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11760 SW HALL BLVD-6 rr J V r C i 11760 9W HALL BLVD CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line. 639-4175 Business Phone: 639-4171 Footing Rain Drain Cow/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Bearri Mech, Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulationlecf. Post/Beam StrUCt. Mach, Rough-in Gyp. Bd. -Bldg. San, Sewei Gas Line Appr/Sdwlk Reins. Other: _------ Date _I _(_ 1 - ----- A.M. _ P.M. Fnt / 77 — Address: Tenant: - —— --- - Ste: _ MST jo IOwn:_Z _ - 7> -- - PLM:: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: i Inspector. -----�� -f �- , --- Date: -� j&APPROVED —DISAPPROVED/CALL FOR REINSP. C CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone- F39-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation lett Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: (0A.M. P.M. ntry: Address: _ 7 4, __ Tenant: _-- l,,, ■ - --�(��T�-- - Con/Own: `7Id` — TEPL :' THE FOLLOWING CORRECTIONS ARE REQUIRED- ELR: < 1 rQ - —Inspector—. Dato;o'.zv j�� APPROVED _____DISAPP OVED/CAL FOR REINSP. CF SCO ELECTRICAL PERMIT CITY OF TIGARD / PERMIT#: ELC2004-00484 DEVELOPMENT SERVICES DATE ISSUED: 8/3/2004 IRA,% 13125 SW Hall Blvd-Tigard. OR 97223 (503) 09-4171 PARCEL: 1S135DO-01000 SITE ADDRESS: 11760 SW HALL BLVD ZONING: C G SUBDIVISION: HOFFARBER TRACTS NO.2 BLOCK: LOT: 023 JURISDICTION: TIG Project Description: Reconnect power to HVAC after roofing job comrIete Job#476800 RESIDENTIAL UNIT _TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF, 2C1 - 400 anip: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL; MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEELER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _PLAN REVIEW SECTION 1000+ amp/volt: —' — -4 RES UNITS: >600 VOLT NOMINAL Reconnect only: A— SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ' 1ST INTERSTATE BANK OF WASHINGTO STONER ELECTRIC BY TAX ASSESSMENT ASSOCIATES 1904 SE OCHOCO STREET BEXAR PLAZA TOWER MILWAUKIE,OR 97222 SAN ANTONIO,TX 78217 Phone: Phone: 503-462-6500 Reg #: LIC. 44823 --- SUP 3496S FEES ELE 26-122(' Dc2cription Date Amount Required Inspections I TAXj 9%Stale Surcharge 8/3/2004 $4.28 ------ — ---____�___ jELPRIVIT] ELC Pcirnit 8/3/2004 $53.50 Rough-in Elect'I Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344. Issued By: i r lL�C i1 — Permit Signature:_-, _ OWNER INSTALLATION ONLY The installation ; being made on property I own vh ch is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —� _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE:_-- LICENSE NO: ---- - --- -....---- — ----------- — Call 639-4175 by 7:00pm for an inspection the next business day y7/12/04 MON 07:45 FAX 5036594968 THE STONER GROUP Q001 '24 h,-g "I Permit Application City of Tigard ;��1(. R C/ On, Permit No.:L Q 13123 SW Hall Blvd,Tigard,OR 9727-9 r9an� — Mom: 503.639,4171 Fax. 503.598.1960 ``' L7,IdHY i Cx6or llctm; Inspection L1nc: 503.639.4175 Dare ReadyMy: i a See Pngc 2 for _ t aem-L' www.ei,tipt►d.or.us Nnuficd/Metbod. Suppiementnl larormau. TYPE OF WORK PLAN REVIEW — J1 ❑New wn3DNctionAddition/altetation/riplacctnent please check all clot apply: I ❑IktltOlItiOn (<f C)ther: ❑5etvicc oust 225 amps,cortun1 ❑Hazanlous loation J ❑ti'erWCC oven 320 amps-rating ❑Duildng over 10,000 sq.Jt„ CATIMItY OF CONSPR17LMON of I-and 2-fatuity dwc0ings 4 or more new tesidenttat ❑ 1-and 2-family dwtsllirtg Commt rciaUiadusttinl []Accessory building� ❑syd�over 600 volts nominal units in one strurairc El Mtilti-family ❑Building wa three stories ❑Fecdcx�400:vttps or more ❑11 aff builder Cl Other. []Occupant load over 99 persons ❑Manufactured structures or JOB SITU'ngi0KMATYON.AND LOCA110N ❑Egress/1ii;Wng plan RV park Job no.:. ��(a Job site address: f 1'7� O :5 LL_ ❑imft 2�$rc afpfaclty ��—_.. .. Subtuif 2 sets of plans with any of the above. City/St,"ST P: --`'-� p 9 7 Z� _ "irk above are not applicable to temrar poy construction vico. Suite(bld$Japt no.: Project _��y•��/ • — �name: Crow Stredidbmtlons to job site: New rrsideotW sliqla-or suuW-(&mtt/dwelling®t. Indndm ndi iehad l,000 sq.R or leen: 145-15 4 Subdivixioa Lot n0._ Ea.add'1500$4 R or portion 33.40 1 - lintirr r m�•residential 73.00 2 Tax tnnp/paroel no. Limned ener",noo-residential 75.00 2 DFJg[ O,VF!1J Each tumufamurA or moduLv lin m, feeder 90-90 zQ'�rOruNfLT ' . ' 'yTa Servtm orf"ers bustallatoa6 atrand/or telontlon R!4.!S) 200 arapss at Inks -_ 90.30 2 --- 201 401 nngr to 400 amps 106.65 2 -1i'ltOPI�TER Y OWNTENAIV'I' - —__ ._— autps to 6110 SDs 160.60 2 Name: (..� t.. �.S �{i'.� -- 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or oohs 454,65 2 - Reeomwct oNy `66.85 2 City/Staten'; Temporary sen*es or tleeden hx4alWlou,aberigWb and/or Phone: ) ' , / >~�c( ) — rurtor�tieo _ - _ _ 200 amps or leu 66,85 1 Ott�ier instabtdoe-This instttllalion is b r1g made ten pttalxrty titch l own which is not tot sops to 400 amps I0o30 2 intender!for sale,lewe,rent,or oubariff,according to ORS 447,449,670,dad 701- 401 to 600 amps 133.75 2 Owner signatti e: Pole, _ Beincls cistaks-nen.WKers b4 or r P..nd _ APP1d('1�1ti1T. 'Q(J01r1tAL'f:Yl�t7N A Fec for bmnch circuits with -- service or feeder fee,cadi 6.65 2 Business creme: breruch chant ___ --- B.Fee for br 0-h c oils Coutaut tima: without sorvioe or feeder foo, ! 46.85 �,�� 2 rAch branch circuit At9dnys: _ ` F.ac�dd'I brmdt circuit 6.65 (�. 2 City/Staidw: MVcrUsueons(service or hWar not ladaded) Pump or irriplian circle 53,40 2 Fax::( } Sign roo Cline lighting 53.40 2 it-mall _ Si jQ circuit(s)or limited- - CONTRACTOR maty panel,ahtratlon,or -- extension- Desnibc 75.00 2 13UslLess 114II1C:S"�NSR E`>`.crrZ r C__ --� _.�- Address, 19 o g' Sim Q G h O c O -- Ewh addtdonnl inapeetton over allowable in any of tba"bore Per inspection 62.50 City/Stata/ZIP: M i L w4V K I er, O R 9 72 2- Imwhour rtigation per hr(I brtmn7 62.50 Phone:(503) '4(n e�- t a S-D V Ft1x:(5t1S) (v'S9- L�9Gy 8 Industrial plant per hour 73.73 ELECTRICAL PERWr FEES* CCB 1_ic. Electrical Lie.j?(o-j Z 2 c Sum.Lie,:3+9(os Subtotal Suprv,Electrician sigattue,muired: - Plan rovicw(73%of patch fee) 3 - $tate tweharge(8•.6 of permit fee) a.1 Print name 11/ 1 Kr F' Cp�(� '^ I)str. -7/1 -4- 04- -- -- /J TOTAL,PERKU kTE ;r Authorized Sigmtwv �� ,r-�.1 Thb permit rppllaetlon eapires it permit h not obtaln..d within Iito days atter it here b"n occeptcd err compiete Pratt riam, l)lde: ^— Foe tnethodolopf a,.1 by Tri-County Vdadine lndulW Sern,t Pnnrd CITY OF TIGARD 24-Hour BUILDING Inspection ' 'me: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP --- - Received _._Date Requested 23 ____ AM PM__—_____ BUP Location ' 7 U H.! —Suite--.--. MEC Contact Person Ph( ) PLM _ Contractor_J_ - -- _ Ph( ) ---- ---__-- SWR BUILDING Tenant/Owner W -' ?__- ELC ton 00 Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT' Post&Beam -_---.__--- -_---_------__ -- _ — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ---- Insulation Drywall Nailing Firewall Fire Sprinkler --- Fire Alarm i Susp'd Ceiling Roof Other: Final _PASS PART FAIL - - - - - - - PLUMBING Post&Beam Under Slab _ ------- Rough-In -- — ----- Water Service - -- --.._ --- --- -- --- Sanitary Sewer Rain Drains -- -- -- -- -- Catch Basin/Manhole Storm Drain —.— Shower Pan Other: _—.---- -- -- Final PASS PART FAIL MECHANICAL Pos!&Beam ----- - - -- -- —___— Rougo-In - — Gas Lire Smoke DsmperP - - ---- --- —-- - --- --— -- -- -.. Final PASS_ PAPT FAIL —_.—.— -- ._.__A —. -- _ -- — ---------- .-- ELECTRICAL Service----- - ---__.-- -- �.—._ —_---.--- Rough-In __--- UG/Slab Low Voltage larm - --^ ---- —-- "EkAxA F ❑ Reinspection tee of required bofore next inspection. Pay at City Hall, 13125 SW Hall Blvd PAS PART FAIL _ --- S E_ Please call for reinspection Unebla toinspect-no acres I i w Supply line _ ( I rY! � 1ti7 l AI)A Approach/Sidewalk Dates '? la�pector Ext 011101 Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL cfv �`�✓`� ELECTRICAL PERMIT O F 1 � PERMIT#: ELC2002-00670 DEVELOPMENT SERVICES DATE ISSUED: 12/31/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135DD-01000 SITE ADDRESS: 11760 SW HALL.. BLVD ZONING: C-G SUBDIVISION: HOFFARBER TRACTS NO.2 BLOCK: LOT: 023 JURISDICTIUN. TIG Project Description: Install 2 branch circuits to ATM machine and low voltage for Data Telecom, _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS_ 0 200 amp: PUMP/IRRIGATION: EACH ADD'I_ 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): SE=RVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp- W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp- EA ACD'L. BRNCH CIRC: l IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW FEC_TION 1000+ amp/volt- >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS:_ CLASS AREA/SPEC UCC: Owner: Contractor: WELLS FARGO BANK MCCOY ELECTRIC CO PO BOX 3131 2014 SE 9TH AVE PORTLAND,OR 97208 PO BOX 42428 PORTLAND,OR 97214 Phone: 503-886-2000 Phone: FX 234-9473 peg#: M4-7521 00008277 SUP 2175S _ FEES EL.F. 26-82C Description Date Amount Required Inspections IL;I.Pimi'1 I-TC Pernut 12/31/02 $128.50 �--- -- ITA`t1 8 State Tax 12/31/02 $10,28 Low Voltage Inspection IILF'RM"f1(:LC Permit 1/13/03 $6.65 Rough In (additional fees not listed here) Elect'I Final Total _ $145.97 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 starter:withi i 180 days of issuance,or N 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 952-00'1-0010 hough OAR 952-001-0100. You may)btain copies of these rules or direct questions to OUNC at(503)246.6699 or 1-800(332-2344. Isstlt cd By: ' �� Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _.__ -` DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ __ _ DATE:.--.. LICENSE NO: _- -- ---.....__------ Call 639-4175 by 7:00pm for an inspection the next business day c� Electrical Permit A.ppikation --——� Date received: ' --;�-6-L- Permitno •_ Cif. of '1'i and 3' � Project/appl.no.: Expire dale: C'ilyo Tigard Address: 13125 SW Hall diad,QFEGF21 E D Date issued: Receipt no.: B d, Phone: (503) 639-4171 _ Y Fax: (503) 598-1960 DEC 31 2002 1 Case file no.: Payment type: Land use approval: OF a U I & 2 family dwelling or accessory ommercial/industrial U Multi-family U Tenant improvement U New construction A(I(Iitinn/aiieration/rcitlacenu•nt U other U Partial 1 ' SITE INFIORMATION Job address: I 116VO _ cell 131dg.no.: Suitc no.: fax nulp/tax lot/account no.: Lot: _ Block: -- Subdivision: -- i'roject name:k�((s r'tttf q c) ption and lactation of work on Premises: .Arm Ti-AST`d"rt ax7 list imated date of coin 11cIi�nslxrtinn _ e 1 no: _ Job pce nlax �� _Description __ y. (ca.) Twal Business name: Olno.ins_ _ _ — — New rvsidentfa al-single or multi nlh per Addt�ess:' 2ALE dwelling unit.Incicdcs attacked w-mge. City: Stale: 'LIP: Seniceincludwt: Phon . –MW� Fax: 4- E-mail: laxly.n.or less 4 .. Each additional SW sq.ft.or pion thereof CCB no.: '2,'-t F?,lec.bus.lie.na: Limited energy,residential 2 City/metro lie.no.: _ / -U3 Limited energy,non,csidendal 2 Each manufactured home or modular dwelling Si nature of supervising electrician(required) Dote '?!i _ Service and/or feeder 2 Sup.elect.name(print) 3 P,(,,,(, License no: 2 1 Services or feeders—Installation, alteration or relocation: 1 1 200 amps or less 2 Mame(print): (�(,S t 'q � s 201 amps to 40J amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: Slate: ZIP: Over I(M amps or volts 2 Phene: Faz: E-mail: econnectonly I Owner i lstallation:The installation is being made on property I own Temporary services or feeders- which is not intended for save,lease,rent,or exchange according to Installation,alteration,or relocation: ORS d4'.',455,479,6M,701. 200 amps or less _ __ 2 201 amps to 400 amps 2 owner's si nature: Date: _ 401 to 600 ams _-- — – 2 Branch circuits-new,alteration. or extension per panel: Name: A. Fee for branch circuits�,rah purchase of Address: service or feeder fee,each branch circuit 2 City: _ State: _ ZIP: H. Fee for branch circuits without purchase of service or feeder fee,first branch Phcircuit:t,rtc rax E-mail: Each additional branch circuit: h, 111111 W rqt1TW9 MM,,n. Mlsc.(Service or feeder not Included): U Service over 225 amps-mnu ercial U Health-caretacilily Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U 1lavardous location Foch sign or outline lighting familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. I U System over 600 volts nominal more residential units in one structure alteration,orextension• _ 2 U Building uver three stories U Feaaders.400 amps or more •Drscri tion: U Occupant load over 99 persons U Manufactured structures or RV park Eich additional Inspection over tlr allowable In any of the above: U EgressAightingplat U Other: Perinspaction r—�—�— Submit_-_sets of plans with any of the above. Investigation fee The above are not appOcable to temporary construction service. Other Not all Jurisdiction aroryw credit cards,please call jurisdiction for tune Inl5mmation. Notice:This permit application Permit fee.....................$ 1 Z$ •Sv_ 0 Vtsa U MasterCard expires if a hermit is not obtained Plan review(al __ %) $ _ - -------- – Credit crud number: —L1-- within 180 days after it has been State surcharge(R%) ....$ 1 •2 Expires accepted as complete TOTAL ............... .......$ - (-IS .— - Name of cardlto as shown on -- ciat card S Cardholder signature _ —Amaunl - ",44 1'0S W COY.i CITY OF TIGiARD � 24-dour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST --�-- BUP Received _____Date Requested��_ - _ AM—___— PM ?UP ` / Location `�` / i _ J — Ph _ s.73) c� �(� Contact Person — a1 ( PLM ____ _-_.. Contractor. . � __. �. �f1iG Ph LA(al --_ SWR BUILDING Tenat VOwner _ _.---_-.. _ —. ELC '�0,2---Zg Footing Foundation ELC -__- Fig Drain Access: ELR -- Crawl Drain _ Slab Inspection Notes: SIT Post & Beam Shear Anc,i cors - -- - - Ext Sheath/Shear Int Sheath/Shear t-ramcig - ./�/ --- - _ _ ___ __ 4�� - --��1--tom_ - Insulation Drywall Nailing _.- Firewall Fire Sprinkler ---- - - - — - - Fire Alarm Susp'd Ceiling �- Root Other: - - --- J r Final PASS _P_ART___FA_IL -i ------------------ -- P_LUMBlNG _ Post& Beam - Under Slab - --- ---- - Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final -PASS -PART rAC. MECHANICAL Post& Beam Rough.In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service --------- Rough-In UG/Slab Low Voltage -_ Fire Alarm GaD Reinspection fee of$_- _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd JM PART-_ FAIL_ L] SITE— Please call for reinspection RE: _--____-._ __— Unable to inspect- no access Fire Supply Line ADA Dab i�s A.43 Inspector __� d G�99 Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF T I G A R® -- BUILDING PERMIT PERMIT#: BUP2000-00443 DEVELOPMENT SERVICES DATE ISSUED: 12/20/00 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1 S135DD-01000 SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING: C-G BLOCK: LOT: 023 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: i S: — E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N st N• S: E W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 40 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ'7: READ SETBACKS: _ REQU_IRED __ _ FLOOR LOAD: psf LEFTft RGt'"f ft FIR SPKL-: SMOK DET DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 64,000.00 Remarks: Interior Improvement Owner: Contractor: 1S1 INTERSTATE BANK OF WASHING B J. CUMMINGS COMPANY BY TAX ASSESSMENT ASSOCIATES 2330 SE CLATSOP ST EEXAR PLAZA TOWER PORI-LAND, OR 97202 SQO1 ANTONIO, TX 78217 phone: 235-1282 Reg #: uc 00203230 FEES REQUIRED INSPECTIONS 'Type By Date Amount Receipt r Mechanical Permit Require PLCK CTR 10/27/00 $355.80 27200000000 Electrical Permit Required Plumbing Permit Required FIRE CTR 10/27/00 $218.95 27200000000 Framing Insp PRMT CTR 1212.0100 $547.38 27200000000 Gyp Board Insp 5PCT CTR 12/20!00 $43.79 27200000000 5usp Ceiing Insp Finpllnspection �^ Total $1,165.92 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. 'This permit will expire if work is not started within 180 days of issuance, or If work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thiough OAR 952.-001-1987. You may obtain a copy of these rules direct ;�yd$tions to OUNC by calling (503) 246-1987. Pennitee Signataire: f Issued my: Call 639-.4175 by 7 p.m. for an inspection the next blisiness lay Building Per°rnit Application - -- -- ,� bate rcccivcc': 1612,1111") Permit no.: J U/°ZOGt�QV y�/� City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 rase file no,: Payment type. Land use approval: 1&2 family:Simple Complex: TYPE e U I &2 family dwelling or accessory U Commercial/industrial U Multifamily U New construction Q Demolition U ndtlition/alteratiort/replacement VTcnant improveniew ❑bile spnnkler/alarm U ether: li SITE INMRMATION Job address: f J 131dg.nu: Suite no.: Lot: Block: Subdivision: Tax map/rax lot/account nc.: Project name: \�L, Description and location of work oa premises/special conditions: iNTSEI-OWN U.- F_ 117,64�SPECIAIANFORMATION, . (Floodplain,septic cispachy.solar,etc.) Name: t�1 Mailing address: 1 &2 fancily dwelling: City: ` 7 Stat ZIP: Valuation of work..........................I............. $_ Phoneax ail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... Garagelcarport arca(sq.ft.) ........................ Nanic: Covered porch area(sq.ft.) ........................ Maili ip address: Deck arca(sq.ft.) ........................................ (pity Slate: 7.11': + Other structure arca(sq. ft.)........................ Phone: 4-.-J ax: E-mail: � Commercial/industrial/multi-famll'y: / Valuation of work........................................ $ Existing bldg.itrea(sq.ft.) ..................... .... Business name: -J• New bldg.area(sq.ft.) Address: City: StatC. ZIP. , Number of stories.n.................................... Type of construction.. Phone. ax - Occupancy group(s): Existing: CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be Bu t licensed with the Oregon Construction Contractors Board under �jf =;=� provisions of ORS 701 and may be required to be liccnseo in the Name: s. Address: —� - jurisdiction where work is being performed.if the applicant is Cit Sta ZIP. exempt from li ;nsing,the following reason applies: Contact person: an no.: — - Piton Name: ('txitact per un: _ Fees due upon application ........................... $_ 4-I ?.5 Address: Date received: City: State: ZIP: --- Amount received ......................................... $— — Phone: _ Fax: I E-mail: Plcas2 refer to fee schedule. hereby certify I hav d a examined this aplication and die Nd all Jurisdictions axept credit cards,please call Jurirdiclion for mere infonnation attached checklist. 11 pt sons s an ginances governing this U visa U MasterCard work will be comp e s •cif herein r not. credit card number: ___ —.� .. rr If l Authorized signs 11 __ Name or cardholder as shown on credit card — r f Print name: _. __ - C der signatum— — AnXMI Notice:Ibis permit application expires if a permit is not obtained widiin ISO days after it has been accepted as complete. • 4613(60"M) li �4 n -i'. / 5 S 0,0 CITY CF TIGARD DEVELOPMENT SERVICES EL..ECTRICAL PERMIT - 13125SWHall Blvd„ Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: EL.R96-0309 DATE ISSUED: 10/O9/9-6 PARCEL: 1S135DD-01000 SITE ADDRESS. . . : 11760 SW HALL BLVD SUBDIVISION. . . . : HOFFARBER TRACTS NO. 2 ZONING:C—G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :23 Pr,o.je-* Description: Installing data commLrnication system A. RES IDENTIAL-_.____.__._ B. COMMERCIAL--------------------_-.-__.__-_.--___-_-_ AUDIO & UTEREO. . . : AUDIO R STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICALL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR L.ANDSC LITE: OTHER: a : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 Owner: ___.__._..__.__.______._______.__.___________ ._._._.____---------__.._._. FEES FIRST INTERSTATE BANK type amol.mt by date recpt 11760 SW HALL. BLVD PRMT $ 40. 00 JDA 10/09/96 96--284978 SPC:T $ 2. 00 JDA 10/09/96 96-284978 T T GARD OR 97223 Phone #: Contractor: ____________.____.______.__.___._.________._._____.._.__.________._..---•--_____ FIBER OPTICS TECHNOLOGIES f 42. 00 TOTAL 14976 NW GREE.NBRIE.R PKWY ------- REQUIRED INSPECTIONS BEAVERTON OR 9700680111 Wall Cover, _ Phone #: 609-6500 Elect' 1 Final Reg #. . : 11.0173 This permit is issued subject to the regulations contained in the �( G i '�Z � @'rn...._._. Tigard Municipal Code, State of Ore. Specialty Codes and all other / 'P rm i t e e S i gnat i-:re applicable laws. All work will be done in accordance with 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, I s s u By --______________-..------_-._--OWNER INSTALLATION The installation is being made on property I own which is not intended fc)r Sale, lease, or rent. r1WNER' S SIGNATURE: W _ DATE: -- ___.__._.___._ -------------CONTRACTOR INSTALLATION EII.GNATURE OF SUPR. EL.EC' N: DATEa _ LICENSE_ NO: Call for inspection - 639-4i 7:i Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. PERMIT# C L Rqt� 1 qf Tigard,OR 97223 � .15C_.!_� Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED_ TDD No. (503)684-2772 CIT`! OF TIGARD Inspection (503) 639-4175 ISSI)ED BY t17— PLEASE COMPLETE_ Al-I SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK l/ 74-0 6w N-A. N o d AddressRESIDENTIAL —Restricted Energy Fee . 00 p / 7 22 (FOR ALL SYSTEMS) City State Zip Check 41pe of VyoA-Inyolved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems IS NOT STARTED WITN;N 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* f bo. C3 h c- El Heating,Ventilation and Air Conditioning System" Contractor �� Type Mro F VV Other,�_Aaa ❑ Vacuum Systems* l ❑ Other_ / Address "740 l�•),V bhp#n br1�et f kw� . Ike Q 6:fo i COMMERCIAL—Fee for each system . . . . . . . . 140.00 (SFF OAR 918-260.260, Property Owner Cifrt ,1-. — Check Tyne of Work Involved: Contractor's Board Reg.No. (/D 17 3 ___ ❑ Audio and Stereo Systems ❑ Boller Controls Phone# , (OYG (o 5c)o ❑ Clock Systems 3. OWNER APPLICATION Data 1"elecommunication Installations ❑ Fire Alarm Installation _ ❑ HVAC Print Owner's Name —Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical this permit Is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energv installations MX)volt amps or less)under this Imonit and to do the ❑ Outdoor Landscape Lighting' following. 1. Only use le(tn(al licensed pr,rsons to do installations where required.ICenain ❑ Protective Signaling residential and other tranarictions are exempt from licensing These have ❑ Other asteriAW).All others need licensing). 2 (all loran i 7spection when all of the installations under this permit are ready fir inspection �t 1,03-011.4171 ❑ _ _ �hi,1mher of Systems 3 Purchase scyralate permits for all installations that are not ready for inspection when the ins,,ector is out to inspect under this permit. •No licenses are required. Licenses art for all other Installations. 4. Assumv w%pon ihillty for assuring that all corrections required by the inspector are done,and 5. Assumo o•sponsihility for calling for a final inspection when all of the 5. FEES corrections aro c(impleted. Tho person signing for this permit must ht•Ilio applicant or a person a. Enter Fees $_ authorized to hind the applicant. 1). 5%Surcharge(.05 x total above) $ Signature TOTAL $ Authority if other than applicant FNERGAP.CHP CITY OF TIGARD DEVELOPMENIT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #- ELC96.-OG39 DATE ISSUED: 10108196 PARCEL: 1S135DD-01000 ",I TE ADDRESS. . . 11760 SW HAI...L.. BLVD 13USDIk)ISION. . . . : HOF=FARBER TRACTS NO. ;=' ZOIVIIV(i:C -G BLOCK. . . . . . . .. . . 1_OT.. . . . . . . . . . . . . : ProJect Desr ption : Installing 3, bi,anrh cir-ri-Ots w/out service or feeder -----RES I DENT I AL_ UNIT--------- SRVC/FEEDERS------- -----:4I SCELLANEOLS------ 1.000 SF OR LESS. . . . : 0 0 - . Ji0 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 x'01 400 amp. . . . . . . : 0 SIGN/OUT LINE LT(3. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1200 volts. : 0 MINOR LABEL ( 10) . . . : 0 -------SERVICE/FEEDER------- --•------BRANCH CIRCLJ1 i1;,-----•- -----ADP' L INSPECTIONS—- 0 - 200 amp. . . . . . i 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . : d 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 _. 600 amp. . . . . . : 0 EA ADD' L BPNCH CIRC: 3 IN PLANT. . . . . . . . . . . .. 0 601 - 1.000 amp. . . . . : 0 - - ---.________._____PLAN REVIF_W SECTION-•--------------- 10004 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : N SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -________..-__--...____._..__..__. ...._....__.._._._.._._______._______----_--.._ ...__.. FEES _______________- FIRST INTERSTATE BANK type amount by date recpt 11760 r'J HALL BLVD PRMT $ 50. 00 JDA 10/08/96 96-2:84844 5PC1 $ 2. 50 JDA 10/08/96 96-2841344 7IGAP0 OR 97223 Phone #: Contractor: ---_._.----._______________----_---..-__-__.______-__-_.____--___----__-.-.--. WILLAMETTE ELECTRIC INC f 52. 50 TOTAL PO BOX 230547 REQUIRED INSPECTIONS ----_._ TIGARD OR 97281 Wall Cover Phone #: 503--624-363:1 Elect' 1 Final _ R o g #. . : 75059 This persit is issued subject to the regulations contained in the - ligard Municipal Code, State of (ire. Speci.,ity Code; a-nd all other Permittee Signati_u•e applicable laws, All work will be done ii, accordance with approved plans. Thi, persit will expire if cork is not started within 180 days of issuance, or if work is suspended for sore than 180 days. Issue B y INSTALLATION The installation is being made on property I own which it, not intended for sale, lease, or rent. l:1WNER' S SIriVATURE: DATE -.__-____CONTRACTOR INr>TAL-LATION ONLY-_._._____ SIGNATURE OF SLIPR. ELEC' N: DATE- LICENSE ATE:LICENSE NO: Call fL" inspection 639--•4175 Community Development ELECTRICAL PERMIT APt-`ICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # E��l�- o('1311 Gate Issued Phone (503) 639-4171 ----- — -- CITY OF TIC3ARD FAX (503) 684-729'7 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Ndrnc Of Development " ((s � _ h _ Number of Inspections per permit allowed Address-- "I Sr t Service included Items Cost(ea) Sum t:Ity/State./Zip rte___ L�2 Z 1' 4a. Residential -iter unit 1000 sq ft or less _-- $11000 _ 4 iiI amt= (or name of business)__1�,�IIS VC4.4ge �tEach additional 500 sq it of '� I L portion thereof $2500 _ 1 Commercial � Limited Energy $2500 Residential _� � - --- Each Manurd Horne or Modular Dwelling Service or Feeder $6800 z 2a. Contractor installation on.!y: 4b. Services or Feeders 11 Nt nstalla amps $60 00 alteration,or relocation Electrical Contractor. (1] it �� —�/Lt�_�ne. 200 amps or less `— --_ Address_ l)6 &!,j-k � $80 00 _�,-30 � 201 amps to 400 amps _! f City r .a, State�_�_ Zip L 1� 401 amps to 600 snips _ $12000 601 amps to 1000 amps $18000 _. 2 Phone No.� /Z 3 L-T/ over 1000 amps cr von$ $34000 - 2 Job NO. q 9-9 - 2 i Reconnect only $50 011 contractor's license NO.- --;,/-2rs 3L 4c. Temporary Services or Feeders Contractor's Board Reg. No. 5z') _ Installation alteration,or relocation Signature of Supr Elec'n _ 200 amps or i^ss _ _ - 2 1,(5 S Phone o. G 2 y-3!v 3/ 201 amps to 400 amps __ $50 00 License No. 401 amps to 800 amps $7500 --- ' Over 600 amps to 1000 volts $10000 --- 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner';. Name__,_ - _ New,alteration or extt nslon per pane Address a)The fee for brancli circuits with Cit State ZI purchase of service or feeder fee City p------ Each brr•„.ch circuit $5.00 _ Phone No. b)The fee for branrh circuits without The Installation is being made on property I own which is purchase of service or feeder fee. not Intended for sale, lease or rent. Fust branch circuit $ay 00 Each additionallbbrranch clrcun _� $500 y x Owner's Signature 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (it required): Each pump or irrigation circle _, $40.00 Each sign or outline lighting 11140010 Signal circu(s)or a limited energy Please check appropriate Item and enter fee In section 58. panel.aneration or extension $4000 4 or more residential units in one structure Minor Labels(110) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional Inspection over Classified area or structure containing special occupancy the allowable in any of the above as described In N E C Chapter 5 Per inspertion $3500 Per hnur _ $55 00 In Plant $5500 -' Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE $ 5a. Enter total of above fees 5%Surcharge 105 X total tt_c; S PERMITS BECOME VOID IF WORK OR CONSIRUCTICN .Subtotal $ — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sea 3) g A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCED — n,„••�•�•i•• �_.� Trust Account If $ _ - Balance -)ue ti c- ELI-.*C'1RIC'AL PERMIT' C4TY OF TIGARD lv:'ERT DATEMIISSUED:L09/204/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigi-d,Orogon 97223*8199 (503)639.4171 PARCEL P ISIX5DU-01000 TL I'.1)1)k L';:')�j. . . a lliOtl SW 14-iLL 6LVl) 1TDIVISION. . . . - HOFP'(_-4RBEP TRACTS N0. 2 7ONING.C----G . . . . . . .. . . . . L .. . . . . . . I. . . . . . .oJect Descv,ip+ n .- Installinq five br-aoch cir,ct.tits iTor, a ATM. --RESIDENTIAL. UNIT------ ----TEMP .ERVC/FEEDERS------ -----MISC."LLANEOU13-- 00 Gl-." OR LESS. . . . W 0 200 amp. . . . . . . : 171 DUMP-'/I RR I GOT I ON. It ICH ADD' L 500SF. . . 0 `01 400 amp. . . . . . . : 0 SIGN/OUT LANE LTG. 0 Oil I'ED ENERGY. . . . . 0 4411 600 amp. . . . . . . : It SIGNAL/PONEI.. . . . . . . . 0 INF HM/ SVC/FDR. . -. k) 601+amps-1000 volts. : 0 MINOR LABEL ( 10) 0 J CE/FEECE 200 amp. . . . . . : 0 W/5ERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 400 amp. . . . . . : 0 1st WIC) SRVC OR FDR. : I PER HOUR. : 0 "'1 600 amp. . . . . . : 0 EA ADDIL SRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : tiff )1 111,00 amp. . . . . : it -PLAN REVIEW '.,i)0+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . > 601211 VOLT NOMINAL. . -(_,unnect only. . . . . ; 0 SVC/FDR 225 AMPS_ CLASS ()REA/GPEC OCC. ,)net": FEES �W31 INTERISTATE BANK tkipe AMOUnt by data 1'ecpt 11760 SW HALL. BLVD f' RMT $ 55- 00 CJS 09/24/96 96--284331 5PC*T' $ x:'. 75 CJS 09/i'2,4/96 96-284331 OR 97223 gorie it: 1-d-ECTRICAL CONT RUCTION CO A 5-7. "75 TOTAL FID BOX 10L86 REWIRED INSPECTIONS l"ORTLAND OR 1Y7,296 Wall Cover, Elect' I Finial Phone 503-244-3511 Elect' l Set-vice Reg 49737 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 pians. This pirsit will expire if work is not started witmir 160 cays of issuance, or if work is suspended for nore than 18@ days. Issi.ted t IN'.3TALLATION 01141-y' The installation is bf-viriq made on property I own which is not intevidpci for, ::ale, lease, or r-ent. ()WN1:"'R1 S SIGNATURE: W-ITF. - -------------------------CONTRACTOR INSTALLATION ONL'Y - L: iGNA7URE OF SUM ELECIN. T)(IT r- ............. 1\10 --------- Call for, inspection 639-4175 u" 115 913 11IT1 of TIG.-kRD nu; Job# 77082-95 Tigard ATM Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 972.23 Permit # Date Issued a - a9 -�� Phone (503) 639-4171 CITY OF TIGARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development--RIM MachineNumber of Inspections p per permit-allowed Address 11760 SW Hall Blvd. Service included. Items Cost(laa) Sum City/State/Zip Tigard, OR 97223 _ 4a. Residential -per unit 1000 sq ft or leas $110.00 4 Name (or name of business) First Interstate Bank Each additional 500 aq It or — ponlon thereof 00 --- f23 00 1 Commercial �] Residential 171 L11411146Ergy ne -^ Each Morwrd Home or Modular ?weelno server.or eeeeer 31114.00 2a. Contractor installation only: 9-14-96 ��- 4b, Services or Feeders Electrical Contractor_ ElecLriCa1 narallalkln,an notion,or relocation 4onstruction Co. 2 2oa an+pa et Ie.. $00.03 Address p.0. Box 10286 _ _ tot amps to 400 amps $40 00 CIry_Wprtlai�d State_ OR Zip 97296 401 snipe to Boo empa 80 amAs to IWO 4rnos Vaal 00 2 Phone No 224—,3511. Over 1000 amps or von. --' L140.00 r Job NO _ Reconneca0 onty $50.0 . 2 contractor's license NO _ 26-45C T 4c. Temporary Services or Feoderm Contractor's Board Reg. No49737,,'- _- nataas,llon.■fleratlon or relocation Signature of Supr Flec'n_ -�� _ 200 aenpe or logo � 2 t License No 2985S hone No 224 —3511 201 amp,to 300 emorl -== $60.00 2 -- 401 Srio 600 empa $7500 over 600 am"to Iona Vona 1110000 ----- 2b. For owner installations: a".,.above 4d. Branch Circuits Print Owner's Name _ NOW onemplen or erfenalon per Dene Address ■)The res,for branch cutups with City State----- ZI --__ auehaas mofaervteaorfooder rre 2 __— p.---.----- Each branch ctRuA _ _ 1800 Phone N0. _ bl The tee ref branch sea se v theta 2 The Installation is being made on property I own which Is purchase of service or feeder fee. 2 not IntendFir51 brant!-Orcun $35 Coed for sale, lease or rent Fach Sdenlenar branch stream 35 ao Owner s Signature _ _- 4e. Miscellaneous lServica or leader not Inclurledl 3. Plan Review section (if required): Each piano at Irrigation circle �. U0 00 Eau Atom or alliums lighting Lao 0o 2 SIgnAt d-ftvAls)of a imrtnd enargy ' PieaEe check appropriate Ittim and anter tee in section SB canal dtilratlon or ealenslon __ Moo one 4 or more residential units in structure Mlnor Labels oci $loo 00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional rnlpection over Classified area or structure containing special occupancy the allowiablta In any of the above as described in N F C Chapter 5 Per mroeclton $36.00 opt hour _ 19500 ,n Mewl Woo Submit 2 sets of plans with anpllcatic ri where any of the above apply Not required for temporary construction services. S. Fees: NCTICF sa Enter total of above fees E 55.00 5% Surcharge (.OS X total feet) 3 ) PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal 3 X7.75 AUTHORIZFD IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5�. Enter 25".� of lime A for CONSTRUCTION OR WORK IS SUSPFNDt:U UR ApANDONEL) FOR Pion Revlew if required (Sfi 3 A PERIOD OF 180 DAYS AT ANY TIME AFTFR WORK IS Subtotal s _ COMMENCED ❑ Trust Account M S nalanra Due 57.75^ RECEIVED SEI, P. 'I, 1(1,-)(. COMMUNITY v[vfLuj,l,,r4l CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- a.� 1 , _ BUP _Daie Requested -?✓/ AM PM _ BLD Location 1/ ?!v0 � � ice• Suite MEC -` Contact Person Ph — PLM - Contractor Jo-2Pr lL� Ph SAP IR - BUILDING Tenant/Owner /r /� -rS�w /r � 13Sf� ELC = a Retaining Wall ELR Footing Access: t"\ / EPS Foundation Ftg Drain Crawl Drain Inspection Notes: SIGN _ Slab _ —�_ -_----- SIT Post& Beam Fxt Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Misc. _CRL4 Final �- PASS PART FAIL --- -- PLUMBING Post& Beam -- - ; Under Slab `� Top Out --------- ----- -- Water Service Sanitary Sewer - Rain Drains _ Final PASS PART FAIL —_ __-_--- - ---------_-.--------_.--- MECHANICAL Post& Beam - -- .-------- ------... -- -- Rough In Gas Line - --- - - --- .._ _- --�--� Smoke Dampers Final - - -- - _ T FAIL ELECTRICAL - - - - ------ ---- ------- - Rough In UG/Slab Low Voltage Fir larr•i --_ --- -- _— __ �_-_____ sKSS i'ART FAIL Backfill/Grading — -- - __-- Sanitary Sewer Storm Drain [ J Reinspection fee of$ .- required before next inspection. Pay at City Hell, 1:1125 SW Nall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE _1 [ ] Unable to inspect-no access ADA Approach/Sidewalk 3 / C� Other Date -____irtspecto _� _--- -Ext Final PASS PART---FAIL DO NOT REMOVE this inspection record from the job site. r?. J. CllE1/IE1/!INGS CO., Gonoral Contractors Telephone:503/235-1282 2330 Southeast Clatsop Street, Portland,Oregon 97202 December 13, 2000 Mr. Robert Poskin City of Tigard Building Department 13124 SW Hall Blvd. Tigard OR 97223 Re: Wells Fargo Bank F 1LE COPY 11760 SW Hall Blvd �"�-- BUP 2000-00443 Dear Sir: 'The following itemized costs are for providing a single accessible unisex restroom as required by Item (d) and accessible telephone teller counter Item (e) of the barrier removal plan whic , was referred to in your letter dated 10/27/00. • General conditions $ 3,065 • Demolition and carpentry 8,009 • Cabinet work 3,800 • Metal studs and drywall 2,065 • Painting and floor covering 1,02.3 • Plumbing 3,000 • HVAC 900 • Electrical 1,394 • Move safes 1.200 Subtotal $24,456 Contractors Profit & Overhead @ 10% 2A40 Total $26,902 The fire life safety items noted in your letter are covered in the revised plans. Please call if you have any questions. S' cer ,I / ohn Hacker JH:dcs SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.24 (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION �of all renovation, alteration or modification being done excluding painting, wallpapering. [1J $ multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [21 $ In choosing which accessible elements to provide under this section, priority shall be given to thoFe elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ 6, W. (b) An accessibie entrance: $ U� (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $_ each sex or a single unisex restroom (e) Accessil�'e telephones: ! $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms $ a^ TOTAL: Shalletc ual line 2 of Value Computation_ $ � i.\dsts\fomrs\access.dcc October 27, 2000 CITY Or TIGARD OREGON John Hacker BJ Cummings Co. 2330 SE Clatsop Avenue ?ortland, Oregon 97202 RE: Wells Fargo Bank BUP2000-00443 11760 SW Hall Blvd. Dear Applicant: "our plans f-or the proposers tenant improvement have been reviewed; the following items rrquire your aticntion. Accessibility: 1. Under the provisions of ORS 447.241, 251N, of the permit value for the work to be completed shall be expended in removing existing Architectural Barriers. The maximum amount for your project is $16,000.00. Please indicate on the enclosed form how this nioncY will be expended. Please note that monies shall be expended in the order shown on the form, with parking the first issue. Provide a site plan showing where the required van accessible parking stall will be located. P'ire Lie SaM I. "file tenant space based on occupant load requires two exits, OSSC, Table I OA. Under the provisions of QSSC. Section 1004.2.4. one-hal f the overall diagonal distance must separate these exits. The plans as submitted do not meet this requirement/ 2. Provide means ofegress identification and egress illumination. OSSC, Section 1003.2.8 anal { 1003.2.9. Provide two (2) sets of revised Architcctur,�l and Site Plans. If you have questions, please feel free to roll me at 503-639-4171 X392. Sincerely, 1t erl Poskin, CBO Senior Plans Examiner 13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171 TDD(503)684-2772 --- - - February 4, 1997 Stein Sign CITY OF TIGARD ATTN: Jim Stein 39810 Crown Point Hwy Corbett OR 97019 OREGON RE: Sign permit applic4fion for 11760 SW Hall Blvd Receipt#97-289606 Dated 0l/28/97 Dear Jim. I am in receipt of yot r sign permit application for a freestanding sign located at 11760 SW Hall Blvd. The request is being denied as the sign would violate the visual clearance area requirement of Tigard Municipal Code Chaptcr 18.102. Since the site plan you submitted reflects an accessway greater than 24 feet in width, and wince Hall Blvd is an arterial street, the visual clearance area shall not be less than 35 feet on each side of the intersection of the accessway and the public street. While the existing sign is a non-conforming sign, any alteration to the sign would necessitate adherence to current code. I will hold the sign permit application, building permit application, and electrical permit application on my desk pending a response from you. If you would like to resubmit with a different site plan, please do so at your earliest convenience. If you would like to cancel this project, please let ine know in writing so I can request a refund of the building permit fees. No sign permit fees will be refunded should you abandon this project. As the electrical permit application reflects wiring for two signs, it will not be processed until a decision is made on this sign permit. If you have any questions, please feel free to contact me at 639-4171 Ext. 349. Sincerely, James S. Duckett Development Services Technician 13125 SW Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TUG (503) 684 2772 — --- ----- CITY OF TIGARD DEVELOPME' T SERVICES BI.M.-DING PERMIT 21 13125 SW Hall Blvd., V.4_, OR 97223 (503)639-4171 P,EPMIT #. . . . . . . : BUP97-01 4,,--. DATE ISSUED: 04/29/97 PARCEL.: IS135DD-01000 51 PDDRF 11760 SW HALL BLVD 91JBD I V I S I 01\1. . . . HOFFARBER TRACTS NO. c'. ZONTNG-C--G BI.-OCK. . . . . . .. . . . . L.0 T. . . . . . . . . . . . . :23 JURISDICT ION:TIC' REISSUE: FL-OOR AREAS----------- I=XTFRIOR WALL CONSTRUMION- 0-ASS OF WORK. :OTR FIRST. . . . : 43 s INJ: S: E: W: TYPE OF USE. . . :COM G E C 0 N D. . . : 0 s f PIROTECT OPEN TNGF3*!-------- rYPE OF' CONST. :2N . . . : 0 Sf N: S. F. W OCCUPANCY GRP. :sJ2 A3 s f POOF CONST: FIRE RET? : OCCUPANCY LOAD. 0 PASFMENT. : 0 s AREA SEP. RATED: STnR. 0 HT: V1 ft GARAGE. . . 0 s OCCU SEP. RATED: BSMT? MUZ Z?: REDD SETBACKS...._._____._ REDL)I F1 OOR 1,OAD. . ., . : 0 Ips f 1,-EFT: 0 ft RGHT: 0 ft FIR GPK1._: SMOK DET. DWELLINGL)NITS: 0 FRNT: 0 ft REAR: 0 ft FIR At-R'M: HWDICr-', ACC: R FD R M 5: 0 �3nTH1=, V1 TMP SURFACE: 0 PRO CORR: PARKING: (A VAI UE. $ - '.6G 6 RertAv-Ps : Freestaiding sign must comply with TMC18.102 (Visual Clearance) Owner-: ....... FEES WFL-L.S FARGn BANK type AMOIAnt t)y date t-pept 1 1760 SW HALL. BLVD FIRMT $ 2'8. 00 JMH 01 /x:'8/97 D 9 7- 9 6 0 6 TTGARD OR 97223 PLCK $ 18. 20 JMH 01/2=8/97 97--289606 Phone #: 5PCT $ 1.. 40 JMH 01/28/97 97-289606 Contractor; STEIN SIGN CO :3981.0 CROWN POINT HWY CORBETT OR 97019 Phone 695-3220 $ 47. 6V.1 TOTAL 11 REQUIRED I NSPEcT TONS issuild sub,, 311)At long contained In 6he Tigard m,inicillAl I ilty Codes And all other in accordance with A Ov 1 1 f L r Commercial Building Permit i r miry )I ' gard 131:5 SW Hall Blvd. Tigard, OR 77:'.3 (505)6391171 .lobsite Address: 17? o 5L.J H6 (_'��_' OFFICE USE ONLY I 7- Tenant: i)t" J:;)(z6y Suite _ Planck/Rec. # Valuation: ir. — Permit ax Map &TL Owner: WeLL`-7 ( -'��'�'y /�f�r1r ADJ?t91�.15..Bg$U1L�� Address: 117L�O SW II i1 �� Y3�1 �,&(..��) Planning `� �i6H D2C- Engineering 'lslephone: Other ontractor: `JT�.(K-' S16� �� ` ('(_. C 0`2►S�"t7` GType o onstr,_ — r, )("• 6�s 3 2- ,2 C: —1 elephone: d Occupancy Class: Contractor's License x « �l-f Sprinkler? Yes No (attach copy of current Oregon license) Sq. FL Of Project: _ t Contact name & telephone: J 10,) Story Ost, 2nd, etc.): _ >rchitect 3 Engineer. Proposed Use: _ Addres%: Previous use: 13r1'Lr �V Note: Plumbing & mechanical plans must Telephone: be submitted at time of building permit application. OB DESCRIPTION C INS-VjLC r2CE ;(G•v (Applic3rt Signature & Telephone Number) -,eceived by: — -- __- Date Received: .tP=_= 1.cc ..s- PERMIT# Account Description Amount Amt Pd. Balance Due U f Building Permit (BUILD) caCc7 0' 1` r G Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. _ y Plumb. _ Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-RI Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF,IS) Office TIF (TIF-0) Water Quality (WQUAL) Nater Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA ;ERPLAN) Erosion PlancklCOT (EROSN) / �6 _ , TOTALS: L % 7, 60 --� I ccMPER Ocr, 'DST) 10,96 CITY OF TIGARD April 1, 1997 OREGON Stein Sign 39810 Crown Point Highway Corbett, OR 97019 RE: Wells Fargo Building Plan Review 11760 SW Hall Boulevard P(.:#: 1-123c BUP#: 97-0142 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1. Submit plans, specifications and calculations prepared by an engineer or architect licensed by the State of Oregon [OSSC, Section 106.3.21. 2. Structures shall be des�gned for seismic forces coming from any horizontal direction [OSSC, Section 1628.1]. A. Provide a seismic lateral forces analysis prepared in accordance with I OSSC, Section 1628. Please submit four copies of revised submittal documents and a letter indicating your response to the above comments for i r.Mew. Please call me at (503) 639-4171 if you have any questions. Sincerely, Roe�, C130PLANS EXAMINER •/w,uv.xv.x,iutMnN,nr ei ]Mt,,tfc QK' 13125 5JU 1',all Blvd., Tigard, OR 97223 (503)639-4171 TDD (.503)684-2772 — CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 131.15 SW Na!!Blvd., Tigard,0A,97223 (503)639.4171 PERMIT #: E LC97--0179 DATE ISSUED: O4/29/97 PARCEL: 1S135DD-01000 SITE ADDRESS. . . : 11760 SW HAL-I_ BLVD SUBDIVISION. . . . :HOFFARBE R TRACTS IVO. 2 ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2:? JURISDICTION: T1. Project Description: Yells Fargo Bank signs SW-8419 and SW-8818 ----RES T DENT'I AL UNIT---- ----TEMP SRVC/FEEDERS---- ----•---M I SCELL.ANEOUS------_ 1000 SF OR I ESS. . . . : 0 0 - 2O0 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' l_ 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 2 LIMITED ENERGY. . . . . : 0 401. -- 600 amp. . . . . . . : 0 SIGNAL_/PANF_I... . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 ------SERVICE/FEEDER---- ----BRANCF I CIRCUITS------- ------ADD' L INSPECT TONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . „ : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' I_ B RNCH CIRC: 0 IN PLANT'. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --- -- ----_...___._-__.PLAN REVIEW SECT 1.000+ amp/volt. . . . . : 0 i =4 RES UNITS. . . . . . . . : ) 6OO VOLT NOMINAL.. . Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS APEA/SPEC OCC. : Owners __..______---__.--_--__ _._____________________.___.__.___._ ._..__.._ FEES WELLS FARGO BANK type amol.int by date recpt 11760 SW HAL...- BLVD PRMT $ 80. 00 JMH 01 /28/97 97--28SE,O6 T I SAR-t OR 97223 5PCT $ 4. 00 JMH 01 /28/97 "37-289E,'?,C, nhnne! #: Cantrar_tora JTM STEIN STEIN SIGN COMPANY, s 84. 00 TOTAL- 9818 CROWN POINT HWY RFOUI RED I NSPFr _. I ONS CORBETT OR 97019 Ele,=t' 1. Final Phone #: 695-3220 Reg #. . t 000643 This pereut is issued subjoct to the regulations contained in the (igard Municipal Code, State of Ora. Specialty Codes and all other i erMittek-Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started _ _ — within 198 days of issuance, or if worh is suspended for more than 1B8 days. I a s u d By --OWNER I N931(IL 1.44 T T ON OM-Y--_ The installation is beivig ma0f, nn pr-operty I own which is not intended for sale lease " r rent. ()WNEh' S SIGNATLIRE: _- _ - ---_--..__. _ --..._ DATE- ------------------------CONTRACTOR ATE:--------_-------•--------CONTRACTOR INSTAL._I_ATION 5)T GNA'TURE OF SUPR. ELEC' N: _...— DATE: _ L_ T rFNSF NO: Call for instpertion - 639--4175 009 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Etc � Tigard, OR 97223 Permit # /q � � C") D to issued Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIG ARD TDD 14c (503) 684-2772 Inspection (503) 639-4175 1. Job Address: d. Compute Fee Schedule Below: Name of Development �E�tLL-5 ,f LV)�'Ji_�- Number of Inspections per permit allowed Address ZL�)HCl) II1/A LL— f 7 Cil •-_ Service included Items Cost(ea) Sum City/State/Zip '�6 � U��-- — 4a. Residential -per unit 1000 sq ft. or less $11000 4 Name (or name of business) Each additional 500 sq h or 1-140- portion thereof $25 00 —_ Commercial l7ff- Residential Limited Energy __ $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6800 —___ 2a. Contractor installation only, 4b. Services or Feeders _ Installation,alteration,or relocation Electrical Contractor s 1 L f tom- ��'� 200 amps or less $60 00 — Address _3111'('(71 A t1s-,N P7 If y 201 amps to 400 amps $60 00 Cit CL'lt-;CTT State e>12 Zip'1 7111�} 401 amps to 600 amps $120 CO c City 601 amps to 1000 amps $18000 Phone No. GCj- over 1000 snips or volts _ $34000 1 .lob NO. Reconnect only $50 0u contractor's license NO. ti ' 7 L- _ 4c. Tempnrary Services or Feeders Contractor's Board Reg. '.o._ jJ4 311r T_ Installation,alteration,or relocation signature of Supr. Elec'n - 200 amps or less _ 201 amps to 400 amps $50 0C 1 License No. S�� g .Z-_-__ Phone No. _ 401 amps to 600 amps $7500 ---- - Over 600 amps to 1000 volts $10000 — 2b. Fur owner installations: see"b"above 4d. Branch Circuits Print Owner's Name_-_ __ _ _ New,alteration or extension per pen! Address e)The fee for branch circuits with Cit State Zip purchase of service or feeder rel. City -- -- - Each branch circuit $500 Phone No. b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. Frot branch circuit $ 0 riot Intended for sale lease or rent. Earn additional branch circuit $5 S5 00 Ownei's Signature_ __ 4e. Miscellaneous (Service or feeder not included) ? 3. Plan Review section (if required): Each pump or Irrigation circle $4000 2 Each sign or outlinelighting $4000 Signal clrcult(s)or a limned ane 2 Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $40.00 4 or more residential units in one structure Minor Labels(10) $100.00 Service ar,;j feeder 225 amps or more SystP.1 over 800 volts nominal 4f. Each additional Inspection over Ciessifted area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per hourlrspfen $a5 00 _ Per hour _ 355 00 In Plant _ S55 00 -- Submit 2 sets of plane with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total M above fees $ NOTICE: 5%Surcharge (05 X total fses) $ t� ' PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEC iOR Plan Review if required (Ser,3) g btota/ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS S��u�� COMMENCED. ��ma�r.�. t—i Trust Account # J Ralance Due t Q -- CITY OF TIGARD ELECTRICAL PERI"IT DEVELOPMENT SFF,'VICES PERMIT #: EL.C97--0412 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.9171 DATE ISSUED: 06/26/97 PARCEL: 1 S 1�5DD-01 k'�00 J TF_ ADDRESS. . . : 1. 1"76 1 SW HALL_ BLVD '.iUBD I V I S I ON. . . . :HOFFARBER TRACTS N0. ZONING:C--G BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :c: , JURISDICTION: TIG Pr,o j ect De scr�i pt i on : add first branch circuit --RESIDENTIAL l_1NIT-----... __.._TEMP SRVC/FEEDERS---- --------MISCELLANEOUS__.....___. 1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGA'TION. . . . : 0 EACH ADD' L- 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . ; 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -------SERVICE/FEEDER-____. ----BRANCH CIRCLJITS-----.- ---ADD' L INSPECTIONS-- - 0 -- 200 gimp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0 601 - 1.000 amp. . . . . : 0 - -- ----_ -- --- .PLAN REVIEW SECTION---------------__.._ 1.000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . . Reconnect only. . . . . : ISI SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner : -__.__.__.__.___..------.____-- -- -__._._..__.-----------_--______ - - FEES WELLS FARGO BANK type amol.rnt by elate recpt 11.760 SW HAL.L.. BLVD P R M T $ 33- 00 GEO 06/x."6/97 97-2964'78 TIGARD OR 9722::: 5PCT $ 1.. 75 GEO 06/2:6/97 97-296438 Fj4rone #: Contractor.: WILLAMETTE ELECTRIC INC $ 36. 75 TO-IAL. FT) BOX 230547 REOUIRED INSPECTIONS I [PARD OR 97281 Rol.ryh-in Elect' l Final l'Irone #: 624--3631 Elect' 1 Service e'1 #. . .- 000750 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 Mork is not started within 180 days of issuance, or if work is suspended fur more than 180 days. ATTENTION; Oregon law requires you to f(,.low the rules adopted by the Oregon. Utility Notification Center. Those rules are set forth in OAR 952401-0010 through OAR 952-001-1981. You may obtain a copy of these rules or direct questions to Olh!C uy calling (503)246-1981. PF,r mitt ep INSTALLATION ONLY ------ ---- -- -- lhe installation is being made on property I own which is not intended for ' ale, lease, or rent. 11WNE R' S SIGNATURE: DATE: -ASC-TOR INSTALLATION 17NATURF.: OF SUF'R. ELFC' N; <-�- 5+ S )-Tr— I )f;E:NSf N0: 1r6, ��- .� I +++ F+-F+++++++#+++++++++++++++++'t'+++++-h++•f-+++++i'++++..%-4 4-++'*+4+ :-+++'++++'}++++++++- Call 639--417; by 6:00 p. m. for an inspection needed the next bi.rsiness day i++i++i+++'++++++++++'++++++++++-F++++++++++++++++++++++++++++++++•F+++++++++++i-+++ I'� CITY OF"TIGARD Electrical Permit Application Plan Check#� 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Rec'd� _ Date to P.E. _ Phone (503)639-4171, x304 Print or Type Date to CST Inspection (503) 639-4175 Permit#� X13- O /� Fax (503) 684-7297 Incomplete or illegible will not be accepted Called ` 1. Job Andress: 4. Complete Fee Schedule Below: Name of DevelopmentNumber of Inspections per permit allowed Name(or name of business)-fie 1u IC. Service included: Items Cost Sum Address_ lL lJ _ r 1 6 ug-, f _ 4a. Residential-per unit 1000 sq.ft.or less $110.00 4 City/State/Zip c,,�2 0Each additional 500 sq.ft.or Commercial © Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 _ Each Manuf'd Home or Modular Dwelling Service or Fader $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor_ ti 1e A i r, /A- Installation,alteration,or relocation Address F'f) 6,cK. t co 4 y ',L200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City C .P n r, State ( _Zip '0111 JL 1 _ 401 amps to 600 amps $120.00 2 Phone Ne 0 G 14 - 10,1 601 amps to 1000 amps $180.00 2 Job No. S 5 C'y Over 1000 amps or volts $340.00 2 -- __ _ Elec.Cont. Lice. No. 3 4 •ifs 2 C Exp.laate Reconnect only $50.00 2 -_ OR State CCB Reg. No. IY v 5`i � Exp.Date 4c.Temporary Services or Feeders COT Businc ss Tax or Metro No. /5 14, _Exp. ate Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Su r. ElecIn- 201 amps to 400 amps $75.00 2 g p -- 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts, License No.J rl L •s Exp.Datesee"b"above. Phone No. b LU I, f 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address_ Each branch circuit $5.00 CIState_- Zi b)The fee for branch circuits tY P-` without purchase of Phone No. _ service or feeder fee. First branch circuit „L $35.00 8 ' 2 The installation is being made on property I own which is not Each additional branch circuit- $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or leader not Included) Owner's SlgnatUre___-___ _ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extenslon $40.00 _ $100.00 Please check appropriate Item and enter fee in section 5B. Minor Labels(10)4 or more residential units in one structure 4f.Each additional Inspection over _-_ Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Per hour $5500 as described In N.E.C.Chapter 5 In Plant $55.00 ' Submit 2 sets of plans with application where any of the above apply. S. Fees: _ 1 Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ - NOTICE Subtotal $ ---- 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reau�rd(Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Arc orint n--- S 34 Total balance Due HDSTSNELEAS APP Rev W96 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639.4171 Date Request.-& ,76•L -7 // _ A.M. P.M. _ MST: Location: /� ,5 241i t. ,C �ti� BUR -- - Tenant__ . t/t ZJ - ^11 Suite: Bldg: We: Contractor: _Phone: — 36 1/ PLM: Owner Phone: EI,C: 5- _ SrF _ BUILDING BLDG(con't) PLUMBING MECHANICAL1L�y,LECTR ICAL` SITE Site PosUBeam PosUiicam Post/Beam l 6VerVS,crevice Sewer/Storm Footing Roof I IndFI/Slab Rough-In Ceiling Water Line Slab Framing 'fop Out Gas Linc Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Flu-nace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath r_ Fire Spklr/Alm Crawl/Found Dr Ileal Pump 1-9w YJAL _ Approved Approved Approved Approved ApprovedAppr/Sdwlk Not Approved Not Approved Not Approvedoved Not Approved FINAL FINAL FINAL T FINAL r � i C1 Call for reinspection C1 Reinspection fee o S required before next inspection I Jnable to inspect Inspector: / C '`(-<�' �; Date: ,� ! - _ Page of__� CITY OF TIGARD BUILDING IN P C IOWDIVISIOI�C tai 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: _ —7� t I 197,, A.M. P.M._ MST: _ Location: I I / �J C LJtJ � a f 1 BUR Tenant:_ VV E LI—S FAeCr'C) ' ) -- Suite:_ __Bldg: _ MEC _ Contractor- —_ Phone — PLM: Owner: .211 '�7.YL.J1 ---Phone: C ' , — ELC:�7 F BUILDING BLDG(con't) PLUMBING MECHANICAL EI,ECTRICAI:__-,) 1 SITE Site Post/Beam Post/Beam 1'osUBcem Service Sewer/Stone Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing 'Top out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer lhxxUlh,e Reconnect Vault Bsmt Damp Drywall Stone Furnace 'temp Service Misc. Masonry Ceiling Rain Drain A/C I1G Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt _ Approve) Approve) Approved Approval Approved Appr/Sdv,lk Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL u► w.� VL �514 A/E L1 C /Acu Ir , MAVE prSC6A1&i rT C w/ rrjq 7 1 At If TA 4 r7 Call for reinspection einspection fee of$ requ' bef next inspection Q Unable to inspect Inspector_ 7� _ Date: / Page__ of CITY OF TIGARD BUILDING INSPEC'T'ION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Regttested: nn`0 _ _/ 7 ---- A.M. P.M.- MST: Location: 7 cin fCC(,�. —`— -- — BUR � Tenant: W r-,1,C i5 E�SP_CTO 6A ,)Y__ — Suite:_ Bldg: MFC: Contractor:_ _--Phone: PI,M: _ Chimer: Phone' t?LC': 1 ___ 62l(1??,( q 6 _� L 1.11R: BUILDING-- ' " T; BLDG�n't) PLUMBING MLCHMII(Af ELECTRICAL SITE Site Posl7l3&m Post/lieam PosUl3cam Cover/Service Sewer/Storm Footing Roof UndFUSlab Rouglt-In Ceiling Water line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Institution Sewer Ilood/Duct Reconnect Vault 13sint 1)mnp Drywall Stonn Furnace Temp Service MISC. Masonry Cciling Rain Drain A/C I1(i Slab Shcar/Sheath Fire Spklr/Ahn Crawl/Found 1 h I lent Pump Low Vol! ApprovLd Approv(xl Approved Approved Appr.)vcd LAppr/Sdw1k Not Approved Not Approved Not Approval Not Approved Not Approved FINA1` FINAL FINAL FINAL FINAL U IOU 0(.all for remspec ' n n Reinspection fee of 3 _r aired before next in tion 0 Unable to inspect ht. sector: `' ~ —_� ^� — `► _�_ Date.: Page of CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-•4175 Business Line: 639-4171 BLIP _ Date Requested AM PM _ BLD Location_ /1-7(, 0 ( ;(,4� Suite _ MEC Contact Person _ Ph PLM _ Contractor_ 7�-�� ~� _ Ph _ SWR p BUILDING Tenant/Owner LC/ce ELC g 6 Reta Hing Wall — ELR Footing Access: Foundation F /f FPS Ftg DrainSGN 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 TopOut --- ------ _ --------------- -----------------_ Water Service .._.----_..-------- Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ----- - -- --- --- -- ---------- Rough In Gas Line Smoke Dampers Final - -- PAAS PART FAIL ELECTRICAL - Service Rough In UG/Slab 1 --- - -- - -- --- - --- --_�_- -- _ ------ Low Voltage - _- Fire Alarm J'fASS 'PART FAIL - - -- --- --- ---- ------------., -- - - -- --- Backfill/Grading -- ------- -- ----- - - --- - ---- ----- — —--- - ---- Sanitar/ Sewer Storm Drain I ] Reinspection fee of s required before next inspection Pay at City I fall, 13125 SW hall Blvd Catch Basin Fire Supply Line I ) Please call for reinspeclum Flt - _ _ I ] Unable to inspect no access ADA =" Approa&.'sidewalk Other Date � _ -Ii �� Inspector _ r..c - Ext _ -�f- -- -->�._ _ -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY CSF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #:DATE ISSUED: 05/29/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 05/0 89 PARCEL: IS135DD-.01000 SITE ADDRESS. . . : 11760 53W HALT.... BLVD ,AJBD I V 13 1 ON. . . . :HOFFARBER TRACTS N0. 2 7(IN I NG,C-G B1_.00K. . . . . . . . . . : LOT. . . . . . . .. . . . . . :02 JURismcTION-, TIG Project Description : Sign UNIT--.--- SRVC/FEEDERF------ ---.-----MISCELI_ANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION....: 0 EACH ADD' [- 500SF. . . - 0 201 400 amp. . . _ . : 0 SIGN/OUT LINE LTG. . : I LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 .----..----.SE'RVICE/FEEDER---------- ----BRANCH CIRCUITS---,.--- - INSPECTIONS—- 0 - 1`:,00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amF.). . . . . . : 0 1 st WIO SRVC OR FDR. : 0 VIER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . . 0 EA ADDIL BRNCH CIRC- 0 IN PLANT. . . . . . . . . . . : 0 601 1.000 amp. . . . . : 0 REVIEW SECT I 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVI/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES WELLS FARGO BANK type amoLtnt by date recpt 11760 SW HALL BLVD P R MT $ 40. 00 B 05/129/98 98-306113 TIGARD OR 97223 5PCJ $ 00 B 05/29/98 98-306118 Phone Contractor-: CHRISTENSON ELECTRIC INC $ 42. 00 TOTAL III SW COLUMBIA STE 480 REQIJIREL) INSPEcTiONS PORTLAND OR 97201 E I ect I I Service Phone #: 241-4812 Elect' l Final Reg #. . : 000458 This permit is issued subject to the regulations contained in the Tigard Municip.) 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 180 days of issuance, or if work is suspended for sore than IN days. ATTENTION- Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are rpt forth in DAR through OAR 952-001-19.67. You may obtain a copy of these rules or direct questions to OM by calling (503)246-1987. PV V-In i t t C P Si.g T I L t 1A r"e (2n OJ(OK Issi-ted By : .6 1-411AJ1414� L ---------------------------- INSTALLATTO' l The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALA.-ATION SIGNATURE OF SUPR. ELECIN: 'CIA DATE_: LICENSE NO: ................................................44............................. Call 639--4175 by 7:00 p. m. for an inspection needed the next business day .....................4.........1...............4-+++++++++4...............4 4 4-4 +4 4 4 4 CITY OF TIGARD Electrical Permit A0016&n Plan Check 13'125 SW HALL BLVD. Recd By TIGARD OR 97223 MAY 2 19Kf Date Reed f - l Phone (503) 639-4171, x304 Date to P.E. Print of'rype f`'FMO"flHill Date to DST Inspection (503) 639-4175 permit t► --r)2Aq Fax (503) 684-7297 Incomplete or illegible will nct be accepted called _ 1. Job Address: 4. Complete Fee Schedule 6Qlow: Name cf Development WELLS FARGO BANK _ _ Number of Inspections per permit allowed Name(or name of busin+pis)_ WELLS FARGO BANK Service included: Items Cost Sum i Address 11760 SW-MAP1 STREET 4a. Residential-per unit Ci /State/Zip_-_TIGARD- - 1000sq.ft or loss _ $110.00 _ 4 ry p r Each additional 500 sq.ft.or Commerciabo Residential ❑ Liportion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular JOHN EKMAN Dwelling Service or Feeder $66.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical ContrartorCHRi S'CE.ISON ELECTRIC, INC. Installation,alteration,or relocation 200 amps or less $60.00 2 Address_ 1 1 1 SW COLUMBIA.SUITE 480 201 amps to 400 amps $60.00 _ 2 City__ PnRTT.AND State ng Zip_ 9 20]_588h _ 401 amps to 600 amps $120.00 _ 2 Phone No 241-4812 _ 601 amps to 1000 amps $180.00 2 Job No. 606 3929 �w _ Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 2 Dec. Cont. Lice. No._ L-3&C_ Exp.Date - -- -- OR State CCB Reg. No. _4_5o_Exp.Date_ 4c.Temporary Services or Feeders COT BUsi,eSs-Tax-9J•lhletro No._ F-xp.Date Installation,altoretion,or relocation 200 amps or less $50.00 ,__ 2 SiSignature of+� Ei +. a 201 amps to 400 amps $75.00 2 g ter- -eC*, -rte--- - �- 40' ,a.is to 600 amps `. $100 u0 2 8 7 3 S fiver 600 amps to 1000 volts, License Nr _Exp.Date see^b"above. Phone Nr 2 - -�-- _ -- 4d.Branch Circuits New,alteration or extension per panel Zb. For owner installations: a)The fee for branch circuits with purchase of Qervice or Print Owner'sName feeder fee. Address -_ Each branch circuit $5.00 _ CI State ZI b)The fee for branch circuits city _ p_ without purchase of Phone No.__, _ service or feeder fes. First branch circuit $35.00 The installation is I:Pinn made on property I own which is not Each additional branch circuit` $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feedor not included) Owners Signature_ __. Each pump or irrigatiun circ a $40.00 Each sign SrYc�Gpdfe�l�EdD4AALL= $40.00 3. Plan Review section (if required):* Signal circu0(s),or a limited energy panel,alteration or extension $40.00 Please check appropriate item and enter fee In section 5B. Minor Labels(10) 5100.00-- 4 or more residential units in one structure 411.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 --as described in N.E.C.Chapter 5 In Plant $55 00 - Submit 2 sets of plans with application where env of the above apply. .5. Fees: 40. Not required for temporary construction services. 5a.Enter total of above fees $ 591.Surcharge(.05 x total fees) m NOTICE Subtotal - 5b.Enter 25%of tine 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review 4 reguired(Sec.3) $ - NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ 49 IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account R- Total balance Due 4.' 1ADSTMELC96 APP Rev W96 _ BUILDING PERMIT CITY OF TIGARD PERMITM BLJP1999-00221 DEVELOPMENT SERVICES DATE ISSUED: 6/11/99 13125 SW Hall Blvd.,Tigard. OR P7223 (503) 639-4171 PARCEL: 1S135DD-01000 SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING: C-G BLOCK: LOT: 023 JURISDICTION: TIG i REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE or USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2N 112 sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: 'TOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ;.'.?: REQD SETBACKS _ REQUIRED FLOOR LOAD. psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N — DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:N BIEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: Remarns: Replacement o,HVAC condei,3er&supporting structure. No C of 0 required, no change of occupant load. I Owner: Contractor: 1 ST INTERSTATE BANK OF WASHING B J. CUMMINGS COMPANY 11Y TAX ASSESSMENT ASSOCIATES 2330 SE CLATSOP ST EEXAK PIAcA. TOWER PORTLAND, OR 97202 S.�N ANTONIO, TX 78217 one: Phone: 235-1282 flag #: LIC 00203230 FEES REQUIRED INSPECTIONS Type By Date Amount Re..eipt Mechanical Permit Require PLCK DRA 5/27/99 $40.63 99-315729 Electrical Permit Required Framing Insp FIRE DRA 5/27/99 $25.00 99-315729 PRMT GEO 6/11/99 $62.50 99-316067 5PCT GEO 6/11/99 $3.12 99-316067 r Total $131.25 -- — ORIGINAL This permit is issued sub.ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will Lie done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION, Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 1952-001-1987. You may obtain a copy of these rules or/direct questions to OUNC by calling (503) 246-1987. Pennitee , signature: �� ~— -- Issued By: Call 4175 by 7 p.m. for an inspection the next business day CI?Y OF TIGAR,5 Commercial Building Permit Rpplicaticin Recd By 13125 SW HALL BLVD. Tenant Im rovement i C, Date Recd Date to P.E.p �� - 'f IGARDr OR 97223 mate to D T 6, (503) 639-4171 Perron F tint or Type /f ry^ t � Related SWR# Incomplete or illegible applications will not be accepted called �s, A* -- —i Name of Development/Project Existing Building �X New Buil • g p Job '"Nf LL' Address Street Address suite Building i 7� J) (L� Data _ Bldg 9 CRY/State Zip Existing Use of Building or Property: Name F I�Z'T_ Proposed Use of Building or Property: Property �A�f- ( 1_ J FAQ eN r-- AA Owner Mailing Address Suite be'X'AR P-AzJ4 'm(ki '`- No. Of Stories:) City/State Zip -7g Phone Sq. Ft. Of Project: Occupant Name — Occupancy Class(e5) WE 1-1 Name —-- Contractor i ,'r1 - C . Type(s)of Construction Prior to permit Mailing Address Suite -- -- — issuance,a copy S Will this project have a Fire Suppression System? uf all licenses Yes p No a,e required If cr,y/stale ZIP Phone expired In C O T , ; Americans with Disabilities Act(ADA) c labase ev F. � ]&)Z L.e✓ (t- �- Valuation X 25% =$ Participation Oregon Const.Cont.Board LIc.# Exp.Date / I Complete Accessibili Form 12,-;, ` C �2� Project — $ ---- Name Valuation Architect Plans Required See Matrix for number it sets to Submit Mailing Address Suite on back I City/State lip Phone I hereby acknowledge that I have read this application,that the information given 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 LI i /�i f� ; Z,� Sin ture,oOwlterr/Age t Dal Melling Address suits Vtct Jj� (�( Contact Persa Name Phone City/State Zip Phonr I i ` 35^IZ-2W FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O Map/TL# Land Use: `— Accessory Structure O Foundation Only O Alteration O — _ Repair.0 Other O Description of work: PL4 I_ ,,A Cl-::- f I '`0,, 4, TIF: Nota: Site Work Per-mit Application must precede or accompany Building Permit Application �{b tCOMNFWiI DOC: (DST) 5/911 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application, must contain the signature of the supervising electrician before plan review will bi conducted. After plan review approti0 I, Pians Examiner will contact the appl;cant to request additional plan sets for distribution purposes. (C-Np;or Gontractor, City, Washington County, Tualatin Valley Fire 6. 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 Svstem M (New or Add or Alt) 1 _ M = Mechanical B & M (New or Add) 1 ^ P = Plumbing P (' Add, or Alt) ^� 2 E = Electrical B & M & P (New or Add) ^ 2 New = New Building E (New, Add. or Alt) 2 Add = Addition B & F & M &-P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *a& M & P (Alt) _ � 3 . *1 & M & P & E(Alt) 3 *B & M & P & E & F(Alt) � 3 NOTES: 'Shaded areas designate ALT submittals only. I kids\forms\matixcom doc 10/30/98 CITY OF TIGARD -- MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00226 13125 SW Hall Blvd.,l igard, OR 97223 (503) 639-4171 DATE ISSUED: 6/14/99 PARCEL: 1 S135DD-01000 SITE ADDRESS: 11760 SW HA;L BLVD SUBDIVISION: HOFFARBER*1 RACTS NO.2 ZONING: C-G BLOCK: LOT: 023 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS_ _ FUELTYPES _ 0 - 3 HP: DOMES. INCIN: -L.E 3 15 HP: 1 COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -.50 HP: WOODSTOVES: GAq PRESSURE: 50 + HP: CLO DP.YERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UN;TS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replacing tower with air cooled condenser Owner: _ — FEES 1ST INTERSTATE OF WASHINGTON Type By Date Amount Receipt BEXAR PLAZA TOWER PRMT BON 6/14/99 $25.00 99-316101 SAN ANTONIO, TX 78217 PLCK BGN 6/14/99 $6.25 99-316101 5PCT BON 6/14/99 $1.25 99-316101 Phone: Total $32.50 Contractor: OREGON AIRE INC 7921 SW NIMBUS AVENUE BEAVERTON, OR 97008 _Y_ i REQUIRED INSPECTIONS Mechanical Inso Phone:626-2000 Duct Inspection Reg #:LIC 000642 S.D. Shut-down Final Inspection OR1 .11NAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Code, and all other applicable laws. All work will be Rona in accordrinc:e 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: OiO lon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 1 through OA ,952-001-0080 You may obt�tit�copies of these rules or direct questions to OUI` by ailing (50 -9189. Issue By: �Z��. � �— Permit.ae Signatur, tl Call (503) 639-4175 by 7:00 P.M. for inspections needed the nett usiness clay #* ' � CITY OF TIGARD Mechanical Permit Application Plan Check Recd B '13125 SW HALL BLVD. Commercial and Residential Date Rec'd� L TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST u Print or Type Permit# Incomplete or illegible applications will not be accepted call d Name of Developmemrproiect ky Description Table 1A Mechanical Code Qty Price Amt .Ion Street Address Suiten A) Permit Fee _ _ 10 00 Address I ( 7 ,L) S W 1 1ili _l_ 1) Furnace to 100,000 BTU Bldg# City/Stale Zip including ducts&vents see footnote 1,2 6.00 2) Furnace 100,000 BTU+ (q 61U2 including ducts&vents see footnote 1,2 _7.50 Name(or name of business) - r n( ;!Y 3) Floor Furnace Owner L---LL'> �>r L; including vent see footnote 1,2 6.0n Mailing Address 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 6.00 __ 5) Vent not included in appliance permit City/Stale ZIP phone 300 Check all that apply "Boiler Heat Air Name(or name of businr1164) _ For items 6-10,see or Pump Cond Qty Price Amt footnotes 1,2 Com _•• 6)<3HP;absorb unit to Occupant Mailing Address 100K BTU 6.00 7)3-15 HP,absorb unit City/state Zip Phone 100k to 500k BTU_ 11.00 _ 8) 15-30 HP;absorb Contractor Name unit.5-1 mil BTU 15.00 .�� 9)30-50 HP,absorb unit 1-1.75 mil BTU 22.50 Prior to permit Ma nllf(�g Address>>ress N p 10)>50HP,absorb unit V- issuance,a copy -L 1 (,.j ( 13 >1.75 mil BTU 37.50 _ of all licenses cayfslate Zi Phone— ` 11)Air handling unit to 10,000 CFM are required it ( hvLrCU" L q?IX ,)_(� �[itS __ 4 50 expired ir,COT Or9gonn Consi Cum Board Lic# Exp Date 12)Air handling unit 10,000 CFM+ dat:oase ;�`1 Z- —5 �-- ); ` -( ) _ 7.50 Architect Name 13)Non-portable evaporate cooler 1 or Meiling Address _ �t 14)Vent fan connected to a single duct 3.00 15;Vertilation syste n not incrided in Engineer y/Slate zlp Phone appliance pPrmi_4 4.50 _ &>�Lt1.rt1,0 - q UL. 2 2- z4q 16)Hood served by mechanical exhaust Describe work to be done: 4.50 17)Domestic,incinerators New Q� Repair O Replace with line kind: Yes O No rd 7.5_0_ Residential O Commercial P�l 18)Commercial or Industrial type incinerator 30.00 Additional information or description of work: 19)Repair units v r1 r" uric • r- ____ 450 20)Wood stove NOTE: For Commercial projects only,Units over 400 lbs require _ 450 _ structural calcs; _ 21)Clothes dryer,etc. -1yp, of fuel oil O natural gas O LPG 0 electric 0 _ 4.50 _ 22)Other units I hereby acknowledge that I have read this application,that the information _ _ 4.50 given is correct,that I am the owner or authorized agent of 23)Gas piping one to four outlets the owner,that plans submitted are in compliance with Oregon State laws See footnote 1 ___ 200 _ 24)More than 4-per cutlet(each) Signatof Own /A //nt Date _ 50 ts�>� _ L �� ' Minimum Permit Fee$25.00 SU_B_TOTAL v Contact Person Name y Phone 5%SURCHARGE _ �•l`�jl ) PIAN REVIEW 25%OF SUBTOTAL Foonotes fer cbmmerclal projects only: ) Required for ALL c_ommerclal perp its onI --} 1 Provide full schematic of existing and proposed gas line and pressure. TOTAL 2. Provide drawings to scale showing existing arid proposed mechanical units •State Contractor Boiler Certification required - -Residential AIC requires site plan showing placement of unit I Unechperm doc rev 02/4/99 r��54 11r � , ��t ,d0� W�f�uP , _ l� o--t CITY OF TIGARD BUILDING INSPECTION DI`✓iSi(JN MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � BUP — Date , Requested (c, aa `g� l AM_ PM BLD _ Locaiion �C� !J L�P U Com. Suite C� MEC _ Contact Person �Vl/l_1 Ph _� l ' !SLS PLM Contractor_ �Tu�� ,, _ Ph SWR _ BUILDING _ Tenant/Owner ELC 1�� c') - )223 Retaining Wall ELR _ Footing Access: - Foundation FPS Ftg Drain SGN ` Crawl Drain Inspection Notes: --- Slab _ r!�r — SIT Post& Beam -- Ext Sheat`/Shear Int Sheath/Shear Framing --- - -- —-- - Insulation D Drywall Nailing Firewall Fire Sprinkler _- Fire Alarm - Susp'd Ceiling —� ------------- -— --- --- r of Misc: — Final PASS PART FAIL - --------�- -- ----- - _ _�_.. PLUMBING Post& Beam -- ___.--- ----- -- _--__^— —_ —_� ----- Under Slab Top Out Water Service Sanitary Sewer -----�-.— ----- - ----- .. Rain Drains Firal PASS PART FAIL MECHANICAL -_-- -- -— ------ [lost& Beam --- Pough In Gas Line _.. ------ - -- Smoke Dampers Final - - - - PASS PART FAiI_ CTR ---_..... _ ------ ------- -___-- Service Rough In UG/Slab Low Voltage ---- Fire Alarm AS PART FA;L BackfilliGrad ing - ...- ---- - - ----.�--------- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE. -_— _ [ I Unable to inspect no access ADA Approach/Sidewalk Other Y— Date ___-� _�`'J "/�7 -_Inspector —_ -�f� -- Ext Final PASS_ PART FAIL DO NOT REMOVE this Inspection record from the job site. ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC1999-00373 DEVELOPMENT SERVICES DATE ISSUED: 6/23/99 13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 PARCEL: 1S135DD-01000 SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING: C-G BLOCK: LOT : 023 JURISDICTION: TIG Proiect Description: First branch circuit and one additional circuit. __RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _ _ BRANCH CIRCUITS __ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BHNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: —_ SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: 1 ST INTERSTATE BANK OF WASHING S-IOVER ELECTRIC BY TAX ASSESSMENT ASSOC 2701 SE 14TH BEXAR PLAZA TOWER PORTLAND, OR 97202 SAN ANTONIO, TX 78217 Phone: Phone: 233-3631 Reg#: LIC 00044823 SUP 4025S ELE 26-122C FEES _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 6/23/99 $42.85 99-316342 Elect'I Final 5PCT _ BON 6/23/99 $2.14 99-316342 Total $44.99 �J fir•/ r his Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) z4r3-19©7 Permit Signature: \ ^t. ?(lQ {',!'l 1 Vl '�L� _ Issued By: cc � OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —_,—.__— DATE:. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. F LEC'N: ("'i A ez 1 f �,� «� l DATE: LICENSE NO: ___Y — _— --.--- ---- -- Call 639-4175 by 7:00prn for an inspection the next business day RECEIVED CITY OF TIGARD JUN 18 199G� Electrical Permit Application PlanChec"_�____ 13126 SW HALL BLVD. Recd By r A TIGARD OR 97223 COMMUNITY DEVELOPMENT Date Recd Date to P.E. Phone (503)639-4171, x304 print or Type Date to DST Inspection (502) 639-4175 Incomplete or illegible will not be accepted Permit#E(. .( 'Ol"-z�J Fax (503) 684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ _- Number of inspections per permit allowed Name(or name of business) �t.S '� 7�+�tom- Service included: Items Cost Sum Address_ 1`7 (o C A L - L V 0 _ 4a. Residential-per unit .� City/State/Zip:r T�f4-�?� C)O `�7ZZ- _ loco sq. ur I�5 $110.00 _� 4 f I Each additional f sq.It .r .❑ Portion thereof $25.00 Commercial Residential Li 1 mited Energy $25.00 Each ManuPd Homo or Modular 2a. Contractor installation only: Dwelling Service or Feeder $88.00�- (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor S'7F-wJ L- fir E-4.e-<-7W I -� Installation,alteration,or relocation �, 200 amps or less $60.00 _ 2 Address 7 7 C /f 201 amps to 400 amps $80.u0 _ City.Zn_ Y7 State :,k Zip 97 Zc,-- _ 401 amps to 600 amps $120.00 _ Phone No. '=3' 3fo3 1 601 amps to 1000 amps $160.00 _ Job No. 7 s _ Over 1000 amps or volts $340.00 Elec.Cont. Lice. No. Zen,-1 ZZ _Exp.Date- /o Reconnect only $50.00 OR State CCB Reg. No 4 116'7 3 Exp.Date .3.1 4c.Temporary Services or Feeders COT Business Tax or MetroN- o4ro4/4v Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 - 2 Signature of Supr. Elec'n __ 201 amps to 400 amps $75.00 40t amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 349�>:5 __Exp.Date 3 v see"b"above. Phone No. 2 ?,y3/ -- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits With purchase of service or Print Owner's Name _ _ __ feeder tee Address Each branch circuit $5,00 b)The fee for branch circuits City � State Zip Without purchase of Phone No. service or feeder lee. _ First branch circuit [_ $35.00 2 The Installation is being made on property 1 own which is riot Each additional branch circuit! $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 fighting $40.00 -- 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension _ $40.00 Y_ 2 Please check appropriate item and enter fee in ,ection 5B. Minor Labels(lot $100.00- _, 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour __ $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with appllcab(m where any(it the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ �_ 5%Surcharge(.05 X total fees) $ NOT)CE subtotal $ Sb,Enter 25%of line 8a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review I1 rWLW(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED CR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WO14<is COMMENCED. ❑ Trust Account k_ _ S Total balance Due nST8\ELC9G'. P nee rvos CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 I!<, Business Line: 639-4171 -- C c/Date Requested ; AM PM BLD Location_ i) K_ 1' Suite MEC Contact Person (r�Q,4,A/� Ph �3� " L.0 � _ PLM Contractor I Ph. _ SWR BUILDING— narjQO-ner `• �, JS P], _ ELC — Retaining Wall ELR Footing Access: - — - Foundation FPS Fig Drain Slab I Drain Inspection Notes: SGN Post& Beam _ — �' SIT 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 r'rT �� Final PASS PART FAIL Post&Beam Rough In Gas Line - - - -- — - SmQke Dampers PART FAIL ELECTRICAL - -- _- --- --- Service Rough!n IJG/Slab Low Voltage Fire Alarm 1 incl --- ---- ------ PASS PART FAIL --- --_----_—,�_ -_- —_. SITE Backfill/Gradmg ----- —_ Sanitary Sewer Storm Drain I 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 ' —_ -��_-_- [ Unable to inspect-no access ADA Approach/Sidewalk "- Other Date _Inspector , Ext . ..... Final PASS PART FAIL J 00 NOT REMOVE this inspection recurd from the job site. CITY ®F T I G A R D -- ELECTRICAL PERMIT PERMIT#: ELC2000-00650 DEVELOPMENT SERVICES DATE ISSUED: 1'1/29/2000 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135DD-01000 SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: NOFFARBER TRACTS NO.2. ZONING: C-G BLOCK: LOT : 023 JURISDICTION: TIG Proiect Description: Two (2) branch circuits for commercial TI. Job No. 39157s. RESIDENTIAL UNIT _TEMP 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: I IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ amp/volt: — >=4 RES UNITS: > 600 VOLT NOMINAL: _Reconnect only: —_ SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC:_._j Owner: Contractor: 1 ST INTERSTATE BANK OF WASHING STONER ELECTRIC BY TAX ASSESSMENT ASSOC IA-1ES '2101 SE 141H BEXAR PLAZA TOWER PORTLAND, OR 97202 SAN ANTONIO, TX 78217 Phone: Phone: 233-3631 Reg #: LIC 0004482.3 SLIP 4025S FILE 26-1220 FEES s _ — Required Inspections__ Type By Date Amount Receipt - _ _ Elect'I Service PRMT CTR 11/28/200( $53.50 2720000000( Elec t'I Final 5PCT CTR 11/28/200( $4.28 2720000000( -�-^ Total $57.78 This Permit's issued ,!;blest to the regulations containei in the Tigard Municipal Code State of OR Specialty Ccdes and all other applicable laws All w&,. oil be done in accordance with approved plans. This 1,9mrit will expire if work is not started wthin 180 days of issuance.or if work is suspended for more than 180 days ATTENTION Oregon law requires you;o follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 througl- OAR 952-001-GOoO You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE . , ,2 �, . ._ /r'�4 ISSUED BY: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sole, lease, or rent. OWNER'S SIGNATURE: _ —__ —___—. DATE:. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —_____— DATE:—.--_------__ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Ap > 4-Rtions ��V -- Date received: // Perm tno.-,e c0 City of Tigard a 1�% Projec t/appl.no.: Expire date: t it(if Tigard Address: 13125 SW Half Blvd,Tiga` 0223 �.eN� Date issued: By: Receipt no.: Phone: (503) 639-0171 �� Lv�ti4Q — -- Fax: (503) 598-1960 S(� Case file no.: Payment type: Land use approval: -_ . 1 U I &2 family dwelling or accessory WoMMICrcialhnrlu:, ilal U Multi-family LI Tenant improvement U New construction ;s Addition/ahci ti m/rclilacenient U Other: _ U Partial JOB S.ffE INFORNIAT.10N Job address: /I 9`e S,r.J , �. A:!5, ll ildp. no Suite no.: Tax map/tax lot/account no.: Lot: Block: subdivision: Project - Descriptionan] 1 cation of work on premises:,-4,&-z.,_ofs Estimated date of cun,ple(!t)n/inspectjun: 1'.11 kiJUDULE Job no: ,49 1 S 7 s Por Mar Business nlIq 1 a -- - - Description ("Py. (ea.) Total uo.Imp t c A(ldress: - -` New residential-single or ntvlti-Gmlly Per Oy OGOdwellingtmit.inciudesottacf"pnrage City:M"L W+0#e(er State:e ZIP:9-7 J 77- Senice included: Phoncso .J/LZ-6Soo Fax'45q-y9 remail: - IaN)sy a orless — —`f- - Foch additional 500 s .ft.or portion thereof ('C'B no.: y4�L3 Elcc.bus.lie.no: 2dr, ;2�t / I imitedenergy.resldential 2 Cit)/metrono.: 4— —, Limited energy,non-residential ��_•.�y // Z 7 OO Each manufactured home or modular dwelling Si nature of supervising electrician(required) pate Service and/or feeder 2 Su Acct nano;.rind -� - Licensor Services or feeders-Installation, Sup p M f K E r Tarty N+E'fC S alteration or relocation: PROPERTY2(x)amps or less 2 Name(print): 201 amps to 400 amps _ 2 Maj lin! :ld(Iress: �— -- — - 401 amps to 600 amps - 2— -. 601 amps to 1000 amps 2 City: _ State: ZIP: Over 1000 ampsor volts 2 -- Phone: Fax: I E-mail: Iteconnectonl 1 Ott tier installation:The installation is being made on propert. n Temporary services orfeeden- which is not intended for sale,lease,rent,or exchange accord,;.:- to lrrstallatlon,alteratlon,o►rehxallvn: ORS 447.455,479,670,701. 2(x)amps or less 2 201 amps to 400 amps_ 2 O1Vtler's si nature: Date: and 1.,e00 ams 2 Branch circuits-now,alteration, or extension per panel: Name' _ _ A F.:e for branch circuits with purchase of Address service or feeder fee,each branch circuit CII Stale: ZI f': B Fee for branch circuits without purchase - E-mail: f service or feeder fee,first branch circuit 8S Phone: I :�, - - - ------ VUAN REVIEW(Please check all Ohio apply) (.ash additional branch circuit Misc.(.Service or feeder not Included): U Service over 225 amps-conutx•t,ud J Health sate facilm Each pump or imgation circle 2 U Service over 320 amps-rating of 1&2 U Uazarcious location Each sign or outline lighting 2 family dwellings U Building over IOAK)square t„t foul or Signal circuit(s)or n limited energy panel, U System over 6M volts nominal more residential units in one str cure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or more •Ikscri tion: U Occupant load over 99 persons U Manufuctured structures nr R% park Prch additional butimlon vier the allowable In any or the above: U Egress/lightingplat U Otter -_ ___- per inspection - Submit sets of plans with am of the altosr. Investigation fee - - 1 he almve are not applicable to temporarn construction.ct t it e. Other --- Not all jurisdictions accept credit cards,please call jurisdiction(or mote infom tion Notice:This peruti1 application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained flan review(at ^ %) $ credit card number ,_- — within 160 days atter it has been State surcharge(8%) ....$ aptret accepted ac complete. TOTAL .......................$ ntte d cardholdrr u ihawn on ct(�f card � - _ S signature �� Amount 440-4615 1tiVWOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYNE OF WORK INVOLVED -RESIDENTIAL ONLY P Restricted Energy Fee...................................................... $75.00 Number of Inspections ner Eermit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq,ft,or less _ $145 15 _ 4 Audio and Stereo Systems t-ach additional 500 sq it or porti in thereof $33.40 _ 1 Burglar Alarm Limited 7nergy — $75.00 Each Me wfd Home or Modular E]Dwelf ig Service or Feeder T $90.90 _ 2 Garage Door Opener' Services or Feeders E] ;seating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less __ _ $80.30 _ 2 6.85_ — 2 Vacuum Systems 201 amps to 400 amps $10&85 El 401 amps to 600 amps $160.60 2 ----- -T- 601 amps to 1000 amps _ $240.60 2 Other — - - - —- Over 1000 amps or volts T�^ $454.65_--� 2 Reconnect only $66.85 2 Temporary Services or Foednrs TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.................................................... .... $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 — 2 401 amps to 600 amps $133.75 -- 2 Check Type of Work Involved. Over 600 amps to 1000 volts, �t nae"h"above. n Audio and Stereo Systems Branch Circuits ❑ New,alteration(x extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or E] Clock Systems feeder leo. Each branch circuit _—^ $6.6.5_ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service C Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6 65 HVAC Miscellaneous Instrumentation (Se,-vice or feeder not included) Each pump or irrigation circle __ $53.40 Each sign or outline lighting $53.40 —— intercom and Paging Systems Signal circuit(s)or a limited energy paoal,alteration or extension —_ $75.00 __ Landscape Irrigation Control' Minor Labels(10) -------- $125,00 _ Each additional Inspection over a ❑ Medical the allowable In any of the above Per inspection $62.50 Nurse Calls Per hour $62.50 v In Plant $73 75 j Outdoor Landscape Lighting' Fees: Protecti,-Signaling Enter total of above fees $ _.. __ . n Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are requ ed for allother installations front of application — -- — -- -- Fees: Total Balance Due $ - --- Enter total of above fees $ Trust Account p 8%State Surcharge S,_^ Total Balancp Due t —. isldsts\bmulelc-fecs.doc 10/09/00 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00009 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/11/01 SITE ADDRESS; 11760 SW HALL BLVD PARCEL: 1S13bDD-01000 SUBDIVISION- HOFFARBER TRACTS NO.2 ZONING: C-G BLOCK: LOT: 023 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: 7 CLASS OF WORK: ALT DWELLING UNITS: 0 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Previous EDU count of 3, for 48 fixture count. Plumbing permit increases fixture count to 5.5, for an increase of 7 fixtures units, or .4 EDUs. Owner: - -- FEES 1ST INTERSTATE BANK OF WASHING Type By Date Amount Receipt BY TAX ASSESSMENT ASSOCiATES _— BEXAR PLAZA TOWER PRMT CTR 1/11/01 $920.00 2720D100000 SAN ANTONIO, TX '78217 Total $920.00 Phone: - --- Contractor: Phone: Reg #: Required Inspections 1 his 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 pennit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sf.wer is not located at the measurement given, the installer shall prospect 3 feet in all 0irecbons from the distance given If not so located, the installer shall purchase a "Tap and Side Sewer' Pemiit and the Agency will install a la.ral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules aie 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 calling (503) 246-1987. Issued by: Permittee Signature: Y -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP ...---------Date Requested� _— AM �� PM BLD [.()cation ,�/1�G 3 4' �'• MEC �� _ Suite --- _ Contact Person �� U14 Ph 7MG 0'S PLM _ — Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Footing Access Foundation FPS _ IFtg Dain SGN Crawl Drain Inspection Notes -- Slab Post 8 Beam _.----------- ------ -------- --- SIT --- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation -` -- - --- Drywall Nailing ------ _- - _---- - ---- - Firewal' Fire Sprinkler Fire Alarm Susp'd Ceiling Pnof Misc: - Final PASS r'ART FAIL - PLUMBING Post& Beam - Under Slab op Out --- -__ -- ------ -- Water Service Sanitary Sewer -- —_�.__.___ ----------------___-- - - -- Rain Drains Final ---- ---- - ----------_._ _�-�_-------_ _ PASS PART FAIL -----_-_-- MECHANICAL Post& Beam --------- ---- ------ ------_— __ Rough In Ga,,, Line - - ----- -- ---- - Smoke Dampers Final - PASS PART FAIL ervTce Rough In - — UG/Slab 0- �J��. Low Voltage,(, - .E�larm Fin- ;2-., PART FAIL SITE Backfill/Grading - - - Sanitary Sewer Storm Drain I J 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 J p ( J Unable to inspect-no access ADA Approach/Sidewalk Date - Other — Inspector _ Ext Final — PASS PART FAIL_ 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD PLUMBING PERMIT DEVE:1.OPMENT SERVICES PERMIT#: PLM 1/01 00006 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/111/01 PARCEL: 1 S 135DD-01000 SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: HOFFARRER TRACTS NO.2 ZONING: C-G BLOCK: LOT: 023 _ 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: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS. RAIN DRAIN: ft Remarks: Installetion of one (1) 'av d,-id ore (1)water closet-, and the capping of one (1) drinking fountain. _FEES Owner: — Type By Date Amount Receipt 1St INTERSTATE BANK OF WASHING PRMT CTR 1/11/01 $72.50 27200100000 F3Y TAX ASSESSMENT ASSOCIATES 51711—T CTP 1/11/01 1;5 Rid 27260100000 BEXAR PLAZA TOWER — — SAN ANTONIO, TX 78217 Total $78.30 Phone 1: Contractor: ��- DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Rough in insp Phone 1: 236-4152 Top-out Insp Reg #: LIC 172 Drinking Fountain PLM 26-83PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes am all other applicable laws P , 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. ATTE=NTION: 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 questions to OUNC by calling (503) 246-1987. Isso-ed By: 1-/. _ Permittee S:goature: 1�; --� � Call (503) 939= 175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Datereceived: ///,1/0/ Permit no.:,AafZoo/&00(6 (Cit of Tigard City Sewer permit no. / Building permit no.: ')Opp- 3 Address: 13125 SW Hall Blvd,Tigard,OR 97223 City(!fPgard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: Ily2 7'1 I Receipt no.: - Land us,-,approval: Case file no.: Payrlent type: U I &2 family dwelling or accessory J Ctmunercial/indutitri;d U Multi-family U Tenant impro7n, U New construction J Addition/alteration/rcplaccnlent J Food service J Other: __. ____ XTP INFORMATION III (for special hiftirniallon use Hiecklist) JOB SI illm S( -VULK �' p� //�� Description Qt . ree(ea. Tota Bldg.no.: l Job address: tom/ L��-- - New I-and 2-family dwellings only: Suite.no.: _ _ - (includes 10011.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath _ Lot: Block: Subdivision: - SFR(2)bath Project name: LTJ E(,C,r, fApt` f}I�K. SFR(3)bath - - City/county: x / �,4 QIP: -Z P, Each additional bath/kitchen Description and location of rk on p mises: SiteutilMes: —4yG ti.� - LA Catch basin arca drain Est.date of completion/inspection: Drywells/leach lineltrench drain _ Footing drain(no.lin.ft.) Manufactured home wilities Business mine: ,r. &I LV RK'Fry P1-66- Manholes -�-- -- -- Address:3 t\ Rain drain connector ,fty: . ��t„- Stat ..�)k ,ZIP: C1 7,,;V, 1 Sanitary sewer(no. lin. ft.) -- Phone �C S . Fax: E-mail: Storm sewer(no. lin. ft.) CCB no.: C' ( Plumb.bus reg.no: Water service(no.hn.ft.) City/metro lic.no.: (-"R" Fixture or item: Contractor's representative signature: L,r,y. Absorption valve Back flow preventer Print Backwater valve -- _- Basins/lavatory Name: LE L t e, S Clothes washer _ V dishwasher Address: - ----- - Drnking fountains) ('icy: ate_ -/AP - Ej•,-ctorfJsump - Phone: -�� FaV I, mail Expansion lank 1 Fixture/sewer cap Nantc(print): (, 'r L_ .5 A I: [ C _v4i v k Flocrr drains/floor sinks/hub Mailing address: r L Garbage disposal Hose bibb City: Starr C /� 7_I P:CL7� - Ice maker Phone: Fax: E-mail: Interceptor/grease trap O•.vner installation/residential maintenance only: The actual installation Primer(s) will Iw;made by me or the maintenance and repair made by my regular Ra.,f drain(commercial) employee on die property I ov n as per ORS Chapter 447. Sink(s),basin(s),lays(s) - Otvner's signature: Date: 'rubs/shower/shower pai 7N, Urnal--------- --- ---- Water closet_ Water heater State: zip: Other: --- Phone: Fax: E-mail: - Tota Nor all Jurisdictions accept credit cards,please call Jurisdiction fur mese infexmatiem hMinimum fee................ Notice this permit application , U Vi..a U MasterCard Plan review(al _ %) $ expires if a pemut is not obtained .� Credit card numbs: �__- _._L._1 within IRO days alter it has been Stite surcharge(8%)....$ _ r.r.res TOTAL . $ None of cardholirr u shown on credit card accepted a complete. _ _ S Cardholder signature Amount �1 110.4616(60WOM) 0 Y E'7�tit. /Nn f�?S r C tt:'G�J t 2 /-�'I2�`�/T' f fie?n,cr7) PLUMBING PERMIT FEES: �J PRICE TOTAL New 1 and 2-family dwellings Gnly: FIXTURES ii ndivlduaI) — QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink T 16.60 the dwelling and the first100 ft. QTY (ea) I AMOUNT -- — 16.60 for each utilityconnection_ _ Lavatory — _ One 1 bath __ —__ — $249.20 Tub or Tub/Shower Comb. 16.60 Two(?)_bath _ _ 5350.00 Shower Only 16.60 Three 3 bath _ ,6399.00 Water Closet 16.60 --_ SUBTOTAL Urinal 16.60 _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage—N,sposal 16.60 _ — -- TOTAL Laundry Tray 16.60 Washing Machine 16.60 1 loor Drain/Floor Sink 2" 16.60 3" - 16.60 -- PLEASE COMPLETE: 4" 16.60 _ Water Heater O conversion O like kind 16.60 Quantity b Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ —permit. _ _ _ —_ _ -- Capered MFG Home New Water Service 4640 Sink — —_ MFG Home New San/Storm Sewer 46.40 — Lavato!y -- Tub or Tub/Shower Hose Bibs 16.60 _ Combination _ Roof Drains 16,60 Shower Only _ Drinking Fountain 16 60 Water Closet Otures(S her Fixtpecify) 16.60 -- Urinal —� Dishwasher Garbage Disposal — - -- --- Laundry Room Tri — - -• — -- -- --- Washing Machine —_ _ Floor Drain/Sink: 2" Sewer-1 a100' 55.00 3„ —— -- Sewer-each additional 100' 46.40 4" — _ — Water Service-1st 100' 55,00 Water Heater ---,_ Water Service-each additional 200' 4640 Other Fixtures S ecifyLT__— _ Storm R Rain Drain-list 100' 55.00 _ Storm&Rain Drain-each additional 100' 46.40 r Commercial Back Flow Prevention Device 46.40 — Residential Backflow Preve-,tion Device' 27.55 -- Catch Basin 16.60 --- — Inspection of Existing Plumbing or Specially 72.50 — Requested Inspections er/hr —_ CCMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps — 16.60 ----------------------- --- QUANTITY TOTAL Isometric or riser diagram Is required if — T Duanllj Tota_I is >9 _ -- _—_ ---------'--'• --- 'SUBTOTAL — -- — -- 8%STATE SURCHARGE -- -- --- "PLAN REVIEW 25%OF SUBTOTAL Requiredonly If fixture qty total is>g TOTAL g *Minimum permit fee is$72 5O.8%state surcharge,except Residential Backilow Prevention Device,which is$38 25 4 8%stale surcharge **All New commercial Buildings require pians with isometric of riser diagram and plan review I:\dsts\forms\plm-fees doc 10/10/00 Accumulative Sewer Tally Te-iant Name Gx) t ,C,¢46-0 _ This SWR# Address:-//?d,O S-•&2 �i� �� r_�/y This PLM# o?OD/ •-4/2e,96 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 BaptlstryiFont _ 4 _ Bath- Tub/Shower _ 4 - JacuzziM/hirlpool _ 4 _ Car Wash Each Stall_ 6 -- - — -- - _�- - Drive Through-Y 16 _- -- - -- - Cuspidor/Water Aspirator _ 1 Dishwasher- Commercial 4 - Domestic 2 - Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch2 3 inch 5 -4 inch 6 _ - -- --- ----- _ Car Wash Drn _6_ _ Garbage Disposal 16 Domestic(to 3/4 HP) Commercial ((o 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) I - Stall �_ -- Z Sink_Bar/Lavatory -2 Bradley _ _ 5 _ Commercial _ - 3 �^- Servl_ce 3 Swimming Pool Filter _1 _ Washer- Clothes _ 6____ Water Extractor 5 Water Closet Toilet 6 Urinal _ 6 -- - - - TOTALS Total fixture values -divided by 16 = `// _EDU - • 1N<.1eF q 27 E HISTORY �uf&& PLM# EDU# SWR# PI_M# _ _ EDU#_ SWR# _ PLM# i EDU# SWR# PLM# EDU# SWR# FLM# EDU# SWR# PLM'+ EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# _ i WstsNawrtaly doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested.__' ' AM G-"—PM _ BLD — Location /� /l/U S t-1 /Y�/�lv -- Suite MEC ^_---- ---- Contact Person _—_ Ph -L' .�� V/ .5' L. PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS _ Ftg Drain - Crawl Drain Inspection Notes: SGN Slab �. --� —�. _ SIT Post&Beam - ----- Ext Sheath/Shear Int Sheath/Shear `�- Framing Insulation - / `- Drywall hailing ---.___. -- ---_-_--- -- \ -- Firewall - Fire Sprinkler _...... Fire Alarrn � - Susp'd Ceiling Roof Misc: Final PASS T FAIL sf8 Beam ---- - - - _� Under Slab Top Out -- - - - -_ Water Service Sanitary Sewer _ Rain Drains Fir `-- PART FAIL. ANICAL Post& Beam --- --- Rough In Gas Line - - - - -- Smoke Dampers Final ---- PASS PART FAIL ELECTRICAL _ -^- -- -----.--- — Service Rough In - - _- UG/Slab Low Voltage - Fire Alarm Final PASS PART FAIL in Backfill/Grading - ---- — Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW He':Blvd Catch Basin i Please call for reinspection RE: Fire Supply Line ( ] [ ]Unable to inspect-no access ADA Approach/SidewalkDate � Inspector Other ----- EXt - Final [_PASS PART_ FAIL DO NOT VEMOVE this Inspection record from the job site. CELECTRICAL PERMIT CITY ®F TI�ARJ PERMIT#: ELC2001-00053 DEVELOPMENT SERVICES DATE ISSUED: 1/25/01 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135DD-01000 SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: HOFFARBE:R TRACTS NO.2 ZONING: C-G BLOCK: LOT : 023 JURISDICTION: TIG Proiect Description: Installation of(5) branch circuits and (1) limited energy panel for telephone. Job No. 5386 RESIDENTIAL UNIT _ TEMP SRVC/FEE_DERS 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: 1 MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: _ > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: 1 ST INTERSTATE BHNK OF WASHING EMPIRE ELECTRIC BY TAX ASSESSMENT ASSOCIATES 5300 SW JOHNSON CREEK BLVD BEXAR PLAZA TOWER PORTLAND, OR 97222 : AN ANTONIO, TX 78217 Phone: 777-3108 Phone: Reg #: LIC 8614 E'.E 26-26C SUP 2061S FEES _ Required Inspections _ Type By Date Amount Receipt _ Wall Cover MENU CTR 1/25/01 $148.45 2720010000( Elect'I Final 5PCT CTR 1/25/01 $11 88 2720010000( �— Total $160.33 1his Permi ,,; issued subject to the regulations contained in the Tigard Muniapal Code.Stale of OR Specialty Codes and all other applicable lags All work will be done in accordance with approved plans This permit will expire if work is not started wthin 180 days of issuance,or it work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rues adopted by the Oregon Utility Notticalion Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copiesof these rules ordirect questions to OUNC at(503) 246-1987 _( PERMITTEE'S SIGNATURE ti ��- ISSUEITBY: _ OWNER INSTALLATION ONLY I'', installation is being nrade on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ��U � �� — DATE: —_ LICENSE NO: -- Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application - Dalereceived: /-plr/-oi Permit no.: ��vF� City of Tigard ��i' I'rolect/appl.no.: Expire date: CirynfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97;2201 •1 Date issued: By: Receipt no.: Phone: (503) 639-4171 s�t1 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: __— t' U 18t 2 family dwelling or accessory 4 Comineicialhndustnal U Multi-tanuly U Tenant improvement U New construction U Add ition/alteralion/replacement U Ogler: — _ U Partial Jon address: 11760 SW HALL BLVD Bldg.no.: Suite no.: 'Tax map/tax lot/account no.: Bruck: Subdivision: Project name: WELLS FARGO Description and location of work on premises: ELECTRICAL REFURBISH Estimated date of com yletion/ins ectiun: ,,,1,A/ ' .LUL t10: 5386 Fee wlas tleornwion Ut (ca.) Total nn.Insp Business name: EMPIRE ELECTRIC CO New rrsidetdlal-single or ill-family per Address: 5300 SE JOHNSON CREEK BLVD ewemngmit.fneln(lrsanar•hedgaraf•. _City: PORTLAND I State:OR I ZIP: 97222 Service Included: Phone: 7 7 7 3108 1 Fax: 7 -415 E-mail: I W)sq.ft.or less _ a— Each additional 5(x)sq.ft.or portion thereof' CCB no.: 8614 Elec.bus.lic.no: 26-26C Limited energy,residential City/metro.ic.no.: 3329 Limiteden-gy,non-residential 2^ Each nu m:factured home or modular dwelling Si nature of su rvising electrician(required)_ Date 1722101 Service and/or feeder Sup.elect.name(prinU: , <` TI i.rn;eno• Servlcesorfeedenr-Inslallatlon, alteration or relocation: 2(10 amps of less -- 2 _ Name(print): 201 amps to 400 amps 2 - -- -- - 401 amps to 600 amps Mailing address: 601 amps to 1000 amps —-- --- 2 City: I Stale: ZIP: Over 1000 amps of volts e 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale lease,rent,or exchange according to Installation,alteration,or relocation: 200 amps or less 2 ORS 447,455,479,670,701. — _ 201 sups ro 4(10 amps - ---- -- - 2 Owner's signature: Tale: 401 to 600 ams 2 Branch circuits-new,alteration, or e%lension per panel: Nanle: __ A Fee for branch circuits with purchnse of Address: — service or feeder fee,each branch circuit 2 --- -- --- City; Stare: til' B, Fee for branch circuits without purchase - --- - -- - of service or feeder fee,first branch cncuic 2 Phone: Fax: E:-mail: Each additional branch circuit: Misc.(Service or feeder not Included): U Service ove:225 amps-commercial U Health-care facility Foch pump or irrigation circle 2 U Service over 320 amps-rating of 1 dt2 U Hazardous location Each sign or outline lighting 2 family dwellings U Building over 1011(10 square feet four or Signal circuits)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* _ 2 U Building over three stories U Feeders,400 amps or more "Description _ U Occupant load over 99 persons U Manufactured structures or RV park Fochahle in additional Inspection oyer fire a4m, any or the shove: U f' ressAi htin Ian U other - - - -g g RP ----- Permsvcc0on __ Submit sets of plans with my of the above. InvestigatioVic' — 'lite above are not applicable to tempora ry cotutrrtction service. other -- -- — (`�-�• �� Not all juri0icliom"ept credo tends,pleay.can jmiadiclion fa mere infarmat+on. Notice: This permit application Penni(fee... .... ............$ U Visa U Mastercard expires if o permit is not obtained Plan r.,vievv(at —_ %) $ credit card number: --_ — _.- t —L— within 180 days after it has been State surcharge(R96) ....$ _ rspirer TOTAL, . $ D. 9 •-- accepted as complete. ••••••••••••••••••�••• — - Name of c older as shown on credit cr�i S - ----- Cardholder signature -- - Amount 4404615(~'OM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY I11 _ p Restricted Energy Fee...................................................... $75.00 Number of Inspections Er permit allowed (FOR ALL SYSTEMS) :service included: Items Cost Total l Check Type of Work Involved: Residential•per unit 1000 sq it or less — $145 15 _ 4 Audio and S.ereo Systems I-ach additional 500 sq,ft or portion thereof $3340 1 Burglar Alarm Limited Energy — $75.00_ Each Manufd Home or Modular � Garage Door Opener' Dwelling Service or Feeder $90.90 7. Services or Fenders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 2 Vacuum Systems' 201 amps to 400 amps � 9106.85 2 401 amps to 600 amps $160,60 — 2 ❑ 601 amps to 1000 amps $240.60 —�_ 2 O:her Over 1000 amps or volts ^_ $454,65 2 Reconnect only $66.85 2 ----- Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Tem[�nrary Services or FeedersFee fcr each system.......................................................... $75.00 Installation,alteration,or relocationer 200 amps or less $6685 _ — 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030_J� 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo System:, Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a) the fee for branch circuits with purchase of service or Clock Systems feeder lee. Each branch circuit $665 2 ❑ Data Telecommunication Installation b)The fee for branch circuits wlfhoof purchase of servlcr Fire Alarm Installation or feeder fee. First branch circuit _ 1 $46 b5 _9 1 HVAC Fath additional brancn circuit _ $665 V Mitcellaneous L7 Instrumentation (Service or feeder not included, Each pump or irrigation circle $53.40 intercom and Paging 9 stems Each sign or outline lighting $53.40 _ ^_ y Signal circuits)or a limited energy panel,alteration or axtension _ _ $75 00 S _ ❑ Landscape Irrigation Contt,I' Minor Labels(10) $125.00 C] MP.dICBI Each additional Inspection over the allowable In any of the above Nurse Calls Per inspection _ $6250 t✓er hour $82 5. i r In Plant $73.75 l� Outdoor Landscape Lighting" Fees: [] Protective Signaling Enter total of above fees $ 1 �g_� F-] Other 8%State Surcharge $ I t_(� __ Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application -- - --- 1 Fees: Total Balance Due t Ir 3� - -- Enter total r.above fees $__-- ❑ Trust Account p 8%State S rrcharge $ ——---_— +— -- Total Balance Due i 4lsts\forms\cic-fees doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION3� 24-Hour Inspection Line: 639-4175 Business Line: 639--4171 BU� —Date Requested 3� Z Z AM_ —PM --- BLD Location l/ 7 GO S -'1�`��r/ ZY 1v J --- Suite — --- MEC ^ Contact Person �— -- H 5 5 Ph Z3�� / 7U z— PLM Contractor Ph _ SWR __ — _ Tenant/Owner ELC _ Retaining Wall ELR Footing Access Foundation FPS _ Fig Drain - SGN - Crawl Drain Inspection Notes: -- ----- Slab - - --- ---- --------------------- — SIT Post& Beam --- _-_` Ext Sheath/Shear Int Sheath/Shear - Framing Insulation --'_---- -----------� Drywall Nailing -- - — - ---- ---- -----Firewall Fire Sprinkler Fire�alarm ----------M -�-- Susp'd Ceiling Roof M i s r' — ----- -- — -- Ti a 'A. S PART FAIL ---- -------`— ----- - -- L BING 13'(–)s I& Hearn -------- - -- ---- -- Under Slab top Out ------- --- ------------- Water Service Sanitary Sewer -- — Rain Drains Final PASS PARI FAIL MECHANICAL ''ost& Seam -- t'ough In Gas Line - ---- - Smoke Dampeis Final PASS PART FAIL ELECTRICAL __._ --- -- -- - ---- -- Service. Rough In - - --------- ---___--_ UG/Slab Low Voltage Fire Alarm _ Final _PASS PART PARI FAIL SITE Backfill/Grading -- - ----- -- ----------- ---------- Sanitary Sewer Storm Drain ( J Reinspection fee of$ -�required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE --. ` ( J Unable to inspect no access ADA Approach/Sidewalk Other Oate �J/�i - y Inspector _ � Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BL IP2000-00443 ik 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/20/2000PARCEL: 1S135DD-01000 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 11760 SW HALL BLVD SUBDIVISION: HOFFARBER TRACTS NO 2 BLOCK: LOT:023 CLASS OF WORK ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 40 TENANT NAME: REMARKS: Interior Improvement Owner: 1ST INTERSTATE BANK OF WASHING BY TAX ASSESSMENT ASSOCIATES BEXAR PLAZA TOWER SAN ANTONIO, TX 78217 Phone: Contractor: B J CUMMINGS COMPANY 2330 SE CLATSOP ST PORTLAND, OR 97202 Phone: 235-1282 Reg#: LIC 00203230 This Certificate issued 04/10/211111 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, occup�Incy, and use under which the referenced permit was issued.lz l / BUILDING INSPECTOR BUILD[Np OFFICIAL ^T POST IN CONSPICUOUS PLACE CITY OF TIGARD BUIL13ING INSPECTION DIVISION � ' �~ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested_ ✓lGy AM PM BL p Location_ 11-7(oo S[.ci c-)-�,,c,�,. Suite _— _ MEC — Contact Person Ph PLM Contractor _ —` Ph _ SWR UILIMF - 1-enant/Owne- 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 Spr,Wer Fire Alarm --------- ----_._.-_.__ Susp'd Ceiling - - ---- --------- Roof r PART FAIL -• -- ---- --- -----RIAMB,'NG Post& Beam Under Slab Top Out ---- - Water Service Sanitary Sewer Rain Drains --_ — � tl Final � PASS PART FAI;- MECHANICAL Post & Beam _-___-- Rough In Gas Line - - ----- Smoke Dampers Final --- -- --- - ---- - PASS PART FAIL ELECTRICAL - _ -- Service Rough In _--- ---- UG/Slab I ow Voltage I ne Alarm __- -_----_� I final PASS PART FAILSITE BacktiNGrading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hill, 13125 SW Hall Blvd Catch Basin ! j Please call for reinspection RF __-- _ [ j Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk .. Other Date lnspeCtor Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site, CITY OF TIGARD 24-Hot:r BUILDING inapecticn Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (603)639-4171 — —._ BUP --- � Received Date Requested___ ��__ AM --______ PM__ BLIP _- Location Co U. _4s �— - -_--Suitc_ _--_—__-- MEC -------- --. _ Contact Person Ph PLti; --------------- ___ Contractor__-- ---- - - Ph SWR --- ---------- ------------ TenanYOvv, er �*� SZ---__—___-- ELC Footing "// Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT — Post R Beam -_.-_— Shear Anchors --------_.--- -- Ext Sheath/Shear Int Sheath/Shear ------ -- __._--- ---- --- Insulation Drywall Nailing ----- - _- ------- Firewall --Firewall Fire Sprinkler - -- —�- Fire Alarm Susp'd Ceiling -- - _ -- - --- - Roof Other: �1'F:bc� _PASPART FAIL 04 Iw — z Z� Post& Beam Under Slab - ------_ - ------- Rough-In �. Water Service _---- Sanitary Sewer Rain Drains — --- — — Catch Basin/Manhole Storm Drain -- --- — Shower Pan Other: — Final ------------.___ _PASS _PART FAIL i -- MECHANI_CAL Post& Beam Rough-In Gas line Smoke Dampers — -- --— - - Final PASS PART FAIL — -- --- — — ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final El Reins uired before next ins ction fee of$—_ re PASS PART FAIL u 4 pection. Pay at City Hall, 13125 SW Heli Blvd. SITE _ F] Please call tut reinspection RE:� _- Unahle if) in;poet no uxess Fire Supply Line ADA ^� Approach./Sidewalk Date__ �L.. Insp 7ctor - _ Ext Other: Final — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL. CITYO F T I G A R D _ BUILDING PERMIT PERMIT#: BLJP2002-00463 DEVELOPMENT SERVICES DATE ISSUED: 10/23/02 13125 SW Hail Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 'IS135DD-01000 SITE ADDRESS: 11760 SW HAI L_ BLVD SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING. C-G BLOCK: LOT: 023 JURISDICTION: TIG REISSUE: FLOGR 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: LINK sf N: S: E: _ W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSM r?: MEZZ?: REQD _SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft GHT:^� ft FIR SPKL: SMOK DET DWELLING UNITS: FRNT: ft -EAR: ft FIR ALRM : HNDICP ACG: BEDRMS: HATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Remarks: Demo wall and create small enclosure. Owner: Contractor. WELLS FARGO BANK B J. CUMMINGS COMPANY PO BOX 3131 2.330 SE CLATSOP ST PORTLAND, OR 97208 PORTLAND, CR 07202 Phone: 235-1282 503-886-2000 Phone: 235-1282 Reg #: LIC 2032'111) -- - FEES -- MET REQ6Y8RD I1t SPEi-i i0NS Description Date Amou!it Framing Insp jl3l_lll.l)j I'enrol I'ee 10/2102 $62.50 _ - Final Inspection I l'AXI 8`%,State Tax 10123/02 $5.00 jl31-JPPI.Nj Pln Ilv 10/23/02 $40.63 j 1 1 S 111 ti 1'111 16 10/23/02 $25.00 Total $133.13 This permit is issued subject to the regulations contain-d in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in au ordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for roore than 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952_-001-0010 through OAR 952-001-0100 You may obtain a copy of thase rules or direct questions to OUNC by calling (503) 246-6699 or,1-800-332-2344 r 15sLied By: --- - _. Pe mi it tee ` '- Signature: all 639-4175 by 7 p.m. for an inspection the next business day e Commercial flan Submittal Requirement Matrix CII) of Tigan! TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include loration of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application anu plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of Flans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) *F=or over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts\fornWCOM-matrlx.doc 9/24/01 CITYOF TIGA►RD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00463 13125 SW Nall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/23/02 PARCEL: 1 S135DD-01000 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 11760 SW FIALL BLVD SUBDIVISION: NOFFARBER TRACTS NO.2 BLOCK: LOT:023 w CLASS OF WORK: ALT TYPE OF USE: CUM TYPE OF CONSTR: LINK OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: ELLS FARGO REMARKS: 7J J: Owner: WELLS FARGO BANK PO BOX; 131 PORTLAND, OR 97208 Phone: 235-1282 Contractor: 502-886-?000 B J. CUMMINGS COMPANY 2330 SE CLATSOP ST PORTLAND, OR 97202 Phone: 235-1282 Reg#: I W 203230 N 1 F'I' 00001240 This Certificate issued I/24/II1 grants occupy cV of the above referenced building or portion thereof and confirms that the building has been inspected for conlplianr-e with the State-pf Oregon Specialty C,)des for the group, occupancy, and w5u �nder whit t t'�ferenced permit w ` issu d. BUILDING INSPECTOR �- BUILDING-OTMIAL POST IN CONSPICUOUS PLACE Q �u h Q ! q � i 0 �: v7 ( (( k3Ud ( i 4 Ift CTA CU (.'1 Y) C7 LA W l� � u �r_ 1 �J ?. t T N C) N Oq44 1-4 ro 04 T F177 � titN