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IIIIIIIIIII , IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 2 3 4 6 7 8i 9 �0 11 I 12 IT IS DUE TO THE QUALITY OF THE Iil rT ` -- ---- -- -- ---_l __-- _ -- _ I_IIIIII_II_IIIIIU ll_li_.lll-ll -II II l--ll-�l 8Illi lll-1 L_lll,l. 9�lll�� __ 9 1N --3' i �II II0Z I IIgIIIZilll5�Zlll6 llZIIIIIIIZIIIIIILIIIillllllZllllllliilllllllllilllll�IIIIIIIIIIIIiORIGINAL DOCUMENT 9 - — 11 11 ilil, ! 11111Jill - T �itl13 I " f•,' � 1� IIIIC�II ..., ..... ,.,.• � ....I'. .{, _�Y�, .. p31.'%.i:. :�I'�.tMll!H`iA't.i� .?t'e � fn d5 Lk 1 SS3 2 - C!v 5 vi �kitoo y Aav h F AA .. 0 . • • • +««• « • • • • • e *04* +• •0 • * see 0 • • • 9« •0 • • + 900.0 / • i4o • • • • A • Ili • • • � �� 090• 0 • • • • \ �! «Amts • • • i • ® • • • «••1 1 •0 •• 0 • • • • • • • • •« • 0 0•0«0 00 :00: • • • • • • • • • • 4 • • « 9900 0 • . II . �� J/ :0•09: • •« A..9.. . . . . . • . ! . : • • • • i • • . 9 11 + • • . • . S �5 I / w •• • • •• 1 19 10191f 9«0• S4 -yx..i • V - • • �,�. �J Mme' 004,00 4 • • • • _ �, �� \per � ► 't I _..... IV p ._ F11 �1 _ r..�'.-: ,.. ":'.r:Oki{„i75w. uM�L •..e nrus. s.�Mr+I4gIM�A1�1'...L...._..r.....r.. .. -nts....r;\�..rR^.VA/:';xT^.r.-rY'M:t'*... ..ies•Y-..WFMM'Pue".wr w..,:.teF�•:1wtJ+.�«... ar«...•.:. � � ' ' .. NOTICE.- IF THE PRINT OR TYPE ON ANY 1__( 111111 1_11 11 _1�1 I-I (-( II11 I 0IMAGE IS NOT AS CLEAR AS THIS NOTICE 8 1 I 1-71 r T I f l T l 1 f I I I l I I I I I I I I 1 ,. y ITIS DUE TO THE (QUALITY OF THE , No.36 �.�•.�.ro.. ORIGINAL DOCUMENT 6 Z . bZ 11,11 ElliiIIII IIIIIIII IIII IIII IIII E7 ZZ IZ 07 6I SI LI 9.T 5I fiI ET iZT 7LI1 l(ll -I-I-O-I TIIII -1 6 ` •* Llilll-l.l.l lll llll 11 +ll 111 lllllh�ll I q. c fil � to N AD 3 0 Z -n an mm D r r m z D z 5532 SW PACIFIC NWY ALL TENANTS TICARD PROMINADE r PLUMBING PE:.RMI f l CITE( OF TIGARD DATEIISSJED: . 11/i '7/955+IJI' ., COMMUNITY DEVELOPMENT DEPARTMENT • 13125 SW Hall Blvd. Tigard,Oregon 07223.8109 (503)030.4171 PARCEL: 2S 1 10DP-0 1700 STTE 1 i. I iSl. .., 1`:7:53. : '.;W PACTF"TC: SU;DIVISION. . . . : WILLOW BROOK FARM ZONING: C--G EI_ 0.11. . . . . . . . . . . LOT. . . . . . . . . . . . . : 10 CLASS OF—WORIJ,. . :NEW _GARBAGE D I SPOIBALS. : 0 MOBILE HOME SPACIES. : 0 'TYPES OF USE, . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B3 FLOOR DRAIN`.. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 0 TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 7 CATCH BASINS. . . . . . . ! 0 LAUNDRY TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . . : 7 OTHER F"TXTURES. . . . : 1 TUB/SHOWERS 0 SEWER LINE: (•Ft ) . . . : 0 WATIER CLOSETS. . : 7 WATER LINE (ft ) . . . : 100 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : TIGARD PROMENADE BUILDING C Owner: ------------------------------------------- FEE'S ----------------- STERLING DEVE_LOPMFNT CORPORATION type amo1-Int by date rF's r-pt LA JOLLA CORPORATE CENTER PRMT f 282. 00 la 11/27/95 95--273236 Z255,7' HOLIDAY COURT, SUITE 22—" F'I....(.;K f 70. 50 1a 1 1/.7:7/95 55--2732"36 LA JOLLA CA 92037 5PCT f 14. 10 B 11/27/95 95-273236 r1hone #: 619-546-8841 Contractor: -----•------__.___._..._.._._...__._______.____ MST MECHANICAL SYSTEMS INC `)655 SW SUNSHINE CT #700 BEAVE.RTON OR 97007 ________________—•---__ _ Phone #. 642•-1234 f 3,66. 60 TOTAL_ Rera #. , 700:;2 REOUIRFE) INSPECTIONS This permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Codt. State of Ore. Specialty Codes and all other Water 1_.ine Insp applicable laws. All work will be done in accordant,, with Top-•ol-►t Insp approved plans -his permit will expire if work is not started Storm Drain Insp within 180 dav of issuance, or if work is suspended for more Rain Drain J n si 1i than 180 days. Drinkinn F(ol.lntai RP/Eaackflow Prev Final Inspection ormittee Sin .at-1_I-e: Call for int-:ner_tinn - 639 -4175 0 8/de� '�- City of igard �b � 5 l�" BING PERMIT APPLICATION Planck/Rec. # -� `� -3 c 13125 SW Hall Blvd. --�� Permit # C(m,W- 0lye Tigard, OR 972235c,at7 -0,3?- 150) 3z;50) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE ^�.0� � _ `/� New Sin Is Family Residences Only T,L111 Tj Okrwj" (� \ U 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE S195 00 JobJ ❑ 3 BATH HOUSE 5225.00 Address cwit m Fee includes all plumbing fixtures in ft dwelling and the first 100 feet •�L `a' ( / ' I of water service, sanitary sewer and storm aewef. See fees below. "��^�• t / FIXTURES QTY PRICE AMT Sink 9.00 Lavatory 7 9.00 Owner ;XlaC� (l< � � Tub or Tub/Shower Comb. 9.00 Shower Only 9.00 Water Closet 9.00 .i...i. " Dishwasher 9.00 `�V�C/k9�tAl1•t� Garbage Disposal 9.00 Occuparrt -- ,, , Washing Machine 9.00 Floor Drain 9.00 - Water Heater n 9.00 Laundry Room Tray 900 " Urinal 9.00 M-1 Other Fixtures (Specify) 9.00 Canttactor ".04 Ad*- n... '• 9.00 9,00 9.00 Sewer 1st 100' 30.00 Sewer-ea. Addit 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the 'Nater Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the uwner, that plans submitted are in compliance with State laws, that Storm b.Rain Drain 1st 100- 30.00 I am rrgistered wkh the Construction Contractor's Board, that the Storm R Rain Drain Addit. 100' 25.00 number given is correct (If exempt from State registration, please - give reason below.) Mobile Home Space 25.00 �r Bade Flexr Prevention Device or Anti-Pollution Device 9.00 &W- WWI Any Trap or Waste Not Connected to a Fixture 900 Describe work new alteration _I repair Q Catch Balm 9.00 io be done residential O non-resit endal Q Insp. of Exist. Plumbing 40.001hr - Specialty Requested Inspections 40.001hr ExisExisting use of - �- -� ting or property - _ Rain Drain, single family dwelling 30.00 builResidential backflow prevention devices 15.00 Proposed use of budding or property -- (Except residential backflow- prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL Y". PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE )_I CONSTRUCTION OR WORK IS SUSPENDED OR ABANDnNED ---FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS /l COMMENCED PLAN REVIEW 25% OF SUBTOTAL. TOTAL Special Conditions Y_ Date irsued v _, by CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard.Oregon 97223.9199 (503)639-4171 A' ,r Ctia� le,r Sc-�M 14- lot? --_ ,_ ELECTICAL PERMIT CITY OF TIGARD RESTRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0187 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 DATE ISSUED: 06/11/96 PARCEI-i ESIIODB-00700 SITE ADDRESS. . . : 15532 SW PACIFIC HWY SUBDIVISION. . . . : WILLOW BROOK FARM ZONING:C--G BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 10 Project Description : P. RESIDENTIAL----_--.---- B. COMMERCIAL AUDIO & STEREO. . . ii AUDIO & STEREO— : INTERCOM & PAGING. . : BURGLAR AC-ARM. . . . : BOILER. . . . . . . . . . .. LANDSCAP,E/IRRIGAT. . -. GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMEHTATIUN. : oTHER. . : TOTAL # OF SYSTEMS,- I Owner: STERLING DEVELOPMENT CORPORATION type amol.int by date reept LA JOLLA CORPORATE CENTER PRMT $ 40. 00 CJS 06/ 1 ,/96 96-281114,�,+ 3252 HOLIDAY COURT, SUITE 225 5p,cl $ 2. 00 cis o6/11/96 96--2'804:3;4 LA JOLLA CA 92037 Phone #.- 619-546-8841 Contractor: ALLTEC SECURITY $ 42. 00 TOTAL 835 SE 17TH REQUIRED INSPECTIONS ------- PORTLAND OR 97214 Wall Cover Elert' l Final Phone #: 503-232-118b Llect' ', service Reg #. . : 077704 This permit is issuid subject to the regulations contained in the Tiqard Municipal Code, State of Ore. Specialty Codes and all other F-let-mitee Signature applicable laws. All work will be done in arcorcance with approved plans. This permit will expire if work is not started i4ithin 18@ days of issuance, or if work is suspended for more than 189 days. Issited By .----(IWNE--R INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION 51GNAT URE OF SUPR. ELECIN: Of) -CzOD/-LCts tioek DATE LICENSE NO: Call for inspection -- 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED 11 TDD No, (503) 684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSUED BY C h cc r/cs_ SQ m PLEASE COMPLETE ALL SECTIONS Western Wireless dba Voice Stream 1. LOCATION OF INSTALLATION 4. TYPE OF WORK T gar Promenade 15535 SW Pacific Hwy. (99W c-7 Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 540.00 Tigard OR 97224 (EOR Au SYSTEMS) City State Lip Check Type of ork Involved; PERMITS ARE NON-TRANSFERABLE AND NON-RErUNDABLE AND EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 1:1Audic and Stereo Systems' ISO DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* 1:1 Heating Ventilation and Air Conditioning System' ContractorA_lltec Security Type Commercial 0 Vacuum Systems' ❑ Other �. Address PO Box 55310 - Portland._OR_. 7238-5310 _— - - - -- Date___-6 96 COMMERCIAL—Fee for each system . . . . . . . 54o,00 (SEF OAR 918-260-260) Property Owner_ Check Tyne of Work Involved.- Contractor's Board Reg. No. 077704 ❑ Audio and Stereo Systema' El Boiler Controls Phone# _ 331-2620 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installatior El HVAC Print Owner's Name Phone No ❑ Instrumentation Address — ❑ intercom and Paging Systems _ ❑ Landscape Irrigation Control" City State - — Zip ❑ Medical This permit is Issued under OAR 918.320.370.This applicant agrees In make only ❑ Nurse Calls restricted energy Installations(1r',O volt amps or less)under this hermit and In do the following: 11Ou' oor Landscape Lighting* 1. Only use electrical licensed persons to do installations where required.(Certain Fj Protective Signaling residential and other transactions are exempt from licensing.These have Other asterisks(•(.All others need licensing). -------- -- --__ 2. Call for an inspection when app of the installations under this permit aro ready for inspection at 503.639.4175. ❑ 1 Number of Systems 3. Purchau±separate permits for all installations Thar are not ready for inspection — - when the inspector is out to inspect under this,permit. •No Ucemo.;are required licenses are required for all other installations 4 Assume responsihility for assuring that all coaections required by the inspector are done,and Assume responsibility for calling for a final inspection when all of the corrections y. FEES are completed. The person signing for this permit must he the applicant or a person a. Enter Fees $ 40.00 authorized to hind the applicant. — b. 5% Surcharge 05 x total above) $ 2.00 Signature TOTAL $42.00 Authority if other Than apitlir ant ENERGAP.CHP CITY CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 .1 :TC AIX iss3z, Sw PAC I F I M I fwY nn J004VISION. . . . : WILLOW BROOK rARf+? '.00f4. . . . . . . . . . : LOT. . . . . . . . . . . . . .1 _gin::J o WORK. . :NEW T f.' OF USE. . . . :CO1Yl UNIT HEATERS. . VCrd' r7 -.CUPANCY Url. . 02 VENT^ W/O 4'tt'PL ; 0 VIE r!T rORiE . . . . .. . . .. DOILf:? /COMrRC TSOF'S 1111"IDS. . . . . . . . 0 TYPES. . 0 3 HP. . . . MITI— I riC'I N COMMI.. N ' IX I".rUT: 0 BTU 1`, 10 1ir, . . . . M� 1[171A:'• 'ter'117 :PC AAte.PCRS". 30.E0wQQIiSTDVEO. . GPRC",,,URE. . . 1 M "r^+ I'1'. . , . . t� c C t:1 ,r-r'- J. OF UNIT1L-..._.w_„_-.- - rmlI,,: IAND_INC, JNIT' G`liC JNi ” 100K "'U: i040'� ._FIr . d 1.We* cfof: 0 NsH corstructi : . 7h-.p niq "C'. C 1:I'L16N nCVELOPMENT COU'U1711',` '•�F:: r:. t Iji J. :OLLA CORPCRATE CENTER r RMT :?5.'JO "MI t HOLIDAY COURT, SUITE 1:`' ^l.ul' ','. G;,' 11"l .:OLLA CA 92037 `,, b.7L t : I u. INC 'JE TiERMAN AND OR 97214 " . . 05059_ p oit is issued s eject to the r•tpulatiom cortasnad in tt: _ yare "Urittpal 40, 5tato of Cry. �Wialty Code: and all tt-,f I �, -- Ibl: imw. all rork wilt be don► is 1cccr0arce with ^eyed pians, This pr-lit rill expire if York is started , _ r— `ir 18Q days of iesuanCl, or if Ma-4 is suspendad fcr moreIr. :pec:tA:,r City of Tigard �'�" MECHANICAL PERMIT Planck/Rec. # 11 �' 13125 SW Hall Blvd. Jt►"-�f ��' APPLICATION - Permit # 1►'►!=� Tigard, OR 97223 �r �' rah�r f f l (503) 639-4171 wl�� f" 1 mscnpbon t t Y y/) VAcmw 4' k- (lig L, Table 3A Mechanical Code QTY PRICE AMT Job �>z . _ �. .�� ul 1) Permit Fee -0- -0- 10.00 Address ' 7 7.2 1( 2) Supplemental Permit 3.00 .T. d�.m.• ... rurnace to 100,000 BTU )V-1 v Io AJ I incl. ducts &vents F.00 1/, Owneral e�. 1^1, rJl�..f:4� 2) incl. ducts &vents 7 50 onr Furnance h C 3) incl. vent 6.00 - m.Id .1hm » Suspended eater, Wall heater 4) or f)ooi mounted heater 6.00 -. went not me. in Occupant 5) appliance permit 3 00 LIP Repair of heating, re ng. 6) cooling, absorption unit 6.00 Boiler or comp, heat pump, air cond. 7) to 3 HP; absorp unit to 100K BTU ( 6.00 0 Boiler or comp, heat pump, air con 8) 3.15 HP; absorp unit to 500K BTU 11 00 Contractor of if, or comp, heat pump, au con 15-30 HP; absorp unit .5-1 mil BTU 1500 .. .o . 1 l/rBoiler or c heat pump, air cons. 1 C 0) 30-50 HP; absorp unit 1-1.7.5 mil BTU 22.50 hereby acknoviliage tHat I have read this app ication, that t e Boiler or comp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 and BTU 37 50 agent of the owner, that plans submitted are in compliance with Air an mg unit to State laws, that I am registered with the Construction Contractors 12) 10.000 CFM 4.50 Board, that the number given is correct. (If exempt from State Air handliny uni registration, please give reason below.) 13) 10,000 (;TM + 7.50 — on portable 14) evaporate cooler 450 -- Vent tan connecte 15) to a single duct 300 - ( Ventilation system not --- I S r 16) included in appliance permit 4.50 v,•„,.,o.««.,« oo serve y 17) mechanical exhaust 450 escr'Ee wor k new ad loona tmranon repair ommercia or in ustraT- to be done residential 0 non-residential (Z5 18) type incinerator _ 3000 Existing use o — er re,woo stove, water building or property _— _ 19) heater, solar, clothes dryers, etc. 450 Proposed use of 20) Gas piping one to four outlets i 2.00 building or property 211 More than 4-per outlet (each) - 2.00 Type of fuel -oil Q natural a,s Q LPG Q electric Q NOTICE --- Minimum Fee $25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION - , AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE �. IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%. OF SUBTOTAL 7 r AFTER WORK IS COMMENCED. - -- 1 TOTAL / f Scecial Conditions Cate issued NLODIMDST6MECwPMT �- BUILDING PERMIT CITY CSF TIGARD PERMIT' #. . . . . . . r BUP9601 '57 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/08/96 13126 SW Hall Blvd.Tigard,Oregon 97223.8129 (503)639.4171 PARCEL: '_S110DB---00700 SITE ADDRESS. . . : 155?2 SW PACIFIC HWY SUBDIVISION. . . . k WILLOW BROOK FARM ZONING:C—G 81-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . 10 REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :NEW FIRST. . . . : 0 sf N: S: Eii WS I-YPE OF USE. . . :COM GECOND. . . : 0 sf PROTECT OPENINGS?-------- TYPE OF CONST. :5N . . . . 0 s N: S: Ell W: 0(.',CUPIANCY GRP. :B3 TOTAL-------: 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STO R. : 0 [IT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: REOD SETBACKS—- REQUIRED— FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP1 ACC: BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORP: PARKING: 0 VALUE. $ : 1169 Remar,ks : TIGARD PROMENADE BUILDING C' ICA AWNING SECTIONc:', WITH ENGINEERING Owner: FEES STERLING DEVELOPMENT CORPORATION type amokint by date recpt LA JOLLA CORPORATE CENTER PRMT $ 92. 50 JMH 04/08/96 96-277930 3252 HOLIDAY COURT, SUITE 225 PLCK $ 60. 13 JMH 04/08/96 96-277930 LO JOLLA CA 92037 FIRE $ 37. 00 JMH 04/08/96 96-277930 Phone #: 619-546-8841 5PCT $ 4. 63 JMH 04/08/96 96-277930 MISC 11 10. 00 JMH 04/08/96 96 -277930 contractor: ES & A INC 1210 OAK PATCH RD EUGENE OR 97042 Phone #: $ .2'04. 26 TOTAL Rep #. . : 111286 REQUIRED INSPECTIONS This permit is issued subject to toe regulations contained in the Ft-amint4 Insp Tigard Municipal Code, State of Ore, Specialty Codes and all other High strength bo applicable laws. All work will be done in accordance with Lir. fabricated s approved plans, This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for mire than IN days. Permittee Signati-tre , 1 ,;si..ted By: for inspection — 639-4175 Commercial Building Permit Opp _ation City cf Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 ,Tl� � P904e-1t V,- Jobsite Address: j r, �-' .0i I-)A`( 1�w t� Tenant: _ ---------- 9u14e# .�[,P(r (. Office Use Only Valuation: I (�(� J ` Planck/Rec # _-- 1 'i t' r Permit # ��{ Owner- ATF 1, 1 �� D� VC ()pM .�I – Map & "fL # Address: J Cf N Approvals Required -- - - Planning Phone: Engineering _— Other Contractor: �� _ Address: _ 12 -7?r•� S Vl/ 7-� f ti% gkl �x T-/ 0 Type of const: -- — -- Phone --- Occupancy class . _ _` '�_ ��(GQ_ . (,� — ------ R — Sprinklered7 Yes No Contractor's License # (attach copy of current Oregon license) Sq. ft. of project: — —_ Contact name & hone: � Q ✓ _ P Story 11st, 2n1. etc.) _ M (fit, w ( F Proposed use Architect/Engineer: _^�_ ---- -- Previous use Address: -- �- --___ _ u V Note: Plumbing & mechanical plans –------ must be submitted at time of building permit application Phone. ,JOB DESCRIPTION: JqAk Applicant Signature & Phone number Received by' _��.1, i�: Date Received: _ 7�✓I r l�i� Permit# Account Description Amoun: Amt. Pd. Bal. Due Bldg. Permit (BUILD) 1�� f�• 50 Plumb. Permit (PLUMB) _ Mach. Permit (MECH) _ State Tax (TAX) _�. 63 Bldg: Plumb: Mech: Plan Check (PLANCK) V� ' �_ �' /3 Bldg: Pli,mb: Mech: V,IsC 1010D Sewer Connection (SWUSA) _ Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) _ Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) 37 Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) i TOTALS: b I� � � � w � a o 0 T m ml m. T ml �' Gi nmmT N c O DD y Z i 70 Cis 70 6 F z T -- �' c TI m I a Ul cam. to g cp 64 A 1a � � N Cl C\ \ T \V >A S, M \ � l • TJ D D � w 0 i m z o - � z T f 2 f_ mj i QT.-- N � I r, Y :y CITY OF TIGARD August 29, 1995 OREGON Musil Perkowitz Ruth 9150 S.W. Pioneer Court, Suite T Wilsonville, Oregon 97070 Project: Tigard Promenade, Building "C" i ►� t�'�-� I 8UP 95-0320 Project No 93-657-22 Tigard, OR Subject: Electrical Plan Review The plans submitted were reviewed for conformity with the 1993 National Electrical Code(NEC) and the State of Oregon Electrical Specialty Code. The following was noted: 1. The 1993 NEC is the minimum e,ectrical requirements. 2 The service grounding conductor should terminate on a (Ufer) rebar as per NEC article 250. The water lines and building steel should be bonded to the grounding system. 3. The listing instructions on the lighting fixtures may limit the number of fixtures per circuit. 4. There will be no water lines or HVAC vents overhead of electrical Panels. 5. Signs and Neon letters require U.L. listing and labeling. A copy of the listings installation instructions to be on job site. 6. Restrictcd Energy Electrical Permits required for Fire Alarm, HVAC controls, Security, and landscape irrigation system. 7. The electrical panels require front working clearance as per NEC Art. 110-15. 8. The Electrical Permi number is ELC 95-0242 and the electrical Permit Fees total X1956.50 including Plan Review. Please contact Michael Rudd to discuss the electrical notes at 503-639-4171 ext. #356. Thank you f•- your cooperation, /NiXichael"Rudd Electrical Inspector 13'25 SW Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TDD (503) 6842772 – - —� BUILDING PERMIT" 1_'ERMIT #. . . . . . . : BUP9503LO CITY oF TlGARD LqTE IE)SUED: 11/09/95 'COMMUNITY DEVELOPMENT DEPARTMENT 0- 00 13125 �W Hall Blvd.Tigard,Or*gon 97223*8199 (503)639-4171 CA.) (2a, 9PORCEL: 2S11DB 700 1 _b6 Hw'� k4)0000 W 1.'ilL P+k_1111 1,441)1— '-')'LJF.ADI VISION. . . . WILLOW BROOK FARM ZC)NING:C-G LALOCK. . . . . . . . . . LOT. . . . . . . . . . . . . 0 RE 1,13SUE: FLOOR EXTERIOR WALL CONSTRUCTION.- CL ASS ONSTRUCTION—CLASS OF WORK. :NEW FIRST. . . . : 12767 Sf N: 5: E- lHR W: 1YPE OF USE. . . :C 0 1", SECOND. . . : 0 S-F PROTECT OPENINGS?_____.-___._.. TYPE OF CONST. :5N . . . 11 0 Sf N- S: E:Y W: OCCUPANCY GRP. .13"21 TG'TAL--------: 12 76 7 s ROOF` CONST : FIRE RET? : OCCU'ANCY LOAD% 0 BASEMENT. - 0 Sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . - 0 s OCCU SEP. RATED- I3.3ml'?. MEZZ?: REDD SETBACKS._....__.__._-_ RE:QUI RED--- ------- FLOOR LOAD. . . . : 0 risf LEFT: 0 ft PGHT- It) ft F I R 5PKL :Y 5MOK DET. N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP Plr-C:y BEDRMS: lzi BATHS: lzi IMP SURFACE: 0 PRO CORP.-N PARKING: 0 VALUE. $ . 401800 Remarks: TIGARD PROMENADE BUILDING C "SHELL" ei-: FEES STERLING DEVELOPMENT CORPORATION type amoLint by date V'eupt LA JOLLA cor?P.,oRPTE Cr:.IqrER PL Cli $ 772. 20 JI) 08/08/97) 95--2613620 31i2t.'-j2 HOLIDAY COURT, SUITE 225 FIRE $ 475. ;::0 JD 18/08/95 93--268620 L17) JOLLA CA 9203*7 PPMT $ 11B8. 00 JSD ., 1/01)/95 "'!5--'21 7 2 7 3 C*" Phone #: 619---546--8841 5PCT $ 59. 40 JSD 11/09/95 95--272732 EROS t 136. 00 .J52> 11/09/95 95--i=72730. --ERPC $ 44. 2121 JSD 11/09/95 95-i::'72732 C 44. 1'.0 JSD I I 10r-1/95 95-2 7 2-7 3 2 ,3 DEACON CO RPO RAI* I ON R R P(71 t P. Cl. BOX 2539a, PORTLAND OR 9 7,.-"',P=,j V-'hone #: 503---297--8791. $ 2719. 20 TOTA_ Req #. . - 36138 REUUIRED INSPECTIONS This permit is issued subi@ct to the reoulations containeJ in the Foot/F,),.tnd Insp Bolts in conc-t-et Tigard Municipal Code, State of (he. Specialty Fades and all other Slab Insp applicable laws. All work will be done in accordance with Ti It-l.tp Pn1 Insp Engineer-ed qr-acli aDvrryed pians. This permit will expire if work is not started Masonry Insp Sprinkler- UTidet-s within 180 days of issuance, or if work is suspended for more Ft-alnint4 Insp Appt-/sdw1k Insp than 180 days. Roof nailng Insp Misc. Inspection ins,_tiation Insp Final In3pection Shea- Wall Insp F ' V.*?Wal1 J."Sp ,er-mtttee Gyp Sciard Insp �.>,,tsp Ceilng Insp e d Eir-jt- Reinfoy-c-ed conn-7 Call for- inspection - 639-4175 f Commercial Building Permit Application ,City df Tigard ,;13125 SW SW Hall Blvd. Tigard, OR 97223 , (503) 639-4171 I '•�-�, �� Jobsite Address: Tenant: _�U�t��.�,, Suite # Office Use Qniv 8w # Valuation: Planck/Rec_ _ Permit # ("I C31 n 3270 Owner: ARAN )_ Map R TL&A Address: �- Z- I l ( � A Approval—!!—Required — ---��-- Planning i A � Phone: Engineering >I>f� �S Other c'.► 7y nj ~- n `'y Contractor: Address: _ �t Type of const: PhoneOccupancy class: . _ Spnnklered? Yes No Contractor's LIL'2nSP_ (attach copy of current Oregon license) Sq ft. of project: Contact name & phone Story (1st, 2nd, etc.) Proposed use- o 4j Architect/Engineer: Previous use: Address _A1__2SL_s1SVV ( it4 Note. Plumbing $ mechanical plans must be submitted at time of Phone: building permit application. • v`� • �� JOB DESCRIPTION: � `?ifLi��, N T_i��1 - 3 6P65-- 7 3Sb Ap tGant Sign ,jre & Phone number � /fJr�rGKgrt 14 r' - Received by: — �� Date Received: Permit# Account Description Amount Aunt. Pd. gal. Due Bldg. Permit (BUILD) _ ` l� Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) . ✓ Bldg: Plumb: Mech: —_--_-- / Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) _. Parks Dev Charge (PKSDC) Residential TIF (rIF-R) Mass Transit TIF (TIF-MT) (a "f Commercial TIF (TIF-C) � Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) _ Water Quantity (WQI'ANT) Fire Life Safety (FLS) �'� �� 36- Erosion Cntrl Permit (ERNRMT) L — Erosion Planck,'USA (ERPLAN) J 0 Erosion Planck,COT (EROSN) �l TOTALS: �� ,J 0'?c�-.0 OATS PIANS CHECK NO.: PROJECT ME. CULJN'I'YWII)E TRAFFIC IMPACT FEE APPL,CAW: WO.RKSIMET M Pa 14 �. Te,- T-r, MAILING ADDRESS: (FOR NON-SINGLE FAMILY USES) c � (? of c_, T Cl-Y/ZIP/PHONE RATE PER N, R _ TRIP TAX MAP NO.: RESIDENTIAL $159.011 BUSINESS AND COMM9RCIAL $40.00 SITUS NO.ADDRESS: QEFICE 114g.00 -INDUSTRIAL 153.00 INSTITUTIONAL $66.00 PAYMENT METHOD: CREDIT INSTMITIONAL ONLY: BANCROFT(PROMISSORY NO USE CATEGORY ESCRIPTION OF USE r Ava PRA WEEKEND AVE TRIP PATE DEFER TO OCCUPANCY `-�•Mp [.,T•�<¢` �i�/?�T BASIS:,- t1 nn!."Z i.. (?1-Q�r it Ce, -CjTI.,.c ,.-Fr CALCULATIONS: PROJECT TRIP GENERATION- -'-r; FEE: ''Y,4-1v , -3(,4,0 Z ADDITIONAL NOTES: �v FOR ACr.OUPMNG PURPOSES('.NaLY: �Tr'17� /,vo RO^U MIT.: c TRANSIT MIT.: wIErAREO Br: CC: WASHINGTON COUNTY ' TIF NOTEBOOK fort,ftm August 17, 1995 MPR Architects 9150 SW Pioneer Ct "T" CITY OF TIGARD Wilsonville OR 97070 OREGON TRAFFIC IMPACT FEE FOR Tigard Promenade Bldg C Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $48,367.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for- {payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if riot paid or financed prior to July 1st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be recf:ived by the City Recorder no later than 5:00 p.m. on August 31 , 1995 and must be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington Cour. y Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639-4171 . James S. Duckett Development Services Technician s' TIF file Building file 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -- ---— a.. (OREGON f TiGaa� COUNTYWIDE TRAFFIC IMPACT FEE PAYMENT OPTION FORM DatLJ Site Address Projec Name Plan Check 4 I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): Cash or Check ❑ Credit Voucher ❑ Bancroft or Installment Payments and/or The Qrdinarce ailows for deferral cif oayment of the TIF until Issuance of the occucanc, permit if the TIF is greater than ?5,000. If the IIF meets this requirement, I also request tris option. I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up to six percent each July 1st. This rate increase is not subject to aoceal. CWNE 'AP LIGAN r I OWNER/APPLICANT C. Building Permit File Payment Cption Notebook .agimmtrtdsuo '3 12 5 -W Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (50.,) 684-2772 CITY OT SLWEN F IGARD PERMITCONNECTION PERMIT #. . . . . . . .. SW R9!7,---0 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: ll /i-R7/95 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2`:311ODS-00700 ,ITE ADDRESS— . : 1553c-_ SW PACIFIC HWY AJBDIVISION. . . . . WILLOW BROOK FORM ZONING: C'--G ,L D C K . . . . . . . . . . LOT. . . . . . . . . . . . . : 10 ------------------------------------- fF--NANT NPME. . . . . :pRnMENADE BUILDING C LISA NO. . . . . . . . . . : FIXTURE UNITS. . . 63 CLASS OF WORK. . . :NEW DW17-1-L I NG UN I Ta. . t 4 TYPE OF USE. . . . . :COM NO. OF' BUILDINGS- 0 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: lb 5f Remarks : TIGARD PROMENADE BUILDING C 0Wl)ei--: FEES STERLING DEVELOPMENT CORPORATION type amo�_tnt by date V,ecpt L-A JOLLA CORPORATE CENTER PPMT $ +9800. OO JSD 11/1 7-7/95 95-,*-27 3252 HOLIDAY COURT, SUITE 22:5 INSP $ 45. 017, Yc--'D 11/27/95) 95-2732121c- LA JOLLA CA 9-:-'037 Phone #. 619--546-8841 CONTRACTOR NOT ON FILE P110T19 $ 88- 45. 121111 TOTAL R REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and requlations Sewer Inspect ion of the Unified Sewage Agency. The permit exoires 180 days from the date issued. The total amount paid wili 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 leasuresient given, the installer shall prospect 3 Opt in all directions from the distance given. If not so iocated, the installer shall purchase "Tap and Side Sewer" Permit and the Agency will install 3 lateral. -el JUA 7, C,111 for- insper-tiori 639-4175 C) Tenant Name: J e- � W ,'f r Accumulative Sewer Tally This SWR, :�S`l>>Z I Address: `�` 31 l r � �!►�' ____ This PLM#:�� !' Fixture Value Previous # Previous Credits Capped Fixtures rixtures New Now Value Capped off value added # added total #s total Count off #s count value Values Baptistry/Font 4 -- Rath - Tub/Shower 4 Jacuz/Whpl 4 Car Wash- Each Stall 6 Drive Through 16 -- -- Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 --- Domest 2 Drinking Fountain _- 1 ---- Eye Wash - 1 — Floor Drain/sink 2 inch 2 — -- 3 inch 5 - —•- -- 4 inch 6 _ - Car Wash Drain 6 --- Garbage Disposal 16 Dom Ito 3/4 HPI Comm (to 5 HPI 32 - — -- _ — Ind lover 5 HPI 48 — - - —' Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 — - ----- --- - Recreational Vehicle Dump Station 16 Shower Gang (Per Head) 1 Stall _—� 2 — Sink R3ULavatory 2 _ 7 Bradley 5 _ - --- Commerciar 3 -- Service 3 _Swimming Pool Pool Filter 1 1 —_-- Washer, Clothes 6 _ — Water Extractor _ - 6 Water Closet, Toilet 6 _ -- L1 - — Urinal _— 6 _— TOTALS Total fixture values: divided by 16 = r EDU :;TORY PLM# EDU# SWR# PLM# EDU# SWR# --- PLM# — EDU# SWR# PI-M# EDU# SWR# _—_-- PLM# EDUd SWR# PLtvl# EDU# 3WR# PLM# EDU# SWR# PLM# EDU# SWRP Sewer Permit Wark3heet Fixture Unit Ratings �C✓>^ � �/�'j 6 FIXTURE 71MES W TOTAL UNIT S OF FIXTURE FIXTUREVALUE FIXTURES VALUC I SaDtlsav/Fent d Sath - 7uciShcwer 4 I JacuzWhcl 1 Cisciccr/Water Aso I Clsnwasmer Comm. er_ I s Ccrr,sst "Trier =curtain I I Feer Crain ^ Inc I I - 3 �ncn 1 rcm rartagesccsal I .6 oto ;.a -P` I ever .18 s Stat- Carc j - Stall i t, Sink - 3ar I - 3rac!ev Serrce �lasrer :C—es ��later Z:Csec 1l I "?c3 ---- civiced -,V _ -C'L L' :c ^earesi'Nncle ..'LfTcef August 28, 1995 Muail Perkowitz Ruth 9150 S .W. Pioneer Court, Suite T Wilsonville, Oregon 97070 Project : Tigard Promenade, Building "C" Project No. 93-657-22 Tigard, Or. Subject : Electrical Plan Review The plans submitted were reviewed for conformity with the 1993 National Electrical Code (NEC) and the State of Oregon Electrical- Specialty Code . The following was noted - 1 . The 1993 NEC is the minimum electrical requirements . 2 . The service grounding conductor should terminate on a (Ufer) rebar as per NEC article 250 . The water lines and building steel should be bonded to the grounding system. 3 . The listing .instructions on the lighting fixtures may limit the number of fixtures per circuit . 4 . There will be no water lines or HVAC vents overhead of electrical Panels . 5 . Signs and Neon letters require U.L. listing and labeling. A copy of the listings installation instructions to be on job site . 6 . Restricted Energy Electrical Permits required for Fire Alarm, HVAC controls, Security, and landscape irrigation system. 7 . The electrical panels require front working clearance as per NEC art . 110-15 . 8 . The Electrical. Permit number is ELC 95-02.42 and the electrical Pe-, mit Fees total 1.956 . 50 including Plan Review. Please c-,ntact Michael Rudd to discuss the electrical notes at 503- 639-4171 ext . # 356 . Thank you for your cooperation, Michael Rudd Electrical Inspector :.�� : . - _ .. __�__ CITY CJF TIGARD Dn'_TC ISOUED 03/19/96 COMMUNITY DEVELOPMENT DEPARTMENT 13123 SW Hall Blvd,Tigard,Oregon 9722398199 (503)63P-4!71 1:,0 , 10 0 7 0C .ire A:-ON"Ut, ZONING.C I-OT— I . . . L . 1 . 10lid De scv-i TI Giqnr) PPOMENlDc -BIV r�� D E N T.I P I L U.N!T op I_r, . SRVC/Ft"EDERS- .,j,.1 . 0 0 .1 12.00 AMP. . . . . . . .. l7' i')DD' L 5001SF. . . : 0 rtJMr/I nR I GfITTION. . 201 � 400 A%mp. . . . . . . e. SIGN/OLIT LINE" L.TG, c '"rD CNERGY. . . .. . . 0 401 C40 AlAp. . . . . . . 0- HM/ SVC1F1)P.. 0 601 *amps--1000 cults. 0 Mi won LADEL i 10) -r-RANCII It4r-PrCTI W/SERVICE OR FEEDER; (.,0 PIER 1N0PCCT1'ON. . . . . . . . . . . 0 1st W/o silvc OR r- r)ri. 0 P 'CR 11101JR. . amp. . . . . . . 0 EA AWL BRNCH CIRC': 0 " 000 amp. . _ IN r'LANT. . . amp/volt. . . , . . .1 =4 REC3 UNIT;'. . . . . . . . .rrL 1^4 N R E'V'I E W SCi'.TIOtA - Only. . svc./rop 600 VOLT y by Jat q NiC 0rV1. '1'NT ON FCEJ t 'DLLil CORPORATE CENTCR r'F�IMT L I-Pcpt 00 r,T", 0:y, 96--'777 1-IDON, r'f."'Ur'r CA 9c"03'17 7.46 001t (1 171 IiLLL Uh 9-107i�i 1,�Y I I, Wall CoVejis -r permit it i1suld subject to t4 regulations .0"tailed in the -gard Municipal Code, State of Ore. SPICillty Codes and all other rlermil tee Signatur-e ,P1'ic'bl* lams. All work will be 1',ne in accordance with voyed plans, This permit will expire if work is not started th:'n 180 days :f issuance, V if work is sus ended for moot 'I'm L;4 lej- lay S. d R TN'S li ALLAT ION ONLY -. ao,stallattion is being made or, pir-opet-t ,:i. 'ant own i .; not, VnTE CONTPACTrIP tP4r.iTn1_1 MTTnh! Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # q ; 3, Phone 503 Permit 639-4171 FAX (503) 684-7297 Date Issued CITY OF TIGARD TDD No. (503) 684-2772 Issued by Inspection (503) 639-4175 1. Job Address: i.)."li i r\5 C 4. Complete Fee Schedule Below: Name of Development T tiArd -�(C,mz0 ot1 Number of Inspections,par permit allowed Address ' `,� C�Q"�C� f M i X5 ��U ^�\ ..��J' .� Service included toms Cost(aa) Sum City/State/Zip Z c�y�rd Ci 7CIFL 4s. Residential-per unit 4 1000 Sa It or e,A $11000 Name (or name of business)_ 5Sz r L,y)4 -0e-y(,-\C?rY%t. Each addnionai 500 pq h or Pon'on thereof $25 00 1 Commercial� Residential ❑ Ided E^erns US;A _act+MAnU1 r1 10me or Modular 2 2a. Contractor installation only: Dweihrg Semrn or:ceder W 00-- — 4b. Services or Feeders Electrical Contractor �j (l,l(_A _�.� Inslaileaor anera0on or relocation y ;� -_...j �-1 r Y ' 200 amps or less C'I sm 00 't l,' 2 Address \ U kG7c `{� 201 amps to 400 am os 58000 Cii!Y-j `SGl'��I I I Q . Stated Zip 'o' amoe to coo amps 3120 on - — 801 Amps to 1000 amps $18000 ?_ Phone No. LO�S,� - j t mill'1000 amps or roan1340 on L 1� 2 Contractor's UCt?nSP- No.---'I 'a(.C�-�' � pecc^rra Orly i5n Co Ccntractor's Board Reg, No C' 4e. Temporary Servicy or Feeders �j/� W-1 atic� ration or relocawin 2 Signature of Supr. Elec'n �j��' '✓s arte200 amps or less $yn 00 License N0. � � - Phone iJ _(, r. ,1 ��I�fj 201 amps to doo amps $;s oo - 2 401 at 10 900 amp! 3100 00 Over WO amps to 1000 Vona — 2b. For owner installations• see W above Print Owner's Name 4d. Branch Circuits ---" New aneranon cr extension per parol Address Cess _ al-he Cee for bra..ch dr-uas with Ci`7 State Zip_ purchaaa of wrvice cr►«wr Am./ /J) , 2 Phone No. Eacn orancn orcu.t 64 35 CO J ! 01-�0 to br branch wcuiv,without The installation is being made on property I cwn whim i5 UPC 80 of service a. Arson Ms. not intended for sale, lease or rent. `'rst branch circuit $37500 2 Each addxiorvtl brLrich creurt $500 Owner's Signature — __- 4e. Miscellaneous (Service or fewler not Included) 2 3. Plan Review sec,tion (if required): Each pump or irrigation arcle 540 o0 2 Each sign or outline lighting f40 00 I Please check npprop►iete item and enter fel.in section 58. Signal circuit(s)or a limned energy 2Parei alteration or ecersior 54000 4 or more residential units in ora stnir_ture Minor t.abns(10) $10000 Service and feeder 225 amps or mora -- I _ Y System over 600 volts nominal 4f. Each additional inspection over Classified area or stricture containing special occupancy the allowable in any of the above as described In N E C Chapter 5 Per fpr ho" s3s o0 Per hour f55 00 _ Submit 2 sets of plans with application where ary of the above in Plan $5500 apply. Not required for temporary construclior, services 5. Fees: NOTICE So. Enter total of above fees $ I l -Z 5°b Surcharge(.05 X total fees) $ 5 PERMITS BECOME VOID IF WORK OR ! ONSTRUCTION Subtotal $ 14 1 -7L AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25%of line A for ,J CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec 3) $ _ Zy A PERIOD OF 180 DAYS AT ANY T'ME AFTER WORK IS Subtotal S COMMENCED. ❑ Trust AcLount 0 E Balance Due $ •awPn,MreyN�i.ppin 4p 'n' August 29, 1995 CITY OF TIGARD OREGON Musil Perkowitz Ruth 9150 S.W. Pioneer Court, Suite T Wilsonville, Oregon 97070 P oject: Tigard Promenade, Building "C" BUP 95-0320 Project No. 9 1-657-22 Tigard, OR Subiect: Electrical Plan Review The plans submitted were reviewed for conformity with the 1993 National Electrical Code(NEC) and the State of Oregon, Electrical specialty Code. The following was noted: 1. The 1993 NEC is the minimum electrical requirements. 2. The service graunding conductor should terminate on a (Ufer) rebar as per NEC -rticle 250. The Nater lines and building steel should be bonded to the grounding system 3. The listing instr.ictions on the lighting fixtures may limit the number of fixtures per circuit. 4. Thera will be no water lines or HVAC vents overhead of electrical Panels. 5 Signs and Neon letters require U.L. listing and labeling. A copy of the listings installation instructions to be on job site. 6. Restricted Energy Electrical Permits required for Fire Alarm, HVAC controls, Security, and landscape irrigation system. 7. The electrical panels require front working clearance as per NEC Art. 110-15. 8. The Electrical Permit number is ELC 95-0242 and the electrical Permit Fees total $19.50 including Pian Review. Please contact Michael Rudri to discuss the electrical notes at 503-639-4171 ext. #356. Thank you for your cooperation, AV Michael Rudd Electrical inspector 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -- Construction Inspection&Related Tests Carlson Testing, lnes Geofechnical ,:onsulting —� P.G Box 23814 Tigard, Oregon 97281 Special Inspection Phone(503)684-3460 FAX(503) 684-0954 FINAL SUNNARY REPORT �t April 28, 1996 kb V C R 1�� F#95--4145 . r,!Ay 6 1996 Citv of Tigard CI i Y OF TIGARD 13125 SW Hall Blvd. Tigard, OR 97223 ate: Tigard Fromenade Building "A" & "L'"' Permit No. : BUP95-0317 15660/1! 532 SW Pacific Highway BTJP95-0320 Tigard., Oregon Gentlemen: This is to certify that the items listed below are i.n accordance with Section 306 -f the State Building Code. We have perfcrmed random/periodic special inspection at the contractor 's request of the following items per our inspection .-eports only: Reinforced Concrete Structural Masonry Structural Steel - Shop & Field Soils Compaction - Excluding isolated non-critical trenches All inspections and tests were performed and reported according to the requirements of Section 306 and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of: the State Building Code and Standards, as well as the structural engineer's design changes and approvals . Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full., without prior auth,,)rization from this cffice. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respeccfu.11y ,;ubmitted, CARLSON 7ESTIN , C . Douglas Leach President mbh cc: Sterling Development Company Jeff Rasak S D Deacon Corporation MPR Architects Safeway Stores Inc . October 17, 1995 CITY OF TIG�►RD OREGON MPR Architects 9150 SW Pioneer Ct . Wilsonville, OR 97070 Re : Tigard Promenade Building C PC7-82C BUP95-0320 The plans and specifications have been reviewed for conformity to applicable codes . Please submit three (3) sets of revised plans and specifications incorporating the following requirements : Accessibility [1 . -/etail 13 and 12,/SA-2 are incorrect . No ra,np or obstacle may extend into the parking space or aisle: [OSSC, Section 3104 (a) , ORS 447 . 233 (4) ] . The one employee restroom shall. have unisex signage mounted on the wall adjacent to the larch side of the door 60" above finish floor. Finish, color, braille characters and pictorial symbol. signage shall comply with accessible requirements of Section 3109 (o) . A privacy lock and an "Occupied" indicator shall be provided ['table 5E (1) ] . -s . Each tenant space having an occupant load exceeding 30 shall have a drinking fc:untain provided [OSSC, Table 5-E, Note 511 . A. Where drinking fountains are required, merle shall be mounted at standard height and one mounted to be accessible f()r persons with disabilities (Section 3108 (d) , and Table 5-El . 4`. All l.ighteu exit signs shall have the international. symbol of accessibility incorporated (OSSC; Section 3109 (o) G] . -5 . Electrical outlets specified at 12" above finish floor are not accessible to persons with di.sabi.lit ies . Locate not less ti,an 15" A F. F. (OSSC, Section 3109 (c) 31 (See Sheet TS-1) . Energy 1. . Submit a completed Form (Summary sheet) from an Energy Code Compliance Manual (Revised January 1993 ) . Include relevant compliance forms and documentation. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -� MPR Architects Cctober 17, 1995 P9. 2 2 . For slab-on-grade floors, the perimeter of the floor shall be insulated with a thermal resistant material, no less than R-4 . The insulation shall extend downward form the top to the bottom of the thickened slab (footing) [Section 5303 (d) 41 . 3 . Submit completed applicable Forms 4a through 4j , and required duct insulation Form 4a through 4c of the Energy Code Compliance Manual (Revised Januar.-y 1993) . Fire and Life Safety Because of the assumed property line location separating buildings to the east of Grid Line F, the wall from Lire 1 to 2 . 1 shall be of one-hour fire resistive construction. Protection or openings are i9quired. Provide a one-hour fire-rated door assembly at Exit B at Shop C1 . 8 . The scupper opening must be relocated to the north side cf the wall alcrq Line 2 . 1 . All plans for high-pilee combustible storage must bti submitted ` for plan review and pezmit in accordance with the UFC, Article 81 . !�+ 0,n.ly the main entrance of each Croup B occupancy can be signed in acco.r�iance with USSC, Section 3304 (c) Exception (1) . Correct ! re Notes, Sheet TS-1 . Structural 1 . Provide a completed Sheet S2 with specifications corresponding to those of the engineer' s calculations . -2 . Reduction of roof loads are not permitted. Provide a new roof compone=nt analysis using a live load of. 25 lbs . , not 20 lbs . as stated in calculations Sheet R-1 . V J t f e1 rl(I'r ►, 'j l t,., __/ Vv, i t 1�Jt �� 1 y �'{ 1 tj.q• J� 3 . Provide confirmation of remova of all underlying land divisions of the Promenade site . 4 . Complete and return the enclosed soils special inspection form and the structural special inspection form. MPR Architects October 17, 1995 pg. 3 Sprinklers 1 . Submit plans of sprinkler design with calculations prior to fabrication or installai-ion. 2,. The spr-nkler system riser where it passes through a concrete slab floor shall be pro•sided with a clearance of 2" around the piping [NFPA 13 , Section 3-10 . 3 .4] . 3 . The riser, as shown, shall be protected against freezing temperatures [NFP 13-4-5 . 4 . 1 . .1] Mechanical 9d • Provide a mechanical pian for review and approval prior to issuance of a permit. . Illustrate size and location of ail roof-top units . Submit an engineer' s calculations for additional loading of rafters or trusses . Each individual roof-mounted HVAC shall be permanently labeled as to the areas it serves [Section 504 (e) 1 . In addition, each y� unit shall be equipped with a power disconnect and a 120-volt receptacle shall be located within 25 ' of each unit 'Section r 5091 . "� . The attachment of permanent equipment (HVAC) supported by the building' s structural components shall be designed to resist the total design seismic forces prescribed in Section 2336 (b) of the Structural Specialty Code . Provide an engineer' s design specifying attachment requirements [SSC Section 302 (b) ] . Plumbing k. Roof storm drainage piping must be connected to an approved storm drainage system [Section 3207 and 2905 (f) and OPSC Section 14011 . If you wish to discuss any of these items, please give me a call . Sincerely, C r James Funk Plans Examiner bup95-0320\pc7-82c Musil Berkowitz Ruth Architecture Planning Transmittal To: Jim Funk Date: 10-26-95 Community Development Dept. City of Tigard 13125 SW Hall Boulevard Tigard, OR 9722.3 Project: Tigard Promenada Job No.: 93-657-22 Tigard, JR Regarding: Comments tc Plan Check Correction List Building "C' Permit No. PC7-82C BUP95-0320 A-C-CESS15�131 No ramp or obstacle may extend into parking space or aisle IOSSC, Section 3104(a), ORS 447.233(4)1• Revised Details 12 & 13/SA-2 L2. The one emplovee restroom shall iiave unisex signage mounted on the wall adjacent to .he latch side of '., door 60" above finish floor. Finish, color, braille characters and pictorial svrnbol signage shall comply with at-cessible requirements of section 3109(o). Privacy lock And an "Occupied " indicator shall be provided ITable 5E11)1• Revised Details 7/A6.1 ki. Every tenant space with an occupant load exceeding 30 shall havc. a drinking fountain provided IOSSC, Table 5-E, Nota ' 1. A) Where Drinking Fountains are required, one shall Be mounted at standard height and one mounted to be accessible for persons with disabilities ISection 3108(d), and Table 5-EI. Key Note #23 sheet A1.'1 & Detail 11/A6.1 4. All lighted exit signs shall have the international symbol of accessibility incorporated. IOSSC, 3109(o) GI General Note #9 sheet A2.1 5. Electrical outlets shall be located not less than 15" A.r F. (OSSC, Section 3109(c) 31. Disable Access Note #3 sheet TS1 — now — LNER Yi / 1/ Submit a completed Form 2A (Summary sheet) from an Energy Code Compliance Manual (Revised January 199::'). Include relevant compliance forms and docurnentation. 1 All Mechanical Plans are design build by HVAC Incorporated and should be submitted by them prior to installation. 2. For slab-on -grade floors, the perimeter of the floor shall he insulated with a thermal Resistant material, no less than R-4. The insulation shall extend downward from the top To the bottom of the thickened slab (footing) ISertion 5303(d) 41. Revised wall details 14 & 18/A5.1 Submit completed applicable f=orms 4a through 4j, and required duct insulation Form 4a Q e ,through 4c of the Energy Cody. Compliance Manual (revised January 1993). All Mechanical Plans are design build by HVAC Incorporated uJ� and should be submitted by them prior to installation. FIRE & LIFE 6-AMY; 1. Because of the assumed f:roperty ine location separating buildings to the east of grid line F, b The wall from line 1 to 2.1 ahall be of one-hour fire resistive construction. Protection of openings arP required. A. Provide a ono h ,:r fire rated doci ;assembly at Exit B at shop C1. Revised Floor plan, Sheet A1.1 B. The scupper opening must be relocated to the north of the wall along lire 2.1 Revised Roof plan; Sheet A3.1 3. Plans for high-piled combustible storage must he submitted for review in accordance with UFC, Article 81 General Notes #2, sheet TS-'l. Tenant should be resp-)nsible for submittal under tenant improvement plans prior to occupancy. 4. The main exit of a Group B Occupancy is the only exit permitted to be signed in accordance With OSSC, Section 33(c) Exception 1 . Revised Fire Note #8, sheet TS-1 S.TJ LU_ RAL' -1. Provide a complete Sheet S2 with specifications corresponding to those of the Engineer's calculations. Revised Sheet Index on sheet TS-1 & Sheet numbers on all structural sheets. 2. Reduct;on of roof loads are not permitted. Provide new )cf coi 1ponent analysis using live Load of 25 lbs., riot 20 !bs. as stated in calculations sh-yet R-1. Revised calculation sheet R-1 to reflect LL= 25psf rton reducible all roo framing and fourdation .resign used LL=25psf „ STRUCTURAL ContL; 3. Provide confirmation of removal of SII undr.rlaying land divisions of the Tigard Promenade Site This is an issue for Civil Engineering and should be taken care of by (W&H Pacific, 8405 SW Nimb►.ts Ave., Beaverton, OR, (503) 626-0455) .4. C .T)plete and return the enclosed soils special inspection form and return structural special inspection report. Completed Forms enclosed. SPf3LNKLERS; 'I. Submit plans of sprinkler design with calculations prior to fabrication and installation. Sprinkler system is design build by: Grannel, 2870 NW 2-0 Th., Portland, OR 97210 (General notes #3, Sheet TS-1) 2. The sp,inkler system riser where it passes through a concrete slab floor shall be provided with A clearance of 2” around the pining INFPA 3-10.3.41 General notes #21 , sheet TS-1 2. The Riser, as shover,, shall be protected against freezing temperature 1NFP 13-4-5.4.1.11• General notes #27, Sheet TS-1 This is IMEC-iANIC L..: Mechanical system and drawings are design build. Plans should be submitted by HVAC Inc. prior to installation. Building department comments have been faxed to: HVAC Incorporated 815 SE Sherman Portland. OR 97214 PWNIUMi 1. Roof Storm drainage piping must be connected to an approved storm drainage system [Section :3207 and 2905(f) and OPSC Section 14011 See Detail 8/A6.1 By: cc: Mike Leberman/MPR Jose Mendez Sake Reindersma/MPR ` John Kuhl/ SD Deacon 9150 SW Pioneer Court File Suite T Wilsonville, OR 9707) (503) 685-7350 BUILDING PERMIT P C R T tt CITY OF TIGARD Di! 111"ITE ISSUED: 02/28/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8109 (503)839-417! PARCEL_: '-'G1, 10DB--0Q1700 SITE ISS.2.- rl1,, , 1f('1IF1(_- 11WY SUBDIVISION— . : WILLOW BROOK FARM ZONINGsC-.G BLOCK. , . . . . . . . . : L 01'. 1 . . . . . . . . . . . lie REISSUE: FLOOR AREAS------- EXTERInP WAI...L CONITPt.)CTTnlq CLASS JF WORK. :NEW' a'fl'-A� FIRST. . . . : 12720 sf N, S: E':'111P W. TYPE OF U!-:)E. COM SECOND, . . : 0 sf PROTECT OF'ENJINGS?-- 'rYPP. OF CONST. :5N . . . . 0 sf N: S: E:Y W: OCCUI:)nNCY GRP. :t 3 TOTAL--------: 12720 3f ROOF CONST: FIRE RET : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: �;TOR. -. 1. 11r : 0 f (501474GE., .. , . 0 s OCCLJ SEX,. RATED. SGMT? . MEZZ? -. REDD SETBACKS------ FLOOR LOAD. . . . : k) psf LEP-T : 0 ft RGHT: 0 ft FI R SPKL:Y SMOK DET. N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft, FIR ALRM:Y HNDICP AICC:Y BEDRMS: 0 BATHS: I" .APR 4) PRIG COPR.N PARKING: IMr, ,,;UpFACE: VALUE. $ : 22,203 RemAv%45--TM"".D f-1R()M1~NAL'E___BUILDING L FIRE SUPPRESSION SYSTEM FEES STERLING DEVELOPMENT CORPORATION type amo'..tnt by date V ecpt LA JOLLA CORPORATE CENTER SPCT $ 7. 93 12/27/115 95-27432.8 3292 HOLIDAY COURT, SUITE t"25 FIRE. 4 03. 40 12/27/95 95-2 7 If 3,31-3 LA JOLLA C"'A 9.2037 PRMT $ 158. rid 12/27/95 Phone #: 619-546 -8841 uuntrac7tuv-: GRl'N1-4EL.L FIRE PROTECTION GRINNELL CORP, 3-1121 NW AVE PORTLAND OR 97210 PI-ione #: 503 -223--t5__1'5 2 2 1.. 6'7 TOTAL. Reg #. . .- 063205 REQUIRED INSPECTIONE; This permit is issued subject to the regulations contained in the Sprinkler RoLigfi- Tigard Municipal ;.ode, State of Ore, Specialty Ccc4s and all other Gpv-inPlP)- Final applicable 1;,,s. All work will be done in accordance with riv-P Alarm In5pl approved plans. This peroit wi'.1 expire if work is not started Mis(-*. Inspection within 180 days of issuance, or if work is suspended for care F i na I I T1 s Peet i on the- 180 days. vo` re? mittee 5iritult--ure : T.SSIAed By: CaI I fat- inspection 639--4175 n PLANCK# Ir (� � � Date: hp If AP LICATAON FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM BUILDING DIVISION, CITY OF TIGARD JZ2 �� 639-4171 DATE: /ZzzIry/ S PERMIT it 1 Valuation: dj -Z-z, 3,oc� A-^t Paid: 11 Permit Fee: / 2 , a 40 Plan Check Fee: cw Balance Dire: 5°o State Tax: -7, '-�7 Plans mu3t b sG6mttted to the Building Division before installation. Three sets of the plot plan, showing the layout acid the location of the nearest hydrant is required. New Installation: ,X Addition: Repair: Alteration:_ Complete: K Partial: _ Exitway: Basement:_ Hood & Vent: Spray Booth:, IN EXISTING' BUILD'NG: _ IN NEW BUILDING: NUMBER & STREET: / S S v tL%. NA IE OF BUILDING or BUSINESS: _ ��- Piy4�,C- pZ,Lt-sj\l IsV 1277.-U see-. 1=7, NO. OF STORIES: i _ 31ZE OF BUILDING: OCCUPIED AS: I`7 E''}�LA-1�IZ cr TYPE OF SYSTEMS: Wet: n Cary. Combination: STANDPIPES: OCC.HAZ4RD: Light__ ORD.GRP.HAZARD 1__ 2 3_4_Extra DENSITY -Z GPNVFt2 DESIGN AREA =G%y k2 SPRINKLER AREA 13L) Q SPRINKLER ORIFICE SIZE: rel "K" FACTOR 15r, TEMP. RATING_LS`�" OWNER: SZL �,.u� �a.�L.�zui'Mk>✓T ADDRESS: L A- j-oL-L 41 e-t4. CONTRACTOR: tea, i;�. /`err�c_.n/V PLANS DRAWN BY: ADDRESS: Z.Y, 7c, n/, w. Z 9 V-'� C T2��c�tL, `177-/0 RENIARKS: t=�`� 3 �`, ►Z :sc�rzv F0i2 5 i� Q „ 5'"m; coo-/j-7--ry J _ rC'X'C� L'h 5u�3M% 77ZA'] CVIfL9v a.r1/aL/rrT2fli /4Pl /3 1. YL 1�B`)Z: L�,'t �`��jy `7 APPROVED permits includes only work described above and/or on plans and specification bearing the same permit number and will comply with all applicable codes and ordinances f t e ity of Tigard. SPRINKLER COMPANY: G 1V6Q c `• ��Z k'-�'sv ..cs- vT, .r �HO E Z_7_ SIGNATURE OF APPLICANT: i BUILDING DIVISION: PERMIT VALID FI-IR 160 DAYS h•tlognCf n'.OrrOrrm i February 7, 1996 CITY OF TIGARD OREGON Grinnell Fire Systems 2870 NW 29th Avenue Portland, OR 97210 RE: TIGARD PROMENADE - BUILDING C 1.5532 SW Pacific Highwav PC12-65C BUP95-0323 Attn: Kyle Kalina This letter is in response to the resubmittal of February 6, 1996 . I suggest that we start over and thatyou submit a new design with t, calculations as the system you have provided using the number of heads recommended in my January 2, 1996, plan review letter is not applicable to an ordinary hazard, Group 1 system. Please provide a system for protecting the canopy in accordance with NFPA 13 for the hazard determined, keeping in mind that the room design method is not applicable and the density for 1500 square feet shall he used [NFPA-13-5-2 .3 . 1. 3 (a) ] . Please submit four (4) sets of revised plans and specifications, and, ensure the Hydraulic System Data on Sheet FP-2 coincides with the calculations project information data . If you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Examiner bitp95-03' \pcl2-65ca 13125 SW Hail Blvd., Tigard, OR 97223 503 639-4171 TDD 503 684-2772 — --� January 24, 1996 CITY OF TIGAiRD OREGON Grinnell Fire 28;0 NW 29th Portland, OR 97210 ly RE: TIGARD PROMENADE 15532 SW Pacific Highway 1\ 44 PC12-65C BUP95-0323 \�Nb% Attn: K. Kalina V )The plans and specifications have been reviewed for conformity to applicable codes . Please submit three k3 ) sets of revised plans and {r� specifications incorporating the following requirements : e^" Sprinkler d° ��,� I . Provide a new project information sheet for the li-ht hazard system. A. Include the minimum 1500 square feet_ design area. 1 1h B. The number of sprinklers calculated should be seven. tr I Provide new calculations with minimum 2.2 . 5 GPM flowing at 7 ?SI . 3 . The revised plans shall. designate the design area for the anti- freeze system and specify the check valve required by Tigard Water District . Submit hydraulic calculations for each design area back to the 411 riser to qualify the use of a 2" riser supplying the 3" feed and cress main. Provide a cabinet- next to the sprinkler control valve with pct less _than six spare sprinkler heads and a sprinkler wrench [UAC, std. 38 -1, Section 3- 11 . 71 . 6 . Pr,:)vide the contractor' s Material and Test ter.tificate to the � ield inspector at final inspection of the system. An occur'pancy certificate will not be issued until. the certificate has been submitted and accepted [UBC, Std. 38-1, Section 1-111 . if you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Examiner bup95-0323\pc12-65c 13125 SW Halt Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 n Grinnell' FIRE PROTECTION SYSTEMS COMPANY 2870 NYV, 29th Avenue Portland, OR 97210 Tel: 503-223-1525 Fax: 503-223.0240 February 1, 1996 Contractor's License No 63205 City of Tigard 13125 SW Hal; Boulevard Tigard, OR 97223 Attention: Mr. James Funk Plans Fxaminer Subject: 'Tigard Promenade - Building C Tigard, Oregon GFPS Prgject No. 42.311474X-A2 Dear Mr. Funk: This letter is in response to the letter dated January 24. 1096. The letter requested three sets of revised plans and calculations with completed revisions per your letter. Please reference the following, page for specific responses to your letter. Without a permit and approved set of plans, we r-:ve temporarily post-poned our installation start date from February 5, 1996 to the time we receive approval from your office. ; If you have farther questions and/or comments, please do not hesitate to contact me at 503/223-1525. Sincerely, Grinnell Fire Protection Systems r l �? !� Kyle Kalina Design Technician 1 � Enc: Response.to Review Letter DIVISION OF GRINNELL CORPORATION . • • ! • ssiw 0 0000 * 0 0 0 000• 0 • so • • *too 0 000 0 0 1 • f •40o 00 0 * so • Sol �' 0. 00 . 0 IV 0 Gp 4i • 0 0 O • • 0 f 1 \ 4' +•0 •• 0*0 : 000000 4 00 0 � • ^ '• ii0 0000 • . • � _ • + U n • •! • 0• • ° 0 0 A w •!i• •6 0 0 0 • 0 0 •• 0 0 0 0 • 0 0 O • • Y 0 0 • • • • 0 • w • • O I .ti..._r..r......_._., ` • 100 00 •• waw - ' gww • • 0 0 w • • • 0 •• • 1 O il 0001 � — 0 . 0 ♦ • 0 • l• • � ) • • '+ 00 . 00 00000 0 0 • /I ^ \�� /�� • . : 000 . 0 Vh�' Ir l_L w NOTICE:,IF THE PRINT OR TYPE ON ANY ' ll � ( Ijf � Iil � lll ! jlllll 1111111 il � lill III I �T 111 ' 111 111 ' 111 III III III III III III III III III III III Ill � ill III III ill Ilf I l 111 III TilTIFT 1 l 1 I I 1111111 I I I 1 1 IMAGE S N �1 AS CLEAR AS THIS hOTI�E 1 2 I ---- 4 5 IT IS DUE TO THE QUALITY OF THE _ _______ -- _-- -_ --------_ _ __ - -- No.38 ORIGINAL DOCUMENT 6Z 18Z LZ 9Z 5Z tZ I EZ ZZ TZ OZ 6 [ - 81 LI 9 � �' T fiT EI Zi i1 OT 6 8 L 8 S fi E Z T ��di3w IIIIIIII IIIIIIIIII VIII, Illlllllilllllllllllllllllllllllllllllll (III 1111. 1111 IIII I II III Illlllill IIII IIIIIIIII IIII I Il IIII IIII IIII IIII IIII IIII fill IIII Illi III I l l illi I I I I 11 ll I I I I IIII I-I l 1.111.1 l 1111. Ll lll 1lJ I I I I��I 1 s Grinnell Fire Protection Systems Company is 2870 NW 29th Avenuc it Portland, OR 97210 503/223-1525 Plait Review Response For Tigard Promenade - Building "C" Tigard, Oregon GFPS Project No. 42.311474X-A2 T he following are in respective over to the letter dated January 24, 1996 from the City of 1 igard Building Division. Item No. t A new project information sheet for the canopy system has been provided to have a 1,50011.1 1 would require 12 sprinklers in n y remote on a single row. This would require the stipply main or the canopy to he larger than that of the ordinaty group If building which supplies a proven 1,500 square foot remote area a1.20'1,500 h . Therefore, I have calculated seven heads in the canopy at .15/1,500 V?.per your request.ee erosion I on hP2) Item No. 3 A reduced pressure hackjlow device is shown on FP2. L Item No. 4 the 2"riser supplies the canopy area. Me 4"riser supplies the overhead building system (See FP2) Item 1'0. 5 See Revision 2 on FP 2. Item No:6 We will conrorm with appropriate certificates at final inspection. t� Community Development ELECTRIC PERMIT APPLICATION 13125 SW Nall Blvd. Tigard, OR 97223 Planck/Rec. # (e r ' F� Phone ( Permit #503) 639-4171 Date Issued CITY OF TIOARD FAX (503) 684-7297 Issued by TDD No. (503) 684-277;2 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Na, �e of Development / Number of Inspections per permit allowed Addressy Service mcluded Items Cost(ea) Sum I City/State/Zip ILl?' 3�' �'J1J ��< ��'" 4s. Residential- per unit 4 I ' r 1000 sq 11 .,r less �._. $11000 _ Name (or name of business) rad,add41oral 500 sly If or portion thereof $25 00 1 Commercial. Residential ❑ Limited Energy _ $25 00 Each Manurd Home or Modular 2 Dwelling Service of Feeder $AA 00 29. Contractor installation Only: 4b.Services or Feedets _ Installation.aHerntion or relocation - 2 Electrical Contractor $8000 �,�� 200 amps or loss 2 Address i� 201 amps to 400 ampr! _, mo oo 2 Ciry State Zip 401 amps to 600 amps $12000 2601 amps to 1000 amps _ $180 00 �'�— 2 Phone No. Nor 1000 amps or volts $ Contractor's License No. Reconnect only — $Som 2 Contractor's Board Reg. No. _ 4n. Temporary !cervices or Feeders Installation allerallori or reld;aliori % Signature of Supr. Elec'n 200 amps or lose $50 00 License No. Phone No. 201 amps to 400 amps __ $75 00 --- -- 401 amps to 800 amps $100 oo - ONar 800 amps 10 1000 volts - 2b. For owner installations: nen•b•stove Print Owner's Name 4d. Branch Circuits -------------.--- New,alteration o•e4lenelun per pannl Address _ a)The fee for branch circuits with City State ur toes Of aer✓ke or 11111,1141100,11111,1141100,A" r —'—' --"' Zip ----- Et -+inch circuit �?c� $500 Phone No. TL '. for branch cira14s without The installation is being made on property I own which is rturchaae of aOrt'ke ew Feeder 11ee. 2 not intended for sale, leq.se or rent. rlraf branch crcinf $3500 2 Each adddlonal branch craft :5 00 Owner's Signature _ I 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (i1 required): Each pump or Irrigation circle __ _ u0 00 Each sign or out,,m lighting W 00 ( 2 Please check appropriate item and anter fat in section 58. Signal cimuo(s)or a 6m4od onorpypan, alteration or extension _ $4000 4 or more roridenhal Unita in one stn/:-.tl„q Minor Labole(1C) $10000 Service and feeder 225 amps c,,rr e Sy;-.em over Goo rtolta nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above at,described in N F C Chapter 5 per Inspection _ $35 30 Per hour V $55 on Submit 2 sets of plans with application where any of the above In plain 155 00 apply. Not required for temporary construction services. 5. Fees: / G, NOTICE 5s. Enter total of above fees $ ~` 5%Surcharge(05 X total fees) $ _ , 1 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ x AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OH IF 5�. Enter 25%of line A for r- CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ 7 r A PERIOD OF 180 DAYS AT ANY TIME AFTFR WO;4K IS Subtcifif $ COMMENCED ❑ i rust Account M Balarl^e Dae $ I q August 29, 1 9'95 CRY OF TIGARD OREGON Musil Perkow-tz Ruth 9150 S.W. Pioneer Court, Suite T Wilsonville, Oregon 97070 Project: Tigard P-omenade, Building "C" OUP 95-0320 Project No. 93-657-22 Tigard, OR Subject: Electrical Plan Review The plans submitted were reviewed for conformity with the 1993 National Electrical Code(NEC) and the State ov Oregon Electrical Specialty Code. The following was noted: 1. The 1993 NEC is the minimum electrical requirements. 2. The service grounding conductor should terminate on a (Ufer) rebar as per NEC article 250. The water lines and building steel should be bonded to the grounding system. 3. The listing instructions on the lighting fixtures may limit the number or fixtures per circuit. 4. There will be no water lines or HVAC vents overhead of electrical Panels. 5. Signs and Neon letters require U.L. listing and labeling. A copy of the listings inst: ' 'ion instructions to be on job site. 6. Restricted Energy Electrical Permits required for Fire Alarm, 11VAC controls, Security, and landscape irrigation system. 7. The electrical panels rr;gwre wont working clearance as per NEC Art. 110-15. 8. The Electrical Permit number is ELC 95-0242 and the electrical Permit Fees total $1956.50 including Plan Review. Please contact Michael Rudd to discuss the electrical notes at 5u3-639-4171 ext. #356. Thank you for your cooperation, y� Michael Rudd Electrical Inspector 13125 SW Hall BlvC, Tlgard, OR 97223 (503) 639-4171 TDD (503) 664-2772 CITYOF T I GA R D BUILDING PERMIT PERMIT#: BUP2001-0010u DEVELOPMENT SERVICES DATE ISSUED: 4/16/01 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL.: 2S110DC-02200 SITE ADDRESS: 15532 SW PACIFIC HWY C-1A SUBDIVISION: WILLOW BROOK FARM ZONING: C•G BLOCK: LOT: 011 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W:�� TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 BASEMENT: sf AREA SEP. RATED• STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT'?: MEZZ?: _ READ SETBACKS _ REQUIRED__ _ FLOOR LOAD: )Sf LEFT: ft RGHT: ft FIR SPKL: Y �—SMOK DET'---- DWELLING UNITS: FRNT: ft REAR: ft FIR AI-RM • HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 32,500.00 Remarks: Tenant Improvement Owner: Contractor: TIGARD, CENTER LP PACIFIC CREST STRUCTURES INC 9777 VVIL.SHIRE BLVD#609 7233 SW KABLE LN STE 900 BEVERLY HILL, CA 90212 PORTLAND, UR 97224 Phone: Phone: 503-968-8949 Reg#: 11C 66915 FEES REQUIRED INSPECTIONS Type By ' Date Amount Receipt Me-hanical Permit Require �PLCK CTR 3/2.7/01 $223.15 27200100000 Electrical Permit Required FIRE CTR 3/27/01 $137.32 27200100000 Sprinkler Permit Required Plumbing Permit Required PRMT CTR 4/16101 $343.30 27200100000 Framing Insp 5PCT CTR 4/16/01 $27.46 27200100000 Gyp Board Insp __ _ Susp Ceiing Insp Total $731.23 FinalInspection 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 it work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires yr u 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) 246-6699 or 1-800-332-2344. Pe rm Ittee fir, Signatu Isaubd By: Call 6.19.4175 by 7 p.m. for an inspecticn the next business day Z002 03/22/01 TIIit 15:26 FAX 503 598 1960 CITY OF T I GARD I/V Building Per mit A pplicat'On e) 1 r, Permit no.-. /a Daterece ived:PmjecUappl.na pxpiredate: City of Tigard � OR 97223 Recciptno.: Address: 13125 SW Hall Blvd,Tig d. Dateissued: By: CiryafTigard Phone: (503) 639-4171 Payment type: Case file no.. _--- Fax: (503) 598-1960 ldcCam lex: m2family:SimP ple Land use approval: -- r a su U Commer aal/indusuial CJ tAulu-fartttlY O New construction [3 Demolition — ❑ 1 &2 family dwelling or acres rY .l cnant im rovcment ❑Fire sprinkler/alarm U Other. ❑Addition/alteration/replacement 1' t r t Bldg.no.: - Suite no.: Su7L : jy- lob address ''�GL l•t , 1_ - Tax map/tax lot/account no.: --- [.ot Block- Subdiision: v - Project-rain AC1_.�.t.�=1•--�1------ Description and location of work on premises/special conditions: - - -- --- ---_ - r— Z so + t M l 11111Pr w i I _Name: T16 A2-P l &2 family dwelling: 3��t(s i w G+1 — Mailing address: ;:IP:_ D Z 1 4'. Valuation of work......................................_ _ City: V�:-5' N t t t�' �maiL No,of bedrooms/baths................................. Phone: ;310) z Fax: -- — Total number of floors......................-....- Owner s representative: �E vE DA j`J�T'1�r l area s ft .......................... IE-man-- . New dwelling ar ( 4 ) Phone -b�.5c Faxmgr/carport area(sq.ft) ........................ C;avered porch area(sq.ft) ......................... Deck arca(sq ft) ........................................ t- r l I CO s .ft. Mailing address:F,�zD `r •lam�?• A. „�' ,� _, Other structure area( )........ State:r �•city: ,�°mmerciaWtdustriaUmulti•famlly: Phone:( 2� I Fax: 'qr. E atl: Valuation of work........................................ $ , Existing bldg.area(sq.ft.) ...................... New bldg.area(sq.ft.) ................................ _ — Busincss Number of stories ••...... "' Address: State: ;JP: .......' - Type of construction................ City: Email: Occupancy gmup(s): Existing: Phone: Fes' New: -- CCB no.: ! required to be -rte r' - NoHce:All contractors and subcontractors are City/metro lic.no.: t keens^-d with the Oregon Construction Contractors Boardi under to be licensed in the provisions of ORS 701 and may be required Name. applicant is .<t ,�c'x j9IEa T jurisdi:.tion where work is being performed.If the app . r - Address: (,: 4• A� t' '� � exempt from licensing,the fallowing reason applies: State: SIP: _ -- City' cU,n t-r euf; �_. -- N Plan no., Contact Mo W. ; � t✓mail: jrI Q - - — Fax:� _ Fees due upon application ...........................$_ - -- Name: Contact petsm: ----_-_--- Date received: Address: .. Amount received ........................ .... .,,-*... $ ' City: _ _-- Stara• '1___ , Please refer to fee schedule. Fax; Email _ Phone: rNat YI)urisdicNons soapI oadit cards.ptrase rail jurisdiction fm more inr�on E hereby certify 1 have read and examined this applicition and the ovua oMaterCard attached checklist.All provisions of laws and ordlna tees governing this t•di.wd -:'CVC --- - work will be complied with,whether specified hereii or Q N u m t Authorized signature: _--_- cacdAotder sspwttre r,�. .�'r/rLc! c7QJtN �_! {ap.{617( Ml Print name:– within l80 dafter it hes been accepted Notice:This Pe"n"application expires if a permit is not obtained ell pted ai a►mp ate' 1 -2 � '`- � /17,r 1 3 -7r32- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business (..isle: 639-4171 MST -- -- BLIP Date Requested �- _AM _ _PM _ — BLq Location—_�_SS a2 Pei L4'1* �LA-L'I Suite �� S MEC Contact Person Ph 1(6 PLM Contractor _ Ph SWR 'BUfLDING Tenant/Owner - �ELC� ` ) Retaininq Wall BLR Footing Access: Foundation FPS Ftg Drain _ -- Crawl Drain Inspection Notes: SGN Slab ----- --- - ---- SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear - -- - --- - Framing Insulation Drywall Nailing _ Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling RoofMisc: -- �� _,�-�' - Final FASS PART FAIL ----------_ ...- - __ PLUMBING Post&Beam Under Slab -fop Out -- Water Service Sanitary Sewer - -- -- --- Rain Drains Final ---- PASS PART FAIL. MECHANICAL Post&Beam Rough In _____ ----_-.--• - --_-._, Gas Line -- --- - __ Smoke Dampers — Final ---- ---- - - - PASS PART FAIL - FCTRI 5Z6 -- -- - Service --. Rough In UG/Slab Low Voltage - larm 'ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next i pection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection [ ]Unable to Inspect no access ADA Approach/Sidewalk Inspector �jj�f Other Date �.—_ Q-0 �! 0 p Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. n CITY OF T I G A R® ELECTRICAL PERMIT PERMIT#: ELC2000 00038 DEVELOPMENT SERVICES DATE ISSUED: 1/28/00 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 2S110DC-02200 SITE ADDRESS: 15532 S\N PACIFIC HWY C-5 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT : 011 .JURISDICTION: TIG Proiect Description: Install 1 branch circuit in existing commercial building. _RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAI_/PANEL: MANF HMI SVCI FDR: 60l+amps - 1000 volts: MINOR LABEL (10): _i SERVICE/FEEDER _BRANCH CIRCUITS _^ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: w 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADG'L BRNC:H CIRC: IN PLANT. 601 - 1000 arnp: _ PLAN REVIEW SECTION _ T 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: L Reconnect onIV: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC Owner: Contractor: TIGARD CENTER LP TICE ELECTRIC 9777 WILSHIRE BLVD 2139 SE BELMONT ST SUITE_ 609 PO BOX 15009 BEVERLY HILLS, CA 90212 PORTLAND, OR 97215 Phone: Phone: 233-8801 Reg #: LIC 00000166 SUP 2586S I^� A PLM 2586s ��J K rj..�, ELE 26-126C FEES ----- __ Required Inspections_ Type By Date Amount Receipt — Elect'I Service _ PRMT" KJP 1/28/00 $37.50 00-321469 Elect'I Final SPCT KJP 1/28/00 $3.00 00-321469 Total $40.50 This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Cod^s 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 952-001-0010 through OAR 952-001-0080. You may oht3in copies of these riles or direct questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATURE ISSUED BY: ) — OWNER INSTALLATION ONLY The installation is being}made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: --- DATE: _ LICENSE NO' Call 639-4175 by 7.00pm for an inspection the next business day I ! C)- 9g rl-E 1059 FAX 503 398 1980 CIT1 OF TIGARL 10002 Crt'v OF TIGARD Electrical Permit A►ppilca FltrFU Pla"cheche_^— 13125 SW HALL BLVD. Rer;'d By ;.Ii. Date Rec d TIGARD OR 97223 JAN 2 F 2(1Rn Data to P E. Phcre(503) 639-4",1, x304 Date to DST Inspection (503) 639-4175 Print of Type COMMUNITY pFyF perrnll N�.LL. Q 0 11C?0 (/1PyfMi) Fax 1503) 598-1960 IncompleteC or illegible will not be accepted aped-- 1,� Job Address: ~--� -_ - r. Complete Fee Schedule Below. ^� 1 Name of Development _ _ I _�_,___ _Number of Inspect ons per permit silt wad Name(of name of business) Nai 1� F'ar Vnn _—_._ Service included. items Cost Sum W Address 15531 SW Pacific H1nfv - __ _ 4e. Residential-per unit C, /State/ZI Tigard OR _ __ i 1.0,30 sq a.,.less S 117 Ts _ n p- -- - - --- Each acd tional 50 so ft or r poni"i thereof S 28.75 _ 1 Commercial L_1 Residential ❑ l Llnlled Energy f 80.00 F.ech Manuf d Home or Modular 2a. Contractor installation only: Dwelling Service or Fsecer S 72.75 _ 1 IPrior tr,permit Issuance,applicants must provide contractor lloenso 4b.Sorvtcae or Feeders mlcrinauun for SOT datapa). Instellabai,a terat.on,or relocatbn Eler.i'lral Cortrac'oi 7Laice Electric Co. 200 amps or less S 64.29 2 Address M AOX 201 amps to 400 snips $ 85.50 2 Portland Slate OR Zi 97293-5009 471 snips tc eco amps $ 128.50 z "tY p 601 smps;c 1000 amps S 192.50 2 Pnone No. 503-233-880 , Fad 03-872-8290 Over 1000 arrps or volts S 383.78 2 Job No.�4�Q�3313 Reccnnect crsy S 53.80 7 Elect Cont. Lice No - Exp.Date ��Q /nn 4c.Temporary services or Feeders OR State CCB Reg. No I66 Fxp Date i 31� 03 Installation alteration,or reircation COT Business Tax or Metro No 4 Exp.Date �0 too amps or leas S 53 50 _ 2 I 201 amps to 400 amp$ f 80.25 Signature of Supr Elec. 7 401 amps to 100 amps ^_ $ 100.00 2 Over 1300 amps to 1 CO')volts, ]- 0-1 /0— /0m see"o"above, License No 2586 _Exp.Date 4d,Smirich Circuits Phone No. 503-X13-ARfl1 New, ilterat:,r.or e>nans:on per pares a)The rec for branch cirrulls 2b. For owner Installations: _ I with purchase of sen•Ice or feeder fee, Print Owners Name Earp,brand,d(eot $ s 35 _ _ 2 b)TUC fee for bran:-I)clicUls Address wiurout purchase of service City State Zip of feeder fee. Phone No. _ First bran circuit 1 S 37.50 X7.50 Each additional branch circu t $ `.30 r The installation is being made on property I own whictl is not 4e.Misc.lianaous intended for sale,lease or rent (Service or feeder not Included) Each pump or irlgetton rArde S 42?S Owner's Signature _ _ Each sign or outline lighting -�— $ 4[': Signal circuit(s)or a limited anergy 3• I Plan Review section required):'i (if re d :' panel,alteration or extensicn $ 80.00 Minor Labels(10) i S 100 0C Please check appropriate Item and enter fe-e in se:tion 56 4f.Each additional inspection over _ _4 of more resldeibal unds none structi;rr the allowable In any of the above Service and feeder 225 amps or more Per lnspect!or _ S 5000 _ Per hour f 50 00 _ Systemover 8%volts oiCmtral If,plant Class flee ansa cr sbuilwe cr,nta,nrng soeciat oce,parv;y as described in N E.0 Ct Rotor 5 5. Fees: 37.50 8a.Ertler total of above fees Submlt 2 sats of plans with aprlication wflera any of the above apply, etc Surcharge f.08 x total fess) S Not required for temporary construction services. Subtotal 8b.Enter a"S"e of Ino Is for NOTICE I Plan Roview,i tegulmd(Sec 3) f PERMITS BECCME VOID Ir WORK OR CONSTRUCTION AUTHORIZED I Subtotal IS N01 COMMENCED"THIN 180 DAYS,OR IF CONSTRUCTION OR II WORK S SUSPENDED OR ABANDONED FOR A PER!OC OF 180 DAYS I � Tr`-a-1 st A,=urW 9 _ 40.50 AT ANY TIME Ar-TEP I•VORK IS COMMENCED I Total balance Due $ _ �.J __--_.-- ---------- ■.e--- ...r r�dsu�fon"1 elaarc.Jce CITY Obi TIGARD _ MECHANICAL. PERMIT DEVELOPMENT SERVICES ® R I G I NPERMIT#: MEC2000-00003 1:3125 FEW Hall Blvd., Tigard. OR 97223 (503)639-4171 TE ISSUED: 1/5/00 PARCEL: 2S 110DC-02200 SITE ADDRESS: 1553 SW PACIFIC HWY C-5 SUBDIVISION: WILL 10W BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP f=LERS: TYPE OF USE. COM UNIT HEATERS: VENT FANS: OCCUPANCY GRIT: M VENTS W/O APPL: VENT SYSTEMS: 3 STORIES: BOILERS/COMPRESSORS HOODS: —--� FUEL TYPES _ �_ -- DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: REPAIR NITS: GAS PRESSURE: 50 + HP: WOODCLCD DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN —100K BTU: c in.. GAS OUTLETS: > 10000 cfm: Remarks: Instail exhaust fans in 3 bathrooms Owner: _ ---- -^- FEES — IGARD CENTER LP -- Type By Date Amount Receipt 777 WILSHIRE BLVD#609 EVERLY HILL, CA 90212 PRMT DEB 1/5/00 $50 00 00 320907 5PCT DEB 115/00 $4 00 00-320907 Phone: a Total ~$54.00 Contractor: NT CONSTRUCTION CO 0755 SW TIGAR.D ST IGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone:503-516-0406 Final Inspection Reg #:LIC 65408 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 stared within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC b cal lin (a5iT3�T46,,9189. Is a By: Permittee Signature: Cal! (5 3) 639.4175 by 7:00 P.M. for inspections needed the next business day Plan Chec CITY OF TiGARD Mechanical Pr emit Application Recd By 13125 Stili HALL BLVD. Commercial and Residential Dale Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST._. Print or Type Permit#�1f e„ G 3 _ Incom lete or ille ib+e a lications will not be accepted Caned - Name of Development/Project Description Table 1A Mechanical Code Qt Price Amt ,Ob Street Address Sune# A) Permit Fee ", 16.00 1) Furnace to 100,000 BTU Address including ducts 8 vents see footnote 1,2 9.65 Bldg# Zip 2) Furnace 100,000 BTU+ �2 including ducts&vents see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace Owner 7e' r/r a ArikP! lei -including vent see footnote 1,2 9.65 - Melling Address 4) Suspended heater,wall heater r or floor mounted heater see footnote 11,2 9.65 5 Vent not included in appliance permit 4.75 CRY/State� Zip Phone Check all that apply: "Boiler Heat Air r�1771�i�/ c"k, -,•y,-_ For Items 6-10,see or Pump Cond Qty Price Amt Name(or name of business) footnotes 1,2 Com 6)<3HP;absorb unit to /r2, , �,,;, 100K BTU 9.65 Occupant Mailing Addrats 7)3-15 HP;absorb unit f'�r��; ! � 100k to 500k BTU 17.65 CBy/State Zip Phone 8) 15-30 HP;absorb unit.5-1 mil RTU 24.15 Contractor Name 9)30-50 HP;absorb / N, unit 1-1.75 mil BTU 36.00 _ 10)>50HP;absorb unit Prior to permit Mailing Address >1.75 mil BTU 1 - 60.15 issuance,a copy i. >� ' /11.lr,e'J 11 Air handling unit to 10,000 CFM of all licenses CRY/Caste z;? Phone 7.00 are required if r ,_,r�,"/, ('0,'c, � 7 s ",/L/, 1. 12)Air handling unit 10A00 CFM+ expired in COT Oregon Const.Cant.Board Llc# Exp.Dale 11.85 database �" `� r ✓�, G /io%-/ 13)Non-portable evaporate cooler Architect Name 7.00 14)Vent fan connected to a single duct 4.75 Or Melling Address 15)Ventilation system not included In appliance permit 7.00 _ Engineer cnyrstate ztp Phone 16)Hood served by mechanical exhaust _ 7.00 Describe work to be done: . 17)Domestic Incinerators // : y 12.00 ' 2epiac�ef-tvh le nd Yes O No O 16)Commercial or industrial type incineratorNeeiX Repair O Residential 0 Commercial 48.25 _ 19)Repair unite Additional information or description of work 8.40 20)Wood stovelgas FP/other units/clothe dryer/etc. _ 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets structural gas calcs See footnote 1 3 75 Type of fuel: oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) Minimum Permit Fee$50.00 SUBTOTAL hereby acknowledge that 1 have read this application,that the information 8%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial pernift only _ ___ , TOTAL fj Signature of Owner/Agent Date - _. 1-_- _ Other Inspections and fees: ZJv`''r �i,. l/%'�'Jrr h"' . �' 1. Inspections outside of normal business hours(mininurn charge-two /�� ._ J Contact Person Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum charge-halt hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes,additle,._,or revisions to 1. Provide full schematic of existing a,td proposed gas line and pressure. plans(minimum charge-one-half hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. -Residential Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I:Vnechperm.doc rev 7119199 1. � fi�, �. c �� I I ' ELECTRICAL PERMIT- CITY OF TI GA R D �� y/�� RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00089 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISS ED: 03/30/2001 SITE ADDRESS: 15532 SW PACIFIC HWY C-7 PARCEL: 2S110DC-02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG Proiect Description: CCN. Job #083-13294-01. 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: VAr',UM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE. OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: CCTV X ' Owner — — `_TOTAL#-OF SYSTEMS: _1 Contractor: TIGARD, CENTER LP ADT SECURITY SERVICES, INC 6,'77 WILSHIRE BLVD #609 2815 SW 153RD DR BEVERLY HILL, CA 90212 BEAVERTON, OR 97006 Phone: Phone: 503-469-7244 Reg #: LIC 59944 ELE 26-209CLE r _ FEES _ Required Inspections Type By — Date Amount Receipt Low Voltage Inspection PRMT CTR 03/30/2001 $75.00 2720010000 Elec''I Final ;'PCT CTR 03/30/2001 $6.00 2720010000 Total $81.00 This Permit is issued ��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 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 or direct questions to OUNC at (503) 246-1987 Issued by v _ -- Permittee Signature -- _ OWNER INSTAI_LATION_ONLY The installation is heing made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR F"LEC'N DATE: LICENSE NO: ---— Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Ai Electrical Permit Application, Datereceived:J 4"zi,,lo Permit no.:dk10,W0/-12V City of Tigard Project/appi.no.: Expire date: City47gand - Idress: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 4171 A Fax: (503) .598-1960 � Case file no.: Payment type: Land use approval: TYPIE OF PF 11114_�r 'i I &2 family dwelling err accessory 1unrcn al/urdustiI'll ]Multi-family o Tenant improvement U New construction U Addition/alteration/replacement LI Other:- _ U Partial INOORAtAiIDN Job address: c. Bldg.no.: Suite no.:t,' - Tax map/tax lot/account no.: _ Lot: Block: Subd_i sion: � _ Project name: G^scription and location of work on premises: WE _ Estimated date of cornpletiorr/inspection: _ ,lob no: -C., I'rr uta. Business name: Ilmvii tion t)ty. (ea.) 'total mo.insp -1— New n•sidenlial-single or multi-family per Address: __ r. dnellingunh.lnclndr�ntttulKdgar'ngr. City: at NerviceIncluded: Phone: 2-141 - 1 Cax:lf - E-mail: 101)0&q.ft.or less .t --- CCB no.: t Elec.bus.tic.no: Eoch additional 5011&q.ft.or p anon Ihcrcul - - --- _ - Limited energy,residential _ 2 City/finetrolie.no.: _ — I A mited energy,non-residential i t Hach manufactured home or modular dwelling Sig stun onuperysing electric an(required) Date Service and/or feeder _ 2 Sup,elect name(print): ({ ' I.iccroscmu Services or feeders-installadon,i alteration or relocation: 2(g)amps or less 2 Name(print): 201 amps to 400 amps _ _ 2 Mailing address: 401 amps to 600 amps _ _- 2 601 amps to 1000 snips _ _ 2 City: Slate: ZIP: Over 1000 amps or volts 2 Phone: Fax: I E-mail: keconneclonly I Owner installation:The installation is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to hnslallallon,aheralion,or relocation: ORS 447,455,479,670,701. 2011 amps or less _ 2 201 amps to AIM amps 2 Owner's si nature: lt,u 401 to 600 ant & _ 2 011111 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 City: i`t al I I' B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: Phone: Fax: I ni -- - - Each additional branch circuit _ Misc.(Ser rice or feeder not Included): O Service over 125 amps-conuncn is l U Health-care facility Each punt or irrigation circle U Service over 320arips-rating of 1,11 U Hazardous location Each sign or outline lighting 2 famllydwellings U Building over 10,000 square feet four or Signal circuit(&)or a limited energy panel, I U System ove.rfi00 vnits nominal more residential units in one structure alteration,or extension* W_—� 2 U Building over three stories U feeders,400 amps or more "'Description: O Occ-apam load over 99 persons U Manufacturer)structures or RV perk FArh additional Inspection over the allowable In any of the above: U Egn sdlightingplan U Other - - - - - Pcrinspeclion --- r T=--T -- Submit ____gets of plans with any of the above. Investigation fee_ _ The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,please call jurisdiction for more information Notice:This permit application Permit fee.....................$ _ U Vier U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit(and numbs: _ within 180 days after it has been State surcharge(8%)....$ `p ft1 accepted as complete. TOTAL . $ Name of cardholder u shown on r ittecf ca3- Cardholder signature Amount 440.461516AlWOMI Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: -Restricted energy Fee...................................................... - $75.00 Number of Inspecfions a per nit allowed !FOR ALL SYSTEPAS) Service included: Items Cost Total _ Check Type of Work Involved: ResidenJal•per unit 1000 sq it or less $145.15 _ 4 ❑ Audio and Stereo Systems Each additional 500 sq ft nr portion thereof _ $33.40_ _ 1 �� Burglar Alarm L lmltod Energy _ $75.00 Each Manufd Home or Modular ❑ Dwelling Service or Feeder _ _ $90.90 _ _ 2 Garage Door Opener' Services or Feeders ❑ Healing,Ventilation and Air Conditioning Systern' Installation,alteration,or relocation 200 amps or less _ $80 30 2 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ $240.60 _ 2 ❑ Other Over 1000 amps or volts — — — $454.65 _ — 2 --- — Reconnect only $66.85 2 Temporary Services or Feeders Installation,alteration,or relocation TYPE OF WORK INVOLVED -COMMERCIAL ONLY 200 amps or less $66.85 _ 2 Fee for each system......................................................... $75 00 201 amps io 400 amps $100.30 —_ 2 (SEE OAR 918-260 260) 401 amps to 600 amps _ $13375 _ _ 2 Check Type of Work h clued: Over 600 amps to 1000 volts, yP see"b"above. ❑ Audio and Stereo SystemsBranch Circuits New,alteration or extension per panel ❑ a)The fee for branch circuits Boiler Controls with purchase of service or t feeder fee. ❑ Clock Systems Each branch circuit $6.65 b)The fee for branch circuits Data Telecommunication Installation without purchase of service or feeder fee. First branch,circuit $46.85 �..) Fire Alarm Installation Fach additional branch circuit $6.65 ❑ HVAC Miscellaneous (Service or feeder not Iticluded) ❑ Instrumentation Each pump or Irrigation circle _ $5340 Each sign or outline lighting ^ ^ $5340 ❑ Signal circult(s)or a limited enorgy Intercom and Paging Systems panel,alteration or extension _ $75.00 _ Minor Labels(10) _ $125.00 ❑ Landscape Irrigation Control" Each additional Inspection over ❑ Medical the allowable In any of the above I'm Inspection $62.50 Pur hour $62.50 �^ ❑ Nurse Calls In Plant $7375 Outdoor Landsca,a Lighting' Fees: rolectKe Signaling Enter total of above fees $ 8%State Surcharge $ ❑ Other 25%Plan Review Fee __ I___-_—Number of Systems See"Plan Review section on $ front of application, ' No licenses at-?required Licenses are required for ad other Installatinns Total Balance Due $ Fees: ❑ Trust i.i.ccountEnter total of above fees $_ c __ -- — au 8°'.Stale Surcharge $--U Oct Total Balance Due $_ — i\dsts\fonns\elc-fces.doc 10/09/00 CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001 00152 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/20/01 SITE ADDRESS; 15532 SW PACIFIC HWY C-1A PARCEL: 2S11CDC-02200 SUBDIVISION: WILLOW BPOOK FARM ZONING: C-G BLOCK: _ LOT. 011 _ _ JURISDICTION: TIG TENANT NAME. =OOT SOLU PONS U iA ► FIXTURE UNIT'S: 8 CLASS O�:WOk.r(: T DWELLING UNITS: 1 TYPE O, -.: COM NO. OF BUILDINGS: INSTALL E: BUSWR IMPERV SURFACE: Remarks: .9 EDU Increase. Previous fixture count 103, this permits adds 8 fixture units for a new balance of 111. Owner. TIGARD, CENTER LP -- FEES 9777 WILSHIRE BLVD#609 Type By Date Amount Receipt BEVERLY HILL, CA 90212 PRMT CTR 4!20/01 $2,070.00 27200100000 Phone: Total ;62,070.00 Contractor: Phone: Reg #: —.--------_Required Inspections— This Applicant ac:rees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from tf,e date issued The total amount paid will be forfeited if the permit expires The Ardency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall pmspect 3 feet in all directio os 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 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITE( OF TIGARD _ RESTRICTED EN RIGY r DEVELOPMENT SERVICES PERMIT M ELR2001-00121 13125 SW Hall Blvd., Tigard, OR 97223 (503) 635-4171 DATE ISSUED: 04/20/2001 SI'rE ADDRESS: 15532 SW PACIFIC HWY C-7 PARCEL: 2S I IODC-0'2200 SUBDIV!SION: WILL OW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG Proiect Description: Installation of Burglar Alarm 083-13294-02 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: PROTECTIVE SIGNAL: INSTRUMEN--AT'ION: OTHER: BURG.ALARM X TOTAL#OF SYSTEMS: _ Owner: Contractor: TIGARD, CENTER LP AD SECURITY SERVICES, INC 9777 WILSHIRE BLVD #609 2815 SW 153RD DR BEVERLY HILL, CA 90212 BEAVERTON, OR 97006 Phone: Phone: 503-469-7244 Reg#: LIC 59944 ELE 26-209CLE FEES Required Inspections _ _Type By Date Amount _Receipt Low Voltage Inspection ` PRMT CTR 04/2012001 $75.00 2720010000 Elect'I Final 5PCT CTR 04/2.0/2001 $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 :he 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 at (503) 246-1987 Issued by f ]� ,�6/�b Permittee Signature–,')/ i — 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 ELFC'NJC y� -- —!DATE: — LICENSE NO: ---��-�`��---- Cail 639-4175 by 7:00 P.M. for an inspection needed the next business day 04/19%2001 16:55 FAX 505 469 7110 ADT SECURITY Z001 Electrical Permit Application �y • Itr i �Date!Rt -/%'(� Permitne.: Ci", of Tigard RFr,F ProJ=Vappl.no.: Expiredate: CiryofTigard Address: 13125 SW Hall Hlva.Tigard,OR X7223 Dateissued: Ba Phone: (503) 639-4171 AP,, ,r Y. Recelptno.: _ Fu; (503) 598-1960 n� Case rile no.: Payment type: — Land use approval: COMMIIr�Ii' utvl. U-9 �v 1 :a 1 2 family dwelling or acecssory A1.6otttmercial/industriai O Multi-family O Tenant improvement CI New construclion 0 Other: O Pardal Job address C �iC.i (> 1pL � I Bide, no,: Shite no. -17 Tvc map/tax lot/arcount no.: Lot: Block Subdivision: Project name: cription and location of work on premises �n 1�W) _ Estimated date oif completiunhnspecuon 1 1SCHEDULE Jttb no: Q t ttij_ Fm NE Business mune: SE _ Sol V A160%- Description Qty. (em) trawl 110.itu r i, -r ID Us -` t .- -—__ Nen rra�irntial-sirglr or mulday-famper AddPBSS: - — ""' a t • ---_ - ----- dneliioguoitindhrdmattachedga•agr. y City: ey �� rl — IT' 4eevimincluded. l_ - --- Phone [ l'tuc I: m:ul t000sq.tr nrlesc - Hach additional 500 sq.ft or orlon thrtmf� CCH no.: / files bus.lie,no!,;&a _ ---... � Limit energy.roaidendal � Ci /metro lie.n _ LimltrA energy.nen-r irldential -- -- Q _ Each m utufacturM home or mwduludwelling _ to of SuperYls it-r (requircd)� --- Ua Service and/or fee+irr -` -- �` Sertka or feeders-insWiation, sop,elemname(print): -Wu '--- llcenseno alteration or relocation: 200 amps of less 2 Namc(faint): 201 amps ra 400 amps 2 �— -- —_--- 401!rope to 600 props 2 Mtsiling addi:css: 501 amps to 1000 vnps _ 2 Cit -- Stalc; ZIY: — Over 1000 amps or vola 2 Phone: Fax: E-mail; Reconrtrrtordy Owner installation:The installadon Is being made on property 1 own Temporary nernioa or f*Wtts- - which is not intended for sale,lease,rent,or exchange according to InOnlbttan,alteration,orratocatiout ORS 447,455,479,670,701. 200 amps or leas __ 2 201 amp+to A00 amps Z Owner's s' nature: Date: 401 to two amps 2 Branch circuits-sew,alteration, or a><lertsiao per panel: Name: A. Fee tor hnuichcircuits with purrhaseof Address: service ur feadcr for:,oath brvrch eimult 1 City: S 7(P�, B- Fee for hrenrJ,circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: E mall: Goch additional branch tirade Misr.(Service.,r feeder not.inctuded)r U Service nr er 22.5 amps•commero+d O Health-rare facility 6arh pump or irrigadon circle — 2 O Setvire nrnr 320 amps-tating of 1 Al ❑Harirdouslocation Each sign or outline lighting 2 fa,nilvdwallin&s USuildingover 10,000squurefeet fturar Signs]circuit(s)art limited energy panel, I O System averd(Nl volts nominal more residentialurdts In enc strucuuc alteration,orextension• g •Ruddinr over three stories 0 Fecdcri,400 amps or more •Dacriptiou. _ C]Crrupant land�vu'r9 persons ❑Manufacturer!structures or RV park ��additlaMl Inrpectlan over the Wloteattle h asy of the alrure U Fgreas/lfghtingplan U OdW: a e porins _on ,%bait sets of plata)with any orthe shove. Invesdigallon fee - e The above care toot applicable M temporary constswlion service Other — _ Partnit Fee.....................S Na all lurisdktlom ttcegrt credit cm*,please rail jurimlfttlaa Tamara Infmaadne Noticc:This permit application - ❑visa ❑MastatCord cxpirce if a permit is not obtained Plan review(it( _-, %) S _ 77 Cr+tNt card samba __ � Ulu T� within IRO days aflr r it has been State.tsurChHfge(R96)....S 1 _ r Arra of W&OW 0 tnen r, accepted as compictc. TOTAI. .......................S JL rturn -.-_� CITY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00156 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/23/01 SITE ADDRESS: 15532 SW PACIFIC '-IWY C-1A PARCEL: 2S110DC-02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE. COM WASHING MACH: BACKFLOW PRE=VNTRS: OCCUPANCY GRP: M FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES A LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 0 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER? CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DR/'IN: ft Remarks: Installation of new fixtures in restroom (TI). Owner: ---- FEES --` Type By Date Amount Receipt 9777 CENTER LP PRMT CFR 4/23/01 $72.50 27200100000 9777 WILSHIRElIRBLVD #609 BEVERLY HILL, CA 90212 5PCT CTR 4/23/01 $5.80 27200100000 Total $78.30 V Phone 1: Contractor: DP PLUMBING 904 S CHEHALEM NEVVBERG, OR 97132 REQUIRED INSPECTIONS Phone 't: Top-cut insp �--�---- _ -� ^— Reg#: PLM 110612 Finai Inspection LIC 36-70PB This permit is iss-ted 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 Notification Center. Those rules are set forth in OAR 952-e001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 245-1987. l� Issued By: Permittee Signature: Call (503) 63S-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application City of Tigard i)atereceived: —Q Pcrmitno.: 2&)/ J Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: City of T;gard Phone: (503)639-4171 Project/appl.no.: Expire date: C Fax: (503)598-1960 Date issued: 13y: Receipt no.: Land LISe approval: Case file no.: Payment 7LINew 2 family dwelling or accessory (Commercial/industrial UMulti-family U Tenant improvement construction '1.1'"Addition/alterition/replacement O Food service U Other: Description Qt Fee(ea.) Total Job address: S S 3 �(,�; S ( Ne" I-and 2-family dwellings only: Bldg.no.: Suite no.: fincladesl00ft.for eachutility connection) Tax map/tax lot/account no.: _ SFR(1)bath rn) Lot: Block:_ Subdivision: -- SFR(2)hath Project name: SFR(3)hath City/county: ZIP, Each aiditional bath/kitchen _^ Description and loc:a ion of work on premises: Site utilities: Catch hasin/arca drain Est.date t)f completionhrispcction: Drywells/le"ach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities Business name:_ low_—�-- Manholes (� Address: _ y� Rain drain connector City: 1,� '(- _ State: AA I ZIP: Sanitary sewer(no.lin.ft.) Phone: -'79Fax: E-mail: Storm sewer(no.lin,ft.) CCB nu.: Plumb.bus.reg.no: Water service(no. lits.11.) CCt netro lie.no.: — Fixture or Item: Contractor's representative signature: Absorption valve Back flow prevenier _ Print name: Date: 4 hi Al Backwater valve _ Basinsliavatory Name: Clothes washer Dishwasher Address: City: Drinking fountain(s) State: ZIPa _ Phone: Fax: Email: Ejectors/sumpExpansion tank Fixture/sewer cap Name(print): Flour drains/floor sinks/lutb Mailing address: Garbage disposal i Hose bihb _City: State: _ 1p: _ [cc maker Phone: Fax: Email: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primers) _ 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. Sink(s),basin(s),I_ays(s) Owner's si mature: _ Date: Sump _ ILMTuhs/showcr/shower pan N� Urinal Name: — Water closet / 77 Water Address: _ Water heater lc� City: State: ZIP: Other: Phone: 1`ax: _ Email: Tota Not all jutiadictions accem credit cards,please call jurisdiction for more information. Minimum fee............. $ Notice:This permit application U Visa U MasterCard expires if a permit is not obtained plan review(at — %) $ Credit card number: _ _ / _ State surcharge(8%)....$ Expires within IRO days afler ihs bee — �`— —�--" - — accepted as complete. TOTAL .......................$ g Name of cardholder ass own on credit c _ _ S Cardholder signature Amount 440-0,16(6(0(UC()M) PLUMBING PERMIT FEES: T-PiR��IC�E TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY ya ' AMOUNT (Includes all plumbing fixtures in PRICE TOTAL Sink 1660 the dwelling and the first100 it. CITY (ea) AMOUNT 16.60 for each utilltl connection)-__-_ _ Lavatory One 1 ath — $249.20 — 7ub or T,b/Shower Comb 16.60 Two(2)bath _- $350.On Shower Only 16.60 Three 3 bath _ $399.00 Water Closet 16.60 - SUBTOTAL --_ Urinal 16.60 8%STATE SURCHARGE Dishwasher J 16.60 - PLAN REVIEW 25%OF SUBTOTAL ^_ -- TOTAL Garbage Disposal -- 16.80 - -- --- -_-- Laundry Tray 16.60 Washing Marhine 16.60 FloorDrainlFloorSlnk 2" _ 16660 PLEASE COMPLETE: 3^ 16.60 16.60 4" - -_ __ Guantit b Work Performed Wator Heater O conversion O like kind ( 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped ermlt. - ------- MFG Home New Water Service 4640 Sink _ —. 46.40 ato Lav MFG Home New San/Storm Sewer - _ Tub or Tub/Shower Hose Bibs 1660 _ Combination _ Roo(Drains - 16.60 — Shower Only - Drinking 1=ounl16.60 Water Closet ain - Urinal - Otlier Fixtures(Specify) , 16.60 -_ Dishwasher -� — Garbage Disposal __ —_ -� Laundry Room Tri _ —��---- --- - Washin Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3" - Sewer-each additional 100' 46.40 4 -- Water Sr,rvice-1st 100' 55 00 Water Heater — - __ _ -- Other Fixtures Water Service-each additional 2011' 46.40 - (.Specify) _-- Storm 6 Rain Drain- 1st 100' 55.00 _ Storm T Rain Drain-each additional 100' 46 40 - -•- - Commorrlal Back Flow Prevention Device 46,40 - Residentiel Backflow Prevention Device' - C3tch Basin 16.60 Inspection of Erlsting Plumbing or Specially 72.50 Requested Inspections erRtr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling — 65.25 crease Traps 16 60 - OUANTITY TOTAL Isometric or user diagram is requin+d If _ Quantity Total is >9 `SUBTOTAL - -_- - 8%STATE SURCHARGE _--_-- �- -- -- "'PL.AN REVIEW 259/6 OF SUBTOTAL Required only:tlxt,re qtY total Is>9 `- -- TOTAL S *Minimum permit fes is$72 50+e%slate surcharge,except Residential Backflow Prevention Device,which la$36 25+8%state surcharge **All New Commercial Buildings require pians with Isometric or riser diagram and plan review i:\dsts\forms\plm-fees doc 10/10/00 �4►R D ELECTRICAL PERMIT CITY OF T I G PERMIT#: ELC2001-00197 DEVELOPMENT SERVICES DATE ISSUED: 04/19/2001 13125 SW Hall Blvd.,Tiqard, OR 97223 1503) 639-4171 PARCEL: 2SI 10DC-02200 SITE ADDRESS: 15532 SW PACIFIC HWY C-1 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT : 011 JURISDICTION: TIG Proiert Description: Installation of(2)200A.MP services or feeders with 10 branch circuits. _ RESIDENTIAL UNIT r _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps -1000 volts: MINOR LABEL (10): S_E_RVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ _ 0 200 amp: ' 2^ W/SERVICE OR FEEDER: 10 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER . -,i lR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+ amp/volt: —� >=4 RES UNITS: �r >600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: _CLASS AREA/SPEC OCC: Owner: Contractor: TIGAP.D, CENTER I_P HC COSTELLO 9777 WILSHIRE BLVD #609 1439 SE 12 rH LOOP BEVERLY HILL, CA 90212 CANBY, OR 97013 Phone: Phone: 266-8483 Reg #: LIC 87402 ELE 3-344C SUP 3934S FEES Required Inspections Type By Date Amount Receipt Wall Cover 5PCT CTR 04/19/2001 $18.17 2720010000( Elect'I Service Elect'I Final F'RMT CTR 04/19/2001 $227.10 2720010000( Total $245.27 �- This Permit is;slued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other appi;catle 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 it 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 or direct questions to OUNC at(503) 246 6699 or 1-100-332-2344, Permit Signature: ��'`/ _ Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _— � DATE: CONTRACTOR INSTALLA'rION ONLY SIGNATURE OF SUPR. ELEC'N: .y• F- C_ J _—_ ^_ DATE: !ICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day C � Electrical Permit Application Dale received:�f,l l Permit no.: City of Tigard I Ioject/appl.no.FF:-- Expire date: ,•iryt,fiigard Address: 13125 SW ILill Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 - - Fax: (503) 598-1960 Case file no.: Payment type: , Land use approval: _ U I &2 family dwelling or accessory U Commercial/industrial U a lulti-family enant improvement U New construction U Addition/alteration/replacement Other: U Partial Job address: 32 A Wdg. no.: Suitc no.: Tax map/tax lot/account no.: lAA: I Blick: Subdivision: Project Warne: s f w Description and location of work on premises: — - Estimated date of com tletion/ins eciion: Job no: I.m Max — - - Business name: h.cript on 1'• (ea.) ours no. ns � tJ - --- New residential-single or multi family per Adw.- f T E I Z-F� _- __ dwellingunh.Includes attachedgaragp. City: StatCvQ ZIP:6j 7 0/,3 Sen(ceinclutied: Phone:L 14Fax:L63-2S E mail• 1rx)u,g.It.or less - --- - a CCB lec.bus.tic.no: 3"3 yy a Each additional 500 sq.ft.or portion thereof no.: E — I.imitedenergy,residential 2 City/metrolic.no. t1`00 Limited energy,non-residential 2 o t F.ach manufactured home or modular dwelling Si natur supervising electrician(required) bale Service and/or feeder - Sup elect.name(print) W S3•1( II.icrmeno 141yj Senlceaorfeeders-•Installation, aheratlon or relocation: M amps or less ? ; 2 Name(print): 201 amps to 400 amps _ 2_ --- --- 401 amps to 600 amps 2 Mailing address: _ _- 601 amps to 1000 amps 2 City: - - _ Slate: Zi P: _ Over I(M amp:or votes_- 2 Phone: Fax: E-mail: Reconnect only 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 Indalle lion,alteration,or relocation: ORS 447,455,479,670,701. 2(x)am,s or less �_ 2 201 omp.w 4(X)amps 2 Owner's si nature: Date: 401 to 60O amps - 2 rN Mk Bench circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: service or feeder fee each bra ich circuit �� 2 City: State: 711': B. Fee for branch circuits without purchase -�-- of service or feeder fee,first branch circuit: 2 Phone Kati E-mail: - Geclt additional branch circuit: MIse.(Sen fee or feeder not Included): U Servi,r-nker 225 maps-commercial U llcalth-caec facility Each pump or irngauou circle 2 U Serve er 320 amps-raling of 1 h2 U Hazardous location Each sign or outline lighting _ 2 family dwellings U Building over 10,(00 square feet four or Signal circuil(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,4110 amps or more •IJescri tion:_ _ _ U Occupant load over 99 persons U Manufactured structures or RV park perch additional Inspection over the allowable In any of the above: U Filres0ightingplan U Other --- Pet inspection Submit__sell of plans with any of the above. Investigation fee Ilse above are not applicable to temporary construction service. Other — — ""...$Permit fee.............. Not all Jreriadicrirxn se accept credit cardx,pleacell lurixbcticm for more infttrrrutiem. Notice:This pcmnil applicationapplication U Visa U MasteWard expires if a permit is not obtained Plan review(at —_ %) $ Credit card member: / / within 180 days aller it has been State surcharge(896)....$ u I _--- ---�� Expires Accepted as complete. TOTAL. .......................$ Name or cardholder a+frown nn careal e li - - f ardMdder sisnature - Amount 440-4615(rtMCOM) Electrical Permit Fees: Limited Energy Fees: - ---- —------ ------ — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Complete Fee Schedule Below: Restricted Energy Fee.................... $75.00 Number of Ins pectionsLxr permit allowedf (FOR ALL SYSTEMS) Service included: Items Cost Total Jr Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less Y_ Y— $145.15 -- 4 ❑ Audio and Stereo Systems Each additional 500 sq h oc portion thereof _ $33.40 1 ❑ Burglar Alarn Limited Energy — $75.00 —� Each Manufd Nome or ModularElGarage Door Opener' Dwelling Service or Feeder —_ $9090 J — Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation �/ �/ '200 amps or less _ $80.30_14�iL_llc_' 2 El Systems' 201 amps to 400 amps $10685 2 401 amps to 600 amps _ $16060 _ 2 601 amps to 1000 amps $24060 2 ❑ Other Over 1000 amps or volts _ $454.65 2 Reconnect only $66,85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Installation,alteration or relocation Fee for each system........... ...... ................................... $7500 200 amps o,less i,— $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100 30 _ 2 m 401 amps to 600 amps $1.13 75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ sen"b"above. 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 I ❑ Clock Systems feeder fee. L�� Each branch circu.t (j $6.65 u i 2 Data Telecommunication Installation b)'1 he fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 _ ❑ Fach additional branch circuit —_ _ $665 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 _—__— ❑� Intercom and Paging Systems Each sign or outline ligh'ing $5340 — Signal circuit(s)or a limited energy panel,alteration or extension $7500 ❑ Landscape Irrigation Control" Minor Labels(10) $12500 Each additional Inspection over �^ E] Medial the allowable in tiny of the above ❑ Nurse Calls Per inspection $6250 Per hour $62.50 In Plant $7375 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ JDA I Other 8%State Surcharge $ _l� --__ Number of Systems 25%Plan Review Fee Seo"Plan Review"section,m $ Vo Licenses are required Lirensns are required for all other installations front of application _ — ------- -- Fees: Total Balance Due $ r r ` Enter total of above fees $ �.� Trust Account tY 0%State Surcharge $ Total Balance Due $— i klsls\torm%kic-fees doe 10/09/00 23G --- CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BOP �,—Date Requested' G —__AM --PM BLD Location �s,�3 Z— 3 w—�� r T i G / wy Suite MEC — Contact Person _ — CI Ph f� 2 z_ PLM Contractor — — Ph u l I _ SWR BUILDING Tenant/Owner _ ��llrst c�G�� . ELC —, Retaining Will - ELR ovG i j Footing Access' f - Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: --------- Slab --- --- ---- -- - n------ --- SIT Post& Beam -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - - Fire Sprinkler Fire Alarm 1 Susp'd Ceiling Roof Misc: Final ---- -- --- PASS PART FAIL --- - ------ - - ---- --- PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - PASS PART FAIL MECHANICAL_ Post&Beam - - — -- Rough In Gas Line - ------ -- Smoke Dampers Final -- -- - - - ----- - - - - _--- PASS PART FAIL TRI --- —..---- __-- ------- ---- Sere ce Rough In -� UG/Slab Low Voltage Fire Alarm - - - -- ----- - -- - - ASS PART FAIL f Backfill/Grading - _-.- -- -- -- ----- ---- ---- Sanitary Sewer Storm Drain i ]Reinspection fee of$ -required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Cah:ii Basin Fire Supply Line I ] Please call for reinspection RE' _ / [ j Unable to inspect no access ADA _ /T Approach/Sidewalk. Other Date __ __-Inspector ___�1 �Yt1[1� Ext _ Final PASS PART FAIL DO NOT REMOVE this inspectioso record from the job site. CITYOF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2001-00211 DEVELOPMENT SERVICES DATE ISSUED: 04/25/2001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DC-02200 SITE ADDRESS: 15532 SW PACIFIC HWY C-1A SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT : 011 JURISDICTION: TIG Proiect Description: Branch circuit to sign /outline lighting. _ _RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS_ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:�v EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _— BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 260 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: L401 - 600 amp: EA ADD'L BRNCH CIRC: 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 O(;C: Owner: Contractor: STERLING DEVELOPEMENT 1-5 SIGNS, INC 15532 SW PACIFIC 3005 MARVIN RD NE TIGARD, OR 97223 OLYMPIA, WA 98516 Phone: Phone: 360-459-3200 Reg#: ELE. 37-515CL LIC 00064900 FEES _ Required Inspections_ Type By Date — Amount Receipt Wall Cover _ MENU CTR 04/25/200 $53.40 2720010000( Elect'I Final 1 5PCT CTR 04/25/2001 $4.27 2720010000( Total $57.67 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 Notificat on Center. Thoa rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 14676699 or 1-800-332-2344 Permit Signature: r y`��yL � r Y Issued By: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is riot intended for sale, lease, or rent OWNER'S SIGNATURE: _ _- DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. FLEC'N: ,.:r�>r/�l} ) ]1 I r!��.� DATE: --- LICENSE NO: _- Call 639-4175 by 7:00pm for an inspection the next bus�•-ess dal. SFNT BY: I-5 SIGNS, INC. ; 36045932.00; APR-24-01 14:50: PAG[ 2/3 04/03.'Cl TUE 16.39 FAX 533 598 1960 CITY OF TICARD (0002 Electrical Permit ApplicaflonME FDaIcto.ccind; -1111Permit_no.;rj, ,1 �i' �/;' City of Tigard RFC "lr PmjecUappl.no.' Expiredmtc: City oJTigard Addrrsx: 13125 SW Hall Blvd,Tigo-d,OR 97221 Dalc ttsued: Hy Krxcipt no.: Phone: (503)639-4171 APR Z 1� — Fax; (503) 598-1960 CascFile no.; Paytuent(ype: Land use, approval: i nuaa4;ihtli, ul aujiffm U 1 ,U.2 fanuly dwelling or aeceasoryKddilll mtrxrcinlhadu,uia., ❑Mulu-family U Te-innf impruvcment U Now conatructirrn U Other. U Partial t fob address: $2 6*%J T7G Uld,-nu.. Suilc no. Tax maQ/tax Int/rca�unt no,; _- T Lot: Dlock. _ 5ubdivision: Projt cl name_ SoPt-W 0N.0 bcactiiiToW nd location of_w_ork on prcmlaca: Fal-datcd date of corn lctiorJins echon; _ Job no: �ScT-szGI 41r70/VS `.-_ Fee hurl I:lUA111nai name• ,JC " - //�,(�_ _ _ [lracrfgtion Qy, (ea) Tornl no.lne �U�yQ- - -- - Ncrvrridculirl it�berrMtt4tormAyI0r Addre+a:..i3QlaS_��' N r}walla,RmaN.lttrl.Aaerwcbrnt(rr►*ae• City p Slab: 1P: rt Snrl,eltxlraed: prune. st .1Faut: Lrne1L 1OM aq n.or lr„_ ` IEach eddiuenid 50n aq.n i,r ryvlim 4,;;rCCI1 no.; Nle[.bus ilc.bn: t.1;1tederte y,residenliL 2 (.'ily/metro lfc nn.: - _- _ l.imitedatersY,00n racidenUal 2 _ pL- Foch menufoctumd home of tnodulerdwclliny Si it re or wpervlsi�clan ra uired) Dor Service and/or frau Z _�__... ( l____ _-. _ __ 6anlarortaedaa-Inrtal atlon Su .eleu.name(print) �qf- Yv IJ:ease no: r allatvtlnn er relncatlont WIEUMILIS Kim 200 an. ...it las Name riot) �m y )O�(f 201 ampa to 4Oo amg, - T z 101 amp.to 6W amps Y-- Mailing adtlress_1� 1 VV ?"C4 '.{G _ 601 amps In 1000 amps _ 1 City Over 1000 svgs or Volo 2 Yhonc; 1 aa: B-moil __ lttcannuctonly -- Owner installation:The installation is being mn*..on propnrty I own Tempararyservices orfeelen- which is not intended for sale,leave,rent,nr exchatipa acrordinr to fnadllaUan,u1er11lLn,•.►alntndon ORS 447,455.479. 15570. 101. 200=utpt m tells 201�a 400 amps Ownw'n iji�nalurc. Dim _ 4rtl r"60oamnl Brincltctrcvila-new,ellerailon, - A.Fem loiau per lewd: Name: A.r..lar hnnrh elnuiu with purehae of Addy.-m:__ urvrcc nr fuMJ feo,each branch circuit 2 7 Ci :� _ ISlate: :'TI1; ---~ H. Fee for twanch circuiu withoulpurduri -_ _ _ _��_' of ferrite or ladct fee,ftmbranah circuit: 2 Ph00e; Fast: E"1^ Each addltionel bran-ch circuit; MVc•(I4ar-rlrr or fonlc►nol Indu&d): C,S r.,envv21Smnps•aon+metcta) r]Ifralth•carefacilhr Fiachpumparitrig;tlohclttile 2 L)Servinrnvcr 120arnpf-ratin/of Ik2 U flaraolbutlocatien EAL f notnulturelighung J y 2 rvruil uwr_Itut 1 -- - Y i J 1luihfing ova 10;100 squme Icrl Innr❑r Signal cirWil(r)nr a IurUled energy panel. U Syllcmovu600vnhrno"Iml norr..realdr-mialAuvuiuuetuu,u,rr allrratlon,otexlenrion• y. O 11wldrng ever direr.awrira 0 Fecdcre,400 amp;w ante end '� --— --- "- —'- O Qcnupud Inadnver99 par.nna U ManurxturM aw chores or nV pat Ir o G rlltlolt►' (rtalrer0orr nanr the allona4te In uy of The note. 17 FarwUllNhuigplan ❑Otivn; - Perhn ton 4ntrmlt_ _.trrs of platy wllh any of the abnr►. `tnvetdaa on fee -_ -- The above are nor sliplleable to lewpormpr.'+ran 4ctlnn men Ice. Ocher - i M r i -.Owl Yernut fee....................$ r Nor VI rulldkJlom aro ctedir,:ud,, (roar rdl etlNlctlan fa aG rl:u.irtr. Notice, 'f his Nr.Rnit eppllCelinn 1 D Yra■ U MaaterGrd cxpir:'If n permit is not obtelned Plan review(or •r_ 'R.) $ e,.nil card rnimnec _(__L wvildlht I K0 days after it he.been State surcharge(14%) -. $ t . nxp ra. accepted ns:.omplote. Y'Q'l'Al. .......................x ._ �-� N-�of car n der ar "��En er.61 C'�irAnalS+r_IAaatwc-____ .-. sort and MM14613(Mmmu'tM) r� CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00127 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/2/01 PARCEL: 2S11 ODC-02200 SITE ADDRESS: 15532 SW PACIF;C HWY C 1A SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: CUM UNIT HEATERS: VENT FANS: OCCUPANCY GRP. M VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 3 HP: 1 DOMES. INCIN: GAS _ 3 15 HP: COMML. INCIN: MAX IIVPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN -e 100K BTU: _AIR HANDLING UNITS_ _ OTHER UNITS: FURN >=100K BTI I: J <= 10000 cfm: GAS OUTLETS. 1 > 10000 cfm: Remarks: Commercial TI Owner: — — —--_ FEES TIGARD. CENTER LP Type By Date Amount Receipt 9777 WILSHIRE BI-VD#609 PRMT CTR 5/2/01 $72.50 272001000C BEVERLY HILL, CA 90212 PLCK CTR 5/2/01 $18.13 272001000C 5PCT CTR 5/2/01 $5.80 272001000C Phor e: Total $96.43 Contractor: WILLAMETTE HVAC SERVICE PO BOX 23334 TIGARD, OR 97281 REQUIRED INSPECTIONS Gas Line Insp Phone:628-6841 Mechanical Insp Reg 1#:LIC 56951 Mechanical Insp Duct Inspection S.D Shut-do,vn inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all oilier applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in tK Gregon Utility Notification Center. those rules are set forth in OAR 952-001-0010 through OAR 952-01-0080 You may obtain copies of these rules or direct questions to OUNIC by callinge03)2�-9189..' Issue By: Itf 4 _� -�f. Permittee Signature: Call (503) 639-41715 by 7:00 P.M. foi inspections needed the next business day iDl Mechanical Permit Application Dalereceived: City of Tigard ProjecUappl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97233 - Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ _ Building permit no.: ❑ I &2 family dwelling or accessoryommercial/industrial U Multi-family U Tenant improvement ❑New construction Addition/a41t•ration/replacement U Otier: y_ t Job address: 7 1�� ! Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: (�, Sour n.t.: value of all mechanical materials,a uipnicnb t,laoverhead, Tax map/tax lot/account no.: profit.Value$ _ 0_';t::>o I.ot: Block: Subdivision: "See checklist for important application information and Project name: -n r .$O L•4t 71,1it/ jurisdiction's fee schedule for residential permit fee. City/county: _L71 1': 1 1112 FAMILY DWELLING PERMIT FEE S�' cUriptiun and ocation of work on prem'ses: Est.date of completion/inspection: llie"ption Q11Y. RCS,only I Res.only Tenant improvement or change of use: Air ban: unit ---CFM_--� itionedes U No Is existing space heated or con ' YAir conditl nmg(site plan require ) — - Is exist space insulated. es U No A teration o1 existinglTLTssystcm oiler compressors -� Business name: 6� liw.ti ( ,Ae State hoiler permit no.: _ _ HP Tans B'fU/H Address:I V.0 e`f Fir W snu,ke dampers/�ucl smoke detectors Cit �^ I StateCjy ZIP:9 j cal pump(site p- eequir— eT-� - Phone: -I Fax: E-mail: Insla /rep acme urnace urner Including duelWUrk/venl liner U Yes U No CCB no.: Irisin rep ace re ocate heaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): Vent for appliance other than furnace - e (eraUon: Absorption units Name: Chillers I!I' ✓ '��, c:> l G.t��,_ Address: Comressors - -- City: State: ZIP: ;nv ronmenta exhaust an vent at or: _ Appliance vent Phone:q 5Z- 3 YY F;;r E-mail: Dry-rexhaust - oodsType-Pres, itc ie aznral r, hood fire suppression system Exhaust fan with single duct(bath fans) Mailing address: -- - Exhaust system a art from eating or AC - City: State: 7.IP: — Fueln:p I►nR ast on(up to outlets) 4 �---- type: _ 1-6 -1 NG oil Pion ' Y �2 ' 3` ax' li nutil: ucl ii in each ad itiona over out ets rocttsp p ng(sc hemattcicquirc ) _ Name: Numbcr of ouil-is ------ Utherst TaI►p-fiance or eyTpmeni: -- Address: Decorative fireplace City: State: IP: Insert-type_ Phone: lax [; I I: o stow pet etsio,.- - -- (hher: Applicant's signature: other: Name (print):/tj( r J O► -- -- --- N.4 all juriklictions accept credit aside,plea..e cnll junWiction for more Informatt,M. Permit fee.....................$ ❑Visa U MastcrCnrd Notice:This permit application Minimum fee.. S 7 .............. Cie( :ard number-_ expires it"a permit is not obtained —L_L Plan review(at _— 96) $ -- ERplrce within 18,days leer it has been State surcharge(8%)....$ Name of cardiol r n shown on—credit card $ accepted as complete. TOTAL $ _ ....................... cardholder signature ----- Amount 440-4617(~OM) MECHANICAL PERMIT FEES COMMERCIAL. FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUA_T_ION: FEE: _ —� Description: _ Price Total $1.00 to$5,0_00.00 _ Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001,00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace t0 BTU $1.52 for each additional$100.00 or including d ucls ts_&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ _to$_ t$25,000.00. $_10,000.00. including ducts&vents 1740 $10,001.00 25,000 00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or inrludinp vent 14 00 �— fraction thereof,to and including 4) Suspended healer,wall heater or floor mounted heater 14.00 $25,001.00 to$50,000 00 $379.50 for the first$25,000.00 and 5) Lent not included in appliance permit $1.45 for each additional$100.00 or _ 680 fraction thereof,to and including 6) Repair units _ $50,000.00. 12,15 $50,001.00 and up _ $742.00 for the first$50,000.00 and Cherk all that apply: Boller Heat Air $1.20 for each additional$100.00 or For items 7-11,see or Pump Cond fraction thereof. footnotes below. Com 7)<3HP;ahsorb unit ASSUMED VALUATIONS PER APPLIANCE: 8)look _ _ _ 14 00 Value Total 8)3-15 HPP;;absorb unit 100k to 500k BTU _ 25.60 Description: I Glt� E_a Amount__-_ g)15-30 HP,absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU_ 3500 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU_ _ 52.20 ducts&vents11)>50HP:absorb Floor fumace including vent 955 — unit>1.75 mil B11 _ _ 81.20 _ Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM — floor mounted heater _ _ 1000 Vent not Included in 3pplicance 445 13)Air handling unit 10,000 CFM+ ermil —, 17 20 Repair units 805 14)Non-portable evaporate cooler ^ <3 hp;absorb.unit, 955 10 00 to 100k BTU15)Vent fan connected to a single duct 3-15 hp;absorb.unit, — 1,700 6.80 101k to 500k BTU _ --- -- ---- 15-30 hp;absorb.unit,501k to 1 2,310 — 16)Ventilation system not Included in mil.BTU _ appliance permit 10 00 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 1000 — 1-1.75 mil.BTU _ _ ----- — >50 h absorb.Unit, 5,725 18)Domestic Incinerators p' 11.40 >1.75 mil.BTU 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm 656 69.95 (_Air handling unit>10,000 cfm 1,170 —_— Non-portable eva orate cooler 656 20)Other units,including wood stoves _ 10.00 _ Vent fan connected to a single duct 446 21)Gas piping une to four outlets Vent system not included in 656 5.40 applianc"emlit 22)More than 4-per outlet(each) Huod served by mechanical exhaust 656 1 00 Domestic Incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerptor 4,590 Other unit,including wood stoves, 656 8%State Surcharge $ Inserts,etc. _ Gas i iP ng 1-4 outlets l 360 25 i.Plan Review Fee(of subtotal) $ Each additional outlet —_— 83 Required for ALI-commercial permit,;only TOTAL COMMERCIAL. s TOTAL RESIDENTIAL PERMIT FEE: VALUATION: — – - - -- �__-- Other Inspections and Fees 1 Inspectinns outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)E72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "'Residential AJC requires site plan showing plac?menl of unit. i:Wstslformslmech-fees.doc 10/11/00 SEE 35MM ROLL # 20 FSR � VERSIZF, D DOCUMENT CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00128 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/2/01 PARCEL: 2S 110DC-02200 SITE ADDRESS: 15532 SW PACIFIC HWY C-113 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: CUM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: CTAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 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: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Commercial TI Owner: __ _ A FEES _ TIGARD, CENTER LP Type By (Date Amount Receipt 9777 WILSHIRE BLVD #609 PRMT CTR 5/2/01 $72.50 2720010000 BEVERLY HILI_, CA 90212 PLCK CTR 5/2/01 $18.13 2720010000 5PCT CTR 5/2/01 $5.80 2720010000 Phone: Total $96.43 Contractor: _ WILLAMETTE HVAC SERVICE PO BOX 23334 TIGARD, OR 97281 REQUIRED INSPECTIONS Gas Line Insp Phone:628-6841 Mechanical Insp Reg#:LIC 56951 Duct Inspection S.D. Shut-down inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore S aecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit wil expire if Mork is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to,�OlLlk by calling (503)246-9189.-, Issue By: �� ZCld-�_.-__ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day 7-(7- I Mechanical] ,. d: if Zp Permit no.• EC 7901,0n1 7 P City Of rigard rwvappl.no.: Expire date: Cirvo(Tigrird Address: 1315 SW Hall mvd, I'igard,OR 97223 Phone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503) 598-1960 Case,file no.: Payment type: r•F.. /7it/ � � -- Land use approval: — Building permit no.: 7Newly dwelling or accessory onimercial/Industrial J hlulrl-lankly U•Tenant improvement uction Addition/alteration/replacemenr U()thr•r.JOB SUI 1-1 1 NFORINIA1 ION If r Job address: 3,;� t$ aeli��_ — Indicate equipmentquantities in boxes below. Indicate the dollar Bldg.no.: !' Suite no.: value of all mechani•al nwiterial&Wuipmeut,labor,overhead. Tax map/tax lot/account no.: T profit. Value$ 51 OdFC2 — . Lot: Blctck� _ Subdivision *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit li•c. City/county: ZIP: _ Description and location of work on premises: ^� 1 F(W(ea•) Total Est,date of completion/inspection: I►exriptiun try. Rts.onh Itis.only Tenant improvement or change of use: VAU: Is existing space heated orco IitionedYes 0 No Air handling unit ____CFM_ — Air conditioning(site plan requirecT Is existing space insrllated Ycs ❑ o E-A-Fte—rationof existing I A 'systemill Kill IL1101 EWAIWKwkG � ler permit no.: Business name: r HP Tons BTU/II Address: Xz G ) 0 Fire/smoke amper, uct smukc ctcctori- Cit , F —� State ZIP:C{ ,76scat ump(site p Ian require ) -- -- Phone $–G�y Fax. _ E-mail: nsta replace urnace urnr;r-- i" CCB no.: Including ductwork/veni liner U Yes U No nstaTreplace re(,cats eaters-suspended. City/metro lic.no.: _ wall,or Floor mounted Name(please print): vent fora liance other than furnace — Refrigeration: CON MPEOSON Absorption units BTU/H _ Name:/L( _ :'�.�✓G'' Chillers HP Address: Com ressors—__ HP -- - Environmental ex anct and ventilation- City: State. I , I,'_ Appliance gent Phonef Ig Q--3 3<e 61 Fax: I nr it — )ryerex aunt -- --- 1100 s,Type res.kite en/hazmat hood fire suppression system Name:)3c,,-1 IV Re_--6 V t l,�,� t,t Exhaust fan with single duct(bath fans) Mailing address: xFa-ust sy stem a art from heaten or AC— City: -- — — Stale: ZIPS Fuel piping ani st ut on(up to 4 outlets) -- Type: _ _ Ll1G NG Oil Phone ti 3*6GS9 Fax: I E-mail: uc i in each additional over 4 outlets r aims p piittg(sc-f eni,tic requ re ) Name: Number of outlets Other M appliance nce equipment: Address: — _ Decorative fireplace City: _ State: ZIP: Insert-type Phone: I Fax: -mail: no stov pc et stove npplieaw r C— signature: Date: -G! Ot Other: Name (print): - t c..ea 1z Not all jurisdictions wcept atdit cards plane call Jurisdiction for more information Permit fee.....................$ U Visa U MasterCard Notice:This permit application Minimurn fee................$ _ expires if a permit is not ohlaincd c2�uc�dnumt+er:__—�-- -- _ Plan reVICW(Al __ 96) $ spire, within 190 days after it has been Nattte of cst&ii holder as shown on credit card accepted as complete. State surcharge(8%).... _ s TOTAL .......................$ --- - Cardholder signature Amount 410-4617(W/COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION_ : EE: Description: — — Price Total $1 00 to$5,0(0.00 inimum fee$72.50 Table 1A Mechanical Code Uty (Ea) Amt $5,001.00 to$10,000.00 J�F $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or includin ducts 8 vents 1400 — 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 the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or includina vent _ 14.00 _ fraction thereof,to and including 4) Suspended heater,wall heater $255 000.00._ or floor mounted heater 1400 t25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or _ _ _ 6.80 fraction thereof,to and including 61, Repair units $50,000.00. _ 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Airy $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond fraction lherenf. footnotes below, Comp' 7)<3HP;absorb unit ASSUED MVALUATIONS P 3-15 PER APPLIANCE: to BTU _ 14.00 Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 Descript;on: Cit Ea Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5.1 mil BTU 35.00 ducts&venter _ _ - -- Furnace>100,000 BTU including1,170 unit 30 .7 mil absorb - unit 1-1.75 mil BTU _ 82.20 ducts&vents _�— 11)>50HP:absorb Floorfurnace includin vg ant �v 1955 unit>1.75 mil BTU 87 20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ 10.00 Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+ permit _ 17 20 3 hp units 805 < _ 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 1000 to 100k BTU -- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6 80 101k to 500k BTU - 15-30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not Included in mil.B rU appliance permit _ 10.00 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 1000 1-1.75 mil.BTU ----- 18)Domestic incinerators >50 hp;absorb.unit, 5,725 1740 _ >1.75 mil.BTU ----- 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm 656 6995 Alf handling urdt>10,000 cfm _1,170 --- Non- ortable eva orate cooler 656 20)Other units,Including wood stoves - -� 10.00 Vent fan_wrine_cted to a single duct _ _446 21)Gas piping one to four outlets Vent system riot included in 656 540 _appliance permit - -Ho-.d served by mechanical exhaust _ _656 22)More than 4-per outlet(each)_ 1 00 _ Domt stic incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: Commercial or Industrial incinerator _ 4,590 _ Other unit,including wood stoves, 656 60,;State Surcharge a Einserts,etc. a h Ip ng 1-4 outsets i 360 — --25%Plan Rev'ew Fee(of subtotal) $ Each additional outlet _63 _ Required for ALL commercial permit,,only TOTAL COMMERCIAL - $ TOTAL RESIDENTIAL PERMIT FEE: __F - S — VALUATION UQLher in_poctlons sod Feea: 1 Ir,spections out3ide,of normal business hours(minlmum charge-two hours) .',72.50 per hour 2 Inspections for which no fee is specifically Indicated (minimurn charge-hall hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour ".dale Contractor Boller Certification required for units),200k BTU. '"residential A/C requaes site plan shevving placement of unit. I:\dstslforms\mech-fees.doc 10/11!00 SEE 35MM ROIL # 20 FOR ovERSIZED DOCUMENT � CITY OF T"IGARD -- BUILDING PERMIT PERMIT#: BUP2001-00156 DEVELOPMENT SERVICES DATE ISSUED: 5/4/01 13125 SW Hall Blvd.,Tiqcrd, OR 97223 (503) 639-4171 PARCEL: 2S110DG-02200 SITE ADDRESS: 15532 SW PACIFIC HWY C-1A SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S E: W: OCCUPANCY GRP: M 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?: ME7_Z?: _ REOD SETBACKS ___ REQUIRED _ FLrOR LOAD: psf LEFT: ft RGHT:vY ft FIR SPKL: Y — SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING- VALUE: lfOL�, hn Remarks: Relocate 4 sprinkler heads. Owner: Contrdctor: TIGARD, CF_NTER LP AFP SYSTEMS INC 9777 WILSHIRE BL\/D #609 19435 S\N 129TH BEVERLY HILL, CA 90212 TUALATIN, OR 97062 Ph(-,ne: Phone: 503-692-9284 Reg #: LIC 637534 FEES! REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 5/4/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 5/4/01 $5 00 27200100000 Total $67.50 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 suspeoded 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 OAP 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling 1503) 246-6699 or 1-800-332-2344. Permittee r (� Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day U Building Permit Application Uatereccived: Permit no.: City of Tigard Projec Address: 13125 SW Hall Blvd,Tigard,OR 97223 Uappl.no.: _ Expire date: c',ct l y;;ird Date ft Phone: (503) 639-4171 _ y• eceipt no.: Fax: (503) 592E-1%0 Case file no.. Payment type: Land use approval: _ _ 1&2 family:Simple Complex: U I & 2 family dwJling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Additiott/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Job address: 15,532- -JA� C t F fCvA4 Bldg.no.: Suite no.: C -/ Lot: _Block: Subdivision: Tax:nap/tax lot/account no.: Project name: ' ;'10 T S X114 u T/Q nJ $ Description and location of work on premises/special conditions: —�Zt I Cl4.N Mat. Oil NV.R Y Name: \<1, =A L-Tsolar, Mailing address: 9-i 609 1 &2 family dwelling: City: State' ZIP: 0212 Valuation of work................. . ................... _ - - Phone: ,,l,. 7 CtS;77 Fax: Email No.of bcdroomslhaths................................. -- Owner's representative: _ Total number of floors.......................... ...... Phone: I:,. I: wall New dwelling area(sq, ft.) .......................... _ - Garage/carport area(sq. ft.)......................... Name (~� Covered porch area(sq. ft.) :> .c Mailing address: I '1-?,e5LJ r:�,t.) ( q' Deck area(sq.ft.) ........................................ _ City: State:C'(. ZIP:`j')06') Other structure arca_(sq.ft.)......................... Phone: k 4 T9 7 4't I Fax: b17.11`6 tj E-mail: ('omniercial/industrial/multi-famlly: 1111"Eli Valuation of work........................................ $ .. Business name: Existing bldg.area(sq.ft.) .......................... _--- 4 Address: { 1.)L✓ 2 New bldg.area(sq.ft.)................................ -- Number of stories........................................ City: State: ZIP: `� -y Phone: 1 Pax: E-mail-.___— Type of construction.................................... CCB no.: W7 ),3`� (kcupancy group(s): Existing: -- New: City/mclro lie. no.. Notice:All contractors and subcontractors arr required to be licensed- hh the Oregon Construction Contractors Board under Name: [a ti ILIle U tii %)U I provisions of ORS 701 and may be required to be Iicensed in the Address: S ) ) 2CLC /lrJ/'Tr .jurisdiction where work is being performed.If the applicant is Cit ;ti I I = State:QK. I ZIP: exempt from licensing,the following reason applies: Contact person: _ J Plan no.: — Phone: ;, t, Fax: mail: --- Name: Contact person: Fees due upor-application ........................... $-- Address: Date received: City: State: ZIP: Amount received ............................. ........... $ Phone: Fax., E-mail: Please refer to fee schedule. I hereby certifv I have read and examined this application and the Not all Jurisdictions accent credit cards,please call Jurisdiction for more information. attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard work will be complieJ�th,1,*Mther specified herein or not. Credit card number _ _- _1 L5 ro 1 Expires Authorized signature: Date: Nome of cardholder as shown on credit enol _ Print name: 1'%r, — Z -- $ Cardhold'r signature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4611(&MCOM) Fire Protection Permit Check List �A.)_a.New ❑ Addition Alteration _ ❑ Repair B.) Modification to sprinkler heads only: Describe work to (f_) 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:__ Additional description of work: Type of System (Complete A or B as applicable: _Sprinkler - -- Wet 15t ----- Dry ❑ — - Standpipes Additional Hazard Group _ n Information Density 1700 Desi n Area 0 K. Factor Sprinkler Protect Valuation: $ _ y�.r''— T__� B.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ _ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation SubtotalAA A B $ --Permit fee based on valuation see chart): $__ L. , Sy _8% State Surcharge: $ S_O� FLS Plan Review 40% of Permit: $ _ TOTAL: 0dsts\forms\rPSchecklist.doc 10/04/00 sz CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �`--BLIP Date _ _ Date Requested '�� _ AM PM BLD Location 15*53 z 5;c,,, a G f c y Suite L " _ MEC _ Contact Person -- _ Ph ltf1_7gf0_—_ PLM Contractor _ _ Ph _ SWR -- 61JILDING.—__ � na�t/Owner _ �"�" c� 7N� .5 _ - ELC _- — Retaining Wall E_Lr.. Footing Access Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes --- — Slab --- ---- - -- --- -- SIT _ Post& Beam Ext Sheath/Shear —_—_-�— Int Sheath/Shear Framing Insulation ---------_----.------.- Drywall Nad?ng — -- ---_- ----- Firewall - _---------------------- Fire Sprinkler -__ -- ---^_---- -- --------- ---- Fire Alarm Susp'd Ceiling -------------- -- --� _—` - --- Roof Final PASSPART FAIL _-- I Post&Beam -- ----------- ----- -- Under Slab TopOut - --- --- ---..... _____ ----- -- - --- Water Service Sanitary Sewer Fiain-Qrains F' ASS�ART FAIL. MECHANICAL. _ Post& Beam - -- - ----- - --- -- ----- ---- -- --- - - -- Rough In Gas Line ----- ----- _-_- _ - Smoke Dampers Final - -- ------ -- --- -- ----- --__---_—___. PASS PART t AiL ELECTRICAL ---- -- --- ------- - -_— _Service Rough _--------- ------------- --- ---- -- ------ -- Rough In UG/Slab - --------- --- -- ----- -- Low Voltage Fire Alarm ----- — ------ - ---- — Final PASS PART FAIL _-----_---.-_.__-. -----_-_._-__ -- -SITE BackfiG/Grading —. ---�-._— __--------__ -- -- -- Sanitary Sewer Storm Drain ]Reinspection fee of$ —__— --__requirE d before next inspection Pay at City Halt, 13125 SW Hail Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE' ( J Unable to inspect- no access ADA I , Otheoach/SidP::alk Date ��= /'LJl1 ,1 Inspector Final / // PASS PART' FAIL 06/NOT REMOVE this inspectidiirecord from the job site. ELECTRICAL PERMIT \ CITY O 1 I A D PERMIT#: ELC2002-00341 DEVELOPMENT' SERVICES DATE ISSUED: 71221'02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S110DG-02200 SITE ADDRESS: 15532 SW PACIFIC HWY G-7 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCW LOT : 011 JURISDICTION: TIG Project Description: Installat,on of lighting for (2) signs. Job No. 15362 RESIDENTIAL UN:T TEMP SRVC FEEDERS_ _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 2 LIMITED ENERGY: 401 - 600 amp: SIGNAL!PANEL: MANE HM/SVC/FDR: 6014 amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER !_ BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ 1000+arlrpivolt: - >=4 RES UNITS: > 600 VOLT NOP�INAL: �� ._ Reconnect only: SVC/FDR >-225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: T MOBILE HIGHLIGHT SIGN CORP 15532 SW PACIFIC HWY 82.00 SW HUNZ_IKER TIGARD, OR 97223 TIGARD. OR 97223 Phone: PhorrP• 503-62)-8205 Reg #: LIC 104599 SUP sig517 ELE 26-888CLS FFw^ `1 Required Inspections— Type By Date Amount Receipt Rough-in PRMT CTR 7122102 '— $106.80 2720020000( Elect'I Final 5PCT CTR 7122102 $8.55 2720020000( Total _ $115.35 This Permit Is issued subject to the regulations contained in the Tigard Municipal Coue,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 is.Guance,or if wor!,Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules uoptad b Or gon Util Ngfflcation Centw Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of th a rules or direct questI ,is tq OUNC a'(503)246-6699 or 1-800-332-2344. c--1 Permit Signature: � ssued By: OWNER INSTALLATION ONLY ho installation is being made on property I own which is not intended for sale, leaEe. or rent. OWNER'S SIGNATURE: __ DATE: CONTRACTOR INSTALLATION ONLY aIGNt`TURE OF SUPR ELEC'N: _.._ DATE: I Ir..:FNSF NO: -- ----�.� _ Call 639-4171 by 7:00pm for an inspection the next business day S C�NZ.voi-oul2.� � Z�L- vuriy— ' � �3 Electrical Permit Application -- Farreceived: 7 29- a9- Permit no.:glzp= City of Tigard Project/appl.no.: E ire crate: City of Tigard Address: 13125 SVS Hall Blvd,Tigard,OR 97223 Date issued: By Receipt no.: Phone: (503) 639-4171 - -- - Fax: (503) 598-1960 Case file no.: tPayment type: Land use approval: _ U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U A(ldilion/alteration/replacement U Other: U Partial JOB SI UL'IN 1'OKMA'I ION to Job address: 5,9 rjL-) PLS GI(°►C, 1-aU Dldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: Project me:na0 _ bescription and to ation of work on promises: Estimated d,1te of completion/inspection: 1 I .lob no: 153t�7 Fee max Business nano: 161-tt�(el('f� ( (p4) �f.�,� IkwcripNun UI). (ea.) Tolal no.Ins r Vet residential singlecrmula fandh per Address�'�LC3�j �,,,� �{yx, 141-v�'tL lling doeunil.btclrufesnttsuircdgarage. City: PAT-1� SIa1C ZIP: tielling eludeel: !r Phone: 2�o Fax: Email iii 0 sy.ti.cu less - - a G rich sddi0onal 300 s .ft.or portion thereof CCD no.: 10igCj Elec.bus. lic.no: 6'S�' LS Limited energy,residential 2 City/tnetro lie. no•: Limited energy,non•residemial 2 ta►J� __ Each manufactured home or modular dwelling Si nature of supervisi�ctrici uircdl Date Service and/or feeder 2 Sup.rlecl.na.me(printi GLEW�c s� License no: S(6 ( Services or feeders—installation, alteration or relocation: PROPERTY 200 amps or less 2 Name(print): 201 amps to4Oyomps_ 2 Mailing address: s �«L - 601 amps to 6(N)amps 2 601 amps IU 1000 snips 2 City: v6&PO4=1 1 Slatc: ZIP: Over IW)amps or voles 2 Phone: Fax: Email: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or reeders- which is not intended for sale,lease,rent,or exchange according to Irwtallation,alteration.%rrelocation: ORS 447,455,479,670,701. 2(x)amps or less _ 2 201 amps to 4(x)amps 2 ()loner's signature: Dale: 401 to 601 ams _ 2 Branch circuits-new,at,eratlon, or r�lensimr per panel: Natter:,— — A hoe for branch circuits with purchase of Address'. _ set vice or feeder fee,each branch circuit 2 City: Slate: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit. 7 Phone: Fax: E-mail: of additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility trach pump or irrigation.circle 2 ..1 Service over 320 amps-rating of 1&2 U Hufardouslocation Each sign oroutiint.lighting _ 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,orextension• — 2 U Building over three stories U Feeders,400 amps or more +tkscri tion: U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the mate: U Egres.Jlightingplan U Other: — Per inspection 4ubtoli sets of plans with any of the above. Investigation fee _ _ The shore are not applicable to temporary construction service. Other —� -- -- — Permit fee.....................$- Nor all jurisdictions accept credit cruds,pleaw call jurisdiction for mews informatioo. Notice:This permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at __ 96) Uredit card number __ _ _ _(_1--_ within 180 days alter it has been Slate surcharge(846) ....$ _ Espim' accepted as complete. TOTAL . $ Name of cardho as shown on credit card Cardholder signature Amount 410-4615(ISR10R'Otst. ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:- �~Com late Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p 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 �l Audio and Stereo Systems' Each additional 500 aq.It or portion thereof $33,40 _ 1 �l Burglar Alarm Limited Energy _Y_ $7500 Each Manufd Home or Modular Dwelling Service or Feeder _ $90 r,90 I__] Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' installation,alteration,or relocation 200 amps or less $8030 2 r , 201 amps to 400 amps $106.85 2 LJ Vacuum Systems 401 amps to 600 amps $160,60 _ 2 601 amps to 1000 amps _— $240.60 ^� 2 Other Over 1000 amps or volts _ $45465 2 Reconnect only $66.85 2 Temporary r ervittry ur Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................. .......................... ........._.. $75.00 200 amps or less _ _ $66.85_ 2 (SEE OAR 918.260-260) 201 amps to 400 amps $100.30 _ 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 Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Fach branch circuit — $6.65 2 rJ Data Telecommunication Installation b)The fee for branch circuits without purchase of service or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additlonal branch circuit — $6.65 J �� HVAC Miscellaneous Instrumentation (Service or feeder not Included) Each pump or irrigation circle _ $53.40 r 1 Each sign or outline lighting i, $53.40 lJ Intercom and Paging Systems Signal 1,alteration io a limited energy — — panel,alteration or extension $7500 Landscape Irrigation Control' Minor Labels(10) $12500 Each additional Inspection ever r Medical the allowable in any of the ahuve Per inspection r $62.50 _ _ C] Nurse Calls r er hour _ $82.50 _ In Plant _ $73.75 Outdoor Landscape Lighting` Fees: [] Protective Signaling Enter total of above fees $ —._ �� Other 8%State Surcharge $-�_ — Nurnber of Systems 25%Plan Review Fee Seq'Plan Review"section on $ ' No licenses are required Licenses are required for all other inst311etlons frant of application. _ Fees: Tofal Balance Due --- Enter total of shove fees A s ❑ Trust Account#-_ _ 8%State Surcharge S Tofal Balanca Due All New Commercial Buildings require 2 sets of pans. I:\dsU\forms\elc-fees.doe 09130101 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST Received —_ Date Requested AM_ PM BUP �- Location I - t •�•� .�a� �_c Suite— � MEC Contact PersonPLM PersonPh(— ) t`� 0 PLM - -----__— Contractor - -_ Ph( ) - SWR BUILDING Tenant/Owner Footing — Foundation Access: ELC Fig Drain ^- Crawl Drain ELR Slab Inspection Notes: — SIT Post& Beam _ - --- Shear Anchors _ Ext Sheath/Shear — Int Sheath/Shear __— Framing - -- Insulation * -- -- -- Drywall Nailing Firewall -- Fire Sprinkl6r Fire Alarm -- --- "`--~_-- Susp'd Ceiling - ---- --- Roof -- -------- -- Other: — ---- Final PASS PART FAIL i - PLLIMBING Post&Beam Under Slab - -- —— --— Rough-In Water Service - Sanitary Sewer Rain Drains -- - Catch Basin/Manhole Storm Drain -- Shower Pan _-- Other: - Fina! ------- - -,------._—�-- -------- PASS PART____FAIL ----- MECHANICAL Post& Beam Rough-In -- Gar Line - - Smoke Dampers __-- Final - - PASS -PART. FAIL RICA Rough-InLL -- UG/Slab Lori Voltalle - - Fire Alarn - -- Fi 1 Reinspection fee of$____-__— - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ ART FAIL_ r Imo' ITP call for reins action RE: �-1 Unable to inspect-no access Fire Supply Line `— ADA Approach/Sidewalk Oats - _-- Insp�o ___—�1�_ / �,_�.• Ext Other: Final DO NOT REMOVE this Inspection record from the losite. PASS PART FAIL CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(593)639.4171 CERTIPICATE OF OCCUPANCY PERM I T M. , . . . : LAUP97 -u)A DATC ISSUED: 11 /03/98 POPCEL: 2S,110DC-02,200 II'L ADDREGiS. . . ; 155,3#2 1,3W PACIFIC HWY #rte Ibl)IV I S ION. . . . :WILL.OW BROOK FARM ZON.iNr):C -G o-OCK. . . . . . . . . . 1-0T. . . . . . . . . . . . . .011 JURISDICTION: I'M ,-ASG OF WORK. :AL TYPE Or- USE. . . 1COM TYPE OF CONSI"R:514 OCCUPANCY GRP. :M Orl.',UPANCY LOAD: 0 1 F"NAN T NAME. . . i Remarks: PARTIAL. HEIGHT WALLF3 WITH DOORS (STALLS) Owners I IGARD CENTER LP, '3'777 WILSHIRL BLVD 0601) PEVERLY WILL. CA 90i-21i., Phane, #I ont ract at,i T-SONE CONSTRUCTION C/Ds DENNIS MCCAFFFP1Y IP010 SE GUNNYSIDE C-LACKAMPS OR 9701!) Phone if- Reg #. . : 09,1048 rhit Cer-tifirate t.JrAtnte occup,-tnc:-/ of the above rpferencp(I building at, tiortion thereof and uanftrms that the blAildirlg haw been inspected for ^ompj. jarjce wjj-F, the Stale of OrUnn ,pear,iAlty car jr-s for the proup, 0C-CL(p-A1)C:-),1, arid $jee 1.111dej- w h i c-hnrt rh reftrPtiCed Permit WA is%1.ti-*d. SU 1 L.D I NG I NSPECTOP BU I Orr I C I AL. POST IN CONSPICUOUS PLPCF-.' CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 i Plan Check 0 - CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Con,mercial and Residential Date Rec ✓ 61Fc 797 TIGARD, OR 97223 r\ 41 to P E � Opp r� (503) 639-4171, x304 \R Date to DST ' Print or -type Permit# +__--�-� -cL Incomplete or illegible applications will not be accepted Called~' e ur OeveiopmenuPr�peJJ rJeSCnphon v �� n� f� 0 r.tble to Mechanical Code QTY I PRICE AMr ,Job 51reet Address sutea AI Permit Fee Address --_ f3idga c,tpstate Lip B) Supplemental Permit --- 300 wr name Of buslnessr r t I Furnace to 100 000 P,rU G 00 1 Owner / + e incl ducts 3 vents Melling Address2) Furnace 100-50-65,TU+ 50 `�)r�- IZ incl ducts,vents _kly slaro f �Ip Phone 3.) Floor Furnace Goo 76-o- 7 mG vent 4.) Suspended heiNer Hall heater _G 00 or floor mounted heater Occupant Mattin Address T 5) Vent not incl i 300 �J�)�•2 h •✓ appliance pe'mnd �"'��e p one 8.) Boiler or comp,heat pump,air cons 500 jto 3 HPabsorp unit to 100K BTU Contractor NO" 7) Boiler or cxrTip,heat pump,air Gond 1 1 00 Pnor to 0,1011-��0� 4 e_ 3-15 HP absorp uti t 10.500K BTU issuance %tailing A�ress 8 1 Boiler or comp heat pump,air Gond --5 00 a�phCant S 1 J i 15-30 HP absorp unit 5.1 m i BTU _ must provide all Istate 21p Phone 9) Boder or Como,heat pump, i r cend 22 50 Conti- for � r� b � C• (-x ., 30-50 HP i;bsorp unit 1-1 75 and BTU license Oreyon Const Cont Board L c 011 Exp Dale 10) boder or comp,heat pump,air Gond 3750 information e", t >50 HP absorp unit 1 75 Intl BTU `or COT CUT Business Tax or Metro a Exp Date 11 ) Air handling unit to 4 50 10 000 CFM v Architect NARIS r- __ 12) Air handling unit V V JO _ 10.000 CTM+ _ or "ailing A 13) Non portacle 4.50 evaporate cooler C ryiState Zip Pndne - 3.00 Engineer 14) Vent fan connected _ to a single dun De,,cnbe work New O Addihcn O Alteration Repair U 1S) Ventilw on system not !o be done Residential O Non-residential 0111. included.n appliance permit Additional Descnption of work S1,g((� 1R) Hcod served by mechanical exhaust 450 _ 17) Domestic incinerators �W 7 50 Existing use of � 18) Commercial or inoustnaltype building or properly incinerator_vincineratorneratorator I 19) Re air urn+s _ a 90 Proposed use of 20) W000stove — 450 budding cr property I Clothes dryer etc _ 450 Type or A;el-oil natural gas O LPG O electric— :1 Other units I 4 50 I hereby acknowleo(,e that I have read this applicatiun.that the 231 as o ping one to`our outlets 2 00 information given is correct that I am the owner or authonzed agent of t er,thfittigians submitted arp.in compliance with Oregon State 24) More than 4-per outlet feachl ! 50 l a ` `` 7 gnsture of OwneWAWnt Date QTY,SUBTOTAL� _ C� 4 _ _ - ' 2 1 t 144 -y/ �w, t� SUBTOTAL Contact Person Name ( dPfhione [Y 5%SUR(:HARGE Zy� PLAN REVIEW 25'/e CF SUBTOTAL ' Z II TOTAL i',dstVnechprntdoc (rev 7/98) •Minimum permit fee is 525+506 sureharg OVER-THE-COUNTER (OTC) PERMIT FLAN REVIEW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST APPLICANT: ' e Z ./ - - � ?' — C�/ZP„ �, _ DATE. S1Tf_ ADDRESS: c5 -del DEVELOPMENT NAME: VALUE: $ `f''-o0 -r N' CLASS OF WORK: i FLOOR AREAS: i c��) A ��'� i EXTERIOR WALL CONSTRUCTION A TYPE OF USE:C01A FIRST SQ. FT. i N: S E W TYPE OF CONSTR: 1 SECOND SO. FT. i PROTECT OPENINGS?: OCCUPANCY GRP: i THIRD SQ. FT. N: S: F.: W: OCCUPANCY LOAD: i TOTAL _ SO FT. i ROOF CONS,R: FIRE RET: � SI-OR.__-,_ HT ;�" „F1; _ BASEMENT: SO FT AREA SEP. RATEDiV BSMT?: MEZZ?: GARAGE: O. FT. OCCU.SEP RATED I/ FIRE SPRINKLER SMOKE DET FIRE ALARM. HANDICAP. ACC.: NOTES: OFFICE USE ONLY TYPE OF USE OPTIONS(COM=commercial; CMS =commerci�, ranufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW= new: Add= addition; ALT =alteration;ACS= accessory; FND :foundation; OTR =other: DEM = demolition; REP= rapair, FPS=fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I1ovrcntr2.doc (DST) 12/96 � COMMERCIAL INSPECTION ACTIONS FEE MENU _ Foot/Found Inspection Permit Fee $ _ Post/Beam Inspection (C)PIan Rev.Structure 1 $ Masonry Inspection Framing Inspection (C) Plan Rev. Fire F$* _ Insulation Inspection (C) 5% State Surchrg $ Shear Wall Inspection Firewall Inspection Add'I Permit Fee $ Gyp Board lnsnection Add'I Plan Rev Strctr $ _ Suspended Ceilin j Inspection Add'I Plan Rev. Fire $ Sprinkler Rough-In Add'I 5% Stats Srchg $_ i_ Sprinkler Final Miscellaneous Fee $ _ Fire Alarm Inspection _ Smoke Detector Inspection USA Erosion Permit Approach/Sidewalk Inspection Erosion Plan Ck-USA Miscellaneous inspection ^ Final Inspection Erosion Plan Ck-GOT 1 I'ovrrntr2 doc (OST) 12/96 Fnysical data — OU f JUU4-UU1 UNIT S12E �^ 004 005 006 007 `-NOMINAL CAPACITY(tons) 3 4 5_-- 6 OPERATING WEIGHT(ID) Unit AI A1' 365 / 775 395 470 AI Cu' - - - -- Varlslide"Economizer 14 34 14 34 Parablade Economizer 42 42 42 42 Root Cwbt 115 115 115 115 _ COMPRESSOR -�_-- ---__-J --- Hermetic Ouantlty 1 1 1 1 Oil(oz) -- -- -----�-- 50 I 50 1 50 I 54 REFRIGERANT TYPE Rf 2 Opentin5 Cher"(11il ' Circuit l 36 4.11 5.13 7.10 Circuit 2 _ - - - •- CONDENSER COIL --a — Enhanced Copper Tubes,Aluminum Lanced Fins 1 17 2-17 Total F Face Area(sq H) _ 7 36 I 11.397 I 13.19 I 110.42 CONDENSER FAN Propell r Type Nominal Cim 2 4000 4000 4000 Quantity, Diameter(In.) 1..-222 0 1...22.0 1 22.0 1 .22.0 Motor p..Rpm !4..1100 1A.. 1100 'i+.. 1100 it 00 Walls Input(Total) 325 325 325 325 EVAPORATOR COIL �- J Enhanced Co r Tubes,Aluminum Double-Wavy Fins,Aculrol'"Feed Device Rows..Flnsiln. 2, 15 2..5 15 3_.15 4 .15 _Total Face Area(sq 11) _ -^ 4 17 ,5 I 5.5 _I _5.5 EVAPORATOR FAN Cen!T1fU al Type ]uontity...Size(In.) Std 1 .10 x 10 1,..10 x 10 1 .Al x 10 1 10 x 10 Alt 1_.10x10 1 ..10x10 1 ..10x10 - Type Drive Std Direct Direct Direct Belt Alt Belt Bell Belt - Nominal Cfm 1200 - 1600 2000 2400 Motor Hp Std -- - - Alt - - -- - Maximum Continuous Shp Std 14 75 1 20 240 411 i 00 1 pct 1 d0 -- Motor Frame Size Std 48 -48 +A 56 All ,t6 48 11h - Nominal Rpm High Low Sid I;FO 800 10759/0 111•5 Wo - Alt - - - Fan Rpm Range Sid - 1070-1460 Ali '1,0 ',10 835.1185 'tun 1 U,tq Motor Bearinq Type 0 Ball ti III Ball Maximum Allowable Rpm I!!0 2100 ?+ n7 210o Motor Pulte Pitch Diameter Std -- 28/3,8 Min Max 1 n.) Alt 1 g?9 1 9/29 .'4 3 4 - Nominal Motor She"Diameter(In) Std Alt Fan Pulley Pitch Diameter(in.) Std Alt 45 40 45 Belt,Quantity..Type...Length(in.) Std - - -- 1 A '0 Alt I...A...34 1...A.,34 1 _A A.34 Pulley Center Line Distance(In► Std - - - 14 7 15 5 Aft 10.0 12.4 10.0.12.4 14.7 15.5 - .Psed Change per Full Turn o1 Std - - -- 80 Movable Pulley Flange(rpm) Alt 48 70 80 Movable Pulley Maximum Full Turns Std - - - 5 From Closed Position All 5 5 5 Facrury Setting Sid - - - 3 All3 3 3 Factory Spea3 Setting(rpm) Sid -- - - 1225 All 856 g75 1060 - ! Fan She"iYrmeter at Pulley(in.) - -N` r i Y 4 h 14 ? HIGH-PRESSURE SWITCH(peig) Standard Compressor Internal Rellef IDI"erentlal) 450 2 50 500 t 50 6 Cutout 426 428 Reset(Auto) a20 _ 320 I S - LOWIPR S9,' E-SWITCH ipalg)•'�- Cutout 7 t 3 Reset(Auto) 22 t 7 ) FREEZE f'ROTFCCWT R WiFA O T T(Fr Opens 30 t 5 Closes 45 t 5 OlITDO'Ofi dtfTLET SSCBE N �� leanabe )i Quantity...Size(in.) 1 20x24x 1 1 Tf9TUffWT1ff -—-- rowaway Cuantily...81ze(In.) 2.16 x 25 x 2 s LEGEND50TJO16-028 units have adjustable drives f jt 9Aluminum inUwJThe 50TJ028 units require 2-in industrial grade filters capable of handling Blip - ls Horsepower { i fico velocities up to 825 IVmin (such as American Air Filter ni. 5700 or Cu - Copper equivalent). Evaporator coil fin materiaVcondenser coil fin material NOTE: The 50TJ004.014 units have a loss-of-chargge/low-pressure switch tWe ght of 14-in.roof curb. (accessory)located in the liquid line,and the SOTJO16-028 units have a low- f Requires an accessory or optional controls upgrade kit pressure soil on the suction side(standard). ttOn SOTJO20 028 units,Circuit 1 consists of lower portion of both the condenser and evaporator coils,and Circuit 2 consists of the upper portion of both cods i i __ CITY Q F TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)63,94171 1 T)1*KIC- 155 '�DTVTSTM 710v FORM L0 T. . . . . . , .. . 11 . ; I7i lw r',17)T r'7 T n N T Tri Ir I--ooR PRI-P)S - T7 nF WnPK,. (.)I T FX -..RTOP WALL (71-,1WT9Hr-.T'T0h1- r- T P ST. N 171j: nF-- jjC YS f PROTECT T`F ('I F ams,'r. 75N ODEN T NGq I.- H -T)Nr f-!, �j r ; F N? .,y GIRP. -M 9 f Rn0F I7.r1W,T: FrT,- OCCUP'ANC" LOAD: AW-)F."MrNIT, , Q'I f ARF() SErl' PA71: 3711P. iIl HT: t� f i-, GICIPAISF7. . 0 f Mr-7 7 Or-CU SEP. R(4TEI,): nor< P,�f F7F T (A f1, 01 nIJT RFD f 4' F1 P ''.I -) vt. :y cmnv UN4TTS- 0 Fr4NT! 0 , DE- t NJ('- : f.1, REAP: 171 ft r- TP P11-Pty.-Y HNOTU, 0 SATHS- m T11p SLIPF"ArE: 17,p7 fInpr,,. PARTTAL, WIGHT (401.1_5 FnR TANNING STtJI)TO 7;,rpl ! T(7A!. R�c; r,P 1,1 j i�L F P r'! r7 I- r r,,r r:p n Q17 0,1.1 T PF. III I V I-R14 9117.1 V*H itt-- i 19/97 97-- e-,91 1 ,7.1 , 14!l� -', I '-.)/'�)7 H-3 1 F IRS' 0 97 FAIT, 14H 1�, 7 q 7 r:T 0', t 0 1 9 q 7 97 f-0N9TP!jr',TT(7jtq T,r 7 rJN Ir r .) mrrr)r. ry- �TY 'T 10 4 T permit is issued subit& to the rpq(Ilatjons curtained j, the n p T i)REDI-1 T R- 171) T KiC,LII�I`,T I ,ard Mgnicipal Code, State of Ore. SWielty Cmdf� end oil nth#r "licable laws, All Ifork "fl) 3F domp in Accordance witk "Ovfd Plans. Thli ptrait will P)rvire, if wori, is nit started 11i^ I '90 day' of issuance, Or if 11100 71 suspended for more ;80 days, Ck C4&ANA . Commercial ir mi �� ick o City of Tigard 13125 SW Hall Blvd. Tigard,OR 97223 (501)639-4171 Jobsite Address:_.L S-61, r,J ,d j, OFFIC Qdj� Tenant: 1/ `,1. �' Suite# Planck/Rec. # Valuation: ` j j_S0/7 Permit# Map & TL # 1 L ., ,i Owner: _ faJe �, ly�rr, hc,.6. Address: 12, 20 �� /� AnRrovals Required y j ti Planning _ .- �✓_r� �, '' Opti ...�__ Engineering Telephone: Other Contractor, r o n s�`�•r /i,n Address: I kirh a i eco• Type of constr: _ Telephone: _ i'1'*' .S" 2 y _ Occupancy Class: _ Contractor's License# D l L� kT?J Sprinkler's Yes No ' (attach COPY of cwTent Oregon license) Sq Ft Of Project: �> :untact name & telephone: nr1�.S /yi'e ,9 r ' ' - -- -� architect & Engineer: G� / Story (1st, 2nd, etc g neer: �( /� ��f�/ l��i sc;� .0 1 C'.' p/Q�/fl l j`S Proposed Use: lc;,, f,�,; Address: L / C _ S f-y /�?4 t.�✓..� fv-i A. 10" A41--cr 01,W Previous use: /10/) p 5-O j 2 _.� Note: Plumbing R mechanical plans must elephone: �j S 100 be submitted at time of building permit application. 'OB DESCRIPTION: Ton rf IA,pig 0Vh,fn 1 Scfri/ :a4" (Applicant Signature & Telephone Number) —� Received by: _ _ Date Received: PERMIT# Account Description Amount Amt Pd. Balance Due ` Building Permit (BUILD) _ Plumbing Permit (PLUMB) Mechanical Permit (MECH) t State Tax (TAX) Bldg. _-- — Plumb. Mech. Plan Check (PLANCK) Bldg. —� Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SVVINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TiF-O) Water Quality (WOUAL) Water Ouanity (Wgl_JANT) d Fire I-ife Safety (FLS) Q ��" Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPI_AN) Erosion Planck/COT (EROSN) TOTALS: __✓_� �� ) ELECTRICAL AND AIR r LOW INFORMATION VIP GOLD 3000 (IHO system) 220 Volt Single Phase Four Wire (2 [lot, 1 Ground, 1 Neutral) - 36 Amp Breaker Is Recommended (Draws 16.5 Amps) 6 Foot Cord and Plug - Install Receptacle Tc, Match Plug #L14-30R - Recirculates 1300 Cubic Feet Of Air Per Minute - 12,000 BTU's - Air Conditioning C'ompatibh. With 3 Inch Flex (lose a _VIP GOLD_ 3200 (VIIR/HO System) - 220 Volt Single Phase Four Wire (2 Hot, I Ground, 1 Neutral) - 30 Am- Breaker Is Recomnr-nded (Draws 21 Amps) - 6 Foot Cord and Plug - Install Receptacle to Match Plug #1,14-30R - Recirculates 1300 Cubic Feet Of Air Per Minute - 12,00it BTU's - .Air Conditioning Compatible With 3 Inch Flex Bose I'R!iMH,.R GOLD 4200 (VHR/VIIO YN'stem) - 220 V"salt Single Phase Four Wire (2 Hot, I Ground, l Neutral) - 45 Amp Breaker Is Recommended (Draws 34 Amps) - 9 loot Cord. No Plug - Hard Wired - Recirculates 2400 Cubic Feet Of Air Per Minute - 24,000 13TU's - Air Cornditioning Compatahility With 6 Inch Ilex Hose SUNUP 4800 (VHR System) 220 Volt Single Phase lour Wire (2 Hot, 1 Ground, I Neutr al) - 50 Amp Breaker Is Recommend,,(! (Draws 38 Amps) - No Cord or Piug - Hard Wired Recirculates 2400 Cubic Feet Of Air Per Minute - 24.000 B'I l!"s ----------- CITY OF TIGARD DEVELOPMENT SEPWICES 13125 SW Hall Blvd,, Tigard,OR 97223 (50J)639.4171 : 1.7. WTI 1 014 814onv � fEr t D c r i p 1; i n s;t a 1. 1 i c fe (j (A 1h Urj 00 AR LESS. . Pr ftp- W (W)Dl L (7,1;N 0 Trio' r r t), tATTFI) CNERGY. . . . . . L") T r;1,1 qi r HM/ SVC/FDR.. 60 -Gr.Pv rCe/FEe1)FP- amp. r;E !,),r)I ri amp. rT TIA�;P' . I s� W/I.,) F)R Q r- Fnp amp. . . . ti7i amp. 0,0 ON ainr Ivell codo. State' Cf M work Th • !Ao A"— -nance, 7 CITY OF TIGARD Electrical Permit Application Plan Che.k# 13125 SW HALL BLVD. Recd By 65 _ TIGARD OR 97223 Date Redd 3 2 Date to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Tyke permit# Fax (503) 684-72.97 111eotTtplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �+d-ArIcLatia ekal _ Number of Inspections per permit allowed Name(or name o'ousiness) ':�d /,/, , Service included: Items Cost Sum Address r �/9� �i L.• (�/y ,� (- I 4a, Residential•per unit i �..J S L ?' 1000 sq.It.or less __ $110.00 4 City/State/Zip-/_� / ` / 7 Each L.dditional 500 sq.ft.or Commercial Residential❑ t d thereof $.5.00 _ 1 Llmimlted Energy $25.00 Each Manut'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 (Atte..^.h copy o.el rrernvle e L 1 4b.Services or Feeders Electrical Contractor J v, '` �iv Installation, or le tion,or relocation C Address �` / 200 amps or less -� $60.00 _ (/ 2 -1- -5------ 201 amps to 400 amps $80.00 -- 2 City ��r _State Zip 97/._ - 4 401 amps to 600 amps $120.00 2 Phone No. r r��7- �5 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 ____ 2 Elec.Cont. Lice. No. a -G Exp.Date io c;" _ Reconnect only $50.00 2 OR State CCB Reg. No D 96; Exp.Date 1 7 4c.Temporary Services or Feeders COT Business Tax or Metro No. _Exp.DateZ Installation,alteration,or relocation 200 amps or less $5000 .G 201 amps to 400 amps $75.00 Signature of Supr. Elec' 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, Lirense No.i _Exp.Datey�y�� see"b"above. Phone No. j '�' 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase or service or Print Owner's Name _ feeder fee. ) Address Each branch circuit $5.00 ---- -- b)The foe for hranch circuits City ---l- State - L Zip______ without purchase of Phone No. _ _ _ service or feeder fee. First branch circuit $35.00 _______, 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signsture_ !- Each pump or Irrigation circle $40.00 _ Each sign or outline ligt ling $40.00 3. Plan Review section (if required):* Signal circultis)or a limited energy panel,alteration or extension $40.00 Please check appropriate Item and enter fee'n section 58. Minor Labels(10) '- $190.00 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $3r 00 Classified area or structure containing special occupancy Per hour _ $55.00 or descrihed In N.E.0 Chapter 5 In Plant - $55.00 *Subm't 2 sets plans with applica:ion where any of the above apply 5. Fees: I'C r.r Not required for temporary construction serv,.mss. 5a.Enter total of above fees $ - 5910 Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONST RUCTION AUTHORIZED IS Plan Review Lf required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION uR WORK I Subtotal $ -IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ff U IIME AFTER WORK IS COMMENCED, 1:1Trust Account#- $ Total balance Due i�nSTS�FI Cpr,are nov 9ro 1 CITY OF TIGARD PERMIT DEVELOPMENT SERVICES F".11MIATINIG 13125 SW f;all Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . DATE T.SSIJED: 04/28/97 PARCEL: 2SI1ODC-02200 SITE ADDRESS. . . : 1.5532 SW PACIFIC HWY #6 SUBDIVISION. . . . : WlLLOW BROOK FARM ZONING: C—G r-,L()C V,. . . . . . . . . . .. LOT. . . . . . . . . . . . . . It JURISDICTION: TIG ------------------------------------------------------------------------------------- CLASS CF WORK. . :ALT GARBAGE 'DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING EACH. . . . . . : I RACKFLOW PREVNTRS. . : 0 OCCUPANCY (3RP. . :M FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . .. 0 ,;TORIES. . . . . . . - 0 'WATER HEP,rERS. . . . . t I CATCH BASINS. . . . . . . . 0 FIXTURES---------------- Lf--INT)RY TRAYS. . . : 0 SF RAIN DRAINS. . . . . : 0 Q .3INKS. 0 URINALS. . . . . . . . . . . . 1'A GREASE TRAPS. . . . . . . 7. 0 I-AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . ! 0 Remarks- Installing a washing machine and water heater FEES STERLING DFVFI.OPMENT CORP type amol.int by date recrt 3252 HOLIDAY CT PRMT $ e5. 00 B 04/28/97 97-29379-. STE 225 SPOT 1 P19 "A 04/28/97 97-293793 I A JOLLA CA 92307 Pl-ione #: f"firit ract NW PLUMBING SPECIALTIES INC r'O any 606 f-IRESHAM OR 97030 17,hone 0: 663-9066 $ 26. 25 TOTAL Req #. . .- 000943 Rr.OUIRED TNISPECTICANS This pervit is issued subject to the regulation; contained in the Top--of..tt Tn-,p Tigard Municipal Code, State of Ore. Specialt,, Codes ;no ali other Final Inspertion applicable laws. All work will be done in acecrdance with approved plans. Thic pfreft will expire if work it iot started within IN days of issuance, or if work is suspended for sort than 186 days. Permittpe S t IVI e .1 I d By: ...... -------------- Call for inspection 639-4175 ;TY OF TIGA RD Plumbing Application ?(,c1By L'd� 1'25 SW.HALL BLVD. Comroercial and Residential ate Rec d �JIQ:u GArR0, 0R 97223 Cale!oCST _ A33) 639-4171 aermts Print or Type Related I R S r L Incomplete or illegible applications will. not bit: accepted Called �'Z ---� FIXTURES (Individual) —� QTY PRICE AMT II NJrne .t CevelopmenoProlect _ JobU i 9 oink 900 Lavatory -- Address S:reetddress Z f tv �JucrF� G�. ruD J1 uo+Snower _umu j 4 CJ -- 31!.l aC.!y�r•5late .::o _� '.mower Only 900^ tr y G << Nater Closet 9 r0 NJ e 1 Dishwasher 900 Owner I Mailing Addr&skLSuite / Garoaye Disposal _ _r �— 9 00 .j f ✓'U! Z 2 5 wasning Macnoie � j 9 00 1 i.:dvislat iD Phone .�,,!!�{ + Floor Drain T- 900 `LJ" r 3' I 9.00 Name_ h__. LJ 4 ' �L 9 00 J Occupant 'aiding Address Suite L� «aier neater 9.00 j Laundry Room Tay 900 I C.ty+State Zip hong J 7 Urinal 9 00 r_ _ T ~ vame Zther F,xturr.s iSoeufyi __ 900 —1 ! r j 9.00 v4 �_--� i:Ontractor Maiiin Address Suits 9.00 I� �- o^or;o issuance I C+p�+Stalef-- Zip I Phone �. I 900 ---� Jdciirant must •.c'b11� r�'76t ---- --- 9 00 I :rov de all Cregin Const. Cont. Board Lic x Exp Date :ontrac:ors9.00 cense Plurfti g L� r sf ,g/J I Exp Date Sewer• 1st '00' 3000 nformiation C2_ Sewer-each additional 100' 25 00 � 'or CDT COT achiness Tax or Metro si Exp.Date Water Service- 1st 100' — 70.00 a —� - ,apasel Name — .later Service-eacn add uona _00' I 25 30 .•architect � f-}��•L �I '��c _ stun„a gain cram- tet sot 7c ;o or Willing Address / I Su Storm a Pain Dram•each additional 100' I — 25.00 d /�: !";e?2 C4 i+1 , r Mooik Nome Sp e! j 25 00 �j Engineer +ry+SI to 'ip Phone I Commernal Bacx r'ow Prevention Cevice or Anti- 25 00 PI�/AhJ' _y- 1r I p; Pollution[)--vice _ � es ce .VcfK New C additusrQ), alterauo ?e^av C r ass dent ar 3acklcw event on Devrre -5 30 ._^e ^esidential C Non-residential --- LLLr]'7 or.I/as•'`lct.dnrroved to a=lxsure I j 900 j -__ ::"al sescr ruon ofwCnt --- j I �atGn clasm j I 3 GO j nso or""sting-umoing -to 00 penhr ---- Soeciady,Requested inspections j 40.00 — .rR / `F--- ---- — r— — ler,hr I a n„rain sing,e`array CNelling 30 .0 j Gre;ise",acs A I 9 co QUANTITY rOTAI. 7 __•. .- =a::^, ^o,rg or ropier-:r9 anv fixtures' ':et Vo I sc_*etr Y-ser_agram s ecu red '�ua.i,1y-:cal > >? I _ ��` • _I :f les see tack of'orml —__ _ V — 'SUBTOTAI acxrc+r•edge:t a: lave read:h,s aopii ation.:hat he.rfcrrnauon I — n 5°e SURCHARGE ;ver ,:orTe_. :nat l am•re owr_r or autrcrz.d age�•t if,?,e owner ,rd� �at:gar; sLC^Cea are ' :nmcliance Hitn Cregrn State Laws. S nature OwnarlA ent — M Qate PLAN REVIEW 25% OF SUBTOTAL. i _3ecuyam:nry '`rite 7rw 'yal s> 9 �,7 I g TOTAL 'antart Person Name Phone — I —� 'Minimum permit fee s 324- 5%sJrcnarge except Residential Sac kflow �r�( r4l s�L�ZII i7• yention Cevice mn c.i is S15-5'b surcnvrge iasis plma00'cc&/,6 I A.5-APPF34PRIATE TO PROJECT: Fixtures to be capped, moved or replaced i Qty Sink Lavatory Tub or Tub/Shower Combination I _ LShower Only ;_Water Closet Dishwasher Garbage Disposal (_Washing Machine Floor Drain 2" -- _—3„---F- - Water Heate, Laundry Room Tray Urinal Other Fixtures (Specity) 'OMMENTS REGARDING ABOVE. CITY GF TIGARD DEVELOPMENT SERVICES 3125 SW Hall B14., Tigard,OR 97223 (503)639.4171 I CITY OF TIGARD Electrical Permit Application PIar;ChedcJ 13125 SW MALL BLVD. Rec'u B 71GARD OR 9723 Date Recd Date to P.E. Phone (503)639-4171, x304 Inspection 503 639 4175 Print of Type Date to DST= P ( ) Permit#Ccs 57-Dao rax (503) 684-7297 Incomplete or illegible will not be accepted called_ 1. Job Address: 4. CominleiF! Fee Schedule Below: i Name of Development-_;r4 'L'!,[�fiI aI_- Numoer of Inspections per permit allowed -- Name(or name of business) Sf(ils� m 11„tri Service includec': Hems Cost Sum Address_�•5 4a. Residential-per unit /State/7jp -`7 1000 sq.ft.or less �. $110.00 Gi a tY -1 LQ�tl� ��_-.- _�___ Each additional 500 sq 1.or J portion thereof $25.00 _ 1 Commercial Residential ❑ Limited Eiinrgy $25.00 _ Each Manuf'd Home or Modular Dwelling Service or Feeder _� $98.00 ___ 2 2a. Contractor installation only: {Attach copy of all current licenses) 4b.Services or Feeders 6 Installation,alteration,or relocation Electrical Contractor_-�� Address �_7� t� c; L'H� _ _ 200 amps or less $60.00 y Cit State Zi 201 amps to 400 amps $80.00 2 vim' ��--. p-q'I.a _ 401 amps to 600 amps _ $120.00 2 Phon Job 0.,�)Ti ] _ -- 601 amps to Ipso amps $140.00 2 JUb No.-I. __ Over 1000 amps or volts $340.00 p Elec Cont. _Ice No. 'r 1 -�, _r ' Reconnect only $50.00 p 3 P 1�L�L-LI- OR State C%:P Reg. No- QL-Exp.Date_ 4c. remporary Services or Feeders COT Business Tax or Metro No'qj LL,-) Exp.Date Installation,alteration,or relocation _�� G'6 200 amps o leas $50.00 _ Signature of Supr. Elec'n / _ 201 amps to 400 amps $75.00 , 401 amps to 600 amps $100.00 Ove.600 ramps to 1000 volts, License No.1 " Exp.DPteL� ` _ see^b"above. Phone No. E"R'Uf __- 4d.Branch circuits New,alteration or extension per panel 2b. For owner in 1111 ations: a)The fee for branch t.-rcuits with purchase,of service or Print Owner's Name. feeder fee. H idress _ _ Each branch circuit $500 b)The fee to,branch circuits City, State Zip J without purchase of Phone No.__ _-_ service or feeder tea. F irst branch circuit $35.00 The installation is being made on property I awn which is not Each additional branch circuit_ $5.00 intended for sale,lease or rent. 4e.Miscellaneous Owner's Si nature (Service or feeder not included) 9 -. _ ( Each pump or Irrigation circle $40.00 ; .Each sign or outline lighting �_ $40.00 ` 3. Plan Review section (if required):' Signal circulf(s)or a limited energy panel,alteration or a)-tenslon __ $100.00_ $40.00 _ Please check appropriate Item and enter fee in section 5b. Minor Labels(110) ---�- A nr more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per insperhon $35.00 _ Classified area cr structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 --- *Submit 2 sets of plans with appllcntlon who, any of the above apply. 5. Fees- Net required for temporary construction sgrvlces. 5e.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ N_Q-Tr�E Subtotal $ ------ 5b.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reauired(Sec.S; $ NOT COMMEPJCED✓VITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account B Total balance Due S w5ri1ELC96 err Rev a'BB --�---- !-- -- ---' - --------- CITY OF TIGARD BUILDING INSPECTION NOTICE i Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FIN Foundation Water Line Ceiling Plun Post/Besrn Mach. Shear/Sheath Framing -Mec Plbg Und/Flr/Slab Plbg. Top Out Insulation -Elect. Post'Beam Struct. Mach. Rough-In Gyp, Bd. Idg. San. Sewer Gas Line Appr/Sdwik Reins, Other: - Date: A.M. _P.M._ Entry: Address: 2' _ Tenant: _,C�-`=" -- Ste:C MST: Con/Own lLL,1I[] 1` ---- MEC: PLM: —� ELC: ._----- THE FOLLOWING COR � BN5RRI REQ IRED. ELR: _ Inspertor - -� - -....-- ---- Date: - ..Wl PPROVED DISAPPROVED/CALL FOR REINSP, CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Q Inspection Line: 6.39-4175 Business Phone 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling um Post/Beam Mach, Shear/Sheath Framing -Meth. Plbg,Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: - Date: A.M. P.M. Entry: Address: '�z—_. �!C�te: MST —� 1--- tenant:_ __Ls2 _Z-- . BLIP: _ Con/Own: —�.�— L - ---- MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Ingpector: Date: !S�4PPROVED —DISAPPROVED/CALL FOR REINSP. CF 0 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone 639-4171 Footing Rain Drain Cover/Service FINAL. Foundation Water Line Coiling -Plun,b. Post/Beam Mach. Shear/Sheath Framing -Meeh Plbg.Und/Flr/Slab Plbg, Top Out Insulation Post/Beam Strict. Mech, Rough-in Gyp. Bd. -Bldg San. Sewer Gas Line Appr/Sdw!k Reins. Other: Date: '_ A.M. __P.M._-- Entry: Address: ___1_�� _ Pax—=# Tenant: _ Ste. MST. RUP: �—�----- ConlOwn: _ _- MEC: • PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: fk 1:�zd__ r Inspector:,. �c �-- t,� Date: ,�LAPPROVED ___DISAPPROVED/CALL FOR REINSP. �'�C9CO CITYOF T I G A R D CERTIFICATE Or OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00047 — 13125 SW Ball Blvd.,Tigard, OR 9723 (503) 639-4171 DATE ISSUED: 2/14/2002 PARCEL: 2S1,10DC-02200 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 15532 SW PACIFIC HWY C-6 SUBDIVISION: WILLOW BROOK FARM BLOCK: LOT:011 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: UNK OCCUPANCY GRP: B OCCUPANCY LOAD: 2 TENANT NAME: SUNS UP TANNING REMARKS: Install partition walls in lobby area and handicap counter Owner: RICK WALDENBURG 13520 SE WILLINGHAM C1 CLACKAMAS, OR 97015 Phone: 503-698-4051 Contractor: LEVEL LONE CONSTRUCTION 15020 SE BARBARA WELCH LN PORTLAND, OR 97236 Phone: 503 514-5970 Reg#: LIC 1. 32 71 This Certificate issues: 2/2N/2002 grants occi.Ipanc:y of the above referenced building or p,ortion thereof and confirms that the building has been inspected for compliance with the State of Ore Xfr"O�it Specialty Codes for the group, occupancy, and use under which the referent,Cd was issued. BUILDING INSPECTOR BUILD N OF ICTAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line! (503) 639-4175 {� MST INSPUJION DIVISION Businegs Line: (503) 639-4171 C 000-W � BU Received Date Requested_ -_- BLIP — r— � 1 Location ,�5 - ��. _Suite - _ MEC _--------_ _-- Contact Person --_ -- - __. __ Ph(_- - ) -- - - - PLM - Contractor __ -_ -- Ph r -) _-- - --- SWR - - Tenant/Owner ELC Footing ELC - - Foundation Access: Ftg Drain ELR Crawl Drain —_ ----- --- Slab inspection Notes: 'IT -- Post&Beam -- - - Shear Anchors Ext Sheath/Shear - - — - — Int Sheath/Shear Framing -- - - - - - - -- Insulation Drywall Nailin4l Firewall Fire Sprinkler �UFire Alarm Susp'd Ceiling - --Roof --- Roof I ,L Ott -r -- - - -- - S PART FAIL - — - _.- Post&Beam / Under Slab --- - - -- Rough-In Water Service -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Final _ PASS PAPT_FAIL MECHANICAL --- Post&Beam Rough-In ------ - - ---- ----- Gas Line Srooke Dampers -- Final PASS PART FAIL ELECTRICAL _ Service Rough-In UG/Slab Low Voltage -- Fire Alarrn Final Reinspection fee of$__,--_—required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F] Please call for reinspection RE: _ __ _—_.__ Unable to inspect-no access Fire Supply Line ADA (� _.—( ---- _ Darts LO f 0 L- Inspe�rtor 4 Approach/Sidewalk ---- -- Other Final DO NOT REMOVE this Inspection recond from the Job site. PASS PART FAIL i I CITY O F T I GA R _ BUILDING PERMIT DEVELOPMENT SERVICES DATEEIS.ISSUED: 2/t1n U2 2 0004? 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 15532 SW PACIFIC HWY C6 PARCEL: 2S11ODC-02200 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT: 011 JURISDICTION: TIr REISSUE: _FLOOR AREAS_ EXTERIOR V CLR WALL CONSTRUCTION ASS OF mNOkK: AL"I � FIRST: sf � N:� S: E: •f: TYPE OF USt: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: R TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 2 BASEMENT: sf AREA SEP. RATED: STOP- ? HT: ft GAF?AGE: sf OCCU SEP. RATED: BSM1.?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED_ _ FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL: N V SMOK_DE T: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 3,000.00 Remarks: Install partition walls In lobby area and handicap counter. I Owner: Contractor: TIGARD CENTER LEVEL LONE CONSTRUCTION 9777 WILSHIRE BLVD. 15020 CE BARBARA WELCH LN. #609 PORTLANn,OR 97236 BW nye Y HILLS, CA 90212 Phone: 503-514-5970 Reg #: LIC 113271 _ FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 2/14/02 $72.10 27200200000 Gyp Board Insp 5PCT CTR 2/14/02 $5.77 27200200000 Final Inspection PLCK CTR 2/14/02 $46.87 2720U200000 FIRE CTR 2/14/02 $28.84 27200200000 Total $153.58 I This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stat 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-OQ1-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-669,p or 1,800;832-23, 1. Permittee Signature:/ n Issued By: Call 639-4175 by 7 p.m.for an inspection the next business day Building Permit Application Datcreccived: y Permit no.:�(J - City of Tigard �� ou Atgik City of Tigard Address!13125 SW Hall Blvd,Ti70,, - - Projec11appl.no.: Expiredate: Phone: (503) 639-4171 Date issued: By:Fax: 503 598-1960 � �� ( ) Case file no.: Payment type: Land use approval: I&2 ramify:simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/repla,.ement U Tenant improvement U Fire sprinkler/alarm U Other: .1011 SITE- t tt Job address: _�� `t. �_ n. Bldg,n : Suite no.: C-cf., ubdivision: A Tax map/tax lot/account no.: —_ Project name: - Deacription and location of work on premises/special conditions: Name: 7e c Mailing address: 13 5,Z e) 'S (i(I NCrfk4wk a T' 1&2 fandly dwelling: City: IStateelE ZIP: e"clV Valuation of work........................................ $ Phone:So's rtge CSI I-ax:5-c3& -mail: No.of bedrooms/baths................................. Owner's representative: _ Total number of floors................................. Pl. Fax: E-mail: New dwelling area(sq. It.) .......................... Garage /caarca(sq.ft.)......................... _ Name: Covered porch area(sq.ft.) ...I..................... --- -- Mailing address: Deck area(sq. t.) ........................................ -- - City: +� State: - 7.IP: Other swcture arca(sq, ft.) ........................ F:tx E-mail: Phone: (bmmercIal/industrIAifmuItI-family: Valuation of work $ .�� 0 G�C� •4 Existing bldg.area(sq. ft.) .......................... _ 1183usiness name: L�� L er�� t'cA/5•TTc:uc_ r/Civ� New bldg.area(sq.ft.)................................ _ dress• 2 O T 1 L c, a Number of stories........................................ty: .►� �fresh Z State;0O Zip: "7�I � T of constructiononeri3�,YfJ'�'1tKt Fax: Email: Occupancy group(s): Existing: CCB no.: / 1 New: City/metro tic.no.: Notice: All contractors and subcontractors are required to be- its I 1 licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address. f� jurisdiction where work is being performed.If the applicant is exempt from licensing,the following reason applies: City: State. =IP: Contact person: _ Plan no.: - -- -- - Phone: JT;tx: E-mail: -- Name: _ Contact person: Fees due upon application ........................... $ Address: -` -- —_ Date received: City: State: 7.1P: _ Amount received .............................. .......... 5-------- Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Nca all pufedictions accept credit cardq,please telt pnisdiction for more information attached checklist. All provisions of laws and ordinances governing this L!Visa U MasterCard work will be complied with,Wl�tltor sped nor not. Credit card number .__ = Fsplr/ es Authorized sigyr�u __. Date: Com~ Name of c older as shows.nn.redh card / --- $ Print name: •� Cardholder dptriure— Atnoum Notice:This it application expires if s permit is not obtained within 190 days after it has been accepted as complete. 440-4613(fii WOM) Commercial Plan Submittal Requirement Matrix C'it f,c'bgar-d TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities I 2 Building �* Fire Protection Systern 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 se`.s of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans **'T!ew" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technirJans. Lktsts\fomis\COM-matrix.doc 9124/01 ��a � S`3 2 -CCo ,�✓ LroWn1 Mc�01Nd� vnJ 10 1 D S. ' � `�- . __•-�� _ ' � � �NFA/ - -� Iy C � W 1 +J DO vI/ .. . . . . wV D60 Irs Q6o µ1 `1 f IP0 C o �cc CITY OF TIGARD Appro�ped..._. indltioiially Approved....................... I 1 Of only the watk 4d6scrlbed In �- PERMIT No. ,, ya 7t/y See 1. psi to Follow........... A tech jo y� SFE 35MM ROL .L # 20 FOR ED f 0, U -M- .- ENT FFOr1 Danernan Fea,t,e, Inc. FA',', r10. : 503 243 7873 Feb. 13 2002 11:44PM P1 DANEXAN REATY C.% T SALES - LEASING - CONSULTING February 13, 2002 Mr. Richard Waldenburg Sun's Up Tanning 15532 S.W. pacific Highway, Suity C-6 Tigard, OR 97224 Re: Alterations approval for 15532 S.W. Pacific Highway, Suite C-6, Tigard OR Dear Rick: Thank you very much for your request for approval of alterations on the above referenced premises. The Lessor hereby approves your request to construct interior improvements as shown in the plans submitted 2/5/2002, hereby attached by reference as Exhibit "A" and incorporated herein (the "Work"). The Lessor's approval is subject to the following conditions: 1. Lessee shall comply with Section 8.2 Alterations, of the Lease,and all applicable building codes, municipal, state or federal laws, rules and regulations including but not limited to the Americans With Disabilities Act.Lessee shall provide to Lessor copies of all permit,,and iasoecdon reports upon obtaining or receiving them. 2. The Work shall be performed in a first-class. workmanlike manner witb vew materials and consistent with existing improvements and finishes. All work shall he perforin-ed in such a it aiLner as not to disturb other tenants, and all refuse will be promptly discarded ofl<sitq iso the a.pprmFr;ate manner. "' ' ` 3. The Work shall conunenc c no later than March 15,2002,and shal!be comple;441-nished no later than April 15, 2002. Lessee shall provide Lessor with note lea than 24 bows, not ice,_,pp�9r to commencine the Work to order to allow Lessor the oppxt i o gstLtotices of non-res,pcSngibility. Lessee shall diligently prosecute the. Work to its completion. 4. Lessee shall pay for the Work and be responsible for the quality of the Work and any damage or injury done during the course of the Work. Notwithstanding Landlord's review of Tenant's plans, Tenant shall remain fully responsible to provide all improvements nececsary to ensure that nuisances such as odor or:noise are fully contained within the Premises. 5. Lessee shall indemnify, defend, protect and hold Lessor harmless from any and all claims, actions. damages, penalties or costs caused by or related in any way to the Work. 11ris indenwity shall surviv; the expiration or sooner termination subject lease. 2636 S W Fairmount Blvd , Portland, OR 87201.1433 Phone (503) 2436651 Fax (503) 243-797.1 FROM Daneman Pealty, Inc. FA;; NO, : 503 243 7873 � Feb. 13 200� 11:45PM P1 6. The terms of this approvalletter shall be incorporated into and become part of the Lease Agreement and subject to the terms thereof. 7. Lessee shall deliver an"As Built", complete set of architectur•tl drawings of the Work upon completion of the Work (showing modifications, if'anv, from Original pennit plans). Tigard Center, L.Y. $y: Daneman Realty, Inc. Agent for the Owner ,f Steven Daneman, President Plcase call me if you have any questions Thank you for this opportunity to be oA';ttviee. Very truly Yours, ••.• i . e •.•• o• • oo•o . teven WDaneman President cc: Ruben Poplawski - Barclay's Realty& Management Co I AM CITYO F T I G A R D ELECTRICAL PERMIT _ PERMIT#: F-I_C2001-00349 DEVELOPMENT SERVICES DATE ISSUED: 07/05/2G01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S110DC-02200 SITE ADDRESS: 15532 SW PACIFIC HWY C-113 SUBDIVISION: WILLOW BROOK FARM ZONING: C-G BLOCK: LOT : 011 ,JURISDICTION: TIG Proicct Description: Install of(1) branch circuit for sign lighting. RESIDENTIAL UNIT �v TEMP SRVC/_FEEDERS ' MISCELLANEOUS 1000_ SF OR LESS: — 0 200 amp: PUMP/IRRIGATION: EACH ADD't_ 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 arnp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): _! SERVICE/FEEDER BRANCH CIRCUITS _ An_C'L_INSPEC_TIONS _ G ?00 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: L401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: i 601 - 1000 arnp: PLAN REVIEW SECTION __ 1000+ amp/volt: >=4 RES UNITS: T > 600 VOLT NOMINAL: Reconnect only_ SVC/FDR >= 225 AMPS: _ _ CLASS AREA/SPEC Owner: Contractor: J ,I. SIGN 5715 SW PASADENA PORTLAND„ OR 97219 Phone: Phone: 503-246-0284 Reg#: FEES _ -Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 07/05/2001 $53.40 2720010000( r� 5PCT CTR 07/05/2.001 $4.20 27200 10000( •'+� "'11 u» Total $57.604. - This Permit is issued subject to the regulations mntained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will he done in accordance with approved plans. This permit will expire if vmrk is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTiON Oregon law requires you to fe1tow rules adopted by the Orpgon Utility Notification Center Those rules are set forth in 011 52.001.0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-33 -23 i Permit Signature - - Issued By: 1 , OWNER INSTALLATION ONLY _ The installation is bet _ 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; �y I �� ' > ys��_ DATE: 40, LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day BUP - Building Permit _ _ EL,C - Electrical Per. _ Inspection Description Date Passed By Ins ection Description to Passed ------ Footing/Setback Under rour►d cover _ Foundation walls _ Wall cover Footing drain — Ceili>E cover _ Waterproof bsmt walls Electrical rou ham-in { Slab Electrical service Crawl drain _ Electrical final Underfloor insulation Post/beam structural Shear walls/anchors ELR - Restricted Energy Permit _ Roof n iling Inspection Description Date Passed By Firewall Low voltage Tilt-llp panel _ Electrical final — Masonry/Reinforcement Framing MFG-Structure set-up MEC - Mechanical Permit Insulation Inspection Description Date Passed By D wall nailing Post/beam mechanical Sus nded ceiling Gas line Engineered soils Mechanical rough-in Wel ft Lab Final Fire damper _ Concrete Lab Final_ - Duct work Bolting Lab Final Smoke detector Structural observation Mechanical final Fireproofing Lab Final — Final inspection -- - — — PLM - Plumbing Permit BUP– Fire Protection System Permit Inspection Description Date Passed_ By Plumbing underslab Inspection Description Date Passed B Crawl drain Sprinkler underfloor/slab Post/beam plumbing Sprinkler rough-in Plumbing top-out _ S rinkler final — RP/backflow preventer Fire alarm final _ Rain drain _ _ Storm drain _ Water service SIT - Site Permit _ Sanitary sewer _ Ins ection Description Date_Passed B _ Culvert/catch basin Footings Pum /fill septic tank Foundation walls Plumbing final Sprinkler supply lines _ S rinkler underfloor/slab Catch basin/Manhole _ SWR - Sewer Permit Engineered soils _ Ins ction Description_ Date Passed jft Engineering acceptance Sanitary sewer Final inspection _ Final inspection i Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits i\dsts\form%\IrnspRecnrdBUP.doc 04/17/01