9600 SW OAK STREET 5TH FLOOR I
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9600 SIN OAK ST aTM FLOOR
CITY OF TIGA►RD - MECIfANICALPERMIT —_
DEVELOPMENT SERVICES PERMIT#: MEC2003-00384
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 7/8/03
PARCEL: 1 S13.5BD-00100
SITE.ADDRESS: 0960C SW OAK ST
SUBDIVISION: ASHBROOK FARM ZONING: C-P
BLOCK. 1.1()T:005 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30-50 HN: WOODSTQVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS_ OTHER UNITS: 1
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
'3. 10000 cfm:
Remarks: P.elovate office and c-mfurence room grilles,'kam 550,377
Owner _ ____ _ FEES---
ASA PROPERTIES, INC Description Date Amount
Bl' PAU'_ DEVILLE — --
PO BOX 3110 [MFCH]Permit Fee 7/8/03 $72.50
HONOLULU, HI 96802 [TA X1 8%StateTax 7/8/03 $5.80
Phona: __ ^� -__Total $73.30 i
Contractor:
AIR RITE CONTROL., INC.
1623 SE 6TH ST
PORTLAND,OR 97214 REQUIRED INSPECTIONS
Phone: 238-0388 Final Inspection
Reg#: LIC 63302
a
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m
W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuanca, or if work is suspende(I for more than 180 days. ATTEN rION: Oregon law
requires you to follow riles adopted in the Oregon Utility Notification Center. Those niles are set forth in OAR 952-001-00
Issued By: Permittee Slgnat , Cn-
Call(503)639-4175 by 7:00 P.M.for Inspactlens needed the next bus ess day
r
rc
1Vlechanical Permit Application
Date received: � Fermjt no p�
CitLy of Tigard Pr ject/apps.no.: Expire date:
Cirt•of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 —"
Phone: (503)639-417! Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case lileno.: Payment type:
Land use approval: Building permit no.:
U 1 &2 family dwelling or accessory Commercial/industrial U Muiti-family U Tenant improvement
U New construction Addition/alteration/replacetnent U Other:
Joh address: 9k,;0 o j tM 0,1 K,- _ Indicate equipment quantities in boxes below Indicate the dollar
Bldg. no.: P LA i;� Suite no.:,fey p f jr 7 f value of all mechanical materie'',,gequipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value S 2 �.
Lot: 1111ockr Subdivision: *See checklist for important application information and
Project name: L. re Sn* r/-,-%- jurisdiction's fee schedule for residential permit fee.
Cit /count : 'r/(y ZIP:
Description and locatipn c£work on premises: o tt c, t.00
cfy`le t c P! , Co F �Cr'r''1 G_Rk G/!1' Fae(ea) Tool
Est.date of com letion/in ctior: ,,.Q cqw 7Vi_'7' Dean iltioo �a. Min.
Tenant improvement or change of use: Air
h ''
Air hfudGnLumt_ CFM
Is existing space heated or conditioned?Q&Yes U No �cult tiorii (site c-Tin u )
Is existing space insulated7�Yes U No terenon o extattr►$ sYatem
kinnimuukLmotall o ercompressor
Business name: 1 2 L Ta C State boiler permit no.:
HP_—Tons BTU/H _
Address: 2 eanmduct a detectors
City: t.-ti Stater ZIP:97 eatpl cue en
Phone: a FartQ (017 E-mail: Tnstaalf rep aceac ►mer-_—
CCB n t Including ductwork/vem lim U Yes U No
nsml(rre`pThe to herders-suspen
City/metro lic.no.: wall,or floor mounted
Name(please rint): 7 1jk4,,, S ant for appliance other dm fitmace
Abxtrpticm units_ BTU/H
Name: 0 t tillers ______^_ T NP
Address: (, Con ressors HP
ex
Ci : M2 ri State: ZIP:5 2 z Applienct vew
tPhonc:j_3U. �' Fac: (,�y E-mail: a tutHoods, ype / fes. tc meathood fife suppression systerf
ExhavA fan with s' a duct bath tiraddress: ust a stem n held ar State: ZIP: ftp to out
T LPO NO Oil
IL Phone: Fax: E-mail: o� over ou(WW—
Ix IF"o PPPI
t rugtf
NName Number of nutlet
Address: Deco Decorative PreWsce
City: I State: ZiP: neem-11 e
Phone: Fax: E ail: be atov _ n ator e
('g
Applicant's si jnatu Date:
Natne(print):
Not all jurltilk-tknu accept ae&rsrds,plesae call jurisdimkm fir more hdnmyRkm. catim Permit fee.................... S
O Vila U MasterCard Notice:pines Thu Ieb ' tobtain Mi-llmurn fee................S
cyeaH earA m�iter _ L _L expires if a peftnit is not obtained Plan review(at __ %) S
e� iren
pi l ys alet
p It has tam State surcharge(P";)....S �
ame car c I er 1k%�, nn ere ca -___ ftecepled as oorrrplete.
TOTAL....................-S '___ _
Cardb.,Nkr tura --- -- Amem--- 4N11617(1Nna'COM)
CITY OF TIGARD 24-Hour
BUILDING � Inspection L".ta: (503)639-4175 � _—
MIST
INSPECTION DIVISION Business: Line: (503)639-4171
q BUP
Received - _-______Date R u tad - U AM____PM SUP
Location �__ Suite r--L- MEC •_3- 470 3 g
Ccntact Person _ Ph( _) $ `3,z-.. PLM - _
Contractor_ __- - __ _ Ph SWR
BUILDING TenantiOwner _- _ _- _._-- ELC
Footing --- ELC
Foundation Access: -
Fig Drain ELR
Crawl Drain
Slab Inspection Notes- � L -!fir SIT - —
Post A Bean, __ _-------_-_-— —.
Shear Anchors -
Ext Shealh/ShAar
Int Fheath,Shear -- —
Framin _-- ---- ---- — --- -.—_----
Insulation
Drywall Nailing --------- - — - ----
Firewall
Fire Sprinkler --__ --_-_—_ —_ _-- —_--- �• —__--
Fire Alarm
SI'ap'd Ceiling —
Floof
Other:
Final -_
PASS PART FAIL -- -- -- _--^-
PLUMBING -- —. --- - -_
Post A Beam _
Under Slab
Rough-1n
Water Service - ---- -- -
Sanitary Sewer
Rain Drains --- --
Catch Basin/Manhole
Storm Drain ----- - -'-
Shower Pan
Other: -
Final
PASS PAgT ;:AIL -_—___--_-_----___-- - -- -- -
MECHAN_ICAL - -- ----_-_-__ --_-- --
Post A Beam
Rough-In T---- ----------v_ —__ _.
Gas Line
IL S_ e Damper s ------- -------— — ----- - .--_,_--- - ----
inal
t- ASS PART FAIL ---- -- --- --_ -- --- �_
N RIC_ A_L_
Service - - - _- ----- __--.— - - -
Rough-In - -- --_-,-_-- — -- - - -------
UG/Slab
Low Voltage
W Fire Alarm - ___-----�. -- -- --
Final RAins on fee of$ re uirod before next Inspection.
_PASS PART FAIL P� Q � P� F'eY et City Half. 1312,SW Hall Blvd.
SITE
-— [� Please cell for reinspection RE:_ __ Ej Unable to Inspect--no access
Fire Supply Line
ADA ��1� Intspea�or _- �
Approach/Sidewalk Daft,_
Othei: _
Final DO NOT REMOVE this inspeatlen rmmrd hem the jab she.
PASS PART FAIL
CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
DEVELOPMENT SERVICES �~ PERMIT#: ELR2003-00194
13,125 SW Hall Blvd., Ticiard. OR -372123 (503)639-4171 DATE ISSUED: 7/8/03
SITE ADDRESS: 09600 SW OAK ST PARCEL: 1S135BD-00100
SUBDIVISION:ASHBROOK FARM ZONING: C-P
BLOCK: LOT: 005 JURISDICTION: TIG
Proiect Description: Reloc�.te thermostat fo
A.RESIDENTIAL B.COMMERCIAL
AUDIO S STEREO: AUDIO & STEREO: _ INTERCOM &PAGING:
BURGLAR ALARM: BOILER: LANDSCAPElIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: X
__ T 6L 1a SYSTEMS 1—_
Owner: Contractor:
ASA PROPERTIES, INC AIR RITE CONTROL. INC
BY PAUL DEVILLE 1623 SE 6TH AVENUE
PO BOX 3110 PORTLAND, OR 97214
HONOLULU, HI 96802
Phone: Phone: 238-0388
Reg#: LIC 61102
FLE 26-814C'RF
FEES Required Inspections
Description Date Amount Elect'I Final
–Description
ELR Pennit 7/8/03 $75.00
ITAX) 91%Stale Tac 7/8/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and
all other applicable laws. All work will be done in accortanoe with approved plans. This permit will exl ire if work is not
started within 180 days of issuance,or ii work is suspended for more than 180 days. ATTENTION: Om9on law requires
you to fallow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0"10 throuc
q Issued by _ Permittee Signat to
3 OWNER INSTALLATION ONLY
S The Installation Is being made on property I own which Is not Intended for sale, lease, or rent.
9
U OWNER'S SIGNATURE: _ DATE:
–CON-1 RALTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'NDATE:
LICENSE NO:
Call 6394175 by 7:00 P.M.for an Inspection needed the next business day
Electrical Permit Application
Datereccived: permit no.{ ,.3m -
City of Tigard Project/appl.no_ Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: _
Ll I &2 family dwelling or accessory ®Commercial/industrial U Multi-family U Tepant improvement
U New constniction X A(Idltion/altcration/replacement U Other: U Partial
Job address: CI Cjq Bldg.no.: Suite no.:55 Tax map/tax lot/account no.:
Lot: Black: Subdivision: Pi—e,4 wf3 ST
Project name: 5 TN F c c:e!L (7J"Pf C P Description and location of work on premises: jz jr t oqf Z E-
Estimated date of com Ietion/ins VU
ction: 7- Z (�
Job no: Fee Max
Business name: AlIz- 12-iM C a/"1-7ZC�Z QI • ea Total no:lns
IVew nsideMW-it�ie ar araW fitaYy per
Address: /(o 2 g S /Z tv m dwellingnstll.ltrelaI tattadsediprailL
City: State:CR-I zm c)-2 Z ! Sei vie IK riled:
Phone;j0 8'D, Fax:Z-3,/bJ a' E-mail: 1000 sq.(t.or less _ - 4
(V 39 O 2 Each additional 500 sq.it.or Po+ion(hereof
CCB no.: Elec.bus.lie.no: Limite,energy,residential 2
City/ ;!m lic.no.: Limited energy,non-residential 2
Each manufactuted home or modular dwelling
Si ature so rvisin a edri tan(required) Date Service"or feeder 2
Sup.elect.name(print): ti license no: Services orfeeders-installation,
alteration or relocation:
2')0 a nps or less - 2
Name(pont): 201 arhps to 400 snips 2
-- 401 amps to 600 amps _ 2
Mailing address: 601 amps to 1000 amps 2
City: I State: I ZIP: Over 1090 amps or volt _ 2
Phone: Fax: E-mail: Reconnectord I
Owner installation:The installation is being made on property 1 own Temporary aerrlcesorfeeders-
which is not intended for sale,lease,rent,or exchange acrording to installation,alteration,orrekmmtk :
ORS 447,455,479,670,701. 200 amps or less 2
201 nrs,x to 400 amps 2
Owner's si nature: Date: [401 btx)ams 2
ch circuits-new,alteration,
xtension per panel:Name: ee for branch circuits with purchase of
Address: ervice or feeder fee,each branch circuit 2City: State: ZIP: ee for branch circuits without purchase
d Phone: Fax: Email: of service or feeder fee,first branch circuit: 2
Each additional branch circuit:
Fit WWI=%WE ld� t Misc.(Service or fender not Incladed):
U) 71�,]..:
ver 225 amps-commercial U Health-care facility Each pump ar irrigation circle - 2
ver 320 amps-Wring of I del �]Hazardous location Each sign or outline lighting Y 2
eIlingsU Building over I0,0(x)square feet four or Signal circuits)or a limited energy panel.ver600 volts nominal more residential unite in one structure alteration,or extension• 2
m U Building over three stories U Feeders,400 amps or more *Description:
U Occupant load over 99 persons U ManufacturrAf structures or RV park Each atNNiot d hwpec over the aBowabk!n any of the above:
WU Fgres0ightingplan U Other _J Pains ion
Submit_sets of plain with any of the above. Investillation_feee
The above are not opplkable to temporary condraetloa service. � Other
Not all jurisdictions accept credit eras,pkase call)misdiction for mss inf xmrbn. Notice:This permit application Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $
Credit cord number- / /__ within 190 days after it has been Slate sareharge(11%)....$
Expires accepted as complete. TOTAL .......................$ —
Narne r t a on c
A _
Crdboider signature Amount 440 4615(60WOM)
a
F -
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Camp/ere Fee Schedule below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
Restricted Energy Fee...................................................... $75.00
Number of Ins -tions F2r N allowed (FOR ALL SYSTEMS)
Service Included: Items Cost Total Check Type of work Involved:
Residential-per unit
1000 sq.R.or less $145.15 — 4 ❑ Audio and Stereo Systems'
Each 3dditkxnal 500 sq.ft.or
portion thereof $33.40 1 ❑ 8vrglar Alarm
Limited Energy $75.00
Each Manurd Home or Modular E] Garage Door Opener'
Dwelling Service or Feeder _ $90.90 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30_ 2 ❑
201 amps to 400 amps $106.85 _ 2 Vacuum Systems'
401 amps to 600 amps _ $160.80 2 ❑
601 amps to 1000 amps $240.60 — 2 Other------------
Over
ther_____—._ ___Over 1000 amps or volts _ $454.65 2
Recnnnect only $86.85 2
TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Temporary Services or Feeders
Installation,aheratkm,or relocation Fee for each system.......................................................... $75.00
200 amps or less _ $66.85 2 (SEE OAR 918-2.60-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75_ 2 Check Type of Work Involved:
Over 600 amps to 1u(X)Vohs,
see"b"above. ❑ Audio and Stereo Systems
Branch Circuits ❑ Boller Controls
New,alteration oextension per panel
a)The fee for branch circuits
wHh purchaso of service or ❑ Clock Systems
feeder fee.
Each branch clmiit $6.65 2 ❑ Data Telecommunication Installation
b)The fee for branch arr:ults
without purzhase of service ❑ Fire Alarm I-istallation
or fiseder fee.
First branch circuit $46.85_
Each additional branch circuit $6.65 - ❑ HVAC
Miscellaneous rInstrumentation
(Service or feeder not Included; �'
Each pt-mp or irrigation circle _ $53.40 Intercom and PaSystems
Each sign or outline lighting _—_ $53.40 ❑ Paging
Signal cireuh(s)or a limited energy
panel,alteration rx extension ,_— $75.00 _ CJ Landscape Irrigation Control'
Minor Labels(10) "t125.00
Each additional Inspection over E] Medical
the allowable In any of the above
Per Inspection $62.50 ❑ Nurse Calle
Per hour $62.50
In Plant $73.75 _ ❑ Outdoor landscape Lighting'
Fees: ❑ Proi3ctive Signaling
L
C Enter total of clow:fees $ I� Of.ier
0 8%Sete Surcharge $— '—[``
Number of Systems
3 25%Plan Review Fee ' No licenses are required Lk enses are required for all other Installatinns
See"Plan RevhW section on $
Sfront of application. it---
Fees:
j Total Ralance Due s
r� Enter fatal of above tees =_ r_OZ)te__
L_.1 Trust Account At 8%State Surcharge
Total Balance Due
All New Commercial Buildings require 2 sets of plans.
i:\dsts\kxrrts\etc-fees.do: 08130/01
CITY OF TIGARD 24-Hour �
BUILDING � Inspection Line: (503)699-4175
MUT
INSPECTION DIVISION Business Line: (503)6394171 _
SUP —_
Received _ _—_ Date Requested- I AM^_ PM BUP _
Location __— �c � _ Suite MEC —
Contact Person Ph(_ ) oZ 3 —� S PLM
ContractorPh(— ) SWR
BUILDINGS _ Tenant/Owrier __. __-- ELC --
Footing ELC
Foundation Access: _
Ftg Drain ELF; _ D v
Crawl Drain
Slab Inspection Notes: , . r S.'T -
Post&Ream
Shear Anchors —
Fxt Sheath/Shear '
Int Sheath/Shear
Framing - --- -- - --- --- -
Insulation
} Drywall Nailing -- - — —-- -
Firewall
Fire Sprinkler ---- ------- - -- -- `-
Fire Alarm
Susf+d Ceiling ��— - ------ —
F��Jf
Other: _ ---- -- _ —.--_
Final
PASS PART FAIL —
PLUMBiNGl — --
Post& Beam
Under Slab --- —--
Rough-In
Water Service --
Sanitary Sewer
Rain Drains - ---- - _
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: - -- --
Final
PASS PART FAIL--
MECHANICAL
Post&Beam ^
Rough-In - -- — — - —
a. Gas Line
Smoke Dampers — -— ---- ----
Final
PASS PART _FAIL - - — -- -- -
ELECI RICAL --------.—_—.--
_ Service
OD Rough-In ---
U IJG/Slab
Wj Low Voltage —._---
FWIgrm
PART FAIL r,
L -1 Reinspection fee of$______, _.-___required before next Inspecflon. Pay at City Hall, 13125 SW Hall Blvd.
E �- Please call for reinspection L__1 UnaNe to In".-.t--no access
Fire Supply LineADA
Q
Approach/Sidewalk Dom'—H ry --- Inspeetor -
Other:
Final DO NOT REMOVE thle Inspethe fob alto.
PASS PART FAIL