12909 SW 68TH PARKWAY STE 200-2 N
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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 --- '�-
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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.
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unmiam2n0 aar�-or iso _-�- -_ 7
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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
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n enraa..we per pasatr
Nome- A- Nae fur brcml,no—t s'"dA patuaeaa of y5
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wrrlre a breis ft..ensb latatxl,ciraaY__ 1
City: 8[300: 7�: it iw for Ars.a<f aln h.n Mu�ut—13
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U Sor.wr nuL_P mp or Irrigaidon,d,da 2
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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'_
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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•
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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
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5032361773 DEAN WARREN PLBG CO. F-496 T-412 P-003 OCT 03 101 11:51
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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 - --- --- -