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14150 SW 72ND AVENUE w \ ADDRESS : 4AL5 N � a u isVecords\microfIm\targets\building.doc Cm _ . :� + , i iili ll�l l��l �1,� Illi I11� ►iil lii► Ilij lii llll llll lll,',.:ilii".�:a:L.i'i"iii li� ,iil ii'ii.R"� ,<«,=,r .�. .�. ,u. ; , � ► I ' I I I I I I I ' j ��►�I��il►�► ,Ii. ►►11l�llllll�l►11► �►�►I�I�► I►►l1►1.11►VIII►► III► ►111,►11111,1►I11� 1 EEGIE� ILITY STRip O I 2 3 4 5 6 7 8 9 IO IOmm:i Cm I I 12 13 14 16 17 18 19 20 21 22 23 24 28 26 27 28 219 30 m I,- m 7 I 01 H�NI A b IOZ �. 1a1.►. . h, i, . ,1. 1 1.��1. �.�.�1,.��, L►1 1111 I i I I I 11 I oz I ( Ilililill�IIII11lIllllll1111 � �Ilillllllllll 1 1 I � , ill�llilllll ( Is II , � II 1111 1 I i � llil II I IIIII1� 1111 Ililll I � it ) i�il � l � li � il lill , l�ll► I � iJ � l� l � lllllllllll k - ..�.•�n`" ''i :nil iT 'V, '%*IMI C. SCHI EWE & ASSOCIATES, INC. GENERAL CONTRACTORS May 31 , 1995 Mr. Dave Scott City Of Tigard 13125 S.W. Hall Nvd. Tigard, OR. 97223 RE. Accessory Reps., Inc. 14160 S.W. 72nd. Ave, Suite 200 Tigard, OR. Dear Dave: The value of the proposed remodel at the above referenced address is $22,500. We propose to use the following amounts for removal of barriers to the handicapped in the following ways: 1 . Two ADA approved restrooms $5, 00 2. All new doors (7 ea. ) will be equipped with ADA approved lever handles _700 TOTAL: $6, 100 If you have any questions please don't hesitate to call. Yours truly, r Crain Pierson Estimator CP/rd 141 50 SW 72" 1 \I 1 1161 of, S 1024 N.E. DAVIS ST. PORTLAND, OR. 97232 PH: (503) 234-6617 FAX: (503) 236-9679 LEGIBILITY STRIP CM 01 2 m02 3 4 lommul Cm 5 7 10 I I 12 13 14 16 17 16 19 20 21 22 23 24 25 26 27 26 29 30 ZI ( 01 b HOW SQ102! 1II.�Iwl �ll _ � ��J �J,.�L� I � li � i ( � l � lil ��� liiil � I li ilil � l � 1 i I I � ! ► , I , I 1 0z I I Keynotes MILDREN DESIGN GROUP, P.C. I 1. 3 x 7 SC WOOD DOOR IN METAL FRAME TYPICAL ARCMITCMRH • SPACT PLANNING 2. EXISTING TENANT SEPARATION WALL 11830 SW Kerr Parkway, Suite 325 7 , Jj x 10' OPENING 1N EXISTING WAIL Lake Oswego, Oregon 97035 A2 4. EXISTING WALL TO BE REMOVED (503)244-0552 i �A-f ISLEFF'Cf QF 1�E 5, 4' x 4' RELITE, SILL AT 3'-0" AFF `v � f34f3H9 3413G9 Q41399 6. CLOSE AND LOCK STOREFRONT DOOR AND REMOVE HARDWARE 4 7. ALIGN FACE OF STUD WITH EXISTING \ n OFFICE 2 ` c� Of F!CE C6CC8 I TOILET B4BB9 A? 94H139 C6CC8 II C6CC8 T General Notes 4 . VEIFY AND LL IMENSIONS AND CONDITIONS. Az 5 A NOTIFY ARCHITOECTROFAANYDDISCR DISCREPANCIES PRIOR TO START �NZ'L ms Qag� 1 - 7112 �/ 0 ± ❑ ❑ OF WORK. S. OCCUPANCY: B-2 6'-.-6 112" I3 � C. BUILDING SHELL CONSTRUCTION: TYPE IIIN D. MECHANICAL, ELECTRICAL, PLUMBING, AND SPRINKLER BY A2 SEPARATE PERMIT E. WOOD STUDS AT CONTRACTORS OPTION 11 11 O F. PROVIDE (1) APPROVED FIRE EXTINGUISHER WITH RATING OF W L F 05 R NOT LESS THAN 2-A: 10B FOR EACH 3,000 SQ,FT. OF FLOOR II I AREA TRAVEL FROM ANY PORTION OF BUILDING NOT TO II EXCEED 75'. 3 11 G. 100% SPRINKLERING TO BE MAINTAINED THROUGHOUT IN 9 ACCORDANCE WITH N.F.P,A. PAMPHLET #13. OF v' (BY SEPARATE PERMIT) Owner U Spieker U-) Finish Schedule Pr®pprtes ❑ C3ROOM NAME Floor Finish A4989 A. Exposed concrete slab B. Carpet C. Sheet vinyl 4380 SW Macadam Ave.*100 D. Vinyl composition 'tile Portland, Oregon W!A3LH-Q 1� WAREHOUS Base - AOAAX AOAAX 0. No base Project 4, 4" rubber base 6. 6" rubber base ! ; , Wall FinisC- A. , A. Exposed concrete B. Gypsum board and point � �,,ocs C. 4 plastic wainscot with stainless steel trim at edges, w.r, gypsum board and paint -� above. Typical at elevated walls only. ❑ ❑ X. Existing to remain Building E I Ceiling Finish Nelson Business Center A. Exposed roof structure B. Suspended acoustical - tee bar Sheet Title: C. Gypsum board and paint i Ceiling height -- ---- Floor Ilan B. 81-0- 9. 9'-0" 12. 12'-0" X. Existing to remain �� .,_._--- � - Area of Work CITY OF Tlr3AR0 ,I • Apvttl ., ' ( 1 ! Cbtltolt'h lty APpr Gs d scr! din; 6 ❑ `nt +,hlv IMP W l [ ] F - - Lictolettut lb, ►allow....... ....... ..: „ Re -IsloRg Att�clt.. . ... ...... . ,lob A � •-, V — 801 ` f)CRIGHRSNRESS IGN G©RP, P C, '995. ALL tC t7_1 THESE DRAWINGS ARE THL PROPERTY Of ()� MILDREN DESIGN GROUP. P C. AND ARE -- NOT TO BE USED OR REPRODUCED IN ANY -- MANNER, EXCEPT WITH THE PRIOR WRITTENll PERMISSION Of MOREN DESIGN GROUP, PC. AA J Date 16 May 1995 r Drawn by: Checked by: ie — --- r it Road WEM WEM _ Floor Plan Wall begends Job Number. 95072 '/8"=',-0" Key Plan / Existing wall to remain Sheet of:_ N New wall Existing wall to be removed Permit Set - 8 June 1995 Al 2 1 � 1 ,1�I1��► �. �� ! �I I INS : I 5 GAUGE 3 1/2" MTL STUD TO STRUCTURE AT 8' 0/C WITH 16 GAUGE CLIP ANGLE - ---- --- - -- 3/4" PLYWOOD AT j 2 X 2 X 3" WITH (2) #8 WATER HEATER - -- - #12 WIRE TO TOP TRACK AT \ \ SHEET METAL SCREWS AT 4' 0" 0/C At.T. DIRECTION EACH END. BRACING TO BE 6' X 22 GA METAL JOIST \ PROVIDED WHERE DISTANCE AT 16" o C McDR1 N D� NSIGN GROUP, P.C.ING 45° BETWEEN PERPENDICULAR / ------- -- - - - SUSPLNDED CEILING -SEE D TL. 5/A2 + + ;' - -_- _ 11830 SW Kerr Parkway, Suite 325 INTERSECTING WALLS OR 5/8" GYP BD FASTEN TO STUDS WITH TYPE "S" WALL MOUNT i IGHT -- - - -- --- - - - Lake Oswego, Oregon 97035 -- - ------ ----- - -- J CASING BEAD HORIZONTAL BRACING BE- " SCREWS AT 8" O/C AT (5 244-0552 TWEEN WALLS EXCEEDS 8 --0 PANEL EDGES AND 12" 0/C - - -- -- --- - - -- -- GYP BD AT EACH SIDE AT INTERIOR SUPPORTS SECURE TO STUDS WITH TYPE SUSPENDED CEILING WHERE APPLICABLE' 2'-6" x 3'-0 " MIRROR --- 'S' SCREWS AT 5"-7- 0/C - SEE DETAIL 5/A2 /8" GYPSUM BOARD EACH - 5/8" WATER RESISTANT, ANSI 117.1 TYPE FAUCET --- SIDE BOARD AT TOILET � SIDE_ SECURE TO STUDS -- -- --- — ---- - - 314" 25 GA METAL STUDS ' I 1 ROOM SIDE AT 24" 0/C ` I WITH TYPE S' SCREWS AT — 3 1/2" 25 GA STUD ATDISPENSERTOILET IILTISUE PLASTIC LAMINATE WAINSCOAT 5-7" 0/C � 24" 0/C TYPICAL, 20 GA O AT 16" /C WHEN -- I 3 1/2 25 GAUGE METAL TOILET ROOM SUPPORTING WATER NEATER STUDS AT 2' 0/C ---- --------- - COVE RUBBER ER BASE BOTTOM TRACK TO FINISH ' '' °� s' _ 3' D FLOOR WITH POWDER DRIVEN - R11 BATT INSUL AT TOILET ANCHORS 4' 0/C ROOM WALLS AND CEILING -- - — 6" RUBBER BASE - - --- ---- --- BOT TOM TRACK TO SLAB WITH RUBBER BASE. TYPICAL POWDER DRIVEN ANCHORS AT 4 — 4 WHERE APPLICABLE �D '-0" 0/C I I " RUBBER BASE WHERE -- - N - -- -- -------R-11 BATT INSULATION APPLICABLE 8 HANDICAP TOILET ~' ''� 3 1/2" STL TRACK INSULATE EXPOSED PIPING — 305 TO SLAB WITH POWDER --- GRAB BARS W I_ E R. ` DRIVEN ANCHORS AT • • 4'-0" 0/C Partition Wall at Suspended Ceiling 2 Non-bearing Partition Wall 3 Toilet Room Wall Section 4 Toilet Room Elevations 9 A2 3 =1 -0 A2 3"=1'--0 WOOD STUDS AT CONTRACTOR'S OPTION. PROVIDE BLOCKING AT H2 3"=1'-0 A2 1/4"=1'-0" OF 1B1A 1A SUSPENDED CEILING IF OPTION IS USED. 1C 3ANOKEY -_._ FLOOR OR ROOF STRUCTURE Owner. -- --- --- �. - --- ----- .-.- --- STABLIZER BAR BETWEEN ALL Spieker AT PERIMETER - ---- - ------ ------ ADDITIONAL HANGERS AT ALL ��®������� MEMBERS WITHIN 8" OF PERIMETER - ----- - - - ---- - LATERAL BRACING WITH APPROVED VERTICAL STRUT AT 12' 0/C EACH WAY - -- _ COUNTERSLOPE HANGERS IF MORE THAN 1:6 OUT OF PLUMB 4380 SW Macadam Ave.*100 SECURE ALL HANGERS TO Portland, Oregon BUILDING STPUCTURE. TRAPEZE DUCT WORK AND OTHER LARGE 09STRUCTIONS P;okct CROSS RUNNERS FIT BETWEEN ¶ 6'_ 0" MAX MAIN RUNNERS olio _ ----- - ------ MAIN RUNNERS AT 4' OIC ®� SUPPOR f WITH x12 WIRE AT 4' 0/C OR WITH x10 WIRE A7 5' Accessories ON CENTER EACH WAY A ll�����®�¶ - -- --- --- - LATERAL BRACING AT 12' 0/C �� EACH WAY. MAIN RUNNER TO STRUCTURE BEGIN BRACING WITHIN 6' OF PERIMITER AND 2" Building E FROM CROSS MEMBER Nelson Business Center Sheet Title 5 Suspended Ceiling- Section A2 N.T.S. ALL CONNECTION DEVICES TO BE OF AN APPROVED TYPE 2A AND HAVE A 100# CAPABILITY. Revlsiowt MILDREN Of.SIGN GROOP, P.C., 1999, At M RIGHTS R!;tRVlD THESE DRAWINGS ARE THE PROPERTY UE MIIDREN DESIGN GROUP, P C, AND ARE NOT TO BE USED OR REPRODUCED IN ANY MANNER, EXCEPT WITH THE FRIOR WRITTEN PERMISSION a MIIDREN DESIGN GROUP, P C Date 16 May 1995 v Drawn by: Checked by: BK WEM Jub Number. 95072 Sheet of: N r Permit Set - 8 June 1995 A2 2 i7 LEGIBILITY STRIP 2a 217, 310 ZI I I OI NJNI •Q 108 1 1� 11aJ1�.1� 1�> 11�IJI�J 1U11111tU.�l1,1�►J�l �l � �lll�ll �lll 1111,I1�1 i ��1J.�lll�ll _lll�ll 1111���1 X11l�lt�.11�.l�l�.�08 } ..:� �.:�:-� ..,i.. .:I.. .-. �.. . _ fi ,,.., 11.1 � - A� , 0 To NaA I i h d ( -oil o- c, alt . oh � / � FA- C2 d 1 G 0 � _._.. wood �- COrnLe A*001Ihq bloCkivt M«.h -� �. r�cch Vn k, v�► � _.� �Iockl � VVI I �-'tet� ✓(qd H a vi cY �;J•, G N F `V 016, 0 21. Y I.. SC Contractor to varifY and confirm all Exr1A�s dimensions and conditions a n d notify Engineor of any discrepancies prior to vart of work. AN work to be in accordanco with of applicable codes and standards. 1415o s LEGIBILITY STRIP - c 13 14 16 17 18 19 20 21 22 23 24 25 26 27 28 29 3 �.� OI L 9 5 b H.NI 0U10,-' IT]_I.1lilili111.1hII !I II11h I I ! IhIIiI ! I ! I IlIlI II! IIIIIII I'd IIIII11.11 111111 I'll 1i III11.11 ! I1 ! ► II 11.1 111 II I I II ' I ! °' l lil � l � I I I11 �� 111 11111 I I _ I 11 1 !lI 11.I�JIIII..Lllllll,l�llllllllllllilllll ;� r I 1 i 1 i t t I I - _ - - - F- 300 300 I 14 ( 12 A- '0 1 A� -f If q ? t' '• i �I 110 1�•, 150 .i % RTU-1 vii c,�► C w ECRU I FOMENT : RTU CAaRIER MODE_ 48SS-03 06 GASPAK 35 . 4 MBTU COOLIN3 EO TU HEATING 460 VOLT 3PH . e . 7 :A 1300 CFM wT F,,7�WEIGHT 490 LBS . Q f O �I rn rn -- ---- ------ -- --- — --- - _ v- - —� — _� a o C :IRRIF. R .3 T CN G :.�. r- r; CK � Ni o ►� -1CDZEL SSSS - OS6 rnl = > w D w 22' "x-- 107 LB3 . -. - 136 LBS . W Z 0 m o 23' , 107 LBS . - -- 136 L69 . * -• CENITrR GRAVITY � U D CORNER WEIGHT DETAIL Q SCALE: NONE Q - --- -- - - - I T VJ L �rrrgn�Nti.L (Ms os��r �L W Z o �--� Z N w - F-� a I �.._ O cn r foo � C� Om CITY OF T!GARD I z lx, W l� Approved............ ........... ... . .. Q � , Conditionally Appmw d . . . . . .... ...I... Fcr only wt ' ;'d' Il 7E UUn J W Pi1c :- •' U C " : O G81 h � N r*� F U +, �r LLJ F Job Adt"c-.;. L�// 4TH _ w_-7 2 ,._. - W z BY: - Date: / w w0 hTFW. 'F 1 I 100 Or (E) 1 - 3A9PjPF 120 ' OF (NI 3 '4' 0A6PIPE / - - - -- -- - CAD: (813) : iOTw PROJECT NO . A F= LOOR PLAN HVAC SHEET NO . M SCALE: 1 /S " 1 ' _O " m I )r 4 LEGIBILITY STRIP 2 22 23 2A 25 2e 2" 2e 29 9 s b e z sol oz OF ADDRESS: -14150 SW 7ANbAlVkNY-E-- is\t-ecords\microfim\targets\building.doc Y � E D N O > N 3 d N � � L M C C Q O U O C N O p>7 'a-� a U L L N O O LC N N N O U c O w L c uN Z 3 N D L7) ^ O T T O 01 T O O r o a m D v a 0 0 p > I = = CD J Z Z r� CD O d Y) U) V) U) C/) cn W cn W V) V) <n U) U V) z z O " S Q d Q ¢ Q d 0 0 � o a a a_ a (1 a a_ p p Qc) m G w N (l. O (n X U) 2 O O V) N N m a �, U O L Gl aO 01 O O 03 �. o a r r r r a a r r r r V) N Q a U ^ � i�- FZiz: r r y J > C ti Ci U 0 a g O ` RN LLi cE a '� O O J .c G U c .T �C C O N 4) Vai C Q u .F .0 cn �_ O C y 11 tD IOgj71 cad t m �C a 1U_ C C) N ¢ d ll X Q.-1 J. FO- 0 LL CJ t�O N Ln u� o Ln o o o O o 0 j Qj o o n � n � rte- � o N co > V U U U U U U U U U Q U M a t m n. 3 n. n. a n. a s i 0 C CLz 0 0 Ln N C ,C Z C C C rn ani rn n rn rn rn a n a n a L Z z z m m X z z z am m m m - - - m m m � � 1 C Q Z J V) 1- (n U) 0 w V) fn w (n O a U (n Z U) (n (n Z w (n (n u) 9, o a vwi a a a o a a a a ti a m U W n° o � a m m m m m v r mF o Q Q) CD U cu M rn rn CN o o p a V) N > n U Q 0 a M, c ~ E d ' L E ~ N 8 € a 3 � 8 € 0 0 FL CL b o o' iL ro iL h K N U $ v wU-1 0 LL LL NU O O N c07 9 � O S 0 O U U U U U U U U U ) U J J J J J J J J J J J a w w w w w w w w w w w ) _ / } § 7 5 @ ) $ � ` \k \ z �a § \ ) § d § \ \ j \ 'r, z = \£ e Q Q Q r 4 R \ \ _ _. '0 'D = m 0 0 a ! I = � ~ z z ce) (D Cle) o m m u u 9 / \a- (nj j � � m � m W 0 @ )o m ® ' ® \ { � CL ] d $ ,/ ) Q ,- 2 a y e Lr) / ? c � 7 C kto / 0 m e , - ƒ k ` ! 0 § 7 7 8 y \ t ) § � /\ / k \ k LO / % ° < ƒ \ k i E § / 7 d k ] / / ( r- § § 0 o u u u u u i u 2 j ) j w w ) w w k z M k CL R R ( f \ = > { � C) 1* CD § § ) . � o ƒ ± ± � £ c \ / ( 13 C 0 n V) 0) U in $ 2 " > 3 v Q % CY) ° \ § . \ \ a IL J J { $ / \ Zƒ ] t & G 3 G CA } § b b \ \ \ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BLIP Date Requested —AM�_ PM BLD Location L ( '7 O �C� � ,�{�� �;fliite MEC Contact Person Ph PLM Contractor Ph _ SWR BUILDING Tenant/Owner - "^" � � - ELC Retaining Wall ELR Footing Foundation A NOT RI?QUESTED FPS _ Ftg Drain FOUND DURING RESEARCH SGN Crawl Drain Ir NO INSPF:CTION(s) IN FILE: - -- Slab - -- SIT Post&Beam -- - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - -- - - _- Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Misc: - — -- ,--- Final PASS PART FAIL - Post& Beam Under Slab Top Out — —' - - Water Service Sanitary Sewer - Rain Drains PART FAIL -- MECHANICAL Post& Bearn ----- ---- Rough In Gas line - --- --- - _.___ Smoke Dampers Final -- -- — — PASS PART FAIL ELECTRICAL - -- --- — Service Rough In CL UG/Slab _ - -- - Low Voltage Fire Alarm cn Final -------------- - ---- - PASS PART FAIL __j SITE W Backfill/Grading -- M L Sanitary Sewer LLI Sloan Dram ( J Reinspection fee of$ reouired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I )Please call for reinspection RE I I Unable to inspect-no access Fire Supplv Line ADA n y Apnroach/Sidewalk Other Date _ Inspector I ,� _ _ ! Ext _ Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 639-4171 v^--- BtJP Date Requested AM PM BLD Location Suite MEC Contact Person _ _ Ph PLM — ' SWR Contractor s Z`'i�� Ph BUILDINGen:ot/Owner -ti C L'lJL ELC Retaining Wall_--� ELRZ� Footing Access: , FPS Foundation /� f lc_ ' .� 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 Susp'd Ceiling ----- -_--. -- -- Roof Misc: - -- --- - - Final PASS PART FAIL — — - PLUMBING Post&Beam Under Slab Top Out - --- ----- - -- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam -- - - - --- - Rough In Gas Line Smoke Dampers -' Final - -- -- - PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL ----- . -SITE Backfill/Grading --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line l ] Please call for reinspection RE -_ ]Unable to inspect-no access ADA Approach/Sidewalk Date Inspector Ext _ Other ---- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /\. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125 5W Hall Blvd., Tigard, OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR97--0::63 DATE ISSUED: 12122197 PARCEL.: 2S 1 12AA--00900 SITE ADDRESS. . . : .14150 SW 7 :ND AVE SUBDIVISION. . . . :NELSON BUSINESS CENTER ZONING: I—H BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG Project Description: Installation of one protective signaling unit. ----------------------------------------------------------------------------------- A. RESIDENT I Al_---- — -- - B. COMMERCIAL----------------------------------------- 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: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: Owner-- -------------- ---- _ ----- ------- — ...- -- ----—-- FEES HUNT AIR type amol-int by date recpt 14150 SW 72ND AVENUE PRMT $ 40. 00 TJH 12/22/97 97-301957 TIGARD OR 97224 SPCT $ 2. O0 TJH 12/22/97 97-301957 Phone #: Contractor: ----------------------------------------------•---- SELECTRON INC $ 42. 00 TOTAL 72P5 SW BOh ITA RD ---- -- REQUIRED INSPECTIONS ------- TIGARDND OR 97224 Ceiling Cover Low Voltage Tnsp Phone #: 639--9988 Wall Cover Elect' ] Final Rag #. . : 00064; 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 Mork will be done in accordance with approved plans. This permit will expire if work ,s not started within 188 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 Utility Notification Center. Those rules are set forth in OAR 952-001-88I8 through OAR 952-801-0030. You may obtain copies of these rules or direct questions to OUNC at (503)246-1987. T s s 11 e d by_. L L>r1�. - _. _ _._._. Permittee ---------------------------OWNER TNSTALL.ATION ONLY---------------------------. The installation is being made on pr-operty I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ---------------------------CONTRACTOR INSTALLATION ONLY------------------- SIGNATURE OF SUF'R. EL.EC' N- DATE: LICENSE NO: +++++f-1-+++++++++++++++++++++•F+++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bi-isiness day +++ +F+-4-+++•++++•++++++++++++++++++++++++++-!-++++++++++++++++++++++++++++++++++-1-++++ L Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# �I-t`-J O W✓ ` Phone(503)639-41719 a FAX(503)684-7297 DATE ISSUED a Z� TDD No. (503)684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK IyJS�= 7 <� r�� Ad res_ s � �� ���l� RESIDENTIAL—Restricted Energy Fee. S4Q.0() Tt5- -n (FOR ALL SYSTEMS) City Stale Zip CJfeck Zyne c+f Work Involved: PERMITS ARE NON-1 RANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR y 18n DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* 1 ❑ Heating,Ventilation and Air Conditioning System* Contractor Type �j�����tjj(,�./Gyt/ ❑ Vacuum Systems* Address C/ ���"7ti[ rCl /� � ((� ❑ Other_ Date I /q7 COMMERCIAL—Fee for each system . . . . . . . . . $40.00 (SEE OAR 918-260-260) Property Owner 1j jZ Check Type of Work Involved: Contractor's Board Reg. No.---&_7----)T/ ❑ Audio and Stereo Systems G 13 Boiler Controls Phone# �3 "/��� _ ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installitions ❑ Fire Alarm Installation _. ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: 1. Only use elertrlral licensed persons to do installations where required.(Certain -Protective Signaling residential and other transactions are exempt from licensing.These,have ❑ Other asterisks(').All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for Inspection at 501-03()-4175. Number of Systems 1. Purchase separate permits for all installations that arA not ready for inspection N when the inspector is out to inspect under this permit. •Nn licenses are required. Lirenses are required for all other Installations. 4 Assume resprmsihility for assuring that all rorrectinns requires)by the inspector are done.and Asiume responsibility for calling for a final inspection when all of the 5. FEES m corrections are completed. The person signing for this permit must he the applicant or a person a. Enter Fees $ -' author to hind the appli• _ + b. 5% Surcharge COS x total above) $_�_ L � Signature TOTAL $��i Authority If other than applicant ENERGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 4 V �1 Date Requested: (2— A.M. Il f P.M. MST: Location: 5 `7,)- nd BUP: Tenant: (, Gh 14U0E ( ' Suite: /—Bldg: NEC: Contractor: C Phone: _ '7 — `t' PLM: Owner: Phone: ELC: 7 ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Lin: Slab Framing Top Out Gas Line Rough-In UG Sprinlaer Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masomy Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump I.,ow Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not A veJ Not Approve) FINAL FINAL FINAL INAL FINAL r k-7 Gam( /242 a -- fY N rr J cm CD J C]Call far reinspection / C3 Reinspection fee of$ required before next inspection O Unable to inspect Inspector: % �r .+ / ( Date: z Page of CITY CSF TIGARD DEVELOPMENT SERVICES ('LUMPING PERMIT PERh1IT #. . . . . . . : F'LM97-0461 13125 SW Hall Blvd., Tigard, OR 97223 (503)63.9.4171 D A-C E ISSUED: l t/21/9 i PARCEL_: 2S112AA-00900 SITE ADDRESS. . . : 14150 SW 72ND AVE SUBDIVISION. . . . : NELSON BUSINESS CENTER ZONING: I—H BLOCK. . . . . . . . . . . LO1 . . . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORK. . :AI.._T GARBAGE DI"jPOSAL S. : 0 MOBILE HOME SPACES. : 0 -1YPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :H FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . . 0 WATER, HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0 F 1 XTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . ., 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . I GREASE TRAPS. . . . . . . . 0 I..-AVATORIES. . . . : 1 OTHER FIXTURES. . . . - 1 "TUB/SHOWERS. . . : 0 SEWER LINE ( ft ) . . . 0 WATER CLOSETS. : 0 WATER LINE (ft ` . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0 Remarks : Hr.int Air- Owner: ----____.__________._____________.._________--__-----_---___________-_ FEES SPIEKE:R PARTNERS type amoLrnt by date recpt 4380 SW MACADAM SUITE 100 PRMT $ 25. 00 BON 10/21/97 97--300247 PORTI....AND OR SPOT $ 1. 25 BON 1.0/21 /97 97-300247 PRMT $ 2. 0121 JDA 11 /21/97 97--3,01 139 Phone #: SP("T $ 0. 10 JDA 11/21/97 97-301139 ROWLAND PI._UMB I NG 4524 N L...OMBARD PORTLAND OR 9720:3 — ------------------------------------•- 1."h on e #: 285-2586 $ .:18. 35 TOTAL_. R e 9 #. . : 000000 --- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Rot.igh--in Tnsp Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Under,floot- applicable laws. All work will be done in accordance with Top—ol.it Insp approved plans. This permit will expire if work is not started Misc. Inspection within 180 days of issuance, or if wirk is suspended for more Drinking Foi.intai than 180 days. ATTEN110N: Oregon law requires you to follow rules Final Inspection T adopted by the Oregon Utility Notification Center. Those rules are _ set forth in OAR 952-0001-0010 through OAR 952-0001-0080, You may obtain copies of these rules or direct questions to OUNC by calling 1503)246-1987. Isst.red By . ��^�1LJcu��� Permittee Signatl-xe : ++++++++++ + 1++++++++++++.+++++++++++++++++++++++4.++++++f+++++++++++++++++++ii Call. 639-4175 by 7:00 p. m. for an inspection needed the next 5i_isiness day i +++++++++++++++++++i.+++++++-h*+++++++++ -+++++tt++++++++++++++++-1--F+++f ++++I ++ F CITY OF TIGARD Plumbing Application Recd By, 13S 24 a'JV HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E.Date to DST (503) 639-4171 Permit# (hrt'7 ""—(-'/4'( Print or Type Related SWR# S,,,rt Incomplete or illegible applications will not be accepted Called Name of Development/Project On back Indicate Work Performed by fixture. Job 5 S cJ "I FIXTURES (Individual) QTY PRICE AMT AddressStr et Address Suite Sink 9.00 "j G ZA Lavatory 9.00 Bldg# cittAtateZip Tub or Tub/Shcwer Comb 9.00 Name Shower Only 9.00 S _K Eb� Water Closet 9.00 Owner 'Railing Address _ Suite Dishwasher 9.00 5 -20 , 15 CA (� Garbage Disposal 9.00 Ci (State Zip Phone )c TUq k)1D 0 c� --2,21—.5�v Washing Machine 9.00 Name f a �'\ Floor Drain 2" 9.00 ' 1 1 ie— 3' 9.00 Occupa,.„ Mailing Address Suite 4" 9.00 �U -5 vi WrJ Water Heater O conversion O like kind 9.00 C*y tate Zip Phone 1 1(AK v p� ( ?�S_O I I� Laundry Room Tray 9.00 _ Name_ Urinal 9.00 �ot�(l�IyD Q I tiJL Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 5 , uA K.D _ rC I 'CtC LOAT17K Cbocr 9.00 Prior to permit City/State Zip c� Phone9 00 issuance,a copy j WI1`iJ� l,r 67-2 S _ 9.00 of all licenses are Oregon Const,Cont.Board Lic.# Ex to 9,00 required if 5�//-�7 D 30.00 Sewer-1st ,00" expired in COT Plumbing Lic.# Exp.Dat database Sewer-each additional 100' _� 25,00 Name Water Service-1 st 100' 30.00 Architect Water Service-each additional 200' 25.00 or Mailing Address Suite Storm&Rain Drain- 1st 100' 30.00 Storm&Rain Drain-each additional 100' 25.00 Engineer City/State Zip Phone Mobile Home Space 2500 Commercial Back Flow Prevention Device or Anti- 2500 Describe work New O Addition O Alteration Repair O Polluticn Device _ to be done. Residential O Non-residential Residential Backflow Prevention Device' 15.00 Additional description of work Any Trap or Waste Not Connected to a Fixture 900 Catch Basin 900 Insp.of Existing Plumbing 40.00 per/hr Existing use of Specially Requested Inspections 40.00 budding or property ____.__ per/hr Rain Drain,single family dwelling 30.00 Proposed use of Grease 1 raps 900 wilding or property QUANTITY TOTAL hereby acknowledge that I have read this appllcatiof,,that the information Isometric or riser diagram is required if Ouandy Total is 9 liven is correct.that I am the owner or authorized age nt of the owner,and *SUBTOTAL _ hat plans submitted are in compliance with Oregon'hate Laws 00 Signature of OwnerlAgent Date 5% SURCHARGE ' i on ct Pe on N Phone PLAN REVIEW 25%OF SUBTOTAL I Regwred only A fixture qty total is>9 TOTAL i 'Minimum permit fee is$25• 5%surcharge,except Residential Backflow Prevention Device,which is S15• 5%surcharge > a.j0 ysie,oimat+n ,.*17 PLEASE C PLETE: I Fixture Type Quantity by Work Performed _ New Moved Replaced Removed/Capped Sink Lavatory � � — Tub or Tuo/Shower Combination _ Shower Only --- -- Water Closet - Dishwasher _ Garbage Disposal Washing Machine -- _Floor Drain 2" 3" Water Heater -- Laundry Room Tray _ - Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: J CD G7 LL: J I Astslplmsva doe"7 Accumulative Sewer Tally Tenant Name:.. �� r This SWR# Address: /y ;Z� ���� a -��� , _ This PLM#: C Fixture Value Previous Previo, Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 _ Bath - Tub/Shower 4 -Jacuzzi/Whirlpool 4 Car Wash- Each Stall _ 6 - Drive Through 16 Cuspidot/Water Aspirator 1 _ Dishwasher- Commercial 4 _ - Domestic 2 — Drinking Fountain 1 Eye Wash 1 Floor Drain/sink -2 inch 2 _ 3 inch 5 4 inch 6 -Car Wash Urn 6 Garbage Disposal 16 _=Domestic(to 3/4 HP) Commercial (to 5 HP) 32 Industrial (offer 5 HP) 48 p Ice Machine/Refrigerator Drains 1 _ Oil Sep(Gas Station) 6 Rec. Vehicle Dump Station 16 Shower- Gang (Per Head) 1 - Stall 2 Sink - Bar/Lavatory 2 2 � Bradley 5 _ Commercial _ 3 Service 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 Water Closet- Toilet 6 Urinal 6 Mq , TOTALS (� Total fixture values _divided by 16 = DU HISTORY /� o ��� _PLM# EDU# SWR# PLM# EDU# SWR# 1 _ PLM# EDU# SWR PLM# EDU# SWR#- ` PLM# EDU_# SWR# PLM# EDU# _ SWR# PLM# EDU# SWR# PLM# EDU# SWR# I\dstslswrtaly doc CITY OF TIGARD BUILDING VSPECTION NOTICE; Inspection Line (/R'ec-O-Phone): 639-4175 Business Phone: 4171 Inspection: li Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslai Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in L..� Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing Vh.Alarm Water Line Insulation Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: K I g I i��r Time: AM PM Address: ) 14 f !;--C) ! ,1 m� Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 L _ J C.7 Il! J Inspector: Date: �APPRMED DISAPPROVED I'OVED SUBJ CT O ABOVE _Call For Reirrsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/S Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation1 h`� Underflr. Insul. Shear Wall, Gyp. Bd. -Elect. Date Requested: _Time: AM PM Address: -. #�>� 9SUa�5 Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: a -- N F- L1� C.� LLl J iIns ctor: Date:_ P _ PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF Tt GARD DEVELOPMENT gEJ9VIC"F-!4 13125 SW Hall Blvd., Tigard,OR 97ib'(503)639.4fi�'1 , DARCEL: 2S112AA-00000 SITE ADDRESS...:14150 SW 72ND AVE ='!.'BDIVISION....:NELSON BUSINESS CENTER ZONING:1-H OCK..........: LOT.............: JURISDICTION: TIG roject Description: Electri,.al TI --RES I DFNT I AL. UNIT---. -TEMP ':ERVC/rF_ DF_.R ---.__._.__ _ __._._.MISCE::L_LANEOUS_.__.._...... 000 SF OR LES-13. . . . : 0 0 22.10 amp. . . . . . . : 0 PUMP,/IRRIGATInN. . . . : � 'ACEI ADD' 1-- 300SF. . . : 0 J7101 4.170 ainp. . . . . . . . 0 STGN/OUT 1_INE 1_TG. . 0 L-IMITED ENERGY. . . . . : 0 401 - 600 ainP. . . , . . : 0 SIGNAL../PANEL.. . . . . . . : 0 MAt1F. HM/ SVC/FDR. . : 0 601 ,.amps _1000 vaI Cs. : 0 lylTNOR LABEL t10) . . . : 0 ---.--BRANCH C[RCL1.rTS1---.---- -----ADD' L INSPECT IONS-.-_- - 2,00 ramp. . . . . . : 4 W/SERVICE OR FFF..i)ER: 50 Pr`R INSPECTION. . . „ . : 0, ='01 - 400 awp. . . . . . . 1 1st W/n SRVC OR FDR. : 0 P7R HOUR. . . . . . . . . . . : 0 4N7r 1 - COO amp. . . . . . : 4.1 EA ADP.' L.. BRNCH C I riC: 0 I N PI ANT. . . . .. , . . . „ . 0 rt71. - 1000 amp. . . . . : 0REIT W SECT ION----.----_--.--.-___-.__.-___ 1000+ amp/volt . . . . . : 0 ? --4 PES UNTTS. . . . . . . . . > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR >= 212,5 AMPS. . : CLASS AREA/SPEC OCC. : FEE'S ...._________...._.._..__....._.... , r,JrX�ER PARTNERS type amol.rrrt by data r-ecpt ^1'r SW mncn!7AM SUITE 100 PRMT t 570. 00 JD 1e116107 97-300106 ORTLAND OR PL.CK $ 142. 50 JD 10/16/97 97--30010(; SPCT $ ,:'A. 50 iD 10/16/07 07-3001.06 t-ECTRIC WORKS INC $ 741. 00 TOTAL- ,- SE [,7TH AVE .......-------... RE OU I RED INSPECTIONS _ 9RTLnND OR 97206 Cei. 1 ing Cover~ El ec.:t' 1 Service Ione #: 774--(-:,444 Wall Cover 171ect' 1 Final py #. ris permit is issued subject to the regulations contained in the Tigard Municipal Cede, State of Oregon Specialty Codes and all other �plicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 190 dys of issuance, or if work is suspended for tore than 180 deys, ATTENTION: C-egon law requires you to follow the rules adopted by e Oregon Utility Notification Certer. Those rules are set forth in DAR 952-001-0018 through OAR 952-001-1987. You may obtain a copy F these rules or direct questions to OUNC by calling (58?1246-1<9B'. I..m i t t;e e F3:;g n a 1,r.r r r : V!'`. ( _-Mm T 4s s 1_l e d B'i INSTALLATION ONL.Y i n5it,al Iat ian is be i.nrq pr~npor,ty I uwn whi.c,h i s Ttot intended for i le, lease, or rent , aNER' 9 SIGNATURE: DATE: __....._,.___.... CnIOTI?flrTnr V117T01 1_nTTm QNL.Y._....._-_..__.._._.. 11 J 'GNATURF OF SUPR. ELF--' N: �'](� 1c �� for r DATE T CEN77E IVO 1 4 -1444.4 r l +4 1 +4+4- 1.4 ++-1-1 -1 1 r r 44 1 V4 r 144+++++++++.......4-++++#-+++++4 ++•+}+•+++++++-1-++ C<al T E39 4175 l,y 7r.00 p. m. fnr .an inal:,n.:tior, needed tlrN next blr si rrsss deny +.} + CITY OF TIGARD Electrical Permit Application Plan Checktl-1-6 - 1312.5 SW HALL BLVD. Rec'd By__�-�. ✓ � �r,`f 7•;GARU OR 97223 Date Ree'd uDate to P.E.-•� (iL - Phone (503) 639-4171, x304 Data to DST Inspection (503) 639-4175 Print or Type Permit tt Incomplete or illegible wilt not be accepted Fax (503) 684-725)7 Called_ 1. Job Address: 4. Complete Fee 3cheduk- Below. Name of Development Numbe;of Inspertlnns per permit allowed Name(or name of siness) �/ 1�ilfC��7i2 _ _ Service included-, Iterns Cost Sum Address- /`� YL �lti' / 4a. nesldnn0al-per unit 1000 sq.ft.or less $110.00 _ 4 City/Stattl_�/lr��/) C/CG Foch additional 500 sq.f1,or Commercial, Residential ❑ portion thereof __ $25.00 ^ 1 Limited Enorgy $2600 rich Manut'd Home or Modular bwalling Service or Feeder $06,00 _ 2 2a. Contractor installation only: (Attach copy o}all currant Ilce�lses) _ 4b.Services or Feeders Electriral C )ltractor f LL %/E/c G(�OR C7 c�n�C Installation,alteration,or role cation 200 amps or less 560.00 .l�lD 2 AddressI/'A j � �-- 201 amps to 400 amps � 3130-00 City •4 !. "✓ State 4 ` Zip_ � 0& 401 amps to 600 amps $12000 Phone No. =(vL14i 601 amps!o 1000 amps $180.00 Job No. L•L,�L) Over 1000 amps or volts $340.00 2 Reconnect or $50.00 2 Elec.Cont. Lice. No. ,2� �(_ Exp.Date /� -C"/__y__.r _. r..�_.._. n!3 State CCS Reg. No. 1 Fx ee .Date 1r k�_ 4c.Temporary Servlcc,or Fders WT Bus!-ass Tax or Metro No.oC'c'�_• 3c>!�F_x Date 4 1 ImIallation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. E'.ec'n Lce 201 amps to 400 amps $75.00 _ 2 401 amps to 600 amps $100.00 2 license No. �to i Over 600 amps to 1000 volts, .S'� ^ �. _ l�x,nate_ "� Ree„n„above. Phone No.__ jq I_Ly'! 4d.Aranch Circuits New,altr.ration or extension per panel 2b. For owner installations: rq The fee for branch circuits with purchase o`sorvice or Print Owner's Name_ feeder fee. „SSL Address Each branch circuit D S5 2. - - b)The fee for branch circuits City Mate ?rp- without purchase of Phone No. _ sarvlca or feedar fan. First branch circult $35.00 2 The installation is heing made on prop©rty I own which is not Each ad9iticnal branch circuit _ $500 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Ownef 5 Signature_ _ Each pump or irrigation circle $40.00 Each sign or outline lighting $40.00 2 3. Plan Review section (i!required):* Signal circuits)or a lir•tited energy penal,allaration or oxtonsinn $40-00 Minor Labels(10) $1(10.00 Piense check appropriate item rind enter tee in section 5A, 4 or more residential units in one structure, 4f.Each additional Inspection over Service and feeder W,amps or more thn allowable in any of thn ahove System Over 600 volts nominal Per inspection $ •� ---�_.__ v Classified aina or,tucture containing special occupancy Per hour 555.00 as described in N.E.C.Chapter 5 In f Ianl $55.00 "Submit 2 sets of plan(,with application whern any of the abovn apply. S. Fees: �• Not roqulrnd for tnmpormy construction services. Sa.Fntor Intal of above fees $ 5%5rircharge(05 X total fees) g r� rIUTIQE Subtotal $ 5b.Enter 251b of fine 5a for l yj PERMITS BECOME VOID IF wonK OR CONSTnt ICTION At ITHOnIZED IS Plan review if r. rir (Sec.3) S NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ 15 SUSf FNDFD OR ARANnONFD FOR A PERIOD OF:190^lkyS AT ANY i TIME AFTFR WORK 15 COMMENCEb ❑ 1-nist Acrount ff�_ 7 r Totol hafance Due $ CITY OF TIGARD CURTIFICATE OF OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BIA:195- 026t. 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171 DATE ISSUED: 10/04/95 ITE ADDRESS- : 141t)O SW 71141) AVL JBDI V I S I ON. . . . : ZONING -OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . -AGS OF WORK. :NEW VVIE OF USE. . :LCjM, ,'CUPANCY GRI*..,. .3N -f-UPANCY LOAD: r,44N I' NAME. . . -ACCI-5.,1300 I Et; REP rn s : t enian t i m pro v e me it 1411 n0 I-W MACADAM 5UITE 100 I L-(4ND OR -ioi.e #: '221-5700 )ntractor: SCHIEWE & AS'-)OC.IATEG) 024 NE D()VIS )RTLOND OR '47,2i2 ioiie 234-6617 54 105 -cupanc-y of the above referenced building is hereby given, and c,ertifies ie compliance with the Stare Of Ore1jon Specialty Codes for the yroup, A71.1pancy, and '.Ire utider vihich the referenced permit was \isAued. 0(] 13LULt�'-Lwi Orr*I r'Ttlt POST IN CONSPICUOUS PLACE r�D-�YL1N.G lc<tL� CITY OF TIGARD BUILDING INSPECTION NOTICE tnspecti(An Line (Rec-O-Phone): 639-4175 Bisiness Phone: 639-4171 Inspection:_ L���_� �..- {1,Q 'L, - Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beare Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_ jZ 3 Ze S Time: AM PM Address: 5 �� �� �� •�,�_ Builder: c, — ` �,QLL Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: t- Inspector. Dater 5 `PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE "Call For Reinsp. JE / CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. 4\I m Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gyp. Bd. �ec Date Requested: �—� � Time: AM PM Address: p q Builder: T i' 5,S 9y0_O __Permit u: PZ(_`7 S-6 C' 7 f THE FOLLOWING CORRECTIONS ARE REQUIRED: a H N 1-- D] cD W J -��ISpector: Date –�–� XPPROVED _DISAPPROVED _APPROVED SUBJECT jQ ABOVE / �7 _Call For Reinsp. L�,/ t CITY OF TIGARD BIJILDING INSPECTION NOTICEr��' Inspection Lme (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: r- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line C8Td9 Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall /G Gyp. Bd. -Elect. Date Requested: Time: "YAM_AM PM Address: / `} ( S-0 / Z f �L Builder: �'7y ` �eCE ( Permit #1_;1G{��% T'HE FOLLOWING C '.riRECTIONS ARE REQUIRED: a in H J 03 W J C Inspector. _ Date: l wgloVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF T IGARD BUILDING INSPECTION NOTICE R Inspection Lho,) (Rec-O-Phone): 639-4115 Business Phone: 639-4171 ` Inspecticn:__� :y.lr= Footing Susp. Ceiling/ Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out E!ec. Rough-in FINAL: r. Post/Beam Meeh. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. !Jnderflr. Insul. Shear Wall Gyp. Bd. -Elect. I / Date Requested: _ `f �' Time: AM PM r Address: �' I C. _7`��-1 � Builder: -' '�`-� —4-!, I � Permit Ci THE FOLLOWING CORRECTIONS ARE REQUIRED: vv-0 IvG In��spPctor_ / Date: L. A.v<0'vED DISAPPROVED APPROVED SUBJECT TO ABOVE ' _Call For Reinsp. K WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use& Transportation APPLICATION Electrical Inspection Section 155 North First Avenue., #350-12 PERMIT n Hillsboro, Oregon 97124 NUMBER �LC 45–Uv 1 7 _ DATE S' Informption: (503)640-3470 Fax: (503) 693-4412 4. COMPLETE FEE SCHEDULE BELOW PLEASE PRINT Number of Inspection per permit allowed Please complete all sections, 1 through 5. Service Included: _ Items Cost(ea.) Sum A. Residentlal-per unit 1. Location of installation 1000 sq.ft.or less $110.00 4 Each Additional 500 sq.ft. Address _ 14160 SW 72ND or portion thereof $25.00 Building Limited Energy $25.00 1 City TIGARD Suite No. Each Manufd Home or Modular Tenant Name Dwelling Service or Feeder _ $68.00-- 2 (if commercial) ACCESSORIES REP. — B. Service or Feeders � In Map No. -, �Z.-�� Tax Lot DO Installation,Alterations or Relocation 200 amps or less 1 $60.00 $60.00 2 Thomas Map Book: Page: Section:_ 201 amps to 400 amps $80.00 2 Directions _ 401 amps to 600 amps $120.00_ 2 601 amp?`.o 1000 amps $180.00 _ 2 Over 1000 amps or volts $340.00~ 2 Commercial X Residential Reconnect only $50.00 2 2a. Contractor installation only: C. Temporary Services or Feeders Electrical Contractor _CAPITOL ELECTRIC CO.,INC. Installations,Alterations or Relocation Address 128100 r1E AIRPORT WAY 200 amps or less $50.00 2 Date 6120195 Job Number 95-380 201 amps to 400 a rps $75.00 2 Property Owner SPIEKER PROPERTIES 401 amps to 600 amps $100.00 2 Contractor's License No. 26496-C Over 600 amps or 1000 volts see"B"above Contractor's Board Reg.No. 48748 D. Branch Circuits Signature of Supr. Elec'nA ' New,Alteration or Extension Per Panel License No. 3132-S k e o 03 2594468'__ a)The fee for branch circuits with purchase of service or feeder fee 2b. For owner Installations: Each branch circuit 12 $500 $60.00 2 h) The fee for branch circuits without purchase of service or feeder fee. Print Owner's name Phone No Firs'branch circuit $35 00 2 Each add'nl branch circuit $5 00 _ 2 Address _ E. Miscellaneous(Service or Feeder Not Included) City State zip Each pump or irrigation circle $4000 2 Each sign or outline lighting $40 00 2 Signal circult(s)or a limited The installation is being made on property I own energy panel,alteration which is not intended for sale, lease or rent. or extension $40.00 2 F. Each additional Inspection over the allowable Owner's Signature In any of the above Per inspection $3500 Per hour _ $55.00 3. Plan Review section(if required) In Plant $55 00 Please check appropriate item and enter fee in section 5B 5. Fees ~ 4 or more residential units In one structure A. Enter total of above fees S $12000 Service and feeder, 800 amps or more 5%Surcharge(.05 X Subtotal) $ _ =_$6 00 System over 600 volts nominal Subtotal $ _ $126.00_ LL) Classified area or structure containing special B Enter 25%of line A for Plan occupancy as described in N E C.Chapter 5 Review if required(Section 3) $ Subtotal $ $126.00 Submit 2 sets of plans w4h application where any of the _ _Trust Account $ above apply. Not required for temporary construction Balance Due $ $126.00 services. This permit becomes null and void it the work authorized by the permit is not commenced For inspections call within 100 days from date of ossuance c' such permit or d the work authorized is 660-3561 Or 693-4415 suspended or abandoned at any Dae Pfler work is commenced for a period of 100 days 24-hour recorder,one working day in advance of need Elec Anal Permits are non-refundable and non-transferable A CITY OF TIGARD -- RECEIPT OF PAYMFNT RECE I PT NO. s95-c'67146 CHECK AMOUNT 00 NOME n CAPITOL ELECT RIC CO. , INC CASH AMOUNT t ki. Oki Cd.) DESS c 12810 NF AIRPORT WAY PAYMENT DATE a 06 S PnRTLAND, OR SURA IYISION 97P30-1029 I-IRPOsr 1jr- Prl),M[ Nl AMHUN1 PAID PURPOSE OF PAYMENT AMOUNT PAID PERMIT 1i=0. 00 ST. BUILD PER 14150 SW 7c?ND AY1.7— ACCESSORtES RL-P. T1')1(41 AMOUNT PAM 1 00 .CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oragon 97223*6199 (503)639-4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLN9`!--015J4 DATE ISSUED: 07/06/95 PARCEL: 2S112AA-00000 :TE ADDREGS. . . ; 14150 SW 7121\11) AVE JBDIVISION. . . . . ZONING: 1--H ...00K. . . .. . . . . . . .", L07. . . . . . . . . . . . . CLASS OF WORK. ALT GARBAGE DISPOSALS. . : MOBTLE 11OME SPACES. : TYPE OF USE. . . . .COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . : L TRAPS. . . . . . . . . . . . . . .. STORIES. . . . . . . . . WATER HEATERS. . . . . . -. L CATCH BASINS. . . . . . . . FIXTURES------___.____.__ ._ LAUNDRY TRAYS. . . . . . ii SF RAIN DRAIN5. . . . . SINES. . . . . . . . . . . URINALS. . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . : TUD/SHOWERS. . . . :2 SEWER LINE (ft ) . . . . WATER CLOSETG. . :2 WATER LINE (-rt ,l . . . . DISHWASHERS. . . . ; RAIN DRAIN (ft ) . . . . : Remat-1,(s : TENANT IMPROVEMENT. Owner,: FEES 3l.-,1E1-1,ER PARTNERS typo amol.knt by date Y-ecpt 0 BOX 5909 PRMT $ 54. 00 SW 07/06/95 95-267560 PLCK $ 13. 30 SW 07/06/95 1)5-2677,621 PO!',',_1LAND OR 97228 5PCT $ 2. 70 SW 07/06/05 95-267560 1"'hone #- 221-5700 ROWLAND PLUMBI1',1G 11.524 N LOMBARD 1JRTLAND OR 97203 2145 -2566 $ 70. ,''0 TOTAL Reg 005628 REQUIRED INSPECTIONS This permit is issue-1 subject to the regulations c:ntaired in the Top-otit Insp Tigard Municipal Code, Stake of Ore, Specialty Codes and all other Mi Sr_. Inspectinn applicable laws. All work will be none in accordance with Final Inspection approved plans. 'his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more ,han !60 days, F-- I' Is-si.te(J By . Call for, inspection 6:39-4175 I L of Tigard PLUMBING PERMIT APPi._lr!►,T!^N1 Planck/Rec. # 13125 %'VW Hall Blvd. Permit # L�L i Yl q -- � Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE "•^�^�a ^•^� r New Single Family Residences Only Add••• ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job J -;V l� >A"A `J� ❑ 3 BATH HOUSE $225.00 Address c,M,s�.,. zo Fee includes all plumbing fixtures in the dwelling and the first 100 feet ( Cly' �j+� 2 Z of water service, sanitary sewer and storm sewer. See fees below. N•— . �, i FIXTURES CITY PRICE AMT e e,�T&� v `� Sink 9.00 M Add... ph— Lavatory 2. 9.00 I Owner �L-I '-S UO Tub or Tub/Shower Comb. 9.00 �M�•• ( c Shower Only 9.00 CLN A\lam y� 1 2L p Water C16set Z 9.00 I {, N.—ra^•"`•.r a^^•••1 Dishwasher 9.00 CCe�,kW t{�� Ke P, Garbage Disposal 9.00 Occupant M•A„oti„� Washing Machine 9.00 Floor Orain j 900 Water Heater ) 9.00 .iLAS LIZ "D Z Z (( Laundry Room Tray 9.00 "•m• Urinal 900 lA_ t l �1 Other Fixtures (Specdy) 9.00 � M.Ang A&.... p,.•. _ 9.00 Contractor t`bS - �j Zt{ (_tVA4_­,LA 'fA Z5 r6 Is 900 M to 9.00 (a k,-,Z C�(Z `1 12V3 Sewer 1st 100' 30.00 Met.N•P•h•UO"NO Cly ou• r.,N. Sewer -ea. Addit. 100' 25.00 SUZ�� C rft (1of 7-L--6,�V6 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 2500 information given is correct, that 1 am the owner or authorized agent of — the owner, that plans submitted are in compliance with State IXNs, that Storm & Rain Drain 1st 100' 30.00 1 am reqistered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 2500 number given is correct. (If exempt from State registration, please give reason below) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 900 Any Trap or Waste Not Connected to a Fixture 900 Describe work new U addition v alteration U repair Q Catch Basin 900 to be done residential non-residential Q Insp. of Exist. Plumbing 40 00/hr Specially Requested Inspections 40.00/hr Existing use of Rain Dram, single family dwelling 3000 building or property Residential backflow prevention devices 1500 Proposed use of Q; I budding or property y '(Except residential backflow prevention devices) J NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF'NORK OR CONSTRUCTION —+ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25". OF SUBTOTAL 3 TOTAL LL` Seecial Conditions 1 C, < Date issued 1..«,� �-S-c2S n fit � ,r V���•c��� CI'T'Y OF TIGARD --- RECEIPT OF' r-,A'vMFNr RECEIPT NO. o95-267560 CHECK AMOUNT a 70. 0,0 NAME ROWLAND PLUMBING Cf.). CASH AMOUNT a 0. 00 ADDPESS a 4554 N. LOMPARD ST. PAYMENT DATE a 07/05/95 PORTLAND, OR SIJBDIVIGION 97203— PURPOSE OF PAYMENT AMOUNT PAID PURPOSE (IF PAYMENT AMOUNT PA 1 D PLUMBING PERM 54. 00 ST. BUILD PER 2. 70 Pl -AN CHECK FE 13. 51D 1e415Q1 SW 7p.Nr) (ivr. Fklll.l DING C-1 'TOtAL. AMOUNT PAID 70. J'0 T I GAR® P E r'R,I I 1-1' . . . . . . . . BUPOS DEVELOPMENTDEPARTMENTDATE ISSUED: 07/31/95 131,5 SW Hall Blve.Tigard,Oregon 9722398199 (503)639-4171 "TE ADDRESS. . . . CW 72Nr, AVL PARCEL: 2SI12AA-0021210 JBDIVISION. . . . -OCK. . . . . . . .. .. . s-�)L-D T 133 G U E FLOOR - E, Wl�L.L C-GNSTRUCTION- i-ASS OF WORK. :NEW FIRST. . . . 5f N: E: W: YPE OF U3E. . . :COM SECOND. . . sf PROTECT OPENINGS---------- ,'PE OF CONST. :,3N THIRD. . . . :30000 r,f N: I'): E- ; W ,"CUPANCY CMP. TOTAL----- 30000 s-r ROOF CONST: FT RE PEI :-,'CUPANCY LOAD: BASEMENT. s AREA SEP. RATED. -OR. , 1 14 T. , ft GARAGE. OCCU SCP. PATEL,,� 3MT?: MEZZ?: REDD REOUI RED--------- -OOR LOAD. P P L1--rT. ft RGIAT: ft FIR SMOK OCT. AELLING UNITS: FRNT: ft REAR: ft FIR "LRM: HNDICP ACC:Y :ZRMS.- ZATIAG. DIP' ',URFACI--. PRO CORI; ,,, PARKING: ILUE. $ .- 22500 _marks : Lenant irflPvuveme?vtw lner,: FEES ICKER PAR 7NERS t YJ,1- amol-tnt by date i-ec[A. 80 SW MACODAM SUITE 100 PR M 7 $ 158- 50 JD 07/31/95 95—j266c...`- ii-ir oc,/12 RILAND OR FIRE $ 63. 40 JHF 06/12/95 )one #. C`.',21 - 55700 ;PCT $ 7. 93 JI) 07 t'3 I/9 5 93—2C,ac,7 nt t,act or'*: ----------- 5CHIEWE & A311SOC iriics '4 NE DAVIS \ L-AND OR 9-7,'32 o n e fl 2`34 C,C,17 4 33;--,. 86 TOTAL 54 105 -------- REQUIRED INSPECTIONS ,;.!s Pe-lit is 1s91e.-' subject to the regAations contained in the Framing insp T;gard Municipal 6-,de, State cf Dre, Specialty Codes and all other Insi.tIa-tivo 111sp applicable laws. All work will Ze done in accordance with GYP Board Insp approved plans. This permit will expire if work is not started 5,.i-,p Ceilng Insp within 160 days of issuance, or if work is suspended for Rare Final Inspect jot, than 160 days. e t-in i L C LAI I f a ispec-,t ion 639-4175 CITY ,IECHANILOL PE RM,i 1, V OF TIGARD PERMIT #. . . . . . . : MEC95-0-- - COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/23/55 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PARCEL: 2S112AA-00200 I E ALDRESS. . . 141.50 SW 7'210 J13DIVISION. . . . ZONING: 1-07.. . . . . . . . . . . ... .-CISS OF WORK. . :NEW FLOOR I':URN. . L,)AP COOLERS: 'PE OF USE. . . . :COM UNIT HEATERS. . . VENT FANS. . . ,t-UPANCY GRP. B2 VENTS W/0 APPL: VENT SYS TEIIS- -ORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . s jEL TYPES-- 0 -3 HP. : 1 DOME':-,. 'IC 1qI 1\1 —15 HP. : COMML. INCIN: 1 30 HP. . . . : -AiR UNITS: 5 REF N' DAMPERS ?. 30--50 111. . . . : WOODSTOVES. . : �)S PRESSURE. 50+ 1.1P. . . . : CLO DRYLR'S. i. OF UNITS AIR HANDLING UNITS OTHER UNIT',;. ifRhi < 10iZK BTU: (= 10000 cflp : (JAG OUTLE1 1. > =100K BTU: > 10000 cfm : Ma14<S, ; 't E 11 n 11 t in t-C'i AT-1 X Cl I FEES PARTNEW.1 type am o(-in t Icy date r ec F)t :3W MACADAM SUITE 100. PRMT $ 25. 00 JDA 0E1/123/92i 9 5 -.R EI 9 6 PLIER $ 6. 25 JDA izi 0 ,,L'3/,j 3 -i--'&1)'8 FLAND OR 5PCT $ 1. 25 JDA 08/23/95 95-12'6968�' 1.111@ #: ":c-:I fit I'act ot- EMIP :1*1, N. E. COUCH IRTLAl',1D OR 97232 100e i233--C,911 $ 3.7— REQUIRED INSPECTIONS I.t is iss-'ed subject to the regulations contained in the Gas LinE, Ins p Municipal Code, State of Ore. Speciaity Codes and all other Mechianical Iri--,p -1i"abif laws. All work will be done in accordance with HLAtirly Unt ITISP :-oyed plans. This persit mill expire if work is not started Cooling UnL Inc;p .hin 160 days of issuance, or if work is suspended for so-e Misic. InspEuticin r ite days. Final Inspection E 4 �.ail fur, inspection 639-.4175 C.D -I j 1A.1p)) RL L:f IP 1 01. MIL IA I M ),A I 14 1,01 1711-Mil 111P INC. lir-11-AINI 0. klo Vkli N1 1 (10(41 1-1111-M .OND, Ilk PURPOSE Of, P(4YMVN( 0111AINI 1lf0lp I-110-3-101A til 1,110,1111i 61MIRINI 0411) Wt:CHAN I L".01 F)F N T) 01 Hl fimt it Irl 1 Cit of Tigard t 61`' MECHANICAL PERMIT Pianck/Rec. # . 13125 SW Hall Blvd. APPLICATION, ©�`.�c'4 Permit # Tigard, OR 97223 (503) 639-4171 •^°° ow :is xtpuon TabIF 3A Mechanical Code QTY PRICE AMT Job t) Permit Fee -0- -0- 10.00 Address ap 2) Supplemental Permit 3.00 Furnace to 1) incl. ducts&vents 6.00 ro _ urnace 100,000 STU + Owner 2) incl. ducts&vents 7.50 ­7166-or Fumance 3) incl. vent 6.00 .;uspendfjd heater, wall heater Acc f55 � 4) or floor mounted heater 6.00 mmkv ADM."Occupant N�� en no 77c. m � t 50 S 5) appliance permit 3.00 n Hopair of heating, re ng. 6) cooling,absorption unit 6.00 Boiler or comp,heat pump,air cond. 7) to 3 HP;absorp unit to 100K BTU 6.00 B0115r or comp,heat pump, air cond. Contractor 8) 3.15 HP; absorp unit to 500K BTU 11.00 Boiler or comp,heat pump,air cond. 9) 15-30 HP;absorp unit .5.1 mil BTU 15.00 �� .. Boiler or comp, eat pump,air cond 10) 30-50 HP;absorp unit 1-1.75 mil BrU 22.50 hereby acKnowlilil e that ave read is application, that the Boiler or comp, heat pump,aii cond. information given is correct: that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50 of the owner, that plans submitted are in compliance with State Air handFing unit to laws, that I am registered with thr,Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (I1 exempt from State registration, Air handling unit please give reason below.) 13) 10,000 CTM+ 7.50 Non portable 14) evaporate cooler 4.50 Vent an connected _ 15) to a single duct — 3.00 entiaeon system n-it 7 - 16) included in appliance,permit 4.50 17) mechanical exhaust 4.61) Describe wo new l a itiona teration U repair Commercial or industrial to be done residential 0 nonresidential 0 18) type incinerator 3000 Existing use oOther i.e.,wo65stove,water building or property 19, heater, solar, clothes dryers etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet Type of fuel - oil 0 natural gas f LPG 0 electric Q — NOTTCE— Minimum Fee$25.00 SUBTOTAL - PERMITS BECOME VOID IF WORK OR CONSTRUCTION E�— AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE � r IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25"x°OF SUBTOTAL 7 y AFTER WORK IS COMMENCED _I TOTAL 7 S Special Conditions _ - L Date issued_ by k.MECMiMT r°1dmnMr