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12700 SW NORTH DAKOTA STREET STE 180 08 b g1S V10)lV4 HiHON MS 001Z 6 0 W Q F— O 0 4cr 3. co O N O 04 W ^' 12700 SW NORTH DAMA STE 180 CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 8: BUP2000-00076 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 03/07/2000 PARCEL: 1 S133AD-16200 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 12700 SW NORTH DAKOTA ST i 80 FILE COPY SUBDIVISION: PP1995-073 BLOCK: LOT:003 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: M OCCUPANCY LOAD: 49 TENANT NAME: BARBS POSTAL SERVICE REMARKS: Tenant Improvament - Final Building Inspection and Certificate of Occupancy Approved 4/5/00 by Rick Bolen, buildha Inspect^r Owner: PACIFIC CREST PARTNERS SCHOLLS 1430 EASTSIDE RD HOOD RIVER, OR 97031 Phone: Contractor: SABRE CONSTRUC'rION COMPANY 7235 SW BONITA RD TIG�'.RD, OR 97223 Phone: 639-5151 Reg 0: LIC 000.12244 a a� a This Certificate grants occupancy of the above reverenced building or portion thereof and confirms that the building has been inspected for compliance with, the State of Oregon SpecialtyClad for the group, occupancy, and use under which the referenced permit was Issued. 1,1- 1 BUILDING INSPECTOR BUILDINY OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 <jjtJP Date Requested 44 S PM BLC Location �� Suite r _ r MEC _ Contact Person _. Y'C 1Y1�_ Ph -3 PLM Contractor _ n Ph SWR LDI Tenant/Owner l ,M►,�J .� 1.. i�Q.t ,� ELC Retaining Wull ELR Footing Access: FPS Foundation -- Fig 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 iWX Susp'd Ceiling RoofA/ � Misc ma ASS PART FAIL — MBIN(i - Post&Beam Under Slab _ Top Out Water Service unitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL _ ELECTRICAL IL Service _ aRough In N UG/Slab — r Low Voltage —! 5 Fire Alarm W Final a PASS PART FAIL _-- W SITE _^ Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE:_ I Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date S Inspector �--'-"— Ext l Other _ ---- Final PASS PART FAIL DO NOT REMOVE thla Inspection record *orn tho job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 V1 Business Line: 639-4171 � �Y BUP Da±e Requested �-- AM 1/" PM B Location a 7 1 > 1 Suite E � Q� 't'a007� Contact Person _ Ph 367Q PLM Contractor _ — Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wull ELR 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 �.-�i�C•O^ X/ V! Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post& Beam Under Slab Top Out —� Water Service _ Sanitary Sewer �'(� Rain Drains I Final PASS PART FAIL _ -- " ' Pos m — JRough In C..l��/`� --� y�L�-�• "� �/LA� as r — Srno eDampersx± _ C AS PART FAIL E CTRICAL ]`— d Service Rough In N UG/Slab _ — — Low Voltage Fire Aiarm Final PASS PART FAIL _--• ---- ----- -- W SITE Backfill/Grading -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Inspect-no access Fire Supply Line [ ]Please call for reinspection RE: ( ] ADA }�► Approach/Sidewalk Date Z l7� Inspector V V� Ext Other Final PASS PART FAIL DO NOT REMOVE thio Inspection record from Vile job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested 14 AM PM BLD _ Location 2-2 0 Suite•„�,, _ MEC Contact Pelson all Ph V .SS _ PLM Contractor Ph _ 8 _ BUILDING na Owner / 99AJ-9 (::E7LC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain 80N Crawl Drain Inspection Notes: Slab 81T Post&Beam —- Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Coiling _— Roof Misc: _ Final PASS PART FAIL — PLUMBING Post&Beam -- Linder Slab Top Out — Water Service _ Sanitary Sewer Rain Drains Final - PASS PART FAIL - MECHANICAL Post& Pearn _ ---- - — Rough In Gas Line - Smoke Dampers Final -- - PASS PAR-. FAIL 4 Service (� Rough In UG/Slab Low Voltage Fire Alarm r PART FAIL W -j Backfill/Grading - -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ — required before next inspection. Pay at City 1.1911, 13125 SIM Hall Blvd Catch Basin [ ]Please call for einspection RE: Unable to Inspect no access Fire Supply Line [ ] Pe ADA Approach/Sidewalk Other Date Inspector Ext Final PASS PART FAIL D N REMOVE this Inspection record from the job Me. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business L Ine: 639-4171 BUP Date Requested AM PM BLD _ Location �]t ')U 0 . suite Jam, ME 20co' odb �7$ Contact Person C?D✓ � _ Ph —yf7g3 �-).M' X Contractor �p Pcht�� SWR BUILDING Tenant/Owner iXfb5' a+n ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: Slab SIT Post&Beam r E)t Sheath/Shear Int.heath/Shear Framing _ Insulalian Drywal Nailing Firewall !{ Fire Spn..ikler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Post R Beam Under Stab Top Out - Wate; Service Sanitary Sewer R ' rains PART FAIL Post& Beam Rough In Gas Line — Dampers PART FAIL trIECTRICAL 4. Service _ a Rough In F— UG/Slab _ N Low Voltage Fire Alarm J Final m PASS PART FAIL SITE J Backfill/Grading —`�---- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:` [ ]Unable to Inspect-no access ADA Approach/Sidewalk late ^ ff Inspector rL2 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF T I CSA R Di PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT 4: PLM2000-00089 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-+4171 DATE ISSUED: 03/22/2000 S11 E ADDRESS: 12700 SW NORTH DAKOTA ST 180 PARCEL: 1 S133AD-16200 SUBDIVISION: PP1995.073 ZONING: C-P BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF VSE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: It DISHWASHERS: RAIN DRAIN: ft Remarks: install 1 new lavatory and 1 new water closet io existing commercial building. SWR2000-00051 No change in EDU count. Owner: FEES Type By Date Amount Receipt PACIFIC CREST PARTNERS PRMT BON 03/22/200C $13.00 0000849 1430 EASTSIDE RD INSP BON 03/22/20CC $50.00 0000849 HOOD RIVER, OR 97224 5PCT BON 03/21/200( $5.84 0000849 Phone 1: Total =78.84 Contractor: KSM PLUMBING INC 1842 BARNES CIRCLE WEST LINN, OR 97068 REQUIRED INSPECTIONS Phone 1: 503-657-0010 Top-out Insp Reg 0: LIC 141154 Misc. Inspection PLM 34-366PB Final Inspection OR101" INAL a o� m This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes dnd all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started witl;in 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 se,- forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 245-1 Issued By: x ""ilk Permittee Signature: Call(303)639-4175 by 7:00 P.M.for an Inspection needed the next buslinooss day CITY OF T,IGARD Plumbing Permit Application Plan Check a 3 -16 C 13125 SW HALL BLVD. Commercial and Residential Recd By- TIGARD, OR 97223 Date Recd 3 ji.r- p3 (503) 639-4171 Date to P.E. Print or Type Date to DS Incomplete or illegible applications will not be accepted Permit 9--��- -g�3 9 - Related SWR IZ'?Oct:(x15/ Called Name of D /evelopment/Project FIXTURES (Individual) QTY PRICE VT Job �� -YDS i?,--5,4, / Sink _ 11.50 Address Street Address Suite Lavatory 11.50 11,4c) 5(/ i1L'!'A I bo Tub or Tub/Shower Comb. 11.50 Bldg 0 City/State Zip Shower Only 11.50 °�'� Water Closet11.50 Name 1 P.."f Urinal 11.50 Owner Mailing Address /I Sufte Dishwasher 11.50 1q'4'2f�s��� IM, Garbage Disposal 11.50 City/State ZI Phone Laundry Trey 11.50 riff /�I�QAy,r 70V N - / Washing Machine/Laundry Tray 11.50 2r`/Jf p'511 / Floor Draln/Floor Sink 2" - 11.50 Occupant Meting Address Suite 3" 11.50 4" --- 11.50 City/State Zip Phone - Water Heater O conversion O like kind 11.50 Neme� Qt- Gas i i revires a se crate mechanical rtnR. MFG Home New Water Service 32.00 Contractor ailing Address Suite MFG Home New Son/Storm Sewer 32.00 c &,X L96cuos Hose Bibs 11.50 Prior to permit City/State Zip Phone Roof Drains 11.50 Issuance,a copy e(44 4 D p IL &S �� v Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Hoard Lia* p. a e x 1�-,J -- required If , fl Other Fixtures(Specify) 15.00 expired in COT Plumbing Lic.# Exp.Date -drlabase j� ;�p # Name Architect Sewer-1st 100' - 38.00 or Meiling address Suite Sewer-each additional 100' 3230 Water Service-1 at 100' 33.00- Engineer City/State Zlp Phone Water Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1 a 100' 38.00 New*- Repair O Replace with like kind: Yes O No O Storm 6 Rain Drain-each additional 100' 32.00 -Residential O Commercial Additional description of work: Commerdel Back Flow Prevention Devito 32.00 Residential Baddlow Prevention Device' 19.00 I, Yie ) ��`-` Catch Basin 11.50 IL Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Speclally Requested r 50.00 pA YRs O No 9(lIns lions MINper/hr- 9C F- If yes,see back of form to Indicate work performed by Rein Drain,single family twelling 45.00 fixture. FAVIR6 TO ACCURATELY REPORT FIXTURE - - r Grease Traps 11..0 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL J I herebycknowIsometric oh ledge that I have read this application,that the Information r riser diagram ukad If Quant Total Is >9 ED given iatorrect at I am the owner or authorized agent of the owner,and that ars s fitted are compliant; with Oregon Stale Laws. 'SUBTOTAL W Sig to w ant Dat SOU 656 SURCHARGE taCt"Pirs66 Name Pho a l e, %G i lo�S•7�� -PLAN ktE�;M!U 26%OF SUBTOTAL R uked only b flxkxe qty.IoW Is>9 TOTAL 9 •Mlnirnt„z,;-mitt faa H 1.50+a%surchw9e,ex osp R"WrMlet Backflow Premition Device,which Is 125+a%surMarye Aa Now Commercial Bulldlnps require d it with'somet. or riser d4garn and plan review. I1dslsVorrnslpkxr.app doc 11/1 W9 PLEASE COMPLETE: FIX, r'e T Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet UrinaL— Dishwasher _ Garbage Disposal___ Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" f _ J" 4" Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: C _ i 1 I I I%ds tmv4*mWpdoe 1vteM9 Accumulative Sewer Tally Tenant Name: bs o5 4 This SWR# SSR �doo ..00-) Address: 11100 Sw NOeT f4 QA i, oTA STE 1$O This PLM#:_ H a0- 060 P1 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New a Value Capped off value added 0 added #s total Count off Rs count value values Se list /Font 4 Both-Tub/Shower 4 -JacuzziM ik1pool 4 Car Wash-Each Stall 6 -Drive Through 16 Cus idorlWater Aspirator 1 _ Dishwasher-Commercial 4 - Domestic 2 Orinking Fountain 1 Eye 1 lash 1 Floor DrairVsink-2 inch 2 -3 inch 5 -4 inch 6 - -Car Wash Dm 6 Garbage Disposal 16 -Domestic to 3/,0 HP -Ccornmercial to 5 HP 32 -Industrial(over 5 HP 48 Ice MachMe/Retrigerator Grains 1 Oil Sep(Gas Station) 6 Rea Vehicle Dump Station 16 Shower-Gang(Per Head) 1 -Sta:l 2 Sink-BarAAvatory 2 -Bradley r 5 -Commerchil 3 -Service 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 p Water Closet-%4,t 6 — Urinal 6 _ cc 1371 TOTALS L� M Total fixture values:_1 7 s divided by 16 = 0(O EDU '- q No e W tIeI C 114 D'A C 0 U JwT HISTORY PLM# q9-00030 EDU# 9 SWR# Qy'_ qo3 PLM# 910- 0021EDU# S SWR#9 -UQ PLM# % _°9'3.7 EDU# y SWR#q(,- o 396 PLM# EDU# SWR# PENIA t,-Gi.2 EDU# -7 SWR# 6- O Q Y3 PLM# _ EDU# SWR# P� %-o /o EDU# � SWR# _ o�/ PL`A� EDU# SWR# imstswwrtay.doc CITY OF T I G A R DELECTRICAL PERMIT DEVELOPMENT SERVICES NtATEISSUED:RMIT 3%6/00 -001 8 13125SW Hall Blvd.:TlAard. OR 97223 (503)839-4;j�`� PARCEL: 1 S133AD-16200 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 SUBDIVISION: PP1995-073 ZONING: C-P BLOCK: LOT : 003 JURISDICTION: TIG Prolect Description: Installation of one service of 200 amps or less and 8 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANE HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 8 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REV�EW SECTION 1400+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>a 225 AMPS: CLASS AREA/SPEC Owner: Contractor: PACIFIC CREST PARTNERS SCROLLS BEAR ELECTRIC 1430 EASTIDE RD P O BOX 389 HOOD RIVER, OR 97031 DONALD, OR 07020 Phono: Phone- 503-678-1355 Reg 9: LIC 20919 ELE 24-107C SUP 3162-5 FEES _ Required Ins ections Type By Date Amount Receipt Elect'I Service PRMT DEB 3/16/00 $106.97 0000690 Elect'I Final SPCT DEB 3/16/00 $8.56 0000690 Total $115.53 This Permit is issued subject to the regulations oontained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws. IL 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 Iwork Is R suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those H. rules are set forth in CAR 952-001-0010 through OAR 952-001-0080. You may obtain oop!is of these rules ordirect questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE -! ISSUED C! _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPF. ELEC'N: APR DATE- LICENSE NO: ffW-I J _— Cali 6394175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Fun 13125 SW HALL BLVD. Recd B na TIGARD OR 97223 �0 RECEIVED Deft Rec'd �Q-�i/-oG Phone(503)639-4171, x304 r0 Date to P.E. �,,,/� MAR 14 2000 Date to DSTInspection (503)639-4175 bj POO Print of Type Permit 0'01.6&1a0�G�/��' Fax(503)598-1960 Incomplete or Illegible=wipjNMiil djWi YIENT Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per immmit Mowed Name(or name of business) 8&4 PL%&S Service included: items Cost Sum Address 12700 SW .Lbal, 0&k Z&. t j C�� 4a. Reekfentlal-per uMt City/State/Zip Tlanv�0_ otQ `1 7123 1000 sq.R.or lose E 117.75 4 -�- Each additional 5W sq.ft.or portion thereof i 2.8.25 _ 1 Commercial Residential❑ Limited Energy _ i 0e.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder _ g 72.75 2 (Prior to permit Issuance,applicants must provide contract1W 116ense 4b.Services or Feeders information for COT data base). Installation,cheration,or relocation Electrical C ntfactOr jot&Q 200 arrrpa or less -�-- g 64.25 • Zg 2 Address Goy( SR.? 201 amps to 400 amps g 85.50 2 Clt}i pyo p( -State 0 Zip401 amps to 800 amps S 128.50 _ 2 _ 70 7-Q 601 amps to 1000 amps g 192.50 2 Phone No 79 I Over 1000 amps or volts g 363.75 2 Job No._ _ _ Reconnect only _ g 53.50 2 Elec. Cont. Lice. No.�?+1- 107 r, Exp.Date p-pI-0 v 4c.Temporary Servlcae or Feeders OR State CCB Reg.No. 2 091 g Exp.Date g-2o-D� Installation,alteration,or rolocalton COT Business Tax or Metro No.�Z Exp.Date.�_I�O f 200 amps or*as _g 53.50 2 201 amps to 400 amps g 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps g 107.00 2 Over 600 ampe to 1000 volts, License No._ S p.Dete L -0 I O too"b"above. Phone No. 4d.Branch Circuits New,alteration or extension per panel a)The fee for branch circuits dO 2b. For owner installations: whir pinehase of savlce or �a g feeder fee. Print Owner's Name Each branch circuit _ g 5.35 L� 2 Address b)The fee for branch circuits without purchase of service City State_ Zip or feeder fee. Phone No _ First branch circuit __ s 37.50 Each additional branch circuit g 5.35 The installation is being made on property I own which is not 49.Miscellaneous intended for sale,lease or rent. (Sorvlcz cr feeder not Included) En,9r pump or irrigation circle g 4175 Owner's Signature _ Each sign or out1rre lighting g 42.75 Signal circult(s)or a limited-snergy 3. Plan Review section if required):*d :* panel,alteration or extension $ 60.00 2 �• Minor Labels(10) 9 107.00 0 Please check appropriate Item and enter fere in section 58. 4f.Each additional Inspection over -4 or more residential unds in one structure the aflowable in any of the above Service and feeder 225 amps or more Per Inspection g 50.00 3 Per h)ur g 50,00 _ System over 600 volts nominal In Plunt i 59.00 Claea'.6ed area or structure containing special occupancy as - -- described in N.E.C.Chapter 5 5. Fees: 1070 6a.Enter total of above fees g " Submit 2 sets of plans with application where any of the above appy. 5%Surcharge(.Wk total feeq Not inquired for temporary construction services. Subtotal S 6b.Enter 25%of line Be for NOTICE Plan Review it r t,tW(Sec 3) S $- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal g IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account AT ANY TIME AFTER WORK IS COMMENCED Total balance Due �� s i\dsls\Firms\electric.doc CITY OF TIiGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC2000-00078 A IM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE'*ARC L: IS13 2000 ARCEL: 1 S133AD-18200 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 SUBDIVISION: PP1995-073 ZONING: C-P BLOCK: LOT:003 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN <100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <=10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Providing and installing five supply and one return off the existing R.T.N. and one bathroom exhaust fan. Owner: FEES �PACIr'C CREST PARTNERS Type By Date Amount Receipt 1430 F-kSTSIDE RE' PRMT BON 03/10/20( $50.00 0000588 HOOL RIVER, OR 97031 5PCT BON 03/10/20( $4.00 0000588 Total $54.00 Phone: Contractor: ROTH HEATING ROTH ZACHERY HEATING INC PO BOX 1265 REQUIRED INSPECTIONS CANBY, OR 97013 Duct Inspection Phone:503-266-1249 Final Inspection Reg#:LIC 00014008 ORIGINAt This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work, will be done in accordance with approved plans. This permit will expire if work is not started within 980 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fol;ow rales adopted In the Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080. You may o7�- copies o these rules or direct questions to OUNG (ling (503)246-9189. Permittee SI nature' ..- ' Issue By: Aittakle" L— g Call(503)639.4175 by 7:00 P.M.for Inspections needed the ns usiness day Plan Ch e CITY OF TIGARD Mechanical Per-nit ApplicaCon Ree'a ayJ � 93125 SUV HALL BLVD. Commercial and Residential Dat.Recd --10--Z4W TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Daft to DST_ Print or Type Perm't"' `-� AL Incomplete or illegible applications will not be accepted Called '-'- ra oevolml vPropa Description 6 is Q r ri let Table 1A Mechanical!Coda OTr PMCE Alar Job sees.Adores sue.. A) Part Fee 10.00 Address /a'#-o V s w k64, 1-.)ht, (� eases cey(seaa ZIP 1.) Fumrr:i to 100.000 STU 6.00 r o r d 9? s'y (read ducts A vena Name to name of buen 2.) Furnace 100,000 BTU* 7.50 Owner c r 6-e c,/ r loclu"ducts A"M elna Adarean 3.) Floor umace 14 .��,..�r�I ( P< 6.00 . vent _ ' A,v3i zip Phone 4.) Suspended heater,wad heater 6.00 or fbor mouniled heater P*IM ter nein of anneal 5.) Vern rat included in appflenoa permit 3.00 Ar i r ',.Q Occupant Me"AdO1°a' 6.) boder or camp,heel pump.air Gond. 6.00 /,;P 7 o c No r-4-_ D.ic o 4 _ to 3 HP; lit:eorb unit to 100K BUT" Cowsuft Zip Phones 7.) Roder or coM heat pump.air Gond. 11.00 1, e-. 2 7_q1 3-15 HP;absorb una Iq SM BTU`" Contractor kerra 6.) Boder or comp,heat pump,air eon d. 15.00 (Prior to �.� 0e C.>_'r� 1530 HP;absorb unIL5/mil STU- issuance Mame Aedreu 1 9.) Guiler or comp,heal pump.air Gond. 22.50 appdcent apo ^ I 30-W HP;absorb unit 1.1.75"STU- must provide ad C Prone -i 50.) Bodr or romp,heal pump.ak oond. 3:.50 comrsctor C1n d O e 7-4011 2" 17 g 2,50 HP;absorb unit 1.75 and BTU" kw" a.son Coa Cas.Board Lit a Exp.Dei. 11.) Air handling unit to 10.000 CFM 4.50 infommhon IY0 08 9-/?-abo o fbr COT co a a(aero r case 12.) Air handling unit 10,000 CFM 7.50 database). Ac- Architect HaRfe 13.) Non1wrtabie evaporate cooler 4.50 or D"V Addrasa 14.) Vent ten connected to a single duet &W Engineer Cwyrstfte 15.) Venttlatfon system not inqudad In 4.30 ' awe (mit Describe work New O Addition O AftrafionX Repair O 16.) Hood carved by nxschanfau exhaust 4.50 to be done Residential O Non-residential O Additional Description of work 17.) Dornestic tncinerston 7.50 yruvi .0 C�nc! i.-SWI S S�Splr nVd One r#4.jrv% 0 FF' 4-14 er i 5.1 Q-Tu . 1 Mk.. V'06, es,.1,.,,s} 16.) Commercial or industrial type 30.00 Fano- Incinerator Existing use of 19.) Repair units 4.50 building or property + 20.) Wood stove 4.50 fZ use of building Proposeor property ��� Se ry, 4- 21.) Clothes dryer,eta _490- 22.) Other unite 4,50 N Type of fuel-oil O natural ges)6 LPG O electric O 23.) Gan piping one to four outlets I 200 LI hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) 10 m information 9°ven is correct,that I sm the c+wner or authorized agent of a Oe owner.that plans submitted are in compliance with Oregon State CITY.SUBTOTAL W IBM. _l Sigrnatu of 0w1111e11�,Int Daft 'SUBTuTAL 50 t� V_�K SURCHARGE 00 S,kre car; 1 (ob-/2 Contact Person Name Phone PLAN REVIF3Af 25%OF SUBTOTAL __ TOTAL J 0-0 i.WstVnf:chpmt.doc (rev 9 'Minimum permit fee is$25*5%surrliarta "Residerntlal A1C regiW ani pen showing pus ym of;roil. 'CITY OF T I GA R D BUILDING PERMIT PERMIT 0: BUP2000-00076 DEVELOPMENT SERVICES DATE ISSUED: 03/07/2000 13125 SW Hall Blvd..Tigard.OR 97223 (503)639.4171 PARCEL: 1S133AD-16200 SITE ADDRESS: 12700 SW NORTH DAKOTA ST 160 SUBDIVISION: PP1995-073 ZONING: C-P BLOCK: LOT: 003 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 2.090 sf N: s: E: W: TYPE OF USE: COM SECOND: of PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 49 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP.RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORK: PARKING: VALUE: $ 23,000.00 Remarks: Commercial tenant improvement Owner: Contractor: PACIFIC CREST PARTNERS SCHOLLS SABRE CONSTRUCTION COMPANY 1430 EASTSIDE RD 7235 SW BONITA RD HOOD RIVER, OR 97031 TIGARD, OR 97223 Phone: Phone: 639-5151 Reg 9: LIC 000329A4 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PRMT BON 03/07/200( $244.25 0000506 Framing Insp Gyp Board Insp 5PCT BON 03/07/200C $19.54 0000506 Susp Celing Insp PLCK BON 03/0712000 $156.76 0000506 Final Inspection ORIGINAL FIRE BON 03/07/2000 $97.70 0000506 Total $520.25 a This permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable law. All work will be done in accordance wide approved plans. This permit will expire ifwork is ca not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ao 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Pe rmitee Signature: Issued By: Call 6394175 by 7 p.m.for an Inspection the next business day CATY OF TIGARD Commercial Building Permit Application 13125 SW HALL BLVD. Tenant Ir,,provement Recd By TIGARD, OR 97223 D$ Roca )� Dale to P.E. (503) 639-4171 oat.� Print or Type '� P®mrn. — y6 Relabd SM s Incomplete or Wegibie applications will not be accepted Casa Nome of Devabprtenf/Prolact girJ F Existing Building New Building .JOb d-} P� Y.,I S,--"c- Address Street Address �s sone ( Building 0 2,17 0 0 5h.)No f t. l Pa Dato _ -- BlaorCity/St•te —i zip Existing Use of Building or Property: Name '�4�I"�� �►fAras 'rli0 Proposc+d Use of Building or Property: Property i�drCr'�a� e�c '>I" Pari«-s��' Owner MAilinp Atldres• su1M Y�E., n"J,• !il o. Of Stories: City/•/•State Zip Phone a cf Rr v er 7 0S -b 3Sj Sq. Ft. Of Project-' roject �- Occupant Nance - _.� x oyo d �_ Occupancy Class(es) Name Contractor Type(s)of Construction Prior to permit Meiling Address Suite _ _ _ '1 Issuance,a copy .., Q- 1 Will this;project have a Fire Suppression System? of an licenses 7 z 'f�'t 1'4-- _ Yes, _ NO are required if City/State zip Phone Americans with DisablfHes Art ADA) — database 0,000s, 1,72V / -SIS1 Valuation X 25% =a Pafticipation/71 Oregon Const.Cont.Board Lic.11 Exp.Date Complete Access ihil Form _ Name Valuation Architect <044-t_ Plans Required: Sep Matrix for number of sets to submit Mailing Address Sun@ on back City/&late zip Phone I hereby acknowledge that I hove rood this application,that the infomutlon phren Is correct,that 1 am the owner or outhortred agent of the owner,and -Engineer Name that plans submitted are In compliance with Oregon Stste Le". Spnatu nntt,t Date '2-' Melling Address Suits — L p, rontilE Person Nome Pho a 0' Phone /s f City/State IIP ? '� � FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition C Map/TLR Land Use: m Accessory Structure O Foundation Only O Alteration O Repair O Other O — „ Notes: -- W Description of work: -J _ J �- TIF: Al tM!-T std H I Q �i(t`S�,''►S 5 cAL Note: 81%Work Pennit Application must procede or accompany Building Permit Application 1:%C0MNEWTI IMC (DST) SW COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX S (Private) S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) F = Fire Protection System M (New or Add or Alt) M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or 2 E = Electrical B & M & P w or Add) 2 New = New Building E (New, dd, or Alt) 2 A = Addition 8 & & M & P & E 3 Alt emation to Existing New , Add B ing J IL a f- _J m W J NOTES: I:WstsvormsWatmoom.doc 11117199 �rfiFrs cot� ,i� I I\ ` r ` 1 I j c L,t-j L 2 i dr- --_ _ - CITY (?f TICS •. .. . ........... ............. 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