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12909 SW 68TH PARKWAY STE 350-4 OS£# /maid 1199 MS 606Z d N to O Uo rn T to a 12909 SVI 68"' Pkwy #350 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 --- — Date Requested _AM_— PM — BLD Location `1 :' r7 �` �'K�c� �L� Suite 3 S Contact Person �x1,c�-�— -_ Ph ��-'`f � F ��--- PLM Contracto, Ph '-WR _-- — BUILDING — Tenant/Owner ELC Retaining Wail 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 FirfyWL— f ire r --- - - --- ----- ....__..._..__--- -ire Alarm Srrsp'd Ceiling ----_ - -- ---- --- ------- -------- -- Roof Misc: ---- --- ----- --- ------ - - PART FAIL -- -- - -----.._..- - - -TftWMING Post 8 Beam �--- ---R---- - --__. Under Slab _ Top Out ------- -- �----- -- - Water Service Sanitary Sewer - -- ~ - - Rain Drains _ Final ------ - PASS PART FAIL. __- MECHANICAI_ Post&Beam - - - ---�_ Rough In Gas Line ------------ - - -----�_ Smoke Dampers Final --- PASS PART FAIL ELECTRICAL - - __.__ _ _--- - -- --------- - ---- --------------------_-. .__ --- Service Rough In U,'.,/Slab _ Law Voltage Fire Alarm - Final PASS PAHI FAIL -_ - -- -- _--_ SITE Backfill!Gradii g --- - -_ -- - -- -- ---- -- Sanitary Sewer Storm Drain I I I Reinspection fee of$ _=req .ired 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 DateZ�a / --- � — Inspector - j L /7 Ext Other -- Final PASS PAP i FAIL 00 NOT REM('::E this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: G39-4175 Business Line: 639-4171 --- - - BUP — �� _Date Requested r�AM -_PM _ BLD Location--�. (_' -�' _5��- _� , �ti'`- Suite -�.5 MEC Contact Persont Ph 7� 2_&O G' PLM _ Contractor �jc}_..S^C �rr — — Ph C �- SWR BUILDING Tenant/Owner _ '- - '� .^ moo cc) Retaining Wall .�. ELR _- Footing Access: FPS Foundation -- Ftg Drain -- --- SGN Crawl Drain Inspection Notes: — Slab ----- - SIT Post 8 Beam Ext Sheath/Shear Int Sheath/Shear 1t -arning - — —__� T- ------� ---- ---- ,nsulation Drywall Nailing - -- -_--- --------- - -- Firewall Fire Sprinkler ____------------------------ --- — --- Fire Alarm Susp'd Ceiling - --- ------- — --- Roof r' Misc: Final PASS PART FAIL — PLUMBING Post& Bean, - - Under Slab Top Out --� Water Service — Sanitary Sewer Rain Drains Finan PASS P)•RT FAIL. MECHANICAL Post& Beam -- --- - i Rough In Gas Line -- - - -'- Smoke Dampers Final PASS PART_ FAIL ELECTRICAL _ — /- Service -- Rough In UG/Slab -_--------___-- -- Low Voltage Fire Alarm -- iinal 2 PART FAIL Backfill/Grading -� ---`- -----------�--"-- Sanitary Sewer Storm Drain [ 1 Reinspection fee of$ required before next in:,pection. Pay at City Hall, 13125 SW Hall Blvd i Catch Basin [ J Please call for reinspection RE: _,_— [ J Unable )inspect- no access Fire Supply Line ADA A roach/Sidewalk ��/�� pp 'cars -�}'� -�> irz-piector—�---`��" _ Ext Other '�"-- Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. �sr �r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection !-ine: 639-4175 Business Line: 639-4171 — BUP _ UatP Requested AM�— PM — BLD -- � n � LOCdtiOt p i1__.L� l G' G� 7 `, d" �f'`�`k:� Cuite -� i _ MEC Contact Person - Ph ?, CF �; `� PLM �2 5- Z S Contractor Ph SWR BUILDING Tenant/Owner —_— — ELC Footing Wall _ ELR Footing Acce;s: —� Foundation FPS Ftg Drain _ SGN �- Crawl Drain Inspection Notes: ---- Slab -- _._ _ _.-- SIT Post&Bearr, Ext Sheath/Shear L int Sheath/Shear I - ---- ---— — ----------- —_-._.._. Framing _ Insulation Drywall Nailing Firewall f -------- —�- ----------^- Fire Sprinkler Fire Alarm _-.-.__..------------- -- Susp'd Ceiling Roof i Misc: Final c PASS PART FAIL -- PLUMBING Post& Beam —� — ------.�--- - - - --- -. - Under Slab TopOut —..-___---.___ ----------_-------- ------------- Water Service Sanitary Sewer -� ---- -- Rain Drains I -_-------� -----�-_ - PART FAIL M .."HANIrAL Post&Beam — Rough In Gas Line --- ------ - - Smoke Dampers Final ----- - - PASS PART FAIL ELECTRICAL -- — - --- Service hough In - UG/Slab Low Voltage - - --" ------- --.__ Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- -- -- - -------..-_ ---� Sanitary Spwer Sturm Drain ( J Reinspection fee of$ required before next inspection flay at City Hall, 13125 SW Hall p1vri Catch Basin Fire Supply Line ( J Plesse call for reinspection RE: --_-__ ..___ ( 1_I11able to inspect ria.1ccf,ss ADA Approach/Sidewalk Other Date �- �� ` Inspectorf-� .----- Ext Final PASS PART FAIL Din NOT REMOVE this inspection retard frorn the job site. \ CITY OF TIGARD IG /� [� D ___ PLUMBING PERMIT {D�,�EVELOPMENT SERVICES PERMIT#: PLM2001-00525 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/19/01 PARCEL: 2S101 AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 350 SUBDIVISION: TIGARD OFFICE BUILDING ZONING- MUF --.----BLOCK: LOT: _JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS- LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing tenant improvement. Other fixture is a primer. FEES _ Owner: — Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 10/18/01 $99.60 27200100000 15350 SW SEQUOIA FKWY #300-WMI 5PCT CTR 10/18/01 $7.97 27200100000 PORTLAND, OR 97224 — �! Total $107.57 Phone 1: Contractor: POWER PLUMBING CO PO BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 244-1900 Final Inspection Reg#: LIC 52378 PLM 34-150PB This permit is issued subject to th,i regulations contained in the Tigard Minicipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will axpire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or diree,t questions to OUNC by calling (503) 246-1987. Issuod B '� i Permittee Slgnature:- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bu,lness day �' �5r�?2a00/-W;: g8 Plumbing Permit Application Date received: /G-l K 0/ Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Project/ampl.no.: Expire date: Fax: (503) 59R-1960 Date is.ued. -_ By:Y Receipt no Ladd use approval: _ _ Case file no.: — Payinent typ , ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family he'Fenant improvement U New construction >Wditirm/alei ation/wplacement U Food service. U Other:OR SITE INT61tNIATION Job address: 1�`�Q >� (o 1DescrilNion --- Qt Y. Fee(ea.) 'Total -- — New 1-and 2-family dwellings only: B10-g.no.: _T Suite.no.: 350 (includes 100"'.Por cacb,rtilit y comicctiou) i ax map/tax lot/account no.: — SFR(I)bath Lot: Brock: Subdivision: SFR(2)bath — Project name: 't"G _ SFR(3)bath -- - - City/county: �s�,; — ZIP: Each additional ba'h/kitchen Description and lova on of work on remis s:t� •�� — Siteutilitlea: -2-ji-e_S` _ Catch basin/area drain — Est,date of completio inspection: A Dr welis/leach line/trench drain _ Footing drain(no.lir,. ft.) _ t +� � Irtanufactured home utilities Business name: t c �� w. Manholes _ Address: Rain drain connector State:QVL I ZIP:9 -- Sanitary sewer(no.lin.ft.) Phone: 4-001) Fax: I E-mail: Storm sewer(no.lin.ft.) — CCB no.: $13I tg Plumb.bus.reg.no:34-tstj Water service(no.lin.ft.) Fixture or item: City/metro Iic.no. Absorption valve Contractor's representative signature. 'Back flow—venter Print name: ��„� Date:•I A-tl-o Backwater valve Basins/lavatory ` b Clothes washer ____ _ Name: �•� — Dishwasher I _`•" _ Address: p. Qy� 19tDrinking fountains) City: lo �— State:Q ZIP:4 7zf5Q____j_Ejectors/sumP Phone: ayy--/9Do Fax:24VV- Z E-mail: Ex ansion tank Fixturelsewer cap �- Floor rainstfloor sinks/hub / 6•'. Name(print): — Garbage disposal _Mailing address: Hose bibb City: -- — State: l_IP: __ Ice maker Phone: Fax: E-mail: Interceptor/grease tri p Owner inst Ilation/residential maintenance only: The actuol installation P,imer(s) ! /L•�= will be mad-by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) 33•s- Owner's si nature: Date: Sum _ Tubs/shower/sbower pan Urinal Name: urinal closet Address: Water heater / G• °.- City: State. ZIP: _ Other: Phone: �Flx_ ail: Total _ W Not all Iurisdicdaccept ors credit curt+,pteam call jurisdiction for more inrormaue.'thisreview 96) on. Notice: permit application Minn fee........,... ) $ O Visa ❑MasterCard expires if a permit is not obtained Plan view(at _ $ Credit card nnm1m: —_ —.— —LL within 180 devs after it has been State surcharge(896)....$ Papire, . �_ —. accepted as complete. TOTAL .......................$ /O _ Name of carddwlder u shown un creat card _ x_ Curlhnl aiptatute lrrwunt 44n 4616(64XWOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-famlly dwellings only: FIXTURES individuate __ GTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink v 16.50 33-,I' the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection _ Lavatory )Ones bath --- — $249.20 _ Tub or tub/Shower Comb 16.60 Two(2)bath _ $'350.00 _ Shower Only 16.60 — Three 31 _ '0399.00 Water Closet 16.60 -- SUBTOTAL Urinal _ Urinal i _ 16.60 _ 8%STATE SURCHARGE Dishwasher L 16.60 (P G•_. PLAN REV1EW:26%OF SUBTOTAL Garbage Disposal 16.60 _ — TC rAL _ Laundry Tray 16.60 Washing Machine 16.60 FloorUrain/Floor Sink 2" -- I 1660 /(s. PLEASE COMP!_ETE: 3"-- 16.60 4„ --- 16.60 —� Water Hea.er O conversion O like kind 1660- Ouar4it b Work Pc-rforme.i Gas piping requires a separate mechanical Fixture Type: Mew Moved Repiaccd Removed/ ermit. _-- -- _ Capped MFG Home New Water Service 46.40 Sink Z MFG Home New San/Storm Sewer 46.40 Lavatory — -- -- _ ---.- Tub or Tub/Shower Hose Bibs 16.60 Combination To Drains 16.60 Shower Only Drinking Fuuntain 16.60 Water Closet 16 60 --- Urinal Other'ixtures(Specify) Dishwasher _ f _-- — ,�� Garbage Disposal Laundry Room Tray --- Washing Machine ___ Floor Drain/Sink: 2" 1_ Sewer-1 st 100' 55.00 Sewer-each additional 100' — 46.40 __ 4" Water Service-1st 100' 5500 Water Healer Water Service-each additional 200' -46,40 —-- Other Fixtures ___ _ S eci Storm d Rain Drain-1st 100' 55.00 Shim 8 Rain Drain-each additional 100' _ 46740 Commercial Back Flow Prevention Device 46.40 - - Residenhal Bac;now Prevention Device- 27.55 Catch Basin — 16.60 Inspection of Existing Plumbing or Specially 72.50 —Requested Inspections er/_hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.7.5 ________— ------ 16.60 -_-__16.60 - -- -- QUANTITY TOTAL Isometric or riser diagram Is required It K•� quantity Total Is >9 "SUBTOTAL ----- -- ---� — -- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Regu red only If fixture gly total Is>9 --- � TOTAL Minimum pSrmll IPS Is$72 50+8%state surcharge,except Residential Backflow / Prevention Device,which Is$ae 25+8%state surcharge "All Now Commercial Buildings require plan;with Isometric or riser diagram and plan review I:\dsts\forms\plm-fees.doc 10/10/00 CITYOF TOGA RD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00288 13125 SW Hall a '1lvd., Tigard, OR 97223 (503) 639-417DATE ISSUED: 10/18/01 SITE ADDRESS; 12909 SW 68TH PKWY 350 PARCEL: 2S101AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLACK: LOT: JURISDICTION: TIG TENANT NAME: DELTEK USA NO: FIXTURE UNITS: 316 CLASS OF WORK'. ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BIJSWR IMi'ERV SURFArE: Remarks: Increase of.7 EDU's. Previous fixture count was 306, this permit adds 10 fixtures for new fixture court of 316, an increase of.7 EDU's. Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY#300-\NMI PORTLAND, OR 97224 PRMT CTR 10/18/01 $1,610.00 27200100000 Phone: Total $1,610.00- — 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 be forfeited if the permit expires. Thn Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not!ocaled at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchaae a"Tap and Side Sewer" Perm Issued b Permittee Signature: 1144, Call (503) 639-4175 by 7:00 P.M. for air inspection needed the next business day Accumulative Sewer-tally Tenant Name: L-)'7 LTF� 5D — This SWR# Addressll ,'9 C Q `&1AJ LO L _ This PLNIV Aon•l -005A-5- Fixture 005A-5Fixture �^ Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Fort _— 4 Bath-Tub/Shower -JacuzziMh iripool 4 Car Wash-Each Stall 6 - -_ _-Dnve Through 16 Cuspiuor/Water Aspirator 1 Dishwasher-Commercial_ 4 -Domestic 2 Drinking Fountain Eye Wash 1 — — --- -- — Floor Drain/sink-2 inch 2 —_— _ 3 inch 5 - - 4 inch 6 Car Wash Dm 6 --- Garbage Disposal 16 - -D_o,nestic(to 3/4 HP)— _Commercial(to 5 HP) 32 —_— Industrial(over 5 HP) _ 48 —_— Ice Machine/Refrieiator Drains 1 —__- Oil Sep Gas Station) — 6 Rec.Vehicle Dump Station 16Shower-Gang(Per Flead) — 1 .1 Stall -- -- 2 -- — — --— — Sink-Bar/Lavatory—__ 2 Bradley _ 5 Commercial _— 3 -- _-- --_-- - Service _ 3 -- Swimming Pool Filter -- _ 1Washer--Clothes _ 6 — —-- —_ Water Extractor Water Closet`Toilet — 6 Urinal 6 TOTALS 4 Total fixture values: divided by 16 =. l EDU HISTORY PLM#,996/-ca 3 3;, EDU# PLM# _ - -EDU# SWFi# PLM# /_ EDU# !tS, 8WR.# PLM# — EDU# — SWR# — PLM#docG PLM# EDU# SWR# PI-M# EDU# SWR# PLM# M EU# SWR# i ldsts\nwrtaly dur: � BUILDING PERMIT Y OF TIGARD IGARD PERMIT#: BUP2001-00387 DEVELOPMENT SERVICES DATE ISSUED: 10/26/01 13125 SW Hall Bivd., Tigard, OR 97223 (503) 63'.-4171 PARCEL: 2S101AD-032G3 SITE ADDRESS: 12909 SW 613TH PKW'( 350 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: , _ FLOORAREAS EXTERIOR WALL CONSTRUCTION CLA35 OF WORK: A� � I 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: BASEMENT: sf AREA SEP. RATED: STOR: 4 HT: ft GARAGE: sf -OCCU SEP. RATED: — BSMT?: MEZZ?: R_EQD SETBACKS _ REQUIR_E_L_ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Add sprinklers below new suspended ceiling. Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PK'JVY#300-WMI 9384 SW TIGARD ST PORTLAND,OR 97224 TIGARD, OR 97223 Phone: Phone: 620-6140 Reg #: LIC 63846 FEES RLQUIRED INSPECTIONS Type By Date Arnount Receipt Sprink*Rough-In PRMT CTR 10/22/01 $100.90 27200100000 Sprinkler Final 5PCT CTR 10/22/01 $8.07 27200100000 PLCK CTR 10/22/01 $40.36 2.7200100000 Total $149.33 This permit is issued s0ject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applic,dble law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to foll N 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 by calling (503)2.46-6695 or 1-800-332-2344. Pe rm Ittee ; Signature: ` 11-wed By: 3 _ Call 639-4175 by 7 p.m. for an Inspection the next business day 'r-A r Building Permit Application City of Tigard uatcrcceived:lt "/ Pern!iitno. City n('Pigard g Address: 13125 SW Hall Blvd.'fi ard,OR 97223 Projecl/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: _ Receipt no.: Fax: (503)598-1960 Case file ao.: Payment type: Land use approval: _ _ 1&2 family:Simple Complex: 1 Uri family-siw0ling or accessory rid' i� ndustrial U Multi-family U New construction U Demolition GJ✓ adition/ terati replacement 5r enani improvement I& •ire sprinkler.ilann U Other:_— 1 ' SITE,INFORMATJON Job address: Z q Q 1 5 v.( b a�H A_w'� - Bldg.no.: Suite no.: a Lot: I Block: Subdivision: _ _ 'fax map/tax lot/account no.: Project name: ----- -- Description and location of work on premises/special condition,: _!f_PP S�krNFf 5s?�e w�f QW ��p,CJD --- Name: P;,wL Mailing address: 1 &2 family d"elling: City: State: ZIP: Valuation of work.................... .............. $ Phone: Fax: E-mail: Noof bedrooms/baths................................. Owner's representative: Total number of floors................................. _ Phone: Fax: F.-mail: New dwelling area(sq. ft.) .......................... -- Gamge/carpfrrt area(sq. ft.)......................... _ Name: Covered porch area(sq. ft.) ......................... — Mailing address:_ -- - Deck area(sq.ft.)........................................ City: State: ZIP: Other structure area(sq.ft.)......................... I'llono I ;,, (? ,,,;, I Commercial/industrio. multi-family: Selig Valuation of work........................................ . .. $ . ...................... . Business name: t IK f; 'j 76 P Existing rldg.ama(sq.ft.) .......................... Address ' 1 A OLD S � New bldg.area(sq.ft.) ............................... '?'Wo -- City: T 1140 A�t,) �Statc: p L ZIP: el ZZ'� Number of stories........................................ _ Phone: SD+-luta �l4 Fax: 6Lo / E-mail: Type ofconstruction.................................... _ —� E-mail: -CCR no.: Occupancy grou (s ): Existing: Ci!y/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: dk4 QtM t provisions of ORS 701 and may be required to be licensed in the Address: 7.24 b Z—illn jurisdiction where work is being performed. If the applicant is City: GOLT U47iq State: A ZIP: 1,1 Y exempt from licensing,the following reason applies: Contactperson: Plan no.: Phone: ' 2-4oC f'ar: I E-mail: — -- — —_-- Name: Contact person: Fees due upon application ........................... $ Address: — Date received: City: State: ZIP: Amount received ......................................... $ E-mail: Phone: Fax: --mail: _ Please refer to fee schedule. hereby certify I have read and examined this application and the NO dl Juritdt;tiom accept cmih rads plenee call iuriediction far nuve infarmatlor. attrched checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will he complied WA,wheth r spe ified herein or not. credit card number: Authorized signature: / Date: am of of cardholdet as sawn on credit ciW � Print name: , 4.e M�L4 i" $ — —"_'— cardholder signature— - Amount - Notice:This permit application expires if a permit is not obtained within 190 days ager it has been accepted as complete. 41o•A613(WDICOM) �74,r►, r. Fire Protection Perrnit Check List f A.) ❑ New ❑ Addition LKAlteration ❑ Repair I B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. [Number of sprinkler heads: Aaditional description of work: Type of System (Complete A,, B or C as applicable _!.)_Sprinkler wet El _ Dry _❑ �_ S•andlipees — Additional Hazard Group_._ Informaticn Density t0 Design Area K. Factor Sprinkler Project Valuation: $ 5q bo °�- B.) Type I - Hood Fire Suppression System Hood Pro Oct Valuation $ C. Fire Alarm Submittal shall I Battery Calculations _ Yes_ ❑ __ Include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project W-16ati6n: $ Project Valuation Subtotal A, B & C): $ Permit fee basad on valuation see 8% State Surcharge_ $ Q, , 01 FLS Plan Review 40% of Permit: $ o. 3 to _ — TOTAL: i ldslsVormsTPFcherkdist.doc 06/07/01 ^ ELECTRICAL PERMIT CITY OF TI GARD —_ / \ PERMiT#: E-LC2001-00524 DEVELOPMENT SERVICES DATE ISSUED: 10/25/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2)101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 350 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT JURISDICTION: TIG Protect Description: Tenant Improvement Joh No.9573 RESIDENTIAL UNITTEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE L.TG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: M.,NF I•IMI SVC/ FDR: C01+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _ BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: 2 W/SERVICE OR FEEDER: PER INSPECTION:Y 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: 38 IN PLANT: 601 - 1000 amp: PLANREVIEW SECTION _ 1000+ arnp!volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL.: --� Reconnect only- .� —_ SVC/FDR >- 225 AMPS: _—_ CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 55 SE MAIN PORTLAND,OR 9722+ PORTI AND, OR 97214 Phone: Phone: 233-2006 Reg#: LIC 44569 SUP 2808S ELE 26-451C FEES Required Inspections— Type By Date Amount Rer.elpt Elect'I Service PRMT CTR 10125/01 $413.30 2720010000( Elect'I Final 5PCT CTR 10/25/01 $33.07 2720010000( Total $446.37 This Permit Is issued subject to the regulations contained in the Tigard Municipal Code,Stale of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire K work is not started within 180 days of Issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are Set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: / Issued By: OWNER INSTALLATION ONLY ____ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE: �._. --Y— -- _ _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ___M_ —_—_—.____—�__--- --- DATE:- LICENSE NO: —_—� — ----- — — --------- --- ---- Call 639-4175 by 7:OUpm for an Inspection the next business day Electrical Permit Application a -----a-''-'"�- ➢�atc trceived: �R P.O.:.:E&d0 0I-D oft�T1gfS+FIVEP P '�',V\1�t1� -' ProjecUappl.no_: Expire date: _ Ciry,f 7'ignr) Addsrss 13125 SW Nall Blvd,Tigard,OR 97223 Date issued: B _ y: ` Raeipt na.:_-- rjuyne- (5031 619-4171 0 f'T � p �j j01 Case file no.: Payment type: I-az (503) 598-1960 ° 1-,anti use approvalGfi/ r u . s- =New y dwelling or accessory U Commercial/industrial U Multi-family U Tenant impnrvement cti(m U Addition/alte.riti Wfr,Placemenl U Other U Partial Job addirss: 12909 SW hSi'N PARKWAY `� Bldg.no;_ Suite nom Tax maPlhax Int/acc ctrml no._ - ---- - Block: Subdivtston: _ -- --- - "ea name:U - Descr►Puon and location of work Premises: EI,XTRICAL EI,TIIC on -- --_�—" Estimated date of tom r-"On i on: ninninninnin Fee Illi Job oo: 95/3 -_ -- ea) Tara) es. Rncirtexs natrle: Bachofner Electric,Inc. bast O°m" - -- New rdiraAY1- e or arlM family I� Address:�55 SE Main St. City:_ Portland Shte. OR ZIP: 97214 ser.iteiarislde� 4 Iuuu .fL err lest -- -- - Phone: 503-233-2006 1 Pax: 233-2963 &mail: F additional MID .ItofPonlonthereot CCB no.: 44569 Elee.bus.lic.no: 26-4510 tlmitrdcaerty,residential _ - 2 _ Limited rnagy,r..wt rlatdan➢al 2 City/metro lie no.: — - Pasch nunufsctuml►roltr,or mrwlulu dwelling 2 - -' Snvim■rrVor(cola Si of ser isin electrician( u L _ yervkee amen-ietlalletlew S .too+ mune W.Bachofner tusuleno- 28085 AheratlaeorreMcarbo: ap.% 2 2 2W amps or las _ 2 201 amps w 400 amps _ --2 Nance(ilnnl)' - _-�-_. -_--- - 101 empato600srnps alling a _ - Hddtt'4a: - x101!T[!to 1000■rnppe: 2 _ Stale: T�1I.IP. -- Over 1000 ucp■or vdu ` - Cl'Txxtt: -------- Fex: � G-trtafl: - wy ame+Itoammaanly.lceswted �• 1 Tetspor Owner installation:The installation;• bring made on p+n)r:rty 1 oAM bv4slidlos,■111eratlr,ofrr%cntk- which is not intended for gale,lease,trrd,of ex(iianre acconling to 200 tel.a nr Iw --- _-__ _ 2 URS 447,455,479,670,701. tot■m-ia+00■ -- - 2 1 p, C)wnrs's si nature. bate: _ 401 to 600^ Sancti dtcalfh-■ew,aMcrarlou, or e■hn■l■w per ptoet A. Ne'fol lwamb cil uiu with l,urrhase of 2 - - -- -- service m focdrs fne,ac.6 brach circuit_ 38 Address: -- late: --.-- n rYe for tr■s1.hwachac 2S�ZI' - of service or feeder fa,first brardr circuit: E-mail: Fiertldditiaulbrtlrrchcircuit: Phom: MLe.(3er+lce or feeder tact l■elaietlr 2 Eaah na Ix irrig tion attic 2 O over�,er�ls id U Ytc■1th tae trility Fes,sign Ur rxttlirr,lithiing _ - USaviorova)?0ampsrrdinRallA2 UHlneretw+kxatim 4i "Ap,�it(a)or■limitedenergyPatel, family dwerlmgt La Ituilklaw over 10.(X1)rquare kr+hx„or g 2 -- IM1R rrrldeswltl UIInF 111�.1fM`MfUI'/lllr Yterltian,err a.taKlMl� __- U Sytwtnover600volt;norafnvl - - U ltoilrhng over dtrrr stories L1 1'mMs,4111■riles Of n■zr •Dpcti - -- t I()ccnWt toad over 99 prrson+ U Marwlf■I cured stluouirs 1K RV hilt Fid,e�MkW(crepe r""suer Ike■ilew4ble Is my of rite above U f VegFAighdnSrAmn Ll(lttr, - - - - Per i_nVrucu°n - -+ Srsaail _ oeaw of plus wllb ruy of tkr ebon. Invests anion f0 - - - '[1e ebow Wesel■PPNc1&a to tr+.ptxrry encase-�f avcke. Other - a1 - .4oucc-This nemtit Itution Permit fee.....................$ wa cit Jrtde+or+.a 4w uedh ends.suer cuts M.relakwl tlx afore ura..mr �' Plan review(at _ �) _ U Vis■ U NWtrCod expina if a permit is not aMalnod State surcltar (8%).•••$ within 190 day-,Altar it has been 44-- r�s.ul card wodls TM AI, ... $ 44 accepted __-- actxpted as axnplete. --- - Ninr'a7cl<elr r- u w m c.s�i cid- s 440 4615((,fM'tNd) CITE( OF TIGARD ELECTRICAL - RESTRICTED ENER ENERGY Ak DEVELOPMENT SERVICES PERMIT#: ELR2001-00262 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/23/01 PARCEL: 2S 101 AD-03200 SITE ADDRESS: 12.909 SW 68TH Pr<WY 350 SUBDIVISION: TIGA�'3 OFFICE BUILDING ZONING: MUS= BLOCK: LOT: JURISDICTION: TIG Project Description: Data telecommunications installation. A. RESIDENTIAL — B.COMMERCIAL AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLP^,ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: w Contractor: PACIFIC REALTY ASSOCIATES MOORE COMMUNICATIONS INC 15350 SW SEQUOIA PKWY #300-WMI 20811 NW CORNELL RD PORTLAND, OR 97224 STE 700 HILLSBORO, OR 97124 Phone: Phone: 617-9800 Reg #: LIC 00073364 ELE 34-356; LE -- _ FEESRequired Insp( ctions Type By Date _Amount Receipt _ Low Voltage Inspection PRMT CTR 10/23/01 $75.00 2720010000 Elect'I Final 5PCT CTR 10/23/01 $6,00 2720010000 Total w81.J0 This Penriit is issued subject to the regulations contained in the T;gard Mun'cipal Code, State of OR. Specialty Codes and all other applicaUe, laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001.0010 throygh OAR 952-001-0080. You may obtain copies of these rules or direct questions t,) OUNC at (503) 246.1987. Issued by < <;,�� y �r �_,fJ --�_ Permittee Signature—" -a OWNER INSTALLATION ONLY The Installation Is being made on property I own which is not Intended for sale. lease,or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE JF SUPR. ELEC'N: �` �-� o.c.� w DATE: LICENSE NO: i i 1 i I Tz-z-: - ------ Call 6394175 by 7:00 P.M. for an Inspection needed the next business day 10/19/01 FRI 14:35 FAX 503 6179898 11001'e Commurilc•etlons 0lunl 1.0:0 u 2f_ n 09:1x! F';) SU059A1980 CITY OF TIGARD 16002 Electri Perini libation city of 11904 rtr�EC•F11tFc' Frojcet -- laPFl no.: &xpirrdete: r-irynf Ii gord Addretts: 13125 SW Hall Blvd,Tigard,OR 97223 Dale issued: By' - Recei tno•; Phone: (503) 639.4171 1 D�Cj4t9�� OCT 1 carC tilt.to-- PiY�nt type: Fax: ($03) 598-1960 �r1 Land use approval: COMWIN1Ty DFVFlOi'MENT * 1 &2 family dwelling or accessoryCammcm1al/tndu5trial J Multi-family `ozenant iniprovssmem Cl New construction11 J AdAi iur✓nhcration/rrpl+cetncnt rJ Other O Faftial Job address: a j � Bldg. 11 Suite no.:350Tnx msf✓tatt lot/accounr.no.: Lnt.w� 13lock: _ Subdivision: Ptnjrrt came: ' {1?IC �t e ),r DcsctiPtion end location of work on Premises: .)21; (" f(?�}m��_►1 i (�- Fsnmurddam of coin ledop/inr uoo:711 1 • L= U LUU 1 Job pe: r}I } '� For ;,,.air I' f 1QVt ilc�tcript;e. Qty (en.) Tntvl nom.,,.,pn—.I business n : (; ;r YZ m r.. ��' Newr l-sorjcorta;lli-6smuyp- address: r ILQ I I Q ? drrelurteunn.Includirs+mcliedoor1zlin. `'try. �( Swe. ZIF' � KrnarlMlRc4yl: phone: J () Fax; E-m ii1:1 oyo-afTm,C� looa.q.M or It. s , 1 � f Each additional 500.a,ft at portion d+Nmf CCt3 no.: Elecbus.lic.no:� �� ' l.+tTltalencrgy,rcaidondm �?__� Ciry/ Oro lit.no.: `-�)� Lirnitcden y.non-tesideodal ae-►rte--- Each rtyrsutactutrrd Oottte tit mrdalar d+rslling t irLure of r tr Nislnf electridan(r 4fred — Daily. 4, c� I-P-1 Scnecc and/or(ceder _ �� Sartirssorfscdcrs-it6tallaffott. Sup.slret (print)' LitetelM�tIan orreluotioo: W ICU loci UMUIMW� 200 amps or lest 2 Nnme(pont); OIL -1 �t2 I_ C I - - -� •Ol Rmpc b tS00 atnps _ 2 AK:tllin address: 60 tunp.to 1000 stripe J = Ci 5t8tC: zIP; -Ovcr IOOQ atn�+ut colts 2 Photic: b) 00 F-• E•lmll: nn6f only t]txfl — rr il7stallefian: ns The itall»Gm on is being made on pprrt (nnporar7 arrrl—or feelle"- y I own in,rotba-n•■ltrrallon,nrn fnr9ll++u. a which it not intended frrr'alr, [rue.rpnt,or cxchange scc+irding to 200 amps nr ledo _ OILS 447,455,479.670. 701. 201 amps u,+ort w*•p, -- - 2 O"Ces signatum, 401te if -ar,•rwh ein rri/e-nate,■terwtkslt, or"Ieristlan pK patrol: Name: _. A Fr,for brunch cvcuiU wtli purchase of Addless; — - — _-_--. aeNtea nr fcedet fee.•Rc i,L_...1.^i.tatll 2 �� P. N far Murch drentu without pumhore CI _� Ste, �� al servtrr or feeder fee,first brunch ei cuit _ 2 Pllotte; I ax. Ir-ateil: 1,cIt a ditJrtnal btaru h dreult, Mise (Sirror_orfeedsuetlncl«�ie4�� _ ❑Sarvire Rv'r:::.5,un(rr--w-'racial :J Hcelth� nfaciliry Fath umP�r lrrj jalion urot+ _ .. F�:hsl noroudlRnUahting 1 q Sdrvtor over 320 ampc-rating of I d1. ❑F1a.tattdow loaadon - famllydwell ings r]l3ulldlr,g ever 10,M)squtua fast tour or sienal cirvilt(a)or a limited energy panel, systemever600voUrnominal morerwidrantlelencuiner+Ratrutaar• sltrrsuon,are,,dmiene 71T1 2 u Building over truo ltntia7 O Frrden.400 rumps or runt! ■pesrription: 17()antpant load over 99 persons D mwuracwtrsl sueeruirs of RV park Leek rdJitlarul M+is+etl.ttorr_r the a ..hie it1 say of the■bevc Cl Rress/lightingplu, U t7Ncr IFrinsptrtinn _-___ _� : 5431+toll_,sou,of PLUM rrith NOT etthe.beva. Invnu aeon for - _ The above ore not appllesibte to temporary conetnutleh serviceOther — 00 Na ell jw4sNtoom asayrt avllt cath,pka.tilt ivN+tLeuam n.mss idinaot� Notice:Wit pertn(t rpplieotion Permit fee.. _......,....•.-.S sa. p(vlw J Mrs rfGtd explr•s if a permit to not obtained FI:,;,rrvie.w(at _—_ %) $ c,.dtt orf coat -_` G !� '-3 '�� -[�1� within Ido dRys attar it has b�cn `'.rte.iumhame(99F) 5 .1[ �Y jc: at",at acceptedascomplete 1OTAI. S «tie a( I M rflOu'e„n' rr � - _u stun ArneuM ab�rlS rryttryi3pstt CITY OF TlGARD BUILDING PERMIT PERMIT#: BUP2001-00357 DEVELOPMENT SERVICES DATE ISSUED: 10/30/01 13125 SW Hall Blvd.,Tictard, OR 97223 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 350 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: 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: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 87 BASEMENT: sf AREA SEP. RATED: STOR: 4 HT: ft GARAGE: sf OCC'U SEP. RATED: bSMT?: MEZZ?: REQD SETBACKS _ REQUIRED_ FLOOR LOAD: psf ►_EFT: ft RGHT_ ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FIRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 173,000.00 Remarks: Commercial TI. Owner: Contractor: PACIFIC REALTY ASSOCIATFS H L GREEN 15350 SW SEQUOIA PVWY#300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97 22,, STE 300 I3 d7�2 Phone: Tlf ARD e' �Z47TI74 Reg #: LIC 41328 _ FEES ____ REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Requir(; PRMT CTR 10/8/01 $1,003.33 27200100000 Framing Insp Gyp Board Insp PICK . TR 10/8/01 $668.85 27200100000 Susp Ceiing Insp FIRE CTR 10/8/01 $411.60 27200100000 Final Inspection PRM2 CTR 10/25/01 $25.67 27200100000 (additional fees not listed here) Total $2,191.77 This permit is is, jed sub, to the regulations contained in the Tigard Municipal Code, State of OR. Specialt, Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires yru 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 by ralling (503)246-6699 or 1-800-332-2344. Pnmilttee Sp,,-nature: � i I;sues By: e t lZ r Call 639-4175 by 7 p.In, for an Inspection the next business day BuildingPe>rmitApplication Datereceived" City of Tigard Pernitno.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolect/app1.no.: Expire date: Citvof77grard Phone: (503) 639-4171 Date issued: By:. Receiptno.: Fax: (503) 598-1960 Case file no.: Payment type: O Land use approval: - 1&2 family:Simple Complex: 4? TYPE OF PERMITC ❑ 1 &2 family dwelling or accessory ACommerctal/induszrW LlMulti•famVew c ily � onstruction 0 Demolition ti ❑Addition/alteration/replacement tXTenant improvement U Fire sprinkler/alarm U Other. -" JOSSIT&INFORMATION Job address: ; Lot: 61ock Subdivision: Tax map/tax lot/account no.: Project name: �G n Description surd location of work on pneinises/special conditions: � � � r. - -- t 1 1 � 1 9 Name: PdCTrust t Mailing address: 15350 SW Sequoia Pkwy. , #301 1&Z family dwelling- city o r t 1 a n State: OR ZIP: 97224 Valuation of work........................................ $ 50. '•,.one:=624-63UFax624-775 -mail: No.ofbedroomstbaths................................. Owner's representative:0 e n n 1 S i_ Total number of Boors................................. Phone. $ m Fax: Email_ New dwelling arta(sq.ft.) .......................... Garage/carpon.area(sq.ft.)......................... Name_: PacTrust Covered por:h arr- (sq.ft-) ......................... Mailingaddrrss:15350 SW Se uoia Pkwy- , /300 Deck area.(sq. ft.) ........................................ City: Portland_ State: O R Z>P: 9 7 2 2 4 Other structure atr"a(sq.ft.)_........................ ( 5 0 3 Phone:6 2 4-6 3 0 0 Farb 2 4--7 7 5 E-marl: — Commercial/indastriallmulti-family: 1 1 Valuation ofwork........................................ $ I Existing bldg.area(sq. ft) .......................... -- Business:.,me: 1{ L _Green lo Address: 1'5350- SW Sequoia Pkwy. , #300 New bldg.arra on(sq.ft) ............................... ` _ - ----- — ' Number of stones Cit Portland r ..... City: __—L1Ic: R zrn: 97224 --- Type of construction................................ CCB no.: 413213 ( 5 0 3 Phonc6 2 4-17 17 Fax: - E-mail• Occupancy group(s): Existing: _ _ City/metro lie.no.: New: Nsu otice: All contractors and bcont_racts's are requited to be ARCHIT&TIDESIONFR licensed with the Oregon Construction Contractors Board undet Name: .]0 h n R om i s h provisions of ORS 701 and may be rrquired to be:icensed in the Address:15 3 5 0 SW Sequoia P k_ w #300 junsdiction where work is being performed.If the N plir-Litt is City: Port 1 a n d —estate: 0 R ZIl'_9 7 2 24 exempt from Itcensin^„the following reason applies: C ontacr person: Plan no.: r ------- ------- ( 5 0 3 Phone 0T Fax{2 4-7 7 5 E-mail: 'O h n r@ act u s tT- . c om _— - Name._ Contact person: Fees due upon application ........................... S -- Address. — — --- Date received: ——---- - — -- City: ---Tt�,c: ZIP: Amount rrceived ......................................... $ -- --- Phone: Fax: Email: P'mse refer to fee schedule. I he,-_oy certif) I have mar,and examined this application and the Na Wr junkiku0m smix aedi,cant,please.air jundiction for mue auarmannn l attached check.ist. All pre,:tsions of laws and ordinances governing this o visa O MasrerCud work will be complied with, wheth speVified beret or not. Gedit ca.d numbs- Authorized signatun � � ate: � �-�/ Expires --- --Name�d caMbolder u ihmrn ai rreair and Print name: _m s f --. Canlhnldu et R.wurT Artnuar Notice:This permit applicaden expires if a pt.//rmit is scot obtained within 180 days after it has been accepted as complete. "a 4613 tsaoiCOMr f�L S 10217. 10 /1 Y 2- �� t y/, 77 _ n D 31 3Y Z 5' r CITY OF TIGARD October 25, 2001 OREGON Jim Romish 15350 SW Sequoia Pkwy. Suite 300 Portland, OR 97224 Re: Deltek Tenant Improver_ient Project Ioformation Address: 12.909 SW 68"' Pkwy. Suite 350 Permit No.: BUP2001-00357 Occupancy: B Construction Type: 11 Onc-Hour Occupant Load: 87 Sprinklercd: Yes The City of Tigard Building Division has reviewed the submitted tenant improvement plans for the above referenced address in accordance with the Oregon Structura! Specialty Code (OSSC), 1998 edition. The plans are approved subject to the following conditions. 1. Minimum 2AIOBC fire extinguishers shrill be provided within the space so the travel distance to an extinguisher does not exceed 75 feet. UFC standard 2. A copy of the approved plans shall be on the job site at all times aad available to the City of Tigard inspectors for inspection purposes. OSSC Section 106.4.2. 3. A final inspection and Certificate of Occupancy is required prior to occupying for the intended use of this space. OSSC Section I J9.1. Sincerely, 6/11131w/A Gary Lampella Building Official 13125 SW Nall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 ------- CITY OF TIGAR October 16,2001 OREGON John Romish �`- 15350 SW Sequoia Pkwy. Suite 300 Portland, OR 97224 Re: Deltek Tenant Improvement Pro*cct Information Address: 12909 SW 68`h Pkwy. Suite 350 Permit No.: BUP2001-00357 Occupancy: 13 Construction Type: 11 One-Hour Occupant Load: 87 Sprinklered: Yes The City of Tigard Building Division has reviewed the submitted tenant improvement plans for the above referenced address in accordance with the Oregon Struc ural Specialty Code(OSSC), 1998 edition. The following information is required prior to issuan,e of tile permit. I. Doors 323 and 307 reduce the required hallway width by more than half when opened at a 90-degree angle (in any position). Please revise these door swings to show compliance. OSSC 1004.3.3.2. 2. Please submit interior lighting budget as required by OSSC Chapter 13. 3. Additional directional exit signs will he required at Office 310 to show the path of travel from Office 314, and over Door 301. Exit signs shall clearly indicate the path of travel whon two exits are required. ifyou have questions, please call me at (503) 639-4171 cxt. 311. Sincerely, C L.,,� Gary l,ampella Building Official 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 -- ------ \ CITY a1 TIGARO MECHANICAL PEkM1T DEVELOPMENT SERVICES PERMIT#: MEC2001-00375 13125 SW Hall Blvd., Tigard, OR J7223 (503) 639-4171 DATE ISSUED: 11/19/01 SITE ADDRE:,S: 12909 SW 68TH PKWY 350 PARCEL: 2S 1 U 1 AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APDL; VENT SYSTEMS: STORIES: rsu,'LERC,COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 8 DOMES. INCIN: ELE 3 - 15 HP: 1 COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: Y 30 -50 HN: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of(9) new HP's in new T.I. including ductwork Owner: FEES_ PACIFIC REALTY AS:OCIATF_S T%1pe By Date Amount Receipt 15350 SW SEQUOIA PKWY#300-WMI SPCT CTR 11/19/01 PORTLAND, OR 97224 $12.62 272001000C PRMT CTR 11/19/01 $157.74 272001000CI Phone: PLCK CTR 11/19/01 $39.44 2720010000 Contractor: Total $209.80 –� --- PROTEMP ASSOCIATES INC 807 NE COUChi PORTLAND, OR 07232 REQUIRED INSPECTIONS Mechanical Insp Phone:233-6911 Duct Inspection Reg #:LIC 38868 Final Inspection This permit is issued subject to the regulations contained in the Tigard '0unicipE! Code, State of Ore. :specialty Codes and all other applicable laws. All work will be done 6 accordanc,3 with approved plans. This permit will expire if work is not start,�,d within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon aw requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirert questionato OUNC by calling Issue By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the nexehusiness day 11- 19-01 r - 357 Mechanical Permit Ajplication Date receiveV Permit no.:ll' City of Tigard Project/appl.no.: Expire date: City ofTig•,rd Address: 13125 SW Hall Blvd, ard,O 223 Phone: (503) 639-4171 Date issued: ByReceipt no.: Fax: f'03) 598-1960 Case file no.: Paymenttype: Land use approval: Building permit no.: �' U 1 &2 family dwelling or accessory U Commercial/industnal J Multi-family enant improvement U New constructiot. U Addition/aIterationirep!ac^n{cnt U(Wwr: _ FOB SITE INFORNIA]ION COM-MERCIAL VALUATION SCIIEDULE Job address- indicate 5 w equipment quantities in boxes below. Indicate the dollar Bldg,no.: Suue no.: p value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Value$ ! �� (� sr� I'm block: Subdivision: *See checklist for important application information and Project name: — jurisdirflon's fee schedule for residential permit fee. City/county: ;!: AMM I ZIP: 101 t1ki I MEN 1101M IIN I111111 Description and loi5ation of work on premises:. _ 1'ee(ea.) Total Est.date of completion/inspection: Dew-inllo:, "y. Res.only Res.only Tenant improvement or change of use: Air handling unit -_—_CFM.__ Is existing space heated or conditioned>d"Ycs U No Airconditioning(site plan require ) Is existing space insulated'? es U No Alteration of existing IIVAC system 3oiler compressors Staic boiler permit no.: Business name: d� HI' Tons RTIIlH Address: �� Fire/smo edampers/ductsmokedetectors City: - ,�( State: LIP: 7a eat pump(sae p an require ) _ _Phone: Fax. _ c mail: - nsta I rep acefurnac wrner �'�� — Inclndmg duetwork/vent liner U Yes U No CCB nn: (�i5 nslalUreplace re ocate eaters-suspended, City/metro lic.no.: y<` `� wall.or floor mounted Name(please print): Vent for a iancc of ier than furnace Refrigeration: Ah" o-ption units RTU/H Name: Chillers _--_ H1, -- ('ant rressor; 111' ---— Address: nr ronmenU ex,rust an Penh al on: - - - - City: ---- State: ZIP: Appliance vent Phone: Iax n,:nl )ryerex aust _— oo s, ype res. nc en/ azmat _ hood fire suppression system Exhaust fan with single duct(bath fans! Name: /��(I/-✓ Li-`,i — — 1-xT�must system�a an f�ror-Te;.n or — Mailing address: _— State: ZIP: Fuel plpfng anddlstribullon up to out eN) City: ___ Type _.- LI't i _ ` G ___ Oil Phone: Fax: E mall: Fuc i in,each addnionn� oto rocexspiping(sc trmalierequired) Number of millets _ Name: _ -_. O1 er s1W—xp11aoce or cquTmenl: Address: Decorative firenlace City_ Y State: 7.,IP�__ nse --type — Phone: FM I E-mail: oo stov pe et stove —_ -- 1701her. Applicant's signature: Date: ;r Name (print): ---rl � Nro all jurisdictlrau adapt credit ceulx,please cell lurlklictlan far mac InGxmeUrnt. Permit fee....... ............. + Notice:This permit application Minimum fee................$ ._ U Visa U MasterCard expires if a permit is not obtained r Credit card number----__--__-- —_-- Plan review(at _,_ 7h) $ -- pi�' within 180 days after it has been State surcharge(8%)....$ ---W8—M0(ti Irl iol�rr u shown n�c i c s accepted as complete. TOTAL .......................$ •---- (ardbofdct ii—gn lure --- - Atntaxi1 4404617(600 .,, MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE:' Description: Price Total Table 1A Mechanical Code City (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU - $5,001.00 to$10,000.00 872.50 for the first$5,000(10 and including ducts&vents 1400 _ ---"--� $1.52 for each additional$,�00.00 or 2) ?urnace 100,000 BTU+ fraction thereof,to and including 17.4 0 includin ducts&vents $10,000.00. ---- $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace 14.00 $1.54 for each additional 5100.00 cr including vent _ _ fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. _o'floor mounted heater 14.00 $25,001.00 to$50,000.00 T $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional x100.00(,r fraction thereof,to and it eluding 6) Repair units $50,000.00. - 12,1' $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For items 7-11,see or Primp Cond traction thereof. _ _ footnotes below. Comp - 7)<3HP;absorb unit Minimum Pormit Fee$72.50 SUBTOTAL: $ T to 100K BTU 14.00 -- --.----- ------- - - 8)3-15 HP;absorb - 8%State Surcharge $ unit 100k to 500k ETU - _ 25.60 __ -- -- - -- -- 9)15-30 HP;absorb 25%Plan Review Fee(of subtotal) $ unit.5-1 mil BTU 35.00 - R_equired for ALL commercial Permits ony 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $� unit 75 mil L;-,-u - _ 52 20 11)>5f` orb -- ----- -- -- unit>1.75 mil BTU v 87 20 ASSUMED VALUATIONS P_ER APPLIANCE: 12)Air handling unit to 1f,,000 CFM -- 10 00 - Value Total 13)Air handling unit 10,000 CFM+ Desai tion: Qt (Ea Amount - _ 17.20 Furnace to 100,000 BTU,including 955 i4)Non-portable evaporate cooler ducts&vents _ 10.00 Fumace>100,000 BTU Including 1.170 15)Vent fan connecNd to a single duct ducts&vt isFl _ 6 80 oor furnace Including vent - 955 16)Ventilation system not included in Suspended heater,wall healer or 955 aG t.liance permit 10 00 floor mounted heater -- 17)Hoed served by mechanical exhaust- Vent not Included In applicance 445 -- 10.00 ermitcinerators -- 805 ----" 18)Domestic In17 40 Re air units __ - <3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator to 100k BTU _ _ _ 6995 3-15 hp;absorb.unit, 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 ___-_ ---- 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU _-_- 1.00 - >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU __ _- Alr handling unit to 10,000 cim 658 ___ - 8•/.State Surcharge $ Air handling unit>10,000 cfm _ 11,170 Now rtable evaporate cooler 1858 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected!9_2 single duct 448 _ Vent system not Included In 858 --- -•-- ---------- applian�ermil Other Inspections an e Hood served b mechanical exhaust 856 of n y - -- ' 1 Inspections ouls�do of normal businsec hours(minimum charge-two hours) Domestic Inclneraf;, 11,1770 $72 50 per hour Commercial or'ndus@i inclneral0r 4 590 __ _ 2 Inspectior,a for which no fee is specifically indicated (minimum charge-half hour) Other unit."tcluding wood stoves. 856 $72 50 per hour inspILU _ 3 Additional plan review required by changes,additions or revisions to plans(minimum -- etc. -- - -_ 380 charge one-half hnur)$72 50 per hour Gaspi Ip ng 1-4 outlets _ _ Each additional outlet 83 __.. _-_. 'State Contractor Boiler Certilicatlon required for units>200k HTU "Residential A/C requires site plan showingr' -ement of unitTOTAL COMMERCI7-1-11 VALUATION: __ All Now Commercial Buildings require 2 sets of plans. I\dsts\formslmech-fees.doc 08/29/01 COF TIGARD OREGON� November 19, 2001 FILE COPY Protemp Associates, Inc. 807 NE Couch Portland, OR 97232 Re: Deltek —Permit# MEC2001-00375 12909 SW 68"' Pkwy., Suite 350 Tigard, OR 97223 The City of Tigard has completed the review of the submitted plans for the mechanical installation at the above referenced address. This review was performed tinder the provisions of the State of Oregon Mechanical Specialty Code (OMSC), 1999 edition. The plans are approved subject to the following conditions. All units are to be inspected and approved prior to in stalling wall or ceiling cover. A copy of the approved plans shall he on the job site and available to the inspector for inspection purposes at all times. Sincerely, 1 1 ,/ Gary l.an,pella Building Official C. Filc Fax to: Protemp—(503) 238-9767 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD (503)684.2772 ---- — - CITY OF TIGARD OREGON October 31, 2001 Protemp Associates, Inc. 807 NE Couch Portland, OR 97232 Re: Deltek —Permit# MEC2001-00375 12909 SW 68"' Pkwy., Suite 350 Tigard, OR 97223 The City of Tigard has completed the review of the submitted plans for the mechanical installation at the above referenced address. ']'his r:,,iew was performed under the provisions of the State of Oregon Mechanical Specialty Code (GMSC), 1999 edition. The following information is required prior to issuance of the permit for this project. 1. Please submit energy calculations on the approved forms for review. ?_. Please submit cw sheets for all mechanical equipment. 3. Please clarify whether the water system is potable or non-potable water. Please show where the RP devise is located. 4. All duct penetrations of t'rc one-hour floor/ceiling assemblies sh all be provided with listed and labeled one-hour firs; dampers. 5. Please provide details showing how the proposed units will be supported from the structure. Sincerely, ( t"r'14 Gary Lampella L wilding Official C. Pile Pax to: Protemp--(503)238-9767 13125 SW Ha!I Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 --— ---- --- CITYOF TIGARD CERTIFICATE OF OCCUPANCY �,. DEVELOPMENT SERVICES PERMIT#: BUP2001-00357 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/30/2001 PARCEL: 2S 101 AD-03200 TONING: MUE JURISDICTION: TIG SITE ADDRESS: 12909 SW 68TH PKWY 350 SUWC VISION: TIGARD OFFICE BUILDING BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 87 TENANT NAME: ELTEK REMARKS: COMM9rL III1. Owner: PACIFIC REALTY ASSOCIATE 15350 SW SEQUOIA PKWY#300-WM! PORTLAND, OR 97224 Phone: Contractor: H L GREEN 15350 SW SEQUOIA BU. STE 300 TIGARD, OR 97224 Phone: 624-7717 Reg #: LIC 41328 I This Certificate issued 2/6/21102 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, occupancy, and use under which the referenced permit was 196,9 ! RIIILDINcy INSPECTOfZ RUILD G, FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �r�i-0035-17_ Date Requested 2/ AM PM _ BLD Location— �-� UTh w / Suite 3MEC Contact Person Ph PLM — Contractor Ph SWR *, g Tenant/Owner ELCITMM- _ ll -- —v -- - EI_R Footing --- Foundation Access: FPS Ftg Drain -----�— SGN —__-'----- Crawl Drain Inspection Notes: --- Glab --------- SIT Post&Beam Del f� ---_.---`- Ext Sheath/Shear Int Sheath/Sheaf Framing Insulation Drywall Nalling --- - -- --- --— ----- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- --- -- ---- Roof — --- ------ W --- PART FAIL7PITAIIISING Post& Beam — -� Under Slab -- — — Top Out Water Service _ Sanitary Sewer \ Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam ----- -- --- Rough In Gas Line - — Smoke Dampers Final -- - - PASS PART FAIL ELECTRICAL -- — Service - Rough In 1)(3/Slab ------_-_�-- --- — L ow Voltage vire Alarm Final PASS PART FAIL SITE Backfill/Grading - - --- oanitary Sewer Storm Drain [ J P.eincpection fee of$ required before next inspection. Pav at City Fall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Pigase call for reinspection RE: ( J Unable to Inspect-no access ADA (//' 100-� Approach/Sidewalk pate �, Inspector Ext Other ---- --+---- - Finrl PASS PART FAIL DO NOT REMOVE this Inspwc:lon record from the job site. ��R D ELECTRICAL PERMIT CITY OF T I G PERMIT#: ELC2002-00111 DEVELOPMENT SERVICES DATE ISSUED: 3/18/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101AU 03200 SITE ADDRESS: 12909 SW 68TH PKWY 350 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 1 branch circuit 3rd. floor. RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGA r'ION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER ?ER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: l Reconnect only: SVC/FDR >=_225 AMPS: .__. CLASS AREA/SPEC OCG: — Owner: Contractor: PACIFIC REALTY ASSOCIATES BACHOFNER ELECTRIC INC 15350 SW SE0')OIA PKWY#300-WMI 55 SE MAIN PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: 253-2006 Reg #: LIC 44569 SUP 28085 ELE 26-451 C M FEES Required Inspections _ Type By Date — Amount Receipt Ceiling Cover 5PCT CTR "/18/02 $3.75 2720020000( Wall Cover Flect" Final PRMT CTR 3/18/02 $46.85 2720020000( ---- _ � Total $50.60 ---.—_ This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You ma,.,obtain ,npies of these rules ordirect questions to OUNC at(503) 246-6699 or 1.800-332-2344 L4sued By: Permit Signature: �+►� 1 ;.� �` slid:=- _ _ OWNER INSTALLATION ONLY . I he installation is being made on property I own which is not intended for sale, lease. or rent. OWNER'S SIGNATURE: DATE:--- CONTRACTOR ATE:_ —CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — )� DATE:— — LICENSE NO ----— ----- {]V U ---- -----—— -- — ��.—_ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application —'-'— patereoeived:�'�iZ� PamitaCi? T My of igard R E C E 1�r7! E D ft0jecYwI.no.: Expire date: _ -- -- Address: 13125 SW Hall Blvd Ti aW.OR 97223 pate issued: By: Y I� RrceimIt i'iry of Tigard 8 ---• — Phone: (503)6394171 Payment ('.ase file no.: Y type: Rax: (503) 598-1960 Land use approval: Q i Y UF ilY/,ICU 701 7fammnifly dw•alling or ac:ceasory l7 CommerciaLAmdustrial 0 Multi-family U Tenant improvement r:tian ZJ AdditicxJalttraticx•Jreplac'.trnuit C]Other. _ O Partial Job RK address: 1 AWAY _ Bldg.ra.: Suitt tie.: Tax m+ih/tax LAA: Bloct: Subdivision:_ ___ ----- -- - Dt acnption and location of work on ptemisea: MTSC -ELECT T_-�_?un FLOOR- ca oarnc: DELTEK �__ �atod dace of coin oaf on: Mill Far IHn JOb m QRQA Qt; ea.) Trial so.ias Btisiwu came: Bachofner Electric,Inc. r.dretrtld=.I.rte ar rarlHaidy Per Addteaa: 55 SE Malt,St, City: Portland State: OR 'M 97214 4 IOW sq.R or less - -- -- - _ --- Phone: 503-233-2000 Rax: 233-2963 [`omit: Each additional 5w sq,n.«p«tio`n teraol CCB no.: 44569 E1rx.Mrs.tic.no: 26-451C z G Umitalerr-my nanteaidcn_ _tial 253 te/rtietm Cilic.no.: - _ -` path rtwmrfaarucxl honor«modulo it*,A 2 elltitician uu - Savior and/or feeder g 0 sapervisirtj -- (req �_ Die Fie;r{morfeeirra-brtatlatlaa. Sap,eibm a(print): W.Bachotner Ucesem: 29085 alaeratkatorrAticat{oa; 161111111 ?00 amps or last 1 ].Ot amps to 400 amps_-_ 1 Now(print): - ___--_---- 401 amps a 600- 2 Mailing aridness: 6011.ml■u 1 otla.r. - Ci ---- Slatc: �I.11`. Uvv1000anlps«vc>fu_ z - _ ftaoom�ed old l Phone. -- Fax: `- �maiL T �7 ".rieeiri+• Owner installation:The installaticxt is being made on property I own yYt�Inw.aMr+ratlaa,arre4ocatloac which is not intended for sale,lease,rent,or exchange acceadinF,W 200 amps«less 2 z ORS 447,455,479.670,701 2 Date: 401 m 600, qx (hullers lnswd drraks-raew,dteiatloa, or ex,ea, ra poet Nwne: A Pm r«txaach urrnitl with Pulch—of - ---.___ _-_. _ wrvkx«fader kea each brwm*circuit-- -- - A�tCSs' for Ilrarsri drwits evlrhotA pardtax j Slats: - ZIP: 2 Cl_t�__— - - ---- of service or forxler foe.to"brrde dreuit: Ate: Rax: r rnail: ('�„dditimill bnolich dswit: - IWtrr—(Serrtae.rfuer w rsd.+af r. z [tach pomp or Irrn tirr:.e -__ _---. _ Z U Service eves 225 amps crnomerdal U I lealth-ewe facility Each si or oodirr:li _ _- U Setvirr true I"amps raring of 1 R 2 U Flamrtlr s bcati«t - farndiy dele•Dittal U Huikiinpt mer 10,000 0*1mr are,A"rw Si`nal dreorea n i limited ertr+[Y Paul, — rwltr flfUdeVrll aNtl ill rttr dI""UR slterttion,«eaaanli«t* (,]$ytf1110M r/(a)N1lra rnnliall ---�•---- .�� -. U Ruildindoverdrtewrrea U Iartvi.400amtx«mom emscnptim:-_.-_-- - I U()charas load over 94 pxsnm U Mamrfacrumd strr.un cx RV Put Each diltsad b am the dlawaMe b my of do sista t*IeLlwqi9t?til,8t,I- 11 hither ter l t _ Stt:�hM _-arts of pfnms with shy of The above. Invesd`alian fa ----- _ the abrnte are pltN ap*UcfMe 1 o t+iopoaarry caiortttlaVe•aerrto; Other - -__�_ Per lit fee.... ................: b_=--- Not,t11.Ins_omr moa Coal ear..I+w.an M'+.ded for MMM Idarnmo� NMir"oer i f a permit applit�lian Nan review(at - -- 'fir) _ C]Vita CU A4utnC wd expired if a permit is not has been _ within I80 daye after N hu hccrs •Mate aurc:harRc(8'b) •.••s r]var cad ala- ____-_._---------.------ ---- atrepted at rrxnplctt. THAI. ...... ...-..........$ N was T�r ee f - 44b461i(aOdr:0af) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP _ _ — Received _ _Date Requested— AM PM BLIP location — cam'- �'�_ R$141 _ v77uite_ 1 MEC --- — - Contact Per n _ "�� _ Ph(_---- �- 3.��G�c�th PLM SWR "Z� Contractor rbo Cl. ��` ;_Iyll"?C ---- Ph —) -1 �� ` c 8� �.� BUILDING Tendnt/Owner �.— E'� ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain ----�--� Slab Inspection Notes: ^� SIT Post&Beam ---- - - Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation DrywallNai!ing Firewall ' -' - c• _ �� Fire Sprinkler Fire Alarm Susp'd Ceiling - -- - --- ---- .. - ----------- - - ---- -- ._ .._ .- ------ Roof ---Roof Other: Final PASS PART FAIL -- PLUMBING-__ Post& Beam - --- ---- Under Slab — Rough-In -- -- - -- Water Service Sanitary Sewer Frain Drains --------- ------- - - -- ----- Catch Basin/Manhole Storm Drain -- --- - - Shower Pan Other- ------ -- - -- -- ------- -- --- Final - _�----- - PASS _PAR_T_FAIL MECHANICAL Post& Beam Rough-In _______._ Gas Line Smoke Dampers -- - -- --- --- ---- -------— ---- Final PASS PART FAIL --- -- ----- — -------- — -- — ELECTRICAL Service -----'--� Rough-In UG/Slab _ — Low Voltage _ -- ----------------- Fi*ina Alarm PART_ FAIL — — �— Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. - Please call for reinspection RE: _ ___-- _—_—_—. U Unable to inspect-- no access Fire Supply Line ASA /Z2,;L Approach/Sidewalk pob-- Inspootor �""L� � C—� Ext-— Cl Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL