15495 SW SEQUOIA PARKWAY STE 150 , 4,
ADDRESS:
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is\records\microflm\target .tuilding.doc
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+a.,a ...a. �•.+.M`+t't:(MxlAw'.M✓rO.MMe'hY.! n ....CITY OF TIGARD �
COMMUNITY DEVELOPMENT DEPARTMENT G`ERT 1 F I CAT"E OF
13126 BW Hell Blvd.Tiger-),Oregon 97223.8199 (603)6394171 OCCUPANCY
xxx,y, PERMIT' #. . . . . . . i BUP94- 01,:E, � •
639- 4171 DATE: I SUED s 01/25/95
i
PARCEL a tri 1 12DD--01 L,00
ITE ADDRESS. . . a 154,35 SW SEQUOIA PKWY #03. 150
r UBDIVIrION. . . . a ZONINGS I_.p
OLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . :
CLASS OF WORK. :AL_T __...__._.__ •
T'YPE. OF USE. . . :CQM
OCCUPANCY C3RP. :D2
OCCUPANCY LOAD 156
TENANT NAME. . . :C71 F.h MOS I LNET
Remarks : GTE. tenant im-rovements- ADA rest voomq, partition walls.
Owner:
PACTRUST
15115 5W SEQUOIA PKWY, SUITE 200
T IGAAD OR 97224
Phone #s
L":ontrarr..tor: - - ....._.._..._...__ __,_... ._._......_ .. ... . ..
H. L. GREEN
15115 SW S)EURJO I A BLVD, SUITE x'00 t
TIOARD OR 9722/4
Pharle #: 624--7717
Reg N. . : 41328
Occupancy of the above referenced huildin i
g s hereby y gtvon, ancJ Ger,t. ifs
the compliance with the Mate Of C)1-eyon �311ec:ialty CodeAOP
.hP g;"a1.1P,
Occupancy, and use under which the referenced r it wUPd.
_._._ .__w..-PFCTOR BIJII_Di CIAL_
POST IN CONSPICUOUS PL.gCE
I
SIGN PERMIT
1
PERMIT #: SGN94-Oi29 DATE ISSUED. . . . : 07/20/94 1�
EXPIRATION DATE: /C'/-;-X>/ 41( I{
PARCEL. . . . . . . . . : 2S112DD-01600 f
ZONE. . . . . . . . . . . : I-P I�
BUSINESS NAME. . : GTE MOBILNET I
w
' SIGN LOCATION. . : 15495 SW SEQUOIA PKWY
APPLICANT/AGENT: GREG WILLIAMS BEAVFRTON NEON
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BUSINESS TAX NO:
t
SIGN: '
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (X) ELECTRONIC ( ) r
OTHER ( ) BILLBOARD ( ) BALLOCN ( )
SIGN DIMENSIONS. . . . . . : 33" X 20'
TOTAL SIGN AREA. . . . . . : 54 sq.ft.
i WALL AREA. . . . . . . . . . . . . 2500 sq.ft.
WALL FACE (DIRECTION) : N
SIGN HEIGHT. . . . . . . . . . . ft.
PROJECTION FROM WALL. : 5 in.
ILLUMINATION. . . . . . . . : INT
DESCRIPTION 09 SIGN:
PERMANENT WALL SIGN. Dimensions. 33" X 20' = 54 square feet.
f
MATERIALS. . . . . . . . . . . . : PLEX/NEON
EXISTII4G SIGNS. . . . . . . :
ELECTRICAL PERMIT REQUIRED: YES
BUILDING PERMIT REQUIRED. . : NO
i
ADMINISTRATIVE EXCEPTIONS. : N/A
i
PERMIT FEE: $ 25.00
APPROVED BY:
DATE: 07/20/94
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Permit No.
CITY OF TIGARD
SIM PERMIT APPLICA,T LU
The applicant hereby applies far a permit for the work imic ated Or as &,Km in the �
aoacmpanying plans and specifications. ,p
SIGN IDTCN ADCPESS: 15 Y 95- Ipxtu. Su l fe /Sa Z�1IlJG: S`L
NAME OF S: ..— — G 7, E, AlI t
APMCANT/AGENT: G rTy W�' I I,n►� s COMPANY: geg c r-4^ Nee r PHONE: ra 7- 4 y Y -/S-'/y
Ole City of Tigard jZposes all amal Business Tax which must be .kept axrent on all
persons doing business in the city. Do you presertly have a cun-ent: business tax?
YES ( ✓ NO ( ) U.L. Label i A)(: 21=1
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PRCVoSED SIGN: (C7verk as many as apply)
P7 ArrnKr ( v� FFFEzErMAY ( ) c
GARY EGEcBmic
CRIER ( ) BII1BOARD ( ) BALi.0FT
SIGN DII�ISICNS: 3 �• /9 i EXPIRATION
TaML SIGN AM (Sq. Ft.) : s4P d r ;:)o 'y
WAIL AREA (Sq. Ft.) : Z So o _
WAIL FACE: /a r
TiEIC Hr (Ft) :�
PI UJBC ITL N "FROM YAM: " 1
1711 INATrCN: YES (x) NO ( ) TYPE:
OUPY: 6T. o e �=
I!QlTERIALS: E " i q S S •� .� �_ LL.K•�N Lig►, G
EXISTING SIGH
— o
ACMINISTRATIVE
EXCEPTION: N/A. ( ) AFPROVPD ( ) HOW MUCH
ARTA ( ) HEICHT ( )
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EMMM All sign permits must be aeoatpanied by a scale
.c a ' drarl ing and plot plan. If work authorized under
Eg-QeUt Na: �`{ d5 a sign permit has not been ecnpleted within ninety
Arced By: WD days after the issuanoe of tt,,, permit, the permit j
shall berme wall and void.
E=t"[CAI, PEFKC I CERIUY STAT I AM TETE RECORDED OWNER OF TETE
R1JIR1m: YES V.r—NO ( ) PF�fJP AGENT ALII4ilIZED I3Y THE OWNER.
BUIIDIWG PEMIIT �<
F07JIMM: YES ( ) NO (Ar A.ppl1 's Signature 9)ora?
IS27 � S W �' �raac� ��� /otiaU(L
cp/B flMM Address Telephcne
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CITY OF TIGARD SEWER CONNECTION
r' T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . , . : 0WR)-t �7
13125 SW Hall Blvd.Tigard,Oregon 97223•B1gg (603)634-4171 DATE 1 CLUED: 00/17/04
'7'ARCCL: 2Sa 1 12DD-"011,00
SITE ADDRECC. � jLL:LGli, V I',WY R#S. 150
SUBDIVIsiniv 70NINGi T—P l
TENANT NOME. . . . . .
USA IVO. . . . . . . . . . : FIXTURE UNITS. . . e22
'LASS C' WORK. . . :ALT DWELLING UN I TG. . :� �
TYRE OF USE. . . . . :COM Na. OF BU I LD I NGS
TNSTAI I TYr,F, . . r '117 IMPLRV SURr-ACE. . .
Pana►-ks! GTE and Centennial Bank tenant improvements— ADA rest r-nnm%, partition
Halls. Bank si.rite n,.lmbet- i.s 144'
3wner _.___.__.____....._____..___.._.__..___._ .._._____._.__-• FEES
"ACTRUST type amount by data recpt
"51.15 SW SEQUOIA PIGWY, ISUITE 200 P^•RMT S 4400. 00 SW 06/17/94
TIGARD OR D7224
"horse #t:
7nNTP0rT1'in Nol' ON FTI..F
"�on e #; x 4400. 00 TOTnL 1
REOU I RED INSPECTIONS
-his Applicant agrees to comply with all the rules and regulations Sewer, Inspection
of the Unified Sewage Agency. The permit expires l8@ days from
Lire date issued The fntrvl eeot,nt paid Nil! be forfeited if the
permit expires. no Agency does not guarantee the accuracy of the
side sewer lateralF. If the toner is not located at the measurement
niven, the installer shall orosoect 3 feet in all directions from
'he distance giver,. If not so located, the installer shall purchase
4 "Tap and Side Server" "Permit and the Agency hill install a lateral
r�rm; 44ee C;t0nraturP'�!- / I y
IECl >1y "
Call for inspection - 639--4175
71 1
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UN 1 F 1 ED SEWERAGE AGET-ICY OF WASH I NGTON COUNT'lr
sd
F I??LSE UNIT RATINGS
G f rte'/ 713TAL TOTAL
1 1 XTURF.. VALUE �,r' a D y� NUMBER NUMBER S
BAPTISTRY/FONT 4
BATH - TUB/SHOWER 4
- JACUZ/%HPL 4
CUSPIDOR/WATER ASP I
D I SMASHER - CO&VER 4 �
- DOFEST 2
DRINKING FOUNTAIN 1
FLOOR DRAIN - 2 INCH 2
- 7 INCH S
4 INCH 6 j
GARBAGE DISPOSAL
- DOM (TO 3/4 HP) 16
- COMM (TL's S HP) 32
- 1 ND (OVER 5 HP) AS 1
•71L SEP (GAS STA) 6
lI
SHOWER - GANG 1
i
STALL 2
SIf4C - BAR 2
- BRADLEY S
- CONMERCIAL 2
i
- SERVICE 3
P
WASHER. CLOTHES 6 j
WATER EXT 6 If
WATER CLOSET 6
URINAL 6 y--
Fk value this ten 6
EDU -- this tenant
Run. fx value - bldg
Run. EDU - bld .
i
Sewer TTRit o
OATte 1 NSP _ TOTAL
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W 1 NKS5 r.. �- EDU
A�
J ADDRESS / "L L1J :✓'��`rI'/�` ��^ '; P[:RM 1 T NO.
TAX ?AAP/LOT _ COUNTED FROM
»-1s R83
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Page NO. 1 CASE HISTORY FOR CARE NO.: SWR94-0202
PACTAUST
15495 SW SAQUOIA PKWY Un:t: 150
04/22/9•
Action Description
Aeq/ 6chd/ Und/ Action Notes Disp By Update UO -
Sent Done Dme Date By
Code �}
7 05/25/44 MAP
SWRA007 Application received / / / / / /
05/25%94 MAD
5WRulo Plan check by 05/25/94 i
05/25/94 MAB
SWRA020 check for prcl. restrict. 05/25/94 / / / /
4WRA060 M Imus permit / / 06/17/94 PASS SKW 06/17/94 SW i
SWRA705 Sewer Inspection / / / / / / 04/25/94 MAH
SWRA720 Cane Pinaled / / / / 02/07/95 02/07/95 J3
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CIT' CSF TIGARD BUILDING PERMIT « �
COMMUNITY DEVEo_OPMENI DEPARTMENT LATE IMI1" #. . . . , . . :GUCD: @6/17/94 7/94BUPI) -0126
13125 SW Hall Blvd.Tigard,Oregon 97X23.8198 (603)630-4171
DAT
?ARCGLG GJIA�DD -01600 �
1
,TTP Ann RF ;q. . . : 1.!149", RW ,. '44WY
,iURnTVTSTOhl. . . . ZONTNG: I–pr
. . . . . . . . . . . LOT. . . . . . . . . . . . . .
�EISOU[ : I'LOOR ARCAE _ _'.. - EXTERIOR WDLL (-_'ON^TRUCTION—
;._ASO OF WORK. s ALT FIRST. . . .3665 s f N: C: E: We
"YK G Or USE. . . ;COM SLCGiIL. . . a sf F'RGTf.:.CT OPENINGS? _..-."...__...._.._ _ - alw
"Y^f« OF CCNIST. :5N TH ARD. . . . s f N- r;- t=• We
rirr )PANry rpr.:i .P) TOTyi. _ __ _._. 5F.F,5 q f pn(i rhNc;T!P F: Rf= RET" :Y
(JGLUPANCY LOAD:56 ARSFMCNT. : s f ARCA SEP. RATED s
Cr'.. : 1 I lT. .`0 f t; GARACE. . . . s f OCCU SEF?. RA'Z'ED t
: SMT^. sN HEZ Z' ,N REQ0 aE'TBP%C'K(5'- REQUIRED...- ._-_-...-
'"LOOR LOAD. . . . : 1;2-- p s f LCr-T. f t RGHT: ft FIR SPRL:Y SMOK DET. . s N
'?WC._!ING UNITS: FRNT: ft REAR: ft FIR ALRM:N IIIrIDICP ACC:Y
LATHS; IMP S1.IRr.ACE. PRO CG12R,.N VPIRSINGi;
�wi 11H, s: t25000
Opmairkls? (3TF and Centennial, Hank tenant imprnvemerrtq– ADA t^eest rooms, partition
.alls. P•ank slAite tnumbei— 140
'.1wt1et -._... __.. _ . -.. .._. ._ _ _._. - .._ _ __._._._.._...._._......._ ...........__ ----..__. . .,__._.
:ACTRUST type amullnt lay date t•ecpt;
:5Z 15 1W slEaUOIn PI•CWY, SUI'•'_ PRMT $ 433. 50 3W 06/17/94
C>LL:K $ :aiLL.. OC - 05/L20/94 94c'5Lli')8
TGPPn nR 97PP4 5rorr-r P4. 78 SW 06/17/94 --
hnna +►: TIF t 15881 . 00 SW 06/17/94 –
!. L. GREEN
5115 3W CEDUnIA BLVD, ,:,UITr
–IGARD OR 170:4 _._._.____. .. ___._. - _....---..._.._.. .._.._._...___._....
phi ne 0: C,24 7717 167.213. 3C, TOTAL
ey 4. . : 4132-Z
N.LQUIRLD INSPECTIONS
'►►ins oereit i9 iesoed e0fort tn the requlations creta,-ed in th? Framing Insp _
'igard Municipal Code, State rf Ore, Specialty Codas and all other Insulation Insp
app::cabie laws. All work will be done in accordance with Gyp Bua-d Insp
u,pproved pians. This perait wi:: expire if ocrk is not starter Sr_lso Cei 1 r•^ Tnsp
within lee dAV issuance, or if work is suspended for tore -irnal Inspect ion
t',an A2 days.
Pri"ittpe 51gnatiarr,
Issued By :
Call fOt- inspection 6313 -4175
_A]-
City
plicationCommercial Building Permit Ap
City
of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 63.9-4171 •
i
Jobslte Address:/115495 SW Sequoia -Pkwy.
foffice Use Ong •
- nant• GTE Mobilnet/CenternialSuito# /
• �` Bank - Planck/Rec#
Valuation: Y` 02 0 t)o
Permit #
Pacific Reality Associates L.P. t)
'Owner: (PacTr LS Map&TL#
Address: 15115 SW Sequoia Pkwy Suite 200 Approvals Required
Portland, OR 97224-7199 Planning
Phone: (503) 624-6300 Engineering
Other
Contractor: H.L. Green Company
EU
fY(�A
Address: 15115 S.W. Sequoia Pkwy. _
Type o const: F -N
Portland, OR 97224-7199
Occupancy class: B-2
Phone: (5n3) 624-7717 _ _ CYe's'
Sprinklered? No
Contractor's License # 41328 _
(attach copy of current Oregon license) Sq. ft. of project: 5,665 s f office
Story (1st, 2nd, etc.) 1st Floor
Architect/Engineer: Kenneth E. Grimes Proposed use: Office/Bank Branch
IAddress: 15115 SW Sequoia Pkw��. , 200 Previous use: New Construction
1
� ►/ Portland, OR 97224-7199 Note: Plumbing & mechanical plans
must be submitted at time of
Phone: (503) 624-6300 building permit application.
COMMENTS: L-- -4-
Applicant Signature & Phone number
Received by: Date Received:
IY.w
I
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
i
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
Mate Tax (TAX)
Bldg: _
Plumb:
Mech: _
b�
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
- � 1
Sewer Inspection (SWINSP) _
Parks Dev Charge (I KSDC)
Storm Drainage Uhj (SDSDC) 74_
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) � y-
Commercial TIF (TIF-C) � O U
Industrial TIF (TIF-1) i
r.'
Institutional TIF (TIF-IS)
Office TIF (TIF-0) �� �v_ cif 2.
Water Quality (WOUAL)
Water Quantity (WOUANT) _
Fire District (FIRE)
off--—
TOTALS:
�
IN
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wave No I CASE HISTORY FOR CASE NO.: PUP94-0126
PACTP.UST
15495 SW SEQUOIA PKWY Unit: 5.15 `•
04/22/09
Action Descriptim Req/ Schd/ End/ Action Notes Disp By Update cpd
Code sent Done Done Date BY '
BUPCOo7 Application received / / / / 05/20/94 05/25/91 MAB
BUPColo Plan check deposit paid / / / i 05/20/94 05/25/94 MAB
BUPCo20 Plan chock by / / / / 05/25%94 APPR MB 05/25/94 MAA 1
DUPC040 Check for prcl. restrict. / / / / 05/20/94 TIP J16 05/25/94 MAA
DUPC100 (F) issue permit / / / / 06/17/94 PASS SKW 36/17/94 SW `
HUPC740 Framing Insp / / / / 06/29/94 PAS9 TLP 06/29/94 TLP
R` 1 BUPC760 Oyp Board Inap / / / / 07/01/94 PASS TLP 07/05/94 ri.P
j RUPC762 Susp Ceiing Inap / / / / 07/08/94 A7P GS 07/09/94 GP.S
BUPC779 sprinkler inspection / / / / 07/08/94 APP OS 07/00/94 GES
BIJPC799 Final Inepecticn / / / / 01/18/95 PASS TLP 02/16/95 DS
BUPC950 (F) Issue Cert. of Occupancy / / / / 01/25/95 JF 01/26/95 JF
BUPC950 (F) Tssue Cert. of Occupancy / / / / 01/25/95 JF 01/26/95 or +
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TUALATIN VALLEY FIR. & RESCUE
AND
BEAVERTON FIRE DEPAic Ji MENT I
4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503)526-2469• FAX 526-2538
9 I� June 14, 1994 �
t,
Delta F�rt?, Inc.
14795 S.W. 72nd Avenue
Portland, Oregon 97224
� Re: GTE Mobilnet, #140
6190D-173-002
Centennial Bank, #150
6190d-173-003 /
.15495 S.W. Sequoia !/
Gentlemen:
i This .is a Fire and Life Safety Plan Review and is based on the
i 1991 editions of the Uniform Fire Code (UFC) and those sections
of the Uniform Building Code (UBC) and Uniform Mechanical Code
(UMC) specifically referencing the fire department, and other
locel ordinances and regulations.
This review covers the minor modifications to an existing h
i sprinkler system in the above noted occupancy. The proposed I
modification is approved as submitted. 1
Call this office for inspection of installed equipment while the
installer is still on the job. P1Pase notify this office 24
hours prior to anticipated completion for field verification of
compliance of altered equipment. NFPA 13 Sec. 1-11
I
An approved set of plans shall be available to the inspector at i
the job site at all times during construction.
All armovers 24 inches or longer in length shall be supported by
hanger in an approved manner.
All modifications to the existing automatic sprinkler system must
I meet the applicable provisions of National Fire Protection
Association Standard No. 13 . No automatic sprinkler head may
exceed 7 1/2 feet from any wall, nor be closer than 4 inches (we
"W(Aing-Smoke Wlertors Feve Lives
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Dalta Fire, Inc.
June 14, 1994
Page 2
prefer a foot) to any wall, soffit; bulkhead, or similar
obstruction. Small rooms not exceeding 800 square feet may have
s•prinkl&rs 9 feet or less from walls (reference NFPA 13 Sec. 4-
4.1 .2) .4.1 .2) .
Blease refrain from allowing the contractor to install the
ceiling tiles until you have called us and we have inspected the
modifications and given our approval .
If you desire a conference regarding this plan review or if you
have questions, please fetal free to contact me at (503) 526-2469 .
Sincerely,
( Dean E. Freitag
Deputy Fire Marsha
DEF:kw
cc: City of Tigard Building Department L' 1
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• CITYOF TIGARD '
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigord,Oregon 97223.8199 (603)539-4171 FLUME'I N6 PERMIT
PERMIT #. . . . . . . : PLM94--009
a-y l 7!c � �} DATE ISSUED: 06/02/94
PARCEL: 251 1 2DD-01600
SITE ADDRESS. . . : ., r- - . - Y tis. t
SUBDIVISION. . . . : CZ00 . vjA*A( ZUN1N(3: I
BLOCK. LUT
CLASS OFlWORK. . :ALT GgRNAGE DISPUSALSi. . : 1 MOPILE HOME 13PACE3,
I YPL UV USE. . . . :CUM WASHING MACH. . . . . . . : BACKFLOW F''REVNTRS. . :
OCCUPANCY GRP. . :B:' F-L.00P DROI NS. . . . . . . : TRAPS. . . . . . . . . . . . . . :
�+
STORIES. . . . . . . . 11 WATF"R HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :
!.AtJNDRY TRAYS. . . . . . : SL" RAIN URA[Na. . . . .
SINKS. . . . . . . . . . :2 URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . :
LAVATORIES. . . . . :2 OTHER FIXTURLS. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . I
WATER CLOSETS. . :2 WATER LINE (f t ) . . . . :
UISHWAS3HERS. . . . : 1 RAIN DRAIN (ft) . . . .
Remarks : GTE and Centennial Rank tenant im(itovements- ADA rest r^ooms, par•t- it: :ior.
walls. Hank suite nl_tmber is 3.40
Owne1^. --------------_____._____.._.___.______._____ ._.____._._.__ FEE5 •--_.__.______ __.._
PACTRUST type amol_tnt by date recpt
15115 SW SEL)UUTA PKWY, SUITE: 200 PRMT t 67. 50 JF 06/02/94 -
PLCK $ 16. 88 JF 06/02/94 -
TIGARD OR 97224 5PL1 $ .3. 13B 3F LAC,/02/94 -
Phone #:
Cnntt-actor:
DEAN WARRF N 1l-UMP I NC.
3111 SE 13TH
PORTLAND OR 972"02
t'h o n e #: 236-415 t 137. 76 -TOTAL
Reg #. . : 0017c
RL-UUIRED INSPL.CTIONS -----__..
al,:. pe?•mit is issued subject to the regulations contained in the Rot_tgti--in Insp _
Tigard Municipal Code, State of Ore. Specialty Codes and all ether T u p--oi.tt I n s p �
t
applicable laws. All work will be done in accordance with Misc. inspection
approvea plans. This permit will expire if work is not started Final Inspection
within IN days of issuance, or if work is suspended for more
than IN days.
ei
'e r rn i t t e e S i g r1 a c -tl-q
i.s s l_t ad Sys
Call for inspect - 639-4175
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M„r;<.+!,ryn',t,. ..�. .. +�tYMyli6RlibEy4'?t'=':�'-. .,,,�:;_, ,.;;«.., .;,.... ,::..:- ... . K�X+�M`-.'wW.*.i�iin7r"'WFi<e4;+pe6NHr,er;a x:•WnMM1�.•o
,City of Tigard PLUMBING PERMIT Planck/Rec. # ••
13125 sw Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
-- - sa1T-cnpbon
6 ORS 814-21-610 —IRICE AMT
CITYEP
Job /Stfl S f FIXTURES
Address
1'.+►�li,.� Lavatory -736
ub or I L615h ower fn a
Shower Only ��
»�
Water
Owner Dishwasheor50
54'
Garbage sp5a _ 7.5101
-
asTiing�advne- y
---- ..«. F loor Diain 7.50 -
f r.
6-a
11!_t at»r eater 7,SC)
I Laur m I ray 7.50
7000Pc'int d _ nna
her Fixtures city) i— .•
7.50--- — ---
7.50
i
Contractor � -7 MISCELLANEOUS —
loe -7 ZOZwee st
I �T , wee err•ea- CdL J
(a - Water Service st
hereby a a - vaa`a-�ts-appTicaTihaiiT-ie Water Service ea. AiiCtii.200' 15.00 t�
information given is correct,that I am the owner or authorized agent of
rhe owner,chat plains submitted a re in eomplianc*with State laws,that I Storm b Rain Drain 1st 100' 30.00 !
j am registered with the Construction Cnntractors Board,that the number Storm 8 Rain Drain A<idit. 100 15.^7
given is corre--t (If exempt from State registration,please give reason
below.) Moble Home Spacx, 25.10
-Tc Flow Prevenwn
Device or Anti-Pdlution Cdvi,:e 7.50
y I rap or W of -
Connected to a Fixture 7.50
Msm wor —a im atara hon f repair –
to be done residential O non residential O -- - -
Insp.of Exist Plumbing per hr
40.00
Specialty Requested Inspections per hr
Existing used Rain Drain,wng rnr
WKng or property - — dwelling 15.00
Reskienbal backflow prevention
devices 15.00
Proposed use of —-
buikfna or property_
'fEarcept resicVenffaf backffow
prevention devices)
NOTICE 'Minimum Fes S2S.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CCN4STRUCTION S%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 4
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OiF SUBTOTAL
COMMENCED. �---
TOTAL r-
Special conditions -- —
-- ----- _ Date issued by
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CASE N13TORY 1.OR CASE NO.; PtA94-0092
Vwye No.
PACIRUST
15495 SW SEQUOIA PY.WY Unit: "15
04/22/96
Action Description Req/ Schd/
and/ Action Notes Diep By UPdate Upd
gent Done Dons Data By
Code
i
1
01/18/94
PASS TLP 02/07/45 TLP
PIMAS00 Came Finales 06/02/94 MAB
pI14C007 Application received / 06/01/94 f
/ 06/02/94 APPR MS 06/02/94 MAB
`
PLMCOIO Plan check by PAn3 SKW 06/02/94 JF
PU4C060 (P) love permit / / ) / 06/021'94 1
06/02/94 06/14/94 / / PASS TLP 06/18/94 TLP
P114C120 Plumbing Underel PASS MS 06/30/94 MRS
PIl1C' 06/29/94 725 Top-out Inep PASS TLP 02/16/95 DS 1
' I
01/18/95
PLMC799 Final Inepwction
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CDATE: PIANS CHECK NO.:
— L
PROJECT TITLE:
4 COUNTYWIDE 1) �6t f--P,7 �e ��rl�
TRAFFIC IMPACT FEE AP UCANT: — —���
WORKSHEET MAILINGADDR / .~ E
(FOR NON-SINGLE FAMILY USES)
G /71P HONE
RATE PER C `-
ND USE QATEGORY TRIP TAX NO.:
— RESIDENTIAL $152.00 •s /� 1 - G'% G'J ___
S(NF$�AND COMMERCIAL x.38.00 SITUS NO.ADDRESS.
OEFlCE $140-00
INOU,iTRIAL 147.00
INSTITUTIONAL $fi3.0O
PAYMENT METHOD-
CASH/CHECK
CttEuili _ _
INSTITUnONAL ONLY:
BANCROFT PROMISSORY NU LANO USE TEGORY DESCRIPTION Of USE EEKDAY AVG. T143P RA WEEKL-ND AVE TRIP RATE
_OFFER TO OCCUPANCY rice G 7/1 // lei.3/ w /LLQ
�'{ / �r ct5c_ �',^dr+� /nrri,uc fug ��, c� /c u►- 1
BA.sIS �vp ,� ,� t ,/�ru�asrS C�Ia�t c o
eon S�; �v �3D�U cF�jc� �c5 <hd ZAGS-! bCink Gcse rjie�
3ocIc� otic
/ P
pa "11�. fii�l! TIF -4vr ZG/. s v� �j „ k' ttS� nw
k Ga- //UCve d .Ic ILW4 tS-(cr 4111r.•'r
�-rI'p c\er.ti-lti�rpN 4T, -�AesI- vCl. �ru�
CALCULATIONS: c I dr►. J <
�s�3) � `�1�lv = 7—/ /--
63, �
^'
Ss)= 37. 35 lyv = �.5, 233 . 2-0
�lrt k : �2 IvloS� /ub , x*3 �' 7"/ lo, ►l7 _
z _ PR c ENERAnON:
3Fr /t.�, l2? /S o L7 &4k
' 5 a O
ADDfTIONAL OTES: [� FOR AOCOUNTM PURPOSES ONLY
vo /7� {�I/ 7��1 G Uu/�k �Ii v es Try 5 p e-Cc 1�'e�� 4- MAW AWT. ,/p
tc�r TI /% Cve 5 �- `tom f�'t�.snf- �G-O = '�,O Z<o ,40
c -C = /90.00
be- v "A's--e d. fv /D(, �( -7-1 F TRAI SIT AMT.: 5 -h-41K5
k s e 7�Iea f1 fe A,,,►4- be- '3 ,3 3° 5
t"4 5. u s e , PtEpA&7n
OC W kSHINGTON COUNTY 4
TIF NOTEBOOK
form of 10
aerAM.+R.'R .LOnw.Di�^..R.ws.•.,;..,........,.,... .wnr.:n+rMua#«4'izN^FwMPim-r...n....-_..,........-..... __.
!�
47
c ,
TIGARD
CI Ty MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639 4171 PERMIT #. . . . . . . : MEC94-01:3.1 �
6.39-4171 DATE ISSUED: 05/27/94
PARCEL : 251 1"DD-01600
SITE. ADDRESS. . . : 1','j49° SW SE(IUU1A PKWY ik5. 1"0 ZONING: I-P
°l SUBDIVISION. . . . . P.
BLOCK '. . . . . . . . ___. . , LOT. . . . . . . . . . . . . . ----•--------�--------- Id'
s
_ _ _.___-_-_
____ •
CLASS OF-WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS: r
TYPE OF USE. . . . :COM UNIT HEATERS. . : VENT FANS. . . :3
VENTS W/U APPL: r,
OCCUPANCY GRP. . :B;` VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/CUMPRLSSLJRS HOODS. . . . . . . :
FUEL. TYPES----.-______-_-- 0-3 HP. . . . -3
DOMES. I NC I N: ,
: /GNS/ / / 3-15 HP. . . . :3 CCIMML. 1NCIN:
MAX INPUT: PTU 15-:30 HP. . . - : REPAIR UN 1 TS:6 �` r
F IRE DAMPERS?,. . :
ti0-50 FiF'. . . . .. WOODSTOVES. . t�
GAS PRESSURE. . . : 54.+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS---- -- AIR HANDLING UN IT S OTHER UNI=TS. :
F URN < LOOK PTU: <- 10000 c f rn : GAS OUTLETS. c6 a
TURN > =100K BTU: > 10000 cfm, �
Nemav-+s : VTE and Gent ennial Bank tenant improvements-- ADA rest rooms, partition
wally:. Hanl( suite number is 140. repair t_tnits= ducts
Owner: ---- _____-----.__._ .___._____.__._________.__.___.___._._______ FEES --_-.-_-
PACTRUST type amoLint by date recpt
15115 SW SEQUOIA PKWY, SUITE 200 PRMT 1, 116. 00 JF 05/2,7/94 -
PLCK $ 29. 50 JF 05/21/94 -
TIGARD OR 97224 5PCT $ 5. 90 JF 05/27/94 -
t
Phone #t:
Contractor: -------•--------.__-.-_-_--_-____-
PROTEMI' ASSOCIATES INC.'.
807 N. E. COUCH
PORTLAND OR 97232
Phone #: 233-6911 f 153. 41 TOTAL_
Reg 1k. . : 381368
REQUIRED INSPECTIONS
This permit is issued subject to tie regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All Mork wii 1 be done in accordance with Heating Unt Insp -.
approved plans. This permit will expire if work is not started Cooling Un t Insp _
within 188 days of issuance, or if wore is suspended for more D�.tct Inspection
than 188 days. Misc. Inspection
Final Inspec.,tion
Permittee Signat".cre:
1ssoed Nv :
Call for inspection 639-4175
1'
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F
MECHANI(�AL NLHIV]I I Pianck/Rec. #
City of Tigard
13125 sw Hall Blvd. APPLICATION ,kPermit #
�
PO Box 23397 a�
Tigard, OR 97223
1 (503) 639-4171
-N Tobin 3A Mechanical Code OT Y PRICE 9AMTAdd.~ S�S�Lut/A , 1) Permit Fee 0 0•
Job ,.- l�c -sn� t w
t Address
Z 2) Supplemental Permit 3.00
T-i•,,,. ,,,,. .., urnace to ,0
1) incl.ducts a vents 6.00
,a AM— Furnace 100,000 131U+
Owner 2) incl.ducts 6 vents 7.60
oorurnance
3) Incl.vent 6.00
wa seater 6.00
CgE - ��lam_ 4) or floor mounted heater
U.T.V w ent not incl.in—
Occupant �_ IA. K 5) appliance permit 3.00
w wlepnir of heaUng,re ng.
r- 6) cooling,absorption unit '4145 6.00 " ,
.„. Boiler or comp, eat pump,air co
7 7) to 3 lip absorp unit to 100K BTU 6.00 90
.9 Miler or comp,heat pump,air con
r 8) 3.15 HP absorp unit to 500K BTU e- 11.00
Contractor �„ o~ ter or comp, leaf pump,air con .
_�- 9) 15.30 HP absorp unit.5.1 mil BTU 15.00 _
.. ..� .. Boiler or comp,heat pump,air cond. I
10) 3050 HP absorp unit 1.1.75 mil BTU 22.50 I
ere y
acknowledge rat have tea us application, that e
Boiler or comp, eat pump,au cond.
Information given Is correct,tial I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with Staleit handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given Is correct. (It exempt from Stale registration, Air hariffing unit t
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent tan connecte
-'-- 15) to a single duct 3.00
Ventilation system not
•j_Z _q 16) included In appliance permit 4.50
..,. .r Hood served by
-- 17) mechanical exhaust 4.50 _
Describe work now addition 0 a leration 0 repair 0 Q ommorcial or Industrial
to be done residential Q non-residential 18) type Incinerator 30.00
xiseng use of Odipr i.e.,wo stove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 �7 �
building or property
21) More than 4-per outlet !
Type of fuel-cil Q natural gas Q LPG Q electric O
NOTICE
Minimum Fee$.5.00 SUBTOTAL J,qn
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE S
IF CONSTRUCTION OR WORK IS SUSPENDED OR -�
ABANDONED FOR A PERIOD Or 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. --
TOTAL
Special Conditions
Orale issued by
r.urairur
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Page No. 1 CASE HISTORY FOR CASE NO.: MBC94-0171
PACfRUST
15495 SW SEQUOIA PEWY Unit: 9.15
04/22/99
Action Deecriptim
Rey/ Cchd/ End/ Action Notes Di•p By [Update UO i
Date By
Code Sant Done Done
MECC007 Application received / / / /
05/24/94 05/25/94 MAB
MECCOIO Plan check by / / / / 05/25/94 APPR MB 05/25/94 MAB
MECCU60 (F) IeeW permit / / / /
05/27/94 JF 011/27/94 JF
PASS R8 0617/94 Rb
MECC705 Gas Line Insp 05/25/94 / / 06/14/94 #133926
1
AFP GS 07/08/94 GES
MRCC740 Duct Inspertian
05/25/94 / / 07/08/94
IMECC79T Final Inspection / J / / 01/18/95 PASS TLP 02/16/95 DS -Y
I01/18/95 PASS TLP 02/1F/95 DS
MECCe00 Case Finaled
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