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InitiallyGood H lJ� .P Ln W O I � rr. �1 1 1 I)f`! 1 • -- 11545 STrI REEF BEND ROAD �'r CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST -------- INSPECTION DIVISION Business Line: (503) 639-4171 BUP -- Received _ ___—._Date Requested—__ f AM PM BUP Location �_I_ ___ o-� r'� .__- Suite— 0/14 -- MEC -___ �U / - Contact Person _ --- Ph(_ ) 7 9'2— Z' PLM --- Contractor ._ Ph( ) _ SWR BUILDWG Tenant/Owner _— ELC Footing Y ELC Foundation CCess: Fig Drain ELR — Crawl Drain Slab Inspe tion Notes: SIT _ Post&Beam Shear Anchors — Ext Sheath/Shear Int Sheath/Sheer Framing _— --E _ - •---- -- Insulation Drywall all �J Firewall ��� --- — Fire Sprinkler --- Fire Alarm Susp'd Ceiling -— — - Roof Other: -- Final PASS PART FAIL — PLUM_BINQ - -- - --- -- - Post& Beam Under Slab - Rough-In Water Service - -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain -- ------ --- - -- -" -- Shower Pan Other: --- -- --------._—.--- — -- Final -v PASS PART FAIL � -- --- ------_-. —— — --- MECHANICAL Post& Beam — Rough-In ---- — — ------------- -----.._-_-- — Gas Line Smoke Dampers -- ------- ---- -_ _.—_.�_ --_--- Final PASS PART FAIL _--------.—_..._-_._..._._ _-�- -----• ELECTRICAL -- Service Rough-In - UG/Slab Low Voltage _ — __--__.__.._ _-----_..------• Fire Alarm r) u Reinspection fee of$__ _—. rwivirrid before next inspection. Pay At City Hall, 13125 SW Hall Blvd. SS PART FAIL SITE Please call for reinspection RE:_.____—_—_— _—_� _ �� Usable to inspect-no access Fire Supply Line .c,( Approach/Sidewalk DateADA f — Q �f - Inrpoll r 'V-- Q ��---- Other: Final DO NOT REMOVE this hispection record frcom 1.he Job site. PASS PART FAIL J ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC2003-00618 DEVELOPMENT SERVICES DATE ISSUED: 10/7/03 13125 SW Hall Blvd., Ticrard, OR 97223 (503) 639•4171 PARCEL: 2S110AC-01000 SITE ADDRESS: 11545 SW BEEF BEND RD 01 ZONING: R-40 SUBDIVISION: WELLINGTON ESTATES LOT : JURISDICTION: TIG BLOCK: Project Description: Replacement of(1)400 amp service. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLANEOUS 1000 Sr..OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 2.01 - 400 amp: SIGN/OUT LINE LTG. LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVCI FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: I 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PL^kNT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Raconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CALABAZAS CREEK LTD INVESTRS + METRO ELECTRIC INC CALIFORNIA BOARDWALK LTD INVES 2809 SE MYRTLEWOOD WAY 2570 EL CAMINO REAL WEST#500 GRESHAM.OR 97080 MT VIEW,CA 94040 Phone: Phone: 666-2159 Reg #: LIC 78173 SUP24085 _ FEES _ 11.2: 26-403c Description Date _Amount Required Insnections I I'ItM'I i I:L(-Permit In "03 $106.85 �� _, i�� $8 55 Elect'I Service I "l 1e fax 1 Elert'I Final I I I,;,Ni I I Investigation Ili 7 113 $106.85 Total $222.25 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other apf.dicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if wDrk is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notif c ation Center. Those rules are set fortlikl OAR 952-061-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct quest i s to OUNC at(503)246.6699 or 140(1-332-2344. f Issued By - - E�LLt�c•� r._ Permit Signature: _ 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: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 'k _�__—_— DATE:._.__— LIC:ENSE NO: ---- `A/ --- — Call 639-4175 by 7:00pm fcr an inspection the next business day Electrical Permit Application Received Eiectri Date/By: U Permit No.:t�_Lc YJS-z6'/,g _ City�.It of Tigard Planning Approval Sign g Date/B Permit No.: 13125 SW Hall Blvd. Plan Review — Other Tipard,Oregon 97223 Date/By: _ Permit No. Kone: 503-639-4171 Fax: 503-5921-1900 Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact 1 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: I Supplemental Information. TYPE OF WORK PLAN REVIEW(Please check all that apply) New construction _ I Demolition El Service over 225 amps- El Health-care facility - commercial ❑Hazardous location ❑ Addition/aIteration/replacenlent Ofher: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in 1 &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure Q Building over three stories ❑Feeders,400 amps or more Accessory Building 4�ulti-Famil ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑Other _ JOB SITE INFORMATION and LOCATIgy Submit sets of plans with any of the above. The above are n;(—applicable to tem orary construction service. Job site address: c-t; rtf 2 �Tj _ FEE*SCHEDULE Suite#: Bld ./A t.#: '-lv t-I� W2 Number of ins ectlonsper ermit allowed Project Name: descri tlon Qty Fee(Co.) 10141 Cross street/Directions t0 job site: New residential-single unit.Includes or nuiltld gayly per J dwelling unit.Includes atuched Raraae. Service Included: IWO sci 11.or less 145.15 4 Each additional 500 sq.Il.or portion thereof 33 40 1 Subdivision: Lot#: Limited energy,residential 75W _ - 2 Limited energy,non residential 75 rxl 2 Tax map/parcel #: Each manufactured home or modulo duelling DESC TON OF WORK service and or feeder 90.90 2 ( (� Services or reeden-Installation, "" �L~ � {J G `� alteratlon or reloca(ion: ��----- �- 200 amps or less 80.30 2 —..------- 201 amps to 400 amps 1 1 106.83 2 401 amps to 600 ams 1 160.60 2 PROPERTY OW rR _ TENANT 601 ams to 1000 am!rs ____ 240.60 2 Over I Nit)amps or volts 454.65 2 Name: _� Reconnect onlyf 66.85 2 Address: t 1 - Wr Qb Ls,, Temporary services or feeders-installation, alteration,or relocation: Cit /State/Zi : 2M amps or less 66.85 I Phone: l C $6 ax: 201 amps to 400 ami_- _ -- 100.30 z APPLICANT CONTACT PERSON 401 to x1 ams 133.7s 2 �- - Branch circuits-new,alteration,or Game: extension per panrl: - - -' A Fee Ibr branch circuits with purchase of Address: t service or feeder fee,each branch circuit 6.65 2 City/State/Zip: B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.95 2 Phone: FaX: _ Each additional branch circuit 6.65 2 E-mail: Misc(Screice or feeder not included) CONTRACTOR Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 _-_ 2 No:JobISO: Signal circuit(s)or a limned energy panel, Business Name: 1 \� - � ��-X C_ alteration,or extension _ _ Pae 2 _ 2 _ Description Address: C> `( . T City/State/Zip:4►�jr. _ if�(,� Each additional fns ection over the allowable In an of the abose: _ Per inspection per hour from I hour) 62.50 1 Phone: j ' L L '2 1'51 Fax: L -O 13 Investigation fee CCB Lic. #: 076(73 1 Lic. #: .7-(a H U 3 C Other: — Electrical Permit Fees* Supervising electrician !2 /- j�� �o� � y Subtotal Slot- signature C �3 signature required: l� (� Plan Review(2 S I 6` Print Name:(4%IR <✓ Lic. #:yState Sunhat a 81 b of Permit Fee) S TOTAL PERMIT FEE S r' Authort,?ed Notice: This permit application expires If a permit is not obtained within Signature _ _ _ Date:_,_ 180 days after it has been accepted as complete. *Fee methodololo set by Tri-County Building Ind•%try Service Board. --- -----^ ------- (Please print nntriel i Dsts Permit Forms LlePermitApp.doc 01,03 Electric-tl Permit Aimlication - Cih of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor all systems............................................................ $75.00 ('heck Type of Work In%ol%ed: Audio and Stereo Systems* Burglar Alarm garage Door Opener* ❑ Ileatmg,Ventilation and Air Conditioning System* Vacuum Systems* Other COMMERCIAL WORK ONLY: Feefor each system.......................................................... S75.00 ISEF_OAR 918.260.260) Check Type of Work Involved: EAudio and Stereo Systems El Boiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC Instrumentation ❑ Intercom and Paging Systems DLandscape Imgation Control* MMedical ED Nurse Calls ElOutdoor landscape Lighting* MPtotectkc Signaling Other Nunther of Systems * No licenses are required. Licenses are required for all other installations i`Dsts,Pcrmit Forrts0cPerrmtAppPg2 duc 01 03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 �- MST __-_- INSPECTION DIVISION Business Line: (503) 639-4171 BLIP - - ------ Received / Date Requested -_ - AM - PM BUP - Location Suite-- -- MEC Contact Person . - - -- Ph (-_— ) l= � PLM --- __.--- Contractor _. -_ --_ Ph ( -) -___-- __ SWR BUILDING Tenant/Owner --- --___- ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes - - — Post& Beam -- - -- -- - Shear Anchors Ext Sheath/Shear - - -- Int Sheath/Shear '- Framing - Insulation Drywall Nailing - Firewall +`- Fire Sprinkler - -----------___ _ - -__-- - Fire Alarm Susp'd Ceiling Root Other: - Final - PASS _PART FAIL PLUMBING ---- Post&Beam Under Slab Rough-In Water Service ---- - Sanitary Sewer Rain Drains - ^- - - Catch Basin/Manhole Storm Drain `-- ---- Shower Pan Other: _ - __-- Final PASS PART FAIL MECHANICAL - Post& Beam Rough-In ------ -- ---- --- --- Gas Line Smoke Dampers - ----- --- ----- - Final PASS PART FAIL ELECTRICAL - - Rough-In --- UG/Slah Low Voltage - -- ----- - --- - ------ - -_ Fire Alarm Reinspection fee of$__---__--__-_.. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE- lJ Please call for reinspection RE:.---_- Unable to inspect-no access Fire Supply Line - ADA Dat•/ `�✓ Inspect Ext-Approach'Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job 41te. PASS PART FAIL A� ELECTRICAL PERMIT CITY OF T I G A R D PERMIT#: ELC2003-00706 DEVELOPMENT SERVICES DATE ISSUED: 12/9103 13125 SW Hall Blvd., Ticlard, OR 97223 (503) 639-4171 PARCFL: 2S110AC-01000 SITE ADDRESS: 11545 S'N BEEF BEND RD 08MGR ZONING: R-40 SUBDIVISION: WELLINGTON ESTATES LOT : IURISDICTION: TIG BLOCK: Project Description: Install 1 to 400 amp service. RESIDENTIAL UNIT TEMP ERVC/FEEDERS - _-MISCELLANEOU., S 1000 SF OR LES0 • 200 amp: 'PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG. LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANI: HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS —- ADD'L INSPECTIONS 0 200 amp. — W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: I 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: PLAN REVIEW SECTION 601 - 1000 amp: - 1000+ amp/volt: — >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect ons SVCIFDR>= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CALABAZAS CREEK LTD INVESTRS+ METRO ELECTRIC INC CALIFORNIA BOARDWALK LrD INVES 2809 SE MYRTLEWOOD WAY 2570 EL CAMINO REAL WEST#500 GRESHAM,OR 97080 MT VIEW,CA 94040 Phone: Phone: 666-2159 Reg #: LIC 78173 _ --.-_—_--- til P 2408S _FEES Illi 26-403c Description Date— Amount — Required Inspections —^ _ j TAX 18%State Surcharge I' v n t $8.55 Elect'!Service GLPRMTj FIX'Permit I' ' i $106.85 Elect'I Final Tota. $115.40 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordanoe with approved p!anE. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for forth in OAR 952-001-0010 re than 180 through OAR 982001 010n law 0 Youires�may obtau to ow rules n copes of these by or the direct questions on �to OUNC at(5 3)2468699 orcation Center, Those rules are set 1-800-332-2344. Permit Signature: Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: --_ DATE: ONTRACTOR INSTALLATION ONLY ------------ T,Q.�� - DATE: SIGNATURE OF SUPR. EL.EC'N: ---------- L(O E N S E N O: -- - --- -- _..- --- — --- --_ Call 639-4175 by 7:00prro for an inspection the next business day ME?RO. ELETRIC INC. 503 674 0123 P. 01 12 115. 2003 13:03 FAX 503599190n CITY OF TIGARD Qjbb1 Electrical Permit Application Received Electrical oatsloy: ;VC J �.� Permit No. r dU �Q CitOf T�r�al•d i Planning Apv Sita �. Cit ­­­­ ; Y i : Date/By Permit No.. 13125 SW Hall Blvd. plan Review Other Tigard,Oregon 97223 Permit No. Phone: 503.639.4171 Fax: 503-59$-1960 Pogt•Review l.a�liae w' Literriet; N'Ww,Cl.tisllyd.or.us Date/B ,_-Ycareer � � 1cr Page 2 for - 24-hour Inspection Request. 503-639-4175 Narre/Mathod_ Supplemental Information. - --- �__ - T1'PF10)9 WOId.K _ ._ PlKhl_ItEY[SW Isas!_theck all t�tplj�";__.... New conut-Lic tion _ Demolition Service over 225 amps- Health-cart radlity - comrricrcial Mazurdous location Addirion/41te1 ..;��r1/re lacement Other: I Service over 320 amra ps- dnC of ❑Huildina over I0,000 square rest, _CA'FEG_ORY:O_F CONSTRQC'1'10N 1&2 fimIly dMellinae (bur or more re&Wmtial unix-n Y. 1 & 2-Family dwelling Convnercial/1ndustrial (�System over 600 volts nornmel one structure —# l,J Building over three stories Feeders.400 amps or more Accessory Building_ Multi-Fantil _�_. __•-_� Q Occupant load over Oo person, Manufactured suvctures or R\'park Master Buildrl _ Other: f]egressntghring plan Other:� • _ _�•_, J- B.- E IN �lit�'1'I y and'1,OC TION _- - Submit_sets of plans-A Ith any of the ab6ve. The above are not flppllcable to temporary wnsvnetlon sanite. Job site address: I 1 '$,w as' -- — _ _Suite #: B1 Amt.#: _w>� _ _— --- _ Nun►b�r of ivapectione�rpermk allawtrd Pro act Name: Uescrl floe �_"_L4 i nu(a) _ Tnat _1.--- - - --- Naw residential-sin -- Cross strcci/DircChons t0 job site: ttka muttt•famra per ,l � dwel8o�unit lochrdes■trached par■ge. I I /)Cc rv_ La "'d Service 1ft.or ladt _ -1'/ " IOOt1 .R or ICs _ _ _ _ 141.15 + — — ---------- J`� `).� I y4 j onalSOd■gt��1i0Dtheta4[ 33_4_0 Limitedener -ideon�—. �1•" _._._._... . Subdi%zsion: _ I Lot#. I - " - Limited n�ryy teal nbal 7S. -Iax ma / arCel#: •J.� �_......_ ".".�ew't+`�ii•ivawcl�ln�'-- - _._... ..� . -_ ------ service sn for feeds 90._ ____� M..AFSCRIMON OF -•. - - Services or feedtn-to+Wladoa, al(orwtion or"..location: 201 a met to i f -. ._.. — Ot,. 3 t`. n'L ,. _ wn�lo�iDflan,ps_-_' -- ----•— --Iti0�6 ___ 2 1 t'ROP15RU,O�)VIiER' ty�__ NST sol amps to isle sm "- �- N Rooanneet esti _Address: b"ih Temporary SerWices or feeders-Installation, C)lt /5tdte/Zl / I alteration,or rdocatton: _- Y__._.. . _P:.-._ ��2' ..... .__._� zoo amps or mss Phone: 03- `Z4y- coy Fax: °^sal amv to_m�,�—_� _�CQNT_ACT PIERSOl�-- - t en bee saa —_----- 13335 Bron-h circuits-ncw,alteration,or Name: _ astaasion per panel* Address: - A.Fee for branch circuits w,th purchase of _ -,__._-----_ -- ■e_rAce_or(cedar f t 0 lx ch cl it• a•as C1tY�StAtB/71 �_ a.Fee for branch circuits wt cut pure ase of -- -- f �'-• - ---- service or feeder fee.Ont branch clr uit 4a. S _ Phone: _ IaX _—"�_. ath aAditional brant ;Wit _ .45 r-Iilflll: u~ . Mtsc(Cen•ke or(wader not included). -- - h pump of irritation cycle 53.40 GONTItACCOA Y Each s; or tlIM [It -- - SMO [Job NO: %litral circvit(s i or■ imenergy panel, _ - alte tion,or ep ansion P■ e l � Busin_ess Name: U1l�,ti .�'__....._— �pnon• — - 1 'Il /State/Zl _ i Eat a dltional Inspection over the allowable Ice ray of the abatis; Per iwMcdon i nohow min. Phone: 4�-aa`V�( _.l_F�X_ .._�D`� - Z3 tme,hoinon flit: - _ --.- Chher. ll.H Lic. #: .T9 1`7 _—__L Lic.!#: _EF«,a+ "nail Plrfui -' Supervising clectneilan "` - _ subirtai tdrwttwe re]ujred: L(_�•!_ _ Plan Review(215%o�f�Permit Ice 3---.---- rl'tillt Nome: - I,ic.#: ZI." Oi �.- seta�urvhnrgeR".of Pcfm cat s L�. ---.--.— . f O_7 AL PERMIT ME_ S Authorized Nsetee: This prrrnlI■ppllcotlon eeplrsa if a permit le not obtained."linin Batt:_.--..-.— 180 days after It lies been accepted as complete. --- - v——„ 'Frr mcthodoloaN sct by rri-County Nuilding Indest> Service Board. (Please print none) LrDets\➢cRnrt rortrn\ElcpertNtrlpp.Joc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 13U ( n - -- - - Received __ _ Date Request d�- — AM PM - BUP ---_ --- �� S� J � --SUlte-- - - MEC -- -- Location�_�_.; -- Contact Person — Ph( ) PLM ----- SL� �� .— Ph'(�____�1_) SWR Contractor -- ELC Q�- ©� rFoundation UILDING lenanVowner ------ -- -- — - — ooting ELC Access: ESR - --g Drain Crawl Drain - - "_-`-_-�--^ SIT _ Slab inspection Notes. —` Post&Beam ----- Shear Anchors Ext Sheath/Shear Int Sheath/Shear --- Framing - Insulation f - - - - Drywall Nailing Firewall Flre Sprinkler Fire Alarm -- Sue,p'd Ceiling Roof Other: Final — PASS PART FAIL - PLUMBING Post&Beam Under Slab - - Rough-in -_ Water Service Sanitary Sewer _ Rain Drains - Catch Basin/Manhole Storm Drain —� Shower Pan Other: -_-_ Final _- -- ----- -- - PASS PART FAIL __MECHANICAL _ - - Post&Beam ___-.---------------.— Rough-In -- _ Gas Line - Smoke Dampers - - Final -- _ P T FAIL --- ------ - - - ELF_'GTRICAL - ------ Raug - - UG/Slab - - Low Voltage - - --- Fire Alarm tSb Reinspection fee of$ required before nex. spection Pay at City Hall, 13125 SW Hall Blvd. PART FAIL - Unable to inspect-no access SITE [] Please call for reinspectign RE Fire Supply line ADA Date Approach/Sidewalk Other - -- -___— DO NOT REMOVE this Inspf*tion record filom the JDb site. Final PAS'.) PART FAIL CITY OF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2002-00107 DEVELOPMENT SERVICES DATE ISSUED: 3/14/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S110AC-010()0 SITE ADDRESS: 11545 SW BEEF BEND RD 01A SUBDIVISION: WELLINGTON ESTATES ZONING: R-40 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install SO) panel and 4 hranrh circuits. RESIDENTIAL. UNIT _ _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: _ 0 - 200 amp: PUMP/!RRIGA.TION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUY LINE LTG: LIMITED ENERGY: 401 - 600 amp: S!GNAUPANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ---- � __ _— ADD'L INSPECTIONS 0 200 amp: 1 W/SEFIVICE OR FEEDER: 4 PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS:_ CLASS ARTA/SPEC OCC: Owner: Contractor: CALABAZA-' CREEK LTD INVESTRS + SPARK ELECTRICAL CONSTP.UC1 ION CALIFORNIA BOARDWALK LTD INVES 4508 NE 123RD 2570 EL CAMINO REAL WEST#500 VANCOUVER, WA 98682 MT VIEW, CA 94040 Phone: Phone: 701-7822 Reg#: LIC 143886 SUP 4394S ELE 26-997C FEES _ Required Inspections _ Type By Date Amount Receipt Rough-in PRMT CTR 3/14/02 $106 90 272002000(1( Wall Cover Elect'/ Service 5PCT CTR 3/14/02 $8 85 272.0020000( Elect'/ Final Total $115.75 This Permit is issued subject to the regulations contained In the Tigard Municipal Cade,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of issuance, or if wo*Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001,VO througtl.�952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: Issued By: • OWNEF INSTALLATION ONLY _ The installation is being made n property I own which is not intended for sate, lease, or rent. OWNER'S SIGNATURE: _ __ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _— DATE: LICENSE NO: --- � Call 639-4175 by 7:00pm for an inspection the next business day 1 1 �`�jG °�2 Flcctrical Permit Applicationon - Date received: & y Pcnnit no,: Address:155 N. lst AV,Suite 350-12,Hillsboro,OR 97124 Project/appl.no.: _ Expire date: OREGON Phone: 503-846-3470 Fax: 503-846-3993 Date issued: By: Receipt no.: Internet Address: www.co.washington.o Case file no Payment type: Land use approval: 0 1 &r.2 family dwelling or accessory 0 Commercial/industrial Multi-family fl Tenant improvement 0 New construction /a 0 Add ition/a Iteration/replacement L Other: ! 0 Partial • t a ' )( Job address: Sy 11 rvt/ '.t I I Ig. n Suite no.: Tax reap/tax int/account no.: Lot: Block:N/A Subdivision: — -- _----�-- Project name: Descripttun anJ lunation ofwork on prerrtises: 440W ;u Fstimated date ofcompletion'inspection. � • Job no: / Y J r•r/ do r 0�'-1" , d'r� _ G Fee Mar ' Business name: --A ( C,�j/e•p/ (1 �10- — - Description Qt). (ea.) Total no.lnsp New residential-singleor o u it-famih per Address: yYD tiC 123,-.l Ctc�-�' dwe111nR unit. Includes attached RaraRe. City: " d"e P44✓dam- State:R/! LIP:d;J76 re­ Service Included: Phone:S Da-7o/- 7y Fax: 40-J'V/- Y -mail: 1000 sq. It. or less 125.00 4 CCB no.: /V.9 eeo Elec.bus.lic.no: 4C Each additional 500 sq. R.or portion thereof' 35.00 /metro tic.no.:N/A ��Bv '� ?e Limited energy, I & 2 Family 35.00 2 Ci ty Limited energy, Multi-Family 55.00 2 Each manufactured home or modular dwelling Sf nature of ��77--- (Required) ^T Vete Service end/or feeder 85.00 2 Sup. elect. name (print) (/-Cy4.r Zlef ?Kv 1 License no:4.1-9090-, Services or feeders - Installation, alteration or relocation: iro,ji / 200 amps or less /- 362 II Name(print): Cj poWe! Gj�A /�� 201 amps to 400 amps 100.00 7. 401 amps to 600 amps 150.00 _2 Mailing address: tOO war S-66-F 601 amps to 1000 amps _ 225.00 2 City: Par-V( p I State: ZIP: 2 20P Over 1000 amps or volts 420.00 2 Phone:AD.A4 u Soek' Fax:S6f-i(Ae-l4fE-mail: Reconnect„nlN 65.00 1 Owner installation:The installation is being made on property 1 own Temporary services or feeders - which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less 65.00 1 2 201 amps to 400 amps 90.00 2 Owner's si nature: Date: 401 to 600 ams 12 5.00 2 Branch circuits - new, alteration, Name: or extension per panel: A.Fee for branch circuits with purchase of �7.v (rift Address: _ _ servicc or feeder fee,each branch circuit —"0 2 City: _ Mate: 7.IP: B Fee for branch circuits without purchase ._. - - --+--- — Of service or feeder fee, first branch circuit: 45.00 2 Phone: Fay I �,rnl _._ Each additional branch circuit: 7.00 Rim 1r Misc. (Service or feeder not Included): 0 Service over 225 amps-commercial I i.rcihty Each pump or irrigation circle 50.00 2 0 Service over 320 amps-rating of 1&2 IJ Hazardous location Each sign or outline fighting _ 50.00 2 family dwellings 11 Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, —� 0 System over 600 volts nominal more residential units in one structure new, alteration,_or extension* 50.00 _ 0 Building over three stories 0 Feeders,400 amps or nxrre •Descri tion 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: 0 Egress'lightingplan U Other. _- ___ Per inspection _r U Submit 2 sets of plans with any of the above. Investigation fee The above are not applicable to t.'mporery construction service. Other Notice: This permit application Permit fee..................... $ -.Sf l0(0 9t) 0 Visa 0 MasterCard e_rpires ija permit is not obtained Plan review(at 25%).... $_— Credit card number within 180 days after it has been State surcharge(8`o).... $ A --- � N""ame of eu�iwlder 89 iTiown on cee ra --- xpTreeI accepted as complete. TOTAL ....................... S e er a gnelur!- - -- - i�inowii 440-4615(7fMCOM) _ BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2002-00081 DEVELOPMENT SERVICES DATE ISSUED: 3/8/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639 4171 PARCEL: 2S110AC-01000 SITE ADDRESS: 1 1545 SW BEEF BEND RD 01 A SUBDIVISION: WELLINGTON ESTATES ZONING:JURISDICTION: TIG BLOCK: LOT: REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: _ sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?_ TYPE OF CONST: UNK sf N: S: �E: W: OCCUPANCY GRP: A2 TOrAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD, BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT": MEZZ?: R_EQD SETBACKS FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DEI ': WELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y D BEDR W BATHS: IMP SURFACE: PRO CORR: N PARKING: 1 VALUE: $ 13,800.00 Remarks: Convert esisting R1 to office, ADA parking and access to office area Owner: Contractor: CALABAZAS CREEK LTD INVESTRS + Mp NI TOMAHAWK CONSTRUCTION, LLC CALIFORNIA BOARDWALK L.TD INVF_S PORTLAND, 97217 2570 EL CAArMAAINgqO��R44EAL WEST #500 M�holne,0-9*1924 Phone: 509-702-6542 Reg#: I-ic 148811 REQUIRED INSPECTIONS FEES Type By Date i Amount Receipt Framing Insp Gyp Board Insp PRMT CTR 3/8102 $177.70 27200200000 Final Inspection 5PCT CTR 3/8/02 $14.22 27200200000 PLCK CTR 3/8/02 $115.51 27200200000 FIRE CTR 3/8102 $71.08 27200200000 Total $378.51 This permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions ,o OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee 1IH� Signature: — .. Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business day • BuBding Permit �-pplication G Uutr received:� � 'y permit no.:Z City of Tigard Pmject/appl.no.: Expire date: Addr.ys: 1.51?i5 iW Ilall Blvd.Tigard.OR 9721. 01Yol"Tigard 1'hauc: (`03) 639 4171 bate issued: fly: Receipt no.: Fax: (50?) .599-1960 Case file no.: — Payment type: Larit' Liss approval: M2 family.Simple Complex: 11 U I '. or at..,:ssory UCommercial/indust i w1 14 Multi-family U New construction U bemolitiott UA( ' a1 yllacentenl J'I'emwi implownent UFire sprinkler'alann UOther: 03 1110 11t Joh address. Lee i".",I Bldg.no.: Suite no.: Lot: Blot.- _flux map/lax IuUaccount nu.: Project name: — rkscription and location of work on premises/special conditions: �.iYAL_�i[t'1�- ►t�Btll� -�1.---I ��-- Name: Mailingaddress: W4J D�� �-- 12 falI11I�dNelli+I R: Cily: Starr: LIP: 'j2.I19L-- 1'aluahun ul work ......................................... — — Phone: 103 d - Fax: 1•:-mail: No,of bedtiminsibalhs.................................. _ -- Owner's representative: A Total number of floors .........I........................ A Phone: W -, , 0 Fax: (r3 E-mail: New dwelling arca(sq 11.)............................ Gamgc/carpus area(sq.R.) .......................... ll-- ft11 � II Covered porch arca(so. 11.) .......................... '.,arse: „IIYc___`�`i7P • ten 4�C Mailingaddress: 2bjO Tnnsa Ikck area(sq. Il.)......... ................................ city State:— 'LIP: e�- j Other stricture arca(sq. 11.).......................... - � — Commercial'Industrial/multi-family: 503 It7 64 Fax:S 1 9 E.-mail: Valuation of work ......................................... S -13,�Oo�.__ •' Existing bldg.area(sq.ft.)............................ — _Business nate: MVA1�Or Crt��rud tont LL.(, New bldg.area(sq.Il.)................................. Address: ZD Nunthrr of*stories.......................................... City: State. 'LIP: ��� type of constnictiun ..................................... — Phone: 6o3 9CY2 Fax:So3 1 g E-mail: Occupancy group(s): Existing: _ CCB no_-1��� - -, - - New: C'ity/inclro lic.no.: Notice:All coalractors and sutxontractors are required to be 11 licensed with the Oregon Construction Contractors Board under Name: dJ}Ct1� provisions ol•ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being pertilrined.If the applicant is Jf?. ._ exempt I'm licensing,the following reason applies: City: Slate: &K LIP: '� ( olliact person: Sim Ts•uwn _ Plan no.: 'LO67O___666_6 I'honr c�� �31. kov -------....^-------- ---- Name: Contact person: Fres due upon application.6........6......6.6......... Address: — — Dale received: _ --—_--_ � — - -- Cit State: 21P: Amount received.......... ............................... _---__-- y' -- Phone: Fax: F: mail: I'leaw -cicr to fee schedule. - I hercbv certifv I have read and examined this application and the Nota I 111tiedlcuon,a—pt era•. r.•i.•call nuudtctinn firmore mtimnauon attached checklist. All provisions of laws and ordinances gut ening this U Vt+a J Mas1eK and work will he complied with.whether specified herein or not. cledn°°1d mlmher i Rprrr Authors/ed slgnal1urc R: -+►�+ —Oail': �S-�Q-Z__ Name of cardholder as aMrwn an cralfl card Print name: 11 �__ --------- l'ardht.lder agnamre Amonnt Noticc This pennit application expires If a rennit is not ohtained%%ithin ImNI days atter it has Ixvn accepted ns complete. 140-16110,1NI1'0s1I FEB-20-02 WEI) 11 :22 GUARDIAN-MGMT FAX NO. 5032396315 P• 04 r 4s vp +r++ � + • -�7 JS ` .is, Ile + 0 + .. . . �J 't cr- fir1 q � m1 (� FOA D,QxR �A '.1,o1*y�i �Sp" S i�wvvxMa CITY OFAPpro•ped................................... SITE PLAN Condttiorelty Approved—................. or only the wok As described In: F_Efl(fAl'T NO Yet; ea l r p��, — A.0 NTS SneIettsrto Follow......... I Ry At •• Joh rtrlre C 6 y. f� k �t_ Ely SATE- -- 02'07/22002 -- --FILE- WELLINGTON ESTATESPA Y ; E O R O U P 11546 S.W.BEEF BENT RD r c n I t + c JOB NO: 20870 TIC-ARD.OREGON 97714 A.0 "-- -- --- - gas x T.r«n.+..w..e.aoi rw..nn.du,.•�"� . CHK' — CHK too�+.ww .se�ex mnp �^w.o-owoa- FEF 20-02 WED 11 :22 GUARDIAN-MGMT FAX N0, 5032396315 P. 05 +24-(E) 1 W -8"(E) EXISTING STEP • 6 1/2"+/ .. . -2"(E) .... . +411(E) 1 ... 1 .". a II ••• I Y +120(E) +8"(E) +2'(F) { LXISTING - I -� -- ASSESSABLE .� J PARKINU SIGN ui -12"(e) '' +4"(E)- D — r a o z Lu -24" (L) I 'I ` 2 BFDROOM -16"(E) N EXISTING PARTIAL S! FE / FLOOR PLAN 3132 - V-0" I� �4*C,j LEGEND _ _ �� � (E)=ESTIMATED ELEVATION OR SLOPE. VERIFY IN FIELD PRIOR ��E SON TO CONSTRUCTION. NOTIFY ARCHITECT IF CONDITIONS VARY. / � � roD?!AND,or Q DATE: 02/19/2002 _- - - WELLING 1 ON FSTATES M Y H RF - GROUPP FILE. a c c h t t a c t a JOB NO. 20870 t•`>.A w t ro BEND A� 1 u.nan.�arGON 4[;,,4 too PC Yw M.s R,-.wl'�:".Y. VcvYs'."l•�yN 7t�t 190)`]d•OM .vM��PYA �w n)trq.yY.V.! FEB-20-02 WED 11 :23 GUARDIAN-MGMT FAX N0. 5032396315 p, 06 +24'(E `f- !; -EXISTING 6 IN"STEP " INSTALL 3'-0"x6'8"SOI.1D COKE �i ( ) -2 (N. -8"{E)------ .---__ -``---�_.-'WOOD CK`OR A"JD FR'�MC_ ?RdVIDE t "(N) , -----.__._..�-- 1 32"CLR IN OPEIJ POSITION AND AC;, -1'(N) COMPLIAW F:,;RDRARE. 1/2"MAX. HEIGHT AT THRESHOLD. - -- +24"F 4 =r-- ( ) - REMOVE "X16TING r-AR i ITFON WALL OIL:gfFv NON-S I RUCTURAL) 0'"0" ' MANAGER I --- INFILL DOORS"Y 1,2"WO STUDS WITH 5/8".31 P. -� - BOARD TYPE"X" ^I EACH SIDE& > -4"(E)-"^.� 3'fi" �J r ACC CNJSMAL --12"(E) INSULATION -- wl I I� I STUDIO - - - -_ - -- - - - i 1 AREA OF WORK PLAN N A.2 3K32"= V-0" LEGEND (F)=ESTIMA fED ELEVATION OR SLOPE VERIFY IN FTLLD PRIOR TO CONSTRUCTION. NOTIFY ARC:HItECT IF CONDITIONS VARY, -e7Y -My�jq�gpll enit (N)-NFv'ELEVATION FA/ ARLA or ASPHAI T RF-GRADF AND PATCH (P. PORTLAND,OR C ARLA OF ONCRL I L RE GRADL AND PATC►1 Al �� � �Q FI USH CONC WITH ASr, W HAI T PAVING I DATE: 02M 91200? FILE: WELLINGTON ESTATES I M Y #4 R E G R O U P 11 5.W BFEF-nr4o f'I • r c Nn: n I t • t • A.2 JOB 70870 rIGAlGn►m,ortsccY;u,�;, Lj CHK: CHK 'V'�;7111 nIX%1 1:.,11 iM N rvrti w CITYOF TIGAR® PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00038 DATE ISSUED: 2/4/03 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AC-01000 SITE ADDRESS: 11545 SW BEEF BEND RD 01A ZONING: R-40 SUBDIVISION: WELLINGTON ESTATES JURISDICTION: TIG BLOCK: LOT: _ -- CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 30 ft DISHWASHERS: RAIN DRAIN: ft Remarks: RcrlacQ.- .30 ' c ��f� r I FEES Owner: Owner Description Date Amount CALABAZAS CREEK LTD INVESTRS + IiI I'rrmit Fee 2/4103 $72.50 ll'I_UM CALIFORNIA BOARDWALK LTD INVES (TAXA S I State'Tax 2/4/03 $5.80 2570 EL CAMINO REAL WEST #500 - MT VIEW, CA 94040 Total $78.30 Phone : Contracto, R D PLI oil,46 INC 13900 NW SPRINGVILLE RD PORTLAND, OR 97229 REQUIRED INSPECTIONS Water Line Insp Phone : 503-297-7422 Final Inspection Reg #: MET 00001094 LIC 73913 PLM 26-313pb This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued By: '� Permittee Signature: Oti' ,( ,��e7.7 e�l 1�� ---- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day k11 R, D, P l umb i n g, Inc. FAX N0. 503 297 7344 P. L Ptumbing Permit Application_ .- �� _ Received Plumb UM ing Dhle%r. -PermitNo,P�� Ci hOT Tigard REC M n Planning A vol Sewer 3 Q(/�3vp � lay p Na.. 13125 SW NAII Blvd. Plan Rtvitw Other —- Tigatd,Oregon 9" 223 ( R - ��0; DaWB pi o.: _ / Post-Rcvl<w sc Phone: 503-639A 171 fax: S $9 pa1e/gy; a No•; internee wvnv.ct tigard.or, t -- - — - �� 1� 1 Contact +t1r;s-: See Peel 2 for 2b-how Inspection Recluet�ty � I�I�, NamdMt,lod: ptern��iul�ntoemat7on,-, ;;1•, OFWO�t1C :'" +' "-FEE �tilil0't1L% fo'r'`I 'tel '1'i orllriitlo ^''c kflst ..,, I � ` n°use ch c New construction I_ DerrioUtion pescW vu Qt`y Fec c�. t „ 1���.?T�ret�t Addition/alterat' n/r Iscrment Other rte 'No y t=fit 2(aitl�ly,d'retlip>s A)F,GO OF CONSTItUCTJaN _, l�nd6da, b0 a•�Yyf'Mih it lit Conn ion)_ �. _ �Jl &2- amilydwehin rnmsrcial/htdustrial �SfiR Cl bath _ 249 20 g_, _ SFR j2 bath 350.00 ccesaoryBuil_ di _ Muln-Fatniiv era ] bath . 39900 — -T Master Builder Other. F,ach additional batfAitchen JOB Si MIPORM,A;TION,and]LOCATION "-- Fire I rittklct'-N R.. 1?a e 2 lob site address; (l$4r1_ _e `� T' t. t�u I t.,.tr.'�'I� .......,.__-� Suite#_' F31d ./A t.#: Catch basin/area drain 1 Project Nime: WQ16j04,,,,_ p' 'ell�cach line/trcnch drain _ I6.60 Cross street/UirtreNons to b site: Footing drain no,linear ft,) Manufactured home utilities Manholes n drai�onneetor _ ^16 SaninrY sew (An.line-at k.) vision' Tlj_ of#: 1 ~Storm sewer(no.linear R. _Prt}Za 2 Subdivi / ar4el#: Water service o.lino ft. Tax 4� .�I t. "' r4ii� EftIP"I /,, e''1. OItl4 . -1 '`I!. •�,`I :•!, t .� tl r.t iiJ• r • llrt•!'�I� /l:,a i1. �.I:i�eta I• 1 F �,�, Absorption valve 16.6 �_R1Sde.1Jr1 SLX�� w't / $ecknowreventcr 4y�n I�a u��vv7 Vr G�! _} ( t ✓1� � Backwater valve Clottcs washer _ 16.60 _ Disbw,shcr w Ib.60 Tom" Drinki tg ibuntain �^ 16.60 '- T6.N .T sl� �0. Fjcctorvbu-r.�. _ �16.G0 -_„•,...... Name' C,I li tri h �_rJ expzion tank ib.6o -.."..." Address: Fixture/sew'er ca _16.60 Flootdrajn/hooraink City/5tate/Z,ip_ -- Gayt k cdig osal P11UIte: Fax: Hose bib API'L1C1►NJ'I';�'., 1�"' OMAC'TjPI ,SON: '' Ice malar _ 16,60 � Name: Inter_ptorlgrMc trop ]6.60 Address: Medlcal�tu•value: S Page 2 _City/$tate/zlp Primer 16.60 ^ Phone: _ Fax; oofdrain cotrtmetto — 1660 1662-- E-mail: 660_—E-mail: Tub/shower/shower pan 16,60 _ ON TRACTO °'a,1; ','.t," ,=' '•' Urinal -16.60 Business Name: ,Q (t� ►�1 p, Z water closet J _ Address: _ LAI U� _ Other:Nater hater 16.60 C /StatC/Z1�:e1��.—:T:� y'� Other: Phone:b`D$- Fax:Sp3.197-'7�Y 7i1'„I. i )PlulubtiiRP CCD Lic, #: Plumb. tic* 3(o 3i3 subtotal r -- n Minimant Permit Fee$12,S0 S Authotiredl Backflow Minimum Ft:e$36.25 Signature: 18 1. !}�iYtkQ�— Date 3-03 Residential Plan Review(15•r,of Permit Fec) -- Swe urch�co g%orPermftFce (Please pnnt risme) TOTAL PERMr9 FIE Notice: TMIe pernrlr Ippircation erpiru it a permit it twc obtelncd within Alt new totntnerctat buAdinp rcQuire 1 stU of plans with eetner 110 days after It has been acctpted as cetnplTtc. riser dlaeraen ror plan resiew. sFn m.;hodMow ser by Tell County Hv;1dlnE Industry Snvlce Board. j'�Iktt�Pr111tir Forma\PIrr3'errnilA trp da. nI v3 FIRE MARSHAL TO BUILDING DEPARTMENT VIOLATION INFORMATION Nature of Problem: Address of Violation: S S L✓ 'aja-lc Bd- Date and Time of Violation: day of 11A! _ ,19( at Business Name: Alo N j- Responsible Party - Name: MofA 06 NNinJG- Address: / / i3 e-^IG� 27 AT Person to Contact: Phone: This Company / Person is Responsible as the (Circle all Applicable): -----_ Properly Owner Contractor Subcontractor Other (explain)i vA Al ; Description of Violation (Who, What, When, Where): Code Section: A /- 1�'sj. c9t 4:±1�Q,�c�� di —7/-//s.- Action 7 //s._Action Desired (check one) ( Letter Notice of Civil Infraction (formal notice of violation with deadline to correct) D Citation F---'K1 Other: ._ -!SZeY7) y3 7114e,) �5�,/c���c�jS _L?1+M/1Gcr" /`I1i�S7"C�i���?y' !L'_�_'._-/�N"�� ,����•,� , � P ? Information, Such as Prior Violations, That Warrant Aggressive Enforcement Action: Action Requested by`- 1 i�F� Date: Fire Marshal / Supervisor Approval: J CITY OFTIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BUP94-0010 13125 SIN Hall Blvd,Ilga,d,01.901, 117223081911 (501)8311,4171 DATE ISSUED: 01 /13/94 639-4171 PARCEL: 2S110AC-01000 SITE ADDRESS. . . : 11545 SW BEEFBEND RD #APT. 7 SUBDIVISION. . . . : ZONING: R-40 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : ------------------------------------------------------------ REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION-- CLASS ONSTRUCTION—CLASS OF WORK. :ALT FIRST. . . . : sf N. S: E: W: TYPE OF USE. . . :MF SECOND. . . : sf PROTECT OPENINGS?---------- TYPE OF CONST. :5N THIRD. . . . : 5f N: S: E: W: OCCUPANCY GRP. :R1 TOTAL--------: 0 sf ROOF CONST: FIRE RET') : OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED:2HR I STOR. : ft GARAGE. . . sf OCCU SEP. RATED: BSMT? : MEZZ? - REUD SETBACKS-------------- REQUIRED---------- FLOOR LOAD. . . . : Psf LEFT: ft RGHT: ft FIR SPIKL: SMOK DET. . : DWELLING UNITS: FRNTs ft REAR: ft FIR ALRM: HNDICP ACC: SEDRMS: BATHS: IMP, SURFACE: PRO CORR: PARKING: VALUE. $ : 5000 Remarks : fire damage— no plans reql-tired per inspector— field verify Owner: FEES BUARDIAN MANAGEMENT CORP type amol-Int by date recpt PO BOX 5660 PRMT $ 50. 50 01/12/134 94-24-7607 PLCK $ 32. 83 01 /12/94 94-247607 PORTLAND OR 97228 5PCT $ 2'. 53 01/12/94 94-247607 Phone #: Lontractor: ------------------------------ COOPER CONSTRUCTION CO 2305 SE 91H PORTLAND OR 97412 Phone #: 232-3121 $ 85. 86 TOTAL Reg #. . : 08587 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Lode, State of Ore. Specialty Codes and all other Firewall. Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started Final inspection within IN days of issuance, or if work is suspended for more than IN days. Permittee n a t i-t r P Issi-ted By - Call for inspection 639-4175 Commercial Building Permit Application City of Tigard _ — 13125 SW Nall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: / l J C/�" S('.i _ Tenant: l �• l� Suite # /J _ 7 Office Use On , u Planck/Rec# Valuation: Permit # Owner: X11 -g [a t-114� t i� Address: _ P 0 Box 5668 _ Approvals REqulred Portland OR 972:?8 Planning _ Phone: — Enjineering Other_ (( i Contractor: 1 /_4 0S Address: Type of const: Occupancy class. _ Phone: _ �' .} Sprinklered? Yes (No) Contractor's license # '�S �" 7 (attach copy of current Oregon license) Sq. ft. of project: Story (1 st, 2nd, etc.) i Archltpc.�t/Englneer: �' Proposed use: / - ----- Address: ! — Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone: COMMENTS: r ' _ .� c L, 1 r' AprAicant SignatU4& Phone number Received by: - — Date Received: -- Permit # Account Description Amount Amt. Pd. Bal. Due PLIP gy&iU Bldg. Permit (BUILD) L _ Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) __ �,?, •'S=� Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Chargc (PKSDC) _Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) _ Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WOUAL) Water Quantity (WOUAN1) Fire District (FIRE) TOTALS if• �t�