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15806 UPPER BOONES FERRY ROAD-1 r 04 0 00 • • • • • • • • • • • f a + � F, TIGARD • • • • • • • • • • �'' V Apia oved............. r-onditionMy .. •( 0 00 0 :0 0 00 90i`or j)nly the work as described in: _ IL a'L... 00. I • . . f • ............... . ................. • .. ......• Foltow ( ) r: Attach k t� ' k►t, A T r � � r {-.N.............._,._ .,,...........•....w.,......M....._-Y...•.._.,._-..,...-....�.i......w..�..ti_., _._....._.M............ .._.......__..__.,�......._.___....._......�.., 1 I 4 f �. f� L ''� N�: 'mow► r yF( A f2r- Top F ' � u I U L-L �. �� + tip. ,, y $ � �� '� � ��"�, � , i r�:1'•�.. , r~,r :uu�' .+it....:.. s ..._..+wwu.:�i� ..«1.-'.•ws.-.... !'4. �' ..�"'�r' T1 :w+...w-• wr '."`^T"'.....*"..'^,.-.--...+...�. R. 'w v. 1 17nL 0 rjk5 ' 12 G'�f C (a. (C.g � C_ck10�� Z&-Z_ r i 2c 1 TO 06 q 7ZZ44 i ell, f (A.4a I ?0 M54 L..... «........-., .......�................_......�......r.......r.r......�.....•.... ,i.-. - ..........._.`........ , vn.H.,,.+.i.n+..�...«n,..w a.+..i+w..«rr•www.+«.r..N.wwn«.a.v........•....... . .... «. .,. NOTICE: IF THE PRINT OR TYPE ON ANY TIIIiJ � iIIIIJI IIII � II III III ► II i11 111 IST r1r III 11-r T1" _1.I 111 111 III III III 111 ' 111 III 111 11 ! I 1111 III I I I I l l i I I I I f I ITi I I ( � I _r I I I I I ► + � IMAGE ISNOTICE, l 1 l 1 1 1 1 l l 1 11 r f l l l 1 III 1 1 , NOT AS CLEAR AS THIS Z 2IT � 5 I 1 - I 12 ;,//CZ IT IS DUE TO THE QUALITY Or THE - ---------- --___- _ No.36 ��'0 �...�. ORIGINAL DOCUMENT Tb _ --- -- _- --- --- ---- - -- E OT 6 Old i3wF,, ILIIIIIIIIIIi) IIIIIIIIIIiiillillll1111111111111•I!Illlil�illlIlllTilllllllllllllllllli�ililllillilllllllillllllitilllllllilllllllliilliilliilllill II 1111111 11llll .11ll .Ill( Illlllil11.1.1 111. lll1 lU Illilf�ll I . f A_ MARTIN HANSON r� 8 CLACKA A OREGON Y OF — - - - I - - - - I — I OR 1 vE IN DOORS I OR I VE IN DOORS 1 ROJ E CT O 1320 I I I I IJ I I I I i I I I u I I I I I z 3 , I I I I I I G N z z 3 � I n a ��. p o I I I I I I I I� � I N7 I7 /1 I X71I II9/1 7 I7 /1 I N7 l-, / -7 ,1I 07 -7 1I Z- V V � L I y � 2 I O � w O � o ,q :N I I I I I I 1 � zwo4 J � I I I I I p z3z 1 I 60 I I I I I I I I .C", E.., o L,; o 1 I I REVISIONS It1i1tJ DRIVE IN 00uRS c;D I f AREA OF WORK DA'I~E: 12/ 4 /01 BUILDING FLAN IPE R1\41 T SCALA : / 16" _ `-O" A - 2 NOTICE- IF THE PRINT OR TYPE ON ANY r( �- t � � � tit t � � � � � � � t � � t � � � tlI � � � � �T -� ( III III I (1 T( I III I � I III I � I III I � I I � I III i � l ill III � � I III I.� I I � 1 I � r r� � IJI Ili � l � l III I � III � I III I [ ! IIIII � I � � I I � I IIIIIII � 1 1 1 1 1 1 �T I I l l l l l l l I I I I I /}} IMAGE IS NOT AS CLEAR AS THIS NOTICE, ITIS DUE TO THE QUALITY OF THE No.36 ��.�• � ..,. ORIGINAL DOCUMENT - -- --- -- - ------ -- ----_ -------- ---- --- _-- _- __ --- ----- -,----- ---- ---- E 6Z SZ LZ 9Z 5Z � Z EZ ZZ TZ OZ fix 8I LI 9i 5T � T ET ZT iT 01 6 8 L � 8 9 fi E Z T ��di3w �� Ill.l-.LLLJ. IllL � IIII �� Iltl IIII- IIII Ill I �� II '1!111111 � i �� ►�� ► �►�► �� ►�� IIIII��I�Iilll �� llll l 1111 �� -illi Illi llil illi llll ll� l �� -1.illl IIII��iI 151-06 j MARTIN W. HANSON CLACKAINA$, OREGON I - - - _ - - - - - i - - - -I I OF I I I O ! PROJECT 01320 I 13NOTES: 1 . FULL HEIGHT WAREHOUSE/OFFICE SEPARATION U I 11 I I WALL -5/8" GYP. BD. EACH SIDE 3 1 /2" METAL w _ I STUDS ® 16" 0. C. - INSULATE -PAINT FINISH W/ �� /7I 4" RUBBER BASE BOTH SIDES U o .. 12• WALL TO 8 ' -0" AFF W/ 5/8" GYP. EACH SIDE OF 0 3 1 /2" METAL STUDS ® 16 0. C. W/ DOUBLE STUD d — I— �- - C� - - WALL ENDS -FLOOR TO ROOF STRUCTURE AND BRACING ,: I ! ! POSTS TO 42" AFF ® MID-POINT ALONG LENGTH OF WALLS Z GREATER THAN 8' -0" IN LENGTH ( 3 PLACES) -PROVIDE :� m n I ! •� �` I BUILT UP HEADER BEAM OF 3 1 /2" STUDS BACK TO BACK Z < U ( I W/ TRACK TOP & BOT. -SEE DETAIL 1 /A-4. FINISH Z I I I -I SMOOTH FIN ' SH TAPED W/ USG FIRST COAT AND o I _ O 4" RUBBER BASE BOTH SIDES n o .a I - I ! �- O U 3. MECHAN I CAL SYTEM AS ALREADY 3R I CED 4. 1 -BOX TYPICAL AT 48" AFF W/ SEPARATE CIRCUIT Z 3 z N I 1 O I 2 EACH FOR CONNECTION OF PLUG-MOLD STRIP f J O O r �-' o ! - O 5. OPEN WAR�_HOUSE CEILING W/ 8 FLOURESCENT STRIP c� a i0]1 14 1°4 I 14 1 6 REPL /FIXTURE --CHAIN SUSPENDED 13 TOTAL o _ ACE RESTAPLE EXISTING BATT INSULATION AS =� `=' REQUIRED I FPJ F1 -7 I ® 7. PAIR DOORS -MATCH BUILDING STANDARD W/ 7 ' HEAD HEIGHT 15 v 0JO 8. '?' LOCATED PASSAGE DOOR 9. EXISTING OFFICE 10. EXISTING W. C. -UPGRADE TO MEET ADA -SEE 2/A- 4 .� x I %1 6 1 1 . EXISTING I I 13 SKYLIGHT -TYP. OF 3 J I � I 0 I ! 12. GAS ROUGH— IN LOCATION -VERTSIZE/TYPE W/ TENANT 13. DEDICATED 220V OUTLET I I ! 14. TENANT TO PROVIDE MODULAR LAB COUNTERS/W SINK w LOCATION OF SINK ROUGH— IN, PROVIDE H/CW, WASTE G z L I VENT TO ADJACENT FULL HEIGHT WALL —BACK TO BACK ¢ 0 I I AS SHOWN I 5 15. REMOVE EXISTING BASE—BOARD HEATING AND CONDUCTORS O BACK TO PANEL -AT EXISTING W. C. PROVIDE MIN , DUCT RUN Q Z w I 15I I FROM NEW SYSTEM TO CONDITION ROOM 0 24 ~' 7 � 0 16. PONY / INFILL WALL ABOVE -3 1 /2" METAL STUDS " I 0. C. � w I I SIDE TOWARD GRID B - INSULATE �� 3 z 1 I I . RE 5/8 / D—SALVAGE( — INFILL WALL ,RELOCATE SEE G ,Q 17 REMOVE DOOR/FRAME ! NOTE 8. L 0 ! ! - I REVISIONS 1214,101 -0tRMr1'trRG- CONSTRUCnOt-,' MEEnNG PARTITION AND POWER PLAN SATE: 12 /4/01 SCALE 1 /8" = 1 '-0" PERMIT A - 3 NOTICE: IF THE PRINT OR TYPE ON ANY III Tr rl. T I r -I-Tr T I r TTl I Jill I I I j'l f l I I 1 I. 1 111 -I'l 1 III I I l f� 1 I �1 1 � r T-� f 11 f f� l l f � I I I l r� t � I J I f ( l f rl I�T� I � ► I I i III I � I � I I I I I I I II � I 11111111111111111 I I f I 1 3 4 5 6 7 1 IMAGE S NOT AS CLEAR AS THIS NOTICE S 9 O Z Z IT IS DUE TO THE QUALITY OF THE _ "o.36 ORIGINAL DOCUMENT 09 61 81 LZ 8Z 5Z � Z EZ ZrZ 111111,01; IIIIIIiZ llllOZ 6SI LT Si i hii Oi 6 8 L 8 ,9 7 JIIIilllJill llI III�� IIIIIIIIILiIII�� w I I J scli C V m 1 W O O y ,n eD r 15806 SW Upper Boones Ferry CITYOF TIGARD _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00450 13125 SW Hall Blvd., Tigard, OR 97223 1503)639-4171 DATE ISSUED: 12/26/2001 PARCEL: 2S112DD•00701 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 15806 S,W UPPER BOONES FERRYRD BLD SUBDIVISION: OREGON BUS. PARK II BLOCK: LOT: CLASS OF WORK: ALT ,v TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: F2 OCCUPANCY LOAD: 15 TENANT NAME: -TRANSITIONS FOR HEALTH REMARKS: Commercial tenant improvement Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 972.24 Phone: Contractor: H L GREEN 15350 SW SEQUOIA BLVD STE 300 TIGARD, OR 97224 Phone: 624-7717 Reg #: LIC 41328 -I his Certificate issued 2/13/20112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Cod s for the group, occupancy, and use under which the refergn6ed Oermit was is �; �� % �_ . `/ �Gtn B1i31 G INSPECTOR BUII-D!NG OFFICIAL POSTIN CONSPICUOUS PLACE CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2001 00656 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/21/01 SITE ADDRESS: 15806 SW UPPER BOONES FERRYRD PARCEL: 2S112DD-00701 SUBDIVISION: B MBON BUS. PARK II ZONING: I-P BLOCK: LOT: v — _JUR!SDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING, MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: F2 FLOOR DRAINS: TRAPS: STORIES: WATER HATERS: CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 _ URINALS: GREASE TRAPS- LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft vVATER CLOSETS: WATER LINE. ft UISHW;SHERS: RAIN DRAIN: ft Remarks: Installation of (4) lays. FEES _ Owner: — — Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 12/17/01 $72.50 27200100000 15350 SW SEQUOIA PKWY #300-WMI 5PCT CTR 12/17/01 $5.80 27200100000 PORTLAND, OR 97224 — Total $78.30 Phone 1: Contractor: APOLLO DRAIN + ROOTER SERVICE 2208 NW BIRDSDALE #8 GRESHAM, OR 97030 REQUIRED INSPECTIONS Phone 1: 239..8801 Rough-in Insp Top-out Insp Reg #: LIC 00049418 Final Inspection PLM 26-533pb This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code s and all other applicable laws. All work will be done in accordance with approved plans. This permit wi;l expire if work is not started within 181' days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificaticn Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You 74-abtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. (h IsCued By: �I,` ` � Permittee Signature: Call (503) 639/-4175 by 7:00 P.M. for an inspection needed the next busifiess day Plumbing Permit Application "Datereceived: no.: ,MGV�nD(OS City of Tigard'�J g Sewer permit no.: Building permit no.: Address: 13125 SW I lall Blvd,Tigard,OR 97223 Ciryn("Pigard phone: (503) 639-4171 Project/appl.no.: Expiredate: Fax: (503) 598-1960 Date issued: By: I uccetpt no.: Land use approval: -_ Case file no.: Payment type: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Form]service U Other:INFORMATION _.— JOB SITE Information Job address: ��( 5 t.tJ ✓ ,r• Description (ltv. hrc(ca.) 'hotal Bldg.no.: Suite no.: ,7 �- Nets 1-and 2-family ds,,ellings uni}: f Z, (inchides 101)it.fnreachulililrconnection) Tax map/tax lot/account no.: _ -...... SI-14(1)bath Lot: Block: I Subdivision: _ SFR(2)bath _ Project name: _ SFR(.3)bath -- City/county; Ak IZIP: q 222-1 Each addilional bath/kitchen Description and location of work on premises: Siteutilities: _ Catch hasin/arca drain _ Est.date of completion inspection: Drywells/leach linel.rench drain Y 1 Footing drain(no.lin. ft.) Manufactured home utilities _ Business name: oil_ I'X' T 'r5c.7ru- Manholes Address:��.L./ UA to lei CIV S�' '{ Rain drain connector -- - - City: I I State:pr — Sanitary sewer(no.lin.ft.)__ _ Pax: E-mail: Storm sewer(no. lin.ft.) Phone: t)' L V Water service(no. lin. ft.) -- CCB no.: q,7 Plumb,bus.reg.no; '26—S"3 I'l3 Cityhnetro tic.no.; � Fixture or Item: Absorption valve _ Contractor's representative signature; Back flow preventer _ Print name: Date: Backwater valve _ -- BasinsAriv,.tory _ Name: Clothes washer__ Address: Drinking fountain(s) ---- -- - - — - - City: State: l..11': — _ �_ Ejcctors/sump Phrnn Fox: f:-mail: Expansion tank _ Fixture/sewer cap Name(print): _- Floor drains/floor sinks/hub — —- --- Garbage disposal Mailing addre;s: Hose bibb _ City: State: ZIP: Ice mal:er Phone: i— hax: E-mail: Interceptor/grease trap — Owner installation/residential maintenance only: The actual installation Primer(s) will he made by we or the maintenance and repair matte by my rerular Rc )f drain(con tial) employee on the property I own as per ORS Chapter 447. Sink(s),basi s , ays Owner's si; nature: Dalc: Sump _ Tubs/shower/shower pan Urinal Name: Water closet -- R ddress: Water heater — -- — ity:: SUue: Z.IP: - Other: Phone: _ ax: E-mail; Tota ,•- Not all jurisdic•tums acttM credit earls,please call jurisdlcaon for more information Plan Minimum review fee............ ) $ _ Notice:This permit application Plan review(at — 9h) $ U Visa U MasterCard expires if a permit is not obtained l�,T[''-" Credit card number:. -_ _ within I RO days alter it has been State ALsur ....rge(896)....$ . •spires TOTAL . $ 7 �- ---- -- Name of cardholder as shown on credit card accepted as complete. __ S Cardholder sipature Amount 440-4616(WWOM) PLUMBING PERMIT FEES: -- PRICE TOTAL New 1 and 2-family dwellings only: _ FIXTURES (individual) _QTYAMOUNT the dwelling and theincludes all ng fixtures in PRICE ffi st100 ft. OTY ea) Sink 16660 AMO TOTAL NT 1660 for each utility connectioJ__ . Lavatory One_jljbath $249.20 - - - ---- Tub or Tub/Shower Comb 16 60 Two 2 bath $350.00 Shower Only 16 60 Thres(3)bath _- $399.00_ — Water Closet 16.60 —" SUBTOTAL - Urinal 16.60 8%STATE 16SURCHARGE — Dishwasher .60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60TOTAL Laundry Tray _ 16.60 Washing Machine 16.60 FloorDrainiFloorSink 2" 16.60 PLEASE COMPLETE: 3• 16.60 4^ 16.60 Water Healer ir conversion O like kind 16.60 Quantity b Work PerformedFixture Typo: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped ermil. --- - MFG Horne New Water Service 46.40 Sink Lavatory MFG Home New San/Storm Sewer 4640 Tub or Tub/Shower Hose Bibs 16.60 Combination J — Roof Drains 16.60 Shower Only _- Drinking Fountain 16.60 Water Closet Urinal _ Other Fixtures(specify) 16.60 Dishwasher Garbage Disposal Laundry Room Tray _ Washing Machine �— Floor Drain/Sink: 2" ,- Sewer-1st 100' 5U.00 3" __— Sewer-each additional 100' 46.40 _ 4" —� Water Service-tsl 100' 55.00 Water Heater Other Fixtures Water Service-each addlllonal 200' 46.10 S eci Sturm i4 Rain Drain-1s1 100' 55.00 �— Storm 8 Rain Drain-each additional 100' 46.40 _ _ — Commerclal Back Flow Prevention Device 46.40 - — Residential Backflow Prevention Device' 27.55 - Catch Basin 16.60 Inspection of Existing Plumbing or 5pecially 72.50 Requested Ins ecllons _— — er/hr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 — C -ase Traps 16.60 -- QUANTITY TOTAL _— Isometric or riser diagram is required if Ouantlt Total is >99 "SUBTOTAL —_ ------ --- -- 81/6 STATE SURCHARGE -- ---- -_- -- - "PLAN REVIEW 25%OF SUBTOTAL Rn utred only if fixture qty total is>9 TOTAL S `Minimum permit fee is$72 50•9%slate surcharge,except Residenilal Backflov, Prevontion Device,which 13$36 25•a%state surcharepe "All New Commercial Buildings require plans with isometric or riser diagram and plan review i\dsts\forms\plln-fees doc 10/10/00 U� CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST Date_Reauested_ (� AM PM BLD Location Location ZS C J �'� W lurep�'/21 -ontact Person Ph _— PLM Ph SWR ------- ---- ILDI Tenant/Owner ELC — Footing ELR Foundation Access: FPS Ftg Drain — --- ------- Crawl Drain Inspection Notes SGh Slab __---------------- - ----- - SIT _ Post&Beam - ----— -------- Ext Sheath/Shear T Int Sheath/Shear -- - Framing Insulation - -- - --- Drywall Nailing Firewall Fire Sprinkler a/ Fire Alarm — Susp'd Ceiling _ - 1000 )0 Roof • L n -- �1'� i,c w<-., SS PART FAIL PLUMBING Postst& beam c%�/Lr �LCi7g4j S h.0 rh 6?7"7O� w q e f,c . R -- _ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - — PASS PART FAIL MECHANICAL / - I'o st& Beam -- -- _ Rough In Gas Line Smoke Dampers Final ----- _ PASS PART FAIL - ELECTRICAL — Service Rough In — --- UG/Slab / // r - P�� Ce g-T• 67"' CC_t ✓r Q l C Low Voltage • y Fire Alar n Final -�- - PASS PART FAIL- SITE Backfill/Grading - Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Gatch Basin - Fire Supply Line [ J Please call for reinspection RE: ( j Unable to inspect-no access ADA Approach/Sldewa!k Date ( � /U �"' Other i Inspector Ext Final PASS PART FAIL, j DO NOT REMOVE this i-nspection record from the job site. CITY OF TIGARC 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP c% Received _ _ Date Requested -_,_-_ - �/ AM PM BUP Location _ 1_S� �3'U � ✓r o,� r' �,-� Suite" Contact Person c '" ph Contractor—-____ Ph( ) SWR ILD( Tenant/Owner _ ELC Foundation Access: ELC Ftg Drain Crawl Drain ELR - Slab Inspection Notes: S!T Post 8 Beam - -.. Shear Anchors � - -_ Ext Sheath/Shear Int Sheath/Shear Framing Insulation - -- - - - -- Drywall Nailing - -- %.Z.( Firewetl Fire Sprinkles Fire Alarm Susp'd Ceiling Hoof Other: PART FAIL — - ING -Post&Beam Under Slab Rough-In - Water Service Sanitary Sewer _-- - Rain Drains Catch Basin/Manhole \ - Storm Drain Shower Pan Other: Final —�--- -� - P FAIL ECHANICAL Po n - -Rough-In Gas Gas Line — — - - Smoke Dampers - - incl _ ASS PARI_ FAIL RICAL Service Rough-In -- -- UG/Slab _ Low Voltage Fire Alarm - Final U Reinspection fee of$ required before next ina PASS PART FAIL -- -- pectlon. Pay at City Hell, 13125 SW Hall Blvd. SITE L 1 Please"call for reinspection RE:_ E] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date h_ �, Inspector Other:_ - Final - DO NOT (REMOVE this Inspectlon record from the jots site. PASS PART FAIL ELECTRICAL PERMIT CITYOF TIOARD PERMIT#: EI-C2001-00620 DEVELOPMENT SERVICES DATE ISSUED: 12/7/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112DD-00701 SITE ADDRESS: 15806 SW UPPER BOONES FE.RRYRD ZONING: I-P SUBDIVISION: OMBON BUS. PARK II IAT : JURISDICTION: TIG BLOCK: Proiect Description: Install 14 branch circuits. _ TEMP SRVC/FEEDERS MISCELLANEOUS _ RESIDENTIAL UNIT _ �— PUMP/IRRIGATION: 1000 SF OR LESS: 0 200 amp: 201 - 400 amp: SIGN/OUT LINE LTG: EACH ADD'L 500SF: SIGNAL/PANEL: LIMITED ENERGY: 401 - 600 amp: 601+am� � - 1000 volts: MINOR LABEL (10): MANF HM/ SVC/ FDR: _ SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS WISERVICE OR FEEDER: PER INSPECTION. 0 200 amp: PER HOUR: 201 400 amp: 1st W/O SRVC OR FDR: IN PLANT: 401 600 amp: EA ADD'L BRNCH CIRC: 601 - 1000 amp: _� PLANREVIEW SECTION _ >=4 RES UNITS: > 600 VOLT NOMINAL: 1000+ amp/volt: CLASS AREA/SPEC OCC:_— Reco_nnect only: SVC/FDR >= 225 AMPS: Contractor: Owner: JOHANSEN ELECTRIC INC PACIFIC REALTY ASSOCIATES 10948 SE VALLEY VIEW TERRACE 15350 SW SEQUOIA PKWY #300-WMI CLACKAMAS, OR 97015 000 PORTLAND, OR 97224 Phone: 503-698-3417 Phone: Reg #: LIC 51539 SUP 2053S ELE 3-243C FEES _ Required Inspections _ Date Amount Receipt Ceiling Cover Type By _ — Wall Cover PRMT CTR 12/7/01 $133.30 2720010000( Elect'I Final 5PCT CTR 12/7/01 $10.66 2720010000( - Total $143.96 1 his Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work;s not started within 180 days of issuanr .or rf work�s low les ed y the oreCon suepe 'ed for more than 952-001-0010 through O OARegon law 52-001-0080�You may olbtain`copes oftt these rules ordi ecttllity quest ons toon OUNCler at 1503�se rules are set forth in 0 246-6699 or 1-800-332-2344 Permit Signature: r Issued By: ,., 1 , , �, (� 4 t i ? OWNER INSTALLATION ONLY_ _ The installation is being made on property I own which is not intended for sale, lease, or rent. DATE:_ OWNER'S SIGNATURE: --- --- — ---- CONTRACTOR INSTALLATION ONLY DATE:---.-- SIGNATURE OF SUPR. ELEC'N: LICENSE NO: - Call 639-4175 by 7:00pm for an inspection the next business day Date 12/8/2001 Time'11:11:20 AM Pape 1 of 1 From chwrlvnn J.Lalfaen To.City Of Tigard 10,'10,12000 15:2e rAA F113(1Hd7:-1ti7 city t.y of Tlgnrd � Moot Flecll-UmflIi'er� #V� City of 11gard pto)ecVuppl `no-, 2LRldmdao: <'i ty 11 igIt i Addrtws• 13121 SW Hall Blvd,'Hints.LAAtrrnB (Ian Issued: _ 8y: V Raootpano.: ... Virutic: (3113)639-4171 -- _-- Pax: (-03)598-IVW clI Y UF� 71�Gn1�L Cele Elle au- --- --- Yfymaturypa __. Latid use approval- ;ob InutUy dwolling yr cacs�cltacxy (:c)Inroecctnl/ludnatTlel U MuIU-fatly U Tends[impsuvessicut w cxnustnssaitnl 1_J AddittuNaltoniMf./rr_placefnent U(-)fhnr G Pastial draw: �L UIY� 131riit.no. 3csitr flq.: TuSt�Icnk: t Itvlaion: Pr ewcA astme: - - Description and Location of wvrk oo peentim: ----. -- U sdIufsed daft of t:txlr Wd uldi»s -- Job no: °1r M" Business Marto: TNc c m ..�_ Nen n-itd..Wl WYL or w.aaibreis�.. Addross: 1 Q U d q 1? t/A City. _ � ez . 1 5 , j R .�1.»+►.Y.oN.l.xfr..r...fatprar •kms' 151 9 @ 3A 1 rax; 1-?45.6 t°°° 9_nos!3 - C:tli - +man ulendonu so o" CYty/melic.na: �� -. Blah nurmrloru rod too+or'moraf t�rwsU no • .__ .. %mAnn nvdlw fMalrs S slow nut- ): - Llrsuvrto- a rr. a'ar a00 un o arta2toNr{Ms I�O�D�am�r s_or l�trsa_ Narile Ithl `_ 2010- i icodfCD uneay_ 1 ■m OD s 1 .. Malung allik" • dol sops to afatps City: - taut ]] E. IwrflluoDIts - Y Phone; Fax. _ Ir-mRil: - - -- ---- -1I`ciumec`—naTr-- 1 Uwnar kwtallotion_The installation is being made on rrt'opestY I own ratan.ti .,n icfirdMw,weMneaauo whh�sot nintended for aelc,lease.fent,ce exchange accutding to 2 3 ORA 441, 4 3,419,610,701. 10D�z�w to._ - - - Owner@ signalttre: Isata: ioi -�- tutn nvlbr-naw. ate, a a.arM1ne P"yarad Narne: A Has roe btoraolt tdrmia with ptntdtue of Address: -.-•. -_ wrrirs a fea.lrt As,trttttb b—it dreets 1 _City. _ - n-r+a rdr bria h amalts WMMA pyreAr. 5 sane: Y.t1'� _ - at resvkr or t.-Aw ftc,n�rn_t bb—b dtealu ! 7 M_... ----_- ----- HnA. E-tnai7. _ t,amiab etre' u1f. -�- t .S t - l„t`Jtrrvim Mutt 111 unrn.unnnwxdal I 1lealdrrarttt c. ry U Setvlaurn t711 onrt.a tonna of IA 7 U Savviest, funllyd-il mgt U nnlldlry ovv IU1rlal agnara lsot fgara 4lgnai tirrult(f)tr 1- Urwirt w,iiy(ran-T- USystem over6Wvolts nra n.nnnni mas sbtelviai gals iaoee rotu»rtcdlvtttiv rv_mv+rlrm• -- _----- -_-_ _ _ _ 2.. O aollrnng ovn them stoner U fralnl.tllq Mega yr rnorr •[Y1rt tion:- - --- O l.kcupanr l�ad-W 9r/pnutia U M—rc,,m—d trrvtvIsrW nt RV trot ..falba/�"ry"tjj�___ • nus+ r r ulits--t•.-a+---7� O aartaarUahtlnnplm U U1hm � Perin Mien sub"_ __sate of plawn wkb nay of the above. lrrvwd�.ticm fee _ 1 ise above�e scot aDpllaeble to tem W serf affssettasdo�satvle►. vd�u r+w At i�nwf.'k--eqt mals.gra►pr..+t.n Ir./.atw.f..t»v.u�n.noean NoUcte This pennon I applimtriun lbmnl tee.....................S - O v1u SQin exphw tf a penult is Luf u(aairrQ Mall rr.vlcw(at 91r) s GtaY� d wldsltt 190 dayn after U has bawar, State surc:haf ge.(lllb) ...S vr'rcPr� _ ncos/rted as oomplece• '1'iDTAL .. ........S .mr r Wow tx a5d Amalie MM1Krl71ata'R�/1 1 1 I i CITE( OF TICARD _ SEWER CONNECTION PER,�/.IT DEVELOPMENT SERVICES PERMIT#: S /21/01 00328 DATE ISSUED: 12/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL.: 2S 112DD-00701 SITE ADDRESS; 15806 SW UPPER BOONES FERRYRD SUBDIVISION: 13Ml GON BUS. PARK II ZONING: I-P BLOCK: LOT: _ JURISDICTION: TIG TENANT NAME: TRANSITIONS FOR HEALTH USA NO: FIXTURE UNITS: 8 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSVVR IMPERV SURFACE: Remarks: .5 EDU increase. Frevious fixture value was 165 or 10.3 EDU's. This permit adds 8 units for a new value count of 173 or 10.8 EDU's, for an increase of .5 EDU's. Owner: _ FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI — PORTLAND, OR 97224 PRMT CTR 1,'.1211G1 $1,150.00 21200100000 Total $1,150.00 Phone: ---- - -- Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations 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 ne''r .!iarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer; i,!, ;jrospect 3 feet in all directions frorn the distance given. If not so located, the installer shall purchase a "Tap and 30,- rawer" Perm Is ed by: _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next businAs day Accumulativg Sewer Tally Tenant Name Transitions for health This SWR/;2001-00328 _ Address: 15806 SW Upper Booms Fry Rd This PL.M# 2001-00656 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total _ count off#s co!:Il # value #s values Baptisery/Font 4 0 0 0 0 0 Bath- Tub/Shower 4 _0 0 0 0 0 -Jacuzzi/Whirlpool 4 _ 0 0 _ 0 0 G Car WaE'r-_Eac`i Stall 6 0 0 0 0 0 - Drive through 16 0 0 �0 _0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 Domestic 2 1 0 0 0 0 0 Drinking Fountain 1 0 0 0 0 0 Eye Wash ' _ 0 0 _ 0 0 0 Floor Drain/Sink-2 inch 0 0 0 0 0 3 inch 5 0 0 0 0 0 4 inch 6 0 0 0 0 0 Car Wash Drr 6 0 0 0 0 0 Garbage Disposal — Domestic(lo 3/4 HP) 16 0 0 0 0 _ ,l Commercial(to 5 HP) 32 0 0 0 0 0 T _ - Industrial(over 5 HP) 48 0 '0 0 0 STT Ice Machine/Refrigerator Drain 1 _ 0 0 _ 0 0 0 T Oil Sep(Gas Station) _ 6 0 0 _0 _ 0 0 Rec. Vehicle Dump station 16 0 __ 0 0 0 Y0 Shower-Gang (per head) 11 0 0 0 0 0 _ -Stall 2 0 0 0 0 0 Sink- Bar/Lavatory 2 0 0 4 8 4 8 Bradley 5 0 0 _ 0 0 0 Comme.tial_ _ 3 0 0 0 0 0 Service 3 0 0 0 0 0 Swimming Pool Filler 1 _0 0 0 0 0 _Washer-Clothes 6 0 _0 0 0 1 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet _ 6 0 0 0 0 0 Urinal _6 _ 0 0 0 0 0 Previous EDU Col-t. 10.3 164.8 164.8 Capped EDU Credit 0 LOTALS 0 164.8 0 1 0 1 4 8 4 172.8 Current Fixture Value 172.8 divided by 16 - 10.8 Current LDU 1 EDU = $2,300.00 Previous Fixture Value 164.8 divided by 16 - 10.3 —Previous EDU Change 8 divided by 16 - 0.5 _ over (under) $ 1,150.00 Enter EDU Change Here 0.5 HISTORY Notes: PLM# 98-00091 EDU# 10.3 SWR# 98-00047 i� PLM# EDU# SWRtt -- -- PLM# � EUU# —��—_ SWR# — Name: I . �.�i�,U • . �( Date: /,:2 Signature of perton that calculated this tally sheet and date perlromed Is required CITYOF T I GA R D MECHANICAL. PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00012 13125 SW Hal Bivd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/10/02 PARCEL: 2S112DD-00701 SITE ADDRESS: 15806 &A UPPER BOONES FERRYRD BLD B SUBDIVISION: OREGON BUS, PARK II ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS- TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: GAS _ 3 15 HP: COMML. INCIN: MAX INPUT: 90,000 BTU 15 30 HP: FIRE DAMPERS?: N 30 50 HP: REPAIR UNITS: GAS PRESSURE: L J0 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: -- 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 3 Remarks: Mechanical work associated with tenant improvement. Additional roof framing required see engineered plans for attachments Owner: _ FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SVS/ SEQUOIA PKWY #300-WMI PRMT CTR 1/10/02 $87.50 272002000C PORTLAND, OR 97224 PLCK CTR 1/10/02 $21.93 272002000C 5PCr CTR 1/10/02 $7.02 272002000C Phone: Contractor: _ Total $116.45 CLIMATE CONTROL INC 16500 SW 72ND AVE POR11_AND, OR 97224 REQUIRED INSPECTIONS Gas Line Insp Phone:453-4822 Mechanical Insp Rey #: LIC 62196 Heating Unt Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTE=NTION: Oregon law requires you to follow Ties adopted in thy: Oregoh Utility Notification Center. Those rules are set forth in OAR 952-001-001a through OAR 952-001-0080. You may optaio'copies of these rules or direct questio Issue to OUNC by calling on�»as;-f»Ra a "i Issue B.y: � Q �� f Permittee Fignature: Call(503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Applicatico;;c tt�� IDatereceived: City of TigardR E C E I V E u Proiect/appl.no.: Expire date: C'irvn(Tigard Address: 13125 SW Hull Blvd,Tigard,OR 97223 Date issued: by: Receiptno,: Phone: (503) 639-4171 'AN 0 8 W? 101 Fax: (503) 598-1960 Case file no.: Payment type: C11Y VP ]IUARL� Building permit no,: �a� Land use. approval: ;UN 2 fami;dwellingr accessory S$(Com nercial/industrial iU Multi-family X Tenant improvement w const ❑Add.tion/alteration/replacement ❑Uther: 0 ress; rw.J oA1 le Indicate equip-lent quantiucs in hoxes below. Indicate the dollar f Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, profit.Value$ ImTax map/tax lot/account no.: alto 8051#455 A0O. 00 Lot: Block: Subdivision: 'See checklist for important application information and Project name: s/ 4VS-)rr4?-64VLea inti,diciirm's fee schedule for residential permit fee:. City/county: ZIP: 17 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: i & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: .50 Price Tc $1.00 to$5,000.00 - Minimum fee$72Table 1A Mechanical Code_ Qty (Ed) A $5.001n0 to$10,000 00 $72.50 for the first$5,000.00 and 1) t urnace to 100,000 BTU $1.52_for each additional$100.00 or including ducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or includin vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater _ $25C,00.00. or floor mounted heater I 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.45 for each oddltional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Gond fraction thereof. _ footnotes below. Comp* " _ 7)<3HP;absorb unit ASSUMED VALUATIONS PER A 3-15 _PPLIANCE: to BTU 14.ao Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 Doscri tion: Qt Ea Amount 9)15-'0 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ 35.00 ducts&vent`_ 10)30-50 HP;absorb Fu,nace> 100,000 BTU Including 1,170 _ unit 1-1.75 mil BTU 52.20 duct%&vent,, 11)>50HP:absorb Floor furnace including vent _ 955unit>1.75 mll BTU 1 87.20 _ Suspended heater,will heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ permit _ 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absnrbunit, 955 _ 10.00 to 100k BTU -- _T -_ 15)Vent tan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.90 101k tc 500k BTU - 2,310 -�- 16)Ventilation system not included In 15-30 on;absorb. unit, 501k to 1 mil.BTU appliance permit _- 10.00 30.50 ho;absorb.unit, 3,400 -- 17)Hood served by mechanical exhaust 10.00 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 101 Domestic Incinerators 17.40 >1.75 mil.BTU - -- 19)Commercial or Industrial type incinerator Air handling unit to 10,000 cfm 656 _ 69.95 Alr handling unit>10,000 cfm 1,170 201 Other units,Including wood stoves Non-portable evaporate cooler 656 _ 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not included in 656 540 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust _ 656 11.0C Domresitt,Incinerator 1,170 Minimum Permit Fee$72.80 SUBTOTAL: $ Commercial or industrial incinerator 4,590 _ _ "j Other unit,including wood stoves, 8%State Surcharge $ inserts,etc. _ p Z Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only 1 173 TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: Ilk NJ $ Other Inspertlons and Fees: 1. Insr ;tl)ns outside of normal business hours(minimum charge-two hours) 172 50 per hour 2 Inspections for wh'ch no fee Is specifically Ind,-.ated (minimum charge-half hot $72.5x`per hour 3 Additional plan review required by changes,addillons or revisions to plans(mil charge-one-half hour)$72 50 Der tour 'Slate Contractor Boller Certification required for unlL. 2001,.RTU, -rtesldential AIC requires site plan showing placement of unit. SEE 35MM ROLL # 20 FOR ovERSIZED DOCUMENT CITY OF TIGARD BUILDING 2001T PERMITT##:: BUP001-00450 DEVELOPMENT SERVICES DATE ISSUED: 12/26/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S112DD-00701 SITE ADDRESS: 15806 SW UPPER BOONES FERRYRD SUBDIVISION: WEGON BUS. PARK II ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OrrUPANCY GRP: F2 TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPAN^Y LOAD: 15 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 29,000.00 Remarks: Commercial tenant improvernent J Owner: Contractor. PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 RR Z�2 Phone: li�one.. '' 4�7TI 4 Reg #: t_ic 41 X18 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR! 12/6/01 $313.30 27200100000 Sprinkler Permit Required Plumbing Permit Required 5PCT CTR 12/6/01 $25.06 27200100000 Framing Insp PLCK CTR 12/6/01 $203.65 27200100000 Gyp Board Insp FIRE CTR 12!6/01 :•125.32 27200109000 Final Inspection Total $667.33 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the. rules adopted by the Oregon Utility Notification Center. i hose rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may ob!ain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or? 0-33?,-Z 4 Permittee �. Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day BuBding Permit Application oel Datrreceived: /7Prrmii no.:g U�% _ rU City of Tigard — Addmess: 13125 SW Hall Blvd,Tigard,OR 972'3 Pmlect/appl.no.: Expurdate: CityojTigarrl phone: (503) 639-4171 Dateissued: By: Receipt...: Fax: (503) 599-1960 Cue file no.: I Payment type: Land use approval: _ 1&2 family:simple 1 Complex: TYPE OF PERMIT 0 i &2 family dwelling or accessory 1,-QC ommerrial/industrial U Multi-famiiy Q New construction U Demolition O Addition/alteratiott/repiace men t t- Q Conant improvement Cl Firr,sprinkler/alarm Q Other. 1 ? SITE INFORMATION Job address: (! '- ( jv,V 5Iry Bldg.no.: Suite no.: [At: J�k�. Sutxitvision: Tax map/tax lot/account ro.: Project name: — Descri tion and location of work on premises/special conditions: %Pwed,- ( 17-1 AIL ihi bra t t u _r % LTtl��- C. FOR SPECIAL INFORMATION, Mom (Floodplain,septic capacity,solar,�tcj Name: PacTrust Mailing address: 15350 S.W. Seq u o i a Pkw . #300_ 1&2fimllydweWng: City: Portland State: OR ZIP: 97224 Valuation of work........................................ S _ irhun,!503/624-6300IFaA624 /755 F-mail: No.of bedrooms/baths........................ Owner's mlimsentative:D e n n i s Pacitij Total number of floors................................. Phone: Same Fax: $ JE-mail: New dwelling area(sq.ft) .......................... Garage/carpon area(sq.ft)......................... -- Name: PacTrus t Coveted porch area(sq. ft) ......................... Mailing address: 13 j 5 0 S - _�flnjjnjj PkWy Deckarea(sq. t) City Portl and _ State: :W22d Other structumam.(sq. ft)......................... PhonK3 6 4-6300 1 Fax _ E-mail: (:ommerciaUindintrial/multi•family: r 11 Valuation of work........................................ S -2, [O ,v7-710 Business name: H. L. Green Existing bldg.area(sq.ft) ..........................New bldg.area(sq.ft) �_ Addn;ss: 132-S.W. ....................................... Number of stories. � City: Ian talc: ZIt': I `— Type of construction.................................... _ Phon6103/624-7717 1 Fax: E-mail: __2 CCB no.: 41328 Occupancy group(s): Existing: 7 city/metro tic. no.: Notice:All contactors and subcontractors are required to be ARCHITECTMESIGNER licensed with the Oregon Construction Contractors Board under Name: Martin Hanson provisions of ORS 701 and may be requited to be licensed in die Addmss:15350 S . jurisdiction where work is being performed.If the applicant is t -a Pkwv State: Jp exempt from licensing,the following reason applies: 'it y: Portland Contact persont4artl n Hanson I Platt no.: Phone Fax: E-mail:marJ �- a 1 p Name: -�1 tom. _—Contact person: Fees due upon application ........................... S Address: Date received: _ _ SL1te: ZIP Amount received ........................................ S Phone: -_ Fax: —.TF-mail: Please trficr to fee schedule. I hereby certify I have read and examined this application and the Not..iuttdicttotn w""credit cuds•please,.,tt junxrimon for more ttt(arvtauon. attached checklisL All provisions o�1iwslmordinanccs governing this 0 Visa ❑Mastertartr work will be compiled with, r s ci herein or not. credit card numhrr. _, __/_ I _ rip"" rluthonzed siertamre: - � � Date: Name a m lholder u..own an credit wd S Print name: � /✓�Q Cmdhotder ugrwtue ^— nmame Nctice:This permit application expires if a permit is t obtained within 180 days after it has been accepted as complete 4404e13(baatcoM) 1 SUBJEf T: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restraom, telephones and drinking fountains are readily 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 per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [i $ �3 �p multiply: 25% Barrier removal requirement. 25 -- BUDGET FOR BARRIER REMOVAL i21$_ S�ap— In cnoosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking (b) An accessible entrance: $ (c) An accessible route to the altered area: $ /< (d) At least one accessible restroom for $ each sex or a single unisex restroom (e) Accessible telephones: $ G1_. (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms: $ 1 TOTAL: Shall equal line 2 of Value Computation $ VVX v ►t , i ldsts\forms\access.d,)c CARMAN KD. InKIT#291 IN-rER.5T.AT.E D B BUILDING LOCATION OREGON BUSINESS PARK 11 LOCATION MAP NOT TO SCALE 'ClTT(?r TIGARP ....... ....... Approve q I , : .......... Conf.iltidABIIYOPPrc'Oed""""'i'o... ............ ForonlythGwO 5deqr,fibedin. " p pl:RMI'T,NO. ZmIng2l yp_— W.!.;.......... ..... ...... . L to, A cq ......a......>- oeA j��u dr Dater By: 44 . 49 as a SEE. 35MM ROLL- # 20 FOR OVEIRSIZED DOCUMENT t EXISTING ROOr sTRLJCTURE TOILET ROOM ACCESSORIES AFINISHES ITEM MANUFACTURER ITEM MANUFACTURER • MARTIN W. HANSON PAPER TOWEL DISPENSER BOBRICK B-4262 SHEET VINYL FOORING CONGOLEUM FLOR-EVER -SURFACE MOUNT SEASCAPE 50056 'WHITE* CLACK M S, OREGON ' PLASTIC LAMINATE WAINSCOT NEVAMAR S-7-4T SOLID SOAP DISPENSER BOBRICK B-4112 Q) ` � WALL MOUNT WHITE' �� `7 VVKAr %MALL CND 'rO5T' W/ GYr. BD. -DOUBLE 5TUD5 MULTI-ROLL TO I LET -i ISSUE BOBR I CK B-288 WALL COLOR ( PAINT)I NTS MILLER PAINT OF DISPENSER -SURFACI' MOUNT COLOR MATCH EXISTING Mo RROR -EXISTING RELOCATED PROJECT O 1320 n GRAB BAR -SATIN FINISH BOBRICK 8-6806 SERIES U TOILET BOWL KOHLER K-4368 .1, p 4t x z CENTER UNE OP 5TU7 Z ¢ N BOX BEAM HEADER TOP Or (q MIRROR ¢ O Z WALL 3 1/20 METAL 5TUD5 RELOCATE BACK TO BACK W/ TRACK TOP w O 0 BOTTOM 3�-6" 120 6' 50AP D15r. z 3 WRAP TRAP a - — 3-5/8' MTL. 5TUD5 ® 24' O.C. PLASTIC LAM. 0 ►� .. 5/8' GYP. BRD. BOTH 51DE5 N rLA'3TIC LAM. .1 N lV u COVED VB COVED- HEADER OrENING / WALL CND 1 -rag 1 '- 1 1 x 7 2 1 '-8 1140 w x Q1 1 � x w ALJGN ►� MATCH EXI5TING O ■ NOTES: WALLS y Q -REMOVE EXISTING END WALL rt W/ DOOR dt FRAME -SALVAGE/ 1Aro O z x RELOCATE 2' x 2" x 1/4' T.5. ON 2- 1/2' x C' x 3/8' -REMOVE EXISTING LOW ELEC. Irod PLATE W/ 2- 1/20 - rARABO LT5 MID WALL OUTLET ADJACENT TO SINK I -6 -PROVIDE NEW GFCI 045" AFF 4' RUBBER 5A5E--TYP. -PROVIDE NEW T01 LET/ACCESOR I ES, 5V (E)CONC. G FINISHES -RELOCATE SINK/WRAP TRAP RELOCATE DOOR,--- , —. — REVISIONS EX'STINC- CONCRETE Qi I 2J4/0I -rtRMrTTRE- CON5TRUCTION MEETING 1 PARTIAL, I-IEI�..rIT JVA.,JL DETAIL W. C . ADA UPGRADES DATE: 1 /" /4 /0 I - 4 SCALE 1 1 /Z" = 1 '-O" �--- -3 ALE 1 /4" = 1' - O" PERMIT A - 4 r-� a a tK � - 4 _ 1a� fr- ;�_uid'1Jrme:' Tv'S+fh.";�Y +..:�,..i,: ..:-.:. .L'!'.ry:u•f4tON'1%C�Mtru +... uw�a.,aA��v�u:.-.<;. �n,r4+tnYStli.9�R'S., •.1�Pn i�fk�.fa`,�--.r-.�_'.� .,.. �....,..., ... .... 4iJr6iN wYeir�, i r NOTICE: IF THE PRINT OR TYPE ON ANY SII- � Ir IIS � l � I � l � � l � Ili � l � � I � Illl Ili Iil � ll � r1rr1�r T�-r Ili Ili Illllll � ll � lll Ili Ill ill III ' Ill ill Ili Ili Ill rI� ' Ill r�r 1 1 I_ � �.� t I t � 1 �i �� ► i-� r rrt t .l.rl_� lI I ill ! I I i I I I I 1 2 3 4 IMAGE S NOT AS CLEAR AS THI... NOTICE=, 1O IT' IS D U E TO T H E _ _ _ --------._--- _ 0 1 �, QUALITY OF �i HE WwP r ORIGINAL DOCUMENT �- - �- E bZ 8Z LZ 9Z 5Z fiZ EZ ZZ IZ OZ 61 8I � T Ei ZTTillIffl E �� AN lll IIII .IIII IIII IIII IIII ll.l.l ILLI 11 IU I� III�fI