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7632 SW DURHAM ROAD STE 130 r W 'N d C 7 d w 0 I I 7632 9W DURHAM RD #130 ^ SEWER CONNECTION CITY OF TIG /� RD _ DEVELOPMENT SERVICES E ISSUED: �Y: S /13/02 60340 13'25 SW I lall Blvd.,Tigard, OR 97223 (50) 639-4171 DATE ISSUED: 12/13/02 PARCEL: 2S 113BA"00400 SITE.. ADDRESS; 07632 SW DURHAM RD 130 SUBDIVISION: SW CENTER SDR 1999-00020 ZONII4G: 1-1' BLOCK: LOT: JURISDICTION: 'I I() TENANT NAME: ROCKWELL USA NO: FIXTURE UNIT'S: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .1 EDU increaso. Previous EDU 18.5 for a total of 296 fixture values. Addition of 2 fixture values, for a new total of 296 fixture values = 18.6 current EDUs. Owner: FEES OPUS NW Description Date Amount 1000 SW BROADWAY STE 1130 — -- PORI-LAND,OR 97208 [SWUSA] Swr Connect 12/13/02 $230.00 [SWUSA) Swr Connect 12113/02 $0.00 Phone: 503-916-8963 Total $230.00 Contractor: Phone: Reg #: Required Inspections This Apolicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency dues not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If-lot so located, the installer shall purchase a"Tap P^d Side Sewer' Permit and the Agency will install a lateral. ATTENTION: OreSon 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 95 : Accumulative Sewer Tally Tenant Narne• Rockwell This SWRk 2002-00340 Address: 7632 SW Durham Rd. ST E. 130 This PLM# 2002-00447 _— Fixture Value Previcus Previous Credits Capoed Fixture Fixture New New # value capped off value added added total total count off#s count _ # value #s values Baphsery/Font 4 0 0 0 0 0 Bath Tub/Shower 4 0 0 0 0 — 0 -Jacuzzi/Whirlpool _4 0 -- 0 0 0 — 0 Car Wash-Each Stall 6 0 0 0 —0 C - Drive through ---16 0 0 -- 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 _—0 0 Dishwasher-Commercial 4 0 --0 —_ 0 0 0 - - Domestic 2 0 0 1 _ 2 1 2 — Drinking Fountain —1 0 0 0 0 0 Eye Wash 1 0 0 _�— 0 0 0 1 loor Drain/Sink- 2 inch 2 ----.-o 0 0 _ 0 0 3 incn 5 ---0--- 0 — 0 0 0 4 inch 6 0 0 — 0 — _ 0 0 Car Wash Drr 6 0 0 _ 0 — 0 0 Garbage Disposal — _ _. — — Domestic(to 3/4 HP) 16 _ _ —0 0 0 y 0 _— 0 Commercial (to 5 HP) _ 32 0 0 0 0 0 Industrial (over 5 HP) 48-----,- 0 — —0 0 0 0 Ice Machine/Refrigerator Drain 1 _ 0 J _ _— 0 0 0 — Oil Sep(Gas Station) 6 — 0 0 — 0 0 0 Rec, Vehicle Dump station — 16 _ 0 — 0 - 0 0— 0 Shower Gan (per head) 1 0 0 --0 0 0 '••Stall — 2 0 0 0 0 0 Sink• Bar/Lavatory 2 _ 0 0--.---- 0 0 0--- _ Bradley —� 5 -- 0 --- 0 — 0 0 0 Commercial3 0 0 0 0 0 Service — 3 _ _ 0_ — 0 — --- — 0 0 0 Swimming Pool Filter - 1 0 0 — 0 0 0 -_ Washer-Clothes 6 — 0 --- 0 0 — 0 — 0 -- Water Extractor 6 0 - 0 0 0 - 0 _ Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 _ 0 0 Previous EDU EDU Count 18.5 296 296 Capped EDU Credit 0 TOTALS 0 296 1 0 0 1 1 2 1 298 Current Fixture Value 298_ divided by 16 = _18.6_Current EDU 1 EDU = $2,300(10 Previous Fixture Value 296 divided by 16= _ 18.5 Previous EDU Change 2 divided by 16 = 0.1 — over (under) $ 230.00 Enter EDU Change Bore 0.1 HISTORY -- PL-M# _ EDU# --— SWR# �— __._ _.� "F LM# EDU# —__ SWR# -- --- -----iPLM# — EDU# SWR# Narne: �lGLLLDate: Signature of person 'hat calculated this tally sheet and date perfromed Is required CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP --- - - Received -- __ __ Date Requested -__ -�- =5 AM PM_T— BUP Location _ ___ �_��1�1�c t-1-G(-�x.-Uxs1 _Suite I MEC Contvct Person Ph(---) _ PLM Contra ctor .._��Ph_( d ) -2,7- 5 82 SWR _ BUILDING Tenant/Owner _ "z./� -�,Z-)-e ELC Footing Foundation Access: ELC Ftg Drain ELR 2r 02 3 G- `l _ Crawl Drain I _ __ _ Slab Ins ectior, Note; SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - - �- Framing Insulation Drywall Nailing - Firewall - Fire SF,inkler -- - _ ------ ---- Fire Alarm Susp'd Ceiling - - - - - - -- - Roof Other: — Final PASS PART FAIL- PLUMBING Post& Beam - Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - - - ----_ _.. — — - -- ----- Catch Basin/Manhole Storm Drain --- - ------ Shower Pan Other: -- - — -- —- Final -- ------ PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers ------ ------- - Final PASS PART FAIL ELECTRICAL Service -!- - -.------- ----.- Rough-In UG/Slab Low Voltage Fire Alarm WPART FAIL ❑ Reinspection fee of$ _required before next Inspection. Pay at City Hal!, 13125 SW Hall Blvd. ffE ❑ Please call for reinspection RE:_- _ ❑ Unable to inspect-no acness Fire Supply Line ADA -�"- Approach/Sidewalk -��- 613 Inspector 1- c�L Other: ' Final PART FAIL DO NOT REMOVE this inspection record from the job site. PAs$ CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00309 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/2.3/02 SITE ADDRESS: 07632 SW DURHAM RD 130 PARCEL: 2S113DA-00400 SUBDIVISION: SW CENTER SDR 1999-00020 ZONING: I-P BLOCK: LOT: JURISDIC NON: TIG Proiect Description: Job No. 5260-215 Tenant Improvement A.RESIDENTIAL B.COMMERCIAL__ _ AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LAND3C LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: _ Owner: Contractor: HAMBACH, MICHAEL V + SONITROI_ (AKA SOUND SECURIT") SATTLER, SANDRA E + 8220 N. INTERSTATE AVE. BROWN, LORENE PORTLAND, OR 97217 TIGARD, OR 9722.4 Phone: Phone: 503-223-5822 Reg #: LIC 53535 ELE 26-370CEP _ sllP 2260.II.P FEES Required Inspections Description Date ----Amount Ceiling Cover I 1 1'RM"1' ELR 11cinni 12/23/02 Y $75.00 Wall Cover Elect'I Final l A N j x State Tax 12/23/02 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if 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 vales adopted by tha Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by / �� Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLP TION ONL'f SIGNATURE OF SUPR ELEC'N _ DATE:___ LICENSE NO: Call 6394175 by 7:00 P.M. for an inspection needed the next business day Hectrica► PerrnitAl>plication City Of TigardRECEIVED Date received: Project/appl.no.: _ Expire dale: City ofTigard Address: 13125 SW Nall Blvd,Tigard,OR 97221 Date Issued: By: Receipt no.: Phone: (503) 639-4171 DEC 2 3 2001 -- ----- Fix: (503) 59R-1960 Cos, file no,: Payment type: CITY OF TIGARD Land use approval: _ , VISION _ MENEM= U I Rt.2 family dwelling or accessory Commercial/industrial U Multi-family U"tenant in piovemenl U New constnlction U Addition/aheratitm/replacemeill U Other: . ._ U Partial 3011 SITE 1 1 Job address: I '�� dXJ V�Y 1t_►7 Cx,C, [aldg. no : tiuite no.: t'>t Tax snap/lax lot/Accoan:no.: Lot: Dlock: - SuN ivisiun:_ �_ -- J Project name:yko(- ,�l21�1�l Description and location of work on premises: -�� fistimated date of complction/insprclion: _ CONTIM70111 rob"Co. cJ,�tpG ,J�,4� Ire Max (ea.) ictal no.l 1%p Business name: �2.S _��1 �(ZI„1•-� J--� _ r ---� New rrsl.ndial-s(ngk or Muhi fandh per Address:r�a yQ_� I_Y\�12 IL. C,_ �Q- dwrllingmill.Includes allachedgarage. City: Y } i Slate: ZIP: —j 1 ';c"Iceinclutkd: Phone:aa3 58 as Pax:grj3••rn 13 B mail: 1000 sq A.or less Each additional 500 sq.fl.or onion thereof CCB no.: �j�f j Fj Elec.bus.tic.no: .�(n. Umited energy,residential 2 ('ity/metro li no.: _ _ _ Limited energy.non-residential 2 �j Loch manufactured home or modular dwelling --- Signature of supervising electrician(required) [role I��- y-e'er Service and/or feeder 2 Sup.elect.name(print): SCc- AOL'L' License no:tZ '01( Services or feederInslallallen, alteration or relocation: 100 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: - Stale: ZIP: Over 1000 amps or volts 2 Phone: PAX: r-MAIL' Reconnect only I Owner installation:The installation is bring made on property I own Temporary services or feeders- which is not intended for sale,Iensc,rent,or exchange according to Inscanation,alter atIon,orrelocation! 200 amps or less 2 ORS 447,455,470,670,701. _ -_ 201 amps to 400 amps Owner's signature: Dale: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: 711110ne: A f-'crforbrmtchcircuitswillnpurchascof service or freder fee,each branch circuit stale: I-.1P: B. Fee for branch circails wilhnut purchase i :t ['-mail: of service or feeder fee,first branch circuit: - 2 Each additional branch circuit: Mise.(Service or feeder not Included): U Service over 225 amps-commercial U Health-carr facility F,ach pump or irrigation circle _ 2 U Servicc over 120 anup%-rating of 1&2 U l lnrnrdous l cation F.ach sign or outline lighting __2 family dwellings U Building over 10,001 squat feet four of Sign it circuit(%)or a limited energy pnnrl, 915U System over 600 voles nominal mnre residential units in one structure alteration,orexlen%ion• 1 2 U Building over three stories U Feeder%.400 snips or nae *Description: U tk-cupnnt Inad mer 99 pemonns U hlnnufacturd slrvclmrs or RV pnrk pouch additional Inspection over lite allowable In any of the alcove: U Fgres,0ighlingplsn U Olhrr - -_ Per inspection f 5abinit sets of plans with any of the alcove. Investigation fee Ilse abate are not applicable to lempott,-y con0ruction nervi:e, Other Not all)urisdictiont.eery"crrdit cud+,plena call htdsdictinn fix it I�,r.vn+atinn Notice:This pennit npplieatiort Prrltrll fee..................... 5 __ U Visa U MasterCard expires if a pennit is not obtained Plan review(a( -- %) $ rrcdu cud mtmher: _ _ // '' within 180 days after it has been Stile :charge(R%)....$ _- C -moi accepted as complete. T(YTAL .......................s -- ----i3amr--or'c.r�bo der u Chown nn crc it e�--- ---- -ca+dholder rignanure -_—— - Amami 4404611(NOM.)M) Electrical Permit Fees: Limited Energy Fees: -- --- --- . -- Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL r,►NLY __ Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per uti t 1000 sq ft or less _ $145 15 _ 4 Audio and Stereo Systems Each additional 500 sq.itor portion thereof $33.40 _ 1 Burglar Alarm Limited Energy V $75.00 _ Fach Manurd Ilome or Modular l� Garage Door Opener' Dwelling Service or Feeder $90.90 _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ _ $8030 _ 2 � Vacuum Systems' 201 amps tc 400 amps $100.85 2 I 401 amps to 600 amps _ $160 60 — 2 601 amps to 1000 amps $24060 – 2 lll��JJI Other Over 1000 amps or volts $45465 _— 7 ------ Reconnect only --- $66.85 — 2 Temporary Services or Feeders TYPE OF WORK IW/OLVED - COMMERCIAL ONLY Installation,alteration,or relocation 200 amps or 1,ss $66.85 _ 2 Fee for each system....................................................... . $75 00 201 amps to 400 amps $100.30 _ 2 (SEE OAR 9111-260-260) 401 amps to 860 amps $133 75 + 2 Over 600 amps to 1000 volts, Check Type of Work Involved: see"b"ab:ee. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ a)The fee for branch circuits Boller Controls with purchase of service or feeder fee. Clock Systems Each branch circuit $6.65 2 b)The fee for branch Orcuils — Data Telecommunication Installation without purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit _ $665 _ HVAC Miscellaneous (Service or feeder not included) U Instrumentation Each pump or irrigation circle _ $53.40 Fach sign or orilline lighting $53.40 _ Intercom and Paging Systems Signal circult(s)or a IimkA energy _ e ranel,alteration or extension 1 $7500 1 M. or Labels(10) _ $125.00_ Landscape Irrigation Contru,' Each additional Inspection over Medical the allowable in any of the above Per Inspection $62.50 Per hour __ $62.50 Nurse Calls In Plant _ $73.75 — __._ Outdoor Landscape Lighting' Fees: +15 Enter total of above fees $ '2Z Protective Signaling BY.State Surcharge $ _(a .0) E] Other 25%Plan Review Fee ____1i -Number of Systems See"Plan Review"se dlon on $ front of application. _ _ No licenses are required Licenses are requited for all other Installation-, Total Balance Due $ Fees: OZ, Enter total of above fees ❑ Trust Account p 8%State Surcharge Total Balance nue $ i:ysts\forms\elc-fees.doc 10/09/00 CITYOF TIGARD _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BLIP2002-00478 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/29/2002 PARCEL: 2S113BA-00400 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07632 SW DURHAM RD 130 SUBDIVISION: SW CENTER SDR1999-00020 BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2-1 HR OCCUPANCY GRP: B OCCUPANCYLOAD: TENANT NAME: (ROCKWELL REMARKS: Ter ant improvement Owner: OPUS NW 1000 SW BROADWAY STE 1130 PORTLAND, OR 97208 Phone: 503-916-8963 Contractor: 503-916-8963 �n-1-5574-9n 1a---- OPUS NORTHWEST LLG 1000 SW BROADWAY#1130 PORTLAND, OR 97205 Phone: 503-916-8963 503-519-6014 Cell for Reg #: !l;.0(t'-574-21M36 This Certificate issued 12/12/2002 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the :;tate of Oregon Specialty Codes for 11 the group, occupancy, and use under w • the referenced permit w•� ted. �CZ� 4n BUILDING INSPEC P BUIUD-1-NIGIOFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (563)639-4171 �_--. BUP Received .- ----.---Date Requested-_ �� -�� SAM _ PM —._ BUP Location — 6 Suite I3C) MEC Contact Person _- ___ — Ph(--) PLM Contractor __._____._ — Ph( ) — SWR UILDI G Ter�ant/Owner _ -__ ELC Footing ELC tion Access: Ftg Drain65- t ELq -- -- - - -- Crawl Drain SIT Slab Inspection Notes: �yyyl Post&Beam Shear Anchors -- -- - _ Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing - —-- --- rirewall Fire Sprinkler -- -- - ----- Fire Alarm Susp'd Ceiiing -- - Root �. Other: SS PART FAIL ` ----------- -----— ----.._- ---- BING Oost& Beam Under Slab Rough-In r Water Service Sanitary Eewar 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/Slab Low Voltage Fire.Alarm Final Reinspection fee of$_ requiied before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE - FA Please call for reinspection RE:__ —__.____ -- [] Unable to inspect-no access Fire Supply Line ADA Dante 1.2 Inspector _7C - - - --- - Approach/Sidewalk Other: _ Final CIO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST yyT BUP Received _—Date Requested /-U/ 2'_—_— AM_— _PM BLIP _— Location ,Z6 1�� w —_--Suite /10 MEC _ Contact Person Ph( ) 9-O PLM Contractor Ph(____) SWR —_-- _ LDIN _ Tenant/Owner _ — _ ELC -footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT — ----— Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - - Insulation (� Drywall Nailing —�-r--- Firewall Z- C 72r Jc Fire Sprinkler - c�� ! - - -- Fire Alarm , Susp'd Coiling r �_ 1 Roo PAR4/' ING — Post&Beam Under Slab WatehoService --- �^ y6 Z Sanitary Sewer / ,f9 z� G ,� b �'� 7S Rain Drains - --- _ Catch Basin/Manhole '- - Storm Drain ---- Shower Pen Other: _ - ---- --__--- Final PASS PART FAIL - - MEjHANICAL' — Post&Beam Rough-In - — Gas Line Smoke Dampers --- --- Final PASS PART FAIL -- - —� - EL_ECTRICAL Service Rough-In - -- ----- --- --_ ------ UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - L� Please call for reinspection RE: _ — — F-1 Unable to inspect-no access Fire Supply Line ADA �_.. ._1 � Ext — lnapeCtnR ApproacWSidewalk Dab-- I _ �__�_- _- Other: Final DO NOT (REMOVE this Inspection record from the job elte. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 NIST ---- --------- INS'RECTION DIVISION Business Line: (503) 639-4171 BUP Received __ —_ __Date Requested_ -13 AN! —_ PIA __ BUP Location _ - 77 4o,3 _ LGA Y-\r Suit9 MEC ------ Contact Person ---- -------- - - --- -- Ph FLIM Contractor WPh( ----) SWR -- — BUILDING Tenant/Owner -___ _- - ELC Focting ELC -- -- -- -- Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam -- Shear Anchors Ext Sheath/Shear - - C-- Int Sheath/Shear Framing ----- —_ 2� Insulation Drywall Nailing -- - -- --- Firewall Fire`sprinkler - - — Fire Alarm Susp'd Ceiling ---------- Roof Other: ------ Final -- PASS PART FAIL PLUMBING__ - Post& Beam Under Slab - -------- '-- Rough-In Water Service - - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --------- Shower Pan Other: __ -- - - - - - --- -- Final - PASS PART FAIL _MECHANICAL - Post& Beam Rough-In --- Gas Line Smoke Dampers Final PASS_PART FAIL -- - - - ---- _ - ---. - ELECTRICAL Servic9 - Rough-In --- -- - UG/Slab Low Voltage - - - - - F Alarm Il nspectinn tee of i 3qulred before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL.. -SITE -_ Please call fm reinsl� ,li,m I f(_ - E] Unable to inspect-no access Fire Supple Line ADA Date c Ins Approach/Sidewalk � i�' toactor Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Busine!;s Line: (S03)639-4171 BUP Received ____ Date Requested r,M —__ _-- PM BUP Location _ � _ .� ----- DUA_,A_,d44d_- -Suite----__------- MEC _--- - - - Contact Person _____-----_-_�'�,d.0,� — Ph(- ) l�? - d� PLM __ �b 0 Contractor ___ _ Ph( _) SWR _._--- l!1 Tenant/Owner ---.-_ r�IU,P��-- - ---- ELC 2- ng ELC - - - oundation Access. Ftg Drain ELR --- Crawl Drain Slab Inspectior, Notes: SIT Post& Beam _----__-- --..--- -- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- --------- - -- - Insulation �- Drywall Nailing Firewall Fire Sprinkler -- - ---- -" Fire Alarm Susp'd Ceiling --- - - --�- -- - - Roof AFART FAIL UMBI __--- ---- -------... ___ t& eam Under Slab -- -- -- - Rough-in Water Service - Sanitary Sewer Rain Drains -- - _ --- - - Catch Basin/Manhole Storm Drain — Shower Pan Other. --- - - _ - -_ - --- - - Final - S PART FAIL -_ ___ - --___-- ----- - - --- -AIL --- Post&Beam Rough-In -- - - -- ---- Gas Line Smoke Dampers - - --- - - -- Final PASS PART FAIL --- ----- --- --- - -- __ -- - --- ELECTRICAL Service Rough-In UG/Slab -------_�- -- Low Voltage Fire Alarm Final U Reinspection fee of$_ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _ SITE Please call for reinspection RE:--- ___ _ -_ L� Unable to inspect-no access Fire Supply Line ADA Date _�� _ NMp�:cic�r _� -_ _Ext Approach/Sidewalk - Other Final E J NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MSTINSPECTION DIVISION Business Line: (503)639-4171 --- BUP - - - - - Received _ _Date Requested. AM-- -__ I'M BUP - - Location 3 Z Sw '01,�'.l0..- 12yl Suite__1.25 -- --- MEC Contact Person — _ _ Ph(. _-) ___ -- PLM _-- Contractor _ Ph( . 1 — —__ - SWR BUILDING Tenant/Owner - ELC Footing ELC FoundationAccess: Fig Drain ELR , 002, -7 j fe Crawl Drain Slab Inspection Notes: SiT - Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - - -- - - Insulation l --- u,rwall Nailing -- - --- Firewall Fire Sprinkler - -- -- - - -- - - - - - --- --- - - -- - -- -- Fire Alarm Susp'd Ceiling ---- - Root Other: _ Final PASS PART FAIL - PLUMBING Post&Beam - -- ` • Under Slab -- Rough-In Water Service Sanitary Sewer Rain wine - - --- - Catch Basin/Manhole Storm Drain — Shower Pan Other: --- ---- - T_ Final PASS PART FAIL - ---- --- MECHANICAL _ L_____-__ Post&Beam Rough-In Gas Line §rUWp Dampers - - -- - - - - --- - low PAU PART FAIL - -� .E, IB C1 Service — Rough-In �►'�^-1 - _ UG/Slab 14va L Low Voltage - - Fire Alarm ma PART FAIL Ll Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. g ❑ Please call for reinspection RE: -____—__—_ Unable to inspect-no access Fire Supply Line AIIA Approach/Sidewalk Dab ]y -_ Inspector_L-1aLwz _.—_ Ext _ Other. _ _ _ V Find DO NOT REMOVE this Inspection record from the Job site, PASS PART FAIL CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503) $39-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 � , y S F3UP _ 0 �1 Received 77 Date Requested_ _ -n __ AM.-- PM--.—.-- BUP Location Suite----' -_ MEC Contact Person -------- __ Ph(— ) o- _ate PLM Contractor Ph( ) _ ____ SWR _�- BUILDING_ _ Tenant/Owner ELC Footing '- ELC Foundation Access: ^— Ftg Drain ELR Crawl Drain _. Slab Inspection Notes: ,IT --- Post& Beam _-- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Frawing Insula�ion Drywall Nailing ` __ _ ------ r _-__—. Fire ----� tre S rinkic re term Susp'd Ceiling �- Root Other: _ — 1 PAM FAIL Post&Beam_ Under Slab - -- —•-- -- Rough-In Water Service Sanitary Sewer Rain Drains - -------- -- Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Lina Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab —� Low Voltage Fire Alarm Final Reinspection tee of$___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE —,^ ❑ Please call for reinspection ISE:__-_ __.. __. -__ L� Unable to inspect-no access Fire Supply ADA date .21 61 e Inspector --- E�ct Approach/Sidewalk - - --- Other Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITYO F T!G A R D _ BUILDING PERMIT —r PERMIT#: BUP2002-00457 DEVELOPMENT SERVICES DATE ISSUED: 10/23/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113BA-00400 31TE ADDRESS: 07632 SW DURHAM RD 130 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION. TIG REISSUE: FLOOR fit'" _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: — OCCUPANCY GRP: B TOTAL AREA: 0.00 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BE:DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,954.00 Remarks: fire sprinklers. Owner: Contractor: HAMBACH, MICHAEL V + DELTA FIRL INC SATTLER, SANDRA E + 14795 SW 72ND AVE BROWN, LORENE PORTLAND, OR 97224 TIGARD, OR 97224 Phone: 620-402.0 Phone: 620-4020 Reg #: MET gegq00011934 FEES LIC REQU & INSPECTIONS Description Date Amount Sprinkler inspection I It(IILD] Permit Fee 10/16/02 $81.70 Sprinkler Final I'AX] 8%State Tax 10/16/02 $6.54 (FLS] FLS Pin Rv '10/16/02 $32.68 Total $120,92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification. Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by callin%4�03) 246-6699 or 1-800-332_-2344 Issued By: Slgt,iture: --- Call 639-4175 by 7 p.m. for an inspection the next business day Fire "rotection System o oL Building Permit Application Date recei ved: p Permit no.: 157 City of TigardLV 9 w .d Address: 13125 SW Ball Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Cilyn/7igard Phone: (503) 639-4171 Date issued: — By: Receipt no.: FaxVuse 03 598-1 / Case rile no.: Payment type: approval: _ 1&2 family:Simple Complex: � ► 0 U 1 &2 family dwelling or accessory M(')mmcrci industrial ❑ ulti-famil LI New constru•.tion U Demolition 4rAddition/alteration/repli!cement I!d'I enanl improvcrnt�nt �r;ir 7trinkle alarm U Other.SJUNkORMATION Job address: �; �"1 Bldg.no.: Suite no. s Lot:_! Block: Subdivision: _ Tax map/tax lot/account no.: Project name: Description and location of work on premises/sreciai conditions: ' plain.septle capacity,solar,etc.) Mailing address: _ I &2 family dwelling: City: State: ZIP: Valuation of work........................................ $ Phone: Fax: — E-mail: No.of bedrooms/baths................................. Owner's rcprese:.tai`ve: Total number of floors................................. Phone: fax: I: ootid: New dwelling,area(,sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... Mailing address: j t Deck area(sq.ft.) . ...................................... City:i__ ay State: ZIP: '_,: ( Other structure area(sq.ft.)......................... _ E-mail: CotnmerciaUfndustrfal/multi-family: Kill Valuation of work........................................ $ S •— / Existing bldg.area(sq.ft.) r .......................... Business name: --- New bldg.area(sq.ft.) — N _ ................................ Address: _ City: State ZIP: Number of stories........................................ Phone Fax: E-mail: Type of construction.................................... CCB no.: y C( C 1 Occupancy group(s): Existing: �—-- — New: — - City/metro lic.no.: � Notice:All contractors and subcontractors are required to be— licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: - jurisdiction where work is being performed.If the applicant is Cit Stat Zlp; exempt from licensing,the following reason applies: Contact person• an no.: -- Phone ',' ? C�c2.� Fax: E-mail: Name: Contact person: Fees due upon application ........................... $_ Address: _ Date received: _ City: State: _ zw: Amount received ......................................... $ Phone: _ Fax: i-mail: Pleas,: refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call jurisdiction frit motr information. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will he complied wt ht;the pacified herein or not. Credit card number: y� Expires Authorized sign t - ,7 r Date: -� '��` Name of cardlrolder u shown on credit card-- Print name:_— - — f — — Crdhulder signature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4104611(60WOM) Fire Protection Permit Check List A.Z ❑ New_ LJ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review recuired. Number of sprinkler heads: Additional description of work: lype-of System (Complete A,.B or C as ap licable A. Sprinkler- Wet U Dry ❑ Additional Hazard Group_,_ _ Information Density Design Area _ _ K. Factor Sprinkler Project Valuation: $ _ B. Type 1 - Hood Fire Suppress.:,)n System Hood Project Valuation_I$ C.)___Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire A' -m Pro ect Valuation: $ f Pro ect Valuation SubtotaLQA, B & C), $ Permit fee_based on valuation see chert : $ _�_ 8% State Surcharge: $ 19 �� FLS Plan Review 40% of Permit: $ Ca g TOTAL: $ /',)Q — Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1:%dstslformskFPScheck11st.doc 11/21/01 ELECT CITY OF TIGARD RESTR TEID ENERIGY DEVELOPMENT SERVICES - PERMIT#: ELR2002-00236 13125 SW Hall Blvd.,Ti4ard, OR 97223 (5 03) 639-4171 DATE ISSUED: 11/4/02 SITE ADDRESS: 07632 SW DURHAM RD* -1'( PARCEL: 2S113BA-00400 SUBDIVISION: SW CEI TER SDR1999-00020 ZONING: I-P BLOCK: LOT: jUR!SDICTION: TIG Proiect Descriration: Low voltage for HVAC wiring. A.RESIDENTIAL B.COMMERCIAL _ �— AUDIO & STEREO: AUDIO & STEREOS — INTERCOM & CAGING: BURGLAR ALARM: BOILER: LANDSCAPEPRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: OPUS NW AMERICAN HEATING 1000 SW BROADWAY STE 1130 1339 SW GIDEON ST PORTLAND, OR 97208 PORTLAND, OR 97202 Phone: 503-916-8963 Phone: 239-4600 239-4600 Reg #: MET 00001077 LIC 33135 ELE 26-993CRI,. FEES �Y SUP llbokl6b Inspections _ _Description Date Amouot Low Voltage Inspection — [EiLPRM'I I FI.R Permit 10/29/02 $75.00 Elect'I Final TAXI 8"/„State Tax 10129/02 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATT ENTION. Oregon law requir,:s you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 1-0010 through OAR 952-001-0 100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by ��. -�` l/ t �:� Ji c ( Permittee Signature OWNER INSTALLATION ONLY 'The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: i 1 CONTRACTOR INSTALLATION ONLY —SIGNATURE OF OF SUPR. ELEC'N LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application - - — — Date received:to QY Permit no.: City of Tigard Project/appl. no.: Aimkrc date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: NEE= IN U I &2 family dwelling or accessory G C:ommcrcial/industrial U Multi-family VTenant improvement U New construction U Ad(Iition/alteration/replacement U Other: U Partial INFORMATION Job address: , j 51,,,) �,r �w Hid), nit _- Sour n++.://�� Tax niap/tax lot/account no.: Lot: Black: —subdivision: �+"'` Project name: Qom I I ?TI Description and location of work on premises: Estimated date of completion/inspection Job no: Business name:— AIi1L'riean Heating. Inc. Description (1Q. tea.) Total no lisp Newretildenllsl-singleormuhl-famlN per Address: 1339 SE Gideon ST. dwrlllnGunit.Inrludesattachedgarage. City: Portland I State: OR I ZIP:97202-2418 Serolcelnrltr+lctl: Phone: 23 Fax:239— 038 Email: u>tx% It.or less _ _ 4 CCB no.: EIeC.bus, IIC,no: _ _Each additional 500 sq.ft.or portion thereof - r Limited energy, residential 2 City/metro lic,no.: 60114 • ,�.L �/Y% G Limited energy, non-residential 2 r�ll� /t _ Each manufactured home or modular dwelling Signature of supervisin elm tc (requited) Date Service and/or feeder 2 Sup ale �. name(primp: r1s11Qik9S S. YOL1I1 License no: 26401, Serrlce'orfeeders-installation, allerallon or relocation: 204)amps or less 2 Name(print): 201 amps to 400 amps _ _ 2 --- - - -- 401 amps to 6W amps 2 Mailing address: 601 amps to 1000 amps �— — — 2 City: State: ZIP: Over 1000 amps or volts 2 . Phone: I E-mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,45.5,479,670, 701. 200 amps or less 2 291 ams to 400 amps 2 Owner's signature: Date: iolin 6W amps 2 elm r Branch circuits-new,alteration,lemy or extension per panel: 7Na A. Fee An branch circuits%%ith purchase of service or feeder fee,each brunch lircuil 2 State: ZIP: B. Fee for branch circuits wiUatd purchase of service or feeder fee,first branch circuit: 2 Fax: E-mail: —_ Hach additional branch circuli PLAN RVVIFIV(Plense theck all that 811011y) bllsc.(Service or feeder not Included): U Service over 225 arnM-commercial U Health-care facility Fach pump or irrigation circle U Service over 320 amps-rating o, 1&2 U Hazardous location Each sign or outline lighting family dwellings U Building over 10,000squarr feet four or Signal circuits)or a limited energy panel,U System over 6W volts nominal more residential units in one stnKture alteration, or extension• �L2 U Building over three stoties U Feeders,lamp amps or mem *Description. U Occupant load over 99 persons U Manufactured structures or RV park Each oddillonal Inspection over the allowable In any of the above: U F.gressAighting plan U Other -_.— _ - -- Per inspection - --- - Submit sets of plans with any of the above. Investigation fee I he above are not applicable to temporary conslr,:cllon service. Other Net all jurisdictions accept credit cards,please call turisdiction for more information Notice: This permit application Permit fee ......................$ _--- U Visa U MasterCard expires if a permit is not obtained Plan review(at ` %) $ I.edit card number within 180 days after it has been State surcharge(8%).....$ U F.a ires accepted as complete. -� _ p TOTAL.........................$ Name or cardholder as shown on credit card Cnrdholdcr signature Amount 410.4615(WOCOM) CITY OF TIGARD RD - ELECTRICAL PERMIT PERMIT#: ELC2002-00575 DEVELOPMENT SERVICES DATE ISSUED: 10/29/02 .. 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113BA-00400 SITE ADDRESS: u7632 SW DURHAM FAD ZONING: I P SUBDIVISION: BLOCK: LOT: JURISDICTION: TIG Project Description: Electrical tenant improvement, (2)200 amp or less service panels and (24)bra Bch circuits. Job No. 22-1267 _ RESIDENTIAL UNIT_ TEMP SRVC/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 HM/SVC/FDR: 601+amps -1000 volts: MINOR, I-ABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp. 2 W/SERVICE OR FEEDER: 24 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 REV;-.V SECTION 1000+amp/volt: — >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: — _ SVC/FDR>=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: OPUS NW CAPITOL ELECTRIC CO INC 1000 SW BROADWAY STE 1130 11401 NE MARX ST PORTLAND,OR 97208 PORTLAND OR 97220-1041 Phone: 503-916-8963 r,hone: 255-9488 Reg #: ELF. 26-4960 _ FEES Description Date Amount Required inspections 11 l I'Khi l) I.Lc'I'crm., 111/29/02 $320.20 Elect' - ------ � I AX1 8%State"1'ax 10 21102 $25.62 Rough Service Rough-in Total $345.82 Elect'I Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with. approved plans This permit will expire i'work is not staned within 180 days of issuance,or if work is suspendedJUrffia2-then 18U aa;-, ATTENTIO�Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rule are set forth in OAR 432,001-0010 trnroug(i AR 2-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 24 11699 or 100 332-2344 p ---` Iss ed By: ��f ermit Signature: OWNER INSTALLATION ONLY _ The installation is being rnade on property I own which is riot intended for sale, laase, or rent OWNER'S SIGNATURE: _ — _ — __-- DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: ___-- ------ -- --- -- --- — — Call 639-4175 by 7:00pm for an inspection the next business day TElectrical permit Application DAlenceived p 7��, Rea , P1e acre I.nC. date City of Tigard Data lseaed CIV Of fIG4RD tddresa: 13125 SW H4L.L BLVD.TIGA.RD.OR 47225 ea%e alt tw phone: (503)639.4171 Fax 003)!99-1960 Land use:.pprovala 2 fttntly dewnin$or,accesicn, 0 ro=iem/dVindurttriul 'tlul;i-fur-1y ❑ Tenni.impro.ement t1c construe lloa Add iuon/alurstion'replaoarnant p O'her ❑ Panial Job address, 76 W DURHAM C'+iy TIOARO Hedy.No.. 5nitc n 100 i7an u ,te.10-nxoun no, _ a eat Warne ROCKWELL TENANT posicinption and locudon of xerk on Prernlses: PARTIAL PIRBT FLOOR MNANT �- EAtimtwd-dateof co lction.inspacliOA._ 121.1102._ -- Job tw: 22.1267 _ _ r"t y„, usuiess Nina apltol Elertric Co,,Inc, rioserlptdoa Utr roo 1 roto, 110.101111 AddrWss' 11401 NE Adan[ �--�- :4cn rtrldtlldd-Winne or mdt,-fotnily per Ct - Portland Stare, OR ZIP; 97220 1041 dwollirtg unit. include%ot(acked garage. Plwtu. 603.256.0416 fa 257.7•;1 l.matl d■rt«l 'a dr.00l FOryice lndadedi CCt3 no 48748 _ El:c b.a.. it.nO�l2ti•169C 1000 e ,R,OT lose _ - 9 us's 4 nctto Lcau NIA "each 7ddtt+ona:SGO tG r?,/xpnrl+ur tl ncof - f t,4n 1011010*: Lrrl ted vicW rttidcnti.I S ^f,lo : S: 'vii to 0f st.mrvuIn?e.K rlcttn,a aped Dole IJm:tdd snot nrnTatidonT,a! S 4S.)1 1 Sap,elect.natuc CP-inQ Oir»II McN111 Llama no.' 3182: rsach mmnscwred home of modilut dwellicll Ssnice aac!or fader s vo 0.1 2 NArrre(rllirtJ OPLS NORTHW ST _ Sarvicee or rosdar's.Ingratiation. hfailaig'duns 1000 SW BROADWAY SUITE_1130 ultcration w relontlon City; WORTLANf) State: OR ZIP: 97205 290 aere• er lees -__ - 2 s Phonu:+ 603.91&0903 Ar91 F-orae; 2�I t�A t0 a0U ami-- t we s! 2 dine,irrojaustipn r 7'he:as-vilat+oi(o oiling ratdo on property)dun 411 am t,600 fi MY2 x9ucb is not[mendad for sale,lease,ran:,nr(;zchatge ateOTaing 10 6')I otr'9 to 1000 Mars OF, 44'.45>.4l'9,F?0 "i)r rjter uAl.rpr cr+ol a _ s 04,e! 2 Orvgery n nnu ra: Dole. Rccroncrt oal, S 6685 I Temporary ter-kos or fsociere- Na Iarhllation.therntlons.or relacdlon: addreaa — 207 Amp or Isis _ t ee eS CineZ tate: LIP; 201 Amps a ACO ampss r1r,~ ax mot: 401 antpe w 600 arms s—ILL 2 Bruch olrtuita-nee,Alttratbo. I i s r,icc sett:u anpr...utrTmcbi ❑Ns%lt5•oe2 UcJr or talenelas Por Pand! Scrvla vtr 12)utpr-.stint,f ic] ❑tiwud>et l.cndot ,q. Fen forbranch tim%.1e WC,;wCkar.or l ("Lr du ettrnp p eu."over l0 cO�Neu-r fbtr(,. 9rrvldo or f oder fee,each ltanen:intuit 24 S e e' 39 6t _? ❑S.etotover eco,'3Iur.owral r, t rtvdcanola*iv,. -.wvetare B Foe FOTbTtritrCret,i's a,ttoutpt:TAM fee &-erntt branch cntuit s u u cildyAo.rt uscc.t%ria ❑Fn�irr,AN Mrt C.",v. 4f torflCf:n: dar _ __ atier Vaoh additional b Tref clrcutr. S e Qf r>eoaPmi b.d ntt',91 ee•erm, C3 MmuAm"il,.^,,* or r.,•ru.: r7 Lwtwt4utatto on 0 )jA$,L Wse 'Service or feeder not Incladed)t jubmt• It"rd r1411%wttb any of tht Above act frumpmp ar Imp-Ian tao'a __ S 0 da fere alne arc not App►ksl)ls to(cm oris v construction tomice. Fisch sign 0 outline I smirp S 40 - signal cirnritts_)r.r a limtrod energy pond. . alteration,or aAiana:cn%-- — — s s[o �=� •no%rfpri0n . rach at dhipml inirevi;mw cr t5 allo%NAb;t in ar-%of fhe�abov*`� Pts ii_pcttion — �_� — _ trtvudQadm Jea _ _— -- oCta --- p viae SlaccrCard -- �! Pe=t fee 3 _. 120.70 Credo are n%mea. vatic*:this ptrrit nppsubcn flan Tt%ie'� 1 S erplrcr if a osrmft is not otealnad State Scrour2e 8'E l S 26 e2 —iW M."a,e da.c Ac- nr � v/IN'n0 1f•G done aMtar It has been TOTA.I. S 345.82 s — ANWAU accapMd as.ompltru 'rt ��*'d =a1O313 70lIdl 1 93E'SC-ZE09 60 1: Z02Z!C'!Q' CITYOF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00482 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2 PARCEL: 51S113�3B1`,-00400 SF ' ADDRESS: 07632 SW DURHAM RD T* 1-J D SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG C`-ASS OF WORK: ALT FLOOR FURN: EVA' COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES Y 0 3 HP: DOMES. INCIN: I_I_F 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR S: GAS PRESSURE: 50 + HP: CLO DRYERS: ODSTOYEVES: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 Cf m: Remarks: Mechanical tenant improvement Project value: $4,833. Owner: FEES OPUS NV'I Description Date Amount 1000 SW 13ROADWAY STE 1130 INIF011 I'rnnit Fee 10/29/02 $72.50 PORTLAND, OR 97208 jMF.CHJ Permit Ice 10/29/02 $Quo IMECPLNI flan Rn 10/29/02 $18.13 Phone: 503-916-8963 jMEC111 NI Plan Rev 10129/02 $0.00 [TAXI 8'7,StateT'ax 10/29/02_ $5.80 Contractor: [TAXI 814,State'I'ax 10/29/02 $0.00 AMERICAN HEATING INC Total $96.43 1339 SE GIDEON STE 1 _ REQUIRED INSPECTIONS _ PORTLAND, OR 97202 239-4600Duct Inspection Phone: 239-46U Final Inspection Reg #: 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility NotifiCzation Center Those rules are set forth in OAR 952-00'1-0010 through OAR 952.-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503246.6 9 / IssuAd By. l Permittee Signature: ( � Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Pcrmii Application oVrICE USE ONLY j Date received:/p 4� Permit r City of 'Tigard Project/appl. no.: Expire date: �;d�,,,��;h,,.� Address: 1312'SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6394171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment t)pc: Land use approval: Building permit no.: TVPE OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Multi-family X"enant improvement U New construction U Addition/alteration/replacement U Other: 1 { SIYE INFORMATION1 1IEDULE Job address: 1 3a SW r 0. Indicate equipment quantities in boxes below.Indicate the dollar Bldg. no.: Suite no.: 760 value of all mechanical materials equipment,labor,overhead, Tax map/tax lot/account no.: profit.Valuc Lot: Block: Subdivision: *See checklist for important application infor iation and Projectname: klt_ 'f L jurisdiction's fee schedule for residential permit fcc. City/county: 1; , _ ZIP: DIVELLING PERMIT FEE SCIIEDULE Description and hiccation of work on premises: t 1 t Fec(ea.) Total Est.date of completion/inspection: _-Description _ Qty. Res.only Res.only. Tenant improvement or change of use: _ Is existing space heated or conditioned?U Yes U No Air handling unit CFM conditioning(site plan required) Is existing space insulated?U Yes U No A teronon o exlstin-11VAC system 1 1 Boiler/compressors State boiler permit no.. Business name: AIt1Crican llwtin , 1w, _- 1{P Tons BTU/II Address: 1339 SE Gidem St. _ Firdsmoke dampers/duct smoke detectors City: Portland State:OR ZIP:97202-2418 eat pump(site planq�uired) -- Phone,: 239-4600 1 Fax: 239-703 E-mail: Tin-stall/replace fumacZT6urner CCA no.: Including ductwork/vent liner U Yes U No 33135 1 nsta I rep ac re trate heaters-suspendc City/metro lic.no.: 60114 wall,or Boor mounted _ Name(please print): Vent for appliance other than furnace _ 1 1 Refrigeration: Absorption units_ BTU/If _ Name: T, \,y Chillers HP - -- - -�--'- Address: Compressors HP 133,9 S E le:�. „ nr ronmental exhaust and ventilation: City: Q,>4kk State:OQ 'LIP_51loL__ Appliance vent Phone:Soi-;Iy- 440() Fax: io j 135 74F-mail: D er exhaust 1 Hoods,Type I/1I/res.kitchen/hazmat hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing address: Exhaust system apart from heating or AC City: State: _ZIP: Fuel piping and distribution(up to 4 outlets) 1' Ix L,I'G NG Oil Phone: Fax: E-mail T'ucl �i_ring_eac additional over 4 outlets ENGINEER Process pip ng(schematic required) Name: Number of outlets diet ILstcd app ance or equipment: - Address: _ Decorative fireplace City: _ _ State: ZIP: - Insert-type -- _ Phone: I�ax: F, mail: Woodstove7pellet stove _ Other: Applicant's signature: _ Date: Other: _ Name(print): Not all jurisdictions accept credit cards,please call jurisdiction for more infarmoxtatiPermit fee ..................... $ U visa O MasterCard Notice: This permit application Minimum fee... ............ $ Credit card numhec hexpires if a permit is not obtained Platt review(at _ %) S _ ,�R.i 3 _ _�_�___. _______ _ Expires within 180 days after it as been State surcharge(8%).... $ s�_— Name of cardholder as shown on credit card accepted as compete. 15_ -�- -- Cardholder signature -- Amount 410-4617(6I WOM ZIA\ CITY OF TIGARD BUILDING PERMIT 2002- PERMIT#: BUP2CO2-00478 h.v" DEVELOPMENT SERVICES DATE ISSUED: 10/29/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 07632 SW DURHAM RD 1 I Y-1 PARCEL: 2S1'136A 00400 SUBDIVISION: SW CENTER SDR1999-00 20 ZONING: 1-P BLOCK: LOT: JURISDICTION: TIC REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: v E: W: -TYPE OF USE: COM SECOND: sf _ _PROJECT OPENINGS? TYPE OF CONST: 2-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 11, 00 sf ROOF ;ONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf ARFA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RE_QD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: —ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRO : H14DICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR. PARKING: VALUE: $ 48,9 50.00 Remarks: Tenant improvement Owner: Contractor: OPUS NW OPUS NORTHWEST LLC 1000 SW BROADWAY STE 1130 1000 SW BROADWAY#1 130 PORTLAND, OR 97208 PORTLAND, OR 977.05 Phone: 503-916-8963 503-916-8963 Phone: 503-916-896J 503-574-2040 Reg #: 603-574-2m48336 FEES — REQUIRED INSPECTIONS__ Description Date Amount Elertrical Permit Required I TAX1 81%State Tax 10/29/02 $37.06 Plumbing Permit Required I131_IPPLNI I'In IRv 10/29/02 $301.15 Framing Insp Gyp Board Insp [BUILD] I'emiit Fee 10129/02 $463 '�0 Susp Ceiing Insp IFI'S1 I`I S 11111 i<v 10/29/02 $185 Final Inspection Total— $986.83 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Coo,:s 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, cr if work is suspe. ded for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili.y Notification Center Those rules are set forth in OAR 952-UOi-0010 through OAR 952-001-0100. You may obtain a copy of these roles or direct questions to OUNC by calling (503) 246-6699 11-800 3 2 2344 I ued By: Pe rrn ee J / Signature: fC l/(;% %" _ �7l j.t41, --- - "all 639-4175 by 7 p.m. for an inspection the next business day 10/21%2002 18:05 FAX 50359.51980 CIT1. OF TIGARD zon2 Buildhig Perinit Application t7aterecelved: o �it_n 7 city of Tigard ProjeedsppL no,: gttpi date_ - /Tigerd Address: i3'".5 5W Hall Blvd,Tigard,(,',k 9122: neklstued: Receiptno.: trs+ F 1,,re: (503) 639-4171 ---- =2Y: 1503) 198.1960 Cale flic no,: Payment type: _- 1&2 funtly.Sirwie w Complex Land USC approval: I 'Z 1 &2 family dwelling or accaeeory Corn merdaVindusuial ❑Multi-family i]',ew construction -1 .^�oli6on :],lddittocvalterattotVreplecement I'enantimprovotncrt �D Fire:rtmllcx/a]arrt ❑Otho Bld nc. SWte na: V , - Iaddress: maps l�' ouat no.: Irot: Block; Subdivision -------� Project nine — --- _ Description W'd location o� work on preniNe_armial conditions: / ;/ /1 f ��n ��;�� p��•1.1-� �—� MILIMMIM �Mtillr, Wrere9s-:—/ IV G ,r _ 1l&Z bWd1V d"Affi g: . State: Vtluation of work....................,.........._.. 5 LMPIu�. Fax: E-shall No.of btdroarnsll alba................... y„"'• I Ow�u': resentetive: L Total slumber of floors................... -Phone Fax: Z mail: r�'ew dwclling area(sq ft) ........I.........I....... _ t,etaWouport uoa(sq.R)••.....,.....,•- ��! - Cove tr.d p=11p=11sues(aq.ft.) Noma teiLn J _ [>&:k ama ieq.[t.) .. . ........................ .. -- Cit _ Stere:�sjC 2>P� �- ) Othe Phono: � Pax• � 4r structure area(sy t1.1.............. .� .• 1?-mxi�• S's�taactclalltndustrbd/muld•fans]!y: Valuation of work.................. .................•.. $ Existing bldg.ulna(sq.ft.) ........ ................. BUIMA"Ulm: L�ft jy.L-� •L,l-- New bldg.area(sq.R. ............................... A dM51.' Number of stories ................ S(nte: 71Pt _ 'ivpeofconstruction.........._...-. Phone: Fax: S.mail -- Occupancy group(s1: Ex.isdol: _��_-- CCV n : i —. New: Cit)Imetm lie.no.: Nutiean All contncton end subcoatreetors aro required to be �CIM Mlicensed with the Oregon Construction Contractors Beard undo Nemo. J 1-2L�t L c pto�isiona of ORS 501 and may be required to be licensed in the Jurisdiction w"- ;work is being performed.If rhe applicant is Addtrss: -( ' - exempt fm ,ensing,the following rcuson applies: '' J Stec: ZIP: _ (ODiDCI' flan uo.... --- -- ---- _. _ ---- Phone. Fax: )r�tr ail: Name Contact Psion- Fee%due upon appUadOn ... ..................... . E --- Addtesc Date sweived. — ----- sum: 7.IP: Arnw t received . . .................................. City �� Fax: E mull: Meow refer to Ice schedule, Phone: __ ----- -- - — 1 hemb�certify 1 have read and examined this applicadon and the of Own.seuuoer►'"�a.du�°e"9t°°'°an l�idN'�►nr ^m�°11°a01L attached che4Wist,All provisions of laws and ordinances govetning this ❑ •ire O MeetetCurd I work will be complied wl whe,4er sped cd hetero)r nt t. CRdu cert number,--- -- _-- tion ltd c Authorized s;gaature� - --�-�- ----- 3�„�,,,; Print name:�_. �• �z'� J •�t' ,- —_ _J c war rt�sn.i N:,•ice This penrrit aappiiwtion expires if a permit a not obtained s�t. r 16J dais alter it has been s:cepted ea coamplcu. Ig1e1)(I+VMCOM) 21- CIT OF TIG0__ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00447 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/19/02 SITE ADDRESS: 07632 SW DURHAM RD 130 PARCEL: 2S 113 BA-00400 SUBDIVISION SW CENTER EDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE ^F USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAOS: LAVATORIES: OTHER FIXTURES: TUBI-HOWERS: SEWER LINE: ft WATER: CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing TI, adding (1)sink, (1) hub d,ain and (1)water heater. 12-13-02 Add 1 dishwasher. _ FEES Owner: -- Description Date Amount OPUS NW -- 1000 SW BROADWAY STE 1 130 IPLUh1131 1'ermit Pee 11/19/02 $72.50 PORTLAND, OR 97208 11'AX] 8% tate'l a\ 11/19/02 $5.80 Total $78.30 Phone : 501-910-81)t0 Contractor: KEEFER PLUMBING INCORPORATED PO BOX 562 HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone : 503-640-7451 Rough-in InspTop-opt Insp Reg#: LIC 65481 Final Inspection PLM 34-94ph 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 accordpoce with approved glans. This permit will expire if work is not started within 180 days cf issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 1 j Issued By: Perrnittee Signature: 1 Call (503) 639-445 by 7:00 P.M. for an inspection needed the next business day NOW Building Fixtures Plumbing Permit Application Date receiw.d: // /Yl�� Permit no.: City of Tigard Sewer permit no.: Buildine permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City o)Tigard Phone: (503) 639-4171 Projecdappl. no.. E date: Fax: (503) 598-1960 Date issued: Bye, r Receipt no.: -_ Case file no.: Payment type: Land use approval:— — - TYPE 1 ' U I &2 family dwelling or accessory a Commercial/industrial U Multi-family JXTcmat improvement U New nnstrrcUoll ❑Addition/alteration/replacement U Food service U tither: description Qly. fee(ea.) Tota Job address: ust ' New 1-and 2-family dwellings only: Bldg. no.: rrSuite no_-,�' -�- (includes 1011 ft.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath_____,_ Lot: Block: Suis livision: SFR(2)bath Project name: V r 1 . L, SFR(3)bath _ City/county: ZIP: — Each additional bath/kitchen Description and location of work on premises: Citatcchh bbaasinn// si _ Catch drain _ Est.date ofcompletion/inspection. wells/leach I ne/trench drain _ Footing drain(no.lin. R) 1 1 Manufactured home utilities — Business name: 7U L Manholes Address: Rain drain connector _ Cit ' Y n Siete:b v ZIP: Sanitary sewer(no. lin.il.) City: sewer(no. lin. ft.) Phone:ca -nFax:&L!5L.S`rrj E-mail: i'• Plumb.bus.re no: _C t Water service(nu. lin. (►.. CCD no.: (( �� g' htxture or item: City/metrolic.no.: �� `"'3 - Absorption valve Contractor's representative signature: L Back flow preventer Print name: e Date: l I Backwater valve 1 Basins/lavel,,ry —^ Clothes washer Name: E Dishwasher Address: Ya,x 5to'Z — Drinking fountnin(s) City: , rJ State ZIP:"71-7 1Z Ejectors/sump _ Phone:(et(r 7( - Fax: E-mail: Expansion tank.—_ — Fixture/sewer ap 7— Floor drains/floor sinks%hub m - Nae(pant): LA �j Oarba a disposal - — Mailin address: 171p0 WV�c Civ I_ 13� Ilose bibb City: 6t 1? _ State: ey 4ZIP: Ice maker Phone: �7 Cl 1(ec e4l6' Fax: E-mail: Interceptor/grease trap Owner installationtresidential maintenance only: Theactual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ O%•.anr's signature: __ Date: Sump Tubs/shower/shower panOgg _ _ Urinal _ 7- Phone: Water closets: _State: ZIP: Other:Fax: E-mail: Total Minimum fee................ S Z_�.LC— Not all jurisdictions accept credit cards.please call jurisdiction for more information. Notice: This permit application Plan review(at _ a/o) S U Visa U MasterCtud expires if a permit is not obtained Slate surcharge(8%)... S Credit card number___ _ fa irn within 190 days after it has been c Name of nrdhobkr v shown on credit card s accepted as complete. TOTAL........................ S Cardholder sianuure Amount "(14616(&WCON.) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings.mly: FIXTURES Individual) QTY ea AMOUNT- (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 ——_ the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16 80 for each_utillty connection _ _ One 1 bath $249.20 Tub or Tub/Shower Comb 16.60 Two 2 bath $350.00 Shower Only 16.60 Three(3)bath $399.00 Water Closet �— 16,60 -- SUBTOTAL — Urinal — 16.E0 _ --BY._STATE SURCHARGE Dishwasher — 1660 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal ---�— 1660 — —_—__ ____�__ TOTAL _ Laundry Tray — 16.60 Washing Machine 16.60 floor Drain/Floor:,ink 2" / 16.60 --- PLEASE COMPLETE: 3" 1660 e" 16.60 __ Water Healer O conversion O like kind 119.60 Quantil b Work Perforrned _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. / __ _ — _Cap ed MFG Home New Water Service 46.40 _Sink_ MFG Home New San/Storm Sewer 4640 Lavatory — �—• ---- - Tub or Tub/Showe- Hose Bibs 16 60 Combination _ Roof Drains 16.60 Shower Only— Diinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 "-- Urinal _ Dishwasher Garbage Disposal Laundry Room Tray — — --— Washing Machine _ -- -- Floor Drain/Sink: 2" hewer-1 si 100' 55 00 --- 3„ -- ---- _— Sewer-each additional 100' 4640 4" Water Service-1 st 100' 55.00 Water Heater _.-- Water Service-each additional 200' 4640 Other Fi,tures (Specify) Storm 6 Rain f?rain-1st 100' 5500 Storm R ROn Urain-each additional 100' 4640 — Coirmercial Back Flow Prevention Device 4640 - - -- Residential Backflow Prevention Device'— 27 55 —— --- - Catch Basin 16.60 Inspection of Existing Plumbing or Specially 62.50 — Itguested Inspections _ er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 — — _ Grease Traps 16.60 ---— — -- QUANTITY TOTAL — Isometric or riser diagrarn Is required if — Quantity Total is >9 __ ---� --- --- -- *SUB OTAL --- - -- ----- Bs/a STATE SURCHARGE — -- — --- — '-- "PLAN REVIEW 25%OF SUBTOTAL Reaired onl II fixture 1 tot:.l Is>g TOTAL $ *Minimum permit fee is$72 50-8%state sure,arge,except Residential Back Bow P1 e�en6on apoice,which is S36 25+8%state surcharge **ATI New Commercial 3ulidings require 2 sets of plans with isometric or riser diagram for plan review. is\dsts\forms\plm-fees doc 12126/01 CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00306 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/19/02 SITE ADDRESS; 07632 SW DURHAM RD 130 PARCEL: 2S113BA-00400 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: ROCKWELL USA NO: FIXTURE UNITS: 5 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .3 EDU increase. Previous fixture values were 291, this permit adds 5 fixtures for a new total of 296. Owne_: — FEES — OPUS NW Description Date Amount 1000 SW BROADWAY STE 1130 PORTLAND, OR 97208 SSW!1'A r Connect 11/19/02 °:690.00 hone: S01-910-8 961 Total $690.00 Contractor: Phone: Reg#: Required Inspections F- I- This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 `eet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Perm I { 1 Z - � Permittee Signature Issued by: _ �- t4 c r.- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bu ness day Accumulative Sewer Tally Tenant Name: Rorkwell This SWRA 2002-00306 Site Address. 7632 SW 7urham Rd#130 This PLM# 2002.00447 Fixture Value Previous Previous Credits Capped Fixture rixture New New # value capped off value added added total total count off#s count # value #s va!ues Bapt�sfiry/Font 4 0 0 0 0 0 Batt-, Tub/Shower 4 0 0 _ 0 0 0 _ Jacuzzi/Whirlpool 4 0 0 0 0 _0 Car Wash-E,-oh Stall 6 0 0 0 0 0 r - Drive through _ _ 16 _ _ 0� _ 0 0 0 0 Cuspidor/Water Aspirator_ 1 1 n 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 Domestic 2 0 _ 0 _ 0 0 0 Drinking Foun+ain 1 _ 0 _ 0 _ _ _0 0 0 __ Eye Wash _ 1 0_ �0 _ 0 _0 0_ Floor Drain/Sink-2 inch 2 0 _ 0 1_ 2 1 2 3 inch ^5 0 _I 0 0 0 _ 0 4 inch6 0 t_ 0 0 _0_ 0 -Car Wash Drr 6 � 0 0 0 � 0 C Garbage Disposal Domestic(to 3/4 HP) 16 0 0 _ 0 0 0 Commercial(to 5 HP) 32 _ 0 0 _ 0 0 0 !ndustrial (over 5 HP) 48 _ 0 0 0 y 0 0 Ice Machine/Refrigerator Drain 1 0 0 _ 0 0 0 Oil Sep(Gas Stat,,)n) 6 0 0 _ 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 --0-- Shower __Shower-Gang (per head) 1 _ 0 _ 0 0 0 0 _ -Stall 2 0 0 0 0 0 Sink-Bar/Lav3t_ r y --t-2 0 0 0 0 0 Bradley 5 0 0 _ 0 0 0 Commercial 3 0 _ 0 0 0 0 -Service� 3 _ �0 0 1 3 �1 's _ Swimming Pool Filter 1 _ 0 0 0 _ 0 0 Washer-Clothes 6 0 _ 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet- roilet _ 6 _ 0 _ _ 0 0 0 0 Urinal _ 6 _ _ 0 0 _ 0 _ 0 Previous EDU Count 18.2 291.2 291.2 Capped EDU Credit 0 f OTALS 1 0 1 291.2 0 0 2 1 5 1 2 1 296.2 Current Fixture Value 296.2_ divided by 16 = _18.5 Current EDU 1 EDU = $2,300.00 Previous Fixture Value 291.2 divided by 16= 18.2 Previous EDU Change 5 divided by 16 - _ 0.3 over (under) $ 69000 Enter EDU Change Here 0.3 HISTORY Notes: _ PLM# 2001-00434 _ _EDU# 18.2 S_WR# 2001-00260_ -2001-00245 _ EDU# 15.6 _ SWR# 2001-00188 PLN# 000-00014 EDU# 13 SWR# 2000-00012 Name: A 0 Date:�� D ^ �- Ignature ofIlerson ilia!calculated this tally sheet and date perfr6med is repuirad CITY OF TfGARD BUILDING PERMIT PERMIT#: BUP2002-00523 DEVELOPMENT SERVICES DATE ISSUED: 12/9/02 13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4'. '1 PARCEL: 2S113BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 130 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: i.P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: F'RO CORR: PARKING: VALUE: $ 300.00 Remarks: Horn/Strobe for Sprinkler Flow Owner: Contract.)r: OPUS NW CAPITOL ELECTRIC Co, INC 1000 SW BROADWAY STE 1130 12810 N.E. AIRPORT WAY #I PORTLAND, OR 97208 PORTLAND, OR 97230 Phone: 503-916-8963 Phone: 503-255-8488 Reg#: LIC 48748 FEES REQUIRED INSPECTIONS Description Date Amount —� Fire Alarm Insp IHUILU1 Pernuf I ce 12/5102 $52.50 Final inspection JT'AXJ 8%Slaw I;.ix 12/5/02 $5.00 �►-LS] FLS I'In R% 12/5/02 $25.00 Total $92.50 rhis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ceiiter. 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: . i �i Permittee --- Signature �`— Call 639.4175 by 7 p.m. for an inspection the next business day Building Permit Application Dute received: 11cm-at no.: r l� City of Tigard Pro ect/a I.no.: F..r Vdatc.:CITY OF TIGARD Address: 13125 SW Hall Blvd.,Tigar i0?1 ;V D bate issued: B : ccci t no.: Phone: (503)639-4171 ('asc file no.: Pa ment type: Fax: (503)598-1960 tU�L �? �� 1 &2 family:Simple Com lex: I,and use approval: C,`TY OF TIGARD ION C7 :&2 family dwelling or accessory ■ ('ommercial/industrial ❑ Multi-family O New Construction ❑ Demolition ❑ Addition/alteration/replacement ■ 1euantFirL alarm ❑ Other r .Itch address: 7632 SNN DURIIAM ROAD Bld .No.: lsuitclio. ' L.� Lot: Block: NIA Subdivision: ITax ma !tux lot/account no.: 11ro ect name: ROCKWELL TENANT•IMPROVEMENT Description and location of work on premises/special conditions: INSTALL FIEF:ALARM IIOIMS"IIMBF AT R1: 113TION ENTRY Name: OPUS NW (Flootiplain.septic irnpacity,solar,etc. Mailin r addres>,. 1000 SW BROADWAY STE 11301 & 2 family dwelling: City: PORTLAND State: OR I Zip: q2tValuation ofwork $ ........................................................ Phone: 5113.916.8963 Fax: E-mail: No.of bedrooms/bathsOwners re resentative: Total number of floorsI'hone: Fax: F-mailNew dwelling area(sq. It.) Garage/carport area(sq.ft.) Covered Porch area(sq.ft.) ...........................I............................ Name: DAN WILSON CAI11101.ELECTRIC CO.,INC. Deck area(sq.ft.) Mailing address: SEE CONTRACTOR INF. BELOW Other structare area(sq.ft.) 'lty: tate: ".lp: Phone; Fax: Email omnlere a n ustr a mut- am y Valuation of work $ 300.00 ........................................................ Existing bldg.Area(sq.ft.) Business name: C'APIT01.ELECTRIC CO.,INC. New bldg.Area(sq.ft.) ......................................... Address f 0401 E VAS r X Number of stories City: PORTI,AND State: OR I Zi 9.71N9•^ Type of construction ......................... Phone: 503-255-9488 Fax: 503-157-7121 F-mail: Occupancy group(s): Existing: CCB no.: 48748 [Oregon License No.: 26-4960 New: City/mctm lie.no.: 4542(metro) !� Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Nome: 77,, provisions of ORS 701 and may be required to be licensed in the ,N1ailin address: jurisdiction where work is bring p,rformed. If the applicant is Cily: Stute: : exempt from licensing,the following reason applies: Contact erson: Plan no.: Thune: IF= E-mail: Name: lcovtactperson: Fees due upon application $ Mailing address: _ Date received: City: state; I Zip: Amount received Phone: I Fax: E-mail: 1 hereby certify I have read and examined this application and the attached checklist. All provisions of laws and ordinances governing this Nni all jurisdictions accept credit cants,please call jurisdiction for moreinfomration, work will be complied with,whether specified herein or not. ❑ visa ❑ Mastet('ard relit card number: Authorized signature: �Date: 12/4/02 1 rpire, Print name: DAN WILSON Name of cardholder as shown on credit cant _ t a•dholder si mattua Amow t ' Nodee. This permit application espirea it a permit is not obtained mith 180 days after it has been accepted as complete. \ gA,SU • 5.fx. 1 Capitol Electric Co., Inc. December 4, 2002 Gary Lampella City of Tigard Building Services 13125 SW Hall Blvd. Tigard, OR 97223 Re: Tenant Fire Alarm System Design Rockwell Tenant Improvement Southwest Center, Suite 100 7632 SW Durham Road Tigard, OR 97223 Gary, Please find attached a buildir,�permit application, Tri-County Commercial Application Checklist, three sets of plans, calculations, and product submittals for the fire alarm tenant improvements at Rockwell. This building has an existing fire alarm system. One horn/strobe will be added at the tenant reception entry to provide alarm notification at a normally occupied location. Please ca!l if you have questions or comments. Sincerely, ��ti ✓�- RECEIVED Dan Wilson DEC 0 5 1001 Fire/ Life Safety Manager CITY OF TIGARD (503) 255-9488 QUILDING DIVISION 11401 NE Marx • Portland, Oregon 97220-1041 • 503-255.9488 • Fox 503-257-7121 CCB# 48748 • www.capitolelectricco.com ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERn,;IT#: EL.R2002-00280 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/5/02 SITE ADDRESS: 07632 SW DURHAM RD 130 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Limited energy for fire alarm system. ,lob No. 22-126FA A. RESIDENTIAL _ _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#_O_ F SYSTEMS: 1 Owner: —� Contractor: OPUS NW CAPITOL ELECTRIC CO INC 1000 SW BROADWAY STE 1130 11401 NE MARX ST PORTLAND, OR 97208 PORTLAND, OR 97220-1041 Phone: 501-010-8963 Phone: 255-9488 Reg #: MFT 00004542 LIC 048748 SUP 3132S FEES FLE 13bgWI*d Inspections Description Date Amount — Low Voltage Inspection FLPRMTJ ELR Permit 12/5/02 $75.00 Elect'I Final TAX]8%State War 12/5/02 $6.00 Total $81.00 L. 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 worts is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952,001,0100 You may obtain copies of these! rules or direct questions to OUNC at (503) 246-6699 / f Issued by , r 1' Yyl.y//,1 Permittee Signature `) ✓1'� (1-� OWNER INSTALLATION ONLY The installation is being made on property i own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY �.IGNATURE OF SUPR. ELEC'N !� c r _ L % t /�yDATE: -- L-(CENSE NO: _ ,� � ---- ------- — -- — C all 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application 1 o�j plicati �� l Date received: -5-i '' Permit no.: Project/appl,:tS Project/a1,: Bx ire date: City Of Tigard Date issued. / By5weceipt no.: CITY OF TIGARD Address: 13125 SW HALL BLVD,TIGARD,OR 97223 Case file no.: Payment type: Phone: (503)639-4171 Fax(503)59 -1960 , Land use approval: ��N)'X002 ❑ 1 &2 family dewlling or accessory ■ If o»rrnerclal/industrial ❑ Multi-family ■ Tenant Improvement ❑ New construction ❑ r\dtlllloll/alteration/re lacentent ❑ Other: ❑ Partial lob address: 7632 SW DURHAM ROAD City: TIGARD 1314 .No.; Isuite# Tax ma /tax lot/account no.: !flock:N/A Subdivision: I'ro'cct name: ROCKWELL T.I. IDescription and 10Cnhull of work on premises: INSTALL FIRE ALARM HORN/STROBE I;stimated date of-corn lletion/ins ection: 12/10/02 .lob no: 22-1267FA Business Name: Capitol Electric Co.,Inc. Descri unn t!t> 0:r, I otal no,insp Address: -122 NE Ad podAVay- 11 q C I ►i E: �1/1n f 4= S-f, New residential-single or multi-family per t'it-: Portland State: OR ZIP: dwelling unit. Includes attached garage. Phone: 503.255-9488 Fax: 255.9480 1-mail: darrell ce dx.com Sen lee Included: ('CB no.: 48748 JElec.bus.lie.no: 26-496C 1000 sq,R,or less S 145151 .1 ('t mletro lic.no.: N/ L ouch additional 500 sq.R.or portion thereof' F 13.40 12/4/02 I-imiled energy residential s 75.00 Signature ofaupervishtg electnc m Ir wudl Dale Limited energX,nun-residential S 45.00 tiu 7 elect.name( rint): Darrell McNeal License no.: 3132-S Each manufactured home or modular dwelling Service and/or feeder $ 90.90 ' Name(print): OPUS NW Serviee%or feeders-installation. Mailin address: _ 1000 SW BROADWAY,STE 1130 alteration or relocation: City: PORTLAND 1 Slate. OR /IP: 97205 200 ams or less S 80.10 Phone: 503.916.8963 Fax: IF-mail: 201 ams to 400 amps S 106.85 ' Owner installation: 1'he installation is being made on property 1 own 401 ams to 600 ams S 10060 2 which is not intended for sale,lease,rent,or exchange according to 601 ams to 1000 ams S 240.60 2 ORS 447,455,479,670,701. Ovcr 1000 nm s or volts S 454.65 2 Owner's signature: Date: Rcr.nrecct only S 66.85 I I ernporary services or feeders- Name: installation,alterations,or relocation: �Jdics�.. 200 ams or less S 66.85 t'it State: ZIP: 201 am s to 400 amps S 100.10 lrhone: Fax' - F-mail' 4111 amps to 000 amps S 131.75 Ilranch nccuits-new,alteration, 0 Service over 225 amps-commercial ❑Ilealth-cafe facility or extension per panel: ❑Service over 320 amps-rating of 1&2 ❑Hazardous location A. Pee to,branch circuits with purchase of family dwellings ❑Building over 10,000 square it four or service or feeder fee,each branch circuit ❑System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase 0 Building over three stories ❑Fecders.400 amps or more of service or feeder fee,first branch circuit: f 4n x1 0 Occupant load over 99 persons ❑Mnnuractures structures or RV Park Each additr,nal branch circuit: S ('65 0 Fgrewlightirg plan ❑Other Misc.(Senn a or feeder not Included): Submit -ets of plans with an) of the ahose. Fach purnp or irrigation circle S 53.40 2 1 he above are nota )!!cable to tem orae construction sen Ice. Each sign or outline lighting S 51.40 _' Signal circuit(s)or a limited energy panel• alteration,or extensions 1 $ _75,001 ool ' 'Description: ADD FIRE.ALARM HORN/STROBE CIRCUM Fach ar)ditional inspeciionover th alio„able man)of lhc•abo,c Per inspection S 6'S0 Investi ,tion fee Other rJ Visa ❑ MasterCard Permit fee.............. _ $ cdu crud numl+ec Notice:this permit application Ilan review ( I S _ expires if a permit is not obtained State SurcharE.; R% ) $ 600 tiJnl('UrCAOIINtI,ttl AA,litm ri credit card within 180 days after It has been T S t3 y TO'TAL..................• S 81.00 _ CWhulaer At tote Am to accepted as complete. --- Uu°l ELECTRICAL - CITY OF TIGARD RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00007 13125 SW Hall 81vd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/10/03 SITE ADDRESS:07632 SW DURHAM RD 130 PARCEL: 2S 113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage cabling (voice & data). A.RESIDENTIAL _ B.COMMERCIAL — AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE: OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENI ATION: OTHER: TO e'AL#OF SYSTEMS: - 1 Owner: Contractor: OPUS NW DYNALECTRIC 1000 SW BROADWAY STE 1130 2904 SW FIRST AVE. PORTLAND, OR 97208 PORTLAND, OR 97201 Phone: 503-916-F963 Phone: 503-226-6771 Reg#: MET 00002545 LIC 066793 SUP 29505 _ FEES ELI; OqWed Inspections Description Date Amount _ Low Voltage Inspection iI.I.PItMT] ELR Permit 1/10/03 _ $75.00 Elect'I Final TAXI NN,State Tax 1/10/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utilih, Notification Center. Those rules are set forth in OAR 952-001-.0010 throuc j Issued by ,t / e �(_ , s Permittee Signature` ,,y ---OWNER INSTALLATION ONLY The installation is being made on property 1 own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: I ICENSE NO. :� ` ) - —— — —� Call 639-4175 by 7:00 P.M. for an imipection needad the next business day Electrkl I Permit ApplicationReceived J Electrical ''` Date/By: f -- U- r� '� Permit No.:IE5L� '0 GaL;>? City of Tigard Planning Approval Sign — `1,(',5t Form �)rm Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Datc/B : Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No.: Internet: www,ci.tigard.or.us Contact Jurts.: Sec Pagc 2 for _ 24-hour Inspection Request: 503-639-4175 Name/Method: Su Icmcntal Information. _ TYPE OF WORK PLAN REVIF.NL' Please check all that AMD_ I New construction Demolition Scrvice over 225 amps- Health-care facility -- commercial ❑Hazardous location ❑Addition/alteration/replacement OIhCr: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OC CONSTRUCTION 1&2 family dwellings four or more residential units in Fj 1 & 2-Family dwellin C'onuncrcial/Industrial ❑System over 600 volts nominal one structure ❑Building;over three stories C3 Feeders,400 amps or more Aecessoly Building Multi-Family ❑Occupant load over 99 persons ❑Manufactured struoures or RV part. .Master Builder Other: ❑Egress/lighting plan ❑Other JOB SITE INFORMATION and LOCATION Submit SCIS sets of plans'Alt It any Oft he abuvc. The above arc not applicable to temporary construction service. .lob site address: 3 Sw QvRkk� — _ _- FEE*SCHEDULE —_ SUitC#: 110 1 /tBldg./Aptt.�#:� � _ Number of Ins ectlons per permit allowed Project Name: &KweU f4sJ blKu� .. _ Description Qty Fee(ea.) Total N^w residential-single or multl-family per Cross street/Directions to Job site: dwelling unit.Includes attached garage. ServlceIncluded: 1000 sq.A.or less 145.15 4 Each additional 500 sq.n.or portion thereof 33.40 1 Limited energy,residential 75.00 2 Subdivision: Lot#: Limited energy,non residential 75.00 2 Tax map/parcel #: Lach manufactured h)as,e or modular dwelling DESCRIPTION OF WORK service and/or feeler 90.90 2 Services or)Ceders-Insiallation, �p.J ��►ytr"�- (/gig �P pufA_ __ alleralimtorrelocation: 200 amps or less -- ----, - 80.30 2 -- —--- 201 ams to 4W ams .,)6.85 2 401 amps to 600am s 160.60 2 PROPERTY OWNER TENANT v 601 amps tv IWO amps 240.60 2 - "-' Over 1000 amps or volts 454.65 2 Name: _ _ R.connect only - --66.85 — 2 Address: Temporary services or feeders-Imiatlsttion. alteration,or relocation: City!State/Zip: _ _ 200 ams or less Phone: Fax: 201 amps to 400 amps - _— -- 100.30 2 APPLICANT CONTACT PERSON 401 to 600 ams 133.75 2 —_ — - Branch cirrults-new,alteration,or Name: _ extension per panel: Address: A.Fee for branch circuits with purchase of G.65 2 service or feeder fee,Cacti branch circuit Cit /State/Zip: - B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: __-- Fax: Each additional branch circuit 6.65 2 E-mail: Misc,(Service or feeder not included)- CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline lighting _ 53.40 2 Job NO: 0)p�y - Od 0 Signal circuit(s)or a limited energy panel, 7 Busines _ aheration,or extension* s Name: 75.00 i 2 ss tie,f ,C •Description: Address: 011 oSt-t) F,'arr l' 4V E — ZI tl!tl Each additional Inspection over the allowable in am of tite 81)(11 c: Cit /Stflte/ � Per inspection(per hour-min.1 hour) 62.50 l _ Phone:5"b] -o?a6..6771 Fax: -rO3-;a b -?918 Investigation fee: CCB Lie. #: ro G 711 -Lic. #'_�(,� -59 Other: — Electrical Permit Fees* Supei-ising electrician Subtotal $ 7 sl atui a required: < — Plan Review(25%of Permit Fee` $ _ Print Name: Lic. State Surcharge(8%of Permit Fee) $ _ �_— TOTAL PERINIIT FEE $ Authorized Notice: This permit application expires Ila permit Is not obtained within Signature: — Date:T_ 180 days after It has been accepted as complete. T *Fee methodology set by Tri-County Building Industry Service Board. —(Please print name) CST'Y ®F TiGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (50:1)639-4171 / , 1 BLIP Received _ __ _.___._—Date Requested�� AM__ PM, _ BLIP Location _Suite �� MEC Contact Person Ph(_��) _.-?_Z= 5 I PLM Contractor .—___ Ph(_. ) _2, 2- y �' SWR —---- — -- - BUILDINGTenant/Owner -__ __ __�`_ ELC Footing - ---- Foundation ELC Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam - -- -- -- ------ - ----— -- -�--Shear Anchors -- _- ---" --�— Ext Sheath/Shear Int Sheath/Shear Framing - - - - --- ------------ - _ --- Insulation Drywall Nailing ---- ----- -- - ------ ------- --- -- --- - - .. ------- Firswall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- - - - -- - -- __ --- -- - - ---- --- _ Roof Other: --- - Fir,al PASS PART FAIL. PLUMBING_ _ Post& Beam - Under Slab --- Rough-In Water Service -- --- -- -- -- - —- Sanitary Sewer Rain Drains - - - ---- - -- --- -- Catch Baiin/Manhole Stor;n Drain Shower Pan Other: Final SASS PART AIL ECHANIC os eam Rough-In ---- Gas Line Smoke Dai ipers --- - - - iri PART FAIL IC_AL - Service Ro.igh-In UG/Slab Low Voltage Fire Alarm - - --- ----J -- --- Final LJ Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE �—_ Please call for reinspection RE: - -__ _ -_____�_.- �� Unable to inspect-no access ADA Supply__Line /� .? - Approach/Sidewalk Date _ 1 / L__ Inspector —z — Ext Other! _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL