Loading...
12909 SW 68TH PARKWAY STE 200-2 N CD O (O O OQ x N O Q 2909 SVu 68"' Pkwy ft200 CITYOF TIGARD CERTIFICATE OF OCCUPANCY --, , DEVELOPMENT SERVICES PERMIT#: BUP2001-00353 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 0 AD- PARCEL: 2 200*1-�101AQ-03200 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 12909 SW 68TH PKWY 200 SUBDIVISION: TIGARD OFFICE BUILDING BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2-11-113 OCCUPANCY GRP: B OCCUPANCY LOAD: 875 TENANT NAME. REMARKS: TI Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: Contractor: H L GREEN 15350 SW SEQUOIA BLVD STE 300 TIGARD, OR 97224 Phone: 624.7717 Reg #: LIC 41328 This Certificate issued 12/14/2001, grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, Occup cy, and use under which the referenced permit was F;su¢d. ,it/1 BUILDING IRC O +� BUILDI ICTAL POST IN CONSPICUOUS PLACE C17Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -Date Requested ) _AM_ PM BLD _ Location L,- L Suite 2 00 MEC Contact Persons u-�- .t� _ Ph -3/0 S 9 3 1 PLM Contractor Ph SWR BUILDING-- C L E Tenant/Owner G - ---- Retaining Wail ELR _-__ �e Footing Access: FPS Foundation ---- - Fig Drain �— SGN Crawl Drain Inspection Notes - -� — SlabSIT Post&Beam ------ --- ---------------- ------- _---_ - - Ext Sheath/Shear Int Sheath/Shear Framing --- - ----- --- - - - �_-_ -- --- Insulation Drywall Nailing Firewall - -� Fire Sprinkler Fire Alarm 3usp'd Ceiling ---..._.--- ------- �- Roof / rn --- PART FAIL -- -- ------- - -------- ING , Post& Beam --____.-_-__---- ------------- - Under Slab T op Out -` Water Service 10007 Sanitary Sewer Rain Drains - - --- - --- Final -- PASS PART FAIL MECHANICAL Post&Beam _ _-- ----- - - - Rough In Gas Une - ---- --.-" -�--- Smoke Dampers Final _.____------- -- --- --- ---_-- ------- PASS PART FAIL ELECTRICAL ----- _ _ _._--- --- — ---- -- ---- Service ------- -------- -- ------- -- Rough In UG/Slab -- Low Voltage Fire Alarm --- --— -- - ---_ --- ------- Final PASS PART FAIL -_----- -- - - _-- SITE 1 Backfill/Grading -- --------- ---- - — --- — --- --- Sanitary Sewer Storm Drain [ ] Reinspection fee of 4 _- requited before next inspection Pay at City Hall, 13125 SW Hall Blvd Cath Basin , Fire Supply Line [ ]Please call for reinspection RE:,. Unable to ins-__._-_ - i 1 pect no access ADA Approach/Sidewalk �' _Gl Other _ (3at� r --- Inspector ------ Ext Final - -- PASS PART FAIL Do NOT ftsMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Flour Inspection Line: 639-4175 Business Line: 639-417. MST — —_— _Date Requested /'1 J AM i,-' PM BOP BI-D Location / q G�l� �C,$�'I �� Suite ZG 6 MEC _ Contact Person ��,;�.yu Ph PLM 7 Z- Contractor Prt SWR BUILDING Tenant/Owner _ ELC Retaining Walt Footing ELR FPS Foundation Access: Ftg Drain I _ Crawl Drain Inspection Notes: SGN Slab _ Post&Beam ---- -- SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation -._— - —-- --- -- ------- --- ---- - Drywall Nailing Firewall - -- -- _.M, - _ ------- — Fire Sprinkler _ -- ----------- - Fire Alarm - -----____---.. ----_--- Susp'd Ceiling Roof -�1--__.-- ------- -Final -- PASS PART F PLUMBING Post& Beam - ------- - - - -- - -------- — ---- -- Under Slab Top Otit Water Service Sanitary Sewer -- rain Drains � PART FAIL MECHANICAL --- - _ Post&Beam Rough In - — - Gas Line _ Smoke Dampers — Final PASS PART FAIL ELECTRICAL -' -------- _ Service Rough In — --- - UG/Slab Low Voltage - Fire Alarm Final - - - PASS PART FAIL SITE ------ Backfill/Grading Sanitary Sewer Storm Drain ]Relnspectlort fee cf$-_ required before next inspection. Pay at City Hall, 13125 SV!Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE:-- - - _ [ ]Unable to Inspect-no access ALBA Approach/Sidewalk Other Date -i-LI— Inspector �[ Ext � /� Final PASS PART FAIL DO NOT REMOVE this Inspectirii record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. 63 '75 Business Line: 639-4 - BLIP Date Requested 2 0/ AM— PM BLD - Location (�.� Suite Q MEC — — Contact Person Ph _ PLM Contractor• J,0 Ph �, �• 3=2 �� SWR BUILDING Tenant/Owi-.ar ELC Retaining Wall --- — LR 2&)1' Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab I -- ---- - SIT Post R Beam -- Ext Sheath/Shear Int Sheath/Shear --- - Framing -- --- -- Insulation ---- Drywall Nailing FirewallFire Sprinkler Sprinkler ------- Fire Alarm I ---- -- Susp'd Ceding — Roof ----- PASS PAR'r _FAIL --- __— PLUMBING Post R Beam Under Slab Top(jut -- ----- Water Service Sanitary Sewer - -- _—v-- ---- -- -- Rain Drains Final PASS PART FAIL. MECHANICAL _...-- - --------- ----- - --. , Post& Beam -- -- - ---- - Hough In Gas Line -- ------ Smoke Dampers Final PASS PART FAIL ELECTRICAL -. - ------- - —_ Service Rough In - UG/Stub- F.-ow Volta9d Firearm FART FAIL SITE Backfill/Gradinq ----- Sanitary Sewer Storm Drain )Reinspection fee of$ —_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: —_ [ )Unable to inspect-no access ADA Approach/Sidewalk - i3 �l Inspector.�� , �7 �r --- Other Date /L �� Ext �J Final PASS PART FAIL DO NOT REMOVE this Inspection record from they job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24.Hour Inspection Line: 63. 75 Business Line: 639-4 — — ------- BUP _ --�Date Requested 12 � AM _—PM BLD — Location 642 �.J1 uite _ e? 00 _ - MFC Contact Person _ Ph PLM Cintractor 44�Jln4�, rz;� 1 /tlyrF�:�� Ph 3o3 Soo C/Z�j SWR — BUILDING — — Tenant/Owner _ F,LC Retairing Wall — ELR) .2001- 00z2 f Footing Access: Foundation FPS Drain Cr SGN Crawl Dra,n Inspection IJotes: Slab -- -------- - --- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- --- -- ---- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- ----- -- --- - ----- Roof Misc: -_-- _—..—A ---- --- - Cinni PASS PART FAIL ----- -- -------- - - ------ - PLUMBING Post& Beam -- ---- `-- - \ Under Slab Top Out ------------------- - � - Water Service _ Sanitary Sewer Rain Drains Final / PASS PART FAIL MECHANICAL Post& Beam - -------- -- Rough Rough In Gas Line — --- — Smoke Dampers Final -PABS -PART FAIL ECTRICAL Service --- _ Rough In UG/Slab Fire Alarm PARI FAIL ----- - - --— -----------.- TE Backfill/Grading -- --- --------.. ----- - ------- Sanitary Sewer Storm Drain [ Reinspection fee of$ -_ -_required before next inspection. Pay at City Hall, 3.25 SW Hall Blvd Catch Basin [ Please call for reinspection PF _ _ - [ )Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Other _ Date Inspector— Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the jot~ site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2?-Hour Inspection Line: 639-4175 Business Line: 639-4171 / F(�, BLIP Date Requested_ // l _AM --PM BLD n _ Location f �- T'p to �i �l�w`^ Suite -�GMEC Contact Person V ph �o LU e) c d PLM Contractor Ph SWR BUILDING Tenant/Owner — ELC _ R etaining Wall i ELR ^__Fooling Access. Access. Foundetlon FPS Ftg 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: 'in S3 ART FAIL ---- --- ----- -— _ - PIM MBING — - ----- ----------- r Post& Beam i Under Slab _ Top Out --- --- I Water Service � _f Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line - - Smoke Dampers Find - PASS PART FAIL ELECTRICAL Service �y _ Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART PAIL SITE Backfill/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 Approach/Sidewalk Date Z_ Inspector Other F x 1 Final PASS PART FAIL DO NOT REMOVE this inspection recoril frond the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 ----- / BUP ----. .---Date Requested ( �_-� AM_ _PM BLD Location, Z. z `1 D 2 le 9747- �'�'L SuitpFJ l i _ MEC, C,}J 3Cp l Contact Person `GyYLc�L- Ph _ / `/ `1 �� PLM Conti actor 1 Ph SWR BUILDING Tenant/OwnerELC Retaining Wall � - ELR _ Footing Access: Foundation FPS 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 --- -- - -- - — PLUMBING Post& Beam --- ----------- Under Slab Top Out i --_ ----- --- --------- _-_� ___ Water Service __-- Sanitary Sewer -- ..--�-" Rain Drains Final ------ --- - .-._-_—. __ -.- - PASS PART FAIL MECHANICAL Post& Beein Rough in Gas Ling ---------- - ---L ------__ Smoke Uamperr 95TRICAL PART FAIL -. ---- —_.. --- ------- Service Rough In UG/Slab Low Volta. --- _—V- Fire 41anl. Final - PASS PARI FAIL_ SITE Backfill/Grading - ----- - Sanitary Sewer Storm Drain ( J Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE Unable to Inspect no access ADA Approach/Sidewalk I .1- .� Other ---�_ Date Inspector— — __-----_ -- Ext Final PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24.-Hour Inspection Line: 639-4176 Business Line: 639-4171 --" BLIP Date Requested ' ` AM PM BLD Location - �I�L Suite MEC Contact Person _ t��t-�t'L�(�c yYV✓L1 Ph PLM - - Contractor — ?; ,�,�ar, �lS 1 — Ph SWR BUILDING Tenant/Owner - ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: _ Slab -- - -- ------ - SIT Post& Beam Ext Sheath/Shear - Int Sheath/Shear Framing --- _--------- -- - - Insulation Drywall Nailing --- --�.... - -- -- --- - Firewall Fire Sprinkler _-- - --_- -- ---- _. Fire Alarm Susp'd Ceiling --- -- - - ----- -- -- -. Roof Misc: ---------- - _ ---__ --. —. Final PASS PART FAIL PLUMBING Post lab --- -- -- - - ��r Underr Slab - --- TopOut --- -- -- -- p Wates Service �- _- ----- --- Sanitary Sewer Hain Drains --- -- -- -------- -- -- Final PASS PART FAIL _ _ -� - ------- - ----- MECHANICAL l Post& Beam -------- Rough In _.---- -_-.-- --- - Gas Line - --- ----- ------ Smoke Dampers Final ._.—__._.-------------- PASS PART FAIL ELECTRICAL Service -- -------------- --_ -- ---- -- - Rough In UG/Slab -_-- -- — — Law Voltage Fire Alarm -- ------- -- - -- ` i PART __--- -- - - -_---- ___4& Backfill/Grading _ -. -----_----------- -- -. ---- — - Sanitary Sewer Storm Drain ( J Reinspection fee of$___--_--,required before next Inspection Pay at City Hall, 13125 SV!Hall Blvd Catch Basin [ ]Please call for reinspection RE:_ --_ __—` [ ]Jnable to Inspect- no access Fire Supply Line ADA 1 .� Approach/Sidewalk Date r --. LrS[ Inspector , _ Ext -M Other -��'� ✓-��— - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2001-00504 DEVELOPMENT SERVICES DATE ISSUED: 10/11/01 1312.5 SW Hall Blvd., Ticlard, OR 972.23 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Proiect Description: TI Installation of(1)200 amp service/feeder and (5) branch circuits. _RESIDENTIAL UNIT TEMP_SRVC/FEEDERS MISCELLANEOUS__ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ — BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 2G0 amp: 1 W/SERVICE OR FEEDER: 5(i ^ PFR 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 only: _ SVC/FDR >= 225 AMPS: _— CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 10948 SE VALLEY VIEW TERRACE PORTLAND,OR 97224 CLACKAMAS,OR 97015-000 Phone: Phone: 503-698-3417 Reg #: LIC 51539 SUP 2053S ELE 3-243C FEES — Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 10/11/01 $412..80 2720010000( Wall Cover Elect'I Service 5PCT CTR 10/11/01 $33 02 2720010000( Elect'I Final — -Notal � $445.82This 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 nct started within 18U days of Issuance, or if work Is suspended for more t' in 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility N.Aincation Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies o/these rules or direct questions to Permit Signature: Issued By: L- t - > ` A; Ld c _--- ue OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER SIGNATURE: _ _ _ DATE:.— CONTRACTOR INSTALLATION ONLY _ SIGNATUtRE OF SUPR- F1EC'N: LICENSE NO: ___ _------.-- -- - Call 639-4175 by 7:00pm for an inspection the next business day From-Charlynn J.Lelfeen To City of Tigard Uinta 10/8/2001 Time:2:48:28 PM Page 1 of 1 A IS/19/2000 13:28 PAJL 8038847297 City of Tigard ®002 U 1\ Ellectfles l Peru dig pli 'on I)nte)reoaivotl-�. Axpkadav city of Of I � �C�f I4o)en/appl.tlo.: Sr�plre mm_, Ct ry eJ 77Fard Addrtxs:13123 SW HaS Blvd,�4-rzt Ueta"Sue II By: Rootpt twPhone; (303)6391171 ----- Fax: (503)599-1950 Ouse flue no., Paymeut type —-- Land use appvoval: _-- MaXIMM U I k.2 tmxuly dwalling or am.Esory ucnturiclal/lurlusuial O[bold-fe®i1V Q Tenant imp:avoment (J Nrw rx nstruction 1 AdIIitlon/alteralinn/roylncernr�rt U Ckh W: _ O P&A-dal )ob address: _ II un: 5iu1>c an.. 1'ax to [ttx loVs count tu,. LuL: I block: SIA.EA.i.w Pleu_nama: I Dcsctiptiuu and WcaUon of work ou premises: ---_^-- F_.timetad lots of a Ictionhns Wixom --- '�- .lob Lu- Ike Mex Buslnest na/t1e: ,T OFj�N 4 -N C TR T C, INC- --- r). � ¢ ea` reW m.ane Address• d e.ttry,.eu urf.r.re..h..tRr.+P. City: C L A C A9[aeeV r>'.9 7 01 5 �-6 9 8 Puc _ -_Z -- 1000 n.ti atlas, 3 9 1 _ a B no.: ei 1 ri 3 9 Slee.bus.113.. sand.dmdonet 300 q.1t ,_•. _w CCe) ��Zr.i..Lr�. I.Irdtad ennry,raacaaf�a—ed�— �- 7 CIt /rrletro llc.no.: IJaeiledrffi enu<veidaolY.l 2 ttETBQ-.Q9SLfl,g. t3rhrrun-n�iu�M home nr modul�r.�''lr��. sf a1.�, I,tny dace ,Su�� Ora—. SnMw ax tsar tn.rf w 2 -- en a7ocTitiT�wt.'iw ales.nems m): -- - 1.)mo,o na.- altaratleta av taYeeattea: unmiam2n0 aar�-or iso _-�- -_ 7 Name tint 201.n w 100 unp.- 1 MWww ti01 wls�aspi--� Ci ---7State' "-- 1>wor l0[lD er,r�eatr.otee -- -- 2 Pbooe: Kai: Ltnail Haat Owns instei Won:The t uMnaftA 1a being made on pMpwty I own Ta+�plesy arAaw at wMch iA not tatoeded for sole,lease,rent.or mu-haW accotdln8 to ORS 441,453,479,670,701. 101 a`� 2 OI -- Owner's sl nature: _ Date: _ ;. al coe0�0 ung �� les-ra...,.�. n enraa..we per pasatr Nome- A- Nae fur brcml,no—t s'"dA patuaeaa of y5 -- — - Addreta' wrrlre a breis ft..ensb latatxl,ciraaY__ 1 City: 8[300: 7�: it iw for Ars.a<f aln h.n Mu�ut—13 1'hw=- wtloder fkn n..e artaw+a car ealL 2 _e..l, lsarual c 1111ra tNtr'tteeR�N1 .__— — U Sor.wr nuL_P mp or Irrigaidon,d,da 2 (a serviao wts 31(1-.P. slut of t N 7 U Ht dose bead® c,oudlm 2 1—ilydwWilnat 0 tta/1Rlnp ora I DDW w)era Mt I"', .lOnel arralt(a)rei n �iet'p panel, U]r/ler9"ft 6t10 Jotu rxeWnai uwm reaMeadal uMn w one tuvrw" .11rftli tx ra session'_ C)NuMinti vwth— mri" 011adr 400&mpA nrrmrc n: t:)rxorpant Lead wrs tw poo w O Maoarnoased sarnetmes or RV park F,ra! a)aer ary eltAaal6aeb 5abmis sets of plo wak my tut the above. Tae above Ire mot ItpOtbnabte is taaaPer.t'f eassro'rseae ireltvlea. vera. - --— Ns.11)..rrcuu.a�.���,.ar•save..pw...cm h.'-•.•u••,*.•e..wry„aw.;. Ndt.,n nj%pe.aeit nppl)e,.r;.,n �t Ise.....................S 13 Vise expires if a rwevralt Is not obtained ihatt rovlew(at e« U �1► -_ _� whhIn Iso day.;f r a has Mw) state surchafge(01%)....s _ r trr• a N mLw W °' naospted o complete. TOTAL ....................... r Was etreere_ eeDM)1 rMMl.,1i 1 I i I SII I�7 I ! ;1 1 CITY OF TIGARD ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00251 ' 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/8101 SITE ADDRESS: 12909 SVV 68TH PKWY 200 PARCEL: 2S101AD-03200 SUBDIVISION: TIGARD OFFICE 13U11_,'NG ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of Data/Telecom. A. RESIDENTIAL B.COMMERCIAL. AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL.: INSTRUMENTATION: OTHER: _._ TOTAL #OF SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES EXPANETS OF NORTH AMERICA 15350 SW SEQUOIA PKWY #300-WMI 9780 MT PYRAMID CT STE 400 PORTLAND,OR 97224 ENGLEEWOOD, CO 80112 Phone: Phone: 303-300-6129 Reg #: ELE 26-1099CLE LIC 148653 FEES Requirod Inspections Type By Date _^ Amount Rocelpt _ Low Voltage Inspection PRki I CTR 10/8/01 $75.00 2720010000 Elect] Final 5PCT CTR 10/8/01 $6.00 2720010000 Total $81.00 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 starter{within 190 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requi.-Ps you to icllow rules adopted by the Oregon Utility Notitication 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 ques'ons to OUNC at (503) 246-1987. Issued by ���,.�, ,� �� � ,a` ; Permittee Signature k " OWNER INSTALLATION ONLY T he Installation is being made on property I own which Is not Intended for sale. lease,or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY W SIGNATURE OF SUPR. ELEC'N _ _ _ L°.� (.Y+T s- DATE: _ LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: 1,/' k /� i Permitno.:,� City of Tigard Project/appl.no.: Expire date: (Yrrn/lir urrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: t5y: I Receipt no.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.:: Payment type: Land use approval: _ L_J 1 &2 family dwelling or accessory `�Commereial/industrial U Multi-family U Tenant improvement New construction U Addition/ala•ration/rcpl icenx'nt U O(her: U Partial 11 SITEA N FORM1 Job address: 1.00 Tax rasp/tax lo(/account no.: Lot: _ Block Subdivision: Project name: Acc USA T _ I Description and location of work on premises: Estimated date of ctnnlilction/lntiperliun IQ ?.`f o t SOCEDULE Job no: r.e 11as Business name: 60A-%ET Ikscri tion Qq. (ca.) Total no.insp New residential-single or mulli-family per Address: ITO 3 Z #JIE, 4(0&1 dwellingunit.Includes attached varage. City: TEA-0 State:arl ZIP: 11t30 Service included: Phone: 5o 61)y.Yyt y I Fax: 67u.y6t 9 I E-mail: I W)sq.ft.or less - _ _ a Each additional 500 sq.ft.of onion thereof CCB no.: L ssj Elec.bus.IIC,no: U^ /09 Ct.6 Limited energy,residential 2 City/metro IIC.no.: Limited energy,non-residential 2 Date hch manufactured home or modular dwelling S' ne a of supervisin cies rician(r aired)^ bete Service and/or feeder _ 2 Services or feeders—installation, Sup.elect.name(print) oGErf PAnrvg Licenseno. r16141.Lc alteration or relocation: fROPeRTY OWNER 200 amps orless — 2 Name(print) 201 amps to 400 amps 2 — 401 amps to 600 amps 2 Mailing address: _ _ - 601 amps to 1(NNl amps 2 City: Slate: ZIP: over 1000 amps or volts _ 2 Phone:- - - fax: E-mail: Reconnect only I owner installation:The installation is being made on pr)perty I own Temporary services or feeder which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: 2amps 2 less ORS 447,455, 479,670,701. n _ 2l)01 I amps in 41N1 amps _ _ 2_ Owner's sl nature: Date: 4(11 to boo ams 2 Branch circuits-nen,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address'- service or feeder fee,each branch circuit 2 Cily:- Stale: /II': B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: _ _ 2 Phone: I ax (i noiil F:achadditional branch circuit. Misc.(Service or feeder not Includedl: U Service over 225 amps-commercial J lienith-care lac o, Hach pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous incauon Each signor outline lighting 2 family dwellings U Building over 10.000 kluair feet four or Signal chcuitf o or a limited epergy panel. USystem over 600volts nominal more residential units in(me structure alteration,or extension" ( 2 U Building over three stories U Feeders.4'1()amps ormore 'Descri nion 4Tt LEr!E Cor►-, _ U Occupant load mer 99 persons U Manufactured structures or RV park Fwch additional Inspection over the allowable In any of the above: U ligress/hghringplat U other. Per in,,eclion C� Submit +eta of pians with any of the above. Inves(fgalion fee I he strove are not applicable to temporary eowtruellon ttMIre. othrr Not all)uriodiedons axept cred(t cads,please call Jurisdiction for ruse infcxrtwIon Notice:This permit application Pfee................. ) S — Uvisa U MasterCard expires if a permit is not obtained Plan en rl review(al — 96) $ Credit cord number __/ within 190 days aper it has leen State surcharge(8%)....S — _ "p' ire' nccepted as complete. TOTALS —�— ....................... Name or c r u s oam rnt crime li rriT---- ('udhoTder sf`rtoiure Ansolmt 4404615(NOWONO MEN ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: _ --7 Complete Fee Schedule Below- TYPE OF WORK INVOLVED -RES,JENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMF,) Service Included: Items Cust Total Check Type of Work Involved Residential-per unit 1000 sq ft.or less _ $145.15 _ _ 4 ❑ Audio and Stereo Systems' Each additional 500 sq it or portion thereof $33.40 _ 1 ❑ Burglar Alarm Limited Energy _ $75.00 F3ch Manufd Home or Modular E]Dwelling Service or Feeder $90.90 — Garage Door Opener' Services or Feeders ❑ Healing,Ventilation and Air ConLlitioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps _ $'06.85 2 ❑ Vadum Systems' 401 amps to 600 amps $160°0 _ 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts — $45465 2 Roconnect only _ $06.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY Installation,altara;on,or relocation Fee nor each system.......................................................... $75.00 200 amps or leas _-- $66.85 --- 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133.75 —_ 2 Check T ype of Work Invol-ed: Over 600 amps to 1000 volts, soe"5"above. U Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits r -J� with purehaQservice a of or l__ Clock Systems foods,ids. Each branch circuit sr..r:5 _ 2 Data Telecommunication Installation b)The fee for branch circuit:. without purchase of service ❑ Fire AlarmInstallation or feeder fee. First branch circuit $46.85 ❑ Each additional br2nch circuit $6.65! HVAC Miscellaneous L J Ilstrumentalior. (Service.or feeder riot included) Each pump or irrigation circle _ $5340 E=ach sign or outline lighting $5340 ,_ ❑ Intercom and Paging Sys'-ms Signa,circuit(s)or a limited energy panel,alteration or extension — $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over CJ Medical the allowable In any of the above Per Inspection $62.50_—, ❑ Nurse COls Per hour $62.50_ In Plant $7375 _�— ❑ Outdoor Lands^ape Lighting' Fees: l 1 Protective Signaling Unter total of above fees $ F-1 Other e°/State Surcharge $ — _ Number of Systems 25%Plan Review Fee See""tan Review"section on $ " licenses aie required Licenses am required for all other ins,. atlons front of application _ Total Balance Due $ Fees: ------ - Enter total of above fees S rr J Trust Account N- - 81,1.Stale Surcharge s Total Balance Due v ( `�3 n I:Wat9dontuw!--fees:.ti 06/07/01 //A CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2001-00353 -' DEVELOPMENT SERVICES DATE ISSUED: 10/9/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT- JURISDICTION: TIG _ REISSUE v FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2-1 HR sf N: S: E: W: OCCUPANCY GRP- B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: b,5 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD_SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y FMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HIS DICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 200,00(1.00 Remarks: TI Owner- Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKW 1'#2^_ AA/MI 15350 SW SEQUOIA BLVD PORTLAND, OR 9722.4 STE 300 Phone: T1 lOne. '54 77'174 Reg #: t_iC 41328 FEES REQUIRED INSPECTIONS Type By, Date Amount Rarnipt Mechanical Permit Require 5PCT CTR 1012./01 $90.7-1 2.720100000 Electrical Permit Required Sprinkler Permit Required PRMT CTR 10/2/01 $1,134.30 27200100000 Plumbing Permit Required PICK CTR 1012;01 $737.30 27200100000 Framing Insp FIRE CTR 10/2101 $453.72 27200100000 Gyp Board Insp _ Susp Ceiing Insp Total $2,41 16,06 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will he 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 CTMegon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these riles or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Pe m1 ittee o Signature: / Issued By: Call 639-4175 by 7 p.m. for an inspection the rext business day ee Building Permit AppliCa>t>i «,' atereceived: :; J) I Permit City of Tigard <=% � jxdappLFxpirodatc: CitvojTigard Adaress: 13125 SW Hall Blvd,Tiga d,OR 97273 �t Phone: (503) 639-4171 Dane issued: By:.r't ' Receip no.: Fax: (503) 598-1960 0Case file no.: Paymenttype: V — Land use approval: _ 18r:family:Simple Complex: jjjjjjffA-jjjW ❑ 1 &2 family dwelling or accessory ❑Commercial/ildmunal ❑Multi-farnily ANew construction ❑Demolition ❑Addition/alteration/replarxnlentTenant improvement v Fire sprinkledalarm C3 Other —_ It..NITE MFORIVIATION Job address: / �l J� �,�/�_� / ��J Bldg.no.:_ State no-: Lot: B ot:k Subdivisionton:-7 J Tax map/tax lot/account no.: Prnject navre: — Description and location of work on premises/special conditions: 1 p 1W FN 01 t Name: Pacl rust _ _ Mailingaddmss: 15350 SW SegUOid Pkwy. , #300 >i&Zfsmilydwelling: — --— Valuation of work........................................ $972City: ort a� Lip: 24 _ ( 503 1 Phone:-624.-6300 75.13-mail: No.ofbedrooms/baths................................. --- --_ Owner's representative:nen n i s P a g n i Total number of floors................................ — Phonr: S ame JFax: SAMe JE-inail: New dwelling area(sq.ft.) ......................... — ,arage/carport area(sq.ft.)......................... Covered porch area(sq. ft) ......................... ----- Name: PaeTrust --._ ---__ Deck area(sq. ft) ........................................ Madingaddress:15350 SW Sequoia! Pkwy. , i1300_ ,7ity: Portland—-- State: 0 R ZII': 972 -4 Other stntcture.area(sq.ft.)......................... _ ----- -- -- —"-- ConunerciaUndustrial/multi-family: ( 503 Phone:624-6300 Fax624-775 E-mall: t Valuation of worlr........................................ $_ Existing bldg. area(sq. ft.) .......................... Business name: H. L. G r e e n New bldg.area(sq.ft.) ................................ Address: 1-5 3 5 0 S W Sequoia P k w i13 0- — Number of stories.................. ...................... City 0 r t7 n_�— State: R ZIP: M24 Type of construction....................... ( 5 0 3 Phones 2 4-77 _ Email: Occt pancy group(s): Existing: CCB no.: 413 7 8_ _ — New: _ City/metro lie.no.: v _ Notice:All cemrtctors and subcontractors are required to be -ARCHITECTIDESIGNrR licensed with the Orrgon Construction Contracts,board under Naune: J O h n R om i s h provi3ions of ORS 701 and may be requ.md to be licensed in the Address:15 3 5 0 S W S e q U 0 i a Pkwy. 113 00 jurisdiction where work is being performed.If the applicant is exempt from licensing,the on reason applies: City: Portland Istate: OR ZII'97224 Contact person Plan no.: - �-- ----- -----. — ( ')03 Phonc:S74-63 Fi-4i24-775$F-mml: ohnr@ act ustT—co a Name: Contact person: Fee-due upon application ........................... -- —_-.— Address: _ Date received: City: -�e: ZIP: Amount received ......................................... $ _— Phone — Fax: E mull Flease refer to fee schedule. �— — --- -- I hereby certify I have read and examined this application and theNrn�t i�Ml wens�,cn-dit c+ud'•ntew C211 I'n9dicu0n ra attached checklist. All provisions of laws and onfinances governing this O visa O MasterCard Freda cvd number: ----- — -1-- work will be complied with, hedger epEc herein op r*• Fsnuef Y--' ♦ it -1, --- Authorized signature' - -�' None M cudhnldtr u Jfmm an credit ted S Print name:_ Amount Nonce:This permit application expires if a permit is not obtained .urchin 190 days after it has been accepted as complete. un-4613 rr;clncoMl CITY OF TIGARD _ ELECTRICAL - RESTRICTED ENER ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00269 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 10/30/01 PARCEL: 2S101 AD-03200 SITE ADDRESS: 12909 SW 681-H PKWY 200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK. LOT: JURISDICTION: TIG Proiect Description: Installation of low voltage for security system. A. RESIDENTIAL E.COMMERCIAL — AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DAT,A/TELE COMM: NURSE CALLS: VACUUM SYSTEM: F!RE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: SECURITY X TOTAL#OF SYSTEMS:_ Owner Contractor: PACIFIC REALTY ASSOCIATES SECURITY TECHNOLOGIES GROUP IN 15350 SW SEQUOIA PKWY #300-WMI 20827 NW CORNELL RD SUITE 100 PORTLAND, OR 97224 HILLSBORO, OR 97124 Phone: Phone: 503-533-7737 Reg #: LIC 129307 ELE 37-723C FEES _-- V ` _ —_v Required Inspections Type By Date —� Amount Receipt Voltage Inspection Ele PRMT CTR 10/30/01 $75.00 2720010000 lect'I Final !-PCT CTR 10/30/01 $6.00 2720010000 Total $81.00 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 worn is not started within 180 days of issuance, or if work iG suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted b%, the Oregon Utility Notification Center. Those rules are s9t forth in OAR 962-001-00 10 through OAR 952-moi You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by - %��i Permittee Signature__ - _ OWNER INSTALLATION ONLY The In stallation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE- _ DATE: CONTRACTOR INSTALLATION ONLI'__—_ SIGNATURE OF SUPR. ELEC'N _ --, ----p_---_---_—_---- DATE:_ _—_ ----_-_-� LICENSE NO: �__----- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Datereceived: City of Tigard 1'roject/appl.no.: Expire date: City of7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: oil III U I &2 family dwelling or accessory U Commercial/inaustrial U Multi-family J�Tenant improvement O New construction U Add ition/Ateration/replacenient U Other- ._ U Partial Job address: /2 q O :T 6 F c /�� II Id). Suitt no,:2 o at ITax map/tax lot/account no.: L.clt: _ Block: Subdivision: — — -- - Project namr, _ Description and location of work or premises: SP..,a,-- --'��r f�A-, Estimated dat, .Xcompletion/inspection: //X/ - s Job no: Fee Ma% Business name: Sir 4 Description (ca.) Ibtal no.Inc r Address: 3 v 2 5- -T w C•✓,6a�ct Net►midential-single or multi family per dwelling unit.Includes attached R,rage. City: State:o/g I ZIP:17 Z O/ Servicehwituled: Phone: 5 0;- ;3 ti f if rl Fax: z 3 y o e E mail: I(xxt sq it ,�r less _ILC" no.: / 21ga SL9 2 t:ICC.bus.Ilc.no: 1;7-P)(Ytf liach addhional 500 sq.ft.or portion lhereol --- - Limited energy,residential City/metrolic.no.: Limited energy,non-residential 2 Hach manufactured home or modular dwelling Signature of supervising electric fan(re weed 1 Date Service and/or feeder 2 Sup elect.name(print) „,r f ,r`: License nn /(E 6 z 6 rviret orfeeders-installation, I T111 W= alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 -- 401 amps to 60(1 amps 2 Mailing nddtess. 601 amps In 1000 amps --- - 2 City: __ State: ZIP: Over 10(10 amps or vnits --- — 2 Phone: Fax: E-mail: Reamnec,rntly Owner installation:The installation is being made on property 1 own Temporaryservices orfeeder+- which is not intended for sale,lease,rent,or exchange according to Installation.alteration,orrelocatlon: ORS S 447,455,479,670,701. 2(x)amps or less 2 201 amp? 400 amp% 2 Owner's SI tlatUre: Date: 401 to 6(10 ams , Branch circuits-new,alteration, - or extension per panel: Name: or Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit _ _ 2 City: _ SlatC: 7.1P: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax F-mall: F,ach additional branch circuli. Mise.(Service or feeder not included): UService over 225snips-commercial UI1,•alth-care facility Foch pump orirri otioncircle 2 U Service civet 320 amps-rating of 1&2 U I lazardous location Each sign or outline lighting v _ 2 family dwellings U Building over I0,(XX)square feet four or Signal circuit(s)lir a limited energy panel U Systen over 6W volts nominal more residential units in one structure alteration,orextension' 2 U Building over three stories U Feeders,4(N)amps lir more •Desert tion: U Occupwit load over 99 persnos U Manufactured structures or RV park U hyrexslliglningplan U uthcr Fieh additional Inspection Inspection over the allowableIn any of the abo•e: FAinspection Per 1-- --�---r-— Submit sets of plans with any of the above. Investiatlon fee The above are not applicable to temporary condratctlon service. Other (-t all lurisdlctloru accept cmfit card%,please call)urisdiclim for mite inrmnaurvi Notice: This permit application Permit fee.....................$ — YJ U Visa U MasterCard expires it's permit is not obtained Plan review(at __ %) $ credit card number: within IAO days atter it has been State surcharge(896)....$ - --------------- t.ptrr% accepted as complete. TOTAL .... $ Q - —_ ,._ ,O Name nl c Ta1��ei rhown on tyedfl card— s -- Cardholder signit re -- --Amount 440.46111((R1aKOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES. -- — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY__ Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Ins ctions per permit allowed )I (FOR ALL SYSTEMS) Service Included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq,ft,or less $145.15 i 4 Cl Audio and Stereo Systems' Each additional 500 sq It or portion thereof _ $33.40 _ 1 ❑ Burglar Alarm Limited Energy — $75.00 Each Manufd Home or Modular ❑ Dwelling Service or Feeder —� $90.90 2 Garage Door Opener" Services or Feeders ❑ Heating,Ventilation arid Air Conditioning System' Installation,alteration,or relc,;alion 200 amps or less _ $80.30 2 El amps to 400 amps _ $106.85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 1 601 amps to 1000 amps $240.60 2 CJ Other Over 1000 amps or volts — $45465 _—� 2 Rea,nnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary services or Feeders Installation,alteration,or relocation Fee for each system.................. ....................................... $75.00 200 amps or less _ $66.85 _ 2 (SEE OAR 918.260-260) 201 amps to 400 am.ps $100.30 _ _ 2 401 amps to 600 amps _ $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ,ud;,,and Stereo Systems Brar,ch Circuits I ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or �� Clock Systems feeder fee. Each branch circuit $665 2 ❑ Data Telecommunication Installation b)The fee for brant. circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 __ _ Fach additional branch circuit $6.65 ❑ HVAr, Miscellaneous l Instrumentation (Service ur feeder not included) Each pump or in ligation circle _ $5340 -- ❑ Each sign or outline lighting _ $53.40 ` Intercom and Paging Systems Signal cirruit(s)or a limited energy panel,alteration or extension $7500 ❑ Landsrape Irrigation Control' Minor I.ahels(10) _ $12500 — Each additional Inspection over E] Medical the allowable In Lny of the above ❑ Per inspection $6250 Nurse Calls I'er hour _ $6250 In Plant i __ $73 75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ F-] Other 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee See"Plan Review"sachem rvr $ No licenses are required Licenses are required for all other installations front of application -- — - -- - - -- Fees: Total Balance Due $ Enter total of above fees Trust Account d 8°:State Surcharge s— Total Balance Due s All New Commercial Buildings require 2 sets of plans. i•\dsts\fbrrm\elc-fees.doc 08/30/01 CITY OF TIGARD BUILDINGP PERMIT#: BUP2001T 2001-00370 DEVELOPMENT SERVICES DATE ISSUED: 10/23/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: V sf N: S: E: W: TYPE OF USE: COM SECOND: of PROJECT OPENINGS? _ TYPE OF CONST: 2-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE 'RET? OCCUPANCY LOAD: 875 BASEMENT: sf AREA SEP. RATED: STOR: ii't: ft GARAGE: of OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS __ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: SSI _S-0- ck-�) Remarks: Insfallatiun of fire sprinkler systems. Owner: Contractor: c,ACIFIC REALTY ASSOCIATES DELTA FIFE INC 15350 SW SEQUOIA PKWY #300-WMI 14795 SW 72ND AVE PORTLAND, OR 9722.4 PORTLAND, OR 97 224 Phone: Phone: 62.0-4020 Reg #: 1-1c 654174 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 1019/01 $100.90 27200100000 Sprinkler Final 5PCT CTR 10/9/01 $8.07 27200100000 FIRE CTR 10/9/01 $40.36 27200100000 Total $149.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wki U.Aire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law reouires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC i)y calling (503)246-6699 or 1-8;`0.332-2344. Permlttee _ G Slgnatyro* `t _ i Issu By: Call 639-4175 by 7 p.m for an inspection the next business uay n Building Permit Application City of Tigard f recei.,d: Permit no.i (W 17/-A)-2 70 p� Address: 13125 SW Hall Blvd,Tigard,OR 97223 I'roj„ct/appl.no.: Expire date: CityufTignrd Phone: (503) 639-1171 UateiSSLed: vV Bt cei Ano.: Fax: (503) 598-1960 Case file no.: Payment type: 0 Land use approval: 1&2 ramify:simple Complex: 4 ;Job &2 family dwelling or accessory 1 Lcommercial!induslrial U Multi-family U New construction U Demolition dditiolt/alteration/replacement 'XI'Tenant improvement !f Fire,sprinkler/alarm J Other: ddress: ) Bldg.no.: Suite no.: j Lot: Block: _ Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: Q -ol C'o,'CZ � Y c 0.%%N 111( I:0j( SPECIAL INFORNIA I ION. USL. ('1111ECKLISI Name: solar,t ie Mailing address. 1 & 2 family dwelling: City: State: QIP: Valuation of work........................................ $. ----- Phone: Fax: E-in-il: No.of bedrooms/baths.............................•... Owner's representative: - kl it Total number of floors...................... ... ...... Phone: - Fax: E-mail c- New dw;.11ing area(sq.ft.) .................. Garage/carport area(sq.ft.) Name: Covered porch area(sq.ft.) ......................... Mailing address: le Deck area(sq. ft.) ........................................ City: rGY� tate• ZIP: � Other structure arca(sq.ft.)......................... Phone. Fax:T- ';t- E-mail Commercial/induatrlal/multi-family: -r-cc)_ Valuation of work........................................ $ Y hL> Existing bldg.area(sq. R.) . v (tG` ......................... Business name: Address: - New bldg.area(sq. ft.)................................ City ` State: ZIP Number of stories................................•....... I � ��'' Type of construction Phone• - Fax• -Ah E-mail: CCB no12. Occupancy gmup(s): Existing: _ New: City/metro'ic.no.: ,/9 Notice:All contractors and subcontractors arc required to be licensed with the Oregon Construction Contractors Board undo- Name: 17L/7"�i fat /� provisions of ORS 701 and may he required to he lic ased in d Address: _ jurisdiction where work is being pe-fonned. If the applicant is Cit State: - 'LIP: exempt from licensing,the following reason apples: Contact person:; Plan no.: _ -- Phone: I Fax ,,7 E-mail _- - - i Name: Contact person: Fees due upon application ........................... $ Address: Date received: _� (, City: State: ZIP: Amount received ....... ............ $ 1. Phone: Fax: E-mail: Please refer to fee schedule. - hereby certify 1 have read and examined this application and the NO dl juddictlom accep credit each,phare call jurisdiction rot nexe information. attached checklist.All provisions of laws and ordinances governing this Uvisa UMasteWard work will he complied w wheth r specified herein or not. Credit card number:— �.fifes P Authorized sig tui - J � _ Date: /� yy( Natr of c.rio Aar u eta+wn on c I - ,ts Print name:_ _ .&_ ___ F 'sirdholderirix tature Amount Notice:This permit application expires if a permit is not obtained within I NO days aver it has been accepted as complete. 4404611(&MCOM) Fire Protection Permit Check List A.) ❑ New -_�Additio_n _❑ Alteration ❑ Repair _ B.) Modification to sprinkler heads only: Des►.ribe work to 1. 1-10 heads: No plan review require be done: 2. 11+ heads: Flan review required. Number of sprinkler heads:-_ 3 Additional description of work: Type of Svstem QComplet=e_A or B as applicable; A.) Sprinkler _Wet_�I — _ r ' - -- Standpi -- Additional Hazard Group Information Dens ____. _Design AreaK. Factor --- ------ - Sprinkler Project Valuation: $ �U B. Fire Alarm- - - " _- -. - - Submittal shall Ba"e Calculations _ Yes _❑ — — include: Individual Coi-nponent Yes ❑ _ Cut Sheets _ Fire Alarm Project Valuation: $ _ Project Valuation Subtotal(A & B� $ _-5, '1 _- Permit fee_ based_ on valuation see chart : $ /D 4 _ 90 8% State Surcharge: $ -- FLS Plan Review 40% of Permit: $ ��-1/0 -- - TOTAL: I.klsts\forms\FPSchecklist.doc 10/04/00 0CT-15-2001 MON 01 :26 PM FAX NO. P, 02 Lnunetin 117N ,,. !Model F1 Cr Model F1 Recessed ro Standard Response Sprinklers z The Designer.®Modell F1 Sprin:der --_.— Standard Upright v, Standard Pendent Extended Coverage Pende o be i Conventional i vertical Sidewall t�;iW I On 3 70 Horizontal Sidewall -HSW ? Deflector Horizontal Sidewall FAended Coverage U-ri ht Pen nt --EG6 Deflector ---- —..__ _-- The DeSOWN Mode! F1 Flecessed Spjnider l - Recesse,d Pendent Recessed Extended Cc,,ierage Pendent j Recessed Extended Coverage Horizontal Sidewall Product Description The Reliable F1 Glass Bulb Sprinkler combines the dura- bility of a standard sprinkler with the attractive low profile of a decorative sprinkler.Whether Installed one _ Vertical Sidewall I exposed piping or _� Conv nlio2—,'l in an office ceiling,it is functional and attractive.The Horizon- tall and Vertical Sidewall Sprinklers provide an equally attrac- tive appearance when ceiling piping cannot be used. Beautifully versatile is the description for the Reliable Model F1 Re,,essed Designer glass bulb sprinkler. Re- cessing The Dp,ignere 9nhances its already low profile dec- orative appearance, and facilitates a rapid and perfect installation, I The Model F1 Recessed Designer's escutcheon is highh, Hor;zontal Sidewall Recessed Pendent adjustable. The two piece constnictio(I makes field installs- _ — — tion a very easy and rapid task.This also allows ceiling pan- els to later be removed without shutting down the fire protection system, thus facilitating maintenance of above ceiling services. I' The Designer`s Automatic Sprinkler utilizes a frangible glass bulb. The glass bulb consGsts of an accuratey ccs trolled amount of special fluid hPATneticaly sealed inside of a precisely manufactured ,glass capsule, This glass bulb Is FXtP.nded Coverage Recossed Extended specially constructed to provide fast thermal respuHonzontal Sidewall Co%•arage Horizontal nse _ _ Sidewall At normal temperature,,the glass bulb contains the fluid in both the liquid phase and in the vapor phase. The vapor -- phase can be seen as a small bubble,As heat is applied,the liquid expands forcingthe bt h. -- ble smaller and smaller as the cocv liquid pressure increases.Cx)ninued heating forces the liq- uid to push out againnt ;to bulb,causing the glass to shatter, I opening thin water.-,ay and alk)%vinq, the deflector to distribute the diqcharginq water The F1 Sprinkler temperature ratingis idenVied b the Y [Extended Coverage I Recessed t:xtended cola of tflr glass bulb c:aprAile es well as frame color where Pendent -1 Coverage Pendent ar plkable, — - - —Pendent The Reliable Autarnatic Sprinkler Co.,Inc,, 525 North MacQuesten Parkway,Mount vemon, New York 105,52 Model F1 Upright, Pendenf & 'ottventionel Sprinxlers Installation Wrench: Model U Sprinkler VIrench fJl ,l Ins Ilation Data: "K"Facto Sr p►:nk6 l Approval I oprfnkler Yype US Matrl, heiolhr Organization Slandaid-Upright (SSU) and Pendent (SSP) 13e1I@Ctrirs' Mark(fd ro Indicate Pos,(,on :2"(15mm)Standard Orifice with%:'NPT(R/)nifead 5,62 8t0 2.2"( 5 55mm) 1,2,3,4, .6' ",,"(20mm)Large Orifice with/,"NPT(Rl/�)Thread(31 18.0 I 1153 2.3"(58rr,m) 1,2,147,6 %,"(1 1 mm)Small Oriiice with ih"NPT(R'/2)Thread(" :4 2^I 6; 0 2 5d. (6:,mm) 1,2,8 "(10mm)Small Orifice with 'G'NPT(R'/)Thread("") : 2.8-2 4C C Z.54'(6�'Mm 1.2,3,8 Upright Pendent 10mm Orifice XLH with R a:Thread 10 l 55.t 56.111.r 1 4 6.7 r— �- ConvEntlOngl.Inglali in Upnpht or Penden(Posiljon - i IOrrlm Or,fice XLH with R%Thread 4 10 59.1 56,imm �— h 15mm Standard Orifire with' "NPT(R1/.,)Thread 5 6?- 81 0 5C.1 m ;4.6,7 ) I! 20rjrn Lar Orifice wth 4+"NPT(R2/)Thread 8_0 115.3 58.1mm 1'4,7 e i i'1Small Orlfice identified by a pintle extending beyond the deflector L3� ORA Approval for SSU only,up to 200°F(931C). Z (-1ILPC Approval up 2861F(141°C) Model F1 Recessed Pendent Sprinkler Upright "� Conventional Installation Wrench: Model RC1 Sprinkler Wrench Installation Date: Nominal Thread "K"Factor Sprinkler Agrovdi ,, ,. Orifice Size US Metric Height Organizatlone , „�,•.,"_ NPT(R':) E.62 81.0 2.2'(56mm) 1,2.3((.4,5,7 2i (POm^1) NPT(Fl,".) 8.0 115.3 2.3'(58mrn) 1,2,30.4.8 n.w c .. (-- w:t nc..r NPT(RIh) 11.24 61.0 2.54"(65mm) 1.2,8 �� r • r"NPT(H 1/2) 2.81 40.6 ;.54"(65mm) 1,2,8 E::,; j „ oa a !GMrM R 410 59.1 56.1mm 4(4),7 ri Identified by a pintle extending beyord the deflector, '2' When installed directly into a tee,the escutcheon ad)ustrrient will be redurp'1 (JI FM Approval • Hazard N Hazarr1-No�imilatrons. • Ordir+aiy Hard-(;coupe t e2.wet Systems only 4i LPC Approval is XLH,OHl and()Hit Occupancies only,57°C through 93°C rnting5. -- - --- — Model F1 Vertical Sidewall Sprinkler Installation Wrench: Model D Sprinkler Wr,�nr;h _ Installation Posidon: Upright or, Pendent Approval Type: Light I laZard Occupancy Installation Data: Nr,minal Thread •'K"Factor Sprinkler Approval Deflector to Ceiling Distance Orifice Size Height Or anlsations Sprinkler (Min.-Max.) US Metric p g Type_ In. mm ',"NPT 562 810 22- - -1,2,3.4„' --I n h . 4- 1 (i5rnml (R'rl (56 imm) 6.8 --�L�—Zl _ __ F indent a• 12 1p - 5�- I.PC Ap1.lrovsl is pendent only,57"C through 930C ratings. Model F1 Horizontal Sidewall Sprinkler Deflector: IISW 1 Installation Wrench: Modal D Sprinkler Wronch — Installation Data. : "K•"Factor Approval Organlzatlons Nominal Thread Sprinkler ----- Orlffee Size US Metric Length Ught Ordinary _ Hazard Harard /•" 15mm P1 R'h 5.62 81.0 2.83" 67mm) 1,2,3,5 12,5 Nota:UL and ULC Listing pemllts use with F 1 escutcheons light hoard only, �N 'd 'ON X94 IIJ n7. to 'in', tnm rr inn Model F1 Extended Covei age Pend-ent Sprinkler Deflector: EC Pendent ----- installation Wrench: Model D Sprinkler Wrench Approval Type: E=xtended Coverage — Light Hazard Ouruoancy Installation Data: Use The Data Caiv,?n Balow F.)'The F' E Hcessed Extended Co\,craye Pendent Sprinkle,-. Model F1 Recessed Extended Coverage Pendent Sprinkler Deflector: EEC Pendent Installation Wrenc'1: Model RC1 Sprinkler'-Vier,clI Approval 1•y e: Extended Coverage:--`igi 1r. :*,2.Hr(l ncc��pancy I l�,S.t81�(ot1� Nominal Thread I "K"Factor spgrinkler Approval Temperature Orlfice size r--T— ' F1el ht Organits- Rating — _US Metric` tions .F -j;C ,"(20,rtIm)I "NPT(R•y,) j g,0 1153 2.2"(56mm) 1 2.8 --- _ - 's (15mm) NPT(RI/2) 1 1 81.0 �-` — 15,621_ — 2.2'(56mm)�` t.2.8 1135,155 i 57.681 COVERAGE AREA - -_Y� -----� _ Flaw Rate Pressure�_�j — Max.Area _ K_8.0 81.0 -- ( ) K"5,6(11� Width x Length �! c;.,•� �prt+Lmin _psi I barT _bar ft.x ft. 26 96.4 : 106 33 125.0 l7 0—_�°;p 34.6 I 1,5 I 16 x 16 I 4.9 x a.9 ,,d� _1 2.4 i6 x to s.5 x s 5 .♦„ 140 151.4 25.0 1,7 51.0 3,5 20 x 20 6,0 r.6.0 When installed directly into a teA.the es-litcheort adjustment will be reduced, ^r ' Wedel F1 Extended Coverage Horizontal Sidewall Sprinkler Deflector: FC-6 Glass Bulb: 3rnm 155°F (68°C) Stnrldard, Unless 5mm 135°F(57°C) is Specified Installation Wrench: Model D Sprinkler Wrench Approval Ty e: Extended Coverane — Light Hazard Occupancy -�--------� ---- Nominal - — Nominal Thread K"Factor Temperature i ri orlllce Size _ Sprinkler Approval atIn _Us Mel-d-�� Height O4r oc rganizations — NPT 8.0 115,3 I 2,75' A 135(5mm) 57 120mm) I (R V') I (70mm) I 1 2.9 or Cr LLL -- 155(31'. r -- COVERAGE A:AEA Flow Rata Pressure Max.Area Collector to Calling Width x Length Dimensions — t ` m -r -- (Min. •Max. _Qp 1_ L/min �gl bar ft. x ff. m x m _ In. _ mm 36 1 136.3 20,3 1.4 15 x 22 4.9 x 6 7 4.6 102 152 ' 39 1476 236 ! 1,6 16x24 ) 4.9x7.3 I 4-6 102. 15; MOLT F1 Recessed Extended Coverage Horizontal Sldewall Sprinkler Deflector. EC-6 Glass Bulb: 3mm 155OF (68°C) Only _ Installation Wrench: Model GFR1 Sprinkler Wrench ��-- Approval Typpo: Extended Coverage Light Hazard Occupancy Installation l]ata, -� K"Factor Temperature `V"'-Nominal Thread �--- p Orifice gizl� ,pHnkle► Approval gafIn r---- 1 I U3 Metric i Helght organizations ,F •C 1 NPT —1-- _ r; m" t♦• PTI (Orem) I 1.2.8 155 68 �i o (2lhnm) I (R1i I-.- CoVera a Area Flow Rale Phssure Max.Are deflector to Gelling _ I Width x Length Dlmenxlon Min.-Max. r3e pm Umin_ al bar ft.x tt. I m x m In. _ mm 1363 203 1.4 16x22 4.9x61 a-8 102.15<^9 147.8 23.8 1,8 16x24 4.9x '3 a-6 102152 11j When Installed directly into a tee,the 0SCUtrheon adt�nt will be reduced. i0 'd 'nN XH•{ IIJ r17. 1n Irn�t rnn� r� inn I Model F1 & F1 Recessed Spi hilkle-rs °l vinterarce ApOieation The Models F1 and F1 Recessed Sprinklers should ibladel F1 sprinklers are used in fixed fire protection sys- be inspected quarterly and the sprinkler system main- tQrT1S: Wet, Dry, Deluge or Preaction. Care mus;exercised tainod in accordance with NFPA 25, Do not clean sphn- that the orifice size, temperature rating, de=lec,or style and I leis wigs soap and water, ammonia or any other sprinkler type are in accordance with the ,atect PUblisl led cleamnq fluid. Remove any sprinkler which has been standards of the Naticnal Fire Protection Association or the painted (other than factory applied)or damaged in any approving Authority Having Jurisdiction, way. A stock of spare sprinklers should be maintained Installation to a'low quick replacement of damaged or operat.�d Model F1 sprinklers are Gtandard responss spr:nklr f;in- sf^rirkfars. Prior to installation, sprinklers should be tended for installation as r mairta,ned in the original cartons and packaging until pecified in NFPA 13.R-ey I,jus; used to minimize the potential for damage to sprinklers also be installed with the Model D Sprinkler Wrench specif!- that would cause improper operation or non-operation. sally designed by Reliable fcr use with these sprinklers. The Model F1 Recessed Sprinklers are to be installed with a maximum recess of 3/4 inch (19mm). The Model F1 Temperature Ratf__nc s Escutcheon illustrated is the only recessed escutcheon to sprinkler Maximum Ambient be used with the Model F1 Pendent and EC Sprinklers. The cl;eaaiFlcaiJon 7'emPeerdture Tim erature awb use of any other recessed escutcheon will void all a _ °F °c OF °c error als and negate all warranties.When installing Model Fp Re Ordinary� Ordina 135 57 100 38 Orange cessed Pendent and EC Pendent Sprinklers,use he Model Ordinary 155 68 . 100 38 Red i HC 1 Sprinkler Wrench.When installing Model F1 t ecessed Intermediate ZIntermediate ai 93 79 iso 66 Gree EC HSW Sprinklers,use the Model GFR 1 Sprinkl •Wrench. High('' 286 141 225 10 Any other type of wrench may damage these sprinklers. Extra High('' 360 182 300 1.:3 Mauve Approval Organizations ("Not Available For Ft Recessed 1. Underwriters Laboratories inc. �inlshesr' 2. Underwriters' Laboratories of Canada _ 3. Factory Mutual Research Corp, standard Finishe9 - 4. loss Prevention Council s�rinkierEgcuteheon 5. NYC 6S&A number 597-75-SA Bronze bras Chrome Chrome 6. Plenlere Assemblee White Polyester Coated r2l _White Painted 7 Verband der Schadenversicherer special Appllcatlon Finished L - '- - R. NYC MEA 258-93-E 3prinkler _ Escutcheon _ rBlack sOJI Bright Brass ed Black Plated ULI Listing Category t12' 131ack Paint5(irinklers, Automatic8, O en VNIV oft whitep ( ) rr�� Satin Chrome d fto Coatedr4xsl Ordering Information wax owerLeadl°"5' SF12CIfy' (')Other colors and(ir.lshas are available on special order, 1. Sprinkler Model (P, Consult factory for details 2. Sprinkler Type �� UL and ULC Listed.and LPC and NYC Approved Only 200OF(93"C)maximum 3. Orifice Size "' I 551 to 200-F(s8°C to 93'C)ratings only. 4 Deflector Type f51 286'F(1 d 1°C)sprinklers may be coated for ambient conciltioni not 5. Temperature Rating exceeding 150'F(061(') Specify Bulb Size when ordering Model F1 EC I fSW Sprinkler. 6. Sprinkler Finish 7 Escutcheon Fnlsh (where applicable) 1"11e"ummant presented in Ihis bulletin Is to bu metalled in accordance with Hie latesiperiment Standards of the National Fire Prowl lion Association.Factory Mutual Research corporation.or other similar organlralions and also with the prov limns of governmental coops or ordinances whomever applicable. Products manulnctured and distributed by neliahle have been protecting life and property for ovar eo years,and are installed and serviced by the most highly Qualified and reputable sprinkler contractors located lhroughrwt the Unilod.Slates,Canada and foreign countries Manufactured by The Reliable Automatic Sprinkle r Co.,Inc. I Ii-n-b I-L- A- (PM) 431-ISSO Srles Offs:as ® ""``° (8rx�) BdE�i05t 5alee Fax t?14) 688.31 70 Commate orrice, Revicinn lies Indicate updated ev now data. .r»w rNub6"rWV*lW corn Internet Address E.G prinfed In USA 08= P/N 999 MOI 1 90 'd 'f1N X144 iii n7. to anti inn-) rt Inn CITYOF TI GA R® PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00472 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATF ISSUED: 10/19/01 SITE ADDRESS: 12909 SW 68TH PKWY 200 PARCEL: 2S101AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: _ JURISDICTION: TIG CLASS OF WORK: GARBAGE DISPOSALS: 2 MOBILE HOME SPACES: TYPE OF USE: WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: __ FIXTURES _ LAUNDRY TREYS: SF RAIN DRAINS: SINKS: 2. URINALS: GREASE TRAPS: LAVATORIES: O1 HER FIXTURES: 6 TUBISHOWERS: SEWER LINE.: ft WATER CLOSETS: NATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing fixtures for commercial TI. "Other fixtures" include 2 ice makers, 2 coffee makers, 1 insta-hot, 1 flow-through water heater. Owner: _ FEES__� ^_ _ PACIFIC REALTY ASSOCIATES Tyj_ By Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI SPCT CTR 10/19/01 $15.94 27200100000 PORTLAND, OR 97224 PRMT CTR 10/19/01 $199.20 27200100000 PLCK CTR 10/19/01 $49.80 27200100000 Phone 1: Total $264.94 Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone 1: 236-4152 Rough-in InSD _ Rag #: LIC 172 Underfloor/Ur "..!r­,iab PLM 26-83PB Final Inspection i-his permit is issued subject to the regulations contained in the Tigard i'vlu iit;lpal Code, State of OR. Specialty Codes and all other applicable laws. Ali work will be done in accordance with approved plans. This permit will expire if Nvork 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. Thosr rubs are s �t forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or drrert questions to OUNC by ca- Hing (503) 246-1987. Issued By:� Permittee Signature all (503) 639-4175 by 7:00 P.M. for an inspe ion needed thd;hext business day Plumbing r'ermit Application "Dateeived: Permit no.:� " ��r11- Q� City of Tigard ( � '�/ Sewer permit no.: Building permit no.: A�V, Address: 13125 SW Bail Blvd,Tigard,'M, -9'-7-223 i \� City oJTigord Phone: (503) 639-4171 _ PcojecUappl.no.: Expire date: c0 Fax: (503) 598-1960 60 019 Date issued: � tiy: t) Receipt no.: Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory X Commercial/industrial U Multi-family XTenant improvement C> U New construction U Addition/alteration/replacen►ent U Food service. 11 Other: MMEMMUR 02`-1�i in,' ?K w Y Description Qt • l ee(ea.) Total Job address: New 1-and 2-family dwellings only: Bldg.no.: Suiteno.: Q� (includes loo ft.foreachutility conn_ciion) Tax map/tax lotiuccount no.: SFR(1)bath — _ Lot: Block; Subdivision: SFR(2)bath _— __. Project name: ,`- _ �l .� _ SFR(3)bath _ City/county:` ZIP: C "� Each additional bath/b itchcn -- Site utilities: Description and location of work on premises: Catch basin/area chain _ -a t1 t F F= .✓T «R R 4c I�_Cx __. s�hh ---- Drywells/leach line trench drain Est.date of completion/inspection: F'xoting drain(no lin.ft.) PLO Manufactured home utilities _ Business name: 1tS Manholes Addres : Rain drain connector State�^+X ZIP: - Sanitary sewer(no.lin.ft.) City: Storm sewer(no,lin. Phoned 5 Fait E-mail .ft • .., � Water service(no. lin.ft.) CCB no.: J 7 +� Plumb.bus.reg.no: +� ^ Fixture or item: Cityim_etro lic.no.: Ahsorption valve rontractor's representative signature: ct' Back flow rcventer Prim Warne: -rL . `Date: i Backwater valve-____ Basins/lavatory 1 Clothes washer _ Name: �� - ��1�_ {il.-E� L pishwa.9her _ Address: Drinking fountain(s) _ City: -- S — t tae: ZIP: V mp :tors/Ru -Phcr^ Fax: Email: Expansion tank Fixture/sewr.r rasp —J __—_ Floor drains%floor.s nks/hub Nc nc(print): yTi2 t -C- _ Garbs a dis sal Mailing address: r'' L S� 'u A W ? Hose bihb _ City: r state. 'r ZIP: "�' Ice maker -- Phone•• c — C, Fax: Email: Interceptor/grease trap -- Owner installation/residential maintenance only: The actual installation Primers) --- will he made by me or the maintenance and repair made by my regular RLrain(commercial) employee on the property I own as per ORS Chapter 447. k(%2 lays(s) Ownces signature: Date: P — — —- Tuh. ,.% ower/shower pan _ -neral _ Name: Water closet Address: Water heater _ City: _ --- - ---� State: ZIP: Other r"' 14 �-- -• -- ---- Phone: iFax: Email: + " Minimum fee................$ _ N,n an juris,ti(tkms accept credit raidspie ae call Jurisdiction for mute Infomtaaon. Notice:This permit application Plan review(at %) $ — U Visa U MasterCard expires if a permit is not obtained Stale surcharge(8%) ....$ Credit card number Expires tcithin 16(1 days attar it has been _ accepteu as complete. TOTAL .......................$ _ ---- Nemr of cardholder u shown nn credit card l: ------ Cardho'dn aigtUtrre _ — — Amotmt— 1144616(6MUOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual QTY ea AMOUNT (includes all pl,imbing fixtures In PRICE TOTAL Sink �' 16.60 the dwelling and the fit st100 ft. QTY (ea) AMOUN 16.60 for each utility connection) Uvatory One 1�bath $249.20 r Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three Q bath $399.00 Water Closet 16.60 ---- SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishw.isher 16.60 PLAN REVIEW 25;116 OF SUBTOTAL Garbage Disposal- 16.60 ____ _ TOTAL _ 3 . Laundry Tray 16,60 Washing Machine 16.60 Floor Drain/Floor Sink 2"- 16'00 PLEASE COMPLETE: 3" L16.60 q 16.60 Water Heater O conversion O like kind 16.60 Q1lantit b Work Performed Fixture Type: New Moved Replaced Re Gas piping requires a separate mechanical Removed/ permit. MFG Home New Water Service 46.40 Sink MFtx Home New SaNStotm Sewer 46.40 Tub or Tub/Shower Hose Bibs 16.60 Combiralion Raaf Drains 16.60 Shower Ung_ Drinking Fountain -- 16.60 Water Closet -- - Urinal Other Fixtures(Specs E , 16.60 Dishwasher _ Garbage Disposal - _cc! _ � - !- Laundry Room Tray_ - - �-Nr� Washing _ - -- rCG't✓ 71-VR Lt H � �_ Floor Drain/Sink: 2" - Sewer-1st 100' 55.00 3" Sewer-each additional 100' 46.40 _ 4" - Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' 46.40 _ ((Specify) Storm 8 Rain Draln-1st 100' 55.00 - _ Storm 6-Rain Drain-each additional 100' 46,40 tel'l --- T. - -- -- Commercial Back Flow Prevention Device 46.40 , Residential Backflow Prevention Device' 27.55 --_- Catch Basin - 16 60 -__ -+ _ ----- -- Inspection of Existing Plumbing or Specially 72.50 Requealed Inspections per/hr --_ L)MMENTS REGARDING ABOVE: Ran Drain,single family dwelling 65.25 - Grcaso 16.60 -- - --- QUANTITY TOTAL __- Isometric or riser diagram is required It "SUBTOTAL Ki STATE SURCHARGIly E - -'--` "PLAN REVIEW 25%OF SUBTOTAL fja Reaulred only fl fixture qty fatal is�9 TOTAL s 'y y "Minimum Permit fes M$72.50+8%state surcharge,except Resldonlim a.�kllnw Prevention De,ce,which Is$3a 25+8%state surcharge "All Now commercial Buildings require plans with isometric at-.ser diagram and plan review I:tdsta\forrnc\pim-fees.doc: 10/10/00 5032361??3 DEAN WARREN PLIG CO. F-496 T-412 P-002 OCT 03 101 11:51 451. N It- 14. 'I ^t 111 liII 1 r- �+I i @ ! Ile AK A4� • a I ! 1 - - i I , r .....[ I Approved. .... .. .......... .�.... 1,. ,7 . ovod.1................. .... Crndit'onaliy 'F p , r 7 10011 - 00 N7 Z — — _ !;E. Leiter to: Folto+r�.....:.............. ......... Attach.. . Job4LgAd�r!ess 2 i190 d tQ-y-di �9 5032361773 DEAN WARREN PLBG CO. F-496 T-412 P-003 OCT 03 101 11:51 .,�•� 1 � * ` + I _s =.._..e�F�•-5��". _•__"�j�-ry"_� �.e�e,.t� ,_ --��•.. -�.•.y.�+111 ..�u�.._ �""`--r—. �---�=- i♦ �._ — ���- ��', ;lJ�% 111 0 - r � ;P4 CITYOF TIGARD SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SWR20n1-00274 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/18/01 SITC- ADDRESS; 12909 SW 68TH PKWY 200 PARCEL: 2S101AD-03200 SUBDIVISION: I IGARD OF ;''E BUILDING ZONING: MUE BLOCK LOT: JURISDICTION: TIG TENANT NAME: ACE USA USA NO: FIXTURE UNITS: 40 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: 2.5 EDU increase: Added fixture value = 40, for a current total of 346 fixtures, for a total of 21.6 EDUs. Owner: - FEES _ PACIFIC REALTY ASSOCIATESType By Date Amount Receipt 15350 SW SEQUOIA PKWY#300-WM,I _� -- PORTLAND, OR 97224 PRMT CTR 10/18/01 $5,750.00 27200100000 Total $5,750.00 Phone: --- ' Contractor: Phone: 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 bo forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is no'located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so I )cated, the installer shad purchaGe a "Tap and Side Sewer' Perm �sued by: 1\\, fA.& Permittee Signature: Call (503)619-4175 by 7:00 P.M. for an inspection needed the next business day 00,27�� Tenant Na e: /-� ' f�� r- _ Accumulative Sewer Tally This SWR# 7�--,: This PLM#: Address:./ Fixture Value Previous Previous Credits Capped Fixtures FixturesNew total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 - _Bath-Tub/Sho.ver 4_ -- --- ---- __ -Jacuzzi/Whirlpool - 4 - - -- Car Wash-Each Stall 6 - ----- Drive Through 16 r !! Cuspidor/V- 4spirator Dish, nmercial 4 ,,estic 2 Drinking ' i- - _ 1 __ --- ----- --- ELre Wash 1 -- - - - -- Floor Drain_/sink-2 inch ' --- ---- --- - 3 inch 5 - -- - 4 inch -6 ---- -- - - -.- _Car Wash Din 6 -- - __. -- --- - - Garbage Disposal 16 �7 Z Domestic(to 3/4 HP) - _ Commercial(to 5 HP) 32 _- -.. --- -- ----- -- - Industrial(over 5 HP) — 48 - ice Machine/Refrigerator Drains 1 E-E-1 oil Sep(Gas Station) 6 _--, Rei: Vehicle Dump Station _ 16 - -- ---- - Sl,ower-Gang(Per Head) -- _ Stall - -Sink -Bar/Lavator ry 2 — ___- 5 - -- - Commercial 3 - - __ Service _3 -- -- - -- Swiry,minq Pool Filter--- -Washer ilter-_Washer-Clothes _6 - _Water Extractor _._____6 --- Water Closet-Toilet_ _ _ 6 -- -- - - Unnal - - 6 - - --- --- -J-- I-OTALS I-otal fixture values:- �1�' div.ded by 16 = .'- �- '—_EDU �,� 5' L' cv /nlCI�EASc HISTORY: _ Co�/FiR�fcL "Fixrt,�RF c'�tr.vT �Dlo G? ��>9�� -- -- PLM#o",r,a/-cn '_ =' EDU# /1-/__SWR# mol f ? 5 PLh # -,__—_-_EDU# SW_ R# EDU#/1r 8 SWR#1- l-a','•/' PLM#__ _ _E►?_U# SWR# EDU# 'U SWR#,)em-rr.,?16, PLM_# EDU# SWR#_�__--- PLM# EDU# SWR# PLM# EDU# SWR# i 4ists\swrtaly dor /� j X C!TY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00361 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/19/01 PARCEL: 25101 AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: CUM UNIT HEATERS: `/ENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 4 BOILERS/COMPRESSORS _ HOODS: FUEL TYPES V 0 - 3 HP: 6 DOMES. INCIN: GAS 3 • 15 HP: 3 COMML, INrIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: Y 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNI":_,_—_ OTHER UNITS: 3 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: HVAC Owner: _ _ _ FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY#300-WMI PRMT CTR 11/19/01 $196.24 272001000C PORTLAND, OR 97224 PLCK CT'R 11/19101 $49.06 272001000C 5PCT CTR 11/19/01 $15.70 272001000C Phone: Total _ $261.00 Contractor: PROTEMP ASSOCIATES INC 1107 NE COUCH PORTLAND, OR 977.::2 REQUIRED INSPECTIONS Mechanical Insp Phone:233-6911 Fire Damper Insp Reg#:LIC 38868 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 'Chis 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 .0010 through OAR 952-00 r-0080. You may obtain copies of these rules or direct questions to OUNC,by calling rqn'A»ar,-a1 Issue By: / Permittee Signature: --- Call (503) 839-4175 by 7:00 P.M. for inspectlons needed t e next gluslness day .�- Mechanical Permit Appli tion Date received: (�p l Permit no. Ld� j City of Tigard f�7223 Project/appl.no.: Expire date: Cirynf7igurJ Address: 13125 SW Hall Blvd,Tiga , -i Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Balding permit no.: fJ 1 & 2 family dwelling or accessory Commercial/industrial U Multi-family ❑'tenant improvement U New conetr=ion glAddition/altemtion/repl icemcnt U Other: JOB SITF,INFORNIA'I ION COMINIERCIAL.VALUATIo Fob address:/ go i 4:�2 '`�_ 4:34�14Indicate equipment quantities in boxes below. Indicate the doll r Bldg.no.: - Suite no.: _ value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Valuer Lot: Block: Subdivision *See checklist for important application information and Project name: ► _. �/S�Q jurisdiction's fee schedule for residential permit fee. City/county: T GtISp I ZIP: _. Descri ion and Location of work on p cmises: 1 _ Fee(ea.)I otal Est.date of completion/inspcction: — De.wri ion Qty. Res.only RM.only Tenant improvement or change of use: h Air handling unit C'PM-__ Is existing space heated or con itioned9'dYes U Nu Air conditioning(site plan n req�c -- _ Is existing space insulatedd es ❑No Alteration of existing HVAU system — oiler compressors �. State boiler permit no.: Business name: _ HP Tons BTU/II Address: 1r smo c clam,:re.aa:i smoke detectors C it jStat , ZIP:n -Tc—at c-atp(site plan require ) -- Phone:' nst a Ico furnac urnc Including duct%nrk/vent liner U Yes U No CCA no.: � a :X _ nsta rep ac�lc:cate eaters-suspen e(� City/metre lie.no.: r r: � -_ wall,or floor mounted Ntun'(please print): I Vent for ap Bance other than furnace _ c�cral on: Absorption units WHIM — Nnme: c.,lillcrs___-_ HP - C'om rcsrors_ Address: momenta exhaust and rent ton: City: State: ZIP: A plr,rr,cevcni Phone"11 �� Fax 7 E-mail: rycl c xx ITausi Typel7II/res.kitchenfhazmat hood sire suppression system _ Name: n ---�-:� 5 Exhaust fan with single duct(bath fans) — /=�a _ /hrJ� l —_ Mailing address: ___ ,x Aust system a art fromTeatin or C State: ZIP: ue piping sudistribution(up to 4 outlets) Clty: _--� Type: LI't; _� N(_i —_ Oil Phone::: " r •vim o C Fax: Email v,cl piping g each additiona over out ets rocesspiping(scematicrequire ) Number of inulels Name: __—_ ter Ilite7i EPp ince ur equ rpuent: Address: _ _I)ccorativefireplace — City _--- _ Stale: i IP: Insert--type E-mail: �7n�slov pe et stove Phone: Other: Applicant's signatur i . Date: / ,�/ — _- - Nantc (print): —7i_.�.. o I ter: / -- — Permit fee....�......... .$ W4 oil jurisdictions accept cmh crude,plenee tail}urieann diefor filminfnnnnrirn+ _ . No1 -tom Notice.This permit appl.catiort ❑Viso ❑tvlaslcrC:ard Minimum fee................$ expires if a permit is not obtained Plan t•eview(at — %) $ Credo card number—__ ------------ — within 180 days atter it has been Expires State surcharge(8%) $ Name or cardholdet ex etmwn oo'credh cu_c accepted as complete. TOTAL $ 7 - 62 r -J— - Cardholder elgnarum --- — Amounl 410-0617(601111ifromI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL.VALUATION:_ _ PERMIT FEE: � Description: - - Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code oh' (Ea) Amt `---- -- - 1 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 anFurnace to 100,000 BTUd ) $1.52 for each additional$100.00 or including ducts&vents ^-- 1400 - fraction thereof,to and including 2) Furnace 100,000 BTU- $10,000,00._ $10,000.00. including ducts&vents _ — 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater _ $_25,000.00. _ or Floor mounted heater 14_00 _ - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 1 45 for each additional$100.00 or 680 fraction thereof,to and includiny 6) Repair units $50,0_00.00. _ _ __ __ 11 15 $50,001.00 and up I $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1 20 for each additional$100.00 or For Items 7-11,see or Pump Con d _ _ _ _ traction thereof. _ footnotes below. Comp Minlrnurn Permit Fee 572.50 SUETOTAL: a 7)<3HP;absorb unit _.-_ ----__8_%_S -- _ to 100K B-,'U 14.00 -- tare Surchar a 8)3.15 HP;absorb g unit 100k to 500k BTU _ 25 60 L ---- 25%Plan Review Fee(of subtotal) $ � 9)15-30 HP;absorb _ Required for ALL commercial_permits only __ unit.5-1 mil BTU 350 TOTAL COMMERCIAL PERMIT FEE: $ unit 305absorb � unit 1-1.77 5 mmil BTU 52.20 -_ ------- - - - -- -------_ _ �__-._.--- 11)>50HP;absorb unit>1.75 mil BTU 8720 ASSUMED VALUATIONS PER APPLIANCE:- ZI Air handling unit to 10,000 CFM _.- 10.00 Value Total 13},air handling unit 10,000 CFM+ Description �E� _Amount 17;0 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler - jl ducts 8 vents 1000 Furnace>100,000 BTU including 1,170 - -- - Lducts&vents 15)Vent fan connected to a single duct Floor furnace indudin vent 955 6 80 Suspended heater,wall heater or 955 16)Ventilation system not included in Sus mounted heater a permit ots 10 000 Vent not Included in applican•�e 445 -"- 17)Hood served by mechanical exhaust 100 milt - - -- ---._.- Re air units 805 18)Domestic incinerators 17 4o 3 hp;absorb.unit, 955 - -- --- --- --- to_100k BTU �> 191 Commercial or industrial type incinerator _ _-- 6995 3-15 hp;absorb.unit, 7t 1,700 20)Other units,including wood stoves 101k to 500k BTU 10_00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets - - mil.BTU 540 30-50 h absorb.unit, 3,400 -- -- -- 1-1.75 mil.BTU 22)More than 4-per outlet(sash) _ 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL. $ >1.75 mil.BTU Atr handling unit to 10,000 cfr 1 - -- 658 _-_- ----- --------- - -- - 8'G State Surcharge $ Air handling unit-10,000 cfm _ 170 Non_portabla evaporate cooler 656 - Vent fan connected to a single duct 448 _ TOTA! R-SIDENTIAL PERMIT FEE' $ Vent system not included to 858 appliance permit _ __ Hood served b mechanical exhaust 658 �me�Inspections and Fees: Y--- -- 1 inspections nutside of nonnal bu3iness hours(minlmur,charge-two hours) Domestic incinerator _ _ 1 170 $72 50 per hour Commerclal or industrial 4ldnerator _ 4,590 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) Other unit,including f.,od stoves, 656 $72 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas pipj2g 1"4 outlets 360 charge-one-half hour)$72 50 per hour Each additional outlet 83 -- ---- -- "State Conlrartor Boller Certification required for units>200k dTU. TOTAL COMMERCIAL s ..Residential AIC requires site plan showing placement of r nit. VALUATION: - _ All New Commercial Buildings require 2 sets of Claris r lAdsts\formsvnech-Iees.doc 08/29t01 I VI '• S _ CITY OF TIGARD OREGON November 19,2001 FILE C Protemp Associates, Inc. 807 NE Couch St. Portland, OR 97232 Re: Ace USA–Permit# MEC2001-00361 12909 SW 680' Parkway, Suite 200 Tigard, OR 97223 The City of Tigard has completed the review of the submitted plans for the mechanical installation at the above rcfercnced address. This review was perfonned under the provisions of the State of Oregon Mechanical Sper ialty Code (OMSC), 1999 edition. The plans are approved subject to the following conditions. 1. All units are to be inspected and approved prior to in stalling wall or ceiling cover. 2. A copy of the approved plans sha.l be on the job site and available to the inspector for inspection purposes at all times. Sincerely, Gary Lampella Building Official c. File 13125 SW Hull Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 -- —•--- w CITY OF TIGARD ' OREGON October 22, 2001 Protemp Associates, Inc. 807 NE Couch St. Portland, OR 97232 Re: Ace USA —Permit 4 MEC2001-00361 12909 SVS" 68"1 Parkway, Suite 200 'Tigard, OR 97223 The Ci+y of Tigard has completed the review of the submitted plans for the mechanical installation at the above referenced address. This review was performed under the provisions of the State of Oregon Mechanical Specialty Code (OMSC), 1999 edition. The following information is required prior to issuance of the permit. 1. Please provide details showing how the new units will be supperted. 2. Submit energy calculations on the approved forms for review. 3. Provide cut sheets for the proposed mechanical equipment and the smoke/fire dampers. 4. Please specify if these units are gas or electric. We are assuming they are electric. Sincerely, Gary Lampellaa Building Official c. File 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(.503)684-2772 - --- --- -