Loading...
11481 SW HALL BLVD STE 101-2 I ..1 00 CA 2 b r r O G r- m < i � � v 0 I 1 3 r i 1 I 1 11481 SW HALL BOULEVARD #101 CITY OF TPGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - ----_ f BUP Date /requested �� ��� _AM�_ PM — BLD Location U j Suite L�1�— MEC Contact PersolFr (L (✓ �-� �. Ph _", PLM Contractor _ _ _ Ph SWR _ BUILDING — Tenant/Owner ELC �C G Retaining Wall W ELR Footing - --- Foundation Access: FPS Ftg Drain -- Crawl Drain Inspection Notes: SGN - Slab _ _ -__ SIT Post&Beam ---- — Ext Sheath/Shear Int Sheath/Shear - - -_"- Framing --_-- Insulation �- -- --'- Drywall Nailing ------ Firewall _--Firewall Fire Sprinkler - - _-_-_-____. - Fire Alarm Susp'd Ceiling - - - -_ -_-- — --- - --- Roof Misc: - - - --- _--— Final --------- _._. PASS PART FAIL C i:(TM_ ING Post& (team - ----- --- -- --- ----- _ Under Slab Top Out - - ------ --- (Water Service — Sanitary Sewer - - --_ -- -�- Rain Drains Final --— ----_--- PASS PART FAIL _ MECHANICAL - - Post& Ream - - -- - ---- Rough In _----- - -- Gas Line - -- Smoke Dampers Final 't5 1%RT FAIL -------------•-- - - �fA ELECTRI L ' - - - -- ---_— ---- - - Srrvic Rough In - --- UG/Slab Low Voltage FimAlarm PART FAIL SITE — — -- -- -- ----- - -- _ Backfi!I/Grading �Sanitary Sewer G;urm Crain ( )Reinspection fee of$-- _required before next inspection Pay at City Hall, 13125 S11/Hall Blvd Catch Basin Fire Supply Lire ( ]Please call for reinspection RE:--- _ ( ]Unable to inspect- no access ADA l Approach/Sidewalk Date2 '7 / Other Dat _ -�1=-- -- --- Inspector - LL.��- Ext —� Final i-ASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: FLC99-0031 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE MMM-D:: C1/13/99 Pr)RCEI..: i S t 3`��,DA--O35O 1 rr.:. nDDRECC. . . ; 1 ] 4131 SW 11,AL_l OLVG 4101 "3DIVISION. . . . : '_ONTNIG .0 OCK. . . . . . . . . . . LOT. „ ., . . . . . . . . , . . ,JURISDI^TION: TIG oJect Description ; Installation of 9 branch circuits. RESIDrNTT.AI_ UNIT- --.__ ___._TEMP' SRVC/FEEDERS- - --- - ._----MISCEI_.L.ANEOL.15 yrbQr SF OR LESS. . . . : 0 Q1 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 . : 0 . 01 - 400 imp. . . . . . . : 0 SIGN/OUT I_INC LTG. . : 4r` 1r,11 r1DD' I_ 300!33F. . TMTTFED FNERGY. . . . . : 0 4O1. GOO amp. . . . . . . : 0 SIGNAL-/PANEL. . . . . . . ; 0 hit'"'. HM/ SVC/FDR. . : 0 G0I+amps -1000 volts. : 0 MINOR I_ABrL ( 1O) . . . ; 0 - SERVTCF/!`rFr)ER- _.___ _._._._}1RANCH CIRCl_lI75--____.... __.-ADD' l_. INSPECT7ONF)-__ 2.00 amp. „ . . .— 0 W/SF_RVICE' OR r- FEDC_R: 0 PER INSrE:rTION. . . . . : 0 - 400 amp. . . . . . : 0 1st: W/O rRVr CIR FDR. : 1. PER HOUR. . . . . . . . . . . : 0 1 -- 600 amp. . . . .. . : 0 EA ADD' L_ B RNC1 i r I RC: 8 I N PI..ANT. ., . . . . . . . . . . t* '1 - 1000 amp. . . .. . : 0 ___-_..-_.___......_____._.__F'I__AN REVIEW 001 amp/volt. . . . . : 0 ) -4 RCM UNIT,. . . . .. . . . : ) C-00 VOI.._T NOMINAL. . F;c,r-olrnert only. ., . . . : 0 rVC/FDR % - ", CrMPS. . : CLASS ARTA/SPEC OCC. Owner': _.__..._. _..... . .. ... ._ ... FEES _ _ . ... .. _-. .__ _.._._ t_r.l 1mnrf FRTTFr, type amol_tnt: by date recpt 1. 1.4131 SW HN-1.. 13LVD. r,RMT t 75. 00 DEB 01 /13/99 X 9 •.3141 i_`.J S(JITE 100 SPCT $ 3. 75 DES 01/1.3/99 99--312169 TIGARD OR 972-'3 Phone #: Cont cart;or-: ROGER rOSTEL.L0 $ 78. 7L-1 TOTAL.. 1439 SF 1. ''TH LOOP __._....._._.. REPUT RED I NSPE`CT I ONS CANSY OR 3701.3 Ceiling Cover r7" cc,t' 1 sol-vice Phone #: �,?66-9483 Wall Cover F'I cut' 1. Final. i This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othp- applicable laws. All work will be done in accordacce with approved plans, is periit will expire if work is not started within IN days of issuance, or if work is suspended for so-e than 180 days, ATTENT' Iregon law ou to follow the rules adopted by D•egon Utility Notification Center. Those rues are spt forth in OAR 9. M 0ete .rough OAR -001-1987. You say obtain a trip; 'hese rules or direct questions to 7V by :.ailing (5031246-1987. 1--mittee 13i.gnat �� Iss+.red l? : f TN3Trat._L.ATIf1N installation is being made nn pr-nprnr^ty I own which is not: intenders for le, lerarre., or., rent. Ir,JF...R' ) r T GNAT11PE: _.__ _.� _--- -- — T)ATf" MYTRACTCIP I NOTALt_AT I ON ONLY- - - ---_..._ t�hlraT!JRF rr 1 irR. EI .Ff`' hl: _ � l)r)TE: I"rNSE NO: V s q 1,.1 ++++ + F 4-f 4 4- 4.4++4-+++4+++++4 4+++•4-+-++++++++-++ +++++••4-++++--+•4-++++4•+++++-44-4.4 4 ., d raI 1 77, 1117 y t:iy 7:04 p. m. for s4n i nspr..c-k i on needed the next: h iisine"_ ' I +-4-++-+.+_+.`++ 1 4.4 .4.++.4+++++-+4-++ 1-++••+-++++•+-+++++++4++++•+++4•++++++•+++++++-+-+# * } 1 4 CITY OF TIGARD Electrical Permit Application Planeck#_ _ 13195 SW PALL BLVD. ,00 ec'dlay 2 TIGARD OR 97223 p ��q� Date Recd / r �/} Phone (503)639-4171, x304 Date to P.E.rL r Date to DST Inspection (503 63c,-4175 (Tint or Type p Incomplete or illegible will not be accepted Permlt# Ce� �=/ Fax(603)684-7237 GCalled_,,. f. Job Address: 4. Complete Fee Schedule Below: Name of Development U /Qr/C CJt'tic� 111�Te r I Number of inspections per permit allowed 7 Name(or name/pof business)/7�)Pr-/c r ani _. Service included: Items Cost Sum Address--// I � _IS),+( � -�`_ 4a. Residential-per unit ` ,/ 1000 sq.ft.or less $110.00 City/State/ZipJc� L 1` ��r _ Each additional 500 sq,It.or Como arcial all, Residential ❑ portion thereof $2E.00 I Limited Energy _ $2500 _ _- Eac,i Manuf d Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: " (Attach cooy of all ,u fgnt Inaos) 4b.Services or Feeders Electrical Contractor I'(, Installation,alteration,or relocation Addr@ ' - [_O,, - 200 amps or less $60.00 2 s/ - ��-- 201 amps to 400 amps $80.00 2 Ciry A / State_ _ Zip 401 amps to 600 amps $120.00 2 Phone No. 2(aA U A1_3 601 amps to 1000 amps� p � $180.00 2 Job No. Over 1000 amps or volts $;140.00 _ 2 Elec.Cont. Lice. No. 3u�IL. Exp.Date q N Reconnect only $50.00 OR State CCB Reg. No H1 it 0L Exp.Date / o '. 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 _ 2 Signature of St1pr. Elec'n� - 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 3 Cl 3�� Sr _Exp.Date�U J Over 600 amps t000 volts, License Nr see"b"above.. Phone N, P 1g - .__ 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder W. Address Each branch circuit $5.00 2 tr)The fee for branch circul.s City -_- Stat@ _ Zip_ -__-_ I without purchase of Phone No. service or•fee,ier fee. First branch circuit $35.00 DU he installation is being made on property I own which is not Each additional branch circuit-8_ $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature _ Each pump or irrigation circle $40.00 _ Each sign or outline lighting $40.00 _ 3. Plan Review .vection (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 Minor Labels(10) $100.00 Please check appropriate item and enter fee in section 5B. -- _ _4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $,i5 oo ---- - __-Classified area or structure containing special occupancy Per hrnu -- $55 Co as described In N.E C.Chapter 5 In Plaw -_ $55.00 'Submit 2 sets of plans with application where any of the above apply. S. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ �' 5%Surcharge(.05 X total fees) $ � NQTICE Subtotal $ -7 8- 1S 5b.Enter 25%of line Ba for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reaulred(Sec,3) $ ----NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account il Total balance Due s N)STR�FLCYfi APP ew POR CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- Ell UP Date Requested__ �__)A �(1y AM PM _ BLD Location //5��'f I�f � � �� Suite C� MEC --_ Contact Person Ph _— PLM 'L'- Contractor _ ��. Ph -5-3 7 SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain Crawl Drain Inspection Notes' SGN - Slab SIT Post& Beam - — --- - Ext Sheath/Shear Int Sheath/Shear Framing insulation `— --- ----- -- ~-` Drywall Nailing Firewall - T Fire Sprinkler Fire Alarm / 1, Susp'd Ceiling r Roof Misc: Final PASS PART FAIL < MBINt~i Pest& Beam - — Under Slab Tnn Out — — Water Service Sanitary Sewer Rain Drains t PAS112 PART FAIL t'(�st R Hearn ---- -- -- - -- Rough In _ (;as I n u - - - ----- ---- - -- - ---- Smoke Uangwr s I-final - PASS PART FAIL ELECTRICAL - - - Service Rough In - --- - - - UG/Slab _ Low Voltage Fire Alarm _ Final -- PASS PART FAIL_ SITE Backfill/�grading - - -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ t, + hrt,„f' next Inspection. Pay it City Hall, 13125 SW Hall Blvd Catch Basin Please call f r reins ection Rt Fire Supply Line ( ] p -- [ ]Unable to Inspect-no access ADA Approach/Sidewalk ` Other Date Irrspectc -� - T Ext Final - PASS PART —FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD PILUMBING PERMIT DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223,1503)639.4171 PERMI'r #. . . . . . . : r,t..mqq--oott DATE TSSUED: 01 /12`0/99 PARCEL: IS135DA­03r.'Wil SITE' ADDRESS. . . : 114131 GW HAt-L BLVD #101 SUBDIVISION. . .. . : ZONING- C.-P BLOCK. . . . . . . . . . . LOT. .. . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :ALT GARSAGE DI'SPOSALS). : 0 MOBILE HOME GMArES. - 0 TYr-",E-' OF USE. . . . :rOM WASHT NG MACH. . . . . . : 0 BArKF'I..CIW PRFVNTRS). . 171 OCCI-JPANr,Y OPP. . :B FLOOR DRAINS. . . . . . . 1T TRnPr. . . . .. . . . 0 S T 0 R T.E G. . . . . . . . : 0 WATFFR HEATERS. . . . . . 0 CATCH PAS TN9. . . . . . . .. 0 FT.XTIJ RES-- LAUNDRY TRAYS. . . . . .. 0 SF RAIN DRATN9. . . 0 S I NK 9. . . . . . . . . s I URINA1...S. . . 0 ORFASE TRAPS. . . . . . . . 0 ' L.AVATMES. . . . OTHE'R FIXTURE XTURES. ., 0 TUP/SHDWERS. . . : 0 '-,F-Wf-:*R LINE (ft ) . . . : 0 WATER CLOSET'S. : o WATER LINE (ft ) . . . : 0 D I RHWASHERS. . . . : 0 RATN DRAIN (ft ) . . . : 0 Remark!; : Addition of p I im b i n q f i x t; nvinpr-: PFFS L.N PROPERT117.9 type amol.tnt by date I-er_-Prt 11481 SW HALL BLVD. PRMT 25. 00 Jt3D 01 /20/99 99-31.230-', SUTTr 100 5PICT $ 1. 25 J91) 41I/;?0/99 139-- 312304 TIGARD OR 972E'3 Phone #: D D P1._UMP1NC3/DARRF_N T PLAr.EK 904 133 CHEHAI. FM NFWTIFRG OR 97132 Phone #- 5:37-9492 ;7.'95 T 0 T A 1, Rog #. . : 001106 REPLITKED TNSPEC'TIONS This permit is issued subject to the regulations contained in the ROLIah—in In-;p Tigard Municipal Code, State of Ore. Specialty Codes and all other U-ndt�--f I ciot-/Under applicable laws. All work will be done in accordance with Top-oi..%t Trisr) approved plans. This permit will expire if work is not started Final, Ttisper-tion within 180 days of issuance, or if W0 is suspended for sore than lRe days. ATTFNTION: Oregon law requires you to fellow rules adopted by the Oregon Utility Notification Center. Those rides are qPt forth in DAR 952-008I-0010 through OAR 952-0001080. You may Main copies of these !,ulps or direct, questions to OUK by calling '703)2461987. C sired Bs, +-4 4-+-+++4+4-++4-+4- ++•H++++++++++++++++++++++•4+ . 1•+++++-+•++-++++++++++4 4 1 4 1 i 4 4-++++ Cal 1 6:39-4175) by 7-00 r.). in. for, an in5pertion needed tFi(-, nr-_Xt bi.19iness Hay k4-4......4+4...4-++++-++4++4-+44++4.++++..4.+++++4.+•++ ................4+4.++++++++-+++ CITY OF TIGARD Plumbing Permit Application Plan Check*_ f3126-3W HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd /d1-2 (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible - plications will not be accepted Penult* Related SWR �? ///V cauadlra.PRfri Name of De elopmenUFroject FIXTURES (individual) QTY« PRICE .AMT f � Job 4A 1.,L Po-K e. Frti F Sink — 9.00 Address Street Address l'_ I Suite Lavatory _ 9.00 Tub or Tub/Shower Comb. 9.00 Bldg* CU/State Zip Shower Only 9.00 �Y Name Wate,Closet 9.00 __—_ Dishwasher — -g 00 Owner Mailing Address Suite Garbage Disposal —960--- Washing 60Washing Machine _ 9.00 City/State Zip Phone Floor Drain/Floor Sink 2" 9.00 Name 3" 9.00 CIL ELt t 4" 9.00 Occupant Mailing Address Suite - - p Water heater C conversion O like kind 9.00 / t i, A rt. is _ Gas piping requires a separate mechanical permit. _ City/State Zip Phone laundry Room Tray 9.00 — Urinal 9.00 Name _r _r IV rather Fixtures(Specify) — 9.00 Contractor MaIIIryng'Address Suite - 9.00 ._J _ Go� l CJr 9.00 �J Prior to permit City/State Zi Phone Sewer-1st 100' — 30.00 Issuance,a copy /�_ ' — - of all licenses are Oregon Const. nt.Board Lic.* Exp Dat Sewer-each additional 100' 25.00 required If '�"_ / ri -, 7 l Water Service-Ist 100' 30.00 expired In COT Plumbing Lir,.* Exp.Date Water Service-each additional 200' 25.00 database —_ G1 _ f C{ Storm&Rain Drain-1st 100' 3000 Name Storm&Rain Drain-each additional 100' 25.00 Architect /���/e Mobile Home Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anil- 25.00 _ Pollution Device _ Engineer City/State Zlp Phone Reslden4al Backflow Prevention Devics'_ 15.00 (Irrigation timing devices require a separate Describe work to bo done - restricted onerQy permit.) New O Repair O Replace Mth like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial_(", „-� Catch Basin 9.00 Additional description of work. -- Insp.of Existing Plumbing 40.00 ner/hr _ 1— I I Specially psquested Inspections 40.00 ! L. �i1.2��� Sf�tFl -- -- ermr - ---- Raln Drain,single family dwelling 30,00 Are you capping,moving or replacing any fixtures? Yes O No Grease Traps g pU If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Ianmetrlcorriser diagram isrequired NQuentilyTotal ls >9 _ WORK COULD RESULT IN INCREASED SEWER FEES. —� SUBTOTAL y I hereby acknowledge that I have read this application,that the Information _ ` lr given Is correct.that I am the owner or authorized agent of the owner,and 6%SURCHARGE that plans submitted are In compliance with Oregon Stale Laws.__ Sign t of Owner/A aril Date ""PLAN REVIEW 26%OF SUBTOTAL quired Reonly M 1lxture qry total la>9 -_ — ---- Contact Pinson Name Ph na j t J'Minimum permit foe is$25 t 5%surcharge,except Residential Backflow Prevention Device,which Is$15+ 5%surcharge+ "All New Commercial Bulldlnps require plans with Isometric or riser diagram and plan review 1 ldfdlplumapp doc MW PLEASE COMPLETE: Fixture Type Quantity by Work Performed—_ New gloved Replaced Removed/Capped Sink Lavatory Tub or 'Tub/Shower Combination ~— Shower Only ---i— Water Closet — Dishwasher Garbage Disposal — — Washing Machine _- — Floor Drain/Floor Sir k 2" Water H_eate_r --- Laundry Room Urinal ---- --- -- — -- ---- Other Fixtures (Specify) — COMMENTS REGARDING ABOVE: cnlipy.doe rnroe Ib / CITY OF TIGA►RD —7. DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . .. PLP 9-_J-r-"7 DPTF ISSUED: 02/01/99 'r TE ADDPESS. 11491. SW HALL R_L VD #1171 1 r.,nRCFl_: IS1.35DA-03501. 9LIBI)T V I ST.0114. . . . 7 ON I NG-.r-­P BLOCK. . . . . . . . . . . . . . .. . .. . . . . . . . .. TURTSDT(,TTON:TTC3 11F 1 S)S L)E FLOOR AREAS.-- EXTERTnR WAI-1- r_ONF-jTP(1r1•T0N-- r"i s OF WORK. %FPS FIRST. . . . . 1437 s f N: r: F: W: rx,[7 Or U!3E. . . :COM SECOND. . . - 0 5f V,ROTFC7 OPENINGS?—— TYPE OF CONST. z•5N 4) S i- N- S.. E: W WrLIPANCY GRP. 03 TOTAL I/137 s W)OF Fr.RE rr.*­,,")- O(-'C1JPANt'Y I. OAD (A BASEMENT. : 0 Ti f PREA SEP. RATED: t-)TOR. 0 11T: 0 ft OARAG17. . . 0 9f' SEP. RATED: T.AGMT') MF77? : REOD FI ,Wr LOOD. Q., psf LEF-T: 121 ft RGHT: 0 ft FIR !3)P"L:Y SMOK DET. . DWELLING UNTTS.' 0 PRNT. 0 ft REAR. 0 -Ft FIR OLRM: HNDIr-P AM: nFDRMTY: 0 nnTWI: 0 IMP rjURFACE: 0 PRO CrRP. PAR1-',TNG.- 271 I)nLUE. $ 92121 Pri m;.ii-1,n Alteration to It sprirklEr head;. r1wtiei-: Fr.ES N 17'ROPITRT1r:!3 t ypo tiniolklit fly date V-e c.Pt '1 1,481. SW HAIA BLVD. PRMT $ 25. 00 GEr Ot /25/99 "')IJTTr-- 100 '517'r-7 T* it 1. 2!5 (:CEO 0t/``5/9'9 9 9- 3 88 'riti,psin nP 97c'NP,-,j' FTRr 10. 00 GEn 01./pri/99 99-31111,711111", Iiorrp #: 684-50(SE, 1 A. P FIRE PROTECTION W r':10 WIX 459 "NORTH Pt. ATNF) OR '97133 "'hone #t 503-4,47 -0-146q $ 36. l?rj TOj'Aj__ 'Zeg -H. . : 65,13,716 ---RE0X_.13RFD W-11ONS oi- 1NSPFCTTONS'----- "his permit is issued subject to the regulations contained in the Spr-i"l(3 Pt' Rvr'Ig' h­ 7igard Municipal Code, State of Ore. Specialty Codes and all other Spr­itikler, Firia l 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 "re fW 180 days. ATTENTIONS Oy,pgoti law requires you to follow the 1-1111ps adopted by the Oregon Utility Notification Center. Those -kilts are set forth in DAR W-00I-9010 through MR 952-00I01987. ...... I ,au Oki many obtain a copy of these rules at, autistions to OLW !,y calling (503)P45-1187, ...... ' 'et-mif,tr-e Ci yri,'Atkive7T s ii P ri V y 1 1-+4.4-++++4--1-4--+4-+-4-++,4-4--4-+++4,++44- 4-4 +4+-4......4-+-k-4.......4-+ 4 ............. Cc.ill 639-41,79 by 71 -00 p. m. for An i.rispt-t-ticin nepcied the rip,(t bi.isiness ri,4y 4.+++44++++4 1 -1-+•+++•+•+.}.f.+. Fire Protection Permit Application ?Ian Check# CITY OF 1 IGARU Commercial or Residential Recd By 4 13125 SW HALL BLVD. Date Recd--- !�:�' TIGARD, OR 97223 Print or Type Date to P E. X4�- 0 (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST �kf' Permit#� 60 Called Job Name of Development/Project L_ L- Type of System (Complete A or B as applicab;e)A Address Address --- --- 1 i y 8 15 W IHq I L 13 L✓p T, C, A.) Sprinkler Wet IR Dry ❑ NameA � Standpipes L- . IV. Lf�O P--- -- o- Owner Mailing Address 0 Hazard Group l lygf Su HALL- 13%-Vo _I bD Additional _ L.r G N T- -- CitylState Zip I Phone Information Density — T,UARp OR, Name Design Area Ary'CA1 C EL))7 _ Occupant Mahn AddressL v�,+,� K. Factor 114 �( S w �lzg LL- S ._ City/State Zip Phone A.1) Sprinkler Project Valuation Contractor 1 Name B.) Fire Alarm A (sprinkler or A-} R rI iZ E I B-a I-- Alarm Company) Mailing Address Q Submittal Shall Include Battery Calculations YES r:1Prior to permit P63 x 7 issuance,a City/State Zip Phone Individual Component YES ❑ copy Cut Sheets MS of all licenses N. PLA, 06t 7 2�3j_ &9 7-2 Y(P B.1) Fire Al�:rm Project Valuation g are required if State Const.Cont. Board Lic# Exp. Date expired in COI [1 Project Valuation Subtotal (A&or-BI $ — database _49 5 5 '1 _ 7/,- 7/19 -Name -- —Permit fee based on valuation ArchitectMailing Address - -�`- ____.—_ tsee chart on back) S% Surcharge $ i iry/state Zip Phone -- FLS Plan Review 40% of Permit escnbe work A.)New O Addition O Aiteration• Repair O - TOTAL to be done B) Modification to sprinktrr heads only: 1. 1.10 heads=No plans required Plans required: Submit three seti of plans,including a vicinity map and 2. 11+=Plan review required the location of the nearest hydrant I hereby acknowledge that I have read this application,that the information given is Number of sprinkler heads: r 1 correct,that I am the owner or authorized agent of the owner,and that plans submitted Additional Descnr,h,n of Work: are in compliance with Oregon State law^. Signatures of Owner/Ag, nt Dato- A.)In Existing Building g New Building ❑ Building C ntact Pers9n Name Phone Data B.) Commercial ♦ Residential [) P-1-4 --la T FOR OFFICE USE ONLY: No of stories 2 -- ——` -- Plat# -4-- -�rpRL#: Ft _1__f_l—V Notes �t ---___�- Occupancy Class Type of ConstrurUon _—��---_---�-� _-^ --�--^- _-_-- i:\firesupr.doc lei LDJN-z PUMIT.�.0 TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 I 10.60 1 33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1.701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 4x.95 1,901-2,000 32.50 13.00 1.63 4113 2,001.3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 6J,33 8,001-9,000 14.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 403 116.73 10,001-11,000 8650 34.60 4 33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13.001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-2.3,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 25375 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-2.9,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 19750 79.00 9.88 286.38 31,001-32.,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 2.11.00 84.40 1055 305.95 34,001-35,000 215.50 8620 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 729.00 91.60 11.45 332..05 i:lfresupr.doc M A f "T , 1 1 1 77 , 1 I 1 1 1 --- I 1 1 _,. 1 1 1 1 1 1 1 1 1 I 1 1 • 1 1 1 * 1 1 1 1 1 1 1 1 1 1 . 1 , ....... --__.__G. •.,__;_____...L_.._..___L-_--_ .'•.. 1 1 15 S V 5 ►^�► f-L t_ Es s E'o S P KR H6yq ps 56 A L.E-" V6 �, I AM R I CRE:o t-r -1104 1 I y $ I SQ HALL.. E .VAD ��- T 6% A 0, C) � GZ —yVit' P.O.box'159 7►�O�`yL� C• ;,�,�C�I1�af71�'���1om ro Al Jo 10A North Plains.OH 97133 .....''p Moiddv l�;lf'.11n111p110;) [ �/\wddy lutonk�Ge firer;pnnkMr f•;yAlprn.•C'crhlNxl reshllg �i .. ,♦i��... .. � ..� .. � � 9ervkr•InFf9lMtiM•HEYMIirs . . Hon Engeseth Doug Fngeseth Id.A110 (50)647.2 468 t/ Fax(03j 64b.9U,38 Pager(503)27.9 2344 i N N C_ C- LL LL LL N N O w N z CL a a a v W W W O m m W W W CL C7 U' a a: m O > 2 � J M C7 U z Z CL z C� n a �e o LIJ T p vwi d Q a p n a � m a O 0 0 0 O O m o 0 0 LLJLLJwww co a c) 0 0 a ce c7 c7 c9 a o rn�° a al td M CL o M Q Q a a a �✓ N N >_ Q T � Q1 Q1 r9 N N O C N E � y m o n LL U o p ut s c ° g d �u �' ' y c a tea O o $ > dU c N O c c d m h c c c 1- OL CL L�5 66 a� LLp LLp pp N Ln LO apo N d (n 00 N Qi S Lb f` OD O O O U c r• 1- O O OQ7I Y Q LL u D 7 Z > > D d m m m m m m m m m m m CITY OF TIGARD I' DEVELOPMENT SERVICES 1 13125 SW Hall 51vd., Tigard,OR 97223(503)639-4171 ELECTRICAL PERMIT — RESTRICTED ENERGY PERMIT #: EL R99--0030 DATE ISSUED: 02/24/99 PARCEL: 1 S 1 35DR--0:3501 SITE ADDRESS- . . : 11481. SW H4LL_ BLVD #101 SUBDIVT51ON. . . . : ZONING:C—P BLOCK. . . . . . . . . . . LO. . . . . . . . . . . . . . JURISDICTN: TIS Pr,o.j ect Descr-i pt i on: Electrical TI. 0. REST DENT IAL_---- - B. COMMERCIAL—_--.---._----.--.---.--.__.__._____._.._._________.__._ AUDIO R STEREO. . . AUDIO ft STEREO. . : INTERCOM R PAGING. . : BURGLAR ALARM. . . . : BO I LER. . . . . . . . . . : L..ANDSCAPE/T RR I GAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . .. MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE: ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . . PROTE=CTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: I Owner-: --._._..____._._.__.___.___________.___.___.______.__._._.. ...___._.._____._.___ FEES LN PROPERTIES type ilmo,.Ilt by date recpt 11481 S14 HALL BLVD. PRMT $ 40" 00 S 02/24/99 99-313200 SUTTE 100 ;PCT f 2. 00 B 02/24/99 99--313200 TIGARD OR 97223 Phone #: 684-5066 MICRO ELECTRIC VOICE R DATA $ 42. 00 TOTAL SERVICE 24501 S BARLOW RD — -- --- REQUIRED INSPECTIONS -- - --- - AURORA OR 97002 Ceiling Cover- Low Voltage Insp Phone #: 503-245-5847 Wall Cover Elect' 1 Final f2ey #. . . 1.3154 31 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Dre. Specialty Codes and all cher applicable laws. All work will be done in accordance with approved plans. T1,is pe-mit wi�l expire if work is not started within 1816 days of issuance, or if work is suspended for more than 180 days. ATTE4TION: Oregon law requires you to follow rule ad^pted by the Oregon Utility Notification Center. Those rules are set forth in JAR 952-001-O0I0 through OAR 952-801-0080. you may obtain copies of these rules or dlrpbt questions t/� OUNC/at (503)246-1987. ` 1. s s ii.ed b y. JL C"► _ - P e r m i t t e e S i g n a t i.t r e T -.----___----------------------OWNER INSTAI_L_.ATIDN ONI_..Y--_.._____________—•-_------.---._--- The installation is being made on property I own which is not intended for- sale, orsalt✓, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY- --- --- ___--_--_—_------..__ SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: +++++++++++.s•+++++++++++++++++.•++++++++f•+++•.•++++++++++++++++++++++++++•F++++++++++ Call 639-4175 by 7:00 P. M. foi :.•sn inspect i un needed the next bum insss day ++++i•++++++.+++++++++++++++++++++-►++++++++t+++4.++++•F+++++++•..++++++++++++.4.+++++++ s u2 22�99 +101 15:511 FAX sob 598 1900 (:I'1'1' ,)1' T16ARD I Zoo CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'.'by:_ '� 13125 SW HALL B'_VD Date Recd Z' TIGA.Rd OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Pe7,ntt# V L.� r' 503-G84-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'G. WILL NOT BE ACCEPTED Name of Of-velopment Pinject TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee..._.... ........................... $4000 C-ri Cr+,A t+ (rc)=.At L SYaTI_MS) Ir)R Street Address Ste M ADDRESS /y(F/ 6S0/fir// �Q� Cieck Type of YVork Irvolved G t !State Zip Phone u ❑ Audio and Stereo System 0D �f Name 72,2,3 Surylar Alarm OWNER Meil�ny AJ. ui ►1)� Garage Door Opener' C,ityrStnto /' yl 71t` Phone P 1:1Heating,V*nlilation anc A-r Conditioning System' f arsElVacuum systems' lk�IC� Ok4T"W SL"RvICrS HICiZo CL.ICTR Ic It- r ❑ other CONTRACTOR Mailing Add•esa cNr��✓ LU TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Pilot to issuance a �titylztate 71p Phone# Fee for each system..............•........., ..... ...... ... $40 00 copy of all licenses C r,k, ( ��/3 2(c4 tSfS•/) (SEE OAR 918.230-2e0) are required 0Orzc�on Cartr rd Lic 0 P D to expired in C O T. .3� Y13 c /; Check t yae o1 Work Invclvod data base) EI trice] Contr Liu 0 EAP Date y -7 C L C' IC'j Audio and Stereo Systems 71' T,cr Metro Lic 9 Fxp Oate! _-�_ _ ❑ Seiler Controls Owner's Name �! � _________— ❑ -,look Systernz OWNER- Mai Ing Address APPLICANT Date Telecommunication Installation City/slate =a Phone e ❑ Fire Alarm installation 'tis permit is tisued under OAE 910-320-370.This applicant agrees to ❑ make only rusuioed energy instal aticns(100 volt rn ps or lees)urder th 3 HVAC porm't and to do Coe f0lowing, ❑ Instrumentation 1 Oruv use wectrica llcenseri pnrscns to do Inatai!xlons where ieciu]le;l r Certain rosidamial and ot,or trantartinrs aro Pxempt from Ilcenslng Intercom and Paging Systems These have 7st risks(') All ottrers need liceniing, Landscape Irrigation CcnlroP 2 Celt rot Irspnclio ns when ins•allahor under this aemtd a•e rowdy for inspect o-i a1 603-639-4175; ❑ Mer:cal ?, Purchase separax permits for all installatiors that are not ready for or ❑ Nurse Calla Inspeii u+when the nspector!a out to Inspect ender this permit, 4 AS1ume resoontilbillty for assuring that all ceirectlons required by the ❑ Outdoor Landscape UyhttriV •nspecior are done end: r� 1 Profechva Signaling 6 Assume respor siblity for calltng for a final inspecnon when a0 of t'ie corrections are completed. ❑ Other Perm is ere ron-trbnsfarablc and ron-refundable and exo-e if wcrk is not stoned w-thin 180 days of Issuance or if work is suspended fo, '80 daya _ Nurnhor n,systems The perso'r signing for this permit must be We appkcsn;or a person No 11r."at sm equ!red l hooses a•e recu,ren or sn olher inatA iaticns sutronzei to bind the ooplicant F.1�0 !�1� Wiz« •� — °r') Sena re ENTER FCES 6Y,SURCHARGE(.05 X TOTAL ABOVE) A.thonty if other than Applicant r TOTAL : L 2 00 de15rrerele dos 7107 -- J CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST SBUP �/ Date Requested_ c�f�.a��J,� AM PM BLD Location /' �/ /%��, _�' / "j/�,� Suite /� MEC _- I Contact Person L Ph !fir , 7 Contractor_ _ Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access. FPS Ftg Drain Crawl Drain Inspection Notes: �,� SGN Slab _ Post& Beam SIT Ext Sheath/Shear ' Int Sheath/Shear '-'-- Framing Insulation Drywall Nailing Firewall --`---- - Fire Sprinkler Fire Alarm --�-"- Susp'd Ceiling Roof _ - Final PASS PAR T FAIL PLUMBING Post& Beam I ----- -".- --- --- ------ - - Under Slab Tori Out ----- - ---- Water Service Sanitary Seder --'_---- \ --- Rain Drains Final - ---- - - PASS PART FAIL. MECHANICAL - Post& Hearn Rough In Gas Line Smoke Dampers Final - - - ---- - --- �_- -- --- __--- - PASS PART FAIL LECTRICAL, - --- -- --- ---- --- Service Rough In - -- Fire Alarm ASS ART FAIL - -------- �-- ----- - - Backfill/Grading -_.- ----- ------- ---_--- -- -__.---- Sanitary Sewer Storm Drain [ J Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RF _ - _ __ _ [ J Unable to inspect - no access ADA / Approach/Sidewalk Other _ Date ,2-- - Inspector_- rL / lei Ext Fines PASS PART FAIL DO NOT REMOVE this inspect►_on record from the job site. CITE( OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT' 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . . BUP'39­0008 DATE ISSUED: 01 /11/99 PARCEL: IS135DA-03501 _11E ADDRESS. , 1148J. SW 1-1ALL BLVD #1011. 13 )UBD I V I S I ON. . . ZONING:C—P r)LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDTCTION:TIG ­1----------------------------------------- -------------------------------------------- REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION— f`l _nSS OF WORK. .-ALT FIRST. . . . 0 s N: S: E: W. TYPE OF USE. . . :COM SECOND. . . : 0 s PROTECT OPENINGS?----------- J'YPE OF CONST. :5N 1487 sf N-. S: E: W.. OCCUPANCY (3RP. -.B TOToI---.-------: 1487 s ROOF CONST; FIRE RET?: OCCUPANCY LOAD: 23 BASEMENT. : 0 r AREA SEP. RATED: '3T0R. : 0 HT: 0 Ft GARAGE. . . : 0 s OCCU SEP. RATED: RGMT?: MEZZ?: REOD SETBACKS--­----- RE0UIRED--------------- - FLOOR LOAD. . . . : 0 psfLEFT: 0 ft RGHT: 0 It FIR SPKL:Y !3)MOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 -,=t FIR ALRM: HNDICP ACC.-Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING- )ZI VALUE. $ "*12305 Remarks : Commercial T1. Owner: ---------------------------------------------------------- FEES LN PROPERTIES type amoi-int by date r e c pt t148 SW HALL BLVD. FIRMT $ 158. 50 DLH 01/11/99 HAND RECPT SUITE 100 SPCT $ 7. 93 DLH 01 /it/99 HAND RECPT TIGARD OR 97223 PLCK $ 103. 03 DLH 01/11/99 HAND RECPT 171hone #* FIRE $ 6-11. 40 DLH 01/ 11/99 HAND RErP7 Contractor: PACIFIC CREST STRUCTURES INC 7301 SW KABLE LANE STE 700 171ORTLAND OR 97224 Phone it: 503-968--8949 332. 86 TOTAL Reg #. . : 006691 --REG!UIRED ACTIONS a INSPECTIONS— This permit is issued subject to the regulations contained in the Framing Tnsp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work mill 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 sit forth in OAR 952-001-0010 through BAR 952-00101987. ...... You many obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Permittee Signet,_tre- ."�_4x I s s t e d r,y - ++4.++++++.+++4 4+.+.++++-+.++++++•+++++•+++++++++++4+++++++++•++++++++•++++++++•++++++•+++ Cal. 1 639-417',1 by 7:00 p. m. for an inspect- ion needed the next bi.tsiness day +++.++++++++++++++++ h+--++++++++++++++++.+.4......4......44•..................444-+++4-,+4-+ CITY OF TIGARD Commercial Building Permit Application Recd By_ Date Recd _ 13125 SW HALL BLVD. Tenant Improvement Dare to P E. ^ _ TIGARD, OR 97223 Date to DST-r i i I�� (503) 639-4171 rJ( � �� Permax ?14..Q12- a0� f?– 0, �✓ Print or Type 7l� lated SvvR 0-- Incomplete or illegible applications will not be accep et d called_ _ Name of Development/Project _ Existing Building ❑ New Building C Job ;"I`.r i' -rV;e P e Y1u/�K i ►'L �., '/ Address Street Addresssuns Building r�su'm Ir�t Data _ __ __ ©idg x city/state Zip — Existing Use of Building or Property - -�-� Name --^ r F';�t �c s Proposed Use of Building or Property: Property _ _ Owner Mailing Address Suke h>;.. h ; -'r U If No. Of Stories Citylstate Zip Phone _- 0 Sq. Ft, Of Project: Occupant Name X ':.I`1 Occupancy Class(es) ---- Name Contractor Type(s)of Construction Prior to permit Mailing Address Suite --- -- issuance,a copy . , Will this project have a Fire Suppression System? of all licenses ( } �1 ------- Yes Q No [] are required If Cay/State zip Phone Americans with Disabilities Act(ADA) _ w_ expired In C.O.T. Rr,.4o w rv- (4-1 i-i'q f y A . A;+. database Valuation X 25% _ $ Participation Oregon Const.Cont.Board Lic.x Exp.Date Complete Accessibility Form Project $ - Name Valuation_ Architect •r I ('� Mrt. Plans Required. See Matrix for number of sets to submit Mailing Address Suite on back citylstale Zip _ Phone I hereby acknowledge that I have read this application,that the information IL> b t t L f 1,� given Is correct,that I em the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State Laws Engineer Name Signature of Owner/Agent Date Mailing Address S rite - Contact Person Name Phone — OtylSlate --- --Zip--- Phone ----- -- — -- �- FOR OFFICE USE ONLY Indicate type of work. W)w O Addition O Demolition O Map/TLx Lnnd Use: Accessory Slnrcturr; O Foundation Only O Alteration O --_-_— -�___� Repair O Other O —_ _ — Notes: Description of work: TIF - ----- -- - Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNEWTI DOi ,DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal 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 Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of l TYPE OF SUBMITTAL Plans KE_Y___: _ Submitted_ S (Private) — 1 — S = Site Work B (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 & L_ & F(Alt) —3 — NOTES: "Shaded areas designate ALT submittals only. I\dstsVorms\rnatrxcom doc 10130/98 CITY OF TIGARD DEVELOPMENT SERVICES m,jEm 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 C[J4TIFICATE OF OCCUPANCY PERM IT #. . . . . . . : DUP99-.4006 DATE lGcHiLJED: 02/124/99 PARCEL: iTE AUDPE"5G. 1 1481 SW HOI.I.. BLVI) #0Al. IBL)I V I S31 ON. . . . : Z ON I NG:C--P oU'.)CK. . . .. . . . . . . : LOT. . . . . . . . . . . . . s J1JRI!.-)DICT1nN: TIG i.-ASG OF WORK. -ALT TYPE OF USE. . . vCOM I'YPIE Of-' C0145TRt'51\1 .(J)PANCY LOAD 12 3 1 LNANT NAME. . . :AMEPI C'REDIT Commercial TI. Owner : i. N PROPERTIES LLC 1 ,7.1'725 SW 66TH AVE ,)RTLAND OR 97223 0 o n e #: ont ract or t -- --- ,)CIFIC CREST STRUCTURES INC 141 SW KABLE LANE c3TE 700 --IPTI-AND OR 97224 une #a 5013-968-8941) .,g #. . A 006691 cis Gertifxcate yrantn oc-rupancy o-f the above referenced building m portion -,eroof and confirms that the building hAs been inspected for complia"re witt, ke sto,t of Orgon 5'peciplty Codes for. the group, uccupmncy, mnantii,tse trider ''Itch the rr-erenced permit was is, upd. SUILDINu 6 ic i r4i- POST IN CONSPICUOUS PLACE CITY Q F T I G A R D MECHANTCAL DEVELOPMENT SERVICES PERMIT PERM TT -4. . . . . . . : MFC99-00214 13125 SW H.0 Blvd., Tigard,OR 97223(503)639-4171 DATE_ TS)SLJED% 0112!i199 PARCEI-- 161?,SDA--0.3501 'ITTE ADDRESS. . . . I 1.4nI f7W HAI-I- SLVD #101 "j(JBD T V I EST ON. . . . : 7ONTNO: C-- P SLOCK. . . . . . . . . . : LOT. . . .. . . . . .. . . . . JtJRISDTC'TTON- TIG CLAS"', or, ww'. . -ALT FLOOR r-11RN . . . 0 EVAP COOLERS: 0 TYPE, OF I-ISE. . . . :COM IJNIT HEATERS. . 0 VENT F-ANS. . . : 0 (IM.IPANCY GRP. . :B VENTS W/O APDL: 0 VENT !3YSTEMS: 0 TORIES. . . . . . . . . 0 DOT LERf-3/('0Mr1RE5SORS HOODS. . . . . . . .. 0 r"UEI-. 0-3 IAP. . . . : 0 0r)MF!3. INCTN: (A -.,ELC 3--1F, HP. . . . : 0 COMML. INCIN: 0 '10X T NPt,IT: 0 DTIJ 15 *39_1 14P. . . . : 0 REPAIP tJNI*Tr)- 0 r-. 1 RE DAMPERS% . - 30-50 Hr-,. . . . - 0 WOt)DSTOVF'3. . : 0 501 HP. ., . : 12.1 CT.0 DRYFRS. . 0 NO. (IF' ATR Hnl,NIDL. lNr) (.IN T TS C)THER (ANTTS. 0 r-IJR,KJ ( 11710K r-,TI.J: 1 1.121000 cf)".. I GAS IDIJTI...ETS. 0 11)111\1 ) =.100K PTIJ- 0 > 1.0000 cfm - 0 Rema-rl<v, - Associated mechanical work for tenant improvetent. Owriei-- - 1. - - 1 FEES D L HOWARD rO type Ammint by date recpt j7,40 SW 7)OVER I-rIHE PPMT $ 00 .TSD 01 /1:*151/9'3 99 31~1+ 1 1 PORTLAND OR P: r-1.11 $ 6. 25 JSD 01/25/99 99-31241, 1 1. TSD 01/25!99 9 9 '31 41 1 0 L HOWARD CO TNC "?40 sw r)nVFR LN ._52. 50 TOTPI. rJORTI-AND OR 97-2L'S, Phone #: 246--67(',,,. RE0L,l1PFD INFIPE1771 )NS This permit is issued subject to the regolatim contained in the Mrc-hariiral Insp Tigard Municipal Code, Stote of Ore. Specialty Codes and all other 1711(7t Inspec-tion Applicable laws. All work 011 hi done in accordance with S. D. Sf-lk,lt -down Approved plans. This permit will expire if work is not started Misc. Inspectloll within IN days of issuance, ov if worl, is suspended for more Final Inspection than 181 days. ATTENTION: Oregon lar requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are forth in BAR thr�4gh MR 952-N14WO. You may obtain copies of these rules or direct questions to OUNC by calling I I f-, n r-Jr) mi 1;OLD Signa -`-t— ...... , t I CV0 11 �A- �—4- 7- 4 1 + 1-1-++++4 4 4---+-1--4-4+4-+4+4-4-4+4-++4.4.4,+-+i-•+4.....-F...4-A-4- .{+4-+++++++-4-+++-4.............4 ra I 1 639-..4175 by 7;00 p. m. for- i.r)9 pF'r--t i oTi s; needed t,I-)F, tient bki s;i ne s;S day + +4.. .+.+++++i 4.4-+•++4-+-t-+4.++4 4++•+++-+•++-+++4•+++++++++++++++++4-+++4--+-4++++.+++-+++-++ + clTy OF TIGARD Mechanical Permit A lication Plan Check# PP Recd By .13125 SW HALL P L VD. Commercial and Residential Date Rec'd� i TIGARD, OR 97223 1 � L'� Date to P.E. (503) 639-4171, x304 ���� Date to DST_Li L2pjq I_ Print or Type Permit# `��`11--(2C-,=k V Incomplete or illegible a plications will not be accepted Called _ w No a of Development/Project Description L Table 1A Mechani,,al Code Q Price Amt Job Street Address Suite# nL—� ����� � 1-�� A Permit Fee 10.00 Address I(4R( %( ) I 1) Furnace to 100,000 BTU including'jQducts&vents 6.00 - Bldgk CR/State ZIP 2) Furnace 100,000 BTU+ Including duets 8 vents 7.50 Name(or name of business) 3) Floor Furnace Owner includino vent 6,40 Melling Address 4) Suspended heater,wall heater or floor mounted heater 6.00 _ 5) Vent not included in appliance permit CRY/State ZIP Phone _ 3.00 CHECK ALL 'Boller Heat Air Ne a(or name of business) THAT APPLY: or Pump Cond Qty Price Amt Comp— 6)<3HP;absorb unit to Occupant Mailing Address 100K BTU —` 6.00 _ 7)3-15 HP;absorb unit City/State zip Phone _ I OUk to 500k BTU _ 11 00 _ 8) 15.30 HP;absorb Name unit.5-1 mil BTU _ 15.00 Contractor ''II 9)30-50 HP;absorb ( ) [ Ir' `Zcx . unit 1-1.75 mil BTU _ 22.50 Prior to permit Mailing Address 1()>50HP;absorb unit issuance,a Copy o-0 L`l '` >1.'75 mil_BTU 3750 of all licenses �"Y/StgI flzip Phone 11)Air handling unit to 10,000 CFM are required if C,�e (tkt (_'' Z -1 `/ e 4 L- �• ((LA _ 4.50_ , expired in COT Oregon Const Cont.Board LIc.N Exp.D e 12)Air handling unit 10,00)CFM+ database_ (a U 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 or Mailing Address 14)Vent fan connected to a single duct 3.00 _ 15)Ventilation system not Included in Engineer CkylSlele Zlp Phone appliarce permit 4.50 16)Hood served by mechanical exhaust Describe work to be done. ^—� - — 4.50 17)Domestic Incinerators New o Repair O Replace with like kind: Yes O No O 7.50 Residential O Commercial U'' 18)Commercial or Industrial type incinerator -- — 30,00 _ Additional information or description of work. 19)Repair units 4.50 20)wood stove 4.50 21)Clothes dryer,etc. V 4.50 Type of fuel oil O natural gas O LPG O electric O— 22)Other units __ 4.50_ I hereby acknowledge that I have read this application,that the information 231 Gas piping one to four outlets given is correct,that I am the owner or authorized agent of 2.00 the owner,that plans sstbmitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) SITature of Owner/Agent Date V, ( Mlnlmum Permit Fee$25.00 SUBTOTAL 5%SURCHARGE Ca to t Person t# e ph" _ PLAN REVIEW 25%OF SUBTOTAL Z � ulnad for Re ALL commerclal permits only O TOTAL v'St;ae Contractor Boller Certification required "Residential A/C requires site plan showing placement of unit ' I Unechperrn dor rev 07/20/98 CITY OF TIGARD BUIL.DIN S INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP _ p Date Requestel` AM PM BLD Location Suite _ /C'/ MEC Contact Person _ Ph .2Y 3PLM Contractor _ Ph SWR SWR -00ii-DING Tenant/Owner ELC Retaining Wall ELR Footing Access: i Foundation FPS _ Fig Brain SGN Crawl Drain Inspection Notes: --- — Slab :v� SIT Post&Beam , Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing irewall Fire Sprinkler Fire Alarm Susp'd Ceiling ----—_�.—_— Roof Misc: ---- — Final PASS PART FAIL -- — PLUMBING Post&Beam -- �— Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PA - PART FAIL AL Post&Beam -- --- —----- Rough ---Rough In Gas Line —-- --- -- -- - SrpAe Dampers UPAS-1,5 PART FAIL. EL CTRICAL Service ---------- ----------------------------------- Rough In UG/Slab Low Voltage Fire Alarm Final - PASS PART FAIL. — 131TE Backfill/Grading — Sanitary Sewer Storm Drain ( i Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Plvd Catch Basin i l f Please calor reinspection RE Fire Supply Line ( p _ . — ( ]Unable to Inspect-no access ADA ^ Approach/Sidewalk x _ �� Other Date 1 Inspector_ Fxt Final PASS PART FAIL_J DO NOT REMOVE this inspection record from the job site