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9600 SW OAK STREET STE 380-1 i 1 OR 31S 1S NVO MS 0096 i Q 00 W H N co a a � a co ° � S 9600 SW OAK ST STE 380 CITY ITY O F T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PErtMIT0: BUP2000-001A'l 13125 SIN Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/24/2000 PARCEL: 1 S135BD-00100 ZONING- C-P JURISDICTION: TIG SITE ADDRESS: 09600 SW OAY.ST 380 05 SUBDIVISION: ASHBROOK FARM FILE Copy BLOCK: LOT 0 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CON'STR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: ZENrfH ADMINISTRATORS REMARKS: Commercial tenant improvement. Owner: ASA PROPERTIES 520 SW 6TH AVE PORTLAND,OR 97204 Phone: 22.4-9854 Contractor: 1 CEDARLAKE CO DONALD EUGENE BOYD 1331 WASHINGTON ST V%QJVER, WA 98660 Reg LIC 0114411 1 n _J >D J This Certificate Issued 05/080/1000 gram occupancy of the above refere aces# building or portion thereof and confirms that the building has been Inspects'a ,Or compliance with Cie State of Oregon S e try Codes for the group, occ anand use under which the belt ed per isrued. ' )Wcy, BUiLIJING INSPECTOR BUILDII91 OFFICIAL POST IN CONSPICUOUS PLACE CIT`( OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lane: 639-4175 Business Line: 639-4171 n Date Requested AM---(M:�— BLD � Location Y �0 3 00 _ Suite X33 . MEC Contact Person CI/N 7— Ph v PLM Contractor Ph -36 6-77Z_ZW I SWR------------ WILDING_ Tenant/Owner _ ELC Retaining Wall ELIR — Footing Access: FPS ----•--• Fig Drain SGN Crawl Drain Inspection Nates: - -------' Slab SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Crywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling — Roof c: A3 PART_ FAIL d--- ----------__--- --__d_ _— — f 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 PASS PART FAIL ELECTRICAL IZ Service - —_— - -- ----- - _— W Rough In U) UG/Slab -_-- >- Low Voltage I" Fire Alarm i Final PASS PART FAIL — W SITE J 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 Fire Supply Line [ )Please call for reinspection RE' _ [ )Unable to inspect-no access ADA Approach/Sidewalk pateS Inspector_ Ext Other �----- - Final PASS PART FAIL 00 NOT REMOVE this Intspoctlon rrocord from the job alto. CITY OF TIG''RD BUILDING INSPECTION! DIVISION MST 24-Hou'r Inspection !Line: 639-4175 Business Line: F39-4171 -- BLIP Date Requested i�� AM_ PrA BLD Location (pnrl ('�GL Suite MEC _— Contact Person Ph �� �� PLM Contractor Ph _ SWR BUILDING Tenant/Owner -- ELC Retaining Wall ELR 0'/? Footing Access: Foundation FPS Ftg Drain SGN — Crawl Dri Inspection Notes: Slab — SIT Post&Beam - Ext 5hoath/Shear _ Int Sheath/Shear Insulation Drywall Nailing _ _,7,,,r---9, Firewall •�-- � 0-en - Coo f 1, Fire Sprinkler __— _ Fire Alarm -- Susp'd Ceiling Roof Misc Find PASS PART FAIL — P:'IMBING ,e�,.�,- �1►% © D 1� Post 3 Beam -- —_� ---_—__-_— Undf r Slab Top Out _ Water Service _ Sanitary Sewer Rain Drains Final — PASS PART FAIL. MECHANICAL — Post&Beam — -- — -- ----- — --- Rough In Gas Line - ---- - ---- -- -- Smoke Dampers Final — --,RAES P FAIL lL Service D= Rough In U) UG11iab I 'w Voltage _—__— _ -•- _ Fi Alarm ASS ,DART FAIL _-- fa tU -� BackfilliGrading — — -- --- -- Sanitary Sewer Storm Drain [ j Reinspection fee of$_ required before next inspec�ion. Pay at City Hall, 13125 SW Hail Sivd Catch Basin Fire Supply Line [ ]Please call for reins pedi n RE: j )Unable to inspect no access ADA / Approach/Sidewa;k Other Date _� 0�7i Inspector L...._. [Ext Final PASS PART _ FAIL D NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hou! Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested_ i AM X-�PM ___ BLD _ Location_ q tv _ Suite 2 MEC Contact Person _ _ Ph Y= J(Vq � PLM Contractor Ph SWR _ BUILDING Tenant/OwnerIELC Retaining Wall - _� _ ELR Footing Access: Foundation FFS Ftg Drain r SGN — Crawl Drain Inspection Motes: Slab ����—-- SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Sheet Framing Insulation Drywall Nailing Firewall Fire Sprinkler _— Fire Alarm Susp'd Ceiling -- -- --- - Roof Misc: Final — ?ASS PART FAIL -- — -- -- _.— — PLUMBING Fost&beam Under Slab �J� — � Top Out — Water Service Sanitary SewerRain Drains Drains Final PASS PART FAIL MECHANICAL Post&Beam �_ ---------- — - - Rough in Gas'.one Snooke Dampers Final ---- — — --- -- PASS PART FAIL IL Service � Rough In - —� — i ------ M UG!Siab — Sr Low Voltage —^---____._ -- Fire Alarm m ASS PART FAIL W J Backfill/Grading Sanitary Sewer Storm Drain ( )Reinspection fee of required before next inspection. Pay at City Hall, X3125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE: —. I )Unable to inspect-no access Fire Supply Line ADA //�� /� Approach/Sidewalk pato �-_ y L/ Inspector Ent Other — Final �— PASS PART FAIL DO NOT REMOVE this Inspection record from the Job slite. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Houlr Inspection Line: 639-4175 Business Line: 6394171 ----- ,r p BUD _ Date Requested `� Z� 0 Ai1h PM BLD - LocationSuite12� 0 �v MEC _ Cuntact Person _ Paid Ph 711 1 '!w Z) PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: -- Foundation PPS Ftg Drain Crawl Drain Inspection Notes: BCN ---------_-- Slab Post&Beam -----___— -- 31T Ext Sheath/Shear Int Sheath/Shear Framing Int ulation Drywall Nailing Firewall — -- ----__ __ Fire Sprinkler — Fire Alarm — Susp'd Ceiling Roof Misc: Final P RT FAIL LUMBIN Under Slab Top Out Water Service Sanitary Sewer ----- --- —_�__— rains PA, PART FAIL A Post&Beam ------ -----— Rough In Gas Line ------ -- Smoke Dampers Final —--— -- PASS PART FAIL ELECTRIC – --�-�- - —� Service _ — I— Rough In UG/Slab Low Voltage Fire A,arm m Final F3 PASS PART FAIL -- W SITE Backfill/Grading -- Sanitary Sewer Storm Drain ( i Reinspsc:tion fee of$___._— required 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 Ald Approach/�Idewalk Other Date -------------- —Inspector L11 _ Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the Job site. LECTRICAL CITY OF TIGARD RESTRICTEDE ERG RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00099 13125 SW Hall Blvd.,Tinard. OR 97223 (5031639-4171 DATE ISSUED: 05/04/2000 SITE ADDRESS:09600 SW OAK ST 390 PARCEL: 1 S135BD-00100 SUBDIVISION:ASHBROOK FARM ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG Proiect Descriotion: Installation of HVAC in existing commercial building. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: IVTERCOM& PAGING: BURGLAR ALARM: BOILER: I_ANDSCAPEIIRRICAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: IML#OF SYST ,M§: 1 Owner: Contractor: ASA PROPERTIES BUNTER-DAVISSON 520 SW 6TH AVE 3410 SE 20TH PORTLAND, OR 97204 PORTLAND,OR 97202 Phone: Phone: 234-0477 Reg#: 000 16 ELE 26-682d ORIGINAL FEES Required Inspections Type By Date Amount Receipt Low Voltage inspection PRMT KJP 05/04/200[ $60.00 HANDRCPT Elect'I Final 5PCT KJP 05/04/200( $4.80 HANDRCPT Total $64.80 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more pian 180 days. ATTENTION: Oregon law a requires you to follow ales adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr g OAR 952-001-0080. You may obtain copies of friese riles or direct questio;tn',LUNC at (503) 246-1987. Issued by _ Permittee Signature -V A._ Gi OWNER INSTALLATION ONLY wThe Installation is being made on property 1 own which is not Intended for sale. lease,or rent. — OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day CITY.OF ftARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:_ 13,125 SW HALL BLVD Date Recd: 1IGARD OR 97223 PRINT OR TYPE V-503-639-6171 X304 Permit#:—(L&-W00- FL- 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd. ' WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................................ $60.00 9.4 (FOR ALL SYSTEMS) JOB Street Address Ste 0ADDRESSCheck Type of Work Involved QJ�(,� '�3U Cit /State Zip Phone 8 Audio and Stereo Systems Name ❑ Burglar Alarm rS u Garage Door Opener- OWNER Mailing Address it /State Zi Phone* Heating,Ventilation and Air Conditioning System' Name Vacuum Systems- - ( E] Other – CONTRACTOR illy Address TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a C /State Zip Phone R – Fes for each system............................................. $60.00 copy of all licenses A02Ct'Qj (SEE OAR 91a-?60-260) are required If Oregon Contr. ic.N Ex at expired In C.O.T. Check Type of Work Involved: data base). "% at on c Ex 1,a _ (, U Audio and Stereo Systems C.O.T or Metro I Ic.0 Exlf.Wle — L Boiler Controls er's N e R I J r' t_ ClockSystems OWNER- Mailing Address APPLICANT r--1Data Telecommimicatinn Installation /:tate - ZIP Phone N 7-"2 Fn'Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC 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. F] Intercom and Paging Systems These have asterisks('). All others need licensing, 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 603-639-4175; ❑ Medical 3 Purchase separate permits for all Installations that are not ready for an r� Nurse Calls inspection when thr inspector i3 out to Inspect under this permit; a_ 0.' 4 Assume responsiL lit, `nr assuring that all corrections required by the ❑ Ob.moor Landscape Lightirg' 1 inspector are done,and: Protective Slgn,ding 5 Assume responsibility for calling for a final inspection when all of the J corrections are completed. Other m Permits are non-transferable and non-refundable and expire If work Is not started within 180 days of Issuance or N work is suspended for 180 days. Number of Systems J The person signing for this permit must be the applicant or a person No licenses aro required Licenses Are required for all other installations authorized to bind the applicant. A`- FEES: Sig urp ENTER FEES $��A 8%SURCHARGE(.06X TOTAL ABOVE) Authority if other than Applicant _ TOTAL $ i AstsWormsVesele doc 3/98 ICAL RMIT- CITY OF TIGARD RESTRICTED ENERGY V RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT M ELR2000-00096 13125 SW Hall Blvd.,Tigard.OR 97223 (503)639-4171 DATE ISSUED: 05/03/2000 SITE ADDRESS:09600 SW OAK ST 380 PARCEL: 1S135BD-00100 SUBDIVISION:ASHBROOK FARM ZONING: C-P BLOCK: LOT: 005 .,URISDICT104: TIG Proiect Description:Data telecommunication installation. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO$STEREO. INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRiGAT: GARAGE OPENER: C:_OCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TQZAAL#QF SYSTEM: 1 _ Owner: Contractor: ASA PROPERTIES CABLE RUNNERS 520 SW STH AVE 10500 SW BOONES FERRY RD PORTLAND, OR 97204 PORTLAND,OR 97219 Phone• Phone: 503-245-3669 Reg#: LIC 122654 ELE 26-951CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT GEO 05/03/200( $60.00 0001873 Elect'I Final 5PCT GEO 05/03/200( $4.80 00018'/3 Total $64.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law 4L requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through' / 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued b Permittee Signature OWNER INSTALLATION ONLY w The installation Is:+sing made on property I own which Is not Intended for sale. lease, or rent. a OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: A — DATE: -- LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day CITY OF TIGNARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd 13125 SW HALL BLVD Date Recd: _ TIGARD OR 97223 PRINT OF? TYPE V-503-639-4171 X304 Permit#:_ � o`Oib% F- 503-599-1960 WCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: _ _ WILL NOT BE ACCEPTED Nam;: of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY ��. --- RestHcted Energy Fee................ (80.00 ...................... elti� a..�^rS Vtr �,,✓( (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS GAO 5L4) OA r- 3T Check Type of work Involved: C /State Zip Phone# Audio and stereo systems Name' ❑ Burglar Alarm OWNER Moilipg,Add /li! ❑ Garage Door opener' 3jtt77 dG��GnL aft City�ta Zip Phone# ❑ Heating,Ventilation and Air Conditioning System" Yom-r1ci/_Q2— Z/� Zl��77� ► Name n - ! ^� 1 �� /acuum Systems- (� LA�N C P-S ❑ Other ---- — CONTRACTOR Meiling Address -)OS-uv 5 cj) TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a Clpr/Sia Z one# Fee for each system ........................................ (60.00 copy of all licenses ��( E;r►-� &t 77-/j 2yy-W j (SEE OAR 918-260-280) are required if Oregon Contr.Brd Lic.# Ex D to expired in C.O.T. C(6 (Z I.$1 c' \` Check Type of Work Involved; data base). Electrical C3ntr.Lic.# Exp (,�r7a I((! /s> 1 0►� ❑ Audio and Stereo Systems C.O T. or Met^o Lfc.# ExDo ,/r L 7 Boiler Controls Owner's Name ❑ OWNER - Mailing Address Clock Systems APPLICANT Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit Is issued under OAE 918-320.370.This applicant agrees to make only restricted eneagy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following: F-1 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 asterisks('). All others need licensing, 7. Call for inspections when installation under this perk are ready for E] Landscape Irrigation Control` inspect`on at 503-639-4175; ❑ Medical 3 Purchase separate perks for all installations that are not ready for an IL inspeciion when the inspector Is out to inspect under this permit; ❑ Nurse Calls 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Ninspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the _ corrections are completed. ❑ Other _ m — 5 Permits are non-transferable and non-refundable and expire If work Is not LUstarted within 180 days of Issuance or If work is suspended for 180 days. __Number of Systems The person signing for this permit must be the applinant or a person No licenses are required. Lkanses are required for all other installations cuthorized to bind the applicant. FEES: Signature FsITER FEES 8%SURCHARGE(.08X TOTAL.ABOVE) Authority if other than Applicant TOTAL i kdetsWormsVesele doc 3198 CITY OF TIGARD BUILDING INSPECTION DIVISION NIST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �- — --' BUP Date RequestedAM �PM� BLD � Location Suite .�..�� MBC Contact Person _. --_ 4� Ph 2 , FLM Contractor PhSVMR Tenant/Owner ELC _ -- ngvvem ELR � Footing Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Notes: ----- Slab ST Post&Beam Ext SheathlShear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling Ropf �S PART FAIL -------- PLUMBING Post&Beam _ --- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post&Beam - --- ---- -"' Rough In Gas Line S oke Dampers I _— ASS PART FAIL E ME TRICAL Servicb — Rough In UGISlab Low Voltage i Fire Alarm - Final PASS PART FAILSITE Backfill/Grading Sanitary Sewer Storm Drain ( 1 Reinspection fee of$ _ _required before next inspection, Pay at City Nall, 13125 SW HAII Blvd Catch Basin ( Please call for reinspection RJ: ( )'.lnnble to inappct-no access Fire Supply'.ine ADA Approach/Sidewalk Date v Inspector Ext Other --- - Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT M PLM2000-00133 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 05/01/2000 SITE ADDRESS: 09600 SW OAK ST 380 PARCEL: 1 S 135BD-00100 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LCAT: 005 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PRE:IiTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 0 RAIN DRAIN: ft Remarks: Plumbing TI work, demo 2 sinks, install 1 new sink and 1 water heater. _ Owner: – – —' Type By Date FEESAmount Receipt ASA PROPERTIES 5PCT GEO 05/01/200( $4.00 0001786 52C SW 6TH SUITE 830 PRMT GEO 05/01/200( $50.00 0001186 PORTLAND, OR 97214 Total $54.00 Phone 1: Contractor: PORTLAND MECHANICAL CONTRACTOR 6521 SE CROSSWHITE WAY PORTLAND, OR 97206 REQUIRED INSPECTIONS Phone 1: 788-5510 Top-out Insp Reg#: LIC 126003 Final Inspection PLM 3.125PB ORIGINAL This permit is i3sued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other 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 952-0001-0010 through OAR 952.-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 248-1987. Issued BPermittee Signature /`- _ Call(503) 6 175 by 7:00 P.M.for an Inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Checks 13125 tW HALL BLVD. Commercial and Residential Recd by - _ TIGARD, OR 97223 Date Recd 5/ 5- (503) 639-4171 Date to P.E. -� Print or Type Date to DST Incomplete or illegible applications will not be accepted Permits ii -Q 3 L Related SWR#.` - r�i Called V 2X-OU Q. Name of DevelnpmenUProject / FIXTURES (individual) OTY I PRICE AMT Job y/ h7 A 1,,Ar 57 Sink - 11.50 Address Street AddressSuite `` Lavatory 11.50 76 Q a 5 w O i Y S T �Dv Tub or Tub/Shower Comb 11.50 Bldg 0 City/State Zip Shower Only 11.50 R Water Closet 11.50 Name R o P r Urinal -- 4---� 11.50 Owner Mailing address6 Sune.3a Dishwasher 11.50 X __ Garbage Dispusat 11.50 /State Zip Phone --------- D 1 . G r2 f 7;�4 Laundry Tray 11.50 Name Washing Machine/Laundry Tray S 1.60 Z E,A/ # v wi I / -rA 1 o 0 Floor DralrMoor Sink 2' � 11.50 Occupant Mailing Address Su4e 3' 1150 `,(;Oig ;cv oA1( 4• 11.50 City/State Zip Phone OKE Water fleeter O conversion 0 like kind 11.50 Nance Gas piping requires a separate mechanical permit. o Ryd AA/0 M fG NQ MFG Home New Water Service 32.00 Contractor Mailing Address SuNe MFG Home New San/Storm Sewer 32.00 «u PA f Hose Bibs 11.50 Prior to permit City/State Zip Phone Root Drains 11.50 Issuance,a copy I p62rl a i U OR C 9 72.06 7 yt-!S'I O - of all licenses are Oregon Const.Cont.Board Lic.t D to Drinking Fortntain 11.60 required if /26003 - 7-00 Other Fixtures(Specify) 15.00 - expired in COT Pkmtbing Lic.# pale database 3 - ./R A Pf-�>I-oo - Name Architect Sewer-1st 10fy 39.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Engineer City/State Zip Phone Water Service-ist 100' 38.00 Water Service-each additional 200' 32.00 Describe work to be done: Storm d Rain Drain-1 at 100' 38.00 New O Repair O Replace with like kind: Yes O No O Storm 6 Rain Drain-each additional 100' 32.00 Residential O Commercial Additional description of work: Commercial Bedc Flow Prevention Device 32.00 A four ,rA eC d, / 4.4..-A Residential Bac kBow Prevention Devloe` 19.00 A--l.•ti,. _ Catch Basin 11.50 a Are you rapping,moving or replacing any flxtunes? Insp.of Existing Plumbing or Specially Requested 50.00 Yes IQ No O Inspections perthr If yes,see back of form to indicate work performed by Rain train,single family,dwelling 45.00 U) fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. - QUANTITY TOTAL L/ J I hereby acknowledge that I have read this application,that the Information Imnetncc or riser di°�ram Is required It aue Taal b >9 given is correct,that I am the owner or authorized agent of the owner,and - m that plains submitted are in compliance with Oregon State Laws. 'SUBTOTAL 11, 0 sl itu of r(s/ 9440 Date W /� /� r 1,/ J_C)C) 8%SURCHARGE '�rO J CdOta t Parson Name Pho (24 61 7 gy"fj'l p -PLAN REVIEW 25%OF SUBTOTAL R uW only It fixture qty.t"Is 3.9 1'"1 BATH OUSE$978.t]D TOTAL 2 BATI-I HOUSE$260, + 3 HATH HOUSE's29G.Ob x;..,,: _ (Thls les includtts ail plumbing 0xttn an In the dwr4ling and •Minimum pernh fit Is tt5t1+e%suchwge.except Reetderhtlel 9agdlow Prevention 400 Met 01 sanitary{awor stnum mm,"and wAtelr st4rvir•rp)I Devieo,which is 125+e%surcharge "AN New Commercial Buildings require plans with honrebte or riser die pnm and plan review. 1 hdstakformatplunapp dac 11/18/99 PLEASE COMPLETE: Fixture Type _ 'Quantityla Work Performed Now Moved q Replaced I 9emoved1l:apped Lavatory Tub or Tub/Shower Combination _ Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" _ 3„ -__ 4" Water Heater / I Other Fixtures (Specify) -�— COMMENTS REGARDING ABOVE: J W J I Waft o me"imepp doe»news Accumulative Sewer Tally Tenant N<me: �<E o i i tf AO I M This S\NRV ` l��-�C�(� --000ye AAdress: %OO tRx) D This Pl-iM: Rca a= -- Fixture Value Previous Previous Coedits rCapped Fixtt,.res Fixtures New total New At Value Capped off value added A' added Acs total Count off Ats count value values 88 tistry/Font __ 4 Bath-Tub/Shrraer 4 -Jacuzzi/Whirlpool a Car Wash-Each Stall6 -Drive Through 16 CuspidorANater Aspirator 1 _ Dishwasher-Commercial 4 -Domestic 2 Deinking Fountain 1 Wash _ 1 Floor rirain/sink-2 inch 2 3 inch 5 4 inch 6 _ -Car Wash Dm 6 Gart?age-7isposal 16 Domestic(tu 3/4 HP) Commercial(to 5 HP) 32 Industrial(over 5 IiP) 48 Ice Machine/R-frigerator Drains 1 Crit Sep(Gas Station) 6 Rec,Vehicle Dump Station 16 Shower-Gang(Per Head) 1 _ _—-Stall _ 2 Sink-Bart; avatory 2 -Bradley 5 -Commercial_ 3 Service _ 3 Swimming Po H Filter 1 1Masher-Clothes 6 Water Extractor b Its. Water Closet-Toilet_ 6 Urinal 6 r TOTALS I I M Total fixture values: r � divided by 16 = �j,as" 'DUB Ifo W Q HISTORY PLM# alp-recce EDU# ao SWR# '%-e0c,77 PLM# EDU# _SWR# PLM# EDU#,�2c SWR# PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# SWR#_ PLM# EDU# SWR# _ PL.M# EDU# SWR# OdsWswrtay.doc CITY OF T I G A R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 9: MEC2000-00165 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05/04/2000 PARCEL: 1 S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 380 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LOT:005 .JURISDICTION: TIG CLASS OF WORK: AL-r FLOOR FURN: EVAP COOLERS: TYPE OF [ISE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS V110 APPL: VENT SYSTEMS: STORIES,: BOILERS/COMPRESSORS HOODS: FLIEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15.30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN <100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Repair HVAC system in existing,:ommercial building. Owner: _ _ FEES ASA PROPERTIES Type By Date Amount _Receipt 520 SW 6TH AVE PRMT KJP 05/04/20( $50.00 HANDRCPT PORTLAND,OR 97204 5PCT KJP 05/04/20( $4.00 HANDRCPT Phone: Total $54.00 .J Contractor: HUNTER DAVISSON INC 3410 SE 20TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Duct Inspection Phone:503-234-0477 Final Inspection Reg#:LIC 01612 ORIGINAL a ac .a _m 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. LU Specialty Codes and all other applicable laws. All .vnrk will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance; or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain co of these rules or direct questions to OUNC by calling (50 241x- 189. Issue By: Permittee Signature: Call(503)639-4175 by 7:00 P.M.for Inspections needed.'ie next business day Plian CIT! of 'TIGARD MechanicRl Permit Aopli�ation Rec'dByy 13125 SW HALL BLVD. Commercial and Residential Dote Rer:'d- _._. TIGAIRD, OR 97223 Date to P E. _ (503) 639-4171, x304 Date to DST Print or Type Permit# -L- Incomplete or illegible app Ications will not be accepted Called Name of D"ek"xnenVPro)sci Description ind i// -� Table 1A Mechanical Code 0YPrice And Job Srr W Address __ qt A Permit Fee 16.00 - 1) Furnace to 100,000 BTU Address 1 f irjudirrp duds&vents see footnote 1,2 9.65 Bwya CMylS MS 7Jp 21 -ummce 100,000 I TU+ Including duds d,vents a"footnob 1,2 12.00 Name _ Nae(or name of busmen) _ 3) Floor Furnace —� Owner including vent see footnote 1,2 9.65 4) Suspended heater,wall Dater Mel"Address AV or floor mounted heater set footnote 1,2 9.65 ✓ 5) Vent not included Ina ppliance rmN �— 4.75 CNY/Stme Zlp Phone Check all that apply— 'Boller Heat Air For Poems 6-10,see of Pump Cond Oty Price Amt --- Nems(a�svws�s) — -- footnotes 1,2 comp tom / G)<3�M absorb unit to -- —_ _ —__ 100K BTU 965 Occupant McON A`fifes` 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 CNytsteta---- zIP Phtxea 6)15-30 HP;absorb unft.5-1 mil BTU 24.15 9)30-,53 HP;absorb CortraCtor Norm9) 1-1.75 mil BTU 36.00 10)>50HP;absorb unit Prior Pi permit a i Address >11.75 mil BTU 60.15 --suame,a copy` 11 Air handling unit to 10,000 CFM of all kenses zip Phone 7.00 are required it OW `+//w Z 7 12)Air handling unit 10,000 CFM+ ` E:xpired in COT Oregon C.x,er.Com. Lk Fxg e• — _ 11.65 database l 1.( O 13)Non-portable evaporate cooler � Architect Name 7.00 y��9�� 14)Vent fan connected to a single duct or MSIWV Address �v� 4.75 �� 15)Ventilation system not Included in appliance p!rmft 7_00 Engineer CMy/Sfats — zip Phone 16)Hood served by mechanical exhaust nesrxibe work to he done: --� - -- 17)Domestic Incinerators _ _ 12.00 New O Repair Replace with like kind. Yes O No O 16)r "rmercial or industrial type Incinerator Residential U Commeroia�L J 49.25 19)Repair units Additional infornatiin or description of work' — —— M 8.40 20)Wood stovelgas Mother umftstciothe dryerfetr,. 7.0_0 f L NOTE: For Commercial projects only;Units over 4001bs.--)quite 21)Gas pOng one to four outlets structural gas caios. See footnote 1 _3.75 t!) Type of fuel oil O natural gas O LPG O electric O 22)More then 4-per outlet>esch) 75 — Minimum Permit Fes$50.00 SUBTOTAL I hereby acknowledge that l have read this application,that the infomtation T 8%SURCHARGE J given is erred,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL e m R ulrsd the owner,that plans submitted are le compliance with Oregon State laws -----� for ALL commercial permits only TOTAL W Signnture of NAg r Date I — — — / - Other inspections and Fees: `(r)C? 1. Inspections outside M normal business hours(minimum charge-two Contact Person Nares phone hours) $50.00 per hour �� 2. Inspections for which no fee Is spec"Ically Indicated (minimum 6�ty 2'5 --e),&07-7 charge-half hour) $FO.AT)per hour Foonotss for commercial projects only: 3 Additional plan reviewyrrqulred by changes,additions or revisions to 1. Provide full schematic of existing and proposed gas Ikre and pressure., plans(minimum charge-one-haH hour)$50.00 per hour 2. Provide draw.gs to scale showing existing and proposed mechanical units. 'State Contractor Boller Certification requhad -- 1' •`ResMentlnl A1C requires site plan showing placement of unit 1:lmechperm.doc rev 7119/99 -✓D�S — ��,g ti CITY OF TIGARD BUILDING PERMIT Al DEVELOPMENT SERVICES DATE ISSUED:Ia 2a 00o-oo,a, 13125 SW Hall Blvd..Tinard.OR 97223 (503)639-4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 380 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT" FIRST: sf I S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED. STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Commercial tenant improvement. Owner: Contractor: ASA PROPERTIES CEDARLAKE CO 52.0 SW 6TH AVE DONALD EUGENE BOYD PORTLAND,OR 972.04 1333N1CWAS�HFI�NGTTAONg8S6T Phone: VPti6riey R!6g4-800060 Reg#: LIC 0114411 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT DEB 4/24/00 $216.50 1661 Gyp Board Inso ng 5PGT DEB 4/24/00 $17.32 1661 Susp CFinal Inspecpec insp tion PLCK DEB 4/24/00 $140.73 1661 ^Q FIRE DEB 4/24/00 $86.60 1661 Total $461.15 a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. NSpecialty Codes and all other applicable law. All work will be done in accordance with approved plans. This pen-nit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ao Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You c7 may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. w -,.1 Permitee _ Signature: Issued y: ^ Call 639 5 by 7 p.m.for an Inspection the next business day v CITY OF TIGARD Commercial Building Permit Application Reed Reed ti!"V _----�--,- edd `sa, 13125,-GWJ�&U BLVD. Tenant Improvement Dells FtWd y -9 .,� TIGARD, OR 97223 Daft m VIE, (503) 1639-4171 Data to DST y- Print or Type Pam*#_�c .�zao-00/1// Related SWR s _ - Incomplete or Illegible applications will not be accepted cava - ----- Name of Devewim.nvi'mod Existing Building 11. New Building Job ;_4} �5T" - Building Address street Address sorb 96vc0,9 < 3A Data eiag s city/stele zip Existing Use of @wilding tar property: N'RYe _ yes Proposed Use of Building or Property: Property �/ 5 �g,itTlz5 Owner Mailing Address F1 G1 CIL_ 6 A u L 1'3o _ No. Of Stories g CRy/Slate Zip Phone fnRy 14rii) 9k 7Zaq �2 !<��'� Sq. Ft. Of Project 7"V Occupant Name Occupancy Class(es) ~� ZrAJI rl ✓�,Mt,�lsrA�rves___ d �( Name Contraiaol SAY-� G Type(s)of Construction CtPlk _ Prkx b permit Mailing Address Suite — krsusnoe a copyWill this project have ad'ire Suppression System? of salIkxnses 1331 t IV-H1PW) Yes_Q___ No are required If CMy/State - zip Pt►" y Americans With Disabilities Acljj ?A) expifed In C.O.T. riatsease 'u�Q R �J d 9N- Valuation X 25% =$ 5'0 no` Participation Oregon Const.Cont.✓Board Lic_0 lip. eta _Complete Acoesslbil Form �J A;1 Project $ r0 Name Valuation _ Jt0_ d0 /architect Plans Required: See.Mab,i for number of sets to submit on bank MslkV Address r some Gty/stste zip Phom 1 hereby acknowledga that I hove read this appilkstion.thet the intorrmlien gwen is mored,that I em the owner or authorized agent of the owner,and that plans suixnllted are In compliance with Oregon State Low, Engineer Nanw - Signature of ,��,�A��g--aate u�-nt b -�.2 Ll Mailing Address sulte� ��W" -r r� C. Contact Person Name atm Clty/Stete zip ___ Pt►one -- ("T_Ti:ni r 31r o�77.2 FOR OFFICE USE ONLY _ J Indicate type of work: New O Addition O Demolition O Map/P.* Lahti UAS: Accessory Structure O Foundation Only O ANeretion OL Repair O Other b .� _ Notes: W Description of work: -t TIF: Note: Site Work Permit Application must precede or accompany auildtng Permit Application hCOMNFWTI.DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Rrview`ls depertderit up6n submittal<o'y�� N application. For an electrical submittal, the applications mint signature of the sufiervising electrician before pig: r ... ::i,• Atter plan review approval, PlansExaminer will'r additional plan sets for distribution purposes. Wasttling�kp Y,,.. .alt+ ► #re:# , 40, :TYPE C� , > KEY. F S (Private) = Site Wodic 1 B (New or Add) 1 B = Building F (New or Add or Alt) _ 3 = Fire Protection System M (New or Add or Alt) i M = echanical B & M (New or Add) 1 P = PI bing P (New, Add, or Alt) 2 E = Electri I B & M & or Add) 2 New = New Buil g E (New, Add, or Alt) 2 Add = Addition \ B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *6 ar 13 i M (Alt) {B & M & P (Alt)Cn .�. Cn } *B & Pvi & P & E(Al } W NOTES: 1:WstsVorm9lmetrxc m.doc W30/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation, alteration or modification to affected build,igs and related facilities shall be made to insure that the path of lravei 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 mode to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting,wallpapering. )1)$ O-er multiply. 25%Barrier removal requirement. _25 BUDGET FOR BARRIER REMOVAL (2)$ 4 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access Elements shall be provided in the following order: (a) Parking $ a,$ (b) An accessible entrance: (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom: m. (e) Accessible telephones: $ OC F- (f) Accessible drinking fountains: and $ ED 0 (g) When possible, additional accessible UJ elements such as storage and alarms: $ .•o TOTAL: Shall equal line 7 of Value Computation $ i\dsts�rorms\ncce.%%doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394173 Business Phone: 6394171 Date Requested: 1 ` c7 7 A.M. .— - P.M MST: Location: / / BUP:_ Tenant: 7 — � suite: B MEC. Contractor: "Pint- Phare.—PIN: Owner:- — - —_ ELC:_L._7 ELR: srr: BUtI DING BIDG(con't) PLUMBING _ MECHANICAL L1cCTBICAL SI1]& Site Post/Beam Post/Beam Post/Beam -73ervtce S NVU/Stonn Footing Roof tJndFI/Slab Rough-In Ceiling Water Linc Slab Framing 'I op out O s lire Rough-In TJO Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace a Temp Service MISC. Masonry Ceiling Rain Drain A/C Uta Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump [ dolt Approved Approved Approved QAREMP Approved Appr/Sdwlk Not Approved Not Approved Not Approved vod Not Approved FINAL. FINAL FINAL FIItiAL FINAL CIA co 111 f--0_A-_C_,a AIz ACt'f A(A IL a- m ca --------- --_ - - - f'1 Call for reinr�,A O Reinspection fee of S_ required)Ix:fore next inspection ©Unable to inspect F7 Inspe tor: Date:_ / �B 7P"ge - CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT Ma ELC97-0651 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6304171 DATE ISSUED: 10/08/97 PARCEL: 18135BD-00100 SITE ADDRESS. . . :09600 SW OAK ST #380 SUBDIVISION. . . . :ASHBROOK FARM ZONING.0—P BLOCK. . • LOT. . . . . . . . . . . :005 JURISDICTION: TIG Pro.j e c t De scr i pt i on s Install a first branch circuit to an existing commercial tenant occpy. -------------------------------------------------------------------------------------- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS--- — 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . t 0 EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . a 0 SIGN/OUT LINE LTA. . s 0 LIMITED ENERGY. . . . . : 0 40! — 600 amp. . . . . . . s 0 SIGNAL/PANEL. . . . . . . 1 0 MANE=. HM/ SVC/FDR. . : 0 601+am►ps-1000 volts. : 0 MINOR LABEL_ (10) . . . : 0 ------SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ----ADD` L INSPECTIONS--- 0 — 200 amp. . . . . . s 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . 1 0 1st W/O SRVC OR FDR., : 1 PER HOUR. . . . . . . . . . . s 0 401 — 600 amp. . . . . . : 0 EA ADD'L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . 1 0 )-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . t Reconnect only. . . . . a 0 SVC/FDR )- 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner ---------------------- FEES ___-- RYNONDS, EVANS & LARSON type amount by date recpt 9600 SW OAK STREET PRMT $ 35. 00 GEO 10/ 88/97 97-299885 SUITE 380 5PCT 0 1. 75 GEO 10/08/97 97-299885 TIGARD OR 97223 Phone M: Contractor: -----------------------------------_.—_—_—__-----.—___—__--_—_--- PHOENIX ELECTRIC CO $ 36. 75 TOTAL 7379 SW TECH CENTER DR. ---- -- REQUIRED INSPECTIONS ---_-- TIGARD OR 97223 Elect' l Service _ Phone #t: 684-3600 E1Pct' 1 Final Reg #. . : 000522 This permit is issued subject to the regulation% contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work Mill be done in arcordanue with approved plans. This permit mill expire if cork is not started +within 190 days of issuance, or if work is suspended for more than 190 days. ATTEMIQh Oregon lam requires you to follom the rules adopted by the Oregon Utility Notification Center. These rules are set forth in DAR through W 952-001-1997. You say obtain a copy (L of these rules or direct questions to IKK by ctlling (503)246-1907. R Permittee Signature: /� Issued By a --------------------------OWNER INSTALLATION ONLY------------------------------- co The installation is being made on property I own which is not intended for Wsale, lease, or rent. —t OWNER' S SIGNATURE: DATE: --.--------------------.---CONTRACTOR INSTALLATION ONLY--__---___--_----_—__----_-- 4 e I GNATURE OF SUPR. ELEC' N a _ M DATE: LICENSE NO: -S---���,�- +-+A-++++++++++++++++++++++++++++++++++++++++++++++-++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an ins ection -needed the next business da ++++++++++++++++++++++++++++++++++++-1-++++++++++++++++++++++++++++++++++++++++++ SEP-29-97 MON 11 03 AM PHOENIX ELECTRIC FAX NO, 503 681 3611 P, 02/02 CITU' OF TiGARD Electrical Permit Application Plan Check» Roe'd By-- 1312S -- 13125 SW HALL BLVD- Dan Rec'd HARD OR 97223 Den to P.E. Phone(S03)639-4171, x304Print or Type Date to DST inspection(503)639-4175 Permit. aG�sl Fax(503)684-7297 Incomplet8 or illegible will not be accepted Called-- 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ _ Number at Inspections par parrnit allowsA service included: Items Cost Suln Name(or name of businaR + �"t► Address'- 1 ) `v L _ M- Residential-y+ar unit 110.x: _ — .r 4 1000 sq,ft.or less t City/Stato2ip Each additional 500 s 525000 1 q.It m — ---- portion thomol Commercial Residential❑ Limited Energy Each Manurd Home or Modular Dwelling Servlet or Fee:d9r _� f388d10 2 23, Contractor installation only: 4b serho"or Feeders (Attach copy 6 ur+ant aa Ilcons) Installation,ahembon,or retlocativr< Electrical Corltractc +,�\'+ Zoo amps or lass — b0.00 2 �� G. �n + 201 amps to 400 amps fT80.tM 2 Addr�u_� - C A laic ,_Zip 401 amps W SM amps $123,00 2 ��•.'�' ti R 601 amps to 1000 amps __ $180.00 __ 2 Phone No3 Over 1000 amps or volts $3460.00 _ -- 2 Job No Reconnect only �_ $50.00 2 E:Pc.Cont.Lice.No Exp.Data On State CCE Reg.No. j _ Exp.Date � 4c.Temporary Servie"s or Feeders COT Business Tex or Metro No. 1 XI)Date I Instsllanon,altQratbn,or nlecation r ?M amps or less 630.00 2 201 amps to 400 amps 575.00 2 Signature of Supr. Elec'n —. 401 amps to 800 amps S100.00 — 2 over 600 amps to 1000 volts, License No. Exp.Date__ ase"b"abova. Phone NO._I _2 Ad.Branch CImuits New,alteration or e4ension per renal 2b. For owner installations: a)The lee for branch circuits with purcftase of sarvico or $8.$8.00Print Owner's Name - — �r _—— Foch branch rcuitci -__._._ . 2 Address— b)The fee far branch cimAs City - _ State_ 7Jp without purchase o! Phone Noa e^I"or feeder"so. � I. — First branch circuit .� I 2 The installation is being made on property I own which is not Each atlditional b4nch eirr'tllt_, �•� -- 2 intended for sale,lease or rent. Ufa.Miscellaneous (service or toodar not 1 v*x*M $Q0.00 2 Ownee&SI nature____ Each pump nr kfigstligi circle Y 9 Each sign or outMs iplltiny ,� 540.002 M . Signal cin-uit(s)or a Rmwed ene+Zy 3. Plan Rev,"ew section(if requiried): panel,aNeration or ow,ansion __ 140000 2 Minor labels(to) 1100.00 Please check appropriate item end enter fee in section 5B. 4f-EseF.addiltlontl Inspection over 4 or rnore residential units in one atnrctura _Service and foeder 225 amps or more the allowat':to arty of the above $36 ,00 —f System over 800 voila nominai Per inspection '�.f5.ot, - - m Classified area or structure containing spacial occupancy Per hour 11155.00 as described in N.E.C.Chapter S in Plant — LU Submit 2 sets of plans with application where sny of the above apply, 5. F"s c ' Not required for temporary construction stervlces. Sm.Enter loW of above teas i S`r,9urr 1,Irgn(015 X total fess) 1 TI Subtor^ Sb.Ertipr; of line Ba for = PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHOR17ED IN IN A'+Revl�+m iT requiad(Sec-3) NOT COMMENCED WITSIN Igo DAYS,OR IF CONSTRUCTION OR WORK suwlirl i IS SUSPENDED On ASANDONEr FOR A PERIOD OF 180 DAYS AT 4kNY �Tnist A000txtt TIME AFTER WORK IS COMMENCED. Tobll balance Du!' CITY OF TIGI�RD _- ELECTRICAL PERMIT PERMIT#: ELC2000-00194 DEVELOPMENT SERVICES 0 DATE ISSUED: 4/24/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 ` I/ PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 380 �' SUBDIVISION: ASHBROOK. FARM ZONING: C-P BLOCK: LOT : 005 1ADICTION: TIG Proiect Description: Installation of 7 branch circuits. Job No, 30750. 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: SIGNAUPANEL: MANF HMI SVC/FDR: 601 f-amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 IN PLANT: 601 - 1000 amp: _ PLAN REVI W SECTION _ 1000+amp/volt: >-4 RES UNITS: �>600 VOLT NOMINAL: Reconnect only: SVC/FDR>=_225 AMPS: _ _CLASS AREAISPEC OCC: Owner: Contractor: ASA PROPERTIES, INC OREGON ELECTRIC CONST/GROUP BY PAUL DEVILLE 1010 SE 11TH AVE PO BOX 3110 PORTLAND,OR 97214 HONOLULU, HI 96802 Phone: Phone: 234-9900 Reg 0: UC 203 SUP 13025 ELE 26-9FC _ FEES Requlred Ins ections 1"ype By Date Amount Receipt Elect'I Service PRMT DEB 4/24/00 $69.60 1632. Elect'I Final 5PCT DEB 4/24/00 $5.571632 Total $75.17 _ This Permit is issued subject to the regulations contained in the Tigard A' -idpal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with ap a proved plans. This permit will eire if work is not started within 180 days of issuance,or f work is a suspended for more than 180 days. ATTENTION: Oregon law requires you to foilow rules adopted by the Oregon Utillty Notification Center. Those FT riles are set forth in OAR 952.-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or&ect questions to OUNC at(503) 246-1987. „u PERMITTEE'S SIGNATURE ISSUED B t7 __ OWNER INSTALLATION ONLY Wj 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 E'L/EC'N: � r ___ DATE: LICENSE NO: �La5 __—_ Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Applicatio Plan Cpecft*,� 13125 SW HALL. BLVD. Recd TIGARD OR 97223 - r` Date Redd__/lob Shone(503)6394171,x304 Date to P.E. Inspection(503)639-417 11 RECEIVED Date to DST Print of Type Permit 8 Fax(503)598-1964 (1 j J - ---T- Incomplete ar fllrfgible will not bAP&4P[i,tf000 Caned 9- Job Address: -7 c� --_------_.- 4, CaIIo"OW09li 11kiule Below: Name of Development _ Number of Ira It alirnsed Name(or name of business) Zenith Adminiatraigrs Service Included: Items Cost Sum Address_9600 S W Oak S t. 5�t£ Tj 4a Residential-per rmtt City/State/Zip Tigard, OR 1000'q.ft.or less ti 117.75 4 Each additional SW sq.R.o• Commercial ] Residential❑ _ portion thereof E 26.25 1 Limited Energy = 60.00 Q( Each Manurd Home or Modular 2a, Contactor Installation only: Dwelling service or Feeder _ : 72...75 2 (Prior to permit Issuance,applicants must provide contreeto►Ilcerrse 4b.Services or Foodere Information for COT data tease). Inatallation,alienation,or relocation Electrical Contractor Oregon_Electric Grou 200 amps or lose >< 64.25 2 Address 1010 S R 1 1 t h ,_p 201 amps to 40o amps ,--_ 65.50 2 Ci Pcrtlan State OR Zip 97214 401 amps b'OWamps ti 128.50 2 ty---_ -�- 601 amps to 1000 amps s 192.50 2 Phone. 234-9900 Over 1000 amps or vons S 363.75 - 2 Job NO. Q,� __ Reconnect only Elec.Cont.Lice. No. l�-'y C Exp.Date_ 4c.Temporary Services or r4oden � 53.5f) 5n 2 OR State CCB Reg. No. 203 r'.xp.Dwe_ _ Installation,allocation,or relocation COT Business Tax or M Exp, a 200 amps or less S 53.50 2 r l 201 amps to 400 amps 8 60.25 2 Signature of Supr. Elec'n_� _ Ir401 amps to 000 am" _ = 107.00 -- 2 Over eoo amps to 1000 voha, License No. a«"b"above. ?Q b 9 __Exp.Date 4d.Branch Clmups Phone No. 234-9900 Newalteration or extension per panel a)The tee for branch dreults 2b. For owner Installations: with purchase of servke or flieder ase. Print Owner's Name -_- Each brand,ckrjA = 5.35 2 Address b)The No for branch circuits --' -- ---~_ wNhout purchase of owvko City_ _State Zip_ .__ or fheuNr fire. Phone No.-^� -----__ ^- First brand,circuit 1 3 37.50 37. 50 Each oddlfMnsi branch circuit _ ; 5.35 _3 The installation is being made on property I own which Is not 4e.Miscellaneous intended for sale,lease or rent. (Serer(r tender not Incl died) Each pump r r krigatlon circle s 42.75 Owner's Signature _ Each Olin or out"IgMkq ti 42.75 Signal cireult(s)or a%mltad erww -- 3., Plan Review section(Kreq panel,allocation°f a'�"1l10" _ 07.00 uked):' Miner Labels M((110) = 107.00 N Please check appropriate item and enter fee in section SB. 4f.Each additional Inspection over 4 or mom residential units In one stricture the allowable In any of the above Service and feeder 225 amps or more Per Inspection $ 150.00 System over Rr10 volts nominal Per hour = 50.00 m In Plant $ 59.00 Classified area or atructuro containing special occupancy as W '� described In N.E.C.Chapter 5 5. Fees: sa.Enter total of above tees t) 69,60 " Submit 2 sets of plans with application where any of the above apply $1%Surcharge(.05 X total foes) Not required for temporary constriction services. Subtotal s bb.Enter 25%of line Be for �- NOTICE Plan Review If�tukeA(Sec.3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal IS NOT COMMENCED WITHIN 150 DAYS,OR IF CONSTRUCTION OR rr-� WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 150 DAYS LJ Trust Account ft AT ANY TIME AFTER WORK IS COMMENCED. Tufa/balance Due _ $ 75 17 Hdsts1ronn0cIcctric.doc