The URL can be used to link to this page

7370 SW DURHAM ROAD BLDG G-1 '00 i u) v E d C x a z 0 r d y, I 'i i i i r _„ 7370 SW DURHAM ROAD �-��' April 9, 2003Y (CITY OF TIGARD OREGON Firestor,Co. 9384 SW Tigard Street Tigard, OR 97223 RE: DISH NETWORK, FIRE SPRINKLER SYSTEM Project Information Building Permit: 13UP2003-00118 Construction Type: NA Tenant Name: Dish Network Occupancy Type- B Address: 7370 Durham Road Occupant Load: NA Area: NA Stories: NA The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition, and the"Tualatin Valley fire& Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted ply ns are approved subject to the following. I. A supple of spare sprinklers(never less than 6) shall he maintained on the premises so that any sprinklers that have operated or been damaged in any way can be promptly replaced. These sprinklers shall correspond to the types and temperature ratings of the sprinklers in the property. Standard 9-1, section 2-2.7.1 OSSC 2. A special sprinkler wrench shall he proviL' I and kept in the cabinet along with the spare sprinklers to b: used in the removal and installation of sprinklers. Standard 9-1, section 2-2.7.2 OSSC 3. A minimum of 18 inches shall be maintained between top of storage and ceiling sprinkler deflectors. The distance shall be increased to 36 inches for large drop sprinkler heads. Standard 9-1, section 4-4.1,6 and 4-4.3.2 OSSC 4. Sidewall sprinkler deflectors shall he located not more than 6 inches or less than 4 inches from walls and ceilings. Standard 9-1, section 4-4.2.3.3 OSSC 5. Clearances shall be provided around all piping extending through walls, flow- platforms and foundations. Minimum elearanee for pipe sizes 1 ;nch through .t 112 inches shall be not less than 1 inch. Minimum clearance for pipes 4 inches and larger shall he 2 inches. Standard 9-1, section 4-5.4.. .4 '13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 6. Monito►ing, Section 904.3.1 OSSC All valves controlling the water supply for automatic sprinkler s .,tems and all water flow monitoring devices shall be electrically monitored where the number of sprinHers arc, • Twenty or more in group 1, Divisions 1.1 and 1.2 Occupancies. • One hundred or more in all other occupancies. 7. An approved audible sprinkler flow alarm shall be provided on the exterior of the building in an approved location. An approved audible sprinkler flow alarm to alert the occupants shall be provided in the interior of the building in a normally occupied location. 904.3.2 OSSC Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall he maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC When submitting revised drawings or additional inl6rmation, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of "Tigard in tracking and processing the documents. XBlalo.Z Senior Plans 1?xaminer ' CITY C�F TIGARD --BUILDING PERMIT PERMIT#: BUP2003-001 18 DEVELOPMENT SERVICES DATE ISSUED: 4/18/03 -- 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2SI 13AB-01100 SITE ADDRESS: 07370 SW DURHAM RD BLDG G SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P LOT: _ JURISDICTION: TIG REISSUE: FLOOR AREAS _ FXTERIOR WALL CONSTRUCTION "LASS OF WORK: FPS FIRST: sf N:` !S: E: W: -rYPE OF USE: COM SECOND: sf PRO.IFCT OPFNINGS? TYPE= OF CONST: UNK sf N: S E: W: OCCUPANCY GRP: E; TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf ArEA SEP. RATED: STOR: HT: ft GARAGE sf OCOU SEP. RATED: BSMT?: MEZZ?: REQ_D SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT:u ft RGHT: ft _ FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORP: PARKING: VALUE: $ 2,130.00 Remarks: Adding 16 heads. 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: 620-6140 Reg #: LIC 63846 _ FEES REQUIRED_INSPECTIONS Description Date Amount Sprinkler Rough-In [BUILD]Permit Fee 3/13/03 $72.10 Sprinkler Final ITAX) 8%State Tax 3/13/03 $577 IFI.S1 FIS Nn Rv 3/13/03 $2c3 84 Total $106.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in accordanne 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 niles are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: (ZIA — - Pe nn ittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day 3PI-3-'?�0 nup- HAri izox r w Ruilding Permit Application City O rl��lfft� ED,,leeivePermitAddress: 13125 SW Hall Blvd.Tigard.OR '7221 appl.no.: Expire date: Cit y of Tigard , Phone: (503) 639-4171 Date issued: By• ' ) Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ 1&2 family:simple Complex: 1 ► U I &2 family dwelling or accessory id(CommerciaUindustrial U Multi-family U New construction U Demolition %dA Jdiaon/alteration/-^placement 5 Tcnant improvement ¢A Dire sprinkler/alarm U Other: 1 / o w iJob address: 17acrrzUs7 25Z, Bldg.no.: Suite no.: — I ctt: Black: Subdivision: Tax map/tax lot/account no.: _ Pro lect name: U -J DQ Description and location of work cm premises/special conditions:A.!�N I Lii4LLas C �rt 1Q�1 INFORMATION,OWNER FOR SPECIIAL Name: L (Floodplain,septic capacity,solar, Mailing address: .2 5 ) ;� 1&2 badly dwelling: City; r State: 7.IP:. Valuation of work........................................ $ _ Phone: Fax: . ? E-mail: No.of bedrooms/haths................................. Owner's representative: _ Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq. ft.) ........................ Garage/carport area(sq.ft.) Name: CU Covered porch area(sq.ft.) ......................... Mailing address: c339A n ,D Deck area(sq. ft.)........................................ City: pZ Sta ZIP: Other structure area(sq, ft.)......................... Phone:, •C) 61 qpFax: I i E-mail: — CommercialAndwtrial/multi-family: <.� Valuation of work........................................ - Effmammijklml Existing bldg.area(sq.ft.) .......................... Business name: tTUF> cu Address: n 0. r — New bldg.area(sq.ft.)................................ _ City: t State: ZIP. 2 Number of stories........................................ _ Type of construction.................................... _ Phone�c�,�)6 , Li Fax: E-mail: — CCB no.: {�, Occupancy group(s): Existing: - -- — New: Citytnetro lie.no.: - i Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: ,2 ei provisions of ORS 701 and may be required to be licensed in the Addmss: Q O ; e jurisdiction where work is being performed.If the applicant is City: , _ State: Z P:(L7zz!J exempt from licensing,the following reason applies: Contact person: Plan no.: — ---- -- Phone:1 3 -L I Fax:L --rli t. Name: Contac.,..rson: Fees due upon application ........................... S_1Qb.J7 I ..ddress: _ Date received: City: _ State: ZIP: _ Amount received ......................................... $ Phone: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all juriKktims xcerN credit cw&.place can jurisdiction for mcwr inf xmation attached checklist.All provisions of laws and ordinances governing this 'a visa U MasterCard work will be complied wi hhethe specified herein or not. CrediI cttd number: s� Expires Authorized signature: - ?��t+� � � Nems of cardholder u thnwn on ctedn card — s Print name: LS.i.---_—�—� -- Cardholder tilluture Notice:This per snit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 MWfCOM) Fire Protection Permit Check List A.) _ FJ Alteration ❑ Repair tiir _❑_New _ ❑ Addition _ . B,) Modification to sprinkler heads only: � Describe work to 1. 1-10 heads: No plan review required. be done: I 2. 11+ heads: Flan review required. Number of sprinkler heads: -i __ Additional description of work: T OvfSys Complete A, B or C_as A. Sprinkler Wet_❑ _ _ D — --- Stand_pipes_ ------- Additional Hazard_Group_ Information Density K. Factor _,_-- Srp inkler Project Valuation: B. Type I - Hood Fire Suppression Sstem Hood Prt Valuation $ o ec C,.)_ Flre Alarm _ -- Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire A;arm Project Valuation: Project Valuation Subtotal -, B Permit fee based on valuation see chart): $ - -10 --_ — 8% State Surcharge: $ ] FLS Plan_Review 40% of Permit: $ —� -- TOTAL: S ._ (blo.'t 1Ads1sVnims\FPSchedd1st.doc 06/07/01 DEPARTMENT OF LAND USE 6 TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH NRST, HIL.LSBORO,OR 97124 COUN'! i INSPECTION REOUESTS: 503/640-3561/633-4415 OREGON XXXXXXXXX-- 640-34'/Cl Page 1 of 1 Date UJ/lb/`J 'i'lme 14 : Z8 1'etnilt iy).,, Curllmerciai Eiectric_al Perm:. _ Permit # UbO65093 vetnlik. btatuz.; A&PHUVEL1 Applied 03/14/9`) b.ktu , Adrlre,.: s /J /0 SW Ut1EtHAM RD 'L'1 I S 0 Ued 0J/14/'J'i l'c:rtult '1'1t.1u, DA.L7.RON IN(-' 4 C'iRt Ul'1'S Completed Peimit. Du:jc':t . '1'cJ Expire Uhl/1U/q`.n 1'r (.,:)f?(-t '1'itIe DA1'1'HUN IN(-' 4 t'11t( Ul'1'S Project. # P0046b3 / k'rc;�ei�t Ue:;rr. x E:kuS1UN 1'�trc:c l Nutnuer 1.��1. .t1 - Land Use Distrir.t. Vaivatl.on tl Legal Deco . 0W0,1 IN:D!•'t:C'1'1c.IN - ']'iGAHL) Construction Appilc•ant Name t_'Hh.Lb'1'ENbUN LLL:CTHIC Classitication AN):,1icant Adk"i : 111 SW COLUMBIA, SUl'VE; 480 Occupancy PORTLAND OH 9'/ZUI--b88b Validated by 1'Ei ApI .Lit--ant Phone : 'd41-4t_ 1Z lt:�,pector Area i- ee de-;cription Unit::; E'ee/I.Init Ext tee Data i t bt'atich W/Uut Feeder [ Entei: # 1 1 Jt) UC1 ib . UU A,1,li . 1',l aIiCh W/Ulli.. Feeder ( Enter # 1 J U(1 15 , 00 :DkAt,t.utal t.lect.rical Fees : bU , UU ,tate :aUrC•ha- tge ut b'1. 2 , b0 'I t-.aI E,lectrlcal E'ee- : 5L . 50 � kh E'ees Required *** *+r* E'er Collect(�d & Credits *+ � M.!t.ho(I Clieck # Et��ceipt:. Nv . Date Paymertt Ch 4:'405 03/14/9ts `_ Z . `,U l'e� u : 5L . Sll A,A luctmk-tits : uu i'otai Credits : UCI ictal 'Jotal t'aymerits : .,2 . au L',.:+lclnce Due : 00 NOTICE This permit becomes null and void It the work or construction for which It Is Issued is not commenced within 180 days Once construction has started. the permit becomes null and void If construction is interrupted for a period of 180 days I certify that the information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Wpartmenl's reliance upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances gove,ning the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspection%at various times during the process of constructfon and the building Inspection staff verifying compllance with the various codes. Use or occupan,v of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements. APPUCANT'S SIONATUIIE s WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue. #350-12 Hillsboro, Oregon 97124 Information. (503) 640-3470 Fax: (503) 693-4412 ,- permit Number _ ! �- __ DataPLEASE PRINT Please complete all 4. Complete Fee Schedule below Number of Inspections per permit allowed 1. Location of installation Service included: Items Cost(ea.) Sum Addtess. 7370 SW DURHAM ROAD Building A. Residential - per unit City PORTLAND Suite o. __. 1000 sq.fl.or less $110.00 _. __— 4 Tenant Name DIATRON, INC. Each additional 500 sq.ft $25.00 -- (it commercial) _ - or portion thereof $2),.00 - !_imiled Energy — 1 Map No. —Tax Lot --- Each Manuf'd Home r Modular $68.00 — - 2 Dwelling Service of Feeder -- Thomas Map Book: Page:---- Section: _--- Directions - ----- B. Services cr Feeders jjj_r tti'I:1 CF. C:nNTACT AT CF JnN WLM11l K _______ _ Installation,eltere ions or relocation 2 200 amm,or 1p iT $60.On x Residential 201 amps to 400 amps $e0 Cl(, - 2 Commercial 40•1 amps to 600 amps $120.00 _— 2 6f11 amps to 1000 amps -- $180.00 --- 2 2a. Contractor installation only: Over 1000 amps or volts $340.00 — 2 Reconnect only $50.00 -- l Electrical Contractor � ON I-LE'TRIC, INC. y Address111S W Co UMMBII SUITEi$� City _ PORTLAND State O_ ZIP_ LZ-91-5UE' G. Temporary Services or Feeders Installation,alteration or relocation - 2 Data 7�;5 Job Number t-h�An --- 20o amps or less R70 10 Property Owner 201 amps to 400 amps - $75.00 — 2 Contractor's Lice tS1 No. - C 401 amps to 600 amps $100,00 2 Contractor's BoardRe . No 0045b -- Over 600 amps to 1000 volts see'B'above _- r D. Branch Circuits Signature of Supr. License No._a:Lj%._ Phone No. / 1-/R 1 - Now,alteration or extension per panel a) The fee for branch circuits with purchase of service or feeder fee. 2b, For owner installations: Each branch circuit -- $5.00 - b) The fee for branch circuits without rinli5wner s ame Pone o purchase of service or feeder fee. First branch circuit 1 $35.00 35.0U ,— 2 A3dress Each add'nl branch circuit_3— $5 00 -Lc;—ML— --- E. Miscellaneous (Service or Feeder not included) l�* --- - tate Ip Each pump or Irrigation circle $40.00 The installation is being made on property I own Each sign or outline lighting $40.00 Signal circuit(s)or a limited which is not intended for sale, lease or rent. energy panel,alteration 2 or extension $40.00 ------ Owners signature --------- ---- ------ _ F. Each additional inspection over the allowable in any of the above Per inspection $3500 _ 3. Plan Review section If required) Per hour ---- $55 00 - -- Please check appropriate hem and entcrfso In section 5B. In Plant $55.00 -- --- 4 or more residential units in one sti ucture 5. Fees _Service and feeder, B00 amps or more 50.00 _SA. Enter total of above fees $ System over 600 volts nominal - 596 Surcharge (.05 X total fees) $ 2.5n __Classified area or structure containing special Subtotal $ 53-.Ln — occupancy as described in N.E C. Chapter 5 B. Enter 25% of line A for Plan Review if required (Section 3) $ 52.50 Submit 2 sets of plans with application where any of the Subtotal $ above apply Not required for temporary constructlor n Trust Account services. 52.50 Balance Due $ _.----- M For inspections call This permit becomes null and void N the work sutborl,+d by the permit it not commenced 640-3561 or 693-4415 cusp days from date d iasany lime of such permit m N the work authorized f Is suspended or abandoned at any lime after work is commenced la•period d 1.0 days. 2:4-hour recorder, one working day in advance of need Electrical permits are non-refundable and nonitanelershle. St94 DEPARTMENT OF LAND USE h TRANSPORTATION WASHING7 014 (4ND CEVELOPMFNT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 C01 INSPECTION BEQUESTS: 503/640-3561/693-4415 IV ORS_CA'ON XY.XXXXXXK--> b40-347 , Page 1 cut 1 Date 01/10/91) '1'imP 11 : 48 hermit- '1. ype Commercial t~lcc tt: i' a1 Perini t Permit # Ob06f6:14 Pcrrnit ,�+.:atu:, APPROVED Applir d ; 01/10/91) ./J /0 :.,W iA-11ZHAM PL` '1',i. Issued til/10/95 Pf:-firlit 'fit- Le UA11'HON INC LV Completed Permit Descr , ,_l08 b0y--4b82 1'o Expire 01/0y/91, Pr c, 7r(.•t `Pi t I te DAlTRON INC 4 c; 1.;1CUl't . Project. # P1)U46b;3'7 1•+rc:'t. L)eue:r P,Kt.c•eJ Number Z1:.1'.1'1. -- Land Ilse District Vet 11-rat aorl u Le(Jal. 0o'-;(.r . VWrI(�Y tM3PECTION - TIGAKU t'c�n:';tr-uctiorr U'I'H Applicant Name (:HkIi•1 ENI)UN LLtC:'1141t: C;lassi t i c:at.ion 900 At.•{.r1ic ant Arldr '. 11 5W CoLUME-1A, SULTE 480 Uccup,ancy PuR'11,AN0 OH 9'/Z01 Validated by PH Al pi.,caril Phone : 141-4812 lnslier- tor Area Fee 0e F,cription Urlit3 E'ee/Unit Ext te? Dat:a 1.an1i t sed bnr31.'c>y/Alter . /Extension 1 40 . UU 40 , oil )ui;t.ot:HJ. b'leCtr reel. } r?es ; 4U , UU ::,tate of L , U11 .Intal EIe•71,:r irel. !''::t?s rrlr bees kequ-.red kk } kkk !-('es (-'oll.ec;t.ed 6 Credits kAk Metho(.i C.rie k N Receipt, No , Date Pi-.iyrttt'rit '-'I•. 4L406 01/1(1/95 41 . 00 'YO iA,, '1'Hly DATE 42 . 00 F'ee 4z . U V Ad iwstment . W) 'i'-taI Cr(-:?dits : uU 7't,i a1 1•ee 4Z . :)(I 1ot..al Payru?nts : 42 . (II) ,ala ice Due : ),) NOTICE: This permit becomes null and void It the work or construction for which It Is Issued Is tint commenced within 180 days. Once construction has started, the pennit becomes null and void if construction Is Interrupted for a period of 180 days. I certify that the information presented by the r,ppllcant and his agent or agents In support of this permit It true rind correct to the hest of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit All provisions of applicable laws and ordinances governing the construction and use of this building ou structure will be compiled with whether or not specified on the pians or noted on the pians correction sheets. I ar.hnowledge that the granting of a permit sloes not grant authority to access private property or to use easements. I Further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of Lonstruclion and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the budding or structure permitted prior to approval by the Bullding Department Is sorely at the risk of the applicant and such use or occ upen.;y Is revocable until all inspection requirements are satisfied and approval is given by the Bulldinq Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements APPLICAN'T'S SIONATUAE WASHINGTON COUNTY Department of Land Use & Transportation ELECTRICAL PERMIT ��--. Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503) 640.3470 Fax: (503) 693`441:! permit Number ___ Date _ . rq I4. Complete Fee Schedule bpermlt ow Number of Inspections per allowed 1. Location of installation Service included: - Items Cast(ea.) Sum Address_ 7370 SW DUIWAM Rr.+D — _ - Building A. Residential -per unit City PORTLAND Suite o. 1c-o sq.It,or less —_ $110.00 _— a Tenant Name DAITRON, INC. is ac-)3ddiuenal 500 sq.n (if commercial) or portion thereof _-- $2500 — ------ Limited Energy --- $?`00 --_ 1 Map No, Tax I.ot -- Each Manurd Home or Modular Dwelling Service or Feeder $68.00 ---- Thomas Map Book: Page: Section:—__ Dir cN�r, � t t-nomIn-pATN �rir�t't�itR Services or Feeders _ Installation,alterations or relocation 200 amps or less ---- $60.00 _— 2 Commercial Xh Residential❑ 201 amps to 400 amps $6o 00 2 401 amps to 600 amps $120.00 2 601 amps to 1000 amps $180.00 2 2a. Contractor installation only: — Over 1000 amps or volts _ $340.00 — 2 Electrical ContractorCHRISTEN SON ELECTRIC, IN(:_. Reconnect only $5000 — 2 Address 111_ r.n1.1lMK rg,51rrE 480 C. Temporary Services or Feeders City_ Y1lIi'rr nNn _._— State-Cliff_ ZIP 97201 P Y Date_ ]bj9.5__ Job Number - 509-4532 Installation,alteration or relocation 200 amps or less $5000 __.—_-- 2 Property Owner ---- 201 amps to 400 amps _—_ $7500 — 2 Contractor's License No, 2fi-34a ----- 401 amps to 600 amps $1oo.00 ---- 2 Conti actors Board Reg. No. OU4 58 - Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec `%.; ,11s. 1 I R. D. Branch Circuits License No. 87 Phone No. 241-4812 Now,altoretion or extension per panel a) The fee for branch circuits with purchase of service or/seder lee. 2b. For owner installations: Each branch circuit $5.00 _--_ b) The fee for branch circuits without nnl�wner s Flame __---PonneeNo — purchase of service or feeder lee. first branch circuit $35.00 _ 2 Each add'nl branch circuit $5.00 _ 2 E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle_--_ $40.00 __ 2 The installation is being made on property I own Each sign or outline lighting $4000 2 which is not intended for sale, lease or ;ent. Signal circuit(s)or a limited energy panel,alteration 40.00 Owner's Signature —_—__—_ --_--- ---------- or extension $40.00 _ 2 F. Each additional inspection over the allowable in any of the above Per insoer:tion $35.00 3. Plan Review section (if required) Per hour $55 00 - Plea a check appropriate Item and enter fee in section 5B. In Plant $55.00 4 or more residential units in one structure S• Fees _Service and feeder, 800 amps or more 40.00 _System over 600 volts nominal A. Enter total of above tees $ —��- __Classified area or structure containing special 5°6 Surcharge (.Q5 X total fees) $ 42.-UkT - occupancy as described in N.E.C. Chapter 5 Subtotal - B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ ----4 00 above apply. Not required for temporary construction Subtotal $ services. [_1 Trust Acco;lnt - Balance Due $ . 42.00 For inspections call This permit becomes null and void N the work authorized b-,the permit I.not commsnc✓ 640-3561 or 693-4415 within ISO days from date of issuanre of such permit or N the work authorized Is suspended or abandoned at any time offer work is oommancad for a period of ISO day& 24 hour recorder, one working day in advance of need Eledrical Permits are nonrefundable and nontransferable. 8194 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST, HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON .4 NOTICE.: This permit becomes null and void If the work or construct'-in for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 180 osyn. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and torrent to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge!hat the granting of a permit does not grant authority to access p ate property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at •%rlouf times during the process of construction and the building Inspection staff verifying compliance with'he various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department In solely at the risk et the applicant and such use or occupancy Is revocabio until all Inspection requirements are satisfied and approval Is given by the Building Official. I further acknowledge that a lien mqy be placed on the title of the property upon which the permit is issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements. 7 OVI1CANr'S SIGNATURE(', WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: 503 1540-3470 Fax: 503 693.4412 PfOfE'Cti F'P.rlTllt PLEASE PRINT - Number Date1 -6 -55 Please coMplOte through 1. Lr✓cation7o�f install tin 4. Complete Fee Schedule below Address�/L,___ 1[� _ Number of inspections per pArmlt allowed uilding Service included: Items Cost(ea.) Sum Cit Suite No.—� Tenant Name n tr. L-5oi_, I A. Residential-per unit (if commercial) — a ' v _--- 1000 sq,ft.or less $1 10.00 4 Each additional 500 sq ft Tax Lot --- Map No. ------- or portion thereof _...— $25.00 Limited Energy -- $25.00 1 Thomas Map Book: Page:_-- Section:_ Each Manufd Home or Modular Directions —-_ Dwelling Service or Feeder $68.00 _ — 2 B. Services or Feeders Commercial [� Residential�_ Installation,alterations or relocation 200 amps or less -- $60.00 -- 2 201 amps to 400 amps $80.00 _ 2 2a. Contractor install tion, only: 401 amps to 600 amps $120.00 _ 2 Electrical Cortractor 601 amps to 1000 amps $160.00 2 AddressI Over 1000 amps or volts _— $340.00 __ 2 Date-_,I _w, ab Number _� Reconnect only $50.00 2 Property Owner — C. Temporary Services or Feeders Contractor's License No. L4 A Installation,alteration or relocation Contractor's Board Reg. No, 200 amps or leas $50.00 2 raaAk r/L 201 amps to 400 amps $75.00 Signature of Supr. Elec'n _ — 401 amps to 600 amps __ $100.00 _ License NoBi_ Phone No t.�>�je�+ Ogg 1 Over 600 amps to 1000 volts see W above 2b. For owner instal lions: D. Branch Circuits New,alteration or extension per panel Fr—int ner's Name Phone No a) The fee for branch circuits with purchase of service or feeder lee. Each branch circuit -- $5.00 b) The fee for branch circuits without its ty- lat- a - p--- — purchase of service or feed r fee. C First branch circuit $35.00 2 The installation is being made on property, 1 own Each add'nl branch circult $5.00 —'2 which is nci intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included Each pump or irrigation circle $40.00 2 Owner's Signature ------ Each sign or outline lighting $40.00 _ 2 Signal circuit(s)or a limited 3. Plan Review section (if required) energy panel,alteration � Please check appropriate hem and enter fee In section 58 or extension $40 QO -- _ 1 & 2 family dwellings over 320 amps s/c meter F. Each r-1ditional inspection over the allowable 4 or more residential units in one structure in any of ne above Per inspection $3500 - _ Service over 225 amps; feeder 400 amps or more Per hour $55 00 — System over 600 volts nominal In Plant $51100 — Building over 3 stories in height 5. Fees Building over 10,000 sq. ft. Occupant load over 99 persons A. Enter total of above fees $ _ Manufactured Structures Park or Recreational 5% Surcharge (05 X total fees) $ _��bc Vehicle Park; new, addition or alteration Subtotal $ - _ Classified area or structure containing special B. Enter 250 of iine A for occupancy as described in N.E.C. Chapter I Plan Review if required (Section 3) $ — .Subtotal $ —.— Submit 2 sets of plans with application where any of the Lass Buik Label Fee —T�� above apply. Not required for temporary construction Balance nue $ •r 22 services. For Inspections call This pe•mit becomes null and void 0 the work authorized by the permit Is not commenced wlthir ta0 days from date of lsauance of such permit or M the work authorized is 640-3561 or 693-4415 suspended or abandoned at anytime after work is commerreed fora period of 160 daye. 24-hour recorder,one working day in advance of need Electrical permlis are non-refundatris and non-transferable 5193 CERTIFICATE OF' CITY OF T I GARD OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT Pr, Rivi I T #, . . . . . , t 13UP94-0 J 13125 SW Hall Blvd. Tigard,Oregort 97223s8199 (503;M-4171 DATE ISGUFD: 02/06/95 (TE ADDRCSS. . . : 0'1.;-,,Q) 1- DURI iAll Pi 6-- PARCEL.: 2SI13ALA-01400 IBDI V I cj I ON. . . . Z ON I NG. I P .OQK. . . . . . . . . . LOT. . . . . . . . . . . . . .. -ASS OF WORE. :AL1 llt- OF USE. . . uCOM �.CUPFINCY GRP. 98i! CUPONCY LOAD.- 10 -NANT NAMr. . . :DAITRON ROmar+N : Dickitron– teriant expiRnsion Own Pr 15115 SW (jEQ(JOIA PKWY SUIIE 200 11GARD Or? 97224 Phone #: 62*--6300 A. J. WEBER CONSTRUCTION 1140. 1506 SW PAL X31INL- s,r PORTLAND OR f)7219 Ph 0 01 ppg #. . : 65238 Occupancy of the above referenced building ir, hereby given, and rk-rtifies the compliance with the State Of Oregon Gpet--talty Codes for the group, d pet occlApeAticLl "ll &l1d QSe llfiet- which the reference;—it was issued. L) 1.1) NG INSPECTOR JIL NG OFFICIAL PPT:�l 11\1 CONSPICUOUS P1..ACL CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone) 639-4175 Business Phone: 639- 71 / Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in F;replace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FIN Post/Beam Mech. Sar. Sewer Gas LineId Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation Me Llnderflr. Insul. Shear Wail Gyp. Bd. -Elect. �� time: AM PM Date Requested:__ ._. Address: 17J Z _�( � �f�. ►')'i (y\,�, �f� q _ 7� 7 Permit Builder .- -- THE FOLLOWING CORRECTIONS ARE REQUIRFD: --— V Date: /_3 Inspector- __ —• _APPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 13125 SW Hall Blvd.Tigard, Oregon 97223.6199 (503)630.1171 PERM 11' #. „ . . . . . : BLJP94 DATE ISSUED: 12/30/94 G39--w 1 71 QC-(' PARCEL. J S 1 1�,AB-N 1400 ADDRESS. . . : '47:i7►Il SW DURHE1-1,1 I SUBDIVISION. . . . . ZONING: I-r BLOCK. . . . . . . . . . . L01". . . . . . . . . . . . . . IZLISSSUE: FLOOR AREAS----- E:iTERlUFt WALL CONS CI-ObS OF WORK. :AL.T FIRST. . . . : 1025 sf N: S. E: W: TYPE OF USE. . . :COM SECOND. . . : af° �',R:,I'ECT TYPE: OF CON,ra'r.. :3N THIRD. . . . : s f N: S: Ei: W: UCCUE FANCY GRP. :B,2 TO TAL---- ---: 102-15 s f ROOF CONST:J E=IRE OCCUPANCY LOAD.- J.0 BASEMENT. : S f AREA SEP. RAVED: 6 OR. . 1 HT. : 18 ft GARAGE. . . : Sf OCCU SCP. RATED: Bblyl 1 '.' .N IYIEL Z:' :N READ SE T BACKS------ FLOOR LOAD. . . . : 125 p s f LEFT: ft RGHT : ft F I R SSKI_:`r' :iMOK i)E-C.•. :N DWELLING UNITS: FRN"C: ft REAR: fIV FIR ALRM:N HNDICP ACC:Y BLORMS: DATH6: 11YP SURFACE: PRO CORK:N PIA RK I I\IG: VE4LUE. f s 1500+0 Remav-ks: Daitron-- tenant expansion Uwrter _. __._______._ FEE13 ------.-_______ PAC I'RUST typE 'Amount: lay d� tt+ re<::pt 15115 SW SEQUOIA PKWY SUITE_ 200 PRMT $ 110. 50 JF 12/30/94 PL CK $ . 1. 8 3 JF - I IGARD OR 97224 F=I RE: 1, 44. ::'01 JF 1.;::/.::,0,/94 - -'hone #; 624-6300 5PCT $ 5. 53 JF 12/30/94 - N. J. WL-BER C:ONS"TRUC f 1GN INC. 1506 SW POLST I NE 51' PUll'LANU UH 9i'219 F�jI i o n e 0: $ 2,32. OC T OTkL Reg #. „ E.56-:__38 ----- -- REDU I RED INSPECTIONS -___-..._ This pereit is issued subject to the regulations rontained in the F r,aminy Insp � Tigard Municipai Code, State of Ore. Specialty Codes and all other I n s .i l at i on 1 n 5 p applicable laws. All work will be don? in accordance with OyP lAoai-d Insp __ .,. _....__.__.._.____.._. ......._.._ approved plans. This pereit will expire if work is not started Susp Ceilnq Insp ....... within 186 days of issuance, or if work is suspended for Bore Fina 1 Inspection tnan 18N days. �._ _._. --___-- , 1y is...ied By L Call fot, J,nspecticln - 639-4175 i _ y 1 Commercial Building Permit application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobslte Address: 7 �a �Uje� i Tenant: SultP # Office Jse Only ' Valuation: # i /�� Plandc/Rec Petmd #'k Owner: Pad ficRealty Associates , L.P. (PacTr s ) MapRTL# Address: 15115 S.W. Sequoia Pkwy. , Suite 200 Approvats.Required Portland, OR 97224-7199o Planninq,_ Phone: (503) 624-6300 _ Engineering Other Contractor: i .a : . � Address: 4-� 1 L, Type of const: 3� Phone: ✓� _ Occupancy class: 3��' Contractors5prinklered? `es i No License #�� 2 (attach copy of current Oregon iic:ense) Sq. ft. of project:_ e ' Story (1st, 2nd, etc.) Architect/Engineer: John H. Romi sh Proposed use: Address: 2216 S.E. 24th Avenue — Previous use: Portland, OR 97214 Note: Plumbing & mechanical plans must be submitted at time of Phone: (503) 236-6306 building permit application. COMMENTS: r L f A-- �F�:ant Signature 9 Phcnd number Received by: C pate Received:_ ;-CL Permit S Account Description Amount Amt. Pd. Bal. Due qBldg. Permit (BUILD) _L_!u/ I _ Plumb. Permit (PLUMB) Mech. Permit (MECH) _ State Tax (TAX) o Bldg: Plumb: Mech: Plan Check (PLANCK) Bldq: _ Mech: Sewer Connection (SWUSA) Sewer Inspection WINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDS DC) — Residential TIF (TIF-R) Mass Transit TIF (T'F-MT) Commercial (TIF•C) Industrial TIF (TIF-1) institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERFRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00043 131,'5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02128/2000 fSITE ADDRESS: 07370 SW DURHAM RD BLDG G PARCEL: 2S113AB-01400 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Difln Telecommunication Installation A.RESIDENTIAL _ B.COMMERCIAL AUDIO& STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: -- —^ --INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 J Owner: Contractor: PACIFIC REALTY ASSOCIATES ALLEN/FALK INC 15350 SW SEQUOIA PKWY #300-WMI 9020 SW GEMINI PORTLAND, OR 97224 BEAVERTON, OR 97008 Phone: Phone: 646-0533 Reg#; LIC 47236 SUP 781JLE OR ` �:I G I 'N A ELE 34258CLE _ FEES Required Inspections Type _ By Date _ Amount Receipt Low Voltage Inspection PRMT KJP ^ 02/28/2000 $60.00 00-321867 Elect'I Final 5PCT KJP 02/28/200C $4.80 00-321867 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Core, 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 a.spended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utii,ty Notification Center. Those rules are set forth in OAR 952-00 1-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. l Issued by Permittee Signature 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N 7(_ �y. DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF,TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION RP.:'d by 13125 SW WILL BLVD Date Rec'd: TIGARD OR 97223 PRINT OR IYPF V - 503-639-4171 X304 Permit#._4:LP XQOV –Ccxt3 F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY EL�\p_ Restricted Energy Fee....................................... $60.00 — (FOR ALL.SYSTEMS) ,JOB Street Address Ste# ADDRESSmow ur �i Check Type of Work Involved 71 _ C; /Slate ip ony a� Ph ❑ Audio and Stereo Systems — 1Nar '�_ �';�� I �� ❑ Burglar Alarm ❑ OWNER Mailing Address Garage Door Opener' 1S3S") S Ci�y/State Phone# ❑ Heating,Ventilation and Air Conditioning System' Name �� ,, , ❑ Vacuum Systems' A�1�.n / l 4^1 I�� L1L_ ❑ Other --- --- --�. CONTRACTOR Mailing Address gQaD !,vv TYPE OF WORK INVOLVED -COMMERCIAL ONLY Y_ iPnor to Issuance a 'ity/Stale Zip Phone# Fee for each systr:m.............................................. $60.00 opy of all licensesJbQC %/P q pp y( -(Fjg (SEE OAR 918-�RrJ 250) arei required if Oregon Contr B d i # Exp,Date expired in C O T t-{�� , pZ f Z�1 Check Type of Work involved data base) Electrical C ntr Lic # r Exp ate n o�rj �LrG _ pfJ ❑ Audio and Stereo Systems C O T or Metro Lic # Exp Lr'ate J S �QO - ❑ Boller Controls Owner's Name __�� — ❑ Clock Systems OWNER - Mailing Address APPLICANT City/State ne Data'Telecommunication Installation �Zip Pho # ❑- Fire Alarm Installation This permit is Issued under CAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following J Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503-639-4175; �❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit. 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting" inspector are done.and. ❑ Protective Signaling Assume responsibility for calling for a final inspection when all of the �1 correctionL_ s are completed _I Other Permits are nontransferable and non rcf;rndable and expire if work Is not started within 180 days of issuance or if work is suspended fnr 180 days Number of Systems The person signing for this permit must be the applica,'or a person No licenses are required Licenses are required for all other installations authorized to bind the apolipant — -�sc — 3 it FEES: Signature IN � TER FEES $ DD W SURCHARGE(.05 X TOTAL ABOVE) $_ u 8G Authority if other than ApplicantTOTAt. $ to 4,80__— \dsts\forms\resele dor:3/98 CITY OF TIGARD MECHANICAL. COMMUNITY DEVELOPMENT DEPARTMENT P'ERM 1 1 13126 SW Hall Blvd.Tigard,Oregon 97223o6199 (503)539.4171 PERMIT #. " . � . : MEC95—OCA 1 DATE ISSUED: 01/21/91� PARCEL: 2S113AB---01,W 'SITE ADDRESS—DRESS— : 12.17370 SW DURHAM RI, 61_11-ADIViSION. . . . : ZONING: I—P LALOCK. . .. . . . . . . . . LCJ 1•. . . . . . . . . . . . . . CJ_A'5S3 OF WORT;. . SALT FLOOR FIJ14N. . . . EVAP COOLr:..RS% I'YPE OF USE. . . . :00M UNIT HEATERS. . : VENT FANS. . . : OCCUPANCY GRP. . : VENTS WIO ADPL: VENT SYSTEMS. "OURIES. . . . . . . . : I BOILERS/COMPRESSC)R�) HOODS. . . . . . . : FULA- 0-3 HP. . . . : 1. DOMES. INCIN: : /b"b/ 3-15 HF'. . . . : CC)MI1L. IIICIN: MAX INPUT: 8TU 15--30 1 IP. . . . -. REPAIR UNITS; FIRE` DAMPERS?. . : 30--50 HP. . . . WOODSTOVES. . : GAS I*DRESSURE. . . t rjo+ IAP. . . . CLO DRYERS. . : N(J. OF UNIT" AIR HANDLING UNJ 'I"S OTHER UNITS. : iIJRN ( 100K BTU: 1 10000 C-fin . GAS OU TL.ETS. - I A i-iiHN ) = ,00h4, BTU: 1CV100 fm : Daitron-- tenant expansion qnerl: I------.,-.-- FEES )C`T RUST t y Vj e a m 0'.1 n t by date r-ecpt. ,1 15 SW ";E0,UOIA PKWY SUITE 2,00 PRMT $ 25. 00 JF 01121195 — PLCK $ 6. 25 JF 01/21/95 -- : UARD : UARD OR 972c�4 T $ 1. 213 ,IF 01/121/1)15 ,,fie -14- 624-63001 _1MATE. CrjNTROL HIG & A-C NW 26TH AVE 1HIL-14ND OR 97210 ,iane #- R2,3-4392, $ 32. 50 TOTAL q .0. 62 1.96 --------- REQUIRED INSPECTIONS is Derpit is issued sub,m1 to the regulations contaired in the Gas L-ine Inso Igard Municipal code, State of Ore. Specialty Codes and ail other Nect-ianical In-,p applicable laws. All work wall be done 0 accordance with Final Ins;pest ion approved plans. This pervit will expire if work is not started within 188 days of issuance, or if work is suspended for core than IR, days. 11)""littee Signati-ii-e: I ,.i,ied by - Lail for-, inspect ion 639--"1175 City of Tigard MECHANICAL PERMIT Planck/Rec. # — �� 13125 sw Hall Blvd. APPLICATION errrlit # ' l s- u `1 Tigard, OR 972.23 (503) 639-4171 Table 3A Mechanical Code QTY PRICE AMT .lob • -7-270 564., !k/eH1t%r1 Rf,. 1) Permit Fee -0- -0- 10.00 Address a• — - -----^ rm;ftp[) 77;,1-3 2) Supplemental Permit — 300 « •,--, ----Fumace to T00.006 BTU — Plk-72C u 5,7, 1) incl.ducts&vents 6.00 MWV ••• urnace 100,000 BTU +-�- Owner 1'5-115- -r w Ser"t914 F 2) incl duc',&vents 7.50 or -urnance -- �q 774V 3) incl. vent 6.00 �•^••«^m ..` - Suspended eater,wall fioater p/V 4) or floor mounted heater - 6.00 - -921;-m=- en no incl. in Occupant J370 5) appliance permit 3.00 �- epair of hPatuig, re r q -- 7'/(�yQ�el) r7R- 6) cooling,absorption unit 6.00 - Booiler or comp, pump,air cond-, C G sss/�Jai Cs�i?7�j�1��171(C 7) to 3 HP absorp unit to 100K BTU i 6.00 M.I.V - iic or comp,heat pump,air conk. Contractor F3,1 ti-u/. 2- 8) 3.15 HP absorp unit to 500K BTU 11.00 Boiler or comp,boat pump,air con . �Gy2r•G,�u,� G,Q. QJJ/�' 9) 15-30 HP absorp unit .5-1 mil BTU 15.00 3= M - BoilWr or comp,heat pump,air con . �1/A�? 10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50 TTiere y acknowleage that I have readT is app icaTwn-iat�ie--- Boiler or compheat pump,air condr -- inform3tion given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 rril BTU 31.50 of We owner, that plans submitted are in compliance with Statetr nit ingc�f unit to-- laws,that I am registered witli the Construction Contractor's Bcard, 12) 10,000 CFM 4.50 that the number pi-.on is correct. (If exempt fron State registration, -7iir an i�---- -- please give mason below.) 13) 10.000 CTM 4 7.50 Non porta a -- 14) evaporate cooler 4.50 -Vent tan connected -� 15) to a single duct 3.00 anti-Fab-on system not 16) included in appliance permit 4.50 sv-3�ZG�a {5Hood served y -- _ 17) mechanical exhaust 4.50 l new — a ui� a tera nrepauZCommercial or industrial to be done residential O non residential 18) typo incinerator 30.00 -Ezis$ng use of --w000dstove,w-ale--- buikling or property 19) heater, solar,clothes dryers,etc. 4.50 I'r(pwsed use of 20) Gas piping one to four outlets 2.00 kAJing or propeity --- 'yne of tual-oil O natural gas�( 21) More than 4-per outlet LPG Q electric O -- - - NOTICE Mir.imum Fee$25.00 SUBTOTAL �_5•<< PEnMITS BECOME VOID IF WORK OR CONSTRUCTI-W - -' AUTFIORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR - ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED ------ -- --- TOTAL T , Special Conditions - - -- -- --- -- - -_ _-- - Date issued by CITYOF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP200?-00097 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/27/03 PARCEL: 2S113A3-01400 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07376 SW DURHAM RD BLDG G SUBDIVISION: FANNO CREEK ACRE TRACTS BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 40 TENANT NAME: DISH NETWORK SERVICES REMARKS: TI Expand finished space and ADA upgrade Owner: PACIFIC RFALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Picone: 624-7717 Contractor: H L GREEN 15350 SW SEQUOIA BLVD STE 300 TI 6:OR6P?2M 7 200-95S( (RANDY) Reg #: FIC-881 14I)MfIGI 11 ) This Certificate issued 5/I5/j13 grants occupancy of the above referenced building or portion thereof-and confirms that the building has been inspected for compliaes"V with the $t . e o regon Specialty dfor,the group, occupancy, and us,6 t�hder whit t e r enced permit w 13UILDING INSPECTOR BUILD N I L - POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — INSPECTIdN DIVISION Business Line: (503)639-4171 3 BUP Received _ __ __.___ Date Requested--S �S AM-- PM CFUP)2_4DU3' OC4 C1_)_ Location ._" __� �U_—__.(� Suite _ Contact Person _---_ �" �_.— Ph(—) PLM� b � � -- - Contractor — __— __._____ _-_.�._... __ Ph(--) _ SWR -BUILDINGi� Tenant/Owner --------_- — ' v� �� ELC _-- --- ELC Foundation Access: Fto Drain ELR - Crawl Drain Slab Inspection Notes: SIT Post& Beam -----_-_- — --- Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing _— --- ----- ---- - ------ -- _ _ Insulation Drywall Nailing ----- - ---- ----- --- Firewall Fire Sprinkler ---- - ---- - ....____- - --- ----- - --.---- Fire Alarm Susp'd Ceiling -- -- - ----- ----- --- ---- Roof `h ART FAIL - __ --- --- -------- - --- - --- PLUMBING Post _ Post&Beam Under Slab - - - - --- --- - -- -- Rough-In Water Service ---- --- - -- - -- - ---- Sanitary Sewer Rain Drains ---- - - - --- -- -- - - Catch Basin/Manhole Storrs Drain --- -- -- _ ----- ----- -- Shower Pan Other. - --- ----- _____Final ---PASS- ------ - - PASS_ PART FAIL ---- ------ - __ .�_____-- ---- - - - ------_ __------ MECHANICAL Post&Beam Rough in - -- - -- - - --- -- ---- ----- Gas Line Smoke Dampers - --- ---- ------- ---- Final _PASS PART FAIL — -- -- -------- -- -ELECTRICAL -- ------------ service Rough-In UG/Slab Low Voltage _.._---- -- - Fire Alarm Final Reinspection fee of$--_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL Please call for reinspection REE Unable to inspect-no access Fire Supply Line ADA r Approach/Sidewalk Inspsctoi _ �� -_ Ext -- Other: rmal DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY Or- TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION! DIVISION Business Line: (503)639-4171 MST BUP Received Date Requested __. AM___� PM—_ BLIP Location _____�. __71'2—._` 12-� --Suite__ — _ MEC — Contact Person Ph PLM Contractor ____ Ph(—) ____� __.�_ SWR 2 BUILDING Tenant/Owner _ �__ — �._ __._—.— ELC — Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ __— Post& Beam Shear Anchors Fxt Sheath/Shear Int Sheath/Shear Flaming _ -- - --- -- - ------ Insulation Drywall Nailing Firewall Fire Sprinkler - - -- - --- — — Fire Alarm Susp'd Ceiling _--____-- Roof Other: -- --- Final -_— PASS _PART FAIL -- —" PLUMBING Post& Beam--- ---- _ Under Slab -- --- -__-_- Rough-In - `^ Water Service - -- ----- - - - ------ - -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - - - - - -— -- — - Shower Pan Other: Final PASS PART--,FAIL,-,- MECHANICAL Post& beam Rough-In - --- -- Gas Line - - --- - __------ Smcke Dampers ------------ -___ -_— Final PAS —DIRT FAILLPIT --- - - GrTR) --- . ervice Rough-In UG/Slab - --- --- - - -------__ Low Voltage — - - - --- - -- Fi Alarm FAIL rm Reinspection fee of$ —_—require(]before next inspection. Pay at City Hall, 13125 SW Hall Blvd. l PAS SITF Please call for reinspection,RF Unable to inspect-no access Fire Supply Line 1 ADA Approach/Sidewalk Date ___.�%l - Inspectof /_ �"' _ Ext Other: _ inal DO NOT REMOVE this Inspection record from the jdb site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BUP Rsce�;ed _ &5J x- ��,Date Requested—_G�'3�.____._-. AM--____.__ PM.�_—_ SUP Location __._ w _� >It--) 1?t-"-INA-41 ---Suite 9*6-7MEC Contact Person Ph (.�3) ;2_a(P 7L5_-z- PLM 3 174_73 Contractor __ ___ Ph( ) — _—__ JR BUILDINGS Tenant/Owner ��_�` AJ S — ELC Footing - ELC Foundation Access: Ftg Drain ELR _- Crawl Drain Slab Inspection Notes: SIT Post&Beam --- --_-__---_.- _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ------ --- - --- ---- Insulation Drywall wailing -----------. _ -- -- -.._ -- --- Firewall Fire Sprinkler - - ,�-.----_-_._----_-__-- ICiro Alarm .uap'd Ceiling - ---- - ---- Roof Other: - - ------------------------- Final PASS PART FAIL— Post&Beam Under Slab ----- -_-.- - ------ Rough-In Water Service _- Sanitary Sewer Rain Drains - - - — Catch Basin/Manhole Storm Drain -- -- -- - ----- Shower Pan Other: --- ---- n ) Asla I/ PART FAIL ----- - - - _ - - -- MECHANICAL Post&Beam - T - --- ---- --- Rough-In - - -- - - ----- -- Gas Line Smokc Dampers - - -- - Final PASS PART FAIL - -- -_----- --__-- - ---__-_- -_ _�- ELECTRICAL Service Rough-In --- ------- ------ ---- - UG/Slab Low Voltage Fire Alarm Final -- - ------- f------------- Final PASS PART FAIL Reinspection fee of x_ required before next inspection. Pay at City F ill, 13125 SW Hall Blvd. SITE _ -� Please call tot reinspection HE l Unab ,to inspect-no access Fire Supply Line ADA ` r `' ) 6 Approach/Sidewalk Date__.____ Inspector t.% _ Ext Other: Final /DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL i4RD --BUILDING PERMIT CITY OF TIG PERMIT#: BUP2003-00097 DEVELOPMENT SERVICES DATE ISSUED: 2/27;03 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01400 SITE ADDRESS: 07370 SW DURHAM RD BLDG G SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P _BLOCK: LOT: JURISDICTION: TIG — REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS_? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 40 BASEMENT: sf AREA SEI,. RATED: STOR 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS REQUIRED —Y FLOOR LOAD: psf LEFT: ft RGHT: Jft FIR SPKL: SMOK DET: DWELLING UNITS: FRN r: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 49,000.00 Remarks: TI Expand finished space and ADA upgrade Owner: Contractor: PACIFIC REA'_TY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300-WMI 15350 SW SEQUOIA BLVD PORTLAND, OR 97224 STE 300 TIGARD, OR 97224 Phone: Phone: 624-7717 Reg #: LIC 41328 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require 113UiLUJ Permit Frc 2/27/03 $463.30 Electrical Permit Required 1 AX 8°/%Stair l ae 2/27/03 $37.06 Plumbing Permit Required I � J Framing Insp IBUPPLNI Phi I: 2/27/03 $301.15 Gyp Board Insp IFLSJ FLS I'In Its 2/27'03 $185.32 Susp Ceiing Insp Total $986.83 Final Inspection This permit is issued subject to the regulations 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.-001-0100 You may obtain a ropy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 /✓ ) L Issued By: k1 , [ CP 1 _ Pennittee ' signature: _--- Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00073 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/4/03 SITE ADDRESS: 07370 SW DURHAM RD BLDG G PARCEL: 2S113AB-01400 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLUOR DRAINS: 2 TRAPS: STORIIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSi:TS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Capping (2) shower stalls and installing (2) 2" floor drains in their place, a,'Jing (2)wate, closets. FEES Owner: --' Description Date Amount PACIFIC REALTY ASSOCIATES — 15350 SW SEQUOIA PKWY #300-WMI il'Ll INIl3J Ncruut Fee 3/4103 $72.50 PORTLAND, OR 37224 I IAN 18%,,State Tax 3/4/03 $5.30 Total $78.30 Phone Contractor: DEAN WARREN PLUMBING 3111 SE 13TH PORTLAND,OR 97202 REQUIRED !NSPEC7IONS P lone : 236-4152 Rough-in Insp Top-out Insp Reg#: LiC 172 Final Inspection pl_M 26-831113 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 adopted by the Oregon Issued By: y :{� (L j c _ Permittee Signature: c`� � Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building Fixtures Plumbing Permit Application Received M��Date/By: dPermit No.: YG �% J %' Planning Approval Sewer ��e��0�7 7 City of :Tigard Date/B �- Permit No.: L 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: — Phone: 503-639-4171 Fax: 503-598-1960 Dost-Review Land Use Date/B _ _ Case No,: Internet: www.ci.tigard.or.us Contact J see Page 2 for 24-hour Inspection Request: 503-639.4175 Namc/Methou __ /�• supplemental I:Jorn,atlon. _ TYPE OF WORK FEF*SCHEDULE forspecial Information use checklist F] New construction —_ Demolition Description Qty. Fre{ea.) Total Addition/aIteration/replacement Other: New t-& or cacti dwellings includes 100 ft.for each ulllfty connection) CATEGORY OF CONSTRUCTION SPR 1)bath 249.20 1 & 2-Family dwelling N Commercial/Industrial SFR(2)bath 350.00 [Accessory Building _ Multi-multiSFR 3 bath _ 399.00 ❑ Mas_ter Builder _ Other: Fach additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Firesprinkler-sq. ft.: Pae 2 Job site address: �'^ i�uR l4 �1 R D, Site Utilt fes -- ,, Catch basin/area drain 16.60 ite#: BId ./,A ---- Drywell/leach line/trench drain -__ 16.60 Prosect Name: T Footingdrain no.linear ftpPa,c 2 Cross street/Directions to job site: Manufactured home utilities 110.00 C��[l��F,Q dse,,�ES f ✓��l Manholes 16.60 Rain drain connector 16.60 Sanitary sewer no.linear fi.) Page 2 /�� O T� Lot#: Storm sewer(no. linear ft.) Pae 2 SubdiVlSlOn: Water service(no. linear ft) _ Page 2 Tax map/parcel #: _ Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 ��i,, p�-su.+� Z-U.�C. Backflow preventer _ Page 2 f� r''� Backwater valve 16.60 Clothes washer 16.60 -- ---- - Dishwasher 16.60 Drinkin fountain_ 16.60 _ PROPERTY OWNER _ F M TENAN7_ _ Ejcctors/sump 16.60 1 ame: i�t i ��' _ Expansion tank 16.60 Address: /$-3�i� CLt�t2 ty Fixture/sewer cap 16.60 City/State/Zip: o,t. ie.�..Q t _f�7 Flocs drain/floor sink/hub _ 16.60 J Garbage disposal 16.60 Phone: 62# - (e : O v Fax: k ]1 S SJ Hose bib 16.60 APPLICANTCONTACT PEP 'ON Ice maker _ 16.60 _ Name: Interce tor/ rease trap 16.60 Address: !Medical as-value: S Pae 2 -J __ -- -- Primer 16.60 --jl Cit /State/Zi _ Y p• _-- _ Roof drain(commercial) 16.60 Phone: Fax: Sinkfbasin/lavator 16.60 1,rnai1: Tub/shower/shower pan 1660 _ CONTRACTOR - Urinal 16.60 Water closet Z 16.60 �' r Business Name: D1;A&L U,2eAAX-:Yt. -PL134- _ Water heater Address: I i c i _ Other: Cit /State/Zi : PP�-�p -1r7�DZ Other: Phone: 03--L epi s Fax:s p3 236 1 3 Plumbing Permit total Subtotal S CCB LIC. #: 0172- Plumb. Lie.#: 2,6 f 3 Minimum Permit Fee$72.50 $ Authorized Residential Backflow Minimum Fee$36.25 7,� Signature: _ _(' _-Dafe:.ice- --03 _ Plait Review(250,16 of Permit State Surcharge 8%of Permit Fee S (Please print narne) TOTAL PERMIT FEIN: S J� ,,otice: 'rhls permit application expires If a permit Is not nhtalncd wi+kin All tew commercial buildings require 2 sets of plans with homctrlc or I RO days after It has born accepted as complete. rlsrr diagram for plan review. *Fre methodology set M TH4 ou-t} Building.Industry Service hoard. I\I)sts\Permit Forms\Plnd'em App doe 01103 Plumbint Permit Appliegtion - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppsession Systems: ' Site Utilities Qty. Fee(ea) Total Square Footage: Permit fee: —� Footing drain- I" mo' 5>wt 0 to 2,000 $115.00 _ 2 Footing drain-each additional 100' 46.40 001 to 3 600 $160.00 3,601 l0 7,200 $220.00 Sewer- I st 100' 55,00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Ist IM' 55.00 Medical Gas S 5ten15: Water Service-each additional 100' 46.40 Valuation: I Permit Fes: Storm&Rain Drain- Ist 100' 55.00 $1.00 to$5,000.00 1 Minimum fee 572.50 Storni&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000,00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total including$10,000.00. Commercial Huck flow Prevention lhvice 4040 $10,00!.00 to$25,000.00 $148.50 for the first$10,000.00 and$1 54 for each additional$100.00 or fraction thereof,to Residential Backflow Prevention Device minimum erniit fee$36.25 _ 27.35 and it !uding$25,000.00. Ram Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1 45 for -- each additions,$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.29 for Subtotal: each additional$100.00 or fraction thereuf. Fixture Work: Are you capping,moving or replacing existing tixtures" If ",yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sencer fees*. Quantity V (Fliture Work Performed i onunents regarding fixture work: Fixture Type: rReplalce —� _ New MovedCap d lrylonIBath -Tub/Shower-Jacuzzi/Whirl oolCar Wash -Hach Stall --- _ -Drive Thru _ Cas idor/Water Aspirator — — Dishwasher -Commercial _ ------ --- -Domestic Drinking FountainEye Wash --- -------- ------ - Floor Drain/sink 2" 3" -- Car Wash Drain ---- *Note: If the fixture work under Ibis permit results in an (larhage -Domestic Disposal -commercial increase of sciver F.Dlls,a sewer permit will he issuctl and Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Refrig.Drains plumbin}; permit can he issued. Oil Separator (Jas Station Rec.Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - -Bradley —_ -C'omrnercial -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-'toilet Urinal -.- Other i tDststPermit Fumu\PlmPermitAppPg2.doc 01/03 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00077 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/4/03 SITE ADDRESS; 07370 SW DURHAM RD BLDG G PARCEL: 2S113AB-01400 SUBDIVISION: I ANNO Uk FK A( RL TIRA(-1 S ZONING: 1-1' BLOCK: LOT: JURISDICTION: "fi(i TENANT NAME: DISH NETWORK USA NO: FIXTURE UNITS: 12 CLASS OF WORK: NEW DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .8 EDU increase. Previous fixture values were 245, this adds 12 values for a new total of 257. Owner: _ FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY#300-V1%MI PORI LAND, OR 97224 (SWUSAI Swr Conncct 3/4/03 $1,840.00 )SWUSA]Swr Connect 3/4/03 $0.00 Phone: - Total $1,840.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from ttie date issued. The total amount paid will be forfeited if the permit expires. The Agency does net guarantee the accura(y of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in alf directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm Issued by: , _- - Q'_Ec t"„yr ��, Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needt'd the next business day Accumulative Sewer Tally Tenant Nafne: Dish Network This SWRA2003-00077 lite Address 7370 SW Durham Rd This PLM# 2003-00073 1 ixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total _ count off#s count # value #s values Baptise /Font 4 G 0 0 0 0 Bath- Tub/Shower 4 0 0 0 0 - 0 -Jacuzzi/Whirlpool 4 0 0 _ 0 _ 0 0 Car Wash- Each Stall 6 0 0 0 0 0- -Drive through 16 - 0 0 0 - 0 0 ` CuspidorfWater Aspirator 1 0 _ 0 U 0 0 Dishwasher-Commercial 4 0 0 0 0 0 -Domestic 2 0 0 _ - 0 0 0 ` Drinking Fountain 1 0 0 0 _ 0 0 - Eye Wash _1 0 _ 0 0 0 0 - Floor Drain/Sink-2 inch 2 0 0 2 4 2 4 - 3 inch 5 _ 0 0 0 0 0 _ -4 inch � 60 0 0 0 0 Car Wash Drr 6 0 — 0 0 0 0 _Garbage Disposal _Y. -- _ -Domestic(to 314 HP) 16 0 0 0 0 0 Commercial (to 5 HP) 32 ^_ U 0 0 0 0 Industrial(over.511P' 48 0 _ 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 _ 0 0 0 Oil Sep(Gas Station) -6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower-_Gang (per head) 1 0 -- _0 —0 0 0 Stall 2 0 2 4 0 -2 -4 —_ Sink-Bar/Lavatory _ 2 _ 0 _ 0 _0 0 U Bradley 5 0 _0 0 0 0 Commercial 3 0 0 0 0 _ 0 Service 3 ----0 _ 0 _`- 0 — 0 0 — Swimming Pool Filter_ 1 0 U �- 0 0 0 Washer- Clothes 6 0 __0_ 0 0 0---- W ater Extractor 6 0 0 -----0--- 0_ 0 Water Closet-Toilet 6 _ 0 _ 0 2 '2 2 _12 Urinal 6 0 0 _ - 0 0 0 Previous EDU Count 15.3 244.8 I 244.8 Capped EDU Credit 0 TOTALS 0 244.8 2 4 4 16 2 256.8 Current Fixture Value 256.8 divided by 16= 16.1 Current EDU 1 EDU _ $2,300.00 Previous Fixture Value 244.8_ divided by 16= 15.3 Previous EDU Change_ 12divided by 16 = �0.8 over (under) $ 1,840.00 Ent_er EDU Change Here 0.8 I4ISTORY `dotes — PLM# 2.001-00625 _ _ED'J# 15.3 SWR# 2001 00312 PLM# Per acct. 15 EDI I's FDU# _ SWR# P M#.- — EDU# �I/5W R# I I Date: 7 Signature Of P14sar that calculated this tally sheet and date perfrorned is required CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00119 DEVELOPMENT SERVICES DATE ISSUED: 3/11/03 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113AB-01400 SITE ADDRESS: 07370 SW DURHAM RD BLDG G ZONING: I-P SUBDIVISION: FANNO CREEK ACRE TRACTS BLOCK: LOT : JURISDICTION: TIG Project Description: Install 10 branch circuits for TI. 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 1-TG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps -1000 volts: — MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTION 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 9 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >61:4 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC 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 20535 FEES ELE 3-2430 Description Date Amount Required Inspections I.1.PRM-1.I ELC'Pcrmit $106.70 I AX)8%State Tax I I n; $8.54 Rough-in _ Elect'/ Final Total $115.24 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Or' Specialty Codes and all other appli�;able 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 by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332.2344 Issued By: j._ 'L4 (. r} 1!"l ��,� >'`ah� Permit Signature: 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __ DATE:– LICENSE NO: �' 1 � _—_ - ---- ---- -- — -- Call 639.4175 by 7:00pm for an inspection the next business day From.Charlynn J Leifsen To City of Tigard Data:3/5/2003 rime 9 58.34 AM Pape 2 of 3 Electrical Permit AppUcation Dew raa:ived: i i Perini,no1kPV03-ova ED City of Tigard j t-i_��: .+ Project/appl.ne Expire dale- — 0yofTrgerd Address: 13125 SW Ilall Blvd.Tigard,OR 97223 bale issued: B W Rttceipt tw I me: (503) 639-4171 Fax: (503)598.1960 rase foe tura: Payment type' Land use approval: U t f4 2 family dwellinS cr accessory I&IC•ommercial/industrial D Multi-family :J 7enant improvement U New construction UAddition/alteration/replacement D Other: ___D Partial Job address: 7370 SW Durham Bldg.no.: uite no.: Tax map/tax lot/account no.: _Is — - Lo;: Block: Subdivision: _ __-- Project name: Dish Network _^ Description and location of work on piemiwli: Tenant improvement Estimated date of completion/inspection: Jobno: 8132 Mm` Business name: Johansen Electric Inc, �'' tt•l r.W .a.l.a� New rsYee/id-�ka�i rhrd7/er Address: 10948 SE Va_Iley View Terr• dwe�mIr.taelrrI sattaAedasraaa. city: Clackamas State:OR ZIP:97015 + Phone: n po 503-699-3417 Fax:503 688-1.466 F-mail:Johanxnnelwa��eo—Loom IMan •tt ar Ins 4_ ccg no-51539 Elcc.bus.lic.no:3-243C — E,cb afrlihrnal s00 hyo 00.� n;°n thereof Limited enemy, resiCai dstrtW _ 2 /mc Ili.n . 4896 _ L��tom! roast'. no"toridomw 2 CA 3/5/03 FA&mumlea red home m modular dweiiingi - 5ignatura of%o icing elmUiciae (required) ---- Date Service rawer.fesrinr _ 2 sap.etect.-sine(prim: Carl K. Johansen Lloeau oo: 2053S ear.(""«taraer.-•1'ra'"'e"'' altenrt.n or res.e.rto.: 200 am,,*or ler, _ ? Name(print)' int amps w 400 stays --------- 401 un w(M amps _ 2 — Mailing address: _ 601 amps to loon amps ?_ ('fly _ State: 7lP: Over 1fNJ0 amps m vola 2 Phone. {aX: E-mail: Rte,ahnez t only Owner installation The installation is being made on property 1 own Titor nary aerdees or feeeera- which is not intended for sale,lease,rent,or exchange according to I1ataNatlaa,aNerarla"'°►rrtrrratM"` AN)amps N lens ORS 447,455,479,670,701. . —2 z01 roil,w 400.mm, 2 _ Owner's si lure _ __ Date: 4111 to hal amps 2- Rnera etreWr-sew,atten(ba, or rxtelaios per pawl: Nan:t:._J-- _ A Fur Gr branch cinvits wdh purchase of Address: service or feeder fac,each brianeh_circuit_ - 2 - city: _..-`-- — State: ZIP. 11. F�- fin branch circuits without purchase of srnvice or fide fee,flnt branch circuit 1 46M 41111', 2 Phone: Fax n-mail - -- ____ — -__ E.ach additional trench circuit. • nsfw.(srrA omreeaawnot f"r►atea): D Service m•,r 225 stnp4rnmtWirial 'J Wailt-carr tYrilitg U 4rvhue over 120 ampstalwp.or Id 2 U llarstdorhr Ih>Lw/im luheb rias or outtiec 11 tins _ family dwelling, U fluilding nuts 10,0110 spun feel Fina rr Sipnad circaiga)of■limited energy panel, U Svslrrn over 600 volt..nreninal mho Rrlmbal rnih in Ian:vnCe,re allegation, or eite_neion• if Ruiiding ovts three Min Ll I cnMn,410)stop,it mat •Oestri i°o. _— U f)rcurym Mad over 94j pe-.hns U Maphhfa imA.oru'uaec o,kV P+* i'eeb ad/Mloaal laapectlaa over this dawable is any adlfc aM.a U EWw%lightinil plan U(hher -- --_ --- Por imphy-urn _-�.— Sewmi este of plana wttM way of One above. levcs�gwan fm flu above are i.t app"""le to tesprary cwaevd600 serrke, (ober - --- ---- Permit fee . ........ S 106. 0 e Nur all imdhcmm mmvpt rmdo. A,,,p)-call jhalsdicri—6w in("WiArraloo Notice: This permit applicittirnh ........... .. - —. u Vhra J Maaerc'a"i expires if a permit is not obtained Plan review(at _ %) $ _ (`,edn cant numbs. _�-_ /. I. within I NO dnv+after it hes breen State surcharge(8%).....S !_8.54 espinaRCcerpled as complete TOTAL. _.....................5 115.24 -- -----Name of c4Wc;1�-Aviva an ce�i used .s.— _ S l'rtAhOlbt a1N1alM AneWa1 aMJM1hS hhtn./'thNl CITYOF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00121 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/18/03 PARCEL: 2S1 13AB-01400 SITE ADDRESS: 07370 SW DUI;HAM RD BLDG G SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRE:i'i_ORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: IPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 100,000 BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: M 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN >=100K BTU: 1 <= 10000 cfm: OTHER UNITS: 2 > GAS OUTLETS: 10000 rfm: Remarks: A(Idiiig(1)rooftop w1it I oHhcr unit Valuc 's"50 ,00 Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300-WMI i,MFCII1 1'ernit Fee 3/18/03 $72.50 PORTLAND, OR 97224 1 I'AX1 K"i,State"fax 3;18103 $5.80 �MEUPI-NI Plan Rei 3/18/03 $18.13 Phone: Total $96.43 Contractor: PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 REQUIRED INSPECTIONS Phone: 233-6911 Gas Line Insp Mechanical Insp Reg #: LIC 38868 S.D. Shut-down inspection Final inspection This perrnit 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 952-001-0100. You may obtain copies o' these rules or direct questions to OUNC by calling (503)246-6699. ' t-sued By: - Permittee Signature: 6L L ----- 'a Call (503) 639-4175 by 7:00 P.M. for inspections needed t next ICsiness day Mechanical Permit Application ' Received Mechanical Permit No.: —06 Planning Approval Building City of Tigard Date/BY Permit No.: 7 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date/13y: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/By: _ Case No.: Internet: www.ci.tigard.or.us contact Juris.: N See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: Supplemental Information. Of TYPE OF NORK COMMERCIAL FEE`'SCHEDULE-USE CHECKLIST New construction Demolition Mechanical permit fees'are based on the total value of the work Addition/alteratio_ n/replacement ❑Other: performed. Indicate the value(rounded to the nearest dollar)of all _ mechanical materials,equipment,labor,overhead and profit. CATEGORY OF CONSTRUCTION I &2-Family dwelling Commercial/industrial value: $ �2� See Page 2 for Fee Schedule Accessory 8uildi> Multi-Family RESIDE TIAL F.QUIPMENTISYSTEMS FEE-SCHEDULE Description Q Fee ea. "Total Master Builder (Nthcr: IIeatInjWVCoolio JOi3 SITE INFORMATION and LOCATION Furnace-add-(n air conditioning+" 14.00 Job site address: 2A.70R{�� Gas heat um _ 14.00 _ Suite#: _ d /A t#: Duct work 14.00 _ �—_— --- Pro�ect Name: "' H dronic hot u ater system 14.00 S,WAt� ---- -- Residential boiler Cross street/Directions to job site: for radiator or hydronic system) _ 14.00 Unit heaters(fuel,not electr.'c) in wall,in-duct,suspended,a cam_ 14.00 Flue/vent (br any of above 10.00 Subdivision: _ Lot#: Repair units 12.15 _ —_ Other Fuel A rllances Tax ma / areal #:^ Water heater 10.00 _ DESCRIPTION OF WORK Gas fimlace 10.00 L „�j�f�r �►- -As p� Flue vent(water heater/ as fireplace) 10.00 Log lighter(gas) 10.00 � � �'— --- - Wood/Pellet stove 10.00 Wood fire lace/insert 10.00 Chimney/liner/flue/vent 10.00 ROPERTY OWNER TENANT Other 10.00 Nar.ie: ,a Environmental Exhaust do ventilation — Range hood/other kitchen equipment 10.00 Address: *�, y��pyot,l �kw� Clothes dryer exhaust 10.00 Cit /state/Zi Yr.i i0 *!e _.__ Single duct exhaust Phone:Cyay G,3 oc� I Fax: (bathrooms,toilet compartments, APPLICANT I Lj CONTACT PERSON utility roomer 6.80 _ Name: Attic/crawls ace fans 10.00 - Other: 10.00 Address: ,-----_-__.__ Fuel PI Ing City/State/Zip: **($5.40 for first 4,$1.00 each additional PFaX: Furnace etc. Phone: -- Gas heat pump •• E-mail: Wall/sanded/unit heater •• __ CONTRACTOR Vater heater Business Name: ±ircplacc •' _ Address:�Zir�g Vis.= Bs Range _ .• Cit /state/Zip:_ NAA A& _a_ 9119= Clothes dryer as Phone: „ AW-�j�/ I Faxa,?jr •9w7 other: CCB Lie. #: ate_ _ _ Totae _ __Mechanical Permit Fees* Authorized Subtotal: 5 Signature: Date:/*3 Minimum Permit Fee$72.50 5 Plan Review Fee 25%of Permit Fee S �/� — uise7 --- -- State Surcharge 8%of Permit Fee ,'(Please print name) TOTAL PERMIT FEE $ r _ Notice: This permit application expires If a permit Is not obtained within •Fee methodologv set by Tri-County Building Industry Service Board. 180 days ager It has been accepted as complete. ••Site plan required for exterior A/C units. iADsts\Pemiit Forms\MecPermitApp.doc 01103 Mechanical_Permit Aunlication - City of Tigard Page 2 - Supplemental Information ` Commercial Fee Schedule: Total Valuation: Permit Fee: 51.00 to$5,000.00 Minimum fee$72.50 _ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction _ thereof,to and including$10,000.(x1. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000.00. $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including $5-0-10-0-0-00. $50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per A liance: ' Value 'total Description: _ Q1Y (Ea) _Amount ' Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including duct 1,170 &vents Floor furnace including van► 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 �.. Repair units 805 _ <3 hp;absorb.unit, 955 to 100k BTU 3-15 hp;absorb.unit, 1,700 101 k to 500k BTU 15-30 hp;absorb.unit,501k to I mil 2,310 B'IU - 30-50 hp,absorb.unit, 31400 1-1.75 mil.BTU _ >50 hp;absorb.unit, 5,725 >1.75 mil.RTU Air handling unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler _ 656 Vent fan connerted to a single duct 1 446 _ Vent sys'•:,n not included in appliance 656 rr A _ tend served by mechanical exhaust 656 domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit,including wood stoves, 656 inserts,etc. Gas piping 14 outlets _ 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: i\Dsts\Permit Forms\Mcc1'crmitAppl'g2 doc 01103 ELECTRICA' CITE` OF TIOARD RESTRICTS PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2G03-00084 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 3/18/03 SITE ADDRESS: 07370 SW DURHAM RD BLDG G PARCEL: 2S113AB-01400 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Prolect Description: T-Stats A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE CC'".M: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#01: SYSTEMS: 1 Owner: Contractor: PACIFIC REALTY ASSOCIATES PROTEMP ASSOCIATES INC 15350 SW SEQUOIA PKWY #300-WMI 807 NE COUCH PORTLAND, OR 97224 PORTLAND, OR 97232 Phone: Phone: 233-6911 Reg #: ELE 26-1063CRE LIC 38868 MET 00004556 FEES S11P 4644 hid Inspections _Description _Dato Amount Low Voltage inspection I::1,111W I j LI.R Pcmui 3/18/03 $75.00 Elect'I Final I-AXI 99%State Tar 3/18/03 $6.00 Total $81.00 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 per;-iit,x1111 expire if work is nct started within 130 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by �;i; ,L ,� �C. Permittee Signature G 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:-- ^_ Lh,ENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next businesE day FOR OFFICE USE ONLY Electr:eal Permit Application Received l.lccnical Date/B :f,/iC- d L _ Permit Nut` CitCit of Tigard Planning Approval - Sign y g Date/By: Permit No.: 13125 SW Hall 13111d. Plan Review other - Tigard,Oregon 97223 2ate/I3y Permit NL,,: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact Juris.: 0 See Page 2 fur 24-hour Inspection Request: 503-639-4175 Name/Method _ Supplemental Information. TYPE OF WORK PLAN REVIEW(Please check all that apply) ew construction Demolition 0 Service over 225 amps- Health-cure facility _H commercial ❑Hazardous location Addition/alteration/re_plaeement _Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feel. CATEGORY OF CONSTRUCTION I &2 family dwellings four or more residential units in ❑ l & 2-Family dwelling ommercial/Industrial ❑System over 600 volts nominal one structure AccessoO— ry Building Multi-Famil ❑Building over three stories ❑Feeders,400 amps or more _ Y ❑Occupant load over 99 persons ❑Manufactured structures or RV park El Master Builder Other: _ ❑f.gressdighting plan ❑t Ither: _ 7013 SITE INFORMATION and LOCATION Submit_sets of 1311111%"kh any of the above. _ The above are not appiicaMe to temporary construction Service. Job site address: 23 7Q._3 ,,bp W% FEE*SCHEDULE Suite#: I Bldg./Apt.#: _ Number of Ins ections err ermit allowed Project Name: -- Description - Qty Fee(ca.) Total New recidenlial-single or multi-famlly per Cross street/Directions to job site: dwelling unit Includes attached garage. Service Included: 1000 sq 11.or less 145.15 4 Each additional 500 sq.R.or portion thereof 33.40 1 Limited energy,residential 75.00 _ 2 Subdivision: Y LOt#: _ Limited energy,non residential 75.00 ? Tax rna / arcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services nr feeders-Installation. alteration or relocation: 20(1 amps or less _ _ 80.30 2 _. - - ---.----- - 201 ams to 400 ams _ 106.85 2 401 amps to 600 amps_ _ 160.60 2 PROPERTY OWNER ICITENANT 601 ams to 1000 amps 240.60 2 K d� — - --- Reconnect nett amps or volts _ 454.65 2 Name: I Reconnect on1 66.85 2 Address: eVxm Sw sftg1JV I �AGry;� Temrorary services or feeders-Installation, ■ duration,or relocation: City/State/Zip: T I✓I _ _ _ 200 amps or less 66.85 I Phone: ax; 201 amps to 40P amps 100.30 2 APPLICANT CONTACT PERSON 401 to blot s 133.75 — _._ s Branch circuits-new,alteration,or Narne: extenslan per panel: --- - - ------ - A.Fee for branch circuits with purchase of Address: _ service or feedei fee,each branch circuit 6.65 _ 1 City/State/Zip: B.I-ce for branch circuits without purchase of � -- --- -- — service or feeder fee,first branch circuit 46.85 12 Phone: _ )"ax_ I::ch additional branch circuit 6.65 2- L-mall: Mise.(Service or feeder not included) CONTRACTOR i•.ach pump or irrigation circle 53.40 2 -- -- Each sign or outline lighting 53.40 2 Job No: Signal circuil(s)or a limited energy panel, alteration or extension Pae 2 2 Business Name �T ..�� >sa59'Z ___,___ Description Address: y _ - City/State/Zip:/State/ZI Each additional Inspection over the allowable In an of the■bocr. b 4,W V e17e�?.2 Per inspection per hour(min. I hour) 1 62.50 1 _ Phone: 1R3:k.!t Fax: 7 Investigation fee: Other: _ CCB Lic. #: Gas R _ Lic. #I?,/0 t" Electrical Permit Fees* _ Supervising electrician ,AA Subtotals 5 --__- signature required_ w(� Plan Review(25%of Permit Fee S Print Nam _ Lic. #:�(�,/3 �Q�/ State Surcharge 8%of Permit Fee S TOTAL PERMIT FEE I S Authorized �-/ Notice: This permit application expires If a permit is not obtained within Signature — Date:�.y/ 1 �3 180 days alter It has been accepted as complete. _ TTT T *Fee methodology set by Tri-County Building Industry Service Board. ( use print name) I\I)sts\Permit Forms\ElcPennitApp.doc 01/03 Electrical Permit Application - "'b.v of Tigard Page 2 -• Supplemental Information ' LIMITED ENERGY PERMITH EES: RESIDENTIAL,WORK ONLY: _ Feefor all systems............................................................ $75.00 Check Type of Work Involved: Audio and Stereo Systems* Hmglar Alarm t iarage Door Opencr* I leasing,Vcnn anon and An('oWition:ng System* Vacuum Systeme* Other COMMERCIAL.WORK ONLY: _ F TFee for each system.......................................................... $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: D Audio and Stereo Systems Boiler Controls Clock Systems Data Telecommunication Installation hire Alarm Installation HVAC E- !nstrumentation ElIntercom and Paging Systems E] I andscape Irrigation Control* CJ Medical [—] Nurse Cah. u Outdoor landscape Lighting* Protective Signaling nOther --- Number of System * No licenses are required. Licenses are required for all ollier installations i:\bsts\Permit FormsTIcPermit kppPg2.doe 01103