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InitiallyGood (3) Fm) 15' DED IC�4TION L== a = 14 W,4LNUT Hil V1 EE RA <,,,rm:: E UNIT Surlrl*ll4q%r FFI O 9 'A' UNITS m 1154 SQ. FT. 3 BEDROOM22 E 34 A 15' UNITS SQ. FT, 2 BEDROOM 2 E 24 'B' UNITS m 700 SQ. FT, ! BEDROOM I E .N I T - � SCS, FT I S m _1 5 , i EacIST. 90 TOTAL DWELL ING UNITS BLDG. I OFFICE 1212 SQ. FT. W/LOUNrsE s WT. 5 2T 33 GROUND FLOOR UNITS 33 X .38 s 12.54 1 13 ACCESSIBLE UNITS A - RF PROVIDED WHEN ? IND ICATED WITH 'HC' ON THE SITS PLAN '5T STREET FARKING 3T 3(0 !0/0 X 20/0 GARAGE STALLS 4 V21 10/0 X 18/0 TANDEM STALLS • H v +4RC $CE 3 'g .«B� 15 9/0 x 18/0 STANDARD STALLS t4C- Hr 48 8/0 X 14/0 COMPACT STALLS � y ALK 180 TOTAL SPACES PROVIDED INCLUDES & HANDICAP STA 2C V LLg INCLUDES 55 CARPORT STALLS - - 3 '� 4 r 3 �=1C - Cs CfC� r Al .E SDE / 24 (5) 109 OAK TREES A1eL � _ � v 3 lCl 4e COLD WINTER WINDS ' Y UaAt�f"1� 311,1 ,B, RFEZ' V ` �': '�__r. ori��Y 0 TI�A�iD Apprtvat ::.�.:- ...........................,............... �:• V \ For c��hi '�*- ;�.,�,�,Jir: PERMIT N01. 2 -s I ,........ g� 3 'A� S�alt `rt : .............. .,... .....( - S- \ 'B' �� _ nb Address,IIT 100 1 w►...ww w+r w�ws.l.11r..w�.... w .w..wr:a, . - rw .TTYI�w,MIRw.�.4:fJ.Y_.JI.' •��•.••.. •. «D _ - - - E v 49r- - \ MAII ` L. i,.. ,, rATION l•U/QUANITY AS INDICATED 115LE 1C ,� r SANITARY DROP BOX AND ENCLOS URF '1 y INTERNATIONAL HANDICAP SYMBOL CONTOURS +� 2' INTF}e1�'AL S -..•�� CONTOURS * 10' INTERVALS L T 1 4 r STALL HOOP STYLE BIKE RACK o A.:~ fn O EXIST. ?wOTICE: IF THE PRINT OR TYPE ON ANY -rir � lil Illllil lilllil lilllil lilllil IilI11T .� 1 �_rl-.� 1. Ij.��_� � 1 1. � � � 1 �.1 1 � 1 � 1 11 � 1 � 1 � 1 I , If III II IIII III III SII 1 � L f�7 r17 1 � r T � 1-11 IIS i1 -1 .1J-1 1 111 � I I �I . I � i I �IIIII III I � I IIIIIII , IMAGE IS N I I I 1 I I I �j NOT AS CLEAR AS THIS NOTICE, ________ 1 •� 4 (j 7 81 11L 12 IT IS DUE TO THE QUALITY OF THE _ No.36N. , u. 6 ORIGINAL DOCUMENT -_ E 6Z � Z LZ 9Z � Z fiZ EZ I Z IZ OZ 6T 8I GI 9T 5t � t E1: Zt it t i S L I 9 5 I� E �Z t ��bi�w IIII IIII 1111 Illi llll IIII liil Ilii IIII �� itll �� i �1<l1l�i ii�� iii�lii�i Ill liu ►�i�l�iii i ii iiii iiii iiii iiii iiii i ii i ii i i iiii iiii iiia iiia iiii iiii illi iiii iiii ��<< �►!� i �II�� iiii �� lli .l.l.11111 I flll Llll 111 11.1.1-[-l. ll!1 -Ill �.�1111 ll�l IIIli1�-il Z'-a' b'•4' 3'-PJ' 9'-�' 9'•Q�' 3'-m' I HR. FOR 5' KA SIDE WITH kt' GYP. ON EXT. 0 fie' TYPE 'X' GYP. ON EXT. C.'EGK _ I 42' HIGH r_ DECK Df i GK DECK i DE:K ' . � ,• ! DECK UNIT 'B ' , UNIT 'C' UNIT 'C ' . UN !T 'B' � UNIT 'C' - i L!NIT 'D ' � [ f d W ,� k' d) DN Vr 141 ON u N �R. ON ? AREA U SKP. WALL 2 WR. AREA Sep. WALL V FT fw 4X17 8 4 _ X 8 L.� X 4 -X—s i I f '-b 8'-�• '-b' 4'-?' t?'-@'� 4'-8" 5'-®' 1?'-�' 4'-?' S'-b' a'-m' 3_-a' '-,�' 8'-m' 3'-6' '-4 Ii'-m' a'-m' ?m'-01 ?i'-?• IT-z• �'-�' 8'_®• f .. $ECOND FLOOR BUILDING 11A11 ALL. EXT. WALL5 TO BE V.," GYP. EA. 51EF W/5d • T' C/C EXCEPT WHERE NOTED C l HERW15E: IllI_I-I-I _I-I Ill-�I I _l l�f-11 1`TITT1- 1 1 II I I I I III_ILI -III I ( I I I-II_I l ► I .I 1 _I1_1_1 _1 111 S_II IIIII _I_ _ { 111 11 I I IIII I I 1 111 1 1 1NOTICE: IF THE PRINT OR TYPE ON ANY IMAGE IS NOT AS CLEAR AS THIS NOTICE 4 12 IT IS DL'.: TO THE QUALITY OF THE Nu.36 ORIGINAL DOCUMENT E 6 Z S Z LIZ 9z 5 Z � Z E Z Z T Z U Z 6 i g T L 1: 9 i 5 t � T-` E T Z T T T T 6 S L 8 9 �' E Z I ORLON IIIIIIIIIIIII ►Illllllllllllll�IIIIIIIIIIIIIIIIllll11rI1�1111�1I111_ l�IIIIILIIIIIIIIIIIIIIIIILIIIIIIIIIIfiIIIIIIIIIIIi�llllllll�! IIIIIIIIIIIIIIIIIIIIIIII .Ii�lllll llllll.l 'all ll ( lall. 11.I1 �� U l I IIJIIIII111 11iI •}j r I r � r G1 O� co C H t" r r H H 'L I i' r 11368 SW BULL MOUNTAIN FAD .,. BLD: 4A HILLVIEW COMMONS uAunco JARMER ELECTRIC, INC. - 5105 S.W. 45TH AVENUE l PORTLAND. OREGON 97221 C ."Um"M Serving the Northwest Sir,ce 1964 ___. MEMBER: MEMBER ASSOCIATED INCEPENDENT BUILDERS ELECTRICAL AND CONTRACTORS CONTRACTORS OF r),ECJN, INC. October 23, 1995 C ITY OF TIGARD BUILDING DEPARTMENT 13123 SW HALL BLVD, TIGARD, OR 97223 ATTN. Jim Funk RE Fire Alarm Plan Review As required for this type of installation, we are submitting this plan review for you to review, continent, ar,d return 1 copy to us. Property address: Hillview Terrace 11400 Bull Mt. Road f Tigard, OR 97.224 �- n Note #1 - PEZO Alarms on all 3 floors typical. Note #2 - "A" "type buildings (3) are to have evacuation system. / Note #3 - Building 1E may not require evacuations system due to deletion ofcommon areas. Note 94 - All grade level units to be strobe adaptable. Sincerely, /> Tim armer Estimator BUSINESS PHONE 503246-5381 FAX PHONE503-244.8037 CITY OF TIGARD PERMITTU#.DING. .: BUR96-00,3; COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/01/96 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)539-4171 PARC:'_a 2S110AC-01200 ,`ITE ADDRESS. . . : 11368 SW PULL MOUNTAIN RD SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : --------------------•--------.-------------------------------- REISSUE:-- _ - �iPJ FLOOR AREAS--------- - EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :j)IP I� FIRST. . . . s 0 Sf N: S: E: W: I-YPE OF USE. . . :MF SECOND. . . : 0 sf PROTECT OPENINGS?------ T YPE OF' CONST. :5N . . . e 0 s f N: S: E: W., OCCUPANCY CRP. :R1 TOTAL------: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. s 0 sf AREA SEP. RATED: STOR. : 0 HT : 0 ft GARAGE. . . .' 0 sf OCCU SEP. RATED: BSMT?:Y MEZZ?: REOD SETBACKS-------- REQUIRED------------------ FLOUR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 fit F1R SPKL:N SMOK DET. . :Y DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDI�,P ACC:Y I.;EDRMrS. 0 BATHS: 0 IMP SURFACE: 0 PRO CORK:Y PARKING: 0 �JALUE. $ : 2666 qemar^ks : Bldg 4A: Addition of Fire Alarm System Owner-: ------------ __,_______------._._.__._____________._- FEES _____..______ .-- (ANDREWS _._ (ANDREWS�M4NAGEMENT � _ type amount by date recpt 4000 SW KmUSE WAY PRMT $ 38. 50 JSD 07/01/96 96-281131 FIRE *. 15. 40 JSD 07/01/96 96-281181 i_AK{_: OSWEGO OR 97035 5PCT $ 1. 93 JSD 07/01/96 96-28118J I,hone #: 503-699-8643 t..antr-alctar: ,JARMER ELECTRIC INC 1105 SW 45TH AVE I-IUR'f LAND OR 97221 i ,hune #: 246-5381 $ 55. 8;3 TOTAL_ t4pq #. . : 006924 REQUIRED INSPECTIONS - ____-_ h.,s p?rmtt 1s issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Speclaity Codes and all other Fire Alarm Insp applicable laws. All work will be done in accardaoce w)ti. Smoke detector i approved plans. This pereit will expire :f work is not started Misc. Inspection within 180 days of issuance, or if work is suspended for more than 180 days. _ —_ --.-- Permittee Signatut-e , Issund Gall for inspection - 639-4175 Commercial building F rmit A lication City of Tigard 13125 SW Mall Blvd. j Tigard, OR 97223 (503) 639-4171 Jobsite Address: Tenant: Suitr,# Office Use Only Z Planck/Rec # Valuation: �� Permit # _–—� Owner: , 1 +�2 !`�y �� . �.�C��.� Map & TL # Address: Approvals Required Planning _ Phone Engineering — Other Contractor: �l A 2w,,t�Z L t L`� C C" Address: J Q `, (1l� Type of const: Occupancy class: r Phone: Z-`i r'kS3$ � Sprinklered? Yes Contractor's License # Z " / `I (attach copy of current Oregon license) Sq ft. of protect: Contact name & phone: — / 1 < <` Story (1st, 2nd, etc.) //�� ( _ Arch itect/Ertgineer: � A �� A a� Proposed use: Previous use. Address -- Note Plumbing & mechanical plans must be submitted at time of building permit application. Phone JOB DESCRIPTION: f r1' w Ll Applicant Signature & Phone number Received by: _ Date Received: i Permit 9 Account Description Amount Amt Pd. Bal. Due Bldg. Permit (BUILD) i Plumb. Permit (PLUMB) Mech. Permit (NIECH) , t State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: 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) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Qualitv (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) _ Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: N� Mounting Options T A FLUSH MOUNiIN 18 URFACE M0UNTlA3 V C FLUSH N#QU.N P N r� -12 24E—M�(H� q 000'' + J •.•(i w•L4L.r. 1L•fi'�•�011 Of.SL rA•S r !- f � 4�ru..Y v.��f/G• C�yro.:Lyt(.l N•:.y:. � 0!Q K.eL`• 11 1'{ uC 12 ..�. I 1 ••r..r,„0.�FLF Cr :r_i•'u�• Y�tiY_'Y-MJi1 O/ C:_:_._J_S D 5'u;FACE n1ING I E FLUSH M%`NTIN I F FLUSH MO:Nljagj ! li-STRC E HA M!?- TROBE H^ N f 10edl I MOBE Hv.1N ("7Ld' { r. ' f��`j a�.;t,•i ,rrs��`��`� i --,5_ ham: !'cis r'- w.y�y nWR¢ Ci_C MM^�ii•• ui�Yyv,�Jua" co u�._^I•Y��u�(4 .rV: `,: �t /ip .r: 1'• .., 1 • .r�/ir wp 1'1 e•r, I'{ .,.;. /u .a_/'1 I '�: 1'w fr:_/a ..:.� . •.' 1_ Architects and Engineers Specifications TI-e notification appliance shall be a Wheelock M12 Series audibleiwsuai device or equivalent, Not ficabon appliance shall be electronic 1 and use solid state components. Electromechanical altematives are not arpro.ed Each sound pressure neasurorrn.ni a, 10 feet crab i be 90 dBA minimum at 24VDC and 88 dr3A minimum at 12VDC Ope•ating voltages shall 5e either 12VDC u.24V DC using filterea power or unfiltered power supply(full wave•rect fled).Ail mc60iii shall have provisions for standard reverbe polarity t�'p� supert-sion and Itr.OUT Feld wiring using terminals that accept N12 to 018 AWG wiring Combination audlDle!visua: s gnats shall incorporate a Xenon !Iashtube enclosed ,n a rugged Levan lens or vnth solid state circuitry. Snooe shall meet UL 'a71 and produce a flash rate of one (1)Bash per second minimum over the Listed irpul voltage (20VDC- � 1 31VDC) range. The strobe ntensity shalt be rated per UL 1971 for 15, 30. 75 or 110 Candela The LSM Senes 1574 candela strobe shall be specified when 15 candela UL 1971 Listing with 75 candela nicnsrty near-axis ._ requ,ev _43 All UL 1971 Listed strobe appliances shall be verified to meet FCC Part 15, Class B rind inCorporgle low tempC.,atu•e compensation to Insure the lowest possible current consumption The appliances may be installed indoors for surface or flush meurt rg 'ney shall be mounfed to standard e'octriral hardware requunng t�l L no additional trlmplate or adapler. Wheelock products must be used within their pub'isred specficatione and mutt be PROPERLY specified, applilld, Installed, operated, maintained and operationally tested in accordance with their InSlal!ation instructions at the time or Inst81191ion and a, least Yrvice a year or more often and In accordance with local. Mate and federal codes regulations and laws Specification, application, inslallahon, operation, maintenance and testing must be performed by qualified personnel for proper operation In accordance with all of the latest Natioral Fire Protection Assoefallon (NEPA), Underwriters Laboratories (UL), National Electrical Code (NEC), Occupational Safely and Health Adminis- nation (OSHA), local, state. county province, d st'ct, federal and other appl,cable building and fire standards, guicie!lnes, regulators, taws and codes including, but not limited in, all appendices and amendments and the requirements of the local authority having lunsdiction(,A"J). ANY MATERIAL EXTRAPOLATED FROM THIS DOCUMENT OR FROM WHEELOCK MANUALS OR OTHER DOCUMENTS DESCRIBING THE PRODUCT FOR USE IN PROMOTIONAL.OR ADVERTISING CLAIMS OR FOR ANY OTHER USE, INCLU'DiNG DESCRIPTION OF THE PRODUCTS APPLICATION, OPERATION, INSTALLATION AND TESTING IS USED AT THE SOLE RISK QF THE USER AND WHEELOCK WILL NOT HAVE ANY LIABILi–Y FOR SUCH USE. Due to confln.,ous development of ou•products,9rec,f,cat,ons and offerings 9•e subject to c)a-qe withou notice in arcordanCf w'th Wnee!eck Inc standaro leans and cored';io^.s NATIONAL. SALES OFFICE � Distributed By: 1.1100.631.2148 Cetnadrr 005 791-4126 MEMBER WHEELOCK INC. '273 SRANCHPORT AVENUE 6 LONG BRANCH, NJ 07740•(908)222-6880 FAX: 908.222.5707 siloo Rh 195 91 'd 5t- i ;1H1 96—f 1-930 DUL n.FIRE CONTROL MS SERIES WTSHMENTS NON-CODED MANL:AL FIRE ALARM law I S TAT 10 N S < Model MS-2, MS-21-1 The MS-2 manual, fire alarm two.inni, are douh'.c action devices.These rcqu:rcs *.hat the outer door Sw lifted tri,expose the actuatton door vi hich is then pulled forward to operate the alarm togg!e switch. The actuation door is noii% locked in the readflN obfcrvahlc"alarm"po%ilinn To reset thestittion,a key(curitnon it)PCI control panels) niu,t be inserted and turner, 1/4 turn clock- YS-2 2x4 wise, opening the station. Closing the station rescIA the s-titch automatically. An optional brcukglass rod is ai,ji!.ble fur posifi t c indication of station operation. Model MS-2P (Presignal) Operation of the Model X95-2P I-eflinol station is mnillar to that of the NIS-2. 11.,c addi-win of a Ir);,-III L kcy-operated s�h itch inuunted urith.,io-c. dour.This switch niny be used for"gcnt�rai 91nmi" signaling. Model MS-2L, MS-21LP (institutional) Operation of the Model NIS-21- institutional sta- tion requ;te,;that a�pecial kc% hz used to tcica%c the actuation door b,;forc it can be operated. This lock FEATL'RES may be keyed as required by the particular applica- tion. The IVIS-21-P features or, adea-mral kcy-aper- * Single and Double Action Vvi-sions aird switch mounted on the lower door. e Tumbler Lock for Test and Reset Model MS-2-0 (Multiple Contact) Ke�cd alike with FC1 Controls Thc \IS--,-D features a CAST for mol rip)e * Positive Indication of Operation os'er Signaling via wire lead connections 1800 Viewing Angle Model MS-6 (Single Action) 9 Surface or Semi-flush Mounting •1 he W-6 station is a single actmr &\ice,rea'uir- (;NIS-Z, MS-6) ing only the puliing of the action door it)release the 0 Shock and Vibration Resistant compressed batten switch It is a%ai;ab:c tither%k,':h terminals(MS-6T)or wire leads WS-6). v NENIA 3 %N eatherproof N ersion The station tc,;cts in the same manner as.the%IS-2. NSAVS) The reset key is common to FCl control panels • Institutional Version (NIS-2L) Model MS-WS (Weatherproof) Institutional Presignal Version The surface mounted cii%t alim;rurn MS-WS (.NIS-2LP) station has a protective hood over the actuation door which offers genuine NEMA 3 weatherproof con. t Presignal %'P---c!- IINIIS-2P) stn,ction. The pull door is held in place by c- break- &lass rod and extends below the br4y of the station 11 Op so "FIRE St'TPRESSION so It can be pulled outward to operate even if ice SYSTEM RELEASE" Markings coated. The react key is common to FCl control (NIS-211) panels. * Optional DPST Si%itch i MS-2-D) The surface mount bnckbox is threaded for 1/2- inch condi it fittings both on top and bottom, 5 DKIffticm 1,40 provided for inion on't 604 Are t4l*,#�:.It,#0:p.-0YHoWtvqf rO'Q-tlb^ttk f'? Of,",•q c1r1w 110114MOR46 t^0 "- le.1 (.114 nowe-flicalol SAIRCI to eh*4;9 WN)6e nt" 269 GROVE ST. NEWTON, MA 02166-2295 USA TEL; (617)965-2010 TELEX:94 8212 FAX, (617)965-0659 9020-()358/()4-95 • NC-71 nul co-hi-lin •*- � �Imo; I f. Li L^' AGENCYAPPROVALS UL(Sid 38) F,Ic S246! FA1 (MS-2.%ISAkS) ()13A9 AY/I-F,AO CAW..A% NS-2,SIS 6) 715U-069»:10' iMS-H'S) 71M-6694:136 NYC BS&A (Ms.!. MIS-\\S) 960-SI-SA NYC MEA4 (MS-b) I03 93 E SPECiFICA11ONS Material (MS-2.MS-6) littrudcJ 606"17.1 alommum Doors (NIS-2,A11,;-6) Clear arodiie Switch ti pe NIS-2 Enclosed toggle NIS-6,MS•11'S Eneloeed ptt<h butter Contact materla? Silver plated bronze or copper Contact ratings �� 1 MS-2 6 amp. max. (1, 30 VDC (resisti�p) My-6 0.5 amr.max, at 30 VDC(resistivc)..4 \ MS•WS i arnp, (P .10 VL)" (resistkc) Dimensions (oierall) NIS-2,MS-6 S" H x 3 4" W x 2.8"D Vi5-1V5 5.8" H x 3.5"Vx 2,73"D ORDERING INFORMATiON Part No. Model Description 1100-0615 SMS-2 Doubie action fire alarm s;atlon 1100.0634 MS-2H Double action station with "FIRE SUPPRESSiON SYSTEM RELEASE"x markings 1 100-061 o MS•2P Presignal fire alarm station 1100-061'e. MS-21, Institutional fire alarm•etatioy 1100-1096 SIS-2LP Institutional presignal fire alarm station 1100.0617 MS-2-D Double actinn station with DPST switch 1if0 442 M3•6 Single fiction station,wire leads 1100.0633 MS-6T Single actiun iia,,loo,iermir.aic 2520-0023 BB-2 Surface back bvx for r4S•2. MS-6 ttatit+ns 1120.0206 Package of t%%,n replacement 'oreakglw rods For %15-2 station 120.13120 MS-A'S Weatherproof station with surface hacl�box 2500.0247 GR.I Replacement$lase rod frr MS-WS 269 GROVE ST. KEWTON, MA 02166.2293 LISA TEL, (617)965-20M TELEX 94-9212 FAK t617t 965-0639 2of2 ui��11-11ZSV 80 'd 9ElZf Ak 5641-034 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tlgard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT 0. . . . . . . a BUP95--0342 DATE ISSUEDs 08/01/9x, SITE ADDRESS. . . s 11368 SW BULL MOUNTAIN RE, PARCELa 2S110AC-01200 SUBDIVIBION. . . . s ZONINGsC--P BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. CLASS UF WORK. a NEW TYPE OF USE. . . s MF TYPE OF CONSTRs5N OCCUPANCY GRP. sRI OCCUPANCY LOADS 48 TENANT NAME. . . sHILLVIEW CUPIMUI�t Remarks# Bldg 4A Owners ANDREWS MANAGEMENT LTD 4000 KRUSE WAY LAKE OSWEGO OR 97035 Dhone #1 699-8643 Ont ract or s 1CH CONSTRUCTION CO [:OLUMBIA EQUITIES INC 3235 SW OLESON RD STE C PORTLAND OR 97223 i ,hone BMs 224 .7410 ReW #. . t 049267 Cp, tific,aate grants occupancy of the above referenced building ur portio, t:hereoF and confirms that the building has fasten inspected fat' Lumpiianc:;e wits, the State, of Organ SPer.ialty Codes for 'the grow accupM c:y, and use under.)hirh the referenced permit. was isso.Aeed. �ll1L �31iP TOR BUILDING 0 FICIAL POST IN CONSPICUOUS PLACE FCITYOF TIGARD BUILDING PERMITPERMIT #. . . . . . . .. BUP95-0,i4L COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 1,-::'/15/95 113126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839.4171 PARCEL: 2S11q1AC-01200 I'E ADDRESS. . . ii SW 1-UI-1- MOUNTAIN RD SUBDIVISION— . : BLOCK. . . . . . . . . . s LOT. . . . . . . , . . . . . 70NING: R-.25 RF--ISSUE: FLOOR EXTERIOR WALL CONSTRUCTION CLASS OF WORK--NEW FIRST. . . . : 4679 of Ns S. E: W. TYPE OF USE. . . :MF SECOI\ID. . . 46-79 s F PROTECT TYPE. OF CONST. ::3N • 0 Sf N.- OCCE: W: UPANCY GRP'. : 131. TO'T(iL--- 9,358 s-F ROOF CONST.-AFIPI- FRET'?: OCCUPANCY LOAD- 48 BASEMENT. : 4679 sf AREA SEP. RATED:2HR )TOR. : 0 IAT: 0 ft GARACE. . . 0 s f i3SMT? :Y OCCU GiEP. RATED: 11-IR MEZZ? REGID, SETBACKS----- LOOR 1-0N1). . . . - 0 Psf LEFT : Q) ft PGHT: it) ft r.7 IR Sf:'KIAN SMOK DF-7. . :y DWELLING UNITS.- 18 F'R N T: 0 ft REAR: 0 ft FIR AI-RM:Y HNDICP ACC.-N BEDRMS: 24 17,ATHS. 0 IMP' SURFACE: 1zl PRO CORP.-y PARKING: 0 VALUE. $ .- 7671334 RemAr-'ItS : Bld,-4 4A Ownet-.- ONDRIFW5 MANAGEMEN'T LTD FFES qOOO'(-',RUSE WOY +ypp amol.trit by date t-ecpt PL.CK $ 136( . 95 JSD 03/10/95 95-26909': F I RL i. 841- 20 JSD 08/117.1/95 95-- G909° i.."KE C)SWEGO OP 97035 PRMT $ L103. 00 B IE/15/95 95—i739& , PI-1C)ne #-' 699-8643 51JCT 1, 105. 15 B 12/15/95 95-27390! C0T1t)--c%Ct0j--- EROS $ 208. 00 B 12/15/95 95-27398`, ERPC 1, 67. 60 P t:.. MCH CONSTRUCTION CO I -/15 19!5 9!5-27308� COLUMBIA EQUITIES INC ERPC s 67. 60 B 12/15/95 95-273965 8235 SW OLECSON RD STE C f�`ORI'LAND OR 97223 $ 4759. 50 TOTAL 049.::6'; RFOUTRED TNESPECTInm7, This pereit is issued subject to the regulations contained in the F'ootillp Insp Tigard Mumcipal Code, State of Ore, Specialty Codes and all other 1`01.mclation Insp doolicable laws. All work will be done in accordance with Post/Bearn Insip mroylad clans. This vet•vjt will expire if work is not started Slab Insp within IN days of issuance, or if wnrk is suspended for sore 1=v-amirlq Insp than 180 days. Insi-ilation ITISP Shpav- Waj, j Insp Fit-ewall Insp --mit . ee GYP Snav-d Insp 5innat,wo . wT ApPV-/C3(1W1k Insp Final Inspection Call for ir)sVer-tion 639-4175 Commercial Building Permit Application City of Tigaid j 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 i / f4 7�� L, / / Jobsite Address: eZ9,J7 znP o ? XY . Tenant: APTTI7 Suite# Office Use Only Planck/Rec # 2 Valuation: _ "Ael P_:12-i i Permit# .S` Owner: &J0A4 I(/!J1 /- J:Z: L_7-LU — Map & TL # ; NAC—0 f2-:?az Address: .4� /,f� .— Approvals Revuired Planning _�-oa Phone: _ �'1• - 95/��(3 — � -- Engineering > Other Contractor: Address: Type of const: 7TH Occupancv class: �f �. Phone: Sprinklered? Yes 1C� Contractor's License # (attach copy of current Oregon license,) Sq. ft. of project: 7 Contact name & phone: /r,y! �� 1 —_ Story (1 st, 2nd, etc.)Zf4y/ Proposed use: Aj(J,& /t�f��t177 ) ArchitecVEngineer: , /�C��',`r-'1i,A-' = r-' - �% •r-��-: r.r�. Previous use: Address: Note: Plumbing & mechanical plans must be submitted at time of Phonebuilding permit application . �� iS�¢ JOB DESCRIPTION: Applicant Signature & Phon ber � � Received by: .. ��(( - � Date Received Permit ;$ Account Description Amount Amc. Pd. 8a1. 0'us �l< 0'3} 0cBldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECN) State Tax (TAX) � n Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: " Sewer Connection (swusA) boo Sewer Insnection (SWINSP) => Parks Dev Charge (PKSDC) Residential T!F (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (711--C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) `Nater Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) j�(' 12e) Erosion Cntrl Permit (ERPRMT) z/G'r 1 � Erosion PlanckJUSA (ERPLaN) Erosion Planck/COT (EROSN) L TOTALS: i PERMIT CITY OF TIGARD DATE ISSUED: . 1 icWg9G i COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 97223e8199 (503)830-4171 PARCEL: 2'S 1 10AC-•01 200 :�I; l.. ;,I_:.I•. _._ ., . . i of t3 SW 13Ui-L I1110UNTAIN RD iUBDIVIS.iION. . . . . ZONING: R-- iLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . TENANT NAME. . . . . :H I t_I-V IF_W COMMONS BLDG 4A USA NO. . . . . . . . . . : F=IXTURE= UNITS. . . : 762 CLASS OF WORK. . . :Nr W DWE=L-LING UNITS. . : 18 TYPE OF' USE. . . . . :MF NO. CF BUILDINGS: 0 INGTAI_L_ TYPE . . . . :I USUR IMPFRV SURFACE: 0 sf Remar-ks : Bldg 4A Owner: --_.. ._._..___._._._..__.__-__.__.___.___.._.___._____._.__.___-.---_______..-- FEES ____.___.--•--____ ANDREWS MANAGEMENT LTD type aM0IATIt by date recut 4000 KRUSE WAY PRMT $ 39600. 00 B 12/15/95 95-2739o'.! INS ' $ A15. 00 B 12/15/9 95-1'739B'.: LPKE OSWEGO LIR 97035 Phone #: 699-8643 (':NTRACTOR NOT ON FILE_ Pl-1 o n e #: $ 39645. 00 TOTAL_ Ren #. . : ------- REDU I RED INSPECTIONS This Apulicant agrees to comply with all the reales and regulations Sewer Inspection of the Unified Sewage Acencv. The permit expires 'N days free _•..-w_•---..--_- the date issued. The total amount paid will be forfeited if the permit expires. The Agenry does not guarantee the accuraev of the side sewer laterals. if the sewer is not Iccated at the measurement oiven, the installer shaii prospect 3 feet in all directions frog -�__.,-___ the distance given. If not so located, the Iler shall purchase a "Tap and Side Sewer" permit and th _encv wt install lateral, y� c «' i r_i e d b v : V1i �4 t 11'� ._.. Call for inspection 639--4175 � 3 Actium I tiv ,S wer Tally _ Address: r;r ��,► 1. r,1 ', > t _ This PLM#: ��-M �S -,:)Zf-6 — r 1 Oi r7—,- Fixture -_- ?, Fixture Value Previo,is Previous Credits Capped Fixtures Fixtures New New # Value Capped off value added # added total #s total Count off #s count value values Baptistry/Font 4 Bath - Tub/Shower 4 Jacuz/Whpl 4 Cuspidor/Water Asp 1 Dishwasher Commer 4 Domest 2 I Drinking Fountain 1 Floor Drain - 2 inch 2 3 inch 5 4 inch 6 Garbage Disposal 16 Dom Ito 3/4 HPI Comm Ito 5 HPI 32 Ind lover 5 HPI 48 Oil Sep (Gas Sta) 6 Shower - Gang 1 • Stall 2 Sink - Bar 2 ; I � / 3radley 5 Commercial 3 Service 3 Washer, Clothes 6 ; Water Ext 6 Water Closo 6 Urinal 6 TOTALS Total fixture values:_ 1� divided by 16 = �(-I, 0- EQU HISTORY PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# [DlJ# SWR# PLM# EDU# SWR# PI.M# EDU# SWR# PLM# EDU# SWR# PLUMBING PERMIT CITY OF TIGARD DATE PERMIT ISSUED: . SSUED: . 1 2/1 5/95 j—:� 06 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: s 1 10Ar k�1 G 00 13128 SW Hall Blvd.Tigard,Orlon 117223.8199 (503)830.4171 ':')ITE r-aUi i<E;5�. . . : it (1G SW BUIL MOUNTAIN RD SLjBDIVISION. . . . : ZONING: P-25 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s CLASS OF WORK. . :NEW GARRPGE DISPOSALS. : 18 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :Mr- WASHING MACH. . . . . . : 18 BACKFLOW PREVNTRS. . : 0 Or'.CUPANCY GRP. . :R3 rl.-oo'•Z DRAINS. . . . . . 3 TRAP!;. . . . . . . . . . . . . . 0 GTORIES. . . . . . . . r 0 WATER HUPTERS . . . : 18 CATCH BASINS. . . . . . . : 0 FIXTURES-_._—..---___—_—__ LAUNDRY TRnYS. . . . . . 0 SF RPIN DRAINS. . . . . : 0 )1 NI<S. . . . . . . . . . .. 18 URINALS. . . . . . . . . . . : 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . . :24 071-?—R FIXTURES. . . . : 0 1 ULA/SHOWERS. . . . :24 SEr L.q LINE (ft ) . . . : r?r WATER CLOSETS. . :i:'4 WATER I_I NE (f t ) . . . : 2100 DISHWASHERS. . . . : 18 RAIN DRAIN (ft ) . . . : 200 Remar-ks : Plydra 4A C)NDREWr MANI-.GEMENT LTD ty13 amoj.tnt by elate r^ecpt 4000 KRUSE: WAY FIRMT $ t595. 00 N 12/15/95 95--273985 PLCVI $ 3r)8. 75 B 12/15/95 95--;=:759!35 LAKE OSWEGO OR 97035 5PCT $ 79. 75 B 1 /15/95 95-273985 F11-ione #: 699--BG4 C:ontr^actor: _---•----•_-- 7()PIAN I PLUMBING INC 707 NE 206TH AVE. 1.10 BOX 1458 NAT I'LE. GROUND WA 98604-01200 I''hone #: .06--687-3-98:1 $ 207:3. 50 TOTAL vera #. . - 60958 _..._._._--_ REQUIRED INSPECTIONS nes permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes 2nd all other Water- Lyne Insp applicable laws. All work will be done it accordance with PLM/Under-f) oor approved plans. This permit will expire if work Is not started Top--oLIt Insp__ within 14 days of issuance, or if work is susoerded for more Cit nr^m Dr^a i n Insp _W— than 180 days. Rain Drain Insp Mise. In.,per_tion Final Inspection V,ermittee `- irinat r l T s s:i_r e rd B v : Call for inspection — 639-4175 )1.tF 41 City of Tigard 11-11 )del PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. 0" Permit # mq O 6( Tigard; OR 97223 u S��/'�i (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Sinale Family Residences Only ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 1 Job ,J�I G � t� �/�� G 3 BATH HOUSE$225.00 Address cxlvsm. an Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sarntan sewer and storm sewer. See fees below. N.m*is n.m.or 21re.v) FIXTURES QTY PRICE AMT ILXrL, Sink c 9.00 )L15 S. Phan Lavatory 9.00 Ownir Tub or Tub/Shower Comb. 9.00 i c'"13"9 zip Shower Only 9.00 - _• Yl (�Y U�jc' Water Closet 900 Dishwasher 9.00 oN Garbage Disposal 9.00 Occupant MN q Ad&- PM. Washing Machine 9.00 !'n Floor Drain 9.00 Water Heater r n, 900 Laundry Room Tray 9.00 Ur.nal 9.00 Ir Other Fixtures (Specify) 9.00 M.rlc fn. c+lm. 9.00 Contractor 900 Gty191.1. n, 9.00 Sewer 1st 100' 30.00 91.11 Rl nftl n N. r9v B,+ 7..N. Sewer -ea. Addit. 100' 25.00 r J- Water Service 1st 100' 3000 U I hereby .cknowledge that I have read this application, that the Water Service ea. Addit. 20G' 25.00 7 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' Ir 30.00 I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention L C ------ Device or Anti-Pollution Device 9.00 '"`•'°" '0'" °i'• Any Trap or Waste Not Connected 'o a Fixture 900 Describe work new O addition alteration (D repair U - Catch Basin 9.00 to be done residential Q non-residential O Insp of Exist. Plumbing 410.00/hr Specially Requested Inspections 40 00/hr Existine use of Rain Drain, tingle familv dwelling 3000 building or property 1��ZjJ _ Residential backflow pre iention devices 1500 Proposed use of -' budding or property *(Except residential backflow prevention devices) NOTICE *Minimum Fee $25.00 SUBTCTAL I t�� I r' PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 18C DAYS. OR IF 546 SURCHARGE CONSTRUCTION OR WORK' IS SUSPEND!:D OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS •� j res * ' COM?1ENCED PLAN REVIEW 25°1. OF SUBTOTAL TOTAL 21.0-r4 Special Conoitions _ +� Date issued by d� BUILD114%3 . CITY OF TIGARD DATE_'TISSUED: . 01/12/965 034H COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 07223.6109 (503)630-4171 PARCEL - RS 1 10AC--01::'00 iTF NI)LIiCi:i` . . . : 11368 SW LULLMUl.li'JTFaT�J RD )UBDIVISION. . . . : ZONTNG: R-25 3L[)CI!. . . . . . . . . . . LOT. . . . . . . . . . . . . I + EISSUE: Ft.00R AREAS----- ---- EXTERIOR WALL CONSTRUCTION LASS OF- WORK. ,NEW FIRST. . . . : 0 s f N: S: E: W YPE Or- USE. MF SCCOND. . . : 0 a f PROTECT OPENIN(3`'? YF,E OF CONST. :5N . . . . 0 S f N: S.- E: 41: C C:i 1PANC Y CARP. :M1 TO'TAI--------- -% 0 s f ROOF CONST: FIRE RET" : OCCUPANCY LOAD: 0 BA5EMENT. : 0 s f AREA SEP. RATED: TOR. : 0 IIT: 0 ft GARAGE. . . : 1Bola S OCCU SEP. RATED. 3MT?: MEZ'Z?: REOD SETBACKS----------- REOUIRED--_________.____._-______ I_.00R LOAD. . . . : 0 vsf LEFT: 0 f4: FIGHT: 0 ft FIR SPK.L:N SIyIOK DET. . : )WELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:N k DRMS: 0 BATHS: TMP ,IIRFArI=: 0 PRO CCRR: PARKING: 0 )AL_UF_. 4 : OR9286 aam�_ -ks : 9 r.at^ cial iwner; _____._.___..___.__._-.__..______._--.------._._____.________._ FEES --------------- fINDRLWS MANAGEMENT L'I'D type amol.lnt by date rec rat 4000 KRUEiE: WAY PLCK. 'b 1c'5. 4 5 JSD 06/10/95 95--269095 PRMT 4 193- 00 JDA 01/1L/96 95--274704'+ L PKI= OSWE=GO OR 970 ;` FIRE 4 77. 20 .JDA 01 /1:_/96 95-274900 i 1hi one #: 699 -f364.:, EROG $ '(,. 00 JDA 01/12/96 95 7490,1, ERPC $ 8. 45 JDA VII /12/96 95--c'749012 onty-actov-. _ . .__.___.__._.__________ ... _--ERPf, E 8. 45 JDA 01/ 1,2/96 95--2741, `•1CH CONSTRUCTION CO 5PCT $ 9. 65 JDA 01/12/96 95-274', ,)LUMB 1 A E-(.IJ I T I ES INC SW OLESON RD SIE: C 'ORTIJAND OR 9'72123 'hone #: 4 448. 20 TOTAL_. Req ft. . : 049267 -- -- -- - REQUIRED INSPECTIONS - This permit is issued subject to the regulations contained in the F o o t i n q I n s p ioard Municipal Code, State of Ore. Specialty Codes and all other FoLIrlciat ion Insp auol icable laws. All work will be done in accordar_e with Slab I n r o aooroved olars. This oereit will expire if work is not started F v^amir;q Insp within IN days of issuance, or if work is suspended for epee Gtiear Wall Insp than 160 days, Final Inanect i on Mi,.:c. Tn3nectinn Final Inspect ian /\ G Ear^mitteP SirjrlatiIr•e : ' /// fo, - Fall for insoectian — 639-4175 CA-V C�U`16mmercial Building Permit Application, City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 . (503) 639-4171 Jobsite Address: ,P>C,; y7 Tenant: Suite# CHice Use Onlv �� n Planck/Rec # Valuation: _y . L,._�L Permit # /3�� c�c �' L/ Owner: /�_YJ��•' �� ' =r :�; � Map 8 TL Address: '�y t Approvals Required Planning Phone Engineering Other Contractor: '.1 Address: Type of const: ,T7 p Occupancy class: Phore J Sprinklered? Yes N4 Contractors License # (attach copy of current Oregon license) Sy. ft. of project: Contact name & phone 1,1 ,{,� ;�;'yt4.� Story (1st, 2nd. etc.) _ Proposed use Architect/Engineer: A_'zt'_ �'4_': Previous use. Address �, ,• �22. Cyd 11.:: Note Plumbing & mechanical plans must be submitted at time of building permit application. Phone: -��•�' JOB DESCRIPTION ��, ! , �L; rlp icant Sigrature & Phone nUmbfir Received by /� r r ''' ^ J� l�'t ' Date Received )h Permit # Account Description Amount Amt. Pd, Sal. Due ' 'C3` Bldg. Permit (BUILD) Plumb. Permit (PLUMB) _ Mech. Permit (MECH) _ State Tax (TAX) �- Bldg: _ Plumb: Mech: b Plan Check (PLANCK) _ �_� Ll 1, Bldg Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) _ Mass i ransit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF I-IF-O) Water Quality (WQUAL) Watc, Quantity (WOUANT) Fire Life Safety (FLS) 77 Z2 Erosion Cntrl Permit (ERPRMT) Z G ZG I Erosion Planck/USA (ERPLAN) Eros,Ion Planck,COT (EROSN) TOTALS: U � 5 TIGARD MECHANICALCITYPERMIT PERMIT #. . . . . . . : MEC95-0289 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/12/96 13125 SW Hall Blvd,Tigard,Oregon 97223.5199 (503)530-4171 PARCEL: 2S110AC--01200 ITE ADDRESS. . . : 11368 SW BULL MOUNTAIN RD M S I ON. . . . : Z CIN I NCi: R-25 )UHU `'•LOCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . .. — — :LASSOFWORK. " – NEW —_ FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :MF UNIT HEAT ERS. . : 0 VENT FANS. . . :24 `.)CCUPANCY GRP. . :R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0 :TORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 'UFI_ TYPES------ _ ----- 0_3 HP. . , . : 0 DOMES. INCIN: 0 3-15 HP. . . . s 0 COMML.. T NC I N: 0 IMAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 F IRE DAMPERS '. . 30-50 HP. . . . : 0 WOODSTOVES. . : 0 IIAS PRESSURE. . 50+ HP. . . . : 10 CLO DRYERS. . : 0 •40. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0 i F=URN < 1006', BTU: 0 (= 100100 c: Fm : 0 GAS OUTLETS. : 0 '--URN ) =100K BTU- 0 > 10000 cfm: 0 � Remarks: building 4A does not inlude qas fixtur-es such as furnacea or water heaters Owners __.._____._.___.__.____________...__---- IFEES ANDRLWS MANAGEMENT LTD type amount by date recpt 41,1100 KRUSE WAY PRMT 6 8;2. 00 JSD 01/12/96 96--274907 PLCK $ 20. 50 JSD 01/12/96 96-274907 LAKE OSWEGO OR 971035 5 P C T $ 4. 10 JSD 01/12/96 96-::74907 Phone #s 699-8643 Conti-actors MCH CONSTRUCTION CO COLUMBIA EQUITIES INC 8235 SW OLEwSON RD STE C -- PnRTL.AND DR 97223 �'------- --_------- Pli o n e #: 4 10f.. f+0 TOTAL. Req #. . . 1049267 --- — REQUIRED I NS PEC'F 1 l?Cva - - - This oereit is issued subject to the regulations contained in t`e Mechanical Insp TioArd Kmicioal Code. State of Etre. Soecialty Codes and all other Hpat i n q Unt I n s P aoolicatle laws. All work will be done in accordance with Cooling Un t Ins p approvEd plans. This oereit will expire if work is not started Di.tct Inspection within IPA days of issuance. or if work is susoended for wore Mi sc. Inspect i nn thar 180 days. Final Inspection Final Inspection perm i t t e e !3 i g n-it 1-t r,e : 1.5st.led `[ Cr-111 for insvection 639-4175 City of Tigard MECH =1NICAL PERMIT Planck/Rec. # 13125*SW Hall Blvd. APPLICATION � Permit # Tigard, JR 97223 i (503) 639-4171 1 '�•„ �"Dp1O"°' es,.:rhptiun Table 3A Mechanical Code CITY PRICE AMT Jobc6 C"u) 1) Permit Fee -0- -0- 10.00 Address ' 2) Supplemental Permit 300 ..... rnace to 100,000 BTU 1) incl, ducts &vents 6.00 r IFurnace 100,00 U + Owner '1 1 Y �' f� 2) incl ducts R vents 7 50 Floor Furnance 3) incl. vent 6.00 Suspended eater, wa eater ;'/I ILA 1` 4) or floor mounted heater 600 Occupant ... '" went not nc in 3) appliance permit 300 Repair of heating, re ng. 6) cooling, absorption unit 600 Boiler or comp, heat pump, air con 7) to 3 HP', absorp unit to 100K BTU 600 Boiler or comp, heat pump, air cond. 8) 3-15 HP. absorp unit to 500K BTU 11 00 Contractor offer or comp, heat pump. air con 9) 15-30 HP, absorp unit 5-1 and BTU 1500 Boiler or comp, est pump, air con . 101 30-50 HP, absorp unit 1.1 75 and BTU 22.50 Hereby ac now s ge that I have read this appTcation. that the Boiler or comp, eat pump, air cord information given is correct, lnat I am the owner or authorized 1 1) > 50 HP, absorp unit 1.75 mil B-.U 37.50 agent of the owner, that plans submitted are in compliance with Air hanTing unit to - State !aws, that I am registered with the Construction Contractor's 12) 10,000 CFM l 450 Board, that the number given is correct. (If exempt from State Air an hnquric Igistration, please give reason below) 13) 10.000 C i M - 7�O Non portable - 14) evaporate cooler 4 50 Vent fan connected 1`) to a single duct 300 ice- enti anon system not 16) included in appG-ince permit 450 a . .. .. Hood serve y 17) mechanical exhaust 4 50 Describe work new addition 7-alteration-77 reoair l ommercia or industrialto be done residential O non-residential (1 1 d) type incinerator 3000 Existing use o — er i e. woo stove, water budding ur property Vi�1f'L.iL�I — 19) heater solar. clothes dryers. etc 450 Proposed use of 201 Gas piping one to four outlets 200 building or property — Typo of fuel -oilU natural gas Q LPG Q electric G 21) More than 4-per outlet (each) — 2.00 PERMITS BECOME VOIC' IF WORK OR CONSTRUCTION Minimum Fee S25 00 SUBTOTAL AUTHORIZED IS NCT COMMENCED WITHIN 180 DAYS. OR 50/16 SURCHARGE ( `� IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25116 OF SUBTOTALry AFTER WCRK IS CCMMENCED. -- — (' 4 TOTAL G moi' r Soecial Conditions /yr (late. ssuel h� -L001M66TStMECMMT Y- V CITY OF T MAST:T #. .. I T COMMUNITY DEVELOPMENTUEPARTMENT DATE ISSUE=D: 07/10/96 13125 SW Half Blvd,Tigard,Oregon 97223*8199 (503 039.417) I (nK 'bt1 13G/14, /7lT/v• lel, P-ARCEL.: ,_S110AL---01.200 ;I TE: ADDRESS. . . : �W 4-NO AIDDIP -)—CRI`==RT* , UBDIVISION. . . . ZONING: C—P I-0Cl;. . . . . . . . . . . L-OT. . . . . . . . . . . . 7esarks: ACS/NEN CARPORT 10 SPPCES b HC AISLE NEAR 11368 ---•------------------------------------------------------------ BUILDING ---- - --------------------- tEISSUE: STORIES.,.....: 1 FLOUrR AREAS--------•-- BASEMENT.,.: 0 sf REQUIRED SETBACKS-- REr7lUIP.ED------------- .LASS OF WORK.:ACS HEIGHT........: 9 FIk".,T....: 1764 sf GARAGE..... : 0 sf LEFT..........: 0 SMOKE DETECTRS: YPE OF USE...:MF FLOOR LOAD.... : 0 SECOND...; N Sf FRONIT.........; 0 PARKING SPACES: I -YPE OF CONST.:2N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0 3CCUFANCY GRP.:S4 BDRM: 0 BATH: 0 TOTAL------: 1764 sf VALUE..1: 20357 REAR..........: 0 -------------------------------------•------------------------ PLUMBING ----•------------------------------------------ ----------------- ANKS.........: 0 WATER CLOSFTS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 .AVATORIES..... 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 8 GARBAGE D1SP..: 0 WATER HEATERS.: a WATER LINE ft: 0 BCKFLW PREvNTR: Q GREASE TRAPS..: 8 OTHER FIXTURES: 0 --------------------------------------------------------------- MECHANICAL ---------------------•-- UEL TYKES----------- FURN ( 188K ..: 0 BO!L/CMP ( 3HP! H VENT FANS.,...: 0 CLOTHES DRYERS: 0 FURN )=108K ..: 0 UNIT HEATERS,.: 0 HOODS......... : 0 OTHER UNITS...; 0 `IAt INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........; 0 WOODSTOVES....i 0 GAS OUTLETS... : 0 --•-------------------------------------....--------•----------- ELECTRICAL ------------------------------------------------ - —RESIDENTIAL ---------------------------- - --RESIDENTIAL 'UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 000 SF 0.9 LESS; 0 0 - 200 alp..: 0 0 - 200 amp..: 0 W/5VC OR FDR.,: 0 PU?N;iIRRJGATIQN: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 408 asp.,,: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR,.....: L' LIMITED ENERGY,; 0 401 600 asp., : 0 401 - 600 asp.. : 0 EA ADDL BR CIA: 0 SIGNAL/PANEL...: 0 IN PLANT,.....; f MANE HM/SVC/FDR: 0 601 1088 asp.: 0 601+amps-1000 v: 0 ,MINOR LABEL -10: 0 1000+ asp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION ------------------------•------- Reconnect only,: 0 )=4 RCS UNITS..: 1.,VC/FDR)=225 A.: ) 680 V NOMINAL: CLS AREA/SPC OCC: -------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------ A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-----------------—----------------------------------------------------------- -+IIDIO I STEREO.: VACUUM SYSTEM.,: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR, LNDSC LT: BURGLAR ALARM..: 0TH; BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE 51GNL: 34RAGE OPENFn,... CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: .,VAC...........: DATA/TELE CONN.: NURSE CALLS.,..: TOTAL # SYSTEMS: 0 :weer; ------------------------------------Cunt 1-act or: ----------------------------•- TOTAL. FEES:$ 350.56 ANDREWS MANAGEMENT MCH CONSTRUCTION CO 4000 KRUSE WAY SUITE P.70 COLUMNIA EQUITIES INC R35 51' OLESON RD STE C LAKE OSMEGO OR 9703 PORTLAND OR 972233 �tione #: 699-8645 Phone t: Reg M..: 049267 This Permit is issued subject to the regulations contained in the Tigard 'Municipal Code, State of Ore. Specialty Codes and all other applicable law:. A1.1 work will be done in accordanLe with app)-oved plans. This permit will expire if work is rot started within 180 Jays of issuance, or if work is suspended for more than 180 days. ---- REQUIRED INSPECTIONS -------------------------------------------------- Footing -------------- -------------------•-Footing Insp �-r•osion Cortrcl -raining insp _ — Building Fini.1 vi-mittee :-Jignatr.rre : 1 -- - -- Issr.red By : V' CaI1 for ins ectinn — 639--4175 i Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 � C (503) 639-4171 Jobsite Address: No!4 12 9 Q.E S S TSR Rh#c- �� Tenant- Suite# Offlce Use Only Valuation: 10 1- LSP/ `� �7. Up Planck/Rec# .. ,, n — Permit Owner: Aupsws aA.✓4e-cp»&,✓1 /-7-V Map 8 TL# Address: 'y'9C'0 k R u 5 E 6VA t- Approvals Required /A K E 0S cd G-G n _ _ Planning Phone: Enguoeering y� l Other Contractor, Address: FD Type of const: t�'RTz.a,�n� �R. Occupancy class: / ! Phone: Sprinklered7 Yes No Contractor's License # (attach copy of current Oregon license) Sq. R of project: Contact name 8 phone: D y Story (1st, 2nd, etc.) ��A FE. Proposed use: Arch itectlEnglneer: _ _ Previous use: _ Address: l 6 'I l S.W. t.t�1� n AVC Note: Plumbing 8 mechanical plans fcE5 w'��-e.�4Z _— must be submitted at time of ' building permit application. Phone: .Ic a8 DESCRIPTION: _ CA R PO R T Applicant Sigrfature & Pho a num r / Received by: I ` i Date Received: (` I L L L C T R I CAL PERMIT T #: ELC96062 CITY OF T I GARP DATE-PERMIISSUED: 02/010/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 BW Hall Blvd.Tigard,Oregon 972230199 (503)839-41171 PARCEL: aS110AC-01400 ITL ,UBDIVISION. ZONING: '.,LOCK. . . . . . . . . LOT. . . . . . . . . . . . . . y A roject Description : RESIDENTIAL UNIT--.-- SRVC/FPEDERS-------- 1000 SF OR LESS. . . . : 9 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 1 Lf`iCH ADD' L 51410SF. . . : 9 .201 400 ,amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 1 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . mnNF. HM/ SVC/FDR. . .. 0 6211+amps-1000 volts. . 0 MINOR LABEL ( 10) . . . -----SERVICE/FEEDER......-- CIRCUITS------ ---ADDIL INSPECTIONS--. 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTIMI. . . . . .. 0 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. .- 0 PER HOUR. . . . . . . . . . . : 0 1 600rimp. . . . . . .. qi EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0 '41 1000 amp. . . . . : 0 ---.----__--__-.____PLAN REVIEW OZ00.4- amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . 600 VOLT NOMINAL. . ,econnect only. . . . . : 0 SVC/FDR 225 AMPS. . j CLASS AREA/SPEC OCC. . timer," -14DREWS MANAGEMENT type amoun+ by date .,Ocpt ,iv00 KRUSE WAY P P MT I 1960. 04 cis 02/01/96 bLD6 4 #270 5PCT 99- 00 CJS 02/01/96 96-,;.75569 I.-AKE OGEWGO OR 970-35 Ph u ri e #: _T,'aRMER ELECTRIC ING f 2079. 00 TOTAL 105 SW 45TH ------ REQUIRED INSPECTIONS ")RIi-AND OR 972'� 1 Ceiling Covet- Eleet, I ser-vice -ione Wall Coyer Elect' l Final This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and ail ether Pet,mittee Signatut-e applicable laws. All worK will be done in accordance with approved plans. This permit will expire if work is not started within 10 days of issuance, or if work is suspended for acre than IN days, IS51.Bpd By - -OWNER IN5TALLATIOt,.1 ONLY- - ne installation is being made on prclpet,t,, I own which is not intended fot- Ale, lease, at, r-ent. i.)NERIS SIGNA7UREa DATE: TRi-74CTOR INGTALLnTION , LGNATURL OF SUPR. ELECIN- DATE: 945 NU: Call far- inspet.t. ion 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 PIanckv'Hec. # 90' �7!5 5 b y Permit # FC,- 9G' Phone (503) 639-A 171 Date Issued - 12d FAX (503) 634-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: A 4. Complete Fee Schedule Below: Name of Devel pment '$ Number of Inspections per permit allowed Address � Service Included Items Cost(ea) Sum City/State/Zip _� - / I ► l 4a. Residential-per unit q< 4 / .y "` 1000 sq it or lase $110 JO �� Name (or name of bus'In6S fad.additional 500 sq It or s portion thereof $25 JO _ t Commercial ❑ Residential L7 ach Energy $2500 Fach Menuld Home or Modular [Melling Service or Feeder $88 00 2a. Contractor installation only: 4b.Services or Feeders Installation,alteration,or relocation 2 Flectrical Contractor � f i ��__ 200 amps or lase $60 00 2 Address C= 5l J `1 5 201 amps to 400 amps $80 00 2 -- 401 amps to 800 amps $12000 2 Cltyv>n StateoP_ Zlp� �aj— 801 amps to 1000 amps $18000 2 Phone No._a L41f_�5 34S 1 Over 1000 amps or voila __ $34000 _ 2 --- Contractor's Licenso No •-3 t•�4�_ — Reconnect only $5000 Contractor's Board Reg No. Lill A 4c.Temporary Services or Feoders -- Installation alteration.or relocation 2 Signature of Supr. Elec' /'y _ 200 amps or less __ $5000 2 t ��531C I 201 amps to 400 amps $71,00 2 license No. Ci�� ,Z f hone 0 401 amps l0 800 amps ^_! $10000 fiver 900 amps to 1000 voila 2b. For owner installations: see W above 4d. Branch Circuits Print Owner's Name ^_ New,alteration or extension oar panel Address a)The lee for branch circuits with City State Zippumho"of aervke or feeder fee — Each branch circuit $500 _ Phone No. b)The lee for branch cncurtc without 1 he installation is being made on property I own which is purchase of seryka or feedar tee 2 additional not intended for sale, lease or rent Fast hcircuit _ y $$500 Each ddsionsl branch arcus 5.00 Owner's Signature____ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (i/ required): Farah pump or irngation circle $4000 2 F ach sign or oulline lighting $4000 �— Signal cimur(s)or a lim1ed energy 2 Please check appropriate item and eater fop in section 5B. panel alteration or exlensron $4000 4 or more residential units In one structure Wont t abelr(10) $1 On oo 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 N.E.C, Chapter 5 Per our $5:.no•$55 n ho _ Per hour 0 In Plant $5!:00 Submit 2 sets of plane with application where any of the above apply Not required for temporary construction services, 5. Fees: NOTICE So. Enter total of above fees $ 5116 Surcharge(05 X total fees! $ _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Z t 7 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS SSi btotal COMMENDED. M Trust Account N $ Balance Due $ byre eco i i September 15, 1995 CITY OF TIGARD OREGON Tim Jarmer Jarmer Electric, Inc. 5105 S.W. 45TH Ave. Portland, Or. Project: Hillview Terrace 11320 S.W. Bull Mountain Road Subject: Electrical Plan Review (1993 NEC. ) The plana were reviewed for conformicy with the 3.993 NEC and the Stage of Oregon Electrical Specialty code. There are no concerns noted, electrical plan revier. approved. The cost of the plan review was calculated by the addition of Fees for one Unit A, one Unit B, one Unit C, one Unit D, and one 400 amp service. This plan review Fees total $130 .00 and further plan review Fees at time of permits are not required. Please attach the extra copy of this letter with your payment. Please contact Michael Rudd tc discusB the electrical concerns at (503) 639-4171 ex*., 356 . Thank you for your cooperation. Sincerely, Michael Rudd Electrical Insp. 1ogin\nich&e1r\D1auchur I I 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 ---- 4 3 S.E. 1C2nd PAY TO N R O W E L L POR71-AND, OR. 97Z 6 tJr.._ U Fl � Cr vSL1� PHONE: (503) 254-8292 FAX: 1503) 254-6761 -LOAD & STRUCTURAL-CALCULATIONS Julv 05, 1995 c6 m m pj hlillview Fefve Bull Mountain Road Andrews Management Ltd. R.C. Nafl'- Designer 18641 SW Benfield Avenue Lake Oswego, OR 97036 PAF w 4332 GI1 1 For r; ,•:,� 1,�u'. 24 �Q �� B b Addres: ..�tit�. za f �►. y CN WTUNION OF LLAALLJ 'IEs Lj)i\l'I .'LIMERAND&UAAM BL'1},R HEREBY WAIVED,RELEASES AND RENOUNCES ALL WARRAhrI'IES(EXPRESS OR IMPLIED),OBLIGAI'IONS. AND LIABILITIES OF PAN-TON ROWELL(PERSONALLY AND AS CI%1LSTRUCTURAL ENGINEER)AND ALL OTIIr•.R RIOV TS.CLAIMS AND RF:MFD1F.S AOAIN9T PAYTON ROWF.I.I.,(EXPRESS OR IMPLIFD)WITH RESPECT TO ANY WiJCONFORMITY,PAPROPI;R NSTAI.LATION,WORKMANSHIP OR MATERIALS. 11- XS LUSI NOFCUNSEUUE r1lAL ANll Q'I'HE I)AMA_�s PA) I ON kOW ELL SHA!.L HAVE NO OBLIGA I ION OF LIABILi A,WHETHER ARISING IN CON I-RACi'(INCLUDING Al ARRANTY;.TORT(INCLUDING ACTIAT,P,?FSI%1-'OR IMPUTED NEGLIGENCE)OR OTIIERWISE,FOR LOSS OR USE. RI*\]:%I'F OR PROFIT,OR FOR ANY OTHFk INCIDENTAL,OR CONSFQI IF.NTIAL nAMAOF.S. CITYOF TI�.AR V PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00414 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/5/01 SITE ADDRESS: 11368 SW BULI_ MOUNTAIN RD 4-A. " PARCEL: 2S110AC-01200 SUBDIVISION: HILL.VIEW COMMONS ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURESLAUNDRY TRAYS: SF RAIN DRAINS: ^SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 16 TL'BiSHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of (18)water meters on cold water side of water heaters. FEES Owner: Type By Date Amount Receipt ANDREWS MANAGEMENT LIMI I ED PRMT CTR 10/5/01 $298.80 27200100000 11336 SW BULL MOUNTAIN RD #103 5PCT CTR 10/5/01 $23 90 27200100noU rIGARD, OR 97224 - Total $322.70 Phone 1: Contractor: ROTO ROOTER SERVICE + PLUMBING HOFFMAN SOUTHWEST CORP 4248 NE 148TH AVE REQUIRED INSPErTiONS PORTLAND, OR 97230 -- _ —�----- Phone 1: 682-9774 Rough-in Insp Reg #- LIC 13989 Final Inspection PLM 37.76PB This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approves! 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: Orecori law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to DUNG by calling (503) 246-1987. Issued By, , / .�� .' Pcrmittee Signature: Call (503) 639.4175 by 7:00 P.M. for an hr spection needed the next business day • Plumbing Permit Application Date received.IG Permit no.: �0 b' City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _- Case file no.: Payment type: U I &2 family dwellinc or accessory U Commercial/industrial ®'Multi-family ❑Tenant improvement ❑New construction U Addition/alteration/replacement U Food seryice U Other: JOB r Job address: /J S.&1 , ,G1 ,�liin �,� Description Qtv -e(ea.) Total Bldg. no.: Suite no.: Nei% I-and Z-bimily dwellings onl}: Tax ma /lax lot/account no.: (includes 1000.foreachutlllo. connection) P SFR(1)bath Lot: Block: Subdivision: - _ - - SFR(2)bath Project name: hart i✓1 e.i /i S SFR(3)bath City/county: 1 r 1 ZIP: �j 7 Each additional bath/kitchen Description and location of work op;iremises: � Site utilities: nye f�i c►n Ca=>/�G ', d r Catch basin/area drain Est date of completion/inspection: Drywells/leaeh line/trench drain OR Footing drain(no.lin.ft.) PLUMBING CONTRA(T Manufactured home utilities Business name: .,{r� (,�6,�{etr _ Manholes _ Address: q R c, CA t Rain drain connector City: (X; State: ZIP: Sanitarysewer(no.lin. ft ) Phone: -33 36 jFax:63, Email: Storm sewer(no.lin. ft.) _ CCB no.: '2(I 9ej I Plumb.bus.reg.no: _76 water service(no. lin.ft.) City/metro lic.no.: ) Fixture or Item: Contractor's representative signature: Absorption valve Back flow pre renter Print name: renter- Date:gyp„ 5 Date: /L) .3 O/ Backwater valve Basins/lavatory Nan Clothes washer — Dishwasher Address: S,,�, 9 Drinking fountain(s) A- -- City: �� aIle State:(fQ ZIP: 7n7f Ejectors/sump - - Phone: �?- 1; F.-m Fax: c 7r ail. Expansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: Garbage disposal Hose bibb Ciry; State: ZIP: — Ice maker _ Phone: Fax: I E-mail: Interco tor/ rease trap Owner installation/residential maintenance only: The actual installau(m Primer(s) will be made by me or the maintenance and repair made by my repulm Roof drlin(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) (As ner's si mature: 0,11" Sum — — TH 10111 Tubs/shower/shower pan Urinal _ Name: _ Water closet Address: _ _ Water heater I State_ ZIP Other: C L.2 1979 P lone: Fax: E-mail: Total Not all lunsdfcum accept credit cards.please call jurisdiction for more informanonMinimPr,i fee................ Notice: This permit application Plan review(at — 9fr) $ U Visa U MasterCard expires rte permit is not obtained Creditcud number .- L-1 -- within ISO days after it has been State surcharge(8%)....$ ._ ExpiresZ ---- --- complete. C+ TAL .......................$ Name of cardholder u shown on credit cad accepted as '— S Cardholder d6natum A~l .Wo.wln(fMCOM) CITY OF TIGARD BUILDING INSPECTION DIVISION 24-tiour !nspection Line: 639-4175 Business Line: 639-4171 MST BLIP _ Date Requested AM PM BLD Location 13� S.L._ .. I/ lr^1�' fin. Suite vlEc Contact Person , ,, r _ Ph Ca3 - S'9 of PLM Contractor Ph SWR BUILDING Tenant/Owner __ ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain — -- Crawl Drain Inspection Notes SGN _— Slab Post&Bean. ----- ------- - --- SIT _- — Ext Sheath/Shear Int Sheath/Shear -- -- ------ Framing Insulation - _- -------- ------ — Drywall Nailing _ Firewall -- -- Fire Sprinkler Fire Alarm --- -- Susp'd Ceiling — Roof ---- Misc: Final -------- -- PASS PART FAIL r---- PLUMBING —_.__-- Post&Beam -- - ------ Under Slab Top Out — —--- --- ------ ---- -------- Water Service Sanitary Sewer ----- -.._.— -- --- - ---- ---- - - Drains ASS PART FAIL Post&B-sam - Rough In - - ------------�-_....__..._-- Gas Line ------- ---"- ----- ----------- — ----- Smoke Dampers Final -- - — ---- ---------- — PASS PORT FAIL ELECTRICAL -------- Service Rough In - — ---- --------- ---.--- UG/Slab Low Vf lta ; -------� Fire Alarm Final --- --------� PASS PART FAIL —� SITE Backfill/Grading --- -- SaniW y Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd CatchPlease call for reinspection RE: Fire Supplypply Line [ ] p _ [ ]Unable to inspect- no access ADA Approach/Sidewalk lIns pector Other _ Date/ d C p , for Ext Final PASS- PART - FAIL DO NOT REMOVE this inspection record from the job 0te. SEE 5Mm ROLL# 22 FOR LARGE DOCUMENT