7800 SW DURHAM ROAD STE 400-2 1
00V# (18 W`dH?ina ms 008L
w
0
CA
C
T
2
D
.p
0
7800 SW DURHAM RD #400
CITY O F T I G A R D PLUMBING PERMIT
PERMIT#: PLM2000-00048
DE JELOPIVIE�VT SERVICES DATE ISSUED: 02/22/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S113BA-00200
SITE ADDRESS: 07800 SW DURHAM RD 400
SUBDIVISION: ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: Al-T GARBAGE DISPOSALS: MOBILE HOME SPACES-
TYPE OF USE: COPA WASHING MACH: BACKFLOW PREVNTRS-
OCCUPANCY GRP: FLOOR DRAINS: TPA' 3:
STORIES- WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TP.AYS: SF RAIN DRAINS:
SINKS_ 1 URINALS. :3REASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Plumbing TI
S
Owner: - — --- -- -- FEES—
Type
EEFEE --
----�� Type By Date Amount Receipt
METZGER, DAVID G/DIANNE S 5PCT KJP 02/22/200C $4.00 00-321790
PO BOX 400 PRMT KJP 02/22/200C $50.00 00-321790
SHERWOOD, OR 97140
Total $54.00
Phone 1:
Contractor:
NORTH'S PLUMBING
17120 SW SHAW
BEAVERTON, OR 97007 REQUIRED INSPECTIONS
Phone 1: 649-5544 Underfloor/Underslab
Insp
Ike #: LIC 00000340 Top-out Inspection Reg Final Inspection
PLM 34-18PB
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State 01 OR.
Specialty Codes and all ether applicable laws. All work will be done in ecccrdanci with approved pans.
This permit will expire if work is not started within 180 days of issuu,ice. or if work is suspended for more
than 180 days. ATTENTIONS Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules ale set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain c e.s of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: 1/ 2-u'��►—�cL. Permittee Signature:
Call (503) 5394175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan Cho i
13125 SW HALL BLVD. Commercial and Residential Recd By ,
TIGARD, OR 97223 Dale Recd
(503) 639-4171 D^ld tor.%.
Print or Typ^ Date to DST
Incomplete or illegible applications will not be accepted Permits 0 N"`QV,^ /�
Related SWR s L' /
Called
NamekAddross
DevelopmenUPro ct Vj;� TURES (Individual) QTY$J,eRICE AMT
Job �• Sink 11.50
Address eel Suite Lavatory 11.50 It
L Tub or Tub/Shower Comb. 11.50
Bldg• C y/ tate Zip Shower Only 11.50
C Water Closet 11.50 )
Urinal 11.50
Owrnern Addr Q Q Suite Dishwasher _ 11.50
Garbage Disposal 11.50
tQw�state Zlpc�►-f� P ne �� Laundry Tray 11.50
Washing Machine/Laundry Tray 11.50
Floor Drain/Floor Sink 2' 11.50
OCCU antre Suit 3- 11.50
P 4• 11.50
tale Zip Phone
Water Heater ir conversion O like kind ' 11.50
`� Gas piping requires a separate mechanical permit. I i
1 MFG Home New Water Service 32.00
oW Contractor a IAddress Suite
MFG Home New Sari/Storm Sewer 32.00
If I Hose Bibs 11.50
Prior to permit C /State -�^ Zip y Pone z Rc^n Drains 11.50
losuance,a copy 1 ti v ` �" Drinking Fountain 11.50
of all licenses are br on Const.Cont.Board Lk* x Date -
required H Other Fixwres(Specify) 15.00
expired In COT Plumbing LI .0
dalabare
Na 1
Architect 2 Sewer-1st 100' - 38.00
Or M,.iling ddress Suite Sewer-each additional 100' 32.00
Water Service-1 at 100' 38.00
Engineer City/State Zip Phone Water Service-each additional 200' 32.00
Describe work to be dons: Storm A Rair i Drain-t at 100' 38.00
New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain•each additional 100' 32.00
Residential O Commercial O
Additional description of work: Commercial Back Flaw Prevention Device 32.00
Residential Backflow Prevention Device' 19.00
_ Catch Basin 11.50
Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00
Yes O No O Ins ectlons _ r/hr
If yes,see back of form to indicate work parformed by Rain Drain,single family dwelling _` 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50
WORK COULD RESULT IN INCREASED SEWER FEES, QUANTITY TOTAL
I hereby acknowledge that I have read this application that the Information
given Is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required N Quantic Torsi is >8 � *
that olans submitted are In compliance with Oregon Stale Laws. 'SUBTOTAL
819 of"nqd ht a �1 8%SURCHARGE
contact Pi on Nanlb
Ph.S, )� 7 "PLAN REVIEW 26°h OF SUBTOTAL
G /
Required only If Wore gly.total Is>a
TOTAL
�, S 'Minimum permit fee is$50•9%surchaige,except Residential Baddlow Prevention
Device,which is$25+•B%surcharge
All New Commercial Buildings require plans with Isometric or rico diagram and
plan review
dWyartnslpkanapp,doe 11/1 SM
PLEASESQMPLE T E:
"IF�xure Type, I �f Quantity by Work Performed: ...}
., --Moved ReplacQdr'�yr.
Sink_ -
Lavatory -
1 ub or ublShower Combination
Shower Only
---- _
Water Closet
Urinal —
Dishwasher -
Garbage Disposal --
Laundry_Room_Tray —
Washing Machine
Floor Drain/Floor Sink -2"
3 -
------ „--
Water Heater —
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
i,awvu, .pm*cva«„nares
Accumulative Sewer Tally
"enant tVame �Y �t_I ��' This SWR# ITLn9-
\ddress: ` t � l'(� This PLM#: -ZW)
=fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added# added #s total
Count off#s count value — values-
3aptistry/Font -- 4 _ — - ---
-lath - Tub/Shower 4 — -
- JacuzziNlhirlpool____—,_ _4 -- - --
;ar'Nash - Each Stall —6 — —
_ Drive Throurn 16 -- —
CuspidorANater Aspirator — _ .1 — -- — -
Dishwasher-Commercial 4 _
- Domestic 2 —
Drinking Fountain — 1 --- —
F'/e I/V-_h t ----- — -- --
Floor urain/sink - 2 inch 2 -
3 inch _ 5 _ — --- ——
4 inch 6 -
-_ Car`Nash Drn 6 —
Garbage Disposal 16
Domestic (to 3/4 HP) _ -- -- --
_- Commercial (to 5 HP) _ 32
Industnal (over 5 HP) _ 48 --
Ice Machine/Refrigerator Drains 1 — — —_-- --
Oil Sep(Gas Station) -- 6_ —
Rec. Vehicle Dump Station - 16 --
Shower- Gang (Per Head) 1 -- - ---
_ Stall _ 2__ Z
— ---- --
Sink Bar/Lavatory 2 I ! I
Bradley -5 ---- — —
_Commercial — 3
Service 3 --
Swimming Pool Filter — 1 _
'Hasher - Clothes 6 - -- —
Water Extractor _ 6 -
--
Water Closet - Toilet 6 — -- --
Urinal —,_ 6 -- ` -
I O rALS --
Total fixture values �( divided by 16 = I/ FDU bU "> tJC w
HISTORY –�
S�'VR#
PLM# ludo- DDI��1 I EDU# SWR# VxV tVO U PLM# —a— ----EDU# —_---
PLM#2_t2)t1 — c (r EDU# _SWR#Z OMO PL_A# _ EDU# _— S_WR#
— �--- PLM# EDU# SWR#
_-PT_M# I�!`�`J- pb Z Flo E D U# SWR# �l� 0 --------
PLM#ply acr.�EDU# I _ SWR# 71V �`j PI_M# EDU# SWR#
�oss�5w aly doc
I ll
Hyl
CITYOF T I G A R D ELECTRICAL PERMIT
G INAS PERMl7#: ELC2000-00069
DEVELOPMENT SERVICES TE ISSUED: 2/17/00
13125 SW Hail Blvd., Tivard. OR 97223 (503) 63 -RIPARCEL: 2S113BA-00200
SITE ADDRESS. 07800 SW DURHAM RD 400
SUBDIVISION: ZONING: I-P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of 2 svc/fdr of 200 amps or less and 10 branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: �0 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANS HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL 1101:
SERVICE/FEEDER _ BRANCH CIRCUITS
_ _ ADQ'l. INSPECTIONS
0 200 amp: 2 W/SEROCE OR FEEDER: PER INSNECT!ON:
201 400 amp: 1st WIO SRVC OR FDR. PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL:
_-_ Reconnect only: _ _SVC/FDR >=225 AMPS: CLASS AREA. SPEC OCC: _ _I
Owner: Contractor:
METZGER, DAVID G/DIANNE S WINNER ELECTRIC INC
PO BOX 400 5950 SW PROSPERITY PK
SHERWOOD, OR 97140 TUALATIN, OR 97062
Phone: Phone: 638-5028
Reg #: LIC 00014794
SUP 2825-S
ELE 34-150C
FEES _Required Inspections
Type By Date Amount Receipt Elect'I Service
PRM l DEB 2/17/00 $182.00 00-321758 Elect'I Final
5PCT DEB 2/17/00 $14.56 00-321758
Total $196.56
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more thi n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTFE'S SIGNATURE /� ISSUE D B1:
OW_NEll�
INSTALt.ATION ONLY
The installation is being made on properly I own whicl- ,; riot intended for sale, leaso, or rent.
OWNER'S SIGNATURE: -----____-- -_---------------- _--
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: - E- __- DAZE:_-_— ---__-
LICENSE NC: _ ------__.--
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Plan Check#
1.3125 SW HALL BLVD. Electrical Permit Application
TIGARD OR 97223 �, Rec'd Ely
(, '� RE�E�uEp Dateate to RePE.
c'd _ _
Phone(503)639-4171, x304 O — --
�� FE� Date to DST
Inspection 4175 Print of Type Z 6 X000 Permit#
Fax(503) 598-198-1 96060 Incomplete or illegible will�RFMY19i4 Called
�FMENI _
1. Job Address: n ^ 4. Complete Fee Schedule Below:
Name of Development_ 3AC LSO iv R jSrfv 5 a Citi Number of Inspections per permit allowed
Name(or name of business) Su. -7On — Service included: Items Cost Sum
Address j$(UO Qu-2 14-A►_r _ - 4a. Residential-per unit
City/State/Zip l000 sq fl or less $ 11775 a
Each additional 500 sqft.or
portion thereof $ 26 75 _ _ 1
Commercial Residential ❑ Limited Energy $ 6000
Each Manurd Home or Modular
2a. Contractor installation only: ravelling Service or Feeder _— $ 72.75 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data base). Installation,alteration,or relocation
Electrical Contractor--tA)"IJ.;e2 eL 1,f.L. 200 amps or less $ 64.25 '�- 2
Address c _ 201 amps to 400 amps $ 8550 /7�.JU 2
401 amps to 600 amps $ 128 50 2
City_f��i f.v State 10 tip_� I L 601 amps to 1000 amps $ 19250 2
Phone No. S�3 - �3 I 6;C 7- — — Over 1000 amps or volts $ 36375 2
Job No Reconnect only $ 5350 � 2
Elec. Cont. Lice No '3A-//50c. _Exp.Date it 4c. Temporary Services or Feeders
OR State CCB Reg No. lij1` 1 Exp.DateL� Installation,alteration,or relocation
COT Business Tax or Metro No._ Exp Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 8025 2
Signature of Supr. Elec'n [A d&- 401 amps to 600 amps $ 100.00 _Y 2
Over 600 amps to 1000 volts,
License No 2 r Exp Date see"b"above.
_� ,� �
Phone No su_�(,A LfCjZif _ 4d.Branch Circuits
New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder lee.
Print Owner's Nante —_ Each branch circuit D $ 535 S3 0 2
Address b)The fee for branch circuits
------ without purchase of service
City State Zip or feeder fee.
Phone No ,® _ _ First branch circuit $ 37,50 _
Each additional branch circuit _ $ 5 35 _
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent (Service or feeder not included)
Each pump or Irrigation circle __ $ 42 75
Owner's Signature _A — w Each sign or outline lighting $ 42 75
Fignal circuits)or a limited energy
3. Plan Review section (if rag * panel,alteration or extension $ 6000
a riled): Minor labels(10) , $ 10000
Please check appropriate Item and enter fee in section 5B. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ -'1000
hour $ 5000 _+
System over 600 volts nominal In Plant $ 5900
Classified area or structure containing special occupancy as _
described in N E C Chapter 5 5. Fees:
5a.Enter tnial of above fees $
* Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $
Not required for temporary construction services. Subtotal $
6b.Enter 25 of line Sa for
NOTICE Plan Review it required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust,,c:count N _
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $
i:ldstslfnrms\cicctric dre
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 40-%--
24-Hour Inspection Line: G39-4175 Business Line: 6394171 —
Z7iBLIP = - ,
Date Requested_ / AM PM BLD
Location --7 KO D 01,AA ���rr��! 1^. —._ Suites a 00 MEC
Contact Person _— _�G41v Ph (U Z S"70 1 PLM
Contractor _ _ _ Ph _ SWR Z�
BUILDING Tenant/Owner ELC 'C�
Retaining Wall ELR
Footing Access FPS
Foundation
Ftg Drain - SGN
Crawl Drain Inspection Notes. ----—
Slab
Post&Beam
Ext Sheath/Shear - -
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing — — ----Firewall
Fire Sprinkler ^._— _ --- -------
Fire Alarm
Susp'd Ceiling ---- — -------- ---
Roof
Misc.-_—_ --- -
Final �—
PASS PART FAIL --- ---
PLUMBING
Cost&Beam
Under Slab — _-
ITop Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART, FAIL
RIC L
Service
Ruugh In
UG/Slab ---- — ---- - -— ---Low Voltage
Voltage
rP-AW PART FAIL
VE
Backfill/Grading --"------- — — —
Sanitary Sewer
Storm Drain j Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to inspect-no acceso
Fire Supply Line ( j Please call f r reinspection RF _ _ ( j P
ADA
Approach/Sidewalk Date
1 Inspector ���� —Ext
Other -
Final
PASS PART FAIL O NOT REMOVE this Pri-,ticctioti Recr)rd from the jots site.
CITY OF TIGARD BUILDING INSPECTION DIVISION NIST
2- -Hour Inspection Linc 35-4175 Business Line: 63C 1171 - ------
BLIP
_--Date Requested ��l t!ZA AM _PM __ BLD
Location ��Cr � i�Ul/1 aiJ/►/�. Suite _. MEC
Contact Person Ph e1-yL'S' PLM
Contractor Ph _ SWR
BUILDING Tenant/Owner C�Yi? I �JNX�•G`�.: �
Fetaining Wail R
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab I _ SIT
Post 8 Beam I
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -— — - ---- ----- —
Fire Alarm
Susp'd Ceiling
Roof
Misc: --
Final
PASS PART FAIL
PLUMBING
Post&Beam - --__ _-- -- -- -- ------- _.�_
Under Slab
Top Out ------- -�
Wates Service
Sanitary Sewer ------------------- ------ --- ---- --�. __
Rair, Drains
Final _.-- -- --- -- -- -------- --
PASS PART FAIL
MECHANICAL
Post& Beam
Rough
------ ---- ----- ----
Rough In
Gas Line —— — - -- _- ------- - ---
Smoke Dampers
Final -- ---�-- -- --- -- ----
PASS PART FAIL
Ser
Rough In _—
UG/Slab
Low Voltage
FireI'm - - --_—_- �--- - - —
F'
PA PART FAIL ---
E
Backfill/Grading -- --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Half, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE - - [ J Unable to inspect no access
ADA ? //
Approach/Sidewalk Date .-� -�t� N� Inspector__- Ext
Other
Other - ----- -
Final
PASS PART FAIL DO NOT REMOVE this Lispection record from the job sites
ICA
/
CITY O TIGARD �— ELECT CTE NER -
RESTRICTED ENERGY
DEVELOPMENT SERIACES PERMIT#: ELR2000-00073
13125 SW Hall Blvd., Tiqard, OF 97223 15031 639-4171 DATE ISSUED: 04/10/2000
PARCEL: 2S113BA-00200
SITE ADDRESS: 07800 SW DURHAM ND 400
SUBDIVISION: ZONING: I-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Install security system in exiEting commercial building.
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: SECURITY S
TOTAL. # OF SYS-rEMSi1
Owner: :ontractor:
METZGER, DAVID G/DIANNE S MORRISON+ ASSOCIATES
PO BOX 400 1 1 15 SE MORRISON
SHERWOOD, OR 97140 PORTLAND, OR 97214
Phone: Phone: 239-9861 n I
Reg #: LIC 00063715 � J
ELE 26688CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 04/10/2000 $6000 HANDRCPI Elect'I Final
5PCT KJP 04/10/200( $4.80 HANDRCPT
Total $64.80
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 Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throw, 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987. Z ,
Issued b 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 SIGNATUPE. _ _ DATE:—
_
CONTF:ACTOR INSTALLATION ONLY _
SIGNATURE O. SUPR. ELEC'N )�- _ DATE:
LICENSE NO: -- -----
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
PERMIT # Loe ayoQ -00073
Tigard,OR 9722323 _ —
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIC?NS
1. LOCATION OF INSTALLATION !1 -r 4. TYPE OF WORK
7,9W � 1� L Y.,.l,.��RYA 0
Address , RESIDENTIAL—Restricted Energy Fee. . . . . . . . 140.00-1--• q-1 a�44 — (FOR ALL SYSTEMS)
City State Zip Check Tye of Wprk Involved:
PERMITS ARC Nc IN-rRANSURA11LE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems
tS NOr STAR rH1 WITHIN 1110 DAYS Of ISSUANCE OR IF WORK Is sUsrENDED FOR
leo DAYS ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System'
Contractor"�F�Sr,.Z A �eC^_z�s f ype ' c� ❑ Vacuum Systems"
Address� _ �� �bi �ISc� 7 l'nd ❑ Ofher-- ---- — --- —
Jatc fyf t� COMMERCIAL—Fee for e&ch system . . . . . . . . . T
(SEE OAR 918-260-260) /
Property Ownerf [j _ Check Tvoe of Work InvQiygd; VU
Crintractor's Board Reg. No. —1 �
1 __—_ �Q1�-� ❑ Audio and Stereo Sysit ms
..
❑ Boiler Controls
Phone.# � - (per _—- ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ FireAlarm Installation
❑ HVAC
Print Owner's Nante Phone No -
❑ Instntmentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control"
City Slaie lip ❑ Medical
This permit is issued under OAR 918.11(1-17(I CuN appll(ant agwes In make only ❑ Nurse Calls
restricted energy Installationk t IIIA wilt amps nr if-m undet this pemtit.red In do thr• ❑ Outdoor Landscape bighting"
fnik»ving:
1. Only use electro al licensed pervcros to do inst.diaunns where re(luneil 1(ertai(t Protective Signaling
residential and other transactions are exempt from licensing Thew have Other `•..r1CJ..tS.� ���.�_
astrrlsksM.All others need licensing).
2. Call for an inspection when all of the installations under tads permit are readv
for inspection at 3111.609-4175. �t
❑ Number of Systems '
1. Porcha5e separate hermits for all installations ihat are not ready for imltc•rhnn
when the inspeclor is out to inspect tinder this permit •No licenses are required. Licenses are roquired for all other installations.
4, Assume respomibilily for assuring that all cormclions required by the inspector
aro drnie,and
5. Assume responsibility for(-ailing for a final inspection when all of the 5. FEES nn
correctinns are comple(ed. li
The person signing for this permit must he the applicant or a person a. Enter Fees
authorize hind the applicant. 11"
b. 536 Surcharge(05 x total above) $ �
�D
5 ,na 7/ TOTAL $ otA '
Authority if other than applicant
ENERGAP.CHP
ITY OF
T I GA R® 0 BUILDING PERMIT��_
HERMIT M BUP2000-00030
DEVELOPMENT SERVICES �0, DATE ISSUED: 02/16/2000
13,125 SW Hall Blvd., Tiqard, OR 97223 (503) 639 4171 /� PARCEL: 2S113BA-00200
SITE ADDRESS: 67800 SW DURHAM RD 400 e4
SUBDIVISION:
ZONING: I P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _ FLOOR AREAS EXTERIOR WALL CO_NSTRUCTION
CLASS OF WORK: ALT FIRST: sf N- S: E W:
TYPE= OF USE: COM SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5N 2,640 sf N: S_ E: W:
OCCUPANCv GRP: R TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 23 BASEMENT: sf AREA SEP. RATED:
S'rOR: I-IT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: READ SETBACKS _ REQUIRED__
FLOOR LOAD- psf LEFT: ft RGHT: ft FIR SPKL: — SMOK DET:
DWELLING UNITS. FRNT: ft REAR: ft FIR AL.RM : FINDICP ACC:
BE -)RMS: UATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 12.,000.00
Remarks: Tenant improvement: new office, restroom & separation wall. Elect, Mech, & Plumbing by separate permit.
Owner: -�ntractor:
METZGER, DAVID G/DIANNE DAVE METZGER
PO BOX 400 P 0 BOX 275
SHERWOOD, OR 97140 SHERWOOD, OR 97140
Phone: Phone: 625-7045
Reg #: LIC 00054999
FEES REQUIRED INSPECTIONS _
Type By Date Amount Receipt -raming Insp
PRMT DST 0206/200C $142.50 00-321744 Gyp Board Insp
Susp Ceiing Insp
5PCT DST 02/16/200C $11.40 00-321744 Final Inspectior
PLCK DST 02/16/200C $92.63 00-321744
FIRE DST 02/16/200( $57.00 00-321744
Total $303.53
This permit is issued subject to the regulation,; 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 f-)/low the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR K, -v' ; -.1010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
ti
Permitee
Signature:
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next business day
Ci r t ui- TIGARD Commercial Building Permit Application Flan Check#
-
13125 3W HALL BL':D. Tenant ImmRecd By�
proep
er`. DateRecd_
TIGARD, OR 17223 Dale to P.E.
(503) 63y-4171 Date to Dsr—
Print or Type Permit#pigf tan-
Related SWR# _
Incomplete or illegible app,icatiuns will not be accapted called C7--�—
- Na:ne of Development/Project r/ � Existing Building [0 New Building E]
JobkF�oM F3 tNl S5 Ure:hrrctz.
Address Sheet Address Suite -"P Building
7000 5W. r,I,
i Data _ — --
Bldg '
# City/State zip Existing Use of Building or Pro erty
TbHS PoCtS'lUN 4F Th(� �It„�1�.:.C�
NarneProposed Use of Building or Property:
Property DA. � M 1�C26�i�12' �izf 0,F_) t�te�7 '�F �-E`�
Owner Malting AddressSuite
p•p eoK III%:> No. Of Stories.
City/State Zip Phone - I —
(4 Z5-7 0'4 5 Sq. Ft. Of Project:
_ _ ��t�•W�_�1
Occupant Name Occupancy Class(es)
�C�Y 1%!•Y�tz
----------- Name ----
ContractorType(s)of Construction
bAVl Mr--ruU N�I'� (�I_!�_ V-t4 0000 FwoMtP
Prior to permit Mailing Address Suite I —
Will this project have a Fire Suppression System?
Issuance,a copy
of all IIG les ? v __ Yes E) No Q"
are required If City/Slate Zip Phone Americans with Disabilities Act(ADA)
expired In C.O.T. .114,0 �7,`5- 4`3 Valuation X 25% -
database - $ Participation
Oregon Const.Cont.Board Lic.# Exp.Dale Complete Accessibility orm —
Project $ tro
Name - -- Valuation 17,1000
Architect Plans Required: See Matrix for number of sets to submit
Malting Address Suite on back I
I
Clly.'Stete ZIp Phone I hereby acknowledge that I have read this application,that the information
given is correct,that I am the ov+ner or authorized agent of the owner,and
that plans submitted tire in compliance with Oregon State Laws.
Engineer Name _ -----
I t:d(,l EMS N Signature of Owner/Agent Date
Melling Address Suite �yy�A,�� � 2
act
c Per on' Phone
i4' tCity/State Zip PhoneJ ANp� {�I�a ------ (o 20 -206(0 tAIC'PLA
Z_1 ��7,L l0 20 108V FOR OFFICE USE ONLY
Indicate type of work New 110" Addition O Demolition O Map/TL# LandUse:
AccessoryStructure O Foundation Only O Alteration O x l/ /�/�- C^O ___�P
Repair O Other 0 Notes.
ooscr+pLon of work: NIS( 4FFIC1�i, f�oDM ---
c,�Eo/,p.,a,T1t7t•( WhL.li TIF:
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I\COMNEKTI DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
clan Review is dependent upon submittal of BOTH plans AND a COMPLETED
application. For nn electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After pl,)n review approval, Plans Exarniner will contact the applicant to request
:Additional plan sets fox distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Total # of
TYPE OF SUBMITTAL Plans KEY:
_ Submit.ed
J (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 1- = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) _ 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E Alt = Alternation to Existing
(New , Add) Building
*B or B & M (Alt) 1
*B & M 8 P (Alt) 3
'BRM & P &E-(Alt) 3
.B & M & P & E & F(Alt) 3
i
NOTES:
"Shaded areas designate AL1 SUlY nittals only.
I Wsts\forms\matrxccm doc 10730198
�1
CITYOF TIGARD _ MECHANICAL PERMIT
' E ISSUED:
#: MFC2000 00099
DEVELOPMENT SERVIC
DATE ISSUED: 4/13/00
13125 SW Hall Bivd., Tigard, OR 97223 (503) 641 PARCEL: 2S113BA-00200
SITE ADDRESS: 07800 SW DURHAM RD 400
SUBDIVISION: y� ZONING: I P
BLOCK. LOT: RISDICTIGN: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O ADPL: VEN r SYSTEMS:
STORIES: BOILERS/COMPI:ESSORS _ HOODS:
FUELTYPES 0 3 HP: DOMES, INCIN:
1 PG 3 15 HP: COMML. INCIN.
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVE:S:
GAS PRESSURE: 504 HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >-100K BTU: 2 <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Mechanical 11.
Ownpr:- --========FEES -_ - -- —
METZGER, DAVID G/DIANNE S 1 ype —By Date _ Amount Receipt
PO BOX 400 PRMT KJP 4/13/00 $51.00 0001405
SHERWOOD, OR 9.7140 PLCK KJP 4/13/00 $12.50 0001405
5PCT KJP 4/13/00 $4.00 0001405
Phone: Total $66.50
Contractor: — _—
OREGON COMFORT HEATING INC
HUGHES, RON
PO BOX 190 — REQUIRED INSPECTIONS
EAGLE CREEK, OR 97022 Gas Line Insp
Phone:650-2933 fax Heating Unt Insp
Reg#:LIC 00042519 Duct Inspection
Final Inspection
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 riot started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Cente; Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
YOU may obtain copies of these rules or direct questions to OUNC by caylling (503)246-9189.
Issu& By: Permittee Signature: 'L
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Plan Check* 3-Vc—
CITY OF TIGARD Mechanical Permit Application Recd By /< Thr
13125 SW HALL BLVD. Commercial and Residential ,(?� Date Recd J/4
TIGARD, OR 97223 .l_t" Cate to P E. • -;q o0
/ Date to DST D ez"
(503) 639-4171, x304 �� Permit* r�� ,
Print or Type L called
Incomplete or illegible applications will not be accepted
N;rne ofbeveor meed uprotect / Description
jA(-r='e.� r-c7i�� C� 7-M2 Table 1A Mechanical Code CTv PRfCE AMT
Job Sir"Addresssurer A) Permit Fee 0 -0- 1000 r -
Address .f�'• �.Sr/if/. 0cr,:jhW 4Uv
Bag* Crtyisate9 Zip 1 ) Furnace to 100,000 BTU 6 00
76x'a T/ ,� a �fJ- Including ducts&vents
Name(or name of business) 2.) Furnace 100,000 BTU* 7 50
Owner �J, Y/1J lE���r>nL includiny ducts 6 vents
Meiling Addree} _ 3) Floor P urnacal ~� 600
�[% 07S including vent
Crtyistata ,�J Zip Phoria 4) Suspended heater,wall heater 6.00
_ SIf�TrlulCX C0� 97/ o kls--7oq or floor mounted heater
Nana(or name of business) 5.) Vent not included in appliance pemlrt 300
Occupard Mailing Address
6,) Boiler or comp,heat pump,air nand 600
-t? ,-/S.W, to 3 HP;absorb unit to 10f K BUT— _
c ryi5cate Zip Phone 7) Boiler or comp,heat pump,air Gond 1100
__ %/�• /��r�Q
6(2 472z _ 3-15 HP,absorb unit to 500K BTU"
Name Nae B) Boder or comp,heat pump,air Gond. 1500
(Prior to ewi-e e/j6141,gi? //fes G //U'� 15.30 HP;absorb unit 54 and BTU"
issuance Maung Add 9) Boiler or camp,heat pump air Gond 2250
applicant "o- . 7�< 30-50 HP.absorb unit 1-1.75mil BTU'"
must provide all Crryrstare Zip Phone 10) Boiler or comp,heat pump,air cond. 3750
contractor �it'�:%�� t�C c 7 (OZZ '>> >50 HP;absorb unit 1 75 and BTU"
license Oregon C Cont Board Lic r Exp Date 11 ) Air handling unit to 10,000 CFM 450
information
for COT COT Buenas»Taxa * Exp Date 12) Air handling unit 10,000 CFM 750
database)
Architect Name 13) Non-portable evaporate cooler 4 50
or Mailing Address ..''// 14) Vent fan connected to a single dud 300 J/
Engineer CeyiS,ate zip Phone 15) Ventilation system not included in 450
/lY}/�%� Cho �i 7 / c•�t- !i 1 ( appliance permit
Describe Work New Ad'd on O Alteration O Repair O 16) Hood served by mechanical exhaust 450
to be don Residential O Non-residential O•- _
Additional Description of work 17) Domestic incinerators 750
18) Commercial or industnal type 3000
Incinerator _
Existing use of 19) Repair units '50
building or property
20) Woad stove 450
Proposed use of 21 ) Cbthee dryer,etc 450
bufkiirg or p .perty A ^`_
22 1 Other unnits 4.50
Type of fuel-oil O natural gas O�LPG O electric O 23) Gas piping one to four outlets 2.00 .
I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) .50
information given is correct.that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State OTY SUBTOTAL
laws
Signature of Owner/Agent Date `*SUBTOTAL
3e+,
5%SURCHARGE
Contalfit Person Name Phone ^PLAN REVIEW 25916 OF SUBTOTAL
I Wstimechpmt.doc (rev 9 'Minimum permit fee is 525*5%surcharge
"Residential A/C requires site plan showing placement of unit
i
CITY OF TIGARD BUILDING !NSIPECTION DIVISION MST _-
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _
Date Requested_ 401 � ) AM_ —PM _ BLD
Location — Suite �T— MEC
Contact Person _ L��-1,� Ph PLM
Contractor Ph SWR
ELC
BUILDING Tenant/fawner
ELR
Retaining Wall
Footing Access. FPS
Foundation
Ftg Drain --- SGN __-
Crawl Drain Irispection Notes.
Slab -- -- ---- ------- SIT -- ---- —
Pus[& Beam _
Ext Sheath/Shear --
Int Sheath/Shear
Framing ---
Insulation
Drywall Nailing
Firewall
Rie Sprinkler -
Fire Alarm
Susp'd Ceiling -
Roo{
Mise _
F inal
PASS PART
BiNG G -
Post&team
Under Slab
Top Out
Water Service _ — -
Sanitary Sewer _
Rain Drains _— ---- -
PART FAIL
HA6A11-
Post& Beam ---�
Rough In —
Gas Line _
Smoke Dampers ----
Final —
PASS PART FAIL — -
ELECTRICAL —
Rough In
UG/Slab ----
Low Voltage
Fire Alarm
Final --- -
PASS PART FAIL —
SITE —
Backfill/Grading
Sanitary Sewer 4
Storm Drain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
[ J
Catch Basin [ J Please call for reinspection RE:_ ( J Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Date / i Inspector ii / :� Ext
Other
Final
PASS PART FAIL DO NOT RUMOVE this inspection record from the job site.
CITY OF TIGARD 24-Hour -
BUILr;NG Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP c�2-GGC
Received _—_-- Date Fequested_ AM PM - -_ _ BLIP
Location �. --
- —1�- --L.�iE L 1✓ Suite l _ MEC
Contact Person _ L-2 - 1.,r->e, Ph( ) 'y' L/ Sj f --
Contra ar _ PLM
-- — Ph(—) _ - SWR _
UILDI Tenant/Owner _ ELC
o - -- —--
Foundation Access: ELC
Fig Drain
Crawl Drain EL.R
Slab Inspection Notes: r SIT v —
Post& Beam - ----
Shear Anchors --_ -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall -- -
Fire Sprinkler -
-- --
Fire Alarm -
Susp'd Ceiling
Roof
Other:
S PART FAIL -
Ph-MING
Post 8 Beam - .-.-_---.�,.----------
Under Slab
Rough-In -- -- ----- _ _�
Water Service
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole - --
Storm Drain
Shower Pan �----
Other:
Final
PASS _PART FAIL - - — -- - _
Post& Beam
Rough-In
Gas Line
Smoke Dampers _
Final -
PASS PART FAIL - - ---- —
ELECTRICAL
Service -
Rough-In
UG/Slab ----- ---- — - ---
Low Voltage
Fire Alarm
Final
Ll PASS PART FAIL � Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ] Please call for reinspection nE:---__ _ Unable to inspect-no access
Fire Supply Line —
ADA `�
Approach/Sidewalk pate _/ I Z- l../ Ins 1'„�/`
Other: peetor—�-� Ext --_-_--
Final �- --- DO NOT REMOVE this Inspection record from the job site,
PASS PART FAIL
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2000-00030
10 ik 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/16/2000
PARCEL: 2S113BA-00200
ZONING: I-P
JURISDICTION: TIG
SITE ADDRESS: 07800 SW DURHAM RD 400
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: ALT -
TYPE OF USE: COM
TYPE OF CONSTR: 5N
OCCUPANCY GRP: B
OCCUPANCY LOAD: 23
TENANT NAME: PERRY/KAYSER
REMARKS: Tenant improvement new office, restroom & separation wall Elect, Mech. & Plumbing by sepe,aLe
permit.
Owner:
MLTZGER, DAVID G/DIANNE S
PO BOX 400
SHERWOOD, OR 97140
Phone:
Contractor:
DAVE ME:TZGER
P O BOX 275
SHERWOOD, OR 97140
Phone: 62.5-7045
Reg #: LIC 00054999
This Certificate issued 3/21/211112 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specialty fodes for the group, occupgncy, alid use under which the
referenced permit was is"ed,,
BUILDING INSPECTOR BUILDING FFICIAL
POST IN CONSPICUOUS PLACE
A
,I
� �`11\� --- ELECTRICAL PERMIT
CITY OF T I G
PERMIT#: ELC2000-00175
DEVELOPMENT SEF'VICES DATE ISSUED: 4/13/00
13125 SW Hall Blvd., Tiqard, OR 97223 1503! £39-410 PARCEL: 2S113BA-00200
SITE ADDRESS: 07800 SW DURHAM RD 400
��
SUBDIVISION: / ZONING: I P
BLOCK: LOT : DICTION: TIG
Proiect Description: Electrical TI, installation of 11 branch circuits
__RESIDENTIAL_ UNIT TEMP SRVC/FEEDERS _— MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+arrrps - 1000 volts: MINOR LABEL (101:
SERVICE/FEEDER BRANCH CIRCUITS _ADD'L INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECI ION:
201 - 400 amp: 1st VVIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 10 IN PLANT:
601 - 1000 amp: _ ___ PLAN REVIEW SECTION __
1000+ amp/volt: >=4 RES UNITS: — - 600 VOLT NOMINAL
Reconnect only: -- SVCIFOR >=225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor:
METZGER, DAVID G/DIANNE S NORMANDIN ELECTRIC INC
PO BOX 400 51086 NW CIAPSHAW HILL RD
SHERWOOD. OR 97140 FOREST GROVE, OR 97116
Phone: Phone: 357-5380
Reg#: ELE 34-256C
LIC 59008
SUP 3558-S
FEES _ Required Inspections
Type By Date Amount Receipt Elecl'I Service
PRMT DEB 4/13/00 $91.00 0001389 Elect'I Final
SPCT DEB 4/13/00 $7.28 0001389
_ Total --- $98.28 �—
This Permit is issued subject to the regulations contained in the Tigard Muridpal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-0n1-0010 through OAR 952-001.0080 You may obtain copies of these rules or direct questions to OUN. at(503)
246-1987
PERMITTEE'S SIGNATURE�, / ISSUED
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE: _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:_
LICENSE NO: — --__, --- —.----- — --
Call 639-4175 by 7:00pm for an inspection the next business day
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. _
Tigard, OR 97223REC.FiVFrJ Planck/Rec. #
Permit # 10/7$
Phone (503) 639-44PP 10 ANT Date Issued —
TDD No. (503)
CITY OF TIGARD FAX (503) f) 7297 Issued by �� G!_ 4 y�.� -.
�I11o1$�1aY DE4ELOPMFI� -
Inspecilon (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address .,`r1 r S , � -/ 4, firl', '/c 4/6 Service includ Items Cast(es) Sum
City/State/Zip J,1Ft ij L• 7(. 4s. Residential- per unit 4
'1 1000 act t1 or lose Si 10 Or,
Name (or name of business)/t=/ ��<<, �� 2 Each additional 500 a St or --
"�7 - portion thereof $25 00 1
Commercial 0 Residential ❑ Limited Energy —� 52500
Foch Manurd Home nr Modular 2
tavelhng Servicer or f eednr �8 00
2a. Contractor Installation only: —
4b.Services or Feeders
Installation allegation or rel loce,t�on 2
Electrical Contractors ' p,�,A r-,� n_ ✓; �. �� � 200 amps or lose $6000 2
Address �'(, /L �'/a� /r q /� /� K� a 201 amps to 400 amps -- $8000 2
City fr r "� I C,;n►✓ Stat@ ' ZI �� ) / 401 amps to 000 amps _� $120 0 2
Zip_f,, (;" 601 amps to 1000 amps _ $18000 2
Phone No. ,'s ; Y v Over 1000 amps or volts i $34000 2
Contractor's License No. � 41 ,;? P Reconnect only $5000 —
Contractor's Board Reg. No.___6_,,, g'
4c. Temporary Services or Foeders
Installation alteralor or relmalion ?
Signature of Supr. Elec'n r,, „a( , _ 200 amps or lase _ $5000 7
License No-.,'Ss 9 1 Phone No. j5 / -S -4 S 201 amps to 400 amR $7500
401 amps to 600 amps "- $10000
Ova 600 amps to 1000 VAS
2b. For owner Installations: else W above
Print Owner's Name 4d. Branch Circuits
-- —___-_ __ Now,alteration at orlonslon per
Address a)The fee for branch rucrmc wirh
city — Stats_ Zip purchase or servke or seder Me 2
Phone No. Each branch circuit
_ b)The tee for branch circuits wllhnuf
The installation is being made on property I own which is purchase of aaryke,or hreder free • � Sly 2
not Intended for sale, lease or rent. Prat branch circuit � at4vtf' .� � 2
Each additional branch arcull sit etr .SU
Owner's Signature _ 4e. Miscellaneous `57,35 �t�7
(Service or feeder not Included) 2
3. Plan Review section (it required): Each pump or irrigation arise $4000 2
Fach sign or outfinn lighting $4000
Signal umwgs)or a limited energy
Plense check approl rinte lterJ and enter tee in section 5B. penal,alteration or extension $4000
4 Lr mora residenbll units in one structure Minor Labels(10) 110000
Service and feeder 225 amps or more
System over 600 wo:c 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 `'-rtnim. t7b 00
Per hour $5500
Submit 2 sets of plans with application where any of the above In Plant 1:55 00
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5s. Enter total of above tees
5v4s"15urcharge(
95 x-total fees $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal s _
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) E _
A PERIOD OF 180 DAYS AT ANY TIME AFTFR WORK IS Subtotal $
OMMENCED ❑ Trust Account N a
Balance Pure _ 3-Z $
j
FM1YdndtrNNtrC-0rT�1
ll
GIT ( OF TIGARD BUILDING INSPECTION DIVISION MST
24-H�.ur Inspection Line: 639-4175 Business Line: 639-4171 -----
BDP •;Z�;�r�> -L•�,�� 3�-
Date Requested �- l `7� A`Jh PM BLD
Location O Z2 L- quite G� MEC
Contact Person Ph _ PLM
Contractor Ph _ SWR
BUILDING — Tenant/ i59 — � �� —_ __ %__ ELC
Retaining Wall -C% - ELF.
Footinq Access: n M
Foundation �-1 /L� •' G/ ► /, FPS
Ftg Drain SIGN
"yawl Drain Inspection Notes. ------------
Slab —� , r __ SIT
Post R Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation 1 —
Drywall Nailing `+ t--�et)vZ'�- `�1�+. .0yER. /k4SkIz
%L_1S TOS `iUrQLt-------
Firewall
Fire Sprinkler ---
Fire Alann
Susp'd Ceiling --- - --
Roof
PASS PART FAIL - - - -- - - _-
PLUMBING
Post R Beam
Under Slab
Top out - - - —
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
G-is Line
Smoke Dampers
Final --- —
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Filial
PASS PART FAIT_SITE
Backfill/Grading �---------- ---! ---------, - --
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE - � )Unable to inspect -no access
ADA
Approach/Sidewalk
OtKer Date _ _ _ Inspector Ext
Final —
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24--Hour inspection Line: 639-4175 Business Line: 639-4171 ---"�-
BLIP
_ Date Requested �' f AM__—_ PM — BLD
Location —7 90 G _ 2&m Sprite bd —_ MEC
Contact Person _--__ _ Ph PLM
Contractor Ph � _
SWR
BUILDING ---- Tenant/ wn Jt y1_� ' — ELC AC 90
Retaining Wall 0 ` — U ELR
Footing Access:
Foundation FPS FPS
Fig Drain '" v — SGN
Crawl Drain Inspection Notes:
Slab — ------- - .�_ G G SIT
C
Post&Beam er p�; _
Ext Sheath/Shear ---- -- --- --
Int Sheath/Shear
Framing ----- - -------- ---- --- .... -------- ---
Insulation
Drywall Nailing _—
Firewall
Fire Sprinkler —- -- - - - - -
Fire Alarm
Susp'd Ceiling -
Roof
rin '
ASS PART FAIL — -- -- --- _ ---- --
PLUMBING
Post 3 Beam
Under Slab
Top Our --- ----- --- - --
Water Service
Sanitary Sewer
Rain Drains --------
Flnal
PASS PART FAIL --
MECHANICAL
Post R Beam
Rough In
Gas Line
Smoke Dampers -
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab --- - -- ----- -- -------- --- — --- — -
Low Voltage
Fire Alarm
F
PASS PART FAIL - -- - -
E
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to inspect-no access
Fire Supply Line [ j Plee�se call for reinspection RE:_— _ l 1 p
ADA
Approach/Sidewalk Date Inspector
Other Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.