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7175 SW BEVELAND ROAD STE 215-1 N 0-'1'k; Instal I rev I se autosat_ ic f t re spt ink lers to pr ( � v I (it- i' Ovel, Aqf- as shown . 2 ) Piping and spacing per N . F . P . A . # 13 and City of Fire Department . Sprinklers : 165 Brass upright 1 ,o' 2 " orifice 165 Semi recessed 1 / 2 " orifice 4 ) Hangers : 3 / 8 A . T . R . and pipe r .inqs to structure with 1z co) T T-eOM F—XtS-r k " PW (..� CITY OF -TIGARD Approved........ ....n.................... Co ndit-+onalfy Approved................... For only the �,,,jo,k as desCribed 'ITY — P -RMI-T NO-::T2�; -- E Letter to*- Follow. ...... ...... j....................... Sea Attach............... Job Addfess-A-CL." a t e: :9 1�J> LIAM SPAZZ LIAM 9 IC gem WYATT FIRE PRIOTECTION INC. a UPI IlLown C* vow,% % INSTALLATION AND MAINTENANCE <E* PLAN 9095 S W BURNHAM rIGARD, OREGON 97233 ot�'w 0,00 'TOTAL SPRINKLERS DATE THIS SHEET o CONTRACT SCALE HANGER LEGEND DEVICES STANDARD SYMBOLS STA41NDARD SYMBOLS SPRINKLER HEAD SYMBOLS APPROVALS INSPECTION 144co* CONTRACT WTH f -H ECK VALVE -4'4- — UPRIGHT ON 1/211 OUTLET HOOKS LENGTH AS DESIGNATED SPRINKLERS Ty" DEGREE CITY. POST INDICATOR VALVE ALARM C ENGiN . 4- r 1: -- -4_-4- — PENDENT ON 1/2- OUTLET 2 ADORM EER SHEET 5 FIG- 116 CEILING FIG., ROD & RING KEY VALVE N *"ftl 15 psj'AD RISER w/AJARM VALVE 00 * 6 FIG. 153 CEILING FIG , ROD & RINCi t�-- - - UPRIGHT ON I" STUBB-UP 3 C" # 7 COACH SCREW, ROD & RING FIRE HYDRANT RISER w/DRY VALVE PENDENT ON I" DROP 4 PHONE 44 0 8 - CONC. INSERT, ROD & RING FIRE DEPT. (X)NNECnON QKJ - RISER w-IRK. FLOW SWITCH 0 t, -- FLUSH SPR. ON I" DROP WA,ra DEPT. ARCHITECT 9 - EXPANSION CASE, ROD & RING - RISER W/DOELUGE VALVE I 10 - EYE ROD & RING O.S. & Y GATE VALVE DRY PENDENT ON I" DROP SWING CHK"' VALVE WATER MOTOR ML 57 I I - mC" CLAW, ROD & RING SIDEWALL ON 1/21' OUTLET AD0ffU---- a NEW UNDEukiROUND HIMIC CITY OTY 71 rn-Ahoz--l " 12 - "J" ROD ANG-41 CLIP, ROD & RING UP & DN AT SAME LOCATION PM 13 - ANGLE IRON CLIP, ROD & RING EXIST UNDERGROUND iii FLUSH FIRE DEPT. CONN. PHONE P"004 A NOTICE.- IFTHE PR;NT OR TYPE ON ANY I I I l I � l I l I' '1 15 IMAGE IS NOT AS CLEAR AS THIS NOTICE, 61 71 8 9- 10 _ 1l l� ,, i � ���-� �` IT IS DUE TO THE QUALITY C it THE No 36 of� ORIGINAL. DOCUMENT 6Z 8Z LZ 8Z 9Z FZ Z TZ OZ Qt gT LIT - - 9t 5T fii E1 7rT ii T 6 S L 9 g— IE► Z I T ��ei3w I , � � , - I � II I II I I I M �111Lu lllll�klll i C z p l rn r� 1 ' 7175 %1 BEVELANU .STREET SUITE 215 CITY OF TIGARD DEVELOPMENT SERVICES I1,JT!-DT.N0) PERMIT JP . . . . . . . : 13125 SW Hall Blvd., Tlgerd,OR 97223 (503)639-4171 "ERMIT # BUP97--0!30- DATF 1_13�AJED: 10/31/97 ADDRrSS. 071771 !3W m,leum '7 if 71. VOTVISION. . . . bEVELAND 'H ZONTNO.-mur- . . . . . . . . LOT. . . . . . . . V,0./4 TqD1CTION:TTG, ...... JUR T 131JE Fl...0OR r4PE('4r WALL CONGTR1JCTTnN -199; 01- WORK. :F-PT-k F1 RCT. . . . . LA S f N: S. E. W. 7,r7 or I.Jor. r,,OM ' TYF'T", Or CONr3T. 05-1[IR rJ CCOND. 0 5f PROTCCT OPFNINi17,n, _. rF:lt IPANCY GRP. :[,i . . . 0 S f N- S: W TOTAL... 0 ROOT CONST: riRF. F.7F..T? : 0 0 s AREA r�r-_P. RATED: 0 14T. 0 ft GARn0c. 0 Sf OCCL) q, 17P. 13()Tr.D­ MEZZ7.. RE-G11) REV,L11 RE, -I_ GR LOnD. . . , V71 P I- F,r*_r-. 0 f i RGHT. 0 f{; Wrl-LING, �JNITc3- 0 rPNT: 0 ft REpR: 0 ft r I R SPI'L.:Y SlInK DET. . FIR AL_RMi HND ICFS MCC: Iropms. 0 PnTHC: 0 Tmr, c)uqrncr.-*: 0 PRO CORP: PAPK I 11G., 0 VALLIE. 1100 Fire suppressicn systes 'fOHN BERMAN r I t ypi? amW-m't hey (Jat t� ver-pt 4'4()W DF."VC.LOPME-NT CO. rRMT $ 85. 00 DRA 10/30/97 97--3001- ' 'j 'J" ,780 r"k4 rPREY 1)p O)LITTE 29r-� 13PrT $ 1- 2�j I)Rn EAVERTON OR 57007 #: 'J70 5001 FIRE $ 10- 00 DRA 10/30/17 97­30052 � aL't 01" . 'YATT r- IRF Ppurr.CTION INC. "1705 3W DORNHAM TonRn or 97*2.;3,71 ft (W34 2-0-13 000640c- 3C. T Orni- ...... iP RE00TRED WECTION13 persit is issued subject to the regulations contained in the �5"�)t-inkler- Rclijghj_ .gard Municipal Code, State of Ore. Specialty Codes and all other ,)plicable laws, All work will be done in accordance with --- ;:proved plans. This per#it will expire if work is not starter; thin 180 days of issuance, or if work is suspended for sore 3r. 180 days, ATTENTION: Oregon law requires you to follow the les adopted by the Oregon Utility Notification Center, These les, are set forth in DAR 92-00I-00I0 through OAR 952-00181967. sany obtain a COPY Of these rules or direct questions to OX calling (503)246-1987, t P PT i a t- �� � 'Oat rtWk i f ++++-1-4++4-1-+-f r + i + V++++4 4-44 f-++++4-4-+ !''f 4 4-1 A A 4+4-+++4+4+4-+4 4 1 (,7q 417') by 7:00 in. f*Ol- i4tl Joni liveded T)ext . . . . . . ;4 F4-+..4.+.++.}.4.4..., ++'+++++`1 4-4+4-44- +I f A ++4'4 1 4 4 f.1 +4+ Fire Protection Permit Application Plan Ch"10: TY OF T'IGARD Commercial or Residential Recd BY ',3ARD, OR 97223 Print or Type Date .tiO3) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted Dale to Dt,',T 0- - 1 Permit a f, 7• a U Called Name of CevelopmenVProlect c. � ZVC'.- (va Type of System (Complete A or B as applicable) Job ma )o-rY\(-,-N- — Address Address � ,�t A.) Sprinkler Wet [v] Dry 0 1-L S VN -�.�'e 1 ar�cl . _---- Nzme Slandpipes [--N - Hazard Croup Owner M lin Addre+s Additional - Y70 (j I ' �' ' 1. #' q.`_ C-I. iSlale PInformation? Information Density -- Name l c' �QL�1 Oes,gn Area Occupant Marling Address K. Favor City/State Zip Phone Sprinkler Project Valuation $ ( /co cva C'OT Business Tax or Metro A J Exp. Date B.) Fire Alarm — Submittal Shall Include Battery Calculation YES 0 e Contractor - Individual Component (ES (3prinkler or di Addrols Cut Sheets n Alarm ,�_� SVS "3 I,r l-)hwl ISI. Company) City,Slpte , Zi Pho a Fire Alarm Project Valuation $ nI t -t c a Oto Attach Copy State rias.Cont. Board Llc.ft Exp. Date Project Valuation Subtotal (A or B) $ / of L I 61 6 -- _ & r Current CU Business T�x of etro 0 JP( 0 to hermit fee based on valuation $ Licenses �q, '� �I 7 (see chart on b;ck) iName 5% Surcharge $ Architect Va,ing Address — — FLS Plan Review 40% of Subtotal $ C,0 C,ry,State - Zip Pnonr. TOTAL $ D r L.- Pescnbe worts A.)New O Addition C Alteration 0 Repair O PLANS MUST BE SUBMITTED,approved and a permit issued pnor to nstal!aw, !o be done: Three sets cr plans and ane pun(ana vicinity map)required which sno"location of nearest nvdrnnl. B.) Basement O HoocuVent O Spray Booth O 1 her-"amnowtedge Vat I nave read Vis atmication,Mat the nformation given,s Complete O Panial Q' Exrtway O cerrecL that I am Me owner or auMonzed agent of the owner.and that plans submitted _ are n compitawith th Oregon State laws Additional Descriptionf o 'Nortt. _ Slgnat j of Ag Date -I•e_n(L �+ IrY `� 1�l 1-,w (A 0f -VA j_ y�L A.)In Existing Budding ❑ New Budding C C�ttact Porto Name Phone y] / ) I Building I J1 r Data B.) Commercial ❑ Residential n FOR OFFICE USE ONLY: Nof Plat# Map/TL* To stones D Notes - rancy Class Ty-e of Construct cn CITY CF T�GARO TOTAL PLAN ST EE BUILDING VAL.UA T ICN PERMIT FLS REVIEN TAX PERMIT F==S (-t0e'o) (65%) 5'.'o FEES 1-t•SCO CS,CO SO.CO 16,25 . 1.25 52,50 1,50'-t,5C0 25.50 10. 0 1 .23 1.23 55.66 1.501-1,7CO 29.00 11.20 18.20 1.40 53.80 1.701-1,9CO 29.50 11.90 19.18 1.48 61.96 1.901-1,SCO 31.00 12.40 20.15 1.:5 65.10 1,Sol-=,1CO 32.50 13.00 21.13 1.63 68.25 Z,C01-3,000 38.50 1.5.=0 25.03 1.93 80.86 3,CC1-4,CCO 44,50 17.90 28.93 2.23 93.46 4,C01•S.CCO 50,50 ZQ.ZO 32.83 2.53 106.06 5,001-6,CCO 56.50 22_i0 36.73 2.93 118.66 6,001-7,CCO 52.50 25.00 40.53 3.'3 131.25 7,C01-3,CCO 68.50 27.40 44.53 3.43 143.96 8,001-9,000 7.3.50 29.10 48.43 3.73 156.46 9,001.-1O,CCO 80.50 32.20 52.33 4.03 169.06 1 J,001-11,000 86.50 34.=0 50'._3 4.33 181.66 .CC1-12,CCO 92.53 37.CO 60.13 4.=3 194.25 ",CC1-13,CC0 98.=J 39.=0 6-..03 4.93 2C6.86 13,CO1-'4,CCO 1C4.50 41.80 67.---3 3.23 219.46 14,C01-15,000 110.50 4.4.=0 71.83 5.53 232.06 1'C01-15,CC0 116._0 »a.:J 75.i3 C,?3 5 24-4. 6 ':.0 C1-t7 �r10 1"?.SJ -9.=a ,79.53 5.13 ^s' �.. .;5 17,C01-18,CCO 129.5.3 51.-:0 83.53 U.•13 269.86 13,001.-19,^CO 134.=0 53.30 97.43 6.73 282.46 1S,C01-20.000 1 C.SJ =3._0 91.33 7.C3 295.C6 CCO 1-6.=J =3.2-1 5=.23307.7.33 3307.66 _1 c0i-1^.000 1=2.=0 51.:0 5:.13 7.:3 320.25 --.�01-_3.000 1=�.SJ -0 1C3.03 7.93 332.96 �_,C01-;s,'CC 15ti.53 :5.?0 106"..3 8.23 345.45 2 C'-1 '1 0.=J 63.20 110.83 8.=3 358.06 17_._� ��. '� 7� 8.75 267.50 .:CJ 17_.=1, 71.:0 1 .5.=8 9.53 370.56 _7 =C 1-23.'-0 0 1° 1.!-1 0 7_,=C 1 19.57 9.20 3886.40 2°,001-:a,^CO 1?9.=3 75. 0 1Z-.=3 5.=3 395.85 ^-.3.00 7-1 .,73 125. a =. 405.30 3u,IC1-31..-CO 197.=J 79.00 129?8 _.?8 414.73 2.�C7 aC.=J 1.30 1C.10 424.20 001-33,=C0 =CS.=•J ?2.=-:11C'. 3 •^ Az z3 - ? _._ 4 .c5 .001-3 ',000 _11.00 '-.-C 1-7.1 C 1 �.__ "3.10 r01-3�,CCJ -7.^.9 1C.i3 4:- - 2 5-6 SEE 35MM ROLL# 22 FOR ARGE DOCUMENT i CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP97--0465 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE I SSUE u: 10/07/97 ';ITE ADDRESS. . . : 071.75 SW SEVELAND S7 c� PARCEL: 2S101ALS-02000 E;UBD I V T S I ON. . . . : SEVELAND ZONING:MLIE BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION:TIG REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION--- CLASS ONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : 352 sf N: S: E: W- TYC:,E OF' USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----_________ TYPE- OF CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL-------: 35 � sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 4 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 2 HT: 0 ft GARAGE— : 0 s f OCCU SEP. RATED: BSMT?: MEZZ?? REOD SETBACKS--------- REL?UIRED--__------------------- FLOOR --------------_._F LOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGH r: 0 ft FIR SPKI_:Y SMOK DE"i. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y PCDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 5280 Remar-ks : Tenant lap. je@ents OWT1er, -- --- -- ------- - --- —__— _ --__ -- _ FEES JOHN BERMAN, MICHAEL SUMMERS type amol-rnt by date rer_pt 14780 SW OSPREY DR PRMT $ 56. 50 JDA 10/07/97 97-299832 #295 5VICT $ '. 83 JDA 10/07/97 97-29983c' B4=AVERTON OR 970. 7 PLCV $ 36. 73 JDA 10/07/97 97-29983E Phone #: 579-5001 FIRE $ 22. 60 JDA 10/07/97 97-29983 Cont react or-: 93HAW DEVELOPMENT CO 14780 SW OSPREY GR SUITE 295 BEAVERTON OR 97007 Phone #: 579-5001 t 118. 66 TOTAL Req #. . : 00-0473 REQUIRED INSPECTIONS - ---- -- Th1s perait is Issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codis and all other Firewall Insp applicable laws. All Mork will be done in accordance with Gyp Board Insp approved plans. This perait will expire if work is not started S�rs p C e i l n g Insp _ within IN days of issuance, or if work is suspended for sore than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oreqon LItility Notification Center. Those rules are set forth in OAR 952-NNI--NNIN through OAR 952-0@181987. You @any obtain a copy of these rules or direct questions to OLINC by calling 15d31246-1987. Permittee Signat�_1re� ` 1 Z� / Iss�_red By: t G6�__�__. Y++++++++++-f+++++++++++ +++++++++++++++++++++++++++++ +++++++++++++++++i•+++++ h Call 639--4175 by 1:00 p. m. for an inspection needed the next bl.isiness day ++++++•++++++++++++++++++++++++++++++++++++++++++++-++++++++++++++++++.4-+++++++++ 08/25;97 14:36 22503 684 7297 CITY OF TIGARD 10nn3:007 CITY OF TIGARD Commercial Building Permit 01,01 Rec'dBy i11'� �� 13125 SW HALL BLVD. New Constructicn 1 D Oale Rcc'd �� TIGARD, OR 97223 Date to P E. (503) 639-4171 Dale to DST_ Permit a_ Print or Type Re,aied SWR tK Incomplete or illegible applications will not be accepted called Job NaM of'Developm nupr—A 1 / ( Existing Building I] New Building Yf Address IVUI Addrilli; Suit@ Bldgs CI SatsZip, Building %223 Data T- Property N�me C / ( Existing Use of Building or Property. Owner ailing Address t Su�C L� / yrStats ip Phone _ Proposed Use of[Building or Property: , Name Slr 7� � �L.•� � / / No Of Stories: Occupant Mailing Adilresx Sulle -v //S - Cit ata Ztp hone Sq. Ft. Of Project: Name• /l Occupancy Class(es) Contractor Mailing Address suits vi Type ss) of Construction City/State Phone / zip /c 7r ., -7 -7 7t— ` --- _.----- (Prior to issuance Oregon Const.Coll Board Lic.M Exp,pale Will this project have a Fire Suppression System'' a copy of all )0 q -7_j.* . ' /?.r Yes[] No[] licenses are Oregon Const.Cont.Board Lic S Exp.Dale reared if expired m COT Business Tax or Metro s Exp Date Prgject Valuations , Cl C.O.T.data base) / game — Americans with Disabilities Act(ADA) 11 Valuation X 25% = S Participation Architect Ml t' 11 Complete Accessibility Form Mailing Ad ss Sul N'12!!l- 4 ° y I eq d ee M r rn r of seas iQ_subrnit Iyistm tip Phone - n�t ac s I r quirement het J Engineer Nam � Pi" kl-ill}�T i hereby acknowledge that I have read this appkcat nn that the information Moiling Address' 8uita given Is correct,that t am the owner or authorized agent of the owner,and that plans submit od are in compliance with Oregon State Laws. Ity/Sla / /� �D Phone Slg�azureof Ownerl�9ent Data /�� -w Indicate type of work New Aaamon o Demolition O o ct P rsnn a Phone Accessory Structure O Foundation Only O Alteration O Repair O Other O Description of work: FOR OFFICE USE ONLY npUs A Notes Parks: Estimated s of Employees TIF: Note: Silo Work Perm f Application must procede or accompany Building Pormet Appliction �COMMAPP DOC (DST, 10/96 AUG-25-1997 14:39 503 6e4 729^ 97', P.03 CITY OF OrIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 CERTIFICATE OF nCCUPANCY PERMIT 4i. . . . . . . : BU17197-0,oi DATE V-35UEDt 02/06/98 PARCEL t -31 TE ADDREGG. . . :07175 SW BEVELAND ST #215 :*iUBD I V 19 1 ON. . . . :BE V ELAND Z ON I N(3 s MUE )kLOCK. . . . . . . . . . : uOT. . . . . . . . . . . . . 1004 JURISDICTIONt 1- 1(.-j 'LASS OF WURK. 3ALT rYPE OF USE. . . cCOPI 7YPE OF CON STR:5N XCUPANCY GRP. sB 11'I.UPANCY LOAD s 4 LNnN*T NAME. . . i MCDERMOTT +emarks : Tenant Improvements lwner: W)IIN BERMAN, MICHAEL SUMMERS 14780 SW OSPREY DR I't sL-'9 5 �.IEAVERTON OR 97007 'hone #: �orltv^actcar t SHAW DEVEI.-OPMENT ('-0 14780 SW OSPREY DR l')U I T E 295 ALAVERTON OR 97007 ' 'hone #1 579.-3001 leg #. . : 000473 ) his Certificate grants occupancy of the above referenced bUildirIq OV pot-tion thereof and confirms that the building has been inspected for- compliance with the State of Orgoii lb-pipcialty Codes for the qrcio.Ap oc%-o-tpsjjc-y, j.4tid tj-Fe .opocjev- to i ch afar @nce as p i 9 sued. '"ITING 1N_-!-o E.C TO P B U I L.D 114 G OF FAL i - F"Oc*)T 1N CONSPICUOUS PL F' CITY 4F TIGARD , L_ECTR7M. PERMIT DEVELOPMENT SERVICES PERMIT : C;7- 065F-,065F-,l nr>rT>" t�r3•.l�;nI): 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL,: 'T TE AI)DREi S„ . :0717 544 BE::VE'1._Ah.'D � , ( IJBIDIVISIC,ON. , „ . :SEVEI._AND //" 70NTN :MUE I_.Oct-,. . . „ , . , : 1_01 , . . . . . . . . ., . . :0CA4 JtJRTSkiTCTI0N: TIG aJ er_is^ lie scr i pt i c»): tenant Improvements F3ESIDF^,ETI�;L_ UNIT—— __. 1"E"Mf' SRVC/r'EEVE'R5 _1 11 1 _1111__._. MISCCL_L.AhICOL)S._. Omo Or OR L.E RS. . . . : 0 0 200 amp. . . . . . . : 0 P1JMr-`/I RRT GAT T QN. . . . 0 riCEi wx, I_. woor". . . r 0 x'01 400 11 SIGN/OUT L.INC LTG. . ; 0 i M I TFD ENERGY. . . . . s 0 401. - 600 amp. . . . . . . s 0 S T GNAT_/PANF 1... . . . . . . : 0 ►SKr. MM/ OVC/F'DR. . : 0 G01.1-amp-11000 volts. : 0 MINOR L.ALACL_ ( 10) . . . : 0 _'SE"RVTC'F/F'l"E'DE R-__---- _{ .....�_+p1R�a"iNf.'I ! tC'IRCU�IyTc�._._.. ...__ .r.�y..(�I}JpD' l_ /IINS/PEr-TIONS.__ ..•,. '['.AO 'rimp�. . . . .. . . ± W/r.-iERV ICC OR E`1.,l.,:DCETa r PER ICtir>:'C�CTION. • « r . . 1�' 01 - 1100 amps. . . . , . : 0 l it W/0 SRVC OR F DR. s 0 PER 1.40LIR. . . . . . . . . . . . P "01 C00 ami:,.. . . . . . : 0 E?A ADD' L f)RN'CH CIRC: 0 IN PI.._ANT.. . . . . . . . , "01 1000 amp. . . . : 0 _._._._ __1111____..___....._....._F'd._Ar,l REyV TE'W SETT I ON-.----- _ 400.4 amps/volt ., . . . . . 0 ? =4 RE•wS (JNITr. . . . . . . . . ) 600 VOLT NnMINOL. . "Uconnpct ©nly. . . . . : 0 SVC:/FDR > - E�5 PMl''5. . : 7LASS nREA/SPEC OM . 'M,ner" __1.1..11 . ...__ . _ _ .. 11 .. .. � .. _ r*r-- -. 'OHN DEPMAN typ(c izam(Irtr1t by datE, r'e.+c-pit "HAW DEVr."rL. PMrTt'r V11 F'RMT t 95. 00 .JDA 10/07/97 '37-2':i'?r.j3i 47PO SW OPREY T)l SI_IITE' 12'10 SCC;T 5 4,. 75 J D n 10/07/97 97_2299 3;:,P 1EAVERTON OR S'7007 I rr;" RITE' CI...rr�Y1TIC !_ 9G., 7"' TOM- -42 NE" TRT;sHn 17R REOLI.RED I4nrrr'CTI[)N8 TI..I_tiBORn r1R 971 4 C ei l inu Cover E_'l ec•t;' 1 5er,v i.c'p '-orre #: Wall cover Flect' .1 Final J it. . a 000894q permit is issued subject to Vie regulations contained in the Tiga!d Municipal Code, State of Oregon Specialty Codes and all e' cable laws. All 0071^101 will br done it accordance with approved plans. This permit will expire if Mork is not started within << of issuance, or if work is suspended f:r mm,# thr 1W days. ATTETION; Oregon law �.equires you to follow the rules adopted bj Oregon Utility Notification Center. those rules are set fort' in OAR ? 0P1- 1® thro,rgh (AA 912-01-1987, You ray obtain a "hese rules or direct questions to OX by call•,-) (WI M-138". IR i.'ttE'P„ ri f}c�tlYH r SSued Sy : _ Ih1C3' 1)I...LnTIf N C'NL..'r' 1.1.11..._._ _ ... .. .... ._.... .. __.._._1_1.11_ . t i.ritallAtiun is being made an p,7 opt) ty ' owr, whir_h, i �, r'rr,t intrnnrleil pray. alts leases or, rent. • ^ r;T 3NAT!JRF r IJATr- ._COh.'TP;- �rOR '"a^,YAL.L ATIC)'d ONLY_.. ^YJCIT;.JRF CIF- 5l_PR. f"1_Fr' ",s t rPT'F i'"L'h1f3F h1r,s f r }.4 }.4-f-+-r 1 .1 4 1 1 -} 1 A r f 4 1 01 4 ., r r , , t CITY OF TIGARD Plan Check#Electrical Permit Application - 13125 SW HALL BLVD. Recd By 'd R 7 Pate ec /l TIGARD OR 97.223Da - Date to P.E._ Phone (503) 639-4171, x304 Date to DST_ - Inspection (503) 639 4175 Print or Type Date to # E_ _ �4 1 Fax (ctio (503) 3 Incomplete or illegible will not be accepted PerCalled- 1. �� 1. Job Address: 4. Complete Fee Schedule Below: f / Name of Development_ Number of Inspections per permit allowed - Name (or name of business) Service included: Items Cost Sum Address a ��C,L'o'll 4a. Residential-per unit 1000 sq.R.or less $110,00 City/State/Zip_ _j _,�,:, ,� i � .� Each additional 500 sq,ft.or Commercial Residential ❑ Limited thereof $25.00 _ 1 mited Energy -_ $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all curve it licenses) 4b.Services or Feeders Installation,alteration,nr relocation Electrical Contractor 200 amps or less $60.00 0 Address 1 I 7 201 amps to 400 amps $8200 2 City_ U State )Jc -,tip. / _:3 401 amps to 60U amps $120.00 _ 2 Phone No. Li y ` ' _ 601 amps to 1000 amps $180.00 _ 2 Job No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice, No. 3-/ _ Exp.Date , !' Reconnect only - $50.00 2 OR State CCB Reg. No. ;,`_ r� `� Exp.Date 4c,Temporary Services or Feedprs COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less -__ $50.00 Signature of Supr. Elec'n201 amps to 400 amps ^15.00 _ r 401 amps to 600 amps $100.00 ? Over 600 amps to 1000 volts, License No. "� �� Exp.Date_ ,., see"b"above. Phone No.____ 2 2 2_3 4d.Branch Circuits Now,alteratiun or extension per panel 2b. For owner installations: a)The tee for branch circuits with purchase-of service or Print Owner's Name--- _ feeder fee Address Each bramh circuit s-,_ $500 j> ' b)The fee for branch circuits City_ Stat@ Zip without purchase of Phone No. _ - service or feeder fee. First branch circuit $35.00 2 The installation is being rrlade on property I own which is riot Each additional branch circuit_ $5.00 _-_ 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not Included) g - -__...__ -_ _ Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension - $40.00 Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspectir,r over _Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $3500 Classified area or 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. 5a.Enter total of above fees $ 5%Surcharge(.05 X total teen $ � NOTICE Subtotal $ �' 7 5b,Enter 2510 of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rP ug iced(Ser.3) $ - NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY --11 rra TIME AFTER WORK IS COMMENCED. LJ Tnrra A Total balance Due S 10STSELC96.APP AM 696 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phon 639-4171 Date Requested. _ _ a A M. _ 1'.M.. MST: Location• 71 7-5- gJ C,2 ---— ---- BUR!l I—0 � i'enant Suite: Rldg Contractor: Phone: PLM: Owner Phone: ELC: ___-- 1--LR: __-� /l) .E ,err: - — BUILDING B . C i ) PLUMBING MECHANICA ELECTRICAL SITE Site c,nn Post/Ileam PosUl3eam Cover/Service Sewer/Storni Footing Roof tlndl'1/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas I,inc Rough-In t IG Sprinkler Foundation Insulation Sewer II(x)(l/Duct Reconnect Vault Iismt Damp Drywall Storni Furnace 'fctnp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Slim/Sheath Fire.S lm Crawl/Found Ih 1leat Pump Low Volt zmrslya Apptoved Approved Approved Approved Appr/Sdwlk %'ed Not Approved Not Approved Not Approved Not Approved 11—N—AL FINAL FINAL FINAL FINAL 0 Call for reinspection 0 Reinspection fee of S required before next inspection !;7ablc to inspect Inspector _ Date _ Page__—. of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Li•tc. `394175 Business Phone: 6394171 Date Requested: A.M. P.M. MST: Location: �,�� - / ----- ---- Tenant: BUP: —I31dg: MEC: Contractor: Owner: Phone: PLM: — _--- .— Phone: ELC: # t IELR: BUILDING BLDG—nn' PLUMBING MECHAN AL — SIT. Site �Uf3carn PostAkmm ELECTRICAL SITE Footing Rmt, I'ost/13catn Cover/Service Sewer/Stonn Slab UndFl/Slab Rough-in Ceiling ng Weter Line Framing Top Out Gas Line Foundation Insulation Sewer Rough-in UG Sprinkler Bsmt Dam 11ioil/1��ict Reconnect Damp Drywall Storni Vault Masonry Ce Furnace Temp Service MISC. 18—. Rain Ihain A/C Uta Slab Shear/Sheath Fire S //,'.m Crawl/Found Ih [k:al I tune Low Voll - rov Approved '—'""—'-- Appr/Sdwlk No Approved Approved Approved b 4:(I Not Approved Not Approved Not Approved>roved 1 FINAL FINAL, t I Not Approved FINAL FINAL --------- ----------- C1 Call for rein -tion D Reinspection fie of S required before next inspection Q 0 Unable to inspect insrecter: -------- --_---_ bate: ! d Pette of t CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: &A 1-4175 Business Phone: 639-4171 9— A.M. P.M. _ MST: ;n BUR ant: _ Suite:._r,�_ Bldg: MEC: Contractor: — Phone: PLM:p Owner: Phone: ELC._-{ [er J Q SIT: BUILDING BLDG(con's) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Ream Post/Ilcam Post/Bearn Cover/Service Sewer/Storm Footing Roof Undl'I/Slab Rougli-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-in UCi Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsml Damp Drywall Storm Furnace 'Temp Service MISC. Masonry Ceiling Rain Drain A/C IDG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Ir I teat Pump I.ow Volt Approved Approved Approved Approv Approved^ Appr/Sdwlk Not Approved Not Approved Not Approved ed Not Approved FINAL FINAL, FINAL FINA1, FINAL C1 Call frn•reinspection Reingw.tion fee of$ required before next in&Wvion C]IInable to inspect In xctor^— — --� Date - f c--- - of-- -