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12256 SW GARDEN PLACE BLDG 1 i l N N � I c� C CTl z r 00 r d r 1 i i i I; 12256 SW GARDEN PL BLD 1 `' /� CITE( OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT -- 13125 SW Hall Blvd., Tigard,OR 97223(503)539-4171 RESTRICTED ENERGY PERMIT 0: ELR'48-0327 DATE ISSUED: 12/04/98 PARCEL_ 01 BB—01500 5 UTE ADDRESS. . . : 12256 SW GARDEN PL #BLD. SUBDIVISION. . . . :CROW PARK 217 ZONING:C—B TIG BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTN: Project Descriptio:i: Add data telecommunication. A. RESIDENTIAL----------- B. AUDIO & STEREO_ : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR At ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RR I BAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . . DATA/TELE COMM. - :X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . e OUTDOOR LANDSC I- ITE: OTHER: HVAC. . . . . . . . . . . . PROTECTIVE SIGNAl... . , INSTRUMENTATION. OTHER. . : TOTAL # OF SYSTEMS: I Owner: FEES ASSOCIATED BUILDERS & CONTRACT type a 100 lAnt by date recpt t22!EG SW GARDEN PLACE PRMT $ 40. 00 GEO 12/04/q8 98-311298 TIGARD OR 97223 5PCT $ 2. 00 BEO 12/04/98 98-311298 Phone #: Contractor: ------------------------------------------------------ GPEENLINE INC $ 42. 00 TOTAL P0 BOX 230755 REQUIRED INSPECTIONS OR 97223 Low Voltage Insp Phone #: 968-197A Elect' ) Final Reg #. . - 103033 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 411 work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952401-0010 thrnugh OAR W�-Nl 0080. Y11L1 raa f thpse rules or direct quest lon• to (XJNC a (503)246-1987. Tssi.ted b 2 Permittee SignatlAr —--------------------- INSTALLATION The installation i.s being made on property I own which is not intended for salp, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ON[-Y----- �!TGNPTURF OP SUPIR. ELECIN: DATE: 1- ICENSE NO: ++++++........................................4.................................. Call 639--4175 by 7:00 P. M. for an inspection needed the next bi..isinass day ..............................4.........4•.................4•...................44 ' ! CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by, 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPF V- 503-639-4171 X304 Perrrlit# F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLIC,01ONS Cust.Call'd WILL NOT BE ACCEPTED Name of Development Project TYPE_OF WORK INVOLVED -RESIDENTIAL ONLY I� Restricted Energy Fee........................................ $40.00 { Ir_ X '�rlI1jl,i,i lCl( � U,VU C� fit IJ (FOR ALL SYSTEMS) JOBS r �A�drType c eas Ste# Check f Work Involved: ADDRESS � (� i C cif ( 2ap� Pqo j) ❑ Audio and Stereo Systems Name." I ❑ Burglar Alarm E] Garage Door Opener' OWNER Meiling Address City/State Zip Phnne u seating,Ventilation and Air Condlt'oning System' ❑ Vacuum Systems' Name// , �/ J OKWfinI t I(12� ❑ Other_ — --- --- — CONTRACTOR i'n dr ss T�'�(L T_YPE OF WORK iNVOLVED -COMMERCIAL ONLY ^_ lJiiJJ �� J 7 .— ------- (Prior to issuance a ty/Stati ](� Ph{o y/ Fee for each system.. . ......................................... $40.00 copy of all licenses L '1(. �b I vv � �Io �� 7� (SEE OAR 918-260-260) are required if Or o �pntr.,B d Lie.# �x a�Q expired in G.O.T. // // I p) if • Check Type of Work Involved data base) Elec a C lr #� i�, ❑ I �j- `' 1 q Audio and Stereo Systems C U 7 r afro hi x� !,. — � �, L ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - "ailing Address ^�, APPLICANT '}7�(`-I Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to ❑ HVAC make only restricted energy installations(1o0 volt amps or less)under this permit and to do the following' ❑ Instrumentation 1 Only use electrical licensed persons to do Installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterrbks('). All others need licens.ng, ❑ Landscape Irrigation Control' 2. Cell for inspections when installation under this permit are ready for inspection at 503-639-4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Cells inspection when the inspector is out to Inspect under this permit. n Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other_ Permits are ron-transferable and non-refundable and expire if work Is not started within 180 days or issuance or if work is suspended for 180 days. ____Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant. � i y FEES: \ vtit L� - ENTER FEES Signature LOtt,/ �/ \� / 5°o SURCHARGE(.OS X TOTAL ABOVE) f- 11 4I / TOTAL Authority if of er than AprAicant i%dsts\resele doc 7197 CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT IN. . . . . . . : SUP98-0425, DATE ISSUED: 12/04./98 PARCEL: 2SI0IBB-01500 SITE ADDRESS. . . : 12256 SW GARDEN PIL #BLD. SUBDIVISION. . . . : CROW PARK 217 ZONING7C—G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JV.SDICTION:TIG -------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FPS FIRST. . . . : 1300 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPEN INBS )------------- TYPE OF CONST. :5N . . . : 0 sf N: S. E: W: OCCUPANCY GRP. .B TO'TAI----- --: 11300 s ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARASE. . . : 0 s OCCU SEP. RATED: BSMT?: MEZZ?- REDD SETBACKS.-..-----.--- REQUIRED-------------------- FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SUPFACE: 0 PIRO CORR: PARKING: 0 VALUE. $ -. 1000 Remarks : Fire suppresstion system Owner: FEES SPIEKER PROPERTIES type affJOUnt by date rec-pt PO BOX 5909 PRMT $ 25. 00 B 09/30/98 98-309570 PORTLAND OR 97228 5PCT $ 1. 25 B 09/30/98 98-309570 FIRE $ .10. 00 B 09/1*30/98 98-309570 Phone #: Contractor: ----------------------------- WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD OR 97233 --------------------------------------- Phone #: 684--2928 $ 36. 25 TOTAL Reg #. . e 000640 --REOUIRED ACTIONS or INSPECTIONS— This permit is issued subject to the regulations contained in the Sprinkler Rol.tgh— Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler, Final applicable laws. All work will be done in accordance with approved plans. This per-sit will expire if work is not startid within IN days of issuance, or if work is suspended for more than IK days. ATTENTION: Oregon law r--dres you to follow the rules adopted by the Oregon Utility Notitication Center. Those rules are set forth in OAR 952-MI-Ml through CAR 952-00101917. You many obtain a copy o' these rules or direct questions to OUNC, by calling (583)246-1987. Permittee Si gnat Issi,ted By : ...................4..........................4................................... Call 639-4175 by 7:00 p. m. for an inspection needed the next bLISiness day .............................................................................4 Fire Protection Permit Application Plan Check#� _ CITY OF TIGARD Commercial or Residential Recd By -1 13125 SW HALL BLVD. Date Recd C`3 C�`� TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to D I Permit# Called - Joba of o D lopmen ect Type of System (Complete A or B as applicable) � - IT 2 I`7 --- Address A Cl dress r7 A.) Sprinkler Wet �' Dry _ �-25(.0 Sv�1 O,a'C�2.-►'1 E �Gl.(�L Nan Standpipes me Owner Mailing Address U V Haza Additional rd Group ��_ QW/Stake Zip I Phone Information Density --ML-4 -- Name Design Area Occupant Mailing Address K. Factor City/Statezip Phone A.1) Sprinkler Project Valuation $ I� TIC I Contractor Na e _ B.) Fire Alarm (Sprinkler or 0Y) Alarm Company) I'n Ad re, Submittal Shall Include Battery Calculations YES[J Prior to permit (wr� YY1d Issuance,a Cily/Siate Zip Phone Individual Component (ES Cut Sheets cop _ of all .nses 1 YC�ter L�`8 B.1) Fire Alarm Project Valuation $ are required if Stat@ onst.Cont.Hoard Lic.# Exp. ate expired in COT ( _ /) ,.� I O Project Valuation Subtotal (A & or B) $ oatabase lLt I Nene Permit fee based on valuation $ p0 _— (see chart on back) Architect Maili,.g Address 5% Surcharge $ 2S City/State Zip Phone FLS Plan Review 41V% of Pemnit $ OCD Describe work A.)New O Addition O Alteration Repair O TOTAL $ 2C:-; to be done B.) Modification to sprinklEr heads only: Pians required. Submit three sets of flans,including a vicinity map and 1. 1-10 heads=No plans required 2. 11+=Plan review required the location of the nearest hydrant. _ 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 that plans submitted _ Number of sprinkler heads:.-.' —_— are in compliance with Oregon State laws dditional Description of Work. 0A�. r Q r-TI Signature fner a '/—' Date / A.)In Existing Building New Building p � 1�- Building Contact Penfon Name Phono� Data B.) Commercial Residential FOR OFFICE USE ONLY: Plat# MaprrL#: t No of stories ` - I Occupancy Class TI.-:*of Construction firesupr.doc CIZY 01 T6GARD_ Bljt DJNC PERMITFEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 00 25.00 10.00 1.25 36.25 1-15 1,501-1600 00 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17 80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 80.63 6,001-7,000 62.50 25.00 3.13 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001- 11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 1 +,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 158.93 16,001-17,000 122.50 49.00 6.'13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 13450 53.80 6.73 1,95.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 6100 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 823 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 2.53.75 26,001-27,000 179.50 71.90 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 ;1,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000I 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 i Afirestipr.doc ,a No. 1 LOG NOTES FOR CASE NO. : BUP98-0040 SPIEKER PROPERTIES 12256 SW GARDEN PL Ur.it : BLD. 02/05/98 By Date Text of log note JT 02/05/98 Kit Church did a site visit and talked to tenant . I:ECO is currently in suite 12256 . But, they are doing a T. I . next door at 12254 . When T. I . is completed, TECO is moving out of 12256 and will occupy 12254 . ZYI�Cz ��2 G '< L a CITY OF TIGARD PLUMBING PERMIT DEVEILOPMENTSERVICESPERMIT #. . . . . . . : PLM98-0424 JLzz.-�I.dftum 13125 SW Hall Blvd- Tigard,OR 97223(503)639.4171 DATE ISSUED: 11/20/98 PARCEL: 2SIOIBB-01500 SITE ADDRESS. . . : 12256 SW GARDEN FIL #BLD. SUBDIVISION. . . . : CROW PARK 217 ZONING: C—G BLOCK. . . . . . . : LOT. . . . . . . . . . . . . :003 JURISDICTION: TIO CLASS OF WORK. . :ALT --------------------------------------------------------------------------------------- - GARBAGE DISPOSALS. : 0 1.410BILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PIREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . : 17.1 STORIES. . . . . . . . : QA WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . „ . : 0 SINKS. . : 0 URINALS. . . . . . . . . . . ." 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . • 0 OTHER FIXTURES. . . . : 1. TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . 0 WATER LINE (ft) . .. . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Installation of drinking foiintain. Owner: FEES --------------- SPIEKER PROPERTIES type amolAnt by date recpt P10 BOX 5909 PRMT 25. 00 DEB 11/20/98 98-310976 PORTLAND OR 97228 5PCT $ 1. 25 DEB 11/20/98 98-310976 Phone #: Cont Tact ot or-------_.-_—_--_------.--_—_—_--_—_ PLUMBING SYSTEMS, INC PO BOX 2056 CLACKAMAS OR 97015 Phone #: 503-658-2836 $ 26. 25 TOTAL Reg #. . - 97810 REQUIRED INSPECTIONS This permit is issued subject to the regulations rontained in the Drinking FoLtntai Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspertion 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 IN 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 952-000I-060. You may obta;n copies of these rules or direct questions to OUNC by calling ---- 1503)246-1987. y: CC Permittee Signati-tret Tssmed .................................. ..................44 Call 639-4175 by 7:00 p. m. for an inspection needed the next business day 4-++++++++-+-++-+-+++4..........4.........................................-4- 4 CITY OF TIGARD Plumbing Permit Application Plan Check 1 �3125 SW HALL BLVD. Corr �iai and Residential Recd By� T IGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Print or Type Date to DST — Incomplete or illeai' ±e applications will Permit#��'19� -4 yzy Incom p pp I not be accepted Related SWR*.� 313 Calledc.AA/? 1712e, v Name of DevelopmentlProject _ FIXTURES (individual) ATY PRICE AMT Job Sink 9.00 Address Street Address Suite Lavatory i 9.00 6 5 6) G4U&J Tub or Tub/Shower Comb 4 00 Bldg# City/State Zip Shower Only 9.00 �— Name Water Closet 9.00 Dishwasher 9,00 Owner Mailing Address Suite Garbage Disposal 9.00 Washing Machine ^0(1 City/State Zip Phone Floor Drain/Floor Sink 2" 9.00 Name 3" 9.00 4" 9.00 Occupant Mailing Address p Water Heater O conversion O like kind 9,00 F l Ga;piping requires a separate mechanical permit. City/State Zip Phone Launery Room Tray 9.00 Name tt Urinal _ 9.00 PLL1/--tA/A1 6 5 r 1L 1 Other Fixtures(Specify) 9.00 _ Contractor Malling Address SuHe A) , G et 9.00 nji cr, 9.00 Prior to permit Cily/State Zip Phone Sewer-1 at 100' 30.00 issuance,a copy '(-,4c k,4 M 2 221— Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required H Z Water Service-1st 100' 30,00 expired In COT Plumbing Lic.# Exp.Dale Water Service-each additional 200' 25.00 database 3 —� ,3p 9 " Storm&Rain Drain-tat 100' 30.00 Name Storm&Rain Drain-each additional 100' 2500 Architect Mobile Horne Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City/Stale. Zip Phone Residential Backflow Prevention Device' 15.00 (Inigation timing det,tces require a separate Deschbe,iii�ork to be done: _resbiMed energy permit.) New PJ Repair O Replace wit a kind: Yes O NoKY� Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial 1P,1 G,rtch Basin 9.00 Additional description of work: / c Insp.of Existing Plumbing 40.00 0q / PI ! JD;o AX /vper/hr Specially Requested Inspections 40.00 erlhr Rain Drain,single family dwelling 30.00 Are you capping, moving or replacing any fixtures? Grease Traps 9.00 Yes O No If yes,see back of form to indicate work performed by — QUANTITY TOTAL fixture. FAILtIRE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required It Quantity Total is >9 WORK COULD RESULT IN INCREASED SEWER FEES. — *SUBTOTAL I hereby acknowledge that I have read this application,that the information r7�j given is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE that plans submitted are in compliance with Oregon State Laws. Signa ure of nor/Agee Date ""PLAN REVIEW 26%OF SUBTOTAL / Re Tred onr 9 fixtwe ly total is>9 TOTAL Contact Person Nrrme Phone _ —<r�) t T 4wl L / p 2 'Minlmum permit fee is$25+ 5N,surcharge,except Residential Backflow fC (�� o J Prevention Device,which is$15 4 5%surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review I%dstslp'umapp doc 70518 PLEASE COMPLETE: Fixture Type Quantity by Work Performed— New Moved 1—Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination — — Shower Only _ Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" — _Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) _ �4I ti K I i J L L O t i )T A (1,) --- -- COMMENTS REGARDING ABOVE: f Accumulative Sewer Tally •enant Mame: f9 B This SWR# kddress: ��2aS��_ �ARDEit/ /�L • ��' 1- This PLM#: /04-/`9 9P " D !/.2:_ ixture Value Previous Previous CrAdits Capped Fixtures Fixtures New total New # Value Capped off value. added# added #s total Count off#s count value values iaptistry/Font 4 lath-Tub/Shower _ 4 _ -Jacuzzi/Whirlpool 4 :ar Wash-Each Stall 6 Drive Through 16 ;,uspidorNVater Aspirator 1 Dishwasher-Commercial 4 — Domestic, 2 - - Drinking Fountain 1 Eye Wash 1 -- Floor Drain/sink-2 inch _2 -3 Inch 5 - - -4 inch 6 Car Wash Dm 6 — Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to F HP) 32 Industrial(over 5 IiP 48 Ice Machine/Refrigerator Drains 1 Oil Sep Gas Station) 6 Rec.Vehicle Dump Station 16 Shower-Gan (Per Head) 1 _ -Stall _ 2 Sink-Barn.av:rtory 2 Bradley - 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 Water Closet-Toilet 6 Urinal 6 - _ y� TOTALS VIP Total fixture values:__ divided by 16 d 7 EDU HISTORY .3 L� '- 11 i;, /✓v PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# _ EDU# _ SWR# PLM# EDU# SWR# Pt-M# EDU# ^SWR# i Wstslswrtaly.doc crry OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SVI Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : BUP98-0406 DATE ISSUED: 11/06/98 PARCEL: 2SIOIBB-01500 SITE ADDRES"'). . . : 12256 SW GARDEN PL #BLI). SUBDIVISION. . . . : CROW PARK 217 ZONING:C—G BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :003 JURISDICTION:TIG -------------------------------------------------- -------------------------------- REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORN,. :ALT FIRST. . . . : 3000 s f N- S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?.------------ TYPE OF CONST. :5N . . . . 0 sf N.- S: E: W: OCCUPANCY GRP. :B TOTAL-------: 3000 sf ROOF CONST: FIRE RET? : O0,uPANCY LOAD: 70 BASEMENT. : 0 sf AREA SEP. RATED: s*rOR. : 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?.- MEZZ?: REDD SETBACKS-------- REQUIRED---------------- - FLOOR EQUIRED-------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: o FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0 VALUE. $ : 24600 Remarks -. Tenant improvement Owners -------- ------- ------------------------------------ FEES ---------------- SPETKER PROPERTIES type amot.int by date reept PO BOX 5909 PLCK $ 110. 83 B 09/22/98 98-309_-,81 PORTLAND OR 97228 FIRE $ 68. 20 B 09/22/98 138-309381 PRMT $ 170. 50 DLH 11/06/,38 98-310622 Phone #: 5PCT $ 8. 53 DLH 11 /06/98 98-310622 Contractor: ---------_-----------------__ D WILSON CONSTRUCTION CO 3007 NE 181ST PORTLAND OR 972.3,0 Phone #, $ 358. 06 TOTAL. Reg #. . . 001105 --REQUIRED ACTIONS or INSPECTIONS-- This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done in accordance with SLtsp Cei lng Insp approved plans. This permit will expire if work is not started Misr_. Inspection within 180 days of issuance, or if worm is suspended for more ArIA60-1. IWSj!"770A/ than 180 days. ATTENTION: Oregon I& requires you to follow the rules adopted by the Oregon Utilitv Notification Center. Those rules are set forth in OAR 952-0RI-010 through OAR 952-00I91987. You many obtain a copy of these rules or direct questions to O11NC by calling (503)246-1987. Fler-mittee SignatLtre:& Issojed By ..zzi� +++++++++4•.............4..............4-++-1......... +++4-4...................... Call 639-4175 by 7:00 P. M. for an inspection needed the next bLtsiness day ...........4.................................................................... CITY OF TIGARD Commercial Building Permit Application Recd By_ '�' ,3125 SW HALL BLVD. Tenant Improvement Date Recd d TIGARD, OR 97223 rr��1� p t Date to P.E. ZL (503 639-4171 �(' �S `�t� Dato to D� �o/ u <03\714v, Permit Print or Type Rela +swR Incomplete or illegible applications will not be accepted Called Name of Development/Project Existing Building (/J New Building O Job Address &reetAddress supe Building f ) ,<-',I f ?r7)4V I Data _ Bldg# City/State Zip Existing Use of Building or Property: ¢ r Name Property Proposed Use of Building or Property: e J p u � • - Owner Mailing Address suite (J o-i, J'9cn No. Of Stories: CitylState 21p Phone Sq. Ft. Of Project: Occupant Name — �� ' �I r U' 2 (n L� Occup6n y Class(es) Name 1 Contractor , ,')a J /- Ty e(s) of Construction J. i Prior to permit Mailing Address Suite issuance,a copy �/. Will this project a a Fire Suppression System? of all licenses Yes No 0 are required If Cilyt$tate Zip Phone --- expired in C.O.T. Americans with isabilitie3 Act(ADA) database J Nl�. '� _ Valuation X 25% = $ Participation Oregon Const.Cont.Board LIc.# Exp.Date Complete Ac_cessibilit/Form Project $ -� Name , --- - Va Jation Architect Plins Required: See Matrix for number of sets to submit MailingAddresssuite on back City/Stale Zip Phone I hereby acknowledge that I have read this application,that the information ', ./;-, l'1 I -: - given is correct,that I am the owner or authorized agent of the owner,and ar —_ that plans submitted are in compliance with Oregon State Laws. Engineer Name natu of 77T Date Melling Address Suite co rson flarne Phone City/State Zip Phone "CA pi r ( -- FOR OFFICE USE ONLY Indicate typo of work New O Addition O Demolition Map/TL# Land Use: Accessory Structure O Foundation Only O Alteration Or Repair O Other O Notes: Description of work: 1- TIF: — Note: Site Work Permit Application must precede or accompany Building Permit Application IACOMNEWTI.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 plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan aets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Flans KEY: _ Sub,mitted 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 PA = Mechanical LB & M (New or Add) 1 P = Plumbing ew, 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 &_M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 3 *B & M & P & E(Alt) 3_- *13 & M & P & E & F(Alt)� 3 NOTES: *Shaded areas designate ALT submittals only. I\dstsMaxtrix t doc 07/06198 1'. ,e I r ., i �. 1 ►J E A\ V 1 1.+ l l ,1 I"m0 RE: RESPONSES TO PLAN REVIEW COMMENTS FOR THE ASSC. BUILDERS& CONTRACTORS T.I. THIS IS THE WRITTEN RESPONSE TO THE PLAN REVIEW COMMENTS FOR THE CITY OF TIGARD, PLAN REVIEW DEPARTMENT, DATED SEPTEMBER 29, 1998. THESE CORRECTIONS ON THE REVISED DRAWINGS AND THIS MEMO, SHALL BECOME FULL CONSTRUC;i iCN DOCUMENTS. BIJP# 98-0406 PC# 9-137c ACCESSIBILITY: 1 AREAS THAT ARE ALL CURRENT ADA COMPLIANT AND AREAS THAT WE ARE COMPILING WITH: A. PARKING EXISTING PARKING STALL. TO BE DESIGNED UPGRADED PER PROPERTY OWNER UNDER SEPERATED PERMIT, SEE ATTACHED LETTER. B. ACCESSIBLE ENTRANCE: EXISTING IS COMPLIANT C. ACCESSIBLE ROUTES: EXISTING IS COMPLIANT D. RFSTROOMS: EXISTING IS COMPLIANT E. ACCESSIBLE PHONES: EXISTING IS COMPLIANT F. DRINKING FOUNTIANS PROVIDING NEW SEE COSTS ATTACHED FORM. G. ADDITIONAL ITEMS: PROVIDING ALL LEVER DOOR HARDWARE, ACCESSIBLE RECEPTION DLSK(SEE RESPONSE#2 BELOW), AND ALL NEW DOORS MEET ADA REQUIREMENTS- (SEF DRAWINGS) 2. ADDING 6" TO OUTSIDE LOWER TOP LEG OF RECEPTION DESK WHICH IS AT 30"A F.F. ENERGY CODE: 1. SEE ATTACHED FORMS. FIRE LIFE SAFETY. 1. PER OSSC 1005.7 EXCEPTION #8 AND SINCE OUR SPACE COMPLIES WITH THIS EXCEPTION THIS RESPONCE IS INVALID. 2. DOOR#17 DOES OPEN OUT TO THE DIRECTION OF EGRESS. D A (^, ENVIRONMENTAL AIR: 1. SEE ATTACHED DOCUMENT. '' ABC TI 8141 .� 10/7/98 J s ----- --- ri i buiu,OR -- —— i r V OF O��J �w RFCJRIC� 1400 N-F 4s"'AVI:Nl IF . 111L S©ORO,OR 97124. (503)649-19(X) AX(503)648 �I;I i _ CITY OF TIGARD September 29, 1998 ` i .r .. ► OREGON Jon Norby 1400 NE 48th Hillsboro, OR 97124 RE: Assc. Builders & Contractors Building Plan Review 12256 SW Garden PI. PCM 9-137c BUPM 98-0406 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: ACCESSIBILITY 1. ' Under the provision of OSSC, Section 1113, 25% of the value of the construction shall be expended to remove existing architectural barriers. Accessible requirements required by code for this permit cannot be used in expenditures required by Section 1113. On the attached form provide details on your proposed expenditures in the order shown. 2. The reception desk shall be accessible. Provide an area 36" wide and 36" above floor. OSSC, Section 1108.4.7.2. 'If item (a) is existing, provide a site plan showing location of the parking stall as well as the accessible route in relation to this tenant. ENERGY CODE — — 1- Submit Completed Energy Compliance Forms 5a through 5c, Oregon Non-Residential Energy Code. FIRE AND LIFE SAFETY _- 1 Your project requires a rated corridor pursuant to Section 1005. Your plans do not reflect full compliance. Attached find your floor plan indicating how compliance can be achieved Revised drawing in addition to rated wall alignment, shall also include a door schedule and rated glass schedule. OSSC. Section 1005. 13125 SW Hal! Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-2772 ------ Assc. Builders & Contractors Building Plan Review PC#: 9-137c BUP#: 98-0406 Page#2 2. Boor#17 shall swing in the direction of egress travel. OSSC, Section 1004.2. ENVIRONMENTAL AIR 1 Provide details on how you will comply with OSSC, Chapter 12. Please submit two copies; of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, \ Ro ert Poskin, CBO PLANS EXAMINER m 9�YHwmrlYM�_M GIyc0191t� �P �a • mob 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 percent (25%). MUAT LQN of all renovation, alteration or modification beil,q done excluding painting, wallpapering. [1] uu(1p1y; 25% Barrier removal requirement. 2-5 BUDGET FOR BARRIER REMOVAL [2) $_ (o I So 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: ' Gc (a) Parking (b) An accessible entrance: $ (c) An accessible route to the altered area: NIP (d) At least one accessible restroom for each sex or a single unisex restroom: _ (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ 2-I _ (g) When possible, additional accessible C� elements such as storage and alarms: __ TOTAL: Small equal line 2 of value computation $ J-1s� 10-12-1998 5: 15At.1 FF,C)t 1 1) L WILSON 661 fdd68 I OCT-10-98 06:40 1 D:8W-4-F NER ELEC TEL N0:1-503-233-2963 t2714 H01 FACSIMILE TRANSMITTAL �Ecffilc.lw. f T0: 7L).-L�_13,SQ.� DATE: .�� .� I ATM: PG. of . _ 2- + FROM: -a?b - -- QUOTE # - MESSAGE !L (•C. i-F `�X�e-z�p� --.J?.�___._�.a r?.� _7�'ti�-Z"�.o. .0 i 31 Cv Z•_� fS v X/L N D 1 F)5 S.E. MAIN ST P13ONE t '503-'2:33-2006 PORTLAND, ORF:(;(.)N 97214 F'AX#: 1 503-2:33 2963 form 5a Project Name. T.I4HTING 10/09/9813:54 FAX 503 221 8627_. SPIEKER PROP-IT 0 002 4380 S.W.Ma(uty'Avenue ~lute 100 Purtlwtd,OR 97201 503 221-5700 F,ka: 5oi-ai-8627 SPI ;KER October 9, 1998 John Nordby ASSOCIATED BUILDERS & CONTRACTORS 1400 N.E. 48d Avenue Hillsboro, OR 97124 RE. Tenant Improvements Premises Located at Park 217 Business Center 12256 S.W. Garden Place, Tigard, Oregon 97223 Dear John- Spieker Properties is the Landlord for the above referenced premises. We are aware that Associated Builders & Contractors is going to complete improvements within the premises within the next couple of months. Spieker Properties has employed Mildren Design Croup to designate an appropriate ADA parking space and ramp location avjacent to your premises. We will have C. Schiewe & .Associates install the ramp and appropriate parking space prior to the end of 1998. Estimated costs for the ramp and parking space designation is approximatcly 53,400-00. Should you have any questions or wish to discuss this matter further, please do not hesitate to contact me. Sincerely, SPIEKTR PROPERTIES C'A Matthew A. Cole Project Manager cfi'.r;vRnddaUl21 l;t-eMee ti OCT-15-913 THU 12:09 CLIMATE CONTROL FAX NO, 1093713606962.302 P. 02 CLIMATE CONTROL 3315 NW 26th Avenue Portland,OR 97210-1839 HEATING & AIR CONDITIONING 503-223-4393 FAX:2234494 October 15, 1998 New"Cech Services 1400 N.E, 48th Avenuc llillshoro. Oregon 97124 Attn: Jon Nordby Subject. ABC Offices Mar Jon, l he following describes the code requirements chapter 12, section 1202.2.1. I'he office interior environment requires that the mechanically operated ventilation system provide the outside air requirements per table 12-A. The occupancy load will need to be on the plans along;with the outside air requirements. 'I'he list that follows shows the outside air requirements for each area served. ROOM 01.1T'SIu1r AIR REQUIREMENTS Large conference room 500 cfm average ventilation load 75 people 25 x 20 ctitn " 500 cfm Small conference room 100 cfir averal;e ventilation load 5 people 5 x 20 cfm - 100 cfm General off ice area 220 cfm average ventilation load l l people 11 x20c1`m = 220 cfm I hope this provides the information requested. /Sincerely �� Mark W. Powell SYSTEM DESIGN — - INSTAL I ATION - ---- SERVICE -- MAINTENANCF BEIIVERION/TIGARD -626-3511 Sl. HELENS•397-2501 PORTLAND •223-4393 VANCOUVEH •254-3063 i. 'a September 29, 1998 CITY OF TIG ARD OREGON Jon Norby 1400 NE 48th Hillsboro, OR 97124 RE: Assc. Builders & Contractors BuildinC Plan Review 12256 SW Garden PI. 0CM 9-137c BUM 98-0406 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: ACCESSIBILITY , )�. Ifty aft . 1. Under the provision of OSSC. Section 1113, 25% of the value of the construction shall be expended to remove existing architectural barriers. Accessible requirements required by code for this permit cannot be used in expenditures required by Section 1113. On the attached form provide details on your proposed expenditures in the order shown. 2. The recepti.-in desk shall be accessible. Provide an area 36" wide and 36" above floor. OSSC, Section 1108.4.7.2. If item (a) is existing, provide a site plan showing location of the parking stall as well as the accessible route in relation to this tenant. ENERGYWDE } "J 1. Submit Completed Energy Compliance Forms 5a through 5c, Oregon Non-Residential Energy Code. Y •' IRE"AND LIFE'SAFETY J 1. Your project requires a rated corridor pursuant to Section 1005. Your plans do not eflect full compliance. Attached find your floor plan indicating how compliance can be achieved. Revised drawing in addition to rated wall .11 alignment, shall also include a door schedule and rated glass schedule. OSSC, J CJ y J Section 1005. 13125 SW Hall Blvd., Tigard, 01197223(503)639-4171 TDD (503)684-2772 ---------- --- Assc. Builders & Contractors Building Plan Review PC#: 9-137c BUP#: 98-0406 Page#2 2. Door#17 shall swing in the direction of egress travel. OSSC, Section 1004.2. 1. Provide details on how you will comply with OSSC, Chapter 12. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, �94pe4.*'J Robert Poskin, CBO PLANS EXAMINER II CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : Mr C99-001 jmq�m' 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUE..): 01/11/99 PARCEL: 2SIOIBB-01500 fTE ADDRESS. . . : 1225r�, SW GARDEN Pl- #BI-D. -3. C43 .;JBDIVISION. . . . - CROW PARK 217 ZONINr BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR TURN. . . , : EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. , : 0 VENT FANS. . . : 0 OCCUPANCY rjRr-,. . :B VENTS W/O APPL.: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUE1_ 0-3 HP. . . . : 0 DOMES. TNCIN: 0 3 15, HP. . . . : 0 COMML.. INCIN: 0 MAX INPUT: 0 BTU 15 30 11P. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS". . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . - 50+ HP. . . . : 0 CL.0 DRYERS. . : 0 NO. nF UNI TS------- AIR HANDLING UNITS OTHER UNITS. : I FURN ( 100F! STU., 0 10000 cfm: 0 GAS OUTL.ETS. : 0 r-URN ) =100K BTU: 0 10000 cfm : 0 Remarks : ABC Offices - TI - relocate difusers only Owner: FEES ABC OFFICES type amoi.tnt by date r-erpt 122,56 SW GARDEN PL.. PRMT $ 25. 00 JSD 01/11/99 9931,20RO TIGARD OR PLCK f 6. 25 ,JSD 01/11/99 99 5PCT 1. 25 JSD 01/11/99 99--312080 Phone #: Contractor: ------------------------- ----- CI-IMATE CONTROL INC ,15 NW AVE $ 32. 50 TOTAL. I)RTLAND OR 97210 .!'OTle #.' 2.23-4393 g REDUIRED INSPLCTTF11,1r, This permit is issued subject to the regulations contained in the Final Inspection 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 by the Oregon Utility Notification Centel-, Those rules are set forth in DAR 952-001-00le through OAR 952-101-0080. You may obtain copies of these rules or direct questions to Ot!NC by calling ....... Issi-te By *c g n a t Lt v,c, +4-++++4.+-+4-++4........................................................4...........4-4.+ Call 639-4175 by 7:00 p. m. for- inspect ions needed the next bi.ts iness day 4 .+-+4-+++.++-f.......4-+++.+++-4-+4........F++++++++++++++++++++•4•++++++++++++•++++++.++++4+ Check CITY OF TIGARD Mechanical Permit Application PlanCh Reed h �-'- 13125 SW HALL BLVD. Commercial and Residential Date Recdd C � TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 7-0- Date to DST__z— Print or Type Permit# *04:,e Incomplete or illegible applications will not be accepted called Name of Devetopment/Prolayt Description /✓C e` /L�i��,5 Table to Mechanical Code Qty Price FAmt Job Street Address SuneN A) Permit Fee 10.00 Address /l z J,6 51, G4 '/.�✓0 1) Furnace to 100,000 BTU Bldgx city/state zip including ducts&vents 6.00 2) Furnace 100,000 BTU+ 7,7 _,/W%2 including ducts&vents 7.50 Name(or name 0 business) . 3) Floor Furnace Owner A73 G G 1 CSS including vent 6.00 Mailing Address 4) Suspended heater,wall heater '72Ol or floor mounted heater 6.00 _ SC�•� C 5) Vent not Included in appliance permit CRY/State Zip Phone 3.00 77 `,Q CHECK ALL 'Boiler Heat Air Name(or name 61 business) THAT APPLY: or Pump Cond Qty Price Amt Comp .. 6)<3HP;absorb unit to Occupant Mailing Address 100K BTIJ _ 6.00 7)3-15 HP,absorb unit CHy/State Zip Phone 100k to 500k BTU 11.00 8)15-30 HP;absorb — unit.5-1 mil BTU 15.00 Contractor Name 9)30-50 HP;absorb v ('( //s1/'7`LT C'C�t/7X'OLM�- . unit 1-1.75 mil BTU 22.50 Prior to permit Meiling Address 10)>50HP;absorb unit issuance,a copy 3 7=5 >1.75 mil BTU 37.50 _ of all licenses Cdy/Stale zip Phone 11)Air handling unit to 10,000 CFM are required if C 1C 7z fk(//J 02 cj7 /0 2 Z3 V3 ',� _ _ _ 4.50 expired in COT Oregon Const Cont.Board Lk# Exp.Date 12)Air handling unit 10,000 CFM+ _ database Z/f' /� - 7.50 Architect Name 13)Non-portable evaporate cooler _ 4.50 or Mailing Address 14)Vent fan connected to a single duct 3.00 15)Ventilation system not Included in Englineer CBy/State zip Phone appliance permit 4.50 16)Hood served by mechanical exhaust Describe work to be done. 4.50 17)Domestic incinerators New O Repair O Replace with like kind Yes No O 7.50 Resklential O Commercia�,19 16)Commercial or industrial type Incinerator _ 30.00 Additional information or description of work: 19)Repair units 4.50 20)Wood stove Sul T NC r� rey� —�— 4.50 21)Clothes dryer,etc. 4 50 _— Type of fuel oil O natural gas O LPG O electric O 22)Other units 4.50 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of 2.00 the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) 50 Signature of Owner/Agent` Date v Minimum Permit Fee$25.00 — SUBTOTAL 5%SURCHARGE Contact Person Name Phone PIAN REVIEW 25%OF SUBTOTAL 1.) Required for ALL commercial Permits onl TOTAL 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I lmechpern doc rev 07/20/98 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: -1 e r / O h Class of Work: I +- Floor Furnace: Evap Coolers: _ ans: Type of Use: r'! _ Unit Heaters Vent F Occupancy Grp: T Vents w/o Appl: Vent Systems: Stories: _ _ _ Boiiers/Comprsrs: _ Hoods: Fuel Types - 0 - 3 HP. _ Repair Units: / 11 / / 3 - 15 HP. _ Wood Stoves: Max Input: _ Btu: Air Handling Units CIO Dryer: Fire Dampers: < = 10000 cfm:_ Oth Units: Gas Pressure: H / M / L > 10000 cfm: Y Gas Outlets: No. Of Units: __ Furn < 100k Btu: Furn >=100k Btu: f NOTES: -11�'. r�,r�,/hy �� z COMMERCIAL INSPECTION AGTIONS FEE MENU -� _$ Permit Fee Gas tine Inspection S G?, Plan Review Mechanical Inspection $ ( ;r 5% State Surcharge Cooling Unit Inspection 5 Additional Permit Fee ;haft Inspection s Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection Miscellaneous Fee Duct Inspection Z, S Fire Alarm Inspection 1-ire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection Final Inspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=con merciai,CM3=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(W7.W=new,ADO=addhion;ALT=alteration;ACS=accessory; FND=foundation;OTH=other, DEM=demolition;REP=repair,FPS=fire protection system.NOTE-USE OTH FOR FENCES, RETAINING WALL. DETACHED DECKS. SIGNS, AWNINGS,CANOPIES) i',ovrcntr doc(daU 8197 -----£iTY OF T!G A R D Approved..... ................................ ........ Conditionally Approved...... ..... ............. j 014,°°Us For onlythe work as desci bm-.1 u,' 7= PER 1C-- -C �?._ W °v4°r See Letter t Follow ( J Atts�Ch... ............ . ... . .. .( ] ,,O-� 66-0- 1 ti s a _o ti b Z � z � v a ful w T 1 a, x ` F ti w F71 Z11 I a L-P < } _ - ® o LA .I I I�� —. ELECTRICAL PERMIT DEVELOPMENT SERVICES 3/7/00 PERMIT#: 0 00095 DATE ISSUED: 3/7/00 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-417 PARCEL: 2S101 BB-01500 SITE ADDRESS: 12256 SW GARDEN PL BLD.1 SUBDIVISION: CROW PARK 217 / 70NING: C-G BLOCK: LOT : 003 JURISDICTION: TIG Proiect Description: Installation of two branch circuits. Job No. 4,075 •rte RESIDENTIAL UNIT_ TEMP 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 HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER J 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: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ 1000+ ., nplvolt: >=4 RES UNITS: > 60O V'OLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: _ CLASS ,REA/SPEC OCC:__ Owner: Contractor: SPIEKER PROPERTIES LP NEW TECH ELECTRIC 4380 SW MACADAM AVE STE 100 1400 NE 48TH AVE PORTI-AND, OR 97201 HILLSBORO, OR 97124 Phone: Phone: 503-648-1900 Reg #: LIC 41868 SUP 2113s Et-E 26-418c FEES _ Required Inspections Type By Date Amount Receipt Elect'] Service PRMT DEB 3/7/00 $42.85 0000492 Elect'] Final F)PCT DEB 3/7/00 $3.43 0000492 Total $46.28 This Permit is issued slibject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordanre with approved plans This permit will expire if work is not started within 180 days of issuance.or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 r PERMITTEE'S SIGNATURE ISSUEb BY: Lk - k�, y� 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 ATE:` _ _. --__CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. LEC'N: � �Q�1�N74' �� _ DATE: LICENSE NO: _ / (� L) - Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan - eckll 13125 SW HALL BLVD. Recd y �` TIGARD OR 97223 Date Recd Date R P E Phone (503)639 4171, x304 �� Date to DST Inspection (503)639-4175 y��e� Print of Type Permit 4 Fax (503) 598-1960 lnF ete or illegible will not be accepted Called 1. Job Address: cpM 4. Complete Fee Schedule Below: Name of Development Numbir of Inspections per permit allowed Name(or name of business) Service included: Items Cost Sum Address �/2 -5, I 4a. Residential-per unit -1-1 1000 sq.ft.or less - - - $ 117.75 -_ - 4 City/State/Zip / / _. Each additional 500 sq h or portion thereof _ $ 2615 Crrmmercial tLQ Residential ❑ Limited Energy 5 6000 Each 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 ) � G , Installation,alteration,or relocation Electrical Contractor C-" 200 amps or less __ $ 64.2.E _ 2 Address L 7 / / 201 amps to 400 amps -__ $ 85.bL 2 City/ i State Zip q1 401 amps to 600 ams — $ 128.57 2 601 amps to 1000 amps $ 192,50 2 Phone No. 64 �E_11�100`n Over 1000 amps or volts $ 363.75 2 Job No. _44 7�_ _ Reconnect only $ 5350 _ 2 Elec Cont Lice. N0.42(n -4 /,f 1. Exp Date _ 4c.Temporary Services or Feeders OR State CCB Reg. No. __Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No Ex .Date 200 amps or less _ — $ 53 50 2 - 201 amps to 400 amps _ $ 80.25 _ 2 1- * I 4C1 amps to 600 amps $ 10700Signature of Supr Elec'n _, __.__ Over 600 amps to 1000 volts, __ see"b"above. License No. 7 _Exp.Date_ 0 V 1__ Phone No WAYS, � (� 4d.Branch Circuits - --- - ------------------- New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Narne Each branch circuit - _ _ $ 5.35 -' -- b)The fee for branch circuits Address ----- without purchase of service City State.--- lip __ or feeder fee. .- Phone No. First branch circuit $ 37.50 3 Each additional branch circuit �_ S 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 Owner's-signature Each sign or outline lighting $ 42 75 --- Signal circult(s)or a limited energy If re uiri :` panel,alteration or extension $ 67.00 3. Plan Review section q � Minor Labels(10) $ 107.00 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 Service and feeder 225 amps or more Per inspection _ $ 5000 --- 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: 5a Lnter total of above fees Submit 2 sets of plans with application where any of the above apply 7 7W.Surcharge(05 X total fees) Not required for temporary construction services. Subtotal $ 6b.Enter 25%of line So for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID ir 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 as AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ I\dslx\famtstrlcctric dor CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business line: 634171 -� -- BUP _ Date Requested r> AM FM BLD Location1 �.�1�� (�l r, 3attle 1�U� ( MEC Contact Person (.1�A — Ph _40 L/9 �� .�� PLM — Contractor_ _ Ph SWR BUILDING Tenant/Owner ¢ ELC 201r10 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes - Slab —___--�-- L. � SIT Post&Beam -T "--� Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm �:l 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 -- PA.$S PART FAIL CTRI A ` Service Rough In UG/Slab Low Voltage Fire Alarm AS PART FAIL SITE Backfill/Grading - -- --� Sanitary Sewer Storm Drain I i Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ]Please call f reincucction RE: ( ]Unable to Inspect-no access Fire Supply Line ADA / Approach/Sidewalk Other Date �a �� Inspector -- _ .__-ti-� �� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- -- BUP _ —Date Requested—i 2-.1311 yf` _AM--�PM BLD Location ; : _ S�•S A2�4+ �� Suite MEC _ Contact Person Ph _ _ PLM Contractors�- ,.;L, ,J Ph _ /�,� SWR BUILDING Tenar t/Owner ELC Retaining Wall Footing Access: Foundation FPS Ftg Drain — Crawl Drain Inspection Notes: v SGN --- - -- Slab -_-__ 0,4471 Post& Beam - -- SIT Ext Sheath/Shear Int Sheath/Shear ---- "-- Framing Insulation - J ---- -`----"-'--�-- - Drywall Nailing Firawall Fire Sprinkler _�__._ ,Gs�s.�s -` •� Fire Alarm l Susp'd Ceiling Roof --- -------- -----.___ .__...-_. Misc -- Final -----_-__-- PASS PART FAIL PLUMBING �1 Post&Beam ---- -- ----- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final --- - --__ --- PASS PART FAIL MECHANICAL Post& Bean Rough In -- +—! Gas Line Smoke Dampers Final - - - - - T FAIL LE11TRICAL Rough In --- ---- - - ---- ------- UG/SI -- - ___-- ---- --- Voltage S PA P,7 FAIL -_-- _ Backfill/Grading -- --- --- -- -- — Sanitary Sewer Stoi m Drain ( J Reinspection fee of$ required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Please call for reins ectlon RE:___ Fire Supply Line ( p __ ( j Unable to Inspect-no access ADA �? Approach/Sidewalk Date Other Inspector ,��` r=�--- Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIG,A►RD BUILDING INSPECTION DIVISION MST 24-Hour Inspectkon Line: 639-4175 Business Line: 639-4171 ,- -- -- BUP - "� `' 'Date Requested �'`r AM— PM _ BLD Location / ��, '��( />�G�-� _ Suite MEC Contact Person I", e Ys Ph _ PLM _ Contractor Ph SWR _ BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS - — Fig Drain SGN _ Slab Crawl Drain Inspection Notes: � �: SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing —- -- -- ---- —— Insulation Drywall Naiq.,y --- -- ------ Firo.•:w': Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ - ------ - ---- Final PASS PART FAIL --- -- - ----- -- --- - .- _ PLUMBING Post 8 Beam ---_ -- ----------- _ - ---------- Under Slab _ Top Out Water Service Sanitary Sewer FZa;�Drains _ PART FAIL ECHANICAL 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 Storm Drain [ )Reinspection fee of$ _ -__-.- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF -_ - _—_ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspectors�, j�� Ext Final PASS PART FAIL DO NOT REMOVE th!s inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 6394171 Date Requested�_�;., c% AM PM BLD I ovation��,��61 -jl� 1�u ,,, �.ic"�- Suite MEC _ r;untact Person PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall y ELR ✓ Footing Access Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes. - Slab �� U 44 --- du, SIT Post& Beam - Ext Sheath/Shear 4 _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -__- Roof PASS PART FAIL ------ --- ---- PtUMBING Post& Beam ---- _ - ----- _-- Under Slab Top Out -- -- --------- ----_ ----- -- Water Service Sanitar, Sewer Rain Grains ....----------------__- Final PASS PART FAIL MECHANICAL Post& Beam - -- - ----- - Rough In Gas Line - - Smoke Dampers Final - — -- ---- PASS PART FAIL ELECTRICAL - - - - -- Service _ Rough I UG/Slab -- - -- - - - - Low Voltage Fire Alarm Finol PASS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ [ )Unable to inspect-no access ADA Approach/Sidewalk Other Date -_ Inspector - - _Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 CERTIFICATE UF OCCUPANCY PERMIT I#. . . . . . . i DUP98-0406 DATE ISSUED: 01/14/99 PARCEL.3 -?S;)1018B--@i500 ADDRESS. . - il2i-256 SW GARDEN PL #3LD. sUBD I V I S I ON. . . . :CROW PARK 217 ZONINGiC--G FLOCK. . . . . . . . . . : LOT'. . . . . . . . . . . . . :003 JURISDICTION: TIG CLASS OF WORK. eALT YYPF OF USE. . . i COM I fPE OF CONSTR"31NI IC CLIVIANCY GRP. :B - .CUPANC.Y LOAD: f NAN I NAME:. . . : A.B.C. :marks : Tenant improvement 'mi e r i i -LIKER PROPERTILS 10 BOX 5909 1 T.IRTL(4NI) OR 91LIab 'lone #'; 011tractori WILSON CONSTRUCTION CO ,007 NE 181ST orrrLAND OR 97230 milp #I ,-g #. . : 0011015 ;)is' Certificate grants occupeArjcy of the above referenced building ur portion �iereof and confirms that t1--ve blAilding has been inspected for compliance with .ie State of Organ Specialty Codes for the group, occupancy, and use under hich the referenced permit was isit-ted. UILDING INSPECTOR UIL OFFICIAL POSIT IN CONSPICUOUS PLALL CITY OF TIGARD BUILDING INSPECTION DIVISION ' -� y'�, - Dj 24-1 your Inspection Line: 639-4175 Business Line: 639-4171 L-BUPP _ LDate Requested VA Am--.—.Pm BLD Location LJ dc.1-- Suite Co.ttact Person �G�G,�[ . Ph PLM Contractor ��G,�(,[ iAi) furl. Ph SWR BUI DI Tenant/Owner /.�j�[ ELC — — Retaining Wall ELR _ Footing Access. Foundation FPS Fig Drain SGN — Crawl Drain Inspection Notes. --- -- — Slab _ _ SIT Post& Beam �- - Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall ,vim Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Misc: ---- --- --- PART FAIL - - ---------- -- -- -PLUMBING PostPost&Beam __ Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final PASS PART FAIL NIKHA R Po - - --- - ---------- --- - ----- - -- Rough In Gas Line --- - - -- ---- -- - Smoke Dampers in ` -- - -- -- --------- - PART FAIL ELECTRICAL -----_-_--_-_--_-_-- _-___ Service Rough In ---- ---- -- UG/Slab Low Voltage ---- --- --- - --�-- Fire Alarm Final -- - - ------ PASS PART FAIL SITE Backfill/Grading - - - - - ----- - Sanitary Sewer Storm Drain I ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I j Please call for reinspection RE: _�_ ; ] Unable to inspect no access Fire Supply Line - ADA Approach/Sidewalk Date _ - _- Inspector _ - _ - Ext Other -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0632 13125 SW Hall Blvd,, Tigard,OR 97223(503)639-4171 DATE ISSUED: 101201138 >(' PARCEL: 2SIOIBB-01500 SITE ADDRESS. . . tl2a5* SW GARDEN PL #BLD. SUBDIVISION. . . . iCROW PARK 217 ZC)NIN(3:C--G BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :003 JURISDICTION. TTG? Protect Description : Add 5 branch circuits ----------------I UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-__.___. 1000 ----MISCELLANEOUS——- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . ,, : 0 EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. .. - 0 LIMITED ENERGY. . . . . : 0 401 --- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 __---SERVICE/FEEDER-----.--- -----BRANCH CIRCUITS------ -.--ADD' L INSPECTIONS— 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 .:101 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 C. 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0 601 1000 Amp. . . . . : 0 -------------------PLAN RF.VIEW SECT I ON-------.- 1000+ amp/vol.t. . . . . z 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . t 0 SVC/FDK ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES SPIEKER PROPERTIES type amount by date reept PO BOX 5909 PRMT $ 55. 00 GEO 10/20/98 98-310134 PORTLAND OR 9*7228 5PCT $ 2. 75 GEO 10/20/98 98--310134 Phone #: Cont ractora -------------------------------- BACHOFNER ELECTRIC INC $ 57. 75 TOTAL 55 SE MAIN -------- REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Elect' l Service VItione #. 233-2006 Wall Cover Elect' l Final 1',(-g #. . - 000445 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laKs. All work will b� done in accordance with approved plans. This permit will expire if work is not started within 180 Jays 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 952-01-1987. You may obtain a copy of these rules or direct questions to OLINC by calling (503)246-1987. i-m i t t e e Si g na t u r e• Issued By INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE- [N9TALI_ATl:nN ONI-Y------- SIGNATURE OF SUPR. ELECIN- e_%ez" DATE: _1q;;!(1 I- TCFNSE NO: 9-9fc;) 4 + +-++.++ ......................4......4-4......4........4.........................4-+++ Call 639--4175 by 7:00 p. m. for an inspection needed the next business day .............................................................................4 + .MI CITY OF TIGARD Electrical Permit Applivaa ion Plan Check N 13125 SW HALL BLVD. cCclV�ij Rec'dBy 'rIGARD OR 97223 Date Rec'd (IMl 6 199p Data to RE. Phone (503) 639.4171, x304 Type Date to DST Inspection (503) 639-4175 Print or TypI- ,� Incomplete or illegible will hi'o"��t be &6Permit a Fax (503) 694-7297 pted Calved 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of Inspections per permit allowed Name(or name of business) A.B•C• Service included- Items Cost Sum Address 1 2 "r,4 SW• Aden P 1 ace 4s, Residential-per unit City/State/Zip_ Tigard, Ore 97223 1000 sq.h.or less $110.00 4 Each additional 500 sq.ft.or Commercial ® Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation orir y. (Attach copy of aN current licenses) 4b.Services or Feeders Electrical Contractor Bachofner E]_ectric,Inc. Installation,alteration,or relocation Address 55 SE-Main - 200 amps or less $60.00 _ 2 _ City Port ---State Ore ^ _Zip 97214 201 amps to 400 amps $80.00 2401 amps to 600 amps $120.00 2 Phone No. 233-2006 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.00 Job No. 7228 _ 2 Elec, Cont. Lice. No.Z r,-AR t C Exp.Date_1 n/1,/_g_g Reconnect only $50.00 2 OR State CCB Reg. No,4 4 5 6 9----Exp.Date 40___ 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date-_ _-_ installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n� 201 amps to 400 amps $75.00 _ 2 -- 401 amps to 600 amps $100.00 2 License Nr 2-908S Exp.Date 10 1 /9 9Over 60U amps to 1000 volts, _ see"b"above. PhoneN, 233-2006 __.� -- 4d.Branch Circuits 2b. For owner installations: New,alteration or oxiension per panel a)The tee for branch circuits with purchase or service or Print Owner's Name__ _ _ __ feeder fee Address Each branch circuit $5.00 -- -- -- h)The lee for branch circuits Phone NO.- City------ State-State_ Zip _ - I without purchase of I service or feeder fee. First blanch circuit �� $35.00 2 The installation is being made on property I own which is not Each additional branch circuit-A_ $5.00 . 2 intended for sale,lease or rent. I 4e.Miscellaneous Owner's Signature (Service or feeder not included) g - - Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circutt(s)or a limited energy panel,alteration or extension _ $40.00 2 Please check appropriate item and enter tee in section 58. Minor Labels(10) $11X).00- - 4 or rmore residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour - $55.00 _. as described in N.E.C.Chanter 5 In Plant $55.00 •Submit 2 set%of plans with application where any of the above apply. Jr. Fees: Not required for temporary construction services. 5a.Enter!.tal of above fees $ 55. 00 5°%Surcharge(.05 X total fees) $ NQTIC Subtotal $ 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Re%iew if reduired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - --IS SUSPENDED OR ABANDONED FOR A PEP=OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. a Trust Account B� 56 . 65 Total balance Due s _ I%USTSTI.C86 APP nev 866 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspectiun Line: 639-4175 Business Line: 639-4171 BUP — -" 30 Date Rego ted 1 oZ_ 3� - AM PM BLD 2� ! .56 Suite MEC Location_ .� —� -- �t_ 3 'o`C�crL PLM Contact Person v Ph -- -- Contractor __ Ph SWR / ' ;ib BUILDING- Tenant/Ow r Retaining Wall ELR --- _ _-- Footing Access: FPS Foundation -- Ftg Drain SGN Crawl Drain Inspection Notes' Slab --_._ --_. _.� -- -- SIT Post& Ueam Ext Sheath/Shear _-- -'- Int Sheath/Shear Framing ------ -� -- -- -_- T - ` __- Insulation Drywall Nailing - Firewall Fire Sprinkler --- ---- - _ Fire Alarm Susp'd Ceiling /--- ---- ------------_.._ ------ - ----- J Roof Misc - -- --------- Final --Final PASS PART FAIL PLUMBING — — ---------__- Post&Beam ----__.--------...------------ Under Slab _.---_-..A-- ---- -- ---- ---- - - Top Out --- - - -- Water Service Sanitary Sewer - -- -..---------...__------ Rain Drains --- -- -_- Final PASS PART FAIL -- -- - _-- MECHANICAL Post& Beam --------------- ----- .-_.-._� Rough In - - ------- Gas LIRP - ------- -----_--_._---_--- Smoke Dampers Final p •fAR�,.. FAIL ------ ------- ECTRICAL _-�-- Service __ --- - ---------.T--- Rough In UG/Slab —--- - --- -— - ----- -- _ Low Voltage -- Fir larm - --------- -- -- ---- --. _-_ - Fi A PART FAIL _ -------_.- ----------- __ -. --,- is; -- --- ----- -- --- Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _-_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE _ _ [ ]Unable to inspect-no access Fire Supply Line - ADA J Approach/Sidewalk / ExtDate /-:2 ` .3/ Inspector -- --- Other --- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 q q BUP -- -_Date Requested_ - l - /J AM PM BLD Location_ 1 - Suite MEC Contact Person ' �' Ph PLM Contractor / -P.,', 1 C— Ph 2- 33- ZOO�� SWR / BUILDING Tenari/Owner A 5 L" ELC Retaining Wall ELR Footing ----- Foundation ACCESS: D?—- n/n - FPS Ftg Dain SGN Crawl[gain Inspection Notes: --- Slab Post,9, Beam — — — -- — SIT _ -- Ext Sheath/Shear Int Shpath/Shur - Framing Insulation Drywall Nailing Firewall — Fire Sprinkler -_-- Fire Alarm Susp'd Ceiling Roof Misc ----- -- --- ----------- Final PASS PART FAIL — - -----.-_--� ___ PLUMBING Post&Beam - ----- — — -- hider Slab Top Out - - - ------ - --- Water Service Sanitary Sewer - _ _- ---- -------------------- Rain Drains Final ----�- PASS PART FAIL MECHAAICAL �— Post&Beam Rough In GasLine ---- ------------ - ---�- --- Smoke Dampers Final -- - - ---- -------- ---- PASS-- FAIL ECTRICA -_.—_-- -- -- _ Service Rough In UG/Slab Low Voltage ---------- rm -- --------- - ------- — XS— PART FAIL Backfill/Grading — --- --- - - -- - ------- ---- -- --- Sanitary Sewer Stone Drain [ ] Reinspection fee of$ regUired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:—_ _ _ _ _ _ [ ] Unable to inspect. no access ADA Approach/Sidewalk �i r Other Date / �� !d —_ Inspector __ _ _ Ext Final — PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.