9009 SW HALL BLVD STE 140 I
I
rO
H O
H �D
Ch
Ox
r
r
U'1
d
a �
e
9009 SW HALL BLVD
SUITE 140 `
ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT#: ELC2004-00497
n DEVELOPMENT SERVICES DATE ISSUED: 13/9/2004
12125 SW Hall Blvd.,Ticiard, OR 97223 (503) t'•39-4171 PARCEL: 1S126C0-01100
S1TE ADDRESS: 09009 SW HALL BLVD 140
ZONING: C-G
SUBDIVISION: WASHINGTON SQUARE PLAZA
BLOCK: LOT: JURISDICTION: TIG
Projact Description: (1)sign lighting.
_ RESIDENTIAL UNIT _ TEMP SRVCIFEEDER_S MISCELLANEOUS
1000__SF_OR LESS: — 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1
LIMITED ENERGY: 401 - 600 arrp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601;amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER — BRANCH CIRCUITS — A ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUP-
i 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: — PLAN REVIEW SECTION
1000+ amp/volt: -4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only SVC/FDR>-225 AMPS: `—_ CLASS AREA/SPEC OCC: J�
Owner: Contractor:
WASHINGTON SQUARE PLAZA YOUNG E LECTRIC SIGN CO
BY THE CAFARO COMPANY 10535 SWAVERY STREET
P 0 BOX 422 1 UALATIN,OR 97062
FLORHAM PARK, NJ 07932
Phone: Phone: 503-612-6672
Reg #: LIC 69308
SUP 465SIG
FEES _ _ ll.c 37-51CLS
I18scription Date Amount —
Required Inspections
[GLPRm'rj ELC Permit 8/9/21104
I I:LPLCK] ',LC Pln Rev < <i 1004 $4 ,' Rough—in
Elect'I Final
Total $57.67
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 wChin 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)
246-6699 or 1.800-332.2344 �I1
Issued By: �, � ,�_> vtC Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: _ _ _ — _ DATE:---
INSTALLATION
ATE:_INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: __�__ _ _ r—_ _ DATE:-------_--_-.,_
LICENSENO: T-- _— --- _-- _-- --•- --_--. _-._.__-.__� _ �_...____.
Call 639-4175 by 7:00pm for an inspection the next business day
'S, o
Electr dal Permit A t'
City of Tigard B"4 G y/ Permit Nn.. ezci, -ezti�
13125 SW I IeII I'IFvd,l igard,OR 97223 Pltm Review r r `Phone:'503.039.4171 Fax: 503.598.1960 10 4 palel0 : Other Pennit
Inspection tine: 503.639,4175 Daae Ready/by See Page 1 for
Internet: www.ci.ngard.or.us G1 I YNouried/hlethod: S ipplemental lnforrnstlna
N --- PIAN REVIEW
❑New construction �❑ndrliiioti/alter.iiion/replac mens Please check all that i,pply.
❑Demolition ❑Other: ,+l(SN3 ❑Service over 225 amps,comm'I ❑1larnrdous location
_ ❑Service over 320 amps -rating ❑Buiidng over 1(1,00(1 sq.it-
CATEGORY OF r-ONS9TRUCUMON of I-and 2-ternily dwellings 4 or more new residential
❑ I-and 2-11imily dwelling ❑Commercial/industrial ❑ Accessory building —� ❑System over 600 volts nominal units in one structure
❑ Multi-filthily ❑ Master huiider Uthcr: S� ❑Building ovu three stories ❑Feeders,400 amps or more
_ ___ ❑Occupant load over 99 persons ❑Munufnctured structures or
.IOB WE INFORMATION AND LOCATION ❑Egressflighling plan RV park
Joh na.: Joh site address: 9 t�9 �j(�) L�pi(�s� �.+�tp ❑fmit Lcore ofpl facility ❑(thee
--__ -- -
Submit �sets of plans with any of the atxwe.
City/State/"/.Il': 1.1 vas the above arc mol applicable In tenrponiry construction service,
Suite/hldg./apt.no.: '�y p Project name: �1: X14 �AQ�1 5� r_-� FE$a SCURDULE ..
IleecrlpllnnI Qty. F[c�_-told
Cross strect/directions to Joh site: ��cJyv� �Z New residential single-or multi-family dwelling unit.
Includes attached garage.
1,000 sq,ft.or less 145.15 4
Subdivision: `-- - _ -- _ Lot no.: `i La.WWI 500 sq.ft.or portion 33.40 1
fax map/parcel no.: Limi!cd energy,residential_ 75.00 2
I.ilnited energy,non-residential 75.00 2
�v DESCRIPTION Or WORK Each manu educed or modular
GG �^�_ SNr�� dwelling,sen;.�and/or leader 909(1 -� 2
u-1 �� Services or feeders Installation,elteraHon,and/or relocation
sv �L�SS(1�,t��(�Ctr_,] �t'��vs�S Ct•,� 1.1��r � tty� 200 amps or less 80.30 2
❑ PROPERTY OWNER Tl>llrAl'T 201 amps to 400 amps 106.85 2
--- 401 amps to 600 amps 160.60 2
Name: ^oc>N\i1, S`�C.\ 601 amps to I,000 amps 240.60 2
Address: j� �� �`���-�/�� (hoer 1010 amps or volts— 454.65 2
Reconnect only 66.85 2
City/State/zIP: 'r C.%N fZD �E,(y�j J Z'�`Z� Temporary services or feeders Installation,alteration,and/or
relocation _
Phone:(5CO.6-;t3. U,& Fax:( ) _ 200 amps or less 66A I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended tin sale,lease.rent,or exchange,novording to ORS 447,449.670,and 701. 401 amps to 600 amps — 133.75 2
Owner signature: _ _ _17uie. ____ _^_ Branch circuits new,alteration,or extension, r panel
APPL.ICAM ❑ CONTACT PROM A.fee for branch circuits with
Business name: ` 7 branch circuit service or feeder fee,each
6.65 2
B.Fee for branch circuits
( ontact dame: _ without service or feeder fee, 46.A5 2
III each branch circuit
Address: 11.p
S Each add'I branch circuit 6.65 2
City/State/ZIP: a r� - , -9- S-7)
� 7�� Miscellaneous(service or feeder not included)
S- Pump or irrigation circle _ 53.40 2
Phone:l2tg)31{-s�_ 7Kik�5 Fax::( Q)�r�'c Sign or outline lighting 53.40
Signal circuit(s)or limited-
CONI RACTOR energy panel,alteration,or
Ciusinessextension.Describe: I'age 2 2
name: o�I-iC.E�t"�+�
Address: Lo RAr Fath additiahal InsLrection over allowable In any of the above
.I Al �"" ( �' --_ Per inspection 62.50
city/State/zip:�` �Z Q ky, 1 .� _ Investigation per hour(I to mail 62.50
r .r Industrial plant per hour �� 73.75
Phone:l'7 I 2.a►'�L_ ta'7 _ ELI�tTtt rAL PERUIT •
CCi;I.ic.: � tical 4wZ'JIn!E Supra.Lir iio�71`�itS- ,. Snhiotal 65-�o
Suprv.Elect titin signature,re y ' Plan review f[5%of permit fee)
Print name: bat;: ' 1Zb _ _� State surcharge(M of permit fee) .
TOTAI.PERMIT FEE ?•�p
Authorised. L-- -
This pe,mil applicallu,expires Its permit It i of obtained within 1110
dayp after it bas been accepted m complete
Print nem Fee methodolopy t by 7'ri-C'ouna Ruildmg In tustn Scoter Board
1C_
..Number of inepecit ,s net permit allowed
CITY OF TIGARD 24-Hour
BUILDING Inspecticr. Lina: (503)639-4175 MST .......
INSPECTION DIVISION Business Line: (Ft%939-4171
IBILIP
Received —Date Requested AM PM BUIP
Location Suite MEC
Contact Person Ph(---) PLM
Contractor Ph SWR
BUILDING Tenant/Owner EI-C
Footing
Foundation 12LC
Fig Drain Access: I--_LR 6c)Vc; 7
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall V
Fire Sprinkler
Fire Alarm
Susp'd Coiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab ---
Rough-In
Water Service
Sanitary Sewer
Rain Drains
CdILI1 Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-in
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab JIL
Low Voltage
Alarm
F! Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL F-] Please call for reinspection RE: Unable to inspect--no access
Fii,3 Supply Line
ADAW L7
Approach/Sidewalk Date Inspector U__jy_ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CI TY OF T I G A R D CERTIFICATE OF OCCUPANCY
J s DEVELOPMENT SERVICES PERMIT#: BUP2000-00282
13125 SW Fall Blvd.,Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 09/18/2000
PARCEL: 1 S126CO-01100
ZONING: C-G
JURISDICTION: TIG
SITE AL'DRESS: 09009 SW HALL BLVD 140
SUBDIVISION: WASHINGTON SCUARE PLAZA
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2N
OCCUPANCY GRP: M
OCCUPANCN LOAD: 490
TENANT NAME:
REMARKS: Tenant Improvement 16,754 square feet
Owner:
WASHINGTON SQUARE PLAZA
BY THE CAFARC COMPANY
P O BOX 422
FLORHAM PARK, NJ 07932
Phone:
Contractor:
TCS INC GENERAL CONTRACTORS
18032 NE AIRPORT WAY
PORTLAND, OR 97230
Phone: 492-0800
Reg#: I_IC 55162
This Certificate issued I 1/110/20110 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Specialt des for the group, occupancy, and use under which the
referenced fjgripit was ssue .
BUILDING INSP CTOR BUILDIN OFFICIAL
_
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION; DIVISION MST
24-Hour Inspection Line: 6394175 Business Line: 633-4179
/ 13UP �-
Date Requested._ ? _ -AM __PM BLD
Location- C1�_G0 GJ s w u�� Suite U — MEC
Contact Person ��l l -c.^ Ph `���-46�G9 PLM _
Contractor— Ph SWR
UI -� Tenant/Owner ELC --_
Retdining Wall — ELR
Footing Access:
Foundation FPS
Ftg Drain -- SGN _'--- �_—
Crawl Drain Inspection Notes: — — ------
Slab _. _`_---- SIT
Post R Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall - -----
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof , -- -
�I
1�SS R i FAIL - - - - -
f LWOWNG
Post& Beam
Under Slab
Top Out --
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam --- -- — —
Rough In
Gas Line -- -- -
Smoke Dampen
Final — —
PASS PART FAIL
ELECTRICAL _--— -
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm —
Final
PASS PART FAILSITE
Backfill/Grading
Sanitary Sewe-
Storm Drain ( ]Reinspection fee of$` required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE: inspect• no access
Fire Supply Line ( ] p _ ( ]Unable to
ADA
Approach/Sidewalk
Other Date I� � I v Inspector v 11' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the joL site.
CITY OF T�I G A R D --=LECTRICAL PERMI
DEVELOPMENT SERVICESDATE S PERMIIED: ELC 0000-00474
8/14
13125 SW Hall Blvd,,Tigard, OR 97223 (503) 639-4171 PARCEL: 'iS126C0-01100
SI1 E ADDRESS: 09009 SW HALL BLVD 140
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Two (2)wall signs and one (1)monument sign lighting.
__RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 3
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps •. 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O Sr1VC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH G�RC: 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:
HIGHLIGHT SIGN CORP
8200 SW HUNZIKER
TIGARD, OR 97223
Phone: Phone: 503-620-8205
Reg#: LIC 00104599
SUP sig517
EI_E 26-888CLS
FEES _ Required Inspections
—Type By^ Date Y Amount Receipt — Ceiling Cover
PRMT BLD 8/14/00 $128 25 0004479 Wall Cover
5PCT BI_D 8/14/00 $10.26 0004479 Underground Cover
Elect'I Final
Total $138.51
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other arplicable;aws.
All work will be dcne in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies rf these rules ordirect questions to OUNC at(503)
2461987
i
PERMITTEE'S SIGNATURE ISSUED BY:
-4 1. 0 10 19L 11-zl
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease__, or-rent.--------
OWNER'S SIGNATURE: _.` DATE:..
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Y1�f•ttJt,L(,G/def r'A!YZt ti�kJ���r
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 ° �.!1/'c �n� -CY�/� DateRec'd
Date to P E
Phone (503)639-4171, x304 D�/3 /( Date to DST
Inspection (503)639-4175 Print of Type -�/ Permit# E"L�'20p0 -r�by'y
Fax(503) 598-1960 Incomplete or illegible will not be accepted Caned
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development �'� L) Number of Inspections per permit allowed
Name(or name of business) - Service included: Items Cost Sum
Address�r � _7 w� 14A 1-l._ - T_ 4a. Residentiat•per unit
City/State/Zip_ �/ 117 QQ� 1000 sq ft.or less $ 117.75 4
- Each additional 500 sq.ft or
portion thereof $ 2675 1
Commercial Residential❑ Limited Energy _ ! $ 60.00 _
Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 2
(Prior to permit Issuance,applicants must provide cotdractor license 4b.Services or Feeders
information for COT data base). Installation alteration,or relocation
Electrical Contractor -NJ&1 I 6�41J 200 amps or less $ 64.25 _ 2
Address �� iG�%_� �7 Z �+�/.Z 201 amps to 400 amps i- S 8550 2
City 401 amps to 600 amps $ 12850 2
State L`� p -
�� SttZip Z¢ 7
l. --�---- 601 amps to 1000 amps _ $ 192.50 _ 2
Phone No. In a c�]� Over 1000 amps or volts �- $ 363.75 2
Job N0. _ Reconnect only $ 53.50 2
Elec.Cont. Lice. No. �..I.CQ�! Exp Date. /u �?0C)_� 4c.Temporary Services or Feeders
OR State CCB Reg. No.Jr& �9Q Exp.Date installation,alteruUan,or relocation
COT Business Tax or Metro No 7 r� Exp.Date 200 amps or less $ 53.50 2
�,/. 'J- 201 amps to 400 amps $ 8025 2
Signature of Supr Elec'n /y/L�±f 401 amps to 600 amps $ 100.00 2
Over 600 amps to 1000 volts,
soe"b"above.
License No 1�1 ___ -Exp.Date /V o7e-eo7
-`-" 4d.Branch Circuits
Phone No. �� ,_. New,alteration or extension per panel
a)1 he fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name _ Each branch circuit $ 5 35
Address / b)The fee for branch circuits
--- -- - - - without purchase of service
City ate __Zip or feeder fee.
Phone No. First branch circuit $ 37.50
Fach additional branch circuit $ 5.35
Tne installati s being made on property I own which is not 4e.Misconameous
intende sale,lease or rent. (Service or feeder not included)
Each pump or Irrigation circle a 42.75
Owner's Signature Each sign or outline lighting S 42.75 j
- "- - Signal circult(s)or a limited energy
panel, elsalteration or extension $ 60.00
3. Plan Review section (if required):*
Minor Labels(10) $ 100.00
Please check appropriate itern and enter fee in section 58. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00 _
_-.System ovrr 600 volts nominal In Plant $ 5900
__Classified area or structure containing special occupancy as ^
described in N E C.Chapter 5 5. Fees:
5a.Enter total of above fees $ f �• es2-5
* Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(08 X total,ees) $
Not required for temporary construction services. Subtotal $
5b.Enter 25%of line 5a for
NOTICE Plan Review If required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal a
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account#
AT ANY TIME AFTFR WORK IS COMMENCED Total balance Due $ 121 5�
i�dsisllimne\cicctric.duc
CITY C)F T I G A R D _ ELECTRICAL PERMIT
PERMIT#: ELC2000-00572
DEVELOPMEN'T SERVICES DATE ISSUED: r ?7/00
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126C0-01100
SITE ADDRESS: 09009 SW HALL BLVD 140
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of 2.3 branch circuits and sign lighting.
Y RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1
LIMITED ENERGY: 4C 1 - 600 amp: SIGNALWANEL:
MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
_ SERVICE/FEEDER ^_ BRANCH_CIRCUITS ADD1INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - G00 amp: EA ADD'L BRNCH CIRC: 22 IN PLANT:
601 - 1000 amp: _ PL_AN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WASHINGTON SQUARE PLAZA HUGHES ELECTRICAL CONTRACTORS
b( THE CAFARO COMPANY 10490 NW JACKSON QUARRY
P O BOX 422 HILLSBORO, OR 97124
FLORHAM PARK, NJ 07932
Phone: Phone: 6472204
Reg#: LIC 49850
SUP 2347S
ELE 34-281C
r-- FEES
Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 9/27/09 $246.55 2720000000( Wall Cover
5PCT CTR 9/27/00 $19.72 2720000000( Elect'I Final
—� Total $266.27
This Permit is issued subject to the regulations con,ained in the Tiga d Municipal Code, Stage 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 issuanrn,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 em set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordrrect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE ��J ISSUED EY: G F
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended f;)r saie, lease, or rent,
OWNER'S SIGNATURE: _ �_�a ___—_� DATE:
I'ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO
Call 639-4175 by 7:00pm for an inspection the next business day
Community Development ELECTRICAL PERMIT APPLICA71ON
13 t 36 SW NO Blvd.
Tigard, OR 97M PlencWRoC. M
Permit * _,,, ( .20an -_Qo.S7.2�
Plane (543) 0*4171 Date issued
crT�r aF noARDPAX (343) 064.7297 Issued by 0,
TDO No. (303) 804.3772 ..—���•-1
IneoWlon (603) 63"175
I. JobAddress: �a {,�,�,��,� �, 4. Complete iPr" Schedule Below:
Vame of Development„rp.c-T �n
4�Jrttstt �J L� A L R� � 9ervlo�indud�: lw t► 0044av Sum
.Ity/Stt7te/2ip `�'�(�A�t� a n� 416 Reetdentiet• par unit I
low y.R a Im {11OD0
L. s r�.l ..JL�.� . MoM odd�oI NO W
Urns (or name of bueln"a L iw —!
poeva rn,.d aaam
�Ammerdol Re>lltierltlal(� U0*”sr"wr Mae
Gogh"W"Hsuw of U"wrr :
t�
IV 0wadM l.+rla or Foodw 11MA0 �.-
2a. Contraanor Inataliatlon only: ,y ut,servltme or Fe.aesr-
Sleadcal Contractor c ,1& . >�ar Ishes°'by r�Merbn "CAD i
t jr v 701 wnm to ICO imp erg •��•� !
141 Wma to 4W amp
V 8tit4+ so. amp a 1400 W"Ps $to=
00
'hone No. - 0""10 arelr e<roe. "am
:onVactore License No. ��, ^ 7tuorhrhneer or+P sloAo ____.__
"ontracbors Board Rep. No r z 4&Temporary tlervaoee at readetre
IrheJe wore,s"W len,or reMoMon !
Pgnature or 9u Eec°n e44 of"a W" MAO ?
Jcan" No. Z5¢ Phone Na - i4 �'s400M'� M40 -�—
101 empe Is 111106 AMP*
i
Over Boo dhps to hOV•ee.
2b. For owrw InaftfiNimola., me"r am".
sn.ler*O!A clret W
'rent Owner's Name Nw.erfirplun or eaerrin pry prow
lddres/,.._..r_ ww w*nn tw for Worcs h ok"I oft
:I ty swe zip,,.,,,_,__,,,., /wmiamm of saw tin or►rely aro a
bftfAh df"
'hone No, M ft bl-rol W Lft"L"l ~� �� F
-he ins�t6lllatitar ie bWrp made on property I own wwhip PUMU.h.4w0"Warmaw"
lot intended for sallth Ivaee or rent. p"";; dMA aeL
E, I, ;r, dmA 72- a
>wnoes agnature � iia YleoeltePteeua i w- _s O
(iligrvloe or kt+dw nrrt jwkWoM
9. Plan Review seotlon (N nq#dA t1)l: ��or,�� 9W.00t �� 7
oyrr GIRILKq of r as ararAr
PIONJO dteok epprgPfleM pets end erste-fM IN 4K%AM id, Porwl.etaalmh or au" Imm B ODO
4 or more reaidOnMel unite M one abucoxv Am'46.16(1 610CA0
Survive Bred loader 125 amps or r.ore
S)rltosrn am SMvolts rlortlrtsi 41,Eeoh additional Inoreo�tlO�n suer
CtalsAW asecie!
e a Rvucwm oma ring spac=pavy Poo dlowebN M any e1 the*W"hhr Irwpbdlen "SAO
as described M N.E.C. Chaser a Per►war MAG
In Moro
Iuarnh 2 soft of piano vMna seplteetian urtare sty e1 the shove
reply. Mal required far tenr*e wy ooneirtwilerl wale..! S. Foes:
e.. Enter Iotw of alcove lees
-� sx sweherpa(.ae x best It;tw) i
'EAMIi9 BECOME VOID IF VYORK OR CONssTAWaTIONof 9ubr 391.25 E
4UTHOA(ZFD 18 NOT CCUMENCED WITHIN 181 DAYS,OR IF lib. Ener 2 r A for
:CNSTAUCTION OR WORK 18 SUSPENDED 011 AeAN00NED MR Plan ��ei"itf required('�o.J) �
9srbraatd tl '+��_
PERNJO OF tAp DAYS AT ANY TIME AFTEA WONK fs f
:OMMI!NCEo. True Aerewm
8s/errta aur �
7
wf...e-,..�
1oo[Yi 'ItJIHJ13 I',I amici!!1 so,.a crg cos xNa fl :n( :111, 00 91-: 60
w ITY OF T I C�,�R D ELECTRICAL PERMIT
PERMIT#: ELC2000-00570
DEVELOPMENT SERVICES DATE ISSUED: 09/27'2000
13125 SW Hall Blvd..Tiaard, OR 97223 (503) 639-4171 rn.RCEL: 1S126CO-01100
SITE ADDRESS: 09009 SW HALL BLVD 140
SUBDIVISION: ZONING: C-G
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Signal circuit or limited energy panel alteration.
RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 anp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/CUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HM/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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IIJ PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amn/volt: >=4 RFS UNITS: >600 VOLT NOMINAL:
Reconnect on y: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _
Owner: Contractor:
WASHINGTON SQUARE PLAZA ADI SECURITY SERVICES, INC
BY THE CAFARO COMPANY 2815 SW 153RD LR
P O BOX 422 BEAVERTON, OR 97006
Fr ORHAM PARK, NJ 07932
Phone: Phone: 503469-7100
Reg #: LIC 0059944
ELE 26209CLE
YFEES-- V _ Required Inspections
Type _ By Date _ Amount Receipt Elect'I Service
PRMT CTR 09/27/200[ $75.00 2720000000( Elect'I Final
5PCT CTR 09/27/200C $6.00 2720000000(
Total $81.00 _
This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans chis permit will expire if work is not started within 180 days of issuance,or 0'Nork is
suspended for more than 180 days ATTEN'rION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-0010080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE .�.� ��i�� _7 ISSUED BY-�`%�� r �
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
503 598 1960 •.
03/11/00 'XFRI 12:15 FAX 503 598 19130 CITY OF TIGARD 7l (in 003
CITY'OF TIGARD �
Electrical Permit Applica ``� ��� Plan Check
13125 SW HALL BLVD. EGRecd 8y
c TIGARD OR 97223 �e, Date Recd j
Phone(503)639-4171,x304 ��N`. Date to P.E.
Inspection(503)639-4175 t vt�Qti Date to DST _
Fax(503) 598-1960 ► (int of Type \\y UE Permit aY
T� Incomplete or illegible will not bl��,ted Called
1. Job Addressl' 4. Complete Fee Schedule Below:
Name of Development l o1 __ Number of Inspections per unit allowed
Name(or name of business)—�-^— Service included: Items Cost Sum
Address,_ _�/ 1' 1
_ 4a. Residential-per unit
rally/state/zip 1000 sq h.or less - $ 117.75 - - 4
r-v-t Each eddilional 500 sq ft or
Commerc,lal L^1 Residential ❑ portion thereof $ 26 Tri - 1
Limited Energy $ 60.00
I Each Manufd Nome or Modular `
2a. Contractor installation only: Dwelling Service or Feeder _ 3 72.752
(Prior to pennit Issuance,applicants must provide contractor license 4b.Services or Feeders
Information fur COT data bass). Installation,alleration,or relocation
Electrical Contractor A7, .,�ecur.ity Services, Inc. 200 amps Ar less _ $ (3425 2
Address 2H SW 1 i tT[I Or. 201 amps to 400 amps $ 85.50 —� 2
Cl1Y Rc+ayvt-tnn .State- (1R Zi 401 amps to 600 amps ��� $ 126.5U 2
Phone No. 7 p- 97QQ6 601 amps to 1000 ams — 192.5o —
P P _ $ 2
��j� / �1�1),,((��� r�3 Over 1000 amps or volts _ $ 363.75 2
Job No. �1 ' ] � _ Reconnect only $ 53 50 2
Elec. Cont. Lice. No. �(,-�pgt'.LIj_Exp, __IDJ Q`QD 4c.Temporary services or Feeders v
OR State CCB Reg No. jg94A .____Exp.Date __V 7 LQ1,— hrstaintion,alteration,or relot.ation
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2
201 amps to 400 amps $ 8025 2
Signature of Supr Elec'n ` �,1� 401 amps to(00 amps $ 100.00 2
�- - Over 600 amps to 1000 volts.
t.icense No —Exp.Date_ ace"b"above
Phone No. _ ---- 4d.Branch circuits
`--� ��- ---- New,alteration or extension per panel
a)The lee for branch circuit,,
2.b. For owner installations: with purchase of service or
leader fee.
Print Owner's Name
---LW?(,/1l(7�� /) 1 Each branch circuit $ 535 2
Address__.` _ r'4 h)Tee fee for branch circuits
City '� Zip or feeder faf.
�State - - without purehnse.of service
__ S
Phone NO. j 4 ^� _ r-irsl branch drewt _ $ 37.50
Each additional branch circuit $ 535
The installation Is being►:•tgde on property I ounl which is not 4e.Miscellaneous
intended for sale, lease or rent (Service or feeder not included)
Each pump or.rngation circle ____ S 42.75
J Owner's Signature _._ Loch sign or outline.lighting _ $ 42.75 '
Sjgnai circult(s)or a limited energy
3 Plan Review section (if required):' panel,alteration or extension
Minor Labels(10) $ 100.DD
Please check appropriate Wtm and enter fee in soction 58. 4f.Each additional Insoection over y
4 or more residential units in one structure the allowable In any of;he above
Service and feeder 225 amps or more Per inspe.hon $ 5000
- _
I - System over 1300 veils nominal Per hour $ 5000 Plant E 50 00 _
_Classified area or structure containing special occupancy as -�_ (.7
described in N.E.C.Chapter 5 5. Fees:
Sa. total of above tees $
{
Submit 2 soft of plans with appllcat;on where any of the above apply. P%Surcharge(.OB x total fees) $ �!y'.'�1�^�1.._•-
Not required for temporary construction services. Subtotal $
NOTICE 6b.Enter 25°e.of line Ila for
Plan Review if required_ (Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ �'
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ 1 rust Account a �,C)
AT ANY 1lME AFTER WORK IS COMMENCED. Tota!balance due
i•ldstslfnrmslclectric.dr�, i.. /{l
! I 11
BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP2000-00397
;. DEVELOPMENT SERVICES DATE ISSUED: 09/21/2000
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 1S126C0-01100
SITE ADDRESS: 09009 SW HALL BLVD 140
SUBDIVISION: ZONING: C-G
BI OCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS"
_
TYPE OF CONST: 2N st N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOf C-INST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf ARLA 5FP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ READ SETBACKS _ REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ^�ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
f`smarks: Modification to 6 sprinkler heads.
Owner: Contractor:
WASHINGTON SQUARE PLAZA WESTERN STATES FIRE PROTFISTION
B'r THE CAFARO COMPANY 138 36 FIT ST STE B
P�� .5
0 BOX 422 OREGON CITY, OR 9704
FPhone M PARK, NJ 07932 Phone: 5C3-657-5155
Reg#: uc 104570
FEES REQUIRED INSPECTIONS
Type By _ Date Amount Receipt Sprinkler Rough-In
PRMT CTR 09/2112000 $62.50 27200000000 _ Sprinkler Final
5PCT CTR 09/21/200C $5.00 27200000000
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Cone, State of OR. Specialty Codes
and all other applicable law. All work vnll be done in accordance with appi oved plr.ns. This permit will expire if work is
not startad within 180 days of issuance, or if work is suspended for more than 1F0 days. ATT EN FION: Oregon law
requin.S WU to folla.v the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00'1-0010 through OAR 952-001-1987. You may obtain a copy of these: rales or direct questions to OUNC by
calling (503) 246-1987.
Pe rm it ee
Signature:
Issued By:
Call 639-4175 by 7 p.m. for ar, inspection the next business day
12.2; 99 'ItE: 17:3'r FAX 503 598 1980 CIT( OF 'riiGARP ZOU2
Fire Protection Permit Application Plan cAedfa
CITY OF TIGARD Commercial or Residential Recd By Ai '-
13125 SW HALL BLI ID. Date Recd-4/2/ i
TIGARD, OR 97223 Print or Type Date to P.E
(503) 639.4171, x, 304 Incomplete or illegible applications will not be accepted Date to DST
�> ^ Permit S/:
-,
called
JOb NaT-e of Development/Prc;ect
A` #I f 1T�1�) Type of System (Ccrnplete A or S as applicat:le)
. _ _
Address Address - -
ry A,) Sprinkler Wet Dr/ D. - —--- —
Na•me ---------- StaDidplp�s I ---
H Lt-
Owner Mailing Address Hazar:Gr.Jp
_ Additional
Gt(State Z Phone --
/ D Information Den_ty
Name Design Area —
Occupant Nalle� `V-- - y r Faaor I !
4-r)LC,
-� r� {��� Ir'o Zrp Phone
A� A.1) Sprnkler Proje;t Va!uaton
-
Contractor Ner,re B.) Fire Alarm
(9arinMbrorV, Ili • C _____
A d m Campanyl Mathn Ad^.ress Subrcittal S�a',I Include B+'tery CRlculat.cns YES ❑
iIssuance.a Crt/r5ta Zi;, Phone Indiv dual Comr>oneni YES
ewy � '�- � Cut Sheets
l of aillicenses �'�L - rr B 1) Fire Alarm Project Va,t:a:ion $
are rsq-,fired' its Ccnst.Cont.Board,ic.19 Exp.Dats
eX lred,n eOr 1t ti �7 Project Valuation Subtotal{A &or B) $
Name Permit fee based on valuation
,� �� "-, �'fl --�-�- I ^ see chart on back
Architect Mail,n AacrIss !,Surcharge $ ..
City/stat cIp Phone FLS Plan Review 40% of Permit $
-cis ortbe•Ac-A A.)New O Adoltlon C A teratloepair O _
to be done I TOTAL
B) Nixiircac:on to spdrkler heads cn!y• -
1. 1-10 heads-No talars required Plans required SLtnlrt!tree sell of;rant,including a vicinay map and
2 11.-Plan review regairtd the Icrarion of tre wirest Hydrant
_ i harsoy acknowledge na!I s%@ sac tre a,�pi eaten,Ina'the 1.'ormatar g ven is
Nu-nb-r or 3 nnkler heads T .4 oo'rPct t7111 I am he owrer if s-Ar:sed agent d Ps owner,enc tnat dans sutn+'Ced
Adddreral C�,,ipt 7,r of',Vo.A �s
are r, )mpiltda wth Or m Sa.claws Signa ure of OwnerfAgent Dat-a-T-i
A)Ii Es st nyBuik'irg?• ` Neh Build in i 27,f �.At,Dr—9,4 �C(�
Building Contac!?e!son Name Pno
Qata e)
FOR OFFiGE USE ONLY:
N of st:res r 'Libp/TOf y• ,z ,
e;ew31 Ft.
-_--- -
,3ccuparcy Class _ T/pe of Constructs^
c',dstrrortas�firesaprAoc 7299
Western States Fire Protection Co. Fire Prolection Systems
Design•Fabrication•Installation
13896 S. Fir St. #13 Oregon City,Oregon 97045 Commercial•Industrial•Residential•Institutional
(503)657-5155 (503)657-5182 FAX Special Hazard;•Iligh Tech•Defense•hangers
Ie0rotil•Service•Inspection•Maintenance
Fire Alarm&Detection
SEP 1. H ?000
COMMUNITY ON,
TTAL FORM
TO: CITY OF TIGARD DATE: SEPTEMBER 14, 2000
13125 SW HALL BLVD _ SUBJECT: FACTORY 2 U
TIGARD, OR. 97223 WASHINGTON CIRCLE
ATTENTION: PERMIT DEPT. (fire protection syst.) JOB NO.: 290444
SHOP DRAWINGS NO.COPIES SHEET NO. DESCRIP PION
® FOR APPROVAL 3 1_O_F 1 _ REFL. CEILING _
❑APPROVED _ _ CHECK FOR $ /,7,.50
❑APPROVED ASNOTED _ PERMIT APPLICATION (VALUE = $510.00) t 10 HDS._
I]NOT APPROVED-RESUBMIT
FOR YOUR USE
❑FOR DISTRIBUTION
We will require approved copies for our use.
THESE PLANI.. `;NOW THE HEAD RELOCATIONS IN THE cTORE REMOF)I;L AREA.
OUR WORK CONSISTS OF RELOCATING HEADS AS REQUIRED FOR NEW WALLS &
ADJUSTING HEADS AT NEW CEILING AREAS. ALL RELOCATIONS ARE OFF OF THE
I XISTIN(i ;:YSTEM. THE EXISTING SYSTEM & GENERAL SALES AREA REMAIN AS IS
SINCE WE DO NOT EXPECT TO ADD OR RELOCATE OVER 10 HEADS PLAN REVIEW
IS NOT REQUIRED. FOR YOUR CONVIENCE WE ARE INCLUDING T14ESE "PLANS" �
WHICH SHOW THE AREA. OF WORK & HELP DISCRIBF THE SCOPE OF WORK.
PLEASE CALL WITH ANY QUESTIONS OR CONCERNS. 'THANK-YOU, 0-14
BY HEIDI MADERA
SIGNED
4 l
Alhuyucmpic• Ausen•I atlas•Derauu•Demel•Duluth• I lolmon•K;InS;K('u, •Minneapolis•I'lloci s•Portland•Rapid(lh •St 1 ouls•Solt I ake lltd •`eatile
w
CITY OF TIGARD PLUMBING PERMIT
PERMIT#: PLM2000-00356
DEVELOPMENT SERVICES DATE ISSUED: 9/21/00
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 PARCEL: 1 S126C0-01100
SITE ADDRESS: 09009 SW HALL BLVD 140 ZONING: C-G
SUBDIVISION: JURISDICTION: TIG
BLOCK: LOT: _
GARBAGE DISPOSALS: MOBILE HOME SPACES:
CLASS OF WORK: ALT WASHING MACH: BACKFLOW PREVNTRS-
TYPE OF USE: COM TRAP'S:
OCCUPANCY GRP: FLOOR DRAINS: 2 CATCH BASINS-
STORIES: WATER HEATERS: 1 SF RAIN DRAINS:
FIXTURES LAUNDRY S: GREASE TRAPS:
SINKS: 1 URINALS:
LAVATORIES: 2 OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: t
Remarks: Plumbing for commercial TI. -- FEES _ 1
Owner: _ — FtPR
e By Date Amount Receipt
WASHINGTON SQUAR,: PLAZA T CTR 9/21/00 $132.80 27200000000
BY THE CAFARO COMPr,NY 5PCT CTR 9/21/00 $10.62 27200000000
P O 13OX 422 Total $143.42
FLORHAIN4 PARK, NJ 67932 --
Phone 1:
Contractor_
PAUL THE PLUMBER
4005 SW 195TH 0!E
ALOHA, OR 97007 REQUIRED INSPECTIONS —
Rough-in Insp
Phone 1: 649-3140 Underfloor/Underslab
Reg#: LIC 124083 Top-out Insp
PLM 34-381 PB Insp existing/capped fixtures
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Coders and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not staffed within 180 days osfollow rules adopteuork hyithe`spended Oregon Unity ore
than 180 days. ATTENTION: Oregon law requires y
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
1 �
Permittee Signature:' w
Issued BY: ------
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
CIT`i' OF TIGARD Plumbing Permit Application Plan Check#
13125 SW HALL BLVD. Commercial and Residential Recd By :1:,t
TIGARD, OR 97223 Date Recd
(503) 639-4171 � Dale to P.E.
Dale to DST
Permit#
Print or Type / Related SWR#`
Incomplete or illegible applications will not be accepted Called_
Name of Development/Project— FIXTURE=S (individual) qty Price Total
Job �(/�c`1�f 2 �r Sink - 1660IJ& r
Address 5 eet Address `-/ Syite , Lavatory _ —_— 16.60
7l) .'�j6: r� P (J Tub or Tt.b/Shower Comb. 16.60
Bl(1g# State Zip Shower Only — 16.60
Name Closet 2 1660
Urinal — 16.60
Owner Meiling Address Suite Dishwasher — 16.60
-- Garbage Disposal 16,60
City/State Zip Phone Laundry Tray — 1660
�— Name .(( a A Washing Mar;hine 16,60
_�C�L.1C'�"l _ Floor Drain/Floor Sink 2" 16.60 -93 w
Occupant Mailing Address Suite 3" 1660
-- -- �
City/State — Zip Phone 4" 16.60
Water Healer O conversion like kind 1630
--�— Nat — Gas piping requires a separate mechanical permit.
MFG Home New Water Service _ 4640
Cuntractorailing AAddl ess Suite MFG Home New San/Storm Sewer 46.40
0 Itis 4 Hose Bibs 16.60
Prior to permit City/State L Phone Roof Drains 16.60
issuan:e,a copy ��. ' —. —
Drinking Fountain 16.60
of all licenses are re on Const,Cont.Board Lic.# E rate ✓
required if 7 U i� �h�Z � Other Fixtures(Specify) 21.75
expired in COT Plumbin Uc # Ex ate 7
database --i—
Name —
Architect __ Sewer-1st 100' .55.00
dd
Or Mailing Aress Suite Sewer-each additional 100' 46 40
-- Water Service-1st 100' 55 00 S'
Engineer City/State Zip Phune _
Water Service-each additional 200' 46.40
Describe work to be done: _ Stoirn&Rain Drt r ist 100' — 5500
New 14 Repair O F<eplace vnth like kind: Yes O No O —
Storm$Rain Drain-each additional 100' 46.40
Residential O Commercial — – _
Additional description of work: Commercial Back Flow Prevention Devine 46.40
Residential Backflow Prevention Device' 27.55
Catch Basin 1660
Are you capping,moving or repiacing any fixtures? Insp.of Existing Plumbing or Specially Requested 72.50
Yes 91 No O Inspections per/hr
If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 65.25
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 16.60
WORK COULD RESULT IN INCREASED SEWER FEES. ---" QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the information
given is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram Is required it Quantity Total Is >9
1ha_t dans submitted are in compliance with Oregon Stale Laws. SUBTOTAL
5lgnaturA`1of, Ow er/A ent — Date —
I- - Z i " C?; &% SURCHARGE
tact Person Name Phone --
L� �r-1— _I l "PLAN REVIEW 25%OF SUBTOTAL
1 OATH HOUSE$249.20 Required only it fixture qty total is>9
HATH HOUSE$350.00 —TOTAL
3 JAI h!46USE$399.00 , -
(ThIA f gq al plumbing nxtuw' >k
W!
Minimum permit fee is$72 50,8%surcharge,except Residential Backflow Pieventlon
4�p r.. 41�,{q�.. Device,whlrh is$36 25,B%surcharge.
-Ail New Commercial Buildings require plans with Isometric or riser diagram and plan review
W sls\lorm%lplumapp_rav dr.9f8100
z'S
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Rcmoved/Capped
Sink _
Lavatory _
Tub or Tub/Shower Combination _
Shower Only _
Water Closet _
Urinal —
Dishwasher _
Garbage Disposal
Laundry Room Tray
Washing Machine
Floor Drain/Floor Sink 2"
3"
_Water Heater _ _ —
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
1 Osr,ifmmstph:mepp_rov.dac M/W
CITY OF T I G A R D BUILDING PERMIT
PERMIT#: BUP2000-00282
DEVELOPMENT SERVICES DATE ISSUED: 9/18/00
13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126CO-01100
SITE ADDRESS: 09009 SW I TALL BLVD 140
SUBDIVISION: ZONING: C-G
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: 2N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 490 BASEMENT: sf AREA SEP, RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS RECUIRED
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: PARKING:
VALUE: $ 89,250.00
Remarks. Tenant Improvement 16,754 square feet
Owner: Contractor:
WASHINGTON SQUARE PLAZA TCS INC GENERAL CONTRACTORS
BY THE CAFARO COMPANY 1032 NE AIRPORT WAY
P��0 BOX 42PP2AABBKK� 1 0 PORI-LAND, OR 97230
I FRH M425-SEi'I-�99T7932 Phone: 492-0800
Reg#: LIC 55162
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required
PRMT CTR 9/18/00 $617.50 27200000000 Sprinkler Permit Required
Plumbing Permit Required
5PCT CTR 9/18/00 $49.40 27200(100000 Framing Insp
PLCK RDP 9/7/00 $401.38 0003648 Gyp Board Insp
FIRE RDP q/7/00 $247.00 0003648 Susp Ceiing Insp
Final Inspection
(additional fees not listed ere)
Tota $1,415.28
-This vermit is issued subjeL+ to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other :nplicable law. All work will be done in accordance with approved plans.
This permit will expire if work is n,)t started w,thin 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 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-.1987.
Pennitee �J� /j
Signature:
'"
Issu L By: °1
Call 639-4175 by 7 p.m. for an Inspection the next business day
CITY orTIGARD Commercial Building Permit Application Plan Check. I_ ,---
13125 SW HALL BLVD. Tenant Improvement Recd By_
'-,�—
TIGARD, OR 97223Date Recd
Date to P.E. 3
(503) 639-4171 ���� Dale to UST P
IP Print or Type Pem,it,r��P� -c�ozBz-
Rcilated SWR 8
!nco-nplete or illegible applications will not )-,e ac.el)ted called, - '-ed .�100�1_
----- Name of DetielopmenUProiect -"-� - —- -- Existing Building New Building El
E ~�
Job xC - `�i��y ' ---
Address Strce Addrab Suite Building
ct � C
14c') - Data — ----
Bldg City/Stale Zip Existing Use of Building or Property:
Name
Property //c. Proposed Use of Building or Property:
ICS C� t � l.A �! "E'l' yY}t� i �_ I
Owner Mailing Addres Suite
t �--P-In�1i,,,,<! No. Of Stories: -
City/State Zip Phone
------- _ 1T; V 1( Sq. Ft. Of Project: ('
Occupa .t Name I -�- 7 S
Occupancy Class(es)
( )( I�
Contractor I Type(s)of Construction
Prior to permit Mailing Addres Suite ----
issuance,a copy /jo - C ���� --;AX Will this project hav a Fire Suppression System?
of all Ilcenses Yes _ No 0
are required it Cit 'Slate ZipPhe _
expired in C.O.T � U Americans with Disabilities Act(ADA)
database �/ T n �7 G�3 Valuation X 25% = $- Participation
Oregon Const.Cont Board Lic.# Exp.Date Complete Accessibiiit Form
Project $
- '3Name^-- Y v�S'e Valuation
Architect
t{�' � Plans Required: See Matrix for number of sets to submit
'-'.� 1(t� t � ", \MI .i
Mailing Address Suite on back
Citylstate Zip Phone �)i I hereby acknowledge that I have read this application,that the information
11� q, f, --4 3CK, given is correct,that I am the owner or authorized agent of the owner,and
_ 1 � � — that plans submitted are in compliance with Oregon State Laws.
Engineer Name
11•is1 Signature of Owner/Agent Date
Mailing Address Suite -
Contact Person Nam Irl Phone
Citylstate-- -7ip Phone
- - FOR OFFICE USE ONLY
Indicate type of work New O Addition O Demolition MaprTL* — Land Use:
Accessory Structure O Foundation Only O Alteration ,�— _
Repair O Other O tA
Notes'
Description of work:
anlf'v ,c>r y ' VVncx S�t rC� TIF -- —
`�n -�- (",ck =----
Note: Site Work Permit Application must precede or accompany Building
U
3
Permit Application r t1e,
1\COMNEWTI DOC (DST) 5/98C '-OA
�{
i
i' �/1: 6
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
r-lan'Review"is dependent upon submittal of BOTH plans AND a JbbMPILET,
D
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Fr
� Total# of
YPE OF SUBMITTAL Plans KEY:
_ Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) s 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 F = Electrical
B & M & P (New Add) 2 New = New Building
E (New, Add, or Alt) 2 Add _ Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
*B or B& M (Alt) �1
*B & M & P (Alt) 3
*B & M & I' &E(Alt) 3 r
*B & M & P & E & F(Alt) 3
NOTE
'Shaded areas designate SALT submittals only.
I\dsts\forms\matrxcom doc 10130/98
James M . Hamill , Architect
8/11/00
City of Tigard IQ�
Department of Building and Safety
Re: Factory 2-U
Washington Circle Square
9009 SW Hall Blvd.
Tigard,OR 4jttir
BUM 2000-00282
Dear Robert Poskin,
In response to the plan correction sheet dated 7/1;/00, We have corrected the plans to address the comments
as follows:
ACCESSIBILTIY
1. The accessibili Lssues are addressed accordingly:
a) /Bark ng-)is not within our scope of work,and the landlord should perfonn any necessary improvements.
b)(,.An aecessible entrance-the entrance is existing and compliance will be field verified.
c) An accessible route to the altered area- we comply within our lease space,outside of the lease space is
existing and any necessary improvements should be performed by the landlord.
d) Accessible iestroums-There are two(2)new restrooms and both shall be compliant per our-11,'ns.
e) Accessible telephones-N/A.
t) Acce�eible drinking fountains-N/A.
2. Details showing compliance for wheelchair approach to the counter and sink in the break room !sown on Sheet
T-2 of the plans.
LIRE LIFE SAFE-1 Y
1. Exit lighting has been added to the plans(Sht.A-2).
STRUCTURAL.
1. Engineered details foi the display racks are to be submitted by the shelving vendor.
OREGON NON-RESIDEENTIAL.ENERGY CODE
I. Per our telephone conversation on 8/11/00,the submitted forms and method are acceptable by your office.
if any question or ado'tion information is required please so not hesitate to contact cur office.
Sincerely,
James M. Hamill,AIA
Denise R. Buckner
1313 corporate drive,suite 103 irving,texas 7503E ph(972)714-0420 far(972)714-0282 modem(972)580-0447
July 26, 2000
James Hamill C" OF TIGMD
%Express Permits
1327 P, t Ave--Suite"H" OREGON
Torrance,CA. 90501
RE: Factory 2U BUP#2000-00282
9009 SW Hall Blvd.
Dear Applicant:
Your plans for the proposed tenant improvement have been review; the following items require
your attention.
Ac_essibility:
1. Under the provisions of ORS 447.241, you must provide a barrier improvement plan.
Statute requires the expenditure in the amount of 25%of the valuation of the work in
removing existing architectural barriers. rind enclosed the fora showing how you will
expend these monies For the parking requirement,please submit a site plan showing
existing accessible parking to include signage, marked crossing if required and the route
to the building.
The code requires parking be located a reasonable distance from the tenant spare.
2. Provide a detail showing compliance with wheelchair approach for the counter and sink
in the break room. OSSC, Section 1109.2.
Fire Life Safet :
1. Provide details showing how you will comply with egress identification and illumination.
OSSC, Section 1003.2.8.
Structural:
1. Provide connection details for all display racks to include engineering. Engineering shall
be completed by an Oregon licensed engineer. OSSC, Section 2205.8 and OSSC, Section
1632
Oreion.Non-Residential Enerev Code:
It appears you are utilizing the System performance method set out in OSSC, Section
1316.2.1.2.2, using the optional method ILPA. You must provide your analysis using worksheet
L4. Provide your analysis.
11125 SW Hall Blvd., Tigard, OR 97223(5-03)639-.1171 TDD(503)684-2772 ---
--
1Fage 2 Continued
' Deferred Submittals:
Plumbing,electrical : nd fire suppression systems are deferred submittals requiring separate
applications and permits;
Provide(2)sets of rev;.-ed drawings and related'documents.
If you have questions,please feel free to call me at(503)639-14171 X392.
Sincerely,
Ro ert Foskin, CBO
Senior Plans Examiner
CC: Jim Devine
TCS General Contracting
FAX—492-3723
iV
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL_ IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related „
facilities,nall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION of all renovation, alteration or modification being done
excluding painting,wallpapering. [1)$
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2]$
In choosing which accessible eleme;J-,to provide under this section, priority shall be given to those
ei:ments that will provide the greatest ccess. Elements shall be proviL;ad in the following order:
(a) Parking $
(b) An accessible entfance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accesr,ible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Com up tatlon $
i\dsts\fortns\ncccss-doc
i
CITE' OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspectis..n Line: 639-4175 'Business Line: 639-4171 —'—'
BUP _
Date Reque:ted �U — AM PM BLD
Location�C�� �/��1 Suite MEC
Contact Person r C Ph ,� ZN i, PLM .21pc,v
C_
Contractor Ph SWR
BUILDING Tenant/Owner" _ ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain — SGN
Crawl Drain Inspection Notes: —
Slab -- -- SIT
Post&Beam
Ext Sheath/Shear
li.: Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---------
Fire Alarm
Susp'd Ceiling
Roof
Misc
Final
S PART_FAIL. -- - -- — --. -_—
PLU
Past 8. Beam -----_ --- _---.____ --- ---------- .._-------- -_--
Under Slab
Top Out
Water Service
Sanitary Sewer
S PART FAIL
ANICAL �V -
Post&Beam - --- _ -._-__-_--
Rough In
Gas Line - -- --- - - ���
Smoke Dampers
Fin:31 - - --- —
PASS PART FAIL
ELECTRICALService
Rough
Rough In
LJG/Slab
t-ow Voltage
Fire Alarm
Final
PASS PART FAIL --
SITE
Backfill/Grading -
Sanitaty Sewer
Storm Drain [ )Reinspection fee of$ ^required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please calf for reinspection RE )U
--__ •-_`_�_______� ( nable to inspect-no access
ADA
Approach/Sidewalk
Other Date ? Inspector _ Ext w
Final
L PASS PART FAIL DO NOT REMOVE this inspection re--,-rd from the job site.
GiTY OF TIG/ARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested_ AM --PM BLD
Location U bb w 4/ Suite / U MEC
Contact Perso 611�s� ' � Ph ZIIv Z— 7Z Yy PLM
Contractor_ 0001947 Ph SWR
BUILDING Tenant/Owner _ ELC 2,�kv-GU 7;7 U
Retaining Wall ELR _
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: —
Slab �— —_ _ -- SIT
Post&Beam ---
Ext heath/Shear
Int Sh9ath/Shear
Framing
Insulation --
Drywall Nailing —_— - -- -----_---
Firewall
Fire Sprinkler
Fire Alarm
Susp'd CrAing ------- —__------ --
Roof ---
Misc,
Final F_.__..—
PASS PART FAIL
PLUMBING
Post&Beam -
Under Slab
Top Out - - - - -- -- ---- --._.---- — __
Water Service
Sanitary Sewer
Rain Drains
Final ---
PASS PART FAIL
MECHANICAL
Post&Beam -
Rough In
Gas Line
- -
Smoke Dampers
Final - - --— -PAIS_ PART FAIL
SeIVIC.e
Rough In ---
UG/Slab
I ow Voltage
Z'a,
m
PART FAIL -
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspection RE: _ _ ]Unable to inspect-no access
Fire Supply Line - f
ADA
Approach/SidewalkDate l � Inspector Ext
Other ------
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
MECHANICAL PERMIT
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT#: MEC2000 00293
0
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 1
PARCEL: 1 S 1 SI26�6CU-01100
SITE ADDRESS: 09009 SW HALL BLVD 140
SUBDIVISIUN: WASHINGTON SQUARE PLAZA ZONING: C-G
BLOCK: LOT. JURISDICTION: TIG
y CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: C:`M UNIT HEATE171): VENT FANS: 3
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP- REPAIR UNITS:
FIRE DAMPERS?: 30 -50 FSP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Mechanical TI
Owner_ _ _ _ FEES
WASHINGTON SQUARE PLAZA Type By Date Amount Receipt
BY THE CAFARO COMPANY PRMT CTR 10/18/00 $50.00 272000000
P O BOX 422 PLCK CTR 10/18/00 $12.50 2720000000
FLORHAM PARK, NJ 07932 5PCT CTR 10/18/00 $4.00 2720000000
Phone: Total $66.50
Contractor: _
INTEGRA SERVICE CO
201 S ARRISON
NEWBERG, OR 97132 ---REQUIRED INSPECTIONS
Mecha tical Ins,
Phone:503-554-1114 Final Inspection
Reg#:LIC 135441
Thib permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cedes
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 in the Oregon Utility Notification Center. Tho-e rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of the t4 or direct qusstfts to OUV by
calling (503)24 1 . �, I
: �Issue
By u;' Permittee Signatu : �'
Call (503) 639-4175 by 7:00 P.M.for inspectinn:,�'-6a4d the next b Mess day /
i
���'yilk a, Plan Check�W.y' .
CITY OF TIGARD Mechanical Permit Application Recd By
15 25 SW HALL BLVD. Commercial and Residential Date Recd 7-7, -eo
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, X304 Date to DST WiT
Print or Type Permit# ?ort
_
Incomplete or ill.s9glibJie app lications will not be accepted — called---- --
�� Name of DeveloprnenWroprct Descrrr+!i,in
rCTiob
, f Tabie 1A Mechanic.11 Code — Ot Price Amt
nA) Permit Fee 16.00
I�r� treetAddress Suite# --------
Address -� a � l�� 1) Furnace to 100,aC0 BTU
including ducts&vents A 9.65 _
Bldyp rityistate Zip �y T' 2) Furnace 100,000 BTU+
includin ducts&vents 12.00
Name(or name of business) _(���r���{ ,� 3) Floor Furnace
Owner �G?CTOt �' '� / r_ k'_ S including vent _—�.�_� 9.6�
Mailing Address f 4) Suspended heater,wall heater
r` or floor mounted healer 9.65
L-A, 5) Vent not included in appliance ermit 4.76
COY/state zip Phone7��, Check all that apply: F
Heat Air
pp y
- -- --
For items 6-10,see Pump Cond Oly Price Aint
Name.(or name of usiness) C fOOtnOteS 1,2 _
r r KQk 6)Repair units
�taC-Y)1 k.1 i �" , _— 8.40 --
Mallin Addrus5
Occupant g (�,,��+-� 7)<3HP;absorb unit to
IliCTJ,,�1 A/e 100K BTU 9.65_
City/Stale zip Phone 3 f G 8)3-15 HP;absorb unit
100k to 500k BTU 17.65
_ r' ( f Cl '� I-- - --- - -
Contractor IJamo Ort A TL-�151(-) 9) 15-30 HP;absorb
unit.5-1 mil BTU
24.15
—10-)-3-0--50H ;absorb
Prior to permit laihny Address unit 1-1.75 mil BTU _ 36_00
issuance,a copy .`%� r' 111>50HP;absorb unit>115 mil BTU
of all licenses CilylSlaln zip Phone 60.15
are required if r; - ,l
17_}Air handling unit to 10,000 CFM
expired In COT Oregon Const.Cont.Board Llc# Ex Date i- 7.00
_database , l i/ 13)Air handling unit 10,000 CFM+
Architect dame r1 �( yf'C. —�� _ 11.85 —
O-KW�; ' (, �' t 1 S 14)Non-portable evaporate cooler
or Moiling Address `` — 7.00
R-""7 �Je t �-! I 15)Veni fan connected to a single duct - --
_ 4.75
Engineer City/State Zip Phe"' rf 16)Ventilation system not included In �Y
( �T� appliance permit _ 7.00 _
Orr,cribe work to be done* 17)Hood served by mechanical exhaust
7.00
New O Repalr U Replacewjul like kind: YeskNo O18)Dorneshc in:inerators
Residential O Commercial r Modification O 12.00
_ / _ 19)Commercial or indup
Jstrial incinerator
Additional Information or description of w rk: V 48.25
E-'►NM C�1C`,1 E� I el'• lit '\k 2.0) Jther units,including wood stoves
I r 1 ) 7.00 ---
NOTE: For Commercial rojects only;Units over 400 lbs.,located on the 21)Gas piping one to four outlets
ioof,require structural caics.prepared by licensed engineer. 3.75
Type of fuel: oll O natural gas C3' LPG O elecUic O 22)More than 4-per outlet(each) 15
I hereby acknowledge that I have read this application,that the!iformation Minimum Permit Fee$50.00 SUBTOTAL_ _
given Is correct,that I am the owner or authorized agent of _ -_ ----8%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are In compliance with Oregon Stale laws. Required for ALL commercial permits only
Signature of Owner/Agent Pt�`v t[ ,IMr to -,;p
---TOTAL ,
t/C��� J Y ZU l
Y
Contact Person Na Phhne 2.it X (V? Other Inspections and Fees
A r� � (f,w s 1 Inspections outside of nomnal business hours(mininwm charge-two hours) $5o oo per hot)�I. �lJ�0 G 2 Inspections for which no fee Is specifically indicated (minimum charge-halt hour)
Foonotes for commercial projects only: 450 00perhour
1 Provide full schematic of existing and proposed gas line and pressure. 3 Additional plan review required by changes,additions or revisions to plans(minimum
2. Provide drawings to scale showing existing and proposed mechanical charge-one half hour)$50 00 per hour
'State Contractor Boiler Certification required
units. "Residential AIC requires ado plan showing placement of unit
I\mechperm.doc rev 1111199
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
__Date Requested ,!>- Z 3 AM _,PM BLD
Location " �zL� // /S'/v d Suite _ MEC
Contact Person 4C4 f L L,(_ Ph
Contractor Ph SWR
BUILDING Tenant/Owner ELC fo-A- -G
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab — SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing -
Insulation
Drp,vall Nailing
Firewall
Fire Sprinkla r
Fire Alarm
Susp'd Ceilinj __-
Roof
Mise
Final ------ ----
PASS PART FAIL
PLUMBING
Pos!& Beam ----- - - ---- ---
Under Slab
Top Out
Water Service
SanitarySewer -- - - - --_-------- ._. __ -_ --- --------------_.__----�---—_-----------____-
Rain Drains
r=inal - -
PASS PARI FAIL
MECHANICAL
Post& Belrn ---
Rough In
Gas Line ------ ----_._ -
Smoke Dampers
Final --�._..-- - ----.. - _ _------ ---- _-_ _ —
P PART FAIL
ELECTRIC ---
,�P,NICe
Rough In
UG/Slab .2 S,y,fi S
Low Voltage -- -- ------_- ----------- -
Fire Alarm
F'
PASS AR,r FAIL -----__.._--------------_.._.--_-
Backfill/GradingSanitary Sewer
Sewer
Storrs Drain ( J Reinspection fee of$ __- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call fior reinspection RF `-�� [ J Unable to inspect no access
ADA
Approach/Sidewalk
Other Date _10 -._ U_._� 7_ Inspector _ _ _-fes- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from he job site.
GeTY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested. Z-V AM 4--' /PM BLD
Location— !.S�✓ / q�l �y c� Suite / y U MEC
Contact Person 7 u Ph -'57ZI3 ~T L ZZC' PLM
Contractor Ph � _ - 9440 SWR
900, Tenant/Owner ELC ;?rj Z
Retaining Wall ELR
Footing Access:
Foundation FPS _
F tg Drain
Crawl Drain Inspection Notes: AGN
Slab _- _— _ ----- SIT
Post& Beam - —
Ext Shcain/Shear `—
Int Sheath/Shear
Framing -- _ —_-- -- —_
Insulation
Drywall Nailing
Firewall v
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roof
ASS PART FAIL
PLUMBING
Post& BeamUnder Slab
Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final --------_.---- --------_- --------------
PASS FART FAIL
MECHANICAL
Posl Beam
Rough In
Gas Line - -- - -- --
Smoke Damper-,
Final - — --
PASS PART FAIL
e 'ire _
Rough In
UG/Slab
Low Voltage
I . armXS �
PART FAIL —_._--
E
Backfill/Grading --------_--
Sanitary Sewer
Storm Drain I Reinspection fee of$ _required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line l J Please call for reinspection RE: _ _ i Unable to inspect- no access
ADA
Approach/Sidewalk Dete
/
Other Inspector _ -__ Ext
Final
PASS PART FAIL DO NOT REMOVE t1,1-3 inspection record from. the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - — —
BUP
Gate Requested ion !Qv AM PM BLD
Location,_ r 10 If ff»r4 0 ('10 Suite MEC _Zrn oaz3_
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain
Crawl Grain Inspection Notes: SGN
Slab ---- -- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear _
Framing
Insulation
Drywall Nailing —_—__—_
Firewall
Fire Sprinkler __-- ___-----_-_----_____-- --_
Fire Alarm
Susp'd Ceiling
Roof
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
opOut - -- _- ----_.--- -------- —
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post R Beare
Rough In
Gas Line -- - -- -- -
Smoke Dampers
%1 PART FAIL
ELECTRICAL
service
Rough In -"-
UG/Slab
Low Voltage -
Fire Alarm --.._-----._---`_-__�
Final
PASS PART FAIL _------_ -.----..-- ---_-_�_ _ _—�
SITE _
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$_____J__required before next inspection Pay at City Hall, 131.'5 SW Hall Blvd
Catch Basin
Fire Supply Line [ I Please call for reinspection RE — [ ] Unable to insrect-no access
ADA — __--
Approach/Sidewalk Date p t— Inspector _ t,.� Ext
Final
(,PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
� BUP 2Ql;7- 00�� '1
Date Requested �° u��� AM P/ JM BLD
Location ' Suite 7 U MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _
rig Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _— _ _ - ------_--_�
Insulation
Drywall Nailing
Firewah
-------_---
Fire Alarm
Susp'd Ceiling _- -___- ----_-- _--- —_-- —_--- _ -__-______
Roof
mi-'c --
F ink
I5AS PART FAIL
PLUMBING
Post& Beam
Under Under Slab
TopOut -__._..._-_.___.—_---------_------_----------,.__.�__—_—__----_.-..-
Water Service
Sanitary Sewer
Rain Drains
Final _.---------___..�
PASS PART FAIL
MECHANICAL
Post&Beam --
Rough In
GasLine -- --- -- - _ _. -- --- --------- ---- --- ._—_-d ---- --
Smoke Dampers
Final --------
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage - --�--
Fire Alarm
Final ------ - -----____- --------
PASS PART FAIL
SITE
Barkfill/Grading _.--
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ _ _—required before next inspection. Pay at City Mall, 13125 SW Nail Blvd
Catch Flasin ( j Please call for reinspection RE. ( Unable to inspect no access
Fire Supply Line --_____ _�___
ADA
Approach/Sidewalk ��/
Cather Date —s- �� Inspector i ��- w— -_--Ext -- -
Final
PASS PART FAIL DO NOT RERIOVE this inspection record from the job site.