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15755 SW SEQUOIA PARKWAY STE 102 �--- BUILDIN, ,IG fNFORMATION 1 ,-� BUILDING OWNER: PACIFIC REALTY ASSOCIATES, L.P. � , , 15350 SW SLQUOIA PKWY #300 MAI;TIN W. hANS�CN C� PORTLAND, OGRE 97224 �'. LLAGKAMAS, OREGON ti L TO PORTLAND CARMAN RD. —� /503 6�!4-6300 PHONE �' �~ ._ EXIT#291 ` ) (PHONE) (503) 624-7755 (FAX) TTTITT IT -- - � OF, 2 13 1 `� BLDG. 1�: PCC BLDG. 1 (YARDI #pcc211 ) - PROJECT #02360 +--� 16 \, � SPRINKLERED TO: ORDINARY HAZt RD)70 Ulf � 111 11 --A � � ��s PROJECT LOCATION CONST. TYPE.: TYPE VN (SPRINKLERED) 1$ ��J TENANT INFORMATION I V TENANT: ORTHOPEDIC NORTHWEST 9 - M 7 ► 5 2 _ OCCUPANCY: B (� 3 - - FLOOR AREA: 139720 SF TOTAL �D44 x �� L �� GENERAL10 �, � � NOTES, 1!!lnuunnt!u � i!nuutnmunwnwun.,wuu \ � �/ B ---- _— ~ sw � _ -1 ^ .� 1. ALL CONSTRUCTION WORK SHALL BE DONE N COMPLIANCE WITH Tl IE LATEST L ' EDITION 0"' THE UNIFORM BUILDING CODE. AS AMENDED BY THE STATE 01. �`R113-60N �L' M LOCATION MAP AND .�LL OTHER STATE OR LOCAL CODE REQUIREMENTS THAT APPLY'. � `r: a a w _ a SCALE 1" = 400' 2. THE CONTRACTOR SHALL VERIFY ALL DIMENSIONS AND CONDITIOt- ; SH� 'N ON / DRAWINGS AND AT THE EXISTING BUILDING AND NOTIFY ARCHITECT OF ANY E--+ LEASE NOTES : DISCREPANCIES PRIOR TO STARTING THE WORK.-- w 1. Landlord shall, at its sole cost and expense, construct tenant improvements generally as referenced aelow: 3. CONTRACTOR SHALL KEFP THE AREA OF WORK FREE OF GARBAGE AND DEBRIS 1.1. Replace the linoleum in she reception area of Suite 200. 01,, DAILY BASIS. 1.2. Replace or repair the linoleum in the washroom area of Suite 10 1, at Landlord's option. 4. AL , GYPSUM BOARD TO BEA MINIMUM OF Sib" THICk: VERTICALLY ATTACHED TO 1.3. Repaint the walls in Suites 101 and 200 that are not covered in fabric. Prior to Landlord's work, Tenant Q z 3 1/2" METAL STUDS 24" O.C. WITH 1" TYPE 5-I2 SCREWS I2" O.C. UNLESS OTHERWISE N shall be responsible for removing wall covers and paintings and replacing them as desired after the work has p g p g p g NOTED. Z U been completed. 1 .4. Re-carpel Suites 101 and 200 5. ACOUSTICAL CEILTNG SYSTEMS IS EXISTING , 1.5. New sheet vinyl shall be installed in the Ijtchen, restroom and medical records area. In the medical Q9 Q .o records area, Tenant shall be responsible for the removal of shely;ng and medical records to allow easier 6. HVAC IS EXISTING. ADJUST DUCT WORK TO NEW WALLS. SEPERATE 'ONES FROMw � � access for the sheet vinyl installer. Tenant shall be responsible for the replacement of such items after the ADJACENT SPACE. p.., Q to a vinyl installation has been completed. Q U 3 C4 7. ADJUST EXISTING SPRINKLER SYSTEM PER NEW WALL CO"rFIGURATION. W U O 1.6. Re-laminate tl.e desk countertops, self edge, transaction top, front hood and two (2) sit down counters in the reception and clinic pod areas. Existing hardwood quarter-round shall be removed and replaced. New8. ALL DIMENSIONS ARE TO FACE OF SHEETROCK UNLESS OTHERWISE NOTr'T`. �+ UCIS drawer faces shall be applied to the existing four (4) three drawer cabinds. Q atn 1.7. Stain and finish new wood bullnose at reception count-r and rear work station. 1.8. Prep, touch-up stain and re-varnish balance of wood trim related to reception desk and rear work station. C t rY OF TIGARDREVISION 1.9. Match provided sample of Formica with Sherwin-Williams Pol.ane T. Spray out affected areas not ...... .............. ... ... . . �-}X/�-� I re-laminated with new Formica at recention counter and rear work station. .. Only the work as de c ib d in: 2. The tenant improvements shall be done in a workmanlike manner and shall be to Pacific Corporate Center r rtM1 T N0, — � � tenant finish standards. The tenant improvements shall commence at a mutually agreed upon time which is See to: F�l�aw____ estimated to be not later than December 1, 2002. "tlat;h . ._. _ _ : r..___ � 1� r DATE: 10/30/02 Hy. 5 . "`I`a 211 � 1 �% �'-- PERMIT/BID SET AL TT T Date- c_ (� L WORK NO . OUTLINED LINED ABOVE SHALL BE DONE AND PAID FOR BYTENANT -- — _ A.— 1 wimpWIT ./-"rM.►NY'� ... - lX.YP9.lWY9i-�.i • rA!. 3 - �.:....-'..._i _ li..�� I I NOTICE: IF THE PRINT OI; TYPE ON ANY r14i1 ! � � ! 1 ! III ! Jill 11 111111111 ! I ! llli Ilil1Jq-1-Jq1J1j_rj'Tj1li IiI ( Ilf IIIIiI i � ; 1 ' 111 Ili � ! II II " II II ll ll lr -� l � rrr Ii r� I ri rT ifilifir- rTCIlililillilllil Iililil e _ I I I � � IIMAGE IS NOT AS CLEAR AS THIS NOTICE, 2 3 4 5 I 6 7 g !_ _ ___ _ __ _ _ _ __ _ ___1�l 11. .12 a � IT IS DUETO THE QUALITY OF THE No,ss iru•wu.cores ORIGINAL DOCUMENT � F � 6Z 8Z LZ 9Z 5Z rm�111111111 TZ U'rZ 6LT9OI 99T ��al3w1!� � iiiiiiiiiii �� iiiilii► �► �� ili111li1iii�li«L�!Ii►�iilililiiiiailiiillliiialiiliiilllliiia1111I111iiialll 11 ! l l i l l l l l l l l l l l �111[�11 11 1111111 11111. I l I l 11J 1 1 111: 111 1111 LI ll l l l 111 1 2 3 4 5 6 7 , ? MARTIN W. HANSON 110'-01 CLAC ,SMAS, OREGON 1 1 25'-0' �25'-0' 1 20'-0' 251-01 1 1 1 rA-4 — - - - 25 0 25 -0 ��. �-� CLOSET — DARK RM. A 116 I � 1 , PROJF�CT #02360 I MEDICAL I RECORDS 1 �� L- X-RAY SUITE 101 I SUITE 100 6Z I 1141117 1 1 100 I NO WORK i I 2 N b A-4 ! V 04 CIRC. 12 — I I P-0— FFICEFSR 1 1V9 ", 11\! r ut r - - --- -1--T- cr, - - - -- - p■i- ' � IL CAST ROC. UI ; I Il1.LL=U OFFICE oo U .;..� i («o I ---- --- '-- -- — J r' I W ' ' ►..� 112 U EXAM_5 XAM 6 I� 1 I 1 Z z o N I1- .1--i 121 22 (V I 1 0* I I F" � ,-a OFFICE U, inn ii "EX, / 1 ,. 1 1 RR 1 0 Li Tit I KITC4-N ' EXAM 4D gA- 110 � 109 I I e6NI %PO - - -- - -� —. �- � -- NEW 6' x 5' � � �1?�— �i W WALK-OFF C I 13ACK OF I MAT * : 103 , �)� I I 1 EXAM 3 r 108 i _i r`�..i ._'�' 1 �- 4 R...:.E� (E) TILE _ i E� r o c� RR 133 �� 10� - Q C-4 U EXAM 2 EXAM '[ �s'p - - LOBEY G� ' 107 106 1 - �'— -t---- - I 101 SUITE 200 e Q ° N BILLING OFF. OFFICE 1 1 I (E) TILE AREA OF WORK BY LANDLORD 4 AS 5PECI IED IN THE LEASE J4 v1 °� 105 1 - \�- G Q U �. NOTES 5H0UJN ON A-I -ALL MOM OTHER WORK SHALL BE DONE U p AND PAID FOR BY TENANT p., < (E) TILE v� c RFMOVE (ti) T!LE FLOCRING SHEET VINYL PREP FOR CPT m REVISION .w:.. INSTALLATION 1 2. 1 BUILDING PLAN DATE: 10/30/02 �-2SCALE: 1/16" = I' _ 0" � � PETt?N4rr/B1D SET A-2 NOTICE: IFTHE PRINT OR TYpEONANY ► { � I ► � � ► IIII { I IIII { I I { II ► II IIill Jill { IlliT -I-(1-II { I -vp [I �1 -1J1IIll III IIIIIII I { I I { ► IIII III Ijlilll III III III L.11 1 � i I � 1 111 ► 1II I ( I ill 111 � 1 � 1 1 ( 11111 { ! { I Ill � fll III IIIIIII - I II I I I I I 1 IT-It , IMAGE IS NOT AS CLEAR AS THIS NOTICE 4 5 6 I ( 7 1 -- -- --=- -- 7 8 9 10 11 12 ITIS DUE TO THE QUALITY OF THE No.36 IIII IIII IIIIcI� II,IIIIIIIIIIIIIIIIIIIIIIII {III �I� III III� II I .11111111IIILI II ►IT LTI9T 5t � I ET . . 6� ZT OI {ITlZllll {lOIII{ I{6IIT{IIII{8I111 { {{ 9 - --- . TIIIIORIGINAL DOCUMENT 8 wI I � z 1 1 MARTIN HANSON C CLACKAMA' , OREGON -� r� /I PRv��,CT #02360 i i 2 U__ ' Noe I (D F�. Q a ,�. ------i \ / I ___ 'Illys. Q Q N \c C4 C) + ki I I D <F) OE -'t ac M M E \ / + �/ yan ' 000 g:4 0 c 0.'" x rx 5 I — FIRE EXTINGUISHERS THIS AREA I TO BE RELOCATED AS iDIIREr �T- LECsEND F_ _ �`i — - - - - -- ---- - -- NEW BUILDING09 CD i STANDARD PART I- r o (( o i K x .--- T TION TO CEILING ► I - _ _ ____._______II I_ _ __ _ ___.. _. __._ w I � n - -�� z :� p / _..- -- A I i A - NEW CABINET + � �------ _ .. U OL W �, DEMOLITION NOTES: CONSTRUCTION NOTES: O •o O REMOVE EXISTING COUNTERS t PEDESTAL A RELOCATED PEDESTAL 4 COUNTER c A _ TER O - c� LONG WITH UPPER CABINET SALVAGEB COUNTER TOP CORNER INFILL O O U `n i FOR RE-USE. FINISH RAW E S TO MATCH C NEW STORAGE CABINETS -FLOOR TO BOTTOM OF U O EXISTING I EXISTING UPPER CABINETS MATCH PEDESTAL. 5AAE W N O2 REMOVE COUNTER. L71SP05E OF. D RELOCATED PEDESTAL Q U 1 FLOOR PLAN w RE 3 0 CEPTION AREA O RELOCATE COUNTER/PEDESTAL TO E NEW PEDESTAL O .� A-3 SCALE: 114" - 1 - 0" ADJACENT WALL -CUT DEPTH AS REQ D TO FONEW COUNTER / RELOCATED UPPERS MAKE 30' G\> NEW SLIDING WINDOW (TIMEL"r FRAME)' 'L/ BALL REVI CUT 4 REMOVE END OF WALL AS SHOWN SEARING TRACK 51ON 0/ 5 REMOVE COUNTER -REMOUNT AT 29' AFF H NEW CCFFEE BAR / UPPERS W/ BAR SINK 1 . 1' O T WORK S OUN Os REMOVE (E) DOOR ; FRAME -SALVAGE FOR OI WALL INFILL ON TH 15 �AG� RELOCATION J RELOCATED 00 / - O DOOR FRAME 5HALL BE DONE AND PAID FOR O REMOVE WALL <� FIN15H RAW END OF WALL AT REMOVAL -ADD END O REMOVE DRINKING FOUNTAIN AND PLUMBING STUD AS REQUIRED DATE' 0;0/ 2) BY TENANT BACK TO WALL -F'.")UGHIN FOR NEW SINK <L> ADD 3/8' THICK SMOKE COLOR ACRYLIC '0-�CREEN' AT �y 0s CUT 4 REMOVE EN:) OF WALL FULL TOP OF TRANSACTION COUNTER -ROUTE: INTO TOP AND PERMIT/B11)�'/BII) SET HEIGHT AS SHOWN PROVIDE: 'C' TRIM AT NEW WALL -RADIUS CORNER 2' TOP OF SCREEN AT 60' AFF A-3 T NOTICE: IF THE PRINT OR TYPE ON ANY _�I� I I I III ( III IIIIIII IIIIIII IIIIIII I I I I rl rl 1 1 1 r��r�� l i I 1 I I ! r l l l I I III III III III III I , 1111 Jill 1� 2 3 4 I f IMAGE IS NOT AS CLEAR AS THIS NOTICE, 7 ITIS - ------ - - ---- - - -- - - -- -g - 9 10 11. 12 - (�OL DUE TO THE QUALITY - ( _ OF THE -- --- - ---- -------------L_____—_ _.._ ORIGINAL DOCUMENT F4 NOW, 7 I11 � LZ il 11 11Ji llli li l!11 (11-! !(1�111.1! II(I Z(III 111Z1 ZIIII !IIII Z11!I IIOI! Z11 11 flsip ill^ll -l-lgll tI!II IILII TIIII II9II IIlll►il_l9. l iIIII�,II11�i1'�',i 1 IIE11 IIIII JIZII IIII! Il,iItt�!Tl 1O1 iILli .11ll 6IIII I l�lllIgllll 1111 L 1118 L19I lIIII IIIIIIIIIIIIII11 Illlilllll I ��tll3w i SIU +!VIII 1 i 1 15755 SW Sequoia Pkwy #102 CITYOF TIGARD _^ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P00065 DATE ISSUED: 2l'22-11037/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2 S 112 D D-01601 SITE ADDRESS: 15755 SW SEQUOIA PKWY 102 SUBD;VISION: PACIFIC CORP. CENTER ZONING: I-P _BLOCK: LOT: 001 —_ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE- TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Back flow nrevenlc�r an x-raY — FEES _ Owner: — -- Description Date Amount PACIFIC REALTY ASSOCIATES l3J I'ernut I cc 2/27103 $72.50 15350 SW SEQUOIA PKWY #3C0-WMI iIII.UMI I ^UM 8" SUrrc I,i� 2/27/03 75.80 PORTLAND, OR 972.24 —_ — Total 778.30 Phone : Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 236-4152 Reg#: I W 172 I'I %I 26-83PB 'EXPORED T his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than '180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITYOF TIGARD __ PLUMBING PERMIT DEVELOPN"ENIT .',SERVICES PERMIT#: PLM2003-00065 13125 SW Hall Blv1., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/27/03 SITE ADDRESS: 15755 SW SL7000IA PKWY 102 PARCEL: 23112DD-01601 SUBDIVISIOt:. PACIFIC CORP. CENTER ZONING: I-P EI-OCK: LOT: 001 _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF LISE: COM WASHIN(4 MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEA-i ERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Back flow preventor on x-ray Owner: __— FEES _ _� Description. Date Amount PACIFIC REALTY ASSOCIATES - --- -- 15350 SW ,SEQUOIA PKW'( #300-WMI II'LUMBJ f'ermil I ee 2/27/03 $7250 PORTLAND, OR 97224 IT\XI 8 state'l;1\ 2/27/03 $5.80 Total v $78.30 Phone : —+ Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLANIJ, OR 97202 REQUIRED INSPECTIONS Phone : 216-4152 RP/Backflow Preventer Rey#: I Il' 172 III \1 26-83PB EXPIRED This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire it work is riot started within 180 days of issuance, or if work is suspended for mors than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon I,sued B r T�- Permittee Si nature / Call (503) 839-4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Plumbing Permit Application I OFFICE USt ' Date received: Permit no.: 42 a City of Tigard Sewer permit no.: Building permit no.: — Address: 13125 SIV (tall Blvd,Tigard,OR 97221 --� City of Tigard phone: (503) 639.4171 Project/appl.no.. Expire date: Fax: (503) 598-1'960 Date issued: By: Receipt no.: Land use approval: ease rile no.: Payment tyre: ,,TYPE-OF PIERM U I &t family dwelling or accessory >1.c'ot1mctc„tl indusu dal U Multi-family U Tenant improvement U New construction U Add;tion/alterationlreplacement U Food service 1 tMal � [N_-%cription Q(y. Fee(ea.) Total Job address: /.j t�t Bldg. no.: Suiten �� / M1rn 1•and 2-Ltntily dwellings only: (includes 100 ft.for radii utility connection) Tax map/tax lot/account no.: SFR(I)bath Lot: Block: Subdivision: SFR(2)bath _ ---- 4 Project name: OR io & / t� t J SFR(3)bath _ Cit y/countY:� ZIP: Each additional bath/kitchen Description and I cation of work on premises: Rid. EA94 Site utilities: k ^ _ __ Catch basin/area drain Est.date of completion/inspection: t Drywells/leach line/trench drain 1111,11NIHINd CONTRACTOR Footing drain(no.lin.ft.) _ Manufactured home utilities Business _✓name: 1_13� Manholes _ C7 Address: . / `lir Rain drain connector _City; rJ Q7� />_ State ZIP: 7 �j` Sanitary sewer(no.lin.ft.) Phone:Z36.!& Fax —/7 7 E-mail: Storm sewer(no.lin. R.) CCB no.: 61 s Z— Plumb.bus.reg.no:�,�—� Water service no.lin. ft. Fixture or item: City/metro tic.no.: Absorption valve Contractor's representative signature: G Back flow preventer Print name: fi Da1e- Backwater valve Basins/lavatory Name: - lothes washer _,k. �Z l GS; ishwasher _ Address: _ — �� Drinking fountain(s) City: I ate• ZIP 7 Ejecton1sump Phone: 'D rs a Fax: E-mail Expansi m tank — It Fixture/sewer cap _ ,� Floor drains/flout sinks/hub _ Narr.e(print) �tL+� %�T— Garbage dis'osal Mailing address: �y S Gr�� L of/1 w diose bibb city. {-la,...L Stat . ZIP: Ice maker Phone: xr/ k&yU IF x: Interceptor/grease trap Owner installation/residential :maintenance only: The actual installation Primer(s) will be made by me or the mrrintenance and repair made by my regular Roof drain(commercial) _. employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's si,nature: _ _ _Date: Sump _— Tubs/shower/shower pan Urinal Nantes _ Watercloset _ Address. Water heater City: State: [ii—P. other: Phone: Fax: E-mail: Total ZS Minimum fee............... $ —_ Not all jurisdictions accept credit cards,please call jurisdiction for more information Notice: This permit application U MasterCard Plan review(at — %) $ U visa _ expires if a permit is not obtained State surcharge(R%).... $ credit cad number _ —__.. _—_ �— within 180 days after it has been spires — Name of u shown on credit cam— accepted as complete, S LXPIRE Cardholder Signature Amount �j440.0616(NOU/COM) PLUMBING PERMIT FEES: �- --- PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY ea AMOUNT' (includes all plumbing fixtures in PRICE TOTAI Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUt\ 16.60 -� (or each utility connection I-avatory One(1)bath $249.20 Tub or Tub/Shower Comb. 16 6r, Two(2)bath $ 350.00 __ Three 3 bath $399.00 Shower only 16.60 O - Water Glosel 16.60 SUBTOTAL Urinal i 16.60 _ 8%STATE SURCHARGE Dishwasher '16.60 PLAN REVIEW 25•/.OF SUBTOTAL _ 16.60 TOTAL__ -_- Garbage D sposal - Lac^nry}ray 16,60 �W:4.ning Machine 16.60 FloorDraiNi'loorSink 2" 1660 PLEASE COMPLETE: 3" 16.60 4^ 16.60 -- - -- - - _ _Quantity b Work Performed_ Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed) Cas piping requires a separate mechanical Ca ped ermil. Sink MF'3 Home New Water Service 46.40 - 46.40 Lavatory MFG Home New San/Storrn Sewer Tub or Tub/Shower Hose Bibs 1660 Combination - - Roof Drains 16.60 Shower Only Drinking Fountain 18.80 Water Close'. 18.80 Urinal a _ Other Fixtures(Specify) Dishwasher Garbage Disposal _ Laundry Room Tray - Washing Machine - Floor Drain/Sink: 2" _ Sewer-1st 100' 55.00 3" Sewer-each additlonal 100' 4U 4" - Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Servicq-each additional 200' 46.40 - Storm&Rain Drain-1st 100' 55.00 -_ Storm&Rain Drain-each additional 100' 46.40 -- Commercial Back Flow Prevention Device 46.40 - -- - Residential Backflow Prevention Device' 27.55 -- - Catch Basin 16.60 _- Inspection of Existing Plumbing or Specially 62.50 Re uested Ins salons _ er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - Grease Traps 16.60 QUANTITY TOTS. . Isometric or riser diagram is required If ----- Quantity Total is >9 - *SUBTOTAL 8%STATE SURCHARGE - - - --"PLAN REVIEW REVIEW 25%OF SUBTOTAL. Requved only If fixture ty total ih>9 TOTAL *Minimum permit too is$72 50•8%state surcharge,except Residential Backflow Prevention Device,which 1^$36 25-a%sial surcharge ..All New Commercial Building%require 2 sets of plans with Isometric or riser diagram for plan review. 1:\dsts\forms\plm-fees.doe 12/26/01 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00486 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/5;02 PARCEL: 2S112DD-01601 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 15755 SW SE000IA PKWY 102 SUBDIVISION: PACIFIC :,ORP CENTER BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: ORTHOPEDICS NORTHWEST REMARKS: TT- Owner: =Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEOUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: Contractor: OWNFP. Phone: Rey#: This Certificate issued 1121103 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for complianpe with the 5 ate of Oregon Speci-ilty Codes for the group, occupancy, and a under c the referenced permit wa!�j�sued BUILDING INSPECTOR BUIL DINU OI , POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4111 SUP --- - -- - Recblwd Date Requested____ AM--. PM BUP � j�g G Location MEC - Contact Person .-._ �1�� >i Ph(- PLM Contractor`JD l-ar7'Sc--11-7 �Fcf�^%�—_ ^_ Ph - - SWR BUILDING TenanUQwnPr �� ELC .r� - • Footing �� Foundation Access: ELC Ftg Drain ELR --- _- Crawl Drain — Slab lnsnactian Notes: SIT Post 8 Beam I -- _._,_--- - —- --- Shear _--- A,ichors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation — � n,4 C'%✓Lli�vt L.•de l Drywall Nailing — --f Firewall Fire Sprinkler - -- -- -- Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART FAIL PLUMBING _-- Post& Beam Under Slab -- — Rough-In Water Service -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Othbr: Final -- - -- — PASS PART FAIT_ MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL 'LE ECTRICAL Service -- Rough-In UG/Slab Low Voltage Fire Alarm a- PART FAIL Reinspection fee of$—__._ _ required before next inspection. Pav at City Hall, 13125 SW Fiall Blvd SITE^� Please call for reinspection RE:—. _— ❑ Unablr w inspect-no access Fire Supply Line ADA flab — lespedor _ c�c C! Ext -_- Approach/Sidewalk Other: Final — — Dn NOT REMOVE this Inspection record from the Job 911tK. PASS PART FAIL CITYOF T I GA R D BUILDING PERMIT DEVELOPMENTSERVICES DATE SSUIED: 160002 OG 4861/5 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 15755 SW SEQUOIA PKWY 102 PARCEL: 2S112DD 0160: SUBDIVISION: PACIFIC CORP. CENTER ZONING: I-P BLOCK: LOT: 001 _ JURISDICTION: TIG REISSUE: _+ FLOOR AREASEXTERIOR WALL CONSTRUCTION` CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ _PROJECT OPENINGS? TYPE OF Gr)!JST: sf N: S. E: W: OCCUPANCI, G1,W: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft 3ARAGE: sf OCCU SEP RATED: BSPIAT?: MEZZ?: _ READ SET_B_AC_K_S____ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: , ft FIR `;r'KL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEr)RMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: GC •01 Remarks: Tenant Improvement L_ Owner: Gontraf Iter: __--.---------- PACIFIC REALTY ASSOCIATES OWNER 15350 SW SEQUOIA PKWY #300-WMI PORTLAND, OR 972.24 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS_ _ Description Date Amount Framing Insp `+ II�tILI)l I'crniit I cc 11/5/02 $120.10 Gyp Board Insp I �\I K' i ;,tatr'I'ux 11/5/02 $9,61 Misc Inspection 110 11111_NI I'In Itv 11/5/02 $78.07 1 1 til PLR 1'111 kv 11/5/02 $48.04 --- l otal $255.82 - - 1 his 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 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 245-6699 or 1-800-332-2244 Issued By: _ _— Pe nn itteo Signature. Call 639-4175 by 7 p.m. for an inspection the next business day BWddingPern tApplication Date reserved: City of Tigard l'rvject/applenc,.: Ezpiredate: City of7igard Address: 13125 SW Hall Blvd.Tig�ud,OR 97223 --- - .none: (503) 639-4171 Date issued: B-;:. Receipt no. Fax: (503) 598-1960 Case file no.. Payror-ttype- Land use approval: — - 182 famjly:Simple - GitryAe c: TYPE OF PERMIT r ❑ 1 &2 family dwelling or accessory/-d�ommerciaMndusrrial C2 Multi-family ❑New constriction ❑Demolition ❑Addition/alteration/r-placement Z Tenant improvement ❑Fire sprinkler/alarm Q Other— 1 t# INFORMATION Job address: SBldg.no:/ Suite no.: LO _ Tax r*.e^'ax lot/accounc no. _��' / ,- Project frame: Orikv 12,e .-,r Vl o v"f� t J Description and location of work an premises/special sopa:ons:-_�ti d o,g ,-,s O%VNER FOR1 Name: PacTrust _ ' Mailing address:15350 S.W. Sequoia Pkw . #300 r&2rmnydwewng: City: Portland scatc:OR ZIP: 97224 Valuation of work........................ Phone603/624-6300 Fax 24-7755 E-mail: No.of bedrooms/baths................................. Owners representative:Den n i s P _ Total number of floors................................. -- Phone. Same Fax: ge JE-mail: New dwelling area(sq.fl.) .......................... Garage/carport arra(sq.fL)......................... - - Name.: PacTrust Covered porch area(sq.ft) ......................... Mailing address: 15 � S.k- , SPT j a1.3� _ Dxc area(sq. ft.) ........................................ City: I ortiand te: � • y7�2aOther structure arta(sq.fL)......................... -- - ---- - --- Car mercialAndusttrial/multi-famil . Phrnd§�.� 624 u, & �'' - 4 E-retail: y' 1 1 Valuation of work........................................ $ '7120e). a o Business name: Existing bldg.arta(sq.ft) ........................... - -�U t�d P v -- Address: New blig.area(sq.ft ................................ State: Number of stories... City: iS_ Zff': ) ..................................... - ---- Type of constructinn.................................... Phoncf)03/ Fax: E-mail: ---` CCB no.:_- _--- -- �f - - Occupancy grou,)t s): Fasting City/metro lic.no.: ---- --- --_-__---__— New: Notice All contractors and subcontractors ate required to be t licensed with tine Oregon Construction Contractors Board under Name: Martin Hanson s o n pruvisions of ORS 701 and may be required to be license i in tine Address: - — jurisdiction where work is being performed.If the applicant is �'�'-� �1 " # -- City: Portland state: zrn:k7?�4 exempt from licensing,the following mason applies: _ Contact personflarti n Hanson Plan no.: -` - Phone c - Fax: E-mail: - - -- Name: I Contact person: Fees clue upon application S Address: -- !— Date,received: City: State: --IP: _ Amount received ......................................... -- Phone: Fax_ — I E-mail: Please refer to fee schedule. I hereiiy certify I have read and examined this application and the Na Wl jurisdictions accts credit cordt plum call junsdicaoo for mote nd xmauua attached checklist All provisions of laws and ordinances governing this ❑Visa U btasterC.ud work will be complied wi hether specified herein or not. Cmeit curt number, -�---- r tcl,1rn Authorized srgnarure:'tVt Date: /I r — Nurc of carebuldn n Oram an credit card—� Print name: a-S r - -- -- S • —_. — Czefbclder nvwurr Notirr:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. aen-t617 i(MV-9M) CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00616 DEVELOPMENT SERVICES DATE ISSUED: 11/25/02 '13125 SW Hall Blvd , Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112DD-01601 SITE ADDRESS: 15755 SW SEQUOIA PKWY 102 ZONING: I-P SUBDIVISION: BLOCK: LOT : 001 JURISDICTION: TIG Project Description: TI: Install 2 branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS ----MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ V ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR. 401 - 000 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp- _ PLAN REVIEW SECTION 1000+ arTtplvolt: — >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only:___ _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC 15350 SW SEQUOIA PKWY#300-WMI 10948 SE VALLEY VIEW TERRACE PORTLAND,OR 97224 CLACKAMAS,OR 97015-000 Phone: Phone: 503-698-3417 Rey #: I•:l.l', 1.241( FEES Description Date AmoLnt Required Inspections JEI,PRMTJ ELC 1'crmit 11/25/02 $53.50 �'IAX] 91!6Stale ax 11/25/12 $4.28 Rough-in Elect'lFinal Total $57.78 This Permit is issued subject to the regulations oontained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or 1-800-332-2344. Issued By: }�:.f_��;_ , Permit Signature: % 1 'iC1.( i.� UcGLrr i _ OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent OWNER'S SIGNATURE: _- _—_._.—_. DATE:. CONTRACTOR INSTALLATION ONLY !^ _ 1 1 G J Ad DATE: ---- SIGNATURE OF SUPR. ELEC'N: 1 �� ------ LICENSE N O: ---- --- _ --—-..�--- ----- ------ Call 639-4175 by 7:00pm for an ;nspection the next business day From:Charlynn J.Lelfsen To:City of'npard Drre 11/21/2002 Time: 10:23:20 AM Pape 3 of 3 Electrical Permit Application -- -- bate rcu:ived//- r-0 _ Permit City Of Tigard rd�_��D Pr`yect/appl.no. _ r'Icpue dale• f.ity t>l B>im� Ao.tress: 13125 SW I tail 131vd�� I)ele issued Hyp Receipt no.: Phont:: (503)6391171 Fax: (503)598-1960 NOV Can file no.! Payment type: Land use approval: 2 a. 200l U 7�04drass: dwelling of'arcessory ®Cu ocelot/mduatrial U Multi-family J"tenant improvement U ction LiAddition/alteration/replacement U Other: .___U Partial lob755 SW Sequioa F'kwy Bldg.no.: 'luitc no.: 100 Tax!nap/tax lot/account no.: -- Lot: Block: -- sobdivision: — ~ _ /1. 11- __ _ _- Pmject name: Orthopedics N_W Loscription and location ofwork ou premises: Tenant Improvement Estimated date of Com letion/inspectim, ASAP .leb mot 8022 ---- -- F. t— Ewb tytId►8uainceattltme: Johansen Electric Inc 6.m„er 10948 SE Vallley VIEW Terr.City: Clackamas State:0R ZIP:97015 Ifd.Ieel.rl■ae °10110 .IL or ler+one'503 698 3417 Ftx:503 See-2486 E-mail: luhenxonel«t+rgeul nom additional 900 sqn, v portion thereof (vtl no. 515_39 Bloc,bus.tic.no: 3-2436 2 /me li .n _ 4896 _ -- ._,- I.frn tall energy_nohomekatial 2 '- Poch mamfaclmled hone m mortals dwelling bale %mien wrlhn Iue,lur 2 Signature fit 91 bins eleclriciam Itrquiredl _ _ Renlenwfi+Nen-Isetelktfe■, sop.elect.■aloe(print). Carl K. Johansen Umase oo: 2053S dte atlo■orreMeation: 21x1 amps Of Ie55 2 201 amps W 400.mps 2 IJafie(print): -- - 401 win to hn0 amps2 — Mailing address: - real aol �to IOW amp► �� 2 City _ Stahl: !P---- _ over IpOfl anon m vnlb 2-- - --� — arxarmrzt only I Phone: Fut: Ta ponary+er+llrea or freden- Owner installation The installation is being made on property I own 1■al■Ystloe,aNenHom,errdrSratM■: which ix not intended for sale,lease,rent,or exchange according Io 2110 amps ur Ir.. 2 ORS 447,455,479,670,701. �. — -0 2 2111 sops to 400 amps Owners al tura: — Date- 401 to 600 amps 2 �n■rh elrt■lu-new,altrntlon, or 8140101100 parr panel: Alllme: A Fre No,brawh eltruits wih punehave of Addrt aa: H. Fservi«a ra Feeder fee.cath bch cincuit 2 _ Slate: ZIP. ee fir brawh circuih womm purrhaw City: - Of Service or reader res,Ilrst Mandy circuit: 1 40 pt, 40 a�, 2 Phone,: _- Fax: F mail: f�ch additional breach chruita ' ILWMI■e.l!ttrvlr;tN/aeon Mt k dl■aaa): Fr:h poop o irrisati+rr mircle - 2 U Soviet mar 22S anpSavnumrn'isl U Ilcallh-ate taHlrtv, _. 2 U 4*vioe ova 120 amps-ralina of 1&2 U Ilaawdar,r I,ra nxi 1, ch van or outline llahtima __. .. family dwelliniv U Ruildiaw met 10,01K)up—feel rum a S,gmal ciSruit(S)or a limited enerll pwlei, 2 U Svstem met 600 volts nominal nae rr4lenlial rnih in 1> ,•dntwre aiksabou, or takYrsion•.. U Building ova durr snnlie. U I•colen,AIM ermp+a room ■ISeseH inn:-- -.. --- --- - U(k,upanl had Over 99 pa+onS U Manu6derrmd-&Wase+or It%'path !id aNIMo■d I■apecole over 2M■ ewmbk In any■r abs above: U F.IgcvIhphting plan U Other ---_. -. ------ Per impalim Saban-_ alta of/kM wNh say of 4k■bnvr. Inves llatiter foo -- f\e above are all mumble to lenprtuy cowdrtwgma senTlce. — - -- 5 _-.- ___ Permit fee................ . 0 _ Nul ail i,e■ediroo,■snip crodu,”,plan call,!riodialoW rnr mer,irrtermntioo. 14otim: This petmil applicati(m (Ian review(at _.- •�6) S U visa J MamrCard eapirrs if a pemtit c it ohbten stale surcharge(896)...,.11 d Lo — t'raln within INI)days alter it has born 57,78 Gopher sccepted mcomplete TO'TAI.........................S __-.— ---- ---- Name ofof rtr�nlder as+hnvrn ant turd 5 ----__—__..— Animml 410Jt1s16KMUO'(1M1 CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PL.M2002-00470 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/6/02 SITE ADDRESS: 15755 SW SEQUOIA PKWY 102 PARCEL: 2S112DD-01601 SUBDIVISION: PACIFIC CORP CENTER ZONING: I-P BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 0 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace drir,King fountain with sink and cap 1 sink. FEES � Owner: — — — - Description Date Amount PACIFIC REALTY ASSOCIATES - 15350 SW SEQUOIA PKWY #300-WMI I I'AN' I low I 12/6!02 $$5.50 PORTLAND, OR 97224 I 1 1X I K tii;�ir l a� 12!6/02 $5.80 Total $78.30 Phone : 503-624-6300 —_ -__--- _-- Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Rough-in Insp Phone : _'36-41152 Top-out Insp Req#: LIC 172 Final Inspection PLM 26-83PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more th�� ;dvs. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: , ,��-- _ -_— Permittee Signature: Cali (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Date received: ' "0')- Permit no.:��M 7� City of Tigard Sewerunit no,: Building g permit no.: Addren: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: t I Receipt no.: Land use approval: Case fife no.: Payment type: -.l I Family dwelling or accessory ACommercial/industrial U Multi-family U Tenant improvement U New c cmtiUuctitul Addition/alteratiun/wid wenwnt U Food service U Other: .108 SITE 1 Job address: i 51Z S S al A Lv Desert tarns Qt V. hee(ea.) 'Total Bldg.no.: I Suite no.: New I-and 2-family dnellings only: Tax map/tax lot/account no.: �1 , (SFR includes ff.for each utility connection) O Lot: Block: I Subdivision: L( _-1-12 SFR(2)bath Project name: 0 'r , LA, ) SFR(3)bath City/county: ZIP: 91 W Each additional batli/kitchen -- - Description and location of work on premises: !_.4.e E Siteutilities: DtR►Njcin�(z �Owi�7,aiw w 2 Sites_ Cillchbasin/area drain Est.date of completion/inspection: ,� ZL ap D wells/leach line/trench drainPLUM III NG CON]RACTOR Footing drain(no. lin. ft.) Manufactured home utilities Business name: = ry w U U Manholes Address: -Z % " _ Rain drain connector City: State rQ ZIP: QJ oto Sanitary sewer(no.lin.ft.) — Phone: (,,-141 Sal Fax: 4-1-77 E-mail: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no:a Water service(no. lin. ft.) City/metro lie.no.: Fixture or item: Contractor's representative signature: Absorption valve Back flow preventer Print name: �. �u "L,(_p w Date: Backwater valve Basins/lavatory -- -------- - _ _ Name: Clothes washer -- -`---- — Dishwasher Address: — Drinking fountain(s)� / City _ State: 7.11 - _—_ Ejcctors/sum Phone: I;tic F-mail: Expansion tank Fixture/sewer cap _ Name(print): OAC �;� � Sw:T� � Floor drains/floor sinks/hub _ Mailing address: �� w Garbage disposal — Hose bibb _ City: State:pts 7.IP: ate_ 1cc maker _ Phone• - p Fax: E-mail: Interceptor/greas;trap Owner installation/residential mnintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair r iade by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s), av4(s) Owner's signature: _ Date: _ Sump Tubs/shower/shoner )a Name: Urinal — ----- ---------- — Water closet Address: Water heater _ m City: -- State: ZIP: - _ Other: Phone: Fax: E-mail: Total N, ell Vurisdictiom wceo credit cank,please call jurisdiction fa more information. Minimum fee.. ............. Notice:if permit appt obtai plan review(at _ %) $ ❑Visa U Maslcrt'erd expires if a permit is not obtained Credit card number __ _-1-_-_ within 180 days after it has been State surcharge(8%) ....$ r '- • Name of cardholder u shrnExpires vn on c.edit cud accepted a-a complete. TOTAL .......................$ 7 8 3 O Cardholder it wee s Amami EN 4404616 Mn/COM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual r _ QTY,. ea AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink —��- ` 16.60 �— _ O the dwelling and the first100 ft. QTY (ea) AMO11N for each utilRy connectlen 16.60 Lavatory — _ One(1)bath $249.20 Tub or TA/Shower Comb 16 60 Two Z`hath , — $350.00 16.60 — Three i3Lbo th _ _ $399.00 —_ Shower Only _ Water Closet _ 1660 — SUBTOTAL _ Urinal �— 16.60 —8'/.STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25'/.OF SUBTOTAL — —_ ---- ----—TOTAL ---.� Garbage Disposal 1660 --- -- --- Laundry Tray , I6.60 — Washing idachine - 1660 - -TI oor—Dr ain/FloorS'in k - 1660 PLEASE COMPLETE: 16.60 4 16.60 16.60 Quantit b Work Performed Water Healer O conversion O like kind Fixture Type: New Moved Replaced Removed! Gas piping requi es a separate mechanical _ — Camped MFG Home New Water Service 46.'10 Sink.__--.— - -- - Lavalo — ----- -- M=G me NoIJew Sanl6San/Storni46.40 Sewer— _ Tub or Tub/Shower Hose L the — — 16 60 _ Combination — Roof Drains J 16.60 Shower Only__-- — -- — 166U Water Closet Driking . — -- nFoun+ain Urinal Other Fixtures(Specify) 16.60 Dishwasher — --- Garbage Disposal _ - --- -- l_aund Room Tra Was Machine Floor Drain/Sink: 2" Sewer-1 st 100' 55.00 — 3" Sower-each additional 100' 46.40 — _ 4„ _ --- -- 55.OJ ater Heater W ---- Water Service 1st 100' Other Fixtures Water Service each additional 200' 46.40 S eciu _ �torm 8 Rain Drain-1st 107 55.00yVz 1 Sloan 8 Rai,Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 — Catch - Inspection of Exisiing Plumbing or Specially 62.50 Requested inspections _ �er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 _Trap 16.60 Greases � -- - QUANTITY TOTAL -- — Isometric or riser diagram is required If -- — Ouantily Total Is >9 "SUBTOTAL -7 8%STATE SURCHARGE= , 8V "•PLAN REVIEW 25°/.OF St!BTOTAL Ragdred only it flxhire city total Is`9 — TOTAL $ "Minimum permit fee is 572 50-8%state surcharyfe,oxcept Resid?ntial Backflow Prevention Device,which Is=3b 25+8%state surcharge All New Commercial Buildings require 2 set'of plans with Isometric or riser diagram for pian review. lAdsts\form:z\plm-fees.doc 12/26101 Accumulative Sewer Tally Tenant Name: Orthopedics Northwest _ This SWR#N/A Address: 15755 SW Sequoia Pkv^; 102 This PLM# 2002-00470 Fixture Value Previous Previous Cred;is Capped Fixture Fixture New New # value tipped off valuo added added total total count 0"#S count # value #s values Baptisery/Font _ 4 0 0 0 0 _ 0 Bath-Tub/Shower 4 0 0 0 0 Y 0 Jacuzzi/Whiripoul 4— (' Y 0 0 0 0 i _Car Wash- Each Siall_ _6__ _ 0 0 — 0__._O _0 -Drive through 1 16 _ 0 — 0 _ 0 0 0 Cuspidor/Water Aspirator 1 ,0 _ 0 0 0_ 0 Dishwasher -Commercial 4 0 0 _ 0 0 0 Domestic 2 _ 0 0 0 U 0 Drinking Fountain 1 A 0 1 1 _ 0 -1 -1 Eye Wash 1 0 0 — 0 0 0 Floor Drain'Sink-2 inch 2 0 —0 0 A 0 0-- 3 inch 5 0 _ 0 _ 0 0 0 -4 inch _6 0 0 � 0 0 0 Car Wash Drn 6 0 _— 0 — 0 0 — 0 _— Garhage Disposal Domestic(lo 3/4 HP) 16 0 _r 0 0 rl 0 Commercial(to 5 HP) 32 0 0 �— 0 0 0 Industrial (over 5 HP) ,48 0 0 _ 0 0 0 Ice Mach ineiRetrigeralor Drain 1 — 0 0 0 - 0 G Oil Sep(Gas Station) 6 _ 0 0 _ 0 0 0 Rec.Vehicle Dump station 16 0 0 0 -- 0 0 _Shower-Gang (per head)_ 1 -- - 0 0 _ 0 — 0 0 _ Stall2 0 0 _--0 0 0 Sink-Bar/Lavatory — 2. 0 1 2 1 2 — 0 0 _ Bradley 5 0 0 0 0 0 _ Commercial 3_ 0 _ 0 0 0 0 Servi�e3 0 _ 0 0 0 _ 0 Swimming Pool Filter 1 _ 0 0 0 0 0-- Wnsher-Clothes 6 _ 0 0 0 — 0 0 `^.',trer Extractor 6 0 _ 0 0 0 0 Water Closet-Toilet 6 0 _ 0_ 0 0 0 Urinal 6 0 _ 0� 0 0 0 Previous EDU Count 8 128 128 Capped EDU Credit 0 k_ITAI U X28 2 3 1 2 -1 127 Current Fixture Value_ 127 _ divided by 16 = 7.9 Current EDU 1 t-Uil = $ .:;riii (w Previous Fixture Value 128 divided by 16= 8.0 —Previous EDU Change -1 dividert by 16 = -0.1 over (under) $ (230.00) Enter EDU Chango Here -0.1 HISTORY _PLMf; EDU# _ _ SWR# _ — I'LM# ---� EDIT# SWR# f'ifM# EDU# SWR# Namet; _w,� -2J _ Date: Signature of person that calculated this rally sheet and date perfromed is required CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST / o/ INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received ---- Date Request d--_ a� AM PM . BLIP Location _____�_��`1.�----- lco�c.cu Suite,_-- - ,AEC _ -- 'Contact Person PLM --- - _"_�__ -o - �h(---—._.) --------- --- Contractor -- ---- -- -- Ph(---- ) � �--- SlP_Q� IJW R - BUILDING Tenant/Owner ELC -- Footing ELC - Foundation Access: ¢t Ft£Drain .J C/ / / C / C,� 2— 3 t7 T- 0 ' YC ELR _- - - Crawl Drain SIT _ Slab Inspection Notes: n/� — Post&Beam Shear Anchors Ext Sheath/Shear "�u�" '-�— T ON Int Sheath/Shear _ Framing Insulation Drywall Nailing — -- �` Firewall �1 G .A /J� �'c./C� !/' Fire Sprinkler Fire Alarm (,A-- a --- - — Susp'd Ceiling --- Roof Other: S PART FAIL BIND _ - -- --- ---. ---- Post&Beam — Under Slab Rough-In Water Service Sanitary Sawer \i Rain DrPina Catch E assn/Manhole Storm Drain ---- Shower Pan — �--- Other: Final PASS PART FAIL -- MECHANICAL -- Post&Beam Rough-In J---- -- Gas Line Smoke Dampers Final -- PASS PART FAIL -- ELECTRICAL -- --- - - - Service Rough-In UG/Slah Low Voltage --- Fire Alarm Final Lj Reinspection fee of$— required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: \ [� Unable to inspect-no access Fire Supply Line l/ ADA Date /1__'",3_ Inspector __ _ Ext Approach/Sidewalk Other: _ ___--- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL SEE 35mm ROLL #20 FOR OVERSIZED DOCUMEN T ' M- IN W. HANSON C� 4 0,4 CLACKAMA , OREGON —_--------------� �B ' NEWO WALK-OFF PROJECT #02360 � I r_..---____ _-------------, I I MAT CARPET I r- ------� I I i _-r- TRANSITION V L----------------- 04 TENANT II i FILEFILE SHELVING SHELVING 0�; -�_..� I I a CABINET I , ►� a � I I --------------------------------, I I I BY TENANT (D6 ) 11 I I -- --------- ' O I I I -`-I --- ----- Q O �, F I O 'LOOSE' COUNTER W/ I I END PANELS -------- Z Z I I 14 I � oc, ;__ - IL--------L_ _.------------------� 'LOOSE' COi INTER W/ SHELF I UNIT 4 BASE UNITS LNDER BY TENANT , _ _ I r „ I 4 I I n � O I I I H I �----I N --� ' ✓ I IL------�----- _- ------J ` I FO Z N I I �j U 1 FLOOR PLAN — FILE ROOM A-42 FLOOR PLAN — SERVER ROOM SCALE . l/4,� = 1, _ 0,� A _SCALE: li 1„ - 1 - 011 Q O o N DEMOLITION NOTES: Q O rn CONSTRUCTION NOTES: Q 0 O0 Rt:iIOVE EXISTING COUNTER IN ITS � I � - REMOVE BASE CABINET -DISPOSE OF /A NEW COUNTER < SPLASH -� <J .�, U ENT( TY 08 ,' RE OVE SINK BASE CABINET -DISPOSE OF < EXISTING UPPERS -FIN. RAW END � � �REMOVE EXISTING SINK -CAP PLUMBING IN 9 REMOVE UPPERS AND SALVAGE FOR C --- •NOT USED—— �. N WALL O 10 RELOCATION --- -NOT USED---- O REMOVE WALL COVER -PREP FOR >> REMOVE OLD MICROWAVE SHELF -DISPOSE E ----NOT USED----- REVISION � PAINTING O O NEW WORK STATION COUNTER W/ CLEATS TO `J SHELVING t FURNITURE/EQUIPMENT TO BE WALL BACK AND PANEL 'LEGS' E. AN W. — 1 REMOVED 5Y TENANT FOR SHEET VINYL END D 0INSTALLATION BY OWNER (PACTRUST) < G > RELOCATED STORAGE UNIT ABOVE COUNTER THE WORK 5HOWN ON TH 15 PAGE ,5 REMOVE BENCH AND DISPOSE OF MOUNT TOP TIGHT TO CEILING ' D REMOVE STORAGE UNIT ABOVE BENCH AND 5HALL BE DONE AND PAIL? FOR DATE: 10/30/02 JH RELOCATED UPPER CABINETS FROM NORTH SALVAGE FOR RELOCATION -FINISH RAW WALL. W/ MAIL SLOT UNITS (SITTING LOOSE BY TENANT PERMIT/BID SET' BOTTOM EDGE AS REQ'D ON WEST COUNTER TOP) HUNG BELOW LL - 1 A-4 NOTICE: IF THE PRINT OR TYPE Oil ANY f ( � I I C I I I 1 1 1 1 1 1 1 I ' I I III III III III I I I c rTl.r rrr 1 1 III III III f_I 1 III I l f I� I J I I { I t l III III III III III ' I I I I I I I I I I 1 I I I 1 I 1 11 III I l i l l l l l l l l I I II IMAGES NOT AS CLEAR AS THIS , � 2 I I -- _-_ 1__.____�____-__ ------ --______ -- � -_ 5 6 7 1 ! ITIS UE TO TWE QUALITY OF THE -- - - - ---g ---- _------� 10 11 � 12 � 7 —U Z _ — i No.36 ORIGINAL DOCUMENT - F -- -6 Z---- �! Z L i 7TH ---- sl----^ 8 I L T 9 i 5 i fi T E I Z i i i 0 TI 6 8 L 9 (II'� ►�� IIII Ilil Illll�llllllll Illi IIII IIII IIII 11.1.1 !Ili.11ll IIII Ilil�llll�ll?I Illi ILII►1111 III II I II I ► � I II I Illllf (Ill IIII Ililllilllll .Ill IIIIIIIIIIIIIIIIII�IIIII IIIIIIIIII �llIILILLIIIIIIIIIII1111 .1.1.11 11�aq 1 11�.1IIIII!�1t1 - FINIS[ SCHEDULE FIN. LEGEND � CP CUT PILE CARPET/PAD WALLS -- LP LOOP PILE CARPET MARTIN W. HANSON RM" NAME FLR BASE NORTH 1EA5T SOUTH WEST CEIL CLG HT REMARKS SDT STATIC-DISSIPATIVE TILE 5V SHEET VINYL Lo 0 SUITE 101 CPT 4'RF (E)/P ^ (EYP _ (E)f (EYP (E) 9'-0' 1. WOT SLATE WALK-OFF TILE �1 CLACKAMAS, OREGON 101 L086)' CPT 4'W (E)f (E)f (E)/P (E)/P _ (E) 9'-0' 2. --- ---- - PGWB PAINTED GYPSUM WALL BOARD 102 R'ECEP'TION SV 44RC PGWB (E)/P PGWB (E)/P (E)/P (E)/P (E) 9'-01 WW WINDOW WALL OF 103 BACK GIFFICE CPT 4'RF_ (E)/P PGWB (E)/P P'GWB (E)/P PGWB (E)/P (E) 9'-0' F''W P-LAM WAINSCOTT 9 TO 48' AFF. PROJECT #02360 104 OFFICE CPT 4'RF (E)/P (EYP (E)/P (E)/P _ (E) 9'-0' - SAT SUS N A . 105 BILLING OFF, CPT 4'RF (E)/F (EYP c E)/P (E)/P (E) 9'-0` P DED COUST. TILE 2X2 r, 126 EXAM 1 CPT 4'RF +'E)/P (E)/P (E)/P (F)/P (E) 9'-0k WBC/P WALL BOARD CEILING -PAINTED 101 1 EXAM 2 CPT 4'RF ('E)/F (E)/P (E)/P (EYP (E) g'-01 ETR EXTEND TO ROOF 108 EXAM 3 CPT 4'RF (E)/P (E)/P (E)/P (E)/P (E) 9'-0' RF RUBBER BASE (FLAT) N 109 EXAM 4 GPT 4'RF (EYP (E)/P (E)/P _ (E)/P (E) 9'-0' RC RUBBER BASE l COVED) V :rt � 110 KITCHEN SV 4'RC (E)/P (E)/P (E)/P (E)/P (E) 9'-0' I11 DR OFFICE CPT 4'RF (m)/F �E)/P _ (E)/P (E)/P _ (E) 9 (E) EXISTNCs a 112 DR OFFICE CPT 4'RF (E)/P % E)/P (E)/P (E)/F (E) _ SI-0-01 _ (N/E) NEW � EXISTING Z � � " 113 DR aBICE CPT 41W (E)f (E)/P (E)f (EYP (E) 9 ! '-0' i O Q � � 114 MED. I<'.EC. CPT 4'RF (E)/P (EYP (E)/P (E)/P (E) 9�-0� 3. Q o 1115 CLOSET (E) (E) (EYP _ (EYP (E)/P (E)/P (E) _ 9 -0 .� 116 DARK ROOM SV 4'RC (EYP (EYP (E)/P (EYP (E) _ 9'-0' NOTE: a� 111 X-RAY CPT 4'RF (EYP (EYP (E)/F' (EYP (E) 9'-0� � -ALL GYP. BD. SMOOTH FINISH � � Z � � '-' 45T ROOM 5V 4'RC (EYP (EYP (E)/P (EYP (E) 9'-0' _ 118 C, � �_ — -lE) DENOTES CONDITIONS TO RECEIVE 0-0 ,- p 1'19 REST ROOM SV 6 SV (EYP _ (EJB, (E)/P (EYP (F)/P c31-01 SELECTIVE REPAIRS/PATCHING �i o E-4 �, n 122 REST ROOM SV 6''IV (EYP (EYP (E)/P (E)/P (E)/P 9'-0' PRIOR TO PAINTING WHERE NECESSARY Q M O 121 EXAM 5 CPT 4'RF (E)/P (EYP (E)/F' (EYf (E) 13 a a 1.022 EXAM 6 CPT 41RF (EYP (EYP (E)/P (E)/P (E) 9'-0' REMARKS: Q 123_ EXAM 1 CPT 4'RF (E//r-' (E)/F (EYP (E �/P (E) 9'-0' I. SELECT CUT PILE REMNANT AS TRANSITION 124 EXAM 8 CPT 4'RF (E)/F (E)/P (E)/P _ (c)/P (E) 9'-0' _ AT DOOR BETWEEN SUITE 200 AND SUITE 101 125 CLINIC POD CPT 4'RF (E)/P lE)/P (E)/P (EYP (E)/P 9'-01 11='HYSICAL THERAPY AREA) -COLOR SHOULD 126 CIRC. CPT 4'RF PGWB (EYP (E)/P (E)/P (E)/P (E)/P 9'-0' BE DARK ACCENT - COMMON TO BOTH AS w 121 HALL CPT 4'RF (EYP (E)/P (E)/P _ (E)/1`"-'r (E) 9'-0' APPROVED BY TENANT 128 CIRC. _ CPT 4'RF (EYP (EYP (E)/P TYP (E) 9'-0' 2. CLEAN / POLISH ALL STONE / TILE IN 12y CIRC. _ CPT 4'RF (EYP (EYP (E)/P (E)/P 9'-0' LOBBY -SEAL 130 CIRC. CPT 4'RF PCsWB (E)/P lE)/P (E)/P (E)1P (E) 9'-0' 3. TENANT REMOVED WALL COVER E. WALL H o0 131 SERVER SDT 4'R_C (EYP (E)/P PGWB (E)/P (E) 9'-0' 4. 4. ANTI-STATIC TILE PRODUCT i O BE IN57ALLED 0 Z 132 CIRC. CPT 4'RF (EYP (EYP (E)/P (E)/P (E) 9'-0' AND PAID FOR BY TENANT ,� L) ( (EY3 FINISHES _ N CARPET LOOP PILE -SUITE 101: SHAW, CONTRACT, COLOR 045520 KITE DAY, DIRECT GLUE. LAMINATES:. _' a � U� CARPET LOOP PILE -SUITE 200: 51-IAW, CONTRACT, COLOR "45P� GEOMETRY, DIRECT GLUE. 0 O G � RECEPTION ARE SHEET VINYL: ARf 15TROI` %432 PUMICE STONEI[� ONITE 057606-5 SUEDE TAUPE -BOTTOM HALF OF COUNTER w PIONIIF. 0AV141-3 SUEDE SLATE IMPRESSION -TOP HALF AND COUNTER v U STATIC DISSIPATIVE TILE: FOfM , COLOREX SD -COLOR TO BE SELECTED -24' x 24' x 0.080' PIONITE "AT951-5 SUEDE NEUTRAL SANTOS -DESKTOP COUNTERS PLO r- PIONITE "ST606-5 SUEDE TAUPE -DRAU ERS BASE: JOHNSTON E 4' FLAT RUBBER BASE "80 FAWN AT ALL CARPET AREAS. JOHNSTONE 4' COVE RUBBER BASE 005 STONE AT ALL HARD SURFACE AREAS. EXAM ROOMS: REVISION PIONITE 05T606-5 SUEDE TAUPE -BOTTOM HALF OF CABINETS 1 . PAINT: CUSTOM COLOR MIX - 2 SHADES LIGHTER THAN PIONITE 'TAUPE' LAMINATE COLOR 'IIOONITf "AV141-5 SUEDE 51-ATE IMPRESSION -COUNTER TOPS XRAY VIEW A&EA: . IPONITF" "AV141-5 6UEDE SLATE IMPRESSION -COUNTER TOP DATE: 10/30/02 TA5j_E_E GES: PERMIT/BID SET IIONIT "AT951-6 SUEDE NEUTRAL SANTOS A-5 / NOTICE: IF THE PRINT OR TYPE ON ANY ��I! � � IIIII ! I � � I � I � ! � ( ! l � lll I ! I I ! I i (T1 ► ! 1 CII � II1 III I ! I Ilr 111- 1II III III III III III 111 III ' III III III I � I til III III III III I ! i III IJIII ! I I ! IIIII III � III III III I ! IIIII .� � I � 1 2 �i 4 �� IMAGE IS NOT AS CLEAR AS THIS NOTICE -_ . �_- J 6 7 � 9 - 1O �� 1 12 ITIS DUE TO THE QUALITY OF THE - --- ------- -- -----------_No.36 ,,,.•;�. .., -- ,,, . ORIGINAL DOCUMENT 6Z 8Z LZ 9Z 5Z � Z � Z ZZ iZ OZ 61 8i Li 9T 5i ! fii Ei ZT IT Oi 6 8T L 19 9 E Z I i �di�w III, H111IIIIII(IIII! VIII II IIII IIII IIII IIIILIIIIIIIILII! IIIIIIIIIIII11111 !!!! IIIIIIII !!!! !!!! !!!� !!!! !!�! !!!! IIt !!!! !III !!!! !III►llllilill !�!! !�!� ��!� Illillil «ll 111lllllll� !Ill �� (-lll 1ll�1.1ll11 L11111IIIII ��