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12700 SW NORTH DAKOTA STREET STE 100-1 001 MS 1S d10X/0 MON MS 00M I i P W F- N 4 H YO Q D OAC O x �3 P 4 12700 SW NORTH DAKOTA IST STE 1O CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT M: EL.C99--0047 13128 SW Hall Blvd.,flpar�d,OR97223(503)W4171 DATE ISSUED: 01/25/99 PARCEL: 18133AD-16200 SITE ADDRESS. . . : 12700 SW NORTH DAKOTA ST #100 G)UBD M S I ON. . . . :PP 1.995-073 ZONING:C—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG Project Description: Electric for anew wall sign. ------------------------------------------- ---------------------------------------- ---RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS---- -----MISCELL.ANEOUS----- i000 Sr OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : S SIGN/OUT ]_INE LTG. . : 1 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 6014amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - - --SFRV'i(',E/FEEDFR------ ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS -- - 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . : 0 EA ADD' t_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . = 0 601 - 10420 amp. . . . . : 0 -- ----- --------PLAN REVIEW SECTION-•_---_ _----__--- 1.0004• amp/v o 1 t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMI NAL.. . : Re^onnect only. . . . . : 0 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ____.___----------------_-_ _____-_-_.________-._---•_-._-- FEES -------------____ PASTA VFL.00E type amount by date recpt 12700 SW NORTH DAKOTA PRMT $ 40. 00 GEO 01/20/99 99-312312 TIGARD OR 97223 5PCT $ 2. 00 GEO 01/20/99 99-312312 Phone 1#: Cesrtractor: --- ---- --------- ---_---- --- ,T.T S i GNS f 4 2. 00 TOTAL 5171.5 SW PASADENA DRIVE. ----- - - REQUIRED INSPECTIONS --- - PORTLAND OR 97219 Elect' : Service _ Phone #: 246-OPS4 Elect' : Final Reg #. . : 106t83 This permit is issued sub.i•c' to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All wt4 will be done in accordance with approved plans. This permit will expire if work is not started within 198 days of issuance, or if work is !uspended for tore than 188 days. ATTENTION: Oregon law requires you tc follow the rules adipted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-Ml -@@I@ through OAR 952-/1-1987. You may obtain a copy of the:- rules or direct questions to OLK by rallin (583)246-1987. d. Permittee S i g n a t�.i r e : ..___.-_-__-. I s•: r e d B y : _•---_ ... a II- }N _ I NSTAI._LAT T ON ONLY---------------------------- The installation --------- Theinstallation is being made on property I own which is not intended for sale, lease, or rent. CD nt4NF R' F 6 T ONATI IRF: _ DATES _ J INSTALLATION ONLY----r------------.----.------_ SIGNATURE OF SUPR. ELEC' N: [)ATE: -f t L-.I CENSE NO: +++++++++++++++++-++++++++.++++++++++++++4.++++++++++++++++++,-+++++++++++++++++++ Call 639 -4175 by 7:00 p. rn. for an inspection needed the next business day +++++++++,"r+++++++.++++++++++.+++++++++++++++++++.++++++++++++++++++++++++++++++++ CITY OF TIGARD Electrical Permit Application PlanCheckIf 13125 SW HALL BLVD. Rec'd By�=- ,)ate Rec'd I- /g o JY9 TIGARD OR 97223 Date to P.E. Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print or Type Permit 0I Fax(503)684-7297 Incomplete or illegible will not be accepted Called Fm Job Address: 4. Complete Fee Schedule Below: e of Development _ Number of Inspectlons per permit allowed IJ®rne(or name of business) PA S-TA DC Service Included: home Cost sum Address 1 ' -70C) U-) I<v A 4s. Resldent1w-par unit c4/state/zip 176 h 2 0 i oK- __ taco sq. t or lees _ $$110-00o.o0 4 c Each additional 500 sq.It.or Commercial Residential mortice,thereof 25.00 _ 1 Limited Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $88.00 2 (Attach copy of all current lice ses n / 4b.Services or Fsede Electrical Contractor .I c/ / 7� Installation,alteration,or relocation �� 200 amps or less $00.00 2 Address, 201 amps to 400 Amps 580.00 2 City C State n Le Zip 401 amps to 800 amps ` $120.00 2 Phone No. y 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 _. 2 Elec. Cont. Lice. Nom- & Date_ Reconnect only $50.00 2 OR State CCB Reg. No. Exp.Date 4c.Temporary Services or Foeders COT Business Tax o air No. _Q c Exp.Da a - Installation,alleratlon,or relocation 200 amps or less $50.00 2 Signature of Su r. Elec'n 201 amps to 400 amps $75.00 _ 2 9 P 401 amps to 600 amps $100.00 2 Over 000 amps to 1000 volts, License No.__ r Exp.Date-_(_D - ��9 see"b"above. Phone No.__ 1- _ 4d,Branch Circuits New,alteratlon or extension per panel 2b. For owner Installations: a)The fee for branch circuits adfh purchase or service or Print Owner's Name ____ feeder tn. b) Address Each branch circuit $5.00 2 The fee fol branch circuits City �_ State Zip _ adthout purchase of Phone No. _ _ _ service »'feeder No. First bunch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder rot Included) Owner's Signal ire _ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting 2 3. Plan Review section (if required):" Signal circull(s)or a limited energy :10.00 2 Minor labels(10) 3100.00 Please check appropriate Item and enter fee in section 58. 4 or more residential units in one structure 4f.Each additional InspecNnn over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 to Plant $55.00 _ Submit 2 sets of plans with application where any of the above apply. S. Feed: Not required for temporary construction services. Ser.Enter total of above fees $ --�� 5%Surcharge(.05 X total is") $ --1 NQT-L" subtotal 5 5b.Enter 25%of line Ser for PERMITS BECOME VOID IF WORK OR CONSTRUCTION A+ITHORIZED IS Plan Review IligggM(Sec.3) _ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUE T;ON OR WORK subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account R TIME AFTER WORK IS COMMENCED. D Ts qz fd�l bRl1U1GwDW MDSTS1ELC9e.APP Rev 6190 CITY OF TIGARD E'LECTRICA �,.,,,,� DEVELOPMENT SERVICES PERMIT #: C99-0024 13125 SW Hall Blvd.,11prd,OR97223(503)6994171 DATE ISSUED PARCEL.: 1S133AD-16200 13 I TE ADDRESS. . . : 10'700 SW NORTH DAKOTA ST #100 SUBDIVISION. . . . :PP1995--073 ZONING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG Project Description: Alteration to electrical service. -------------------------------------------------------------------------------------- - RESIDENTIAL UNIT—•---- ---TEMP SRVC/FEEDERS------ ------MISCELLANEOUS------ 1000 -----MISCELLANEOUS-----1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5009F. . . : 0 201 — 400 amp. . . . . . . : 0 STCN/OUT LINE LTO. . : 0 LIMITED ENERGY. . . . . : 0 401. — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. FIM/ SVC/FDR. . : 0 6014-amps- 1000 volts. : 0 'MINOR LABEL (10) . . . : 0 --•--SERV 1 CE/FEEDER----- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS—- 0 NSPECTIONS•--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. e 1 PER HOUR. . . . . . . . . . . . 0 40t 6@0 amp. . . . . . : 0 EA iT)r)' L BRNCH CIRC: 6 :N PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 > -4 RES UNITS. . . . . . ,, . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )t-- 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner —______.-------------_._-- FEES PACIFIC CREST PARTNERS SCROLLS type amount by date recpt 91. 1 OAF! ST PRMT f 65. 00 D1_H 01/11/99 99--312081 HOOD RIVF_R OR 970.31 5POT $ 3. 25 DLH 01/11/99 99-312081 Phone #: Contractor: ------------------------------- ROBERTS ELECTRIC INC 8 68. 25 TOTAL 5759 SW 48TH ---- --- REQUIRED INSPECTIONS ----- PORTLAND OR 97213 Ceiling Cover Elect' 1 Serv4ce Phone #: V-244-7754 Wall Cover Ele^t' l Final Reg #. . : 9388 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable law,. All work will be done in accordance with approved plans. This permit Will expire if work is ,ot started within 181 days of issuance, or if work is suspended for more than 181 days. ATTENTIQh Drepon law requires you to follow ti! rules adopted by the Oregon Ut lity Notification Center. Those rubs are set forth in OAR through OAR 952-!!1-1997. You may obtain a copy of these rules or direct questions to UK by calling 15831246-1987. ("'er-mittee SignatLtre: Is,Lted By: IL a� yl—j ___—_—_-----_----_-----_.__._---OWNER INSTALLATTON ONLY--------- The installation is being made on property I own which is not, intended for sale, lease, or rent. ® OWNER' S S 1 GNPTI_IRE: DATE s W _._...____._....__.___._._...._._._.__. ._--..___.-CONTRnrTOR T.NSTALLATTON SIGNATURE OF SUPR. ELEC' N: DATES I._.1 CENSE NO: ++++++++++++++++++++i•+++h+f-++i-+++++4.1•++++++++++++++++++++++++++++++++++++++++++ 1Call 639-4175 by 7:00 p. m. for an inspection needed the next businese day + +i•++++++++++.+++++++++-a+++++++++• +f++++++++++++++++h+++++++++++++++++++++++.++ CITY OF TIGARD Electrical Permit Application Plan erect• 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd_ / u/0,77 '-000 -1 � ate to P.E. Phone(503)639-4171, x304 - � Date to DST_ '- Inspection (503)639-4175 Print or Type _ 99-OD 2 Pax(503)684-7297 Incomplete or Illegible will not be accepted pow+t� SLC Called y 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ � t� Number of Inspections per permit allowed Name(or name ) ,- of business =! 47 t/ P-L IX-10 Service Included: Items Cost Sum Address- /2-700 S W N r /)Aiwunl 4a. Residential-per unit 1000 sq.ft.or less $110.00 4 City/State/Zip k�2 I r - S�t�I Each additional 500 sq.ft.or Commercial Residential ❑ portion thereof $25.00 _ 1 Limited Energy � $25.00 Each Manuf d Home or Modular Dwelling Service or FeL ier $66.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Fenders Electrical Contra for 6a/LT-s Installation,aneration,or relocation Address7S�, S17 - 200 amps or less $80.00 2 ty-,FfAJ X State _� 201 amps to 400 amps $80.(+0 2 CI "� 401 amps to 600 amps $120,00 2 Phone No. 2 Liq ft�� 601 amps to 1000 amps _ $190.0o � 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50,00 2 Elec.Cont. Lice. N-o vW Exp.Date._ OR State CCB Reg. No.` 9W Exp.Date_ 4c.Temporay Services or Feeders COT Business Tax or Metro No _,Ex .Date Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1('00 volts, License No. ��S Exp.Date f n 0c no"b^above. Phone No. L4!q-7 ,_ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations;: a)The fee for branch circuits wfth purchase of service or Print Owner's Name _ feeder fee. Address -- Each branch circuli _- $5.00 2 b)The fee for branch cimilts City _ State__. Zip without purchase of Phone No. _ service or feeder Asa. o� First branch circuit $:15.00 2 The installation IF :)e,ng made on property I own which is not Each additional branch circuit $b.00 .�Q2 intended for s,.:e,lease ore n.61.- 4e.Miscellaneous Owner's Slynature _ ( ro (Service or feeder not Included) pump rlgatlon circle $40.00 2 Each sign or outline lighting $40.00 _ 2 3. Men Review section(if required):* Signal circu8(s)or a limiter..energy panel,alteration or extension $40.00 2 CLPlease -,heck appropriate Item and enter fee In section 58. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional Inspection over U) Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 ` Classified area or strucrire containing special occupancy Per hour $55.00 as desrdbed in N.E.C.Chapter 5 In Plant $55.00 *Submit 2 t, is of plans with application whom any of the above apply. 5. Fees: JNot required for temporary construction serviced. Se.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ fNOTIQE Subtotal $ -- tib.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review IL!2gul4s!(Sec.3) $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION OR WORK Subtofaf $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account 8 /_Q ;Z51 Total befence Ow s .�-� I:\nST91EL:98.APP Rey W" CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : BUP99—Q'002 13125 SW N811 Blvd..,179avd,OR 97223(5O3)Wj94171 DR-E ISSUED: 01/04/99 PARCEL: 1S133AD-16200 SITE ADDRESS. . . : 12700 SW NORTH DAKOTA ST #100 SUBDIVISION. . . . : PP1995-073 ZONING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..003 JURISDICTION:TIG REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CL.ASS OF WORK. :AL T FIRST. . . . 1 2805 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----------- TYPE OF CONST. :SN . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :A3 TOTAL-------: 2805 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOW. : 0 HT: 0 ft GARAGE. . . : 0 sF OCCU SEP. RATED: BSMT?: MEZ."i7: RF_QD SETBACKS-------- REQUIRED-------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR nl-RM: HNDICP ACCs BEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 3000 Remarks : Repair t-bar ceiling and relocated accousticle the soffit, approximately 36' and remove ceramic tile from sales area, not kitchen. R plumbing and elnctrical permit are required before final inspection. A copy of the Washington County plan review approval is required to receive a plumbing permit. Owner: --------•------------ FEES --------------- PACIFIC CREST PAPTNERS SCHOLLS -type amount by date recpt 911 OAK ST PRMT $ 38. 50 DEB 01/04/99 99-311883 HOOD RIVER OR 97031 SPCT f 1. 93 DEB 01/04/99 99-311883 PLCK $ 25. 03 DEB 01/04/99 99-311883 Phone #: 541-386—•6333 FIRE $ 15. 40 DEB 01./04/99 99-311883 Contractor: ---•--•---------------------- MARK JOHNSON PO BOY 12366 PORTS OND OR 97212-0366 ----------------------------------- Ph en e #: 703--847: $ 80. 86 TOTAL. Reg #. . : 129582 --REQUIRED ACTIONS or INSPECTIONS---- This permit is issued subject to the regulations contained in the Gyp Board Insp _ IL Tigard Municipal Code, State of Ore. Specialty Codes and all other _ Happlicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started _ within 186 days of issuance, or if work is suspended for more than 180 da/s. ATTENTION: Oregon law requires you to follow the rules adopt►:l by thr Oregon Utility Notification Center. Those _ rules are set forth in OAR 952-801-#010 through OAR 952-0191987. J NG You many obtain a copy of these rules or direct questions to DU by calling (503)2246-1987. Permittee Signat Lire : (,IV �GSZN''� Issued +++++++++++-!•++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++4++++++.( ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ • Q�r tr. ��1� . CITY OF rIGARD Commercial Building Permit Application Reed B'-- — 13125 SW HALL BLVD. J ;',qnant Improvement Dab PAed -- TIGARD, OR 97223 f ate to P.E. A�� I ' (� t'ir_-- ata to DST�[��_��' (503) 639-4171 I" ��rI t�� a Print or Type a.lat.d SWR s Incomplete or illegible applications will not be accepted Caged Name of DeveIoprr*ntfPro)@cI �yt7Op iw�, — Existing building K New Building❑ Job � Ct`-7 �0 Address Street Address suite Building l 14 leC'/� ' J -j Data Bldg! CRY/state zen Existing Use of Building or Property: Name "m r Property -y-A6 c 110 Proposed Use of Building or Property: L X Owner Mailing Address Suite 5 A Nil P.o.Bel 151 No. Of Stories: Ctty/State Zip ' U-Kq r ')� 12 l'`��} cf''/ ' Sq. Ft, Of Prgjatt: p Name —' Yo'� Occupant 62 Y Occupcy Class(es) Name Contractor MA Toot4sv 1 G oN Type(a)of ConstrucVon Prior to permit Mailing Address Suits Issuance,a copy Will this project have a Fire Suppression System? of all licenses No, L-L3 p4 Yes ❑ No ❑ aro required if Clty/Siete zip Phone Americans with Disabilities Act ADA expired in C.O.T. �3 ( ) database PoeTLANO Caw 03-6449 Valuation X 25%=$ Participation Oregon Const.Cord.Board LIcA Exp.Date Complete Accessibilft y Form 29 i"'a Z. Project $ Name Valuation �� _ Architect Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back City/State ZIP Phone hereby acknowbdge that I have read this @Wk- tion,thst the Information given Is correct,that 1 am the owner or authorized agent of the owner,and Engineer Name that plans submitted are in compliance with Oregon State taws 18turo f Own gent Date Meiling AddrNs Suite Contact P on Nance Phone �L IL Clty/State (p Phone N __ --- FOR OFFICE USE ONLY Indicate type of work. New O Additlon O Demolition O MapIrI.A It! Accessory Structure O Foundation Only O Alteration O _m Repair O Other O Notes: a Description of work: W TIF: J Note: Sita Work Permit Application must precede or n^company Building Permit Application I:ICOMNEWTI.DOC (UST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Revi application, dor signature of the After plan review .. ►' additional plain;sets fbr distributiar,ipurp�ses. Washington Co '�t � '��1�►y► i t+t3 :�.; H:;..... TYPE CIFUIMET t`A<W KEY: :., S (Private) 1 S = Site W rl( B (New or Add) 1 B ,�;building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) L712- E = Electrical 9 & M ex P (New or Add) 2 N = New Building E: (New, Add, or Alt) 2 Ad = Addition B & F & M & P & E 3 Alt Alternation to Exisliing (New , Add) Building IL i g3orB & M (Alt) 1 *B & M & P (Aft) 3 *H & M & P & '(Alt) 3 _J M •B & M & P &E &F(AI#) 3 NOTES: 1Ad9t9\}om19\mAtrxcom.doc toWMI SUBJECT: ACCESSIRILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modificat;on to affected buildings and related facilities shalt be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations err disproportionate to the overall alterations in terms of cost and scope. (2) Altciat?ons made to the path of travel to an adered 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. (1J$ multiply: 25% Barrier removal requirement. 25 BUDGET FOR BARRIER REMOVAL [21$ In choosing which accessible elements to provide under this;section, priority shall be given to those elements that w.11 provide the greatest access Elements shall be provided in the folirming order: (a) Parking $ (b) An accessible entrance- (c) ntrance(c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: (e) Accessible telephones: $ r (f) Accessible drinking fountains: and $ 3 ' (g) When pcs.-�iljle, additional accessible elements such as storage and alarms: $ TOTAL: Shall a uq al line 2 of Value Computation $ i s\dsts\forms\access.doe CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99-0048 13125 SW Hall Blvd.,TIP0,OR 97223(503)6*4171 DATE ISSUED: 01/25/99 PARCEL: 19133AD-16200 5TTF ADDRESS. . ., : 1 2700 SW NORTH DAKOTA ST #100 SUBDIVISION. . . . :PFS 1995-073 ZONING:C-P BLOCI:. . . . . . . . . . . LOT. . . . . . . . . .. . . :003 .JURISDICTION: TIG Project De scr i pt i on: Electrical for anew wall sign. -----RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF" OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/I RR I GAT I ON. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 1 LIMITED ENERGY. . . . . : 0 401 _. 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . ... : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - - ---SERVICE/FEEDER---- ------BRANCH CIRCUITS--------- ---ADD' I_ INSPECTIONS -- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 ='01 - 400 amp. . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . : P EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 -- 1000 amp. . . . . : 0 --------- REVIEW SECTION------------------ 10004- amp/volt. . . . . : 0 ) m4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : C!_ASS AREA/SPEC OCC. : Owner: ------------------------------------ -------------------- FEES PASTA VELOCE type amoi_rnt by date rer.pt 12700 SW NORTH DAKOTA PRMT $ 40. 00 GEO 01/20/99 99-•312312 TIGARD OR 97223 SP('-'T $ 2. 00 GEO 01/20/99 99-312312 Phone #: Contractor: -•-----_--_--_-_--------------- JJ SIGNS t 42. 00 TOTAL 5715 SW 171ASADENA DRIVE ------- REOU I RED INSPECT. --- F,CJRTI..AND OR 97219 Elect' 1 Service r1hone #: 246-0r N4 Elect' I F1,;": Reg #. . : 106183 This permit is issried subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applit_o 1C 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 lays. 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 DAN 952-001-1987. You may obtain a copy of these rules or direct questions to OLI C by calling (503)246-1987. F'a f-m i.t t e e Signature : �i!!)yA_.__ I s s i.r e d By N -----------------------------OWNER INSTALLATION ONLY-------------------------------- The installationis being made on property I own which is not intended for sale, lease, or rent. OWNER' S S I CNATtIRF: DATE: INSTALLATION ONLY–--- ---------- ----__.______ � SIGNATURE OF SUPR. ELEC• N: ~�014—* DATEt LICENSE hO: 7 ; t++++-+i-+++4-+++4-+4 4-4-+-4.....4-++#................................................. Cal ; 639--4175 by 7:00 p. m. for- an inspection needed the next business day ++++++++++t+t+-Fi+t++t+4•.t++.+......++++t+.#+Ft++4...+t+++t++t.+... ............. CITY OF TIGARD Electrical Permit Application Plan Check 0 13125 SW HALL BLVD. Recd By _ TIGARD OR 97223 Date Recd Data to P.E. Phone(503)639-4171, x304 Inspection (503)639-4175 Print or Type PetneTMtoDST_ s Fax(503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4, Complete Fes Schedule Below: Name of DevelopmeW A Number of Inspections per permit dlkmed Name(or name of business) P -� L/ L1(��1 Service Included: Items Cost Sum Address / 2-700 6 (� �7/1 04 V TA 4s. Resldentlel-per unit 10sq.fl,or less $110.00 _ 4 City/State/Zip �I U AQ••-0 f U� 00_ _ Each additional 500 sq,ft.or - Commercial Residential❑ Limited Energy thereof portion l $25.00 1 =?5.00 Each Manuf'd Home or Modular Dwelling Service or Feeder 468.00 2 2a. Contractor Installation only: (Attach copy o'all current licenses) 4b.Services or Feeders Electrical Contractor J. i . /LENS I /)G _ InMallauun,alteration,or relocation iv 200 amps or less $80.W 2 Address /.S- _��5k} U�-7UA DSC_ 201 amps to 400 amps -_ $80,00 2 City�UQ 7G.A rL V State P& _Zip 9-7,7111 401 amps to 600 amps - $120.00 2 Phone No. �2 V6o O 1-6Y 601 amps to 1000 amps $160.00 _ 2 Job No. Over 1000 amps or volts :340.00 2 Reconnect only $50,00 2 Elec.Cont. Lice. No.��'G Exp.Date� Q� OR State CCB Reg. No. YCA 9T Exp.Date 0 4c.Temporary Services or Feedws COT Business Tax filetNo. Exl-,.Datr4v Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n201 amps to 400 amps - $75.00 2 401 arrips to 600 amps - $100.00 _ 2 Over 600 amps to 1000 volts, License No.� Exp.Date� -`��1 .e."b"above. Phone No..;'V 6-_ U j-,8 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with purchase or service or Print Owner's Name _ feeder be. Address Each branch circuit - $5.00 2 b)The fen for branch circuits City _ State Zip without purchase or Phone No. _ _- service or feeder lss. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch cirruR $5.00 _- 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ Each pump or Irrigation circle $40.00 �" -�- 2 Each sign or outline lighting _� $40.00 _�{�- 2 3. Flan Review section(if required):" Signal circutt(s)or a limited energy panel,alteration or extension $40.00 2 Minor Labels(10) $100.00 2 Please check appropriate Item and enter fee In section 58. -- ` 4 or more residential units In one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 j _ Classified area or structure containing special occupancy Per hour $55.00 6 as described In N.E.C.Chapter 5 In Plant $55.00 uSubmit 2 sets of plans with application whore any of the above apply. 5. Fees: Not required for temporary construction servlcos. 5a.Enter total of above fees $ 5%Surcharge(.05 x total fees) $ NQ ICE Subtotal $ 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review ff re9ulred(Sec.3) $ NOT COMMENCED COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -• IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY +r TIME AFTER WORK IS COMMENCED. ❑ Trust Account 0 Total balance Due 4 I I iDSTSTCCab APP Rev 9/96 I CITY OF TIGARD BUILDING INSPECTION DIVISION MST • 2*Hour Inspection Line: 6394176 Business Line: 66339-4171 BUP _ Date Requested? AM ✓ PM_ BLD Locatioin ( a vU I -� Suite SOU MEC Contact Person _ Ph PLM Contractor Ph SWR BUILDING Ten UOwner ELC r Retaining Wall --T ELR Footing Access: Foundation ql 1, — FP8 Ftg Drain //�� SON Crawl Drain Inspection Noted: Slab SIT Post&Beam , Ext Sheath/Shear Int Sheath/Shear Framing _ ti Insulationkc Drywall Nailing y Firewall _ Fire Sprinkler On Fire Alarm Susp'd Ceiling -- — Roof MIs PASS PART FAIL - - — ING Post&Beam Under Slab Top Oiat u Water Service Sanitary Sewer Rain Drains _ - — Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL IL Service rK Rough In 1— UG/Slab U) Low Voltage Fire Alarm — Final m PASS PART FAIL ---- (� PitTE J Backfill/Grading —� Canitary Sewer Storm main [ ]Reinspection fee of$ required before next kvq*ction. 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 Date Inspector —Ext Other — Final PASS PART FAIL DO NOT REMOVE this inspection moor+d*om the fob este. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Nell Blvd.,TWrA OR OrM(609)69!)4171 CE:PTIFICATE OF 0':r-LJPANC Y POOR QUALITY ORIGINAL PERM 11 4. • • • • • + PUP99 -.0002 BEST REPRODUCTION AVAILABLE DATE IG yUED: 02/23/99 PARGE"L : 1 S 133AV- 168,00 ;ITE ADDRESS. . . : 1 700 SW NORTH DAKOTA ST #100 SUBDIVISION. . . . :PFS 1915 -173 ZONING:C--P BLOCK. . . . . . . . . . s LOT.. . . . . . . . . . . . . s003 JURISDICTION: TIL, CLASS OF WORK. -ALT TYPE OV- USE. . . -COM TYPE OV CONSTR II;5N OCCUPANCY URP. :A3 OCCUPANCY LOAD: TENANT NAME-. . . :PASTA VELOCE', Ppmarks : Repair t--bar cvil. inu ,ancl ►-tDi.nc:"atFd &CC0ustiCle tilt 90ffit CIFIC CREST PAP"rNE:RS t•.30 EASTSIDE ROAD HOOD RIVER OR 97031 ( Rhone M: Cuntrar•tors MARK JOHNSON PO BOX 12366 PORTLAND OR 97;-12 -0366 Phone #: 703--847? Reg #. . : 129582 Thin Ce► tificate U-arts ncumpancy of thn akhove referenced Building or portion thereof and confirms that the building hail been inspected for complianr.e with the State of Orgon rrr,.:�inity Codes for the group, oucupPnry, and usn under which the reFerenred permit vias ig,5upd. RIJIL..DING INSPECTOR Bu--TUING - FFICIAL FD ►-'*QST 1N r.C►NSpaCUOUS PLACE 0 W , CITY OF TiGARD BULDING INSP cCTION DIVISION f!AST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _Date Requested^ ��(� \M— PM_ BLD _ Location_ / ?�(� _ Suite —v _ MEC Contact Person _ Ph PLIIA `11�'-4D.31 Contractor Ph SWR BUILDING Tenant/Owner _T,�2� �i�e�e ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: t $D�� Slab .� SIT Post&Beam , Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall A-1Q Fire Sprinkler Fire Alarm 17 _ � '/C" l C ^tl Susp'd Ceiling Roof Q 4r Miso: Final P PART FAIL — LuilirelNo Post a Beam — Under Slab Top Out Water Service Sanitary Sewer rains r$—A8–S"*N PART FAIL _ Post ear Rough In ffift UELICAL amperePART — — Service _ fL Rough In UG/Slab _ Low Voltage r Fire Alami 5 Final PASS PART FAIL V SITE W Backfill/Grading Sanitary S_ver Storm Drain i J Reinspection f.3e of$ required before next inspection. Pay at City Ha:l, 13125 SW HaN SW Catch Basin Fire Supply Line i ]Please cRll for reinspection RF — ]Unable to inspect-no acme ADA Approach/Sidewaik Other Dam —' + —�- InsPeci,r Ext Final PASS PART F.^JL DO NOT REMOVE this Inspet tion rieaoo *om the doe aft. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 638-4176 Business Line: 639.4171 i BUP _Date Requested SLC Location O O uite MEC Contact Person Ph PLM Contractor Ph SWR 8l1 Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SON Slab _ SR Post S Berm Fad Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall " Fire Sprinkler Fire Alarm ;usp'd Ceiling _ Roof Misc: Final PASS PART FAIL PLUMNO Post&Beam Under Slab Top Out Water Service Senitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final RT FAIL ELEMIM d Rough In H UG/Slab U) Low Vohnge Fire Alarm m PART FAIL t7am W Backfill/Grading J - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Half, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:_ _ ( Unabis to kI no aoosea ADA AppOther Date Date //" q 4 _Inspector � Ex Final PASS PART FAIL DO NOT REMOVE this 1'ft d ftV0 sem. , CITY OF TIGARD DEVELOPMENT SERVICES F'I_.UMPINS PERMIT 13123$WHall 8K11p*ORO=(50)0401 7,EP.MIT 0. . . . . . . : PL.M99-0030 D+I'TF I SrUED: 02/12/99 171AF?CEL . 1 S 13 'A17 1 F,2.00 rr ADDRESS. . . s 12700 9W NORTH DAKOTA £T #100 " D I V I S I Ohl. . . . : Pr 19133-.073 ZONING: C-P OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :003 JURISDICTIONr TIG CI...ASSrOr WORK. . :ALT OARBPGE DISPOSALS. : A MOD 1L.E HOME SPACES. : (A T"I''E OF USE. . . . aCOM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 nCCUPANCY GRP. . :A3 FLOOR DRAINS. . . . . . e 1 TRAPS. . . . . . . . . . . . . . : +T STORIES. . . . . . . . a 0 WATER HEATERS. . . . . e 0 r'ATCH BASINS. . . . . . . : 0 FIXTURES---•---- - - - - -- LAUNDRY TRAYS. . . . . : 0 SF Rf1TN DRAINS. . . . . : 0 STNKS. . . . . . . . . . 2 URINALS. . . . . . . . . : . . 0 GREASE TRAPS. . . . . . . : P I-P )ATOP I1±S. . . . : 2 OTHER FIXTURES. . . . : 1 T1.IP/SHOWERS: . . : 0 SEWER LINE (ft) . . . : 0 WOTE'R CLOSETS. : 0 WATER LINE (ft) . . . : 0 DTSHWASHERS. . . . a 1 RAIN DRAIN % `t) . . . : 0 P�marks : Alteration to p11_tmbing for commercial .TI. No sinks cyan be moved from original location. New ice maker req+_rires indirect waste. Owner: FUES rnrIFTC CREST PARTNERS SCROLLS type amount by date recpz 911 OAK ST PRMT ! 138. 00 DE-..B 02;12/99 99-312'889 HOOD RIVER nR 97031 SPCT $ 4. 40 DES 02/IP/99 99-312881 r'hone #: r Contractor----------------------------------- n t F PLUMBING 1,1',16 N ALBINA PORTLAND OR 97217 Phone #: $ 92. 40 TOTAL Reg #. . : 000004 ----- -- RE011T RI`D I NSPEC:T I ON5 This permit is issued subject to the regulation centained in the T(-)p -o+at Insp Tigard Municipal Coder State of Ore. Specialty Crdes and all other RP/Pack f 1 ow Prev applicable laws. All work will be done in accordahce with Final Inspection IL approved plans. This persit will ekpire if work is not started within 181 days of issuance, or if work is suspended for more _ 0 than 190 days. ATTENTION: Oregon law requires you to follor rules r -Iripted by the Oregon Utility Notification Center. Those rules are C� sat forth in OAR 952-A101-KII through OAR 952-0011-Alllle. You may ja obtain copies of these rules or direct questions to OLK by calling J .-----•. �_.� _ _ ... IJ 1, .1; ed Thy : � _ ._ Rermit `pe Sigratl+rPQ__ __ lu + +.++++++++++•M++++++++.+++++++++i•+++4.++4 +4 #-4 4-44 +.4-++++4•f-++++-F + l-4-+++-1-++++++ ' ' Cal. 1 G39--4175 by 7:00 p„ m. for an insperon needed the next business day +++ ++++++++++i...+++++++++++++++*++i4•++4.4 41-4.4 ++++++++++++++4+++4 f-++++4+4 4+4 4.+ CITY OF TIGARD Plumbing Penult Application RM f 13128 8W HALL BLVD. Com.-nercial and Residential PACV a TIGARD,OR 97223 CAN Rasa (603)639.4171 0019 a P.E. — Print or Type on.to m Incomplete or illegible applications will not be accepted P'""'"s Ratan swa SWRf ,3 Nance of DweloprrrarrlPrajrct �+ Job "C' V,- LF, � a"�` o.00 Address aha.t sUl� t,-.bry 9.00 I 7Gtrj 'u Tib or Trdrslwwsr Comb. sA0 NWMai• 9.00 wC 61e54-t� P f P1j5,hO(15 101911MAW F 9"W Owner Maing Addran SUVA Disposal7— dty/So. ` ZIP Phone '�'l"v fraafrara 9. 1 R,'vtr rD�. 11011 stilt -633 �ao.or.i,IFlmo.sb,t r 9AO 3• 9.00 4- e.110 0coupant 644ah/MOMS SUVA WWW HwW O CWA(Mm V chic Idnd 9.00 an Poft mqwu a ave rrK rirarresl C4yl8bie aV Room Tray 9.00 U" 9.00 Name Fbduns(Sped7j) 0.00 Contractor m,'*v Adarese b&AD `C. 41 0.00 `I63L ►1. 000 pew to Parnrtl Cwtasta ZIP Phone -,01,00 30,00 e tarwe'soopp r+ U --) 3111-011 gn„a_ — tar 25.00 of al/Don nare Orem Cowl Cord Jc a I .DaN -- m*daa g 46 s' to ..IV-A ao 30.00 database Mm"Lk-f ExP. Ie vvaw each-eaaddMorrl tar 25.00 11401 •16_13 aln-1 q 1W 30.00 Slow k Drain-each addNlonsl,o0' 26.00 Amhlteel Mobile Nana Opace 25.00 or "Mp a aRR comwerd l back new pievad0n 6-I'm or / 2500 PwWW,Dwlaa Enpineer data i Zb Ph" Pw-anion DOWN. (MfPftn bneq'.-loss rew"a..par work b a. ower"wodorw: res..M. Now O ROM* 0 Replace ralwig, kW O No O AM W Connected lo s E' f Rdar" O comm«ow �Ev`^.<<. n _ --- C40M8ask+ 0-00 n AdOmW dalPUa+of work- Mv.ofnn ' I C d+vF r l i a Old &.74.A &OP'iP 7� Ile , f3tieNrrp Pkar' 40.00 i Pi.!(*� 1+ loc Q nxtAe 1 1• spadw RagrrwMd rrap.eaar 40.00 Am you capping,moving or iwpheinp any urea? Rah Drain.shote fainly dw.wp 30.00 You 8 Nv O Gre.ae Trope goo L K yes,sae back of form to Ind nate work parformod by C fi tt". FAILURE TO ACCURATELY RW3ORT FU(TUF(E haMYk a cinch Yr &QIJaMfY >2 S TDM Ye r WORK COULD RESULT IN IN IREASED SEWER FEES. "SUSTOTAL I adunwledge MM I have mad err applcallm 10 Vw Men gim is coned.to I am da www w arc wUsd.earl of Ow ow w.and till SURCHARGE J gni obm atbmftd an In awipares will 9man Mala Laws. D11WAhm of Ow"OLA O "PLAN"EVIEW isle OF RtMOTAL 3/f 7 TOTAL � CarAaQpet Peron Now P ao�fae d6$ + dp PraoOM Naa,wId ' 165%surwor "An Now Camnwcbd RuNdM a ragrrra puns wah bwW tc or dew''tram /q//1:•`� `�� and plan rr Mew rte,Rslp.n.pp.eec trNee • Accumulative Sewer Tally enAnt Name: )WS-7* 1/_ccor9- This 5'VVR* S 9 lddress: /.2 700 sof A(MrW t 4kor* This PLM#: PcM49 0.3 D I -ixture Value Previous Previous Credits Capped � :��s Fixtures New total New Value Capped off valueadded N ,dded As total Count off Ns court value values 3aptistry/Font _ 4 3alh-Tub/Shower 4 -Jacuzzi/Mirlpool 4 Car Wash Eacf Stall 6 -Drive Throu h 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 -Domestic _2 Drinking Fountain Eye Wash _ 1 Floor Drain/sink-2 ,nch 2 _ -3 inch 5 _ -4 inch 6 Car Wash Dm 6 Garbage Disposal 16 Domestic(to 3/4 HP C- mercial(to 5 HP) _32 Industrial jover 5 HP 46 Ice Machin&/ReM erator Drains 1 _ Oil Sep(Gas StationL_ 6 Rec.Vehicle Dump Statloo _ 16 Shower-Gang Per Head 1 _ -Stall _2 Sink-.-Bar/Lavatory 2 _ Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 L L Water Closet-Toilet 6 Q Urinal 6 j TOTALS U Total fixture values: /27 divided by 16 EDU 9 Nd C.YAA)Ga<' /i✓ 4 Gt C'e�rwT HISTORY _PLM# 96 -aa 3 7 EDU" SWR# 96-o:g 9p PLM# EDU# _ SWR# PLM# EDU# 7 SWR# 96 -0ay3 PLM# EDU# SWR# _PI-M# EDU# 4 SWR#96 PLM# v EDU# SWR# PL.M# 94 -p / EDU# S SWR# 96 -GD yPLM# EDU# SWR# iAdsWswrtaly.doc CITY OF TIGARD MECHANICPI- DEVELOPMENT SERVICES PF RM I T Ago I, 191BSWW",TbW4ORVW(0)04171 PERMIT #. . . . . . . : nFa'fF:. I551_IFD: 02/12/99 ITE ADDRC30. . . : 12700 SW NORTH DAA<OTA ST #100 PARCEL: 1S133AD-16200 ':UBD I V I S I ON. . . . : PP 1995-073 ON ;NS: C-fir BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 .10PTSDICTTON: TIG __---_--_..----------------------_-- CI W7`3 Or WORK(. . :ALT FI.001' FIJRN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . ICOM UNIT HFPTFRS. . : 0 VENT FANS. . . s 0 01'CIJPANCY GRP. . a A3 VI-NT;.) W0. APPI_r 0 VENT SYSTEMS: 0 !STORIES. . . . . . . . : 0 AOIK_ERS/COODWSSORS HOODS. . . . . . . : 0 FUEL IT 3 1 JP. . . . : 0 DOME:S. I NC I N: 0 :GAS 3-15 HP. . . . a 0 COMML.. I NC I N: 01 MAX INPUT: 0 DTU 15 30 !-IP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS^. . : 30-50 Hf?. . . . : 0 WOODSTOVES. . : 0 LAS PRESS'URE:. . . : M 50..1 IIF'. . . . : 0 CLO DRYERS. . : 0 NO. OF IJN I TS_----------- AIR HANDL TNG UNITS OTHER LIN I TS. s 0 TURN ( 1001; BTU: 0 <= 10000 c f m: 0 rms) nm"i.F TS. : S FIJRN )m100K PTU: 0 > 10000 cflm: 0 Remarks: Alteration to mechanical tc install gas lines to fixtures. Owners Ff_'ES PACIFIC CREST PARTNERS 3CHOLL.S tyle amount by date f recpt; 91 1 OAK CTREET PRMT ? 25. 00 DEP 02/12/99 99- 31,:'N!19 Hnon RIVER OR 97031 SPOT � 1 . 25 DEA 02/1.'/99 99-31FIS119 Phone #: n R. A HEATING & COOLING P. O. Box 1266 26. 25 TOTAL rnNDY OR 97055 PFione #e 000870 REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gain t_ii)P Insp Tigard Wnicipal Code, State of D-e. Specialty Codes and all other Mechanical Insp Applicable laws. All work will be done in accordance with F"ina1. Inspection approved plans. This pereit will expire if work is not started IL within IR days of issuance, or if work is suspended for Rthan 11W days. ATTENTION: D-egon law requires you to follow rules N adopted by the Oregon Utility Notification Center. Those -ules are r set forth ih DAR 952W!-W1 thrmlgh DAR 952-MI-IIBBP. Yia may 5 Obtain copies of these rules or direct questions to 01JNC by calling m J r'erm:.tte@ Signature : ++++++4-+•F++++++++++++++++++++++++++f t++++++++++++++++t++++++•h++ 'ef++++ti•+4+J Cral 1. 539--4175 by 7:001 p. m. For inspections needed the next business day 11-+++++++++•h+.+^F.+++t+++4+++.+...++}.... .+++++++++.+++++++++-1-}+++++.....f-++++f-++ CITY OF TIGARD Mechanical Permit Application man Ct"d f 40-13125 SW HALL BLVD. Commercial and Residential faced By TIGARD, OR 97273 Dae to P.E. —' (503) 639-4171, x304 Deb to WT Print or Type fes•/yon-V- .3 Incomplete or Illegible a plications will not be accepted c"'d 4W a melon Table 1A Mechanical Coda Prim Arr4 10,00 Addreas W �� eue.s f 1) Furnace to 100,000 BTU Iinduct ducts&vents 6.00 woo ZIP 2) Fumace 100,000 BTU+ r 9�t 12-L 3 including ducts a vents 7.50 (or nrne of awn«•) 3) Floor Fumooe Owner 7tj2ft vent 8.00 IlnpAddress 4) Suspended heater,well heater or floor mounted heater 6.00 5) Vent not included In appliance permit ZIP Ph" 3.00 _ ,e, 63( L941-Vb CHECK ALL 'Boller Heat Air Ian»(a nwWcf ) THAT APPLY: or Pup Cond Qty Price Amt Occupant Meq Address - 6)<3HP;absorb unit to 100K BTU 6.00 7)3-15 HP;absorb unit C111,00119 zry Ptrorr. 100k to 500k BTU 11.00 6)15-30 HP;absorb Contractor unit.6.1 mit BTU 15.00 VV0)30-60 HP;absorb N1 ►t unit 1-1.76 mil BTU 22,60 Prim b permit 10)>60HP;absorb unit Muanos,•Copy >1.75 MN BTU 37.50 ofso ..)21 ZIP 3 11)Air harOng unit to 10,000 CFM am 4.60 ftpkW In CCOT S .Board I is /�DOW 12)Air handing unit 10,000 CFM+ databaseArchlbct 13)Non-portable evaporate cooler 7.30 -' 4.50 or Means Address 14)Vent fan connected to a sin&dud 3.00 IS)Ventilation system not Included In Engineer rr/911010, DP Phone appliance permit 4.50 16)Hood served by mechanical exhaust Describe work b los done: 4.60 17)Domestic Incinerators New O Repair O Replace with like kind: Yes O No O 7.50 Residential O Corrmatdol f 15)Commercial or Industrial type krdne*w 30.00 Additional n or desair+N;m of work: 1 g)Repair uni s 1 h ��qLj 0015 Z��d '1'b F1X�c,rris 4.50 20)Wood stove a 4.50 Fa- 21)Clothes dryer,etc. W 4.50 Type of fuel: oil O natural gas O LPO O electric O 22)Other units 4.50 At n that I hmm�read this application,that the information 23)Gas piping one to four outk3b that the` ;ter or authorized agent of 2.00 th rs In Kanas 24)Moro than ti per outlet(each) w 60 J Signature of OwnerfAgent pate nMlnkn#)Permit Fee$26.00 SUBTOTAL S 1� W 5%SURCHARGE Contact Peso Name Phone PLA!:R VIEW 25%OF SUBTOTAL fired•.n ALL co n wclal permits only is OF �� `��3 L TOTAL 'S ContraC or Bow 6Wii11ption required "Residential NO re*Hms alta plan showk placement of unit I-Mnedrperm.doc rev 07/20M � I I i .�� t w i t► =tl ► PO Az ► n v ► cl f d - ► al h V� 3 � o n IL r � -44 d c r-` K � � f 1 i ' r O re 1r r C 3�' • CI W- • OF TIGARD DEVELOPMENT SERVICES PERMIT#DING. . . :PERMIT Mijoym 13125 SW Hall Blvd.,TkNA OR 97223(503)639.1171 DATE I SLUED a 02/18/99 PARCEL: 1S133AD-16200 LTTE ADDRESS. . . : 12700 SW NORTH DAKOTA ST #100 SUBDIVISION. . . . : PP1995-073 ZONING:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . e003 JURISDICTION:TIG ------------------------------------------------------------------------------------ REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :FPS FIRST. . . . : 0 sf N: Se Es Ws TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?---------- TYPE OF CONST. :5N . . . : 0 sf N: S: Ee W: OCCUPANCY GRP. :B TOTAL-------: 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE_. . . : 0 sf OCCU SEP. RATED: BSMT?: ME7Z?: REQD SETBACKS-------- REQUIRED-------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNTe 0 ft REAR: 0 ft FIR ALRMs HNDICP ACC: SEDRMS: 0 BATHS: 0 IMP SURFACC: 0 PRO CORR: PARKING: 0 VALUE. $: 0 Remarks: Changing nozzle coverage for new cook lint equipment - Ansul System. Owner: --- --------------------------------------------------- FEES ------•-------- PAS1A VELOCE type amount by date recpt 12701? SW NORTH DAKOTA PRMT f 25.00 DLH 02/18/99 99-313056 STE 100 5PCT $ 1. 25 DLH 02/18/99 99-313056 TIGARD OR 97223 FIRE $ 10.00 DLH 02/18/99 99-313056 Phone #: Contractor: ----------------------------- ME"TRO SAFETY AND FIRE INC 7055 NE GLISAN PORTLAND OR 97213 ------------------------------------ Phone #: 231-2999 • 36. 25 TOTAL Req #. . : 000636 --REQUIRED PC'T I ONS or INSPECTIONS—— This NSPECTIONS----- This permit is issued subject to the regulations contained in the Sprinh:t.• RouNh- Tigard M-micipal Code, State of Ore. Specialty Codes and all other Sprinkler F i r a l apilicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started _ rithin 190 days of issuance, or if work is suspended for more _ than 190 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-4010 through OAR 962-00101997. J You many obtain a copy of these rules or direct questions to OIK _ m by calling 16031246-1997. _i — — — Permittee Signature- i Issued By- 1 +++4-1++++++•F+++•4++++++++++++++ �4+++++++++++++++++++++++.f++.f++++++�+++++++++ Call 639-4175 by 7:00 F . m. for an inspection needed the next business day 4'+++++++++++++++++++++++++++++++•; 'f•F..++'+"+ f+++++ +++++++++.+..•y'�.4;' R a Protection Permit Application Plan N P-20 a, CITY OF TIGARD Commercial or Residential RWd By rbZ7 - 13125 SW HALL BLVD. Della PAWd TIGARD, OR 97223 Print or Type �� DOW to P.E. (503)6394171, x. 304 Incomplete or Illegible applications will not be aces Dar to DBT J��afC Pwn*• At trA 99- eaSra D D� cow Job Name of � Type of System(Complete A or B as applicable) srA U ad cxc 5-/r In Address Addm" A.)Sprinkler Wet p Dry [l a7M 51-o Nome Standp" Owner Mallfrpl Address MazaN O;vup-- Additional CkyAstaa zip Phone Information Denelty Name A1,5Design Mia T o Occupant Mailing Address K.Favor OU 5L.) C%'d' k4A4 CiyAstme zip Phone A.1) Sprinkler Pmol Veluatlon n 7l Szl-l09 _ Contractor N B.)Fire Alalrm �- (8p w*w or - U14 t=;rCE TNC. Alarm Coe1Peny) Mailing Addrea 1, 1Subn lal Shall Include Battery Calculations YES(3 Prior to pennk 7055 N U (I s Aa Sr. luuence,a city /� Zip Phone'SZ, C � � YES❑ or D V R. 7,? /-z 9 9 B.1)Flro Alarm Project Valuation : am required If State Const Cont.Board Lie.A Exp.Date expiredT J�'3 C.S/ 1-Z0-Zcx'O Project Valuation Subtotal(A i or B) Dep Name Permit fee based on valuation a� i Architect Mailing Address see share on baW 6%Sumharye $ Z5 CiyABtale tip Phone FLS Plan Review 40%of Permit : Describe work A.)New O Addkl"O Altaratlon r Repair O TOTAL /'0 ' D , to be dons: B.) Mod-10 he en.pride heads redonlPlana r"Wred: subrW three vale of plans.Inotudlrtti a vlok ft map and 1. 1-10 heads=!Vo pan.required 2. 11a=Pan review required tho Iooalion of the n..ras hydief 1 hereby offin a 1 09 thiel 10"i N Number of sprinkler heads: bS oonect t+st 1 ant the owner or stAlt c h l agent altats omm and that olim sulartlaed Additional Description of Work: ere inNo!- A-wMh aaM des. f:::i,(z IJ-t-i C'.0 k 819riature of OwrwrlAger Defta—�g IL An/Su t< s C p; A.)In Ex"Building New Building ❑ Q) Building contact P Phone Data B.) Comrrterdai Residential ° FOR OFFICE USE ONLY�3-:l3 i t 9 - 9 _m No.of stories: F3 ID u� W Sq.Ft: J Occupency cips Type of Conalnrdlon W t AJ S10k!Nk-t_9'L /Z6,�/ iAJ is\dsu\forms\ftresupr.doc 11/3/98 CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT F 5 1-150025.00 10. 1.25 36,26 1,501-1600 10.60 3 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,901 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13,00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 54.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9, ,000 80.50 32.20 4.03 116.73 1Q,001-11, 88,50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 8.50 39.4 4.93 142.83 13,001-14,000 1 41. 5.23 151.53 14,001-15,00x: 110. 44. 0 5.53 160.23 15,001-16,000 116.50 0 5.83 168.93 16,001-17,000 122.50 00 6.13 177.63 17,001-18,000 128.50 1. 6.43 188.33 18,001-19,000 134.50 3.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 .33 212.43 21,001-22,000 152.50 61.00 7. 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.5 68.20 8.53 247.23 25,00126,000 175. 70.00 8.75 .75 26,001-27,000 179 0 71.80 8.98 260. 27,001-28,000 1 .00 73.60 9.20 266.80 28,001-29,000 1 .50 75.40 9.43 273.33 vi r 29,001-30,000 3.00 77.20 9.65 279.85 J 30,001-31,000 197.50 79.00 0.68 286.38 m 31,001-32,000 202.00 80.80 10.10 292.90 w 32,001-33,000 206.50 82.60 10.33 299.43 .� 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 24.00 88.00 11.00 319.00 36,001-37, . 224.50 89.80 11.23 325.53 37,001-38, 229.00 91.60 11.45 332.05 is\dsts\forms\firesupr.iloc 11/5/98 N W t 3 19 . - Oa Q` 0 LL Q L . U TyQ9 �+ -`� � � cd ` R ` �,H '�1• 0 o � J r G - Gi ,. x .�.) Li a chi m '� V) JL � �y n u or Ula o � h Q N f= CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BiJP Date Requested s'?'99—.-,AM---PM _ BLD Location 2--IJLJ 10 suKe MEC _ Contact Person .-J in Ph �2 1l io' PLM Contractor Ph SVVR BUILDING Tenr+nt/Uwner rJS rLC `i I'00 C/O _ Retaining Wall EL&r Footing Access: .^� Foundation ' ' FPS Ftg Drain "7 -' SON Crawl Drain Inspection Notes: " Slab / 81T Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing I y7 A/S �� -� Axt g6gka ja AjtG . >iS Firewall FireSprinkler Fire Alarm Susp'd Ceiling Roof Misc: _ Final PASS PART FAIL PLU Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL, MECHANICAL Post RBeam Rough In Gas Line Smoke Dampers Final P T FAIL -ELECMM 0. Service - - - Rough In W UG/Slab } Low Voltage 5 Pqt4laffn AS PART FAIL U W $ rm _ -J Backfill/Goading Sanitary Sewer Storm Drain [ ;Reinspection fee of$_ required before next inspedlon. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ ( ]Unable to inspect-no access ADA ) �� Approach/Sidewalk Date s- � 9�_-Inspector ----' Ent Other Final PASS rAR7 FAIL DO NOT REMOVE this Inspection record from the job alto. CITY OF TIGARD BUILDING INSPECTION DIVISION MIT 24-Hour Inspection Line: 639-4176 Business Line: 639.4171 -' c� SUP _ Data Requested .5 / -.AM—,k--PM SLID _ Location_ -Mb I I ' OeL Suite MEC Contact Person Ph � �� PL!y Contractor �� Ph SINN BUI-L MO no Owner & ( Q� ELC Retaining Wall ELFt Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: -- Slab SIT Post&Beam Ext Sheath/Shear — Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof Mise: Final PASS PART FAIL PLUMSM Post&Beam Uoder Slab — $ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL -NINCIONICAL Post S Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL 4L Service -- -- Roug'j In — N UG/Slab _ Low Voltage Fire Alarm J_ 50 CD 1ASA PAP T FAIL — W —� Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hal!, 13128 SW Hall Blvd Fee Supply Line tch Basin [ )Please call for reinspection RE: [ ]Unable to'nspect-no access ADA Approach/Sidewalk Date �--D� InspectorIJaol ,�_ Ext Othe, — f anal PASS PART FAIL DO NOT REMOVE this Inspection r+sM+d hiam th0 j" sites.