The URL can be used to link to this page

12909 SW 68TH PARKWAY STE 320 a N tC O tD (c G O O W O 12909 S Vv 68"' Pkwy #320 CITYOF TIGARD BUILDING INSPECTION DIVISION T 24-Hour Inspection Line: 6. 1175 Business Line: 635- 1 LQ _ Date Requested / _AM PM BLD �D � Location— f �� r Kw Suite 3 MEC Contact Person l.t�-lam "Rh 3 R PLM Contractor Ph SWR — BUILDIN V Tenant/Owner . m ELC Retaining Wall ELR Footing Access: IFoundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab --_—...-_-. SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shear Framing Drywall Nailin - Insulation �1 ►..r -Z� a �� '3 �.- �- sl 1V 0�✓�G� 1 t � � _i �,, Firewall Fire Sprinkle? - Pire alarm Susp'd Ceiling �___ _ _ �,��/`� u "�-'t''• Z - �-'�..�_r'. Roof nal) -PASS PART FAIL v -- --•-- PLUMBING � _ V Post Beam Under Slab` Tap Out j� ` �.Q JT� — Water Sblvice� Sanitary Sewer Rai4prains mat - t n SSS PART FAIL V 1 t-�• MECHANICAL --- � ..�- Post& Beam ---- Rough In ) VV-1 --�'�� `�v-e 3 .S Gas Line Smoke Dampers . Final PASS PART" FAIL .ELECTRICAL -- -- -• �----- --- Service �� - ---- - - - - -- Rough In UG/Slab _------.--.._— - - — Low foltage — Fire Alarm -- .— ---- — - — Final PASS PART FAIL. ------ ----._-- --J.� -- — --__-- --SITE Backfill/trading � -----`----- -- --- ---_ ._.—__—.— -.--- Sanitary Sewer Storm Drain ( j Reinspertion fee of$ required before nex!inspection Pay at City Hall, 13121;SW Hall Blvd Catch Basin I )Please call for reinspectiur, PF I j Unable to Inspect-no access Fire Supply Line — - -----�--- ADA CJ Appioach/Sidewalk nate _- Inspectnr -''t "�' Ext Other Final PASS PART FAIL I 00 NO7• REMOVE this inspection record from the job site. CITY OF TIGARD OREGON August 7, 2001 \ Chris Simons Curtis Beattie & Associates 3131 Elliott Ave. suite 270 Seattle, WA 98121 Re: Alternate Method of Construction 12909 SW 68th Parkway-t1 BUP2000-00367 Dear Chris, We are in receipt of your propo3al to use quick response sprinklers in lieu of 45-minute rated glazing in the corridors at the above referenced address. This application and approval is site specific to this project and shall not be used at other sites unless specifically requested and approved by this office for each site. Your request is to purchase assen blies with a 36-inch 20-minute rated door with either one or two 36-inch relites. Both the door and the rclites will be in a 45-minute listed and labeled frame. The labeled glazing will be removed and replaced with glazing in accordance with I.C.B.O. Evaluation Report No. ER-5790 (attached). These relites will then be protected with quick response sprinkler heads, also in strict accordance with this report. This proposal is hereby approved as authorized by OSSC Section 104.2.8 for alternate methods of construction with the following conditions: 1. The installation of the glazing and sprinkler heads shall be in strict accordance with F,R- 5790. 2. A sign shall be posted on the inside of the tenant space at the glazing informing the occupants that nothing can be placed within 3 feet of the glazing. This is an alternate to the 3 foot pony wall required by the report. 3. Revised hydraulic calculations shall be submitted to our office to verify compliance with Section 2.4.2 of ER-5790. 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(.503)684-2772 ---— ---- -- We have based this on the testing performed by ER-5790 and the fact that this application can attain up to a 2-hour rating. We also took into consideration that the glazing will be in listed and labeled 45-mir;ate frames while the report allows non-rated frames. This approval for the alternate as described above is only valid for this project. When submitting for tenant improvements, please include this letter with each submittal so we can document the alternate in the permanent file. If you have questions regarding this, please call me at (503)639-4171 ext. -3; 1. Sim,erely, Gary Lampella Building Official C. Bob Poskin, Senior Plans Examiner Hap Watkins, Supervising Inspector Eric McMullen, Deputy Fire Marshal, TVF&R Building Inspectors File 4 7 ..u, Cr, u. iu t✓urtis HPattle & Rssoc. 206-282-4799 (' URI IS BEATTIE & ASSOCIATES Architects ;111 Elliott Ave. Suite 270 Seattle, WA 98 12 1 (206) 282-8512 Fax (206) 282-4799 July 25,2001 Mr.Gary Lampella Building Official City of Tigard 13125 SW Hall Blvd, Tigard,Oregon 97223 Re.Pac frust -- Tigard Office Building Dear Mr. Lampella Enclosed are ihree tenant eat y configurations we will be using throughout the above referenced project at the one-hour con•idors.The drawings indicating wood door/tempered glass relites exceeding the 1296 sq. in.maximum. We are requesting approval of a sprinkler alternative for the 20 minute opening protection required by code. Under the Oregon Structural Specialty Code Section 104.2.8,Alternate Materials, Alternate Design and Methods of Construction,we offer the attached National Evaluation Service,Inc. Report No.NER-516 dated April 1,2001 (reissued)1 C.B.O. Evaluation Services, Inc. Evaluation Report ER-5790 reissued May 1,2001 and Central window sprinkler model WS specific application information as evidence of a sprinkler alternate,which exceeds the rated opening protection. We would he happy to discuss this with you further if you have additional questions on applicability and installation. Sir,tcerel� C:hrts Simon Lc: Mr.Dick K rippaehne Mr. Rob Kelleher -Jul ._., ui Uurti s Beattie L Assoc. 206-262-4799 p. 3 COWd Sh'30d"Or 3'-0' ' 20 mhjtm Ad core -- --__- nond 45 mhAe metal tri gvvhl m I/1ttarpere+d9kvh9 V I Tenant Entry Option *1 Lurtls Heattle A. Hssoc. 2.06-282-4799 P• 4 (0"%hoad Protection 10 MWAB solld core - 20 wod door w)od door 5olld conn rx� ddear 45 mhAe metal Fraw / �� -- I/4'tempFx+�d gkurg -- —-- m i L � / 1 I I � Tenant Entry Option *2 ju I U1 I U: I ua Curtis Bpattie & Rssoc. 206-282-4799 5 N 31-ol Gentral 5H head�xWer X dvte solid core WIM&W 45 mW Mal hm Tenant Entry Option *3 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour inspection Line: 639-A"475 Business Line: 639-4171 MST _- _ i Date Requested AM_ �PM _ BUR BLD y Location ; ._�-------- _ MEC Contact Person _ 1 Ph _lv c�. e-lt T PLM _ Contractor �v{-�,�,- �c. E/r, r>, Ph — SWR BUILDING i Tenant/Owner �'� ELC Retaining Wall ELR Footing Access: Foundation / M FPS —_ Ftg Drain SGN Crawl Drain Inspection Notes: 674y .r/ --- - Slab Post& Beam SIT --- Ext Sheath/Shear �� cs7��/ �'f�-�u ✓f'l l° Int Sheath/Shear 7,1 -.spot- :2 77 Ca�/✓ '�� i�+-t rvt81F'�y l Framing Insulation Drywall Nailing S e-l-i a,. U Z.Li'ln,r l �:�I ("2 Firewall / �/ Fire Sprinkler LrJi f4 -iJ NIA4-- 4n Au`Q&Aj4 dy t4 214 el:6'cr„ Lk- Fire Alarm U �J _ // Susp'd Ceiling - --- l Ll�'t![��— ��"'t �-'!^C tom_ r i�,��✓� �ld-- Roof ' Misc: ---- — - �L r:AI, 1.44.1910-C <<I:d IQ G��L,kN/� Final /•' - PASS PART FAIL { gel l roL ,4-f-!' _ _..__- PLUMBING Post& Beam lnr, Top Out �dr� �.�� —.�Qd: �ft. _ Water Service — , 12LIZ 64 f1r � 'f Sanitary Sewer �_- — -- Rain Drains Final PASS PART_ FAIL. MECHANICAL Post&Beam Rough In Gas Line �— Smoke Dampers Final PASS PART FAIL ��/�_�� _ / �, ^� �� •L �— ELECTRICAL Rough In { /� t.JG/Slab ! �'�r� =r'r1 ��i1�1' (y _ Low Voltage , Fir larm OfAm PART FAIL NIS B;Ackfill/Grading — -- Sanitary Sewer Storm Drain [ [Reinspection fee of$ required before next inapection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection PE: _ [ J Unable to inspect -no access ADA Approach/Sidewalk Other _ Date r�_jTI__ Inspector_ nEAQ Ext Final qJ PASS PART FAIL DO NOT REMOVE this Inspection recorcw from the job site. CITY OF TIGRRD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 MST - BUPD,-"- __ _-_Date Requested - I AM PQM - BLD Location_—� ,�� Suite Z�� MEC Contact Person _— Ph PLM Contractor PhSWR ILDI BUNG Tenant/Owner — ELC _ Retaining Wall 9 r=LR Footing Access. Foundation FPS Ftg Drain - Crawl Drain Inspection Notes: SGN Slab — - Post&Beam - --- ------ ---- --- - - - SIT _ Ext Sheath/Shear Int Sheath/Shear --- ---- Framing -------------- ----- Insulation - ---- ----- -_ Drywall Nailing -_ e Spri - --- ---- —rWATa-rm - Susp'd Ceiling Roof ---- - - ASS ART FAIL. ------ ----- PbUMING Post&Beam - -- - - ---- -- ____ Under Slab Top Out --- - — --- Water Service Sanitary Sewer ------�--- - _ Rain Drains Final ------— - --- --- — -- PASS PART FAIL. MECHANICAL - Post&Beam - - - ----_ — ---- ------- Pough In Gas Line --_-__-- Smoke Dampers Final - - -- ---------- —---- PASS PART FAIL -- -�------------�---- -- ELECTRICAL - -- -------- ----- -------- Service i Rough In -- --- --`- - -------- . --- UG/Slab Low Voltage - - -----_ -.. ----- --- - .---- -- --- - -- Fire Alarm Final - --- ----------- - _ ---- PASS PART FAIL. WE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ [ ]Unable to inspect- no access ADA OtherApprcch/Sidewalk Date �1 (��- Other Inspector Ext Final PASS PAR.f FAIL- DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6 4175 Business Line: 639- ''I -� EUP Date Requested -AM-- -M— BLD Location_ 2-20y le i C��, Suit ? M3�O VZI'7 Contact Person /', `,.Ph _I << PLM Contractor'' I D- 3 0 �� Ph GWR _ _�l-nL.� -- - BUILDING Tenant/Owner ELC Retaimng Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN :;rawi Drain Inspection Notes: � --- Slub SST Post&Beam — — - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'.i Ceiling ------.-_ _----__--- Roof Misc: ---- - --- -- _.��- -- AS PART FAIL ------- --------- - PLUMBING � j Post& Beam Under Slab Top Out — . -' --- Water Service Sanitary Sewer Rain Drains Final PASS PART. FAIL ECHANICA ' Post&Beam -- - ---- --------------- Rough In Gas Line - Smoke Dampers rna --- ---- ASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm ------- Final PASS PART FAIL — ---SITE Backfill/:3rading --- Sanitery Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE:. [ ]Unable to inspect- no access Firs Supply Line ADA Z Approach/Sidewalk Date d 6 Inspector Ext l Other -- - Final PASS PARI FAIL DO NOT REMOVE this inspection record from the job site. C11 OF TIGARD BUILDING INSPECTION DIVISION MST ;A-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP C —_ Date Requested AM NM BLD Location Suite ,3 - MEC _ ` Ph `� l J 1_ ' Contact Person PLM � ----------- Contractor _ _ Ph /l SWR BUILDING Tenant/Owner - �� r't�1� 1L ELC Retaining Wall ELR ef/ !>D 1--3.?-- Footing Access FPS Foundation Ftg DraLi SIGN Crawl Drain Inspection Notes- Slab otesSlab - ---- ------- SIT -- — _---- — Post&Beam Ext Sheath/Shea' -- Int Sheath/Shear Framing —, ---------- _ ------ Insulation Drywall Nailing ------ Firewall Fire Sprinkler - - - - -- - - ---- - - - _ - - -. Fire Alarm Susp'd Ceiling Roof 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 - Flnal -- PASS T FAII. TRICAL ,� --- - Rough In - UG/Slab --- -. - ----- --- -- Low Voltage Fire Alarm - F'' _ ASSPART FAIL ---- ----- - Backfill/Grading ------- - --- --- -- ------ Sanitary Sewer Storm Drain l ]Reinspection fee of$ required before next Inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I J Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk 7 `tI In-'VectorExt Other Date - _ _ �L''>rL2d�—._ Final PASS PART FAIL 00 NOT RF-MOVIE this inspection record from the job site. CITY �� BUILDING PERMIT PERMIT#: BUP2001-00269 DEVELOPMENT SERVICES DATE ISSUED: 8/16/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S I31AD-03200 SITE ADDRESS: 12909 SW 66-1 H PKWY 320 SUBDIVISION: TIGARD OFFICE BLJiLDING ZONING: IOLIE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS � EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: �^ TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: 2-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 40 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS_ _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT It FIR SPKL: Y SMOK DET: DWELLING U114ITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 80,000.00 Renfiarks: Commercial TI 4005 square feet Owner: Contractor: PACIFIC REALTY ASSOCIATES H L GREEN 15350 SW SEQUOIA PKWY #300-WMI 15350 SW SEOLIOIA BLVD PORTLAND, OR 97224 STE 300 Phone: 503-709-1480 TI RD one! Z4 771 4 Reg#: LIC 41328 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 7/2.0/01 $634.90 27200100000 Electrical Permit Required Sprinkler Permit Required SPCT CTR 7/20101 $50.79 27200100000 Plumbing Permit Required PLCK CTR 7/20!01 $412.69 27200100000 Framing Insp FIRE CTR 7/20/01 $253.96 27200100000 Gyp Board Insp Susp Ceiing Insp Total $1,352.34 Final Inspection Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuarct•, or if work is suspended for more than 180 days. ATI ENTION. Oregon law requires you to fallow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-00.1-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee / �- Signatura: i I854d By: !1 1, , -fAz Call 639-4175 by 7 p.m. for an Inspection the next business day Building Permit Application Datcreceived: 7 2D�O/ Permitno.: /:;tt�z�t•l '��" City of Tigard — Address: 13125 SW Hall Blvd.Tigard,OR 97223 Project/appl.no.: Expiredate: Ciryoj Tigard --- Phone: (503) 639-4171 D:dcissued: By: -�Recciptno.: Fac: (503) 598 1960 �\ Case fife no.: Payment type: a Land use approval: 1&2fvnily:Simple — Complex: ❑ 1 &2 family dwui''ng or accessory ❑Commercial/industrial ❑Multi-family U New construction ❑Der.olition ❑Addition/al teration/replacement 'Tenant improvement ❑F;.r.sprinkler/alarm ❑Other. JOB$ITE INFORMATIO Job address: Bldg.no.: _ Suite no.: 320 _ - — Lot: Block: Subdivision: V —_ — _ Tax map/tax lot/account nu.: Project name: Description and location of work on premises/special conditions: — _u C Name: r�T�!st.i� (Floodplain, soMr, Mailing address: 153 &TV t J S 'r N11 I.,- of &2 family dwelling: City: 1ah —_ Slate: ZIP: 2'�',7..t.I Valuation of work........................................ S t Phoire: 5-03.6 2,q- Fax:yea-424-j fl f _ No.of bedrooms/Maths................................. — ---- Owner's m � presentative: e 4.S 0. h; Total number of floors................................. Phone:9)3•b2y-!> ido Fax: •3' _ ail: New dwelling lrea(sq. ft.) ..................... . APPLICANT Garage/carport area(sq. ft.)......................... — - Name: be-t1 N. t Covered porch area(sq.ft.) ......................... --- -- S _— Mailing address- Deck area(sq. fL) ........................................ t_ity:��gw�— Stat ZIP: �- Other structure area(sq. ft.)......................... r - ad - - CommerclaUindustrial/multi-family: — "'}tune:,�3.62`j{3Aa Far:: E-mail:hil CONTRACIrOR Valuation of work................ .............. ....... $Q,Doo Existing bldg.area(sq. R.) ................ ......... D>7 [_CPhonc:________ usiness name: &r.L_ J -C New bldg.arca(sq. ft.) ................................ _ ddress: � �--� -- ----- --- Number of stories......................... ... .. ity: : ate: ZIP: — �-- - T�;�e of construction......................... ..... .. x_ E-mail: —_- --- CCB no.. Occupancy gn,;:n(s): Exr.ting: ---. — Ncw: _ City/ricin)lie. no. Notice:All contractors attd subcontractors are required to be ' licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is bring performed. If the applicant is ��_. :� -=� 0 I .�cl5t. �t - City: exempt from licensing,the following reason applies: Slatc:� l: Contact person:�"S"p — Plan no.: --- �— -- Phone: 3' * Par: . E-mail: ——'— DI Name: lConlacl person: Fees due upon application ........................... $ — Address: — --- --- - - Date received: City: _ State: ZIP: Amount received .................................. ...... $ _ Phone: _ Fax:- iI E-mail: _-- Please refer to fee schedule____ -- I hereby certify 1 have read an examincLI this application ana a:e Na all iundict>,xu trcept reedit cards.pleas call ton"cna fa moa mfotmatioo. attached checklist. All provisions of laws and ordinances governing thl, U Visa o MasterCard work will be complied with. whrther specified herein or not. l Credit cud mummer - -- ------- — —�— lisptas %uthnrized signature —_ — — -- Date: --•_— _ �� None or cardholder as shown on credit cr.^t Print name. -- —— $ — —• — ----.' Cardholder uRnattta Atnouni., Notice: "its permit nppiication ernires if a permit is not obtained within I Ro days after it has heen accepted as ruu,plete. / W-ae13 thavcuM' PACTRUST 15350 S.W.Sequoia Pkwy.,Suite 3GLI Cortland,Oregon 97224 Pacific Realty Associates, L.P. 5)3/624-6300•Paasirnile:503/624.7755 RECE14�� August 15, 2001 Mr. Robert Poskin q14*0111` 04�tt'0�t�+ Cite of Tigard Buitding Department 13125 SW Hall Blvd. Tigard. Oregon Dear Boil, RF,: St. Paul Fire & Marine Insurance Tigard 'Triangle Campus, 12909 SW 68'h Park,✓ay, Suite 320 Tigard, Oregon �UI��aQ)1 - Z �7c This plan has been conditionally approved by the Tigard Building Department for coristru^tion. The review of the plan found the greater diagonal distance halved did not meet the distance for the .wo required exit doors shown. The required distance was 59 fret and the actual distance was 53 feet. This approval is torr this tenant and plan only. The distance would have been meet if the diagonal had been taken to the north wall ofthe break room or had the average of the two diagonals been used and halved. Sincerely, .lobo Rc.mish �` Architect �� _ ELECTRICAL PERMIT PERMIT#: ELC2001-00410 DEVELOPMENT SERVICES DATE ISSUED: 8/8/01 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12909 SW 68TH PKWY 320 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(1)200 amp service/feeder and (20)branch circuits. 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: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL ('10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 20 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+amp/volt: >=4 RE: UNITS: >600 VOLT NOMINAL: Reconnect only: — SVC/FDR >=225 AMPS:-- _ CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC 15350 SW SEQUOIA PKWY#300-WMI 10948 SE VALLEY VIEW TERRACE PORTLAND, OR 97224 CLACKAMAS, OR 97015-000 Phone: Phone: 503-698-3417 Reg#: Li(-, 51539 SUP 2053S ELE 3-243C FEES _ Required Inspections _ Type By Date Amount Receipt Ceiling Cover Wall Cover PRMT CTR 8/8/01 $199.85 2720(110000( Elect'I Service 5PCT CTR 8/8/01 $15.19 2720010000( Elect'I Final Total $215.04^ This Permit is issued subject to the regulations contained it the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with app,oved 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 taw requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 95 2-001 001 0 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1-800-332-2344 Perri• Signature: a Issued By: ( 1 /' ' g !� Lf i1)�111�e ash L�✓- -- — / , ,•� ---rte _ OWNER INSTAI_LATIOR 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'N: I'1 :�/l a/V //['l __— DATE: C LICENSE NO: _--- "� ---- - _- --- ---_— Call 639-4175 by 7:00pm for an inspection the next business day F rorn Charlynn J I-Pilsen 503 6M '4Wi Tn Cdy of TIWIld Dale:81712UOI T)mr:11:03:14 AM Papr 1 of 1 / -- Wuus Electrical Fermi#Ao p o16 �p City of ` icard rZL a- 313q,"data Addre.r•13127 SW Haft Blv,,L TYgwd,OR v,32 m.f�u h htxc► P1=c; (5W-)639-4171 Y ' Fax: 003) 5c.,8-1960 Mean eti,y:,,.mrype. Land um.approval: O 1 a 2 family dwWllnp rtacr...ary uarn.ndrLlt►tltflr.t4e1 Q It ati•-frail. l]Temmi iuWmVux%'=t ❑New tx3bbet rbm 0 Additloolf.l t Q O mr U P&nw Job addreu r _ 11 inn uier ao Tu ota�/rxz laUaccouvt .on aQ nwttO: YeQ Smotposed Oafs of c lc dins ecticw: -- job,er: 7AF4 i? D 1f4w RuaWa.r n T A T r_ , T N CaeM►�'a' too.imap Addnma: SA. cfty� CI. F c� g'70 g D—:t� �rtw+`r`aro."". on I OW .( .+� .57._ r�tm'R3 700 p.ft w n. uwnol _ a es CCH - r Bloc.bort,Ut_.tcot 3-2 4''I C flt.if.i GY'ty/metroLie.no.; mpTgn [10QL '-" '---- 1T /fes��/ �>�_.—_ l�mtwsj .00sa•ideeiel j _Co-%Z K t--,'r�_� �N d1'ILI�f OrIMLIAIY MOIII _ — f _trort _ t!R`!_�__ god tsvloo wN flet!. 1 .loaf n Ino 1= -CW ANA—-T..e .1.'i. laws""at rokoatlom 1114 tlwp•M l..e Q, 1 NW"m nt - ast antro I5S"_ __ SO -- ;ut add:ra. _.------ --- tat •I� - 1 Cl _ _ L utf�s to 16D�i I.lata:o0o wp ae: TV-W-_ .W.ar Mo ---- T#•-a _ t' -` Ow,nr tmuLUAfio- The tn/.iellatl0a is being made on oroparV I true n+b itr�.wwt= wt6Ch LI ow i01+.. ed rtw safe,lease,rent,of exchartse m=r4Aias to alar.ri•a,vrwMe�m ORS 447 433,479.GTO,701. 200 W low i Ownees ri at": 9090 Nva' 8 F'ew rb/bfyM1 eifool�wlthnllt _— __ -__ �etf' _ __-___-__19taf•' �7.LP7 ____ of wrwdtw - --' rv4r or rt.ar pnl.trsb a4plt 7 F'h0ttc. F.a. F,-vsrril: w�dlfTw do — O 9snA.r arc 111 wwp wtnafa•r aul ...i.nr a c�wfi tifLuu mwtoo rout a. �iyn.l Nr�iiU c*■ ,.J bdr.r t}v tw•, I 75rttem rvc p00�ulr notmiunl awrn reeidwdiwl�c��su ort•tr..eUve .laa.ltrrtiv mtu.itm• —__l._ 1 C)ftefl�y avw thQ teAr� CI tkedew-90910 t.tpr a.tore • dee: U t7_Afmmt k.A avr 09 P'� U Mawoftlaawd ravauae at RV pet[ Yla aAvr.we 9019 rppLmtW to rmfetstry mommom/ate We"m --- (nr ill 1 w amt a..M+•••cwa Irt.ad.r r-;, „f..,rr,e. Noose.T1tle t li-h- Ptrr>m1 fee .............E 7 vw Ptr� aAn Plan review w _ f�/X/ IQ2, uplr�if a pvmU Ir not at,taiand' ( cceatt ere ..I•v1...ud a,.�y..... Ar/ro�stt. '..-............:...,...3 - c c1r e..ynnu.. - N.oV. .bJ►171 r CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT'#: P 00332 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22 2/012/01 SITE ADDRESS: 12909 SW 68TH PKWY 320 PARCEL: 2S101AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK- LOT: JUPISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRF-,- B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: :;INKS: �1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Rei, ,-ks: Plumbing tenant improvement. Other fixtures are (1) expansion tank and (1)primer. FEES Owner: -- -- —' - Type By Date Amount Receipt PACIFIC REALTY ASSOCIATES `�— 15350 SW SEQUOIA PKWY #300-WMI PRM't' CTR 13122/01 $83.00 2720010000000 PORT] AND, OR 97224 SPCT C'fR 8122101 $6.64 27200100000 EiPCT CTR 10/5/01 $2.66 27200100000 PRMT CTR 10/5/01 $35.86 27200100000 Phone 1: Total $128.16 —11 Contractor: POWER PLUM BING CO PO BOX 23144 TIGARD, OR 9728'1 REQUIRED INSPECTIONS Phone 1: 244-1900 Rough-in Insp Reg #: LIC 52378 Top-out Insp PLM 34.150PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes arid 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 isauance, of if work is suspended for more than 180 days ATTENTION-. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these r-iles 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 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00223 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22/01 SITE ADDRESS; 12909 SVV 68TH PKWY 320 PARCEL: 2S101AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE 9LOCK: LOT: JURISDICTION: TIG TENANT NAME: ST PAUL FIRE & MARINE= INSURANC USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL 1 YPE: BLiSVVR IMPERV SURFACE: Remarks: 1.5 EDU increase. Previous value count was 301, this permit adds 23 value points for a new total of 324 value point or 2.0.3 EDI-I's, an increase of 1.5 EDU's. Owner: _ FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300-WMI _ PORTLAND, OR 97224 PRMT CTR 8/22/01 $690.00 27200100000 PRMT CTR 10/5/01 $2,760.00 4729ninnnnn Phone: Total $3,450.00 Contractor: A—16 Phone: Reg #: Required inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the pen-nit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 Feet in all directions 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 SEVVER CONNECTION PERMIT CITY OF TIGARD — ^I DEVELOPMENT SERVICES PERMIT#: SWR2001-00223 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22/01 SITE ADDRESS; 12909 SW 68TFI PKWY 320 PARCEL: 2S101AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG TENANT NAME: ST PAUL FIRE & MARINE INSURANC USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .3 EDU increase. Previous value count was Z11, this permit adds 5 value p:,nts for a new total of 306 value point or 19.1 EDU's. an increase of .3 EDU's. Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEOUOIA PKWY #300-WMI PORTLAND, OR 97224 PRMT CTR 8/22/01 $690.00 27200100000 Phone: Total $690.00 —_--- -- Contractor: Phone: k,-q #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The ptnnit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accurF cy of the side sewer laterals. If the sewer is not located at the measurement nivP,i,the installer shall prospect 3 feet ir, all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer' Permit ano the Agency will install a latera! ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 9:)2-001-0010 through R 952- 1-0080 You may obtaM copi sof these rules or direct questions to OUNC b�,calling (503) 246-1987 Issu�d by- ) Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection neede the next business day ` Accumulative Sewer Tally Tenant Name.-t- 4� L.. This SV�!R# _DO Address: 10 909 wy �iT rhes PLM*g: , D! -DD _S-n2 --. Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value adoed# added #s total Count off#s count value values _Baptistry/Font _ 4 __.-- Bath -Tub/Shower 4 -- JacuzziNVhirl pool 4 _-__— Car Wash - Each Stall 6 _-- - Drive Through 16 Cuspidor/Water Aspirator - 1 Dishwasher-Commercial _4 __- -_- Domestic_ 2 Drinking Fountain 1 -_- Eye Wash 1 _ - ----- --- - - --- Floor Drain/sink -2 inch 2 --_ ---- 3 inch 5 \ ---- ------ 4 inch _ 6 _ ---- -Car Wash Drn 6 L — Garbage Disposal 16 / \v /"�i• _-Domestic(to 3/4 HP) -- Commerc_lal (to 5 HP) _ 32 - Industrial(over 5 HP) _ 48 - Ice Machine/Refrigerator Drain Oil Sep(Gas Station) 6 V Rec. Vehicle Dump Station --16 Shower-Gang (Per Head) - 1 Stall _ ----- -- -- - Sink -gar/Lavatory 2 -- Bradley ---- 5 _ - -- — -- ---- �Commercial _-- 3 _T--Service Swimming Pool Filter _Washer- Clothes -- _Water Extractor _6 -- Water Closet- Toilet 6 ---- Urinal 6 - ---- -. ---- -- --- TOTALS Q-1)b� Total fixture values divided by 16 = o��' EDU w HISTORY _._ (F,-a -- PL.M# koi _-oo; i EDU_# I g,tSWR#fool -o�,cel :� PLM# - EDU# SWR# EDU# SWR# PLM# _ EDU# -SWR# _PLM#��-��'.�,___-�--- —�_g�.�6 ----- --- --- _-_ __ _PLM# EDU# SWR# PLM#— — F DU# — SWR# PLM# EDU# SWR# PLM# EDU# SWR# rlidstsiswnaty dor. Accumulative Sewer Tally Tena^!Nan.-:4> NIHIL ;� , / A,Q,ti1 This SWR# e'Po/-Co-•,93 Address: i290 9 This PI_W. �—oc332_ _ VFixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s curt value values Baptistry/Font _4 Bath-Tub/Shower 4 - -JacuzziM/hirIpool - 4 ---- Car Wash- Each Stall r; --_ - ---- — _ - Drive Through 16 -^ — -- -- - Cuspidor/Water Aspiratcr 1 - Dishwasher-Commerc,al 4 Domestic -- Drinking Fountain ---- Eye Wash - Floor Drain/sink-2 inch _- _ -3 inch - __-4 inch - - Car Wash Dm --- Garbage Disposal 16 Domestic(to 3/4 HP) - - - Commercial (to 5 HP) 32 ------ - ---- Industrial (over 5 HP)- 48 - Ice Machine/Refrigerator Drams 1 - ---- Oil Sep(Gas Station) - 6 - Rec. Vehicle Dump Station - 16 __ -- --- -- Shower-Gang (Per Head) - _1 - - -_ - -- - _Stall 2 ---- Sink-Oar/Lavatory 2 -- -Bradley -- _ 5 — - ---- Commercial 3 _ _ -- -- Service3 --Swimming Pool Filter 1 _ - Washer-Clothes - _Water Extractor --- Water Closet - Toilet 6 __ -- - -- Urinal -------- 6 _-- -- - --- ---- --- -- To rALS ('AO/ J �J• J A- C' Total fixture values _.i�' --divided by 16 - EDU HISTORY _ — PLM# ;oo/-vO'o;• EDU# /$.$ SWR#v�/-,Ic a/-, PLM_# EDU# SWR# PLM EDU# ;; SWR#,'laa0-f10�3�( PLM# -- EDU# S_WR# -- PLM# EDU# _ SWR# PLM# EDU# SWR# PLM# _ EDU# SWR# ---- PLM# EDU# --SWR# - —_ i%dstslswrtaly doc CITYO F T I C A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00299 13125 SW Hall Blvd., Tigard, OF 97223 (503) 639-4171 DATE ISSUED: 8/21/01 SITE ADDRESS: 12909 SW 68TH PKWY 320 PARCEL: 2S 101 AD-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TW-ES 0 - 3 HP: 3 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS: GAS PRESSURE: 50 + lip: WOODSTOVES. FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechan'.cal tenant improvement Owner: —FEES PACIFIC REALTY ASSOCIATES 'Type By Date Amount keceipt 15350 SW SEQUOIA PKWY#300-WMI PRMT CTR 3/21101 $133.00 272001000C PORTLAND, OR 97224 PLCK CTR 8/21/01 $33 25 272001000C 5PCT CTR 8/2.1/01 $10.66 272001000C Phone: — - Total $176.91 Contractor: -- PROTEMP ASSOCIAI ES INC 807 NE COUCH I IORTLAND, OR 97232 REQUIRED INSPECTIONS Mechanical Insp Phone:2.33-6911 Duct Inspection Reg#:LIC 38868 Final Inspection 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC jic911ing (503)46-9189. Issue By � � Permittee Signature:.' Call (503) 539-4175 by 7:00 P.M. for inspections needed the nexf business day ,�4 C7 Mechanical Permit Application Date received:� A 0/ Permit no.: City of Tigard Project/appl no.: Expire date: ,q City(if Tigard Address: 13125 SW Ball Bivd,Tigard,OR 97223 Date issued: 9y: Recr:iptno.: �e Phone: (503) 639-4171 -- -- Pax: (503) 598-1960 ��j01-00,-19 Case file no.: Payment type: Land use approval: — Building permit no.: 0 TYPE 6V I�ERMI U 1 & 2 family dwelling or ac:essory U Commercial/industrial U Multi-family xTenarit inlproveraent U NcW construction U Addition/alteration/replacement U Other:.110i SITE INFORMATION - tSCHEDULE' Job address: .2 909 34,--, 64-7 ' ke(jy Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: 7 3a� value of all mechanical materials,equipment,laoor,o�,cncoad. Tax map/tax lot/account no.: protit.Value$ �,t200 Lot: Block: Subdivision: 'See checklist for important application information and Project acme: ,Q.4U4, jurisdiction ',.,schedule for residential permit Ice City/county: , ZIP: _ xSCHEDULE Descr.ption and lodlion of work on premises: Ilz,.d e- t t -..��d w ov�1L�t Ses_:a%'r= �✓8.oT !�[.MP _____ F'ec(ca.l Total Est.date of completion/inspection: Description - Qty. Res.only Res.onl Tenant improvement or change of use: I handling Is existing space heated or conditioned?�l'es U No Air handling unit ---CFM—.- Is _CFM—._ --- Air conditioning(site pian required) _ Is existing space insulated?,OYes U No Alteration of existing HVAC system _ _ MF( 11%N'I( All. CONTRUTORioi er compressors -� Business name: �� State holler permit no.: D''- L -5+��_. ---- HP Tons BTU/11 Address: q'� i✓ ��_rJC N Fire/smo a ampers/duct smoke electors - City: _ `yes,p Slate: ZIP:97a cat pump(sit p an required) Phone:Z;,-4,9,,l f ax:0I_ E-mail_ Insta rep ace urnacr urner._BTU/H Including ductwork/vent liner U Yes U No CCB no.: '3 j*e.,g _ nsta rep ace relocate seaters-suspends , City/metrolic.no.: evS6-G wal;,or floor mounted Name(plcasr print): 'QGr'I „j" _�--- Vcntfor a.lianceot�6erthanfurnace Refrigeration: Absorption units__ _-_ HTU/H Name: Chillers._ IIP — Compressors Adrlre.,,,. ----- 'invironmental exhaust and vent -allow- 01N, t on:Cil} ApPlianccvcnt _ --- ..._. Phone: I i , ! ni.iil )ryercx alrstHoods,Type res. its en azmat hood fire suppression system _ Name: s{� TiCy s - Exhaust fan with single duct(hath fans) -- Mailing address: x laust system apart from heating or AC City: State: ZIP: _ ue p p nR an str at on(up to out ets) Tyle: _I'll; NG Oil Phone: Fa E-rnail: ue tin ear. additional river 4 outlets rocesap p ntq(whematicrequired) _ Name: NnnInCr of outlets _ _ — _ 1 ter d app ance or esu pment: Address: _ -__ _ _ Decorative fireplace City: Stale•. -rZIP: nsert-ttype - Phone: -- _ Otoocdr stov- epC l—etstove nE-mail. Applicant's signatu er: Nrtme (print): V No all iuriracticm%accept credit cartL,please call iurlulicrion Ln,Durr mfrxnurttrm Permit fee ................... Notice:This permit application Minimum fee............. $ U Visa U MasterCard Credit cud number: L—� expireobtaineds if n permit isnot obtained Plan Ida review(at .Y 9F.) $ _ -- I xpirri within 190 days aller it has been Stat.surcharge(8%)....$ Nuns of ardnasdeet as shown on credit card-- $ accepted as complete. TOTAL .................. $ -----—' Cardholder ridnature —Amount 410.1617(&WCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: -- _� Description: _ Price Total TOTAL VALUATION: PERMIT FEE: Table 1A Mechanical Code Cty (Ea) Amt $1.00 to$5,000.00 _ _ Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 b�$10.000.00 $72.50 for the first$5,000.00 and including ducts 8 vents _ 14.00 $1.52 for each additional$100 00 or 2) Furnace 100,000 encs fraction thereof,to and including including ducts F vents _ 17 4C $10,000.00. --- $10,001.00 _j6_$_2_5,0_0-0.00 $148.50 for the first$10,000.00 and 3) Floor Furnace 14.00 $1.54 for each additional 0100.00 or induding vent ___-- --- fraction thereof,to and including 4) Suspended heater,wall heater 14 00 $25,000.00. _or floor mounted heater ----- $25,001 00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in apoLance permit 6.80 $1.45 for each additional$11J0.00 or I raction thereof,to and including 6) Repair units __ __ $50,000.00_ __ _ - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply Boiler 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;absorb unit 1400 Minimum Permlt Fee$72.50 SUBTOTAL: a to 100K 6TU _ 8)3-15;iP;absorb 25.60 8%State Surcharge $ wit 1COk l0 500k BTU -- 9)15-30 HP;absorb 35 PJ 25%Plan Review Foe(of subtotal) $ unit 5-1 mi'.8 _ -- - - _Required for ALL commercial permits onl _ 10)30-5r HP;absorb 52.20 TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 rail BTU _- -__� 11)>50HP:absorb C?20 ____.---------- --- unit--1.75 mil BTU 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: - - _ V Value Total 13)Air handling unit 10,000 CFM+ 17.20 Description: O Ems_ Amount Furnace to 100,000 BTU,Including 955 '14)Non-portable evaporate cooler 10.00 ducts&vents - Furnace>1o0,n00 B I U induding 1,170 15)Vent fan connected to a sinrjle duct 6.80 ducta 8 vents -- Floor fu mace Indudin vent 955 ____. 16)Ventilation system not included in 10.00 Suspended heater,wall heater or 955 _appliance permit floor mounted heater17)Hood served by mechanical exhaust 10.00 Vent not induded in appllcence 445 - permit __ 18)Domestic incinerators 17.40 Repair units 805 <3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator 89.95 to 100k BTU _ - 3-15 hp;absorb.unit, 1,700 20)Other units,'including wood stoves 10.00 101 k to 500k BTU --- 15-30 hp;absorb.unit,5G1k tc 1 2,310 21)Gas piping one to four ou'sts 5.40 mil.BTU 30-50 hp;absorb.unit, 3,400 22)More than 4-per .,flat(each) 1.00 1-1.75 mil.BTU __ _ S >50 hp;absorb.unit, 5,725 Minimum Permit Fee 972.80 SUBTOTAL: _>1.75 mil.BTU ------------ Air handling unit to 10,000 cfrn_ 858 _ 8%State Surcharge Alr handling unit>10,000 cfm Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: S Vent fan connected to a single duct 446 Vent system not Included in 656 - - 8 liana; ermit Other Ins�ectlona and Fees: Hood served by meChanlGal exhaust 656 1 Inspections outside o'normal business hours(minimum charge-Iwo hours Domestic incinerator 1 170 _ $72pec per hour. Commercial or Industrial Incinerator _ 4 590 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) $72 50 per hour Other unit,Including Wood stoves, 658 3 Additional plan review required by changes,additions or revisions to plans(minimun InsertS�etc. charge-one-half hour)$72 50 per hour Gas piping 1-4 outlets 360 Each addlilonal outlet 63 'State Contractor Boller Cert, ;,alien required for units>200k BTU. -- - ' Resldentlol AIC requlres elle plan showing placement or unit. TOTAL COMMERCIAL VALUATION: _ l:\dsts\forms\mech-fees.doc 08/06/01 CITYOF TIGARD PLUMB114GPERMIT -' DEVELOPMENT SERVICES PERMIT#: PLM2001-00332 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22/01 ' SITE ADDRESS: 12909 SW 68TH PKWY 320 PARCEL: 2S101 A.D-03200 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYNE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY rRP: B FLOOR DRAINS; 1 TRAPS: STC,r.IES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: 31NKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: REIN DRAIN: ft Remarks: Plumbing tenant improvement. Other fixtures are (1)expansion tank and (1) primer. Owner: --- FEES — ----- - — Type By Date amount Receipt PACIFIC REAL TY ASSOCIATES PRMT CTR 8/22/01 $83.00 27200100000 15350 SW SEQUOIA PKWY#300-WMI 5PCT CTR 8/22/u1 $6.64 27200100000 PORTLAND, OR 97224 Total $89.64 Phone 1: C::ntractor: POWER PLUMBING CO PO BOX 23144 TIGARD, OR 97281 REQUIRED INSPECI SONS Phone 1: 244.1900 Rough-in Insp Reg #: LIC 52378 Top-out Insp PLM 34-150PB Finallnspect;on This permit is issued subject to the reyu!ation3 contained in the Tigard Municipal Code, State of OR. Specialty Codes and ail 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 arlopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: /`., G Permittee Signature: Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day 1 -r Plumbing Permit Application Date received: fJ 1 Pcrmit uo: CX S�y2 City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City gfTigard phone: (503) 639-4171 Project/apiil.no.: Sxpircdate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.. Payment type: '1_4 O 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family Tenant improvement U New construction U Addition/alteration/repiacement ❑Food service U Other: -- — 1 1 Job address: S W i' rlption Qty. Fee(ca.) 'Total J��b�# bg� r ws,. - New 1-and 2-family dwellings only: Bldg.xma /� 1�T R F3`Z Sui_eno.: 2,0 _ (includes 100 R.for each utility connection) (\ Tux map/tax lot/account no.: SFR(I)bath Lot: Block: Subdivision: SFR(2)bath Project name: '� Fi 4mo '1AArttnte Iaa4M CA. SFR(3)bath City/county:rt, ZIP: Each additional bath/kitchen Descri tion and location of work on premises: 0^J _ Siteudma: „31i F/r,;_ _ Catch basin/area drain Est.date of completion/inspection: — Drywells/leach line/trench drain Footing drain(no.lin. ft.) <-,) Manufactured home utilities Business name: j-DWE0- �} ___ Manholes —_ — Address: f9 '� _ Rain drain connector Stan:a&TZIP: - Sanitary sewer(no.lin_ft.)—v Phone:-')yq-/90D Storm sewer no.lin. ft.) - --_ Fa - F.-mail: _CCB no.: Plumb.bus.reg,no: 3c/_/SO P18 Water service(no.lin.ft.) - City/metro lie.no _ Fixture or Item: Contractor's representative signatu Absorption valve Phut name: �-- Back(low preventer _ �� -- �ele Date:$-y-0 Backwater valve Basin.%Aava'.,:y _ Name: _- Clothes washer — c Address- ' �J~ho c Dishwasher 4b . I { t Chinking fountain(s) ,ty_ ��n — -- Stater 7.IP: 'I O Ejectem/sum )'hone:- 4�F.-19fjp I axZL c-:.,,nsion tank Fixture/sewer cap _Name kprint): floor drains/flonr sinks/hub G„w Mailing address: _ Garbs c dis srd G Cit Stute: ZIP: Hose bibb -_ — Y: - Ice maker Phone: Fax: E-mail _ lntesce tort rease tragi— _ Owner installation/residential maintenance only: The actual installation Primer(s) !G, 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),layst l,----J-- Owner's signature: Date: Sump _ _ _- Tubs/shower/shower pan - Name: Urinal ---- — - -..—_— — Water closet Addrcsv — Water heawi / City: _ State: - L1f� _ Other: — Phone_. Lax: 4 email: _ - OUt "- Nd all Jurisdictions accept credit ca dr.^lease call JurivUcnon for more information. Notice:This permit application Minimum fec................$ --- U Vise U MasterCard expires it a permit is not obtained plan•.eviewat ,— %,) $ Credit card number: _._ _ � � Stair,surcharge(BAF,) ....$ ep-� ire: wtthiu ISO days aft—rt has been —�,-�-�- - -- --- — accepted as complete. TOTAL .......................$ _- _— Name of cart6.ol er r u at own nn credit earl '! �rCU Amount � CerdlhJder s{`nature Aunt � ' ' 440J6IG IhItKVCnMI !l �• y e.J PLUMBING PERMIT FEES: PRICE 7074E New 1 and 2-family dwellings only FIXTURES (individual) __- CrTY ea AMOUNT (includes all plumbing fixtures In PRICE 7074E Sink 16.60 Z^ the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection) _- Lavatory — One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath _ $35_0 00 �- Shower Only _ 16.60 Three 3 bath _- $399.00 Water Closet 16.60 — SUBTOTAL Urinal - 16,60 _ 8%STATE SURCHARGE __ 16.60 PLAN REVIEW_25%OF SUBTOTAL Dishwasher _ -__ - _ TOTACI _ Garbage Disposal 16.60 , U,�r Laundry Tray— 16.60 - - Washing Machine r-416.60 Floor Drain/Floor Sink 2" - _ 1660 PLEASE COMPLETE: 3" 16.60 q^ 16.60 --• - — t6.60 Quantity b Work Performed Water Heater .O conversion O like kind // (,O Fixture Type. New Moved Replaced Removed/ Gas piping requires a separate mechanical I (G+ - Capped Sink — — MFG Home New Water Seik a 4640 -� -7( Lavatory__ - -- MFG Home tJew San/Storm Sewer Tub or Tub'Shower Hose Bibs 16 60 _ Combination - Roof Drains 16.60- Shower Jnr_ _-- — `- -60 50 Water Closet Drinking Fountain __ _ Urinal — C;�er Fixluros(Specify) _ 30 Dishwasher _ Garbage Disposal -- ---- - - Y ----- - l-aun±y Room T7a Washing Machin.: Floor Drain/Sink: 2" _— Sewer�tst 100' — 55,00 - 3" Sewer-each additional 100' 46.40 q„ _- 55.00 Water Heater - Water Service-1st 100' — Other Fixtures Water Service_each additional 20' 46.40 Storm Rain Drain-1st 100' 55.00 Storm 8 Raln Drain•each additional 100' — 46.40 - Commercial Back Flow Prevention Device 46.40 ----- - _ -_ ResidP;-5 Backflow Prevention DevlcW 27.55 match Basin 16.60 _- -- �- Inspection of Existing Plumbing or Specially — 72.50 Requested Inspections er/hr — COMMENTS REGARDING ABC VE: ---- Rain Drain,single famil,i dwelling 65.25 __ --- -- -- Greasy Traps ------- - 16.60 _ — — ------ - ---- QUANTITY TOTAL -- Isometric or riser diagram Is required If --___— __ _Ouenttly Total Is_i_9 — — —v—v — --•—_ _ - *SUBTOTAL b — -- 8-/e S-F TE SURCHARGE ll(! f.14 - -- --— _ ••P S REVIEW 250/e OF SUBTOTAL Rn ulrq ad only If Ilxtwo qty ktal Is�8 — TUTAL a9 b "Minimum permll fe@ is$72 50+8%state surcharge,except Residential na6flow rraventlon Dovice,which h$3e 25+e%state surcharge **All Now Commercial Bulla,ous require plans with Isometric or riser dim am and plan inview !:\dsts\forms\plm`ees.doc 10/10100 BUILDING CITY OF TIGARD PERMIT#: BUP2001-00285 DEVELOPMENT SERVICES DATE ISSUED: 08/1612001 13125 SW Hall Blvd.,Tioard, OR 972.23 (503) 639-4171 PARCEL: 2S101AD-03200 SITE ADDRESS: 12.909 SW 68TH PKWY 320 SUBDIVISION: TIGARf_1 OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF vVORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: CUM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2-1 HR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOr2: HT: ft BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKI,'rG: VALUE: $ 2,785.00 Remarks: Modification of 32 sprinkler heads for tenant improvement. Owner: Contractor: PACIFIC REALTY ASSOCIATES FIRESTOP CO 15350 SW SEQUOIA PKWY #300-WMI 9384 SW TIGARD ST PORTLAND, OR 972.24 TIGARD, OR 97223 Phone: 503.684-0432 Phone: 620-6140 Reg #: LIC 63845 FEES _ _ REQUIRED INSPECTIONS _ Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 08/0712001 $81.70 21200100000 Sprinkler Final 5PCT CTR 08/07/2.001 $6.54 27200100000 FIRE CTR 0810712001 $32.68 27200100000 ---- -- Total $120.92 �- This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopt-,d 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 raliino (503) 246-6699 or 1-800-332-.2344. Permittee Signature: Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business day �Iw(ot Building Permit Application Date received: Permit no.: City of Tigard Address: 13125 SW Hal I Blvd,Tigard,OR 97223 Pr'ojecdappl.no.: Expire date: City q�TignrG Date issued: By: Receipt no.: Phone: (503) 639-4171 Vax: (503) 598-1960 Case file no.: I Payment type: Land use approval: I&2 family:Simple Complex: all MJMJ;J= J 1 &2 1amiiv dwelling or accessory U Commercial/industrial U M4pi '- mil} LI New construction U Demolition U Addition/alteration/replacement FfTenant improveme-t U]ire sprinkl®r alarm ❑Other: Job address: /. - '' ---- —- Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/acwunt no.: Project name: Description and location of work on premises/special conditions: S rF 0 H^� 5%04(Floodplain,septic caph.-ity,solar,etc.) _-- Name: A �k I _ Mailing address: I c') 15 p s SE Cku o A �� C►3 S 0 1 &2 family dwelling: City: Py(let-hN D Statc: p(L ZIP: 9x LL Valuation of work........................................ Y — ;Phorc: `io1- Fax: E-mail: No.of bedrooms/baths............................... . ns's representative: _ _ Total number of floors................................. onc: Fax: E-mail: New dwelling area(sq.ft.) .......................... AIPPLICANT Garage/carport area(sq.ft.)......................... - Name: Covered porch area(sq.ft.) ......................... _ - - - Deck arca(s ft. Mailing address: y. ) ................... ................... —- State: - Other structure arca(sq. ft.)...... . .......... City: State: 7_IP: ...... - —SSSS-- Phonc: I.-ax: E-mail: ('ommercinUindttstrial/multi-family. Valuation of work....................I................... --- Existing bldg.area(sq.ft.) .......................... — _Business .e: Ft 5to P C+t,MPPNew bldg.area(sq.ft.) ............................... -- -- Address: 113 t&ftkyno Number of stones City: -T l e'.A. p Stnte:pR I ZIP: Z Type of construction.................................... Phone:7o;-6Lo-41Fax: E-mail: Occupancy group(s): Existing: CCB nr_: h3 - New: _ City/metro lic.no.: S S Notice-All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: S A SMG /� O W N — provisions of ORS 701 and may he required to he licensed in the Address: �- - - jurisdiction where work is being performed, If the applicant is Cit State: Zlp: exempt from licensing,the following reason applies: Contact person: Plan no.. Phone: Fax: I E-mail: _-- Name: Contact person: Fees due upon application ........................... $ _ Address; _ Date received: City: _— State: 7,IP: _ Amount received .. ............................. .... $iiii _ Phone: Fax: I E-mail I'leme refer to fec schedule. hereby certify I have read and examined this application and the N"t all jurisdictinn.s accept credit cardq.please call JuNediction for more inGmnatlon attached checklist. All provisions of laws and ordinances governing this u visa u Mastercard work will he.complied with, whell s clfied herein or not. r'rcdit cab"a'nher---- let �J —Expires Authorized signSa'ture�� !' !7�__ Dale: Q 3 "�'I — Name of cardholi er as shown on ciit card Pnttl name:_�yLL`�tr� — — -- t'nrdholder si nature S I'.mounl tiolice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404611(ertlaco) Fire Protection Permit Check list —�-- — A. fJ New ❑ Addition 0 Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: /4-V z (L L LI 4e Lo Li0 69 1cN /►N i t�• Lt:S, ape of_S r�stem Co_mpletre�A, B or C as applicable) — — —__ A.)-Sprinkler Wet Dr ria Standpipes _ — --- Additional Hazard Group L Information Density ---_—_ --- Design Area K�Factor Sprinkler Prn'ecJ t Valuation: $ L,18 5 _e I,- Hood Fire Suppression System -- __—Hood Pro ect Valuation$ ------------- C. Fire Alarm Submittal shall Battery Calculations_ Yes include: Individual ComponFrit Yes Cut Sheets _-- Fire Alarm Pro ect Valuation: $ ^—Project Valuation Subtotal A, B & C : $ -- Permit fee based on valuation (see chart : $ _8% State Surchar e: $ FLS Plan Review X40% of Permit: $ —�• b� -— - -- -- -TOTAL_ $ I:\d9t9\form9\FPSchecldi9t.doc 06/07/01 � ELECTRICAL PERMIT- CITY OF T I G A R D — RESTRICTED �.NERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00232 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 9/19/01 PARCEL: 2S 101 AD-03200 SITE ADDRFSS: 12909 S'�'/ 68TH PKWY 320 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT: JURISDICTION: TIG Prrulect Description: bate telecommunication installation. I 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: INSTRUMENTATION: OTHER: �. TOTAL#OF SYSTEMS: 1 Owner: _ Contractor: PACIFIC REALTY ASSOCIATES CUSTOM TECHNOLOGIES, INC. 15350 SW SEQUOIA PKWY#300-WMI 4353 HAYESVILLE DR. NE PORTLAND, OR 97224 SALEM, OR 97305 Phone: Phone: 503-390-8220 Reg #: ELE 24-384CLE FEES _ _ Re��uired Inspections _ Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 9/19/01 $75.00 2720010000 Elect'I Final 5PCT CTR 9/19/01 $6.00 2720010000 Total $81.00 T his Permit is issued subject tr,the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will ba 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 niles are set forth in OAR 952-001-0010t -ugn i�.aR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 '� n — Issued by � �_k�_L�E:! Permittee Signatureyy� �/J'� — __ OV':NER INSTALLATION ONLY The installation is being made on property I owr. which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: _ �—_ DATE:_ v CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: Ca�t�AJ�1 A-C-!u_� LICENSE NO: _-- Cali 639-4175 by 7:00 P.M. for an Inspection needed the next business day 09 18 20.11 15:44 FAX 51)33.191960 CITY OF TIGARD uu2 Electrical Permit Application — D eteceived. Pernsitno.:Cd-C�2CGU_ao,13 City of Tigard ,Ro}�er/appLtw.; _ Ej.pirr.datt. Cir)'ofTigard Address: 13125 SW Doll Blvd,Tigard.10R 9717.7.3 Date issued: — - ay 0eeiutno Phone; (503) 639-4171 Fax: (503)398.1960 Cale file no. n■ymcnttype: Lang use approval: C3 I k 2`amity duelling a'«ccetsory O Comtrerual/induslnal J Multi-f untly U Tenant U I.inial improvement Q New construction 0 Addition/altemuon/repl2ccment J CMher:.-- t l Job a0dress: AL1 St+1 � ltldg.no: -�:.:.tc 0 n 'i tx mapltAgloirxcount no.: — Lot: i Block. - Subdivision. —_ -- - - _ � C �^ Description and location of work ou pmmtses: 'reject name: 5.r--r�'3,L��.-- �-.._� -- .._ Astimated date of com lettonlino tion: ft■r M.. Job no: -c-r �l., Description •a Total rrrr invn Business name: �f i�pr� .1n✓� -t_ wrveitiMlthl. aadtt-f. yper Addtees -�,r'` } 1 t7 i2 _. dneUitt�aNtlachdes.turlydg■taY■. city: stare e2- Z)P: 9! U,y� Senlalnct■ied Phone: ;�o- �o Fax �o -1 d r-mail:C. evq .b.e 10(in t9 r�or lest ; -_ Bach additionaO tq ri �portion thereof oa:Ecc.bus.li 1CCK rddnu� C1ty/meuv lic.W).; mtardcnergy.non•rasldenu� - — - -- �---- swh nanu`uctured home or mvduiudv.ein:; — `�— Due 5f Service a Ucr feeder _ 3i turn of stlpttrvu n�tltrc�ncion( wrod - — �twors n-i;6cRil■tiun, — 9up.eioc nems( 'm) KL S .t L,ae+tsen . X17 alteration or niecatiah. IOC v a lest 201■nqr to 400 a ---_ - _ — 2 4Qlvnpt,o600�mpe __--- 1vWiingaddress-- ----- oen+pr f to c.�.,np_ --- -- 2- ---- — - Ciry. Over 1000 Stripo,w,:q 2 .—TE.tnad. - Paconnraonl -- - -T -- --- , phone Owner installation:The instillation is being made on}rrpery I own erapenryw ethMers 1■rrxU■titxa■Iteratita,orrelaotiort. which i?nCt inteadea far sale,leave,rent.or CKchange nczutdLng t'3 200 amps or Ir;._ ORS 447,4SS.479,670,701. 20: t l0 unpr - t?wnet's si :azure Date: K !w Br•a■ceirevit■-hewalter+ttwn, or cvt■rttiwr pt passel- Name. ___ h Fbe for 1)rMch rn-vitt With pVrrhue c" Address: tervtu m fader f•a,tacit branch circuli 2 $tate: ZII`' 6 Ftr�w�rvneh tyrCeib w. outperchase o!service or fmdu toe,fire br■rv:h arctnt. 2 Phone, Flax F �all: h a dtuonu breech cimwv Mitre.ISereicr m r rot inc�'It�� fi■ch p■ cr,rti anon crick :1Serviorever 225unpt-crntnturul W NwIJ+•<ve'tcibry _ --�— _ - - 2 '- O Service aver 120 mpg r■dng of 16.2 J Haurcouducatlrnr Each sign of uutlir»Uah-ink___ _ fandly Owe lings Buildinaovm iri ON sJuad fv.r fest or Signal cireulgr)or.limlrrA ereray prurcl, O Jy+fmov 0500 vplu nem n� mere re0kr•iel Urdu ri Ne awcnre dtertliM,.rutaruion" __�. — -•--�_�_ OBuildlnbo erdvee.rone4 UFeeden,400•mpttit r•vxe •1]acri eiw: _ O Ocr upent toe!ova 99 narort O Msnalutweti tavuturrs or RV pat4 )txbs"11"W eyion o•rr lhr Inn•ble m strrij o flo meets J P.tir-.,1rthtintplvn O cher —._- ------ Pr, --- Babrah vtu of plasm aitb my of the■fwve. fee - - - iTtt rbove ars wl• Icable 1.�leN comAnttbte n n4ce- Wet Notice:'fhi! it a licatinn Permit fee.......-.. ..... r+a all lunIdAt■■WOW bvb cede.Meas ti,)"rinser 11n here W'arrrt.e. erTni Plan revir% (at Cl Visa l7 bMa_tterCud ezpires if a pennd is not obtained �_1_-_ within Igo days after it has begin .tate surchaMe(696). .$ ,:ndu c■d nuorba ___ ------ TM Al. ■cmpted la complete S -----'� -.__ --__...�o- v�pr■e_ --- AtrtouM - 09;18.2001 15:45 FAX 50:15981980 CITY OF TIGARD 003 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED • RESIDENTIAL ONLY--- p Restricted Energy Fee............................................. ....... 47500 Nurrtbeirotinspectlort3Mpermit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total check Type of worx involved. Ftasiderrttal-per unit 1000 sr,.t.01 leas _ $14515_ 4 Audio and Stereo Systa'rls' Each addititural 500 sC R or portion inxaor 433.40 aurgiar Alarm L imlted Eneq-y 57500 Each M.arrtrd Nome or ModularCisrH Doo r•)pener' Dwelling Seneca or Feeder _ 490.90 2 1J Seniors or Feeders Heating,Venoiehon and Air Comlitionirg'Systerll' installation,-Iteration,o, aioauon 200 amps tees _ $8030 _ 2 Vacuum Systems' 201 amps to 400 amps ,T $106 85 2 401 amps to 600 AMPS _ $10057 7 r, 601 amps to 1000 amps —_ $24060 : u OtherOver 1000 ernes or vo,ts $4546S 2 Reconnect only _ $6665_ 2 Temporary Services or Feeder's TYPE OF WORK INVOLVED •COMMERCIAL ONLY Ins2�amps to 0 mos ocstror Foe for each system...................,...... 575.00 pa ' $66,65 2 I (SEE OAR 915-260.260) _ 410030 _ 2 401 anpt to 600 amps _ 5133 7..5_� 2 C'reck Typo of Vrak Involved. Over 600$MOS to 1000 volts. see'11 clove, Audio and stereo Systams Bronchi Circuits --11 ii tlsuaton or miens on per panel 80Ner G mtrols LJ e)The lee lur branch rircutts with Purchaser of serWos or D cior�Systems feecMr Ace. Each lranulp crcult S011 na Data Telecor11muricAdon installation b)The fee'v branch rJrouits wRAo rt pun hale of ssrv,cr Fare Alarm Instrllatuor• or hwcMr he. Rust"ich crctut _ $4655 _ CUM ad;lrwnar Wanch Groot 48 e6 HVAC IlflsceltsnarwaInstrumentatkm (.9erviue,or leader not inc wd W) Ej Tach pump or trrigador ro ole _ $53 40 - Each sign or oullne llghtne M� $99.40! - -- _ Intercom and Paging Systems Signal crcult(e)or•6mifecl energy pantl,aNawsem M extension _ $7600 17� I arldscape Imgati0't ContiJ' Mina Labels 110) $12500 Each additional it ♦pennon over Msd!wl the aaowablo in any of the above Por ingWillon $a:50 — ❑ Nurse Calls Mr huut __ $62 5C In Pant $73 Outdoor Lonctuape Lighting' Fees: Prolective Signali,)g I Fnter tub,of abovrr feet -- Iy State8urcharr 5 _- _V_ I Number of Systema 255 Plan RwYrw Fee r+� c &m'Pa•i Re 4W%a-bon x 4 rnsst ere requiredLrrA�ses an required Mr NI ether Inc aNe .nn hcnl yr spo*mtIlon - -- - ----- Feea: e� Total f9t:fancx Due 9 tele,total of above regia 4 L__J Trust Account M_ ——--� �I s•X State Surcharge S ,_ Total Balance Due r AtbNtarmVlc-foes d« 06/07.VI CITYOF T`GARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00269 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/16/2001 PARCEL: 2S 101 AD-03200 ZONING: MUE JURISDICTION: TIG SITE ADDRE:',S: 12909 SW 68TH PKVVY 320 SUBDIVISPCN: TIGARD OFFICE BUILDING BLOCK: LOT: CLASS OF WORK: ALT '(�'PE OF USE: COM TYPE OF CONSTR: 2-1 HR OCCUPANCY GRP: B OCCUPANCY LOAD: 40 TENANT NAME: ST PAUL INSURANCE REMARKS: Commercial "'14005 square feet Owner: PACIFIC REALTY ASSOCIATES 15350 SW SEQUOIA PKWY#300-WMI PORTLAND, OR 97224 Phone: Contractor: H L GREEN 15350 SW SEQUOIA BLVD TE 300 BARD, OR 97224 Phone: 624-7717 Reg#: LIC 41328 z1- Pl- This Certificate issued I4PNt0f) grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Spe(;i Codes for the group, occupan,:y, and use under which the T >inceldpermit wai epi.DING INSPECTOR BUII-NNG O, ICTAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 63P-4175 Business Line: 639-4171 (ii) — Date �,Requested-2-/ 6/62— �e'/questte/ed-2� / G � AM PM BI.tT Location ` = - 61- Y �i�C�/ Y _ Suite Contact Person Ph ayl -00.02_ CC r Ph _ SWR `'WJUJDING Tenant/Owner _ — ELC ro —_ -- Re arng all — ELR Footing - Foundation Access: FPS Ftg Drain SGN Crawl Drain inspection Notes: --- Slab --- — SIT Post& Beam ---- Fxt Sheath,Shear _ Int Sheath/Shear — Framing -- — -- -- --- ---- Insulation -------u-- --------- Drywall Nailing Firewall - - -....-----------___.._.-- Fire Sprinkler Fire Alarm - ----- - -- ----- - Susp'd Ceiling -- ----------- Roof --- -- ---- . -- Mic: --- -- - —._..._.— ------- ------ - .. — - PASS PART FAIL -- ----------_----__ _.-_ -- _ -_ BING Post& Beam - --- -- __...-- ------ ---- ----._ __ - Under Slab fop Out --- --- - Water Service Sanitary Sewer Bain Drains Final ------- PASS PART FAIL. MECHANICAL -- ------------ ------ Post& Beam ------ -- ------ - - �— Rough In Gas Line ----- --- -— ------------ - --- -- — Smoke Dampen Final ---------- -- PASS PART FAIL ELECTRICAL -- Service Rough !n ----- ---- -- _ - __------_—__ __ UG/Slab Low Voltage — - Firo Alarm F final PASS PART _FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ _ _ _required before next inspection. Pay at City Hell, 13125 SW Hel Blvd Catch Basin [ ]Please call for reinspection RF _---_-+_ --- [ )UnablE to inspect- no access Fire Supply Line ADA chlSidawalk Other L 1 /G 2 , �} ower Date Ins - _-- .__._._ pector__-�---" _ Ext Final -- --- — --` PASS PART FAIL J 00 NOT REM 'fE this inspection record from the jots site.