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13815 SW PACIFIC HIGHWAY-4 I �� f W.N. � � --•---- -' -- : • � . GREASE tkAP P6a � � bb Ii x Ir Ifxr2 d wo ENS , P5 kOOR OINK FLOOR SINK P, P4 a if� Extl G a ITCO F0 �+ I E Q," �J 3 qV LL j Ze" 7"O" j( ( saki wlr • , ` Ice AA( r ` �i A FCS lal�+� k y► 01 1�CP 3� + , &Z25 ilJc? �+ 1 _ �... � ' DINING Roo 67 �f ALL � x2 CITY OF TIGARD ".: . ' . ow 4b , �L� Conditionally... Approuod • . .e.. ................... Appro"ed or only the wor • +.. . e' • PERMIT NO, describedn: .. .. � • • • e 04 Vo E fi See letter to: Fo g _ 1 tij , ..... . . . . .• .e... Attach _ - -OP SINK Job A r .By- FOYER Date: :. ,. EVIT NtjT Ma ( I I A TICE: IF THE PRINT OR TYPE ON ANY I 1 I I I I ! I I I ILIII111 ! ! ! ! I I ! I r � � � � � � � � � � � i i i l l li i � I � r � � l � Jill � � � i < < < � i iIi i � ! i t' ' i � ! i ►� r� lli � lr -r-I � � i � � i � r �- ��- �. _�_ l .�--1 -1 �- � T .t i i � � i i i i i IMAGE IS NOT AS CLEAR AS THIS NOTICE + I ( I I I 1 I I I I ! 1 2 3 4 r - -- - - _ _ - __- -_ _ ___ _�_- 6 7 8 9 10 11 IT IS Dt _ TO THE QUALITY OF THE ---�- ----�.�_ __ _ _�__ _ � -_- - 12 ORIGINAL DOCUMENT i{i! E!III IIl6i�Zlill IIHI! Z1{II IIILI ZI!il !I9li ZIIII III�I Zdill III�I Z!1 1! 11E11Z11111!1Z1 ZIIII. IIIII ZIlfl IIOI! ZIII! Il6l! TIIII�i II811 IIIII IlLl! TIIII II8I! IIII! !I5II T!III !!�II TIIII IIEII TIi�l LiZll III!I illIi 1i1 1 111 ill(I _l!!l L( ` ' g � �No.36 6 I!l III8Il9E�'c„ru wMZ.moo...,,• j �'tl13w ....,�....�s... �. .�,. • 1� 1111IN1i 1 f REPAIR AREA REPAIR AREA �\ T/ 2x EL. 118'- 0 I, REFLASH w/ FLEXIB'-E FLASHING , CUT & REMOVE EXISTING �'` 2'-11 TO CONFORM TO TILE TRUSSES, INSERT NEW TRUSSES BETWEEN SHEATHING & DOL E \ CONC. ROOF TILE f mewON 30# FELTON 5/8" C-•D EXT'R PLYWOOD r / 2x4's @ 24" O.C.\— !: EW ROOV TRUSSES �I g� ADD 2x10 BETWEEN TRUSSES ®32" O.C. FRAMING / NAIL ROOF SHEATHING� ,` � +:� TO 2x10 1 Od # 4" O.C. - 2X6'5 0 24 ' C. EL. 1 I � -0 & NAIL 2x10 TO DBL TOP PL ES w/ I ;� 2 ROWS OF 16d'S ® 10" O.C. DO 2x4 TO ' 5/8" TYPE X GYP. BG I EXISTING 2x N Ij# OVER EXISTING STUDS �S SHOWN SITE P N N f3 REAR WALL 0 PARAPET -- SCALE 3/8" - 1'-0° \-1 /2' PLYWOOD SCREEN VENTS CCN r. :, C { ROOF SHEATHING TO G' 3/4" T& G PLYWOOD �OFFI T W/ PANEL INDEX 48/20 BLOCKED, NAIL 10d —� 04" O-C EDGES do 1O 0 10- IN THE FIELD CANOPY SECTION 6. — — — - 14'-4 SCALE 3/8" 1'-0" I N A p CEIIIN h HARD C INC I I j ' )HW I V iTY OF TSCA{ .D 1=_ � Approved .._......._ ,............... UNDAMAGED ARE, CD Conditional) A roved ++ LACE NEXT TO EXISTIf� �J PP ""���� NO ROOF REPAIR II 450 HVA UNI ( 2x4 CHORDS, ANOTH '► I I ' � '� the WaAife-�k as 2x4 NArI_ 16d � t6' I"4r Orly THIS AREA _ ! .28 HVAC - � AND 3-16� NAILS � EA. PERIIRlT NO. 7111 UNIT REPLACE TRENCH Y". '' See Letter to: Eollc�",t`, ---. •--+- +_.++ � CUT ROOF SHEATHING I`,; -- OGS 4c� Attach F ? < w/ 5, 8 ' C-D EXT'R �Z P� I ��'" AjLA PLYWOOD -� �4 A Job Addre~ ._� $� w w By: 06,'- ��r1` U I �0 G�' �- ��P n co m ' r EX+.STI G i�l_ -LA tVXILA I a o �` a 9 a aa 1 a a TO REMAIN \C— G I .V TO REMAIN 9384 EXISTING CANOPY TO REMAIN -----SHORE EXISTING CANOPY TRUSSES ---� 56'-64" I vGC y 2 " �4�L7 l\A� •� ROOF FRAM NG PLAN 1/�'•1�a' NOTE; SUSPENDED C,-ILING THRU-OUT EXCEPT TWO AREAS cExPIRES 06/)o co WHERE NOTED, SUSUPENDED CEILING SHALL BE SET WITH i SEISMIC BRAC NG, AND COMPRESSION STRUTS .r- RAV^ R Y RENSION Rr APPR�VFp GATE RBS 11/11/99 SU9nTl.E _ CHE7CKEU FIRE_ REPAIR - TIGARD S1-RIP VAL_ N ��?'-20 EN ZTec ENGINEERS INC * n _ __ CAU-Res 11/11/99 9 >lE COOPER CONSTRU ."TION CO. AS NoEEo - _ � � ti 3737 S.E. 8TH AVE., PORTLAND, OR. 97202 Hr�T , PHONE: (503; 235-8795 2305 S.E. 9th AVENUE ? -AX. (503) 23.E--7889 PORTLAND, OREGC!N 972114 PLOT DATE: _11 /19Z,99 NOTICE: IF THE PRINT OR TYPE ON ANY > ll- III III III ISI III tli III III III III Ili Ill IIID-� �� .��.I_,� 1_ r1.1IIlI I Ill 1-11 III III III 111 111 ill 11l 111 IIiIlll ill I ( I IIIllll I ( I ' IIlllll Ill Ill Illll ( l I I I I ( ( I f � I 1 1 ( I I Ilf IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 3 4 I i __-________ s ITIS DUE O THE QUALITY OF THE - - ---- E 36 RI.�.:, 1AL DOCUMENT _ _- — — . -- ____ I • • 6Z 8Z LZ 9Z � Z � Z EZ ZZ I OZ 6t 81 Lt 9t � t �Z Et Zt ti OI 6 8 L 9 9 E 24-- 1111 lig! IIII IIII 1111111 IIlff Ilii Iill 1111 fill IIII �11I flit IJJI illi I!Illllll IIILlIllllll IIII 1111 IIII Illi 1111 illi Illi Illi IIII IIII 1►1i IIII IIII�IlII IIII IIII 1111 I III? 1 11 III Ij �ltl`3r� IIII�I� �� ll� IIIILII� Illili !!''II II IIIIII�� IIII I ' �I� IIIIUIII �lll IIIII�III I l I `i REAREA AREr REP{JR AREA T, 2x EL. 118'--0" ! � -��EFLASH w/ FLEXIBLE FLASHING TO CONFORM TO TILE CUT & REMOVE EXISTING TRUSSES, iNSERT NEW TRUSSES BETWEEN SHEATHING & DBL iI CONC. ROOF TILE ON 30# FELT ON 'sl 5/0" C-D EXT'R PLYWOOD 2x4's @ 24" O.C. ' _. W ROOF TRUSSES I +I ADD x10 BETWEEN TRUSSES r4137'' O.C. t` T/ FRAMING �4 NAIL ROOF SHEATHING \ EL. i 13T-0 ; f 5 TO 2x10 10d 0 4" O.C. —2X6'5 0 24 ' C. JJ & NAIL 2x10 TO DBL TOP PL ES w/ 2 ROWS OF tod'S (910" O.C. I ;� _— DD 2 x 4 TO I / EvISTING 2x N I 5/8 TYPE X GYP, 80 r OVER EXISTING STUDS AS SHOWN SITE PLAN---- N B REAR WALL 0 PARAPET 807// QEAM �,. ' 1C' 1 SCALE 3/8" 1'-0" SCREEN VENTS CON f. ; f \—I /2 PLYWOOD ROOF SHEATHING TO BE 3/4" T& G PLYWOOD SOFFI w/ PANEL INDEX 48/20 BLOCKED, NAIL 1 O 04" O.0 EDGES J!c 10d 0 10" IN THE FIELDu A CANOP � SECTION :I 14'-4" -----•�•� -6.. , 9 -0'' ----=; SCALE 3/8" 1'-0" y I A U 1-0014 I ,I __Ij NAF^.C 1116 I Ao V H W / UNDAMAGED ARCA LACE NEXT TO EXISTrN _ �� NO ROOF REPAIR '-50 HVA UNI 1 BOTTOM CHORDS, .ANOTN r 2x4 NAi'ti 16d 62 16" 0 THIS AREA 280# HVA — AND 3-16d NAILS ® EA. UNIT ( .' REPLACE TRENCH w CUT ROOF SHEATHING c,n OG 4.01 w/ 5/8" C-D EXT'R PLYWOOD �435 Ln Ln I A c E a- � ISG G I- Q I • � C- D P�, EXISTI G GL -LA YI_ XI ING U-LA a o a a TO REMAINTO R[MAIN 384 _j ' I `y EXISTING CANOPY TO REMAIN -- SHORE EXISTING CANOPY TRUSSES (DREG N A _ — 56 -62" lQ Q SE��,/� •1 ROOF FW,'UNG PIAN! � t,�•.�tp� NC1E. SUSPENDED CEILING THRU-OUT EXCEPT TWO AREAS EXPIRES JF/50100 WHERE NOTED, SUSUPENDED CEILING SHALL BE SET WITH i s SEISMIC BRACING, ANO CCMPRESSICN STRUTS AMN 0Y � _._ � 1 RF_WStON DY APMOWO DATE RBS SUBnr_E — � F!�'E REPAIR - TIGARD STRIP MALL "" =972-2c ZTec INC SCA �962-20.DWrI t t. y9 h�tE ,� SLICE CHECKED Ras / / 3737 5,E. 8TH AVE., PORTLAND, OR. 97202 COOPER CONSTRU:, I I`JN CO. SHEET AS NOTED – — PHONE (503) 235--8795 2305 S. E. 9th AV_NUE ? �I-AX; (503) 2_"53-7,989 PORTLAND, OREGON 9_ 2114 OF 1 PLO T DATE: 11Z19/99 USE NOTICE: IF T T. I I r ! ► ' I I ► I I INT OR TYPE ON ANY I I ( ! I ! ! , I I I A I i l l ! I l r r r � I I� i l T 1-t•I 1 i l I I I I I I IIII I III I I I I I I r 1 C ( t I I I I I l I III ( Ire ( r 111 1 1 111 IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 � � I 1 I 1 I + 20L) NT' IS DUE TO THE QUALITY OF THE --- ___�- �r I �I No.36 1 •�.��,.. ORIGINAL DOCUMENT _ --- ---- - ---- r — -- — E 6Z 8Z LZ 9Z 5Z � Z EZ I ZZ TZ Oi� 6T ST LT 9T SiT!T I -`ll IlII !II! � E � TIIIIIII.IIIilllllllllllll111 1111 IIIIlllllll.l 11ll.11ll lIIIIIIIIiI G � CO cn vw m T � n � z D r r m z D z N N 1�IN' i 1';815 SW PACIFIC HWY ALL TENANTS GAARDE PARK F:AZA r 11/18/99 SAVE FOR HISTORTCAL INFORMATION 13815 SW PACIFIC NWY. PER TIGARD POST OFFICE AND KIT CHURCH, ENGINEERING, TENAN SPACES/SUITES HAVE: BEEN CHANGED FROM ALPHABETICAL TO NUMEIRTCA!.. REFER TO ATTACHED SITE PLAN 1 / Feoei • � � r r • • • &4T Ic' t r• 0 1 CITY OF TIGARiD BUILDING INSPECTION DIVISION MST 24-Hour !nspection Line: 639-4175 Business Line: 639-4171 �.,�_ c� BUP" _7 J Oc)r,5 l�2 __. —Date Rf quested �� �s_ I —AMPM < BLD ' _ - -- Location— Suite _ MEC Contact Person Ph PLM Contractor Ph SWR BUILD" Tena.^!!Owner _— ELC of ill Footing ELR Foundation Access. FPS Ftg Drain ---` -� Crawl Drain Inspection Notes: SGN Slab ------- -------._._�-_ -.� SIT Post& Beam -- -- Ext Sheath/Shear Int Sheath/Shear --- - --- Frarr ng Insu' lion -_------ ---------------------_- ------ --- - Drywall Nailing Firewall Fire Sprinkler - ------- - -- _ _ ---- -._...- - - ------- --- Fire Alarm Susp'd Ceiling _..----�.- Roof PAS \ PART FAIL MIMBING Post& Beam - -- Under Slab Op Out Water Service Sanitary Sewer -- ---- Rain Drains Final --- PASS PART FAIL _ MECHANICAL --- Post&Beam ---- - -- - -- --- -- -- ------ Rough In Gas Line ----- ___ Smoke Dampers - Final - - - ----- PASS PART FAIL. ELECTRICAL - SepAce Rough In �— ----- --- -- UG/Slab _ Low Voltage - Fire Alarm Final - PASS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Supply ( ) Please call for reinspection RE Unable to ins e�t no access Fire supply Line _._.._-. — [ ) p.. ADA (� Approach/Sidewalk 7 Omer _ Date __Inspector � � -- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r CITYO F TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PFRMIT#: BUP95-00512 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/17/98 PARCEL: 2S 103DD-00800 ZONING: C-G JURISDICTIOI'. TIG SITE ADDRESS: 13815 SW PACIFIC HWY D SUBDIVISION: BLOCK: LOT: z;io V CLASS OF WORK: ALT �— TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B2. OCCUPANCY LOAD: 62 TENANT NAME: ASABACHE RESTAURANT REMARKS: Tenant improvement Final Building Inspection Approved 4/15/99 by Ron Church, Building Inspector Owner: EMPIRE ENTERPRISES INC ATTN: YANG-JUN SHIN 422 RAILWAY STREET Phone: Contractor: Phone: Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for cornpliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issuue4 BUIL IN INSPECTOR BUILDING POST IN CONSPICUOUS PLACE V - -r- MY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 B U P �---- Date Requested AM_ —PM _ BLD Location / `� y'����. .� Suite MEC _ Contact Person ��' '�;/�. PhZ PLM Contractor _ _ //// Ph SWR l,C�GL.I.( BUILDING Tenant/Owner _YJ"44L jg,/ ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Stab --- ----- --__ - SIT Post& Beam - -� Ext Sheath/Shear Int Sheath/Shear �- Framing — Insulation Drywall Nailing - -------_.._.- -__-._ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc PASS PARI FAIL - PLUMBING Post& Beam - _ Under Slab Top Out -- Water Service Sanitary Sewer -- Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam Y Rough In Gas Line -- -- Smoke Dampers Final - -- --- - -- �. PASS PART FAIL ELECTRICAL -- Service Rough In -- -- ---- -- -- UG/Slab Low Vc Itage Fire Alarm Final PASS PART FAIL SITE Hackfill/Grading - ---- -� Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin hire Supply I.ine [ ]Phase call for reinspection RE: [ ]Unable to inspect-no access ADA � �, Approach/Sidewalk /� Other Date � _ A Inspector_ �� Ext Final PASS PART _FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 }� , BLIP r Date Requested—_ -AM-.----PM BLD Location_�r. ' ��� ;' ' y� Suite _ _i MEC Contact Person — Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Ac A - - — Foundation ,t ctv FPS Ftg Drain OT RE UFSTFI) SGN Slab Crawl Drain In MUNI) DURIN(' RFSF � �� SIT Ext ShPost&eth/Shear NO INSPFC`770N(s) IN SRF H ��y - Int Sheath/Shear �� 1 Framing Insulation Drywall Nailing Firewall 0 t Fire Sprinkler Fire Alarm Susp'd Ceiling ------ --.--- -----__. _.__.... Roof Micc: -- - -- - Final - PASS PART FAIL -- ------____-_.._-- PLUMBING Post& Beam -------- __ �_. Linder Slab TopOut -------..----------------------------- - Water Service Sanitary Sewer - - 1 rains - AS PART FAIL CHANICAL Post& Beam - -- - - - - Rough In Smoke Dampers Final PASS PART FAIL ELECTRICAL ---- -_ - ---- -. _ - ---- - Service Rough In l'G/Slab Low Voltage Fire Alarm _--_--_---_-. ----— --- -- -- — - r inaI PASS PART FAIL SITE BaOfiil/Grading - ---—_-- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE: [ ]Unable to Inspect-no access Fire Supply Line ADA m Approach/,Sidewalk D Other _ - ate Inspector ,E Final PASS PART FAIL l DO NOT REMOVE this inspection record from the job site. CITYOF TI GA R D - BUILDING PERMIT DEVELOPMENT SERVICES DATE ES UIED: 77/10/02 P2002-00276 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 138158W PACIFIC FIWY 50 PARCEL: 2S103DD-00800 SUBDIVISION: BLOCK: ' ZONING: C-G LOT: JUr ISDICTION: TIG REISSUE: FLOOR AREAS _ EXTER_IOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N_ S:i E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 2N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 100 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS REQUIRED FLOOR LOAD: 100 psf LEFT: ft RGHT: ft FIR S_PKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: B17DRMS: SATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ %,000.00 Remarks: Minor H. Create storage room and two openings into new dining area. Owner: Contractor: D.W. SILVERS COMPANY OWNER 4730 SW MACADAM AVE #101 P��,one:TLAND„ OR 97201 Phone: Reg #: [_ FEES _ _ REQUIRFn INSPECTIONS Type By _ Date Amount Receipt �- Framing Insp �— PRMT CTR 7/10/02 $62..50 27200200000 Gyp Boar(: Insp 5PCT CTR 7P 0/02 $5.00 27200200000 Fi,�al Inspection PLCK. CTR 7/10/02 $40.63 27200200000 FIRE CTR 7/10/0 $25.00 2.7200200000 Total $1283.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable lave. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 da\s of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow thi; rules adopted by the r^ egon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through AJAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: Issued BV. Cali 639-4175 by 7 p.m. for a„ inspection the next business day Building Permit Application City of Tigard Datereceived: Permit no.:v' 'fir Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: CityofTigard phone: (503) 639-4171 Date issued: By: Receipt no.: — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:simple Complex: QF I'ERMI ❑ I &2 family dwelling or accessury ❑Commercial/industrial U Multi-family ❑New construction U Demolition )AAddition/alteration/replacement Tenant improvement U Fire sprinkler/alarm ❑Other: JOB SITE INFORMATION Job address: 7 �' )�Lt r- t 0/L Bldg.no.: Suite no.: Lot: Block: ISubdivisibm Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: ?�' f St`i J ( '7 OWNEN 1R SPECIAL INFOYA.'ATION, CSE CIIECKLIST Name: Isolar, Mailing ress:� a d 1 &2 family dwelling: City: Slate: 06. 1ZIP:C Valuation of work........................................ s o� L Phon _L Fax: E-mail: Cy No.of bedrooms/baths................................. Owner's representative: 1 i L k4 Total number of floors................................. Phon ` - ax: E-mail: New dwelling area(sq. ft.) Garage/carport area(sq. ft.)......................... _ Name: DL t Covered porch area(sq.ft.) ......................... _-- Mailing address: 7, t Deck area(sq.ft.) ........................................ City: tatr: ZIP:, Other structure area(sq. ft.)......................... Phone c Fax: E-mail: Commercial/Industrial/multi-family: Valuation of work........................................ $ w Business name: Existing bldg.area(sq,ft.) .......................... Address: r _ New bldg.area(sq.ft.)................................ Cit State: ' ZIP: Number of stories........................................ City: Type of construction Phone: - �c Fnx:. �. C-mail• � .......................1............ - — `' Occupancy group(s): Existing: CCB no.: --- New: City/mctrtt lie. no.: Notice:All contractors and subcontractors are required to be ARCIIITECF16ESIGNER 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 City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: -- Pht nt I a - E-mail: - -- Name: Contact person: Fees due upon application ........................... $ _ Address: Date received: City: — State: ZIP: Amount received $ Phone: Fax: E-mail: — Please refer to fee schedule. I hereby certify 1 have read and a fined tols to' 4lication and the Not all Jurisdictions accept credit muds,please call jurisdiction for more information attached checklist.All provisio of laws rut 6rdinances governing this U visa U MasterCard work will be complied with.4hethers¢e ed herein or not. credit card number:_— _—_� _.1_L Expires Authorized signature: >! Date: Name of cardholder as shown on credit card Print name: —— s Cardholder signcturc Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as comple-te. 440.4617 MWCOM) Commercial flan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After pan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *F;;, aver-the-counter commercial tenant improvements, submit 2 sets of plans **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. iAdsts\forrns\CUM-matrix.doc -'21/01 D.`v: SIVERS COMPANY Sivers Building 4730 5W Macadam Avernie,Suite 101 •D.W. Sivers Company Portland,Oregon 97201 •Sivers Construction (503)223-21380•FAX(503) 23-27b0 •Sivers Investment Partnership July 8, 2002 Mr. Jay Lampella 13125 SW Hall Blvd Tigard, OR 97222 Phone: (503) 639-4171 RE: Asabache Mexican Restaurant, 13815 SW Pacific, Suite 50, Tigard, OR Dear Mr. Lampella; It is our policy to allow our retail tenants to build out their spaces provided that they cornply with the terms of our lease. Copies of the relevant lease Section 8 and Exhibit C ire enclosed, along wi►h a copy of the floor plan that we received from Mr. Loera-Arechiga regarding the extension of Asabache Mexican Restaurant into the adjacent Suite 40. Under these conditions, we give our approval for Mr. Loera-Arechiga's proposed modifications. Should you have any questions, please feel free to call me at (503) 223 1680 x109. Our facilities manager, Richard Higginson iS n:SL. Pi�vailable at x105. Thank you. Best regards; Anne Sivers cc: Tana Loera-Arec:higo K WonewordMWSdone�Gaarde PacificWsabache BuildingOfficial 7_8_02 doc EXPIRED JUL-03-02 14 . 51 FROM, MCMINNVIL'LE BLUEPRINT ID: 1503472B443 PAGE 1 M tai C?� tp G �s- WA a� a tie 13, ,N I � Y Y 1I�w►�.a.a. _ r I • /r �I ry uj tv 1 ` j1 , A � 1 8 TENANT IMPROVE'V F.NTS AND ALTERATIONS Unless other-vise specified rr,any Rider or Exhibit to this Lease,Tenant shall pay for all tenant improvements, whether the work i., performed by Landlord or by Tenant. Tenant shall make no improvements or alterations on the Premises of any kind, including the initial wo-k to be performed by Tenant in the Premises, without the prior written consent of Landlord,which consent shall not be unreasonably withheld. Landlord may withhold its approval of any alteration,addition,or improvement which does not comply with any applicable laws(including,without limitation,the Americans with Disabilities Act of 1990 and all regulations issued thereunder)or requires other alterations,additions,or improvements of the Premises or common areas of the Building in order to comply with applicable laws. Prior to the commencement of any work by Tenant,'Tenant shall first submit the following to Landlord and obtain Landlord's written consent to all of the following,which consent shall not be unreasonably withheld; Tenant's plans and specifications;Tenant's estimated costs;and the names of all of Tenant's contractors and subcontractors. If Landlord is to perform the work for some or all of'such work, Landlord shall have the right to require Tenant to pay for the cost of the work in advance or in periodic installments. If the work is to be performed by Tenant, Landlord shall have the right to require Tenant to furnish adequate security to assure timely payment to the contractors and subcontractors for such work. All work performed by Tenant shall be done in strict compliance with all applicable building. tire,sanitary,and safety codes,and other applicable laws,statutes, regulations,and ordinances,and Tenant shall secure all necessary permits for the same. Tenant shall keep the Premises free from all liens in connection with any such work. All work performed by the tenant shall be carried forward expeditiously,shc.Il not interfere with Landlord's work or the work to be performo:d by or for other tenants, and shall be completed within a reasonable time. Landlord or Landlord's agents shall have the right at all reasonable times to inspect the quality and progress of such work. All improvements,alterations and other work performer on the Premises by either Landlord or Tenant shall be the property of Landlord when installed,except for T'enant's trade fixtures,and may not be removed at the expiration of this Lease unless the applicable Landlord's consent specifically provides otherwise. Notwithstanding Landlord's consent to improvements or alterat ons by Tenant,all �,ich improvements,alterations or other work to t;e pe:formed by Tenant shall be at the sole wit and expense of Tenant. 9 REPAIRS AND MAINTENANCE 9.1 General Tenant,at its expense and throughout the Term,shall take good care of the Premises and Tenant's Property. Tenant,at its expense,shall promptly re fair or replace all scratched,damaged,or broken doors and glass in or about the Premises and shall be responsible for all repairs,maint;nance,and replacement, with respect to the Premises, including withot, !imitation,the storefront doors,window casements,plumbing. pipes,and electrical and mechanical fixt.yes and equipment. Tenant shall he responsible,at its expense, for all repairs, interior,and exterior,structural and not-structural,ordinary and extraordinary, in and to the Premises,the building containing the Premises,the Shopping Center,and the facilities and systems thereof. the need for which arises out of: f 9.1.1 The performance or existence of any Alterations; l 9.1.2 The installation, use or operation of Tenant's Property in the Premises 9.1.3 The moving of Tenant's Property in or out of the Shopping center;or 9,1.4 Any act,omission, misuse,or neglect of Tenant or any of its employees,agents, invitees. cnbtenants,or contractors or any of their employees,agents,or in*,itees. Tenant shall promptly report to the. Landlord any damage or injury occurring on or to the. Premises or the Shopping Center. If Tenant has a separate heating, ventilating,and air-conditioning systen, for the Premises,Tr-cant shall a rtet into an agreement with a company reasonably satisfactory to Landlord to conduct regulbt', periodic inspections and maintenance on such system,or Landlord may elect to enter into such agreement and charge the cost thereof to Tenant. 4.2 Mrtnner Tenant,at its expense,shall promptly mak,:all repairs for which Tenant is responsible ,ruder this Section 9. Any such work shall be perfumed only by a contractor approved in writing by Landlord. landlord may, at its option,require Tenant to Furnish to Landlord a security,bond,or surety in a form and amount f:\DWSDone\GaardePark\Asebache.les.7_7_99.doc Page I I July 7, 1999 EXHIBIT C: TENANT'S WORK AGREEMENT 1. Tenant Impr,,vements Provided by Tenant Tenant agrees to provide at its sole cost any tenant improvements required in addition to those listed in Exhibit B("Landlo,-d's Work)and shall be responsibl:for obtaining,at Tenant's cost,the permits for such work. 2. Notice/Certificate Requirements 2.1 Tenant's Contractor will provide D.W. Sivers Company,prior to commencement of work,a Certificate of Insurance. Upon completion of T'enant's Work, Tenant's Contractor must provide to D.W. Sivers Co%jpany a Notice of Completion,and a Certificate of Occupancy. 3. Tenant's Liability for Contractor Damage Tenant agrees to be liable for any damage done to Landlord's Property or equipment by Tenant's Contractor. 4. Landlord's Review& Inspection Costs Tenant shall reimburse Landlord for all costs and expenses incurred by Ldndlord in connection with review and inspection of Tenant's Work, including,but not limited to,architect's and engineer's fees and costs incurred by Landlord its connection with: i. Landlord's review of the plans and specifications for Tenant's Work and all changes and amendments thereto pursuant to Tenant's Work herein specified. ii. Landlord's inspection of Tenant's Work pursuant to Tenant's Work herein specified. 5. Reimbursement Required Within III Days Any such costs and expenses incurred by Landlord pursuant to Paragraph 1 hereof shall be paid by Tenant to Landlord,as additional rent,within ten(1 G)days of Tenant's receipt of a bill thereof, i f:1DIVSDone\raardePark\Asabache.Ics 7_7_99.doc Page 28 July 7. 1999 SEE 35MM ROLL #20 FOR OVERS -1Z ED DOCUMENT CITY OF TIGARD 24-Hour 1 BUILDING Inspection Line: (503)639-4175 MST ---------- INSPECTION DIVISION Business Line: (503)639-4171 BLIP — - - - - Received __-__._T_—_ Date Requested "�G' v AM__ PM----_ BI1P --- Location �_!�-5?� Cfi C _ f� Suite / --- MEC --- Contact Person Ph PLML- Contractor__�_ Ph ( -- - ) - - -- SWR BUILDING 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 i Framing �CJJ i Insulation F y7 -Z) Drywall Na;:: ig - - Firewall Fire Sprinkler Fire Alvrm ! �_ `�� :> Susp'd Coiling - Roof _ Other: Final PA5S RT rAIL - -- UMBI - -- Pos Beam Under Slab Rough-In _ Water Service _ ----- Sanitary Sewer _ Rain Drains Catch Basin/Manhole Storm Drain Shower Pan - Other: PART FAIL _ ANICAL - Post&Ueam — -- Rough-In - - - - ----- Gas Line _ Smoke Dampers Final PASS PART FAIL -- - ---- -- ELECTRIr.,AL__...-------- --- -- ------- Servic�� - - -_-- Rough-In _� ------- -- - -- tIG/Slab I ow Voltage -- - -------- - Fire Alarm Final ❑ Reinspection fee of a__ _..-.._required betore next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Piesse cull for reinspection RE - _ unable to inspect-no access Fire Supply Line - ` -`- ADA Date 4 U Z- Inspector iixt Approach/Sidewalk - Other: Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TI G A R D _ PLUMBING PERMIT / LM PERMIT#: P2002-00332 DEVELOPMENT SERVICES DATE ISSUED: LN402 13125 SW Hall Blvd.,Tigard, OR 97223 (503' 639-4171 SITE ADDRESS: 13815 SW PACIFIC HWY 70 PARCEL: 2S103DD-00800 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAI'J: ft Remarks: Installation of(4)fool spas and relocate (1)hand sink FEES Owner: ----= T ype By Data Amount Receipt D.W. SILVERS COMPANY PRMT CTR A 8/23/02 $83.00 27200200000 4730 SW MACADAM AVE ,)PC T CTR 8/23/02 $6.64 27200200000 #101 PORTLAND„ OR 97201 Total $89.64 Phone 1: Contractor: CHESHIER PLUMBING INC. 34798 SE COUPLAND RD ESTACADA. OR 97023 REQUIRED INSPECTIONS Phone 1: 201-1856 Rough in Insp — Reg#: I IC 140381 Insp existing/capped fixtures I'LM 3-439PB Final Inspection This permit is issued subject to the regulaJons 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 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: —`� _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Piti nrbing Permit Application Received / , OFFICE Plumbing Date/By: ) Permit No.-/& , I'- �C'33%4 City Ori and Planningprov I Sewer 13125 SW Ha1l�Blvd, Test Form IlaReview Date/By: Permit h itNo.: K��iL�1pZ-00 .501 Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Internet: www.ci.tigard.or.us Date/By: Case No.: Contact .►uric. See Page z fol, 24-hour Inspection Request: 503-639-4175 Name/Method• Su ilemcntal Information. TYPE OF WORK FEE*SCHEDULE(forspecial Informatlon use checklist) New construction 1.0 Demolition Description Qty. F'ec(eu.) Ibtal 'Addition;alteration/replacement 10 Other: New t-&2-farnily dwellings CATEGORY OF CONSTRUCTION (include%100 ft.for each utility c_ot necdon J I &2-Familyr dwellin Commercial/Industrial SFR I bath 249.20 _EJAccessor Building SFR z bath 350.00 Multi-Family SFR(3)bath _ 399.00 [Master Builder 0leer: Each additional bath kitchen 45.00 JOB SITE INFORMATION and LOCATION Fires rinklcr-sq. A.: Pae 2 Job site address: 1�,9-- S.W mac` c Site Ur'llties Catch basin/arca drain I6.fi0 Suite�0 Bld ./Apt.#; _ _�_ Project Name: D ell/leach line/trench drain 1660 ) r '4 Sa v. A,o�t Footing drain no. linear ft.) _ Pag.-2 Cross street/Directions to job site: Manufactured home utilities 11000 &C ba 1 A Manholes Rain drain connector 16.60 Sanitary sewer no. linear ft.) _ Page 2 Subdivision: LOt#: Storm sewer no. linear A P? Tax map/parcel#: -- - Water service no linear ft. Page 2 DE CRIPTION OF WORK AbsFixture or Item �� -- Absorption valve Backflow revcnter Page 2 C! f h Backwater valve _ 16.00 Clothes washer 16.60 — - Dishwasher 16.60 PROPERTY OWNER TENANT Drinking fountain 16.60 -- - F cctors/suns 10.60 _ Name: _ _ _ Expansion tank _ 16,60 Address: Fixture/sewer cap 16.60 City/State/Zip: _ Floor drain/floor sink/hub 16.60 - Gatba=e disposal 16.60 Phone: Fax: [lose bib 16 f0 in APPLICANT CONTACT PERSON Ice maker 16.60 Name: e^ C �A F�L►;c'r _ Interco tor/ rease trap 16.60 —�e�-79 — _ Medical Address: >:j g�= �� ) gas-value: $ Page 2 Primcr 16.60 City/State/Zip: f— ��N •� ��'J Z Roof drain commercial _10.60 Phone(5 v ) jp 7I' FaX: _ Sink/basin/lavato 16.60 / C E-mail: Tub/shower/shower pan 16.60 CONTR-ACTOR Urinal 16.60 Business Name: ;�r �,,zbi z Water closet _ — 16.60 Water he ter 16.60 Address: 3!} 5C (-121421a,g k- Other: so-•} ,D_. S — Cit /State/Zi :J�3 — Other: Phon St,4(.,2?Q -7ni Fax: C-,i 3 e 7201 Plumbing Permit Fees* Subtotal $ CCB Lic. #: It*,;, Plumb. Lica$: 3�t' - Minimum Permit Fee$72.50 $ Residentia!Backflow Minimum Fee$36.25 Authorized ,t•)C.) Signature: Date:�U '�2 Plan Review 250/.of Permit Fee) $ rr State Surcharge(8,o of Permit Fee) $ TOTAL PERMIT FEE (Please print name) Nctice: rhis permit application expires ire permit Is not obtained within kit nen t onnnerciai building require 2 sets of plans with Isometric or INV day%after it has been accepted as co:rptele. riser diagram for plan re%lew. *FST methodology set by Tri-County Bn!I•dng Industry service Board. 1 / Plumbine Pernik Ayililication - City of Tigat d Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Stems: _ Site Utilities Qty. Fee(ca) Total Square Footage: Permit Fee: Footing drain-I"100' 55.00 0 to 2,000 $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 _ $160.00 _ 3,601 to 7,200 $220.00_ Sewer-I Ht 100' 55.00 7 201 and rester _ $309.00 _ Sewer each additional 100' 46.40 Water Service-Ist 100' 5500 Medical Gas SystCMS: Water Service-each additional 100' 46.40 _ Valuation: Permit Fee: Storm&Rain Drain- Is►100' 55.00 $1.00 to$50)0.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46.46 $50)1.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ca) Total including$10,000.00. Commercial back Flow Prevention Device 4o 40 $10,001.00 to$25.000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each adJitional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and inc'uding$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. -� Comments regarding fixture work: • uan:l(y by(Fix.;.-e)WorkI'crform_ci. Fixture Type: Replace New Moved Exhling Ca:led Ila list /Font _ Bath -Tub/Shower _ -Jacuzzi/Whirl pool -- Car Wash -Each Stall -Drive Thru Cus idor/Water Aspirator _ Dishwasher -Commercial _- -Domestic Drinking Fountain Eye Wash - Floor Drain/sink 2" _ 3" 4., lar Wash Drain *Note: If the fixture work under this permit results in an Garbage L:)mestic Disposal -Commercial increase of sewer FbUs,a sewer perm.; sill be issuedand -Industrial _ fees assessed for the sewer Increase must be t:aid before the Ice Mach./Refii .Drains plumbing permit can he issued. Oil Separator Cas Station Rec.Vehicle Dump Station Shower -Gang _ -Stall _ Sink -Bar/Lavatory _ -Bradley -Commercial -Service Swimming Pool Filter Washer-Clothes Water Extractor _ Water Clostt Toilet --- _ Urinal Other Fixtures: CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00252 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/23/02 SITE ADDRESS; 13815 SW PACIFIC HWY 70 PARCEL.: 2S103DD-00800 SUBDIVISION: ZONING: C-G BLOCK: LOT: _ JURISDICTION: TIG TENANT NAME: ARTISAN NAILS USA NO: FIXTURE UNITS: 8 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .5 EDU increase, previous fixture units were 160, this permit adds 8 fixture units for a new total of 168, Owner:. — FEES D.W. SILVERS COMPANY 4739 SW MACADAM AVE Type By —_ Date Amount Receipt #101 PRMT CTR 8/23/02 $1,150.60 272.00200000^ PORTLAND,, OR 97201 Total $1,150.00 Phone: -- "ontractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agi pry. 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 sever laterals. If the sever is not located at the measurement given, the ;nstaller shall prospect 3 feet in all directions from the distance given. 1' not so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued by: Permittee Signature: Call (901) i39-4175 by 7:00 P.M. for an inspection needed the next business day P i Accumulative Sewer Tally Tenant Name:A tisan Nails This SWRt,2002-00252 Site Addrdss: 13815 SW Pacific Hwy#70 This Pt.M# 2002-00332 Fixture Value Previous Previous[Credlits Capped Fixture Fixture New New # value ed off value I added added tr'.di total counts count # value _ #s values Baptisery/Font — 4 0 0 0 — 0 0 — Bath Tub/Shower 4 0 0 ----0 — 0 0 Jacuzzirlpoo 1 4 0 ---- 0 0 .0 0 _Car Wash- Each Stall 6 _ _ 0 0 _ 0 0 - -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----- 0 0 1 0 Drinking Fountain 1 _— 0 0 — 0— 0 0 e Wash1 _ 0 0 0 o _n Floor Drain/Sink ?_inch — 2 0 0 _^ 0 0 — 4— 0 3 inch 5 0 0 —0 0 �0 — 4 i,`' 6 — 0 0 0 0 _ 0 —-- C'ar Wash ;.r 6 0 0 0 — 0 0 — Garbage Disposal - - Domestic(to 3/4 HP) —i6 _ 0 0 _ 0 0 0 Commercial (to 5 HP) 32 _ 0 0 _-- 0 0 0 — Industrial(over 5 Hf ) 48 —_ 0 —0---- —_ 0 0 0 Ice Machine/Refrigerator Drain _ 1 _ 0 --0 0 — 0 0 Oil Sep(Gas Station) — 6 —0 _ 0 _ 0 0 0 Rec.Vehicle Dump statiun 16 — 0 0 _ 0 0 0 Shower-Gang (per head) ~1 0 — 0 _ �0 0 0 -Stall 2 0 w 0— _— 0 —.--0 0 — Sink- Bar/Lavat2ry2 0 — 0 _ 4 — 8 4 — 8 — Bradley — 5 0 0 0 _— 0 Commercial 3 0— 0 _ 0 ---0 — 0 _ Service _ 3' 0 0 0 0 0 Swimming Pool Filter _ 10 _ — 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 Previous EDU Count 10 160 160 Capped EDU Credit 0 TOTALS 0 160 0 0 4 8 4 168 Current Fixture Value 168 divided by 16 = 10.5 Current EDU 1 EDU - $2,300 00 Previous Fix;,jre Value_ 160 divided by 16= _ 10.0 Previous EDU Change 8_ divided by 16 0.5 over (undor) $ 1,150.00 Enter EDU Change Here 0.5 HISTORY Notes PLM# 2002-00154 — EDU# _ 10 SWR# 2002-00155 _ PLM# 95-00359 EDU# _9 SWR# 96-00048 — — PLM# per acct EDU# 7 SWR# _ flame: J.. / _.�l y— Date: Slpnjtu person that calculate+"rs tally sheet and date perfromed is required ELECTRICAL PERMIT CITY OF TIGARD PERMIT M ELC20(,2-00205 r DEVELOPMENT SERVICE.' DATE ISSUED: 5/6/02 13125 SW Hall Blvd., Tiqard, OR 97223 (50?) 639-4171 PARCEL: 2S103DD-00800 SITE ADDRESS: 13815 SW PACIFIC HWY 80 SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 6 branch circuits. 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 LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: `•i IN PLANT: 301 - 1000 amp: PLAN REVIEW SECTION __ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: — Peconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owns rr: Contractor: D W SILVERS COMPANY AMERICAN ELECTRICAL SERVICE 4730 SW MACADAM AVE PO BOX 1037 #101 SHERWOOD, CR 97140 PORTLAND„ OR 97201 Phone: Phone: 204-9864 PAGE Reg #: LIC 00101587 SUP 4106S ELE 36-59C FEES ^— Required Inspections Type By Date Amount Receipt Wall Cover SPCT CTR 5/6/02 $6.41 2720020000( RoughF Elect'lFinal PRMT CTR 5/6/02 $80.10 2720020000( -- Total $86.51 ------ This Permit is issued subject to the regulations contained in the Tinara kliuniapal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved mans This r�-rmit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon Uw 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^-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6695'or 1.800-332.2344 Permit Signature: )) g _ (:' ' fv .-------- Issued By: 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 ( J l C. _ DATE:___--_ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 05/04/1995 13:17 15035548506 AMERICAN ELECTRIC SV PAGE 01 (14--219,'2004" 14::1 FAX 5n35g81418f) CITY OF T14 ARD ®OO2,'404 Electrical Permit Application \ Date recewed: City Of Tigard Prolect/oppl,no Expire date. C1tyuJTtya,d Address: 11125 SW Hell 131vd,rTigatd,OR 91221 Dale i,,,ued; R ' 1ltcelpt no.: Phone: (503) 639-4111 cast,f11c no, Payment type. Faye• (503) 598.1960 Land use approval 1 O 1 at 2 family dwelling or nccavgm U ComrnctclnL whim Tial 11 Multi family O Tenitnt improvement O New ronsiructivn ❑AddllaoNailrrauon/rcplact,mcrc 7 od wr• O partial MMMEM=1= Job address ' ,j r , !J�1 Bld no. Suilt nu.' Tax snap/tax Iovaccount nn Lot— Block VuWivision. _ _ _ ___ --------- ProJt'ct name:,T va Descrlpuon and location of work on premises. Estimated date of ccrnplellon/inspcOlOn 1 QTY. qtL iusal wo.udp Eiwinas name, /YJ(k/r til i rc. � Ne»rcw�M1 _dal tb�carlrK 41 family Address. 19 Y. BX 1.rtllrrllMlt.Inrlydrwattaef«polio• City: Stn[ ZI — SenreeinrludrA s� Itk><1 sq It cr Isis _ Ptlone. 5 Fe x' "m�l' — Fitch Iddtl nn,l 500 sy h o.pnrliM,rhtrlef CCH no.: _— Elec.bit%h�o' r 9L Limitedenu ,rtlldMlinl_ 1 City/mettr Ile•no.. �,c1 l 15 �o I,imitcdcnerSy,nOn.tt+ldennd Each mnnutaclurad horse or w9oulardwelltt,s StrViee and/or rider 2 SI awn of vuprrvisln elect an t uire _-- da1G Sarricnoee�tel-irotall■t,on. Su elect name( nnt): t L ants nn altar■et"or relecoll , 700 Imps or Ings —_--- 20 amps to 100 amps. Name(print). 401 amps to 600 unfit_ 2 Marline addivss W - — 601 amps to`I _amps City SUtic: zip v .7",., un r or volt, � 2 Phone' _—_ �t•nxf E-m&il� a.connoc+�� err por■ry atrNtea or i�dell- Owner inftallation. Me Installation rs helnp made on property 1 own irimllation,elncr■d"ti,orrvlocAti, which If not intended for sale, leave•rent•or c xehtvlRe according to 100 amps or Itis _ 2 "4f. 479,670, 701 ;tii amps w400amp, 2 ore: amu' 461 oTL Branch elreults new.site, I on, o,a rtenslon per prowl; Name: — _ A Fee for bfwa circuits with purchase of AddreS, wrviea or feeder 1611,each branch circuit 2 Pee or ranch Nrcuiu wl trrhoui Durr�ve- of service or feeder foe,f rvi branch circuit 2 Phone. Fes• 6'mail. EachAdditional branch clrculc _ Mist,(Scrvfeeotfeedernel InellilltdY LIM t'Jeh umporrm ationrircit _l Q Serrioeover 225 eunps•,.,mmu.inl U t"fh-mraf■elhty Ftctvm� oull rte heMu, 2 0setricro�er310empsrnlinsoflkl 13Nuard,tslowuon gt n■1ci:ewlllorolrmntelenettypnnel, ramilydwrllinp/ []sulldin aver 10,000squue fcMfouror B _ _ U Syavr+over 600 volts nonunal mon Asrdanlial units in one 11mcrore alteraucn,orelsonslon• [llluildinsower three: vie! f]peedert,4WOamplOF"re 4Dticnildom ilm (?ccuptnt Inad nver 09 persortr U Manufactured stn+ctures Of 1kv pork sastiliewabloe to any WW@beivilT O Et'esyltpnunllplan O oilier - — Perim t�elien _ r---1! Snbleil_sets of ptles with isn't ebbe above. InvesURa,on/ec — �- -- iltt above■m sol qsill_esible to teswporry connrwcsiva etrvlte. tutu -- - — Permit tee. ................. This appiiealon na Mt avu^a•plwe Noll" Plarr Kv1ew(at vll& U Mastercard eapiAta if a permit is not oblwrned State sttrehar a(8%) ... S e�e,r rtr0 within ISO days&flet it hail been 6 s •s'nTall. ..................•. accepttdnsoomplate - - &ewe:1wi� Aresat ..uaa-%I60011COW, CITYOF T I G A R D SEVJER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00155 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/14/02 SITE ADDRESS; 13815 SW PACIFIC HWY 80 PARCEL: 2S103DD-00800 SUBDIVISION: ZONING: C-G BLOCK: LOT: _JURISDICTION: TIG TENANT NAME: JAVA JUICE USA NO: FIXTURE UNITS: 16 C'-ASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: ;NSTALL TYPE: BUSWR iMPER`f SURFACE: Remarks: 1 EDU increase. Previous fixture count was 144, this permit adds 16 fixture values, for a new total of 160. Owner: _ _ FEES D.W. SiLVIERS COMPANY Type By Date Amount Receipt 4730 SW MACADAM AVE �— #101 PRMT CTR 5/14/02 $2,300.00 27200-200000 PORTLAND„ OR 97201 Total $2,300.00 Phone: -- - Contractor: Pnone. Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 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 sever laterals. If the sewer is not located at the measurement given, the installer sha;l prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm i Issued by: aA,4 Permittee Signature. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Te,iart Name: Java.Juice This SWRA2002-00155 Site Address: 13815 SW Pacific Hwy#80 This PLM# 2002 00154 Fixture Value Previous Previous Credits Capped Fixtu'e Fixture New New # valu9 capped off value added added total total count off#s count # value - #s values Baptise /ry Font _ - 4 0 0 0 0 0 Bath-Tub/Shower 4 0__--0 0 0 0 - -Jacuzzi/Whirlpool 4 0 0 0 0 U Car Wash- Each Stall _ 6 _-0 0 0 0 ,0 - Drive through 16 _ 0 0 0 0 _0 Cuspidor/Water Aspirator 1 _ 0 -0 T -- _0___0 0 Dishwasher-Commercial 4 0_ _ - 0 0 --- - Domestic _ 2 0 0 _ 0 0 __0_ Drinking Fountain 1 0 - 0 - _ 0 0 0 Eye Wash 1 0 Floor Drain/Sink-2 inch2 0 0 �2 __4 2 4 3 inch - 5 0 0 - 0 0 0 - -4 inch 6 _ _ 0 0 Car Wash Drr 6 0 0 0 0_ 0 Garbaye Cisme^�'a _ Domestic(to 3/4 HP) 16 _0 0 0 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 0_ain 1 0 0 0 0 0 - Oil Sep(Gas Station) 6 00 - Rec,Vehicle Dump station 16 0 —_ - 0 _0 Shower-Gang (per head) 1 0 0 0 0 Stall _2 0 _ 0 _ 0 0 0 Sink- Bar/Lavatory 2 _- 0 0 0 U 0 - Bradley_ 5 0 0 0 0 0 - -Commercial 3 0 0 - - 0 0 0 _ Service 3 - - —0 0 4 12 _ 4 12 Swimming Pool Filter _ 1 0 0 0 0 0- -- Washer -Clothes 6 _ _ 0 - 0 0 G - Water Extractor 6 00- Water Closet-Toilet 6 0 0 - _ 0 0 0 Urinal 6 _--_ 0 0 - Previous EDU Count 9 144 14$ J Capped EDU Credit TOTALS 0 144 0 0 6 16 6 160 Current Fixturr.Value 160 divided by 16 - 10.0 -Current EDU 1 EDU = $2,300.00 Previous Fixture Value 144_ divided by 16 - 9.0 Previous EDU Change 16 divided by 16 _ 1.0 over (under) $ 2,300.00 Enter ED'J Change Here 1 HISTORY �_ ----- Notes: PLM# 95-00359 - EDIJ# 9 _ SWR# 96-00048 -- PLM# per acct _ EDU# 7 SWR# _ ---- ------ C; ��# ESWR# DU# / /. ame: � � L1 Date. -- Signature of persc,n that calculated :cls tally sheet and date bred CITYOF TIGARD PLUMDING PERMIT DEVELOPMENT SERVICES PERMIT". PLM2002- 0154 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATA ISSUED: 5/14/02 SITE ADDRESS: 13315 SW PACIFIC HWY 80 PARCEL: 2S103DD-:0800 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TY11E OF USE: COM WASHING MACH: BACKFLOYV PREVNTRS: 1 OCCUPANCY GRP: UNK FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: CREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing tenant improvement, converting office space to restaurant. Instal 3tion of(4)sinks, (2)2"floor drains and (1)backflow prevention device. FEES Owner: ----- ----- Type By Date AmOUnt Receipt D.W SILVERS COMPANY PRIv1T CTR 5/8/02 $14F;.J0 27200200000 #101 # SW MACADAM AVE 5PCT CTR 5/8/02 $1168 27200200000 101 PORTLAND„ OR 97201 Total $157,68 !'hone 1: Contractor: ROY HUGHES PLUMBING INC. PO BOX 542 BANKS, OR 97106 REQUIRED INSPECTIONS s — Phone 1: 503-320-9071 Rn inh-.n !,lSp 32 To[,-out Insp Reg#: LIC RP/Backflow Preventer PLM 3434-327P8 Final Inspection 'This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Gpecialty 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 it work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules ;adopted by the Oregcn Utility Notification Cen.er. Those rules are set forth in OAR 952-0001-0010 thfough OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: Permittee Signature' Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 0�47Rc2'r;• fit 6 Plumbing Permit Application 7Datereceived: J` Opp Permitno.�cN1(r,Y.yl,2?/_ City of Tigard 11�`l Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: _ Building permit no.: City oj7igard Phone: (503) 639-4171ProJec t/appl.no.: E ' cdatc: Fvx: (503)598-1960 Date issued: - yi„ Receipt no.: Land use approval: case file no.: Pay vent type: U i :k 2 family dwelling or accesuory U Con][TIC I C i al/i Ildust I ial ❑Multi-family U Tenant improvement U New construction J Add ilion/altcralumireplacctnc li U Food service U 011ier: A. Job address: Description QtY. Fer,(ea. total Bldg.no.: Suite no.: (�ra New 1 and 2-family dwellings only: �> Tax map/tax lot/account no.: (Includes 100 ft.for each utI[it y urnnection) - SFR(I)bath � ' I Lo:: Block: Subdivision: -- - ----- SFR(2)bath -- . Project name: 12W,2 JAL` SFR(3)bath (d City/county: IZIP: Each additional hatli/k Itchen - Desc•iption and location of work on premises: Siteutilities: _ Catch hasin/arca drain -- ' Dryells/leaEst.d>to of com IetioNinspection: ch line/trench drain otingdraoinn(n3. lin. f.) - M Manufactured home utilities - Busine...name: ���..`S ���, � Manholes Address: ;y�opyr. rc/12.K a r; Raindrainconne_ :7 — — a City: I� ✓U State: t LIP: v �i Sanitary sewer(no. lin. ft.) -"- - ''J Phone: 7Au. ;i7 Fax: E-mail: Storm sewer(no, lin.ft.) V CCB no.: Plumb.bus.reg.no: Pj Water service(no.lin.ft.) — a ,fCity/metro lic.no.: -- Fixture or Item: Contractor's representative signature: " / �_ Absorption valve --_ - == Back flow prev+nier �y Print name: Uate:" Backwater valve --- Basins/lavatory - Name: Clothes washer — L Address: - Dishwasher - - - fit - Drinking founlain(�l )' — State: 7.1P: Ejecters/sum "+tel Phone:— - Fax: E-mail: Expansion tank Fixturr,/sewercap --- C Name(print): Floor drains/floor sinks/hub _.1. 1_� t=' � � Mailing address: - -- Garbage disposal liose bibb -" -City_-_ _ ZIP State: : Ice maker —� -` -- Phone: --_ Fax: -- E-mail: - Interceptor/greasetrap -- -- Owner installation/residential maintenance only: Th- actual installation Primer(s) -� will Ix made by me or The maintenance.and repair mhde by my regular R(x-f drain(corr,nercial) - employee on the property I(awn as per ORS Chapter,147. Sin s),basin( ),lgvs(s) Owner's signatur_. _ _ Date: Su tp - Tubs/shower/shower pan - Namc: U;inal A .— ..--"-- ___. .- ------1 vvtlCrC105C1 Address: Way r heater - ---- - City: — -- --- Stale: I,IP: Other. ---- Phone: - - "a x. E-mail: Total l:ot all Jut.sdictixu s:cept crce h cards,plena call Jurisdicli nt for mrxr inkxttwri�n, No►ICC:'I•Itis permit application Plan fee................$ U Visa U MasrerCa,•d expires ices if a Plan review(at 9n) $ r dii nerd rtombet p p--rnrit is not obtained - -- --- - L within 180 days eflcr it has been Slate surcharge(8% ....$ _ - F.xr'res TOT A -- Name M cardholder I:sltov n o credh card_--- accepted as complete. T '' .......................T 7.4) I s _� — CaMt_'ar si�reme AtnrwntD 440-4616(NDWOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTUR:S individual QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 1660 Q the dwelling and the flrst100 ft. QTY jeu) AMOUNT Lavatory 16.60 for each utility connection _ Ong bath $249.20_ Tub or Tub/Shower Comb. '5.00 Two 2 bath $350.00_ Shower Only 16.60 Three 3 bath i _ --_ $399.00 Water Closet 16.60 - SUBTOTAL _ Urinal '16.60 _ 8%STATt SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL ---- Garbage Disposal 16.60 ---- --- ---- TOTAL -_ --- --- ------ Laundry Tray 1660 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 .3 3. Z r 3" 16.60 PLEASE COMPLETE: 4" - - 16.60 Water Heater O conversion O like kind 16.60 Quantit b Work Perks mid Gas piping requirus a separate mechanical Fixture Type: New Moved Replace,/ Removed/ permit. - _ - Capped MFG Home New Water Service 46.40 Sink_ MFG Home New San/Storm Sewer 46.40 Lavatory - -- --- Tub or Tub/Shower Fie-,e Bibs 16.60 _ Combination Hoof L rains _ - Shower Only _ r rinking Fountain - -' Water Closet - Other Fixtures(Specify) _16,lj - Urinal _ _- _- Dishwasher Garbage Dis osal Laundry Room Tray - - -- _Washing Machine_ -_ - -� Sewer-1st 100' 55.00 -Floor Drain/Sink: 2"-- 3., - Sewer-each additional 1(,0' 46.40 4" -Water Service-1st 1)0' 55.00 Water Neater _ Water Service-each additional 200' 46.40 Other Fixtures (Specify) - Storm 8 Rain Drain-1 st 100' 55.00 t Storm 8 Rain Drain-each additional 100' 46.40 - Crmmercial Back Flow Prevention Device 46.40 Rei dential Backfl v Prevention Device' 27.55 -- -- Catch Basin 16.60 -- -�� -' Insoection of Existing Plumbing or Specially 62.50 Requested Inspectionsper/hr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65,25 Groase Traps��- 16.60 - - QUANTITY TOTAL - - -- -- - Isomerir,or riser diagram Ic,equired if ---- --- OuanlBy TN.aI is >9 ---- --- - `SUBTOTAL ---------- ------- -- - 8%:;TATF_SURCHARGE ---- - - ---- "PLAN REVIEW 25%OF SUBTOTAL _- Required only if fixtureqty_total is>9 - � i - TOTAL - -- 'Minlmu.n permit fee is$7.50+0%state surcharge,except Residential Backflow Preventim Device,which Is$38 2.5 F 8%mate surcharge. "•,d New Comwerclal Buildings requl;e.',ets of plans with Isometric or riser dlagr'im for plan re•lew. I:\dsLs\forms\plm-fees.doc 12/26/01 I f, J •al Y f _--. —ITY OF TIGARD Inspection Line: (503)639-4175 BUILDING MST — INSPECTION DIVISION Business Line: (503) 639-4171 BLIP `�� AM -- PM BLIP Received _- —Date Requested___ -- ' t C! G �Ph Suite MEC _ Location _. '�—' =.'f ___�I— — _- -_ PLM Contact Person _- - (—)Su ) Contractor - Ph( ) "� l�� SWR BUILDING --� Tenant/Owner .___._ �'� -s� -' ELC Foaling ELC ----- Foundation Access: ELR Ftg Drain Crawl Drain SIT Slab Inspection Notes: -- Post&Beam -- -- - — - - Shear Anchors _ Ext Sheath/Sheat Int Sheath/Shear Framing --_— _ ------------ Insulation - -- Drywall Nailing ��- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Other:_ �+ Final PASS PART AIL PLUMBINGI -- --- Post&Beam -_ Under Slab , Rough-In --- Water Service - -- Sanitary Sewer - - — -- Rair,�. ,. _ -- --- --- ,.._ is Catch i 3sin/Manhole -- -- Storm Drain S0ower Pan - - Ina./ — T_�PART _FAIL MECH,%NICAL _—_ Post&Beam -_ Rough-In Gas Line _ - Smoke Dampers -- --- - Final - PASS PART FAIL ----------_ -- ----_--------------------- - ELECTRICAL --. �- - .----- -- ---- _ _ ----- Service Rough-In — UG/Slab Low Voltage - Fire Alarm Final U Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall B!vd, PASS PART FAIL r Please call for reinspection RE: Unable to inspect--no access 31tE --" L-� �.— -- C� Fire Supply Line ADAC _ _ /T C% - 1n3P6Ctor/� --�'t Ext Approach/Sidewelk Other: Final DO NOT REMOVE thI s insl#oction record from the Job s ts. PASS PART FAIL CITY OF TIGARD ELECTRICAL. PERMIT PERMIDEVELOPMENT SERVICES DATE T ISSS El El.. 002/2/0054 D04/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL_: 2S 1O3DD-OO8O0 ,t S T TE ADDRESS. . . : 1--8.1:'; SW PACIFIC HWY " SUBDIVISION. . . . - ZONING:C--G BLOCK. . . . . . . . . . . L.OT. . . . : . . . . . . . . . JURISDICTION: TIG F'raj ec-t De script i on : Prudential Northwest Properties Sign - -RESIDENTIAL UNIT---- - - -TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I RR I GAT I ON. . . . 46 FAC:H ADD' L 5O0SF. . . : 0 x='01 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LTC-;. . : 1 I.. IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts,. : 0 MINOR LABEL ( 10) . . . : 0 - --SERVTCE/FEEDER---- ------BRANCH CTRCUITS--_--___ -----ADD' L. TNSF'FCTTONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER!; 0 F'ER INSPECTION. . . . . : 0 x'01 - 400 amp. . . . . . : 0 1st W/O SRV(-' OR FUR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' 1._ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ---------.______---F'L..AN REVIEW SECTION------------------ 1000+ amp/volt. . . . . : 0 )=4 R(Iu UNITE. . . . . . . . : ) 600 VOLT NOMINAL. . : Rer-onnert only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: --.___-__._____.-- ----------------_-_-----..------__.---.--.___._.__. FEES HEATH SIGNS type amol_int by date rer-pt 4644 BE 17TH PRMT $ 40. 00 HON 01 /29/98 98-302883 PORTLAND OR 972O2 `PCT $ ='. 00 ETON 01 /29/98 98-302883 Phone #: Cont rant or: HEATH NORTHWEST INC E 'f2. 00 TOTAL 4-,44 -�iF 17TH AVE RECU I RED INSPECTIONS - ..___. .. PORTLAND OR 91202 Ceiling Cover Elect' 1 Service Phone #: 23P-2620 Well Cover Elcct' 1 Final Rep #. . : 000642 This permit is issued subject to the regulations contained it, the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accord3nce with approved plans. This permit will expire if work is not starter; within Ido days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law require, you to follow the rules adopted by the Orpgon Utility Notification Center. Those rules are set forth in OAR 95,°-001 P010 through OAR 952-00 _ 87, ^^ obtain a copy of these rules or direct questions to OLKfiy calling 15031246-1987. f-t-mittee Signati.ir -�p Tssi_ied Bv: _ ---------------------------OWNER INSTALLATION The itntallatipn is L,eing made on property T own which is not intended for sale, lease, or rent. CIWNFR' S SIGNATURE.- NATE': INSTALLATION ONL_Y----------------------- - SIGNATURE OF SUPR. ELEC' N: DATE: L_I CENSE. NO: +•+-++++++++++++++-f.++-1-++++++++++++++++++++++++++++.+++++++++*+++++++-+++++.+++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.is7Ties 5 day ++-► +++++++++++++++++4+++++-++++++++++++ !-+++++-++++++++-+++++4+++++++++++++++ ++++ id CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW BALL rsLVD. Recdey._' �'- TIGARD OR 07223 Date Recd I !1 f�`'� i [� Date to P.E., Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Permit a� Fax (503)684-7297 Incot.�plete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: I Name of Development y IA.�eu 1� W r1 DIZA'rrr° Number of Inspections per permit allowed Name(nr name of business)Sit k. e a✓e Service included: Items Cost Sum Address. ��g k ►G (A-)1 4a. Residential-per unit C;ity�State/Zi lam_ 1P R 1000 sq.It or less _ _ $110.00 q p _. Each additional 500 sq.ft.or portion thereof $25.00 1 Commercial Residential ❑ Limped Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _.._ $68.00 (Attach copy of all current Ilcenses� 4b.Services or Feeders E=lectrical Contractor •i F ,' +{ , t-a c Installation,alteration,or relocation 200 amps or less $60.00 2 Addr `r y 11 a 201 amps to 400 anfps $80.00 2 City t!State��)L Zi- 401 amps to 81>d area $120.00 _� 2 Phone No. .3 d "" e �4 eat(� _ 601 amps to 1000 gimps $180.00 2 Job No.�_ Over 1000 amps or folts $340.00 2 y -r►- -- Reconnect only $50.00 - __ 2 Elec.Cont. Lice. No. Exp.Date _ OR State CCB Reg. No Exp.Date., G 4c.Temporary Serviceb or Feeders COT Business Tax�t[S1 O. Z C __Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 Signature of Sti r. Elec'n _ 201 amps to 400 amps $ 2 g p -- 401 amps to 600 amps $100.0100.0 0 2 �1 r Over 600 amps to 1000 volts, License NrL11 � Exp.Date1 ._ see"b"above. Phone IN �Tj� 1 ez.��C� -- qd.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ feeder tee. Address_ Each branch circuit $5.00 _ __. CI State_ Zln b)The fee for branch circuits City- - -- - without purchase of Phone No. _ -� _ service or feeder fee. First branch circuit $35.00 7 The installation is beim made on property I own which is not Each additional branch circuit_ $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature__ _ Each pump or irrigation circle $40.00 _ Each sign or outline lighting ! $4000 - 1 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 _ _ Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00-- 4 or more residential units in one structure 4f.Eac h additional insper don over _ Service and feeder 22.5 amps or more the allowable In any of tr a above System over 600 volts no,niroil Per inspectinn $35.00 Classified area or r' :ctulr.c,lntaining special occupancy I Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $E5.00 *Submit 2 sets of plans with application where any of the above acply. 5. Fees: Not required to, temporary construction services. 5a.Enfer total of abov a tees $ --- 5%Surcharge(.OE X total fees) $ NOT I C:E Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if recLui ed(Sec.3) $ - -NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal 3 IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account ft-, Tata)balance Due is%DST8TLC96 APP Rev 9'96 CITY OF TIGAR D PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM1999-00129 13125 SW Hall Blvd., Tigard OR 97223 (503) 639-4171 DATE ISSUED: 4/26/99 SITE ADDRESS: 13815 SW PACIF=IC HWY C PARCEL: 2S103DD-00800 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 0 BACKFLOW PRFVNTRS: OCCUPANCY GRP: M ' LOOR DRAINS; TRAPS.- STORIES: RAPS:STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI for hair salon FEES _ Owner: - Type By Date Amount Receipt EMPIRE ENTERPRISES INC — - — ATT N: YANG-JUN SHIN MISC BON 4/26/99 $1.35 99-314856 AFT ST PRMT BON 4/26/99 $27.00 99-314856 Total $28.35 Phone 1: Contractor: CHARLIE HALL PLUMBING CO 5515 SE SCHILLER PORTLAND, OR 97206 REQUIRED INSPECTIONS Phone 1: 724-2686 Top-out Insp Reg #: LIC 130043 Final Inspection PLM 26-649PB I his permit is issued subject to the regulations contained in the Tigard M_ nicipal Code, Stale of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expiry if work Is riot started within 180 days of issuanrp c• i, work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. These rules are set forth in OAR 952-000'1-UO10 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: � �� �1,%�,� _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By — TIGARD, OR 97223 Date Recd --- -�1 (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit#�_NfZq Related SWft 0 Called Narpor DevOopment/Projecl FIXTURE' ",+dIvIdual) QTY PRICE AMT Job 2 rl �tl fj ! (� 6�r1QC Sink _- YY 9.00 Address Street Address Lk./ _ Suite /. Lavatory 9.00 1_j �'A�t 44,* ` - Tub or Tub/Shower Comb. 9,00 Bldq# City/elate Zi Shower Only y.00 1 �t�Q Name L' Water Closet 9.00 _ ollna3 Dishwasher 9.00 Owner 7AVress Suite Garbage Disposal 9.00 -- I ra If W , 5 Washing Machine 9A0- __. C?/State Zip. Phone �r p I !1 J + Floor Drain/Floor Sink 2" _ 9.00 1 t (, � , ( 3" 9.00 Name U(�, ,, ('I40 c_ 4" 9.00 Occupant Mailing 4d ss ( Suite Water Heater O conversion O like kind 9.00 C , P c� la •re. � � 1 Gas piping requires a separate_mechgnlcal permit city/ ate Zip (77,,e. Phone Laundry Room Tray +-�' t-. + r+v, C,.A,.�k vs- JS Urinal 9.06 i. NameI J Other Fixturus(Specify) 9.00 Contractor M lift Address Suite � �t\w� C1 C' Irl /L'�_ � 9.00 9.00 Prior to permit cityffitate (( Zip Phor]e / Sewer-1st 100' 30.00 issuance,a copy (r aJr l) /f `1 .3 L {nLr 5 fn Sewer-each additional 100' 25.00 of all licenses are Oreg n Umst.uonl,Board LIc.# Exp. _a!e ' Z C - required If 1 t (:+t-{ Water Service-1 at 100' 30.00 expired in COT Pum ng Lit,#(� 1 Exp. at 1 Water Service-each additional 200' 25.00 K database +' (, / 7 r , Storm&Rain Drain-1st 100' 30.00 Nam,, Storm&Rain Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City/State Zip Phone Residential Backflow Fravention Device' 15.00 (Irrigation timing devices require a separate Describe work tr.be done: restricted ever erm ) New O R,.pair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential Q Commercial 4 Catch BE sin 9.00 Additional do:crip(lcn of work: fid 4, 1 1 I - — i(� w'"r, Insp.o'Existing Plumbing K30.00 r, t r i��^` V� quested Inspections J VJ �' L 1�..t 1.. " - - Are you capping, moving or replacing any fixtures? Rain Drain,single family dwelling Yes O No a Grease Traps :f yes,see back of form to Indicate work performed by -- - QUANTITr TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTI IRE Isometric or riser diagram IsrequlredifQuan1H 1ot3IIs >4 WORK COULD RESULT IN INCREASED SEWER FEES. 'SLBTOTAL �,., _i hereby acknowledge that I have read this application,that the Information given is correct,that I am the owner or authorized agent owner,and 6%SURCHARGE that plans submitted are In compliance with or;,dte Laws. _ �' t. sl Ttu of OwnerlAgent ' Date "PLAN REVIEW 25%OF SUBTOTAL tt C_,_ Re ulreAonyH fix uro total Is>9 _ TOTAL Contact Person Name Phone 14-A / 7� o�� S - 'Minimum pertnit to,Is$25+5%surcharge,except Residential Backflow f , / Preventio^^^ whirr Is$15+5%surcharge L�' **All New Commercla'Buildings require plans with Isometric or riser diagram A k)o and plan review I WssaHlumnr4,Ix Mme PLEASE COMPLETE: Fixture Type _ Quantity by Work ,performed �a 1�o New i Moved Replaced Removed/Capped Sink 7, Lavatory Tub or Tub/Shower Combination Shower Only Water Closet _— Dishwasher Garbage Disposal Washing _Machine _ Floor Drain/Floor Sink 2" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) _ COMMENTS REGARDING ABOVE: 1415WrIum sp)dor 7/7198 � Accumulative Sewer Tally Tenant Name �: ZA �� 'l LAJ."� This SWIG# to Address: I \ i,-Ax ,e t_tJ ' This PLM#: ravi M 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 Baptistry/Font 4 _Bath -Tub/Shower 4 _ _ -Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 T_ - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwashar -Commercial 4 _ -Domestic 2 Drinking Fc,,!nlairn 1 _ Eye Wash _Floor Drain/sink-2 inch 2 --� _ 3 inch 5 4 inch 6 _ _— Car Wash Dm 6 __-- Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 _ -Industrial(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 ^Sink- Bar/1_avatory 2 _Bradley 5 _ -rommerclal 3 LIP _ Service 3 Swimming Pool Filter _1� Washer- Clo!hes 6 �— Water Extractor 6 Water Closet-Toilet 6 Urinal 9 TOTALS Z J / Total Fixture values: �� _divided b"yfi�=f ?5 EDU 'DO � IJIST(JRY - _PLM# O� Sj EDU# SWR#I�V-00 PLM' EDU# _ SW_R# PLM#��,�.� , EDU# -� --SWR# — _ PLM# EDU# _ SWR# - — PLM# —DU SWk+� PLM#_ _ EDU#_ _ SWR# ^PLAA,# EDU# SWR# - I PLM# - EDU# - SWR#� � is swrtaly doc 1.110 ( O� TIGARD ELECTRICAL PERMIT' — COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY 13125 SW Hall Blvd.Tigard,Oregon 97123.8199 (503)839-4171 PERMIT #1: ELR96-01:'4 DATE ISSUED: 04/2(5/96 PARCELa 28103£)[1 -•00600 SITE ADDRESS. . . : 13615 SW PAC I F I L" HWY #C SUBDIVISION. . . . : ZONING:C-6 HL.OLK. . . . . . . . . . . LUT. . . . . . . . . . . . . . Pr-oJect Desc, .iption : Installing protective signaling. A. RES?DENTIAL—_._-----__ P. COMMERCIAL-------------------------------- ---------- AUDIO —_____...__-._------------------- ---------.AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & P SING. . : BURC:LAR ALARM. . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . a GARIA iE OPENER. . . . : CLOCK. . . . . . . . . . . . MED I CAL.. . . . . . . . . . . . : HVAC DATA/TELE COMM. . : NURSE CALLS. , .. . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: . . HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X I NSTrRUMENT AT 1 ON. : OTHER. . : 1 : TOTAL #1 OF SYSTEMS: i Applicant : HAM RAD10 EQUIPMENT type amount by date recpt 1,3815 SW PACIFIC HWY PRMT $ 40. 00 CJS 04/29/96 96-275703 5PCT f 2. 00 CJS 04/29/96 96-278703 TIGARD OR 97223 Phone #: 503-598--47:36 Contractor: --- ----- -__.________...__.__ ____.__._____.__.__ ___ __-___—_ _.___.___._.--_--_-•_-___ L49 wr fFf-T43T*�q N4?T 6#4 IAC P $ 42. 00 TOTAL IJP7' 5ecu *1. 703 tie REQUIRED INC-PECTIONS -- i01rlA�d,"" 4�a'� Wall Cover E: �ct' 1 Final Vlhone #a Llect' 1 Set'vic-p Reg #. . : This perct is issued subject to the regulations contained in the _� __� _ _• _______-,. f,gard Municipal [:ode, State of Ore. Sperialty Codes and ail other Vler^mitee Signatl.lre applicable laws. All work will be done 1n accorden�e with approved plans. This permit will eMp1r? if work 15 not started within 180 days of issuance, or if week 15 suspended for @ore than 18Vt days. I s s l.1ed By _. ..(1W1fl-R INSTALLATION The installation is being made on property 1 own which is not intended for" sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION AUTHORIZED SIGNATUREll611 DATE: _Y:_a99- q,6 r LICENSE NO: Call for inspection -,39-..4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd Tigard,OR 97223 PERMIT#AJR96-0lab Phone(503)639-4171 FAX(503)684-729; DATE ISSUED y/- 29. 96 1.Au�@ TDD No. (503)684-2772 CITY OF TIGARD Ir,spection (503)639-4175 ISSUED BY Cho,lrr PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTA LAT N 4. IYPE OF v'rORK Artrl yy_r RESIDENTIAL--Restricted Energy Fee. . . . . . . . . L4QM 7 u OR Ali tiYS I I MY City State Zip S 1t�skpf Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK C Audio and Stereo 5 stems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y 180 DAYS. ❑ Btirglar Alarm ❑ Garage Coor Opener' 2. CONTRArTOR APPLICATION U heating,Ventilation and Air Conditioning S,,.,tem• Contractor AM SfCt1RITY STEMS,X11 e + 161 ME MAWMOCN ❑ Varuum Systems 'P � IORTLANO,OR 91211 EJOtlher Address , , �J2N-32W'_- -- ----------- ------ -- ------ Date,_! _ _ —_ COMMERCIAL---Fee for each system . . . . . . . )140.00 (SEE OAR 918-260-260) Property Owner I�� _f _ � Chgck 1),;ne of Wurjrinly%; Q Contractur's Board Reg. No. ��j ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# - — ------- ❑ Clock Sysl ms 3. COWNER A LICATION ❑ Data Telecommunication Installations CQ U Fire Alarm Installation ❑ i-t VAC P4tnle,'s Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City Stale Zip ❑ Medical this permit is Issued ander OAR 918.320.370.This applicant agrees in make only L Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following. 1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling residential and other transactions are exempt front Ilcen,inK These have Other asterisks(•).All others need licensing). -- — 2. Call to,an inspection when all of the installations under this permit are ready for Inspection at 503-639-4175. ❑ Number of Systems 1 Purchase soparate perm is for all Installations that are not ready for Inspection when the inspector Is out to inspect under this permit. •No licenses are required. License r are required for all odw Inolhtims. 4. Assume responsibility fur assuring that all corrections required by the inspector are dnne,and 5. Assume remonsibllhy for calling for a .I inspection when all of the 5. FEES corrrstions are completed. The person signing for thi It must he the applicant or a person a. Enter Fees $_'T�r U authorized to hi the a li nt. b. 5% Surcharge(.05 x total above) $ Signatu �'7TAL Authority if ether than applicant FNrRGAP.i'HP CITY O F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC1999-00267 DEVELOPMENT SERVICES ' E ISSUED: 5/4/99 131.5 SW Hall Blvd.,Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S103DD-00800 SITE ADDRESS: 1381 , SW PACIFIC HWY C SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of one !:ranch circuit for wall sign. RESIDENTIAL UNIT _ TEMP SRV'C/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/PANE: MANF HMI SVC/FOR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICF,IFEEDER BRANCH CIRCUITS —_ _ ADD'L. INSPECTIONS 0 - 200 imp: W/SERVICE OR FEEDER: _ PER INSPECTION: 201 - 400 amp: 1 st W/O SRV-- OR FDR: 1 PER HOUR: 401 - 600 amp: EA ArEoL BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: — >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only:__ ___ SV(:/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EMPIRE ENTERPRISES CURRENT SIGN CO � ATTN. YANG-JUA SHIN DAVID LARSGAARD 422 RAiLWAY STREE t 7720 SW BONITA RD TIGARiD, OR 97223 Phone: Phone: 684-7946 Reg #: LIC 068501 PLM 176sig i FEES I Required Inspections Type By Date Amount Receipt Elect'I oervice _ PRMT DRA 4/26/99 $40.00 99-314841 Ele�t'I Fina! 5PCT DRA 1/26/99 $2.00 99-314841 Total $42.00 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 0 work is suspended for more than 180 days ATTENTIO"J Oregon law requires you to follow r Qapted by the Oregon Utility Notrfication Censer Those rules am set forth in OAR 952-001-0010 through OAR 952-001-0080 You may o in copies of these rules ordirect questions to OUNC at(503) ?46-1987 ) J o,� n tore: ZLp� Issued By: r mit Sig a `'I-, -- _ OWNER INSTALLATION ONLY I I:e installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: —� CONT!2ACTOR INSTALLATION ONLY CIGNATURE OF SUPR. FLEC'N: � �� � QATE: LICENSE NO: --- /6�r� ---- — -- - - Call 639-4175 by 7:00pm far an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check#_ 13125 SW HALI_ BLVD. Rec'dBy TIGARD OR 97223 Date Recd Phone(503)639-4171, x304 Date to P E.Date to 11 ST Inspection (503)639-4175 Print n. TypeDate # 999' c7 Incornpleta or illegible will not be accepted 1 0021 Fax (503) 5913-1960 Called r1. Job Address: 4. Complete Fee Schedule Below: Name of Development 0.-/-T! Number of Inspections per permit allowed Name(or name of business) /�__ — Service included: ;tz ms Cost Sum Address / _ } il (.t1 4a. Residential•per unit — 1000 sq,ft or less $110 00 4 City/State/Zip lkt t— Each additional 500 sq.ft.or portion thereof $25 00 1 Commercial, Residential Ej Limited Energy $1'0r 00 Each Manufd Home or Modular Dwelling Service or Feeder $r,6 00 _ 1 2a. Contractor installation only: ab.Services or Feeders (Attach copy of all current license ) Electrical Contractor Ael Installation,alteration,or relocation 200 amps or less $6000 _ _ Address r 201 amps to 400 amps — $8000 _ 2 ":Ity State Zlp401 amps to 600 amps $12000 2 Pho a o. 1 8u1 amps to 1000 amps $18000 2 Job No. — 1 Over 1000 amps or volts — $34000 2 Elec. Cont. Lice. No. Exp.DateReconnect only $50 00 2 _ t^- - —OR State CCB Reg. No, 4c.Temporary Services or Feeders COT Business Tax or MetroN Exp.D to Installation,alteration,ur relocation 200 amps or less $50.00 1 201 amps to 400 amps $75(10 -- 2 Signature of Supr. Elec'n l 401 amps to 600 amps — $100 00 _ Over 600 amps to 1000 volts. License No. --'( 6 Exp.Dat 117 f ' al q �`! see"b"above. Phone No. — 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)T'ae fee for b.anch circuits with purchase of service or Print Owner's Name feeder fee. ---- Each branch rircuit $5 00 2 s. Addres -- —-- _ - hl The tee for branch circuits City ;flip 71F without purchase of Phone N0._ _ service or feeder fee. ——"— First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuit $5.00— Intended for sale, lease or rent 4e.Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $4000 - ---,--- ---�-- �' Each sign or outline lighting $40 CO 3. Pla,t Review section (if required).'' Please check appropriate Item and enter fee in section 5B. 4f.Foch additional Insipectlon 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 $3500 —_ System over 600 volts nominal Per hour $5500 Classified area or structure containing special occupa-icy In Plant $55 00 as described ir,N E C Chapter 5 5. Fees: `Submit 2 Sets of plans with 3pplicatlon where any of the above apply. 8a.Enter total of above tees Not required for temporary constnaction services. 5%Surcharge 105 X total fees) $ Subtotal $ NOTICE 8b.Enter 25%of line tfa for Plan Review If required(Sec 3) g �_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $ __ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK �— IS SUSPENDED OR ABANLI014ED FOR A PERIOD OF 180 DAYS AT ANY Trust Account# TIME AFTER WORK IS COMMENCED Total balance Due $ / 1 ,\DST\ELEC98.D0C REV 4198 Y ��— CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business line: 639-4171 BUP Date Requested__3 —AM —PM — BLD Location__-2-a ��Z )C: Suite U � WC Contact Person �L L- _ Ph 'JZO'P:7t PLM Contractor _— %Vl 19 Ph — SWR BUILDING --- Tenant/ wn ? VG11�1/1 �'yk2 ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain Slab Crawl Drain Inspection Notes: AGN ----__—.._— l i n SIT Post& Beam --- ------- Fxt Sheath/Shear —_- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Miscue-- -------------- Final PASS PART FAIL_ -- -- — — --- — PLUMSING Post&deam - - - ---_ -- --- -- - - -- -------- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - PASS PART FAIL. MECHANICAL Post& Bearn Rough In Gas Line ----- --- Smoke Dampers Final - - — PASS PART FAIL T _ Service Rough in UG/Slab Low Voltage �- Fir Alarm _ - - i PART FAIL Wff— Backfill/Grading - -------- — ----"---- - --- -- Sanitary Sewer Storm Drain ]Reinspection fee of$ ---required before oex! inspec'lon. Pay:ni�,iir `fall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call fnr reinspection RE: [ J Unable to inspect- no access ADA Approach/Sidewalk /� Other Date _7112 Z) -� e Inspector — - --- -- Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job iiite. CITY OF TIGAiRD BUILDING INSPECTION UIVISION MST 24-Hour inspection Line: 639-4175 Business Line: 639-4171 --------------- BU Date Requested- - `� j q _AM +PM BLU Location I >>�(� �� — Suite iJIEC _q Contact Person [ l,( Ph �� PLP.", � /Z Contractor _ Ph SWR BUILDING enaClwner �1� �� ,LC_—r _ E.LC — ' - Retaining Wall Footing _ ELR ACCeS5 Foundation FPS Ftg Drain -- Crawl Drain Inspection Notes — SGN Stab -- ---- -- ---- - -- ------------ - SIT Post& Beam ---- Ea'Sheath/Shear Int Sheath!'3hear "�" --- ----- - - Framing Insulation Drywall Nailing Firewall - -- ---------- - -- Fire Sprinkler Fire Alarrr. Susp'd Ceiling Rout Mi!;c: _ r Ind! P PART FAIL - ---- --- Under Slab Top Out - Water Service Sanitary Sewer —.__.--__---_- Rain Drains AS PART FAIL CHANICAL ---- - --- - -- Post& Beam - Rough In — Gas Line Smoke DamperS Final -- PASS PART FAIL ELECTRICAL - ---- ---- — Service Rough In — '— - -- -- UG/Slab _ Low Voltage Fire Alarm Final _ --- -----_. --- PASS PART FAIL _ SITE= Packflll%Grading ----------- -- ----------- -------- -- Sanitary Sewer Storm Drain ( I Reinspertinn fee of$_ - _- required before next inspection. Pay at City Hall, 13126 SW rlalf Blvd Catrh Basin Fire Supply Line [ )F lease call for reinspection RE. _ __- _ [ j Unable to inspect-no access ADA Approach!Sidewalk Other _ Date _. Inspector -- —__._—.Ext Final PASS PART FAIL DO NOT' R 0VE this inspection record from the job site. I I CITY OF TIGARD STOP WORK ORDER BUILDING DWISION COPY 13125 SW FIA!A.BLVD.,TIGARD, OR 97223 FILE 639-4171 JOB ADDRESS: 1 PERMIT#:,A,,,+c r OWNER: "ONTRACTOR: YOU ARE IN VIOLATION OF TI4F, FOUL WING: go AND HEREBY NOTIFIED THIS '. DAY OF _ 19 AT _M, THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE AE VE VIOLATION HAS BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN DAYS Oi= THE f )VE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE ISSUANCI:OF A CIVIL INFRACTIONS SUMMONS. -DO NOT REMOVE THIS NOTICE- . � BUILDING INSPECJOR CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —------- -_--- / BUP Date Requested,— y�- —AM_ PM --- BLD _— Location— 13 ;IS— f12� _ Suite —_ _—_— MEC Contact Person --_ `� !`— PhPLM Contractor_ i17� l/� — -- Fh SWR ---- -------- BUILDING Tenant/Owner -_— <.�y -_3�r>/,�' ��,_ I ELC Retaining Wall / ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes' --—--- — — Slab -- ------- ---- ------ - SIT _ Post& Beam --- �- t=xt Sheath/Shur Int Sheath/Shear Framing �— -- --- --- -- -- -------- ---------------- Insulation - � Drywall Nailing Firewall Fire Sprinkler -- ___-- -----__-------_--^ -__-- Fire Alarm Susp'd Ceiling --- - --- - --------- - - ---- Roof 'Aisc - -- --- -- --- _ _ --.- Fioal --i-------- PASS PART FAIT_ ---------- -_ - - _-._ _ _----_ - _--,- PLUMBING Post&Beam -- - -- -- -- --- -- ----- -------. Under Slab Top Out -- -- ---- - - -- - - - ----- Water Service Sanitary Sewer Ra'n Drains Final -------- - PASS PART FAIL. MECHANICAL Post&Beam - Rough In Gas Line - - - --- - Smoke Dampers Final - ---- --- -- -- P PART FAIL ELECTRICAL Rough In UG/Slab Low Voltage Fire F term --_-- --- _- __- AA PART FAIL __- 51T 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 RE:reinspection Please(-.It for reins inspect-no access Fire Supply Line [ ] p - _--_. _ ( J ADP. Approach/Sidewalk Date �� Ins ector �' �I��- Ext Other - - - ----- - p - �--� "- - - -- �L■ ---- Final PASS PART FAIL DO NOT REMOVE +this inspection record from the job site. Ci TY OF T I G A R D __ELECTRICAL PERMIT T PERMIT#: ELC1999-00238 DEVELOPMENT SERVICES DATE ISSUED: 4/21/99 13125 SW Hall Blvd., Tiaard, OR 97223 1503) 639-417-1 PARCEL: 2S103DD-00800 SITE ADDRESS: 13815 SW PACIFIC HWY C SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 1 braw;h circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS l 1000 SF OR LESS: 0 - 200 amu: PUMP/IRRIGATION: EACH ADD'L. 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 60't '-lmos - 1000 volts: MINOR LABEL (10): - _SERViGE/FEEDER BRANCH CIRCUITS ___ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER. PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp. EA ADD'L BRNCH CIRC: IN PLANT: 601 - 000 amp: _ _ PLAN REVIEW SECTION '10004 amolvolt: >=4 RES UNITS: > 600 VOLT NOMRJAL �— Reconnect only: SVC/FDR >_ 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EMPIRE ENTERPRISES TEAM FLECI-RIC CO ATTN: YAN('-,-JUN SHIN 0400 SE CLACKAMAS RD 422 RAILWAY STREET CLACKAMAS, OR 97015 Phone: Phone: 557-7180 Reg #• LIC 004733 SUP 1819S ELE 3-225C _ FEES Required Inspections Type By Date — Amount Receipt — Elect'I Service PRMT DRA 4/21/99 $35 00 99-314726 Elect'I Final SPCT DRA 4/21/99 $1 75 99-314726 Total $36.75 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes ani.SII other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not;farted within 180 days of issua.•ce,or work is suspended for mere than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by i:,:�Oregon Utility Notification Center. Thosr rules are set forth in OAR 952-001-0010 through OAR 952.001-0080. You may obtain oopies gf#vese rules ordirect questions to OUNC at(503) 246-1987 Permit Signature: - Issue By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sa;e, lease, or rent. OWNER'S SIGNATURE: _ DATE:_-__ _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: ...0d0 cn-f�4-�- "'NTE: LICENSE NO: _ I$/ 9 .`)— - --- —� — - Cai' 8:+3-4175 by 7:00pm for an inspection the next business c ay RECE166munity Development ELECTRICAL PERMIT APPLICATION 3125 SW Hall Blvd. AAPR 2 1. 19��Tigard, OR 97213 Planck/Rec. # _ _. Permit # tt,�,j499- °0%1.39__. �_._.. LAITY UEVEL01'► ne (503) 639-4171 Date Issued Al-j9 — --- FAX (503) 684-7297 Issued b — CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job mddres:i: 4. Complete Fee Schedule Below: ar'n Number of Inspections per permit allowed Name of Development—FI 3 z ,I /�^; V. V Address S ��?• �!tr/1�w y s4 i 111< Service included: Items ost(ea) Sum City/State/ZI�'--�-' / yI� '! L'� {� _ 4a. Residential• per unit '1 �— 1000 sq 11 or lase $11000 Ench no,' dional 500 an It or Name (or name of business) Na Z a Nei r Gar L portion hereof $2500 Limited Ene gy __ $2600 Commercial Residential❑ Each Manui d Nome or Modular ^' Dwelling Service or F'eader $6800 2a. Contractor installatiOr: only: 4b.Serviros or Feeders irnlallabon.Alteration.or relocation 2 Electrical Contractor r _ I,� __ 200 amps or lass sso 00 _ s 1�/��C> S �. ��Gk m i 9 cf _ 201 amps to 400 amps =_ 00 Addros — ao1 amps to 600 amps $120120 00 city /a.. ;2 ) StateC$_ Zip t 7n l..J 601 amps to 1000 amps $18000 Phone No.• U Over 1000 amps or Vohs $040 00 L—�-1— Reconnect only $50 00 _ Contractor's License No._,� Contractor's Board Reg, No. 4c.Temporary Services or Feeders 2 installation alteration,or reloration Signature of Supr. Elec'n 200 amps or lass $50 00 201 amps to 400 amps $7500 License No.--z­S <!2 Phone NOl:r...�n' = 401 amps to 600 amps $10000 16-1-61 Over 800 amps to toxo Vohs 2b. For owner installations: see Wabove 4d. Branch Circuits Print Owner's Name New.alteration or elneniion pe,panel Address __ _ a)The Ise for brar.n circuits will? State zip purehaaa o►rervlos or leader tire. City -- Each branch cit-cid _ $5 o0 Phone N0. — _ _ b)The tea for branch circuits wtthoW — The installation is being made on property I own whir,Il Is purchaaa or am vice or boder roe.First branch circwl t '00 _ not intended for sale, lease or rent. Each Additional branch arcuil y'00 Owner's Signature __ 4s.Miscellaneous (Service or feeder not included) Each pump cr irrigation circle $4n no 3. Plan Review section (if required): Each sign c,outline lighting $4000 _ Signal circuit(s)of a limited energy Please check appropriate item and enter fee in section 5B. panel alteration or aidenstnn $417)00 _ 4 or more residential units in one structure Minor Labels(10) $1000a Service and feeder 225 amps or more 4t. Each additional inspection over =System over 600 volts nominal the allowable in any of the above Classified area or structure containing spacial occupancy par inaper,tior, $0500 at,described in N.E.C.Chapter 5 per no,,, $5500 In plAn, r155 oo Submit 2 sets r7f plane with application where any of the above apply. No,required for temporary construction services. 5. Fees: So. Enter total of above fees s �O NOTICE 51,16 Surcharge(05 X total fees) $ I. Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review If required(Sec.3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ _ A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account ft $ Balance Due s ` J� welUmndM�Mr`Ism RP n / \ C 11'Y OF T I G A R D _ _ ELECTRICAL PERMIT PERDEVELOPMENT SERVICES DAT[ ISSUED: 4/20/99 99 Oo237 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL: 2S103DD-00800 SITE ADDRESS: 13815 SW PACIFIC HWY C SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION!: TIG Proiect Description: Installation of 5 br.--10 circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ _MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: ~� PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN!OI)T LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS___ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 (;00 amp: EA ADLYL BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 10004- amp/volt: >=4 RES UNITS: > 600 VOLT_N_OMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EMPIRE ENTERPRISES AMP ELECTRIC ATTN: YANG-JUN SHIN 9400 NE 4TH PLAIN RD 422 RAILWAY STREET VANCOUVER, WA 58662 C4 N q-z,f 0 4 te Pr t Phone: Phone: 222-1647 Reg #: LIC 000781 SUP 38695 ELE 37-5610 FEES Required Inspections Type By Date Amount Receipt Elect'I Service 4 PRMT DRA 4/20/99 $5E.00 99-314676 E_lect'I Final 5PCT DRA 4/20/99 $2.75 99-314676 Total $57.75 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 wort will be done in accordance with approved plans This permit will expire if work is not started within 180 days cf issuance or d work is suspended for more than 180 days. ATTENTION Oregon law requires you to fellow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 tnr�t OAR 952-001-0080 You may ob.ain copies of these rules or direct questions to OUNC at(503) 246-1987 Permit Signature: = /- Issleci Fly: OWNER INSTALLATION ONLY The installatiu n is being made on property I own which is not intended for sale, lease or r gnt OWNER'S SIGNATURE: DATE: CONTRACTOR/INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: __/k DATE: U ' LICf.:NSE NO: Call 639-4175 by 7:00pm for an inspection the next business day CITY Or TIGARD Electrical Permit Application Planc 13125 SW HALL EIL.VD. Ra�dl6y TIGARD OR 97223 Date Recd y- Date to P.E. Phone (503)639-4171, x304 — Prir� or Type Date to DST Inspection (503)639-4175 Permit# lqq Fax(503) 598-1960 Incomplete or illegible will not be accepted Called 1. .lob Address: � 4. Complete Fee Schedule Below: Name of Development_ Z_z—_ � 1�__ _ Number of r-ispection� per permit allowed --- Name(or name of business) /j✓�-+�vZ Service included: Items Cost Sum Addressf_ ��Y.—C L Z � 4a. Residential-per unit 1000 sq.It or less _ $11000 4 City/State/Zip-"'rl El _ _ _ Each additional 500 sq.ft.or CommercResidentialportion thereof _ $25 00 1 Limited Energy 825.00 Each Manufd Home or Modula, _ 2 2a. Contras for installation only: Dwelling Service or Feeder $68.00 (Attach col. r of all rrent or licenses) 4b.Services or Feeders Electrical Contrac. Installation,alteration,or relocation ' � E-'�-�—� -- - 200 amps or less $60 00 _ 2 AddressllLr �r ' rJ 201 amps to 400 amps $80.00 _ 2 City. State Zip 401 snips to 600 amps $12000 2 Phone N0. -dc-C.) 1 "t'��,/97 Jy 601 amps to 1000 amps $18000 —_-, 2 Job No _z — Over 1000 amps or volts $34000 2 Reconnect only Elec. Cont. Lice, No -�?-5.�, / Exp.Date � $50.00 2 ---- OR State CCB Reg. No.���2__Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro Exp.Date /I-/ 1 y Installation,alteration,or relocation .�, 200 amps or less —� $50.00 _ 201 amps to 400 amps $75.00 _ - 2 Signature of Supr E_le =_ 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts, License No _ Exp.Date sae"b"above. Phone No _.- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch clrcuita with purchase of service or Print Owner's Name feeder Me. - ------ ----- Each branch circuit $500 2 Address b)The fee for branch circuits City ^_ State— Zip___ without purchase of Phone No. service or feeder fee. - — First branch circuit $35.00 J S� — 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease)r rent 4e.Miscellaneous (Service or feeder not included) Owner's Signature Eacn pump or Irrigation circle $4000 2 Each sign or outline lighting $4000 _ 2 3. Plan Review section (if required): Please check ap),rollriate Item and enter fee in section 5B. 4f.Each additional inspection over 4 cr more residential units in one structure the allowable in any of the above _S,arvice and feeder 225 amps or more Per Inspection $35.00 _ System over 600 volts nominal Per hour $55.00 -- __ Classified area or structure containing special occupancy In Plant - $55.00 as described in N E.0 Chapter 5 5. Feed: �. *Submit 2 sets of plans with application where any of the above apply. Be.Enter total of above fees Not required for temporary constri rction services. 5%Surch,irge(05 X total fees) g _ f 'subtotal $ -- _NOTICE 5b.'enter 25%of line 6a for ';Ion Review If required(Sec.3) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS .Subtotal $ _ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account# C 7 C TIME AFTER WORK IS COMMENCED Total halance Due $ I:\QST\ELEC98.D0C REV 4/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MsT 24-Hour Inspection Line: 639-4175 Business Line: 639-411711 — euP — — bate Requested '7 AM PM _----- __ BLD Location / /� P '4'c . t._ Suite MEC Contact Person — Ph -- — — PLM Contractor +_ _ Ph SWR UILDING �_� Tenant/Owner ELC --- -- mg Wall ELR Footing Access: Foundation FPS Ftg Drain _ SGM Crawl Drain Inspection Notes: -- --- Slab ---------- _�— —-----— ---- SIT Post&Beam --"------- ---- F_xt Sheath/Shear Int Sheath/Shear Framing ------- ---- - --- - --- — ------ - Insulation Drywall Nailing --- __—.-- —_ ___—.-- _---- -----.�_- -- Firewall Fire Sprinkler _-- Fire Alarm Susp'dCeiling --------- ------- Roof Misc --- -- — ------- - - -- - --�—,_— PARTFAIL — - ------ - -- - - - ------.--- -------—. PLUMBING Post t4 Bearn --------------- -------. --- -- ----- - --...._.. Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL._ _ Post R Beam - - - --- Rough In Geis Line - - __ ----- — Smoke Dampers Final _.— PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage - - Fire Alarm _----- __--- Final PASS PART FAIL 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 t I Please call for reinspection RE:__ _ ( j Unable to inspect-no access Fire Sunply Line ADA Approach/Sidewalk Other Date ' _ Inspector ► Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the jots site. CITY OF TIrARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BUP _ _ — Date RequestedM l t G\G� AM.---- PM -- BLD Location_ ! �>$ I E, �Q.c�,�.� .- Tom— Suite', ---_ � .�_ _ MEC --- Contact Person T < PhPLM '— Contractor J C. C.l � � - Ph SWR - - BUILDING Tengnt/Owner s _ - ELC ) Retaining Wall ELR Footing I - -__ Foundation Access: FPS Ftg Drain T- ---- Crawl Drain Inspection Notes ='r. , R — Slab SIT 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 Post&Beam -- Under Slab Top Out -------- Water Service Sanitary Sewer --- -- - ---- Rain Drains Final PASS PART GAIL MECHANICAL _ Post&Beam - ---- -... --- - tlough In �. Gas Line Smoke Dampers ~ - Final - -- --- - -- PASS PAR r FAIL - ELECTRICAL - — --- - --- Service Rough In _-- UG/Slab Low Voltage --- Fire Alarm AS PART FAIL SITE Backfill/Grading - - Sanitaiy Sewer Storm Drain I Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 5W Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: - _ [ ]Unable to Inspect-no access ADA f approach/Sidewalk -+ Oi;ier Date �� �. -- Inspector Ext Final VIZ;ZL - - PASS PART r-AIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD r"I1?:("T' DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard.OR 97223(503)639.4171 1:,M PCICTFT!": IIIAY 0D 0CII, cl J c., c-�i;,1.:-r:i.1:)ti.c)l-i Add one branch cirri.. ........ ............. ......................................... ................. 11 T�`�Cl 17 NE:131TEFITTAI ui-.rm' T I mr. 1�)I,A)U /I F.r iP -m sr oR I r o 0 C111 (•1X117"1.. 1�500131­ 0 i:'(.31. f"! i,("0.f."()UT I T 11 1 L" 1..T 0 0 III TT F:1) F I q F:R 0 Y., » (1) 401 C., 114% 1­111/ 13VC17.D r-:,, r 0 .......... ('.?00Pt)T r 11.7, ('111" V 1170171 (1 4(10 0 1 -,t W ..Ill( ?I IDUR 11 1-11. 6,0(%1 0 14) ()1>I1111 1 kF11T11 1 (:'T.)­..,(` 0 ('11.If .1.�V�11.. 1. :1.000 1:11, 011 F.I 4 f y (*)I.,,.. t)(11 y WIT QI >:!1:4 Pf­'­ 1!1,1 T'P`) 'If 17TC, I 13W IT I.-IWY 1­,1::T!*T* 1" 7 1,5 (1 ­P:_*. 31" !.J:r P :n,wl 111 HIA 1.13e;1*11 '3T1:J.:*1:**T R1::,(.AlTRr7P TIN151 Cf T011!1 ............I............ W, ........................................................ W.? is permit is issued subject to thk� regulations contained in tivm Tigard Pkinicipal Code, State of Oregon Specialty r.odes and W other .licablp laws. All work will he done in accordance with approved plans. This ppm't will expire if work is not started within 180 7 of issuance, or ;f work is susppidpd for more th 188 days. ATTENTION: Oregon law requires you to follow the Titles adopted by Oregon Utility Notification Center. T+•!"P TUleS P - forth in W.- 901-ffil -@@IS Nfi,m,iqh OM '19;1 "1.11107, You may obtain a col these !ules or direct qttestio" f, cal QW46­1987. ................. c m-i 1:t,(-,,A ................... CM1,111:11*%, r l IF 1011 1_011,f1H (11-M 07, I 1r) 9111111r)TUNI:7 ......... ...... ............. ....... ............ CIT Y OF TIGARD Electrical Permit Appiication Plan Check 4 13125 SW HALL BLVD. R d By TIGARD OR 97223 Cate RecdDate to P.E. Phone (503) 639-4171, x304 Print or Type Date to DST_ o ) Inspection (503) 639-4175 Incomplete or illegible will not be accepted PPrmlt a Fax (503) 684-7297 Called 1. Job Address: 4. Complete Fee Scheduie Below: Name of Development--H-c,L ----- Number of Inspections per perrilt allo.,ed Name(or name of business) CFTC Service included: Items Cost Sum Address �J (� '41a. Residential-per unit Cit /State/Zi =T1 1000 sq.ft.or less $110.00 4 Y P m Each additional 500 sq.ft.or Commercial 51 Residential ❑ Limitedportion thereof $25.00 I Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder s $68.00 _ (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor Jzi C , I Installation,alteration,or relocation 200 amps or less $60.00 Addr ,s.__1 1 201 amps to 400 amps $80.00 City State Zip- 401 amps to 800 a nPs $120.OU 2 PhoneNo �f `i 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Floc.Cont. Lice. No.'3 � 7- -q L Exp.Date )U 'reconnect only $50. --00 2 -__ OR State CCB Reg. No.\ \_1 S L _Exp.Date__A U.0 Irl 9 4c.Temporary 9ervlces or Feeders COT Business Tax or Metro No._ xp.Date_� Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n ) 7.01 amps to 400 amps $75.00 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. LfZ q Exp.DatejQ/O/ &I see"b"above. Phone No. 3(rci- T- 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ _ _ Nader fee. Address Each branch circuit $5.00 , -- -- - - b)The foe for branch circults City___ State _- Zip__ ___ - __ without purchase of Phone No. __ _ service or leader fee. -` First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature - . Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 - 3. Plan Review section (if required):* Signal clrcuit(s)or a limited energy panel,alteration or extension $40.00 _- Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above -System over 600 volts nominal Per Inspection ------- __.Classified Brea or structure containing special occupancy Per hour $`` oo --- as described In N.E.C.Chapter 5 In Plant g5`110 - - *Submit 2 sets of plans with application where any of the above apply. Jam. Fees: Not required for temporary construction services. Be.Enter total of above fees $ �_--- 5%Surcharge(.05 X total fees) $ NOTIL= Subtotal $ - 5b.Enter 250,1.of line 5e for PERMITS BECOME V-17)IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reguire (Sec.3) $ 1 _ NOT COMMENCED..,, tiN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account ft_- Total balance Due a sjGt�. 1105TSIFLCiN APP Rav W98 --- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _Date Requested /Z��f CXR AM.__477:77L_PM _ BLD location _? S — Suite o MEC _ Contact Person — _ ��, �_ ( Ph `;-r-Z��i PLM _ — Contractor _ Ph — SWR — ILDI_ Tr / lenant/Owner Jc_x i'Viy)' �y W/�� ELC Retaining Wall ELR Footing Access: FPS Foundation ?� I --- IFtg Drain '� ( SGN Crawl Drain Inspection Notes. - --�---- Slab ------------- SIT Post& Beam Fxf Sheath/Shear Int Sheath/Shea.- Framing heath/ShearFraming Insulation --------- ----- T — Drywall Nailing Firewall Fire Sprinkler - -- -- _ ----- --------—--- Fire Alarm Susp'd Ceiling Roof Misc: ' \)PART FAIL - -- ING Post8 Beam � --------------- -------- - -- ----- - - ---- Under Slab Top Out -- Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIT_ MECHANICAL Post&Beam --- Rough In Gas Line -- - - - -- — Smoke Dampers Fin.:l --- ------ - -- _._t ---- --- - ._. --- PASS PART FAIL ELECTRICAL Service IRough In C I UG/Slab --- ----- -- -- — Low Voltage I i ,Fire Alarm — -- Final PASS PART FAIL siTE Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call ivr reinspection RE _ [ j Unable to Inspect •no access ADA ) Approach/Sidewalk Date _ 2 �./V __Inspector _� ��_ _Ext Other Final Pass PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 639-41 11 �— BUP _. .—Date Requested AM PM __ BLD Location— 1` '> C� �2. / Suite 2_CK)U 77 Contact Person Ct` ? Ph .2 ;& - 3 220 Contractor _ Ph SWR BUILDING Tenant/Gvvner _ {Y'�C ' �- � "�P '� LSC Retaining Wall ELR Footing Access Foundation C -� FPS Ftg Drain SGN Crawl Drain Inspection Notes: ----- Slab ------ - -------------- — -- SIT Post& Beam -` Ext Sheath/Shear !nt Sheath/Shear Framing Insulation - - Drywall Nailing _ L Firewall /--_.__� _---��--- -------- Fire 3 rinkler Fire Alaim _ Susp'd Ceiling ___-- Roof Final PASS PART FAIL -- -- -- -----------____-._.-__ _ I Post8 Beam - —._..------------------------------- ----- --- --------- Urder Slab l c )Out � -- vVater Service (Sanitary Sewer Rain brains r PART FAIL. c IN I c AT 7 _ --____----- Post& Beam - - - __ ------ ------- Rough In Gas Line - - -------------- - - Smoke Dampers 1—Ina _-- ASS PARI FAIL TRICAL - --- Service _ Rough In UG/Slab Low Voltage --------- ---------__ —._-- J _ — Fire Alarm Final PASS PART FAIT_ SITE E3ackfill/Grading --" - Sanitary Sewer Storm Drain ( j Reinspection fee of$_ -- _required before next inspection. Pei at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RF _—-- [ j Unable to inspect-no access Fire Supaly Line ADA 1ch/Sidewalk Other Date _ In. ector —. _._ Ex ? — Final 44-1 PASS PAkT_ FAIL DO NOT REMOVE this inspection record from the job site. CIOF T I G A R D MECHANICAL PERMIT - DEVELOPMENT SERVICES PERMIT#: MFC2000-00047 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/ 6/00 PARCEL: 2S;03DU-00800 SITE ADDRESS: 13815 SW PACIFIC HWY '10 SUbUIVISION: ZONING: C-G BLOCK: -LOT: JURISDICTION: TIG CLASS OF WORK: ALT' FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VE14TS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL_ r'./PES __ 0 - 3 HP: t v DOMES. 1NCIN: GAS s - 3 - 15 HP: 1 COMML.. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: Fli E DAMPERS?: 30 - 50 HP: ODSTOVESi GAS PRESSURE: 50 + HP: C FURN < 100K BTU: 1 AIR HANDLING UNITS CLU DRYERS: OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: > 10000 cfm: GAASSOUTLETS: I Remarks: Replace two (2)gas pack and duct work connected to e•,isting gas pipe Owner: -- FEES _ __ EMPIRE ENTERPRISES Type By Date Amount Receipt ATl"N: YANG-JUN SHIN PRMT BON 2/116/00 $68.70 00-321742 422 RAILWAY STREET 5PCT BON 2/16/00 $5.50 00-321742 VANCOUVER, BC V6A 1 B1 PLCK BON 2/16/00 $17.18 00-321742 Phone: Total $91.38 Contractor: ROBBEN + SONS HEATING 2300 SE 7TH AVE P O BOX 14867 REQUIRED INSPECTIONS PORTLAND, OR 97114 Gps Line Insp Phone:233-5841 Mechanical Insp Reg #:L.IC 001884 Mechanical Insp Heating Unt Insp Heating Unt Insp Duct Inspection ORIGINAL S.D. Shutdown Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Coce, State of O e. Specialty Codes and all other applicable laws. All work will be done in accordance wi`'' approved plans. This permit will expire if work is not stated within 180 days of issuance or if work is suspended for more than 180 days. ATTENTION: Oregon law iejuireE you to follow rules adopted in 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 or direct questions to OUNC by calling (503)2 9189. Issue By: � �� — Permittee Sign - --- --- Call (503) 639-4175 by 7:00 P M. for inspections needed the next business day Plan Check#� CITY OF TIGARD Mechanical PE init Application Recd By bj 131?5 S`V HALL BLVD. Commercial and Residential Dale Recd Z Iy-2d�_ TIGARD , OR 97223 Dale to P E &L96 -- (503) 639-4171, x304 Date to DST 7- Print or Type Permi!#&! IIg ttttD-dWq?7 Incomplete or illegible applications will not be acce to Called w p 9 pP p �Efr _ 1; Name or Develipment/Project Description I (_CIV-` tarty Table 1A Mechanical Code Oty Price Amt Job Street Address i Suite# A) Permit Fee �^ 16.00 / Address 1) Furnace to 100,000 BTU !'S �Rr".y fY� iW r �� including ducts&vents see footnote 1,2 9,6_5 el9S Cnyrstate Zip 21 Furnace 100,000 BTU+ < -�Q 16A4ylincluding ducts&vents see footnote 1,2 11' 12.00 Namp-(ty name of business) 3) Floor Furnace — t'17 n _including vent _ see footnote 1,2 9.65 Mailing AddrAddress ©1Nner �� ✓7 7th �f �/�F 4) Suspended heater,wall heater ? / q, or floor mounted heater see footnote 1,2 965 �, 5) V(-it not included in ap liance permit _ 4 75 city/state Z)p Phone Check all that apply I *Boiler T Heat Air For items 6-10,see or Pump Cond Qty Price Amt Name(or o,me of business) footnotes 1,2 Comp _ 6)<3HP;absorb unit to 100K bTU ( 9 65 ®ccuparMaurog Address rt 7)3-15 HP,absorb unit 100k to 500k BTU_ 17.65 l7G dylstateZIp phone — 8)15-30 HP,absorb � unit 5-1 mil BTU_ 24.15 9)30-50 HP.abso, Contractor Name 1/ unit 1-1.75 mil BTI i 36.00 wr ' -" J s4 Z�_6 C 10)>50HP,absorb unit Prior to permit Mailing Addresrs >1.75 mil BTU_ _ 60.15 issuance,a copy ' ''/4 ,, - 1lk, 11 Air handling unit to 10,000 CFA1 of all licenses qftyltatezip Phone _ 7.00 _ are required if ���,eta/� Z 2Z-Sw 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const.Cont.Board Lic.0 Exp.Date _ _ 11.85 database /a? 13)Nun-portable evaporate cooler Architect Name _ 7.00 14)Vent fan connected to a single duct •r rvlailingAddrees 4.75 _ 15)Ventilation system not included in appliance ermit _ 7.00 Engineer Cuyrstate ZIp Phone ""-- -- g � 16)Hood served by mechanical exhaust _ 7.00 Describe work to be'done: A _ 17)Domestic Incinerators _ 1200 New O Repair O Replace wr,h like kind: Yes t9 No O 18)Commercial or industrial type incinerator Residential Commercial _ 48.25 19)Repair units "irlional information or descriyy ion of work: 8.40 (rev M C,E, 2. GA a ? "k !0 tin L.>Ja'f u^'n'Z 20►Wood stove/gas FP/other units/clotne dryer/etc. i�� a.c,) tzx 1 4& G'/rr 01 �_�.--- _7.00 NOTE: For Commercial projects only;Units over 400 Itis require 21)Gas piping one to four outlets structural gas talcs _ See footnote 1 __v 3 75__J Type of fuel oil O natural gas.b LPG 0 electric O 22)More than 4-per outlet(each) _ _75 Minimum Permit Fee$5.0.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information _ _ 8%SURCHARGE p given is,correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF Si!p rol AL ! d the owlih#r,that plans sobt-nittted Are in compliance with Oregon State laws �_ Required for ALL commercl�ermits onY ' -/C- �uGU TOTAL Silinift6re of Ovtpter(ggent Date I/1 Other Inspections -ind Fees: 1. Inspections outside of normal business hours(rninlnum charge-two Contact Person�f Name Phone hours) $50.00 per hour 2. htspections for which no tee is specifically indicated (minimum charge-half hour) $50.00 per hour Foonotes for comrtr!rclal projects only: 3. Additional plan review required by changes,additions or revisions to 1 Provide full scheriatic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to.tale showing existing and proposed merhanical units. 'State Contractor Boiler Certification required --- -- — - "Residential A/C requires site plan showing placement of unit IAmechperm doc rev 7/19/99 cU m n a . I f '� C SEE 35M- -M ROLL- # 20 FOR OVERSIZED DOCUMENT CITYOF TIGARD PLUMBING PERMIT_ DEVELOPMENT SERVICES /� PERMIT#: PLM200000006 13125 SW Hall BI id., Tigard, OR 97::23 (503) DATE ISSUED: 01/07!2000 PARCEL: 2S103DU-00800 SITE ADDRESS: 13815 SW PACIFIC HWY 10 I SUBDIVISION: +. ZONING: C G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES_ _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Fire repa, to replace fixtures damaged in fire _FEES _ Owner: -- Type By gate Amount Receipt DW SIVFRS CO PRMT DEB 01/0712000 $50.00 00-321012 4730 S\/%'MACADAM 5PCT DEB 01/07/200( $4.00 00-321012 PORTLAND, OR 97201 — Total $54.00 Phone 1: Contractor: WATSON PLUMBING CO 7935 E BURNSIDE 8T PORTLAND, OR f,'/215 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 256-3720 Top-out Insp Reg #: LIC 111855 Final Inspection PLM 26-602PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable iaws. All work will be done in accordance with approved plans. This permit will expire if work is not starter' within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to folirw ruler adopted by the C gon UEility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by .:;alling (503) 246-1987. �/J/01 Issu By: �� (j5 Permittee Signature: ---__—__ '",aCall (503) 639=4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD PlumHrig Permit Application Plan Ch?Ek-#`-\�/• 13125 SW HALL BLVD. Commercial and Residential Recd Bv1 TIGARD, OR 97223 Date Recd (503) 639-4171Y Dale to P.E. - - Print or Type Date to DS}J� � -- Incomplete or illegible applications will not be accepted Permit#1_r Related SWR# Called_ Nagne of Development Project FIXTURES (individual) -� QTY PRICE AMT Job , v,W? i ",j Sink 11.50 Address StreejAddress - suite Lavatory 11.50 ,r( /6 9,_ '\/V V -1 1 f C-UJI Tub or Tub/Shower Comb - 11.50 Bldg# City/Slate Zip Shower Only 11.50 ------ ��� -- Na Water Closet 11.50 r e _ /�• fv C- / ,k / 4 i Urinal -- 11.50 Owner Mailing Address Suite Dishwasher 11.50 W Garbage Disposal 11.50 City/State Zip,- Phone Laundry Tray 11.50 _ Name y Washing Machine 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address T Suite 3" 11 50 4" 11.50 City/State Zip Phone - Water Heater O conversion O like kind 11.50 //•�•� Na ne ( Gasi ip ng requires a separate mechanical permit. C U� li/��C} MFG Home New Water Service 32.00 Contractor Mailieg Address 7 Suite MFG Home New San/Storm Sewer _ 32.00 Hose Bibs 11.50 - Prior to permit Sty/Sate Zip 7 1 Phr.ne Roof Drain! 11.50 issuance,a copy b R li C 17 �� P,Z' 3 7-9 ---- - Drinking Fountain 1 I.50 of all licenses are Oregon Const.Cont.Board Llc.+t Exp.Date required if / ( ( `-S Other Fixtures(Specify) _15_00 expired in COT PLUMbi Llc.#/ /5- Exp.Date database •- 6, -&6)"r ' G --- Name --- -- -- -- Architect Sewer 1st 100' - -- - 38.00 Or Mailing Address Sulte Sewer-each additional 100'- 32.00 City/State Zip Phone J Water Service-1st 100' 38.00 Engineer Water Service-each additional 200' 32.00 Describe work to be done' - Storm S Rain Drain-1st 100' 38.00 New O Repalr',011� Replace with like kind Yes O No O Storm 6 Rain Drain-each additional 100 32.00 Residential O Commercial O Additional description of work: Commercial Back Flow Prevention Device 32.00 Residential Rackflow Prevention Device' 1900. 1` � �� (' 1�✓' fit Catch Basin 11.50 Are you capping,moving or replacing any f xtures? Insp of Existing Pion Bing or Specially Requested 50.00 Yes O No O 1 Inspections _ _ er/hr If yes,see back of form to indicate work performed 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 lead this application,that the information given Is correct,that I am the owner or authorized agent of the owner,and sometnc or riser diagram Is required it Quantdy Total is >9 that ids submitted are in compliance with Oregon State Laws, 'SUBTOTAL C, SI t e of no r/ v Date - g �~" 8%SURCHARGE (_) dolfffact Person Name Phone "PLAN REVIEW 25%OF SUBTOTAL 1 BATH HOUSE$178.00 Required only If fixture qty total is>9 2 BATH HOUSE$264.00 TOTAL 0 3 BATH H01 ISE$285.00 --- rThis fee InJudes all plumbing fixturos in the dwelling and the first •Minimum permit foe Is$50�8%surcharge,except Residential Backflow Prevention 10 feet of sanitary sewer storm sower and water service) " Device.which is$25+8%surcharge **All New Commercial Buildings require plans with isometric or riser diagram and plan review I ktsts\formslplumapp doc 12/17199 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory -- - -Tub or or Tub/Shower Combination Shower Only Water Closet Urinal �— Dishwasher _ _ -- Garbage Disposal Laundry Room Tray_ Rashing Machine Floor Drain/Floor Sink 2" 411 Water Heater_— — ti Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I%fists formNpkenepp doe 12/17199 CITY O� �'���D _ ELECTRICAL PERMIT _ PERMIT#: ELC2000-00007 DEVELOPMENT SERVICES DATE ISSUED: 01/06i2000 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S103DD-00800 SITE ADDRESS: 13815 SW PACIFIC HW)' 10 SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical TI _ RESIDENTIAL UNIT _ EMP SRVC_IFEEDERS 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- SIG14AL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): S RVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: WISERVICE 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 REVIEW SECTION 1000+ amp/volt: �— >=4 RES UNITS: > 600 VOLT NOMINAL: — Reconnect onl.v: SVC/FDR?_225 AMPS: v CLASS AREA/SPEC OCC: Owner: Contractor: DW SIVERS CO. FRIBEC-, ELECTRIC CO ATTN BARRY DONNER 4636 N VJILLIAMS AVL 4730 SW MACADAM PnRTI-AND, OR 97217 PORTLAND, OR 97201 Phone: Phone: 288-5161 720-6857 Reg #: LIC 000013 SUP 2543S ELE 26-51C FEES I _ Required Inspections_ Type By Date Amount Receipt I Elect'I Service PRMT BON 01/06/200( $192.65 00-320953 Elect'I Final 5PCT BON 01/06/200C $15.41 00-320953 Total $208.06 ORIOINAL I This Permit is issv9d subject to the regulations contained in the Tigard Muniapal 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 rf work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notdication Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080 You may obtain copies of these rides or direct questions to OUNC at(503) 246-1987 _ PERMITTEE'S SIGNATURE 7 J /f, ISSUED BY If _ 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_____ Sum.OF SU . ELEC'N ��V " < C4-J _ - DATE:____ LICENSE NO: — Call 639-4175 by 7:00pm for an inspection the next business day Plan Che �A CITY OF TIGARD Electrical Permit Application Recd 13125 SW HALL BLVD. RECEIVED Date Recd 1_ t{'uVo TIGARD OR 97223 Date to P E _ Phone (503)639-4171, x304 Date to DS f Inspection (503)639-41-15 JAIL 0 4 2000 Frint of Type Permit a I (�YXI�7 Fax (503) 598-1960 COMMUNITY Do tomgjoe or illegible will not be accepted Called c�) ao"!� -- 1. Job Address: 4. Complete Fee Schedule Below: Name of Development \ i/C' Number of Inspections per permit allowed Vl � �1..��1 'rte` - Name(or name of business)— Service included: Items Cost Sum Address 13 e 15 5•w Pla- C 1,11', ''k-" (n 4a. Residential-per unit 1C30 sq.ft or less — $ 117.75 — 4 City/State,/Zip %i GaC.y'd ae — Ecch additional 500 sq ft or portion Nmreof _ _ $ 26.75 _ 1 Commercial Residential ❑ Limited Energy _^ _ $ 60.00 Each Manuf d Home cr Modular 2a. Contractor Installation only: Dwelling Service or Feeder _ $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data baste). Instalialian,alteration,or relocation 200 amps or less 9 64.25 6 y 2 2 Electrical Contractor r-f berms, Y rteC-i' __. — - AyL 36 /`� ��t et�+s /�y�' 201 amps to 400 amps $ 85 50 2 Address 401 amps to 600 amps S 128 50 2 City__kA>r><• State ori.• Zip 12z- 7— 601 amps to 1000 amps S 192.50 2 Phone No. Z -.$-/6 1 ___ — _ Over 1000 amps or volts $ 363.75 2 �! Job No. 2 2/ _- Reconnect only $ 5350 2 Ele:, Cont. Lice, No. 2 SYS Exp.Date /0 / oe - 4c.Temporary Services or Feeders OR State CCB Reg. No. 13Z cl Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No. Ex Date 11 o0 200 amps or less $ 53.50 2 .— p' 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 100.00 2 Signature of Supr. Elec'n i Over 600 amps,to 1000 volts, see"b"above. License No ?341S' 5 Explte !"�7 ° y _. 4d.Branch above. ircuits Phase No 286-S141New,"Iteration or extension per nonel —^ a)The fee for branch cirrios 2b. For owner installations: with purchase or ser vice or feeder fee. Print Owner's NameEach :h circui! Z y 6 5 35 !Z f3 — -- b)The, branch circuits Address _ -__ without purchase of service City - State 'IP -_- or feeder fee. Phone No. First branch circuit $ 37.50 --- _ - - r-ach additional branch circuit $ 535 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (service o-feeder not included) Each pump or Irrigation circle $ 42 75 Owners Signature___---.- Each sign or outline lighting $ 42.75 Signal circult(s)or a limited energy panel,alteration or extension $ 60.00 3. Plan Review section (if required):" Minor Labels(10) $ 10000 Please check appropriate item and enter fee in section 513 4f.Each additional inspection over 4 or more residential units in one structure the allowable in any of the above --- Per Inspection _ $ 50.00 Service and feeder 225 amps or more Per hour $ 50.00 System uver 60U volts nominal In PInnt $ 5900 _Classified area or structure containing special occupancy as described in N E.C.Chapter 5 5. Fees: Iia.Enter total of above fee: b lq Z ' ` Submit 2 sets of plans with application where any of the above apply 8%Surcharge(.08 X t'nal fees) S - dr Not required for temporary construction services. Subtotal $ Sb.Enter '/o of line 6a for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED Wil HIN 580 DAYS,OR IF CONSTRUr.TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account 0 AT ANY TIME AFTER WORK IS COMMENCEDCJ Total balance Due $ Z I�dsts ronm\c'Icctri( floc CITYOF TIGARD BUILDING PERMIT _ DEV.LOPMENT SERVICES DATES UIED: 11/30/1999 0 01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13815 SW PACIFIC F:".'Y 10 PARCEL: 2S103D1)-00800 SUBDIVISION: ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 2,240 sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJEC--_OPENINGS? TYPE OF CONST: UNK sf N: S E: W OCCUPANCY GRP: M 'TOTAL AREA. sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETLACKS _ _REQUIRED___ _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:— DWELLING UNITS: FRN T: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: B ATHS: 111tP SURFACE: PRO CORP: PARKING: VALUE: $ 85,000.00 Remarks: Fire repair to roof, Front mansard and paiar.-c! No Certificate of Occupancy required, No Change in Occupant Load. Owner: Contractor: DW SIVE RS CO. COOPER CONSTRUCTION CO ATTN BARRY DONNER 2305 SE 9TH 4730 SW MACADAM PORTLAND, OR 97412 P�PTLAND, OR 97201 one: Phone: 232-3121 Reg #: LIC 00008587 _ FEES _ REQUIRED INSPECTIONS _ Type By Date Amount Receipt Mechanical Permit Require 1 PLCK 130N 11/29/1995 $38-6- 99-320045 Electrical Pen-nit Required .26 FIRE BON 11/29/1995 $237.70 99-32.0045 Framing Insp Roof naiing Insp PRMT BON 11/30/1995 $594.25 99-320083 Insulation Insp 5PCT BON 11/30/1995 $47.62 99-320083 Gyp Board Inst, OR Susp Ceiing Insp IGIN//'{1 iTotal $1,265,83 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty Codes and all other applicable law. All wc,k 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 OAP, 952 001-1987. You may obtein a copy of these niles or direct questions to OUNC by calling (503)246-1987. Pe rm itee Signature: - Issued By: _ Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Che 13125 SW HALL BLVD. Tenant Improvement Recd Date Ree cd rr TIGARD, OR 97223 Date to P.E.j -L - (503) 639-4171 Date to DST 6-4 1 Print or Type Permit#�&f Related SWR# Incomplete or illegible applications will not be accepted Called����� �T Name of DevelopmenUProjectExisting Building New Building ❑ Job Address Street Address Suite Building i Data _ Bldg* l Cityhta c zip -� Existing Use of Building or Property: Name Property - �- ProoiapdUsc of Building or Property: Owner ailing Address � Suite yvVy, No Of Stories: — City/slate Zip P,ione Sy. rt. Of Project: Occupant Name , C Occupancy Class(es) Name Contractor Q , r' 11-ype(s)of Construction ^ Prior to permit Mailing Addr ss — Euite Issv,nce,a copy ` Will this project have a Fire Suppression System? of all i,-enses ( x,52 - �..`–_ Yes F]-- No are regi Ired if y15late Zip Phor,e Americans with Disabilities Act(ADA) expired In CA.T h„ _ n database UVB ` ( � 3 ) Valuatin. X 25% = $ __ Participation regon Const.Cont,Board Lict Exp.Date Complete Accessibiliiy Form j'un*t wnit�7ea �5 �`-- - J Project 1 — Name _Valuation_ Architect Plans Required See Matrix for number of sets to submit Mailing Address Suite on back. cit"Istate Zip Phone 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 that plans submitted are in compliance with Oregon State Laws Engineer game Signature o erlAgent Date Melling Addres-, Suite �— r Ccntact F-Prgon Phbnel CtylState r ZipI= Phone C.?� �L___-- laC ^3L__ FOR OFFICE USE ONLY Indicate type of workNew�, Mu:ition O Demolition O MaprTL# Land use. _ — Accessory Structure O Foundation Oi.'v O Alteration O .cj r'.paPR Other O NdtPs. Description of work: f , '' TIF — -- — N,Io: Site Work Pennit Application must precedn or accompany Building 4,2,( Permit Application a� 11COMNEWTI DOC (DST) 5/98 p� COMMERCIAL PLAN SUBMITTAL REQUIREMEl",T MATRIX Plan Review is dependent upon submittal of BOTH pans AND a COMPLETED �applicavon. For an electrical submittal, the application must coy,',A�,t the signature of the supervising electrician before plan review will be conducted. ;After plan review appro%1a1, Plans Examiner will contact•fie applicant to request 'additional plan sets for distribution purposes. (Copy for Contractor, City, ,Washington County, Tualatin Valley Firs; & Rescue) Total # of I TYPE OF SUBMITTAL Plans KEY: Submitted S (-private) - -� - 1 S = Site Work ■ B (New or Add) 1 B = Building F (New or Add or Alt) �- 3 F = Fire Protection Sys'.�:m M (New or Add or Alt) 1 M = Mechanical -§-&—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 ' 3 Alt = Alternation to Existing (New , Add) ---- -_^- -� Building "B or B & M (Alt) 1 3 *B & M & P & E(Alt) ------- 3 3 - NOTES Shaded areas designate ALT submittals only. \dstsVurmslrmotrxc-)m doc 11117199 �p Z J•0 R ^ XM TN ru . y Q, �ubiau a�Qla S a as �Q ry ti 4 ' Z . . • 1 U i0 p ry -f Y n •f d r. O IT -• v Nm0 C 0% W mm K^ , 0 !' Q. V09 w Q ilii • �€ _ � � � U n N � I tr !• y � �' ce th WA ct e 'er G~ Q r � f� Y• a� �A S u -_r a �• wO co rn kn � !j• 11,��9 �' �f 460 > ci •vi r.in 1 Tj La R Q CLL aJ Dj .r �9n UJ 1 l jj, �� 2 ? -• a .: .:N • � � R w m rem . • �� � �� • u_ f1. I�yn wb V' "ll SEE 35 -MM ROLL #20 FUR OVERSIZED DOCUMENT UN 1 F t ED Sr.WERAGE AGFJ-4CY OF HASH I tY;TON COUNTY FIXTURE' &MIT RAT I NG5 j r ), A TOTAL TOTAL F 1 XTURE VALUE / NUMBER NUMBER BAPTISTRY/FONT 4 BATH — TUBISHOWER 4 JACUZ/WHP1. 4 ! CUSPIDOR/WATER ASP I D 1 SMASHER - OOMv R 4 -- MMEST 2 DRINKING F<YJNfAIN I FLOUR D}RA I N 2 INCH 2 — s INCH s 4 INCH 6 GARBAGE DISPOSAL. DOM (TO 3/4 IIP) 16 — ooM4 (TO 5 HP) 32 - IND I OVER 5 HP) 48 OIL SEP JGA5 STA) 6 SHOWER — GANG I — STALL 2 s 1 rK - BAR � z � - BRADLEY 5 COMAERC 1 AL.. 3 ._.-sC.Rv ICE 3 WA_SHEIR, CLOTHES 6 WAIXR EXT 6 V/:PER CLOSET 6 URINAL 6 . DATE (�/� / INSP TOTALBUSINESS ) PER1 T NO. l��t (d'r.� k-"JNTED FROM -r AX MAf'/LOT 7 25 R9] CITY OF TIGARD BUILDING INSPECTION DIVISION MST A-Hour Inspection Line: 639-4175 Business Line: 639-4171 '3UP N—Date Requested_ _AIV. >� _PM _ BLD _— Location_ t 7 DC-:> l I .i ) Suite ,.)p _ MEC Contact Person i!'��7✓G � !' Ph L S I6PLM — Contractor Ph SWR BUILDING Tenant/Owner _ t yt-- s _J1I (ELC Retaining Wall ELR Footing Access: FPS Foundation Fig Drain --- SGN Crawl Drain Inspection Notes' Slab -- ---- — - - -------- -- - SIT 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 ----- -- --'-- -- �n PLUMBING Post&Beam Under Slab Top Out Water Service _--- ---- ---- — -- - Sanitary Sewer Rain Drains ---------- r76181 PASS PART FAIL - - -- - ----------- ------- ----- _ MECHANICAL YW Post&Beam Rough _ Rough In Gas Line - - Smoke Dampers Final PASS PART FAIL C - - Service - -- --- Rough In — UG,Slab Low Voltage Fire Alarm — -� IFAW PART FAIL — - SITE Backfill/Grayling �^ - Sanitary Sewer Storm Drain I ]Reinspection fee of$_ required hetare next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin )Please call for reinspection RE. _ )Unable to inspect-no access Fire Supply Line — —-- - ADA Approach/Sidewalk Date o _Inspector — _ ��_Ext Other —- Final PASS PART FAIL_ DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP Date Requesteed_ _ AM PM — BLD Location " a " �, /"i L Suite MEC Contact Person V Ph _ PLM Contractor --- -1 --_Ph __ --- SWR BUILDINU 1snanUOwner Retaining WallLR Footing Accessit , EPS Foundation — Fig Drain - _ SGN Crawl Drain Inspection Notes. - Slab —------_ L u SIT -- - Post&Beam Ext Sheath/Shear —� --- — -- Int Sheath/Shear Framing ----------- — Insulation J��'/S_ /� Y,4-C Ar✓f� �Di D _��'f��� _ Drywall Nailing Firewall Fire Sprinkler —- ------.--_---- __ Fire Alarm Sur,p'd Ceiling -- -- -- - -- — _. Roof Misc: - -- — -- - Final ---- PASS PART FAIL - -- ---PLUMBING Post&Beam -_-- Under Slab Top Out Water Service _ Sanitary Sewer — — Rain Drains Final PASS PART FAIL ------ MECHANICAL Post J Beam -- Rough In — Gas Line -- - - --- Smoke Dampers Final --- -- - - - - ------ —. _ T_. FAIL -- - CECTRICAL - -- - -- - - - --- Rough In UG/Slab — Low Voltage Fit=-Alar nalsJJ ASS PART FAIL - -SITE Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection tee of$ -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin r [ F leaso call fol rernsfrt-.tio, R1 M [ ]Unab'r: -n inspect-no access Fire Supply Line ADA Approach/Sidewalk c c Other Date 1_ -c . -.---�j' -_-_ Inspectors --- Ext Final PASS PAP.T FAIL DO 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 --^ – j BUP _Date Requested �kC3I Ct AM,�� PM BLD Location l 3�� J ��(`� f�2��� Suite MEC — f'ontactPerson 3y PLM Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELIR Footing Access: Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes: - Slab --- ------ -- --. :IT Po•,t&Beam Fxt 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 ------ ---- — Water Service Sanitary Sewer ----------- --- -- '- — Rain Drains Final -- - ---- - --- ---PASS PART PART FAIL. MECHANICAL Post& Beam Rough In Gas Line -------- - - -- -- Smoke Dampers Final ------ - ---- — PASS PART FAIL \ ELECTRICAL M - -- ------ ` - - S(grvic Rough In UG/Slab Low Voltage Fir LAlarm f�AS ART FAIL _-_-- SITE Backfill/Grading - --- --" -- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$- _required baninspection. Pay at Cit;Hall, 13125 SW Hall Blvd C3trh BasinFire Supply LinePlease call for reinspection RE: J Unable to inspect no access ADA Approach/Sidewalk date , -- Inspector Ext Other -- - _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i CITY OF T I G A R D _ ELECTRICAL PERMIT PERMIT#: ELC1999-00676 DEVELOPMENT SERVICES DATE ISSUED: 11/10/99 13125 SW Hall Blvd., Tiqard, OR 97223 Vffl-4171 PARCEL: 2S103DU-00800 SITE ADDRESS: 13815 SW PACIFIC HWY B GIN4L ZONING: C-G SUBDIVISION: BLOCK: LOT : JURISDICTION: T!G Proiect Description: Installation of one 200 amp or less service or feeder and 9 branch circuits _ _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: M' NF HM/SVC/FDR: 601+a-,os - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: 1 W/SERVICE OR FEEDER: 9 PER^INSPECTION: �- 2G1 - 400 amp: 1st W/O 'iRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L FRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: :-=4 RCS UNITS: > 600 VOLT NOMINAL: L Reconnect only: SVC/FDR >=225 AMPS _ CLASS AREA/SPEC OCC: Owner: Contractor: EMPIRE ENTERPRISES INC GEORGE + SON'S ELECTRIC CORP ATTN YANG-JUN SHIN PO BOX 339 422 RAILWAY STREET CLACKAMA.S, OR 67015 VANCOUVER, BC V6A 1 B1 Phone: Phone: 654-8634 Reg #: LIC 00035600 ELE 3117C SUP 3185S FEES _ _Required_Inspertic,,; Type _ By Date Amount Receipt Elect'I Service ` PRMT DEB 11/10/99 $112.40 99-319711 Elect'I Final 5PCT DEB 11/10/99 $8.99 99-319711 Total $121.39 This Permit is issued subjeri to the regulations contained in the 7gaid Municipal Code. State of OR SF idalty 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 thP Oregon Utility Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080 You may ohil1hin copies of these rules 0 erect questions t9 OUNC at(503) 2461987 / �1A i05 PERMITTEE'S SIGNATURE SUED BY: — _ OWNER INSTALLATION ONLY 1 lie installation is being made in property I ower which is not intendeu for sale, lease, or rent. OWNER'S SIGNATURE: _ _ —__ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR jLEC'N: " �'�- i (W1 -.,- _ PATE: LICENSE NO: _1 Call 639-4175 by 7:00pm for an inspection the next business day Community Development ELECTRICAL PERMIT APPLICATION 13125 SW lull 131vd. LLn /Ur � Tigard, OR 97223 Permit # V � ! � � 'i!! Date Issued Phone (503) 639-4171 CITY OF TI©ATPD FAX (503 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: / Q _ 4. Complete Fee. Schedule Below: Name of Development 4;0 �J "� Number of Inspections per permit allowed Address111 Sk! Ac/,F/C _ H y ��• Service included Items Cost(ea) Slim City/State/Zip—T��--,4A0 4a Residential -per unit r�. 1000 sq ft or less $11000 Name (or name Of usiness4 Y�l r_ Each additional 500 sq fl or -- -- - (�{y�I portion therein 2 00 L"J Commercial Residential � � Limited Energy $2500 Each Manufd Home or Modular Dwelling Service or Feeder $813 00 2a. Contractor installation only: ! C 4b. Services or Feeders Electrical Contractor_[�1c 1S E 'S D/L�-.S ELC�, Installation,alteration,or relocation !�. �t 200 amps or less / seam Address $8000 BLS K _ 3 201 amps to 400 amps $80 00 2 City-C-LA,,i A_RAs S ate-,(,) Zip � 401 amps to 800 amps $12000 _ 801 amps to 1000 amps $18000 _ 2 Phone No. ilSto�`�G _ over 1000 amps or volts $340.00 -- 2 Job NO. Reconnert only $5000 2 contractor's license NO._ C _ i0' -�� 4c. Temporary Services or Feeders Contractor's Board Reg. No. nstallauon,alteration,or re;orauon Signature of Supr E)een 200 amps or less License No. / one No._d201 amps to 400 amps $5000 401 amps to 800 amps $75 00 Over 800 amps to 100 volts 6100.00 -- 21). For nwrer installations: see 'b"above 4d. Branch Circuits Print Ownef'a Name New,alteration or extension per pane Address a)The fee for branch circuits with f 7 City Sts i`il, purchase orservncsorhedsrfYe. 4 - - Each branch circuit $5.00 �r Phone No. _ _ b)The fee for branch circuits wifMr-ft The installation is bell a made on property I own whir.n Is pmchaseofservice offeedlerf a. not intended for sale, lease or int first branch circuit $3500 2Each addltlonal branch circuit ss oo — - --- Owner's Signature _ _ 4e. Miscellaneous (Service or feeder not Included) 3. Plan Rev;aw section (if required): Each pump or Irrigation circle $40 0 Each sign or outline lighting $40100 Signal circulus)or a limited energy Please check appropriate itf m and enter fee in section 5B. panel,alteration or extension $40 00 _4 or more residential units in one structure Minor Labals(10) _ W $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy I the allowable In any of the above as described in N E C. Chapter 5 Per inspection $3500 Per hour $5500 Submit 2 sets of plans with application where any of the above In Plant $5500-- apply. Not required for temporary construction services. 5. Fees: _�+ NOTICE 5a. Enter total of above fees of/. Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter for Subtotal of line A AUTHORIZED IS Nor COMMENCED WITHIN 180 DAYS, OR IF Plan Review if req foruircd (Sec.3) _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal S A PERIOD OF IPJ DAYS AT ANY TIME AFTER WORK IS $ COMMENCED n Trust Account # mm $ Ba::ince Due $ �?J CITY OF TIGARD I{I.IILPERMIT DEVELOPMENT SERVICES f =RMT.T #.. . . . .. ; 3I. F'33-r ✓1 1 13125 SW Hall Blvd., Tigard,OR 97223(503)539-4171 DATE 7 S SUED: 01/1-9/139 F'1Rr,Fl...: 29103DD---OV18010 '-ITE ADDRE:SS. . . : 1 :"s81.', SW PPC I F I C HWY #P ,1_11'0IVISTON. . . . : zl]NIrIG:C G 31.-OCK. . . . . . . . . . .. I_C1T. . . . . . . . . . . . . . J1.JRIF)DT.CTTON:TIG f --l�SIJE: FLOOR AREAS--._--- __-..__...._. EXTERIOR WALT_ CONSTRI-ICTTnN-_. "LASS OF WORK. -A1-T F IRF;T. . . . : 16E1O S N: S: F: 0. ^' (]F•- LISE. . . :COM SECOND. . « : 0 M r PRO"r'CCT OPENINGS?------ TYPE PENTNGS'?____._._.___- - TYPE Or CONS''. :5N . , . : 0 f No S: F.: W. r1('C1JPANCY rRF'. :M TOTAL_- : 1680 s f ROOF CONST: F T RE RF-I ?: !)CCUPANCY LOAD: 11-1 PA51"ME=NT. : 0 f AREA SEF. RATED 0 HT- 0 ft GARAGE- ,. . : 0 -F OCC1J SE�.F'. RATF'D: MEZ Z I: RE<DD SET PACES_..____._._._ REPLII RED-- ---- _____._.__.._ ....---.--- 1-1_OOR LOAD. . . . : VT ris f LE'F'T: 0 f t RGHT: 0 ft F"T R SF'N,L: SM01-1 DET. . : T)WFL..L.ING LINITS.- 0 FRNT: 0 Ft. REAR: 0 ft FIR AL..RM: HNDTCf'' ACC'.: "1-1,RMS: 0 SATIlr,: 41 IMF' F;UR�-ACE: 0 r-'PO CORP: PARKING: 0 Romar,ks : TI, build one wall 33 1.F 01,41)pr-: --_________..._.__.__.__-__._. ._______.____....___-.-_______-.__._..__....__._..___._-. FEE'S BPTTCEIES ETC type Ani a1.i.nt by date r,Prpt 1381.5 SW PAC I F I C HWY PPMT 25. 00 GEO 01/19/93 99-31'226', �I.I I TE E3 ;F'C T 1 . _''--i I::iEO 01/19/1313 99--S 1.22 F,`:i 7'IGARD OR 97223 PI-CK 1.h. 25 GEO 01 /19/9'.'-1 99-.312265 r'11o:,e+ #.- F'T Pr $ 10. 00 OEO 01 /19/99 99-.31 21P6!! MARL; I-IE"MM I NGSON CONSTRIX TI ON 6775 SW 111TH AVE", SU T TE 200 r-10 Box 1552 sr:�AVERTON OR 97075 f�46 115H5 E 5..;. 50 TOTOL. Reg #. . : 11O660 ---RF.(?0 T RFD AC-I T ONS qr T NSPECT IONS-----,--- This permit is issued subject to the regulations contained :n the Fr-aming Tris{_ Tigard Municipal Code, State of Ore Specialty Codes and all other Gyp Pcuar ci Insp applicable laws. All work will be done in accordance with _-- approved plans. This pertit will expire if work is not started within 180 days of issuance, or if work is suspended for tore than 188 days. ATTENTION: Oregon law requires you to follow. int rule: adopted by the Oregon Utility Notification Center. Those rules are set forth in r.IAR 952-001-8010 through OAR 952-00181987. You aany obtain a copy of these rules or dir@O questions to OIJNC by calling (503)246-1987. r mit tee Signat�.ir^e • /� Tssr.ied 1a-y ++ + -4 +•++++++++++++++++++++-►-++++•+ t + + 4-+++•++++++++++ H+++++++++•+ f�j+++++++++++++a ra11. 639--4175 by 7:00 p. m. For Sri inspection r:ended the next bi_:siness day + +.+.++++++++++++++++.+4,+++++++.++4.....4_+++++++ +.+++++++++++++++++++++++++.++++++++4-+++++++a-+-++++++++++ +++++++++++++++++++ 4 CITY OF •TIGARD Commercial Building Permit Application Recd By 13125 SW HALL BLVD. Tenant Improvement Date R Date to P.E TIGARD, OR 97223 — Date to DS i 503 639-4171 �) Permit# 4q e 90 '' Print or Type Related SWR# ncomplete or ill gible applicatior,.- will not be accepted Called­ -Na-4-ye alled—N' a of Developrne uFro;ect cr.isting Bullding�lew Bul ding Job /I /el Address Simi, Addressuite — Building �, S ttil -- f sato _ B,;9-# �itylState Zip ExiMing Use of Building or Property: Name _-- - Property ----- y % Proposed Use of Building or Property. e �iHP —�1+�,r�'/�/�`' /ti r - Owner Maw.,g Address Suite le.6twy Sr No. Of Stories: City/State Zip Phone ----• 1,)be_ �y t j,qW ✓b I9 fey Sq Ft, Of Project — -- --OCCUpant Name _• - ___—_-- -__-- R rTC-Nr 5 E7-L , Occupancy Class(es) - -------- Name � Contractor Type(s) of Construction Prior to permit Mailing Address G;F� issuance,a copy ,� � 1��Z �� WiII this project have a Fire Cuppression System? of all licenses YeS NO are required If City/State Zip Phone ------ - ------- expired In C.O.T. 13 L��,,�,, Americans tith Disabilities Act(ADA)' datah.;e t �� �nb'75 G,4b ►SY.� Valuation X 25% = $ .2c"c ' Participation Oregon Const Cont Board Lic.# Exp.Date [ Complete Accessibility Form 1 I L 6[00 ►z Zt ]P) Project -- -- Nsme Valuation— Architect aluation __Architect NL---41M Li65cz ct j its Plans P,equ�(ed See Matrix for number of sets to submit Mailing Address Suite on back /�µ �' --J City/Slate Zig Phone I hereby acknowledge that I have read this application,that the information given is ccrrect,that I am the owner or authorized agent of the owner,grid - that plans submitted are in compliance with Cregon State Laws Engineer Name ZPeYnName ofOwner/ Dtea -- -- Halling Address Suite ---- ,� l � � /6 J — ✓ Phone City"State Zip Phone �[//' /( P S — _ FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O MapfTL# lVicessory Stiuch,re O Foundation Only O Alteration4r _ -_'?epair O Other O -- Notes - —� Descriptlon of work: TIF — Nnte: Site Work Permit Application mutt precede or accompany Building Perri It Application I� .OMNEWRDOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BO ,rl pleins AND a COMPLETED a',plication. For an electrical submittal, the applica'ion "'test contain the signature of the supervising electrician before plan review will be conducts d. After plan mv1e,,,/ approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) --_ ----------_. ._------- Total # of TYPE OF :'UBMITi'AL Plans KEY_ _Submitted_ S (Private) _ 1 _ S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = 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) Add Addition B & F & —M &7 P & E 3_ Alt - Alternation to Existing (New , Add? _-_ Building *B or B & M (Alt) 1 *B &. M & P (Aft) 3 i 'B & rdl &. P & E & l=(Alt) 3 NOTES: "Shaded areas designate AL1 submiffals only. I\fists\forms\matrxcom doc 10/30199 i I v a�� r cY� `J ✓I v� `0 U 3 I z � 0) row°, � � O La ��vyy V ��ijLU( rj <PAU v� f I 2�I owl - U 11 f U oKs � p �� �i F L :d -=z I l s J 1y � II L..r � V . y] F 7 �•• T G� Q 7S • ^ L s Q L r > i �J i m 11 a Nz 1? �o i �J I � 1 'U5 � n � r:;