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GENERAL NOTES SPRINKLERS Sym. TYPE 16!50 212° 2860 � Contract With: I ..
IFIRESTOP
Upright on tit" outlet 0 B'�./�SS t
_ ._ _ -- — H11:. �11rD�tc.M aMPI�NY iW�,
CO.Pendent on 1i$"outlet Dum w:�
L.� TIGARD, OREGON
Upright on 1" stub up _� _ -------
— - - — Pendant on 1" drop ►RASS � tPC. I:h►ItolAlt rie- 11 .. .
_ -- _ Dwo Till*: F10.� S?RIMKLER A,LT Cont•ect: ��-1j�
Dry Pendant on 1~ drop Project: �,� ,��, M F['�1 C A� LTF_l� t•�1'� - ---- --
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Upright over Pendant f� S1tgt;t ev" skoss 1 1 - -, Oat*:
-' Approvals:AIS' 11 Q, �S
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955 SW Sandburg Street 8idewall d t3RgS S /� -�- --- �
1 of2 Hydraulic celculetiona conform to NEPA No. table — --- - -- - Drvp 140
No. Flowing _ GPM sq ft over remote -sq. tt -- - - __ RE VISION GATE 13Y Tic.tot t �Q.1:G i�A I 1 •� I
IF THIS NOTICE, APPEARS CLEARER THAN THF.
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CF OF TK7ARD
PERMIT SUED . . . : NUF+95 t�'t'7'2
DA'T E ISSUED:: 01/ 0
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Han Blvd.Tigard,Orp 97223.8189 (603)639-4171 F''ARCEL s 51 tZ 1 DD 00!1 t1'1
TL riJi,,i I' :.�:.>. . . tDE•95 i6V :�ti!ILE+L1f
SALEM FREEWAY SUBDIVISION 7ONING: I-P
BLOCK. . . . . . . . . LOT. . . . . . . . . .--____--__-__ _-_---_____._.__
REISSUE:M—_. FLOOR AREA13 EXTERIOR WALL. CONSTRUCTTQN--
CLASS OF' WORK. :ALT FIRST. . . . - 0 S f Ni S: E: W=
"YPE OF USE. . . -COM SF_COND. . . : � S PROTECT OPENINGS?-----
PE OF CGNST. :5N . . . : 0 s f N° S: Et W:
OCCU!"'ANCY FRP. :B2 TOTAL—_----.--: 0 S f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASE'ME'NT. : 0 S f AREA SEP. RATED t
STOR. . c P1: 0 rt GARAGE. . . : m s f OCCU SEP. RATED:
BSM,": MEZZ? REOD SE:TBACK,S-__._.___._ REQUIRED-----_-_---
FLOOR LOAD. . . . t 0 1' F LEFT: 17.1 f t RGHT: 17' ft rip R SPKL:Y SMOK DET. . :
`
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BnTl15. 0 IMP SUPFACE: !, r''RO CORP: PARKING: 0
, VALUE:. $ : 6500
Remarks : fire uz_tooressfon sv,�tem.
FEES
` !bJ MEDICAL. TEAM tycie ,arnor-tilt by dal:e recut
955 SW SAPtDBLIRG ST. PRMT $ 62. 50 B 11/1218/95 95--i 72643
F"T RE 4 40. 6:: lti 1 1/0,9/95 95--272F:43
IGARD OR 97223 5PCT $ 3. 13 P 11/08/95 95-27.�643
644 -6000
Contract or:
F I RE'STOP CO. 1
9384 SW TIGARD ST
TIGARD OR 97223
Ph t;n w #: E,.?17t-61: 21 $ 106. 26 TOTAL
Reg #. . 0E,3846
REOUIRED INSPECT70NS ------
'his eerait is issued subiect to the regslations cortained in the S pr i n k l er Final _
'igard Municipal Code. State of Ore, Specialty Codes and all other Fire Alarm I r.:,C� __
,nplicable laws. All wcrk ill be done in accordance with Mi sc. tnsRer_t i on Y_�
approved plans. This pernit will expire if worts is not started Final Inspection
within 188 days of issuance. or if wor4 is suspended for more
'han 188 days.
'e r m i t t t?e S i.t. n��t!;r e: � •Gt�-�. -�-___._...__.._...___.__�.... �.__ G
T S s i.ted By
C�-AIt for insnectivn - 639--4175
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Page NU 1 CJ1iE HISTORY POR CASE NO.: PUP95-0 72
NN MEDICAL THAM
7A
06955 SN SAN17ifUR0 ST -
05/00/99
Action Desariptlon Req/ .schd/ fid/ Action Notes Disp by Update UPd
Code sent Dona Done Date by
1
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PRNiI JD 11/15/95 B
PUPC007 AppliCAtian receives
PRND a 11/is/95 a
avPcooe Per>'..t created Il/A5/95/ / / /
11/15/95 PEND E 11/15/95
avvcols Plans routed to Plan• Examiner B
i
I,PPP THF 12/19/95 J1iP
NUPCO2< Plans Approved/Rout+d to DSTs / / / / 12/19/95
1 9UPC090 (P) Ready to issue / / / / 12/22/95 PASS 9 12/22/95 a
sUPC100 (F) Issue permit / / / / 01/10/96 PAID JM 01/10/9, J•11
aUPC7e4 Sprinkler Final 12/19/95 / / 01/11/96 PASS TLP 0111!./96 TLP
MTPC960 came Piaaled / 1 / / 12/0"/95 PASS TLP 02/20/97 TLP
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CITY OF TIGARD DATE PFRMI ISSUED: . 01/05/96Ipw
PLUMBING PERMIT
6-0002
COMMUNITY DEWELOPMENT C EPARTMENT PARCEL: 2S 101 DD.-004O 1
S I
10 31 PL""pOyojIrd.,PR *,.172�!e�4,�V�S"I�i9�tt#��T
SUBDIVISION. . . . : SALEM FREEWAY SUBDIVISION C� ZONINCa I—F:'
BLOCK—________: LOT
. . . . . . . . . . . . .
__..___.__
CLASS OF WORD,. . ;ALT GARBAGE DISPOSALS. : MOBILE HOME SPACEW : 0
TYPE OF USE. . . . .-COM WASHING_, MACH. . . . . . : N BACKFLOW PREVNTRS. . - i ft
OCCUPANCY GRP. . :82 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . .• . . . . : 0 WATEk HEATERS. . . . . .. 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . : tp SF RAIN DRAINS. . . . . 0
SINKS. . . . . . . . . . : 0 URIN14LS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 �.
LAVATOR IES. . . . . : 0 OT14ER FIXTURES. . . .
0
T'UB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . a 0
WATER CLOSETS— : 0 WATER LINE ( ft ) . . . a 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . a 0
Remarks : Install bAckfloa pr-evention device.
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Owner. —---------------------------------------------------- FEES —_---______--_
GARRON GROUNDS MANGEMENT type ammmt by date reept
9720 SW HILLMAN CT PRMT $ c'S. 00 CJS 01/05/96 96-274653
SUITE 1315 5PC;T $ 1. 25 CJS 01./05/96 96-•274653
WILSONVILLE OR 97070
Phone #: 503-682—'7172
Contractor: •---------------------------------.
GARRON GROUNDS MAN'AGEMFNT INC
97:1`0 5W HILLMAN CT #815
WTLSONVIL..LE OR 97070
Phone #: 613r-7172 $ 2'6. 25 TOTAL
Req #. . . 5562
REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Misc. I n s o e c t i o n
Tigard Muricipal Code. Stete of Ore, Specialty Codes aid all other RF'/Rackfl nw Pr-ev
applicable laws. All work will be done in accordance with Final. Inst3ect i on
aporoved plans. This pereit will expire if work is not started
within 180 days of issuance, or if work is suspended far tore
than 198 days.
s __..__._...__.-__-_....__.._.._._
Permittee Sianztktre: /ylQilcof
I s s i.t P d B y;
Cel 1 for inspection — 639-•4175
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City cf Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 96 - a �yGs3
13125 SW Hall Blvd. ��^ ,�n -}--- II//�� / ��?? Permit # /'�.`/196-OCcid
Tigard, OR 97223 �rtL�,tn VOID i0 �C� ! V,I_-F
(503) 639-4171 t .�y, v
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE s
New Single FamiiResidences Oniv _
O 1 BATH HOUSE$140 00 ❑ 2 BATH HOUSE$195.00 A
Job n 3 BATH HOUSE.$225.00
Address nw... ti Fee includes all plumbing fixtures in the dwelling and the first 100 fleet
cif?,D� of water service, sanitary sewer and storm sewer. See fees below.
`v FIXTURES QTY PRICE �AW �►
t"1 f–i/Il f'. /i Sink 9.00
°i' Lavatort 9,00
Owner Tub or rub/Shower Comb g.00
Shower Only 9.00
�_ Water Closet 9.00
PA—t('"""alb") Dishwasher 9.00
Occupant 4M C , > C-_ Garbage Disposal 9.00
p ".04 AA*" P1""' Washing Machine 9,00
Floor Drain 900
Water Heater
_ 9.00
_ Laundry Room Tray 9.p0
Urinal
��i 9.00
Ct`rFr<.U� 14_ DULY,416QT/ Other Fixtures (Specify) 9,00
Alr.p I`AAw� pi,r,�
Contractor 9.00
9.00
UwItaft m
_ 9.00
', )Aj l�l �� Sewer 1st .00' 30.00
°tl''&A,T.. ° Sewer -ea. Addit 100' 25.00
_ Water Service 1st 100' 30.00 1
I hereby acknowledge that I have read this application, that the Water Service ea. AddR 200' 25,00
in!mmatbn given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Stone &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm 8 Rain Drain Addit. 100' 2g 00
number given is correct. (If exempt from State registration, please
give ressor, below.) Mobile Horne Space 25.00
Back Flow Prevention
/ -(-- uevfre or n i o lution Device 9,00 S v
°«' Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new C 1 addition 0 alteration 0 repair Q Catch Basin goo
to be dine residential Q non-residential Q
In, ). of Exist. Plumbing 40 001hr
Specially Requested Inspections 40.001hr
Feinting use of _
building or property _ Rain Drain, single family dwelling 30.00
Residentiel backflow prevention
Proposed use of devices 15.00--- ,.,
building or property
_-- '(Except residential backflow
prevention devices)
NOTICE •M1nimum Fee $25.On SUBTOTAL ��
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6%SURCHARGE /��
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED _ '
FOR A PERIOD OF 180 DAYS AT ANY TWE AFTER WORK IS
J� COMMENCED. PLAN REVIEW 25% CF SUBTOTAL
Special Conditions TOTAL
�_ --- Date issued i 9G by CS
F ♦
7
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Page NO. 1 CASH HISTORY Pl`R CASE NO. : P1M96-000'
GARRON GROUNDS MANGEMRNT
1 0c Ws 9W SANDBVRG 9T ,
OS/15/9•
Action Description Req/ schd/ 1111d/ Actimi Notes Diep By updato ()pd
Code lent Dons Dane Date By '
PLMC003 Application received / / / / O1/OS/96 R➢CD CJs 01/05/96 TMP
PIIACOOS Permit Created / / / / / / 01/05/96 TMP
PLMC06n (F) Lents Permit / / / / 01/05/96 PA ;I CJs 01/05/96 TMP
PLMC06S (P) Reprint Permit / / / / 01/05/x6 01/OS/96 T34P
PTJWOOO Vcid Permit / / / / 10/23/97 No wort completed - did not complete VOID RDP 10/23/97 PDP
work requiring this device
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O TIGARD
DEVELOPMENT SERVICES
13725 SW Hall Blvd,, 17gard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . t SUP95-••0373
DATE ISSUVI)v 12/22/95
PARCEL_. r 2S 101 DD-00401
SITE ADDRESS. . . a 069n5 SW SANDBUNG S' i
SUBDIVISION. . . . tSALE M FREEWAY SUBDIVISION I.ONINGa l —P
BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . ea01 JURISDICTIONt TIO
CLASS OF WORK. tAL.T
TYPE OF USE. . . tCOM
TYPE OF CON5TRa3-1HR
OCC:UPONCY GRP. a&L
OCCUPANCY LOADe t9/4-
TENANT NAME. . . t NW Mf D I CAL_ rVAM
E1emarks, t 23, 400 sq. ft. off ir-ei;varehouse.
Owner a --
NW MEDICAL TEAM
69'55 SW SANDOURG ST.
TIGARD OR 97.:3
Phone #t
Contr•octort
AL_DRICH COMPANY INC
6360 SW MINTER BRIDGE RD
HILL SBORO OR 97123
Phone #:
Reg #. . : 000043
This Cot-tificate grants occupancy of the above referenr_ed building or- portion
ther 1of and confirms that the building fiat been inspected for compliance with
the 9-u*te of Orgon Specialty Codes fn;- the group, 4cupancy, and use under
which t�Fte�referenc_p mit was issl_ted.
BUILDING OFFICIAL-
POST
FFICIALPOST IN CONSPICUOUS PLAL'E
.. � x .•�4+nW ,,�+",t)Ir ♦—rew,� ., .... ,_.„n wr May p.feNr"r T�'�1 '^M ,y.nw� � w w,-
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.CITY OF TIGARD R5TRELECTRICAL PERMIT -
1CTCD ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95-0.:x.39
13126 SW Flail Blvd.Tigard,Or*gon 07223.9100 (603)9311.4171 DATE ISSUED:
t=,AHCEL: .S 101 DD-00401
iITE ADDRFS*. . . 06955 SW 5ANDBURG ST
�;UBD 1 V I S I ON. . . . : SAL_FM F"RE EWAY SUBD I V 16 I ON ZON 1 NG: I--P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1
Project Description: Installation of a bur`ylar alarm and protective signalinrl.
A. RESIDENTIAL.----------- B. COMMERCIAL..-_.-..______________._--..-------------.-_--_
AUD T O A STEREO. . . : AUDIO 9. STEREO. . : INTERCOM A J-,AGING). Ilia
BURGLAR At-ARM. . . . : BOILER. . . . . . . . . . : L.ANDSCAPF/IRRIGAT. . e
GARAGE OPENER. . . . : CL.00K. . . . . . . . . . . I MEDICAL.. . . . . . . . . . . . a
HVAC. . . . . . . . . . . . . I DATA/TELE COMM. . : NURSE CALLS. . . . . . . . s
VACUUM SYSTEM_ -- FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X
INS'TRUMrNTATTON. : OTHER. . :ALARM : : X
TOTAL-. # OF SYSTEMS s 2
v .ES
OMERICAN 'SECUR".'ry type amoi_tntwstry date rer_pt
SE MCL.OUGHLIN PRMT .i g0.QW CJS 12/19/95 95--274100
5PCT $ _A-� CJS 12/19/95 95--•274100
PORTLAND OR 97202 rco
1-,hone #:
Lontraictor:
CONTRACTOR NOT ON F='ILE 84. 00 TOTAL.
----- -- REOUIPED INSPECTIONS ----- -- �,
Chi T ino Cover` F1 er^t' 1 G4rvic_e
I-1hone #: Wall Cover Elect' 1 Final
Req #. . . jr
This permit is issued subiect to the regulations contained in the
Tigard Municipal Code, 'State of Ore. Specialty Codes and all other Permitee Signatt.trn
applicable laws. All work will be done in accordance with
approved plans. This permit wil; Mire if Mork is not started / r
within 11tH days of issuance, or, if mirk is suspended for more 11,1G141!1
than IN days. I ss-_te(I By
-OWNER INSTALLATION
The installation is being (made on property I own which is not intended for
sale. lease, or rent.
L.IWNER' S S I ONA-i URF_: DATE s
CON TRACTOR INSTAL_I_ATION ONLY-
S I GNATURE OF SUttR. ELEC' N: 11?10 ��� -----_.._...._._..__ . TRATE
1..ICFNSE NO:
Call for inspection - 67,r)--4175
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Community Development RES fRICTED EN ERGY ELECTRICAL APPLOCATION
13125 SW Hall Blvd. e-!n�c--
Tigard,OR 97223 PERMIT 1#���_ _ —
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED 7-95�
TDD No. (503)684-2772
CITY OF TIGARD Inspection(503)639-4175 ISSUED 9Y
PLEASE COMPLETE ALL SECTIONS
1. LOCA'!'f)N OF INSTALLATION 4. TYPE OF WORK
w 6955 GW SanrihArar R.naqd _
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 340„00
Turd OR 97223_ (FOR ALL SYSTEMS)
City State Z'p Check type of Work Invplyed:
PERMITS ARE NON-TRANSFERABLE AND NUN-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
❑ I leafing,Ventilation and Air Conditioning System'
Contractor AiT1@PiCAIl 3eeuritj�'pe ❑ Vacuum Systems'
Alarms ❑ Other
Address 5411 SE_McLoughlin Blvd
Date_11-21-96 COMMERCIAL—Fee for each system . . . . . . . $9AW
(SEE OAR 918-260-260)
Property Owner _ _ _ __ — y Check Type of kYark
Ce.,rractor's Board Reg.No. 26-283CLE ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone *t 231-0303— _ ❑ Clock Systems
3. OWNER4PLICATION ❑ Data Telecommunication Installations
❑ Fir_Alarm Installation
_ ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address — ❑ Intercui-and Paging Systems
❑ Landscape Irrig.etion Control'
City State Zip ❑ Medical
This permit Is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse C:-.:;s
restricted energy installations(100 voh amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
follr»ving:
1. Only use electrical licensed persons to do installations where required.(CertainProtective Signaling
residential and other transactions are exempt from licensing.These have Other
asterisks(').All others need licensing).
2. Cell for an inspection when all of the installations under this permit are ready
(nr inspection at 503.639-4175. ❑ �-_Number Of Systems
3. Purchase separate permits for all installations that are not reae..y for inspection
when the inspect,,•is out to inspect under this permit. •No licenses are required. I.Ieenses are requited for all outer im-illations.
4. Assume responsil-Ality,for assuring that all corrections required by the inspe--)r
are done,and ---- --
5. Assume tesponsibility for calling for a final inspection when all of the S. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $`
author6ed to bind th pelican
b. 5%Surcharge(.05 x total above) $
ature
TOTAL y— 0
Authority 7 other than applicant
i
ENERGAP.CHP
1
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page No. 1 CASH HISTORY POR CASE NO.: HLR95-02"
AMERICAN SECURITY
06955 S'1 SANDBURfi S'I
os/os/9e
R schd/ mild/ Action Notes Disp By Update Upd
Action Descripti— eq/
Uwt• By
Code Sent Done Dons
YLRC001 Application Received / / / / 12/19/96
RRCU CJS 11/19/95 TMP
% / / 12/19/95
PEND CJS 12/19/95 TMP
HLRCooI Permit Created
P.f�98 CJS 12/19/95 TMP
RLRC.500 (F) Issue permit / / / / 12/19/95
12/1.9/95 TMP
ELVC700 Cailiag Cover
12/19/95 / / / /
11/19/95 TMP
RLRC720 Mall Cover
11/19/95 / J / /
13/19/95 TMP
9I.RC710 81oct'1 Service 12/19/95 / / / /
12/14/95 TMP
ELRC799 81ect'l Final
12/19/95 / / / /
1t.Rce0o case finaled / / / /
01/06/97 see elctrical pLC WR 01/06/47 MJR
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Now
...,44.
PLUMBING PERMIT
MITI' OF TIGARD DPERMT ATE I ISSUED: ' 12/13 /955_OJ6J
�� �,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)039.4171 F'ARCFI._A 2c 101 DD--00401
SITE ADDRE55. . . : 069`J5 SW GONDDURG aT
SUBDIVISION. . . . : SALEM FREEWAY SUBDIVISION ZONING: I-P
SLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
_-.----------------------------------------_---._--_----------•--------- --------------
CLASS
--- ------------
CI._ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 _
TYPE OF USE. . . . :COM WASHING; MACH. . . . . . s 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :Sr., FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . s 0
STORIES. .. . . . . . . s 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . s 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 F• RAIN DRAINS. . . . . 1 0
SINKS. . . . . . . . . . s 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIXTURE S. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSE t5. . : 0 WATER LINE ( Ft) . . . : 0
UASHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Install bacl(flow device.
Owner: --------- -- -------.. __._.__-_.-___-__-_____._____ ___.-- FEES --------------
GARRON GROUNDS MGMT INC type amol_lnt by date rerpt
' 9720 SW HILLMAN CT PRMT $ 25. 00 CJS 12/13/95 95-273889
5PCT $ 1. 25 CJS 12/13/95 95--,_'73889
WILSONVILLE OR 97070
Phcne #: `.`03-682-7172
Contractor:
GARRON GROUADS MANAGEMENT INC
jgjp l 9720 SW HILLMAN CT #815
WILSONVILLEE. OR 97070
Phone #: 68;?-7171:: $ 26, 25 TrTAI-
Req #. . : 5562
------- REQUIRED INSPECTIONS
------
V' This permit is issued subject to the regulations contained in the Mi sr,. Inspection
a Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Prev
applicable laws. All work will be done in accordance with Final Inspect ion
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 18N days,
Pe r m i t t e e i it p a t
l'AarICS- .x(in,4 -
------
Cal1 for inspection 639-4175
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NONNI!--
-City of Tigard PLUMBING PERMIT Planck/Rec. # yrs- '? ?38s9
13125
s- '? 739sq13125 SW Hall Blvd. APPLICATION Permit # &F�cr
Tigard, OR 97223
(503) 639-4171
Description
ORSb10-21.611) T
Job FIXTURES
Address Sink
Lavatory
1-ub or 1-ub/Shower TFW
�j Uj MIFIA(,AU -1 EW I Shower Only
Water oset 7.50
Owner `� Dishwasher
mp --G-a�ge Disposal 750
Washing Marlime 7.50
..............
Floor D-ain
water neater
Or'�Ijpant rLaundry Ruom I-ray
ZP Other Fixtures(Specify) 7.50
&AWN 6UNCK-7 WtPT IN&, T- 7M
MISCE11ANEOUS
Contractor
—Sewer 1st 100. E30.00
FAV"M�PW civ 0-T.W— SOWW PA
- L Addit. 100' — 1
Water Servica Is
I I-rebY a-1(n edge that I have raFm3 this applicoUont e— Water Service ea.AdSIL 200, 15.00
informatkn given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in comriinoe with State laws.that I Storm&Rain Drain 1st 100' 30.00
am c-agi-tiar9d with the Conatructloa Cmbwoes Board,that the number Storm A Rain Drain Addit. 100' 15.00
gK%on is correct (If exempt fiDm State registration,please give reason
below.) Mobile Home Space 25.00
Back Flow Prevenwn
Wae Device or And-Pollution Device 7,50
Any Trap or Wast-e-Ro—t
Describe work Connected to a Fixture 7,50
to be done r:QW addWort() alt,)ratk n Q repair Catch 9iii—in --m—----
8 0 non-resldenlW(j 6.00
Insp.of EAaA.Pitimbing par hr
4(.�
Existing use of Specialty RequiWed Inspections P1
building or property Rain Drain.ting ramily
dwAng 15.00
Residential bacidlow prevention
Proposed use of devices 15.00
building or property Le' ll) DFV(CF—
P '(Esr
xcept res0ential backNow
prevention devices)
NOTICE *Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCUD WIIIHIN 180 MS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIMI Af-TEP WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED.
SPOcial Conditions iTOTAL
Date Issued by
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CASH HTSTORY POR CA.9B NO.7 PLM95-0365 '
GARRON GkOUNDS MWTI INC II'
06955 SN SANDBURG ST i
n 9�J f t i'r❑ � '�
1 iI
i��y i•� '��^��ipl i•ni Req/ Schd% hlxd/ .iction Noter Disp By Update Upd ',ll
r..xtn sant Dona Dana Date By
t � I
a
FLMC003 Application received / / / / 12/13/95 RSCA CJS 12/13/9s TMP ,
PLMC00S Peivit Created / / / / 12/13/9s PAWD CJS 12/13/95 TMP I ,
PL4C060 (P) Issue perait / % / / 12/13/95 PASS CJS 12/13/95 TMP III'
PLMC065 (F) Reprint Permit / / / / 12/13/95 12/13/95 TMPf,
PLMC'T50 RP/Backflow Prevenl:er 12/13/95 V/09/96 / / PASS TLP 01/10/96 'CLF
PL,I Final Inspection 01/09/96 / / / / PASS TLP 01/10/96 'ILP `
PLMC800 Casa Finalod / / / / 01/10/96 PASS TLP 01/10/96 TIN
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II
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IT
CITY OF TIGARD PE_RMj TUMBIN##. . . .. . . .PERPLM95 ='r '
COMI AtINITY DEVELOPMENT DEPARTMENT DATE. ISSUED: 1 !04/95
13125 SW fall Blvd.Tigard,Oregon 97'1398199 (503)039-4 ill
j'
PARCEL: 2S 101 DD--0N4rb 1
ITE 06955 SW :)ANDBURG ST �•
4DIV!SION. . . . : SALEM FREEWAY SUBDIVISION ZONING:
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .. i
CLASS OF—WORK. . :ALT— —GARBAGE DISPOSALS. : 1 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :COM WASHING MACH. . . . . . : t BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WPTER HEATERS. . . . . : 1 CPTCH BASINS. . . . . . . : 0 �Or
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAIN',. . . . . : 0
SINKS. . . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
I._.AVATORIES. . . . . iJTHE"R FIXTURES. . . . : 0
FUB/SHOWERS. . . . : 2 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : WATER L.INF (ft ) . . . : 0
r. DiSHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . : 0
I RPmar-ks : —,,. 400 sq. ft. office/warehoi.ase.
FEES -------~ -- --
(4W MEDICAL TEAM t ;r p amoi.rnt by date r^er_pt
6"55 SW SANDBURG ST. PRMT $ 1013. 00 B 12/04/93 91f)-27347:,
PLC:K f ='7. 00 H 12/04/95 95-273473
TIGARD OR 9722,3 5PCT $ 5. 40 B 12/04/95 95-273473
Phone #: 644-6000
p
( Uiltr`c1CtOr': ------------------------_._._.----_
CONTRACTOR NOT ON FILE
1
------------------
Phone #: $ 140. 40 TOTAL
Req #. . .
--- -- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Water, Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other PL.M/Underf l oor
applicable laws. All work will be done in accordance with Top—or_rt Insp
approved plans. This permit will e!,pire if work is not started Misc,. Inspection � _•�__
within 188 days ;ssuance, or if work is suspended for, more Final Inspection
than .1810 days.
F'ermittee Siq �atrir
Issi-ted By:
Call for inspection — 639--4175
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'`,ity of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Pemit # PL
Tigard, OR 97223 5„AR 15--o
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE-
Now New Single FamISR tdenq. Onh�
0 1 BAT`', HOUSE$140.00 0 2 BATH HOUSE',195.00
Job ` �) I h' /i, 0 3 BATH HOUSE S225.00
0 Addittiiia Fee includes ah pluabing ft-tures in the dwelling and 'he flip, 100 feet
C ) I of water service, sanitary sewer and storm sewer See j ws below.
t•". of a.- FU!TURE3 _-- CITY PRICE AWr
1 Sink r T 9.00 C
"`"' Lavatory 9.00
Owner 1 ir . J Tub or TutvShower Comb. 9.00
Shower Only 2 9.00
It/ 1, or Clow �: �r 9.00
1!1"1WI V
"ii° 1 �I Dishwaaher I 9.00
Occupant ( m r�ifi�L.Y Garbage Disposal -_ I 9.00 q
Va"AYte4 Ph- Washing Machine 9.00
i
_ Floor Drain 9.00
a' Wwar Heater 9,00
Laundry Rom Tray 9.00
Urinal 9.00
A-f
` C Other Fixtures (Specify) 9.00
Me**A't'e
Contractor !i
9.00
-9.06-
Sewer
.061Sewer tat 100' 30.00
Sewer-ea. Addit. 100' 25.00
Vater Service 1st 100' 3006----
1 hereby acknowledge that I have read this application, that the Water Cervice an. Addle. 200' 25.00
information given is correct, that I am the owner or authorized agent of ---
tho owner, that plans submitted are in co,Tmpliance with State laws, that Stone 3 Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractors Board, that foe Storm 6 Rain Dra+n Addlt 100' 25.00
number given is correct (If exempt from State registration, please
give reas3n below.) Mobile Home Sparge 25.00
Back Flow Prevention
Device or Ant1-Poll60on Device 9.00
-owe -� °i" Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new (7 addition Q arteratlon repair Q Catch Basin -�� 9.00
to be done Y residential 0 non-residential Insp. of Exist Flurtmbiny � 40.001hr
Specialty Requested Inspections 40.001hr
building or prt,
Existing use uperty( )'� m,i P Rain Drain, single family dwelling 30.00 i
� _
Resiuentiai backflow prevention
devices 15.00 I-
Propo.ed use of I/
buikiing or property)
td •(Except residential baclMew Iy
preventlon devices) �O .
NOTICE 'Minimum Fee $25.00 SUBTOTAL I0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NGT COMMENCED WITHIN 180 DAYS. OR IF 5%SURCHARGE 5
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
•- Date issued _ by
MA V1
.�:;�r}�. -!.'ry, N , .,. .;,w.: ,. A�� ,qr eia«,�"�„ ie"1.r. ;Vit' � .} �'.�"•`�1.
ra
Fage No. 1 CASE IIISTOPY FOR CI.9R No.: PIM95-0241
NM MM I CkL 'PRAM
06955 SM SANDBURo ST
05/06/98
fid
Action Description Req/ Schd/ End/ Actico Notes Diep By Update Upd
Code Sent Dome Dona Date By
"----- ------------------------------
----------------------"----- --------
--."-- ---- ------ --------------------------------------- --- ---
1
PI1AC'007 Application received / / / / 08/21/?5 Bent to Mike 8. 9/7/95 PASS JDA 09/07/95
PIMC010 Plan chock by / / / / 11/14/95 PASS NA 1.1/14/95 MRD
PLAco50 (P) Randy to issue / / / / 11/17/95 Need current CCB/Plumber's license PASS JSD 11/17/95 JD
information for contractor.
P1,11Co60 (F) Issue permit / / / / 12/04/95 PASS B 12/04/sI+ TMP
PCW720 PLA/Underfloor 11/14/95 / / 12/05/95 partially tested FAIL MR 12/05/95 MRS
need to test plumbing upstairs
��..� PIW-120 PIM/Underfloor 12/05/95 / / 12/05/95 PASS MS 06/18/96 JF
PtMC725 Top-out Insp 11/14/95 / / 12/05/95 PASS MS 12/06/95 MRS
PIMC799 Final Inspection / / / / 07/17/96 rater heater needs strapping FA 11, MS 12/16/97 TLP
primer for floor drains?
PLW799 Pinal Inspection / / / / 01/05/98 corrections completed PASS TLP 01/05/98 TIP
' PtMC800 Case Finaled / / / / 01/05/97 PAPS TLP 01/06/98 J•H
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BUILDING VIERDIIT
, CITY OF T1GARD DATETISSUED: • 11/30/955
_0
COMMUNITY DEVELOPMENT DEPARTMENT 814 lofs'- Ms
13126 BW Hall Blvd.Tigard,Oregon 97223x6199 (503)639-4171 PARCEL: 05101 DD--00401 D,3 3
SITE ADDRESS. . . : 06955 '3W !_;f NDL4LA-'G '.-T
SUBDIVISION. , . . : SALEM FREEWAY SUBDIVISION ZONING: I—P
BLOCV. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
REISSUE: FLOOR AREAS------ --- EXTERIOR WALL CONSTRUCTION'--
CLASS OF WORK. :ALT FIRST. . . . : 15495 sf N: S. E: W1
TYPE OF USE. . . :COM SECOND. . . : 7905 sf PROTECI OPENINGS-1-------
TYPE OF CONST. :3-1 HR. . . . . 0 s f N: S- F: W:
OCCUPANCY GRP. :B2 TOTAL- -- ----.- ;''3400 sf ROOF CONST: r 1 RE RET? ;
OCCUPANCY LOAD: 194 BASEME=NT. : 0 sf AREA SEP. RATEDs
GTOR. : 0 HT: 0 ft GARAGE. . . : 0 sf 7CCU SEP. RATED:
BSMT?: MEZZ?: REDD SETBACKS-
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: 0 FRNI : 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO C:ORR:Y PARKING: 0
VALUE, f: r ?0000
Remar^ks : 23, tOO so. ft. offir_ /warehouse.
Owner-: -------------__-----_-----------.__._.___.____.__._______..-- FEES
NW MEDICAL TEAM type amount by date recpt
6955 SW SANDBURG ST. PLCK f 476. 45 JDA 08/21/95 95--265559
FIRE L 293. ;-0 JDA 08/21/95 95-269559
TIGARD OR 9722-'3 PRMT f 733. 00 JSD 11/30/95 95-273408
Phone #: 64 f 000 `jP(T f : 6. (,5 .TSD i l/.30/95 95--0173409
t,.
1
Contractor:
AL-DRICH COMPANY, INC. THE
6360 SW MINTER BRIDGE RD
HILLSbORO OR 97123
Phone #: f 1539. 30 TOTAL
Req #. . : 094357
i- — — ---- REDU I RED INSPECTIONS --------
This weit is issued sub iect tr. the regulations contained in the Framing Insp
Tigard Manicipal Code, State of Dre. Specialty Codes and all other Insulation Insp
applicable .aws. All work will be door- in accordance with Firewall Insp
approved ,tans. This pewit will expire if work is not started Gvp hoard Insp
within 198 days of issuance, or if wort is suspended for tore Susp reiIrig Insp
than 198 days. Bolts in cancret
Structural welds
Misc. Inspection
/ Misr. Inspection
I -ermittee Signature: ` Final Inspection
Issued B y i L--,-
Catll for inspection - 639-4175
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Commercial Building permit Application
•Oity of Tigard
13125 SW Hall Blvd. 7
Tigard, OR 97223
s (503) 639-4171
IN .jbalte AddrM: Ar,
1 f(Id sutw# f4A Qm,.e u:,e Only
Tenant: _
i�lanck/Rec # �j g 3 C,
Valuation: P O 00 (� —'
Permit#_ - I ()1 �� +oo
Owner• Il I L� d l
' �" P +,-o-AT X
�'[A 1, - 1r�'1 --- Map & TL#_v
� C �
Address: lL `�.? ) ��1 ( '?lLl��1 _ Approvals Required
I
r Planning
Phone: �+ U I�.l�i Engineering
;j Other �^
Contractor:
Address: to-i5te0 2-0 KA-.vJJA' &OA
Type .,f const:
Occupancy class.
Phone: —_— �? tJL'0
Sprinklered7 YesNo
Contractor's Ucense
(attach copy of current Oregon license) Sa. ft. of project:
raw m�d,��I
ST
= 5 0
Contact name & phone: Q�U �y `6p0� Story (1st, 2nd, etc.) 12 w O�79as 1 /rr?
{ Proposed use: FY�C IC� RE NQUS�
Architect/Engineer:
Previous use: 01"Plc r INA IPE=House
Address: � s�1u 111Jt IV tc
(n1 1 Note: Plumbing & mechanical pfilns
must be submitted at time
Phone: 9,: �
_/ building permit application.
� 2.�iZ` �
(%o—vt,b6 Avwashhy '
JOB DESCR ;:'TION: 1,105
Ap t i ture & Phone number
Received by: C .(.�
_ Date Received:
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Permit# Account Description Amount Amt. Pd. Sal. flue
6v( 11-3-03-0 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Meth Permit (MECN) -- -
State Tax (TAX)
Bldg: —
Plumb:
Mech:
Plan Check (PLANCK) '
Bldg:
Plumb:
l
Mech:
I
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) --
1
Resider0al TIF (TIF-R)
Mass Transit TIF (TIF-MT)
! Commercial TiF (TIF-C)
y Industrial TIF (TIF-1) — --
s
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL) —
Water Quantity (WQUANT) —.—
Fire L.If.� Safety (FLS) 2 x
Erosion Cnttl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _ ----
Erosion
—_Erosion Planck/COT (EROSN)
TOTALS: /` 7bg 7c/—,,�,,�
1W Am-
5
CITY OF TIGARD
November 22, 1995 •
OREGON
l
Agra Earth s •
74 i?SW Tech Center Drive i
Portland,OR 97223-8025
r
PERMIT ERMIT NO: {
OWNER: NW Medical Team !
PROJECT ADDRESS: 6955 SW Sandburg Street
PROJECT DESCRIPTION: "A"Tenant Improvements
TYPES OF SPECIAL INSPECTION: Structural special inspections
Dear Doug:
The owner has notified us that he/she will retain your services to perform Special Inspections in accordance
with the provisions of the State Building Code,permit documents,and special inspection requirements.
The owner or the owner's agent must also cor''srm with you that they have authorized you to do the :special
inspection work.
As the regulatory agency,the City requires that you do the following: �
1. Submit copies of all in:,pection reports promptly to the Building Division, architect, engineer, f
and the contractor.
2. Maintair one copy of each field report at the iob site.
i 1
3. Submit a final report at the completion of each category of work that you inspect. (See
U.B.C.7015 for soils special inspection final report requirements).
If you fail to comply with the above requirements,there may be cause for the City to revoke your authority as
special inspector for this job.
Should you have any questions, please call the Building Division at(503)639-4171.
Sincerely,
fy �
Jim Funk
Building Division
Enclosure
f NwwewMer of
i
13125 W Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
�"., i s ysrx r ''F'"" 'l«.1'!1..»�* ,:,qt.,,�„w.-,h, ,�t� , *,».e,..�. nre.,aM 'r. 'Nr> o.+� . .wR'�V•�^+�y �•
Page No. 1 CASE HISTORy K)R CASE NG.t 5UP95-0373
NW MRI)ICAi, TRAM
06955 SW SANDHURG 3T .�
05/06/96
Action Description Req/ Schd/ hnd/ A(.tion Notes Dist' my update Dpd
code Bent Done Lone Date !y .
------------------------------ -------- -------- -------- -- -----'------ ---- -------- _..__ __- -------- _.-
RUPCO07 Applicatio. :ecelved / / / / 06/21/95 lent to Jia F. 9/7/96 PASS JDA 09/07/95 B
APPR JHF 11/22/95 JHF
BUPCO20 Plan cher" by 09/05/95 / / 11/22/95
BUPC090 (F) Read. to issue / / / / 11/29/95 Need contractor info PEND B :1/29/95 B
HUPC100 (P) Issue permit. / / / / 11/30/95 PASS J.4D 11/30/95 JD
SUPC740 Framing Insp / / / / 12/01/05 PASS TLP 12/01/95 TLP
BU^C760 Gyp Board Insp / / / / 12/13/95 ROCK ABOVE DOOR TO STORAGE UNDER STAIRS; PMD GS 1.2/13/9S "a
USE WP BD 4' AT WCe; R.E^ESSED LITE
++ FIXTURES IN 1 HE Lin AREAS NERD TO BE
BOXED; FULL MTL BOXES RRp IN 1 HR WALLA;
I HR RATING NOT A01RAVED BRHI. SLRC
j PANE[9
B11PC760 Gyp Board Insp 12/26/95 / / 12/22/95 PASS TLP 12/26/95 TIM
SUPC760 Gyp Board Inep 01/04/95 / / / / PASS TLP 01/05/96 TLP
BUPC798 Misc. Inspection 11/17/95 / / 11/17/95 by c. PASS MJR 12/16/97 TLP
VanSibber
BUPC790 Mirc. Inspection 12/05/95 / / 12/05/95 SWCA MJR 12/05/95 MJR
PUPC799 Final Inspection / / / / 12/12/95 1/6/98 to Jill for C/O approval PASS TLP 01/06/96 JT
DUPC950 (F) Ienue Cert. of Occupancy / / / / 12/22/95 PLANS SENT TO MICROFILMING 3/20/98 03/20/96 S•W
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SLOWLOR eem me tew
PERMIT vo
CITY OF "I'V ARD PERMIT #. . . . . . . : 5WR95 -0375
DATE 11!2,l/9S
COMMUNITY DEVELOPMENT DEPARTMENT
13125 5W Hall Blvd.Tigard,Oregon 97223.0199 (503)039.4171 PARCEL: 251 Ll I DD-00401
`
SITE ADDRESS. . . : 069'15!-,'J SW SANUE.+URG J i
SUBDIVISION. . . . : SALEM FREEWAY SUBDIVISION ZONING: I—P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1
TENANT NAME. . . . . :NW MEDICAL TEAM �
USA NO. . . . . . . . . . s FIXTURE: UNITS. . . : 67
CCA'9 OF WORK. . . :ALT DWELLING UNITS. . : 4
TYPES OF USE. . . . . :COM NO. OF BUILDINGS: 0
i NJ TALL TYPE. . . . :BUGWR I MPERV T;JRF ACE: 0 s.f
Remarks 1 23, 400 sq. ft. offi.,e/waretior_rse. ti
(.1WflB1.� _._._.._..—_•___...__._...�_...._..__.._.,_.�_._.....___._.___._....._..___... FE=ES —..._._...._—.._....__......_._
NW MEDICAL TEAM type amoo.lnt by date ►"ecpt
6955 SW SANDSURG ST. PRMT $ 9800. 00 B 11/21/95 95-273106
i IGORD OR 97i?23
F-'lione #: 6414 -601710
Contractor:
CONTRACTOR NOT ON FILL=
Phone #:
------------------------------------------
t 8800. 00 TOTAL {
Req #. . .
---- --- REQUIRED INSPECTIONS —_--- -- �
This Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit. expires IN days from
the date is-id. The total amount paid will he forfeited if the
permit c oires. The Agency does not guarantee the accuracy of the
side %Fwei laterals. If the sewer is not located at the measurement
given, thi installer shall prospect 3 feet in all directions from
the dists,ice given. If not so Ecated, the installer shall purchase
a "Tap ant Side Sewer" permit and the Aqency will in lateral, I —� __. _ ____•—� _
Rermittee Si atu e : Its
I s s r_r e d 11 v s 1 L�
i
Call for inspection 639--4175
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Commercial BuildjA Permit application
City of Tigard
13125 SW Hall Dlied,
Tigard, OR 97223
(503) 639-4171
Jobsite /address. � � ""J , � •
Tenant: N U`-) Office Use Only
�— Planck/Rec #
Valuation:
._. — Permit #
Owner: _ _ Map & TL # -- __—
Address: �—_ Approvals Reaui:ed
Planning
Phone — — — Engineering --_
Other
Contractor:
A ddress:
Type of const: _
Occupancy class:
Phone: _
— Sprinklered? Yes No
Contractor's License
(attach copy of current Oregon license) Sq. ft. of project. _
Contact name & phone _ _ Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer:
Previous use.
Address _--_T _ e
Note: Plumbing & mechanical plans
---.- .---- �_ — must be submitted at time of
Phone: building permit application.
JOB DESCRIPTION J ' (r C� (f�)-Ely
/
Applicant Signature & Phone nurnber�" —,
Received b r°
y — � date R«ceived:
f
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rrro.!tse.r.,�..yF. w�wmy,,;r.,�,.r v.. .wv .r. , +A 1►" qr`.n r,r. .w.v .
Permit 0 Account Description Amount Amt, Pd. Bel. due
Bldg. Permit (BUILD)
Plurab. Parnut (PLUMB)
Koch. Permit (MECH)
s
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
.� Sower Connection
(SWUSA)
Sewer inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (i IF-0)
Water Quality (WQUAL) _
Water Quantity (WQU'ANT)
Fire Life Safety (FLS) A� _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
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Tenant Name: w �^<<� `°�'"" Accumulative Sewer Tally This SWR#:
� ��►- � .p?�(I
.Address: `"Y�� id•��S ri`• 4 This PLM#:-�
Fixture Vellle Previous # Previous Credits Capped Fixtures Fixtures New Now
Value Capped off value added IV added total#s total
Count off #s count value values
Baptistry/Font 4
Bath- Tub/Shower_ 4
-Jacuz/WhPI 4
Car Wash-Each Stall 6
Drive Through 16 — --- '—
Cuspidor/Water Aspirator 1
Dishwasher -Commer 4 — -
-Domest 2
Drinking Fountain 1
Eye Wash 1 --
Floor Drain/sink 2 inch 2. —
3 inch 5 — —
j 4 inch 6
1 Car Wash Drain 6
Garbage Disposal 16
Dom Ito 314 HP) — --
Comm Ito 5 HP) 32 --
Ind lover 5 HPI _ 48
Ire Machine/Refrigar ator Drains 1
Oil Sep(Gas Station) 6 1
Recreational Vehicle Dump Station 16
Shower- Gan (Per Head) 1
Stall 2 _
Sink.3ar/Lavatory 2 - ---
Bradley 5
-Commercial 3 —
Service 3
Swimmin Pool F;Iter _ 1
Washer, Clothes i 6 1 _ �—
Water Extractor 6 _
Water Closet. Toilet 6
Urinal 6
TOTALS
Total fixture values: divided Ey 16 = 1_ EDU 7 k-, i e"'
HISTORY
rPL
M# EDU# SWR# r ( � L PLM# EDU# SWR#M# EDU# SWR# PLM# EDU# SWR#M# EDU# SWR# PLM# F.DU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
e-
1
Accumulative Sewer i ai+.y Da
Address: R I/ This PLM#*
'l
FBath
Value Previous # Credits F+xtures added # Now total #a New total values
Capped off #s
try/Font 4
1'ub/Shcwer 4
Jscuzlwl pl 4or/Water Asp 1
Dishwasher Commer 4
Oomest 2 —
Drinking Fountain 1
Floor Drain 2 inch 2
3 inch 5
4 inch
Garbage Di,tposal 18
Dom (tc 3i4 HPI L ------
Comm Ito 5 HPI 32 -
Ind lover ' HP) 48
Oil Sep (Gas Stair 6
Shower - Gang 1 ----�
Stall 2 sC
Sink - Bar 2 _ !
Bradley 5
Commercial 3
Service 3 !r _. --4
Washer, Clothes 6 / �l,
IWater ext 6
Water Closet I e_
Urinal 6
TOTALS i 1
Total fixture values: _� divided by 16 - _ EDU
HISTORY
{ PLM# EDU# SWR# PI-MX _ EDU# SWR# y _�
i PLM# EDU# SWR# PLM# EDU# SWP# I'
PL!VI# EDU# SWR# PLM# EDU# SWRO
I —
PI.M# EDU# SWR# PLM# EDU# SWR11 j
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Pape 210 1 CABS HISTORY FOR CASH NO. SWR95-0775
NW MRI)TCAL TEAM
06955 SW SANDBURG ST
Q.
Of/Of/ff
Action Description Rey/ 3chd/ Snd/ Ac?A on Notes Disp By Update Upd
Code Sent Dons Done Date By
---
------- ------ ---- ---- ----
w
SWRA007 Application received / / / / 08/21/95 Sent to Mike B. 9-7-95 POND JDA 09/07/95 8
s"Ao10 Plan check by / / / / 11/17/95 PASS J.4D 11/17/ 5 JD
j SWRA070 Ready to iONUO / / / / 11/17/95 PASS JSD 11/17/95 JI)
9WRAaen (F) Issue permit / / / / 11/21/95 PASS B 11/21/95 B
SWRA720 Case Fina Led / / / / 06/28/96 PASS MS 05/28/96 MRS
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CITY OF TIGARD PERMIT SUED . . . . MEC95-03
10
DATE IS yUED: 11/2(/95
C-ONIMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S 101 DD-00401
11126 SW Hall Blvd. Tigard,Orapon 97223.8199 (803)4319.4171
SITE A0DRC_cicc. . . : V!f.9; _3 W :�ANDBIJRG ST q�
SUBDIVISION. . . . : SALEM FREEWAY SUBDIVISION ZONING: I-r'
BLOCK. . . . . . . : LOT. . . . . . . . . . . . . .
---------------------------
+---+
CLASS OFWORK. . :ALTFLOOR-TURN. . . . : ID EVPP COOLERS: 0 �
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . 1 3
OCCUPANCY GRP. . :Be_ VENTS W/O APPI-: 0 VENT SYSTEMS: 0
tiTORIES . , . . . . . : 0 BOILERS/COMPRESSORS 0
.
FUEL. TYPE i---_-'-----_.__ 03 HP. . . . : 0ROMCS. I NC I hl: 0 �
3-15 HP. . . . : 0 COMML. I NC I N: 0
MAX INPUT: 0 LTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 x
F I RE DAMF'kRFa?. . : Y 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 1-.LO DRYERS. . : 0
NO. OF UNITS-- ----- AIR HANDLING UNITE OTHER UNITS. : 4
TURN ( 1001-1, BTU- 0 (= 10000 cfm: 0 GAS OUTLET . : 0
TURN )=1O0K BTU: 0 > 10000 cfm: 0
� �m��rl<s : .'.3, 47►0 sq. ft. office/wareho1.%Se. "MECHANICAL ONLY"
FEES
," Owner: ------•---____________________..__ }
NW MEDICAL TEAM type am _int by date rer_pt
" 6955 SW SANDDURG ST. PRMT f 37. 00 JSD 11/21/95 95-•273117
P1_01, f 9. 25 JSD 1 1/21/95 95•-x:73117
T 1GARD OR 97c-'23 SPCT $ 1. 85 JSD 11/21/95 95--273117
Phone #: 644-6000
--
or:
AMERICAN HEATING, INC. 1
1 339 SE: G I DEON
PORTLAND OR 970 ____________.--__---_---.----._--___
j
Phone #: 239--4600 i 48. 10 TOTAL. s:
Rey #. . : 33135 '
1 ------ - REQUIRED INSPECTIONS
---- - -
i '
t This permit is issded subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code. State of Ore. Specialtv Codes and all other Mi.Sc. Inspccc irst
applicable laws. All Nark Mil) he done in accordance with Final Inspection
approved plans, This permit will expire if work is not started __ __ _._ _ __-__-•
within 188 days of issuance, or if work is suspended for more
than 188 days.
__,.Gly __..� �...Y .._._.—....._..____�......._..__.�_ -.
Permittee Signature: ? L:_ .�_
C'
Call for inspection - 639-4173
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City d Tlgacd MECHANICAL� NICAL PERMIT Plar°klHec� # " C
,, 11
131zo' sw Hall Blvd. APPLICATION Permit # /hC r 21,2-62
Tigard, OR 97223
i (503) 639-4171 )I
(41
-"ate'—- — a. '3A
I Tabte 3A Mechanical(:rxte CITY PRICE AMT
Jab C:" r 1) pem ;Fee -- - -0 o- 10.00
Address
2) Supplemental Permit 3.00
`- u—ma ca TTo
1) incl.duds A vents 6.00 !
TFUmaceTiRf;atRft3TIT:
Owner 2) Ind.duds&vents _ 7.50
Z 6�' urnanoo
3) incl.vent 6.00
— sispert seat'eiwa�Teator--
4) or floor mounted heater 6.00 Gt
vent not Ma.in
Occupant 5) appliance permit 3.00
t•z—..— �____T— `4epanofT—eating,re ng.
6) cooling,absorption unit 6.00
!�n �1 Boiler or comp, eTi aTpump.air co
7) to 3 HP;aosorp unit to ')OK BTU 6.00
Boiler or comp- royal pump,air cor0 —
13 _ ��'I 8) 3-15 HP;absorp unit to 500K BTU 11.00
Contractor 4 _ ef-r or:omp,heat pump,air conn
9) 15.30 HP;pbsorp unit ';-I mil BTU 15.00
i er or comp,eat pu,np,au conn.
3 10) 30.50 HP;absom unit 1.1.75 mil BILI 22.50
ere ac-Tr ow gathat I have read its apt scat-on,mat me Botler or com—Fiveat pump,air co
information given is correct,that I am the owner or authorized agent 11) >50 HP;ahsorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State Air an ing undo '
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 1
that th3 number given is correct. (If exempt from State registration, Air handling um
please give reason below.) �^ 13) 10,000 CTM. 7.50
Non portable
14) evaporate confer 4.50
-` — eV nt[an con-"�e-34T _
— 151 to a single dud 700 !
e�Tna ation system not
/� �.• 16) included in appliance permit 4.50
+► Hood served
17) mechanical exhaust 4.50
esrn w naw a itionU a teratic repairmmem Commercial or m stu'a naT--
to be done residential p non-residential p 16) type incinerator 30.00
xis ng use o er r.e.,wo s ove,water _
builcling or property 19) heater,sola,clothes dryers,etc. n t 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property —
Type of fuel•oil Onatural gas 0LPG O electric Q 21) More than 4-per outlet
Minimum Fee$25.00 SUBTOTAL Rj
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
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 PIAN REVIEW 25%OF SUBTOT,,L
AFTER WORK IS COMMENCED —
TOTAL ,(p
Special Conditions - _
Date issued by
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Dago No. 1 CASE HISTORY FOR CASE NO : MEC95-0310
NW MEDICAL TEAM
06955 SN 9ANDAVRO ST
;.. 05/00/98
Action DeacriPtiun Req/ Schd/ Btrd/ Act:ion N&LeO Disp By U?dats Upd
. �; code Sent Dona Douo --- Date By •
-•----- ------------ ------- -------- - ---------------------. _---— ..---_ ------ ---- --------- ---
1
NRCCO07 Application received / / / / 00/.21/95 Sent to Jin F. 9/7/95. PASS JDA 11/22/1'5 TLP
MRCC010 Plan check by 09/05/9S / / 10/17/95 APPP .THF 10/17/95 JHP
MECCOSO (F) Ready to issue / / / 11/17/95 PASS 0 11/17/95 B
Mur.-0060 IP) Issue permit / / / / 11/21/95 PASS JSD 11/21/95 JD
MECc710 mechanical Insp 10/17/95 / / 11/22/95 misc. ductwork FAIL TLP 12/20/96 TLP
f.iredampere not installed properly no
framing around them ]
KRCC'794 Final Tnepecticn / / / / 11/22/95 PASS TLP 0./02/90 J-H .ry
Y
MRCC•6o0 Case Finaled / / / / 11/22,/95 PASS TLP 01/02/90 J-H
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CITY OF TIG ARD
November 17, 1995
O
l
OREGON
The Aldrich Company
j PO Box 1107
Hillsboro OR 97123
RE: PLM95-0241/SWR95-0375
Please be advised the above mentioned permits are ready to be
issued. Since you did not provide a phone number on the
application, we are unable to telephone you for notification.
Please be aware we need copies of your current Construction
Contractor' s Board license and Plumber' s Board License prior to the
issuance of the Plumbing permit . Please fax them to my attention
at 684-7297 and reference the permit number.
Also, please be advised tlnr. Sewer Permit must be paid for prior to
the ise,-::nce of the Plunoing Permit . The Sewer Permit fee is
$8800 . 00 . The Plumbing Permit fee is $214 . 50 .
If you have any additional questions, please feel free to contact
me at 639-4171 .
i
Sincerely,
I �
L
amen S. Duckett
Development Services Technician
639-4171 Ext . 349
I
13125 SW Hall Blvd., Tl¢ard, OR 97223 (503) 639-417.1 TDD (503) 684-2772 --- ---
n 't. n.�,.+ .�.+.. s„ ew^+, rp+p'-n..I•.'7;ip.,..w • „1►w..,.� .. .w q,Mq, ..�r�r. ,+yam. .,. ..�►,. r W
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PLANCK# Date: 7
APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD ,
639-4171
DATE: Nov qq _ PERMIT # �r NAL
Valuation: to+Sbo _
Am!. Paid: ��� < Permit Fee: =� _
40% Plan Check Fee: r U'
Brllan(.e Due:_ 5% State Tax:
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation: Addition: Repair: _ Alteration: X
Com;)lete: __ Partial: Exitway. Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: IN NEVA/ BUILDING:_
NUMBER & STREET: ���5 S'1�1 Sp*►�OI U; Q�U �_�t� __
p
NAME OF BUILDING or BUSINESS: _ N��� ��1c-R'k- (-:: 1S
i
.r,..-.., NO. OF STORIES: Z-- SIZE OF BUILDING: OCCUPIED AS: 0FFIC-eS
TYPE OF SYSTEMS: Wet: X _ Dry: _ Combination:
STANDPIPES:_ OCC.HAZARD: Light ORD.GRP.HAZARD 1_ 2_ 3�4_Extra
DENSITY 10 GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: "K" FACTOR 'S •L TEMP. RATING_
OWNER: — ADDRESS: _
CONTRACTOR:_FIi1,wsT-D f �. jq,
PLANS DRAWN BY: -1k, P642SoW_ -ADDRESS: 13b - SO Tt(,m—a ST. 1 i&kco.
e>
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
pe,mit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: �I g lsS`�� ey PHONE: tP(A -S 7(02
SIGNATURE OF APPLICANT:
�i
BUILDING DIVISION:
PERMIT VALID FOR ?Q^ NAYS
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1
a; TELE►HONE4903)122-0301
1, • •
ARTHUR M. JAMES ' ENGINEERS, INC.
314 S.W. WASHINGTON STREET — PORTLAND, OREGON 17201
October 16, 1995
x
r City of Tigard `
Mr. James I ank
Plans Examiner
13125 SW hall Blvd.
Tigard, OR 97223
j Regarding: NV- Medical
10955 SW Sandburg Street
Dear Mr. Funk:
Enclosed are our calculations for the new window openings shown on our
drawing 1- dated 8/17/95.
Sincerely,
i
Arthur M. James F.
AMJ/ejg
encl:
cc: Tim Johns, Columbia Homes
Scott Aldrich, The Aldrich Co.
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t ELECTRICAL PERMIT
01 ELZ95--- 445 TTY OF TI " ARD DATEIISSUEr: 10/11/95
COMMUNITY DEVELOPMENT DEPARTMENT DAF;rt=ir: ''5101 DD-00401
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-41 M
SITE ADDRESS— : k�'�JJ aW ''�(aIvGL�IJI�L, ,T
SUBDIVISION. . . . : SALEM FREEWAY SUBDIVISIONZONING: I-F'
BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : 1
project Description: Fifty branch CirUitS.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS---
1000 SF OR LESS. . . . : 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L. 5O0SF. . . : 0 201 - 400 almp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0
--SERV I CE:/FEEDER- --- -----BRANCH CIRCUITS------- ---AD))' L INSPECTIONS——-
0� - 200 amp. • • • • • : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
44% )c01 - 400 amu. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 49 IN PLANT. . . . . . . . . . . : Q
601 - 1000 amp. . . . . : 0 ____.------ __---FLAN REVIEW
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . :
600 VOLT NOMINAL. . :
Rer_ollneat only. . . . . : 0 SVC'/FDR > = Y :'S AMP'S. . : CLASS AREA/SPEC OCC:.
Owner: ---------------------------------------------------
_____ FEES
SUNSET ELECTRICtype amp'-int by date rer_pt
1635 5E ENTERPRISE CIRCLE PRMT f 280. 00 L'JS 10/11/95 95-`71547
1635 A SPCT $ 14. 00 CJS 10/11/95 1)52715417
HILLSBORO OR 97123
Phone #: 503-6443-0734
Contractor :
SUNSET EL-ECTPIC--�___....____. 294. 00 TOTAL
1635 SE ENTERPRISE. CIRCLE
--------- REQUIRED INSPECTIONS
HlLLSBOR(l OR 97123 feili.ng Cover Elect' 1 Service
M: Wall Cover Elect' 1 Final
Phone
Reg M. .
This aertit is issued subiect to the regulations contained in the ___.._ _._.�_ _---- __-- •- --
Tioard Municical Code, state if Ch•e. specialty Codes and all other Permittee -Sirinature
apolicable laws. All work will be done in accordance with
approved glans. This oereit will expire if work is not started
within 188 days of issuance, or it work is suspended for more �. 7Q(�L�„ __5 --------•---- -------
than 180 days. I s s i_led BV
_.....__.--•---_... ___.---OWIJF_F2 INSTALLATIOPI
the installation is being made an property I own which is not intended for
sale, lei-9, or rent.
OWNER' S S .3NATURE: DATE
INSTALLATION
SIGNATURE OF SUP'R. ELEC' N: _-_, DATES
LICENSENO: ___________...____...__..._ .__.__..__..-__._------__.._ _ �___ __.._..___._ _ ---•--__ ___ _
Call for inspection - 6.39-4175
Mr -
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 95-,271, !1L_—�_�
Permit # Lc> -vy�
Phone (503) F39-4171 Date Issued
CITY OF TIC3A6tD FAX (503) 684-7297 Issued by Chec le-c tnknr df
TLD No. (503) 684-2772
Inspection (503) 639-4175
_ _ 40
1. Job Address: r, [4. Complete Fee Schedule Below:
Name of Developm Number of Inspections per permit allowed
Address-&l/ J �� �C�n��h(t rG Service included Items Cost(oa) Sum
City/StalerLlp \L� C i — 4a. Residential-per unit 4
1000 aq 1t or lose 1:11000 —_
N /► J, _-/� �Jo Fadi additional 500 Ml It or
Name (or name of business) //, /-(J, /�/(�([�[�y- �[QO portion thereof $2500
Commercial® Residential❑ Limdedr Fnargy $2500
Fara Manul d Home or Modular ?
Daralling Sarvicre or Feeder _ $6800
2a. Contractor Installotlon only:
!b.Services or Feeders
Indallalimi alteration or relocation
Electrical Contractor r ) 100 amps or leers sea 00 _ 2
Address ! / t11 amps to 400 amps $8000 2
,t 401 vnpa to wo amps $12000 2
City / Sta Zip /re''�,�, _ f41 amps to 1000 amps f18000 z
Phone No. C.L.4 ��7 Over 1000 amps or vone $.74000 _~_ 2
Contractor's License Nn I�C– Reconnect only $50 00
Contractor's Board Reg. N0 21 _ 4c. Temporary Services or Feeders
Installation,alteration,or relocation 7
Signature of Su r. Elec'n �r+t � 2011 aurae or lees
$5000
2
License Phone No. c�/ 17 201 amps to 400 amps $75 Do 2
401 amps to f-00 amps $10000
Over 000 amps 10 low voMe —�
2b. Fo. owner Installations: see W above
4d. Branch Circuits
Print Owner's Name New altarntion or Mansion par panel
Address nit The faa fnr branch cnniile with
city State Zip_ purchase of aerie.or Melee 2 t
Phone No — -
Fadi hranch circurl $500
b)The fee for hranch circuits w+fhouf
The installation is being made on property I own which is purchase of•.rifle.or Mader Am, rw 2
e.�
not intended for sale, lease or rent. Fest branch circuit Each additional brand,circuit �1 $3500 2
ss oo o;Tq.c�
I
Owner's Signature4s. Miscellaneous
— (Ser.-ice or feeder!lot included) 2
3. Plan Review section (if required): Fadi Pump or irrigation circle $4000 2
Fadi sign or outline lighting $/0 00 _
Signal cimutf(s)or a landed energy
Please check appropriate item and enter fee in section 58. panel alteration or notinsion $4000
-_ 4 or more residential units in one structure Minor Labels(fo) $1 off 00
Service and feeder 225 amps or more
System over 600 vol!s 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.0 Chapter 5 Pat inspertron $3500 �–
Per hour $5500
Submit 2 sets of plans rn Plant $5500
application where any of the above -- --
apply. Not required for temporary construction services. 5, Fees:
NOTICE Ss. Enter total of above fees $
5%Surcharge(0.5 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ ,a2
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 Subtotal $
COMMENCED. I ❑ Tnfst Account#
Balance Due $ o;?cJr{a
F
f
V 40
6
Page Na. 1 r_ASR HISTORY PIER CASE NO.: BL•C95-0445
SUNSET RLECCRIC
06955 SN SANDBURG ST -
05/08/98
Action Description Req/ Schd! 9nd/ Action Notes Diop By update Vpd
Coda Sent Dans Done Date my .
BIRC001 Application received / / % / 10/11/95 Ram C18 12/08/95 TMP
81,CC003 Permit created / / / / 10/11/95 i0m ria 12/00/95 TMP
IILCCS00 (F)Issue permit / ! / / 10/11/95 PASS CJS 12/08/95 TMP
IILCC700 Ceiling Cover l0/il/SS I / 01/17/96 wRs'r hitt; APPROVED PASS MJR 09/16/96 JF
i
ULCC730 Ceiling Cover 01/19/96 / ! 01/19/96 PASS MJR 06/20/96 J?
RLCC700 Ceiling C wor 09/16/96 / / 01/12/96 SRCOND STORY, EAST END PASS MTR 09/16/96 JF
KDCC720 Nall Cover 10/11/95 / / 11/13/95 2nd floor walls and 1st flcxrt ceiling PASS MJR 06/28%96 MTP.
and walls
RI,CC72.0 wall Cover 12/19/95 / / 12/19/95 2nd floor PASS MJR 06/28/96 JF
RLCC799 Blect'l Final 10/11/9S / / 12/20/96 2nd floor Bast wing by water cooler-plug DIS HW 12/23/96 RB
not supported, womens restroom GF'CI ALL
plugn ♦ broken plate.
2nd west Wing- plug for coffee mach. not
properly supported and plate
L,
broken. Mann rm water heater requires !'
disconnoct. Warehouse storage in front
of electrical panels in not alloweLREP
CLEAR SPACE. lot Flr exercise- wrmenr _
rest rm-support plug excercise
storage-WaterH-Pater.
jneeds dievonnect. Lunch rm Support
recept for counter i under MW.
i
ELCC900 Case Finaled / / / / 12/20/96 after corrictians final approved CWW H% 01/22/97 MJR
lELCC910 Meeting 01/10/96 temp. occupancy for let floor approved TRW MJR 01/10/96 MJR
RLCC920 Miscellane�n action 09/16/96 / / 11/17/95 WIRING OVER PANRL A SFCTTON 1 4 2 AND PASS CVB 09/16/96 JF
OLD WIRING OKAY. l
t�
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'YM +►'Y.: tom.. �•-►.,..�., ,..y �;. '^MM�tI 10
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_ October 3 , 1995
CITY ®F TIGAia®
OREGON
. Art Jones Engineering
319 SW Washington St
Portland, OR 97204 _
Re: N.W. Medical
10955 SW Sandburg St
PCB-83C BUP95-0373 i
r`
The plans have been reviewed for conformity to applicable codes. Provide
three (3) copies of revised plans incorporating the requirements listed
below:
Accessibility
Provide the parking lot layout detailing the van accessible parking
stall, access aisle, signage, and acc4ssible route to the building
and the public way [OSSC, Section 3103 and 3104] .
2. ) Post directional signage at the building's main entrance indicating
Ali ' ` the route to the nearest accessible entry [OSSC, Section 3106 (b) 51
All stairs serving the second floor shall be accessible to persons
with disability in accordance with Section 3109 (h) 6 [OSSC, Section
3109 (d) ] .
Sinks and counters in lunch rooms and common use areas shall be j
accessible in accordance with Sections 3109 K 2, 3 . Provide a
1 frontal view and cut section of a typical sink and counter unit .
� /,e6f d The door to the unisex restroom shall not swing into the clear floor
t space of the lavatory (OSSC, Section 3109 (i) 21 .
The one employee restroom shell have unisex signage mounted on the
wall adjacent to the latch side of the door 6011 above finish floor.
Finish, color, braille characters and pictorial symbol signage shall I
1 comply with accessible requirements of Section 3109 (o) . A privacy
( lock and an "Occupied" indicator shall be provided (Table 5E(1) ] .
(All The shower stalls shall be accessible in accordance with Section
3109 (j ) 10 [OSSC, Section 3108 (b) J The unisex restroom was allowed
due to the ramifications of making the existing facilities
accessible. However, since these rooms must be accessible for
shower use, maybe it is now feasible to upgrade those facilities and
delete the unisex restroom.
13125 SW Hall Blvd„ figard, OR 97223 (503) 639-4171 TDD (503) 684-2772
y
: . � Art Jones Engineering
October 3, 1.995
pg. 2
The two new restrooms proposed on the second floor shall be
accessible in accordance with Section 3109 (j) . Doors cannot swing
ry into the clear floor soace of any fixture [OSSC, Section 3109 (j ) 21 .
I �k Post signage at the restrooms that are not accessible in accordance e�
with Section 3106 (b) 5.
i
Fire and Life Safety
Two exits are required from the combination Board/Chapel room. One
��✓✓ exit must be direct to a rated corridor and the second may exit
through one adjoining room (OSSC, Section 3303 (e) ] . The
Waiting/Receptionist room must be constructed to one-hour fire
resistive corridor construction:
Walls of a corridor and its ceiling must be of not less than I
I i one-hour fire-resistive construction with all openings and
penetraticas protected (Section 3305 (g) ] •
Protection of corridor walls and ceilings shall include the
following (Sections 4304, 4305, and 43061 :
1. Fire dampers for heat duct penetrations .
2 . Canopies for recessed light fixtures.
3 . M tal pipe extensions for plumbing penetrations. 1
rAll doorways penetrating the one-hour fire-resistive Corridor �
construction shall be protected by a tight-fitting smoke and
draft control assembly having a 20-minute fire protection
rating (Section 3305 (H) ] . Doors shall be self-closing or
automatic-closing [Section 4306 (f.) ] .
Provide exit illumination having an intensity of not less than
(' 1 foot candle at floor level, and provide a separate power j
source, such as an on-site generator or storage batteries to
operate the lighting system in the exiting system [Section
3313 (a) (b) ]
The main stairway must be separated from the waiting area by a 20-
minute fire-rated door assembly, either at the first level or the
bec^nd floor IOSSC, Section 3309 (a) ] .
SIructural
4y A draft stop shall be provided in the attic so that the dimension f. Y
between draft stops does not exceed 60' (Section 2516 (f) 41ii] .
`f a
(2) Complete the enclosed special inspection form an(� return it with the
revised plans. Copies of all special inspection reports shall be
submitted and a final report submitted before an occupancy permit '
will be issued.
:ti
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Art Jones Engineering
October :. , 1995
Ag• 3
,r
Provide the correct scale on all revised plans matching dimensions.
i Provide an engineer' s analysis of the skylights for dead and live
loads. Are the lights glass or plastic? Install the lights in
accordance with the manutacturer' s guidelines and Chapter 52 jr 34
1 of the QSSC
L� Provide the engineer's calculations for determining beam and bolt
size specified in 1/1 and 2/1 details.
Mechanical
Provide a mechanical plan for review and approval prior to issuance
1. of a permit. Illustrate size and location of all roof-top units .
Submit an engineer' s calculations for additional loadii,q of rafters
or trusses .
Provide an analysis of structural requirements prepared by a f
licensed engineer forsupporting the 2dditional HVAC unit [SSC
Section 302 (b) l •
The attachment of permanent equipment (HVAC) sup,,. orted by the
building' s structural components shall be designee to resist the
' total design seismic forces prescribed in Section 2336 (b) of the
Structural Specialty Code. Piovide an engineer' s design specifying �.
attachment requirements [SSC Section 302 (b) ] .
If you need to aiscuss any of these items, please fee] free to call me.
f
Sincerely,
/ James Funk
4 Plans Examiner
I
bup95-0373\pc8-83c
'. -`IN,• •a x.r ..a. xl.r,�, e-*'rs'^.'W,gr.y'"a,.'T"""'.7P1" M.+*vl. h_r ,.� r w. .,.+M 4 T Ilrlq •I>•tl '+rh> .t" r•.wr•Wryx:.x ,Ir
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1
Department of'bomArce-0-IJ1NS REVIEW Section NOTICE OF PLANS REVIEW
cooN :176 STAIa OFFICE BUILDING POMTLANn 97201
'
(THIS le NOT
A SUILa11NG PERMIT)
�inrigPN [ "/J�IIIX 1 L E)�i ye11 N DJ llt� j. /1�k1 O. /"
auilding - >
sun oiNr, I,,^ I Aonaess
County -WA:5-H�", Occupancy t 1 + -- Conti. —� Sound Value flan Fee
zN sir=21 Not"r ah:i
I Architect 111—� A--- New Bldg.)W Addition Q Alteration L] DAte Receivedl 49L& i C Z3
�s
Owner _1R_�. Dare Reviewed
�,t, r� �R'lY"i4NL it
Stories —rL-- AreaG�c/s ,-d(Qd(E Atflc �2�_-/.&T—SOFire Wall .YQ�_r'fire Escapes IJDAX Exits / -- h
NAiN rL* {A{a NrNT IIT ITU/'{ TUT WIDTH
Stairs .___�_!- .L� Vert. Shaftsi✓d�/ L c,y".�t Sprinkler / / '�'— Man. Alarm X--_ S.P./%LQ ,��t-=
rl�{rn IiWrAitYosro NU Ta{ APIFA cUVrllrn INT site{
Eat.f�Cpryt�1!a�— Hr. Dat, _A—_/ V& trl I F)�or e-64swasiling P1!.��y�1✓ORoct 8A.T 1 b#emben ny
ClA{{ Nn T •a AREA co VOA REAS
Wall cover Awl) 1"dioHtr. rm. e.-I. .-a Type flue NZAVA&r 7rtylse Htg. System E uel r�S
rsr r C: sWic�C.:SLA 10.ua(
The submitted plans have been reviewed for conformity with fire protection statutes and regulations of regon admin-
istered by this office. Items No. -_c I-17—Ve'
checked on the enclosed list are applicahle These items ind any specially noted provisions must be incorporated into
the project to meet current fire protectior regulations. A!-iproval of albmitted plans is not an approval of omissions or
oversights by this office or of noncompliance with any applicable regulations of local government.
REMARKS:�IPYAfxL4,L�,1�11 'Qr=F V�►Ly� i,ij�_- �Pj1/►L_THE..G"�S Fye f
QUTS(�! TfIF f �n/+ �irl� Or��.�CLr� •413E_��_C -�D_-�"1�121�1_- �-� 1__�4ER.—.— f
..gC�._t.11L14Lc�P_DArAtL'E. ar�._.�E.�r.:�-3�,ntt47.�. �1B��s��vDF.�..�.•T,��,�.�
C'> 1i1rA is R rgLp.Im_E, -zr#D To A[az_Jeg- »t�►i1!3��„ .dar VV.61nE i r D.11M
1 Nor LESS t7fAAu _s��!''/ Dl�f�E" A,N��_j�1t�O1tCL�1�1 L3L�21d1LT11 i_
10
SFM•S•�.EM Lu=i' ffic:lcs
Examined �L ---
nR."•.7 Copies to: _ Otll/1[
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IF
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