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12180 SW GARDEN PLACE BLDG 3-1 t 00 0 G� to Z �o r do r b w I, y4� �.x I I i I 1211jb SW GARDEN PL BLD 3 \ CITY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00023 DATE ISSUED: 1/21/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101 BB-01400 SITE ADDRESS: 12180 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 ZONING: C-G _ BLOCK: LOT: 002 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 LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 - URINALS: GREASE TRAPS: LAVATORIES. 2 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: f, DISHWASHERS: RAIN DRAIN: ft Remarks;: Plumbing fixtures: -- F _ _ FEES _— -- Owner: _ Description Date Amount SPIEKER PROPERTIES LP I'L11N11i1 I'crnut I rc 1/20/04 $99.60 4380 SW MACADAM AVE STE 100 1TAXI R%State Surrhan 1/20/04 $7.97 PORTLAND, OR 97201 =_ Total $107.57 Phone Contractor: VALLEY PLUMBING + HEATING INC PO BOX 64 GALES CREEK, OR 97117 REQUIRED INSPECTIONS Rough-in Insp Phone : 503-357-0606 Final Inspection Reg#: LIC 103628 MFT n00n25un PLM 34-2421111 This permit is issued subject to the regulations contain?d in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be clone 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 aoopted;by the ^i,-gon klkl)Issued By: - r ��'�_ _ �__ Permittee Signature:_ // Call (503) 639-4175 by 7:00 P.M. for an inspection needed the t ex .business day / CITY OF T'IGARD - SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00019 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/21/04 SITE ADDRESS; 12180 SW GARDEN PL BLD3 PARCEL: 2S10166-01400 SUBDIVISION: PARK 217 ZONING: ( -(,I BLOCK: LOT: 002 JURISDICTION: 11(i _ TENANT NAME: CELERITY ENERGY USA NO FIXTURE UNITS: 19 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL 1 YPE: BUSWR IMPERV SURFACE: Remarks: 1.2. EDU increase. Owner: - — -- ----FEES _ SPIEKER PROPERTIES LP Description Date Amount 4380 SW MACADAM AVE STE 100 PORTLAND,OR 97201 1SWUSA) Swr Connect 1/21/04 $2.880.00 �SWUSASwr Connect 1/2.1/04 $000 Phone: - Total $2,880.00 Contractor: Phone: Reg#: ff Required Inspections I This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purcha7 a" ap and Side Sewer" Perm ISSUed by: � (i c� > f �- Permittee Signature: C 5 - - -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business d Ituilding Fixtures - PI: ihiny, Permit , pplieatit►n City of Tigard Received Pemtt Nu.: Date/B : —� r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone' 503.639.4171 Fax: 503.598.1960 Dale/B : Uther Pernnt Nq ,Vj�0 24-Hour Inspection Line: 503.639.4175 Date Ready/B,, ® SL('Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Suppienieniallnfurmrtlon TYPE OF WORK FEF* SCHEDULE ❑New construction ❑Demolition Fors ectal inform use checklist. -- Description I QtyLa. Total Addition/alteration/replacement ❑Other: New I-2-ramlly dwellings(includes 100 It.fur ouch utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 ❑ I-and 2-family dwelling ❑Commercial/industrial SFR(2)b,'h 350.00 ❑Accessory building ❑Multi-family SFR(3)bath 399.00 Each additional bath/kitchen 45.00 ❑Master builder ❑Other: Fire sprinkler(_sq.ft) I Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: ) UAQOC N PL Catch basin or arca drain 16.60 City/State/ZIP: TtCv (�P- Drywell,leach line,or trench drain 16.60 Suite/bidg./apt.no.: Project name- Pri Footing drain(no.linear ft.: ) Page 2 Manufactured home utilities 1 Cross street/directions to job site: � a 10. Manholes 10 60 GO Rain drain connector 16.60 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewe (no.linear ft.:_) Page 2 Sdbdivision: Lot no.: Water service(no.linear ft: _) Page 2 Fixture or Item Tax map/parcel no.: /( I� _ /,/yG>L Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16,60 — Dishwasher 16.60 ❑ PROPERTY OWNER ❑ TENANT Drinking fountain W60 Ejectors/sur•p 16.60 Name: �� (� �� " c.t �. � Expansion tank 16.60 Address: Fixture/sewer cap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 Phone:( I Fax:( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 — Ice maker 16.60 Business name: _ Interceptor/grease trap 16.60 Contact name: Medical gas(value:$ �) Page 2 Address: Primer 11,.60 City/State/ZIP: Roof drain(commercial) 16.60 Phone:( ) Fax: :( ) Sink/basin/lovatory ,3 16.60 Tub/shower/shower pan 16.60 E-mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: V p�`P , �� jj Water heater 1660 Other: Address: Subtotal City/Stele/ZIP: �r)� 5 ]CI—' Minimum permit fee: $72.50 PPIne:(5 )�l -1 W Fax:( ) 1, Residential backflow minimum ermit fee• $36.25B f7 Z Plumbing Lic.no.: Zc,(? Pg Plan review (25",L of permit fee) State surcharge(806 ol'permit fee) Authorized signature: /' i TO fAL PERMIT FEE "l Print name: Rt 7 Date _tv This permit application expires If a permit Is not obtained within 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i�nuilding�P"ut%\PLMF-PermitAppdoc 12/03 4404616T(IOWCOM/WEE) f'ItlmhinL, Permit Ahpiication - City oi-"Tigard Page 2 - Suppicmental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty FCC(Ca) Total Square Foota e: Permit Fee: Footing drain-I"100' 55.00 0 to 2,000_ $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160,00 3,601 to 7,200 _ $220.00 _ Sewer-I st 100' 55.00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Ist 100' 55.00 Medical Gas S steins: WaterService-eachadditional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain-Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each Qty. Fee(ea) TWal additional$100.00 or fraction thereof,to and Fixture or Itetn including$10,000.00. Commercial Duck Flow Prevention Device. 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof',to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.201'or Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please Indicate work performed by fixture. Failure to accurately report fixtures could esult in increased sewer fees*. uantit b Fixture Work Ferformed Re dice Fixlu- Type: Newl Moved Existing Capped Comments regarding fixture work: Baptistry/Font Beth -Tub/Shower -- --- -- --- - ----- - -_ -- -Jacuzzi/Whirlpool -- Car Wash -Each Stall -Drive Thru - - - Cu idor/Water Aspirator ---- --- Dishwasher -Commercial -Domestic Drinking Fountain Eye Wash Floor Drain/sink -2" .3" •4" Car Wash Drain Garbage -Domestic Disposal -Commercial *Note: if the fixture work under this permit results in an -industrial increase of sewer EDUs,a sewer permit will be issued and Ice Mach./Refri .Drains Oil Separator(Oas Station fees assessed for the sewer increase must be paid before the Rec.vehicie Dump Station plumbing permit can be issued. Shower -Clang -Stall sink -Bar/Lavatory _ Ouantity Total -Bradley Is metric or riser diagram is required if fixture(luatitity -Commercial _-_ total is>9. -Service Swimming Pool Filter Washer-Clothes Water Extractor Plan It.riew WaterCloset-Toilet Plan review is required if fixture quantity total is_ ). Urinal Other Fixtures; i\nuildmg\PermhB\PLWPe mitApp din 3101 Accumulative Sewer Tally Parcel# 2S101BB-01400 Tenant Name: Celerity Energy _ This SWRA 2004-00019 Site Address: 12140 SW Garden Place This PLM# 2004-00023 Fixture Value Previous Previous Credits Capped Fixture Fixture Ne v New # value capped off value added added tctal total count off#s count # value _#s values Ba tiso /Font 4 0 0 0 0 0 _Bath-Tub/Shower 4 0 0 0 0 0 -Jacu7zi/Whirl ool 40 0 _ U 0 0 Car Wash-Each Stall 6 _ 0 _ 0 0 0 0 -Drive through 16 _ 0 0 0 0 0 Cuspidor/Water Aspirator 1 0_ 0 0 U 0 Dishwasher-Commercial 4 _ _ _0 0 0 0 0 -Domestic 2 0 0 _ 0 0 0 Drinking Fountain 1 0 0 _ U 0 0 -Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 U _ 0 0 0 0- 3 inrh 5 0 0 0 0 0 4 inch 6� _ 0 _ 0 0 0 0 Car Wash Drn 6 0 0 0 0 0 Garbage Disposal Domestic(to 3/4 f 1P) 16 0 0 _ 0 0 0 Cornmercial(to 5 HP) 32 0 0 0 0 0_ Industrial(over 5 HP) 48 _ 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Se (Gas Station) 6 _ 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower-Gan (per head) 1 _ 0 _U _ 0 _ 0 0 -Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 0 0 2 4 2 4 Bradley 5 _ 0 0 0 0 0- Commercial 3 `0 _ i 0 _ 0 0 0 Service 3 0 0 1 3 _1 3 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes _ 6 0 0 0_ 0 0 Water Extractor 6 I 0 _ 0 0 0 _ 0 Water Closet-Toilet 6 0 0 2 '12 � 2 12 Urinal 6 _ 0 _ 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 5 19 5 19 Current Fixture Value 19 divided by 16 = 1.2 Current EDU 1 EDU = $ 2,400 Previous Fixture Value 0 divided by 16= 0.0 Previous EDU Change 19 divided by 16 = 1.2 over (under) $ 2,880.00 Enter EDU Change Here 1.2 Notes: Signature: r 2 T L 4 C% Date: Z co -&J—/— Building /—Buildin Division Note The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges• 1:IBuilding\Sewer TallylSewerTallySheet.xis 11/19/03 CITY OF T'GA R D _,BUILDING PERMIT PERMIT#: BUP2003-00703 DEVELOPMEN"f SERVICES DATE ISSUED: 12/30/03 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639.4171 PARCEL: 2S101BB-01400 SITE ADDRESS: 12180 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURISDICTION: TIG _ REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 2,590 sf N: S: E: W: TYPE OF USE: COM SECOND: sf ____PROJECT OPENINGS? "TYPE OF CONST: 3N sf N S: E: W: OCCUPANCY GRP: B TOTAL AREA: 2,590 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 25 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ _ REQ_D_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: PPO CORR: PARKING: VALUE: $ 51,000.00 Remarks: Tenant Improvement Mechanical, Plumbing and Electrical permits required Owner: Contractor: SPIEKER PROPERTIES LP C SCHIEWE & ASSOCIATES INC 4380 SW MACADAM AVE STE 100 1024 NE DAVIS ST PORTLAND, OR 97201 PORTLAND,OR 97232 Phone: Phone: 503-234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp 1I0 '11 Irl hermit Fee 12/30/03 $476.27 Insulation Insp III IPI NI Pln Its 12/30/03 $309.58 Gyp Board Insp Susp Ceiing Insp I:\S) s"„State surrharl 12/30/03 $38.10 Final Inspection �I�I'SI Fl S Pln Its 12/30/03 $190.51 Total $1,014.46 This perm't is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cedes 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-66Qr or 1-800-332-2344. Issued By: Permit tee Signature: '4z , ��— \ Cali 639-4175 by 7 p.m. for an inspection the next business day 0-T Building Permit Application City of Tigard Date/Bea ?jd D Pemtit NO. _0,e W i3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revitw IF Phone: 503.639.4171 Fax: 503.598.1960 Date/g Other Permit: Inspection Line: 503.639.4175 AWL Date Ready/By: Juru 0 See Attached Checklist for Internet: www•ei.tigard•orAIS Notified/Method: Supplemental information TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*etre based on the value of the work performed, i _— Indicate the value(rounded to the nearest dollar)of all } ❑Addition/alteration/replacement ther T equipment,materials,labor,uverhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application, Valuation: S ❑ I-and 2-family dwelling ontmercial/industrial - [l!accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITF. INFORMATION AND LOCATION Total number of floors: Job site address: 1-24 TSO �.?�"� Co OC,J JA/Or`L New dwelling area: square feet City/State/ZIP: -TJ(.,/J72-10 , ee_ Garage/carport area: square feet Suite/bldg./apt.no.: Project name: CJ,&(,BIZ I r _ Covered porch area: square feet Cross street/directions tojob site: U U Deck area: square feet Other structure area: square feet _ REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: e Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this a lication. Valuation: S _ -5 I d D eY4ce US/5w— --- Existing building area: square feet New building area: square feet 0-'PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: 7 20 S V4 f"93,J S%E a' 410 Occupancy groups: S City/State/ZIP: 0v9.TL,*,O vRL -17?—C)'5 Existing: / es Phone:( ) Fax:( ) New: PPLICANT ❑ CONTACT PERSON NOTICE Business name: M/(-Qgtp asss/C..-i ew'? P' /� G All contractors and subcontractors are required to be Contact name: (��.JE M/L ✓ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: -76,9-0 5-LJ *,./xt, wa ST S%E /20 jurisdiction in which work is being performed.If the Ci /Stete/Z1P: t�/Z -7 7 e 7 2 applicant is exempt from licensing,the following reasons City/State/ZIP: �14�/I>';,� apply: Phone:( ) Fax::( ) E-mail: CONTRACTOR sines name: FjC _ `t. 'f' /i t/zS BUILDING PERMIT FEES* Address: 10 2- Nt �/�U/5 Please refer tofee schedule. city/state/zIP: PO4rc,+'0 , (nift _ — Fees due upon application Phone:( I Fax:( ) Amount received CCB lic.: &:3 -- Date received: _---J o ' K4.gna This permit application expires if a permit Is not obtained �jy�' Dater within 1811 days after It has been accepted as complete. nt ame: t ALJ �2�� * Fee methodology set by Tri-County Building Industry Service Board. l tnuiidinatPermitntBUP-PemdtApp doe 12/03 440.4613T(i I/0:1COKWER) Building Division Plan Submittal Requirement Matrix Commercial & Multi-Family- New, Additions or Alterations Cih�of Tigard Type of Submittal # of Pans (Includes new,additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing(site utilities) 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor,City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over-the-counter commercial tenant improvements,submit 2 sets of plans. ** "New"fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NiCET level "3"technicians. i:\Building\Forms\COM-PtenSubReq.doc 12/24/03 12/30/05 Tlii 10:54 FAX 503 244 0417 MILDREN DESIGN GROUP PC OUZ --(1) 20 GA. 3h" METAL STUD WHERE TOP OF WALL TO STRUCTURE-, BRACING TO STF UCTURi, WITH ABOVE IS LESS THAN 5'-9" PROVIDE (2) #8 SHEET MI-TAL S(:REWS A [ (1) BRACE AT 8'-0" 0/C 1-0 ONE EACH END; PROTIDE D&(JBLE STUD SIDE ONLY, STAGGER SIDES. WHERE BRACE WHEN DI; TANCE TO DISTANCE 1S GREATER THAN 5--9", STRUCTURE ASCIE 1S GREATER PROVIDE BRACES EACH DIRECTION THAN 5'-9". T 8'-0" 0/C BRACING TO BE PROVIL LD , WHERE DISTANCE BETWI-EN 45 PERPENDICULAR INTERSECTING WALLS OR HORN ONTAL BRACING BETWEEN WALLS EXCEEDS 8'-0" (DO NOT ERTEN[ BRAC!VG INTO EXPOSED STRUC "URE APEAS) SUSPENDED CE1L 'NG L 1, " x 1 x 15 GA x T_ 3" WITH (4) #8 SCREWS -- CASING BEAD U530 200-�� EACH SIDE — ATTACH STUD 'fl'ACK DIRECTLY TO GRID %" GYPSUM 801RD EACH SIDE SECURE TC STUDS - --- WITH TYPE 'S' ` CREWS AT 5-7" O/C 3X" 25 GAUGE KETAL STUDS AT 2'-0' 0/C --BOTTOM TRACK TO FINISH FLOOR WITH PONDER DRIVEN � ANCHORS 4'-0" 0/C j ---- 4 RUBBER BAS TYPICAL /I 2 Wall to Suspended Ceiling 'z""_ ~ A2 3"-1'-0" 1o1d Celerity Energy Date: 30 Dec ember 2003 Drawn by Checked by. Details BK _ WEM MILDREN DESIGN GROUP,P.C. Revisions! Sheet R1- k2-1 of: I ARr-I T M-TU t8 • SPACE PLAN"G 1. 30 December 2003 Job Num}ler. 103304 7G,N1 S.W.Beveland,Suite 120 General Revision - — 7223 8692 MILDREN DESIGI GROUP. F :, 7003. ALL Tigard,Oregon 9 15f1A1 944-722 RIGHTS RESM,.0 CITY OF T'G A R D v ELECTRICAL PERMIT PE10MIT#: ELC2004-00034 DEVELOPMENT SERVICES DATE ISSUED: 1/26/04 1312.5 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101BB-01400 SITE ADDRESS: 12180 SW GARDEN PL BLD3 ZONING: C-G SUBDIVISION: PARK 217 BLOCK: LOT : 002 JURISDICTION: TIG Project Description: JOB NO.61964 Tenant Improvement RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: Y 0 - 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st WIO SRVC OR FDR: / PER hOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 arnp: PLAN REVIEW SECTION 1000+ amp/volt: _ —4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR—225 AMPS: CLASS AREA/SPE'OCC: Owner: Contractor: SPIEKER PROPERTIES LP FRAHLER ELECTRIC CO 4380 SW MACADAM AVE STE 100 11860 SW GREENBURG RD PORTLAND,OR 97201 TIGARD,OR 97223 Phone: Phone: FX 639-4673 Reg #: 16Ii9-4627 37410 ��_ — .---- SUP 1816S FEES III 34-13C Description Date Amount Required Inspections �GLI'lt!�11� I.LI I'crnut I `r.iii $126.85 a — — [TA Xj S"r,Srutc Surchurgw I n1 $10.14 Ceiling Cover Wall Cover Total ` $136.99 Elect'I Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR.Specialty Codes and all other af.'rlcable 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 ff wr r is suspended for more than 180 days. ATTENTION: Orr'gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or 1-800-332-2344. �— Issued 8y: 1�a-�. Permit Signature: ..-� _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for safe, lease, or rent. OWNER'S SIGNATURE: DATE:— CONTRACTOR ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:---------- LICENSE ATE:__ -_^_LICENSE N O: — _�.—__� — -- ------- ----- - ----- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received Permit no.: ' IP -pr,,J3(� city of Tigard Pmject/appi. no.: Expire date: City-f Tigard Address: 13125 SW Hall Blvd,Tigard,ORV97223 (UUP Date issued: BY Kept no.: Phone: (503) 63911171 Fsx: (503) 595-1960 Case file no.: Payment type: rlry c)I rlc;A�u Land use approval: ;Jobaddress: &2 family dwelling or accessory CS CommercinVindustrinl U Multi-family U Tenant improvement w con9truetion (3 Addition/allelalitm/replaceinent UOther.._U Partial 12080 SW GARDEN PLACE Bldg.no.: 3 Suite no.: Tex map/tax lottaccount no.: Block: Subdivision: PARK 217 Project name: C ERIT Description and location of work on premises: 'rFNANT IMPROVEMENT Estituated date of cont letirnhaa ection: .lou no: 61964 _ Fee raw FRAHLER ELECTRIC COMPANY Doyrrtptiurt .. TttW seal Wip Ausiness morns: Neo mlderMal-dogk or rrra►H-faaol;)per Address: 11860 S' EN OAD dwrafrrRanh.Includes ettnrhed►,entre. State: Cr, zlr: 97223 9ervltrinchrdrd: 4 City: _ TIG lost&i e.for Ir99 __ _ Phone: 6C9�7' Fax: _ E-mail: - S]G.[� Each aflditional 500 aq.tt,or onion thereof _ CCB no.: 37410 1 Elec.bus.lic.no: 34-1X Limited—residential 2 City/metrolic. _ Lhnheden _non-reside_ntiol 2 �aJ 2a;_47�% �jta 01/20/O4 _. Each mnnufhctured home or modular dwelling Date Service and/or feeder 2 Signature of mpervhring electrician (requited) 9errleenor/ceders—InstaWHon, Sup.elect.name(print). F„ �a, 1{1.,ER License no: 8165 altrrntlonorraloc■Hon; 200 amps tx k9e 1 80.3 z - -- Name(print): 201 amps to 400 amps _ _ - - 401 em�a to 600 tpLt9_-- 2 Mailing address: __ 601 amps to 1000 amps Z_--- City: State: ZIPOver l oti0 amps or volts 2 ittrcorutect only Phone: .._—W Fax: �~ E-mail: _- 7eerporerY eervlees or feeder s- Owtler installatirnc The htstallation is being made on property I own IrfehdloHon aherntbn,orrelaeatloa: which is not intended for sale,lease,rent,or exchange according to ZoliS or k99 ORS 447,455, 479,670,701. 201 am to 400 amps 2 Owner's si lune: Date: 401tV600amps2 Itrnnch elreuhs-orn,alternHoa, Miss of erten+ion per panel: Name: A. Fee for blanch circuits with ptrchaWe of Address: _ — service or fonder tee,each branchcecvit_ -- ? City: Male: ZiP: B. Fee fbr branch circuits Widnes purchase -- of entice or feeder fee,first branch circuit 7446 2 Phone: F; fi-mail: Each additional branch circuit: llfine.(Service or feeder not Included): Each pump or irrigation circle 2 Cl StrvlC! over 225 amps-a mnwreinl 1 f IenNtt csre fncility Each of outline lighting 2 O Service over 320 amps rating of 1 d2 U Thuardons location Wally dwelling+ U Building over lu,o00 square Feet four or Signal circuit(s)or a limited energy panel. U Syme Over 600 volts nominal mom residential tants in one ahtchav attention, or extension' --- 2 u BuNitill over three stories U Feeder.400 amps or more *Description: O occoq ant bad over 99 persons U Manuflrchoed structures or RV park 1 nen addttloonl it"t, ton over the a0owablr to any of the above: •Egm,1111ghting plan U Other: Per iaspec6on SublaH sets of plum With nn!of the above. Investigation fee -Me above are not applicable to IemporwY cotntraction senice. Other Permit fee......................S8,2— Not til Wstlk-cions accept roedit cads,plane call)rniadietion tar mom Inronnatinn. Notice: This pertnit application Plan review(af oie) U Visa U MasterCard exphe#if a patrnit is not obtained a T-- Cradh card tmmbet __ ----- — �., within 180 day#atter h has been Stole surcharge(8%).....5 �i- Gxpiraa accepted as complete. TOTAL.........................$ r.I .99 N nae o eardhnlda n aht,"an it card s —c.r�ia e.T—.Tgmttse- 440-A67513 16/00/COM Amount i CITY O F TI A(V=ARD �-- ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00025 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 DATE I�7UED: 2/3/04 PAK�EL: 2S101 BB-01400 SITE ADDRESS: 12180 SW GARDEN PL BLD3 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Limited energy for data telecommunications system. Job No. 61983 A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTLMS: Owner: Contractor: SPIEKER PROPERTIES LP FRAHLER ELECTRIC CO 4380 SW MACADAM AVE STE 1U0 11860 SW GREENBURG RD PORTLAND, OR 97201 TIGARD, OR 97223 Phone: Phone: I•X (09-4673 Reg #: I.b(i'�)-403374111 Still 18165 FLE 34-13(' FEES — Required Inspections _ Description Date AmountLow Voltage Inspection I:LI'RM'I'� I?Llt Permit 2/3/04 $75.00 Elect'I Final ITAXR"'o Stute Surchart 2/3/04 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipai 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Is ed by � C1L.✓1�41 _ Permittee Signahrre _ OWNER INSTALLATION ONLY The 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 7:00 P.M.for ar. inspection needed the kiext business day Electric jVWliention Date received: Permit no.: City Of l igar4t, 1004 PMjecdni no.: date: — t'a, ,d 7lxurr; Address: 13125 SW Full Blvd Tigtttd.OR 97223 Date issued: B^ Receipt no.: Phone: (503) 63941jhY of 1 I(�IARG F' A: (503) 598-19 Cr;se file no.: Payment type: 13UILDING DIVISION Land use approval: U I & 2 ftrrnily dwelling or accessory 61Commeminl/industrial UMulti-family U Tenant improvement U Ncw constnte•lion U Additionlallcrntion/replacement U Other: ._ U Partial Job nddress: I SW GRADEN PLACEBldg.no.: Suite no.: Tax Map/tax 1ot//oeolmt no.: Lot: —-d k: Subdivision_: Project namei"[Y ENERGY Desceiption and locaaticI of work on premises: TEL :OM OU LETS Estimated date of completion/ins cction: Job71m- 6983 BusI-II..ER ELECTRIC COMPANY tt>AerfNb" Qtr• t� Teal .e.Im Hi iM rnlN-Gaw per dd60 SW GREENBURG ROAD �restna..+t.lna.+rs"n.rlwell,CityARD state: OR ZIP: 97223 Smrk•errrleded! Phone. - Fax: - E-mail: 1000 .n or leas — 4 — Eli additional 500 sq.R.or Portion thereof CCB no.: 37410 Elee,bus.lic.no: 34-13C United energy, residential 2 City/metro�h_c.._.n_o_�.' � -Limited energy, non !ydeatfal _ 2 /G�✓ G�/ -01/29/04 Rech merstfac."ued home or modular dwelling signalure of supervising electrician (required) Date 9ervicc sad/or feeder __ Liceme no: peyr{eesor/eeAere'1"st"IlaMon, t Sup.elect.nnme tprint) R. "IteretlonorneleceMo" AM amps or k!sF 2 Name(print): 201 amps to 400 snaps --- 2 - _--- 401 am m 600 amps — Mailing address: 601 smv4 to 1000 MW _ City: State: ZIP: over Itsui amps rx volts Phone:-^ Fa><: E-mail. Reconnect Owner installation• The installtdinn is being made cm property 1 own 'f emporwn genleesrpr/eerle•• r•,gewllwllwn,wlrer"fMi reloeaNe"r which is not intended for sale.lesse.rent,or exchange according Iu tK,empg or leen _ -_-,_ 2 ORS 447,455,479,670,701. 201 amps to 400 2 Owner's a, tUIe: Date: 401 to 600 amps 2 ar"relr etrreMe-ren,elMutstrow. or extrusloe per permit Name: _ A. Fc•' ro,branch cirruitq wisp ii of Addrell9:` service or fetxirr fee,each brunch circult 2 --- City: — - State: Z1P n Fee fro branch cimuhs wtlpot0 Pure ex _ - — of service or feeder fee,first breach circa: —2— Phone: -- -� Fat F-mail: Each-1A.61, d Itrnteh circuli i Mrer.(%rrvirr or terder not IndedrA): U Service over M amps-cnnrmrercW U tleehh-carr With, Eacit punp or irtip iar circle — 2 _ - --- U 9ervier over 120 amps-ni inR of 1 h2 U Illm"Im, locatil n Each sign or outline fighting 2 _ famih d..ellinlm J R,diditat over 1tlmx)stli feel four m signal circrdlts)or a limbed energy Panel. 1 75. 2 U 9yskrr over 6m voltq nominal mmr residential imih in one strrrettor aketeti_on, or extensino'— — U rcullttinp over over slorieq U Frrdm,4tal mrgn or more *Description: - U o"upant bad over 90 perwms U Mnnufhchned On Kit""or RV park F chod 1tb""IlmprlMoamertheallenr"hlehn.otNsesbovveri - - U F. e-Wh Minp Pim, U tnher ---_---._- -__-_ _-- -- Per ins tioin Submh getsof shoe"1111 s i offer above. Inve. ' etion far _ 11e move are mot nWilemble to fespecwy ceaefretlFela service. Permit fee ......................5 _ Not all Jttrhdit-done seew.redh Ceram,plane all"dietoe kr tibio innemedon Notice: 'Ellis Pmrrni application Plan tevim,(at - U vise U Masmercard expires if n rennit is riot nMnirmct e within I Rli dnvs Olen it has hcf-n ;tale surcharge Credit sent Immlxr, ..----_.---- -__. --- - ncroPtell as complete. TOTAL.........................5 ZS 1 Nir..•ofar o ereeihowron it-mrd s U.,Aoi err eit1"t __ Amount ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: -- -- TYPE OF WORK INVOLVED-RESIDENTIAL ONLY' Complete Fee Schedule Below: Restricted Entergy Fee...... ............................... 375.00 Number of Ins ectlorm par ermlt allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Type of Work Involved: Residential-par unit 1000 sq.ft.or Was ___ $145.15 _ 4 Audio and Stereo Systems' Each additional 500 eq fl.or portion thereof $33.40 1 Burglar Alarm Limited Energy ^-�_ $75.00 Each Manui'd Horne or Modula, Garage Door Opener' Dwelling Service or Feeder $t10 90 -- 2 El Services or Fsaders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteratiof,or relo:atiou 200 snips or less .30 --- 2 Vacuum Systems' 201 amps to 400 amps $1 10606.05 ? 401 amps to 600 amps $160.60 — 2 601 amps to 1000 amps ---^- $240.00 2 Other----_-__-- _+_---- Over 1000 amps or volts $45465 _ _ 2 Reconned only $66.65 2 Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONL11f Fee for each system......................................................... X75.00 Installation,alteration,or relocation SEE OAR 91P,260-260)$66.65 - -- 2 ( 200 amps or less 201 amps to 400 amps $100.30 -- 2 Check Type of Work Invaved: 401 amps to 1300 amps $13375_ 2 YP Over 600 amps 10 1000 volts, ses"b"above. Audio and Stereo Systems Branch Circuits Bolter Controls Now,alteration or extension per panel a)The fee for branch circuits witlr purchase of service m Cloc k Systems feeder tae. Each txanch circuit $6 65 2 Data Telerxrnrnunication Installation b)The fee for branch drer:ils without purchase of service Fire Alarm Installation ur leader nae. First branch dicutl $46.6.5 --_- r� HVAC Each dddillunal branch urcuil . $6.65 -- I 1 Miscellaneous Instrumentation (Service of feadel not included) Each pump of ungatfon circle $53.40_ Intercom and Paging Systems Each sign of outline lighting $5340 Signal ureult(s)of a limited energy panel,allsralion of axtensrun $75.00 Landscape Irrigation Control' Mmur Latxrls(10) 8125.00 _ rl Medical Each additlunal Inspection over l.J the allowable in any of the above Nurse Calls Pei brapeclion T_- $62.50 Per hour 14250 In Plant $73.75+ n Outdoor Landscape Lighting' Fees: Protective SlgnRling Enter 13!01:]f aboVi tae} S CJ Other__ -- -- - -- 8%State Surcharge $ � - Number of Systems 26%Plan Review Fee No licenses are ragrrVed I"rises we required for all dtxx Instatlollons Sae`Plan Revfev/ section on fit"of appiicabon --- Fees: Tata!Balance Due $ .'- Enbr total of etwvs fess ❑ True t Account 0 - - _-- ------- B%State Surcharge ------ ---�-- Total Balance Due 5----All New Commercial Buildings require 2 sets of plants i\dsts\fonns\dc-fees.doc 071054)1 MECHANICAL PERMIT IGARDLATY OF TPERMIT#: MEC2004-00031 DEVELOPMENT SERVICES DATE ISSUED: 1/27/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 VARCEL: 2S101BB-01400 SITE ADDRESS: 12180 SW GARDEN PL BLD3 ZON'NG: C-G SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG BLOCK: FLOOR FURN: EVA P COOLERS: CLASS OF WORK: ALT UNIT HEATERS: VEN1 FANS: TYPE OF USE: COM VENTS W/O APPL: VENT SYSTEMS: OCCUPANCY GRP: B HOODS: STORIES: BOILERS/COMPRESSORS DOMES. INCIN: FUEL TYPES w HP: -- 3 - 15 HP: COMML. INCIN: MAX15 - 30 HP: MAINPUT: BTU 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: 1 <= 10000 ctm: GAS OUTLETS: > 10000 cfm: Remarks: Rcl)lacc existing ()ol'top unit,ductwork an(l hath I-II, S10, 00-- t -_ FEES _ _— Owner: Date Amount rDescription_SPIEKER PROPERTIES LP1/27/04 $231.50 4380 SW MACADAM AVE STE 100 1'crnnI I'cc $18 52 PORTLAND, OR 97201 „5tatc tiur�hart 1127104 $57.88 N I Plan K0 1/27/04 Total $307.90 Phone: — Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE REQUIRED INSPECTIONS PORTLAND, OR 97222 - — Mechanical Insp Phone: 233-6911 Duct Inspection 38868 Misc. Inspection Reg #: l-IC Final Inspection ate of re This permit is issued subject to the regulations containedaccordance rdlan elgard Mullicipal with approved plans.s1 TthiS perOmit wSlhexpire if otic is er�jalty Codes and all other applicable laws. All work wall be doregon law not started within 180 days of issuance, or if work�UlilispNroaficat on ed for more Ce�teanThose180 arules are set forth in00AR 952-001-00 requires you to follow rules adopted in the Oregon ry Issued B ` c. GC tt L� c e Permittee Signature: y'P Call (503) 639-4175 by 7:00 P.M. for inspections needed& ne business day Mechanical Permit Application FOR OFFK7E USE ONLY Received Cky of t'i and /�y Pemut No.: 13125 SW I lall Blvd.,'rigard,OR 97223 Plan Review Phone: 503.639,4171 Fax: 503.598.1960 Date/By: Otho Permit Inspection line: 503,639.4175 Date Rcady/By: Jult ® see I'ogc 2 fur Internet: www.ci.tigard,or,us Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST Mechanical permit fees•are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labur,overhead,and rofit. CATEGORY OF CONSTRUCTION Value- — — RESIDENTIAL EQUIPMENT/SYSTEMS FEES" ❑ I-and 2-family dwelling ❑Commercial/industrial [7 Accessory building For•special injor•ntnfion use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty_. Ea. Total 3JO 91TE INFORMATION AND LOCATION Heatio coolln Air conditioning or heat pump Job site address: d t../ 1p R DGay Nhe_t, (requires site plan show ag placement) 14.00 City/Slate/ZIP: h%P_ Furnace 100,000 BTU(ductsrvetim) 14.00 -- Furnace 100,000+BTU(ducts/vents) 17.90 Suitelbldg./apt.no,: Project name_ _leI Ty Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 H dronic hot waters stem 14.00 Residential boiler(radiator or --� v h dronic) 14.00 _—_ Unit heaters(fuel-type,not electric), in wall,in-duct,suspended,etc. 10.00 Flue/vent for an of above 10.00 Subdivision: Lot no.: _ Other: 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION Of WORK Water heater 10.00 Gas fireplace 10.00 7',CU 4711 14,1 �W 1 r� I Flue vent for water heater or gas �h� fire lace 10.00 Tk t�3 tJ7"1 O✓ t_ '� f7 L1� /V Lo li hter as) 10.00 _��N5 -_ -- Wood/pellet stove 10.00 Wood fireplace/insert 10.00 _ Chimne /liner/flue/vent 10.00 [I PROPERTY OWNER TENANT - Other: 10.00 Name: Environmental exhaust and ventilation -----— -- Range hood/other kitchen Address: equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 ---.--— -- --- Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawls ap ce fons 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5,40 for first four;$1,00 for each additional _ Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Fax: : Water heater Phone:( ) -7 ( ) — _ Fireplace E-mail: flange CONTRACTOR Barbecue _ Business name: '+ A5�� Clothes dryer(gas) OT N _. Other: Address: -� S� 7'��Q y�v MECHANICAL PERMIT FEES" Subtotal _ City/State/ZIP: 7 Minimum permit fee(572.50) Phone•:(S►3) �3�.(��N Fax: )�3�_9�7 Plan review(259%ofpermit fee) $i CCB Iic.: ��'_ — State surcharge(80No of permit fee) TOTAL PERMIT FEE 7, C-C? This permit application expires If a permit Is not oblalned within 180 ' Authorized signature: days after It has been accepted as complete. Print nam ,=+!tjyty_ t..r Dale. ,�,��/ Fee methodology set by Tri-County Building Industry Service Board 1%Buildi-1\Permitx\MBC-P�arr=tApp�doe 12/0-7 440.4617T(II/02/C'OM/WE13) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$2,000.00 _ Minimum fee$72.50 $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction _ thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first $5,000.00 and $1.$0 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10.001.00 to$50,000.00 $231.50 for the first$10,000.00 and $1.35 for each additional$100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and $1.25 for each additional$100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up Y $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\13uilding\Permits\MLC-PermitApp.doc 12/03 2 ELECTRICAL - CITY OF TIGARD RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT#: Et_R2004-00018 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/27/04 SITE ADDRESS: 12180 SW GARDEN PL BLD3 PARCEL: 25101 BB-01400 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Low voltage HVAC. A.RESIDENTIAL B.COMMERCIAL_ _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPE=NER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# OF SYSTEMS: 1 Owner: Contractor: SPIEKER PROPERTIES LP PROTEMP ASSOCIATES INC 4380 SW MACADAM AVE STE 100 807 NE COUCH PORTLAND, OR 97201 PORTLAND, OR 97232 Phone: Phone: 233-0911 Reg #: ELE 26-1 n63CRE LIC 38868 Still 261 31'Fl, FEES Required Inspections Description Date Amount Low Voltage Inspection 11111W 1 I:L R Pcrinit 1/27/04 $7500 Elect'I Final I 9"b State Sill Chart 1/27/04 $6.00 Total $81.00 Thi,, Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ether applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 0010 throuC Issued by k1l( Y (i et td Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: rONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE.: LICENSE NO: ^ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Elcctr' -alk EAM nn FOR OFFICE USE ONLY City of Tigard Received 7- Zb y H ry 2'f1(I Date/Il O Permit No.• ��L7 a1L.gym 13125 SW Ifull Blvd.,T STI Z1.Ill Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DatefB : Other Permit. Inspection Line: 503. V7bF TIGARD Date Ready/13y: luris ® see Pact i for Internet: www 611 NOlifiedMCUlt1I supplenuvttal Information 6IN ,DlVlSIQN _ — TYPE OF WORK PLAN REVIEW Please check all that apply -- ❑ New construction Addition/ulteralinn/repm laceent ❑ i _ ❑Service over 225 amps,cumm'I ❑Ilazarduus location [ )T_DenwlrUon ❑Other' []Service over 320 amps ratio ❑lluildng over I0,000 sq.ft., CATEGORY OF CONSTRUCTION of I-and 2-family dwellings 4 or more new residential f I-laid 2-family dwelling F-1 Commercial/industrial ❑Accessory building [I system over 600 volts nominal units in one structure IJ ❑Building over three stories ❑Feeders,400 amps or more Mullt-family ❑ Master builder ❑Other: []occupant load over 99 persons ❑Manufactured structures of JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park --�� - ❑Health-cart facility []Other:_„T - Job no.: Joh site address: 2 « .- Submit 1 sets of plans with any of the above. City/State/ZIP: ?'~ The above are not applicable to temporary construction service Suite/bldg./apt.no.: Project name: FEE' SCHEDULE •. CCG Eia Description Qly. Fee. total Cross street/directions to job site: New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.R.or less 145.15 4 Subdivision: Lot no.: Ea.add'I 500 sq.fl.or portion 33.40 1 -- - Limited energy,residential 75.00 2 as map/puree)no.: Limited energy,non-residential 75.00 2 DESCRIPTION'OF WORK Each manufactured or modular i-- -`- _ dwelling,service and/or feeder 90.90 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 80.30 2 ❑ PRO!'ERTY bWN T ❑ TENANT 201 snips to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Adds Over 1,000 amps or volts 454.65 2 _. _ --- - - ----- - --- Reconnect only 66.85 _ 2 City/State/ZIP: 'temporary servicer or feeders instt,llatlon,alteration,and/or relocation _ _ Phone:( ) Fax:( ) _ 20n-imps or less — 66.85 I Owner installation:This installation is being made on property that 1 own which is nal 201 0,.;s to 400 snips 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701 401 amps to fi00 amps 133 75 2 Owrcr signature Date: Branch circuits-new,alteration,or extension,per panel ❑ APPLICANT `�--V_ ❑ CONTACT PERSON A.Fee for branch circuits with -- service or feeder fee,each 6.65 2 Business name: branch circuit - ------- -- — -- B.Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 - ----� each branch circuit Address: Each add'i branch circuit 6.65 2 City/State/ZIP: Miscellaneous(service or feeder not Included) Pump or irrigation circle 53.40 Phone:( ) �- - - _ Fax: :( ) Sign or outline lighting 53.40 1. Signal circuit(s)or limited- CONTRACTOR energy panel,alteration,or - --------- ---- extension.Describe: Page 2 2 Business name: � J .Q iz '�P.. - ---- Address: r h _ Each additional Inspection over allowable In any of the above 179�_ S_ C /.-7 tQ-;�- _- ____ _ ____..—_- Per inspection 62.50 City/State/ZiP: r� a Investigation per hour(Ifar min) 62.50 it C�7'G wti r.7 Phone:( 'y ► 9 f 1 Fax:( �3 j -� Industrial plant per hour 7 t 75 3 23 3•C� S e?�t6'`�7G _ ELECTRICAL PERMIT FEES* CCg Lic.: 6 Electrical Lic.a4qC)4 Supry^I a Subtotal I Suprv.Electrician signature,required: Plan review(25%of permit fee) - State surcharge(8%of permit fee) Print name: �rT Date: --- TOTAL PERMIT FEF. 10 Authorized signature: This permit application expires if a permit is not ubtained within 1911 — -- days after it has been accepted as complete Print name: bate' • Fee methodulogy set by Tri-County Building Industry Sct%i,c Hoard -- - •'Numbet or inspections per permit allowed i 11uildina!PermitfI:1( Fetmi1Appd,x I2103 440.4615TI I IYON-0M,1VnB Flectrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined...... $75.00 Check Type of N1 ork Involved: ❑ Audio and Stereo Systems* [ ] Burglar Alarm ❑ 6arage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* F1 Vacuum Systems* [] Other: COMMERCIAL WORK ONLYI'`'' Fee for each commercial system....................... $75.00 (SEI:OAR 918-200-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Dire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* [� Medical ❑ Nurse Calls ❑ Outdoor landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses Are required for all other installations 11 11,,�„1 11, r....... ., I I ELECTRICAL PERMIT- CITY OF TI OARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00029 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE !SSUED: 2/11/04 SITE ADDRESS: 12180 SW GARDEN PL BLD3 PARCEL: 2S 101 BB-01400 SUBDIVISION: PARK 217 ZONING: C-G BLOCK: LOT: 002 JURIGDICTION: TIG Proiect Description: Low voltage. A._RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: ALARM X _ TOTAL#OF SYSTEMS: 1 Owner: Contractor: SPIEKER PROPERTIES LP OMNI WIRE INC 4380 SW MACADAM AVE STE 100 15621 SE MORRISON PORTLAND, OR 97201 PORTLAND, OR 97233 Phone: Phone: 503-2(,l-8789 Reg #: LIC 151222 t-LE 26-1132('1.E SUP 3525.11.1: ~ FEES A Required Inspections Description Date Amor.rnt Low Voltage Inspection I I I)RM'I J 1;I.K I'crnut_ 2/11/04 $75.00 Elert'I Final I AXI R"S State 2/11/04 $6.00 Total $81.00 This Permit is issued subject to the requl3tions contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All wot k will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. z , / , Issued b� �/r11�[Q ,t� ,✓i�Cr Permittee SignatureV�*?-1 c l }��tc.C� ["0ac�•--- _OWNER INSTALLATION ONLY I lie 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 NO: Call 639-4175 by 7:00 P.M. for an inspection neederl the next business day 02/09/2004 12:1,2 4 ED AL-INK CMMUTAICATIOIJS PAGE 01 �Iql, ical A a >lon City of Tigard F�� U 20U� Dail/Flee !/_d L� PermitN-;— 13125 SW Hail Blvd„Tigard,OR 97221 Platt Review (cher Pcm is Phone: 503.639.4171 Fax: 503.598��. " pF T IGARD InnpecKianLine 503.639.4175 DIVISI�(' DoeRealy/By: 1,+�+ Bl SerPole2for Internet: www.ci.tigstd.or.us BUILDING Noufiod/Method: Sapplemeatd Information TMOFWOA1L PLAN REVIEW New wnstnteKion Please check all that apply: ❑Addition/stteration/replacement ❑So:rvice over 225 amps,wnun'I ❑tlazarduus location ❑Demolition ❑Other: ❑Service over 320 amps-rating ❑Buildng over 10,(00 sq.ft., CA IOB COfVIt'MVCI101V of I-and 2-family dwellings 4 or more new residential ❑System over 600 volts nominal units in one structure ❑ I-and 1-family dwelling Commercial/industrial ❑Accessory building ❑Building over three stories ❑Feeders,400 amps or more ❑Multi-hunily ❑Master huilder_ ❑Other: ❑Occupant load aver 99 pet:sons ❑Maaufudurrd struchues or JUS ffm II It IMATIDN A"LOCATION QGgreWlightingplan RV park ❑health-care facility ❑ether Job no.: Job site address: rJ CailIC I.RL. Suhmit-1 sets of plans with any of the above. City/State/ZIP. �� (!_� (L 7 Z23 The above are not applicable to temporary construction service. Cel e r1� r-r..�/ � • 5uitfp/bl 1/apt.no.: -:�3 Projcd ntune: F _ Fre. r.,at •• �'•_ Unrri Hon Qry• _ Cross strcct/dircctlons tojob elle: New residential slatile-or multi-family dwelling oath Includes attached garage.__ 1,000 sq.ft.or less 145 15 4 (�no,; Fa.add'I 500 sq.ft,or portion 33.40 1 Subdivision: Limited eneq{y,residential 75.00 _ 2 Tux map/parcel no.: _ Limit oil energy,non-residential 75 00 _ 2 999CRIPTION OF WORK Each manufacifi or modular -- dwcllm�scrvic c and!or tixd_cr __ 90 9(1 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 811.30 2 20!amps to 400 amps 106.85 2 j] PROPRItTV bWNF.R '�-- TFNANT 401 amps to 600 amps 160.60 2 Name: 601 amps to_I,000 snips _ 240.60 - 2 Address: -- (?vest 1,000 amps rr volts 454.65 2 _._ -- -- Re Cal only _ 66.85 2 City/Stme/'LIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) Fax:( ) -_ _ 200 strips or less 66.83 _` I Owner installation:This installation is being made on property that I own which is not 201 amps�to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,,int]701. 401 amps to 600 amps 133.75 2 Owner signature: _ Date: _ __ Branch clrcrlte- new,alteration,or extension,per panel -- 0 ,ilWLW NT -d CONTACT PRISON A.Fox:fix branch circuits with - service or fiWer ree,each 6,65 2 Business name: branch circuit _ -- A.Fee for branch circuits Contact name: w ahnwr service nr fowler fee. 46.85 1 each branch circuit Address:_ _ __ __ 1 ech_add'I branch circuit _ 6.65 _ 2 City/State/ZIP: A Miscellaneous(service or feeder not included) - - - Pump or itriEtimt circle 53.40 2 Phone:( ) fax Sign(it outline lighting - - 53.40 2 E-mail: Signal circuit(s)of limited. CONTRACTOR anergy panel,alicrwtion,or extension Descritwc. ' Page 2 "fie, -' 2 Ilusiness name: !m N i l2 N C' j+"' — -- Address: 1('0521 I SE M�I5oo Sr� Each additional Inspection over allow,]'i in an of the above __ Per inspecdon 62.50 Ci /State/ZlP` Invcsti ation per hour(I hr min) 62.50 11 ry 7� — Industrial plant per hoar 73.75 Phone:(may S) ��an:(� ) 5 �` � ELIRCfRICAL PERMIT F'W .��++�c • CCB LIC.: 1 Z Electrical Lir:.:2�'1(32 Suprv.(_ic.: ,?I LEA __ Subtotal $ - Suprv.Electrician signature,required: ��- r " U - ' - t' Plan review(25%ofpermit fee) Print name: C ) Date: 2- �p - State surcharge(8%nfpennit fee) Tam•PERMIT FEE I Authorized signature: TMe permit application eipiren if•permit h not obtained within IRM - day%after it bas been accepted as complete Print name: Date: far uv IhodolrgN col by it-/bnnty nodding fnhhntry Service Roard — -- - — - ••h,nntn't rl MIN-,1-TI,art PrlWO nll,"I'd CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received c�/17_' � _ Date Requestd, ��a AM__.. —'-D PM D BUP --- - Location _ _,� —__JCC- /K—_— Suite �J� MEk --- - - Contact Person - '�IkJC44 Ph PLM —--- ----- ---- Contractor _-- ��v___�_- --___.-._— Ph (—__—) ---- SWR BUILDING Tenant/Owner _ _ — - LC J Footing ELC Foundation Access: Ftg Drain ELR --- Crawl Drain Slab Inspection Notes: SIT Post 1£Beam ___ ----- Shear Anchors Lxt Sheath/Shear --- ----- Int Sheath/Shear - Framing - - - -. - - -- -- -- Insulation --�' Drywall Nailing - - - - -- -_ - - - Firewall Fire Sprinkler - - ---- ---- Fire Alarm Susp'd Ceiling -- --- - Roof Other. __._ _ ------- --------- - _.____ Final PASS PART FAIL _ +— M----- ---- PLUMBING Post Beam Under Slab -- Rough-In Water Service - - - — ---- Sanitary Sewer Rain Drains - ---- - Catch Basin/Manhole C) 4 Storm Drain ----- Shower Pan ----- Other: Final PASS PART FAIL - -�--- -- --- - MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers - ----- -� Final PASS PART FAIL - -- ---- - ELEC7RIC_AL � R v r,J a c��c� A 4C _ Service �? —' CiyU'� � _ JA Rough-In ,,_ UG/Slab Low Voltagey ✓' v f `' �B Y - -------- --- larm C Fi*99 _- 1 Reinspection fee o1$_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ART FAIL SITE-- Please call for reinspection RE:_ - - �� Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date, Inspector Ext Other:-_ Final DO NOT REMOVE this Inspection record from the Job 41te. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection, Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BILIP Received li!!�._--_ Date Ryuested -. AM PM ______ __ BUP Location . _t�1�s,� _ - _64� q(:P-_Suite �__ Contact Person Ph PLM ------------ Contractor _-_- _ ✓�� ? Ph(�) SWR BUILDING Tenanb'Owner 'Q� L��/ ELC -- ------- -- Footing Foundation ELC ACC@5S: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam -- - -S/K /L �7� - Shear Anchors - _ --- - _-- -- Ext Sheath/Shear Int Sheath/Shear Framing - -- - - ----- ------ - Insulation Drywall Nailing - __ _- - -------- Firewall ----Firewall Fire Sprinkler -- -------- --- Fire Alarm Susp'd Ceiling - - - ---- ---- - —�__—_.._ Roof Other. - - -- - - Final PASS PART FAIL PLUMBING Post&Beam Under Slab -- ---- Rough-In Water Service -- --- — Sanitary Sewer Rain Drains - ----- - ---- Catch Basin/Manhole Storm Drain - Shower Pan --� — - ----------- Other. - Final PASS PART FAIL --- -- CH ICAL Post& Beam --- -- - — -- --- -- --- -- ------------- Rough-in --.— - -- --- -- - ---- - Gas Line SrvOrDampers __- - ---- -- - in A PART FAIL - ------ --- ---- --- - - - - TRICAL Service - --^ Rough-In _ UG/Slab -� Low Voltage Fire Alarm Final Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F-1 Please cell for reinspection RE: _ n Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date_ _ Inspector + -Ext Other: Final DO NOT REMOVE thps Inspection record from the job site. PASS PART FAIL. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP 1-7 Received ___ Date Requested a-" AM PM2��_ BUP Location 5 '� Suite l _ MEC Contact Person Person 1 8 � �� Ph( ) L/6-7 PLM Contractor —_. PhSWR — BUILDING _ Tenant/Owner ___-._ _ — ELC Footing ELC Foundation ACCESS: Ftg Drain ELR Crawl Drain - SIT Slab Inspection Notes: ---- --� �- Post&Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear _ Framing -- Insulation Drywall Nailing -- - - Firewall Fire Sprinkler -1V---- Fire Alarm _ - Susp'd Ceiling Roof _— Other: Final PASS PART FAIL _ - Post 8 Beam Under Slab Rough-In _ Water Service - - -- - - - — Sanitary Sewer _ Rain Drains - -- Catch Basin/Manhole Storm Drain ---- _-___ -- - Shower Pan _- Other: —, - - - --- in -- -- SS RT FAIL _ CAL ----- - -- Post& Beam Rough-In ---- - — ---- Gas Line _ Smoke Dampers - Final PASS PART FAIL - ELECTRICAL _ --- Service Rough-In ---- - -A--- UG/Slab Low Voltage — - Fire Alarm Final Reinspection fee of$ ___required before next inspection. Pay at City Hal!, 13125 SW Hall Blvd PASS PART FAIL SITE [] Please call for reinspection RE:- _ Unable to inspect-no access Fire Supply Line ADA �'f Approach/SidewalkDate � 11-710 Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL