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15802 UPPER BOONES FERRY ROAD ADDRESS: is\r©cores\microfilm\targe+s\building.doc I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Bu-iness Line: 639-4171 --- -—-_---- B U P —------ DateRequested !`M_ PM BLD Location`_ �7 Cid ��� k�Ai MEC Contact Person Ph PLM --- Contractor _!—_ (,(�; Ph SWR BUILDING ^ — Tenant/Owner _ FL, Retaining Wall L.'.R Footing Access: v Foundation � ,��i�l/� hd1•�/I /I. � 7 nOj��� ,( FPS _ Fig Drain SGN Crawl Drain Inspection Notes: — Slab 51T Post&Beam - Ext Sheath/Shear G � _ Int Sheath/Shear '~ V Framing Insulation Drywall Nailing Firewa!I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ti Mlac: 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 RTFAIL LECTR Sewn, Rough in1JGLSI - - ab ow Volta Fire aF P SS ART FAIL Backfill/Grading - Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspc,tion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ]Please call for reinspection RE:_ _- [ j Unable to inspect-no access Fire Supply Line — ADA Approach/Sidewalk � r/ �� Gther Date _ Inspector _ -- _�jz.��21�--Ext Final PASS FART FAIL DO NOT REMOVE this inspection record tram the job site. CITY O F TIGARD I DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR98-0193 DATE ISSUED: 07/2-7/98 PARCEL: 2SI12DD-00701 SITE ADDRESS. . . : 15802 SW UPPER BOONES FERRY RD #BLD. Z3NING: I—P SUBDIVISION. . . . : JURISDICTN: TIG BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . Project Description: Electrical addition -------- --------- ----------------------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAL------------------ •-------------------- AUDIO & STEREG. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BOILER. .. . . . . . . . . LANDSCAPIE/IRRIGAT. . : BURGLAR ALARM. . . . ' LARM. . . . : MEDICAL. . . . . . . . . . . . GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITER VACUUM SYSTEM. . . . ' PROTECTIVE SIGNAL. - IX OTHER: HVAC. . . . . . . . . . . . .. INSTRUMENTATION. : OTHER. . : It TOTAL # OF SYSTEMS: I ------------ FEES Owners — ---------------------------------- date recpt PACIFIC REALTY ASSOCIATES LP type amount by 15350 SW SEQUOIA PKWY #300 PRMT $ 40. 1710 B 07/27/98 98-307697 PORTLAND OR 97224 5PCT $ 2. 00 B 07/27/98 98-307697 Phone #: 624--6300 ------ ----- Contractor: $ 42. 00 TOTAL HONEYWELL. INC 15495 SW SEQUOIA REQUIRED INSPECTIONS ------- STE 100 Ceiling Cover Low Voltage Insp PORTLAND OR 97224 wall Cover Elect' ] Final Phone #: 968-333:�, Reg #. . : 000578 This peroit is issued subject to the retiqlations contained it, the hqard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be doneinaccordance with auproved plans. This permit will expire if work is net sorted within 180 da,, of issuance, or if work is suspended for sore than 180 dayc. ATTENTON: Oregor law requires you to follow rule aLipted by the -NJ-NIO through OAR 952-MI-OW. you say ob'Ain copies of Oregon Utility Notification Center. Those rules are set forth In OAR 95j.,I these rules or di t di. I to (AX at (513)246-1987. Permittee Signature . Isst.ted by --------------------------------OWNER INSTALLATION The installatiOt' is being made on property I own which is rict intended for sale, lease, or rent. DATE: OWNER' S 919NATURE: -------------CONTRACTOR INSTALLATION ONLY--- ------------ —------------- SIONATURE OF SUPR. ELECIN IQ A DATE: I ICENSE NO: .......................4.....................4•....................................... Call 639-4175 by 7:00 P. M. for an inspection needed the next t)i.tsiness day ...........................+++++++++++,+............44.++4•............... I RESTRICTED ENERGY ELECTRICAL APPLICA,TIOKIVEO Recd by: CITY OF T.GAI D Date Recd: = 1;3125 SW HALL BLVD TIGARD OR 97223 PRINT OR TYPE '? U 7 19T Permit#:_f Le!a V-503-639-4171 X304 c Cust.Call'd: F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICA•riONS of ftp- WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL — $40.00 Resd9cted Energy Fne............................. I'E X 1 - (FOR ALL SYSTEMS) JOB Street Address Ste# Check Type of Work Involved: ADDRESS y/Blatt Zip Phone' ❑ Audio and Stereo Systems r ) - ---- ❑ Burglar Alarm _. Garage Door Opener' OWNER Mailing Address ❑ Heating,Ventilation and Air Conditioning System' Cily/State Lip Phone# [j vacuum Systems' Name Other JE Lr CONTRACTOR Mailing Address TYPE OF WORK INVOLVED-COMMERCIAL _ c, jjW $40.00 Fee for each system................I................... (Prior to Issuance a ity/S ate Zlp P ne M (SEE OAR 918-260-260) copy of all licenses j are roquired if Oregon Contr. d Lic.# Exp.Date Check Type of Work Involved: expired In C.O.T H 1 . - data base). Electrical Contr.Lic.# Exp.Date ❑ _ �� � Audio and Stereo Systeme C.O.T o Metro Lic.# t:xp Date Boller Controls nqci1 /112 ❑ Owner's Name ❑ Clock Systems OWNER - Mailing Address ❑ Data Telecommunication Installation APPLICANT Cit /Slate Zip Phone# Y � ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to 11VAC make only restricted energy Installations(100 volt amps or less)under this permit and to do the following Instrumentation 1 Only use electrical licensed persons to do installations where required Intercom and Paging Systems Certain residential and other transactions are exempt from licensing. g 9 y these have asterisks('). All others need licensing; ❑ Landscape Irrigation Control" 2 Call for inspections when Installation under this permit are ready for ❑ inspection at 503-839.4176; Medical 3. i'nrchase separate permits for all Installations that are riot ready for an ❑ Nurse Calls Inspection when the inspector Is out to Inspect under this permit, Outdoor Landscape Lighting' 4. Assume responsibility for assuring that all corrections required by the Inspector are done,and. K7 Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the ❑ Other corrections are completed. Permits are non transferable and tion-refundable and expire if work Is not _ Number of Systems started within 180 days of Issuance or if work is suspended for 180 days • No licenses are required Licenses are required for all other Installations The person signing for this permit must be the applicant or a person authorized to bind the applicant _ FEES �C — ENTER FEES Sign tur 6%SURCHARGE(.05 X TOTAL ABOVE) S � �)v� �. TOTALAuthority if if other than Applicart t\resele doc 12196 Page No. 1 CASE HISTORY FOR CASE NO.: MEC98-0195 PACIFIC REALTY ASSOCIATES LP 15802 SW UPPER BOONES FERRY RD Unit: BLD. 06/17/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Dome Date By MECCO07 Application received / / / / 06/01/98 RECD MH 06/01/98 DLH MECCoos Permit created / / / / 06/01/98 DONE DLH 06/01/98 DLH MECCO14 Plan checked/Approved by P.E. / i / / 06/01/98 PASS JF 06/01/98 DLH MECCO90 (F) Issue permit / / / / 06/01/98 DONE DLH 06/01/98 DLi MECC705 Gan Line Innp 06/01/99 / / 06/08/98 30 lb. test: If this is a 2 lb. gas line PASS TLP 06/09/98 J+H you need 60 lbs. test, if not gas litre okay, Tag 134887. MECC705 Gas Line Insp / / / / 05/03/98 test holding lean than 5 lbs. FAIL TLP 06/10/98 J*H MECC799 Final In®pection / / / / / / 06/01/98 DLH CITY MJF TIGARD MECHANICAL.. DEVEL.OPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : ME''•:98-019S DATE ISSUED: 06/01/-01.3 PARCEL- : 511:DD-00701 SITE ADDRESS. . . : 15802 SW UP-PER BOONES FERRY RD #SLD. . IMG: I-P' SUBDIVISION. . . . : ZON BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG CI-ASS OF WORK. . :ALT FL-OOR FURN. . . . : 0 EVAP COOLERS: 0VENT FANS. . . : 0. TYPE OF USE. . . . :CON UNIT HEATERS. . : 0 OCCUPANCY GRP'. . :B VENT W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FL.)EL TYPES-- 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HF--'. 0 COMML_. IIVC IN: 0 MAX INPUT: 0 BTU 1.9-130 HF'. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. 30-50 HVI. 0 WOODS10VES. . : 0 3AS pPESSURE. . F' 50+ HP. . .. 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0 FL.1RN ( 100K BTU.* 0 1.0000 r-fin ". 0 GAS OUTLETS. : I TURN ) =100F BTU: 0 > 10000 rfm: 0 Remarks: Tenant improvement to split gas line and install P-ld meter. Owric,r- FEES ---------------- pACIFIC REALTY ASSOCIATES type amoi.int by date r e r-pt 15350 SW SEQUOIA PARKWAY PRMT $ 25.. 00 DLH 06/01/98 98-306152 PORTLAND OR 97224 PL.-CK $ 6. 25 DLH 06/01 /98 98-306152 5PCT $ I. , Fj DL -H ofil(AII98 98-30615' Phone #: Contractor: CLIMATE CONTROL HEATING 3315 NW 261H nvE $ 32. 50 TOTAL FIGRTI-AND OR 97"010 Phone #: 223-4393 Reg #. . : 000006 REQUIRED INSPECTIONS This permit is issued subject to the regulations co,itainpd in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes amid 311 other Final Incipertion applicable laws. All work will be done in arrordarce with approved plans. This permit 401 expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you Ln fallow rules -- adapted by the Oregon Utility Notificatio" Center, Those rules are set forth in DAR 992-Q*14#10 through OAR W-Mi-WO. you may obtain copies of these rules or direct questions to OW, by calling (503)246-9187. permittep Signati.ire � Issl.le By - 4•...........4-+++4 ++++f+++++•++++++++++++++-+4•++++-+++++++4•+•++++++++++-F+++4 +++-+ Call 639-4175 by 7:00 P. M. for inspections needed the next bi-isiness day ...........4-++4.........1-4,+-+++++++4...4++.+++++++-+-+++4-+++4-+++4-4+++4-++++++•F4•++++++++ Plan Check ay CITY OF TIGARD Mechanical Permit Apps! ation Recd By 13125 SW HALL BLVD. Commercial and Residential Date Raa'd G 1 TIGARD, OR 97223 Date,to P.E. G raj (503) 639-4171, x304 �I (.r Date to DST G i Permit#I z Print or Type Called Incomplete or illegible applications will not be accepted Nerve M DevelopmrnvProfed� Oescnption r Table to Mechanical Code OTY PRICF4 AMT Job Street - 9ufteN A) Pennd Foe -0- 0 10.00 Address /5 8C'Z SU) UPF 42 aa'u 131dW72--7 CitylStste ZIP 1 ; Fumace to 100,000 BTU r -6.00 11 614p), CI' _ inGudin duels 8 vents Na (or,nams of business) 2 J YFumace 10r.,000 BTU+ 7.50 Owner Y"4--1 f-iC including uuds&vents Mailing Address 3.) Flou7 rumace 6.00 3 _`;:,6' 5CV SG Ualf ' including vent RylStste LP PIZ* 4.) Suspended heater,wall heater 6.00 f�VIZ17f�VO Get'. �;4_ orfloormounted heater_____ _ Name(or name of business) 5.) Vent riot included in appliance permit 3.00 >< L�' Occupant Mamng Address IF) Boiler or comp,heat pump,air Gond. 6.00 to 3 HP;absorb unit to 100h BUT" _ City/Stale Zip 7ane 7.) Bodar or comp,heat pump,air Gond. 11.00 _ 3-15 HP,absorb unit to 500K BT*'I- CUntraCtOr Name 8.) Boiler or comp,heat pump,air ccnd. 15.00 6'L i/1'�a''� CCA/ale I,be, 15-30 HP;absorb und.5-1 mil BTU" Prior to permit Mailing Address 9,) Boiler or comp,heat pump,air cond. 22.50 issuance,a copy 3V-'5- A16,, 2-1, 1 /3 VP ' 30-50 HP;absorb unit 1-1.75mil BTU" of all licenses City/hate ZIP Phone 10) Boder or comp,heat purnp,air cond. 3750 are required if G/'tI/ 0& C1 7Z« ?Z 3 `/311�3 >50 HP:absorb unit 1.75 mil BTU" expired in COT Oregon Const.Corft.Board Lica Exp.Dat._ )A 11 ) Air handling unit to 10,000 CFM 4.50 database - Architect Name 12) Air handling unit 750 10,000 CTM+ or Mailing Address 13) Non-portable evaporate cooler i 450 Engineer City/State zip Phone 1�'.) Tent fan connected to a single dud 3 OG Describe work New 0 Addition 0 AReratign Repair O 15.) Ventilation system not included 4.50 to be done Residential 0 Non-residential in appliance permit __ Additional Description of work: 16.) Hood served by mechanical exhaust 4.50 17.) Domestic incinerators 7.5u Existing use el _ 18) Commercial or industrial 3000 building or property __ incinerator 19.) Repair units 4.513 Proposed use of 20.) Wood stove _4_9_0 budding or property --- - 21 ) Clothes dryer,etc 4 SC Type of fuel-WO natural gasLPG 0 electric O 22.) Other units 4.50 !hereby acknowledge that I have read thi; application,that the information 23.) Gas piping one to four ju'iets 2.00 given is correct,that I am the owner or outhkrized agent of the owner,that plans submitted are in compliance with Oregon State laws. 24.) More than 4-per outlet(east,) _ .50 Signature of Owner/Agent Date *SUBTOTAL SLIRCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUb i OTAL // Required for ali commercial Permits on . 76 TOTAL. •S 'Minimum permit fee is$25+5%surcharge 'Residential NC requires site plan showing placement of unit. I Vnechpmn doc rev 4115198 OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL MECHANICAL PERMIT CHECK LISW Description of Project: _��?/ , � Kef/ Class of Work: 41 Floor Furnace: Evap Coolers: _ Type of Use. e"e" Unit Heaters: __ _ Vent Fans: Occupancy Grp: !, Vents w/o Appl: m Vent Sysies: Stories: - —, Boilers/Comprsr! Hoods: Fuel Types - 0 - 3 HP. —_ Repair Units: 3 - 15 HP. Wood Stoves_ Max Input: _ Btu:___ Air Handling Units CIO Dryer: Fire Darnpers:__ _ < = 10000 cfm: _ _ Oth Units: Gas Pressure: H / M / L > 10000 cfm: __ Gas Outlets: ��- No. Of Units: _ Furn < 100k Btu: Furn >=10 " Btu: v--- NOTES: -----_ COMMERCIAL INSPECTION ACTIONS FEE MENU S Permit Fee Gas Line Inspection S L ? $ Plan Review Mechanical Inspection s 1? 5116 State Surcharge Cooling Unit Inspection S ,Additional Permit Fee Shaft Inspection S _ kdditional Plan Review cee Hood Inspection S T Inspection Fee Fire Suppr Inspection S M scellaneous Fee Duct Inspection Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection ------- Final __-.-Final Inspection — FOR OFFICE USE ONLY: — TYPE OF USE OPTIONS(COM=commercial,CMS: commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new,ADD=addition:ALT=alteration:ACS-amesso ry, FND z foundation;OTH_other, DEM=demolition:REP= repair, FPS=fire protection system NOTE=USI':OTH FOR FENCES, RETAINING WALL, DETACHED DECKS, SIGNS, AWNINGS_, CANOPIES) ilovrcnti 7 rdstl 819? 1 ca 0 � CC ocr3 ss` c E g a, ro L tiaoc ? as _ >,f•- r `- Pg�> Cc: •iii' G ,- � � '� (� • co P-a J� I W _ I r dl I]n 1 I I .t•.01 .t-.01 1 I Tv i 1 W I v T I Ir �= r -•al o . IIrn1.o .a A14 =8 CL GL I 1 I 1 I 1 CL I I I I I ry V IL L - - -' - - caw I ` 1 I mW u I z n ID Ya I 00 c� I �7 aria �� ria Q 6 U N CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW,Hall Blvd., Tigard,OR 97223 (503)639-4171 CE RT I F'I CATI: OF OCCUPANCY PERMIT #. . . . . . . . SUP98--0133.. DATE ISSUED,# 05/11 /96 PAR'EL t i-S 1 i 2DD--00701 '31TE: ADDRE'SS. . . 115802 5W UPPED 7L'RRY RD #C1LI3. 9UBVIVISION. . . . : ZONINfyt I -P BLOCK; . . . . . . . . . . . . . . . . . . JU9ISDICTIONt TIG .LASS 0+:' WORK. t Ar_T rYPE UE UGE. . . t CCrM 1"YPF. OF CONOTR t`SN SCCLIPANCY GRD. t D 11CCUPONCY L..OAD: 28 rI NF1N"l NAME. . . t S I RIM X LL-C Pemarks : Tenan+ improvement trtf . ,pace Jwnert _._... ._._ ...__._._.._.._._---...._..____._..__ REALTY ASSOCIATES L.P 5350 SW ;iEUUOIA r'KWY #300 >OPTL.AND OR 9*70.24 0hune #t (Ant rout ort _.._._..._ .._ .__._..__._.._..._..__. __.-_--.... . ... i7 WIFBE:R C[]N TRIJCTI(:)N INC 1 506 SW PALATINE !;T 'ORTI-AND OR Ohnne #t .-_44--4318 i e w 0. a 17100652 Ihis Cel"t' ific°ate grant % ucckvranry of thG r-'PfPrr­lc_kd bt. ildiriR or- portion ' herenf and -onfirma that the bulldiog has hoon insp +•ed ror compliance with h , t.fta�te of Or"golf Spec:ir0ty' Codes forthE. Ur pf t:►cr_u ryc�y, erncf �aap under -ph ji.,h' rcferano* r mi,t wag i151.1ed. ullL_DINO IN PI— .TUP '0111- 06 OF'F"IC.IAL_ EXIST IN C(INSO I CUOUS PLACE`. ram CITY OF TIGARD BUILDING INSVECTION DIVISION 24-Hour Inspection Linc: 6394175 Business Phone: 639-41 7 1 I Date Requested: _v � _ A.M. P.M. _ *04- Location: 4f 1,-nant: ( - i Suite: Bldg: MEC: Contractor: Phone: s—MI- OeYr)1 PI M: Owner. Phone: ELC: ELR: 1191717: BUILDING LPG on'tl kgLuMUINGMECHANICAL ELECTRICAL SITE Site Post/Beam Po n I1,)st't3eam Cover/Service Sewer/Storm Footing Roof UndFVSlab Rough-In Ceiling Water Line Slab Framing Top out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer llood/D uct Reconnect Vault Hsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fir lm Crawl/Motmd Dr I lest Pump Low Volt Approved ovedd Approved Approved Approved Appr/Sdwlk proved ved Not Approved Not Approved Not Approved I 1; FINAL FINAL FINAL FINAL, O Call fo ins ori/ CI Rcinspeclion fee of$. req '!cd fore �It 'tspection (7 unable to inspect Inspector:. Date: _ ____ Page—.�of Page No. 1 CASE HISTORY FOR CASE NO.: pLM98-0114 PACIFIC MEALTY ASSOCIATES LP 15802 SW UPPER BOONES FERRY RD Unit: BLD. 06/17/98 Req/ Schd/ Fnd/ Action Notes Disp By Update Upd Action Description Date By Code Sent Done Done / PLMC003 Application received 04/29/98 RECD GEO 04/29/98 GEO / / / � DONE GEO 04/29/98 GSO 04/29/98 PLMC005 Permit Created PASS GEO C4/79/98 GfiO PLMC050 (F) Inoue permit 04/29/98 PASS WA 05/Q6/98 J-H PLMC799 Final lnapecLion 09/29/98 / / 05/0�+/9E1 05/06/98 PASS WA 05/06/98 J*14 PLMC800 case Finaled CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639PERMIT #. . . . . . . : PLM98-01 1-4171 DATE ISSUED: 04/29/98 PARCEL: 2SI. 12DD-00701 SITE ADDRESS. . . : 15802, SW UPPER BOONES FERRY RD #BLD. SUBDIVISION. . . . : ZONINS: I.-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ----- --------------------------- ---- CLASS— ' OF WORK . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . :Cc)m WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . STORIES. . . . . . . . .. 0 WATER HEATERS. . . . . : 0 CATCH 0 FIXTURES------- ------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . : I URINALS. . : 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 2 OTHER FIXTURES. . . . : III TUB/SHOWERS. . . : 0 SEWER LINE tft) . . . : 0 WATER CLOSETS. : 2' WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Replace one sink, two lays and two water closets for an existing commel tenant ocepy. Owner: ----------------------------------------------------- FEES PACIFIC REALTY ASSOCIATES LP type amot.tnt by date reept 15350 SW SEQUOIA PKWY #300 PRMT $ 45. 00 GEO 04/29/98 98-305361 PORTLAND OR 197224 5PCT 1; 2. 25 GE13 04/29/98 98-305361 Phone #: Cont ra,—t POWER PLUMBING CO P 0 BOX 23144 TIGARD OP 97281 Phone #: 244-1900 $ 47. 25 TOTAL Reg #,. . : 0005232 ---- REQUIRED INSPECTIONS ------ This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State t;f imp. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will eNrire if work is not started within IN days of issuance, or it work is suspended for more than 180 days. ATIENTIft Oregon law requires you to follow rules adopted by the Oregon Uti):iy Notification Center. Those rules are �;@t forth in DAR through OAR W-MI-SM. You may obtain copies of these rules or direct questions to OX by calling (503)246-1987. Issi-ted SYLz Permittee Signatt.'r ................4.++++++-+++++++f++++ ............................. ........ +++ 4 Call 639-4175 by 7:00 p. m. for an inspection needed the next bt-isiness day .................................................................4-4............. mulm— RARM CITY OF TIGARD plumbing Application Recd By_ 1 T125 SW HALL BLVD. Commercial and Residential Date Reed TIGARD, OR 97223 Da;9 to P.E. (503) 639-1171 Date to DST__ Permits /11 ei D ' Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called—._ _` —� Name of Development/Project �V �� On back indicat Work Peaormed by fixture. Job FIXTURES (Indlvldual) QTY PRICE AMT Address Street Address _ ,u to Sink — — c 9.00 •"•� Lavatory 9 00 r c/o` Bldg## Gt ISta e Z P Tub or Tub/Shower Comb g,00 '9 CA _ Name Shower Only 9.00 Water Closet 9.00 • Owner Matting Address Suite Dishwasher — !r 9,00 Garbage Disposal 900 Cit} ;tale Zip Phone Washing Machine 9.00 Name v� Floor Drain { 9.00 3" 9.00 Occupant Mailing Address V Suite y/State 21p Phone Water Heater O conversion O like kind 9.00 Cit Laundry Roam Tray p 00 Urinal g 00 Other Fixtuies(Spec-1y) - 9.00 Contractor aOdingAddress quite !` — Y 9,00 Prior to permit t /StaleZip Phone J 00 issuance,acopy ; "l7a,Vo1yHjOQ 9.00 of all licenses are Oregon Const.Cont.Board Lic# Exp Date f - 900 required if 30 00 �3 L Sewer- t st 100' expired in COT Plumbing Lic,# Exp Date Sewer-each additional 100! database 3�Iib (•, ,-3 p,,5 _ 25.00 Name Water Service-1st 100' 30.00 Architect Water Service-each additional 200' 25 00 I Of MalUr—Ad dress Suite Storm 8 Raln Dram-1st 100' 30.00 1 Storm d Rain Drain-each additonal 100' 2500 Engineer Clty/S.Ite� Zip Phone Mobile Home Space 29 p0 Commerciai Back Flow Prevention Devwce or Anti• —'-2-500 Describe work New O Addition O Alteration O Repair P)( Pollution Device to be done Residential O Non-residentlal-VS: Residential Backflow Prevention Device* 1500 Additional descriptive of work. Any Trap or Waste Not Connected to a Fixture 900 Catch Basin �) 9 00 Insp.al Existing Plumbing 4000 J A Cs� t S _ _ per/hr Existing se of a Specially Requested Inspections T-41 00 f building or property �,�A � chr ` Rain Drain.single family dwelling 00 I Proposed use of Grease Traps 0 .1Ibuilding or properly____� QUANTITY TOTAL. I hereby acknowledge that I have read this application,that the Information Isometric or nser diagramis required A Ouanity Tot.nr u >9 _ given is correct.that I am the owner or authorized agent of the owner.and — *SUBTOTAL that plans submitted are in compliance with Oregon State Laws, Oar S ture of OwnertAgentt` Onto C";SURCHARGE 2S y-Ly-y� PLAN REVIEW 2 F SUBTOTAL 2 Contact <ets ame PhonePLAN only A fixture qty total Is>. -- TOTAL - 'Minimum permit foo is$25+5%surcharge except Residential Backflow Prevention Device,which is$15*5%surchai is, I idstsiplmepp dor.5/97 i Mo i PL �Ipi_ET Fixture Type Quantity by Work Performed _ —_ New MRe oved placed Removed/Capped �- Lavatory _ --- - -- ---L-- Tub or Tub/Shower Combination- - ----- Shower Only - Water Closet - _ -- --�- Dishwasher -- Garbage Disposal - - -- Washing Machine _ - - ----- =6cn Draio 2" - - - ---- 'Nater Heater M - --- - I_aundry Room Tray - Jrinal - - - ---- )ther Fixtures (Specify) -- --- ---� OMMENTS REGARDING ABOVE: OMDPO dirt 51n Page No I MSE HISTORY FOR CASE NO.: ELR98-0113 PACIFIC REALTY ASSOCIATES LP 15802 SW UPPER BOONES FERRY RD Unit: BLD. O6/17/?H Action Descriptimi Req/ Schd/ End/ Action Notes Disp BY Update Upd Code Sent Dome Done Date By ELRC001 Application Received / / / / 04/21/98 RECD B 04/21/98 BON ELRC003 Permit Created / / / / 04/21/98 DONE B 04/21/98 BON ELRC500 (F) Issue permiL / / / / 04/21/98 PASS H 04/21/99 BON ELRC725 Low Voltage Innpection / / / / 05/01/98 PASS CD 05/01/98 J-li ELRC799 Elect'l Final / / / / 05/01/90 PASS CD 05/01/98 J-ti ELPC800 Case finaled / / / / 05/01/98 PASS CD 05/01/38 J•H I I I CITY CSF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL PERMIT RESTRICTED ENERGY PERMIT #: EL-R98-0113 DATE ISSUED: 04/21 /9E: PARCEL: 2S112DD-007Q11 <-)ITE ADDRESS. 15802 SW UPPER BOONES FERRI/ RD #BLD. ;'-)L.JFAD I V I S I ON. . . . : ZONING: I-P JALOCK. . . . . . . . . . : LOT. . . . . . . . . . . . JURISDICTN: TIG Pir oJ Pct De s cr i pt i 0 T, : Installing data telecommunications system ------ ---------- ----------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAL..---_____.__----_.____----_----___.____-____-. AUDIO OMMERCIAL-- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING— : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RR I GAT. . : GARAGE OPENER. . . - - CLOCK. . . . . . . . . . . : MED ICAI... . . . . . . . . . . . : HVA(... . . . . . . . . . . . . : DATA/TELE COMM. - : X NURSE CALLS. . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC I-IIE.I. OTHER: HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . : INST'RUMENTATION. OTHER. . : TOTAL. # OF SYSTEMS: Owner: ---------------------------------------------- FEES P()CIFIC REALTY ASSOCIATES LP type amot-tnt by date recpc 15,350 SW SEQUOIA PKWY #300 PRMT $ 40. 00 8 04/21/98 98-305134 PORTLAND OR 97224 5PCT $ 2. 00 B 04/21 /98 98-305134 1=1hone #: 624-6300 Contractor: TNT ENTERPRISES $ 4E!. 00 TOTAL MARK N TEE RFQIJIRED INSPECTIONS ------- 36196) 5E SKOUr RD Ceiling Cover Low Voltage Insp SANDY OR 97055 Phone #: 668-4455 Wi,.11 Cover Elect' ) Final Reg #. . : 99696 This permit is issues subject to the regulations rontainee, in the Tigard Nvnicipal 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 IN days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow rule adopted by the Orpoon Utility Notification Center. Those rules are set forth in OAR through DAR You may obtain copies of • thpse rules ord Tr ,, t, 1583)246-1987. Flermittee Signati.tre-e" I s tpd by ------- INSTALLATION The installation is being made an property I own which is not intended for sale, lease, or rent. DATE, OWNER' S SIGNATI-IRE: ——----------- -----------------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELECIN: DATE: LTCENSE Nn: +++.4-+.+++.4 .......4-4..........4-4-++++-++4......4-+++4......... &- +-J,++++++-+++A+++++++++++' Call 639-4175 by 7:00 P. M. for an inspertion needed the next bi.tsiness; day ++.+-.4-+++4-4++4++++++++++++++..................4F+++-4-+++++-+.++-+-+++-f..........t+.++++++++ 04i20/911 N()\ o- na I �> sn.( st+>ti Islttn t'I'I'1 nh 1I6IiRlt X002 CITY C.1F TI(3ARD RESTRICTED ENERGY ELECTRICAL_ APPLICATION Recd by _ kECEIVCD Uato Recd: 13125 SW HALL BLVD PRINT OR PIPE f TIGARD OR 97223 Permit!1:G -D 13 V - 503-639-4171 X304 APR 2 .' IN�.�1Q� M F • 503-084-7297 PLETE OR ILLEGIBLE APPLICATIONS Crust Call'd'—. WILL.NOT BE 1CCEPTED Name of Development ropct TYPE OF WORK INVOLVED - RESIDENTIAL ONLY estricted Energy Foe,......................... . . 4000 R 1 (FOR All SYSTEMS) AX--,X �_-�._____— -- Ste r JOB Street Adore 1 Check Tyre of Work Involved r ADDRESS 5F ItylSt to Zip Phone N Audio and Stereo Systems — Name � Burglar Alarm 3arage Door Opener' OWNER ailing A Pill it e p Meeting.Ventlletion and AR Conditioning System' NylStete rp hone N (1_.__ 7J Vacuum Systems' Name __Ir-/ZT�' '�� . e CONTRACTOR 41,,,n Addres1 TYPE OF WORK INVOLVED -COMMERCIAL ONLY --- _.._ — 10.0 -- onto N for each fysUm., (Prior to isfusnce a ateI p �� �7� 5 (SEE OAR 918.260.260) copy of all licensee ([ �- �Elx� bate are(egrired ITElectriCS1 Oregon bor(ir Ord Lie N Check Type of Work Involved. expired In C.O data bass) Conti. Llc is � Audro and Stereo Systems .T or Metro Llc M Exp DiteAgller Controls ners Nsme �� Clock Systems OWNER . Melling Address qct@ felecommunicstfon Installation APPLICANT f moilsppermit is uet l5tshIp Phor e N w Fire Alarm 111411111111111011i -f8-'20-3?0 This spollcant*gross o lssd unde00 NVAC make only reslricled energy Inslallstions(1(11 von amps or less)under Ihlf permit and to da the following Inslrumentatlor, 1 Only use electrical licensed persons M do Instelistions where required. Intercom and Paging System@ Certain residential and other transactions are exempt from llcfnslmg These have esterisks(') All others need licensing, Londscapo IrngaGon Control' 2 Call for inspectinns when instalist,on under this permit are ready for ❑ M@dlcal inbpection at 503.836-4176; 3 Purchase sepera(e permits for ell Installations that are not reedy for an Nurse Calls Inspection when the inspector is out 10 inspect under this permR V Outdoor Landscape Lighting'4 Assume 119pon511JINy for @ssuring that ril correction requ',ad by the Inspector are done,and; protective Signaling 5 Assume responslbilny for calling for if final Inspection Fran eli of the ( 1 Other corrections aro completed. �J Permits ere non•tfensferable and non-refundable end expi•s It work 18 not Number of System@ storied within 160 dsya of issuers•nr If work Is suspended for 1110 days _ -•-_ —_-- Tho person signing for this permit must be the applicant or a perscn No I,C*naea are required Llcensss era required for sn other Inateseoons oulhorlred to bind the applicant — — Signafurr+ , 5,4 till rnr•,1AnnN (114 X TOTAL ABOVE) f ),! Page No. 1 CASE. HISTORY FOR CASE NO.: MEC98-0116 PACIFIC REALTY ASSOCIATES LP 15802 SW UPPER BOONES PERRY RD Unit: BLI) 06/17/99 Action Description )eq/ Schd/ End/ Action Not-3 Disp By Update Upd code Sent Done Done Date By ------- --- -------- '------' ---- ---------- MECC007 Application received / / / / 04/07/98 READ B 04/07/98 BON 14ECro08 Permit created / / / / 04/07/98 DONE B 04/07/98 BON MEccnll Routed to Plane Examiner / / / / 04/07/98 BENZ- B 04/07/98 BON MFCC015 Reviewed Plans Routed to DSTS / / / / 04/07/98 APPR RDP 04/07/98 BON MECCO90 (F) Issue permit / / / / 04/07/98 PABB B 04/07/98 DST MECC706 Mechanical Insp 04/07/98 / / 04/29/98 PARS TLP 04/29/98 J•H MECC735 Duct, Inspection 04/07/98 / / 04/29/90 PASS TLP 04/29/96 J+H MECC799 Final Inspection / / / / 04/29/98 PASS TLP 04/29/98 J`H MECc900 Case Finaled / / / / 04/29/98 PASS TLP 04/29/98 .J-H CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC98-0118 DATE ISSUED: 04/07/98 PARCEL: 2S112DD-00701 STTE ADDRESS. . . : 15802 SW UPPER BOONES FERRY RD #BL.D. SUBDIVISION. . . . : ZONING: I—P BLOCK. . . . . . . . . . . LOT. . . . . . .. . . . . . . . JURISDicrION: TIG ---------------------------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . B VENTS W/O APDL.: 0 VENT SYSTEMS: I STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL. TYPES-------------- 0--'3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3—15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . - 0 REPAIR UNITS: 0 F'I RE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE5. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. (IF UNITS----------- AIR HANDLING HN I TS OTHER UNITS. : E TURN ( 100K STU: 0 10000 cfm : 0 GAS OUTLETS. : 0 TURN ) =100K BTU: 0 1.0000 rfm : 41 Remarks - Tenant improvement - add vent fan, move six grilles/ducts Owner-. FEES PACIFIC REALTY ASSOCIATES LP type amoi.int by date reept 15350 SW SEQUOIA PKWY #300 PRMT $ 41. 50 B 04/07/98 98-304723 PORTLAND OR 97224 PLCK t 10. 38 B 04/07/98 98--304723 5PCT $ 2. 08 B 04/07/98 98-304723 Phone #: Contractor: CLIMATE CONTROL HEAT TNG 331.5 NW 26TH AVE $ 53. 96 TOTAL PORTLAND OR 97210 Phone 0: 223-4393 Reg #. . : 000006 REQUIRED INSPECTIONS This permit is issued suuject to the regulations containen the Mechanical Insp ---__ Tigar ----Tigard Municipal Code, State of Ore. Specialty Codes and ell other Di.ict Inspection 1applicable laws. All work will be done in accordance with Final Inspection appro,ed plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspl!nded for more than 1816 days. ATTENTION: Oregon law requires you to follow rules adoptel by the Oregon 1.1tility Notification Center. Those rules are set forth in OAF. through OAR 952-W-W. Ypu may obtain copies of these rules or direct questions to OLINC by calling (503)246-9187. T-,st-te By : Signatt.ire -)�_. ��- +44.........A.............4..........4+4-+4++-++-+++-4-+4+++4+++-'-+-+-++++++++-f-+++4-+4-+4++4 Call 639--4175 by 7:00 p. m. for inspections needed the next business day ++++-#............4-4...4......................1-++4++4...................4..........#-++++ Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By 3 1 13125 SW HALL BLVD. Commercial and Residential Date Recd r TIGARD, OR 97223 Date to P E. 503 639-4171, x304 Date to DST�. eK/ J Print or Type rjtl ri �n� '"� Permit Called " Incomplete or illegible applications will not be accepted — -- Name of DevelopmemV Project FDesc pticn Table 1A Mechanical C:odr, QTY PRICE AMT Job street Address Swte# A) —Permit Fee -0 -0- 1000 Address I� ;�') �u' u �i r i)�. ) _ -- Bldg# C yrsiate zip 1 ) Furnace to 100,000 BT11 600 - -` �, v including duct's&vents Name(or name of husmess) 2.) Furnare 100,000 BTU+ 7.50 Owner �� y 11 _}t including ducts&vents — —_ 1 _ Mailing Address 3.) Fioor Furnace 600 17 3-9 C) 6 w' A- � � including lent tatsZip Phone 4) Suspended heater,wall heater 600 LI , r� / or floor mounted heater - --- Name(or eme of business) 5.) Vent not included in appliance permit 3 U0 i - Occupant MaUI dress 6.) Boiler or comp,heat pump,air cond. 600 to 3 HP;abs,Ib unit to IOnK BUT" — — cityrstate Zip Phone 7) Boller or camp,heat pump,air Gond. -- 11.00 3-15 HP;absorb unit to 500K BTU" Contractor Name B) Boiler or comp,heat pump,nir cond 1500 C � t t Y 15-30 HP;absorb unit 5-1 mil BTU" Prior to permit Meiling Address �1_ 9) Boiler or comp,heat pump,air cond. 22.50 issuance,a copy ' r� NUJ L1 30-50 HP;absorb unit 1-1.75md BTU" of all licenses CRY/State Zip r Phone 10.) Boiler or comp,heat pump,air cond. 3750 are required if i2e"� ki t0r 97 I - X37 >50 HP;absorb unit 1.75_mil BTU" _ expired in COT Oregon Const t.Boars Lk.# Exp,Date 11.) Air handling unit to 10,000 CFM 450 _database_ Architect Namo 13) Non-portable evaporate cooler 450 Or Mailing Address 14) Vent fan connected to a single dud 300 Engineer Cityrstate Zip Phone 15) Ventilation systPm not included in 450 appliance permit Describe work New O Addition O—Alteration _ Repair p 16 1 Hood served by mechanical exhaust 450 to be done_ Residential O Non-residential Additional Descnptlon of work _ 17) Domestic incinerators —� 750 f t _1_B_) Commercial or industrial type 30.00 -- Incinerstor _ — — Existing use of 19) Repair units 450 building or property --_-- —�- ---- 20.) Wood stove 450 Proposed use of 21.) Clothes dryer,etc. 450 building or property ___ 22.) Other units Z.^Qr LA ci Aziz to 4 50 Type of fuel-oil O natural gas LPG O electric r_) y acknowledge that.I have read this application, 23) Gas piping one to four outlets 2 00 I herebthat the 24.) More than 4-per outlets(each) 50 information given is correct,that I am the owr-!r or authorized agent of the owner,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL laws — Signature of ner!Agent Date — 'SU6TOTAL 50,6 SURCHARGE Contact Penson Name Phone PLI>N REVIEW 25%OF SUBTOTAL — -- � TOTAI. I I lmechpmt doc Arev 9 'Mlnirnum permit tee is$25 4 5%Surcharge "Residential A/C requires site plan showing placement of unit- lid OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: Class of Work: �Gr _ Floor Furnace: _ _ Evap Coolers: Type of Use: CV rA Unit Heaters: _ Vent Fans: Occupancy Grp: Vents w/o Appl: _ Vent Systems: Stories: — Boilers/Comprsrs: _ _ Hoods: Fuel Types - 0 - 3H?. Repair Units: 3 - 15 HP. Wood Stoves: Max Input: Btu:_. Air Handling Units CIO Dryer: Fire Daanpers:_ _ < = 1,0000 cfm: Oth Units: Gas Pressure: H ! M / l_ > 10000 cfm: ias Outlets: No. Of Units: Furn < 100k Btu: Furn >=100k Btu: NOTES: COMMERCIAL INSPECTION ACTIONS FEE MENU $ LL,,, Permit Fey Gas Line Inspection $ Sri Plan Review M�✓ Mechanical Inspection $ 5% State Surcharge Cooling Unit Inspection $ Additional Permii Fee Shaft Inspection $ Additional Plan Review Fee Hood !nspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneois Fee buct Inspectior Fire Alarm Inspection _ Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(cam=commercial,CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new.ADD=addition;ALT=alteratiun;ACS=accessory, FND=foundation;OTH=other: DEM=demolition;REP=repair,FPS=Are protection system.NOTE=USE OTH FOR FENCES, RETAINING WALL, DETACHED DECKS, SIGNS. AWNINGS, CANOPIES) I`,ovrcntr do(.(ist) R/97 1 ,.� 3 � �, •�� ty Q O d ui J W c v ga di Yffe cc--, a °S t3� `RWY gi 3 .II V�1 AWE Q I h�' t I y i I II �•�'Vj 1� l2 1 t I p I v 0 ei �In I .L-.m .L-.cl JTr I t I d N W Q j 1 cl v l 1•,0l .o , rvn�.o .LI .o . � .1-,0� Z C - I elm I I I a- cwi I I I I I I 4 i I I I I w G I I I I I u¢ I SwS c� I �C, ® tl t{►1 O lr �� •--__.—._ IM Fu u _ orL eWL =W® � c a CASE HISTORY FOR CASE NO.: ELC90-0153 PACIFIC RFJC�TY ASSOCIATES LP 15802 SW tlPPEd BOONES FERRY RD Unit! BU, Of+l�-7i 98 t,I Description Reg/ Schd/ End/ Actirni Notes Disp By Update Upd Sent Done Done Date By ELC00011 Application received / / / % 03/31/98 PASS JSD 03/31/90 J:1D ELCC007 Permit created / / / / 03/31/90 PASS JSD 03/31/98 JSD ELCC500 M Issue permit / / / / 03/31/98 PASS JSD 01/31/98 JSD ELCC700 Ceiling Cover / / / / 04/7.8/98 PASS CD 04/28/98 CI, ELCC720 Wall Cover / / / / 04/02/98 rough in approved PADS HRP 04/03/98 D:W ELCC799 Elect'l Final / / / / 05/01/98 PASS CD 05/01/90 J"H EL.CC800 Case Finaled / / / / 05/01/98 PASS CD 05/01/98 J•H 1� CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0153 DATE ISSUED: 03/31/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PARCEL: 21,91 12DD-00'701 SITE. ADDRESS. . . : 15BO,-2 SW UPPER BOONES FE=RRY RD #BLD. SUBDIVISION. . . . : ZONING: I-F' BLOC[.. . . . . . . . . . . LOT. . .. . . .. . . . . . . . .. JURISDICTION: TIG Pro.j ect De 5 cr i.pt i on : Tenant improvement; - Sirex LLC - --RESIDEN'TI�4L UNIT-------_-_- TEMP-SRVC/FEEDERS--_--_ _....___-MISCELLANEOUS-•----- 1000 SF OR L_ESS.. . . . : 0 0 - 2,00 artp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0 EACH ADD" L 5005F. . . : 0 201 _ 4016 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL-/F'ANE__L. . . . . . . : 0 MANE. HM/ SVC./FDR. . : 0 6014-amps--1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 -----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ - ---ADD' L INSPECTIONS—- 0 NSPECTIONS----- 0 - 200 amp. . . . . . : 0 W/SE:RVICE: OR FEEDER: 0 PER INSPECTION. . . . . .. 0 201 - 400 :rmp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCW CIRC: 9 I N PLANT. . . . . . . . . . . : Qi 6,01 - 1000 amp. . . . . : 0 ----________.___-__F'L_AN REVIEW SECTION----- __--•-____-- 1000+ amp/volt. . . . . : 0 ) -4 RES LINTS. . . . . . . . : ) E-00 VOLT NOMINAL_. . Reconnect only. . . . . : 0 SVC/FDR > 225 AMPS. . : CLASS AREA/SPEC OCC. : f7wner: FEES F'ACICIC REf1LTY ASSOCIATES I-P type amol_rnt by date recpt 15._'150 SW SEQUOIA PKWY #300 F'RMT $ 80. 00 ,JSD 03/31 /98 98--304541 PORTLAND OR 97224 5PCT $ 4. 00 .JSD 03/7,1 /98 93-304541 Phone #: Contractor: ---------- ------ ___ --- ------- .JOHANSEN ELEC'f R I C INC $ 84. 00 TOTAL 10948 SE VALLEY VIEW TERRAi IF ------- REQUIRED INSPECTIONS ------ CLACKAMAS OR 97015-000C:ei. l. i.ng Cover Elect' l Service Phone #: 698-8031 Wall Cover Eler_t' l Final Reg #. . : 00051.5 This permit is issued Subject to thr regulations contained in the Tigan) Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All wnrk will be done in accordance with approved plans. This permit: will expire if Mork is not started Within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Gregon law requires you to follow the rules adopted by the Oregon Lrtility Notification Center. Those rules are set forth in OAR 952-001-0019, through OAR 952-MV087. you may obtain a copy of these rules or direct questions to ODIC by calling 15031246-1987. I.'r r m i t t e e S i.g n a t i_t r e : v� - 9� 1 ►L. s .red B y :---• _--_--.____..--_--.--_ _--___-.•-OWNER 1 NSTALL.HT I ON The installation is being made on property I liwn which is not intended fol" sale, lease, or rent. OWNF R' S S I GNATI IRE: DATE: ----------------------CONTRnCTOR INSTALLATION SIGNATURE OFSUPR. EL.EC' N: __ DA T I LICENSE NO: 4 +++•+-4+4 -1th++F+4++++++++4++4++++-h++++++++++++++++++++++++++++++++++++++++++++1 + Call 639- 4175 by 7:00 p. m. for an inspection needed the next bt.rsiness day ++ ++++++++++++4r++++++++++t+++++-F+++++++++++++++++-r'+•+•++•4++++++++++�++ CITY OF TIGARD Electvical Permit Application Plan Check 4 13125 SW HALL BLVD. Rec'd B - Date Recd _ TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Print ore Date to DST Insper'ion (503)634-4175 Incomplete Permit a Fax (503) Sea 729 Incomplete or illegibly will not be accepted Ca,;ecl _ ,- 1. Job Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development.__ -- P Name(or name of business)_����x L, L L . Service included: Items Cost Sum C - ) 1 4 4a. Residential-per unit - - 4 Address I aX D L__ _ 1000 sq ft.or less $I I0 no City/S ate/ZipEach additional 500 spa.11,or portion thereof $25 00 -" -- 1 Commorcirl Resida Limited Energy __ $25.00 Each Manuf'd Horne or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of all current licenses) Installation,alteration,or relocation Electrical Contractor `-�El F-�- -Llp kc-+.I `�((- 200 amps or less - $60.00 2 Address 41L IS ,1_t�yj_-1?-omLc e- --- 201 amps to 400 amps - $80.00 ,_ 2 City I In r kjL,Uc15 _Statg Zip---�1-2 y I ri _ 401 amps to 600 amps i $120.00 _ 2 Phone No.--L_`-t 5 jtLj ( _ 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts $340.00 2 Job No. Reconnect only $50.00 2 Elec.Cont. Lice. No. Exp.Date OR State CCB Reg. No. ` G _Exp.Pate 4c.Temporary Services or Feeders COT Business Tax or Metro No. f_xp.Date Installation,alteration,or relocation 200 amps or less $50.00 2 /1 f =, 201 amps to 400 amps $75.00 Signature of Supr. Eiec'n_ i•C_ _ -- 401 amps to 600 amps $100.00 a -- 2 0 4e 600 amps to 1000 volts, License Nr y Exp.Date f lJ _JE__ see"b"above. Phone N, ,__ '704 _ - 4d.Branch Circuits I New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase of tervlce or Print Owner's Name_ _ feeder fee. $5.00 ?_ Each branch circuit Address _ -- h)The fee for branch circuits City State Zip_____ without purchase of Phone No. service or feeder tee. 3 First branch circuit $35.00 �^1 2 The installation is bring made on property I own which Is riot Each additional branch circuit $5.00 L4- � 2 intended for sale, 'ease or rent. 4e.Miscellaneous (Service or feeder not Included) $4000 Owner's Sign?.rurP. -___.__ Each pump or Irrigation circle Each sign or outline lighting $4000 2 a Signal circuit(s)or a limited energy 3. Plap Review Section (if required): panel,alteration or extension $40.00 _^ 2 Minor Labels(10) $100.00 Ple:.se check appropriate item and enter fee In section 5B. _4 or more residential L.,its in one stiucturq 4f.Each additional Inspection over Service and feeder 225 amps or more' the allowable In any of Il1e above System over 600 volts nominal Per inspection ,_ $35.00 Per hour 55.00 _ Classified area or structure containing spec $ ie.occupancy In Plant � $55 G0 as described in N.E.C.Chapter 5 -- ' Submit 2 sets of plans with application where any of the above apply. Jam. Fees: - � Not required for temporary construction services. 5a.Entrir total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 6s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it re ug ired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -` IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT A.. ❑ Trust Account TIME AFrER WORK IS COMMENCED $ Total balance Due II)ST811-C66 APP Rov fN96 Page No. 1 CASE HTSTORY FOP CASE NO.: HUP90-0136 PACIFIC REALTY ASSOCIATES LF 15602 SW UPPER BOONES FERRY RD Unit: BLD 06/17/18 Action Descri pl'.{pn Peg/ Schd/ End/ Acticm Noteo Disp By Update t" Dace By Code Sent Donn Dome _ . � HVPC005 Application r%icsivod / / / / 03/25/98 OTC DEB 03/25/98 nar 03/25/98 DONE DEB 03/25/9H DPA HUnC008 Petu.it created / / / / APPP PDP 03/25/98 DFA SUPCO24 Plans Approved by CPE 03/25/98 DONF. RDP 03/25/98 DFA BUPCO26 Apprcved Plano routed to DST■ / / / / 03/25/98 NOTE JT 05/05/98 JT BUPC070 HOLD FOR (Note in Action Memo) / / 05/05/90 HOLD C/O FOR PL.+MLING FINAL PLM98-0114 5/5/98 BUPC075 Hold Release t.o 7nm+ed Statue / / / / 05/07/98 Plumbinq approvod 050699. PASS WA 05/07/98 J•11 03/25/98 DONE. DEB 03/25/98 CTR EUPC100 (F) Iso.+e permit / / / / PASS TLP 04/15/98 J•H EUPC740 Framing Insp 04/15/99 PASS TLP 04/15/98 J'H BUPC760 Gyp Boatd Innp 04/15/98 BUPC762 Sump Coiing Inop / 04/24/98 1. Attach lights each end For •eismie, FAIL TLP 04/26/45 J�H by either screw of clip. 2. obtain ceiling covor from electrical inspector. 0UPC762 &uep Ceiing Innp 04/20/98 PASS TLP 04/23/98 DOW BUPC802 Final Intpecticn 05/01/95 5/7/98 to Jill for C/O approval PASS TLP 05/07/98 JT 13UPC95o (F) Iesuo cert. of Occupancy 05/11/98 MAILED 6/11/98 MAIL VN 06/11/98 VLN ® I CITY CF TIGARD ' DEVELOPMENT SERVICESBUILEING PERMIT PERMI'i #. . . . . . . : BUP98-01316 13125 SWHi/1Blvj+, Tigard,OR97223 (503)639.4171 DATE ISSUED: 03/25/98 PARCEL: 2S112DD-00701 iTE ADDRESS. . . : 1580c! SW UPPER BOONES FERRY RD 4BLP. SUBDIVISION. . . . : ZONING: I•-P BLOCS;. . . . . . . . . . ., L.O-f. . . . „ . . . . . . . . . JURI('DICTION:TIG REISSUE: FLOOR AREAS - -- -- ---- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :AL..T FIRST. . . . : 3250 sf N: S: it: W: TYPE OF USE. . . :COM SECOND. . . : 0 s f PROTECT OPEN I NGS ?----•------- TYRE OF CONST. :5N . . . . 0 s f N: S: E: W: OCCUPANCY GRP. :B TOTAL---------: 3IR50 s f ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 28 BASEMENT. : 0 15f AREA SER. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT'?: MEZ Z? : REDD SETBACKS---------- REUU I RED--.-----------------. FLOOR L.OAD. . . . : 0 psf LEFT: 0 ft kGHI : "_� ft FIR BPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICF' ACC: BFFDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 OALL.IE. $ : 32000 Remarks : Tenant improvement - office space Owner: -_ _--- -- ---- _- ------------------ -- ----- FEES PACIFIC REALTY ASSOCIATES LR type -Amot-int by date recpt 15350 SW SEDUOIA PKWY #300 PRMT• f :02. 00 DEB 03/25/98 98-304394 PORTLAND OR 97224 5PCT f 10. 10 DEB 03/5/98 96-304394 PLCK 9 131 . : 0 DEB 03/25/98 98-304394 Phone #: 624-6300 FIRE f 80. 80 DEB 03/25/98 98-304394 Contractar: ----------•-._.--------------- A WEBER CONSTRUCTION INC 1506 SW PALATINE ST PORTLAND OR 97219 Phone #: 244-4318 f 424. 20 TOTAL Reg #. . : 000652 --REGTI_l I RED ACTIONS or INSPECTIONS— This permit is issued subject to the regulations contained in the Framing Insp — — Tigard Municipal Code, State of Ore. Specialty Codes anJ all other Gyp Board Insp _ applicable lawn. All work will be done in accordance with 91_tsp Cei 1n r.sp approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe.ided 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 LIAR 952-MIAM10 through OAR 952-00101987. You many obtain a copy of these rules or direct ouestions to [01C by calling 15831246-1987. Z 77' A f-ermitt ;eSi.gnaK�ire . Issued By:r �( ++++'- '-+4....................................................4..................... Call 639--4175 by 7:00 p. m. for an inspection needed the next Uusiness day ++++++++++++++++++++++++..F-++++4•++++++++++++++++++++++-h++++++++++++++++++++++++ C;17Y OF TIGARD Commercial Building Permit Rec'a By 13125 SW HALL BLVD. Tenant Improvement 1J Date Recd -0 5 - � ate to P.E. TIGARD, OR 97223 ' Date to DST (503) 639-4171 Permits (� - 1 � Print or Type Related SWR s____ Incomplete or illegible applications will not be accepted Called _. Name of DevelopmenUProiect Existing Building New Building ❑ .Job t' � �.�//y`'s ✓�� Address Street Address — ae Building Data Bldg s City/Slate Zip Existing Use of Building or Property: Name Proposed Use of Building or Property: Property PACIFIC REALTY ASSOCIATES, i-.P.� Owner Mailing Address __-- 15350 SW SEQUOIA r,-,-!yl 300 I No. Of Stories: / City/state Zip "Phone _ ORTLAND, OR 917%,-4 52.4-6300 Sq. rt. Of Project Occupant ^M OccupancyClass(es) Name Contractor 'j= Type(s)of Construction Prior to permit N a ljydrNs e ---- —' ssuance,a copy r f'�� S F� `� Will this project have a Fire Suppression ystem? of all licenses 1 W _ Yes U _ No P� are required f -cityrstare Zip _— 0,r}� ,4sl• Americans with Disabilities Act ADA expired in C.O T —� database PORTLAND, OR 972.24 ValuPtion X 250,10 = $ _Participation Oregon Const.Cont.Hoard Lic.s Exp.Date Complete Accessibility Form Project $ Na—e --- Valuation Architect JOHN N. ROMISN Plans Required See Matrix for number of sets to submit Marling Address Suite on back 2216 SE 24TH AVE. 4 — — CityrState Zip phone I hereby acknowledge that I have read this application,that the information j PORTI_ , OR 97224 J.36-6306 given is correct,that I am the owner or authorized agent of the owner,and _�__ _— that plans st omitted are in compliance with Oregon State Laws. Engineer Name ` J,Aiwgai4ure ,OwnerlA ent L Date Mailing Address Suite ^ , ' ✓�� _- �— Contact Person Name Phone /- .iiY rSlate Lip I Phone J/^_ I {L --— -- ----`— FOR OFFICE USE ONLY Indicate type of work: New O Addition C Demolition O Map(TL# --� L,nd IIsP Acce`.ory Shvcture O Foundation Orly O Alteration U Repair O Other O _ Notes: — rDescriptlon of work: wap y� �� —_ _—• --_—.�_ Parks: Estimated sof EmployAs Note: Site Wort Permit Appllcatlon muet promade or accompany Building Permit Application I.',COMNEW DOC (DST) 8-7 OVER THE COUNTER (OTCR) (attachment to Submittal Criteria) SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN '4EQUIREMENTOREGON REVISED STATUTE(OILS)447.249. (1) Every pmlea for renovation,attention or modification to affected buildings and related facilities shall be made to maure that the path of travel m the altered area and the restroom,telephones and drinking fountains are rewlity accessible to individuals with disabilities. unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). THEREFORE, Each submittal for a building pernit shall Include this form pro,iding the following information. (Excluding m-roofing, mechanical and electrical permit applications] VALUATION of all renovation, alteration or modification being done 12 excluding painting,wallpapering. (1] $ mlr Up1y; 25% Barrer removal requirement —.25— BUDGET .25_BUDGET FOR BARRIER REMOVAL (2] $ LrZ%G The dollar ar*fount of the BUDG-EI established on line(2)in the computation above shall be spent providing the accessible elements in the following order. 1- An accessible route connecting the building to accessible pedestrian i walkways, and the public way. (including but not limrted to curb ramps,detectable warnings, marked crossings,ramps handrails end landingsl 2. Not less than one accessible parking space. 3 (including but not limited to adjacent access aisle,signs and curb ramp connecting with the accessible route. 3 Accessible entry or entries. S (mduding but not limited to ramps,handrails,landings, door sill heght,door width and door hardware; 4. An accessible interior route to the altered area. S (including but not limited to door-ways,maneuvering Gearances,door hardware and stairwaysl 5. At least one accessible restroum for 1:-..,h sex. $ 6 At least one accessible telephone where public phones are provided. 7. `Nher drinking Imuntains are required, fifty per-cent but not less than one shall be accessible. $ 8 additional accessible elemerts such as storage, reach ranges. alarms, etc . S =A..' 2 of Value G_9fs2 Wtat1,.,n 5 _ — ---_-_-- i--oic6.doc(DST) OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT. CLASS OF WORK. FLOOR ,REAS: �ZS�i EXTERIOR WALL CONSTRUCTION I TYPE OF USE: FIRST SQ. FT. N: S _ E W TYPE OF ^� CONSTR: ` N SECOND SQ, FT PROTECT OPENINGS?: OCCUPANCY GRP: THIRD SQ FT. N: S E: W OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET. I I STOR: HT: FT BSMNT SO FT AREA SEP RATED. BSMNT? MFZZ2 GARAGE SQ FT OCCU SEP RATED FIRE FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: COMMERCIAL INSPECTION ACTIONS `�— _ — FEE MENU _ ^� _i Foot/Found PostJBeam O /� S__;� 2 Permit Fee p Masonry Framing S_ X31 3 Plan Review d S Z D Insulation �"gar Wall 5%°� State Surcharge ga Firewall Gyp Board S — FLS Plan Revie'N Suspended Ceiling _ Sprink:ar Rough-.in S —_ _Adr Permit Fee Sprinkler Final Fire Alarm S— Add'I FLS Pln Smoke Detector Aporoach/Sidewalk S _ Inspection Misce;ianeous Fmdl 3 MIS Fee FOR OFFICE USE ONLY: TYPE OS USE OPTIONS(COM=commercial: CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new; Add-addition:AL1'-alteration: ACS=accessory:FND-foundation: OTR=other. DEM=demolition: REP-repair: FPS=file protection system. NOTE: USE OTR FOR FENCES. RETAINING WALLS. DETACHED DECKS, SIGNS, AWNINGS. CANOPIES) I:\ovrcntr2.doc (DST) 4/97 7. r r Po .. w Puriwant to Section(s) of adopted coded, the followinir item(s) require correcting: iz r � VADate' _ _-- -. 1nt+pe�cr "_- _ CALL FOR REINSPECTION OR BUILDING DEFT. 300-31 ; Ci ���1 PERMIT APPLICATION COF TIGARD Date , 19 No. __a4 6 �--- The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: _ ';Lo L.Ole APPLICANT: Owner Lessees x Authorized Representative ' NAME/COMPANY ".%c- ,4•, /�J^ �,:.t�, Tel. G ty O(• C, PROPOSED SIGFreestanding _ Wall .�— Projecting _Other _ S!GIV DIMENSIkS9eA1 "-_` 5 1.4L" AREA I jHEIGHT _ WALL AREA 4do s`U PROPERTY FRONTAGE COST0, ZONING DISTRICT �ILLI)MINATION _k) LA MATERIAL >Y.-c ,sr,,.�` _ COLOR e24*`2-' t zdAA_ COPY 7c*s.� .tl..c/ioN •Srlr. _ __— _ DRB ---- EXISTING SIGNS: reestanding Wall Projecting __ —._ Other r0Nit iv,ENTS: All sign permits must he accompanied by a scale drawing and plot plan. If work authorized under a sign permit has not been completed within ninety days after the issuance of the vermit, the permit shall FLANNING [DEPARTMENT ecome till an_d void. Pa,rmit Fee�� - Appravocl Applicant's Signat e•, Renewal Date Address Telephone SIGN PERMIT APPLICATION foF TIGARD Date , 19— No. r , The applicant hereby applies for a permit for the ;work indicated or as shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: I58(12 SW Ujape1 cones Ferry Rd. (2 signs) APPLICANT: Owner Lessee Authorized Representative NAME/COMPANY PACIFIC AUCTION u1:;',1V10E _ — Tel. 604 0639 PROPOSEDSIGN: _ Freestanding - Wall xxx Projecting -Other SIGN DIMENSIONS - ­' ei;• AREA LU 3'a _ HEIGHT ___. WALL AREA __ 1QJ sg- PROPERTY FRONTAGE COST 230 ea . ZONING DISTRICT _ILLUMINATION ne)FO r� MATERIAL __�___' COLOR —.--------- COPY _.—__--____ WIMS _— —�_ DRB EXISTING SIGNS: Freestanding Wall -_ Projecting __ Other _ COMMENTS: — —�-- -- — - -- — — — All sign permits rnust be accompanied by a scale drawing and plot plan If work authorized under a sign permit has not been completed within ninety days after the issuence of the permit, the permit shall PLANNING DEPARTMENT` become null and void. Permit Fee Approved Applicant's Signature Refit No._f-- --- _ Renewal Date 4.ddress `� Telephone i I ATE_ 343.E BUILDING i'ERMI'I� APPLICATIOSJ TIGA `-�-�--�'-- ,ts_-=- HF UNDEgSIGNED HEREBY APP �)R A PERMIT r= •1 HEIN INDICATED BUILDER PHONE OR AS SHOV IN AND APPROVE TI I- SAN D SPECIFICATIONS. OWNER PHONE S U Z LOT NO.-------- - -- OWNER V,actrunL, J)BADDRES_ _ �L! ROOnS_ Fern Road BLDG, a ARCHITECT ENGINEER BUILDER Green ADDRESS Portland ---.-.--.-DESIGNER _- 224-9570, _ STRUCTURE O NEW JREMODEL ❑ ADDITION 1] REPAIR _Ll RENEWAL D FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE 11VOMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS C_7 PATIO O CARPORT ❑ GARAGE F! STORAGE J SLAB❑_FENCE OCCUPANCY _ ^__LANb USE ZONE Iq-4 BLDG.TYPE �N FIRE ZONE PLAN CHECK BY _ e6 HEAT—�_ ----- - — - ------ - .. _ -- - --- Tenant odificatione—BLDG-* "B" __ NA Corner, all_-_per 1p ane.____ SEWER PERMIT K OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES ARFA No BEDROOMS VALUE ,r' BUILDING DEPARTMENT SETBACKS FRONT REAR i EFT SIDE RIGHT SIDE Permit $24.010 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZUNI VG REGULATIONS AND :41_L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T AE Plan Check 12.00 WORK WILL Sr DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 36.00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARA rE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. State Tax •06 — Total S361196 SDC PDCa APPLICANT OR AGENT By _. —_ P1 Receipt N0. ADDRESS Approved t3 t W r" ""F _ DATE DAT[ INBPTYP[ INSPECTION RFMARSS TICs.— _ontracto�f :ermit _ No. /O' y7 �Ci Rough-in Fixture Co" �- Final HEATING - --. Contractor n _ - -- Permit No. -— Gas or Oil - - - Final -.------ B[W" - -J-� Firpl` -- DRIV[WAY Final - - Storm Drainepe (Rain Drain)Final — - - Sidewalk --- -- Curh&Street Final - Approach BLDG. DEPT. IN AL -PE'MPORARY C[RTIPI A?H Oc:UPANCY Final rER-flFICATE OCCUPANCY Landacapina -_--- •..^ --� - Zoning al i i