7244 SW DURHAM ROAD STE M-700-1 Q
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—. 7244 SW DURHAM ROAD /)) 7 00 _
CITYOF T I GA R D _CERTIFICA,E OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP96-00292
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/12/96
PARCEL: 2S 103AC-00103
ZONING: I-P
JURISDICTION: TIG
SITE ADDRESS. 07244 SW DURHAM RD 700 COPY
SUBDIVISION: COUNCIL VIEW ACRES
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 3N
OCCUPANCY GRP: S2
OCCUPANCY LOAD: 19
TENANT NAME: BREADWORKS
REMARKS: Tenant improvernent
Final Inspection Approved 6/2/96 by George Steele, Building Inspector
Owner:
PAC TRUST
15350 SW SEQUOIA PKWY
SUITE 300
TIGARD, OR 97223
Phone:
Contractor:
H GREEN, HL CO INC
15350 SW SEQUOIA BLVD
STE 300
Reg #:
This Certificate grants occupancy of the above referenced building or portion lth rt:.-.)f and
confirms that the building has been inspected for compliance with the State a ( ;:Jon
Speci�31fy Codes for oup, occupancy, and use under which the referenced permit was
isst6d,,,
i
BUILDING INSPECTOR BU LDING OFFICIAL v
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plhg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-In Gyp. Bd. Bldg,
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: - y . P.M.`_— Entry-
Address:
Tenant: '�*�'w�Lfc-c. Ste: 7iv MST:
Con/Own: ��F �J�I�� _ MEC
PLM:
IGS oZ�'
77/ 7 ELC: -- -
'rHE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: _ _- -- -._ _ -__.----- Date:
PPROVED ---DISAPPROVED/CALL FOR REINSP. C CO
l�_
CITY OF TIGARD BUILDING INSPECTION NOTICE ---
Inspection Line: 939-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling :-Plumb.
PosdBeam Mach. Shear/Sheath Framing -Mach.
Plbg.Urid/Flr/Slab Plbg. Top Out Insulation Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M._P.M. Entry: --
Address:
Tenant: Ste:L� MST:
BUP:
Con/Own:
73 Sal Z ELC: -�__ —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: Date:
Ill r
flAPPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing ech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation Eleot�
Post/Beam Struct. Mach. Rough-in Gyp. Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: _ _ A.M. P.M. _ Entry:
Address: LUtt/l,l.�o'�n-
Tenant: ------,._----- —_� Ste?
MST: T_
Con/Own _ 3 - Z C) fJ (o MEC _
MEC:_
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
f I
t
Y;7� _ ,
t
Inspector/:/('2�, C
APPROVED _DISAPPROVED/CALL FOR REINSP. �F) CO
y
I
-----_�--"_-- __---1�------ BUILDING PERMIT
_ PERMIT #. . . . . . . s BUP96-0:::92
%"'.,ITY GF TIGARD DATE ISSUED: 06/12/96
COMMUNITY' DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 972234199 (503)639.4171 PARCEL: 2S 1 13AC-00100
SITE ADDRESS. . . : 07244 SW DURHAM RD 700
SUBDIVISION. . . . : ZONING: I-P
BLOCK.. . . . . . . . . . : LOI.. . . . . . . . . . . . . .
-------------------------------------------------------------------------------
REISSUE: FLOOR AREAS-_-_ __.___ EXTERIOR WALL CONSTRUCTI01,4
CLASS OP WORK. :ALT FIRST. . . . : :3051 sf N: S: Es W:
TYPE OF USE. . . .-COM SECOND. . . : 0 sf PROTECT OPENINGS?----------
TYPE
PENINGS?----_.--.-_. . .TYPE OF CONST. :5N . . . : 0 sf N: S: Es W:
OCCUPANCY GRP. :S2 TOTAL-------s 5051 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 19 BASEMENT. : 0 sf AREA SEF'. RATED:
STOR. : 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEF. RATED:
BSMT? s MEZZ?: REQD SETBACKS-•-----•----- REQUIRED-------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: Y SMOK DET. . :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft F'IR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. t: 10000
Remarks: Tenant improvement mechanical, sprinkler and rack storage permits f
required before occ.
Owner. _______________..__----_.____--------_______ ..__._----_____ FEES; ---- ----_____._
PAC;TRU'3T type amount by date recpt
15350 SW SUUOIA PKWY PLCK f 52. 33 JD 05/29/96 96-79912
SUITE 300 FIRE $ 32 -,0 JD 05/29/96 96--279911:
TIGARDND OR 97224 PRMT s 80. 50 B 06/12/96 96-280491
Phone #: 624-6300 5PCT f 4. 03 b 06/12/96 96-280491
Contractor: -•____.________.________._._. _____
H. L. GREEN
15350 SW SEQUOIA BLVD, SUITE 300
TIGARD OR 97224
Phone #: 624-7717 $ 169. 06 TOTAL
Reg #. . : 41328
---- -- - REQUIRED .I NSPELT I ONS -- ---
This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp i
applicable laws. All work will be done in accordance with Gyp Board Insp -
approved plans. This permit will expire if work is not stsrted Su s p Ce i 1 n 9 Insp �-
within 188 days of issuance, or if work is suspended for more Final Inspectionthin 180 188 days. `-
Perm Si at �_I"es
I s s i_t e d BY
'
Call for inspection - 639-4175
City of Tigard Commercial Building Permit Application
13125 SW Hall Blvd. )
Tigard, OR 97223 r
('503) 639-4171
Jobsite Address:
Tenant: ,d _ Suite# . Office Use Only J
Valuation: le O Z,2 Planck/Rec # r c ,
Permit # _ �•� 1' ' " L-
Owner: Pacific Realty Associates , L.P. (PacTrust)
Address _ 15350 S.W. Sequoia Pkwy, Suite 300
--- — Approvals Required
Portland, OR 97224
- ---- Planning
Phone: 503/624 -6300
- Engineering
Other—_— — --_`
Contractor* H.L. Green Company
Address. 15350 S.W. Sequoia Pkwy, Suite 300
Portland, OR 97224-7199 Type of const:
503/624-7717 Occupancy class _ S^Z•
Phone. _
Sorrnklered', Ye No
C'ontractor's License # 41328 _ '/ �^
(attach copy of current Oregon license) Sq. ft. of project: alp 9�� /
Contact name R phone Chris Green, 503/624-7717 Story (1st, 2nd, etc.)
Proposed use:
ArchitecUEngineer: John H. Romi sh
2216 S.E. 24th Avenue Previous use. _�_
address -
OR 97214 ^ Note: Plumbing c`- is I plans
-- Portland, must he submitted at time of
71',one 503/236-6306 building permit application
J< 8 DESCRIPTION _ —1,1146n�—
--
1 j
cclicant 5 n ture,�i Phcne numbe P
Received by _� _ _ Date Receivea:
Permit;$ Account Description Amount Amt. Pd. Bal. C�..
Bldg. Permit (BUILD)
Plum). Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: _
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF MF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
'Nater Quaiity (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRM T)
Erosion Planck/USA (ERPLAN) _
Erosion P!anck/COT (EROSN)
TOTALS:
PLUMBING PERMIT
PERMCITY OF TIGARD DATEIISSUED: . 06/27/966-01 9
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PARCEL; c S 1 1,3AG•-00100
SITt_ A DUHH1 411 RD AA oQ)
SUBDIVISION. . . . : ZONING: I—G
PLUCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
— ---
CI_ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :CUM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . ,S2 FLOOR DRAINS. . . . . . : 1 'TRAPS. . . 0
STURIES. . . . . . . . a 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES------------•--- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . :
-)I NKS. . . . . . . . . . a 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
I-AVATORIES. . . . . a 2 OTHER FIXTURES. . . . : 0
IUP/SHOWERS. . . . a 0 SEWER LINE (ft ) . . . : 0
WATER CL.OSETS. . WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Rem -Arks : Bread Works Inc
Owner; -_.._________._.._____..__.______.___._.__.____._.__.___ FEES ----•--------•--
PACTRUST type P.mount by date recpt
15350 SW SQUOIA PKWY PRMT t 54. 00 J*H 06/27/96 96-281106
SUITE 300 5PCT $ 2. 70 J*H 06/7/96 96-281108
1IGARDND OR 97224
Phone #: 624-6300 I
DEAN WARREN PLUMBING
111 SE 13TH
PORTLAND OR 97202
Phone #: C-36-4152 $ 56. 70 TOTAL
Req #. . 00017:'
REQUIRED INSPECTIONS --------
This perrit is issued subject to the regulations contained in the Rouyh-in Insp
Tigard Municipal Code, State of Ore, Specialty Codes and all other PLM/Underfloor
applicable laws. All work will be done in accordance with Top—ollt Insp
approved plans. This perrit will expire if work is not started Misr_. Insper_-tion
within 180 days of issuance, or if work is suspended for sore F=inal Inspection -� -�
than 180 days, '—- —_----
t'ermittee Signati-ire : -'� ---
LA y
- -- -
I
Cal I for 1 n s p e c : ion - 639••4175
Cit' of Tigard PLUMBINC_PERMIT APPLICATION Planck Rec. #
131"` SW Hail Blvd. Permit # j`'t,m�i'( C",
Tigard, OR 97223 /
(503) 639-4171 ^j1g 96 iii f� �J`�✓ ��v. 9��' S� .
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
New Single Family Residences Only
Job ,doe i c 0 1 BATH HOUSE$140.00 G 2 BATH HOUSE $$195.00
("1 ❑ 3 BATH HOUSE$225.00
Address arauW ar Fee includes all plumbing flxturen in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES CITY PRICE AMT
Sink 9.00
Lavatory 9.00
SR .�k
�', Cvvner ? ! S'vj iP W '2 e, Tub or 1'ublShower Comb. 9,00
Shower Only 9.00
(-?_A Water Closet 9.00 {r
wm.Ia
-0 t-nmi Dishwasher 9.00
3aibage Dispnsal 9.00
Occupant Washing Machine 9.00
-Floor Drain ',' 9.00
Water Healer 9.00
Laundry Room Tray 9.00
Urinal 9.00
0 v WAVI Other Fixtures (Specify) 900 --
t4ontractor t a, 9.00
9.00
!I raw*" -
I 1 n► 9.00
Sewer 1st 100' 30.00
�n1 a.Pw1n.+ Ne. Ch lu,.ru rre.
Irl �' Sewer ea. Addit. T70 -- 25.00
L
_ 1 _ ' (; I �� Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that thill Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1s; 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Add:'. 100' 25.00
number given is correct. (If exempt •*om State registration, please
give reason below) Mobile Home Space 2500
Back Flow Prevention -
" Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Connected to a Fixture 9.00
Descnbe Nork new i- addition Q alteration Q repair Q Catch Basin 9A0
to be done residential U non-residential O Insp. of Exist. Plumbing 40.00lhr
Specially Requested Inspections 40.00lhr
Existing use of
Rain Drain, single family dwelling 30.00
building or property _ --
Residential backflow prevention
devices 15.00
Proposed use of - --
budding or property M
-- '(Except residential backflow
_ prevention devices)
NO110E 'Minimum Fee $25.00 SUBTOTAL r`
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE L,
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
TOTAL � �
Scecial Conditions
Date issued by
SEWER CONNECTION L,.
1 CITY OF TIGARD PERMIT #PERMIT. . . . . . .
: SWR96-0306
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/26/96
13125 SW Hall Blvd.Tigard,Oregon 972239CIOD (503)639-4171
PARCEL: 2S 1 13AC-00100
SITE ADDRESS. . . : 07244 SW DURHAM RD M700 AR
SUBDIVISION. . . . : ZONING: I—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
---------------
TENANT NAME. . . . . :BREAD WORKS INC
USA NO. . . . . . . . . . : FIXTURE UNITS. . . a 18
CLASS OF WORK. . . :ALT DWELLING UNITS. . : 1
TYPE OF USE. . . . . :COM NO. OF' BUILDINGS: 0
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE..: 0 sf
Remarks : RF: PLM96-0159
Owner: —_____----_--__—_.._-------_—_____._.__.__..__._____..___________ FEES, _._.-._--------_—
PAcTRUST type amoi.rnt by date recpt
15350 SW SQUOIA PKWY F'RMT $ 2200. 00 JSD 06/26/96 96-281036
SUITE 300
T•IGARDND OR 97224
Phone #: 624•-6300
Cont Tact or:
CONTRACTOR NOT ON F71LE
----------------------------------------
PhOne #: $ 2200. 00 TOTAL
Req #, .
_______ REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the R _
permit expires. The Agency does not guarantee the accuracy of the
Tide sewer laterals. If the sewer is not located at the measurement _
given, the installer shall prospect 3 faet in all directions from
the distance given. if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency w±ll install a lateral.
I-lf,rmittee Signature:
1 s s i-red L1
Call for inspection — 639-4175
f�
t
i
I
Commerciai Building Perm_ it Application
Cit; of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ,� C.- I
���J l V
Tenant: L-„2)(�? ►^�s��S Suite# 7;2-0 Office Use Only
Valuation: _
Planck/Rec #
--- - Permit #
Owner: Map & TL #
Address -_ -- A rovais Re_uired
-�- -- Planning
Phone. _ _ - - Engineering --
Other
Contractor:
Address.
Type of const:
PhoneOccupancy class
- _
-
Contractor's License # Sprinklered'% Yes No
('attach copy of current Oregon license) Sq. ft. of project: __-
Contact name & phone: Story (t st, 2nd, etc )
Architect/Engineer: Proposed use__-- �-�_- -- -
Address --
Previous use.
,
_ Note. Plumbing & mechanical plans
must be submitted at time of
Phone building permit application. S
r
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by - Date Received: C ��
Permit # Account Description Amount Amt. Pd. Bal. Dug
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) _-
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
~�
4;f�"/��j`' ` ! 0-3 �
er Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF•R)
Mase Transit TIF (TIF-MT)
Commercial TIF (TIF•C)
Indust-ial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAI_)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
k
Erosion PlanckJUSA (ERPLAN) j
Erosion Planr_k/COT (EROSN)
`I
TOTALS: C
Tenant Name: Accumulative Sewer Tally This SWR#:4,L--+=
Aidress: �,, rt This PLM#:
Fixture Value Previous k Previous Credits Capped Fixtures, Fixtures New New
Value Capped off value added # added total #s total
O1unt off #s coup: value values
Baptistry/Font 4
Bath - Tub/Shower 4
. Jacuz/Whpl 4
Car Wpsh- Fach Stall a
- Drive Throuqh 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4
.Domest 2
Drinking Fountain 1
Lye Wash 1
Floor Drain/sink 2 inch 2 /
3 inch 5
4 inch 6
Car Wash Drain 6
Garbage Disposal 16
Dom Ito 3/4 HPI
Comm Ito 5 HPI 32
Ind lover 5 HPI 46
Ice Machine/Refrigerator Drains 1
Oil Sep (Gas Station) 6
Recreational Vehicle Dumo Station 16
Shower - Gang (Per Headl 1
Stall 2
Sink- Bar/Lavatory 2
Bradlev 5
Commercial 3 '
Service 3
Swimming Pool Filter 1
d� I er, Clothes 6
Water Extractor 6
WAter Closet, Toilet 6
Urinal 6
TOTALS
Total fixtul a values:_ �_ divided by 16 = EDU
HISTORY
PLM# ���- nu# 1 SWR# 9G-0/' ? PLM# EDU# SWR#
PLM# EDU�'�I� �` WR# PLM# EDU# SWR#
PLM# EDU SWR# Pt M# EDU# SWR#
PLM# FDU# SWR# ^� PLPAit EDU#� SWR#
i
ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC9G-0372
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/12/96
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)039.4171
TL ADDRLS.6. . . : 1117d44 SW DURHAM RD 1471�,O PARCEi : 2S113AC-0010o
SI
SUBDIVISION. . . . : ZONING: I—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Project Descriptions
------------------------------------------------------ ---------------------------
---RESIDENTIAL UNIT—— ---TEMP SRVC/UEEDERS----------- ---'---MISCELLANEOUS----.-
1000 SF* OR LESS. . . . : 0 200 amp. . . . . . . : 0 PUMP/IRRIbATION. . . . : 0
EACH ADD' L 500SF. . . -. 0 .201 — 400 amp. . . . . . . j 0 SIGN/OUT LINE LTG. . ! 0
LIMITED ENERGY. . . . . 11 0 401 — 600 F.mp. . . . . . . : 0 SIGNAL/PANEL.......: 0
MANE. HM/ SVC/FDR. . .- 0 6O1+-amps-.100O volts. : 0 MINOR LABEL ( 10) . . . 0
-------SERVICE/FEEDER----- -----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS----
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . :
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . :
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLAN.. . . . . . . . . . . 0
601 1009, amp. . . . . . 0 --------------------FLAN REVIEW SECTION----------------
1.000+ amp/volt. . . . . : 0 ) =4 RES UNIT'S. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . CLASS AREA/SPEC OCC. :
OwnersFEES
BREADWOKS type amount by date r-ecpt
7244 SW DURHAM RD #700 PRMT $ CJS 06/12/96 96--280507
TIGARD OR 97223 SPCT $ 1.1); 121. 101121 CJS V16/12/96 96-280507
Phone #1
Contractore
BACHUFNER ELECTRIC, INC. $ 0 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Ceiling Cover, Elect' l Set-vice
Phone #t 503-233-200( Wall Cover- Elect' l Final
Reg #. . c 44569
This pewit is issued sub)ect to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialtv Codes and all other
Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This pereit will expire if wo-k is not start,
within 180 days of issuance, or if work is suspended for sore -'5,-
than 180 days. Issued By
INSTALLATION
The installation is being made on property I own which is not intended for-
sale, lease, or rent.
OWNER' S SIGNATURE DATE:
-------------CONTRACTOR INSTALLATION
SIGNATUNE OF SUPIR. ELEC' Ns DATE:
J(_ ." .;E NO
Call for, inspection — 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # q6-,;l&sn7
Permit # j E'�C a/-0 37, _
Phone (503) 639 4171 Date Issued -61�- yyf; _
CITY OF TIGARD FAX (503) 684-7297' Issued b nc�.r lc-s �i,n,.,�
TDD No. (503) 684-277 2 y -- _
t
_ _ Inspection (503) 639-4175
.Oob Address: 4 Complete Fee Schedule Below:
Name of Development_ H.L. Green _ Number of Inspections per permit allowed --
Address 7244 SW Durham Rd. #700 Bldg. 185 Service included Items Cost(ea) Sum
City/State/Zip Tigard, OR 4s. Residonlial- per unit
1000 aq it or lase $11000
Name (or name of business)_ Brea works Each WWRional Soo r.q It or �—
portron thereof $2500 +
Commercial ResidentialEl Umsed Energy M— $2500
Each Manuf of Nome or MorfiAar '--�
2a.. Contractor installation only: Dwelling Sewia3 or Feeder woo ---
4b.
qy00 ---
4b.Services or Feeders
I lectncal Contractor Bachofner Electric Installation.altarabcn 0,rolmahon 1 120.00 2
55 SE PIN — --_ 200 amps or leas
E6000
Address 201 amps to 400 ornps _ $8000 2
City Por an , - Mate OR Zip 97214 401 amps to 000 amps $12000 2
Pho!ne No. 2IT-2006 601 amps to 1000 amps $18000 2
Over 1000 amps or volts
Contractor's Liconce No 26-451Cr Reconnect only $5000 2
Contractor's Board Reg. No. 44569 -
"— 4c. Temporary Services or Feeders
Installationn n,alteralioor rel0caiio
Signature Of SUpr. EIeC'n __ 200 amps or less $5000
License No. 2anBaR _ Phone No. 233-2006 201 amps to 400 amps $7500 z
401 amps 10 600 amps $10000
C1ver 600 amps to 1000 Vohs
i 2b. For owner installations: seo•h•above
Print Owners Name 4d. Branch Circuits
Address Now.alteralron or extension per panel
_ n)The fee for branch&rants with
State— — lip Aurcha&e or aavko of boder hie.
Phone No. Each brarx:h arcurt 5_ $5 on 25.00
b)The fee for branch arauts without -
The installation is being made on property I own which is purch&aOfWVk•orWriter be.
not intended for sale, lease or rent. First branch arcurt $3500 7
Each additional branch arcus $5 00
Owner's Signature _ �! 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (i/required): Each pump or irrigation arse $4000 ,
Each sign or outline hghtmg S400,)
Please eher;k appropriate item and enter fee i n �•ction 5B. Signal circuit(&)or a limited energy
, __
4 a more residential
alteration or extens on $4000
al units in one structure Mmor(&lisle((0) $10000
Service and leader 225 amps or more --
System -ver 600 volts nominal 41. Each additional inspection over
Classif;ed area or structure containing special occupancy the allowable in any of the above
as(Described in N E C Chapter 5 pa,iMPFW1,0" $3500
P.,hour $5500
Submit 2 seta of plans with application where any of the above l�par+1 $5500 _
apply. Not required for temporary construction services.
5. Fees:
NOTICE 5a. Enter total of above fees y 145.00
5%Surcharge(05 X total fees) g —7-r-
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal s
ALrTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required(Set 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ --—
COMMENCED. El —
Trust Account ar $
Balance Due 152.25
$
CITY' OF TIGARD PERMITU#.DINGY .a BUp96-032F3
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/02/96
13126 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)830.4171
PARCEL: `S113AC-00100
��11'1. ADDRESS. . . a 07�4�+ SW DURHAM RD /A100
SUBDIVISION. . . . : ZONING: I-F'
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
_-- -
REISSUES FLOOR AREAS--•--------- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. " P5 FIRST. . . . ; 5050 sf Na Sa Es W:
TYPE OF USE. . . :COM SIFCOND. . . : 0 s PPr1TPrT OPE.NINGS?-------_____._
TYPE OF CONST. a3N . . . z 0 sf N: S: Ea , :
OCCUPANCY GRP. z P 5050 s t ROOF CONST: FIRE RL- I ! :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. z 1 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? ; MEZZ?: REQD SETBACKS-------- REQUIRED-------_-----_-__-
F LOOR L..OAD. . . . : N p s f LEFT: 0 ft RGH f: 0 ft FIR Spl<L: Y SMOK DET. . -.N
DWELLING UNITS: 0 FRNTi 0 ft REAR: 0 ft FIR ALRMeN .HNDICP ACC:Y
BLDRMS: IZI BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $: 650
Remarks: Fire suppression system: Br-ead Wort<s Inc
Owner: -__.__.__.____.__.____. - ----_________.._._._._-----..-----.___..__.__._.____._._ FEES
PACTRUST type amount by date recpt
1' 350 5W SQUJIA I-IKWY PRMT $ 25. 00 JSD 06/14/96 96--280631
SUITE 300 FIRE $ 10. 00 JSD 06/14/96 96-280631
TIGARDND OR 972:4 5PCT $ 1. 25 JSD 06/14/96 96-280631
Phone #: 624-6300
f'ant ract or:
F I RE STOP, CO.
9364 S'J TIGARD ST
TIGARD OR 97223
Phone #a 620-6140 t 36. 25 TOTAL_
Req #. . : 063846
--- -- -- REG1U I RED INSPECTIONS
--This pormit if iefutd subject to the regulations contained in the Sprinkler Final
Tigard Municipal Coda, State of Ore, Specialtv Code ,t all other Final Inspection
applicable laws. All m Wk will be done in accordance with
approved plans. This pi!reit will expire if work is no: started ^� u_-
within 188 days of issuance, or if work is suspended for more
than 188 days. -�_— --"-------•_'
i r mlttee 1.31gna1*. _Ire :
-Pj LA
Call for inspection - 639-4175 I
i
y,
i
Car'ltr� 6-�9s
� I � l V
14ANCK#/ ( Date:
PPLICATION FORERM
' IT TO INSTALL FIRE SUPPRESSION SYSTEM
_ BUILDING DIVISION, CITY OF TIGARD
639-4171
DATE: (S 1 PERMIT # �Z1OCI-7�o 6 3 O
` Valuation: —fie S e —
Amt. Paid:
— Permit Fee:
40% Plan Check Fee: /c w
Balance Due:. —�—__ 5% State Tax-
Plans must be submitted to the Building Division before Installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation: —.— Addition: Repair:_ Alteration: X
Complete: Partial: Exitway: Basement: -- Hood & Vent:
Spray Booth: IN EXISTING BUILDING. k IN t•IEW BUILDING:
NUMBER & STREET: _ 7 -41 S\J 1)V0-%4 0,-A 1L --
NA'vtE OF BUILDING or BUSINESS: _ 812 =�5Wy2►�S r_ PQ-
NO. OF STORIES:_ % I SIZE OF BUILDING:_ OCCUPIED AS:
PE OF SYSTEMS: Wet:_ X_ Dry:___ Combination:_
STANDPIPES: OCC.HAZARD: Light "C ORD.GRP.HAZARD 1 2 3 4—Extra_
DENSITY 1 y GPtv1/Ft2 DESIGN AREA IS-CIO _ft2 SPRINKLER AREA SSU `t2
SPRINKLER ORIFICE SIZE:_ ' t "K" FACTOR S. 6 TEMP. RATING \�
OWNER: P1��T>z.V�T _ ADDRESS: is SU j
CONTRACTOR:
1 _ „
PLANS DRAWN BY: %F>u�r�-TA-A - vVADDRESS: 12 4-
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable codes and ordinances of the City of Tigard.
SPRINKLER COMPANY: _ Ik-STDP PHONE (-L 4-D
SIGNATURE OF APPLICANT: -.___. w
BUILDING DIVISION:
PERMIT VALID FOR 180 DAYS
h:llnqnklstslf itlprmi
CITYTIGARD
�-,�RMIT �
OF PERMIT #. . . . . . . . MEC96-0150
DATE I SaUEu: 07/.='E,/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)839-4171 PARCEL.: 1:29 11 3AC--001 00
SITE: IaDDRESS. . . : 1b7r'44 SW 1)UF2I-irm f2D woo
SUBDIVISION. . . . : ZONING: 1--P
BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . .
--------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 --`VAP COOLERS: 0
TYRE OF USE. . . . :COM UNIT HEATERS. . : 1 VENT FANS. . . : 2
OCCUPANCY GRP. . eS2 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . a 1 BOILERS/COMPRESSORS HOODS. . . . . . . s 0
FUEL 'TYPES -___. _____._.._. 0---3 HP. . , , : 1 DOMES. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 13 TU 15-30 HP. . . . : 0 REPAIR UNITSa 0
FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLO DRYERS . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTUs 1 (= 10000 cfm: 0 GAS OUTLETS. : 1
FURN ) =100K ETU: 0 > 10000 cfm: 0
Remarks: Mechanical tenant improvement
Owner: -___._-------_._.___.--------_____..._______._____.____._____.___.__.____ FEES - --_•_-_--____--
PACTRUSI type amor..rnt by date recpt
15350 SW SQUOIA PKWY F,RMT $ 36. 00 JSD 07/26/96 96-282198
SUITE 300 PLCR $ 9. 00 JSD 07/26/96 96-282198
TIGARDND OR 97224 5PCT $ 1. 80 JSD 07/26/96 96-282198
Phone #: 624-6300
Contractor:
RROTEMP ASSOCTATES INC
807 NE COUCH
PORTLAND OR 97232
Phone #: 233-6911 b 46. 80 TOTAL
Reg #. . : 038868
---- REQUIRED REQUIRED INSPECTIONS --__
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection --
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is suspended for more
than 198 days.
I=,er,mittee cignilltur;e :
Issued B
Call for inspention - 639-4175
Ry ilrel 7 a 1- 11,
City of Tigard MECHANICAL PERMIT Planck/Rec. # "5-P)tAf
1125 sw Hall Blvd. APP (CATION Permit # f")L=C�(, -L�SC�
Tigard, OR 97223
(503) 639-4171 I h
�_
G( b►2i�J (�� Table 3A Mechanical Code OTY PRICE AMT
Job 774 'l Alvl /eD 11 Permit Fee 0- 0- 10.00
Address •@ ` �� —
FoeT�)O 11777 Supplemental Permit 300
- zFurnace to.,
1) incl. ducts &vents 6.On i
k".
,... —. Furnace «
(,iuOla1 350 2) ncl ducts &vents
Owner L �50
—Floor urnance —
i��n f7-17 3) incl vent 600
_ "'""'"" —...I / uspen ed eater, wa eater
/L P //'��f'I�J rtiAf 4) or floor mounded heater 600 6
""'9'J' . "' — ems/ of not incl. in
Occupant 7z?7� S� /���� > -z�� 5) appliance permit
_ v� 3.00
Repair of heating, re rig
O11TL�i _ 7 ZZ 6) cooling, absorption unit 600
To er or comp, heat pump, air coed
i) to 3 HP, absorp unit to 100K BTI_I 600
Boiler or comp, heat pump, air con
ContractorC 6Zu'f_Z3�- 8) 3-15 HP, absorp unit to 5(jurn BTU 11 00
offer or comp, eat pump, air con
T D 7 Z 9) 15-30 HP: absorp unit 5.1 mil BTU 15.00
" oiler or comp, heat purnp, air con
Z 1 j . 10) 30-50 HP, absorp unit 1-1 75 and RTU 22 50
ereby acknow edge tat I nave read tis app nation, that the Boiler or comp, heal pump, air con�—
information given is correct. that I am the owner or authorized 11) > 50 HP, absorp unit 1 75 mil BTU J7 50
agent of the owner, t p!ans submitted are in compliance with Air handling unit to
State taws, that I am registered with the Corstruction Contractor's 12) 10.000 CFM 4 50
Board, that the number given is correct (If exempt from State i Sana ing unit d _._
registration, please give reason below) 13) 10.000 CTM + 750
Non portaolp
141 evaporate cool.,r 4.50
Jnr fan connecte —
151 to a single duct
300
--Uenhlauon system not
10) included in appliance permit 450
14co-d-s—erveo )y
1?) mechanical exhaust 4 50
escriue wcrK new aciadion �_ aiteration U eoair Comme,cial or inoustnal
to be done reside ual v non-residential 19) type incinerator ?0 rn
xisting user Other er i e won stave water
building cr prooerty _ 191 heater, solar, clothes dryers, etc 450
Proposed use of 20) Gas piping one to four outlets 2 00 Z
building or property J_ ---
21) More than 4-per outlet (each) 200
type of fuel •oil Q natural gae7 LPG U electric (j
NOTICE
Minimum Fee S2500 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WI1 HIN 180 DAYS, OR 510 SURCHARGE I /
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25'1,, OF SUBTOTAL
AFTER WORK IS COMMENCED —
TOTAL
Special Conditions — -- - — --
Cate Ssuea
�L:GiM0tt8�A1(.'MMT