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7324 SW DURHAM ROAD
CITYOF T I C A R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2004-00141
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 3/31/2004
PARCEL: 2S113AB-01400
ZONING: I-P
JURISDICTION: TIG
SITE ADDR-SS: 07324 SW DURHAM RD BLDG H
SUBDIVISION: FANNO CREEK ACRE TRACTS
BLOCK: LOT:
CLASS OF WORK ALT
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: SPEC SPACE
REMARKS: ADA upgrade, demo walls for spec tenant.
Owner:
PACK IC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300-WMI
PORTLAND, OR 97224
Phone: 503-624-7717
Contractor:
C A. GREEN
15350 SW SEQUOIA PKWY. #300
PORTALAND, OR 91224
Phone: 503-624-7717
Reg #: LIC 156496
This Certificate issued 5/19/21104 grants occupancy of the above ref, rented
huildirg or portion thereof and confirms that the building has been - -F cted for
compliance i-,rith the State of Oregon SpecialtyAdes for th a group, occupancy,
and use gcler Which the referenced permit w ' �t u d
81�1;-DING INSPECTOR BUILDING OFFICIAL
POST IN CONSP;000US PLACE
CITY OF TIGARD 24-Hour
BUILDING ( Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received -_ 6,11 -_Date Requested C - AM r PM BLIP
Location �---_� �C�.-1wt J'C( Suite_— _ MEC - --------
Contact Person _____ = Ph PLM _
Contractor-_ _—_ Ph(' ) SWR
BUILDING Tenant/Ownei _-
Footing ELC
Foundation Access:
Fig Drain ELR
Crawl Drain - - - --
Slab Inspection (Votes: SIT
Post& Beam
Shear Anchors -- - - --
Ext Sheath/Shear
Int Sheath/Shear
Framing
-
Insulation
Drywall Nailing - --_ -- -�. _----- -_
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — -- - - ---- -
Roof
Fi
PASS ART FAIL --�- - --
'PMBING
Post& Beam----
Under Slab
Rough-In
Water Service -
Sanitary Sawer
Rain Drains
Catch Basin/Manhole
Storm Drain --- -- _. - ------ -- -- - _
Shower Pan
Other: - ---- -
Final
PASS -PART FAIL
MECHANICAL _
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL -- -- - ----- ---- --
ELECTRICAL
Service -`--- -- -
Rough-In
UG/Stab
Low Voltage
Fire Alarm
Final - �----�-` —`-��-_--
Final Reinspection fee of$_ ._-. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FALL
SITE -_ L__J Please call for reinspection RE:- _-. r' Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date-� G Inspector- Ext
Other:
Final DO NOT REMOVE this Inspection (record fro the Jnb site.
PASS PART FAIL
CITY OF TIGARD 24-Hoar
BUILDING Inspection Line: (503) 639-4175
INSPF 'MON DIVISION Business Line: (503)639-4171 MST _
_ BUP -
Received __Date Requested 779 AM_ PM BUP -_ -
`�
Location - , -V u 2-�2G � z/ . Suite MEC
Contact Person Ph PLM _
Contractor (� Ph( ) __ SWR
BUILDINGTenant/Owner _ ELC
ooti
Fng _
Foundatu,, Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Doom
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing ----- — -- ....- - - -
Insulation
Drywall Nailing ----_-.- --- _ -
Firewall - ,; , L/ / /O`'"��� /�/�G�/Ti�✓�//j
Fire Sprinkler
---t--
Fire Alarm
Susp'd Ceiling - -
Roof ry
Final
PASS PART FAIL -
PLUMBING
Post&Beam
Under Slab
Hough-In
Water Service - -- - - ---
Sanitary Sewer
Rain Drains - - ---- -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: _
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-in
Gas Line
Smoke Dampers —
Finaf
PASS PART FAIL - - -
ELLCTRICAL—_
Service - -_ - --- ---
Rough-In
UG/Slab,- - - -- —--
wVolta
Fire Alarm
PASS RT FAIL L_1 Reinspection fee of$ _ required before next inspection. Pay at City Nall, 13125 SW Hall Blvd.
Please call for reinspection RE:_ Unab,e to inspect-no access
Fire Supply Line
ADA Date 0 ! tne�recto��C
Approach/Sidewalk -- -- _EJC!
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Lig. (503)6:19-4175
MST
INSPECTION DIVISION Business Line: (503) 639 4171
/ BUP
Received Date Req ested /�� -� '�`� AM- PM BLIP
Location _.. _,��� ���%�--Gt a441 ` Suite
Contact Person _ _ Ph( ) `�l �9 J PLM _
Contractor Ph(—) SWR �—
BUILDING Tenant/Owr er _ _-_ ELC
Footing
kLC
Foundation
Access:
Ftg Drain 'SLR
Crawl DrE,in
Slab Inspection Notes: SII _ -
Post&B 3,im
Shenr Anchors —
Ext Shsath/Shear
Int Sheath/5�aar
Framing — --- --—- -
Insulation
Drywall Nailing -- --- -- --- - - --
Firewall
Fire Sprinkler ------------ --- - --- --- - -
Fire Alarm
Susp'd Ceiling - — --
Roof
Other: - ------ --- ^\
Final
PASS PART FAIL
PLUMBING
Post&Beam '
Under Slab -- --- —
Rough-In j
Water Service — ------ - — - -
Sanitary Sewer
Rain Drains - - --
Catch Basin/Manhole
Storm Drain --- - ------ --
Shower Pan
Other: _ — --
Final
_PASS PART FAIL —
---------..__.._---
MECHANICAL
— -- --- ---------- ----- -- ---
Post&Beam
Rough-In ----
Ras Line
,EWroksDampersS PART FAIL -
RICAL
Sarvice
Rough-In - — --- - ----------
UG/Slab
Low Voltagb _—� - -- --—. -- ----
Fire Alarm
Final Reinspection fee of$— -_ rE red before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE_ _— [� Please call for reinspection RE: -____..___-__—_ ithe
inspect-no access
Fire Supply Line
NDA /Z/0-1
Approach/Sidewalk Defte Inspector _ _ ExtOther.
Final DO NOT REMOVE this Inspection ecord frosite.
PASS PART FAIL
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00222
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/28/04
PARCEL: 2S113AB-01400
SITE ADDRESS: 07324 SW DURHAM RD BLDG 11
SUBDIVISION. FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK. LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE. OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W!O APPL: VENT SYSTEMS:
STORIES: BOILERS_/COMPRESSORS HOODS:
FUEL_TYPES 0 - 3 HP: DOMES. INCIN:
r 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
WOOD
GAS PRESSURE: 50 + HP: RS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:.
FURN >=100K BTU: <_ 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks: Move grilles&duct for new floor. Value: $2500.00
Owner: � FEES__
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300-WMI —"
PORTLAND, OR 97224 [ML•�'ll] Permit Fee 412.8/04 $84.00
[TAX] 8%State Surchar,, 4/28/04 $6.72
Phone: Total $90.72
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE`
PORTLAND, OR 97222 REQUIRED INSPEC i IONS
Phone: 233-6911 Mechanicallnsp
Final Inspection
Reg #: LIC 38868
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All worts 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 I,vt
requires you to follow rules adopted in the Oregon Utility Notification Center. Those IL-;%,.,s are set forth in OAR 952-001-00
Issued By J � Permittee Signature
Call (503) 639-4175 by 7:00 P.M. for inspections needed the ext btiskre4s day
Mee PCEII)it Application OOONLY
�r Received C
G �:ltll Date/By: ,�D ��� Fcmut V�` � S31
13125 SP ,.)I Blvd.,Tigard,OR 97223 Plan Revi o�
Phone: 50 .639.4171 Fax: 503.598.1960 Date/By. other Permit
Inspection Line: 503.639.4175 Date Ready/By: fur a i3 See Page 2 for
Internet: www.ci.tigard.or.us Notilled/Method: Supplemen.1lniormation
— TfPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑
New construt tion OAddition/alteratlon/replacement
Mechanical permit fees*are based on the value of the work perfotmed.Indicate the value(rounded to the nearest dollar)of all
❑-Demolition ❑Other: mechanical materials,equipment,ment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:S
-�'-` RESIDENTIAL M QUIPMENT/SYSTEMS FEES*
❑ I-and 2-family Jw,:11mg ,QComnicicial/industrial ❑Accessory building —
❑Multi-family ❑Master builderFor special information use checklist.
-� ❑Other Description Qty. Ea Total
JOB SITE INFORNIATION AND LOCATION Heatin coolin
Job site address: _7_315W Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: 7-15--,A e n Furnace 100,000 BTU(ductslvents) 14,00
Il
Suite/bldg./apt.no.: t' ett name: Furnace 100,000+BTU ductsivents 1790
—_l-____.__5 Gas heat pump 14,00
Cross street/directions to job site: Duct work 14.00
H dronic hot waters stem 14.00
Residential boiler(radiator or
h dronic) 14.00
-- Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc, 10.00
Subdivision: Lot
Flue/vent for am of above 10,00
I_no.: _`- -
Other: 10.00
Tax map/parcel no.: _ Other fuel appliances
DESCRIPTION OF WORK _ Water heater 10.00
-_-- _. _---- =s---- - Gas fireplace 10.00 _
t^l/ .o! /�'- '�,-• _ 7- 1 Flue vent for water heater or gas
iQ✓J
fireplace 10.00
-
Log lighter as 10.00
_
Wood/pellet stove 10.00 _
Wood fir lacehnsert10.00
rrP (3PROPERTY QWNF.R TENANT
— Chimne iliner/flue/vent 10.00
- VNFR Other: 10 00
Name: - � '7"k U -� Environmental exhaust and ventilation
4ddress: Range hood/other kitchen
equipment 10 00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ^` Single-duct exhaust(bathrooms,
( ) _ --_ - Fax:( ) toilet compartments,utilit rooms) 6.80
❑ APPLICANT L! CONTACT PERSON Attic/crawls ace fans 10.00
Business name. — Other: 10.00
------- - — --__..e--
Fuel piping _
Contact name: $3.40 for first four;$1.00 for each additional
Address: i Y Furnace,etc.
------- -� Gas heat pump
City/Slate/ZIP: Wall/suspended/unit heater
Phone ( ) Fax: :( ) Water heater
- --
Fireplace
F-mail:
Range
- '----------
CONTRACTOR J + Barbecue _
Business name Clothes dtyS S ai)
Othcr
Address: -S-4c- 7 T CiC MECHANICAL PERMIt ftES•
City/State/ZIP: 7���, 7 - Subtotal G3(
Minimum permit fee($72.50)
Phone:(<,a;) v�� ,.�y i Fax (j-,� ) «+3W o)-7 7 _ Plan review(25%of permit fee)
CCB lic.: 1 State surcharge(8%ot'permit fee-)�--��� '/
TOTAL.PERMIT FI;E I(U--�
Authorized signature: This permit application expires Ira permit Is not obtained.vithin 180
days after It has been accepted to complete.
Pt7nt name: t :24 ✓f Bate: y t� Fee methodology set by Tri-County Building lodusrry Service Bocrd
t u3uildina\Petrnns%MEC-PenritApp doe 12103 440.4617T(I VOKON M'EB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Tg61'ValuAtlo�`, Permit. Fee:
$1.00 to$2,000.00 Minimum fee$72.50
$2,001.00 to$5,000.00 $72.50 for the first$2^00.00 and$2.30
for each additional$100.00 or fraction
thereof,to and including$5,000.00.
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and
$1.80 for each Wditional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and
$1.35 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and
$1.25 for each additional$100,00 or
fraction thereof to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first$100,000.00 and
$1.10 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
is\Building\Pemits\MEC•PermitApp.doc 12103 2
ELECTRICAL -
r CITY OF 'T'IGARD RESTRICTED ENRIGY
DEVELOPMENT SERVICES PERMIT#: ELR2C')4-00112
13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4171 DATE ISSUED: 4/28/04
SITE ADDRESS: 07324 .., , DURHAM RD BLDG H
PARCEL: 2S113AB-01400
SUBDIVISION: FANNO ,REEK ACRE TRACTS ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: T-stats
A. RESIDENTIALR.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: y INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOC'C: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRF ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: T STATS X
TOTAL#OF SYSTEMS: 1 _
Owner: _ Y Contractor:
PACIFIC REALTY ASSOCIATE PROTEMP ASSOCIATES INC
15350 SW SEOUOiA PKWY #300-`NMI 807 NE COUCH
PORTLAND, OR 972.24 FORTLAND, OR 97232
Phone: Phone: 233-6911
Reg#: ELE 26-1063C'R1:
LIC 38868
SUP 2613L.E II
FEES Required Inspections
Description Date Amount Low Voltage Inspection
1 FI-PRIVITI ELR Permit 4128104 $75.00 Flect'I Final
ITAX1 9%State Surcl m-! 4/28/04 $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 1,nth approved plans. This permit will expire it work is not
started within 180 days of issuance,or if work is suspended for more than 130 days. ATTENTION Oregcn law requires
You to follow rules adopted by the Oregon Utiiity Notification Center. Those rules are set forth in OAR 952- 01-0010 throuc
Issued byl_ '-K-e- Permittee Signature
OWNER INSTALLATION ONLY
The installation Is being made on property I own which is riot intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ _ _ _ DATE: _
LICENSE NO: L
Calf 6394175 by 7:00 PAM. for an inspection needed the next business day
Electrical Permit Application FOR OFFICE USE ONLY
City tf1P'fig and
f rah lt`
13125 SW I tall Blvd., rigurd,OR 97223
Phone: 503 631)4171 Fax, 503 598 1960 pate I thlier I'arnut
Inspection Line. 503.639.4175 Dain Read;.9, J ® tire Peke 2 I'or
Internet: www cn tigardor.us �uulieJ�IcibuJ �I Supplemrnlal Inlurn+mloi
YPE OF WORK V PLAN REVIEW
❑New construction Addition/alteration rcplacenient� Please check all that upply
❑
❑tiersicc user 25 amps,comm') ❑Ilaturdous location Demolition ❑Other ❑Scnlce o%er 3221)amps rating ❑Bwidng ager lu,urn)scl :t.
CATEGORY OF C'ONSTRI CT!�)N kit'I-and 2-larnily dwclhogs 4 or mute new ie•.idenua!
❑ I-and 2-family dwelling ❑Commercial industrial ❑ Accessory building ❑System over(lot)volts nominal units in one structure
❑ ❑Iluddutg'a%cr three stories ❑Feeders,400 amps or more
Multi-family ❑Muster builder ❑Other:
00ccupunt loud U\er 99 pet-sons ❑�Munuthctured suuc0ucs,o
JOB SITE INFORMATION AND LOCATION _ ❑1•gress,lighting pian RV park
❑health-cure tucliny []Other
l tub no.: Job sit address:- 7 3 1V ZNAm �+
I— L SUt7nllt sets ol'pluns with any of the abo%c
City/State'ZIP: �1� e T 1'he abuse urr nut uppLcuhk t„temporary cunstrt+etnm sen cr
FEE' SCHEMLE
Suite/bid ./apt.no.: Project na,7r.: � jy� —
Descriplimi Qn. I Fee. final '
Cross street/d!rcetions to job site: Ncw residential single-or multi-fandFy dwelling unit.
--- Includes attached garage.
1,000 Sy It or less 145 15 rJ I
Subdivision: Lot no.: Fu.add'l 500 sq,Il or portion 3340 1
Limited energy,residential 75.00 2
Tux map/parcel no. - ,
- Limited energy,non-residential 7500
DESCRIPTION OF WORK Lach monutuctured or odular
�. dwelhn ,sen ice and/omr I'ecder I 911(Ju 2
_ S�J�i�J Services nr)seders Inslullutbn,ulterutlon,and or relucuiion - I
— �- 200 unsps or less 8030 2
PROPERTY OWNER ❑ TENANT 201 umps to tun amps 10685 2
401 umps tit 600 amps 100 00
Name: ��i4C �'�v 601 amps to 1,000 snips 24O 0u
Address: Over 1,000 umps tir volts 454 05 ---+'
Reconnect only 06 85 '
City/State/ZIP: __ Temporary services or reedery installation,alteration,undror
Phone:( ► Fax ( I relocation
200 snips ar less 60,85 1
Owner installation:This installation is being made on property that I own which is not 2111 amps 10 400 ulnps lou 30 '
intended for sale,lease,rent,or exchange,according to ORS 44',449,671),and 701. 401 snips to boa amps 133 75
Ownrr signature: Date: _ Branch circuits-new.alteration.or exlension.per panel
❑ APPLICANT ❑ CONTACT PERSON A Fee for branch circuits and
service or Feeder fee.each
Business name: branch circuit ('0=
—�
13 I-cc for branch circuits
Contact name: it lyduut service or feeder Ice, 40 85 ,
Address: each branch circuit
Exch udd'I brunch circuit 6 65 '
City/Statc 2lp: Miscellaneous(service or feeder not Included)
Phone: Pump or irrigation circle 53.1) '
Fax ( _ ) Sign or outline lighting 53 41) 2
_ Signal clrcuit(s)or Innncd-
C'ONTRAC TOR energy punct,alteration,or
ex'enswn Describe
f3uslne s Hume: �j r
Address 5 — - — F.ach additional Inspertlon mut allonah)e in am 01 till,atitt,t•
Per Inspection 1.
Citv•State ZIP �—'--moi u p 7 Investigation per hour(t hr nnlu6'Su
Phone:(s-„� ) --� Fax l�'p�l a4-9 7� , Industrial plant per hour
a styELECTRICAL PERMIT FFF.S•
CCH Lic 1 Electrical Lie. Supra Ltc subtotal r- 5
Suprv. Electrician signature,required I Pian rrsrea otpcimit lee
Print name _ — — hate —� State surcharge 18 ,I perniit rccrcc
�1 ------ 'y—� I TOTAL PERMIT FF.F
Authonzcd signature I
This permit application esplres If a ixrr,tit Is not obtained within I+tu
I— -- ---{ days otter II hes heen ur.cepted as rnny,iele
Print name' 4 j Date I Fee
ntelhod,Iop<ci h, Tn t,omw.Building Indu.tr,srn,.r!6•.r f
••\wntkr of iispeeumu per penin illnwed
puJJm`Permnl FLC•Permu.ipp J,x 1:o) jl r,. i :,+>,I u I ll
Electrical Permit Application - City ot"Tigard
Page 2 - Supplemental Information
LINUTEU ENERGY PERMIT PEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY: _
Fee for each commercial system..... ................ $75.00
(SEE OAR 915-260-260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC'.
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor landscape Lighting*
❑ Protea Live Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
H ojjins Pem w%CIA pe"'m Npp j- 4
CITY O F TI GA R D ELECTRICAL PERMIT -
PERMIT#: ELC2004-00162
DEVELOPMENT SERVICES DATE ISSUED: 3/31/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01.100
SITE ADDRESS: 07324 SW DURHAM RD BLDG H
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
Project Description: 1 200amp service with 20 branch circuits.
RESIDENTIAL UNIT TEMP SRVC!F_EEDERS _ _MISCELLANEOUS
1000 SF OR LESS: 0 200 amp:— PUMP/IRRIGATION:
EACH ADD'L 500SF. 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE!FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: 1 W/SERVICE OR FEEDER: 20 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ _ PLAN REVIEW SECTION
1000+ amp/volt: —^ -4 RES UNITS: -- >600 VOLT NOMINAL: -`-
Reconnect ons— SVC/FDR—225 AMPS: CLASS AREA/SPEC GCC: J
Owner: Contractor:
PACIFIC REALTYASSG,;IATES JOHANSEN ELECTRIC INC
15350 SW:;EUUOIA PKWY#300-WMI 10949 SE VALLEY VIEW TERR
PORTLANC),OR 97224 CLACKAMAS, OR 97015-000
Phone: Phone: 503-698-3417
Reg #: LIC 51539
— — ---- SUP 20535
FEES _ r:L.r 3-243(
Description Date Amount
Required Inspections
[ELPRMTI EL( Permit 3 31 n4 $213.30 —
[TAX)8,6 Statc Surcharge 3/31/114 $17.06 Elect'I Service
—- _ Rough-in
Total $230.36 Elect'l Final
J
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 6pproved 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 ordirect questions to OUNC at(503)
246-6699 or 1.8002-23 /
Issued By: e1 Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intendr d for sale, ease, or rent.
OWNER'S SIGNATURE: _ ,ATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE: __
LICENSE NO: ��( r.> ---- -- - -- -- - --
Call 639-4175 by 7:00pm , r inspection the next business day
From Charlynn J.Loifsen To:City of Tigard Date 3/30/2004 Time 10 49 58 M i Page'of 3
Electrical Permit Application
Its of Tigard Al(il :'lanning ppro sl Sign
'J tdit: PcttniI No.
13125 SW Hall Blvd. (,I I y U Plan Review Other
Tigard,Oregon 9'1223 '.!JI I.OI r Dat•:/e _ Permit No-:
Phone: 503-639AI71 Fax: 503-5 8-1960 Poet-Review Land use
1?aw/By Case No.:
Internet: www,ci.tigard.or.us Contact J _ ,, see Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Madw: aupp!emental Information.
rl New construntion I •U Demolition Service over 215 am)s- Healthcare facility
commercial 0 Hazardous location
x Additlon/alteratlon/re lacenient I Other: n Service over 320 amps rating or (]Building over 10,000 square feel,
I A 2 farmty dwr.ilingn four or rnvre residential units in
1 &2-Familydwellin x Commcreial4ndustrial CJ Sytrle'm over 600 v,rlts nornaoal one dens,4 e
Building over three stories [�Feeders,400 amps or more
ACCEIISO BuildingM111ti'FSTr1lIY ❑Occupant load over 94 persons ❑Manufactured structures or RV park
Master Builder Other: D Cgress/lighting plan n other _
Sr brnft seta of plans with any of the stave.
'fit The above are nota Iles de to teen era construction service
Job siG_e address:7 4 W Durham_ _ # � -`
,ter'-Yi. - �.. .... 3,.r, _ .. - ,�
SUite#: -- v--^_L 131dpL/Apt.#: _ _ _ _ Number of los cellona er PIt allowed
Project Narne Building H specue:rrl u0 - ` Fe'I"' °w
New residotla4dngk or multi-famih•per
Cross street/Directions to job a ite: dwelling ,not.Incindes attached garage.
Service I.auded:
IOW aa.n.or leu _ 145.1. 4
Each additional 300 sq.fl.or portien 0torcof 33.40 __
_Limi rmergyjosidentul 75.00 _ 2
l energy,
Subdivision: Lot# _ Umatanon residential _— 75.00 2
Tax MAP/parcel#: Padh manufactured lame or modular dwelling
•w se:vke andlor feeds 9090 2
9.rvkes or feeders-lasrallatioe,
allarntlosl or rslwation:
z00 arts or heti. t 80.30 80.30 2
Spec_space Improvement - - 101 am ,naou,m -- 106.8. - 2
401 unpe to 600 amp!.. 160.60 2
601 amps to IOMITP _ 240.60 2
Over 1000 a_ rats or volts __ 454.65 2
Name: _ Reconnect art 66.85 _ 2
Address: Temporary services or feeders-installation,
— alteration,or relocation:
Cl /►Stat%: _ 200 amps_or less -- 66.85 i
201 amps io 400 amps 100.30 2
Phone: Fax: 401 to 600 ami -� - 133.75 2
Brooch circuits- reiteration,or
Name: Johansen Electric Inc. atensoon per panel:
A.Fee for branch circuits with purchase of
Address: 10948 SE Valley View Terr. saviee at feeder tax�each branch circuit _ 6.65
Cit /StatC/Zt : Clackamas, OR 97015 ^— Fee for branch circuits without purchue of
service orfeeder fa,fusi bnm h circuit 46.85 2
Phone: - 1 Fax: (503) 698-2486_ Early duitiond'nranch circuit 6.65 U3 DO 2
,nail: ohansen He aol.com Misc.(Servlee of feeder nor included).
2Each irrigation circle 53.40
rsaeh ai>Rn or cadiae Iiahtfng 33.40 2
8560 �—�-
JOl)NO: Signal circuit(.)or a Iftrited ena•ry perrcl,
alteration,or extension Pa 1 1
Business Name: Johansen Electric Inc. _ Ileattiptien:
Address: 10948 SE Valley View Terr. -
Each additional Inspection over the&list lea of the above:
it /
CState/Zi : Clackamas, OR 97015 Per;Mpoctbrr. per hour(m1n 1 r-i-' -- x•50
phone:{503)898-3417 _ Fax: ( 03) 698-2488 invati tion res'
51539 Lic. estikfi"—
Othe"
CCB Lic.#:Supervising electrician subtotal S213.30
si store regtJired: VMF
_ Plan Review(25'Y.of Permit Fes. _ 5
Print Name:Carl K.Johansen Lic.#: 2053S _ __ State Surctter)ze(tl'/a of Permit Feed S 17.06
_ TOTAL PERMIT FIFE $
Authorized 3!30/04NoHcc: Tb1s permit oppr.atlon expires Ira permit is not obtained within
sipature: L to,— __ iso days after It bas been acoopted u complete.
*Fee methodolol set by Tri-County 13nllding Industry SONIC?"Gard
Charlyn . Lelfs n
(Please print narne) --- --
\nsts\Permit F0rm6\F1cPer1WtA1pp.d0e ol/W
CITYOF TI GA R D PLUMBING PERMIT
DEVEWPMENT SERVICES PERMIT#: PLM2004-00137
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/1/2004
SITE ADDRESS: 07324 SW DURHAM RD BLDG H PARCEL: 2S113AB-01400
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: 1 GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 3 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing fixtures. Replace or move fixtures, add floor drain.
— FEES
Owner: – — —
Description Date Arrtount
PACIFIC REALTY ASSOCIATES '1 I'\llt 1'rrmit Iee 4/1/?004 $166.00
15350 SW SEQUOIA PK'O/Y #300-WMI I1I
PORTLAND, OR 97224 11\ titnlc tiurrli n; x/1/2004 $13.78
Total $179.28
Phone :
Contractor:
DEAN WARREN PLUMBING & REMODEL_
PO BOX 14701
PORTLAND, OR 97293 REQUIRED INSPECTIONS
Phone: 503-492-9514 Rough-in Insp
Top-out Insp
Reg#: LIC 154919 Final Inspection
I`LINI 26-710144
This permit is issued subject to the regulations contained in the Tigard Municipal CodE State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follOW r,Jles 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: J� �.y Q�(kG(-�.�-1.(�._ Permittee Signat�,re �, c: L
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITYOF T I GA R D _SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2004-0011 1
13125 SW Hall Blvd., Tigard, OR 9'1223 (5011 P"S-41 11 DATE ISSUED: 4/1/2004
SITE ADDRESS; 07324 SW DURHAM RD BLDG H PARCEL: 2S113AB-01400
SUBDIVISION: FANNO CRI-FK AC RIl ,rizm'TS ZONING: 1 I'
BLOCK: LOT: JURISDICTION: 1 It
TENANT NAME: SPEC SPACE
USA NO: FIXTURE UNIJ S: 2
CLASS OF WORK: ALT DWELLING UNI1 S:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .1 EDU increase.
Owner: -� ---- FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300-WMI Description Date Amount
PORTLAND, OR 97224 1S4VIISAJ tier( urux•ct 4/1/2uu4 $240.00
I SWIISA J Swr Connect 41112004 $0.00
Phone: — — --
Total $240.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of th- ^,lean Water Services. The of-mit expires 180
days '1 1 the(late issued. The total amount paid will be forfeited if the permit expires. The Agency not guarantee
the a:imracy 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"Tap and Side Sewer"
Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You
may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued by: _� L Permittee Sigoature:� g
Call (503) 639-4175 by 7:00 P.M. for an inspection needed thA next business day
Building Fixtures
Plumbing Pernikit Application Received Plumbing
Date/By: Permit No. �o1,V y-U 7
Planning Approval Sewer
City of Tigard Datc/II Permit No.S 'x V-'V C/
4m �
13125 SW Nall Blvd. ' \ Plan Review - Other - -
i'igard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Revicw Land Use
Date/By: Case No.:
Internet: www.ci.tigard.or.us Cor-act Juris.: I EFS-ee Page 2 for
24-hour inspectien Request: 503-639-4175 Namc/Methoo: Supplemental Information.
T'a PE OF WORK _ FEE*SCHEDULE for special information use checklist
New construction Demooilon Discriptloit Q-h'• i Fec(ca.) focal
Addition/alteration/r lacement Other: New 1-&or ci ly dwellings ne
Includes 100 ft.for each at111t connection
CATEGORY OF CONSTRUCTION SFR I bath 249.20
1 & 2-Family dwelling_ Commercial/Industrial SFR 2 bath 350.00
Accessory Buildin_�_ [Multi-Family SFR(3)bath _ 379.00
Master Builder ❑Other: Each additional bath/kitchen 45.00
JOB SITE INFORMATION and LOCATIONFire sprinkler-sq. ft.: Page 2
Job site address: Site Utili ies _
Suite#: Bld ./A Catch basin/area drain 16.60
� t.#:_ Dr el!/leach line/trench drain _ 16.60
Project Name: W-,&- 00CA-c-f _._ Footing drain(no.linear ft.) Page 2
Cross street/Directions to job site: Manufactured home utilities 110.00
Manholes 16(-,()
Rain drain connector 16.60
Sanitary sewer no. linear R. Page 2
Subdivision: - Lot#: Storm sewer no. linear fl.) Pa�e 2
-- --- -- Water service(no. linear R.) Page 2
Tax map/parcel #: _., Fixture or Item
DESCRIPTION OF WORK _- Absorption valve 16.60
/\a�cG rlltto ��s~7 5 'U(�H►c./
Backflow preventer Page 2
Backwater valve 16.60
-- - Clothes washer _ 16.60
---- - Dishwasher 16.60
Drinking fountain 16.60 _
ROP R Y OWNER ,TENANT E'ectors/sum 16.60
Name: )zt7,o Expansion tank 16.60
Address: t F 3 So 5 t,,, SPS c-9 fr J Fixture/sewer cap_ 16.60
l +-��q� O►t . 7J1 Y Floor drain/floor sink/hub_ 16.60
Cit /State/Z
�p: A Garbage disposal 16.60
Phone: _ Fax: Hose bib 16.60
APPLICANT CONTACT PERSON Ice maker 16.60
Name: Interceptor/grease trap 16.60
Address: - Medical gas-value: S Page 2
- - Primer _ 16.60
Cit /State/Zip: _ Roof drain commercial 16.60
Phone: Fax: _ Sink/basin/lavatory y 16.60
E-mail: Tub/shower/shower pan 16.60
T CONTRACTOR Urinal I 16.60
Water closet 16.60
Business Name: /(i� /2en
1
Water heater _ _ 16.60 _
Address: /9. c, 4oF /Y 7c I Other:
City/State/Zip: ,t-t(.94 - Q ? ;1 Other:
Phone: so - yg,t - s�y Fax: 2 46-z a/$ PlumbingPermit Fees*
Plumb. Lic.#:! -71�PB _ subtotal s IZ�
CCB Lic. #: 5-y 9/9 6 _ Minimum Permit Fee$72.50 S
Authorized Residential Backflow Minimum Fee$36.25
Signature: __ Date:If Plan Review(25%of Permit Fee) S
I State Surcharge 8%of Permit Fee) $ -
(Please print names TOTAL PERMIT FEE 7
Notice: 'i his ptrmit application expires If s permit I%not obtained v,ithin All new commercial buildings require 2 sets of plans with Isometric or
IAO in%%ager it Inas been accepted as cmnplete, riser diagram for plan review.
*Fee methodology set by Tri-County Building Industry Service board.
i:iDsts\Permit FormsTImPermitApp.doc r'TO
Plumbing Permit Application - City of Tigard
P'.tge 2 - Supplemental Information ,
Fee Schedule: _ Residential Fire Su-p cession Systems:_____
Site Utilities Qty. Fee(ca) Total Square Footage: _ Permit Fee:
Footing draur- F 1011' 55.00 0 to 2,000 $115.00 _ _�-
Footing drain-each additional 100' 46.40 2 001 to 3,600 $160.00
3,601 to 7,200 --f$220.00
Sewer- I sl 100' 55.00 7,201 and greater $309.00
Sewer-cacti additional 100' 46.40 -- _
Water Service- Ist 100' 55.00 _ Medical Gas S stems'
Water Service-each additional 100' 46.40 Valuation: Permit Fee:
Storni&Rain Drain-I st 100' 55.00 $1 AM to$5,000.00 Minimum Ice$72.50
Storni&Rain Drain-each add0iunal 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,0110 rr0 and$1.52 for each
additional$100.00 or rrgci'nn thereof,to and
Fixture or Item Qty. Fee(ca) Total _
including$10,000.00.
Commercial Hack Flow I1reven6on UrvjCC 46.40 $10,001.(X)to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
Residential Backflow Prevent on Devi C each additional$100.00 or fraction thereof,to
'minimum permit fee$36.15 27.55 _ and including$25,000.00. _
Rain Drain,single iarndy dwelling 65.25 $250)1.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 fc
Inspection of existing plumbing or
each additional$100.00 or fraction thereof,to
specially requested inspections-per hour 72.50 _ and including$50,000.00.
Subtotal - $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
each additional$100.00 or fraction thereof.
Fixture Work:
Are you capping, moving or replacin!;existing fixtures:' If
"yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer 's*.
Quantity b Fixture Wer!:Performed Comments regarding fixture work:
Fixture Type: Rep4rce If
_ New Moved E'daling Capped ---- -- ----------
Baptistry/Font _ _
Hath -Tub/Shower _ _ ---- -
-Jacuzzi/Whirlpool _- _- ____._- --------__-- _---�
Car Wash -Each Stall
Cus id_or/Wat.r As +.mor __ _ ------ ------- ---
Dishwasher -Commercial
-Domestic
Drinking Fountain - - - -- ------- ---
E'e Wash -
Floor Ilrain/s,ak 2" e-----
3., - - - ------- ---- ------
4"
Car Wash Drain *Note: If the fixture work under this term(( results in an
Garhage -Domestic
Disposal -Commercial _ - increase of sewer El-ol's,a sevver permit will be issued an(I
-Indusnial fees assessed for the sevver increase must be paid before the
Ice Mach./Refrig.(`rains - plumbing permit eau be issued.
Oil Separator Gas Station
Rcc.Vehicle Dump Stutiun
Shower -Gang
-Stall
Sink -Bar/Lavatory
-Bradley -
-Commcrcial _L
_ -Service
Swimmin l'ooll'il►er _
Washer-Clothes
Water Extractor_ _
Water Closet-Toilet -
Urinal
Other Fixturcs�
0Dsts\l1en,a4►:')erns\Plmpe..nitAppPg2.dcx 01103
CITY
OF
T I G A R D — ELECTRICAL PERMIT
PERMIT#: ELC2000-00483
DEVELOPMENT SERVICES DATE ISSUED: 8/17/00
Alt
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01400
SITE ADDRESS: 07324 SW DURHAM RD BLDG H
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of on- h,anch circuit. Job No. 3032-36
F--
RESIDENTIAL
- RESIDENTIAL UNIT — TEMP SRVC/FEEDERS MISCELLANEOUS
1600 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PHOENIX ELECTRIC CO
15350 SW SEQUOIA PKWY #300-WMI 7379 SW TECH CENTER DR.
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 584-3600
Reg #: LIC 00052188
SUP 4140S
ELE 34-247C
FEES Required Inspectioirs
Typd By — Date Amount Receipt Elect'I Service
PRMT DEB 8/17/00 $37.50 0004535 Elect'I Final
5PCT DEB 8/17/00 $3.00 0004535
Total $40.50
This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicabla 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 K work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE � � � ISSUED BY ) ILL
---- --- —
OWNEk iNS AI.LATION ONLY
11w installation is being made on property I own which is riot intonded for sale, lease, or rent.
OWNER'S SIGNATURE: _ _-- _. DATE:—_ _
CONTRACTCR INSTALLATION ONLY
SIGNATURE OF SUPR. E E�C'�: �� DATE:____________
LICENSE NO:
Call 639-4175 by 7:00pm for an Inspection the next business day
AUG-15-00 TUE 03:29 NM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02/02
GIIY OF TIGARD Electrical Permit Application Plan Ch -W ----
1312r,.SW HALL BLVD. Roc'd Dj, /� C
TIGARD OR 97223 08le ReCd
� --- _
Phone (503)639-4171, x304 Date to PE.Date to CST _
InsEreclion (503)639-4175 Print of Type Permit q y3
Fax(503) 5913 1960 Incomplete or illegible will not be accepted Called
1, ,lob Address: 4. Complete Fee Schedule Below:
Narne of Devclo mcntT ✓ \ (� \ Number of Inspections per permit allowed 47
N.1rne(or name of busines. _ Service included: Items Cost Sum
Address ` 'Y Cl. ^_i 4a. Residential-per unit
1000sq ft.CitylState2lEach additional t\ky �`5��� or Icss 5 117.75 ----- 4
- Each dditianal 500 sq.N.or
portion thereof j 26,75 1
Cornrnercial Residential ❑ I-Imited Energy 5 60 On
7 lli� ;C 3 - Each
Mling 9 Hem or Feeder
---- $
72.75 2
2a. Contractor instaLtion only: —
(Prior to permit Iss,jar,ce,appticanb;must provide contractor license, 4b.Services or Feeders
Information for CO ae baseL Installation,alteration,or relucatiun
Electrical Contractor r 200 amps or less S 04.25 2
Address nn� `� )_ ---- 201 urnps to 400 amps $ e3 50 ---- 2
__ L_ b_
401 amps to OUO amps S 12850 _ _ 2
City- State Zip 7 7�3 6n1 amps to 1000 0•,ps $ 192.50
Phone N,._ 2 t)_— Over 1000 aures or volts _ 5 36375 — 7
Job No ,- 0 F _ _ Reconnect only _ S 53.50
Flc.c. Cont Lice h!o, __. r Exp Data 4c. 1 emporary Services or Foedem
OR St3tP CCB Reg NO _�WA _Fxp Date Inslallation,alleralion,or relocal un
COT Business Tax or Metro No. ---Exp.Date 200 amps or less $ 53 .0 7
201 amps to 40o amps S 80 15 2
Signature of Suer Eler;In�_c C 401 amps to 600 amps S 100.00 - 2
'�� " Over 600 amps_In 1000 vnlls,
See"b"ahove.
Licen:�c No, _ Fxp,Date_ / �(,
I Phone No. W 4d.Branch Circuits
New,nller,alion or extension per panel
a)T'hc fcc for branch circulls
2b. For Owner installations: with purchase of service or
feeder(eu.
Print Owners Naine Earh branch cirruit $ 5 35
Address
- h)The fee for branch circuits
- --
Pity-�, Sl af� 1
without pun hose of service
_---- __ - _7-P or/Ceder lee l
Phone No. _ _ First branch circuit $ 37,50 �l
Each additional branch circuit S 5.35 _
Thr:ingtal!ation is being madFi en property I own which is not 4e.Miscellaneous
Intended for sale, lease or rent. (Service or feeder not In Juded)
Each pump or irrigation circle S 42.75
Owner's Signature_ Each sign or oullirip lighting Y S 42 75
Signal circuit(s)or a limited energy
3. Plan Review section ( panel,alteration or extension 5 Bu.Oo
if required): Minor Labels(10) _ _ _ s 100.00
Please check appropriate itr:m and enter fee to section 58. 4f Fach additional Inspection over _
4 or more:residential units in one structure the allowable In any of the above
- — Per Inspection j 50 00
Service and feeder 22�r amps or mare Per hour 50.00
Sy0em over 600 volts nominal 3
In Plant S 59.00
Classified area or structure contlining special occupancy as —--
dr,scribed in N r_.0 Chapter 5 5. Fees:
50.Enecr local of above fees $
Submit 2 sats n'plans with application where any of the above apply 8?; Surcharge,(.08 X lalal levo)
Not rvqulrrd for temporary enn%trurtion servi,_e5 Subtotal $ Z
tib.Enter 25%of line ba for W. -
�I()TICE• Plan Rev ew if Mg j,ed(Sec.3) $
PERMITS BECOME VOID IF WORK On CONSTRUCTION AUTHOR12E0 Subtotal g `"
IS 1 )T CIMAMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS T1usl Ar.-runl 8 15 t7')--
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ cl
i,\Jill\tonus\cicGric.dnc ^/\/, T �L,
CITY OF TIGARD E:UILDING INSPECTION DIVISION MST
24-Hour Inspection Linc: 1139-4175 Business Line: 6394171 --
� ' I
Date Requested� '0BUP
,{ , AM PM _ BLD
Location 7?�� y G(/ DI,VY /��I �( Suite MEC
Contact Person Ph �3d,�d PLM
Contractor Ph SWR _
BUILDING Tenant/Owner % c. I.yrC ;4SJLC , ,690-av S1�3
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: — --
Slab - -_- SIT
Post&Beam -
Ext Sheath/Shear
Int Sheath/Shear - W —
Framing
Insulation -- ....__._--
Drywall Nailing __ - _-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ____.------ -
Roof
Misc: -- - ---- ------
Final
PASS PAf27 FAIL - -- - ------- -- --- -
PLUMBING
Post& Beam � - - -- - ------- -- -- ------- - ------
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Ream -- - ---- - - --
Rough In
Gas Line - -
Smoke Dampers
Final --- ----- ------ - --- -------- -- --.
PASS T FAIL,
Service
Rough In _.-
UG/Slab
I nw Voltage
1.eAlerm --- ----------- ----- --- --- ---------
I
AS PART FAIL --- -- --- ---------- - -
Backfill/Grading - ------------- - -- -- ------
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _-required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for r inspection RE [ )Unable to inspect nc acr_ess
Fire Supply Line
ADA
Approach/Sidewalk Date - /
Other Inspector Ext
Final
PASS PART FAIL J A NOT REMOVE this inspection record from the job site.
CITY CD F T I G A R® ELECTRICAL PERMIT _
PERMIT#: EL.C1999-00540
DEVELOPMENT SERVICES DATE ISSUED: 0'3/03/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01400
SITE ADDRESS: 07324 SW DURHAM RD Ii/
SUBDIVISION: FANNO CREEK, ACRE TRACTS ZONING: I-P
BLOCK: LOT : JURISD!'%"TION: TIG
Proiect Description: Installation of a 200AMP service/feeder and fide (5)branch circuit--
RESIDENTIAL
ircuit-RESIDENTIAL_ UNIT TEMP SRVCI_F_EEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ !-DR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS_
0 - 200 amp: 1 W/SERVICE OR FEEDER: 5 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH LARC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES PHOENIX EI ECTRIC CO
15350 SW SEQUOIA PKWY #300-WMI 7379 SW TECH CENTER DR.
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 684-3600
Reg #: LIC 00052288
SUP 4140S
EI-.E 34-247C
FEES _ Required Inspections
Type By Date Amount Receipt Wall Cover �'—
PRMT GEO 09/03/199 $91.00 99-318106 Elect'I Service
SPCT GEO 09/03/1991 $6.37 99-313106 Elect'I Final
Total $97.37 Y— ORIGINAL
__J
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 wore 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 O•egon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-091-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
46-1987 ) /?
PERMITI EE'S SIGNATURE ISSUED BY:
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, lease, or rent.
OWNER'S SIGNATURE: —_ DATE: _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: � DATE
--
LICENSE NO: -- __ ��/�U_ .5 y `- - ------ -----
Call 639-4175 by 7:00pm 1't an inspection the next bus:ness day
SEP-02-99 THU 09; 11 AN PHOENIX ELECTRIC CO FAX N0. 15036843611 P. 02/02
CIT" OF TIGARD
1312''. SW HALL BLVD. Electrical Permit Application Plan Check fl `
Recd By
i iGARD OR 97223 Date Recd
Phone: (503)639-4171, x304 Date to P c
Inspection (503) 639 4175 Date to DST
Print of type
Fax fperrml*F.tC(,!,03) 598 19F,0 — Incomplete or illegible will not be acceptedy
CaUrad
I. Job Address; 4. Complete Fee Schedule Below:4
Nanie of Development I
- Q Z Drwfrv�vvtCA��in Numbwr of inspections per permit allowed
NdrnP(orname of business) - y _ Service included; Items Cost Sum
Address � � ��SY 4a- Residential-
per unit
Cityistateizip A_c„r�\ �. 1000 sq,it or less _ 5 117,75
�`� - Each additional 500 sq. it or -- 4
Commercial, Residential ❑ portion(hereof 5 2625
Limited l"nergy ""
-�v�, Each Manurtl Home or Modular
Za. Contractor itnstallat�on only: Dwelling 5ervicr or Feedor $ 72 75 2
(Prfur to permit issuance,applicant, must provide contractor license 4b.Sorvices or Feeders —,
Information for COT ata base),
Inslallallon,alteration,or refecalion _
Electrical C tracto" �� (� zoo ampa n(less $ e4 25
Address U� �f�� ,� 201 am 5 to q00 amp6 �` -"`-�• 2
�r�_==--_—_ �� lc p _ $ 85.50 _
r — 401 amps to 600 amps 2
City_ State S,YC _Lip_�a� _—_ $ 128,50 2
Phone No' fit _= p (� F01 amps 10 1000 amps 192 50 ��-
-- —_ Over 1000 amps or volts $ 363.75
Job NO Q ---- ----�-- Reconnect only - --�
F.lec Cont. Lice, No. �!)-•• C " C__ $ 5s 5o a
_ <1- ExP.Date_, 4c.Temporary Services or Feeders
Oht Mate( CH Reg. No, �a Exp.Dale` �_ Installation,alleration,or r"ioca0on
COT Business Tax or Metro No.�(at� ExL'.Date 200 amps or less $ 53.!0
201 amps to 400 amps 2
_ _ $ 80.25 2
Signature of Supr Elec'n� - --- 401 amps to 6On amps $ 107.00
Over 600 amps to 1 o0o volts, 2
License No. / U T Exp Date son"b"above, ~�
Phone No, �+. ? n t ( � 4d.Branch Cireuitre
New,alleratior,or extensw i per panel
2h. For owner installations: with
The foe for branch r:cuils
with purchase,f service or
feeder fee.
Print Owner's Wimp, Each branch circuit r r
Address -- - S 5 35 c� 2
b)The tee for branch circuits
City '7j without purchase of service
P -- or feeder foe,
Phone No. - Flr.t branch circuit--- ___ $ 37,50
Each addilinnal branch cirrrit $ 5 35 -
The installation is being made on property I awn which is not —�� --
4a.Miacollaneous
rionded for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle _ $ 42 75
�WnPr'S Signature _ l—4 Each sign or nulline lighting _ $ 42,75
Signal clrcuit(s)or s limited energy --
3. Plan Review section (if required):* panel,allera(ion or extension � � s 6000
Minor Labels(t0) $ 107 OU
Please rheck appropriate item and enter fee in section 5S. 4f.Each additional inspection over
4 or more rosidenha)ends in one structure the allowable In any of the above
ServicF and feeder 225 amps or more Per inspection $ 5a no
System over 600 vnits nominal Per hour ~—` $ 6000
�-- -
Ctassdien area or structureIn Plant $ 59.00 containing special occupancy as
described in N E.0 Chapter 5 S Fees:
Ss.Fater total of above feesC�
" Submit 7 sef_5 of plans with application whn►e any of the above apply. $ /� OI�
Not rnnuired for temporary construction safvicrs PP y' Surcharge(d�x total tees) y
Subtotal
OTICF Sb.Enter 25%of time sa for :TI
- �-
Plan Review if Lq uiRd(tier..3) b
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 19('DAYS,OR IF CONSTRUCTION OR - -
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Account 0AT ANY TIME Ar TER WORK IS COMMFNCED
�<T'usl
ra!balance Due $
i 1Agts\fomr\elcctnc.don —
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Busineas Line: (50.3)639-4171 MST
BUP
ma4- -lo
Received — _ Date Requested ___ ___ AM P BUP
t.ocation � �- �1�- --.....Suite— _ MEC —__--
Contact Person —. _ _�—_ — Ph( _) l �W _ PLM x_200 '/-a0 /37
Contractor _._-- _-- _ Ph( -_) --- SWR
BUILDING Tenant/Owne- _- _ ELC
Footing ELC
Foundation Access: - - ----------- --
Ftg Drain ELR
Crawl Drain —J —--
Slab Inspection Notes: Sir
Poet&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/She,
Framing ------- --
Insulation - - -- ---_ ----- -Drywall Nailing
Firewall --7C7.)Fire Sprinkler -- -- �� —
010
f- -----------�---- y?-t
Fire Alarm
Suep'd Ceiling ---- -
Roof
Other: -
Final
PASS PART FAIL
PLUMBING _
Post&Ream -- -� —
Under Slab
Rough-hi
Water Service
Sanitary Sewer
Rain Drains
--- -
Catch Basin/Manhole
Storm Drain
Shower Pan Gil
Other:
A PART L ----^ —
CHANICAL
Post 8 Beam v — - -- - -
Rough-In
Gas Line ,
Smoke Dampers — ---- -- - --- --- - —- - ---
Final
PASS PART FAIL - - -- - -
ELECTRICAL -
Service ----- -- ,`--- --
Rough-In
UG/Slab ,_----- -J-- - i —
Lov%Voltage
Fire Alarm
Final n Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART ITE FAIL_
S �— _ (_ � Please call for reinspection RE _ r� Unable to inspec� - no access
Fire Supply Line �
ADA �
Dete / I I-
Approarh/Sidewalk Inspector
_ _ _---- - - Ext -
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business t ine- 639-4171 MST —_
BUP
Date Requested �" / (��l AM PM
BLD
Location 2 > Z� � `'1 Gl,s /� C Suite MEC
Contact Person OeMl _ Ph S]�!- / C� PLM _
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall -
Footing Access: ELR
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN —
Slab
Post& Beam —v---_ --- ---- SIT --
Ext Sheath/Sherr
Int Sheath/Shear ---
Framing
Insulation --_ ---_-� -- --
Drywall Nailing 7 /t,r a
Firewall - - ----- --�-. --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - - - - —---- ------ —
Roof --- ---
Misc:
Final
PASS PART FAIL -----__ ---__-_ —_
PLUMBING - -----i-_----- -
Post&Beam - - - - -- -- - ----------- -
Under Slab
Top Out - --- -- - --- ---- --
Water Service --
Sanitary Sewer ------ — ------_ -------
Rain Drains
Final ---
PASS PART FAIL
MECHANICAL ---- -
Post& Beam - -- --
Rough In __ ----- ----_�_
Gas Line
Smoke Dampers
Final -
rASS-- RT F AII_
QLECTRIC&V --
Service
Rough In - - - -
UG/Slab _
Low Voltage
Fire Alarm
SS PART FAIL
SITE-
Beckfill/Grading ---- -
Sanitary Sewer — ---- - -T _--
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspection RE:
Fire Supply Line _ _ [ ]Unable to inspect-no orrs,�
ADA
Approach/Sidewalk
Other Date /S 'Q 9 _-Inspector Ext _
Final
PASS PARI'__FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,DA 97223(503)6394171
CER7'IFIC'P-rF OF
C3CwCUPp r
PERMIT li. . . . . . . t BUP96--02 5,4 `.
DATE ISSUED! 03/: 9/99
PAke"EL. : `'S 1 13AP--01400
I TE. ADDRE'35. . . v07324 5W DURHAM PO IvFDI_L1.
SURD I V I G I ON. . . . t F'ANNO CREEK ACRE: TRACTS ION I ING j J-•P
SLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . t JURISDICTION: TIG
C I AS'S OF WORK. s AL.T
TYPE OF USE:. . . sC:OM
TYPE OF CONSTR s 5N
OC'CI.lf>ANC'Y GRP. t B
OCCUPANCY LOADS 10
Tl NAN f' NAME. . . s OPTE:C"
RPmairkee Clptecc TI off ice par^titiorrs - reve.mp bAthrooma for accessibility
fawner;
1'iaCIFIC• REALTY ArrSOCJATES
15350 SEQUOIA PKWY #300
:uRTLAND OR 973:34
11une lis
c., ntractor.s -._....__. .�-----__._.._ _._..__... .. . _ .._.. _. ....... ..
'.i GREEN, HL CO. INC.
15350 Std SEQUOIA BLVD
S VE .•300
T I GARD OR 97224
Phane lie E24..-7717
Reg #. . .- 00041L
l h i s C tort i f irat a grants occ-upanc-y of tho r,hcrvp rcferenred building or portion
thereof .and confirms that the 4l_ri ldiny hAs heen inspected for compliance with
rlle Stete of Orgon apeci.Rlty C''odef- for the group, orcr.rp�rrrc-y, and use under
r•+hich the referenced permit was issued.
I.r!ll_.UINfi INf3PfrCrFJR DI.IILDINC3_ fJF IAI._
POST IN C'nNSF'.lUUOlJ PLACE.'
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Datte Requested ; Zy z �--I _AM PM Bugg -�7
Location. L� 1.Lw'I�t�'� Suite MEC _
Contact Person ►rYl • Ph 3G 1-�—)5 >Z PLM
Contractor Ph SWR
�j�jL,QIN. :TenantlOwner _ Sfi ,r�� ELC
Retaining Wall CLR
Footing Access:
Foundaticn FP3 `
Ftg Drain SGN
Crawl Drai Inspection Notes:
Slab SIT
Post& Beam
Ext Sheath/Shear _
Int Sheath/Shear — —
Framing
Insulation
Drywall Nailing
Fifewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roof
mi _ ------- _-_ _ �(?
i
PASS PART FA;L ------- -
ct
PRIVIIIING
Post& Beam __._--- -----------___-_
Under Slab /
Top Out ------------- ----_---
Water Service
Sanitary Sewer
Rain Drains
Final --
PASS PART FAIL _
MECHANICAL
Post& Beam ------ --- ---- - ----- --
Rough In
Gas Line - --- - --..-. -- — - ------
Smoke Dampers
Final -- -- --- ----------
PASS PART FAIL.
ELECTRICAL -- -- ._— ----- ------
Service
Rough In
UG/Slab
Low Voltage ----------_ __ —
Fire Alarm _—_--- -- ----. --_-�_—_ _
Final
PASS PART FAIL-§I—Tp--
Backfill/Grading
ITE
Backfill/Grading — ----"-�- ------ _ —
Sanitary Sewer
Storm Drain I Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f ]Please call for reinspection RE'._— _—_ ^ [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Ext
Date Inspector 1 ��
Other -----_ --- ------
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY MJF TIGARD mrrHPIV,,I rr-)I-
DEVELOPMENT SERVICES rIFRMTT
13125 SW PIF-R11,117, if. . . . . . . . M r C r9`3 Hall Blvd., Tigard,OR 97223(503)639-4171 DATE TF.)SUED;
P(117 r r-L. '171331 1.3 n TA---01 400
W DUPHAM Rt) 0131-11
DT
T V t",T(IN. . . . t FANN1 CP-EK AC'PP- T17CT!"n 711NT N'S T -P
LOT. . . . . . . . . . . . . 11-1 T SD T
T T n,.N,,- T T(7,
nr, wopvl. . :m T rL.nnr- rURN. 0 EVqr:' COOLERS; 0
'17 f.;F USE% . . . .Mm UNTT HFnTFRS. . - 0 Vr-'NT FAMS. . . s 0
Ir"INCY GrIM. r VENTW/0 APPL,z 0 VENT SN'STEMS: 0
r"7Rrr 0Pr1T1 rRS/C,'0MORF98014P I-110I7s. . . . . . . .. 0
0 7 tip. . . . : I VtIMF�3. INCTN: to
3--1F Hr,. . . . s 0 rnMMI.-.. T.NCTNi 0
TNPIAT, 0 PTU 15 30 11P, 0 P17*r,(.U'.7 IINITS- Q)
DAM1717- 30-50 1-10. 0 wonmj,roVES, 0
r",P r-",73!,3 1.)W7. C0+ 111.1. 0 F71.0 VPI/ERR. . 0
of ATR HnNMANG UNI'Mi nTHrR 1ANTTr7). 0
J, 10000 rfm: 0T"t F.1 ri, x i
STLI: 1 10000 . -Fit-
--s . Install a new 6 tin gaspacif and ductwork for Optec TI. This permit is
I nn 110N." BTU input f.!sing 2 PS)G with 3/4" Dislinp Chpck 5t :ctua al
ser',s.
F'CrS'
r);,i rs t Icy da 0
ypp M
-0 ,!W SsEf7LIMP r'VWY 41-00 r,PMT $ ET. 00 DrP '?9 q'3
u6. ,-,r-", DE'S 02/12/9-11 r4 9- I
r,C,T 1 . 111!71 T)f7*B W?/Iprl-
t r
TNC'
32, 5V' I ` TP-J,
-,r�r7.Pf,dt.1 nR
RFOUT111717 7N-PF(] IfL,JNo'
''iia permit is isseed 5lib,;?7t fo the replitinns rontaired in the Mi,., LiTii- Tnsp
'fgard "unicipal Code, State of Ore. Specialty Codes and all other llpatir)g Uni-, It)sp
applicable laws. PIl work t*il I be done it, accordance with 17.rirslirig U,-,J Insp
ipprovpd plans. This persO will expire if stork is not started Di.(rt I nqPPr-A; i (if's
,1&,in IAP days of issuance, at, if work is suspended for more S. r). f,)h kAt--fI owl)
'hen le@ days. 4TTNTICN, 1,egon 1;101 requIl;� you tv follow rules Final Tnspk-rt iori
,Iopted by f4 Drqi,, !�qilily Matificatic- ,enter, These rules ire
et forth in CAP 9, _191_Pit through BAR 9452P *AW, You may
,bta:M copies of these rules or divert qut5tivns to DN by railing
A r]T);.1 111 p--(- e�
4, 1 1 4. 1. 4., 1 4 1..t- t 1 j 1 1 1 j t I j
CITY OF TIGARD Mechanical Permit Application Plan Check#- 7
�p Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Pecd i
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 J «�0 47eP - % Date to DS1 1 c)
Print or Type Perrriit# c -aoo
Incomplete or illegible applications will not be accepted Called
Name of Development/Pro)ert Description _
_/f_�C"EO _ r G Table'IA Mechanical Code Qt Price Amt
Job Street Address .5u"e# A) Permit Fee 1_000—
Address
00Address 7-,,,? 4 �/,� 1) F-irnace to 100,000 BTU --
including ducts&vents 6.00
Bldg# CRY/state zip 2) Furnace 100,000 BTU+
IL4-Cdr,C including ducts&vents 7,50
Nameeme of buainess) 3) Floor Furnace — -
pyynar ✓ includingvent
4c - �� —� 6.00
Mailing Address 4) Susponded heater,wall heater -
ur floor mounted heater 600
_ __ 5) Vent not included in appliance permit
CRY/State Zip Phone 3.00
CHECK ALL 'Boiler Heat Air
Name(w naris of business) THAT APPLY: or Pump Cond Qty Price Amt
P
6)<3HP;absorh unit to nm --
Occupant Mailing Address 100K BTU
6.00
7)3-15 HP;absorb unit
CHy/State Zip Phone 100k to 500k BTU _ 11 00
8) 15-30 HP;absorb
Name unit.5-1 mil BTU _ 15.00
Contractor 9)30-50 HP;absorb
�XV7� Sp T�r�i unit 1-1.75 mil BTU 22,50
Prior to permit Mailing Address TOT; absorb unit — —
issuance,a copy -a c xJ >1 75 mil BTU _ 37.50
C�t
of all licenses pfsts zip Phone 11)Air handling unit to 10,000_CFM
are required H ' 'e-Uv 7 3r� -3.<�9 i 4.50
expired in COT Orer,c Const.Cont.Board Llc.# Exp, s -- —
M, 12)Air handling unit 10.000 CFM+—
database ;�?��� �� 99 _ _ _ 7.50
Architect Name 13)Non-portable evaporate cooler
4.50
or Mailing Address 14)Vent fan connected to a single duct
3.00
15)Ventilation system not included in
aPPlian
Engineer CHy/State Zip Phone 4.50
9 — ce_ermlt `—
_ _ 16)Hood served by mechanical exhaust
ihauibe work to be donees __ 4.50
17)Domestic incinerators
New Repair O Replace with like kind: Yes O No•l 7.50
Residential O Commercial CY 18)Commercial or industrial type incinerator
30.00
Additional information or description of work: 19)Repair units --
�.�
145 j i ve. 4AJ,9 -------- 4.50
27)Wood stove
__ 4.50
21)Clothes dryer,etc --
__ 4 50
Type of fuel: oil O nahlra.gas 0 LPG O electric O 22)Other units -
_ 4.50
1 hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets -
�i
given Is correct,that I am the owner or authorized agent of _ 2.00
the owner,that plans submitted are ir,compliance with Oregon State laws. 24)More than 4-pPr outlet(each)
.50
Signature of Chvner/Agent Date --
-7 _ - Mlnlmum Permit Fee:26.00 SUBTOTAL S i'
5%SURCHARGE s
Co ct Pers n Name Phone PLAN REVIEW 25%OF SUBTOTAL /
Required for ALL commercial permits onl 1
�33-�9f f � TOTAL
'Sto to Contractor Boiler Certification required
"ReJdential A/C requires sit>plan showing placement of unit
I Vnechperm doc rev 07/20/98
CITY OF TFI_ECTRTCAL PERMIT
.. DEVELOPMENT SERVICES PERMIT #: ELC98--0744
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE= ISSUED: 12/18/98
PARCEL_: 2Si13PB-01400
SITE ADDRESS. . . :O7;3Fir SW DURHAM F;D #BL-D.
SUBDIVISION. . . . :FANNO CREEK ACRE:' TRACTS ZON I1\l(3: I -P
BLOCS;. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTTON: TTG
Project Description : Alteration to electrical service.
_.._RESIDENTIAL.. 11NIT------ -----TEMP SRVC/FEEDERS------- -- -- - MISCELLANEOl1S-----
1.000 SF OR I_FS . . . . : 0 0 - ='00 amp. . . . . . . .. 0 PUMP/T RR I GAT I ON. . . . : 0
EACH ADD' L 5OO9F. . . : T 201 - 400 ,imp. . . . . . . . 0 SI(3N/('](.1T L-INE LTO. . : 0
LIMITED ENERGY. . . . . : 0 401 - 800 amp. . . _ . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SV('/FDR. . : 0 CID I+amps--1OOO volts. : 0 MINOR LABEI._ ( 10) . . . : 0
------SERVICE/FEFDFR--.___ -.pRANCW CIRCUITS----- ---ADD' L INSPECTIONS- -
0 - 200 amp. . . . . . : 0 W/SFRVICf_ OR FEEDER: 0 PER INSPECTION. . . . . : 0
01. - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : Qi
/10J - 600 Amp. . . . . . : 0 EP ADDI I_ BRNCH C I RC s 9 IN F-11-.,ANT. . . . . . . . . . . . 0
601 - 1000 amp. . . . . : 0 ------------------PLAN RFVTEW SECTION-._--_-_._.-_.__.
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > EO0 VOLT NOMINAL_. .,
Reconnect only. . . . . : 0 SVC/Fr)n > = 225 AMPS. . : CLASS AREA/SPEC OCC.
Owner: __..__._._.._______.____.__ ____......____.__-._____..._.. ....______.___._.._.__.._ ..___-- FEES ------------
PACIFIC REALTY ASSOCIATES LP type amount by date recpt
1.5350 SW SEQUOIA PKWY #300 PRMT $ DI.-S1 12/18/98 98-311636
PORTLAND OR 97224 SPCT 9 4. 00 DI_.H 12/18/98 98-311636
Phone #:
f.,o n t ract o r: -------------------- --------__.
BACHOFNER ELECTRIC INC $ 84. 00 TOTAL
`35 SF MAT N
_......__.__ REQUIRED INSPECTIONS
l"',ORT1-AND OR 97214 Ceiling Cover- Eler_t° '.L Servir.r
Phone #: 233-2OO6 Wall. Cover Fler.t' l Final.
Reg #. . : 000445
This permit is issuCd subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable law!. All work wall he done it acrordance with approved plans, This permit will expire if work is not started within 180
days of issuance, or if work is ssrspended 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 952-01-0010 through OAR ?5�-MI-1987, you may obtain a copy
of these ruses or direct questions to OLIO by calling (7)03)246-1987.
Issued By :�
._--__________________.-_--_..__.(1WNE-R T NSTALLAT I ON ONLY---------------------- ----------
The installation is being made on property I own which is nit intended for
sale, lease, or rent.
OWNER' S SIGNATURE: � � DATE:
_. ..____.._-------------------CONTRACTUR INSTALLATIO
N ONLY---
SIGNATURE OF SUGR. ELE.C' N: _lTn�r��'�/�ClLef�T/ON _ DATE: ---
I_ ICF_NSE NO:
++++++f+++-f+++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++*+++++++
Call 639-.4179 by 7:00 p. m. for an inspection needed the next business day
++++++•;•+++++++++++++•+++++++++++++++++++•+++++++++++++++++++++++++++++++++++++++f
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall B1*d.
Tigard, OR 97223 F!anck/Rec. # _ -
Permit #
Phone (503) 639-4171 Date Issued 2 Z/,P/9,''
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772 Issued by
Inspoction (503) 639-4175 /
1. Job Address: 4. ,Complete FEe Schedule Below:
Name of Development HL GREEN Number of Inspections per permit allowed —
Address 7324 S W D u ra am Rd 12 t tr Service irrkx:d: Items Cost(ea) Sum
City/State/Zip 'I'i g a r d o r p C)72-,A 4a. Residential-per unit 4
1000 eq f1 Of Mn ___ $11000
Name (or name of business) OPTEC ��„ ,mow h or �" 1
P~ --- --
00
Commercial® Residential❑ L"od E'"rm' $2500
�E1dr Merr,rd acme or Modular 2
Daelinp Gortilm or roods( $se 00
2a. Contractor Installation only: 4b.Services at Feeders
loculation,Norabon•or robcatwi 2
Electrical Contractor R a r hof n P r- t~I e c f-r icy Tri: 200 amps or lass sm°f 2
Address 55 SE Main _ 201an"to 4W e"ps 0000 2
Cifv Port 1 State Zi U 7 1 d 40)amps b eco•cops $12000 ,__ 2
•� _()r'P p 001 amps b 10J0 amps $180.00 2
_
Phone No. 233-2006 Over 1030 on"or votes U40 00 2
Contractor's License No. 26-451c /D/o 9 9 Rioonrid orry -- $50 00
Contractor's Board Reg. No. 4 4 5 e 0 4c.Temporary Services or Feeders
'V / IrsWlation,deretion•or relocation 2
Signature of Supr. Elec'n 200 arnpa or fele SW 00 2
201 as b 470 rrnps MOO 2
LicenseNo. 2 8 0"^ Phone No. 2 - mp ---- —
_ I 409 cops b 800 amps $100 00
over am amps to low Vohs �-
2b. For owner installations: a«V aba"
AldPrint Owner's Name New.
Branch Circuits
ew,aloraeon of osMnsion per parol
AddressN n»W t«branch oiraria 34th
City— — _ State Zip— PIA chase°rEach branch te $500
or Aaxfar he. 2
Phone No. _ _ ____ b)The 64 for brash cxarils oWthout
The installation is being made on property I own which is w�M or raA a'�.°K'w. 2
not intended for sale, lease or rent. Each
branch t 1 :,500 35 . 00 2
Eadr.drH.xnl I>,udr ararA $S oO a S_ n n
Ownefs Signature �— 4e.Miscellaneous
(Service or feeder not inckxIed) 2
3. Plan Review section (if required): Each amP of irriodan cw%Je W 00 — 2
Each sign or otAnn FVI 6,a $40.00
SVrd oicuiga)or a knifed enerpr 2
Please check appropriate Nem and enter fee M section 68. pawl,aaer4tion or ed*nvon ____ SQ 00
_ 4 or more residential units in one ctrudury lx �rw l (10) $10000
Service and foodor 225 amps or more
System over 600 volts nominal 41.Each additional Inspection•,ver
Classified area or rkudure oontaining special occupancy the altowebfe In any of the above
as described in N C Chapter 5 Per irspedhor, _�_ $3500
anPer hour __ $55 00
In iManl y i55 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services, 5. Fees:
NOTICE S&Enter total of above lees f 80 •o 0
5%Surdlange(QS X total tees; S 4 . 00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtow $ -- --
AUT14ORIZf_D IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enbr 25%of line A Mr
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH Plan Review if required(Soc i) s
A PERIOD OF 1130 DAYS AT ANY TIME AFTER WOnr,IS Subtotal $
CfJMMENCED 0 Trust Account R
S -81._..D 0,..
Balance Due $ 84 . 00
CITY CSF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd, Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . . BUP98-0547
DATE ISSUED: 12/14/98
PARCEL-: 2S l 1 3AB-01400
SITE ADDRESS. . . : 07324 SW DURHPM RD #BLD.
SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG
REISSUE: FLOOR AREAS----------- EXTERIOR WALL- CONSTRUCTION-
CLASS OF WORK. :ALT FIRST. . . . : 1050 s N: S: E- W:
TYP'7" OF UOE. . . :COM SECOND. . . : V, S-F PROTECT OPENINGS'?_._-._........_-.._--...
TYPE OF C0NST. :5N . . . . 0 S f N: S: E: W:
OCCUPANCY ORP. :B TOTAL--------: 1.0`30 s f ROOF CONST: FIRE RET*? :
OCCUPANCY LOAD: 10 BASEMENT. : 0 Sf AREA SEP. RATED-
STOR. : 0 HT: 0 ft GARAGE. . . 0 sf OCCU SEP. RATED:
SSMT'.7: MEZZ? : REOD SETBACKS----------- REQUIRED---------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL.-Y SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP Arr-.'{
BEDRMS: 0 DATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 24000
Remarks : Optec TI - office partitions - revamp bathrooms foi accessibility
Owner: FEES --------------
PACIFIC REAILTY ASSOCIATES LP type amoi,tnt by date reept
15350 SW SEQUOIA PKWY #300 PRMT $ 164. 50 JSD 12/14/98 98-311510
PORTLAND OR 97224 ;PCT $ 8. 23 JSD 12/14/98
98-31151.0
PL.CK $ 106. 93 JSD 12/14/98 98-311510
Phone #: 624-6300 FIRE $ 65. 80 JSD 12/14/98 98-311510
Contractor: -----------------------------
H GREEN, HL CO. INC.
15350 SW SEQUOIA BLVD
GTE 300
TIBORD OR 97224
Phone #: 624-7717 $ 345. 46 TOTAL
Reg #. . : 000413
--REQUIRED ACTIONS or INSPECTIONS---
This
NSPECTIONS—This permit is issued ;abject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be donr in accordarve with
approved plans. This permit will expire if work ir not started
within 180 days of issuance, or if work is stisoended for enre
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. T[�,se
rules are set forth in DAR 952-0014010 through OAR 95" 01011487.
You many obtain a copy of these rules or direct questions to OW
by calling (503)246-1987.
Per/er ittee Si n tai Tsso.ted By:
+4............................................I...........(_-�_+/..........4......
Call 639-4175 by 7:00 p. m. fvr an inspection needed the next bLISiness day
.................................................................4.............
--7 1 G
C1 PY OF TIGARD Commercial Building Permit Recd By
13125 SW HALL BLVD. Tenant Improvement C Date Recd _
TIGARD, OR 97223 �� Date to P.E
(503) 639-4171 Date to DST, '
f'1
t I iI�—
/Permits
Print or Type 'r1 Related SWR s
Incomplete or illegible applications will not acdepted called
Name of DevelopmenuProjtia Existing Building New Building []
Job
Address Street Address Suite Building !
Data
i
Bldg ee City/State Zip Existing Use of Building or Property:
Name
Property PACIFIC REALTY ASSOCIATES, L.P. Proposed Use of Building or Property:
Owner Marling Address Sude
15350 SW SEQUOIA PKWY 300 No. Of Stories: /
City/State Ep Phone
PORTLAND, OR 97224 624-6300 Sq. Ft. Of Project y
Occupant Name+ % !� �J •�-,y'�,/� �/t/,, _
Occupancy Crass(es)
Nam �-
Contractor H. L. GREEN COMPANY Type(9)of Construction
Prior to permit Mailing Address Suite / "./(f
issuance,a copy Will this project have a Fire Suppression Stem?
of all licenses 15350 SW SEQUOIA PKWY 300 _ YesNo y em?
are required if CitylSlate Zip Phone ❑
expired in C O.T. Americans with Disabilities _Act rAD.A)��
database PORTLAND. OR 97224 624-7717 Valuation X 25% =$ !�__�Participatien
Oregon Const.Cont.Board Lic.9 Exp.Date Complete Accessibility Form
41328 " ' Project $
Name Valuation �ia� ---
Architect JOHN H. ROMISH Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
2216 SE 24TH AVE.
City/State ZJp Phone T hereby adtnowledge that I have read this application,that the information
PORTLAND, OR 97224 236-6306 given is correct,that I am the owner or authorized agent of the owner,and
Engineer
Name `- — that plans submitted are in compliance with Oregon State Laws.
gsinature of Owner/Agent Date
-7
Mailing Address~ Suite -
_
Contact Person Name Phone
City/State ZIP Phon_- ,-7D/y/1I
--` FOR OFFICE USE ONLY
Indicate type of viork: New 0 Addition O Demolition O -'
Accessory Structure O Foundation Only O Alteration)( Mapin-# Land Use:
Repair O Other O Notes: --`
Description of work:
4zo / /�,�i n ~ 1,��/✓��/Y�-�rC/ 7, �J TIF: — ----
Parks: Est aced t of Emp yeea
Note: Site Work Permit Application must precede or aceomoany aulle;ng
Permit Application
IACOMNEW DOC (DST) 8197
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildwgs and related
facilities shall be made to insure that the path of travel to the altered area and the restr"CM,
telephones and drinking fr unlains are readily accessible to individuais with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alleretion when the cost exceeds twenty-five per-cent(25%).
VALUATION of all renovation, alteration or modification being done i
excluding painting, wallpapering. (1]$.—��'`
multiply: 25% Barrier removal requirement. .26
BUDGET FOR BARRIER REMOVAL [2]$_Zl�_
In choosing which accessible elements to provide under this section, priority sha!; be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking $ /B 0-1/7 f
(b) An accessible entrance. $_ r' •�,, )r /
4 ,,,".f/i
(c) An accessible route to the altered area: $ J7� l� yaan tv rci
(d) At least one accessible restroom for $ 16,/7e�
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarrns: $ _
TOTAL: Shall equal line 2 of Value Computation_
iAdsis\farms\nccess doc
IGAR ®
0EVt10PMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : BUP99-000*7
DATE ISSUED: 02 -'19/99
PARCEL: 2S113AB-01400
(SITE ADDRESS. . . : 07324 SW DURHAM RD #BLD.
SURD IVTSION. . . . ,-- FANNO CREEK ACRE TRACTS ZONING: I---P
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG
RE103GUE: FLOOR AREAS.--------_—__ EXTERIOR WALL CONSTRUCTION—
CLOSS OF WORK. FP'S FIRST. . . . : 1500 sf N: G: E: W:
TYPE OF: LIGE:. COM SECOND. . . : 0 sf PROTECT OPENINGS?---------------
TYPE OF CONST. :5N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :B rOTAI-..--- 1500 s f ROOF CONST: FIRE RET?:
OCCUPANCY LOAD- 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 f t GARAGE. . . : 0 s f OCCU SEP. RAT[.7 D:
BSMT'? : MFZZ') : READ SETBACKS——--------- REDU I
FLOOR LOAD. . . . : 0 p s f [...EFT- 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :N
DWELLING UNITS: 0 FRNT: o ft REAR: 0 ft FIR ALRM:N HNDICP ACC-Y
BEDRMS: 0 BATHS: 0 TMP SURFACE: 0 PRO CORR-N rl"ARKING: 0
VALUE. $ : 825
Remav-1-(s .- Installation of sprinkler fire protection system.
Owner: --- -- -- FEES
PACIFIC REALTY ASSO(,jATES LP type amoi.int by date t-eept
15350 SW SEQUOIA PKWY #300 PRMT $ 25. 00 DEB 01108199 99-31201.37
PORTLAND OR 97224 5PCT $ 1. 25 DEB 01/08/99
99-312037
FIRE $ 10. 00 DEB 01 /08/99 99-312037
Phone #: 624 -6300
Coyltr,actor-:
FIRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97L23
Phone #: 620-6140 $ 36. 25 TOTAL
Reg #. . : 000638 ACTIONS or INSPECTIONS——
This permit is issued subject to the regulations contained in the Spt-inkler, Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other
_ -----
applicable laws. F- 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: Oregor law requires you to follow the
rules adopted by the Oregon Utility Notification Center, Those
rules are set forth in OAR 952-00I-0010 through OAR W. -00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (903)246-1987.
P e r m i t t e P 13 i g n a t 1_t r e ssl..Ied By C,.
9
......4.............4-++#-++++*++4-+++4..... .................F.............4.........4.4
Call 639-4175 by 7:00 p. m. for an inspection needed the next bi-tsiness day
.....4+++4...+++++++4++++++++++ f.......4............. f--#-+++4.........4-+4+++++++++4
Fire Protection Permit Application Plan Cheek#
CITY OF TIGARD Commercial or Residential Recd 6y
13125 SW HALL BLVD. Date Recd
TIGARD, OR 97223 Print or Type Date to P.E. r
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
Permit# 1c- ' `1
/U'7 Called .Z~/{-9Q 9%'S3R�r
T� 4e _
Job Naf Development/Pro ect Type of System (Complete A or B as applicable)
XPltu S _ 3�o 6 f j '13-4N Address Address —
�,Pfy�g,t1 Q _ A.) Sprinkler Wet � Dry
Name Standpipes
Owner Mailing 3 Sdress 1 Hazard Group
(
S 3 G 12 1"- S'C" hn/4 A'i✓y Additional
Clty,/slate Zlp Phone Information Density
�f4Rt[.@-7v0 97?Z 3 6-14 �3cJy
Nameol��`� Design Area
Occupant Mailing Aidres — K Factor
City/StateZip Phone _ A. Sprinkler Project Valuation $ cr
f 1 D Inks 9'775 $'Z S
Contractor Name h B.) Fire Alarm
(Sprinkler or
Alarm company) Mall Ad res a� Submittal Shall Include Battery Calculations YES Fl
Prior to permit 3V tj 4-�to —
issuance.a City/State ZipPhone Individual Component YES �]
Cut Sheets
of all openses g6 (),,q- J& L,to 619Qo B.1) Fire Alarm Project Valuation $
are required if Stat Const.Cont Board Lic# Exp Date
Pro
expired
database OT �!' 3�4G �V 7eeel ject Valuation Subtotal (A &or B) $
Name
_ Jebw .e^-f/Sd /J e,At • Permit fee based on valuation $
Architect Mailing Address — (see chart on back)
ZZ G SE, 7471' �VF 5% Surcharge $
clt
y/State— Zi Phone
FLS Plan Review 40% of Permit
e 736 � � $
Describe work A.)New O Addition O Alteiation Of Repair O --- TOTAL $ i
to be done
B 1 Modification to sprinkler heads only: ns r — -- ----- ''
1 1-10 heads=No plans required Plaequired Submit three sets of plans, including a vicinity map and
i 2 11+=Plan rev ew required the location of the nearest hydrant.
_ I herecy acknowledge that I have read this application that the information given,s
Number of sprinkler heals [ I correct.that I am the owner or authorized agent of the owner.and that plans submitted
— are in compliance with Oregon State laws
Additional Description of Work
Signature of Ow Agent Data �v
A.)In Existing Budding 7 New Building ❑ -2 -1 —
Building Cbibact Person Name 1 Phone /1
Data B.) Commercial EJResldenhal ❑ Pte(C 2 JDF"I FOR OFFICE USE ONLY:
No of stories Plat# MapITL#:
Sq Ft: —
Notes '—
Occupancy Class Type of Construction
__L
is,firesupr.doc
f
CITY OFF TI�C�D
BUILDING PERMIT FEES
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601-1,700 28.00 11.20 1.40 40.6r
1,701-1,200 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901-2,000 32.50 13.00 1.63 47,13
2,001-3,000 38.50 15.40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,001-5,000 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 81.93
6,001-7,000 62.50 25.00 3.13 90.63
7,001-8,000 68.50 27.40 3.43 99.33
8,001-9,000 74.50 29.80 3.73 108.03
9,001-10,000 80.50 32.20 4.03 116.73
10,001-11,000 86.50 34.60 4.33 125.43
11,001-12,000 92.50 37.00 4.63 134.13
12,001-13,000 98.50 39.40 4.93 142.83
13,001-14,000 '104.50 41.80 5.23 151.53
14,001-15,000 110.50 44.20 5.53 160.23
15,001-16,000 116.50 46.60 5.83 168.93
16,001-17,000 122 50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 6.43 '186.33
;8,001-19,000 134.50 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21,001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 63.40 793 229.83
23,001-24,000 164.50 65.80 8.23 238.53
24,001-25,000 170.50 68.20 8.53 247.23
2.5,001-26,000 175.00 70.00 8.75 253.75
26,001-27,000 179.50 71.80 8.98 2.60.28
27,001-28,000 184.00 73.60 9.20 266.80
28,001-29,000 188.50 75.40 9.43 273.33
29,001-30,000 19300 77.20 9.65 279.85
30;001-31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 292.90
206.50 82 60 10.33 299.43
32,001-33,000
33,001-34,000 2.11.00 8440 10.55 30595
34,001-35,000 215.50 86.20 10.1 312.48
35,001-36,000 22000 8800 11.00 31900
36,001-37,000 224.50 89.80 11.23 325.53
37,001-38,000 229.00 91.60 11.45 332.05
,resupr.doc
BUILDING PERMIT
CITY OF TIGARD _-
PERMIT#: BUP2004-00141
DEVELOPMENT SERVICES DATE ISSUED: 3/31/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01400
SITE ADDRESS: 07324 SW DURHAM RD BLDG H
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P
_ BLOCK: LOT: JURISDiC,riON: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 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 SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 42,000.00
Remarks: ADA upgrade, demo walls for spec. tenant.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CA GREEN
15350 SW SEQUOIA PKWY#300-WMI 15350 SW SEQUOIA PKWY. #300
PORTLAND, OR 97224 PORTAL-AND. OR 97224
Phone:
Phone: 503-624-7717
Reg #: LIC 156496
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit RequirE
13l l I I) I'rnnit FCC 3/31I04 $410.80 Electrical Permit Required
Plumhing Permit Required
[TAXI 8 ~tate SUrCIM11 3/31/04 $32.86 Framing Insp
[BUI'1'1 \I I1In k\ 3/31/04 $26702 Gyp Board Insp
1:1 S1 I I S 1'111 16 3/31/04 $164.32 Susp Ceiing Insp
Total $875.00 — Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State e`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 ATT ENTION 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 questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344
Issued By: 4.t"t --
Pennittee
Signature: � ,
/ Call 639-4175 by 7 p.m. for an inspection the next buss day
Buildhig Petmit .ppheation A FOR WIFICE USE ONLY
City of Tigard kecewed �U/ ��
Date'Rv ✓/ ('emut No
!3125 SO'Hall Blvd.?i Tigard.7)R P1223
g Plan Re,',
?sane SGS.o39 a i'+I Fax U . 9ii I oo0 Datvbv I- y Other Pernit:
Inspection Line: 503.639.4175 Date Readv/Bv lunr ® Sec Attached Checkllst forinternet, ",Aw.ci.tigard.or.us Notilled/hiethod Supplementallnfurnuulun
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑Demolition Permit fees*are based on the value of the work perforntec
Indicate the value(rounded to the nearest dollar)of all
❑ Addition'alteration/replacentent ❑Other- equipment,materials,labor,overhead,and theprufnt for the
I
CATEGORY OF CONSTRUCTION work indicated on this application.
I-and 2-family dwelling ❑Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family
Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: New dwelling area: squar.•tees
City/State/ZIP: '7►/ Garage/caipott area: square feet
-/ -
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: _ _ - Deck area: square feet
Other structure area: sgw,.rc feet
REQUIRFD DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees'ere based on the value of the work performed.
-� Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. _
Valuation: $
Existing building area:? square I'm
New building area: square feet
] PROPERTY OWNER ❑ TENANT Number of stories:
Name: PacTrust Type of construction:
Address: 15350 SW Sequoia Pkwy. , Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
Phone:( 3) 62 _ Fax:( 503)624-7755 _ New: �.
APPLICANT ❑ CONTACT PERSON NOTICE —I
Business name- PacTrust _ _- All contractors and subcontractors are required to be
Contact name: Z25 licensed with the Oregon Construction Contractors Board
r. - under ORS 701 and may be required to be licensed in the
Address: 15350 SW Sequoia Pkwy. , Suite 300 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
Ciry'State/ZIP: Portland, OR 97224 V_ apply.
Phone:(503) 624-6300 Fax::( 503) 624-7755
E-mail:
CONTRACTOR
Business name: C.A. Green Company
BUILDING PERMIT FEES*
Address: 15350 SW Sequoia Parkway, Suite_ Please refer rofee schedule.
City/State/ZIP: Portland, OR 97224 _ Fees due upon application
Phone:(503) 624-7717 Fax:(503) 968-1686 _ Amount received
CCB lie. 156496 _
Date received:
Authorized signature a �- This permit application expires Ira permit Is not obtained
— --- within Igo days after It has been accepted as complete.
Print name: , natr. i' Fee methodology set by Tri-County Building Industry
T' ---- Service Board.
i�Buildinppermin\BUP•PermiiApp do, ',u 440.4611T(I IWCOM/wEB)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP _
Received _- --7 _—__ Date Requested ____J `� AM_________ PM __� BLIP
Location / �'� � �c�� i—Suited_C _`_. MEC
Contact Person -- - ''`'� J�L�J ------ Ph (--- -) �_�=�Z'� ; PLM ----
Contractor __-___- _ Ph(._ ) _ SWR
BUILDING Tenant/Owner ._ - ELCUU
Footing
Foundation ELC _.—_--- -
Ftg Drain Access: I
ELR
Crawl Drain -- —
Slab Inspection Nates: SIT
Post& Beam
Shpar Anchors — ---- --
fixt 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
Under Slab
Rough-In i
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 Dampers — -- - - - --- --- --- - - - -- ---- -
Final
P PART FAIL -- - -~---
Service - -- ---
Rough-In _
UG/Slab
(.ow Voltage _F-ir larm -- - --
f
In PART FAIL Reinspection fee of$ _-__required before next inspection. Pay at City Hall, 13 L5 SW Hall Blvd.
A
ITE _—_ F] Please call for feinsption RE:_- _ C7 Unable to inspect-no access
A
Fire Supply Line
ADA Dat k, _
App,oach/Sidewalk In>apA. of
Other:
Final DO NOT REMOVE this Ilnspectlon record fvbm the J96 site.
PASA PART FAIL