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10225 SW HALL BLVD-2 r i , t t � J I I CITY OF TIG,A R D i ppreVej........ ..................0,6..11....... Condit, onally Approved .........[ For only the work as PE�M�T NO., described in: t See Lettce to: 7 to: Follow... �-- I yob°Ad�r"e Attach.... ..... �• •0,0,0,0, F3;0 3 D ,2 --000( I I Z � I A71I J 3 I � 2 101, IelI I Z I 5 I / C ° I Z � 2 2- e• 3 3 r� IIIIIII III III � III i � l I � I IIIIIII III I � rl � rl � � r�-rl (� 1 � 1I � I ► � I I � IIji IjII � I � � II { I I { IIjII � I Ijl Ijlr�Vlr�—� I � I � jI ill I � Ir� rp 1� I � I � i � i � Cir�1l � Ijljl i { i Iiiijl ,1 � � i NOTICE: IF THE PRINT OR TYPE OI`J ANY ( � I I I i I � I I I I I I I ( � I I IMAGE IS NOT AS CLEAR AS THIS NOTlrE, 1 _-- _ 2 _ 3 -- 4 _ -- 5 _.6 7 g _____._-.__ �____ 10 ____-- 1 12 QQ IT IS DUE TO THE QUALITY OF THE _ _ _ _ No.36 ORIGINAL DOCUMENT {�{{ illi {{{l ll{i �i{{ �{{i {{{{ j{{{ i{{J {<<< {{« l 1 � l� 1{{11111 1111 ll{LJ�Ii IIII IlliJilll Iill 1111 1111 1111 Illl Ilii lll� lel! IIII IIII IIII III111i1 1111 ill 1111 ll_l �.11� LI.LI JJJJ_ l.l.11 U � 1�J' llll 111111��11 CITY OF TIGARD Approved...... , Condit;onally Approved.... "............. .......[ �. "1♦•Y Y1.".IYYY 1.11111. �� For only trio work as described iri; PERMIT N0,T 'Foo f ' O 3 -7See Letter to; Fo!I0c) -7 � 'I Attach. Job -� �C!c�rc.:ss: I I �� B y o / 7.�- s w �► / l Vex. -1 _ DatF,;�- 1 1 y L—A✓ �✓. / 12. � IZ 110, 5 � � I s � S \kv / i .0000, i�� i S , < NOTICE: IF THE PRINT OR rl-� ilt ili III ili III ili III II � IIII IIIIIIT -l1. tlT r1.hTTT_III II1 IIL ..r11 lllllli III II . ill llfIII III III III III ' ► 1ill11 III III III- � � f 1IIIf�I .t_I1 TL1. 1jillll ' II 111 11 ! 11111,, � I I I � � >" I I I 1111 I I I I I � I 1 l� IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 Z 3 4 5 6 7 81 _ 9 10 � 1 121 - - ----- --- -- -EG 7 IT IS DUE TO THE QUALITY OF THE _ _ _ Nu.36 ORIGINAL DOCUMENT E - 6Z 89 LZ 9Z 5Z � Z � EZ Z TZ OZ 6I 8T LI � 9i 5T fiT ET ZT iT i 6 8 L 9 IIII IIII IIII IIII Illi LIII J!!! IIII IILI ILLI ILLI 1111 IIII LLI llil►III� ILII IIIL IIII Ilii IIII IILI II ill ! � I I i .I � � I � I I � i it 11111 1111 IIII IIII IIII lel IIII IIII IIII IIII l 11 IIII IIII IIII 1111 ll J 111.1 I1lLl�ll 1111 IIIL 11..1 Ill. 11.1 �.1��ll,iC�11 J Vi 14 IV x � lit' yr i4y � ;M � K v , 3 _ J � CITY OF TIOARD 5Ga;ing A Bettrr Community MEMORANDUM CITY OF TIOARD 13125 SW Hall Blvd. Tigard, OR 97223 Phone 503-6394171 Fax: 503-684-7297 TO' Distribution List FROM: Shirley Treat DATE: January 17, 2002 SUBJECT: NEW ADDRESS FOR PARCEL 1 S-1 35AA-01 901 New address issued due to duplication of WACO add;essina and City addressing: NEW ADDRESS OLD_APD_RESS 10225 SW Hall Boulevard 10125 SW Hall Boulevard If you should have; any questions, you may contact me at 503/639-4171 ext. 419 or by ernail at shirley@ci.tigard.or.us. Thank you. ? l�i i:cng\shirlcy\address\ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 631-4175 Business Line: 6394471 — OBUP ---Date Requested_ ./�s� �-- AM PM _ BLD Location /D 2-2- S Suite MEC; Contact Person �4 Ph — PLM _ Contractor _ f /RPh ' — SWR BUILDINQ Tenant/Owner 7 Py��`1 ELC ng all ELR _ Footing Foundation FPS — Ftg Drain SGN Crawl Drain r1nsp7ectionotas: Slab _____— SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing _— Insulation Drywall Nailing _---- Firewall Fire Sprinkler - Fire Alann Susp'd Ceiling -- --- Roof S PART FAIL ---- - -- PL BING Post✓3,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_ - -- Sp Nlrn ---- Ro.igh In IjC/Sla'j - -- --- - -'Low Voltage Fire Alarm Final 1 PASS PART FAIL --_ ------ -- ----- - - �- SITE _ Backfill/Grading --- -'-- - ~— Sanitary SeWpr Storm Drain I J Reinspection fee of$_— require::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 _ / _l UT�_U_ ..._ IngectorGate Ext Other Other --. Final PASS PART FAIL DO NOT REMOVE this Inspection record from the lob site. CITYOF TIGARDBUILDING PERMIT PERMIT#: BUP2000-00403 f a DEVELOPMENT SERVICES DATE ISSUED:, 4017101 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AA-01901 SITE ADDRESS: t8175SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: , Z • LOT: 037 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST_ 6.144 sf N: S: E: W: 1 HR TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5Iq sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 6,144.00 sf ROOF CONST: C FIRE RET? OCCUPANCY LOAD: 52 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 15 ft GARAGE: sf OCCU SEP. RATED: BSMT?: N ME7_Z?: N REOD SETBACKS REQUIRED_ FLOOR LOAD: 60 psf LEFT: ft RGHT: ft FIR SPKL.: SMOK DET: _ DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 390,758.00 Remarks: New Office Building TIF DEFERRED Owner: Contractor: WAYNE I_, GERIG J T ROTH CONSTRUCTION INC 15430 SW BOBWHITE CIRCLE 12600 SW 72ND AVE #200 BEAVERTON, OR 97007 TIGARD, OR 97223 Phone: Phone: 639-2639 Reg*- uc 31700 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Susp Ceiing Insp PLCK CTR 9/25/00 $887.75 27"00000000 Electrical Permit Required Appr/sdwlk Insp Plumbing Permit Required Final Inspection FIRE CTR 9/25/00 $546.31 27200000000 FouUFound Insp PARK CTR 6/7/01 $441.00 27200100000 Post/Beam Insp PRM2 CTR 6/7/01 $1,325.84 272.00100000 Framing Insp Roof naiing Insp (additional fees not listed it re) Insulation Insp Total $21,615.48 Shear Wall Insp —--- -- — _ _ Gip Board L__. --- 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 cone in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wort. is suspended for more than 180 days ATTENTION Oregon law requires 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 by calling (5031 24-6699 or 1-800-332-2344 Permittee )j1 Signature: Ill `LL Issued By: - Call 639-4175 by 7 p.m. for an inspection the next business day 0 to LO 0 in LO W V4 N If) Lr) 4:1-7 1>9 0. LL tL CL (1) no In c; -zc v 00 ea It 24� t- 4,132 Aor ON 4 F. Rn 600 4- 2) 128 - Z�S 5T�►vi l,5 6SZ1 �d-41 P LF a I 1 i4d� 14 40(.a3)+ 3006.0> x = x.45 ,6-7 . s5(�1ao� _ 8 1� t ►d 2c� = °c q8 z n 144 0. 14 F7(, Hilo x : 040`.58) TUU X"= G �v5 ( B�G _ �Z� - X793 PSt' .b7 'oFFse4- = 870 • z� ��1Ao� t S70t 675 = L545 FBF FD PRpFF 4332 OnEG!}OL_ r✓ -v�cT 24�10i ti~ RO IVE LL ENGINEERING & DESIGN BY_ -- _ late _-te_U_101--- ProjectSheet ---- - ---- - -------------- o/ CITYOF T I CaA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUED:T M 7/3C 01 00389 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 539-4171 PARCEL: 1S135AA-01901 SITE ADDRESS: 40125 SW HALL BLVD i(o L S SUBDIVISION: METZGER ACRE TRACTS ZONING: C--N BLOCK: LOT : 037 JURISDICTION: TIG Proiect Description: Installataion of temporary elec. 200 amp/less _ RESIDENTIAL UNIT _ TEMP SRV-/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1� PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: M.SNF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _Y ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER 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: WAYNE L GERIG PLUGS & SWITCHES 15430 SW BOBWHITE CIRCLE P.O. BOX 11'1 BEAVERTON, OR 97007 SHERWOOD, OR 97140 Phone: 503-579-0203 Phone: 503-925-8450 Reg#: LIC 141529 ELE 34-5270 SUP 45465 FEES Required Inspection`s Type By Date _ Amount Receipt Elect'I Service PRMT CTR 7/31/01 _ $66.85 2720010000( Elact'I Final 5f'CT CTR 7/31/01 $5.35 2720010000( ..total ---$72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable;aws 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 d work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those ules are set forth in OAR 95 -001- 1 thrpug7AR 952.001-0080 You may obtain oopies of these rules or direct questions to OUNC at(503) 7.46 6699 or 1-800-332-23 J , Permit Signature: . Issued By: r OWNER INSTALLATION ONLY _ Thc, 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 OF SUPR. ELEC'N: �) Z CWa.4 G'i-t y"'" DATE:,___ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application //,,_ "Dateived: / Permit no.: (�� r 7�� City of Tigard ICS Project/appl.no'.: Expire date: City Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97 - Dafetssued: B Itecei tno.: I'hone: (503) 639-4171 y P Fax: (503)598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory ommercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial t , SITE INFORMAI ION Job address: It3f - S►�/ J 77� Bldg.no.: Suite no.: Tax map/tax lot/account no.: I-A)t division: Project name: �[hscriptiun and location of work on premises: E Z1y2��, �C_ T_-�yt PVQ4.1-- GstinLticd date of conrplctian/ins ction: Job no: _ __ Hee Max Business name: PL►t'�S 'F-5 w a.�1}6r5 JM�, Description — (jly. (ca) total no.Insp r -- New residential-sinRk or multi-family per Address: y $L 16 dwellingrndl.Inrludesallachedgaragc. City: �; ,�, state:0=2L71it: 97/yp ' rvicelncluded: Phone: ��l ax: s� �; Email: IOW sq.rt.or less 3 4 L. Each additional 500 sq.nc or porn m thereof CCB no.; 4 Elec.bus.lic.no Urniied energy,residential 2 City/metro lic.no.: ppm 6��39� _ 1_imiledenergy,non-residential 7--21-0/ Each manufactured home or modular dwelling - - �— Signat z5ol s - isin ccwcian(required) Tale Service autt/or feeder Sup.elect,namr(prinU:� License Services or feeders-Installotion, alteration or relocation: 2(10 amps or less 2 Name(print): -T; �7-a 201 amps w4()Qamps _ 2 _ --_ -401 amps to G(10 amps 2 Mailing address: 601 amps to 1000 amps - 2 City: Stale: IIP: Over IruNtampsorvolts 2 Phone: Fax: E ttutil: Reconncctonly I Owner installation:The installation is being made on property I own Ternporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 2011 amps or less f 2 201 amps to 400 amps 2 Owner.; signature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, Nance: or extension per panel: A Fee for branch circuits with purchase of Address: service or fender fee,each branch circuit 2 City: I Stale: ZIP: B. Fee for branch circuits without purchase Phone: I it, E-mail: of service or feeder fee,first branch circuit 2 IN f{ach additional branch circuit PuAIKRI-1 11 1% (Please check all flint appl� Mise.(Service or feeder not included): U Service over 225 amps-commercial U lieAth-carefaeility F.ach pump or irrigation circle 2 U Service over 320 amps-rating of I&2 U I lazardous locruon ouch sign or outline lighting 2 famllydwellings U liuilding over 10,0V square feet four or Sigoat circuit(s)or a limited energy panel. U System over 600 volts nonninal more residential units in one t u acture alteration,or extension* t U Building over three stones U Feeders.41x1 amps or more "Desai tion: U Occupant load over 99 persons U Matu lactured structures or RV park Ficlr additional Inspection over the allowable In any of the above: U F,gressllightingplU Other. Per inspection —T- Submlt___sets of plans with any of the above. [Inveligalion fee The above are not applicable to temporary constructloa service. —_ Not all jurisdiction#accept credit cants.please call jurisdiction 6x mrxe inroonsion. Notice:This permit application Permit fete.....................$ — U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number _L_L_-_ within 180 days atler it hie been State surcharge(R9f,)....$ - r"piles accepted as complete. TOTAL . $ -7-1,.�-U Name of cardho r as shown on e—mail card S Cardholder signature ------ Atnount 4404615 tt XWOhI) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY --- -------- Restricted Energy Fee..................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq It or less $145 15 — 4 ❑ Audio and Stereo Systems' Each additional 500 sq ft or portion thereof $3340 1 ❑ Burglar Alarm Limited Energy $75.00 — Each Manufd Home or Modular Dwelling Service or Feeder $9090 _ 2 ❑ Garage Door Opener Services or Feeders �'� � ❑ Heating,Ventilation and Air Concitior.ing System' Installation,alteration,or relocation 200 amps or less ( 3 _ 2 I �1 201 amps to 400 amps 2. u Vacuum Systems' 401 amps to 600 amps $160.60 _ 2 ❑ 601 amps to 1000 amps $24060 2 Other Over 1000 amps„r volts — $454.65 _ 2 reconnect only — $6685 —� 2 Temporary Services or Feed<;rs TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation –_ Fee for each system.......................................................... $75.00 200 amps or less _ $68.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10D.30 _ 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alter3lion or extension per panel ❑ Boiler Controls a)The fee for branch circuits _ with purchase of service or ❑ Clock Systems feeder fee. Lack branch circuit _ � $6.65 � �^ 2 ❑ Data Telecommunication Installation b)the fee for hranch circuits w/thouf purchase of service r� I Fire Alarm Installation or feeder fee. First branch circuit _ $4685 ❑ Each additional branch circuit $6.65 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53,40 _ r Each sign or outline lighting _ $53.40 Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension ^_ $75.00 _ _ ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 _ Each additional Inspection over ^ `� ❑ Medical the allowable in any of the above ❑ Per inspection i $62..50 � Nurse Calls Per hour $6250 _ In Plant i $7375 � ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other P%State Surc:f,.:rge $ -- ,------__Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses e,c required. Licenses are required for all other installations front of application ---- Fees: Total Balance Due $ – Enter total of a'mve fees Trust Account# _ 8%State Surch irge Total Balance Due i\&L nskic-fecs.doc 06/07/01 CITY OF TIGARDBUILDING PERMIT _— PERMIT M BUP2000-00403 DEVELOPMENT SERVICE" DATE ISSUED: 6/7/01 Z4- 61,111, 13125 SW Hall Blvd.,Tipard, OR 97223 (5%03) 639-4171 PARCEL: 1S135AA-01901 SITE ADDRESS: 10125 SW HAIL BLVD 1 D-1. SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: LOT: 037 JURISDICTION: T;G REISSUE: _ FLOOR AREAS_ _EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: NEW FIRST: 6,144 sf N: � S: E: W: 1HR TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP•. B TOTAL AREA: 6,144.00 sf ROOF CONST: C FIRE RET? OCCUPANCY LOAD: 52 BASEMENT: s; AREA SEP. RATED: STOR: 1 HT: 15 ft GARAGE: sf OCCU SEP. RATED: BSMT?: N MEZZ?: N _ REQD SETBACKS REQUIRED FLOOR LOAD: 60 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING 'JNITS: FRNT: ft REAR: ft FIR ALRNI : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 390,758.00 Remarks: New Office Building I Owner: Contractor: WAYNE L. GERIG JT. ROTH CONSTRUCTION INC 15430 SW BOBWHITE CIRCLE 12600 SW 72ND AVE #200 BEAVERTON, OR 97007 TIGARD, OR 97223 Phone: 503-224-1460 Phone: 639-2639 Reg#: LIC 31700 '+ FEES REQUIRED INSPECTIONS ^Type By Date Amount Rnceipt Mechanical Permit Require Susp Ceiing Insp PICK CTR 9/25/00 $887.75 27200000000 Electrical Permit Required Appr/sdwfk Insp Plumbing Permit Required Final Inspection FIRE CTR 9/25/00 $546.31 27200000000 Foot/Found Insp PARK CTR 6/7/01 $441.00 2.7200100000 Post/Beam Insp PRM2 CTR 6/7/01 $1,325.84 27200100000 Framing Insp Roof naiing Insp (a(lditional fees not lists-•1 here) Insulation Insp Total Shear Wall Insp Tot $4,$03..4$ Gyp Board Insp — This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable law. 41 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-OblOJIirough OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (50p)T-Tg or 1-800-332-2344. Permittee ( II yy Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD CommP-pial Building Permit Application Plan Checker 13125 :;W HALL BLVD. New Construction and Additions p Rec'a ey-�' D ` TIGARD OR 97223 - Date Rec'a. . x" (503) 639-4171 Date to PE j(2 ' _ Date to DST Print or hype Fprrnit*L7l ..�:� v A 3 Incomplete or illegible applications will not be accepted Related sav Called Name of Development/Project (� {t �� X07 r Job vAP-^(-- Existing Building p New Building Address Street Address Suite _p �s .�N J Building Bldg# M state Zip Data 14 1, a�.N) (�v 1 Z� I Existing Use of Building or Property: Name Property ,,)T-.,,y Owner Mailing Address 11 Suit*---, Proposed Use of Building or Property. CltyfState Zip Phone S� 1 NoOf Stories: J)p rkQ''^i e r, u2 � p-a C, , Occupant Name Sq. Ft. Of Project: Name- ��--- Occupancy Class(es) Contractor j Prior to permit Mailing Address Suite Types) of Construction Issuance,a copy /e�' of all licenses are required If City/State -- Zip Phone Will this project have a Fire Suppression System? expired in C O.T. Yes L3. NO database Oregon Const. ont Board I_ic 0 Exp.Date Americans with Disabilities Act(ADA) Valuation X 25% = $ Participation __ Complete Accessibili Form �imP j I Project $ Architect �?-��'K W \S j, Valuation ;� -^ ��c l Mailing Address Suite , 3F- TA AUf CT Plans Required: See Matrix for number of sets to submit City/State Zip Phone j 1 ` on back Engineer Name I hereby acknowledge that I have raid this application,that the information \,� given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite - that plans submitted are in compliance with Oregon State Laws. C. �V S 'g lure of Owner/Agent Date City/State l Zip Phone t{ - n Con-fact ll�erson Name c3 Phone Indicate type of work New6- Addition O Demolition O /Accessory Structure O Foundation Only O Alteration O �- rn /}1 (�j r7-OOy03 Repaii (A —Othherr 0 — }6,164 FOR OFFICE USE ONLY 1/#f !`l`Jy•XL94l Descriptlon of work: Map/TL# �rLand Use: 1't,1ti• a I s/ s� /i -v - say �� tb Notes' Ok rp ISSt# or Orx. 'IVL A Parks: Estlmated 0 of Employees TV�:P If the above figure Is not supplied at the time of application,the city will calculate the foe based upon the number of parking spaces. ----- _ ---- _S L7 ` I C7 r C1 — 0 C-,C, Now: Site Wa,R Permit Application roust prece4e or accompany Building Pirmit Application d�✓o",17 ,0411AJ /?f-L:fE r J c Q i',dsts\forms\comnew doc 5/10/99 +IZ (�� P;,? -T—i (}';' V I �� COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittai of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) C A Total # of TYPE OF SUBMITTAL Pians KEY:_ Submitted S (Private) i _- 1 S = Site Work 6 (New or Add) 1 B = Building F (New or Add or Alt) 3 F == Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) �1 *B & M & P (Alt) 3 *B & M & P & E(Ait) 3 *B & M & P & E & F(Alt) 3 NO E_G: "Shaded areas designate ALT submittals only. I\dsts\forms\matrx„om doc 10129/98 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 ? Received Date Requested ��/ AM ___ PM BLIP Location ` -ZS_! � __ —_Suite _—_——___—_—_ MEC Contact Person —__ . _. Ph (_ ) __ PLM Contrac _ _-__—_-_ _ Ph ( ) SWR __— _ Tenant/Owner -- 0Q_d� — Q-� -- ELC --__— Footing ELC Foundation Access: — Fig Drain ELR —_----- Crawl Drain Slab i ispection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ! - — Insulation Drywall Nailing Firewall j Fire Sprinkler — Fire Alarm Susp'd Coiling -- Roof ina O - fi )PART FAIL PLUMBING Post 8 Beam - Under Slab — ---- Rough-in Water Service — ---- -- -- ---- Sanitary Sewer Rain Drains — -- ---- -- Catch Basin/Manhole Storm Drain - - -- -- Shower Pan Other: - — Final —~ PASS _PART FAIL — MECHANICAL� — Post 8 Beam Rough-In Gas Line Smoke Dampers -- — -- -- Final PASS PART FAIL ---- - --- - -- -- - _—�— -- ELECTRICAL Service ------------- Rough-In UG/Slab Lcw Voltage Fire Alarm Final Reinspection fee of$ _required before next inspectil- .. Pay at City Hall, 13125 SW Hell blvd PASS PART FAIL SITE _ F-1 Please call for reinspection RE: I Inahla to inspect-no access Fire Supply Line ADA ' Approach/Sidewalk 1ate— _ -_ Inspector -A `/ Ext Other:_ Final DO NOT REMOVE thl: !nspectlon regard from the)gab 91te. PASS PART FAIL CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00048 13125 SW Hell Blvd.,Tigard, OR 97223 1503) 639-4171 DATE ISSUED : 06/07/2001 SITE ADDRESS: t942!S SW BALL BLVD PARCEL : 1S135AA 0190? SUBDIVISION. METZGER ACRE TRACTS ZONING : C-N BLOCK: LOT: 037 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: CUM GRADING ?: Y VALUE: $25,000.00 EXCV VOLUME: 300 cy LANDSCAPING?: Y FILL VOLUME: 560 cy SITE PREP ?: Y ENG FILL?: N' STORM DRAINS?: Y SOILS RPT REQD?: Y IMPERV SURFACE: 14,309 sf Remarks: Site work for new office building Owner: _ FEES WAYNE L. GERIG 15430 SW BOBWHITE CIRCLE type_ By Date -- Amount Receipt 13;.AVERTON, OR 97007 PLCK CTR 09/25/2000 $100.74 27200000000 PRMT CTR 06/07/2001 $283.30 27200100000 PLC3 CTR 06/07/200' $83.41 27200100000 Phone: 503-579-0203 FIRE CTR 06/07/2001 $113.32 272.00100000 Contractor: 5PCT CTR 06/07/2001 $22.66 27200100000 J T. ROTH CONSTRUCTION INC —V EROS CTR 06/07/2001 $80.00 27200100000 12600 SW 72ND AVE. #200 ERPU CTR 06/07/2001 $26.00 27200100000 ERPC CTR 06/07/2001 $26.00 27200100000 TIGARD, OR 97223 WOUN CTR 06107/2.001 $1,490.52. 2.7200100000 Total $2,225.95 — Phor.e: 639-2639 —.- --- ------ Reg M LIC 31700 Required Inspections Misc Inst:Pctirm Erosion Cortril Insp 846-8444 Excavatioo Ful Grath rg Pav ng Insp Strm Drain Insp Culvert/Catch Basin San Sewer Insp Dcrnestic water line inspect. — — Final Inspection J This permit is issued subject to the regulations contained in the Tijard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work 011 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 raies adopteby the Oregon Utility Notification Center. Those rule:, are set forth in OAR 952-001-0010 through OAR 952-0 1=%1080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Permittee Signature: Issued By: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Site Permit Application Plan ChecklF 1312:L-, SW HALL BLVD. Commercial, Residential RecdcId Date Rec 1' TIGARD, OR 97223: : and Multi-Family Dale to P.E. - (503) 639-4171 x304 Date to DST ~. Permit t1 ' Print or Type Related SWR q Incomplete or illegible applications will not be accepted called-_ -- Project Name t Utilities(Complete all that apply) _.. Job Q.c?S )Oocj Address Address Storm Sewer \14,Ri .�- _ _ l�i Linear Ft. ame Sanitary Sewer U J E L. Cir`^21 ` ,Q- _ 1 Linear Ft. Owner Ma_Ilan Add ss c Fresh Water 1 —` S,S, 1�7w t' r-\�(i�Q I S Linear Ft. ...pity/Stale �. 3 Sone O Catch Basins # ^� c. 3 General ame Clean Outs Contractor _ # Prior to permit Mailing Address Describe work to be done: i issuance,a copy of all �uJ 7a 4/ �p�dn New El Addition[] Alteration[]Repair licenses are City/Stag Zip Phone Addition. Description of Work: required it -7,� y,F y. Lek 5772,-2 expired in COT State Const,Cont.Board Lic.# Exp. Date database Name Project r�• n ) ` r Valuation $ �� Architect Ivail'ng Addrgss Plans Required: See Matrix on back page IN OJ ' _1 The following,must accompany this application: -City'$t t n- �.21p Phone _ Site plan with Vicinity Map Parking(including Uf r. l Showinq ADA compliance ADAC &Lighting Plan neGrading Plan and details Landscaping Plan � vim, R o�.,� e k 1 _ Engineer Mallind Address Erosion Control Plan and Retaining Structures C) k �' details Including calculations City/State Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) approved system) Excavation Volume I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized 3 0 tJ cu. yds. agent of the owner,and that plans submitted are In compliance _ _ i Oregon State laws. Grading Volume6, ature of OwnerlAgent Date (Soils report required for>5,000 cu.Yds,) n � cu,yds. IAIA �a ( ,[�^ I c} ) U Fill Volume — ontac Persok Nam Phone (Fill exceeding 12"in depth shall be compacted s To 90%of Maximum Density) I _ _ _ b o cu.yds. y L Retaining structure?(check one) DRock FOR OFFICE ONLY ❑CMU Notes: �J 7 ❑Concrete OK ry /SS u F AM Tit c r 19L /Z//S/" / [']Other ISS uF, '4M. XkIAP^1 /2/ele6 Total new Impervious area Including all Lp.n Use Case# I ITL# buHdin s,s,. rwalks,and paving _ r�(?t7 S .1=t. ��-D(�O ! /35/�f� n� G'l -- ,V#-Jl- Iq CITY OF TIGARD m►r.o l9�y �,�— L�.,r,� (�/ COMMERCIAL SITE WORK PERMIT I:ldstslfonnsWte-app.doc 3117100 CITY Y OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00377 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8;13/01 SITE ADDRESS: 10.1-25-SW HALL BLVD ( u -`, PARCEL: 1S135AA 01901 SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BA('KFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: 1 WATER HEATERS: 1 CATCH BASINS: FIXTURES _^ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work associated with new office building. Other fixtures are (2) hose bibs and (1)drinking fountain. FEES Owner: -- �" _ Type By Date Amount Receipt WAYNE L. GERIG - — -- 15430 SW BOBWHITE CIRCLE. PRMT CTR 8/13/01 $182.60 27200100000 BFAVERTON, OR 97007 PRM3 CTR 8/13/01 $182.60 27200100000 PLCK CTR 8/13/01 $45.65 27200100000 5PC1 CTR 8/13/01 $14.60 27200100000 Phone 1: 503-579-0203 -- — Total $425.45 Contractor: �- ACI MECHANICAL DBA COMFORT SYSTEMS USA 12300 SW 69TFI AVE REQUIRED INSPECTIONS TIGARD, OR 97223 Phone 1: 503-598-4798 Courtesy inspection Reg#• LIC, 137663 Sewer nspection Mater Line Insp PLM 34 356PB Rough-in Insp Underfloor/Underslab Stone Drain Insp Crawl Drain Rain Drain Insp Final Inspection 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. .`pecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. I his permit will expire if wc,rk is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENPON. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thcsc rules are set forth in OAR 952-0001-0010 thrpugh OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by1 Ili (503) 246-1987. Issuer) By: Permittee Signature: iyl Call (503) 630 4175 by 7:00 P.M. for an inspection needed the next bU�siness day ,i o�cJ i2o'�✓-Do�:�$ Plumbing Permit Application AM/'C037Dedy 15/e/ PmN7 Cit of Tigard City � Scwcr permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97221 Ciryq(TiNard Phone: (503) 639-4171 F'rojecVappLno.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case file no.: Payment type: U 1 &2 family dwelling.or as,ssory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other: ---- --- -7 JOB SI I I INFORMATION FEE SCIIIAHTE(for special information tise checklist) Job address: y �� /�l�G_L Description "y. Fee(ea.) Total Bldg.no.: ( Q?,Z T Suite no.: v New I-and 2-family dwellings only: (Includes 100 ft.for each tit lilt y connection) Tax map/tax lot/account no.: SFR(1)bath l.ot: IBIock: Subdivision: SFR(2)bath Project name: pc,;xx LE i,,, ftL —� SFR(3)bath ---- ,-- --- City/county: ZIP: Each additional bath/kitchen Description and location of work on premises: VLL,"A,a a kw-- Site util[ties: s')f,- . ,w I _ Catch basin/area drain _ Est.date of completion/inspection: —- — Drywells/leach line/trench drain Fooling drain(no. lin. ft.)__ Manufactured home utilities _ Business name: – �Pw 9�Na Manholes Address: / Rain drain connector City / 27 Stated ZIP: 7 ate- S. - - --_ -- -- Phone � � Fax: E-mail: - _ _ CCB no.: /'3Plumb.bus.reg.no: t _ WOW. - - City/metro lic.no.: fixture or item: Cuptltietor's reprosentative signature Absorption valve - --- Back flow preventer _ Print name: - -- i'tlt' Backwater v vc Basin lavatta o Name: Clothes was er --- - Dishwasher Address: _ ---- City: �- - State: Z,IP: Drinking fountain(s) —�—� _� Ejectors/sump _ Phone: Fax: l nwil: Expansion tank Fixt r er cap _ Name(print): fD� . � Y�z f#k j C loon drain oor sinks/hub " - -- Mailin address: c L1 wµ1 :1Th f Isposal n Hose bibb City�� _ State:0 Q ZIP: /7tO? Ice maker _ Phone: Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: Tiie actual installation Primer(s) will be made by tide or the maintenance and repair made by my regular drain(commercial) employee on the property I own as per ORS Chapter•u!7. in .),busin(s),lays(s) Owner's si mature: Date: Sump Tubs/shower/shower pan Drina: Name: _--^ —_-- —_--- Water closet Address: Water heater / City State: IIP: Y Other: ---- --- Phone: —Tax: E-mail: Total Minimum fee................$ _ IR'�Ao Not all jurisdictions accept credit earls,please call Jurisdiction for more information. Notice: 17119 permit application �7 Plan review(at U Visa U MasterCard expires if a permit is not obtained Credit cord number: _ —L_L__ within IRb days eller it has been State surcharge(8%) ....$ Expires .......................g Nano of cardholder u shown on credit card accepted as complete. �-- _m- _-('atdhofdet signature Amount" 4�*.t PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only:FIXTURES (individual)(individual) — QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink N 16.60 r the dwelling and the first100 ft. QTY (ea) AMOUNT for each utility connection) Lavatory / - 16.60 (r r' One bath T $249.20 Tub or Tub/Showti Comb. 16.60 _Two(2)bath _ _ _ $350.00 Shower Only 16.60 Three 3 bath $399.00 — Water Closet 16.60 SUBTOTAL Urinal - 16.60 _ 8%STATE SURCHARGE Dishwasher 1fi.fi0 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 1660 Washing Machine 16.60 Floor Drain/Floor Sink 2•--- 16.60 PLEASE COMPLETE: 1° 16.60 q- -- 16.60 Water Heater O conversion O liko kind 1660 J Quantit b _Work Performed (;as piping requires a separate mechanical I �� (rr Fixture Type: New Moved Replaced Removed/ Capped ormll. - -- MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs �_ 16.60 n rjc) Combination Roof Drains - - 1660 Shower Only — Drinking Fountain — / 16 60 r 4 (��' Water Closet_ _ 16.60 Urinal Other Fixtures(Specify) _ — Dishwasher _ - Garbage Disposal— _ - -- - -- LaundryRoom Tray -- Washing Machine Fioor Drain/Sink: 2" Sewer-1st 100' 55.00 - -— 3^ Sewer-each additional 100' 46.40 _ 4" _— Water Service-1st 100' 55.00 _Water ;eater — - - Other Fixtures Water Service each additional 200' 46.40 (Specify) Sloan&Rain Drain-1st 100' _ 55.00 Storm 8 Rein Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 — --- Residential Backflow Prevention Device' 27.59 - Catch Basin 16.60 - — — Inspection of Existing Plumbing or Specially 72.50 Requested Inspections er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 -- Grease T--taps— -- — - 16.60 �.� ---- -- --- -----— --- - QUANTITY TOTAL. Isometric or riser diagram is required 1! _— Quantity Total is >9p _ ---- —i— *SUBTOTAL 8%STATE SURCHARGE !8 ;� — R*PLAN REVIEW 25%OF SUBTOTAL _ Required only If fixture gly t0al Is>9 _ TOTAL --- r ,y� $ :. y 'Minlmum prmtlt fee is$72 50-,3%state surcharge,except Residential Backflow Prevention Device.which Is$31325+8%state surcharge "AIL New commercial Bullding• equire plans with Isometric or riser diagram and plan review is\dsts\forns\plm-fer.s.doc 10/10/00 SFE 35MM ROLLff 23 FOR LARGE DOCUMENT ' CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC201 00350 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 135 1 PARCEL: 15135AA-01901 SITE ADDRESS: 10125 SW HALL BLVD ( U Z,L 1) SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEAT,:'RS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 3 HP: 0 DOMES. INCIN: ,AS, 3 15 HP: 0 COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP. WOODSTOVES: GAS PRESSURE: M 50 + HP: CLO DRYERS: FURIV < 100K BTU: 4 _AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 4 > 10000 cfm: Remark-. New mechanical for new tenant and future TI space Owner: FEES WAYNE L. GERIG Type By Date Amount Receipt 15430 SW BOBWHITE CIRCLE PRMT CTR 11121/01 Y $72.50 2720010000 BEAD ERTON, OR 97007 PLC CTR 11/21/01 $18.13 27,001000C 5PCT CTR 11121101 $5.80 2720010000 Phone:503-579-0203 v Total $96.43 Contractor: TRI COUNTY TEMP CONTROL 13150 S. CLACKAMAS RIVER DR OREGON CITY, OR 97045 _— REQUIRED INSPECTIONS _ Gas Line Insp Phone:503-557-2220 Mechanical Insp Reg #:LIC 72623 Duct Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Th-,,;,e rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rues or direct questions to OUNC by calling (,n,i)?AR_a1 RQ Issue By: _��,_ _ � Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application -- 7Datereccived:/i i I Permit no.:City of Tigard /appl.no,.: Expire date: - - - C'ifvuf7'tgurd Address: 13125 SW Ilall Blvdi}ard,CR 97223 l ,TPhone: (503) 639-4171 Date issued: By: Receipt no.: ry Fax: (503) 598-1960 Case file no.: — Payment type. ` r Land use approval(l2r—olw-4 41 iIPD ` Building permit no.: TYPE OF PERMIT U I &2 family dwelling or accessory >fJ Conuuercial/industrial U Multi-family J Tonant improvement U New construction U Adclition/alleruiort/replaccntent U Other. _-_ w COMMERCIALSITE INFORMATION 1SCHEDULE O Jab address: © `J i t.J , P� (' GI J t C Indicate equipment quantities in boxes below. Indicate lite dollar Bldg.no.: G'2 Z Stile no.t value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: C 1, b Dr1 profit. Value$ 1� Ltt Block: Subdivision: 'See checklis, for important application information and Project name: �� 1, U r,t. _ jurisdiction's fee schl.dule for residential permil fcc Cily/eounq: c� to tP GIP: 1Z Dcscri tion and cationnof wornk ont�fn�`mises: t M �Qn,J�4f`[ i.c37L[y� u�`" �+ • t f I tv(ea.) poral Est.date of completioniinspection. Wk- _ A Ikxriplion 011. ttcr.onl� Rtw.onl) Tenant improvement or change of use: 0� ;+ir handling unit __ CFM Is existing space heated or conditioned'!U Yes W No ng Is existing space insulated''U Yc,_ 4 No Alteration of existing H AC system _ er/con:pressors State healer permit no.: Business mime: 'r /!fir HP Tons_ NTU/H - Address:^ -ire/smo a ampers/cluct smoke detectors Ci±111 :5,1314-7 _ • � (' Slalc:JIt Z1h• 1 �1 Fleet pump(site p an require ) _ Fax. ^ -� E-mail: Install/replacefuntac•e/burner T / C9 -(//5- Including ductwork/vent liner U Yes O No CCB no.: +_1 J :,' nstall/rep ace re ocate eaters-suspended, City/metro tic.no.: wall,or floor mounted Name(please rent C-,/ rent fora ,lienee of ter than furnace lief gest un: Absorption units (tWA,Y"AC MENEM Chillers Com soIII' Address: t~ �,-J, ,nv ronresmernts a exhaust an venUlat on.- City: State.Of.. ZIP: ti�J Appliance vent _ ��- Phon 5- r _ v f� )ryerexTiaust 0o s, ypc /I I/res. itc a azmpt L hood fire suppression system Name: L. (;� rt.l Exhaust fan with sinclr duct(bath fans) Mailing a dress: SCS �; Exhaust ,tem apart froth eating of C _ng a l � C� Fuel piping an str ut on(up to 4 outlets) City: Gt.)t!.v Stale�(� 7.1P:e Type: 1.1':; -_ NU Oil -- Phone: Fax: E-mail: Fuel pipingcaac ditiona over 4 out cis 10 Process piping(schematic require ) - Number of outlets _ Narne: a%P en"t' r Jj1TterICsiW-sa -pWinccoreq, ptoinI Address: ( - t�; ► o� Decorative fireplace Cit Stale0k- ZIP: } nsert-type _ y' oo stove/pel let stove _ PhoneJ` Fax: E-mail: Other: Applicant's signator 1 r Dale: j r1j t : Name (print): i � I_. �• ' Not all jurisdictions accept credit cards,pleas¢call jurisdiction for mom InforrnaIion Permit fen ................$ Notice:11tis permit application Minimum feeee................$ _ JQ Visa U MasterCard1expires if a permit is not obtained Plan review(at __ c>F) $ - -- ��Nc'me number `t tb� 1�.� �Z ) _li Exp�R�. ,within 1 R0 days alter it has been ) L, 0`t:e,t Statesurcharge(8%) ....$ of c hoax show o mit card accepted as complete.� . �� $ _ TOTAL .......................$ - Cudhol r dg Amount 440.6617(&W/('OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,00_0.00 _ Minimum fee$72.50 - Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to$10,(,00.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Including ducts&vents 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 -- -�d 3) Floor Furnace for the first$10,000 00 14.00 $1.54 for each additional$100.00 or Includingvent fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or floor mounded healer 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 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $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 Pump Cond _ fraction thereof. footnotes below, Comp* 7)<3HP;absorb unit Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU 14.00 8)3-15 HP;absorb _ 6%State Surcharge $ unit 100k to 500k BTU _ 25.60 1 9)15-30 HP;absorb 26%Plan Review Fee(of subtotal) $ unit.5-1 mil BTU _ _ 35.00 Required for ALL commerclaj_permlts only 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP:absorb - unit>1.75 mil BTU -__ 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: _ 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: _ _ Qt Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.00 r Furnace> 100,000 BTU including 1,1 l0 15)Vent fan connected to a single duct ducts&vents _ 6.80 _- Floor _ furnace Including vent 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in applirance 445 10.00 hermit _. 18)Domestic incinerators Repair units _ 805 �_. _ 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU _ - 69.95 - 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 3U-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1 oc _ >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU Air handling unit to 10,000 cfm 656 _ 8%State Surcharge $ Air handliqg_unit>10,000 cfm 1,170 T- _ _ Non- ortable evaporate cooler 656 _ TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included In ,656 -- -appliance permit - Other Inspections and Fees: Hood served by mechanical exhaust 656 t Inspecticns outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $72 50 per iiour. Commercial or industrial Incinerator 4 590_ 7 Inspections for which no fee Is specifically indicated (minimum charge-half hour) $72 50 per hour Other unit,Including656 wood stoves, 3 Additional plan review required by changes.additions or revisions to plana(minimun Inserts,etc. _ charge-one-half hour)$72.50 per hour -Gas ping 1-4 outlets 360 Each additional outlet _ __. 63-,- 'State Contractor Boiler Certification required for units>200k BTU. -Residenllal AIC requires site plan showing placement of unit. TOTAL COMMERCIAL $ VALUATION: is\dsts\formsUnech-fees.doc 08/06/01 r CITY OF 11GARD FILE COPY OREGON November 16,2001 Alan Sanchez Tri-County Temp Control 13150 S. Clackamas River Road Oregon City,OR 97045 RE: Redwood Center 10125 SW Hall Blvd. MEC2001-003 50 The City of Tigard Building Division has reviewed the re-submitted mechanical plans for the above referenced address in accordance with the Oregon Mechanical Specialty Code(GMSC), 1999 edition and the Oregon Structural Specialty Code(OSSC), 1998 edition. The plans for this project are approved subject to the following conditions. 1. If the roof exceeds a height of 16 feet permanent roof access will be required. OMSC 306.5. 2. Rooftop units shall be permanently identified as to the are a they serve.GMSC 304.9. 3. The gas piping shall be tested to ensure that it is gas tight in accordance with GMSC Section 1304.I8. 4. A copy of the approved plans shall be on the job site and available to the inspector for inspection purposes at all times. Please submit Lwo(2)copies of revised plans and specifications for our review. If you have questions,please call me at(503)639-4171 ext. 31 1. Sincerely, f /J Gary Lamp;Ila Building Official C. JX Roth I 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 October 15, 2001 CITY OF TIGARD Alan Sanchez OREGON 'Tri-County 'Temp Control 13150 S. Clackamas River Road Oregon City, OR 97045 RE: Redwood Center 10125 SW Hall Blvd. MliC2001-00350 The City of Tigard Building Division has reviewed the re-submitted mechanical plans for the above referenced address in v r�cordance with the Oregon Mechanical Specialty Code (OMSC), 1999 edition and the Oregon Structural Specialty Code (O SC), 1998 edition. The following information is required prior to issuance of the permit. 1. 'I he original structural calculaliorfor this building by Payton Rowell did not include plans for rooftop units. Please identify the weights of the units and contact the engineer for placement. Provide additional structural calculations as necessary including lateral corrections il'over 400 pounds. • A 3 Ton and 3 '/:Ton unit specs were srubunitted but they were not specified as to their locations on the plans and the specific: models were not identified (3 Ton has 4 different models with different Btu ratings and 3 '/2 ton has 2 models). • We received no information from the structural engineer on the placement of the units. The 3 '/n ton requires structural calculations for seismic support and gravity ioads. The 3 Ton units also require approval for iocation by the engineer. 2. Roof curb attachment to the roof and equipment details are required. • See previous comments. 3. it is unclear where return-air will he taken fromr. Please claril'v. • I'he plans only show supply-air. Please show return-air on the plans. 4. Is the gas delivery 2 pound or standard pressure'? Please submit two (2)copies of revised plans and specifications for our review. If you have. questions, please cull me at(503) 639-4171 ext. 311. Sincerely//. Gary I arnpcila Building Official 13125 SW Hnil lilvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 -- -- - f October 9, 2001 Alan Sanchez Tri-County 'Temp Control 13150 S. Clackamas River Road Oregon City, OR 97045 RE: Redwood Center 10125 SW Hall Blvd. MEC2001-00350 The City of Tigard Building Division has reviewed the submitted mechanical plans for the above referenced address in accordance with the Oregon Mechanical Specialty Code(GMSC), 1999 edition and the Oregon Structural Specialty Code(OSSC), 1998 edition. The following information is required prior to issuan.;e of the permit. 1, Provide cut sheets and specifications for the proposed rooftop units. Please include A Iltu ratings of each piece of equipment. 2. The gas-piping plan appears to show a'/a -inch line coming from the meter and changing to a I-inch line in the Future T.I. area. Please clarify the gas-piping plan. 3. Provide energy calculations in accordance with OSSC Chapter 13. 4. The original structural calculations for this building by Pvyton Rr.well did not include nlans for rooftop units. Please identify the weights of the units at:d contact the engineer for placement. Provide additional structural calculations as necessary including lateral connections if over 400 pounds. �. Roof curb attachment to the roof and equipment details are required. 6. Please provide cfm capabilities for all supply and return-air on the plans. 7. It is unclear where return-air will be taken from. Please clarify. Please submit two (2)copies of revised plans and specifications for our review. If;you have questions, please call me at (503) 639-4171 ext. 311. Sincerely. Gary Lampella Building Official Y ' CRY OF 11GARD OREGON November 16,2001 Alan Sanchez Tri-County Temp Control 13150 S.Clackamas River Road Oregon City,OR 97045 RL: l:edwood Center IV125 SW Hall Blvd. M EC2001-003 50 / ( � "?- I The City of Tigard Building Division has reviewed the re-submitted mechanical plans for the above } referenced address in accordance with the Oregon Mechanical Specialty Code(OMSC), 1999 edition and the Oregon Strurtural Specialty Code(OSSC), 1998 edition.The plans for this project are approved subject to the following conditions. I. if the roof exceeds a height of 16 feet permanent roof access will be required. OMSC 306.5. 2. Rooftop units shall be permanently identified as to the are a they serve.OMSC 304.9. 3. The gas piping shall he tested to.Insure that it is gas tight in accordance with GMSC Section 1304.18. 4. A copy of the approved plane shall be on thejob site and available to the inspector for in!pection purposes at all times. Please submit two(2)copies of revised plans ani specifications for our review. If you have questions, please call ►ne at(503) 639-4171 ext. 311. Sincerely, �-v- Gary Lainp•Ila Building Official C. J'.'1 Roth 13125 SW Hall Blvd., Tigard, OR 9722.3 (503)639-4171 1DD(503)684-2772 • — - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP - - Requested. � � 1�=/ 4 AM PM _ BLD — Location_ l> (�}- 1Ct�L�� .c�� Suite .. --_ MEC —_ Contact Persoo Ph �f 3 PLM — Contractor ��C,; �,� Ph - SWR BUILDING Tenant/Owner ELC Retaining Wall — ELR0031/ Footing Access: Foondation FPS Ftg Drain SGN Crawl r Inspection Dotes: Slab --_ _ ----- - - --- -------- SIT Post& b,am Ext Shaath/Shear ---------- --- Int Sheath/Shear Framing - ---_-- ---- ---- - -- -------- sulatian D Drywall Nailing Firewall i ire Sprinkler - F ire Alarm Susp'd Ceiling Roof Misc: __ - -- -- --.— _--- - — Final PASS PART PART FAIL - ----- - - -- v —-J - PLUMBING I'ost fs, Beam —__.--------.__.------ — --- Under Slab Top Out - - Water Service - --------- ---- - --� ---- ---— Sanitary Sewer Rain Drains Final " PASS PART FAIL -------- MECHANICAL Post& Beam ------ - _ --- --- - - r-__ Rnugh In - -- --- Gas Line - Smoke Dampers - _-- Final - — ----- , PASS PART FAIL ELECTRICAL _ Y -- service -_ — - ------- ---- -- Rough In UG/Riab -- i I PART F•%iL -__ ---._-.--_-_-_ --_---SITE Backfill/Grading Sanitary Sewer Sturm Drain I ) Reinspection fee of$ _____required L-fog a next inspection Pay at City Nall, 13125 SW Nall Blvd Catch Basin Unab'e to inspect-no access Fire".uvply Line ( )Please call for reinspection RE: _ _-_-_ ( 1 P ADA Approach/S,dewalk Date ` Inspector_ r _�`�� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. __— PLUMBING PERMIT CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: P 00019 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/222/022/02 PARCEL: 1 S135AA-01901 SITE ADDRESS: 10125 SW HALL BLVD - SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: LOT: 037 JURISDICTION: TIC CLASS OF WORK: NEW GARBAGE. DISPOSALS: MOBILF HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: 1 WATER HEATERS: CATCH BASINS: FIXTURES _ LAIJ14DRY TRAYS: SF RAIN DRAINS: `— SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Commercial bacKflow device _FEES Owner: __ -- I Type By � _ Date Amount Receipt WA'./NE L. GERIG PRMT CTR 1/22/02 $72.50 27200200000 15430 SW BOBWHITE CIRCLE 5PCT CTR 1/22/02 $5.80 27200200000 BEAVERTON, OR 97007 = - —_ — Total $78.30 Phone 1: 503-579-0203 Contractor: -- JOHN DARBY LANDSCAPE INC 13867 SW BENCHVIEW TERRACE TIGARD, OR 97223 REQUIRED INSPECTIONS Final inspection Phone 1: 579 5298 R-3 #: LIC 7110 PLM 12319LCL This permit is issued subject to the regulati%;ns contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable 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 (Jtiliiy 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 direct questions to OUNC by calling(503) 246-1987. l 1 / 1 Issued By: 'f -� C ---- Permittee Signature: *�t �---'� ---- i Call (503) 63 -4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application ,�"'� Dote recei�c f: / ; Permit no City of Tigard Sewer permit no.: Building Address: 13125 SW Hall Illvd,Tigard,OR 97223 gpermi(no.:- City nfTigard Rhone: (503) 639-4171 Project/appl.no.: Expiredate: I,ax: 003) 598-1960 Date issued: 0 Receip!no.: Land use approval: /CI-V to Q" Y tf Case file no.: Payment type: U I k 2 family dwelling or accessory �fvommercialhndustrial U Multi-farnil_v U Tenant improvement U New construction U Addition/alteration/replacenucni U mood service U Other: 10 Job address: >p�..i Su ��`r`/L l_ Q!l%/J Miteription Qty. Fee(ea. Total Bldg.no.: C ZZ Suite no.: New I-and 2-family dwellings only: Tax map/tax lot/account no.: --- (Includes 100fl.for each utility connection) SFR(1)bath [,of: Block: Subdivision: SFR(2)bath _ -— Project name: �_.(�ltl r�0.� E/t/7 "" _ Sf'R(3)bath —��- -- - - -City/county: ZIP: — Each additional batlm/kitchell — — Description and location of work on premises: Siteutilities: Calch basin/area drain Est.date of completion/inspection:' DryweilsAeach line/trench drain - Footing drain(no.lin.ft.) _ Manufactured_home utilities Business name: �, iEj % Manholes — Address: V Rain drain connector _City: 1 _ _ State:�y`" ZIP_ G Sanitary sewer(no.lin.ft.) Phone:f ,ax _ E-mail: Storm sewer(nn.lin. ft.) CCB no.: j:-� Plumb.bus.reg.no: Water service(no.lin.ft.) City/metro lic.no.: — Fixture or Item: -- Contractor's re rescntative signature: Absorption valve Back flow preventer Cy%, / Print name: its/c'W /L , Date: - — Backwater valve Basins/lavatory Name: Clothes washer --�-�-- Dishwasher —� _ City: Drinking fountain(s) -- - J _CityState: 7.,IP: Ejectors/stun Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): - J Floor drains/floor sinks/hv;r — Garbage dis sal Mailing address: -- - Hose Bibb _ City_ State: ZIP: Ice maker Phoae: Fax: I E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made 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),hasin(s),lays(s) _ Owner's signature:_ Date: Suttip ruhs/shower/shower pan Name: Urinal - ---_ - -- - -. -- Water closet Address: Water heater State 7.IP: Other. - Phone: Fax TE-mail: Total Not all jurisdictions accept credit cants,pirau call jurisdiction for more information. Minimum fee................ Notice: This permit application — —"- U Visa U MasterCard expires if a permit is not obtained Plan review(at _ r 16) $ — credit card number __- �..... within 180 days afler it has been State surcharge(846)....$ F.apirr. - -- -- own on c----- eccel,ted as complete. TOTAL $ None of cardholder as shown on credit cud ��•�� _ S Cardholder sipature - v— Amour 440-4616(ISAOICOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual _ �— QTY _ ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QT! .(ea) AMOUNT — 16.60 for each utility Lavatory _ One(1)bath____' $249.20 Tub or Tub/Shower Comb 16.60 Two(2)bath —__ $350.00 _ ;ihowerOnly —�-� —� 1660 Three-math $399.00 Water Close( 16.60 _____ _SUBTOTAL Jrinal 16,60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW_ 25%OF F SUBTOTAL Garbage Disposal 16.60 --__ ___.__TOTAL__ Laundry Tray 16.60 Washing Mar;hine 16 60 Floor Drain/Floor Sink 2" -- 16.60 - PLEASE COMPLETE: 3" W 16.60 q" 16.60 Water Healer O r.onvei siori O like kind 16.60 _ Quantity b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit __ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory ------ Tub or rub/Shower Hose Bibs 16.60 _ Combination Roof Drains 16.60 Shower Only _ JE Drinking Fountain — 16.60 Water Closet other Fixtures(Specify) 16.60 Urinal —_ Dishwasher — Garbage Disposal -- -- Laundry Tray — -- Washing Machine Floor Drain/Sink: 2" _ Sewer-1 st 100' v!— 55 00 3^ Sewer-each additional 100' 4640 4" — Water Service•1st 100' 55.00 Water Heater Other Fixtures Water Service-r ach additional 200' 46,40 S eci Storm 8 Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 4640 _ Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device'— 27.55 Catch Basin 16.60 Inspection r'Existing Plumbing or Specially 62.50 — Regu perlhr_ _— COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Tr,-ps 16.60 — ---•--- -- — — QUANTITY TOTAL Isometric or riser diagram Is required If — -------- _._._—_—_—_ Ouantlty Total is >9 __ —"`-- *SUBTOTAL ---- f-- 8%STATE SURCHARGE -- --- -- "*PLAN REVIEW 25%OF SUBTOTAL Required only It fixture q!y_lotal Is>9 _ TOTAL -- *Minimum pemtit fee is$72 50+9%stale surcharge,except Residential Bac.flow Prevention Device,which Is$36 25+B%state surcharge *,All New commercial Buildings require 2 sew of plans with isometric or neer diagram for plan review, is\dsts\forms\plm-fees.doc 12/26/01 October 4, 2000 _= ��} Wayne Gerig w ' le F I L E C Q P Y CITY OF TIGARD 15430 SW Bobwhite Circ � Beaverton, Oregon 97223 OREGON RE: Redwood Center BUP 2000-0040- 1�05 SW Hall Blvd, l� Dear Applicant: Your plans have been reviewed for compl;ance; the following items require your attentIcn. n 11,-1 ,Yr6o ide one(1)van accessible parking stall. Provide details on plans. OSSC, Section 1104. ty ,- ,-� Geo-technical Renrt: Provide an soils stability and liquefaction potential study. OSSC, Section 1804 Fire Code: Provide Two(2) Fre hydrants on site. UFC, Section 903.4.2.1. Provide details �F Fire Life Safety: X(PXet he south wall shall he constructed with one-hour material. OSSC, Section 5-A. ProvideaiIs. Provide draft stops in accordance with OSSC, Section 708.3.1.2.2. Provide Details. Structural: The EZ Wall system requires an ICBO approval. Your instruction manual doesn't show one. Provide details. Provide three(3)complete sets of revised drawings. If you have questions, please calf me at 503-639-4171 X392. Sincerely, Ro ert D. Poskin, CBO Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 -- sewerage SAN ITARYV agency N. First Ave., Suite Hillsboro, • D o 270, Hill b ro, Or.,9712.4 SURFAt"E WATER 503 648-8621 C0NNECTITIN PVRMI T 15131LI T.1ATF: :111.30() FYPTRAIION DATE 0�020'1. F.0 Exp DATE: FI RMT1- 11996'. IR1.1C1'LlR A11DRF.ISS 1-4+44Er F'kp.Jl'C"I 99y9 ST RIJCTI. RE SIREE.'T SW HALL. BOULEVARD l..Cl1 )r+L..f1CK. 1 Y PE CCINNEC1 111N... EX T S'f OF IYPF. TNSTAL.LAI10N_. ( 3 ) 3AN1:1AF('Y i TMF fC1` TYPE OCCUPANCY. ( 4 ) COMMF'RI; EAL F'APCFL ISI 35AA 1.901 l'J1'k qVC 4120 MN '?A1;3 2 OWNER WAYNE. Uk:lU ADDRESS 15430 SW P OP41111 TF CIR(,LF TRE'A1 MI N1 PIANI 011RHAM BEAVFRTON OR 9700 PHONE '579--0103 WATER VIS'IF(If=T TIGARD F IATURE E OIJ.TVALENT LJWFI L ING PF5TPF`NTIAL UNJTTi SF"RVIr LMTI?, 0.0 LIN ITS SERVICE UNI 1 ,..; CONNECTION ON F UES SURFACE WATER 11F'VF:I OPMEN'T F'FFS) LAME TAF' i NsP 1.00400 WAITR QUA1_I TY 0. 00 LESS CRFI.111' 0 . 00: WATER OLIANTITY 0.00 LE=SS C.RE11T T 0 .00;:: IEROSION CONTROL SUT3T0TAL.. 1.00.00 iiIIN10TAL T01A1 100 0r. APPI. NAME WAYNE. F HONF r) F .1:L.LIATION. OWNE=R RE:MARK3 5AIf1�NINF TAF' COMME PLIA1 TIFV TTCARII r 1.ri511EL:1 BY FiUNF'Nkf•:J Permit Conditions:/The applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency,Including those regarding erosion control. A 24-hour notice Is required for erosion control Inspections.The Inspection request number Is 844-8441 When calll,ig for an Inspection,please refer to the permit,project and lot numbers. I he permil erpires one hundred eighty(180)days frcm the date of issuance.The Agency does not guarantee the accuracy of the location of side sewer Enteral I 7193 WHITE - USA, BLUE - Accounting, GREEN -Inspection, YrLLOW - Cu5lnme•r Page 1 of 1 I visited the site for the above named project on Hall Blvd. The existing hydrants will be sufficient for the project. Current (ire flow info on record indicates that the minimum (21 1G gpm (c�, 20 psi) is available at the 12" main in Hall Blvd. Eric i file://C:\WINDOWS\TEMP\GW)000O1.HTM 11/14/2000 COUNTYWIDE TRAFFIC IMPACT FEE PAYMENT OPTION FORM 1C. September 25. 2000 __ SW I{all Blvd Date Site Address 600 7 Redwood Office Center Project Name Plan Check # I realize that I must make a de( inion on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are apI licable): u Cash or Check Credit Voucher Bancroft or Installment Payments UY The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF is greater than $5,000. If the TIF meets this requirement, I also request this option. 1 understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the pt:vailing rates at the time of payment. Please be advised that TIF rates may int,;ease ul: to six percent each July I st. This rate increase :s uol subject to appeal. OWN R/APPLIC NT OWNER/APPLICANT cc. Building Permit File Payment Option Notebook is\dsts\fnmts\4su1b.doc 9/25;00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 ' --�� BLIP - Received __ - Date Requested AM._...____ PM ____.__ .__ BLIP Location - -_ �� _ '�- �- _ _ -_____-___Suite - MEC Contact Person . _ __ Ph(---) ______ PLM ,200,2 00/2 Contractor ----- -- - -- - - -- Ph (.---) - --- -- - - _ SWR -- ------ BUILDING Tenant/Cwner _._...__ __ _ ELC Footing EI_C _ Foundation Agcess: Ftg Drain ELR _ Crawl Drain —_ Slab Inspection Notes: SIT — Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing --- - - -- -- --- ----— Insulation Drywall Nailing Firewall Fire Sprinkler -- -- Fire Alarm Susp'd Ceiling - —-----_._ —`- Root 4.110 Other: Final PASS PART FAIL — - v -�-- — — PL_UM_BINQ _ _ Post& Beam — —_ Under Slab — - — — Rough-In Water Service Sanitary Sewer Rain Di3int - ---- _. Catch Br.si t/Manhole Storm Drain Shower Pan j Other:..._ -t;.6 , - ---- mal PART FAIL �&H A- NICA-L Post&Bram Rough-In - --- - - Gas Line mm Smoke Dampers - -- - - - - - -- — Final PASS PART FAIL - -- - - - - --- ---- --- ELECTRICAL Service - - -- - —_ Rough-In UG/Slab - - -- -- - - - - Low Voltage Fire Alarm Final 0 Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE — Please call for reinspection RE- _ —_—_ Unable to inspect-no access Fire Supply Line _ •� ADA Drate- -7 - c)-7 - Inspector( ) /� '�✓ Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job sits. PASS PART FAIL Dr. Wayne Gerig 15430 SW Bobwhite Circle Beaverton OR 11 tzW 4,44 City of Tigard B,riiding Dcpt. FILE � Attn Gary L,ampella /J 13125 SW Hall Blvd. .- � � "Tigard OR Re Final occupancy/pedestrian walkway Permit #BMP 2000-00403 March 15, 2002 Mr, Gary Lampella: would like to request that the City of Tigard is,ue a certificate of occupancy for my building at 10225 SW I[all Blvd 1 understand trat this certificate of occupancy is granted as per the arrangement worked out between my builder, J.T. Roth Construction and your permit coordinator, Sherman Casper. The agreement settled on is that the requirement for building a corridor exit to the city sidewalk on the south property line of my property be postponed until application for tenant improvements in my building are made. This will allow time to coordinate with my neighbor to the south in making the required improvements to our shared property line. Due to the extenuating circumstances ofthe require„rent to make these improvements, I would also like to request that any and all permit/review fees be waived by the city for these improvements. Since all other inspections have been made and approved and I am ready to move my 'nrsiness to this Ouilding, your timely approval of this request wil. by k;reatly appreciated , (.i u 1 is W k 1 0 f- I yvi- el A d C 0�� s r”�J c c-0 ur + 5 C [c�w Sincerely; '�cv�u� fi r� t'l•. `s I Yly r Tk vVC64 e 6 0 + e- Dr. W yne Gerig e {n t!� l r `—'1 L Vl�{ c PL ej`' N Ci ✓1 r7 � � C a vi w 0 h f (,)e.( i ef b y r h e � LY (jry D (V , s ( �.j n l ��G v�A►'r C '} �Ur ./Pt"vP't;7 I�t��d[70-�{d3 �y15/I� L1<"/d�tf QFC G�PrOt/�' c� � 4 nr,\nrI, ,n �� 45 S.E. 102nd lO�W ISL�L� ��®QUV�I�QII�`1 LDJ M015 RO MO. PORTLAND, OR. 97216 CIVIL — STRUCTURAL ENGINEERS PH (503) 254-6292 Fri... FAX: (5031 254-6761 March 12, 2002 City of Tigard 13125 S W. Nall Blvd, Tigard, Oregon 97223 FILE COPY Attn: Gary Lampella Building Official Re: Redwood Center 10125 S. W. Hall Blvd. MEC2001-00350 Final inspection was made March 8, of the storm water detention system. To the best of our knowledge the facility has been installed in accordance with approved plans and specifications. Sincerely, P�_FF� , Payton Rowell, PE Cir;t:rr-" GN F. t7`eL1p'Z CITYOF T I GA R DELECTRICAL PERMIT PERMIT#: ELC2001-00516 �~ "DEVELOPMENT SERVIC;_S a DATE ISSUED: 1111/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 2z5 PARCEL: 1S135AA-01901 1c SITE ADDRESS: 1011 SW HALL BLVD SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: LOT : 037 JURISDICTION: TIG Proiect Description: Naw office building. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 111300 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: Lim rED 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: 2 W/SERVICE OR FEEDER: 42 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOER: 401 - 600 amp: r' EA A0D'L BRNCH CIRC: ll. PLANT: 601 - 1000 amp: 1 PLAN REVIEW SECTION __ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: ( _ Reconne:A only. _ _SVC/FDR>=225 AMPS: _ CLASS AREA/SPEC OCC: Ownar: Contractor: WAYNE L. GERIG AMP ELECTRICAL CONTRACTORS INC 15430 SW BOBWHITE- CIRCLE. 1573 SE HOLMAN AVE #3 BEA✓ERTON, OR 97007 DALLAS, OR 97338 Phone. 503-579.0203 Phone: Reg#: W-830tff-06 ELE 27-65C SUP 4783S FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 1/11/02 $600.50 2720020000( Elect'l Final PLCK CTR 1/11/02 $150. i4 2720020000 5PCT CTR 1111102 $48.04 2720020000( Total This Permit is issued subject to the regL-lations contained in the Tigard Municipal Code,State of OR. Speci3ity Codes Ind 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. rhose rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain ro ies of these rules,')r direct questions to Permit Signature: X Issued By: _ OWNER INSTALLATION ONLY I lie installation is being made on property I own which is not intended for sale, lease, or rant. OWNER'S SIGNATURE: _ _ DATE: CONT AIJOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �_____�� _ DATE: _ LICENSE NO: �f &3S Ca 639-4175 by 7:00pm for an inspection the next business day r Electrical Permit AvullwsOon Datereccived: Permit no.: � 1L> City of Tigard Pro)cct/appl.no.: Expire date: ('try of Tigard Address: 13125 SW Hall BIV \1f4ffl�91 264 Date issued: By: RecClpIno.: Phone: (503) 639.4171 L11tC ((��JJ — Fax: (503) 598-1960 QTY OF in Case file no.: Payment type: Land use approval: B DINO U 1 &2 family dwelling.or accessory Commercial/indnslrial U Multi-family U Tenant improvement ew constrtiction U Addition/alleration/replacement U Other: _—_ U Partial JOB SITY INFORNIA 'r Joh address: t..1 ea / Bldg.no.: I Suite no.: Tax map/tax lot/account no.: - Lot: 16, 225 fBlock: Subdivision: _ — f Project name: Description and location of work on premises: _ Estimated date of cornpletion/inspection: 1N' I I I SCHEDULE I. +� Job no: Fee 6tar Businessname: /q ni ' E,LC GTi/ C C-0 Ikseriptlon Qty. (ca) total nn.insp New residential-single or multi-family per Address: 5 F �- Vic 1 dwelling unit.lncludkYattach4lgarage. City: DA L LA Slale:p/� LIP: Service included: Phone:,S`0 5- le' t t•;Z Ft►x:s •I( �+ G mail: , ,1t fa t�) I(MM)sq.ft.or less 4 CCB no. '/-~� L '77EIeC.bus.IIC.no: - (F S c Foch additional 500 sq ft.or portion thereof ' __�_t_�. Limited energy,residential 2 Cily/melro lic. no.: _ Limited energy,non-residential 2 , �� /- � Each manufactured hemeormodulardwelling sign Lure gFsts ihfig ele ttician(te sired) pale Service and/or feeder Sup.elect,name(print): d License no: 47� Services or feeders-Instal ldIon. a�galteralle•n or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps _ _._ 2 Mailing address: _ 601 limps to 1000 ampsZ02CA44 2 City: State: 711'' Over 100()amps or,.It, _ 2 Phone: i E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary --ervlces or feeders- which is not Intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670.701. 2tM)amps or less 2 201 amps to 400 amps 2 Owner's signature: --_ -- l i.0 __ — 401 to 600 amps 2 Branch circuit•:-new,alteration, or eatepslon per panel: Name: _ _ A. Fee for branch circuits with purcha•e of , ddres,, service or feeder fee,each branch circuit . 2 City Stale: ZIP: — B. Fee for branch circuits without purchase -- - - of service or feeder fee,first branch circuit 2 Phone: � Fax: I mail: Eiach additional branch circuit, Misc.(Service or feeder-not Included): Servite over 225 amps-commercial U He.Ilhrcare fucihiN Each pump or Irrigation circle _ 2 — U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 f-imilydwellingsU Buildingmer IO.IMM)square feet four or Signal circuil(s)or a limited eneigy panel. U System over 600 v011s nominal more residential units in one structure alteration,or extension" 2 U Building over three stories U Feeders,4(x)amps or more •Dwscriplion. U(k-cupanl load over 99 persons U Manufactured structures or RV park Foci,additional Inspection over the allowable In any of the above: U F.gres0ightjngplm, U Other ---_.. Per,nsl•euha, _ Submit ___sets of plans with any ofthe above. Ill ::.,uganoll fcr The above are not applicable to temporary construction service. Other Permit fee.......... ..........$ _ Not all Jurisdiction%wcrpt credi,adds,pleaar call juns iciix,foal more mfe—ovil) Notice:'Itis p�.mlit application ' $ J Visa U MasterCard expires if a pennit is not.)blamed flan review(al.;,�Z �:) credo card aun,her ,_____—�_ __� within 180 days eller it has been Slate surcharge(8%) .... -- Expire% TOTAL accepted as complete. ............. ..... — — — Nadne nt car ,ol r n%hewn tat credit eat p ------- S ��,,YI"D►' I v)�Cf> s 'i1M^1�t.f.'fin t'aidd,o- -lcki signature - - Amount / , ,/ L .Wo.1615UVWA rlN1i R rI1 Y OF TIGARD f Approved..................................................; (� Conditionally Approved................................ For only thu work as described in: r3 N PLRMIT NC. L See Letter to: Follow.................................... .... ... .. Attach Job Address• < ? 11) �� tbl L i I T` 7 CIO � � Q _ C,) a C 7) m � of fl v, c rho � !T _o r, � � >? a I Tf1 r ul 7 4i rn On Q 4 f p 4 s 2W 200'd TB9£ b29 E0S:01 :I4011�d 9b:60 200c-90-83d N m SUN C � � b - m N IT �t � TI Z -� � �►p �. U� i cn , z .r• Ij w 0 0 o fD CD rD rD rD rD rD N rD rD n CD N N ro J m a 5 7 _7 :J z ---i `j !D rD rD N rD rD rD FD rD rD ro m -I ro :!. 4 Y Y Y p w w w d w w n� 'w 0 0 y — r n W c c c c c c c c in n n n 'n to N v. 1.n G C C C C F C c C G (r1 r-1 I T, 10 m is ro K to fm n ro rm ^0 K7 v r- > O v. -J 00Q; O C, O O O O O O O O IJ tJ �j i O O O O O O O O O O G O O O O O O O O n n O Y D Y o o G G o o a c cu G o v c� G o o 0 o PPP��111 r IV IJ tJ IJ IJIJ IJ hJ tJ FJ IJ IJ IJ iJ tJ tJ IJ b O O O O O O O O ^ O O O 0 0 0 0 0 0 0 G Cl o o G a0 0 0 11 C) G, C) C) r) r' r) C, n n___.. . rD rD re rD rD rD rD rc rD a v 0 0 0 0 b a ! ' 'ti -i ,N,f ID N �-Di -rDi -Ni 'roi rD -moi J t7 rn ro w C: r- � ; CDIY a z ; n n q ; n n ;; D x � � c c c D Y ro ro ro ro fo !fir cn (A N N N N , v, n G G G G G G m m rLA r Y v ice' r 1 jL L w W I.a IJ tJ 1J 1J ..- .-. — __ 09 O A t J w� T v f J 0 00 f.. 1'J O 00 U L �•i •J-i •G••I ry ° � ° r > a Y 7 O crro r. rn m rrii xx I o a m m I tT1 rA > o0 r W+. : ? o 0 o T C:) A IJ rJ r I �' rJIJ IJ IJ IJ r�W • Y Y l• U O O O P Y CrJ ; 1. n Y4+ 1•> C O C, O O C O ° a O C O O O Q O O � L Y A4. �tA •� O O O O 0 O O 0 0 o O 0 O 0 0 0 v v v `fl S C r-' 7 C C C r rp x x � v v 01 tJ 1 J I J t J C,0 T L IJ O 'Y1 T 1. I J CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 1639-4175 "".ST INSPECTION DIVISICIM. �j ? Business Line: (503) 639-4171 � � y BLIP — - Received _ ate Requested_ ` AM_—_ PM ____ ----_ BLIP Location Lo _ Suite _-_ MEC - Contact Perso __-1 �1ti�" _ Ph( ) ___ 5 PLM ContractoPh( ) __-_ SWR — BUILDING _ Tenant/Owner —U _ ELC d a J Footing — _ Foundation ELC Access: X _Ftg Drain crawl grain L 13� � „ , „ ELF!.__ Gi.�'�”-' Slab Inspection Notes: /� � SIT _ Post&Beam Shear Anchors -- Ext Sheath/Sheart� Int Sheath/Shear Framing — - Insuletion Drywall Nailing - Firewall Ji 2 14 rim Fire Sprinkler -- Fire Alarm Susp'd Ceiling \, �1 Roof V � D d �� ` -f Other: Final PASS PART FAIL -- _PLUMBING Pest 8 Beam ss Under Slab ---- Water Service Senitary Sewer Rain Drains - - — Catch Bt, in/Manhole Storm Drain Shower Pan Other: - Final �---v--- PASS 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 [] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -f PART FAIL SITE Please call for reinspection RF - Unable to inspect-no access Fire Supply Line ADP. Approech/Sidewalk Date- - _' �__- Inspector- Ext Other: Final ..m DO NOT REMOVE this Inspection record roes the job site. PASS PART FAIL CITY OF TICARD 24-Hour BIYLDING Inspection Line: (503)639-4175 -- MST _— INSPECTION DIVISION Business Line: (503)639-4171 BUP Received - Date Requested L �""AM— Phi BUP - __-- Location Z Z" --�- Suite MEC _- — Contact Person ____ —__ Ph(—_-) S_ K PLM 7 ' ( - -) - ContrPh SWR actor "- BUILDING Tenant/Owner _ ELC hooting ��. ELC Foundation Access: Ftg Drain FLR Crawl Drain - SIT Slab Inspection Notes: - - Post& Beam Shear Anchors Ext Sheath/Shear - — — Int Sheath/Shear Framing - — -— — --- —" - Insulation _ Drywall Nailing - �— Firewall _ Fire Sprinkler -- ------ Fire Alarm Susp'd Ceiling -- Roof Other:- - ---- Final -- PASS _PART FAIL PLUMBING Post& Beam — Under Slab — Rough-In - Water Service — Sanitary Sewer Rain Drains — Catch Basin/Manhole _ Storm Drain - — Showa an in - PASS RT FAIL _ ICAL - Post&Beam Rough-In --.--- ---- - --- _ Gas Line _ Smoke Dampers -- — -- - - -- - Final PASS PART FAIL —� --' -- --- - ELECTRICAL ---- service Rough-In -- UG/Slab Low Voltage Fire Alarm Final PART FALL ❑ Reinspection fee of u — required before next Inspection. Pay at City Hall, 13125 SW Hall 31vd. SITE Please call for reinspection RE: — Unable to inspect-no access Fire supply Line �� -� ADA Dot -"Z 2—Q Z -- Inspseoter�� Approach/Sidewalk Other: Final DO NOT REMOVE this Inspootlon r000rd from the Job sits. PASS PART FAIL V CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001.00228 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/13/01 ( , ' PARCEL: 1 S'35AA-01901 SITE ADDRESS; 10125 �W HALL BL.VD SUBDIVISION: METZGER ACRE TRACTS ZONING: C-N BLOCK: I_OT: 037 JURISDICTION: TIG TENANT NAME: REDWOOD CENTER USA NO: FIXTURE UNITS. 23 CLASS nF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: 1.4 EDU's. Sewer connection permit for new office building. Installing 23 fixture units or 1 4 EDU's. Owner: — _ FEES WAYNE L. GERIG Type By Date'— Amount Receipt15430 SW BOBWHITE CIRCLE — BEAVERTON, OR 97007 PRMT CTR 8/13/01 $3,220.00 2.7200100000 INSP CTR 8i13/01 $45.00 27200100000 Phone: 503-579-0203 Total $3,265.00 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 he forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adoptee; by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0Q1Q through OAR 952-001-0080. You may obfaiin copies of these rules or direct questions to OUNC by calling (503) 4A-1),-187 Issuek) by: z/�l yt rL -r1 Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the n xt busln se day Accumulative Sewer Tally .menti Name: inu�o�� -�'�� This 5WR# Address: This Pl_M#:��tf.�c�� -ao377 /U z z .5-- Fixture Fixture 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/Font- 4 - - -- Bath-Tub/Shower 4 -- -- Jacuzzi/Whirlpool 4 - — ---- Car Wash-Each Stall 6 -- -_-_'-Drive Through 16 _ Cuspidc,r/Water Aspirator 1 - Dishwasher-Commercial 4 - Domestic _ 2 -- Drinking Fountain _Eye Wash Floor Drain/sink-2 inch �- 3lnch 5 --- ^ 4 Inch 6 _ -- --- -- Car Wash Drn 6 -- Garbage Disposal 16 Domestic(to 3/4 Hl' _ __ -- - Commercial(lo 5 HP) 32 -- _-Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 — Oil Sep(Gas Station) - 6 - Rec.Vehicle Dump Station _ 16 — Shower-Gang(Per Head) 1 --- __ -Stall 2 - --- — --..- Sink-Bar/Lavatory 2 Bradic 5 -- — - - -Commercial 3 - _ -Services 3 Swimming Pool Filter 1 __- Washer-Clothes 6 - Water Extractor 6 - _Water Closet-Toilet 6 _ -- Urinal — 6 2 TOTALS a a Total fixture values:_ -divided by 16 = -_�' ! 7 EDU HISTORY PLM# EDU# SWR#_ PLM# EDU# _SWR# PLM# _ EDU# �SVVR#_ _ PLM# _ ED_U# _ SWR# - PLM# EDU# __ SWR# _PLM# EDU#' MSWR# PLM# -y - EDU# SWR# �- _v PLM# --- TEDU#_ SWR# i vlstslswrtaily.doc CITY OF TIGARD --v— ELECTRICALPERMIT- (�/" — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00311 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 GATE ISSUED: 12112/01 //(- L t- `? PARCEL: 1S135AA-01901 SITE ADDRESS: 101 -'5W HALL BLVD t,UBDIVISION: METZGER ACRE TRACTS ZONING: C-N FLOCK: LOT: 037 JURISDICTION: TIG Proier-' Descrintion: Instaktion of audio/stereo, data telecommunication, phones. P.. RESIDENTIAL _ __ B.COMMERCIAL AUDIO & STEREO: — AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR 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..: X INSTRUMENTATION: OTHER: PHONES X TOTAL# OF SYSTEMS_ 4 Owner: Contractor: WAYNE L GERIG QUADRANT SYSTEMS 15430 SW BOBWHITE CIRCLE PO BOX 14833 BEAVERTON, OR 97007 PORTLAND, OR 97293 Phone: 503-579-0203 Phone: 234-5558 Reg#: SUP 121 ULE LIC 96806 ELE 26-565CLE FEES ^i _ Required Inspections Type By ^ Date _ Amount Receipt — Tow Veltage Inspection �PRMT CTR 12/12/01 + $300.00 2720010000 Elect'I Final 5PCT CTP 12/12/01 $24.00 2720010000 Total $324.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All vork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificatio- Center. Those rules are se,forth in OAR 952-001-00 10 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (E03) 246-1987. Issued by /, �;_, y Permittee Signatures OWNER INSTALLATION ONLY The installation Is being made or, property I own which Is riot intended for sale. lease, or rent. OWNER'S SIGNATURE: _ DATE.: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639.4175 by 7:00 P.M. for an Inspection needed the next business day 12 4-2001 4:58PM FROM QUADRANT SECURITY S03 236 2322 1 Electiic"1Pe*i'mYtAPONCad0on r� Datereociyed:0'11) -(,I ` Pe mit no.: I j -C;�,�'� Cky or f Tigard r Project/appl.no.:__ Expire date: ('iryi fTii;nrd Address: 13125 SW HAD Blvd,Tigard,Olt 9•%22.1 Date issued- HY, l2eoeipino.: Phone: (503) 639-4171, - Fax: (503) 598-1960 Case file no.: paymwt typo: Land use approval: TYPIC OF PE1011T U 1 &2!artily dwelling or accessory 1$Commercial/industrial 1-1 Multi family U Truant impr,)venient 16 New consmctiun ❑ 0 Otha: �--_ U Panial 1 s Job address: n1�,r`J .w l 3 I Bldg.no.: Suite no.: Tax map/tart lot/account no.: Lot Black: Subdivision: __ . Pro,lect name: - L I ):,, 0 Description and location of work on pternises: 1Z.0 vat 44-Y . •c(l o :stima►ad bate of cornpletiorsnspection: kw,;l-,A �,_,, l l~✓.4!i•l!- -� Job foo: Fee Ma% bLIS irJess name' Deacriptfoa 4lty. (rnl Total no.Insp Addfess: — y - New rtddcnHai-do&or tuuld•family per - 6 41weViAg nnif.incli"ics attached garage. City: •E 1 a n State�2, ZIP:Q`2 ei, 3 Settferiactuded Phone:$b�-�:�t� s Fax:Wb- &ItuliL 1000 ft.of tech 4 each additional 500 sq.tL or portion thereof CCB no.: $p Fj Elec.bus.Lc.no:,Z 5 r - - _- n 4inured energy,tesidentld 2 City/inc h o.' Oe?m e`Z4 fhb limited megy,non-residentir: 2 Each manufnaured hoax.or modular dwelling §i__ n"of auavising elecUician(required) True - 5nviceAnd/or feed" Ser Sup.eieci tuuW(pnnt): t C y1 M l r license no. 'llmtio ot)1 )I.F rm ft�ndera-installation, lifiar or telodtloa: e 200 amps or lest - Name(print): 201 amps to 400 amps 2 .._ _.-__ 401 amps to 600 amps - -- MgHnS address- bot rungs ww 1000 amps 2 City: - _ State: Z1i': --- Over 1000!M or volts _ - - 2 Phone: Pax:� E-mail: Recommend 1 Owner installation:The iust"ation is being made on property I wvn Temporary txrykevorfeeders which is not intended for sale,lease,rent,nr exchange according to IrtruWUomolteragoa,orrriocatirm: ORS 437,455,479,670,701. 200 amps or ICA$ -_ 2 20 t amps to 400 amps.. Z t)woe's sigturture: Date 401 to 600 xmis Branch cLYulu-Ma,alteration, or extemlon per panel• NatnG: _ A. Fee tot branch Nn'.uits with pun,hasc of stt Adt7res6: vice or fecdn each hc,eh txauch circuit — 2 City. __.... State.: _ ZIP--—` savior Fee for brartctr earevite without pulchaae of or feeder fm first brutch circuit 2 Piit7ne Fax: IrpnAtl:� F.ach addit]onal branch circuit —' Misc.(Se"Ice or trader not includ-d): - O Setvioe over 225 a',as-eominareial O I lcatth-care facility Each pump or irrigation circle 2 U ScrYice*vw320arnps-m0Sof1&2 U Huardouslocafion Each silnorOutline lighting 2 tamilydWellings U Building over 10,000►quart f"t four or Signal circuit(s)or a fimitcd en, Ty panel. titn 3�• USysteraovn6volt%nominal ur.rerrsidentialunitsInoutstructure, alteration,ofextemion' 2 00 U Suildiog over thief storia U Fe edecs 401)amps of more, .ppm ou; -- U(Occupant load over 99 pernons U Manufactured stniclures or RV park Each sdtlftkmAl inspection over the allowable In any of on Strove: U Egremlithtingplan U(hhw.. . Perms tion - - _ Submit sets of platy with any of the above. Investigation fee - 11w above are ooh applicable to tempomy coosttvction servk*.. Other Na d,Mocii vkm accept crafit can6,ptmw callIndorticf,,#n m f� ate wram adoo. Notice:This permit application Permit fee.....................S - Id V,sa a I►faNeitGM expires if a permit is not oblltined Plan review(at _T 96) $ emelt red nanre,'._;Cla4 a l aO- t�o3} h1ta9 within I RO,iays after it has been State surcharge ;8`fh)....$ - �— 4 ,, i m accepted as complete. TOTAL .......................S - Name of M ai c t T _ tAatulTc - �intaw 440-4615(tiR1KX1M) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RFC��aCD IMPORTANT PERMIT NOTICE ACI MECHANICAL f,UM^,uN"r pLvEIUNMEN� DBA COMFORT SYSTEMS USA ie 12300 SW 59TH AVE INA I TIGARD, OR 97223 �i IDi Plumbing Signature Form Permit #: PLM2001-00377 Date ISSUed: 8/13/01 Parcel: 1 S135AA-01901 i Site Address: 10125 SW HALL BLVD It -2 '-"7 Subdivision: METZGER ACRE TRACTS Block: Lot: 037 Jurisdiction: TIG Zoning: C-N Remarks: Plumbing work associated with new office building. Other fixtures are (2) hose bibs and (1) drinking fountain. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this PlumrIng Signature Form prior to the start of the work . No plurnbinc in.nections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: WAYNE L. GERIG ACI MECHANICAL 15430 SW 1300WHITE CIRCLE DBA COMFORT SYSTEMS USA BEAVERTON, OR 97007 12300 SW 69T1-1 AVE_ TIGARD, OR 97223 Phone #: 503-579-0203 Phone #: 503-598-4798 Req #: LIC 137663 PLM 34-356PB AN INK SIGNATURE IS REQUIRED ON THIS FORM 4P r Signature of Authorized Plumber If you have anv questions, please call (503) 639-4171. ext. " 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP .Date Recluested �_ AA,i_ _.PM BLD —__ ---— I.ocation ()� �- 'tt;_k •t Suite MEC Contact Person t PLM Contractor Ph _ SWR BUILDING Tenant/O � Z-�� ELC _ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain _---_--, S^N Crawl Draln Inspection No!es: ------- .--__..___ Slab � 2� SIT Post&Beam - Ext Sheath/Shear _,_�___------ Int Sheath/Shear Framing Insulation Drywall Nailing _ --_— Firewallr-- Fire Sprinkler Fire Alarm SuSp'd Ceiling - - - --- - -- - Roof Misc: - --------- -- Final PASS PART FAIL --- -- — -- -- - -- — PLUMBING Post 8 Beam Under Slab - Top Out Water Service 40601 _ Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post& Beam Rough In Gas LineSmoke Dampers Dampers Final -- - ---- -- ..-._--- - —�. PASS PAR r FAIL ELECTRICAL ough In UG/Slab Low Voltage Fire Alarm PASS PART FAIL 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 ` s Inspector � Ext --_ Other `- - Final PASS PART FAIL UO NOT REMOVE, this inspection record from the job site.