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14180 SW BARROWS ROAD BLDG 10 T 00 Q Cl) o O l D v lr F I 1 14180 SW BARROWS ROAD Building 10 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 Hour Inspection Line: 639-4175 Business Line: 639-4171 �— // BUP _ Date Requested—H i g L-9 _AM PM BLD Location V n- nk) S ��. —__ Suite --:�w MEC Contact Person G �- Ph �� D(o� PLM Contractor i1� Sb' � Ph . �969 SWR BUILDING Tenant/Owner _ — ELC �8"�S�7 Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN _ Crawl Drain Inspection Notes: Slab _ ----- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing -- Firewall Fire Sprinkler ..____ --_ - ---- - Fire Alarm Susp'd Ceiling Roof Misc:— _ --- ------ _-- Finalv PASS PART FAIL — '4- PLUMBING Post&Beam Unditr Slab __ _- Top :gut Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Bearn ------- — - -- --- Rough In Gas Line --- - - Smoke Dampers Final ----- ---- _ --_ __ ASS PART FAIL - ervice —� --- - Rough In UG/Slab Low Voltage Fire Alarm —_— ---- — fP�AS;tPART FAIL Backfill/Grading — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next i pection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE' _ _ j Unable to inspect-no access ADA Approach/Sidewalk Date ,j/ Inspector- �' _______� ,.r!EXt Other — Final PASS PART FAIL DO NOT iREMOVIE this inspection record from the job site. J CITY OF TiGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- D BUP _ Date Requested �� I AM !� PM BLD Location ju 1 �`C� 1�a4YazJ c�- (2Zae9� Suite �I MEC, — Contact Person Q2S24 ek— Ph PLM Q�'� 3 4� Contractor Lt'lt .cv, Ph Svc ' �l SWR BUILDING — Tenant/Owner ELC i r Retaining Wall ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _ SIT Pest&Beam — Ext Sheath/Shear Int Sheath/Shear Framing -- -- - -- ----- - Insulation Drywall Nailing -- Firewall Fire Sprinkler w __ Fire Alarm - Susp'd Ceiling — Roof / Mise Final PASS ART FAIL M ' Post& Beam -- Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains C P PART FAILANICAL Post& Beam - -- —�—---- Rough In Gas Line --- — Smoke Dampers Final — ----- PASS PART FAIL ELECTRICAL — — Service — -- — Rough In UG/Slab — Low Voltage Fire Alarm ---- Final PASS PART FAIL SITE Backfill/Graving Sanitary Sewer Storm Drain ( Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE: ( Unable to Inspect-no access Fire Supply Line - - ADA Approach/Sidewalk :t" Other Date i InsFler.tor — EXt Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISIO �� 24-Hour Inspection Line: 635-4175 Business Line: 639 — F� SUP Date Re,.Jested `/1/1(' 1 AM __PM BLD Location—/L41'ko ��'NY62.(�S Suite _tL MEC _ Contact Person 5✓�`�� n�� Ph j "S70.), PLM Contractor Ph �" Xl� LJSWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab _ - -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing Fir wall -ire S r' r ire ar ng Roof � Misc: c in PART FAIL LUMBING Post& beam Under Slab _ Top Out Water Service Sanitary Sewer v Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam — --- - — Rough In Gas Line - -- -- - - Smoke Dampers Final PASS PART FAIL ELEr.TRICALr Servi a Roug In UG/Sla Lo e *L ire Ala --- - Final PA P T FAIL - SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of E_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_ _ [ ]Unable to inspect no access ADA n Approach/Sidewalk Date ( (P Inspector.__— Ext Other — Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ST 2 `� Bu ��- Z, 35 � Date Requested_1f- I y AM _ PM I J O BLD Location /y l �u ,J,�a.��r��- L'�� V_ Suite Contact Person Ph _ .��r - �„ PLM fel U Contractor Ph SWR C\%- 0021 II_ FV Tenant/Owner ELC P Retaining Wall 'F0 Footing Access. ELR - , Foundation FPS d Fig Drain Crawl Drain Inspection Notes: �. SGN Slab _ T(� \1 'S C►r1 N�� Post Beam V � SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation �- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Mis _ inal ,� - S" ART FAIL ING Post&Beam Under Slab Top Out — Water Service Sanitary Sewer - Rain Drains Final - PASS =T FAIL Z!EC Post& Beam Rough In Gas Line _ Smoke Dampers — 5rrn-ff�, PART FAIL TRICAL — - Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading --- - - -- -- - — Sanitary Sewer Storm Drain ( j Remspection fee of g _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Please c;,' ' r reinspection RF: ADA ( j Unable to inspect-no access Approach/Sidewalk Other Date _ _ Inspector Ext 1 Final PASS PART FAILJ DO NOT REMOVE this inspection record from the job sits. CITYOF T I G A R D __ MECHANICAL. PERMIT DEVELOPMENT SERVICES PERMIT#: MEC98-00421 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/7/99 PARCEL: 1 S 133CC-00400 SITE ADDRESS: 14180 SW BARROWS RD 10XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: 0 EVAP COOLERS: 0 TYPE OF USE: MF UNIT HEATERS: 0 VENT FANS: 9 OCCUPANCY GRP: R1 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES: 3 BOILERS/COMPRESSORS HOODS: 0 _ _FUEL TYPES 0 3 HP: 0 DOMES. INCIN: 0 GAS � 3 15 HP: 0 COMML. INCIN: 0 MAX INPUT: 0 BTU '15 - 30 HP: 0 REPAIR UNITS: 0 FIRE DAMPERS?: 30 - 50 HP: 0 REPAIR UNITS: 0 GAS PRESSURE: M 50 + HP: 0 WOC-DSCLU DRYERS: 3 FURN < 100K BTU: 0 AIR HANDLING UNITS _ UNI FURN >=100K BTU: 3 <= 10000 cfm: 0 TS: 3 GAS OTHER ER UNITS: 0 > 10000 cfm: 0 Remarks: Scholls Village Bldg #10 UNits identified as DBD Owner:_ _ FEES _ POLYGON NORTHWEST Type By Date Amount Receipt 2700 NE ANDRESEN PRMT GEO 4/7/99 $88.50 99-31432e STE 022 PLCK GEO 4/7/99 $22.13 99-314328 VANCOUVER., WA 98661 5PCT GEO 4/7/99 $4.43 99-314328 Phone: Total _ $115.06 Contractor: / --- FX&Pr-y s 11F-AW` ,d 0-Al,vt 0,e- REQUIRED INSPECTIONS Gas Line Insp Phone: (Dqa-3 yy �' Mechanical Insp Reg #: Heating Lint Insp Duct Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-001-0080 You may obtain opies of these rules or direct questions to OUNC by calling (503)24 189. /' ---, Issue By: _ _ Permittee Signature: �— Call (5 E39.4175 by 7:00 P.M. for inspections needed th eft business day L _ Plan Check# 9-goe CITY Of TIGARD Mechanical Permit Application Rec'd e Ll- , 13125 SW HALL BLVD. Commercial and Residential Date R c &- 'd 7- TIGARD, OR 97223 Date to P.E. L �(� ST r� cl (503) 639-4171, x304 '�, 1d qr Date to D l' Print or Type Permit s pn -N2 Incomplete or illegible a plications will not be accepted Calkad -,4 ek F y z�7 We aredw oebp rWdffl W1 Description ` / In,` Ill c]�I l Table 1A Mechanical Code Q pftoe And Job a ser Address nes A Permit Fee 10.00 1) Furnace to 100,000 BTU Add mos &R644 h Including duds&vents ' 6.00 erdO Cltyrstate Zip 2) Furnace 100,000 BTU+ inCIL-ding duds&vents 7.50 Nu"m(or name a busineu) _ 3) Floor Furnace Owner Ram( �� 1 L C (IN Indudin vent _ — _6.0_U � Nis"Address 1. 4) Suspended heater,wall heater t) ��uQ D or floor mounted heater 5) Vent not Included In appliance permit C"t'/swea''°'h'3 bD 3.00 flu CW '� �5' 0 CHECK ALL Boiler Heat Air Nam(or rof business) THAT APPLY: or Pump Cond Oty Price Amt _ Com •• 6)<3HP;absorb unit to — Occupant Malrnq Address 100K BT!I 6.00 7)3-15 HP;absorb unit crryrstete- -- zip" prhorx 100k to 500k BTU _11.00 8)15-30 HP;absorb �— unit.5-1 mil BTU 15.00 Centractor9)30-50 HP;absorb 5 (,( unk1-1.75mil BTU 22.50 Prior 6)permitel Ad rets (� 10)>50HP;rbsofb unit Msuarha,a copy >1.75 mil BTU 37.50 of all p.censesa zip Prwxre �c� 11)Air handling unit to 10,000 CFM are•equine/k f I A.0 (De— - 4.50 expired in COT gre�orr Const.r;o ryard Lres hro�� 12)Afr handling unit 10,000 CFM _database �— f 7.50 Architect Ttl' 13)Non-portable evaporato ruler� � � _ 4.50 Or IMftV Address 14)Vent fan connected to a single dud r - r� ! _3.00 1 5 S � 15)Ventilation system not Included In Engineer _ zip I pnone c; appliance permit 4.50 W (,()�, �f d(j � 16)Hood served by mechanical exhaust Describe�.xk to be done: v .� ---- 4.50 17)Domestic Incinerators New 4y, Repair O Replace with like kind: Yes O No O 7'60 Residential O Commercial O 18)Commercial or Industrial type Incinerator 30.00 Additional information or description of work: 19)Repair units 4.50 20)Wood stove - 4.50 21)Clothes dryer,etc. 450 Type of fuel: oil O natural gas O LPG O electric O 22)Other units -TPK, 0,1, 4.50 hereby acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets 4 glven Is correct,that I am the owner or authorized agent of _— _IGE 2.00 Che owner,that plans submitted are In compliance with Oregon State laws. 24)More than 4-per outlet(each) .60 8t naturs of owrhedAgent Date 'SUBTO V _ 596 SURCHAR Pers Name Phom PLAN REVIEW 25%OF SUBTOl / �j Required for ALL commercial rtntts-l07S-7 TOtvC --"--�— — 'Minimum ponnit fee Is$25+5%surcharge ;. ,i_tx-- •f;:'', "Resldentlal A/C requires site plan showing placement bf rmk l:VTwx qM3"doc rev 06123!98 j' CITY OF T I r A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM98-00340 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/7/99 SITE ADDRESS: 14180 SW BARROWS RD 10XX PARCEL: 1S133CC-00400 SUBDIVISION: SCHOLLS VILLAGE TOWN HOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 3 MOBILE HOME SPACES: 0 TYPE OF USE: MF WASHING MACH: 3 BACKFLOW PREVNTRS: 0 OCCUPANCY GRP: R1 FLOOR DRAINS: 0 TRAPS: 0 STORIES: 0 WATER HEATERS: 3 CATCH BASINS: 0 _FIXTURES LAUNDRY TRAYS: 0 SF RAIN DRAINS: 3 SINKS: 3 URINALS: 0 GREASE TRAPS: 0 LAVATORIES: 11 OTHER FIXTURES: 0 TUBISHOWER& 6 SEWER LINE: 300 ft WATER CLOSETS: 6 WATER LINE: 300 ft DISHWASHERS: 3 RAIN DRAIN: 300 ft Remarks: Scholls Village Bldg #10 _ Owner: FEES �— --� Type By Date Amount Receipt POLYGON NORTHWEST 2700 NE ANDRESEN PRMT GEO 4/7/99 $674.00 99-314328 STE D22 PLCK GEO 4/7/99 $168.50 99-314328 VANCOUVER, WA 98661 5PCT GEO 4/7/99 $33.70 99-314328 Phone 1: Total $876.20 Contractor: I/s-o /�vD�r�t�q� GJAy REQUIRED INSPECTIONS - _- Final Inspection Phone 1: y,3�—So3�i Sewer inspection Reg #: Sewer Inspection Water Service Insp PLM/Underfloor Top-out Insp Storm Drain Insp Rain Drain Insp Gas Line Final Inspection 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 iss+;anc e, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notifi ration 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 OUNC by calling (503) 246-1987. Issued By: _ �- Permittee Signature: /;0,07 Call (503) 6344175 by 7:00 P.M. fo,an inspection needed the nextlll .Jsiness day CITY OF TIGARD Plumbing Permit Application Plan Check 13115 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Q Print or Type % Date to DS ie-Z- Incomplete or Illegible applications will not be accepte� PermitaR Related SWR! S Called r 2r 9 ------- Name of Development/P jestfAMA Job �� . L. 1 Il Sink -_ � 9.00 -A 7 Address Street AAa� 1A Salle Lavatory 9.00 �717 Ole, o" C l►�� Tub or Tub/Shower Comb. 9.00 00 Bldg S -miState 7Jp . — ID `tC ipd w2- �fin2-. Shower Only _ 8.00 ---------�" N /� Water closet 9.00 c0 l_ (, � Dishwasher 9-00 0• 7 Owner Melling Address Suite Garbage Disposal _ 900 0 �) Sc' 'Z.Z- Washing Machine - 3 9.00 7 c� City/State Zip phone 0 Cky'Lou�er c b�,(�.� HCi c t, Floor Draln/Floor Sink 2' 9.00 ----- Name 31 9.00 4- 0.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 _ Gas piping requires a separate mechanical permit. City/Stale -Zip Phone Laundry Room Tray 9.00 —T- Nanie (�� i pey Urinal 9.00 0 C Q 1-\'k 1 Other Fixtures(S ) 9.00 rl jg ��1 }' _ _on&ctofalling Ad_d a 9.00 �AL 9.00 Prior to permit /Stale df2- Z� Phone p3 Sewer-1st 100' 30.00 r C issuance,a copy L 5clSewer-each additional 100' 25.00 e d of all ellgUlnresde„are Oreg CO s Board Llc. Exp5,75 Is . _�� Water Service-tat 100' 30.00 p., eo expired In COT Plum ng aX to Water Service-each additional 200' 25.00 database - '7 11= �� Storm&Rain Drain-1st 100' 30.00 Name Storm S Rain Drain-each additional 100' a 25.00r' e'B Architect O\i\ fi Mobile Home Space 25.00 or Mailing A dress �. �� Sufle Commercial Back Flow Prevention Device or Anti- 25.00 t C_ Ou Pollution Device Engineerylst$te ZIP�- Phone Residential Baddlow Prevention Device' - 15.00 k tiL4, (ti (�� -160 v prlgation timing devices require a separate Desai work to be done: restricted energypermit.) New Repair O Replace with like kind: Yea O No O Any Trap or Waste Not Connected to a Fixture 9.00 Reside at O Commercial O Catch Basin 0.00 Additional description of work: Insp.of Existing Plumbing 40.00 Specially Requested Inspections 40.00 rmr Are you capping,moving or replacing any fixtures?^ Rain Drain,single family dwelling 30.00 - Grease Traps Yes O No O 9.00 If yes,see back of form to Indicate work performed by -- — QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or risk diagram Is requkrd IF Gdanttty Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. 'SUBTOTAL o I hereby acknowledge that I have read this application,that the ktfo oration T G' / given Is correct,that I am the owner or authorized agent of the owner,.end 6%SURCHARGE 70 that plans submit'-4 are In compliance with Oregon State laws. , Signature of Owner/Agent Date "PLAN REVIEW 25%OF SUBTOTAL Fteguhred only If fixtue qty.lolal Is>9 l0 D �l. TOTAL .,� Para Phwia •Minimum permit fee Is$25 d 5%surcharge,except Residential Flackflow Prevnntion Device,which Is$15 4 5%surcharge "'All New Commerclal Buildings require plans with lsometri s or riser diagram and plan review t , d*e4*"WdwMm \ CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR98-00255 13125 �;W Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4%//99 PARCEL: 1 S133CC-00400 SITE ADDRESS; 14180 SW BARROWS RD 10XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG TENANT NAME: SCHOLLS VILLAGE BLDG #10 USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 3 TYPE OF USE: MF NO. OF BUILDINGS: 0 INSTALL TYPE: LTPSWR IMPERV SURFACE: 0 Remarks: Scholls Village Bldg#10 Owner: FEES POLYGON Type By Date Amount Receipt 4030 LAKE WASHINGTON BLVD PRMT GEO 4/7/99 $6,900 00 9:;314328 SUITE 201 INSP GEO 4/7/99 $45.00 99-314328 KIRKLAND,WA 98033 Total $6,945.00 Phone:306-590-5153 — Contractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. , Issued by: Permittee Signature: lCZ►-st —�---�� Call (503) 9-4175 by 7:00 P.M.for an inspection needed the next bu ne day _ _ ELECTRICAL PERMIT CITYOF T I G A R D PERMIT#: ELC98-00578 DEVELOPMENT SERVICES DATE ISSUED: 4/7/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 SITE ADDRESS: 14180 SW BARROWS RD 10XX ZONING: R-25 SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES LOT : JURISDICTION: TIG BLOCK: Proiuct Description: Scholls Village Bldg 410 — TEMP SRVCIFEEDERS :MISCELLANEOUS - 200 amp: 0 PUMPIIRRIGATION:� 0 RESIDENTIAL UNIT 0 1000 SF OR LESS: J1 201 . 400 amp: 0 SIGN/OUT LINE LTG: 0 EACH ADD'L 500SF: 3 401 600 amp: 0 SIGNAL/PANEL: 0 LIMITED ENERGY: 0 MINOR LABEL (10): 0 MANF HMI SVC/ FDR: 0 "01+amps • 1000 volts: 0 SERVICEIFE— EDER BRANCH CIRCUITS_____. ADD'L INSPECTION_ S PER INSPECTION: 0 0 - 200 amp: U WlSERVICE OR FEEDER: PER HOUR: 0 201 - 400 amp: 0 1st W/O SRVC OR FDR: 0 IN PLANT: 0 401 - 600 amp: 0 EA ADD'L BRNCH CIRC: (1 PLAN qN REVIEW_SECTION__ __ 601 - 1000 amp: 0 --�-�,,=4 RES UNITS: — > 600 VOLT NOMINAL: 1000+ amo/volt: 0 CLASS AREA/SPEC_ OCC: __.__ Reconnect only: 0 SVC/FDR—>= 225 AMPS:-- I - Contractor: ��t Iil/LL Owner: vola Na POLYGON NORTHWEST VAW&OW"veq q $661r 2700 NE ANDRESEN STE P22 VANCOUVER, WA 98661 Phone: Phone: 360-695-7700 Reg #: FEES _Required Inspections 7ecgl Type By Date Amount Receipt vice al PRMT GEO 4!7199 $405.00 99 314329 PLCK GEO 4/7/99 $101.25 99-314329 5PCT GEO 4/7/99 $20.25 99-31437.9 Total $526.50 This Permit is issued subject to the regulations contained in the Tgard Municipal Code, State of OR Specialty Codes and all ether apwork i plicable laws is not started within 180 All work will be done in accordance wATTENTION pOregon law requlans This iresllyou pto follow ire it rlrules adopted by the OregonyUt ity Notific tion oissuance,or rl enters Those suspended for more than 180 days rules are set forth in OAR 952-001-0010 through OAR 952-WI-0080 You may obtain copies of these rules or direct questions to Oi 1NC at(503) '1146-1987 X - -2 Issued By: Permit Signature: � OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. DATE:-- OWNER'S ATE: —OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY ------_..__—__----------- ---- -- ___ DATE: SIGNATURE OF SUPR. ELEC'N- LICENSE NO: - Calll 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check if _ 9�,' 13125 SW HALL BLVD. Rec'd By_ TIGARD OR 97223 �1! Date Rec'd Date to P.E. 4- ;4 T-t . Phone(503)639-4171, x304 Date to DST_ Inspection (503) 639-4175 Print or Type Permit a ESC I r Fax (503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Cor7plete Fee Schedule Below: A= &Z Name of Development �1 1 1 u G_ Number of Inspections per permit allowed Name(or name of business) MOW LC<._ ___ Service included: Items Cost Sum Address. Ll J'�i r��.5 4a. Residential-per unit �i d C 7 ZZ 1000 sq.ft.or less City/Stale/Zip_ I� ___ $11o.rx1 _-.----.__-- 4 Gl F (J/ Each ion there 50G sq.It.or \ Commercial ❑ Residential portion thereof $25.00 t /) Limited Energy $25.00 - Fach Manufd Home or Modular 2a. Contractor installation only: Uwolling Service or Foedor _ $68.00 2 (Attach copy of all turn licenses) , 4b.Services or Feeders Electrical Contractor Installation,altor le do 1,or rekrcalinn--- -- 200 amps or lass $60.00 2 Addre s__ 201 amps to 400 amps ___ $80.00 2 City U Slate _Zip- _ 401 amps to G00 amps $120.00 -- 2 Phone No. U 5 7 -3 -7 601 amps to 1000 amps $180.00 -__ 2 Job No.� _-- -- Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. Exp.Date w -/ - Reconnect only $50.00 2 OR State CCB Reg. No _ ( _ xp.Date 5 -�- `I 4c.Temporary Services or Feeders COT Business Tax or Metro E p.Date2=i_`1,a Installation,alteration,or relocation 200 amps or less _ $50.00 __ 2 Signature of Su r. Elec'n 201 amps to 400 amps - $75.00 2 9 p G 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License Nr f- J Date_ 10 If - U see"b"above. Phone l' _ a o 9 i -T-'- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name___ _ feeder fee. Address Each branch circuit $5.00 2 h)The lee for branch circuits City__ State- _-_ Zip without purchase of Phone No service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit- $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Sery Each p or ferr e not Included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 -_4 or more residential units In one stnxture 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area o,structure containing special occupancy Per hour - $55.00 as described in N.E.C.Chapter 5 In Plant - $55.00 _ Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 58.Enter total of a!ove lees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review Lf regu-ired(Sec.3) $ � NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK tS COMMENCED. ❑ Trust Account k $ i7 Total balance Due IMSTRWI.C96 Ar NV "ft%W, -• --- CITY OF TIGARD DEVELOPMENT SERVICES BI.IIL..DING PERMIT 13125 SW Hall Blvd., Tigard,OR y7223(503 639 8171 PERMIT #. . . . . . . : BUF'98-0399 .:.. DATE ISSUED: 04,101/99 PARCEL: 1.51 33CC---00400 TTE AVE I'ES!,. . . : 14180 SW BARROWS RD #1.0XX 3UBD I V I 5 I ON. . . . : Z.OIV I NO::R -�5 13L..00K. . . . . . . . . . : LOT. . . . . . . . . . . . . . .TURISDTCTI ON:TIG REI�3;3UE FLOOR AREAS --_- _.__..__ EXTERIOR WALL. CONSTRUCTION- F1rLASS Gr= Wf_)RK. :FF'L, RST. . . . : 0 S f N: S: E: W I Yf 177 OF USE". . , :MF SECCIND. . . : 0 sf PROTECT OPE"NIhdGS�_.__..._______ TYF''E OF CONST.- :5N . . . : 0 s f N: S: E- W: OCCUITINCY GRP, :R1 TOTAL_---- 0 s ROOF" CONST: FIRE RET7 : 0CCUF='ANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 H-1': 0 ft GARAGE. . . : 0 S OrCU SEF`'. RATED: BSMT" : ME7 71 .- REND SET BACKS----~--- REGILII ( FLOOR LOAD. . . . : 0 psf I-EFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMnK DET„ . INWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICF'' ACC: BEDRMS: 0 BnTHS: 0 IMM SURFACE:: 0 r,Rn CORP: PARI!I NO: 0 VALUE. $ : 8449 Remar-1<s : Scholls Village Bldg #10 Clwlier: -------------- FEES .'_-_.__.._-•--- _----- f''OL_YGON NORTFIWFST type amo,.Int b dr ate •ecPt L:11700 NE ANDRESEN PRMT 3 G2. 50 CPEO 04/01/99 99--=314217 r� SPCT $ ?. 1.3 G E 0 04/01. /99 99--=-3144'17 .aTE DE_�`' VANCOUVER WA 98861 FIRE 15 c'S. 00 DRA 03/16/99 99-313712 Phone #: 360-695-7700 FIRE SYSTEMS WEST INC x00 SE MARITIME AVE #300 VANCOUVER WA 98661 C'h o n e #: 360-693-199- 06 $ 90+. 63 TOTAL Rang #. . o 49732 ----REf?LJ I RED AC t I OhlS or^ INSPECTIONS. II This permit is issued subject to the regulations contained in the 5pr^inkler Rough- Tigard Muiicipal Code, State of Ore. Specialty Codes and all other Spr^i.nk 1 er Final 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 190 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 952-00101987. _ _. ___.._ You many obtain a copy of these rules or direct questions to OUNCby calling calling (503)246-1987. ��_ — -- ------- - F='e r m i.t t e e S i g 11 t.�_I r e : �i�+-.+�' I s 5 i.1 e d By : ++++++i-++++++++++++++++++++a• +•++++++++t+++++++++++++++4-++++++++•++++++•++++++•+++4- Cal l 639-4175 by 7:17.10 p. m. for an inspection needed the next bt.Isi.ne=_s day ++++++++-4-++++++++++++++++•F++++++++++++++.++++++++•+++++++++++++.1•++++•F+++++++.1-+++ x,97 Fire Protection Permit Application Plan Check T CITY OF TIGARD Commercial or Residential Recd By 131/t5 SW HALL BLVD. Date Reda TIGARD, OR 97293 Print or Type Dare to P f_. �& (503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepted Date to DST Permit 0 Called Naroft el situ r ct Type of System (Complete A or B as applicable) Job !" �I a Q, TN o -- Address Address A.)Sprinkler Wet Dry E]<4 Jw O _ Na —� Standplpes Owner Maili P ss Hazard G oup __- 2 0 :�tZZipPhone —Z Addi'flona: =16.C'y/State Information Density , _ d-�a ` 13.S Name Design Area ' Occupant Mailing Address - - K.Is .or S City/State zip Phone A.1) Sprinkler Project Valuation $ S19'?CI Contractor Name I� — — B.) Fire Alarm y (BpAnka �3 S — Alarm Commpany) Melling Arens Submittal Shall In(aude Battery Calculations YES [] Prior to permit sWQ0 ISN-� 3&0 Individual Component YES Issuance,s CNy/State Zip Phone nuaam p ❑ Copy Cut Sheets__ of all licenses JJ0 ✓l/4G✓t4, Ir ,%G_6V.?- B.1) Fire Alarm Project Valuation $ are required if State Const. CU.,,it Board LIe.A Exp.Date expired In COT Project Valuation Subtotal(A & or 8) $ --database _ ar"e /- r Permit fee based op. valuation 1 r i brctvt see chert on back $ .Ste' Architect Mailing Address -J --L- ��5. d 5% Surcharge $ 3 CRY/State Zip Phone FLS Plan Review 40%of Permit $ C`ssor�work- A,)New ddition O Alteration O Repair O TOTAL $ 1. 1-10 heads-No plans required to be done _ (c3 B.) anon to sprinkler heeds only------ Plans required: Submit three sets of plans,Including a vicinity map and t. 1-1 2. 11+■Plan review required the location of the nearest hydrant. —_ I hereby acknowledge that I Curve road this application,that the information given Is _ Number of• rinklar heads: correct,that I am the owner or authorized agent of the owner,and that ptann submitted are In compliance with Oregon State laws Adddlonel Description of Work: Signature of owner/Agent Date - A.)In Existing Building C) New Building Building Contact loss ams Phone Data B)- Commercial C7 Residential 7'c. " 1 fuJ -�' 3- SFOR O ICE USE ONLY: No of stories Pitt eipJT _ Sq Ft_ --- --------- Notes Occupen Cl T\rpe oftCLnstrucdan is\dsty\form s\firesupr,doc 11/5/98 1 CITY OF T I G A R D BUILDING PERMIT PERMIT#: BUP1999-00129 DEVELOPMENT SERVICES DATE ISSUED: 4/19/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133CC-00400 SITE ADDRESS: 14180 SW BARROWS RD 10XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: �E: W: TYPE OF USE: CMS SECOND: sf PROJECT_ OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREP. sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMEN i: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �Yft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 827.00 Remarks: Add fire ala,m system. Owner: Contractor: POLYGON NORTHWEST PRAIRIE ELECTRIC 2700 NE ANDRESEN 6000 NE 88TH STREET STE D22 VANCOUVER, WA 98665 V�J OUVER, WA 98661one: Phone: 360-573-275 Reg #. LIC 60178 I _ FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Fire Alarm FIRE GEO 4/1/99 $10.00 99-314195 Final Inspection PRMT BON 4/19/99 $25.00 99.314626 5PCT BON 4/19/99 $1.25 99-314626 Total _ $36.25 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. 1 his 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 to OUNC by calling (503) 246-1987. Permitee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Applicat'lon Plan Check e CITY OF I IGARD Commercial or Residential Recd By_ (--T— - 13126 SW HALL BLVD. Date Recd �{ TIGARD, OR 97223 Print or Type Date to P.E. _ (603) 639-411711, x. 304 Incomplete or Illegible applications will not be accepted Date to DST Permd d18!/P�'fiy�-00/� Called Job Na a o1 a oied —�� Type of System (Complete A or B as applicable) Addressn°a' * A.)Sprinkler Wet p Dry U N Standpipes M Hazard amp 1sT er Additlunal M zl Peon. Information.Watadna ' _— Name Design Area occupant Mall Address K.Factor city/Stab Lp Phone A.1) Sprinkler Project Valuatinn S —� ContractorNarm / - B.► Fire Alann 111 AUM CO11,oe11ylSubrNttal Shall InGude Betlery Callculations YES (J Prior to pwn* Qr �##� -1 tT7"dGT Individual Component YES Issuance,a Cityms" Zip Phone _ Cut Sheets _ U Dopy // __...,- of all Hanees l✓�NC � T�"S�l B.1) Fine alarm Project Valuation $ -�/ are rpuili N Stall GxtN Gf�t.Board Lica Exp.oats Zi ?i. P enkW In COT C21 ��V Pro)act Valuation Subtotal(A S or 8) $ delobs" r► Permit fee based on valuation $r-ZoAdJ4 7;5: i ("a chart on back) Architect Malling Address �— 5%SurCha crag tate R zip phone FLS Plan Review 40%of Permit Deserto work A.) Addition 0 Allera0on 0-Repair 0 TOTALto be done: a.) MOdlllonOw to sprinkler heads only Plant req 'vlred tiulxrtM three acts of plana,Including a elan man and 1. 1-10 heads■No plant requi ed G 2. 11K Plan review required the location of the nesmat hlldrent. _ I hereby adknowWIpe that I have rtwf thle application.that the Wormatlon glen Is Number of sprklkbr htada: ow►ec•tw I em owner or owor auM+oAzed agent or ere owner.and that plans submRied Addltlrmal Description of Work- are .�.� In oomplisnos with Oregm Sole has. dipnature of +^ Dote A.)In Existing Suliding Q New BuNdklg Building I conte P t+am Plena Data 8.) Commercial ❑ Reskierttial `.__— n � 0240e'j— ?=- - r FOR OFFICE USE ONLY: No of stories ---- PIM i qtr s,+ f� '■I ,.1�+-rr�4�"j. Occupancy asst—- - Type of Coqstrudbn .�1 r � •�,, i:`,dsts\forms\firesupr doc 11 S/98 BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP98-00393 DEVELOPMENT SERVICES LATE ISSUED: 4/7/99 13125 SW Hall Blvd.,Ticlard, OR 97223 (503) 639-4171 PARCEL: 1 S133CC-00400 SITE ADDRESS: 14180 SW BARROWS RD 10XX SUBDIVISION: SCHOLLS VILLAGE TOWNHOMES ZONING: R-25 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 2,073 sf N: 1 HR S: '1 HR E: 1 HR W: 1 HR TYPE OF USE: MF SECOND: 1.878 sf _ _PROJECT OPENINGS? TYPE OF CONST: 5-1 HR DECKS : 486 sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 4,437.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 8 BASEMENT: U sf AREA SEP. RATED: STOR: 3 HT: 18 ft GARAGE: 2,163 sf OCCU SEP. RATED: 1H BSMT'?: N MEZZ?: N _ REQD SETBACKS _ REQUIRED _ FLOOR LOAD: 40 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: 3 FRNT: 0 ft REAR: 0 ft FIR ALRM : Y HNDICP ACC:N BEDRMS:8 BATHS: Ci IMP SURFACE: 0 PRO CORR: N PARKING: 2 VALUE: $ 306,293.00 Remarks: Scholls Village Bldg#10Units identified as DBD Separate Plumbing, El;ectrical and fire alarm permits required Owner: Cuntractor: POLYGON NORTHWEST POLYGON NORTHWEST CO 2700 NE ANDRESEN PO BOX 1349 STE D22 BELLVUE,WA 98009 VANCOUVER, WA 98661 Phone: Phone: Reg#: FEES _REQUIRED INSPECTIONS Type By Date Amount Receipt Erosion Control Insp 844.8 Gyp Board Insp PLCK BON 9/22/98 $617.83 98-309367 Footing Insp Appr/Sdwlk Insp Foundation Insp Reinf. Concrete final report PRMT GEO 4/7/99 $950.50 99-314327 Post/Beam Insp Structural welding final rep 5PCT GEO 4/7/99 $47.53 99-314327 Slab Insp Final Inspection FIRE GEO 4/7/99 $380.20 99-314327 Framing Insp Fireplace Insp (additional fees not listed here) Insulation Insp Shear Wall Insp Total $6,908.63 Firewall Insp _ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee � i Signature: Issued By: Call 619-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Multi-Family Buil-"ing Permit Application Plan Check= 13125 SW HALL BLVD. New Construction and Additions Dale Recd Date to P.E. D TIGAhD, OR 97223 r:• (503) 639-4171Iy --� .��j n ale to DST �:?� c l' PermN:s'��i1 � Q f .' �` ° U Print or Type Called r/1 u Incomp;ete or illegible applications will not be accepted Na f Development/Project Existing Building ❑ New Building Job U)D��5 Villainy_ Building Number of Units Address site Address ►� '� (, �t,� .pct r�,La��c( Data 3 _� Bldg* City/State Zip Existing Use of Building or Property: --- — `e qIu3 Name Property alry(A-)S L L Sq. Ft. of Dwelling: Sq. Ft. of Garage: Owner Mailing Address Suit t4 0-7 I ) t I 7Uo mt >"f/Y��(I) LJ ZZ- Proposed Use of Building or Property: /Slate Zip Phone & UC�n(oul�r i �r�r60 --77ob — �— NamPo -/�DJ No. Of Stories: General r7/`7Y1G�S� — -- Contractor Mailing Addres —� Suite Occupancy Class(es) X100 �� r�err P Z z-to T s of Const nl,ti G:n permit CHy�stale pk�/l�lp (, / Phone ` � Yom( ) y _ Issuances copy l/ old v'c//r-} 0661 95'77t� - of ah licenses (/L Will alis project have a Fire Suppression System? are required if Oregon Const.Cont.Board Llc.! Exp.Date expired In C.O T. Yes _ NO —_ database I b��' Americans with Disabilities Act(ADA) _ Valuation X 25% =$_ Participation Name-y� Complete Accessibilit Form Architect /i(.��r �� Project $ — Mailing Address Stine Valuation � ) "716 A S /Do Clty/State ZIp Phone 2 S Plans Required: See Matrix for number Of sets to submit _ lletla (4) k on back Engineer Name /cm � --- _ - I hereby acknowledge that I have read this application,that the Information Mailing Address Sidle given Is torted,that I am the owner or authnezed agent j the owner,and U5 PA that plans submitted are in complianoe with Oregon State laws. City/Stale ZIpo/Z, Phone b3 Signature of Owner/Agent Date Indicate type of work: New�( Addition O Demolition 0C/1 tad .e on Nai Phone i Accessory Structure O Foundation Only O 1!terallun 0 '� d 6Ct'�J o Cj ��DD Repair O Other O Description of work: FOR OFFICE USE ONLY etas: Site Work Permit Application must precede or accompany Building ( L P p� &A7. ermh Application "LJLTINEW.DOC (DST) 8198 - � p VIS"0 Main Office Branch Office P.O. Box 23814 4060 Hudson Ave., NE Tigard, Oregon 97281 Salern, OR 97301 Carlson Testing, Inc• Phone FAX (503)684954 FAX (503) 589-1309 Phone (503) 2 Special Inspection FINAL SUMMARY LETTER September 3, 1999 #99-11231 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Scholls Village Condominium Development — Building #10 14180 SW Barrows, Tigard, OR Permit No.: BUP980393 Dear Sir or Madam: This is to certify that in accordance with Chapter 17 of the Uniform Building Code, we have performed special inspection of the following item(s) per our inspectio,i reports only: Reinforced Concrete Structural Steel — Shop & Field All inspections and tests were performed and reported according to the requirements of Project Documents l and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workman!;hip provisions of the State Building Code and Standards, as well as the structural engineer's desigi changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization frorn this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. f`. Hietpas Oft Assurance Manager j k cc: Polygon Northwest Company — Ron Lightner CT Engineering Mil,brandt Architect P,WORMREPOPTS+1Nl 1 R'\99 11P CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP98-00393 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/07/199 PARCEL: 1 S133CC-00400 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS. 14180 SW BARROWS RD 10XX FILE SUBDIVISION: SCROLLS VILLAGE I COPY BLOCK: LOT: CLASS OF WORK: NEW TYPE OF IISE: MF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANCY LOAD: 8 TENANT NAME: REMARKS: Scholls Village Condominiums Bldg#10, Units 1, 2, 3 Final Building Inspection and Certificate of Occupancy Approved 11/30/99 by Rick Bolen, Building Inspector Owner: POLYGON NORTHWEST 2700 NE ANDRESEN STE D22 VANCOUVER, WA 98661 Phone: Contractor: POLYGON NORTHWEST CO PO BOX 1349 BELLVUE, WA 98009 Phone: Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Cod for the group, occupancy, and use under which the referenced permit was issued. 1 � � BUILDING INSPrCTOR BUILDINd OFFICIAL ^ POST IN CONSPICUOUS PLACE