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16280 UPPER BOONES FERRY ROAD-2 ADDRESS. 20ms.-Lril I1:\records\microflm\targets\buiIding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-3171 -- --- - BLIP T. -Date Requested__ - -_-- AM_____-PM ---_- BLD Location-_� -_ -_ -_-_ Suite -- -_-- MEC _----__._-.--W_-- Contact Person _ --�-_ Ph PLM -_ Contractor '.-�.�,r�z, - __ _ _- Ph _ ���?- jJ 3.s SVIiR .- BUILDING Tenant/Owner _ _ -- - El_C Retaining Wall ELR Footing Access' FPS Foundation ----- Ftg Drain SGN Crawl Drain [inspection Notes: -�--- -- Slab __. --------- --- -- SIT _ Post&Beam Ext Sheath/Shear -- -- Int Sheath/Shear Framing --- - ---- -- —---- Insulation Drywall Nailing --- Firewall Fire Sprinkler - - -- --- - --— — -------- -------- Fire Alarm "usp'd Ceiling Root Misc: __ _ -- ------ ---_---- ---- ...- -- Final -- PASS PART FAIL ------- -_-- - --- ZZ ----_- PLUMBING Post& Beam Under Slab Top Out Water Service --- ----- Sanitary Sewer Rain Drains Final PASS PART FAIL - MECHANICAL Post& Beam ------ ---- - Rough In Gas Line ------ ---- - _--- ..---- Sm.oke Damper, Final -- PASS PART FAIL ELECTRICAL Service _. -- — --- - Rough In UG/Slab -- -- ----- Low ------ ------Low Voltage Fire Alar (n ---- - ---- -- — — _ -- F� T P SS PART FAIL _--_-�- --------- ---— - Backfill/Grading --- - --- ----_.__ Sanitary Sewer Storm Drain [ J Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _ ] J Unable to it-pect no access Fire Supply Line i ADA r "- Approach/SidewalkDate Inspector Ext —— Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. 7 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97,923 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR98-0194 DATE ISSUED: 07/27/98 PARCEL: 2SI13AB-01201 SITE ADDRESS. . . : 16280 SW UPPER BOONES FERRY RD #BLD. SUBDIVISION. . . . iFANNO CREEK ACRE TRACTS ZONING: I—L BLOCK. . . . . .. . . . . : LOT. . . . . . . . . . . . . .. JURISDICTN,. 1IG Project Description: Electrical addition ------_ A. RESIDENTIAL------------ B. COMMERCIA1--------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . - CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: 1111 HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL_ :X INSTRUMENTATION. : OTHER. . -. 1111 TOTAL # OF SYSTEMS: I Ownert. FEES FLIR type amount by date reept 16280 SW UPPER BOONES FERRY PRMT $ 40. 00 8 07/27/98 98-307701 TIGARD OR 97224 5PCT $ 2. 00 R 07/27/98 98-307*701 Phone #: Contractor: ------------------------------------------------------------------------- HONEYWELL INC It 42. 00 TO,rAL 1.5495 SW SEQ.ULj;H E-JE 100 ------ REQUIRED INSPECTIONS -------- PORTLAND OR 97224 Ceiling Cover Low Voltage Insp Phone #: 968-3333 Wall Cover Elect' l Final Reg #. . : 000578 T�,S 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 wit' he done in arcordatire with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is susp�ndpd for more than 180 days. ATTENTION: Oregon last requires you to follow rule adopted by the Oregon Utility Notification renter. Those rules are set forth in OAR 952-*1--0010 through OAR 952-01-0180. You may obtain copies of these rules or di ct question to OW at (9@3)246-198'01. IsSi-ted by�� Permittee Signature i P(( --------OWNER INSTALLATION The installation is being made an property I own which is not intended for sale, lease, at, rent. OWNER' S SIGNATURE: DATE -------------------------CONTRACTOR INSTALLATION SIGNATURE OF SUPR. ELECINt N __�� DATE- L I CENSE NO: .....................4...................................*.................4-++ f Call 639-4175 by 7:00 P. M. for an inspection needed the next business day .....................4•.......f............................................. ■ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPfcZtA'Fld Recd by: ^�'�« 13125 SW HALL BLVD Date Recd: *7;� -2-7 T1GARD OR 97223 PRINT OR TYPE J UL 2 7 199F Permit#: V- 503-639-4171 X304 F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APP�IjQ�&�VELOPME.N' Cust.Call'd: — WILL. NOT BE ACCEPTE6 Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Feo........................................ $40.00 F11 " (FOR ALL SYSTEMS) JOB Street Address J blow Check Type of Work Involved ADDRESS ,pity/Slate Zip Pho e# El Audio and Stereo Systems '' 42 r' Name IBurglar Alarm Garage Door Opener' OWNER Mailing Address CZIP ❑ Heating,Ventilation and Air Conditioning System' ity/State Phone# _ -- Vacuum Systems" Name Other_---_---- CONTRACTOR Mailing Addirgis TYPE OF WORK INVOLVED -COMMERCIAL (Prior to issuance a ty! late Zip P one# Fee for each system.............................................. $40.00 copy of all licenses 17 Al __Y30 p (SEE OAR 918-26G-260) are required if Oregon Corti.l5rd Lic.# Exp.Date Check Type of Work Involved expired in C.O.T. data base). Electrical Contr.Lic.# Exp.Date Audio and Stereo Systems C.O.T.or etro Lic # E p.Date L, y' 1 Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address ❑ Data Telecommunication Installation APPLICANT City/State Zip Phone# r L � Fire Alarm Installation This permit His under OAE 918••320-370.This applicant agrees to HVAC make only restricted energy installations(100 volt amp:ur less)under this permit and to do the following Instrumentation 1 Only use electrical licensed persons to do installations w sere required. � Certain residential and other transactions are exempt from licensing. rL Intercom and Paging Systems These have asterisks(') All others need licensing; r� Landscape Irrigation Control' 2. Coll for inspections when installation under this permit are ready for LJ Inspection at 603-63941175; Medical 3 Purchase separate permits for all installations that are not ready for an �] Nurse Calls inspection when the inspector Is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,and, ® Protective Signaling 5 Assume responsibility for calling for a final inspection when all of theOther corrections are completed. Q - Permits are non-transferable and non-refundable and expire If work Is not started within 180 days of issuance or If work is suspended for 180 days _ __—Number of Systems The person signing for this permit must be the applicant or a person No i censes are required Licensee nrp required for all other installations authorized to bin-I the applicant FESS: ENTER FEES f �� Sig atur hh 5%SURCHARGE(.05 X TOTAL ABOVE) $ rzal .�r�ti Lt� l� —— r0TAL t—y j n Authority if other than Apt,licant i vesele doc 12196 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested. 4-61 -9 F //�� (AA..M. P.M. — MST: Location: 2AOmoi(� x.3(1 fTU- v -- BIJP: Tenant 4- Suite: Bldg: _ MEC: Contractor: Phone: Q::�L PLM: Owner: 'hone _ LC: R: C 7-0,;L BUILDING BLDG(con'() PLUMBING MECHANICAL SITE Site Post/Beam Post/Beam Post/Beam Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line Slab Framing 'Top out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Uuct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab cur�-}�� /�. Shcar/Sheath Fire Spklr/Alm Crawl/I'olnl Dr heat Pump o PRe O/ / ���/ , Approved Approved Approved pprov Approved Appr/Sdwlk Not Approved Not Appioved Not Approved ed Not Approved FINAL FINAL FINAL FINAL. C3 Call for reinspection D Reinspection fee of S___.—required before next inspection O Unable to inspect Inspector:—�_v_ 111te: "` _9 Page of CPA Page No. 1 CASE HISTORY FOR CASE NO.: BUP97-0505 FLIP 16280 SW UPPEP BOONES FERRY RD 05/13/9, Action Description Req/ Schd/ End/ Action Noted Disp By Update Upd Code Sent Done Dane Date 3y ------- ------------------------------ -------- -------- -------- ----- ----- ---------------------"-- ---- --- -------- Br1PC005 Application received / / / / 10/29/97 RECD JD 10/30/97 BON nUPCo08 Permit created / / / / 10/30/97 DONE U 10/30/97 BON BUPCO10 Check for prcl. restri,t. / / / / 10/30/97 PASS B 10/30/91 BON BIJPCO12 Plans routed to Plana Examiner / / / / 10/30/97 SENT B 10/30/97 BON BUPCO26 Approved Plane routed to DST6 / / / / 10/30/97 APPR RDP 10/30/97 FDP BUPC090 (F) Ready to issue / / / / 10/11/97 PASS JSD 10/31/97 JD BUPC100 (F) Issue permit / / / / 03/11/98 noticed never issued. mailed permit to MAIL JT 03/12/98 JT contractor could not locate an application or any plane. 'ran, r�orge, Hap do not know, either does rill??? BUPC100 (F) Issue permit / / / / 03/31/98 PASS B 03/31/98 DST RUPC793 Sprinkler Rough-In 10/30/97 / / 03/12/98 PASS TLP 04/08/98 J•H BUP^784 Sprinkler Final 10/30/97 / / 03/12/98 tan said work was inspected. TOM JT 03/12/98 JT BUPC960 Case Finaled / / / / 03/12/98 PASS TLP 04/08/98 J*H CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUF'97-0505 DATE ISSUED: 03/31/98 PARCEL: c_S113AB-01201 SITE ADDRESS. . . : 16:::80 SW UPPER BOONE S FERRY RD SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I BLOCK. . . . . . . . . . . I._OT. . . . . . . . . . . . . . JUR I SDI CT I ON:TI G --------------------------------------------------------- REISSUE: FLOOR AREAS---- ---- -- EXTERIOR WALL CONSTRUCTION- CLASS ONSTRUCTION-CLASS OF WORK. :FE'S FIRST. . . . . 0 s f N: S: E: W TYPE OF USE. . . :COM SECOND. . . : 0 s f PROTECT OPENINGS?——-----_- TYPE OF CONST. :3N . . . ; 0 sf N: S: E: W. OCCUPANCY GRG'. :B TOTOL--- --; 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SrP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OC(::U 1 P. RATED: BSMT?: ME Z9: READ SETBACKS-------- REQUI f,— --_-------- ----___---- FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT- 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT. 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: III BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE.. $ : 580 Remarks : Fire suppression system Owner: --______._____________.__-_-___--_____._.___.___.____.____. FEES F'ACTRUST type amol-rnt by date recpt 1.5350 SW aEDUOIA P'KWY PRMT t, 25. 00 JD 1O/29/97 97-30048' PORTLAND OR 97224 `JPC f s 1. 25 JD 1O/29/97 97-30048':) FIRE $ 10. 00 JD 10/29/97 97--,300489 Phone #: 624-7787 Cant r,act or: ----------------------------- Ff RESTOP CO 9384 SW TIGARD ST TIGARD OR 97223 Phone #- 620-614O E 36. 25 TOTAL. Reg #. . : O00638 --REDU 1 RED ACTIONS or I NSF'ECT I ONS----- This permit is issued subject to the regulations contained in the Sprinkler Rol.rgh- Tigard Municipal Code, State of Ore. Specialty Codes and all other Spr i nk 1 er Final applicable laws. All North will be done in accordance with approved plans. This permit will expire if work is not started within 198 days of issuance, or if work is suspended for more than 198 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-801-8818 through OAR 952-80101387. You many obtain a copy of these rules or direct questions to 61W,, by calling (503)246-1997. _ G='er^mittee Signat..fre : Iss1_red RY• +++++++++4•+++++++++..++a.+........++++++++.+++.+++.+i.....++++++++++ 4--F+++++++++ Call. 639-4175 by 7:00 p. m. far an inspection needed the next b ..ness day ++++t++++++.+-}-....4+4++++-f......... ....4•+-F+++4++++4 t+t+t{........1-....f....i.+++4 Iff—=ff CITY OF TIGARD DEVELOPMENT SERVICES BUILDIr1G PERMIT 13125 SW Hall Blvd,, Tlgard,OR 91223 (503)639.4171 PERMIT #. . . . . . . .. BUP9 7--0:`.)05 DATE: ISSUED: IZ13/1 1/96 IDPRCE.L: c:511:;ALS-01L01 _illk: ADDRESS. . . : 1621x0 aW UP -,E:R BOONES FERRY ND SUBDIVISION. . . . : F=ANNCJ CRLE::K ACRE. TRACTS ZUNING: I--L BLOCK. . . . . . . . . . : I_C]T. . . . . . . . . . . . . . JURISDIC'TI0N: I-Ib RE I13SUE.: -_-- FLOOR WALL CONSTRUCT IUIJ CLASS OF WGRK. :F PS FIRST— . - 0 s f N: S: E: W: T YPFE OFF USE.. . . :GOM :7[:C0IQD. . . 10 s f PRO T EL-"T -FYF'E: OF C:C)NS-f. :3N . . . : 0 sf Ns S: E: W: OCCUPANCY GRI-1. :13 TC]TFaL_- ___ _. ..._: 0 St R10OF- CONST : F I RI_ RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf ARLA SEF'. RATED: S1 OR. : 0 FIT : 0 9 t; GARAGE_. . . : k occu SL-•F'. RAT-EE): B5M'T? = ME.ZZ? : RE_UD SE:•TB(4Cl4a--•---. - FL00R LOAD. . . . : 0 f LEFT : 0 ft RGHI s 0 c FIR SPK.L: Y SMOK DF.T. . n14ELLING UN1'f8; 0 17RI'4 : 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: -DRMfS: 0 Bf41 1+�)- 0 IMP SURFACIL: 0 PNU CORR: PARKING: 0 1LUE. $ : 580 eMar,t(s : Fire suppression system 1-+1GTRUST type amot.rnt by date i'ecpt 15350 SW SEQUOIA F'KWY PRM•T $ 25. 00 JD 10/29/97 �"r- 3004b9 PURI-LAND OR 97,='L4 _r6 .JU 10/29/ 37 97- -1100489 FIRE $ 10. 00 JD 10/29/97 97-300489 Phone #: 6 .4-778 FIRESTOP CO 9384 5W TIGARD ST T IGARD OR 97c-:-'123 F-'m(in e #: bc.'O--6140 ! 3b. 25 IO AL Req #. . : 00063E3 REc.UlJ I FiE D INSPECTIONS --_--. This permit as issued subject to the regulations contained in the 5frrxnkIer Ro1_tyh - Tigard Municipal Code, State of Ore. Specialty Codes and all other Apr i n k I et- F i na 1 applicable laws. Ail work will r• done in accordance with approved pians. This permit wa' expire a work as not started --- within 180 days of issuance, or if work as suspended for morethan 180 days. ATTENTION: Oregon law requires you to follow the -- rules adopted by the Oregon Utility Notification Center. Those rules are set forth an OAR 95(,-001-0010 through OAR 95240101987, You many obtain a copy of these rules or direct questions to OIJNC _,— .—__..-__r _ -- by calling 1503i246-1987. - ------- ------- —'- ev-mittee Sign �}atIAt-e : _ . ass _rrcJ By ` +++.+•++++++++++++ F•+ +++++++++++i+ ++++++++4+•+++++++++4++++++++++•i r++ ++44 +•+4++•+i•+ (-;a11 639-4175 by 7 :00 P. m. f'01- an inspur_t ion needed the next blAsiness day 4-+4--++++++-+4.4 +++4+++++4+-+4+ 4 -+4-+++444- +++++4++++++++++++++4.4• H++++•+++4.+++++++++++ n 7 l� Fire Protection Permit Application Plan ChF:ck0 1 6V(" CITY OF TIGARD Commercial or Residential Recd Fy 13125 SW HALL BLVD. Date Recd G� Print or Type Date to P E. 1/3 Incomplete or illegible apt TIGARD, OR 97223 plications will not be accepted Date to DST 0-q7 (503) 639-4171 Ext. 304 Permit# Called U 1/r' 1�•t-P r Name of Developrr,ent/Pro)ect 2� Type of System (Complete A or B as applicable) JobI�A�TIz'trS Bus/ 5S lrN> �-' A Sprinkler Wet Dry CJ Address, Address 11 I G,, �_ _ — li'vi , 5W- t�PPrl gooF'� R Standpipes Narrie /j Ha AWIT9tf S 1 zard Group Owner Mailing Address Additional _/5-35-0- 5 - SrQtan�n �'�!`� — Information Density City/Slate ate Zip Phone �O�T s�D 0) • ro'L4- 7 197 Design Area — — Name r-t -. — _�_ K. Factor Occupant Mailing Address f _ _ PPi � rf � A_1) Sprinkler Project Valuation City/State Zip Phone _ SgJ — B.) Fire COT Business Tax or Metro# Exp Date Alarm _ Submittal Shall Include Battery Calculations YES ❑ Contractor Name (Sprinkler or 6/rr. p �L- Individual Component YES Alarm Company) Mailin ddr s Cut Sheets (Prior to permit '(11 a, %(,"h 8.1) Fire Alarm Project ValuF.tion $ ll issuance applicant Cty/State Zip Phone _ muarovda°" U, _`�77Z3 bt°'�O/4o Project Valuation Subtotal (A & or B) $ contractors iicansa State Const,Cont. Board Lic.# Exp, Date informaton for 6394t, i Permit tee based on valuation $ COT database). COT Business Tax or Metro# Exp.Dale (see chart on back' 7 __ �— - 5% Surcharge $ G�� Name /S/J !J/ 1A _ _ — FLS P_lan Review 40% of Permit $ Architect Mailing Address L4 ' vE __ TOTAL Ci Zi _/Stat p Phone ___ , oRf��d'P0 16• Plans required Submit three sets of plans,including a vi i map and Describe work A.)New O Addition O Alteration Repair O the location- the nearest hydrant -- _ to be done B.) Basement O HoodNent O Sprey Booth O Complete Partial O Exitway O 1 hereby acknowledge that 1 have read this application,that the information given is correct,that I am the owner or authorized agent of the owner.and that plans submitted Additional Description of Work. are In compliance with Oregon State laws Signature of Owine fAgent Date A.)In ExistingBuildingNew Building p Building ct Person Name Phone LO4� f� Data 8.1 Commercial Residential p Ent��, F.41��d�/ L FOR OFFICE_ USE ONLY: _ No.of stories: Plat# Map/TL#: I l at' Sq.Ft' ---- _ Occupancy Class Type of Construction Notes I\FIRESUPR DOC (DST) 8/96 CITY OF I.LGM BUtLOING PE MIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAY, PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 '16.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,8011-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 '13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 7323 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001 4,000 104.50 41.80 5.2.3 151.53 14,001-15,000 11050 44.2.0 5.53 160.23 15,001-16,000 116.50 46.60 583 168.93 16,001-17,000 122.9,G 49.00 6.13 '17763 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19 001-20,000 140.50 5620 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 763 221.13 22,001-23,000 158.50 6340 7.93 22983 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 853 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26.00 ,-27,000 179.50 71 80 8.98 , 260.28 27,001-28,000 184.00 73.60 9.20 26680 28.001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 2.92.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-25 000 215.50 86.20 1078 312.48 35,001-36,000 22000 88.00 11.00 319.00 36.001-37,000 224.50 8980 11.23 325.53 37,001-38,000 229.00 9160 I 11.45 332.05 1 TIRESUPR DOC (DST) 8/96 Page No. 1 CASE HISTORY FOR CASE NO.: ELR98-0082 FLIP IG280 SW UPPER BOONES FERRY RD 05/13/98 Action Description Req/ Schd/ End/ Action Not-,on Code Sant Done pone Disp By update Upd Dat" By ELRC001 Application Received 03/19/98 RECD GRO 03/19/98 GEo ELRC007 Permit Created / / 03/19/98 DONE GEO 03/19/98 GSO ELRC500 (F) Issue permit 03/29/98 PASS G$O 03/20/98 GEO FLRC725 Lo, Voltage Inspection 03/19/98 / / 04/09/98 PASS BRP 04/22/98 J+H F.LPC725 Low Voltage Inspection / / / / 04/24/98 no access. fiA71, BRP 04/29/98 J+H ELRC799 Elect'l Final 03/19/98 / / 04/09/98 PAS PRP 04/22/96 J+H ELRC800 Case finaled / / / / 04/30/98 1)4/30/98 JT CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PEPMIT #: ELR98-0082 DATE ISSUED: 03/19/98 PARCEL: 2S 1 1.3AB-01201 SITE ADDRESS. . . : 16c'80 SW UPPER NOONES FERRY RD SUBDIVISION. . . . :F ANNO CREEK ACRE 'TRACTS ZONING: I-L_. BLOCK. . . . . . , . . . . LOT. . . . . .. . . . . . . . . JIJRISDICEN: TIG Project Description : Add protective signaling to an existing commercial tenant occpy. ------------------------------------------------------------------------------------------- 1. RES I DENT I Al_-- --__ --- B. COMMS RC'.IA1-------------------------------------- ------ AUDIO .---.--------------.---_-------__---- ----..AUDIO R STEREO. . . : AUDIO & STEREO. . : INTERCOM R. PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE. OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : F 1 PF: ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL-. . : X INSTRUMENTATION. : OTHER. . : . TOTAL # OF SYSTEMS: 1 Owner: -- ------- - -- --__.___---__.__---_-.----_-__-___._______.- FEES ----------------- FL_IR type amol_int by date r^ecpt 16280 SW UPPER BOONES FERRY PRMT $ 40. 00 GEO 03./19/98 98-:304268 TIGARD OR 972c14 5PCT $ 2. 00 GEO 03/19/98 98--30426B Phone #: ContTactor••: ---------__._______.___.____________________..__._.__--•-_---_--___---_____ HONEYWELL INC: $ 42. 00 TOTAL 15495 SW SEQUOIA STE 100 - ----- RE(�L.11 RED INSPECTIONS PORTI_.AND OR 97224 Low Voltage Insp Phone #: 968-3333 Elect' 1 Final Reg #. . : 000578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes ;.nd all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 139 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Ltility Notification Center. Those rules are set forth in OAR 952-991-0919 through OAR 952-991-8969. You may obtain copies of these rules or direct question Ao OW A (583)246-1987. I s s I-re d b- P e r,In i.t t e e S i g rr a t 1_r r- -.-OWNER -._OWNER INSTALLATION ONLY-_-.---.__...._ The installation is being made on property I own which is riot intended for- sale, orsale, lease, or rent. 0 W N E R' 5 S I G N A T U R E: _ —�. DATE -_-------------•------- - --rON 1 RACTOR INSTALLATION NSTALLATION SIGNATURE' OF SUPR. ELEC' N: ✓?���— _ DATE: LICENSE N O: +++++++4 4+++++++++•f•+++++.4-++4•++4-++++++++++++++++++++++++++++++++-F+++4+++++++++4-+++ Call 639-4175 by 7:00 F. M. for, an inspection needed the Tre>+t bi-isiness day +++++++++++++++++.i.+++++++++.++++++++++ +-++++++ �_++++J•++++++++++++++++++++++++f-+++++ - n s CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Pec'd by: 4 13125 SW HALL BLVD Date Recd .? 1 TIGARD OR 9722.3 PRINT OR TYPE V- 503-639-4171 X304 Permit#: `�,��� �a�s•, F - 503-684-729;' INCOMPLETE OR ILLEGIBLE APPLICATIONS Cut;t.Call'd: WILL I40T BE ACCEPTED Name of Development Pro)ect TYPE OF YORK INVOLVED -RESIDENTIAL Restricted Energy Fee................................~.. $40.00 (FOR ALL SYSTEMS) JOB Street AddresiV Ste# Check Type of Work Involved ADDRESS Dty/Slbte Zip Ph ne# L Audio and Stereo Systems t111, 1. • � X73/ Name 1 ❑ Burglar Aiarm OWNER Mailing Address ❑ Garage Door Opener- City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name Vacuum Systems' ❑ Other _A — CONTRACTOR Mailing Addres r l6qq6 `j� N!�'o TYPE OF WORK INVOLVED-COMMERCIAL (Prior to issuance a 'jity/sfsteZip hone# Fee for each system.............................................. $40.00 copy of all licenses i jeo (SEE OAR 918-2bU-260) are required If Oregon Con .Brd Lic.# Exp.Date expired Ir C.O.T. Q J I Check Type of Work involved. data base). Electrical Contr.Lic.# Exp.Date e L& ❑ Audio and Stereo Systems C.O.T.or Ree 1 Ir S Fxp.Date /? Boiler Controls Owner's Name Clock Systems OWNER - Mailing Address APPLICANT Data Telecommunication Installation City/State Zip Phona# ❑ Fire Alarm Installation This permit is Issued under OAE 9.18-320-370.This applicant agrees to make only restricted energy Installations(100 volt amps or less)under this 01 HVAC permit and to do the following: Instrumentation 1. Only use electrical licensed persons to do Installations where required. Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ 2. Call for Inspections when Installation under this permit are ready for Landscape Irrigation Control* inspection at 603-639.417b; Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit; 4 Assume responsibility for assuring chat all corrections required by the Outdoor Landscape Lighting* inspector are done,and; Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or If work is suspended for 180 days. �-_ Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for elf other installations authorized to bind the applicant __ FEES: SI nat ENTER FEES = G G 5%SURCHARGE(05 X TOTAL ABOVE) Ili p D Authority if other than Applicant TOTAL I iresele doc 12/9e — CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 Date Requested: p c' ✓ _� P.M. - — MST: I1!O Locatioi .CA UYLgAA�eBUR Tenant. Suite: Bldg: NEC: Contractor: �_ Phone: �t� — 5,56) PLM: Owner: _ , Phone: ELC:_ r1, 11) C.(,(,�� /�, 0! Cj U ELR: —� ctm t, �t'!�'t�.C.C. t SIT: BUILDING _-'B On't) PLUMBING MECHANICAL ELECTRICAL SITE Site Pij"stllicam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-in Ceiling Water Line Slab Framing Top Out (las Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storrs. Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump Low Volt Approved Approved Approved Approved Appr/Sdwlk of Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL. Ae , --- ---- - -- V C0.5 ez, NOT I55(4EL YET; F� _ e a�fZCG 1'-�-i a� `�U Pr C Ky 0 Call for rein -tio C] inspection fee of s_ req red before next inspection O Unable to inspect Inspector•, _ Date: __ Page _of � � U 7 CASE HISTORY pop CASE NO.: BUP97-0466 Page No. 1 PACTPUST 162,'0 SW UPPER BOONES FERRY RD 05/13/98 Rao/ S^hd/ End/ Action Notes Diop By Update Upd Action Descrir U.on Date By Sant Dane Done Code ----'---"------ RECD (,,go 10/08/97 DST B1JPC005 Application received / / / / 10/09/97 PASS GEO 101/09/97 DST BUPC008 Permit created / / / / 10/UB/97 PASS GEO 10/08/97 DST BUYCO10 Check for prcl. restrict. / / / / 10/08/97 / / 10/00/97 PASS RY 10/08/97 DST BUPCO24 Plane Apprcrved by CPE / / PASS GEO 10/08/97 DST BUPCO26 Approved Plane routed to D3Ts / / / / 10/0 /97 PASS GEO 10/09/97 DST BUPC100 (F) Inoue permit / / / / 10/0 86/97 PASS TLP 11/06/97 J•H / / / / 10/30/97 BUPC740 Framing Inep / / / / 10/30/97 PASS TLP 11/06/97 J-14B,M^760 Gyp Boara Insp / / / / 03/12/98 PASS TLP 04/08/98 J•H BUPC802 Final Inspection 04/13/98 JT / / / / 04/13/98 BUPC960 case Finaled ■ CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . .. . . . . . . . : BUP97--0466 13125 SV'Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 10/08/97 PARCEL: 25113AB-01201 SITE ADDRESS. . . : I61280 SW UPPER BOONES FERRY RD SUBDIVISION. . . . : FANNO CREEK ACRE TRACTS ZONING: I-L BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR AREAS----- EXTERIOR WALL CONSTRUCTION-- CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 -,f PROTECT' OPENINGS )-------------- TYPE OF CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL-----­: 0 5f ROOF CONST: FIRE RF-T? : OCCUPANCY LOAD' 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE_.. . . : 4) sf OCCU SEP. RATED: BSMT?: MEZZ" : REOD SETBACKS-------------- FLOOR LOAD. . . . - C71 p5f LEFT: 0 f RGHT: 0 ft FI R 9PKL: S11OK DET. . : DWELLING UNITS: o FRNT: 0 fc, REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS. 0 BA-IHS- 0 IMF, S(ARFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 28333 RemLz.k--ks : Interior alteration for new tenant occpy. No increase in occupant load - ADA is OK. Owner-: FEES --------------- PAC7RUST type arnot.int by date recpt 15115 SW SEPUDIA PARKWAY PRMT $ 188. 50 GEO 10/08/97 97-29990." SUITE 200 5PCT $ 9. 43 GEO 10/08/97 97-299902 TIGARD OR 972EH-4 FILCK $ 122. 53 GEO 10/08/97 97-29990E' Phone #: FIRE $ 75. 80 GEO 10/08/97 97­29990,-_�' Contractor— H GREEN 15350 SW SEOLJOIA BLVD STE 300 TIGARD OR 97224 Phone #: 624-7717 $ 396. 26 TOTAL. Reg #. . : 000413 REOUIRED INSPECTIONS This pernit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable law,;. Ail 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. Those rules are set forth in OAR 952-00I-010 through OAR 952-80111987. You many obtain a copy of these rules or direct questions to OW, by calling (503)246­1987. Permittee Signatur Ued By .... ++++++++++++++++++++++•..++++ .... ... ... ++4•........... Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day ++4.....................................4+++++4..............I................... MEMBAH Commercial Building Permit Application City of Tigard I yO 13125 SW Hall Blvd. i TigL,rd, OR 97223 (503) 639-4171 /� rd Jobsite Address: oHles Use Onl Tenant: _ Suite# .� PlancklRec # Valuation: _ _ !_ Permit P- C) # Owner: Pacific. Fealty Associates, L.P. (PacTrust) Map & TL#_ -- Address: 15350 S.W. Sequoia Pkwy, Suite 300 _ Approvals Regv%ed Portland, OR 97224 Planning Phone: 503/624-6300 — Enginu3-ring Other _ Gontractcr. H.L. Green Company �'ddr-ess: 15350 S.W. Sequoia Pkwy, Suite 300 Type of const: Portland, OR 97224-7199 — Occupancy class: 503/624-7717 r Phone: —— Sprinklered? Yes ) No Contractor's License # 41328 — project: (attach copy of current Oregon license) Sq. ft. of P ro 1 Contact name & phone: Chris Green, 503/624-7717 Story (1st, 2nd, etc.) Proposed use. John H. Romish ` ArchitecUEngineer. - Previous use. -- A.ddress. ?216 S.E. 24th Avenue Note: Plumbing & mechanical plans Portland, OR 97214 must be submitted at time or — building permit application Phone. — 503/236-66306 — JOB DESCRIPTION A licant Signature& Phone number Received by Date Received: Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Moch. Permit (MECH) � State Tax (TAX) Bldg: Plumb: Mech: Plan Check Bldq: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit T1F (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (T1F-O) Water Quelity (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) r�yv Erosion Cntri Permit (ERPRMT) Erosion P!anck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: woo IL CASE HISTORY FOR CASE NO.: F.LP97 0255 1'a,1e NoFL 1 INC'. IR SYSTEMS, 16280 SW UPPER b.^ONE` FERPY PD 98 Peq/ Scluii II.d% Action Notan Uinp ev Update Upd „ 1 on Dencription Date BY Sens Done Done --- --- .. .. ----- --- RECD CEO 09/04/97 GEO ELR^_001 Application Received / / 09/04/97 0:/04/97 PASS G80 09/04/97 GEO ELPC003 Permit Created PASS GKo 09/04/97 GHO ELRC500 (F) Ieeue permit 09/04/97p4/09/98 P9SS BRP 04/22/9e J-H ELRC725 bow Voltage Inspection 09/04/97 / / 09/04/97 / / 03/12/98 yer Tan Pleecher, note writs-:. an final PASS TLP 04/13 98 .TT ELRC799 Elect,l Final building inspection, ALL the following permits can be case finaled: bup97-0505, bup97-0466, elr97-0255. Jeanne T. PASS BRP 04/31/08 IMI / 04/09/98 ELPcaoo Case finaled I I I i 1 S CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - - 13125 SIN Hail Blvd., Tlgard,OR97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: EL_R97-0255 DATE ISSUED: 09/04/97 PARCEL: 2S 1 13AB-01 201 SITES ADDRESS. . . : 16280 SW UPPER BOONES FERRY RD ZONING: I--L SUBDIVISION. . . . : JURISDICTN: TIG BLOCK. . . . . . . . . . . L-01.. . . . . . . . . . . . . Pr o j ect Descr•i pt i an: Add protective signaling. -------------- ---------------------------- (4. --------__-_---------------------(4. RESIDENTIAL-­­­­ B. COMMERCIAL----_.----------•----------------____..-__.______ AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : I-ANDSCAAF'E/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . . . . HVAC. . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . VACUUM SYSTEM. . . . : F IRE AI_..ARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: , , HVAC. . . . . . . . . . . . : PROTECTIVE SaIGNAL. : :X INSTRUMENTATION. : OTHER. . : ' TOTAL # OF SYSTEMS: 1 -- FEES ------------------ FL_IR SYSTEMS, INC. type amol_rnt by date recpt t6280 SW UPPER BOONES FERRY PRMT $ 40. 00 GEO 09/04/97 97-298939 TIGARD OR 97224 5PCT $ E. 00 GE:O 09/04/97 97-:98939 Phone #: 684-3731 Contv,actor': ----------------------------------- HONEYWELL INC; $ 4 . 00 TOTAL 15495 SW SEQUOIA -_----- RECJU I REU INSPECTIONS - STE 100 Ceiling Cover Low Voltage Insn PORTLAND OR 97224 Phone #: `•368-x./333 Wall. Cover Elect' 1 Final p p g #. . : 000578 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 leo days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon titility Notification Center. Those rules are set forth in OAR 9 AMI-0010 through OAR 952•01-0080. You may obtain copies of these rules or direct st/0tOUNC 15031246-1981. l �soed by Permittee Si gnat OWNf R INSTALL_.ATION UNLY-------------- -------- The installation is being made on property I ow» which is not intended for- -,ale, orsale, lease, or rent. DATE: ()WNER' S SIGNATURE: _- --- -- - - _____----------------------CONTRACTOR INSTALLATION ONLY--------------- c:;T GNATURE OF SUPR. ELEC' N: DATE: O I CENSE NO: ++++++++++++•f-.++++-4++++++++.+++++++++++++++-+-++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 6:00 P. M. for- an inspection needee the next bi_is;iness day +++++++++a-++++++++++++++++++++.+++1--1..++.+.+++.+.+.+++++++++++++++++•++++++++++++++++++F+ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: _ 13125 SW HALL BLVD Date Recd_ TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#: IQ o�7jS F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL _ Restricted Energy Fee........................................ $40.00 P/r7 -r /)C (FOR ALL SYSTEM) JOB Street Address Ste# Check Type of Work Involved. ADDRESS /(, O Sri 10 ate Zip P one# Audio and Stereo Systems 217.2 j! Name CJ Burglar Alarm OWNER Mailing Address El Garage Door Opener' Heating,Ventilation and Air Conditioning System' City/State Zip Phone# Vacuum Systems' Name Other — I CONTRACTOR Mailing Addr. s #�Juo TYPE OF WORK INVOLVED -_CON r1AERCIAL �c/q J Fee for each system...................... 540.00 (Prior to issuance a CAyy/* ate Zip one# y copy of all licensesb - / c la 9�5 X300 (SEE OAR 918-260-260) are required if Oregon ContiBrd Lic # Exp.Date Check Type of Work Involved expired in C.0 T data base) Electrical Conti is # EVP ate F� Audio and Stereo Systems C.0 T.or Metro Lic,# Exp ate / �/it Boiler Controls Owner's Name — L L Clock Systems OWNER - Mailing Address F-] Data Telecommunication Installation APPLICANT City/slate Zip Phone# ❑ Fire Alarm Installation phis permit is issued under OAE 918-320-370 This applicant agrees to F–] HVAC 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 Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks(') All others need licensing, Landscape Irrigation Control' 2 Call for inspections when installation under this perry it are ready for inspection at 503-619-4175; ❑ Medical I Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,and, N Protective Signaling Assume responsibility for calling for a final inspection when all of the E] Other corrections are completed Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses nre required Licenses are required for all other installations authorized to bind the applicant. -- FEES: (N11d.L6�ef / ENTER FEES $ Signa SL 11� � re ���/� �� ^ p --� 5"/o SURCHARGE(.05 X TOTAL.ABOVE) S �L_• C) l) nj t t'7 tta/ 0, ,�u sty 0a.0 /.,2 Z_ TOTAL f Authority if other than Applicant i vesele doc 12196 CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Rec'd:_ TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'& WILL NOT BE ACCEPTED Name of Development Pro)ect TYPE OF WORK INVOLVED- RESIDENTIAL Restricted Energy Fee........................................ $40.00 Flit- , /y) -/)c (FOR ALL SYSTEMS) JOB Street Address / Ste# ADDRESS Check Type of Work Involved. l U;1 O SW i)ty/grate I Zip Phbne# ❑ Audio and Stereo Systems 161 j Name ❑ Burglar Alarm OWNER Mailing Address — ❑ Garage Door Opener' Git;'State Zip Phone# ❑ Heating,Ve,-,tilation and Air Conditioning System' Name / / ❑ Vacuum Systems' L C l i 1 1 t LL ❑ Other —-- CONTRACTOR Mailing Addr s < < fr/o n TYPE OF WORK INVOLVED -COMMERCIAL (Prior to issuance a City/S ate Zip one# Fee for each system.............................................. $40.00 copy of all licenses e 2j 9G N 33un (SEE OAR 918-260-260) are required if Oregon Contr.Brd Lic # Exp.Date expired in C O T c " � Check Type of Work Involved. data base) Electrical Contr Lic # E p.Uate ZG I CL - Audio and Stereo Systems C O T or Metro Lic # Exp Date _J f S //!i ❑ Boiler Controls Owner's Name _4� ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State y Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following: ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, 2 Call for inspections when installation under this permit are ready for F-1 Landscape Irrigation Control' inspection at 503-639.4175; I] Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,ani, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180(lays of issuance or if work is suspe ided for 180 days ___-- _Number of Systems The person signing for this permit must be the applicant or a person Nc licenses are required Licenses are required for all other installations authorized to bind the applicant _ FEES: Signa re y ENTER FEES $_ �. rt 5%SURCHARGE(05 X TOTAL.ABOVE) $_ ) t) 0,).)rtt�Z� CZl�Otu�n rct Authority if other than Applicant — TOTAL $ <� . t� Vesele dor,12196 _ RECEIVED SEP 0 4 1997 COMMUNITY DEVEIOPMEN. 10 PORTI- AND CARMAN RD, EXIT #291 c .7 5 1---4--A Z ' ............... ^0 BLIS 114E SS 1----�-----1----� � (I a e) t� � o'''ff � f� 1 (t 7�,r _�'� 4 `,�•?, 'r'"'^'"*+� _ ' PARK I I 174 124 1fs 1721 (1I3) C/ 121 (1221 rn (23e) -A (2411 f 2421 E OSWEnCi ci 1, LA E nt�imrdl N \UW flu EXIT IF290 EEOU21A PKWY (171 (1251 cy A f INS so mln=rtmn 0 7 7 fn --- I ( 112251 w 4 PA..--' i r I c (233) 1�, (211) 117 14 OREGON 770 3 al. 2 a CORPORATE (22f) f1l, ( 13) lo"111– WW%Iff Milt" (1271 BUSINESS CENTER f 2311 (227' ttjjj%� ke, 09) 10) (1061 PARK I 2 in I rmffi� U"UUU= 16 SIN 72ND AVENUE C---- umuu I flu SW 7214D AVENUE 1w [D�J 11941 TltO A r (21S) A (21 e) (214) F u u C, 11931 (YOH P-44 (106) -0 n cw y f147) 0 1 r I - COINISOL IDATIV f 2171D (let) (221) 4 ;,> r"I" N (2 2) H � WIT �4X00 BURL I NG 0 NOR RN —RR— > (loll a tel SV174TH AVENUE OREGONnw BUSINESS cp' t1e7t (lee lee FPACTRUST PARK III u"fnmruall f BUSINESS G CENTER TO TBC I do II NORTH P711 tow 200* 3". 400. W. no o amry 16280 SW Upper Boones Fry Rd 1 of 1 7-1 T11 I III 11TIT11111111 I 11111111111ti 1-11 IIT I i I i I I IIp-1-1 T'IT]TTT TI-1 1,I LEGIBLE THAN THIS NOTATION , IF THIS DOCUMENT IS LESS io 1,3j IT IS DUE TO THE QUALITY OF 41 111 1 No.36 THE ORIGINAL DOCUMENT , L IRI Ll ST 91 TI 1 6 9 c g loll