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9708 SW WASHINGTON SQUARE ROAD r .r i t" . r • • • • • • 0 = 0 ' \ / \ / / ! 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LL_ n' r O N N N N N N ri N ^ O h Z a a a m a a a a m 5- m _M d > cc Qi Q m m m m m m m m m m m m i 0 U N d O �p z d N a v Z z z z z pip O O O O O Y U m m m m m a m a o > _ x J Z Cl w P ^ W O O a 0 9 o m a a U m -� CD � Y W o m m a m it 5 d p�° •- aul y � a U QQ77 (Q�� pp�� Q�11 a L � 01 01 01 � 01 N 4- CL CL r � O � °� rGoy1 yV tyy Wcl g U U U U U U �jj U U U U U U U U w W W W W W CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT I}. . . . . . . : BUP97-0071 DATE ISSUED: 05/23/97 SITE ADDRESS. . . :097013 SW WASHINGTON SQUARE RD PARCEL: IS1260C--01107 SUBDIVISION. . . . : ZDNING:C---G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG ------------------ ------------------------ CLASS OF WORK. :ALT TYPE OF USE. . . :COM TYPE OF CONST11:4W 15t4 OCCUPANCY GRP. :M OCC 11PANCY LOAD: 35 TENANT NAME. . . :THE SHUTT E RBUG Remark-, .- 1'enant improvement Owners SQUARE LAND CO .AY WINMAR PACIFIC INC PO BOX 21545 SEATTLE WA 98111 Phone #r Cont ractol-3 F. L. BROWN 1253 PUSKIN DR MEDFORD OR 97504 Phone 0: Reg #. . : 000649 I'his Certificate grants occupancy of the above to ,Pnc building or portivi, v­ therk-of and con Firms that the building has heen � L,? . lfsPacte for compliance with the State of Orgon 5;pecialty Codes for tVie gro occupa n permit and use under ,f Pe which the r 'fet,enced permit was jqs,_jed. e r n c I S _.0 TOR 8" L OF'F'ICIAL POST IN CONSPICUOUS PLACE �J CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 TEMPORArY OF OCE5�TIFICATE ANCY PERMIT #t. . . . . . . : BUP97-0071 DATE 1,=SUED: Z/ 12�1y 7 PARCEL: SITE ADDRESS. . . ;09708 SW WASHINGTON SQUARE RD SUBDIVISION_ _- ZONING: C-C, BLOCK�. . . . . . . . . . LOT. . . . . . . . . . . . . s JUPI5DICTIQ4; CLASS OF WORK. :(IL T TYPE OF USE. . . .CON OCCUPANCY ORP. :P1 OCCUPANCY LOAD: 35 rENANT NAME. . . : Remcwksj '11-14PORARY OCCUPANCY FUR DAYS FROM DATE OF JS1iU04C[:. Tenant improvement onwr)pr-: SQUARE I.-AND CO BY WINMA R PACIFIC INC PO BOX 21545 SEATTLE WA 98111 Phone #: Contr-actor': F. L. BROWN 1253 RUSKIN DR MEDFORD OR 977)0'* Phone #: Rey 0- 1 000649 This Certificate gy.,m)ts occupancy Of the above r-eferenced building or portion ther-eof and confirms that the bl.tilding has been inspected for compliance with the State of Or-egon Specialty Codes for the group, occupancy anti Use under- which the referenced permit was issl..ted. u. 8LJt7_DJ1qG INSPECTOR C4 BUILDING OFF'ICIAL POqT IN CONSPICUOUS PLACE CITY OF TIGAR® ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0230 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/14/97 PARCEL: 1512600-01107 SITE ADDRESS. . . :09708 SW WASHINGTON SQUARE Rt SUB1 7 V ISION. . . . : ZONING:C-G BLO'.'K. . . . . . . . . . : LOT. . . . . . . . . . . . . JUR T SD I CT I ON: ProJ ect De ser i pt i on : INSTL 4 BRANCH CIRCUITS -------------------------------------------------------------------------------------RES I DI NT I AL UNIT---- ---TEMP SRVC/FEEDERS---- ------M I SCELL_ANEOUF------ tOOO SF 13.9 LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION....: 0 EACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVTCE/FEEDFR---- -----BRANCH CIRCUITS----- ---ADD1L INSPECTIONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 7'01 - 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: -2 IN PLANT. . . . . . . , . . . : 0 601 - 1.000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION-­­­­­­ 1000+ :imp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ---------------------------------------------------- FEES WASHINGTON SQUARE RD type amoi-int by date recpt PRMT $ 50. 00 TAT 04/04/97 97-293205 TIGARD OR 97223 5PCT $ 2. 50 TAT 04/04/97 97-293205 Phone #: r,ontractor: -------------------------------------------------------------------- ROSE CITY ELECTRIC CO INC $ 52. 50 TOTAL 4012 NE CULLY BL.VD REDUIRED INSPECTIONS PORTI-AND OR 97213 Ceiling Cover Undergrol-ind Cove Phone #: 503-287-6164 Wall Cover Elect' l Service Reg #. . - 000035 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Per t eke Signat 7oir applicable laws. All work will be done in accordance with approved plans. this permit will expire if work is not started A within 180 days of issuance, or if work is suspended for more than 180 days. I s s ed BY ----------------------------OWNER INS'T'ALLATION 0 LY__-411---------------------------- The installation is heing made on property I own which is not intended for- sale, orsale, lease, or rent. OWNER' S STGNPTHRE- DATE: --------------------------CONTRACTOR INSTALLATION ONLY------------------------- - qTGNATURF OF SUPR. ELECIN: DATE I-TCFNPF NO: Call for inspection 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # Date issued Phone (503) 639-4171 CITY OF TICARD FAX (503) 684-7297 TDD No. (503) 684-2. 72 Inspection (503) 639-4175 1. Job Address: _.y'lc,( / ! / 4. Complete Fee Schedule Below: Name of Development_/I Z1 __��_ Number of Inspections per permit allowed AddressC�- ©9>UA-�V0WR t l —5t:�j `V f-/)z I Service includedItems Cost(ea) Sum T �^ City/State/Zip`, s _ _ - - 140. Residential -per unit 1000 sq, It or less $11001) Name (or name f bUSIrIP,SS�__�___ Each additional 500 sci it or portion thereof Y25 00 _ Commercial Residential ❑ Limited Energy $25 00 _ :ach MAnld'J Home or Modular 11welling Service or Feeder $6800 2 2a. Contractor installatior only: 4b. Services or Feeders Installation alteration,or relocation Electnual Contractor / � . -lc 200 amps or lase $8000 2 Address .,�_��. 201 amp,to 400 amps 20 00 2 401 amps to 600 amps $12000 2 _ City St ZIP ��I 601 amps to 1000 amps 2 s t so on Phone. No. Over 1000 amps or volts $340.00 2 .Job NO.`. Reconnertonly $5000 2 contractors license NO.44-5`I - 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Signature of Supr. Elec'n r _ 20r)amps or less 2 201 amus to 400 amps $5000 2 License Phone No_ _-y 401 amps to 600 amps $7500 - 2 Over 600 amps to 1(100 volts $100.00 2h. For owner Installations: see'Wabove 4d. Branch 'Ircults Print Owners NameNew,alteration or extension per pane Address a)The fee far branch circuits with — — purche.e or service or feeder fee CItV State ZIPEach ttanchcircuit $500 Phone No. I b)The fee for branch cl cwts without The installation is being made on property I own which is purchase of service or feeder fee. First branch circuit _ $35 00 not intended for sale, lease or rent. Each additional branch circuit �_ $500 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) ' 3. Plan Review section (iIt required): Each pump or Irrigation circle $4000 4r Each sign or outline lighting - $40 M Signal circuit(%)or a limited energy I Please check appropriate item and enter fez in section 58. panel,Alteration or extension $40 00 _ 4 or more residential units in one structure Minor Labels(10) $10000 Seruic;: .,,Li feeder 225 amps or more - _"ystem over 600 volts nominal the Each able In al Inspection over _ Classified area or structure containir)g special occupancy the aliection In any of the above as described in N E C Chapter 5 Per inspection $35 n0 Per haw $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 5%Surcharge (05 X total fees) $ Li Subtotal -i PERMITS BECOME VOID IF WORK OR CONSTRUCTION $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter ivi w lino A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan tall $ if required (Sec 3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal g COMMENCED fir„^��«• 0 Trust Account rnm yq a ^ Balance Due a J CITY OF TIGARD DEVELOPMENT SERVICES 13125 5W Hall Blvd.,Tigard,OR 97223 (503)639-4171 LL CC W J Fire Protection Permit application Plan Check a _� TY 'ARD Commercial or Residential Rec'dBy_\ a_.,4 a "GARD, OR 97223 Print or Type Date to P E. 603) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted Date to DST Perm I t iii! Called -� Nameof DevelopmenUProject Type of System (Complete A or 8 as applicable) Job 5 k 1, 71c, ( ,� Address Address A.) Sprinkler Wet tjDry ❑ Name In Standpipes I i J v,1 �r t� ��� Hazard Group Owner M!,ting Ad {els ,-7 ^ Additional CdDensity zip Pha(te Information b Nama Design Area Occupant Mailing Address — K.Factor r„ryiState zip Phone Sprinkler Project Va!tlation $ ISO - COT SO -- COT Business Tax or Metro M Exp. Date B•) Fire Alarm Submittal Shall Include Battery Calculations Contractor ya�e rY YES g 7 r� �o �} Indivtdual Component YES p (Sprinkler or Mailing Address Alarm 20 Cut Sheets Company) Ctty,State zip Phone Fire Alarm Project Valuation $ x'77 v li Attach Copy Mate Const.Cont. Board Ltc.0 Exp. Date Project Valuation Subtotal (A or 8) $ 1 J Of * j Current COT Business Tax or Metro a Exp. Date Permit fee based on valuation $ Licenses _ _(see chart on back) S Name 5% Surcharge $ Z S I Architect Manrnq Address FLS Plan Review 40% of Subtotal $ C,tyrState zip Phone TOTAL $ � Z� r Cescnbe work A.)New O Addrtton O Alteration X, Repair O PLANS MUST BE SUBMITTED.aporoved and a portrut is oed poor to matallatron. :o be done: Three sets c'pians and,rte plan(arid vtantty map)reQurr..d which shows location of nearest hvdnnt. B.) Basement O HooelVent O Spray Booth O I)-^vw acx^-Cwtecge 71at I rave read this aopticaoon.:Mat me information given is Complete O Partlal,)0 Exltway O carers that I am the owner or authrwued agent of he.;wrier.and that plans submitted _ are,n comottsnce with Oregon Sate taws ``Additional Cescnptton off Work: 14 a1 Lti t tvlfp 11f!Ct cS TLS �-,Ie sw Slgnatu If lr!l�ger�t/ Date �— A.)In EYtstrng Building New Building LCo,/ ct Person Name Phone Building / �Cff� f�(c1�''�_Z��, Data I B.) Commercial Residential p FOR OFFICE USE ONLY: P No.of stones: lato MaplTLO: Sq. Ft: Notes til _ --r C: ucancy Class J Type of Constm on stvfiresupr doc CfTY Cr= TiGARD TOTAL PLAN STA i= BUMMING V,AL'-'A iICN PERMIT Fi.S REVIEW TAY PERNUT- Cr- PRC,:E• F==S (65'.'0) S••o FE._S 1-i,=CO 25.00 10.00 16.25 . 1.25 52.50 55.00 1.�a1-1,7co 29.00 11.10 18.20 1.40 58.80 1.701-1,3C0 29,50 11.90 19.18 1.418 61.96 1,801-1,:CO 31.CQ 12.40 20.15 1.55 65.10 1,501-2,000 32.=0 13.-0 21.13 1.63 68.25 2.001-3,000 28.50 15.40 25.03 1.33 80.86 3,001-41,0-0 44.50 17.90 28.93 2-23 93.46 4,001-5.000 50.!0 20.20 32.83 2.53 106.06 5,001-6,CC0 66.=J 22-60 36.73 2.23 118.66 6.001-7,CCQ 52.50 25.00 40.53 3.'3 131.25 7,001-3,CC0 6'8.60 27.410 44.=3 3.43 143.36 8,001-9,CC0 74.50 29.90 48.43 3.73 156.46 9,-01-10,cC0 80.50 32.20 52.33 4.03 169.06 10,-.01-11,CC0 46.50 3-1.=0 :6.23 4.33 181.66 11,CC 1-12.000 92.50 37.00 60.13 4.53 194.25 3,CC0 991,=0 39.-10 64.03 4.93 2C6.86 13,001-14,CC0 1„.t,50 41.?0 ^ a7.-^3 J�3 219.46 1-t,C01-15,000 110.57 44.=0 71.83 5.53 232.06 1.,,-01-18,CCQ 11o".=J -�o._J r'5.73 ,?3 24i,ao 79.---3 6.13 257.26 17,C01-18,CC0 129.=' =1.-,0 83.53 6.413 269.96 18,001-19,000 13-i.�0 53.30 87.43 6.73 282.46 15,-01-20,cC0 1.1c.=0 _'a'.=0 91.=3 7.03 295.C5 55.2 1 i.J3 307.56 1.Z.f 0 :1.00 SS.1- 7.03 320.25 =3.cC0 1_3.=' 03.-13 103.03 7.93 332.36 --.�01-2.t .0 .:' _=.30 ;Co._3 8.23 245.4S 2',�C1-_C._ Q 1;0.50 58.2�J 1 ;0.?3 a.=3 368.0E 178._0 ;79.='x. 71.'30 115.58 c _ _ - 18».00 73.5Q 1 1113.50 9.20 3E6.40 J ;°.c0'-29, C ;88.50 75.=0 122.=3 c,,3 385.86 125.-5 9,= 405.30 ;57.:7 79.00 129.38 - a8 414.76 w 1,cc 1-32.'--C'? 2c2.'-^0 ac.-;o12 .2Q 10.10 42a.20 C?1-C�'.Cr0 _ra °2.=-' 1 '.23 1:.�3 4:33 =e 33,-01-3 '.000 211.-0 2-.;0 127.;5 ;J.�: ds3.10 2:6.:' 2c.=Q 1-0.C3 10.73 452.50' . CITY OF TIG,ARD DEVELOPMENT SERVICES BUILDING PFRMTT PERMIT #. . . . . . . : 11- UP97-007' 13125 SW Fall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/0.?/P-7 I'T F A D T)R F S F). . . : 09708 SW WACH7NGTi`!!, OIJARE RD PARCFI -, I51260-C-01107 �",TJRDTVISTON. . . . 7ONTNG:C-G P LQ r,K. . . . . . . . . . LOT. . . . . . . . . . . . . JURTSDTCTTON: REISSUE: FLOOR AREAS-­ ­­ EXTERTOP WALL CONSTRUCTION ! LASS OF WORK. A!.'r FIRST. . . . : 1360 Sf N: S: E: W : ,ryPF OF USE. . . SECnNP. : 0 �f PROTECT 0PENTN59?­ ­­ -- TYPE OF CONF'r ,,,2lr--R : 0 Sf N . III i OCCUPANCY GRP TrJTAL.-- -- -- : 1160 Sf R(1OF CONST: FIRE PF,r,,, : OCCUPAN(7Y LOAD SASEMENT� - 0 ef AREA SEP. RATEn: S .3Tr-)R. : 0 14T: 0 ft GARAGE. . . Q) Sf OCCU SEP. RATED: BSMT? - MEZZ? : RFQD SETBACKS- ­­­ RFQUTRED- -- - FLOOR LOAD. . . . : 0 p,-:T,f LFFT: 0 ft RGHT: Q) ft:. FTR SPKL :Y SMOK DET. . : DWELI.TNO UNTTc! 0 FRNT: (A ft, REAR: 0 ft FTR Al.RM:Y HNDTCP ACC : Y 8FDRMS: 0 BATHE'- 0 IMP SIIRPACP: 0 PRn CORR: PARKTNG: 0 VALUE. 1% : 29000 R-m;irks?- Tenant isprovement Ownfar - FEE,-, r3OWARE 1,AND CO t.ype_ hornount b v riate rpf7vt IRY WTNMAR PA(-TF'T(7 TNr- PLCK S 0. MOJb 02/11/97 97--;_-90!2' PO BOX FTRF 1; 0. 00 R 02/11/977 97- 290291 qEATTLE WA 98111 PRMT 5 t7M. c5O DRA 04/01/97 97-292673 PLCK e3 tl.0. 83 DRA 04/01/97 97-792677) RF11.458. 20 DRA 04/03./97 q7- 792G"- n t r;-i f:,-f—)r F 11 9 PCT IN R. 59 DRA 04/01/97 117 -^ejr­ I., BROWN 17199 RIJI;KTN r)R MEDFORD OR 975-M4 '199. 910; TOTAL REGUTRED TW7PEr_TTr_)N17 This permit is issued subject to the regulations contained in the Ft ,i",iriti Tnsp 'Igard Municipal Codp. State of Ore. Specialty Codes and ill other Tris 0 -,3f..fnn Tn,.qp !vplicWe laws. All work will be done in accordance with Gyp 8r1,-4rr4 Tri-IT, ­ - 4pproved plant. This permit will expire if work Is not started ivjip rr I I riq Tngp -,ifhJn IN days of isplienris, or If work fit suspended for more hon 180 days. CL Ln 619- 4 17 UJ _J CITY CF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspectio�n Line: 639-4175 Business 'Line: 639-4171 BUP _ r-,Dc�ate Requested__ AM PM —_ BLD Location_ �c/i� / 5� Sits Suite _ MEC Contact Person � � Ph SI- "7W S PLM Contractor Ph SWR _ i EL(-. �I «C� BUILDING eta wOwner `Ll^ al (,t{ --t l-(C' - Retaining Wall ELR Footing Foundation ACC9SS: FPS Fig Diain Crawl Drain Inspection Notes: SGN Slab -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation �y Drywall Nailing J C C SS 0 - ��(f- J L'-/ Firewall Fire Sprinkler Fire Aiarm Susp'd Ceiling _ Roof ,p Misc: __ Final PASS PART FAIL — — PLUMBING Post& Beam Linder Slab Top Out — Water Service _ _ ( Sanitary Sewer i yl Rain DrainsAl Final � -- PASS PART FAIL MECHANICAL Post& Beam — Rough In Gas Line --- ---�.� , --- — - Smoke Dampers Final PASS PART FAIL Service Rough In UG/Slab H- Low Voltage Firs arm fA 5 ART FAIL r. SIIFi Backfill/Grading _ - w Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I I Please call for reinspection RE __ [ ]Unable to inspect-no access Fire Supply Line - DA Approach/Sidewalk Other Date - Inspector Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the: job site. CITY GF TIGARD ELECTRICAL PERMIT PE=RMIT #: ELC99-0160 DEVELOPMENT SERVICES DA-rE ISSUED: 03/22/99 13125 SW Hall Blvd, Tigard,OR 97223(503)6394171 PARCEL: IS126CO-01107 SITE ADDRESS. . . :O97O8 SW WASHINGTON SQUARE RD #F-2 SUBDIVISION. . . . : ZONING:C-•G BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TTG Project Description: Electrical Tl --RESIDENTIAL UNIT---- ---TEMP' SRVC/FEEDERS----- -----MTSCF_LLANEOUS------ 1000 SF OR LEGS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5003F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINF LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601-+-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --------SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS--- 121 NSPECTIONS--- 121 - 200 amp. . . . . . .. 0 W/SERVICE OR FEEDER: 0 PER TNSPECTT.ON. . . . . 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECT T ON-- ---------------.-. 1000+ amo/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL., . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -----__.__._.__________.__,____._.__________.___..__.__.___.._-__- _-, _-._ FEES ----------------- SQUARE LAND CO type amol_tnt by date reept BY 4JTNMAR PACIFIC INC F'RMT i; x,5. 00 0 0;3/22/99 99-313874 F'O BOX 21545 SPCT E 1. 75 B 03/22/99 99-313874 SEATTLE WA 98111 Phone #: Contractor: ---- --------- ----- _______-___ J & J ELECTRIC INC $ 36. 75 TOTAL G'O BOX 813 ------- REOU I RED I NSF'ECT I ONS - ALBANY OR 97321 Ceiling Cover Elect' 1 Service Phone #: 541-928-7695 Wall Cover Elect' l Final Reg #. . : 000,'0,:, This permit is issued subject to the regulations contained 0 the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for sure than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted bi the Oregon Utility Notification Center. Those rules are set forth in OAR 952-Wl-AA18 through OAR 952-881-1987. You may obtain a copy of these rules or direct questions to OUNC by calling 1583)246-1987. Permi.ttee Signati_ire: tWIldt0h- Isst_%ed By . '4AkL_ ------------------------------OWNER INSTALLATION The installation is being made on property I own which is not intended for y sale, lease, or rent. ' OWNER' S SIGNATURE: DATE: _--------------------------CONTRACTOR INSTALLATION ONLY------------------------------ << 1� '+T GNATl.1RE OF 5UF'R. EL_EC' N: � lx,. DATE I. T CE NSE NO: ++++++++++++++++++++++++++++-+-++++4-+++++++++++++++++++++++++++++++f.+++++ 4++++++4- Ca 11 Ca11 639-4175 by 7:00 p. m. for an inspection needed the next bi..isin'ess day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f++++++++++++++ _RECEiVEt.I 996IbS, •)6b * Cr-nmunity Development ELECTRICAL PERMIT APPLICATION R 2 ' 1999 13125 SW Hall Blwi. Tigard, OR 97223 Planck/Rec. # UEVEWPMENI Perailt # Phone (503) 639-4171 Date Issued 7-7 FAX (503) 684-7.W issued b CITY Of TION►RD 1 DC Nc. (503) 684-2772 y – – Insper;tican (503) 639.4175 I. Job Address: 4. Complete Fee Schedule Below: Name of Development Wa�� M- 5 -L(r2� Number of Inspections per perhlil allowed Address 1og •3 Lel �L1c)S1l P ?2_.' I _� _ ;;orvirp Included Ilem6 Casl(oa) Sum � fl— City/State/zip '1l�uh C� —� 7�` 4e. nesidential-per unit s LT- 1000 sQ.It or lees 9110,00 i�'l/1 Stilt 'l �.(j l EwhrMN slonal 600 eq 11 or Name (Or nallll? Of busirlr.ss)_ r�_rk — rnnlonthenal $26 loo 1 Commercial 10 Rosklential n imhad Hnveyy — 0526.00 Farr MgmA'd I Lime e,4odOw 2 i uvrelorre 9awicy or Fe°der SSB.00 29. Contractor installation only: db.Services or Feeders r /� hxfn wtellsl ,rhn otation.or relocatio Electrical Contractor ( �(�Qs+� 200 amps or hoe 1(11100 Q Address P6.66K 81 2M atnpe to 400 pnpe S00 00 2 GI )/Q 12.E — CtSlt@ (�__ ZI 1Jiil C�21�b 401 ampa to ao0 wnpe —__ $120 Do 2 Cly. p — Gooto 1000 nmlm 1190.00 — PhUf1L N0. `i �%.�4�-7by5 _ r�sr 100 11)00 amps or volts X740.00 2 2 Contractor's License No.–r noeon"°a°n'r SH no Contractor's Board Ne ^� 91 � re� - -- dc,Temporary Services or Feeders ^t.Ch_ hllohnrl,alwOun,or relocation 2 Signator® of Supr. EIeC n _ 200 amps or Inns iso.00 Licerlse No. '�. 'S -`5 Phone_r,(5"q,!'7WN ?E�4� 801 ampetos00anpa--. 401 emre,ID+00 wnpa I'Oo.00 Over Wo■nps to I=votes 2b. For ownter installations, a»W above, 4d.Bratloh Circuits Print QWner's Name_ _ New sherallon or extension rar panel Address n)the Ism for branch eirouirs with — pwvhsaa at awvke w Awc*r IN. 2 tsltY _. Slala__ ZIP— Earn brarr.h rlrcuN16,00 Phone N0._ __ _ hl the rile for hr°roh drouhs whhoi___ �—_ 1 he irlstallalion l9 b] 1119 O1dde Orl_pITL PilfY I QWn Wh1CI1 i5 purahsae of eervke or Atrroler Ne, / U5.002� II not Intended for Sale, lease or rent, FW tfrsroh clrcvae.J r Each additional brand+dreuh Woo Ovvner's Signature _ __ _ 4e. miscallaneoue //�� (8srvlce or leeder not Included) 7 v. rian ncvlew section (if required): Fft'h ovn+o or tr6calloo orcif f�o,00 2 Each slot,or ovllire lighlin0 ta0.00 9+pnar ckvurt(e)or a llrhed°Ha py 2 I lease check epprupriale item and ether Ise in section Sn, rust shartimn at exlonsien SAO 00 4 or more tosiderltiul unim in one nourri pr1 MhWr Label°(10) 51tl0,00 �_ _Servire wtd lander 225 AMPS or rno+n 41•Est SysMm over 6W+nuts nominAl tl additlonsl in+pectlon ever Classified area or Structure cxintei+ti �u �nr>rlAl occupancy the allowable In any of tris above CL —� re,f,rrmodlon 539 uo ,._., tan describer!Ill N F C, Ghgplhr r, rat110 _ S.RB V) Submit 2 sets of plalrs wish sppliealion where any of the above —� > apply. Not required for lempolsry oonelruciiort services. 5. Fees: _ NOTIGF lir. Eroler total of above feg5 $ ?» 5..Surchargn(,05 X total fees) Z L - Ruhrord ! � CJ PERMITS SECUME V010 W WORK OR UONSTTIUG I ION 5b. Enter 25%of line A for t� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, Of I IF Plan Rnviow it equirad(Sen.3) _ CONSTT11101ION OR WORK IS SUSrENUFn on ABAND01',ED FUR Subtotal s _ A PEnIOD OF 1110 DAYS AT ANY I IMF AI-T5H WO11K IS COMMENCED. 1:1lruS'Account N S Balance DUB $ Wava""teas a0A" Commercial Building Permit Appiication �� p2 ; City of Tigard 13125 SW Hall Blvd. Tigard.OR 97223 j (503)639-4171 Jobsite Addresis: ZQf 5.W sa � OEFICE USE ONLY 40 Tenant:-—NfC SM4yTLe6",-- Suite # R7oe Planck,/Rec. # Valuation: 1aG .°j Permit# Owner: .11 z A-4-1 E Address: Planning ---- lt, ri 7 30 / Engineering Telephone: Other rr..� Contractor: ,(_•.5 � .�J a` 1�(►_�C; Address: .2-'53 - _ J-GOAD . 0 RL6,-) 4 750yc Type of constr: Telephone: 77? - 3 2 Occupancy Class: Contractor's License# (:�-q 215--/qi Sprinkler? Yes No 2 (attach copy of current Oregon license) _ g-x q,�z � Sq. Ft. Of Project: Contact name & telephone: Story (1st, 2nd, etc.): 1�-• Architect & Engineer: f7know- Sl � Proposed Use: Krze ic- Address: , -fir Ute, Previous use: (�r7IL� �7,3 06 Note: Plumbing & mechanical plans must Telephone: `:D3 370- 7f&2— _ be submitted at time of building permit application. JOB DESCRIPTION: , lA,,;,oFc- (Applicant Signature & Telephone Number) Received by: Date Received: 1 tCOMPER DOC (DST) ID96 ' PERMIT# Account Description Amount Am!Pd. Balance Due - Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) ' S�3 State Tax (TAX) J� - Bldg. Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) _ Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) V _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Water Quality (WQUAL) LL Water Quanity (WQUANT) Fire Life Safety (FLS) C!�(�" j.� r t- Erosion Cntrl Permit (ERPRMT) J rr Erosion Planck/USA (ERPLAN) J W Erosion Planck/COT (EROSN) TOTALS: I,cOMPER DOC tL`ST) 10196 *;; � : 1 r+ `i , r �' , `.. � ` ,. � o _ 1 � �I � w�.' � r ��. • �? �� . , . . � � 6 ' .-� p • _ ; . 4 , �. i� ��� � •� � I , ,. � �, I 1 �'�'��� � ^i„�y;. r {