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LOT. . . . . . . . . . . . . .. CLASS OF WORK. :ALT TYPE OF USE. . . :COM OCCUPANCY CRP. ram 5 OCCUPANCY LOAD: 214 TENANI NAME. . . :ABERCROMBIE & FITCH CO. RemarIcs. Tenant morn fic-aition Ownet-.- WINMAR PACIFIC, INC. 700 FIFT14 AVE. S-2600 SEATTLE OR 98104 Phone #. 206-223-4t567 Contractors ----------------------------- RAS BUILDERS, INC. 180 E. HAMPDEN AVE. ENGLEWOOD CO 80110 Phone #: Rey #. . c 71548 This Certificate grants occupancy of the above referenced building or portion thereof and confilr-IMS that the hmildit!g hag been inspected for compliance with the State of Orgon Specialty Codes for the gro occupancy, and use under C which the referenced permit was issued. .9! 1D4N(33 EFTOR i�lyl L. G OFFICIAL-'"- '' POST IN CONSPICUOUS PLACE La Uj -j .# CITY OF TIGARD FF2LECT ICAL E,NFMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: El-R96-0120 13125 SW Heli Blvd.Tigard,Oregon 97223.8199 (503)630-4171 DATE ISSUED: 04/16/96 PARCEL: 1S126OC-01107 SITE HDDRESS. . . : 09717 SW WASHINGTON biDUARE RD SUBDIVISION. . . . : 7.ON I NG:C-tom BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . Project Description : Abercrombie & Fitch A. RESIDENTIAL---------- B. COhIMERCIAL-___--______.------___-_-_------•-__--___-_ AUDIO R: STEREO. . . : AUDIO & STEREO. . : X INTERCOM & 1--'AGING..: BURGLAR ALARM. . . . : BOILER. . . . . , . . . . : LANDSCAPE/IRRIGAT'. . : GARAGE OPENER. . . . . CI-OCI1. . . . . . . . . . . . MEDICAL_. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTE1yl. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: 0T1-LER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . . INSTRUMENI ATICIN. : OTHER. . : . . TOTAL # OF SYSTFMS: 1 Applicant : _._______.___._.__________._._____._.___.._..__..----.___.________.___-.-.-- FEES WINMAR f''ACII IC, INC. type amount, by date r-ecpt 700 FIFTH AVL:. S-2600 PRMT $ 40. 00 JSD 04/16/96 96-278227 �jPCT $ 2. 00 JSD 04/16/96 96-278227 SEATTLE OR 98104 Phone #: 206-: 23-4567 Contractor: ______.________.-________._._._____._.._.____..__.__-._______________._---.__.__------•_-_ ENTOUCI.1 SYSTEMS, INC. $ 42. 00 TOTAL 37:32 SW MOODY - ------ REQUIRED INSPECTIONS -------- PORTLAND OR 97201 Ceiling Cover f-_-lect' l Final Phone #: Wall Cover, Reg #. . : 069287 - � This permit is issued subject to the regulations contained in the Tigard ',unicipal Code, State of Ore. Specialty Codes and all other Perm i t e e S i gnat ur-e 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. Iss led Py __OWNER INSTALLATION ONLY---_--------_---...__----------_.- The installation is being made on property I own which is not intended for- sale, orsale, lease, or, rent. OWNER' G SIGNATURE: DATE: _._------____.___--_--•------CONTRACT'OR INSTALLATION AI..ITHORIZED SIGNATURE: DATE.e ' l_i LLNSE NO: Call for inspection - 639--4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. I'ERIv11i # Tigard,OR 97223 Phone (503)639-4171 0/7/ � FAX(503) 684-7297 DATE ISSUED / y TDD No. (503) 684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS t'Y. LOCATION OF INSTALLATION 4. TYPE OF WORK Address RESIDENTIAL—I:estricted Energy Fee . . . . . . . . . 140.00 l 7 ZZ 3 (:OR ALL SYSTEMS) City State l Zip `heck Tyke of Work Involves: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener' EJ Beating.Ventilation and Air Conditioning System` Contractor F_?.AOc L _ Type ❑ Vacuum Systems" — � I3'L. S ❑ Other Address � ��A ��---- Date_� c1�. _ _ COMMERCIAL—fee for each system . . . . . $40.00 (SEE OAR 918-260-260) Property Owner _ _ _— _ _ Check Type of Work Involved: Contractor's Board Reg. No. (o9 Z_f,_7 _ Audio and Stereo Systems ❑ Boiler Controls Phone# sol=_Z-L3 ^2-4 6 0". ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation _ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address — 0 Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is Issued under O``t 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations,,too 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 EJ Prolective Signaling residential and other transactions are exempt from licensing.These have ❑ Other _ asterisksl'i.All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503-639-4175. Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection UP) when the inspector Is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations. >_ 4. Assume responsibility for assuring that all corrections required by the inspector -- -- f' are done,and J 5. Assume responsibility for calling for a final inspection when all of the 5. '_EES s corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $_ authorized to hind the applicant I b. 5%Surcharge(.05 x total above) $ � Signature -- rc_7 TOTAL $ Authority if other than applicant ENERGAP.CHP CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95-0410 13125 SW Hall Blvd.Tigard,Oregon 07223.8198 (503)639-4171 DATE ISSUED. 03/14/96 PARCEL: IS1260C01107 ITE A D D FR E S)33. 09777 b W W A 1-.')1.11 1\1(-3 TO 1\1 S Q.U A R E RD SUBDIVISION. . . . : ZONING: C--G BLOCK. . . . . . ." LOT. . . . . . . . . . . . . .. A CLASS OF WORK. . 9ALT FLOOR rURN. _ . 0 1I.k) W COOI-ERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VE MT FANS. . . : 0 f)CCUPANCY GRP. . .132, VENTS W/O ADPL: 0 VENT SYSTEMS: 0 IDS. . . . . . . : 0, POILERS/COMPRES-JORS I-100I)CS. . . . . . . : 0 FUEL TYPES---------------- 03 HP. . . . . 0 DOMES. 1NCIN: 0 COMML. INCIN: 0 3-15 HP. . . . : 2 MAX INPUT: 0 LATU 15-30 HP. : 0 RCPAIR UNITS- 0 11P. 0 WOODGTOVES. . - 0 F IRE DAMPERS?. . : - GAr3 PRESSURE. . . : 50+ HP,. . . . 0 CLO DRYERS. . . 0 NO. OF UNITS--------------- AIR HANDLING UNITS OTHER UNITS. : 5 FURN ( 10011 BTU: 0 1Zl C(IS OUTLCTS. : 0 "URN ) =100K BTU: 0 > 10,4100 cfm : 121 !',einarks : Tenant modification !WT)er: FEES WINMAR PACIFIC~ INC. type arnol.tnt by dace recpt 700 FIFTH AVE, G-2600 PRMT $ 54. 50 J.3)D 03/14/96 96-;?77021 PLCK $ 13. 63 JSD 03/14/96 96-27712121 E OR 98104 ,,C-AITL 5r,ur $ 2. 73 JGD 03 14 96 96-277021 F,hCjTle #' 206--223--4367 Contractor: ['1\lr-`GY EXCHANGE 4144 SE 24TH ("RTLPND OR 97$202' 'V)orip #: 666--..5E+50 70. 86 TOTAL P P LA 53723 REQUIRED INSPECTIONC-. Th:s permit is ictued subject to the regulations contained vi the Mechanical Insp ligard Municipal Code. State of Ore. Specialty Codes and all other Heating Unt ITISP applicable laws. All work will be done in accordance with C001ing Unt Insp approved plans. This permit will expire if work is not started DLict Inspection within 180 days of issuance, or if work is suspended for more Fire Damper Insp than 180 days. Misc. '.nspection Final Inspection F.-t miLtee Giqpire : _J D 01 7� ILJ Call f o-, inspection 639-4175 _J tom( J ,, ; )7 C l '/" City of Tigard RE. MEC.HANIC."AL PERMIT Planck/Rec. # 13125 oW Hall Blvd. 04 4c, APPLICATLON Permit # ME��iS a�li� Tigard, OR 97223 WN 2 �`✓"� �,G otos"��- �� L (503) 639-4171 '^•° esc,np Ion Y�IASNIr(V1Orl Soil/�� I�n � Table 3A Mechanical Code CITY PRICE AMT Job ... s W X11 r�GTO eD 5J 1) hermit Fee -0- -0- 10.00 Address •• TIC�� Ci1 3 2) Supplemental Permit 3.00 ^• a^•^�° umace to 100,000 BTU 111x1 A(� -I lt�� 1) incl. ducts &vents 6.00 ^o ••• urnace 100,000 BTU + OwnerOp lCiFnk �- 2) incl. ducts &vents 7.50 t :rFloor Furnance Si�--ArILG- 3) incl, vent 6.00 m ^•^•° •� Suspended ea er, wall eaTer IC Fl 4 C p 4) or floor mounted heater 6.00 ••• �^^• Vent not Inc. In Occupant 4�rn ITOIO PW41-4A `+J 737.6 5) appliance permit 3.00 •• epair of ea Ing, refrig. Coumm S o14 '4 jZ3 0 • 6) cooling, absorption unit 6.00 Boiler or comp, heat pump, air con-d.- 7) on .7) ;o 3 HF; absorp unit to 100K BTU 6.00 Boiler or comp, her.1 pump, air cond. Contractor •• 8) 3-15 HP; absorp unit to 500K BTU 11.00 of er or comp, meat pump, air cond. 9) 15-30 HP; abserp unit .5-1 mi! BTU 15.00 •• •a • •• of er or comp, heat pump, air con . 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 hereby ac now a ge that I have read this application, thattheoi3-iter or comp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) 50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air handling unit o State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM l 4.50 Hoard, that the number given is correct. (If exempt from State Air an ing uni - registration, please give reason below.) 13) 10,000 CTM + 750 Non portable 14) evaporate cooler 4.50 Vent fan connected 15) to a single duct 3.00 'ventitation system not 16) included in appliance permit 4.50 .w. a+••^ •• Hood serve y E: 1 A rJ 7- )0O 1 4 KLA i(U�J 17) mechanical exhaust 4.50 escri a wo new addition C3 alteration repair U Commercial or industrial to be done reoidential Cj non-residential 18) type incinerator 30.00 Existing use of Other i e.. woo stave, water V' building or property MEji2-'Cj0 N T11lc 19) hr,ater, solar, clothes dryero. etc. r 1� �.� 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 1 building or property �?-CA/ti T-ILAr '— rs 21) More than 4-per cutlet (each) 2.00 Type of fuel -oil Q natural gas Q LPG Q electric Q NOTICE�- -� Minimum Fee $25 00 SUBTOTAL ) S� r PERMITS BECOME VOID IF WORK OR CONSTRUCTION 2 J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5%. SURCHARGE IF CONSTRUCTION OR WORK !S SUSPENDED OR ABANDONFD FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%. OF SUBTOTAL AFTER WORT; IS COMMENCED TOTA'_ cpr,al Corditiors Date issued byv WLOOIMOSTMMECHIPUT CITY OF TIGARD BUILDING PERMIT PERMIT :h. . . . . . . .. BUP9750490 DATE ISSUED: 02/21/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 PARCEL: 151.26 OC--01 1 k1 7 L IJW W-"ALHINkrTUN SQUARE RD UBDIVIGION. . . . : ZONING:C-G ILOCFS. . . . . . . . . . : LOT. . . . . . . . . . . . . FLOOR NREAG----------- EXTERIUR WALL CONSFRULrioi\t- ..;ISS, OF WORK. ALT FIRST'. . . . : 0 sf N: S: E: W -t; ;E OF USE. . . :COM SECOND. . . : 12, S f PROTECT OPEN INGS? YPE OF CONST. .-SN 0 s N: 9: E.- W: :ZCURANCY GiRf-D. :BTOTAL,-- 0 S f ROOF CONST: FIRE PET? : )CCUPANCY LOAD: 0 BASEMENT. ; 0 sf AREA GEP. RATED: ,TOR. - 0 HT . 111 ft GARAGE. . . : 0 sf OCCU SEP. rkATEED., j1IT ): MEF-ZZ 71: REGD SETBACKS---- REQUIRED- LOOR LOnD. . . . : 0 psf LEFT. 0 -ft PGIAT: 0 ft F71P SPKL: SMOK DET. . : 'WELLING LJP41TS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: �EDRMS. 0 BATHS. 0 IMP SURPACE: cq PRO CORR: PARKING: 0 iaLUE. $ : 4000 emai,ks. Installing fire suppression system iWn er: -- FEES INIIAR PACIFIC, INC. type amol.tnt by date r-ecpt 012� FIFTH AVE. S-2600 P PMT $ 44. 50 JSD 02/14/96 96-217" FIRE $ 17. 00 JSD 02/14/96 96-27594 11--ATT'LL OR 90104 5PCT $ 3 JSD 0E.'/14/96 '36--1=,59 hone #: 206 -223-4567 Y'AFT F'IRE PROTECTION INC. � :.-jF: j S. W. BURNHAM ibiARD OR 97,?.-q3 lone $ C,4. t5"'3 TOTAL -,g 64 ?177 -------- REQUIRED INSPECTIONS is ptreit is issued subject to the regulations contained in the Spr,'Inklei,- Undev,s -gars Municipal Code, State of U've. Specialty Lodes ana aii other Spi-irillev Rolagh .plicable laws. All work will be done in accordance with Sprinkler Final .proved plans. his permit will expire if work is not started Fit^e nlar-m Insp thin lU QaYS Of ISSIUIL9, or if work 15 suspended for more rinal Inspection an 180 days. iii i t t e e ,j i gn a t ur,t? e d B Call for inspection 639-4175 C _J C PL.A.NCK# oz��9E� APPLICATION FOR PERMIT TO INSTALL FIRE SPRINKLER SYSTEM BUILDING DIVISION, CITY OF TIG.ARD 639-4171 (Z tt C91; -0'V F0 Date: �� (Z" ( h PERMIT # ' Valuation:_� 0) COD Amt. Paid: Permit Fee: SZ' ' 5% State Tax: Balance Due: ' 40% FLS: r_ Z �ys� Plans must be submitted to the Building Division before installation. Three sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation: Addition: Repair: Alteration: t;' Complete: --W" Partial: Exitway: Basement: Hood & Vent: Spray Booth: IN EXISTING BUILDING:_ IN NEW BUILDING: 9',7a � 11 NUMBER & STREET:_ ��7��_ INGS t!� JGTU�J Sod,,, „� NrVNIE OF BUILDING or BUSINESS: ��' a. C�UV'n�1` r tTC kA CO3 NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: TYPE OF SYSTEMS: Wet: Dry: _ Combination: STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1-�- 2_3_4—Extra DENSITY GP'Vf/Ft2 DESIGN AREA _ ft2 SPRINKLER AREA tt2 SPRINKLER ORIFICE SIZE: ! "K' FACTOR (, —TEMP. RATING /�S OWNER: ADDRESS: CONTRACTOR: w f f%T- F-tN' ` P O YT C.-Tlotj PLANS DRAWN BY:�r� ._ ADDRESS: 10'j 6tAjW I I A'v--\, REMARKS: a. `n APPROVED permits includes only work described above and/or on plans and specification bearing the �'- same permi, number and will comply with all applicable codes and ordinances of the City of Tigard. SPRINKLER CObIP.-"NY: �:'.�i'f , L I~`1 t 1 �0 PHONE: EA Z�1Z Uj SIGNATURE OF APPLICANT: BUILDING DIVISION: PERMIT VALID FOI'. 180 DAYS word\mmdn\Enperm CITY OF TIGARD ELECTRICAL PERMIT t PERM I T #; ELC96--0104 DATE ISSUED: 02/Z__*0/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 Pr1RCEL: 1 S 1 c60C--01 107 ITE ADDRESS. . . : 09777 SW WASHINGTON SQUARE RD z3UBDIVI5ION. , . . : ZONING:C•-G BL0CK. . . . . . . . . . .. LOT, . . . . . . . . . . . . . FIr^o.ject Des:ription : Inztall three service nr^ feeders 2`00amps or leas and 61 branch cir_uit:s. ---RES1DE,',ITIAL UNIT------ ____._TEMPI <<RV(./FGC=DCRS•---_- --_- IhISCELLANEDUS-._._.___. 1000 SF OR LESS. . . . : 0 0 - 2,00 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0 EFa(:H ADD' L 5005F. . . : 0 201 - 400 amp. . . . . . . : 0 SlGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 :SIGNAL/F'ANE:L. . . . . . . : 0 MANE. PIM/ SVC/FDR. . : 0 C•01+amps--1000 Volts. : 0 MINOR LABEL ( 10) . . . : I," __.-_.-_-c3'ERVICE/FEEDER----- -----.BRANCH CIRC(JITS-----_-- •----ADD' L INSPECTIONS__.. 0 - 200 amp. . . . . . : 3 W/SERVICE OR FEEDER: 61 PIER INSP,E:CTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0 401 - 600 ramp. . . . . . e 0 EA ADD" L BRI',ICH CIRC: 0 IN PII__ANT. . . . . . . . . . . : 0 601 _ 1000 amp. . . . . : 0 ___._---- _.________..___i'LAN REVIEW SECTION-- ___._____.___.__- _ 1000+- amp;volt. . . . . : 0 ) =ii RES UMTS. . . . . . . . : ) COO VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR > E25 AMR=IS. . : CLASS ARE:.A 'SFIEC OCC. Owner: -.._._..___-.__..._..__...___.___.__._._____...____._._-------------.._._____.___.___._- FEES ABERCF'OMBIE & FITCH type amc::nt by date recpt 9777 SW WAGHINGTON SQ RD PIRIh7 $ 485. 00 CJS 02/2-0/9EI 96-27&lb7f SPACE #D- 10 5PICT $ 214. ,�5 CJS 02/20/96 96-276077 TIGARD OR 97 :2 PP�one #: Contractor: ELECTRICAL_ DIMENSIONS, INC. $ 509. 25 TOTAL V,OST OFF-ICE BOX 12146 -------- REQUIRED INSPECTIONS -•----- Pt-RTLAND OR 9-IL1C-1 Wall Cover Elect' 1 Final Phone #: 28.2-7255 Elect' 1 Ser^vic,? _ Reg #. . : 44008 This pt-mit is issued subject to the regulations contained in the __.�,____�___.•____.�_.__,__.�_ _,__ Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signat i.rre apa'icable laws. All work will be done in accordance with approved plans. Thrs permit will expi-P if work is not started *ithir. IN days of issuance, or if work is suspended for more - t .n-, 188 days. 1 s r ued By ------ _.__ .__.._..__.__._____._OWNER INSTALLATION !ie installation is being matte on property I own which is not intended for ri :alt, 1�?ase, or, rent. OWNER' b SIGNATURE: _�.__..__ _ DATE:e Ln r __.___.-_...___._____..__.___._..___- CUNTRA(:TUR TNSTALLATIUN ti -' "NA7URE OF PjIJF'R. ELEC' N: DATE: W �_ENSE NO: L' al1 fr.r inspection - 6�7;9-417: Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # 1z C_ v jio y Phone (503) 639-4171 Date Issued a- p o-!r9i,- CITY OF TIGARD FAX (503) 684-7297 Issued by �='`a r � S` TDD No. (503) 684-2772 - �'�' Inspection (503) 639-4175 �1. Job Address: L 4. Complete Fee Schedule Below: Name of Development AL LL�cwb (IJ- Number of Inspections per permit allowed Address l J)i S h Q - � �L -� Service included: Items Cost(ea) Sum City/StatelZip 4a. Residential-per unit 4 1000 sq It or lose _ $+10 00 _ / Each additional 500 eq tt or Name (or natmc-el of business) AL k L k©t,,u h iF i- }~r(L�-1 portion thereof $2500 1 Commercial t],I Residential❑ Limited Energy $2500 Each Manufd Home or Modular 2 t f- .2 l/ Dwelling Service or Feeder sm 00 2a. Contractor Installation only: 4b.Services or Feeders / 1 Installation,alteration,or relocation/ 2 Electrical Contractor / j S/ r < 2 2oa aR pe or ge $sooo Address r �� Y r� ( 201 amps In 400 amps $8000 2 401 amps to 600 amps $12000 2 City r. State Zip / 601 amps to 1000 amps $18r 00 2 t � Y� Phone No. 4.- '�4L rT,5— Over 1000 amps or volts `- S,14000 2 Contractor's License No. L- ( L! Reconnect only $50 oo Contractor's Board Reg. No. i-( LA e(-)P, 4c. Temporary Services or Feeders �. Installation,alteration,or relocation 2 Signature of Supr. Flec'n y l j� 200 amps or lase $5000 2 License No.'.x < '- `, Phone Nla'' Z- z 201 amps to 400 amps $7500 2 _ L Y 1 401 amps to 800 amps $100 00 Over 800 amps to 1000 volts 2b. For ow iter Installations: see W above P4d. Branch Circuits Print Owner's Name New,allaialion or extension per panel Address a)The lee for branch circuits with purccity State Zip _ Each branch h service a Moder fes. i ; �; 2 Each branch araxd �L $500 �,�_`� Phone N0. b)The tee for branch oraxte without The installation is being made on property I own which is purchase of service or Moder rlee. 2 nFirst branch circuit $3500 2ot intended for sale, lease Or rent. Each additional branch circuit $500 Owner's Signature As.Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Fach pump or irrigation circle $4000 2 Each soon or outline lighting 940 DO Signal circuit(s)or a Ilmded eneigy 2 Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Label%(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over �- Classified area or structure containing special occupancy the allowable in any of the above Ct as described in N.E.C. Chapter 5 Per inspection $3500 Per hour S5500 n In Plant $5500 Submit 2 sets of plans with application where any of the above —' F- apply. Not required for temporary construction services. 5, Fees: � So. Enter total of above fees $ NOTICE -� 5%Surcharge(05 X total fees) $ � LU PERMITS BECOME VOID IF WOnK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED 0 Trust Account K Balance Due $ V,LUMHING PERMIT CITY' OF TIGARD f=+ATE ISSUED:SUED . . . . : 0/96S-1�u�r�:I COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 1 S 1 26(ZZIC--01 10 7 L "ui•t L:.,"J. . . : X1`3 r 7 ;;W W(;;)I-iINGTON ;30UARE RD .IBDIVIE;ION. . . . : ZONING: C-G OCI.. . . . . . . . . . . L OT. . . . . . . . . . . . . . fiGS OF WORK. . :OLT GARBAGE DISPOSALS. : 0 MOBILE I101,1C ISPACES. :�0 :'PE OF USE. . . . :COM WASHING MACH. . . . . . : 111 PACKF'LOW PREVNTRS. . : 0 :CUrANCY C-1RP. . .LA2 FLO(`2R DRAINS. . . . . . : C' TRAPS. . . . . . . . . . . . . Iy"I 0RIEB. . . .. . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 XTURC::S-__.____._._...._._.___ LpUNDR'Y PRAYS. . . . . . 0 SF' RAIN DRAINS. . . . . . Q1 NKS. . . . . . . . . . .. 0 URINALS. . . . . . . . . . . : 0 GREASE: TRAPS. . . . . . . . 111 1VnTORIEC. . . . . . 2 OTHER F"IXTURES. . . . . C_ JB/SHOWERS. . . . : 0 SEWER LINE . ft ) . . . : 0 iTLR CLOSETS. . : 2 WATER LINE (ft ) . . . . 171 L SHWASHE RS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Tenant modification Owner: _______.______________.__._.________.. __..___.__.____._._____..__ FEES WINMAR PACIFIC, INC,. type amount by date recpt 700 FIFTH AVE. S-2600 PRMT t 81. 00 BON 02/tEO/96 96--276071 PLC;K $ .7.171. C1,5 LEON 02/2:,0/96 96-276071 SEATTLE OR 98104 SPCT $ 4. 05 BON 02/20/96 96•-276071 F=hone #.- 206-223-4567 C:ontr'ac:tor; AN--TIL. PLUMBING ! `,900 S14 MERLO RD +'�VE_RTON OR 97006 _ _____.__._.-_-_____._____--_____-__-___..._. i-"hone ifi: 642-7323 $ 105. 30 TOTAL Req #. . : 024184 ------- REOUIRED INSPECTIONS This permit is issued subject to the reg+ilationi contained in the Rough-in Inbp Tigard Municipal Code, State of C-re. Specialty Codes and all other RLII/Uriderf•lour applicable laws. All work will be done in accordance with Top-•o1_tt Insp approved pians. This permit will expire if work is not started Drinking Fo�lntai within l8® days of issuance, or if work is suspended for more Final Inspection than 160 days. er-mi ttee L. i zt1-ire : t M _. r N Call fc-I i11F>p ect ian - 639--4175 J L` W J Tenant Name: �' r Accumulative Sewer Tally This? S'NR#: 95 -DL1 3 Address: "?7-7'7 Sul L(.kh -1, c'1V ` ,< �� ' I III; ; _N i Fixture Value Previous# Previous Credits Capped Fixtures Fixtures New New Value Capped off value addod # add:-d total JJs total Count off#s count t,.elt le values Baptistry/Font 4 Bath-Tub/Shower 4 Jacuz/Whpl 4 Car Wash -Each Stall 6 -Drive Through 16 Cuspidor(Water Aspirator 1 Dishwasher-Commer 4 -Domest 2 Drinking Fountain I Eye Wash 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HP) Comm It( 5 HP) 32 Ind lover 5 HP) 48 Irn Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Recreational Vehicle Dump Station 16 Shower- Gang(Per Head) 1 _ Stall 2 `.pink- Bei/Lavatory 2 1 � Bradley 5 ` Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor 6 LA_ Water Closet, Toilet 6 rt Urinal 6 F— TOTALS E �Gr Total fixture values: divided by 16 = +"` EDU {a 16-c N fu d HISTORY PLMx 75 nt< EDu# /W- swR# 'j -0' r PLM# -flIV�EDw !U! SWR,r PLM#t EDU# 1100 SWR# �rj '�i�l PLM# q -L[+r{ EDUN J&P SWR# I) "C)0% PLM# ' ED J# I i SWR# 'l�j - (t 'd0 PLM# EDUII I(CCS sv✓R# PLM# nZl EDU# (p7j SWR# . PLM# EDW SWR# CITY CIF TIGARD DEVELOPME14T SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR96-0045 DATE ISSUED: 02/09/98 PARCEL: 16126CO-01107 SITE ADDRESS. . . :09777 SW WASHINGTON SQUARE RD SUBDIVISION. . . . ; ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG Project Description: Misc: Add signal circuit or limited energy panel, alteration or extension to an existing commercial tenant occpy. A. RESIDENTIAL----------- B. COMMERCIAL.-------_----------------_-.---------------. AUDIO R. STEREO. . . AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE CO►" - - : NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER; : : HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . :LIM-ENERGY: : X TOTAL # OF SYSTEMS: 1 Owner: -_____._._____._______._.__---__.______.-----------__.__-___ FEES ----------------- WINMAR PACIFIC, INC. type amot.tnt by date recpt 700 FIFTH AVE. 5-2600 PRMT $ 40. 00 GEO 02/09/98 98-303168 SEATTLE OR 98104 SPCT $ 2. 00 GEO 02/09/98 98-303168 Phone #: 2'06-223-4567 Contractor: ----.-__.-_._--_--_.---------_---------------------.-_ AAA ALARM CO OF OREGON $ 42. 00 TOTAL 7865 SW CIRRUS DR ------- REQUIRED INSPECTIONS -------- DF`AVERTON OR 97008 Low Voltage Insp Phone #: 646-2700 Elect' 1 Final R o q #. . : 0009.38 This permit is issued subject to the regulations contained in the Tiqard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suispendpd for more than 188 days, ATTENTION: Oregon law -equires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR through OAR 952-891-088. You may obtain copies of these rules or direct questions k Oft at (503)246-1387. 1 s s i_t e d b y .-----.-__ F�e r m i t t e e ri i g n a t i_t r e�/✓ L'----------------------------OWNER INSTALL-ATION ONLY----------------------------- -- The ----------__-_--_-_---_-- -- ..The installation is being made on property I own which is not intended for kale, lease, or rent. �- OWNER' S SIGNATURE: DATE: _ _-_--__--_-_-----_._--_.-CONTRACTOR INSTAI.A..ATION ONLY------------------------------ i(TNATURE OF SUPR. ELEC' N: DATE: �` 1 10ENSE NO: +++++++++++++++++++++++++++++++++•+i+++++++++++++++++-F+++++++++++++++++++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bLIsiness day ++++++++++-r++++f+++++++++++++.>++++++++++++++++i-++++T++++++++++++++++++++++++++++ frt CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date RecdDate to P.E. Phone (503)639-4171, x304 Print or Type Date to DST _ Inspection (503) 639.4175 Incomplete or illegible will not be accepted Permit# oo Fax (503)684-7297 Called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development /� Number of Inspections per permit allowed Name(or name of business) A L)(-C i.U w L)I C' f} �-IrlI C I) Service included: Items Cost Sum Address I 1 6 W VV IJ 1))r)Q tT rl y v� P Lt- 4a. Residential-per unit City/State/Zip r CI () ��1 loon sq.n.or loss _ $11000 4 Each addit;nnal 500 sq.ft.or Commercial LTJ Residential ❑ portion thereof $25.00 Li1 mited Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $88.00 2 (Attach copy of all urre t II ses) 4b.Services or Feeders Electrical Contractor_ [� C�1 1 C m Installation,alteration,or relocation Addr ss Cpl ` 200 amps or less $60.00 _ 2 201 amps to 400 amps $80.00 2 City State ' Zip 401 amps to 600 amps $120.00 2 Phone No. U' L 601 amps to 1000 amps $180.00 2 Job No. I Over 1000 amps or volts $340.00 _ 2 Elec. Cont. Lice. No._ �J U C Lf Exp.Date - Reconnect only $50.00 _ 2 OR State CCB Reg. No. 3 Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. __Exp.Date` Installation,alteration,or relocation ^ 200 amps or less $50.00 _ 2 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. I Zf_! ) _� Lt- Exp.Date ID/11 c) aee"b"above. Phone No. T -' - '-- 4d.Branch Circuits Now,alteration or extension per panel 2b. Fol-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 2 - b)The fee for branch circuits City_,_ State____ Zip_ - without purchase of Phone, No._ service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circult $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature _ Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s)or a limited energy panel,alteration or extension f $40.00 2 � Please check Appropriate item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 41.Each additional Inspection over j_ Service and feeder 225 amps or more the allowable In any of the above ✓r System over 600 volts nominal Per inspection $35.00 > Classified area or structure containing special occupancy Per hour V $55.00 �- as described in N.E.C.Chapter 5 In Plant $55.00 J c 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: Ll C. CID Not required for temporary construction services. 5a.Enter total of above fees $ w 59.Surcharge(.05 X total fees) $ -' NOTICE- Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if re�c uired(Sec:3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ----- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY r, TIME AFTER WORK IS COMMENCED. Trust Account# I �0 I i Total balance Due $ I krSTsNeLcee APP Rev I'I ri';h1G' Dr-r.W T T PERMIT #. . . . . . . : BUP'93-0488 CITY CSF T I GARD DATE ISSUED: 02/07/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: IS126OC—OlIV17 S I I 431*#W Hall Blvd.Tigard,Oregoh 10722308196 (603):039-414i' SUBD i V I":*)i CN. . . . . ZONING:C—G BLOCK. . . . . . . . . . . LOI.. .. . . . . . . . . . . . . PEISSUE: 17LOOR EXTERIOR WALL. CONSTRUCTION CLASS OF WORK. :ALT FIRST. . . . : 7485 sf N: S: E: W. TYPE OF USE. . . :COM .SECOND. . . : 0 5f PROTECT OPENINGS?----- TYPE Oo':7 CONST. .-5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B2 74G5 sf iRoar' CONS;)T: FIRE RET? . OLCUPIANCY LOAD: 214 BASEMEi',3T. : 0 sf AREA SEP. RATED. G TO R. : I HT: 0 ft GARAGE. . . . 0 s OCCU SEP. RATED. BILMT? . MEZZ? :N FREUD FLOOR LOAD. . . . -. 0 P--: F- LEFT. 0 -FL RGHT: 0 ft r I R SPIKL:Y SMOK\ DET. N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP1 ACC:Y BEDRM5: 0 BATHS: 0 IMP SURFACE- 0 PRO CORR: 'Y PARKING: 0 VALUE. $: 290747 Remai^ks. Tenant modification Owner.; ----------------------------------------------------- FEES WINMAR PACIFIC, TNC. type amount by date v,ecpt 700 FIFTH AVE. 5-2600 PLCK $ 591. 83 BON 12118/95 95-273100 5PCT $ 45. 5;3 D 02/07/96 96-275709 SEATTLE OR 98104 PRMT s 910. 50 B 02/07/96 96-275709 Phone #: 206-2a,73-4567 FIRF $ -.64. 2,0 B 0/07/96 96-2'75/01) RAS BUILDERS, INC. 180 E. HAMPI)EN AVE. ENGLEWOOD CO 80110 Phone 0: $ 1912. 0& TOTAL Reg #. . : 71548 REQUIRED INSPECTIONS This permit is issued subject to the reS.-lations contained in the Fr-aming Insp Tigard Municipal Code, State of Ore. Specialty Codas and all other Insttlatic)n Insp applicable laws. All work will be done in accordance with Firewall Insp approved plans. This permit sill PyDire if work is not started Gyp Board insp within 180 days of issuance, or if work is suspended for more Sitsp Ceilng In!sp than 180 days. Spt,inklet, Final Fire Alarm 111�p Misc. Inspection Plermittee Final Inspection r S U El d Ek y g Call for- inspection 639--4175 JA Commercial Building Permit Application City of Tigard e� k , RECEIV 13125 SW Hall Blvd. �(-`"" Tigard, OR 97223 ;,�� p y NOV 2 (503) 639-4171 a' '� 1 1 � j CpANa�itrai. Jobsite Address:---&5 S,�-A . art SQJla(&-= (?-0. Tenant:AZC-k!CMM3IE+-PlQ14 CO,Suite# p- )O Office Use Only Planck/Rec # Valuation: ZC10 -1y1. I -r-- Permit# Owner: rl I r y N1 A 2_ f'/aCl L I N L . Map & TL# Address: 100 Ff( APP )vals Required AT4-T' 6AT�AY mW � SE/�TTl_� W/a , q%141 Planning Phone: -.06 • -LZ-s .4S61 Engineering , s �{, �, (/Lld� _t s Other Contractor: r(� �2 4 �( Address: — Type of const: Occupancy class: Phone: Sprinkiered? es No Contractor's License # _ (attach copy of current Oregon license) Sq. ft. of project: -14?YS_ Contact name & phone: Story (1st, 2nd, etc.) Proposed use: iW1 CC_Ar-(TILAE Arch itecUEngineer: JAm S Previous use: MC�CA�"('Iyc- Address: 10�S IS6�' ��E ��- � �rJ iT S • Note: Plumbing & mechanical plans l!)EL-U-LVUE Y`J (n�2 must be submitted at time of LL building permit application. ti Phone: 2-U6 . F- =, JOB CESCRIPTION: Or 1_"Q r-r/rH I" TNS :J rJk;Lr1 TEJ,,JA rel w J S_ -D M .0� t Applicant Signature & Phone number Received by: DateReceived: '�► Permit * Account Description Amount mt. Pd. Bal. Due V .S 0 L' ' Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: _ Plumb: Mech: ✓' Plan Check (PLANCK) L� �(`� <� 5w/ Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) P irks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-,;) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) _ Water Quality (WQUAL) Water Quantity (WOUANT) Fire Life Safety (FLS) 5 U �G'Yeo —� Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) J , Erosion Planck/COT (EROSN) TOTALS: 7 1 2 �O.Q3 I •.` �� r City of Tigard RE--C PL MBI G PLRMIT APPLICATI N Planck/Rec. # _ 13125'SW Hall Blvd. / oaf l7Cys& ��s5'' ( "�T b Permit # PL M `1_S-1 Tigard, OR 97223 ��k G �° (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N' MDi"°'"'"' New Single Familv Residences Only Ural S v 2C Ad~(L J,'/ S0 r-F L BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job - , ,-,)6T�)" Sq .(W - 1 0 ❑ 3 BATH HOUSE$225.00 Address CROMWO Fee includes all plumbing fixtures in the dw'!!!ng and the first 100 feet 7 S (D O e �1 L23- of water service, sanitary sewer and storm sewer. See fees below. """•""'"•,A I FC.TURES Q Y PRICE AMT C I if I ^)cam, ')ink 9.00 20(, -Owner Tui o Tub/Shower Comb. 9.00 '' 'i - 5V TE 2c�1� ' r'"°"'• Shower Only 9.00 Water Closet 9,00 Dishwasher 9.00 C! C O _ Garbage Disposal 9.00 Occupant Mallift„„- Washing Machine 9.00 1 1 -�4)q Floor Drain 9.00 ""°"" Water Heater 9,00 i? Laundry 5 d ER `�'2�(� Laundry Room Tray 9.00 N- Urinal 9.00 j-' 1 I Other Fixtures (Specify) 9.00 Contractor9.00 Mash � t !I b u 1 � � ; r,., , 9.00 n 9.00 //(Irk r v/r1 (7-e- Sewer 1 st 100' 30.00 ""•"'0"•••""° °w ra ru Sewer-ea. Addit. 100' 25.00 r~?Z.� I c(q Water Service 15t 100' 30.00 I hereby acknowledge that I havq read this application, that the Water Service ea. Addit. 200' 25.00 information given is -w,.ct, tha am the owner or authorized agent of the owner, that plans submitted a�.. in compliance with State laws, that Storrs 3 Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractors Board, that the Storm 8 Rain Drain Addft. 100' 25.00 number given is correct (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 C _ 8ack Flow Prevention J , __ 1 •z •�J Device or Anti-Pollution Device 9.00 '`O '^'°•'""""' °'• Any Trap or Waste Not V U I t C/ F( n--j Connected to a Fixture 9.00 Describe work new Q addition U afteration 0 repair Q Catch Basin 9.00 to be done residential Q non-residential Insp. of Exist. Plumbing 40.001hr Specially Requested Inspections 40.001hr Existing use of building or property mX:f rjL•'�)N 1 LE Rain Drain, single family dwelling 30.00 Residential backflow prevention u devices 15.00 Proposed use of budding or prope ty IVA CAry j I Lac '(Except residendal backflow > prevent:iz^ devices) H- hN J NOTICE 'Minimum Fee $25.00 SUBTOTAL �4 ca PERMITS BECOME VOID IF WORK OR CONSTRUCTION J AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDEC OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 259: OF SUBTOTAL "a TOTAL Special Conditions Date issued by ,;. .., y.. ..: , .. ., i 1 . . ;� �,. �' ,�' it �.�; •�. ti. ., t �, �. �,.. - r ^;�. �. . ,� . . - .. , �;. ,, {',�. r • � �� r: ` " .. ;� `_ ., � � i' � � �� w L .. �� - ,�' .a - . .'r'; � � � ::n Y S ,y' �� ,� � � . � ,'� � � . ' r.