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14350 SW BARROWS ROAD STE 3 i TYF oFa EQUIPMRMI _ ► oof To K (E) (E) CFM- 2300 OSA - 640 A/C - 2 - (E) Fn, X i �� CFM= 2850 O I A/c o d -3 =(E), 201 o , . ; „ 4 CFM= 1500 Cv imv0/ tfrc /N11 _ X R,A, N/Aj NO-TENANT J41— j 0 SA R E GL , RETAIL OCCUP• 5 5 70 S.F 15 : 2 = 1392 5 MIN, 30 Sao 16 W yI • �+P dltiona y ask as ..- • •,,,� , -,0 I / DoL� cori thew Q os only dh --�-' •• ••� cif to All 1 � se4� -t3u 4111 s COJfFr--� j Taking pride In what we do Heating -- Ventilation - Air Conditioning [Phone )03)236•--6829 Fax (503)336-- 1303 BLOCKBI.....� I- I-_ � V I DEa I APPROVED BY : DRAWN BY J-- 0.0,1 E : u 7 f REVISED HARROWS RD. Tl (' Ak) D 0R J DRAWING NUMBER m I 1s X aN MpNTW ON NO. 10001 CLAARPhIN'T o NOTICE: IF THE PRINT OR TYPE ON ANY �I �� i � r � � � I � � � � � � li � i � � � I � � � � � � li � i � � � { ! � � r�r�r�r� r�T (�lr�� rrrl.�i . ! ! � ! ! � ! ! � ! ! I ! ! � � ! I ! ! I ! ! ! ! � ! � i ! —r rlrrl tl ! I ! � i ! fir �1� il ! � ili ! I ! I ! I ! ! � � � ! � ! i � ! i � ! ! � ! � i � !111111 i 1 1 i I e2D� IMAGE IS NOT AS CLEAR AS THIS NOTICE �- 2 � •� 6 $ � to � 1 1 { IT IS DUE TO THE QUALITY OF THE _ _ No.36 --------- ORIGINAL DOCUMENT dE 6Z 8 T + LiZ^� a Z�5 ZA t - Z Z T Z o Z s t L 9 9 ��� Z T allluw r IIlill�Il Jill VIII Ili I�ill��ii(li�i�►II� �III�IIII._11.,111� �L 1111. Ill 1111 ,111. 1111 ILII fill Ilii Illi llllll,ll ���► ���� ���� ���� :IIII�IIIIIIII� ►Ifl ���� IIIIIIiII fil �Ill�l�l( ILJII-lll! llll 111 lllllllll .l.J[l. ILI i .J w cn c, a) D X O f O D u c =i m w �I l \ r I. I I 4 14350 SW BARROWS ROAD, SUITE #3 F F TIGARD CITY O DEVELOPMENT SERVICES BUILDING PCRMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT ISSUED: 07 9/98 -0263 DATE ISSUED: 07/29/98 PARCEL: 2S104BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #003 ZONINfi:C-IV SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUP BLOCK. . . . . . . LOT. . . . . . . . . . . . . :002 JU.IR1SDICTION:T I G -------- --------------------------------•-------------- REISSUE:- FLOOR AREAS----------- E.XIERIOR WALL CONSCRUCTION- CLASS OF' WORK. -.ALT FIRST. . . . : 6866 sf N: S. E: W: TYPE: OF USE. . . -COM SECOND. . . : 0 sf PROTECT OPENIN ----------- CYF'E OF' CONS`[. :5N 0 sf N° S' E: OCCUPANCY GRP. :M TOTAL------: 6866 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD- 21.0 BASEMENT. : 0 sf AREA SEF'. RATED: STOR. : 0 H'T : 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : MEZZ? : Rl::CSD SETBACKS--------- REQUIRED------------------- - 0 ps f LEFT: 0 f t RGHT: 0 f t F-_I R SPKI_.:Y SMOK DET. . : FLOOR LOAD. . . . DWELLING UNITS: 0 FRN7: 0 ft REAR: 0 ft FIR ALRM:N HNDICF' ACCA Y BEDRMS: 0 BATM5: 0 IMF' SURFACE: 0 F'RO CORRIN PARKING: 0 VALUE. f: 69000 Remarks : Commercial tenant improvement. ___ ---_ FEES •--------•------ fawner: ---•----------------------- ---------- --------____ BLOCKBUSTER VIDF_0 type amoi.tnt by date recpt 14350 SW BARROWS ROAD F'LC;K f 221 . 00 D1_.H 07/09/98 98--307200 'SIJ I TE 3 FIRE $ 136. 00 DI_H iZ�7/09/98 98-307='00 1IGARD OR 97223 F'RMT f 340. 00 DLH 07/29/98 98-307817 Phone #: 206-748-0800 5PCT f 17. 00 DI-H 07/29/98 98-;307817 Contractor' ---- -- - ----- ___----------- .JOSEPH HUGHES CONSTRUCTION, INC 7035 SW HAMPTON TIGARD OR 97223 F'h on e #: 624-7100 t 714. 00 TOTAL Reg #. . : 00045E, --REOU I RED ACTIONS or INSPECTIONS— - This perm is z,sued subject to the regulations contained in the Framing Insp ------ Tigard Municipal Code, State of fire. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done in accordance with Stasp Ceiing Insp approved plans. This permit will expire if work is not started Misc. Inspection _ within 180 days of issuance, or if work is suspended for more _ —than 180 days. ATIENTION: Oregon law requires you to follow the rules adopted by she Oregon Utility Notification Center. Those rules are set forth in DAR 952-901-9018 through OAR 952-0181987. �— You many obtain a copy of these rules or direct questions to OX - by calling 15031246-1987. Permittee Sign atu�. a � s -sued By: _ / - +++++++++++++4++++++++++`+++++++++++++++ +++ +++++++++++++++++++++++++++++++++ Call 63'3-4175 by 7:00 p. m. for an in pection needed the next b�.l5ine55 day +++++-i-++++++++++.++++++++++++++++++++++++++++++++++++++F++++++++++++++++++4•++++ J CITY OF TIGARD Commercial Building Permit Recd By 131;.5 SVV HALL BLVD. Tenant Improvement Date Pec'd TIGARD, OR 97223 Date to P E. (503) 639-4171 Date to DSTXM l , / Permits, Q G( 9?-D 63 Print or Type ' � Related SWR! Incomplete or illegible applications will not be accepted Called ! r it ;101,1 Name of Development/Project Existing Building ew Building Job IO�fa.�s� e� t Address Street Address _ Suite Building Data Bldg* CT City/State Zip Existing Use of Building or Property -- q-j,��A3 N//1 Name Property (+c. IY W Lv�1-. (� Proposed Use of Building or Property: p y Pp G,�kr 1 r D���P� Owner Mailing Address Suite "I(v(o5 SVJ r ll,, 4_�J. No. Of Stories:City/State Zip Phone I __ 6P" Sq. Ft. Of Project: Occupant Name 9 �O05 (P.18up 4-' - ar li-r%4,r Occupancy Class(es) Name C rp Iu - Fir �II�Tt(� If1 .1� i/�C Contractor - 1�_ _ _ Type(s)cf Construction Prior to permit Mailing Address Suite issuance.a copy , r r Will this project have a Fire Suppression S tem? of all licenses Yes No (� are required if CilylState Zip Phone expired In C.O.T ' / Ame,icans with Disabilities Act (ADA) database �� P / to `� r)lDD Valuaticn X 25% = $ Participation Oregon Const.Cant Board Lic# Exp.Date / Complete Accessibility Form 710 C) Project $ / - Name VAluation lt.J q Architect Z—VNV,I S �1V-1-I\ Plans Required: See M�for number of sets to submit Mailing Address Suite on back 413A tp -- City/State I�ZIP Phone I hereby acknowledge that I have read this application,that the information �/�/rt �4 $ given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with -,regon State Laws Name Engineer ^ ' I�/ ,�gnature of Owner/Agent Date Mailing Address Sults UY I Contact Person N e Phone — City/State Zip Phone YON; "lLt� Ci`x L FOR OFFICE USE ONLY i Indicate type of work New O Addition O Demolition O M2 /TL# —'— Accessory Structure O Foundation Only O Alteration W' P �;�/2 .4 e,n Land Use Repair O Other O Notes - Description of work: Ct TIF. f Parks: Estimated$of Employees L t� Note: Site Work Permit Application must precede or accompany Building Permit Application ` s> I `UOMNFW DOC (DST) 8/97 r� 5 '"'*UMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Subtrade Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED subtrade application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted,T TO DST DISTRIBUTION TO PLANS __T EXAMINERS (Note a.) TYPE OF SUBMITTAL Tt�TAL I CPE PPE EPE CPE PPE 1 EPE — �-- - ,o,w __ -- B (New or Add) 1 1 -- -- 3 U ) _ F (New or Add or Alt.) 3� 3 - -- 3 (j,o,f) j --- 1 -- -- 20,o) -- -- M New or Add. or Alt) 1 B & M (New or Add) 1 1 -- -- 3 o,o,w) — -- _ -- — — P (New, Add. or Alt) -' 2 -- - 2(x,0) B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 20,o) � _ -- -- E (New, Add, or Alt) 2 '� _ ^_ 2 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 20,o) 20,o) B or B & M (Alt) 1 _ 1 --� -- 20,o) .- B & M &11 P (Alt) 3 1 2 - 2 6,o) 20,o) -- B & M & P & E (Alt) 3 1 1 1L ,o) 2 Q_o) 20,o) NOTES. KFv appropriate Job B = BUP a. Before returning to IST, Plans examiner gets app 1 = M MEC number of revised plans from applicant, stamps dtcd f = Office P - PLM n� copletes, updates and adds actions. f = Fire - I, = USA. E = ELC h Shaded areas designate ALT submittals only. w = Wash. County F = FPS FF`; is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longe, requires a set of approved plans to be forwarded to their office. � ed fire sprink! �r and fire alarm plans with Exception, continue to forward a copy of appro calculations. Snell Partnership RECEMM) JUL �; ' 1998 COi„UN1 fY ULkLUPNENT A r hirecIur RenovBr1nn July 20, 1998 Robert Poskin I City of Tigard s` 13125 SW Hall Blvd. i Tigard, OR 97223 i Re: Blockbuster Video Building Plan Review 1435 SW Barrows, #3 PC# 7-31 c BUP# 98-0263 Dear Mr. Poskin, This is in response to your correction notice dated 7-14-98. Thank you for your comments. Our responses below are numbered to correspond to the items in your letter. Energy Compliance 1. Revised interior lighting power worksheets using the State of Oregon Non- Residential Energy Code 1996 are enclosed. Fire and Life Safety 1. Internally lighted exit signs are provided per OSSC 1013 The sign locations are indicated on the electrical drawing (sheet E) with key bug #35. The sign locations are also indicated on the ref!,-cted ceiling plan (sheet A3) with the symbol "ES." a. Sheet A2 has been revised to specify that secondary power be provided to one lamp in each exit sign fixture per OSSC 1013.4. b. Sheet A2 has been revised to specify that exit signs Inco;oorate and internally ilki-ninated international symbol of access per OSSC 1108.4.12.1 and OSSC 1109.15.6. !u!5 First Avenue Market Place Tower Suite 260 Seattle WA 98121 206 441.2989 FAX i06 4481952 Snell Pbrinership Poskin 7-20-98 Page 2 2, Sheet A2 has been revised to specify that Type 2-A fire extinguishers be provided throughout such that travel distance does not exceed 75 feet. 3. Sheet A2 has been revised to specify anchoring at display racks to resist lateral seismic force. 4. Sheet A2 has been revised to specify that a Knox box be mounted on the exterior wall per the requirements stated 0 your letter Mechanical/Sprinkler 1. 'The mechanical and sprinkler work for this project is design-build. Separate permit applications will be submitted for this work. Please call if you have any questions or comments regarding any of the above. Regards, Chris Snell AIA 2025 First Avenue Market Pare lower Susie 2b0 SeaMe. WA 98121 106 a 12999 FAX 206 4481952 I July 14, 1998 WY OF InOMD OREGON Chris Snell 2025 1 st Avenue#260 Seattle, WA 98121 RE: Blockbuster Video Building Plan Review 14350 SW Barrows #3 PC#: ;'-31c BUP#: 98-0263 Oc(.upancy: M Occupant Load: 205 Submittal documents for the I cable above 996 Oregonced Specialty Codes abdeother reviewedroject have en conformance with the app applicable codes and standards. The following comments are noted: ENERGY COMPLIANCE -__- 1. The State of Oregon Non-Residential EnergyCode between Cde1ge s be used fon lighting loads. There is a considerable re addition, track lighting ual inoi exceed 50 watts per lineal foot. _ . i r 1R i FIRE AND LIFE SAFETY V 1 When two or more exits are required, internally lighted ex4s signs shall be provided [OSSC, Section 10131. Clearly indicate sign locat ins on the electrical flour plan and provide that E sheet in the revised plans. A. Provide secondary power to one lamp in each fixture [OSSC, Section 1013.41. B. Exit signs shall incorporate an internally illuminated international symbol of access [OSSC, Section 1108.4.12.11. Provide specifications in accordance with OSSC, Section 1109.15,6 within the revised plans. 2. Provide Type 2 s not not extinguishers 75 feet [UFC Stdt 10-1hathe 3t2 11 travel distance to an extinguisher do 3. All rack storage shall be anchored to resist lateral seismic force. Provide a design for attachment, prepared by an engineer or architect licensed in the State of Oregon, using the formula set forth in the Oregon Structural Specialty Code [OSSC, Section 1630.21. 13125 SW Hall Blvd,, Tigard, OR 97223 (.503)639-4171 TDD (503)684-2772 — -- -- Blockbuster Video Building Plan Review PC#: 7-31c BUP#: 98-0263 Page#2 4. Provide a key box (Knox) mounted to the exterior wall 10' above finish grade and adjacent to the right side of the main entry door. The box shall contain keys to gain access as required by the Fire Marshal [UFC 902.4]. If you have any questions regarding this requirement, please contact the Fire Marshal at 526- 2502. MEGHANICAIJFIRE SPRINKLER _I, ` Vt.,! � �'� � �, Separate applications and permits required. Provide drawings with ars original wet seal, to include expiration date. OSSC, Section 106.3.2. Please submit two copies of revised submittal documents and a leiter indicating your response to the above comments for review. Please call me at (503) 6394171 if you have any questions. Sincerely, F�IJ� Ro ert Poskin, CBO SENIOR PLANS EXAMINER CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 / //11 (13 P) � c�v ate Requested / cJ AM P BLD I_.ocation &3fM � ��-c�� _ Suite 3 MEC Contact Person __ Ph PLM _ Contractor Ph — .� 50a_ j�7 SWR CLUI-'� _ $ILDINQ Tenant/Owner _ ELC — ------ Retaining Wall EI.R Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: —��---- --- Slab _. -- SI'f Post&Beam Ext Sheath/Shear - Int Sheath/Shear Framing Insulation Drywall Nailing --- Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling --------• -- ---- Roof F _ AS PART FAIL -- - - BING Post&Beam - Under Slab — Top Out Water Service ---- ---------- --_----- - Sanitary Sewer Rain Drains -- Final FAIL Pos --.... -- — --- -- - ---- — Rough In Ges1ine - --- -.. -- filmo Uampms Final ' ----- - - -- I' SS PART FAIL ELECTRICAL Service - Rough In UG/Slab ---- -- - ---- - Low Voltage Fire Alarm - Final PASS PART FAIL - - - - -SITE Backfill/Grading --'-� Sanitary Sewer Storm Drain I ] Reinspection fee of$ _required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line f ) Please call for reinspection RF [ j Unable to inspect-no access ADA Approach/Sidewalk J �� Other Date ___,-„____Inspector J, Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)6394171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : BUP98 -0. '6 DATE ISSUED: 09/09/1:►(+ pARCE.l_: 45104BIN--1717900 , [TE ADDREaS. . . : 14350 SW BARROWS RD ii003 1.18DIVISION. . . . :RU SE:I LI F_ , SCHOL.LS FERRY S11E► ZONINSsC-•N . . . . . . . . . . .. LOT. . . . . . . . . . . . . :002 JURISDICTION: 1'I6 ,'.i.A S OF WORK. :ALT i'Yr.:,E OF: USE. . . s COM FYPE OF CON STR:5N 1CC'UPANC'Y ORF'. :M JCC'.UPANCY 1-000: 10 I ENANT NAME. . . :Ea L..00'KEil15T1 R VIDEO ipm:Ar kw = Commercial tenant improvement. Jwner,e �al._LiF:RSTbN' S 1'CI BOX 20 111iGE ID 03746 -'hone 11: Con trartcrr.a HUGHES CONSTRUCTION, INC 1035 SW HAMPTON I IGARD OR 972x3 [-,hone 624-7100 Qeri #. . : (110V.1456 rr, , s Cer^tificeate grants occUpanc:y of the above vefer'e�ced building or^ portion tt, •, eof and confir-ms that the building has been inIper_ ed for r_�o�npl .ianr_ e with t -., '-tate of Or-goy) !;peclaity ::odes for they gr v.Mp. orc:up Twy, Arid ure undtl' ilt(JI the r-eferenced pat-mit was issued. � AL D1NG INSPECTOR S l I � I N[3 T]F F"4C POST I N CONSP I CUOUS PLACE � � / | CITY OF TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT DATE ISSUED: 08/07/98 PARCEL: 2SI04BB-07900 SUBDIVISION. . . . :RUSSELL' S SCHOLLS FERRY SUB ZONING: C—N TENANT NAME. . . . . :BLOCKBUSTER VIDEO FIXTURE UNiTS. . . : 16 CLASS OF WORK. . . :ALT oN'0. OF BUILDINGS: 0 INSTALL TYPE. . . . :BUSWR Remarks: RE: PLM9&—qi264 ALBERTSON' S INC type amount by date rec:pt PO BOX 20 PRMT $ 2300. 00 DLH 08/07/98 98-308090 BOISE ID 83726 / OWNER ------------------------------------------------- Phone #: $ 2300. 00 TOTAL lhi� Applicant agrees to comply with all the rules and regulations 9f the Unified Sewage Agency. The permit e�pirps 180 days from the m°= issued. The total amount~~ _^^ -'— be f—f--' —if —' � permit expires. The Agency does not guarantee the accuracy of the �idp sever 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 "lap and Side Sewer' Ptreit and the Agency will install a lateral. ATTENTION: Oregon law rpo'uires you to follow ruies adopted by the Oregon Utility Notification Center. Those rules are set forth in BAR 95�. MI-0010 through OAR 952-MI-M. You say obtain copies of these rules or direct questions to OUNE by calling (503)E46-1987. at tire Issued by - Permittee Sign Call 639-4175 by 7:00 p. m. for an inspection needed the next business day Accumulative Sewer Tally lenait Name: 1 r6lcvSSU , i .�. <•�s <.( si 1 This SWR#—_Twit 7- — This PLM#: ,_ , q, 0 c r Address: f ixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 - Bath-Tub/Shower 4 — - -- _-Jucuzzi/Whidpool 4 — Car Wash-Each Stall 6 - Drive Through. 16 _ - - uspidor/Water Aspirator 1 Dishwasher-Commercial_ 4 -- - _ Domestic 2 -- Drinking Fountain 1 _ —Eye Wash 1 --- Floor Drain/sink-2 inch 2 - ---- 3 inch 5 - - - - 4 inch 6 -- -Car Wash Drn 6 - Gartage Disposal 16 Domestic(to 3/4 HP) - Commercial(to 5 HP) 32 --- -- Industrial(over 5 HP) - Ice Machine/Refrigerator Drains — oil Se (Gas Station) 6 _ -- - Rec.Vehicle Dump Station - 16 - — _Shower-Gan2(Per Head) 1 _ - -Stall 2 - Sink-Bar/Lavatory 2 Bradley 5 -- -- - Commercial 3 -- _ -Service _ 3 - — Swimming Pool Filter — 1 _ — _Washer-Clothes 6 _Water Extractor 6 �T - -- _7 - Water Closet Toilet 6 _ G Urinal 6 -- C\ TOTALS L U divided by 16 __EDU Total fixture values: _ = �� - HISTORY PLM# , f 0n •3/ EDU;# SWR# ' /S PLM# _ EDU# SWR# — PI_M# EDU# S_WR# PLM# EDU# SWR# — PLM# --_-EDU# __�S_W_R# PL_M# EDU# _ SWR# PLM# EDU# _SWR# _ -- PLM# --- EDU# SNIR# i\dsts\swrtaly doc CITY 4F TIGARD � PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : P'LM98-0264 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/07/98 PARCEL..: 104BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #003 PUBD I V I S I ON. . . . : RUSSELL' S SCHOLI_S FERRY SUB ZONING: L--N LOT. . :002 JURISDICTION: TIG ,SOCK . . . . . . . . . . . CLASS OF' WORK. . :ALT _ V-+GARBAGE�DISPOSALS. : 0 MOBILE :-TOME SPACES. : 0 T'YP'E OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVN RS. . : 0 OCCUPANCY GRP'. . :M FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SFRAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINAL...S. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 I-AVATORIES. . . . : 2 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : izi WATER CLOSETS. : 2 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN ( ft ) . . . : 0 Remarks : Blocl<bUSter Video tenant improvement Owner: __._._ _._ ----.------------------.______..._________-- FEES -------------- ALBERTSON' S INC type amoi.mt by date recpt PO BOX 20 P'RM-1 $ 45. 00 DST 08/07/98 98-308091 BOISE ID 837 '6 5PCT f 2. 25 DST 08/07/98 98-308091 Phone #: Contractor-------------------------------- SUNSET PLUMBING CO G LONG ENTERPRISES INC PO BOX 23263AU 1 IGARD OR 97281 P , Phone #.- 245-4926, $ 47. 25 TOTAL_ ;leg #. . 01:089 ------- REQI.IIRED INSPECTIONS This permit is issued subject to the regulations contained in the Rot_Tgh-in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Underfloor/Under Applicable laws. All work will be done in accordance with Top-oi.it In p J........ ,approved plans. This permit will expire if work is not started Final Inspection i+ithin 190 days of issuance, or if work is suspended for morethan 180 days. ATTENTION: Oregon law requires you to follow rules ---- adopted by the Oregon Utility Notification Certer. Those rules are _ -- get forth in OAR 952-0001-0010 through OAR 952-WI-0090. You may —_ obtain copies of these rul.,s or direct questions to CIA(: by calling (503)246-1987. --- 1s�i_ied By _ Permittee Signattire. ++++++++++++++++++•f+++.+++++++++++++++++++++++++++++++++++++++++++++++++ +++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next hi.isiness ay +++++++++++++++++++++•+++++++++++•i-++++++++++++++++4•++++++++++•i++++++++++++++. ++ CIT" nF TIGARD Plumbing Permit Application A 1311SSW HALL BLVD. Commercial and Residential Plan Check L TIRD, OR 97223 Recd By (50) 639-4171 Date Recd - - Date to?.E Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit* (,'r of (( Related I Name of D neo 1eV I P nUProject FIXTURES (Ind(vldual) Job I k+ RICE` MT Sink 9.00 Address Street Address :uile Lavatory c_ i 9.00 C�Id t 1 Tub or Tub/Shower Comb. 9 City/State Zip 9.uU Shower Only — 9 00 N -- — Water Closet 0C ' 16, Dishwasher 9.00 Owner Mailing Address _ 9.00 2 Suite Garbage Disposal J SIA' c C(o�� 7 g P _ 9.00 P Phone Washing Machine 9.00 City/state Zi 9 Floor Drain/Floor Sink 2" 900 _ 9.00 Aailin 4., --- 9 00 Occupant y Address Suite _ Water Heater O conversion O like kind / 9.00 City/State Zi Gas piping requires a separate mechanical permit. I P Phone Laundry Room Tray -- 9.00 Name Urinal Y 900 Other Fixtures(Specify) _ Contractor III efling Address cite 9.00—� I A 9.00 _ — Prior to permit City/State ZiP _ S.,u issuance,a copy Ph�5�n l' Sewer-1st 100' __ 30,00 �f of all licenses are Oregon grist.Cont.Board Lic.O Ex`pl.DateSewer-each additional 100' 25,00 required If ( C Water Service-1st 100' ___ 30.00 expired in COT Plumning Lic * Enxpp,,_Date Water Service-each additional 200' --database f_� �Jb� / �_ _ -- 2.5.00 Name / Storm&Rain Drain-1st 100' 30.00 additional Storrtr&Rain Drain-each add100' 00 25. Architect _ _ _ Mobile Home Space 2500 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 Describe work to be done - _ (Irrigation timing devices require a separate restrirled enerp ermil. New Repair O Replace with like kind Yes O No O Any Trap or A'aste Not Connected ro a Fixture Residential r Commercial O _- __ 9.00 Additional description of work Catch Basin 9.00 Insp.of Existing Plumbing 40.00 per/hr _ i Sper9ally Requested Inspections 4000 P,r00 [Areu c: ing, moving or replacing any fixtures? Rain Drainsingle familydwelling--'— --- 30.00Yes O No O00 see back of form to indicate work performed by FAILURE TO ACCURATELY REPORT FIXTURE QUAD: ITY TOTAL COULD RESULT IN INCREASED SEWER FEES. Isometric or riser diagramis required if r]uantRy roasIs >s erey a knowledge that I have read this application,that the information SUBTOTAL given Is correct,that I am the owner or authorized agent of the owner,and --- -' t'iat plans submitted are In com lianc8 vilh Oregon State Laws. 5%SURCHARGE Slgnstute of Owner/Agent _ '-' DateLe ••PLAN REVIEW 25°�OF SUBTOTAL Re wired only it lixlure qry.totalis,g ct Parson Na Phone 111 TOTAL _ v f X1301033 'Minimum permit fee is$25+_5_%surcharge.except Residential Erick ow r Prevention Device,which is$15+5%surc.,arge -All New Commercial Buildings require plans with isometric or riser diagram and plan review 1 tdstslpkrmapp.dnc 1'MN PLEASE COMPLETE: Fixture Type — Quantity by Work Performed _ NELw Moved R.ep�aced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination __ Shower Only _ -- _Water Closet Dishwasher Garbage Disposal _— Washing Machine Floor Drain/Floor Sink_ 2" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I Vir.Wplurnapp d— y OF IGADEI..ECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0418 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PPT9: ISSUED: 07/c19/98 PARCEL: 2SIO4BB-07900 !SITE ADDRESS. . . : 14350 SW BARROWSZONING:C-N RD ``003 sUB9I V I S I ON. . . . :RUSSELL S SCHOLI-S FERRY SUB ZON I SD I CT I ON: T I la BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :OO( Project Description: Electrical for installation of a 3 permanent Mall signs. ----------------------------------------------------------------------------------- ---RESIDENTIAL_ UNIT---- -- TEMP' SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF l R LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD, L 5O0SF. . . : 0 2O1 - 400 amp. .. . . . • : 0 SIGN/OUT LINE LTG. . : 3 A SIGNAL/PANEL.. . . . . . . : 0 '. IMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . � MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR L.ABEI_ ( 10) . . . : 0 -----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- -----ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTIGN. . . . . : 0 01 -. 400 amp. . . . . . : 0 1st W/0 SRVC; OR FUR. : 0 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . • • .. 0 EA ADD' L BRNCH CIRC: 0 IN PI-ANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -------------------PLAN REVIEW �'�CTION--------•------_- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOI._T NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OC C. : Owner: __________--------------------•----------------------BL.rICKBUSTER VIDEO type amor.rnt by date recPt 14350 SW BARROWS ROAD PRMT $ 120. O0 SON 07/:3/98 98-•3O76O6 SUITE 003 5PCT $ 6. 00 BON 0-//23/98 98-307606 T I GARD OR 972 Phone #: Contractor: ---------------------------- NATIONAL. SIGN CO f 126. 00 TOTAL. 1255 WESTLAKE AVE --------------- REDUIRED INSPECTIONS — SEATTLE WA 98109 Ceiling Cover Elect' l Service Phone #: 206-26E'-0700 Wall Cover Elect' 1 Final Reg #. . : 001163 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approaed plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-801-1987. You may obtain a copy of these rules or direct questions to OMC by calling (583)246-1987. /L_E_ __ I a a r e ci N y Permittee �;ignatI_rre : _ ._� ----------------------------OWNER INSTALLATION ONLY--------------------------------- The --- --------_The installation is being made on property I own which is not intended for sale, lease, or rent. ./ DATE: OWNER' S SIGNATUREa _ __- ------------------------CONTRACTOR INSTALLATION - O/NLY--------------------------- - c I GNATURE OF SUPR. ELEC' N i ON /910PZJ C�T�ON DATE. 7dP I--I CENSE NO: - +++++++++++++++++++++++++-F+++++++++++++.+++Ff+ ++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++-F•h++++f.+t+++++++++++++++++++++i•+++++++ 07 '22-It 1UAJ I.i.u., i•.%X x)03 598 l ut 11 l;; I l UI 1 1(.Alf ) V no CMYOFTIGARD Electrical Permit Application Plan Check#'I 13125 SW HALL BLVD. Recd Dy- ,r flu TIGARD OR 97223 nate.Rr,c'd i- - Date to P.E.- Phone(503)639-4171, x304 Date to DST Inspection (503)639 4175 Print or Type Permit 0 Fax(503)684 7207 Incomplete or illegible will not be accepted rolled 7 1. Job Address: 4. Complete Fee Schedule Below: r Name of Dc✓elopment Number of Inspections per permit allowed Name(or name of business) L� vIJTVI Dgo Service Included: Meme Cost Sum Address---- 11435-0 S.Id NQS (0. 4s. Residential•per unit --- / - -- 1000 sq if or less $11000 4 City/SfalO/Zip — !o ( C Each additional 500 sq 11 of Corrnnerclal Residential❑ n portion thereof _ _ $25.00 1 D 1, I imiled F ne(gy $25.00 _ Each Manuf d t tome or Modular Dwelling Servk:o or i'oodur 568.00 2 2a. Contractor installation only: (Attach copy of all current licenses) / q n 4b.Services or Feeders Llectrical Contractor t✓RT l t1ll! _ 5n �i�/"� _�� In200 amps orall)os ton,or relocation 1 led amFs or lass �- $60 00 2 Address v ,f — 201 amps In 400 amps $801X) 2 City_ State _Zip_ I 401 amps to 6r10 amps __ $12000 2 V CTS� Phone No. ZQ Q _- 601 amps to 1x000 amps _-. $180.00 2 Job No. Over 1000 amps of volts $34000 _ 2 Rcconnccl only $50002 Elec Cont. Lice, No. - 716C Exp.Date OR Slate CCd Reg.No. Ex Date— I 4c.Temporary Serviceit or Feeders COT Business Tax or Metro o vee _ xp Date 4 Installation,allegation,opmloc:ation 2110 amps fit leas $50 00 _._,.._.__ 2 Sirraluro of Su r.Elec'n / 201 amps to 40C amps $7500 __ — 2 9 p ' 401 amps to 600 amps 1,10000 —__ __ 2 Over 600 amps to IWO volts, License No. Exp.Date V ~©�' see"b"above. Phone No. -- �ro 4d.Branch Circuits New,alteration or extension per panol 2b. For owner Installations: a)The tae for branch circuits with purchase of sarhrlce or Print Owner's Namefeeder tee AddressMach branch circuli 55 OO 2 ------ — b) 1 by Ing,for branch circuits CI �i State_______ lap _ _ without purchase of Phonh3 No. _ _ _ t_ _-- --� service or fesdar Na. First branch circuit $35.00 2 The installation is being rnade on property I own which is not Each additional branch circuit $5.00 2 Intended for sale,lease or rent 4e.Miscellaneous (Service or leader not In;luded) Owner's Signature_ —f, _ E=ach pump or unsatton circle $40.002 Each sign or uulNnk lighting — $4000 t--r O 2 3. Plan Review section (i/required):' signal 1,alteration Or o 19xiext erieryy panel,atieratton or scansion � S4000 2 Mi Tor Labels(10) _ $10000 -- Please check appropriate Item and enter fee In section 5B. _4 or more residential rmlls In Orae structure 41.Each additional Inspection over Service and leeiler 225 amps or more the allowable In any of the above — _System over 600 volts nominal Per inspection $3500 _ _ Classified area or structure conWnmg special rrcupanry F'er hour f $5500 _ as described In N E C Chapter 5 In Plant $5500 _ Submit 2 sets of plane with application where any or file above apply. 5. Fees: 9 00 Not required for temporary construction services. Se.Enter total of above fees8- 5%Surcharpn(M X total tees) NOTIU� Subtotal $ «' Sb.Enter 25%of One So kir PERMITS BECOME VOID IF WORK OR CONSIRUG I ION AU111ORIZLO IS Plan ReviewII pliquired(Sec 3) 5 -- ---` NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTnIICTION On WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED ❑ Trust Account Y _. It Total balance Due /� CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0475 13125 SW Hall Blvd., Tlgard,OR 97223 (503)639-4171 DATE ISSUED: 08/11/98 PARCEL: 231041313-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #003 SUBD I V I S I ON. . . . :RUSSELLIS SCHOLLS FERRY SUB ZONING:C—N BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :V i 0E, JURISDICTION: TIG Pro )ect De script ion: Add thirty-one (31) branch circuit!;. -- RESIDENTIHL UNIT----- ..____.1EMP SPVC/FEEDERS---- -----MISCELLANEOUS----- 1000 9F OR LESS. . . . : 0 0 200 a ry -). . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L. 5009F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- ------BRANCH CIRCUITS----- ----ADDIL INSPECTIONS---- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. - I FIER HOUR. . . . . . . . . . . . 0 401 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 30 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION---------------- 1000+ amp/vol.t. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : (awn er: FEES BLOCKBUSTER VIDEO type amount by da'-e reept 14350 SW BARROWS ROAD PRMT 185. 00 GEO 08/11 /98 98-308163 SUITE 3 ;PCT $ 9. 25 GEO 08/11 /98 98-308163 TIGARD OR 97223 Phone #: Contractor: ROGER COSTELLO $ 194. 25 TOTAL. 1439 SE 12TH LOOP ------- REPUIRED INSPECTIONS CANBY OR 97013 Elect' l Service Phone #: 266—JI483 Elect' l Final Req #. . : 000874 this permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. Al) work will be done in accordance with approved plans. This permit will expire if work is not started within 188 d&ys 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 OA9 952-MI-1987. You may obtain a copy of these rules or direct questions to OUNC 5y calling (503)246-1987. Permittee Siqviatlir Issued By _--_-___.--------------------OWNER INSTALt_ATION ONL.Y------------------------------- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: --, DATE: INSIALLATION 1-;IGNATURE OF SUPR. ELECIN: 0-,;qj DATE: I- ICE14SE NO: 395 - ............................................................................... Call 639-4175 by 7:00 p. m. for an inspection needed the next business day 4................................................................................ L Community Deveiopment ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # Fce �z 1�5 r 0 Date Issued Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIOARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development /' ' Q/ Number of Inspections per permit allowed S 9(x/ �/'�OGJS /� 1. �Vr�f Service included Items Cost(ea) Sum Address ----�-- City/State/Zip �Q�-a cls / L 4a. Residential -per unit '— j 1000 sq. ft or less $r 10.00 0/oc� us ie, I/!ae�J Each ion thereof f sq It or 00 Name (or name of business portion lhereol $2b..._ _ i (—IILimited Energy $25.00 — Commercial Residential I.J Fach Manurd Home or Modular Dwelling Service or Feeder 2a. Contractor installation only/: 4b. Services or Feeders installation,alteration,or ielocaron ? Electrical Contractor 1 /3 S e /6 ___— 200 amps or lose —_ $6000 201 amps to 400 amps $8000 7 Address 1-/S 0,6- I -- $120 00 CjtY�J State O ' Zi 401 amps to 600 amps _— ,180 on z p��-- 801 amps to 1000 amps _ Phone No. ' ;ZJ6 &q f? _ over 1000 amps or volts _ $34000 2 Job NO. Reconnect only $50 00 2__ -- Contractor's license NO, -2- LLqC >'L 4c. Temporary Services or Feeders Contractor's Board Reg. No 7 4C' � installation,alteration,or relocation Signature of Supr. Elec'n 3 �' ��� 200 amps or lase _, f '«j.S 1 f �' Phi—Orta No.t•7(�1- -S t fJ�l 201 amps to 400 amps $60.00 __ 1 License No. _ 401 amps to 600 amps' __ $7500 over 600 amps to 1000 volts $100.00 2u. For owner installations: see°b"above 4d. Branch Circuits Print Owners Name-- New,alteration or extension per pane Address a)The fee for branch circuits with purchase of service or feeder lee. City_ _ State Zip Each branch circuit $500 Phone NO. b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. First branch circuit $3500 not intended for sale, lease Cr rent. Each additional branch circuit $500 Owner's Signature 4e. Miscellaneous — (Service or feed*r not included) j Each pump or irrigallm curcle $4000 3. Plan Review section (if required): Each sign or outline lighting $4000 Signal clrcult(s)or a limited energy Please check appropriate Item and enter fee In section 6B. panel,alteration or extension $10000$4 _ �_. 4 or more residential units in one structure Minor Labo.ls(10) Service and feeder 225 amps or more 4f. Each additional Inspection over —System over 600 volts nominal im rillowable In any of the above Classified area or structure containing special occupancy ger,ncpechcn �^ $3500 — as described in N E C Chapter 5 nor how $5500 in rlao $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of abuve fees $ /r5.CX1 NOTICE 5% Surcharge (05 X total fees) $ C Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Bb. Er ter 25%of line A for AUTHORIZED IS NOT COMMr:NCED W THIN 180 DAYS, OR IF P an Review if required (Sec.3) $ CONSTRUCTION OR WORK Is SUSPENDED OR ABANDONED FOR S fbtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED •+• • u Trust Account N $ r„�,•rr i Balance Due $ i 2; TIGARD MECHANICAL CITY OF PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-O336 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/11/98 PARCEL: 2SIO4BB-07900 SITE ADDRESS. . . : 14350 SW BARROWS RD #003 RUSSEL -' S SCHOLLS FERRY SUB ZONING: C--N SL BLOCF1. . . . . . . . . . : LOT. . . . . . . . . . . . . :OO2' JURISDICTION: T I G -------------------------- --------------------------------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 'TYPE OF USE. . . - --COM UNIT HEATERS. . : 0 VENT FANS. . . : 1 OCCUPANCY GRE'. :M VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES---------------- 0_3 HP. . . . : 0 DOMES. I NC I N: 0 :GAS 3-1.5 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 1AP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : Y 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . ; 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UN I.1 S OTHER UNITS. : 2 FURN ( 1O0K BTU: 0 (= 10000 cfm: 3 GAS OUTLETS. : 0 F=I.IRN )-1O0K BTU: 0 > 10000 cfm: 0 Fle m a r k s: Existing units - extending ducts, install grilles, fire dampers (2). ;)caner^: ----- _--` - ------------------------------- FEES -------�------ BLOCKBUSTER VIDEO type amount by date recpt 1' 350 SW BARROWS ROAD PRMT $ 35. 50 DLH 08/11/98 98-308187 '=;LII TE 3 SPCT ! 1. 78 DLH 08/1 1/98 98-308187 TIGARD OR 97223 PLLK $ 8. 85 DLH 08/11 /98 98-308187 Phone #: Contractor: -•-----------------___--_-_--- COMFORT AIR INC 3634 SE F'OWELL BLVD _______________----------------_ 46. 13 TOTAL F"'ORTL-AND OR 97202 Phone #: 236-6829 Reg #. . : 000043 -------- REG?U I RED INSPECTIONS - ------ This permit is issued subject to the regulations contained in the Mechanical Insp - Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection applicable laws. All work will lie done in accordance with Fire Damper Insp approved piens. This permit will expire if work is not started Final Inspection within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTIun: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are - - set forth in OAR 952-881-8818 through DAR 952-81-080. You may --- obtain ropier of these rules or direct questions to Ol1NC by calling V (563)246-9187. /0111 Permittee Signature: . Issue By:4-0�12� ++++++++++++++++++++++++++++++++++++++•+++++++++++•4-+++ Call 639--4175 by 7:00 p. m. for inspections needed the next business day f ►++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.&++++++++++++ Check# .� CITY OF TIGARD Mechanical Permit Application Recd Plan Chehe _L� 13125'SW HALL BLVD. Commercial and Residential Date RecJ'�- / TIGARD, OR 97223 Date to P.(503) 639-4171, x304 Date to D •r{►K Print or Type Permit# ��� n"9. Incomplete or illegible applications will not be acce� Called Name of Development/Pro)ect Description Table to Mechanical Code Qt Price Amt )�h Street Address suites A) Permit Fee 10.00 / �� S0) c 1) Furnace to 0 BTU Address _ � ��_ includingdactscts&8 vents 6.00 BI gN CRY/State zip 2) Furnace 100,000 BTU+ ,� y including ducts&vents 7.50 Name(or name of business) 3) Floor Furnace Owner including vent _ 6.00 !Aalling Address 4) Suspended heater,wall healer or floor mounted heater 6.0.0 —__ — 5) Vent not included in appliance permit CitylState Zip Phone 3.00 CHECK ALL 'Boiler heat Air Name(or name of business) THAT APPLY: or rump Cond Qty Price Amt Com _ 6)<3HP;absorb unit to Occupant Mailing Address 100K BTU 600 7)3-15 HP;absorb unit City/Stale Zip Phone 100k to 500k BTU _ 11.00 8) 15-30 HP;absorb — unit.5-1 mil BTU_ 1900. Contractor Dre ` 9)30-50 HP; absorb .___���C, _ unit 1-1.75 mil BTU 22.50 Prior to permit Mailing Address 10)>50HP'absorb unit issuance,a copy J,/"y y - �[/ 21.75 mil BTU 37.50 of all licenses c slate zip Phone 11)Air handling unit to 10,000 CFM f are required if 4.50 - expired in COT Oregon Const Cont Board Lic N Exp Date 12)Air handling unit 10,000 CFM+ database X30 -;7 L~p�z/- 7 50 Architect Name 13)Non-portable evaporate cooler 4.50 - or Mailing Address 14)Vent fan connected to a single duct / _ 3 3. 1et 5)Ventilation system not included in j Engineer Cnylst_yt.- zip Phone appliance permit _-i 4.50'- 16)Hood served by mechanical exhaust Describe work to be done _ 4 50 17)Domestic incinerators New O Repair O ReplaceNrith like kind Yes O No O N 7_50 Residential O Commercial 01- 18)Commercial or industrial type incinerator _ 30.00 Addition` information or descnption of work ) 19)Repair units 4 50 dv//d✓ �� ��/ !�.✓i�5 20)Wood stove -- _ 4.50 , 21)Clothes dryer,etc _ 4 50 Type of fuel oil O natural gas O LPG O electric O 22)Other units 4 50 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets —� given is correct,that I am the owner or authorized agent of _ _2.00 the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) 50 Sign- a g�—�--- Date - --- -- - --- S_�. // Minimum Permit Fee$25.00 SUBTOTAL 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only TOTAL - -- tate Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 7d 1'mechperm doc rev 07/20198 r ��� OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: Class of Work: Floor Furnace: Evap Coolers: _ Type of Use: Unit Heaters: __ Vent Fans: Occupancy Grp: Vents w/o Appl: Vent Systems: Stories: _ Boilers/Comprsrs: Hoods: Fuel Types - 0 - 3 HP. _ Repair Units: _ 3 - 15 HP. Wood Stoves: Max Input: _ Btu:_— Air Handling Units CIO Dryer: Fire Dampers. < = 0000 cfm: Oth Units: Gas Pressure: H / M / l_ > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn >=100k Btu: NOTES: COMMERCIAL INSPECTION ACTIONS, �- FEE MENU $ Permit Fee Gas Line Inspection $ Plan Review Mechanical Inspection $ 5% State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection `i Fire Alarm Inspection Final Inspection v FUR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial,CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW= new;ADD=addition;ALT=alteration:ACS=accessory; FND=foundation;OTH-other,DEM=demolition:REP=repair,FPS=Nre protection system NOTE=USE OTH FOR FENCES, RETAINING WALL,DETACHED DECKS. SIGNS, AWNINGS,CANOPIES) i\ovrcntr dec(dst) 8197 i SEE 35MM ROLL# 22 FOR LARGE DOCUMENT CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR98-1000 DATE ISSUED: 08/17/98 PARCE+ . 'SI04BB-07900 SITE ADDRESS. . . : 1435O SW BARROWS RD #003 SUBDIVISION. . . . :RUSSELL.' S SCHOLLS FERRY SUB ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTN: TIG Pro.,j ect Descri pt i on: Protective signaling --•--------------------- A. RESIDENTIAL--------- B. COMMERCIAL----------------------------------------- - AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : HURGI..AR ALARM. . . . : BOILER. . . . . . . . . . .. L.ANDSCAPE/IRRIGAT. . : GARAGE: OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: . . HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMENTATION. : OTHER. . : I. • TOTAL # OF SYSTEMS: 1 FEES P_______-- ALBERTSONS INC: #576 type amount by date rec t PO BOX 20 PRMT f 40. 00 B @8/18/98 98--308323 BOISE ID 837"?6 SPCT f 2. 00 B 08/18/98 98-308323 I(hone #: Contractor: ------------------------------ ENTRANCE CONTROLS INC f 42. 00 TOTAL X910 IST AVE SO ------ REW.0 I HED INSPECTIONS --- --- SEATTLE WA 98134 Ceiling Lover Low Voltage Insp Phone #: 2832533 Wall Cover Elect' l Final Reg #. . s 000655 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. goecialty Codes and all other applicable laws. All work will be done in accurdance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is susptaded for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-AMB. You may obtain copies of these rules or direct questi to OUNC at (583)246-1987. �-- Permittee Signature Issued b � ��, - I s y�1:=-1-'--�� - --------------------------- -----•---OWNER INSTALLATION ONLY-------------------------" The- installationisbeing made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: r DATE: - __.-------------------------CONTRiOR INSTALLATION ONLY-------------- , , . rl DAs SIGNATURE OF SUFR. ELECN. _ TE -- - LICENSE NO: .....++++++++++++++++++++++++++++++++++++++++f.++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 P. M. fur ari inspection needed the next business clay 4....++++++......... .+,t....... ..}+.*.}.+.+..+.f.. .+t++t+++++++++•f+++++t......++++++++++ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by�lJ►V 13125 SW.HALL- BLVD Date Rec'd: F,,J-7 TIGARD OR 97223 PRINT OR TYPE V - 503-639-4171 X304 Permit#: L "it 4 OrX_) F 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ 540.00 U✓.� k ,a,.y7�r /,��(•U (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS " Su ��✓ ,G� U�„- 3 Check Type of Work Involved C y/State Zip Phone# F—] Audioand Stereo Systems N e ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener' City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems' e �,, ✓r„ _ ❑ Other — ------ — CONTRACTOR Mailing Address �/ �� d of S� �: TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to Issuanrc•a City/State Zip =p tFne# Fee for each system................... .......................... $40.00 copy of all licenses 4:A . i� �'_ (SEE OAR 918-260-260) are required if Oregon _;ontr,Br y.# Exp D to expired in C O T 45g 1 < /i ev Check Type of Work Involved data base) Electrical Contr. Lic # Ex t 37. rr r I ❑ Audio and Stereo Systems C O T or Metro Li # Exp bpte Z 7'S IN ❑ Boiler Controls owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation Cily/Stale Zip Phune# ❑ Fire Alarm Installation Thi,;permit.s issued under OAF.918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC pviinit and to do the following ❑ Instrumentation i Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, 2 Call for inspections when installation under this permit are ready for E] Landscape Irrigation Control' inspection at 503-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor landscape Lighting' inspector are done,and, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the c irrections are completed ❑ Other Permit,are non-transferable and non-refundable and expire if work is not started vithin 180 days of issuance or if work is suspended for 180 days / _—Number of Systems The person signing for this permit must be the applicant or a person No licenses are rcquired Licenses are required for all other rnsrallations authorized to bind the applicant _ .mow FEES: ENTER FEES $ Signature - 5%SURCHARGE(.05 X TOTAL ABOVE) $ Authority i' other than Applicant TOTAL 5_1, ldsts%resele Joc 7/97 — CITY OF TIG,ARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT # BUP198-0345 DATE ISSUED: 09/02/98 PARCEL: 2SI04BB--07900 si'm ADDRESS. . . : 14350 SW BARROWS RD #003 SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION:TIG ----------------------------------------------------------------------------------- 1EISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASE; OF WORK. :FPS FIRST. . . . : 0 sf N: S: E: W. TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?--------.. TYPE PENINBS?--------- TYPE OF CONST. :5--IHR . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :M TOTAL-------: 0 sf ROOF CONST: FIRE PST?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BF3MT'*.'.- MEZZ?c READ SETBACKS-------- REQUIRED---------------------- FLOOR LOAD. . . . - 0 psf LEFT: 0 ft RGHT: 0 ft FIR GPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP1 ACC: BFDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0 VOL UE. $ : 1000 R?inar-ks : Add eight (8) sprinklers. Owners ---------------------------------------------------- FEES --------------- BLOCKBUSTER VIDEO type amoi.tnt by date recpt 14350 SW BARROWS ROAD PRMT $ 25. 00 GEO OA/31/98 98-308748 SUITE 3 5PCT $ 1. 25 GEO 08/31/98 98-308748 TI(iARD OR 97223 FIRE $ 10. 00 GEO 08/31 /98 98-308748 Phone #: 206-748-0800 PIRMT $ 25. 00 JSD 09/02/98 98—:308807 Contractor: ----------------------------- PROTECH FIRE PROTECTION INC 14615 NE QUARRY NEWBERG OR 97132 ----------------------------------------- Phone #: 626-0261 $ 61. 25 TOTAL. Reg #. . : 000665 --REQUIRED ACTIONS or^ INSPECTIONS- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other aiplicable laws. All work will be done in accordance with a,iproved plans. This permit will expire if work is not started viihin IN 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 ore sit forth in DAR 952-88I-010 through DAR 952-0191987. You many obtain a copy of these rules or direct questions to OUNC by calling (383)246-1987. rpi-mittee Signatures Issued By:` ......................................................... ................... Call 639-4175 by 7:00 p. m. for, ATI inspection needed the next b�.tsiness day .............................................................................. IL Fire Protection Permit Application "";TY OF TIGARDPlan Check# 1 125 SW HALL BLVD. Commercial or Residential Recd By C TIGARD, OR 97223 Print or Type Date Recd - Date to P E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit# _ Called Job Name of Development/Pro)ect —" ',��,�� ;�,Lz ����-�j Type of System (Complete A or B as applicable) Address Ad r ---- -Tf)5,A 3 A.) Sprinkler Wet - Dry ❑ Na Standpipes - Owner Mai ing Address Hazard Rroup Additional City/State Zip Phone Informati")n Density — — Name Occupant Ma,ling Address K. Factor City/-State zip Phone A.1) Sprinkler Project Valuation Contractor Name -- (Sprinkleror `) ,t ' ` B.) Fire Alarm Alarm company) Mailing Address Submittal Shall Include Battery Calculations YES Prior to pem its.I� �1 issuance, a City/State ZIP Phone Individual Component YES O copy ` 11 u y 3 Cut Sheets of all licenses [V�,J��-, �5 31-(c 1(-, 1 B.1) Fire Alarm Project Valuation $ are required if State Const.Cont. Board Lic.# Exp. Date expired dataim eOr5 Project Valuation Subtotal (A & nr ----- Name ' ., 1 _ ~) $ Permit fc�, haspd on valuation $ _ Architect Mailing Address __ (see chart on back) g% Surcharge $ City/State Zip Phone _ FLS Plan Review 401/oof Permit $ Describe work ' A.)New O Addition O Alteration* Repair O to be done. TOTAL $ B.) Modification to sprinkler heads only: _ 1. 1.10 heads=No plans required Plans required Submit three sets of plans, including a vicinity ma_p and ' 11+=Plan re-iew required the location or the nearest hydrant. I hereby acknowledge that i have read this application,that the intormahon yrven is Number of sprinkler heads: correct,that I am the owner or authorized agent of the owner and that plans submitted _ 4dditional Description Of work: — are in compliance with Oregon State laws SI nature of OvirrAdAnsintDate r• A.�In Existing Nuilding)Q, New Building p ,yu4 8'/.3 Fudding Pati B•1 Commercial Residential ❑ _17?E /_�':/Cx FOR OFFICE USE ONLY: of stgries: `- ' Plat# MapfTL#: Sq Ft: / o�S �O-7R0'(� Notes ,ccupancy Class Type of Construction k,c,tq,r doc BULLDINrpEfd lT FEES TOTAL VALUATION OF PERMIT L S STATE CUILDING PROJECT FEES (40%) (5 X pFEESIT 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47,13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20,20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 6?.50 25.00 3.13 90.63 7,001-8,000 68.50 2740 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125,43 11,001-12,OCti 92.50 37.00 4.63 134.13 12.001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6 13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 21.13 22,001-23,000 158.50 63.40 7.93 22 '.83 23,001-24,000 164.50 65.80 8.23 2.38.53 2.4,001-15,000 170.50 68.2.0 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 2.73.33 29,001-30,000 19300 77.20 9.65 279.85 30,001-31,000 19-7.50 79.00 9.113 286.38 31,001-32,000 202..00 80.80 10. 1.9 292.90 32.001-33,000 206.50 82. 60 10.33 299.43 33,001-34.000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 ?ri,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 l n ,,rTr slut CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERGY PERMIT #: ELR98-LA248 DATE ISSUED: 09,103/98 PARCEL: 251.04BB-0*7900 ':SITE ADDRESS. . . : 14350 SW BARROWS RD #003 SUBDIVISION. . . . : RUSSEL L.' S ECHOLLS FERRY SUB ZONING:C--N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..002 JURISDICTN: TIG 17'r a i ect De scr i pt i c ri - Blockbuster Video TI RESIDENTIAL--------- B. COMMERCIAL---------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO— : INTERCOM A PAGING. . : BURGLAR Al.-ARM. . . . BOILER. . . . . . . . . . . LONDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . DATA/TELE COMP" . NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : X OUTDOOR LAND9C LITE: OTHER: HVAC. . . . . . . . . . . ., PROTECTIVE SI(--,NAL. . : INSTRUMENTATION. OTHER. . : TOTAL # OF SYSTEMSt I 9wner: ---------------------------------------------------- FEES At BERTSONIS INC type amount by date recpt PO BOX 20 PRMT $ 40. 00 JSD 09/03/98 98-308855 BOISE ID 83726 5PCT $ 2. 00 JSD 09/03/98 98--.308855 [-"hone #: Contr&Lt0r: ----------------------------------------------------------------------------- FNTRANCE CONTROLS INC $ 42. 00 TOTAL. 2910 IST AVE SO REQUIRED INSPECT TONS 'SEATTLE WA 98134 Ceiling Covet, Low Voltage Insp r"hone #1 2832533 Wall Cover Elect' I Final Reg #. . : 000695 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other- applicable therapplicable 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 rule adopted by the Oregon Utility Notification Center. Those ruare set forth in OAR 952-001-0010 through OAR 952-001-*80. You say obtain copies of these rules or direct questions to-OtK at i 46-1987. -J1 ___ _ F)y Permittee Si gnat i-tre -------------OWNER INSTALLATION ONLY------------------------------ The installation is being made on property I own which is not intended for 'sale, lease, or rent. (";WNERIS SIGNATURE: DATE t _.-_-_.---------_____.--__--.-CONTRACTOR INSTAi.-LATION ONLY-----------------------_. SIGNATURE NLY--------------------- 91ONATURE OF SUPR. ELECIN: DATE i I-ICENSE NO: .................4•......................................................4-++++++++-+-+ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day 4 +++4-4........................................................4 4-4 4,4 4 +4 09%03/98 'I'llU 15: 24 FAX 5103 598 1960 CI11' OF I'IGAIlh 10 ooLl CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by. 13175 SW HALL BLVD Date Recd: ' io TIGARD OR 97223 PRINT OR TYPE �L_---9?_O.2yg V- 503-639-4171 X304 Permit# F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd. n r/ WILL. NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........... $40.00 C� Ls7// ,C� V (FOR ALL SYSTEMS) JOB Street Address Ste# ���sJ ��✓ �G iia Check Type of Work Involved- ADDRESS nvolved ADDRESS 010tate zip i'hone N ❑ Audio and Stereo Systems NanW Burglar Alarm X /� �S A- ❑ ('garage Door Opener' OWNER M9g Address C' rx' L v ❑ Heating,Ventilation and Air Conditioning System' City/Slate Zip Phone# ❑ me _// Vacuum Systems' e n[t -w /J As ❑ Other CONTRACTOR Melling Address y� 0-ii-/-)o TYPE OF WORK INVOLVED -COMMERCIAL ONLY /.l s'--6 r s r/ (Prior to Issuance a City/Stste Z�p -"v4 Fee for each system.............................................. $40.00 copy of all licenses �,rc�c Y! �/u. i 9�f't s (SEE OAR 918-260-260) are required if Oregon Contr.Brd Lic.# Exp Dave expired In C O T. -5— k / ��✓✓ Check Type of Work Involved: data base). Electrical Conlr. Lic.# Exp.Date 3.7. -Y"—e, e— !- -/f ❑ P.udlo end Stereo Systems C.O.T.or Metro Lic # Exp Date S2 �� //59 ❑ Boiler Controis Owner's Name ❑ Clock Systems OWNER - Mailing Address ::: APPLICANT ❑ Data Telecommunication Installation City/State Tip Phone N li7� Fire Alarm Installation This permit is issued under OAE 918-37.0.370 This applicant agrees to ❑ HVAC make only restricted energy installations(100 volt amps or less)under this Fermi',and to do the following: ❑ Instrumentation I Only use electrical licensed persons to do Installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing ❑ Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for rspection at 503-638-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls Inspection when the Inspector is out to inspect under this permit: 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and. ❑ Protective Signaling 5 Assume responsibiiity for calling for a final inspection when all of the ❑ corrections ere completed Other Permits are non-transferable and non-refundable and expire if work is not started within 190 days of Issuance or if work is suspended for 180 days Number of Systems The person signing for this permfl must be the applicant or a person No licenses are required Licenses are requtreC for all other metanatr r� authorized to bind the applicant. FM- ENTER FEES S 7' 40ginature � 5%SURCHARGE(.OS X TOTAL ABOVE) $ Authority if other than Applicant _ //TOTAL ► S�.Z etdsis"Ill .doe 7197 CITY OF TIGARD DEVELO" MENT SERVICES I � , 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 EL-ECT RICAL PERMIT RESTRICTED ENERGY PERMIT #: ELR98-02':-3 DATE ISSUED: 09/09/98 PARCEL: 2S104BB-07900 s:_:)ITE ADDRESS— : 14350 SW BARROWS RD #003 5UBDIVISIbi4. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTN: TIG Project Description: Add CCTV - System .1--------------------------------------------------------------------------------------- VI. RESIDENTIAL.- -____._.__ B. COMMERCIAL.- --- AUDIO 8. STEREO. . . : AUDIO & STEREO. . s INTERCOM & PAGING_ : BURGLAR ALARM . . . . BOILER. . . . . . . . . . : LANDSCAPE/I RR I GAT. . : GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . :, MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . . ,, : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . ., PROTECTIVE SIGNAL.. . : INSTRUMENTATION. : OTHER. . .-CCTV SYSTM: :X TOTAL # OF SYSTEMS: I Owner: FEES BLOCKBUSTER VIDEO type amol-int by date rer-pt t4350 SW BARROWS ROAD PRMT $ 40. 00 GEO 09/09/98 98-308968 SUITE 3 5PCT $ 2. 00 GEO 09/09/98 98-308968 TIGARD OR 97223 Phone #: 206-748-0800 Contractor: DROADWAY ELECTRIC-COCHRAN INC $ 42. 00 TOTAL PO BOX 33524 ------ REQUIRED INcjf-+-.cTi(.1N_L) ------ 13EATTLE WA 98133-0524 Low Voltage Insp Phone #: 234-6564 Elect' l Final Fleg #. . - 000729 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 iE suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those pt9h are sit forth in OAR 952-001-1110 through MR 95i'-W-M. You may obtain copies of these rules or direct uestio Tssi-ted by Permittee Signator ------ -,--OWNER INSTALLATION 1he installation is being made on property I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE: DATE: ....... _CONTRACTOR INSTALLATION 5TONATURE OF SUPR. ELECIN: DATEe 9- LICENSE NO: ................4................................................4.............. }+++++++++ Call. 639-4175 by 7:00 P. M. for' an inspection needed the next bi.tsiness day +++t+-1--I-+...++44..........4................4-+++"...........F+++4.......1-++++++-++++++4 CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by 13125 SW HALL BLVD Date Rec'd: TIGARD OR 97223 PRINT OR TYPE p _ V- 503-639-4171 X304 Permit#: F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY /� 3 Restricted Energy Fee........................................ $40.00 �- S ) ,40eA (FOR ALL SYSTEMS) JOB Stree�ddrnss �_�/ `>te# ADDRESS lzlwoly - —f Check Type of Work Involved G t ,tate , I _�3 Phone u ❑ Audio and Stereo Systems Name — 91 ❑ Burglar Alarm $� __ _ ❑ Garage Door Opener' OWNER Mailing Address City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems' C/•�G�� ❑ Other---- CONTRACTOR ailing Address�— _ TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance aCly/State Zip P ne# Fee for each system.......,...................................... $40.00 copy of all licenses Q e A— N a� (SEE OAR 918-260-260) are required if Oregon Contr. Brd Lic.# Exp Dat expired in C.O.Ty' VICheck Type of Work Involved data base). Electrical Contr.Lic # Exp Date „ Ste(,C �p��- ❑ Audio and Stereo Systems C O.T.or Metro Lia# Exp Date —� ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation lily/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under CAE 918-320-370 This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following: ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; E] Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639.4175; t_J Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is vut to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. Other �'e Permits are non-transferable and non-refundable and expire if work Is not started within 180 days of issuance or if work is suspended for 180 days. ._Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are renuired fur all other inst0atlons -- uth fed to bind the applicant. — ENTER FEES s— ignature 5%SURCHARGE(.05 X TOTAL ABOVE) f _ Co Authority if other than Applicant TOTAL $ i wstsvesele dor:7197 —