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9185 SW HALL BLVD-1 co ao cn N S r r m r e ca 19185 SW HALL BLVD m m m rn m m m m m D OD cr A v V v v p O O4` U O �O tp u o O o o Z y o 0) OD yNy T 1l_ m m 2 ( .gypN 9 f6 Ul CD — N ll c a_ T1 V) O �. N m (<D ti 0 CL (n (nD ry a (D 7 C m G C Q U M m D h G 4. d m N m N N N N (�) C( Q 4 1 00 OD 00 OD cn p G1 (D (n +T. m 0 OL m u O O Q o m O 2 2 W 7 r m n 00 e cnn cn rnn z 0 " O (n (n N m U ° O A N A o � a a r cn O r- C7 C1 O Q7 m Z —1 2 S S S 2 S m a N v .v v ti v -4 -4 C (D ::I�I 1Q V :J I � : 1 7! w '0 (O CO "8 UM) (OD CL fb Crl m 0. 2 0 m " CP O r w N U O< v C7 (D Ln W - b J m �� m a m r OD FF f g -R m o < _ N La (D (D a N C <D < i� O a m ', 4 ' D n odi � m QI OD A (A ��/ O to 7 m a C) m o m' rrri o m o O o r ai v V V Vi ch c) D C ar (n (n (n p N Q) t(DD = < O S a C rr- m n m m ni �n z C, 0 0 0 C) ` a m a V tD �I m -J .I �1 7 N O O 0 no � 7 UC N tp Ca M p m p m m y F) § \ j o \ $ Cw) ) » o j/ �§ / ) 2 6 l { \ \ \ c \ |f 6 \ e k f 10 ® ci \ § _ ¥ 0 E � n 2 < E � @ § / C-0 / / $ � E & \ % 6 ® ■ � CD [ / o£ co \ \ \ \ \ \ o � w kk ' o + ` > \ ■� ¥ o o f o , - a co } ib \ \ gz � CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Li,:^. 639-4171 �., BUF�l - �'- dU��,3 _ Date Requested._ � � AM_ CIL BLD Location /b'SL-L-. Suite —_ _ MEC —Contact Person Person _ !_�L),� G Ph —_ PLM _ Contractor _ _ PhSWR ti_DING` �+ Tenant/Owner r Retaining Wall ELF? Footing Access' -___.-- Foundation FPS Ftg Drain 5GN --- -- ... --- Crawl Drain Inspection Notes: -- ------ --- Slab - SIT Post& Beam --.-_. _�.------ _- Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 77 Susp'd Ceiling ^- Roof Misc. -- -- _-- :itlal. S ' PART FAIL - PLUMBING Post& Beam -- -- - - Under Slab Top Out Water Service Sanitary Sewcr - - —— -,..--_- Rain Drains Final - _ - -- — •— ------ PASS PART FAIL. MECHANICAL - - Post& Beam - - -- ---- — Rough In Gas Line - — Smoke Dampers Final - - ---- - -- ------ - PASS PART FAIL ELECTRICAL_ - -- --- Servwe Rough In UG/Slab _ Low Voltage Fire Alarm Final -__-- Final PASS PART 'FAIL ------ SITE �- 6-ickfill/Grading �� --- -- --- Sa-iitary Sewer Sto►m Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Lire Supply Line [ J Please call for reinspection RE: -_ _ ( J Unable to inspect-no access ADAAppio �/ A-02, Other chluidewalk -� F- --Other Date Inspector ,� --Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hortr Inspection Line: 639-4115 Business Line: 639-4171 J ----- ----- BUP !_ Date Requested _ ��2 ! AMS PM 13LD Location Suite _ MEC Contact Person u Ph �� ''G U p'-5 PLM Contractor Ph SWR BUILDING —-------' Tenant/Owner ELC Retaining Wall ELR C Footing Access: FOUndaliun FPS Ftg Drain SGN Crawl Drain Inspection Notes: --- Slab -- -- - ----- SIT Post 6 Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- ---- - - --- Insulation Drywall Nailing -- =.f 4 �t -- - - --- Firewall Fire Sprinkler ---- — Fire Alarm Susp'd Ceiling -------------.---- Roof Misc: — Final ---� - -- PASS PART FAIL ----- - -- --- PLUMBING Post 8 Beam ---__--- Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam ---- - --- — --- Rough In Gas Line J -- Smoke Dampers Final —- ---- - -- - - ----- -- PASS PART FAIL Rough In —.— UG/Slab —_---- Low Voltage Fire Alarm -- ---� ------- --- — Final-' PART FAIL —.�-- ---- - - ---- - Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:__-- [ Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector__ Ext _ Final PASS PART FAIL O NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour I�nspectiui: Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested _ �G' (� '7_'9 AM_ PM �� --- BLD _ Loration_ �� _ Q Suite i MEC Contact Person Ph PLM - Contractor — Ph SWR _ BUILDING �_enan wner LA-S l ELC Retaining Wall ELR Footing Access: +a— Foundation FPS Ftg Drain -" Crawl Drain 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 �fG�' Roof - Misc Final ---- PASS PART FAIL ------ -- ----- ___--- --.- _- __ PLUMBING Post&Beam ---- - - --- Under Slab Top Out - — --- — Water Service Sanitary Sewer ---- Rain Drains Final - PASS PART FAIL MECHANICAL ----- Post&Beam — Rough In _ Gas Line Smoke Damrers Final PASS ART FAIL-ELECTRICAL -- --. -- — - — Service Rough In UG/Slab Low Voltage — _--- — _ Fire,Alarm nal PART FAIL _ Backfill/Grading - ----- - Sanitary Sewer Storm Drain [ ]Relnspe�-tion fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please ca'l for reinspection RE ( ]Unable to inspect-no access ADA ApprOtheoach/Sidewalk Date ^ - Inspector — —.Ext — Final PASS PART FAIL 0 NOTREMOVE this inspection record from the job site, CITY OF TIGARBRf —ELECTRICAL PERMIT G/ RESTRICTED ENERGY DEVELOPMENT SERVICES ��✓✓✓I PERMIT#: ELR1999-00153 13125 SW Hall Blvd.,Tiqard, OR 97223 (50311639-4171 DATE ISSUED: 6/22/99 SITE ADDRESS: 09185 SW HALL BLVD PARCEL: 1S126C0-00401 SUBDIVISION: ZONING: C-G CLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of data telecommunication systc;m Job No. 50-01000. A.RESIDENTIAL B.COMMERCIAL AUDIO &STEREO: — AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: �Contractor:— — WINMAR OREGON INC CHRISTENSON ELECTRIC INC 700 5TH AVE 111 SW COLUMBIA SUITE 2600 STE 480 SEA-I TLE, WA 98104-5026 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg #: uc 000458 SUP 3289S PLM 2468S ELE 26-34C FEES r Required Inspections _Type By Date Amount_ Receipt_ I Low Voltage Irspection PRMT DEB 6/22/99 $60.00 99-316314— Elect'I Final 5PCT DEB 6/22/99 $3.00 99-316314 Total _ $63.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Coce, 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 clays of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requiresyouto follow rules adopted by the Oregon Utility Notification Center. Those rule; are set forth in OAR 952-0f-0010 throL40 OAR 952-001-0080. You may obtain copies of these rules or direc` questions to OUNC at (503) 246-1 87 Issue by '� <�O(/Q��y ( Permittee Signature A OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not iretended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONL SIGNATURE OF SUPR. ELEC'N DATE: LICENSE N O: -------- --------------------- ---.— ----. Call 639-4175 by 7:00 P.M. for an inspection needed the next business day RECEWH ' CITY F TIGARD RESTRICTED ENERGY ELECTRICAL APPLI TI Rec'd by"�/n.-�-�' 1312'SW HALL BLVD JUN i Q/ / Date Rec'd:�-2-1-99 TIGARD OR 97223 PRINT OR TYPE �!��C�� V-503-639-4171 XI31TMMtINI1Y UEVkWFlvt�iyq' �t Permit#:_�, 11HY-00153 F- 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS CLISt.Call'cl:_ JOB:50-01000 WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY US BANK Restricted Energy Fee........................................ 540.00 (FOR ALL SYSTEMS) JOB Street Address r Ste# ADDRESS 9185 SW HALL BLVZDA Check Type of Work Involved fV��ll OR y�/223 Phone# ❑ Audio and Stereo Systems Name W N �� U 2f-�� C ❑ Burglar Alarm OW'VER Mailing A�d,ress - ❑ Garage Door Opener' 7C0 'r~f� �� oU ❑ Heating,Ventilation and Air Conditioning System' 3�t 1L� Zip� Phone# Name q kt0 y — ❑ Vacuum Systems' CHRISTENSON ELECTRIC, INC. ❑ Other!_________ CONTRACTOR y ilin Address 1 1 VW COLUMBIA, SUITE 480 TYPE OF WORK INVOLVED -COMMERCIAL ONLY _ (Prior to issuance a t / at Z Phon Fee for each system............ .. - AWIND OR 9'hOl 41-�i912 900.0 copy of all licenses � (SEE OAR 918-260.260) $60.()f l are required if Oregon Contr Brd Lie # Exp Date expired in C.O.T 498 5---_ Check Type of Work Involved: date base). Electrical Contr.Lie # Exp.Date 26-34C 10/99 ❑ Audio and Stereo Systems C524�or Metru Lic.# �— ExxpZ Q�te / y ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT Xn� 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 electiical 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; ❑ 2. Cell for Inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 603.639.4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Cells inspection when the inspector is out to Inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Ou!door 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 slatted within 180 days of issuance or if work is suspended for 160 days —Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations authorized to bind the applicant p FUS: R ENTEI :EFS h(�, Signature E/17/99 � . s _ 5 .SURCHARGE(.05 X TOTAL A90VE) $ 3' Authority if other than Applicant TOTAL $ 63. _ I ldstsvesele doc 7197 ---- CITY OF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC1999-00282 DEVELOPMENT SERVICES �O�/�DATE ISSUED: ,5/11/99 13125 SW Hail Blvd..'Tigard, OR 97223 (503) 639-4171 ' r PARCEL: 'IS126C0-00401 SITE ADDRESS: 09185 SW HALL BLVD � SUBDIVISION: ZONING: C-G BLOCK: LOT : JURISDICTION: TiG Proiect Description: Installation of 6 branch circuits. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCr*LLANEOUS 1000 SF OR LESS: —� 0 - 200 ar,p: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS --- -- _ AD_D`L INSPECTIONS _ 0 - 2.00 amp: W/SERVICE OR FEEDER: PER INSPECTION: 2U1 - 400 amp. 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION __ 1000+ arnplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL Reconnect only: — SVCIFDR >= 225 AMPS: _— CLASS AREA/SPEC OCC: Owner: Contractor: WINMAR OREGON INC COCHRAN ELECTRIC 700 5TH AVE BROADWAY ELECTRIC SUITE 2600 626 SE MAIN SEATTLE, WA 98104-5026 PORTLAND, OR 97214 Phone: Phone: 234-6364 Reg#: L,C 77942 SUP 31845 ELE 37-546C _ FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DRA 5/11/99 $70.00 99-315301 Elect'I Final 5PCT DRA 5/11/99 $3.50 99-315301 Total $73.50 This Permit is issueo 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 I work is suspended for rTrore than 180 days ATTENTION Oregon law requires you to follow rules ad-opted-by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain�ies of these des or direct questions to OUNC at(503) 246-1987 Permit Signature: tom' \ ( � � - r G-�'t Iss `By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _._— —_ --� — DATE:— CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: DATE:-, ICENSE NO: ----- �?�_-- ------ --- ------- ---" Call 639-4175 by 7:00pm for air inspection the next business day RECEIV ( Community Development ELECTRICAL PERMITAPPLICATION A 1 1 1999 13125 SW Hall Blvd. Tigard, OR 972;.3 Planck/Rec. # 0.LUFMEN , Permit # E X9 9 9- 06910ML y� Phone (503) 639-4171 qq Date Issued 11-99 CITY OF TIGARD FAX (503) 684-7297 °� Issued by TDD No. (503) 684-2772 Q, - Inspection (503) 639-4175 `o 1. Job Address: 4. Complete Fee Schedule Below: Name of Development U ` l�N _ Number of inspections per permit allowed Address `l s,� ,-1 rAu— _T _ Serviim included Items Cost(ea) Sum City/State/Zip VL 3 4a. Residential• per unit 10001w it or Is" $11000 Name (or name cf business) U` Each addrtit.,tiI 600 eq It or �- ---- portion thereof $2500 1 Residential ❑ Limited Energy —+ $2500 Commercial 91 Each Manut'd Homs or Modular 2 Dwelling Service or Feeder $68 00 2a. Contractor installation only: 4b.Services or Feeders Installation,alteration.or relocation 2 Electrical Contractor oc-Itfu4" 3QL4V�)Wd> A _ 200 amps or less $6000 2 Addr 5 — \irj, 201 amps to 400 amps —� $8000 - 2 401 amps to 600 amps $12000 _ 2 City_' State tZ_zip��' 601 amps to 1000 am pa $18000 2 Phone No. - 6,G y t _ ()ver 1000 amps or volts $34000 2 Contractor's License No. �- �J�4 L. to-t q9 nae^°^ne"e^ty - $1,000 f Contractor's Board Reg' No. -7Z-114-L-- S-w-ol 4c. Temporary Services or Feeders Installation,alteration,or relocation 2 Signature of Supr. Elec'n_ ,,,r••'%\� 200 amps or lees $so 00 2 License No. 3) �q-- Phone No. • 201 amps to 400 amps 1,75 0a _ 2 ''^^ 401 empe 1°600 amps $10000 /O-•f- O I ',Y(jW - ..c{� D Over 600 arnps to 1000 volts 2b. For owner Installations: see•b•above 4d.Branch Circuits Print Owner's Name_ New,alteration or extsnsror per panel Address e)The fee for branch circuits with City - - State zip_ purchase or eeryke or ko&r W. Phone N0. Each branch circuit $500 -_ _ b)The fee for branch cupula withour The installation is tieing made on property I own which is purchase or s«+rke or►seder res. 2 not 'intended for sale, lease or rent. First branch circuit $3500 oc�� 2 Each additional branch circuit $5 00 _�... Owner's Signature _ I 49. Miscellaneous (Service or feeder not included) i 3. Flan Review section (i/ required): � Each pump or irrigation circle $4000 Each sign or outline lighting $4000 Signal c-muit(s)or a limdod energy ? Please check appropriate item and enter fee in section 56. panel shersbon or extension $4000 4 or more residential units in one structure I Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 411.Epch additional inspection over Classified area or structure containing special occupa•.,y the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $11,00 Per hour $S500 _ In Plant $55 00 Submit 2 sets of plans with application where any of the above --- - apply. Not required for temporary con%truction ser1:.*d. 5. Fees: NOTICE 5e. Enter total of above fees $ 1 C) tl� -�'— 5%Surcharge(05 X total fees) $ �aE PERMITS BECOME VOID IF WORK OR CONF,TRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.CIA IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDOf!ED FOR Plan Review if required(Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subforal $ COMMENCED. ❑ Trust Accountilli Balance Due $ rprlbpM.N.Nr pm rp J /tia �W - 7AOIL/C' CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES T#: BUP1999 OU173 DATEE ISSUSSUED: 5114/99 13125 SW Mall Blvd., Tigard, OR 9722.3 (503) 639-4171 PARCEL: 1S126C0-00401 ZON'NG: C-G JURISDICTION: TIG SITE ADDRESS: 09185 SW HALL BLVD SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 70 l TENANT NAME: US BANK I REMARKS: T.I Final Inspection Approved 6/24199 by Torn Plescher, Building Inspector Owner: WINMAR OREGON INC 700 5TH AVE SUITE 2600 SEATTLE, WA 98104-5026 Phone: Contractor: RUSSELL CONSTRUCTION 2211 NW FRONT AVE PORTLAND, OR 97209 Phone: 228-3413 Reg #: LIC 00058918 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty,C-odes for the///7z7 ro ; occupancy, and use under which the referenced permit was issued k""44. BUILDIN INSPECTOR BUILD OFFICIAL POST IN CONSPICUOUS PLACE I I I CITYOF TIGARD -- BUILDING PERMIT PERMIT#: BUP1999-00173 DEVELOPMENT SERVICES DATF ISSUED: 5/14/99 13125 SW Hall Blvd.,Tiqard, OR 97223 (503 SITE ADDRESS: 09185 SW HALL BLVD ORIGINAPARC FL: 1 S126CU OU401 _IUDDIVISION. ZONING: C-G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: ALT FIRST: st N: S: E:i W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? - _ TYPE OF CONST: 5N 7.400 st NS. E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RF OCCUPANCY LOAD: 7U BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : I•INDICP ACC: BE.DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: TI Owner: Contractor: WINMAR ORE=GGN INC RUSSELL CONSTRUCTION 700 5TH AVE 2211 NW FRONT AVE SUITE 2600 PORTLAND, OR 97209 S TTL-E WA 98104-5026 Bone: ' Phone: 228-3413 Reg #: LIc 00058918 _FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT URA 5/14/99 $283.00 99-315401 Gyp Board Insp Final Inspection PLCK DRA 5/14199 $183.95 99-315401 5PCT DRA 5/14/99 $14.1;1 99-315401 FIRE DRA 5/14/99 $113.20 99-315401 Total $594.30 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 derys 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 question, to OUNC by calling (503) 246-1987. Pe nn ltee signotafe. Is, ed By: Call 639-4175 by 7 p.m. for an inspection the next business day PGI N CN Imo, •� S--i I C CITY OF TIGARD Commercial Building Permit Application Rec'd B;_ P 13125 SW HALL BLOND. Tenant Improvement Date RecdDate to P E. TIGARD, OR 97223 rr Date to DST >> 'i' F (503) 639-4171 I �>�1, ,�'-- Permit 0 /T,6 /y`!J - Ott/ 13 Print or Type Related SVVR Incomplete or illegible applications will not be accepted Called HdA ��d , it •G? �9 U1L• _ Name of DevQlopment/Project, Existing Building NJ,-Ww Building Job 4/_5 4!An'_�A< _ Address Street Address Suite Building 9/85 S. KJ.W9L,, _ ? _ Data -- --- Blda* CflyiSlate Zip Existing Use of Building or Property: Name 1 ✓ vim, a /'Q1!G,L�c�sG�__J>NI`�IfCil�� C_9^ 1' Proposed Use of Building or Property Property b 064>VA—, -..__. Owner Mailing Address 700 Suite S-"6-5 � - . A� A)c No. Of Stories Cily/Stale Zip Phone L a'.4r .- Cq� Sq Ft. Ofoject. Occupant Name 160 ; (/S Occupancy Class(es) Name Contractor /1�1 r�,l �p vG1/o - Type(s)of Constructlon - Prior to permit Mailing Address Suite — issuar•,ce,a copy7 �� / Will this project have a Fire Suppression System? of all licenses 2Z11/1 /`/. 'V �ONT4'F• 0,00 Yes [] _ __ No u are required If CitylState Zip Phone — -- ---- expired In C o T. Americans with Disabilities Act(AD 4} database _�t77,A lq 61Tt��_ -.3Q Valuation X 25% = $ _ Participation Oregon Const.C nt Board Lir,# Exp Date Complete Accessibility Form Project $ Name / , Valuation— D��' n �� Architect t 6� ,t Plans Required: See Matri.4 number of sets to submit — Mailing Address Suite On back City/Slate Zip Phone I hereby acknowledge that 1 have read this application,that the information given is correct,that I am the owner or authorized agentvf the owner,and that plans submitted are in compliance with Oregon State Laws Engineer Name Lignature of ner/A ent Date / 4 Mailing Address Suite C �[i �j 1 y'� /. i ;ontact Person me City/Stale Zip Phone / t` C•X 5 - 7jn O ---- ----- — FOR OFFICE USE ONLY Indicate type r.:work New O Addition O Demolition O MaprrLB i Lend Use: Accessory Structure O Foundation Only O Alteration O to air O Other —_�____ _ Notes:: Description of work: EL. T _xT 11-4A.1 AK-Ir Note site Work Permit Application must precede or accompany tNuliding Permit Application I\COMNEWIIDOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Pl. .s Examiner will contact the applicant to request additional plan sets for distribution purposes, (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) {i Total # of TYPE OF SUBMITTAL Plans KEY: __ _ Submitted �— S (Private) 1 S = Site Work B (New or Add) --- —1___._. B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) _ 1 M = Mechanical B & M (New or Ad i j 1 P = Plumbing P (New, Add, or Alt) 2^ E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E� Y– 3 Alt = Alternation to Existing (New , Add) _ _ Building «B or B & M (Alt) 1 "B & M & P (Alt) �3� 3 *B & M & P & E & F(Alt)� `3 N01-.ES- "Shaded areas designate ALT s,ihmittnIs only. I klsts\Iomislmatrxcom dos 11/10/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,,:Iteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1]$'ZIoO. mLlt'.ipty: 25% Barrier removal requirement. .25_ BUDGET FOR BARRIER REMOVAL [2]$ 1/21 5'a ar7 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order (a) Parking $ o Via$/L! 2,10 0 0 (b) An accessible entrance: $ — (c) An accessible route to the altered area: $ 76D_O U _ (d) At least or a accessible restroom for $ each sex era single unisex restroom ` (e) Accessible telephones / $ (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms: $_1� TOTAL: Shall equal line 2 of Value Computation $_ /l, 500_cc) i Adsts\fbrms\eccess.doc CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: EL R97--0267 GATE ISSUED: 09/18/97 PARCEL: 1S126CO-00401 SITE ADDRESS. . . :0918`7 5w FlcaLl_ BLVD SUBDIVISION. . . . : ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: Pro .ject Descri pt ion: Add protective signaling to existing commen-ial bldg. --------------------------------------------------------------------------------------- A. RES IDENT TAI_- -___.____ B. COMMERCIAL— AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR At-ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . , NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE AL.ARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMENTATION. : OTHER. . : . . TOTAL_ # OF SYSTEMS: 1 Owner-: - ___---_____.___._._----__._.___-----.--------.-----.__--- FEES US BANCORP, type amot_mt by date r-,ecpt 611 W. BURNSIDE ST. PRMT $ 40. 00 tEO 09/18/97 97-99343 PORTLAND OR 97201-0000 5PCT f 2. 00 GED 09/18/97 97-299343 Phone #: 503--275-.2756 Contr^actor: -- ----____.---•---------------------___________---------•------------•-_- SELECTRON INC f 42. 00 TOTAL. 7225 SW BONITA RD ----- REQUIRED INSPECTIONS TILTARDND OR 97224 Low Voltage Insp Phone #: 639--9988 Elect' 1 Final Reg #. . : 000643 _... This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty C9des and all other applicable laws. All work will he done in accordance with approved pl,sns. This permit will expire if work is not started ,jithin 198 days of issuance, or if work is suspended for more than 188 days. ATTFNTION: Oregon law requires you to follow rule adopted by the Oregon LRility Ngtification Center. These rules are set forth in OAR '352-881818 through OAR 452-881-8888. You may obtain copies of these rules or direct questiFl "z at12ti6-1987. T s> -red b y _ _�. _ ^ --:---.-__-- Per S i g n a t i.r r e_ L ---..__._.___.___ __.---•------____---OWNER INSTALLATION ONLY---.-----_--------------------_.-_. The installation is being made on ,operty 1 own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: �- ' _ DATE: INSTALLATION ONLY--------------------- SIGNATURE -------------------SIGNATURE OF SUPR. EL E[." N: DATE:: C�y $ LICENSE NO: +++++++++++++4-++++4+++++++++++++++++.4-+4-+++++++++++++++++4++++++++++•f++t+++++++++ Call 639-4175 by 6:00 P. M. for, an inspection needed the next bi.rsiness day ++++F+++++++-F++++++++++++++++-F-++++•++++++++f++++++•+++++++++++++++++++++++++++++++ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. �� Tigard,OR 97223 PERMIT# Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Add it RESIDENTIAL—Restricted Energy Fee . . . . . . . . . 5410.00 e• �J /'i !�22,9 3 (FOR ALL SYSTEMS) City State Zip Check Tyne of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 100 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* /r El Heating,Ventilation and Air Conditioning System' Contractors 1/0 _4yL)Type ❑ Vacuum Systems' J1Z / ��❑ other Address � 5 5 DateCY Iq 7 COMMERCIAL—Fee for each system . . . . . . . . . 540.49 C (SEE OAR 918-260-260) Property Owner – Check Tyne of Work Involved: Contractor's Board Reg. No. l 3 y� ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# ._9��r_ _ ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ fire Alarm Installation ❑ I ivAc Print Owner's Name Phone No ❑ Im.irumentation 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 lem.)under this permit and to do the ❑ Outdoor Landscape Lighting* following, 1 only use electrical Ilcenuvl persons to do installations where required.(Certain 'rotective Signaling - residential and other transactions are exempt from licensing.These have — asterlsks(•).All others need licensing). 2. Call for an lnslx-clion when all of the Installations under this permit are ready El ' 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 oul to inspect under this permit. •No licenses are required. licenses are required for all other`nstallations. 4. Assume responsibility for assuring that app corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing for this permit must fin the applicant or a person a. Enter Fees $ 17K) author' d to hind the applicant. 1 --- b. .5% Surcharge(.05 x total above) $_ __ Signature / TOTAL $ t Authority if olhvr than applit ant ENERGAP.CHP -rYw}r�Np�wrr•^tR•q'Mn�A�'r}�n„�1��'�?�M'9�7�R.�K"tavMy'IPar'+1�"^'..+..e-•w.nrrr.,,.,�w�;*»;w.+w-..may-...-•.�.�s.,...�.�,M....ry�n;,(�Rf"RsN 1!r�.,,�y.Me�� .....•,�•�yw�».y+nrµ4.::,�w•.:,.,w;r.....-.y,.F.�,,..' , RECEIVED SEP 11 1997 COMMUNITY DEYELOPMW CITY OF TIGARD ELECTRICAL F'EPMI1 PERMIT #: ELC98-042 4 DEVELOPMENT SERVICES DATE ISSUED: O7/29/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1S126CO-00401 SITE ADDRESS. . . :O9IB5 SW HALL. BLVD SUBDIVISION. . . . : ZONING:C-G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . .JURISDICT"ION: TIG K'ro.j ect Descr-i pt i on: Electrical service for installation of 3 permanent Nall signs. - -RES I DENT T AL UNIT----- -- -TEMP, SRVC/FEEDERS-----.- --------M I SCELL.ANEOU5 1000 SF OR LESS. . . : 0 0 - 200 amp. . . . . . . : 0 Pl_1MP/I RR I GAT I ON. . . . : 0 EACH ADD' L 5O09 . . . : 0 201. 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/P,ANE:L. . . . . . . 0 MANE. HM/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER------ _.--BRANCH CIRCUITS------•-- ----ADI)' L INSPECTIONS— ..0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: ID PIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 15t W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN f'I._ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ------- REVIEW REVIEW SE:C:TION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > _ 225s AMPS. . : CLASS AREA/SPEC OCC. : Owner: --------------- _____.__. _...._...__.__.._._..._._.._.___.__-__.____.__...._.._....._ ...__._.-- FEES, _----------------- U. S. BANK type amount by date recpt 9185 SW HALL BLVD PRMT $ 120. 00 DEB 07/24/98 98--:307674 TIGARD OR 97223 SPCT $ 6. 00 DEB 07/24/98 98-307674 Phone #t Contractor: CLARK SIGNS $ 1.26. 00 TOTAL_ PO BOX 1113 ------- REQUIRED I NSPECT I GINS --- ST HELENS OR 97051 Ceiling Cover Elect' l Service Phone #e 781-6081 Wall Cov Elect' l Final Reg #. . : 000649 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Sp, :ialty 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 188 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. Thnse les are set forth in OAR 952-001-MIO through OAR 95,?-801 1987. �pu may obtain a copy of these rules or direct questions to OUNCE lung 1503 /01 l PrmittPP Signattli-e : �� _ Ti`�� By : - - -E INSTALLATION ONLY-- ----- ----_____------_----_-__._ The installation is being made on property I own which is not intended for, sale, lease, or rent. OWNF R' S SIGNATURE: DATI=: _...__...__--__---••----_._-------CONTR4CTOR INSTALLATION S T ONATURE OF SUF'R. ELEC' N: DATE: LICENSE NO: !R 3AEr i+++++++++++++++++•h++++++++++++++t+++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by '7:00 p. m. for- an inspection needed the next business day ++++++++++++++++++++++4•++•+•+++t++++++++4•++++++++++++++++++++++++++++++++++++++++ CITY OF TIGARD Electrical Permit Application Plan Check/►r�� 13125 SW HALL BLVD. Recd By ((_y TIGARD OR 97223 Date Recd- -7 I'hone (503)639-4171, x304 Date to Type Inspection(503) 639-4175 Print or T yP Date to DST_Permit Ir_�� `� -- /' ,:� Fax (503) 684-7291 Incomplete or illegible will not be accepted Called C-E a- '7 1. Job Address: 4. Complete Fee Schedule Below: Name of Development-�l��_/J � Number of Inspections per permit allowed Name(or name of business) U,S r�rT7y /mayy Service included: Items Cost Sum Address__ c) I�L vD u 4a. Residential-per unit 1000 sq.it or less _ $110-00 _ 4 City/State/ZDpz - Fath additional 500 sq,ft.or -- Commercial Residential❑ portion thereof $25.00 1 l.Imllud Energy _ $25.00 _ Each ManuPd Home or Modular - - 2a. Contractor installation only: Dwelling Service or Feeder _ $68.00 2 (Attach copy of all current IlcelIes) 4b.Services or Feeders Electrical Contractor l �� `�/� Installation,alteration,or relocation Address '� �) l 200 amps or less $60.00 2 -z- 201 amps to 400 amps $80.00 City-L _ State Q, __ZiP f c:� 2 401 amps to 600 amps -- $120.00 2 Phone NO. 7 601 amps to 1000 amps _ $18000 _i 2 ,Job No. 1000 amps or volts $340.00 � 2 Elec. Cont. Lice. No._ ` Exp.Date_- L) c-jo p Reconnect only - $50.00 _ 2 OR State CCB Reg. Na Exp.Date i 4c.Temporary Services or Feeders COT Business Tax or Metro o. t _xp.D9ase, x- Installation,alleranon,or relocation - / 200 amps ar loss $50.00 2 Signature of Supr. Elec'n tom_ 201 amps to 400 amps $75.00 _ 2 401 amps to 600 amps $100.00 2 `7 •, / Over 600 arTrp,to 1000 volts, License No. r 5 Exp.Date� 0see"b"above. Phone No._ w �^ _-- 4d.Branch Clr;.ults New,alteration or extension per panel 2b. For owner installations: a1 The fee for branch circuits with purchase or service or Print Owner's Namefeeder fee. Address - Fach branch circuit $5.00 �- '--W--- W The tee 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 Each additional branch circuit_ $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not ricluded) Owner's Signature _ Each pump or irrigation circle $40.00 2 Each sign or outline lighting 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy $40.00 +- panel,alteration or exienslon _ $40.00 2 Please check appropriate item and enter fee in section 5B. Minor I abels(10) $100.00--- 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In snv of the above System over 600 volts nominal 1'er inspection $35.00 _ Classified area or structure containing special occupancy Per hrnu $55.00 as described In N E C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with applicstlon where any of the above apply. 5. Fees: 00 Not required for temporary construction services. 5a.Enter total of above fees $ - Surcharge(.05 X total fees) $ � L, .0 C NS2hirE Subtotal $ 7 `�G7C Sb.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec 3) $ - -- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Account n _ Total balance Due �"�- CITY OF TIGARD DEVELOPMENT SERVICES AE, 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 ELECTRICAL, PERMIT RESTRICTED ENERGY PERMIT #: ELR98--0173 DATE ISSUED: 07/08/98 PARCEL: IS1260 O-00401 SITE' ADDRESS. . . :09185 SW HALL BLVD SUBDIVISION. . . . : ZONTNG:C-G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTN: TIG Plroj ect Descri pt ion : U.S. Bank CCTV ---------------------- A. RES I DENT I AL---- B. COMMERCIAL--___---.____..________._____.______.__-- AUDIO & STEREO. . . : AUD 10 8.. Sl E REO. . : INTERCOM & PAGING. . .- BURGLAR ALARM.... BOIL.ER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : 6(4RAGE CLOCK. . . . . . . . . . : MEDICAL. . . . . . . . . . . . z HVAC. . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . VACUUM sys-l-F.�m. . . . FIRE ALARM. . . . . . . OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL— : I NST RUMENTAT I ON. : OTHER. . :CCTV : .-X TOTAL- # OF SYSTEMS: I Own pr: FEES WfNM."? OREGON INC type amot.(nt by date reept 700 FIFTH AVE STE 2600 PRMT $ 40. 00 JSD 07/08/98 98--307173 SEATTLE WA 981.01 51-*,Cl $ 00 JSD 07/08/98 98-307173 Phone #: Cont ractor: DATA CABLING & ENGINEERING INC $ 4.2. 00 TOTAL 3930 SW 30TH ------ REQUIRED INESPECTIONS GRESHAM OR 97080 Ceiling Cover Low Voltage Insp Phone #: 6,74-1353c' Wall Cover Elect' I FinAl Reg #. . : 000909 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is susprided for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those les are iet forth in OAR 952401-010 through OAR 952-01-IM. You may-!btAn-rapies of these rules or direct questions to �W at 1246 1987, INSTALLATION ONLY--- The installation is being made on property I OWT-1 which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: --------CONI'RAC TOR INSTALLATION SIGNATURE OF SUPR. ELECIN: DATE: LICENSE NO: .. A....... 4.................... ..................4-++++.4...........f........ Call 639-4175 by 7100 P. M. for an inspection needed the next bi.isiness day ........................4........................................................ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: '7 J 13125 SW HALL BLVD Date Rec'd:_ TIGARD OR 97223 PRINT OR TYPE r V - 503-639-4171 X304 Permit#: C ' ( / 3 F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Cali'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 4 P y (FOR ALL SYSTEMS) JOB Street Address 5fe# ADDRESS q_� S -�cr�/ t3lac/ Check Type of Work Involved. Citt//_State - r Phone# ! � Audio and Stereo Systems `( 04/ 17 .> 74, 7 — — Name E] Burglar Alarm IV t H hi rt d r � e , T N C � Garage Door Opener' OWNER ailing Address .-. /DG�J r/. 11 'Z A2li'40 Heating.Ventilation and Air Conditioning System' Cltate 7' / Phone# ->04ki ow C� Vacuum Systems' Name Other ------------- CONTRACTOR Marling Address 30 r )0 `,/ TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a Cr /State Zi . l Phorig��# Fee for each systern.............................................. $40.00 copy of all licenses �� `)7•x17 C�iZ rl� (SEE OAR 918-260-260) are required if Oregon Contr Brd Lic # Ex, Date expired in C O T. �( 13 To A0 k Check type of Work Involved. data base) Electrical Contr Lic # Exp Date -7� Audio and Stereo Systems C O T or Metro Lic # Exp. Date Boiler Controls Owner's Name Ciock Systems OWNER - Mailing Address APPLICANT Data Telecommunication Installation CrtylState Zip Phone# ❑ Fire Alarm Installation This permits issued under OAE 918.320-370 This applicant agrees to crake only restricted energy installations(100 volt amp;or less)under this HVAC permit and to do the following C7 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, Landscape irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; F--] Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Cells inspection when the Inspector is out to inspect und•ar 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 C f2 corrections are completed Other Permits are non-translerable and non-refundable and expire if work is not started within 180 days of issuance or i;work is suspended for 180 days _Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant FEES: ENTER FEES S Signature �- 5"/,,SURCHARGE(.05 X TOTAL ABOVE) $ Authority if other than Applicant TOTAL $ i i tdstsuesei,doc 7117 — '— CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -~ BUP Date Requested - - AM i PM p BLD —' I ovation.-- `�( 0 J � �_= y YE 1 MEC Contact Person .� "��C'�] J��-'' Ph (D `�1�� PLM —_ Contractor ! s' l- Lnw, h SWR _ BUILDING enan Owner (.(.�� ti, ELC Retaining Wall ._ ��R Footing Access: ,( Foundation ( FPS Ftg Omir, `i� _, SGN Crwol Drain Inspection Notes-, -- '''ab SIT Post&Beam cxl Sheath/Shear L ` C- — Int Sheath/Shear i FramingInsulation Drywall Drywall Nailing ---------- r"Zl'oz- ----- -- -- Firewall -" Fire Sprinkler Fire Alarm Susp'd Ceiling -__-- — _ ------__.-�� Roof Misc: - - -- -- -----� - — Final PASS PART FAIL -.- —. -- --------- --- ---------_--`�—_ PLUMBING Post& Beam - -- --- -—� -- - ----------- Under Slab T up Out ------- --...--------- Water Service Sanitary Sewer -- - --- - - Rain Drains Final PASS PART FAIL �Mi:CHANICAI Post&Scam ---- .----- ------ _ — -_ ------- -- Rough In Gas Line -- - -- --_------ Smoke Dampers Final PASS PART FAIL ELECTRICAL -- ------ ._ -- -- -------- S-rvlce Rough In UG/Slab Low V.:-rage -- ----_____..--.- Fire Alarm Fin SS PART FAIL r Bac► rlllGrading - �-----� -------------------- --- ---- Sanitary Sewer Storm;train [ )Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: [ )Unable to inspect-no access ADA Approach/Sidewalk �.., �� Other Date �i Inspector Ext W Final PASS PART FAIL DO NOT REMOVE this inspectior+, record from the joh site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24•-Hour Inspection Line: 639-4175 Business Line: 631-4171 -- B U P ----___—.-- Date Requested AM —_PM BLD Location �( b + ��- if.�� Suite MEC Contact Person Ph c� PLM Contractor 1= �^r" _ ' �" Ph �, / / ,�r' SWR -9-U-1 LDING.' Tenant/Owner F �: '�' �,� � EW Retaining Wall ELR Footing9 ' Foundation Access: -�� [�2 ��{, FPS Ftg Drain Crawl Drain Ins p ction Notes, —. Slab _ L SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear Fiaminy ------ ---- - Insulation --�� Drywall Nailing -- Firewall - Fire Sprinkler -- Fire Alarm Susp'd Ceiling ___.--.-- Roof Final PASS PART FAIL ----- -----. -- - --•PLUMBING Post Post&Beam ---- __ ----__.._ Under Slab 'Top Out ------- - _-- __--- -- — Water Service Sanitary Sewer Rain Drains Final -------- ----- - --____ __----- — ---- - — PASS PART FAIL MECHANICAL — PostRBeam ---.. ------------ — -- -- Rough In Gas Line --- Smoke Dampers Final --- - ---- -._— PASS PART FAIL ELECTRICAL Service _ Rough In UG/Slab Low Voltage Fire Alarm ASS PART FAIL _- -----._._�—.- --�_—---�--- -- E Backfill/Grading ----- -- ---- - --- ---__._�.— a ---- Sanitary Sewer Storm Drain I ]Reinspection fee of$ —required before next inspection. Pay at City Hall, 13126 SW Hall Blvd Catch Basin Fire Supply Line l 1 Please call for reinspection RE ]Unable to inspect no access ADA Approach/Sidewalk-- pate [-y Other J '�____Inspector / Ext Final PASS PART FAIL I 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 Date Requested— AM _PM — BLD Location— LcS' S ��/� 43t::C Suite _ MEC — Contact Person Ph PLM Contractor r,e s, � 1/ Ph ---2j L/- SWR ^– BUILDING Tenant/Owner _ cit py J ��o ELC �_�j/� ' Retaining Wall ELR Footing Access: — Foundation tt rr FPS Ftg Dain Crawl Drain Inspection Notes: SGN _ Slab �✓�. ��—__ ------- SIT Post& Beam --—-- Fxt Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------ Firewall Fire Sprinkler Fire rm Susp'd Ceiling Roof Misc -- - ._ -------- — --- ---- -- F inal PASS PART FAIL. _--__-----,---.---- -- — PLUMBING [lost&Beam -- ------------- ...— — --_ Under Slab TOP Out - - ------ - .._----- ----- Water Service Sanitary Sewer -----------_._._.--------------,Pain Drains Final _ ------ ---r.------------ — -- - PASS PART FAIL _ MECHANICAL — Post& Beam --_- Rough In Gas t ine -- - ---------- --— --- — ------ Smoke Dampers Final —�--- - ---- PAS T FAIL ELECTRICAL -------___-- 9erviC�__ Rough In UG/Slab Low Voltage ------------- _ ------ ---- Fire Alarm r"IfA'S_S� PART FAIL Backfill/Grading -- ------- ------.-- -------- -- Sanitary Sewer Storm Drain I J Reinspection fee of$ _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE: _ —` _ [ ]Unable to inspect-no access ADA Approach/Sidewalk / Other Date .S - _— Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.