8100 SW DURHAM ROAD r ,
Presentation for:
' THE INDUSTRIAL
8100 SW DURHAM
TIG
Aj
ARD, OR
Drawing Number: 96546
• 44
_ � Date: 11/19/96
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�I ��`, �� 1:• Attu'• �f��-----"`"� L S1DE DETt - of FRAME 1,- w - " �q � L_ t �-`"� es Initlals_� Date J
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Hca l e : 112 " = 1 ' 30 ,�c�� `" ph. 541 -485-5W
C{+{ __•,_..-•------`""�- fax 541 -485-5813
V�L,1�'`_...•.� .rte-�-..
Attach tG Wall with Z-Clip-I
and 3/8"x3" Lag 6olte
Fabricate and Install Three 4-Point Non-illuminated Awnings
FRAME : 1"xl" .125 Aluminum 5v,;jare Tube with Mill Finirih,
6 ' FABRIC : 5unbrella #4-037 Forc,,t Green,
COFY : "8100" White 4" height Grit-cred on Middy- Awning Only. Typeetyle Geometric 231 HV BT (Normal).
IN5TALLATION . Awning6 to be ;ttachcd to Wall with Z-clipe and 3/8 " x Lag bolte. Muet be 5"(05" above Grade.
1"x1" ,125 Aluminum
Oquare Tube
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IT IS DUE TO THE QUALITY OF THE ___ —_ No.38 ;��.A�.�.=�..•. .. , .,
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8100 SW Durharn Rd _ ,.
L
CITY OF TIGARD
SEbJER CONNECTION
PERM T T
COMMUNITY DEVELOPMENT DEPARTMENT . . . . . . . aWR96-00 '
13125 SW Hall Blvd.Tigard,Oregon 97223.9100 (503)639.4171 DATE ISSUED: 01/26/96
PARCEL. : L"S 1 1-0D 00400
'I L (ADDRESS. . . 08100 CSW DURHAM RD
Li LAU1VIS10N. . . . : ZONING:
CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
TENANT NAME. . . . . :CASTILE
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF WORN.. . . :ALT DWELL I NG UNI TS. . : 1
T'Yf='E OF USE:. . . . . :COI NO. OF BUILDINGS: 0
INSTALL TYPE. - . . -LTPSWR IMPERV SURFACE: it, sf
Remarks : Sewer connection to existing hol.lse. Septic tank mi.ist be pl-rmped, filled
and inspected.
Owner: __..__..._.__._...__.__..__.________________-_---_---•--._____.____._-- FEES
JAMES CASTILE_ type <amar_int by date recpt
7800 SW PETERS PRMT f 2200. 00 P 01/26/96 96--27:5 :,,:+j
INSP $ :s . 00 D 01/::6/96 96-.2753').9
L)LJRliAM OR 9721:4
Phone #: 639--1395
Contract Or:
CONTRACTOR NOT ON FILL
Plione #: f 2`35. 00 TOTAL
keg #. . .
— --- -- REQUIRED I NSF,EC:T I ONS — ------
This Applicant agrees to corply with al, the rules and regulationf Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from _
the date iss-jed. The total amoint paid will be forfeited if the
permit expires. The Agency does not guarantee the acc�iracy ,;f the
side sewer la►erals. If the sewn is not located at the measurement
given, the installer shall prospect 3 feet In all directions from
the dis'ance given. If not so located, the installer shall purchase
a 'Tap and Siie Sewer" Permit and the_ prey will install a lateral,
rmitte! :iigt .11a :
Call for inspection — 639--4175
1
-`T 7 c7
CITY OF TIGARD,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223ee4,29 (503)139-4171
PLUMBING PERMIT
PERMIT #. . . . . . . : PLM94-018,i
639-4171 DATE ISSUED: 08/25/94
PARCEL : 2SI13OB-00400
. ITE ADDRESS. . . 08100 SW DURHAM RD
TUBI)IVISION. . . . ZONING:
PLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .
PLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACr(FLOW PREVNTRS. . :
)CCUPANCY GRP. B2, FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
)TORIES. . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . . . .
LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
iINKS. . . . . . . . . URINALS. . . . . . . . . . . . . GREASE 'TRAPS. . . . . . .
I-AVAT"RIES. . . . . OTHER FIXTURES. . . . . :
IUB/SHOWERS....: SEWER LINE (ft ) . . . . :900
'4(-ITrz.[R CLOSETS. WATER LINE (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :
!tPmarks : Castile sewer line, thrl-t Dl..irham school with an easement. The L-6" I .I.Tol
Erle for separate properties on.4y and can only serve the maxir.im dLt' s and/or- fixt--t
,`es
of the proposed fl.ttLtr-e bLtildinqs based on the current plLimbing code and standard
�: ngineering prart ices.
Owners FEES
'I'lly' CASTTLE type amount by date recpt
0100 SW DURHAM RD PRMT $ 230. 00 JF OB/25/94 -
PLCK $ 57. 50 JF OB/25/914 --
I
I IGARD OR 57224 5PCT $ '. 1. 50 JF 08/125/94
#' b20-7512
0L.RRYHI1.-L BROTHERS EXCAVATION
L'-'14QIO SW SCHOLLS--SHERWOOD RD
t3HERWOOD OR 97140
1 'horse ft: ('(-8-3891 x'99. 00 TOTAL
Req (52191
-------- REQUIRED INSPECTIONS
This pervit is issued subi,ert to the regulations contained in the Sewer Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work wiil be done in accordance with
app-oved plans. This persit will etre if work is not started
within 181 days of issuance, or i work is suspended for acre
than IN days.
1-'ermittpe Si_ nature:
Issi-ted By -
Call for inspection 639 4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW Hall Blvd. Perinit # Pip
Tigard, OR 97223
(503) 539-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
NM•.M 00w1.PIN M. ` New Single_Family Residences Only
yes... ❑ 1 BATH ROUSE$141:00 ❑ 2 BATH HOUSE$195.06
Job C� /', /,t�„ ❑ 3 BATH HOUSE$225.00
Address 0"Mm. ZIPFee includes all plumbing t'xtures in the dwelling and the first 100 feet
.
-> 1,r41/ .w�cr✓!/ of water service, sanitary sewer and storm sewer. See fees below.
Na"(or n.m.M flkxb .) FIXTURES QTY PRICE AMT
Sink 9.00
M•�a�••••• °hon• Lavatory 9.u0
Owner Tul or Tub/Shower Comb. 9.00
zb Shower Only 9.00
Water Closet 9.00
Nw•(d°•m•Of WMN") Dishwasher 9.00
t' Garbage Disposal 9.00
Occupant M.Mnq Mb•.. M• Washing Machine 9.00
Floor Drain 9.00
c•r,91.1. rs Water Healer — 9.00
Laundry Room Tray 9.00
N•m• I Urinal 9.00
f Other Fixtures (Specify) 9.00
MM"gym— Phone — - - — 9.00
Contractor r _ C —� 900
c•yiem. av
900
�'�► ier� r�� r Ile, ,��-3�' Sewer 1st 100' pyc�
Ms•�•M•t•+••N••
all•..To W Sewer-ea. Addit. 100' 25.00 ,r-
� ) , Wate) Service 1st 100' 30.00
1 hereby acknowlejge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct. that I am the owner or authorized ag-jnt of
the owner, that plans submitted are 'n compliance with State taws, that Storm 8 Rain Drain 1st 100' _ 30 00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt f om State registration, please —
give reason below.) Mobile Home Space 25.00
—+ Back Flow Prevention
J Device or Anti-Pollution Device 9.00
Dt• Any Trap or Waste Not
Conner-.ted to a Fixture 9.00
Describe work new Q addition O alteration repair U Catch Basin 9.00
tc be done residential (_) nonresidential Q Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40 00/hr
Existing use of —'"
building or property Rein Drain, single family dwelling _ 30.00
Residentipl backflow prevention
devices 15.00
Proposed use of
huilding or property _ y -- .(Except residential backflow
pre•entiorr devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL J�,•�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORi7_EO IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WCRK IS SUSPENDED OR ABANDONED — --
FON A PERIOD OF 180 DAYS AT ANY TIME AFTER WORD IS
PLAN REVIEW 25% OF SUBTOTAL
COMMENCED,
L _ _ TOTAL _ 1/�•N
Special Conditions
Date issued by _ _
SITE WORK
CITY OF TIGARD PERMIT #PERNI.1 SIT95-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSt,ED: 08/01/9-1
13126 SW Hall Blvd.Tigard,Oregon 07223.9100 (503)639-4171
PARCEL: 2S11312113-012141210
TE ADDPESG. 0&- 100 SW DURHAM RD
JBDIViGION— ZONING:
-OCK. . . . . . . . . . o LOT. . . . . . . . . . . . . .
IPE OF WORK:14EW PAVING?. . . . . . . . . :Y PESO. NO. :
{CV VOLUME. . Cy GRADING?. . . . . . . . :Y VALUE. . . 47SOO
I'LL, VOLUME. : CY LANDSCAPING% . . . - Y
IG FILL.?. . . . . . ;Y SITE PREP?. . . . . . ..Y
P,:',T RE.'UD? :'Y SI ORM DRAINS?. . . :Y
IMPERV SURFACE. . :36896 sf
k.�mavks . This the first 0-r three PI-eengineei,ed bl-tildinWs rtax Undefined yavi,�
,Ase I *** a 2400 sq font bltildiny e.djac:ent to pt-opet-ty lines. "SITE WORK ONLY
ii- s Pevmit L-11COmPassUs t1--e total pr-oject and fees.
qner. FEES
')MEG CASTILE type 'a m 0 1.k 1)t by date t-ecpt
300 SW PETERS SWM $ 15:33. 90 JD 08/01/95 95--268756
SWM $ 1.59'7. 00 TD 08/01 /95 95-263756
1RHAM OR 97224 'RMT t 274. 00 JD 09:01 /95 95--260756
-ne #: 639-1395 `:,PCT 1 13.. *7 i7j JD 08/01/95 0S-- 26 1.3 7 5,G
P L C K 6 178. 10 JD 08/01 /95 95--268756
Er.03 80. 00 JD 03/01''95 ')9, -2613756
CO / S&L LANDSCAPING INC ERPC 26. 00 JD 08/01/95 93--268756
' 1710 SW DURHAM RD C'RPC r: 00 JD 06101 /S 5 075--e_'687C.,
. ,.aORD OR 97224
One #-. $ 3'5 CO. . 70 T 0 7 AL
068998
REULIIRED INSPECTIONS
s persit is issued subject to the regulations contained in the Er-osioll Cant r-ol
.pard Municipai Code, State of Ore. Specialty Codes and all other Excavatiur, Insp
applicable laws. All work w.11 be done in accordance with Fill Inspet.:tiurl
approved plans, This pervit will expire if work is not started Gi-ading Insp
within IN days of issuance, or if work is suspended for more Sty,m Drain Insp
than 160 days. Reinfui,ced conur�
Engineer-ed ui-adi
Final Inspect ion
Le,11 for ion 639 -4175
Commercial Building Permit ApQlication
City of Tigard tl;;E�� ,
13125 SW Hall Blvd. ( Nv V "e v��
Tigard, OR 97223 �,i ,C,`'
(503) 639-4171
Jobsite Address: l C, S ZU 170r. �,�,, A�•••�
Tenant: r �1 �, Suite # ��ce Uss On1y
-�
Valu itlon: GIU Planck/Rec #Permit#. L 74
riSr,dy.2-c,
Owner: •I, �� / ,%1S__ Map & TL # —
Address: - Aaiorovais Required
- Planning
Phone: J f 7 ( J
Engineering
Other
Contractor:
Address:
Type of const:
Oc.^upancy class:
Phone'
Sprinklered? YPs No
Contractor's License # _
(attach copy of current Oregon license) Sq. f.. of project: ^� _
Contact name & phone: Story (1st, 2nd, etc.) `
Proposed use
Arch itect/Engineer:
Previous use.
Address:
Note- Plumbing & mechanical plans
must be submitted at time of
building permit application.
Phone. ------- -- —
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: ___ _ Date Received:
Permit;$ Account Description Amount AML Pd. Bal. Due
G>� I Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) ,
Mech. Permit (MECN)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) i IV
Bldg: Iti /L'
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
r
Parks Dev Charge (PKSDC) _ 4_
Residential TIF MF-R)
Mass Transit TIF (TIF-'n 1 j
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
� n
Office TIF (TIF-0) r. _
Water Quality (WQUAL) -
Water Quantity (WQUANT) l 72
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) 'G/
i
Erosion Planck/USA (ERPLAN) �, r' e;
Erosion PlancklCOT (F.ROSN)
y J
TOTALS:
ki)
I
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PLUMBING PERMI7
.,39-4171
DATE ISSUED: 08/01/95
PARCEL: 2,31130B-00400
—TE ADDRESS. . . : 06100 SW DURHAM RD
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . o . . . . . . . . .
CLASS or., WORK,. . :NEW GARLAAGE DI SPOSALS. . : MOBILE HOME SPACES.
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :8—n FLOCIP DPAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . .
Gl'ORIES. . . . . . . . WOTER HEATERS. . . . . . : CATCH BASING. . . . . . . :
F I XTurms ---- - LAUNDRY TRAYS. . . . . . : Sr RAIN GRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . .. GREASE TRAPS. . . . . . . .
LAVATORIE . . . . . OTHER —IIX7UP.E`:-4. . . . . :
TLIP/SHOWERS. . . . SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (ft ) . . . . :500
DISHWASIAERS. . . . : RAIN DRAIN (ft ) . . . . 3300
P L,M ar "GITE WORK ONLY" thiti permit encompasses the total pt'o.ject and fee-ii.
�tvynet'. FEES
3C)MES CASTILE type amount by date I-ec!pt
7600 BW PETERS PRMT $ 160. 00 JD 08/01/9!.+ 95-2,68756
Pt-cll, t 40. 00 JD 03/01/95 95 -,2687'
DURHAM OR 972*24 5PCT $ 8. 00 JD 06/01/95 9 5—2*8 7
171,urie #.- 6329 1395
Contractor-:
11YERS & SONS 171LUMBINC, INC.
".1124 SW JEAN RD. , BLDG. F*, SUITE 170
...,AKE' OSWEGO OR 97035
Ph011? #: 684 - 0602 t VL'. 00 TOTAL
#. . s 40389
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water- 1-irle Ins
Tigard Municipal Codp, State of Ore. Spicialty Codes and all other Stor,m Di-air) Irisp
applicable laws. All work will be done in accordance with Rain Dr-ain Itisip
approved plans. This permit wj" expire if work is riot started Final inspection
within 180 days of issuance, or f work is suspended for sore
L.11i- 180 days.
—Mittee Sir t 1 1,e
Eall fov- iTispec:t; ijt) 631) 4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # <<S
13125 SW Hall Blvd. �,�� Permit # t M ss--0i 7
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N.m..1 owwom.m J
_ New Sinpls Family Residences Only
rr ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job d U 7� �l{��li O 3 BATH HOUSE$225.00
Address cwlm.l. w Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer See fees below.
N.T. �f / FIXTURES QTY PRICE AMT
y /", Ct 517 Sink 9.00
M."'""- °^"" Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
Shower Only 900
Water Closet 9.00
Dishwasher 9.00
Garbage Disposal 9.00
Occupant 1A.-g A"... P,�1. Washing Machine 9.00
Floor Drain 9.00
Water Heater 9.00
_ Laundry Room Trly 9.00
Urinal 9.00
Lr 1 ( Other Fixtures (Specify) 9.00
1,.wq.a"... Rhm. 9.00
Contractor
9.00
4.1y191.1. Z. 9.00
Sewer 1st 100' 30.00
51.1.R.p.b.1-Ne Glr&. T..N. Sewer-ea. Addit. 100' 25,00
Water Service 1st 100' 30.00 _ E)
--
I hereby acknowledge that I have read this application, that the Water Service ea. Addit 200' 25.00 0
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted art in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 O
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 S-C)
number given is correct (If exempt from State registration, please
ive reason below.' Mobile Home Space 25.00
Back Flow Prevention
_ Device or Anti-Pollution Device 900
Any Trap or Waste Not
Connected to a Fixture 900
Describe work new O addition (J alteration repair Q Catch Basin 9.00
to be done residential Q non-residential Q Insp. of Exist. Plumbing 40 00ihr
Specially Requested Inspections 40.00/hr
Existing use of
building or property _ Rain Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of -
building or property _
residential backflow
prevention devices)
M r
NOTICE *Minimum Fee $25.00 SUBTOTAL /� Uu
PERMITS BECOME VOID IF WORK OR CONSTRUCTION A
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK :S SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF GUBTOI AL t ;
TOTAL
Special Conditions --'
__ Date issued by
ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC96-0366
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/11/96
13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (50�')639-4171 PARCEL: 511308-00400
SITE ADDREE38. . . ! 08100 SW DURHAM RL)
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
r,roject Description : Installing one signal rurcuit.
UNIT----- ---TEMP SRVC/FEEDERS----. -----MISCELLANEOUS--- —-
1000 SF OR LESS. . . . : 0 0 - 200 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . -. "" 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED E14ERGY. . . . . 11 0 401 -- 600 amp. . . . . . . : LA SIGNAL/PANEL. . . . . . . : 1
MANE. HM/ SVC/F'DR. . : 0 601+-AMPS-1000 volt E,. : 0 MINOR LABEL ( 10) . . . : 0
------SERVICE/FEEDER------ ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS—
0 - 200 amp. . . . . . : 0 W/SERVICE OR F-EDERi 0 PER INSPECTION. . . . . s 0
Oi - 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 REVIEW
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL— :
Reconnect only. . . . . z 0 SVC/FDR > w 225 AMPS. . : CLASS AREA/SPl'*_-C OCC. :
Owner: FEES -
JAMES CASTILE type amci.tnt by date recpt
7800 SW PETEPS PRMT $ 40. 00 CJS 06/11/96 96-26046 (
5 P,C T t 00 CJS 06/11/96 96-28046 1
DURHAM OR 97224
Phone #1 639-1395
Contractor:
MATRIX COMMUNICATIONS $ 42. 00 TOTAL
1611 SE 7TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97214 Wall Cover, Elect' l Final
Phone #1 503-230-7165 Llect' I Service
Reg N. . : 74332
Thii p2reit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Sp4cialty Codes and all other Per; Ittee -Signature
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 15 suspended for more rJu, C Jr-
than 180 days. Issued By
----------------------------OWNLR INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE- DATE ii
INSTALLATION
SIGNATURE OF SUPR. ELEGIN: DATE:
S 0e)
7
I-ICENSE NO:
Call for inspection - 639--►175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # q6- ae01-/EJ
/nlik Permit # r a p366 _
Phone (503) 639-4171 Date Issued _F, -// - 46 _
FAX (503) 684-7297 Issued by [hu r l e s h w;ae
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development c�N n ( 017 t r Number of Inspections per permit allowed
Addres3 �: ) �,Lw\ Pd
Service inclr,ded: (tams Cost(ea) Sum
City/State/zi�.�\�r �_�1 lT�'=` ' 4s. Residential-per unit
1000 It or'see $11000
Name (or name of business) N fi eref 50o sa n or
i If o reot $21,00
Commercial Residential❑ Limted Energy V!,00
Each Manurd Home or Modular
Dwelling Service or Feeder �- $r+e n0
2a. Contractor installation only: , 4b.Services or Feeders
nstallntion allernuon or relor:nlion 2
Electrical Contractor 2no amps or less $6000 2
`,7\ h. 201 amps to 400 amps $8000 2
Address 401 amps to Eno amps $12000 2
City State G Zip ( 801 amps to 1000 amps $18000 2
Phone N0. c"' _ over 1000 amps or volts i_ S,14000 2
Contractor's License No. - Reconnect only $5000
Contractor's Board Reg. No. f 4c.Temporary Services or readers
/ Installation,alleralion.or relocation 2
Signature of Su r. Elec'n _�> 200 antps or less $5000 2
201 amps to 400 amps $7500 2
License No. Phone 0. _ aot amps to soo amps $10000 - —�
OVat 600 amps to 1000 volts
2b. For owner, Installations: see W above
40 Branch Circuits
Print Owner's Name_ —_ Now.alteration or extension per panel
Address a)1 he lee for branch circuits with
rj --- State Zip___—� pvrcrhea of eayka ry boder W. 2
_ Each branch arcu: $500
Phone No. _ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or b+der fee. 2
Firs.branch circuit $3500 2
not intended for sale, lease or rent. Each h-fdAional branch circuit $500 r
hvner'9 Signature 4e. Miscellaneous
(Service or feeder not included) 2
.3. Plan Review section (if required): Each pump or litigation circle $41,00 2
Each sign or outline fighting $40 00 _
Signal cimuit(s)or a fimdcd energy 2
Please check appropriate iteci and enter fee in section 5B. panel,niteralwn or extension �_ $4000
_4 or more residential units in one structure Minor Labels(10) $10000 _
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Eac!r additional inspection over
Classified area or structure containing special occupancy the alb)wable in any of the above
as described in N.E.0 Chapter 5 Per,nope °" --- 1:15 00
Per hour tD5 00 _
In Plant _ .. $5500 _
!submit 2 sets of plans with application where any of the above --
irpply. Net required for temporary conshuction services. S. Fees:
NOTICE 5s. Enter total of above fees $
5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal $
AUTHORIZED IS 1 DT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION )R WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 18)DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. El Trust Account N $
Balance Due $
___je—
annnr.w.nwc nm u
CITE( OF TIGARD SUILDING. PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : DUP97--03314
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/0/4/97
PARCEL . 2S)1131-10- 00400
'LTTE ADDRESS— : 08100 SW DURHAM RD
.)UDD I V I S T ON. . . . : ZONING: I--P'
131-OCI1. . . . . . . . . : LOT. . . . . . . . . . . . . JUR I OD I CT I ON:T I G
REI13GUE: FLOOR AREAS --- f7XTr-.RIOR WALL CONSTRUCTION
DF' WORK. :OTR FIRST. . . . . 0 Sf N: S: E: W:
rypr or inc. . . :com SECOND. . . : 0 Sf PROTECT OPEN I NOS?-
-TYPE OF CONST. :5N . . . : 0 s N: S: E: W:
OCCUPANCY OPP. ;U2 TOTAL ---- : 0 S f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
73TOR. ., 0 HT - 0 ft onrtAGF. . . - 0 s OCCLI SEP. RATED:
S-SMT?: MEZZ? : REDD SETBACKS----___-__ RECaUIRED --____. _._..-----.__...__.__..
'7C_OOR
ETBACKS---------
'7LOOP LOAD. . . . : 0 psf LEFT. 0 ft RGHT: 0 ft FIR SP11L: SMOK DET. . :
DWELLING UNITS: 0 FRNT. 0 ft REAR-. 0 Ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 SATI IS 0 IMF., 91JRFAC[.71 : 0 17-Pn CORR FIARI/TNG: I"
VOLUE. $ : 400
Remiar-lis - Installing awning No C of 0 required No 'Change in Occupant Load
- FEES
JPME0 CASTILE type aMOIATIt by clate t-ecot
7300 SW PETERS PLCK $ 0. 00 JGD 07121197 97--L3 7366
DURHAM OR 97224 FIRE $ 0. 00 JSD 07/21 /97 77-x.'.97 3#;G
PRMT $ 255. 00 B 08/04/97 97 -2979r-,12'
me #: PLU, t 16. 5
FIRE $ 10. 00
15 P C T $ 1. 25 B 08/04/97 '97-- x:9790'`'
!:-"G & A INC
wto. opi< rnTCH RD
':L1C-.iENE OR 97042
-h(p)e #: 7V,. 50 TOTAL.
REDO IRED INSPECTIONS
-is permit is issued subject to the regulations contained in the Framing I n s p
Tigard Municipai Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans, This permit will Pxpire if work is not started
i4ithin 180 days of issuance, or if work is suspended for more
than 180 days, ATTWION: Oregon law requires you to follow the
rales adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAP through DAR 952-00101987.
You many obtain a copy of these rules or direct questions to "C
by calling (503)246-1987-
r'(-"fllittk"� 9irADa0,1-1r`e I •t_1 Sy :
jf\�0\5*� 4
+-++++•1•-4•+-1 ++++++++-+++++ t-t r i t + 4.....4--+-+4-+++4-++-++++++-1 4 4-++f 4++++++++++++++++++
Call C39- 4175 by 6:00 p. m. for an insPer--tion fleeded the next, bfASiness day
+++4•f-+44++++++4++++4+++4-+4-+4-+4 4-+f-++++++++++++4+4++++++-1-++4-+++4--1-+++-#-+4,++++•+++++
Commercial Buildin Permit A lication
c.ty o' Tigard
13125 SW Hall Blvd. -
Tigard, OR 97223
(503) 639-4171 J
Jobsite Address:
Tenant:; tf N �
tal oVYSulte # Office Use OnIY
i f Cc q-C PfancWRec #
—"f
Valuation: '-
/I
-- --- Permit #�,1 1.f r . I
Owner: _JIAUDf2ell.C— Map s Tt# +
Address: Approvals He ulred,
Planning-
Phone / p3 dao «- _
---T"- — Engineering
Other
Contractor: `{ 14'
Address AW
Type of const
Occupancy class.
Phone: 900� �05 '- �
/ Sprinklered? Yes No
Contractor's License # ,—ll��G'_ _ �_
(attach copy of
current Oregon license) Sq. ". of project.
Contact name & phone: ����� �o�U��e� Story (1st, 2nd, etc.) _
Proposed use: _
Architect/Engineer: �� /����
Previous use:
Address sy .
Note: Plumbing R mechanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION ___�/ /��� �' �llG1l1 �tJ/T/I —/ _---f?�D•Z7�t0� ,
Applicant Sign u e & Phone r er
t
Received by , __ i Date Received
CITY Off' TIGARD
BUIL.DTNG
DEVELOPMENT SERVICE-S P,ERMTT #. .
. . . . . PERMIT
. . : PUP97-0007
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 01 /21/97
PARCEL: 2511.300-001400
SITE ADDRESS. . . 08100 SW DURHAM RE)
SUBDIVISION. . . . : ZONING: I
B1_.0CV. . . . . . . I — ., LOT. . .. . . . . .. . . . . .
RE--ISSUE: FLOOR AREAS- EXTERIOR WALL CONSTRUCTION-
r-j_nSS OF WORK. :5k-t 01- FIRST. . . . : 0 sf N: S. E: W:
TYPE 01:'-' USE. . . :COM SECOND. . . : o S f PrRnTECT OPENINGS?---------------
TYPE OF CONST. :5N 0 -,f N- S: E: W:
OCCUPANCY GRP. :B TOTAL,---------: o s F R('1OF CONST: FIRE RET?
OCCUPANCY LOAD: 0 BASEMENT. - 0 Sf AREA SEP. RATED:
ITT 0 17. : 0 HT: Vi ft GARAGE. . . - 0 S f OCCU SEP. RATED:
Bsm*r?: ME77 ): REOD SETBACKS-------- REQUIRED--------_.-----__--...
"�_!lOR LOAD.
EQUIRED---------------------
LOAD. . . . -. 0 psf LEFT. 0 ft RGHT: 0 ft F I P SPI-',I-: SMOV. DET' . :
DWELLING UNITS: 1I; FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDILP ACC:
BEDRMS: 0 Br,0-IS- 0 UIP SURFACE: 0 PRO CORR- PARKING: 0
VALUE. $: 800
Remarks : Installing awn i ii g s
Owner: ------------------------------------------------------- FEES
JAMFS CASTILE type amount Ly date r-ecpt
7100 7W PETERS PLCV, 0. 00 JDA 12/31/96 96-288315
FIRF f, 0. 00 IDA 1.2/31,/` 6 96288315
[)URHAM OR 137224 PRMT $ 2'5. 00 B 01/21/97 97-289164
#, 679-1395 PL.CK 1G. 2.5 1A 01/21/97 97-2691.L4
FIRE 10. 00 a 01121197 97-289164
ES & A INC
I.i21.0 OAR PkTCH RD
EUGENE OR 97042
Phone #: $ 52'. 50 TOTAL
R e 9 #. . : 11. 1286 REQUIRED INSPECT TONS
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, &atf of Ore. Specialty Codes and all other
applicahle laws. AA work will bF done in accordance with
approved plans. This pewit will expire if wort is not started
Within 180 days of issuance, or if world .s suspPilded for Pore
than 180 days.
mi i,tee Cjlgr>'aJ11,11"p -
Call for- inc;pec4iori 639-4175
L
� i r
q Commercial Buil ling_Permit Application
City of Tigard
13125 SW Hall Blvd. R�a1
Tigard, OR 97223 1 "l
(503) 639-4171
Jobslte Address: -
bi(i-h A M Office Use Only
Tenant: 112 ,i)L Suite #
Valuation: �_ _
Permit # i fi `-7 I
Owner: n�e 5 .(;.5� _ — — Map & TL#_ Akl
Address: {� roti P A f-r—c-Q — Approvals Required
Y 1'1 G,YIn p� I� ZZ, j Planning
Phone: 20- —Z- Engineering
Other _
Contractor: L S1 �
Address: +Zt l) [2uo b
Type of const:
—T
_ Occupancy class.
Phone:
Sprinklered? Yes No
Contractor's License # h
(attaci� copy of current Oregon license) Sq. f+. of project:
1v n�c
Contact name & phone: (An'Q, fl(n5� �� �'�� J�j� / Story (1st, 2nd, etc.)
Proposed use: krdu,tH
Archltect/Engineer: -(- 'e—-X l 6,4 C—
Previous use: ��-.C,G�+
Address: �� N, (U tom'+"���eL, _
Note: Plumbing & mechanical pians
must be submitted at time of
'hone1) C,yIL _ �1,Z� building permit application.
. �-i `I
J()13 DESCRIPTION: -ln�,'t-��Y
--A4- Lc�(n�- Ktaft aw-oq8-S -3s(q
Applicant Signature & Phone number
Received by _ ! oxa Date Received: -XI, / 6
Permit# Account Description Amount Amt. Po. Bal. Due
Bldg. Permit (BUILD) �Cj 00 (�
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dtv Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF k fIF-MT) _
Commercial TIF (TIF-C) _
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF•O)
Water Quality (WQUAL)
Water Quantity ('VQJANT)
Fire Life Safety (FLS) 5
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
TOTALS: r7 �� Z Z'7
SEE 35 -MM
.ROL,L# 22
FOR
LARGE
DOCU-MENT
CITY OF TIGARD
DEVELOPMENT SERVICES C�rRMIT #�4„ .,. . . .._DPERMIT
. , f,,UF,n7 ._0.0f-'
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/13/97
PARCEL. : 2S1 t:_,rtr0—OO400
'3I TE ADDRESS. . . : 08100 SW P.L.IPHAM RD
3UPWVISION. . . . : 7nNINL: T—P
Ft L..CJf"K.. . . . . . . . . . . I.OT. . . . . . . . . . . . :
'2FI3SUE: 011KFLOOR AREAS _......--- -_. EXTERIOR WnLL CONSTRUI_,'T'..ON-
,LASS OF WORK. :0e, FIRST. . . . : 0 s f N: S: E: W:
I"yPE OK- USF'.. ,. . :Com SECOND. . . : 0 s f PR(ITECT C"PFN I NC'S )
TYPE OF CONST. :2N . . . . 0 s f N.- S% E: W.
9CCUr,nNCY CRP. :I l; TOTAI..- : tlr F RnnF CONST: FIRE RET? :
)CCUPANCY LOAD. 0 BASEMENT. : 0 s f AREA SEP. RATED:
`iTOR. : 0 IIT . -7 f.t GAMOE". . . ' 0 s OCCU SEP. RATED:
13SMT'l MEZZ7: REOD SETBACKS---.----- REOUIRED-----
I-LOOP LOAD. , . . - rr (rs f LEFT; 0 ft RCHT: 0 ft FIR SFIKL.: SMOK Dr-.T. . ,
r)WELL.ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDIC:F, ACC:
nEDRMf;: 0 inni'I Ir'; rT IMP SUPT. PCF: 171 PRO CORP: PORK T NI':
Y ALLIE. $ : 9100
Remarks : Install. ir,g 70 sq. ft. doWhle--sial-d freestandir•rg monl.rment sign
TAMES CASTILE type amoi-int by date rer_pt
MOO 9W rETERS 17711...CK $ 0. 00 11 x'11./27'107 97289496
F I RF" $ 0. 00 D 01/27/97 07—aB9496
DURHAM OR '17224 PRMT $ 80. SN R 02/ 13/97 97- P.90:37 7
G39--1395 PLCK $ `x;_. 33
F"TRr $ 312 10
$ 4. 03 B e'2,/13/97 97--1:_'90377
12110 OAK PATCH RF)
1=UGENE OR 97042:
rlhttnre #: $ 1rz,9. 0F; TOTAL.
Reg #. . : 111.2ais
- _—_._-_-- RE OUT RED T NISF'ECT T 17NS -
This per•eit is issued Subject to the regulations crntained in the Font/F ot.m d T n s p
'igavd Municipal Code, State of Ove. Specialty Cortes and all other 5t r+.ir Steel Ins p
applicable laws. All Mork will be done in accordance with
approved plans. This peewit will expire if work is not starter+
within 18@ day! of issuance, or if work is sus,iendei for @ore
than 180 days.
r r•m i.t t e v S g n
r 3tted D
Ca11 for i.rispeui: io,i - 639---4175
Commercial Building Permit Application
City e f 7 igard
13125 SW Halt Blvd.
Tigas•d, OR 97223
(50 3) 639-4171
Jobslte Address:
DU�Y1tiM `(A Office Use Only
-renani: �Y'A PGArIG on suite # �}
$rj I UU Plande/Re;c
Valuatlon:
Permits*
Owner: -I m 4 Au drew �11`���t.E Map & TL# �
Address: �eoo .�W ('E I � ��� A rovals Required•
UA q92--2,H Planning
Phone: C05q Engineering
Other _ —
Contractor: E, -f A I lJ
Address: 12 1 U UA IL OA TO 4 CUA(
Type of const:
Occupancy class:
Phone: &X), 2'e) 3J 2
Spr nklered? Yes
Contracto-'s License # � � � Z� (p
(attach copy of current Oregon license) Sq ft. of project: Q 4-
Contact name & phone: an t ►SRS Story (t st, 2nd, etc.) —1J I"A
vo- Z135- SSL I
Pruposed use:
Arc hitect/Erq!neer:
Previous use:
Address �JlJly N Ni Q .j H �,t
Note: Plumbing & mechanical plans
61U-4E, QZ 9'NZO must be submitted at time of
Phone, A Ir ` -i U 1 2.(Pbuilgint) permit application.
�
JOB DESCRIPTION _�-Y1 1+ one, dUlAble,-- t-Rced t-)Lx-)- i I) VM io c k&
10�rtc...
Applica ht Signature & Phone number
Received b (1 .
Y _�,=1_y�l.a.��_----- Date Received. I" Z,-
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) -'
Plumb. Permit (PLUMB)
Mech. Permit (MECN) _
7
State Tax (TAX) �� C 3
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _
Plumb?
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) i �l 4
Erosion Cntrl Permit (ERPRMT) `
Erosion Planck/USA (ERPLAN) _
Erosion Planck'COT (EROSN)
1 OTALS:
a V'►-
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
I)ate Requeste& __/�/� /� /_ q.-,2a,5- q8 Mir:
I.ocalion: C) l 'l,' /J l/lJ —t U!l.(/!
Tertant:__-- Suite:_ _Bldg: _ MHC:
Contractor: --C —--Phone: — _� — -- —�
1 l M:
_ Yhone: _ L'LC:_q�
-4 ACV
BUILDING BLDG(con't) PLUMBING MECHANICALTLECTRICAL SITE
Site Post/13utm PosUBeam PosUBeam Coven,ervice Sewer/Storm
Footing Roof tlndFI/Slab Rough-In Ceiling Water Line
Slab Fanning 'I op Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsnit Damp I)rvwall S;nnll i'umace Temp Service MISC.
Masonry Ceiling Rain Thain ri,/C UG Slab
Shear/Sheath Fire Spklr/Alin Crawl/l ound Dr Heal Pump Low Volt _
Approved Approved Approved Approved Approied
Appt/SdwIL Not Approved Not Approv,A Not Appnivcd Not A roved Not Approv.-I
FINAL FINAL FINAL, AL FINAL
O Call for reinspection teinspecticn Ice of S._ requ• before next inslx� f11 finable to inspect.
Inspector. _ Date: Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: A.M. I'M. MST:
Location: _. Ilia_ -
BUR
_9 ioaav
Suite Bldg:7MFC:
Contractou.... Phone: "t —,5 // PLM:
Owner- Phone: ELC:
U
SIT:
hIJILDING At, ELECTRICAL SITE
Site Post/I leam Post/lIcarn Post/Heam CoveriService Sewer/Ston
Footing Root' Undl-I/Slah Rough-In Ceiling Water Line
Still) Framing lop(hit Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer I kXXI/Duct Reconnect Vault
13snit Damp Drywall Storm Furnace I"Linp Scrvice misc.
Masonry Ceiling Ram I)rain A/C 116 S13b
,ihear/Shcath lire SpkIr/AIm Crawl/Found I)r Hent P111111) Low Volt
roved Approved Approved Approved Approved
Appr/SdvvIk mtovcd I'lot Approved Not Approved Not Approved Not Approved
o
FINA FINAL FINAL FINAL FINAL
173 Call for retit!Mflon C1 Rein-Vection fee of required before next inspection (-I I 111able to Inspect
Inspector: Date: --'Z- -- a ge -- of
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PIERMII
SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERGY
V,ERMIT #: ELR99--006
DATE ISSUED: 03/22/99
F,ARCEL: 251138O-00400
SITE ADDRESS. . . :1bB1.00 EW DURHAM RD
SUBDIVISION. . . . : ZONING: I-P,
BI.-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTN: TIG
Project Description- Protective signaling
A. RESIDENTIAL---------- B. COMMEkCiAL------------------------------------------ -
AUDIO R STEREO. . . : AUDIO R. STEREO. . INTERCOM & PAGING. . :
BURGLAR ALARM. . . . BOILER. . . . . . . . . . LANDSCAP,E/I RR I GAT. . :
GARAGE OP,FNER. . . . - CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM....: FIRE At-ARM. . . . . . OUTDOOR L(-tNDSC LITE-
OTHER: HVAC. . . . . . . . . . . . V,ROTECTIVE SIGNAL. . - X
INSTRUMENTATION. - OTHER. . :
"ro,rw- # OF SYSTEMS: I
Owner: FEES
I
5 R. L L-ANDSCAPIING type amol.int by date rprpt
8100 33W DURHAM RD F,PMT $ 40. 00 B 03/22/99 99-313885
TIGARD OR 97224 5VIC-1 $ 2. 00 B 03/22/99 99--313885
I-1hone #: 639-4395
Contractor;,
SMART WIRELESS $ 42. 00 TOTAL
5035 SE MCL OUGHLIN BLVD
RECIUIRED INSP,FCTIONS
FDORTLAND OR 9720"D Ceiling Cover Low voltage Insp
F-1hone #: 236-8440 Wall Cover Elect' ' Final
Reg #. . : 13051.5
This pere't is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Sperialty Codes and all other
applic,ibulle laws. All work will be done in accordance with approved plans. This permit wi!l expire if work is not started wipin 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law req-iires you to follow rule atat to t by the
Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-Ni6 !hrough OAh You may btain co ies of
these rules or direct questions t9 OX t (5@3)246-1987.
a'
15s,.ted by_.. [-'C-t-M i t t(-F? Si g T I FA t 1.1 V'
.................................
INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER! :,' SIGNATURF: DATE:
INSTALLATION
riTGNATURE OF SUP-R. FLErIN.- DATE:
LICENSE NO:
++++i•+-+•+++++++++++++++++++++++++++++++++i•+++++++•+F.......4-++4++++++,+-+, 1' 1 +4-+-++++
Call 639-4175 by 7:00 P. M. for- an inspection needed the next ti�.lsiness day
++++4...........4-++4.................4.....4•........................4........F+++++++-+ 4
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: -
13125 SW HALL BLVD Date Re;;d: -3--7,7
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 Permit*
F 50a-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Oall'd:
WILL NOT BE ACCEPTED
N.•ne of Development Project 1 YPW O WORK INVOLVED •RUIDENTIAL ONLY
Restricted Energy Fes....................................... $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste#
ADDRESS 6 J :)D �)- ,��''<<�ln 'J . Check Type of Work involved:
citylstateiQ - Phone a ❑ Audio and Stereo Systems
Name �burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener-
City/State Zip Phone rf ❑ Heating,Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems'
❑ Other
CONTRACTOR Mailing Address
C ,. TYPE OF WORK INVOLVED -COMMERCIAL ONLY
(nnor to issuance a C• tate Xi Phone 0 Fee for each system........................................... .. $40.00
copy of all licenses (SEE OAR 918-26C-200)
are required It Oregon Contr.Bid Lic.# Exp.Date
expired in C.O.T. Check Type of Work I•ivolved;
data base). Electrical Contr.Lic M Exp. Date ❑
Audio and Stereo Systems
C O T or Metrn Lic a Exp.Date
_ _ ❑ Boiler Controls
Owner's Name
.s L I- 1-I0Jep L ❑ Clock Systems
OWNER- Mailing Address 1� _ I r.,
APPLICANT ' L1C -.J "A" IZ L__J Data Tele communication installation
ityl tate Phone#
I C.� �"ti- Z L l- 'N ❑ Fire Alarm Insts!lation
This permit Is issued under OAE 918-320.370 This applicant agrees to
make only restrkted energy installations(100 volt amos or less)under this ❑ HVAC
permit and to do the following
❑ Instrumentation
1. Onry use electrical licensed persona to do installations where required.
Certain residential and other transactions are exempt from licensing ❑ Intermom and Paging Systems
These have asterisks(') All others need licensing, ��tt
2. Call for Inspections when installation under this permit are ready for I_7 Landscape Irrigation Control*
inspection a: 13 634 X176; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Caps
Inspection
when the Inspector is out to Inspect un'er this permit:
A Assu7re responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting-
Inspector are done,and:
Protective Signaling
5 Assiu ne responsibility for calling for a final inspedlon when all of tt..e
corrections are completed. ❑ Other
Permits are non transferable and ncn-refunds a expl if work is not
started within 180 days of issuance or 0 work i spend for 180 days. --Number of Systems
'rhe person signing fo th ermit must be pplics or a person No licenses are reqLdred Licensee e regwrsrl for a other installations
authorized to bind t wti
ant,
EM:
Signa re / ENTER FEES
s OV _
5%SURCHARGE(.05 X TOTAL ABOVE) S— .200
Authority if other than Applicant — TOTAL $_y, 41,0
costsvasNs doc 719'
CITE' OF TIGARD BUILDING I14SPEC T ION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Lire: 639-4171 ---------
_
— Date Requested >> -2,r)-2,r) " c� AM PM BUP
_ BLD _
Location c)c, a�Ll. oc ryi t2A, Suite _ MEC —
Contact Person Ph (c;31 J 3��5 PLM
Contractor IPh SWR _
BUILDING er- /Owner 54 L �-�rl�S�r ELC _—
Retaining Wall - ELR ����
Footing Access:
Foundation FPS �-
Fig Drain SIGN
Crawl Drain Inspection Notes: , — ----
Slab �� ' �' ` `�� 7�r�1�- SIT
Post&Beam -`---
Ext Sheath!Shear _
Int Sheath/Shear -
Framing -___---
Insulation
Drywall Nailing ------- --�-- �a�=-- - --__---
Firewall
Fire Sprinkler
Fire Alarm _
Susp'd Ceiling -__._ _ -._-_
Roof _- .c � -_------ -
Misc __ - --- --_- - _- - -- ..�----- -.
Final
PASS PART FAIL -- - ---- .- - . - -. _�-_- ---.-, _-
PLUMBING
�-
Post& Beam -- -------------- -
I hider Slab
----- --------
1 ep Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIT_
MECHANICAL
c \
Post&Beam _--
Rough In
Gas Line
Smoke Dampers
;iia - --- ----- __--------
PASS PART FAIL.
Service
Rough In
UG/Slab - --- ----- - --- -- --._--��
Liv Volta
Fire Alarm
rw
' ASS_ART FAIL
S
Backfill/Grading - -� -- ---` - �- - -- -----
sanitary Sewer
Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
l"arch Basin
Fir#-.Supply Line [ )Please call for reinspection RE: - ( )Unable to inspect no ac ess
ADA
Approach/Sidewe!k
Other ` _ Date ���_ Insp,.ctor-`--�
Final
PASS PART FAIL DO NOT RE-MOVE this inspection record from the job site.