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16798 SW 72ND AVENUE BLDG 14-1 r C79 4 w co (n C N a D m 16798 SVy 72`1 Avco B-14 CITYOF TIGARD _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES DATE #: BUP2000-00438 13125 SW Fall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 PARCPARCEL: 2SIS113 000 13AD-01800 ZONING: I-L JURISDICTION: TIG SITE ADDRESS: 16798 SW 72ND AVE B-14 SUBDIVISION: OREGON BUSINESS PARK 1 BLOCK: LOT:011 CLASS OF WORK: AL1' TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: B OCCUPANCY LOAD: 44 TENANT NAME: REMARKS: Tenant Improvement 5000s f. Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: Contrautur: Fl L GREEN 15350 SW SEQUOIA BLVD STE 300 TI : W4917721 4 Reg #: LIC 41328 This Certificate issued 04/111/200 1 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of 9reglon Spec ialt ...Codes for the grut10, acrupaf�cy, and use under which the rett:-^� d permit wa �ed. / 1 ~ \ BUIL ING INSPECTOR BUILDING OtFOCIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lioe: 639-Ati 16 Business Line: 639-4171Q E U �' U _-_ Date Requested_____ AM PM .--.— BLD Location �t� ��;��, ,( _ ME _ _ i c�" /-/' Suite Contact Person Ph c Contractor Ph SWR UILDIN Teoant/Owner ELC Re 'ring Wall _--- ----• ---------- ELR Footing Access: Foundation FPS 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 A!arm Susp'd Ceiling „�____ _J-__• _— Roof Misr: rn PART FAIL. PL BING Post& Beam ------ �' T` — ------- - Under SlabL VIC Top Out ---- — -- Water Service Sanitary Sewer -- - -- / — - Rain Drains G Final ----- — ---- ----- -- -- P T FAIL ~t:J 0c)17" r fECHANICa Rough In Gas Line ---- ---- S ake Dampers A PART FAIL E . , RICAL ---------— - — ——.—.__— — — --.. 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 Nall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: —,_ [ ]Unable to inspect- no access ADA Approach/Sidewrlk / Other D�!e l LO I Inspector s ~� _—Ext Final PASS PART FAIL Do NOT REMOVE this inspection rev.-rO ?rorn.i the job site. CITY OF TIGARD BUILDING INSPECTION DIVIVON MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---__- — -- Bur — _ Date Requested AM t 2 �� AM_ P,,"Vi __— BLD Location_ / ^_1 Suite 13 MEC --- Contact Person ?h _ PLM Contractor CIA-,,-1 S P I I cG�d "7/�� _ SWR - - -- - BUILD-1Nd Tenant/OwnerELC Ob[) Retaining Wall EL.R _ _- lFooting Access: Foundation C �� PS -.____-----_ L ��e ..n z.v Fig Drain L' S N Crawl Drain Inspection N es.,, - ----- -- SlabSIT Post& Beam -_ Fxt Sheath/Shear Int Shea!h/Shear -Y — - Framing - - -- ----- -- -- - -- Insulation Drywall Nailing Firewall Fire Sprinkler - _-- - Fire Alarm �-- � - ----J--_ ---- Susp'd Ceiling ---- =: - -• -._-_--- _ __- Roof Misc: ------ --- --_ - --�=�-� -- - - _ _ ---- Final -------------._ ) _> .\) - (21 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 fdaugh In UG/Slab �G - - ------ - Low Voltage,5 �.ire Alarm S FART t 'FAIL Backfill/Grading -- - - - - - -- Sanitary Sewer Storm Drain [ J Reinspection fee of y-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for roirspectior, RE: iI ]Unab!e to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ _ Inspector / r�-v --�'"Ext Other ---- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY CJ F T I G AR D ELECTRICAL PERMIT PERMIT#: ELC2000-00625 DEVELOPMENT SERVICES DATE ISSUED: 11/7/00 ooillill 13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 PARCEL: 2S113AD-01300 SITE ADDRESS: 16798 3W 72ND AVE B-14 SUBDIVISION: ZONING: I-L BLOCK: LOT • 011 JURISDICTION: TIG Proiect Description: Tenant Improvement _—_RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 5003F: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS___ 0 200 amp: 2 W/SERVICE OR FEEDER: 20 PER INSPECTION: I 201 - 400 amp: 1st WIO SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN RE_VIF_W SECTION �_- 1000+ amp/volt: >=4 RES UNITS: i i> 600 VOLT NOMINAL: Reconnect only: ,_____. SVC/FDR>= 2.25 AMPS CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 10948 SE VALLEY VIEW TERRACE PORTLAND, OR 97224 CLACKAMAS, OR 97015-000 Phone: Phone: 503-698-3417 Reg #: LIC 51539 SUP 2053S ELE 3-2430 FEES _ Required Inspections _ Type By Date Amount Receipt Elect'I Service PRMT CTR 1117/00 $293.60 2720000000( Elect'I Final 5PCT CTR 11/7/00 $23.48 2.720000000( Total $317.08 This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work 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 rules adoptee! by the Oregon Utility Notification Center Those rules are set forth'-. CAR 952-001-0010 through OAR 952-001.0080 You may obtain copies,i these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE / /.� _ ISSUED BY: / OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — --. +—. DATE:— CONTRACTOR ATE:CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ ____ DATE:_ LICENSE NO: ---- — - — Call 639-4175 by 7:00prn for an Inspection the next business day FROM JANET To: CITY OF TIGARD DATE: 1 1/2/00 TIME: 8:46:22 PM PAGE 1 OF 1 IV/IW/YUUU 15:25 FAX 5035847257 City of Tigard Q002 I� I r4t�er !rt-e-rr Debttnoivod: Perroltno-: 2 p- M7 of Projealappl.no- - Hxphedsae: Ctryr f7i�crd Adld=r 13127 SW Hall Blvd,Tigald, (0=3 2000 Datslltusd: __ �>ly Phone: (503)639-4171 Fay: (503)599-1960 COM UNITY DEVEIOf'ME Cue file W.- Land use approval- _ d 1 &2 Cmndy dwttlflng or weegrosy U Corrdumial ❑Mniti-ftmaily (3 Team imprummeut LJ New oomlhuction U Adlditi Nreptacement O CMrr. —_ U Patzial 1111311111IM11 mm Milo, Job addreae; n 81da•rw,; 14Sow no.: Tax m iRA loUeccount no.: _Lol Block; SuEdlriabn: _ � pro em eta namc: `-- _---- - -�—--- _ , DmaW� and location of wuv*o. miss: - Bldtmsmt!d11e cJ c 1cttRmJ xlioa: - Job no: glWOetl name: J,QHA jN S E N .E LF.C11I3 7.0 ---- a"'�'• •. row oo. t'M-+.niihM" a Addroelr�c4 A S F A I.T.F +rte as n..1b A CUy; CLACK M A ti 9raee 7015 Fuel" _ r 1000 .ti er 1..� -.2 4�rz_.1r --- CCH Hlx but liL.no: -j_; raga�lda»i loo w ri o: -- a.nor — — Ui %metro lis,na: 9��— t.Indaarna�y.nelameYl 2 1 —�' MET84-_.QIj�4 __..__ Unlilww.�,Ao.�id�ar,d T -DDom n+.nham,.a}bort s.w�eAul.`a..�ee 3ifframm of _ _L_A _ swrtn.auvosas.b ; sluff oar. iwtl: iJlms yr *Amm bsnos ndseatlosc 100 l nr lsss - -_- Name 'IW' ut r uni„ Mi 7n1�n r m 'r' ___ _ ._ aA�1dre6t' --..� 601�� . !,—�` ----- o.o< -- Phooa Owtto utttalwon.The iamll.don!I b8ft mad6 cm ' t I own - f wrbwtrfeeMn. wlnah i!nod interuled toe tale,lease.rWK tx exchaty to orwMv.. ORS 447,453,479,6`10,701, 30D map a bov 2 Ownwes al shut:: Isms 401 to GM _ .,M4 diewift- ; Name: w wtinAstre pn Rse��Y n d drabs __--. L A-Fm(arjR=d dmnlardlhpaesetoaf senior at 60do,1M mob bts"dzmk City ...�.�._.— — - sta�e: ,�LLP. R w�.lselw,eeee4euie.Niho:ttavronlw - -- ... - j�_.._._.,.._. .- ---. srrwnnorllodrr tLetndmml Phu=; Fix. &tuad. - 2 MYa mere W6-Woraiyhsslals�: O Odes ew 19S soq eewarein v FtNlt►un fxlNtr br#pe aoQ oQ brt[` "drdn 2 O 7stHm nvw 17[►alP nrtnb of I hJ. O 1Timdnw lanatlon Ercl�t n ar nrl�l os +tin hml dso111ti 2 n6' t]entldlnanverlU.000 .Mlgea 91UnnlrSme/ilrlrrellnutsdsnserpsq, O Sywlm ever 690 vnlrs eumind non Itskltellsl will ew mrrrluM rn •tim,W:adnn• S O tt tleltdlnaovaOwa vaTir El Prcdem4tvampw e -----------t- Q Oeatpow kud trva"penult Q Mc alirttal muss er RV ylpt �T a*n71 mvs ownUa Y Nr 5112�tYn�ee o Rsr�6MpPgas O oma _ rtr 9eAMnB—-NM.J SdO wYi tel]Of *80, 8v 111.far.waaat ltaplhrrll a fe•r•rtn 10"600. odor - -- a93. c Nm.0 IKlra1momarcod errL/Wrtsl MUirl.M>tee Nonce:lids pnrmil spplimdion P+emnl!lC................,. .S q vlu O Ie rlclQad eapina If a pemtlt Is unl olfaimd Plan review(et ___ %) S y? (� CJLdII e.a srvc _-- --1 ..L wlthln Ito dm"saw It L11 bass Buie surcharge(8%).. .t cX 7' rJ lar m M �m loospv�f u oaenOlets. TMAL ............. .......: 7 _ c+roau.r trs Aaalw �7. (� P an+tif 1{g RMV) TYOF T I G�"E R� BUILDING PERMIT in \ PERMiT#: BUP2000-00449 DEVELOPMENT SERVICES DATE ISSUED: 11/1/00 ,_.Xk 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AD-01800 SITE ADDRESS: 16798 SW 72ND AVE B-14 SUBDIVISION: ZONING: I L BLOCK: LOT: 011 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS v� FIRST. sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: F'PE RET? OCCUPANCY LOAD: BASEMf N i: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,210.00 Remarks: Modification of 8 sprinkler heads. L_ Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300-WMI 9384 SW TIGARD ST PORTLAND, OR 97224 TIGARD, OR 97223 Phone: Phone: 620-614e Reg #: LIC 00063846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 11/1/00 $62.50 27200000000 Sprinkler Final 5PC,T CTR 11/1/00 $5 00 27200000000 Total $67.50 This permit is issued subject to the regulat;ons contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm it ee I C:� Signature: _ Issues By: Call 030.4175 by 7 p.m.for an Inspection the next business day Building Permit Application Date received: i iOO Permit no.:LPA City of 'Tigard Project/appl.no.: Expire date: City gfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: U I lac 2 family dwelling or accessory O Commercial/industrial U Multi-family U New construction O Demolition U Addition/alteration/replacement U Tenant improvement J Dire sprinkloi/Marm U Other: { SITE INFORMATION Job address pie Bldg.no.: Suite no.: Lot: Block: Subdivision: _ Tax map/tax lot/account no.: _ Project name: Description and location(�l work nn premises/special conditions: FOR t (Fl60 Mailing address: G' o v�, w, , • „•V,1 1 &2 family dwelling: City:7�0�>\C' Statc: ZIP: et? Valuation of work........................................ $ __-,-- Phone:a +, I - U jFax: E-mail: No.of bedrooms/baths................................. Owner's representative: _ Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq. ft.) ......................... Garage/carport area(sq. ft.)......................... _ Name: -r 40 ( ) Covered porch area(sq.ft.) ........................ Mailing address:r 4, 1.tu \' C'O j Deck area(sq. ft.) ........................................ City: (- Stet . ZIP: 1 Other structure area(sq. ft.)......................... _-- —_ Phone: Fax: E-mail: CommercloVindustrial/multi-family: Valuation of work........................................ $ Business name: �_—ire Existing bldg.area(sq.ft.) .......................... _ �� — New bldg.area(sq. L.)................................ Address: by �, �,) �G C� ti C City: r Q C tote:C ZIP: )")1� �, Number of stories........................................ _ Phone: -` u Fax:. ,E-mail: Type of construction.................................... k� — Occupancy group(s): Existing: CCB no.: to b —�_, 1�9—_ New: City/metro tic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: �t��r; ,� ��, laC�n��s"� provisions of ORS 701 and may be required to he licensed in the Address: G 4, Q�, 7y �4 .jurisdiction where work is being performed. If the applicant is City: L-1!'\ tate: Z►p; exempt from licensing,the follnwing reason applies: LLT Contact person: Plan no.: — — - Phone: 4- -- Nome: c'tm►act person: _ Fees due upon application ........................... $ _— Address: _ Date received: City: State: ZIP: Amount received ........... ............................. $ Phone__ max: — E-moil: Please refer to fee schedule, herehy certify I have read and examined this application and the Not all jurisdictions accept creat Lards,please call jurisdiction for more inrormnaon attached checklist. All previsions of laws and ordinances governing this Uviso O MasterCard work will he complied„with,whether specified herein or n1.�t� � Credit card number: Authorized signature: 1 ature: r J Date:_ d Name or cardholder ass own on credit card __ S Print name: _---Cardhoidet Rignature AmounFI — Notice: — Notice:This permit application expires''a permit is not obtained within 190 days oder it has been accepted as complete. 4101611(NDa/f 7Mi Fire Protection Permit Check List ,�, ❑ New ❑Addition 11 Alteration Repair Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:_ _ Additional description of work: Type of System Complete A or B as applicable):- A.) pplicable :A. S np nkiar.--- WE# ❑ D ry L11 _— Stand_ pipes Additional Hazard Group — Information Density Decsign Ares K f=actor Sprinkler Project Valuation: $ B. Fire Alarm — Submittal shall Battery Calculations Yes ❑ ,_ include: individual Component Yes ❑ Cut Sheets _ Fire Alarm Project Valuation: 1 $ Project Valuatlon Subtotal A & 13): $ Permit fee based on valuation (see chart): $ _ - 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ TOTAL: $ i Adst9\form9\FP3checkllst.da: 10/04/00 CITY OF TIGARD MECHANICAL PERMIT PERMIT#: MEC2000 00442 DEVELOPMENT SERVICES DATE ISSUED: 11/9/00 13125 SW Hall Bled.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AD-01800 SITE ADDRESS: 16798 SW 72ND AVE B-14 ZONING: I-L SUBDIVISION: BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: OTR. FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS— HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG—�--� 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNIT'' FIRE ')AMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLQ DRYERS: FURN < 100K BTU: AIR HANDLING_UNITS OTHER UNITS: 2 FURN >=100K BTU: <= 10000 Cf m: GAS OUTLETS: > 10000 cfm: Remarks: Installation of 2 ovens and associated gas piping. Owner: ___ FEES PACIFIC REALTY ASSOCIATES Type By —Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 11/9/00 $72.50 272.000000C PORI LAND, OR 97224 5PCT CTR I1/9/()0 $5.80 272000000C Total $78.30 Phone: Contractor: --- DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97292 REQUIRED INSPECTIONS Gas Line Insp Phone:236-4152 Final Inspection Reg #:LIC 172 PI-M 26-83PB ThiE permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other applicable laws. All work wall be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 torough OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calli g 503.Y246-9 . / Issue,Hy' Permittee Signature: �-- Cal: 1,503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Cate received: //-&-O U Permit no.:f/fr' _ City of Tigard Project/appl.no.: Expite date: City ofTiga.rd Address: 13125 SAN Hall Blvd,Tigard,OR 97223 Cate issued: By: Pt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: TYPE OF PEAMU ❑ I &2 family dwelling or accesson �Commercial/induslnal l]Multi-family Tenant improvement D New construction ,1d A(Idiliuil/altertlhm/trpla.en cnt D Other: 1i S11,11INFORMATION. Job address: 6P '_� Indicate equipment rluantities in buxe-,below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical material e.(uipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ .5c2a Lot: Block: Subdivision: *See checklist for important appli;ation information and Project name: �Q/�� " ,jurisdiction's fee schedule 1br resia:niial pennit f'm,. City/county: ZIP: _97 aM Description and location of work on premises: :L'-A,#S?AGL 1 PE: 7!0 a OV e N 5-ll Total Est.date of completion/inspection: �' ��' Description qty. Res.only Res.unly Tenant improvement or change of use: Is existing spare heated or conditioned?)kYes ❑No Air handling unit ___ CFM Air conditioning( p nn regwreO Is existing space insulated? Yes 11 No Alteration of existin 1T1TAZsysiem oiler compressors Business name: q, State boiler permit no.: HP Tons B'ru/H Address: 5 "z Fire/smoke dampersiduct smoke detectors City: J j� � StatcrZ ZIP: �' " cat pump(sue p an require ) BTUAI Phone:d 5-- Fax: _O` ' E-mail: Hata rep ace urnac urner CCB no.: Q 7 a Including ductwork/vent liner O Yes Q No Hata rep ac re ovateocatceaters-suspen eed , City/metro lic.no.: I cl wall,or floor mounted Name( leuseprint): L fs Lld Vent fora t ance other that.furnace e eta on: Absorption units Name: `� C hAI� �- �,�, GW�,i Chillers- Address: hillers_Address: Compressors III Environmental ex ust an rent at on: City: State: ZIP: Appliancevent Phone: Fax: E-mail: Vryerexhiust -� s, ypcreTITTTs li-Me-�7i lZmat hood fire suppression system Name: Tl,t Exhaust fan with single duct(bath fans) _ Mailing address: a" '; a" c: r+ t <),,v -x auntsystem s art from heatin,,or C Fuel P P ng adistribution(up to outlets)CityLIP: ytateT / __111'0 NG Phone.: I I - L,%OdFax E-mail: Fuel pipingeach additional over 4 o nets Process piping(schema",r"U11-7 Name: Number of outlets --___— t er lRed appliance or eq—quTp`m(nti Address: Decorative fire r�,lace City: M State: '1.;P• nsert-t Phone: Fax: E-mail: xx stov• et stove _ Other Applicant's signature: _ Date: t r Name (prinO: 9e27 Not all Jutisdicdons accept credit cards,pleas call Judsdictlon for more information. Permit fee.....................$ 7 L]Visa ❑Maatcr('ard Notice:This permit application ;Minimum fee................$ Credit cord mrmlxr L__J expires if a permit is not obtained Plan review(at _ %) $ r.spitrs within 180 days after it has been State surcharge(8%)....$ _ .6, - 0 Name o1 cmdhohlrr as a own on cm—dit card accepted as complete. q s TOTAL ...................... -� .. �� cardholdet silnature Amour 4404617(GO OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: Description: Price Total 'O-TAL VALUATI.ON: FEE: Table 1A Mechanical Code C+tY (Ea) Amt 0 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU 01.00 to$10,000.00 $72.50 for the first 55,000.00 and including ducts 8 vents a.o0 $1.52 for each additional$100.00 or Z) Furnace 100,000 BTU+ fraction thereof,to and including includingducts&vents 17.40 $10,000 00. 3) Floor Furnace ,001.00 to$2-5,000.00 $148.50 for the first$10,000.00 and including vent 14.00 $1.54 for each additional$100.00 or 4) Suspended treater,wall heater fraction thereof,to and including $25,000.00. or floor mounted hector $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and _ 5) Vent not included in appliance permit 6.60 $1.45 for each additional$100.00 or 5 Repair units fraction thereof,to and Including 12.15 -, $50000.0 _ he first$50,000.00 and Checi;all that apply: $742.00 for tBoiler I seat Air $50,001.00 and up For items 7-11,see or Pump Cond $1.20 for each additional$100.00 or fraction thereof. footnotes below. comp* -- --- 7)0W absorb unit 14.00 to 100K BTU -- ASSUMED VALUATIONS PER APPLIANCE: 6)3-15 HP;absorb alue Total unit 100k to 500k BTUDesai tion: Ea Amount t HP;absorb955 mil 8TU3 Furnace to 100,000 TU,Including _ 0 HP;absorbducts&vents 1,170 52.20 Fumace>100,000 BTU including 5 mil BTU __ducts&vents P:absorb 87.20 Floor furnace includin vent 955 5 mil BTU - Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM 10.00 floor mounted heater 445 17.20 Vent not included in applicance 13)Air handling unit 10,000 CFM+ Emit 805 Re air units 14)Non-portable evaporate cooler 10.00 <3 hp;absorb.unit, 955 to 100k BTU 15)Vent fan cono a si connected tngle duct 6.80 3-15 hp;absorb.unit, 1,700 - 101 k to 500k BTU 16)Ventilation system not Included in 10.00 15-30 hp;absorb.unit,501k to 1 2,310 appliance rmit e - - mll.BTU _ �17)Hood served by mechanical exhaust 1000 30.5 hp;absorb.unit, 3,400 1-1.15 mil.BTU 18)Domestic incinerators 17.40 >50 hp;absorb.unit, 5,725 >1.75 mil.BTU656 - - - 19)Commercial or industrial type Incinerator 68.95 Alr handlin unit to 10,000 Cfm 1 170 - Alr handlin unit>10,000 cfm 658 20)Other units,Including wood stoves _ 1000 Non- op_rtable evalorate cooler 446 Vent fan connected to a sin ngIs duct _ 21)Gas piping one to four outlets 5A0 Ventsystem not included in 656 appliance permit 22)More than 4-per outlet(each) 1.00 _ Hood served by mechanical exhaust - 6580 Domestic incinerator _ ---_-- Minimum Permit Fee$72.50 SUBTOTAL: 1 $ Commercial or Industrial Incinerator 4 590 Other unit,Including wood stoves, 658 _ 8•%.State Surcharge S - Inserts etc. ---- 360 $ Gas�1�1.4 outlets 25•/.Plan Review Fee(of subtotal) Each additional outlet _ 63 Required for ALL commercial permits only TOTAL RESIDENTIAL PERMIT FEE: $ TnTAL C0MN�ERCIAL VALUATIO r C - 91teLluR1010M.and t: 1 Inspections lutside of normal business hours(minimum charge-two hours) $72 50 per nour 2 Inspections for which no lee Is specifically Indicated (minimum charge-half hour) $72.50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour *state Contractor Boller CertIncatlon requlre0 for units>200k BTU. "Residential AIC requires site plan showing placement of unit. 1:\dsts\formslmech-fees.doc 10/11/00 CITY OF �'I C A,R D BUILDING PERMIT PERMIT#: BUP2000-00438 DEVELOPMENT SERVICES DATE ISSUED: 10/30/00 13125 SW Hail Blvd.. Ti4ard. OR 97223 (503) 639-4171 PARCEL: 2S113AD-01800 SITE ADDRESS: 16798 SW 72ND AVE B-14 SUBDIVISION: ZONING: I-L BLOCK: LOT: 011 JURISDICTION: 1IG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTION CLASS OF WORK: FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ _PROJECT OPENINGS? _ TYPE OF CONST: 3N sf N: S. E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 44 BASEMENT: sf AREA SEP. RATED: STOR: I-IT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ PEQD SETBACKS _ REQUIRED __ FLOOR LOAD: psf LEFT ft RGHT: ft _^FIR SPKL: Y SMOK DET DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VAGUE: $ 20,000.00 Remarks: Tenant Improvement 5000s.f. Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300-WMI 15350 SW SEQUOIA BLVC PORII.AND, OR 972.24 STE 300 qq77�� Phone: Tl one �74 7714 Reg#: LIC 41328 FEES--- REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 10/26/00 $235.30 27200000000 Electrical Permit Required Sprinkler Permit Required PLCK CTR 10/26/00 $152.95 27200000000 Framing Insp 5PCT CTR 10/26/00 $18.82 27200000000 Gyp Board Insp FIRE CTR 10/26/00 $94.12 27200000000 Susp Ceiing Insp _ Final Inspection Total $501.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ail(;!;I r applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not si.:,r`.eu within 180 days of issuance, or if work is suspended for more than 180 days. ATTENT)JN. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAF 952-001 0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Slgnature�- l 'I,. ` �. t�'t g "_� — —• Issaed By: Ci -- _�-- Call 639-4175 by 7 p.m. for an Inspirclion the next busirivss day SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabiNies unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may ba deemed disproportionate to the overall alteration when the cost exceeds tw,mty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [11$ ��'�Ave multiply* 25% Barrier removal requirement. — .25 BUDGET FOR BARRIER REMOVAL [21 $ In choosing which accessible elements to provide under this section, priority shall be given to those eiements that will provide the greatest access. Elements shall be provided in the following order: (a, Parking $ --- (b) An accessible entrance: $ (c) An accessible route to the altered area: $ Lg 7- q � 4. Oo (d) At leas. )ne accessible restroom for $ _- each sex or a single unisex restroom: (e) Accessible telephones. $ (f) Accessible drinking fountains: and $ — (6��t rbvr.... �.�.,►�/5,,,,-lac +-�'►�.„1l (g) When possible, additional access,uie elements such as storage ane,, alarms: $— TOTAL: Shall equal line 2_of Value, Computation $ S 2Z� CL 4%ts\ihmWiccess doc CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P /31/00 0-00403 DOTE ISSUED: 10/31 0 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 113AD-01800 SITE ADDRESS: 16798 SW 72ND AVE B-14 ZONING: I L SUBDIVISION: BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH. BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 3 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER, LINE: ft WATER CLOSETS: WATER LIIIE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing fixtures added for commercial TI — _ FLES Owner: _ — Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES PRMT CTR 10/31/00 $116.20 27200000000 15350 SW SEQUOIA PKWY#300-WMI 5PCT C1 R 10131/00 $9.30 27200000000 PORTLAND, OR 97224 -- Total $125.50 Phone 1: Contractor: — DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND, OR 97202 REQUIRED INSPECTIONS ,'dough-in Insp Phone 1: 236-4152 Underfloor/Underslab Rog#: LIC 172 Top-out Insp PLM 26-83PB Final Inspection This permit is issued subject to the regulations contained in the 1 , Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. 1-his 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 rules adopted by the Oregon Utility Notification Center. Those rules are sr1 forth in OAR 952-00C1-0010 through OAR 9520001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. / Parmittee Si nature: - issued By: g Call (503)639-x175 by 7:00 P.111 for an inspection needed the next b:isiness day Plumbing Permit Application rDatercce!iived:/.7 2/• Oil Permitno.:�L City Of Tigardermit no.: Building pern.it no.: r 1dress: 13125 SW Hall Blvd,Tigard,OR 97223 -- C'iryofTig°rd Phine: (503) 639-4171 PtojccUappl.no.: Expiredate: Fa): (503) 598-1960 fate issued: By: Receipt no.: Land use approval: ^_ case rile no.: Payment type: U 1 &2 family dwelling or accessory '�j Commercialhndustrial L1 Multi•family Tenant improvement ❑New construction Additirn/alteratiorJreplacement 0 Food service ❑Other: _ I Job address: (�� - �'- - �7a . Description Qt . Fee(ea.) l'otal Bldg.no.: --'-1� `' --`-- Neil 1•a�tdI-family dwellings only: / I Sutte no.: (includes 100 ft.for each utility connec(ion) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivision: SFR(2)bath Project name: aniq - _s SFR(3)tiath City/county: Z2 6A- ZIP: LA Each additional batlr/kitchen Description and location of work on premises:_ Slteutilities: Catch hasin/area drain _ Est.date of completion/inspection' i r- --- Drywells/leach line%trench drain - Footing drain(no. lin. ft.) Manufactured home.utilities Business Warne: p :��y�,�/A(.�, , („ �, Manholes Address: f"- -`- 3 L I l S E Rain drain connector C.ily: Pop-a' I_A,,a State: ZIP:9 7�.r� Sanitary sewer(no.lin. ft.) _ ---- Phone:a,3(,-4 1 g;:j Fax: A 7F-1- 7 E-mail: Storer sewer(no.lin.ft.) -_ CCB no.: O I j 9, Plumb.hus.reg.no: of 6&3 Pe Water service(no.lin.ft.) City/metro lie.no.: / 9 Q ( Fixture or iters: Contractor's representative signature: !' Absorption valve Print name: ( h;utc: Back flow pre%enter -- Backwater valve _ Basins/lavatory Name 1. I .,:/ /_ C C i_.40 r -'j Clothes washer -- - --- - Address: Dishwasher City: State; ZIP: Drinking fountain(s) -- Ejectors/sump Phone: Fax: E-mail: Expansion tank _ Fixture/sewer cap Name(print): PAG TR h ST- Floor drains/floor sinkr/hub_-- Mailingaddress: r•'"" e- Garbage disposal Hose bibb City: ' i7 Stater-Os ZIP:e 7 ini, Ice maker — -- - - --- Phone:6 cl,- - Fax: E-mail: Interceptor/grease trap - — Owner installation/residential maintenance only: The actual installation Primer(s) _ will he made by me or the maintenance and repair made by my regular Rcwl•drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: Date: Surra Tubs/shower/shower pan Urinal Name: ----.--_—__-- —___--- Water closet'-- -- --- Address: Water heater - City: State. Z.II': Other: - ---- ---- Phone: Fax: r E-mail: _ J--` Total Not all ludkdcliom accept credit cords please call}urirliclion for m xe Inframneon Millinlum fee................$ Notice: "is permit application O Visa LlMasterCard expires if a permit is not obtained Plan review(al __ Ir) credit card number: _-- State sol charge(876).... apiece -- within IRO days eller art has been — Name or c +01 t"8 own omit coir -- accepted ns complete. TOTAL .......................$ /:2.5,_S-z) S _ ._ Cardholder dgnuure Amoum — 140,4616(WWOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-1a illy dwellings only: FIXTURES individual) :::T: TT Be AMOUNT (includes ail plumbing fixtures In PRICE TOTAL the dwelling and",he first100 ft. QTY (ea) AMOUNT Sink 16.60 /lp,ro for each utilit cy onnectionj Lavatory 16.60 1„ a [Three ne(1)bath _ $249.20 16.60 wo 2 bath_ _ $350.00 Tub or TublShower Comb. 3 bath $399.00 Shower Only- - - 16.60 _— - Water Closet — 16.60 - SUBTOTA sL _ Urinal 16.60 _ 8%S7ATESURCHARGEf_ —'- 16.60 PLAN REVIEW 25%OF SUBTOTAL Di shwasher _TOTAL - Gaibage Disposal 16.60 Laundry Tray 16.60 Washing Machine 16.Ef Floor Drain/Floor Sink 2'• 16'- 3 L� PLEASE COMPLETE: 3" 4" - 1F 60 - __ Quantit b Work Performed Water Heater O conversion O1i a kind 1610 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical /(,, (o Q —� Ca ed ermit. - 46.40 Sink - - MFG Home New Water Service Lavatr,�y — MFG Home New San/Storni Sewer Tub or 1,01/Shower Hose Bibs 16.60 Combinaliol. 16.60 Shcwer Only-_- - -- Roof Drains _ _ - Water Closet --— Drinking Fountain - 16.60 — _ _ Urinal Other Fixtures(Specify) 16.60 Dishwasher— Gtr Garbage Disposal —.---- ti. Laund�aam Tray Washing Machine _ _ Floor UrainlSink: 2" ---- 5ewer-1st 100'- - 55.00 46.40 —Heater- , 4" Sewer-eah additional 100' -• Water _ --- Water Service-1st 100' 55.00 — Other Fixtures Water Service each addlUonal 2C0' 4640 ---- Storm&RainDrain—1 st 100 — 55.00 - S iv k ----- 46.40 LV.A Storm&Raln Draln-each additional 100 ---_ _-- - Commercial Back Flow Prevention Device 0 Residential Backflow Prevention Device' 27.55 - ---- 60 Catch Basin 16. -- - - Inspection of ExistingPlumbing or Specially 72 50 ermr COMMENTS REGARDING ABOVE: Requested Ins ep ctions - -- 65.25 ------ ---- -- Rain Urain,single family dwelling - --— _-_ - Cirease Traps 16.60 QU—AN TITY TOTAL -- — ---- �- Isum,Irl:c,neer diagram Is required If Ouantlt Total Is >A - 'SUBTOTAL ,� _ ---- 8°/a STATE SURCHARGE 9 •'PLAN REVIEW 25°/aOF SUBTOTAL — — Required unly II fixture tty total Is;'g TOTAL °Mlnin+um permll fee Is$72 50•6%,state surcharge,except Residential Backmaw Prevent on Device,which Is$39 25*0'Y state surcharge `*All Naw Commercial Buildings require plans with Isometric or riser diagram and pian rc view i,\dst:\lorms\plm fees.doc 10/10/00 Accumulative Sewer Tally Tena-.t Name 46oIV A,�)Ti.✓ eN77--k AXIS6 S This SWR# Address /6 7 72- ~= _ This PLM#: Fixture Value Previous Previous Credits Capped Fixtures ixtures New total New # Value Capped off value added# added #s tctal Count off#s count value values Baptistry/Font 4 —_ -- — _ Bath - Tub/Shower _ 4 — -- _ - Jacuzzi/Whirlpool 4 — _ — C,�r Wash - Each Stall 6 - Drive Through_ 16 CuspidorfWater Aspirator_ 1 — Dishwasher- Commercial _ 4 Domestic — 2Drinking Fountain _— Cye Wash -- Floor Drain/sink- 2 inch 2 —_ ,inch__ 5 --- 4 inch _ 6 -- -- Car Wash Dm 6 Garbage Disposal 16 Domestic(to 3/4 HP) —.— Commercial Ito 5 HP) 32— Industrial (over 5 HP)— __— 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 - - _ Bradley _5 Commercial — _ 3 — .2 -_S_ervice�`jO o L..rz ! Swimming Pool FilterWasher - Clothes _ 5 _ _ _._— -- —• Water Extractor 6 — Water Closet - ToHet 6 Urinal C -- Y �— --- ---- — 1 OTALS /D y3 Total fixture values /0-5 _divided by 16 EDU U 1 E.�c�'� CRF1J i7— A HISTORY AHISTORY PL_M_#,1p(,,O_Q ?k EDU# 65 SVVR# PLM# e7-;- - EDU# SWR#9�-on; PL_M#j"-6ie)19y EDU# /,7 SWR#IN,9 x_35 PLM# 94- O,p:+o EDU# SW_R# y�, - .0 35 P'_ PLM#/sem -oolFP EDU# SWR#r Ifly oo1_ PL.M# y` ei EDU# SVVR# ", PLM# 1� o 353 EDU# (e -7 SWR# 1j - 03yy PLM# EDU# SWR# \dsts\swrtaly doc !� CITY �� ,��® ELECTRIrAL PERMIT PERMIT#: ELC2001-00018 DEVELOPMENT SERVICES DATE ISSUED: 01;12/2001 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S113AD-01800 SITE ADDRESS: 16798 SW 72ND AVE B-14 SUBDIVISION: ZONING: I-L BLOCK: LOT : 011 JURISDICTION: TIG Proiect Description: Installation of service and 10 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 10 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amp/von,: >=4 RES UNITS_ > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC 15350 SW SEQUOIA PKWY #300-WMI 10948 SE VALLEY VIEW TERRACE PORTLAND, OR 97224 CLACKAMAS, OR 97015-000 Phone: Phone: 503-698-3417 Reg #: LIC 51539 SUP 2053S ELE 3-243C — —_ —FEES _ Required Inspections Type By Date Amount Receipt _ Elect'I Service 5PCT CTR 01/12/2001 $11.74 2720010000( Elect'I Final PRMT CTR 01/12/2001 $146.80 2720010000( Total $158.54 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or rf work is suspended for more than '180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(!103) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: __ _—__� —. — __ DATE:_ _. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: --- ----- ----- -------------- -------- -- — Call 639-4175 by 7:00pm for an inspection the next business day Foots. JANET To: CITY OF TIGARD DATE: 1l1 1/01 TIME: 2:18:38 PM PAGE 1 OF 1 10/10/2000 1b:20 FAX 5038847297 City C'1' Ticard 14002 Electflln"11,""_��1CBtil.O� r��, TJfbttoetfrod: �,(L L P�mitna rLCZooV_,�o C`' ofMewdreo)ectrl.ao-: ' R,gbtedac, City r jTigcrd Ad4tecr:'13123 SW Hall B7.vd.r4m L O 7M3 17doc ItsoW: - BY: tpt na. Nouc: (503)639-4171 -- y F&r. (503)598-1960 ch"rue no�_ pyymW typo. Tats.use Approval: - - D 1 Ac 2 fim>ily dsvellJrt),Or actv6tory `p'Cammeaddl'iadst.stri>!1 U Multi-ftanily U Tenant ialptovcmont 13 New cmishwtita U AdditIWo1 r&dkvVmplaoemem U Odmr— -- U PRFdRl Job a4dtets: ^ _T q L r iRMA-no.: Sm�na.: Tea qut loUtwt:auut tor.: I.ot: Filuck: Stlbdirifloit• J --�-__.. ----_-- acdptiou Oa o_n of worst cm pomds : FJetimztui data ad c c k'tiumfws Job ea _ _ nv nlltx usmsc uanw:•T1 TLs � E L F D m g T Q,_ mac + .. Twl tta Addr�e_l� c; . A T,T,RV TPk' T4.w ,.allot �art.r City �,LACKAMA`' SO-,oR.Zt'.97015 p3-698341 Pax: p - X46 - toa►u�.norl�.. 4 CCB oa• 1 5 3 9 _ Filet.bus.lig.nrr _ tai .ds�to loo y k o�wuon - UnoW mum.rmimt*of q metty dr.nt>.: a�a�„ _ l3aoh marnfemarwt Mme a mof W r dviTl lti� - .IMMena 1' r a lJ.aerso� r..-" or 1�R}11M M'ft�t/tAf: is Nsum(pA nt)' - ---- - -- --- as 1 .m aoa.m�.� b'1t111 sdd"=• 401 r� ne rnp� T-..--- 1 -. _city: �S1Sd� T'QIP. �.. 401""Ile'o_ -.' � --- - _L. Jam- uvwIxlOsropnorVolk . 2 Mom Ownm EwWlhuou;T1.se1 inet Usdon is betas made Ono1 o wd T.e�.tMrP .:bdto• — wtedS is enc intetdod for sde.Iwo.halt or exctmv wct>1+d1nR to ORS 447,453,419.610.7(8. 200 awle'bw ---- --• a_ 1 MAWS is 4000&no@ _ JrmtSrtl 1 rltttiRra: I7e�hc - e0o to . --'--'-- - - - - -i__ ,me -Rim,i MSAs• draabttstatr P..yr A Pea snr blmmh eiraslb wtdi Fmetare ut /� 5 AddnNc -------- serol...6.01.6-N MM b:mr40.h (J� G 2 Elly: State• LIP: �� a. 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TOTAL... ...................S -1.?r9 6_1f WIL /1 -, Mr MIS fMt1CDM1 D TO x 'T1 6 PEK m 1 TA/ C.2.000 -0 0(0-'2-5 . t1, CITYOF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00010 13125 SW Hall Blvd.; Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/16/01 SITE ADDRESS: 16798 SW 72ND AVE B-14 PARCEL: 2S1 13AD-01 800 SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: i-L BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: ALI FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Tenant Improvement - B-Vent exhaust ovens and vapor vent dishwasher Owner: FEES----- EES, -- -- PACIFIC REALTY ASSOCIATES Type By Date Amount _ Receipt 15350 SW SEQUOIA PKWY #300-WMI PRMT CTR 1116/01 $72.50 2720010000 PORTLAND, OR 97224 5PCT CTR 1/16/01 $5 80 272001000C Phone: _ _ Total $78.30 Contractor: REQUIRED INSPECTIONS Duct Inspection Phone: Final Inspection Reg l: This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: A��- Permittee Signature C311 (50i) 6394175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Date received: I L Permit tA2.9, xDr,vo/D City of Tigard Project/appl.no.: Expire date: T Cirvo/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- --- Phone: (503) 6394171 Date i.sued: — By: I Receipt nu.: -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: U 1 &2 family dwelling or accessory Cofnmercial/industrial U Multi-family Ll Tcnant improvement G New construction U Addition/alteration/replacement U tither: Job address. 8- ) lndicatc equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, T_axmap/tax lot/account no.: profit.Value$ -(p_? �i "' - Lot_ Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's Tee schedule for residential permit fee. City/county: )tQf& I ZIP: 9 --- De�sc110 ton and locati n of work on premises: •- Llte n/ _ Fer(ea.) Total Est.date of_(.ompletion/inspection: Descrl on (Ny. Res.only Res.only Tenant improvement or change of use: / Is existing space heated or co dilioned?Ili Yes U No Air handling unit ---CFM^_ 'Air conditioning(site plan required) 1s existing spam insulated?W Yes U No Alteration of existing H 'system -- -- 11011 (iLEmILIIE� ot er compressors BusinState boiler permit no.: ess name:l sc t HP 'Pons HTU/H Address:r�' it smo a ampee uct smokeectors - City: Stat r2_ ZIP: y yS ieat pump(site plan require ) — - Ph( E-mail: nsta rcp acc furnac umer Including ductwork/vent liner U Yes U No _ CCB no.: nstalTTrep acme relocatciicaters--suspended, City/metro lie.no.: iwall,or floor mounted Name(please tint): e- Vent for af appliance other than furnace - Wilb]Will all gerstlon: I11 Absorption units HTUM Name: AUC C�\hl\1�� Chillers_..--__---- HP Address: Com.ressorsIIP �� - -� ar ,nv ronnicuta ex gust an vent at on: citrCA2 State• L ZIP:9 70Appliancevent _ Phone:(� Fax E-mail; 1)r arca east _ s, ,ype /res. itc eel azma( hood fire suppression syst.im _- Name: ufj Exhaust fan with%Ingle_duct(bath fans) Mailing address: <<e'1 Cts ( N<� sx lausl sstem a art iiomseat}in or AC City U State j(p; a Pue piping andistribution(up to out et%) L 3 Type Ll'G __— NO _ Oil Phone: Fax: E-mail: F11c1 i in each odd itlona of vrrTout cls - rocess piping(schematic required) _Name: Numbcr of outlets _fft erTC+tr�irppliance or equipment: Address: _ _ _ Decoi alive fireplace City: - Sate: 7.IP:------ °Tscrt-type7}--z7r7 - — - -- d ICl 910 Phone: - -_--- Fr.x: E-mail Oostovelpel Ve — _— - - Applicant's signature- - — Date: _� t �• Name (print): -- --- - — - NDN all imixliciiau accept ardn caf0,p1 call Jurisdiction fm more Inf mailan. Permit fee...........^•••.••••$ ' U visa U Mnstetvar(I Notice:•this pennit application Minimum fee................$ �Jr. t wdil cant nnmher expires if a permit is not obtained Pian review(at within I F0 days after it has been -Namr of c---ar�ldpr uaT wn or cmm t cWl accepted as complete. $ IL) ---- _- Cwtilidder signature - �- --Amwnl 44)I6I7(t1000'OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTA_L_VALUATION: _ J Description: Price Total $ _to$5,000.00 --_ FEE:Minimum fee$72.50 � Table 1A Mechanical Code --__ oty (Ed) Amt _ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to BTU - -- $1.52 for each additional$100.00 or including ducts&&vants 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. includingducts&vents 1740 $10,001_.00 to$25,000.00 $148.50 for the first$10,000.00 and 31 Floor Furnace $1.54 for each additional$100.00 or including vent _Y- _ 14 00 fraction thereof,to and including I 4) Suspended heater,wall heater $25,000.00. or flax mounted heater 14.00___ $25,001 4.00 - $25,001 00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including C) Repair units __ $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond .1 fraction thereof. _footnotes below. Comp* - " - 7)<3HP;absorb unit _ f ASSUMED VALUATIONS PER APPLIANCEto 100K BTU 14_0_0 8)3--15 HP;absorb f - Value Total unit 100k to 5001,BTU 25.60 Description: __ - lit Ea Amount 9)15-30 HP;absorb cumace to 100,000 BTr;,including 955 unit.5-1 mil BTU 35.00 t'ucts&vents _ 10)30-50 HP,absorb I umace> '1001'00 BTU in�,wdiny 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents _ - 11)>50HP:absorb Fluor furnace Including vent _955 unit>1 75 mil BTU _ I 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heatar_ _ _ -_ 10.00 Vent riot Included in applicance - 445 13)Air handling writ 10,000 CFM+ - _pennll __�--_--_ -_ _ 17.20 _ Repair units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU -------- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k!o 500k BTU - - iC'Ventilation system not Included in- 15.30 hp;ab,orb.unit,501k to 1 2,310 appliance permit _ 10.00 mil.ETU ----- 17)Hood served by mechanir:al exhaust 30-50 hp;absorb.unit, `3,400 _ _1 10.00 _ 1-1.75 mil.BTU - - T8j Domestic incinerators - >50 hp;absorb.unit, - - 6,725 - 1740 >1.75 mill.BTU --- 19)Commercial or(ndu,trial type incinerator Air handling unit to 10,000 dm _ 656 _ - 69.95 Air handling unit>10,000 cfnl 1,170 _ -- 20)Other units,including wood stoves _ 1`4011-portable eva orate cooler_ -_ 656 __ _ _ __ _ 10.00 -� Vent fan connected to_R single duct 446 211 Gas piping one to four outlets Vent system not Included In 656 -_ - _ 5.40 -- �ppllance Pemtlt _ _ - 22)More than 4-per outlet(each) _Ho_od served by mechanical exhaust 656 1.00 _1,170 _ Domestic Incinerator __ -._.._..___- Minimum Permit Fee$71.50-` SUBTOTAL 5' Commercial or Industrial Incinerator 4,590 __- Other unit,including wood stoves, 656 --- --- 8'!.State Surcharge 5 inserts,etc. _------ _ _ --.--------- _ __ _ _-- Gaspipiing 1_4 outlets _ 360 __ _ - - 25'/.Plan Aeview F'ee(of subtotaq E Each additional outlet _ 63 Required for AI_;-r:ommercial acrtnits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: S VALUATION: Qthor nc ectlon+�latLd Fse�: 1 Inspections outside of normal business hours(mintrnum charg.two hours) $72 51 per hour 2 Inspe:tions for,vhich no fee Is specifically Indicated (minimum charge half tour) $72 9)per hour 3 Addiflonal plan review required b)changes,additions or revisions to pians(minimurn charge-onn half hoor)$72 SO per how 'Stag Contractor Boller Certification required for units>200k BTU. "Reildentisl A/C requires site pian showing placement of unK. I%fists\foriusbrnech-fees.doc 10/11/00 CITY OF TIGARD BUIL E G INSPECTION DIVISION MST 24-11-Iour Inspection Line: 639-4178 Business Line: 6394171 "UP Date Requested ,�—�( AM PM BLD _ Location_ ty� /� Sr..J 7L.� / ✓� A—4 4t Suite MEC _ Contact Person Ph _`�� / 3 PLMvv,lru yo 3 Contractor Ph SWR BUILDING � ' Tenant/OwnerELC Retaining Wall _ ELR Footing Access: �- - Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ Slab _--_. - - - - --- - SIT Post& Beam --- Ext Sheath/Shear Int Sheath/Shear -- ----� -- Framing Insulatiu.i - --- ---- -- Drywall Nailing ----- - -- - - --- -- _.. Firewall Fire Sprinkler Fire Alarm 4 Susp'd Ceiling - ---- --_ _- - --- - Roof Misc:�- ------- --- - -_ -- -- Final ----- PASS PART FAIL - "�BTfdC - ,- a Beam `_- -- -------- --- -� ----- - ---- Under Slab Top Out — - .. _ - --� -- - -------- --- - --- Water Service Sanitary Sewer --- - -- --�— - --- --- Rain Drains P PART FAIL ANIGAL Post& Beard - -- _- --- Rough In Gas Line ------.._ / - Smoke Dampers Final -- ------ ------------- -- PASS P 4RT FAIL ELECTRICAL - — - — Service Rough In — —-- -- UG!Slab Low Voltay a Fire Alarm Final ---� - - -i PASS FART FAIL SITE Backfill/Grading ----- - ---- - --- - - Sanitary Sewer Storm Drain [ i Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: __— [ J Unable to inspect- no a^cess ADA Approach/SidewalkL./..Oif Other __ — Date � ,—_-- Inspector — Ext _ Final PAS" PART FAIL DO NOT REMOVE this inspection record from the job site.