Loading...
7450 SW BEVELAND ROAD 1 y O O I � 1 cD tD p1 O LZ. O d Q P 7450 SW Beveland Road General Tree. Service Professional tree, shrub and lawn care since 1924 August 21, 2000 Bayard Mentrum Mentrum Architecture Incorporated 2858 NW Santanita TCrrace Portland, OR 97210 / r o J RE: Arborist report For the trees on the lot at--46ff SW Beveland St. Assignment Provide an arborist's report which includes an inventory of all trees larger than 12" in diameter at 4' above ground level. The inventory is to include the conditir.n rating of each tree, list any insect, disease infestations and whether or not it is a hazardous tree. The inventory shall also include a total of diameter inches that need to be mitigated. Summary There were 10 trees on the site that were larger than 12 inches diameter at 4 feet above ground level. The condition of 9 of them was good No insects or disease, were present to cause damage. Structurally the trees are in good foi m. One of the trees were rated less than good. A Douglas Fir with a double leader that wrapped around itself, was rated fair due to the fact that eventually the gree would have to be removed for structural reasons. The total number of diameter inches on the 10 trees greater than 12 inches in diameter is 166 inches. With the deductions of the Douglas Fir with stnictural problems the total number of inches to be mitigated comes to 152 inches. Assumptions and Limiting Conditions 'The enclosed map is not to scale and the trees have not been measured for exact location on site. The map is only provided to show the relative location of the trees on the site. The trees that have smaller diameter than 12 inches are also included on the map with their diameters to show their location and the &ict that they fall below the threshold for consideration P.O. Box 2049, Clackamas, Oregon 97015 • Phone 656-2656 • Toll Free 1-888-656-5401 • Fax 656-3219 Inventory Tree Tree Diameter Condition Number Species Size _ 1 Douglas Fir 14" Fair - Tree has a double main leader that causes the tree to be structurally unsound, The tree should be _ removed for safetconsiderations. 2 Western 17" Good Red Cedar 3 Japanese lel" Good - Tree has a double leader with a strong union False at the crotch. Cypress _ _4 Grand Fir 13" _ Good 5 Birch 13" Good 6 Douglas Fir 18" _ Good — --�` -- _ —�--- _ — 7 Douglas Fir 22" Good 8 Tree of 20" Good _ Heaven _. --- ---- — ---- 9 Douglas Fir 22" Good - Tree diameter was measured at 2 feet above ground level because it split into a doubie stem tree with_a strong union at the crotches 101 Birch 13" Cood 1 1 166" Please i efrr to map sketch for the relative location of the trees on the lot. Trees are numbered on the map but not on the trees themselves on site. It'you need additional inlunmation please call. Sincerely, 1 Terrence P. Flanagan Certified Arborist #PN-0120 Member, American Society of Consulting Arborists Sketch Map of Develop►nent lot at 7460 SW Beveland St., Tigard, Oregon C4Gtvt►�U 70 c, oJ � o � JBIRcNir-5 L/i i ©B1,3 CO O J 31 RCH ' 14n 9il �0 Ogf O V/ D-3SAa�►n1f�5IL FAi.S0'RE55 lV ��'� STRrI RCD CEDAR- 6,L N, EDAR-GLN, LIQ o4 it 0 0p 13'I i I y Obi 25-00 07:06 '0503 625 6179 PRIDE DISPOSAL Q001/003 PO Box 820 Sherwood 97140 Fox:6234179 Ph:625.6177 Pride D e • -Co. ys Fax 'A -1 A . rom: d/ Fax: �4{. 10ages:_ Phone: -2_z4 © �5- Date: `3 -- _ 00 Re: CC; i3 ❑ Urgent ❑ For Review ❑ Please CommentC] Please Reply * * Please Recycle Comments: S 7 AUG-24-00 FRI 17 : 10 MENTRUM ARCH 5032480305 P. e12 CD ZIr' 0 �rjrrri 9- � Z ! D Z � T � zo � o r V(S toQ N. U O c: I y ' • (,, . _ G 1 r-•- m 08/24/00 15:20 'x'503 62. 6179 PRIDE DISPOSAL �UU3"005 �T a-j\ Dc e 1 August 28, 2000 COREGON F TIGARD Bayard Mentrum Mentrum Architects ---� 2858 NW Santanita Tr Portland OR 97210 ; RE: Plans Check Number: MCA Business Center,.7460 SW Beveland St, Tigard, OR This letter is to confirm receipt of your building plans which have been routed to the plans examiner. As a reminder, Ue associa`Pd land use case(s) is/are: SDR2000-00013 Please be aware you are responsible for satisfying the conditions of the land use case(s) and must submit plans directly to the appropriate staff person(s) indicated on your final order. Your building plans are not routed to the planning or engineering departments; you must satisfy the land use permii conditions independent of the building permit plans review process. >t our buildin ermit will After the building plans review process ha., been completed, �_____gp not be issued without approval from the enaineerina ana Alannindy epartments. If you have any questions regarding this notice, please feel free to telephone me and I will be happy to explain further. bebbie Adamski Development Services Technician cc: Building rile cc: Planning Department cc: Engineering Department I\DSTS\BUPLUC DOT 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 -- -- CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00043 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED : 09/26/2000 SITE ADDRESS: 07450 SW BEVELAND RD PARCEL : 2S101AB-02703 SUBDIVISION: MCA OFFICE BUILDING ZONING : MUE BLOCK: LOT: 027 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $100,000.00 EXCV VOLUME: 455 cy LANDSCAPING?: Y FILL VOLUME: 150 cy SITE PREP ?: Y ENG FILL?: N STORM DRAINS?: Y SOILS RPT REQD?: N IMPERV SURFACE: 8,276 sf Remarks: Site work permit for new 1-story office building. Demolitian Permit BUP2000-00054 final inspection to be completed prior to site work. Owner: _ FEES HUGH MCCAFFREY Type By Date Amount Receipt PO BOX 411 — WILSONVILLE, OR 97070 PICK CTR 08/25/2000 $431.60 27200000000 FIRE CTR 08/25/2000 $265.60 27200000000 PRMT CTR 09/26/2000 $664.00 27200000000 Phorte: 850-2711 5PCT CTR 09/26/2000 $53.12 27200000000 Centractor: EROS CTR 09/26/2000 $80.00 27200000000 ERPU CTR 09/26/2000 $26.00 27200000000 EVERGREEN F'^C'FIC INC ' 5664 CARMAN DM ERPC CTR 09/26/2000 $26.00 27200000000 LAKE OSWEGO, OR 97035-3358 Total $1,54632 Phone: 636-5165 Reg #: LIC 41521 Required Inspections Erosion Control insp 846-8444 Excavation Fill Grading Retaining Wall/Footing Paving Insp Strm Drain Insp Culvert/Catch Basin San Sewer Insp Manhole/Cleanout- PVT Landscaping Insp 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 issuance, or if work is suspended for riorp than 180 days. ATTENTIOW Oregon law requires you to fcllow 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 c�,opies of these rules or direct questions to OUNC by calling (503)246-1987. Permittee Signature: --- Issued By: =— b Caii (503) 639-4175 by 7:00 P.M.for an Inspection needed the next business day C: ("Y OF TIr=ARD Site Permit Application Plan Cr 13125 SW HALL BLVD. Commercial, Residential Rec'd ny Date Rec'd' d ri-e-' TIGARD, OR 97223: : and Multi-Farnilx Date toP.t. -o (503) 639-4171 x304 Date to DSTe� G 7C7� Permit#-::)/' DT443 Print or T,,pc Related SWR# Incomplete or illegible applications will not be accepted Calle Project N;3n1y�," Utilities(Complete all that apply) Job A14;+ Awwye-ss - ---- —. - Address Address ,y� Storm Sewer -74------ - rIUN� &M P 157r-� incar Fl. Name Sanitary Sewer Linear Ft. Owner ailincAddress Fresh Water / Qr 8 ri • Linear Ft. Cit /State '' ip P e ���' Catch Basins # Q Generel Name I Clean nuts Contractor em_ pv" - PV—,/1196,- Prior f 9G-Prior to pens t Mailing Address Descrite work to be o e: issuance,a New Addition❑ Alter' �n❑Repair COPY 11 5(o�4��w �� P tie 13 - - licenses are City/Slate ZIPPhong Additional Description of Work: d� required IfAkwa1 — expired In COT State Const. Cont. ISoard Lic.# Exp. Data_ database ¢ • � �- f-:-�/`K7 -- Name '/.� '.. Project $ /Ivt•� �1�• Valuation - - — tp ArrhitectI ddress Plans Required: 'See Matrix on back page Nota to. The following,must accom any this application: 'ily le Phone Site plan with Vicinity Map Parking(including Showing ADA com liance ADA)&Lighting Plan Name C-4 vI` Grading Plan and details Landscaping Plan L err Nl��./N�_ Englneer ailin Addres"s�� Erosion Control Plan and Retaining Structures /uv! j�s S 'Z,D details Including calculations City/State Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) _ approved s stem Excavation Volume I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized cu.yds. agent of the owner,and that plans submitted are In compliance with Oregon State laws. Grading Volume �,j-O Signature�&Ono gent - Date (Soils report required for>5,000 cu.Yds,) 0-7-5;, Fill Volume / Contac Person Name Phone (Fill exceeding 12"In depth shall be compacted To 90%of Maximum Density) _ cu.yds. Petaining structure?(check one) ock FOR OFFICE USE ONLY I ❑CMIJ Notes: Dete Other -���r-G'4 Total new impervious area Including all Land Use Case# MapfTL# buildings,sidewalks,and pavin-g__ 0 ';y I t. �4(i w'04G /L CITY OF TIGARD f02 COMMERCIAL SITE WORK PERMITpt) / '� ' Gn_/C is\dsts\forrns\site-app.doc 3117100 / I p QOM 1-10 (� 7 CITYOF T I GA R l� BUILDING PERMIT \ PERMIT#: BUP2000-00353 DEVELOPMENT SERVICES DATE ISSUED: 09/26/2000 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101AB-02703 SITE ADDRESS: 07450 SW BEVELAND RD SUBDIVISION: MCA OFFICE BUILDING ZONING: MUE BLOCK: LOT: 027 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 6,468 sf� N: — S: E: 1FIR W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS_? TYPE OF CONST: 5N sf N. S: E: Y W: OCCUPANCY GRP: B TOTAL AREA: 6,468.00 sf ROOF CONST: B FIRE RET? N OCCUPANCY LOAD: 52 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 20 ft GARAGE: sf OCCU SEP. RATED: ESMT?: N MELZ?: N REQD SETBACKS _ _ _ REQUIRED _ FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 350,000.00 Remarks: Construct new 6,468 square foot office building. Owner: Contractor: HUGH MCCAFFREY EVERGREEN PACIFIC INC PO BOX 411 5664 CARMAN DR WIL_SONVILLE, OR 97070 LAKE OSWEGO, OR 97035-3358 Phone: 860-2711 Phone: 636-5165 Reg #: LIC 41521 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Shear Wall Insp PLCK CTR 08/25/200C $1,040.98 27200000000 Electrical Permit Required Gyp Board Insp FIRE_ CTR 08/25/200C $640.60 27200000000 Plumbing Permit Required Susp Ceiing Insp Foot/Found Insp Appr/sdwlk Insp PRMT CTR 09/2.6/2000 $1,601.50 27200000000 Reinf Steel Insp Final Inspection 5PCT CTR 09/26/200C $128.12 27200000000 Slab Insp Masonry Insp (additional fees not ii5led !sere) Framing Insp Total $3,596.00 Roof naiing Insp Insulation hrsL'---�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 ir, 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 fallow the rules adopted by the Oregon Utility Not;`ication Center. Those rules are set forth in CAR 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. Pe nnitaa _ Issued By: Ca11 639-4175 by 7 p.m. for an inspection the next business day CIT commercial Building Permit Application Plan Check# 'HALL BLVD. New Construction and Additions Recd B�_ 1340,—. , . Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4'171 Date to DST Print or Type Permit# 0�. Incomplete or illegible applications will not be accepted Related SWR# _ canal - - r Nana of larrvolnpment/Projr�ct JobExisting Building ❑ New Building Address si ept Addiess - � '5iW• iit �' – -- Building Bldg# CitylState Zip Data _ Existing Use of Building or Property: Name / r// /�-- Property G'/T(/ Owner Mailing Address Suit. Proposed Use of Building or Property: P.°� _ _ -- of ro City/State Tip" rrhone ^l No. Of Stories: / Occupant Name Sq. Ft. Of Pro'ect:0 !F -- - Name Occupan y Class(es) Contractor1 ..1. r> _—I Prior to permit Mailing Address Suite Type(s)�Fy uction Issuance,a copy C_�_/ t _ �!', ytL of all licenses 7L NN • — are required It City/State zlp� hone Will this project have a Fire Suppression S stem? expired in C O.T. f—,! - Yes ❑ No database - Americans with Disabilities Act(ADAo� gon .Gout. oard Lic.# Exe ,� Valuation X 25% p _ $ Participation Complete Accessibility Form _ Name Project $ Architect � Valuation % L db Mailing Address sidle Plans Required: See Matrix for number of sets to submit Clty/State Lip Phone on back Name. Engineer � I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or author c'g agent of the owner,and 1 V Mailing Address v, Suite that plans submitted are In compliance with Oregon State Laws. 41S �el•�G''1nature of owner/ gent � _- Date City/State 71p Phonef�2 • •` �� LTJ � O� � orfs Person Name Phone Indlcatn type of work NeAK Addition O Demolition O Accessory^tructure O Fdundktion only O Alteration O Repair o other o FOR OFFICE USE ONLY Descrlptlon of work �iA' C'T x je-v �' , Map/TL# Land Use'. � Notes: Parks: Est ate #of Employees '/� TIF:TiF � c�����+�+t ••++ J? If the above figure is not supplied at the time of application,the city will calculate the Me based upon the number of parkhrg spaces. / Note: Site Work Permit Application must precede or accompany Building Penult Application (� / f, r\dsts\forms\comnew doc 5110!99 x.40 ll ufr4 UNIFIED SEWERAGE AGENCY OF WASHINGTON COUNTY July 11, 2000 Mentrum Architects, Inc. Attn: Bayard Mentrum 2858 NW Santana Terrace Portland, OR 97210 Re: 2S11 AB-02703 MCA Business Center The Unified Sewerage Agency (Agency) has reviewed your proposal for the above referenced activity on your site. Agency staff has conducted a pre-icreen review and requested completion of a Sensitive Areas Certification Form. Following Agency review it is apparent that sen:3itive areas do not exist on-site or within 200' front your project. In light of this result, the above referenced project does riot need a Service Provider letter as requ red by Agency Resolution and Order 00-7, Section 3.02.1. Prior to construction, a St.ormwater Connection Permit from the Agency or its designee is renuired pursuant to Ordinance 27, Section 4.13. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This concurrence letter does NOT eliminate the need to protect sensitive areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at 503-846-3795. Sincerely, S. Alison Rhea Site Assessment Coordinator E:\Developmcnt Svcs\SA 00-7\Concurrence Le"ers\2S'IAB 2703.doc 155 North First Avenue, Suits 270, MS 10 Phone: 503/648-8621 -iillsboro, Oregon 97124-3072 FAX: 503/640-3525 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP _ -- Date Requested_ 3 AM PN! BLD _ Location- _& S w Suite — _�— MEC Contact Person y�d _ _ Ph l—/'`[J-G G��� PLM — Contractc r Ph SWR BUILDING Tenant/Owner _ _ _ — ELC Retainiig Wall ELR Footing Access: - Foundation FPS _ Fig 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 - c Misc: ---- F inal PASS PART FAIL - ---- - _ --- -- - — - PLUMBING Post& Beam ---�-�- — Under Slab Top Out - ---- -- Water Service Sanitary Sewer ____-----__-- ---.-- - --- Rain Drains Final ------------__.---------------— PASS PART FAIL MECHANICAL Past&Beam -.— Rough In Gas Line --- --------- --- --- Smoke Dampers Final - --- -_— —-- - - --- -- PASS PART FAIL ervice Rough Ire - - ��---- - UG/Slab Low�altage F ire Alarm F _ PART FAIL Backfill/Grading _— Sanitary Sewer Storm Drain ( )Reinspectivn fee of$_ required before nAo Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call far reinene�tion RE: [ ]Unable to inspect- no access ADA ,Approach/Sidewalk _ 't Other Date 3� li Inspector �� ,2���7Ext _ Final PASS PART FAIL J 90 NOT REMOVE this Inspection record from the job site. i 02 13 W fUl. 09: 13 1 .1\ A3 245 1298 EVEVERGRLEN PACIF. Q002 _BUILDING PERMIT C,ITY OF TIGARD PERMIT BUP2000-00353 C EVEL013MENT SE.WCfES DATE ISSUED- 09/26/2000 1 125 SWFall alvd.,Tloard,bR 97223 (503)639.417. 1 PARCEL: 2S101AB-02703 TE ADDRES OT450 SW BEVELAND RD /, ZONING: MUE SUBDIVISIOI I: MICA OFFICE BUILDING /� JURISDICTION: T'G BLOCI + LOT: 027 Y C ^ REI .SUE^ FLOOR AREAS _EXTERIOR WALL CONSTRUCTION I CLASS OF Y ORK: NEW FIRST: 6,468 sf N. S: E. 1HR W: TYPE OF USE: COM SECOND, sf PROJECT OPENINGS? TYPE OF Cl INST: 5N sf N: S: E: Y W . OCCUPANCY GRP: B TOTAL AREA: 6,468 00 st ROOF CONST: B FIRE RET? N OCCUPANCY I OAD: 52 BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: 1 HT: 20 tt _ READ SETBACKS REQUIRED __ r BSF/IT?: N MEZZ?: N { FLOO t LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLIN( UNITS: FRNT: ft REAR: ft FIR AI..RM: HND'CtJ ACC:Y 1 BE)RMS: BATHS: IMP SURFACE: PRO CORR. PARKING: + VALUE. $350 000.00 Remarks: Const uct new 6,468 sq,jare foot office building. Owner: Contractor: HUGH MCCAFFI EY EVERGREEN PACIFIC INC PO ROX 411 5664 CARMAN OR WILSONVILLE, C R 97070 LAKE O,SWEGO, OR 97035-3358 •'+one: 860-27 1 Phone: 636-5165 Reg#: LIC 41521 FEES� REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Shear Wall Insp Electrical Permit Requirea Gyp Board Insp PLCK CTR 08125/200C $1,040.98 27200000000 Plumbing Parmlt Required Susp Ceiing Insp FIRE GTR 08/25/200C $640.60 27200000000 1 Foot/Found Insp Appr/sdwik Insp PRMT CTR 09/26/200C $1,601 50 27200000000 Reirif Steel Insp Final ;rspectiunRlcb Insp 5PCT Cl R 09016/2000 $128.12 27200000000 'Aasonry Insp (addition»fens r 0t listed here) Framing Insp Roof neling Insp — � Total $3,96.00 Insulation Ine3 This permit is ssued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Cod !S and all other applicable law. All work will be done in acco-dance with approved plarls. This permft wi I expire it ,vork is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTIO-N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ci nter. Those rules are set north in OAR ;2-001-0010 through OAR 952-001-1987. You may obtain a - espy of these rules or diner,i questions OUNC by calling (503) 246-1987. Pe rm ttee Signature: Issued By: , � Call 639175 by 7 p.m. for an Inspoctlon the next business day TU►i 09:19 FAX 503 245 229A GV(VEKGKEGN 1'ACIP. Q00302!17 01 9 -01 SAT 11 :46 ME.HTR++A ARCH �NSL490�B'3 F 01 � 11 � 11 Fe gutty 9, 2001 RE Terence: The Mr"A office building 'Ph cast wall needs a 1 hour fire rating as it is S feet fro+m the property line. Us GA file number WP 8105 . SB inch type x , Z hour rated gypsum sheathing ovi r the plywood with nailing as shown. Synthetic stucco will be applied over the gyl sum sheathing which meets the smoke tests. � ) %Ila �. C; 1 ---A" POWIC III + J CITY OF TIGARD RUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Bus.ness Line: 539-4171 —f BLIP -__ Date Requested_ AM PM SLID Location �SZ /7�1 Gam .,i Suite MEC Contact Person _ Ph PLM Contractor ,.. —_ Ph SWR BUILDI tenant/Owner _ ELC Refaining Wall - ELIR Footing Access: Foundation FPS Fig Drain Crawl D. Inspection Notes: - SGN _ Slab ---- - -- - _ -_- ----_ --- SIT Post& Beam Fxt Sheath/Shear it Sheath/Shear - Ft iming ------ ---- ------- lnsilation Dipvall Nailing - - ---- --- --- - -- FI:ewall -------"-_- Fire Sprinkler Fire Alarm -- -- -------- ------------- -- Susp'd Ceiling --------- -------- -- --- ----- .-—- ------ Roof Mitac. -- -- ---- -- - - _ ---- ---- - PASS PART FAIL GING — ----- ----- Post& Beam __-.-- ---- —`_--_-- ---" - ------ -. Under Slab TopOut -------"--_--------------- ---.._-- -------- --__ _. Water Service Sanitary Sewer __-- Rain Drains Final -- -- ----- PASS PART FAIL MECHAMCAL �— Post& Beam --- ------ - Rough In - - --- Gas Line ---- Smoke Dampers -' Final _----------- -- - - -------- - --- PASS PART FAIL ELECTRICAL - ._--_--- --- -_ - Service Rough In ----------._�---- --------- LIG/Slab t.ow Voltage F 9 Alarm -- - - - - --------- ----- PASS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain [ I Reinspection fee of$_ required before next inspectioli Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE:_ [ ) Unable to inspect-no access ADA OtherApproach/Sidewalk rn inspector 6)-_1(W-4— Ext Other Date _ �-' �—�--- p � -- - - ------ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD CERTIFICATE IF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00353 9/26/2000 LM 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED:PARCEL: 22 S 101 AB-S101AB- 02703 ZONING: MUE JURISDIC11ON: TIG SITE ADDRESS: 07450 SW BEVELAND RD SUBDIVISION: MCA OFFICE BUILDING BLOCK: LOT:027 CLASS OF WORK: NEW TYPE OF USE: CCDM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 52 TENANT NAME: REMARKS: Cn-,'runt new 6,468 square foot(,ffce building. Owner: HUGH MCCAFFREY IDO BOX 411 WILSONVILLE, OR 97070 Phone: 860-2711 Contractor: EVERGREEN PACIFIC INC 5664 CARMAN DR LAKE OSWEGO. OR 97035-3358 Phone: 636-5165 Reg #: LIC 41521 This Certificate issued 110114/2001 gr..ants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Species Codes for the group, occupancy, and use under which the referenced,permit wa iss)ued. 6k� -A)', ty- BUILDING IN PECTOR BUILM&OFFICIAL ^- POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4.171 MST BUP __. - Date Requested S '7/ AM_ PPs BLD Location q5-6 �� p�.��c„�-� Suite MEC Contact Person _ ��/� Ph J�G — P'_M _ Contractor — Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall - Z,- ���� Fonting Access: ELR `' V U�0 Foundation FPS Ftg Drain ----- Crawl Drain Ir-ipection Notes: SIGN Slab _ - ---- Post& Beam - - - -- SIT _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation ---- -----_ ___. - -- Drywall Nailing Fire,.-:311 ---- -- ---- --- __ Fire SSrip!leler Fire Alarm �-'' / - --------_ Susp'd Ceiling Roof -- ----- Mise: Final — -_ _ -- -- ----- - --- PASS PART FAIL PLUMBING Post&Beam ----- — ,�---- \ Under Slab Top Out - . ------- - — Water Service - Sanitary Sewer -- - Rain Drains Final - -- - --- - PASS PART FAIL MECHANICAL — Post& Beam Rough --- Rough In - Gas Lina ---- _-- _ Smoke Dampers Final PASS PART FAIL — TrIC4 -- _ Service - Rough In Ur'S — � olta e larm ASSART FAIL SITE - --"--- Backfill/Grading -- ---- — -- __-_ Sanitary Sewer Storm Drain [ ) Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line 1 I Please call for reinspection RE-_- ( ]Unable to inspect-no access ADA - v-- Approach/Sidewalk Other Date 'J C,t - L— Inspector e� Ext Final - -- PASS PART_ FAIL DO NOT REMOVE this inspection record from the job site, CITYOF TIGARD RESTRICTED_ ELECTRICALRESTRICTED ENERGY DEVELOPMENT SERVICES PFRIviii#: ELR2001-00122 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/24!01 f PARCEL: 2S 101 AB-02703 SITE ADDRESS: 07450 SW BEVELAND RD SUBDIVISION: MCA OFFICE BUILDING ZONING: MUE BLOCK: LOT: 027 JURISDICTION: TIG Proiect Description: Burglar Alarm A.RESIDENTIAL _ _ B.COMMERCIAL AUDIO& STEREO: AUDIO &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: _ TOTAL#,OF SYSTEMS: 1 Owner: Contractor: HUGH MCCAFFREY TENNATRONICS ALARM CO PO BOX 411 PO BOX 833 WIL_SONVILLE, OR 97070 OREGON CITY, OR 97045 Phone: 860-2711 Phone: 656-6333 Reg#: LiC 0069939 ELE 3-255CLE SUP 267A.E. _ FEES __, Required Inspections Type By Date Amount_ Receipt Ceiling Cover PRMT CTR 4/24/01 $75.00 2720010000 Wall Cover Elect'I Final 5PCT CTR 4/24/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 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 at (503) 246-1987 Issued by ( ,_ _ Permittee Signature OWNER INSTALLATION ONLY The installation is b, ing made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _ —__--_ „— DATE:__ CONTRACTOR INSTAL ATION ONLY SIGNATURE OF SUPR. ELEC'N ��„ „s_� ��``� DATE: LICENSE NO: Call 639-4175 by 7.00 P.M. for an inspection needed the next business day Electrical Permit Application Datereceived:y_;Z Lf-t!1 r Permit no. ppI .!2/2 y City Of Tigard Project/appl.no.: f Expire date: Cttn fit 7i,qurd Address: 13125 SW Hal. Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: I'hone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type: Land use apprcvni: _ t U I & 2 family dwelling of accessory Commercial/iiidustruiI U Muia-family U'Tenant improvement J Ncw constnu'tion U Addi tion/al teration/repl acetnent U Other._ U Partial Job address: 7+j �--,w 86 VALP tv d, I Bldg.no.: I Suite no.: ITax map/tax lot/account no.: I.ot: I Black: ISubdivision: —� Project name:W LA offIlea &VIA Description and location of work on premises: /I r...�'t l'•Vtj� � Estimated date of completion/ins +ction: +— 5— 0 Job no: vee Max Business name: i� Description Qliy (ea) Total no.Ins ��*—�{�, � •v' Nrw reckkrdial-Ingle or multi-family per Awdress: �6 J _ dwelling unit.Includes attached garage. City: f State: ZIP: Seroceincluded: Phone:S / 1000 s .ft.orless — — _ 4 CCB no.: Elec.bus.tic.no O �1 Each additional 500 sq.ft.or onion thereof all I,imitedenergy,residemtial _ 2 CI /metro lic.no.: _ Li mi ied energy,non-residential 2 t 46�`2A.—U Each manufactured home or-nodular dwelling Signal of supervising el ec ric an(r ueg i) Date Service and/or feeder - 2 Sup.el .t.name(print)w�� I.iccnscntcJ� Servlccaorfeeders—Installatlon, abet anon or relocation: 200 amps or less _ _ _ 2 Name(print): 201 am s to 400 amps 2 .— ---- _-- Mailing address: - 40I romps iv 60C amps 2 611 amps to 1000 amps _ _ 2 City: Slate: ZIP: Over 1000 snips or volts -7 — Phone: Fax: E-mail: Reconnectonl I — Owner installation:The installation is being made on property I own Temporaryxrvices or feeders- which is not intended for sale,lease,rent,or exchange according to Insinlist Ion,alteration,orrelocstIon: ORS 447,455,479,670,701. 200 amps or less — Y — 2 201 amps to 400 amps _ _ 2 Owner's si mature: Date: _ 401 to 6W ams — 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ 2 City: Stale: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: — Each additional branch circuit: Misr.(Service or feeder not Included)! rUSer-vice over 225 amps-commercial U Health-care facility Each punip or irrigation circle 2 U Service over 320 amps-rating of 1 R2 0 Harardous location Each sign or outline lighting — 2 lamily dwellings U Building over 10,000 square feet four at Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension' _ _ _ 2 U Building over three stories U Feeders,W)amps or more *Description: U(k.cupant load over tp IW1Solis U Manufactured structures or RV pari Foch additional unperilon over the allowable In any of the above: U EgressAighmngplan U(hhet — Perms own _Submit sets sets of plans with any of the above. Investigation fee The above are nol applicable to temporary construction service. Other Not all juriedictiaN scoepr credit carttr,please call iusisdictuvl fro iiy a Infotlnatim Notice:This permit application PCRnII fee..................... U Visa U MasterCard expires if a permit is not obtained Plan review(at ____ ^t l $ Credit card nur,t ec _��__ within 190 days after it has been State surcharge(814 1 ....$ Name of cardholder u shown on cirk Expires a (opted as complete. — TOTAL .......................$ _ S Cardholder signature __--� Amount _ 440-4615(6AxK'0M) Electrical Permit Fees: Limited Energy Fees: t;om tete Fee Schedule Below: TYPE OF WORK INVOLVED ..RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft or less $145.15 -- 4 ❑ Audio and Stereo Systems Each add'tional 500 sq fl or portion thereof — $3340 = 1 ftp Burglar Alarm Limited Energy $75.00 U Each Manufd Home or Modular Dwelling Service or Fender $9090 7 lJ garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or elocution 200 amps or less _ $80.30 _ 2 ❑ Vacuum Systems, 201 amps to 400 amp $106 85 2 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240.60 2 I ❑ Other Over 1000 amps or volts $454 65 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,cr relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2. (SEE OAR 910-260-260) 201 amps to 400 amps $10030 2 401 amps to 600 amps $13375 2 Check Type of Work Involved: Over 60C amps to 1000 voils, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)l he lee for branch circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit S665 _ 2 Ll Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alami Installation or feeder fee. First branch circuit _ $4685 _ Each ad.fitiunal branch circuit $665 ❑ HVAC Miscellaneous ❑ Instrumentation (' ice or feeder not included) L. pump or irrigation circ' _ $5340 _ ❑ Each sign or outline lighting $53.40_ Intercom and Paging Systems Signal circuit(s)er a limited energy panel,alteration or extension $75.00 _ ❑ Landscape Irrigation Control' Minor Labels(10) _ $12500 _ Medical Each additional Inspection over ❑ the allowable In any of(tie above F—]Per inspection A_ $62.50 !_ _ Nurse Calls Per hour ____ $62 50 In Plant $73 75 __ ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ _ ❑ Other 8%State Surcharge ----- _ ---I— _ Number of Systems 25%Plan Review Fee No"Plan Review"section on $ ' o lieensns are required Licenses are required for all other Installations front of application --- Fees: Total Balance Due $ -----� Enter total of shove fees Trust Account 0 _ 8%Slate Surcharge $ Total Balance Due i\dsts\furms\elc-f'ces.doc 10/19M CITYOF TIGARD P LUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM0i-00154 DATE ISSUED: 4/16/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101 AB-02703 SITE ADDRESS: 07450 SW BEVELAND RD SUBDIVISION: MCA OFFICE BUILDING ZONING: MUE _ BLOCK: LOT: 027 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME. SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINAL S: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSET:): WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Back flow preventor FEES Owner: Type By Date Amount Receipt HUGH MCCAFF REY PRMT CTR 4/16/01 $72.50 27200100000 PO BOX 411 5PCT CTR 4/16/01 $5.80 27200100000 WILSONVILLE, OR 97070 – — Total $78.30 Phone 1: 860-2711 Contractor: —-- TERRY RINKES TRACTOR WORK PO BOX 546 BEAVERCREEK, OR 97004 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 503-532-6227 Reg#: PLM 5550 LIC 48563 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: �_ Permittee Signatur �Call03 639-4175 by 7:00 P.M. for an inspection needed t next business day t Plumbing Permit Application Date received: Permit no;t jj i, City g of Tigard — Sewer permit no.: Building permit no.: Address: 131.25 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 retfii'l .na: Expire date: Fax: (503) 598-1960 By: Receipt no.: Land use approval: .: Payment type: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-f l;ntly U Tenant improvement New construction U Addilion/alteration/replaccmcnl U Food service U Other: _. Job address.: — Description tion (tt . Fee(ca.) Total Suite no.: Ne-w-1-and 2-family dwellings only: Bldg.no.; L [) _ —_ (Includes I(IOft.for each utility connection) Tax map/tax IoUaccount no.: _ — SFR(I)hath l.oC Block: _subdivision:_ ___— SFR(2)bath ---- -- __ Project name: _ SFR(3)bath_ City/count.y: ZIP: j�, I F'.ach additional bath/kitchen Description and to tion of work on premises:_44 0:,-A Slteutilitles: Catch basin/area drain Dry Est. •of completion/inspection: wells/leach line/Ucnrha drin — Footing drain(no. lin. f1.) _ _ Manufactured horns.utilities _ _Business name: �P l�xd�aet ' fp( � ILY11 Manholes --- Address: CjRain drain connector City: State: ZIP: CTeEnercloo � Sanitary sewer(no. lin.ft.) Phone: _ Fax: E-mail: Storm er(no.lin.ft.) — — CCB no.: Plumb.bus.reg.no: $__15 C) Witter service(no.lin. ft.) Fixture or Item: City/metro lic.no.: Absorption valve Contractor's representative signature. Back(1owreventcr— Print name: - Date: i Backwater valve — — Basins/lavatory Name: Clothes washer Dishwasher Address: L _ Drinking fountain(s) _ City: State: ZIP: Ejectors/sump _ Phone: t- o -t Fax: �' - E-mail: Expansion tank Fixture/sewer cap _ Flora drains/floor sinks/hub _ Name(print): _ _ — Garbage disposal hib __— Mailing address: _ Hose. b _ City: Stale: ZIP: ___.. Ice maker _ Phone: Fax: E-mail: Interceptor/grease trap Owner instailation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roofdrain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ _ — Owner's signature: Date: _ _ Sump _ _ — Tubs/shower/shower pan — Urinal Name: _ -- ---- ----- Water closet _-- Address: _ v Water heater City: State: ZIP_ _ Other: ---- — _- Phone�----u Fax: — F.Iwil_ Total _-- — Minimum fee................$ Not all int uticuons accept credit cards,please cell jurisdiction fix more infexrttation. Notice" llhis permit application l --_ U Visa U MasterCard plan review(at �) $ _ expires if a permit is net obtained Stale surcharge(8'3h)....� — Crrdit card number' ___—_ _– �_L__ within 180 days after it has been Espircs TOTAL ........................ _ Name d cardholder u shown on credit card accepted as complete. --– W-461616WCOM) Crrdholder signature Amount` I PLUMBING PERMIT FEES: PRICE TOTAL Now 1 and 2-family dwellings only FIXTURES Individual) QTY ea AMOUNT (Includes all plumbing fixtures in PRICE. TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (c^; AMOUNT Lavatory 16.60 for each utility conna_ction _ — One 1 bath � $249.20 Tub or Tub/Shower Comb. 16.60 .11—th -- — -- Two r7 Shower Only 16.60Threes bath — — — $399.00 Water Closet- 1660 __-- ------ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 — Floor Drain/Floor Sink 2" 16,60 Y 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 uantity b Work Performed Gas piping requires a separate mechanical Flxtu.L.Type: New Moved Replaced Removed/ ermil. _ — _ Capped MFG Home New Water Service 46.40 Sink _ MFG Home New San/Storm Sewer 46,40 Lavatory--- --- Tub or Tub/Shrwei Hose Bibs 16.60 Combination _ Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal — _— Dishwasher_ Garbage Disposal — I_aundry Room Tray -- _Washing Machine -- — Floor Drain/Sink: 2" — Sewer-1 st 100' .55.00 3„ — -- Sewer-each additional 100' 46.40 y^ i q' Water Service-1 st 100' 55.00 `— Water Heater — Water Service-each additional 200' 46.40 Other Fixtures -- (Specify) Storm 8 Rain Drain-1st 100' 5510 Storm&Rain Drain-each additional 160' 46.40 Commercial Back Flow Prevention Device 46.40 Residential BarAflow Prevem'on Device' 27.55 Catch Basin 16.60 Inspection of Existing Pbrmbing or Speciall; 72.50 Requested Inspections_ _ erRv COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 1660 QUANTITY TOTAL — Isomelrlc or riser diagram's _rlred If — —2uanll1y rola)Is >9 — 'SUBTOTh 1. ----- — B%STATE SURCHARGE — —- ---- ---i ,�_r ----- -- "PLAN REVIEW 25%OF SUBTOTAL ! — R sired only if fixture city total Is>9 — TOTAL l j/JQr *Minimum permit fee is$72 50•8%state surcharge,except Residential Backf eowe Prevention Devine,which Is$36 25+8%state surcharge "All New Commercial Buildings require plain with isometric or dsor diagram and plan review i:\dsts`dorms\plm-fees.doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISIK7N MST 24-Hour Inspection Line: 639-4175 Business Line: 639-1171 --------- '' // BUP Date Requested `7' Z"� AM PM " BLD I ocation- "l►� '5 C"' ?v e Suite MEC r;ontact Person ^� Ph ->I jr- o> V _ PLM Ze,4 � (;ontractor Ph SWR tBUILDING -- Tenant/Owner ELC Retaining Wall ELR _ Footing Access. — Foundation FPS Fig Drain Crawl Drain I Inspection Notes: ----� — SGN Slab SIT Post$ Beam Ext Sheath/Shear Int Sheath/Shear i Framing ------- ---- --- -------- - - -------- --- -- --- Insulation Drywall Nailing Firewall Fire Sprinkler - - - ----- -- --------- --- --- Fire Alarm Susp'd Ceiling _-----------------------_---- --- - �.,._-_- ----__.__. Roof Misc: -- ---- --- ----- — ----- -------------- Final - --_--_-�- P .-PART FAIL - ------- Post& Beam ----PostBBearn -- --- ----Under Slab Slab O;c40/4 -- ITop Out — -- -` Water Service Sanitary Sewer -_------------ ---------- --- --- --- R rains PART FAIL M HANICAL Post& Beam -- ---------- --- -- --- Rough In Gas Line _-�_ -- -- ---- ----- - - - Smoke Dampers Final - - PASS PART FAIL ELECTRICAL _-- Service Rough In UGISlah Low Voltage Fire Alarm Final ---_-__�—� -- ---- - PASS PART FAIL SITE Backfill/Grading ------__�- -----_.� -----____-- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _- _required before next inspection. Pay at C`.ty Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for r spectjon RE: --Y_ [ ]Unable to inspect-no access ADA Approach/Sidewalk p� / Other Date __ — Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 619-4175 Business Line: 639-4171 BUP __Date Requested_/. Z 3 AM PM BLD Location / 5-1✓ Suite /e11 MEC ' Contact Person _ — _ — Ph S/ G��7 Contractor —, Ph _— S � . BUILDING Tenant/Owner — Retaining Wall i ELR - Footing Access: FPS Foundation --- -- Fty Drain SGN Crawl Drain Inspectior, Notes: -- -- Slab -------- ----- - SIT _ Post&Beam - - Ext Sheath/Shear --_-_ - Int Sheath/Shear Framing -- ---_- "-- --�--- - - Insulation Drywall Nailing _---------.--.-_--- - ---.- `_r Firewall Fire Sprinkler _--�--.-----_-_-_ _-. ------__-- __-- Fire Alarm Susp'd Ceiiin9 -- Roof \ Misc: Final -- �----------------- PALS_ PART FAIL --- -- ---------- --_-- --- --- - PLUMBIN '�MY577& Beam - -- ------ - - - -- ---- Under Slab Top Out - -------_.- ------ -.- Water Service Sanitary Sewer -- Rain Drains 14=1 PART FAIL WeRA Post& Beam --- Rough In IGas Line --- - - - -- - -------- -- --- Smoke Dampers FilART FAIL. Service Rough In UG/Slab ----- --------- T-------- --_ — --- -- -- Low Voltage Fire Alarm -----_-- -- --- ----- --- ._�_-- --- --- -_ — Fin:d PASSPART FAIL --- --.-_-.W__.___-- -. -_----_- _-- --- - ---------- SITE Backfill/Grading � ------ -------- - ._---.-.�_.- -_--- 16 nitary Sewer Storm D iin [ J Reinspec!!c;i fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply line [ ] Please cell for reinspection RF _ _ [ ] Unable,o inspect no access ADA Approach/Sidewalk L Other Date _ Inspector_ Ext Final _ PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line 639-4171 --- -- BOP _ - Date Requested 3 - _ AM PM - BLD Location �� .-rte✓ ��vl/ � /Z -_ — Suite /uu- Leo ���J MEC �4 -Z05-6 f'ontact Person _ _ - _ Ph ! G 5-;'K PLM Gontractor Ph SWR IRUILDING Tenant!Owner t_LC Retai,iing Wall — ELR Footing Access: — Foundation / FPS - Ftg Drain r+GM Crawl Drain r1npe n Notes: ----- Slab - ------_�-_--_ _.— -.- SIT Post& Beam ---- — Ext Sheath/Shear Int Sheath/Shear Framing -----_____-___ ------ Insulation Drywall Nailing Firewall -- - ...--------�---------- Fire Sprinkler Fire Alarm Susp'd Ceiling --- ------- ---- -- ---- - -- Roof Mist -------- -- ---- —- --- _-�...� Final - PASS PART FAIL _____ ....--_--.--_--___. _______.._.__--__- - - -• ---_--.- PLUMBING Rost ti Beam — Under Slab TopOut - - ----- -----------.�_.._..__------------_-- _---------- Water Service Sanitary Sewer Rain Drains _ Final PASS FART FAIL MHANWAL Post & Beam — - - - - ----- ------ ---- --------- Rough In Gas Line -- Smoke Dampers fAr PART FAIL TLEECTRICAL ---------- — - "ervir-.e Rough In UG/Slab Low Voltage Fire AlarmF inal incl PASS PART FAIL -- ----- -- - -- --- -------- — ---- SITE Backfill/Grading — Sanitary Sewer Storm Drain ( ]Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE: Unable to inspect-ro access Fire Supply Line ADA Approach/Sidewalk Other _—_ Date �--�� ', -��_--Inspector- 1_ -_% _-_ Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. Main Office Salem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 Carlson � Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 C.,it r l s(�n Testing Inc• Phone(503)684.3460 Phone(503)589-1252 Phone(541)330-9155 FAX(503)684.0954 FAX(503)589-1309 FAX(541)330.9163 .� —S-p—ecial Inspection FINAL SUMMARY LETTER April 26, 2001 T0005720 City of Tigard FILE COPY 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building nepartment Re: MCA Building - #99010 7450 SW Beveland Dr. - Tigard, OR Permit No.: BUP2000-00353 Dear Sir or Madarn This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Reinforcing Steel Concrete— Compressive Strength Testing Installation of Epoxy Anchors Installation of Cast-in-place Anchors All inspections and tests were performed and reported according to the requirements of Project Documents arid, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design change-:,, 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 from this office. If there are any further questions egarding this matter, please do not hesitate to contact this office. Respectfully submitted CAFE ON TESTING, INC. - F Hietpas lity Assurance Manager Jt-A/Is M McCaffery & Associates — Hugh McCaffery Evergreen Pacific. Inc Payton Rowell Mentrum Architecture -- Bayard Mentrum P 1W0RMREP0RTSTIM TR%TRf105770 CITY OF TIGARD BUILDING INSPECTION DIVISION MST t-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP — Date RequestedAM _PM BLD _ Location� 54tl_�p���w--� �— Suite !v"- Z"''� MEC Contact Person Ph fi.l�• YID 3 3' PLM _-- G Contractor �`'-✓ Ph 05 SWR _ ism W-L Tenant/Owner ELC -- -- 7ra all ELR �G o�_�a Z Z_ Access: FPS Crawl Dram ^ !nc ction !dotes SGN Slab —__ —__ _ SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing -- ------- ----- - -- -- Insulation Drywall Nailing Firewall Fire Jer -- - -- - ----_ __ --- -- d Ceiling Roof Misc - ------ - -- -- -- Final --- --- PASS PART FAIL - ----- - - ----T PLUMBING Past 8 BeamUnder Slab Slab Top Out Water Service Sanitary Sewer ------ ----" _ Rain Drains Final PASS PART FAIL _ MECHANICAL Post& Beam - Rough In I Gas Line --- -- --- _ Smoke Dampers Final -- ------- - -- --- PASS PART FAIL ELECTRIgffib rvice — Rough In (.1G/Slab I c,w�_Vol�taa�e ire Alarm f inn PASS PART FAIL ------ .- --------------------e_.--SITE Hackfill/Grading ---�----- —T-T-" ------ ---- -- Sanitary Server Storm Drain [ j Reinspection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE _- — [ )Unable to inspect-no access ADA Approach/Sidewalk �--' Other Date InspectorExt L� —�. Final PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _—" BLIP _ —5 Date Requested '7- Z y AM — ^M BLD _-- — Location—;7�)q L7 Ve _ — Suite I�� — MEC —_— Contact Pl:�rson Ph 7 `r — PLM Contractor _— —� __— Ph SWR -- 60I0INIG Tenant/OwnerELC _ 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 r- - - Roof Misc: -�- --- — — Final - _- PASS PART FAIL ---- --- -- PLUMBING —i— -- -- — Post& Beam Under Slab - _ - Top Out Water Servi-e - Sanitary Sewer -- - Rain Drains - Final PASS PART FAIL __._-_-- --- �--- MECHANICAL _--- ---- --- --_--�-� Post& BeamTV Rough In Gas Line - - Smoke Dampers - Final PASS PART FAIL Rough In UG/Slab --- -------- .---- �_ - -. F' PASS PART FAIL S F�ackfill/Gradiny _._---- ------ - ----------------- - -- Sanitary Sewer Storm Drain ) )Reinspection fee of$_ rei;uired before next inspection Pay at City Hall, 13125 SW Hall Blvd (:itch Basin Unable to inspect-no access Fire Supply Line ( )Please call for reinspection RE: i I P ADA (7--^/ � Approach/Sidr•calk Date 4/ -Z'� - 6) Inspector ✓fit_y C� _ __Ext _ Other -- Final PASS PART FAIL) DO NOT REMOVE this inspection record from the jots site. CITY OF TIGAR,D BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 'BUP '4&�vt — ocx)� Date Requested �� —AM---PM —__ BLD Suite MEC Location Contact Person i Ph PLM Contractor Ph _ SWR — UILDJNG Tenant/Owner _ -_ ELC —_ Retaining Wall ELR Footing Access: Foundation I FPS ----_-- -- Ftg Drain SGN Crawl Drain Inspection Notes: Slab --- - ------_-_ — — SIT Post& Beam r ------�------- Ext Sheath/Shear Int Sheath/Shear Framing --- -- -- ------ --�.- Insulation Drywall Nailing --- F firewall Firth �Susp'd Ceiling - --- - ---- --- - ----- Roof misc� �- fiffiAt_- 1 ASS PART FAIL ------- — - ING Post& Beam Under Slab I op Out `Nater Service Sanitary Sewer Rain Drains Final PASS PAPT FAIL MECHANICAL. Post& Beam - — -----. — - ----- --- _---- -- - -- Rough In GasLine -- ----- -- _.__-- ----_-_ -------------- __-------- Smoke Dampers Final -----------------__- ---- -- -----_. -----------_ PASS PART FAIL ELECTRICAL ----_. --- - - ------------------ ------- --------- Service Rough In IJG/Slab --- --- - - - ------ ----I.ow Voltage Fire Alarm --__._---- —_---_ - -- -- -- --- -- Final PASS PART FAIL ---- - __------------- ----- - — __SITE _ Backfill/Grading - ----- ------ ---_--------- --_.. __-.----- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE [ ] Unabla to inspect no access ADA j J / Approach/Sidewalk Date I + Inspector � l�1 Ext Other _ — '- -�--- -- Final -PASS PART- FAIL_J DO NOT REMOVE this inspection record from the job siRr. APR-26-20011,. 15:36 n RnnOnnWELLENGINEERING 503 254 C?61 P.01 EMPN QN5o PORTLAND OR. 97216 CIVIL — SV PUCTURAL ENC—INFEI?S PH: (503) 254-6292 FAX: (5031 254-6761 FINAL PLRIO )I 'lIYSPEGT.iGN REPORT FILA COPY MCA OFFICE BUILDING 7450 SW Beveland Dr. Tigard, Oregon HUP2000-00353 Mentrunt Architecture, Inc, April 26, 2001 City of Tigard Building Department This is to certify that in accordance with the provisions of the State Building Code, Section 307, and to the best of my knowledge, the work has been done in accordance with the approved plans and specifications, approved change orders and applicable workmanship provisions of'tlic State Building Codes .mid Standards. Special inspection reports, completed by Carlson Testing, have been reviewed and found acceptable. A c ��PEU PRO'C4,, Sincerely, c�� �NGINFF9 %y < 43 OREGON Payton Rowell, S1; F �1(� EXPIRES:��2 cc: Bavard Mcntrum 248-0879 cc: Evergreen Pacific 636-5740 I i f'nsu�•ed I>rnument t. i i i i TOTAL P.01 I 1 1 04%26/01 THU 15:36 FAR 503 684 0954 CARI.90N TESTING Q3oo2 Main Of a Salem OfOca Band Office P.U.Wx 23614 4084 Hudson Ave.,NE P.O. ox D7918 Tigard,Oregon 97281 Salem,OR 97301 Bond,OR 9TIU8 • r1hone(S03)404-3460 Phone(503)589-1252 Plane(541)390.9155 C�arls�]�x Testiing, Inc. rAX(503)584.0954 F•AX(500)589-1308 FAX(541)330-L1!!'3 - pec a na;p on FINAL SUMMARY LETTER April 28, 2001 �oT0005720 FILE PI City of Tigard 13175 SW Hall Blvd., heard, OR 9122"199 Attn- fiuilding nepartment Re- MCA Building-#99010 7450 SW Beveland Dr -Tigard, OR Permit No : BUP2000-00353 Dear Sir or Madam This is to certify that in accordance with Section 1701 of the Uniform Building Codand rep Chapter 24,2only0 Title 24, we have performed special inspection of.he following itern(s) pinspection Rvinforcing Steel Concrete—Comprrsslve Strength I esting Installation of Epoxy Anchors Installation of Cast-in-place Anchors All inspections and tests were performed and reported acct�rding to the requirements of PovPd lens and Documents and, to the best of our knowledge, the work was in conformance with the apprS on of the S ate Building Code speelflcaticns, approved change orders and applicable workmanship p rovand Standards, as well as the, structural ongineer's design changes, approvals and vbrbal Instructions. Our reports pertain to the material testedAnspected only. information cctnielined herein N riot to he reproduced, except in full, without prior authorization from this office If there are arty further questions regarding this matte r, please do not hesitate to contact this office. Respectfully submitted, CA I ON TFSTING. INS I f� F. Hietpas lity Assurance Manager J As cc. McCaffery &Associates—Hugh McCaffery Evergreen Pacific, Inc. Payton Rowell Mentrum Architecture Bnynrd Mentnim P 1W0q AtjF0WT9✓M,iFTfMIS'M CITY OF TIGARD BUILDING INSPECTION DIVISION 31 ZVG 24-Hour Inspection Line: 639-4175 Business !_ine: 639-4171 MST BUP _r—}},,—Date Requested—/�C. ' Z� AM PM Com_ vocation S Pr�`+i P✓ �--�+� Suit.'' ME - - _ MEC _ Contact Person ph S� G,S 7� _ PLM Contractor — Ph SWR BUILDING Tenant/OwnerELC Retaining Wall - -�— ELR �/�,�.-GU 4 y, Footing Access: ---— Foundation FIRS Fig Drain - - Crawl Drain Inspection Notes: SGN Slab _ ---- Post 8 Beam -' `- --- SIT Ext Sheath/Shear Int Sheath/Sheaf -------- �- Framing Insulation ------- -- ------- ----- Drywall Nailing - Firewall - — ---- -- Fire Sprinkler Fire Alarm ----- - - - Susp'd Ceiling Roof --___-._-- Misc: Final -`----- - ._ ---- -- - - PASS PART FAIL PLUMBING Post&Beim - ------- Under Slab Top Out -- Water Service Sanitary Sewer ��- ----- l Dain Drains Final f PASS Pt p' FAIL MECHANICAL - -- Post& Beam - ------_.---__-- Rough In Gas Line ------ --- -- Smoke Damper,-- Final amper,Final - -- _ PASS PART FAIL Service Rough In (7Va�, -- ------�- ---- -_ UG/Slab Low Voltage -- -- Fire Alarm 7j5AS8PART FAIL - - ------- - Backfill/Gradiny 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 [ 1 Please call for reinspection RE: [ ]Unable to inspect- no access ADA Approach/Sidewalk Other ` _-- Date �`� - �� -_ Inspector. %`���__ Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL - CITY OF TIGARD RESTRIC EDPEN ENERGY DEVELOPMENTDEVELOPMENT SERVICES PERMIT#: ELR2001-00047 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 2/22/01 SITE ADDRESS: 07450 SW BEVELAND RD PARCEL: 2S101 AB-02703 SUBDIVISION: MCA OFFICE BUILDING ZONING: MUF BLOCK: LOT: 027 JURISDICTION: TIG Proiect Description: Restricted energy permit for HVAC. F.RESIDENTIAL B.COMMERCIAL v _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: HUGH MCCAFFREY ROTH HEATING &COOLING PO BOX 411 6990 S ANDERSON RD WILSONVILLE, OR 97070 CANBY, OR 97013 Phone: 860-2711 Phone: 503-266-1249 Reg #: LIC 14008 ELE 3-314CRE FEES Required Inspections _ Type By Date _ Amount Receipt Low Voltagr Inspection PRMT CTR 2/22/01 $75.00 2720010000 Elect'I Fir ,i 5PCT CTR 2/22/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations containp.rl 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. l hose rules are set forth in OAR 952-001.0010 through OAR 952-001-0080. You may obtain copies of these rul 3s or direct questions to OUT at (503) 246-1987. Issued bjr _ rtz'. lT_ Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease. Sr rent. OWNER'S SIGNATURE: DATE: _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: � ------- -- � �_�--�— Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received:J2 ,t/ 0/ Permit no.: '5444nj—peQ4/ City of Tigard Project/appl.no.: _ Expire date: Citr(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 Date issued: By: tteceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - U I &2 family dwelling or accessory U Commercial/indusinal A Multi-f:tn,ik U Tenant improvement U Now construction U ndclilinn/alteration/rrplaccnlent J 1!itn _. U Partin! JOB SITE INFORMATION Joh address: �} t.eJV �G (+ I1.� lis l 77 -- uitr n -- Tnx mar/lstx lot/account nu.--- Block: Subdivision: Project nano(: OrrC7,L-C Description and location of work on premises: Fstiniated date of coni iletion/ins 4 ection: Job no: Fee Max _ �C� ir��t1- U(tn -- Iksc�iptiun l)tv. (cast 'total no.Ince Business name: --� New residential-single or multi famlly per Address: 6,11() .^ v- n 14 Q dwcllhdgunit.Includes attachedgaragc. City: Slate: ZIP: q'901 %eniceiocluded: Phone:2 .. 12.4Fax:2(.,(o 34G-mail: Euch additional 500 sq.ft.or portion thereof _ ^_ CCB no.: 1 yCXJ d. Elec.bus. tic.no: 3 3 I CagC Lindtedenergy.residential �A Cit i lic.no.: // �o -� Limiledenergy,non-residential _ '- z Each manufactured home or modular dwelling 5 Service and/or feeder to a eismg elcctri r(rcyt d) -_ -- l)ntr Services or feeders-Instal lotion, Sup.elect mm�e(pnnU: VIX,4 _ -d', A- License no.. gl y(L alteration or relocation: � wall 21N)enrps or less Nance(print): �I� (h rn_�C" ir-4 V _ __ 201 amps to 4(10 amps 2 V­��--- 401 amps l0 6(N)mops Mailing address: V 11 _-- 601 snips to 1000 amps —^— 2 city: (jt 1iv 1 kilt_ Stalc:0 ZIP: UaU over I(XN)amps orVolts 2 — Phone: )(ch 2. t Fax: E-mail: I Reconticctonly I Owner installation:The installation is being made on property I own Temporaryseryicesorfeedem- Installation,alteration.or relocation which isnot intended for sale,lease,rent,or exchange according to 2(N)amps or less -- ORS 447,455,479,670,701. 201 mops to 400 amps Owner's si nature: Date: 401 to 600 ams -' Branch circuits-nen,alteration, or extension per panel: Name: _ _ n Fac(ur branch crrcuiis with purchase of Address: service of feeder fee,each branch circuit 2 Cit, Stale: ZIP: H Fee for branch circuits without purchase of service or feeder fee,first branch circuit '- Phone: E-mail: — liach udditioual branch circuit. Mise.(Service or feeder not Included): rum UService over 225 engs ununuri rd J I lralth�an•1.1,i�ililtsEtch I P or irrigation circle '- 2 U Service over 120 amps-rating of I&2 U Hazardous locanoo Each sign or outline lighting familydwellings U Building over 10.000 square feel four or Signal circuit(s)or a limited energy panel, / U System over 600 volts nominal more residential units in one structure alteration,or extension* J building over three stories U Feeders,41x)amps or more *Ikscti tion: L. — - J l kcupam load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the alcove: U Egress'lighting plan j Other per inspection F �_�--- Snbmlt sets of plans with anx of the above. Investigation fee The above are not applicable to temporary construction service. Other Not se all jurisdictions accept credit suets,pleacall luticdichon for more information Notice:'1'his permit application Permit fee.....................$ _ 96 U Visa U MasterCard expires if o permit is not obtainedPlan review(at $ ----'�" ('radii card number _._ _� within Igo days atter it has been State surcharge(8%)....$ xpircs accepted as complete. TOTAL .......................$ Name of carm,or u s own on credit card —_----_ ('udholdrrdttltaturc S Amount W4615INOD"MI Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit $145 15 1 Audio and Stereo Systems 1000 sq it or less Each additional 500 sq It or $33 40 1 Burglar Alarm portion thereol -- Limited Energy $7500 F ach Manurd Home or Modular El Garage Door Opener' Dwelling Service or Fet;der $90.90 --_--- Healing,Ventilation and Air Conditioning Svstem' Services or Feeders Installaliun,alteration,or relocation $80 30 2 200 amps or less 85 2 Vacuum Systems" 201 amps to 400 amps $106 60 2 401 amps to 600 amps — $160 60 — F-1Other 601 amps to 1000 amps $240.60 2 - Over 1000 amps or volts $45465 2 Reconnect only $66.85 2 - TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system........................... .............. ...... ........ $75.00 Installation,alteration,or relocation $66 85 2 (SEE OAR 918-260-260) 200 amps or less 201 amps to 400 amps $100 30 -- Check Tvpe of Work Involved 401 amps to 600 amps $133 75 - _-- 2 Over 600 amps to 1000 volts, L� Audio and Stereo Systcros see"b"above. Branch Circuits f3oiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or lee. Fath b $6 65 Path branch circuit —�_ �_- Data Telecommunication Installation b)1?re fee for branch circuits without purchase of service Fire Alarm Installation feeder fee. First $46 85 First branch circuit -- HVAC Each additional branch circuit $665 _- Miscellaneous ❑ Instrumentation (Service or fender not included) Each pump or irrigation circle $5340 - Intercom and Paging Systems Each sign or outline lighting $53 40 Signal cirr.uit(s)or a limited energy ❑ Landicape Irrigation C.nntml' panel,alteration or extension $7500 Minor Labels(10) $12500 C� Medical Each additional inspection over the allowable in any of the above $6250 ❑ Nurse Calls Per inspection —-Per hour _ $62 50 _ Outdoor Landscape Lighting* In Plant — $73 75 Fees: ❑ Protective Signaling .- - - ---- ----- Enter total of above tees Other — -- 8%Slate Surcharge $ —_ _ -_ Number of SyslemS 25%Plan Review Fee $ No licenses are requifed Licenses are required for all other installations See"Plan Review"Section un front of application --- - Fees: Total Balance Due $ __.�-- $--•— - Enter total of above fees ❑ Trust Account p 8%State Surcharge s - —_ Total Balance Due ---�- i 41sts�tiirms�elc-I'ccs duc 10/090) I ELEC ICAL RMIT- (6ITY OF TIGARD RESTRICTED ENERGY RESTF.ICTED ENERGY DE ✓ELOPMENT SERVICES PERMIT#: ELR2001-00105 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 4/11/01 SITE ADDRESS: 07450 SW BEVELAND RD $30.00 PARCEL: 2S10 iAB-02703 SUBDIVISION: rACA OFFICE BUILDING ZONING: MUE BLOCK: LOT: 027 JURISDICTION: TIG Proiect Description: Installation of data telecommunications system. job No. 01-019. A._RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGL,',R ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAlTELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: - _ TOTAL#OF SYSTEMS:_ _ Owner: Contractor: BLONDIE'S INVESTMENT LLC WIRED OR WIRELESS INC 1500 OSTMAN RD 8115 E TRENT AVE WES1 LINN, OR 97068 SPOKANE, WA 99217 Phone: P;-ione: 509-892-5877 Reg #: ELE 37-895C LIC 14F?90 FEES_ V _ Required Inspections f Type By Date _ Amount Receipt _ Low Voltage Inspection PRMT CTR 4/11/01 $75.00 2720010000 Flect'I Final 5PCT CTR 4111/01 $G.00 2720010000 Total $81.00 I This Pemlit 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 �vork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. l hose rules are set forth in OAR i 952_-001-0010 through OAR 952-00'1-0080. You m-iy obtain copies of these rules or direct questions to OUNC at (503) 246-1987. j //1 / , J 1 Issued by r .(Jl ,fit Permittee Signature OWNER INSTALLATION ONLY The lnstallption is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _�1� � �'t` c DATE: _ LICENSE NO: 4- `� -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day I ON , Electrical Permit Application7is e/ Permit no.: � _�;U<j' Expire lateAddress:155 N. Ist AV, Suite 350-12, Hillsboro,OR 97124oREGptPhone' 503-846-3470 Fax: 503-846-3993 - ey: Receipt nam_- Internet Address: www.co,washington.or.us Case file no.: Payment type: Land use approval: _ Salim 17 J Rc 2 ,00 family dwelling or acc"'inry Commercial/industrial Ll Multi-family !J "lenant improven•,ent Ncw construction �] Addition,'alteration/rrplacament IJ Other: lJ Partial 7 Job address: "� ► 514. Orr L V€ L.ANu S� .Ci!y7it,LBldg. no.: 5wtc nu Tax map/tax lot/account no.: _ Lot: Block:N/A Subdivision: _ Project name:M(q Ett:,rNCSs ( nl`r-/.r. Description and location of work on premises: aljr, � !,rr,.rj Fc,fk 5yiL-D wHI Estimated date of cum lesion/inspection: 4 Job no: r� 1 -�` 1� Fee I Mas BuslI name: f*scrl non Qty %) Total no.Ins __ (', - W)Kr `S New rarldentlal-singk or multi-family per Address i l e, I_ T f s to Ay�u� dwelling unit. Includes attached Range. City: Q State:vJq I ZIP: 99 Zi Servicelnc:uded: E-mail;,Act. a N 1000 sq it or Icas - 110 0( 4 CCB no.: +� •Each additional 500 s R or portion thereof 30. 1e}>r Ly G lv . r Eler. Mus,liC.t10: 'i T- �' �) Limited energy,1 dig Pamily30 2 City/metro Ilu.no.:N/A It,-1 Limited energy,Multi-Family _ 430C 1 IL �1 Each manufactured home or modular dwelling S1 nNrnrr upervltM elrnrlct, ( uuedJ ate 4 C f! Service and/or feeder _ _ 75 0( 2 —� —"' Services or feeder-Installation, Sup.alIt;me( rinq (�7E�Iti t u i tsn. Liunse no I�i Fs�y rpt alteration or relocation: 2rV)amps of less 65 2 Name(print): 201 amos to 400 amps 85. 2 --- �_.�-_-. _ --- -...----- 401 amps to 600 amps 130 2 Mailing eddr ss:,_ 601 ramps to 1000 amps 195 N1_ City: State: ZIP: over 1000 amps Of Volts _ 365 _ z 1 Phone: - ---- - Fax: E mail: Reconnertoal _ 55 I_ Owner Installation:11ie installation is Ir.ing made On prorerty I own Temporary vrviceq or feeden- which is not intended for sale, lease,tent,or exchange according to installatlas,alteration,orrelocation! URS 447,455,479,670,701. 200 amps or less SS 0 2 201 amps to 400 amps 80( Owner's signature: Date Out to foe ams i 10 to Branch eirealu-new,alteration, or estession per panel: Name: A Fee rot brunch circuits withpuahase of Address: service or feeder tee,each branch circuit 6 0C 2 ice___._—__ Male: ZIP: n Fee rot branch circuns wtthout ptuchase Phone: (;+t E-mail: of servicr or fkeder fke,first branch circuit: 40 2 Foch additional branch circuit f of _ Misc.(Service or Reeler not included): 0 Service over 225 am"mmercial d Health-care fK010, Each pump or irrigation circle _ - _ 45_ _ 2 0 Service over 320 amptratinR of IA2 0 Hazardous location Each sign or outline lighting 45 2' family evretlings 0 Building over 10,6(10 square feet four or Signal circnigs)or a limited energy panel, 0 System over AM volts tomtnal more residential units in one structure new,alteration, or extensions 2� 11 Building over three stories 0 Fee&m 400 wraps or mote "Description T 1-L L 11%.1 ri .t P Occupant load over 99 pentons 0 Manufactured structures oi R%'park each additional Inspection nver the allowable in any of the above: P rgrexstlighting plan 0 Other _—.... Per inspection — ---------------- Submit 1 seta of plans with any or the above. tnvesrigoi on fee The above are not applicable to temporary construction service Other _ i Notice: This permit application Permit fee._ . _........... 0 visa N aUterc expire if a permit is Bar Plan review(at 25°h) .... _ — f. credo cod"in C) obtained ssithin IRO dace after it State surcharge (8%) ....S _ Artr' (c' ��6 i1�f xn,res has beery accepted as cortrlere. TOTAL.........................S W.—I.LAAo er ase v n on n CUMoi�l{ I�TOWN - U0.161S (�OMCCM4) CELECTRICAL PERMIT CITY O F T I C A R D PERMIT#: ELC2001-00063 DEVELOPMENT SERVICES DATE ISSUED: 1/29/01 L� 13125 SW Hall Blvc'..Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101AB-02703 SITE ADDRESS: 07460 SW BE✓ELAND RD SUBDIVISION: MCN OFFICE BUILDING ZONING: MUE BLOCK: LOT : 027 JURISDICTION: TIG Proiert Description: Sulo panel addition, (1)200 amp service and (8) branch circuits. Job No. 0080. RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 40C amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER �! BRANCH CIRCUITS ADD'L INSPECTION_S 0 - 290 amp: 1 W/SERVICE OR FEEDER: 8 PER INSPECTION 201 - 40 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 arii _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: HUGH MCCAFFREY RURAL ELECTRIC INC PO BOX 411 5285 NE ELAM YOUNG PKWY WILSONVILLE, OR 97070 SUITE A900 HILLSBORO, OR 97124 Phone: 860-2711 Phone: 503 548-6696 Reg #: LIC 00047478 SUP 4062S ELE 34-82.0 FEES _ Required Inspections _ Type By Date Amount Receipt _ Ceiling Cover PRMT CTR 1/29'^' $133.50 2720010000( Wall Cover 5PCT CTR 1/29/01 $10.68 2720010000( Elect'I Service PLCK CTR 1/29/01 $33.38 2720010000( Elect'I Final Total $177.56 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to folloH rules adopted by the Oregon Utility Notificat"on Center Those rules are set forth in OAR 952-0010010 through OAR 952 001-0090 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE 1 ISSUED 13 .Al OWNER INSTALLATION ')NLY The installation is being made on property I own which is .got intended for sale, lease, or rent. OWNER'S SIGNATURE: DA'pE: CONTRACTOR INST ALLATION ONLY SIGNATURE OF SUPR. EL C'N: X11L.yt [ +� `'u DATE: LICENSE NO. Call 639.1175 by 7:00pm for an inspection the next business day t0/04/00 WED 14:02 FAX 503 598 1960 CITY OF TIGARD Z002 ]Electrical Permit*110cation -- -- r � MM Dateeceived: permit City of Tigard Project/appl.no.: Expire date: City of Tigard Andress: 13125 SW flail Blvd,Tigard,U:c 0742• Date issued: By. Receiptno Phone: (503)639-4171 — -- Fax: (503)598-1960 ,t Case file no.: Payment type: Land use approval: U l &2 family dwelling or accessory C!Commercial/indusinal ❑Multi-family U'I'enant impmvement ❑New construction U Additionlalteralion/replacement U Other. U Partial lob address: 07460 SW B $jZ___ ���Illdno�.: Suite no.: Tax map/tax lot/account no.: _Lot Block: Subdivision: Project name: [-ICA BUS CPR _ Description and location of wont on premises_SUB p N 'f, _ADUV1 1 Estimated date of coin PIetion/ins eection: Job no: 0080 Mee max I>rsch1hlion Qty. (m) Total no.IM Business name: RURAL, ELECTRIC. INC. thewrKidentw-singleormuni-fudfyper - Address: 5285 NE Elam Younci P A900 dwellingunit.Includes sttachedpune. City: Hillsboro Sta(e:QR ZIP: 97124 Semoeinctuded: Phone:50Fax: E-mail: 1000 sq.ft or lest _ 4 Each additional 500 sq,ft.or portion thereof CCB no.:4747 Elec.bus.lic.no: 34--82_ Urnited_energy,residential — 2— Ciry/ .no.: 5 Limited energy.non-residential O1 19LL _.- Farb manufactured home nr modular dwt:,mg Si——nature of sui rvising electrician(required) Due Service and/or feeder _ 2 Sup.elect nanse(print): Paul A. ME License m;;405j2� .;errices or feeders-installation, 1"Alou w ILiJ:r•i0ii: 200 amps oriess 1 80.30 2 Name(print): HUGHE MCCAFFERY 2n1 amps to 4W omps _ 2 PQ BOX 411 401 amps to 600 amps _ I 2 Mailing address: 601 amps to 1000 amps 2 City: WILS(�NVILLE - State:QR '7,IP: 97070 Over 1000ampaorvolts - — -- 2 Phone:50.3/682-251 Fax: _ E•mail: Rrcomtectonly l Owner installation:The installation is being mane on property 1 own I erothor,ry services a reerkn- which is not intended for sale,lease,rent or exchange according to h"alla,Ion,alteration,orrelucatun: "447, 479,670,701. 2(io amps or less 2 201 amps Io 400 amps 2 re: Date: _ 401 m 6W amps 2 Branch circuits-new,ellerulion, or e•9eir ion per panel: Name: _ A. Fee for branch circuits wiu purchase of Address: service or feeder fee,each branch circuit 8 5 U0 2 City: State. _ ZIP. T B Fee for branch circuits without purchase --�- - _of service or feeder fee,first branch circuit Phone: Fax: F.-mall' Each additional branch circuit PLAN ItEVILIV(Please check all that appli Mlsc.;Service or feeder not included): U Service over 225 amps-Cummercial ❑l le.dth-care facility Each pump or irrigation circle - 2 U Service over 320 amps-rating of 1&2 U Na:xrdous location Fich sign or outline lighting - 2 fw-u'lydwellings U Building ova 10,000 square feel four or Signs]circuit(%)or a limited energy panel. ❑System over 600 volts nominal more residential units in one structure alteration,or extension' 2 C)Building over three stories UFeeden,400amps orniore aDesctiption - U Occupant load over 99 per-ons 0 Manufacnirrd structures or RV prhtt Eich additional lit Tection o.er Coe oloweble in any of the above: U Egrerdlighunp,prlIf, O Other — Per inspection _ r_ Submit__cel.,if plans with may of the above. Investigation fee The above are not applicable to tempora temporary construction service, Other _ — — - Permit fee.....................$ 133.50 Na all)unukdons K%,"crwht cads,pleat call ludsdlrtion for more infarrtoaon. Notice:This retmil application Cl V•us O MasterCard expires if a permit is not obtained Plan review(at _ 9b) Credit eae oambv:_- _ — within 190 days after it hisbeen State surcharge(9%) ....$ accepted as complete. TOTAL .......................S _ - Name u on a Il ural S Cwdbolder s5nature --- Amount / 2 r , r 440-4615(& rOMI TYPE OF WORK INVOLVED -RESIDENTIAL ONLY 4. Complete Fee Schedule Below: Numlxr of Inspections per permit allowed Restricted Energy Fee. _ ....................................... 575.00 Service included: Items Cosi Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Work Involved LOCO sq.Q.or less $147.15 4 Each additional 500 sq it or Audio and Stereo Systems portion thereof _ -� $3340 1 Limited Energy $7500 Burglar Alarm Each Manufd Home or Modular rmellinq servirr nr Feedcr $90.90 1. ---- -- ❑ Varaye Door Opener' 4b.Services or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and Ai-Conditioning System' 200 amps or less $80.30 2 201 amps 10 400 amps S106.85 - 2 0 Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps -_� $240.60 _ 2 ❑ Other over 1000 amps or volts $454.65 2 - Reconnect Orly _ $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders - Installatrnn,alteration,or relocation - `- --" Fee for each system............................................. $75.00 200 amps or less - $66.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.J0 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved Over 600 amps to 1010 volts, see"b"above ❑ Audio and Stereo Systems 4d.Branch Circuits New,alteration or extension per panel r,�iler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6.65 _ 2 ❑ Data Telecommunication Installation h)The fee for brands circuits without purchase of service or re-4er fee ❑ Fire Alarm Installation First branch circuit $46 85 Each additional branch circuit ! $9.65 _-_ U HVAC 4e.Miscellaneous (`service or feeder not Included) ❑ Int' hentation Fadi pump or irrigation circle _ $53.40 Each sign or outline lighting -- $53.40 ❑ Intercom and Paging Systems Signal circufl(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) __ $125.00 _ 4f.Each additional Inspection ov-ar ❑ Medical the allowable in any of the above ❑ Per Inspection _ $62.50 - Nurse Calls Per hour $62.50 In Plant $73.75 - �� Outdoor Landscape Lighting' 5. Fees: ❑ Protective Signaling Sa i mlef total of above fees S 8%Surcharge(A8 X total fees) S _ ❑ Other. Si,bfofal $ 6b.Later 25%of ane ba for _Number of Systems Ilan Review ttrequired(Sec 3) $ _- Subtotal $ __ _ No acwnses are required Urenses are required for all other installations El TYusl Account p FEES: Total balance Oue $ _ ENTER;'EES --`-` 8%SURCHARGE(.08 X TOTAL_ABOVE) $ -.- TOTAL $ t CITYOF TIGARD MECHANICAL PERMIT, DEVELOPMENT SERVICES PERMIT#: MEC2000-00509 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/8/01 PARCEL: 2S 101 AB-02703 SITE ADDRESS: 07450 SW BEVELAND RD SUBDIVISION: MCA OFFICE BUILDING ZONING: MUE BLOCK: LOT: 02.7 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS: 6 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 BOILER S/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: (SAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 -50 '1P: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING_UNITSOTHER UNITS: FURN >=100K BTU: 3 <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: 3 Rooftop Units Owner: _ _ _ FEES HUGH MCCAFFREY Type By Date Amount Receipt PO BOX 411 PRMT CTR 1/8/01 $171.60 2720010000 WILSONVII_LE, OR 97070 PLCK CTR 1/8/01 $42.90 272001000CI 5PCT CTR 1/8/01 $13.73 272001000C Phone:860-2711 -- '--`— Total $228.23 Contractor: ROTH HEATING ROTH ZACHERY HEATING INC PO BOX 1265 REQUIRED INSPECTIONS CANBY, OR 97013 Gas Line Insp Phone:503-266-1249 Mechanical Insp Reg #:LIC 14008 Heating Unt Insp Duct Inspection S.D Shut-down inspection Final Inspection T his 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 riot 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 OAFS 952-001-0080. YOU may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189,. 1 Issue By: Permittee Signature: ,_ Call (503) 639-4175 by 7:00 P.M. for inspections needed thajmt'busl s day M"-zhA anicai Permit Application �I Datereceived: r Perm it no.: -L-Vvc'L City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9722; hate issued: By: Receipt no. Phone: (503) 639-4171 --- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U I &2.family dwelling or accessory Commercial/industrial .J Nlniti-family U Tenant improvement U New construction U Addition/alterntion/replacemcnl U Other: - Job address: $ C% ��> I -'_e VF' G,✓,6 r r, Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,ceyuipment, labor,overhead, 'rax map/tax lot/acconnt no.: profit.Value$ ?-S .. bco " - . Lot: IBlock: Subdivision: 'See checklist for important application information and Pn)ject name: /YIL 0 P F 1",- 9 UI Cpl ,v% lurisdirlion's I'ce schedule for residential permit tee. City/county: j,. ZIP: N mi 1 101 Description and location of work on premises: 0,,),0LA 0�_�_�'����f", ' �r 1'ee(ea.) Total Est.date of completion/inspection: i11 q e� lk-scripflon Qty. Res.only Res.only Tenant improvement or change of use: lir j iii' Is existing space healed or conditioned?U Yes U No Air handling unit CFM. _ 3 Air conditioning(sac plan rcyutrc ) _ Is existing space insulated?U Yes U No —LAteration of existing HVACsystern _ of er crnnpressors Business name: 0.0114,n5 e (t)'))t"ClState boiler permit no.: HP Tons BTt1/H Address: CA.,dA r rt K'I Fire/smoke dampers/duct smoke detectors City: ,c,�, State:OC ZIP: q?p i 1 eat pump(site plan reyuir dj--- - - -_-- Phone: (�V& .'12 411 Fax:,2 G N 34 E-mail: nsta rep ace furnace/burner— / 1-11 Including ductwork/vent liner U Yes U No CCB no.: / p o f' _ nsta Vrep ace re ocate )caters-suspen c City/metro lic.Oto.: wall,or floor mounted Ne(please print) ' Vent foappliance of er an furnace tv Refrigeration:m Absorption units Name: j1 Chillers _ Hp - Address: 7 r) �. (-.Lo ;, ��� ('f , Cum ressors HP nv roamed a exhatuill and ventilation: City: _ r Sl e: I ZIP: C Appliance vent Phone: Fax: E-mail: Dryerex gust 0o s,Type res. itc a azmat hood fire suppression system Name: liz �� / i I, ( A i-r P—-/ Exhaust fan with single duct(bath fans) (p Mailing address hCy ! y I I -h— ix)aunt system)part from heating or AC -- - - _ Fuelpiping an str ul on(up to outlets) CitY: 1 State-0LIP: 17 Type: LI'C; _� NG __ Oil iiiw Z`1 1 I 1:r� E-mail: TiicT i in eacTi additional over outlets Process piping(schemalicreyutrec) Number of outlets _ _ — Other 11%leil appliance or equipment: Address: Decorative fireplace City: State: ZIP: — nsert—type Phone: E-mail: _ oo stove/pe et stove -_ (t e�Ti r. Applicant's signal re: r/ L Date:/,7 Z d C7 Other: Name (print): . _ Not all jurisdictioncceM crcreditcauls,Please jurisdiction far more information. Permit fel'.....................$ N ns ter pard Notice:This pennit application Minimum fee................$ Visa U ons i Credit card numhec._ �t� expires Lha perlttll IS notobtainedbenPlan review(at _ %) $ - _ r xp;re, within 180 days after it has been "— State surcharge(896)....$ Name or cardholder as shown on credit cam— accepted as complete. _ i TOTAL. ......................$ -- Cudholder signature Amount 440-4617(610WOM) V MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _ FEE: Description: TOO $1.00 to$5,000.00__ Minimum fee$72.50 Table 1A Mechanical Code Qty $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $,1.52 for each additional$100.00 or includingducts&vents frrction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Fumace $1.54 for each additional$100.00 or includi -1 vent 14.00 fraction thereof,to and including 41 Suspended heater,wall heater $25,000.00, or floor mounted heater _ 14.00 $25,001.06 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units $50,000-00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond _ fraction thereof. __ footnotes below. Comnp' 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 1005 BTU 14 00 Value Total 8)3-15 HP;absorb unit 100k to 500k BTU _ 25.60 Description: Q �!L Amount g)15••30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU _ 35(if) ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU _ _ _ 52.20 ducts&vents 11)>50HP:absorb Floor furnace including vent 955 _ unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ 10.00 Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTII 15-30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not included In mil.BTU a lian�rmit 10.00 30-50 hp;absorb.unit, 3,400 - - 17)Hood served by mechanical exhaust 10,00 1-1.75 mil..BTU >50 hp;absorb.unit, 5,725 _ 18)Dort. stic inrnerators 17.40 _ >1.75 mil.BTU 19)Commercial or industrial type Incinerato• Air handling unit to 10,000 efm _ 656 6995 Air handling unit>10,000 cfm 1,170 20)Other units,including wood stoves Non-portable evaporate cooler 656 10.00 _Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not Included In 656 540 appliance permit 22)More than 4-per outlet(each) -- Hood served by mechanical exhaust _656 1.00 Domestic incinerator 1 170 _- Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 _ Other unit,Including wood stoves, 656 8%State Surcharge $ Inserts,etc. _ _ Gas piping 1-4 outlets 360 25%Plan RevieA Fee(of subtotal) $ [Each additional outlet 63 _ Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION:- thentn a loran Fees: 1 Inspections outs de of normal business hou s(minimum charge-two hours) $72.50 per hour 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan -eview required by changes,additions or revisions to plans(minimum charge-one-half hair)$12 5n per Itour State Contractor Boiler Certification required for units 200k BTU. "Residential A1C requires site pian showing placement of unit. 1:\dsts\forms\mech-fees.doc 1011/00 Ir.%23/00 MON 08:39 FAX 503 245 2198 EVE?VL•:NGRiiEN PACIF. F6004 CIL T-I r -?W i ROWELI.. Ep4a I NEER I Nfi - v „ . ---- _ l QST fi,11 (r_ ) �C�$ $Cllr ,' 21� �A iJ IP F 4a LDOW 14 EPOo <V $441LI40R 06100, 5,/H '50,j `f I E V P.P T b4V, To -146 1z t Z, ` e''ALZ CITY OF TIGARo............ (-A �. ,� Approved........ . ....( rw 10 0"*' Gond+rio^he as deeC�in: For mlY s,S �—�- — -- PERMIT NO--]Ku Do .......( )' gee tetter to:Fallow.•. -' ' "' .......( l Jpb Address: -- X32 II � OST 24 I ��N F.Wi A4�� I rl i 4•"5L. t I i4svpl ` 2�0, X /� 10 w ITIAW, 2'' oT- Toy: s STZ 1(Q w> b b cU R�uir TI '' 4- v�*z-v Tt "�3Rv---vm-, 1t�I13'F:,f I F_N SMWE DESIGN —I_� DereSheet _ AoL .._ TQTr4L P.k7 Z0 'd C620BbZ$0C H=1MH I. nm-LH3W f7: 1.8 221_1 mo-6i-17o 10/23/00 MON 08:38 FAX 503 245 2288 EVEVERGREEN PACIF. f 00:i 1 � 1 1 I TRANSMITTAL PROJE �"f'. DATE:- - )C) , 14q. ro: :(f FROM: ATIFN WE TR kfSMIT: ( � herewith ( ) under separate cover via f ( ) in accorcince with your request I OR Y( UR.- approval R:approval ( ) distributf.ou of parties ( ) information ( ) review & comment ( ) record ru FO ADWING: vings ( ) Shop Drawing Prints ( ) tramples ( ) Specifications ( ) Shap Orawing Repiodurihles ( ) :hinge Order Dr ickrPTL4.d CL REMARKS: fax 11 i N d e�OAbClMC N_�?iti wnNlr��w 77! AIA IWA 00-st-100 CITYOF TIGARD PLUMBING PERMIT ISI DEVELOPMENT SERVICES PERMIT#: PLM2000-00408 F- � 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1118/00 SITE ADDRESS: 07450 SW bEVELAND RD PARCEL: 2S101AB--02703 SUBDIVISION: MCA OFFICE BUILDING ZONING: MUE BLOCK: LOT: 027 JURISDICTION: TIG rLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; TRAPS: S fORIES: WATER HEATERS: 1 CATCH BASINS: 8 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 5 OTHER FIXTURES: 20 TUB/SHOWERS: 2 SEWER LINE: 61 ft WATEp _',OSET`,• 5 WATER LINE: 10 ft DISHWASi,ERS: RAIN DRAIN: 686 ft Remarks: Site utilities and building plumbing are combined on this permit. Other fixtures are: 10 rain drain connectors, 4 hose bibs, 3 roof drains, and 3 overflow roof drains. FEES Owner: — --- - — Type By Date Amount Receipt HUGH MCCAFFREY PRMT CTR 11/7100 $1,187.00 27200000000 PO BOX 411 PLCK CTP 11/7/00 $296.75 27200000000 WILSONVILLE, OR 97070 5PCT CTR 11/7/00 $94.96 27200000000 Phone 1: 860-2711 Total $1,578.71 Contractor: �— KEEFER PLUMBING INCORPORATED PO BOX 562 HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone 1: 503-640-7451 Sewer Inspection 065481 Water Service Insp Reg #: LIC PLM 06548 b Underfloor/Underslab Top-out Insp Storm Drain Insp Rain Drain Insp RP/Backflow Preventer Final Inspection This permit is issued slibject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions tc OUNC lay calling (503) 246-1987. Permittee Si nature Issued BY: P � c ttL.� — g - Call (563) 639-4175 by 7:00 P.M. for an inspection needed the next Iuilnesa day r /�- 7 r r �p o-�e ! ,yet, - r` Plumbing Permit Application N Datereceived: �/ / trU Permit no.: 101-IY2000 City Of Tigard Sewer permit no.�Q,c,.110 Building permit no.: Address: 13125 SW Ball Blvd,Tigard,OR '-7223 ('iry n�Tigur`I Phone: (503) 639-4171 ProjccUappl.no.: Expire date: Fax: (503) 598-1960 �- P � �` `•t, �^r.CJ -t!d.JJ`J Date issued: By: Receipt no.: Case file no.: Pa menu Land use approval: r. ' � �?��-cc.+t.^' � y ype: TVPE OF PERMIT LI 1 &2 family dwelling or accessory filrCommercial/industrial U Multi-family U Tenant improvement U New construction U AeditiorUalteration/replacement U Food service U Other JOB SITE INFORMATION ^4, c l Ucscri tion . Icc(ca.) 'Iofal Job address: / )0 J _ _ - Bldg.no.: Suite no.: — New 1-and 2-family dwellings only: (includes 110011.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath Lot: Block: Subdivision: SFR(2)bath Project name: _ < t e1L_ SFR(3)bath _ _ — Cityicouni;: (,�J61 ZIP: C Each additional bath/kitchen Descriptioa and locafion of w6rk on premises: _ Siteutilities: Catch basin/area drain _ Est.date of completion/inspection: Drywells/leach line/trench drain_ Footing drain no.lin. ft.) .vlanufactured home utilities Business name: (. Manholes Address: Z Rain drain connector City; jState:Q( ZIP: , Z3 Sanitary sewer(no.lin.ft.) Phone: 1 '7 ax: E-mail: 14je Storm sewer(no.lin.ft.) CCB no.: _ Plumbbus,reg.no: Sq Water service(no.lin.ft.; Fixture or item: City1metro lie.no.: Absorption valve _ Contractor's reresentative signature: Back now preventer _ Print name: f 0Y 0 JDatc: Backwater valve v Basins/lavatory 5 Name: .. Clothes washer _ Address: C f („ Dishwasher _ Drinking fountain(s) _ City: -jc,-b6rr State:Q PI ZIP: _ I Z�' Ejectors/sump Phone: 5-( Fax: E-mail: Expansion tank Fixture/sewer cap Floor drains—Moor sinks/hui, Name(print): Mallin address: - Garbage disposal Mailing Hose bibh If City: State: ZIP: Ice maker Phone: tax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Reof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) My 5,N� - Owner's signature: _ Date: Sump Tubs/shower/shower pan _ Urinal Name: '_ —_. Water closet Address: -7 -Y 1U Water heater ___ Sta ZIP: �7ZA Other: Phone:Z' -jr Fax: E-mail: Total Nd all Jurisdiction&accept credit cants.please call jurisdiction for more information. Notice:This permit application Minimum fee................$ 'isn ❑MasterCard Plan review(at a%) $ — r 5 ❑v expires if a permit is not obtained , Credit card number_ — -- --L-- within 180 days aper it has been State surcharge(8%)....$ / Expirex — accepted as complete. TOTAL .......................$ Name of cardholder as shown on credit card 7 cardholder signature Amount 4411-1616(NMICOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-fa--fly dwellings only: FIXTURES (individual) QTY ea AMOUNT (includes all plwabing fixtures in PRICE TOTAL Sink 16.60 /� , rc the dwelling cnd the first100 ft. QTY (ea) AMOUNT Lavatory �'" 16.60 Zo. O p r'oreach utlli connection ___ _ One�lbath _ $249.20 Tub or Tub/Shower Comb 16.60 --._ _ - ----- _ �.. Two 2 bath _ _ 1 _ _--_--_ $350.00 Shower Only 16.60 Three 3)bath -- $399.00 - Nater Closet SUBTOTAL -- --�- Urinal 16.60 _8%STATE SURCHARGE Dishwasher -- 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 __ TOTA_L�__ -- " Laundry Tray 16.60 Wasioing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 - PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 - Quantil by Work Performed Gas piping requires a separate mechanical i Fixture Type: New Moved Replaced Removed/ permit _ _C!pped MFG Home New Water Service 46.40 Sink MFG Home Now San/Storm Sewer 46.40 Lavatory - _ Tub or-rlib/Shower Hose Bibs 16.60 _ Combination Roof Drains 16,60 Shower Only Drinking Fountain 16.60 Water Closet -- Other Fixtures(Specify) A 16.60 r Urinal - - Dishwasher _ -- --- -- Garbage Disposal -- -- - Laundry Room 1 ray --- - - -- -- Washes Machine _ Sewer-1st 1n0' / 5500 r f' Floor DrairJSlnk: 2" - Sewer-each additional 100' 46.40 _ 4" Water Service-1st 100' 55.00 .Jr Water heoler Water Service-each additional 200' 46.40 Other Fi;:lures Storm&Rain Drain-1st 100' /: 55.00 a ` Storm&Rain Drain-each additional 100' /, 46.40 S.2 _ _ r Commercial Back Flow Prevention Device 4640 - Residential Backflow Prevention Device' 27.55 -- Catch Basin 16.60 Inspection of Existing Plumbing or Specially y 72.50 Re uested Ins actionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 -- QUANTITY TOTAL - -Isometric or or user diagram Is requiie.d If ---- -- Quantity Total is >9 -- -- --- "SUBTOTAL -- 8%STATE SURCHARGE n� Q7; - - --_ "PLAN REVIEW 25%OF SUBTOTAL r Required oni it fixture t to al is>9 TOTAL s�j 7 Minimum permit fee is$72 50•8%state surcharge,except Residential Beckrlow Prevention Device,which Is$36 25•6%state surcharge *.All New Commercial Suitdinge require plans with Isometric or riser diagram and plan review i:Wsts\forms\plm-fees.doc 10/10/00 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00347 13125 S'N Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/3100 PARCEL: 2S101 AB-02703 SITE ADDRESS; 07•150 SW BEVELAND RD SUBDIVISION: MCf, OFFICE BUILDING ZONING: MUE BLOCK: LOT. 027 _IURISDICTION: TIG TENANT NAME: MCA OFFICE BUILDING USA NO: FIXTURE UNITS: 51 CLASS OF WORK: NEW DWELLING UNITS: 3 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit and assessment for sewer SDC fees on this project. Previous SF residence on this site was on septic, so no EDU credits. This project has 51 fixture values for a total of 3 EDU's. Owner: _ FEES HUGH MCCAFFREY Type By Date Amount Receipt I'O BOX 411 -- WILSONVILLE, OR 97070 PRMT CTR 11.18/00 $6,900.00 27200000000 INSP CTR 11/8/00 $45.00 27200000000 Phone: 860-2711 Total $6,945.00 Contractor: KEEFER PLUMBING INCORPORATED PO BOX 5G2 HILLSBORO, OR 97123 Phone: 503-640-7451 Reg #: LIC 065481 PLM 34-94pb 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 ne 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 anc' 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 (503124F�a98 � Issued by: f t: _ _ Permittee SignaturC L Call (5 3) 113 9-4175 by 7:00 P.M. for an inspection needed the 66A—iu s day I Accumulative Sewer Tally i Tenant Name:MC�� �FFiC4� r�v�Ur r:�� This SWR# /address: 7y� �dw � ►J� This PLM#:� Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added M- total Count off#s count value values Baptistry/F mt 4 Bath -Tub/Shower 4 — -Jacuzzi/Whirlpool 4 _A Car .Vash -Each Stall 6 -Drive Through 16 Cuspidor/Water Asp,rator _ 1 _ Dishwasher-Commercial 4 -Domestic 2 Dnnking Fountain Eye Wash - --— --Floor Drain/sink -2 inch 2 3 inch 5 _-4 incn6 1 Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) _ - Commercial (to 5 HP) 32 _Industrial (over 5 HP) — 48 Ice Machine/Refrigerator Drains 1 Oii Sep(Gaa Station) 6 — Rec Vehicle Dump Station _16 Shower-Gang(Per Head) 1 - -S1dll _ 2 Sink- Bar/Lavatory 2 _ Bradley 5 v Commercial _ 3 _ ----- Service _ 3 --_- F ramming Pool Filter -- Washer-Clothes 6 _Water Extractor 6 _Water Closet - Toilet _ 6 1 — zD Urinal � 6 f(-ITALS Total fixture ialues_ divided by 16 = � 19 _FDU HISTORY f�tJ�ou`.� oc� ,pct �►a r11�> d�r� UDA,� PLM# r--- EDU# SV`;R# IPLM# _ _ EDU# SVJR# _ PLM#_ EDU# S'vVR# _ PLM# EDU# SWR# PLM# _ EDUI _ SWR# _PL_M#_ — _^ EDU# SWR# _ PL1t1# — _ _ EDU# — SWR.# PLM#! EDU# SWR# i)dsts\swrta!y dor, ��� CITYOF TIGARD TEMPORARY CERTIFICATE OF DEVELOPMENT SERVICES OCCUPANCY 13125 SY.' Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT#: BUP2000-OO:153 DATE ISSUED: Q3 — � PARCEL: 2S101AB-027 3 ZONING: MUE JURISDICTION: TIG SITE ADDRESS: 07450 SW BFVE !-SND RD SUBDIVISION: MCA OFFICE BUILDING BLOCK: LOT:027 CLASS OF WORK: NEW TYPE OF USE: COM OCCUPANCY GRP: B OCCUPANCY LOAD: 52 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR DAYS FROM DATE CF ISSUANCE. Construct new 6,468 square foot office building. Owner: HUGH MCCAFFREY PO BOX 411 WILSONVILLE, OR 97070 Phone: 860-2711 Contractor: EVERGREEN PACIFIC; INC 5664 CARMAN DR LAKE OSWE'GO, OR :17035-3359 Phone: 636-5165 Reg#: LIC 4'521 it is understood by the owner/tenant tha+the issuance of this Temporary Occupancy Permit by the City of Tigard for the use andror occupancy of the strur,ture located at the site address listed above(hereinafter"structure"), does not grantor corney to the owner or tenant any property right or other protectible property interest in the use andror occupancy of the structure for any purpose It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that the owner/tenant will no longer be authorized to o,.cupy the structure after the period specified, unless and until all the conditions of approval imposed under the Cry's or County Notice of Dedsioo for the project's land use case(s)issuer'by the City's Development Sei vices Department or the County's Department of Land Use and Transports and/or the Unified Sewerage Agency and all b ilding and•3Iatc•d code requirements and any other applicable requiremen h been comp) lely fulfilled and complied with to the t ty's or COF–nW latisfactio . iNSPECTOR IN N SUPERVISOR BUILCING OFF C:IAI� POST IN CONSPICUOUS PLACE L C;7Y OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — BUP Pate Requested —_AM PM BLD _ Location P/ Suite MEC Contact Person Ph PLM Contractor U r,2 e-c1 r/C Ph SWR �l — 16-Cl IL—DI NG �- Tenant/Owner mc/4 `— ELC Retaining Wall [LRS Footing Foundation Accessi FPS ' - 2 Ftg Drain Crawl Drain Inspection Notes: SGN Slab - Post 8 Beam � SIT — _--_- Ext Sheath/Shear Int Sheath/Shear - -� — - Framing _ �� n ,;-� 4 'Insulation 44= Drywall Nailing — Firewall ---- -- --'-�-Fire Sprinkler Rie Alarm -- -- ----- Susp'd Ceiling Roof -- Misc: —__.. - - — ----- - Final PASS PART FAIL ----- __ PLUMBING Post& heam - ---- — - — -- -- Under Slab Top Out Water Service Sanitary Sewer - Y5�i-� N eI !Jain Drains -�-/�,/ F -- Final PASS PART FAIL MECHANICAL —�--- ---- — PoO& Beam Rouyn, In — Gas Line --- — --- Smoke Dampers Final PASS ,SART FAIL LEC �-�� -------- — Setvice Rough In — — — -- ----- UG/Slab I-ow Voltage -- Fi NAS PART FAIL Backfill/Grading Sanitary Sewer Storm Drain; J J Reinspection fee of$_ _—_required before nex!inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please till for reinsrection RE: — I ]Unable to inspect-no access ADA Approach/Sidewalk Other — Date `L�' Inspector Za'ALIIA Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. i CITY OF T I G A R D ELECTRICAL PE2MIT PERMIT#: ELC2000-00627 DEVELOPMENT SERVICES DATE ISSUED: 11/14/00 13125 SW Hall Bled.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S101AB-02703 SITE ADDRESS: 07450 SW BEVELAND RD SUBDIVISION: MCA OFFICE BUILDING ZONING: MUE BLOCK: LOT : C27 JURISDICTION: TIG Proiect Description: Electrical work associated with construction of new office building. Installation of 3 services/feeder of 200 amps or less and 33 branch circuits. Job No. 0080 RESIDENTIAL UNC IF _ TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 4U0 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF HMI SVC/FDR: G01+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUIT'S ADD'L INSPECTIONS _ 0 - 200 amp: 3 W/SERVICE OR FEEDER: 33 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR DR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS- CLASS AREA/SPEC OCC: Owner: Contractor: HUGH MCCAFFREY RURAL ELECTRIC INC PO BOX 411 5285 NE ELAM YOUNG PKWY WILSONVILLE, OR 97070 SUITE A900 HILLSBORO, OR 97124 Phone: 860-2711 Phone: 503-618-6.696 Reg#: LIC OOD47478 SUP 40625 ELF 34-82C FEES _ Required Inspections _ Type By Date Amount Receipt Ceiling Cover PRMT CTR 11/13/00 $460 35 2720000000( Wall Cover PLCK CTR 11/8/00 $115.09 2720000000( Underground Cover 5PCT CTR 11/8/00 $36.83 2720000000( Elect'I Service; —__ Elect'I Final Total $612.27 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 5e done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance.or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth it OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE / ISSU D BY: �� -- `— - LEL! _ OWNER INgTALLATION_ONLY The installation is being made on property I own which is not intended for sale, lease. or rent.` OWNER'S SIGNATURE: _— DATE:---- CONTRACTOR ATE:---CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPER. ELEC'N: ,��D .�L �7F"r. L. DATE:.-__ LICENSE NO: _�(�� v 77�� Call 639-4175 by 7:00pm for an inspection the next business day 10/04/00 WED 14:02 FAX 503 588 1880 CITY OF TIGARD –72) .6.s73 �/�5'/� LQ 2002 Electrical Permit Application Date received: 1 I (JU Permit,..: Ul- Cif y of Tigard Projecdappl.no.: Expire date: C,ryofTigard Address: 13125 SW liall Blvd,Tigard,OR 97223 Date issued: By. Recei trio -- Phone: (503) 639-4171 P Fax: (503) 598-1960 Case file no: Payment type: Land use approval _–�- 1 U I &2 family dwelling or accessory U&Mmercial/industrial ❑Multi-family U Tenant improvement Y1�New construciion U Addi[ion/alteratiotdreplacement U Other: p Partial .1011SITrINFORRIATION Job address: 0 7 4 6 0 SW _B e v e l a n d Rd IBldg.no.: j__",,,no.• _ Tax map/tax lodaccount no.: Lot: Iiluck _ Subdivision: – Projeci name: MC11 Bus 1 t e�G 5 prion and Ic>cauon of work an premises: n e w Estimated date of corn letiordinspectim 1 Job no: 0080 _ Fee Business name; RURAL ELECTR1Q, INC In"cription Qty. (ra.) Total Mtais New residential-single or multi-family per Address: 5285 NE Elam Younq Pkwy A900 dweWngunlLIncludes aitn(Wgatage_ City: Hillsboro State OR MR 97124 Service Included: Phone:503/648-6696 I Fax: E-mail: 1000 sq ft.or less — 4__ CCB nr'.:47478 hlee.bus,lie.no: Each additional 500 sq.ft.or onion thereof Limina,a+rrgy,residential 2 Cityh:e no.: 5 Limited energy,non-restdenrial 2 r . 11/3/00 Each manufacture.home or mndul it dwelling i i mart,of supervising electrician(t utred) Date Service and/or feeder 2 Sup.elect.name(print): J>,jA A. F31iG License no4062--S 3etvice,orfeeders-installation, _ alteration or relocation: 200 amps or less 3 2,1 0.90 Name(print):Hugh McCaffer –To Ismpsin400amps _ _ 2 —- 401 amps to 600 amps j Mailing address: PO Box 411 601 amps to .Jo amps ,V—'� –2 City: Wilsonville State: OR 7.IP: 97070 Over I000amps orvolts 2 Phone:5682–?518 1 Fax: E-mar.: Reeonnecionly —_ I — Owner installation:The installation is being made on proFetty I own Teraparnry aervicm or feeders_ which is not intended for sale,lease,rent,or exchange according to lrunallal;on,alteration,orrelecalion: ORS 447,455,479,670,701. 200 amps or less _ _ 2 201 amps to 400 amps Owner's signature: Date: 401 to 600 amps 1 Branch circuits•new,alteration, ore•lemion per panel: Name_ A. Fee for hranch circuits vrilh purchase of Address —� _ service er feeder fee,each branch circuit l 2 City: State: ZIP: B Fee for branch circuits witliout purchase -' of service or feeder fee,first branch circuit: 2 Phone: I ax R-mail: F�chacrditianalbrrmchcircnit: -- Mtse.(Service or feeder not int•lude:),_ O Service over 225 amps-co rnmemiski U 1lealth-care fa:ility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1 U U Huardous location Each sign or outline lighting 2 familydwelluhgs U Building over 10,000 square feet fouror signal circuit(s)oralimitedenergy panel, O System over 600 volts nominal more residential units in our strucuae dtuation,or extension* -1 2 O Building averthree stories U Feeders 400 amps or more "Description: U Occvprnt loarl.over 99 persons ❑Mnnuftcmred structures of RV park Fach additional 111"wrtion over the allowable In any of the above: U Fgtess/hghongplan U OM: Per inspection -�-r-- — Submit—arts of plans with any of the above. investigation fee_ The above are tool arplicable to teroporary corutruclIon service.� Other - -- –– --- — Permit fee......... Not all jun,/kaon accept crebr cards,pas lee call T-Ituion ro n waTwvnaann Notice.This pemhil.application ' "" U Visa J MasterCard expires if a permit h not obtained Plan review(at — %) $115-09 _ rreAlt cant oembes. �_4_ - -_-L-/_ within Igo days after it has been State surcharge(8%) ....$ 36 8.1 -_ Nasse o rJrd u thovn on t cad accepted as complete. TOTAL....................... 1_71 --- �1 _ _ S Cardhdder rigr,ature Amouni 4404615(6A IMM) TYPE OF WORK INVOLVED-RESIDENTIAL ONLY r 4. Complete Fee Schedule Below: _ _ Number of Inspections per permit allowed Restricted Energy Fee........................................ 576.00 Service included: Items Cost Total (FOR ALL SYSTEMS) ` 4a. Residential-per unit Check Type of Work Involved. l000 sq.fl.or less _ $147.15 4 1 ar•h additional 500 sq ft or LJ ALdio and Stereo Systems portion thereof !73 40 1 I united Energy T— $7500 _ F� Burglar Alarm I aci Manufd Home of Modula, [)welling Serviu:or Feeder __ $9090 -_ 2 Garage Door Opener' 4b.Services or Feeders Installation,alteration,or rel•hcatton Healing,Ventilation and Air Conditioning System' 200 amps 0(less $80.30.�y i t _ 2 201 amps to 400 amps $106.85 _ 2 Vacuum Systems' 401 amps to 600 amps $160.60_ 2 601 amps to 1000 amps _ $240.60 2 Other ()ver 1000 amps or volts $454.65 2 Reconnect only —W $66.85 7 —TYPE OF WORK INVOLVED-COMMERCIAL ONLY 4c.Temporary Services or Feeders — ^� installation,alteration,or relocation Fee for each system.............................................. $76.00 700 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps --� $133.75 2 Check Type of Work Involved over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems •id.Branch Circuits New alteration or extension per panel Boiler Controls a)The lee for branch c°rcufls with purchase of sc.-vice or Clock Systems feeder fee. �— [ach branch circuit _�___ $6.(i5_�I`f 2 Data Telecommunication Installation b)The fee for branch circuit. without purchase of sere:ce ❑ - Fire Adam.Installation r feeder fee. f irsl oranch circuit $46 85 _ I ach additional branch c,—ill $6 65 — _ �� HVAC Ale.lhsceflaneous L_J Instrumentation (Servkr or feeder not hx'..xded) Each pump or inigatr,n circle _ __ $53.40 r^ Each sign or outlies fighting $53.70 LJ Intercom and Paging Systems Signal cinaiit(s)or a'mmited energy panel,alteration or extensitu $75 70 Landscape Irrgalion Control' 1„^,nr Latimils(10) $125.00 4f.Lash additiona:Inspection over w T Media! tfhe a4owable In any of the above ❑ Per Inst ecion $67.50 Nurse Calls Per hour $62.57 _ In Plan! $73 75 _ El Outdoor Land:cape Lighting* 5. Fees: / C_ Protective Signaling 5.1.Enter total of above fees 8%Surcharge(08 X total fees) $ Other Subtotal 5b.Enter 25%c!lire 53 forC ) Number of Systems Plan Review if required(Sec 3) $ t7 Subtotal $ No licenses are required Licenses are required for all other installations I rust Account 0_ FEES: - —� -- —� -- — Tota!halance Due $ r x r ErITER FEES $__� - - -- 8%SURCHARGE(.08 X TOTAL ABOVE) $ TOTAL $ ISI z o W °z o II cJ 1 ty Ljj `, �' q1 � to I 40 Q 7 s 7 7X k3 0. 0 4V