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9600 SW OAK STREET STE 430 O£b 'ZIS ',T,9TdJ-5 ?ILIO MS 0096 i I' a i r ro 4 u) I 9600 SW OAK ST STE 430 CITY OF TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 0: BUP2001--00029 13125 SW Hall Blvd.,Tigard,OR 87223 (503)639-4171 DATE ISSUED: 01/26/2001171 PARCEL: 1S1350D 00100 ZONING: C-P JURISDICTION: TIO SITE ADDRESS: 09600 SW OAK ST 430 SUBDIVISION: ASHRROOK FARM BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3-1 HR OCCUPANCY GRP: B OCCUPANCY LOAD: 34 TENANT NAME: REMARKS: Commercial TI Owner: ASA PROPERTIES, INC BY PAUL DEVILLE PO BOX 3110 HONOLULU, HI 96802 Phone: Contractor: SUMMIT CONSTRUCTION —� PO BOX 10345 PORTLAND, OR 97210 Phone: 223-9703 Reg 0: LIC 63249 a. QL J m This Certificate issued 0410/2001 grants occupancy of the above referenced building or portion themoll find confirms that the building has been inspected for compliance with the State of Oregon Speraalty Codes for the group, occupancy, and us under which the referenced pormix sued. �6'� BUILD014G INSPUCTOR BUIL_ 19 POST IN CONSPICUOUS PLACE GG CITY (PF - GARD BUILDING INSPECTION DIVISION 24-Hour fns P tion Line: 639-4175 Business Line: 639-4171 ~ MST ate Requested 3- / 7, AM PM BL0.7 _ Location O 6" 5tv oei /< Suite _ c o MEC Contact Person lP Ph D 5 PLM �NAek�NSSY` Contracto �" _ Ph SWIG BUILQING Tenant/ er d / -6 f �, .« D/..'�14 . Lc — --. —_ ---w Retaining Wail --T LR Footing Access: _^ Foundation FPS _ Ftg Drain -------- SGN �+ Crawl Drain Inspection Notes: - Slab _.. _-- - SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear rraming Insuistion Drywall Nailing _ Z LAY", Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -i S PART FAIL -------------- �� GING Post R Beam Under Slab Top Out Water Service Sanitary Sewer '- Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam -- - Rough In Gas Line ----- ----- — Smoke Damper,, Final ---- - — PASS PART FAIL ELECTRICAL - Service + QC Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL W 817E "r Backfill/Grading �— Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Han, 1312.5 SW Hell Blvd Catch Basin Fire Supply Line [ ]Please calf for reinspection RE:___ _ [ ]Unable to Inspect-no access ADAApproach/ Other Sidewalk — Date �� Inspector s '/— Ext �_.. Final PASS PART FAIL DO NOT REMOVE this Inspection record from the jab site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection I,ir,e: 636-4175 Business Line: 639-4171 -- — t SUP l Date Requested —AM PM BLD _ Location .t1 Suft ,_ ,_ r MEC Contact Person _ h l PLM _ Contractor— ��c_� _ � h SWR BUILDING Tenan OwnerELC � — ^ Retaining Wall — EL R Fooling Access: — Foundation EPS Ftg Drain -- Crawl Drair Inspection Notes: SGN _ Slab Post&Beam ----- --- --`V ;3R --- Ext Sheath/Shear Int Sheath/Sherr — Framing Insulation Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm "- Susp'd Coiling Roof "- Misc: -._ _ Final PASS PART FAIL -- ---- �_ PLUMBIN® Post&Beam Under Slab Top Out - Water Services Sanitary Sewer -- —� - - Rain Drains Final - PASS PART FAIL MECHANICAL Post Post&Beam Rough In Gas Line Smoke Dampers Final PAS FAIL CT — ---- a. Rough In - - t�- UG/Slab Low Voltrde - Fire Akerm � m m S PART FAIL —� Backfill/Grading _-- Sanitary Sewer Storm Drain I j Reinspecllon fee of$ required before next inspection. Pay at City Mall, 13125 SW Hall Blvd Catch Basin please call for reinspection RE: Y j Unable to Ina Fire Supply Line -. _.__ —�__ 1 pact-no access ADA Approach/Sidewalk Other _ Da~ e j7-F-- ��—In"ctor '!%t:�Gh �-i Ext .ter Final PASS PART FAIL DO NOT REMOVE thle inspection mord from the job site. ' ELECTRICAL PERMIT- CITYOF TIGARD _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2001-0002.4 13125 SW Hall Blvd..Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/31/01 SITE ADDRESS: 09600 SW OAK ST 430 PARCEL: 1 S135B[3-00100 SUBDIVISION:ASHBROOK FARM ZONING: C-P BLOCK: LOT: 005 JURISDICTICN: TIG Prolect Description: Relocate T-Stat, A.RESIDENTIAN. — B.COMMERCIAL _ AUDIO&Sl'EREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS-. VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL t/OF SYST S: 1 Owner: Contractor: ASA PROPERTIES, INS AIR RITE CONTROL INC BY PAUL DEVILLE 1623 SE 6TH AVENUE PO BOX 3110 PORTLAND,OR 57214 HONOLULU, HI 96802 Phone: Phone: 238-0388 Reg#: LIC 6K02 ELE 2"14CR FEES _ w Required Inspections Typo By Date Amount Receipt Low Voltage Inspection PRMT CTR 1/31/01 $75.00 2720010000 E.lect'I Final 5PCT CTR 1/31/01 $5.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENIIUN: Oregon law L requires you to follow rules adopted by the Oregon Utility Notification Center. Those riles ar"set orth in OA 2 952-001-0010 through OAR 952x0 1-0080. You may obtain copies of these rules or direc qu to OU �! (5 2461987. - Issu'gd by Permittee Signatu _ OWNER INSTALLATION ONLY IO — 9 The Installation Is being made on property I own which Is not Intended for sale. lease,or rent. OWNER'S SIGNATURE: DATE: CONTrtACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Applicadon D.tcrecedved: / /-d Permit no.: 9 -Ash City of Tigard Pmjert/appl.no.: Expire date: - City of Tr Address: 13125 SW Hall Blvd,Tigard,OR 97223 Rand Phone: (503) 639-4171 Date issued: By: Receipt no.: - Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/aheration/replacement U Other: _— U Partial Job address: q600 5.by o j k.. Bldg.no.: Suite no.: Tax map/tax lot/account no: W I Block: jSubdivision: Project name: Description and location of work on premises:'{ IZ ITCogf_ Estimated date of con letion/ins tion: 2M 0 cir (' Job no: free Max Business name: I I CCS -� lieacri fan ea Tar, aro.hWP Address: 16 3 S R. "a ��e .rt•�� .te ett�+i ter rr* City: PO2 statey zlp Z / 4-ifi sovloettaehrJrak Phorte:S0323B0 Fax: !(,,)4�E-fttaii: 1000 sq.n.or less 4 Each additional CCB no.: /_ 3 3 D 1 Elec.bus.lic.no: leadditional soo .n.err _on thereof t�J — Limited energy,reaidendal _ City/mcgo licy no _ Limited ,non-residential _ 2 Each manufactured home or modular dwelling - Si tube of�pavlslng el ician(FaWrod Gate 6f Service nxUor tontine_ 2 Su elect.name(print): n License niN2(0X0!MorI-x8 ^ or t'eede I -hwalind n, Sup- f p/1x'n✓" ItZOS i_ aiaeratlen or relocation: 2 Name(print): 201 amps to 400 amps 2 Mailing address:, 401 amps to 600 amps 2 601 a to 1000 amps 2 City: State: LIP: _ Over 1000 amps or volt _ 2 Phone: Fax: E-mail: RAconnect only t Owner installetivn:'The installation is being made on property l own Tearorary m vim w ceders- which is not intended for sale,lease,rent,or exchange according to Mhauflatiea,alterallsa,orselocatlea ORC 447,455,479,670,701. 200 ampor less 2 z0I am plo 10"s 1 Owner's signature: Date: 401 to 600 an 2 hooch th -aeishe mlon, orells I,aperpawl: Name: A. For for branch circuits with purchase of Address: service or feeder fee,each brush circuit 2 City: State: ZIP: B. Fee for branch circuit without purchase -' Q - -- of service or feeder fee,tint branch circuit: 2 Phone: Fax: E-trail: Each additional branch circuit: f'- N Mite.(..Service or heeler mW U Service a.•er 223 amps-commercial 0 Health-cm fadNEach or Irrigation circle 2ty g - U Service ova-320 snips-rntiny of 1a:2 U Hazardous location Poch sign or outline ll tin 2 family d'Heih cgs U Building over 10,0(10 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volt nominal more residential units in one structure alteration,or ext*auion' _ 2 U Building over three stories U Feeders,400 arrps or more *Description: lU U Occupant load over 99 persona U Manufactured gtrwwres or RV park Mach trihrfbaai 11 gedlon ever the allowable la slay of Aro above. -a U Egressflightingplan U Other: ____ Per pection s bmN_ads or plass wlNt ashy of the above. Investiation fee The above are not applkable to temporary coatsbuctioa senke. other Permit fee $Ndr aa)rirfktion aoreph newest cards,place dxllimisdktim for.hare iNenrhrtd>fh. Notice:This,rertnll application ...••••••......•.•••. _----. U Visa U MasterCard expires if a permit is rot obUimd Plan review(at _%) $ t:redit erd montes:. _ within 190 days after it has been State surcharge(11%) $ ave 'r r a' �FXPIMaccepted as complete. TOTAL.......................$ i CardANder slsmatrre --- - Amhoaaf 4111,4614(ti XOLX M) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below. TYPE OF WORK INVOLVED -RE'SIDENTIAL ONLY p `Restricted Energy Fee...................................................... $75.00 Number of Ins Ions rmlt Mowed (FOR ALL SYSTEMS) Service Included: Items Cost Totai Check Type of work(nvolved: Residential-per unit 1000 sq ft or less — $145 15�—y_ 4 ❑ Audio and Stereo Systemi Each additional 500 sq n or portion thereof $33 40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manutd Home or R)dular ® Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeder ❑ Heating,Ventilation and Air Gondiltaning SyMenP Installation.afterstion,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 r� vacuum Systems' 401 amps to 800 amps $160.60 2 ❑ 601 amps to loco amps w 40.60 2 Other JR Over 1000 amps or volts '&4.1,65 2 Reconnect only _ �5 2 Temporary Services rax FTYPE OF WOVOLVED-COMMERCIAL ONLY Installation.alteration,or relxation Fee for each sys .................................................. $75.00 200 r.•mps or less $66.55 ,- 2 (SEE OAR 9180) 201 amps to 400 amps .30 2 401 amps to 900 amps $13 . 2 Check Type of Wved: Over 600 amps to 1000 volts, see"b"above. VEJ nd Stereo Systems Branch Circuits New,alteration or extension por panelontrols a)The fee for branch dreuh with purchase of service or ystems feeder fee. Each branch circuli $6.85 2lecommunication Installation h)The fee for brarx:h circuits without purchase of son Ice rm InstatlaN)n or feeder fee. Flrst branch drruk $46.8.5 Each additional branch carr jit T $665Mlsceilaneor's ntatlon(Servke or feeder not included) Each pump or lalp6on rircle $53.40 Each sign or outline IW)rV $53.40 and Paging 5tlt �- Mhor Signal ckeuN(s)or a limited energy panel,alterfijon or extension $75.00 pe Inigation Labels(1.0) $125.00 Each additional Inspection oven — ❑ Medical the allowable In arry of the above Per Inspedloon $62.50 ❑ Nome Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees s _w ❑ Other 8`A.State Surcharge $ —.._Numher of Systems .I 'T1 23%Plan Review Fee " No licenses are required. LkWves are required for sol other Installations See"Plan Review^section on $ front of anidkation U1 Fees: r dD Tatal Balance Due $ -- Enter total of nbove fees -75 , 1:1 Trust Account S Y c%State Surcharge $ Total Bat-ince Due $ i:klatsVcmnaklc-fas.Qoc 10/091011 CITY OF T I ARDELECTRICAL PERMIT _ PERMIT#: ELC2001-00068 DEVELOPMENT SERVICES DATE ISSUED: 1/30/01 AiWA 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1 S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 430 SUBDIVISION. ASHBROOK FARM ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: Tenant 'rnprovement RESIDENTIAL UNIT TEMP SRVC/FEEDERSMISCELLANEOUS _ 1000 SF OR LESS: ^� 0 - 200 amp � !PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER 4 BRANCH CIRCUITS ADD't_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: 7 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _! SVC/FDR>=225 AMPS: _ CLASS AREAISPEC OCC: Owner: Contractor: ASA PROPERTIES, IN:' REESE + SONS ELECTRIC BY PAUL DEVILLE 16310 SE RHONE PO BOX 3110 PORTLAND, OR 97236 HONOLULU. HI 96802 Phone: Phone: Reg#: LIC 00049883 SUP 1691S ELE 20-5060 FEES Requlred Inspektions _ Type By Date Amount Receipt Ceiling Cover PRMT CTR 1/30/01 $93.40 2720010000( Wall Cover 5PCT CTR 1130/01 $7.47 2720010000( Elect'I Service _ Elect'I Final Total _ $100.87 This Permit is issued subject to the regulations contained in the Tigard Municipal Code.Statp of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plana. This permit will expire ff work is not stant d within 160 days of issuance,or i1 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to foll(ry rules adopted by:he Oregon Utility Not1k;ation 0,�rter Those rules are set forth in GAR 952-001-0010 through OAR 952-001-0060. You may r;pies of these rules c:direct questions to OUNC at(503) 246-1967. PERMITTEE'S SIGNATURz- OWNER E, ISSUED BY-INSTALLATION ONLY The installation is beirt6 made on properly I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: _�. ___._ �. , DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __ DATE: LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next brininess day & ago/ --0C)p.4-7 electrical Permit Application - Date received: Ptxtnit no.: City Of Tigard Project/aWl.no.: Expire date: .j A CityofTig,ird Addres 13125 SW Hall Blvd.Tigard,OR 97223 Date issuc l: By: Receiptno.: Phone: (503) 639-4171 Fax: (503)598-19(A) Case file no.: Payment type: Land use approval: — ;L.INcw family dwelling or accessory U Commercial/industrial U Multi-family XTenant improvement construction U Addititm/alteration/replacement U Other: U Partial ess: l; Bld .no.: Suite no. ,�v Tax m lot/account no! _ Lot: �Blk: Subdivision: Project name: I Description and location of work on pmmites: �_. ✓LZ,T ---- Estimated date of com lethal/ina on: Job no: Fee Maas Business name: ' Dewri ea. T°hl ago. Address: Newr.rdratW-.b�lewitsol�per rlwe ft harp.Itsclydea atbnlred swoop. City: ' State: , ZIP: IZ7 ,j Sol I- Phone: Fax: E-mail: laro.g:It.or lefts _ 4 Each additional 500 .ft.or poirtion thereof CCB no,: Elec.bus.lic.no: Limited energy,residential 2 i Ci!YLW lic.no.: Umited energy,non-residential _ 2 �—7e-- D Fwh mnufactured home or modular dwelling n e of auperviain eleclrkisn(required-' 'bate Service and/or feeder 2 Sup.elect.name(printl- ' e Licensers: -� Serriceaorfeeder.-Matdhtlon, tamps relocalloa: eas 2 N&-nc(print): 00 amps 2 00 ampsMailing address: 000 amps 2 City: State: ZIP: Over 1000 amps or volts _ 2 Phone: E-mail: Reconnect only 1 Owner installation:The installation is being mace on property I own Te—slorml KrTkvs ar Feeden- which is not intended for sale,lease,rent,or exchange according to braf la&m.alteratim,ors:location: 200 amps or lea. 2 ORS 447,455,479,670,701. _—_ 201 ami.W 400 amps 2 Owner's signature: Date: 401 to 600 -_ 2 trrmKb cb cNh-new,alterothm, or extenslen per passel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State; ZIP: _ B. Fee for hmnch circuits withart purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: gwh additional branch circuit: Mbre.(Service or feeder net brcbded): I ❑Service over 225 amps-commercial U Health-care facility Each puTf or irrigation circle 2 ❑Service over 320 amps-rating of 1&2 U Humdous location Each sign or outline lighting 2 familydwdNnga U Builde feet Building over 10.000 squarfour or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residentialunits in one structure altenrHon,orextenion• 2 I U Building over gates stories U Feeden.400 amps or more •fid tion; ❑Occupant load over 99 persons U Manufactured structures or RV park Edell,eltyllaral GIN In say of dw abts:e ❑Egresa/lightingplan U Other: e Perin on Sabok_seta of pkm wkb they of the above. Investigation fee The above are root applkable to Imporla ry colaMnetlon swiss. Other I Not.9 Juubdictlaa accept credit add..plaaw call Jurisdiction err more hdamrtlen. Noticr:This perm;,alrA; ation Permit fee...............••••••$ U Visa U MasterCard expires if a permit is not obtained (at _%) $ 52 Credit card armher.--- _— -, —__L1witf.in 180 days after it has been State stmcharge(8%)....$ 8xplrca accepted els oomplete. TOTAL N.are s shown on e f Grdbolder dp ate a Antouet 440-Ml5(GW -'OM) Electrical Permit Fees: Limited Energy Fees: Complete Schedule Below: TYPE OF WORK INVOLVED RESIDENTIAL ONLY /� Restricted E..ieryy Fee...................................................... $75.00 Number td Inspections per permit allowedf (FOR ALL SYSTEMS) Service Included: Items Cost Total y Uncle Type of Work Involved Residential-per unit 1000 sq.ft.or less _ _ $14515 4 Audlo and Stereo Systems Each additional 500 sq.ft.or portion thered $33401 13urglar Alarm Limited Energy _ $75.0(! Each Manur: , one or Modular (– I Dwelling —'.a or Feeder $9090 __ 2 L_J Garage Door Opener' Services or Foh.dera Heating,Ventilation and Air Gonditioning System' Installation,afteraflun,or relocation 200 amps or less $00.30 2 ❑ 201 amps to 400 amps _ $106.65 2 VAC-Aum Systems' 401 amps to 600 amps _ A_ 5160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts _ _ $454.65 _ 2 Reconnect only _ $66.15 _ 2 Temporary Services or Feeders TYPE OF WO INVOLVED-COMMERCIAL ONLY Installation,allocation.lex relocation Fee for earl syste .......................................................... $75.00 200 amps or less _^ $6685 2 (SEE OAR 918-2 -260) 201 amps to 400 amps _ $10030 __ 2 401 amps to 600 amps _ _ $133 75 2 Check Type of Work nvolved: Over 600 amps to 1(M volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits E-1 New,aftecation ar extension per panel -- Boller C trols a)The fee for bmmrrh circuits _-� with purchase of service or ❑ Clock S tems iNflM/N. Each branch circuit $6 65 __� ❑ pate 1' 1ncAmmunication installation b)The fee for branch circuits ��\ without pumhsse o/serWce Fire arm Installation or feeder fee. First branchcircuit _ _ $46.65 6, Each additional branch circuit $6.65_ 1^ ❑ C Miscellaneous -3 ❑ 1 trume yon (Service lex feeder not Included) Fac�h pump or Irrigation dn:le _ $53.40 ❑ Each sign or aitline lighting _i $53.40 ntercom and Systems Signal rirrull(s)or a lim"wi energy panol.alteration or er.tenslon $75.00 ❑ Landscape Inletlon(' Minor Labels(10) $125.00 _ Medical Each additional h spectfon over the allowable In achy of the above ❑ Per Inspection $62.50 Nurse Calls Per hour —__ —_ 342.50 _ In Plant i 373.75 _ ❑ Outdoor Landscape Lighting" IL Fees: ❑ Protective Signaling Etter total of above hes $ �' �� ❑ Other 6%State Surcharge $ / ' Number of Systems 25%Plan Review Fee No licenses ars required. Licenses sre regkdred for ell ether insteilatior.. See`Plan Re~section on $ front ofnpplicntlon. Fee3: W Total Balance Due S oy'�7 Enter total of above fees ❑ Trust Account V , N%State Surrhmrge = ---- —� Total Aalanty Due i:\dsts\rotms\eic-fees.doc 10/09100 ' CITY ITY O F T'G A R D .BUILDING PERMIT E DEVELOPMENT' SERVICES DATE1ISSU2 ED : 26/01 00029 13125 SW Hall Blvd..Tigard.OR 97223 (503)6394171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 430 SUBDIVISION: ASHBROOK FARM ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: Yf: —YPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 3-1 HR sf N: S: E: N_ _____ OCCUPANCY GRP: 8 TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 34 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: Y SMO'(DET: DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDI(,P ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,100.00 Remarks: Commercial TI Owner: Contractor: ASA PRO 'ERTIES, INC SUMMIT CONSTRUCTION BY PAUL DEVILLE PO BOX 10345 PO BOX 3110 PORTLAND,OR 97210 H9Po%yLU, HI 96802 Phone: 223-9703 Reg#: LIC 63249 FEES REQUIRED INSPEC'T'IONS Type By Date y�Amount r ace(pt Mechanical Perniit Require PLCK CTR 1/23/01 $59.35 27200100000 ElectriceE Permit Required Sprinkler Permit Required FIRE CTR 1/23/01 $36.52 27200100000 Framing Insp PRMT CTR 1/26/01 $91.30 27200100000 Gyp Board Insp 5PCT CTR 1/26/01 $7.30 27200100000 Susp Ceiing Insp Final Inspection Total $194.47 a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. rn This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ED Notification Ceoter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You °0i may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. W J Permltee /% Slgnature: Issed By: Call 639-4178 by 7 p.m.for an Inspection the next business day o Building Permit Application , Date received: -�3 -oL,Panic no.: Pe�oI-04C01i City of Tigard - A Address: 13125 SW Nall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 6394171 Date issued: By: Receipt no.: ro Fax: (503) 598-1960 Case file no.: Payment type: — o Land use approval: —� 1&2 fs.uity:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family O New construction U Demolition U Addition/alteration/replacement 'Tenant improvement U Fire aprinkler!aiaim U Other: Job address: 0'(, l " Q v- T Bldg.no.: Suite o.: 4 Lot: I Block_: Subdivision: Tax map/tax lodaccount no.: —� Project name: -( '' Description an locatioq of work on premises/s i ditions: Name: ago Mailing address: 1 k 2 faraAlly dwelling: City: State: ZIP: Valuation of work........................................ $ Phone: Fax: E-mail: No.of bedrooms/baths................................. -- Owner's representative: Total number of floors................................. Phone: IF= E-mail: New dwelling area(sq.ft.) .......................... Oaragelcarport area(sq.ft.)......................... -- Name: _T` yvt Covered porch area(sq.ft.)......................... Mailing address: FO W ION 5 Deck arca(sq.ft.)........................................ City: (vet State:Q ZIP: Other structure area(sq.ft.)......................... Phone:5' ,j,L3'9 0 Faxsb�-yfi-k�il E-mail. Coam"dallindw(rlallmulti-fanny. tp Valuation of work ................. $ 00 ....................... 110 Existing bldg.area(sq.ft.) .......................... 7Address: e: wa r i' New bldg.area(sq.ft.)................................ Number of stories........................................State: ZIP:'�1� Type of constrvc►ion.................2 71�ta3 Fax: 2^ t!/ E-mail:N11F4 @>u,•• ccupancy group(s): Existing: CCB no.: (v Z1`r I /4 D1 New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be ELI I 111 ILM F1 U 161101M licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be requited to be licensed in the Address: p jurisdiction where work is being performed.If the applicant is city: State: ZIP: tJ exempt from licensing,the following reason applies: Contact person: Plan no.: — Phone:a'!Z'i'�`'-YMj Fs t o 25/ E-mail:w — — Name: _ Contact person: Fees due upon application ...........................$ Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Nd.ri judedkriom soon"craffil eanh,dew call jams kdm ra�4Wnwl0n- attached checklist.All provisions of laws and o ances governing this U Vies U MasterCard work will be complied wi hathe or Credi'rtrd twmbex: -- --- Ex m Authorized signetu Date: 1 K ( — N.me d der n stn,.vn(m n Tann Print name: 'It� -s Amoco Notice:This permit application expires if it i not o to gd within 180 days after it has been accepted (tited as complete. _ 4"13 OMM) q i -bo F'L S d(�'•5•� �'S ;50 CITE( OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - Amalm 13123 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT ##: ELR97-0157 DATE ISSUED: 06/02/97 PARCEL: 1 S 135131)--00100 SITE ADDRESS. . . :09600 SW OAK ST ##430 SUBDIVISION. . . . :ASHBROOK FARM ZONINGeC-P ir LOCK. . . . . . . . . . .4 LOT. . . . . . . . . . . . . :5 JURISDICTNs TIG Pr•o j ect Description: Installing data telecoasunications system ----------------------------------------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAl---------------------------------------- AUDIO & STEREO. . . : AUDIO & ETEREO. . : INTERCOM & PAGING. . s BURGLAR ALARM. . . . s BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . : CLCCK. . . . . . . . . . . 3 MEDICAL. . . . . . . . . . . . a HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . sX NURSE CALLS. . . . . . . . s VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . s OUTDOOR LANIDSC LITE- OTHERS : a HVAC. . . . . . . PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . s s TOTAL N OF SYSTEMSs 1 Owners ------------------------------------------------------ FEES ----------------- PERSIS CORPORATION ty-P amount by date recpt PO BOX 3110 Is 40. 00 B 06/02/97 97-295363 HONOLULU HI 96802 _KPCT t 2. 00 B 06/02/97 97-29536 3 Phone Rs Contractore ------------------------------------------•-----------•-------------------- CASCADE TELECOM SYSTEMS 9 42. 00 TOTAL_ JERRY F DILLON II 8120 SW OLESON RD ------- REDU.IRED INSPECTIONS - -- - BEAVERTON OR 97223 Ceiling Cover Elect' l Final Phone ##: 350-1472 Wall Cover Reg #. . a 081072 —�- - -- This pereit is issued subject to the regulations contained in the* ' Tigard Municipal Code, State of Ore. Specialty Codes and all other eWrt4eS n a t u r e applicable laws. All work will be eine in accordance with approved plans. This pewit will expire if work is not started Qf� within 191 days of issuance, or if work is suspended for Bore AA i than 181 days. Issued By -� -----------------------OWNER INSTALLATION ONLY------------------------------- The installation is being made on property I own which is not intended for sale, leave, or rent. OWNER' S SIGNATURE: DATES --------------------------CONTRACTOR INSTALLATION ONLY---------------------------- SIGNATURE OF SUPR. ELEC' Ne DATE: LICENSE NO: Call for inspection -- 639-4175 CITY OF+TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HAI.L BLVD Date Recd: (o - TIG`ARD OR 97223 PRINT OR TYPE V-503-6394171 X304 Permit* F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_,___,_ WILL NOT BE ACCEPTED w� Name of Development Project _TYPE OF WORK INVOLVED-RESIDENTIAL RestrictedEnergy Fee........................................ 0.00 (FOR ALL SYSTEMS) JOB Street Address Ste# O Check Type of Work Involved: ADDRESS d�Q C /State p P �= ❑ Audio and Stereo Systems Name ,��G� ❑ Burglar Alarm ❑ Garage Door Opener' OWNER in Address 15-,F , City/State�/�e Name Phone A ❑El vacuum ventilation end Air Conditioning System' Vacuum Systems' ❑ Other CONTRACTOR Mailhig Address ! TYPE OF WORK INVOLVED-COMMERCIAL (Prior to issuance a City/State ip Phone 8 Fee for each system.............................................. 0.00 copy of all licenses ,ysr Q O'/ (SEE OAR 918-260-260) are required If Oregon Contr.Brd Lic.0p.) p.Dat 7 expired.n C.O.T. xCheck Type of Work Involved: data base). Electrical Contr.Lic.# xp.Date b Q. _ ❑ Audio and Stereo Systems C.O.T.or Metro Lic.# Exp.Date ❑ Boller Controls Owner's Name ❑ Clock:.ysl.eons OWNER- Mailing Addresa� APPLICANT Data 7eb�communicatlon Installation City/State Zip Phone# ❑ Firo Alarm Installation This permit Is Issued under OAE 918-320-370.This applicant agrees to ❑ HVAC make only restricted energy Installations(100 volt amps or less)under this permit and to do the following: ❑ Instrumentatioo I 1. Only use electrical licensed pennons to do Installations where required. Certain residential and other transactions aro exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Landscape Irrigation Control' 2. Call for Inspections when installation under this permit aro ready for inspection at 1303-6394175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls Inspection when the inspector Is out to lospect under this permit; 4 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 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 The person signing for this penult must be the applicant or a person No licenses we required. Licenses are requirod for all other Installaftna authorized to bind the applicant. _ — /-- •/ ENTER FEES atu TA Z U X T 6%SURCHARGE(.OR TOTAL A9 ► _ABOVE) - • d Authority if other than Applicant — TOTAL ; iiZ '00 I Vesele doc 12" CITY OF TIGARD BUILDING INSPECTION DIVISION t 24-Hour Inspe0ion Line: 6394175 Wsiness!Photic: 6394171 (bate Requested: 1 / A.M. — , P.M. MST: — i:ocation: � SW G�,k� BUP:_ fcnant: Suite: Bldg —_ MFC: Contnictor: :r_ghCffMr Phone: _ PLM: _ Phone: _ _ EI.C: y� 9•6 EL.R: - V 7 BUIL._� BLDG(con't) PLUMB G MR('HUYI ,AL ICL t_±I .ALSI IIG site Post/Beam Post/Beam Post/Ream Cover/Servire SMAer/Stoim Footing Roof UndFI/Slab Rough,In Ceiling Water tine Slab Framing Top Out Cies Line Rough-In UG Sprinkler Foundation bwdlation Sewer Pood/fAxt Remanect 'fault llunt Lamp Drywall Storm Furnace Temp Service MISC. Masonry Caning Rain Ihain PIC UO Slab :ihcar/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump I ow Volt 4aAt,�_ Approved AplrovM Approved Approved A ed �'\ppr/Sdwlk Not Approved No, Approved Not Approved Not Approved FINAL FINAL. FLP'!i MAL � AL 1— to 173 Call for reinspection 0 Reinspection f of g _required before next inspection M Unable to inspect tL— _ Inspector: C. h.e ,�� _T� --- tate: -- I Lof—