7204 SW DURHAM ROAD STE Q-300-2 u
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-" , 204 SW DURHAM ROAD
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERIY117'
1312.1 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 1-1 F RMI T #. . . BUP97--0!",1
DATE ISSUED: 02-7114/97
ADDRESS. . . : 07204 SW DURHAM RD PARCEL: 2SI13AC-00100
33UBD I V 19 1 mi. . . . Z ON ING: I
a.
f�EISSUF: EXTERIOR WALL CONSI-RUCTTON--
CLASS [IF WORK. :FPS F I RST. 14144 s 1\1 S: E- W1
r y P E 01: U J F�, C 0 M "FCONT). 0 sf PRn-r-Cl" OPFNINGS9.
TYPE OF CONST. :3N . . . 0 s f N- S: E: W:
ICCUPANCY GRP. :D T0,rAL.--.-- 14/111 -,f ROOF CONST: FIRE RETI :
9CCUPANCY 1..OAD: 0 BASEMENT. : 0 s f AREA 11'EP. RATED:
13TOR. . 0 HT: 0 ft ("np(
G F7 f fJr(_'U Cr- P. 'iATED:
IISMT'?- MIEZ Z REDD REDU I RED
71-OOR I-OnD. . . . . 0 psf LEFT 0 Ft RGIAT: 0 ft FI P SPKL:Y 91101-4 DE1'. .
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
PUDPMS: 0 BATH 9- 0 IMF, 0 P R 0 C 0 R P PARK I Hfi
VALUE. $ : E'157
9pnii.4rks : Fire slippressiort system for sper. space
W n e I
")ACI F I C REALTY ASSOCIATES, 1.1-1 type A m o t.tn t by date recpt
.571'50- SW SEQUOIA PKWY, .3UTTF 300 PRMT $ 111. 00 B VII /07/g/ 9702885`57
FIRE $ 0. 00 1A 01/07/07 97--;28855'7
ORTLAND OR 97224 55 P C T $ 0. 0171 P 01,107/97 97- '08557
PRMT $ 38. 50 02114/97 97--290494
FT RF $ 1'-3. 140 02/14/97 97-29045)4
-.ontriActor.- 5PCT $ 1. 93 0*2/14/97 97-29045A
FTPESTOP CO.
?384 SW TIGARD ST
"TGARD OR 97'.C.
P3 ------
"hotie (,2@--6t40 $ 55. 83 TOTAI..
1teq #. 063846
REOUIRED INSPECTIONS
-his pet-sit is issued subject to "he rqvlations contaitied in the Sprinkler POUgf)
ig3rd Municipal ',ode, State of Ore. "apeciaity Codes and all other 8prinklet- Fina l
ipp,,- ble laws. All wore wi"t be done in accordance with
Approved plans. This ppreit will expire 'f wnrW is nut started
within IN days of issuanc-, )r ii w9rN is suspended for sore
'Lhdn 188 days.
Prmittep
lssl-(Pd By -
Cal 1 for T;SpPC": i OTI G39- 4175
6 c
Fire Protection Permit Application
.ITY OF TIGARD �j�� Commercial or Residential Plan Chek
Recd By - WJT,0A I�--
13125 SW HAL!. BLVD, v Date Recd )
TIGARD, OR 97223 1 r Print or Type Date to P E.
;503) 639-4171 Ext. :,04 Incomplete or illegible applications will not be accepted Date to DST �—
Permit# "` `"' )� tl(
Called G �
Nair of DevelopmenbProlect �—
Type of System (Comnlete A or B as applicable)
Job RcTRvsT � L_QC� - ---
Address
Address Address A.) Sprinkler Wet Dry C]_
Name
Standpipes
—_Nc-T fz.v s T- — 1\1 u _
Owner M,uing AddressHazard Group
C Additional t_1`►-4T
\`i3 S G 5�=)E'�I�GtA_LW �—
ClIt//State zip Phone Information Density
— I v T f71i. tt t.2 �}-�3pu t,.tu Name Zb Design Area
(� I�pu
_ J�l C �J F IG�TS S TL K Factor
Occupant Walling Address —�
Ci State zip Phone Sprinkler Project Valuation $
l�
Cl,b a
COT Business Tax or Metro# Exp Date B•) Fire Alarmit,I 0,II. 14kk 44
Name — Submittal Shall ;nclude Battery Calculations YES (JContractor
1D�� �f Individual Component YES
�
(Sprinkler or Malting Address � ❑
Alarm (3 0 4 W 1 tc Il2 0 Cut Sheets - —
Company) city/state zip Phone Fire Alarm Project Valuation $
C_ a o UR 9" 7L3 Lz.t.- to14n — -- _
Attach Copy State Const.C nt. Board Llc# Expate Project Valuation Subtotal (A of B) -$ T_
of _ (�,3tic oz. o1 Qp _—_ —. _ I DU�
Current COT Business Tax or Metro# Exp. ate Permit feQ based on valuation $
Licenses -- _ 1Lst?� L P\- \ I (see chart on back)j ,7)
Name � 5% Surcharge
t La �a2IMel
Architect Walling A dress FLS Plan Review 40% of Subtotal_ $�
IS3� b SW %Ekoolt4 Rg-wf __� i5 KU ` S,qD
CI /State Zip Phone — TOTAL
OIL A•7 tt� G7_c� 1.3 D a 14.5
Describe.work A.)New Ordtion O Alteration IB Repair O PLANS MUST 9E SUBMITTED,approved a ;7permit issued pnor to installation
to be don eThree sets of plans and site plan(and vicinity map)required which show%location of
_near st hydrant
0.) Basement O HOodNent O—SDray Booth n I hereby acknowledge that I have read this application,that the information given is
Complete J0 Panlat O Exltway O correct.that I ani the owner or authorized agent of the owner and that plans submitted
_ —_�_---- are!n compliance with Oregon State laws
Additional Description of Work �-
'SPEC,, o T-r 1 C.L A,'I",, Signature of Owner/A�ent Date
A.)In Existing Building vt New Building O Contact Person Name Phone
Builditi <..
9
Dat'i EF) cclnm rcial Residential C FOR OFFICE USE ONLY: _ —
P-lat# Map/TL#: --
Nc.of stories
C�1Ls
Sq. Ft ---------ilk 4 4 Notes —•- ---- — --____-__-------�_.—_
_ _ _I� _Occupancy Class Type of Construction
Adsts\firesupr doc
8/96
-CM OF TI QAR Q
3-1LQINaP EESMILEEU.
I OTAL
VALUATION PERMIT FLS RE EW STATE BUILDING
OF PROJECT FEES 4 %) o TAX rFRMIT
( 0/o (65/o) 5% FEES
1-1,500 25.00 10.00 1625 1.25
1,501-1,600 26.50 10.60 17.23 52.50
1,601-1,700 1.33 55.6f,
28.00 11.20 18.20 1.40 58.80
1.701-1,800 29.50 11.80 19.18 1.48
1,801-1,900 31.00 61.96
12.40 20.15 1.55 65.1 Q
1.901-2,000 32.50 13.00 21.13 1.63
2,001-3,000 38.50 15.40 25.03 1.93 68.?r,
3,001-4.00o 44.50 17.80 28.93 80.86
4,001-.5,000 2.23 93 46
50.50 20.20 32.83 2.53 1ri6,0rj
5,001-6,000 56.50 22.60 36.7' 2.83 1 18.66
6,001-7,000 62.50 25.00 40.63
7,001-8,000 3.13 131.2.6
68.50 27.40 44.53 3.43 143.86
8,001-9,000 74.50 29.50 48.43
9,001-10,000 3.73 1',0.46
80 50 32.20 52.33 4.03
10,001-11,000 169.06
86.50 34.60 56.23 4.33 181.66
11,001-12,000 92.50 37.00 60.13
12,C .i1-13,000 4.93 194.26
98.50 39.40 64.03 4.93 20E�.86
13,001-14,000 104.50 41.80 67.93
14,001-15,000 5.23 21y.46
110.50 44.20 71.83 5.53 232.76
15.001-16.CC0 116.50 46.60 75.73
16,CC1-17,000 5.83 144.66
122.50 4900 79.63 6.13 257.26
11,001-18,000 128.50 51.40 83.53
18,001-19,000 134.50 6.43 269.86
53.80 87.43 673 2�jz.46
19,001-20,000 14050 56.20 91.33 7.03
20.001-21.000 146.50 295.06
58.60 95.23 7.33 30Y.t•t;
21,001-22,000 152.50 61.00 99.13 7.63
22,001-23.000 158.50 320.26
63.40 103.03 7.93 331.86
23,001-24,000 164.50 65.80 106.93 8.2.3 345.46
24,001-25,000 170.50 68.20 110.83
25,001-26,000 8.�F 3 35��8.06
175.00 70.00 113.75 8.75 367.50
26,001-27,000 179.50 71.80 116.68 8.98 376.96
27,001-28,000 184.00 73.60 11960 9.20 38fi,/Io
28,OQ1-29,000 188.50 75.40 122.53
9,43 395.86
29,001-30,000 193.00 77.20 125.45 9.65 40 .30
30.001-31,'_100 197.50 79.00 123.38 9.88 414.76
31,001-32,0 :0 202.00 80.80 131.30 10.10 424.20
32,001-33,CC0 206.50 82.60 134.23 10.33 433.66
33,001-34,000 211.00 84.40 137.15 10.55 443.10
34,C01-35,000 215.50 86.20 140.08 10.78
.7.56
CITY O F TIGARD SEWER 1`70NNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PIE RM I I #. . . . . . . :
DATE' ISSUED: 01 /02/97
F-IARCEL.- I.-5113AC-0Vi100
911-F. ADDRESS. . . 07204 SW DURHAM RD 41,1�
13UBD I V I S I ON. . . . Q 3oc) ZONING- I--P
BL-OCK. . . . . . . . . . LOT.. . . . . . . . . . . . . .
rENANT NAME. . . . . :SPEC SPACE
USIA NO. . . . . . . . . . : FIXTURE UNITS. . . : t8
':','L.ASS OF WORK. . . :A L T D W El..L I NG UN I 1-S. . : I
[W-IF OF USF. COM NO. OF BUILDINGS: 0
INSTALL TYPIE. . . . BLJSWF? TMrt-RV SURFACE: 0 Sf
Reinav-ks ,- Re: r)LM95-03S0, - F-M- teMqnt: Spec Space.
Own pr : FEES
'-"ACIFIC REALTY ASSOCIATES, LP- type ainoi.tnt by date t,acpt
1.753!-30 SW F-3EQUOTA PKWY, surm 300 PRMT $ 2,c-."00. 00 DRA 01/0,1/97 136-2,884014
(=IURTLAND OR 97224
Phone #: &:24-6300
,ant Tact ot^: ---------------------------------
CONTRACTOR NOT ON FILE
200. 017, TOTAL
i4i o n e $
P
REQUIRED INSPECTIONS
,tis 4pplicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be 'irfeited if the
permit expires. The Agenry does not gjarantee the accuracy f the
side sewer laterals. If the sewer 15 not locatpd at the veaii.:,Pment
given, the installer shall prospect 3 feet in all directions from
'he distance givt,,. If not so located, the installer shall pirchasp
"Tap and Side Sew" Permit and the Agency a -17a tpral.
t
Call fat- inspection E39-4175,
0
ISE gilding—Per"Mtt Ap I.� iQn
City of Tiyard 13125 SW Mail Blvd. Tigard,OR 97223
.11 },503)639-1171
dobsfte Address: X7,' ,4 1 ���t�>a Kp FF I Q CE 'JSE ONLY
Cl
Tenant.-,�'�� � Aa— Suite # _ � Planck/Rec. #
Valuation: _ Permit # L -Cj (g
Map & TL #
Owner: �t-��_ \�`-t�T .��
ARIlL�"zfZ@AUlL�
Address:
——_—_--"-" Planning
Engineering
Telephone: _
Other
_ u w �
tNy_y A-) �.
Contractor: A �RQQ t t� ��l �itcTr:�.�` �
G�_�a o ctcc
Address: _
H - ALM �J'' kt - LA.�-��c.eU p '3�-9&
w.— T Type of constr:
Telephone: Occupancy (7 lass:_____
Contractor's License # _ _ Sprinkler? Yes No
(attach ccpy of current Oregon license)
Sq. Ft. Of Project:
Contact name S telephone: - --~
Architect 8 Engineer:
Story (1st, 2nd, etc.):_
---`
Proposed Use:
ddress: _ _ —�
Previous use:
Note: Plumbing & mechanical plans must
Telephone: _ — be submitted at time of building permit
application.
JOB DESCRIPTION: �', �`'\���p-c�Go QR�vtOuS `t Y rue- ta
`Luzi I5 C:,r I `t)LA- —
(Applicant Signature & Telephone Number) —�
-Received by: _ Date Received: lob
1
PERMITtt Account Description Amount Amt Pd. Balance Due
_ Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Plumb.
Mech.
Plan Check (PLANCK)
Bldg.
Plumb.
Mech. --�_ --
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Comm ercial TIF (TIF-C)
Indu.tri;jl TIF (TIF-1)
Institutional TIF JIF-IS)
Office TIF (TIF-0)
'.'Vater Quality (WQUAL)
Water Ouanity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (E:RPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �' -----___ � U (0
Accumulative Sewer Tally
Tenant Name: �_,N r C . ,1 r This SWR# 6 to 4*1
Address:-t_U '� i } � �— This PL.M#Wil,r-+
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# `ialue Capped off value added# added #s total
L. -!t off#s count _value _ values
Baptistry/Font _ 4
Bath-Tub/Shower 4
-Jacuzzi/Whirlpool 4 —
Car Wash-Each Stall 6
Drive Through 16
Cuspidor/Water Aspirator 1 _
Dishwasher-Commercial _4 '/' _ — -
-Domestic 2
Drinkinq Fountain 1 I !
Eye Wash _ 1 --
Floor Drain/sink-2 inch 2
3 inch 5
_ 4 inch 6
Car Wash Drn 6 _ W
Garbage Disposal _ 16
Domestic(to 3/4 HP) _
Commercial(to 5 HP) 32
Industrial(over 5 HP) 48 —
Ice Machine/Refrigera')r Drains 1 _—
_Oil Sep (Gas Station) 6 ---
Nec Vehicle Dump Station 16 _
Shower Gang (Per Head) 1 -
- Stall 2 ----• —
Sink- Bar/Lavatory — 2
Bradley _ 5
-Commercial ,— 3 v
- Service _ 3 ---- !� — -- -�
Swimming Pool Filter 1
Washer- Clothes 6
Water Extractor N_ e 6 _
Water Closet-Toilet 6
Urinal 6 �a a
TOTALS ) i
Total fixture values _ —_divided by 16= i L= EDU
HISTORY
_PI-M# I, " EDU# SWR# PLM# EDU# _SWR#
PLM#, EDU# SWR# _ PLM# _ E_DU# - SWR# _
PLM# - r • _EDU# SWR# i5-1 -
M# _~ EDU# _ SWR#
PLM# EDU# SWR# PLM# v EDU# SWR#
i Wsts\swrtaly doc
CITY OF TIGARD ��S�uE.
DEVELOPMENT SERVICES PUIL-DING FERMI l' A,
13125 SW Holl Blvd., Tigar,' no 97223 (503)639.4171 PERMIT #. . . . . . . : BUF.196--
DATE 19SUED: 02/05/97
PARCEL: c 51. t3AC--00100
JTF.': ADDRESS. 072'04 SW DURHAM RD
SUBDIVISION. . . XON I INIG: I--P
BLOCK. . . . . . . . . . .. L.01.. . .. . . . . . .
RE I S-SUE: FLOOR AREAS--.._.-.__.__...____ EXTERIOR WALL. CONSTRUCTION
CLASS OF WORK. :AI-T F I RST. . . . . 1460 s N-. S: E: W:
TYPE OF UL3L. . . :COM SF-.-('OND. . . 0 5 f PRO11-l"T OPEN I NGS?--- - ----- - --
TYPE
-TYPE OF CONST. :3N 0 s N: S: r: W.
OCCUPANCY GRP. :H TOTAL..---__.___.__: 1'160 S f ROOF CONL"il' .- FIRE RF-T""
OCCUPANCY L.OAD: 14 BASEMENT. -. 0 Sf AREA SEE'. RATED:
3
`';TOR. : 0 1.1 T' 0 ft oARnm.'. . . sf OCCU -'P. [RATED:
SSMT') : ME:7 Z':1 . REUD SET BACKE REQU1 RED-------
FL.00R LOAD. . . . : 0 ps f I_E F T: 0 f i: PGHT: 0 ft 17TR SPVI-:Y SMOK DET.
DWE1_1_TNG UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM- HNDICP ACC:
BFDRM5: 0 PATHS: 0 TlYIP SURFAC-I F 0 PRO CORP- PP PP I NG- 0
VAL.LIE'. $ : 27000
Remav,ks : Shell spade to office with toilet.
Owner' ;
PACIFIC REALTY ASSOCIATES, LP type amol.tnt by date ir-ecpt
1'5390 SW 43EQ.UOTA PKWY, GUTTF 700 PRMT 140. 50 DRA 12/ 16/96 9F.-2.137741
PI..CK $ 9:1. 33 DRA 12/16/96 96-287741
17'ORTI-AND OR 972214 FIRE $ 56. ..'0 DRA 1.2/1 F�/96 96 *87741.
Phone #: 624-6300 5PCT $ 7. 03 DRA 12/16/96 96-287741
PRM', $ 39. 0r? DST 02/05/97 97--289945
-------PLCK $ 25. 35 DST 02/05/97 97-289945
H. L. GPE'EN FIRE $ 195. (Jill T)f.,T 02/05/9- 7 97--289945
15)350 SW SEQUOIA BL.Vl), SUITE 300 5PCT $ 1. 95 DST 02/05/97 97--289945
TT(3ART) OR 97;:.?24
Phone #: 624-771.7 $ 376. 96 TOTAL
Req #_ .- 41.328
REQUIRED INSPECTIONS
This permit i,, issued subject to the regulations contained in the Fr-amingInsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Instilation Tnt;p
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will Pi(pire if work is not started rlf.tsp Ceilng Insp
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee f"i TlAtlm-p
lq,ilied By :
Call for, imspection 639-4175
/� CITY O F T I G A R ® MECHANICAL
DEVELOPMENT SERVICESr--'E RM I T #. .PE RM I T: MEC96--0455
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639.4171
DATE: ISSUED: 1.21311136
5I TE ADDRESS... 072011 SW DUI?IAAM RD 3 C-0
SUBDIVISION. . . . : ZONING: T -F,
BLOCK. . . . . . . . . LO'1.. . . . . . . . . . . . .
CLASS OF woRK. . Ai–T FLOOR TURN. . . . : 17, FYOP COOLERS: 0
TYr'E OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 1.
OCCUPANCY GRP. . :B VENTS W/O ()PPL.r 0 'JF NT SYSTEMS: 0
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--- 0-3 HP. . . . - 117, DOMES. INCTN: 0
: /GAS/ 3-15 HP. . . . - 0 COMM[.... TNCIN: 0
,m,qx ihruT. 0 LATU 15 301 HP. . . .. : 0 REPAIR UNITS: 0
F IRE D(I.MPERSl. . : 30–:,;;' HP. . . . - 0 WOODSTOYES. . : 0
GAS PRESSURE. . , : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNiTs_ AIR HnNDLING UN I TS OTHER UNITS. : 0
FURN TATO, 10000 cfln: 0 GAS OUTLETS.
FURN )=100K BTU: 0 > 1.0000 c-fm - 0
Pemai-l-(s : Mechanical fav--rrr—rp–a
Owner, Z.Z/'.C-IC_!?V!V-91- -..- FEES
PACIFIC REALTY ASSOCIATES, LP t YP(? amount by date
15350 SW SEQUOIA PKWY, SUITE 300 PRMT $ 39. 00 DRA 12/31/96 96-288319
P1.Cv. $ '3. 75 DRA 12/.?1. /9C 96-21383 t?
PORTLAND OR 97224. 5PCT $ 1. 95 DRA 12/31/96 96-28831n
Phone #.- S24--6300
C ant,v-ac.,t at-: -------
PROTEMP ASSOCIATES INC
007 Nr COUCH
PORTI–AND OR 972322
Pliene #: 213,721--6:311 $ 50. 70 TnTAL
Rop
--- REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Gas Line Trisp
Tigard Municipal Code, State of Ore. Sperialty Codes and all other Meehan ical I n s p
applicable laws. All work will be done in accordance with Misc. Inspection
approved i clans. This pervit will ewpire if wo6 is not started Final ITIF-Pection
within 180 days of issuance, or if work is suspended for acre
than IN days,
s u e ri
S C�_
Call for inspection 639-4175
CITY OF TIGARD Mechanical Permit A lication Plan check
�i}� Recd By
13125 SW HALL BLVD. CoMnAercial and Residertial U Date Recd 12 L'L SI E
TIGARD, OR 97223 � - / Date to P E.
(503) 639-4171, x304 Date to DST
Print or Type Penna aK ML y S S
Incomplete or illegible applications will not be accepted called-'301�G. /�i�„a�►-
Name of DevalopmeftProtect Description
S f r C_ 5 qc) pi a szL s�:a41T� Table 1A Mechanical Code QTY PRiCF AMT
Job Street Address Sudail A) Permit Fee —�— .0. -0- 10.00
Address 720y�,w LvRwn
Bldg* I City/State Zip B) Supplemental Permit 300
-- — �l IL g7ZZL1
Name(or name of business) L) Furnace l0 100,000 BTU 6.00
Owner PACT L c — — incl.ducts&vents
Madirg Address _ 2.) Furnace 100,000 BTU+
t G3 ���o incl.ducts d vents 7.5U
�C1dy/stare Zip Phone 3) Floor Furnace — 600 —
---___--- CCJ1m• Dig q I?--z f 6�4Sincl vent _ __
Name for name of business) &-U'r 4.) Suspended heat_er,wall heater 6.00
or floor mounted heater
Occupant Mailing Address 5) Vent not incl.in
3.00
# 3oG appliance permit
City/state zip Phone 6) Boiler or comp,heat pump,air coed. 600
C{7 7Z to 3 HP:absorp unit to LOOK BTU L
Name Y) Boiler or comp,hect pump,air Gond. 11.00
3-15 HP,absorp unit to 500K BTU
Contractor Mailing Address — --- _
8) Boiler or comp,heat pump,air Gond. 15,00
`G'3CJ7 4F (pL.!G L/ 15-30 HP;absorp unit.5-1 mil BTU
Attach copy of city/state zip Phone 9.) Boiler or comp,heat pump,air Gond, 22 50
Current Licenses 77-, &,e C!7.r 3,2- 233-&1/) 30-50 HP:absorp unit 1-1 75 mil BTU _
i regon Const Cont Board Lic p Exp Data 10) Boiler or comp,heat pump,air Gond. 37.50
� 10 `t 7 _> ().!IP,absorp unit 1.75 mil BTU
COT Business Tax or Metro N 6p Date 11.) Air handling unit to — 450
Ct C 10,000 CFM
Architect Name 12) Air handling unit 7.50
_ 10,000 CTM+
Or Mailing Address 13.) Non portable
450
_ _ ev,iporate cooler
Engi- ?er Crty/State— Zip Phena 14) Vent fan connected 300
to a single duct 3
Uescnbe work New O Addition O Afterahon:Q Repair O 15) Ventilation system not -- 4.50
to be donne Residential O _Non-residential _ _ included in appliance pehrit
Ndditional Uescnption of work 16) Hood served by
mechanical exhaust 450
17) Dumestic inciner3turs 7.50
Existing use of — _ 18) Commer-tal or industrial 30.00
building ur property—_ type inrAnerator
19) Clothus dryers,etc, — 450
Proposed use of 20) Other units 4 5p
building or property
Type of fuel-oil O natural gas Ur LPG O electric O 21) Gas papa g one to four outlets ? 200
I hereby acknowledge that I have read this application,that the 22) More than 4-per outlet (each) 50
information given s correct,that I am the owner or authorized agent of
the owner,tha;glans submitted are in compliance with Oregon State QT'i.SUBTOTAL
laws.
Signature of Owner/Agent DateSUBTOTAL — ca
.,
-.�--_- /.SURCHARGE �q5-
Con ct�9 t Person Name Phone PLAN REVIEW 25%OF SUB TOTAL I
�S
dstUrtechpmt.doc — -t __ TOTAL /
'Minimum permit fee is$25+5%surcharge - 1
Rev 7x'96
�� CITY OF TIGARD
DEVELOPMENT SERVICESPLUMBING PERMIT
1--'E RM IT #. . . . . . . : r-`1..M96 -0390
13125 SW HAII Blvd., Tigard,OR 97223 (503)6317.4171 DATE' ISSUED: 01./06/97
-aim PARCEL : 2S1113AC-00100
SITE ADDRESS. . . : 07204 S14 DIJRHAM RD 00140*
SUBDIVISION. . . . » ZONING: I-P
BLOCK. . . . . . . . . . . LOO . . . . . . . . . . . . .
----------
CLASS OF WORK. . :Al-.T GARBAGE DISPOI.r1-S. . 0 MOBTLE HOME SPACES. 0
TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNT99. . 0
OCC1JPA1 ICY GRP. . B FLOOR DRAINS. . . . . . : I T ROPS. . . . . . 0
srr 0 R I E S. . . . . . . . .. 0 Wi)TER HEATERS. . . . . : I CATCH BAS174S. . . . . . . 0
LOUNDRY TRAYS. . . . . : 0 '7' PAIN DRAIN S. . . . . » 0
qINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . s 0 CnREASE TRAPS. . . . . . . 0
LAVATORIES. . . . . . 12 r)-n-iEP FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER rt-.OSE*TS. . : 1:7, WATFP I TNE ft ) . . . .- 0
D 19:)HWASHE RS. . . . : 0 RAIN DRAIN (ft ) . . . 0
Remarks : Plumbing "@I!- m
Owner: -PRA-1-
-T&A-)4,v 7 FEES
PACIFIC REALTY ASSOCIATES, LP type amount by date r r.C P t
15350 SW SEQUOIA PKWY, SUITE 300 PRMT $ 54. 00 DRA 01 /06/97 97-288496
5PCT $ 2. 70 DRn 01 /06/97
PORTI-ANO OR 97224
Phone #: 624-6300
Contractor:
DEAN WARREN PLUMBING
31.11 SE 13TP,
PORTLAND OR 97202,
(-)fionp #: 236-4152 $ E,. 70 TOTAL
Reg #. . : 0001,72
REOUIRED INSPECTIONS
This pervit is issued subject to the regulations contained if' the Rough-in Insp
Tigard ftniipal Code, State of Ore. Specialty Codes and all other PLM/Underf I ovt,
applicable laws. All work will be done in accordance with Top-out Trisp
approved pians. This pervit will expire if work is not started Final Inspection
within 18@ days of issdance, or if work is suspended for tore
than 18@ days,
-17
Permittee
Cal ". for inspecti.cin
C'TY OF: T;GARD Plumbing Application Recd Bf_ a"l l'f
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 //,, ` Dale to P E._
�; HrApq�'C��ot�/ Dai:toDST _—
(5U3) 639-4171 Permit#_pl ty q�,-O _a
Print or Typ( Related SWR# I)w le SG-06G,9
Incomplete or illegible applications will not be a^cepted ca''=;LA-3�
Name of Devlopment/prolecr Lg4tw5�s:3sv t(ew Striate Femily
F- 1 C a�1�ri�.x�.a +F :� :bi.-f7�a YA+`�IN i .7�►�1i�4"'.. gyji.f� .n.�.°�M.+T/9>>..�.�.
Address Street Address Suite —J1 � TH USE 14Q.00,f4 sJ1y+"=`;ts 0-2 BATFt OUSE!195.00
by h A� Fes odes ad m p'9 BATH HoLISE 5225.00 E ,•_',.,
D Ing'flxturvs In fhe dwelling and the flrat 100 feet of
CtoBldg# Crlwslate Zip water service•sanitary sewer and storm sewer Sec fees below.
Name r FIXTURES (individual) QTY PRICE AMT
G 1 %A.57— Sink �9 00
Owner Moiling Address S&Qyoa P► Suite Lavatory - - 9 00
City/Stale Zip /, po
�S3 at U w S ip Phone 3 n 0Tub or Tub/Shower Comb.
9.00
C12 A XIII-1 (0 A Ll _ 3 O Shc.ver Only --- 900
Name Water Closet _ 9.00
Dishwater —— 900
Occupant Mailing AddressSuite Garbage Disposal — 900
Washing Machine 9.00
City/State- Zip Phone Floor Drain —�Z" 9 00 00
Name --- 3" goo
E 4 rJ Inca � rN pl. Lr 4 900
Contractor Mailing Address Tl Suite Water Neater 9.00
Laundry Room Tray 9.00 i
City/State Zip Phone Urinal
P TLA. °L7 c 713(0— ____ _ 900
Oregon Const.Cont.Board Lic# Exp.Date l Other Fixtures(Specify) - 900
Attach Copy of 3 �� --- 9.00 -�
Current Plumbing Lic.# - Exp.Date
License _
Sewer- 1st 100" — 900
etro
COT Bus ness Tax o. Exp.Date _
9 gt} Sewer•each additional 100' �— 30 CO
——— Name - Water Service-1st 100' 2500
Water Service-each additional 200' 30.00
Architect Mailing Address Suite Storm&Rain Drain-1st 100 — 25.00
or Storni&Rain Drain-each additional ion- 3000
Engineer City/State Zip Phone Mobile Home Space ?-5 00
_ Commercial Back Flow Prevention Deviceor Arih- 25 00
Describe work New O Addition O Alteration O Repair O Pollution Device
to be done: Residential O Non-residential O Residential Backflow Prevention cif-- ' 15.00
Additional description of work Any Trap or`Haste Not Connected to a Fixture 9 00
Gatch Basin___ 9 00
Insp of Existing Plumbing 4000 per hr
Existing use of Specially Requested Inspections _ 40 00
huddmg or property G��,1�F�-C.l.�e—��'Fl� per hi �
Proposed use of
Rain Drain,single family dwelling 30.00
building or property__ _ Grease Traps i 9,00 —�
Are you capping any fixtures'? Yes C No QUANTITY TOTAL
I hereby acknowledge that I have read I'v5 application.that the infonnatinn Isometric or iser diagram s requrreA A Ouarnty Tota!is >9 •
given is correct.chat I am the owner or authorized agent of the owner,and 'SUBTOTAL ex,
that olans submitted are in compliance with Oregon State Laws -- --_
Slgnatu of ner/Age�y Date 5%SIff�(„HARGE
PLAN REVIEW 25%OF SUBTOTAL r•tc' .
Contact Person Nameed pho —� Reauwronly d fixture qty total is>_9
----� TOTAL 7�-
[ ?.)W 3---- �°w�� Minimum permit fee is S25+5°4 surcharge.except Residential F ackflow
i%dsWplmapp doc Prevention Device,which is S15+5%surcharge
CITY OF TIGARD BUIL DING PERMIT
DEVELOPMENT SERVICES E R M IT #. . . . . . . : BL1P96-0(_:,2'9
A UZZEM 13125 SIN Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/16/96
PARCEL-: 2SI13AC-00100
,.3JYF ADDRE=SS. . . : 07204 SW DLJRHPI� RD
SUBDIVISION— . - ZONINGtI—P
131.._OCK. . . . .. . . . . . LOT. . . . . . . . . . . .�!'��
REISSUES FLOOR EXTERIOR WALL_ CONSTRUCTION,
CLA5S OF WORK. sI J FIRST. . . . : 1460 sf N: S: E- W:
TYPE OF USE. . . '-COM SECOND. . . : 0 f PROTECT OPENINGS?-
TYPE OF CONST. :3N . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :B 1.460 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 14. BASEMENT. : 0 sf AREA SEP. RATEDe
STOR. . 0 I-IT, 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED
BSMT?: MEZZ?: REDD SETBACKS--------- REDUIIIED----------------------
FI_00R. LOAD,, . . . : 0 psf LEFT 0 ft RGHT: 1"71 ft F I R SPII/,L :Y SMOV, DET. . :
DWELLING UNITS: 0 FRNTi 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $: '1' -4/&(_)(J
i t h toilet.
....... FEES
PACIFIC REALTY ASSOCIATES, LP -type amount by date t-eapt
15350 SW SEQUOIA PKWY, SUITE 300 PRMT $ 140. 50 DRA 12/16/96 96-287*741
PLCK $ 91. 33 DRA 12/16/96 96-287741
PORTLAND OR 97224 FTPF $ 56. 20 DRA 12/16/96 96-287741
PI-iong #t 624-6300 5PCI $ 7. 03 DRA 12/16/96 96-287741
H. 1_.. GREEN
15.350 SW SEQUOIA BI_VD, SUITE 300
TIGARD OR 97224
Phone #: 6.24--7717 $ 299. 06 TOTAL_
Req #. . .- 41328 REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Fr-aming Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance "itti Gyp Boar-d Insp
approved plans. This pervit will expire if work is not started Susp Ceilng Insp
within 180 days of issuance, or if work is sus7pnded for iore
than 180 days.
Fer mitts'
I g TI
Tssoed B
Call. for inspection 639-4175
Commercial Building Permit A_rmlication -
ty of Tigard
13
25 SW Hall Blvd. /� 1
Tigard, OR 97223 /
(503) 639-4171 1
Jobsite Adr,ress: /�Q�iL Sws�✓Yf�
n Office Use Only
Tenant: —�L _ Suite #_
Planck/Rec # `--
Valuation:
Permit
Owner- Pacific Realty Associates, L.P. (PacTrust) Map & TL#
Address: 15350 S.W. Sequoia Pkw. , Suite 300 Approvals Re wired
Portland, OR 97224 Planning
Phone: 503/624-6300 Engineering
Other_ —
Contractor: H.L. Green Company
Address: 15350 S.W. SF,nuoia Pkwy, Suite 300 '/
Type of const: �V
Portland, OR 97224-7199 --
503/624-7717 — Occupancy class:
Phone:
— Sprinklered? Yes j No
Contractor's license # 41328 ��
(attach copy of current Oregon license) Sq. ft. of project: _—
Contact name & phone _Chris Green, 503/624-7717 Story (1st, 2nd, etc.)
Propoced use:
ArchitectiEngineer. —_John H. Romi sh --
Previous use:
A(idress: 2216 S.E. 24th Avenue
Note: Plumbing & mechanical plans
_ - Portland, OP. 97214 — must be submitted at time of
Phone:
503/236-630E building permit application.
JOB DESCRIPTION:
/'colicant Signature & Phdne number
Received by _ _—_—�_ ___ _ Date Received: _ _—
Permit# Account Description Amount Amt. Pd. Bal, Due_
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Taut (TAX) '7 .
n j
Bldg:
Plumb:
Bloch:
Plan Check (PLANCK) / J
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Ir,spection (SWINSP)
Parks Dev Charge (PKSOC)
ResidentiaS TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (T1F-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) `J(F .1;t 0
Erosion Cntri Permit (ERPR1nT)
Erosion Planck/USA (ERPI.AN) _
Erosion Planck/'OT (EROSN)
TOTALS:
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #: ELC97-0076
DATE ISSUED: 02/10/97
PARCEL: EISI13AC-00100
TE ADDRESS. . . 072011 SW DURHAM RD 4.10
'C41)IVISION. . . . ZON I NG: I-P
OCK. . . . . . .. . . . LOI.. . . . . . . . . . _ . -
aject Description: INSTL 2 BRANCH CIRCUITS
40/,7# 5631
Mall four branch rirci.iits.
DENT TAL UNIT----- ----TEMP SRVC/FFFDERS---- ------MISCEI._L(;NEOUS---- ---
X00 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/TRRIGATION. . . .
iCIA ADD' L. 500SF. . . : 0 J'01 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . -
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEI_ 0
--SERVICE/FEEDER---- ------BRANCH CIRCUITS----- ---ADDIL INSPECTIONS--
0
NSPECTIONS—0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401, 600 amp. . . . . . : 0 EA AAD' I. BRNCH CTRC: 1, IN P1__ANT. . . . . . . . . . . 0
601 1.000 amp. . . , . : 0 -----------------PLAN REVIEW SECTION--.------------_
1000+
N----------------
1000-4 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . -.
Reconnect only. . . . . : a SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. :
OWTIer: FEES
A DICK type amoi.tnt by date recpt
7204 DURHAM RD PRMT $ 40. 00 TAT 02110,197 97--290127
TTCARD OR 9722-1 5PCT $ 2. 00 TAT 02/10/97 97-2'9012'-'
Phone #s
Contractor:
BACHOFNER ELECTRIC, INC. $ 42. 00 TOTAL
55 SE MAIN
-------- REQUIRED INSPECTIONS
PORTLAND OR 97214 ceiling Cover Undergroi.ind Covr
Phone #! 503-233-2006 Wall Cover Elect' I Servic-F,
Reg #. . : 44569
chis permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore, Specialty Codes and all othFv rlermitlr�e Rigna7
applicable laws. Al', work will be done in acco,dance with
approved plans. This pertit will expire if work is not started
wither, 181 days of issuance, or if work is suspended for more
than IN days. I s�e d By
-OWNER TNSTALLATIOH GN1._Y_-----
The installation is being made an property I own which is not intended for
.
;ale, lease, or rent.
(_'IJt\1FR9c.; SIGNATURE: DATEt
__-._._-____-_----.-.----C ONTPACTOR INSTALLATION
I GNATURE OF SUPR. EIEC' N DATE:
ICENISF NO:
for itispertion - 639--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # `( ``i- CrA21
-
Phone (503) 639-4171 Date Issued
CITY OF TIGARD FAX (503) 684-7297 Issued by /,)
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Scnedule Below:
Name of Development A. B. Dick Number of Inspections I,er permit allowed
Address 1204 SW Durham Road Sergi included: Items Cosgea) Sum
City/Stato/Zip I7c�ard, OR 4a. Residential-par unit 4
1000 sq N or Mee $11000
Name (or name of business)
A. B. Dick Loch adliionel600sq ti or
poAion thereof $2500 1
Commercial® Flesidential❑ LiniAed Fn-V $2500
Fath Mahurd Home or Modular 2
Uwninq Servloe or Feder sm 00
2a. Contractor Installation only: 4b.Services or Feeder
Installalon,allsrairon.or relocation 2
Electrical Contractor Bachofner Electric 200 amps or Mss ileo 00 2
Address 55 SE Mair—r— 201 affirm to400amps SRO 00 2
City Port and State OR Zip27214 _ 60�y"a 000 aam6171 �ps $1880000 -' 2
Phone No. — Over 1000 amps or vans 1940 00 —`r 2
Contractor's License No. Rawnneaonly s5000 _
Contractor's Board Reg. N0, 445159 4c.Temporary Services or Feeders
e / Irslallalion,alteration.or relocation 2
Signature of Supr. Elec'n_LL / ��-__� 200 amps or Mea SW 00 2
License No. 78085 Phone No. Z�ZIID6— 701 amr.Io 400 a`nra $7500 2
401 amps to ftp:snpa $10000
Over 600 amps 10 1000 Vons
2b. For For owner Installations: ase'b-above
4d. Branch Cir�its
Print Owner's Name New,aneralion or•xlenwn per panel
Address e)The lea for branch cinvAe with
City .�_. State Zip pu hoop of serrdce or b da Ise. 2
—-- Each b rh circuit $S 00
Phone No. __ _ b)The lee for branch circuits wWthout
The installation is being made on property I own which is purefism of.mice or Aced r b.. 2
Fhrs1 brarc:h erre A 1 $3500 35.00 2
not intended for sale, lease Or rent.
[ad additlonel brand,ararA —� 5.
$5 00 66
()wn&r's Signature _ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (It required): Each pump or rrngation cirde $4000 2
Feclh evn or oLOns hpMmg $4000
Signal cira A(s)a a(mood energy 2
Please check appropriate item and enter fee In section 5B. panel,rMr,stion Of ehdension _ t.4o 00
4 or more residential units in one structure Minor I&bale(10) — S10000 _
_ Service and leader 225 amps a more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special ocmparx-y the allowable In any of the above
as described in N E C Chapter 5 Per irwpecnon =9500
Par hour ts5 00 i
In PMm --- f55 00
Submit 2 sets of plans with application where eny of the above
apply. Not required fcrr temporary construction services. 5. Fees:
NOTICE Se. Enter total of above fees E 40.00
—
5%S1xrflarye(05 X total tsps) $
PERMITS BECOME VOID IF WOFiK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
GONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Revtpw If rpWupci(Spc 31 $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
t OMMENCED. ❑ Trust Account M $
Balance Due $ 42.00
wh►taarrWsp�xep
CIT'Y OF TIGARD
ikDEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171
CE'RTIF ICATE: OF
I:)CCUPPINCY
PERMIT #. . . . . . . :
DATE ISSUED: 03/03./97
F'f'aRCEL: ��'r.l .t�AC- ►0100
i TE: ADDRESG. . . :072'04 SW DURHAM RD 9,0300
1_1BDIVISION. . . . cCOUNCIL VIEW ACRES 7..ONINC-3: I .P
OCK. . . . . . . . . . c LOT. . . . . . . . . . . . . . J'IJRISAI(:"1'TON: l'IG
is OF WOPI(. :Al-1
+'PE OF USE. . . c COM
!PF OF CONS TR s 3N
i .C:UPANC:Y GNP. :S
I--UPRNCY LOAD: 14
11F41'44 NAME.. . . P.f.)1A D I C K
markas Tenaant Impr ovpment
I)wners _._._..__.. ._._.._.......__. ..___._._.._...__._......._____._...__...._.. _....
14A SH i NGTON COUNTY
F-NCILITIES 110MT--ADMIN
1 1 :l GE. WASHINGTON G 1
HILLSBORO OR 97123
Phone #s
11 OPEEN, HL. GO. INC-
153nO SW SE01JOIA F1l.VD
STE 300
T I OARU OR 97,'..124
Phone #s 624-7717
Q,r, tt, . s 000-413
Al ' s C.et-tificate grants oct:UPArICv of` the above referenr•ed building or portion
thereof and r:onfir^m3 that the building has t)ppn in3pet:ted for compliance with
the `.-;torte of Orgorl specialty Code% for the gr-orrla, occ._r.rpanr:y, and �rsp Unciet
which t,.". refer-enr. ed ►-Writ was issued.
bLJILDINU ING E z 81j-1 _DJNp Oi'FIC
POST TN C ONSP I CUOUS PLACE.