171 P 4-- Over 11M amps m vola 2
Phone: Fax: jr-mall, lit-nmme only i- -
Owner installation! The installation is hying made on property I own temporary servicer or feeaerr
which is not intended for ale,lease,rent,or exchange according to lastallatioa.akerades,orn4nnHe\:
ORS 447,455,479,670, 701, NO nnps to less _ z
III amps In 400 amps 2
OWOCC Y NI tumJ)•te: 4111 to 6011 amps ._ 2
- tsars elm's-orw,aheralloa,
Name. ce exlnrloe per rowel:
A. Fee Iia branch ritcuite web purrbax of
Address --r—int lee,each braridi circuit 1 2
City: TC�te. 71P P. Fee Rx braru-b circuih %*NAA purebase
Pine: Fax. —1- P.-m6i1' of_service or fWater_fee,fint Manch cirmit 1 413 8.5 4865 2
Ech aadditional brwah cir int
Mlac.(Sartre w feNes stat laelatlaa►:
O Sarvioc over 225 aropscomtmrial U Health-cue facility hauh pump or iniption circle - 2
U Sasvim aver 120 amps-ndinft of 1&2 J Ifarardattf loratim IYb sir"or oudim lirhttor _ 2
family dwellinxs J Building owes 111,0110 vptan reel fain .w Signal circuit(s)at a limited enemy panel,
U Swans twee 60111 volh nominal More n-menbal units in rxW stns,ft- Alteration. ar alession• 2
U Building over three Min U leexlen,400 reps ta inure allescri ion.
U 1lccupam kart uvc:',v persons U Manufrttned%ktxtures or kV parr liv aaa1110aa1Is"adMa neer the dawable is say tsf sore above:
U FI;nms/lirhting plan J elder _-- - ---
Per inspexxttn
Subsoil _--awls of pMnn wily soy of dam above. tuveeHgahon fee -- -
nl to alible are nod oppidaMe to Irmportary sol intrue ism senke. f)fhct---- - - --
�__-_.., -- Permit fee .. .- .._-.. .....5
Not an)"dicdalso accept credo.and,please call Jurbdkun"M man f"6arlfftioo. Notice: This pent i applicatitin -
U Vial J Maeterc'anl expires if a permit is not obtained Plan review(at %) S
cnd'n cent numbs- _ _ _-j--L- within within 190 days ie
after it has hien ::tate surcharge(8%).....Srtlittim
Name o ea order ooiFt as rmlii sRI accepted as complete TOTAL... .....................S 86.51
_ S _
-- _ CrAhoi"r Jjnatale ---- ^Am"ual 440-4613 1~04)
CITY OF T I G A R D _- BUILDING PERMIT
PERMIT#: BUP2003-00158
DEVELOPMENT SERVICES DATE ISSUED: 4/10/03
13125 SW Hall Bh,d., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 1 13AC-00102
SITE ADDRESS: 07272. SW DURHAM, RD BLDG 1-100
SUBDIVISION- COUNCIL VIEW ACRES NO 2 ZONING: I-P
BLOCK: LOT: 025 JURISDICTION: TIG'
REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: _ S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W: T�
OCCUPANCY GRP: B TOTAL. AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT. ft FIR .3PKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR At.RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,150.00
Remarks: Installation of(6)new sprinkler heads and relocate (3)heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATE: FIRESTOPCO
15350 SW SEQUOIA PKWY #300-WMI 9384 SW TIGARD ST
PORTLAND, OR 97224 TIG,ARD, OR 97223
Phone:
Phone: 620-6140
Reg #: LIC 63846
—i _FEES REQUIRED INSPECTIONS
Description Date _ Amount T Sprinkler Rough-In
TAX] R `;tate Tax 4/10/03 $5.00 Sprinkler Final
(13111LDJ Permit Pee 4/10/03 $62.50
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all otter 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 York is suspended for more than 180 days. ATTENTION: Oregon law
requires you to ru!low the 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 obtain a copy of these rules or direct questions to OUNC by
calling(503)246-6699 or 1-800-332-2344.
T.
is-,bed By:
Permittee `1
r --
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
i
Building Permit Application
rrecDateeived: �� Permit no.: I-elltCity of Tigard
Address: 13125 SW Br;,all Blvd,Tigard,OR 97223 rojectappl.no.: ' edate:
City of Tigard —
Phone: (503) 639-4171 Date issued: B)•" % Receipt no.:
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval: I&2 family:Simple Complex:
U 1 &2 family dwelling or accessory JfLCommercial/industrial U Multi family U NcN construction U Demolition
Add:tion/alteration/replacement It&Tenant improvement Wj';re sprinkler/alr nn U Other:
Job address: 7 Bldg.no.: I Suite no.4 (J�
Lot: Block: Sutxfivision: _ _ 'fax map/tax lot/account no.:
Project name: J>pCrFra'Tf $j
Description and location of work on premises/special conditions:
Name: ` a0 loodplallf,septic capacity,solar,
Mailing address: - IJA -- Ido 2 family dwelling:
City; j State: 7.IP: 7 Z Valuation of work........................................
!'honer -(�'" Fax mail: _ No.of hedrexims/paths.................................
(Nencr's representative: Total number of floors
p
{'hone: Fax' I: mail: New dwelling area(sq. ft.) ..........................
APPLICANT
Oarage/carporl area(sq.ft.).........................
Name: Covered porch area(sq.fl.) .........................
---
Mailnig address: , D 7T• Deck area(sq.R.)........................................
— ()thcr stricture arras R.
City: State -)L ZIP: "72 Z (. ).........................
Phonet Fax t Email Commerclal/in mtrbtl/multi-family:
Valuation of work........................................ $ I lS(J
Business name: F >•-
Existing bldg.area(sq. R.) ..........................
Address: U� n _
- -- - New bldg.area(sq. R.)
................................
City: State: 'i ZIP(--[ -1 ZZ Number of stories........................................
Phone:t- ''r Fax: E-mail: Tyle of construction....................................
CCB no.: Occupancy group(s): Existing: _
New:
i
ity/fie`^lic.no.: [Notice:All contractors and subcontractors are required to be
nsed with the Oregon Construction Contractors Board under
Name: � isions of ORS 701 and may be required to be licensed in the
Address: �`13'�( ' jii j diction where work is being performed.If the applicant is
Cit : r-1 rJ Slatc• ZIP: -��Z zc mpt from licensing,the following reason applies:
Contact person: Plan no.: — -- - - -
Phone c3 Fax: JJV413-mail: - - -- — - —
Name: Contact person: Dees due upon appijcatnm - - $
Address: Date received: _
City: State: ZIP: Amount received .................................I....... $ _
Phone: Fax: E-mail: Please refer to fee schedule.
hereby certify I have read and examined this appiication and the Not all jmisdicumia accept credit cards.please call jurisdictimi fm mere inftrmation.
attached checklist. All provisions of laws and ordinances governing this U Visa U MastetCard
work will he complied) th,whether specified herein or not. Credit card numbs
Expires
Authorized signal 1 Name of cardholder at aMrwn on credit raril -
s
Print name: E cadhotder drattue `-- Amount
Notice:This permit npplicntion ex- res if a permit is not obtained within 190 days after it has been accepted as complete. 440-4613 t6WC'oMl
Fire Protection Permit Check List
A.) ❑ New _❑ Addition ❑ Alteration _ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:_
Additional description of work:
Typ+E�.of'System Com lete A, B or C as,a lica le : _
A. Sprinkler Wet ❑ _ Dry ❑ _—
Standpipes__
Additional Hazard Grain
Information _Density _-- —_
Design Area
K. Factor
§rinkler Project Valuation: $ `—`' —
B�Type I . Hood Fire Suppression System_
Hood Pro ect Valuation $ _
C.) Fire_Alarm --
Submittal shall Battery Calculations _Yes ❑ __
include: Individual Component Yes ❑
Cut Sheets ___ _
Fire Alarm Protect Valuation: $_
Project Valuation Subtotal A, B 8 C : $ --2,C2r
Permit fee based on valuationsee chart : $ 1,0 z_��2
8% State_Surcharge: $ F-5
FLS_ Plan Review 40% of Permit: $ 4;?y_
_ — TOTAL:
1:ldstslformsTPScheddist.doc 06/07iu i
11
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST ..--------_��,_
INSPECTION DIVISION Business Line: (503)639-4171 ?
BUP -7T-,/-
Received —. .
7T-,/-Received -__ Date Requested -5-- z-2— AM -_—_-- PM _- CB
Location - - Suite
Contact Person _ ._. _ Ph -
Con Ph( ) R4LrB --- —-- - - —
1JILDI — Tenant/Owner ._—__���1 - ------ - --_ ELC _---- --------
ELC - - ---- --
Foundation Access:
Ftg Drain ELF! ----_._.---
Crawl Drain —
Slab ill5pection Notes: 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.
AS PART FAIL
-VITMBING
Post&Beam
Under Slab - -
Rough-in
Water Service j
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -
Shower Pan
Other: -----
__
Final
PASS PART FAIL -
M_ECHANICA:.
Post&Beam-
Rough-in -----. .
Gas Line
Smoke Dampers --_-- -----.� -----------
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage - —
Fire Alarm
Final
PASS PART F^.!!. RaInspedon fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_
SITE [� Please call for reinspection RE:— _ ❑ Unable to inspect-no access
Fire Supply Llne
ADA Approach/Sidewalk (Date- Z Inspector � Ext
� ' �
Other:._
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
/ S N,5_P�Cf I ON�1pT I CE
fr City of ilgead Building � ��
Pa
f Orngon9T2
13125 811 Bell Blvd. Tigard,
Inspection Line (Roc-o-Phone)s 639•-4175 Business Phone: 639-4J�/ T
inspection+_____----,`�i,a
Foot lrig Plbq. Undereleb Mao
h. Rough-in Appr/sdwlk
Found. Plbg• Top Out
Das Line FINAL:
3r+n. Sewer
Framing -Bldg.
Poet/RQem 3truct.
Rain Drain
Insulation -Plumb.
poet/Ream M.ech.
plbg. Underfloor Nater Line
Gyp. Ba. -Nein.
1c/ �,2-,2,;2 . T ima+ PM
'�-�-
Date ReryuebCed: n
Permit s
Address:
f 7 J
Bu11dert,
THE
FOtJAWINO CORRECTIONS ARE REQUIRED:
r�----------
Dates
In+pectoc�i —J _ _--
DISAPPROVED APPROVED SUWRCT TO ABOVE
APPROVED _
Cell For Reinep.
1A
e
jps E_CTIOM NOTICE
City of Tigard Bulldinq DepartAsent V
13125 611 Ball Blvd. Tigard, Oregon 97223
Inn}ection Line (Recc--o--IPJhoonne): 639-4175 Buoinoss Phon : 639-41.71
Inspection: _--
9
Footlf. plbg. Undarslab Mach. Rough-in Appr/Sdwlk
Found.
Pl.bg. Top Out Gas Line lINAL:
Pont/Beam Struct.. San. Sewer gaming J -Bldg.
poet/Beam Mech. Rain Drain
—I-neulation -plumb.
plbq. Underfloor Water L
in
e � 7 Gyp. Bd.
-Mach.
i Timet _4-"
Permit �
PM
Dato Requested: -
Address: ` t
BuI ider:::
THE FOLLOWING ODRRECTIal1S ARE REQUIRED:
Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
i
.c�
1,N6PACTL iN NOTICE
City of Tigard Building ne-Pwri'Aftnt
17125 SM Ball. Blvd. Tigard. Oregon 9.1223
Inspection Lin; (8ec-40J-Phono)% 639-4175 Bupiness Phone: 639-4171
�' � -
Inapec ----
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out
Cas Line PINALs J
Post/Beam Struct. San. Sewe- Framing
ntda_
Pont Innulatiu:� -plumb.__
Plbg. underfloor Mater Line Msc
/� Oyp• ed.
- l:.
/. -/S—_ . C Timet _ _ PH
Date Requested:
Addrens -- '
Bu 1 Idor:___._
THE FOL.IoWING MRRRCTIORS ARE REQUIREDt
Inspectors Date:. _�L�
APPROVED DISAPPROVED APPROVED SUBJRc: To A80VE
Call For Reinap.
CITY OF TIGCERTIFICATE OF
ARD OCCUPAllcy
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . I BUP92-0,7'56
1312.5 SW Hall Blvd,Tigard,Orogon 9722308199 (503)639-4171 DATE ISSUED: 12/15/92
PARCEL: 2SI13AC-0010c'
SITE ADDRESS. . . : 0721,2 SW DURHAM RD #100 ZONINGII-P
E31JBDIVISION. . . . :
B-OCK. . . . . . . . . . I LOT. . . . . . . . . . . . .
CLASS OF WORK. iALT
TYPE OF USE. . . 11COM
OCCUPANCY GRP. !?W
OCCUPANCY LOAD-
TENONT NAME. . . :BRIGHTUN-BEST
pemav-1(s : Tenant Impr: Construct ofc, t1t rm, w/partitions, wareho'Ase a�'ea-
Owner:
PACIFIC REALTY TRUST
15115 SW SEQUOIA PARKWAY #100
TIGARD OR 97224
Phone #: 624-6300
Contractor:
H. L. GREEN
15350 SW SEUUOIA BLVD, SUITE 300
TIGARD OR 97224
oiione 624-7717
peg #. 41328
Phis Certificate grants occktpancy of the above --eferencecl blAilding Or portion
thereof And confirms that the building has been inspected for compliance with
the State of Orgun Specialty Codes for the group,/-pCCL1pan?Y, and use under
,41lich the referent_p4 permit was issued.
BUILDING OFFICIAL
ING INSF--ECTDFR
pOS'f IN CONSPICUOUS PLACE
CIOFF CF1Y OF IWARD BUILDING PERMIT
r,OMMUNITY DEVELOPMENT DEPARTMENT oftem PERMIT #. . . . . . . 3 BUpqj2-0256
13125SWHMI Blvd. p,O,Ben 23397,Tigard,0r*90r 97223(&03)63%-41--
639-4171 DATE ISSUED: 09/01 /92
PARCEL: 2SI13AC-00100
0
SITE AFDRESS. . . 1 07272 SW DURHP11yl RD ZONING:
SUBDIVISION. . . . I LOT. . . . . . . . . . . . . ----------------------
BLOCK. . . . . . . . . . : -
EXTERIOR WALL CONSTRUCTION
REISGUE1 FLOOR AREAS---- ----'- -s N- Ev Wo
(-',LASS OF WORK. -.AL.T FIRST. . . . :69" S;f PROTECT OPENINGS?-----------
T'YPE OF USE- - - '-COM SECOND. . . 9 si, N: S: Es W1
TYPE OF CONST. .-3N THIRD. . . . I ROOF CONST:B FIRE' RET? : y
TOTAL------9 6900 sf
OCCUPANCY GRP- :02 BASEMENT. i sf AREA SEP. RATEDs
OCCUPANCY LOAD 118 SEP. RATED:
HT. ft GARAGE. . . I sf OCCU
STOR- 11 REQUIRED-----------------
B5MT? 11\1 MEZZ?l READ SETBACKS----------ft FIR SPKLoY SMOK DET. - IN
J'J 1125 psf LEFT: ft RGHT : ft F,�B %POIN ONKYNGA-cc-Y
_OOR LOAD. . . . REAR:
UNIONS1 00T °S'URFAth: are . 14-1
VALUE. $: 25000 ./partitions, waretiol,tse
Remarkst Tenant jmpy'c Lonstruct ofc, tit rm,
OCCUPANCY UNTIL WASHINGTON CO9S DURHAM RD PROJECT IS COMPLETED.
F=EES
--------------------------------- ,'sunk
Owners ---- type amoUnt by date
PACIFIC REALTY TRUST PRMI + 170. 50 JH 09/01/92 —
1`;115 SW SEQUOIA PARKWAY PL.CK $ 110. 83 JLH 08/20/92 230721
5PCT $ 8. 53 JH 09/01/92 —
I'IGARD OR 97224
1 Phone #% 624-6300
c,ontractor:
H. L. GREEN
S QU 91 A BLVD, SUITE 200 ----
c4AJJ#�RJJA 17 Framing nsP
s 14
Of perms is suersub ject to the regulations contained in the
Codes and all other Inst-tlation Insp
ligard Municipal Code, State of Ore. Specialty CO Gyp Board Insp
applicable laws. All work will be dune in accordance with Stt�p Lei lng Insp
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
pet-mittee SignatlAre...
lssiAed By .
lb39-4175
Call for inspection
�)i2ssw11,uawd. PLNCKjRECT # � -sz
CITY OF TIGARD
110[lox 27397 PERMIT # Qe(� �92 a6
COMMUNI'11' DI;tiI-.LUI'MENT DEPARTMENT Tigard,Oregon 97223
(503)639.4171 DATE ISSUED
JOB ADDRESS: _ _ _-z�,� _��TAX MAP/LOT
SUB: —__ LOT: _ LAND USE: w AIN IJVED TO ISSUE `+
-- __-- j
-- - -------
VALUATION:
OWNER SPECIAL NOTES
NAME: Pacific Reams Associates, L.P. PacTrust) REISSUE OF:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 d.AST REISSUE:
Portl?nd, orl 97224 FLOOD PLAIN/
PHONE: 624-6300 _ _ _ SENSITIVE LAND:
CONTRACTOR APPROVALS_REQUIRED
NAME. H.L. Green Company_ PLANNING:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 ENGINEERING:
Portland, OR 97224 FIRE DEPT:
PHONE: 624-7717 OTHER: Ne 111--
CONTR.
/FCONTR. BOARD #: 41328 EXP DATE:
ITEMS pE0-U-iRED-
SUBCONTRACTORS: PLUMB: _,. LIST/SUBCONTRACTORS: ___ ...
MECH: _ BUS TAX:
ARCH ENG?NEER CALCULATIONS:
NAME: _ John H. _Romish _ TRUSS DETAILS:
ADDRESS: _ 2216 S.E. 24th Avenue _v OTHER: _
Portland, OR 97214
PHONE: 236-6306
PROPOSED BI DG. USE:
COMMENTS:
's
AP ICAaC SIGNA URF
eceived By: Date Received: �—2
11
AMOUNT AMOUN" PD. BAL. DUE
PERMIT b ACCT # DESCRIPTION AM _
_ 10-432 00 Building Permit Fees —
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees -- —
10-230 01 State Building Tax (59'0) sC% �
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbi,,g
Mechanica'
10-230 06 Fire — --- --
30-202 00 Sewer Connection --- _
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees —
25- 448-04 Industrial TIF Fees __ -
25-448-06 Institutional TIF Fees _.---
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees — —
52-449 00 Parks System Dev Charge (PDC) -
31-450 00 Storm Drainage Svst Dev Chrg
(SSDC) -
24-445-01 Water Quality (Fee in lieu of) -
24-445-02 Water Quantity (Fee in lieu of) —
TOTAL — —
nm/3587i'.WPF
I
I
c I'T Y oF' T)CARD RF Cr- I F'7' OF' PAYMENT PUT I P T NO. 56
CHCCIl. AMI)UN T V79. 03
NAME r. RCIM I GH, JOHN GASP� AMOUNT 0. 00
F-il:)DREBFt a PAYME=NT VATF a 09 01 %9:'
i v1 srA'VISIUN
1=`HRV,09E (IF POYMENT AMOUNT PAID PIJRP0 aF CST' PAYMENT AMOUNT WIT T D
111JT1_ DING F'UPlyI 1 70. 551A ST. BUILD PFR
I
lily T i:il ITOW SEG I
l SM DURHAM (f.109)
13COL. AMOUNT POI[) _ 179. 03
R
or r-'(NYMr-.-.NT RF I r, r Nt
4, jot jN
AL)ORr.ss (IMOUNT
;"(IYF,IF-NT I AT F.,
-InT)I V I`--;T orl
PURPOSE OF PAymr--*N7' AMOUNT PAID
Ito- A3 ......
Liat acttons for th1B Caee_ _
05t3UILDING PERMIT$$$$$$$$$$$b$AA$b$$$$A$$A$A$$$$$$g$A$$AAA$AAA$$AA$$AAA$aA$
• :BUP92-0256? PROJECT:BRIGHTON-BEST STATUS:F UPD: 12/22/92: : P: °
• PEItMITTEE:PACIFIC REALTY TRUST PRIM. . :BUP92- 256:
• SITE ADDRESS:07272 SW DURHAM RD Unit:6.100
OADESCRIPTION OF PROJECT$$AA$$AAA$$$AAA$$A$$AgA$$AAAA$$A$A$$AAAA$$$A$ AAAAAA
Tenant Impr: Conetruct ofc, tlt rm, w/partitions, �:arehouse area. O
OCCUPANCY UNTIL WASHINGTON CO'S DURHAM RD PROJECT IS COMPLETED. ;) rlG"D
REISSU',: FLOOR AREAS---------- EXTERIOR WALL CONST UCTION 'y�
• CLASS OF WORK. :ALT: FIRST. . . . :6900 :13f N: S: E: W: P EGV7
• TYPE OF USE. . . :COM: SECOND. . . : :sf PROTECT OPF'NINGS?---•- -----
° TYPE OF CONST. :3N . . . . :af N: S: E: W:
OCCUPANCY GRP. :B2 TOTAL------: 6900:ef ROOF CONST:B: FIRE RET?:Y.-,,
OCCUPANCY LOAD: .B BASEMENT. : AREA SEP. RATED:
STOR. :1 : HT. . :28 : ft GARAGE. . . : OCCU SEP. RATED: °
BSMT?:N: MEZZ?: REQU SETBACKS-------- REQUIRED--------------------
" FLOOR LOAD. . . . :125:psf LEFT: :ft RGHT: :ft FIR SPKL:Y: SMOK DET. . :N: e
DWELLING UNITS: FRNT: :ft REAR: :ft FIR ALRM:N: HNDICP ACC:Y:
BEDRMS: BATHS: IMP SURFACE: PRO CORR:N: PARKING:
° VALU $: 25000: NOTES:
A$3AA$AAAAAAA$$AAA$AAAHAAAAaAAAAAAA3��aAAAHAASAAAAAAAAAkaA53£gAAA�.EiAASAAAAAAAAi
I
13125 3W Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 ------- ------ ----�
PZ%N vq TUALATIN VALLEY FIRE & RESCUE.
AND
BEA_`JERTON FIRE; DEPARTMENT _
FIRE MARSHALS OFFICE;
(503) 526-2469 POSTED:
F4
OCCUPANT G rl ( a —
CONTRACTOR I --- ___BLDG, PERMIT It---
PROJECT NAME � T
r7 _ PLAN REVIEW If
LOCATION (. r '� `.• v�b d� (�
JURISDICTION: 1= Be. 2= Du, 3= K. _ 5= Tit. 6= 5h, 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL:.' SPECIAL FOLLOW-UPJREINSPECTION ATTEMPTED FINAL.
El Framing
u Separation Walls Sprinkler S.-stem
Shaft
Fire Dampers (nverhead/Underground)
Alarm System F1 Hood ExI.ng Systems � Conference
Spray Rooth F1 Ceiling; Cove,
Date: j Inspector: ;� ( ' �" b
NSP�C'fIUN N'J'fIC 1
City of Tigard nuilding Department
13175 BW Ball Blvd. Tigard, Oregon 972.e3
Inspection Line (Rec-O-Phones 639-4175 Business Phone: 639-41.11
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINALS
1'^..t/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain nrain naulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Bd. -Meeh.
Date Requesteds_ �.� 3 `7�.. Times _
"`� � [�y� _AM PM
Address s / �� ��1/w�Ltn�,� iruslt �t 1'.,�21
Builders_ ,fit
THE FOLLOWING CORRECTIONS ARE RRQUIRRDs �1�i r- Q'1( - LJ
l
—T— -
Inspectors Date:
.__-_-_APPROVED _-_ DIItAPPP.OVED APPROVED SUBJECT TG ABOVE
Call For Reinsp.
s�
A
1„SPECTION NOT-10E
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections,,,�� _—�----------
Foot ing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Bower Framing -Bldg.
Post/Ream Hoch. Rain Drain Insulation -Plumb. 1
Plbg. Underfloor Nater Line Gyp. Rd. -Neth.
Date RequestedtC� 'Z- —Time:
AM P”
Addreee a 1,
Builder: �-
TRE FOLLOWING CORRECTIONS ARE REQUIRED]
Inspectors Dates
APPROVED ^-� DISAPPROVED T APPROVED SUBJECT TO ABOVE
777 Cell For Reinep.
ij1�PEC1'TON NOTICE ',7 "Z
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspections ,Laine (Rec-O-Phone)t 639-41775 Business Phone: 639-4171
Inspectlot�t_C2N CZ/.11 ---------
footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINALt
Past/Beam Struct. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line ) Gyp. Bd. -Hoch.
Date Requested: r 110-` Time: AM PM
ila
Address:
Permit I. v V 1rT
nuiLder:_
THE FOLLOWINC CORRECTIONS ARE REQUIRED: 4 a
Inspectors
pectort
--- --- Date:_,_ I -�
�l1PPROVED _ DISAPPROVED — APPROVED SUBJE(.-r 1'0 ABOVE
CAII For Reinep.
t I`
INS?BCT19N N(MICP
Cit, of Tigard Building Department
1312' SM Ball Blvd. Tlqard, Oregon 9722i��
Inspe,tion Line ,Aec-0-11hone): 639-4175 Business Phone: 639-4171
Footing Plbg. Underslab Nech_Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oas L1ne FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Underfloor water Line Gyp. Dd. -Hoch.
Date Requested: 10 OZ� _ JTimei _ /-_AN /1 ,_PH
Addresss ?,-;2 74
Builder:_-,- L _ -,/ Q��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors --- ------- --�..__._—� nAt.'a_J
PROVED DISAPPROVED APPROVF_D SUBJECT I" ABCVE
Call For Reinsp.
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CITYOFTIGrARD �..-
COMMUNITY DEVELOPMENT DEPARTMENT o�mooN
13126 SW HMI Elva. P.O.Sm 23397,TOW,Orpon 47223(603)6394175
PLUMPING PERMIT
PERMIT #. . . . . . . : f-LN92--01 sB
639-4171 DATE_ ISSUED: 09/10/,32
SITE. ADDRESS. SW DURFiNM RD PARCEL: 981 13AC-016100,
SUBDIVJS1ON. . . . 'ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
CLASS OF WORE;. . a ALT GARBAGE DISPOSALS— a MOBILE 1-40ME SPACES. :
TYPE OF USE. . . . :C,Oh1 WASHING MAC=H. . . . . . . : BACKFLOW PRE='VNT'R5. . :
UCCUPANCY GRP. . :B.? FLOUR DRAINS. . . . . . . : 1 TRAPS. . . . . . . . . . . . . . .,
STORIES. . . . . . . . : 1 WATER HE=ATE=RS. . . . . . 11 CATCH BASINS. . . . . . . :
F 1 XTI.IRE S---.-•-_-._--._._-_...- LAUNDRY 'TRAYS. . . . . . : SF RAIN DRAINS. . . . .
SINK!.. . . . . . . . . . . 1 URINALS. . . . . . . . . . . . . GRE=ASE. f RAPD. . . . . . . .
Lf1VATORIES. . . . . .. 1 OTHER F"IXTURES. . . . . :
T UB/SHUWERS. . . . : SEWER LINE:: (ft ) . . . . :
WATE=R CLOSECTS. . :i": WA T :-R LING (f°t ) . . . . :
J)15HWASHERS. . . . . RAIN DRAIN ( ft ) . . . . :
HPM.1r`k S :
Owner; _.________.._.....__._.__..___._.___________.._.__,._._.__ _.._.__.__.._._..._.____.___-- FEES
F'1'ACIF1Iw REALTY TRUST type amoUnt by date recpt
15115 SW 5;_fgUOIA PARKWAY PRh1T' $ 45. 00 JH 09/10/92 •-
PLCK $ 11. 25 JH 09/10/92 --
11GARD OR 9722'4 5PCT E 2. 25 JH 09/ 10/92
Phone #: 624-6300
Gontr-actor•:
POWER PLUMBING CO
FSO BOX 2: 144
T IGARD OR 97281
Phone #: t 58. 50 TOTAL
Reg #. . : 5L378
REQUI;1ED I IJSF'EC T 1 ONS
Tris permit is issued subject to the regulations contained in the Top--oUt InSp
Tigard hinicipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws, al! work will be dona in arcorda^ce with
approved plans. This permit will empire if work i not started
within 180 davi of issuance, or if work is suspended for more
than 180 days.
f-'er,mi ttee Si gnat1_rr e
Call for, inspection - 639-4175
Power Plumbing Co.
RO. Box 23144
Tigard, OR 97223
(503) 244-1900
i! Ii
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LI( ENSFU • BONDED • INsunrim
City of Tigard PLUMBING PERMI-T Planck/Rec. # _
13125 sw Han Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 _ —�—
.�,.ia...., )escnphai
ORS 814 21.610 OTY I PRICE AMT
r
Job �,�� ti ` FIXTURES 50 o
n
Address \ 7.50 7.
Tubor V
u or Tub/ ower om .
-7.50
Shower Only 50
ater abet !- �
ishwasher
Owner �, GarbageDis;:ios-il
Washing Machine
_ Floor rain5o 7 7
C ` Water eater - — / 50 7_
au ry oom ray
.--� �- 7.50
Occupant c `w ural -- —
l1ie, fixtures(. pea y)
— 7.50
7.50
MISCELLANEOUS
Contractor 1 �.�. "—'� - -- —
Sewer 1st 100'
r 1 .tom
—� ISewer-ea.AWL 109
3r u'��C\ Y YhC l�
Water Service 1 st 100' Too
t t e Water Service ea. Addit.200' 15.00
—rTWr—eby e at a race is cep -cation, _
information given is correct,that I am the owner or authorized agent of Stora:6 Rain Drain 1st 100' 30.00
the owner,that plans submitted Fire in compliance with State laws,that I Storm 8 Rain Drain Addit. 100' 15.00
am registered with the Construction Contractor's Board,that the number _—_
givers is correct. (If exempt from State registration,please give reason00
Mobile Hcme Spacer 25
below r w rovention
Device or Anti-pollution Device 7.50
Any Trap or Waste Not
Connected to a Fixture 7.50
— .50
escn new addition a teraho repair at as-n 40.00 _
to be done residential Q non-residential- per hr
Insp.of Exist. Plumbing
40.00
Specially Requested Inspections per hr
Existingf in rain, singe family use oI �u 15.00 ,-
building or property dwelling
-
Residential backflow prevention
flow
15.00 �-
Proposed use of
building or property
I '{ xcept rest antral ac low
prevention devices)
NOTICE 'Minimum Fee$25.00 5USTOTAL
L
PERMITS BECOME VOID IF WORK OR CONSTRUCTION s%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PLAN REVIEW 25%OF SUBTOTAL /
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS -
COMMENCED. TOTAL S
Special Conditions —
Date issued —by__ ___
u'PLJMBPV T
wadoencf..
MECHANICAL
PIE Rlv1 I F
Cny
C17YOFTIFARD rAl PERMIT #. . . . . . . .
C17Y
COMMUNrY DEVELOPMENT DEPARTMENT one" DATE ISSUED: 10122192
a"
13126 SW Hell Blvd P.O.Box 2W97,—iiqwd,OrW 97223(603)639-4176 7-77
T7
,rrTrq—rM----jT1--
SUBDIVISION. . . . -1. T70, I-Hrxt-tL: c--'b.JJ3AC-Ql0Tk�t)0
BLOCK. . . . . . . . , L.07. . . . . . . . . . . . . ZONING:
CLASS OF WORK. . 9 ALT FLOOR -`URN. . . . a EVAP COOLERS:
TYPE OF USE. . . . :COlvJ UNIT HEATERSII . c2 VENT FANG. . . : 1
OCCUPANCY GRP. I. :B2 VENTS W/O APPL:
'TOBOILERS/COMPRESSORS VENT SYs'rEMSs
7. HOODS. . . . . , . :
FUELYPES 0-3 HP. . . . :
,/GAS/
DOMES. INCINi
3-15 HP. . . . e COMML. INCIN:
MAX INPUT :: 100000 B"fu 15-30 HP. . . . s REPAIR U14I1S:
FIRE DAMPERG?. . :N 30-50 HP. . . . a WOODSTOVES. . -
GAS PRESSURE. . . -L 50+ HP. . . . :
NO. OF UNITS----_-------
CLO S. . :
AIR HANDLING UNITS OTHEDRYER UNIRTS. ..
FURN ( 1121121K BTUs <= 10000 cfml
["URN ) -100H BTU- 10000 cfm: GAS OUTLETS. :;_:
Remarks: Tenant IMPt'll COnStrLiCt ofe, tlt rm, w/Partitiuns, waref1c),-Ise area.
Owners FEES ---------------
PACIFIC REALTY TRUST type amoL(nt by date recpt
15115 SW SEQUOIA PARKWAY P R M-r s 27. 00 JLH 10122l92 23297-+
TIGARD OR 97224 PLCK $ 6. 75 JLH 10/22/92 23E974
Phone #: 624-6300 5PCT $ 1. 35 JLH 1012219L 2329741
Cont ractort
CLIMATE CONTROL HTG & A--C
3315 NW 26TIA AVE
PORTLAND OR 97210
Phone 223-4.393 $ 35. 10 TOTAL
Req #- 6E'l 96
This pereit is issued subject to the regulations contaired in the REQUIRED INSPIECI IONS
Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mectianical Insp
applicable laws. All work will be done in accordance w,th Heating Unt Insp
approved plans. This pervit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for, sore
than 180 days.
Permittee Signati-tre -
19sLted Byt--
Call for, inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # L '�_
13125 sw Nan Blvd. APPLICAI-ION Permit #/17EL& .Z7S
PO Box 23397
Tigard, OR 9"7223
(503) 639.4171 _ --
�( lo ,, lable 3A Mechanical Code QTY PRICE AMT
Job �'�2• -1 i ?� 1) Permit Foe o o- 10.a�
Address
L p 2) Supplemental Permit 3.00
. a . .. .., Furnace to 1
00,OM BTU
1) incl.ducts&vents 600
e.r, w.... •» Furnace 100,000 PTU +
'I) incl.ducts&vents 7.50
Oweer
,,,,. � oor urnance
3) incl. vent G.00
--- • . ,,,,.. ...
Suspended eater,wall Reeler
4) or floor mounted heater 6.00 Z of
w ... Vent not inc.in
Occupant 5) appliance permit 3.00
,,. Repair o eating,re ng.
6) cooling,absorption unit 6.00 _
Boiler or coma,tioat pump,air con
(�, j7 -rbc ( ,�►( �2v L, 7) to 3 HP absorp unit to 100K BTU 6.00
.,, •„ v_r — »- der or comp, eat pump,air con .
-z z Z 4 8) 3-15 HP absorp unit to 500K BTU 11.00-
Contractor of or or comp, eat pump,air cond.
9) 15-30 HP absorp unit.5.1 mil BTU 15.00 _
.,,. •�.„,, •• der or comp,heat pump,air can .
10) 30.50 HP absurp unit 1-1.75 mil BTU 2250
hereby ac ow 3e t at cavo rea is ap ication,t at tie -- i er or comp, at pump, co
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mit l BTU 31
of the owner,that plans submitted are In compliance with State Air handliog unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air an ing unit
please give reason below.) 13) 10,000^TM+ 7.50
Non porta,�,ra
14) evaporate cooler �- 4 50
Vent Tin connected
15) to a single dud 3.00
Ventilation system not
16) included in appliance permit 4.50
- .. Hood sarved by
17) mechanical exhaust 4.50
escn w mmercia or industrial
new tra
to be dale residential Q non-residential Qr 18) type incinerator 30.00
-x Sung t IseT 7 er i.e.,woo ssioVa.water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4• •outlet _
Typo of fuel oil Q natural gas LPG 0 electric O -
OT CF.
Minimum Fee$25.00 SUBTOI"A1.
PERMITS BECOME VOID IF WCAK OR CONSTRUCTION I
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR 5%SURCHARGE _
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOT.NL � •`
AFTER WORK IS COMMENCED.
TOTAL I
Special Conditions
Date issued by
.,,Mrs..«+.•
OEE 35MM
ROLL #, 20
FOR
OVERSIZED
DOCUMENT
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TUALATIN VALLEY FIRE & RESCUE
>P n < AND
�l BEAVERTON FIRE DEPARTMENT
\ FIRE MARSHALS OFFICE
kd r�J� (503) 526-2469 POSTED:
E
FAR
OCCUPANT L ��
CONTRACTOR I 1�N{,l�� i BLDG. PERMIT 0
PROJECT NAME PLAN REVIEW 4k
LOCATION
JURISDICTION: 1= Be. 2= Du, 3= K.C. 4= T 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPE&I-AL -4- FOLLOW-UPJREINSPECTION ATTEMPTED FINAL
❑ Framing U Separation Walls ❑ Sprinkler System
❑ Shaft ❑ Fire Dampers (Overhead/Underground)
❑ Alarm System ❑ Hood' Extng Systems ❑ Conference
❑ Spray Booth ❑ Ceiling Cover ❑ Other
Date: Inspector. ;� :�
\P'VIN If 11 TUALATIN VALLLEV FIRE & RESCUE
h BEAVERTON FIRE DEPARTMENT
FIRM, MARSHALS OFFICE
(503) 526-2469 POSTED:
i
OCCUPANT .__ ' __�� �'� ��✓„a � � 1
i
CONTPACTIR BLDG, PERMIT It
PKOJECT NAME ^—! PLAN REVIEW It
LCCATION
JURISDICTION: 1= Be. 2= Du, 3= K.C. 4= Ti, 5= Tu. 6= Sh, 7= Wi, 8= CC 9= WC 0= MC
COVER. FINAL SPECIAL F011OW-UP/REINSPECTION ATTEMPTED FINAL
Framing U Separation Halls Sprinkler System
Shaft 0- Fire Dampers (Overhead/Underground)
Alarm System lJ Hood' Extng Systems Conference
L� Spray Rooth El Ceiling Cover Other
Ids L
1 P r
Date; Inspector: ;t
P�PTIN TUALATIN VALLEV FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
' FIRE; MARSHALS OFFICE
Ri (503) 526-2469 /a RFso � _ POSTED; ✓
OCCUPANT ' w
CONTRACTOR BLDG. PERMIT 0
PROJECT NAME -7 PLAN REVIEW 0
LOCATION 7-2/,;- /1�2
JURISDICTION: 1= Be. 2= Du. 3= K.C. Ti� 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC O= MC
COVER FINAL 15PECIA FOLLOW-UPIREINSPI ::TION ATTEMPTED FINAL
❑ Framing ❑ Separation Walls Sprinkler System
❑ Shaft ❑ Fire Dampers t Overhe_C.�Underground)
El Alarm System R� Hood' Extng Systems ❑ Conference
U Spray Rooth L__J Ceiling Cover ❑ Other
ELK)
Date: Inspector:
i
`13
v
TUALATIN VALLEY FIRE & RESCUE
AND
BFAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive • P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538
Oil
September 3 , 1992
John H. Romish
2216 S. E. 24th Avenue
Portland, Oregon 97214
Re: Brighton Best Socket Screw Manufacturing, Inc.
72"2 S.W. Durham Road, Suite 100
6290B-191-001
Lear Mr. Romish:
Thi.; is a Fire and Life Safety Plan Review and is based on the
1988 editions of the Uniform Fire Code (UFC) and those sections
of the Uniform Building Code (UBC) and Uniform Mechanical Code
(UMC) specifically referencing the fire department, and other
local ordinances and regulations.
Plans are conditionally approved subject to Tigard Building
Department requirements and the following items:
1 . Address Repaired: The tenant space number must be
prominently displayed on the street front where it is
readily visible to drivers and officers of responding fire
apparatus and other emergency vehicles. UFC Sec. 10. 208
2 . Fire Extinguisher Req uirem „ts: Not less than one (1)
approved fire extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square foot of
floor area or fraction thereof. The travel distance to an
extinguisher from any portion of the building, shill not
exceed 75 feet. UFC Sec. 10. 303
( *)
1A10B:C - Light and Ordinary Hazard
;. , OB:C - Extra Hazard
(**1 3 , 000 - Light Hazard
1, 500 - Ordinary Hazard
1, 000 - Extra Hazard
Note: Where flammable or combustible liquids are used,
"B" ratings of extinguishers may need to be higher and
travel distances shorter. . See requirements in National
Fire Protection Association Standard 10-1.
v
'1W&*M/"Smoke Detectors Save Lives
John H. Romish
August 3 , 1992
Page 2
3 . Automatic Sprinkler Plans: Plans referred to and examined
by this office contain no provisions for the alteration or
installation of automatic sprinkler system. Not less than
three sets of plans for the installation shawl be
submitted :.-3 this office for approval prior to
installation. UBC 302 (b)
4 . Approved Plans on Job site: One set of approved plans
bearing the stamps of the building department issuing the
construction permit and this office must be maintained on
the project site throughout all phases of construction and
must be mad? available to building and fire inspectors for
reference during required construction inspections. UBC
Sec. 303
5. Final Inspection and kpproval: Upon completion of this
project and prior to asking for building permits for
construction, this office shall be contacted for a field
inspection to review compliance with fire code
requirements. A final letter will be issued to the
Planning Department stating compliance with fire code
requirements.
Approval of submitted plans is not an approval of omissions or
oversights by this office or of non-compliance with any
applicable regulations of local government.
if I can be of any further assistance to you, please feel free
to contact me at 562-2469 .
Sincerely,
��' 1 10",1) J,
Bradley N. Wanamaker
Deputy Fire Marshal
BNW:kw
cc: Jim Jaqua ✓
Tigard Building Department
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171 _
_ --,m«- )escnption -
ORS 814 21 (>tn FQTY PRICE Ab1T
-,ter----
Ob - 72 3 FIXTURES
/Address W w in .50 SD
vatory 5U �j
►7:/�T.»► u or u o power Comb
Shower Only __ 7.50
r.v a.y... � atef loses .50 7 0
Owner rshwasher 7.50
Garbage-Disposal
Washing Machine 7 50
�.�:i..•... .,.,„., - K Drain 7.50 1.1V
v.atix eatef 50 7•SO
-Tau ry Room7—ay^
Occupant �'� ,�� Unna) - 7.50 —
e"� Other �Fixtures(SP-- ) �— 50 ,SD
7.50
•• 7.50
MISCELLANEOUS
Contractor m
;ewer It 100' i 30.00
••N. Sewer-ea.Addit. too' 15.0u F—
ater Service 1st 100' 20.00
hereby ac ow getat have r-ea us app kation, that die Water Service ea.Addit.200' 15.00
information given is correct, that I am the owner or audiorized agent of - -J
the owner,that plans submitted are in compliance with State laws, that I Storm 6 Rain Drain 1st 100' 30.00
am registered with tie Constructor,Contractur's Board, that the number Storm L Rain Drain Addit. 100' 1500
given is correct. (If exempt IfL.m State registration, please give reasun
below.) Mobile Nome Space 2500 _-
-�- Back Flow Prevention
Device or Anb•Pollutior,Device 7.50
Q...a««.. - Any Trap or Waste Not
Connected to a Fixture 7.50
escn work new addition 0 alteration repair ,) at asin 7.50
to be done residential O non-residential 40.00
Insp. of Exist. Plumbing _ per hr
--- 40.00
Specially Requested Inspections per hr
Exiting use of /�--,�-�� in rain,single ami y
building or properly�� 1 15.00 dweiling ---
Residenbal backflow prevt:ition
devices
Proposed use of /
building or property Gt/G/' _
'(txcept resr enrral backflow
prevention devices)
NOTICE •ftlinimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCT ION 5%SURCHARGE
AUTHORIZED IS NOT CC IENCED WITHIN 180 DAYS,OR IF ---
CONSTRUCTION OR WG IS SUS-ENDED OR ABANDONED PLAN REVIEW 259 OF SUBTOTAL
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS _ '
COM.".1ENGFD.
TOTAL �.Sd
Special Conditions _ ^
Date issued _ by
..oiwew.n
,r
CITY OF TIC�ARa
OREGON
August 27, 1992
John H. Romish, Architect
2216 S.S. 24th Avenue
Portland, OR 97214
Project: Brighton-Best, BUP92-•0256
7272 SW Durham Road, Suite 100
Dear Mr. Romish:
The plans for this project were review-' for conformity with applicable
codes, and are conditionally approved. As this is a new building, as well
as a first tenant, we will need plans for the automatic: sprinkler system
layout for the tenant as well as the rest of the bulldiiig.
He will expect the mechanical and plumbing plans to be submitted by the
sub-contractors as usual. The U.S.A. fee paid for the building shell will
suffice for the first tenant. A copy of our U.S.A. log for the building is
enclosed.
The building permit for this project may be obtained at any time. if you
have cpiestions, or if we may be of assistance, please contact us.
Sincerely,
V.�Tim Jaqua!�
Plans Fxaminer
FAX (503) 684-7297
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 --—- ----------�
1{
{{
SIGN PERMIT
PERMIT #: SGN93-0002 DATE ISSUED. . . . : 01/19/93
EXPIRATION DATE:
PARCEL. . . . . . . . . : 2S113AC-00100
ZONE. . . . . ... . . . . I-P
BUSINESS NAME. . : BRIGHTON BEST
SIGN LOCATION. . : 07272 SW DURHAM RD
APPLICANT/AGENT: C BREIDENBACH
BUSINESS TAX NO:
r------s-------=----------xxasm¢axxaxcaasaaa=c¢xaxx=cxmassx_arxx�x¢xa--xc=.sss
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS. . . . . . : 1' X 14'
TOTAL SIGa AREA. . . . . . . 14 eq.ft.
WALL AREA. . . . . . . . . . . . : 440 sq.ft.
WALL. FACE (DIRECTION): E
SIGN HEIGHT. . . . . . . . . . : 20 ft.
PROJECTION FROM WALL. : 2 in.
ILLUMINATION. . . . . . . . . : NON
DESCRIPTION OF SIGN:
PERMANENT WALI. SIGN. 1' X 14' 14 SQ.FT
MATERIALS. . . . . . . . . . . . . PLFX/FOAM
EXISTING S INS. . . . . . . . 0
ELECTRICAL. PERMIT REQUIRED: NO
Y
BUILDING PERMIT REQUIRED. . : NO
ADMINISTRATIVE EXCEPTIONS. : N/A
PERliIT FEE: $ 10.00
APPROVED BY:
DATE: 01/19/93
Permit No.
QTY OF TIGARD --- -__.
SIGN PERMIT APPLI(--NTTON
The applicant hereby applies For a p--xmit for the work .indicated or as !1- Y7411 in the
a' nYing Plan; arra specifications.
SIGN IDCATION ADDRESS: 7272 SW Durham Road
- — 7ANIIVC::
NAME OF BUSINESS: _ Briahton Best _
APPLICAMr/AGS: C.Breidenbach CXMANYSigns In Depth,In
E: 503 635 3390
Ttx City of Tigard iNposes an aravyal Business Tax which must be kept CLM-dent on all
persom doing business in the City. Do You presently have a current business tax?
YES ( X ) No ) Licralse .p _ Metro # 1946 OCB # 66735
PROPOSED SIGN: (Check as many as apply)
PFT2r4ANFNT' ( X) Ff2EEMMN Uc ( ) FRET3q�1Y
, Fee s
( ) 0 -Z
4 5 q. F t.S 10.ZFORAfZY (X FIF)7IRtDIC )24-100sq.rt. 5.OTHR B ( BALTOW 100 + $35.
SICK DDIMSIONs: I ' high j X 14' witIa = 14 sq. f t_. , ,IgY DATE:
IuML %7r(.N AREA (Sq• Ft•) : 1 d _—
WALL AREA (Sq- Ft.) : 440 —WALL FACES-(D.ireection� P-4 —--- Fees
f�C�rr (F-t) : l►x.11 r___ --------- t201---. ( ) 0-10 s q. ft
Pf1am-- CSN FROM
IMMIMMON: YES ( ) NO ( X) TYPE: Raised Lit-+nes
COPY.: BRIGHTON BEST
PTex Face Styrofoam
FXLS'rjM Slurs:
AMINISIRATIVE FXCFMON: N/A ( X) 1+F'F'RDVFD ( ) flow KKR . 1:
ARFA ( ) 1*-T(Arr ( )
C1?•Y'iQIIS:
pLLN� DFPARIMFNT All sign permits m-tst be 'a — —
Permit Fee: �_v_— crxsrg.�anied by a scale
drawing and plot plan. If work authorised under
E?eoei No: --,'3 S�� a sign permit has not been a�leted within ninety
�: - days after t2x� permit
7pvof the permit, the
_-��___- shall b000me null aM void.
ELECTRICAL PERMIT I CE 'Uy THAT I AM THE REMPUED MfER OF THE
RD?UERED: YES ( ) NO PROPERIY OR AN AGF7rT AUIWAZIZED BY THE OWNER.
BMDING PET-wr 7
RIMMED: YES - C._ Breidenbach __
( ) (� Appl.icant-'s_ Si�y�tore
Signs In�eptn,Inc.
17150 SWP fake Oswr o Or.97035 (503)635 33
Adiress lb lephon"�
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