The URL can be used to link to this page

11481 SW HALL BLVD STE 201-3 r � k Cr H t Rt r r 00 r C N 0 i 1 1 i 9q4 I i 114 1 dN BALL sLv» 1201 ., CITY OF TIGARD MECHANICAL PERMIT PERMIT#: MEC1999-00188 DEVELOPMENT SERVICES DATE ISSUED: 7/22199 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 201 ZONING: C-P SUBDIVISION: BLOCK: LOT: _JURISDICTION: TIG CLASS OF WORK: Al T` �— FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOIL.ERSICOMPRE_SSORS� HOODS: FUEL TYPES 0 - 3 HP: - DOP1ES. INCIN: EI_F 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP- REPAIR UNITS: FIRE DAMPERS'?: Y 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 6 _ AIR HANDLING UNITS _ OTHER UNITS: 2 FURN >=100K BTU: <= 10000 cfm: I GAS OUTLETS: > 10000 cfm: Remarks: Add mechanical for TI _ Owner: ----- — FEES —_ L N PROPERTIES Type By Date Amount Receipt 11481 SW HALL BLVD PRMT DLH 7/22/99 $49.50 99-317079 SUi i E 100 PLCK DLH 7/22/99 $12.38 99-317079 TIGARD, OR 97223 5PCT DLH 7122199 $2.48 99-317079 Phonc: Total _- $64.36 Contractor: D L HOWARD CO INC 5340 SW DOVER LN PORTLAND, OR 97225 _ REQUIRED INSPECTIONS _ r Mechanical Insp Phone:246-6764 Duct Inspection Reg It:LIC 82769 Fire Damper Insp S.D. Shut-down 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 ATT ELATION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 ti,fough OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189, - _.l _ Issue B � < `�'l/ - Permittee Signature:r�lru,.- Y P "i� ► __.--__— r r� Call (503) 539-4175 by 7:00 P.M. for Inspections needed the xt busi 99 day CITY OF TIGARD Mechanical Permit Application Plan Check#-T-/'Cecu- Hec'd By-Q- 13125 SW HALL BLVD. Commercial and Residential Date Rec'd_�-v?� TIGARD, OR 97223 Date toP.E.,��__`"'' (503) 639-4171, x304 Date to DST ��-� / Print Or Type Permit#/�Ii=t- tf i ' - __ Ircomplete or illegible applications will not be accepted Called hlme of Develranent/Prolect Description. - Table 1A Mechanical Code At-L-- C';9-?' !��?.. - ---_--- Cit PriceAmt Job Street Address Suite# A Permit Fee moo Address 1 SW ��ALL Z�� , 1) Furnace to 100,000 BTU eldg# Cny/8tele Zip including ducts&vents -_ l _ 6.00 _ 2) Furnace 100,000 BTU+ -- A �� fi22.� including ducats&vents 7.50 L Mame(or name of business) 3) Floor Furnace i - Owner `A P includin vent _ 6.00 Melling Address 4) Suspended heater,wall heater - _ or floor mounted heater 6.00 1 l 4P L t-- 5) Vent not included in appliance permit CRY/State Zip Phone 3.00 _ - ( 1/,nti2Cl.G IZ- 9-1 2 23 684 -50�6 CHECK ALL "Boiler Heat Air -- Name(or name of business) THAT APPLY: or Pump Cond City Price Amt 'T", Come •• �P Cs ` ACX A)<3HP;absorb unit to -- Occupint Mailing Address 100K BTU __ s.00 49 1 c 6r-i 1)3-15 HP;absorb unit Chylstate ZIP Phone 100k to 500k BTU 11.00 _ u><9-TU 0(Z 9 a i-ZL 14K:- 8) 15-30 HP;absorb unit.5-1 mil BTU 15.00 Contractor Name 9)30-50 HP;absorb -- ti t-•• c unit 1-1.75 mil BTU 22.50 Prior to permit Melling Address 1 U)>50HP;absorb unit - - issuance,a copy 5 3 --,W OLN Lv.(, >1.75 mil BTU of all licenses CRY/Stale Zip poneh11)Air handling unit to 13,000 CFM 37.50 are required it -C Lµ.Np GR 9-47 tri Z4(" 6 f b4_ expired in COT Oregon Conn.C Board Llo.# Exp n to 12)Air handling unit 10,000 CFM4 4.50 database_ 2 `3 u c _ 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 City/state ZIP -Phos e appliance penn 4.50 _ 16)Hood served by mechanical exhaust Describe work to be done. Y-- 4.50 17)Domestic Incinerators ----'— New O Repair Cr Replace with like kind Yes O No O 7.50 _ Residential O Commercial V 18)Commercial or industrial type Incinerator - - Additional Information or description of work: 19)Repair units 30.00 4.50 20)Wood stove 4.50 21)Clothes dryer,etc. 4.50 Type of fuel: oil O natural gas O LPG O electric 22)Other units 4.50 I hereby acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets - given is coned,that I am the owner or authorized agent of 2.00 the owner,that plans submittod are In compliance with Oregon State laws 24)More than 4-per outlet(each) Signature of OwneKhk ant Date - - - - 50 / Minimum Permit Fee$25.00 SUBTOTAL S 5%SURCHARGE Person Contact Narne Phone— __ PLAN REVIEW 25%OF SUBTOTAL. �`� ( Rre uq Ired for ALL come clal pe tilts ont 6A,.. -- TOTAL �I) "State Contractor Boiler Certification required "Residential AIC requires site plan showing placement of unit I\mechperm doc rev 07/20/98 m m m m m n m m m m m m m m m D 0 C) C) t? C) O 0 C) C) n C) 0 C) C) C) 2 00 C) C) C) C) C) C) n C) () C) _< Lp O O O J V V V V v O O j O O --� CD O fD CJI N CD .P A W E+ O O O o G o v to u, O Ln cn C) c i. 00 v N (n 71 a0)A T X T W 0) c v U m r- c m m. o "D J ry@ n (n 7 [U n 11 T C C. J (U 7 Ip �{ ? m < c B. 2. o N p p j 7 Ol Q N (D fD 7 CD f •p x TJ m <. 00 o y chi n a 3. gyp' o LT ti � m r!� n CD CD V/ -y, N -4 -4 -4 W p O CD y D (1)N m 0 0 CL rt O O coil m U 0 m m nl o m z z v v O O O m W -A OO O O D D O O m O m v (Q z z z z w rn z z z z c) l) b m m m m rn cn m rn -+ m y O 00 z z zz z z z z z z z z z z 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 r y to 2 2 1 Z 2 S S T 2 S S 2 2 2 S < o 0 Q o 4 Q 0 Q Q Q !a r3 a a n a a a a a a as a a n C D D W D A A D D S1 G7 O O i zz z° ° ° ° C ° m 0 0 0 CDR Imz 0 �� I�� _ ELECTRICAL PERMIT PERMIT#: ELC1999-00295 DEVELOPMENT SERVICES ' ArE ISSUED: 5/18/99 13125 SW Hall Blvd., Tigard. OR 97223 (503) 6 11.E PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 201 SUBDIVISION: ZONING: C-P BLOCK: LOT : .:URISDICTION: TIG Proiect Description: Installation of a new 200 AMP service/feeder and 20 branch circuits. RESIDENTIAL UNIT _ _T_EMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: — 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUrrS —_ _ r _ _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 20 PER INSPECTION: 201 - 400 amp: 19t W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REWEV/ SECTION 1000+ arno/volt: — >=4 RES UNITS: Y >600 VOLT NOMINAL: Reconnect-only: SVC/FDR >=225 AMPS _ CLASS AREA/SPEC OCC: Owner: Contractor: THERAPEUTIC ASSOC R C COSTELLO ELECTRICAL 11481 SW HALL BLVD ROGER COSTELLO SUITE 201 1439 SE 17TH LOOP TIGARD, OR 97223 CANBY, OR 97013 Phone: Phone: 266-8483 Reg #: SUP 834S LIC 00087402 ELE 3.344C _ FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT GEO 5/18/99 $160.00 99-315482. �I Cover Elecect'I Service 5PCT GEO 5/18/99 $8.00 99-315482 Elect'! Final Total $168.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not 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 Notrfication Center Those rules are set forth in GAR 952-001-0010+.hrough OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 2.46-1987 Permit Signature: �� %" Issued B -V/��Omo� G&P OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, tease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SLIPR. ELEC'N: }� � � _. DATE: LICENSE NO: ----- � — --- -- — Call 639-4175 by 7:00pm for an inspection the next business day CITY OFTIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By__ Date Recd_ _ TIGARD OR 97223 Date to P.E. _ Phone (503)639-4171, x304 Print or Type Date to DST-__-____ C Inspection �.- (503) 639-41 75 Fax (503)684-7297 Incomplete or illegible will not be accepted Permit#f-Called 1. Job Address: 1 4, Complete Fee Schedule Below: Name of Development �a I a(k- !1!-t i( C ei1ezl._ Numbor of Inspections per permit allowed - Name(or name of business) �wrfAgeVtI C A,Snc; Service included: Items Cost Sum rrJJ r� � r�� 1 Address l l S w i4a N GU +f- o I 4a. Residential-per unit 1000 sq.it.or less $110.00 City/State/ZipI tc'>Q f(A o Ic•- - Fach additional 500 sq ft.or portion11 Commercial LJd Residential ❑ Lim lad Energy thereof __ $25.00 _Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all rent li ries) Ins Services or Feeders Electrical Contractor � � Installation,alteration,or relocation Addfe�yS 200 amps or less $60.00 201 amps to 400 amps -- $80.00 2 CityC State zip C722/ _ 401 amps to 600 amps -_ $120.00 _ 2 Phone No. ':C(v(o- y � sol amps to 1000 amps _. $180.00 2 Over 1000 amps or volts $340.00 __ 2 Job No. _-_- Reconnect only $50.00 2 Elec.Cont. Lice. No. Exp.Date_j OR State CCB Reg. No. ' Exp.Dati = 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date' _ Installation,alteration,or relocatlon 200 amps or less ► $50.00 2 i a 201 amps to 400 amps $75.00 _ 2 Signatuid of Supr. Elec'rf -- 401 amps to 600 amps $100.00 _Over 600 amps to 1000 volts, License No. Exp.Date �� 4 _ see"b"above. Phone No. Bl�l-3u3�� - 4d.Branch circuits New,aneration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name____ feeder fm. - Each branch circuit �� $5.00 O V 2 Address h)The fee for branch circuits City State_ - Zip------ __- without purchase of Phone No. -_ service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuli_ $5.00 2 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 section (if required):* Signal clrcuit(s)or a limited energy panel,alteration or extension $40.00 Minor Labels(10) $100W - Please check appropriate item End enter fee in sc.ction 5B. _4 or more residential units In one structure 41.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 $35.00 Classified area or structure containing special occupancy Per hour -_ $55.00 a,described In N.F.C.Chapter 5 In Plant $55.00 'Submit 2 sets of plans with application where any of the above apply. Jr'. Fees: / r Not required for temporary construction services. So.Enter total of above fees $ 54'0 Surcharge(.05 k total fees) $ NOTA Subtotal $ - - 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If 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 r TIME AFTER WORK IS COMMENCED. 0 Trust Account# S j Total balance Due I OSTMEl.csa APP nw 91" a• CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — — BUP �— �--Date Requested-_ AM PM - BLD Location ( I L��1! ,( Suite ��T MEC _- Contact Person _ (� — ph y _2jPLM Contractor _ _ _ Ph SWR _q BUILU—IN(i Tenant/Owner _ ELC Retaining V'all ELR Footing Access — Foundatioo FPS Fig Drain Crawl Drain Insoectlon Notes: SGN ---- Slab SIT Post&Beam --- -------- Ext Sheath/Shear Int Sheath/Shear — --�—"-- Framing Insulation Drywall Nailing -- _--- Firewall --- -- ---------.____. __ Fire Sprinkler -- ----- --- --- -- --- — -- Fire Alarm - -- --- -- Susp'd Ceiling ------------.--___-- — Roof — -- ----__._ I'Aisc: - - --- - -- -- — lJ --...—--- ---- Final - - PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -- PASS PART FAIL MECHANICAL F'ost& Beam ---- -----_ -- _- —� Rough In Gas Line -- Smoke Dampers Final — -- PASS PART FAIL @11cTR Service Rough In ——— -'-" UG/Slab Low Voltage Fire Alarm �LfRS 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 Fire Supply Line [ 1 Please call for reinspection RF._ _ _ [ J Unable to inspect- no access ADA Approach/Sidewalk Date ; Other Zl- Inslrector — Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. r Y� ELECTRICAL PERMIT- / \ ci TY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00137 13125 SW Hall Blvd.. 'rigard, OR 97223 (503) 539-4171 DATE ISSUED: 6/2/99 SITE ADDRESS: 11481 SW HALL BLVD 201 PARCEL: 1 S135DA-03500 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Descrintion: Data telecommunications system A.RESIDENTIAL_ _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & P^.GING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 Owner: T — —� --Contractor: --- �— -- LN PROPERTIES LLC NORTHWEST NEI-WORKING + CONSULT 11481 SW HALT_ BLVD 9150 SW PIONEER CT STE E TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: 684-5066 Phone: 582-1190 Reg #: Lic 112306 SUP 28.52JLE ELE 34-416CL FEES Required Inspections Type By Date Amount Receipt Elect'I Final 5PCT BON 6/2/99 $3.00 99-315851 PRMT BON 612/99 x;60.00 99-315851 Total $53.00 ORIGINAL This Permit is issued subject to the regulations coitained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will exp,fe if work is not started within 180 days of issuance, or if wor!c is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Th rule.4 are set_fQrth in OAR 952.001-0010 through OAR 952.-001-0080 You may obtain copies of these es or dirt qr on� to OUNC at (503) 246-1987 /-- /� n Issued by !'41. `- —__ Permittee Signa _ _OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: ______ C_ON�TR�ACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N ��1 I DATE— LICENSE N O: ---�------ ----- �V-- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Electrical Permit Application Plan Chec 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd 64-z ` Date to P.E._ Phone (503)639-4171, x304 Date to DST__ Inspection (503)639-4175 Print of Type Permit Fax(50_a) 598-1960 I Incomplete or illegible will not be accepted Called W (1-11111 - 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ ��__ Number of Inspections per permit allowed Name(or name of business)-- 1 /L�, ��,_ r c C Service included: Items Cost Sum Address I1`1 l7 J�1-76 C>r►t�� _! 1{� 4a. Residential-per unit City/State/Zip �pr/ /G.�� /� (:?7 11)l 1000 sq it or less $ 117 75 4 -- Each additional 500 sq If or portion thereof $ 26 2.5 1 Commercial Residential ❑ limited Energy $ 1-,o 00 Each Manufd Home or Mod-1lar 2a. Contractor installation only: Dwelling Service or Feeder _ $ 72 75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data see �,t Installation,alteration,or relocation Electncal Contractor/1/O S; W+t`/-. r ll�.> 7 200 amps or less $ 64.2C 2 Addres 15-0 " _r V•e-1-- e 201 amps to 400 amps $ 85..50 2 ,. 401 amps to 800 amps _ $ 128.50 2 City S� r, State Zip_ I Q'70 601 amps to 1000 amps $ 192.50 2 Phone No _ =ILY(1 Over 1000 amps or volts $ 363.75 T_ 2 Job No. A Reconnect only $ 5350 2 Elec. Cont. Lice. No�6u r-4 E Exp.Dale/ l' 4c.Temporary Services or Feeders OR State CCB Reg. N000 Exp. e a 0 Installation,alteration,or relocation COT Business Tax or fao. xp.D to 200 amps or less $ 5350 _ _ 2 201 amps to 400 amps $ 8025 2 401 amps to 600 amps $ 107.00 2 Signature of Supr. EI ' - __ Over 600 amps to 1000 volts, - see"b"above. License N0. ./�H Exp.Date 4d.Branch Circuits Phone No _ � Q� 04 Ncw,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 535 2 Address- b)The fee for branch circuits --- - ----- —------ -- - without purchase of service City State Zip,.._._._....._..._ - or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or rent (Service or feeder not Included) Each pump or irrigation circle $ 42 75 Owner's Signature—_ __---_ -- I Fach sign or outline lighting _ $ 42 75 Signal circult(s)or a limited energy 3. Plan Review section if required).' panel,alteration or extension _� $ 60 00 Minor labels(10) $ 107.00 — I Please check appropriate item and enter fee in section 58. 4f.Each additional Inspection over " tf. i�M _ 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per Inspection $ 5000 Per hour $ 5000 System over 600 volts nominal In Plant _ $ 5900 — _—Classified area or structure containing special occupancy as described in N E C Chap'er 5 5. Fees: �C 5a.Enter total of above fees $ # Submit 2 sets of plans with application where any of the above apply 5%Surcharge(A5 X total fees) $ •L� Not required for temporary construction services. Subtotal $ Sb.Enter 25%of line Be for NOTICE Plan Review if required(Sec 3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Acrount# AT ANY TIME AFTER WORK IS COMMENCED Tota/balance Due T $ �' (0 1:\dsts\farms\e lecttic.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 lousiness Lite: 639-4171 BUP _-- Dater1Rl1equested /1 O��' I 1 Am �, PM BLD Location i 1 � ! 4&u — Suite -4 2LA MEC Contact Person Ph qq3 ' 15G PLM _ Contractor Ph SWR BUILDING n -YOwner _ r } �.. — ELC /� Retaining Wall ELR `q`7 q Footing Access. Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: 4n //�� Slab _- i1 �� / Il✓lX 11 L SiT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation r� Drywall Nailing �.C�4.4,E Firewall --- _- -- �- Fire Sprinkler Fire Alarm Suup'd Ceiling Roof Misc: ----- Final � — PASS PART FAIL PLUMBING Post d 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 LECTRICA --- - -------- ---- Service Rough In -- UG/Slab Low Voltage Fire Alarm _ ASS 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 Fire Supply Line I ] Please call for reinspection RE. ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector_ ca,c-. ---- Ext Final PASS PART FAIL_] DO NOT' REMOVE this inspection record from the Job site. M M m m m m m m y l D (n cnn V V O 4 t "' 00 o O O O toto Cl W N T m m w m g U w ca (D N N n f» TJ N CO Cl. N m m p S CL ( o m a w m D 0 Ll ID t0 N -ff 0 0 0 CO 0 r z z z z .< <D v c0 O O $ DO O ° Q m m m v) m mb Cl W z z z z z z z '4 o o o o o oo o r x Q Q c Q g m a a 0. a n a` a s C L- z z z> co z z •� OD I z CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00161 13125 SW Hall Blvd.,Tigard, OR 97223 (503) G39-4171 DATE ISSUED: 4/30/99 PARCEL: 1 S135UA-03500 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 11481 SW HALL BLVD 201 SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT f Y TYPE OF USE: CUM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 70 TENANT NAME: THERAPEUTIC ASSOCIATES REMARKS: Tenant Improvemt it Final Building Inspection and Certificate of Occupancy Approved 8/25/99 by George Steele, Building Inspector Owner: I._ N PROPERTIES, LLC 11481 SW HALL BLVD SUITE 100 TIGARD, OR 97223 Phone: 684-5066 x219 Contractor: PACIFIC CREST STRUCTURES INC 7301 SW KABLE LANE STE 700 PORTLAND. OR 97224 Phone: 503-968-8949 Reg #: LIC 006691 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDING INSPECT BUILDINd OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — — BLIP '/-CO Kz) I Date Requested 'L i��_AM �PM BLD _ Location, I �{.(c ]V Suite ) — MEC _ Contact Person �� n� Ph / ^ _`�!A PLM �— Contractor �1a . Ph — SWR ILD- ELC�M/ t -Z — E Aining Wall ELR Footing Access: - - Foundation FPS Fig Drain — Crawl Drain Insoection Votes: SGN v_ - Slab _..--- ----------- -- SIT Post & Beam �—-- -- Ext Sheath/Shear Int Sheath/Shear Framing _ _ Insulation Drywall Nailing Firewall _ - --- --- Fire Sprinkler Fire Alarm Susp'd Ceiling --- fu� '`'� �-.b" _^�L✓"+ $-9r- - Roof (i a Misc: -real --- - - S� RT FAIL ------- --- --- `_. ---- - -- P _G Post&Beam ----__-- Under Slab Top Out Water Service Sanitary Sew: Rain 0,-,ins Final ------ --------- PASS PART FAIL. iNECHANICAI. -- Po.;t& Hearn ---- - - - -- — -- Rough In Gas Line - - - - Smoke Dampers f anal - ----- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ ^required before next inspection. Pay at City Hall, 13125 SW I fall Blvd Catch Basin Fire Supply Line ( ]Please callfor reinspection RE: ^, ( ]Unable to inspect no access ADA Approach/Sidewalk Date v Jr�_L__Inspector__ Ext t Other - P [— _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the jots site. CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP1999-00161 DEVELOPMENT SERVICES DATE ISSUED: 4/30/99 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 201 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT_OPENINGS? TYPE OF CONST: 5N 7,334 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 76 BASEMENT: sf AREA SEP. RATED: STOR: H': ft GARAGE: sf OCCU SEP. RATED: BSA-IT?: MEt/-?: _ REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC: BEDRMS: B, THS: IMP SURFACE: PF:O CORR: PARKING: VALUE: Remarks: TI Owner: Contractc.r: L N PROPERTIES, LLC PACIFIC CREST STRUCTURES INC 11481 SW HALL BLVD 7301 SW KABLE LANE STE 700 SUITE 100 PORTLAND, OR 97224 TI ana, OR 97?_23 Phone: 503-968-8949 Reg #: uc 006691 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT BON 4/30/99 $458.00 99-314982 Gyp Board Insp Susp Ceiing Insp PL.CK DLH 4/27/99 $297.70 99-314869 Final Inspection FIRE DLH 4/27/99 $183.20 99-314869 5PCT BON 4/30/99 $22.90 99-314982 ORIGINAL Total $961.80 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialh, Codes and all other applicable law. All work will be done in accordance with approved plans. This pr.rmit will expire if work is not started within 180 days of issuance, or if work is suspended for more than ' 80 days. ATTENTION: Oregon law requires you to follow the rules adapted by the Oregon Utility Notif,cation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You :nay obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee Slnnature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business d,iy AlITY OF TIGARD Commercial Building Permit application Date Rev'd e d 13125 SW HALL BLVD. Tenant Improvement ater'd y �1y9 r TIGARD OR 97223 Date to P.E.�Z 9 ' (503) 639-4171 Date to DST_ <� '7—�(' 1 V Permit*aL(A/Onn..X Print or Type Related SWR* Incomplete or illegible applications will not be ac ed gellied,2M z --- name of Development/Project Existing Building XNew Building Job H-At(" Address Street Address u e ^-�j Building Data Bldg 0 City/State zip ` -" Existing Use of Building or Property-� -- - Name / /;/'nJ�� J7 7r .. Property At(I, Proposed Use of Building or Property: Owner Mailing Ad�t�e�sra{, (suite // No Of Stories: City/Stab ZI Phone r'06Sq. Ft. Of Project: Occupant Name 73 -T"laT& � �� Occupancy Class(es) Name r� Contractor Type(s)of Construction � '� �� , Prior to permit Mailing Address Suite issuance,a copy //�� Will this project havea Fire Suppression System? of all licenses l0 f e ;,Et t ,- r l,L- Yes No are required If City/State zip Phone Americans wit inabilities Act(ADA) expired in C.O.T � C ,1 database i l�^l, ' - ??� U�"0`��f Valuation X 25% = $ Participation (��vpi Oregon Cons Cont.Board Lic.* Exp.Date Complete Accessibility Form � = is Project $ Name /aluation ; I L Architect f-- PO(ON I Vt lk1lans Required: See Matrix for number of sets to submit �. Mailing Address Suite I on back C ci' City/State Zip Phone f„ereby acknowledge that I have read this application,that the irlormation 1 1 ' 9ivgqn is correct,that I am the owner of authorized agent of the owner,and !N: �0 2 Z � ttrptblans submitted are i com lance with Oregon State Laws Engineer Name `11 of7/ Uate Mailing Address Suite r t�/ �J ;J C to Person Name Phone City/state ZIp Phonc FOR OFFICE USE ONLY _ Indicate type of work NewNX Addition O Demolition O MaprrLN Land Use' Accessory Stnrclure O F nation Only O Alteration O OOther O Notes Description of work: �y rC�l� r�►If14/ __�.� t1�1vwv TIF: IN wr ( �� i11�Cil� ,C�tZ� Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNEWTI DOC (DST) 5/98 C"MMERCIAL FLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon suomittaI of 80TH plans AND a CO&LETEO 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 contant 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 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, "Ad, or AK)� 2 Add = Addition B & F & M & P & E _ 3 Alt = Alternation to Existing (New , Add)_ Building *B or B & M (Alt) T 1 *B & M & P (Alt) 3 .*B &M & P & E(Alt) _ 3 *B & M & P & E & F{Alt) 3 NOTES: *Shaded areas designate ALT submittals only.' 1.\dsts\forms\matrxcomdoc 11/10/98 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P24/99 00162 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417'1 DATE ISSUED: 5/24/99 SITE ADDRESS: 11481 SW HALL BLVD 201 PARCEL: 1S135DA-03500 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS'. OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Add a sink to a tenant space. The current fixture count is 118, addition of 3 fixture count = 121 or 7.56 EDU's = 8 EDU's. SWR1999-00117 FEES_ Owner_ '— Type By Date Amount Receipt LN PROPERTIES, LLC PRMJ BON 5/24/99 $25.00 99-315600 11481 SW HALL BLVD MISC BON 5/24/99 $1.25 99-315600 SUITE 100 — TIGARD. OR 97223 Total $26.25 Phone 1: Contractor: D P PLUMBING/DARREN T PLACEK 904 S CHEHALEM NEWBERG, OR 97132 REQUIRED INSPECTIONS Phone 1: 537-9492 Rough-in Insp Misc. lnspection Re #: LIC 00110612 Final Inspection PLM 36-70PB ORIGINAL. f his permits issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct quE!stions Io OUNC by calling (503) 246-1987. Issued By: 9 M, 1 rermittee Signature, 1r `,�. ,.J..�� "�- -- - --- �--�• Call (503) 639-4175 by 7:OJ P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Che 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd - (503) 639-4171 Date to P.E. Print or Type Dale to DST Incomplete or illegible applications will not be accepted Pennll* gill?,; Related SWR*l9�f-�//� Called_ -f" �y Name of Development/Project FIXTURES ,(individual)• s GTYP'4PRICE 1 %MT Job - Sink 9.00 Address Street Address Sult Lavatory 9.00 -.1 .5 1,)AL` ` 't Tub or Tub/Shower Comb, 9.00 Bldg* City/State Zip Shower Only 9.00 Name Water Closet 9.00 Dishwasher 9.00 Owner Mall Addre l o ryI , Suite Garbage Disposal 9.00 I her Washing Machine 9.00 ity/ Zi 71` Phpn*_ Floor Drain/Floor Sink 2" 9.00 Nance 3" 9.00 4' 9.00 Occupant Meiling Address Suite Water Heater O conversion O like kind 9.00 Gas piping requires a separate mechanical pennit. City/State Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Name Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite _ _ 9.00 . r IIr 411 .'�'� J.00 Prior to permit City/State Zip Phone Sewer-1 at 100' 30.00 Issuance,a copy , (� �' 2/ %'I `.- Sewer-each additional rJ0' --- 25.00 of all licenses are Oregon Const.Cont.Board LlcA Exp.Date - --- Water Service-1st 100' _ 30.00 required If • '0 / , ^ expired In COT Plumbing Llc.* Exp.Date Water Service-each additional 200'- 25.00 database f') t'�� _ Storm&Rain Drain-1st 100' �- 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space - 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device _ Engineer caty/State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit _ New O Repair O Replace with like kind Yes O No O Any Trap or Waste Not Connected to a Fixture- 9.00 Residen'isl O_ Commercial 4 _ Catch Basin 8.00 Additional description of work: Insp.of Existing Plumbing 40.00 _ erlhr Specially Requested Inspections 4000 erfhr Rain Drain,single family dwelling 30.00 Are you cappi-,11g, moving or replacing any fixtures? -- - Grease Traps Yes O No O 9.00 If yes,see back of form to Indicate work performed by -- --- QUANTITY TOTAL 41 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required d Quantity Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. •SUB i OTAL _v I hereby acknowledge that I have re id oris application,that the Information 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 State Laws. Signature of Owner/Agent Date -PLAN REVIEW 26%OF SUBTOTAL ) Regulred only If axtur,!�_totel fa>9 _ t- . _ l�'.•..-. �� TOTAL Conta t Person Name Phone _ _ l _ 'Minimum permit fee Is$25+5%surcharge,except Residential Backflow t r .:`s.< Prevention Device,which Is$15+5%surcharge **All New Commercial Buildings require plans with Isometric or riser diagram and plan review Wslslplumapp doc 7,2/98 PLEASE COMPLETE: Fixture Type Quantity by Work Performed _ New Moved Roplaced Removed/Capped Sink Lavatory ` Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" A„ Water Heater �} _ Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I Weti4*r noM doc 7/7/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested / ' ��"�_��_AM PM BLD Location. �1` � �-tcLl ( ?�L Suite 2 _ MEC Contact Person �',�' - Ph `��'�� _ PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC _ Retaining Wall ELR _ Footing Access: Foundation NPS F tg Drain Crawl Drain Inspection Notes: SGN _ Slab SIT Post& Beam ` Ext Sheath/Shear Int Sheath/Shear — �— Framing -- ------ --- ------- —�_—. Insulation Drywall Nailing --- _----- ---- ------ — — -------—--- —-- Firewall Fire Sprinkler Fire Alarm - -------------------- -------- ___-- Susp'd Ceiling _--- ------------ _._._--.-- ---___—_ _. _ ,__—_-- Roof Misc:. - —-- --- — ---- _ _—»-.--� —�------ _-� --- Final PASS PART FAIL -----._, ---___.___._---------- ----.___-- LUM > Post& Beam Under Slab Top Out - Water Service Sanitary Sewer ---- —- -— -- - —--------- Rain Drains i A PART FAIL I ICAL Post li, Beam --- ---___-._-- Roliah In vas Line - - --- - - --- Smoke Dampers Final - — - ----- ._ PASS PART FAIL ELECTRICAL - Service Rough In - -.. ----- �- iJG/Slab i ow Voltage --- f ire Alarm final - -- - -------------- -- - PASS PART FAIL SITE Backfill/Grading — — -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line [ ] p — ___ [ ]Unable to Inspect-no access ADA / Approach/Sidewalk ` �J Other Date - � �- ---Inspector ✓f Ext / Final PASS PART FAIL DO NOT REMOVE this inspection record from the jots site. CITYOF TI GARD SEWER CONNECTION PERMIT DEVELOPMENT' SERVICES PERMIT#: S 0011'7 .13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41'1 DATE ISSUED: 5/221/991/99 SITE ADDRESS; 1148. SW HALL BLVD 201 PARCEL: 1 S135DA-03500 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG TENANT NAME: THERAPEUTIC ASSOCIATES USA NO: FIXTURE UNITS: 3 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Add sink to an existing tenant space. Current fixture count 121, addition of 3 new fixture ci; ,nt= 121 or 7.56 EDU's or 8 EDU's, this is an increase of 1 EDU. Owner: FEES _ L N PROPERTIES Type By Date Amount Receipt 11481 SW HALL BLVD — -- --- SUITE 100 PRMT DRA 5/21/99 $2,300.00 99-315594 TIGARD, OR 97223 TotalA $2,300.00 Phone: Contractor: Phone: Reg #: Required Inspections h This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires 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 adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by catling (503) 246-1987 �) Iss(ed by: 1►" � Permittee Signature: -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tep�Name:�NE-�Q/�PN� �ssc�C• This SWR#x_99 00 // :P _ This PLM#,! 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 Cuspidor/Water Aspirator—, _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 Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 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 Bradley 5 _-- Commercial 3 -? Service 3 Swimming Pool Filler 1 Washer-Clothes _ 6 Water Extractor 6 _ Water Closet-Toilet 6 urinal 6 ____— TOTALS Total fixture values ;R/ divided by 16 = JAG EDU - HISTORY PLM#gq- o oqp EDU# ;;L SWR# g 9- overs_ PLM#qf% -e1,?6 EDU# 4 SWR#9V- J _PLMgqf•O o 1 / EDU# p _SWR# 9-ooh 3 PLM# _-- EDU# SWR# v _ PLM#qf_0 y,S6 EDU#_*_S_WR#95) -0 3,7,/ PLM_# __ EDU#_f__S_WR#_ _ PLM#y',6-o",P_3 EDU# SWR#yk -o 3r'. PLM# EDU# SWR# — i WsMswrtaly do( —� CITYOF TIGARDBUILDING PERMIT r DEVELOPMENT SERVICES DATES UIED: 6/25/99 00248 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DA-03500 SITE ADDRESS: 11481 SW HALL BLVD 201 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: 7 "_'34 sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: !ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,300.00 Remarks: Installation of fire protection system consisting of 77 sprinkler heads. Owner: Contractor: L N PROPERTIES A & R FIRE PROTECTION 11481 SW HALL BLVD PO BOX 459 SUIITE'l00 NORTH PLAINS, Oft 97132 IPhone'. OR 97223 Phone: 647-2468 Reg #: i-Ic 65938 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT DELA 6/18/99 $56.50 99-316089 Sprinkler Final 5PCT DEB 6/18/99 $2.83 99-316089 FIRE DEB 6/18/99 $22.60 99-316089 i n! n I __-- --- -`Total $81.93 n Q ! (�lJ I I el (-1 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 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 to!low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or' direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: Issued By: Call 63941 5 by 7 p.m. for an Inspection the next business day Fire Protection Permit Application Plan Check Lc CITY OF TIGARD Commercial or Residential Recd By � 13125 SW HALL BLVD. Date Recd fiGARD, OR 97223 Print or Type Date to P.E. (0-1`i-i �r—' (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST&7 ll Permit# T 4l I'19 9-';X)''9 Called .tOb ' NaNarpe of Develop nt/Project � J=� A R Type of System (Complete A or as applicable) Address Address N A.) Sprinkler Wet a Dry p 1 / 1'S Q 1-4 p I_L 6 LV p Name - Standpipes N PRD P _ Owner Mailing Address Hazard Group 10481 U 14 ALL d L v v f o o Additional L, City/State zip Phone Information Density �— Is&ARo.UR '1 72 23 Name Design Area T E14PEyr/ c Occudant Mailing Address K.F tort 1114&1 S WAL-L ISLVp Zol" � . City/State n zip Phone A.1) Sprinkler Project Valuation $S Contractor Name B.) Fire Alarm (Sprinkler or A4- - pT Alarm company) Mailing Andress Submittal Shall Include Battery Calculations YES Prior to permit Pb t3 p x y 5 y issuance,a City/State Zip Phone Individual Component YES u _ copy 7/:13 Cut Sheets � _ of all licenses )`�. A I N s OQ 4( -Z 98 5 B.1) Fire Alarm Project Valuation $ are mquired I' State Const Cont.Board Lic# Exp. Date __ _ _ expired in COT S c 3 c�/Z o) Ploroct Valuation Subtotal (A&or 13) $ database / ' Name Permit fee based on valuation, (see chart.on back) $ Architect Mailing Address'-- A 5% Surcharge $ CityrState zip Phone FLS Plan Review 40% of Permit $ Describe work A.)New O Addition O Alteration• Repair O --"—" TOTAL $ to be done _� ' B) Modification to sprinkler heads only -- ---------- --•- -- 1. 1-10 heads=No plans required Plans regtAred Submit three sets of plans,including a vicinity map and the location of the nearest h diant. 2. 11+=Plan review required —Y_.. ------------------------------_ ___ I hereby acknowledge that I have read this application,that the information niven Is I Number of sprinkler heads '7 correct,that I am the owner or authorized agent of thn owner,and that plans submitted are in compliance with Oregon State laws Additional Description of Work Signature of Owner/Agent Date A.)In E,isting Building g New Building p OL-Z—Z Building Contact Person Name Phone Data B.) Commercial a Residential D U v e4 !Cs i c S E'r t 1 7 Z 9 - 2 3�� FOR OFFICE USE ONLY: _ No of stories �� — Plat# MaprrL#: Sq Ft 7 -- _ Notes Occupancy Class Type of Construction i-idstslformslfrresupr.doc 1 1/5/98 CITY OF TIGARD BUILDING PERMIT FEES TOTAL �r STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 2500 10.00 1.25 36.2.5 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 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,J00 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 2.5.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 F 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 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 12250 4900 6.13 17763 17,001-18,000 i28.50 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 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25.001-2.6,000 175.00 70.00 8.75 2.53.75 26,001-27,000 179.50 71.80 8.98 260.28 2.7,001-28,000 184.00 7360 9.20 266.80 28,001-29,000 188 ,90 75.40 9.43 273.33 2.9,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 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 33,001-34,000 211.00 84.40 1055 305.95 34,001-35,000 2.15.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 22450 89.80 11.23 32553 37,001-38,000 229.00 91.60 11.45 332.05 is\dsts\forms\tiresupr.doc 11!5/98 CITY OF TIGARD BUILDING INSPECTION DIVISION PAST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 61 C. i3UP Date Requested �—I �' AM_ PM ESLD Location I ! I�1 91 Suite L Q( MEC Contact Person — CAIZI-( '� Ph 5( 51- Ce':2 PLM Contractor Ph _ SWR _ BUILDIN— naWwner C ' ELC Retaining Wall ELR Footing Foundation Access: FPS Ftg Drain -- SGN Crawl Drain Inspection Notes: — — — Slab ----�- -- SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear --- -- Framing Insulation Drywall Nailing ------ -- --- �- __—--- -- -- Firewall Fire-prnkler' -_--_-------.-------- ---- -- --- Fire Ala. i Susp'd Ceiling ---------__-_--`--.._-_-- Roof ----- - -____-_----------_..---- Misc: --.-. _ - -------- ----- - ---- F - FART FAIL --11MBING Post& Beam Under Slab TopOut - -------- --------------------._..--------------- Water Service Sanitary Sewer - -- -------`---- Rain Drains Final ----- --.--___---.-- PASS PART FAIL _ MECHANICAL Post& Beam ----------- -- ----- Rough In Gas Line Smoke campers Final PASS PART" FAIL. ELECTRICAL _--- --- _ _-- ---- --- Service Rough In ---- -- ------------- --- UG/Slab Low Voltage T, Fire Alarm Final __-- PASS PART FAIL SITE Backfill/Grading -- -�--- - ----- -- ------— Sanitary Sewer Storm Drain I ;Reinspection fee or$ required before next inspection. Puy at City Hall, 13125 SW Hall Blvd Catch Pasin Fire Supply Line t ]Please call for reinspection RE: __Y _- _7/^ - I ]Unable to inspect- no access ADA Approach/Sidewalk pate ^ Inspector. lJ 1 Ext Other _ _ p _ Final -PASS PART FAIL 11110 NOT REMOVE this inspection record from the ;ob site. ELECTRICAL - CITY OF TIGARD RESTRICTED ENRIGY s DEVELOPMENT SERVICES PERMIT#: EL.R1999-00112 13125 SW Hall Blvd.,Tiqard, OR 97223 (50311639-411711 DATE ISSUED: 7/22/99 SITE ADDRESS: 11481 SW HALL BLVD 201 PARCEL: 1 S135DA-03500 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Pro;pct Description: Add HVAC for a TI A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER- LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: L N PROPERTIES D l_ HOWARD CO 11481 SW HALL BLVD 5340 SW DOVER LN SUITE 100 PORTLAND, OR 97225 TIGARD, OR 97223 Phone: Phone: 246-6764 ('leg #: LIC 00002769 ELE 165JDA FEES Required Inspections Type By Date Amount Receipt _ Elect'I Final —Type DLH 7/22/99 $40.00 99-317079 5PCT DLH 7/22/99 $2.00 99-317079 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approve=d plans This permit will expire if work is not started within 180 days of issuance, or it work is suspended for more than 180 days. ATTENTION Orr gon law requires you to follow rufas adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O/AR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. —� f Issuer. by L �.�-c^:� • .1�- Permittee Signature, - —N— OWNER INSTALLATION ONLY /' The installation is being made on property I own which is not intended for 61e. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Cal! 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITY OF Tl(-;,ARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Rec'd:_ 'JGARDA OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#.EYL� F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL_ONLY Hl Restricted Energy Fee........................................ $40.00 AU— CoiZ(" CTR (FOR ALL SYSTEMS) SGB Street Address Ste# ADDRESS �k�l '-;*j 0 A,L.- 26 Check Type of Work Involved Gity/State Zip Phone# LJ Audio and Stereo Systems ------ 1 6 9 1 zz — Name l ❑ Burglar Alarm L t� ��C�Pl y �� ❑ Garage Door Opener- OWNER Mailing Address likkgl �5 ��-'� �� Ids ❑ tate Phone# Heating,Ventilation and Air Conditioning System' Cit /S7_ip b 9 ZZ 1,94 y<c,` E] Vacuum Systems' Name ..X ❑ Other - CONTRACTOR Marling Address c )it,\) C-►, TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a �pCity/State Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses i b� �n t`�C� Z Z`� 1,4r.,6+c 4 (SEE OAR 918-260-260) are required if Oregon Contr Brd Lic # Exp Date expired In C O T FZ-+t,9 > Check Type of Work Involved data base) Electrical Contr Lic # Ex Date «tE ( v-Jal Audio and Stereo Systems C O T or Metro Lic # Exp Date ❑ Boiler Controls - Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Date Telecommunication Installation City/State 7-7 ip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-310 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following. ❑ L Instrumentation 1. Only use electrical licensed persons to do installations where required. f�11 Certain residential and other transactions are exempt fron L licensing Intercom and Paging Systems These have asterisks('). All others need licensing: F-] landscape Irrigation Control' 2 Cali for inspections when installation under this permit are ready for inspection at 503-6394175; Medical 3 Purchase separate permits for all installations that are not ready for .4n ❑ 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' irspeclor are done,and, ❑ Prolective 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 ai.1 expire if work is not started within 180 clays 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 applicant Ign titre �__ _ ENDER FEES O 5%SURCHARGE(.05 X TOTAL ABOVE) S _ Authority it other than Applicant —' TOTAL `;_ - i wsfsvesele doc 7197 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: A39-4171 -- y BUP _ _Date Requested ��2; r AM PM BLD Location i I� 1 6)v SuiteC1O I MEC - Contact Person .TI Ph 3KL 7 PLM Contractor Ph SWR BUILDING nan Owner �_.- �,Q�� Sr.`��, ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: -- - Slab -_- _--_-- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall Fire Sprinkler ` Fire Alarm Susp'd Ceiling Roof - Misc: -- -- - — Final ---- -- ----- PASS PART FAIL --- PLUMBING Post& 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_ Service. Rough In UG/Slab Low Voltage Fire Alarm - ASS PART FAIL SITE Backfill/Grading - - ---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SVS'Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RE: _____.— _ _ ( ]Unable to inspect no access ADA i Approach/Sidewalk Date __�-31� Inspector_ _. Ext Other ^ / -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.