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7632 SW DURHAM ROAD STE 300 .J C" W N Cl) C C 3 0 a) CL it W 0 0 7632 SW Ljurham Road #300 CITYOF TIGARD __CERTIFICATE OFOCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00196 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/18/2001 PARCEL: 2S113BA-00400 ZONING: I-P JURISDICTION: TIC', SITE ADDRESS: 07632 SW DURHAM RD 300 SUBUIVISIC.ON: SW CENTER SDR1999-00020 BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONS1 R: 2-1 HR OCCUPANCY GRP: B OCCUPANCY LOAD: 312 TENANT NAME: REMARKS: Commercial TI. - 30,000 square feet-Third Floor Owner: OPUS NORTHWEST LI-C 1000 SW BROADWAY SUITE 1130 PORTLAND, OR 97205 Phone: Contractor: OPUS NORTHWEST LLC 1000 SW BROADWAY#1130 PORTLAND, OR 97205 Phone: 503-916-8963 Reg #: LIC 105336 This Certificate issued 08/17/211111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon SpecialtyCodes for the group, occupany, and use under which the referenced mit was i ue 13UILDING I SAFECTOR BUILDING OFFIC POST IN CONSPICUOUS PLACE aARD — BUILDING PERMIT CITY OF TIG PERMIT#: BUP2001-00196 DEVELOPMENT SERVICES DATE ISSUED: G/18/01 " 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-417' PARCEL: 2S113BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 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: 2-1 HR sf N S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 312 BASEMENT: sf AREA SEP. RATED: STOR: HT- ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ _ _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL.: Y SMO_K DET: DWELLING, UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CCRR: PARKING: VALUE: $ 549,498.00 Remarks: Commercial TI. - 30,000 square feet - Third Floor Owner: Contractor: HAMBACH, MICHAEL V + OPUS NORTHWEST LLC SATTLER, SANDRA E + 1000 SW BROADWAY#1130 BROWN, L.ORENE PORTLAND, OR 97205 Trane'. OR 97224 Phone: 503-916-8963 Reg#: i_ic 105336 FEES i REQUIRED INSPECTIONS _ Type v BY Date Amount Receipt Mechanical Permit Require _ PLCK CTR 5/31/01 $1,614.80 27200100000 Electrical Permit Required �•prin"ler Permit Required FIRE CTR 5/31/01 $993.72 27200100000 Fire Alarm Permit Requirec r'r:MT CTG; 6/18,01 $2,1H4.38 2720010)000 r',iiimhing Permit Required Framing Insp PCT CTR 6/18/01 $196.74 ;:7200100000 Gyp Board Insp Total $5,291.64� Susp Ceiing Insp Final Inspection 1 his 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. ATT ENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-66-99 or 1-800-332-23441 Permittee JJ �• Signature: C. Issund By: Call 639-4175 by 7 p.m. for an Inspection the next business day 2.1ol Building Permit Applicati©ori �— Date received: Permit no.•3,u fnylv 19 City of Tigard ProjecUappl.no.: Expire date: „ r,jTigard Address: 13125 SW hall Blvd,Tigard,OR 97223 Date issued: P Receipt nu.: Phone: (503) 639-4171 .— —_ Fax: (503) 598-1960 Case file no: Payment type: Land use approval: -_ I U.family:Simple Complex: U 1 8.2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement Tenant improvement a Fire.sprinkler/alarm U Other: Job address: 3 ^,j y 2 /'1 i'i G/ _ Rlde.ria. — Suite nu.: Lot: _ Block: Subdivision: I Tax map/taxrlol/account no.: Project name: &I ( � �. Description and location of work on premises/special conditions: d" T IL L/_f [ I Name: /-f''ll, r ////-I-f= NEW Mailing address: Cr. i n?(/( (/6e +fF > I &2 family dwelling: , City: ' State: P: (�� Valuation of work........................................ $ Phone: 'kJ Fax: L-mail: r No.of bedrooms/baths................................. Owner's representative: C /1( 't r -� Torai number of floors................................. — Ph,mc: - ' • L Fax: t -/ E-mail: New dwelling area(sq.ft.) Garage/carport art a(sq.ft.) ........................ "Narnc: / Covered porcharea(sq.ft.) ......................... __ s: .` --- Deck area(sq.ft.). .................... Cit State: ! 7.I Other structure area(sq. ft.)......................... Y ' z r l l ,, E-mail rye �ngis.,ft 'L'ommetciaUlndurtrirUmulN-family: Pham: Valuation of work Existing bldg.area(sq.ft.) .......................... Business name: All New bldg.area(sq.ft.) ............................... Address: Number of stories .Type of construction. City: State: ZIP: ................................... Phone: Fax: E-mail: Occupancy group(s): Existing: _ CCB no.: l l `> 3 �(G' New: City/metro tic.no.: l Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: S F�Z > , /eL �'r ��1, , pn,visions of ORS 701 and may be required to be licensed in the Address: _y. jurisdiction where work is being performed.If the applicant is Cit 'e Stale: ZIP: ? , exempt from licensing,the following reason applies: Contact person: l r,.i,�i) Plan no.: Phone: F E-mail: — ---- -- Nam r� '6 'I J /!( %�'c 'I k t �,nuact person: _ Fees due upon application . ......................... $_ S Xi Address: _ Date received: SSrf- U-i� City: State: ZIP: Amount received ................. ...................... $, G _ Phone: Fax: E-mail:-- Please refer to fee schedule. hereby certify I have read and e-amined this application and the Not all Jurisdictions accept credit cards,please call Jurisdiction rr.more Information. attached checklist. All provisions of laws and ordinances governing this ❑visa U Mastercard work will be complied with, cher s iCied heror not. Credit card number: __ —_ _�_L Expires Authorized signature: wh ,, Date: �' / Name of cardholder as shown on--edlt cord S Print name:__. , �i) >r l? ) __ -- Cardhdder siputure -- Amount Notice: This permit application expires if a permit is not obtained wi l 140 days after it has been accepted as complete. 4404613 teotvco%l, `1'9 3. 71 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). Total # of TYPE OF SUBMITTAL Plans KEY- Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, AdJ or Alt) _ 2 i P = Plumbinc, E (New, Add, or Alt) 2 F_ = Electrical ------_------------ _— - -- New New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. !\dstsVoirrs`matrxcom doc 10121/00 I Arc hitecAs Inc RECFtvFD JUN ?00'4 June 8 2001 COMkiu,,,,, ULIL.UrMENT City of Tigard Building Division 13125 SE Hall Blvd Tigard OR 97223 Re: SW Center 7632 SW Durham Raod Tigard OR 97224 Permit# : BUP2001-00196 To Whom It May Concern: The following is our response to your plan review: All corrected items have been clouded with a"I" delta symbol. Itela 1: The swing on door#338 has been reversed. See Sheet Al.1. Item 2: An egress diagram has been added to Sheet Al.1. Item 3: A detail indicating structural support has been added to Sheet A 1.7. Iteral 4: Refer to Sheet 1.7 —all glass in the one-hour rated areas are indicated to be "Fire Lite" type glass that is one one-hour rated. Will 5: Regarding the Oregon Non Residential Energy Code - refer to documents to be submitted by the Electrical Engineer. Respectfully submitted, SEM ARCHITECTS INC V �C� 6.�, G LEHMANN n 5 .--j Gary W Ellerm�tnn, AIA Principal DENVE9 COLORADO .� f 9l� O \\SEMSRV i\letters\PROJECTS\U\UHC\ORECiON-01028.0016-7-o1 HI)Comtnents.doc OF 00 677 South Colorado Boulevard•Suite 200•Denver Colorado 80246•(303)220-8900•(303)220-0708 Fax CIYY OF TIGARD BUILDING INSPE0MON DIV!S;ON MST 4-Hour Inspection Line: 639-4175 Business Linr.: 639-4171 - - ( , BUP _ Date Requested �s �� Q NI —_PI\A _— Bhp Location Suite ' C1�� MEC Contact Persun — Ph PLM Contractor _ _ Ph _ SWR _ BUILDING� -- -- - Tenant/Ov/ner T-1 ' f=(. 2(-�1 � ^ tLc.�(�GFLC RetaininaWalt ' G�f`e Et Footing Access: Foundation FPS _ Ftg Drain — SGN Crawl Drain Inspection Notes: ---- Slab SIT Post&Beam --- Ert Sheath/Shear _ Int Sheath/Shear — — Framing Insulation ')rywall Nailing _- F firewall Fre Sprinkler �- Firo Alarm Sus-i'd Ceiling Root Final -M --- PASS PART FAIL — PL_UM B,NG Post& Rei,m --- - ------ ---------- Under Slab Top Out _-_--- ------- --�—_.__ Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post & He2rT. Rough In Gas Line _-__.--_---_ Smoke Dampers Final PA PART FAIL rRireL -_ Service Rough In UG/Slab Low Voltage - Fire 4,larm SS PART FAIL _.. ---•-- ---------�.__.----- -- T Backfill/Grading - --- Sanitary Sewer Storm Drain [ ]Reinspection 'ee of$-__ required before next inspection Pay at City Hall, 1:3125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for re'nspection RE: [ ]Unable to inspect-no access ADA Approach/Sidewalk c' Other Date Inspector -� 7 . —�Ext Final PASS PART --FAIL DO NOT REMGVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 4-H,)ur Inspectioo Line: 639-4175 Business Lin( : 639-4.171 I:iUP Bate Requested./ �f�4 PM BLD Location /�^� �� f�Zv11 ��. z1-t Suite MEC — Contact Person — Ph _ _ PLMContractor Ph— __ Ph _ SWR — — BUILDING Tenant/Owner —r-j Retaining Wall -1 �--W��2 EL Footing Access: Foundation FRS _ Ftg Drain SGN Crawl Drair inspection Notes ---- --- Slab —_—____-- ---_—_-- -- SIT Post&Beam _---- Ext Sheath/Shear Int Sheath/Shear Framing --_--------_-_ -_ -_ --_---- Insulation Drywall Nailing ----_�_.-_---------- --.--- -----------__ Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - .._ .--------- --- _. — Roof Misr, - Final PASS PART FAIL ------ - - ------ ---- --- - -- PLUMBING Post& Beam _ -------___._ _., Mir `- ----_--_ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam --- - - '---- Rough In Gas Line ------ - -- -- -- Smoke Dampers Final --__.__-- - --._____--- - --- —s._,------------_ Pq ' _ PART FAIL_ ftfiCIRICAI Service Rough In UG/Slab -- - - - -- -- --- ---.—�-- _------------- Low Voltage Fire Alarm ------ - ---- ------ - -- 1 P'k SS PART FAIL ---- - - --- - - ---- --------- --- ---- ----- T Backfill/Grading ---------------- -- ------- - --- -------------- Sanitary Sewer Storm Drain ] Reinspecilon fee of$-_--__required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ] Please call for reinspection RE Unable to inspect- no access Fire Supply line ADA + Approach/Sidewalk f�,( Other Date // n1 Inspector Ext Q �' 4 Ficial PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BLIP _ _ ! -_Date Requested AM__ _PM _ BLD Location _T ) �L; . n�Yri�' _ Suite — �'C_ MEC Contact Person _ Ph PLM Contractor _� � Ph �{(� � �� SWR BUILDING — Tom,nt/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain - -- SGN Crawl Drc:n Inspection Notes: Slab ---- ------ —--- - -- -- SIT — -- Post&Beam Ext Sheath/Shear W-----_--- -- Int Sheath/Shear Framing ----- ------ -- ------ - - insulation Drywall Nailing -- --- - ----..- -- ----- -- - -- ----------- ------ Firewall Fire Sprinkler --- -- _--- a -- ----- - - --- --- - - - -- -- Fire Alarm Susp'd Ceiling ----- ------ -- ------._...-_- - --- Roof Mise - -_ - ---- --- - --- ---------- - f-incl � -- PASS PART FAIL ---- __ - ----- ---- PLUMBING Post&Beam - ---• ----_-- ----T -- - Under Slab T op Out Water Service Sanitary Sewer Rain Drains _ f- ---- -- ---- in PART FAIL ANICAL Post& Beam Rough In Gas Line - .._...-- - -- ------ ------ - Smoke Dampers --� Final ------- - - -- - -- PASS PART FAIL ELECT RICAL Service �-- -- - --- -..... ---- -- Rough In _ UG/Slab ---- Low Voltage Fire Alarm --- --- --- ------ — -- Final PASS PART FAIL ----- --- -- ------ --- ----- ------ -_SITE Backfill/Grading -____--- ------- ----------_____-- ----- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ - —required before next inspection Pay at City Hall, !3125 SW Hall Blvd Catch Basin , Unable to inspect-no access Fire Supply Line [ J Please call for reinspection RE: _-- [ I P ADA Approach/Sidewalk pate InspectorFGExt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION aim/ 24-Hour Inspection Linn: 639-4175 Business Line: 639-4171 h"" --- —-- BUP Date .,Requested / �� AM— PIM — BLD -- I.ocation ��/ 7� G•-- Du-'A -�' re — Suite _ MEC 0 Contact Person _ t"'- ---�� t _ Ph 73 - 66 f> PLM Contractor __ —_ _— ��W- ? f SWR BUILDING Tenant! per1 . C—k.Gf % — _— ELC _--` Retaining Wall ELR _ Footing Access �— Foundation FPS Ftg Drain SGN -- ----- Crawl Drain Inspection Notes: -- -- - - - Slab SiT Post&Beam ------- - ._-.----- ------ -- - - -- .- Ext Sheath/Shear Int Sheath/Shear - Framing `. �� Insulation �� - � Drywall Nailing _ ��I -r-cf Firewall 7 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise. ._-- Final _ — { PASS PART FAIL --• „��/l.l PLUMBING Post&Beam ----- Under Slab Top Out - -- Water Service _ Sanitary Sewer r Rain Drains Final PASS PART FAIL POS Rough In G 'e to, f �5�h -- ----- ---- -_ _�. am s T-1jr ASS! PART FAIL CRICAI. -- - -- -------- - -- - Service - Rough In --. _ -- --- - -• UG/Slab - Low Voltage Fire Alarm Final _ --- PASS PART FAIT_ SITE Backfill/Grading - ---- — --- - ' - Sanitary Sewer Storm Drain [ j Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line [ ]Please call for reinspectfor�RF;_ — [ J Unable to ins p no access ADA Approach/Sidewalk Other Date Ina�reetor__— - Ext Final PASS PART-FAIL FAILS 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDIN 13 INSPECTION DIVISION MST 24--Hour Inspection Line: 639-4175 Business Line: 539-4171 BUP --Date Requested � •—"j AM PM BLD Location- -1(, ,:!) .2- 1-) L. �_-,�rL.�/C Suite *3(:51Z MEC Contact Person zin Ph s PLM — Contractor �---��i�..� �y � Ph _ SWR _ -- �— - - -" ELC /-06) . bUILDING Tenant/Owner Retaining Wall -- --- -- ELR _ Footing AcceSs� Foundation FPS — Ftg Drain --- -- SGN Crawl Drain Inspection Notes: — Slab - --- ---- --- - — SIT Post&Beam Lxt Sheath/Shear Int Sheath/Shear - Framing Insulation ---- -- ---- ------ -�— Drywall Nailing _- Firewall Fire Sprinkler -__- Firt. Alarm Susp'd Ceiling --._ _ --_- Roof Mise -.-- -------- --- -------•- Final ---- ---- PASS PART FAIL ---- / --- -- - — PLUMBING -- —�—L— L�n t, ----- ------- ---------- Post& Beam Under Slab Top Out - -- — - - Water Service ---------------- --- Sanitary Sewer --------- - ------ -- -- --- - - __- Rain Drains Final PASS PART FAIL MECHANICAL --� — Post& Beam Rough In Gas Line - -- -- — — - - Smoke Dampers Final - ---- -- PASS PART FAIL ELECTRICAL -----�-------._--�. --- --- -- Service Rough In ---- ---__. ---- UG/Slab Low Voltage Fire Alarm ,- -- -- _-- _ -- _-- PASS ART FAIL SITE— Backfill/Grading - - - -- -- -- ---- ---- --------- Sanitary Sewer Storm Drain [ j Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW HFII Blvd Catch Basin [ j Please call for reinspection RE _ [ ]Unable to inspect- no access Fire Supply Line --- -- �-� ADA Anproach/Sidewalk �- l _- j Other Date ___ �____Inspector Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. ELECTRICAL PERMIT- CIT OF TIGARD REENERGY ENERGY DEVELOPMENT SERVICES _ PERMIT#: ELR2001-00198 -1312.5 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/26/01 SITE ADDRESS: 07632 SW DURHAM RD 300 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: .JURISDICTION: TIG Proiect Description: Installation of access control and security. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO AUDIO & STEREO: 'INTERCOM & PAGING: BUP.GLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : X TOTAL#OF SYSTEMS: 2 _ Owner: �— Contractor: � A HAMBACH, MICHAEL V + BEST ACCESS SYSTEMS SATTLER, SANDRA E 4 12003 NE AINSWORTH CIRCLE #103 BROWN, L ORENE PORTLAND, OR 97220 TIGARD, OR 97224 Phone: Phone: 503-256-1993 Reg #: _ FEEQ Required Inspections Type By Date Amount Receipt_ Low Voltage Inspection PRMT CTR ?126/01 $150.00 2720010000 Elect'I Final 5PCT CTR 7'26/01 _ $12.00 2720010000 Total $162.00 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 permit will expire if work is not started withir 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notif.•ation Center. Those rules we set forth in OAR 952-001-0010 thrW OAR 952-001-0080. You may obtain copies of these rules or direct qu stions to OUNC at (503) 246-1967 Issued by Permittee Signature L�/c OWNER INSTALLATION ONLY The Installation is I leing made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATf' Y __— SIGNATURE OF SUPR. ELFC'N Jam' jai ,�s ,� f =�� DATE: LICENSE NO: L lgT _— Call 639-4175 by 7:00 P M. for an inspection needed the next business day Electrical Permit Application Date received:��a(, c•-- Permit no.:y/L?m City of Tigard Project/appl.no.: _— Expire date: 00-of'I tgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: e) I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: INewU I &2 family dwelling or accessory ,Commercial/industrial U Multi-family U Tenant improvement U conslrvction U Addition/alteration/repla ,1nrrrr1 U other: _ U Partial Job address: /?b(/s1,9, Tax map/tax IoUaccount no.: Lol Block: Subdivi:ion: Project name:r,c,.rrjpn!), cT 61/ Description and location of work on premises: [ Estimated date of com Iction/inspzction: � 7 c r 0-N 11E SU-111FIX111,11% .)fob no: name: 01y. a) Total no.insp aes.s /'L 5/ c S/a l�' r� Description y. (c S New orrtat116familyprr 3usi Address: 4r c 611 -`/O dwellingunll.Includes attached garage. City: !cel 4 •e D State: G�' `'ZIP: j v Servicelncluded: 4 1000 sq ft.or less Phone:,/03- >S;g - ),72 Fax:e 53-•7 Y9`) E mall:�tt r•t.k.CC��fs Tach additional 500 sq.ft.or potti n thereof - - -- - — CCB no.: s-y' F.lec.bus.lic.no: � • [V/ Limitedenergy,residential 2 City/metrolic.no.: 1, j(_1 _ n'/ ;c,(?I Limi+cdeneigy.non-residential _ 2_ _.1 e, ).L ,6 p Each manufactured home or modulo dwelling i m of sal le v�sin electrician(r uired) Date F'oller-tion ervice and/or feeder k wh/�'CK License 5 , Services or feeders-Installation, Sup.elect.name(print): ,r?c t � f/ or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name(print): 401 amps to 600 amps 2 Mailing address: 601 amps to IW0amps 2 City; IState: ZIP: over 1000 amps or volts 2 Phone: _ Fax: E-mail: Reconnectonly I Owner installation:'T11e installation is being made on property I own 7emporarysenlcesorfecder.- installation,aiteralIon,or relocation: which is not intended for sale,lease,rent,or exchange according to 2W amps or less 2 _ ORS 447,455,479,670,701. 201 amps to 400 amps _ 2 Date: 2 Owner's signature: Ot6 Branch circuits-new,alteration, or extension per panel: Name. _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 _ H. Fee`or branch circuits without purchase city: tit,u jZIP: , of service or feeder fee,first branch circuit: Phone: I;tr I at"ttl "ch adcitionalbranch circuit: Misc.(Se,-vlce or feeder not Included): Bach pump or irrigation circ:e 2 7Se-aover225amps com neroal U 1lealtla-gat larahty x over.120 amps-mting of I Art ❑Hazardous Iceation Hach sign or outline lighting dwellines UBuildingover10,000squarefeetfourorSigna-ircuil(s)ornlimitedenergypanel.alteration,or extension• 2 m over 600 volts nominal nxirc residential units in one structure _ O Building over three stories U Feeders,4110 amps or more *Description:_ - l7 Occupant load over rM persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U EgressAightingplan U Other _ Per inspection Submit—sets of plans with any of the above. Investigation fee The above are not applicable le temporary construction service. outer _ -- Permit fee.....................$ -- NotU vista ad�tUlMasterelm Card it cards,please call jurisdiction fa mrre infixmaticn expires f an permit i enotnobtained Plan review(at _ %) $ Credit card number.__ L_1_-_ within 180 days after it has been State surcharge(8%)....$ —_ @xpiree accepted as complete. TOTAL ....................... - Name J-Tw- io-der u shown on c u card ` — - --- Cirdholclef signature _ Amount 440-4615(6011K:OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: r TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ��mplete Fee Schedule BelRestricted Energy Foe............... ........................ Below: ---_ -- —�-- C ............. 575.00 _ Number of Inspections per permit allowed (FOR ALL SYSTEMS) fService included: Items Cost Total Check Type of Work Involved: ResiJenlial-per unit rl 101',1 sq ft.or less _J — $145.15 4 Ljl Audro and Stereo Systems' Each additional 500 sq,ft of portion thereof $33.40 1 / Burgla•Alarm I imited Energy _ _ $75.00 _ Each Manurd Home or Modular n �_arage Door Opener" Dwctl,ng Service or Feeder $9090 Services or Feede-s Heating,ventilation and Air Conditioning System' InstallaWn,alleration.or relocatior, 200 amps or less _ $80.30 2 L� Vacuum Systems' 201 amps to 400 amps —_ $1'16.85 _ __ 2 401 amps to 600 amps _ $160.60 _ 2 { Other_•/ 601 amps to 1000 amps $240.60--_- 2 -� ---- -- -- Over 1000 amps or volts $45465 — 2 Reconnect only $66.85 2 TeRe ovary Services or Feeders TYPE OF WORK INVOLVED -CUMMERCIAL ONLY Fee for each system................ ... $75.00 Installation,alteration,or relocation "" """ (SEE OAR 918-260-260) 200 amps or less $66.85 2 201 amps to 400 amps _ $100.30 2 401 amps!o 600 amps $133.75— — 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. El Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or F-] Clock Systems feeder lee. Each branch circuit $6 65 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 ---- HVAC Each additional branch circuit _ $6.65 Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or irrigation circle _ $5340 _ _ F-1 Intercom and Paging';yslems Each sign or outline lighting $53 40 Signal circuit(s)or a limited energy panel,alteration or extension _ $7500_�^ Landscapc Irrigation Control' Minor Labels t10) $125.00 Medical Each additional Inspection over the allowable In any of the shove Nurse Cells Per;nspeclion $62 50 —_ Per hour $6250 In Plant $7375 _ Outdoor Landscape Lighting" Fees: Protective Signaling ` � $ Sfe f / r Enter total of above foes Other 8%State Surcharge $ __ _ ___Number of Systems 2594 Plan Review Fee $ � No licenses are required, Licenses are required for all other installations See"f''an Review"Section on front of apO ation ----- — Fees: Total Balanc•�Due $ r-� Enter total of above fees LJ Trust Account p 8%State Surcharge s Total Balance Due 0dstsVbrr*eIc-fees.doc 06/07/01 ELECTRICAL PERMIT CITY OF TIGARD _ / \ PERMIT#: ELC2001-00283 94-1 Vim DEVELOPMENTSERVICES DATE ISSUED: 06/08/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S113BA-00 00 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Proiect Desc-rption: Electrical for commercial IT T RESIDENTIAL UNIT TEMP Sl., . a SEDERS_ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS __ADD'L INSPECTIONS 0 - 200 amp: I W/SERVICE OR FEEDER: 85 PER INSPECTION: 201 - 400 amp: list W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _- 1000+ amp/volt: >=4 RES UNITS: > 500 VOLT NOMINAL: Reconnect only: _ SVC/FDR>= 225 AMPS:_— — CLASS AREAISPEC OCC: Owner: Contractor: HAMBACH, MICHAEL V + CAPITOL ELECTRIC CO INC SATTLER, SANDRA E + 12810 NE AIRPORT WAY BROWN, LORENE UNIT 1 TIGARD, OR 97224 PORTLAND, OR x7230 Phone: Phone: 255-9488 Reg#: LIC 048748 SUP 3122S ELE 2. 496C r FEES -- �— _ Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 05/31/2001 $645.55 2720010000( Wall Cover Elect'I Service 5PCT CTR 05/31/2.001 $51.64 2720010000( Elect'I Final PLCK CTR 05/31/2001 $161 39 2720010000( Total $858.58 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 wiil be done in accordance with approved plans I his permit will expire if work is riot 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 952-001-0080 You may obtain copies of these rules oroirect questions to OUNC at(503) 246.6699 or 1800-332-2344 Permit Signature: J y� 1'�r Issued By: _ OWNER INSTALLATION ONLY _— Ihe installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: -- _ _ — DATE: CONTRAC.jR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �'r),C1 ��_Cct�"L�.1 r�` ___�__�_ DATE__—_ LICENSE NO: — y0�- > .-- -- -- ---- — --- Call 639-4175 by 7:00pm for an inspection the next business day n Electrical Permit Application Date received: 3/ O Permit no.:G(-CAI Ci-y of Tigard I'rgjecUappl.n .: Expiredate: Date issued: Byj Receipt no.: _ CITY OF TIGARD Address: 13125 SW FALL BLVD,TIGARD,OR 97123 CAST'rile no•: Plynient type: Phone- (503)639-4171 Fax(503)598-1960 Land use approval: ❑ 1 &2 family dewlling or accessory ❑ Commercial/industrial ❑ Multi-family ❑ 'Tenant improvement New construction ❑ Addition/alteration/replacement r1 Ofher: ❑ Partial ,lob address: 7632 SW DURHAM RD City: TIGARD IBM&Nn.: tiultc no.: �OC` 'f'ax map/tax IOUaccount no.: Lot: Hlock:N/A Suhdivisiou: Project name H11('OREGON Description and location ol'wot•k,m inrmises: TENNANT I APROVEMENT I stinuucd date of armplctionhaspection: - — _ Inh nn: 21-368 Rosiness Namc: apltol Electric Co.,Inc. h`'`' 41"` bcscri rUort Illy Iea.) land no. Address: _ 12810 NE Airport Way New residential-single(or multi-family per City: Portlpnd State: OR Z1117–j7-230.1029 dwelling unit. Includes attached garage. Phonc. 5113 755-9488 F'ax 255-9488 E-mail: darrell(Mcelaftcom Service included: CCD no.: 48748 [I;[=.bus.lic.no: 16-496C 1000 sq,f1,or less E 145 Ili t Cit /metro lic.no.: N/A Jj Each additional 500 sq It of poruori thereol' 5123/2001 Limited energy residential 5 75 00 _ !ttgi ature 'supers icing cl tricinn treyuirrdl UaL Limited energy,non-residential 4 IS nn Cup elect uarrte()rint) Darrell IWeNnel License no 3132-3 L:ach mnnufnclured home or modular dwelling Service and/or Iceder N1ailm Name(print) Services or feeders-Installation, — t 0ddress — _ alteration or relocation: l IU State: ZIP: 200 amps or less _ 1 S xn lo kn+rl Z I'hone: Fax: IT-mail• 2n! cons ua 400 am,s S I(I/r Rs ; Owner insin/lurion: The installation is being made on property I own 401 amps to 600 amps which is not intended br sale,lease,rent,or exchange according to 601 amps to l ouo amps h0 as 6 ORS 447,455,479,670,701. 241x60 2n)vet 1000 amps or volts "-- p t .1x.165 2 Owner's signature Date: Reconnect only 7200 mporaryservices or feeders- Name: tallation.alterations,or relocation: Address: _ amps or Tess1;''ity: SlateZI I' amps to 400 amps m+nP;n: 1-mail1 amps to 600 amps -- t 171^t Branch cirruils-new,aHrrnllon, ❑service over 225 amps-commercialleatth-care rocllit} or evlenvion per panrl: ❑Service over 320 amps-rating III 1,42 ❑ tereMous location A Pec lift branch circuits with purchase of family dwellings lD Building over 10,000 square R.four nr service or feeder fee,each branch circuit 85 S O system over 600 volts nominal more residential unite in one structure 13 I;ce for branch circuits without purchase ❑Building over three stories ❑reeders,Into amps or more of service or feeder fee•rind branch circuit f 46 gq ❑(kcupent Ined over"persons 0 Manufactures structures or RV park Each additional branch circuit f 6 65 ❑Egressgighting plan ❑'Aha Misc.(Service or feeder not Included): Submit 3 sets of plans with any of the above. Each pmnp or irrigation circle The above are not applicable In temporary cons(rucllon service. I'.ach sign or outline lighting s " - I Cignal circuills)or It limited energN pane!, I alteration,or extension' s •Descriplion Iiach additional inspectionover th allowable it..anv of thr,above per Inspection Investigation fel' --' – Other ❑ Visa ❑ MasterCard Permit fee................ 645.55 rrdit card number / / _ Notice:this permit appkation flan review ( ) 5 C+spires $161 39 expires If a permit Is not obtained Slate Surcharge 8% ) x 51.64 ardhalder as,hnan nn credit cud f withing 180 days after it has been — TOTAL.................. T 858.58 Name orc Cardhuldri�isnauar Amo..n' accepted as Complete. -- n` BUILDING PERMIT CITY OF TIGARD PERMIT#: 13UP2001-00187 DEVELOPMENT SERVICES DATE ISSUED: 6/1/01 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S11313A-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WAIL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ REQUIRED FLOOR LOAD: psf T. ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2.0,000.00 Remarks: Fire sprinkler permit. Owner: Contractor: F-IAMBACH, MICHAEL V + DELTA FIRE INC SATTLER, SANDRA E + 14795 SW 72ND AVE BROWN, LORENE PORTLAND, OR 97224 TIAARD, OR 97224 one. Phone: 620-4020 Reg#: LIC 64174 FEES_ REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRM r CTR 5/23/01 $235.30 27200100000 Sprinkler Final FIRE_ CTR 6/1/01 $94.12 27200100000 5PCT CTR 6/1/01 $18.82 27200100000 Total $348.24 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 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503` 246-6599 or 1-800.332-2344. Permittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application 11)at!crem!ceiv!edd.: j r 3-0 ( P to.: City of Tigard 1'roject/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 tq Phone: (503) 639-4171 Date issued: By: Receipt no.: �I Fax: (503)598-1960 Case file no.: Payment type: Land use approval: IRc2ramily simple Complex: t\ T2 family dwelling or accessory U Contmercial/industrial U it U New construction V Demolition dition/alteration/replacement Tenant improvement Fire sprinklealarm U Other: 1-17113.1 Nix 11211,41t0= Job address: BIJ no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: — Project name: ' -- --- Description and location of work on premises/special conditions: _ -- ---- N (iloollpfaill.selific capacity,solar,etc.) ame: M'l_r✓ G 0 Mailing address: ' -- 1 & 2 family dwelling: City: _ Sta c: ZIP:C QCT Valuation of work........................................ } Fax: E-mail: No.of hedrooms/haths.............................. Phone: -- -- -- Owner's representative: p' D AV t V'5W Total number of floors................................. Phone: Fax: r-mail: New dwelling arca(sq.ft.) ........................ Garage/carport area(sq. ft.)......................... Fax: Name: > - - Covered porch area(sq.ft.) ......................... _ Mailing address: < hZ' i Deck area(sq.ft.) ........................................ City: State: ZIP: Other structure area(sq.ft.)......................... 1(;r E-mail CommercinUindustrisUmulti-family: Phone:lA'�C G $ (�(] Valuationof work........................................ Existing bldg.area(sq.ft.) .......................... Business name: New bldg.area(sq.ft.) ................................ _-_-- Address: C �' rr .......................... ..... Nn nber of stories..... . — City: StateV ZIP:(' F__TA�t-1 r of construction � F-mail: YID .......... —� Phone:(p.' �' � Fax: + Occupancy group(s): Existing: __— CCB no.: LOLA 1 New: City!nictt(1 lic.no'. I - L Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: > �� 1C_ provisions of ORS 701 and may be required to he licensed in the jurisdiction where work is being performed. If the applicant is Address: exempt from licensing,the following reason applicF: City: State: 7_IP: Contact person; I n no.: Phone: ax: Name: Contact person: Fees due upon application ........................... $a ) • c�C) Date received: Address: _—- AddState: ZIP: Amount received ......................................... $_— Phone Fax: E-mail: Please refer to fee schedule. hereby certify 1 have read and examined this application and the Na dl Jurisdictions accept credit cards,please call jurisdiction for mem infrnmnt+nn attached checklist. All provisions of laws and ordinances governing this U visa U Mastetcard work will he complied wheth; . •cif d herein or not. Credit card"amen - L--1-- Authorized sign 11 �--� Dale: Name of cardholder as shown on credit easel _ $ _ Print name: ardholder si6nature _ Amount Notice:This ptrmit application expires if a permit is not obtained within 190 days after it has been accepted as complete. sat->ha;tMXWO M) Fire Protection Permit Check List A.)_ ❑ New _❑_Addition_ ❑ Alteration— ❑ Repair — B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review regl.iired, be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: _pe of System (Com lete A or B as applicable A.) Scrinkler Wet_❑ — - --- Dry ❑ ----- - ----- Standpipes Additional Hazard Groin Information Density_ Design Area K. Factor Sprinkler Pro ect Valuation: $ B.) Fire Alarm Submittal shalt BatteryCa_lculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Pro ect Valuation: $ Protect Valuation Subtotal (A B): $_ - Permit fee based on valuation see charty. $ 8% State Surcharge: $r�, _ FLS Plan Review 40% of Permit: $ TOTAL: $ I:ldstsltom!alFPScheckHst.rloc 10/04/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested — AM--,_PM 4-� BLD Location 7 ("3 0a VA, Sule �"' _ MEC Contact Person r� _— Ph 3� _j L 3/ _ PLM Contractor —__—. __ _ Ph SWR BUILDING _— Tenant/owner ELC_ _ - �--G�/ � ,, Retaining Wall ELR —__ Footing Access: Foundation FPS - -- F tg Drain SGN Crawl Drain Inspection Notes: ------- Slab — _— —_-_-- ---- SIT Post& Beam Ext Sheath/Shear - — Int Sheath/Shear Framing -- --- ---- — --- --- Insulation Drywall Nailing -- - — ----- Firewall Fire Sprinkler --- - — - Fire Alarm ��, _ — Susp'd Ceiling / -! Roof Misc. ___ _[ _ _ — ------ r incl PASS PART FAIL --- PLUMBING I ast& Beam - -- -- — - -- Under Slab —_--- I op Out Water Service —^--- ---__ ----- Sanitary Sewer - Rain Drains --_—._--_ ---- Final PASS PART FAIL ---- ____-. — ------- -- MECHANICAL Post& Beam --- - - - Rough In Gas Line - ---- -- - -- Smoke Dampers Final -- ---- -. .---- - - --------- P PART FAIL \ Service — - ----- Rough In UG/Slab -- 4�atj irP Alarm --_- _-- -. PASS RT FAIL ----- ---- ---- —SITE _ Back ill/Grading - ------- -- - - - -- ---- Sanitary Sewer Storm Drain ( ]Reinspection fee of$-- _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect no access Fire Supply Linc ( 1 Please call for reinspection RE' I 1 p ADA Q- / Approach/Sidewalk Date _ / L/ < _-_ inspector t� � ��----Ext Other Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. 7-5-1 r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- --- /' BUl Date Requested Com- Z�i AM __PP.'S BLD Location 7 L w u v `'' - K _ Suite _ MEC Contact Person 3'4 ��✓- ��vf Ph U 7 PLM _�— Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 2e,-I//..,,!pU /J Z--- Footing ACCe&S: Foundation• FPS _ Ftg Drain _ — !r,rawl Drain Inspection Notes: SGN _ — Grab ------------ ------,—_ SIT Post&Beam ----- Ext Sheath/Shear Int Sheath/Shear Framing --- --- ----- - --------- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc _ --------_-_-_�--___ — ---- Final PASS PART FAIL -------- - - - ------------ ----- \ - PLUMBING ) Post&Beam ------ -- - — Under Slab Top Out — Water Service _ Sanitary Sewer — - -� Rain Drains Final PASS PART FAIL �— MECHANICAL Post& Beam — - Rough In Gas Line ------- --- Smoke Dampers F ilia! - -- '' PART FAIL Service rvG�l�' L Rough In UG/S - ow V Ic \larm PASSPART FAIL -.------------_--..- ---- Backfill/Grading — Sanitan,Sewer Storm Drain ( ]Reinspection fee of$_ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] Please call for reinspection RE _ ( ]Unable to inspect-no�iccess Fire Supply Line - ADA Approach/Sidewalk Other Date InspectorExt Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. KEEFER k)j AS C88 K35b81 44 eCw PLUMBING INC. P.O.BOX 582 HHAABOR0,OR 87123 U j, 001 -d0 ASS Z. r4 G LJD`%s vi ASS YZ � vJ l u 5 1G t T AF"p C1Ty of �. l nor y. ApfOv d 5.r'bed'ri .� �,o�d Wofk as nr oy the ip �Q O-�= .` bll ............. vz- Z � —I. /cl d fess• Date'. ,job Ad CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#. PLM2001-00245 13125 SIN Hall Blvd.,Tigard, OR 97223 (503) 635-4171 DATE ISSUED: 6/28/01 SITE ADDRESS: 07632 SW UURHF.h ,1D 300 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: 2 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY ORP: B FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 0 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of plumbing f,xture for TI. (2) Each floor drainF, garbage disposal, ice makers, sinks and water heaters. FEES Owner: --- -- --- Type By Date Amount Receipt HAMBACH, MICHAEL V + - SATTLER, SANDRAE + PRMT CTR 6113/01 $107.56 27200100000 BROWN, I, SANDRA PRMT CTR 6/28101 $25.24 27200100000 BROWN, OR ENE PLCK CTR 6/28/01 $33.20 27200100000 TIGARDSPCT CTR 6/28/01 $10.63 27200100000 Phone 1: MISC CTR 6/28/01 $107.56 27200100000 Contractor: Total $284.19 �I KEEFER PLUMBING INCORPORATED PO BOX 562 HILLSBORO, OR 97123 REQUIRED INSPECTIONS Phone 1: 503-640-7451 Rough-in Insp Reg#: LIC 065481 Top-out Insp PLM 34-94pb Misc. Inspection Final Inspection This permit is issued Subject to the egulations 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 Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling_jW3) 246-1987. Issued B1� / Permittee Signature: Call (503) GJ9-4175 by 7:00 P.M. for an inspection needed the next buSit ss days G1 �� Z co - OC�� Cv �wQ- g� Plumbing Permit Application rSewer ceived. Pcrmitno_'L��_0O 5 City of Tigard ermit no.: ` Building permit no.: Address: 13125 SW Hall Blvd,'Figard ,011-97225,City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 l_ �� Date issued: By: Receipt nc.: Land use approval: _ Case file no.: _ Payment type: O 1 &2 family dwelling or accessory Commercial/industrial CJMult-family XTenant improvement 1(New construction I]Add ition/alterationirep Iace meni U I�ootl scivtc-r U Other: -1 ION Job 2-- �(/�/_��/� �12-�5� Ucscription . Fee(ea.) Total Bldg.no.: Suite no._ New I-ami 2-family dwellings only: Tax map/tax lot/account no.: (incl+ldes 1000.for eath utility connection) SFR(1)bath Lot: Block: Subdivision: _ SFR(2)bath -- - - - - — - Project name: 6 10,10�0 - SFR(3)bath - City/county: ZIP: Each additional bath/kitcheo Description and Ic6tion of work on-.pI;remises: _ Siteutilities: PUe, Pl",Ui� [l_ " �1r9 Catch basin/area drain -- Est.date of completionhnspcction: Drywells/leach line/trench drain I Footing drain(no.lin.ft.) _ Business name: Manufactured home utilities Manholes _ Address: ' Rain drain connector City: State:Q ZIP: Sanitary sewer(no.lin.ft.) Phone: Fax: E-mail: Storm sewer(no.lin. ft.) CCB no.: _ Plumb.hos,rc_g_nol�-t�� Wates service(no.lin.ft.) _ City/metro lic.no.: r, _ Fixture or Item: Contractor's representative signature: Absorption valve Back flow reventer Print name: ISM Date:1A.1 Backwater valve _ Basins/lavatory Namc. 4 6A 112,_ f,� Clothes washer _Address: 0 1 p S CD Drinking fountain(s) Dishwasher --- -- Cit State: ZIP 71`-- Y' , lllrlr �_ Ejectors/sump Phone t S I ax P.-nutil: Expansion lank - — -- Fixture/sewercap Name(print): F� Floor drains/f oor sinks/hub Mailing address: Gtui►age disposal - State: Hose bibb City_ � — --- ZIP: --- Ice maker Phone: Fax: E-mail: Interce nor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. ink(s),basin(s),lays(s) _ Owner's sigrature: Date: Sump Tubs/shower/shower pan _ Name: Urinal --- --- ----- - Water closet Water heater -- City: Oth; - - "--- Phone• _ Fax: - E-mail: _ Total Nat all jurisflcnoru accept credit cards.please call jurisdiaion fnr mere infamatiatMinimum fee......._.......$ Notice:This permit application , ❑Visa ❑MasterCard Ilan review(at _ %) $ expires if a permit is not obtained Credit card numtteu_ __L_1_._. within 180 days after it has haen State surcharge(8%) ....$ Expires TOTAL .......................$ '• ` Nrtte at cerdhaldcr a+shown on cmhl card accepted as complete. Crdhddef sipalure Amounl 4404616(601)(10CoM) F LUMBING PERMIT FEES: PRICE TO rAL New 1 anu 2-family dwellings only: FIXTURES (individual) QTY ea — AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 1660 the dwelling and the firstI00 ft. QTY (ea) AMOUNT Lavatory 16.80 for each utility connection)__ _ One 1Jhath _ ._ $249.20 — Tub or Tub/Shower Comb, 16.60 Two(2)bath _ $350.00 16 60 Three @)bath 3399.00 Shower Only —- - - Water Closet 1660 _ hASUP t OTAL Urinal 16.60 8'/e STATE SURCRGE Dishwasher — 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 .Z Laundry 1 ray 16.60 Washing Machine 16.60 - Floor—Drain/Floor Sink 2" 16.60 - 3~ 16.b0 PLEASE COMPLETE: q~ 16.60 Water Healer O conversion O like kind 16.60Quantit b Work Perfurtned Gas piping requires a separate mechanical Fixture Type: New' Moved Replaced Removed/ permit —_ t-),) — Capped MFG Home New Water Service 4640 >;ink MFh Home Ne v San/Storm Sewer 46.40 _ — Tub or Tub/Shower Hose_Bi 16.60 _ Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet _ Urinal _ Other Fixtures(Specify) 16 60 Disl"washe, Garba a Dis — �r l r Laundry Room Tray — — Washtn My achine _— Flont Drain/Sink: 2" Sewer-1 St 100' 5500 - - 3~ Sewer-each additional 100' — 46.40 4" Water Service-1st 100' 55 00 Water Heater _ Other Fixtures Water Service-each additioral 200' 46.40 S eci Storm 8 Rain Dra 1st 100' 55.00 _ Slcrm 8 Rain Drain-each additional 100' 46.40 _ --- Commerc;al Back Flow Prevpn ik,-Devise 46.40 - - -- Residential Backflow Prev,ntion Dec;c,' 27.55 Catch Basin -- - 16.60 -- — — Inspection of Existing Plumbing or Specially- 72 50 Requested Inspectiohs _ _ erthr — COMr .rS REGARDING ABOVE: Rain Drain,single family dwelling 6525 — Grease Traps -- -- — 16.60 — QUANTITY TOTAL Isometric or riser diagram Is required if Guantfly Total is >9 "SUBTOTAL TOP � _— __ —�------ 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL J ) Required only if fixture qty total is>9 _ --- - TO-AL O r -- --- -- }}, � r7 "Minimum permit fee is$72 50-B%state surcharge,except Residential Bddcflow r \\1 Prevention Device,which Is$ae 25•B%state surcharge ""All New Commercial Buildings require plans with Isometric or user diagram and plan reviev. lAdstss\fonns\plm-fees.doc 10/10/00 CITYOF OrIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00188 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/28/01 PARCEL: 2S 113BA--00400 I'E ADDRESS; 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999.00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG TENANT NAME: UNITED HEALTHCARE USA NO: FIXTURE UNITS: 42 CLASS OF WORK: ALT DWELLING UNITS: 2 TYPE OF USE: COM NO. OF BUILDINGS: If TALL TYPE: BUSWR IMPERV SURFACE: Remarks: 2.6 EDU increase: 42 new fixture values added to previous value of 208 for current total of 250 fixture values. Previous EDU count 13 plus 2.6 new = current total 15.8. Owner: Type FEES HAMBACH, MICHAEL V+ T ----- --- SATTLER, SANDRA E + Type By Date_ Amount Receipt BROWN, LORENE PRMT CTR 6/28/01 $5,980.00 27200100000 TIGARD. OR 97224 Total $5,980.00 Phone: - — Contractor: Phone: Reg #: Required Inspections �ka�e■�r:s.� This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all direcb:ws from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.-001-0080. Yoii may obtain copies of these rules or direct questions to OUNC by calling (503) 2.46-1377 Issuid by: l Permittee Signature: Call (503) 630-4175 by 7:00 P.M. for an Inspection needed the next business ddy r n.nr_ I�.1_=_.1__.�^– 4ccumulative Sewer Tally L – tib_-_A k F This SWR# ` Tenant Name: ... — Address.�.�_�5 u1_��t -YjL>_N� �-----. This PLM#: FXtUre Value PreviousPrevious Credits Capped Fixture-. Fixtures New total New # Value Capped off value added# added #s total Count off#s count-------- value values Baptistry/Font —^— 4 -- - Bath-Tub/Shower_ 4 - --- — _-Jacuzzi/Whirlpool -- 4 Car Wash-Each Stall J 6 - - - --- -- --Drive Through 16 --u --- -- CDsidor/Water Aspirator 1 --__ - — - Dishwasher-Commercial 4 - Domestic 2 --- Drinkiny -- Eve Wash - Floor Drain/sink-2 inch 2 - 3 inch 5 - _ _-4 inch 6 - _ Car Wash Drn 6 --- Garbage Disposal 16 -Do_mestic(to 3/4 IIP) �- -Commercial to 5 HPC_- 32 - - Industrial(over 5 HPC48 _- Ice Machine/Refrigerator Drains 1 _ - Oil Sep(Gas Station) 6 -- _Rec. Vehicle Dump Station__ 16 H Shower-Gang (Per ead — 1 -- Stall 2 --- -- --- — Sink-Bar 1-aeato� 2 - — -- -- Bradla--- 5 - -- -- - Commercial _ 3 Service _ 3 --- -�� — - Swimming Pool Filter --- Washer-Clothes 6 -- Water Extractor _____ 6 _ -- - - Water Closet_Toilet 6 (--- Urinal ___ 6 1+.)IALS d,01 -1- Total fixture vdues: --_ej'` __ divided by 16 = =J V-) EDU - I Jr• � a*' /� '° :14 '_`- liISTO.RY A U Cru' ,�� - .�tC- — 5/ 9 PLM#;)cx�,. �,�EDU# i _SWR#J��__ PLM# EDU# SWR# _PLM_# ____EDU_#_ _SW_R# PLM# EDU# SWR#+ PLM# _ EDU# — SWR# PLM# EDU# _SWR# PLM# J �— EDU# SWR# _ _ PLM,# EDU# ! SWR# i klstslswrtal/.doc ��-7 —T -- ELECTRICAL - CITY OF TIGARD ENER RESTRICTED ENERGY ,. DEVELOPMENT SERVICES PERMIT#: ELR2001-00177 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/22/01 PARCEL: 2S 113BA-00400 SITE ADDRESS:07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Tenant Improvement-data/telecommunications A.RESIDENTIAL _ B.COMMERCIAL _ AUDIO & STEREO: AUDNO & 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: Owner: Contractor: HAMBACH, MICHAEL V + TELEPHONF SERVICES + COMM SATTLER, SANDRA E + PO BOX 1950 BROWN, Lr-)RENE GRESHAM, OR 97030 TIGARD, OR 97224 Phone: Phone: 665-4900 Reg #: uC 137870 SUP 3290JLE ELF 26-1062CLE _FEES Required Inspections — `Type By Date Amount Receipt Ceiling Cover PRMT CTR 6/2.2/01 $75.00 2720010000 Wall Cover Eleut'I Final 5PCT CTR 6/22/01 $6.00 2720010000 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 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 NL'tification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9F2-001-0080. You may obtain copies of these rules or direct quues`t�,Dnns to OUNC at (503) ."'46-1987. Q J— Permittee 'G Issued by �i)2., C�c.� _ Permittee Signature�_j�,_ a _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. leose, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'NDATE: LICENSE NO; --- ---- -- --r. _.— - — --- --- -- — Cal' 639-4175 by 7:00 P.M. fo, an inspection needed the next business day Electrical Perm:t Application i — - k'.1,�c-t/.pp lcrecctvcd�- ( r I Pcinutno.� -- City of Tigard I no.. Expire date: (ur,tl7if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ateiasued: By: Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land tine approval: U I Rt 2 family dwelling or accessory gfcommercial/industrial U Multi-family U Tenant improvement U N v construction ' ddition/altcralitm/rrplarrnu nl J Other U Partial J011 S1*UE INFORMATION Joh address: Bldg. nto.: Suitr not, ax nayohtax lol/account ntr.. Lot: Bhxk: Subdivision: Project name: , �• p Description and location of work on premises:— ) U0 Estimated date of complctionhi,spec tion, Job no: 3 Fee Max obBus ;name: Descri tion _ "y. (ea.) 'rotal no.insp NewlealdaMYll-singleorrnuld-family per Address: .d1-_ — dwelWlgtrYl.IncMlduattached Rarwtm. City: ,.,a Stale: ZIP: SerdceYlchtded Phone: 5 'ax: -mail: 1000 sq.ft.or less -- 4 �� Each additional 500 sq.ft.or portion thereof CCB no.: Elec.bus.Ile.no_ Limited energy,residential City/metroIc. no.: Limited energy,non-residential Each manufactured home or riodular dwelling Signature of sutrervising elect,tcian(required) _ [)are _ Service and/or feeder Sup elect.name(print): I.i-lileno: Serviceson feeders-Instillation, feeders dteratlon m relocation: 2(N)amps or less - 2 /� 201 amps to 4011 amps _ 2 Name(print): (dA/1*.,k, (- R�--- — 2 - 401 amps to G(10 amps Mailing address: — _ 601 amps to I OW amps _ 2 City: SlatC: LIP_ over 1(0)amps or volts 2 Phone: Fax: F-mail: Rernnnectonly . I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: 200 ark ps or less ORS 447,455,479,670.701. _— ` 201 untps to 4W amps 2 owner'bsi, nature: Dale: 401 to(01)ams _ 2 Branch circulls-new,alteration• ore--ion per panel! N:me: _ _ _ A Fec for branch circuits with purchase of Address: service or fester fee,each branch circuit 2 City: SL'tl ZIP: B. Fee for brnnch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: I'-tn:ul' Each additional branch circuit Mlse.(Senlce or feeder not Included): U Serviceover225amps-cotrnremal U Health-care facility Each pump or irrigation circle - '- U Service over 320 amps-rating of 1&2 U Hazardous location Fachsign oroutline lighting = _ familydwellings U Building ever 10.000 square feet four or Signal circuit(s)oralimited energy panel. U System over 60(1 ohs nominal more residential units in one structure alteration,or extension* -' U Building over three stories U Feeders,400 amps or more •Descriuom - U Mcupant load over 99 persons U Manufactured sane:;res or RV park Fich additional Inspectlon over the allowable In any of the above:__ — U Egre.,s/lightingplan U Other - Per inspection Submit_,sets of plans with am of the above. Investigation fee The above are not applicable to temporary construction service. Other Nd at!junsdictioni;wcept cmlit cards.please salt iurisdiction for more information. Notice:Ibis permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ 9b) $ �.. mdo card numtrr within 190 days atter it has been State surcharge(8%) ....$ Expires accepted ris complete. TOTAL .......................$ — — -Name of cardrurder a showy on c 't card i _ S -- Cardholder signature -- - Amount 4144615(&U"M) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT.FEES: TYPE OF WORK INVOLVE( -RESIDENTIAL ONLY Complete Fee Schedule Below: -- --- /� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check'rype of Work Involved: Rest fentlal•per unit 1000 u It or less $145.15 — — _ 4 ❑ Audio and Stereo Sh stems' Each additional 500,;q ft of portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy — $75.00 Each Manufa Hone or Modular Dwelling Service or Feeder _ $9090 Garage Door Opener'__ 2 i.� Services or Feeders Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $60.30 2 ❑ 201 amps to 400 amps $106.55 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 f� 601 amps to 1000 amps $240.60 — 2 I J Other Over 1000 amps or volts —_-- $454.65_ 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ $66.85 __ _ Z (SEE OAR 918-260-260) 201 amps to 400 amps $1C0?1 2 401 amps to 600 amps $133.75 _— 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. �� Audio and ste,eo Systems ©ranch Circuits �J New,alteration or extension per panel 1 E;oiler Controls a)The fee for branch circuits with purchase of service or Clock systems feeder fee. Fach branch circuit _ $6 C5 �! _ 2 Data Telecommunication Ins'allatlon b)The fee for branch circuits �+ without purche se of service C� Fire Alarm installation or feeder fee. First branch circuo $46.85 Each additional br;nch circuit $665 — ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) F..ach pump or irng:lkm circle _ $5340 _ ❑ Intercom and Paging Systems Each sign of outline lighting $53.40 g g y Signal circuit(r)or a limited energy panel,alteration or extension $75.00 _ ❑ Landscape Irrigation Control' Minor Labels(10) _ $12500 _ _ Ea0 additional Inspection over ❑ Medical the ai!owable in any of the above ❑ Per Inspection _ $6250 Nurse Calls, Per hour $62.50 F� In Plant $73 75 _ 0 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ _ Number of Systems 25%Plan Ruvlew Foe See-Plan Review"section on $ No licenses enses are required Licenses are required for at other installations front o;application .-- Fees: Total Balance Due $ --- - Enter total of above fens C� Trust Account N 8%State Surcharge �—-- - ^- - ---- Total Balance Due $------_-- — h \&ts\fonns\elc-rees.doc 06/07/01 ELECTRICAL PERMIT_ CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00152 13125 SW Hall Blvd.,Tinard, OR 97223 (503) 639-41r : DATE ISSUED: 6/18/01 SITS:ADDRESS: 07632 SW DURHAM RU 300 PARCEL: 2S-I 13BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: HVAC. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENT ATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: V HAMBACH, MICHAEL V + AMERICAN HEATING SATYLER, SANDRA E + 1339 SW GIDEON ST BROWN, LORENE PORTLAND, OR 97202. TIGARD, OR 97224 Phone: Phone: 239-4600 Reg #: LIC 00033135 ELE 26-683CLE FEES Required Inspections _ Type By Date Amount _Receipt Low Voltage Inspection PRMT CTR 6/18/01 $7500 2720010000 Elect'I Final 5PCT CTR 6/18/01 $600 2720010000 '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 permit will expire if worts is not started within 180 days of issuance, or if work is suspended for more than 1,10 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 thro h OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by Y, Permittee Signature _ / OWNER INSTALC.ATION ONLY The Installation is being made on property I own ..hici. is riot intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N � crl h CGc'� DATE: LICENSE NO: Call 6394175 by 7:00 P.M.for an inspection needed the next business day Electrical Permit Application Date received: s S D kExpire rinit no.:�City of 'Tigard Project/appl.no.: date: AM City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissued: By• Receiptno.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: -- U 1 &2 family dwelling or accessory Commercial/industrial U Multi-family 1VTenant improvement U New construction U Addition/alteration/replacement U Other: U Partial Joh address: `, Bldg.no.: Suite no.: j ° Tax Inap/tax lot/accnunt no._LT! AW Block: Subdivision: - Project name: J k JA C. Description and location of work on premises: Iislimatccl date of contpl;tiortlinsperuon: -- ---- - -- Mm hum Job no: JW4 3 _ F" Mar Business name: i t l lkscription city. (ea.) Total no.insp New trsidrntial-sinRk or mtdti-family per A ?� ddress: � , S dwellingunit.Includesattached Ravage. _City: State ZIP: , ]?_VZ Servicebtcludeti: Phone: - Fax:_23rd- ] E-mail: 1000 sq.ft.or les, a CCB no.: 3 Elec.bus, lic.no: Each additional 500 sq.fl or portion thereof Limited energy,residential _ City/t etro lip.no.:^ 1 U7 Limited energy,non-residential �► - C-cZ 3_per Each manufactured home or modular dwelling Si re .upervising electrician equired) Date Service and/or feeder.... - 2 Sup.elect.name(pnnU: e,; License no f? _`( Services orfeeders-Installation, alteration or relocation: 200 amps or less _ 2 Name(print): 201 amps to 400 amps _ — 2 Mailing address: - --� - 401 amps ar 6W amps 2 —_ _—__-- 601 amps w IWO amps _ 2 CRY: Slat ZIP: Over 100(l amps or volts 2 Phone: 111x: --- E-mail: Reconnec(unl --- - I Owner installation:The instaflatiwi is being made un property I own Iemporaryservices orfeeders- which is not intended for sale,lease,rent,or exchange according to installation,alter•ation.orrelocation: 2(NI amps ur less 2 ORS 447,455,479,670.701. 201 amps to 400 amps --- — - --2 Owner's si nature: bate: 401 to 6(N)ant,s Branch circuits-new,alteration, or extension per panel: Name' v_ A Pee for branch circuits with purchase of Ad Iress: service or feeder fee,each branch circuit 2 Oily: Stale: Z II': B. Fee for bra ch circuits withou!purchase -- _ - -- IL Piumc: I�ax: of service or feeder fee,first branch circuit: h-mail: - --- — -- Each additional branch circuit Misc.(Service or feeder nol Included): U Service over 225 loops commercial U liealth care facility Fach pump,it irrigation circle U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting family dwellings U Building over 10,W)square f.el four(it Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in o,�.:structure alteration,or extension" U Building uverthi-e stories U Feeders,400 amps or more •lkscrition: U Occupant load over t)q persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egressnightingplan U Other: — - Pcrinspection ��—�— -- Submit—. sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. other - Nix all jurisdictions rcept credit cants,please cal,drisdiction fen nnxe infnmmnon Notice:This permit application Permit fee.............. � r� U visa U MasterCard expires if a permit is not obtained Plap review(al Credit card number: within 1�0 days alter it has been State surcharge(8%) ....$ r.sr"fei accepted&complete. 'TOTAL . $ Name of canlholder as shown on credit card S — Cardholder iltnature — — Amount 4404615(60"M) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INV(.LVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee............................................ ......... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved Residential-per unit --- 1000 sq ft.or less $145 15 __—__—_-- 4 E] Audio and Stereo Sy,tems tach additional 500 sq ft or portion thereof $33.40 1 Burglar Alarm Limited Energy — $75.00 _ Each Manulrd Home or Modular Garage Door Opener' Dwelling Service or Feeder $90 90 2 Services or Feeders Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 Vacuum Systems' 201 amps to 400 amps $10685 —_�_ 2 El 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 2mns __ _ $24060 _ 7 L --- -- -- -Over 1000 amps or volts $454.65 �._ 2 Reconnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system....................... ....... $75.00 ..................... ..... Listallalion,alteration,or relocation SFE OAR 918-260-260)200 amps or less _ $6685 _ --. 2 I ( 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 - heck Type of Work Involved: Over 600 amps to 1000 volts, LJ Audio and Stereo Systems see"b"above. Branch Circuits 1 1301pr Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or loader lee. _— -- -—Each branch circuit $6 65 2 Data TE'lecomrnunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder lee. First branch circuit $46.85 HVAC Each additional branch circuit $6,65 Miscellaneous Insburnentation (Service or feeder not included) Each pump or Irrigation circle --_ $5340 Intercom and Paging Svslefns Each sign or outline lighting $5340 Signal circuits)or a limited energy I Landscape Irrigation Control' panel,alteration or extension $7500 _ —_� Minor Labels(10) $12500 — Medical Each additional Inspection ower the allowable In any of the above Nurse Calls Per inspection _ $6250 Per hour _ $6250 In Plant — $73 75 L—f Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above ices $ �� Other 8%State Surcharge $ �- Nu-nher of Systems 25%Plan Review Fee ' No licenses are required Licenses are required fur all other instailat ons See"Plan Review"section on $ front of apr5cation _ __—_ Fees:- Total ees:Total Balance Due $ Enter total of above fees $ ❑ Trust Account p__ __ 8%State Surcharge $. — Total Balance Me $ I tdsts\formsklc-fccs,doc IW090) CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERM15 #: MEC2001-00185 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/18/01 PARCEL: 2S1 3BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SVV CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: IURISDICTION: 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: 3 BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES 0 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTI1 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 37 FURN >=100K BTU: <= 10000 cfm: — > GAS OUTLETS: 10000 cfm: Remarks: Mechanical systems for commercial TI. Owner: _ _ _ _ FEES HAMBACH, MICHAEL V + Type By Date Amount Receipt BATTLER, SANDRAE + PRMT CTR 6/18/01 $379.50 2720010000 BROWN, LORENE PLCK CTR 6/18/01 $94.88 272001000C TIGARD, OR 97224 5PCT CTR 6/18/01 $30.36 2720010000 Phone: Total $504.74 Contractor: AMERi!;AN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202. Mechanical insp Phone:239-46)0 Duct Inspection Reg#:LIC :3313 Fire Damper Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started w4hin 180 days of issuance, or if wod( is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-91P. Issue By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical hued: S 3//4/ Permit no.: `r��0�•D01� City of Tlgal ppl,no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued! Ry: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U I &2 family dwelling or accessory ('ontnurcia!/industrial -1 Nlulu hlndy Tenant improvement U New construction U Addition/allertlion/repiaccnurnt U Othci Job address: -7ic C- "vxar h,,, U )ndica(c equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.: r lu ,30() v lue()fall mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: _-__ --profit. Value$ Cl F COO Lot: Block: Subdivision: 'See checklist for important application information and Project name: .0 (j /I/ ( -; /'/ 11'L. + c;E' jurisdiction's fee schedule for residential permit fee. City/county: 'ZIP: 0111191�Wnkistiolims M Description and location of work on premises:_ --- Fee(ea.) Total Est.date of completion/inspection- Uescriptlon Qty. Res.onld Res.only Tenant improvement or change of use: 7A.r Is existing space heated or conditioned?'A Yes U No ng unit _CFM ` Air conditioning(site plan required) Is existing space insulated? Yes U No Alteration of existing 14VAC system _ 3ojler compressors --- Business name: 1 - �l State boiler permit no.: , -- HP Tons HTU/H Address: �_• < dampers/duct smoke detectors City: State:`ry\ ZIP: 7 zp Y _11Fat pufnp(site plan required) —' Phone:a ,ej6x;C.) Fax:aM. 3)j E-mail: nsta I rept ace urnace/burner �TlUlI Including ductwork/vent liner U Yes U No _ CCB no.: f 3 C� — Instal/replace/re ocate heaters-suspcn e , City/metro lic.no.: D 7-7 wall,or floor mounted Name(please print): d ' )a r 11 vie V crit fur apVIlance of er than furnace11110%IRS III Umvil 10� -�`- e' gerat on: Absorption units- _ BTt1/H Name: .0 16 VI� l4 V d nt V Chillers_ -- t'om pressors — Addreas: Ts rotata e�rauct and ventilation: City: State: ZIP: Appliancevent Phone: Fax: E-mail: )rverex taus( out,s,Type res.kite eTi n a>Tairnat -- hood fire suppression system Name: Exhaust fan with angle duct(bath fans) Mailing address: �r aust systemm a,artf— ton,iicating or Ac'� -� - - ue piping an sl u1 on(up to outlets) City-- State: ZIP: TYlk LPG -_ Nt i - 011 Phone: Fax: E-mail: uc pipingearhadditiunalu�rrau;mets Process piping l wheriml is required) Name: Numbei of outh•tt -- - -- --- Address: - — Other listen appdlince or equipment: _ Decorative fireplace City: State: 2.IP: nscrt-type- I'hone: Fax: E-mail: he stovc/pc etstovc "her: Applicant's signaturDate:C Other: — Na all jurisdictions accept credit cards,please call jurisdiction for pare information Permit fee . ............ .$ - -- U Visa U MasterCard Notice:'phis permit application Minimum lec_...... _. ..$ t•n.,t"r card numbet: _ _ LJ expires if a permit is not ob(aincd Plan review(at ___ `. ) $ _ _94. _ t pipes within 1110 days after it has been State surcharge(8%)....$ Name of cardholder as shown on credit ant accepted as complete. Cardholder si`natum — Amounr- 44446 t 7(b0OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE' Description: -- Price Total $1.00 to$5,000.00 _ Minimum fcg$72.50__- Table Mechanical Code -- Qty (Ea)- Amt $5 601.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,OUe0 BTU $1.52 for each additional$100.00 or including ducts&vents -- -_ 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents 1740 --- $10,001.00 to$25,000.00 $148.50 for t)te'first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction _,ereof,to and Including 4) Suspended heater,wall heater $25,000.00. _ or floor mounted heater_ 1400 $25,001,00 to$50,000.00 $379 50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or _ _ - 6.80 fraction thereof,to and includil(g 6) Repair units _ $50,000.00. _ _ 1215 _-- $50,001.00 and up $742.00 for the first$50,000.00 nd� Grreck all that apply: Boiler I Heat Air $1.20 for each additional$100. or For Items 7-11,see or Pump Cond fraction thereof. Ifootnotes below. _ CoTmte )< 73HP;absorb unit ASSUMED VALUATIO3-15 _ NS PER APPLIANCE: to BTU__ 14 00 - - - Value otel 8)3-15 HP;absorb unit 100k to 500k BTU _ 25.60 Descriptlon: Ot Ea ou_nt 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 3500 _ duras&vents -- 10)30-50 HP;absorb Furnace> 100,000 BTU including 1,170 unit 1-1.75 mil BTU _ 5220 _ducts&vents 11)>50HP.absorb Floor furnace including vent 955 ____ unit>1.75 mil BTL' _ _ 87.20 _ Suspended healer,wall healer or 955 ( 12)Air handling unit to 10,000 CFM Floor mounted heater 10.00 Vent not Included In appticance 445 13)Air ha,ndling unit 10,000 CFM+ 17.20 Repair units C-05 141 Non-portable evaporate cooler <3 hp;absorb unit, 959 1000 to 104 BTU 15)Vent fan connected to a single duct 3-15 tip;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included in - 15-30 hp;absorb.unit,501k to 1 2,310 mil.BTU appliance permit _ - 10.00 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 10.00 1-1.75 frill.BTU ___ _ - ----------- - >50 hp;;wsorb.unit, 5,7 -`� 13)Domestic incinerators 17.40 >1.73 mil.BTU - 19)Commercial or industrial type incinerator - Air handling unit to 10,000 cfm _ 656 _ 69.95 Air handlingunit>10,000 cfm� 1,170 -- - --- --- Non- op rtableevaporate cooler 656 20)CWmr units,including wood stoves 1_0.00 Vent fan connected to a single duct 446 211 Gas piping one to four outlets Ver,:system not included in 656 5.40 a pliancee_rmit ___ - - -� - --` Hood served by mechaNcal exhaust _ 656 22)More than 4-per outlet(each) 1.00 Domestic Incinerator 1,170 - - Commercial or industrial inclnerat .4 590 Minimum P 3rmit Fee$72.50 SUBTOTAL $ - Other unit,including wood stove, 656 -" -- - -- 8%State Surcharge a Inserts,etc. Gac pipir�14 outlets__ 360 _ 25%Plan Review Fee(of subtotal $ Each additional outlet 63 - Required for ALL commercial permits only TOTAL COMMERCIAL -- $� I,a,.�� --TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: �{' Other InIpectlons and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) t n $72 50 per hour 1 t7� 2 Inspections to which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour / 3 Additional plan-eview required by changes.additions or revisions to plans(minimum charge-one-half tinur)$72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. '*Residential A/C requires site plan showing placement of unit. I\dsts\forms\mech-fees dor 10/11/00 CITY OF T I G A R D CERTIFICATE OF OCCUPANCY_ DEVELOPMENT SERVICES PERMIT#: BUP2001-00196 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 06/18/2001 PARCEL: 2S113BA-00400 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: ;W CENTER SDR1999-00020 BLOCK: LOT: CLASS OF WORK: AL T TYPE OF USE: COM TYPE OF CONSTR: 2-1 Hk OCCUPANCY GRP: B OCCUPANCY LOAD: 312 TENANT NAME: REMARKS: Commercial TI. - 30,000 square feet- Third Floor Owner: HAMBACH, MICHAEL V+ SATTLER, SANDRA E + BROWN, LORENE TIGARD, OR 972.24 Phone: Contractor: OPUS NORTHWEST LLC 1000 SW BROADWAY#1130 PORTLAND, OR 9720.5 Phone: 503-916-8963 Reg#: LIC 105336 This Certificate issued 08,17/2001 grants occupancy of the above referenced building or portion toereof and confirms that the building has been inspected for compliance with the State of Orego Specialty Codes for the group, occup4,ncy, and use under which the referenced mit was issued. BUILDING IN .11M BUIL JI OFFICIAL POST IN CONSPICUOUS PLACE CITYO F T I G A R D _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT #: BUP2003-00670 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/5/03 PARCEL: 2S113EA-00400 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2-1HR OCCUPANCY GRP: B OCCUPANCY LOAD: 105 TENANT NAME: UNITED HEALTHCARE REMARKS: TI in existing space. Owner: OPUS REAL ESTATE OREGON IV 10350 BREW RD WEST MINNETONKA. MN 55343 Phone: 952-656-4444 503-916-8963 Contractor: OPUS NORTHWES I LLC 1000 SW BROADWAY#1130 PORTLAND, OR 97205 Phone: 503-910-8963 503-519.0014 Cell f'0i I. Reg #: LIC lug;30 This Certificate issued 1/30/04 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the St of Oregon Specialty odes for the group, occupancy, and use u�tder whicF r renced permit w ed. i BUILDING INSPECTOR BUILDIV OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST Received 1 - Date Requested -36 `` AM PM BUP Location Suite -3 111'�l_ MEC Contact Person Ph(. ) s� �� PLM Contractor _.._..__ Ph( ) SWR _— BUILDING Tenant/Owner -___._. ( �,.� l_�� ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Grein - ------ --- Slab Inspection Notes: C, C L� �` , SIT Post&Bearn _____ �.• l• Shear Anchors ----- - — - - Ext Sheath/Shear Int Sheath/Shear _ Framing - Insulation Drywall Nailing -------- -- ---- _- --- ---___--- Firewall Fire Sprinkler Fire Alarm SuspA Ceiling ��-----.._----__-_.-- Roof i - A PART FAIL —_-_- -ING - -------- - ---- - - Post& Beam Under Slab -- --__ - �— __-- Rough-In Water Service -- --- Sanitary Sewer - -W Rain Drains Catch Basin/Manhole Storm Drain -- - -------- - --- - Shower Pan Other: --------.�_ - - ---- - -- -- Final -W-- ---- PASS PART FAIL MECHANICAL - --- ---- - __ -- -- - - - -- ---- Post&Beam Rough-In ---- - ----- -- -_-. _. _..- Gas Line Smoke Dampers Final PASS PART FAIL ---- ELECTRICAL_ ServiceRough-In UG/Slab Low Voltage --------- Fire Alarm Final Reinspoction fee of$— required re PASS__ PART FAIL - q before next ins pection. Pay at CityHall, 13125 SVS Hall Blvd, SITE Please call for reinspection RE: Unable to inspect-no 'Qss Fire Supply Line ADA D� Approach/Side.valk Date _ --- 11"spoetor Ext _ Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGA,RD - MECHANICAL. PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00707 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/11/03 PARCEL: 2S113BA-0040( SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: 1-i' BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS VV/O APDL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 1116 3 - 15 HP: CCMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: GAS PRESSURE: 50 + HP: CLO DRYERS: S: FURN < 100K BTU. AIR HANDLING UNITS C " <- 10000 cfm: OTHER U' ��: FURN >=1001( BTU: GAS OUTLETS: > 10000 cfm: Remarks: k,_locate ducts and grilles for tenant impimcinent. 1'rnject \slue: $2,000 Owner: _ FEES OPUS REAL ESTATE OREGON IV Description Date _ Anrount 10350 BREW RD. WEST jMEC1I1 I'eraut I cc 12/11/03 $72.50 MINNETONKA, MN 55343 [TAX] 8'!S.Stale tiui�lian 12/11/03 $5.80 Phone: 952-656-4444 _Total $78.30 _ Contractor: HVAC INC 5188 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 REQUIRED INSPECTIONS Phone: (12-4822 Duct Inspection Final Inspection Reg #: LIC 50897 This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will he done in accordance with appro, ed 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,952-001-00 Iss ed B ),mac t7 ;tL'jkj Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business daN Mechanical Permit Application Received Mechanical Dat./B /:Z/" Permit No.: MtC i1G11 0070 Planning Approval Building City of'Tigard Date/By: Permit No: r 'I 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/B : —� Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review _ Land Use Date/B Case No. Internet: www.ci.tigard.or.us 24-hour Inspection Request: 503-639-4175 Contact lo ris. Z See Page:for Name/Method Supplemental Informs ion. TYPE OF WORK COMMERCIAL FEE'SCHEDULE-USE CHECKLIST New construction Demolition Mechanical permit fees'are based on the total value of the work Addition/ fiteratioti/}eplacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CAMMORY OF CONSTRUCT( N mechanical rutcria!:,equipment, labor,o%erneac;and profit 1 & 2-Family dwclline_ E ommercia Industrial Value: S r-�Dnc" w See Page 2 for Fee schedule Accessory Buildu RVUDFNTIAL UIPMT/SYSrEM[S FEE- UL _SCHEDE ikR Mufti-Famil —F 4--- - `-- - Description tv e(ea.) T Total Mauer Builder OtOther: -� _Hoan_n Caron Fe- - JOB SITE INFORMATION and LOCATION_ r Furnace-add-on air conditioning" _ 14.00 Job site address: J(, ;� t lit. td,c� PJ Gas heat pump 14.00 Suite#: 1300 Bld ./Apt.#: Duct work 14.00 Project Name: ojujyj g ( Z H dronic hot water system 14.00 Cross street/Directions to job site: Residential boiler for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc.) 14.00 Flue/vent(for any of above) __ 10.00 _ Subdivision: — Lot#: Repair units 12.15 -- Other_Fuel Ap Ilancis Tax map/parcel #: _— Water heater 10.00 DESCRIPTION OFtWORK Gas fireplace - i 0.00 1 � _ k 1 0-)U 1' I- Cid1' � ��l.( F Flue vent(water heater- as fireplace) 10.00 Log lighter(gas) 10.00 _ ------ Wood/Pel!et stove 10.00 _.._...—_— Wood fire lace/insert 10.00 _ Chimney/liner/flue/vent 10.00 _ PROPERTY OWNER Other: 10.00 Name: � is ( Environmental Exhaust&VenNlatian Range hood/other kitchen equipment 1().00 Address: Clt /State/Zip_ --�— Clothes dryer exhaust 10.00 ---- Single duct exhaust Phone: _ Fax (bathrooms,toilet compartments, APPLICANT' _CON'T'ACT PERSON_ utility rooms) 6.80 _ Name: Attic/crawls ace fans 10.00 _ --- ---- - ------- Other: 10.00 Address: - - - - - - - - Fuel Piping - Clt /State/Zip: --_� ••(55.40 for tint 4.$1.00 each additional Ph4t?e, ---------- --Lax: ---- __ ----- Furnace,etc. •• --- Gas heat pump •• E-mail: _ Wall/suspended/unit hinter •• CONTRACTOR Water heater *• Business Name: I - �. Fireplace __ •• - Address: Range — �• - City/State/Zip:*� �� - BBQ --- �+ - _!"s 1 'L_ 1 7 _ Clothes d, er as) __^ •• _ Phone: i �i. l-�{S�.� [r$x: �{(� -(�� Other. CCB Lic. #: L FS 7 Total: Authorized / Mechanical Permit Fees* Signature: �.,1 Ct,tA_'JL \t l)GrWGYI Date. �� ft O:5 - Subtotn:. S Minimum Permit Fee$714.50 S _ __ `��n er r I>v 1�o4>t t i`=�`►� Plan Review Fee(25%of Permit Fee) c (Please print name) — State Surcharge(8010 of Permit Fee) S TOTAL PERMIT FEE S Notice: This permit application expires ifs permit is not obtained sithin *Fee methodology set by Tri-County Building Industry Service Board. IAT)days after it has been accepted as complete. "Site plan required for exterior A/C units. i\Dsts\Petmit Forn, �MecP.rmiWpp doc: 01'03 Mechanical Permit Application - Citi' of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: TOTAL VAI UATION_: — PERMIT FEE: $1.00 to$2,000.00 Minimum fee$72.50 $2,001.00'.o$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional $100.00 or fraction thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and$1.80 for each additional $100.00 or fraction thereof, to !md including$10,000.00. $10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and$1.35 for each additional $100.00 or fraction thereof, to and includiij�_$50,000.00. $50,00' )to$100,000.00 $771.50 for the first$50,000.00 and$1.25 for each addi,ional $100.00 or fraction thereof, to and includinn$100_000.00. $100,001.00 and un $1,390.50 for the first$100,000.000 and $1.10 for each additional $100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. 08uilding\Permit Form s�MecPerm itAppPg2 09-01-03.doc ELECTRICAL - CITY OF TIGARD RESTRICTEDPEN ENERGY DEVELOPMENTDEVELOPMENT SERVICES PERMIT#: ELR2003-00374 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 12/11/03 SITE ADDRESS: 07632 SW DURHAM RD 300 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: limited energy for HVAC wiring. A.RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM. NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LA.NDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: OPUS REAL ESTATE OREGON IV HVAC INC 10350 BREW RD, WEST 5188 SE INTERNATIONAL WAY MINNETONKA, MN 55343 MILWAUKIE, OR 97222 Phone: 952-656-4444 Phone: 503-462-4822 Reg #: LIC 50897 hl.f' 20-5711'LF _ FEES Required Inspections DescriptionDate _ Amount Low Voltage Inspection 1111,10111 1:1.lt 1'crmil 12/11/03 $75.00 Elecl'I Final [TAX]8 �Ifalc tiurchari 12/11/03 $6.00 Total $81.00 This Pen-nit is issued subject to the regulations contained in the Tigard Municipal Cude, 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 130 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 throuc Issued by ►` - /T� ,y��J�� _ Permittee Signature _ OWNER INSTALLATION ONLY The installation is being made on property I own which i:; not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTAL! ATION ONLY SIGNATURE OF SUPR. ELEC'N DATE. LICENSE NO: --- -- — ----- � _.-----____--- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit AyOication Received Electrical ---- Dale/BV: 7�101CJ Permit No..`Ctk Nt�3 City of Tigard Planning Approval Sign Date,B Permit No.. 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223Dalt/B : Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Revicw Land Use _ Internet: www,ci.tigard.or.us IDate/By: Case No.: Contact ---- <'a-hour Inspection Request: 503.639-4175 Juris.: See Page 2 for Name/Method - 'T(c. Su lemental Information. TYPE OF WORK -�, —_ PLAN REVIEW Please check all that apply) New construction Dcnutlitum Service over 225 amps- Health-care facility commercial ❑Hazardous Iodation Additto �ter_atit1 a lacement (lthefv ❑Service neer 310 amps-rating ut' ❑Building over IO,o(>D square feet, 4 EA _-._ -C AT _dORV OF CONST gn I&1 family dwellings four of mute residential units to roc 2-Famil dwellirm �bmiriercial/ dustrial ❑System over 600 volts nominal one structure ccesSo Build _Multi-Family ❑Building over three stories ❑Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Budder Other. ❑Egressi'lighting plan I ❑Other: JOB SITE INFORMATION and LOCATION Submit _sets of plans with anv of the above. FEE*SCHEDULE-1)Job sift address: The above are not applicable to temporary construction service. -)l�^ }. ' >� f��r4,o ,.,I .�� _ Suite#:— 000 $1d ./A t.#; Number of Ins ections per permit allowed Project Name:L) Description — Qty Fee(ea.) Cross streeVT)Irectlons to job Site: New residential-Single or multi-famll' , r dwelling unit.Includes attached garage. Service Included: 100(1 sq 11 or less 145.15 4 Each additional 500 sq.it.or portion thereof' 33,g0 I Subdivision: Lot#: Limited enema,residential — 75.00 -- 2 — — Limited energy,non residential 75.00 _ Tax map/parcel #: _ _ Each manufactureu home or modular dwelling DESCRIPTION OF WORK service and,or feeder 90,90 2 Services or feeders-Installation, 1L__- k CQ e-Y alteration or relocation: 200 amps or less 80.30 2 -- 201 amps to 400 amps 106.85 __ 2 _ 401 am to 600 amps 160,60 - 1 PROPERTY OWNER TENANT 601 amps to 1000 amps — 240,60 _ 2 -- Name: ,t Over IWO ams or volts 454.65 2 1 / tctl�9�l i � �!' Reconnect only —_---- 66.85 2 Address: Tern poraryservices or feeders-installation, _City/State/Zip: alteration or relocation: 2W amps o less 66.85 1 Phone- FaX: 201 amps t2,400 amps 100.30 2 APPLICANT CONTACT PERSON 401 to t.40 amps -- 133.75 2 Branch circuits-new,alteration,or Name: _ extension per panel: Address: A.Fee for branch circuits with purchase of service or feeder fee,each branch circuit 6.65 2 City/State/Zip: — B Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: FaX: Each additional branch circuit 6.65 2 E-mail: Misc(Seryice or feeder not included) _ CONTRACTOR Each pump or irti ation circle 53 40 2 ------ — Each sign or outline lighting 53 40 Job No: _ Signal circuit(s)or a limited energy panel, ,(2 Business Name: HVAC, INC. alteration,or extension Pa e? Address: 5188 SE_ INTERNATIONAL WAY Description _[City/State/Zip: MILWALTKIE, OREGON 97222 Each additional Inspection over the allowable In any of the above: _-- Per inspectionp_er hour min 1 hour) 62.50 Phone: —462-4$22 _ Fax: 503-462-6555 Investigation fee CCB Lic. #: 50897 Lic. #: 26-571 CLE ether: — Electrical Permit Fees* Supervising electrician t �j,Li, _ Subtotal S mature required: �'}r\Uu i _ Plan Review(25%of Permit Fee) S Print Name: TOM WILSON Lic. #: 2624 LEP State Surcharge(8%of Permit Fee) S TOTAL PERMIT' FEE S - AuthorlZed �j Notice: This permit application expires if a permit Is not obtained within Signature. _ G . Date: 12/11/03 180 days after it has been accepted as complete. sQ,((vim- O ►l }Tjr� 'Fee methodologv set by Tri-(ounry Building Industry Service Board. --.SHEBRIE.BO$INSM (Please print name) i Dii0eirmit For.nvElcPermitApp.doc 01-03 Electrical Permit Application - Citi' of Tigard - Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDEN"r1AL WORK ONLY: Fee for All systems..................... ...................................... $75.00 ('heck Type of Mork lo%ohed: L_I Audio and Stereo Systems* Burglar Alarm Garage Door Opener* Ilcating,Ventilation and Air Conditioning System* Vacuum Systems* Other COMMERCIAL WORK ONLY: Fee for each system.............................. 575.00 iSIT,OAR 918-260-260) t heck Type of Work Involved: ❑ Audio end Stereo Systems F—] Boiler Controls Clock Systems Data Telecommunication Installation [] Fire Alarm Installation tXl HVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* lJ Medical Nurse Calls I1 Outdoor Landscape Lighting* F1 Protective Signaling F-] Other Number of Systems No licenses are required. Licenses are required for all other installations i Dsts'\Permit Forms1ElcPrnnirAppPg2.doc 01'03 CITY OF T I^V A R D __ ELECTRICAL PERMIT PERMIT#: ELC2003-00703 DEVELOPMENT SERVICES DATE ISSUED: 12/5/03 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S113BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 ZONING: I P SUBDIVISION: SW ('ENTER SDR1999-00020 BLOCK: LOT : JURISDICTION: TIG Project Description: 24 branch circuits. RESIDENTIAL UNIT TEMP_S_RVCIFEEDE_RS _ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'I_ 500SF: 201 - 400 amp: SIGN/OUT LINE LTG. LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 2.01 - 400 amp: 1st W/0 SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD L BRNCH CIRC: 23 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only__ SVC/FDR>=225 AMPS: �_— CLASS AREA/SPEC OCC: — Owner: Contractor: OPUS NORTHWEST NORTHERN ELECTRICAL_CONST 111 SW COLUVgIA 39905 SE 37TH ST SUITE 870 WASHOUGAL,WA 98671 PORTLAND,OR 97201 Phone: 503-916-8963 Phone: 360-335-8233 Reg #: ELE 37-995C — LIC 155483 FEES _ SUP 5020S Description Date Amount Required Inspections (ELPRN4T1 ELC Permit 12 i 01 $199.80 --- 1TAX)80%b State Surcharge 1 501 $15.98 Rough-in _— — Elect'! Final Total $215.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable Laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or rf work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)2466699 or 1.800-332-2344. w Issued By: � ,(� f [/ 1L•�'i//,(�[� Permit Signature: �.�� s / ��i `"z- _ OWNER INSTALLATION ONLY 1 he installation is being made on property I own which is not intended for sale, leas or rent. OWNER'S SIGP'ATURE: �_— _ _ DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: )L :I —•-- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit A lieation Received Electrical r ----- P�—._— Date/By: Permit No..,54d.-;4y)3 -ric City of Tigard Planning Approval Sign Date/By! _ Permit No -7(J 13125 SW Hall Blvd. Plan Revicyv Other Tigard,Oregon 97223 Date/By: Permit No Phone: 503-639-4171 Fax: 503-598-1960 Post-Review - Land Ilse _ Internet: www.ci.tigard.or.us Date/By: Case No Contact .tuns. See Page 2 for 24-hour Inspection Request: 503-639-4175LL Name/Method: I Sup Ip emental Information. TYPE OF WORK PLAN REVIEW Please check all that apply) _ LJ New construction Demolition Service over 225 amps- liealth-care faJlity A_dditiort/alteration/re lacement 10 Other: commercial ❑Ilaxardous fixation LATEGORY OF CO TRUCTION ❑Service over 320 amps-rating of ❑Building over 10,000 square feet. _ 1&2 family dwellings lbur or more residential units in �] 1 & 2-Family dwelh.;," ReTCommercial/Industrial ❑System over 600 volts nominal one structure ❑�] Building over three stories []Feeders.400 amps or more Accessory Building Multi-Family _ ❑Occ,ipant load over 99 persons ❑Manufactured structures or RV park Master Builder Glher: _ ❑Egressilighting plan ❑Other JOB SITE INFORMATION ape LOCATION Submit-_sets of plans with any of the above. The above are not applicable to lernporor%construction service. Job site address: 3 21 a90 FEE'SCHEDULE Suite #: Xn p 1 Bld ./Apt.#: _i �� Number of ins ections er ermit allowed Project Name: N 60 to Description _ tit) Fee(Co.) Total New resldentlal-finale or multi-Onmlly per Cross street/Directions 10 Job site: dwelling unit.Includes attached garage. Service Included: I(MR)sq R.or less _ 145.15 4 _ Each additional 5(N)sq.Il.ot portion thereof 33,40 I SUI/dIV1SlOn: Limited enermy,residential 75.00 2 Lot Limited ener ,non residential Tax ma /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and or feeder 90,90 2 Servlce%or feeders-Installation, alteration or relocation: 21X1 amps or less 80.30 2 - - -- ------ 201 ams to 400 ams 106.85 2 _ _ 401 am s to 6(X1 awns 160.60 2 ROPERTY OWNER TENANT601 am s to 1(M"'amps — 240.60 2 Over IWit), s or volts 454.65 2 Name: - ' .�F�1_ — mRer wiect only - 66.852 Address: 182 ZoAd 1AJ 04 Temporary services or feeders-1w.1allation, Cit /State/ afieration,or relocation: �� N 21x1 am)s or less 66.85 1 Phone:Q,,''%„ t'„�^ ,� dX: 201 amps to 41X)amps 100.30 2 LJ APPLICANTONTACT PERSON 401 to WY)ams 133.75 2 Branch eircults-new,alteration,or Name: 'A boa'j "x -i' extension per panel: A Fee for branch c,rcuits with purchase of Address: � �- s,f 3TC y �� service or feeder fee,each branch circuit 6.65 2 City/State/z1: Fee for branch circuits without purchase of �� A v � -`— service or feeder fee,first branch circuit _ 46.85 Al 'yt 2 Phone:,3(fe 33s�8� �!ax: _ Each additional branch cirtuit 6.65 2 E-mail: _ vlise.(Senice or feeder not included) CONTRACTOR Each pump or irri anon circle 53.40 2 - Each sign or outline lighting 53.40 2 Job No: .3 C)- _ Signal circuit(s)or a limited energy panel. Business Name: JRw �� 'M alteration,or extension pane 2 Description._ Address:�3 p _ Cit /State/ZpJw�� 1)d _! 7/ Each additional Inspection over the allowable In any of the abuse—Per inspection r hour min. I huu�l 62.50 Phone• .J,�,$' ax: Q .�R'-=j" Investigation fee: ` CCB Lic. #: G4Other: (' Electrical Permit Fm* Supervising electrician Ym� Subtotal_ 15 rq�i.—7o - signature required: �— Plan Review 251/6 of Permit Fee) $ Print Name: Lic. #: SCS State Surcharge 811of Permit Fee) 5 _ TOTAL PERMIT FEE Authorized/ qtr 9 Notice: This permit application expires If a permit is not obtained within Signature - _ Dale/1,,l .1 5-NOs 180 days after it has been accepted as complete. •Fee methodology set by Tri-(bunt) Building Industry Service Board. (Ple se print name) i Dsts',Permit Forios ElcPermntApp.doc 01 03 Flectrical Permit Application - Cite of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMITFEES: RESIDENTIAL.WORK ONLY: _ Feefor&I systems............................................................ $75.00 "beck Type of Work Involved: F] Audio and Stereo Systems* Burglar Alarm Garage Door Opener* Ileanng.Ventilation and Air Conditioning System* Vacuum Systems* Other COMMERCIAL WORK ONLY: —Fee for each system.......................................................... $75.00 (SEG OAR 918-260-260) r heck Type of Work Involved: E] Audio and Stereo Systems E—] Boiler Controls n Clock Systems Data Telecommunication Installation Fire Alarm Installation [] HVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* u Medical DNurse Calls LOutdoor Landscape Lighting* C7 Protective Signaling F—] ether Number of Systems * No licenses are required. Licenses are required for all other installations i'Dsts.Petmit Forrns\ElcpermitAppPg2 doc 01,03 CITY OF T'IGARD 24-Hour BUILDING inspection Line: (503)639-4175 MST INSPEC'I-ION DIVISION Business Line: (503)639-4171 BLIP - -------_—_____ Received — __-- Date Requested \ _— S Lek _ AM PM 9UP Location . ---7 6 .3 Z Suite J� ��C> _ MEC - -- -- Contact Person ,_ Ph( ) PLM Contractor _._._._ _ Ph( ) ____ SWR BUILDING Tenant/Owner —_ _ ELC Footing --- ---- - Foundation ELC _ Access: Ftg Drain ELR �� _ Crawl Drain Stab Inspection Notes: !� 7 SIT — Post& Beam __•- Shear Anchors -- ---" ---- - Fxt Sheath/Shear �^ Int Sheath/Shear Framing -- - - --- — -- - ----- Insulation Drywall Nailing — -- -- ---- - - -- Firewall ,� a�•� � ��ty� r Fire Sprinkler -f-- 1� --�--- --- -- Fire Alarm 3usp'd Ceiling -- - ----- - - ------ Roof - ----_Other: ---- --- --- Final PASS PART FAIL. _PLLWIEIl_NG Post 8 Beam -- Under Slab -- -------- - Rough-In Water Service - ------— Sanitary Sewer Rain Drai;1s - Catch Basin/Manhole Storm Drain -- - ---- - Shower Pan Other:_ - - -- -- -------- - --- -- Final PASS PART FAIL - - -- -_- ------------ ----- -- ---------- - ---AR - MECHANICAL Post& Beam Rough-In Gas line Smoke Dampers - Final PASS PART FAIL - - - - -- --- - --- -- --- ELECTRICAL Service - - -- -- -- ---- R,.ugh-In UG/Slab -- Low Voltage _ re — ` Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PA!-iT FAIL --------------- SIly _ Please call for reinspgction RE:-- -_- _- - Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data 1c _ Inspect - -Ext—__- Other:-__—_---- Final D NO1 REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour B.UILG AG Inspection Line: (503)639-41756--_ INSPECTION DIVISION Business Line: (503)639-4171 MST _ — __4 t)o Received _—_--__ -_Date R/equested—_ 1 _Alvt `_. PM BUP �. Location SLYG —_ ------Suited _ MEC Contact Person _—�L�—��t ysd49 Ph( j t <A- PLM PLM Contractor,_______ -_ _ Ph SWR Ju BUILDING Tenant/Owner __ �-� _ __ ELC _ Footing --- ELC Foundation Access: ,- Fig Drain ELR Crawl Drain --+`-- SIT Slab Inspection Notes: — --- / Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear d / Qom- C 3 Framing -- Insulation Drywall Nailing -- ----- - - —' Firewall Fire Sprinkler -- -`---- -ireJ-�-�f---f- Susp'd Ceiling --- Hoof Other. na A PART FAIL ------ -- -- -- _- -._-- ----- PL MBING Post&Beam - Under Slab -- - ---- ----- ---- Rough-In Water Service - - -- - - - ------ - �- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm hrain Shower Pan Other. -------- _ __ - - - _---_-- -- _� -- - Final PASS PART FAIL -_ -- - ---- - --- -- --- --------- - MECHANICAL ------- Post& Beam Rough-In - - - - -- -- - --- — - -_-- ,_--_ Gas Line Smoke Hampers -- -- - - - - -- ----...- 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 SITE — Please call for reinspection RE:-`_.^_ -_. -_. _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date � 7 C� Z".._ Inspector �' �-�'1.��= Ext 7��I Other: - Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL LECTRICAL CITY OF TIGARD RESTRICTED ENERIGY DEVELOPMENT SERVICES PERMIT#: ELR2003 00327 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/21/03 SITE ADDRESS: 07632 SW DURHAM RD 300 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDIrTION: TIG Proiect Description: Fire alarm circuit fA.RESIDENTIAL B.COMMERCIAL I 'AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 Owner: Contractor: OPUS NW CAPITOL ELECTRIC CO INC 1000 SW BROADWAY #1130 11401 NE MARX ST PORTLAND, OR 97205 PORTLAND, OR 97220-1041 Phone: Phone: _155-9488 Reg#: M1;T 000u0454) I.I(' 0487.18 Still ;131.; FEES 111 FUgbYtbd Inspections Description Date Amount Ceirung Cover I I.I'kM I] ELIC Pcrniit 10/21/03 $75.00 Wall Cover � f-\.t� 8"/oSt❑tc Tn10/21/03 $6.00 Elect'I Final Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialt-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 Bean 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 throuc �. Issued by Per Signature OWNER INSTALLATION ONLY The installation is being made on property ; own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: — — --- -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application hate received:_771BY: ermit no.: -0 Pro'ecUa I.no.: Expire date: ` City of Tigard hate issued: Receipt no.: CITY Of TIGARD Address: 13125 SW HALL(BLVD,TIGARD,Olt 97223 (:'ase file no.: I Payment type: Thune: (503)639-4171 Fax(503)598-1960 Land use approval: _. ❑ 1 &1.family dewlling or accessory ■ Commercial,industrial ❑ Nlulti-Ianul� ■ Tenant Improvement New construction ❑ Addition/alteration/rc lacement ❑ Other: Ci Partial Job addres,;: 74WSW DURHAM RD 4,.. City: TIGARD 1314-.No.: lsllitvllo300 Tax ma /tax IoUaceount no.. Lot: )flock N!A subdivision: _ Pro ect name:UHC Fire Alarm Additions Desai-tion and location of work un ,remises: Add fire alarm notification circuit i mit;-ted date ul'cont pletiordins i ection MEMMLial SURE .lob nu: Fcc >lu%. Business Name: Capitol Electric Co.,Inc. Descrl tion Vn (eu.) lun,l no.Insp Address: 11401 NE MARX STREET New residential single ur tuulti-farnlly per City: Portland state: OR LIP: 97220 dwelling unit. Includes attached garage. Phone: 503-255-9488 Pax: 255-9488 F-mail: darrell ce dx.com Service Included: CCB no.: 48748 jElec.bus.f,.no: 26-496C 1000 s ,n,or less s 145 15 City/metro lic.no.: NIA 4 Bach additional 500 s%.Il.or portion thereof $N0 40 10120103 Limited energy residential S 75 00 - Si natur ofsupervising electrician(require ) Date Limited energy, non-icsidential S 4500 2 Su .elect.name rint : Darrell McNeel L •ense no.: 3132-5 Each manufactured home or modular dwelling Service and/or feeder $ 90.90 Nance(print): Services or feeders-Installation. Mailing address: alteration or relocation: City: State: LIP: 2011 amps or less $ 80.30 Phone; Fax: E-mail: 20 amps to 400 amps - -_ S 106.85 _ Owner installation: The installation is being made on property 1 own 401 to 600 ams $ 160 60 _ which is not intended for sale,lease,rent,or exchange according to 601 ams to 1000 amps S 24060 ORS 447,455,479,670,701. O%cr 1000 am s or%oils S 454.65 Owner's siRnafure: Date: Reconnect only S 6685 1 1-emaorary services or feeders- Name: Installation,alterations,or relocation: Address: 200 amps or Icss S 66.85 Cit : State: !ZIP: 201 ams to 400 ani ps S 100.30 Phone: Fax E-mail: 401 amps to Eno amps S 133 75 Itranch circuits-nevi,alteration. Q Servi%e over 223 amps-cmm�a:1,1.11 ❑Ilealth-care facility or extension per panel: ❑Service over 320 amps-rating of l&2 ❑Hazardous location A. Fee for branch circuits with purchase of family dwellings ❑Building over 10,000 square 0.four or service or feeder fee,each branch circuit $ 665 ❑Svatem over 600 volts nominal more residential units in one structure H. Fee for branch circuits without purchase ❑Building over three stories ❑Feeders,400 ramps or more of service or feeder fee,first branch circuit: $ 46.85 ❑Occupant load over 99 persons ❑Manufactures structures or RV Park Each additional branch circuit: $ r.115 ❑Egress/lighling plan ❑Other Nllse.(Service or feeder not Included): Submit sets of plans viith any of the above. Each pump or irrigation cir.le s 5380 The a bo%c are not applicable to temporary construction ser%Ice. Each sign or outline lighting S 53.40 Signal circuits)or a limited energy panel, alteration,or extension* _1 s 75.00 1 75001 -' 'Description: FIRE ALARM CIRC Uli Eich additional inspectionm er Of allo.%ahle in any of the above: _ Per inspection s 62 50 _ _ Investigation fee Other rEl Visa ❑ MasterCard Permit fee................ 4 7500 -w card number Notice:this permit application Plan review ( ) �i "" expires if a permit Is not obWned State Surcharge( 845 1 $ 6.00 nor..f canlhalan a shown un near srJ 180 days after it has been $ within 9 Y TOTALL................... $ 81.00 — accepted as complete. l�nllwlder a,annurc e U� 7100 SERIES o FIRE CONTROL INSTRUMENTS CDFIRE ALARM CONTROL PANEL 1 FM .aero DESCRIPTION The FCI 7100" Series fire rilarm control panel effectively combines multiprocessor analog system advantages with a compact,efficient design.Designed fot commercial,indus- trial and institutional use, it is ideal for life safety applica- tions. It The 7100 prc":des two signaling line circuits, operable with"straight lay"wire. Each can accommodate 99 analog sensors and 98 addressable monitor and/or control modules for a total of 197 points per circuit,with a system maximum of 394 points. A choice of either front-panel intuitive programming or computer programming via the FC)Field Configuration Pro- gram(FCP)facilitates the installatic,r regardless of the com- plexity of the application. The sophisticated circuitry and powerful analog software enables it to read specific(default/user)sensitivity levels of each sensor and compensate for any changes due to age or en- vironment.The 7100 incorporates the FCI Listed Integrated Sensitivity'resting(LIST)which meets the NFPA 72 sensi- tivity testing and maintenance requirements.The LIST test- FEATURES ing allows substantial savings to both maintenance and • 80-character Alphanumeric Display service while virtually eliminating unwanted alarms. • Intuitive Front Panel Programming The Model 7100D (non-FM) features an integral Digital ith all popular a two Style 4(Class 13):signaling bine Alarm Communicator Transmitter(DACT)w transmission formats and a 16-digit telephone number field. Circuits u;ing"straight Lay"Wire It is 8-digit Carrier Information Code(CIC)compliant and • Manual/Antomatie Sensor Settings also prevents"dialer-runaway" in the event of intermittent a Individual Sensor Drift Compen,Ation system faults.The 7100D is UL Listed fr_r Remote Station, a Listed integral Sensitivity Ter iing(LIST) Proprietary and Central Station fire alarm systems. «Dirty"and"Very Dirty"sensor Housed in an attractive,contemporary styled cabinet,the 0 7100 off--rs ample wiring space and room for batteries up to 7 Indications AH capacity. • Multilevel Sensor Sensitivity Adjustments A variety of optional modules offers a wide range of fea- paw/Night Sensor Sensitivity Adjustments tures to meet local or specialized requirements. • Alarm Verification per Individual Sensor OPTIONAL FEATUIti•a . Tour levels of SNocnr Access Programmirl; • Integra! Digital Alarm Communicator N'ith Five Passvtords per Level (DACT)(7100-D) • Duplicate Address Indication • Remote 80-Character LCD Displlt! • Periodic Trouble Reminder (11,CD-711111) all Two Style V(Class B) Regulated • Rernole I,ED Driver Module(I,DM-71(111► Notification Appliance Circuits,Rated • Class A Option Module for Both Signaling 1,5 Arnp.each Line Circuits and Notification Appliallc;: a March Time/Temporal PattertiWalif.Code Circuits(CAOM) • 500-Event History Log • Output for Cih Nitister Box, a hast Date,Time and Menu Option Printout Reverse Polarih Signaling or Releasing for Programming Verification Solenoid(MCOM) RS-232 Isolator/Transient Protection for ` EDP Device Connection(P'TRM) • 120 or 240 VAC Input Operation Patent pendinqsiblilty Is assum are not Intended to be used for Ied � •1999 All Rights Reserved Sp•ciricabons are provided for mformetion only, nUsllebon purposes.eon eco he�ie.ed to he•eeunq.HowMN.'7o r•epon by Fire control Instruments.Ino.for their use Spectficsbons subject to change Wt.out notice. 301 2nd Ave Waltham, MA 02451-1133 USA TEL:(781)487-0088 FAX:(781)39 -4132 0 6Ner. 1.7 SPECIFICATIONS Primary input power 120 VAC,50/60 Hz,2,0 amps,or 240 VAC,50/60 Hz, 1.0 amp. Output 1 ower 4 amp.@ 24 VDC(total) Non-resettable power 1.0 amp. Resettable power 1.0 amp. Two(2)Notif Appliance Circuits 1.5 amp.each Current Supervisory Alarm 7100-2 0.065 amp. 0.085 amp 7100-2D 0.085 amp. 0.105 amp LCD-7100 0.050 amp. 0.075 amp. LDM-7100 0.035 amp. 0,200 amp.(All LEDs lit) Operating temperature 32- 120"F(0-49°C) Relative humidity 85%(non-condensing) Battery charger capacity 31 AH Alarm and Trouble relay contacts Form"C",2 amps. @ 24 VDC(resistive) Dim- rasions 7100 16.9"Hx 14.5"W x 3"D(40 x 37 x 7.5 cm) LCD-7100 4 1/2"H x 8 1/4"W x 1 7/8"D( 11.5 x 20.5 x 4.6 cm) LDM-7100 6"W x 4 1/2"H(15,24 x IL 5 CM) Weight(7100) 24 lbs(11 kg) ORDERING INFORMATION Part Number Model Description 1100-1230 7100-2 Analog Addressable Control Pancl 1100-1232 7100-2D Analog Addressable Control Panel,with DACT 1100-0399 LCD-7100 Remote Serial Annunciator(80-Character) 1700-0200 LDM-7100 Remote LED Driver Module 1100-1233 CAOM Crass A Option combination module with disconnect,,vitches for both signaling line circuits and notification appliance circuits 1100-1234 MCOM Municipal Connection Option Module for local energy cih,tox, reverse polarity signaling,or releasing solenoid 1100-1235 PTRM Printer Transient Module-allows use of RS-232 Serial Port for EDP device connection 1100-1250 7100-2-240 7100.2 for 240 VAC input 1100-1251 7100-2D-240 7100-21)for 240 VAC input 1120-078 EN-7100 Back Box 1120-0779 CS-7100 Door 1120-0778 T-7100 Transformer, 120 VAC input(replacement) I 1120-0801 T-7100-240 Transformer,240 VAC input(replacement) 1120-0781 BSM-2 Basic System Module,2 SLC,(replacement) 1120-0780 BSM-213 Basic System Module,2 SLC,DACT,(replecement) 9020-0461 3 of 3 Capkol R � D Electric Co., Inc. JUN CLI Y Ur 1iU,''>►1K BOLDING DMSIQr' June 25, 2002 t Daryl Jones City of Tigard Building Services 13125 SW Hall Blvd. Tigard, OR 97223 Re: Tenant Improvement Fire Alarm UHC Suite 300 SW Center Office Building _7b30-S'W Dul ham Road Tigard, Oregon Daryl, Please find enclosed a building permit application, Tri-County Commercial Application Checklist, two sets of pllns, calculations, and product submittals for the fire alarm tenant improvements at the address listed above. Group occupancy for office spaces: B As you and I discussed by telephone several months ago, we propose to install one fire alarm notification device in this tenant space at a normally occupied location. Presently there are no notification devices inside the building, with the exception of the fire alarm control panel and remote annunciator LCD keypads. Please call if you haN'e lllk:S11011S 01'co111111c11ts. Respectfully, Dan W. Wilson Fire/ Life Safety Manager (503) 255-9488 CCB# 48748 • 12810 N.E. Airport Way Portland, Oregon 97: tr-1029 (503)255-9488 Fax (503)257-7121 A►R� -- BtJILDINGPEr:MIT CITY OF TIG PERMIT#: BUP2002-00255 DEVELOPMENT SERVICES DATE ISSUED: 7/19102 13125 SW Hall Blvd..Tioard. OR 97223 (503) 639-4171 PARCEL: 2S i 13BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: -�FLCOR AREAS_ _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: E-PS FIRST. sf W S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENIF\'iS? _— TYPE OF CONST: sf N: S: E: — W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMEN f: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS REQUIRED _— FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: !3MOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HIJDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Remarks: Installation of a non-required fire alarm system Owner: Contractor: OPUS NW CAPITOL ELECTRIC CO, INC. 10350 BREN ROAD WEST 128 ,O N.E. AIRPORT WAY #'I MINNITONKA, MN 55343 POPTI_AND, OR 97230 Phone: Phone: 503-255-9488 Reg#: LIC 48748 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required 5PCT CTR 6/25/02 $5.00 27200200000 Fire Alarm Insp Final Inspection FIRE CTR 6/25/02 $25.00 27200200000 PRMT CTR 6/25/02 $62.50 27200200000 —^ --- Total $92.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other apolicablP 1?W 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 clays. ATTENTION Oregon law requires you to follu.w the rules adopted by the Oregon Utility Notification Center. Those niles are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Permittee Signature: cel ° �r l) _ Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day ,00, 10of—70 BuildinuPermit Appljg4tiMn aa Date received: 5 Pemfit no �( City of Tigard I'ro'ecUa I.no.: a date: Ci eV OF TIGARD Address: 13125 SW Hall Blvd.,Tigard.OR i)7;-n Date issued: li ecei t no.: Phone: (503)639-4171 ��1 Y ,yc 1�']�` ,t�r� ('use file no.: _ I'a mcnt t e: hex: (503)598-1960 06 D%ri I&2 family Simple Com lex: J Land use approval: C1 I&2 family dwelling or accessory ■ Commercial/industrial ❑ Multi-family 0 New Construction ❑ Demolition CT Addition/alteration/replacement ❑ Tenant improvement M hire alarm ❑ Other Job address: 763. SW DUMIAM ROAD Bld . No Suite no.: 300 Lot: Block: N/A Subdivision: ITax ma /tax lot/account no.: Project name. UHC TENANT INPROVEMENT Description and location+ol'work on premises special conditions: _ INSTALL FIRE ALAR11 HORN STROBE IN TENANT SPACE AT NORMALLY OCCUPIED LOCATION. - Name: OPUS NW MANAGEMENT,H.0 Mailing address: 10350 BREN ROAD WEST 1 & 2 fantih dwelling: City: MINNETONKA State: MN Zip 55343 Valuation of work $ ........................................................ Phone: Fax: E-mail: No.of bedrooms/baths Owners representative: PETER S FIVEN,CB RICHARD F:LLIS Total number of floors ........................................................ Phone: 503.221.4010 Pax: E-mail New dwelling area(sq.fl.) ........................................................ Garage/carport area(sq. fl.) ....................................................... Covered Porch area(sq. fl.) ........................................................ Name: DAN WILSON, CAPIT01 ELECTRIC CO.,INC. Deck area(sq. fl.) Mailin address: SEE CONTRACTOR INF. BELOW Other structure area(sq. ft.) City: State: I Zip: Phone: I-ax: IF-mail: ---- Com inerc a nc list ria ntilt t- a inliv Valuation of work $ACTOR 71111.(111 Existing bldg.Area(sq.fl.) ........................................................ Business name: CAPITOL ICI.: c I QI( I"( New bldg.Area(sq.fl.) Address 12810 NE AIRPORT 81A 1 Number of stories Cil PORTLAND I State: OR Zip: -97230 Type of construction ..................... .................. Phone: 503-255-9488 I'8X: 503-257-7121 E-mail: Occupancy group(s): Existing;: A CCB no.: 48748 JOregon License No.: 26-4960 New: _ Cit /metro tic.no.: 4542(metro) _ Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Mailin r address: jurisdiction where work is being performed. If th 'pplicant is City: — State: Zi : exempt from licensing,the following reason applies: Contactperson: I Plan no.: _ Phone: Fax: E-mail: Name: 1contact person: Fees due upon application $ ........................................................ Mailin address: Date received: _ Cit State: 7_i Amount received Phone: Fax: E-mail: _ I hereby certify 1 have read and examined this application and the attached checklist. All provisions of laws and ordinances governing this Not all jurisdictions s-apt credit cards,please cnll jurisdiction for more information. work will be complied%%A whether sp• i!icd herein or not. ❑ visa ❑ Mastercard Credit card number: Authoriad signattore. — —hate: 6/25/02 Expires Name ofcnnlh•Idrr as shown on credit card Print name: DAN WILSON Cardholder signaturc Amount Notice: rhis permit application erpires ija permit is not obtained with 1N#da)-,after if has been accepted as complete. �■t CITY OF T I G A R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00116 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 7119/02 SITE ADDRESS: 07632 SW DURHAM f;Q 300 PARCEL: 2S 113BA-00400 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Descriution: Low voltage for fire alarm installation A.RESIDENTIAL_ B.COMMERCIAL, AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 1 Owner: Contractor: OPUS NW CAPITOL ELECTRIC CO INC 10350 BREN ROAD WEST 12.810 NE AIRPORT WAY MINNITONKA, MN 55343 UNIT 1 PORTLAND, OR 97230 Phone: Phone: 255-9488 Reg#: LIC 046748 SUP 31325 ELE 26-4960 FEES — i Required Inspections YType By Date Amount Receipt _ Low Voltage Inspection PRMT CTR 6/25/02 $75.00 272.0020000 Elect'I Final 5PCT CTR 6/25/02 $6.00 2720020(;00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Coder 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!nore 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 t"ugh OAR 952-001-0030. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. ' T- Issued by yL 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_ 1 C J�2 P�_(' CL DATE:---------- LICENSE N O: 2 � �5 T �---- ------ ------- ' Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 1 Electrical Permit Application �y Date received "? Perm t no.:_fL pl - - Pro'ect/a I.no.: a date: City of Tigard ��r.r +'�► "' "' Date issued: It Recei t no.: CITY OF TIGARD Address: 13125 SW HALL BLVD,TIGARD,OR 97223 Case file no.: Pa mens type: Phone: (503)639-4171 Fax(503)5911-11r.,' Land use k;►provel: !l�ii1li! ❑ 1 &2 family dewlling or accessory ■ Commercia-0ndustrial ❑ Multi-family ■ I emuu ilvpruvenwnt New construction U Udiiwm alteralion/ren1w ement ❑ Other: ❑ Partial Jul)address: 76 SW OURNAM ROAD Ity: TIGAF Isuiteno.100 Tax ma /tax lot/accouni no.: [,of: Block:N/A Subdivision: Project name: UHC T.I. Description at,"location ol'work on premises: INSTALL FIRE ALARM HORN/STROBE I a sled date of com iletionins tacti ; on Joh Ito: Fee h1as. [3usiness Namc Capltol Electric Co.,Inc. De.scriution 110. leu.) total no.lnap Address 12810 NE Airport We New residential-single er multi-f indh per Cil Portland State: OR /11': 97230-1029 dwelling unit. Includes Mooched garage. Phone: 503-255-9488 rax: 255-9488 ii-Itlail: Barrell ce dx.com Service Included: CCB no.: 48748 Elcc.hos.lic.no: 26-4960 1000 sq,It,or less $ 145.15 4 Cit /metro lie no.: N/A F.ach additional 500 sr.0.or portion thereof + 33.40 6125/02 Limited energy residential 5 75.00 Signature of supervrsing ciccuiclan ire wed) i _ Mile I imiled energy,non-residential_ $ 45.911 _ - ::»1.elect.name(Prior) Richard Martin I i'rnse no.: 2885-S P.ach manufactured home or modular dwelling Service and/or feeder Nance 7�d± _ OPUS NW 5ervlcesorfeeders-Installation, Mallin 1050 BRENROAD WES I' alteration or relocation: CitINNITON14Yr State: MN III'. 55343 200 amps or less $ su ul Phone: Fax: E-mail: 201 and s to 400 ams _ s 106.85 2 Owner installation: The installation is being made on property I own 401 3111PS»+600 ams _ s 100.60 2 which is not intended for sale,lease,rent,or exchange according to 001 ams to 1000 ams_ S 2411.60 2 ORS 447,455,479,670.701 Over 1000 ants or volls S 454.65 2 Owner's signature: I+.Ic: Reconnect only c 66.85 I 'Temporary services or feeders- Nan1e: !nstallatiou,sherations,or relocation: 200 amps or less S 66.85 Cit SUIIe: /I I' 201 imps to 401)amps _ S 100.30 Phone: I av — I nail: 401 grips io 60o aml,s $ 133.75 2 Branch circuits-new,alteration, ❑Service over 225 amps.commerciel ❑Ilealth•carc facility or extension per panel: ❑Servlce over 320 gimps-rating of Ida2 ❑Hernrdous location A. Fee for branch circuits with purchase of family dwellings ❑Building over 10,001)square B.four or service or feeder fee,each branch circuit S _'s ❑System over 600 volts nominal mare residential units in one structure B. Fee for branch circu"s without purchase ❑Building over three smries ❑Feeders.401)amps r-more of service or feeder fel,first branch circuit S 4r,S5 2 ❑Ikeunant toad over mt re"OrIM ❑Manufactures structures or RV Park Bach additional branch circuit S n ns ❑1-grass/lighting plan ❑oilier Mise.(Service or feeder nor Included): Submit sets of plans with any of the above. !Tach punt or irrigation circle _ S 141, The above are not applicable to temporary construction service. I Fach si o of outline lighting S s t 4' Signal circuit(s)or a limited energy panel, alterati in,or extension* 1_ S li o •Desc ption FIRE ALARM NOWICA11ON CIR(Ull each additional inspectionover th allowable in any of the rabove: I'er inspection 1 S 62.50 Imestl alion fee Other _ ❑Visa ❑ MasterCard Permit fee.................. E 7500 rredit card number: / Notice:this permit application Plan review ( ) S expires If a permit Is not obtained State Surcharge( 8°/e. ) 5 600. Name of centhold:r a ilso n w+creda cud within 180 de after it has been S 9 Ys TOTAL.................... $ 81.00 Cardholder lignalure ^a*"'a' accepted as complete. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP _— Received --_ _ Dattee�Requasted �'��S'�rv3 AM — PM—_ _ BLIP __--_- —---- Location _ ?V 32- �/1�12 /1'I --- ----_..__ Z .3 •,?- &0 .�— _�---------�._.._ MEC Contact Person — —W well' ---- - -- - -- Ph -- ) ---- --— PLM SWR BUILDING Tenant/Owner —____---_ ELC Footing _.. ----------- `— — --- --------- Foundation Access: ELC ....... Fig Drain Crawl Drain EI_R ----- - Slab Inspection Notes: SIT Post& Beam ---� ------ -,ar Anchors ----- --- -__--.-- - ----------- Ext Sheath/Shear Int Sheath/Shear ------ - Framing -----Framing - --- - - - - ------- ---- - ---- Insulation Drywall Nailing -.. - - --- --------- - --- --- ---------- Firewall Fire Sprinkler - - - -- ---- - -- --- - Fire Alarm Susp'd Ceiling - - ---- - Roof Other: - -- - - -- Final ------- - PASS PART_ FAIL - - - -- PLUMBING Past 8 Beam Under Slab _--_---------.---- Rough-In -- -___-- - ---- --_ Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole — - Storm Drain Shower Pan — Other: - _ _ -- -- ----- -------------- --— - Final P _ T_FAIL - — -- - --- -------- --- -- K3nFCWANIIr earn --- -- --- -- --- ------ ---- Rough-In - -,-------- — Gas Line --_--— - Smoke Dampers - PART FAIL - --- - -- --- — -- - _ RICAL Service - — ----- -- - - ----- _-— -.� —_ Hough-In UIG/Slab -----_ ----- —— ---- ----- —---- — Low Voltage Fire Alarm -_,_ ----- - ------— ---- -------- Final FIReinspection fee of$__ _._ requires before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE_ �j Please call for reinspection RE:— Unable to inspect--no access Fire Supply Line ADA � Approach/Sidowalk Date- - -----✓..._._ Inspeeter _-.-� _ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL / \ CITY OF TIGARD _ BUILDING PERMIT PERMIT 4: BUP2003-00621 DEVELOPMENT SERVICES DATE ISSUED: 11/5/03 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S113BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING- I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AR_E_AS _ E_XTE_RF►R WALL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: _ sf� N_ S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W:�— _ OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: St AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKF REQUIRED FLOOR LOAD- psf LEFT: ft RGHT: T ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,300.00 Remarks- Tenant Improvement I Owner: Contractor: OPI IS NW CAPITOL CONSTRUCTION 1000 SW BROADWAY#1130 1,000 CAPITOL DR PORTLAND,OR 97205 STE 200 Phone: WHEELING, IL 60090 Phone: 708-215-5342 Reg #: LIC 48748 FEES REQUIRED INSPECTIONS Description Date Amount Fiiu.'%iarm Insp — - IIiUPPI.NI t In Itv 10/2iO3 $46.87 Final Inspection I;LS] FLS I lu t?v 10/21/03 $2884 1 I'AX] 9% State Surchart 11 i5/03 $5.77 Refund-(BUPPLN] Pln 11/3/03 -$46.87 (additional fees not listed here) 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 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wont is siispended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Orer,)n Utility Notification Center. Those rules are set forth in OAR 952-001-010 through OAP. 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-900-332-2344. Issued By: Permittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business dad -1431- st!ti puRNAn fQ, i11-.4t_7t" If/RP �,6-L X003 - 003,;lL Building Permit Application Date received: -7,I L'j t' Permit no. City of Tigard Pro ect/a I.no.: Expire date: CITY OF TIGARD Wdress: 13125 SW Hall lihd., Fij ard,OR 97223 Date issued: R Recei)t no. Phone: (503)639-4171 lCase file no.: Payment type. Fa, : (503)598-1960 1 &2 family:Simple Complex: ov v I�S� ��- -01 i.au4p p3 d use appruo;tl: 1111 �` ❑ 1 &2 family dwelling of accessory ■ ( oolillercial m(lu,tn, l p Multi-family ❑ New Cutistruction ❑ Demolition ❑ Addition/alteration/replacement ■ I errant inrprovcmc It In Fire alarm 17 Oth;r r• Joh address:7 L—L7i►e3(FiAi' Dt'RIIAN1 ROAD(SOV I IIS\I ST CENTER OF_Flt'F.BUILDING) _ Bldg.No.: Suite no.. 301) Lot: 131c_k: N/A Subdio Isiml: Tax ma /tax lot/account no.. Project name: UNITED HEALTH CARE, FIRE ALARM IMPROVEMENTS �C Description and location of work oil remiscsspecial conditions- PROVIDE AND INSTALL ADDITIONAL FIRE ALARM ADA SYNCHRONIZED NOTIF'CATION DEVICES IN TENANT SPACE: Name: OPUS NW r Mailing address: 1000 SW BROADWAY SUITE 1130 1 & 2 'amily dwelling: City: PORTLAND State: OR Zip: 97205 Valuation of work .................... $ I'hone: I Fax: E-mail: No.of bedrooms/baths Owners representative: Total number of floors I'hone; Fax: t?-moil _ New dwelling area(sq.0.) .................................................... Garage/carport area(sq.fl.) ........................................................ Covered Porch area(sq.ft.) ....................................................... - Name; D 0 X11 11 .`.0N, ( AI'I101 l:l.F:( 1141( < O., IN( . Deck area(sq. fl.) Mailin aide SF-F CONTRACTGR INF. BELGW Other structure area(sq,ft.) ....................................................... _ City: State: zip: Phone: _ Fax E-mail• ommercta n( uslrta nw t1- unu y Valuation of work S 2,300.00 Existing bldg.Area(sq.fl.) ....................................................... Business name: CAPITOL ELECTRIC co.,INC'. New bldg.Area(sq. R.) Address 11401 NE MARX STREET Number of stories Cit : PORTI,AND State: OR Zi 472211 Type of construction ............•.......................................... I'hone 503-255-9488 Fax: .503-255-1966 1:-mail: Occupancy group(s): Existing: CCB nu.:: z C l 48748 10regon L icense No.: 264960 New: Cit /metro lic.no.: 4542 metro Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Hoard under Name: provisions of ORS 701 and may be required to be licensed in the Mailing address: Jurisdiction where work is being performed. If the applicant is Cit State: I zip: e;:erupt from licensing,the following reason applies: Contactperson: I Plan no.: I'lione: I Fax; E-mail: Nam lContact person: Fees due upon applicationS ............................................ Mailing address: Date received: City: Slate: Zip: Amount received Phone: Fax: I:-mail: I hereby certify I have read and examined this application and the attached checklist. All provisions of laws and ordinances governing this Not all jurisdictions accept credit cants,please call jurisdiction for more mliimian,m work will be complied with,whether specified herein or not. O visa ❑ MasterCard ('relit card number: Authorized signature: 10/18/0? _ l.irrs Print name: DAN WILSON Nameof cardholder as shown on credit card S Cardholder signature Amount \'writ r l his permit application evpirei iia permit is not obtained with 180 daes after it has been accepted as complete. CITY OF TIGA,RD 24-H -)ur BUILDING Insp. .tion Line: (503)619-417 INSPECTION DIVISION g �S Business Line: (503)639-4171 MST _jlu /ot)0 Received Date Reque ed 1114 PM_—._ __ BLIP Location _ Suite -.__ _. MEC Contact Person _ _ �'`--� Ph(' / / .) j G�' _ G.7 L PLM Contractor _ - -_ Ph( ) SWR QLD Tenant/Owner _-- -- -- ELC aotmg ------------ Foundation ELC --. -- ----_-__-- Fog Drain ACC@SS: ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam S ,gar Anchors -- - ------- ----- - Er!Sheath/Shear Int Sheath/Shear - - Framing --- --- -- -- - . Insulation Drywall Nailing �. _.--- ---- - -- --- -. Firewall Fires ler --------- — - e Alarm Hoot r: -- — ----- -- - _- _- - - -- _ .Fi - S PART FAIL --------�- -PLUMBING Post&Beam --- --- ---_- _-_____._..-----------------_---- - --.-_--------- Under Slab Rough-In Water Service _ - ----- - ------ - - - .._ ---- -- Snnitary Sewer Rain Drains -- ------ ----- - ------ Catch Basin/Manhole Storm Drain Showei Pen Other: - -- -- -_- ------- - — --- -- Final PASS PART FAIL -_- -- - - - — - - MECHANICAL Post&Beam - ---- --------- _- --- ----------- Rough-In --- ------ ,-, -- —___-- _- Gas Line Smoke Dampers ---- - ------ ---- -- -- ----- -— -- - Final PASS PART FAIL ---- - ----- --- -- ------ ----- ELECI RICAL Service ---- — -- ----_ �.----- -._. Rough-In -- - ---------- -------------- - UG/Slab Lora Voltage Firs?Alarm Final Reinspection fee of$____ - required before next inspection. Pay at City Hall, 11125 SW Hall Blvd. _P_ASS PART FAIL SITE — Please call for reinspection RE --`_-_ Unable to in:oect-no access Fire Supply Line ADA Approach/Sidewalk Date - U InspectorOther- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 / BUP ------------ -- Received __- _- Date Requested AM AM_- - PM ____________ SUP Location _ . I!y 3 �- �f.(�I�-JC,L�ICI --_---.-__--Suite67) ____ MFC MF:. - ---- --- Contact Person --hk�.Gl.%tN� -- -� 1 Ph (6-? 7-(.-) � 2 'c'�c rLh. - - - - -- -- Contractor - --- - - - -------- Ph( ) - SWR -- --- ------ BUILDING Tenant/Owner ELC Footing Foundation Access: - --__ Ftg Drain Access: �ELR�� Crawl Drain Slab Inspection dotes: SIT ------.--_---- Post&Beam - - -- - ----- - - - ---- - ---- -- --- -- Shear Anchors -- Ext 3heath/Shear Int Sheath/Shear Framing - --- - ---- - - --- - -�--- -- Insul,ition Drywall Nailing __ -__ __ '--- -------------- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ -- Roof Other: -- -- -- --- Final -_._----_-_- PASS PART FAIL `-- - - - ---- - --� i-- ---- - -- -- T FAIL PLUMBING - ------- -- --- ---------------- Post 8 Beam --- -_ -- --- --- --- ---- - Under Slab ------ - ---- Rough-in Water Service - - - ---- - ---- ----- ---- - - --- Saritary Sewer Rain Drains ------ Catch Basin/Manhole Storm Drain ----- - - -------- - -- Shower Pan Other:_ - - - ---------- -------- —-- - Final - PASS PART FAIL -...-.----.--_-- MEC_HANICAL ---- ----. ----- ------- - ---- ----- - Post&Beam - Rough-In -- -- --- - - -- ------- -- - - Gas Line Smoke Dampers - -- -- - ---- ------ - --- -- Final PASS PART FAIL - - - -- ------- - - — ----- ELECTRICAL Service -- -- - - -- - --- --- -------- ---- ---___ Rough-In `--- -- - - - ---- ---.�.- --- ------- ----- UG/Slab ow o a PART FAIL Lj Reinspection fee of$ - _._required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call fo reins ection RE: l!nab!e to inspect- no access Fire Supply Line ADA Date `` IIlQ c,- Approach/SidewalkDa ----��--- � _.__...-_ � Ext Other: ----- --- - 1 Final DO NOT REMOVE this Inspection record om the job site. PASS PART "AIL CITY OF T I GA R D .--- BUILDING PERMIT_ PERMIT #: BUP2003-0067"I DEVELOPMENT SERVICES DATE ISSUED: 12IF'n? 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S113BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG F EISSUE: FLOOR AREAS _— EXTEF'IG►2 WALL CONSTRUC j ION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 195 BASEMENT: sf AREA SEP. RATED: STOR: HT: tt GARAGE: so OCC'I SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ REQUh' _D _ FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: MOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : h DICP ACC: BEDRMS. BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,000.00 Remarks: TI in existing space Owner: Contractor: OPUS REAL_ ESTATE OREGON IV ')PUS NORTHWEST LLC 10350 BREW RD. WEST 1000 SW BROADWAY#1130 MINNETONKA, MN 55343 POPTLAND, OR 97205 Phone: 952-656-4444 Phone: 503-916-8963 Reg #: LIC 105336 _ FEES _ REQUIRED INSPECTIONS Description Date Amount I`.4echanical Permit Require lit PIli,\I III,, ke 12/2/03 $257.27 � Electrical Permit Required l3UILT) I'ernut f'ec 12/5103 $395.80 Framing Insp I 1 Gyp Board Insp I I'AX] 8%,,State Surchart 12/5/03 $31.46 Final Inspection Total $684.53 This permit is issued subject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable !Fw All work will be done in accordance with approved plans. This permit will expire if work is not st,; ted within 180 days cf issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rulea adopted by the Oregon Utility Notification Center. Those rules arc set forth in OAR 952-001-0010 through OAR 9E2-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued B 1 ( C cJ P:nnittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day I .76 3:Z _0J aURNArl w,'NrrtDN Bitildi"g- Permit licaticX13"all" ORWMMN --- - ��----m Received 70thcr iwldmB ; Date/By: 0 ,)lei Permit No.t� t 00 o_ar 4.� City U1) 1 rill(� Planning Approval" U : Date/By: Permit No.: 13125 SW Hall Blvd. Plan Revie O Other Tigard,O*egon 97223 ((,�'C` Date/By: 3 Permit No.: Phone: 503-639-4171 Fa7f �U3OSg8-�� Post-Review Land Use Dontact Case No. Internet: www.ci.tigard.4QZ I' Jf I I( contact loris.: see Page z for 24-hour Inspection Reque'i1W094V9-4j1I;,i�C• �Namv!Methodl Su Iemental Information TYPE OF WORK REQUIRED DATA: New constructionDemolition 1 &2 FAMILY DWELLING Addition/alteration/re lacement other: CATEGORY OF CONSTRUCTION Nme: Permit fees*are based on the total value of the work performed. Indicate 1 & 2-Familydwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor. -- —�--- overhead and profit for the work indicated on this application. AccessoryBuildin Multi-Family Master Builder Othcr: Valuation........................... ............................ $_ JOB SITE INFORMATION and LOCATION No.of bedrooms: . No.of baths: Job site address: V 3 fj W D U 94kih+M f' Total number of floors.. ..-.............................. New dwelling area(sq.ft.)......-...................... — Suite#: 300 Bld ,/A t.#: Garage/carport area(sq,ft.)............................ _ Project Name: Q 1 tL'rI Covered porch area(sq. R.)...... ...................... Cross street/Directions to job site: Deck area(sq.ft.)............................................ Other structure area(sq.ft.). . ........................ REQ1JMD DATA: _ COMMERCIAL-USE CHECKLIST Subdivision: _ Lot#: — Tax map/parcel #: Note Permit fees*are based on the total value of the work performed. Indicate DES-CRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, t�>to w k- overhead and profit for the work indicated on this application. t� an �L�z v Xo uc:c a Valuation........ ......... ...................................... sa0.,0 •_ Existing building area(sq.ft.)......................... New buildings area(sq.fl.)............................... Number of stories............................................ PROPERTY OWNER TENANT Type of construction....................................... Name: L'f'V 1-�0� 111 PE O('-FsGCDeJ Occupancy group(s): Existing: New: Address: r o �v-".7o (� gzu C.Litlo 1,1v6--nT- Cit' /State/Zip: P)INNEJRNo rE v 6'11 ';tone: �� 2 � � �4<� Fax: NOTICE: All contractors and subcontractors arc required to be A"pLICANTCONTACT PERSON licensed with the Oregon Construction Contractors Board under 10 provisions of ORS 701 and may be required to be licensed in the Business Name: 6V5 14W UU, jurisdiction tahere work is being performed. if the applic-.nt is exempt Contact Name: 0"t,NV from licensing,the following reason applies: Address: %00 c7 vv 0(-oA-P Cit /State/Zi : b itr•tAw_o 1651 Phone: 5D3 011V 601(d Fax: G03 9114 Vlioq — E-mail: �tkA �"bM1/�w U6 (Y . C_C04.t 1311 refer to Pleaaseserrefer to fee schedule. CONTRACTOR — -- --— Business Name: f--i Avyrff1 k� 1++n�►v67 - 4 � Fees due upon application............................ S Address: Cit '/State/Zip: r Amount received................. ......................... . Phone: Fax: _ Date received:— CCB Lic. #: D 5 1.0 ---�-- Authorized '1 ��O Notice: chic pe++ait application e�Piret if a permit is not obla sed wilhie Signature --._ Date:_-- • Iso dais after it ha%been accepted as complete. �) __-- "fee ntethodolor,% set M I ri-County Bui'ding Industry Service Board. (Please print name) iADstsV'ermit Fe 1BIdgPetmitApp doe U' nA Plan Submittal Requirement Matrix: ('ommercial & Multi-Family Cir},of Tigard New, Additions or Alterations TYPE OF SUBMITTAL ft of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 I i Building 1� Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval. the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of 1 iaard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans tear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians i:\Building\Forms\PlanSubMatrix.doc 04103 CITY OF T I G A R D _--- BUILDING PERMIT PERMIT#: BUP2004-00019 DEVELOPMENT SERVICES DA'T'E ISSUED: 1/23/04 '13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2.S113BA-00400 SITE ADDRESS: 07632 SW DURHAM RD 300 SUBDIVISION: SW CENTER SDR1999-00020 ZONING: I-P -------BLOCK:_ LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf` N: S: E: W: TYPE OF USE: COM SECOND: st PROJECT OPENINGS? TYPE OF CONST: sf N_ S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: PSMT?: MEZZ'?: REQD SETBACKS REQUIRE_D FLOOR LOAD: psf L_Eh T ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,502.00 Remarks: Add 10 sprinkler heads. Owner: Contractor: OPUS REAL ESTATE OREGON IV DELTA FIRE INC 10350 BREW RD. WEST 14795 SW 72ND AVE MINNETONKA, MN 55343 PORTLAND, OR 97224 Phone: 952-656-4444 Phone: 620-4020 Reg #: MET g00000g1934 _ FE_G LIC REQUIRED INSPECTIONS Description Date Amount Final Inspection 1BUIL D1 11cinut Fee 1/21/04 e $62.50 (TAX] 8%State Surcharl 1/21/04 $5.00 [FLS] FLS Pln Rv 1121104 . 25.00 Total $92.30 --- --- - This permit is issued subjact to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicably law All work will be done in accordanoe with approved plans This permit will expire if work is riot 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 copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: �f�ti Permittee l`t Signature: Call C30-4175 by 7 p.m. for apt Inspection the next business day Fire Protection System Building Permit Application Datereceived: 6f0 C Permjtnn.: City of Tigard �j � D - '��ii `_�� Ciry ofTirard Address: 13125 SW Hall BI� � Pro)ect/appl.no.: piredate- Recei Phone: (503) 639-4171 Date issued: B pt no.: Fax: (503) 598-1960SAN `2 U 1�i�14 Case file no.: Payment type: Land use approval: _ elwaTTIQA51c, 1&2 fatttily:Simple Complex: U 1 &2 family dwelling or accessory ommer ' industrial U Multi-tarn ❑New construction U Demolition Addttion/alteradon/replacement enant improvement ATire vCnkl• arm U Other. JOB SITE INFORMATION Job address: `7 Bldg.no.: Suite no.: _Lot: 600 Block: Subdivision: _ Tax mup/tax lot/account no.: Project name: Description and location of work on premisest s al conditions: r D LOo(L NA NN „% _V AAIT" -.-S1U(.L14 1 0✓� c (Z- .�� t. Name: U Mailing address: I &2 family dweWng: City: State: ZIP: Valuation of work........................................ $ Phone: Fax: E snail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone. Fax: E-mail New dwelling area(sq.ft.) .......................... _ Garage/carport area(sq. ft.)......................... Name: Covered porch area(sq.ft.)......................... Mailingaddress: Deck area(sq.ft.) ........................................ _ City: State ZIP: Other stnictum area(sq. ft.)......................... Phone: Fax: .io65 I E-mail: Cotnmercial/industrinUmniti-family: Valuation of work........................................ $ Business name: Existing bldg.area(sq. ft.) .......................... __ Nib,, Address: r-- � New bldg.area(sq.ft.) ............................... v % Stat ZIP: Number of stories........................................ _ City: _ Phone: -C Fax: E-mail: Type of construction.................................... _ Ott'e,t CCB no.: Occupancy group(s): Existing: L t to 14 i New: L City/metro lic.no.: "7 Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: provisions of URS 701 and may be required to be licensed in the Address: L4 jurisdiction where work is being performed. U the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact oerson: Plan no.: - Phone: Fax: .-/06 E-mail: - - Name: Contact person: Fees due upon application ........................... $ Address: -- — Date•r ceived: City: State: "LIP: Amount received .................. ............... .... $ Phone: i Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all junrdicuma accept credit card,,please carr jun dktian for more info.marion attached checklist. All provisions of laws and ordinances governing this O Visa 0 MuterCud work will be complied with whethq s cified hpmin or not. Credo cad number —1 L Authorized si at 11--t_J -- eaplR. Date: Name of cardholder u Noun on credit cid Print name _ S Cardholder 619mame Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404611(6MCOM) CITY OF TIGARD 24-Hour BUILDING i Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received .____ Date Requested �a' _ __ AM- _ PM BLIP _ Location __ a DL __ SuiitteJ_s�6_. MEC Contact Person -__ �� _ Ph(- -) Z PLM _ Contractor __ _ Ph( —) _--_ ____ __. SWR _ BUILDING Tenant/Owner _ ELC Footing ELC Foundation Access: '- �3 Z4 Ftgtg Drain ELR !� Crawl Drain Slab Inspection Notes: SIT Post&Beam - - Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing - -- - ------ -- -------- -Firewall f 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 Smoke Dampers -- - - ----•- Final PASS PART FAIT --- - -- - -- - ELECTRICAL Service -- ------- - - ------------- •- - Rough-In UG/Slab Low Voltage Fire Alarm na n Reinspection fee of$ inquired before next inspection Pay at City Hall, 13125 SW Hall Blvd. SS R'I' FAIL _ BI _ - C] Please call for reinspection RE:_-___-- -_ Unable to inspect-no access Fire Supply Line ADA /Approach/Sidewalk Datans ecto --),,-, 7' Ext --- Other.-- ------ Final DO NOT REMOVE this t In>spectlon record troin the Job Wte. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 , MST . Received 12 2 2 Z Date R ue`stee Q el AN; -___PM— BUP Location `7(a Z _ vim+ u� Suite MEC Contact Person . — Ph(_'� O.3 ) (2ZTD n PLM Contractor __— / P,ch_( SWR BUILDING 1enant/Owner �- ELO, ----- - Footing ELC: Foundation Access: Ftg Drain ELR -- - - ---- Crswl 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 -- _ Fin r" PART FAIL - - - 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 iz Beam Rough-In --._...._ Gas Line Smoke DampRrs - -- - - Final PASS PART FAIL ELECTRICAL Service T_ 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 SITE Please call for reinE oection RE:_ — _ El Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk oats__��?� - � �! inspector '� Ext ly- � Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF 'ITIGARD 2'-Hour BUILDING Inspection Line: (503)639-41175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP -- Received L.2 / f r 7 PDate Re uAsted f" ' &y AM PM -- BUP _ Location - -Suite _ MEc •-( ' 7( Contact Person G y Ph -S(q-621_2 Z PLM Contractor _ LI&� _ Ph ) _ SWR BUILDING �T Tena wner ak.' iy c_�1�� ELC Footing ELC Foundation Access- r-tgDrain ELR __- Crawl Drain Slab Inspection Notes: SIT _ Post&Beam Shear Anchors - --- - -- Ext Sheat,i/Shear Int Sheath/Shear - Framing - Insulation Drywall Nailing - - -- Firewall Fire SprinI'er - - - -- - - Fire Alarm Susp'd Ce ling - - - Root Other: — - Fina! ASS PART FAIL Post& Beam Under Slab _ ---_-- -_-_ Rough-In Water Service — - Sanitary Sewer Rain Drains -- - Catch Basin/Manhole Storm Drain --- - - Shower Pan Other: Final � �Y PAS RT FAIL - - -- Rough-In Gas Line ampere — ---- ------ — Final _ PART FAIL --- - -- - _ Service -- '--- -- Rough-In UG/Slab Low Voltage __— Fire Alarm Final Reinspection fee of$___ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: E] Unable to inspect-no access Fire Supply Line ALA r1 17 V Approach/Sidewalk Daft. oc q_ Inspector Other: Final DO NOT REMOVE this Inspection record) from the Job she. PASS PART FAIL C'T'Y OFTIGARD 24-Hour BUILDING I Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: . (503; 639-4171 MST B U P --------- - Received Date Date Requested—�� ANi___ PM __ BUP Location Z- __ �/LItL1. 44A- iZ Suite _ MEC Contact Person 44Ph( a) �% Xt2 — PLM Contractor x/t Z- _ Ph(—) _ ____ SWR 2 BUILDING _ Tenant/Owner ____- _ ELC _sem_ _0 0 7 03 Footing — ELC Foundation Access: Ftg Drain [LR Crawl DrainSIT - Slab inspection PJoies: C G� � � Post& Beam _- -- Shear Anchors Ext Sheath/Shear 0 Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler ---- — Fire Alarm Susp'd Ceiling - - — Roof Other: Final -------� _ PASS PART FAIL PLUMBING — _ -_--- — Post&Beam — Under Slab - - -- -- Rough-In Water Service -- -- — ---- Sanitary Sewer Rain Drains -- -- - - ----- Catch Basin Manhole Storm Drain --- Shower Pan Other: -- ----- Final PASS PART FAIL - - MECHANICAL Post&Beam Rough-In -- -- — Gas Line Smoke Dampers — --- --- -- — -- - Final PAS _PART FAIL — — ----- -- ECTRtC,P4. Rough-In -- UG/Slab Low Voltage --_—_ — Fire Alarm . ma ' Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S_PART FAIL SITE [] Please call for reinspection RE: L Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Other: Final L)0 NOT REMOVE this Inspection record from the job site. PASS PAR i FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Linc;. (503)635-4175 MST INSPECTION DIVISION Business Line: (503)6394171 ll PUP -- -- --- —--- Received 1 y4 1'07.Date Requested r _AM _PM BUP ---------- Location ��? 2 1"'t Suite 42z� MEC _ Contact Person Ph( � ,) X26 PILMLo Contractor _ __� �("_ �r`.�!. 7SWR — BUILDING Tenant/Owner _ -�-� �� r- �`- ELC _ Footing ELC Foundation Access: '-`�- Fig Drain �LR Crawl Drain _ — Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear L Int Sheath/Shear Framing _ -- - Insulation Drywall Nailing Firewaii Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: Final PASS PART FAIL PLUMBING Post&Beam - Under Slab Rough-In I 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 Smoke Dampers -- -- ---- - Final PASS PART FAIL -- - -- - ELECTRICAL — Servi-ce — Aou h — UG/Slab Low Voltage _�11�/3� ---- R - ya'� �. j XiCe VO(w Fir&Alarm at PART FAIL ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: --- -- Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Do% -�S � _ _ InspAtiflo ` -Ext— Other: Final Do NOT REMOVE this Inspection record from the, site. PASS PART FAIL CITY OIC TIGARD 24-Hour BUILDING Inspection Line, (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST ---- --- --- BLIP Received _ aI Requested _ U Z'AM PM BUP Location C Suite C I'AEC Contact Person __ — Fh(saZL_5 /pLM Contractor -_ _ Ph( ) SWR _ BUILDING Tenant/Owner _ ELC Footing Foundation ELC g Access: LR � � Ft Drain ,,rawl Drain Slab Inspection Notes SIT Post&Beam — Shear Anchors — — Ext Shoath/Shear Int Sheath/Shear W — Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler -- - _ Fire Alarm Susp'd Ceiling - --- - — Roof Other: ----------- Final PASS PART FAIL — — - --- - _ --- -- PLUMBING Post&Beam Under Slab Rough-In -- - -- i 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 _-- Smoke Dampers --- Final PASS PART FAIL - ELECTRICAL — Service - - - - -- --- Rough-In _ UG/Sla _ - i aw Voltage) — — rnaa \ I�--11 Reinspection fee of$� required before next ins PASS PART FAIL LJ Inspection. Pay at Clry Hall, 13125 SW Hall Blvd. SITE F1 Please call for reinspection RE:_ 0 Unable to Inspect-no access Fire Supply Line ADA l _ Approach/Sidewalk D�t�,Lc, .- inspectf Other: Final DO NOF (REMOVE this insg ection record fr nt the job tte. PASS PART FAIL ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00022 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/29/04 SITE ADDRESS: 07632 SW DURHAM RD 300 PARCEL: 2S113BA-00400 SUBDIVISION: SW CENTER SDR 1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Adding a card access door A.RESIDENTIAL _ B COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR At-ARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL.: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: 01-HER: TOTAL#. OF SYRTEMS: 1 Owner: Contractor: OPUS REAL ESTATE OREGON IV STANLEY SECUR17e SOLUTIONS INC 10350 BREW RD. WEST DBA BEST ACCESS SYSTEMS MINNETONKA, MN 55343 11,104 E=AST VALLEY IiWY RENT, WA 98032 Phone: 952-656-4444 Phone: 877-433-4370 Reg#: L.3Q7-806KYt4R(HOME t ELE 26-1017CLE FEES Required Inspections Description Date _ Amount Ceiling Cover I:LPRMT) ELR Permit 1/29/04 $75.00 Wall Cover Elect'I Final ITAXj 91/,State Surrharl 1/29/04 $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 ether 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 Utility Notification Center. Those rules are set forth in O 952-001-0010 throuc Issued by c 1__._� _ Permittee Signatur e7 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ ---_ _ _ DATE:---- CONTRACTOR ATE: — iCONTRACTOR INSTALLATICN ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:__ I..ICENSE NO: ---- -- ---- ---- – __- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrkal Permit Application FOR , ONLV CityCit of Tigard Received � Date �" " - Permit No.: _ 13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review Phone: 503.639.4171 Fax: 503.598.1960 Datc/U : Other Permit:61 1 w y-OQ�- Inspection Line: 503.639.4175 Date Ready/By: �— mrn ® See Pqc t.for Internee www.ci.ligat'd.or.us Notified/Method: Supplemeolallnformatlon TYPE OF WORK �— — - PLAN REVIEW — ❑New construction Addition/alteration/replacement Please check all that apply El Demolition ❑Other ❑Service over 225 amps,comm'I ❑hazardous location — -- -. ❑Service over 320 amps-rating ❑Buildng over 10,000 sq.Il., C ATEO6kY OF CONSTRUCTION of I-and 2-family dwellings 4 or more new residential ❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building []system over 600 volts nominal units in one structure ❑Multi-fancily ❑ Master builder Other: ❑Building over three stories ❑Feeders,400 amps or more JOA'SITE '1114141IRMATION AND LOCATION ❑Occupant load over 99 persons ❑R park lured structures or _ '' . ❑Egress/lighting plan P •7 W 3 Z SW A�Q N �� []Health-care facility ❑Other:_ Job no.: _ Job site address: U Submit 1_sets of plans with any of the above. City/State/ZIP: ?027' 44-vib / Z The above are not applicable to temporary construction service Suite/bldg./apt.no.: Project name: FEF.* SCHEDULE neeeripaon Cross street/directions to Job site: New residential single-or multi-family dwelling unit, -- - - Includex attached garage. _ 1,000 sq.11,or less 145.15 4 Subdivision: Lot no.: Ea.odd'I 500 sq.0.or portion 3340 1 Tax map/parcel no. Y ---- - Limited energy,residential 75.00 2 —_ Limited energy,non-residential 75.00 _ 2 DESCRIPTION OF WORK Lach manufactured or modular �+ dwelling,service and/or feeder 90.90 2 Jr NUU -__ ___-___- Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 --------------- -- ---- - - — 201 amps to 400 amps 106.85 2 L] P, TY OWNER TENANT — • __.—_�-- -- ----- ------ -- ---- 401 amps to 600 amps 160.60 2 Name: V N/ 4 EA 1- 601 amps to 1,000 amps 240.60 2 Address: !� Over 1,000 amps or volts 454.65 2 7 6 3 i ��L �U/� _ - ------ - Reconnect only -66.85 — 2 City/State/ZIP: �r�' N Z Z ��.► 7c;{/!� Temporary services or feeders Installation,alteration,and/or relocPhone:(sol) Ll 3 - 2 2-)- Fax:( ) —I�a 200 a mon __. 200 amps or less _ 66,85--- I Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps _ 100.30 2 intended for sale,lease,rent,or exchange.^ccording to OkS 447,449,670,and 701. 401 amps to 600 amps 133 75 2 Owner signature: Date: _ _ Branch circuits-new,alteration,or extension,per panel f�'APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with �- -= ------- - -- ----- service or feeder fee,each 6.65 2 Business name: 6_64 -f C`L S !__ s1E _ branch circuit _— �_ .MJ C`/ B.Fee for branch circuits Contact name: �� -- ivirhauf service or feeder fee, 46.85 2 each branch circuit Address:L rya 1/A 4615 y-�wTach add'I branch circuit _ 6.65 2 City/State/ZIP: k� f+ UA R awo -2- Miscellaneous(service or feeder not Included) Pump or irrigation circle— 53.40 — 2 Phone: (r7 7i 403x, Y 3 70 _ Fax'_( ) _ Sign or outline lighting 53.40 2 E-mail: _ Signal circuit(s)or limited- CONTRACTOR energy ,lel,alteration,or Business name: O C f 1 yf E — _ extension.Describe: ' Page 2 ' 2 Address: /9V0 I EA S r UI{ —h L t-)-Z _ Each additional Inspection ovar allowable In any of the above - t-+ Per inspection 62.50 City/State/ZII': Erb T //tQ VO 3 "1 Investigation per hour 1 i ttr r t Piton( T? ) 1133 �93�"7 Fax:( ) 1 Industrial plant per hour 73 75 CCB Li c.: 0 9 S—L lectrica) 7 *.� )�p F ��AL PERMIT FEES* - -5-5 7 -/!7—/" SU LiC.: t �, Subtotal <�t1_ Su rv.Electrician signature,required: "`" i� L Plan review(25%of pet-mit feel p G,��y T c�lFaC� p State surcharge(11%of pert lee) �� r�` Print name: J Date. "i.a mi TOT. L PERMIT FEEroi Authorized signature: This permit application expires If a permit Is not obtained within 180 --' dsys after It has been accepted as complete Print name: Date: Pee methodology set by Tri-County Building Industry Service Board - ---'— — - ••Number of insper tions per permit allowed i�auildmaWawnesTLCPemitAppdoc IN01 4404617T(I"2/MMM'Ea Electrical Permit AI)lAication - City of Tigard Pale 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL V,ORK ONLY: Fee for all residential systems combined........ $75.0.. Cheek Type of Work Involved: ❑ Audio and Stereo Syste►ns* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* 0 Vseuum Systems* ❑ Jther: ._--— JMNFcOeffor each e ,WURK UNLY: KONL— -------=--commercial system system............... . ... $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Conh ol* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape lighting* ❑ Protective Signaling ❑ Other Total number of commet;ial systems: *No licenses are require(,. Licenses are required for all other installations i'Huilding\Pcrmhs\BL('Pein*App doc W/OJ ELECTRICAL - CITYOF TIGARD RESTRICTED E14ERPERMirGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00004 'LaKLM 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 1/20/04 SITE ADDRESS: 07632 SW DURHAM RD 300 PARCEL: 2S1 136A 00400 SUBDIVISION- SW CENTER SDR1999-00020 ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Project Description: Lov voltage for Data Cabling. A.RESIDENTIAL_ B.COMMERCIAL _ _— AUDIC & 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: OU' DOOR L/.,,NDSC LITE: OTHER: H*\/AC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: — Contractur: OPUS REAL ESTATE OREGON IV PROGRESSIVE TELEPHONE SYSTEMS 10350 BREW RD. WEST PO BOX 1950 MINNETONKA, MN 55343 GRESHAM, OR 97030 Phone: 952-656-4444 Phone: 503-665-4900 Reg#: ELF 26.1 1 17C'CLE LIC 150175 still 21MI .1 A FEES Required Inspections Description Date -- Amount Low Voltage Inspection 1111101 l 1 I I.K Pci-mil 1120/04 $75.00 Elect'I Final I A\I x" State �:urcl m t 1120104 $6.00 Total $81.00 This Permit is issued s--bject 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 tollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued byCle<.' ,� + 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: 4 444-4444-- -- DATE:--- - --- -- _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N -- —_-- DATE:--_ _ LICENSE N O: --_- Call 639-4175 by 7:00 P.M for an inspection needed the next business day Electrical Permit Application --- - Date received:/ Permit no.;�L��p�.y City of Tigard Project/appl. no.: Expire date: Cin,ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B'96 I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: O 1 &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improv.-mcr, U New construction U Addition/alteration/replacement O Other ❑Partial Job address: /030 =18 -o:=1Suite no.:J cV 'I ax map,tax lot account nn, Lot: Block: Subdivision: _ Project name: U u T<p Description and location of work on premises: V AT N CSS L IA— Estimated date ofcomplelion/inspection: it A Job not71F.-) Max Business name: c rs��s Description Qt) Tolal ro.lns — New r"Wentiel-tingle tie multi-tamBr per Address: (p ,� e N dwellinKunil.imiudesattnchedprnae. City:6State:, ,. ZIP: Ci 70 4tJ Service Included: Phone:t./.,S t.p„ n I Fax: r yy E-mail: Inco. n or less a Each additional 500 sq it.ur portion thereof CCB no.: 1'4jrJ 1 Elec.bus.lic.no: 7,L- 111 CLE Limned env,O7. —identird 2 City/metro lie.no.: _ Limited energy, non-residential- 2 Each manufactured home or modular.,welling Signature of supervising electricibn Ire uired) Ufile Service&Lidor feeder — — 2 Sup.elect. name(print) EV r vc License no: 2 - O Services or feeders-Insrsuation, alteration or relocarrt 2no amps or less 2 Name(print). 201 amps to 400 amps 2 Mailing address: — 401 ams h,61x)ami-- 2 6 601 amps to 1000 amps _ 2 City- -�---- Slate: ZIP: Over((10(1 amps(it volts — 2 Phone: Fax: E-mail: Reconnect onlv — I Owner installation. The installation is being made on property I own remponryserrlct_orfeden- which is not intended for sale,lease,rent,or exchange according to Installation,aherallon,orrelocation: 21X);unps ,r less 2 ORS 447,455,479,670, 701. Ml amp,Ic. too pmmhs 2 Owners si nature: Date a I”6W:"71p, — -- 2 -— - -- Rranch clrrulty-new,alteration, or,,tension per panel: Name: Or [cc for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 Chy: Slate 7.1{' B Fee for branch circuits without purchase - -- -- of service or feeder fee.first branch circuit: 2 Phone: Fax: P.-mail -Each aadiuonal branch circuit: Mist.(Service or feeder not Included): U Service ocer 225 ampscnmmrnhal U Health-care facday Each p-imp or imgauun circle - - _2 U Service over 320 amps-mung of 1&2 U Hazardous location Each sign or outline lighting —_ family dwellings U Building mer 10,11010 square feet four or Signal chrcuuls)or a limited energy panel. / L.Svstem ocer 600 vults nummal more resident units in one structure alteration, or extension* O Building over three stones U Feelers,Off)amps or more Description U Occupant lard titer 99 perWhn J slanufactured stntctum,or RV park Each addhional inspection o,rr the alhrwabir In■ny of the above: U Egrembithung plan J Other— ----- Per Inspection Submit—sets of plans with any of the above. In%esugation fee -_ the above are not applicable to temporary eondrnetion service. Other _—� — Not all jun+diethon+accept,redo nits.please:all juti+dicuun for more mformauon Notice: This permit application Permit fee ......................S U via U MasterCard expires if a permit is not obtained Plan review(at —. %) S _ Credit card number —_ _�[—�- within IRO days after it has been State surcharge(Bah).....S --(.11 Expires accepted as complete TOTAL.........................$ Name of ardholder a+huwn on c it cud �^ S —� Cardholder stgauum Amount "11461,finis,, ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED-RESIDENTIAL ONLY p Restricted Energy Fee.................................................. $75.00 Number of Inapectlons per permit allowed (FOR ALL SYSTEMS) Service Included: Itemb Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.A.or kiss $145.15_ 4 rl Audio and Stereo Systems' Each additional 500 sq A or portkrn thereof $33.40 — 1 C_- Burglar Alarm Limited Energy _ $75.00 _ Each Manufd Home or Modular ❑ Owelling Service or Feeder $9090_ _ 2 Garage Door Opener' Services or FeedersHeating,Ver itilaeion and Air Ccnditioning System' Installation,alleratlon,or relocation El 200 amps or less _ $80302 2 201 amps to 400 amps $106.85 Y 2 ❑ Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.80 2 CJ Other C cr 1 a.,ps or volts $451.65 2 Recnned only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY beslailatlon,alteration,or relocation Fee for each system.......................................................... 375.00 200 amps or less $66,85 2 (SEE OAR 918-20-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 ar,eps $133.75— 2 Check Tvpe of Work Involved (vor 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,altemItion or extension per panel n Boiler controls a)The fee for hunch cuculls With purchase of service or Clock Systems if-&-r". Each branch circuit __. __ $665 2 Dati Telecommunication InrWiahon b)The fee for branch circulLs without purchase of service Fire Alarm installation or feeder fee. First branch circuit _ S4685 ^_ Each additional branch circuit $665 F HVAC Miscellaneous instrumentation (Service rx feeder not Included) Each pump or irrigation circle _ $53 40 Each sign or outline lighting — 55340 _ ❑ Intercom and Paging Systems Signal dreutt(s)or a limited energy panel,alteration or extension _ $75.00 _ __ Landscape Irrigation Control' Minor Labels(1M $12.5+.00 Each additional Inspection over V ❑ Medical the allowable in any of the above Par inspection $61"50 Nurse calls Per hour _ $62 50 In Plant $73 75_ _ Outdoor Landscape Llghting' Fees: ❑ Protective Signaling Enter total of above fees $ Other 6%State Surcharge $ _ Number of Systems 2j%Plan Review Fee See'Plan Review"section on $ No licenses are required Lirenses are required for all other installations front of applkalron _ -- -- —_---- -- Fees: Total Balance Due $ -7C ' Enter total of above fees 1 /J ❑ Trust Account ll 8%State Surcharge f I u v U_ All New Commercial Buildings require 2 sets of plans. Total Balance Due 5 �d I fmsda' 02,0Sfl_'