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15350 SW SEQUOIA PARKWAY STE 195 �M I ADDRESS: ' S12 M �1 Y i 1 f. 1 I I i:\records\microflm\targets\building.doc I i ��s F - _ P'• � yll�ylr .+W'rM"'7TAMrMMNM"'!�M`.... .._....• ... ...- ,-ww.. CITY CSF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Pgard,OR 97223 (503)639-4171 C rRTIFICATf_ OF OCCUPANCY PERMIT M. . . . . . . s BUP95--0499 DATE ISSUED& 04/06/96 PARCEL s 251 12DA--01400 ,ITE ADDRESS. . . s15350 SW SEQUOIA PKWY 0195 SUBDIVISION. . . . sPACIFIC CORPORATE CENTER 1(JNINQs !LC)CK. . . . . . . . . . I LOT. . . . . . . . . . . . . I JURISDICTIUNs TI© CLASS OF WORK. :ALT TYPE OF USE. . . :COM TYPE OF CONSTR s 3..-1 HR OCCUPANCY GRP. sD2 OCCUPANCY L.OADs a 1"E:NANT NAME. . . sE. CLIFFORD MC KCEN Pemarkas Tenant improvement (.)wners PACIFIC REAL.TY ASSOCIATES INC 15350 BW SEQUOIA PKWY S-300 i IGARD OR 97224 i Phone Ms i 1)PANDYW I NE HOMES INC P 0 BOX '229 LAKE_ OSWEGO OR 91035 Phone *s 697-3277 Reg #. . : 000592 This C:te►tifir.arte grants occupancy of the eho,.•e referenced building o►- portion thereof and confirmq that the buil.ding has hewn inspected for compliance with the State of Orgon Specialty Code" for the group,` r.:cupency, end US* index which khe referenced permit was issLted. I f CAU LDINC3 NSP . "TUR BUILDI C3 OFFICIAL. POST IN CONSPICUOUS PLACE 6 s ELECTRICAL PERMIT PET It: 96-0006 CI-TY OF TIGARD DATEIISSUEDr:` 01/03//96 "COMMUNITY DEVELOPMENT DEPARTMENT 13125 3W Hall Blvd.Tigard,Oregon 97223981M (503)630.4171 PARCEL- .231 12DA -00400 SITE ADDRESS. . . : 15350 SW SEDUOIA PKWY #1.95 SUBDIVISION. . . . s Zf1NING: I- F' BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . Project Descoiption, ADD SIGNAL CIRCUIT. ---RESIDENTIAL UNIT----- -- ---TEMP' SRVC/FEEDERS---- - --MISCELLANEOUS- --- 1e00 SF OR L.ESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 4' E(4CH ADD' L `.;005F. . . : 0 201 - 400 ramp. . . . . . . : 0 SIGN/OUT LINE LTG:. . : 0 LIMITL_'D ENERGY. . . . . . 0 401 600 amp. . . . . . . . 0 SIrNnL/PANE1_.. . . . . . . . 1 MANE=. HM/ SVC/FDr;. . : 0 6014amps...1000 volts. s 0 MINOR LAk1EL ( 10) . . . : 0 •--SERVICE/FEEDE=R-._..--- -------FARANrH CIRCUITS--.-_.__ --ADD' L INSPECTIONS-____ +. IrJ - E'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . s 0 If calci - 400 . . . . . . . 1St W/(T !'RVC OP FDR.: 0 PER 1-40UP. . . . . . . . . . . . 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amTt. . . . , : Vr _-___ __.._._.___.....- ---•-F'LAhJ RLV IE-W SECTION------- 1000+. amp/volt. . . . . 1 0 )=4 RES UNIT'S. . . . . . . . : > 600 VUL"r NOMINAL. . : P.ec_unnect onlv. . . . . : 0 SVC/FDR > - 2,25 AMP'S. . : CLASS AREA/SPEC OCC. : Owner: -.-____----.-_-.._.---_.--_-___-.--_-...--_.-____. FEES PACIFIC RFAI TY/RArH0FNFR type ,amount by date recpt 15350 SW SEQUOIA P'K.WY #195 PRMT $ 40. 00 .TMH Ot /0,3/96 96- .:745'r=+ "=5P'CT $ 2. Ord JMH 01/03/9C, 16--274544 TIGARD OR 97='c:4 Phone #: 503-639--.4046 r:ontractor: 1AACHOFNER E:LECTRIC. INC. $ 42. 00 1"OTAL 55 SE MAIN --- - -- RE-UU 1 RE D INSPECTIONS ------ PnRTI. AND r)R 97214 Ceiling Cover E:l ec:t' I Service Phone #: 503-233-2006 Wall Cover Flect' l Final Re cl it. . : 44569 This permit is Issued subject to the regulations contained in the 4"nx31.4" Tigard Municipal Code. State of Ore. Specialty Codes and all other Pei-mi.tt e 5iynatLtre applicable laws. All Mork will he done in accordance with approved plans. This permit will expire if work is not started ee , within 188 days of issuance, or if work is susoended for more GIf 114_�p�' _ than 180 days. I .led E.{y IN73TALLATITON ONLY—- The NLY-- -The installation : s beinq made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATEi _.... .._. .. .- -.r0NTRArI-nr TN!;1-(.)1 i i1TT r11.I q,,11 Y IGNATURE. UF' SURP. FLE:C' N: 2cCflS' DATE: �-8�8 S -- Chin r • _ . I CE=NS;E NO. Lall for inspection E,;;9-417 �r Job #4541T Community Development ELECTRICAL PERMIT APPLICATIONIF-C-c P r 13125 , O Hall Blvd ��_ I I { Tigard, OR 97223 Planck/Rec. # �_ 2 ,`i S1 i7� Permit # -t-COTMh _ f Phone 1503) 639-4171 Date Issued FAX (503) 684-7297 Issued by Mk) CITY OF TIOARD TDD No. (,03) 684-2772 lns{.ection (503) 639-4175 _ 1. Job Address: e) I 4. Complete Fee Schedule Below: Name of Development ,.' elm — Humber of Inspections per permit allowed — AddresS1L 5US.W 5�;i,rdL�lSlopf�?j1 Iqn, x+rvice included Items Cost(oa) Surn Ci /Sfate2ip :ie1�'= 24 4s. Residential-per unit 4 b _ E G 1000 eq II or Ise $11000 Nameor name of business MJ:m> Each additional boo aq It or Name (or portion thereof s2 00 1 Commercial Residential ElEach Energy -- S25 o0 2 Each Marufd Home or Modular Dwelling Santee or Feeder $88 00 Za. Contractor Installation only: 4b.Services or Feeders ! Installation,alteration,or relocation 2 Electrical Contractor Rare LDEr F.rttx"f'T-iCp Tri._ 200 amps or leas Seo 00 2 Address 55 SOL Mair,Stir, 201 amps l0 400 amps $8000 _� 2 city. l ')d State ZI 401 amps to 800 amps $12000 2 �— P_9`7214 801 amps to 1000 amps $180 On 2 Phone NO. 23,}-2QQk Over 1000 amps or Vohs $340 DO 2 -` Contractor's License No. 26-451C 1 Reconnect only X5000 _ Contractor's Board Reg. No.44- 6TI t, 4c.Temporary Services or Feeders Irstalletron aheration,or relocation 2 Signature of Supr. Elec', 200 amps or lava Sb000 2 License N0. Phone N0. 201 ampstn400ampe $7500 2 1L86� ----- 401 amps to 800 amps $10000 Over 800 amps 10 1000 Vohs 2b. For owner Installations: I sow*b"above Print Owner's Name4d.Branch Circuits New.alteration or extension par panel Address a)The lee for branch crcurls with --- City State Zip purchase or seryr A ks of, foe. 2 Each branch cucun $500 Phone No bi The lea for branch crarnts without The installation is being made on property I own which is purcheee or servke or resole.he. 2 Fust branch circuit $3500 2 not intended for sale, lease or rent. Each Additional branch arcuh $500 i Owrprs Signature_ 49.Miscellaneous (Service or feeder not included) 2 3. Plan Review section (i/required): Each pump or irrigation am;le $4c 00 2 Fach sign or outhns lighting S417,00 Signal urcuit(sj or a bmtled energy Please checl,.pproprisie Item and enter tee in section 513. panel,alteration or exlension 1 Iwo 00 _40.00 4 o,more rwsldeni;a!units in one structure I Minor Labals(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41.Each addif'onal inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E.0 Chapter 5 Per I"apaction $3500 Per hon _ $55 DO � Submit 2 sets of plans with application where any of the above In Plant S5500 apply, Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 40.(x) - -- 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR ,ONSTRUCTION Subtotal $ _A AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subtotar $ _ COMMENCED, ❑ Trust Account N $ Balance Due $ 42.00 - +yam ro f �w._ . i I Page No. 1. CASE HISTORY FOR CASH NO. ELC96-0006 PACIFIC REALTY/BA!'HORIEV 15350 SW SEQUOIA PR.WY Unit, 145 12/01/97 Action Descrf.ptiOn Req/ schd/ End/ ActA,4, aoteo nisp By Updite Upd . Code Sent Done Dome Dstc By BLCrOol Application received / / / / 01/03/96 RECD JMH 01/03/46 J•H ZLCC003 Permit created / / / / 01/03/96 RECD JMH 01/03/96 J•H ULCC400 (P)Ready to issue / / / / 01/03/96 RECD JMH 01/03/96 J•H iLCC500 Wisitue permit / / / / 01/03/96 PASS JM01 01/03/96 J•H RLCC799 Rlect'l Final / / / / 12/31/96 12/31/96 MJR OR M,JR 12/31/46 M,JR ELCC800 Case 1►inaled / / / / 12/31/96 z r I ,�,- �^..,. �„ .. ',.,, _, r.v..., • M -u.lr ,..y.:.',a,..,.�, .. ......a. .. .,. �..w.,N� K .,..,. .''e. ,.yrs• . 9 OF TI %7ARD MECHANICAL ON PERMIT' COMMUNITY DEVELOPMENT DEPARTMENT PEP.MI T #. . . . . . . . MEC95--0419 13125 SW Hail Blvd.Tigard,(:upon 97223.8199 (503)639.4171 DATE ISSUED: 1 2/18/95 C PARCEL: 2S112DA• 00400 1 I TF. ADDRESS. . . : 13 350 SW SEG?UO I A PKWY #1'35 ;IJSI)I V 151ON. . . . : 7nNI NG: I-P a' DLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . i,LOSS OF WORK. . ALT FLOOR TURN. . . . 0 F_'JAF' COOLERS: 0 I YPE OF USE. . . . :CUM UNIT HEATERS. . : 0 VENT FANS. . . : 0 ]CCUPANCY GRP. . :B2 VENTS W/O APDL: i7J VENT SYSTEMSs 0 STORIES. . . . . . . . : Ir BOILERS/COMPRESSORG H00Dq. . . . . . . . Q FUEL TYPES----------------- 0-3 HP. . . . : 1 DOMES. I NC I N: 0 - /GAS/ / / 3-15 HP. . . . : Q1 COMML. INCIN: 0 MAX INPUT: 0 BTIJ 15-30 IIP. REPAIR IJN T T5: 0 FIRE DAMPERS?. . s N 30-50 HP. . . . 0 WOODSTUVES. . : 0 GAS PRESSURE. . . : M 50+ HP. . . . 0 CLO DPYERS. . 0 NO. OF UNITS------------ AIR HANDLING UN I T5 OTHE:R UNITS. : 0 FuRN ( 100K PTU: 1 (- 1.0100 cfm : 0 GAS OUTLETS. N�'4 FURN ) =100K BTU: 0 > 10000 cfm: 0 �,� f. Remarks : ?enant improvement Owner: - --____._---._______.____________..__.__.__-_.__-______.___.__-• F-E ES --_..___----___.__ I='ACIFIC REALTY AGSOCIATES INC type ramoi.int by date recpt L5350 SW SEQUOIA PKWY 5-300 PRMT $ 25. 1210 JSD 12/18/95 95-•274005 PLCK f 6. 25 JSD 12/18/95 95-274005 1IGARD OR 97224 `;PCT $ 1. 25 JSD 12/18/95 95-274005 hone #: 624-6300 Contractors PROTEMP Af'i50C T PTE'S INC. '107 N. E. COUCH PORTLAND OR 972'32 _.----------------------------.__----._. t X11 on e #: L1,33-6911 f 32. 50 TOTAL_ 38668 ---- - REQUIRED INSPECTIONS ----- 'his oereit i5 issued subiect to the regulations contained in the Gas Line InsF Tigard Municipal Code, State of Lire. Specialty Codes and all other Mec hanical Insp �_____•..-__e__,.____. ._ applicable laws. All Mork will be done in accordance with Heat incl Unt Insp acproved plans. This persit will expire if work is not started L'ool. i.nq Unt Insp within IN days of issuance, or if work is suspended for sore Di.1ct Inspection than 180 days. Mi sc. Inspection Final. Inspection _. . ' ; �-er.mittpe 5ignat�_lre Call for inspection - 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Han Bifid. APPLICATION /hermit # ^-c -O Tigard, OR 97^?3 (503) 639-4171 �� ) ,� • i P QW 5 i T,- 1 y 5 `t-A 0-t 2 U 15 �y ��, _ Table 3A Mechanical Code CITY PRICE AMT ,Job c i) Permit Fee i 3'�O 5w S�.C��.lOF1 -o- o- toxo � Address �etl LK3Nf�, UQ q-]ZZ 2) Supplemental Permit 3.00 umace C-� 1) incl.ducts&vents 6.00 Furnace 100,000 HTU + Owner 1535D 3tQWtnIlk (?(Ldp _%t Sex) 2) incl. ducts&vents 7.50 Floor Furnance _e.cTi_A.V, Cat, ZZ 3) incl. vent 6.00 a M».. Suspenow nestat,wall heater l F Fcfep tu t ye r'j� 4) or floor mounted heater i 6.00 Vent not incl.in Occupant 15350 5W "#A L 1 5) appliance permit 3.00 epai�oo eating,re ng. G) coolinq,absorption unit 6.00 filer or comp,heat pump,air cor . 7) to 3 HP;absorp unit to 100K BTU 6.00 (, i �» Boiler or comp,heat pump,air cond. `,o"7 P-)F- Cl?t-+C k 1 z (ort I) 8) 3.15 HP;absarp unit to 500K BTU 11.00 Contractor Boiler or comp,heat pump,air cand. 9) 15.30 HP;absorp unit.5.1 mil B•i'1 15.00 u J —55Ter%ir comp,heat pump,air Gond. 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22.50 ere y acknowledge that 1 nave road this application tFa-T1h Boiler or comp, ea Pump,air concl. information given is correct,that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50 of the owner,that plans submitted are in compliance with State Air handling unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 L>' that the number given is correct. (If exempt from State registration, Air handing unit please give reason below.) 13) 10,000 CTM+ 7.50 --1 oporfa6Te — -- 14) evaporate cooler 4.50 Vent tan connec 15) to a single duct 3.00 Ventilation zystem not -'- 16) included in appliance permit 450 Ho sere y 17) mer.hanical exhaust 4.50 Describe work new addition aeration • repair U Uommorcialor in us na — f to be done residandal Q non-residential O 18) type incinerator 30.00 xis ng use o — Other i.e.,wo s ove,wa er - building or property 19) heater, solar,clothes dryer,etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 C building or property 21) More than 4-per outlet 4 Type of fuel .oil O natural gas O LPG Q electric(9 - t NOTICE Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION Z� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. r TOTAL 7 Special Conditions Date issued by 4MICNoMT i Page No. 1 CASE HISTORY FOR CASE NO.: MEC95-0419 PACIFIC REALTY ASSOCIAT68 ;NC 15350 SN SRQUOIA PIWY thlit: 195 12/01/97 (' Action Description Req/ Schd/ Mid/ Action Notes Diep By Update Upd Code sent Done Dcme 1)ate By h. i --- ------ --- t. MFCC007lication / / / / 11/14/95 Bent to Jim P. 12/5/95 PEND JDA 12/05/95 B F App received i MRCCoia Plan check by 12/05/95 / / 12/13/95 APPR JHF 12/11/95 JHF MRCCo60 (F) Issue permit / / / / 12/19/95 PASS JBD 12/19/95 JD MECC060 (P) Inoue permit / / / / 12/18/95 PASS JSD 12/18/^5 JD MRCC740 Duct Inspection 12/13/95 / / 1/04/95 PASS TLP 01/05/96 TLP MRCC799 Final Inspection / / / / 01/04/95 PASS TLP 01/06/96 TLP MRCCBnn case Finaled / / / / 01/04/95 PASS TLP 01/05/96 TLP I, I I 4 1 .'z I F I t r� �4 F70w,, BUILliiNu PERMIT C I 1Y OF T I G"FikkkRD DATEl ISSUED: . I /15I/95JyQ49r' COMMUNITY DEVELOPMENT DEPARTMENT 13125 5W Hell Blvd.Tigard,Oregon 077.23.8189 (503)830.4171 PARCEL: 2S 1 1 2Dq•-01Zl400 CITE faliDF�L.�S. . . : l s5lc} W `:J1..0UOIA PKI,IY 4195 ZONING- 1- ;UBDI VISION. . . . . F' :`•LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE: FI_..00R EXTERIOR WALL CONSTRUCTION.- e CLASS OF WORK. :AL.T FIRST. . . . : 1017 sf N: S: E: W: TYPE OF USE. . . :COM SECOND— ,. 0 sf F,RO'TECT OPENINGS ? - .-_.__. ._...._ TYPE OF CONST. :5N . . . : 0 sf N: S: E: W: OCCUPANCY GRP. :Bi-" TOTAL - - 1017 sf ROOF CONST: FIRE PFT? : OCCUPANCY LOAD: 8 BASEMENT. : 0 sf AREA SEF'. RATED: STGR. : 0 11T: 0 ft GARA5F.. . . 0 'sf OCCU 5EP. RATED. " SGMT?: MEZZ?: REGID REQUIRED---------------------- FLOOR LOAD. . . . : 0 osF LETT: 0 ft RGHT: 0 ft FIR SpKL:Y SMOK DET— :Y DWELLING UNITS- 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y iIF_DRMS: 0 BATI.6: 0 IMF' SURFACE: 0 PRO CORR:Y F'ARI'.I NG- 0 VALUE. t : 5000 RPmar'ks : Tenant imps-ovPment Owner.: --- FEE'S C-ACIFIC—i ECILTY A a50CIAT'.--S INC type :amol_int by date recpt 15352 SW SEQUOIA F'KWY 3-300 P L C K $ 32. 8: 8 10/05/95 95-272845 NRMT $ 50. 50 .JDA 12115/95 95-273996 TIGARD OR 97224 FIRE $ .=0. 00 JDA 10/15/95 95-273996 Phane #: 667,,00 FjPCT i 2. 53 JDA 12/15/95 95-27:3996 CJontr•artor: I1. L. GREEN i 15115 SW SEQUOIA BLVD, SUITE 200 T 1 CARD OR 97224 _____._____.______,__-•- PhOT1P #: 624-7717 f 106. 06 TOTAL_ Req #. . . 41328 - --- --- RE C?U I RED INSPECTIONS ------This permit is issued subiect to the regulations contained in the Framing Insn Tioard Municipal Code. State of Ore. Saecielty Codes and all other Insl.11ation InSp applicable laws. All Nora will be done in accordance with Cyp Board Inso approved plans. This permit will empire if work is not started :31.(Sp Cei lnq Insp �_____._ ___��•.__ within 188 days of issuance. or if work is suspended for more S fir i n k l er- Final than IFA days. Misc. Inspectirn Final Inspertion 1 ermittee SIMIat 1AX N : Isy�_ _ led BY: i Call for, inspection - 639-4175 l IPF W, I Commercial Building Permit Application City of Tigard 13125 3 W Hall Blvd. Tigard, OR 97223 i j 1 ,1113 11 (503) 639-417.1 Jobsite Address: Tenant: r;4 Suite# Office Use Only Planck/Rec Valuation: Permit# Owner: Pacific Realty Associates, L.P. (PacTrust) Map & TL Address: 15350 S.W. Sequoia Pkwy, Suite 300 Approvals Required Portland, OR 97224 Planning _ Phone: 503/624-6300 Engineering Other Contractor: H.L. Green Company Address: 15350 S.W. Sequoia Pkwy, Suite 300 Portland, OR 97224-7199 Type of const: Phone: 503/624-7717 Occupancy class: Sprinklered? Yes No Contractor's License * 41328 (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone.- Chris Green, 503/624-7717 Story (1st, 2nd, etc.) Proposed use: Architect/Engineer: —John H. Rorri sh Previous use: Address: 2216 S.E. 24th Avenue Note: Plumbing & mechanical plans Por,tland, OR 97214 must be submitted at time of Phone: 503/236-6306 building permit application. JOB DESCRIPTION: �pplicantignature & Phone number Received by: Date Received: Permit$ Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) HCl Ste_ _ Plumb. Permit (PLUMB) Mech. Permit (MECH) _ f I' i State Tax (TAS ) Bldg: Plumb: Mech: i Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF MF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF.-IS) Office TIF (TIF-0) Water Quality (WOUAL) Water Quantity (WQUANT) _ 2.Pe Fire Life Safety (FLS) - Erosion Cntrl Permit (ERPRMT) Eroulon Planck/LISA (ERPLAN) I Erosion Planck/COT (EROSN) i 4a TOTALS: ? IJ Commercial Building Permit Armlli.cation City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 e (503) 639-4171 ✓ "75 �73`7g6r �uP-x ? ' Jobsite Address: Jai-' S�l�/ S !� �7 E.641111� ,0 /,f'-� Office Use Ong Tenant: S { ___ Suite # / S- .rlO/� �v/�'6 3 Planck/Rec Valuation: J" �"'' .�� l✓��) Permit# _ Owner: Pacific Realty Associates, L.P. (PacTrust) Map & TIL#_ _ Address: 15350 S.W. Sequoia Pkwy, Suite 300 Approvals Required Portland, OR 97224 Planning _ Phone: 503/624-6300 Engineering _ Other Contractor: H.L. Green Company Address: 15350 S.W. Sequoia Pkwy, Suite 300 Portland, OR 97224-7199 Type of const: Occupancy class: '" y Phone. 503/624-1717 Sprinklered? Yes No Contractor's license #_ 41328 (attach copy of current Oregon license) Sq. ft. of project: �� Contact name & phone: Chris Green, 503/624-7717 Story (1st, 2nd, etc.) ArchitectlEngineer: John H. Romish Proposed use: Previous use: Address: 2216 S.E. 24th Avenue _ Note: Plumbing & mechanical plans Portland, OR 97214 must be submitted at time of Phone: 503/236-5306 V building permit application. JOB DESCRIPTION: D��Z 4t- At licant SignaturQ 8 one num er Received by: Date Received: 1 Permit At Account Description Amount Amt. Pd. Bal. Dui Bldg. Permit (BUILD) Plumb. Permit (PLUMB) • Mach. N.-mit (MECH) State Tax (TAX) Bldg: i Plumb: Mech: 6(4 '' Plan Check 4P--LANGK) Bldg: Plumb: 1 Mech: i Sewer Connection (SWU SA) Sewer Inspection (SWINSP) i Parks Qev Charge (PKSOC) I 1 Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-iS) _ Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity fflQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: -- A L;r 1P r 4 1 ' 4 Pagn No 1 CASE HISTORY FOR CASE NO.: BUP95-0499 PACIFIC REALTY ASSOCIATES INC oil 15350 SN SEQUOIA PF.WY Unit: 195 ,..» 02/17/96 I' Action Description Req/ Schd/ End/ Action Notes Diop By Update 11pd Date By II Code Sent Done Done ' -------------------------'------------- ---- --- - it 1 BUPC007 Application received / / / / 11/14/95 PEND JDA 11/05/95 B PB 12/05/95 B BUPCOoe Permit created / / / / 12/05/95 1 BUPCOIS Plans routed to Plane Examiner / / / / 12/06/95 PEM ND B 12/06/95 B 1 RUPCO24 Piano Approved/Routed to DSTo / / / / 12/13/95 APPR JHF 12/13/95 JHF �,✓ Bl1PC040 (P' Ready to issue / / / / 12/15/95 PASS JDA 12/15/95 CDA f PASS JDA 12/15'95 JDA BTJPC100 (F) Inoue permit- / / / / 12/15/9• ) BUPC740 Framing Inap / / / / 12/19/95 PASS TLP 04/05/96 TLP SUFC760 oyp Board Insp / / / / 'd/20/95 PASS TLP 04/05/96 TLP I� BUPC762 Sump Ceiing I.nap 12/19/95 / / 12/19/95 PASS TLP 04/05/96 TLP f BUPC704 Sprinkler Final 12/13/95 / / 04/05/96 PASS TLP 04/05/96 TLP BUPC799 Final Inspection / / / / 12/29/95 ASKED FDR TEMP FINAL, NO TNSP HAVE BEEN DIS OS 12/29/95 ORS I DOW, NOT READY ` SUPC950 (F) Issue Cert. of occupancy / / / / 04/06/91 mailed 2-17-98-----� JT 02/17/90 S•w ll ) nUPC960 Came Finaled / / / / 04/05/96 PASS TLP 12/01./97 JT i t 1� 1 f I 1I �II �I I 4 t t o. ELECTRICAL PERMIT rs CITY OF TIGARD DATEIISSUED: 12/015/95 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S112DA-00400 13125 SW He,U Blvd.Tigard,Oregon 97223.8199 (503)539-1171 S I TE ADDRESS. . . a I I I! 1 '; k; SUBDIVISION. . . . a ZONING: T-r� BLOCK. . . . . . . . . . : I_L T. . . . . . . . . . . . . . Pro iect Description: Three branch circuits. ' _--__._-_-_-_------_-_----.------------------------- __--_-_---------_--_--__---__.- . ---RESIDENTIAL UNIT----- ---TEMPI SRVC/FEEDERS---•- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . s 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . 1 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . a 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 .� MANF. HM/ SVC/FiiR. . s 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 -----SERVICE/FEEDER---- ---.-BRANCH CIRCUITS-- — -.--ADD' L INSPECTIONS----- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FFFDER: 0 PER INSPECTION. . . . . 1 0 201 - 400 Amp. . . . . . a 0 1st W/O SRVC OR FDR. s 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . a 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION---------------- 10004, amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . e Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Owners -------------------------------------------------------- FEES ----__.-__------- BACHOFNER ELECTRIC type amol-int by date recpt 55 SE MIAN ST PRMT $ 45. 00 CJS 12/15/95 95--273946 5PCT $ 2. 25 CJS 12/15/95 95--273946 PORTLAND OR 97214 Phone #e 503-23.3-2'006 Contractors ---------------------------------------- -.---_-.__-------------------.--------_ BACHOI=NE R ELECTRIC INC $ 47. 25 TOTAL I �; 55 SE MAIN ---- -- REQUIRED INSPECTIONS --- -- PORTLAND OR 97JA4 Ceiling Cover Elect91 Service Phone #: Wall Cover Elect' l F=inal Reg #. , . This permit is issued subject to the regulations contained in the T-.oard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with auoreved plans. This permit will expire if work is ntI, started within !N days of issuance, or if work is suspended for sore _��?A.r&S__-�c�C�!��.._ thar IN. days. 1 s stied By INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: ._ .___._.-_.._.._..---...._ DATE: __...._._____......_.____.__._.._._....__. INSTALLATION ONLY------------------------------- SIGNATURE OF SUPR. ELEC' N: _QH._.G �.-__.._ ...__...___.__ DATE s i_. IC17NSE NO: Call for inspection - 639-4175 cf Jc1b #Y4494 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 95-.) 7 3 9`X6 Permit # 1[9c D 6 icy Phone (503) 639-4171 Date Issued /j -/-5-S-6,- _,_�__ CITY OF TIOARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: — F 4. Complete Fee Schedule Below: Name of Development_ Number of Inspection*per permit allowed — - Addr 4ai-- 7q, _ Service included Items Cost(ea) Sum City/State/Zip TlrMLj �n 4a. Residential- per unit 4 1(xv art It or brie $11000 I Name (or name of business), �— Each additional 500 aq 11 or pttfion thereof $2500 1 Commercial® Residential❑ LaEnergy $2500 Each Manul'd Home or Modular 2 Dwelling Sarvioe or Feeder "a 00 2a. Contractor Installation only: 4b.Services or Feeders Installation,alteration or relocation 2 Electrical Contractor aXb&EL F�c- Tm- —__ 200 amps or Iesa -- sm 00 2 Address c In �t 201 ampe to 400 ampa $80 Oil 2 •— 401 amps to 1`100 amps $12000 City Rxtla-d, O _ State_-____ Zip 97214 60 amp*to 1000 amnio i— $18000 2 Over 1000 amps or volts $34000 2 Phone No. Reconnect only $5000 Contractor's License I Contractor's Board Reg. No.g4569 _ 4c.Temporary Services or Feeders f r^� Installation,alteration,or relocation 2 Signature of Supr. Elec'n �J—I ld -- 2 20011 amps or taxa 700 amps $ to 400 amps $755 00 License No. 17695 Phone No. 23342006 401 amps to 600 amps $10000 Over 600 amps to 1000 vone 2b. For owner Installations: see W above i 4d. Branch Circuits i Print Owner's Name New.alteration at oxlermion per panel Address a)The tea for branch circuta with CI State Zippurche"or aarvica or Arader"cue. 2 '1 �_ — --- Each branch circuit $5 00 Phone No. b)The lea lot branch circurle without The installation is being made on property I own which is purchase of aarvka or header tYe. Frail branch circuit $3500 35.00 not intended for sale, lease Or rent. — 2 Each additional branch circuit $5 00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Fach pump or irrigation circle $4000 2 Fads sign or otalins I,ghtmg $4000 _ Signal circuit(s)of a Iwrided energy 2 Please check appropriate item and enter fee In section SB. panel alteration of axtension __— $4000 —Y^ 4 or more residential units in one structure Minor Label*(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E C Chapter 5 Per inspection $3500 Per hour $5500 In Plant $5500 Submit 2.sets of pian*with application where any of the above — apply. Not required for temporary construction services. 5. Fees' NOTICE So. Enter total of above fees $ 45.W --- 5%Surcharge(05 X total fees) $ 2-25 _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trost Account 11t Balance Due $ 472_ .atroard.v�I.cPm app ' •nwi,s awwVMuwpxa�.,IM�FYI W:IxM..w..«w..r?i��:M.�wYN.MM1,•...- .. ��. ao�xvemwea � ` �•��LI ���,r 1` ` '� ;r!-1 �r� :;. aaaizr{44�. i�rN t�11Yww+,�-':.4"Ar'l i ntt., A��%'7,< .._�.......w�......,.....�....,M...............:......�+.,...w�.,a+.w•wrr.w�.n+«r�apwLl'"�6+L�`' ir��..�-•.rrJ. ..a .... ... . pi• Page No. 1 CASE HISTORY FOR CASS NO.: BLC95-0670 MCHOFNER ELEC7AIC . 15750 SN SEQUOIA PKWY Unit: 19S 12/01/97 + t ScIui/ Fled/ Action Notes Diep 8y UPdate t/Fxi n" 1 Action Description 1 tel/ � Code .Sent Dome Done Date By ---------- ---- --- -- I�.. 1 SLCC001 Application received 12/15/95 RECD CJ8 12/15/95 TMP QLCC007 Permit created / / / / 12/15/95 PEND CJS 12/15/95 TMP RLCC500 (F)Issue permit / / / / 12/15/95 PASS CJS 12/15/9fi 'IMP aLCC700 coiling Cover 12/20/95 / / / / need slack wires on fix[uren PASS MJR 12/20/95 MJR RLCC720 Nall Cover 12/20/95 / / / / PASS MJR 12/20/95 MJR ELCC799 Slect'l Final 12/27/95 / / / / PASS MJR 12/27/95 MJZ ELCCBOo Case Finaled / / / / 12/27/9S 01/05/96 JF e; I I I t F . 'h"*.�.4L'C�'...^1^!�{�r!!!'."!"�".�Mf+rRl •...ro.w-.»-?7rwl�+!�..�•.w+..r ........,