15660 SW Pacific Highway Suite 1 15660 SW PACIFIC HWY SUITE- 1 ? of 7
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hell Blvd., Tigard,OP 97223 (503)639.4171
BUILDING PERMIT
PERMIT N : BUP6 -0, 1
DATE ISSUED:
PARCEL: 2S110DC-00100
SITE ADDRESS. . . : 15660 SW PACIFIC HWY #1
SUBDIVISION • WILLOW BROOK FARM ZONING:C--G
BLOCK • LOT • 11
REISSUE: FLOOR AREAS- - - EXTERIOR WALL CONSIRUCTION--
CLASS OF WORK. :ALT FIRST • 0 sf N: 5: E: Wi
TYPE OF USE. . . :CIJM SECOND. . . : 0 sf PROTECT OPEN I N(JC? --- - I
TYPE OF CONST. :t;N . . . . 0 sf N: S: E: Wi
OCCUPANCY GRP. :B2 TOTAL------: 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 1 HT: 0 ft GAliAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? : MEZZ READ SETBACKS --- REQUIRED---- --- -- -
FLOOR LOAD • 0 psF LEFT: 0 ft RGHT: N ft FIR SPKL:Y SMOK DEI . . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 4700
Remarks : Fire suppression system - Hollywooe Video
Owner: ---- -- -- - FEES ---
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 50. 50 JSD 04/ 11/96 96-27804`,
FIRE $ 20. 20 JSD 04/11/96 96-278045
WILVONVILLE OR 97070 5PCT $ 2. 53 JSD 04/ 11/96 96-278045
Phone M: 503-570-1600
Contractor: ----- -------- --- - -- --- ---- ---- ---- -
GRINNELL FIRE PROTECTION
GRINNELL CORP
2870 NW 29TH AVE
PORTLAND OR 97210 ---- -
Phone M: 503-223-1525 f 73. 23 TOTAL
Req N. . : 063205
--- REQUIRED INSPECTIONS -This mint is issued subject to the regulations contained in the F oral Inspection
Tigard Municipal Code, Stat. of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This peruit will expire if work is not started
within I1* days of issuance, or if work is suspended for sore
than 1B! days.
Permittee Sign.at 'tr:' : _
Issued By :
Call for inspection - 639-4175
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• -
1 ,
\j / a, GPSode- (,-. PLANCK# C/76:5C Date: C-''-'' //-9(-
• AFPt1GATr6N FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
-t /s,,('7( c'rc,t
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DATE: _ PERMIT * `•}t 9C/, �
_ Valuation: -hrt •
Amt. Paid: S LFermit Fee: `>GA '
40% Plan Check Fee: <i'•2't
Balance Due: 5% State Tax: F'•S 3
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:
26-
Complete: 7C Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING: 7< IN NEW BUILDING:
NUMBER & STREET: / 5-C.0 a O S' IrH,_, F/ L 1/wY i
City
V
City , NAME OF BUILDING or BUSINESS: �I°LA._ wc.d C 0 E
'Jo. OF STORIES: ( _SIZE or BUILDING: OCCUPIED AS: 2 aTAS L_
TYPE OF SYSTEMS: Wet: / Pry: _Combination:___
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1_ 2,/ ,,. 3_4_Extra
DENSITY . Z_ GPM/Ft2 DESIGN AREA / 5 VV ft2 SPRINKLER AREA /SO ft2
SPRINKLER ORIFICE SIZE: VE "K" FACTOR C lv TEMP. RATING /loS
OWNEP: JA•►-.-��. ADDRESS:
CONTRACTOR:
PLAN, DRAWN BY: Gl.PPS ADDRESS: Z B 7cD NJ (--/ 2- tE
REMARKS: 1 e..Nh..a-r (,3c 0—It- Al" 1 % (,tkazA V 2. p-.C•v,l..Or
APPROVED permits includes only work described above and/or on plans and specification bearing the same
ermit number ' d wil4g
l_ mply with all applicable codes and ordinances of the City of Tigard. 1
1
iY:PRINKLER-CO PANC;IZ__V N` J E LA—. PHONE: ?- — I SLS
��Sr� fs..vt l C--1—
SIGNATURE OF APPLICANT: � �—
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
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•
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT M: ELC96-0349
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/04/96
13125 SW Hal Bbd.Tigard,Oregon 97223.5199 (!-03)539-4171
PARCEL: 2S1 10DC-00200
SITE ADDRESS. . . : 15660 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING:C-G
BLOCK LOT : 1 1
Pro.jict Description: Ins+.Fling one sign or outl ,ne lighting for the west end of
Hollywood Video.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----
1000 SF OR LESS • 0 0 - 200 amp : 0 PLIMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 -. 411'0 amp • 0 SIGN/OUT LINE LTG. . : 1
LIMITED ENERGY : 0 401 - 600 amp • 0 SIGNAL/PANEL • 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- - ---BRANCH CIRCUITS-------- ----ADD' L INSPECTIONS---
0 - 200 amp • 0 W/SERVICE OR FEEDEC: 0 PER INSPECTION : 0
201 - 400 amp • 0 1st W/O SRVC OR FDR. : 0 PER HOUR : 0
401 - 600 amp • 0 EA ADD' L BUNCH CIRC: 0 IN PLANT : 0
601 - 1000 amp • 0 - PLAN REVIEW SECTION
1000+ amp/volt • 0 ) =4 RES UNITS • ) 60121 VOLT NOMINAL. . :
Reconnect only • 0 SVC/FDR ) 2e 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ----- ----- ------ - FEES
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 40. 00 CJS 06/04/96 96-280178
5PCT $ 2. 00 CJS 06/04/96 96-280178
W1LVUNVILLE OR 97070
Phone NI 503-570-1600
Contractors ---------
PROSIGN INC t 42. 00 TOTAL
PO BOX 1354
REQUIRED INSPICTIONS
CLACKAMAS OR 97015 Wall Cover Elect' i Final
Phone 0: 656-1354 E_lect' 1 Service __..
Reg L . 079230
This pe►uit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started /
within lee days of issuance, or if work is suspended for gore ya�y .J!�e,, . miry
than 188 days. Issued By
---- - -- - -----------OWNER INSTALLATION ONLY-
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' 5 SIUNAIURE: DATE:
----- - -CONTRACTOR INSTALLATION ONLY - ---
SIGNATURE OF SUPR. ELEC' N: tv' r•�p�,' ��fp�c ___, DATE, G-q- 9
LICENSE NO:
//.
Call for inspection - 639--4175
•- -- -- -
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # ELC%-O3 ?
,.. Date Issued C y. 9L-
4, _—
,i Phone (503) 639-4171
CITY OF TIC ARD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: J // 4. Complete Fee Schedule Belkrw:
Name of Developments ,
, L✓ckX // c 1 Number of Inspections per permit allowed
Address 36(,C) �L✓ Ati‘ Service included items Cost(ea) Sum
.5.City/State/Zip_ 97,V3 4a. Res;oential •per unit 4
�+ / �� /r. 1000 sq ft or les. 1 t 1000 ____
Name (or name of business) �'trISf tkJd ( o4 � Each additional 500 aq ft or —
portion!Mmol 125 u0
Commercial Residential ri Lamed Energy $25 oo ____
Each Menurd Home or Modular
Dwelling Service or Feeder __ lee 00 —_ 2
2a. Contractor installation only:
4b. Services or Feeders
IIInstallation alteration or relocation 2
Electrical Contractor ...4 • Nom_ 200 amps or less _ 15000 —
Address / ' • iA / 201.rite.to 400 amp. __ tiso cio2— 2
1120 0(r _
City Stet Ip s 401 amps to 600 amps
_ $15000 2
601 amps to 1000 amps 2
Phone o._ . -. __ over 1000 amps or volts $340 00
Job NO. e 2/Iii Reconnect only __ $5000 2
contractor's license NO -415 CL..‹._ 4c. Temporary Services or Feeders
Contractor's Board Reg. No. ?i t1 installation alteration or relocetron
Signature of Supra Elders 700 imps or less -- f
hone No (• -�j�2 201 amps to 400 amps _
$50 0J 2
License N1. 401 amps to 600 snips 175 Jo
Over 600 amps to 1000 volts 11017 00
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name New.alteration or extension per pane
Address al The lee for branch exacts with 2
City State Zip prnrlraae of servicea reader M ---
Fsr.h branch circuit 1500withoutPhone No. to The fee for branch clrsulta without
purchase of service or feeder fee 2
The installation Is being made on property I own which is Frrat branch circuit $35 00 2
not intended for sale. lease or rent. _Faachh addilonet brbrncr„rrcur: $5 00
Owner's Signature4e. IlltfsttlelTat)eoTi4°✓
(Service or feeder not included) 2
Each pump or irrigation cidt 140 On 7
3. Plan Review se-lion (If required): Each sigh or rotund lighting " $45 00 'fD 7
Signal circuit(rl or a united energy
Please check appropriate Item and enter fee In section SR. panel alteration or extension __ 14000
4 or more residential units in one structure Minor Labels(101 $10000
__________ feeder ..
__Service and feeder 225 amps or more
__System over 800 volts nominal 4f. Each addi.ror al Inspection over
_ Classified area or structure containing special occupancy the allowable In any of the above
as described in N E C Chapter 3 Per inspection __. 13600
Par hour _ $55 00
In Plant _ 155 00 _..
Submit 2 sets of plans with appl'catlon where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $
NOTICE 5% Surcharge (OS X total feed( _ pal
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S
AUTHORIZED IS NOT COMMENCED WITHIN 180 GAYS. OR IF Sb. Enter 25%of line A for
CONS–RUCTION 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 we rIkrewndeinsape L l Trust Account I
Fri rw
Balance Due $ °_'
CITY OF TIGARD PERMITT*: ELC96 0348
COMMUNITY DEVELOPMENT DEPAR TMENT DATE ISSUED: 06/04/96
13125 SW Hall Blvd.Tigard,Orpon 07223.1100 (503)530-4171
PARCEL: 25110DC-00200
SITE ADDRESS. . . : 15660 SW PAC F- I C 1441
SUBDIVISION. . . . : WILLOW BROOK FARM ZONINGsC-G
BLOCK LOT. . . • 11
Project Description : Installing one sign or outline lighting for the south end
of Hollywood Video.
---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS--- ---- -MISCELLANEOUS---------
1000 SF OR LESS • 0 0 - 200 amp : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp • 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY : 0 401 - 600 amp • 0 SIGNAL/PANEL : 1
MANE. '-IM/ SVC/FDR. .: 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) : 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- --ADD' L INSPECTIONS---
0 - 400 amp • 0 W/SERVICE OR FEEDER: 0 PER INSPECTION : 0
201 - 400 amp • 0 1st W/O SRVC OR FDR. : 0 PER HOUR s 0
401 600 amp • 0 EA ADD' L NRNCH CIRC . 0 . ' PLANT : 0
601 - 1000 amp : 0 --- PLAN REVIEW SECTION - -
1000+ amp/volt : ZI > =4 RES UNITS : > 600 VOLT NOMINAL . . :
Reconnect only : 0 SVC/FDR ) .R 225 AMPS. . : CLASS AREA/SPCC ULC.:
Owner: ----- --- ___----- ----- --- FEES -- _
HOLLYWOOD ENTERTAINMENT type amount by date recpt
45600 SW PARKWAY CENTER PRMT $ 40. 00 CJS 06/04/96 96---280177
5PCT $ x. 00 CJS 06/04/96 96-2801 /7
WILVONVILLE OR 97070
Phone M: 503-570-1600
Contractor: - --- --- ---- --- - - ---- -PROSI GN INC $ 42. 00 I OT AL
PO BOX 1354
--------- REQUIRED INSPECTIONS ------ -
CLACKAMAS OR 97015 Wall Cover Elect' 1 Final
Phone Me 656-1354 Elect' 1 Service _-
Req a. . s 079230
This peruit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
applicable laws. All wo•-': will be done in accordance with
approved plans. This pernf will ispire if work is not started /
within 181 days of issuance, or if work is suspended for lore
than IN days. I s sued t_ly
OWNER INSTALLATION ONLY--
The installation is being made on property I own which is not intended for
sale, lease, op• rent .
OWNER' S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY-- --- - -
SIGNATURE OF SUPR. ELEC' N: 6/; l)AT F: 6-• - (14-
LICENSE NO:
Call for inspection - 639-4175
r.
I
I
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit # fic:16-034
Date Issued C- y- 9E.
.J.!.'. Phone (503) 639-4171
�' FAX (503) 684-7297
CITY OF TIOARD TDD No (503) 684-2772
Inspection '503) 639-4175
1. Job Address: �� / 1 4. Complete Fes Schedule Below:
Name of Develop/m/entt,��+' 4%Ifc U [) Number of Inspections per permit allowed
Address �._'S( („� Sl./ Azt,Ac_ c✓ Service included Items Cost(ea) Sum
City/State/Zip )#r,n / 9 at 4a. Residential per unit
1000 sq ft or le., 511000 4
Name (or name la siness)_1 27 {jlecleci Each additional 500 sq ft or
portion thereof 325 00
Commercial Residential [i Limited Energy -_ $2500 I
Each Manurd Horns or Modular
Dwelling Service or Feeder __ 3153 00 __ 2
2a. Contractor installation only:
4b. Services or Feeders
/�•�_^. inslallallon Mershon or relocation
Electrical Contractor ✓. -1c..- b or amps less __ $40 00 _ 2
Address 3 � je 201 amps to 400 amps -- no 00 —._-
City Stale L//C Zip $e2 401 amps to GOO amp. 112000 2
501 amps to 1000 amps 51150 00 2
Phone No. - .2 over 1000 imps or volts --- 5540 00 2
Job NO. 31L, Reconr ''only $50 00 2
contractor's license NO — (-_,LS. 4c. Temporary Services or Feeders
Contractor's Board Reg No Inelallation alteration nr relocation
Signature of Supr Elec'n 200 amps ,,lass --_ 2
l License No hone o �,5� Al."-, 401 ps to 600 amps
00
55,55 -- _ 2
Over 600 amps to 1000 volts 5100 00
2b. For owner installations: see"b' above
Print Owners Name 4d. Branch Circuits
_.-- — New alteration or extension per par.
Address al The foe for branch circuits wfM
State Zip2
City
- _ ---- purchase or son**a►feeder M
Each branch circuit $5 f i
Phone NO. bi The fee for branch circuits without
The installation is being made on property I own which is ',wefts,of service or teedsr he 2
',wefts,
First branch crcult $35 0 2
not intended for sale, lease or rent —Each Tonal M n rrtue5s a
Aft
Owner's Signature _ is. aniccellllaaneo s �
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or Irrigation Orel* , i40 OU 2
Each sign or outline lighting ✓ $40 00 *4()UV
Signal crcultist or a rmlted energy 7 2
Please check appropriate item and enter fee In section SB. panel alteration or extension $40 00
4 or more residential units in one structure Mirror 1.abets(101 1100 00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 PM inspection __ 5115 00
Per hour $55 00
In Plant 1155 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
8a. Enter total of above fees
NOTICE 5%Surcharge (05 X total fees) Sr '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF Sb. Enter ?5% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Revbw if required (Sec 3) $
___
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
Subtotal --$ ______
COMMENCED ..T.•.."—• I I Trust Account 0
$
nm,m
Balance Due 1t $4.2oc)
s, a
i
ELECTRICAL PERMIT
CITY OF
TERMIT N: ELC96-0347
DATE ISSUED: 06/04/96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW HaN Blvd.Tigard.Oregon 97223.6199 (503)639.4171 PARCEL: 251 10DC-00200
SITE ADDRESS. . . : 1.3660 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZON'.NG:C- G
BLOCK t LOT • 11
Project Description : One sign or outline lighting
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS-----•- --MISCELLANEOUS--
1000 SF OR LESS. . . . : 0 0 - 200 amp • 0 PUMP/IRRIGATION : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp : 0 SIGN/OUT LINE LTG. . : 1
LIMITED ENERGY • 0 401 - 600 amp • 0 SIGNAL/PANEL • 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1001' volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- -- --BRANCH CIRCUITS----- ----ADD' L INSPECTIONS----
0 - 200 amp • 0 W/SERVICE OR FEEDER: 0 PER INSPECTIOII • 0
201 -- 400 .'mp • 0 1st W/O SRVC OR FDR. : 0 PER HOUR : 0
401 - 600 amp : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT : 0
601 - 1000 amp : 0 - -•--- ---PLPN REVIEW SECTION-
1000+
ECTION-1000+ amp/volt • 0 )1514 RES UNITS : ) 600 VOLT NOMINAL. . :
Reconnect only • 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPE( OCC. :
Owner: --- _.---____.____._ ____.---___-- FEES ---- -----
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 40. 00 CJS 06/04/96 96-280176
5PCT $ 2. 00 CJS 06/04/96 96-280176
WILVONVILLE OR 97070
Phone $: 503-570--1600
Contractor: --- - _. -- ----
PROS I GN INC f 42. 00 TOTAL
PO BOX 1354
REQUIRED INSPECTIONS -- - ------
CLACKAMAS OR 97015 Wall Cover Elect' 1 Final
Phone N: 656-1354 Elect' 1 Service
Reg N. . : 079230
This persit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Sig, a` ure
applicable laws. All work will be done in accordance w.th
approved plans. This perait will expire if work is not started ,
within 181 days of Issuance, or if work is suspended for sore Clar 'r.. r, �t" _
than 181 days. Issued By
--- - -OWNER INSIHI_LATION ONLY -The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: _ � DATE:
---- --- CONTRACTOR INSTALLATION ONLY-- - - --
SIGNATURE OF SUPR. ELEC' N: Oil C4p))arnJI1i _. DATE: C ci- 96.
LICENSE NO:
Call for inspection - 639--4175
Community Development ELECTRICAL PERMIT APPLICATION
411, 13125 SW Hall Blvd.
Tigard, OR 97223 Permit # FLCgb -03(47
Date Issued F-3- 9G _
,�ll Phone (503) 639-4171
" FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: �i -// �� / 4. Complete Fee Schedule Below:
Narne of Development �/lyu/ciX/ a slumber of Inspections per permit allowSJ
Address_1_ J •7. - Service included Items Cost(ea) Sum r
City/State/Zip • A r 573_ 4a. Residential -per unit
1000 sq ft or less 311000 4
Each additional 500 sq ft or
Name (or name o •usiness)// /LiL r (//A+IL port thereof — $25 00 —_.
Limited Energy — 825 00 '
Commercial sidential ❑ -- --
-- Each Manurd Horne or Modular
Dwelling Service or Feeler -- 2
2a. Contractor installation only:
4b. Servlan or Feeders
Installation.alteration or,elocil or'
Electrical Contractor (+e ��� ti —_ 700 amps or leu $eo 00 2
Address__ /0* ear 201 amps to 400 amps -- s80 00 2
401 amps to 500 amps $120 00
City__ /'. •. S - e �C Zip A.p 601 --- sox)co `_ 2
�— amps to 1000 amp. _ _
Phone Ni,. �-�'�Yf2 Over 1000 amps or voila ---- $34900 -- --- 2
Job NO .tZ Reconnect only __ _ $50 00 -_ 2
contractor's license NO•_.—„,,,,,..._� - 4c. Temporary Services or Feeders
Contractor's Board Reg No. . 'I LI ElkrA/, �_ Installation alteration or relocation 2
Signature of Suer. Elec'n ��"^ 200 amps o less _ _
201 amps to 400 amps 850 00 2
License No .. ' "eh 'hone No 401 amps to Boo amps ars 00 — 2
Over 500 amps In 1000 volts 8100 00 ----------—
2b. For owner installations: see"h"above
4d. Branch Circuits
Print Owner's Name ___. New,Mershon or ewtenslon per pane
Address — _____ el The fee for Manch circuits ait h
City State__ 7
purchase of service or fads,M
ZIP— -- Foch branch circus $500 —
Phone No. _ __ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee 2Fast branch circuit $35 00 2
not intended for sale, lease or rent --
edd/n,lonal Drano circuit $5 00 —^ •
-
Owner a Signature _-- — -- 4e. Mlswti -- --
(Service or feeder not included) 2
Each pump a intention tack $4000 2
3. Plan Review Section (if required): Each s �'
Ips or outline lighting - 810 00 ;0--
goal acute')or 5 limned energy 2
Please check appropriate item and enter fee In section 58. panes.anMMlo, or artension 84000 — —
4 or more residential units in one structure Minor l abek 110) __. 8100 00 __—_—
Service and feeder 225 amps or more
_—System over 600 volts nominal 4f. Each additional Inspection over
—Classified area or structure containing spacial occupancy theallowable In any of the above
as described In N E C Chapter 5 Par Inspection 819 00 -
Per hour $55 00
--
In Plant $55 00 ----
Submit 2 sets of plans with application where any of the above
apply Not required for temporary construction services. 5. Fees:
NOTICE Si. Enter total of above fees $
S%Surcharge (05 X total fees) $
Subtotal s
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sb. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF ISO DAYS AT ANY TIME AFTER WORK IS
COMMENCED ...eMTln6sbe C I Trust Account I
$
Balance Dud $ __
a
14.44
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—• .- . __ --.— ______..__.___ .__. ,.. __. ___ ____..W.r. ___ _ _._---,,-----_—.. ..,:
MAY-24-96 FRi 8: 16 PHILLIPS ELECTRONICS FAX NO. 5032224457 P. 01
1 ,5((00 i4 <- j4
-r - 1
U▪ NOL AR a
P IM ALARM
p ILLIPs
E ONO).MC. ,
UT.102
t 110 NW FLANDERS STREET PORTLAND,OREGON 97209 (503)227-0571
FAX
DATE :___ -3 -2`t_H -- - -
DELIVFR TO:
FROM: --�.- ---- - - - ---
TOTAL NUMBER OF PAGES, INCLUDING COVER LETTER:_
URGENT DELIVERY PLEASE :
IF ALL PAGES ARE NOT RECEIVED, PLEASE NOTIFY SENDER AT ( 503) 227-0571
or FAX• (503) 222-4457.
MESSAGE :
•
—_oft_...�
MAY-24-96 F' 1 8: 17 PHILLIPS ELECTRONICS FAX NO, 5032224457 P. 02
PHILLIPS ELECTRONICS INC.
1111 NW FLANDERS
PORTLAND ON 97219
NSI 23-752 'HOARD PROENA E-PLDO AFIRE
15661 SW PALL IC IAWY
TISARD OR 91221
LI TYPE 3UPEAVISED
P5/24/96 FROM 15/23/% T11I11 15/23/96 PADE 1
DATE. DAY TIME. /N/OP AFTIVITY AUTHORIZED DEM
05/23 TNI1 16:43 A11 Pf TIMER TEST/SR/FIR
11:15 PM IJL RECD CALL
COVENT JIM PD*1Q{ 1325 11/PEI
COMMENT SVC FOR 2 IRS
COMMENT TEST:ALL PRI 52396 1515
11:15 PM M. PLACE ON TEST CAT: I
11:13 PM T2 TOW
11:13 PM R2 RESTORE
11:11 PN 2 FIRE
11:18 PM R2 RESTORE
11:26 PM 3 FIRE
11:26 PM R3 RISME
11:26 PM 2 FIRE
11:26 PN R2 RESTORE
01134 PM LAS WE'D CALL
COMMENT JIM ADV CLEAR TEST
11:34 PM LAI CLEAR TEST
11:34 PM LAB WI IESTOK *MD
11:45 PM 3 FIRE
11:45 PM P FIRE A
11:65 PM 13 RESTORE
11:45 PM R2 RESIOP:
11:46 PM NCP RECD CALL
COMMENT JIM MVO W/ PEI SVC
COMMENT DEPT ADV PUT IN TEST
COMMENT N1 ABRIN FOR 1 NR.
COMMIT 1325 BIVEIL
COMMENT TEST:Al PRI 52396 1447
11:47 PM ICD PUCE ON TEST CAT: 1
11:47 PM MTP poi FULL CLEAR ::
11:47 PM ICP CLR AESTII . NEEDED
/2:116 PM LAS RFC'D 1311
COMMENT JIM FOR RESULTS Ri DOH:
12:16 PM LAS CIFAR TEST
•
Alk CITY OF TIGARD
DEVELOPMENT SERVICES
4 _ . • 1125 SW►W Md.,T 'd,OR!rm ( )639-4111
CERT IF ICATE OF
OCCUPANCY
PE RM I T M s BUP96 -00t 1
DATE ISSUED, 03.':2/96
PHRCFL r 1 I SDC -00100
SITE ADDRESS. . . : 15660 SW PACIFIC HWr 01
SUBDIVISION. . . . : WILLOW PROOK FARM 7ONINGsC-C
BLOCK s LOT sll
• CLASS OF WORK. SALT
TYPE OF USI- . . s C CIM
TYPE OF CONSTR:SN
OCCUPANCY GRP. s Et2
OCCUPANCY LOAD: 226
TENANT NAME. . . s HOLL YWOOV '1 I DE O
Reearks : Tenant Improvement Hollywood Video ,
Owners --- - - - _ _ ._ . .
HOLLYWOOD ENTERTAINMENT
25400 SW PARKWAY CENTER
WILVONVILLE OR 17070
Phone Ms 503-570- 1600
Contractors -- - ' - --- ------ - .
TCS, INC.
TENANT CONSTRUCTION SERVICED INC
12041 NE ERIN WAY
PORTLAND OR 172c'0
Phone Of 234 3008
Rig 0, . : 5n 1 6::
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been insoected for compliance with
the State of Orgon !parte♦ Ity Codes for the group, Lrupanr , and use under
._hic referenced
e_renc ed rail was t , ,ued. ,
I 1 v
-
;
BUILDING INSPfC OR BUILD 7 OrrTCl.,
POST IN CONSPICUOUS PLACE
4
1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inc-?ceion l me 639-4175 Business Phi ,le 639-4171
Footing i-3mn Drain Cover/Serwe FINAL
Foundation dater Line Ceiling •Plumb
Pos,' P,'rch Shear/Sheath Framing -Mech
Plbg Und'FI,/Slab Plbg Top Out Insulation
Pos✓rleam Struct Mech Rough-in Gyp Bd -Bldg
San Sewer Gas Line Appr/Sdwlk Reins
Other __
L / S 1
Date ' A M PM Entry
Add4A4' H '
Tenant/64 14104-d(I/'�4"__ Ste I MST
BUP
Con/Own is)-4- 3( MEC
� /; PLM
LA) E4--rvu _C_ PLC 457t 4/64
THE FOLLOWING CORRECTIONS AGC REQUIRED ELR
Ile 4,' 0-_,01 ___
en---,--- --f
i...-i_... tor.
cri,fey__ , 1
/ /e'er f ('--—Cis f/ •+ „ r
•
e / t „ 6gi, er /Q,_ 2�L q ,
.,-_.
74-4 :IL.ir__ 4-'7) a.....) —lid/7
.f
y d.--t s -- - - --
Inspector liic - III .' Date
XAPPROVED —DISAPPROVED/CALL FOR REINSP— CF CO j
-1755,Z.
r
CITY OF TIGARD ELECTRICAL PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
13125 SW Hai Blvd.Tigard.Oregon 07223.1199 (503)539-1171
PERMIT M s EL R96-0144
DATE ISSUED: 05/09/96
PARCEL: 2S110DC-00200
S I Z E ADDRE 3', : 15660 SW PACIFIC HWY 01
SUBDIVI ;ION : WILLOW BROOK FARM ZONING:C-G
BLOCK : LOT : 11
Project Description : Installing burglar alarm
A. RESIDENTIAL 8. COMMERCIAL
AUDIO & STERLU. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . , BOILER s LANDSCAPE/ IRRIGAT. . :
GARAGE OPENER. . . . : CLOCK a MEDICAL
HVAL : DATA/TELE COMM. . , NURSE CALLS
VACUUM SYSTEM FIRE ALARM s OUTDOOR LANDSC LITE:
OTHER: i t HVAC t PROTECTIVE SIGNAL. . :
INSTRUMENTATION : OTHER. . :BURGLAR : :X
TOTAL 0 OF SYSTEMS: 1
Owner: -- - -- - -- --- -- - FEES -
HOLLYWOOD ENTERTAINMENT type amount by date recpt
,25600 SW PARKWAY CENTER PRMT $ 40. 00 B 05/09/96 96-279199
5PCT f 2. 00 B 05/09/96 96-279199
WIL.VUNVILLL OR 97070
Phone tl: 503-570-1600
Contractor: - --- --- - --- -----
MORRI3ON d ASSOCIATES t 4c. 00 TOTAL
1115 SE MORRISON
--- ---- REUU I RED INSPECT INSPECTIONS -------
POR TLOND OR 97214 Leiliny Cover Elect' 1 Service
Phone Os 503-239-9861 Wall Cover Elect' 1 Final
Reg S. . s 63715
Thi. peruit is issued subject to the regulations contained in the
Tigar1 Municipal Lode, State of Ore. Specialty Codes and all other Perm e gnat u r e
applicable laws. Ai? work will be don, in accordance with
approved plans. This perait wili empire if work is not started `
within 181 days of issuance, or if work is suspended for lore
thin IN days. Issued By
----- - OWNER INSTALLATION ONLY----The installation installation is being made on property I own which is not intended for
sale, lease, or rent .
OWNER' S SIGNAIURL :
�..----• ---v.._� DATE:
---- CONTRACTOR INSTALLATION ONLY - -•-
7 •
';11,NATOW OF SUPR. ELEC' N tK-- -�"� - _ __ DATE: lc 5- 9- 76__
LICENSE NO:
Call for inspection — 639-41 /!'.
■
1
A Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT# EL R -1r/—0/"►14
Tigard,OR 97223
Phone(503)639-4171
s .A I_. FAX(503)684-7297 DATE ISSUED S—
/' - V
TDD No. (503)684-2772 f
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY 6 r 1/�I1I�I.U4k$4L.'`_
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION Val
�^ , 4. TYPE OF WORK
___1W A
Addre RESIDENTIAL—Restricted Energy Fee SALMI
:I r • _1Z2/ (FOR ALL SYSTEMS)
City -tate hp Chdeck Tvoe of Work Iuvolvad:
r'FRMIrS ARF N(IN IKANSI!RAIILE AND NON RIFUNI)ARLE AND ExPIRF IF WORK 0 Audio and Stereo Systems
IS Nr)T VARY I D WITHIN I AO DAYS(1F ISS)UN(I()R If W(IRK IS'APO NOD)Fr di
1R(1 DAYS 0 Burglar Alarm
❑ Garage Door Opener•
2. CONTRACTOR APPLICATION
0 Heating,Ventilation and Air Conditioning System•
Contra(tor
4lAsy6 44, I1pi, Alcor 0 Vacuum Systems'
O Other
Address hi �.I
-- --------------
kead
f >
DateMI ivi,(e COMMERCIAL—Fee for each system 1411011
q_i_
y . ) (SEE OAR 91 R-260-260)
Property f Ewner 4sd�Ofiil. _40.31/ til(� irt�of Wo(SF I LAR 91
Contractor's Board Reg No _ 37 143 0 Audio and Stereo Systems
DJT1 0 Boiler Controls
Phone 0 0.k Systems
3. OWNER APPLICATION 0 Data Telecommunication Installations
0 Fire Aiarm Installation
O HVAC.
Print Owner's Name Phone No
0 Instrumentation
IAddress — — 0 Intercom and Paging Systems
❑ I andscape Irrigation Control'
City Stale lip 0 Medical
This permit is issued miller(LAR 91 r 120.170 This algfir ant agrees to malt,.only ❑ Nurse Calls
mlri ted energy installations 11(51 silt amps nr Inst under thus Irrmn and to An the 0 Outdoor I ands(ape I ighting•
fnNrtwrng
1 (Ally use elei to al lie sensed vermins to do installabiins wherereriuirwl it edam Protective Signaling J) j��
residential and other(Noma(lions are exempt from!Renting Thew have 7c Other- dflAi�/)[-1--- —
asterisiiscei All others nerd ho ensingl
2 (AN for an trope( when all of the installations under this permit are ready
for impel tem at 50:A639-417i f
Number of Systems
I Purr-hase separate permits for all installations that are not ready for msfer bon
when the myrr tor is out to invert tinder this permit •No IM rnYt are ferpiiifert I s ens are rerpafed Int AN other irMalialk,ns
4 Assume respiinsihihty for assuring that all r°nnitons required by the inspector
are done.and
S Aswimr responsibility for tatting for a final nspnlion when all of the S. FEES
corm(tions are r ompleted
The person signing for this permit most he the applicant or a pc rson a. Enter Fees $ 1/0, W
aid on7ed to hind r • r41IP ilildlAti /fin
h. 5% Surcharge(.05 x total above) S 2,6
ature TOTAL S42.._62
_
Authority it other than appfi(ant --- .
FNERGAP.CHP
,. j
Yr. .0
•
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Pet UPIHN I URL
CITY OF TIGARD PET M
DATEIISSUED: 05/@I3/966-0084
- COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 25110DC-00200
S I 1 F.31WI 'f•tt llt. .T gfd• 4Rr1stmmo)re-NAY el
SUBDIVISION • WILLOW BROOK FARM ZONING: C-G
BLOCK LO I • 1 1 •
CLASS OF WORK. . :AL' FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . sC.OM UNIT HEATERS. . : 0 VENT FANS. . . : 11
OCCUPANCY GRP. . :B2 VENTS W/O ADPL: 0 VENT SYSTEMS: 1
STORIES s 1 BOILERS/COMPRESSORS HOODS e 0
FUEL TYPES--- -- 0--3 HP. . . . : 0 DOMES. INCIN: 0
: /ELE/C / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVESe 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS : 0
NO. OF UNITES AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 (= 10000 cfae 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 ) 10000 cfae 0
Remark-, : Tenant Improvement Hollywood Video
Owner: - FEES
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 47. 50 8 05/08/96 96-279121
PLCK $ 11. 88 H 05/08/96 96- 279121
WILVONVILLE OR 97070 `JPCT $ 2. 38 B 05/08/96 96-279121
Phone *: 503-510-1600
Contractor: -- - --
MCCALL HEATING & COOLING CO
1650 NE LOMBARD
PORTLAND OR 97211 ----
Phone $1: 503-231-3311 1 61. 76 TOTAL
Req *. . : 102030
-- REQUIRED INSPECTIONS
I
This persit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This persit will expire if work is not started Final Inspection
within 18$ days of issuance, or if work is suspended for sore
than ISO days.
Permittee cel at
Issued By : u .
Call for inspection -- 639-4175
�, PF /- u 110 I. t k• raffle, VC; 1 1 Z Ir( ..
City of Tigard / , ``IMECO-1,' PERMIT Planck/Rec. # 9-/ti'/
13125 SW Hall Blvd. APPLICATION Permit # IV i'`
Tigard, OR 97223 .194.1"44/-
(503) 63'1-41 .71 v " gyp vi)LA %mut el i 4 �r �OA 11 tit (�' `ra�� 1 1'�'fZ0�1/�
--..T r , . on
(! Pc .' ��G``���� o
P)¢ l�►7�NL 1A
ADTable 3A dunial Code CITY PRICE MAT
l/l`� G
.1.12f g . y p 4�u I 1) Permit Fee o 0 10.00
Aderess _,
'T'l l -(i4 / / 2.2-4- 2) Supplemental Permit 3.00
�„�.. --
'
Noon«�.•• Furnace b 100.000 BTU
1) ind.dugs&vents 6.00
iiie,e}..:.r tom--- Furnace 100,000 B i U.
Ownor 2) indvetts 7,5(
'Z'a•+ E. Floor Fumanaa
3) incl. vent 6.01
H•••r«,...a 1....«.1 Suspended heater.wall heatar
as /01 t)►.- �o `� 4) or floor mounted heeler 6.00
- «. /� ,, Vent not rid.in
C,ccupalit sly tI4ki#JAK 6.fi 1� 5) appflance permit 3.t 0
44/.« - Riper of heating.ruing.
VI cN°1 N it.i 0/2 �0 1 l? 6) cooling,abaaption unit )0
EA
43oder or oomp,heat pump,air cond.
IL.HOIti nx � G 7) to 3 HP ebsorp unit b 100K BTU 6.D0 Boder oe cornpW—pump,err cond.
1(010 J - L o, .6PY 4) Z;I- ) II 8) 3.15 HP abiarp unit to 500K BTU ('N/G) 1100 -••
Contractor rte" Soder Boder or can lost pump,air cond
fa -1) , Or— ,.1 1 9) 1530 HP absorp unit.5.1 ma BTU 11,00
s..1c.a«.. As l lquurDoT o. cane hunt pump,ar cond.
i I 0 ZD 3 p s�4�j abeam 30-50 HP absounit 1.1.75 ma BTU 2:.50
hooky I acknowledge that I have read this application,tf t w—_..._. Boder or o,mpemit pump,air cond.
Information given is conch,that I an the awner or suthaved agent 11) >50 HP*burr, writ 1 75 mil BTU 3 .50
of the owner,that clans submitted aro In oompianoe with Star AM handling unit to ~ ► I
laws.that I am regisr,ed with the Construction Contrecarrs Board, 12) 10,000 CFM oi.50
that the number given Is correct Of exempt tra i Stale registration. —'—'V rg urn
please give reason below.) 13) 10,000 C 11.1, '.50
—man —
(4) evaporate cooler 1.50
—" — Vent!a.oonnocg3
15) to a single dud r l.00
Ventilation system not I t
�} i6) included in*potence permit 1.S0
40.11-7A----1:- « /home('�. /11 y V Hood served by
17) mechanical exhaust 4.50
Desa work new Q arid'itan 1) "ITteraeon re, 'vt� Commerarh or industrial — 4
m1 1
to be done residential 0 non-nsidendale 18) typo kxinrrabr 3( 00
Existing use of — Other 1.e.,wrx.lsbw,water - ----
building
building or property Il);1'il I L—. 19) heater,sdr.dollies dryers,etc. a SO
Proposed use of 20) Gas piping one to four audits ( _
/v/GJ 2 00 e.
.-
building or property V E 1 A t tom. —
21) More than 4-per chalet
Type of fuel -oa 0 natural gas 0 LPG C) electric 0 -
NOTICE
Minimum Fee$25.00 SUBTOTAL ...._____N2 ....4,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR S':SURCHARGE 2:4
IF CONSTRUCTION OR WORK IS SUSPENDED OR — r
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL I( , titlik•
AFTER WORK IS COMMENCED -
TOTAL6 I ?G
Special Conditions !•�_
---- -- --- --- Owe issued by
k—tn..0 r
f
. I 11'1 1111. INt r
L I I • 1I. i lr I r 0 ! i . 11 1 . 1•I'II � 1, 1 . /b
I 11PII•'INI
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$-41/131.1t 1 t. Oil IJI I I Ip1r•r 11 r• I III,I l 'J I!,11'N x
1�I IN I 1 111'40 I IN
'+ i, 1 l .4i +H
r I �� I y I . 0.11 III 1.1.1l It IN I 1'FI I l r
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4 . `0V'1 11.1 ' tl I 1'I 1'
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II II 1 •WI It 11. I ' •
I • '1.1•I1 ;•,I4 1'111 I I II I$1+IY fi 1
1111111 1111111IN1 1'11110 ' 1
Y
CITY OF TIGARD BUILDING INSPECTION NOTICE I
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain Cover Service FINAL
Foundation Water Line Ceiling lumb
Post/Beam Much Shear/Sheath Framing -Mech
Plbg Und/FIr/Slab Plbg Top Out Insulation Elect
Post/Beam Struct Mech Rough-in Gyp Bd Bldg
San Sewer Gas Line Appr/Sdwlk Reins
Other �u�`" �^ ---
Date _ 4 _ A.M. _-_P.M. Entry:
Address �' S1 "C'�- '`'�'=_ 1
Tenant Ste MST
BUP
Con/Own MEC e 0077
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
Inspectof��� Dat :
li__ -PROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARC BUILDING INSPECTION NOTICE
Inspection Line 6::9-4175 Business Phone 639-4171
Footing Rain Drain Cov /Service FINAL
Foundation Water Line Ceiling Plumb
Post/Beam Mech Shear/Sheath Framing -Mech
Plbg UndiFir'Slab Plbg Top Cut Insulation -Elect
Post/Beam Struct Mech rough-in Gyp Bd -Bldg
San Sewer Gas Line Appr/Sdwlk Reins
i
Other
Date `` _ A IP.M.___ Entry __ . .
5 [-
Address' --. -5 �- ` `- �- _ ... _ ....
Tenant V MST ___ _
,, n BUP
Con/Own `.1/-4.—. e•-`_y•etie _ . MEC.
PLM
ELC 'al .�.,
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
-- e. c_7-,r t C>dt i _C__e_,..14_27, __
1'L'-er ''_A–Alit_
Inspector �1/rL .0 I -R l.4t['r�.—_ Data: 2-a
AAPPROVED DISAPPROVED/CALL FOR REINSP CF CO
i
PERMIT
• CITY OF TIGARD ENERGY
PERMIT M: EL.R96-0135
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/30/96
,1125 Rw Hall Blvd.Tigard,Ofegon 97223.6190 (503)639-4171
PARCEL: 25110DC--00200
SITE ADDRESS. . . : 15660 SW PACIFIC HWr #1
SUBDIVISION • WILLOW BROOK FARM ZUNING:C -G
BLOCK • LOT • 11
Project Description : Tenant Improvement - Hollywood Video
A. RESIDENTIAL ----- B. COMMERCIAL -- --
AUDIO & STEREO. . . : AUDIO & STEREO. . : X INTERCOM & PAGING. . :
BURGLAR ALARM BOILER s LANDSCAPE/IRRIGAT. . :
GARAGE OPENER • CLOCK : MEDICAL ••
HVAC : DATA/TELE COMM. ix NURSE CALLS
VACUUM SYSTEM. . . . : FIRE ALARM s OUTDOOR LANDSC LITE:
OTHER: s : HVAC s PROTECTIVE SIGNAL. . :
INSTRUMENTATION : OTHER. . : t •
TOTAL M OF SYSTEMS: 2
Applicant : ___ ---- ---- -- - -_ - ---- - - FEES ---- ___
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 80. 00 JSD 04/30/96 96-278767
5PCT $ 4. 00 JSD 04/30/96 96-278767 11
WILVONVILLE OR 97070
Phone M: 503-570 -1600
Contractor: --- -- - ---
ENTOUCH SYSTEMS, INC. ti 84. 00 TOTAL
3732 SW MOODY
----- ----- REQUIRED INSPECTIONS
PORTLAND OR 97201 Le : ling Cover Elect' l Final
Phone Ni Wall Lover-
Reg L . 069287
IL'► ;
This pereit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permute, S i gnat urs:Y0
applicable lags. All work will be done in accordance with
approved plans. This perolt will empire if work is not started , �----
within 190 days of issuance, or if work is suspended for sore � •
than 190 days. I s ued By
OWNER INSTALLATION ONLY--- - --
The installation is being made on property I own which is not intended for
sale, leAse, or rent.
OWNER' S SIGNATURE: DATE:
--- CONTACTOR INSTALLATION ONLY
AUTHORIZEDSIGNATURE : DATE:
L I CENSL: NO:
Call for inspection - 639--4175
Attie) .-0-°(''
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SWHall Blvd. ' C�/ 01 S
Tigard,OR 97223 PERMIT 0 Le �
-♦� ' 3
Phone(503)639-4171 pThVy(' Cr
14, i' FAX(503)684-7297 DATE ISSUED
TDD No. (503)684.2772 t J---•
CITY OF TIOARD Inspection (503)639.4175 ISSUED BY /,
1111 PLEASE COMP)ETE ALL SECTIONS
1. LOCATION OF INSTALLATION i, u�o 4. TYPE OF WORK
15t.61/4.) S v�Ac U' CS 0
Address RESIDENTIAL—Restricted Energy fee MOAT
Ti b tab cro-1-4 (F(-)R AI l SYSTEMS)
City State Zip (ices.k type of Work Involved:
PERMITS ARE NON-TRANSFERABLE,AN)NON-REFUNEMREE ANO EXPIRE If WORK 0 Audio and Stereo Systems
IS NOT STARTED WITHIN ts:n DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS 0 Burglar Alarm
2. CONTRACTOR APPLICA f ION 0 Garage Door Opener*
0 Heating,Ventilation and Air Conditioning System*
Contractor € 'S.kCAN _ Type —__ 0 Vacuum Systems*
3L' S ��f d�
O Other
Address
Date i10\gil ---_ COMMERCIAL—fee for each system MAO
(SEE OAR 918-260.260)
Property Owner (h t of WrkoInvldved:
6p
Contractor's Board Reg. No. 1 i.c1 —71—Audio and Stereo Systems
❑ Boiler Controls
Phone# c o 3 223- O L O 0 Clock Systems
3. OWNER APPLICATION Data Telecommunication Instillations
Fire Alarm Installation
O HVAC
Print Owner's Name Phone No
0 Instrumentation
Addres, — 0 Intercom and Paging Systems
❑ landscape Irngation Control*
City State lip 0 Medical
This permit is issued under OAR 918. n-170 lhn aptdrrant agrees to make only ❑ Nurse Calls
de1?
minified energy insulations(tIN).wig..mix or I su under rho Lerma and to do the 0 Outdoor Lands(ape I fighting*
InNowIng
0 Protective Signaling
1 Only use eectriral)rinsed persons to do installations where required t(-ertain
residential and other transactions am exempt from lionising These have 0 Other
asterisks(') Ml others,reed licensing)
2 (al for an inspection whey all of the Installations under thus permit am ready
for inspection at 503-6394175
0 Number of Systems
T Purrhase separate permits for all installations that am not made for inspection
when the unspertor is out to imps(under this permit •N..IN rues am required I armies are required for all other installations.
4 Assume responsibility for assuring that all corrections required to the inspector
are done.and 1
S Assume responsibility for calling for a tonal inspection when all of the S. FEES
corrections are completed 1J)
The person signing for thispermit must he the a plicant or a person a. Enter Fees
r� ftp eft P $
authorized to hind the applicant
` ` h. 5% Surcharge(.0.5 x total above) $
S gnat re — (,___4- 1-1_____-- -"
TOTAL S��J
Authority it other than appiid an, — ---- �—
F NFRGAP.CHP
II
ger
L1 1 r Ill 1114,4:1) I 1 11.1 111 1'I.r1,t III 1<I t 111' 1 NII, :4h r'/bib!
1 141 1 N. :011111M : L4'+. IMO
IVNMI t F N 111111.H `•Y`•1 1-M'• 1 141 11 11M1 N 1r4 1 : N. 4150
NI 11.14 t*, t .S !:N MI 1111 I 4,,Mi141 1111 1 1 t NH i .+N 9t.
M1)HYI./Mll► 1114 .1 1111!I V 14,11111
9rr'N1
1-I1NI•IJ F IIt PIl'Mt.NI 40141111,1 1'IIII 111141'1r.1 111 1y„1•!1 I1I IIMl111141 1'1111•
fRI.E C:tRJ1'.NI PI NMI I 114. Ii , .f . It11I1 1' 1 i I. y• VIVI
15.-411:1 HW 1-1141.111- IL HW Y SI t- t
HI 11 I YNI1111I Y110.11 I I k':It.-NI.;`�
1 111 141 1111111 IN 1 I•N I Il r1 i. 1(hl
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 6394171
Footing Rain Drain Cover/Service FI
kfLO
Foundation Water Line Ceiling •Plu
Post/Beam Mech Shear/Sheath Framing -Mach
Plbg Und/Fir/Slab Plbq Top Out Insulation -Elect
i Post/Beam Struct Mach Ri,ugh-in Gyp Bd Bldg
San Sewer Gas Line r Appr/ dwl Reiff
LA....1...7.1h
Aux
Other
I� Vic« A M t
PM. r /l ,J Enry .-��
Date
Address 15 4 G V it
Tenant _ L�_/� _� t/' Ste:_- MST i�
ll�{, BUP
Con/Own C Zlir,5 i{-3.0 e'$ MEC _79e)
PLM -
ELC
1 THE FOLLOWING CORRECTIONS'RE REQUIRED ELR
j
/ ---
Inspector - /� _ D� /Q
PROVED DISAPPROVED/CALL FOR REINSP CF «•
.."—L-----
_
_
CITY
." *_—
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb
Post/Beam Mech Shear/Sheath Framing -Mech
Plbg Und/FIr/Slab Plbg Top 0 Insulation •Elect
Post/Beam Struct ech Rough-iii Gyp Bd -Bldg
San Sewer , Gas Line / Appr/Sdwlk Reins
Other _ C-�Z''�'f (/( er/e'G'
Date I . A.M. P.M. _ Entry:
Address' ] Co (4?0C 1 Lt ter--
Tenant . -_ Ste __ MST
BUP
Con/Own A2 = I MEC cW�Q 7 /
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
1 Spector -- — — Deto�:y._
1 � �
APPROVED DISAPPROVED/CALL FOR REINBP. CF CO
PLUMBING PERMIT
CITY OF '! IG4RD PERMIT # • PLM96-0077
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/17/96
13125 SW Han Blvd Tigard,Orpon 97223.0199 (503)630-4171
PARCEL: 25110DC-00200
SITE: ADDRESS. . . : 15660 SW PACIFIC HWY 01
SUBDIVISION • WILLOW BROOK FARM ZONING: C-G
BLOCK • LOT • 11
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE •COM WASHING MACH • 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B2 FLOOR DRAINS • 1 TRAPS • 0
STC9IES • 0 WAT'R HEATERS • 1 CATCH BASINS • 0
F' 'TURES LAUNDRY TRAYS 0 SF RAIN DRAINS • 0
SINKS • 0 URINALS • Q' GREASE TRAPS • 0
LAVATORIES : 1 OTHER FIXTURES • 1
TUFT/SHOWERS • 0 SEWER LINE (ft ) . . . : 0
WADER CLOSETS. . : 1 WATER LINE (ft ) . . . : 0
DISHWASHERS • 0 RAIN DRAIN (ft ) . . . : 0
R'•uarks : Tenant Improvement - Hollywood Video
Oi.ner: - - - --- - -- FEES
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 45. 00 JSD 04/17/96 36-2783?6
5P(.1 $ JSD 04/17/96 96-278326
W1-LVONVILLE OR 97070
Phone 0: 503-570-1600
Contractor: -- - -
RAYBORN' S PLUMBING INC
19990 SW CIPO(_E RD
TUALATIN OR 97062 - ----
Phone M: 503-69?-4139 1< 47. 25 TOTAL
Reg L . : 087852
REQUIRED INSPECTIONS - -
This peroit is issued subject to the ^emulations contained in the Rough—in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor
applicable laws. All work will be done in accordance with Top—out Insp _
approved plans. This peroit will aspire if work is not started Drinking Fountai
within IM days of issuance, or if work is si'spended for lore F ina1 Inspection
than IM days. •_
Permittee Signatuw el '— /et_
Issued Byer
Call for inspection - 639-4175
I
1 Y.': J( 4- 19-11, 614 -,
City of Tigard PLUM ING PERMIT APPLICATION PlanckiRe,.;. #
i 13125 SW Hall Blvd. ' ( v,�,• >• Permit # 1''ce+'•94-n"7
Tigard, OR 97223 No ` �,gtoM•% e,.�i< c;1,—n►7
(503) 639-4171 ( coti' , c3u('9G, c-o(o I
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Nii M Oi••l""'• New Single Family Residences Only
I' IbNyuxx0A U,c,ev
yf 1 BATH HOUSE $14000 U 2 BATH HOUSE$19500
/1 Job f�U F ir V ll 3 BATH HOUSE 6225 00
Addroee c.,..0.( � n Fee includes a! plumbing fixtures in the dwelling and the Mt 100 fret
11 b*R a0 2 of water service. sanitary sewer and storm sewer See fees below
"""e'-no.el Maros i1 — FIXTURES OTY PRICE AMT
,t I + e,� +rf•' , - Sink 1 900
W
Klan an ""•'• Lavatory I , 9 00 9"
Owner Tub or Tub/Shower Comb 900
CIMINO. a Shower Only 900
Water Closet f 900 9•
`._a'-(."•^•,.°w al balm* r� 1 � ),: Dishwasher 900
(.silAi A� 4/,/ '1 Garbage Disposal 900
Occupant
"•'+ ,'••• — ""'• Washing Machine 9 00
Floor Drain I 900 /
ClIW*'•• rr Water Heater 1 900 �� •
~
Laundry Room Tray rt 9 00
Urinal 900
It Y s a b P A.; ik.f Da i l'V/r fig—. OtherrontnctoFixture (Spec L-_ 9 000
"'''P
(✓ A liAl.,/.JI., 6.ILA/l..'_ 1 900 9
r � (/�1� /ls7 1,1 /a9,2-1109
9 00
El H
'I U.o la//At) 16 a / lotoi, y ikb sewer lit 100' _+_� 30 00
"•"•"'pIn"""• a'a^" r'•NO I t Sewer -ea. Addle. 100' 25 00
a7BSL %&)L, Water Service 1st 100' 30 00
I hereby acknowledge that I have read this application, that the Water Service ea. Add! 200' 25 00
information given is correct, that I am the owner or authorized acent of -- --
the owner, that plans submitted aos in compliance with State laws, that Storm &Rain Drain 1st 100' 30 00
I am registered with the Construction Contractor's Board, that the Storm &Rain MAXI Add! 100' 25 00 ~
number given is correct 'If exempt from State registration, please —_
give reason below) Mobile Home Space 25 00
Back Flow Prevention — --
�' , - 0 Device or Anti-Pollution Device 900
r.,.. ..
o•i ...• "' 0.i. — Any Trio or Waste Not -- -«-~
Cm.nnected to a Fixture 900
Describe work new 0 addition O alteration repair • Catc. Basin 900
to be done residential 0 non-residential $ Insp of''xst Plumbing 40 00/hr
— — Speuialy R•guested Inspections 40 00/hr
Existing use of —
building or property Rain Drain, smile family dwelling 30 30
Residential backflo.• prevention
devices 15.00
Proposed use of
building or property - --
- ----- '(Except residential backtioe►
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL / 5�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION SICI
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE 'j
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED — - i v
FOR A PERIOD OF 180 DAYS AT ANY T'ME AFTER WORK IS a
COMMENCED —PLAN REVIEW 25% OF SUBTOTAL — r
TOTAL r
Special Conditions
CLti.S.
Date ,slued by
I. I I (II 111,141.1' I;I I I I' I ISI I'4 FII I i 1 1;1 1 1 1I I t411, t•►h r'ft1 ,, e.
1 }11.1.1. 1'MI II II 4 I 0 4 i .
NAML s I4 I II 1 1, 1400 I ' ,H 11141 II WI I 3 47. Nk1
H1)t HI bf-1 L (.14 I I I I I ': `',I It 1,1 1 IVI 1 I•, 'r ISII 14 1 111 1 1 1 s 1111/ 10
ti')`,I 1 II ►11+I1104 UIf 1j iIII '1I.,(Iltl I
Wt ;i l I I N44 I If '-i yl► t
I I.II I'll��f III 1'14 I M1 IV 1 t IM1 11 114 1 I'I 1 11. I ' II.1 1 •I I ('1 1 r III III 1 ILII II$14 I I'I I I I►
PI 1101141 NI. 1'I I(M 11 I'1 II. 014 i ! y` . 414 H I . 111 III II I'I I' c'. r''1
fill, I 'tW(IIII) 1111 1 11 I 'I hl'". 4111r
1`It.t•411 t' 11 )I 11 I IIJt 111
1111 Ht. F111111Il'I1 I I ► , .
l
11-
UgWrib41 CONNECTION . 1
PERMIT
.CITY OF TIGARD PERMT D1-+TEIISSUED: 04/17/1966-0171
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hail Blvd Tigard,()Hogan 07223.6100 5503)639-4171 PARCEL: 2S 1 I0DC-00200
SITE ADDRESS : 15660 SW PAL I F-I C HWY *1
SUBDIVISION : WILLOW BROOK FARM ZONING: C-G
ISLOCK : LOT • 1 1
TENANT NAME :HOLLYWOOD 1.'i0EC
USA NO : FIXTURE UNITS. . . : 11
' CLASS OF WORK :PLT DWELLING UNITS. . : 1
TYPE OF USE :COM NO. OF BUILDINGS: 0
INSTALL. TYPE :BUSWR IMPERV SURFACE: 0 sf
Remarks: Tenant I.prcvenent - Hollywood Video RE: PLM96-0077
Owner: - FEES -- ---
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PRMT $ 2200. 00 JSD 04/17/96 96-278322
WILVONVILLE OR 97070
• Phone N: 503-570-1600
Contractor: --- - -
CONTRACTOR NOT ON FILE
Phone N: $ 2200. 00 TOTAL
Reg N. . :
--- REQUIRED INSPECTIONS ---------
This Applicant agrees to comply with all the rules and requlatie, P-41/QC
of the Unified Sewage Agency. The peru: empires IN days from
the date issued. The total amount paid will be forfeited if the .______ - -.
permit empires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the steer is not located at the measurement !__�_
given, the installer shall prospect 3 feet in all directions from ,!_
the distance given. If not so located, the installer shall purchase ,_
a 'Tap and Side Sauer' Permit and the Agency will install a lateral. _ __ _ ._ -
Permitter Signature: )4#14:ratt4"--- _______ __
Issued BO--_ `-_Ac '. - - _Call for inspection - 639-/4175
1
1 ._ -
...... , -
Commercial Building Permit Application
City of Tigard , .13 ►—+
13125 SW Hall 41vd. i ' r'riTt'A^
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /(- 6-. :-C, `„J ( ;{e •(. . f ' e,...
Tenant: / -t`( ”- Suite N T Office Ute Only
Planck/Rec #
Valuation:
Permit # �3t1/4-'
Owner: Map & TL I
Address: Approvals Required
--- Planning
Phone
- Engineering
Other
Contractor:
4wwwlaswmees!
Address:
Type of const:
Occupancy class:
Phone: _
Sprinklered? Yes No
Contractors 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
Note Plumbing & mechanical plans
must be submitted at time of
building permit application
Phone
(--)
JOB DESCRIPTION: !S f i )/ "it ; Cir' y
Applicant Signature & Phone number
Received by Date Received: C '146^ 7G
1
Permit 0 Account Description Amount Amt. Pd. Bal. Due
__ Bldg. Permit (BUILD) _
_. Plumb. Perms (PLUMB)
Mach. Permit (MECH)
State Tax (TAX) earsmee
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Bldg:
Plumb:
Mitch:
,./j oIS G �� � a
�j�" � Sewer Connection (SWUSA) c e Com. CLT
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Reiidentlal TIF (TIF-R)
Masa Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-l) _
Institutional TIF (TIF-IS) _
Office lIF
(TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life :afety (FLS)
Errslon Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/Cr. f IEROSN)
TOTALS: C '- Cr
i
I i Tenant Name: /-4//7",.eI 1''.1" Accumulative Sewer Tally This SWR#:5"(4/4- DI 1
Address: 1$4,c,O -J �r',.r r Hi-..y I13. This PLM#: 7t."�(0' ert:
41111L
Fixture Value Previous A' Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added N added trail Ni total
Count off Na count value values
Raptistry/Font 4 — _
Bath- Tub/Shower _4
Jacuz/Whpl 4.--, ,
na, Wash - Each Stall 6 -
-Drive Through 16
Cuspidor/Water Aspirator 1 _ /
Dishwasher - Commer (
4 77_
-Domest 2
Dri;king Fountain 1 Ll O / / 9 L__
Eye Wash 1
Floor Drein/sink - 2 inch 2 / L�
- 3 inch 5 _
-4inch 8
-Car Wash Drain 8
Garbage Disposal 16
- Dom Ito 3/4 HP)
- Comm Ito 5 HP) 32
-Ind lover 5 HP) .. 48 _
Ica Machine/Refrigerator Drains 1 _
Oil Sep(Gas Station) r e -
Recreational Vehicle Dump Station 16 _
Shower- Gang(Per Head) 1 _ -- _,
- Stall 2
�— / '5 I /0E'c-
Sink- Bar/Lavatory � 2 ,. _ _.
- Bradley 5
• Commercid 3 L- �� C
CI-
-Service _ 3 _ _—
Swimming tool Filter — 1 _ -
Washer, Clothes 6
Water Extractor 8 //--
Water Closet. Toilet 8 t5Z-/ / CGS /C (0C`
Urinal 6 -
TOTALS IC'c / i I (
.saaaaw --- r
Total fixture values:__ I ( 1 divided by 16 = -7°6;7 EDU 1 E:i)u C l o-IN-A
HISTORY
PLM# Cv-C �L`EDUN ( -/SWRN ("-OT) T 1 PI MN EDUN SWRN
PLMtg , "0l EDUr q SWRN 9c. -O~I 7, PI MN EDUN SWAN
PLMN EDUN NE w SWAN PLMNEDUN SWAN
_
PLMN EDUN SWAN PI MN EDUN SWAN
1
II
1,I I '1 111 111i►IF?1' 1'1 1 1 I I I III 1'141 I II I I i 1,1 I WI I ri1'. :4t. t'/f1
I I I I IC HM111 IN I t .'r 1111. 1161
N1IM[ t 111 III ,1.11 if 111 I.1%11 F 11 I►1 I I11%11 11 I I r1 .I I /1,,1111111 I 1 N. k'1b
H1.11)I41 ;•'.• 1 1 (II0'tII'i11 11III 1'►I(MI NI 111111 . 4l +/ I // t•
r•:'',r-.411,1 'IW E' 'PIM{I r I I IJ 1 I F' I'14 ,1 11%11 11.1 I.! I 1 H4
WI I ,1 INV II I I I II?
PIJF11'll'i1• CO ('{Ir MI hi NMI11IN1 11' 11! 1'11141'11',1 111 1'11r(IF N I (I)
bF WF 14 111,{4 1.11.,'I I. 101 I 411 i 1•n
t roit IQ !4W 1'111,l I l l, 1111 r
TU1111. 61MI II INI 1,11111
1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb
Post/Beam Mech Shear/Sheath Framing -Mech
Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect
Post/Beam Struct Mech Rough in Gyp Bd -Bldg
San Sewer Gas Line Appr/Sdwlk Reins
Other _
i
Date: _ // A M �P M _ __ Entry
Address: W @ .c-n/ __.C._ —
Tenant - • ___ _ Ste: MST:
BUR
Con/Own MEC
PLM.
ELC:q% i
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR: ^0`
.4.11 ----e C—f-C-4\--Cspl-- 44.) ce/ ../. ,-- I
t' c v .— �l`c�4.,wk./
_____t241(17Le-.,e-J___Li evr"
Inspector At 3 I c 4 FI ka cQ Date: -[v i.
APPROVED DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTIE 7
Inspection Line: 631-4175 Business Phone 639-4 /
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb
Post/Beam Meah. She^r'Snoath Framing -Mec..h
Plbg Und/FIr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct Mech. Rough-in yr -.). Bd,) -Bldg
San Sewer Gas Line Appr/Sdwlk Nuns
Other: i – --
Date - 41 L a l T (" — ,.M. .__ M. Entry: __ /_
Address: 40' 4, ei
Tenant: _ _ _L.4..2 _. Ste' MST:
BUP: _ e___()P
Con/Own: a•Si 'C I�pir---, MEC ---. ---
PLM:
ELC• ---
THE FOLLOWING CORRECTIONS ARE REQUIRED ELFP - - ___
_ .--•
Inspector Date
OVED DISAPPROVED/CALL FOR REINSP C'Vail O
CITY OF TIGARD BUILDING INSPECTION NOTICE
1111
Inspection Line 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb
Post/Beam Mech Shear/Sheath Fr -Mech
Plbg Und/FIr/Slab Plbg Top Out Insulation -Elect
Post/Beam Struct Mech. Rough in Gyp Bd -Bldg
San Sewer Gas Line Appr/Sdwlk Reins
Other -_ -
Date WIN
A M PM ntry
AddressS LO lQ CJ Q.c 4 _.__
Tenant -Com- V Ste MST:
Con/Own s _ 300 ' MEC —.
PLM:
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
Inspec Date ,• /
PPROVED DISAP VED/CALL FOR REINSP CO
i
ELECTRICAL PERMIT
CITY (DFTIGARD ' A' DT S: D9
04/0804/08//9E•
- COMMUNITY DEVELOPMENT DEPARTMENT DAATEITE 15SUEA:PARCEL: ._'S 1 10DC-002@0
!312F RW Hall Blvd.Tigard,Oregon 9722341199 1161)3)e39-4171
SITE ALji)R 5S. . . : 1'5660 SW PACIFIC I IW/ Ml
SUBDIVISION. . . . : WILLOW BROOK FARM ZONIN6:L -G
BLOCK : LOT : 11
Project Description: 750 FT OF NEON, 4 CIRCUITS L4-VL JJQD ViDEO
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS
1000 SF OR LESS. . . . : 0 0 - 200 amp • 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 :..'01 - 400 amp : 0 SIGN/OUT LINE LTG. . : 4
LIMITED ENERGY : 0 401 - 600 amp • 0 SIGNAL/PANEL : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) : 0
- ---SERVICE/FEEDER - - - --BRANCH CIRCUITS- - - -- -ADD' L INSPECTIONS
- -
0 - 200 amp • 0 W/SERVICE OR FEEDER: 0 PER INSPECTION : 0
201 -- 400 amp • 0 1st W/O SRVC OR FDR. : 0 PER HOUR : 0
401 - 600 amp • N EA ADD' L BRNCH CIRC: 0 IN PLANT I 0
601 -- 1000 amp : 0 ---- - - ------ -_--PLAN REVIEW SECTION-
1000+ amp/volt • 0 ) =4 RES UNITS • > 600 VOLT NOMINAL. . :
Reconnect only : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Own.' ' : -- --- ---- FEES - ----
ES & A SIGN COMPANY type amount by date recpt
12725 SW 66TH M104 PRMT $ 160. 00 JMH 04/08/96 96-277941
5PCT $ 8. 00 JMH 04/08/96 96-277941
PORTLAND OR 97223
Phone M: 503-598-7410
Contractor : -
FRANK BRAYTON $ 168. 00 TOTAL
4490 SW MUELLER DR Ml _.0,
------- REQUIRED INSPECTIONS
ALOHA OR 91007
Phone M: ----
Reg N. . s 111..'Fsi,
This peru t )s issued subject to the regulations contained )n the
Tigard Menic)pal Code, :tate of pre. Specialty Codes and all other Perm ' tee 5 gnat�_1re
applicatle laws. All wort( will be done in accordance with // _j_4___
approved plans. This pera)t will expire 1f work )s not started �� �'� l
within IN days of )ssurnce, or if work is suspended for tore _ -
than lei days. I ued By
OWNER INSTALLATI ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent .
OWNER' S SIGNATURE: _ _�__�.___ DAZE:
-.----_____---...--.--___-_._.-_--CONTRACTOR INSTALLATION ONLY --- -- -
. . DAZE: o Il ?�
SIGNATURE OF SUPR. E_LEC' N: . Q
.__ Q -
LICENSE NO: T 7 �
L ( /_..—_.__.._-_.-----------��_____---
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. ,
Tigard, OR 97223 Permit # EL‘ 9(� CI C'
I Date Issued 041^7(7 ; 7/1
4 4
' ,�l Phone (503) 639-4171
4 FAX (503) 684-7297
CITY OF TIGARD TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: n 6111 A 4. Complete Fee Schedule Below:
Name of Development 1,1 0 P��[Gm�A[ __ Ni M'�af ofInspections par p.m* allowed
Address c4 i,1n1 cir i-4,,.,-S° ( Service Included Sierra Cost'eal Sum
City/State/Zip_ 11 4a. Residential per unit
k • 1000 SO ft a less silo 00 .
Neme (or name of business) 1-k1r,1,,►.\ap "
o V t Vep E "add°1OAsr 500 sa n or —
T vonan Owed $;500
Commercial Residential CIlimedEnergy --- 125 00 -
Each Manurd Mani or A4.rdrIw
Dsreong Service or Fnedtor Sal 00 ---- 1
2a. Contractor installation only:
4b Services or Feeders
Installation atlrlt.m or relocalen
Electrical Contractor 1- NSnipsa see Snips sto leo 00 1
Address -2.1 L- £b�/ 1 gin 400201 amps to saps — sop — 2
City State Ql1 _ Zip 401 amps to 600ar tt — 4130 00 amp - 2
601 amps to 1000 s t 100 0) _- 1
Phone NO rill 7 3 � 4 Over 1000 amps or rolls 1340 ___ 2
Job NO RecmIso 00 neri only --- 2
contractor's (!cense NO 4c. Temporary Services or Feeders
Contractor's Board Reg No • Iny,aNlten tolerator or reVXaten
Signature of Supr Elec'nloo amps nr ass _
License No 4 3 5 St(1 Ph a Noi9,1y 1'o _201 amps to 400 a-•v s --- 114:100 -- ..— 2
401 amp.to Boo save _-- 113 00
Orr 6(+0 amps to 1000 rolls 1101 00 --
2b. For owner Installations: toss 5 Dore
4d Branch Circuits
Print Owner's Name F,,.* Marren or ertensan pr panto
Address a,The lime for Manch crculli wall
City State_ Zip porches*or arHce or hear he
2
Each branch circuit _ _ 15 00
Phone No bI rhi fee for Branch crcuas without _---
Tho ir Istallation is being made on property I own which is purchase or wrier,r reader M
Furst branch mull $35 00
not intended for sale, lease or rentEach addemnat ranch[hull Ss 00
Owners S.Inature __ 4e Miscellaneous
(Service or feeder not included) i
•
sten
3. Plan Review section (if required): Each pump or molten circle $40 00 /�;�[ c 2
Each .a��_a.r.,
H1 r outline fall 00 OA
' Sonat circuital/Or a tr+Med anergy
Please check appropriate Item and enter fee in section SB penal aeration or enansor 440 00 "
___4 or sore residential units in one structure Minor(ate+I'OI _ 4100 00 ____
_ Service and feeder 225 amps or more
_ System over 600 volts nominal 41 Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in NEC Chapter 5 yr nspectvv in 00 _
Pei new ISS 00
In Plant _-- 155 00
Subr'it 2 sets of plans with application where any of the above �—
apply Not required for temporary construction services 5. Fees: //
Sa. Enter total of above fees /(Ci
NCTl�E 5% Surcharge 105 X total fees) s —17'r
PERMITS BECOME VOID W WORK On CONSTRUCTION Subtotal S
25%
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS. OR 't- Sb Enter Plan Review of line A re
-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE.I FOR rf required (Sec 3) =
A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ _
COt :AENCEC M� .-.► )
1_, Trust Account A
if.w
$
Balance Due $ irdfil'
I
r I 11.Si. ,AN
�ll�Mf ( Iivlrl11I , r1! t:•II 'iI IA.. 440
141)I)11i r ' , 1 I I. , . 1 I, . I' i 1 I,. I I I I"6 4,4# , 11,
r r
II" , arl
1 .1 I I
I.,I11:I .I it I rr , I .1 IIII , , r r , ,1arII ,.
1 1 1 1 1 1 ! ' : II II ' , ,
4
1
CITY OF TIGARD BUILDING INSPECTION NOTICE `��~
Inspection Line (Rec-O-,Phone): 639-4175 Bu iness Phone: 639.4171
/c>� _
Inspection: AP'e� - �'i?Yt-e•' •c '1 ,
Footing Susp. Ceikfcg Sprink Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplac.>
Post/Beam Struct. Plbg Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San Sewer Gas Line •BBldg.
Plbg. Underfloor Rain Drain Framing �r'tu'mb.�
Alarm Water Line Insulation �.Mach
Underflr Insul 1Shear Wall Gyp. Bd. -Elect.
Date Requested: "'j ,S 1// __�___Time:__AM PM
Address: (( �_ .S �" 2
Bulkier: 2 /‘ ':"Z" ,14 0‘. Permit N: A!'9%41'6l ‘74
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: 0.071� 9 Date:4/4W
/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
1
CITY OF TIGARD BU" DING INSPECTION NOTICE
Inspection Liiie 639-41/5 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb
Post/Beam Mech Shear/Sheath Framing Mech
PIbg.Und/FIr/Slab Insulation Elect
Post/Beam Struct Mech Rough-in Gyp Bd Bldg
San Sewer Gas Line Appr%Sdwlk Reins
Other 13T '!1 11_,1107 iereAge
Date VP A.M. P M EntryAddress S �_�( —
Tenant Ste MST
BUP — — —
Con/Own - PLM
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR-
17rige;7.4
Inspector Date .
APPROVED DISAPPROVED/CALL FOR REINSP CF CO
' BUILDING PERMIT
`_)(obi �C) PERMIT N : BUP96--Q+Q►6 1
. CITY OF TIGARD f'T i 11W Y
DATE ISSUED: 04/04/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S1 1ODC-00200
S I TEs311MAYIVAv.t.Tioara.pitre7aRTe c.15130!PAW Y #1
SUBDIVISION • WILLOW BROOK FARM ZONING:C.-G
BLOCK LOT • 11
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION--
, CLASS OF WORK. :ALT FIRST. . . . i 7700 sf N: Ss E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N . . . . 0 sf N: Ss E: W:
OCCUPANCY GRP. :B2 TOTAL 7700 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 226 BASEMENT. : 0 sf AREA SEP. HATED:
STOR. : 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? : MEZZ?: REQD SETBACKS -- REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft F 1 R SPKL:Y SMO:< DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: Y HNDICP ACC'Y
BEDRMSa 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 70000
Remarks : Tenant Improvement - Hollywood Video
Owners _ _ - - FEES
HOLLYWOOD ENTERTAINMENT type amount by date recpt
25600 SW PARKWAY CENTER PLCK $ 222. 95 JMH 01/30/96 96-275496
FIRE $ 137. 20 JMH 01/30/96 96-275496
WILVONVILLE OR 97070 PRMT $ 343. 00 JMH 04/04/96 96-277601
Phone N: 5O3-570-1600 SPCT $ 17. 15 JMH 04/04/96 96-277601
Contractor: -- - -- ----
TrS, INC.
12041 NE ERIN WAY
PORTLAND OR 97220 - -- '
Phone Ma 254-3008 $ 720. 30 TOTAL
Reg N. . : 55162
REQUIRED INSPECTIONS
This percit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Code: and all other Insulation Insp _
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This peruit will expire if work is not started S u s p C e i l n g Insp
within lBS days of issuance, or if work is suspended for core Final Inspection _--_
than IN days.
a
....t4ito _______
Issued By : _ ♦A' a
Call for inspection 639-4175
4
•
cm tiding Permit Application ���,,
City of Tigard N13125 SW Hall Blvd. 4 �'O "
Tigard, 'N
Bard, OR 71 �', ��
(503) 639-4171
Jobsite Address: 11 `� A) fjf(( H_t1'1
Tenant: Hilt j 1:1.1‘;;1) 0171.Z) Bulb•, 1 Office Use Only
Valuation: ' 10 10(.;/)
Planck/Rec # 9 C--
Permit #_ 1 ,..52.4-f 96,-CO 6'/
Owner: NAL-1�`7�Ur'��I.' f�'JU1 (iltiAll 'i eoect-v
Map 8 TL # _1:4/(2DC-C..11V
Address: IS(CC)0 S LU liAteV-4th( a Ai,,e
Approvals Required
(4.1 \kJ L.4,ON)VI 1,1.14' i Ct4 170-1C1
Planning
Phone: a12, 510 - I teC'C' •
--- Engineering
,/'/ C.> Other �'3L`�'9e.-5 - 0-31
Contractor: �__
cV• 7.s.ar; rT( Cla.sc• f . rS
Address: _ 7Ci lr Kee 7.a,/ .', N D 2
7F
Type of const: V
Occupancy class: I'
Phone: _
- I' Sprinklered? Yes
Contractor's License # _
(attach coby of cu nt Oregon license) Sq. ft. of project: •1 , ]✓:_'
Contact name & phone Story (1st, 2nd. etc.) I .
Proposed use: O. rt1 L
Architect/Enyineer: _ to!Jr Pi L i
� � �
Previous use: A A'
Address: .L.11,
_ ' r` WA _a/ / r / ; - —_
42"►- +�, Note: Plumbing & mechanical plans
141 (d iVi /L t l.. L i � `r 1 t'7() _ must be submitted at time of
building permit application
Phone- / '',,.'j ) 7-71 • 1(, ;/''
JOB DESCRIPTION: 1'r• J\t1/4-1. 1M __ . ( � ,,k/ Cil 1
A icant Signature 8 Ph rib number
1,;14 if' 0
Received by Date Received / 3��" 9
II
Permit* Account Description Amount Amt.Pd. Bal. Duo ,
( 1 L ( �. <Y� t d c
Bldg. Permit (BUILD) 5�S --3(/~3•ao
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (TAX) f fN / _J /��
Bldg: . .. 1
Plumb:
Mech:
'(--- -----:—:o7 . ____—
C Z�` �T c C
Plan Check (PLANCK) -- 1
, U
Bldg: j'3 C
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP) —
Parks Dev Charge (PKSDC) __—
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
(IC_ Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
C Office TIF (TIF-0)
?i'`1
Water Quality _
I
1 778
`� (WQUAL)
./3(/ Water Quantity (WQUANT) ;, / , '
3 '' ()A Fire Life Safety (FLS) _ 7 fl 6 1 "�‘—e—
(43
3 Erosion Cntrl Permit (ERPRMT)
I 9)
1.4;)� Erosion Planck/USA (ERPLAN)
C, --. Erosion Planck/COT (EROSN)
_,5(t.c)' it
TOTALS: 1S
11)1 2 IL.
HOLLYWOOD VIDEO TENANT IMPROVEMENT
15860 SW PACIFIC HIGHWAY MARCH 9. 1996
KING CITY,OREGON
Tigard: HOLLYWOOD VIDEO
RE-REVIEW
LP2A Job No. 96522.001
City No. BUP 96-0061
March 9, 1996
Ban Mills
Hollywood Entertainment
25600 SW Parkway Center Drive
Wilsonville, Oregon 97070
Re: Tenant Improvement - Hollywood Video, 15660 SW Pacific Hwy.
Floor Area: 7,770 sq. ft.
Occupancy: III-2
Construction Type: V-N Sprinklered
Occupant Load: 226
1.P2A(Linhart Peterson Powers Associates) has completed a plan review of the following
documents.
1. Architectural Sheets: A0, Al, A2, A3,A4, AS, A6, A7, AS, A9,A10. Fixture Sheet: FX.
Exterior Elevation Sheet: AS. Finish Details Sheets: F1, F2, F3, F4, FS, F6, F7, F8, F9, FlO.
Mechanical/Plumbing Drawings Sheet: M1. Electrical Drawings Sheets: El, E2, E3, E4.
Calculations for television shelves: (1) page. Lighting Budget: (4) paps.
We have reviewed the information requested in our March 1, 1996 plan review letter. Please
refer to the accompanying responses to the original items listed below.
Architectural/Structural
1. Sheet AO of the plans indicate a sprinklered building while the permit application shows
nonsprinklered. Additionally, Sheet Al shows a sprinkler riser room in the southwest corner
of the building. Please clarify.
If the building is indeed sprinklered, please submit sprinkler plans and hydraulic calculations
for our review.
We are told by the applicant that the sprinkler system is bidder design. It will be the
decision of the building official whether these plans will be released prior to review of
the sprinkler system.
2. The drinking fountain shall have the spout located at a maximum of 36" above the finished
floor and be located within 3" of the front of the unit. Section 3109(1)O.S.S.C.
Drinking fountain shall comply with Section 3109(I)O.S.S.C. per conversation with
applicant.
tv:( LINHART PETERSEN POWERS ASSOCIATES
3855-3 Wolverine Street NE • Salem,OR 97M)5
(503) 371-2212• FAX(503) 371-3853
1
HOLLYWOOD VInEO TENAPT IMPROVEMENT
15660 SW PACI'.=1C HIGHWAY MARCH 9, 1996
KING CITY,OREGON
3. Please submit lighting budget for our review.
Interior lighting budget has been reviewed and approved.
4. Please submit calculations for walls supporting television shelves for our review.
Submitted calculation'were reviewed and approved. They shall be considered a part of
the plans and shall be attached to them on the job-site.
5. Sheet El shows an exit sign above door#D1. Provide an additional exit sign above ioor
#D4. Section 3314 (a),O.S.S.C.
Applicant understands an additional exit sign is required at this location.
6. Exit signs shall be internally or externally illuminated by two electric lamps or shall be of the
self luminous type. Section 3314 (c) O.S.S.C.
Exits signs will be illuminated per conversation with applicant.
7. Power supply to one lamp of exit signs shall be from the premises wiring system and the
other lamp by backup battery or on-site generator. Section 3314 (d) O.S.S.C.
Power supply will conform per conversation with applicant.
8. Exit doors shall be openable from the inside without the use of a key or any special
knowledge or effort. Section 3304 (c), O.S.S.C.
Doors will be provided with code complying hardware.
9. Safety glazing is required for glazing within a 24-inch of either vertical edge of doors in
a closed position where the bottom edge of the glazing is within 60 inches of a walking
surface at new door Dl. Section 5406 (d)6, O.S.S.C.
Safety glazing will be provided at this location.
10. Provide a minimum 2A:I OBC fire extinguisher for every 3,000 square feet and a
maximum travel distance of 75 feet between extinguishers. Uniform Fire Code Standard
10-I.
Fire extinguishers will he provided per II.F.('. Standard 10-1.
These documents were reviewed only for their conformance to the City of Tigard building
regulations and the State of Oregon Specialty Codes, 1993 Edition.
If you have any questions please call me at (503) 371-2212.
Respectfully,
LINI-IART PETERSEN POWERS ASSOCIATES
Gary Lampella
Building/AMechank al Inspector
e: David Scott, Building Official
U- 1
HOLLYWOOD VIDEO TENANT IMPROVEMENT
15680 SW PACIFIC HIGHWAY FEBRUARY 29, 1996
KING CITY.OREGON
Tigard: HOLLYWOOD VIDEO
Initial Plan Review
LP2A Job No. 96522.001
('ity No. B11P 96-0061
March 1, 1996
Bart Mills
Hollywood Entertainment
25600 SW Parkway Center Drive
Wilsonville, Oregon 97070
Re: Tenant Improvement - Hollywood Video, 15660 SW Pacific Hwy.
Floor Area: 7,770 sq. ft.
Occupancy: B-2
Construction Type: V-N Sprinklered
Occupant Load: 226
LP2A (Linhart Peterson Powers Associates) has completed a plan review of the following
documents.
1. Architectural Sheets: A0, Al, A2, A3, A4, A5, A6, A7, A8, A9, MO. Fixture Sheet: FX.
Exterior Elevation Sheet: AS. Finish Details Sheets: F1, F2, F3, F4, F5, F6, I'7, F8, F9, F10.
Mechanical/Plumbing Drawings Sheet: Ml. Electrical Drawings Sheets: El, E2, E3, E4.
Please respond to items 1,3 and 4 so we .nay complete our review. The remaining items are
general requirements and can be field verified.
Architectural/Structural
1. Sheet AO of the plans indicate a sprinklered building while the permit application shows
nonsprinklered. Additionally, Sheet A 1 shows a sprinkler riser room in the southwest corner
of the building. Please clarify.
If the building is indeed sprinklered, please submit sprinkler plans and hydraulic calculations
for our review.
2. The drinking fountain shall have the spout located at a maximum of 36" above the finished
floor and be located within 3" of the front of the unit. Section 3109(I) O.S.S.C.
3. Please submit lighting budget for our review.
4. Please submit calculations for walls supporting television shelves for our review.
5. Sheet El shows an exit sign above door#D1. Provide an additional exit sign above door
#D4. Section 3314 (a), O.S.S.C.
6. Exit signs shall be internally or externally illuminated by two electric lamps or shall he of the
self luminous type. Section 3314(c)O.S.S.C.
=� LINHART PETERSEN POWERS ASSOCIATES
AV 3855-3 Wo'verine Street NE • Salem,OR 97305
(503) 371.3212 • FAX (503► 371-3853
1
HOLLYWOOD VIDEO TENANT IMPROVEMENT
15660 SW PACIFIC HIGHWAY FEBRUARY 29, 1996
KING CITY,OREGON
7. Power supply to one lamp of exit signs shall be from the premises wiring system and the
other lamp by backup battery or on-site generator. Section 3314 (d) O.S.S.C.
8. Exit doors shall be openable from the inside without the use of a key or any special
knowledge or effort. Section 3304 (c), O.S.S.C.
9. Safety glazing is required for glazing within a 24-inch of either vertical edge of doors in
a closed position where the bottom edge of the glazing is within 60 inches of a walking
surface at new door D1. Section 5406(d) 6, O.S.S.C.
10. Provide a minimum 2A:I OBC fire extinguisher for every 3,000 square feet and a
maximum travel distance of 75 feet between extinguishers. Uniform Fire Code Standard
10-1.
These documents were reviewed only for their conformance to the City of Tigard building
regulations and the State of Oregon Specialty Codes, 1993 Edition.
If you have any questions please call me at(503) 371-2212.
Respectfully,
LINNART PETERSEN POWERS ASSOCIATES
("---) Z.-74
Gary Lampella
Building/Mechanical Inspector
c: David Scott, Building Official
03/05/96 TIE 16:0! Fal 50J 570 1721 H01.LSM'OOD ENT. x002
INTERIOR LIGHTING
�,, �� _ __
Alss Wino
Budget Pen oy Area Alma. &MOM
'Uri a aimed
herr areas If area under 1.000 M,
lawitf01•memo ' enter arse in(e)Pile raw O !.i? 0
• slew ace mea _
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seams er0+er•er. 6,000 M,srry.arse M(c)Vile�•• ' 1,000III toxo
neons.see. .
if area ow$.000 fl'.
enter ante in(o)this wow 61100 / 10.000
� W arse wider M. 0 4.0 a
enter ani in(C)Inis role
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'
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use itrrrtrneer T Tatar Adiuead Power `�"
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soil were $, Dose design meet the budget/ - ,
cram dgM Enter K area 7 N leas(tare One 1,edltertrtes redesign. l Q`,
,.wiweemat
lutortenr 0. Do ala norm eelt10t*Mee none Was,lighting oerergba gnaw Y If terse,aPiertllee redseion.
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have aware*Asan$eonrrel. rinser-r r true.o.rrwM reeeetpn
---
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OP the irohtirtp during unooeupled periods/If yea,chock the type of Dortrer(e►used.OI ss4e redesign
Ili Ar,rema6D Thee gwMdree
o OeeUIMIgr Peneorg
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03/05 98 TIF: 16 02 FAX 503 570 1721 HO1.I.Y9OO1) E\T. a 00
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW NM Sled.Tigard,Oregon 9722305199 (503)639-4171
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:Tu` 90 Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Ttgard, OR 97223 ,
# Lit) 17 1G! 7
Permit # F/Cif _Oft/
I'j Phone (503) 639-4171 Elite Issued 4'- /- IL
FAX (503) 6847297 Issued by (�/j,c _' .1 Ss /,mr‘:L�r
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175_^
1 Job Add'ess: 4. Complete Fee Schedule Below:
Name of Developmentn Number of Inspections per permit allowed -----i
Address I C44 Cl _ ._1.. P..1.stc Hu/r S L':tC II/ Service included owls Cost(ea) `.urn
City/State/Zip 1 14 et n p C' Residentlal - per unit
13 z c `j s
1000 til 11 0,*am $110 00
Foch seirq'W'.00 Ml ,l 3r
Name (or name of business) /1/4/l.,w,,;„., L. d cu pro loon thereof $ ,00
Commercial[,� Residential 0 l,maed Fn.rpr 67500 _--____
I art,Mar of d lwm.or Mod.M.
I he.IMng Sense or Feeder $191 00
2a. Contractor installation only: 4b. s«y,ces or Feeder's
urtallatm, atteralw *oration or oration 7
L le�trical Contractor_1 1I lA 0etr ire 1 i ell e.c /-t. t. l 700 amps or I«s Who 00 2
J 201 amps to 400 Nape __ VU 00 2
Address! Q �V w 23C' H 401 amts to A00 wept. 6170 00 2
City Ti nr1 State C,t Zip cf 00
)2► / 601 amteto 10ampm ileo 00 2
2
Phone tk /,r 1 4 - 34.? 1 Ow., 1000 amps or volts 601000
Contractor's License No ?q - Z .] S t, tier°e' '1 only 650 00
Contractor's Board Rag No 2- c __ 4c. Temporary Services or F seders
Irrlallalron alteration or rebratron
j(-7( ��
Signature of Supr. Elec'n
if) 200 ampa or Mats ISO 00
201 limps to 400 Amps 67500
License No l94.c - C Phone 14-5 b Sl —
401 amps to 1100 amps 6100 00
Over 1100 ware to 1000 volt.
2b. For owner Installations: ....wows
4d. Branch Circuits
Print Owner's Name New alteration or eNtereron per pans
Address a1 1h.4w for Msrh nronfa WA
City — State Zip par haw of memo a basm b. 4 c,e 7
I art'Marsh firmaS L $5 00 Z 9
Phone No _ t„m.t..1°r birc-h•laud• wffAnld_
The installation is being made on property I own which is purchase of strike a hadat IF" ' '
r rel hrarch redid /- 6.75 00 ? -
not intended for sale, lease or rent E.d,sddr,onal bean&orcLd �_ 6600
Owners Signature I fie. Miscellaneous l
(Service or feeder riot included) 2
3. Plan Review section (if required): Far+lamp or ar,gatron rrrio - $4000 2
F art'apo or adhre Iphting _-- 610 00
S,gne rncudlsl or a Imaed.n.rgy 2
Plea*check appropriate item and enter tee in section 58. panel aieralron or awl.nalor _ $40 00
4 or more residential teats x one structure M nor I Abele1101 _--
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6100 00
Service and feeder 225 amps or more
System over 500 volts nominal 41. Each additional inspection''ver
Classlhed area or structure containing special occupancy the allowable in any of the ebo to
"ar rwprrr,n„ 605 00
as described In N E C Chapter 5 ,e,tin," R55 00
. i.,,.. $115 no __
Submit 2 sets of plans with application where any of the above
apply. Not required lot temporary construction services 5. Fees:
5e. i rater total of above fees S ; Sly�1�-r_i-,
NOTICE 5%Surcharge 1 05 X total fops) S / .--
PEWITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S -----
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25 0l tine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Ree wv it required! ,.or 31 S __!__
A PERIOD OF 180 DAYS AT ANY TIME AFTERWORK IS Subtotal S ---
COMMENCED 0 Trust Account 11 s
Balance Due f 3' . S
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