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12744 SW NORTH DAKOTA STREET 1S viouva HiHON MS "M �o � o � s Q c� ,02 = d Q z Q, 3 � CD 12744 SW NORTH DAKOTA ST 14L2$L2$ This HISTORICAL/RESEARCH LNFOR_H ATION is being provided for clarification: Addresses were changed in the beginning of the project and there was a lot of confusion as to how inspections were being called in and where they were data entered in POP and what address they were filed under. This infonnati3n sheet is being filed in all the below address files. MLP94.0013(a3 12730 NORTH DAKOTA 3DR94-0014 @ 12730 NORTH DAKOTA ENG95-0026--HALF STREET IMPROVEMENTS CPA9)-0002- 12580 SCHOLLS FERRY CPA95-0005-12580 SCHOLLS FERRY SIT94-0029 SITE PERMIT ISSUED @ 12730 NORTH DAKOTA There a;e(3)addresses attached to this site PC rr�it; �t00/�273Q/12744 BUP95-0039/BUP95-0038 i25 112580 SC�CHHOLLSS FERRY RRRYY�RD-DEMO PERMITS 12559 File contains documentation regarding septic pump/fill 12700 NORTH DAKOTA- Rup95.0075/Shell (this address has numerous suites) 127.30 NORTH DAKOTA-Bup95-0025/Shell (SORRENTO VET CLIAIIQ 12744 NORTH DAKOTA- Bup95.0026/Shell (KLY BANK) 1:/Building/JeannelemplelMLPS400 i 3 IL F— W� J CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SUP96--0510 13136 SWNaNBlvd. DATE ISSUED: 09/23/Sb Tlpuvl,O►vpo� 8223+l111i (603)639-4171 PARCEL: 1 a 133AD .-16000 £;ITE ADURLSS. . . : 1,:--'744 SW NORTH DAKOTA ST SUBDIVISION- -- MLF194-0013 ZONING.0-F' BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :12)01 RE I SSIJL: FLOOR AREAS------ --- EX'TER I OR WALL CONSTRUCTION- CLASS OF WORK. :QTR FIRST. . . . 3 0 sf N. S: Es W: TYPE OF IJSE. . . :COM SECOND. . . : 0 sf PROTECT OPENINrS?----------- TYPE OF CON GT. :`1N . . , Q+ sf N: S: E.- W: OCCUPANCY rRa. : ? TOTAL - -- -: 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. s 0 s f AREA SEP. RATED: 5 F'OR. : vi HT: 0 ft GARAGE. . . : 0 s t OCCU SEP. RATED: BSMT'': ME:Z Z?: REQD SETBACKS--------- REQUIRED----------------_-- FLOOR LOAD. . . . : 0 nsf LEFT: 0 ft RGHI : 0 ft FIR SPKL: SMOK DEW. . : DWELLING UNI-15: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 16 IMP SURFACE: 0 PRO C;ORR: PARKING: 0 VALUE. $ - 0 Remarks : Inst alIiny N'ITM machine Uwner. --------------------------------------------------------- FEE'S -------------- KEY DANK OF OREGON type amol-:nt by date recpt 1323 34TH AVE EAS1 PRMT $ 74. 50 B 09/18/96 96-284095 PLCK f 48. 43 B 09/ 18/96 96--284095 TACOMA WA 9842x► 5PCT $ 3. 73 B 09/18/96 96-284075 Phone #: 206-5-?1 -612126 Contractor: ':AGLE. GROUP INC, THE 747 ST HELENS G)TE 402 TACOMA WA 9640c: ------.__-----___....._---- Ph on e #: 222-9071 f 126. 66 TOTAL Reg #. . . 086382 ------- REQUIRED INSPECTIONS -- - - -_- This permit is issued subject to the regulations contained in the Framing Insp _ Tigard Municipal Code, State of Ore. Specialt,l Codes and all other I n s i_i 1 at i on I n s p -- apalicable laws. All work +vill be done in accordance with GYP Board Insp - aoproved plans. This permit will expire if work is not started SLrsp Lei ing Insp within 188 days of issuance, or if wore is suseended for more IL than 180 days. 4 er mittee Si ature - lssied y J Call for inspection - 639-4175 r City Tigard CoMm�of Ti lalBuilding Permit mile ' 13125 SW Hall Blvd. Tigard, OR 97223 1 (503) 639-4171 Jobslts Address: l 12(-_ Q SfJ Q DfWVa ttac Rv ly u ,- -n Mots. at,gl.y. i `h ,,. K +y Tenant: RAL_ Suite 0_ hY � Valuation: Ddd .00 � Owner: Address: IV r-� st wdwwwU 1Ra>4'ib a 1.�. r_,e+roo-aw M.i S, Phone: 2011 S`jam_(F�ZL Contrac'jr. Address: ��o SW L02Q[ SDU : � _� 02�GU fv !Wo S Tye of const Qd`J Occupancy class: J 2 Phone: 2-2Z- !]Q a Contractor's License # 0 ti Sprinklered? Yes No �6,� � _ (attach copy of current Oregon Ikense) Sq. It. of project: Contact name & phone: �f�'�t�Y 4 E1E 1 j `r50 31`� Story (1st, 2nd, etc.) Proposed use: tJ�- Architect/Engineer Address: --- Previous use: ---- n Note: Plumbing & mechanical pians must be submitted at time of N Phone: building permit application. m JOB DESCRIPTION: arnu i ) d21 UL, )w - �-'(VA li .ant Signa rq-4 hone number Received by: �t 4.- l�4�-- Date Received: --.110 Permit 0 Account Description Amount Amt.Pdd., Bal. Due Bldg. Permit GUILD) Plumb. Permit (PLUMB) Mach. Permit (MECH) State Tax (TAX) — Bldg: Plumb: Mach: Plan Check (PLANCK) �� ✓ � _ Idg: Plu Mach: Sewer Connection Sewer Inspection (SWINSP) _ Parks Dev Charge (PKSDC) w —, Residential TIF (TIF-R) Masa Transit TIF (TIFF Commercial TIF (TIF-C) , Industrial TIF (TiF4) Institutional TIF (TIF4S) Office TIF (TIF-O _ IL Water Quality (W AL) a f- Water Quantity DANT) Fire Lite Safety FLS) Erosion Cntri Pe it (ERPRMT) W J Erosion Planc SA (ERPLAN) Erosion Planck/COT (FROSN) TOTALS: THROUGH THE. 'WALL DRIVE—UP UNIT REQUIREMENTS STEEL FASCIA 02n"MMI4,S T«`s; °Z,'I dLINCTpON lP1Ni.:.u»JT[8010OX to TO PROM FLAT COVER WITH TAMPER SWIICM. 1 L 1 IM EN 'SECU"ATIC•AFTER HOUR DEPOSITORY IS TO BE CONNECTED DIMENSIONS IN MILLIMETRES THIRD ANGLE � �J TO ATM INT,E"C"TO RUN 19MM 1�'.9 METAL CONDUIT rROM 02mm It'1 S&X 1 DIMENSIONS IN FEET-INCHES I PROJECTION 7`✓/—' 1,4AWW(2(/A9 DP.JUNCTION Box TO AFTER "OUR DEPOSITORY. U E.C.TO RIM PJMM (V./ IW LIOM T)CHT FLEX METAL CONEMT OR 1S0V41MOD C04OUT FROM JUNCTION BOX TO CABLE CONNECTING TtAT-E. O 19MM0,A'1�TAL CONDUIT AND UNSWITCHED ELECTRICAL SUPPLY TO 000PWSO' ARIA KOOU I Re0 TO 5/RV I G! UN I f X S4mmt 7 OF.JUNCTMM BOX WIT"RECEPTACLE W,YHN 1.121 METRES 16''0 OF SAE OR BOOM CONNECTING PLATE.00TTOM CO"CTON MUST BE C01/ONATED ACCORONG.Y (ALL BY E.C.)(SEE POWER REOUREMENTS ). NQf�y B O E..TO SUPPLY COMPATIBLE RECEPTACLE FOR COUNTRY SPECIFIC PL110� cO4KCT0R SUPPLIED WTM L TT. fOR "OVRIG..L POWlR., OATA CAM, ANO ALARM GAO" OPONINb§ INTO GH66f bee FOR DESK TOP MODEMS- NO CONDUIT REOUMIED FOR DAT. LINE CABLLMI1" OAGK Of Mie. MUST BE NSTALL'.D WITHIN rZARMETRES (42'-0•)CABLE RUN OF THE LRT— DATA CABLE MUST BE AT LEAST Slow 12'1 FROM ANY A.L.POWER CABLE- DESS TOP MODELS MUST BE WITHIN M20 mm (6'-O.1OF A STANOA$& .0 —PROVIOe OffIMUM GLlAKANG! Of OIM6MSIONS SINGLE PWSE.TNREE-WINE OUTLET. SHOWN fOR SORVIGIN& Of UN'.f. OUe 1-0 r LIft G MAYVAKY, GONbUL-Nl WITH TH I NflR6OLo �96RV I Gn NOTEf I 6RANGN. JUACTION BOXES MUST BE LOCATED WITHIN 1.62h METRES 16'-090F COM[CTMG I PLATE.I VJIGTH OF ELECTRICAL POWER CABLE PRnvOED WITH LMAT L LOCATE IN AN EASILY ACCESSOLE AREA- $ ?OR WALL§ OVOK 102 mm(V) PROV 106 "O ARANGO BOXES CAM OF. FLUSH MOUNTED WITH rONCEALED CGNOUIT FOR MIN. OF 254mR1 110') Af 31095 AND 76 mm(3•) AT TOP NEW CONSTRUCTMN OR BOXES CAN BE SURFACE MOUNTED Of UNIT TO 6UIf DUILVIN( GON6fRUGf ION. WITN EXPOSED CONDJIT FOR EX 15-.M r.ONSTRUCTION. ti (bee 6AGK Of PAb! fOR WALL VARIATIONS) N �"t5 / 0 102mm(41) PIN16"00 WA66 fHIGRNtO1) IN ARIA Of UNIT D 52 16'ICUkb JL t. R ALfeRNJUNGf ;it":a:c::n•.� �,JY � , WHEN U"1 NIT 15 tee X9000 6eRlt5 ATM IA G6NfOKI.IN! Of wls '+ o I ` r- �;;� tRt-Ube !X16fIN, GAKO %NfRY it b PANOL9 = n -- � — •,11 ii im GON6UMOK PK I Nfor SLOE o jD — — - tD S sl=• —Q — vloeo _ s � 01 6PLAY — r Ili 2, m 4 —OP*KAf 1 Nb in PANeL _ O C4 � AL rI•,n�1 es ZK17 —fASGIA NOf6F l — " N — c' N See SAGS Of PAbtT/i e m _ �+ /OR LOGA1IPIb BALL n J 0PlNINb 152 ft IL C3 bee OefAIL A ( �__749 MAX. WALL 102 14'1 ROCOMMONOOC) JUNGf NOW IN4fb('XAtt0 HOLO-- 724 (2'-41/2*) m 114 141/=1 INTERIOR VIEW W J VERTICAL %ECTION , FIN'SHOV f"OR NOttF WALL OP!NIIIb 611OWN 16 r9GOMON040 fOR P!!W GON3fRJGfION. 2, UNIf WILL A66IMM 9X1611Nb 9000 36RI06 WALL OPtNIN& j -Aft I OPf IONAL) 100 AND I NVALL60 IROOLO WHIN R/OUIKAO. CITY OF TIGARD SUILDRNG INSPECTION DIVISION M 24-Hour inspoction Line: 639-4175 siness Line: 639-4171 B cu'P)� Date Requested AM PM / BLD V- 0cation "Li I., Suite MEC Contact Person Ph PLM Cc?ntrac;i Ph SWR ILD! Tj!!nat�/Owner _ ELC _ rng Wall Footing ---_-- -_� ELR Ac Foundation FPSNUT RE UESTFD Ftg Drain � Crawl Drain In., FOUND DURING RESEARCH 8GN Slab NO INSIPEC'TION(s) IN F11,E $IT Post&rseam Ext Sneath/Shear int Sheath/Shear n/�( 1. ,may. L Framing J�..� VW" `-�` G�V� S 1 Cr�� G( w sulation / \ Dr rwall Nailing �� ( — � GJ�— pp C4-X L, 1 Fir awali Fire Sprinkler Fire i,larm C�� ^� , � ,_`e.C�1 w J Susp'd G piling ---� "� Roof in ASS PART FAIL — INm Post 8 Beam �`� '� Under Slab Top Out , —--- _� Water Service Sanitary Sewer jAAJ Rain Drains _ -�--1 - Final — PASS PART FAIL MECHAWICAL ^ �! Post 6 Beam - Rough In Gas Line — Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In H UG/Slab Low Voltage Firs Alarm — Final — m PASS PART FAIL — ._—__—__�•-- O SITE JBackfill/Grading ----- �`� --��------ Sanitary Sewer Storm Drain [ I Rginspecticn fee of$ y required before next inspection. pay at City Hall, 13125 SW Ha;l Blvd Catch Basin Please call for reinspection RE: Unable to Fire Supply t ine [ I p ----- --.-_—_ -- _._ f I Inspect-no access ADA Approach/Sidewalk 1 ,f �.— Other Date Inspector!'C� Ext Final PASS PART FAIL j DO NOT REMOVE this Inspoctlon recotrd flr+oM the fob site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 SUP Date Requested AM PM _ BLQ c Location ' _�-^ �� ' $Ulla MEC Contact Person Ph PLM Contractor_� Ph SWR BUILDING Tenant/Owner _ .. /F' ELC ty Retaining Wall ELR Footing Eln ---- Foundation FPS Fig Drain NOT REQUESTED -�`� nl SGN Crawl Drain Slab FOUND DURING RESEARCH l�-� �, SIT Post&Beam NO INSPECTION(s) IN FILE Ext Shesth/Shear Int Sheath/Shear Framing Insulation Drywall Na'ling Firewall Fire Sprinkler Fire Alarm f - Susp'd Ceiling Roof Mi3c:_ Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out --- `— Water Service Sanitary Sewer Rain Drains Final — PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line -- Smoke Dampers Final - PASS PART FAIL ELECTRICAL Service � Rough In K UG/Slab Low Voltage Fire 3 PASS PART FAIL Backfill/Grading — — -- -- — — - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for relnsvection RE: Fire Supply Line [ ] `_��_____�___ _ [ ]Unable to inspect-no access ADA Appr17 Other�ach/Sidewalk _ Date 11- 'Z6 Inspector (�2 ' �Ex Final PASS PART FAIL I DCI NOT REMOVE this Inspection record from the job sit*. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hell Blvd.,llgard,CR 97223 (503)639.4171 PERMIT #z ELC96-0572 DATE ISSUED: 10/18/96 PARCEL: 1S133AD-16000 SITE ADDRESS. . . : 12:744 SW NORTH DAKOTA ST SUBDIVISION. . . . : MLP94-0013 ZONING:C—P BLuCK.. . . . . . . . . . . LOT. . . . . . . . . . . . :001 Project Description: Signal circuit or a limited energy panel, alteration or extension. -------------------- ---RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- -----MISCELL.ANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRPIGATION. . . . : 0 EACH ADD' L 50PSF. . . : 0 201 — 400 amp. . . . . . . a 0 SIGN/OUT LINE. LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. a 0 MINOR LABEL ( 1Q) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . 1 0 201 — 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401. — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . I 0 -----------------PLAN REVIEW 1000+ amp/vol.t. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . a 0 SVC/FDR )- 225 AMPS. . : CLAS£ AREA/SPEC OCC. a Owner-: ------------------------------------------------------- FEES ----------------- KEY BANK type amount by date recpt 12744 SW NORTH DAKOTA PRMT $ 40. 00 D*A 09/03/96 96-293525 5PCT $ 2. 00 D*A 09/03/95 96-283525 TIGARD OR 97223 Phone #: Contractor: --------------------------------------------_—_—___—___--_____—___-- HORTON F_LECTRIC $ 42. 00 TOTAL 11226 SE 21ST ------- REQUIRED INSPECTIONS ------- MII_WAUKIE OR 97222 Ceiling Cover Elect' 1 Service Phone #: 503-659•-8448 Wall Cover Elect' 1 Final i Reg #. . : 000818 This p►reit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Pet-mitt," S i gnat ur 7 applicable laws. All work will be done in accordmice with / approved plans. This pervit will expire if work is not started / q, within 190 days of issuance, or if work is suspended for tore than 191 days. I s s ed By INSTALLATION ONLY------ ---_-----------_.________ The installation is being made on property I own which is not intended for sale, lease, or rent. m OWNER' S SIGNATURE: _� DATE: ----CONTRACTOR INSTALLATION ONLY------------------------------ SIGNATURE -------------•-- S1GNATURE OF SUPR. ELEC' N: _ �_ DATE: LICENSE NO: Call for- inspection — 639-4175 Communl2y Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _ rDermit # f_ ClU`051 ,;,- Phone (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by - TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: r Name of DevelopmenNumber of Inspection@ per permit allowed — Address_�.L,' 1 y Service included Itemp Costas) Sum City/State/Zi4a Residential-par unit + S 1000 eq it or Ian silo 00 Name (or name of business) F-ach s"kittal 600 eq it or -- portion thereof $2600 1 Commercial® Residential❑ Limited Entergy R $2600 — Each Matul'd Hone or Modrlw 2 [lost"Serviceor Feeder S"00 2a. Contractor Installation only: 4b.Services or Feeders t , Electrical CcontractorI I 1 Irstallaion.afferatron,or relocation 2 1�zi V 4*h c r` L_ 200 amps or fees sw no 2 Addressl se --;.<, et.,l 201 amps to+00 amps $8000 City kk: w '� State-0 VZip g Z 1�2„ 401 amps to eco romps $12000 i 2 001 amps 10 1000 amps $19000 2 Phone No. I- 1:,q a1j Y!V over 1000 amps or•,0118 $14000 2 Contractor's License No._ 3It. t: � Reconnect o* $sal 00 Contractor's Board Reg. No. firl 4c.Temporary Services or Feeders Irstallat on,alteration,o,relocation 2 Signature of Supr. Elec'n ) �^� 200 amps or less 16a 00 2 License No. 3q,19 3_ 6 Phone No. Y G s 201 amps 10+aa amps $7300 2 +01 amps to 600 amps $10000 Over 600 amps to 1000 volts �- 2b. For owner Installations: sal W above Id.Branch Circuits Print Uwner's Name_ Now.attersti)n or extension per panel Address _ a)D-9 I"for branch circuits a(n, CityState Zip purchase M swnrko or Maar M. 2 Phone No. Each Nance cwct' V ao ---- b)The lee for branch cirmos,afth0uf The installation is being made on property I own which is purchase of owyke or Ibvda Am. 2 not intended for sale, IPase or rent. First branch amut $3500 2 Each additional brarrdi crarit $600 Owner's Signatura 4e.Miscellensor» (Service or feeder not included) 2 3. Plan Review section (if required): NO,pump or irrigation Ciro. $+0 00 2 Each sign oa+fins lighting $4000 Signal cimusts)or a limited energy — 2 cleses cheek appropriate item and enter fee in suction 58. t _4 or more residential units in one stricture Knor La�bot(10) a extension --, 1+000 �N3 _ t ) 111110000 Q� Service arx:feeder 225 amps or more System over 300 volts nominal 4f.Each additional Inspection over H Classified area or stnucturs containing special ocaupaacy the allowable In any of the above as described in N.E.C. Chapter 5 Per inrPaclion $3600 Per hour _ 165 00 � Submit 2 gets of Plant 165 00 of plane with application where any of the above — --- apply. Not required for le"pornry construction services. 5. Fees: W NOTICE So. Enter total of above plea $ 40 W —'- 5%Surcharge(05 X total fees) s 11 — PERMITS BECOME VOID IF WORK OR CONSTRUCTION subto to/ $.SbEnter 259'.of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF glen Review if required{Seu 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR AJANDONED FOFT subrore/ t A PERIOD OF 180 DAYS,1T ANY TIME AFTER WORK IS COMMENCED. 0 Trust Account at S Balance Due # 412— .«amn�.vrtp,n 40 — -�+- ELECTR7,C0L PERMIT C1 TY CSF T I GARD DATE rEpmIT I SSUED:X10/03/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tlgard,C**W 117223+11tte (603)630-4171 PARCEL: 1 S 133AD-16000! '7ITE ADDRESS. . . 1,2744 SW NORTH DAKOTA ST SUBDIVISION. . . . : MLP94--0013 ZONInIG:C--P nl_.00K. . . . . . . . . . . L-OT. . . . . . . . . . . . . :001 Project Description : TI for Key Bank -- ---------------------------------------- ----------- -- -RE5IDENT'IAL UNIT----- - —TEMP SRVC/FEEDERS•--- -----MISCELLANEOUS--- - 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : A PUMP/IRRIGATION. . . . s 0 EACH ADD' L 50OOF. . . : 0 401 — AOO amE;. . . . . . . : Q SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . s 0 401 - 600 amp. . . . . . . . 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014-amps -1000 volts. : 0 MINOR LABEL ( 10) . . . s 0 ----SERVILE/FEEDER---- ----BRANCH CIRCUITS----- ---- -•--ADDIL INSPECTIONS----- 0 — 200 amp... . . . . : 0 W/SERVTCE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . 1 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 f.,00 AMP. . . . . . a 0 EA ADD' L RRNCH CIRCs i IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . s 0 -----_.__._._____.___PLAN REVIEW SECTION----------------- 1000+- ainp/volt. . . . . e 0 ) -4 RES UNITS. . . . . . . . s ) 600 VOLT NOMINAL_. . s Reconnect only. . . . . s 0 SVC/FDR > - 225 AMPS. . s CLASS AREA/OPEC OCC. s Owner . —_— _____ _._._.__..___________.___.__..._.____._ .____.___.________ FEES PACIFIC CREST PARTNERS type amount by date recpt 911 OPR ST PRMT t 410. 00 JDfl 101/03/96 96-264723 5,r-"CT $ 2. 00 JDA 10/03/96 96-264723 HOOD RIVER OR 17031 Phone #: 503-3A6-6333 CI IR I^TENDON ELECTRIC INC $ 42. 00 TOTAL 111 SW COLUMBIA SUITE 480 -------- REQUIRED INSPECTIONS - - TIGARD OR 97223-5886 Ceiling Cover Eler_.t' 1 Service Phone Ms 503-241-48ic' Wall Cover- Elect' 1 Final Reg #. . : 00458 5 persit is issued subject to the regulations contained in the A1,41 -igard Municipal Code, State of Ore. Specialty Cedes and all other Permittee Signature applicable laws. All work will he done i, accordance with ` ,,,proved plars. This pewit will expire if work i0- not started Hithir. 188 days of issuance, or if work is suspended for Bore than 180 days. I s s u e INSTAI_LATT.0N ON --- -- --- -____._ 0. 'he instmIlation Is being made on property I own which is not intended for ale, leas, or rent. r'WNER' S S I('NATURE s DATE s INSTALLA PION Lo 7IGNATURF_ OF Sl_1PR,. F'[..F'^' N� _�A-0# DATE's t9 `IT j� I CENSE NO: Call for inspection 639- 4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. G Tigard, OR 97223 Permit # - 06; Phone (503) 639-4171 Date Issued CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 6394175 1. Job Address: 4. Complete Fee Schedule Below: KEY BANK - GREENWAY Name of Development _ Number of Inspections per permit allowed Address 12744 SW NORTH DAKOTA Service included: Items Cost(es) Sum City/State/Zip_ TIGARD OR 97223 4a. Residential -per unk 1000 sq, R. or leu stt0.00 4 Name (or name of busines3)_ KEY BANK Each additional 500 sq n.or portion thereof 325.00 Commercial ® Residential ❑ Lmrtmed Energy -- 11125.00 t Each Manurd kx, or Modular QUESTIONS?CONTACT MEL JACKSON VwellingService orFeeder 116800 _ 2 2a. Contractor installation only: TOM KOSMAS 4b. Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC Installation,ameratW,orrelocation m 2 20P amps or lose W.00 Address 1 I 1 SW COLUMBIA,SUITE 480 201 amps to 400 amp$ sa0.00 2 City _PORTLAND State OR Zip 97201-58 6 401.ntpsto600amp$ �- ,/2000 - 2 ---�_. amps o VO _ � _111110.00 2 Phone No. 241-4812 oeoo arms or vo • �00 2 Job NO. 223-8761 Rammed only $50.00 _ 2 contractor's license NO. _ 4c. Temporary 3arvices or Fastiars Contractor's Board iReq. NO. -- - _ _ Installation,afterellon,or relocation Signature of Supra 200 amps or loss 2 License No. 8 7 3 S Phone No - 201 amp$to 400 amps sw 00 z 401 amps to 600 p$ ,15,00 Over 600 ampe to 1000 vnlls =100.00 2b. For owner installations: see"b"above. 4d. Branch Clrculfs Print Owner's Name New,ameratinn or extenslon per pane Address a)The fee for branch chcums wf1h 2 City_. _ Stateser _ Zip purchase of vice or Vedsr 1.a. Each branch circum :5.00 _ Phone No. b)The fee for L-anch circuits without _ The installation is being made on property I own which is purchase ofaervrosorfeeder Ase. 2 =35.00 not intended for sale, lease or rent. Flat branch circuit 35. 2Each additional branch circum $5.00 Owner's Signature_ _ 4e. Miscellaneous (Service or feeder not included) 2 pump or Inigrlion circle =40,00 2 3. Plan Review section (if required): Each Each sign or oul"mghthg _-- $10.00 Signal circum(.)or a rammed energy 2 Please check appropriate Item and enter fee In section 59. panel,amerallon or extension $u 00 IL _4 or more residential unita in one structure Minor labels(10) =101.00 ��- _Service and feeder 225 amps or more H System over 600 volts nominal 4f. Each additional Inspection over N Classified area or structure containing special occupancy the allowable In any of the above as described in N E C. Chapter 5 Per Inspedlon -- SUM - - -whour =55.00 � In Plant --_ $55.00 Submit 2 sets of plans with application where any of the ahovo apply. Not required for temporary construction services. 5. Fees: Wgo. Enter total of above fees $ 40. NOTICE 5%Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal = AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. .T,$��e..,.a� L_� Trust Accoent X r,m $ Balance Due ; 42. CTION . Cirf OF TIGARD PERMIT SUED: . . : 5/rJ6 Ch 1 DATE ISSUED: 02'/05/''if. COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 15133AD-02 400 a I Tt_tItADD t•.� en� `7q.ra.lon9on�ra7 �� 1111T A ST SULADIVISION. . . . ZONING: C—F' ELUCK.. . . . . . . . . . LOT. . . . . . . . . . . . . . TENANT NAME. . . . . tKEY BANK. Usn NO. . . . . . . . . . : FIXTURE UNITS. . . s 23 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :COM NO., OF BUILDINGSt 0 INSTALL TyrG. . . . :BUSWR I MP-EgV SURFACE; 1166-- s f i2ema -ks : RE: Fn_M95-0063 Uwner.: _---.__.._.__._________.._.__.____________.____.__.____.__—_____-- FEES KEY RANK type amo'.ant by date rec_pt 12744 SW NORTH DAKOTA PRMT V 2200. 00 JSD 02/05/96 96-27562: TIGARD OR 072E4 Phone #: Contractor: CONTRACTOR NOT ON FILE: Phone #: $ 2200. 00 TOTAL Req #. . . ------- REQUIRED INSPECTIONS This Applicant agrees to coaply rith all the rules and regilations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the seK:r is not located at the measurement _ given, the installer shall prospect 3 feat in all directions from the distance given. If not so located, the installer- shall purchase a "Tap and Side Sewer" permit an aha Agency will install ateret: i r, � � F''er,mll:tee .�i9n _ Wz ISSUec1 8 Call for inspection — 639-4175 a R N t� W CEOFCIlY OF TIGARD OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT A. . . . . . . a BUP95-0158 13:25 sw HSM Blvd.Tipad,ONW e72=09i a (M)On-4:7: DATE I EF,UED i 09/05/95 j PARCELS 16133AD-02400 SITE ADDRESS. ,. . : 12744 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONING3C—P i BL0C1,, . . . . . . . . . : LOT. . . . . . . . . . . . . : ----------------------------•---------------------------------•--------------------- CLASS Q'= WORK. s NEW TYPE OF USE. . . :COM OCCUPANCY GRP. :tW- OCCUPANCY LOAD e 113 i TENANT NAME. . . :KEY BANK Remarkse TI for Key Bank Owi er: ------------------------------------ PACIFIC CREST PARTNERS 911 OAK ST HOOD RIVER OR 97031 Phone eke 503-386-6333 Contractors -----------------------_..----_— Phone 11: Reg #. . s 308304 phis Certificate grants occupancy of the a:iove referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Orgon Specialty Codes for the group occupancy, and use under which the referenced permit was issued. BUILDING XNSPECTOR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE L 3 0 u + CATY OF TIGARD 000 COMMUNITY DEVELOPMENT DEPARTMENT 1.^126 SW Mall Blvd.T4mrd.Or*W s+M=*11941 (60!)6304171 PLUMPING PERMIT PERMIT #. . . . . . . s PLM95--0063 639-4171 DATE ISSUED: 04/06/95 KUA'J PARCEL: 1 S 133AD•-02400 SITE ODDRESS. . . : 12744 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONING: C:—P CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : _—__------- CLAS- OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : OCCUPANCY GRP'. . :B2 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . . STORIE:S. . . . . . . . : 1 WATER HEATERS. . . . . . sl CATCH BASINS. . . . . . . : FIXTURES-------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : S1NKS. . . . . . . . . . .. 1 URINALS. . . , . . . . . . . . : GREASE TRAPS. . . . . . . : LAVnTORIES. . . . . ;2 OTHER FIXTURES. . . . . : 1 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CL.OSETS. . :c WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN PRAIN (ft) . . . . s Remat-ks : Install plr.lmbing fixti-fres Dcaner. .- ----•------------------------------------- __-_---_-- FEES --------------_ Ift:_1_L-UM S MECII type amount by date r^ecpt 7 SE HAWTHORNE BLVD PRMT t 72. 00 JD 04/06/95 95-263861 PLCK $ 18. 00 JD 04/06/95 95--2263861 PORTLAND OR 97214 5PCT $ 3. 60 JD 04/06/95 95-263861 Phone # : 231 -88135) Cunt+-actor. -------------_--__-_--_-__--_.-- 14EL1_IJMS MECHANICAL .:327 SE HAWTHORNE PORTLAND OR 97214 .-.----------------------------------- 1='hone #t: 2.31 -13882 $ 93. 60 TOTAL Rey #. . e 16206 ------ — REQUIRED INSPECTIONS --•----- This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Dre, 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 l8e days of issuance, or if work is suspended for more thar. 188 days. N 1-mittee SignatUr"a4 Call for inspection - 639-4175 I City of Tigard PL'u'�INGi PERMIT APPLICATION Planck/Rec # 13'125 SVV Hall Blvd. Permit # �cr 9S ��3 Tigard, OR 97223 (50:x) 6394171 MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE Ir,M M S C ,,,.,. � a 1 BATH HOUSE s140.00 0 2 t!d►TH HOUSE 2196.00 Job r S, Nv2ji1 �� ❑3 RATH HOUSE t M-W Address arw �► F«Includes dpkrnbinp IbrhxM in Ila+dwellingand flan Mt 100 b ��P• ,gyp Z�%2, of wow aarvba, sanitary sower and aw awrar. see Moa below. L��- FIXTURES QTY PRICE Ater Sink 9.00 w.M�... Ph" Lavatory 9.00 Tub or TUWShower Comb. 9.00 Owner a, shower only 9.00 aMw � Water CloseR 9.00 law k• Dishwasher 9.00 Garbage Disposal 9.00 Cccupant ,,,.,�,,.,.. , �•» Washing Machine 9.00 Floor Oraln 9.00 corimft a► Water Haar 9.00 ®O u Lairift Room Troy 9.00 U" - 9.00 4, 11; ", Of, '° Other Fixtures (Spoclly) 9.00 Contractor 9.00 �w e. 9.00 _ SewMr lot 100' 30.00 w,�, .,.,,«- ar••• 26.00 Sewer-ea.Ad& IW WSW Service tat 100' 30.00 I hereby acknowledge that I have read this apPllCatbn, that Mee Wow Service se.Addle. 200' 26.00 infonrmtbn given is correct, that I am the owner or authorized agent of Storm&Rain Drain let 100' 30.00 il,e owner, that plans submitted aro In cwrP"nce with stats laws, that I nm registered with the Construction ContrscMr's Board, that Mee stone&Rein Drain Addle. 100' 26.00 number given Is coned. (if exempt ham Stats mg1obe oo, PWM Horror Spaa 26.00 give ro _ Back Flow Prevention Device or Ar&Pokdm Device 9.00 Any Trap or Wats Noit f�wr�1 s M�O J n Connected to a Fbcturo 9.00 scribe worlk new W addition alteration repai Catch Bain 9.00 to be done residential O non-residential Insp. of F W. PW" 40•66K a Spelaly Rei lr»POW" � Exlating use of ) Rain Droln, sigh fantlly dweNrg 30.00 N building or Property �" �, �• 'o �' ! Reskler►tlal baddlow Prevention devices 16.00 Proposed use of / J building or Property _ .�NJ/� J/f�/l1 E>L f�/AL .� odd booMPow m provorutlon dsvlcMl __ W _ -- _j NOTICE •Minimum Fee$26.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 616 SURCHARGE6G AUTHORIZED IS NOT COMMENCED WITHIN 1t10 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED �. FOR A PERIOD OF 160 DAYS AT ANY TIkAE AFTER WORK IS PLAN REVIEW 26%OF SUBTOTAL �fJ COMMENCED. - TOTAL Specal Conditions Data laarad Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. �Y� 013 Tigard, OR 97223 Piarck!Rer. #_ Permit #t -ori Phone 1503) 639-4171 Data Issued CRY O�TII3ARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503)639-4175 1. Job Addi ess: 4. Complete Fee Schedule Belc►w: Name of Qravelllpment A Number of Inspection par permit allowed Address 1.2 4 S W N D 4 JCDuI Service Included: hams cosgaa) gum City/State/Zip :&Z"D 4a. Reeklendal-per unit 4 1000 aq N or Ice $110.tp Name (or name of business) Each eMiorel 600•q M or Portion"ver" Deese t CommerciallIT Residential❑ LlmMed Enrarwr $2$ra Each M w%A'd Hoar or Modular : DMNW Service or Feeder Ia$.Do 20. Contnictor Installation only: 4b.services or Feedera ElectriCeil Contractor irel�Melion,alteration,or reloodlon ! _�'�, Itc- r L6 C- 200 strips or Was gec1.00 Address. Ck r 201 an"to 400 amps "M 2 city—E& -flnState ZIP 401'nips co 000 arnpo ��_ $12D o0 2 rot amps to ION amps $160.00 2 Phone No._ — Over 1000 amps or volts W4.00 ! Contractor 3 IJC@n8@ N0. Ramrod o^l/ 010.00 Contractor's Board Reg. No._ q6 4c.Ternporary Service.or Foods InstaMMion,ahan ion,or relocation = Signabdre )f Supr. Elec'n 2ta amps or less 1050.00 : License N). (n SSS' _� Phone No. – — 40; oamps 810000amp to N . 2 Over 600 amps to 1000 volts 2b. For owner Installations: ses'b•above 4d.Branch Circuits Print(�Vllr:er's Name Now,aneration or extension per panel Address_ a)Thor fee for branch cirarlM aMA city___ _ State Zip Rare kow of sae v or aradw ka 2 Phone N 3. Ewh bnor+,ana,lt $600 _ b)71 a lee for branch drouft bp/iatA The instEillation is being made on property I own which is purchase,or samba or beds Ata. 2 not intended for sale, lease Or fent. First bunch olmo us 00 2 Each additional branch dranM $6.00 Own#Ws S,ignarurs 4e.lilbeceNaneous (Service or feeder not Included) 2 3. Plon Review section (it required): Each pump or Wroat10^01fde $40 W _ 2 Each sign or outline hoinoq Woo 8prri cirnA(s)or a limiled ener" _ ! Please check appropriate item and enter roe n.section 38. parol,aeration or e,nension1_ $40.00 1�� di or more residential units in one structwe Mirror Labek(10) $10000 IL _3ervice,and deader 225 amps or more System over 600 volts nominal 41.Each additional Inspection over H _ Classified area or structure containing special oompenq the allowable In any of the above as described in N.E.C. Chapter 5 Per mepseftn Wool Per hour __. $66 110 Submit 2 rete of plane with application where any of bite above In Plant $5900 apply. Not required for temporary constriction"Moos. S. Fees: Se.Enter total of above fees J NOTICE 5%Surcharge(.05 X lat,'tens) _ �-r F'ERdIITS BECOME VOID IF WORK OR CONSTRUCTION Suitor ; AUT?IORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF ab•Enter 25%of line A for "ON3TRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR plan Reviow if required(Sec.:+) _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCED. 0 Trust Account 0 $ Bs/once Due $ CITY OF TIGARD DATTEIISSUEDt . 11/16/95gM034 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL# 1 S 133AD-02 .00 S I TL�t�, A.TIoMd•!?�t4if�NOH�N� TA ST SUBDIVISION. . . . : /d--7` LJ. �e D ZONINGt C–P BLOCK__----- --------------- -----------------------------1OT----- ,Y CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE ;3CES. t 0 TYRE OF USE. . . . :COM WASHING MACH. . . . . . s 0 BACKFLOW PREVNTRS. . t 1 OCCUPANCY GRP. . :92 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . # 0 STORIES. . . . . . . . : 1 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . s 0 FIXTURES------------- LAUNDRY TRAYS. . . . . t 0 SF RAIN DRAINS. . . — s. s 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . r 0 GREASE TRAPS. . . . . . . # 0 LAVATORIES. . . . . t 0 OTHER FIXTURES. . . . # 0 TUB/SHOWERS. . . . r 0 SEWER LINE (ft) . . . r 0 WATER CLOSETS. . ] 0 WATER LINE (ft) . . . r 0 DISHWASHERS. . . . # 0 RAIN DRAIN (ft). . . s 0 Remarks : Backflow prevention device Owner: -------------------------------------------------- FEES -------------- MACKENZIE/SAITO type amount by date reept P. O. BOX 69039 PRMT $ 25. 00 B 11/16i95 95-272991 PORTLAND OR 97201 SPCT $ 1.25 B 11/16/95 95-272991 Phone #t 224-9570 Contractor: ------__--.-----------------___ WASHINGTON CO BACKFLOW TESTING 13173 SW BOUNEFF T IGARD OR 97224 -------------------------------------- Phone -- __--.______________-- –_–_phone #: ?6. 25 TOTAL Reg #. . : 89897 -- REQUIRED INSPECTIONS ------- This pernit is issued subject to the regulations contained in the RP/Backflow Prey Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This ptrtit will expire if work i, not started �`— within IN days of issuance, or if work is suspended for More - than 180 days. --` Pe–m:ttee Si nature! : --_ ----- - ---__ IL IsS1.1ed BY: 1 Call for inspection – 639-4175 W J at��saas��w�sta�ssr City of Tigard PLUMBING PEUJINIT APPLIreATION Plarick/Rec. # 13125 SVV Hall Blvd. Permit # Tigard, OR 97223 (503) 639.4171 MINIMUM $25.00 PERMIT FEES+ST. SURCHARGE ••o...�.. ] _ L � n Naw Slnab Fun* RemWeirtose Oft Iwo*" L - i ❑ 1 FIATH HOUSE$140.00 C32 BATH HOUSE$195.00 Job C Je W r 113 3 BATH HOUSE X25.00 Address ,AX" Fee Inchides al pkinditng fbrAaes In dro 1,v-- g and the first 100 bd r d of Weller service, SWANY sewer and dorm WNW. See hese below. �...e. M of er.. f•IXTURE$ QTY PRIGS AMT h,t Sink 9.00 Ma"Adftft plow Lavatory 9.00 Owner Tub or Tub(Shower Comb. 9.00 C"Ish" :~ Shower Only - 9.00 M'abr Closet 9.00 r•^� „ Dishwasher 9.00 Garbage Ohpoud 9.00 VCM ewAfto. ^w• wishing Machina 9.00 Floor Drain 9.00 r' wow Heaesr 9.00 Laundry Room Tray 9.00 mom Urinal 9.114 - r �'/� Cihw Fixtures (Specify) 9.1� Contrsc'or 9.00 _ 9.00 �+ s 9.00 e C w y 3 t Sewer let 10fr 30.00 soft peowwom W, ar e..To"P. Swr--as.A9dh. 100' 25.00 U p q i`e'"2 Wow Service lot 100'-- 30.00 1 hereby acknowledge that I have road this application, that the Water Servias as. Addle. 200' 25.00 information given is correct, that 1 am the owner or authorized agent of the owner, that plans subn+Mted are M compliance with Stab laws, that Storm 3 Rake Drain let 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm 6 Raki Drain/ddit, 100' 25.00 number given is correct. (K exempt from Stab registration, pbaw give reason below.) M*ft Homs Space 25.00 I Back Flow Prsvernion Device or Anti-Pdtutbn Device 9.00 > �i W•*^n or. Any Trap or WOW Not Connecbd to a Fb&,m 9.00 Describe work new addition 0 aMeratlon 0 repair 0 Catch Baer 9.00 to be done residential Ce non-residential 0 !sop. of r Kkt Plumbh] � 40,00hr Spm*,Ay Requested Irspectbm 40.00ft IZ Existing use of Rain [era+n, single family dwaa!;q 30.00 buii9ing or proPert/ Residential backflow prevention U) devices 15.00 Proposed use of building or property •(&cspt rooWnMal backNow 1 pmvendlon dsvlces) 1 W NOTICE *Wnh Km Fee$25.00 SUBTOTAL. 00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Y 0 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF b'%SURCHARGE 2S CONSTRUC'10N OR WORK IS SUSPENDED OR ABANDONED - - FOR A PERIOD OF 1130 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25% OF SUBTOTAL TOTAL 2-0 ZS� Soecial Conditions fate Issued _by_ DEPARTMENT OF LAND USE 4 TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION COUNTY, 166 NORTH FIRST,HIUAIORO,OR 071 24 INSPECTION REQUESTS: 11IGS/A40-W6Vft3r4/6 OREGON xxxxxxxxx--> 440-34'10 Page : 1 of 1 -7/,,/ /�� n Date 03/24/95 / Y • '�" 'Time 08: 30 Permit 'Type Commercial Electrical Permit Permit # 0506546U Permit Status APPROVED Applied 03/23/95 Situs Address _.+� Issued 03/23/95 t'erml t Tit.le KEY BANK Completed Permit Descr. JOB 5028 SERVICE/27 C1RS/LV 'fo Expire 09/19/95 Project 'Title KEY BANK Project # P0048583 Project Descr . J08 5028 SERVICE/27 C1RS/LV * EROSION ar Parcel Number ZS1T1 - Land Use District Valuation U Legal Descr. Owner IN!iPECTJ.0N - 'TIGARD Construction OTH Applicant Name RURAL ELECTRIC, INC Classification 900 Applicant Addr . : 5285 NE ELEM YOUNG PK A900 Occupancy HILLSBORO, OR '1'/124 Validated by PH Apps i cant Phone : 648-6696 1 rispector Area Fee description Units Fee/Unit Ext fee Data Service/F'eeder : 200 amps or less 1 60 . 00 60. 00 Each Branch W/ Feeder [Enter # ) 2'/ 5 . 00 135 . 00 Limited Energy/Alter./Extension 1 40 . 00 40 . 00 Subtotal Electrical Fees : 235 . 06 State Surcharge of 5`1, 11 , 75 Total Electrical Fees : 246 .75 *** Fees Required *** *** Fees Collected & Credits *** Method Check # Receipt No. Date Payment CK 1795 03/23/95 246 . 75 Fees : 246 . 71, Adjustments : . 00 'Total Credits : . OU ta1. Fees : Z46 . '/5 'Total Payments : 7.46. 75 Balance Due: . 00 IL a t+ ce m (� NOTICE: This permit becomes null and void If the waft or construction for which It Is Issued Is not commenced within 180 days. Once conetruatlon las started, Jthe permit becomes null and void If construe'on Is Interrupted for a period of 180 days. 1 codify that the Irufoffnatlon presented by the applicant and his agent or agents In support of this permit N trw and correct to the best of our knowledge. 1 acknowledge that tW&Bufudtng Department's reflsnce upon false And misleading Information may Invalidate this permit All provision of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction shouts. I acknowledge lilt the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or w'cupency of the structure or building permuted depends upon my calling for inspections at various times during the process of construction and the wilidnhg Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are eatlefled and approval Is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or Ntnucture is provisional and revocable until the satlAfactlon of all Inspection mqulrementa. APPI ICANTS$1611NIATURR WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use dr Transportation Electrical Inspection Section 155 North First Avenue,#350-12 APPLICATION Hillsboro, Oregon 97174 Information: (503)640.3470 Fax: (503) 693-4412 Permit PLEASE PRINT' Number �� D Date Please complete all sections, • • At. Complete Fee Schedule below Number of hmpeadorw PK PenrAll apowed 1. Location of Installation - -- Address.12550 SW S olle Ferry Rd Service Included: Items Cost(es.) Sum Buildingg A. Residential-per unit City Tigard Suite No. 1000 sq.ft.or less $110.00 4 Tenant Name Each additional 500 sq.ft (if commercial) K a U Rank or porti•xr thereof ;25.00 Umited Energy $25.00 1 Map No. Tax Lot Each Menufd Morns or Modular Dwelling Service or Feeder -- $60.00 2 Thomas Map Hook: Page:__ S. ,-Ion: _ Directions__ - B. Services or Feeders Installation,alterations or M10"'a 60.0 200 amps or less $60.00 60 - 2 Commercial® Residential❑ 201 amps to 400 amp• $00.00 2 401 amps to 600 amps $120.00 2 801 amps IOWa1p0°a"'� $1e0.W 2 2a. Contractor Installation only: Over 1000 amps or volts $340.00 2 Electrical Contractor gnlral F.l ar-_tril- Fleoonnect only $50'00 2 Address 52§5 NE Elam otuxn City Hillsboro State UR ZIP 71Z C. Temporary Services or Feeders Date V21/95 Job Number 5028 __ Installation,alteration or relocation Property Owner200 amps or less $60.00 2 Contractor's License No. - j4_ 201 amps to 400 amps $75.00 2 40' amps to 600 amp. 2 Contractor's Board Reg. No. � $100 oo .� �� + Over 600 amps to 1000 vole see V above Signature of Supr. Elec'n ___[_� A I^`- D. Branch Circuits License NO. 4062_ Phone No. 648-6696 New,alteration,or extension per panel a) The fee for branch circults with 2b. For owner Installations: Each branch circuit o< -7 f". 2b. $6.00 2 b) The fee for branch circuits without Print nes Name Phone No. purchase of servreo or hsder fse. First bran.h circuit $35.00 2 Address Each&A4,:'nl branch circuk- $5.00 2 CN State --�P E. Miec.:'igneous (Service or Feeder not included) E sch pump or Irrigsdon chole $40.00 -- 2 The installation is being made on property 1 own Eich sign or outline lighting $40.00 2 which is not intended for sale, lease or rent. Sigw.l circult(s)or a limited anew panal,alteration Owner's Signature orextension 1 $4o.00 40.00 2 I L F. Each additional inspection over the allowable H in any of the above 3. Plan Review section (If required) Per;,,^°P°�"°n' __ $35,00 J Please check opproprlate hem and enter fee In section 50. In Plant $55.00 m 4 or more residential units in one structure 5. Fees L7 Service and feeder, 800 amps or more 5,00 W - A. Enter total of above fees _j _System over 600 volts nominal __Classified area or structure containing special 596 Surcharge (.05 X total fees) Z 11,15 occupancy as described in N.E.C. Cha;)ter 5 SQ46.75 B.. EEnter ►nter-2596 of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ above apply. Not required for temporary construction Silitotal $ - services. U Trust Account -_ Balance Due *damL _ For Inspections cell nrb M,edl beeoeree ere sed Veld In e»were"10Wl•ed bw ere prM b Ad MWOM" " 640-3561 or 693-4415 wN& Mfe 1 8o�tree,d.b at t.wMee et web IPW"«N ave werb..reerb swrMd or aberdwed d Mw ss Atter went 10•ewseewd Ow a=dw 1bM bww. 24-hour recorder, one working day In advance of need ftleeYbel Nen•Ne«e see.et*%d"WA e.ea.eebr.w Permit N : OS065460 Project 0 : P0040503 Status APPROVED Page 1 of i Applied : 03/13/95 Issued 03/23/95 Inpires 09/19/95 04/07/95 05 :02 COMILZC Permit Title KRY BANK OTH Description 303 5028 SIRVICI/27 CIRS/LV 1Iequn :03/23/95 Job Address 12550 SWA OLLS FY RD TI_ Owner Nave IAI+VIaTION - TIfiAR Region 0 Applicant Name RURAL =LICTRIC, INC Phone number 648-6696 Valuation: 0 Approved_,',_ Inspector Comments: Rejected ._ CIVVS-12SULTS Cif 'ae,-c RaputBT ERROR! Fd QUALITY ORIGINAL. RE I;gODUCTiQQ a ,• %@1 r Plumbing mechanical : a' Rlectrical : leiH -i Goner -- m DEPARTMENT O TANSPORTATION W I 'zzr�t�r•r��m��r LAND DEVELOPMENT SERVIO&QIYISION#1350-12 a yrrz`'11 ua 155 NORTH FIRST, HILLSBORO, OR 97TH _ I �i!!e� ., PHONE: 503/640-3470 INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 U ound Electric �� 0401 I AP DN IVR 04/07/95 RI SMI 648-6696 Communi, -velopment RESTRICTED ENERGY ELECT C�, L APPLICATION 13125 SW Hall Blvd. PERMIT iy ` b�C Tigard,OR 97223 -- Phone(503)639-4171 DATE ISSUED 7 FAX(503)684-7297 — TDD No. (503)684-2772 1� CITY OF TIOARD Inspection (503)639-4175 ISSUED BY f PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . atm ✓ (FOR ALL SYSTEMS) (:iS�. State 7°r eyLesk Tvoe of Work In3tobrsd: URMITS ARE NON-TRANSFERABLE AND NON-REFIJNDABLF AND EXPIRE IF WORK ❑ Audio and Stereo Systems* iti NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR I Oil HAYS- ❑ Burglar Alarm ❑ Garage Door Opener• 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System' Contractor � � d�c-Type __ ❑ Vacuum Systems* STS ❑ Other--- Address ther_ _Address \\�-� S_�._ --�. w,1� �s COMMERCIAL—Fee ft)r each system . . . . . . . . t (SEE OAR 918-260-260) Property Owner_ _ .__ Check lype of Work Involved: Contractor's Board Reg. No. L_ ❑ Audio and Stereo Systems' // q EJ Boiler Controls Phone# b S 1 <9y y ❑ Clock Systems ® Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print C Mwner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ landscape Irrigation Control' City State Lip 11 Medical This permit is issued under OAP.918-320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations 1100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' follm wing: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from lirensing.These have ❑ Other dasterisks(').All others need licensing). 2 Call for an inspection when all of the installations under this permit are ready l- for inspection at 503-639-4175. ® Number of Systems 1. Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No Icertses ne required. License are required for 0 other k talistlons. 4 Assume resprmsihility for assurmi;that all corrections required by the inspector ------ ----------------- — _ err done,and (7 S. Assume responsibility for calling for a final inspertion when all of the corrections 5. FEES Ware completed. O The person signing for this permit must be the applicant or a person a. Enter Fees $ authorized to bind the applicant. 1AL-1, dt,ti� —� ,rte) b. 5°U Surcharge(.OS x total above) $� Signalure TOTA $ E � Authority if other than applicant ENERGAP.CNP YYy� 1 BUILDING PERMIT ,CITY OF TIGARD PERMIT ##. . . . . . . BUP95--0154 COMMUNITY DEVE%.OPMENT DEPARTMENT DATE ISSUED: 07/18/95 19146 8W Naw Ovd.T*", ,hpoe STM96199 (GO"erM17A 1 PARCELe 1S133AD-02400 SITE ADDRESO. . . : 12744 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONING: C—P BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . : REISSUE.: — FLOOR AREAS----------- EXTERIOR WALL. CONSTRUCTION- CLASS OF WORN.._;WEW & FIRST. . . . :3840 s f Ni S: E a W1 TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS?------------ TYPE OF CONST. :5N THIRD. . . . : sf N: S: E: W1 OCCUPANCY GRP. :B2 TOTAL-.------: 3840 sf ROOF CONST:B FIRE RET? aY OCCUPANCY LOAD: 113 BASEMENT. : sf AREA SEP. RATED: STOR. : 1 HT. :20 ft GARAGE. . . : sf OCCU SEP. RATED: DSMT?:N IIE Z Z? :N READ SETBACKS----------- REQUIRED---------------------- FLOOR L.OAD. . . . :50 ps f LEFT, ft RGHI : ft FIR SPKL:N SMOK DET. . :N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM:N HNDICP ACC:Y I'.EDRMS: BATHS: IMP SURFACE: PRO CORK:N PARKING: VALUE. $ : 93000 Remarks : TI for Key Funk OWTIer.: __________------...____.---------_._____--____._____._—___ FEES —_----_---_--- PACIFIC CREST PARTNERS type amount by date recpt 911 OAK ST PRMT $ 412. 00 SW 07/18/95 - PI.CK .267. 130 BON 04/28/95 95--264790 HOUD RIVER OR 97031 ."IRE f 164. 80 BON 04/28/95 95-264790 Phone #: 503-386•-6333 SPCT 6 20. 60 SW @7/18/95 - Contractor: R R, H CONSTRUCTION 1!330 SW TAYLOR PORTLAND OR 9720 ___.__.-----___------.-----------------.-- Phone #: L'23 -7177 $ 865. 20 TOTAL Reg #. . : 308304 --- - -- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State cf Ore. Specialty Codes and all other Insulation Insp applicable laws. All Mork will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started Susp Cei Ing Insp within 188 days of issuance, or if work is suspended fo ear# Final Inspection —� than 188 days. L Ful m i t t e e Signature: call for inspection — 639-4175 7 Ll a Comif i—r al Building Permit ARRUCA110n City o/ Tigard 13125 SW Nall Blvd. t G,1 Tigard, OR 97223 n' lit;t (503) 639-4171 C I z y y 6to nor4� LIZ_k4c,_e-SK l Jobsite Address' --1 n ton Tenant:_ Key Bank Suite N�-- {; �surt `> Valuatl�n:tlY"1�1. �f'Y'Y'• Wir :��Ir1oM/RaG.� "".- >.�, ' �f { .5{ �'��.r r +.��i,+rYWlsYililiWirr,Vl�irYilld{ . } p '' � w,{{ner: Pacific Crest Partners f o t{ f <r Ows .cC ff{,<;:F ATL '�}f Address: 911 Oak Street Hood Rivers OP. 97031 Phone: 503-386-6333 f`4y< rr CAntractor: R&Ii Construction Co_ Address: 1530 SW Taylor St. Type of Donal: V t7 Poi land, OR 97205 Phone: 503-228-7177 Occupancy dass: B2 _ Sprfnklered? Yes No XX Contractor's License# 38304 (attach copy o/current Oregon Ikense) Sq. ft. of project: L Contact name & phone: John Mason 228-7177 Story (t st, 2nd, etc.) 1 Proposed use: Bank Architect/Engineer, The Rommel Architectural Partnership PrevM)us use: Address: 1200 NW Front Ave. �i,t�l,�pKtA L Note: PkimbirV d ms inlcai plans C Portland, OR 97209 � must be submitted at tfms of 1xiNd q perm,R appkation. Phone: 503-227-5844 9 JOB DESCRIPTION: _ Tenant improvements for Key_ Bank 1 l` Applicartt S gnattire R Phone number Received by: ke 4' t- Date Rscehrsd: �� a Permit S Account Description Amount Amt. Pd. Bat. Daae Bldg. Permit (BUILD) `fl� 0 Plumb. Permit (PLUMB) Mech. Permit (MECH) w�� r G � State Tan (TAX) 1-20 J p 6 Bldg: Plumb: Mach: v Plan Check (PLANCK) r Bldg: Plumb: Mach: 11 Sewer Co sctien (SWUBA) Sewer Inspection (SWINSP) Parke Qev Charge (P C) Residential TIF MF-R) Mass Transit TIF (TIF-MT) Commercial TIF MF-C) Industrial TIF (TIF-) Institutional TIF (TIF-18) Office TIF (TIF-0) Water Quality (WQU L) a Water Quantity (WQ ANT) N -�+--j--- _ Fin Life Safety (F m Erosion Cntrl Permit (ERPRMT) \ L7 Erosion PlancIdU8 (ERPLAN) Erosion Planck! T (EROSN) .� TOTALS: Z.�� a2,2- 32- BUILDING MIT O ICI TY OF TIGARD PERMIT # . . . . . . : BBUP9 5-0026 COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 03/1Y/95 1319E eW MM IWA.T4wd,Orpon 97ffilN/96 (60~17A I PARCEL: 1 61:3.3AD-02400 _ 1 TE ADDRESS. . . 1 12:744 SW NUH I H DAKOTA ST SUBDIVISION. . . . : ZONING^: C-P BLOCK. . . . . . . . . . .. LOT . . . . . . . . . . . . . .. • HLISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- LLASS OF WORK. a NEW F I RS7. . . . :3940 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS ;-----•----- TYPE OF CONST. :5N rHIRD. . . . : sf N: S: E. W: OCCUPANCY GRP. :B2 TOTAL------: 3840 s f= RUG-. CONST:B ' i ti- RET?:Y OCCUPANCY LOAD:38 BASEMENT. : sf AREA SEP. RATED: S TUR. : 1 1-11'. :28 ft GARAGE. . . : s f OCCU SEF'. RATED: 86MI ?:N MEZZ?:N REOD SETBACKS-------- F LUUR LOAD. . . . :50 ps f LEFT : ft RUNT : ft FIR SPKL:N S90K DET-01 UWtLL1Nb UNITS: FRNT: ft REAR: ft FIR ALRM:N HKDICP AC-.:Y BEDRMS: BATHS: IMF, SURFACE: PRO C;ORR:N PAMX I NG: VALUE. $: 216700 Remarks: Shell only permit for Key Bank Owners ------------------------------------------------------ FEES -------------- MACKENZIE/SA1T0 type amoiint by date recpt P. U. BOX 69N,59 PRMT f 725. 50 JDA 03/17/95 -- PLLK $ 471. 56 %? 01/04/95 95-c60172 PORTLAND OR 97201 FIRE f 290. 20 ?? 01/04/95 95-260172 Phone Oke 224-9570 SPCT $ 36. 28 JDA Q13/17/95 TIFD f 4308. 00 JDA 03/17/95 - - - Coritractor: -- -- __.___.____.._._._ _._ _._.._ .__._._.. ___ TIF'D f 9705. 00 .IDA 03/17/95 _ - cowTRACTOR NOT ON I-ILE �tfI Cti7Tr...T.-%-•-• I y 30 St-J ?�.�(e r (moo I r lr,,P 1"0'2 9�OeSr ------------- 1 o ri e #: f 15535. 56 TOTAL REUUI RED I14SPECT I ONS -------- This permit is issued subject to the regulations contained in the Framing Insp l tgard Municipal Code, State of Ore. Specialty Codes and all other I n s at t at i on Insp _ applicable laws. All work will be done in accordance with Gyp Board Insp aporoved plans. This permit will expire if work is not started 91-tsp Ceiing Insp within 180 days of issuance, or if work is suspend!d for more Reinforced concr than 180 days. Str-Uctura.l mason _ _ - RL final Inspection 1K I�ermittee Si gnatur ® ssi.ted By . - - — — C7 J Call for-, inspection - 6:39-4175 IF Commercial Building Permit Apalication F l� City of Tigard t1o� 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 11 / Jobsite Address: 9� S,tJ�Stl1 Tenant._ Kjz( ?AfJr-,— - suite Valuation: '-v � Cryo Owner: <- f Address: Phone: 0ontractor: I -OS�� C Address: —0� W_ 'rAYLOfL - Type of cone l: N r ►�.— � q 120 5 — Occupancy cuss:_ Phone: 22% -717-1-- -- sprinkiered? lies (#IT) Contractor's license # (attach copy ofcum�nt Oregon Jkaense) Sq. ft. of project:--1-84T � L0QI ti r Story(t st, 2nd, etc.) i-S TiPjq Architect/Engineer: �_-_ Proposed use:_ 'SAAK — Address: Now: Pkmt%V & mechenirai plans MACKENZIE/SAITO 8 ASSOCIATES, P.C. nwo to aftMed at � of � buildnq►�em*appRcatlon. 224-9570 ~ Phone: PO BOX 69039 FAX (503) 228-1285 0 a COMMENTS: qr -- --- -- ---- A�' Appiicaxit Signature & P ne number Received by:__ Date Received: J 4 Permit S Account Description Amount Amt, P4 Bal, Dtre u pq Bld � Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Meeh: �p Plan Check (PLANCK) 0 0� Bldg: _ �'�-�-9�.-� Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDCl-�,(e Residential TIF (TIF-R) (TIF-MT) L130 1F. 01) bta.�s Transit TIF - Commercial TIF (TIF-C) 71 Industrial TIF (TIF-I) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water Quality py _ W8te7 GUBfft G,A�N•I ��A6 Fire DistriG " : :, � �r' ��-� �/'�: �Q 0 DEPARTMENT OF LAND USE i TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION#x350-12 155 N RTH FIRST, HILLSBORO,OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640.3561 or 653.4415 ermit # 05065460 Project # P0048583 Status APPROVED Paye 1 of 2 pplied 013/2:3/95 Issued 0:3/2:3/95 Fxpiresl: 0V/19/1?5 06/30/95 05 : 02 COMELEC ermit_ Title KEY BANK OTH escription JOB 5028 LERVICE/27 CIRS/LV Begun: 03/23/95 ob .A3dr,-s3 I -'L"1 y y wne.r Name: INSPECTION - T I OAR'A IV Odt, ,Req i on D p,licant Nam* RURAL ELECTRIC, INC hone qumb-�ar 648-6696 Valuation: 0 Approved Approvalll : APPR nspeC�� Comments . Rejected-. _ IVR-RESULTS -- P� C)� UALI7Y ORIGINAL REQUEST ERROR! t ! ,: i 1 eeNar►iclll trdctrual : F r a 1 rI FT�erted by :. - , Date -2f)An LU J F e�r.'pect i on Requested r O * la t�-ral I pectxon �t0 r'� E AP ON IVR 06/30/95 RI kl rv-R- 34-32CL" * Wall Craver 0413 ); UN IVR 06/30/95 RI RIIVR 34-82C G r r CITY OAF TIGARD MLCHANICAL COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 13146 9W e1.a W TiWl.O►poe 91 09196 (SM IU4171 PERMIT #. . . . . . . s MEC95-0098 6 '�-4171 DATF I`,SUED: 04/20/95 PARCEL: 1S133AD-02400 :=E t+DDRESn. . . : 1C71i4 SW NORTH DAKOTA ST SUDDaVIS10N. . . . : ZCNING: C-P BLOCK. . . . . . . . . . . !_OT. . . . . . . . . . . . . . CLASS OF~WORK. . :N714 FLOOR FURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :COM UNIT HE.ATERG. . : VENT FANS. . . .-2 QCC:UPPNC'Y GRF. . :B2 VENTS W/O APPL.: VENT SYSTEMS: 5TORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : G'UL'L TYPES----_-•------ 0 11P. . . . :c^ DOMES. INCIN. z /GA6/ / / 3--15 HP. . . . . COMML. INCIN: MAX INPUT. BTU 15-30 HP. . . . REPAIR UNIT3a F IRE DAMPERS?. . t 30--50 HP. . . . : WOODSTOVES. . : '."AS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS— : NO. OF UNITS----- - - _ - AIR HANDLING UNITS OTHER UNITS. : TURN ( 100K BTU:C ( 100,00 c f m. GAS OUTLETS. : 1. F-URN ) =100K BTU: > 10000 t_f m Remar-ks . Gholl only permit fry - 1(Ay Renk Owners FEES; I+IACKENZIE/SAITO type amot.Ant by date r-ecpt P. O. BOX 69030 PRMT $ 42. 00 SW 04/20/95 - r i.-CK $ 10. 50 SW 04/20/15 -- POFTLAND OR 97201 SPCT t. 2. 10 SW 04/20,,95 Phone #s 224--9570 Contractor : CLIMATE CONTROL HTG it A-C 3315 NW 26TH AVE PORTLAND OR 97210 __--__-___----..._____.......__----___...__.__.___ Phone #: _-23 4 s'),? ! 54.68 TOTAL Reg #, . : 62196 - - --- - PFOU I RED INSPECTIONS --_ - This Fera,'. is issue; subject to the regulations contained in the Final inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done it accordance with IL approved dans, This perait mCl e:{Fire if work is not started within 180 days of iss`tancP, or if work is suspended for ware _ _ _- F- than 180 days. CO) J c e(j Ly _ ;'At"mittee Sigr"iatul^e : _ _ Call far inspection - 639-4175 e. AIN%- c:,/IS' City of Tigard MECHANICAL PERMIT PlancwRec. * t 1.1125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 Table 3A Mechartiaal Code CITY PPICE AMT Job /27'/ S w k o, 1) Pwmk Fe• -0- -0- 10.00 Address �GA/✓� 2) SuPPbnmW Perera 3.00 1) Ind.du &wi sts le 6.00 / umaoe + Owner 2) Ind.ducts a vwMs 7.50 �-- 3) Ind.vert 6.00 Suspended heeiter,we healer 4) or floor mounted heaw 6.00 Vent HU M.on Occupant5) app�Mre Permit 3.00 Ropw 0 6) cooing,absorption unk 6.00 Bow(rr pump.air com. 7) lo 3 HP;absorp unit to t00K BTU 7, 6.00 /y wfx comp,Met pump.a cond. .331 �/W Z 6� 6) 3-45 HP;sbwrp unit b d00K BTU 11.00 Contractor or OOMP,heatpump. 97210 9) 15.30 HP;obsarp unk.5-1 ml BTU 15.00 or�+p,host pump, 3 - y 3 73 10) 30.50 HP;sbscrp unit 1.1.75 ml BTU 22.50 hereby aCknowlei go mat I nave road this application,mat 156 MW or comp,heatp, information given is correct,that I•m the owner or oulhod2ed spent 11) >50 lip;absorp unit 1.75 ml BTU 37.50 of the owner,that plans submitted are In compliance with Stats r rt, unit to laws,that I em registered with the Construction Contnetor's Board, 12) 10.,-40 CFM 4.50 that the number given is correct (If exempt from Stale registration, r hWWftV unit please give mason below.) 13) 10,000 CTM. 7.50 n porlimbis 2 , AIL v- 14) evepomle cooler 4.50 Ve—n-1 fan conMM 15) to a single duct Z 3.00 6 Venflabon sysloon no U (,,, 16) Included In appliance permit 4.50 17) mechanical exhaust 4.50 Describe work new U addition alteraron U repor m or industrial to be done residendal Q non-residential Q 18) type inclrntralor 30.00 xis ng use Or LIWW Le., s ,wow 4. building or property 19) haler,solar,clothes dryers,at. 450 Proposed use of 20) Gas piping one lo bur outlets 2.00 N building or property Type of fuel •oil Q natural gas LPO Q electric Q 21) Morn than 4-per outlet _D LD Minimum Fa$25.00 4UBTOTAL 00 W PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 6%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR Sv ABANDONED FOR A PERIOD OF 180 Dd.YS AT ANY TIME PUN R' VIEW 25%OF SUBTOTAL AFTFR WORK IS COMMENCED. TOTAL Special Conditions Date Issued by —•sem a wusaPW