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9600 SW OAK STREET STE 580-1 A Q� A A N g 0 a� N O O 9600 SW Oak #580 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Houi Inspection Line: 639-4175 Business Line: �9-4171 PUP _ _ Date Requested " `II //� —AM _ BLD Location_ Y G l' S �- fJ�r �� Suite MEC Contact - Contact Person _ �.— Ph �" PLM Contractor _ _ _ Ph SWR — BUILDING` --�-� Tenant/Owner CIX y 4,/1 CC,6-j�l L1, ELC Retaining Wall / 4 —T-- ELR _ Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: - -- Slab --- -- — — _ —. .. SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear F,aming _ Insulation r- ^ Drywall Nailing —_-_-- Firewall Fire Sprinkler - Fim Alarm Susp'd Ceiling r— -- ----- Roof Misc — --- _ Final --- PASS PART FAIL -----------_ - -- �-- _— — PLUMBING Post K Burn —_ -----_—_ _. — — Under Slab Top Out --- - - Water Service Sanitary Sewer — Rain Drains Final PASS PART FAN_ MECHANICAL Pos'&Beam —_ ---- ---._— -- -- —, —_ _— Rough In Gas Line ------- Smoke Dampers Final _—._- ----- - ------ ._`— _..— V._ PAS '-ART FAIL Service Ci el Rough In 3 UG/Slab ,Ilt�! -- Low Volt?ge Firearm _-- Fi6at - PASS PART FAIL --..__.�_---------- TE Sanitary Sewer Storm Drain [ ]Reinspection fee of$-- —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin reinspection ease call for reins RE Unable to inspect no access Fire Supply r_',ne Please[ 1 P- _ }� ADA / Approach/SidewalkDate - Inspector ( Z, t Other -- Final PASS PART FAIL Iib N07 REMOVE this inspection record from the job site, CITYOF T I GA R iJ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: B'JP2001-00030 13125 SW Hail Blvd., Tigard, OR 97223 (503)539-4171 DATE ISSUED: 1/26/2001 PARCEL: 1 S 135BD-00100 ZONING: C-P .JURISDICTION: TIG SITE ADDRESS: 09600 SW OAK ST 580 SUBDIVISION: ASHBROOK 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: ?HE TRAVFLERS REMARKG: 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#: LIC 63249 This Certiticate issued 3/27/211112 grants occ"dancv )f the above referenced building or portion thereof and confirms that the building has F-aen inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was ' s t1. ' Chi aU1tDING iNSPECTO . -- BUILDI -G 0-FFICrAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING InspC�.tivo Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST � uP 2Uul �JGU1� Received Date Requested �' AM PM UUP Location 0_ d a /C._ __— — Suite _ MEC Contact Person _ —_ Ph( ) PLM Cont ---- Ph(— -) SWR A1LDING Tenant/Owner —_ —� C Foundation Access: ELC — Ftg Drain ELR Crawl Drain -- Slab Inspection Notes: SIT Post&Beam Shear Anchors -�- —.—_ Ext Sheath/Shear Int Sheath/Shear !-— --- ----- Framii.y -------_- - __ �\ insulation —� — Drywall Nailing Firewall - Fire Sprinkler ---•------�_____-__ __ Fire Alarm - `��� Susp'd Ceiling -- --- -- ---- --- �/ __— LL Roof PART FAIL —'—�- -------- -- -- --__- - ��i ---- PLUMBING -- Post - Uilder Slab _ Rough-In - -------- --� Water Service Sanitary Sewer -- -- - Rain Drains -- - _ Catch Basin/Manhole - -- — Storm Drain Shower Pan Other: Final _PASS PART_ FAIL - - — - --� -- MECHA_NIC_ _AL -- Post&Beam---_-_ --_-_-- --------- -- _.. _ Rough-In _Gas Line Line _ Smoke Dampers — Fir,a: - PASS PART FAIL - -- -- - _ ELECTRICAL - F ervice —' — — — - Hough-In UG/Slab -- - --a- L-cw Voltage - -_ Firt,Alarm --�� — -- - FPAS; PART FAIL F-1Reinspectionfee of$--___-�.-_-required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PA ._' SITE —_ - Q Please call for reinspection RE: Unable to inspect-no access Fire Suhily Line ADA Approach.'Sidewalk Data Other: _ Final - DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL i CITY C�� T I G�R® ----BUILDING PERMIT PERMIT#: BUP2001-00030 IE— - ERViCE$©EVELOPFw DATE ISSUED: 1/26/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 PARCEL: 1S135BD-00100 SITE ADDRESS: 09600 SW OAK ST 580 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: W: — TYPE OF USE: COM SECOND: sfPROJECT OPENINGS? TYPE OF CONST: 3-1 HR sf N_ S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 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 _ REQUI_R_ED FLOOR LOAD: psf LEFT: ft R.GHT: _�ft i FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: E;E:DRMS: BATHS: IMP SURFACE: PRO TORR: PARKING: VALUE: I j /G c Remarks: Cor6ercial TI Owner: Contractor: ASA PROPERTIES, INC SUMMIT CONSTRUCTION BY PAUL DEVILLE PO BOX 10?45 PO BOX 3110 PORTLAND, OR 97210 HPhNoO eULU, HI 90802 Phone: 223-9703 Reg#: LIC 63249 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require �~ PLCK CTR 1123101 $59.35 27200100000 Electrical Permit Required Electrical Permit Required FIRE CTR 1123/01 $36.52 27200100000 Sprinkler Permit Required PRMT CTR 1/26/01 $91.30 27200100000 Framing Insp 5PCT CTR 1/26/01 $7.30 27200100000 Gyp Board Insp Susp Ceiing Insp Total $194.47 Final Inspection This permit is issued Subject {o 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. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNG by calling (503) 246-1987. Permitee -- Signature, Issued .T Call 639-4175 by 7 p.m. for an inspection the next business day 1 07 -C, Building Permit Application Datereceived: "!:P�4 P=111 no.: r City of 'Tigard City of 771gard Address: 13125 SW Hall Blvd,T'iyard,OR 97223 Projcct/appl.no.: Expire date: Phone: (503)6394171 Date issued: By: _ Receipt no.: Fax: (503)598-1960 Case rile no.: Payment type. Land use approval: _ 1&2 famlly:Simple Complex: TYPE OF PERNUT U 1 &2 family dwelling or accessory 17 Commercial/industrial U Multi-family ❑New construction 0 Demolition 0 Addition/alteration/mplaccment WT'enant improvement U Fire.sprinkler/alarm U Other 10 Il INFORMATION Job address: " OA—kc 5 j!_ Bldg.no.: Suite no.: 930S� fl - - -- lot: -- Block: Subdivision: Tax map>/tax lodaccount no.: Project name: — ---- - Uesc rypUon ang location rZ of workop 1-7, 1spec co ditions: Name: =111717MM , , I Mailing address: 1&2 family dwelling: City: State: ZIP: Valuation of work............... ........................ Phone: Fax: E-mail: _ No.of bedrooms/baths................................. Owner's representative: _ Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Oarage/carpori area(sq.ft.)................ ........ Name: yA Covered porch area(sq.ft.) ......................... Mailing address: 0 _ 10 Deck area(sq.ft.)........................................ City: f0j,Q .joy�jState:6 'ZIP: P7 oOuter structure area(sq.ft.)......................... Phone: o _&?,3-91031 Fax.565-;qt-W1 E-mail. ,mom CommerciaUinda,trial/multi-family: r, Valuation of wort:.................. ..................... $, � e .. Business name_<yt►yc.i tExisting bldg.area(sq.ft.) .......................... Address h _ — New bldg.area(sq.ft.) ............................... _ City: State: 7.IP: Number of stories........................................ $ $ 277,703 Fax: Z^ If f El: r Type of construction.................................... Phone: � CCB no.: fe Zr.E --- -- occupancy group(s): Existing: - ------ -- New: City/metro lie.no.: Notice:All contractors and subcontractors are requimd to be licensed with the Oregon Construction Contractors Board under Namci��t+f e provisions of URS 701 and may be r.,quired to be licensed in the Address: I t L6v -- jurisdiction where work is being performed.If the applicant is city: Starr. ( Z(p; T p exempt from licensing,the following reason applies: Contact person: Plan no,: -- Phone:qZZ_m5-*491 -- Name: __ Contact person: _ Fees due upon application ........................... $, Address: _ Date received: _ City: — State: ZIP. Amount received ......................................... Phone: _ Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na atl jurtadk'd=accept cmdk c",tdeaw call jurisdiction for nwre infonnolan attached checklist.All provisions of laws and on' ances governing this U Visa U wast«Card work will be complied wi hethe in or n t. CRdir card musber ___ __[�— � r.ptRa Authorized signatu — _ --- Date: t 1--- 0 1 Name of ardiwider a a mr m eadii ant — larint name: '�t Nle - s — ----�- Cardholder aiarsatare Amount Notice:This permit application expires if a permit is not obtained 'thin 180 days after it has been accepted as complete. 4"u MRXIO OM) +'Y,t S I�, ?, ) i 7 &T(,770 770 CITYI TY ©Pr T'G A R D ____ ELECTRICAL PERMIT `-�' PERMIT#: ELC?001 00067 DEVELOPMENT SERVICES DATE ISSUED: 1/30/01 13125 SW Hall Blvd.. Tioard, OR 97223 (503) 639-4171 PARCEL: iS135BD-00100 SITE ADDRESS: 09600 SW OAK ST 580 SUBDIVISION: ASHBROOK FARM ZONING: C P BLOCK: LOT : 005 JURISDICTION. TIG Project Description: Tenant Improvement ___RESIDEN-PIAL UNIT TEMP_SRVCIFEEDERS MISCELLANEOUS__ 1000 SF OR LESS:^ 0 - 200 amp: F-,IMP/IRRIGATION. EACH ADD'L 500SF: 201 - 400 amp: SIGt TOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp. 31GNALIPANEL: MANF HMI SVC/FDR: 601+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 W/O SRVC O'. FDR: 1 PER HOUR- 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: — '> 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:---- Owner: Contractor: ASA PROPERTIES, INC 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 20-506C FEES Required Inspections -ype By Date_ Amount Receipt Ceiling Cover PRMT CTR 1/30/01 $73.45 272.0010000( Wall Cover 5PCT CTR 1/30/01 $5.88 2720010000( Elect'I Service Elect'I Final Total $79.33 This Permit is issued subject to the regulations contained in the Tigard M-niapal Code,State of OR SpeaeJy Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE. ��' lc K,C ISSUED BY: r `.�. OWNER INSTALLATION ONLY The installation is befog made on property I awn which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE:__ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _. DATE:__` LICENSE NO: .�-------- — ---- r C 11639-4175 by 7:00pm for an inspection the next business day i Electrical Permit Application - -- - Date received, I'crnutnu.. City of Tigard Project/appl.no.: Expire date: An City of"Tigard Address: 13125 SW I tall Blvd,Tir_ard,OR 97223 Date issued: By: Receipt nu Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: I Payment type: Land use approval: oil W 1 U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family *Tenant improvement U New constniction U Other- U Partial JOB SITE INFORMATION Job address: _, I Iiltiv. no.. istilic no.:Ilk le- Tax map/tax lot/account no.: Lot; [clock: Suhdivision: _ Project name: � Description anu location of work on premises: 7 )G L Estimated dale of coEilelion/ins cctitm ION FEE SCHOULU Job no: Fce Mat r lirscription Y. (cA.) 7oial no.imp Business name: '�' - 7 t NewRsidenllal-sinRkot nudtl-[Amity per Address: dwelllrtg unfl.6tcludcs AttAflA4l AI AI 1' City: State: " ZIP: Z_f Serliceincluded Phone: Fax: E-mail: IOIH)sq,it.or fess 4 5 j Each additional 500 sq.A.or portion thereof CCB no.: Elecbus,tic.n0: Limited energy,residential 2 City/metro lic.no.: Limited energy,rtnn-residential 2 Fach manufactured home or modular dwelling Service and/or(ceder 2 fixture of su rvisin electrician (required) Date Services or feeders-installation, sup.elect.name(print): e- License no: sheration or relocation: 20x1 amps or less 2 2011 amps In 400 amps _ 2 Name(print): — 401 amps to 6(x)amps 2 Mailing address: 601 amps to 1000 amps _ — — 2 City: Sate: '1.11': Over 1000 amps or volts 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeders- which i.,,not intended for sale,lease,rent,or exchange according to Installation,allerstion,or relocation:200 snips or less __ 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's si nature: Date: 401 to 600 orn s 2 Branch circuits-new,&iteration, or extension per panel: Name. A. Fec for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 (,jly; — T Slate: ZIP: _ B. Fee for branch circuits without purchase _ _of service or feeder fee,first branch circuit: 2 I'hun I av E-mail: _F.achadditional branch circuiL all= rZlrMWlKlM&jda�� Mise.(Service or feeder not Included): CI Service over 225 wraps-conuncrcinl U Health can•facifity Each pump or irrigation circle _2 Li Service aver 320 amps-rating of 1&2 U Hazardous I,K'Altan Each sign or outline lighting _ _ 2 family dwellings U Building over 10.11(10 square feet four or Signal cireuit(s)or a limited energy panel, U System over 600 volts nominal nitre residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps nr more 0 Desch tion: . U Occupant load over 99 persons U Manufactured stntclutes or RV park Each additional bupedloo over the allowable in any of the above: U I'gress/lightingplan U Other: _ --- Periuspection Submit,sets of plane with any of the above. Investigation tee 1-Se,above are not applicable to temporary ciandruction service. Other '~ct Nd ell Jurisdictionsercep credit rude .plrser call jurisdiction for more Infomution NOl1CC:1'h15 permit application Permit fee.....................$ Plan review(al � %) $ U Visa O MasterCard expires if a permit is not obtained Credit card mtmttet _L__ within 180 days atter it has been State surcharge(8%)....$ n[pites acccpte3 ac complete. TOTAL .......................$ - ante d c Tiler u n on c It etrd - s - — CMolderdputun - Amount 4f0IS160at(OM) S� Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY — Cam fete Fee Schedule below: -- ---- —� � /J Restricted Energy Fee................ .......................... . $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Tot:,, Check Type of Work Involved: Residential-per unit ,000 sq ft or loss $145 15 _ 4 ❑ Audio and Stereo Systems Each additional 500 sq it or portion thereof $33.40 _ t ❑ Burglar Alarm Limiled Energy $7500 Each Manufd Home or Modular Garage Door Opener" Dwelling Service or Feeder _ $9090 _ 7 1-1 Ser:ices or Feeders r_1 Heating,Ventilation and Air Conditioning System' Installac-c^,alteration,or relocation 200 amps or less $80.302 L1 Vacuum Systems' 201 amps to 4C0 amps $106.85 2 401 amps to 600 amps $160.60 Y 2 C� 601 amps to 1000 amps $24060 _ 2 L Other Over 1000 amps or volts _ $454.65 2 Reconnect only _ $66.85 2 TYPE OF V4ORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Foe for each system.......................................................... $75 00 Installation,alteration,or relocation 200 amps or less $86.85 2 (SEE OAR 918-260-260) 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 1000 volts, r--� see"b"above. LJ Audio and Stereo Systems Braoch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits E]with purchase of service or Clock Systems feeder fee. Each branch citcult $6.65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 f6 � Each additional branch circuit $6.85pefi- �-, HVAC ❑ Miscellaneous ? •'� ' ❑ Instrumentation (Service or feeder not Included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting v�� $53.40 Signal clrcuit(s)or a limited energy ❑ panel,alteration or extension $75.00 Landscare Irrigation Control' Minor Labels(10) _ $125.00 __ ❑ Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per inspection $62 5n Per hour $6250 �. �� In Plant $7375 Outdoor Landscape Lighting' Fees: ,f I C1 Protective Signaling Enter total of above fees $ r l�.' Other 8%State Surcharqe $ —Number of Systems 25%Plan Review Fee '.,)licenses are required Licenses are requires!in-all other installations See"Plan Review"section on $ front of application _ __ —M�_ Fees: 1 otal Balance Due $ r-7 Enter total of above fees $ LJ Trust Account if 8%State Surchnwge Total Balance Due $ 0dsts\fomulcic-Nes.doc 10/09/00 44e