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8205 SW HUNZIKER ROAD-2 m �I6e ivy r IJ,5:"5 osEr (4) i In �--- , zj l I ' - ---;-- ----- - ----- ---- -- &ys1 . 5 wffs. .413 - - .6kyr Aws. C4 tJ 40 ro --------- --.`__�__--••i-.^- -�-... .. ___-_ - :1 �t .t'^��•!t.�5��•�L�'"'�CJGjt'S�<7K.S.'.•..�.��:•.'r.,, 13E TAx4jA*'L15R9t p , � T MY k. 5,640/NG ro Cl4T 1,14 51-1e5 nIFPQ �13 O EX I s i 106A;,b . dr-4ts • Alt,:14J 'CEngMAC" A106. 45 cA4e0-1I6 44-bs (53) ZoWPP- Flook 0.F,4 - , ,rloclpfc Z,9 kots To 1066) C15-114I N4, 4 R l a / I ,6&4 ci5 A)/ 731 11CIFN7A4 �� qoD . 6i 3 C',44eO/?66 7YAr. _ CITY OF TIGARD Approved ...... ...........................:............ Vf/ � / 1C...i� r s� •� �• I ' G��nc"fionally Approved.............:............ gZ��a ,1,J - f-tLldl 21 KT`k (' For only thc; VV rk . describe in: T! GAkl) r C)ter_!ot.1 PERMIT NO.. �7"_ �•�� br.�IG. /off Se4i Lester to: Fol►ovv.................... ........... [ -- lob Addres :_ lyzv5 . acv AJ?` W .e By- 9 L4 (q', 5,Q1('C PFl,/- ,;`OA/ 91319 7 NOTICE: IF THE PRINT OR TYPE ON ANY � �-1 � � � � � II � � I � � � I � � � � � � I � � � � � � I � � l I � II � �T 1 (��.r��. r�.l-I_r.�T.. IIIIIIII.-�1 �� I lIl lIl tIl t � l lIl 1 Jill l l 1 f l 1 IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 2 ( � I -- - - -__ __- ----- -4 _ 5 - 6 7 8 9 - 10 11 12 121 �ZDO IT IS UE TO THE QUALITY OF THE No.36 �.,..Y.�.��..,, ORIGINAL DOCUMENT p�F, -6Z fi Z E Z Z I Z� 0 Z Illll� i� II.. IIII IIII IIII -IIII Ilii IIII IIII Illl�ll.11. 11 ll lug a 11111111 Illl til Il�� I►I� �i�� i ��i� .ilii i��i i�i� i�� ilii viii iii ilii ilii �ii� � i ui� i��. i�i� iii iii. � � � �.1. Flu ��i�f�-�� a Go N O N cc C C � Z N_ 5k m X X v 8205 SW HUNZIKER RD CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00140 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 4/18/2003 PARCEL: 2S101 BC-00200 ZONING: I-L JURISDICTION: TIG SITE ADDRESS: 08205 SW HUNZIKER ST D SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: A3 OCCUPANCY LOAD: 132 TENANT NAME: SYKART INDOOR RACING REMARKS: Convert existing space from B-2 to A3. Upgrade restrooms to ADA. add interior door and exit hardware. Owner: US NATURAL RESOURCES INC- c/o NCc/o hNEZ_ REALTY GROUP LLC ATT'N JOHNSRg KN2E3R Z S Tlh�me':O 503y36 &.,000 Ph Cant;actor: 503-236-7500 MR HANDYMAN 1NESTSIDE 18980 SW SHAW BEAVERTON, OR 97009 Phone: 503-236-6000 503-236-7500 Reg#: LIC 146726 This Certificate issued 5/2/211113 grants occupancy of the above referenced building or portion thereofc firms that the building has been inspected for compliance-with the State Or n Specialty Codes for the group, occupancy, and u,"�n*r which t :r fer d permit __. wa su d / i BUILDING INSPECTOR BUILDING &FICIAL POST IN CONSPICUOUS PLACE 001L(c) MEMORANDUM CITY OF TIGARD, OREGON DATE: March 26, 2003 TO: Sherman Casper, Permits Coordinator FROM: Brian Rager, Development Review Engineer RE: SDR 2002-00018, Sykart Indoor Racing TIF Issue Attached is my mark-tip and notes for the report submitted by CTS Engineers, Inc., dated March 14, 2003. 1 scrutinized their report and found that even if we assume the worst-case scenario, where all racing sales count as a single trip, the resultant trip rate per thousand gross square feet is still less than the rate we would note for the previous industrial use. Therefore, I concur with the applicant that there should be no TIF assessed for this change in use. Thanks. 3.100 NW 2Terrace Hillsboro,Oregon 97124 7-(,115031690-8080 Fax 15031645-5930 Engineers, Inc. Email:etsgctsengineers.com CiVIL, • TRANSPORTATION • STRUCTURAL • LAND SURVEYING Memoran Date: March 14, 2003 ,& To: [man Rager,City of Tigard ac 8569 E From: Eric Graves, P.E. Q GON Project: 2.035 Tigard SYKART \ / 411 ✓`�� 09,'10 9CP Subject: Assessment of Daily Trip Generation for he Pr eyed Development / T. GR �v! EXPIRES: Tt^ C5 As requested, this memorandum provides an estimate of Daily Weekday Traffic torr the purpose of' calculating a Traffic Impact Fee for the proposed SYKART Indoor Racetrack located at 8205 SW Hunziker Street in Tigard, Oregon. The proposed use does not have a basis for trip detennination in either the Washington County TiF Ordinance or the current /TE Trip Generation Report. In order to estimate the trip generation for the development, we have obtained sales data for the month of February 2003 from the SYKART Indoor Racetrack in Tukwila Washington which operates in a 45,000 TGSF building. According to the owners, February sales were typical to most other months and represent average usage. The data shown in Table 1, attached, consists of two variables: daily race sales, and daily sales of helmet head liners. All persons who race must wear certified headgear. This headgear is available at the racetrack; however the user must purchase a hygienic liner. Most racers do, �rA,A,n 1w race more than once per visit, thus the head liner is a better indicator of people visiting this racetrack. The owner of the Tukwila facilites a-Iso told us that most racers carpooled to the site in groups of three or more. For this estimate, we will assume a vehicle occupancy rate of 2.5. From the data provided, the estimated daily traffic can be calculated as follows: Average Weekday Sales of Head Liners: 34 racers per weekday Adjustment for Vehicle Occupancy 34/2.5 — 14 vehicles to and from the site Average Weekday Vehicle 1'rips(racing) 14*2 = 28 customer trips per Weekday Average Weekday Vehicle"Trips 10 employee trips per Weekday (3 full time& 3 part time employees with 3 employees on site at a time) Total Average Weekday Trips 38 Weekday Trips per 1,000 TGSF (38 trips/45) 0.85 The Tukwila facility is similar to the proposed Tigard raceway in that they both allow 10 racers at a time, and include amenities such as vending machines, video game machines (less than 10), and a viewing arca. The Tukwila facility is about 45,000 TGSF, roughly 10,000 GSF larger than the Tigard building. It is our understanding that trips from the previous use of the building will be discounted firr the purpose of'TiF calculations. Pcr the Washington County TIF Ordinance, the trip rate for light industrial uses is 6.97 trips per TGSF. Based on the attached data and the calculation shove, it is clear that the previous use as a construction equipment rental store generated significantly more traffic than the proposed use. As such, a more detailed imvtstigation ofdaily trip generation is not justifieo. Should you have further concerns or questions regarding this matter, please feel free to contact me at 503.690.8080. Table 1: Sales,at SYKART Indoor Racing Facility, Tukwila Washington(February 2003) DATE Total Race Head Liner Sales Sales Saturday Febnjary 01, 200" 235 135 Sunday, February 02, 2GC1 115 51 Moeda ,, February 03y2003 41 2 Tuesday, Februsig 04, 2003 80 1 Wednesday, February 05, 2003 74 'l Thursday, Febru a 06, 2003 73 31 Friday, February 07, 2003 __ 85 _ 40 Saturday, February 08, 2003 _ 198 82 Sunday, Febnjar(09, 2003 95 38 Monday, FebfusEf 10, 2003 31 1 Tuesday, F'ebrrrary 11, 2003 48 Wednesday, February 12, 2003 61 33 Thursday Februng 13,2003 de2 Friday, February 14,2003 _ 118 _ 7 Saturday Februrir 115, 2003 _ 203 142 Sunday, February16, 2003 103 61 Monday, February17 2003 86 3 Tuesday, Febru_ary18, 2003 S8 1 Wednesday, Fetuuary 19, 2003 109 54 Thursday, February 20, 2003 95 _ 3 Friday, February 21,2003 _ 122 _ 7 Saturday, February22, 2003 � 124 ^_ 5 Sunday, February 23, 2003 126 6 Monday, February - 24, K 48 1 Tuesday, February 2525,2003 76 3 Wednesday, 26, 2003 38 �\ Thureday, Febnjary 27, 2003 67 Frida , Februmy 28, 2003 130 Total Monthly Sales 2,683 1,305 Average Daily Sales 96 47 Total Weekday Sales 14841 !�3 Average WeekdaySales 74 L ---''� CauG'►a V( We- A9W i Acr /�+_� iLac�S A� I t.,D t��.•� M"TO N? C-AF-PCCIL_ �P � , `T ►-� -« —cu yrs ws�n c 6't x z.- t 10 t.�\�, -Tt P, tip C Mar 1'1 03 11 : 10a Murphy 5039681674 p. 1 FAX TRANSMITTAL, MEMO To: City of Tigard ArrN: Brian Rager, Development Review Engineer Sherm Casper, Permits Coordinator Matt Scheidegger,Assistant Planner FAX#: 5(r3-684.-7297 DATE: 3/17/03 RE: 'transportation Impact Fee MESSAGE: In the SDR decision for the SyKart Race Center, there is a sentern:e on page 2.5 which states "The applicant will be required to pay TIF's of approximately $20,032 based on the use proposed." From my conversation with Sherm Casper, I understand that he come up with that figure 5y using the average daily trip rate for a video arcade, at 9.6 trip, per 1000 total gross square feet (TGSF) and not deducting anything for the previous use of the building (Power Rents and Irvington-Moore). First of all, of course an indoor racing center is not comparable to a video arcade. We will be provi-ling you with information that sho slid dearly demonstrate that the average weekday trip rate for this type of use will he less than 1.0 trip per 1000 TGSF. Second, the prior use was "general industrial", which has an average daily trip rate of 6.97 trips per 1000 TGSF. My understanding is that Mr. Hong will be given credit for the prior use or uses of the building. Doing so would drop the TIF from "approximately $20,032" to $0. As a side note, we were shocked at the large dollar amount, surprised that it was buried at the bottom of page 25 of the decision, and worried that the dollar amount was already set. Youl may want to modify how you let applicant's know of potential TIF charges so as .not to cause undue distress! cc. Yun Hong el-S" NPltonc 03. 624-¢62)- IFax 5 03.9 6 R. 1674 ■ejmurphy(a)ao1.rom Mar 17 03 11 : 118 Murphy 5039681674 p• P 0-4/t 1/2003 03:17 15036455930 CTS FNGINEFPS INC, rn,F e:'iF�l 3300 NW 111' T,mu, 1111bbwv,lhtir"971A14 Tel, herr t ioij F45.f wo Engineers, Inc. CIVIL • TRANSPORTATION STRUCTURAL, LAND SURVPYiN(-i FMemorandum Date: March 14, 2003 To: Brian Rager,City of Tigard From: Lnc Graves, P E. Project: 2 035 Tigard SYK ART Subject: Asseaement of Oak Trip C:etteration for the Propoaed Development As requested, this memorandum to pruvides an estimate of Daily Weekday Traffic for the purpose of calculating u Traffic Impact Fee for the proposed SY7CART indoor Racetrack located at 8205 SW flunnker Street in Tigard, Oregon. The proposed use does not luive a haws for tri-) cletermiriaUcrn in either the Washington County TIF Ordinance or the current ITE 71rp Generation Report In order U) estimate the trip generation for the development, we have obtained sales data for the month of February 2003 fmm the SYiiART Indorn Racetrack in Tukwila Washvigton which operates in a 45,000 Tc;SF bwlding. According to the owners, February sales were typical to most other months and represent average usai,e. The data shown in Table 1, attached, constso of two variables daily race sales and daily sales of helmet head liners All personti who :lice must wear certified headgear. This headgear is available at the racetrack, however the user must purchase it hygienic liner Most racers do race more than once per visit, thus the head liner is a better indicator of people visiting this racetrack Tire owner of the Tukwila frtaility also told us that most racers carpooled tD the site in groups of three or more For this estimate, we will assume a vehicle occupancy rate of 2 S. Fto n the data provided, the estirnated daily traffic can be calculated as follows Average Weekday Sala of 1-lead Liners 34 racers pet weekday Adjustment for Vehicle Occupancy 3412 5 a la vehicles to and from the site Average Weekday Vehicle Trips(racing) 14.2 -28 custcirrier taps per Weekday AveraLge Weekday Vehicle hips 10 ernployee hips per Weekday -- (3 full time& 3 pan time employees with 3 employees on site at a time) I otaJ Average Weekdav Trips 38 Weekday Trips per 1,000 TGSF(18 rripa/45) 0.85 The Tukwila facility is similar to the propotied iigard raceway in that they both allow 10 iacr',rs at a toile, rind include amenities such as vending machines, video game, machines (less than 10), and a viewing moa TLc Tukwila facility is aibottt 45,000 TUSF, roughly 10,000 GrSF larpesr than the Tigard building it is our understanding that traps from the previous use of the building will be dim uitted for the purpose of TIF calculations. Per the Washington County TIF Ordinance, the trip rate for light mdustnid uses 19 6 97 trips per Tt^•%F. Based cm the attached data and the calculation above, it is clear that the previous use as a construction equipment rental store generated significantly more traffic than the proposed use As such, a more(ietailecl investigation of daily trip generation is not justified. Should you have finther co ncems or quomon.9 regarding this matter,please feel free tin contact me at 503 690 9080 Mar 17 03 11 : 11a Murphy 5039681674 p. 3 N3/17/2003 03:17 15036455930 CTS ENGINEERS TNC NAGE 03/111 Table 1: 84les at SYKART Indoor Racing Facility, Tukwila Washington(February 2003) DATE TTutal RaceHcad Llner Sales sales 9Alurdag, Febnrary 01, 2003235 13S Sunda , Feb a--02, 2003___ 115 51 Setuai&,Febmary 08,2003 Sunda Feb 06, 2003 05 38 Saturda February 15,2003 ry 203 142 Sunda ebrust 16,20 3 103 B1 �l J , SatuMay, ebruar22i2003 124 Sunda , February 2.3,2 03 �12es 67 1. olai Monthl Sales 2, S3 1,30 _ Avere Vally Sales D8 47 Total Weekday Sales 14114 �` Average Weekda 8a14e 34 CITY OF TIGARD BUILDING BUP 003- PERMIT#: BUP2003-00140 DEVELOPMENT SERVICES DATE ISSUED: 4/18/03 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S10113C-00200 SITE ADDRESS: 03205 SW HUNZIKER ST D SUBDIVISION: ZONING: I-L _ BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 132 BASEMENT: sf AREA SEP. RATED: STORE HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 15,000.00 Remarks: Convert existing space from B-2 to A3. Upgrade restrooms to ADS`., ld,d interior door and exit hardware. Owner: Contractor: US NATURAL RESOURCES INC MR HANDYMAN WESTSIDE c/o KNEZ REALTY GROUP LLC 18988 SW SHAW ATTN: JOHN S KNEZ SR BEAVERTON, OR 97009 TIGARD, OR 97223 Phone: Phone: 503-236-6000 Reg#: 50-236-7$46726 I �Y FEES `- ___ REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required Itl'PPL I'In RN, 3/24/03 $121.75 Plumbing Permit Required Framing Insp I I S1 FLS I'In Rv 3/24/03 $74.92 Gyp Board Insp IItt (LD1 Permit Fee 4/17/03 $187.30 Final Inspection CAX] 80%,State Tax 4/17/03 $14.98 Total $398.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 Through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (5046-6699 or 100-332-2 4. Issued B�: Permittee Signature: , bt Call 639.4175 by 7 p.m. for an inspection the next business day ezos ,Sw Building Permit Application 011TICE USE ONI,Y Date reccivcdJ ,)q -L)7 Permit City of Tigard y Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjccUappl. no.: Expire elate: City of Tigard Phone: (503) 639-4171 r ± Date issued: B () Receipt no.: ti Fax: (503) 598-1960 Q Case file no.. Payment type: <t° Land use approval: _ 1&2 family: Simple Complex: OF PERMIT 0 I &2 family dwelling or accessory OCommercial/industrial OMulti-lamily ❑New construction ❑Demolition U Add it ion/alteration/repi acement ,XTenant improvement ❑Fire sprinkler/alarm 0 Other: JOB SITE MFORMA FION `j Job address: 2 s svo }-,(�1�Zi� '�-- — -—� Bldg. no.: Suite to.: Lot: Block: Subdivision: I'ax map/tax lot/account no.: Project name: c ,� 1�3 I ` Description and location of work on premises/special conditions: . Wit~ lt �1r_.v_R 7inn) "Z %n l; ress: A) HN2/ 1 &2 family dwelling: /6-,AP-C( State:0 ., ZIP: 223 Valuation of work ......................................... $FTmx: E-mail: No. of bedrooms/baths.................................. Owner's representative: apt-1 N I[ 7, 'Total number of floors .................................. Phone: I ae 1' n ,iii New dwelling area(sq.ft.)............................ APPLICANT Garage/carport area(sq.ft.) Name: 1i;1 ) A0 , Covered porch area(sq.ft.) .......................... Mailing address: i' Deck area(sq.ft.).......................................... — (sc Other structure area City: � f State � 'T..1P: ..m�.Z 1.ft.) .......................... Phone::50P5 E-mail:I -mail: Commercial/industrinl/multi-family: � Fax:(; Valuation of work $ _I _ CONTRACMIR Existing bldg.area(sq.ft.)............................ me: Business name: '.. �yj } I i'IN LL,Wi i � New bldg. area(sq.ft.).................................. Address: �• l r t City: State: Z1Pta^ Number of stories........�.11liY.YV ..1!hQLi4S�.' Zl Z� Type of construction ..................................... Phone: Fax: E-wail: CCB no.: t.) - /%/- Occupancy group(s): Existing: _ •Z - — — New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be ARCHITECTIDESIGNER licensed with the Oregon Construction Contt.ctors Board under C Nati1e, t provisions of ORS 701 and may he required to ye licensed in the r, jurisdiction where work is being performed.If the applicant is Address: ., ', Yit'L _ ' Vlt� gym" i Cit .State ZiP. exempt from licensing,the fallowing reason applies: c y P0110 I /-,i)1,?_ 1 Contact persona' 1"I i' Phonai:P p (l Fax:' `7(". E-mail: Name. r intact person: Fees due upon application.............................$ _ Addrer,s: Date received: City: I State: ZIP: Amount received ...........................................$ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,plense call jurisdiction for more information. attached checklist.All provisions of laws and ordinances governing this ❑visa Ll MasterCard work will he complied wit�y,ful�ethers /' rein or not. Credit curd number: / / Com— 2• Expires Authorized signature: - Date: 22 Name of cardholder as shown on credit card 5 Print name: Cardholder signnture Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as comp) te. 4-t440.4613(6�MCOM, P? 0j. /�.) 3 IW // Il l' -rti F`45 74/,ca I / CITY OF T I GA R D _PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00113 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/31/03 SITE ADDRESS: 08205 SW HUNZIKER ST D PARCEL: 2S101 BC-00200 SUBDIVISION: ZONING: I-L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 0 CATCH BASINS: FIXTURES_ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: 3 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 3 WATER LINE: ft DI,;4WASHERS: RAIN DRAIN: ft Remarks: Remove and replace existing fixtures: (2) lays, (3)water closets and (3) urinals. Owner: FEES Description Date Amount US NATURAL RESOURCES INC — c/o KNEZ REALTY GROUP LLC 1111.1 i.N11i1 I'crmit fcc 3/31/03 $132.80 ATTN JOHNS KNEZ SR I rA\i r Statc Ta\ 3/31/03 $10.62 TIGARD, OR 97223 Total $143.42 Phone : Contractor: MARXMEN PLUMBING INC 9665 SW 163RD AVE BEAVERTON, OR 97007 REQUIRED INSPECTIONS Phone : 579-2200 Rough-in Insp Final Inspection Reg#: MET 00001112 LIC 102432 PLM 3.1-101113 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 Issued BW' �' ? /- Permittee Si nature: —------ 9 Call (503) 639-4175 by 7:00 P.M. for an inspection needed the 5 ,t business day Building Fixtures Pill 1bind For) )( - 12pJ1MU.on Received I ;nbing Date/B :3 �� Permit No.PoZ4O3 OO/� Planning Approval Sewer City of'Tigard Date/By: Permit No. 13125 SW Hall Blvd. MAR i 1 203 Plan Review Other Tigard,Oregon 97223 Date/By:: _ Permit No.: Phone: 503-639-4171 Fax: � 9 E1 �fAA►�D Date/Post- y: Land Use Date/By: Case No.: Internet: www.ci.tigard.or.tfilIJILDING DIVISI Contact luris.: See Page 2 for _ 24-hour Inspection Request: 503-639-4175 mawName/Method: _ Su Icmental Information. TYPE OF WORK FEE*SCHEDULE(for special information use checklist New construction Demolition Description Qty. Fee(ca.) Total _❑ Addition/alteration/replacement t Othef New 1-&2-family dwellings includes 100 ft.fir each utllit connection CATEGORY OF CONSTRUCTION SFR I bath 1 249.20 ❑ 1 &2-Family dwelling Commercial/Industrial SFR 2 bath 350.00 Accesso Building Multi-Family SFR 3 bath 399.00 Master Builder Other: Each additional bath/kitchen _ 45.00 ,, JOB SITE INFORMATION and LOCATION _ Firesprinkler-sq. ft.: Pae 2 �b Job site address: 4)O5 S'.W (�ltt vlzlki Y, - Site Utilities n Suite#: 1� I31�/Apt.#: Catch basin/arca drain 16.60 (J C Dr ell/leach line/trench drain 16.60 t Project Name: tl k 4AT _ __-- _Footing drain(no.linear fl.)_ Pa c 2 Cross street/Directions to job site: Manufactured home utilities _ 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer no.linear ft.) _ Pa gc 2 Subdivision: Lot#: Storm sewer no. linear fl. Pae 2 _ ------ --- Water service(no. linear ft.) _ Page Tax map/parcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 Backflow prcvcnter Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher _ _ 16.60 Drinking fountain 1 16.60 PROPERTY OWNER NANT Ejectors/sum 16.60 Name: SU k 42T Expansion tank 16.60 Address: Z o 5 $,, 1n I S Fixture/sewer cap 16.60 City/State/Zip.:. Floor drain/flour sinkPoub 16.60 Garbage disposal 16.60 Phone: Fax: Hose bib 16.60 APPLICANT CONTACT PERSON Ice maker 16.60 Name: f,>(Zx�bl4 bl�- Interco for/�reasetrap 16.60 Address: of rt b 6 S,W , L 6 3Ave- Medical as value: 5 Pae 2 Primer 16.60 City/State/Zip: -r,1V0r6b 't g7mT` Roof drain c nor I 16.60 Phone: Fax:"-;-Q''1'2lZ)1 Sink/basi avator _ 16.60 E-mail: Tub/shower/shower an 16.60 CONTRACTOR Urinal `S 16.60 Water closet 16.60 Business Name__.( aM K,m_*W \'" +1► Water heater 16.60 Address: ��.z S'� /�3�� A 1�-___ Other: Re%ctvt E<, E_g_E_s City/State/Zip. 42 r Other: Phone:Sd 9 -W-a e" Fax: Plumbing Permit Fees* Plumb. Lic.#:9-- CCB subiotal 5 - Lic. #: (b �� 'dinimum Permit Fee$72.50 5 Authorized %i:-elo Z' Residential Backflow Minimum Fee$36.25 Signature: AA Date:--e --- Plan Review(25%of Permit Fee) $ State Surcharge(8%of Permit_Fcc) (Please print name) _ _ TOTAL PERM IT FEE]_$ Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of pians with Isometric or IRO days after it has been accepted as complete. riser diagram for plan review. 'Fee methodology set by Tri-County Building Industry Service Board. i\Dsts\Permit Porms\PlmPermitApp.doc 01/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information t: Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty Fcc(ea) Total S uq are Footage: Permit Fee: Footing dram- 1" 100' 55.00 0 to 2,000 _ $115.00 Footing drain-each additional IINY 46.40 2,001 to 3,000 $160.00 3,601 to 7,200 $220.00 Sewer- I st 100' 55.00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service- I st 100' 55.00 _ Medical Gas S stems' Water Service-each additional 100' 46.40 _ Valuation: Permit Fee: Storm&Rain Drain- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Ram Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72,50 for the first$5,000.00 and$1.52 for each additional$100,00 or fraction thereof,to and Fixture or Item Qty Fee(ea) Total including$10000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping, ntoxink or replacing existing fixtures" If "yes",please indicate work perforated by fixture. Failure to It report fixtures could result in increased sewer fees*. uantlt b Fixture Work PerformeJ I Comments regarding fixture work: Fixture Type: Replace New _Moved Existing Capped Baptistry/Font _ Bath -Tub/Shower -Jacuzzi/Whirl pool _ --- — Car Wash -Foch Stall -[hive Thru Cuspidor/Water Aspirator Dishwasher -Commercial -Domestic Drinking Fountain Fve Wash — Floor Drain/sink 2" �- 4" Car Wash Drain Garbage -Domestic *Note: If the fixture work under this permit results in an Disposal -Commercial increase of sewer EDI N,a sewer permit will be issued and -Industrial fees assessed for the sewer increase taus' be paid before the Ice Mach./Refrfg.Drains plumbing permit can be issued. Oil Separator(Gas Station) Rec.Vehicle Dump Station _ Shower -Gang -Stall Sink -Bar/Lavatory -Bradley -Commercial -Service Swimming Pool Filter Washer-Clothes Water Extractor _ Water Closet-Toilet thinal Other Fixtures: i:\Dsts\Permit Forms\PlmPeroutAppl'g2.doc 01113 �7 CITY OF TIOAI . BUILDING inspection Line: (504)0411-4175 INSPECTION DIVISION Business Line: (.503)639-4171 MST SUP Received Received __ Date R questedAM —__ PM___ __—__ BUP Location —0 2,0� .. 1 AA ----Suite MEC _- Contact Person ___—_ --- -- .-_.._ _. Ph ( -----) ------------- - PLM Contractor_ _ -- Ph Z SWR BUILDING Tenant/Owner ��---- ---- -- - ELC _ Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler - — _ _----- -----_._ Fire Alarm , Susp'd Ceiling -- Roof � / ---------- - Other: - - -- 7 - Final PASS BART FAIL ---------- PLUM_BIAG Post&Baam ---- Under Slab --- - -_ Rough.-In Watts Service -�' - Sa,iitary Sewer Re n Drains ---- _ -----_-----_ Catch Basin/Manh Siorm Drain - - ---- Slinwer Pan Other: - -- -- -------- A PAR;74A - HANICAL Post&Beam Rough-In -- Gas Line Smoke Dampers - - - - - _ _- --- - - Final PASS PAR'r_FAIL - -- - — -- ELECTRICAL Service Rough-In UG/Slab ------- — Low Voltage Fire Alarm _-- Final Reinspection fee of$_- _required before next inspection. Pay!it City Hall, 13125 SW Hall Blvd. PASS PAR r FAIL SITE _ I Please call for reinspection RE_ -__ nable to inspect-no access Fire Supply Line ADA Approach/Sidewalk !late _ Inspector "";'._--� - _ Ext-- -_ Other: Final RO NOT REMOVE this Inspection record from the job site. PASS PART FAIL �'ITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00137 DEVELOPMENT SERVICES DATE ISSUED: 4/18/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101BC-00200 SITE ADDRESS: 08205 SW hUN71KER S1 D SUBDIVISION: ZONING: I-L BLOCK: LOT : JURISDICTION: TIG Project Description: (8)branch circuits to convert existing warehouse space to indoor kart racing facility. f Joh No. C512-58 RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADDT. 500SF: 201 - 400 amp: SIGWOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: US NATURAL RESOURCES INC ABC ELECTRIC CORPORATION c/o KNEZ REALTY GROUP LLC 135 NE 9TH ATTN:JOHN S KNEZ SR PORTLAND,OR 97232 TIGARD,OR 972.23 Phone: Phone: 233-7551 Reg #: LIC 288 - — -- SUP 1241S _ FEES_ _ F1,F 26-2C Description Date Amount [ELPftM"fJ C LC Permit 3/19/03 $93Required Inspections [TAX] -- -- --�� [TAX]8%state Tax i I nz $7 48 Rough-in --_ Elect'I Final Total $100.88 This Permit is issued subject to the regulations oontained 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 thanABQ days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth IwTAR 952-0010010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to UNC at(503)246.6699 or 1-80(J-332-2344. Isd By: '�. Q,JyVV(L_Vet,l Permit Signature: OWNER INSTALLATION ONLY >he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: `C�nO'NTRACT�OR,INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Flectriral Permit Application � � _ �t et�ed. � �a 3 Pettott no..�LAi�ed.3�✓3 City of Tigard - • .. R,,,CsU*rpl.no.: Expiredete -- Address. 13125 SW Nall Blvd Ti and,OR 977,23 C11 ryo/Tidrnl 8 Date issued Sy: Recelptno -- Nlione: (503) 639.4171 / Fax (503) 598-1960 a fate no.: Payment type: �1 l t yr t tt.aH Land use approval: r'�lEnllL'INF`nINC, t O 1 k 2 family dwelling or accessory commercialiindusinal O Mule, lamik O Tenant improvement O New consuvetion O AddiuonlAlterauon/replaccmen! -1 Other .- O pantal JOB SITE INFORIlliIATION lob eddresa: I31dg nu.. Suite no.+ _ Tax mAp/tax IoUaccount no Lor _ ock: Subdivision. - roj name I)escnption and location work on premises_ esd mated date of comp uontinspectlon: Pee MAX Job no: •..S [t,.�rri t,oQ a Qty-_- ea) Total no trop Pitesiflegt name' - =� ~�-� a""mrideneal.nickormulb r.mlU pa Addrtcs — �, � d••elungur;clnclodcteau/rdpreEe. CI State. UR Service ecWtsed l 4 ry. hone Fax E-mail' 1000 q ft or lett -- pach sdd,uon41 SO0 porton mereol W ft or CClinc �_ Elec.bus Iia.no: ImjWn,etty.resdutoal 2 Cl / ie To.: UmnuJener�y non.residmual 2 _ � Bach nanufscmrod home ar mtsdul✓dvtelling � Suviu and/or(coder 2 L u - uln t - Lion urr4d - DaServicsorfetei n-iAmilasion, -- Su elect nurse ( CYI C�1C LlcenSe noalto noun or relocadon, 200 amps or lest 301 unps to 400 amps - �— NlAme(print): 4ol amps to 600 amps _ 2 Mailing ufdRAB: _ 601 amps l0 1000 Amps _ 2 City `I5tale: W Over 1000 AMPS or vola 2 phone: - Fax: Email: Reconnrctonly 7_mpnrer)'Wrrtca or feeders- Owner installation:The installation is being made on property I own butalLoon,allnahan orrcloaum: which is not intended for sale,lease Rot,or exchange aaonisng to 200 amps or lett 2 ORS 447,455,479,670,701 101 A! ►w 4ai.nM— 2 _- Uwna's si lure: Date 401 to Amps III rrtlleA 71'rcum•rev..8-11 entlon, or eglansion per pu,el A pee for branch c,rcutu with pun,tasc of AddRss seMu or feeder Iac each brooch cuctut / N Clly: — — tittalc I I,1N_ R. Ro for brant tirrviu wrh ithout purose suGman ee of vtce or rerAct fee, brch circuit. Phone: Fax F. nail Each additional branch circuit uc (I*aw.ice or fader not 1111Nuds ): l 2 n Suvtce over 22�101104om,ncuciaO licdu,we rtrilip ' ; 'J service over 120 smps•rsung of I A 2 U Huudous tocauon Each sign or oudine li hung _ �.—=_-I furuly dwellings O Budding ovu I O.DO019ow feet four or Signsl crrcuids)or a hmiled enafgY panel. U System Over 600 volu nominAl more residential unite to one structure ttltusuon.or4Al41teton• O f7wlding over Y,ree stones 0 Feed rt 40D Amps amore •(kycty oen ---- --_- *Occupant Itad over 19 penom I)MAnufactund strucrvrt t or RV part (Ads additional(Npeilioa over the allowable in any of the above—�— O Filmic hghongplan U Other — Per ropecuon Submit.__ _seta of plaus with any of the above. Invgadgsoon ex tree if a permit - — -- ---- _ 'ihe aboee an not applicable to temporary coesUmWon arrnce. - r ' Notice Ibis ermit Application Plan rr fcc. S ,/ na all i,nsdeuw s rapt creGi tarda.Plwaa r.)t Wn.dteuon les n,era t Uamaom Plan tevic w(ll 9tf) S jW 7.7 Uv'ua O MuterCud p pe is not obtained — Crad,t eud a„-n,r. ..— f vvsthin Iso days after it has been State Surcharge(11%) S accepted a complete. TOTAL. - S W.w—d-,0atdtt u J,arn on r e f L __Cat aloes s�gnatuR Allteunt � asn4elt ta1t0'COMI t e, CITY OF TIG,ARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ BUP --- ------ Received —_— Date Requ sted._--_.-5 -- AM --- PM-----.__ BUP Location suite�� _Suite __ ___ MEC Contact Person -- Ph ( )4.3,E=_�5� PLM —_ Contractor --- ---_—__-- _—_ -_- Ph( ) SWR __�__----_-._-- BUIL_DING Tenant/Owner — ELC 3 Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Cream Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing - -- --- ----- - ---- Insulation Drywall Nailing ---- --_ --.-- --- __ Firewall Fire Sprinkler ----------__ _-_ -..._.--- Fire Alarm Susp'd Ceiling ----- - --- -—-- Roof Other: -- - - f Final f/ PASS PART FAIL PL_U_MBING Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - --- - - -- - Catch Basin/Manhole Storm Drain - Shower Pan Final PASS PART FAIL MECHANICAL — Post& Beam -----------�---- - - ----- Rough-In __- --- -----_..._-- l:as Line _. _-_._ -- Smoko Dampers — -_� - — --------------- - Final PASS PART FAIL - --- -------- -- — -- - --- ELECTRICAL — Service -- - -- -- ----- Rough-In ------ ---- ----- --- �- UG/Slab LOW Voltage Fire Alarm m U Reinspection fee of$____--______ required before next inspection Pay at City Hall, 13125 SW Hall Blvd. A. PART FAIL SITE F Please call for reinspection RF � Unable to inspect-- no access ire upply Line �j App PProach/Sidewalk t1st� [3 Inspector - -...��i'�-��`� -_ - Ext_----._.- Other: i Final DO NOT REMOVE this Inspection record Horn the J'9"Ite. PASS PART FAIL CITY OF,TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ —_....- BLIP .3 -od l �D-- - Received ----__- Date Requested _ �y 7- AM_-_-___ PM _ _.__ BUP Location ---� _ Suite _ -__ MEC Contact Person ___-_- ____.____ Ph ( _ __) �� 0�d PLM v Contractor ____.. __ -- Ph(_-__-) --------- ___--- SWR -UIE} L��— - Tenant/Owner -- _ .__._._ _.___--_-___ ___._-- ELC ----- ELC -- - - - Foundation Access: Ftg Drain ELR -_- ------�-_-_ - -_ Crawl Drain Slab Inspection Notes: SIT Post& Beam _.._._-------_----- Shear Anchors - - - Ext Sheath/Shear Int Sheath/Sh'ea'r Insulati - Firewall Fire Sprinkler _ - -------------- ---- Fire Alarm Susp'd Ceiling Roof L_ ' PART FAIL _PEMING Post& Beam Under Slab -- --- ------- -- -- Rough-In Water Service — - - Sanitary Sewer Rain Drains -- - Catch Basin/Manhole Storm Drain ---- - - - ----- Shower Pan Other- Final therFinal PASS PART FAIL - MECHANICAL Post& Beam Rough-In ----- -- - Gas Line Smoke Dampers — ---- - - — — - -- --- ---- - Final PASS PART FAIL --- - - - - --- ELECTRICAL A0_0 . 0 07 Service Rough-In -- UG/Slab 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 access Fire Supply Line ADA Approach/Sidewalk D>Ate _ _ -_ -_ Inspector --�y� �1'V Ext - --- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUP97-042 13125 SW Hall Blvd., Tigard,UR 97223 (503)639-4171 DATE ISSUED: 09/04/97 PARCEL: 2S101BC-00200 s_) I TE ADDRESS. . . : 08105 SW HUNZ I KER ST 5(JBDIVISTON. . . . : ZONING: I-L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG ------------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS-- ------ EXTERIOR WALL CONSTRUCTION- C:l_ASS OF WORK. :FPS FIRST. . . . : 137E sf N: S: E: W: -YPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?------------ TYPE OF CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL-----: 1372 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : MEZZ?: REOD SETBACKS------..---- REQUIRED-•-------------------- FL OOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft F I P SPKL:Y SMOK DET. . : DWEL-LING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. `6 : 3100 Remarks : Installation of fire sprinkler syste@. Owner: __.________.____.- -------______._--•--_.___----.-.-___--- --------- FEES POWER RENTS type imoi.Ant by date recpt 8205 SW HUNZIKER F'RMT $ 44. 50 DRA 09/04/97 97-2'98869 TTGARD OR 97223 FIR[= E 17. 80 DRA 09/04/97 97--298869 5PCT E 2. 23 DRA 09/04/97 97-298869 Phone #: Contract or: -- - -------------- - - --- -- FIRESTOP CO 9384 SW TIGARD ST TIGARD OR 9723 Phone #: 620-6140 $ 64. 53 TOTAL Reg #. . : 000638 - -- - - -- REOU I RED INSPECTIONS ------This per@it is issued subject to the regulations contained in the Sprinkler Roi.igh- Tigard Municipal Code, State of Ore Specialty Codes and all other Spri nk 1 er Fina _ applicable laws. All work will be done in accordance with approved plans. This per@it will expire if work is not started within 188 days of issuance, or if work is suspended for @ore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9524411818 through OAR 952-88181987. You @any obtain a copy of thea? rules or direct questions to OUNC W by calling 15@3)246-1987. ,.l 1 Permittee Signature �__— --;sstred B : �T +++++++++++++++i-+++++-+i+++++++++++i•++++++++++++-F++f f+++++.}•+++++++++f++++++f f++ Call 639-4175 by 6:00 p. m. for- an inspection needed the next business day i+++++++++++++++++++++++++++++++++i.+++++++++++++++++++++++++++++++++++++++++++ Fire Protection Permit Application Plan Check 0 ,ITY OF TIGARD Commercial or Residential Recd By 6F-7'0 13125 SW HALL BLVD. Date Recd 1 �_ IGARD, OR 97223 Print or Type Date to P E. '503) 639-4171 Ext. 304 Incomplete or illegible applications will not bift accepted D to to DST rmit Called r Nam of Development/ ro)ect --1 I Tyoe of System (Complete A or S as applicable) Job bwr-'e, fN%S I Address Address // A.) Sprinkler Wet Dry ❑ L Z0Sr,�' /-luNr2�/lE�' Standpipes i Name .�._ Owner Marling Address Additional Hazard Group City/State Zip Phone Information Deislty - i Name Design Area , l K Factor Occupant Mailing Address City/Slate - Zip Phone Sprinkler Project Valuation $ 3 DD00 COT Business Tax or Metro# Exp Date B•) Fire Alarm Contractor Name —�— Submittal Shall Include Battery Calculations YES O (Sprinkler or Marlin Address __ �1 Individual Component YES 41artn �- 5I J- � /4�R� Cut Sheets Company) City/State Zip Phone Fire Alarm Project Valuation $ L&AgA N.qv Lf I 'a7,0,t4 Project Valuation Subtotal (A or Ei Attach Copy State Const.Cont Board Lic# Exp. Date 1 ) $ Current COT Business Tax or Metrr# Exp. Date Permit fee based on valuation $ Licenses -_?�$ _ _ (see chart on back) 7 r Name 5% Surcharge $ ., �r Architect Marling Address _ FLS Plan Review 40% of Subtotal $ GtyBtate Zip Phone TOTAL $ r�escnbe work A.)New O Addition O Alteratiori�p Repair O PLANS MUST BE SUBMITTED.approved and a permit issued prior to installation it be done Three sets of plans and site plan(and vicinity map)required which shows location of nearest hydrant B.) Basement O HoodNent O Spray Booth O 1 hereby acknowledge that I have read this appuration,that the information given is Complete Partial O Exitway O correct.that I am the owner or authorized agent of the owner,and that pians submitted are in compliance witOregon State laws Additional Description of Work: Signature of Ow /Agent Date 9�3l 7 A.)In Existing Booing New Budding p tact Person Name Phone Building 3RucE7 �. Pf9-;II?JhA1 &7-C) Data B.) Commercial Residential/ ° FOR OFFICE USE ONLY: Plat# MaprrL#: No of stories Sq. Ft Notes Occupancy Class Type of Construction i--� — i\dsts�firesuor dor. 8/96 Mopih 9: rs JIM AIVK CITY OF TIGARD BUILDING PERMIT FEF_8 TOTAL PLAN STATE BUILDING VALUATION PERMIT FLS REVIEW TAX PERMIT OF PROJECT FEES (40%) (65%) 5% FEES 1-1,500 25.00 10.00 16.25 1.25 52.50 1,501-1,600 26.50 10.60 17.23 1.33 55.66 1,601-1,700 28.00 11.20 18.20 1.40 58.30 1.701-1,800 29.50 11.80 19.18 1.48 (3".96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1,9"'1-2.000 32.50 13.00 21.13 1.63 68.26; 2,0j1-3,000 38.50 15.40 25.03 1.93 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 2.53 106.06 5,001-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.26 7,001-8,000 68.50 27.40 44.53 3.43 143.86 8,001-9.000 7450 29.80 48.43 3.73 156.46 9,001-10,000 80.50 32.20 52.33 4.03 169.06 10,OC1-11,000 86.50 34.6n 56.23 4.33 181.66 11,001-'?,000 92.50 37.00 60.13 4.63 194.26 17.,001- x,000 98.50 39.40 64.03 4.93 206.b6 13,001-141,000 104.50 41.80 67.93 5.23 ?19.46 14,00- '7,000 110.50 44.20 71.83 5.53 232.06 15,CC .000 116.50 46.60 75.73 5.83 244.66 16,C01-17,00 122.50 49.00 79.63 6.13 7572.6 17,001-18,000 128.50 51.40 83.53 6.43 269.86 18.001-19,000 134.50 53.90 87.43 6.73 2141.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 20,001-21,000 146.50 58.6E 95.23 7.33 307.66 21,001-22,000 152.50 61.00 99.13 7.63 320.26 22,001-23,000 158.50 63.40 103.03 7.93 332.96 23,001-74,000 164.50 65.80 106.93 8.23 345 ,16 24,OG ' Z5,000 170.50 68.20 110.83 8.53 358.06 25,OC :.6,000 175.00 70.00 113.75 8.75 36750 26,00 °7,000 179.50 71.80 116.68 8.98 376.: 6 27,CO1-28,000 184.00 73.60 119.60 9.20 386.40 28,CO1-29,000 188.50 75.40 22.53 9.43 395.86 29,001-'a0.000 193.00 77.20 125.45 9.65 405.30 30,001- .1,000 197.50 7900 128.38 988 414.76 31.001.32,000 202.00 80.80 131.30 10.10 424.20 206.50 82.60 134.23 10.33 433.66 32,001-3? "CO 33,001-3 '.u00 211.00 84.40 137.1: 10.55 443.10 34,001-35,000 215.50 86.20 140.08 10.78 45 2 56 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT -- 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR97- 0111 DATE ISSUED: 07/29/97 r:,nRCE L: 2S 101 RC--00 :00 L:L ADDRESS. . . :0;3.:_k!"..; SW IIUNZIKER I SUBDIVISION. . . . Z ON I NCS: I—L . . . . . . . . . . L_.r7 T. . . . . . . . . . . . JLIRISDTCTN: TIG Project Description: Install date teleconunication (1. RESIDENTIAL--•--------- B. AUDIO & STEREO. . . : AUDIO R 3- ERF=O. . : INTERCOM R PriGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CI_fir;:. . . . . . . . . . . . MED I CAL-_. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DnTA/TELE COMM. . : X NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDS(", LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 1 rEES 'WFR RENTS type amor.rnt by date recpt 6,-05 SW HUNZII!ER PRMT 40. 00 TnT 07/29/97 97--;2977117! TTCnRD OR 97223 5PCT $ c_'. 00 TAT 07/29/97 97-297710 F'lrone #: l nt ract or- : il.(.1MB I A TELEPHONE $ 4.=. 00 TOTAL r30H SE 19TH ----- - REQUIRED INSPECTIONS -- --__._ P(7RTL_AND OR 97214 Ce i 1 ir)rd Covr�r• E1 er_t' 1 Service Phone #: Wall Cover Elect' 1 Final Reg #. . . 00099 ; This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other appli-.able 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 :s suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the 9regon Utility Notifion Center. Th r".!les are set forth in OAR 952.001-0010 through OAR 952.001-0080. You may obtain copies r` these rules or dir t qu stions to 15031246-1987. ssr_re,cl by Permittee Signatr_rr - - ___.___......_._.._..OWNER INSTALLATION ONLY- _.._..__.._.__- ---•___._._._..__._--_ `'ie installation is being made on property I own which is not intended for lJey Lease, or rent. ,.JNE"R' S S I GNnTURE: DATE: IN5TA1._I...ATTON r^NATURE OF SUPR. EL_EC' N: ��.__._ DATE: _ ICENSE NO: F+ F++++++f-+++++++++++++-1-F•++++++++4 F4-F++-1.-t4+ F+-t-+4H+4++.++++++++++4++++++++4.+4+4 ' Call 639--4175 by 6:00 P. M. fnr ari inspectio'r needed the next br-tsiness day r-+++4++•+-1-+•4•+++++4-++++4++++++4-+++++++4++4+++= ++++++++++++++++++1+f+++++4.1-+++-1 + CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SUV HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE , V- 503-639-4171 X304 Permit#: L L �Cql F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd. WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL _1 Restricted Energy Fee........................................ $40.00 t J ttiJ e / e 1.1-1. S (FOR ALL SYSTEMS) JOB Street Address Ste# Check Type of Work Involved ADDRESS $,20S 50-- fl r1 City/State Zip Phon # ❑ Audio and Stereo Systems 1 l n it 2 Na e ❑ Burglar Alarm OWNER Maihnq Address ❑ Garage Door Opener' City/State kip Phone# ❑ Heating,Ventilation and Air Conditioning System' --- ❑Name Vacuum Systems" C�Lt r1_1 t l!ell I � �-o � ri e lJ Other ---- --- -- CONTRACTOR h ling Address % . TYPE OF WORK INVOLVED -COMMERCIAL (Prior to issuance a CitylState _Flip PhoneT__ Fee for each system.............................................. $40.00 copy of all licenses I,'(, t 7�_r �L' 'c�'�f (SEE OAR 916-260-260) are required if Oregon Contr.Brd Lic # Exp.Date expired in C O T J GIs�' Check Type of Work Involved data base) Electrical Contr,Lic.# Exp Date Audio and Stereo Systems C O T.or Metro Lic # Exp Date -_ ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ✓❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following. ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, E] Landscape Irrigation Control* 2 Call for inspections when installation under this permit are ready for inspection at 503-639.4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done, and, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or If work is suspended for 180 days _Number of Systems The person signing for this permit must be the applicant or a person Ne.licenses are required Licenses are required for all other installations authorized to bind the applicant _ 1 /� FEES: i`t L'�` -- ENTER FEES $�ri SI attire 5%SURCHARGE(.05 X TOTAL ABOVE) $ Authority if other than Applicant— TOTAL $ 4 vesele doc 12/96 — r CITY OF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: EL.-C97-0437 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/07/97 SITE AUDREbti. . . :082 k'rS SW HUNZ l KER ST PARCEL: 2S101BC-00200 SUBDIVISION. . . . : ZONING: I ._I._. BLOCK. . . . . . . . . . : L.OT. . . . . . . . . . . . . . �'URISDICTION: TIG Project Description : add 2 feeders and 41 branch circuits _-RE5I DENT I AL. LJN I T----- _----TI=Mf SRVC/FEEDERS---------- - IrI I SCELI.-ANEOUS- - 1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I RR I GAT I ON. . . . : 0 EACH ADD' I__ 50OSF. . . : 0 201 - 4L•O amp. . . . . . . : 0 SIGN/OUT L-INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LAPEL_ ( 10) . . . : 0 ----SERVICE/FEEDE:R-_.-.-_ __._ _BRANCH CIRCUITS-._-__ ---ADD' L INSPECTIONS, -.-. 0 - 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 400 amp• • . • • • : 0 1st W/0 SRVC OR FUR. : 1 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC:. : 40 IN PL_ANT. . . . . . . . . . . . 0 601. - 1000 amp. . . . . : 0 ------____.._.______PLAN REVIEW SECTION------- -- - -----__ 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOL-T NOMINAL . . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS)— : CLASS AREA/SPEC OCC. . Owner- : -_.__.._._._______._...-_____._.__.______..__._______-___..__.___ FEES U. S. NATURAL RESOURCES, INC. type amor-int by dater,ecpt_. PO BOX i::'303B PRMT $ 350. 00 GEO 07/0719'' 97-296840 PORTLAND OR 97223 5PCT $ 1.7. 75 GEO 07/07/97 97-;=96840 Phone #: Conty,actor: AI-LEN JOHNSON ELECTRIC f 372. 75 TOTAL- P 0 Y30X 4i. 1 _......_..___-.. REQUIRED INE)PECTIONS ----- AURORA OR 97002 Cei. l ing Coven Undergr•or.tnd Cove Phone #: 651-3101 Wall Cover- Elect' 1 Service Reg ff..: 000348 This permit is issued sub.)ect to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws, All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-198 . You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. r n r m i t t e e 5 i g n a t ra r e : � ,(� ' I s s+a e d H y INSTALLATION Hit? installation installation is being made on property I own which is not intended-for _— sale, lease, or rent. OWNER' S SIGNATURE.: DATE: INS-rAL_LArION ONLY Tr,NATURE OF' SUPR. EL..EC' N: 9 � ''�"� DATE: - L.I CENSE NO: 0;z s r .+.+++++++++i+++++++++++++i•++++++++++++-F++++++++++++++-F+++++++++++++++++++++4 + I Call 639--4175 by 6:00 p. m. for, an inspection neer_+ed the next br.rs.ines s day++++++44 ++4+++++++++++++++++++++++'. r+++++++++++-1 +-F+++++ L+++++++++++++++++++++-F+ J CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By___ TIGARD OR 97223 Date Rec'd_ Date to P.E. Phone (503)639-4171, x304 Print Or Type Date to DST. Inspection (503) 639-4175 Permit H�� Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ ,,G Number of Inspections per permit allowed Name(or name of business) /G<c-,«- <+f S Service Included: Items Cost Sum s Address 2 U 3 lac+/'- 1 i��l� 4a. Residential-per unit 1000 s%if or less $11000 _ 4 City/State/Zips/J,r�f C'�Z j 1 Each additional 500 sq.it.or portioCommercial Q� Residential ❑ Limited Energy thereof �. $25.00 1 LlmRod Enorgy - $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 _ _ 2 2a. Contractor installation only: - (Attach copy of all current licenses) 4b.Services o eedsy- Electrical Contractor ex/,"i.� L-<<� iii�_� Installation,altora non,or relocation Address 'O o 'f �/ 200 amps or less $60.00 1� 2 201 amps to 400 amps $80.00 2 City /q,. 4- State. !� Zip `/ ' - a. _ 401 amps to 600 amps _ $120.00 2 Phone No. /-- �s-I - ?f 0 / 601 amps to 1000 amps $180.00 --r 2 ,lob No. d e, Z Over 1000 amps or volts $340.00 _ 2 _ Elec.Cont. Lice. No. . U/ 2 Exp.Date_/ -S 1 �- Reconnect only $50.00 OR State CCB Reg. No.3 it,f1 Jr Exp.Date s ' 1 "� 4c.Temporary S(,rvlces or Feeders COT Business Tax or Metro No. /,o Yom' Exp.Date > '� � Installation,alteration,or relocation 1 200 amps or loss 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n L/r /��1�`r1+ �+`� 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No.-.-d-' 41 ExP.Date/0 sae"b"above. Phone No. /� to - 3 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name leader fee. Address Each branch circuit $5.00 b)The fee for branch circults City State_ Zip without purchase of Phone No._ _ service or feeder fee. -_ First branch cirr.uit r $35.00 2__-�_� 2 The installation is being made on property I own which is not Each additional branch cirruit '4- $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ _ -__ Each pump or irrigation circle $40.00 Each sign or outline iighting $40.00 �- 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy $40.00 panel,alteration,or extension ----- Minor Labels(10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or mr,e residential units In one structure 4f each additional Inspection over Service and feeder 225 amps or more th allowable In any of tht,above System over 600 volts nominal I Pi,,Inspection $35.00 Classified area or structure containing special occupancy Pe•hour - $55.00 as described in N.E.C.Chapter 5 In hent - $55.00 'Submit 2 sets of plans with application where any of the above apply. S Fees: j Not required for temporary constructiun services. 5a.Enter total of above fees $ --- 5%Surcharge(,05 X total fees) $ NOTICE Subtotal $ - S 5b.Enter 25%of line 5e for PERMITS BECOME VOID IF WORK On CONSTRUCTION AUTHORIZED IS Plan.Review if re_uir (Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY _ _ 79 TIME AFTER WORK IS COMMENCED ❑ Trust Account# _ $ Total balance Due r%ustset cus nrr nc.vrur. ..---��----�- - - CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERM IT -4. . . . . . . : DUP197 -0-319 13125 SW H.111 Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUEDg 07/'-:'7,/97 P,nRCEL: i:"'.S101BC00200 131TE ADDRESS. . . : ot"L-iVII-1 5W HUNZIKER ST SUBDIVISION. . . . : ZONING: T--I_ PLOCK . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURTSDICTTON:TIG REISSUE: FLOOR AREAS- EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :ALT FIRST. . . . : 3000 s f N: S): E: W: TYPE OF USE. . . :COM SECOND. . . : 3000 sf F'ROTECT 0P'l77NINGS?------- TYPE OF CONST. :3N . . . . 0 Sr N: S: E: W: OCCUI!�ANCY GRI71. -.11 TOTAL -: C,000 5f ROOF CONP)T: FTRE RE'r? : OCCUPANCY LOAD: Flo BASEMENT. : 0 sf AREA SEP,. RATED: ;TOR. : 2 I-IT: 0 ft GARAGE. . . 0 sf OCCU SEP,. RATED: BSMT') : MEZZ'? : REDD I-LOOR LOAD. . . . : 0 p%f LEI-T : 0 ft RGHT: of ft FIN S17'I1L_-..N 5M0111 DET. DWELI ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICPI ACC: Y 13FDRMS: 0 PATHS: 0 IMP, SURFnCE : 0 PIRO CORR: Y PIAPI-INING: 0 VALUE. $ - r..00000 RemAi--I<s : Tenant iiprovement of first and second floors Owner,: FEES KNE7 REALTY GROUP type amoi.irit by date r-eept 8I85 SW HUNZIKER PILCI-' $ Q1. 00 B 06/30/97 97 -296 582 i''17,ARD OR 972:=-13 FIRE $ 0. 00 B 06/30/97 97-296582 ,71RMT $ 683. 00 P 07/23/97 97-297467 Phone #: 620-6148 5PICT $ 34. 15 B 07/23/97 97- 297467 PRMT $ 683. 00 Contractor: 5PCT $ 34. 1.57 TENANT PIER APPROVAL rROM OWNER Flhr,mp #: $ 141"114. 30 TOTAL Rey 0001.3] RFOL)IRED Tr4Sr'ECTTGNG This pervit is issued subject to the regulations contained in the Framing I115P Tigard Municipal Code, State of Ore. Specialty Codes and all other Insi.tlatian Itisp applicable laws. All work will be done in accordance with Gyp Boat-cl Itisp approved pproyed plans. This pervit will expire if work is not started si-isp r7eiltlg 11.1sp within 180 days of issuance, or if work is suspended for tore than 180 days. ATTEN'lON: Oregon law requires you to follow the rules adopted by the Oregon Litility Notification Center. Those rules are set forth in OAR 992-001-0010 through OAR 952-NI@1387. You tiny obtain a copy of these rules or direct questions to OUNC ty calling (503)246-1987. ................. S rer,mj,ttee T s s i..((,d 4-++4-4-++-f+-&-++++4•................ .......V++++++++++4............++ +++++++++++++-1-+ Call 639-4175 by 6:00 P. m. for an inspecti.on needed the next bl.tsi.ness day ,-+4-++++4++4 4-4-4--f-4 4 4+4 4+++++++++++4++++4...............4..........4 ++.+++-++4+4+4 1 C!QmmerQial Building Permit Au atinn 71107 C:ty of rgaro tat:s SW MaU 91vd. T19ud.OR 97223 1503)839-A171 i I I Q • Z 3 �7 Jobsite Address: OJ 5I / AA Z-rf/ Q GE DSE ONLY Tenant:-P-0tv Suite x Planck/Rec. # �� '(�t✓ Va!uation: �p(�, O�) Permit � Map b TL Owner: �1i1 LZ (��A � � ��.� C/ anaovals$@QyjL�d Address: l�'S ��/ f�uN L �P✓ Planning Engineering Telephone: too,20 - Other Contractor. _ O��F✓ =aj Address: Sk 2Type of constr /Eti/�ti.T 1.y��d�+►.�,,,7� Telephone: 1Occupancy Class: Contractor's License # Sprinkler? Yes_) No (attac:± copy of current Oregon license) Contact name & telephone: �, Q Sq. Ft. Of Project: l dl�, Story (1st, 2nd, etc.): i Architect & Engineer: Proposed Use: ,'( address: �7GD 7 Previous usr: Note: Plumbing & mechanical plans must 'elephone: be submitted at time of building permit application. JOB [DESCRIPTION: --�� -�' .� � �l �� lu�i� NZ Cs''? (A,ppli ant Signature R Telephone Number) ! � / ti�j A ot:>" /, d�'o' T�.tL�r,,o�,v c- /(>EQ.l�t2(./ �ff�A�r'_ (-,, - Re-:ei✓ed b Y _ — - _ Date Rveived- C:;M-11 -CC ICS- ',5,5 —�—� l 'E:2MITa Account Description /Amount Amt Pd. Balance Oue Building Permit (BUILO) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. _ Plumb. Mech. Plan Check (PLANCK) �' 1 ��) �"�✓ Bldg. Plumb. Mech. Sewer Connection (SVVUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (71F-R) Mass Transit TIF (TIF-INT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) F. osion Cntil Permit (ERPRM-n Erosion Planck/USA (ERPLAN) Erosion Planr:klCOT (EROSN) r TOTALS: ~/ ' ) I ,CCMT1 CCC SCS-, 1CI96 V CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97-029zi 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/2-4/97 PARCEL: 2SIOIBC-00200 SITE ADDRESS. 08205 SW HUN ZIKER 5*1 SUBDIVISION. . . . . ZONING: I-1- BLOCK. . . . . . . . . . . -1- BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG ---------------------------------------------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--------_------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 L"'INKS. . . . . . . . . : 2 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER .71XTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DI13HWAS14ERS. . . . I RAIN DRAIN (ft ) . . . : LA Remarks : Tenant improvement of first and second floors Owner: FEES -------------._ KNF_Z REALTY GROUP type amoi-int by date rer-pt 8185 SW HUNZIKER PRMT $ 27. 00 B 07/24/97 972-97524 TIGARD OR 97223 5PCT $ 1 . 35 B O7/;-'4/97 972---97524 Phone #: Cont ract 0 WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD OR 97223 Phone #: 503-639-5296 $ 28. 35 TOTAL Reg #. . : 000024 -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Top—OlAt Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 181 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-000I-00I0 through OAR You may obtain copies of these rules or direct questions to OX by calling 1503)246-1987. Permittee Si gnat I.tre i s s i-t e d B y iij ik!�� -— ....................... +++++++++++++++++++++++•++++++++++++++++.4-d +4- ++++ .++ Cal 1 G39--4175 by 6:00 P. in. for an inspect ion needed the next bl-ts iness day +++++.+.++++++-I......J.............4•........1-4-++++-t-4-+++4..........4.4.+++4.++4....4-4-++ OF TIGARD Plumbing Application !Recd By '- .,5 SW HALL BLVD. Commercial and Residential Oslo Recd -7 I � ,ARD, OR 97223 0""°P E. N- Date to DST 3) 639171 Permit s _ Print or Type Related SWR 0 7- 7- Incomplete or illegible applications will not be accepted Caned FIX REtl- ndlvidual Name of t?avalopmenflPropd � .(f .. � QT,W Sink Job I'�W f,-C- Lavatory 0 00 Address Street Address Suds 9.00 Tub or Tub/ShOww Comb. 9,00 91dg s City/State ZIP Shower Only 9.00 Water Closet 900 Name � ` Diethwaaner 0.00 Owner me w+9 Address v! rte _ 9.00 �� S6 •N c j Wast*v Maddna _ 9.00 cityistateZIP Phone Flow Drain 2• 9.00 - DIZ Nag* �• 9.00 4• 9.00 Occupant e"Address A-V Suite Water Neater 9.00 0 :S/✓ 7 Laundry Room Tray 9.00 City/Slate ZIP Phor-, Urinal 9.00 _-- _ i24 l�l ( U- :-3� Other Fixtures(Specly) 9.00 (,I 9.00 Contractor Ar Aodresa Suits 9.00 9.00 Prior to lseuance C#VfStaft ZIP Phone - 9.00 applicant must ''-�R��ZZ�S 3 .�- .._-. provide all O on Const.Cont.Board Lics Exp.Date 9.00 contractors 02Y.3 - 9.00 Icor" Pkmq wq Uc.s Exp.Date Sewer-1st 100• T 30.00 information 3 a-,;�f P (P -1 Y Sewer-each adc tonal 1 ocr 25.00 for COT COT Business Tax or Metro s Exp.Date database). .�2 Water Service-1 at 100'i-- 30,00 Name Water Service-each additional 200' 25.00 Architect Storm a Ran Drain-1st 100' 30.00 of Mailing Addom Suite Storm&Rain Drain-each addillhx+rw 25.00 Moble More Space 25.00 Lngineer City/Stats Zip Phone Crxrxnercial Back Flow Prevention Device or Ar*- 25.00 Polkrtbr Device _ 'Cabe work New O Addition O Alteration O Repair O Rasmdential Backflow Prevention Device* 15.00 e done: Residential O Non-rf!sidential O - Any Trap or Waste Not Connected to a Fixture 9.03 ortional description of work Catch Basin 9.00 Inco.of Existing Plumbing ----- 40.00 per/hr sting use of --- -- Spemally Requested Inspections V 40.00 __ perMr ding or properly- -_�- Ram Drain,single family dwellaiq 30.00 posed use of Grease Traps -��- _ - 9.00 Iding or proms- -- -- __ QUANTITY TOTAL -; •- Isomeax:or roar d you capping. moving or replacing any f1MI1re3? Yes(� No(] bgr7rn b repue�d d Ouandy Trial is >•9 4 •' t;,.'.,. i '. yes see back of form) _ 'SUBTOTAL ereby acknowledge that i have read this application,that the mformahon ' O .n is cored that I am'he owner or authorized agent ct the owner.and 5%SURCHARGE t plans submitted are in compliance with Oregon State Laws. r ria NAge Date - PLAN REVIEW 25%OF SUBTOTAL Required rnN I firm ory.total is>9 - - J TOTAL •r�r._, intact Personam on 4u `Minimum permit fee is$25-5%surcharge.except Residential Ba�kA r _ ----- Prevention Device,which is$15•5%surcharge 11 I:\plmapp.doc 1196 (dst) 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty . Sink Lavatory _ Tub or Tub/Shower Combination _ Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine _ Floor Drain 2" 3" 4" Water Heater Laundi,. Room Tray Urinal _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: t:\pimapp.doc I2/96 (dst) CITY OF TIGARDE:CHFINIC(�L P A DEVELOPMENT SERVICES F RM I T� 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6294PERMIT #. . . . . . . : M r- S7- 0j171 1,11IT17 D 4 1 1 TI-73SUM 03", PARMFL.,, 08205 F'M !lLJN7.J1(r.R 77T nT)7-V I S TON. . TONING: 1 1- .. . . . . . . . . LOT JLJRISMTCTION: Tic; 1".11 Or WORK. . :ALT FLOnR rURN— . Emp o YPF OF' USE. . . . rom UNIT HEATERS. VENT r-ANS. . . �`MJPAWY riRrl. . rl VENTS W`0 APPI.. vr,,14 r 03Y13TEWD. 0 . . . . . . . . .. SOILERS/COMPRESSORS HOODS. . . . . . . .. 0 TYP rS -— 0 HP. . 0 DOME!-% INCTN: 0 -,-1, HP. . . . 0 COMML. TNrTNt 0 W4X INPUT, 1500000 STU 1-53-30 1 1P. . Vo REPOIP UNITS: 1A RE DAMPERS% . . N W-50 HP. . . . 0 WOODSTOVES. . : 0 0-m- M 504, lip. . . . CLO DR717, W3. . 0 ;Cl. OF AIR HANDLING UNITS OTHER UNITS. 0 ST11. 0 1000111 1 rip. . IT r3n7) nUT1 .171's. IRN ) -100K STU.- 6 10000 11<si - Tenant ieproveeent of first and second floors 1 1. tr;177 REOL..TY GROUP type amcil-vit by r. CW l,lLJN?T1,',FP PRMT 111 5E- "171 -J,;D OO/ J 1 /')7 97 F` !";71RI) Or, 97223 PLCl-' :i4. 13 JSD OS/11/97 97--2W-1 $ I .- A3 J1;l) 01111 /97 97 1":"118: IT11 AW.-TTE HVnI7 !7.PVICr- ' ''C,!Drj 53W I-r-PLEY LN 77.1. 4C, TOTn!. Ti-5rlr)rr] OR 1371;::3 REOUIRED I N8r'!7rT T rN1" permit is issued subject to the regulations contained in the T I I.- I r I S P 1,jare Municipal Code, State of Ore. Specialty Codes And all other Mechanic;-Rl laws. All wark will be done in accordance with 1164 1 Ill SF)P(:�t j QI) This permit: will, expire if work is not started 'cin IN days of issuance, or if work is suspended for oiare IN days, ATTENTION: Oregon law requires you to follow rules 1!(pted by the Oregon Utility Notification Center. Thost rules are rt "Wrth it, CAR. 9521-041-Wo throj.1gh DAR 95c-W-898e. You say 'lain copies -,f these rules or direct questions to OUNC by calli-Ig ............ I i 4 L 4-+4,4-4,+4-4-+4 +4-1-4-+ f I + L-f 1.4++4 4-1 f-4 4 +4--} ,•-4.4-F1--F +++++4-4-4-4+-4 4 -1 +.i A--1 +...; f 1 T t -jl.JF IA; ' r�"` 1)"'?(zf-1 P(I fiV TIP X 4_4 -1-4.,_.}.4..+,..f.4...{.-},++4.4 f-F-4. 6 4 F..,.. i .,..-}4•-4+-L.}.+ 1. Plan Check k `460 C. CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E. f - (503) 639-4171, x304 Date to DST -`S 47� Print or Type Permittr�G�17-o YP Incomplete or illegible applications will not be accepted Called"�" `— Nome of UevebpmentlProlect Description r ^ Table IA Mechanical Code CITY PRICE: AMT Job Sir"Address sudor A) Permit Fee -0- _0__ 10.00 Address idgr cdyrstate Zip 1.) Fumace to 100,000 BTU 6.00 includin ducts&vents 4,C, Nome for name or buenese 2.) Fumerx 100,000 BTIJ+ 7.50 Owner e k ro including ducts&vents Ing Address 3) Floor Furnace 6,00 SV C includin vg ent - cdyisteto Zip Pnano 4.) Suspended heater,wall heater 6.00 Zf 0,C _ - or floor mounted heater N dr nrne of busness 5.) Vent not included in appliance permit 3.00 Occupant Melling Address 6.) Boiler or comp,heat pump,air Gond 6.00 A,?t S�v Jl - to 3 HP;absorb unit to 100K BUTS' Cdylstate Zip Phone 7) Boiler or comp,heat pump,air Gond. 11.00 _ ll, L�-(1+ 3-15 HP;absorb unit to 500K BTU- Contractor NarrW8.) Boiler or comp,heat pump,air Gond. 15.00 (Prior to 15-30 HP,absorb und.5-1 mil BTU- issuance Melling Address 9) Boller or comp,heat pump,air sand. 2250 app:icant � 4v_ ?/C-c, 4-/1/ —_ 30-50 HP;absorb unit 1-1.75md BTU** _ must provide all Cdyi tats Z16 Phone 10) Boiler or comp,heat pump,air Gond. 37.50 contractor l o &' i /L I ;y_tGv' >50 HP,absorb unit 1.75 mil BTU" license Oregon Cour.r6nt Board Lic r Exp Date 11.) Air handling unit to 10,000 CFM 4,50 information 0(� for COT co Business rax ar Mea* �p 084 12,) Air handling unit 10,000 CFM - 750 _(Jatabase) Z- (�� _ )- 4 ____ Arr-hitect Narne 13) Non-portable evaporate cooler 450 of Meting Ajcframm 14) Vent fan connected to a single duct 300 Engineer cnyrstate — p Pnone 15.) Ventilation system not included in 4.30 appliance permit _ Desr:nbe work New O Addition O Alteration Repair O 16.) Hood served by mechanical exhaust 450 — to be done Residential O Non-residential O Additional Description of work 17) Domestic incinerators 750 18) Commercial(.,r industrial type I 30 00 _Incinerator _ Existing use of _ 19.) Repair Units 4.50 building or pouperty ' -- T 20j Wood stove 4.50 Pmoosed use of , 21.) Clothes dryer,etc. 4.50 building or property_��t'.'CA= 1�+� t !, 22) Other unds 4.50 Type of fuel oil O natural gas LPG O electric O 23 j Gas piping one to four outlets — 2.00 I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) SO information given is correct that I am the owner or authorized agent of the owner,!hat plans submitted are in compliance with Oregon State CITY.SUBTOTAL. ^' laws. ) Signatuof Owner/Age Date — *SUBTOTAL 5%SURCHARGEs - , � Con Perso amso --PLAN REVIEI"!25%OF SUBTOTAL J 1 li�j TOTAL i Wstlmechpmt.doc (rev 9 'Minimum permit fees 525+5%surcharge "Residential A/C requires site plan showing placement of and CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.411 t RESTRICTED ENERGY PERMIT #: ELR97-0163 DATE ISSUED: 06/12/97 PARCEL. 2,5 10 I BC--00200 r3ITI ADDRES,5)- , . :08*20r SW HUN-I_.T.KER ST SUBDIVISION. . . . : ZONING: I.-L. BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . J1JRISDICTN: TIG Inco j ect De scr,i.pt i on : instl protective signaling A. RESIDENTIAL- - _-- - - A. COMMERCIAL- AUDIO 8 STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MFUICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM aYS fEM. . . . : FIRE ALARM. . . . . . : OUTDOOR 1_AND133C 1-ITE: OTHER: . . HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 1. FEES 110WER RENTS type amount by date recpt R,'.,0!5 SW HUN7-IKER PRMT $ 40. 00 'TAT 06/09/97 97--295660 TIGARD OR 972224 5PCT $ 2. 00 TAT 06/09/97 97-295660 1"hrone #: Contractors SONITROL. PACIFIC $ 4;x. 00 TOTAL 1974 SW 6TH AVE -- -_ - REQUIRED INSPECTIONS -- ---- PORTLANP. OR 97201 Ceiling Cover Elect.' 1 Final Phone #: 223-5822' Wall. Cover Reg #. . . 002535 phis perlit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Orego-- law requires you to follow rule adopted by the Oregon Utility Notification Ce- ter. Those rules are set forth in OAR 952-801 8818 through OAR 952-0011099. you may obtain copies of these rules or direct Auestio s to OU C l5�246-1981. T :�sr_ted by L-'ermit:tep Signature ✓ ��Lf�� '_ _ __ -_--_OWNER INSTALLATION ONI `'he installation is being made on property I own which is not intended for-lease, or- rent. OWNER' S SIGNATURE: _�. DATE: __ _-•- _-�__-_ INSTAI_.I-ATIOhd SIGNATURE OF SUPR. ELEC' N: _ r �. DATE: LICENSE NO: ++.++++++++++++++++++++-F++++++++++++++++++-F++++++++++•i++++++++++++++++++++++++++ t Call 639-4175 by 6:00 P. M. for an inspection need-d the next business day ++++++++*-F++++++++++++++++++++++++++++++++++++++i•++++++i+++++++++...+++++++++++++++ c Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. �� 3? Tigard,OR 97223 PERMIT#_ -�,�I�- I Phone(503) 639-4171 (� FAX(503)684-7297 DATE ISSUED_ _ TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTICIVS 1. LOCATION OF INSTALLATION 4. TYPE Of WORK , .5 nW___N1A7=1 Ktr Addre 'sRESIDENTIAL—Restricted Energy Fee . . . . . . . . . 140m(I(WP\I I SYS f I MS) City ( State Zip Check Type of Work Involved: S PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems' INOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm ❑ Garage Door Opener" 2. CONTRACTOR iAPPLICATION ❑ Heating,Ventilation and Air Conditioning System* Contractor J11,`I�� CI TI(Type I E n.P�r i ❑ vacuum Systems* Address 1��1rN 6,1_ I too ❑ Other Dale MAAAjHq a 7 _ COMMERCIAL —Fee for each system . . . . . . . $40.00 — (SEE OAR 918-260-26U) Property Owner _ _ _ _ Check Ty4 a of Work Involved: Contractor's Board Reg. No. 52).5 :_1I �i ❑ Audio and Stereo Systems' ❑ Boiler Controls Phone# _ Q(�j�— 5�� ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation I❑ HVAC Priut Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit Is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' following: 1. Only use electrical licensed persons to do Installations where required.(Certain Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other asterisksM.All others need licensing). 2. Call for an inspection whin all of the installations under this permit are ready for inspection at 503.639.4175. Number of Systems 3. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. No lirenses are required. Lkenses are requlred for all other Installations 4 Assume responsibility for assuring that all corrections required by the inspector are dune,and 5. Assume responsibility(or calling for a final Inspection when all of the corrections 5. FEES are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ authorized to hind Wappliant.►+ — b. 5% jurcharge(05 x total above) $ 1_` _ Signature TOTAL $ Authority if other than applicant ENERGAP.CHP c CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- BLIP _ Date Requested _AM PM BLD Location ,��' j -��n, %lr Suite —__ MEC _ Contact Person Ph PLM Contractor_ _ Ph SWR BUILDING Tenant/Owner rid- < g'4'.'L i f-1. �d'V ELC Retaining Wall ELR Footing Access. Foundation ? �� 7� �'�' ( �"' FPS Ftg Drain Crawl Drain Inspection Notes- / /� .. S Slab SIT Post& Beam :2 - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ - Final PASS PART FAIT_ ----- PLUMBING Post&Beam `- -- "--"------' Under Slab Top Out - - -- - - Water Service _ Sanitary Sewer Rain Drains Final ---� - PASS PART FAIL MECHANICAL Post&Beam - - - Rough In Gas Line --- — Smoke Dampers Final - ---- - P)VM T FAIL t ELECTRICAL I -- — --------------- Rough In UG/Slab _ Low Voltage Fire Alarm Final 11,49ip PART FAIL --- - - - -- - Vin Backfill/Grading - --- - Sanitary Sewer Storm Drain ( ) ReinspEclion fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f )Please call for reinspection FSE _ ( j Unable to inspect no access ADA Approach/Sidewalk Date _ ExtOther � - Ins ector - Final PASS PART FAIL DO NOT REMO1fE this Inspection record front+ the ,job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0317 13125 SW Hall Blvd., Tigard,OR 9722.1 (503)639.4171 DATE ISSUED: 06/09/98 PARCEL: 251OIBC-O0200 SITE ADDRESS. . . :O82O5 SW HUNZIKER OT SUBDIVISION. . . . : ZONING: I-A.. BLOCK,. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project Description: Add first branch circuit to an existing conercial tenant, --- RESIDF_NTIAL UNIT----- --- TEMP' SRVC/FEEDE:RS---- ------•MISCELL_ANEOUS----- 1.000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PL.1MP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 4OCI amp. . . . . . . .. 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-•1000 volts. : 0 MINOR LABEL (10) . . . : 0 -_-..-__.SERVICE/FEEDER---- -----BRANCH CIRCUITS------ ----ADD' L INSPECTIONS— 0 NSPECTIONS-•- 0 - 202 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : i PER HOUR. . . . . . . . . . . : 0 401 E,OO amp. . . . . . : 0 EA ADD' t._ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION-----•---------- 1000+ amp/vol.t. . . . . : 1T > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . e 0 SVC/F'DR >= 225 AMPS. . : CLASS AREA/SPEC OCC. ., Owner: --- -_________._----._________._._..--- _---______.__.___..__. _ FEES _--_---_ POWER RENTS type aimolAnt by date recpt 8205 SW HIJNZIKER PRMT $ 35. 00 GEO 06/09/98 98-:306380 TIGARD OR 97223 SPCT $ 1. 75 GEO 06/09/98 98-3063801 Phone #: Contractor: - At-LEN JOHNSON ELECTRIC $ 36. 75 TOTAL P 0 BOX 411 REQUIRED INSPECTIONS _ AURORA OR 97002 Elect' 1 Serv:.r_e �. _____•��_�__. Phone #: 651.-3101 El ec_t' l Final Reg #. . : 000348 This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and a:l other applicable laws. All work will be done in accordance with approved plans. this persit will expire if work is not Started withrl '.A? days of issuance, or if worN is suspended for sore than 186 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in Or,R 9524)01-0010 through OAR 952-001-1987. you eay ^htain a copy of these rules or direct questions to (XK by calling (503)246-1987. P r3 r m i t t e e S i g n a t l_1 r e: ._._._...._...__._......_.__. I s s 1.l e d By - --------OWNER y •—•-------OWNER INSTALLATION ONLY------------------------------- '11-ir installation is being made on property I own which is not intended for lease, c. rent. c-)WNE=R' S SIGNATURE: DATE: INST�A/L..I_�l_ TON SIGNATURE OF SUPR. ELEC' N: 1� ` f' DATE: 101 l._T CENSE NO: 44...........1++++++i++++F+4+F+++++++++++++•f++•++++-1-+++-r•+++++++i...+++++++++++++•'-+ ! ' Call 639-4175 by 7:00 p. m. for an inspection needed the ne;;% bl.lsiness clay ++++++++++++•:•+++++++++++++++++++++++++++++++++++++++++++++++•f++++++++++++++++•+ c CITY OF TIGARD Electrical Permit Application Plan Check N_ 13125 SW HALL BLVD. Recd By Date Rer'd TIGARD OR 97223 Date to F.E. _ Phone (503) 639-4171, x304 Date to DST Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit#JE�� Fax (503) 684-7297 Called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development . _ ,y _____ Number of Inspections per permit allowed - Name(or name of business) �f+`/L �.�� LC• �.y Service included: Items Cost Sum Address SJ l' S L v' //0, N vd//j 4a. Residential-per unit 3 City/State/Zip / ��s'r U�"� y� L1 1000 sq.ti or less _-- $t io cm _ 4 Each additional 500 sq.ft.or portion thereof $11500 Commercial 0 Residential ❑ Limited Energy _ $25 oo Each Manut'd Home or Modulirr Dwelling Service or Feeder $6fi.00 2a. Contractor installation only: (Attach copy of ap current licenses) i 4b.Services or Feeders Electrical Contra to 1 y s ♦w �/c CT/L, C- Installation,alteration,or relocation 200 amps or less $60.00 -_� 2 Address 0 ! Ir 04#j.4.,r.4-te,19- 201 amps to 400 amps $80.00 _ 2 City •• ! State e L Zip L L 401 amps to 600 amps $120.00 2 601 amps to 1000 amps $Ie0.00 - 2 Phol @ NO. G< /< / ,i%_[ _ Over 1000 amps or volts $340.00 2 .lob N0. Reconnect only $50.00 _ 2 Elec.Cont. Lice. No,.2 �_Exp.Date_ OR State CCB Reg. No. 3 y�7 Exp.Date 2' -,9f, 4c.Temporary Services or Feeders CUT Business Tax or Metro No. 10,42_Exp.Date Installation,alteration,or relocation / 200 amps or less -. $50.00 2 SiSignature of Su r. Elec'n / 201 amps to 400 amps $100.0 2 9 p '�� 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts, License Nr �� f'f"4 L S Exp.Date /O ��Y� see"b"above. Phone Nr �i.5/' - -- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: at The fee for branch circults with purchase or service or Print Owner's Name------ feeder fee. AddressEach bran.h circuit $5.00 2 -- - -- b)The fee for branch circuits City, State__ -__- Zip without purchase of Phone No._ _ service or feeder fee. _ First branch circuit $35.00 '� 2 The installation is being made on property I own which is not Fach additional branch circuit_ $5.00 2 intended for sale,iease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature__-, _ Each pump or Irrigation circle $40.00 _ 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal circuit(s)or a limited energy --_- panel,alteration or extension $40.00 2 � --- Please check appropriate Item and enter fee in section 5B. fAlnor Labels(10) 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.OJ --�Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapte,5 In Plant - $55.00 *S9 nit 2 sets of plans with.pplicntion where any of the above apply. Jr. Fees: i Not required for temporary construction services. 5e.Enter total of above fees $ - 5%o Surcharge(.05 X total fees) $ NOTIGF Subtotal $ 5b.Enter 25%,of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ----� IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY �L TIME AFTER WORK IS COMMENCED. 0 Trust Account it a Total balance Jtie 1 TSMELC98.APP nm 9/9F1 1 Al V •J v �1 v va \ � t ` Q I qLb v 7 CITY OF TIGARD DEVELOPMENT SERVICES L 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF CICCL)PnN('.'Y P 'RMI T #. . . I . . . . BUP9 7-02, DATE ISGUEUia 09/16/9- 7 PARC EL.c r-IF ADDREGiS. . . :171(3205 SW HUN71KER X51' OBDIVISION. . . . - 1"ONINGit -L ".0cil. . . . . . . . . . LOT. . . . . . . . . . . .. . VIG' I-AS!3 OF WORK. :ALT X11-" OF USE:- . . s COM OF CONSTP-31N I.XUPIANCY GRP. :B "r'UPANCY LOAD- c'0 -iqf1NT NAME. . . :POWER RE-IsIT5 I'm,-,wkts. s 'r chant imi-n,ovement of fir-qt and gecond flouv-s wner,r AE PEAL FY' Gpoup 16!, SW IALJNZIKErf I(3ARD OR 972;:-.13 :101.)p #: ;.-NANT PER APPPOVAL FROM 0WNF-*.R :wne #t ,iis Cpr-txf:Lcatp r grants occupancy of the above v,s4fev,ericed building pw-t , liev-eof and confir-ms theit the building hAs been inspocted fat, ccimpllancp ow lip : tante of Ow"gon ";Perty-10 Code q, f oi- group,the group, ocf.p cuparicy. anti utlindev- , i Itich the r-eforpnced t was i'smuad. ifll. ' ING INSPECTOR EIUIL DING OFFICIAL. 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