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7350 SW LANDMARK LANE STE 130 O Vi r r 0 r 7350 SSV Landmark Lane #130 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00555 DATE ISSUED: 12/30/02 1?'.[5 SW N'II Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 2S112AB-00300 ZONING: I-H JURISDICTION: TIG SITE. ADDRESS: 1350 SW LANDMARK LN 130 SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: CREATIVE HOME REMODELING REMARKS: Create(1) new restroom in existing production warehouse space Owner: HICKS, PRENTISS C PO BGX 23633 TIGARD, OR 97223 Phone: 503-9P 1-8147 Contractor: _ OREGON PACIFIC CONSTRUCTION 180 S PACIFIC HWY WOODBURN, OR 97071 Phone: 503-981-8147 Reg#: 1 I( 37543 This Certificate issued 611211lt grants occupancy of the :.rove referenced building or port;on thereof and confirms that the building has been inspected for compliance w"th the State of Oregon Specialty Codes for the group, occupancy, and use under which tire referenced permit Wa BLIII._DING INSPFCTOR POST IN CONSPICUOUS PLACE CITY OF i IGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503; 639-4171 BUP Received _ Date Requested _ —pAM__-. PM�, .� — BUP Location --__--- l :35-L s Yrtau-L e_ r11 1- SuraJ_�--- MEC - Contact Terson _-----------.—_ J�t2 Ph( �) � as PLM Contractor -- 71�a — !: ( SWR -- — ---- - ---_�-__-- -_--- -------- Ph( ) BUILDING TenanUGwner ELC "�' -71 - ----- Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain ------ SIT Slab Inspection Notes: r - Post&Beam Shear Anchors ( , Ext Sheath/Shear -- -- Int Sheath/Shear Framing ----- - -_-- - _ _.� Insulation Drywall Nay ing -- --- - --- Firewall Fire Sprinkler -----------.-- --- -- ----_ _ - F ne Alarm -_ Sued d Ceiling ------_-_-------—_ Root Other Final PASS PART FAIL - — PLUMBING _�_---- Post 8 Beam Under Slab --- - - - Rough In Water Service -- - --�-- Sanitary Sewer _ Rain Drain - Catch Basin/Manhole Storm Drain Shower Pan Other: - - - - Final PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL_ Ser%ice — Rough-In UG/Slab Low Voltage Fire Alarm *t:P�RT FAIL. U Reinspection fee of 5,._— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. — —- — Unable to inspect-no access Please call for reinspcection RE: _--- ire Supply Line APA Data .- Inspector Ext - Approach/Sidewalk Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)G39-4171 MST _ BLIP _ Received __ Date Requested--_ _�l� AM.v PM BUP -52 -00 1-mation 7 Suite321 1 MEC, &- Cantart Person � Ph( _ �',2—(� 2- Z PLM X1_00 Contractor Ph !_7 Ila SWR _ B ILDING -_ Tenant/Owner �— _ ELC o0 Foundation ELC Ftq Drain Access: `� 2�� 2 _ UDG,-7j 1 Crawl Drain "" ELR Slab Inspection Nates: ,� , r SIT Post& Beam ------ - (/�- —� ----- Shear Anchors --- -- Ext Sheath/Shear --� - Int Sheath/Shear Framing _ - Insulation Drywall Nailing Firewall Fire Sprinkler - - - - -- -- -- --- — Fire Alarm Susp'd Ceiling -- _ Roor Other: --- Fi al P S ART FAIL MBINdl "vat a udam Under Slab Rough-In Water Service ---- _ --- - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain _- Shower Pan Other: --- ----- - -��__-- -- --- - - ---- _---- PARTFAIL - ----- --— -- ---— ---- --— - --------- M C -- ISM Ok 09811 Rough-in -----.___-------- -__-_- Gas Line ---- ------- - --- Smake Dampers --- - - _�--- - - __._._..---- --- .-- - - nnf PART FAIL --�.. -- — -- �._- -- ---- - - CTRICAL Service -- -_ -- Rough-In UG/Slab - Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS _PART FAIL SITE_ [] Please call for reinspection RE _ -__ ^� Unable to inspect-no access Fire Supply Line ADA ( / Approach/Sidewalk Date-- I L�C' L' Inspector �� Ext -_-� Other:_ Final - DO NOT REMOVE this inspection recorelfrom the job site. PASS PART FAIL. CITYO F TI GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2CJ2-00472 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 12/6/02 SITE ADDRESS: 07350 SW LANDMARK LN 130 PARCEL: 2S 12AB-00300 St1BDIVISION: ZONING: I-H BLOCK: v LOT: JURISDICTION:_ TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: 4� TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE: (RAPS' LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 243 ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 243 feet of sanitary sewer service, (1) lav, (1)water cic, i and (1) service/mud sink Owner: _ ___ FEES — Description `Date Amount HICKS, PRENTISS C PO BOX 2.3633 IPLl1M11I Permit Fee 12/6/02 $197.60 TIGARD, OR 9223 ITAXI V,,St;.tc'Ijjx 12/6/02 $15.80 Total $213.40 �� Phone — Contractor: WOODBURN PLUMBING LE�AND FOSTER PO BOX 252 WOODBURN, OR 97071 REQUIRED INSPECTIONS Phone : 9111-4053 Sewer Inspection Rough-in Insp Reg#: MET 00001 760 Top-out Insp LIC 51140 Final Inspection PLM 24-15611[1 This permit is issued suhjecl 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 Building Fixtures ��,,� �, Plumbing Permit Application Date received: Permit no.: R'Pe'V W7 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Ciry of Tigard Phone: (503) 639-4171 Project/ap,)I, no Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land Use approval: - (•asc File no.: Payment type TVPE OF PiRMIT ❑ I &2 family dwelling or accessory I]Commercial/industrial -1 Multifamily J'Tenant improvement !J New contitruction U Addition/alteration/replacement J Food tier,ice J Other .1101111 S111E IINFORMAJION1 (ror special information use checklist) Job addrs: t /�%2X C%I/'l- - __ Description Qt . Fee(ea.) Total �3�U :�cli L r 'v I iti, Bldg. no- Suite no.: l 3 U 1cr I-and L Ltrnily tt„clitngs onf}: liucludc% 100 h '— .•ach utility ce:jneclfon, Tax map/tax lo_t/account no.: S I K (I) bath Lot: Block: Subdivision: _ — SFR(2)bath Project tame: � 9 TIS /,� iy�E /'�/►/vim f( G1 SFR(3)bath _._--_--_- -- —— Cit /county: _ ZIP: Each additional bath/kitchen --- -�-- L ascription and location of work on premises: Siteutilities: Catch basin/area drain _ East.date of completion/inspection Drywells/leach line/trench drain CONTRACTOR Footing drain(no. lin. R.) Manufactured home utilities Business name_ (_,Lk e'_)T.J P"4 4 f-0 '1 L 1.4,t (rte 1 Iv � p 4anholes --_ Address: Frain drain connector— City: State: �tP: `Sanitary sewer(no. lin. ft.) --_ -- - - — Storm sewer no lin. R. Phone: -0;1" E-mail: _ ( )_... ----- CCB no.: Numb.I`I r' I IMutnb,bus.ttf,no: p�t�� — Water service(no.lin. R. City/metro lic.no.: ----- Fixture or item: - -------------� Absorption valve Contractor's representative signaturer- - tw, Print name:' ' lBack Row preventer — - ' (' / c ate: Backwater valve CON'V%cr 111,1111,0N Basins/lavatory Name: Clothes washer Address: - - - Dis i�washer City: _ State: ZIP; Drinking fountain(s) -- -- Ejectors/sump Phone: I;t.e: E-mail: Expansion tank Fixture/sewer cap Floor drains/floor sinks/hu _ 7NIIsimet): - �`ji nlyr H(�r_ Garba a didrevs: ► 'C 0i)7Hose hi- 7 (CAO 11 Sate: i> ZIP: 72b I Ice maker Phone: t t�Z G'l t L Fax:Z`f/ !F y c; ii.-mail:'t t t, i'110711141 Interceptor/grease trap ()wner installation/residential maintenance only: The actual installatifflf"I Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercia: cmhloyce nn thk property T own as per 101 iapter 447. Sink(s),basin(s),lays(s) ! �' Owner's signature~' rte -� c.L . Date: Z v L Sump - Tubs/shower/shower pan Name Urinal -- -- - - -- - --- --- - -- Water closet — Address: ------ — - -____ Water heater City: State; ZIP: Other: Phone: I ax: 1 E-mail: Total Not all jurisdictions accept credit cards.please call junsdicGon for more information. Minimum fee................ 77 f� Notic-: This permit application Plan review ° O Visa O MastcWard (at— /o) S expires if a permit is not obtained o Credit card number within 180 days after it has been State surcharge(8/o)..,.$ --- -- splrn Name of ardhnl er a shown on credit card accepted as complete. TOTAL........................ $ _— Cardholder signature Amount 440-4616(6/0n/COM) IF PLVMBIN3 PERMIT FEES: New 1 and 2-family dwellings only: PRICE TOTAL PRICE TOTAL QTY eel, AMOUNT (Includes all{dumbing fixtures In FIXTURES Individual - 16.60 �, if,?Trialling and the first100 ft. QTY (ea) AMOUNT 16.80 Sink - for each utility connection _ Lavatory - -- 16.60 One 1!bath _ $249.20 -_ 18.60 Two 2 bath $350.00 Tub or Tub/Shower Comb. -- Three j3)bath _ 5399.00 4 Srwwer Only 16.60 Water Closet / 1860 �' SUBTOTAL _ ateiUrinr16.60 8'/.STATE SURCHARGE 16.60 PIAN REVIEW 25%OF Buts iwasher TOTAL Garbage Disposal 18.60 __ __..�------ Laundry Tray 16.60 Washing Machine 16.60 Washing Machine 2" - 16.60 PLEASE COMPLETE: 3„ - 18.80 4„ 16.60 Quantit b Work Performed Water Healer O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removedl Gas piping requires a seperati mechanical - _ Ca ed ermll. 4u 40 Sink - -- MFG Home New Water Service Lavato - MFG Home New San/Storm Sewer 46 40 'Tub or Tub/Shower Hose Bibs r 16.60 Combination - 16.60 Shower Onl Roof Drains Water Closet ---- Drinking Fountain 16'60 Urinal Other Fixtures(Specify) 16.60 Dishwasher - Garba a Dis osal Laund Room Tra Washin Machine - Floc,,Drain/Sink: 2" I 55.00 3" Sewer-1st 100 1 Sewer•each additional 100' 46.40 ��,d�1 4" -- 5500 Water Heater . Water Service•1 st 100' Other Fixtures Water Seryice•each additional 200' 46.40 S eco _ Storm b Reln Draln•1st 100' 55.00 Storm 8 Rain Drain•each edditioral 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 - Inspectlon of Existing Plumbing or Specially 62.50 COMMENTS RE 3ARDING ABOVE: Re nested In actions erRv 85.25 Rain Draln,single family dwelling 16.60 - Grease Traps -- QUANTITY TOTAL _ Isometric or riser diagram Is required it Quantity Total Is g 'SUBTOTAL C _. 8°/s STATE SURrHARGE _ "PLAN REVIEW 25%QF SUBTOTAL Required only If fixture qty total Is>9 _ TOTAL S , *Minimum permit Its is$72 50's%slate surcharge,except Residential Sacklfow Prevention Device,which is$36 25+a%state surcharge "All New commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review is\dsts\forms\pim-fees.doc 12/26101 cn `p � c pro O 3 L- Q E � � u °) o O cr) cn c vEN oho C O II Z O a) ro O C .O C O Ln - a O — ro U r > ru ro a) E cD o � ° oo aa) u- r) in l At" l 4-1 1 ; I I � I I � I or c o v •-, z 00 = Q �s J am QInU� `d' 1 ut Z O - ain � u > W PXTmr �0 N LL « l� 5f ( . t. -14 W ci o c D d c0 61 I � p OE I_ ror, CITY 'TY OF TIGARD _ DEVELOPMENT SERVICES PERMIT#: MEC2002 00608 DATE ISSUED: 12/30/02 13125 SW Hall Blvd., Tigard, OR 97223 kSU3) 639-4171 PARCEL: 2S112AB-00300 SITE ADDRESS: 07350 SW LANDMARK LN 130 SUBDIVISION: ZONING: I H BLOCK: LOT: JURISDICTION- TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITSOTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of(1)vent fan in nearly seated restroom. Owner: _ FEES HICKS, PRENTI SS C Description Date _ Amount PO BOX 23633 IMLCH] Permit Fee 12/30/02 $72..50 TIGARD, OR 97223 [TAX]8%StateTax 12130/02 $5.80 Total $70.30 _ Phone: — Contractor: TRIPLE S ELECTRIC 3581 7TH ST HUBBARD, OR 97032 - REQUIRED INSPECTIONS Mechanical Insp Phone: Final Inspection Reg #: LIC 111812 This permit is issued subject to the regul-tions contained in the Tigard Municipal Code, State of Ore. Sdecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit w II expire if wnrk 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 IssBy: Permittee Signature: u �'�'/ — — Call (503)'639-4175 by 7:00 P.M. for inspections needed the next business day USF ONLY Mechaaical Permit Application ' iicccivcd FFICE Planning Approval Building City of Tigard Datc/B : _ Permit No.. 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date/By Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 ;.. Post-Review lend Use Date/By: _ Case No.: Internet: www.ci.tigard.onus Contact auris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method _ Supplemental Information. E- TYPE U i'WORK Mechanical FEE*SCHrsDULE-USE CHECKLIST iVew construction _ Demolition Mechanical permit fees*are based on the total value of the worK Addition/alteration/re lacement Other: — performed. Indicate the value(rounded to the,nearest dollar,of,:II CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and proft. ❑ 1 &2-Family dwelling Commercial/Industrial Va,te: $ Sec Page 2 for Fee Schedule Accessory Building Multi-Family RESIDENTIAL EQUIPMEN17SYSTEMS FEE*SCHEDULE _ ry '� Description -- 19thI Fee( at I Total Master Builder Other: Ilesting/Co ]n JOB SI—TE INFORMATION and LOCATION Furnace-add-on air cundi•ionin *' 14.00 Job site address; ?' � `-W L n(Qfvl irk ONC Gas heat pump —_ 14.00 Suite#: I gin Bldg./Apt.#:— — Duct work 14.00 HydroProject Name: ,ATL}�c t,h-1 ni hot waters stem 14_.00 Residential _ Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct suspended,etc. 14.00 Flue/vent for any of above 10.00 - - Repair units 12.15 Subdivision: I Lot#: Other Fuel Ap illances Tax map/parcel Il: _ __ Water heater 10.00 _ DESCRIPTION OF WORK) Gas fireplace 10.00 Flue vent(water hca,er/ as fireplace) 10.00 _ s2S1Ys� s I,og lighter(gas) 10.00 __—_—. —. - -- -- Wood/Pellet stove _ 10.00 Wood fireplace/insert _10.00 Chimney/liner/flue/vent 10.00 _ ROPERTY OWNER IFITENANT Other: 10.00 Name: i -- (� (' ( � �(.(� S Environmental Exhaust&Ventilation - _ �s.—!�� — Range hood/other kitchen equipment — 10.00 Address: Clothes dryer exhaust 10.00 Cid/State/Zip; l 2 L- 6dZ Ct 2 Single duct exhaust Phone: P 01;,4,.,2'2-L- FaX: Q 1-1�;14�' (bathrooms,toilet compartments, A_PiyLICANTI ONTACT PE SON utility rooms _ 6.80 Na'.'e: Attic/crawl space fans _— 10.00 ------- Other: 10.00 _Address: City/State/Zip: ""Ss.40 for Ilrst 4,SI.OU each is-- ---- ----- — — Furnace,etc. Phone: _T Fax: _ Gas heat pump E-mail: _ _ Wall/suspended/unit heater CONTRACTORWater heater Business Name; l ►Z.t P 5 E c 7YLl t Fireplace " 7 ---��_— Range " Address: y�$J ` _ *• Cit /$tate/Z f 7b �' Clothes dryer as •• Fax: Other: " Pho d: —CCBQC. #: ///8/ — Total: _ _ Mechanical Permit Fees* Authoti /Q Subtotal: S Signature! Minimum Permit ee 7 572.50 S Plan Review Fee(25%of Permit eL S - -�� (Please print nnmc) State Surchar a d%of Permit FeeS TOTAL PERMIT FEE S Notice: Thh permit application expires If a permit is not obtained within 'Fee methodology set by Tri•('ounty building Industry Service board. 100 days after It hal been accepted as complete. —site pian required for exterior A/C units. i\DstsTennit FomtAMecPcrmitApp doe 01103 Mechanical Permit Apflication - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to 55,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 $72.50 for the first$5,010 00 and SI.52 for each additional s100.00 or fraction thereof,to and Including$10,000.00. $10 )01.00 to$25,000.K 5148.50 for the first 510,000.00 and 51.54 f it each additional$100.00 or fraction theicof,to and including $25,00000. $25,001.00 to$50,000.00 $379.50 for the first 115,000.00 end $!.45 for each saditionsl 51(x).00 or fraction thc,eof,to and including $50,000.(X,. _ $50,001.00 and up $742.00 iur the first$50,0(X).00 and $1.20 for each additional 5100.00 or Fraction thereof'. _ Assunid Valuations Per Appilenee: _ Value Total Description: Qty (Ea) Amount Furnace to((X1,000 BTU,including 955 duct&vents _ Fumace>I(X),000(ITU including ducts 1,170 &veil ts__ Floor furnace Including vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included In_gplianre permit 441 .Leair unit 805 <3 hp;absorb.unit, �^ 955 to 100k CITU 3-15 hp;absorb.unit, 1.700 101k to 500k BTU 15-30 hp;absorb.unit,501k to I mil. 2,310 i t3T U 30-50 hp;absorb.unit, 3,400 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air hsndtin unit to I OAX)cfm 656 Air handling unit 10,000 cfm 1,170 Non-portable eve rate cooler _ 656 _ Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit _ Hood served by mechanical exha.tst 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 0 Other unit,including wood stoves, 656 insert,etc. lies piping 14 outlet _ — 360 Each additional outlet 63 TOTAL COMMFRCIAI. VALUATION: i:\Dat\F'ennit Fomu\MeePemiitApppgl.doc 01103 --. BUILDING PERMIT CITY OF TIGARD PERMIT#• BUP2002-00555 DEVELOPMENT SERVICES DATE ISSUED: 12/30/02 13125 SW Hall Blvd.,Tiqaru. OR 97223 (503) 639-4171 PARCEL: 2S112AB-0030u SITE ADDRESS: 07350 SW LANDMARK LN 130 SUBDIVISION: ZONING: ( H _ BLOCK: —� LOT:_ �____JURISDICTION: TIG - REISSUE: FLOOR APEAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: Sf� N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N. S: E: W: OCCUPANCY GRP: B TOTAL AREA: r sf ROOF CONST: FIRF. RET'? OCCUPANCY LOAD: BASEMENT. c,f AREA SEP. RATED: GARAGE: Sf OCCU SEP. RATED: S f OR: HT: ft BSMT?: MEZZ.7. __ REQD SETBACKS RE_QUIRED_ FLOOR LOAD: Psf LEFT: ft RGHT: _ ft FIR SPKL: �SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP .SCC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING. VALUE: $ 4,000 00 Remarks: Create (1)new restroom in existing production warehouse space. Owner: Contractor: HICKS, PRENTISS C OREGON PACIFIC CONSTRUCTION PO BOX 2303 180 S PACIFIC HWY TIGARD, OR 97223 WOODBURN, OR 97071 Phone: Phone: 503-981-8147 Req #: LIC 37543 _ __FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp Gyp Board Insp IILDI Permit Fee 12/30/02 $81.70 Final Inspection I ;\Xl R'S,Statc Tax 12/30/02 $6.54 Itl i"i'f.NI Pin Re 12/30/02 $53.11 is I S1 FI.S Pln Itv 12/30/02 $32.68 Total $174.03 This permit's issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes end all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is nit started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law rugGires 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 ( 03)-246-6699 or 1-800-332-2344. Issued By: --- Pe n n it tee Signature:— — -- Call 639-4175 by 7 p.m. for in inspertion the next business day Buildina Permit ApOication Receivedliutlding p Date/By: G Permit No.: Planning Approval Other — - City Offigard bate/Hy _ Permit No.: - 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: -- Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method:_ Supplemental Information _ TYPE OF WORK REQUIRED DATA New construction_ _ _Ucmolitloll_ 1 &2 FAMILY DWELLING Addition/alteration/replacement I LJ Other CATEGORY OF CONSTRUCTION Note Permit fees*are based on the total value of the work perlbrmed. Indicate I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)ufal'equipment,materials,labor, Accessory uilding Multi-Family overhead and profit for the work indicated on this 4pplication. B Master Builder -H-Other: Valuation.................... .................................... --._..._ - - - JOB SITE INFORMATION and LOCATION No,of bedrooms:_- No.ofbaths:--_. _ —� LAI Job site address: L.AIV pttit�t Kk Total number of floors..................................... �' — New dwelling arca(sq. R.).............................. --_---- Suite #: _— Bld ./A t.#: Garage/carport area(sq.ft.)............................ ProjcrtName: L;/4 b1 ) Covered porch area(sq. ft.)............................ ----— Cross street/Directions to job site: Deck area(sq. (l.)............................................ Other structure area(sq ft.)................. ........ -- — REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: — Tax map/parcel#: - Note: Permit Pecs'are based on the total value of the work performed. Indicate � �RIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, - overhead and p ofit for the work indicated on this applicationW'000 c�. rt l Valuation...................... ............... ................. S - --- Existing building area(sq.fl.)......................... ---- -- - - - - New building area(sq.fl.).......................... .... _ Number of stories............................. ....... ...... PROPERTY OWNER FM_ TENANT � Type of construction....................................... Name: R,�.eq'r (_(lC�� Occupancygroup(s): Existing: New: _Address: -PC> 13 VX V3�11 3 -- _C_it /y State/Zip: I t rte,A ri I> VQ_ C-I 7 1 Phone: '2_9 �= NOTICE: All contractors and subcontractors are required to be �)2 - tr_' C- Fax: ( - IF.� -- licensed with the Oregon Construction Contractors Board under APPLICANT I LJ CONTACT PERSON provisions of ORS 701 and may be required to be liceosed in the Business Name: _____ jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: --- — - ---- City/State/Zip. -- -- --- ---- Phone: - Fax: ------ - ___ _-_ E-mail: ---- - - BUILDING PERMIT FEES* Pleaserefer to fee schedule. CONTRACTOR ---------- Business Name: CD a(e c 6N PACAPIC CPI l Fccs due upon application............................ 5 Address: 1$() `,. A•u E t City/State/Zip: it) Q t3vR Zt�">' Amount received.......................................... .. Phone: c L,at-$I�{7 FaX: _ Date received: CCB Lik. #: -- — — Authorized Nntice: This permit application expires if a permit Is not obtained within Signature: /L,. _ Date:_ 2 f L g0 days after It has been accepied as complete. CkS *Fee methodology set by Tri-County Building 1whoory Srry Ice hoard. (Please print name) fADstsTermit Fomms\BldgPcrmitApp.doc 01103 Commercial Plan Submittal Requirement Matrix City of'7 igard _.I TYPE OF V UBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 I Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-tire-counter commercial tenant improvements, submit 2. sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i\dsts\forms\CUM-matrix doc 9'24101 40' Ilrr r--20 l 1 no / R 4 w m -n c» W 41) D t rti r !� z / Z0 0 3e3, II z r \ I m i \ I ,e II II II see II Gi , O 7 a LO (n '0iD InC' U Qn, o < 5" Xm m w 3 � m m; �c ro � w � ctic ° � n � cnoR' On - C) mU _ S'oa � � � 3 c ro Mx iv aro a) O CD z ^ o 0 d ro m . TN o co M ca a o rn ro a� CD 3 mcroi 33omwW � m `n = n NJ (D o q 3 a U O ct, C7 _ (n I ° Zt D.D vi cn a (D Z D) o f Li -n CD ;un O ro j C O N ' cu IV) (n O X. N O (� D C O Q ' r je7 ? n o a ; T, OL Q � xcoro � — d Q n cn N O U d C)CL u u, m CDD (Dr� j � O a) r7 (D 0 Oi � n ro P y N Q N • t 01 • • 0 �{•• O • 3 x X z x.. 18" V X W IQ m Cl i m n _ Z, Q i rooOd NZ0c G) -AZ � D m 3 , L O rtvmpw nsom °= cn m � cn ? DO D m m a -- T-2 3/4" m I x � c �n En CL 0 = n 0 cn CD n� CHAP.11 DIV.IV ADAAO i4GURE 29 1997 UNIFORM BUILDING CODE 36 min 18 18 non 36 rnln au ass ns 18 18 �+In .ss ass lav t j s0 EEdoor to p floor to + dear ep flotw space a _ ..................: 48"n 48 min rrlo Wo 42 min 18 leas ass E R dear In sA now epece 60 min lug ADAAG FIGURE 28-BLEAR FLOOR SPACE AT WATER CLOSETS 1-134.48 CHAP.11,DIV.IV 1097 UNIFORM BUILDING CODE ADAAG FIGURE 29 36 min 915 36 min 12 in 12 min 705 305 vD � � A � p Bade wall 54 min 13" R 12 42 min ws 1065 toilet WMA O 11 •. 4 (b) Side wail ADAAG FIOUPE 20—GRAS BARS AT WATER CLOSETS CHAP 1997 UNIFORM BUILDING CODE ADAAO FIGURE 31 ADAAG FIGURE 32 E O► N � 10! CI!lfaf of kM• 8Tf1 cl!lrenf•3 _ min NOth 1430 ADAAG FIGURE 31—LAVATORY CLEARANCES 17m1n 410 r 1 � cNa ro.. W-- 19 max "s 48v mn 1,220 ADAAG FIGURE 32--CLEAR FLOOR SPACE AT LAVATORIES 1-134.53 CITY OF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2002-00671 DEVELOPMENT SERVICES DATE ISSUED: 12/31/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112AB-00300 SITE ADDRESS: 07350 SW LANDMARK LN 130 ZONING: I-H SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of(3)branch circuits in new restroom. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: 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 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 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: '-4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ SVC/FDR—225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor HICKS,PRENTISS C TRIPLE S ELECTRIC PO BOX 23633 3581 7TH STREET T IGARD,OR 9722.3 HUBBARD,OR 97032 Phone: Phone: 503-981-8448 Reg #: LIC 111812 -- --- SUP 4127S FEES 1,1.1 24-349( Description Date Amount Required Inspections ]1i1,PRM'I'] FI.0 1'crnut 12/31/02 $60.15 ---� --�-- ]'1'AX]8%Slaw I 11_ ;1'n? $4.82 Rough-in F Elect'l Final Total $64.97 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 N 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 rth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules pr direct questions to OUNC at(503)X466699 or 800-332-2344 \ Issued By: Permit Signature: 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 –SIGNATURE OF OF SUPR. E�ECX ' -<' �`' 1f 1 __ ____ DATE:__ LICENSE NO: —`--- Call 639-4175 by 7:001)m for an inspection the next business day FOR OFFI'CV t'ISE ONLY _Electrical Permit Application Received ' -lectneal [late/By: /P. Permit No.:Le -a)&71 CityCit of Tigard Planning Approval Sign g DOWDY: Permit No.: 13125 SW Hall Blvd, Plan Review Other Tigard,Oregon 97223 Date/By: Permit No _ Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use pate/By: _ Case No.: Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method, Supplemental["formation. TYPE OF WORK_ PLAN REVIEW Please check all that apply) _N,.-w construction _ _ Demolition 0 Service over 225 amps- health-care facility commercial ❑Ifazardous location Addition/alteration/rcplacemCI)t I El Other: ❑Service over 320 unrps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I &2 family dwellings four or more residential units in 1 &2-Family dwelling Commercial/industrial _ L_J system over 600 volts nominal one structure Accessory guildiny, Multi-Family ❑Building over three stories ❑Feeders,400 amps or more �^ ❑Occupant load over 99 persons Q Manufactured structures of RV park Master BuilderOther: ElI:gress/lighting plan []Other:__ _ - JOB SITE INFORMATION and LOCATION Submit_,sets of plans with any of the above. The above are not applicable to terrrporar3 construction service. Job site address: -731,0 " W 1-A Y14,0 7,0 2_.r_ L/V FEE"SCHEDULE Suite#: 13 U I Bld ./Ap t.#: Number of ins ectlons per permit allowed Project Name: BA M41-c-)Of t Ucscriptlon IUri Fir('a.) frrral New residentlal-single ar musll-farnlly per Cross street/Dlrections to Job site: dwelling unit.Includes attached garage. Service Included: 11110 sq.fl.or less 145.15 4 Lath additional 500 sq.ft.or portion thereof 33.40 1 Limited energy,residential 75.00 2 Subdivision: i Lot#(: Limited energy,non residential 75.00 2 Tax map/parcel #: _— Each manufactured home or modular dwelling DESCPIPTIO14 OF WORK service and/or feeder 90.90 2 Services or feeders-Installation, alteration or relocation:- - -- -- - -- - 2M amps at less 80.30 2 201 amps to 400 ams _ 106.85 _ 2 401 amps to 600 ams 160.60 2 PROPER ,PROPERry OWN1 TENANT _,__ 601 am a to 1000 amps 240.60 2 Over 1000 amps or volts _ 454.65 2 Name: l lr tt(cf t Reconnect only 66.85 2 _Address: '7'3;;o Temporary services or feeders-Installation, alteration.or relocation: City/State/Zti:_ (q A k o 0 rL 617 2'? c t 200 amps or less - 66.85 1 U �c Z�C Fit!(: ';c3 - _Z"?(- l F 4 201 amps to 4tNl amps ,�� 100.30 2 Phone: S 3 12401 to 600 ams 133.75 2 APPLICANT CONTACT PERSON Branch rlrcults-new,alteration,or Name: extension per panel: A Fee for branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit 0,65 2 Cit /State/Zip: �^ B.Fee for branch circuits without purchase of Gi 2 --j service or feeder fee first branch circuit 46.85 Phone: I Fax: _ Each additional branch circuit 6.65 _ 2 E-mail: _ hfisc.(Service at feeder not included): Gach pump or irti !tion circle 53.40 2 Each sin or outline lighting 53.40 2 Job No: Signal circuit(s)or a limited energy panel, Business Name: - S' -alteration, )r extension Pee 2 2 �' r' ' Description: _Address: f -79- Cit /State/Zi : b[�r v Each addilleiml Inspection over the allowable I_n an of the above: Pcr ins ction Pei hour(min. I hour) Phone: 04 qax: �� Investigation fee: _ CCB Lic.#: 1/1 ffill Lic. #. °them Electrical Permit Fees" Supervising electrician V _ SuJFEF. signature required:__ )l� .J� _ Plan Review(25%of PermiS Print Name: X511 r-4 W� L{C.#: �/c 7�� State Surcharge 8%of PermiS .- I TOTAL PERMITS Authorized Notice: This permit application expires If a permit is not obtained within Signature: , Date: 12J31/0 2 180,111'v%afire it has been accepted as complete. •Fee fnethodnlog,i set b3 i r I-('all nt%Building Industry Service Board. Y%(Pl (Y7- (Please ease Ont name) i.\psts\Permit Forms\ElcPermitApp.doc 01/03 fe Electrical Permit Application - City of Tigard Page Z - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor all systems............................................................ $75.00 Cherk Typr of Work Involved: Audio and Stereo Systems* Burglar Alarm ❑ c larage Door Opener* DI leating,Ventilation and Ali Conditioning System* L_1 Vacuum Systems* t)Iher��_,-___ COMMERCIAL WORK ONLY: Feefor ash system.......................................................... $75.00 (SEE OAR 918-260.260) Check type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems L Onto Telecommunication instullation 0 Fire Alarm installation E] IIVAC ElInstrumentation Intercom and fatting Systems Landscape Irrigation Conhol* Medical Nurse Calls 0 Outdoor Landscape I ighting* Protective Signaling F1 Other - Mrmber of Syslcm. * No licenses are required. Licenses are required for all other installations r\Dsts\Permit Forms\17cPennitAppl'g2 doc 01/01 n\ CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00334 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/6/02 PARCEL: 2S 112AB-00300 SITE ADDRESS; 07350 SW LANDMARK LN 130 SZONING: 1-11 UBDIV13ION: BLOCK: LOT: JURISDICTION: "I-IG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .7 EDU incrrase. Previous fixture values were 64, this permit adds 11 for a new total of 75 fixture units. Owner: FEES HICKS, PRENTISS GDescription Date Amount PO BOX 2.'633 -- -- TIGARD, OR 97223 SWUSAI S%krConnect 12/6102 $1,61000 �SWUSAI SwrComicct 12/6/02. $0.00 Phone: Total $1,610.00 Contractor: Prone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so Iocat,�d,the installer shall purchase a "Tap and Side Sewer' Perm Issued by: Ferrnittee Signature:� - Call (503) 09-4175 by 7:00 P.M.for an Inspection needed the next business day Accumulative Sewer Tally Tenant Nar ie: Creative Home Remodeling _ This SW RA 2002-00334 _ Site Ad/,gess: 7350 SW Landmark Ln#130 This PLM# 2002-00472 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Baptisery/Font 4 0 0 0 U 0 _ Bath Tub,'Shower 4 — 0 v 0 0 U 0 -Jacuzzi/Whirlpool 4_ 0 0 0 0 0 Car Wash- Each Stall 6 0 0 i _0 _ 0 0 - Drive through 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 00 0 Drinking Fountain 1 0 —0 0 , 0 0 _ Eye Wash 1 0 0 0 0 0 Floor Drain!Sink- 2 inch---2 0 0 _ 0- 0 — 0 3 inch 5 0 0 0 0 0 -4 inch _6 0 _ Y 0 _ _ 0 0-1- 0 Car Wash Drr 6 0 U 0 U 0 _ Garbage Disposal Domestic(lo 3/4 HP) 16 -- 0 0 0 0 0 Commercial (lo 5 HP) 32 0 0 0 0 0 Industrial(over 5 HP) 48— 0 _0 U _ 0 0 Ice Machine/Rotrigerator Drain 1 — 0 0 0 0 0 Oil Sep(Gas Stat„01`1) 6 0 0 0 0 0 Rec. Vehicle Dump station 16 0 0 U _ 0 0 Shower-Gang (per head) 1 0 0 0 0 0 - - Stall 2 _0 0 0 0 0 Sink- Bar/Lavatory — _2 0 _— 0 1 2 1 2 Bradley _5_ 0 0 1 0 0 0 Commercial 3 0 0 _ 0 0 Service 3 0 _ 0 _ 1_ 3 1 3 _ Swimming Pool Filter 1 _ 0 __ 0 0 _ 0 0 _ Washer- Clothes 6 _ 0 _ 0 0 0 0_ Water Extractor _ _ 6 0 0 _ 0 _ 0 0 Water Closet-Toilet 6 0 0 _ 1 6 1 _ 6 Urinal 6 0 0 0 0 0 Previous EDU Count 4 64 64 Capped EDU Credit 0 TOTALS 0 64 0 0 3 11 3 75 Current Fixture Value 75 divided by 16 = 4.7 Current EDU 1 EDU = $2,300.00 Previous Fixture Value_ 64 divided by 16= _4.0 Previous EDU Change 11 _ divided by 16= 0.7 over (under) $ 1,610.00 Enter EDU Change Herg 0.7i — HISTORY Nr t�5. PLM# 2002-00462 EDU# 4 SWR# 2002.00323 _ --__----_------- Pl_M# _EDU# ---- —'.SWR# -- — PLM# EDU# WR# f Name: (. ( Dater - STnature ofson that calculated this tally sheet and date petlrothed Is required