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6665 SW HAMPTON STREET-2 r• , J i -----INSTALL TENANT h0 h� PROVIDED WHITE -� - BOARD CABINET; PROVIDE - - BLOCKING CONF. ' ' . -------- 13'11 x 10' --- - --- 10'6; -- 0 10' 10'8 OFFICE i -------- 10'2 x 10' OFFICE RELIGHT REMOVE WALL 10' x 14 3068 3068 I 4 5064 3064; 8 3650 RELIGHT RELIGHT --- --- -------------------------------- ................................................ Z„� ................................ ....----::::::-----------------------------q ..:::................................`_''D...----- --------------------------------- -------------•----- ----------------------------------------------------- ----- ------ - �� BUILT-IN REMOVE WA`L ; 3068 �� ;1 I $, 3' 75 9 OO COUNTERS ,3680 REMOVE WALL - 0 �-- & SKIRT \ 3'3 4' ; 3'6 Z9 _ '`� - -- -- i716 : 3064 WALLS FA : S&R RELIGHT 13 68 w w -� y I Q : ' I PURR OUT COLUMN m U) 0 RE P riON DESK w I U -------------------- - -� / TO I2' x 17 00 >C 0 z a. 1 w COUNTER & - O w � m Q 0 BY ENANT a I � ; . � I � 5' x6' o j --� �- O 0 Q FOOT RAIL ; ; REMOVE p� TYP. / v� v _L m w I aw. z ��. WALL � � �' - - - - - - - - - - - - - - - - - - �� - - - - - - - - - - - - -I � - - - - - - - - - - - - - - - - x - - - - - - - - - - - - - - _ . _ - - - - - - - - - - L �••� w �d 0 ADA 7 ;. COUNTER �' �� i w .D� 1'1- 23 -� R�MOVE WALL I ., 0 FURR OUT COLUMN y 0 Q 2 3 a e. e e 1e Z j, TO 12 x 12' , 168 63 1�4 0 U O., COORDINATE ( I LO -::::-- --- - - b� .:......::::::::" 1Nl TENANT'S:---. _ ._ __ __ ___ ._. I DESIGN FOR ; ; - - -- . L - COPIER �1 INSTALL TENAN COUNTERS & ; FAX PROVIDED WHITE j' SKIRTS 3680 BOARD CABINET; s ------------------------------------ - --------------- +�. PROVIDE ��C` o . ;--•--- ------------------------- - ----...-•------ . ; ALL RELIGHTS 0 cn TEMPERED; TYP. f� BLOCKING G� �„� ; : r � ------- s� REMOVE WALL ; , Z 3064 /3,064 3064 3040 t 3068 3068 , ' 3068 3068 REMOVE WALL ;RELIGHT RELIGHT RELIGFIT RELIGHT CONF. \12'2 X 13' : REMOVE WALL o • - �'� to 10 - 10' 3 8 t ; : I 30/60 W/ Ti p/y �ra� s �o01-4 OFFICE OFFICE �,'' �o ; ; OFFICE e e 0 r �. • NEOPRENE & ALUM. ; ; 8' X 10' 8 ,X 10 910 x 10 OFFICE o .2. Rel, les bv / T,rm j �/G►:�3 rra mec -Ti m e� . ,y CLOSURE, TYP. OF 3 ; ; ; : 10 X 10to STORAGE 411 ME= 4950 4850 4105 ' 41150 41150 5050 5050 5050 77 6665 S .W. HAMPTON LUTHERAN BROTHERHOOD >L�------- FIRST FLOOR , NORTH HALF , SPACE . PLAN 6/11 /97 1973 SF = STND. AREA CITY or .' EAST BUILDING 1 /4 = 1 -0 REV. 6/11 /97 , 6/12 , 6/13/97 , 7/7/97 1918 SF = INTERIOR AREA APpr;t;c y • d....' �0r only tht? A��rOU�d.. �••„ „.,...r . . E ti+IT tt1 rrc as crib R ^.� •j J: . ” o . Seo Let er to: '�? C �� t `ovow �Ob Attach . ..... .............( I: NOTICE: IF THE PRINT OR TYPE ON ANY TTI- ! Il III III tl ! III I ( I I ( f III f ( I I ( I f-�T III I ( I f ( I I ( 1 IMAGE IS NOT AS CLEAR AS THIS I ( i I ( 1 i ( f flf 11 I � � � � 1 � � I I ( � l I I • I � � ( I I I 1 � I I I I I I I � � 1 1 1 1 1 1 1 -f f l l f l f l ( ( I I I I I I l l f l l III l I I l l III I ' I I I I I IIIllilll III 1 ( 11111 r , I I I I I 1 I NOTICE, Z Z 3 � �. I IT IS DUE TO THE QUALITY OF THENo.36 ,•,,,,,, ,,,,, Q,� C�G ORIGINAL DOCUMENT -r- --- . E 6Z 8Z LZ 9Z 57, � 7. E7 Z l � (� � 6t St j vT 9Y �' i 1� T Ei ZI II T 6 8 L 8 S F Z Taitliaw Iillltlllllllllll!Illllllllillllllliiiilillllll ( LIIIIIIII� «<flllllllllillllil 11 I ►I�� ,. I IIII III) ,��III��IIIIII ,IIIIIIIIiillllllllllllfelll,llIIIIIIIIIIiiIIl. 11lll I � I � I I I I l l l,�i l l I l l l. i,i l I!I 111.1.1 .11.11�1 I l IJ III. 1_l.l�l 1 111 X11.1 1 1 ll I I I I 11�11 i O Ln En ro H O Z H CS1 Cq H j� 1 06665 SW HAMPTON STREET f% CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone. G39-4171 �A Date Requested: _ A.M. P.M. MST: _ Location: r / tit. C BUR Tenant: LIA Suite- Bldg: MEC: _ Contractor: Phone: _ PLM: Owner:_ 5 r, Phone: /c� ELC: ELR: SIT: BUILDING BLDG(con'tj '---_PLUMBiDIW MECHANICAL ELECTRICAL SITE Site Postfliewn PosUlicam Post/licarn Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Out (ins Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilcxxl/Duct Recormect Vault l3srnt Dump Drywall Storm Furnace 1'emp Service MISC. Masonry Ceiling Rain Dram A/C 11G Slab Shuir/Sheath Fire Spklr/Alm Crawl/Found Dt I teat Pump Low Volt Approved rqy ? Approved Approved Approved Appr/Sdwlk Not Approved ved Not Approved Not Approved Not Approved FINAL FIN L) FINAL, FINAL FINAL Cl Call for rei cl' /) M Reinspection fee of S_ r wired beefore nex inspection CI Unable to inspect Inspector: ,/ ;//�/ Date. Page 4—of–, ---- SEE 35MM ROLL# 23 FCR LARGE DOCUM ENT CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)L39-4171 PERMIT #. . . . . . . : PLM97-01 66 DATE ISSUED: 05/08/97 PARCEL: 2SIOlAD-00400 SITE ADDRESS. . . : 06665 SW HAMPTON ST #2ND SUBDIVISION. . . . : WEST PORTLAND HEIGHTS ZONING: MUE BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .34 JURISDICTION: TIG --------------------------------------------------------------------------------------- - CLASS OF WORK. . :Al—T GARBAGE DISPOSALS. : 0 MOBILE HOME lipACES TYPE OF USL. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . I URINALS. . . . . . . . . . . . 0 GREASE TRAPF.. . . . . . . .. iT LAVATOR I ES. . . . 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . .- 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. - k. WATER LINE (ft ) . . . - 171 DISHWASHERS. . . . I RAIN DRAIN (ft ) . . . : 0 Remarks: Dl.jhoff 8 Ross — office ,,enovation to meet ADA and ri.istamize for tenant. Owner --------------------------------------------------------- FEES ----------------- HAMPTON OAK LLC type amoi.int by date recpt 9320 SW SARBUR BLVD STE 330 PRMT t 27. 00 B 05/05/97 97-294098 PORTLAND OR 97219 1. 395 S 05/05/97 97-294098 Phone #: Contractor------------------------------------ JAY JAY' S PLUMBING' 19447 E. BURNSIDE 1--,nRTI-_AND OR 97233 Phone #- 667-8420 S 28. 35 TOTAL. 001043 REQU I RED INSPECTIONS This permit is issued subject to the reg-lations contained in the Top—OLIt Insp Tiqard Municipal Code, State of Ore. Speralty Codes and all other Final Inspection applicable laws, PH work will be done in iccardance with approved plans. This permit will expire if vork is not started within 188 days of is5(tance, or if work is Ftispendfil for more than 18@ days. 1711ormittep Sli latilre Vt Ott Call for inspection 639-4175 "Y OF TIGARD Plumbing Application �-- 125 SW HALL BLVD. Commercial and Residential Date Recd "`�__ 7 GARD, OR 97223 CJ1e'o P iO3) 639-1171 Cate!o DST P^rmit s 1't ft)r1 I l i Print or Type Related SWR s Incomplete or illegible applications will not be accepted called_ Name at evetoomenbProject FIXTURES (Individual) QTY 1 PRICE AMT �5ink �T � Job � I E"o\Sr.?et ddress Lavatory Address I Suite �r ( -ub,Shower goo � 31.f9 s t'rStare ,;p Shower Oniv I 9 UD gAte� I Nater Closet + 9 J0 umeJ ^ I 0/1�� k``'--1.r I JiShw33nef I J JD ( I Owner i`tadingSuite � XAd�tlrQ GNaarsonaiynge Jsodsai I99 O00 Machinery9c� D l _�I Phore Floor Cram 2' �,0 f,_� �a1c 0 Name d 9 OD Occupant Mailing address Suite Nater neater I 900 Laundry Room Tray 500 �,,ty,Slate yip Phone Unnal j 9.00 NameI I `:they F;,tures ISoecffv) 9 00 �L,_ 1 9.00 Contractor Mem Address Suite 900 �qq r 4 7 <n[S or. ��I — 9.00 --~ ^or'o issuance I, tyrstate Zip Phone iccncant must L1" 6 t—,•l 9 Y crowde all Oregon Const Cont. Board L c s -:XD Cat goo _cntracor,s _-g � q-- / 14`(, 9.00 icense Plumbing is s -tel txp. wale or 1 Sewer- tsl '00' I 30 OU 17 ntonnatidn 3 171,11F7 Sewer-each additional 100' 25.00 yr COT nT?usrness Taxetro Bxo Da e J_tlabasel t,___1 I7,/� L.l N/aver Service• ist too, 3000 game --J :rater Serj ce•each adal onar_,0025 M Architect Stone 3-Rain Crainist 100' Storm 3 Rain Drain-each additional 100' 25.00 or ?Aai6ng address Suite Moo le Hdme Space 29 00 r Engineer tyrState Zig Phone Commercat 3acx=ow Prevention Device or Anti- 25 00 Pollution Device es.:-'be tvom 'Jew S Addition AlleraBOh JC Recair zesidential 3acx"ow "•evenrion Cevice' i -5 30 ce ]one =esrdential Von-residenliali pry'r 3p 3r iiaS:e `Jct':DJnneCted`0 a'ixtUfe I I QD -dd,,onal desrJtption of went _ _ Catlin 3as,n 900 ,,L/�1 S�'-.4i.t.._L R/L�-�/J L-f-!A!L•h/ l��/�. J(I�[•� — ' k3_.e.7,'t�_--euele,1 so olasting umoin9 40'DO /-/7-. ^7 k' I I oerrhr I acc � W 7¢ _" dsInspenons I a0 00n5rrg use t ,�� 40 dtling Jr brorerty�__�1D rf { _ Rain Crain srng,e'amdv oweltmg I 30 0 .nosed use 71 I urease racS 9,D nc;rg or::rcoerty a QUANTITY TOTAL 2 e •:u nec,rg -novrg or reciacing any fixtures? 11es Z No i I somatic v^sere agran s i!curM 1�uanrty"ctai s .f yes see back of form) •SUBTOTAL e'eny acxr.cwxdge:ra; nave read:his aopiicatron that,he ntormatlon yen's_orrect 'hat I ame owrer or 3utrorzed agent it•re owrer and 5°,e SURCHARGE .4 -at glans 5Cr7itled are - :amchance with Cregon State'_aws. I_f ' ;ignat,ura o wnerrAgent j Cate I PLAN REVIEW 25% OF SUBTOTAL i ,s=;ZliflctiL f x��/-�y 1 TOTAL U� antact Person Name Phone' --- j Minimum permit fee,s 525 - 511,surcharge except Residential SaCxllow P•evernon Cevice, w-1cn is 51.5• 5't surrnarge osis olmaco Jac 9J913 't.,EASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped moved or replaced j Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Only Water Closet _— Dishwasher I j Garbage Disposal M _ 1 j Washing Machine i Floor Drain 2" � 4" � Wj — ater Heater Laundry Room Tray _ j Urinal Other Fixtures (S,jecifv) L__� f i :OMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. ' * " ' ' ' : BUP97-0201 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/24/97 PARCEL: 2S101AD-00400 '31TE ADDRESS. . . .-, 06665 SW HAMPTON ST 02ND SUBDIVISION_ . - WEST PORTLAND HEIGHTS ZONING:MUE BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :34 JURISDICTION:TIG ------------------------------------------------------------------------------------- FIE I SSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . .- 0 sf Na So E: W: TYPE OF USE. . . :COM SECOND. . . s 432,0 -,f PROTECT OPEN INGS?-------.---. TYPE OF CONST. :5N 0 sf N: St E: W: OCCUPANCY GRP. -B 'TOTAL------: 4360 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : (A sf AREA SEP. RATED- STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCLJ SEP. RATED: FkSMT',' : ME7Z ) : REDD SETBACKS--------_.._ REQUI F1..00R LOAD. . . . : 0 psf LEF'T: 0 ft RGHT: 0 ft FIR SPKL: SMOK DFT. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: RFDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: VALUE. $- 37370 Pemarks : Dubeff I Ross - office renovation to wt ADA and customize for tenant. Owner: ------------------------------------------------------ FEES HAMPTON OAK LLC type amoi.tnt by date rerpt 9320 SW BARBUR BLVD STE 330 PRMT $ 229. 00 JSD 04/21/97 97-293909 PORTLAND OR 97219 PLOK * 1.46. H5 J S 1) 04/21. /97 97-293509 FIRE $ 91. 60 JSD 04/211 /97 97-293509 Phone #: 5PCT $ 11 . 45 JSD 04/21/97 97-293509 Contractor: --------------------------- J. BEALS CONSTRUCTION 1635 NE 53RD PORTLAND OR 97213-0000 ----------------------------- Phone #: 'CSS-9023 $ 480. 90 TOTAL Req #. . . 064323 REQUIRED INSPECTIONS ------- This permit is issued subiect to the regulations contained in the Framing Insr, ...... Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board 'Lni;p applicable laws. All wnrP will be done in accordance with approved plans. This permit will expire if work is not started within 18P days of issuance, or if aorto is suspended for sore than 180 days. Tod- I Call for inespectior, — 639-4175 T -C mmercial Buildion Permit Aoolication C:qr of Tlgarsf 13125 3W Mail en►4 11ganL OR!7223 (5031432-41?1 c1.-! � '7 V'- ibsite Address: OFFICE USE ONLY enant: �(V-uss Suite RIR 2 low 'plancxMM Valuation: 3`7 3?U r .1 P& `caner: [Aa " 'C ` Qat LI.L :.-�' ? ' r„ °, � AU y, 4w< ddress; `13 Z U 5 t�1 {�-�-. bf vJ u�"k 3:3U Planrakig Eng ng . elephone• �s4-r IC f" i7 L5? � antractor• �� • , �"� ' � 7 �1 address• (10-3 Ne 'k, 11,2VI/ / GQ- a-T 13 Type of constr. f eiephone: ? ` 6(f)23 Occupancy Class: Contractor's License # (p e-fyr-6) I S_3) Sprinkler? Yes KNo (attach copy of current Oregon license) Sq. FL Of Project: �3� U .ontact name & telephone: -�Q�'4` Story (1st, 2nd, etc.): rchitect,3 Engineer: C,� A Proposed Use: -kt i c e address: kA _ Previous use: (r-Q Note: Plumbing & mechanical plans must ?!ephone: S'� ` 31 be submitted at time of building permit application. E3 DESCRIPTION: 1 zk- ��'�'`� R"`" j,� - h a VtAt c fit"`"c-� 11}✓ft* (Appli(cOnt Signature & Tel phone Number) ?eceived by: Date Received: —MT1 CCC (CST) ,ass PERMITO Account Description Amount Amt Pd. Balance Due Building Permit (BUILD) 2 frU Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. Plumb. Mech. Plan Check (PLANCK) Bldg. M Plumb. Moch. _ Sewer Connection (SWUSA) Sewer Inspectlon (SWINSP) Parks Dov Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-WT) Commercial TIF (TIF-C-) Industrial TIF (TIF-J) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) c7 Fire Life Safety (FLS) 11 Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Prosion Planck/COT (EROSN) TOTALS: I'J,xwt DOC (cs--.) 10/96 �V' CITY OF TIGARD BUILDING INSPECTION DIVISION 24-1-lour Inspection Line: 6394175 Business Phone. 6394171 Date Requested: - --_.y. 1:2)1 A.M P.M._ MST: Location: — - - --- --- BUR —00o-Q Tenant___--- ------- --- —._ Smic -- -Bldg: MEC: Contractor: _ --- Phone Z�0 0 3 5 PLM: ()wner:_ _ Phone: C _---- __ LL . —___--- - - ELR: SIT: BUILDING BLDG on't) PLUMBING �em ELECTRICAL SITE Site os Beam Post/Beam Cover/Service Sewer/Stonn Footing Roof Und1-1/Slab Rough-In Ceiling Water Line Slab framing TOP Out (rev bine Rough-In IM Sprinkler Foundation Insulation Sewer I hxxUDuct Reconnect Vault Bstnt Damp Drywall Storm fumace "Temp Service MISC. Masonry Ceiling Rain Drain AX IK;Slab Shear/Sheath fire S klr/Alm CrawUFotmd Ir I lent P Low Volt Approvedgrove Approved Approved Appr/Sdwlk Not n)-roved Not Approval Not A roccJ Not Approved Not Approved INA L FINAL FINAL FINAL FINAL 0_� > n E�K ELL CI Call for x r ' D R lino fee of S _ uir before next inspection D Unable to inspect Inspector:—_ ___„_ Date: Page of HPR-26-'97 19:48 ID:THE MONAGHAN GROUP TEL NO:6390267 #776 P02 sI G S •� A , -1 20 MO -- 0 r -nr j zr- oD J I z 0 v j o C m � n0 vd w v m ,n ;Q 'Tl a g .....1 i w Q — a APR-26-197 19:49 II>:THE MONHGHHN GPOUP TEL NO:6390267 4776 P03 � 3y � 17/ x392 P�, 71t 0 I YA- W14 Pt-5 6 X t 7)W6-y- X j ST�M ,,fez)X Pe►mrTA-p l r 40�4nKs N4f- Bd7�/ N091Y -0 ro 0)� HA-vn eWv 98- Ate' Pr,/^4 7Ylo C-fWf1 4:::V tw/ L�� j ft n� 7 ► f � L�n�S " 4&J 6g- Al ro/711- e?:;p n�4w) lav f t. ' 4N Poo CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL_ PERMl:T - VILMIM 13125SWHall Blvd., Tigard,OR97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: E:I-_R97-0144 DATE ISSUED: O6/t9/97 PARCEL : 2S 101.AD--00400 SITE ADDRESS. . . :066(x':) ', W HAMPTON ST #2ND 5UBDIVISION. . . . :WEST PORTLAND HEIGHTS ZONING:MUE BLOCK. . . . . . . . . . : L_01.. . . . . . . . . . . . . :?14 JI.IRISDICTN: TIG Project Descr-iption : Installing data telecommunications system Ea. RESIDEN'T'IAL _— - --- B. COMMERCIAL----_______.______..._._______._---_________._.._.._.___._ AUDIO & STEREO. . . : AUD 10 & STE.REO. . : INTERCOM & PAGING. . : BURGLAR AL.ARM. . . . : BOILER. . . . . . . . . . : LANDSCAFIE/ IRRIGAT. . : GARAGE OPE.NER. . . . . CLOCK. . . . . . .. . . . . MEDICAI._. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE C;OMM. . - X NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . . F=IRE ALARM. . . . . . : OUTDOOR L..ANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: i Owner: --- ---_—_.__..__-__...._________._..---..._.._..._....__... .-----------_-_--- FEES HAMPTON OAK, LLC; type amount by date recpt 9320 SW BARB(1R BLVD STE 330 PRMT $ 40. 00 H 05/ 14/97 97-294570 PORTL.AND OR 97219 SPCT $ 2. 00 B 05/1.4/97 97-29457O [-4hone #: LUCENT TECHNOLOGIES $ 42. 00 TOTAL. 283 ICING GEORGE RD ROOM C2'A31 REDUIRED INSPECTIONS ------- WARREN NJ 07059 Ceiling Cover Elect' l Service Phone #: 331-5700 Wall. Cover, Elect' ]. Final Reg #. . : 1. 19107 This permit is Issued subject to the regulations contained in thy? Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All wank will be done in accordance with approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 190 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0410 through OAR 952-001-0090. You say obtain copies of these rules or direct questions to OUNC at (03)246-1997. I,sr_red �Y_�� L )L��l Permittee Si gnati.rr,e1A C� 4 INSTALL.-ATION ONLY---- The NLY_-The installation is being made on property T own which is not intended fore sale, lease, or vent. OWNER' S SIGNATURE- _ _--_ --- DATE INSTALLATION ONLY----- S NLY-- --S I GNATURE OF SUPR. EL_EC:' N: .. _, --Lc DATE: LICENSE NO: ++F+4-+4.F+.....F-F+++-F+t+++++...+.•}-F.-F....-F.....+t+t.++++i+t+i+t t+++++.+t++i....f F h Call 639-4175 by 6:00 P. M. for an inspection needed the next br.rsiness day +t++..++-4 -+++-I....+++.+...4.....+.+++++-++++++tt+-F+t+t-F....+-F+-F....+++++- ....... � Community Development RESTRICTED ENERGY ELE,C/TR CAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 n��\ PFRMIT # Phone(503)639-4171 DATE ISSUED FAX(503) 684-7297 ---- -- TDD No. (503) 684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 666S- SW I4n1MPTO(J _ Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00•,r„�r�D on C21LZ� (FOR ALL SYSTEMS) City !L� State / Zip Check Tyne of Work Involved: IPFRMITS ARE NON-1RANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems S NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR I Fitt DAYS. ❑ Burglar Alarm ❑ Garage Door Opener* 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System* Contractor LjJCEAITTkNN&rit<,STYPe_--- ❑ Vacuum Systems' Address 2575 NIE ROS3Q 00 KA "'_k—_ 0a— ❑ Other Date 1•Yi 1 �. I / 7 7 COMMERCIAL—Fee for each system . . . . . . . . . 140.00 � ,1 I r (SEE OAR c)18-260-260) Property Owner g� `�Q�,_.N ow `L c, --- Check Tvn'pe of Work Involved: Contractor's Board Reg. No. _..o ((q Iy 77 — ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# __3� S 70o ( ❑ Clock Systems JK Data Telecommunication Installations 3. OWNER APPLICATION .� `1 ❑ Fire Alarm Installation _ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging Systems address ❑ Landscape Irrigation Control* City State Zip ❑ Medical this permit is Issued ander OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy install.dions(100 volt amps or Iess)under this permit and to do the ❑ Outdoor Landscape Lighting' following: ❑ Protective Signaling 1. only use electrical licensed persons to do installations where required.(Certain ❑ Other residential and other transactions are exempt from licensing.These have asterisksl•).All others need licensing). 2. Call for an inspection when all of the Installations under this permit are ready for inspection at 503.639-4175. ❑ I Number of Systems 1. Purchase separate permits'vr all installations that are not ready for inspection when the inspector is nut to inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4 Assume responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. �1 I he person signing for this permit must be the applicant or a person a. Enter Fees $ W authorized to bind the applicant. h. 5'36 Surcharge(05 x total above) $ Z Signatu'r TOTAL $ Authority i(other than applicant ENFRGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phon;: 6394171 Date Requested; C A.M. _ I'.M._ — MST: Location: 77��"" '' t :;t —_—_- _— BUR Tenant: 2--a Ej– Suite: Rldg: MEC: Contractor: Phone: PLM: _ Owner:_ t Phone. --— rov I . _— ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ' ECTRICAL SITE Site Post/Beam a Posl/Ben Post/heron overise-iviecr- Sewer/Storm Footing Roof llndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Out tins Line Rough-tn UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C 11GJ�� Shear/Sheath Fire Spklr/Alm Crawl/Found Lr I feat Pump ow V –�� -- Approved Approved Approved Apprved Approved Appr/Sdwlk Not Approved Not Approved Not Approved IftApreved Not Approved FINAL FINAL FINALAL FINAL O Call for reinspection ^ /� O Reinspec'on of S required before next inspection O linable to inspect � q i Inspector.–��-ert e�-,..�% Date:�_,�^� "' / 1 Page 1—,f– / CITY OF T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : ME'( 97-0127 Auzzmgm 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/12/97 PARCEL: 2SIOIAD-00400 ADDRESS. . . 06665 SW HAMPTON S'T #2NV SUBDIVISION. . . . : WEST PORTLAND HEIGHTS ZONING: MUE fAl. OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 34 JURISDICTION: TIG -------------------------------------- rLASS OF WORK. . :Al.-T FLOOR FURN. . . . : 0 EVAP COOLERS: 0 FYPF OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . 1S VENTS WID APPL: 0 VENT SYSTEMS: I STORIES. . . . . . . . : 2 BOILERS/COMPRESSORS HOODS. . . . . . . .. 0 FUFL TYPES---------------- 0-3 HP. . . . 0 DOMES. INCIN: 0 3--1.5 HP. . . . 0 COMM[_ INCIN. 0 MAX INPUT: 0 STU 1.9-30 HP. . . . 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS— : 0 NO. OF UNITS--________ AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 0 f= 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =100K BTUs 0 > 10000 cfm: 0 Remarks - Modify return air syites. Owner: FEES HAMPTON OAK LLC type amolint by date rer-pt 93PO SW BARBUR SLVD STF. 330 PRMT $ 25. 10 DRA 05/1.2/97 97-294419 PORTLAND OR 97219 PLCK $ 6. 25 DRA 05/12/97 97.-294419 5PCT $ 1. 25 DRA 05/12/97 97-.294419 Phone #: Contractor: PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND OR 97232 Phone #: 233-6911 $ 32. 50 TOTAL Req #. . . 000386 REG UIRED INSPECTIONS ------ This poreit is issued subject to the reoulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable lain. All work will be done in accordance with approved plant. This pereit will evaire if work is not started within 10 days )f issuance, or if work is suspended for onre than III days. Prnrinittee- Siqnatl.lrel I s s I.J e d Call for inspection 639-4175 Plan Check p c' CITY OF TIGARD Mechanical Permit Application RecdB�l 13125 SW HALL BLVD. Commercial and Residential Date Rec'd� ! TIGARD, OR 97223 Date to P E. (503) 639-4171, x304 11� Date to DST _ Print or Type Permit 0 (% Cali%+d Incomplete or illegible applications will not be accepted ( Name of Development/Project Description W&WF- LAW j0F Table 1A Mechanical Code QTY PRICE AMT .lob SlreetAddress Su ee A) Permit Fee 0 -0- 1000 Address (do(e5 en*j (,)d T- B(dge Cnyisute z p 1 ) Furnace to 100,000 BTU 600 O(� T includia ucts i3 vents Name(o(name of busnessi 2) Furnace 100.000 BTU+ 7.50 i i Owner including ducts&vents Mailing Address 3.) Floor Furnace 6.00 _ including vent cityistate ZIP1 Phone 4) Suspended heater,wall heater 600 or floor mounted healer Name(or name of busness) 5) Vent not included in appliance permit 3 OU Dvuorr- 1AW Ft ex-1 _ Occupant Mail"Address 61 Boiler or comp,heat pump,air Gond. 6.00 Co(ocas, gµ/ WAVNPrtt" to 3 HP;absorb and to 100K BUT- :Ay/state ytip Phone 7.) Boder or comp,heat pump,air Gond. 1100 PDX 1 OR 3.15 HP;absorb wid to 500K BTU** Contractor Norms 8) Boder or comp,heat pump,air Gond. 15.00 (Pnor to P ��{a 15-30 HP,absorb and 5-1 and BTU" issuance Mailing Address 9) Boiler or comp,heat pump,air Gond 22.50 applicant e07 Of (jxx-A 30.50 HP;absorb and 1.1.75md BTU" must provide all CitylState Zip Phone10) Boiler or comp,heat pump.air Gond 37 50 contractor ge, ?M- T3' . 1 >50 HP:absorb and 1 75 mil BTU" license 3 Y g st$ t Board Luc a Exp Doe 11 Air handling unit to 10,000 CFM 4 50 information for COT cor Business Tax or Metro a Exp Date 12) Au handling unit 10,000 CFM 7.50 database) 4455&0 �8 Architect Name 13) Non txortable evaporate Cooler 450 or Mailing Address 14) Vent fan connected to a single duct 300- Engineer 00Engineer Crtyistale �— Zip Phone 15) Ventilation system not included in appliance permit Uescnbe work New Q Addition O Alteration Rl Repair O 16) Hood s+�jrved by mechanical exhaust 450 to be done Renrdential O Non-residential O _ Additional Desc-7ption of work !�— 17) Domesbc Incinerators 7 50 18) Commercial or industrial ype 3600 Incinerator_ Exist)i; _use of — 19) Repair unns 450 building or property 20) Wood stove 450 Proposed use of 21 ) Ck,,thes dryer,etc _ 450 _ building or property �- 22) Other units 4.50 v Type of fuel-oil O natural gas 0 LPG O electric 0 — 23 l Gas piping one to four outlets 200 —1 hereby acknowledge that I have read this application, that the — a) More than 4-per outlets teach) 50 information given is correct.that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL laws Signature of Owner/Agent Date �— 'SUBTOTAL �— ---- �— 5%SURCHARGE I L Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL — C — Jo Rkit ADAm 5 Z,3 73--691 I I TOTAL L_ ti'rfst1mechpml.dOC (rev 9 'Minimum permit fee is S25+5%surcharge s �� "Residential XC requires site plan showing pl-.cement of unit 1 'ir `�S ► t tr•' ';,�,;'�� ,'t ••, vcr; CIA � •;,5�?L i• l CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: I I" •`— A.M. /1'.M L MST: Location: r r Y .,r,� BUR �.�-- Tenant: Suite: �t�r Bldq' Mc. Contractor: Phone: PIM —.- Owner: Phone: ELC: — ---- -- -- -- ELR: _-- - STI': BUILDING - OG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site PostMeam Post/Beam Post/licam Cover/Service Sewer/Storm Footing Roof Undl,'1/Slab Rough-111 Ceiling Water Line slat) Framing Top Out (ins Line Rough-hi UG Sprinkler I'oundation Insulation Sewer Ilomi/Duct RLconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Brain A/C UG Slab Shear/Sheath Fire ' lm Crawl/I'ound Ir I leat Pump Low Volt _ rowed - Approved Approved Approved Approved Appr/Sdwlk Not Appioved Not Approved Not Approved Not Approved Not Approved — t►i]V1[i, FINAL FINAL FINAL FINAL q 7 17- 03 3 S� M Cal I tier reins Reinspection fee of S— —required before next inspection O Unable to inspect Inspector Dale._ � � — Page _--_of ---- CITY OF TIGARD DEVELOPMENT SERVICES TA 1"JT1..DTNG PI-RMT"r PrMRMIT #. . . . . . . : r, 13125 SW Hall 81W.,779fird,OR 97223 (503)6394171 DnTE 1. 1 /1215,,'; ("'nprm-.. Lmiotm) --outoz YE ADDIIL'"11 0C.,6�G55 SW HAMPTON ST #11,00 ,!Jr3D1VTS1r,NI. . . . . WE MT PnRTL.(AND HEIGHTti 70N11140:MUF . . . . . . . LOT. . . . . . . . . . . . . ..034 JL)RT5DTCT1OI\ItT1G '-TT rER(OR WAI-1- rLOOR ARE()TEXT ER nF WnRV,. ALT FIRr)T. . . 0 r>f N2 9: r nr IjrC C(IM 0 s PRDTr7.(._'T ','!r'FI'J1I'H73" ",F nF MNE-;T. -3N 0 9f N, S: F_ W P TOTAL-- "?t Sf ROOr" 0)1\153T: FIRE RET" . '!r.CIJPANCY i...nnm 0 Snr)EMENT. 0 Ei f AREA SEP. RATED: ..IT: 4' Ft 11RAOr.. . . - - f C1CIaIJ Or.P, RAM): ME77" ., P1.01) r)F'TBnrK6 r-1—f-JOR LOAT). . . . : 0 psf L.C.7T. 0 ft RGHT. ft FIR SPKL" G)Mn.R D17T. , '-.-WF-L-).,..TNr:i 'JN1TF3i 0 rR.NT, 0 ft RFAR: 0 ft FTR AIJ?M: HNr)Tf'r-, rim. M-DRMS: 0 BnTl 1") 0 IMP M.'PrACE. 0 PRO CORP: PARKING. '."(X_UF. $ 17J:95 Build out of wall partitions and doors for new tenant occpy within and existing ccovercial building. ..,- - FEFr) FIMMr-17`31,1 OAKC_, L.L�.' Amci.mt tzy cl a t ( GGS SW Hnmr,TnNY !,11 000 PRMT $ 128. 50 GFO 11/05/97 97 0' 7 7 P r 4,2' 1 1 3 97 71 1 , GF70 , I /0Fi/1 7 Flpr s 51 . 40 GEn 11,105/97 97300F,77 r3:,. 5 3 GE'n I T DCALS C(ING)TRIXTION 'J-135 NE 531111 711-mr)v #i MOM.60 70351 t 2,69, AG TOTAI_ PFP; !T Rr T.1 pet-Bit Is issued subject te ','-p rqulations contained in the Framing 1I-1,3r1 gard Municipal Codes State of Ore. Specialty Codes and all other Gyp ramotJ 171sp Ipplic,bbil laws, All work will be done in accordance Kitt 5)('1SP ri-i IT)EI 1w:,j) Rpproved plans. This peroit will expi,-9 it work is rct startf, within 180 dtyq of issuance, or if work is suspended for Bore -------- 1har, IN da, ATTENTION: Oregon law rtqQires you to follow the i Aes adopW t, the Oregon Utility notification Center, Those ules a-, sit faith in 04P MKI-efil ti'migh OP; 952-0019871. You savy obtain 6 copy of these rules or d;rtct questions to WK �y Calling M)NS-19871 Qmmet nct- Permit Application arf of Tigard 17123 SW Malo BfVd, flgant OR 47227 (SO3)$394171 Jobsite Address:, �6 S .�..r �� /, „ jOF�FI E L1SE ONLY �Y•�j� ~�� Tenant: Q L .s Suite 1# Valuation: / 7, s Owner: Ap Plan ng 7 �n9 ns Telephone: �� % //5�_' /•' — �Otlr Contractor. �,� 5 !u;�s'�Y✓�'�i:, _�, Address: 7 .;� Tyle of constr. Telephone: Occupancy Class: C nf►tractoet License #1 !' ;.' Sprinkler? Yes No (attach copy of current Oregon license) Sq. Ft. Of Project: /;�'r ? J Contact, name & telephone: Story (1st, 2nd, etc,): Architect & Engineer. (i� " Proposed Use: _7 Previous use: _ Note: Plumbing & mechanical plans must elephone: '.' %'i' ��r.% _ _ be submitted at time of building permit application. 10B DESCRIPTION: . f Va./ ti i"'i'+ �dti /��.voTt d / 1 (Applicant Signature R Telephone Number) Received by: y_ _ _..___• Gate Received: _ I'CCkM.DOC (OST) WAS PE-I'mrs Acccun+t Description Amount Amt Ift ItlMnce Duel 0 Building Permit (BUILD) / -�_ P'lu tubing Permit (PLUMB) Mom.-.harilcal Permit (MECH) State Tac (TAX) j_ Bldg. Plumb. Mach., 1 Plan Check (PLANCK) Bldg. Plumb. Mach. Sewer Connection (SWJSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) Office TIF (TIF-4) Water Quality (WOUAL) Water Quanit!/ (WQUANT) Fire Life Safety (FLS) t� Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) G roTAl.s: t t'rXWn.L'OC (CST) 10M CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 91223 (503)639.4111 A '�'"k! r11?�.r.}� t.. v:,�W ►.i..� 1.0t fi 00 r"017, a,,Cif P. .. . . . . . C a i to -4r+L.i Ir. 11M/ I7 vc"e,#',,`o0-, , : I':'� 1 ►'a m F a � 4� fb v u 1 C MINI-lip L AU L ? G�►n�,. ��,� � « : m w 1� %1 TM: OR rrrnrt7; 0 I�tr� Ir��r�r..7 I. 400 ��« � �r`; : 0 t.s t W/0 r--, ?VC OR rnra. ; t PER ►'-intip. . . . cloo amp. v �1; En '10 ' I_ iMNM I !w IRC: ! ;. T N' r'LANT . . ... 1000 1 0 ,_ ._._...., ._ _. .-_...._......__.QLnra REV I.~W ~[T,'TitJN... .... .._. » �; RE" I_!P, t7!i. . . } "'�a O VOLT '10Mlt''t nrlrr;�rT Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 FAX (503) 684.7297 CITY OF TIGARD � TUD No (503) 684.2772 2 4 L Inspection (503) 639•-4175 9. Job Address: ^ 4, Complete FFe Schedule Below: Name of Dr'vPlopmt3ntQNI�I �'t? _.JV � Number of inspections per permit allowed _Y .... Address.,,__._(Q-(0�� ( 1 4fn,P tjo _. Service included'. Items Cost(ea) Sum 4a. Residantlal •par unit } � 1 UOU b% h. or lege 11 to 01 Narne (or narTle of bl�SlnHgy) 1� -Q Each eddltherm aq.n.or _ portion thermal 1 25.00 Cc In rticrciaC� Limited Ene(py 1)5.00 _ 1 Each Manurd Moms ar N1odoar Dwelling Service or Feeder eau 00 ? 2a, Curti{actor Installation only: • 4b, Servicesor Preedera r (r_- t �-A Inriabouon,eherstoon,or rtlo<#lion 880.00 ' BI .Ctrir.al C: N.r t! .., �.e!_ F~ tC 200 amps or lake Addi 75 __ 201 strips to 400 enlpe $80.00 _ 2 �_ , Qr��Z ? 401 Amps to$00 strips T� S120.00 City +�SeA� \..� _ ;�.°,iE ._ �I� 601 :mPs ie 1000 amps $18000 _ 2 Phone 1v. (p � " _. ,�,! river 1coo Amps cr vans $940.00 _ 2 i.�-Imo..._..-.__._.._.�.__ {trC GG Job NO. j_'? contract(7Ii )rise N0, 4c, Temporary Services or F"dt)m C:ontractor's Lxi •rd RdQ. NO �_ T �j z Insttinanon.arloraticn orrolocndon Signature of sopi. E.lee'n _ 2coampsorless License No 7� Phone No_ )01 snips to fico amps 2 _. .�,. r. �(/ 01 a �-f—• -fQ 4mps 05oD knit a 17500 (,)ver trio amps to 10%uritis T1co 00 2b, For owner installations: eoe shave 4d. Stanch Circuits Print Owner's Noma R _ New.alteration or eittenslon par pane I 1 Address _ _ #)The fee for branch circ-1118 with }}�� purchase of service or reader N / V'✓ City__ ..Yw. ` .ate—..--.� tip -- Erich breach dRult Phone No _ b)The teefor DrenchdreuNs.,., 2 The u�;,tail�tlon is being made on prop I own which iA purchnseots! Ro Ac� r� CITV OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 639-4171 Date Requested: r /` A.M, P.M. MS'r: Location: �� — �_--- - —_ BUP: Tenant. _—` Suite: Bldg: MEC: Contractor: — PLM: _ Owner Phone: --- ELC: C! --- _ ELR: � BUILDING BLDG(con't) PLUMBING MECHANICAL -" SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storni Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Cias Line Rough-In UG Sprinkler Foundation Insulation Sewer I loodfD pct Reconnect Vault Bsml Damp Drywall Storm Furnace Temp Service M1SC. Masonry Ceiling Rain Drain A/C l,[Umfth- - Shear/Sheath Fire Spklr/Alm Crawl/Found DT Ileat Pump Lqw Volt Approved Approved Approved Approve Approved Appi/Sdwlk Not Approved Not Approved Not Approved _ roved Not Approved 77�FINAL FINAL FINAL INAL FINAL O Call for reinspectian� Reinspection fee of$__— required before next inspection O Unable to inspect Inspector: /`/�J Date:�� 4 Page ,_of _ CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: EL.R97-0333 DATE: ISSUED: 11/20/97 PARCEL.: 2S 101.AD—.00400 SITE. ADDRESS. . .. :06665 SW HAMPTON ST #1.00 SU BDIVI:'3ION. . . . :WEST PORTLAND HEIGHTS ZONING:MUE BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :03'4 .TURISDICTN: VIL2 Pro j ec:t De scr,i pt i on: Installing data telecommunications syste:% -------------------- A. RE=SIDENTIAL_--- _---- b. COMMERCIAL--------____.________._____._---__...___________._ AUDIO R STEREO. . . AUDTO R• STEREO. . : INTERCOM R. PAGING. . SI.IRGLAR ALARM. . . . : BOILED. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLO,K. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. - : X NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : F T RE ALARM. . . . . . : OUTDOOR LANUSSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE" SIGNAL.. . INSTRUMENTA I-TON. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 FFEF,, HAMPTON OAKS LLC t;ypE, Fmol-tnt by date recpt 6665 SW HAMPTONY STE 1000 PRMI $ 4V-i. 00 B 11/210/97 97030109c, TIGARD OR 07223 cil-'C l" $ 2_'. 00 B 11/20/97 970-0109f' Phone # : 452--1 :28 Contrartor: WESTERN TELEPHONE CORPORATION $ 4"-,. 00 TOTAL_ 7600 SW BRIDGEPORT RD REDUIRED INSPECTIONS _._ ._...._....._-__ DURHAM OR 9'7224 Ceiling Cover Low Voltage Insp Phone #r 624--7600 Wall Coven Elect' l Final Reg #. . : 000699 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Lodes and all other apphrable laws. All work will he dune in accordance with approved plans. This permit will expire if work is not started within 188 days n� is,.uance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-00'-WIP "lrough OAR 952-0014080. You may obtain copies of these rules or direct questions to OX at 1:1831246-1987. I s s l_�e d by �C�- ►'V F'e r m i t+,E!e S i.g n a t i_tfl ... � 0WNE:R INSTALLATION ONLY-.______-----_.__._----_._______ -- The installation is being made on property I own which is not intended for, sale, I F,a se. or rent:. OWNER' S SIGNATURE: DATE: ----- ----------__..---____---CONT RACTOR INSI AL.LAT ION ONLY-------------------------- -- --- SIGNATURE OF SUPP. EL.EC' N: _._ _ DATE: LICENSE N0: __.._. --_.-----_--_`..... __ ++++++++++++•++++++++++++++++++++-F.t-++++++++++++++++-F+++++++++++++++++++++++++-F+++ Call 639-4175 by 7%00 P. M. fnr an inspection needed the nett bl_tsinpss day }}•*++++++++.++++•F+++++++++++++++•F++++++++++++++++-h+++++-►-+++++++-F+-h++++•+++++++.f•+ V Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT#__�LLf Phone (503) 639-4171 FAX(503)684.7797 DATE 153UED TDD No. (503) 684-2772 W CIITY OF TIGARD Inspection (503) 639-4175 ISSUED 9Y PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Add &U �` RESIDENTIAL--Restricted Energy Fee . . . . . . . . . 540.()0 I G V R q / 223 (FOR ALL SYSTENiS) City State ` Zip Check Type of Work_ In%nlvtdi ((o(o(a S SW t cu,-, CG 1 PERr1 IS ARE NON•TRAN5FtP.A7LE AND-JON-__REFUNDABLE ANE)EX?IRE IF WORK, ❑ Audio and Stereo S stems#- IS NOT STARTED WITHIN t VYDAYS OF ISSUAVCE OR IF WOKK 15 SUSPENDED FOR nr�I Y 190 DAYS. u Burglar Alarm ` ❑ Garage Door Opener' 2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System' Conlractor�7)r–f _ _ ❑ Vacuum Systems' Address �� Y1<' �I �t' ► El Other Date_ '1 J 1 C0114MERCIAI—Fee for each system . . . . . . . 540 0� 1 (SEE OAR 918.260.260) Pror"Owner s l �.�1 ��. _ Checi, r Ype of Work Involved& i ,i actor's Board Reg. No. �� ,, YlL ❑ Audio anal Stereo systems J� � 9� � [J Boiler Controls hn e # ❑ Clock Systems :S. 7NrNER APPLICATION Data Telecommunication Installations ❑ Fire Alarm Installation _ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address _ ❑ Intercom and Paging Systems ❑ Land!cape Irrigation Control' City State Lip — ❑ Medical this p&tttIr u 15sued undar OAR 91 E-320-370."hts.ppltr-int agrees to maka only ❑ Nurse Calls rvoriacd energy Installadont:100 voltamps or;e-!)under thi;permit and to do the ❑ Outdoor Landscape Lighting' foHow(nr 1. Chllyy use electrical licensed peran;to do Installations here required.(Certain ❑ Protective Signaling rendenual and other vsns,ctlons arC ax;mpt from licensing.These have ❑ other asterisks(') All others ne".I liocnsing I. Call(or an inspection when all of the imtallaiions under this permit are ready for Inspection at S03-639-4175. ❑ Number Of Systems 3. Purehax xparato rA rmin for all installations that ire nu:ready for inspection when the in;pnctr r i.t out to inspect under this permit. •'�o Ilcensts are required. Licsnses are requred for aA other Itutallaboru. 4. Assume responsihilky for a;3uring that all corrections required h� the hispetlor - Z. done,And 5. .4 .mponsibiiity for ralling for a final inspection- iien all of the 5. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ L authorized to bind the applicant b. 5% Surcharge (.05 x total above) 5 ,�,. ) u Signature TOTAL 5 Authority if other than applicant ENERCAP.CHP CITY OF TIGARD AIM DEVELOPMENT SERVICES PI.AJMBINC PERMIT 13125 SW Nall Blvd,,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : PLM97-0315 DATE ISSEJ!•~D: 08/04/97 PARCEL: 2G 101 AD--00400 Tt" ADD'iES^a. . . : 0(56G5 SW HAMPTON IST #1ST 1RDIVIST014. . . . - ' 'EST PORTLAND HEIGHTS ZONTNj: clUE: I1...O;_'K. . . .. . . . . . . LOT. . . . . . . . . . . . . ::;4 ,JURISDICTION. TIG (T',m 01' W(7RK. . :Ai-T GARTIACE DISPOSAL.!:. : 0 MOBILE I+OME�sr,nCES. : +Z+r^` r'► OF USF_. . . . :COM WASHING MACH. . . . . . : 0 PACKFLOW PREVNTRS. . : 0 (JCC,IJPANC 1 GRP. . :8 F1_OOR DRATNS. . , . . , ; 0 TRAPS. . . . . . . . . . . . . . : 0 r)RIES). . . . . . . . . 0 WATER HEATERS. . . . . . 1 CATCH BASINS. . . . . . . . 0 x THRE:S _. .._. ....._._—..--- I. A1.11VDRY TRAYS. . . . . : 0 Sr RAIN DRAINS. . . . . 0 SItvKS. . . . . . . . . .. 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 L AYATORIf „ : 0 OTHER r-IXTURE"1. . . . : 0 IB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 TF.R CLOSET;. 0 WATF.R LINE : rk ) . . . : 0 7HWASHERS. . . . : I RAIN DRAIN (ft ) . . . : 0 Romat-ks : Firs t, floor pIi_imbing. Dwricar•; —____________—_..___________._.__—_._..___.___ .__. ._....______.__ FEEr, {If1MF'TON OAK,, I_l_lr t yEiAmar..int 5y date r•er-pt 9320 SW SnRRUR BLVD STE 330 V,RMT 27. 00 JSD 07/29/r97 97—c9770,-.' PORTLAND OR 97219 5P("T a 1 . .?,ri J9,T) 07/29/9'7 ':')7-; TY PF TIGARD Plumbing Application Reed er-- t Z6 SW HALL BLVD. Commercial and Residential Oats Recd--CC4C ,GARD, OR 97223 Data to P E. _�s/�q -303) 639-4171 Data to DST Permit s�/�►.L 7-0,15' Print or Type Related swa s 7-03c,3 Incomplete or illegible applications will not be accepted caaad ( 1-�,.7..__':� Namof pevewpmenuProprtl -77 FIICTURE3 Qndiyidwl) ;r� •q � � , Jab Sla ` 9.00 - Address Street Address fe Lavatory -- ---"3 r�rtil ) Tuba TuWSnower Camb. 9.00 Bid s Glyi tate Zip. Shower Only 9.00 Name Closet 9.00 �/1 ( /1 / Dbl>wasll.r Owner � +9Addimillss SWIG -,-7 Carbage Dispo" YVAL g Machina -^ 900 CityfStats ZIP Phone 9.00 Floor Dtan 2' 9.00 9.00 EV 9.00 Occupant Ma'an9 Addreu Suite WLW Neem 9.09 Gtyistate Zi Lsuruy Room Fray 9.00 P Phone Urinal 9.00 Num Other Fixtures(Specify) 9.00 9.00 - 3ontractOr n'9�A ran c Surto 7 L �,Z' Il r-t fir I-) - 9.00 °rior to issuance Ckvirststs Lip Phone 9.00 inplicant must r'j; ; , t ` C' 7 E,( /-� fTr, _ 9.00 provide all Oregon Const.Cont.8.3ab Lim$ ExP.Da _ 9.o ,:xhtracurs 9.00 licensePhnnbng/Lbt UP.Date Sewer-tsl too, _ 30.00 nfortnatlon 77 -. for COT COT 8raswress Tax s Sewer-each addltlonal 100 25.90 larabasel- e? -7 7 PrP•Dan i"titer Service-1st 100' - 30.00 Name Water Service-each additional 200' 25.00 Architect Storm 8 Ran Dram-1st 100' 00 y1 or MAN Address '- Suits Skim d Rain Orm-each additional 100 25.00 Moth*a kin Space 25.00 Engineer CiryrState Zip - Phone Corrrneraal 8�Flow P��Dev"or Antl _ 2&00__ Polkidon Device escnbe work New 0 Addition O AA ration Rtpa,r O Residential 84cknow Prevention Devrca' 15.00 A tx done: Residential O- Non,escd�rhtial O Any Trap or Waste Not Connected to a Fixture Atltlrihonal desrnpbon of work _._---- __�' 9.00 Cairn 8asm_ 40.00 900 Insp of taosting Plumbing _per/hr _vL"serlg uOf ---_ - SpecialtyRequested Inspecbms 40.00 u,idlnq O►ObPMIY FF '- 6 t_.. Z _ I perft -- Rain Dram,atingle tamhhy dwenin9 30-00 opined pr Of Grease Traps --- I 9.00 i Ming o►�� -� �----- -- - I QUANTITY TOTAL fou cappng. moving or replacing any fbctures^ Yes 0Pio l.«rnnc�nr now ai*Mos is reeutw a ourta)r wy raw >9 ZN!!G back of form► *SUBTOTAL ereby aduhowtedge that I have mad this application.that the uiformation 9n N correct,that t am the owner or suftrtzed a4ent of the owner.and - - 5`J. SURCHARGE (1 +t olans submitted are nh compliance with on State Laws _ -- .4ntiturs of OwniirtAgen� Deb PLAN REVIEW 257 OF SUBTOTAL / �eauna aro_ I ttrmse oty toter a.9 'ritactPerson N" V Crone J tOTAL S Minimum Permit fee is 325• 5%surcharge except Residential B*dM Prevention Device.which is$1! •5%surcharge �7 L',phapp.doc 1196 (ds1 -LF. . ESQMPLFjE AS APEMPRIATE TO PROJECT: 7�Wiures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal I Washing Machina ' Floor Drain 211 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) OMMENTS REGARDING ABOVE: 1:`plmapp.doc 12.1% (dst) CITY OF TIGARD BUILDING INSPECTION DIVISION (24-Hour Inspm.tion Line: 639-4175 Business Phone: 639-4171 C Date Requested: , 3 q7 .-- A.M. _ _ P.M. MST: Location: _ t'O (0 to j BUP: Tenant Suite: Bldg: nn Contractor_ —_ALJ S Phone, _�O Z" d� PLM: !?. 3 IS Owner -- — ------ — I'hone. — ELC: ---,_- --- - --- - _— ELR: SIT: BUILDING BLDG(con't) LUMB�IL MECHANICAL ELECTRICAL SITE Sitc Post/Bearn 1104t/13eam PostMeam Cover/Service Sewer/Stonn Footing Roof Undl-l/Slab Rough-In Ceiling Water Line Slab Framing Top Out (lug Line Rough-In I r(;Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Stonn Furnace 'rernp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath I ire Spklr/Alm C d Dr Ileat Purnp I.ow Volt Approved oved Approved Approved Approved Appr/Sdwlk Not Approved - e Not Approved Not Approved Not Approved FINAL /FINAL FINAL FINAL FINAL D Call for r ' tit �� Rei ti fee $ required before next inspection Cl Unable.to inspect lnspector Dale � —_ Page of_ CITY OF TIGARD BUILDING I'NSP'ECTION DIVISION 24-Hour Inspection Line. 6394175 Business Phone: 639-4171 Date Requested: -7 A.M. P.M. MSI': _ location: (a 41 0 �--�'_ BUP: Tenant: Suite: Bldg: _ MEC: ,(`ontr�R: Phone: '(e J d PLM: '7-7,03/5- Owner: -70 /5Owner: Phone ELC: ELR: _ SIT: _ BUILDING BLDG(con's) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Pos'll3earn Post/Bea-11 Cover/Service Sewer/Storm Footing Roof Umll'I/Slab Rough-1,r Ceiling Water line Slab Framingap— .Jas line Rough-In IJ()Sprinkler Foundation Insulation &acr Ilood/Duct Reconnect Vault lismt Damp I)rywall Sconn `urnace "Temp Service MISC. Masonry Ceiling Fain Thain VC UG Slab Shear/Sheath Fire Spklr/Alm 12rawl/Found 1h i seat Pump l,ow Volt Approvedp��rov Approved Approved Approved Appr/Sdwlk Not Approved o Approwed Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL C7 Call forAr TIC tro 0 ReinsFectio ee f reyuiml fore next inspection 0 Unable to inspect lnspector. hate: / �7 Page of!„ CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL. PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97-02,77 DATE I55UED: 05/09/97 PARCEL: 251O1AD-00400 `3I TE AD1)RF Y3. . . :06(.-) ,S SW HAMPTON ST 9USDIVISION. . . . :WFST PORT1._AND HFTGHTS ZONING:MLIE BLOCK. . . . . . . . . . .. LrT. . . . . . . . . . . . . .34 JURISDICTION: TIG Project De script ions INSTL 3 BRANCH CIRCUITS // 10B # 10173 --RESIDEIJTiAL UNIT---- ---TE=MP SRVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . . 0 PUMP/IRRIGATION. . . . : 0 FACH ADD' L. 5OO6F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LT(33. . : 0 I TMITED ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAL/PANE1._. . . . . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - - - SERVICE/FEEDER---- ------BRANCH CIRCUITS------ -----ADD' L INSPECTIONS---- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PFR INSPECTION. . . . . : 0 P01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1, PER HOUR. . . . . . . . . . . . 0 401 - 600 ,amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0 601 -- 1000 amp. . . . . : 0 _--_- ---__.__.__.-__PL_AN REV TEW SECTION----_--__.-_____._. 1.000+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL... . : Reconnect only. . . . . .. 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ----------------------------------------------------- FEES HAMPTON OAK LLC type amol_int by date rerpt 9320 SW BARBUR PRMT 55. 00 TAT 05/09/97 97-294371 STE 300 SPCT $ 2. 75 TAT 05/09/97 97-294731 PORTLAND OR 97219 Phone #: Contractor: RED' S ELECTRIC CO INC $ 57. 75 TOTAL 2002 Sr CLINTON ST ------- REDUIRED INSPECTIONS ---- PORTLAND OR 97202 Ceiling Cover Underground Cove Phone #: 233-6467 Wall Cover Eler_t' 1 Service Reg #. . : 000000 This permit is issued subject to the regulations contained in the Tioard Municipal Code, State of Ore. Specialty Codes and all other Permitirgnat ure;- applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started w,}hin 188 days of issuance, or if work is suspended fo,- more _ _— than 188 days. I s SI—L d Py INSTALLATION Thw i.nstallat;inn is being made on property I own which is not intended for a.le, lease, or rent. F)WNERI a SIGNATURE: _-- DATE: TNSTALL_AT I0N I f+NATLJRE OF SUPR. ELECT' N: DATE a _`_ 17 _ L ICENSE NO: vG)�f Call for inspection - 639-4175 5-88-1997 4:53P14 FROM RED' S ELECTRIC 503 233 1281 F Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 972.23 Permit # Date Issued Phone (503) 639-4171 –' 1/1 CITY OF TIG4RD TDD (503) 684-7297 DD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Foe Schedule Below: i NamEt of Development Number of Inspections per permit allowed Address—a�� , 1' Service Included Items Cust(ea) ;urn City/Statr JZIp_f, �► �2 4a. Residential •per unit 1000 sq It or less 111000 a Name (or name of busin"ss)�- _ Fat.n adddinnal 54Y.1 sq M or =" o0 --- - portion thereof -___- Commercial Residential �_� landed Energy bt`o0 Ea"Manvl'd Homs or Mc4,lar riwalllnq Sarvr..e nr Fee"r yRR 00 2a. Contractor installation only: 4b. Services o-Feeders J Inatallxt�nn aftnrat n or rt•Ipcat,an Llactrlcal ContractorJ:7�-c �_{r ____ _' 700 limp.,"t rocs Address _ Z 7 :01 amp,rn 411.1 amps s $t10,0u _ c av1 amp,to o0U amps 3120.00 - city– Stated_ Zip -ja7� 601 amps k.100,amp fi�� ` Phony No �. �p� Over 1000 ampe or vnnn $34000 1 Job NO. Rec:nnnrr,l only - $90.00 2 contractor's license NO L2 _ 4c. Temporary Services or Feeders Contractor's Board Reg NO (2f inttaliahen,a0erahon or,Ncr..ati•n Signature of 9r. Elec'I -- :uo amp•,w Ices ` I lcense No �Phonf! 2()1 arms to 400 amps b!�GO 401 amps to 600 amps $75 G�) ^ver"MI amps to 10%volts S 10C OC 2b. For owner installations. sine V above Ad Branch Circuits PJlnt Owner's Name _-_ _ - - he« adarm,nn -ron,i,n e, _ p pyre Addressat the lee:or turner crcuds wI@1 - _ purcha"o or sv/cV ur hider ral 1 City �MY_�__�_ rJtatl: Zip or Each ntencn ch;ua - Phone No. _ bl The fee for branch,.ncu tb wrrho,n 1 he Installation Is being made on property I own which Is purchasa of BOW"nr feeder ren ! not intended for sale. lease or rent. First orsncn arrest s c each adiltimal luancn cfrcufl -_ $9 7 oyvner a Signature__ _ —__ _ 4e. Miscellaneous (Service or feeder not Inc(uded) 3. Plan Review section (if required): Each pump of Irrigation a,clt son Or i Each slvn or nuthne lighting $40 10 Signal clrrunjr lnr a"-I energy Please check appropl late item and enter lee In:lection 58. ravel aeeraucn or e0»n3on 5e0 JC: 4 or more residential units in vire s'ruclure labels tial Service and leader 225 amps or mor System over 800 volts nominal at. Each additional nal ion ovor Classified area or structure containing -.Penal oculPancy the allowable n am oof f the abo.o as described In N E C Chapter 5 t'r`""p° ''=" $$35.00_ — Per ,n Hent Submit 2 sets of plank with application wherw .my of the aninve apply. Hot required for temporary construction services 5. Fees: 0 Sa. Enter total of above tees S �l NOTICE 514 Surcharge I.OS X total fees) b PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZFB IS NOT COMMENCED WITHIN 180 DAMS. OR IF 5b. Enter 25%of line A for i CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (S-e `I1 � A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal g COMI,AF.NCFD -•M• - 4Trusl Accounl 0 pr,NK Balance Due �� S Noel �O Pl 0 1) M U�vE��Y 0MM�N00 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone- 639-4171 Date Requested: C AM. fL� P.M. MST. Location:- .d DUP: r, ---------. __.__ �. Tenant: a ,( -CQQJ Suite: lildg. MEC: G Contractor- yi'R Phone: PLM: Owner: _�_ Phone: _ ELC: �Z 7 SIT: BUILDING BLDG(con't) PLUMBINGI IC ~ELECTRICAL SITE Site Post/Bcam Post/ITeam n ) Cover/sevice Sewer/Storm Footing Roof I Indl'I/Slah Ci -I eitina Water Line Slab Framing Top Out a ough-In� IJG Sprinkler Foundation Insulation Sewer {c ) t t Vault lismt Darnp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab ;;hew/Sheath fire Spklr/A)m Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved LPPI/It" IkNot Approved Not Approved Not Approved Not Approved Not Approved I L FINAL FINAL FINAL FINAL FINAL O Cull for reinspection / O ReiJnspeeti f f$ required before next inspection 171 Unable to inspect inse cor: Date:( Page of CITY 4F TIGARD DEVELOPMENT SERVICES BUILDING,G PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 ;SATE ISSUED: 07/30/97 PARCEL: 29101AD-00400 'I TE ()DDRES5. . . : OE,GE.;_r "iW IKIIrIrTON ':: A CITY OF TIGARD Recd By: W �/ 13125 SW HALL BLVD Date Rec'd:--.(-"v �c,_� TIGARD 'OK 97223 RE-ROOFING PERMIT APPLICATION Date to PE V- 503-639-4171 X30aDate to DST Incomplete or illegible applications will not be accepted Permit#: ! 7_ F--r03-684-7297 Called: Name of Development/5usrness STEP Z. NEW ROOFING ASSEMBI-Y "t rA Material Gocumentsdon(UBC Appendix 15) Street AddressII Ste N Please fill out applicable section and attach copy of roofing Job Site 5`� I�Arti tp�� _specifications. Idg M City/State Zip Listed Assembly_ Circle a Complete A,B or C) A. Name 1 Specification 4- Owner Mailing AddreAs 2. Manufacturer: � - City/State Zip - Ph ,e 3a UL Classification: _ _ �,,-t' iLrlljt 1 'i,'1`l 2 11 /I Name _ (( Listed UL Building Materials Directory Page#:! � ��15C/ 2e✓ Thr �� (OR) Roofing Mailing Address � 3b Warnock Hersey Contractor J I (�;j �Y -- (Prior to issuance Ci estate Zip -- Listed Warnock Hersey Directory Page#. applicant must )('7rr J j>t` `( J,' (PROVIDE COPY OF ASSEMBLY) provide a copy of Phone N —1 Fax M _--------•- --- --------- all c mtractor ( ;1 1 I (�� 2 -- B. ICBG Research# licenses if Slate Constr.Contr Board ax Exp. Date - expired in COT �'�V� i DATED database) COT Bus.lax or Metro Lac a Fxp Date (PROVIDE COPY OF ASSEMBLY) BUILDING INFORMATION C SPECIAL PURPOSE ROOFING: WOOD SHAKES'— _ Builuing-Type Of Use (circle one) - ('review required t�v plans examiner) SF SFA l COM MF _ Building- Type of Construction: VALUATION OF PROJECT $ 2 A) ) 5 Sv Existing Deck'Type• Permit fee based on valuation" Combustible (U ) Non-Combustible ( J ' see chart on back RESIDENTIAL ONLY-Class of Worlk:Alteration City use only �WACO: U REPAIR(MAJOR) (BUILD) (UBUILD) Permit required Ori!Y when spaced sheathing is covered by solid sheathing. 5% State Surcharge $ City useonly: WACO: SUBMIT THREE(3)SETS OFB AILSL CIFYING. (TAX) r (UTAX) A. Roof area&nearest street. _ 65% Plan Review $ _ B. Attic vents-Provide'I sq. ft. for each 150 sq. ft of attic City use only. WACO: space&vents shall be located in the upper 1/3 of the roof. (BUPPLN) (L'BUPLN) Provide 1 sq ft. for each 300 sq ft. when eaves&attic TOTAL $ D STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the Class of Work: Atterntion Describe work be done: (check appropnate box) information given is correct, that I am the owner or authorized :3 RF—ROOF (circle A,B or C) agent of the owner, and that the plans (if applicable) are in !A. Existing built-up roof covering to be REMOVED and deck compliance with Oregon State la%� repaired- Signature of Owner/Agent Date u^ B Existing built-up roof covering to REMAIN note applicant must submit an engineer's review of the roof structural -7(, elements. Review shall bear the seal(or stamp)of the architect or engineer licensed In Oregon Contact Person Name i C Asphalt or wood shingle/shake Telephone_ --_ I:ROOFI.DOC(dsts) L_(PROCEED TO STEP 2) - _CITY QE Tl p� V� $I�LDING_P__ERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. RE✓IEW TAX PERMIT PROJECT FEES (40%) (65%) (5%) FEES 1-1500 2500 10.00 16.25 1.25 52.50 1,501-1600 2650 1060 17.2.3 1.33 55.66 1,601-1,700 28.00 11.20 18.20 1.40 58.80 1,701-1,800 29.50 11.80 19.118 1.48 61.96 1,801-1,900 31.00 12.40 20. 15 1.55 65.10 1,901-2,000 32.50 13.00 21.13 1.63 68.26 2,001-3,000 38.50 15.40 25.03 1.9:1 80.86 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001-5,000 50.50 20.20 32.83 2.50 106.06 5,001-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.25 7,001-8,000 68.50 27.40 44.53 3.43 143.86 8.001-9,000 74.50 29.80 48.43 3.73 156.46 9,001-10,000 80.50 32.20 52.33 4.03 169.06 10,001-11,000 86.50 34.6(' 56.23 4.33 181.66 11,001-12,000 9250 37.00 60.13 4.63 194.26 12,001-13,000 98.50 39.40 64.03 4.93 206.86 13,001-14,000 104.50 4'.80 67.93 5.23 219.46 14,001-15,000 110.50 44.20 71.83 5.53 232.06 15,001-16,000 '11650 46.60 75.73 5.83 244.66 16,001-17,000 122.50 49.00 79.63 6.13 257.26 17,001-18,000 128.50 51.40 83 1)'3 6.43 269.8b 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,009 140.50 56.20 91.33 7.03 295.06 20,001-21,000 146.50 58.60 95.23 7.33 307.66 21,001-22,000 15? 50 61.00 99.13 7.63 320.26 22,001-23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 16450 65.80 106.93 8,23 345.46 24,001-25,000 170 50 6820 110.81 8.53 358.06 2.5,001-26,000 175.00 70.00 113.75 8.75 367.50 26,001-27,000 179.50 71.80 116.68 8.98 376.96 27,001-28,000 18400 73.60 119.60 920 3116 40 28,001-29,000 188.50 75.40 122.53 9.43 395.86 29,001-30,000 15,3.00 77.20 125.45 9.65 405.30 30,001-31,000 197.50 79.00 128 38 9.88 414.76 31,001-32,000 202.00 80.80 131.30 10.119 424.20 32,001-33,000 206.50 82.60 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443.10 34,001-35,000 215.50 86.20 140.08 10.78 452.56 35,001-36,000 220.00 88.00 14300 11.00 462.00 36,001-37,000 224.50 89.80 145.93 11.23 471.46 37,001-38,000 229.00 91.60 14885 11 .45 480.90 1ROOF1 DOC(dsts) CITY OF TIGARD DEVELOPMENT SERVICES PUILDING PERMIT #. . . . . . . .. BLJP91? 13125 SW Hall Blvd.,Tigard,OR 97221 (503)639-4171 DATE ISSUED: 06/15/98 PARC'EL: 2SIOIAD- 004VIO _FF_ ADDRESS. . . . 06665 SW iAAMPTON ST ' .'BDIVTSTON. . WEST* 1-"lORTLAND IAEIGIAT!:) ZONING:MUC nci<. . . LOT . . . . . . . . . . . . . :034 JUR I SD I CT I ON:TI G REISSUE: FLOOR AREAS ----- EXTERIOR WALL C'UNSI'RUCTION CA. A 6 9 OF WORK. : &--f e7r- FIRST. . . . 0 s f N S E W TYPE OF LJf:)E. . . COM 73 E C 0 N 1). . . 171 S f PROTECTOPF1\1IN(357-- 7-YQF* IAF rONST. e n 0 s f N- S: E- W 11'r-UPANCY GRP. S TOTAL 0 S f PO(-.)F CONST: FIRE RET? : ,('CLJPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: 'on. - 0 11T: 0 ft GARAC3E. . . - 0 s f OCCU SEP. RATED. ';MTI. MEZZ?: REDID SETBACKS----- - REOL)I .nOR L.13AP. 0 psf LEFT.- 4 ft RG[iT: 0 ft FIR SP[IL.: SMOK DET. . : 'jWEtJ..T1\1GP UNITS- 0 FRNT: 0 ft: REAR: 0 ft FIR AL.RM: HNDICP ACC: BEDRMS: 0 DATHAS.-, 0 TMP SURFACE: IZI PRO CORR: 1--,A RK,I NG Q1 VALUE. $ - 2.1 860 1','t,mav,ks . Hampton Building re-roof Owriert FEES IIAMPTON OAK I LC type ainol-tnt by tdate rer_pt 0,665 SU HAMVIION r,R mT $ 1-921. 50 JSD 06/15/98 98-,30651(-, TIGARD (r I R r:o 7;7:1 2 3 5PC.1, $ 7. f-*)3 J Ell D 0(f,/ 1`5/9A 98 0651 r !-,ane #- CASCADE ROOF=ING 14905 SW 74-YH AVENUE -TiGnRD nR 97224 Ptianiz #: (,20-2711 160. 13 TOTAL_ Pei) #. . : 039079 --.RF.C,1.LIIRFD ACTIONS or INSPFC'fTON1.'3- ,his permit is issiled subject to the regulations contained in the Misr. Tnsppcticin —------- ligard Municipal Code, State of Ore. Specialty Cedes and all other Ponding before t applicable laws. All work will be done in accordance with Dr-y rot a f t;et, t pe-k approved plans. This permit will expire if work is not started within 18e 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 Nutificatior Center. Those "uIes arset firth in OAR 952-9014010 through OAR 952-0101987, You many obtain a copy of these rules or direct questions to OUN[ by calling (50.7)246-1987. or-m i t t pe Gi gnat 1.11'e I S SI-ted By -F+-+-+++-++++.4-+++4-4-+,F+++-+++-+-+++.+++-I-++4--++4-4-+-++4-++++4-+++-++++++C+-4(4111-4-+4,,+-+4-+4-++-4-, Call 639-4173 by 7t@O p. m. for, ,gin inspertion ;ieeded f.fie next bl-15iness rJAY 1-+4......4..................4-++++4-++++4......4-++++4-++++++-+-4-+++-4F4-+-4-+++4--4........4 L__ J CITY-011F 3ARD Plan Che 13125 SW HALL BLVD. Rec'd BY._ TIGARD OR 97223 RE-ROOFING PERMIT APPLICATION Datt. Rec'd:� V- 503-639-4171 X304 Date to PE: _ Commercial and Residential Date to DST: F-503-598-1960 Permit#: Incomplete or illegible applications will not be accepted Called. Name of Oevelopme lljousrness STEP 2. NEW ROOMNG ASSEMBLY r oti' a Maueriall Do;�cut,13r:tation�USC Appendix 15) _ S reef Add ss Ste# Please fill out applicable section and attach copy of roofing Job Site b'5 specifications. Bldg# City/State Lip Listed Assam t, (�Ciraie&Comptpte A,B or C'} Na 1. Specification M, �J �_✓ ' LA C Applicant Mailing Address 2. Manufacturer: j "Z 1 440's So City/Stale a Zip Phone "3a UL Classification: -�9 'loafing Na�}0 Listed UL Buildinq Materials Directory Page#: 1 , Contractor („ ASc QT-jL �,,�„ (OR) (Prior to issuance Mailing Address IL "3b Warnock Hersey applicant must i- �,� lJW 1q _ ---- --- provide a copy of Citylstate Zip Listed Warnock Hersey Directory Page#: _ all contractor .`-I-L 6,/ tr) - ,?, •COPY OF ASSEMBLY REQUIRED licenses if Phone N Fax N ------ --------------------------------- expired in COT -L.o 2,1 1 1 1 Z99 L B. ICBO Research database) State Constr.Contr. Board# E Dat --� 310.7`1 -C ��' (,6, __ D_A_TE_D: &UILDING INFORMATION C SPECIAL PURPOSE ROCFING: WOOD SHAKES - Building-Type Of Use: (circle one) (review required by plans examiner) SF SFA COM ( MF_ Building - Type of Construction: VALIDATION OF PROJECT 01]T _`_____`__ sq. ft. of roof area Existing Deck Type: Permit fee based on valuation" Combustible Non-Combustible ( ) " see chart on back $ RESIDENTIAL ONLY +^sa of Work:Alteration City use only -T-WA-CO: REPAIR (MAJOR) (review rec uired by plans examiner) (BUILD) Permit required ONLY when sl:aced sheathing is covered by solid sheathing. Changes to rcof line require Building Permit 5% State Surcharge $ Application. City use only: WACO. SUBMIT TWO(2) SETS OF PLANS SPECIFYING. (TAX) (UTAX) 7 A. Roof area&nearest street. "?squired for major -epairs of Residential B. Attic vents- Provide 1 sq, ft for each 150 sq. ft. of attic or"C" above " 65% Plan Review $ space. Vents shall be located in the upper 1/3 of the roof. City use only: WACO: Provide 1 sq. R. for each 300 sqft.when eave&attic (BUPPLN) (UBUPI_N) venting is provided. --- — - _ TOTAL $ STEP 1. COMMERCIAL ONLY I acknowledge that I have read this application and that the Class of Work: Repair information given is correct; that I am the owner or authorized Describe work to be done: (check appropriate box) agent of the owner, and that the plans(if applicable)are In IJ R&& ROOF (circle A ,B or C) compliance with Oregon State law. i A. Existing built-up roof covering to be REMOVED and deck repaired- Signature of Owner/Agent Date B Existing built-up roof covering to REMAIN: note applicant must submit an engineer's review of the roof structural elements. Review shall bear the seal(or stamp)of the ti C-v�� ( nom ��"/s '`1 architect or engineer licensed in Oregon. Contact Person Name Telephone C. Asphalt or wood shingle/shake - (PROCEED TO STEP 2) - C-1 E-IUL Zt.A s Z. - I ROOF DOC(dsts)REV 511198 CITY OF TIGARD BUILDING PERMIT FEES TOTAL PLAN STATE BUILDING VALUATION OF PERMIT REVIEW TAX PERMIT PROJECT FEES (65%) (5%) FEES 1-1500 25.00 16.25 1.25 42.50 1,501-1600 26.50 17.23 1.33 45.06 1,601-1,700 28.00 18.20 1.40 47.60 1,701-1,800 29.50 19.18 1.48 50.16 1,801-1,900 31.00 20.15 1.55 52.70 1,901-2,000 32.50 21.13 1.63 55.26 2,001-3,000 38.50 25.03 1.93 65.46 3,001-4,000 44.50 28.93 2.23 75.66 4,001-5,000 50.50 32.83 2.53 85.86 5,001-6,000 56.50 36.73 2.83 96.06 6,001-1,000 62.50 40.63 3.13 106.25 7,001-8,000 68.50 44.53 3.43 116.46 8,001-9,000 74.50 48.43 3.73 126.66 9,001-10,000 80.50 52..33 4.03 136.86 10,401-11,000 86.50 56.23 4.33 147.06 11,001-12,000 92.50 60.13 4.63 157.26 12,001-13,J00 98.50 64.03 4.93 167.46 13,001-14,000 104.50 67.93 5.23 177.66 14,001-15,000 110.50 71.83 5.53 187.86 15,001-16,000 116.50 75.73 5.83 198.06 16,001-17,000 122.50 79.63 6.13 208.26 17,001-18,000 118.50 83.53 6.43 218.46 18,001-19,000 134.50 87.43 6.73 228.66 19,001-20,000 140.50 91.33 7.03 238.86 20,001-21,000 146.50 95.23 7.33 249.06 21,001-22,000 15250 99.13 7.63 253.26 22,001-23,000 158.50 '103.03 7.93 269.46 23,001-24,000 164.50 106.93 8.23 279.66 24,001-25,000 170.50 110.83 8.53 289.86 25,001-26,000 175.00 113.75 8.75 297.50 26,001-27,000 179 50 116.68 8.98 305.16 27,001-28,000 184.00 119.60 9.20 312.80 28,001-29,000 188.50 122.53 9.43 320.46 29,001-30,000 193.00 125.45 9.65 328.10 30,001-31,000 197.50 128.38 988 335.76 31,001-32,000 202.00 131.30 10.10 343.40 32,001-33,000 206.50 134.23 '10.33 351.06 33,001-34,000 21100 13715 10.55 358.70 34,001-35,OJO 215.50 140.08 10.78 366.36 35,001-36,000 220.00 143.00 11.00 374.00 36,001-37,000 224.50 145.93 11.23 381.66 37,001-38,000 229.00 148.85 11.45 389.30 ROOF DOC(dsts)REV 5/1/98 ROOF COVERING MATERIALS (TEVT) ROI 78 TGFO--Continuer♦ ROOFING SYSTEMS ( 3. Deck 0.1Roof 4.5T",hest awed or"SFM• Existing Roofing 6 A.ST"."AP5'4T "ISA 4T" 01 -SPM-41T", faced SUR(gravel n APM 4T","APM- modified bilumenl, s hot ttpool Coating'. Insulation (Options Membrane. SFM•4H" '5YM•3.SH"."SPS•3H"(modified Asp 3H". 5FM 3 5H "Karnak No.97 Fbrelad or Grundy"al MB Aluminum Ilse Membrane: "APM Karnak Chemical Corp. 1.2 gal/$Q Membrsne: aAPM "Kernsk#91 Asbestos Fres Aluminum Roof Coating', host lured, or "S F' Kernak# at 1.2 psi/stl Incline: 1/2 man),hot mopped Roof Coating" fastened or hot mOPPed,, hot mopped Or"APM• Surfecinp:Karnak 1 2 Deck:0.15/32 lies Type G2.mechanieally ••SFM 4H "SPS•3H 1.2 gel/a4. Grundy goes sheat:Two P hell Roof Coating"' gravel can be appb, APS-4T","16A-4T On"SPM•4.5T ,beet fused. 4 peck NC Membrane:"SFM•3H'."SFM-36H�'Ke^ak No.97 Flbreted Aluminum Asp 41 APM4.ST Exlstfng Roofing S Burtsolnp:Karnak Chemical Corp Incline. 1/2 be removed)cover« 1.2 gal/eV or mechanically fastened lace. Membrane: 'APM 3 Deck:C.'5/32 a G21 hot mopped q,5H FR",hot mopped in P heat fused, or "Sr Base Sheaf TWO Plies TYp ••SFM.4H-FR"Or"SFM• IncliM: 1/2 men).hot mopped lets fiber phenolic,perlite/polyisocyenunate Surfacing:Grundy Membrane;"SFM•3 SH-FR 4 Deck.c 1W32 potylsocyenurate,urethane,g in lace. 5 Deck NC Inouletion:(Optional) osite• Derllte/phenolic compoene, 1 in. min:partite. 3/4 ^ Exlstfng Roof SYR' Cal perlite/urelhe^e m mechanically fastened or mopped In place num coating and c min or wood fiber 1 In.min, „ heft welded fi20' APOC, Subsidiary Of Base Shoot;Typo Base sheat: 1 ply TYPe G2,mechanically lessened or Mopped Membrane:"APS 4T Or"APM•4,5T HanrY Co "Henry # Membrsne:"APM• "Karnak No. 97". Surfacing:Kernak Burfecing'. Karnak Cot.. dy'xl MS At mnu, Gardner Asphalt Corp."APOC 212-or Monsey Products CO "pro-Gred6 Aluminum Roof os at 1.1/2 gel/sq incline: 1/4 lace 6 Deck:Structural C Ing"•appliedis or mopped in P Ex;sting Roof Bys' 6 Deek:015/32 T a G2 mechanicellY Insulation:EPS.n Sass Sheet:,APM TTP Or••APM 4.5T„,lisat welded Incilna: 1/2 Base Sheet:IVi” Membrane: hot mopped or mechanically Intonedhot mopped in Membrane: APh• 6 Dack'.615/32 hes Type G2, 'SFM-4 SH FR' \ heat fused."SFM SFM•3.5H-FR", "SFM•4H-FR•' Or gees Sheet:One Or more p Surfecinp:Kornai Membrane: "SFM-3H•FR", Inclined/2 I Dock:Structural I place 15/32 '.PAROL roof Insulation. Existing Root Sys 1 peck C Any thickness one or more layers UL GeesiI ad perlite,glass insulation, Poly ExistinginsulatiR EPS Insulation(OPtionaq: Osite or Partak Insulation Inc modified bhu geee Sheec Type ""yenurale DOIylurcyenurate/comF "APS "ISA-47' t Membrane: SFn' r, "APM-4.51" hot mopped Membranes One or mo el IeyersULAFIM q 11ed rP or"F830 Heat Shield Fibersd hest fused. B Deck: g NC mast. Fields Corp."Fg30 Haat Shield Aluminum Coating' Existing Roof S, Surfacing: J. gallett Close C moved)covered Aluminum Coating'. Incline. 1.1/2 Insulation:EPS hot mopped or mechanically fastened composite.phenolic, Base Sheet:TV;, I Dock:C.Irt: lies Typo G2. arlite/polls°cyenurate c^^`p fhlcknees. Membrane: API Base Sheat:One Or mpol lsocyanurale,urethene,o lie.glass liber or perbte.ally heat fused."SFM Ineulatlon lOPllonall: 611116/urethane compused. Surfacing:Karns parlde/phenolic composite,P ^APM 4.5T'Or"ISA'Incll e:No dm tat onto)'heat Ilse . Membra , Deck C-15,132 ne'"APS-41" "APM-4T'. 2 pack:C-15i32tlondl: Polyisoctanurate. urethane•Perlite/Isocyanurate comPoslte.plies liber, Existing Roofinl. WOO Insulation IOP moved(covered . partite. Phonollee.g infrom joints als plywood perlite/phenolic eomPofite• Or attached hot 1 Base Sheet(Opt thickness,offs 6 G1 Or G2, mechanicelty •� Membrane: "Al" Base Sheet'.Type G2.mechenlcelly attached Or hot moppe heat fused, or Ply Sheet (OptionoW One or more piles Tye man).hot moPp' I mopped Incline:NO Limitation erlltehsocvsnu• Surfacing!Karn. Membrsne:"SPM 3.5H-FR"-hot mopped 1 2 gal s9, Gru arida/phenolic composite,urethane,P thickness peck:NC Phenolic P gravel can be a1 Insuletlon:Poly souyanurele, p lase liber,perhle or wood libel,any Sir compositn.Perlite/urethene comPoslte,9 1. peck C 15/32 Base Sheet tYPe G2,mechanically lestened r Existing RoeNn 'S Sheer"FS 2HFR".hot mopped Incline: 1/2 arlite/phenolk covered with Membrsne: 51'M3 5H-FR hot mopped. °bite, phenolic, p Bass Sheet:1 V; q Deck Nf. len liber,Partite.s' any thickness.mechenicsl• Membrane: SP Insulation; PoWisocypnursle, urethane, partner.glass comp nmpoede,socysnurate composite,wood liber,p61TGC ROOFING IV attached or mechenlcelly attached ,• pM_4H'',hot moPPed 'SPM 3.5H" 'SFM-3 5H",--SFM4-H' or 5 CANADA H4F 1 Bess sheet:Type G2.hot Mopped _. Membrane:"SPS-3H". MAINTENANCE D RA PAIR SYSTEMS Incline:3 ravel mein IS- Class ravel surlece with all y �.,'<.<1. Dack:NC t Dock C-15/32 SYS Class A BUR smooth surface or g Insulation(Opt Existing Roofing coverage rete covered with lets fiber, 1/2 in Isetened or ha: ( tamed at ung ,turns T Base Sheet in, Type G1 or G2.hot mopped or M, ora,SPM-4 5T n(modltled b Membrane:Eln• Insulation IOPtlonell:One rater wood liber,perlite of g t goes Sheet(Optionell:T pe G i a •'APM-4.ST ST' 0 gH" or SFM-4H" (mod 111ad a Surfacing:Roo' Membrane: "APS4T Ueck:NC beet fused, or "SPS-3H "SPM-3.5H "SFM 3H Ilad IOOfely.but Incline cannot exceed 2 Insulation(Gpt mast hot mopped revel can be app Inclinot 112 ^ lesioned or hot Surloclnp'Greve) As an Option,g revel surface In'"" geee Shoat:T, 2 Deck NC atom:Claes A.B or C BUR Smooth Surface Or p modified h t rs 1r Membrone':E6, Ealeting Roofing BY 41" or SPM 4 5T" 1 bitumen). Surfacing:Rn( be remnyedl covered wit APM-4T" -APNIA ST" "ISA.41 "SFM.4H'- ImodlRed Deck-NC Membrrns: "APSAT FM 3H" "SFM•3.BH" Coati Insulation. I heat rr,ed or "SPS-3H". 'S Asphalt Rool idembrone mopped 'Karnak No 97 Fibratedl Aluminum o�Aravel At en°Psi, Surfecinp Karnak Chemical Corp \ "Kernak ho 97 Asbestos Frye Aluminum Roof Coatings gravel car be app PRODUCT � LOOK FOR MARK ON CITY OF TIGARD BUILDING INSPEC'T'ION DIVISION 2441our Inspection Linc: 639-4175 Business Phone: 639-4171 Date Requested: j " I q 1 A M. P.M. MST: Location: �%G>(� � BUR Tenant:_ _ Suite: Bldg: NEC: Contractor: _. Phon7 PLM: Owner� �' �' l�te: ELC: / U ELR: SIT: BUILDING BLDG(co t) PLUMBING MECHANICAL ELECTRICAL SITE Site cam PosI/Bearn Post/Beam Cover/Service Sewer/Storm Footing oo UndFUSlab Rough-In Ceiling Water Line Slab !`f"a 'tng Top Out Gas line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Stotm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spkir/Alm Crawl/Found Dr heat Pump Low Volt _ A proved Approved Approved Approved Approved Appr/Sdwlk o n•oved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL I INAL FINAL. O Call for r ' slx(Jl O Reinspection fee of S A�reqube re next inspection O Unable to m..Vmt i Inspector: _ Date_ Page _of CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 ELECTRICAL PERMIT — RESTRICTED ENERGY PERMIT #: ELR97-0262 DATE ISSUED: 09/12/97 PARCEL: 2SIOIAD-00400 SITE ADDRESS. . . :06665 SW HAMPTON ST SUBDIVISION. . . . :WEST K='ORTLAND HEIGHTS ZONING:MUE BLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . :34 JURISDICTN: TIG Project De script i on: Add protective fignaling to existing comm. bldg. ------------------------------------------------------------------------------------------- A. RERIDENT IAL—______.___ B. COMMERCIAL--- -- ---__.------_------------------------...-. AUDIO tt STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . ., . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMF_NTATION. : OTHER. . : . . TOTAL. # OF SYSTEMS: 1 Owner: --___._---.-----_____ _ _....__.._____._....._._.___---.__..._`.------__________.._._ FEES GRUBD R ELLIS type amol_tnt by date recpt 1000 EE BROADWAY STE 1000 PRMT t 40. 00 GE:O 09/12/97 97-299188 V,ORTLAAD OR 97245 SPCT $ E'. 00 GEO 09/12/97 97-299188 Phone #% 241--1159 Contractor-: -- __ -- — ------------------------ ---_— -_--- -- ----- — - - --_____ CW CCTV, INC. $ 42. 00 TOTAL 2950 NW. L9TH AVENUE ------ REQUIRED INSPECTIONS ----- - POR.TLAND OR 97210--0000 Low Voltage Insp Phocie #: 241--7899 Elect' l Final Reg #. . . 011333 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of De. 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 for more than IBB days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-801-0810 through LIAR 952-801-BABE. You may oatain copies of these rules or direct uestions t 15831246-1987, Issoed by / _._.-_T_. Permittee Signati_ire�J��[__ .--.-._—._OWNER INSTALLATION ONLY---------_----__---_-----.--.--_. The installation is being made on property I own whir_h is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ---------------------------CONTRACTOR INSTALLATION ONLY-- _—_--,,��—qq---- -- -------_--_. S I i3NATURE OF SUPR. EL_EC:' N: _ DAT c: V � I T r'FNSE NO: +++++++++++++++++++++}++++++++++++++++++++4•+++++++++++++++•++•++++++++++++++++++i*•+ Call 639-4175 by 6:00 P. M. for an insper_tion needed the next bi-isiness day i-++-F+++++++++++.4.+++++++++++-F++++++-+4-++++++++++++++4++++++++++i.+++++4++++-++-++++++4 Sep- 12-97 09 . 30 Systems PLUS 503-241 13097 P . 02 D ENERGY ELECTRICAL�,L.610101`01 R,.;c'd by: CITY OF TIGARD RESTRICTED Cate Recd:-- 13125 S`,N HALL BLVD PRINT OR TYPE TIGARD OR 97223 Permit 1-. V 503-639-4111 X304 F • 503-��da-729� INCOMPLETE OR ILLEGIBLE APPLICATIONS CustCal d: WILL NOT BE ACCEPTED Nam°or Development Plojed TYPE OF WORK INVOLVED - RESIDENTIAL '_•�tr9cto E1wr9Y fH_................... >r10.00 Ivh �� ld E (FOR ALL SYSTEMS) JOB Streel Ad fess Ste Check Type of Work Involved. ADDRESS C'tylslale l Rhona a ❑ Audio and St4reo 5yslem6 2(� ❑ -- Nanw durylar Alarm -- — — ❑ Garage Ooor Openef, OWNER Mer'rngAddrecs Heatin9.Ventilation and Air Conditioning System' yi tale CilZip hone M E] r Jam— ❑ Vacuum Systems' y Name Gvj C, i V --�C. — ❑ Other — ---- CON'RACTOR ailifig Addrew TYPE OF WORK INVOLVED • COMMERCIAL hone a Fee rr escn system........._..................... ......... . t\S�o 00 ;vnor to�ySuenoe 4- tyl$ - -I -1fS�19 (SEE OAR 916-260.2110) ;opY of al ucenaes I's reclw oo rf � on'onU rd Lir >r O l�•, 3�1 Check Type of Work Involved exDlred in C O f data base) E ca,► Corti Ar I Me0 p IDsle ❑ Audio and Stereo Systems C O T or uu LIc..G ID °t ��r� ❑ 8uiler Conlrots Owner's Name ❑ Clock Syetams OWNER - Mailing Addrext _ ❑ Osla TNecnmmunrcNloh Inahllalbn APPLICANT _ rylstats Zip Phone a ❑ Fit*Alarm Installation Thu per is isaued under OA 91(4 32 170 This appl-ahn agrees to f� KVAC make only r/ctnCleC energy nstalfaCons(100 von amps or loss)under Mie l permit and to do the lo,ww rig ❑ Irostnrmerrlotion 1. Only use eiecMcal iicnr%,4d persons ID do inalallabont•where required Cens,n residenual and other lranssdlons ars exempt trom licensing ❑ Intercom and Paging 9yNams These have°shrieks(') All others need litonsing'. ❑ Landscape Irrigation Control- 2 Coll for inWalons when inslallstlon under this permit are ready for nspeCllon at 6fjl-6394176; ❑ Medlcaf ) Purchase Separate pa'mns for sit inslalladons onal one not ready for an ❑ Nurse Calls inspection when the Inspector is out to Inspect under this parte A Assume M%;K3n4rbi4ty for assunng that all conedlons required by the ❑ Outdoor landscape Lighting' ,nspedor ars done.and', Prolective Signaling 5 Assume responsibility lot calling for a final inspection when all of the o corrections era Completed Other Perm-la are non-transferable and non4elundoble and expire if work is not ` staled within 160 days of rsuanca or 4 work ec suspended for 160 days _____1- Number of 3yslems The xenon signing for tilts permit must be the applicant or a person No Menses are required licanaes are requbed Tar ul of rnsralu 0m; §�,rnnnted to bind IM appiwanlCL ---._�--- — --- .-- ' 01, ENTER TEES 6 Sr9nalure 6%SURCHARGE_(.05 X TOTAL ABOVE) 1 AuthOnty if other than Applicant _ TOTAL 6_ kY►de due r 2rie — RECEIVE- SEP 12 1997 COMMUNITY UEVEIUNtiv, V '1� ` CITY OF TIGARD BUILDING INSPFC710N DIVISION 24-1-four Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: 3 / A.M _ ._ 1'M. MST: Location: BUP: Tenant: - Suite: p�131d�. NEC. Contractor: Phone: �— �D 7 / PLM: Owner: Phone: ELC: BUILDING BLDG(con't) PLUMBING MECHANICAL CTRICA) SITE Site Post/Beam Post/lleam Post/Beam over;e ice' Sewer/Storni Footing Roof UndFI/Slab Rough-In mg Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault 13smt Damp 1"all Storm Furnace Temp Seivice MISC. Masonry Ceiling Rain Drain A/C Shear/Sheath Fire Spklr/Alnt Crawl/Found Dr Heat Pump T� ViS�1� Approved Approved Approved Appnwcd pproved Appr/Sdwlk Not Approved Not Approved Not Approved os_ owed Not Approved FINAL FINAL FINAL 1iNAl, r FINAL Cl Call for reinspection inspection fee of S� required txtore next inspection O Unable to inspect ln4peL br: Page of CITY Cdc TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SIN Hall Blvd,, Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP97 0345 DATE ISSUED: 07/ 17/97 PARCEL: J'510101)--00400 131 TE ADDRESS. . . : 06665 SW HAMI-'"FON ST SUBDIVISION. . . . : WEST PORTLAND HEIGHTS ZONING:MUE BLOCK. . . . . . . . . . : L_OT. . . . . . . . . . . . . :34 JURISDICT ION: TIC; REISSUE: FLOOR ARrAS- --- -- _ --- EXTE=RIOR WALL CONSTRUCT I ON- CLO SS OF WORK. :ALT FIRST. . . . : 1960 S N: S: E: W: TYPE_ OF USE. . . :COM SECOND. . . . 0 s;f PROTECT OF'E-NINGS''----_...____.__-... TYPE. OF CONST. :2N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :P TOTAL____ _____: 1.9G'0 s f ROOF CONST : FIRE RET" : OCCUPANCY LOAD: 210 BASEMENT. : 0 sf AREA SEP. RATED: GTOR. : 0 HT: 0 ft GARAGE. . . : 0 .f OCCU SEP. RATED: BSMT'? : MEZZ'? : RF..DD SETBACKS-_---..__.-.-.._.. REQUIRED- 1---LOUR LOAD. . . . : 0 p s f LEFT: rA ft RGHT: 0 ft FIR SPK1...: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: REDRMS: 0 RA-1 HS: 0 IMF' SURFACE:: V_1 PRO CORR: PARK I NG: 0 VAL UE. $ : 29400 Remarl(s : Deso walls to enlarge office space. Owner- ; _-____.______-.___.________-----______-_- -- -- FEES RAMP f ON OAK LL-C type amol,rnt by date recpt 6665 SW HAMPTON PRMT $ 193.. 00 DRA 07/17/97 97-296988 TIGARD OR 97 '23, PLCL< $ 125. 145 DRA 07/ 1.7/97 97-1-13691,36 FIRE $ 77. E'0 DRA 07/17/97 97-296988 Ph un e #: SPCT 1 9. 65 DRA 07/17/97 97 -2969f38 C:ontr-ar...tor^: ..T DEALS CONSTRUCTION 1635 NE 53RD 1''ORTL_AND OR 97213 Pli o n e it: 2'88-9023 405. 30 TO'I AL Reg #. . .- 064323 - - --- REtr U I RED INSPECTIONS This perert is issued subject to the regulations contained in the Ft-aming Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done to accordance with Sr_rsp Ceiing Insp approved plans. This permit will expire if work is not started Misc. Inspection within 190 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the _ rules adopted by the Oregon Utility Notification Center. Those rules are set forth to OAR 952-001-0010 through OAR 9521-00101987. You sang obtain a copy of these rules ar direct questions to OUNC by calling (503{246-1987. P e r,rn i t t e e S i g n a t ra r,e ?+++++-f+ (/ J'� Is s r_r e d Sy +++++++++++++++++++ •F+++++++-1-++++++++++++++++++f++ ++++++++++++++++f+ Call. 639--41.75 by 6:00 p. m. for- an inspection needed the next br.isiness day -+-++++-+-+++++-: -+++++++++++++-r++++-J-++•+++++-.+++++++++++...+++++++-+-►-+++++++++•+++++++ Commercial Buildina-'ermit Asa iQ�1 City of rgarn 131:5 SW Nan Slvd. T194M.OR 91,23 ��1 X9011 d39�1P7 Jobsite Address:_r�s S rl41r'/E'rp�t/ F10E USE QW-y T!nant: Iwo/��w� /'i�l�ulti�/ Suite Planck/Rec. Valuation: Permit# ,� u��`J Owner: i1,,, 1 �V e LL,? Map &TL#eA ,',b -'60 o Address: G 66S s4, H49meLI�, ®arM;il fl lii�d v Planning 7%s v- �• 7123 Teleph ne• SJ Engineering (] � t-TJ C�1y'' �j�✓> - Other Contractor: Address: e Type of constr:__.i Telephone: --1Occupancy Class:_ Contractor's License # ��/�.� Sprinkler? Yes LN o % (attach copy of current Oregon license) % _ �I bo Contact name & telephone: T01" s'� �� 5-� ddSq. Ft. Of Project:c 7v1� : Architect & Engineer: 000/C /! y y�r,� Story (1st, 2nd, etc.)_ Address: /3 s ii SA., /j" Ac Proposed Use: _� r LIU Previous use: �� _ y3 �� Note: Plumbing & mechanical plans must Telephone: be submitted at time of building permit application. JOB DESCRIPTION: (r�).�,�� L�J� 1 , > J �cl —r+[.IcSL�Z t'-- l J °`-'C, 'J t-2, G�'GL -fin- 'lf z C-Ic'rtk �`'14 Icv (A4iplicant Signature & Telephone Number) Received by: _ Date Received: i 'CC%lTI --Ctn ,CS" -0iM 'ERMITS Account Oescnption Amount Amt Pd. Balance Due Building Permit (BUILD, �� l "' - Plumbing Permit (PLUMB) Mechanical Permit (MECN) State Tax (TAX) Bldg. Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. _ Sewer Connection (SWUSA) Sewer Inspectiun (SWINSP) Parks Dev Charge (PK,SOC) Residential TIF (711F-R) Mass Transit TIF (TIF_ Commercial TIF (TIF-C) Industriai TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water quality (WQUAL) Wates Quanity, (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (�•ROSN) TOTALS: 'CZMTT CCC ICS-) ,ass u CA Q4 Q I�u 4° O C C4 Q °0 c, 94 r r e b G 3 S � N 12,4 V Ck 41t� o 2 v M II � O � L I � CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tlgrrd,OR 97223 (503)639.4171 CERTIFICATE OF OCC JPANCY PERMIT 0. . . . . . . t PUP97 0345 DATE ISSUEDa 09/08/97 PARCEL.s CO I O I AD-00400 SITE.. ADDRESS. . . t 06665 SW HAMPTON ST SUBDIVISION. . . . sWEST PORTLAND HEIGHTS ZONINGsMUE 81-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s034 JURISDICTIONo TIG CLASS OF WORK. ,ALI' TYPE OF USE:. . . :COM i'YPE OF CONST11:2N OCCUPANCY GRP. t B i7CCIJPANCY LOAD: 20 ,' t-NANT NAME. . . a I..UTHERAN BROTHERHOOD marDemn wells to enlarge office space. Owifer s HAMPION OAK LLC 6665 SW HAMPTON I'I CARD OR 97223 Phone #s Hunt►^artar: _..______,_.....__.._._____....__. ____.._____._.. I BEALS CONGTRUCTION 1635 NE 53RD PORTLAND OR 97r-'13 Ptione #s 288-9023 Reg #. . t 064323 Phis Certificate grant* occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with ttiep State of Organ Specialty C.odNs for the grOM occ-tiponcyr and Lice under which the referenced permit was issued. IDG INS CTOR ' BUIL JC3 OFFit:LA POST IN CONSPICUOUS PLACE I Page No. 1 CASE HISTORY FOR CASE NO.: BUP97-0345 HAMPTON OAR LLC 06665 SW HAMPTON ST 03/05/98 Action Description Req/ Schd/ End/ Action Notea Diap By Update Upd code Sent Done Done Date By -------------------------------- -------- — -------- --------------' HUpC005 Application received / / / / 07/10/97 OTR BON 07/17/97 DRA BUPc00e Permit created / / / / 07/17/97 PASS DRA 07/17/97 DRA BUPcolo Check for prcl. restrict. / / / / 07/17/97 PASS DRA 07/17/97 DRA HUPCO24 Plans Approved by CPE / / / / 07/10/97 PASS R•P 07/17/97 DRA DUPCO26 Approved Plans routed to DSPs / / / / 07/17/97 PASS DPA 07/17/97 DRA BUPC090 (F) Ready to insue / / / / 07/17/97 PASS DRA 07/17/97 DRA BUPC100 (F) Inoue permit / / / / 07/17/97 PASS JSD 0'1/17/97 JD BI .740 Framing Inep / / / / 07/23/97 Call back when electrical work FAIL TLP 07/23/97 J•H completed. BIIPC740 Framing Inep / / / / 08/1.1/97 PASS TLP 08/11/91 J•H BUPC760 G'yp Board Inop / / / / 08/14/97 PASS TLP 08/15/97 J•H BIIPC762 Suep Ceiing Inap / / / / / / 07/17/97 DRA BUPC792 Mi8C. Inspection 07/17/97 / / / / 07/17/97 DRA RUPC802 Final Insp_ction / / / / 09/04/97 1. Remove dead bolt from rear- exit door. FAIL GS 09/09/97 J•H 2. Install minimum of 1-2AlaBC fire extinguisher. 3. Contact Mike Rudd at City of Tigard re: low voltage permit. BUPC802 Final Inspection % / / / 09/08/97 Approved pending corrections: PASS Gs 11/23/97 JT 1. smoke gasket for front door. 2. Pont suite number an front door. 11/24/97 to Jill for C/O approval JT 03/05/98 S•W HUPC450 (F) Innue Cert. of. Occupancy / / / / 09/08/9 mailed 3-5-98\j i CASE HISTORY FOR CASE NO-: BUP97-0345 Page No. 1 HAMPTON OAK LLC 06665 SW HAMPTON ST 11/23/97 Schd/ End/ Action Notes Disp By Update Upd Action Description Re4/ Date By Code Sent Done Done ---------- -- OTR BON 07/17/97 DRA BUPC005 Application received / / 07/10/97 07/17/97 PASS DRA 07/17/97 DRA BUPCOos Permit created pk_ .1A 07/17/97 DRA 07/17/97 BUPCOlo Check for prcl. restrict. / / PASS R'P 07/17/97 DRA 07/10/97 BUPCO24 Plans Approved by CPE / PAS... 70'4 07/17/97 DRA 07/17/97 IUPCO26 Approved Plans routed to DSTS / / / / PASS DPU, 07/17/97 DRA BUPC090 (F) Ready to issue / / 07/17/97 PASS JSD '7/�^/0•+ 717 BtIPC700 (F) Issue permit 07/17/97 / / FAIL TLP 17%23 97 J'H 07/23/91 Call buck when electrical work BUPC740 Framing Insp completed. PASS TLP 09/11/97 J'H BUPC740 Framing Insp OB/11/9708/14/97 PASS TLP 08/15/97 J'H BUPC760 %T Board Insp / / / / 07/17/97 DRA BUPC762 Suep Ceiing Inap / / / / / / 07/17/97 DRA Rt)PC792 Misc. Inspection 07/17/97 / / / / BUpCB02 Final Inspection 09/04/97 1. Remove dead bolt from rear exit door. FAIL 6S O9/09 97 J• 2. Install. mil..imum of 1-2A10BC fire extinguisher 3. contact Mike Rudd at City of Tigard 7•e: 1Ow voltage permit. 09/OB/9'1 Approved pending corrections: PASS 11/23/97 JT BUPce02 Final Inspection 1. Smoke gasket for front door. 2. poet suite number on front door. 11/24/97 to Jill for C/O apprcval Q ' Page No. 1 CASE HISTORY FOR CASE NO.: SLC97-0493 HAMPTON OAR LLC 06665 SW HAMPTON ST 03/05/98 Action Description Req/ Schdi End/ Action Notes Disp By Update Upd rode Bent Dane Done Date By EL,ccool Application received / / / / 07/24/97 PASS JSD 07/24/97 JD ELCC003 Permit created / / / 07/24/97 PASS JSD 07/14/97 JD ELCC&00 (F)Iesue permit / / / / 07/24/97 PASS JSD 07/24/97 JD RLCC700 Ceiling rover / / / / 08/11/97 1. No low volt permit labels. FAIL MJR 08/11/9'1 J*H 2. Low volt installation not .:omplete. 3. Cables on ceiling tile. Call back then complete. Er,CC'!oo Ceiling Cover / / / / 09/03/97 PASS MJR 09/04/97 MJR EI,CC720 Wall Cover / ( / / 07/31/97 PASS MJR 08/26/97 J*H 811CC799 Slect'l Final / / / / 09/03/97 no low volt permit PASS MJR 09/04/97 MJR ELCC800 Case Finaled / / / / 09/04/97 no low volt permits PASS MJR 09/04/97 MJR ELCC920 Miscellaneous action / / / / 08/26/97 The low-voltage permits (data) and ALRT MJR 08/26/97 J•H installation to be complete before ceiling cover inspection. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0493 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/24/97 PARCEL: 2SIOIAD-00400 SITE ADDRESS. . . :0G665 SW H(a1+1F'TON ST SUBDIVISION. . . . :WEST PORTLAND HEIGHTS ZONING:MI)E BLOCK,. . . . . . . . LOT. . . . . . . . . . . . . :34 JURISDICTION: TIG Pr-oject Desct-i pt i on: Lutheran Brotherhood ._....---RESIDENTIAL UNIT._---- ------TEMP SRVC/FEEDERS__...__._. .-_--_---MISCELL.ANEOUS-_._--- 1.000 SF OR LESS. . . . : 0 0 - 20.10 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 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 MANF. HM/ SVC/FDR. . : 0 6014-amps--.1000 volts. .. 0 MINOR I_ABE'L ( 10) . . . : 0 ----•SERVICE/FEEDER----- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS--- 0 - x'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . .. : rn 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . , . . 0 EA ADD' L BRNCH CIRC: 11 TN PLANT. . . . . . . . . . . . 0 601 — 1000 amp. . . . . : 0 — -- - ----- --- --F'L_AN REVIEW SECTION-----—--------- 1000+ ECTION------_--.._------._1000+ amp/vola.; . , . . . : 0 ) =4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINAL. . : Reconnect on 1 y. . ,. . , 0 SVC/FDR >ffi 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner _. ______________.____.___._._.___ FEES HAMPTON OAK LLC type amount by date r•ecpt GG65) SW HAMPTON PRMT f 90. 00 JSD 07/24/97 97--297534 TIGARD OR 97223 5PCT $ 4. 50 JSD 07/24/97 97-297534 Phone #: Coati•actor; BOONES FERRY ELECTRICAL E 94. 50 TOTAL r'fl 13CIX 628 - - - --_ REDUTRED INSPECTIONS -- WTI...SONVILL.E OR 97070 Ceiling Cover, Elect' l Service Phone #: r�82-4936 Wall Cover- Elect' l Final Reg #, . : 000884 This pereit is issued suhject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othe! applicable laws. All wort, will be done in accordance with approved plans. This perp t will expire if work r., not started within 160 days of issuance, or if work is suspended for sore than IN days. ATTENTION: Oregun law requires you to follow the rules adr.ptea by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 th�•ough OAR 952-001-1�7. You say obtain a copy of these rules or direct questions to OX by calling (5031246-1987, / Permittee Siynatr.rr e : C&4 144 -_! _ Issr-ted By : INSTALLATION ONLY---------__.__.._____._._____._._—_._—. 1he ingtal. lation is being made on pr-operty I own which is not intended fore sate, lease, or- rent. OWN.7R' S SIGNATURE: DATE: —CONTRACTOR INSTALI ATION SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: ++++•+•++i+++-+++4+++++++•++++-+++++++++++++-++++++++++-r-+++++++ f -! +•+++++++++++++++i-+ , Call 639-4175 by 6:00 p. m. for an inspection needed the next br_isines day f-4 ++-+E-4 +++•1--I-+++++++++i++it.+++++4++.+++++++++++++•h+-++-r+-f++++-+++ h+t-+++++•+-t+++++++ 4munity Development ELECTR'iCAl_ PERMIT APPLIC:ATiON 3125 SW Hall Blvd. �` 7 Tigard, OR 97223 Permit # Uate Issued Phone (503) 639-4171 GlTY 4F TiaGARD FAX (503) 684.7297 7OD No. (503) 684.2772 Inspection (503) 639-4175 _ 1. Job Address~ - --- 4= Complote Fee .ScPladvlo L"elew: Narne of Development_.,1`K�JhL�.�. Numbar of Inspections por rorrnit,llorsyd Address_.._fiM. SW. Hampton St .._..__._._. Service includod, Items Cost(ea) Surn CitylSta9ttNZip_,_._T i g a r d , OR 97223 I da. P2esiciantlal •per unit 4 1000 sq, ft or leve st 10 cr - Name (Cr ne:ne of busing,.,' 'Luthe-rail-4"4othPr1hC)O eechadanloeq.n.or r� Acnten thereof Corftmerelal Residential L.� Limited Hnergy 125,01) Finch Manurd Home or Modular rx�alllno Service or Feeder $68.00 2a, ContrzGt(,r, Installation %;eily: 4b. £iervioUG or Feeders if%swlation,aftermlon,or relocation Electrical Contra(nc� _manes--F_e.rr�c--•Electr3.c.._ I 200nmFeorlass 96000 7 Address P_ .Q_agx 6 2 8 ._ _.._ ___ 201 amps to 400 empe — 18000 2 401 amps to 600 amps 5120 00 1 Gity W180t7V.ille..,, 5tatr„Q$____ !lp_gU,7Q 6olampatol000amce $18000 � 2 PhonefJtj 682-4936 ()rorloeoempldrrdns 9340,00 ,lob NO. _ �._ Roconnoo drily $6000 contractor's Ifren,s! NO,___I- 12J - _ __. 4r., Temporary :iervlcei or feedor>s C.:.)ntrcactor's Board Rey. No _ _ nstenatlon,enerenon or iyieeauon Signature �� - — __.-... 200 amps dr tees _ Signaturr� of 5upr. FIEc'n_��,. ''�^-��"` __�_ - License No. phone No 6 W 201 amps to eno amiss 175.00 .�...3LZAH�._._. _6.82-4.33.6�.. 401 amps to GDD amps 17500 Over son amps to 1000 rens $10000 20. For own^r installations: see above 4d. Branch Clrcuit, Print Owner's Name Now,nheration or ertanelon per pone Address— ____ � � �� a)The tee for branch cfrcuue with 2 CITY __ _ Slate Zip_ pvtol4sa of service C'rneale fee •.� Each branch efrealf SS C0 �___--- Phone No _ __� � bl The ten for oranch 0"1113 rwtllorrt— Co2 The installation is beinW mase on prcrps3rry i own which is Purchaserh c,fevmeor►awlafao ? Plrel bnneh ureud LL 535 00 nr:t Intended for sale, lease or rent each edolllonal brsneh elrcun —W1 3509 � Owner's Signature 4e. Miscellaneous (SErvii:4 er feeder not inrluded) 2 @sch pump or In10a110n tarots _ 9A0 Q0 3. Plat Review ssatr'on (ifraquireu'): Each sipn or Gutting ll0htinq No= -' 2 Signal otmud(s)or a Nmnyed anorg Please cheek appropriate Item and antar fee in sectlr n 5P+ panel.alteration or eeeneion _ 4 or mare reslaontial units in dna s uLlure Minor Locals(fol sloano Service and feeorir 2?.5 amp,, or more _ _....System over Er)J volts nomtnnl 4f. Each additional inapertlon over - --- i the allowable In any of the above _Classified Area or structure r:,nlwfung spacial occupancy per b,speetlon as deecrped in N.EC. Crispier 5 per hove _ $6500 to Plant Submit I seta nr plans with appitcAtion whore eny of the above stppry. Not required for temporary construction 6ervlces;. g, Fees; �n vo 1 Sa Enter trial above fees NnTUF 5°�Surcharrgg e (.a)3 X total Ions) 1=GFit.!i'1'9 8F.COrAE VOID IF WORK OR GONSTRIJF-'TION 6b. Enter 25110 of line A for AU1ii1)r';jZr-n IS NOT COMrAENCF0 VATHIN 1$o DAYS, C`t l; Plan Rovlew if required (Sec 3) S C'7t'Js1-RVC1ON OR WORK 14: SUSPENfjED OR ASANDCrrlcG F.;;•t Subtotal A Pf:Ru7D OF 18U BAYS AT A14Y TIME AF-1LRWCAY 11 _. r.,Or%IENCED n Trust A=unt it rim rot 1 Balance Dtre C1t* r CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00326 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/13/2004 SITE ADDRESS: 06655 SW HAMPTON ST PARCEL: 2S101AD-00400 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 034 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: 1 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: tt WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace catch basin FEES Owner: -- Description Date Amount HAMPTON OAKS LLC �- - 6665 SW HAMPTON �I'L,UML3J I'rrmi� I rr 711312004 $72.50 2ND FLOOR ITAXI 8"(P Sulk,Su ,rhmi 7/13/2004 $5.80 TIGARD, OR 97223 Total $78.30 Phone : Contractor: METRO ROOTER + PLUMBING 13ARRICH INC x,008 SE WOODWARD ST#3 REQUIRED INSPECTIONS IIORTLAND, OR 97206 -- ------- Phone : 652-2626 Storm Drain Insp Final Inspection Reg#: MET 21:t. LIC 106824 PI.M 3-26913 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 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. , Issued B , / ) Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection n-eded the next business day Plumbiny_ Permit Application City of"Tigard Received � V Date/B, "V L I`• Permit N.-fit.01 .CyC) _db 31 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 'hone 503.639.4171 Fax: 503.598.1960 DatefBy Other Permit No. 1-Hourinspection Line: 503 639.4175 Intemet: www ci.tigard.ocus Date ied/MReadytha )T'!� ® 9ee Panel Inf Notified/Method \ Supplemental Information 1�� i -- 1 ❑New construction ❑Demolition For special in ormadon use checklist. Description I 4 Ea. j Total Addition/altcrttion/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) SFR(1)bath 249.20 ❑ I•and 2-family dwelling ❑Commercial/industrial SFR(2)bath 350.00 ❑Accessory building Multi-family' SFR(3)bath 399.00 ❑ - Each additional bath/kitchen 45.00 Master builder Other: ❑ Fire sprinkler(_sq,ft.) Page 2 � Site utilities Job site address Catch basin or area drain 16.60 , City/State/Zip: �-- _ I� Drywell,leach line,or trench drain 16.60 Suite/bldg./apt.no.: Project name; Footing drain(no.linear ft.:_� Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: mn �� Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ft.: Page 2 Storm sewer(no.linear ft.:___) Page 2 Subdivision: Lot no,: Water service(no,linear ft.:_) Page 2 Tax map/parcel no.: Fl tiare or Item Absorption valve 16,60 Backflow preventer Page 2 ^� �{ /� �y� Backwater valve 16.60 Clothes washer 16.60 Dishwasher _ 16.60 --- Drinking fountain i 16.60 Name: Ejectors/sump 16.60 G - C�l �---' ` ` Expansion tank 16.60 Address: \ ) Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone:( ) _ Fax:( ) Garbage disposal 16.60 Hose bib 16.60 Ice maker 16.60 Business name: Interceptor/grease trap 16.60 Contact name: Medical gas(value:S_._) Page 2 Address: r K 3 5 Primer 16.60 City/State/ZIP: 7 9 Roof drain(commercial) 16.60 --'- Sink/basin/levatory 16.60 Phone:( ) �Sa'•0'1 Fax::( ) I_ � --.. Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 Water closet 16.60 Business name: Water heater 16.60 Address: Other: City/State/ZIP: - 072 ] 7 d' Subtotal / Minimum permit fee: $71.50 "hone:( )�[Ja - Fax:( ,a y<< 7 Residential backflow minimum permit fee: $36.25 r B Lic.: (Qlie d Plumbing Lic.no.:?J a6S-PA Plan review (25%ofpermit fee) Authorized signature: _ State surcharge(8%of permit fee) �- 2�1 TOTAL PERMIT FEE 7 Print name: 519 K I N E1 75D P N50 ti Date: 2KI314AThis permit application expires If a permit is not obtained within 180 days after It has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board ltauildlnjTermiliNPLM-PermitAppdoc I2N3 44)a616T(I0102/COX WE9) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _ // Date Requested 7 ` PM _ BLIP _ Location Suite r— MEC Contact Person AMLC Ph( j 2&, !2 PLM Contractor - __ _- Ph( ) SWR BUILDING Tenant/Owner _- __ -_ ELC Footing ELC Foundation Access: Ftg Drain ELR _ Crawl Drain _ Slab Inspection Notes: SIT --_� Post&Beam Shear Anchors ---l- Ext Sheath/Shear Int SheathiShear Framing - --- -- Insulation Drywall Nailing - Firewall Fire Sprinkler - - -- - -- — Fire Alarm Susp'd Ceiling - --- - - Roof Other:-- - - - — Final PASS PART --FAIL {� PLUMBING — Post&Beam Under Slab - Rough-In Water Service - - Sanitary Sewer Rr,in.D.0 inns -- -� &fiVC 6 B s n4 Manhole Sorf m Drain — Shower Pan Other: - - -- -FinaL PART_ FAIL - - -- - -- _CHANICAL Post& Beam Rough-In - Gas Line Smoke Dampers - - --------- - -------- -- - Final PASS PART FAIL - ELEC_TRI_CAL Service -- Rough-In UG/Slab A- --- - Low Voltage Fire Alarm Final ❑ Reinspection fee of$ - -- - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE ` Please call for reinspection RE: Unable to inspect-no ace Pss Fire Supply Line ADA C Approach/Sidewalk Date.__ Insper:tor __� �� _-.____- _._ Ext Other: r►' Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL