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DashNumberEnd t.� c_n C/1 W Z 2 D SW BURNHAM CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BLIP a Date Requested '/�- 9:-7 - 0-10 AM PM BLD Location _ 15�� �e (J � Suite _ MEQ Contact Person Ph _ PLM l Contractor il, Ph SWR �( j� �J �BUILDING TeELC Retaining Wall ELIR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN ------- Slab / �_ C� _ SIT Post& Beam / Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc:__ - --- ---- -- — - - 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 In Gas Line --- -- Smoke Dampers Final --- -- S PART FAIL E Rough In UG/Slab Low Voltage Fire AI ASS ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin [ )Please call fo reinspection RE- Unable to inspect-no access Fire Supply Line ADA OtherApproach/Sidewalk Date Inspector �G Other ��--�`� Ext Final PASS PART FAIL Q NOT REMOVE this inspection record from the Job site. _�`--Et_ECT PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00226 13125 SW Hall Blvd.,Tiqard, OR 97223 (5031639-411 1 DATE ISSUED: 10/4/00 SITE ADDRESS: 08950 SW BUPPJHAM ST PARCEL.: 2S102AD-02400 SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG Proiect Description: Installation of data telecommunications system on 2rid floor. A.RESIDENTIALB.COMMERCIAL AUDIO & STEREO: AUDIO && STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLO.;K: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS: Owner: — Y Contractor: OVERFLOW CORP G G TELECOMMUNICATION CO 8950 SW BURNH M 121 SW SALMON ST TIGARD, OR 97223 STE F-1 PORTLAND, OR 97204 Phone: Phone: 295-2922 Reg#: LIC 59692 ELE 34-248CLE `— FEES Required Inspections Type By Date^_ Amount Receipt low Voltage Inspection PRMT CTR 10/4/00 $75.00 2720000000 Flect'I Final 5PCT CTR 10/4/00 $6.00 2720000000 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 require" to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 01-0010 thr gh OAR 952-001-0080. You may obtain copies of these rules _1d ct questions,to-OUNC at (503) 246 1987. � ` (/ Issu d by Permittee Signature ` OWNER INSTALLATION ONLY The in3tatlation 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 DATE:—___ LICENSE NO: ------- Call 639-4175 by 7:00 P.M. for an inspection needed the next bu3iness day Electrical Permit Application Datereceived: /p-c%Gr> Permit no.: City of Tigard ProjecUappl.no.: Expire date: CityojTigard Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Dale issued: B Receiptno.: Phone: (503) 639-4171 — - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory 1g('onuncrcutl/industrutl U Multi-family U Tenant improvement U New construction U Addition/alleralioti/replacement U Other: __- U Partial 1 . Job address: 8950 5,W. l�upA44 •M 5—, Bldg no.: Suite no.: jTilX malt/tax 101hU count no.: Lot: I Block: Suhdivision: — Project name: 6vI_9 C-LbLW escription and wcation of work on premises: Lw E ,D4TA - 21`06 rL C,0#. I';littlated daft•of completion/inspection: Jo1 1 ' b no: ver Mat Business name: ty l�O1f-tyN/04-T7004 caR-P Description Ql.s. (ea.) total no.insp New residential-single or multi-family per Address: /VoN Kt rL 1 dwellingunil.Includes attachedgarage. City: '> e--rL D State:D it I ZIP: g 7 2 o Service Include&- Phone:So3-29 .29 -Z I Fax:,z9--)-pd&tv I E-mail: G fttr.ecoat..t:o l(lx)sq It or less - 4 CCB no.: S5G qZ -24 V C L Each additional 500 e .ft.or portion thereat' _- FICC,bus.DIC.no: Limitedeneigy,residential 2 QW 'tro lic.no.: 0006 5 o Limited energy,non-re.,toenun) 2 Id-ad ems,. _ Fach manufactured home or modular dwelling Si nature fsupervisinge ct -i (required) Date /0-4-00 Service and/or feeder Sup.elect.name(print): 'r"t{£o po QE i M License no:12ea 4Li— Services or feeders-Installation, alteration or relocation: 2(X)amps or less 2 Name(print): 201 amps to 400 amps 2 - Mailin addreu 401 tamps to 600 maps 2 g 601 amps to I WO amps 2 City: _ Slate: ZIP: Over 1000 amps or volts 2 Phone: lax: E-mail: Reconnect only I Owner installation:The installation is being made on property I awn Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701 200 amps tar less 2 201 amps Int 400 amps 2 Owners si nature: Date: 401 to 6(N)amps 2 Bunch circuits-new,alteration, or extension per panel: Name: — _- A Fee for branch circuits with purchase of Address: service or feeder fee,each branch c(rcuh City: Stale: ZIP: B. Fee for branch circuits without purchase Phone: Fax; Email; of service or feeder fee,first branch circuit: Each ndditional branch circuit Mise,(Service or feeder not Included): O Service over 225 amps-commercial U Health-care facility Fsch pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Fach sign or outline lighting 2 family dwellings U Building over 100X)square reel rout or Signal circuit(s)or a lintited energy panel, / U System over 600 volts nominal store residential units in one structure alteration,orextension• O Building over three stories U Feeders,400 amps or store elkscrition: _ O Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable in any of the above: O Egresstlighlingplan U Other — Per Inspection Submit sets of plans with any of the above. Investigation fee 'Ilse above are not applicable to temporary construction service. Other Not all Jurlsdictinns accept credit cards,please call jurisdiction for more inhxntatlon Notice:This applicationtil application Permit OCC.....................$ U Visa U Mastercard expires if a permit isnot obtained Plan review(at _, %) $ Credit card number. _` _(/_ within IRO days after it has been State surchargrr(8%,) ....$ accepted as complete. Expires TOTAL, .......................$ Name of cardholder u shown on cell card Cardholdet rignatuure Amount- 4404611(ti WOM) Electrical Permit Fees: Limited Energy Permit Fees: Number of Inspections pcl perrnn allowed TYPE OF WORK INVOLVED-RESIDEN flAl_ONLY Service Included: Items Cost Total 4a. ResidenWl•per unit Restricted Energy Fee........................................ $75.00 1000sq It or less _ $147A S_ (FOR ALL SYSTEMS) Each additional 600 sq 8.or portion thereol _ $33.40 Check Type of Work Involved Limited Energy $75.00 Eads Manufd Home or Modular ❑ Audio and Stereo Systems Dwelling Service or I eeder $90.90 Ourglar Alamh 4b.Services or Feeders ❑ Installation,alteration,or relocation 200 amps or less $80.30_ _ 2 ❑ Garage Door Opener' 201 amps 10400 amps $106.85 2 ❑ 401 amps 10600 arnps $160.60 Healing,Ventilation and Air Conditioning System' 601 amps to 1000 amps _ $240 60_ Over 1000 amps or volts $454.65_ ❑ Vacuum Systems' Reconnect only $66.85—__ _ Other 4c.Tem lo,ory Services or Feedon; ❑ Installation,a8eralion,or relocation 200 amps or less —__ inti 85 2 TYPE OF WORK INVOLVED-COMMERCIAL ONLY 201 amps to 400 snips S100.30 — _ _ 7 -- _ 401 amps to 600 amps $133.75_ _ 2 Fee for each system.............................................. $76.00 over 600 amps to 1000 voles, (SEE OAR 918260.260) see"b"above. 4d.Branch Circuits Check Type of Work Involved: New,alteration or extension per panel ❑ al The fee for branch cirwtts Audio and Stereo Systems With purchase of service or feeder fee. ❑ Boller Controls Each branch circuit $6.65 7 b)The lee for branch circuits J ❑ Clock Systems without purchase of service or feeder fee. ❑ Data'telecommunication Installation r list branch circuit _ $4685 Each additional branch circuit $665 ❑ Fire Alarm Installation 1 M.Miscellaneous (3ervice or feeder flat aviuded) ❑ HVAC Each primp or Irrigation circle $5340_ Each sign of outline lighting —_ $5340 _ ❑ Instrumentation Signal cirah8(s)or a limited energy panel,alteration or extension _ $75 00 _ ❑ Intercom and Paging Systems Minor Lebols(10) J._ $12500 41.Each sddltipnal Inspection over ❑ Landscape Irrigation Control' the allowable In any of Ole above Per Inspection $62.50 ❑ Medical Per lar $62.60 In Plant $73.75 U Nurse Calls 5. Fees: Outdoor Landscape Lighting' 6a.Enter total of above 8%Sradharge(Oe X lot-11 fres) $ Protective Signaling Subtotal $_..—. 6b.Enter 25%of line 68 for f Plan Review 8 iet1ked(Ser. 3) $ _ l Other Subtotal $ Number of Systems ❑ Trust Account it i,. No licerises,are required tioenses are required lot all other Installations Total balance Due $ --- FEES: ENTER FEES $ —. 8%SURCHARGE(.08 X TOTAL ABOVE.) $ — TOTAL $ OF TIGARD BUILDING INSPECTION DIVISION CITY Ms 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �� (BuPj 2m-00 E 2 3 Date Requested AMZ��' 7PM _ gLD Location �<7D Suite MEC Contact Person � Cc� � Ph ��Q -y �2� PLM f Contractor Ph SWR 1 ILDIN-G?- Tenant/Owner —Cl _ ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SIGN Crawl Drain Inspection Notes: _- Slab SIT Post&Beam Ext Sheath/Sheir -- - Int Sheath/Shear ) Framing 7"""r - -�f� -!i�•` --- _--- --- Insulation Drywall Nailing - - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - Roof --- nal PART FAIL ---- ING Post& Beam - Under Slab Top Out - - Water Service _ — -- Sanitary Sewer Rain Drains — Final PASS PAR'r FAIL — MECHANICAL Post& Beam - - --"--"-— —� Rough In Gas Line - Smoke Dampers Final -- _.—_.- ------- - PASS PART FAIL ELECTRICAL — Service —_ -- --- Rough In UG/Slab — - - Low Voltage Fire Alarm _ Final PASS PART FAIL SITE _ Backfill/Grading - Sanitary Sewer Stnrm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RE: [ j Unable to inspect-no access Fire Supply Line ADA �7�t 1 ci Approach/Sidewalk Date div Q Inspector ``— ___Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: AM P.M. MST• Lavation: _ `' l dl h — - — — _ BUP: Tenant:___ �� ' FL 0W /l Suite: Bldg: MEC: Contractor: _lone: L_ �/ .� ��(: PLM: Owner: Phone: ELC: l� ; l`� Cit.QE �' L�( lN&4 I. 0, � � CO ELR: SIT: _ BUILDING BLDG(cou't) PLUMBING MECHANICALECTRICA. SITE. Site Post/Beam Pos!/D3eam Post/Beam Sewer/Storni Footing Roof Undl'I/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Stonn Furnace 'Temp Service MLSC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sh-mth Fire Spklr,Alm Crawl/Found Dr Ifeat Pump w Volt Approved Approved Approved �Appmved- Approved Appr/Sdwlk Not Approved Not Approved Not Approvedd Not Approved FINAL, FINAL FINAL FINAL a IT 4 -- P,,(Ar 93 - c 3..) << -� 0 Call for reinspec ' 0 Reinspection fee of S. required before next inspection 0 l)noble to inspect —_ - -J-- _— — —--- Inspector Date: Page— o f CITYO F T I GA R D _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BIJP93-00329 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/29/94 PARCEL: 2S102AD-02400 ZONING: CBD JURISDICTION: TIC.; SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B2 OCCUPANCY LOAD: 85 TENANT NAME: OVERFLOW CORPORATION REMARKS: Overflow Corporation- remodel mini-storage into offices. Final Building Inspection Approved By Tom Plescher, Building Inspector, 11/3/98 Owner: OVERFLOW CORPORATION 8950 SW BURNHAM STREET Phone: Contractor: COLAMETTE CONSTRUCTION 8430 SW HUNZIKER #200 TIGARD, OR 97223 Phone: 620-0106 Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group. occupancy, and use under which the referenced permit was issued. , BUILDING INSPECTOR �UILDING OFFICIAL POST IN CONSPICUOUS PLACE CITYOF T I G A R® CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP95-00022 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/21/95 PARCEL: 2S102AD-02400 ZONING: CBD JURISDICTION: TIG SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B2 OCCUPANCY LOAD: 24 TENANT NAME: OVERFLOW CORPORATION REMARKS: TI First floor Overflow Corporation Final Build ng Inspection Approved By Torn Plescher, Building Inspector, 4/5/95 Owner: OVERFLOW CORPORATION 8950 SW BURNHAM STREET TIGARD. OR 97223 Phone: Contractor: Phone: Reg#: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDING INSPECTOR BUIL©f G OFFI IAL POST IN CONSPICUOUS PLACE CITY CSF TIGARD BUILDING FERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP98-0414 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 09/24/98 PARCEL: 2SI02AD-02400 SITE ADDRESS. . . : 08950 SW BURNHAM ST !_SUBDIVISION. . . . : BURNHAM TRACTS ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDICTION:TIG ----------------------.---------------------------------------------------------- 13EISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?---------- TYPE OF CONST. :SN . . . . 0 sf N: S: E: W.- OCCUPANCY :OCCUPANCY GRP. :B TOTAL------: 0 Sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZ.Z?: REDD SETBACKS---------- REQUIRED------------------ FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL_: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE.. $ : 10000 Remarks: Adding Hardy Plank to existing metal building. -----... Owner: ----------------------------------------------------------- FEES ------ OVERFLOW CORPORATION type amoi.tnt by date recpt 8950 SW BURNHAM ST PRMT $ 80. 50 DLH 09/24/98 98-309450 TIGARD OR 97223 5F='C.f $ 4. 03 DLH 09/24/98 '38--309450 PLCK $ 52. 33 DL.H 09/24/98 98-309450 Phone #: FIRE $ 32. 20 DLH 09/24/98 98-309450 Contractor: R GRAY CO / PURCELL INC 1. 1445 SW TIEDEMAN AVE 1J0 BOX 23516 TIGARD OR 97281-3516 -------•----------------------------- I=hone #: 639-6127 $ 169. 06 TOTAL. Reg #. . : 000790 --REQULRED ACTIONS or INSPECTIONS--- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-8818 through OAR 952-00101987. You many obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Pl e r m i t t e e S i g n a t i.t r e : _g;r-IMA U% I s s m e d By: 411. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an insper_.tion needed the next business day ++++++4+++++++++++++++++++++++++++++++++++++++++++++++++++++- .....++++++++++ ++ -iXAC CITY OF TIGARD Commercial Building Permit Application Rec By - I-ff i 3125 SW HALL BLVD. Tenant Improvement Date Recd Date toP.E.. TIGARD, OR 97223Pateto DST (503) 639-4171 -)ri 07�Permit# yf' Print or Type ��/ Related SWR# _ Incomplete or illegible applications will not be accepted Called _ -- Name of Development/PmiedExisting Building D•'New Building ❑ Job .F2_l cwt,,.' c d t­M0 Address Street Address Suite Building x,97 v s,w. f3��z�N Data _ Bldg# City/state Zip Existing Use of Building or Property: Name Property /\�E2F'Lv,. , C-v�• Proposed Use of Building or Property: Owner Maaing Address Suite No. f Stories: City/Stets Zip Phone Sq. Ft. Of Project: Occupant Name _ — 2 Occupancy Class(es)- `_ 0�K.' Name Contractor --SAY', �/tit[.[. /� fype(s) of Construction Prior to permit Mailing Address Suite issuance,a copy _l Will this ro ect have a Fire Su ression S rstem of all licenses �� &�X �_��/�i p PP ) are required If City/Slate Zip Phone __ Yes ❑ _ No'_[j expired in C.OT. Americans with Disabilities Act(ADA) database +y/ �� "�/Z Valuation X 25% =$ Participation Oregon Const.Cont.Board Llc.# exp.Date _Complete Accessibili Form _ q Q I rp 1 Project $ Name -- Valuation / 000 Architect Plans Required: See Matrix for number of sets to submit Malling Address Suite on back City/Slate Zip Phone I hereby acknowledge that I I ve read this application,that the information given f correct,that I am th6 wner or authorized agent of the owner,and ------ -[ Engineer Name that s submitted are mpliance with Oregon State Laws ( 10ef"11,11,� Si n ureof g Dale Mailing Address Suite '.. �P'(Y 1.3 y�� ontect Person Name Phone c� Clty/State Zip Phone FOR OFFICE USE ONLY _ Indicate type of work: New O Addition O Demolition U Map/TL# _ Land Use: Accessory Structure O Foundation Only O Alteration 9 _ Repair O Other O Notes: Description of work: /-i�v*/ :� �r,�✓v/�r TIF Note: Site Work Permit Application must precode or accompany Building Permit Application I\COMNEWTI.DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before ;clan review will be conducted. After plan review approval, Plans Examiner will cootact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) - - �- - Total # of TYPE OF SUBMITTAL Plans KEY: Submitted_ S (Private) �^ 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) �W1 P = Plumbing P (New, Add, or Alt) A2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 _ Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. I'\dstsVnaxtrixl.doc 07/06/98 ---------- -5,LA-) L) t1: 0 L 0 ASN 0 rj NAST PL 2 4 q8 JRA-1, rl p.,� Y � l -rJ �.9� ,yI � � 1 ��i� �- v / �� vn T �-r � � � ""'-- 6 � �, � � G ..---'''�'r. � d �� v ; , . ,; Z n�Ew I� G>y /4AT- EXIf,TINMFT74 scr� i5 24 eq. New ►-��C.D� QAI��i:L 5�t� �/.� C� 1 I fu �kJ y � ►;- I X11 1k1 ,J- u ` ,r•-I ----__ ./. PROFF R C, INp ILI RECON EXPIRES: 12-31-98 PROJECT -------- - -- ---- - -- - o��Qt=-c.ow PREPARED BY J DATE — JOB NO. PAGF N0. OF CBUILDING PERMIT CITY OF TIGARD PERMIT#: BUP1999-00418 DEVELOPMENT SERVICES DATE ISSUED: 10/12/1999 13125 SW Hall Blvd., Tiqard, OR 97223 (50311639-4171 PARCEL: 2S102.,D-02400 SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: 300 sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RE_QD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 12,500.00 Remarks: complete west stair and enclosure. No Certificate of Occupancy required - No change in occupant load Owner: Contractor: OVERFLOW CORP OWNER 8950 SW BURNHAM ST OWNER RESPONS FORM SIGNED TIGARD, OR 97223 Phone: Phone: Reg M _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK GEO 09/28/199 $98.64 99-318508 Final Inspection FIRE GEO 09/28/199 $60.70 99-318508 PRMT BON 10/12/199E $98.50 99-3190011 5PCT BON 10/12/199 $3.90 99-3190011 ORIGINAL Total $264.74 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with appioved 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 th(- rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these Hiles or direct questions to OUNC by calling (503) 246-1987. Permitee Signature: ( C, Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day t CITY OF TIGARD Commercial Building Permit Application Plan Check#GIS- 13125 SW HALL BLVD. New Construction and Additions Recd By TIGARD, OR 97223 Date Recd Date to P.E. (503) 639-4171 - Date to DST /t. 4- Print or Type Permit# Ry / f - 64 Incomplete or illegible applications will not be accepted Related SWR* Called I0-ii'�— Name of Development/Project Job /��12 12-j- lat'i C-0r - -_ Existing Building New Building ❑ Address Street Address Suite ?9'S7-(N SW S71 r. o,'�v ' Building Bldg* clty/State Zip Data -�� - Existing Use of Building or Property: Name Property c_ QQL Co Of1`1C t✓ r ��r, �• 1,r Owner Mailing Address V Suite Proposed Use of Building or Property: ul f 11 Dr FtCt City/State Zip Phone j�(�- � � � _-- T c_a y1' cr c No. 1Z Stories: Occupant Name - - -� Sq. Ft. Of Project: - Name �, �` Occupancy Class(es) Contractor Prior to permit Malting Address Suite Issuance,a copy Type(s)of Construction of al!licenses are required If City/State zip Phone Will this project have a Fire Suppression System? expired In C.O 1. Yes EJ —_ No — database Americans with Disabilities Act (ADA) Oregon Const.Cont.Board Lic.# Exp.Date Valuation X 25% = $— Participation -_------- Complete Accessibility Form _ Name Project $ Architect ILDr 6tA 0eE:1(_ 1 _4-raw Valuation Mailing Add r s --- - Suite t �bo •W k�r;+2 - - Plans Required: See—Matrix for member of sets to submit City/State zip Phone on back OUV3 7A4 Ah f ngineer Narne I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Mailing Address 8uije that plans submitted are in compliance with Oregon State Laws. 932,05.v,). l�jJ+►�•Pjv12 ( i r7 Signa a of Owner/Agent Date City/State lip Phone - `�� / i I ,n Contact Person Name Phone — yx Indicate type of work New O Addilion'% Demolition O _ ` � "` � t� C f P-v Ar cessory Structure O Foundation Only O Alteration O Repair O Other o FOR OFFICE USE ONLY Ueserlption of work: Map/TI_ � Land Use: so��D-o oG LU rv1 A L t?'[E Note 7Z i –'. Parks: Esllrnated#of Employees - - L7 r� t/(l - TIF If the above figure is not supplied at the time of application,the city will calculate the fee based upon the number of arkin s acos. _ Nate Site Work Permit Application must precede or accompany Building Permit Application 10 7 i tdstsVorms\comnew doe 5110/99 ' COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant tc request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: Submitted - S (Private) _ 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2� E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B &—F 9V&--PgE _ 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) 1 *l3 & M & P (Alt) 3 `B & M & P & E(Alt) 3 "B & M & P & E & F(Alt) 3 NOTES. 'Shaded areas designate ALT submittals only. I\dsfs\forms\matrxcom doc 10130/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1] $ _I2 multiply:. 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2]$ _ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ Yv� Com, (b) An accessible entrance $ c_/yVL (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains and $ (g) When pc,sible, additional accessible elements such as storage and alarms $ TOTAL:. Shall egual line 2 of Value Computation_ $ is\dsls\forms\acccss.doc CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00136 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/02/2000 SITE ADDRESS: 08950 SW BURNHAM ST PARCEL: 2S 102AD-02400 SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TICS CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 100 ft Remarks: Elevator sump pump and re-locate 10" storm drain _ ----- FEES Owner: Type By Date Amount Receipt OVERFLOW CORP 8950 SW BURNHAM ST PRMT BON 05/02/200C $64.50 0001836 TIGARD, OR 97223 5PCT BON 05/02/2000 $5.16 0001836 Total $69.66 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Top-out Insp Reg #: LIC 00002510 Rain Drain Insp PLM 26-25PB Final Inspection ORIG.- INAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other ap,iicable 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 rales are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. Yl,,u may obtain copies of these rules or direct questions to OUNC; by calling (503) 246-1987. Issued B y Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the xt business day CITE,' OF i 1GARD Plumbing Permit Application Plan Check 13125 SW HALL BLVD. Commercial and Residential llBy�� TIGARD, OR 97223 Date Recd 15 -2 7O�'T (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# 1'Muw -ii?1(r Related SWR# Called. — Name of Development/Project FIXTURES (individual) QTY PRICE AMT Job C n V Sink 11.50 Address SILegit AddressSuite Lavatory 11.50 Tub or Tub/Shower Comb 11.50 �I Bldg# 4 City/State ��,, ZIP Shower Only 11.50 —� L'I�•( NWater Closet 11.50 —� 8rr1Jr 1 -1{ I y Urinal 11.50 Owner Mailing Address Q Suite Dishwasher 11.50 _ 41/11 !, Garbage Disposal 11,50 City/State Zip Phone — — / e r r,il I I7 % Laundry Tray 11.50 Nallid — Washing Machine/Laundry Tray 11.50 i Floor Drain/Floor Sink 2" j, _ I �/ 11,50 Occupant Mailing Address Suite 3" 11 50 4" 11.50 -� City/Slate Zip Phone — Water Heater O conversion O like kind 11.50 Name — Gas piping requires a separate mechanical permit. _ j1 C o c- MFG Home New Water Service 32.00 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 3200. /1/ W (V 1<'( ri. ,.;1 Hose Bibs 11.50 Prior to permit City/State Zip Phone Roof Drains 11.50 issuance,a copy ��p-•� ("(,�y �j ). r r i�'I.. .1 (,••'.A ' - — — — Drinking r untain 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date - ---- required if Other Fixtures(Specify) 7 c 15.00 I expired in COT Plumbing Lic.# Exp.Dale database - r)c Name Architect ii n (---S J�0ILA Y�'` Sewer-1st 100' 38.00 or Mailing Address11� Suite r Sewer-each additional 100 32.00 �/ / r) -.W T\} 1 `� Water Service- 1st 100' — i 38.00 EngineerCity/State zip quo 3r, Phon _-- , F ; r1c o)' w R,S d !�!,. CL<' Water Service-each additional 200' 3200. Describe work to be done Storm 6 Rain Drain-1 st 100' 3800 Q New ( Repair O Replace with like kind. Yes O No O Storm&Rain Drain-each additional 100' 3200 Residential O Commercial Q _ -- Additional description of work: i� �(ti,I n�; _ ,�—�— Commercial Back Flow Prevention Device - _ 32 00 Residential Backflow Prevention Device' 1900 r Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Speclall, Requested 5000 Yes O No C Inspections per/hr If yes,see back of form to indicate work performed by Rain Drain single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps — 11 50 —i WORK COULD RESULT IN INCREASED SEWER FEES. — I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL green is correct.that I am the owner or authorized agent of the owner,and Isometric or riser diagram is required it Quantity Totals >9 that plans submitted are in compliance with Oregon State Laws. 'SUBTOTAL LJ r C Signature of Owner/Agent Date -- C 8% SURCHARGE Contact Person Name Phone — ---rf r \ i �, % • - %E,� I **PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE=178.00 Re aired only If fixture qty total Is>9 2 BATH HOUSE$250.00 TOTAL Q (� 3 BATH HOUSE$285.00 - -- (This He Includes all plumbing fixtures In tho dwelling and the first 'Minimum permit fee Is$50+111%surcharge.except Residential Backflow Prevention 100 fent of sanitary sewer storm tower and water service) Device,which Is$25+8%surcharge —All New Commercial Sulldings-rube plans with isometric or riser diagrnm and plan review I ldir0orms\plumapp doc 11118199 PLEASE COMPLETE: Fixture Type _Quantity by Work Performed New Moved Replaced Removed/Capped- Sink — — - Lavatory Tub or Tub/Shower Combination _ Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" up d— 311 ----_ -- 411 -- — Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: -I ylt4A PU,411 r.+ 'q- — �' X C r.�� �Q r �"1-1•r•t,. ,rQ.at.1�,�� .,.�L•1..a2 — - I kfstsVorm {aum,gly dnr 11 gr'rq I Tenant Name ���( Accumulative Sewer Tally V This SWR# ZaV-1)6 r,,,q 7 Address: - ;1 This PLM#• Z/ Lir Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value value,_ Baptistry/Font 4 3ath - Tub/Shower 4 JacuzziNVhirlpool 4 Car'/Vash - Each Stall 6 J— Drive Through 16 :uspidor/Water Aspirator 1 Dishwasher- Commercial 4 _ - Domestic _ 2 Drinking Fountain _ 1 Eye'Nash 1 Floor Drain/sink - 2 inch 2 3 inch 5 4 inch 6 - Car`Nash Drn 6 Garbage Disposal 16 Domestic (to 3/4 HP) _ Commerc,al (to 5 HP) 32. Industrial (over 5 HP) 48 _ Ice Machine(Refrigerator Drains 1 – Oil Sep (Gas Station) _ 6 — Rec. Vehicle Chimp Station 16 Shower - Gang (Per Head) _ 1 _ - Stall _ 2 Swi, Bar/Lavatory 2 - - Bradley_ --- 5 Commercial 3 _ - Service _ 3 — Swimming Pocl Filter 1 Y Flasher • Clothes 6 Nater Extractor _ 5 'Nater Closet • Toilet 6 Urinal 6 --- ---- – - -- --- TOTALS OTAL Total fixture values _ '�� divided by 16 = f EDU HISTORY PLM# EDU# _SWR# —� PLM# EDU# SWR# PLM# ED_U# _ _ SWR# ( PLM# _ EDU# SWR# PL-M# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# 'dsts�swrtaly doc March 29, 2000 Mildren Design Group C� OF TIGARD 11830 SW Kerr Parkway OREGON Lake Oswego, Oregon 97035 RE: Overflow Corporation BUP 2000-0 5 8950 SW Burnham Dear Applicant: Your plans for the proposed elevator shaft have been reviewed for compliance; the following items require your attention: 1. Provide Barrier removal information and details as required under ORS 447.241 on the attached form 2. Provide a copy of the structural calculations hearing an original seal. 3. In addition to the Architectural plans suhmittaf, structural sheets showing the details provided in the engineers calculation on this sheet. If you require clarification, please feel free to call me at 639-4171 X392. Sincerely, Ro lert Poskin, CBO Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223 503 639-4171 TUU 503 684-2772 - -- -- April 12, 2000 CITY OF 71GARD Carlson Testing OREGON PO Box 23814 Tigard, Oregon 97224 PERMIT#2000-00114 OWNER: Overflow Corp. PROJECT ADDRESS: 8900 SW Burnham PROJECT DESCRIPTION: Steel Shelter for parking vehicles TYPES OF SPECIAL INSPECTION: As per Program attached The owner has notified us that he/she will retain your services to perform Special Inspections in accordance with the provisions of the State Building Code, permit documents and special inspection requirements. The owner or the owner's agent must also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency, the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the building division, Architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you Inspect. (See UBC Anpendix Chapter 13 for soils special inspection final report requirementF If you fail to comply with the above requirements, there may be cause for the City to revoke your authority as special inspector for this jL). Should you have any questions, please call me at(503) 639-4171 X 392. Sincerely, Ro ert D. Poskin, C.B.O. Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 J CITY OF TIGARD A Program for Inspection Services and/or Materin 1 Testing 0(y of Tigard: flan Ck.No. Bup No. leaoo Sit No, Project Title:( _ Address 5v !Uj 4x/4'.J1AM Architect of Record �I'h. 1 address:—1 KPJZQ_ fiewAu _ ,,lp, n Structural Engineer of Record:_ f6N4.� APh. `MA-24a'n_ address: �37Q �1�J 5,aahuet D kru..» Geo-Technical Engineer of Record: _ _l Vii. address: Provide the following information for the testing ageni ty chosen to provide inspection seri,ic•es and/or telling. * Testing Agency: A�� ­R�4i cel! I'h. Fax.•— address fy 6V e,nw --- Geo=Technical Agency:----Ph. _Fax. _ address The owner certifies that the above noted Agency has been employed In conduct the special Inspections or observations required herein. *' ptice"Special Inspection reports shall trot preclude the neer/to bare Ci{p of Tigard hopectio n approval on all re-bar plac•etnent. Sianatu e of'Owner t Phone No. Date Print name Company name The following is a list of special inspection and/or services required by the 1996 Oregon Structural Specialty Code and Tigard Municipal Code 14.06.010 through 14.06.040. The special inspections and/or testing services required for this project to be provided by the Testing Agency,Structural Engineer or Geo-Technical Engineer of Record are as follow 1. Structural Afasonry • Special Inspectors for the Testing Agency shall he qualified,to the satisfaction of the Building Official, for inspections of the particular type of construction or operation. • Special inspectors shall observe the work assigned herein for conformance with the approved plans and specifications and,submit copies of all inspection reports and,a final signed report Li axoidance with OSSC,Section 1701.3 to the building official. I i CITY CSF TIGARD ELECTRICAL_ PERMIT PERMIT #: EL-C97--0761 DEVELOPMENT SERVICES DATE ISSUED: 11 /18/97 13125 SW Nall Blvd., Tigard,OR 97223 (503)639-4171 PARCEL: E:S 10E'AU-02 600 SITE ADDRE:SS. . . :08950 SW BURNHAM ST' SUBDIVJSION. . . . :BURNHAM TRACTS 70NING:CBD BLOCK. . . L0T. . . . . . . . . . . . . :005, JURISDICTI0N: Pr-o.j ect Description : Installation of three (3) branch circuits. - —RESIDENTIAL UNIT----- ----TEMP SRVC/FEEDF',.7)---- ----_MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5005F. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601 +amps-1.000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 -------SERVICE/FEEDER------ --- ----BRANCH CIRCUITS-------- ---.—ADD' L INSG'ECTIONS-_.--- 0 - — 2@0 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 ._01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 F'ER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 __________.____.__...__FLAN REV I EW SECT I 1.0004 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . : Rer..onnect only. . . . . : 0 SVC/FUR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner-: -____--------___.________ FEES OVERFLOW type amoi.tnt by dat e recpt 6950 SW BURNHAM RD PRMT $ 45. 00 TJH 11/ 1.8/97 97-301017 TIGARD OR 97223 5F,CT $ 2. 25 TJH 11 /18/97 97-30101 7 171hone #: 1,nntr-actor: PH0ENIX ELECTRIC CO $ 47. `5 TOTAL- 7379 SW TECH CENTER DR. ------------ REDU I RED INSPECTIONS ---- - TIGARD OR 97223 Ceiling Cover Elect' l Service Phone #: 684-3600 Wnll Cnvpr, Elect' 1 Final Reil #. . : 000522 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This neroit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cznter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. I e r m i t t e e Si g n a t"t r ee d B y s s 1.l OWNER INSTALLATION ONLY--- - -- -----_____.___._-_.---------._ flip installation is being made on property I own which is not intended for vale, lease, or rent. OWNE R' S SIGNATURE - _ �.._._� DATE., —---_--_-----_—_---------CONTRACTOR INSTALLATION r,I GNATURE OF SUPR. ELEC' N: n1 _ DATE:: A i_ I CENSE NO ++++++++++++t++++++++++++++++++4•++++++++++1 +++++++-4-++++++++.f -r++++++++++++4+++++ Call 639-4175 by 7:00 p. m. ''or an inspection needed the next hi.tsiness day +++++++++++++++++-++++-1+++f++++•+-+, ++++++++++++++++++++++++++++++++++++++i-+.++++++ is NOV-17-97 MON 1158 AM PHOENIX ELECTRIC FAX N0, 503 684 3611 P. 021102 CITY OF TIGARD Electrical Permit Application Plan Check a N P 13125 SW HALL BLVD. Recd By `T' . K TIGARD OR 97223 Date Recd Phone (503) 639.4171, x304 Date to P E. JA Dat®to OST - Ins,pection (503) 639-4175 Print or Type Incomplete or illegible will not be accepted Permit M _ Fax (503) 684 7297 Called J 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of InspectIons pr+r permit allowed r Name(or name of business) Service included: Items Cost Sum Address `` (�riiti v\ '. 1" — 4a. Residential-per unn Ciry/State�lp % L- ICM sq,rt,ur less $110.00 a Eich additional 500 sq.it,or Commercis ' Residential ❑ portion thereof 525.00 1 Limited Energy S25-00 Each Manut'd Mame or Modular Dwellinq Service or Feeder 2$ae.00 2a. Contractor installation only: ---- --- (Attach ropy'd4II current licenses► 4b.Services or Fenders Electrical ContractInstallation,alteration,or relocation Z�� ` — _ ^ _ – 200 amps or less Address t l: _ t (� � -- -- 201 amps to 4w sg0 00 2 amps _ City-- -3 = State w ZJp _ 401 amps to 6 S130.00200 amps _ Phone No. J (lam?-,_•E 1_l ��i` ���0 801 amps to 1000 amps 5$112070 0000 _ Job No. Over t000 amps or volts _ $;u0 00 2 - . ,,. Reconnect nnlY $50 00 2 Elec. Cont. Lice. No < __ . � "L..� Exp.Date��_1T'-�-_,�''•'___ -OR State CCB Reg. No. 9 __ U Date___ y 7 4r.,Temporary Services or Feeders COT Business Tau or Metro No._-- �- -_ installation,alteration,or relocation 200 amps or less _ 550 00 2 Signature ui Supr. Elec'n� � � z01 amps to 400 amps $75.00 2 �,,— 401 amps to G00 amps .- $10000 _- 2 Over goo amps to 1000 volts, License No.�� r Exp.Data see"b"above. 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: 31 the lee for branch cirernts wirlf purchase of service or Pnnt Owners Name _ feeder too. Addres3- Each branch r_ircuit S5.00 2 City _ State b)The fee for branch circuits -_ _ 7�p. _ without purcnasw or Phone No. --_- -- _ servlcw or feeanr fee. 01 First branch nfruit $35.00 1 2 The installation is being made on property I own which is not Each additional branch circuit $5,00 Intended for sale, lease or rent. 4e.Miscellaneous Owners Signature (service or feeder not indudad) -- Each pump or irrigation circle W.00 2 Each sign of outline lighGnq $40.00 2 3. Plan Review section (if required):* Signal circuit(s)or a limited onetgy panel.alteration or extension S40 00 2 Please check a Minor Labels(10) $100.00 appropriate item and enter fee in section 5B_ --- 4 ur more residential units in one strut-turn 4f.Each additional inspection over Service and feeder 225 amps or more the allowable In any of the abova System cver 600 volts nominal Per inspecnon 535.00 Classified area or structure centaintng special occupancy Per hour $55,00 _ as described,n N.E.C.Chapter 5 I In Plant $55.00 Submit 2 sets of plans with application where any of the above.apply. 5. Fees: Not raquirod for temporary construction services, 5a.Enter total of above fees s 5%Surcharge(.05 X total fees) 5 NOT;CE Subtotal S Sb.Enter 2556 of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Is Plan Review d r uired(Sec.3) $ NOT COMMENCED WITHIN ISO DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ S;LISPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 1.�( i TIME A19TE-R WORK IS CCMMENCED. �J Trust Account r Toed balance Due $ •s.�.�l I `T r v5A CC- f 1 RECEIVED NOV 1 7 1997 COMMUNITY DEVIIO '°'l !i CITYOF TI GA R D __ BUILDING PERMIT DEVELOPMENT SERVICESPERMIT#: BUP2000-00095 13125 SW Hall Blvd.. Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 4/14/00 SITE AWORESS: 08950 SW BURNHAM ST PARCEL: 2S102AD-02400 SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: _FLOOR AREAS_ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: TYPE OF USE: COM W: SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: OCCUPANCY GRP: NONE TOTAL AREA: sf ROOF CONST: _FFFIRE RET? OCCUPANCY LOAD: 0 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT. ft RGHT: ft FIR SPKL: SMOK DET: DWELL-ING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Create new elevator shaft. Owner: r ,_ Contractor: OVERFLOW CORP C M. EMEIS + CO 8950 SW BURNHAM ST 2519 N MISSISSIPPI TIGARD, OR 97223 PORTLAND, OR 97227 Phone: Phone: 282-0931 Reg #: sic 7000 — �_— FEES _ RE=QUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PLCK DEB 3/291( $140.73 0000880 Masonry Insp FIRE DEB 3/29/00 $86.60 0000880 Structural masonry final rel _ Final Inspection PRM1 DEB 4/14!00 $216.50 0001441 ---._ 5PCT DEB 4/14/00 $1732 0001441 Total $461.15 This permit is issued subject to the regulations contained in the Tigard MunicipalCode, St to of R. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rales or direct questions to OUNC by calling (503) 246-1987. Pe rm ite 7 Signa re: 5 Issue 8y: —� Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check# � L 13125 SW HALL BLVD. Tenant Improvement Recd By_pa 'f IGARD, OR 97223 Date Recd Date to P.E. (503) 639-4171 Date to DST 2 Print or Type Permit# P;rr 'eOO-eei-09C Related SWR# - Incomplete or illegible applications will not be accepted Called 'S/-/ y� Name of Development/Project Existing Building [{ New Building Job 1)('k--F- 1 o UI CA t-i g-c,,4�o v, Address Street Address suite Building �d W $k V,n : Data Bldg# City/State Zip Existing Use of Building or Property: l C T J t1?S F-l O w (_'3 r'1c/O ri/��+-t t3+� NameC)v e.r-,F` O tri Property Proposed Use.of Building or Property: 7z C . W ct r 2.- , q Owner MaI1ingAddress Suite vUt��LO '"j fir{ °tea@-io rte,�\'-'v ` u� t-h� _.", S No. Of Stories: City/State Zip Phone Pr�jecdt:_ sy Occupant Name u_ tt'' t Occupancy Class(es) Name hre I i Contractor C - m. e r••C 5 Co"p-C,, t,t IiA � Type(s) of Construction tvtc�d 1 k Prior to permit Mailing Address S Ite V issuance,a copy Will this project have a Fire Suppression System? of all licenses r1 i N. M,SS Sr. are required If City/State Zlp Phone _ Yes NO expired In C.O.T. PAmericans with Disabilities Act(ADA) database \o k-IT 0 7r� Sf r Valuation X 25% - $ Participation Oregon Const C nt.Board Lia# Exp,Date Complete Accessibility Form Project $Tacix//'�!r.� Name Valuation _r ,k, a Architect iI t� (A c L' c r .t aL' Plans Required: See Matrix for number of sets to submit Mailing Address Suite On back 31;?1; - -- --— - Clty/State zip Phone —" - — — I hereby acknowledge that I have read this application,that the information IhU 5 ���� A given is correct,that I am the owner or authorized agent of the owner, and _ _ . ,,swb o 4P� t r'.? that plans submitted are in compliance with Oregon State Laws Name Engineer r!,r\ Signa re of Owner/Agent Date Mallin ddress Suites t rw. ritiv,! r; "Y cContact Person Name Phone City/Slate Zip Phone Z e a YX C ; M FOR OFFICE USE ONLY Indicate type of workNew Addition O Demolition C Map/TL# Land Use:i J A )- A Q �J Accessory Structure`)� Foundation Only O Alteration O ,�j%Q�!)L�'�,�`/ R�air O Other O Notes: Description of work: L_...\ itt IVtL,vJ tl? tlCa{'Ul- TIF — -- -- Note: Site Work Pemtit Application must precede or accompany Building [7 PPS I t�d 1 Permit Application I\COh1NEWil DOC (DST) 5198 i'-"---` COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to re uest,,; additional plan sets for distribution purposes. (Copy for Contractor, City;. Washington County, Tualatin Valley Fire & Rescue) Total#of TYPE OF SUBMITTAL Plans KEY: Submitted S (Private) u 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P thew or Add) 2 New = New Building E (N�.rv, Add, or Alt) 2 Add = Addition B & F & M & P & E _ 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *13 & M & P (Alt) 3 *B & M & P & E(Alt) `3 *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only,. I\dsts\formslmairxrom doc 12/1/99 SUBJECT: ACCESSIBILITY BARRIER REMOVAL_ IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alf-ration or modification being done excluding painting, wallpapering [1] $ . %0°• multiply: 25% Barrier removal requirement. — .25 BUDGET FOR BARRIER REMOVAL [2] $ cj' o00 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: (c) An ar:cessible route to the altered area $ (d) At least one accessible restroom for each sex or a single unisex restroorn. (e) Accessible telephones (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms $ TOTAL: Shall equal line 2 of Value Com_114tation $ NeTtr rt 1�l�nS a - , Lornt?�kt ]►N PlX.tort th',DYLI `T+�t5 P�r1.T �b1z �,c t.eys�m t�t N �►.,'S i rt Fa_y - E=1.C-�.+'�» i\dsts\forrnslaccess.doc LIN I F 1 ED SEWERAGE AGENCY OF WASH 1 NG11ON C xJNT Y F1xTURE UNIT RAT IMS L)J 1 r TOTAL TOTAL F 1 XT uRr VALUE C n F F NUMBER NUMBER BAPTISTRY/FONT 4 BATH — TUB/SHOWER 4 — JAM/ZMM 4 Cl JSP 1 DOR/WATER ASP I D 1 SHWASHER -- COMINIER 4 — DOQEST 2 OR 1 NK 1 NG FOoUN TA I N i FL AOM ORA I N — 2 1 NCH 2 — ] INCH S — 4 INCH 6 GARSAGIE DISPOSAL — DOM (PO JJp HP) 16 — COW (TO S HP) 12 -- IND (OVER S HP) 49 OIL SEP (GAS STA( 6 SHOWER — GANG 1 — STALL 2 S 1140 — BAR 2 Y --- BRADL.E Y 5 — COMMERCIAL 4 /y — SERVICE WASHER, CLOTHES 6 WATER EXT 6 WATER CIASET 6 7�t URINAL 6 be value this ten ' DAJ -- this tenant Min. f x. value - bldg Run. EDU - bldg. Sewer peLmit # y v� DATE '1 L ^ 1 NSP J. b Py4hj TOTAL BUS 1 NESS owe rLA,•/ lay jJd:� 'JY1 EDU PERMIT NO. ADDRESS 87s", -s-,- �uvn��r�-. ter. TAX MAP/LAT f;0U1dTEU FROM 7]-25 R8] CITYOF T I G A R D _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00173 13125 SW Hall Blvd., Tigard, OR 97223 (503.1, 639-4171 DATE ISSUED: 05/30/2.000 SITE ADDRESS: 08950 SW BURNHAM ST PARCEL: 2S 102AD-02400 SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS URINALS: GREASE TRAPS: LAVATORIES: 4 OTHER FIXTURES: TUB/SHOWERS: 2 SEWER LANE: ft WATER CLOSETS: 4 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Remove four (4) bath rooms and two (2)shower rooms. FEES — Owner: OVERFLOW CORP Type By Date Amount Receipt ---- -- 8950 SW BURNHAM ST PRMT GEO 05/30/200C $1 15.00 0002517 TIGARD, OR 97223 5PCT GEO 05/30/200C $9.20 0002517 Total $124.20 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Insp existing/capped fixtures Reg#: LIC 00002510 Final Inspection PLM 26-25PB ORIGINAL 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 obtai copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued Byer--�( �, ,� �2 � Permittee Signature;-_` Call (503),639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application PlAnch 13125 SW HALL BLVD. Commercial and Residential Recd B� TIGARD, OR 97223 Date Recd S (503) 639-4171 Dale to P.E. Print or Type Dale to DST Incomplete or illegible applications will not be accepted Permitllllk:_ 00-001?3 Related SWR##000-pot/G Called Name of Development/Project FIXTURES (individual) OTY PRICE AMT Job (Juts-Flo,,,, L•.•- µ.4-1c Sink 11.50 Address Street Address Suite Lavatory 11.50 � SX S 'Ao,,f'Cr I Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zip Shower Only 11.50 11)r T , �J�a a water Closet 11.50 Name �1� A,,(.�GJrrI - f Urinal 11.50 Owner Malling Address T Suite Dishwasher 11.50 ' xt `a S,ia „rn Jct Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 Name Washing Machine/Laundry Tray 11.50 ��`1nr.('.tic'•r r (' r ,0 +1161. Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 f ; . 4" 11.50 City/Stale Zip Phone 1- c' _C/ „J,� �, t: Water Heater O conversion O like kind 11.50 - Gaspip,n requires a separate mechanical permit _ : f Name' M A k)1 MFG Home New Water Service _ 32.00 Contractor Mailing Address Suite MFG Home New San/Storm Sewer 32,00 �_J Hose Bibs 11.50 Prior to permit laity/State Zip Phone Roof Drains 11.50 issuance,a copyL r' e,I > ,, _1 Drinking Fountain 11.50 of all licenses are Oregon Const.Conl.Board Lic.tk Exp.Date required If Other Fixtures(Specify) 15.00 expired in COT Plumbing Llc.0 Exp.Date ivdatabase (( Name Architect 0" I rA--r p- Q:�, S Gv 0"p Sewer-1st 100' 38.00 Or Malling Address �- Suite _ Sewer-each additional 100' 32.00 r row �+ Water Service-1st 100' 38.00 Engineer City/Slate ZiphoneS>a3-4V, * / n� ater Service-each additional 200' 32.00 Describe work to be done: Storm 6 Rain Drain-1st 100' 38.00 New O Repair O Replace with like kind: Yes O No O Storm 6 Rain Drain-each additional 100' 32.00 Residential O Commercial Additional description of work: Commercial Back Flow Prevention Device 32,00 S,-\e,V_k I Residential Backflow Prevention Device* 19.00 Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes M ' No O Inspections perthr If yes,see back of form to Indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. - I hereby acknowledge that I have read this application,that the information QUANTITY TOTAL given is correct,that I am the owner or authorized agent of the owner,and Isometric or riser diagram Is required M Quantity Total Is >9 that plans submitted are In compliance with Oregon State Laws. SUBTOTAL SignaluId of Owner/Agent Date - s L ( )C.,C,u ' 6/e SURCHARGE--- Contact Fuson Name \ Phone „y,_/b "PLAN REVIEW 25% OF SUBTOTAL 1 BATH HOUSE$178.00 Required onlyrr fixtures tolai is>9 2 BATH HOUSE$250.011 TOTAL - koBAllt HOUSE$285 , �his fee Includes sill pl" ng fl-tures I i ra •Minimum permit fee is 350+8%surcharge,except Residential Baddbw Prevention feet of sanitary aowo�'alortn sewer and water t r,rvlco) Device,which Is 325+1%surcharge -All New Commercial Buildings require plans with Isometnc or nser diagram and A • plan review n4stsVormsVplrmepp.doetIll&19 I�FG� PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Urinal_ Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 311 Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: CLJ2. n O "'1 n o �,' ,� �J t.,r e S - Q s S s' - --- e C-a" vzr T 1%dztsVmme\plumopr doc 11118193 CITYO F TIGARD BUILDING PERMIT PERMIT#: BUP2000-00173 DEVELOPMENT SERVICES DATE ISSUED: 05/30/2000 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02400 SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: �S: E: W: TYPE OF USE: COM SE")ND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: F• W OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?. MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,250.00 Remarks: Interior alteration within an existing commercial bldg Remove excess bathrooms and showers not requiro d by code. No Change of occupant load. JI Owner: Contractor: OVERFLOW CORP OVERFLOW CORP 8950 SW BURNHAM ST 8950 SW BURNHAM ST TIGARD, OR 97223 TIGARD, OR 97223 Phone: Phone: 503-598-1871 Reg #: uc 140631 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK GEO 05/09/2000 $32.50 0002028 Gyp Board Insp Susp Ceiing Insp FIRE GEO 05/09/200C $20.00 0002028 Final Inspection PRMT GEO 05/30/200C $50.00 0002517 ORIGINAL Total $102.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: �C Issued By Call 639-4175 by 7 p.m. for an inspection the next business day C ' OF TIGARD Commercial Building Permit Application Plan Cheek#- —� - 13 r... 1W HALL BLVD. New Construction and Additions Recd By_� TIGARD, OR 97223 Date Recd_ e� Date to P E. 7`/& (503) 639-4171 Date to DST PI,ot or Type Permit# 64 o? � Incomplete or illegible applications will not be accepted Related SWR# _ Called— Na-me alledName of DevelopmenUProject Job I . C'. , 5 E isting�ing 0 New Building O ,� iltit Address Street Address Suite "r;k,��.r �\,..ay.,�. Building Bldg# City/State Zip Data _ r I(nrar�F1 da 1 Existing Use of Building or Property: Name Property 'Jou-V lc LJJC4(' Owner Mailing Address (' suite - Proposed Use of Building or Prooerty: City/State tip Phone No. Of Stories: Occupant Name f Sq Ft. Of Project: JJ o NQ (10 --�— Name Occupancy Class(es) Contractor s ,�, t IW ( r^ Harv.A-,-" __ Prior to permit Mailing Address Suite Types) of Construction issuance,a copy of all licenses 6*,t1 w C,,.1r n — are required if City/State Zip Phone Will this project have a Fire Suppression System? expired in C.O T. a Yes ❑ _ N database I � �°I-� � �1�3 5�d / --- Oregon Const.C nt.Board Lic.# Exp.Date Americans with Disabilities Act(ADA) Valuation X 25% = $ Participation I LA 2S •�tq(ry. Complete Accessibility Form Name ` ar rk�',•tProject $ Architect j'N� a c e. \s )�� n � �� Valuation l . Mailing Address Suite 5 W rte" c ski Plans Required: See Matrix for number of sets to submit City/State zip one ,; 7 on back `6[Ky, © o _ - I -- Engineer Name - — — g I hereby acknowledge that I have read this application,that the information ,� Q given is correct.that I am the owner or authorized agent of the owner,and Malting Address 5,,,1t that plans submitted are in compliance with Oregon State Laws S1 re of Owner/Agent Dale City/State Zip Phone -- ,, 7 __y - ,��y � Contact Person Name Phone indicate type of work: New O Addition O Demulition .IQ- )E�J `� W P_— Accessory _Accessory Structure O Foundation Only O Alteration O Repair o other o _ FOR OFFICE USE ONLY _ Description of work: It. 1=fb0 r MaprrL# Land Use z. 1. Q)D} . JC cls G^ l S r F t' 'A Notes Parks: Estimated#of Employees — — —— - TIF If the above figure Is not supplied at the time of application,the city will zalculate the fee based upor•the number of parkin spaces. Note: Site Work Permit Application must precede or accompany Building �. Permit Application 1r e 0 fL c r - - i\dsts\forms\comnew.doc 5/10/99 CITYOF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2000-00352 DEVELOPMENT SERVICES DATE ISSUED: 6/22/00 13125 SW Hall Blvd., Ticlard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02400 SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: Installation of 3 branch circuits. Job No. 6576. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/r�NEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER — _ BRANCH CIRCUITS — ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW _ 1000+ amp/volt: >=4 RES UNITS_ > 600 VOLT NOMINAL: Reconnect only: — SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: OVERFLOW CORP MCCOY ELECTRIC CO 8950 SW BURNHAM ST 2014 SE 9TH AVE TIGARD, OR 97223 PO BOX 42428 �\ PORTLAND, OR 97214 Phone: Phone: 234-7521 Reg #: L!; 00008277 0� SUP 2175S ELE 26-82C FEES Required Inspections Type By Date Amount Receipt Flecl'I Service 5PCT DEB 6/22/00 $3.86 0003203 Elect'I Final PRMT DEB 6/22/00 $48.20 00032.03 Total $52.06 This Permits 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 6 work is suspended for more than 180 days ATTENTION Oregon law requires you to fellow 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,ordirect questions to OUNC at(503) 246-1987 --�� PERMITTEE'S SIGNATURE ISSUE BY: 'Ott , / OWNER INSTALLATION ONLY The installation is being made on property I own which ;- not intended for sale, lease, or rent. OWNER'S SIGNATURE: _— __— _. DATE: CONTRACTDR INSTALLATION ONLY SIGNATURE OF STIR. EI_EC'N: ��fir - `r. !r�� l 'r=`_ DATE:----- LICENSE NO: _ c 17.S ? ----- — — — Call 639-4175 by 7:00pm for an inspection the next business day sr ... CITY OF TIGARD Electrical Permit Application `"°n cheq** 13126 SW HALL BLVD. Recd 8i TIGARD OR 97223 Date Recd Phone(503)639.4171,x304 Date to P.E. Date to DST Inspection(503)639-4175 Print of Type Perm*#Fax(503) 598-1960 Incomplete or Illegible will not be accepted Sailed 1. Job Address: 4. Complete Fee Schedule Below: Name Of Development. Number of Inspections per permit allowed Name(or name of business) / CD/t Service Included: Items Cost Sum Address. ISC.-v 4a. Residential-pet unit —_w City/State2ip 44144,P-1 �'�' d.ti Loco sq t or al 5s f 11775. —- -- ° Each additional 500 sq R or portion thereof S 26. 5 1 Commercial tq Residential❑ Limited Fnergy f 60.00 Each Manufd Home or Modular -��- 2a. Contractor installation only: Dwelling Service or Feeder - S 72 75 �– (Prior to permit issuance,applicants must provide contractor license 4b.Services or readers Information for COT data base ) , Installation,alteration,or relocation Electrical C.ontrdetor j�' ��c�r• CQ 200 amps or less — f 64,25 __ _ . �— v my __ s e5 50 2 Address .�- 201 amps to 40U a s 2 City State 401 amps M 600 amps _ f 126.50 2 For amps to 1rM amps $ 194.50 2 Phone No. - Z( Over 1000 amps or votls f 393.75 2 Job No. Reconnect only _ $ 53-50 Clec.Cont.Lice.No. L_ U Date /0 i a xP• 4c.Temporary Services or Feeders OR State GCB Reg-Na. "7 V EV.Date r 2. Installation,atteration,a relocation CO T Business Tax or Metrtl No 200 amps or less Z.(z_Ixp.Date 201 amps to 4W amps _ f $0.25 ---- -- 2 Signature of Supr. Elec'n 401 amps to Boo amps $ 107.00 Over 600 amps to 10011 Yong, _ License No.40.5 ..—�.__ ExFDate v o sea"b"stare. Pt-KXW No._S b 4d.Biranch circrllits New.alteration or extension per panel a)The fee for Manch circuits 2b. For owner Installations: adf6 pumhose of swvko or r«dw fee- Print rint Owner's Narne - Each branch orcurl f 5,35 2 Address b)the fee for hi nch clrculls ' -- City� _— �--State —LP Kprchasaoraervlce Pune No. First branch clrrmit / $ 37.50 7 Each add*khrhai branclh arcus ��--- f 6.35 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale,lease or rent. (Service nr reeler not Included) Each pump or Irrigation circle f 4275 Ownet's Signature u - Each sign of outline lighting f 4275 - Signal dnxr*(s)or a limited energy 3. Panel,a is(1tion a extension _ f 00.00 Plan Review section (if required).-* Minor Labels(10) Please check,appropriate Item and enter fee in section 58. 4f,Each additional Ins psetlon orae ---4 or more residential un*s in ane structure the allowable In any of the obrwa Service and feeder 225 amps or more Per inspection f 5000 System over 600 volts nominal Per hour - f 6000 - - - Classdwrl oiea un strudure containing special omupancy as In Plan! i 5900 -- described!n N F C Chapter 5 5. Fees: !N Enter hotel rN above techs ' Submit 2 sots of plans with application where any of the above apply. i't6&xclherge(.��otal fees) f Not rrqulrpd for temporary construction services. Subtotal $ Ob.Enter 25%of line W br —`- NOTICE Plan Review If rea_r�avd(Sec 3) f PERMITS BECOME VOID IF W-'IR -OR CONSTRUCTION ALITHORVFD Subtotal f IS NOT COMMENCED WITTIIN 180 DAYS,OR IF CONSTRUCTION OR W0rK IS SUSr'£NDED OR A13ANDONEO FOR A PFRIOn OF 180 nA I'S ❑ "Trust Acxunt s --- -- -- A C;NY T'MF.AFTER WORK IS COMMENCED Total balance Dire .. i A.lab.Afmrilcvrlcctrn dor CITY OF TIGARD - BUILDINGPERMII PERMIT#: BUP2000-00249 DEVELOPMENT SERVICES DATE ISSUED: 7/26/00 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102AD-02400 SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sfi N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 87 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: 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: Y PARKING: VALUE: $ 45,000.00 Remarks: TI - First and second floor Owner: Contractor: OVERFLOW CORP OWNER 8950 SW BURNHAM ST TIGARD, OR 972.23 Phone: Phone: Reg#: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK KJP 6/27/00 $258.54 0003277 Electrical Permit Required Framing Insp FIRE KJP 6/27/00 $159.10 0003277 Gyp Board Insp PRMT DEB 7/26/00 $397.75 0003996 Susp Ceiing Insp 5PCT DEB 7/26/00 $31.82 0003996 Final Inspection Tota! $847.21 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe nn itee Signature: `. Issuled By: Call 639-4175 by 7 p.m. for an inspection the next business day t 'TIrGARD Commercial Building Permit Application PlanChe C 3125 SVI HALL BLVD. Tenant Improvement Recd e - _ IGARD OR 97223 Date Rec le^ [o-t'jd r Date to P.E. 1,-Z 1^ (fib 03) 639-4171 Date to DST -- l/ T<�f Print o,Type Permit '� T Related SWR 0 Incomplete or illegible application:, will not be accepted Called &-ti/4'6 Name of Development/Project Existing Building' New Building ❑ Job Je-S�F710uI LVc- of : 0 Address Street Address 4 suite Building &L Data Illdg p City/State Zip Existing Use of Building or Property: Name V Proposed Use of Building or Property: Property ' c-C"'e C;� ';_' _ Mailing AdCress Suite Owner No. Of Stories: a City/Stale Zip Phone Sq. Ft. Of Project: -Occupant "amioLs p Occupancy Class(es) ----------- -Name �!��-� ----------__-_--- ContractorType(s)of Construction Prior to permit Mailing Address Suite -- — -- -- Issuance,a copy Will this project have a Fire Suppression System? of all licenses Yes ❑ ° �-_ --- are required If City/Slate Zip Phone "-- expired in C.O.T Americans with Disabilities Act(ADA) database Valuation X 25% = $ __Participation Oregon Const.Cont.Board Lic.A Exp.Dale Complete Accessibility Form - 3Project $ Name at, Valuation � ,Architect 4 V- �f Plans Required: See Matrix for number of sets to submit Mailing Address S61te on back �t ? :3 5ol' S w ke-c- 1i _-)as _s-_ —__ - ________ City/Stale Zip Phone!Ir.7--„ I hereby acknowledge that I have read this application,that the information ke lis uJ Pit i, _ given Is correct,that I am the owner or authorized agent of the owner,and Name — that plans submitted are in compliance with Oregon State Laws. Fngineel. Signatur of Owner/Agent Date Mailing Address Suite Contact Person Name Phone City/Stale Zip Phone �Q h-( -��-� ':; z 7 -'7ci J - — - — FOR OFFICE USE ONLY Indicate type of work: New O Addition OK Demolition O MaprrL# Land Use: Accessory Structure O Foundation Only O Alteration O _ Repair O Other O Notes: Description of work: T� 01 16 r, _ T Ta 1.r/(?X-J TIF. r _ Note. Site Work Penult Application must precede or accompany Building I1L Permit Application 2 I / ' 1 1COMNEWTI DOC (DST) 5/98 Date Rec'd: CITY OF TIGARD Recd By: __— COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL REQUIPEMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME:— T _._--- __ — --._-- PHONE #:--__---- 2. SITE ADDRESS: .---_- _ — _-_-_ ___-- — FAX #_--- --�— 1. SITE PLAN (Fully dimensional, drawn to scale) labeled with: ❑ map & tax lot #, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the matrix on back of application for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS- A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project 1 ldstsrforms\comtfapp.doc 10!30/98 Main Office Salem Office Bend Office P.U. Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 CCarlson I Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 ,a x son 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 Special Inspection FINAL SUMMARY LETTER July 13, 2000 T0004114 City of Tigard JUL 2 4 ?000 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Overflow Corporation — West Stair Tower 8950 SW Burnham Street, Tigard, OR Permit No.: BUP1999-00418 Dear Sir or Madam: 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: Installation of Wedge Anchors Structural Steel -- Field All inspections and tests were performed and reported according to the requirements of Project Documents and io 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 wPll as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectful) submitted, CARO' TESTING, INC. i , J s F Hietpas lily Assurance Manager JFTdk1 cc: CM Emeis - Dan Ring City of Tigard Development Services - Dean Warren Afghan Associates, Inc -- Hamid Mildren Design Group — Jack Kriz P 1WOROIREPORTMFWLTR%T0004114 CITYO F T I OA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000 00324 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/30/00 SITE ADDRESS: 08950 SW BURNHAM ST PARCEL: 2S 102AD-02400 SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES L-AUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of 2 new lavatories and 2 new toilets. Previous plumbing permit, PLM2000-00173 capped a number of fixtures earning 2 EDU Credits. This permit uses one of the credits, leaving one credit still available. Owner: _ _ FEES Type By Date Amount Receipt OVERFLOW CORP PRMT CTR 8/30/00 $50.00 27200000000 8950 SW BURNHAM ST 5PCT CTR 8/30/00 $4.00 27200000000 TIGARD, OR 97223 Total $54.00 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Top-out Insp Reg#: LIC 00002510 Final Inspection PI-M 26-25PB 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 i:, 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: cr_ _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Qfleck#' 13125 SW HALL BLVD. Commercial and Residential Recd b1-y TIGARD, OR 97223 Date Recd f4,19,0C) (503) 639-4171 Date to P.E Print or Type Dale to DST -- ----- Incomplete or illegible applications will not be accepted Permit#_t.K co Related SWR# Called -30 -- -� W/ Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job I— y ✓POW ( rf-�?(Q-b'61 Sink 11.50 Address Street Address Suite,, Lavatory 11.50 a 3 Ns D Sw1 $urn ka m l Tub or Tub/Shower Co.nb 11.50 Bldg# City/State, I lip 2 Z Shower Only 11.50 _ Name Water Closet -_ - 11 50 a smile A > Urinal 11 50 Owner Mailing Address Suite Dishwasher 11.50 1, _ Garbage Disposal 11.50 City/Slate Zip Phone Laundry Tray 11 50 1-I a-' �l ^I Z 2_ h�� Name Washing Machine/Laundry Tray 11.50 5 am e a 01 bohP Floor Draln/Floor Sink 2" 11 50 Occupant Mailing Address �S-iile 3" 11.50 I I n/� 4" 11.50 City/Slate Zip Phone, Water Neater O conversion O like kind 11.50 -------- ----- N e r - Gas piping requires a separate mechanical permit, MFG Home New Water Service 32.00 Contractor Mailing Address Suite J MFG Home New San/Storm Sewer 3200 ICf 51 NW D✓�.r�t1� Hose Bibs 11 50 Prior to permit City/Slate Zi Phone Roof Drains --� 11 50 issuance,a copy PO r f(,z ri ;7 - 22-1'Z-&`�I Drinking Fountain -- 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp,Date Other Fixtures(Specify) 15.00 required if 251 O (0 -7--o expired in COT Plumbing Lic.# Exp.Date database (0 2'S, --- Name Architect V1 l�h, Sewer-1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32 00 ------ Water Service-1st 100' --� 38.00 -- Engineer City/Slate Zip Phone Water Service-each additional 200' 3200 Describe work to be done r vi cit n {- f yvt p rdt­e wlf w4- Storm&Rain Drain- 1 st 100' 3800 New O Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100 3200 Residential O Commercial • _ -- -- Additional description of work Commercial Back Flow Prevention Device - 32.00 k. it ✓�1 �V� ✓�l/I/L�lti Residential Backflow Prevention Device 1900. { I Catch Basin 11 50 Are you capping, moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 5000 Yes A" No O Inspectionsep r/hr If yrs, see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps �J 11 50 _WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application.that the information L� sometnc or riser diagram is required I Quantity total is >s given Is correct,that I am the owner or authorized agent of the owner,and - tha4fans submitted are in co2gliance with Oregon State Laws. 'SUBTOTAL SWnA17e of Owner/Age Date ----- ----a 7r'� ------ 8% SURCHARGE Contact Perso Name �//� Phone I (cam moil V6tn rliir-11 � ��Y! PLAN REVIEW 26%OF SUBTOTAL 1 BATH HOUSE$178.00 _ Required only 6 fixture qty total is>9 2 BATH HOUSE$25U.00 TOTAL ��i� - 3 BATH HOUSE$285.00 - — __ �'" (This fee Includes all plumbing fixtures In the dwelling and the first •Mtntmum permit fee is$50+e%surcharge.except Residential Backnow Prevention 100 feet of sanitary sewer storm sewer afd water service) Device.which is$25 e%surcharge All Now Commercial Buildings require plans w1h isometric or nser diagram and plan ieview I wswfo,nslpiumapp doc 11119/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New ? Moved ? Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only _ — — _ Water Closet Urinal Dishwasher Garbage_Disposal _ Laundry Room Tray — Washing Machine Floor Drain/Floor Sink 2" Water Heater -----_ - _ — ---- -- - _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: __--- der ay -A M 6 J . 7-,�e1-e _.. e,s are in r.2 _ l'a fid�'1er - ___ i��-l'��.��I ✓e ��/I � �' ���/ ��Z2 ,-�fes, �-rte-- Z/ 011 a-ra I%d94Voams%pkjmepp doc 11,1" Accumulative Sewer Tally T-enant Narne: eLAC4�ca� dog/'• This SWR#— Address: R9�� "� �'�'�'���� This PLM#: aOeoo'OD 3, Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off#s count value values BaptistrylFont 4 - - Bath - Tub/Shower _ 4 - - -- - --- -Jacuzzi/Whirlpool 4 -- Car Wash- Each Stall -6 ----- -- - Drive Through 16 --- Cuspidor/Water Aspirator - Dishwasher- Commercial _ 4 - ---- Domestic 2 — -- - ----- Drinking Fountain 1 - Eye Wash 1 --- ---- - Floor Dralrt/sink-2 inch 2 —------ _ 3 inch— 5 - — - 4 inch 6 ----- - --- - _-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 --- Oil Sep(Gas Station) 6 -- Rec.Vehicle Dump Station 16 -- _Shower-Gang (Per Head) — -1 - -_-Stall 2 - Sink - Bar/Lavatory 2 - Bradley 5 -- - - -Commercial 3 _- ---- - __ Service - 3 -_ --- -- Swimming Pool Filter 1 -- Washer-Clothes 6 --- Water Extractor6 Water Closet - Toilet 6 Urinal 6 — --- -- - - - TOTALS � b b Total f�HAner ___ ture values 7U/- divided by 16 = O� _—EDU HISTORY C'i��c-���. /1t4-0 /jr)'OIL s tt, c--a _PL.M# _ EDU# SWR# _ PLM#_ _EDU# SWR# PLM# EDU# _ SWR# PLM# EDU# SWR# P_LM#__--_ EDU#_ SWR# _ PLM# EDU# SWR# SWR# PLM# EDU# SWR#~ r,dsts\swrtaly doc ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC2000-00486 DEVELOPMENT SERVICES DATE ISSUHD: 8/17/00 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL- 2S102AD-02400 SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS ZONING: CB,) BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: Tenant Improvement _ RESIDENTIAL UNITTEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 24 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: _ SVC!FDR >=225 AMPS: — CLASS AREA/SPEC OCC: Owner: Contractor: OVERFLOW CORP MCCOY ELECTRIC CO 8950 SW BURNHAM ST 2014 SE 9TH AVE TIGARD, OR 97223 PO BOX 42428 PORTLAND, OR 97214 Phone: Phone: 234-7521 Reg #: LIC 00008277 SUP 2175S ELE 26-82C FEES _ Required Inspections Type By Date Amount Receipt Wall Cover PRMT RCP 8/17/00 $256.90 0004545 - Elect'I Final 5PCT RCP 8/17/00 $20.55 0004545 Total $277.45 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws Aii 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 ale set forth in OAR 952.001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) ?461987 PERMITTEE'S SIGNATURE. = G �' _ ISSUED BY: E OWNER 'NSTALLATION ONLY _ I he installation 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: _ ______ —.__-- DATE:----- LICENSE ATE:-__ -LICENSE NO: -- - - —_��— ------------- ---- -- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By� _ TIGARD OR 97223 Date Rec'`d orf - I -1 OU Date to P E. Phone(503)639-4171, x304 Date to DST _ Inspection (503)639-4175 Print of Type Permit# 4,4- Fax rFax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business)_ Se-vice included: Items Cost Sum Address C 7, L &/-P- 4a. Residential-per unit CI /State/Zi 7���i , 1000 sq ftor less _ $ 117.75 --T- 4 ry p- 1= �� S ��� 3 Each additional 500 sq.ft.or / portion thereof $ 26125 1 Commercial ❑ Residential ❑ I imited Energy $ 60.00 1`ach Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 _ 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data se, + Installation,alteration,or relocation Electrical Contractor N I- -1.�f1 200 amps or less _ $ 6425 2 Addres8 CY ` �( %>� y 201 amps to 400 amps $ 8550 2 J =-- r 401 amps to 600 amps _ $ 128.50 2 _ City , < 1�- State /`-- _Zip e / 601 amps to 1000 amps $ 192.50 _ 2 Phone No. �� Over 1000 amps or volts $ 36375 _ 2 Job No -�' Reconnect only $ 53.50 - 2 Elec. Cont t_ice. No ,,(o L C�Exp.Date,_/c i Z 0 �� 4c.Temporary Services or Feeders OR State CCB Reg No c1-7 7 Exp.Date e 2,11 ) Installation,alteration,or relocation COT Business Tax or Metr NiIo. Exp Date , r, 200 amps or less � $ 53.50 _ 2 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 107.00 2 Signature of Supr Elec'� Over 600 amps to 1000 volts. / see"b"above. License No. 7 Exp.Date �� ' - 4d.Branch Circuits Phone No New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. V Print Owner's Name Each branch circuit $ 5.35 2-Y y_ 2 Address b)The fee for branch circuits - - -- -- - -- without purchase of service City-_-_ State Zip -__- or feeder fee. Phone No r first branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle _ $ 42.75 _ Each sign or outline lighting Owner's Signature_ 9 $ 4275 - Signal circuit(s)or a limited energy panel,alteration or extension _ $ 60.00 3. Plan Review Section (if required):* Minor Labels(10) $ yes -- - W,vo - Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over 4 or more residential units in one structure the allowable In any of the above W Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 _ System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 5�a.�Enter total of above fees $ ` Submit 2 sets of plans with application where any of the above apply. O %Surcharge(r36Xtotal fees) $ ! ' Not required for temporary construction services. Subtotal p $ 5b.Enter 25"k of line 5a for NOTICE Plan Review d mquved(Sec 3) $ � PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# _ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due i ,dsts\fbrrns\elcctric.doc CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: /1/00 0-00358 9 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/1/00 PARCEL: 2S 102AD-02400 SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS ZONING: CBD BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPI.: VENT SYSTEMS: 2 STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of duct work and diffusers to two existing furnaces on the second floor. Owner: FEES OVERFLOW CORP Type By Date Amount Receipt 8950 SW BURNHAM ST PLCK CTR 9/1/00 $12.50 272000000C TIGARD, OR 97223 PRMT CTR 9/1/00 $50.00 272000000C 5PCT CTR 9/1/00 $4.00 272000000C Phone: Total $66.50 Contractor: DETEMPLE COMPANY INC 1951 NW OVERTOP) ST PORTLAND, OR 97209 REQUIRED INSPECTIONS — Duct Inspection Phone:227-2641 Final Inspection Reg #:LIC 2510 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUN ��ycalling (503)246 9189. Issue By: l _ Permittee Signature Call (5031639-4175 by 7:00 P.M. for inspections needed the next business day PlanC CITY OF TIGARD Mechanical Permit Application Recd Y 1125 SW HALL BLVD. Commercial and Residential Date Rec�dlgo cam TIGARD, OR 97223 Date to P.E.S oa (503) 635-4171, x304 Date to DST Print or Type Permit# NfcCo' rXXI Incomplete or illegible applications will not be accepted Called TName of Development/Prood Description Na ,,,"11,c` , 1 NKTable1A Mechanical Code Qt Price Amt Job Street Addros SunAeN ) Permit Fee _ 16.00 Address ��� C?(,� j L(h 1) Furnace to 100,000 BTU 71 including ducts 8 vents see footnote 1,2 965 CRY/state Zip 2) Furnace 100,000 BTU+ I < l' ;' including ducts&vents see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace Owner including vent see footnote 1,2 9.65 M111tq Addross 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 9.65 7 5) Vent not included in appliance ermit 4.75 r cityrsiate Zip Phone Check all that apply. 'Boiler Heat Air For Items 6-10,see or Pump Cond Qty Price Amt Nerve(or name of business) footnotes 1,2 Com •• 6)<3HP;absorb unit to 100K BTU _ _ 9.65 Occupant Mailing Address 7)3-15 HP,absorb unit 100k t•)500k BTU_ 17.65 Cny/Stain 71p Phone 8)15-30 HP;absorb unit.5-1 mil BTU _ 24.15 Name 9)30 50 HP,absorb Contractor — unit 1-1.75 mil BTU 36.00 J 1 1 , _ 10)>50HP;absorb unit Prior to permit Ma Address >1 75 mil BTU _ 60.15 Issuance,a copy 12 I N LV �y[�j''�(�� 11 Air handling unit to 10,000 CFM of all licenses cnyrstatezip Phone 7.00 are required If j i ` ((, ) �� �� ,I Ji 1 ),7 f 12)Air handling unit 19,000 CFM+ expired in COT Oregon Const Cont Board Lic p Exp Date 11.75 database `�I C) 13)Non portable evaporate cooler Architect Ne1ne 7.00 14)Vent fan connected to a single duct //7 ? Or Me'ling Address T� 4.75 ? 15)Ventilation system not included in appliance permit 7.00 Engineer CnylState ----ZipPhone 18)Hood served by mechanical exhaust Describe work to be.done �T 17)Domestic incineratr,rs 7.00 12.00 New O Repair O Replace with like kind. Yes 0 No 0 18)Commercial or industrial type incinerator Residential Commercial _ 48.25 _ 19)Repair units Additional Information ur description of work _ _ 8.40 20)Wood stove/gas Mother units/clothe dryerietc. NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets structural gas calcs _ _ _ See footnote 1 _ _ 3.75 Type of fuel oil O natural gas n LPG O electric O 22)More than 4-per outlet(each) 75 Minimum Permit Fee$50.0_11 SUBTOTAL I hereby acknowledge that I have read this application,that the Information 7%SURCHARGE given is cored,that I am the owner or authorized agent of _ PIAN REVIEW 25%OF SURTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permlts onI TOTAL Signature of Owner/Agent,/ Date 1 L Other Inspections and Fees: 1. Inspections outside of normal business hours(minhwm charge-two Contact Person Name Phone hours) $60.00 per hour Aly 1 C 1 fI i I C� I ' 1 I , ) 5 Inspections for which no fee Is specifically Indicated (minimum 1 G charge-half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additions or revisions to 1 Provide full schematic of existing and proposed gas time and pressure plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scaly showing existing and proposed mechanical units. _^ _ *State Contractor Boiler Certification required "Pesidential A/C requires site plan showing placement of unit lA mechperm doc rev 0214/99 PK��Sfi�� - Uria �.�� ��) r l'i/ �' c-°/�-� CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- — — BLIP — Date Requested_ AM PM BLD Location Suite MEC _ Contact Person Ph sZ J-7�'U _c13 t G PLM Contractor_ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access Foundation FPS Ftg Drain — - Crawl Drain Inspection Notes: SGN ---_ _ Slab --- -- - --- SIT Post& Beam -- Ext Sheath/Shear Int Sheath/Shear �— Framing Insulation — - --- - - Drywall Nailing Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof -------- -- Misc: - - --- --- ---- --- --_. — Final PASS PART FAIL ------ - Polr&Beam - - - -- Under Slab /017 Top Out - - Water Service Sanitary Sewer - -- -- Rain Drains S;* PAR 1 FAIL CHANICAL Post& Beam —� Rough In Gas Line Smoke dampers Final - - PASS PART FAII- ELECTRICAL - -Service RoughRough In _... UG/Slah Low Voltage -- Fire Alarm Final --- --- - -�---- PASS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain ( J Reinspection fee of$ 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 In,pector - - � - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGA►RD BUILDING INSPECTION DIVISION pa�/� � 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 B U P .Jc„�.�-c,v � y Date Requested ,.� � � AM_ �PM — Location Suite MEC Contact Person Ph PLM �,� Contractor Ph SWR l� Tenant/Owner —_— ELC - Retaining Wall — ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab �y-, -- _ _ SIT Post& Beam --- Ext Sheath/Shear Int Sheath/Shear ----''�-- Framing Insulation r c Drywall Nailing ' — ��--- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: A PART FAIL —_ MBI Post& Beam -- ---� — — - Under Slab Top Out ---- - -_ Water Service Sanitary Sewer ------- _---- Rain Drains S PART FAIL LAICAL Post& Beam - ---- --- -- _ — Rough In Gas Line ------ -- — — Smoke Dampers Final - -- - - — PASS PART FAIL ELECTRICAL — '- - --- -- Service Rough In ------ A— _.— � -------- UG/Slab Low Voltage —Fire Alarm Final _,�---- -— --- — - — -- -- PASS PART FAIL SITE Backfill/Grading --�-- - Sanitary Sewer Storm Drain I J Reinspection fee of$ required t,efore next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( i Please call for reinspection RE: _ ,— _ _ ( J Unable to inspect-no access ADA "._._1 Approach/Sidewalk Other Date _ 2� _Inspector Y► Ext Final _----_-- PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITYOF TIGARD CERTIFICATE OF OCCUPANCY Y DEVELOPMENT SERVICES PERMIT#: BUP2000-00249 13125 SW Nall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/26/2000 PARCEL: 2S 102AD-02400 ZONING: CBD JURISDICTION: TIG SITE ADDRESS: 08950 SW BURNHAM ST SUBDIVISION: BURNHAM TRACTS BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 87 TENANT NAME: REMARKS: TI - First and second floor Owner: OVERFLOW CORP 8950 SW BURNHAM ST TIGARD, OR 97223 Phone: Contractor: OWNER SIGNED RESPONSIBILITY FORM IN FILE Phone: Reg ff: This Certificate issued 04/111/2001 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Spec Codes for the group, occupancy, and use under which the referenptl permit vd i'qsued. ('-t {�.,,�. I ---__ � , t , BUILDING INSPECT R BUILD1144r, OFFICIAL. POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP �7 —Date Requested _ _AM PM _ BLD ! Location— ' �.'7� L1&) JYl ��� — Suite _ _ MEC f Contact Person Ph PLM — Contractor Ph _ SWR UILDING Tenant/Owner , �,L,�--'" ELC Reaming Wall U ELR Footing ---------- Foundation Ac FPS _ Fig Drain NOT REQUESTED SGN — Crawl Drain In HOUND DURING RESEARCH Slab NO INSPECTIONS IN FILE - SIT _ Post 8 Beam INSPECTION(S) Ext Sheath/Shear Int Sheath/Shear Framing - _— _- ---- -- Insulation Drywall Nailing Firewall Fire Sprinkler - - - _- Fire Alarm Susp'd Ceiling Roof — S -- Final - PART FAIL Po—srWTearn -- --- -- - -- ------ Under Slab Top Out ------._ .-- --- -- ---- - -- Water Service Sanitary Sewer - - - - Rain Drains Final - FAIL PHANI Post R searil -- -------- - -- Rough In Gas Line - ----- - ----- - - --- - - Dampers 2A4 PART FAIL ELECTRICAL ------- ------ -- ------ — ------- Service RoughIn ------ ------------- --------- - ,_...--- --- - UG/Slab Low Voltage ------ -- --------_ __. _ -- ----- Fire Alarm ------__ -- _--- _ _ -- -- Final PART FAIL c _kfill/Grading ----- - --- -- --- —--- — Sanitary Sewer Storm Drain [ J Reinspection fee of$ - _ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [Fire Supply Line I ) Please call for reinspection RE. _ v_ _- [ J Unable to inspect- no access ADA Approach/Sidewalk Date ��� 3 -9 C _ Inspector_— _ Ext +� —_PART FAIL J DO NOT REMOVE this inspection record from the job site.