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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 139-4171 -- _--
BUP
-- Data Requested— a AM -PM -- _ BLD
Location ,1_J .Ce�,�,� Suite _ — MEC
Contaut Person _ C� 'Y We 2, Ph G X--9 PLM _
Contrac�or `_- A.(6.� _ Ph (y tt. -3(,;—L SWR
BUILDING nt/Owner �� - C(,i?,/( o ELC
Retaining Wall ELR
Footing Access
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes - ---- --
Slab SIT
Post& Beam --- - --- --
Ext Sheath/Sheaf
Int Sheath/Shear -
Framing
Insulation l Drywall Nailing
Firewall -- - _ -- ---
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- -- -- ---- ------- --— -- --
Roof
Misc: _--
Final
PASS PART FAIL ---__..__..... ----------- --- ---
PLUMBING
Post& Beam
Under Slab
fopOut ---------- ------ — ------- ----____--- --
Water Service
Sanitary Sewer _. ----------- --- — -
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam ---
Rough In
Gas Line -
Smoke Dampers
Final - --- __—_� - ---- -- - - -
PASS PARI FAIL
EL.ECTR±CAL - - -- -- -- ------- ---
Service ^
Rough In
UG/Slab
Low Voltage
F4&Alarm
Ir
fSASS ART FAIL
Backfill/Grading -- -� -— --- - -- - ---
Sanitary Sewer
Sturm Drain [ I Reinspection fee of$_ required before next inspecr:an Pay at City hall, 13125 S N Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE:._ _ _ [ Unable to inspect-no access
ADA
ApprrachlSidewalkInspector
Other Date -�� `-- _ Ext _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
�� �� TIGARD
I���D ELECTRICAL PERMITPERMIT#: ELC1999-00460
DEVELOPMENT SERVICES DATE ISSUED: 7/26/99
13125 SW Hail Blvd.,Tiolard, OR 97223 (503) 639-4171
pLOG PARCEL: 2S113AB 01400
.
SITE ADDRESS: 07358 .qW DURHAM RD Cs
SUBDIVISION: FANNO CREE'< ACRE TRACTS ZONING: I-P
BLOCK: LOT JURISDICTION: TIG
Proiect Description: First branch circ
RESIDENTIAL UNIT TEMP S_RVC/FEEDERS _ _ 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/ 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 WO 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 7379 SW TECH CENTER DR
STE 300 TIGARD, OR 97223
TIGARD, OR 97224
Phone: Phone: 684-3600
Reg #: LIC 00052288
SUP 4140S
ELE 34-247C
-FETES _ - Required Inspections
Type By Date Amount Receipt J
--_ _.. _ Elect'I Service
PRMT BCN 7/26/99 $37.50 99-317138 Elect'I =iial
5PCT BON 7/26/99 -- $2.62 99-317138
ORIGINAL
Total $40.12
This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Spedalty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will exoire 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 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
Permit Signature: t '�.y — Issued By:
OWNER INSTALLATION ONLY L _
fhe 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: (" �� �tl�y1 il �1-� DATE:.Ilk
-
LICENSE NO: _--
Call 639-4175 by 7:00pm for an inspection the next business day
,II.1L-23-99 FRI 09;08 AM PHOENIX ELECTRIC CO FAX NO, 15036843611 f U
CITY OF TIGARD Electrical Permit Application Plan
13'.25 SW HALL BLVD. Kec'd By
TIGARD OR 97223 DateRec'd ' 3
Phone (503)639-4171, x304 Date to P E.
Date to DST _
Inspection (503) 639-4175 Print of Type Permit
Fax (503) 599-1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4, Complete Fee Schedule Below:
Name of Drvelopment_ Nrrmb-t-of Inspections rrer permit altowpd
Nary nor narrre of business)�Qyt� yY1 y�T Service included: Items Cost Sum
Address ' ,7t14a, Residential-per unit
r. 1)00 sq.it.or less S 117.75 4
City/Sfateli,lp _ ��.__ __ Pach additional 5UU sq.It,or
portion theroof 5 26.25 1
Commercial lam�c�,- Residential n Limited Energy -- - s 60.00
W _ c �.kA7vt�~lt\ti J Each Manurd Home or Modular
2a. Contract's installation only: Dwelling Se.rvicr;or Feeder S 72.75 2
(Pnor to permit issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data tease). Installalinn,alterolion,or relocation
Eleclncal Contracto `Q ��_ 200 amps or less _ $ 64.25 _
Addfess ) �/ 201 amps to 400 amps $ 85,50 ~� 2
City State Ckc__ Zip 401 amts to tiro amps _ 8 12e.50 2
601 ,imps to 1000 amps - S 192.50 2
Phone P r _ � _ _ 0"ar 1000 amps or voila S 363,75 2
Job No _ ) Reconnect only $ 53.50 2
L)ec. Cont. Lir..e No -jed Exp.Dale 4c.Temporary Services or Feeders
OR State CCB Req. No._tea TExp.Date Installation,alteration,or relocation
COT Business Tax or Metro No. �Exp.Date 200 amps or less S 53.50 2
201 amps to 400 amps _ S 5025 7
401 amps to 600 amps S 107.00 2
Signature of Supr. Etec'n �S _ Over 600 amps to 1000 volts,
License No, L /4 U> __Exp,Date sea°b°above.
,,/� �r 4d.Branch Circuits
Phone No .d`t- r 3CA ) I New,alteration or extension per panel I
a)The lee for branch eircu(ls
2b. For owner Installations: with purchrse of service or
feeder fee.
Print Owner's Name Each branch circuit S 5.35
Address b)The fee for br;neh circuits
----- --- - - without purchase of service
City_ State _Zip^_ or feeder fee,
Phone No. First branch clrcull [ _ S 3750
Each adclKlonal branch occult S 5.35
The installation Is being made on property I own which is not 4e.Miscellaneous
Intended fc, sale,lease or rent (service cr feeder not Included)
Each pump or irrigalinn circle S 42.75
Owner's Signature! Each sign or outline lighting $ 42.75 -'
- - -- signal dreult(.)or a limited energy
3. Plan Review section (if required):
panel,alteration or extension $ 50.00
Minor Labels(10) _ - $ 107.00
Please check appropriate item and enter fee In section 58. 4f.Each additional Inspection over
4 ur more residential units In one strurturp the Mlowable in arty of the above
Service.and feeder 225 amps or more Per inspection $ 50100
FPr nnur S 5000 _
3ystertl over 600 volts nominal 1^rant s 59.00
-__Classified area or struchite containing speaal orrupancy a;
described in N E C Chapter 5 S. Fees:
5a.Enter total of above fens
Submit 2 set of plane with application where any of the above apply. 1%Surcharge(,05 x total fees) S ,
Not required for temporary construction services. Subtotal
5h.Eyler 25%of line 8a for
NOTICE Plan Review If rte uq Ired(Sec.3) S
PFPMI TS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZ_F.D Subtotal $
IS NOT COMMENCED WITHIN 180 PAYS,OR IF CONSTRUCTION OR
WORK IS SUSPFNDFD OR ABANDONED FOR A PERIOD OF 1H0 DAY
S Trvsl cr0�cunt
AT ANYTIME AFTER WORK IR COMMENCED. Total balance Due (/2
i.�d.rtw\1i1m1.r\cler.lrlr:.rluc
CITY OF TIGARD BUILDING INSPECTION NOTICE
In31)ection Line: 639-4175 Business Phone: 639-4171
Footing
Rain Drain
Foundation COV9r/SeNjce
Water Line Ceiling
POst/B@am Mech. Shear/Sheathm
Framing
Plbg.Und/Flr/Slab Plbg. Top Out -Mach.
Post/Beam Struct. Insulation
Mech. Rough-in Elect.
San. Sewer GYP. Bd. - Id\
Gas Line
Appr/Sdwlk Reins.
Other: _�Q
_ --_��/ic% lo—
Date: Jr0
A.M. P.M. ----`
Address: ______�3 ---_•Entry:
--�-�
Tenant; _ >�
Con/Own �� y u Ste..--- MST.•
— -----�_ MEC;
THE FOLLOWING CORRECTIONS ARE F�EPLM
ELR: _
Inspector, --- -
[�� Date?
=HrPROVED/ _DISAPPROyED/CNLL AOR REIN
RT IF' 4TE
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT 10/12/95
13125 SW Hall Blvd.Tigard,Oregon 97223,,8109 (503)830-41171 6K PAKEL : 29113AFA -0.1400
it- L'M DUkIii-irl 11
OBDIVESION. . . . ZONING: I --P
:.00K. . . . . . . . . . LOT. . . . . . . . . . . . .
i.AGS OF WOR1-1,. sALT
IV-IF Of" USE. . . :CON
:1.,CUPANCY ORP. :,:IN
(,rXJ(-IPNCY LOAD: 150
� NANT NAME. . . :CORPM
Tenant Improvement
jov T1 e t,
REALTY ASSOCIATES
15115 SW SEQUOIA PKWY SUITE 200
� 'ORTLOND OR 97224 - 719r.)
hane #z 624-6300
o n t r a c t o r it
AUGH CONSTRUCTION OREGON INC.
rt, BOX 767
-i,41ERTON OR 91075
tionp #t 641 -2500
pg #. . : E,207 7
1(:clipanc�y of the above referenced lhui .-Jing is hereby given, and cert I 1 1 ,
lie compliance with the Utate Of Oregon Specialty Codecs for the groljPl
-c,upancy, and Arse under whit-h the refprpriced permit war, isSLIed.
0
I D6 T;i_N
T
ikZI A 1 W**f-.,
I i7T—OR
-;B JlL ING b�F1 .IAL
F09T -
114 CONSPICUOUS PLAL11=-.
CITY Or TIGARD BUILDING INSPECTION NOTICE .
Inspection line (Rec-O-Phone): A39-4175 Business Phone: 6 -4171
Inspection:
Footing Susp. Bilin Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line �1
Plbg. Underfloor Rain brain Framing -Plumb.
Alarm Water Line Insulation -Mec .
Underflr. Insul. Shear Wall Gyp. Bd. -E lect.
i
Date Requested: I(�//�- �j S r Time:7&
AM PM
Bui'Jer: L Permit 0, C.9
�
THE FOLLOWING CORRECTIONS ARE REQUIRED. 1911
z � - F 57
71
Inspector: Date: t �
1P VED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
L
Community Development ELECTRICAL PERMIT APPLICATION
13'25 SW Hall Blvd.
Tigard, OR 97223 Plai ick/Aec. # _
Permit # _ El C 95- r►�-3
Phone (503) 639-4171 Dale issued S'
CITY OF TIGARD FAX (503) 684-7297 ' Issued by _ Y
TDD No. (503) 684-277
Inspection (503) 639-4175
1. .lob Address: 4, Complete Fee Schedule Below:
Narne of Development __— Number of Inspections per permit allowed
Address 7358 S.W Durham Bldg. G. Service included Items Cost(ea) Sum
City/State/Zip Tlda> d, Oregon _ 4s. Residential-per unit a
1000 tut 11 or leas $11000
Name (or name of business) Oregon Business Pk . Each additional 500 R It or
portion thorsof 4.2500 _ 1
Commercial® Residr ntial❑ Limited Energy :2500
Each Manul'd Homa or Mod-gar
Dwelling:Service r Feeder _ $6600
2a. Contractor installation only:
4b.Services or �:eedere
Electrical Contractor Bachofner Electric Inc n200 impion, or lobs orralacahan 2
I 200 amps or lees �(?;, 7
Address 55 S.E Main S t. 201 amps to 400 Amps $8000 — 2
Ci Portland State or zi�'% - 401 amps to 600 snips $12000 2
`7 p 601 amps to 1000 Amps $11000 2
Phone No. ( 5 0 3 ) 233-2006 Over 1000 amps or volts $34000
Contractor's License No._-Zk—4 5 1 C Reconnect only $5000
Contractor's Board Reg. No. 4 4 5 6 9 4c Temporary Services or Feeders
Installation,alteration or relocation
Signature of Supr. Elec'n 200 amps or leas S50 00
License No. 2808S Phone No 233-2006 201 amps to 400 Amps $7500
401 amps to 600 amps $10000
Over 800 amts to 1000 volts
2b. For owner fnstaliations: Arm'h'Aho✓e
r� 4d. Branch Circuits
Print \/Wirer s Name -4_ _ Now,alteration or extension per panel
Address_ a)The lee Ix branch crruds with
City State Zip_ �^ pureha"or eervke or leader fee.
Fach branch orcuit $500
Phone No. h)The tee for brar_h circuits wifhuuf___
The installation is being made on property I own which is purchase of ve rke or feeder fee.
not intended for sale, lease or rent. rest branch circuit 1 $3500 35. 00
Each additional branch circuit �_ $500 7U,DT
Owner's Signature 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circle $4000
Each sign or outline lighting $4000
Signal circuit(s)or a limited energy
Please check appropriate item and enter fee in section 58. panel altaration nr extension $40 00 _
_ 4 or more residential units in one structure Minor Ishets(10) _ $10000
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C. Chapter 5 Per inspection $3500
Per hour $55 00
Submit 2 sets of plane with application where at.y of the above In Plant $55 0n
apply. Not required for temporary construction sb;vir:es. 5. Fees:
NOTICE 5e. Enter total of abov fees $ 55 . 00
_
5%Surcharge(05 X total fees) $ 2_7 5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subfctal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25".of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $Subtotal $
A PERIOD OF 180 DA13 AT AN TIME AFTER WORK IS -----
CnMMENCED ❑ Trust Account# $
Balance Due 57 . 75
rerdbaaMNMrcyr.am
CITY OF TIGARD BUILDING PERMIT
R M I T #. . . . . . . . BUP-95
COMMUNITY DEVELOPMENT DEPARTMENT Gy DATE ISSUED: 08/29/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (A93),1639-pJTI n(,J' I
V PARCEL: 2S113AB-01,400
TjIT'I--- i-iDDRESS. . . : 4.4358 SW DURHAM RD
SUDD I V I S I 01\1. . . . : C'e--I'-CL�m ZONING: I
BLOCK. . . . . . . . . . . [_OT. . . . . . . . . . . . .
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :ALT FIRST. . . . :7895 sf N: S: E: W:
TYPE OF UGE. . . :COM SECOND. . . : s-F PROTECT OPENINGS?----
TYPE OF CONST. :3N Tw RD. s f (4. S: E: W:
0 CC U P A NJ C Y G R r-,. -.B12, TOTAL- -- 78')'13 s ROOF CONS I :B F I PE RE:T'l .Y
OCCUPANCY LOAD:50 BASEMENT. : L;f AREA SEP. RATED:2HR
'JTOP. : I, 1-IT. :2:2 -rl. CAPAGE. . . : S f OCCU SEP. RATED:
SSMT":N MEZZI:N REDD SETBACKS----- REQUIRED
FLOOR LOAD. . , . :50 psf LEFT: Ft RIGHT: ft FT R SPKL :Y SMOK DET. 1\1
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRIVI:Y HNDICPI ACC:N'
BEDRMG: BATHS: IMP .SURFACE: PRO CC)RR:ISI PARKING:
VALUE. $ .- 5121000
Remarks : Tenant Altei-: Remove int : learn t-oorri adcl int partitions. Notp '
different name an this per-mit CORnM
1.1 w n e v-: ---------- ---.--- FEES
PACIFIC REALTY ASSOCIATES type amount by date t-ecpt
1.5115 SW SEQUOIA P+,WY SUITE L-20 0 PRMT $ ='83. 00 B 08/29/95 95-26991E
r-'LCK t 183. 95 JHF 08/09/95,
PORTLAND OR 97224-7199 f I IRE $ 113. 20 J!"IF 08/09/95
Phone #: 624-6300 5PC'r 14. 15 B 08/J_")/95 95-2699 16
BAUGH CONCTRUCTIAON OREGON INC.
P. O. BOX 767
BEAVERTON OR 971D75
Ph on e !It 641 --i7,500 $ 594. 30 TOTAL
Req #. 6'2877
REQUIRED INSPECTIONS
This pereit is issued subject to the regulations contained in the Ft-aming Ins
Tigard Muri7ipal Code, State of Ore. Specialty Codes and all other 1 n Is 1.t 1� t i o n I T)s p
applicable laws. All work will be done in accordance with Gyp Board ITISP
approved plans. This persit will expireif work is not started SUSP Cei Ing Ins'p
within 180 days of issuance, or if work
i s suspended for sore Final Inspec_-t ion
than 18e days.
i t t e e Si -it I-n-P -
_recd By
Call for inspection 639-41755
Commercial Buildincl Permit Application
City of Tigard
1?775 SW Hall R/v,I. ri
Tigar 1, OR 97223 qc,;
(503) 6.39-4171
Jobsite Address:
Office Use Only
Tenant:�-�� Sulte # r -
Planck)Rec# 0
Valuation:
-- — Permit #A o "' i_ f :0 4. a
Owner: Pacific Realty Assn: iates , L.P., (PacTrust) Map & TL#�" , � �0 '' `T�'ti`
Address: 15115 S.W. Sequoia Pkwy, Suite 200 ApprovalsRegufred -
Portland, OR 97224-7199 _ Planning
Phone: (503) 624-6300 — Engineering ^_
Other
Contractor: // a
Type of const: Y �
;Z��
—' Occupancy class:
Phone: �G'�'�'"�' ��L��j 1
Sprinklered? Ye� No
Contractor's License # _ 1!
(attach copy of current Oregon license) Sq. ft. cf project:_ L
Story (1 st, 2nd, etc.)
i'
ArchltectlEnglneer. John H. Romish Proposed use:
Address: 2216 S.E. 24th Avenue Previous use:
Portland, OR 972.14 �- Note: Plumbing & mechanical plans
must be submitted at time of
Phone: — (503) 236-6306 building permit application.
l �
COMMcNTS: ,0�—
- ,
T/4; z-- -7�
f r;6
A ficant Signature & Ph .ne number
Received by: _�_ . __ _ _ Date Received:
Permit # Account Description Amount .Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) _
5
State Tax (TAX) `' r"'- ell
Bldg:
Plumb.
Mech:
Plen Check (PIA\ K)
Bldg:
Plumb.-
Mech:
lumb:Mech:
Sewer Connection (SWU A)
Sewer Inspection (S NSP) \`
Parks Dery Charge (PkSDC)
Storm Drainage Chg (�DSDC)
Residential TIF MF-R) `_ ^
Mass Transit TIF �(TIF-MT)
Commercial TIF I (TIF-C) _
Industrial TIF I (TIF-I)
Institutional TIF J (TIF-IS)
Office TIF I (TIF-0)
Water Quality (WQU.AL)
Water Quantity \ (WQUANT) /
Fire Life Safety \�. S1
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPL NN)
Erosion Planck/COT (EROSN) y
TOTALS: 17 r
CITY CHAAL OF TIGARD MEPERM I NICT V,
COMMUNITY DEVELOPMENT PEPAR�,MENT PERMIT #. . . . . . . .. IvIEC05 071.7
13125 SW Hall Blvd.Tigard,Oregon 67223-8160 (503)il%�_4171 DATE IS SUED: 10/04/9
5I TC ADDRESS. . . : 1717,358 5W DURHOIYI fui PARCEL: 2S113AB-01400
bV
SUBDIVISION. . . . : ZONING: I-P
I'.. . . . . . . . . . . LOT. . . . . . . . . . . . . .
---------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . EVAP COOLERS:
T :,E OF USE. . . . :COM UNIT IiEArERS. . VENT FANS. . .
'YV
0(.','CUPANCY GRP. . :B.--" VENTS W/0 APPL: VENT SYSTEMS:
STORIES. . . . . . . . . I DOILERG/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES) 0-3 HP. . . . :2 DOMES. INCIPA:
. /GAS/ 3--1 5 FBF'. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPOTR UNITS:
FI RE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . .
GAS PRESSURE. . . :M 50+ HID. . . . : CLO DRYERS. . -
NO. OF UNITS----- AIR HVINDLTNG UNITS OTHER UNITS. -
TURN l lOOK BTU:2 10000 cfm: GAS CIUTLETS. : I
TURN > =111#OK ETU: > 10000 ufm :
RemAr-ks; -- 'Tenant Alteration mechanical only
Ownev— FEES --------
PACIFIC REALTY ASSOCIATES type Amount by date r-er-Pt
15115 SW SEQUOIA PKWY SJITE 212710 PRIVIT $ ;36. 00 B 10/04/95 95-271263
P,LCK $ 9. 00 B 10/04/95 95-271263
PORTLAND OR 97224 -719c) 5PCT $ 1. 80 B .10.1'04/95 9 5—1?7 1 C2 f,
PI-vane #: 62.4—.6300
Cont t-e,ctcit-.-
PROTEMP ASSOCIATES C
807 N. E. COLICH
PORTLAND OR 97232
Phone ff: 1:1',33-6911 46. 80 TOTAL
Reg #. . - 38868
REQUIRED INSPECTIONS
This permit is x_qed subject to the regulations contained in the Gas Line I n-,p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with Cooling Unt InsF)
approved plans. This permit will expire if work is not started Misr. Inspec-bion
within 180 days of issuance. or if work is susppnO?d for more Final Inspection
than 180 days.
Per-mittee
TSSUe(J 13y :
Call for- inspecf. iois 639-4175
City of Tigard �w�s; MECHANICAL PERMIT Planck/Rec. # -/v
13125 SW Hall Blvd. c. APPLICATION � Permit # 4,r(
Tigard, OR 97223 � l
(503) 635-4171
Table 3A Mechanical Code — —� CITY PRICE AMT
Job { _ r ,�[/ i 1) Permit Fee -0- -0- 10.00
Address „ L o - ---
2) Supplemental Permit 3.00
Fur.'i to I U0.1JU0
1) incl. duct:.3 ,•eats 6.00
____F5rn_a_ce7 M 000 13 r U +
Oviner 2) incl. r'ucts&vents 750
— — Flo—or Fumance
3) incl. vent 6 00
uspen G_a_1er,wailheeater -
4) or fluor mounted heater 6.00
occupant en no incl-. in —'-
J mil 5) appliance perrni� 3.00
epair o7Fie_111 ,r—e—fng.—
t;) cooling, a.rsorvticn unit 6.00
__ i-feria :omp,i ea pump,ata con ,
7) to 3 HP; ebsorp unit to 100K BTU 6.00
��, i er or ,omp` e}i aTpump, ail conn.
COntractOr 141r <<- x-�1� 8) 3.15 HP; lbsorp unit to 500K BTU - 11.00
i a or comp,5ea pump,air con .
]2j z 9) 15.30 HP;absorp unit .5.1 mil BTU 15.00
E301ler o`r comp, heat pump, air cond. -
T , � _ 10) •90.50 HP;absorp unit 1 1.75 mil BTU 22.50
eTTi re�acWiaw gi�aTl-have rea is application, fiat ,hee Hoilei or comp, heat pump, air con - -"
information given is correct, that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU .37.50
of the owns, that plans submitted are in compli<,nce with State - it handling unit to —
aws,that I am registered with the Construction Contractor's Board, 12) 10,00,' OFM 450
that the number given is correct. (If exempt from State registration, Air handling urn —T---
4
please give reason below.) 13) 10,000 CTM+ 7.50
On prate a --
14) evaporate cooler 4.50
or an connec -
15) to a single duct 3.00
_ ____V9_n_UTauon system not ---
_�. S 16) included in appliance permit 4.50
Hood served ,
17) mechanical exhaust 4.50
escri a wor _n9w a itiona teretion-U- repair ommemr_111.1 or industrial--to be done rosidential Q non-residential Q 18) type incinerator 30.00
-xisung use o - --� ` 1 erre.,-woodslove,water — `
building or propeny - -- I 19) heater, solar, clothes dryers,etc. 4.5500��
Proposed use of 2ur Oas piping one to four outfets 200 '
building or property — ---
Type of fuel - oil Q natural gas (X LPG O ofecitic U 21) Mora than 4-per oudet
NOTICE
Minimum Fee$25.00 SUBTOTALPERMITS BECOME VOID IF WORK OR CONSTRUCTION -" -
AU1 1ORIZF.D 15 NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OP WORK IS SUSPENDED OR -- ----- — —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. --- -
TOTAL ,
Special Conditions -- --- --
Date issued by
M�MGCHFMT
BUILDING PERMIT
CITY OF TIGARD PERMIT #. . . . . . . : E,U P 1)5--0 C,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/06/95
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (l1 Yba9 Ilii 1
PIARCFL: 2S113AB-01400
SITE ADDRESS. . . : 'A-13"J8 SW LURHAM Rr.
SUED I V I S;I ON. . . . . ZONING: I--P
BLOCK. . . . . . . . . . . LO't.. . . . . . . . . . . . . I
REISSUE- FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION--
CLASS OF WORK. :F I FIRST. . . . . S f N: G. E: W:
TYPE OF USE:.. . . :COM SECOND...: S f PROTECT
TYPE OF CONST. :5N THIRD. . . . : s N: 9: E: W.
0 Sf ROOF CONST: FIRE PET":
OCCUPANCY GRP. -Sl? r
OCCUPANCY LOAD" BASEMENT. : S-f AREA SEP. RATED:
STOR. .- I 1-4 T. : ft GARAGE. . . s f- OCCU SCP. RATED:
BSM r? . ME Z Z') REDD REOUT RED---_..____.____.._.—____.__
FLOOR
ED----
FLOOR LOOD. . . . - psf LEFT: ft RGHT: ft FIR SPKL:Y SMOR DET. . :Y
DWELLING UNI'rS: FRNT- ft REAR: ft F"1 R AL.RM: HND ICF' ACC:
BFDRMS: BATHS: IMP SURFACE: PRO COPR: PARKNG:
VALUE, $. 0
Remarks- Fire S pr i TI 1-(1 el- system.
Owner : FEES
PACTRUST type '--irriol-Int, by dat e recpt
15115 SW SEQUOIA PKWY. PRMT $
..5. 00 B 1219/07,195 95-270E:77
FIRE $ 10. 00 B 09/07/95 95-2702:`77
PORTLAND OR 97224 5PCT $ 1. 25 B 09/07/95 95--270277
Phone #:
Contractor-.-
DELTA FIRE, INC
1.4795 SW 72ND AVENUE
TTGARD OR 97224
OhOne #: 6,-2.0-40J.'O $ 36. 25 TOTAL.
Peg #. . . 64174
REQUIRED INSPECTIONS
This per Nit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fire Alarm Insp
applicable laws. All work will be done in accordance with Smoke detector i
approved plans. This permit will aspire if work is not started Misr. Inspection
within 18@ days of issuance, or if work is suspended for more Final Inspection
than 18@ days.
.............----
1w'a r^m i t,t e e S: a t•.l r e. ��/WV�.�-c� _.__. _ _.._. �_.—_ -- �!-- --
ISSIAe(J
Call for inspection 639-4175
08,131/9 09:45 '14803 884 7297 CITY OF TI6ARD IM002/002
- 1 , �
� Iv
x
PLANCK+ �^ Date:_ �' q
APPLICATION fOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639.4171
I I PRMIT
DAT!. _._ --- E .
valuation•
Amt. Paid:._ Permit Fee:
40% Plan Plan Check Fee: 10
Balance Due: --- A __ 5% State Tax: 1 l9
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the Iryuut and the location of the nearest hydrant is required.
New Installation.__ Addition:�� J RepAir-. _ ___.Alteration: —
Complete: Partial- .Exitway: Basement-.— Hood & Vent.
Spray Bootn:-- IN EXISTING SUILDINC, �N NEW BUILDIN^:
NUMBER & STREET: -�--�--
NAME OF BUILDING or BUS;NESS:
NO. OF STORIES:— SIZE OF BUILDING- OCCUPIED AS.—_----
TYPE
S:_ ___TYPE OF SYSTEMS: wet:_— Dry: Corttbinatiun• _-
STANDPIPES: OCC.HAURD. Light ORD.:iRP.HAZARb i__ 2_,__ 3_4—Extra_._,_
DENSITY_ _GPWFt2 DESIGN AREA __R2 SPRINKLER AREA ,ft2
5PRINKLER ORIFICE S17.E: 1 "K" FACTOR__ TEMP RATING_
OWNER: ___ ADDRESS:
CONTRACTOR: -__
PLANS DRAWN SY; ADDRESS:
REMARKS
,kPPROVED permits Includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all apphi able codes and ordinances of ;re City of Tigard,
SPRINKLER COMPANY: --
A
SIG',4.4TURF OF APPLICANT.
Bt.' LOING DIV15ION, -
PERMIT VALID FOR 180 DAYS
h{IasinVl,nrn<v.rM
St.-��.� h, S v►� F . � -4S-�S
C'TYOF Tf GARDBUILDING PERMIT
(C"Ar! PERMIT #. . . . . . . . DUP9 1-0302
COMMUNITY DEVELOPMENT DEPARTMENT am*"
13126 BW HDQ Blvd P.O.Gm 23:W,TkWW,Orapin 07 (003)SU-475 t DATE ISSUED: 12/11/"j1
_?ITE ADDRESS. . . : '7356 SW DURHAM RD PARCEL: 2SI 13li-iB-01400
f_)IJLAD I V I SI ON. ZONING: I—L
9LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..
REISSUE: FLOOR AREAS----------- EXTERIOR WALL- CONSTRUCTION-
CLASS (JF WORK. -ALT F'I RST. . . . s7280 S f 1\1: S. E: W3
TYPE OF U5L. . . :COM SECOND- - s PROTECT OPEN INGS'?
IYVIE OF CONST. :3N THIRD. . . . : SF N: S; E: W:
OCCUPANCY GRP. :BiL TOTAL--------.- 7.:-�C,&0 s f ROOF CONST .*13 I-' I RE PET') : Y
OCCUPANCY LUAU:`:,8 BASEMENT. : s-F AREA SEP. RA1 EDt2HR
51 OR. : I I-IT. :22 1-t GARAGE_-. . . : s.1, OC(.,U SEP. RATED:
EkSMI '11 :N IYIEZZ7:N REDD SE,rBAcRs-.-_-- REQUI
FLOOR LOAD. . . . :50 p-,f LEFT: ft RGHT: ft FIR SPKL:Y 5MOK DET. . :N
DWELLING UNITS: FRNT : ft REAR-. ft FIR ALRM:Y HNDICP ACCaY
DEDR115: BATHS: TMP SURF(IC,17: PRO (-,(.)[?R:N PO RK I NG
VALUE. $ : 10000
Remarks : Tenant Alter-: Remove 4r,t clean taom walls, add int pat,tttions.
Owner,. FEES
PPGIFIC REALTY At,smcmms type amoo_lnt t)y date t,ecpt
PRIYIT $ 80. 50 JLH
PLER $ 52. 33 JLH 12/03/91 2202180
F I RF $ 2. 20 JL.H 12'/03/91 2 20 J.,13 ii,
Phone #: 5 PT"'T $ 4. 03 JLH 12/11/91
t-onti-actor-:
H. L. GREEN COMPANY, INC.
1 31 15 SW SEQUOIA PARKWAY. SUITE c,00
FIGARD OR 97224-1131
Ptione #: 6214-7717 f 169. 06 TOTAL
Req #. . : 41328
------- REOUIRED INSPECTIONS
This pewit is issued subject to the regulations contained in the Ft�aminq Ins
Tigard Municipal Code, State of Om Specialty Codes and all other Ins#_Itlation I n s p
oplicable laws. All work will be done in accirdance with Gyp Boar-d Insp
approved plans. This pernit will expire if work is not started SLisp Ceilnq Im.,c)
within 180 da;s of issuance, or if work is suspended for more Final Inspection
than 160 days,
ilev-mittee Sirinati-tr-e -
1.ie(J By
fall far insper_tiott - 6,-9_--_4__175
1317-5 sw Ifni nwd. PLNCK/RECT a
�.I or TIGARD roMIX 7JJ97 PE a X056)
COMMUNITY I)(?'VELoI'M ENT DEPARTMENT Tigard,Oregon972L1
(503)6194171 DATE ISSUED
JOB ADDRESS: �� SJR/ f��p�/J TAX MAP/LOT --_--.—
"YUB: LOT: LAND USE:
-----fir
VALUATION:
OWNER SPECIAL NQTFS
NAME: Pacific Realty Associates, L.P.(PacTrus REISSUE 01-:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 LAST REISSUE:
_ Portland, OR 97224 FLOOD PLAIN/
PIIONE: 624-6300 _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: H.L. Green Company PLANNING:
ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 ENGINEERING:
Portland,-.OR 9722_4 —__, _ FIRE DEPT:
PHONE: 624-7717 _ — OTHER:
CON1R. BOARD a: .41328 _ EXP DATE:
ITEMS RtQUIRED
J _T3QNTRACTORS: PLUMS: LIST/SUBCONIRACTORS:
MUCH: _ ^_ _ _ BUS TAX:
ARCH ENGINEER CALCULr,TIONS:
NAME.- John H. Romisr, —____ TRUSS OLTAILS:
ADDRESS: _ 2216 S.E. 24th Avenue OTHER:
_
Portland.,_ OR 97214
PHONE: _ 236-6306
PROPOSED BLDG. USE: --
COMMENTS: GlG�D�-___ ' .
11P�ICAN1—SI GATUR
Received By: _— _�_i___ Oate Received:
P( RMIT a ACd a DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees � � �•�
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit fees _
10-230 01 State Building Tax (5%)
wilding
Plumbing
Mechanical
10-433 00 Plans Check fee
Building
Plumbing
Mechanical
10-230 06 Fire -
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial -i IF Fees
25-448 -06 Institutional TCF fees
25-448-03 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 Syst Dev Chrg
(SSDC) -
24-445-01 Witter Quality (Fee in lieu of)
24-445-02 Water ']uantity (fee in lieu of)
TO TAU- ___ -----
INSPECTION NOTICE
City of Tigard Building Departaent
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
P3otlnq Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line Ipl pu
Post/Beam Struct. San. Sewer Framing -Bldg.
Poat/Beam Mach. Rain Drain Insulation
-Plumb.
Plbg. underfloor Water Line GyF. Rd. -Mach.
L
Data Requested:— 2 - -7 --II Timet
-7 2 _ --- __AN
,�/7-q� PM
Addreses ( /Jc7 � (,l-1/�/�Lll1� -7WA, -7 Permit
Builders1� �f- f;�," 2Y'l C„2q” 171 I
THE FOLLOWING CORRECPIONS ARE REQt1IREDs
Inspector• Ddte-
-�
APP_tOVED DISAPPROVED _-_ APPROVED SUBJECT TO ABOVE
Call For Rainsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 87223.8180 (503)630-4171 PLUMPING r.'E"RMI T
DATE ISSUED: 09/12/95
r'ARCFL ; 1 1 3nS Q 1400
''17 3'.6 r--,W DURHAM PD
ZONING: 1 --P
. . . . . LCT. . . . . . . . . . . . .
S a OF WOR:'.. . :'4L.T 0ARBAGE" t)MPO'rll_''•. . MOBILE HOME GR'ACE'S. :
>F. OF U6Er. . , « :CC?'yl WASHING MACH. . . . . . ..
. BACKrLOW PREVNTRri.
FIXIANCY {ipr. . :D.:: r'LCOR I RA;N... . . . . . . TRAPS. , . . . . . . . . .
"�iRIIwE . . « . . . . . : 4 WATER HEATEP5. . . . CATCH BAG INO. . . .
I XTURES.W._...,. _ I._AUNPRY TRAY,. . . . . . : 5F RAIN DRAIN;. . . . .
;INKS. . « URINALS. . . . . . . . . . . . ! I CREASE TRIPS. . . .
l ;'!VnTORIES. . . . . : OTHER FI XTURt"). . . . . .
-US/SHCIWFRS. . . . : SEWER LINE (ft ) - -
t;'aTER CLOSETS. . :,7 WnTE R LINE:' (ft ) . . . .
• ." ,1�r;"'F�?"" "3. . . . . MAIN DPAIN (ft ) . . . < ,
t A 3.t;q t R 1- i r,4. :1 La aj!-, r-,: rn
,amw ,, this. pe-mit CORAM
REALTY ASf30C I ATr7CZ type. amc''-ky-lt by date ,.
"3W 13EDUOI A S,U I TC �.'00 PRM'T' t ✓>r. 0e, J!3D 1711')/12/15 95- ;27
PLCK t 1 1.. `G JSD 09/12/95 95--27
i .:10.LAN OR r-'("T t -... .r- JIM
#n 624 ...
r:0NTROL. I'lEC)IAN 7 701_.
. .-. r E_.ANI) M11 178_1 i
e
. 04944
RC"0LITPED ING ,CCTIONS
-tit is issued subject to the regulations contained in the F>l.hl%I.Incir r f I tioii
c %Picipai Code, State of am Specialty "odes and all etheri,
-able lairs. All Mork will be done in accordance with Ma. ! Ins i,._' t; icon
:d plans. Thit perait will expire if work is nO sta ted F r,: Tr! t i.oT
'90 days of muonct, or if work is suspended for
}g days.
I
City taf Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # " I�pr
1 312 'SW Hall Blvd. Permit # S -OzS
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
"■ °' "° ' ' New Single Family Residences Only
JobO 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
L1 3 BATH HOUSE$225.00
Address / L Fee includes all plumbing fixtures in the dwelling and the first 100 feet
l• of water service, sanitary sewer and storm sewer. See fees below.
•^ '"°"«' FIXTURES QTY PRICE AMT
Sink 9.00
"'■'^ A" °An^• Lavatory mij 9.00
Owner C Y IhA Tub or Tub/Shower Comb. 9.00
Shower Only 9.00
22 Water Closot 9.00
Dishwasher 9.00
IL Garbage Disposal 9A0
Occupant M Washing Machine 9.00
Cr
CM l
Floor Drain 9.00
r•' r r n^ Water Healer 9.00
Ili t
Laundry Room Tray 9.00
f
Urinal 9.00/f e C I Other Fixtures (Specify) 9.00
CoMtictar 9.00
�` i ."� — 9.00
61 q>, / 9.00
L &.wer 1st 100' 30 00
�� - —
'1'R G^'8—Tin " Sewer -ea. Addit. 100' 25.00
20Q - 1,15� %" L "' *� "I �µ Water Service 1st 100' 30.00
I hereby acknowledge 1haf I hav read this application, that the Water Serilce ea. Addit 200' 25.00
info r ation given is correct, that i am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws. that Storm 8 (-fain Drain 1st 100 30.00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given 's correct. (If exempt from State registration, plr■ase
give reason below) Mobile Home Space 25.00
�p Back Flow Prevention
`' ' Device cr Anti-Pollution Device 9.00
■"^• °w^«4 li—I 0i1e Any Trap or Waste Not
Connected to a FiAture 900
Describe work new 0 addition (.) a.teration repair Catch Basin 9.00
to be done residential Q non-residential O Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40 00/hr
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 1500
Proposed use of
budding or property
- '(Except resident/al backflow
prevention devices)
NO110E 'Minimum Fee $25.00 SUBTOTALLIS a)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED NITHIN 180 DAYS, OR IF 5% SURCHARGE 2 A
CONSTRUCTION OR WORK IS SUSF1:NDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Scec;ai Conditions _
Date issued by
i
i
A-cum!,�lative Sewer (ally
Address: ')c/ '?! ��>�V��(�.� V&,Ill This PLM#: �l ✓�l ��`i JL5
Fixture Value Previous # Credits Fixtures added # New total #s New total values
Capped off Ms
,�aptistry;{•unt 4
Bath - Tub/Shower 4
- Jacuz/Whpl 4
Cuspidor/Water Asp 1
DiAiwasher Commer I 4
Domest 2
Drinking Fountain 1
Floor Drain - 2 inch 2 ( 2c)vA
3 inch 5 C
A inch 6
Garbage Disposal 16
Dom ito 3/4 HP)
Comm (to 5 HP) 32
Ind (over 5 HPI 48
UH Sep (Gas Sta) 6
_ I
Shower - Gang 1
Stall I 2 ,� r
Sink • Bar 2
Bradley
Commercial 3 �v�>,1 —I
Service 3
Washer, Clothes 6
i
I I
'Nater Ert b I
Water Closet ! o
Urinai o
Total fixture values:,------- divided by 16 = _ EDU
HISTORY
fP�_;vi4 EDU# SvVR# EDU# SWR# �I
EDU»- SWR# PLM# EDU# 54VR#
EDU# SWR»- — --- PLM# .DU# --- SWR#
PLNl# EDU4 SWR# I PLM# EDU» SWR#