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11481 SW HALL BLVD STE 200-3 � s AP 00 .2 C D , r r W O C F— m D Q 0 d I I s V 3 i F 11481 SW HALL BOULEVARD #200 A CIT'' OF' TIGARD MECHANICAL , DEVELOPMENT SERVICES P,ERMTT #P. . . . . .ERMIT. : MEC9812.49t 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 11/09/98 F,ARCEL: IS135DA-03501 SITE ADDRESS. . . : 11481 SW HALL BLVD #200 SUBDIVISION. . . . : ZONING: C—P, BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: rIG CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAIJ COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPIANCY GRP,. . :P VENTS W/O Ar:'P'1._,: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOIL-.ERS/COMF,PE'SS(*.)RS HOODS. . . . . . . : 0 FUEL 0-3 LiP. . . . : 0 DOMES. TNCIN: 0 :ELL" 3-15 HP. . . . : 0 COMM[_ INCIN: 0 MAX INP,UT: 0 BTU 15-730 HP. . . . : 0 REF)AIR UNITS: 0 F I RE DAMPERS?. . : Y ;.,0-50 Hr,. . . . - 0 WOODSTOVES. . - 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF (_1N1Tq------------ --- AIR HANDLING UNITS OTHER UNITS. : 0 TURN ( 100K BTU: 4 < 10000 cfm : 0 GAS OUTLETS. : 0 FIARN ) =:100K BTU: 0 > 10000 rfm: 0 Remar-ks : Add furnace including ducts I vents. Owtir,r-: FEES ---------------- L. N. P,RnP,ERTIES tyle .4 m a Li n t by date recpt 11.481 �3W HALL BLVD PIRMT 34. 00 JSD 11/09/98 98-310660 SU I TE #100 PLCK $ 8. 50 JSD 11/09/98 98--310660 TIGARD OR 972273 5PCT $ 1. 70 JSD 1 ,( /09/98 98—,—,,10660 Phone #: D L HOWARD CO INC 5340 SW DOVER LN 44. 20 TOTAL r,0RT1_..AND OR 97225 !'hone it: L:.'46-6764 Reg ft. 82769 -------- RFCSU IRED INSPIECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other rii..;�.t Inspection applicable laws. All work will be done in accordance with Fire Damper Insp approved plan:. This permit will expire if work is not started S. D. Shi-it.—down within 180 days of issuance, or if work is suspended for more Final Inspertion than 180 days, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 9520-01-0010 through OAR 952-00I-0000. You may obtain copies of these rules or direct questions to (n IK by calling (503)246-9107. I SSI-le i Permittee Signat e C -4...........................................4................................... 4 Ca: l 639-4175 by 7:00 p. m. fat- inspections needed the next bi.isiness day ...........................#..........41.........................................1-++ CITY OF TIGARD Mechanical Permit Application Plan check#'J-B��-° p pcaRec'd By 13125 SW MALL BLVD. Commercial and Residential Date Rec'd /o` - - TIGARD, OR 97223 � -C�yS� Date to P.E. / ,-A (503) 639-4171, x304 Date to DST Print or Type Permit#M 9 _ _Incomplete or illegible applications will not be accepted Called -� fN me of DeveloprngalLProjed Description + LL_ '�1Y) Table 1A Mechanical Code Qt Price i\mt A Permit Fee —i 710F _ Job 'Street �Cy,,{� unaa"'04 1) Furnace to 100,000 BTU '1 Address ✓W including ducts&vents 6.00 1�..� Bldga cn rata zl 2) Furnace 100,000 BTU+ _ including ducts&vents 7.50 Name(or name of b slness) 3) Floor Furnace Owner including vent 6.00 Mall ng ddress r L' 4) Suspended heater,wall heats. or floor mounted heater 6.00 5) Vent not included in appliance permit City/Stale Zip — Phone 3.00 CHECK ALL *Boiler Heat Air Name(or name of business) THAT APPLY: or Pump Cond Qty Price Amt Com _ 6)<3HP;absorb unit to •• Occupant Mailing Address 100K BTU 600 7)3-15 HP;absorb unit CnylState Zip Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb Contractor unit.5-1 mil BTU 15.00 ° I_I W&.� (�_O 9)30-50 HP,absorb . � � unit 1.1.75 mil BTU 22.50 _ Prior to permit Ing dress I 10)>50HP;absorb unit Issuance,a copy 3(j� V L >1.75 mil BTU 37.50 of all licenses State Zi Phone 1)Air handling unit to 10.000 CFNI are required if O g (./t'*,�(�-')OR, L1104. ' 4.50 expired in CO1 Oregon Const.Cont.Board LI a Ez D to 12.)Air handling unit 10,000 CFM+ "' database o _ & _ 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)Venlilatior,system not included in Engineer cnylstate zip Phone Odpliance pe-mit 4.50 16)Hood served by mechanical exhaust Describe work to be done: � _ 4.50 17)Domestic incinerators New W Repair O Replace with Ilke kind: Yes 0 No O 7.50 Residential O Commercial O--- 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,fryer,etc. 4.50 Type of fuel: oil O natural gas O LPG O electric 22)Other units 4.50 1 hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of 2.00 the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) _ 50 SIgnatur:of Owner/A Date —��— / Minimum Permit Fee$25.00_ SUBTOTAL la-? - 3 - - „_. 5%SUR!SURCHARGE 4contacs. Phone PLAN REVIEW 25%OF SUBTOTAL ! Re ulred for ALL commercial permits on1 v'f till(C:,- _— TOTAL 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1 lmechperm duc rev 07120198 ! Page No. I CASE HISTORY FOR CASE NO.: MEC98-0491 L. N, PROPERTIES 11481 SW HALL BLVD Unit: 200 12/30/98 Action Description Req! Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MECCO07 Application r^ceived / / / / 10/29/98 RECD GEO 10/30/98 GEO MEC0008 Permit created / / / / 10/30/98 DONE GEO 10/30/98 GEO MECCO14 Plain ;necked/Approved by P.E. / / / / 11/03/98 APPR RDP 11/03/98 RDP MECCO15 Reviewed Plans Routed to DSTS / / / / 11/03/98 APPR RDP 11/03/98 RDP MECCO16 DST Post-Review Completed / ( / / 11/04/98 DONE B 11/04/98 BON MECCO50 (F) Ready to issue / / / / 11/04/98 PASS B 11/04/98 BON MECCO75 (F) Reprint permit / / / / 3,1/09/98 PASS JSD 11/09/98 DST MECC090 (F) Issue permit / / / / 11/09/98 PAdS JSD 11/09/98 .JSD MECC706 Mechanical Insp 11/03/98 / / 12/11/98 PASS RB 12/17/98 J*H MECC745 S.D. Shut-down 11/03/98 / / 12/11/98 The smoke shut for these systems is tied PASS RB 12/17/98 J+H Into the original mechanical equipment, make sure a test is c-)mpleted to ensure these new units shut down with the rest of the equipment. MECC800 Case Finaled / / / / 12/17/98 PASS RB 12/17/98 J*H ELECTRICAL PERMIT CITY OF T'GAR ® ELC98 DEVELOPMENT SERVICES PERMIT #:DATE ISSUED: 10/-0650 28/98 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 SITE ADDRESS. . . : 11481 SW !AALL BLVD 6�o PARCEL: IS135DA-03501 SUBDIVISION. . . . : dr� ZONING:C--P BLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . .. 1.r JURISDICTION: TIG (Droject Description: Electrical TI --------------------------------------------------------------------------------- - - RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . . 0 409 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---SERVICE/FEEDER---— ------BRANCH CIRCUITS------ ---ADD' L INSPECTIONS—- 0 "200 amp. . . . . . : I W/SERVICE OR FEEDER: 13 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 -----------__—__--_PLAID REVIEW SECTION----------- 1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. s Owner: ------------------------------------------------------------ FEES L. N. PROPERTIES type 'A ff'.o'-I n t by date recpt 11481 SW HALL BLVD PRMT $ 125. 00 B 10/28/98 98-3103611.-1 SUITE #100 5PCT 6. 25 B 10/28/98 98-310362 'TIGARD OR 97223 V."hone #: Contractor: ROGER COSTELLO f 131. 25 TOTAL. 1439 SE 12TH LOOP REQUIRED !WSPECTIONS ----- CANB'y OR 97013 Ceiling Cover Elect' l Service Phone #.- 266--8483 Wall Cover Elect' l Final Reg #. . : 000874 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 Is@ 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 DAR 952-M1.-0610 through DAR 992-081-1987. You may obtain a copy of these rules or direct questions to OX by calling (503)246-1987. Permittee Signature: Y-"g Isso.ted By- INSTAL.LATION ONLY-------------------------------- The installation is being made an property I own which is not intended for ,:tale, lease, or rent. (')WNER1 9 SIGNATURE: DATE INSTALLATION ONLY---------------------------- t-;IGNATURE OF SUPR. ELECIN: DATE: 0 _1* Y LICENSE NO: 1 +++++++++++++++4•++++•t s.++++++++++++++++++.+•++++++++++++++++++++++++.+-+++++++i+++-► Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ........................41...................I................4... .................... Community Development ELECTRICAL. PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # r `t `� V Date Issued Phone (503) 639-4171 CITY OF TiGARD FAX (503) 684-7297 TDD No. (503) 684-2772 ��. 1.___'_ Inspection (503) 639-4175 4,-.-- 1. lob Address: 4. Complete Fee Schedule Below: Name of Development A�� /GIr ( t pe ��P it Q._l Number of Inspections per permit allowed Address //1113 l l-Aj Na _ Service included Items Cost(ea) Sum City/State/Zip_ k r 4a. Residential -per unit - c� 1000 sq. ft or less $110.00 Name (or name of business) 1, J•�• Each additional F00 sq.It or �-;-y portion thereof 525.00 Commercial l Z Residential ❑ Limited Energy �— 325.00 _ Each Manurd Home or Modular Dwelling Service or Feeder $08.00 2a. Contractor installation only: 4b. Services or Feeders 7 % / Instal) lion,alteration,or relocation Electrical Contractor fl, �-,��OS le /v _ 200 amps or less �_ $e0 00 oU 2 Address /4/W 2 20t amps to 400 amps $8000 ^ Cwt 7 �t1,�L� State U� Zip��_ 401 amps to 800 amps $180 00 y t! 801 amps to t000 amps - Phone No. .�61� • , O-7 =. Over 1000 amps or voNs $340 00 / Job NO. Reconnect only 55000 contractor's license NO.—'24c.- 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,alteration,or relocation Signature of Supr. Elec'n 200 amps or less License No. 3g3i[/S Phone No. 201 amps to 400 amps $5000 J- 401 amps to 800 amps $7500 Over 80o amps to 1000 volts $100 00 ----- .2b. For owner installations: see"b"above . 4d. Branch Circuits Print Owner's Name __ Now.alteration or extension per pane Address a)The fee for branch circults with City State Zlp __ Purchase or service or Nader f"., .? Each branch circuit _(__ $5.00 `� i Phone N0. _ _ b)The fee for branch circuits without purchase of service or/seder ha. 2 The installation is being made on property I own which is 2 First branch circuli $35.00 not intended for sale, lease or rent. Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not Included) 2 3. Plan Review section (if required): Each pump or irrigation circle $4000 Each sign or outline lighting $4000 Signal circult(s)or a limited energy Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 _ 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal flee allowable In any of the above Classified area or structure containing special occupancy Oo as described in N E C Chapter 5 Per Inspection _ $91 Pet hour 555 00 In Plant 55500 _- Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5• Fees; So. Enter total of above fees $ _ NOTICE 5%Surcharge (05 X total fees) $ $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter Subtotal tal of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF plan Review if required (Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ — A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Account # Balance Due S Page No. l CASE HISTORY FOR CASE NO.: ELC90-0650 L. N. PROPERTIES 13.481 SW HALL BLVD Unit: 200 12/30/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELCC001 Application received / / / / 12/28/98 RECD B 10/25/98 DST ELCC003 Permit created / / / / 10/2B/90 DONE B 10/28/98 DST ELCC500 (F)Iseue permit / / / / 10/28/98 PASS B 10/28/98 DST ELCC700 Ceiling Cover / / / / 12/11/98 PASS CD 12/14/98 CD ELCC720 Wall Cover / / / / 11/03/98 exterior k dividing wall cover PASS CD 11/03/98 CD ELCC799 Elect.'l Final / / / / 11/30/00 res. by contr. for 12/1/98 RES CD 11/30/98 CD ELCC799 Elect'l Final 12/18/98 / / 12/17/98 PASS BRP 12/18/98 J*H ELCC800 Case Finaled / / / / 12/16/98 PASS BRP 12/1B/98 J*H I, 7 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PL M 9 8--0 43,E, 13125 SW Hall Blvd., Tigard,OP.97223(503)639-4171 DATE ISSUED: IC2/01/98 PARCEL: IS135DA--03501 SITE ADDRE�3S. . . - 11481 SW HALL BLVD #200 SUBDIVISION_ . - ZONING: C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDICIION: TIG CLASS OF WORK. . ALT GARBAGE DISPOSALS. - 0 MOBILE 1-40ME SPACES. 0 TYPE OF USE. . . . ("1'0 M WASHING MACH. . . . . . . 0 BACKFLOW PIRFIUNTRE-3. . 0 OCCUPANCY GRP. . D FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . 0 ;TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : it) CATCH BASINS. . . . . . . : 0 FI X LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 1. URINALS. . . . . . . . . . . . 0 GREASE TRAVIS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : Pf SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER I- INE (ft ) . . . : V! D I SHWASHERS. . . . 0 FRA IN DRAIN (f A; ) . . , : 0 Remar-ks : Install a sink. FEES L. N. PROPERTIES type amol,int by rjrAt e Y,e r-pt 11.481 SW HALL BLVD V,RMT 25. 00 GEO 12,/01 /98 98-311174 '7;U ITE #100 5PCT $ 1. 25 GEO 12/01/98 98-311174 T;CARD OR 97223 Phone GRIDLINE PLUMBING 9. HEATING 4343 SE 37TH AVF PORTLAND OR 97202 ---.----------____.----------------_--_--_-- Phone it: 771-8790 $ 26. 25 TOTAL Reg #. 17,00741. ------ REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws, All work will up done in accordance with ,._ Y approved plans. This permit will expire if 4ork is not started within JBP days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregiii, Utility Notification Center. Those rules are set forth in DAR 952-000I-0010 through DAR 952-000I-0080. You may obtain copies of these rules or direct questions to (1W by calling (503)246-1987. issued By --Pey-mittpe Signatut-e-, 4................. ++++++++++++++++i-+++++++++++++++++++.. ++ +4W++++++++++++ i Call 639-4175 by 7:00 p. m. for, an inspection needed the next bLiSiness day ..................+++4.........................4..... ................4-++++4-++ CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Rec'dBy- � TIGARD, OR 97223 Date Recd -1L OZ S (503) 639-4171 Date to P.E. Print or Type Date to DST-_ Incomplete or illegible applications will not b accepted Permit# 98 OC 1P�_ � Related SWR#_Q$-4- CrIled Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job r1 Sink -- --- - 9.00 ,00 Address Street Address / Suite Lavatory v f� 9.00 //,4_jj-1_{[�(� 1'.o �Zye Tub or-rub/Shower Comb 9.00 Bldg# City/State I Zip Shower Only _ 9.00 Name Water Closet 9.00 _ _ Dishwasher 9.00 Owner Mailing Address Suite Garbage DisposA 9.00 _ Washing Machine 9.00 City/State Zip Phone Flour Drain/Floor Sink 2" 9.00 Name 3" _ 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 r Gas piping requires a separate mechanical permit. City/State _ Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Nre r Other Fixtures(Specify) i 9.00 1 �. Contractor Mailing Address ( Suite 9.00 Prior to permit City/Sia aPhone Sewer-1 at 100' 30.00 issuance,a copy Zi Sewer-each additional 100' 25.00 of all licenses aro 0regon Const.Cont.Board LIc.# Exp.Date required If C Water Service-1st 100' 30.00 expired In COT Plumbing Lic.# Exp. Water Service-each additional 200' 25.00 database (r- >s / Storm 8 Rain Drain- tst 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.00 Or Moiling Address Suite Commercial Back Flow Prevention Device or Antl- 25.00 Pollution Device _ Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 _ (Irrigation timing devices require a separate Describe ork to be done: restricted energy permit.) _ New Repair O Replace with like kind Yes O No O Any Trap or Waste Not Connected to a Fixture- 9.00 Residential O Commercial V-- Catch Basin 9.00 Additional descriptio of work:, a Insp.of Existing Plumbing 40.00 _ per/hr _ Specially Requested Inspections 40.00 per/hr _ Rein Drain,single family dwelling 30 00 Are you capping,moving or replacirg any fixtures? _ - Grease Traps 9 00- Yes O No a" If yes,see back of form to indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required 0 Quan1dy Total is >9 WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL 1 hereby acknowledge that I have read this application,that the information p1 S given is correct,that 1 am the owner or authorized agent of the owner,and 6% SURCHARGE J that plans submitted are In compliance with Oregon State Laws. _ �• y� Sign re of Owner/ ent Date "PLAN REVIEW 26%OF SUBTOTAL Required only It fixture qty total Is y 9 2 c- ,yf,f Yftt-w. //-a�.3-`/S TOTAL Contact Person Name Phone / rz. _ d 'Minimum permit fee is$25+5%surcharge,except Residential Backflow Prevention device,which is$15+5%surcharge "ATI New Commercial Buildings require plans with isometric or riser diagram and plan review I Axt Mlplumepp doc 72198 PLEASE COMPLETE: Fixture Type -----Quantity by Work Performed Now Moved Replaced Removed/Capped Lavatory Tub or Tub/Shower Combination --Shower Only Water Closet --lJlshwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 3" 4" Water Heater Laundry Room Tray- Urinal rayUrinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Accumulative Sewer Tally 'I S This SWR# \ddress: //YS/ /�A�/- '�!T�� _ This PLM#: -ixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values 3a list /Font — 4 _ --- -- 3ath-Tub/Shower 4 -Jacuzzi/Whidpool —4 -- Car Wash-Each Stall 6 -Drive Through — 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 — Drinking Fountain 1 Eye Wash 1 — Floor Drain/sink-2 inch 2 -- 3 inch 5 _ 4 inch 6 -- -Car Wash Dm 6 — — Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) _ 32 — — Industrial(over 5 HP _48 — Ice Machine/Retrigerator Drains 1 Oil Sep Gas Station_ 6 Rec.Vehicle Durnp Station 16 Shower-Gang(Per Head) 1 - -Stall 2 Sink-Bar/Lavatory _2 — Bradley 5 _ — Commercial 3 -Service 3 — Swimming Pool Filter 1 - Washer-Clothes 6 Water Extractor 6 Water Closet-Toilet 6 — Urinal 6 -- — — TOTALS r�.(� -- Total fixture values: a divided by 16 = ___EDU HISTORY — PLM_# " -o 3iA 3 EDU# 7 SWR # -0�3( FLM# _ EDU# SWR# PL SWR#�y; -009y PLM# _—_EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# _ SWR# PLM# _ EDU# SWR# hdsts\swrtaly.doc Page No. 1 CASE HISTORY FOR CASE NO.: PLM98-0436 L. N. PROPERTIES 11481 SW HALL. BLVD Unit: 200 12/30/98 Action Description key/ Schd/ End/ Action notes Disp By Update Upd Code Sent Done Done Date By PLMC003 Application received / / / / 11/25/98 RECD CEO 11/30/98 GEO PLMr7005 Permit Created / / / / 11/25/98 DONE GEO 11/30/98 GEO PLMC040 (F) Ready to issue / / / / 11/30/98 PASS GEO 11/3^/98 GEO PLMC050 (F) Issue permit / / / / 12/01/98 PASS GEO 12/01/98 DST PLMC725 Top out Inep / / / / 12/07/98 need to run vent out PASS MS 12/07/98 TLP PLMC725 Top-out Insp / / j / 12/07/98 PASS TLP 12/07/98 TLP PLMC799 Final Inspection / / / / 12/18/98 PASS MS 12/21/98 MRS PLIIC800 Case Finaled / / / / 12/21/98 PASS MS 12/21/98 MRS f� CITY CSF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERGY PERMIT #- EL.R198-0323 DATE ISSUED: 12/01/98 PARCEL: IS135DA-03501 SITE ADDRESS. . . : 1. 1.481 SW HALL BLVD #200 SUB 1)IV ION. . . . - 70NING:C—P BLOCF. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDICTN: TIG ProJec,.t Description : ASTITI A. RESIDENTIAL B COMMERC I A IJ 1)10 9. STEREO. . . : AUDIO & STEREO. . : INTERCOM R. PAGING. . BURGLAR ALARM. . . BOTLER. . . . . . . . . . : I..ANDSCAF-,E/IRRTGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . .- FIRE Al. ARM. . . . . . . OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL_. . I N13TRUMFNTATJ ON. : OTHER. . : TOTAL # Cff" SYSTEMS- I Owner: FEES MIKE NEDELISKY type arnoi-int by date reept c25 82PID DR -- PRMT $ 40. 00 J S D I i'-?/01./`:38 98--31. 11.77 GLADSTONE OR 97027 SPOT $ 2'. 00 JSD 12101198 98-311177 Phone #: Contractor-: ADVANCED TELEPHONE COMMUNICTNS $ 41:'2. 00 TOTAL 18465 RW TV HWY REQUIRED INSPECTIONS 0 Hp) L 111 OR 97006 Ceiling Cover Low Voltage Tnsp Dt-one #: 649-5513 Wall Cover Elect' l Final Rey #. . : 001.066 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable law,i. All work will be done in accordance with approved plans. This permit wili expire if work is not started within 180 days of issuance, or if work is suspended for more than IfA days. ATTENTION- Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR W-001-0080. You may Obtain Copies Of these rides or direct qu!stions tA,OUNC at 150246-087, s S?",e d V)y P P r M i t t e e 9 i g n a t t.1 r e INSTALLATION ONLY------- The installation is being made on property I own whitch is not intended for sale, lease, at, rent. OWNER' S SIGNATURE: DATE: INSTALLATION F3161NATURE OF SUPR. ELEC' Ns DATFt LICENSE NO: ...... ++4,+4..............4.........4................................*.......4.++++++++++... (,,all 639-4175 by 7:00 P. M. for an inspection needed the next bi-isiness day ............4...................4................4 f•+-1-++-++++F+•++ 1+++++ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall blvd Tigard, OR 97223 PERMIT * ,_ i- Phone(503)639-4171 / FAX (503)6844297 DATE ISSUED TDD No (503)684-2772 CITY OF TIQ ARD Inspection(503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS I. LOCATION OF INSTALLATION 4. TYPE OF WORK Address RESIDENTIAL —Restricted Energy Fee . . . . . . . . . ilILOQ '"TI 3 01- 9722, _ (FOR ALL SYSTEMS) City State Zip Check Type of Work lo,,�plye d: Ili RMIIS ARE NON-TRANSFERA81E AND NON•REFUNUABLE AND EXPIRE IF WORK El Audio and Stereo Systems 15 NOT STARTED WITHIN 180 DAY!OF ISSUANCE OR if WORK IS SUSPENDED FOR 1110 DAYS ❑ BurglarAUrm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener" ❑ Heating, Ventilation and Air Condllioning System' Contractor rs�yit�i►Z+�a1Ig4t}'Pe �NaN Ihi�dplAlirr ❑ Vacuum Systems' AddressGWF L] Other_. C,j' 4 Dale COMMERCIAL--Fee for each system . . . . . Q "' J r`�' - - (SEE OAR 91 11.260 200) Property Owner — _ - __-.-- Lh"kjyqr UJM�Qjj � Cunttactor's Board Reg. No �! O _-_ �5�� ❑ Audiu and Stereo Systems ❑ Boiler cunlrufs Phone #r - 9; 5t$ _--_- - _ ❑ Cluck Systems 3. OWNER APPI KATION Data Telecommimication Installatiuns ❑ J ire Alarm Installation ____ _ _ ❑ HVAC Print Owner's Name �- Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ t andscape Irngatiun Control' Gly slate lip —. [] Meorcal I its Womn.s isssred antler OAR 918 110J70 flus applicant agrees to male only ❑ Norse(.ally wslrkled enrrgy msiallalions(100 volt amps or less)under this permit and to dc,the ❑ Outdoor Landscape Lighting' Inik»oing ' 1 Ohth use ele0m.11 Incensed)rersons to do insullauons where re(luued Wonaut ❑ Protective Signaling res..retltial and other transa,tions are exempt from lirensmg These have• ❑ Other a,,crislist') All others need licensing) t -ill lar an utspes nun whey all ut the untallations under this lsermtt are ready for inspection at 303-639-4175 ❑ Number of Systems Purchase separate pernuts for all installations that are not ready forwhen the tnslrr•rtnr is 0111 10 Inspect under this Perrot •Nu licenses are retpoired l u cows are slurred fur ag uther insullatruns Assume iespoosdnGty for assuring that all corrections recpured by the inspector it,dune and i Assume res runsrbdrt}lur calling for a haat t.:-y,ecliun w!w. alf of the S. FEES cnrrn•t tun'r are rompletetil the person signing(or this permit must be the apph(ani r. a parson a. Enter Fees aullmint lis br the y1h nt "-` "-- I) 5% 5urcharge (.05 A total above) $ .oy Sign Tec TOTAL. Aulh rily it other Ih,n applicant 1 r ��/j/✓-. '� ENIAGAP CHP Page No. 1 CASE HISTORY FOR CASE NO.: ELR9B-0323 MIKE NEDELiSKY 11481 SW HALL. BLVD Unit: 200 12/30/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELRC001 Application Received / / / / 12/01/98 PASS JSD 12/01/98 JSU ELRO003 Permit Created / / / / 12/01/99 PASS JSD 12/01/98 JSD ELRC500 (F` Issue permit / / / / 12/01/98 PASS JSD 12/01/98 JSD ELRC725 Low Voltage Inspection / / / / 12/17/98 PASS BRP 12/18/98 J•H ELRO799 Elect'1 Final / / / 17/98 PASS BRP 12/18/98 J"H ELRC800 Case Einaled / / / / ./18/98 PASS BP 11/18/98 J•H t CIT' OF TIGARD IT DEVELOPMENT' SERVICES PERMBUILDING P . BUIT #. . . . . , .. : BI.1p'S3-Qt45H 13125 SW Hall Blvd.,Tigard,OR 97223(503)639.4171 DATE ISSUED: 10/2:'7/98 SITE ADDRESS. . . : 11481 SW HALL. BLVD #1 PARCEL: 1.S1;a5L)A-035Oi SUBDIVISION. . . . : Z_ON I NG:C--P BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR AREAS______..____-__ EXTERIOR WALL CONSTRUCTION--- CLASS OF WORK. :AL.T FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 s f PROTECT OPEN I NGS?---- TYPE OF' CONST. :5N . . . . 39O0 St N. S: E:: W: C►CCUPANCY GRP. :B TOTAL----: 3900 s f ROOF CONST: FIRE RET':): (:)(:CUI:'ANCY L.OF)i): .36 BASEMENT. : 0 s f AREA SEP. RATED: STOR. : 0 HT : 0 ft GARAGE. . . : 0 sf OCCU SEE='. RA': ':U: FISMT?: ME`Z_Z?: REQl) `;ETBACKS-__.____.___ REQUIRED--------------- FLOOR LOAD. . . . : 0 ps f LEFT: o ft RGHT: 0 ft F I R SPKI_:Y SNO!', DCT. . : UWE:LL I N(3 LIN I'T5: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HND I CP A('-C:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING- 0 VALUE. $ : 43000 Remarks : Tenant improvement. Separate mechanical, electrical, and sprinkler permits required. Owner: _._._ __-______________-____ ..___-_.__.__-____._._________.______ FEES L. N. PROPERTIES type amot.tnt by date recpt l lli8l SW HALL BLVD PRMT $ 251. 50 JSD 10/27/98 98--317313 SUITE #1Q ?t SPCT $ 12. 58 JSD 1,0/27/98 '38-.310313 T TCARD OR 97223 PLCK $ 16,:3. 48 .TSD 10/27/98 98-310313 Pht o n e #: 684--5066 X,='19 FT RE 6 100. 60 ..TSD 1.0/1 '7/98 98--31031? Contractor: BNK CONSTRUCTION INC 10730 SE HWY 212 PO BOX 66 CLACKAMAS OR 97015 Phone #: 557 0866 is 528. 16 TOTA!_.. Reg #. . . 1O7555 ---REDUIRED ACTIONS or INSPECTIONS---- This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Cndps and all other Gyp Board Insp applicable laws. All work will be done in accordance with Mise. Inspection approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fol)aM the rules adopted by the Oregon 11tiltty Notification Center. Those rules dre set forth in OAR 952-991-9810 through OAR 952-99101987. You many obtain a copy of these rules or direct questions to OIINC by calling (593)246-1987. Perm t.t : ��Issi.ted B Permittee t e e S i g n�. t. r e ._ .C'�'�c.--_...-..---_ +++-+++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.tsiness day ++++++++++-{.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ - 7 YC. CITY OF TIGARD Commercial Building Permit Application Redd By 13125 SW HALL BLVD. Tenant Improvement Date Recd TIGARD, OR 97223 �:) U Date to P.E. (503) 639-4171 ��' 1� Date 4 Marl '', Permitit G # Print or Type Related SWR rk Incomplete or illegible applications will not be accepted Called Name of Development/Project Existing Building New Building E] Job f1q�! �'�j /(" P f`i"C Address Street Address _ wile Building —_ 1/#ff/ y rt' L Data _ Bldg# a.ylstale Zip Existing Use of Building or Property: 9 All Name Property A1 if 7X Proposed Use of Building or Property Owner Mailing Address Suite (/".(10 4 '''/ L #It), No. Of Stories: City/State Zip Pho e Z Sq. Ft. Of ProjeSt: -- Occupant Name Occupancy Class(es) w/� 41115 flame � ,t �V✓�lr Contractor };x t" _ �( y Type(s)of Construction Prior to permit Mailing Address Suite _ /t' --- issuance,a copyJ / Will this project have a Fire Suppression System? of all licenses G 6�(� _ Yes _ No p are required It Citylstatr Zip Phone � t Americans with Disabilities Act ADA expired in C 0 !^ (ADA) databasec1i'9rr75 9101 �5 i• �zY%'� Valuation X 25% = $ _ Participation Oregon Const.Cont Koard I_Ic,rr E-xp.Date Complete Accessibility Form _ e 7 i i s � 1-t4 e44 Project - $ Name Valuation _�� Architect ��9��L � �f 5 T��G� _ Plans Required: See Matr(x for number of sets to submit Mailing Address Suite on back City/State Zip Phoneu wv I hereby acknowledge that I have read this application,that the information /7;-ogiven is correct,that I am the owner or authorized agent of the owner, and -- that plans submitted are in compliance with Oregon State laws Engineer Name Signature of Owne e Date j Mailing Address Suite Contpct Person Name Phone City/State Zip Phone /1 / T I7(gI`r�' FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O MaplTL# Land Use: Acressory Structure O Foundation Only O Alteration`) _ Repair O _Y Other U Notes Doscriptlon of work: TIF:- Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNEWTI DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical s.ibmittal, the application must contain the signature of the supervising ele-,trician 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 TYPE OF SUBMITTAL Plans KEY-. 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 Ali) 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) 2p New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *8 or B & M (Alt) � 1 3 'l3 & M & P & E(Alt) 3 -*B & M & P & E & F(Alt) 3 NOTES. "Shaded areas designate ALT submittals only. I k, maxtrix t doc 07106798 CITY OF TIGARD BUILDING INSPF JIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-,4171 — --- BUP Date Requested AM PM _ BLD — ! ocation f�1 r / �� Suite �Z c �� MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC -- Retaining Wall ELR _ Footing Access: ` Foundation 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 y - Mice:: -rL'�.i_�t.�___- -��r '.L- �. -T c L'c'-j f- ei W�;ART FAIL -- = � VWMBING Post& Beam Under Slab Top Out Water Service , Sanitary Sewer ----- Rain Drains Final PASS PART FAIL _ MECHANICAL - —' Past & Ream -- —--- ------- --- Rough In Gas Line Smoke Campers Final - - _ - ---- -- - —------- PASS PART FAIL ELECTRICAL - - gervice (lough In UG/Slab Low Voltage —�_-- __—�-- Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE. Fire Supply Line [ 1 p -_ [ ]Unable to inspect no access ADA Approach/Sidewalk Other nate / Z- - �- ,� inspector_;�.�_ -- -- Ext Final PASS PART FAIL DO AOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : BUP980468 DATE ISSUED: 11 /06/98 PARCEL: 15135DA-03501. SITE ADDRESS. . . : 11481 SW HALL BLVD #200 SUBDIVISION. . . . . ZONING:C-P, BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR AREAS------------ EXTERIOR WALL_ CONSTRUCTION - CLASS OF WORK. :FPIS F I RST. . . . 0 sf N- 5: E: W: TYPE OF USE. . . :COM SECOND. . . : o sf r-'RO_1rECT OPE NINGS? TYPE OF' CONST. :5N 0 sf N: S: E: W: OCCUPANCY GRP. :b TOTf*)L-----*---: 0 sf ROOF CONST. FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 2 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: SSMT?: MEZ7": REOD SETBACKS------------- FLOOR LOAD. . . . 0 ps f LEFT: 0 -Ft RGHT: 0 ft FIR 'oP,KL.-:Y SMOK DET. DWELLING UNT-IS: (21 F*RNT: 0 ft REAR: 0 ft r- I R ALRM: HND ICP ACC: SEDRMS: 0 BAT,-A C3 0 IMP, SURFACE: 0 PRO CORR: PIARK I NG: 0 VALUE. $ : 3500 Remarks .- Add sprinkler systee, Owner: FEES I.... N. PROPERTIES type amm.mt by date rerpt 11481 SW HALL BLVD PRMT $ 44. 50 DLH 1.0/30/98 98--310421 SUITE #100 5PC T $ E.,.. 23 DLH 10/30/98 98-310421 TIGARD OR 97223 FIRE $ 1-7. 80 DLH 10130193 98---31,0421 Phone #: 684-3066 X219 Contractor: --------------------_.__—._._—_ A 8. R FIRE PROTECTION CO PO BOX 459 NORTH PLAINS OR ----------------------------------------- Phone #: 503647 -1-468 $ 64. 53 TOTAL Reg #. . : 65938 ACTIONS or INSPECTIONS——— This ppreit is issued subject to the regulations contained in the Sprinkler Roi.igh— Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Drpgcn Utility Notification Center. Those rules are set forth in BAR 952-001-0010 through OAR 952-0101987. You vany obtain a ropy of these ,ules or direct questions to DUNC. by calling 1503)246-1987. Pprinittee SignatLtreEs.C_' Isso-ted By : +++4-+++++++++-f............4..................4.........+ +++++++++++++++++•+++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bL[Siness day ....................................4.........................................4-++ Fire Protection Permit Application PP Plan Check# -"d -,?FgL CITY OF TIGARD Commercial or Residential Recd By LTA 13125 SW HALL BLVD. Date Recd ?O d'' TIGARD, OR 97223 Print or Tyre Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST > Permit# A01off-O Called Job artte of Devela wA LZ B. K Ff oject A �� Type of System (Complete A or B as applicable) � r� ® i C Address Addi � I ress /)W A. Sprinkler Wet Dry Q HAVP / s �. �. B � L _ NLame a Standpipes . _ Owner Mailing Address Hazard Group /y S W 1-4 ). 13L,VO Additional Ci /State ZIP-1Phre Information Density -� ��.9 NName Design Area (] _ Occupant Maifin dre K. Factor 11 WALL- City/State AS CitylState — Ip Pnone A.1) Sprinkler Project Valuation $ I �Z Z t - '-�C C) v Contractor Name B.) Fire Alarm (Sprinkler or —F [ e E--C f ) Alarm company) M.AiUrgAd_� Submittal Shall Include Battery Calculations YES[] Prior to permit 11 (3c-,.>c _ issuance,a City/State Zip Pho e 7 Individual Component YES(] COPY N , t (�r `x os of all licenses O 2 t X 3 -2-Lf(D`t3 Cut Sheets $ „_ B.1) Fire Alarm Project Valuation are required if State Const.Cont.Board Lic# Exp.Date expired in L� -1 7 � ( Y Z I c�r- Project Valuation Subtotal(A & or B) $ databasee - Name permit fee based on valuation $ J - (see chart on back) Architect Mailing Address — 5%Surcharge $ .,dylState Zip Phone •---- � — FLS Plan Review 40%of Permit $ Describe 4- A.)New O Addition O Alteration Repair U --- 17 , to be done: _ TOTAL $ � y 53 B) Modification to sprinkler heads only. 1. 1-10 heads=No plans required Plans required: Submit three sets of plans,Inc uding 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 I Numberof sprinkler heads. 7 V correct.that I am the owner or authorized agent of the owner,and that plans submitted Additional Description of Work are in compliance with Oregon State laws Signature of Ownerl gent Date 4 / U A.)In Existing Bulldi New Bui!ding�p � Building contactPN n Name Phone / . j 7 y Data B.) Commeraal'� Residential p 6 Y FOR OFFICE USE ONLY: _ No of stories -- Plat# ~� MaprFL#: Sq Ft:3 - o c, ----- Notes Occupancy C ss 'type of Construction i:\firesupr.doc CITY OF TIGARD BIJILDI�G HERMIT FEES 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 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 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 5.5.83 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 99.33 8,001-9,000 74.50 29,80 3.73 108.03 9,001-10,000 80.50 32,20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 r' 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 22,001-23,000 158.50 63.40 7.93 229.83 23,001-2.4,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 2.47.23 25,001-26,000 175.00 70.00 8.75 253.75 2.6,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 7 7.20 9.65 279.85 30,00-1-31.000 197.50 79.00 9.88 2.86.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 66.20 10.78 312.48 35,001-36,000 220.00 8810 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.30 11.45 332.05 is\firesupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST /` 24-Hour Inspection Line: 639-4175 G Business Line: 639-4171 BUP � 7 6 /f � � Date Requested �� -/a " Ya _AM _PM BLD Location �l�/'J/ 3(ti) �Q .[,s4LL' _ Suite P-0 MEC —_ Contact Person —Y Ph , 2� 2 -," 97 PLM Contractor Ph SWR BUILDING Tenant/Owner —__ �� ELC Retaining Wall Et R Footing Access: , �^ Foundation /�s A,r � � -F S - --- Ftg Drain GN Crawl Drain Inspection Notes: Slab _-- �- --�--- SIT Post& Beam -- - Ext Sheath/Shear Int Sheath/Shear Framing -- -- --- --- -- -_ -� ___--- -- --- Insulation Drywall Nailing Firewall _ _ S r ni kl Fire Alarm -------_ Susp'd Ceiling - ---- -- ---- --._.. ---- R oof __ ------ -- PASS PART FAIL ---- ---- -- ---._. PLUMBING InstR Beam ------- - -- -- --- ---- - - - -----------�—_..-- ----.�-r _ — Under Slab fop Out Water Service SanitarySewer - — _ - _-.__-----------.__---------_------------------------------- Rain Drains Final PASS PART FAIL MECHANICAL ----------__.�__..- _---- Post&Beam -- -- - ---- - Rough In Gas Line -- -- --- _ - -- Smoke Dampers Final - - -- PASS PART FAIL. ELECTRICAL - -- - -. — - - Service RoughIn _------------- --_-----_.--------- UG/Slab Low Voltage Fire Alarm Final -- ------�_ ------------ PASS PART FAIL _ SITE Backfill/Grading Sanitary Sewer Storm Drain I I Reinspection fer,of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ [t'io'nse r;ali tur iemspection RE. - _ [ )Unable to inspect no access ADA Approach/Sidewalk Other pate 1 Z-. Irispector .- �'•/ Ext �� -- --- ---.. Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site, CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 CER1JFicA'rc OF OCCUPANCY PE R 111 r #. . . . . . . s BUP960456 DATE ISSUED: PARCEL: IS1351)A03501 FITC; ADDRESS. . . : 11481 SW HALL BLVD #12'09.1 SLJH1)I V I S I ON. . . . i Z ON I NG?C BLOCK. . . . . . . . . . i LOT.. . . . . . . . . . . . . JURISDICTIONc TIG CLASS OF WORK. sALT TYPO Or USE. . . :CUM TYPP. OF 1"ONST'Ro5N (JLCUPANCY GRP. -B OCCUPANCY L.OAD. �f; T*ENANI NAME. . . 3 ATS1 RemarPsv Tenant Improvement Owner: M11<F NEDELTSKY 11.806 EASTBOURNE LN PORTLAND OR 97'c-'36 Phone #i Contrac-tors SNK CONSTRUCT ON INC 10730 FiF HWY 212 P10 BOX 66 CILVICKOMAG Up 97015 Phone #t 557 0866 Reg #. . -. P07555 -this Certificite grants uccupanc'w of the above referenced building ov- porti �,,, thereof .-aknd confirms that tho buildiny hai been inspected for compliance the State of Ot.gon Specialty Codew, for the grOUP, occupancy, anc) Lr?.v under whic.,h the referenced p"r-mit was issued. eL BUILDING fVsr-, OR BUILDING OFFICIAL POGr IN CONSPICUOUS PLACE CITY OF TIGARD j DEVELOPMENT SERVICES 13125 SW Hall Blvd.,17gard,OR 97223(503)639.4171 RESTRICTED ELECTRICAL PERMIT - ENERGY PERMIT #: ELR98-0299 DATE ISSUED: 01/15/'j9 PARCEL-.- 1 S 135DA-.-03501 3TTC ADDRESS. . . : 11481 SW HALL BLVD #F'00 SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTN: TIG Project Description: Add HVAC systee t. RESIDENTIAL.--__._..______ B. COMMERCIAL._- AUDIO & STEREO. . . : AUDIO & STEREO. . : I19TERCOM & PAGINS. . : BURGLAR ALARM. . . . : BOIL.ER. . . . . . . . . . : I...ANDSCPPE/IRRI(aAT. . : GA?AGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . ..X PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHE:R. . a TOTAL # OF SYSTEMS: 1 Owner: -_._._._. ____._.____._____.______._.._,...___-______.___._______.__..____--- FEES L. N. PROPERTIES type amount by date recpt 11481 SW HALL. BLVD PRMT 0 40. 00 DEA 01/15/99 99-31222F, SUITE: #100 5PCT $ 2. 00 DEB 01 /15/99 99-312226 T T CARD OR 97023 (''hone #: 684-5066 X219 D L. HOWARD CO 0 42. 00 TOTAL_ 5340 SW DOVER LN -- -- REC,IU I RED INSPECTIONS - --- F"ORTt_AND OR 972;-5 Low Voltage Tns;pt r"11-ione #a 246-6764 Eler_t+ l Final This persit is issued Subject to the reg�,lations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work wilr. be done in acrordanre with approved plans. This pet-sit will expire if work is not started within 180 :lays of CsuparAif work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the !]regon llotifi inn Center. Thnse rules are set forth in OAR 95� 001-0010 through OAR 952-001-0080. Vou gay obtain co ies of 'hese ruirect qu tions o at (503)246-1987. is r,r_tt? _. r�prmittee Siqn t•..tr __...._..._.._.w.____. . ...._._,_..._.._ _.._ ...._..-_._OWNER IN5'rAI_L_AT'ION ONLY__._........ ..___......_... ,...__... *he installation is being made on property I owri which is not intended for ;ale, lease, or rant. '1WNFR' S SIGNATURE- DATE a _-.__-._.........._._...._.._..._._...._...._...._.__... -CONTRACTOR INSTALLATION ONLY__ .__._. .. ... _....._ I GNATURE OFSI)r-R. FI_.E l"' N s DATE: ICENSE: NO: *+4,+++4.+++++++++-+--4-+4-4-++++4 ...........................4......•h+++++++++++++++++++++ Call 639•-•4177) by 7:00 P. M. for an inspertion needed the next hr.tsinesss day 4 +,+•4++••1•++++•++•+•+•4••+ ++ F++++ F F++++++ 1 + 1++-F F++++++++++++++.+•F+•++++t+++-++++•+•4•++++++-I CITY nF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HAIL BLVD Date Recd: le-P TIGARD OR 97223 PRINT OR TYPE V - 503-639-4171 X304 Permit k F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'& WILL NOT BE ACCEPTED Name of Development Proicct TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 L. (FOR ALL SYSTEMS) JOB ,tr.et Address Ste# ADDRESS led Check Type of Work Involved Lip Phone#�A& �'� Audio and Stereo Systems Name ❑ Burglar Alarm c OWNER Mailing Address — F—] Garage Door Opener' City/State 7_ip Phone# ❑ Heating,Ventilati m and Air Conditioning System' Name Vacuum Systems' fr ❑ Other CONTRACTOR Mai in Address 4C5 �-�J� w— TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a yl to Phone# Fee for each system......... .............. ..................... $40.00 copy of all licenses � LZ-j %_6-+6 (SEE OAR 918260-260) are inquired If Oregon Contr Brd�l� E p Date expire in C.O.T. =f� Check Type of Work Involved data base). Electrical onir L # Up D Z�88 ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp Date ❑ Boder Controls — Owner's Name L] Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunica'don Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to r � make only restricted energy Installations(100 volt amps or less)under this Ll� HVAC permit and to do the following. ❑ Instrumentation 1. Only use electrical licensed persons to do Installations where required. �- Certain residential and other transactions are exempt from licensing D Intercom and Paging Systems These have asterisks(') All others need licensing; E] Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-539-4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls Inspection when the inspector is out to Inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final Inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses,are required Licenses are required for all other Installations authorized to bind the appil t. I FEES: ENTER FEES Z e 5%SURCHARGE(.05 X TOTAL ABOVE) S Authority if other than Applicant TOTAL slw � 1 kdstsveseie doc 7191 _ - '-- f I Page No. 1 CASE HISTORY FOR CASE. NO.: ELR98-0299 L. N. PROPERTIES 11181 SW HALL BLVD Unit: 200 12/30/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd i Code Sent Dtine Done Date By ELRC001 Application Received / / / / 10/29/98 RECD CEO 10/30/96 CEO ELRC003 Permit Created / / / / 10/30/98 Need electrical lic information. DONE CEO 10/30/98 CEO ELRC400 (F) Ready to issue / / / / 11/02/98 Need electricial lic information. PASS OED 11/02/98 CEO ELRC725 Low Voltage Inspection / / / / / / 10/30/99 GEO ELRC799 Elect'1 Final / / / / 12/18/98 PASS CD 12/23/98 RB ELRC800 Case finaled / / / / 12/30/98 12/30/98 JT i