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6655 SW HAMPTON STREET STE 110 xF�e. 1 i N N 2 D 'G 0 Z -"I O' e: c. 1 s. 6655 SW HAMPTON SUITE 110 RMIT- CITY OF TIGARD _ rM ELECTRICALRESTRICTED ENERGY(�•++ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00194 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 7/1/2004 PARCEL: 2S 101 AD-00400 SITE ADDRESS: 06655 SW HAMPTON ST 110 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK. LOT: 034 JURISDICTION: TIG Proi.ect Description: Eatii Cable. _ A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: _ INTERCOM & PAGING: BURGLAR ALARM. BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER- CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR L.ANDSC LITE: OTHER: IiVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL It OF SYSTEMS: 1_ Owner: - —� Contractor: HAMPTON OAKS LLC BRIDGETOWN ELECTRIC 6665 SW HAMPTON 22732 NW GILLIHAN ROAD 2ND FLOOR PORTLAND, OR 97231 TIGARD, OR 97223 Phone: Phone: 503-621-7122 Reg #: L6CI-712303824 SUP 41775 ELE .16-897(' FEES Required Inspections Descript:an R. _Date Amount Ceiling Cover �I 11PRNIT]EL 'cnWall Cover »it 7/7/2004 $75.00 E all Final ITAXj 9"io State Surchart 7/7/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. T'iose rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these dies or direct questions to OUNC at(503)246-6699. _ Issued by Permittee Signature-_-- !;?7 �,���, / OWNER INSTALLATION ONLY —._. The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —_ v--_— IIATE.:V __ — CONTRACTOR INSTALLATI( N ONLY SIGNATURE OF SUPR. ELEC'N — DATE:--------.---- LICENSE ATE:---__ —.— LICENSE NO: —_—� _--_ _---�--.------- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Elt ries.;" Permit. Application Ci of Tigard i ec i"`d Permit No. DrJ 13bate Qty_ 125 S50 Hall Blvd.,Tigard,OR 97223 Plan Review _ - -� Phone: 503.639.4171 Fax: 503.598.1960 DaIeTv" Other Perrnft Inspection Line: 503.639.4175 „ Daw ' •.fy/ny' Imu BI Sae Yage I for Internet: www.ci.tigard.ur.us Notifred/Method Srpp!ementa1 information �T-YPE SOF WORK ELAN--REVIEW AddlpoNaltcratioNrepinccmcntapply.Please check all that New construction _ r ❑Service over 225 amps,comm') ❑Hazarrinus location ❑Demolition 011ier. QScrvice over 320 amps-rating QDuildng over 10,000 sq.ft., CATrGORV OF CONSTRUCTION" of I-and 2-fannly dwellings d or more new residential L]1-and 2-family dwelling CommerrxaUinduslrial Q Accessory building QSystcm over 600 volts nominal units in one structure Q99 pu ❑B Master budder 0 Other: uilding over three s []Feeder.,400 amps or more Q Multi-family Occupant load over 99 persons [IMrtnufnctured structures or JOB SITE INFORMATION AND.L,OGATION . ��Q ❑EgressAighting plan RV park ��✓ �C _��S 1 alp []Health-care facility QOther: _ Job no.: p lob site address: ems[ 1 Submit 2 sets of plans with any of the above.- City/StatdZlP. -� i, /) IF 7, z - The above are not applicable to temporary corstwer(n service. Suite/bidglapt no.: Project n e r _- FEF' SCfIEUULE -- �Ce'L� DsarytlanI Qty. Ree.— Total Cross street/directions to job site: New residential single-or mulct-family dwelling unit. - -- " --- - --" Includes attached garage. ft.or less 145.15 4 - Subdivision: Lot no.: Ea.�'I 500 sq.ft.or portitm —33/40 1 --_ ncited energy,residential 1•5.00 2 Tax map/parcel no.: _ _._ [.iLimited energy,non-residential _75,00 2 Dtt,$C1EIPTIOIY Ole WORN F-ach manufactured or modular - -�- - dwelling.service and/or fie ,- 90"90 Services or feeders installation,alteration,and/or rt,location 200 amps or less 80.30 1 PROPF.RTY"UWNER 'TENANT 201 amps to 400 amps 106 85 1 � . Q ^,,�\� ----- -- 401 amps to 600 amps 160.60 2 Namc.� , � ►T►�-r 601 amps to 1,000 amps 240.60 2 Address: �'S '�uJ 4*0-4 f I d Over 1,000 utrtts or volts 454.65 2 Reconnect only _66.85 2 City/State/ZIP: t La ,0(2- 1 7 99'3 Temporary services or feeders Installation,alteration,anrVor )''hone:(t b3) �Gg� '0 7!5- Fax:( ) relocation a 100 amps or less 66.85 I Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to OILS 447,449,670,and 701. 401 amps to 600 amps 1- 133.75 _ 2 Owner signature: Dale: Branch circuits-new,alteration,or extensiot,,per panel Q AYPL[t:ANT CONTACT PERSON -" A.Fee for branch circuits;with _ v " C urvice or feeder fee,each J Lir A E �L branch circuit 6.65 2 Business DBITIC: •� I n �I1 •� �`�L� ,( l B.Fee for branch circuits Contact name: L-� 1 1� $�L without service or feeder fee, 46-85 2 Address: L 1-12 t ( ,� iC}_r1� each branch circuit -- -.1-. Each add'I branch circuit 6.65 2 ::ity/Statr/TIP:-�-t l^,! h - Rd� � ( a Mlscetlaneous(service or feeder not included) Phone:(13) Fax:: ,I- 7� Pump or irrigation circle 53.40 2 �� )(r•�-t l v�3 - Sign or outline lighting 53.40 2 E-mail: Liar-(d-9}CJY • "VI'— Signal circuit(s)or limited- C0 TfI�CIUIf energy panel,alteration,at BIislne58 Datr1C ri A f l_- +G - - extension.Describe: Page 2 2 � Crti[�f Address: e�a � W `I QAd Each additional inspection over allowable in any of the above -- t Per inspection 62.50 city/State/W. (J��-y(t k 6� ('�_-31 - Investigation per hour(t he n1n) 62.50 Phone: � )(a z I - 7 Fax:S 5 )(4-1 - 71-95 Industrial plant per hour 73.15 $LEC')RICAt,. MI7 PEF.$• CCB Lic.: EI trical Lia 5 - ---- ot �j�y 2 _ � C -Suprv.Lic.: Subtotal .�. Suprv.Electrician signature,required:: ( Plan review(25%of permit fee) Print name: i �', E%,f t,t Date: —� State surcharge(B%of permit fee) TOTAL PERM"FEF Authorized Signaltlrec T'hls permit application eaplrn If a permit Is not obtafned within too Print nattlt:: "- days after it hes been accepted as complete Date: Fee methodolap set by Tri-County Building Industry Strice 9osid t 'd S ptlsuaaas 4114A w*1 :01 40 62 U1r CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ----- -_---- - _ INSPECTION DIVISION ,jsiness Line: (503) 639-4171 BLIP Received - Gate Requested-_____ AM._-__-_, PM 13UP 14 Location Suite Z, MEC Contact Person --- Ph(__) 3t7 -01 7 PLM _ ---- - - --- Contractor____---__-- . _ --_ Ph(--) SWR BUILDING TenantJOwner _ ELC Footing e - ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing - --- - -._ -_-- Firewall Fire Sprinkler -�---- - Fire Alarm Susp'd Ceiling - - - - -- -- 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 FATS. - -v-- ---------- - -- --------._.MECHANICAL Post Post& Beam -- Rough-In - --- _- — - -- Gas Line Smoke Dampers -- ------- -- --- - Final PASS PART FAIL -- ELECTRICAL _ Service Rough-In UG/Slab Low Voltage —_- Fire Alarm na . Reinspection fee of$ required before next inspection. Pay at Clty Hall, 13125 SW Hall Blvd. PART FAIL SITE F� Please call for reinspection RE: --__-_. Unable to inspect-no access Fire Supply Line ADA � _ Approach/Sidewalk Date InsEpector S2 �t C•r �'9- Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF 1 I G A R D _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BI_IP2003-00130 13125 SW Hall Blvd., Tigard, OR 9722 (503) 639-4171 DATE ISSUED: 3/21/03 PARCEL: 2.S101 AD-00400 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 06555 SW HAMPTON ST 110 SUBDIVISION: WEST PORTLAND HEIGHTS BLOCK: LOT:034 CLASS OF WORK: ALT ---•__ _� _______.��_— _ TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 12 TENANT NAME.: REPCO PACIFIC REMARKS: 1'I interior Owner: HAMPTON OAKS LLC 6665 SW HAMPTON 2ND FLOUR TIR &:05gW 3 Contractor: J BEALS CONSTRUCTION 1635 NE 53RD PORTLAND, OR 97213 Phone: 298-9023 Reg #: MET 00001531 LIC 064323 This Certificate issued 4/10/03 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and a under W e referenced permit w T�d B -SPECTOR BU ICIAL POST IN CONSPICUOUS PLACE BUILDING PERMIT CITY OF T I GA R D PERMIT#: BUP2003,00130 DEVELOPMENT SERVICES DATE ISSUED: 3/21/03 13125 SW Hall Blvd.. Tiaard. OR 97223 (503) 639-44171 PARCEL: 2S101AD-00400 SITE ADDRESS: 06655 SW HAMPTON ST 110 SUBDIVISION: WEST PORTI-AND HEIGHT'S ZONING: MUE _BLOCK: LOT: 034 JURISDICTION:-TIG r REISSUE: .pL� _ _ FLOOR AREAS _ ` EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: P.. b I' FIRST: sf N: S: v E: W: TYPE OF USE: COM SECOND: sf _ _ PROJECT OPENINGS_? TYPE OF CONST: 5N sf N: S. E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 BASEMENT: sf AREA SEP. RATED: STOR: HT: fl GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: It F'IR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft -IR ALRM : HNDICP AGC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,145.00 Remarks: 1'1 interior. Owner: Contractor: HAMPTON OAKS LLC J BF_ALS CONSTRUCTION 6665 SW HAMPTON 1635 NE 53RD 2ND FLOOR PORTLAND, OR 97213 TIGARD, OR 97223 Phone: Phone: 288-9023 Reg#: MET 000000011531 _ FEES LIC REQUIRMINSPECTIONS _ Description Date Amount Electrical Permit Required BUILD] Permit FCC 3/21/03 $148.90 Framing Insp [3UPPLN Pin Rv 3/21/03 $9639 Gyp Board tion nsp I l Final Inspection IFLS] FLS Pln Rv 3/21/03 $59.50 I'm] 8%State Tux 3/21/03 $11.90 Total $317.09 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 Lftility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: ' )L1'_.J 1 12 `L a_2 c ( _ Pe nn ittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day FOR OFFICE IISF O.NLY Buildin t Permit Application Received Building Date/B – _O Permit No. —(� !3 City Of Tigard Planning Approval Other �' g Datc/B : Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.us Contact Juns.: See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: su lemental Information TYPE OF WORK REQUIRED DATA: New construction ❑ Demolition _ 1 At 2 FAMILY DWELLING [Addition/ teratlo eplacemcni ❑ Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 &2-Family dwelling • ommerciaU dustnal the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory BuildingMulti-Famil Master Builder Other: Valuation......................................................... $ _ JOB SITE INFORMATION and LOCATION Nn.nf bedrooms: No.of baths: -------------- Job site address: CeS- swy�,�, P, Ti* Total number of ..... � New dwelling areaa((sqsq. R.). .......................... -- Suite#: //d Bldg./Apt.#: —_ Garage/carport areas . ft.) _ Project Name: t7 i I-w Covered porch area(sq. ft l- Cross street/Directions to job site: Deck area(sq. R.)........ _ _ . ..... ... . .. . ..... Other structure area(sq li ). REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: werf O,✓/A„ �[t�6r�s Lot#: 3�/ ; Tax ma / arcel #:.2$/o/4 0 Note: Permit I'ees•are based on the total value of the work perfommd. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Valuation......................................................... Existing building arca(sq,R.)......................... &%r.. 2-te,vA,v/ m��.or._A"/4,�.__.N New building area(sq.R.)_............................ _ (i � Number of stories............................ ............... 1. ROPERTY OWNER _ C3 ,TENANT Ti pe of construction........... ......................... Name: oVA," OA, ©geC LLC Occupancy group(s): Existing: New: Address: 6 Sw _Mek,, 5&,fr /ooy City/State/Zip: T, a,/ 4-e- 41 7.2? Fax: So3-96�� �'�� NOTICE: All contractors and subcontractors are required to oe Phone: So3- y�8-��� APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under - provisions of ORS 701 and may be required to be licensed in the Business Name: J �'�'/J a }r/oma�:�,, jurisdiction where work is being performed. If the applicant is exempt Contact Name: _T I.+ Qro l from licensing,the following reason applies: Address: /Z 55 /V<� 57 --- Cit /State/Zi 1/Phone:3o-; ;240- ;7oZ.5 I Fax: 503 27r yo1 E-n1ai1: BUILDING PERMIT FEES" _ Please refer to fee schedule. CONTRACTORn _ — — — --- Business Name: �tgLs C p/hr ��r. , � Fees due upon application........................ . . - - Address: /J5_�i = 5 Cit /State/Zi : 40, 1AAV ,*d Amount received............................................. S Phone: S03 4F- w2 3 Fax: s,pirrQ Date received:____ —_ CCB Lic. — Authorized Notice: This permit application expires If a permit is not obtained within Signature: L+ a� Date: G G 190 days after it has been accepted as complete. L i .!a VL _ *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Pemiit Fomw\BldgPennitApp.doc 01/03 Nar-20-2003 OF:332m Froa-No,r s Biggs i Simpsoi +503 2130256 T-803 F 002/002 F-626 Accessibility: Ballater Removal Improvement Plan City of TiSard REQUIREMENT: OREGON REVISED STATUTE (URS)447.241. (1) Every project tot(anovabon, alteration or modification to of etect buildings and related facilities snail fie made tr+;nsure that thrj aatt of travel to Cte altered area and tha restroom, wisiphones wg%drirlking fountalris are readily atxmssihle to individuals with disabillties unless such aiteratinng are diapropartlonete to the overall alterations in terms of cost arx'l scope. (2) Atteratioris made to the path of travel to an elte!ed area may Go deemed disunrpurtionate to the overaItt tmwratiun when the soul exceeds twenty-five Par-cent(26%). yALVATiON: of all renovation, alteration or modification oeing done excluding painting,wallpapeting. $ tttultipty: 25'%r garner removal requirement _ BUDGET Kt:R,OARRIER REMOVAL [2) $ In chcoetnQ which accessible elements to provide under this section, priority shall be given to those elements that will provlOe the grea"a ficcesy. F)emerts shall be provided in the tollowing order' (a) Panting $ (b) An access ble entrance: $_ .1- ---.----- (c) M accessible route to the altetvd area. $ .. --------- __—� (v) At leasl ane accessible restroom for $ dach sex ur s singlrA unisex restroom (0) Accassiblo telephones (f) Accesslb;p drinking fountains:and (g) when possiltie, additional accessible elements such as storage and alarms: $ r 00 t Ulyn�thmuvlooeiaibrttty.d+x 06/07�tY7 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (603)639-4171 3 O BUR Received _ Date Requested --_ S F- AM PM_ __ BLIP Location _- s� S - Suite MEC Contact Person _ _ Ph -311 ?? PLM Contractor --- Ph( ---) - SWR - --- ----- -- ELC -- BUILDING ena Owner _— -TL� - — — --- -----... ---- Footing 1` p" e) ELG Foundation Axess: Ftg Drain ELR - Crawl Drain - - SIT — Slab Inspection Nctes: --- -- Post&Beam - ---- -- ---- -- - _ ___ Shear Anchors Ext Sheath/Shear - - In ath/Shear ramin - Insulation Fire Sprinkler - Fire Alarm — Susp'd Ceiling Root _— Other: -- Final_ PASS PART FAIL ^PLSI1Gf81NG - — __—_--- ----_.._-- — --- Post&Beam _ Under Slab ----- - -- Rough-In !Nater Service Sanitary Sewer — Rain grains Catch Basin/Manhole Storm Drain ---- — — -- '/ Shower Pan Other. Final — PASS PART FAIL MECHANICAL __ --.------ ---.— - -------- - Post&Beam Rough-In — - - -- -- — - -- --- Gas Line Smoke Dampers — —--- -- ----- -- -------__. _— - --- Final PASS PART FAIL — ELECTRICAL __ __--_-------- — ---.._--___ -- Service Rough-In - UG/Slab Low Voltage -- _ — —---- -----—. —. — - -- -- Fire Alarm Final C, Reinspection fee of$—_- _--- . required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_PART_FAIL SITE — F] Please call for reinspection Urr+ble to inspect-no access Fire Supply Line ADA Date —1�V _._ Inspector - - Ext Approach/Sidewalk Other: ._ Final DO NOT REMOVE this Inspecti:;:. record from the job site. PASS PART FAIL G:TY OF TIGARD 24-11our BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 uuP 3 -DD �3a -- -__ -_ D_ _ BUP -Received Data Re nestedRM PM --- Location /- - -------Suite MEC Contact Persons - _--__ -_-__ Ph PLM —_ Contractor_ - -- - - _ Ph(--) F0 j SWR BUI1 ING Tenan wner _— _ ooting —_.-- ELC - - --_ FELC Foundation ,access: Ftg Drain ELR ------ -- Crawl Drain _e _ Slab Inspection Notes: SIT - _ Post& Beam Shear Anchors - Ext Sheath/Shear --_ Int Sheath/Shear Framing ----- -- ---- Insulation Q �, Drywall Nailing ---- -- -- - -- - Firewall �- Fire Sprinkler --- ---- - ------ Fire Alarm Susp'd Ceiling Z P ^A ✓V r Root S I AJ k' S U,J►2. Other ART FAIL_ - -- MBING Post& Beam Under Slab — -- --- - - Rough-In Water Service - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other: ----- Final _ PASS PART_ FAIL MECHANICAL Post&Beam Rough-In ------- - Gas Line Smoke Dampers -------_�-_____.�-- --------___._ _—_-- -- Final PASS PART FAIL ----- ---- ___� _�—� ELECTRICAL _ Service -----�--�--_- - Rough-In UG/Slab Low Voltage _._ ---- - ---- ---- --- Fire Alarm Final Reinspection fee of$—T__—.-.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART FAIL SITE [� Please call for reinspection RF:______ _- Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date_ 0 /D Inspector �� _ -_ _ _Ext.Y Other: Final DO NOT REMOVE this Inspection record from the jots site. PASS PART FAIL