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7100 SW FIR LOOP-1 1 f i .. 7100 9W PIK LOOP CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP Date Requested /���eo�q�1 AM— PM _ BLD Location C7/L'�' cJ LII' I--M-0 Suite — MEC Contact Person SL,,(— Z��w� �t�((t'l�C� Sl'L Ph -y`f ' -i i PI.M Contractor Ph SWR _ BUILDING Tenant/Owner l�c ^ CNI�r/ 1� `s ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain - SGN ^ Crawl Drain Inspection Notes: ---- Slap _- -- -- - - - - SIT Post&Beam -`-� Ext Pheath/Shear Int 5.reath/Shear -� Framing Insulation Drywall Nailing Firewali Fire Sprinkler I _ Fire Alarm Susp'd Ceiling (S� Roof Misc: -- - ---��. Y> ---� Final -e PASS PART FAIL �---����---,H--�--� Post& Beam Under Slab -- Top Out Water Service _ Sanitary Sewer --- Rain Drains Final �--'-; ------- i .i ---,.� -- ---- PASS 'PARf FAIL MECHA CAL Post n Beare - -- -- - - Rough In Gas Line - - - ------ --__ Smoke Dampers Final - — - - - - --- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage - Fire Alarm Final PASS PART FAIL -- - -- - --- - ---- ---SITE Backfill/Grading - - ---- --------_�_.- _ -----.._,._ Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at Citi Hall, 13125 SW Hall Blvd Catch Basin i Fire Supply Line ( j Please call for reinspection RE: Unable to ins____-_ ( pact no access ADA Approach/Sidewalk / i // ;'J 7 Cate N Inspector Ext Other -- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F TIGARD — ELECTRICAL PERMIT PERMIT#: ELC2002-00174 - DEVELOPMENT SERVICES DATE ISSUED: 4/18/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 25101 DA-01000 SITE ADDRESS: 07100 SW FIR LP SUBDIVISION: 72ND BUSINE'S'S CTR-YARNS PARK ZONING: C-P BLOCK: LOT : 010 JURISDICTION: TIG Proiect Description: Recepticles for HVAC. JOB #2251 RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OL1T LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER _ �— BRANCH CIRCUITS _ ADU'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 201 - 400 amp: 1st W/O SRVC OR FDR: i PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN_REVIEW_SECTION _ 1000+ amp/volt: >=4 RES UNITS: i > 600 VOLT NOMINAL: Reconnect onl�r _ SVC/FUR >= 225 AhIPS: CLASS AREA/SPEC OCC: Owner: Contractor: VAN GORDER, BERTON D + WILLAMETTE ELECTRIC INC VAN GORDER, JOHN S PO BOX 230547 7100 SW FIR LOOP TIGARD, OR 972.81 TIGARD, OR 91223 Phone: Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections Type By Date Amount Receipt~ Ceiling Cove, PRMT GTR 4/18/02 $5 .50 ',.720020000(00( Wall Cover Elect'I Final 5PCT CTR 4/18/02 $4.28 2720020000( Total $57.78 This Permits issue' uulecr 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 i(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 952-001-1080 You may obtain copes of these rules or direct questions to OUNC at(503) 2461699 or 1.800-332-2344. Permit Signature: ��' Issued B ' A l- _ 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:-- CONT14ACTOR IK'STALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __- LICENSE NO �__-- -- _ -------- -• - Call 639-4175 by 7:00pm for an inspection the next business day C 7i{ 1 Electrical Permit Application halo received: / G Perm�no.,A.,_,460. � City Of Tigard Project/appl,no.: Expire date: City ofTigard Address: 13125 SW Ihill Blvd,•)pard,OR 97223 Date issued: — By:rye, Receiptno.: Phone: (503) 639-4171 r Pax: (503)598-1960 / Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family XTenant improvement U New construction U Addition/alter,ilion/replacenurnt U Other:i_ U Partial .1011 SITE INFOkMATiON .Job address: 7100 Sw f, i L U JQ nr . Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: --- _ _-_ Project name: fie,.y"" j, /r Description and location of work on picinises: Estimated date of core letion/ins ction: 1WEIN01211 gum Joh no: t j5-/ Fsr Max Business name: W I)a r`r t e /ra{,�e n G Descripliun thy. (ca) focal no.insp Address: 0 1 j U j r�7 New a�knlLd-single or multi-fam0y per dwelling unit.I nclutles attached garage. City: 4 �J Stater ZIP: 7ZY/ Service Included: Phone:. '3 6 e,/ 7011 Fax:S.rj 6 z v,"r E-mail: 1000 sq.ft.or less t CCB no.: D 75 os 11 1 Elec.bus,lic.no: y-jej Each additional 500 sq.ft.or portion thereof Limited energy,residential 2 City/metrolic.no.: 97 / °60o S96 Limited energy,non-residential ? C Each manufactured home or modular dwelling Signature o su rvis cion(r wired) Date Service and/or feeder Sup.elect.name(print): License no: /ybf f Services or feeders—Installation, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: 401 soups to boo amps _ 2 601 amps to 1000 amps 2 City: — Slate: ZIP; Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect only 1 Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 200 snips or less 2 201 amps it)400 amps 2 Owner's signature: Date 401 to 600 ants 2 Branch circuits-new,alteration, or extension per panel: Hanle: A Fee(or branch circuits with purchase of Address: service or feeder fee,each branch circuit 1 2 City: _ State: ZIP: B. Fee for branch circuits without purchase 8; 3y Phone: i'a s E-mail' of service or feeder fee,first branch Orcuir: j 116 y5 2 Each additional branch circuit: 6 ., Misr.(Serrlce or feeder not included) U Service over 225 amps commercial U Health-care facility Each um or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous locationFAchsi nor outline lighting 2 family dwellings U Building over 10.(X10 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal unore residential units in one structure alteration,nrextension• U Building over three stories U Feeders.4(X)amps or more ,Description. U Occupant load over 99 persons U Manufactured structures or RV pork FAch additional Inspection os,i the allowable In any of the Pbove: J Egress/lightingplan J Other. — Per inspection Submit—_--sets of plans with any of the above. Investigation fee _ The slave are not applicable to temporary coastrudlon service. Other 53 Not all Fudoidictions accept credit cards,pleme call juriulicwm 6a more in6Kmanon. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _._ IT) $ �-� Credit card number: _�.L� within 190 days after it has been State surcharge(8%)....$ / _ Name of coudholdet u shown on credit cod Expires accepted as complete. TOTAL .. $ S 7 _ S —� Cardholder allmoute Amount 440-1615(yOOK-QOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES- TYPEOF WORK INVOLVED -RESIDENTIAL Y Complete Fee Schedule Below: -- - Restricted Energy Fee...................................................... X75.00 Number of Inspections per permit allowed )I (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work involved: Residential-per unit ❑ 1000 sq ft.or toss :t45 15 _ 4 Audio and Stereo Systems' Each additional 500 sq ft or portion thereof _ $33.40 _ 1 ❑ Burglar Alarm Limited Energy $75.00 Each Mar,ufd Home or ModularElGarage Door Opener' Dwelling Service or Feeder __ $9090 _ 2 Services or Feeder.: ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80,30 2 ❑ Vacuum Systems' 201 amps to 400 amps _ $106,85 _ 2 401 amps to 600 amps $16060 _ _ 2 ❑ 601 amps to 1(100 amps __ $240.60 2 Other Over 1000 amps or volts $454.65 2 Reconnect only — $6685 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 2 401 amps to 600 amps $133 75 2 Check Type of Work lnvolved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits wlrlt purchase of service or ❑ Clock systems feeder fee. Fach branch circuit _ $6.65 _ _ ❑ Data Telecommunication Installation b)The fee for branch circuits wltfrout pure.hase ofservfce ❑ Fire Alarm Installation or feeder lee. First branch circuit $46.85 Each additional h,inch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $59.40 -..—- ❑ intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy ❑ panol,alteration or extens m $7500 Landscape Irrigation Control' Minor Labels(10) $125.00_i_ �- ❑ Medical Each additional Inspection over the allowable in any of the aba%re ❑ Nurse Calls Per inspection $62,50 Per hour _ $62.50 _ In Plant ��_ $73 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ _ Number of Systeme 25%Plan Review Fee ' No licenses are required Licenses are required Lir all other installations See"Plan Review"section on $ front of application -- -- — Fees: Total Balance Due 4 --�---- Enter total of above fees $__ ❑ Trust Account# _ _ - 8%State Surcharge $_ Total Balance Due $ i\dsts\forms\elc-fees doc 06/07/01 Mechanical per 0l"tion r _ "Daterecei, Permit no.: 0 City of Tiga Project/uppl.no.: re(late: Gt njTigard Addreaa: 13125 SW Hall Blvd,Tigard,OR 1) Phone: (503) 639-4171 i,• Date issued: By: Receipt no.: Fax: (503) 598-1960 p�tl) ;�Z{� n Case file no.: Payment type: Land use approval: Building permit no.: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction C Addition/alteration/replacement U Other: JOB SITE INFORMATION CONIN1111-1-111CIAL VALUXI ION S(AE-11)11111-, Job address: 7r(- „_( r,r 1v Indicate equipment quantilics in boxes below. Indicate the dollar Bldg. no.: _ Suite no.: value of all mech al­ equipment,labor,overhead. Tax map/tax lot/account no.: profit. Value$ . I-Aw Block: Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for rc:idential permit fee. City/county: T, ZIP: _ PFRNIIT SCHEDULE Description and location of work on premises: I.St(/ /c h.vaim (.r..� Ni.._k G,'L k6AJ('. Azk� /)ul/,. .,r� tL��h r 1'ee(ea.) Total Est.date of completion/inspection: Dcuription "y. Res.only Roti.only Tenant improvement or change of use: 11 AC° Is existing space heated or conditioned?U Yes U No Air handling unit _CFM it con itioning(site plan required) Is existing space in ulalcd? Yr U N. A tent—t nofextsting HVACsystem NIFICHARICU, CONTRACTOR Mi cr compressors B1,« State boiler permit no.: Business name: HP _Tons BTU/H Address: b {>, z t �amper%/duct smo a electors City: C LState: ZIP: C 1 5 7j--TTTi-r`cj/smo at puuire ) Phone: �E -((3 / Fax: E-mail: nsia urner fil U/ Including ductwork/vent liner U Yes U No CCB no.: j .3Z- 009ye Install1rerlace/rclocatelicaters-suspended. City/metro lic.no.: wall,or floor mounted Name( lease print): Vent fora lance of ter than furnace e gerat on: Absorption units_ BTU/H Chillers_ HP Name: Ora,- Q ec l ( -- «'' Com rcssors Address: [11, :nv rmnmenla ex gust an ventilation: City: C—(4 S; State;cv ZIP: - 74 15' Appliance vent_ Phone: Fax: Diyerexhaust floods,Type I/R/res.kitchen/ha mat hood fire suppression system Maine: f '(� c. "r, . T I(., ti(- Exhaust fan with single duct(bath fans) Mailing address: J S;Jvr. x taust system u art from heating or AC City: State: CjY I ZIP: Fuel piping an st ut on(up to 4 outlets) Type: ITIC; NG -_ Oil I'll me: Fax: E-mail: vel i in CKhadditi(na over out els skews p p ng(schematic required) Number of outlets Name: Otherlisted ppilanceorequpment- Address: Mcorative fireplace City: State: ZIP: Insert-type _ Phone: Fax: E-mail: oo stove7prllel stove Ot er: Applicant's signature: _ Date: ------ Name (print): at!)urixrieUau accept credit cards,Pierre ca!!)uriedkUon laa ,Jon,utlon mr IPermit fee.....................$ Na _ NViso t]MasterCard Notice:This permit application Minimum fee................$ -_ 7 expires if a permit is trot obtained plan review tat ____ ( ) w - _ crrdtt card numhe, Niti, within 180 days after it has been State surcharge(8%)....$ _ Name of carrMwldr,i'shown c c card accepted as complete. TOTAL ...............,.......$ $ --- C der sipature Anaciait 440-4617 lryaorco:a! MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum tee$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 to 100,000 BTU $1.52 for each additional$100,00 or including ducts&vents 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts&vents 17.40 $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 including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater 525,000.00. __ or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first Sib 000.0(Tand 5) Vent not included in appliance permit $1.45 for each additional$100 00 or 6.80 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 Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,ties or Pump Cond fraction thereof. footnotes below. Comp 7)<3HP;absorb unit Minimum Permit Fee$72.80 SUBTOTAL: $ to 100K BTU 14.00 87.State Surcharge8)3-15 HP;absorb unit 100k to 500k BTU _ 25.60 25' Plan Review Fee(of subtotal) 9)15-30 HP;absorb /. a 35.00 Re utred for ALL commercial permits only �Z. unit.5-1 mil BTU 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $� unit 1-1.75 mil BTU 52.20 Iz I 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: i2)Air handling unit to 10,000 CFM 10.00 _ Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood serve•1 by mechanical exhaust VLnt not included in applicance 445 10.00 permit 18)Domestic incinerators Repair units 805 17.40 _ <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU Air handlin unit to 10,000 cfm 656 _ - 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: Vent fan connected to a single duct 446 Vent system not Included In 656 _ -MP-Mance ermit Hood served b mechanical exhaust 656 Other insect I nend Fees: 1 Inspections outside outside of normal business hours(minimum charge-Iwo hours) Domestic Incinerator 1.170 $82 50 per hour Commercial or industrial Incinerator 4,590 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 582.50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1-4 oudets _ 360 charge.me•half hour)$82.50 per hour Each additional outlet _ 83 `State Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL "Residential AJC requires site plan showing placement of unit VALUATION: D All New Commercial Buildings require 2 sets of plans. I:\dsts\formsUnech-fees.doc 12/26/01 CITY OF T'G /� R© MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M4/2E3/02 251012 23/02 . 00146 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: 2S101 DA-01000 SITE ADDRESZ.: 07100 SW FIR LP SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK ZONING: C-P BLOCK: LOT: 010 JURISDICTION: TIG CLASS Or WORK: 'FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GARP: B VENTS W/O APPL.: VENT SYSTEMS: STORIES: _ BOIL ERSICOMPRES SORS HOODS: _ FUEL TYPES0 3 HP: DOMES. INCIN: L_PG� 3 15 HP: COMML. INCIN: MAX INPUT: 500,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: M 50 + HP: CLU DRYERS: FURN < 100K BTU: AIR HANDLING UNIT S _ OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Remove and replace existing roof top unit. _Owner: _ _ FEES VAN GORDER, BERTON D + Type By Date Amount Receipt VAN GORDER, JOHN S PRMT CTR 4/23102 $72.50 272002000C' 7100 S1N FIR LOOP PLCK CTR 4/23/02 $18 12 2720020000 TIGARD, OR 97223 5PCT CTR 4/23/02 $5.80 272002000C Phone: Total $96.42 Contractor: BELL HEATING 15550 SE PIAZZA AVE CLACKAMA`', OR 97015 REQUIRED INSPECTIONS Gas Line Insp Phone:503-656-1184 Mechanical Insp Reg #:LIC 447 Final Inspection PLM 3-286PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more ff-an 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon l.ltility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0'11-0080. You may obtain copies of these rules or direct questigns to OUNC by calling inn,A,i9an_A1Ra Issue By: ` � .c c Permittee Signature\/ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARP 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST Received Date Re steel AM—_... PM BUP Rup Location _X_/L' a*__z22 __ Suite MEC V Contact Person Ph P L M. Contractor Ph(-------,-) SWR BUILDING TenanVOwner ELC Foundation Access: ELC Fig Drain Crawl DrainELR 00 76 Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Sheaf Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBiWd- Post& Beam Under Slab Hough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shcwpr Pan Other: Final PASS -PART--FAIL MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers —-------- Final PASS PART FAIL _tLECfA(C_A_L_ Service Rough-In UG/Slab Low Voltage Fire Alnrm '-ZMffaf Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL SITE E] Please call for reinspection RE: Unable to inspect--no access Fire Supply Line ADA -3 -7) JApproachfSidewalk Date Inspector c Ext Other Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002.00136 13125 SW Hall Blvd., Tigard, OR X1223 (503)639-4171 DATE ISSUED: 5/1/2002 PARCEL: 2S101 DA-01000 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 07100 SW FIR LP SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK BLOCK: LOT:010 CLASS OF"YORK: ALT TYr-: OF USE: COM TYPE OF CONSTR: UNK OCCUPANCY GRP. M OCCUPANCY LOAD: TENANT NAME: PARAGON TILE & STONE REMARKS: Tenant improvernent, with ADA upgrades Owner: PARAGON INVESTMENTS PO BOX 230845 TIGARD, OR 97281 Phone: 503-684-5330 Contractor: (-'ARAGON TILE 8174 SW DURHAM TIGARD, OR 97224 Phone: 503-684-5330 Reg #. LIC 135822 This Certificate issu 5/9/2002 grants occupancy of the above referenced building or portion thereof and confirms that "he building has been inspected for compliance with the State of Oregon Speciajty,Codes for the group, occupancy, and use under which the refers d permit Is id. B NG IN PI_C BUILDING F CI - `-- POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION uIVISION Business Line: (503)63P-4171 sup Received Date Requested AM — PM _ _ BUP Location Suite EC Contact Person __ Ph( —) �{1 7-C--3 PLM Ph SWR BUILDING Tenant/Owner — _-- ELC Foundation ELC _ Ftg Drain Access: ELf� _ Crawl Drain Slab Inspection Notes: SIT Post&Beam -- —_ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- -- -- Insulation Drywall Nailing -- - --- - --- ---- Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling - --- -- -' Root r: ---- - SS PART FAIL BING Post&Beam Under Slab — Rou0-In Water Service ---- Sanitary Sewer Rain Drains --- - Catch Basin/Manhole Storm Drain --- - - -- �- -- Shower Pan Other: �_--- Final CCEI��H FAIL NICAL -In - - - ----�_-- - Gas Line Dampers - inal PART FAIL ------ -- - --- - — --- --.-- _- RICAL Service -- — - - --- -- -- Rough-In �- UG/Slab i Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS_PART FAIL SITE Please call for reinsp tion RE: - Unable to inspect--no access Fire Supply Line t^ ADA Approach/Sidewalk Date-- v spedor ---- Other: Final — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING PERMIT IT SERVICES DEVELOPMEN PERMIT #. . . . . . . : BUP97­0800 13125 SW Hall Blvd., Tigard,OH 97223 (503)639.4171 DATE ISSUED: 06/11/97 PARCEL: 2G101DA.-01000 SITE ADDRESS. . . : 07100 SW FIR LP SUBDIVISION. . . . : 72ND BUSINESS CTR-VARNS PARK ZONING:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1O JURISDICTION:TIG----------- RETS9, UE: FLOOR AREAG-­­­­­ EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :0LT F1 RST. . . . : 0 S f N: S: E: W. TYPE OF USE. . . :COM SECOND. . . : 0 5f, PROTECT OF-;ENINGS?----------'--' TYPE OF CONST. : ? . . . 1 0 c,f N: S: OCCUPANCY GRP. :B TOTAL---------: 0 s f ROOF CONST: FIRE RET ? : OCCUPANCY LOAD: 0 BASEMENT. : 0 5f AREA SEP. RATED: SITOR. - 0 HT,., 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : ME17..-1 : REOD SETBACKS-­­­ REQU I FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft PGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0.1 FRNT: 0 ft REAR: 0 ft FIR nLRtyi: HNDJCP ACC: BE,DRMS: 0 BATHS: 0 IMP SURFACE.: 0 PRO CORR: PARKING- 0 VALUE. $ : F,2'1 LA 0 Remar-ks . Re-roofing peroit VanGorder Inc FEES -------------- BERT -------------BERT VANGOHOER type amoi.tnt by date r-ecpt 7100 SW FIR LP 'RMT $ 62. 50 JSD 06/11/97 97--.295730 TIGARD OR 97223 5PCT $ 3. t3 JSD OFj/11/97 97—;x'95730• phone #. C,20--31.30 Contractor,: GRIFFITH ROOFING 6815 SW 111TH AVE BEAVERTON OR 97005 Plione #: 643—159G $ 65. 63 TOTAL. Reg #. . : 000009 REQ, DECTIONS JJ4,R RED pervit is .`SLIpd subject to the regulations contained in the Tigard Municipal Code, State of Or.e. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work n not started within 180 days of issuance, or if work is suspended for sore 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 91-.2-00I-0010 through OAR 952--00101967. You @any obtain a copy of these rules or direct questions to OLW, by calling (503)246-1987. _r,mittee Sign a t 1.1 Tssi-ted ay—,— �7 S CITY OF TIGARD Permit#: 13125 SW HALL BLVD. Date Recd: TIGARD OR 97223 RE-ROOFING PERMIT Bldg $ (,- V- 503-639-4171 X304 APPLICATION Plan Chk $ � F-503-684-7297 St. Sur. Chrg.$ -' Incomplete or illegible applications will not be accepted 4_ Name of Development/Business Date work is to begin _ ASAP _ Date Completed VanGord_er Inc.__ JOB Address NEW ROOFING ASSEMBLY SITE 7100 SW Fir Loon _- Building Use liu5itlesy__ STEP 2 Name New Roofing Material Documentation (UBC Appendix 15) I'ert V_anGor.der Please Fill Out Applicable Sections & OWNER Mailing Address Attach Copy Of Roofing Specifications i100 SW Fir Lo) _ — City/State Zip Phone _. __ — 'I 1 yard 2. OR 97223-80i 620-3l3,)____.,_ Name List^d Assembly: Griffith Roofing Co. ROOFING Mailing Address 1. Specification#: — CONTRACTOR 6815 SW 1 1 1 t h Avenue (All licenses City/State Zip Phone Manufacturer: Malarkey Rooting have to be -BpaverLun, 0R197008 6 3_159 current at State Constr.Contr. Board# Exp Date UL Classification Class A time of 00925 _ ___ 1 31 98 issuance) COT Bus Tax or Metro Lic# - Exp.Date (or)Warnock Hersey Class A 4546 1()/1/97 STEP 1 Listed UL Building Materials Directory Page#: Describe work to be done: (circle one) listed Warnock Hersey Directory Page#:_ 645 & 647 RE-ROOF (PROVIDE COPY OF ASSEMBLY)__,____ A. Et.isting roof covering to be REMOVED and deck ( OR ) repaired - PROCEED to STEP#2. 2 ICBO Research # B)Existing roof coveting to REMAIN: NOTE APPLICANT Dated — LIST SUBMIT AN ENGINEER'S REVIEW OF THE ROOF STRUCTURAL ___ ( PROVIDE COPY OF ASSEMBLY) ELEMENTS REVIEW SHALL BEAR THE SEAUSTAMP OF THE ARCHITECT OR ENGINEER LICENSED IN OREGON 3. SPECIAL PURPOSE ROOFING: WOOD SHAKES' (PROCEED TO STEP#2) 'REVIEW REQUIRED BY PLANS EXAMINER REPAIR tMAJOR) 'WHEN S FRIICTURP,L ELEMENTS OTHER THAN SHEATHING IS TO BE REPLACED A PLAN REVIEW IS REQUIRED. 3 SET_$__QF P6AN$_MUST VALUATION OF PROJECT: a 6,200 — BE SUBMITTED. Existing Deck Type: I HEREBY STATE THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE . Combustible ( < SIGNED: Non-Combustible 1 1 DATE: hmofcod 1197 (DST) b L 77 • D C V > b m q tl cC a .m- ° 0 0 co y m m aa V> V N m `� O u U 0 O a 0 2 4 a o m E 2 ° o o a y °n E v c F n n Eo ° mU o_ ?' ° o u m m c E U b ov ? 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CL a r C O,T.�O i C o N o-*o a m E N C.0 >v N �. p N 4 C C nN«a E E oaNi � o : ?« ov��o u� N o oa «(°�a E c ° w o '. o n c c nw tA� o Qm a O. 3- L a E 4 O.P. 3 • c o b a O c• • Q• L O ppCL a U(Sn N en U rA .- N M d U 0 •- N ty y N vi d U y �- w b D • m U O W O V) b V m m 0 O m m o p m o - e a U q e,� b y'>L wo c m o0 C u a• o ` T L p 0 a ° I� b o a J o u : Ea. ` mE o E n o a E • b Q b u > t L c ? D o o E E ° _ ° L ° m a E • n oma o �°D ° 'Tq3 a '>,= L a O O U C L O O r� a a L L'a q a- C �' • °' r O p E j p >L `'� p O a m m p C.I.o Y ° 7 : «$ ° uX E a %o � o m n Q o o c • J U� n o ° Uin b e o� o c m E o n oL [ o i $ ° • _m o m •�N m O C, a m 0 ° o E • t • d L m =L t O > C a o C « a O b b t a i• q — 0 O4_O w U CL C f(!''n�•� m L V O b U O' e Q a O C L0 tz O N O O o N c C > v=-0 a m o ' a o U :sV w w O o w o ° a . ° m c t/ ° • to a (n U wg ° R r'•) s' c r U Co ) O J �' J 4 ° • O m ��� ,# rnOr m mU)� C m m(n 7J yr ° o ¢ c a D Od ° a0Q bt §tr o Q c J oZ Ea c_ EI c • m app >o a UE Y to m OLL 3 b wv' na N ?t ° 300 0 3 v a0 a1D ° COO . �,T e U pm « ° C ON� oGm O m N 1� E u F-q p b r rD O > . (O m a A g a o a rf L Q}rr o¢^ i e er > '� v = E >r m o` o o E nv °L to c o a _ E J U tl c Vm) F- «. >:. ��. �L GO a,N c' u0i m c (one E o d m d > ° ° 0 # ° E r7 ° Y o o •w t .Y tl >to m b o ° E Er>� § i0e6 c cC av v ac -a ° V M 't m •� c [ a >u r n F o a m t ° n a b o a m C ie C ° M S U `, 4 «• N UZ7r'1 vfh tla- • 7 V m �-0E ][E1 a•na m•(Eo V`ctlCO Z~tl D 0" •a.` C'2) nCg g•o.. LoU rdo n°. o'm OoTV° op cwm bC cOO c • E .n Qf!n csCstlO 4a0 N0 C C C 0# 0 C §rn >•°pp Cp i C°(40 [ o c ' p11 ° o uno td LC te � n a • b -z o cEE Ep oE a e . °s os cos ' d V N N o-2 N o-2 P N M d N N M U N r? d rp VanGorder Inc. 7100 S.W. Fir Loop Tigard, OR ' V - 1 •rl- 4Ica- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: L-6 �� _ A.M. P.M. MST: `1 , I,ocatinn: 1 l��.:(�C,' �_�t./1. �L�"�� � BUR � C, Tenant: 11�(,(,,�Y1 {_� :4 1 — Suitc: Bldg/: MFC: � Contractor: _ A L7 Phone: (t,^�14 ?) 1 �f yC: _ PI,M: --Owner: J Phone: IC ���_�. _ EI.,C:_ Snf: BUILDING BLDG(con't) PLUMBINft MECHANICAL ELECTRI AL SITE tine Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm 1-ooting `Roofl I1ndFI/Slah Rough-In Ceiling Water Linc S1111) Traming 'Top Out Gas Linc Rough-In UG Sprinkler Ioundation Insulation Sewer Ihxxl/Duct Reconnect Vault IIsmt Dfunp 1"all Storm Furnace Tcmp Service M/SC. Masonry Ceiling Rain Thain A/C IX;Slab Shear/Sheath Fire S hlr/Alm Crawl/Found Dr I Icat Purnp I,ow Volt AKXDW-4.1� Approved Approved Approved Approved Appr/tidwlked Not Approved Not Approved Not Approved Not Approved NAL FINAL FINAL FINAL FINAL 17 C'aII Tor r nspe i O Reinspection ter of$__ requircu before next inspection O l tnable to inspect Inspector Dale Z 1 I age of CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM1999-00422 13125 SW Hall Blvd.,Tigard, OR 97223 (503@f?'I�ln DATE ISSUED; 12/10/99 lI ((�a/N4 PARCEL: 2S101 DA-1,1000 SITE ADDRESS: 07100 SW FIR LP SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P BLOCK: LOT: 010 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS. OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of a pressure reducing valve. _ FEES Owner: Type By Date Amount Receipt IAN GORDER, BERTON D + VAN GORDER, JOHNS PRMT DEB 12/10/99 $50.00 99-320342 6714 SW CORBETT AVE 5PCT DEB 12/10199 $4.00 99-320342 PORTLAND, OR 97219 Total $54.00 Phone 1: Contractor: FULLMAN SERVICE CO LLC 5221 SVV CORBETT PORTLAND, OR 97291-3716 REQUIRED INSPECTIONS Phone 1: 224-5221 Final Inspection Reg #: LIC 122310 PLM 26-443PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of CIR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work ;s not started within 180 days of issuance, or if work is suspended for rnore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifiicationenter. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You i-oay obtain copies of the a rules or direct questiors to CUNC by calling (503) 246-1987. 1 Issued By: Permittee Signature: Call (503) 09-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plang�neck�_ 13125 SW HALL BLVD. Commercial and Residential Rec'a'ey i.-..j6 TIGARD,.OR 97223 Date Recd (503) 639-4171 Date to P.E. - Prii Type Date to DU Incomplete or illegible applications will not be accepted Permit: Related SWR Called Name of Development/ProjectIX1lJ8:.(Indl dDAMg 1 f4TY :PftICE !AMT, Job Sink 9.00 Address Street Address Suite Lavalory 9.00 7100 SW Fir Loo L__ Tub or Tub/Shower Comb. 9.00 Bldg 0 Clty/Stato Zip Shower Only 4,00 _ Tigard, OR 97223 Name Water Closet 9.00 Van Gorder Corp. Dishwasher 9.00 Owner Mailing Address // Sults Garbage Disposal 9.00 same- )%ii .�f� r Washing Machine 9.00 Clay{State ZI Phone 620-3130 Floor Drain/Floor Sink 2 9.00 Name 3. 9.00 4' 9.00 Occupant Mailing Address Suite Water Heater 0 conversion O like kind 9.00 Gea pIpIng requires a separate mechanical permit. City/Stale Zip Phone Laundry Room Tray 9.00 Name Urinal 9.00 PULLMAN SERVICE Other Fixtures(Specify) 9.00 Contrac':or Milling Address Suite r9.00 5221 SW Corbett 9.00 Prior to permd City/State 7_Ip Phone Sewer-1st 100' 30.00 Issuance,a copy Portland, OR 97201 224-5221 Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Llc.• Exp.Date required If 122310 1?-//- c'.S Water Service-1 at 100' 30.00 expired In COT Plumbing LIc.aR Exp.Date Water Service-each additional 2.00' 25.00 - database 26-443PB .5/ '' Storm 6 Rain Drain-1at 100' 30.00 Name Storm 6 Rain Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Antl- 25.00 Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe wcrk to he done. restricted energy reit.) New 0 Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial Catch Basin 9,00 Additional description of work: Insp.of Existing Plumbing 40.00 install pressure-reducing valve perthr Specially Requested Inspections 40.00 perRtt 00 single family dwelling 30. Are you capping,moving or replacing any fixtures? Rain Drain, - Yes 0 No 0 Grease Traps 9.00 If yes,see back of form to indicate work performed by -- fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL Isometric or riser diagram Is required M Ouantxy Total is > WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL 1 I hereby acknowledge that I have read this application,that the information i given is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE Y that plans submitted are In compliance with Oxon State Laws. Signature,of Owner/Agent Data "PLAN REVIEW 25%or SUBTOTAL Requited only K fixture qty.total Is>9 TOTAL Contact Pe on Name Phone _ Suzanne I?11 i s or Sue Dor-in 224-5221 Minimum permit fee Is$25+5'16 surcharge,except Residential Bacikflow Prevention Device,which Is$15+5%surcharge ..All New Commercial Buildings require plans with isometric or riser diagrarn and plan review v»r-+Niffnnao d-)R/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink _ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwashei- Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 3„ 4'1 Water Heater Laundry Room Tray _ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1 WiMpkrmeM dm 76198 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (501)639-4175 MSTINSPECTION DIVISION Business Line: (503)639-4171 BUP — — Received _—._._—, Date Requested �` ^ AM_ PM _ BLIP Location ------- G L' '1- �---Suite_ MEC _ Contact Person _ _ _ f :_.—. Ph( ) ! �� �'-�'i PLM Contractor, � __�—___ __`..._ Ph( ) SWR _ BUILDING Tenant/Cwner __.._ __ ELC Footing ELC _ Foundation Access: Fig Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post&Beam .— Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing --- --- ----- —- — — -- Insulation Drywall Nailing - - — - - Firewall Fire Sprinkler — — — — — Fire Alarm Susp'd Ceiling — -- - Roof Other. -- Final --- - PASS _PART FAI! -- --_..----_- -----� -- PLUMBING ----- - -— -- ------- — Post& Beam - Under Slab Rough-In Water Service -- - -- ----- — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pan Other: ---- - -- - - -- --—_ —__— Final PASS PART FAIL -- - - - - l -- —— MECHANICAL — Post& Beam -- Rough-In --- -- ---- —---- Gas Line Smoke Dampers — ---- - -- ---- --- Final PASS PART FAIL -- --- --- - -- - --- ELECTRICAL ..Service --------- -- -------- ------- Rough-In UG/Slab Low Voltage -- _ --- —_-— -- — F,iwfllarm PART FAIL F] Reinspection fee of$._ required before naxt inspection. Pay at City Hall. 13125 SW Hall Blvd. SITE _ _ -- F] Please call for reinspection RE:,_._. - __._ _ — n Unable to inspect-no access Fire Supply Line ADA C3 •-? CT"_--� Approach/Sidewalk Data _ �__ —_,_ Inspectef Ext Other: - Final DO NOT REMOVE this Inspection record from the job"ske. PASS PART FAIL CBUILDING PERMIT CITY O F T I C A R® PERMIT#: BUP2002-00136 DEVELOPMENT SERVICES DATE ISSUED: 5/1/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101DA-01000 SITE ADDRESS: 07100 SW FIR LP SUBDIVISION: 72ND BUSINESS CTR-YARNS PARK ZONING: C-P BLOCK: LOT: 010 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRN: 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?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SNKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: UEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,500.00 Remarks: Tenant improvement, with ADA upgrades Owner: Contractor: PARAGON INVESTMENTS PARAGON TILE PO BOX 230845 8174 SW DURHAM TIGARD, OR 97281 TIGARD, OR 97224 Phone: 503-590-3909 Phone: 503-684-5330 Reg#: LIC 135822 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK CTR 4/17/02 $46.87 27200200000 Plumbing Permit Required Framing insp FIRE CTR 4/17/02 $28.84 27200200000 Gyp Board Insp SPCT CTR 5/1/02 $5.77 27200200000 Final Inspection PRMT CTR 5/1/02 $72.10 27200200000 Total $153.58 [his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if worts,is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Qfegon Utility Notification Center. Those rules are set forth in OAR x)52-001-0010 through OAR 952001-1987,4 may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699sc 1--8800-332-2 Pennittee / ! �✓` Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day zy ©z -„ Building Permit Application � Date received: /Z;% Permit no. Ci ty of Tigard ('in,il ligord Atidres#f 13125 SW ProjecUappl.no.: Gx redate: Hall Blvd, OR 97223 — Phone: (503) 639-4171 Date issued: �y/t Receiptno,: Fax: (:103) 598-1960 �" W vd Case file no.: I'ayuicnl type: Land use approval: 1&2 family:Simple Complex: U 1 &2 family dwellin,or accessory U�erftmercial/industrial U Multi-family U New construction 0 Demolition U Addition/alteration/replacement a`fenant improvement U Fire sprinkler/alarm U Other: _ Job address: (; �� _ Lr-C_ r. i. Bldg.m..: Suite tto.: Lot: Block: Subdivision: Tax map/tax IoUaccount no.: Project name: — Description and location of work on premises/special conditions: Name: tx c,_�c r rti..1 ei •-�•'�1 Mailing address. PO Z'3g 1 &2 t'andly dwelling: J' City:-'; e,_ State:Q ZIP: C1)'1_rs Valuation of work........................................ Phone: , s1lc JFax:( S" E-mail: No.of bedrooms/baths................................. Owner's Total number of floors................................. Phone: I.i I? in.11L New dwelling area 5. ft. Garage/carport area(sq. ft.)......................... Name: �er"� 1u. k Covered porch area(sq. ft.) ......................... Deck area 5 ft.) Mailing address: a G.. �� / r (.q. ........................................ City: State: ZIP: - Other structure area(sq.ft.)......................... Phone:514 J C>,7 1 Fax: E-mail: Commercial/industrial/multi-family:Jig,1011LI-1 ff-1-1 Valuation of work........................................ $- �� --- ` Existing bldg.area(sq. ft,) .......................... Business name: �- New bldg.area(sq. ft.) ................................ — Address: g j � Number of stories........................................ city: T, State•c GZIP: —_-- Type of construction.................................... Phone:L 'y-S V Fax: E-ntaiL - --- — --- Occupancy group(s); Existing: CCB no.: k 15J.'2.Z --- _ New: Ugly/metro lic. [I"., —' Notice:All contractors and subcontractors are required to he licensed with the Oregon Constructi^,n Contractors Board under Name: provisions of ORS 701 and may be required to ti-licensed in the Address: — -- —- jurisdiction where work is being performed. If the applicant is City: - - Stale: r ill'. - - - exempt from licensing,the following reason applies: Contact person: Plan no.: _ -- Phone: Name: _Contact person: Fees due upon application ........................... $ Address: - Date received: _ City: State: ZIP: Amount received ......................................... $-- � — Phone: Fax: I E-mail: Please refer to tee schedule. hereby certify I have read and x ined this t pfivation and the Not all Jurisdictions accep credit cards,please call jurisdiction for mote infotmtion attached checklist. All provis ns'�f laws and tlifiances governing this Uvisa UMacterCerd work will he complied w' w rStter s cifherein or not. Credit card number Expires r Authorized signature: Date: _y_ _� —Name of caNholder to shown on credit card S Print name: cardholder Miniature Amuam Notice:This permit application expires if a permit it not obtained within 180 days after it has been accepted as complete. 440.1613(t3A WOM) Commercial Plan Submittal Requirement Matrix ('ity of Tigard - - -- 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 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i\dsts\lomis\coM-matrix.doc 9124101 CITY OF TIGARD ELECTRICAL PERMI - RESTRICTED ENERNER GY L" k DEVELOPMENT SERVICES PERMIT#: ELR2002 00070 13125 SW Hall Blvd.,Tigard, OR 97223 (5031639-4171 DATE ISSUED: 4/23/02 PARCEL: 25101 DA-01000 SITE ADDRESS: 07100 SW FIR LP SUBDIVISION: 72ND BUSINESS CTR-VARNS PARK ZONING: C-P BLOCK: LOT: 010 JURISDICTION: TIG Proiect Description: Installation of data telecommunication system. A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# OF SYSTEMS: Owner: Contractor: PARAGON INVESTMENTS PARAGON TILE & STONE PO BOX 2.30845 7100 SV/ FIR LOOP TIGARD, OR 97281 TIGARD, OR 97223 Phone: 503-684-5330 Phone: Reg 4f: LIC 135822 _ Y FEES Requimd Inspections Type By Date Amount_ Receipt Low Voltage Inspection PRMT CTR 4/23/02 $75.00 2720020000 Elect'I Final 5PCT CTR 4/23/02 $6.00 2720020000 Total $81.00 r 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 suss---ided 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- 1-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246- 987 (� .- �, _ Issued by 1�rc� Permittee Signature ' �, -� or OWNER INSTALLATION ONLY The installation is being inade on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR 1..5TALLATION ONLY _— SIGNATURE OF SUPR. ELEC'N _ __ DATE: LICENSE NO: ----- ---- - - --- ------- —� Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Dale received: c/ 0� Petmitno.•fit , o o City of Tigard Project/appl.no.: Expire date: Ciry(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: , ❑ I &2 family dwelling or E—cessory U C'onuncrcial/industrial U Multi f;unily U Tenant improvement U New construction U Addition/alteration/replacemeni J()Owl U Partial .110111 SITE INFORMATION Job eddress: 7 .5[l./ it p ,%,VW or Bldg, no.: Suite no.: Tax map/tax lot/accouni no.: Lot: Block: Subdivision: Project name: �. ] % , Description and location of work on premises: , Estimated date of completion/ins tion: n n 1 0M Job no: Fre Max Uesrrl pion spy. (es.) Total no.Insp Business7name. n/nr/c -o �+t� / New residential-singleormulti-fandlyper Address: �) ��• K dwelling unit.Includes attachedgamge. City: c State:Cr,- I ZIP:g7A 2 V Service included: P1 I E-mailAl i1.frh .Ce I 000 sq.ft.or less 4 Each additional 500 sq.It.of portion thereof —— CCB no.: _ EIeC.bus. IIC.no: Limited energy,residential 2 City/metro lic.no.: Limited energy.non-residential _ 2 Each manufactured home or modular dwelling Signature of supervising electrician(requiredi i).rtc Service and/or feeder 2 Sop stem name(prim) )� - I.iu•nse no kl Seri Ices or feeders-installation, Y ■iteration or relocation: III U1111 1d 111j"I M 2(HI amps or less 2 Name(print): 201 amps to 400 amps _ - 2 Mailing address: 401 amps u,6M amps 2 — 601 amps it)IWO amps 2 City: _ Slate ZIP: Over 1000 amps or volts 2 Phone: I E-mail: Reconnect only Owner installation:The installation is being made on property 1 own Tempomry services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479.670.701. 200 amps or less _ _- 2 201 untps to 4tH)amps 2 Owner's si mature: Dale: 401 to 6W ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ A. F^c for branch circuits with purchase of Address: vice or feeder fee,each branch circuit _ 2 City: Slate: ZIP: Fee for branch circuits without purchase -- --- Phone: Fa.x. E-mail: of service or feeder fee,first branch circuit: 2 — Fach additional branch circuit. Mise.(Service or feeder not included): 7ro-flyd.-el,fings 5 amps-comme sial O Health-care facility Each pump or irrigation circle 2 0 amps-rating of I&2 U Hazardous location Each sign or outline lighting 2 s U Building over 10,000 square feel four or Signal circuits)or a limited energy panel. 0 volts nominal more residential units in one structure alteration,or extension* _ 2 U Butldingoverthree stories U Feeders,400 amps or more •Ikscrition _ U Occupant load over 94)persons U Manufactured structures or RV park Fach additional Inspection over the allowable in any of the above: U Egress/lightingplmt W Other Per Submit_ _ sets of plans with any of the above. investigation fee_ Ilse above are not applicable to temporary cowdruclion service. Other Nor all juri%dicnous arxept credo cards,posse rail iuriulicoon for mar inrotn>.in,ar Notice:'Mis permit application Permit fee.....................$ U Visa U Maslv:Caril expires iia permit is r• t obtained Plan review(at _ %) $ CV Credit carw d number _ - L L ithin 180 days eller it has been State surcharge(8%)....$ _ tspitrs Nerve M -- cardhohktas-shoss o n rn•d-- ----n c—ord accepted as complete. TOTAL .......................$ ' /•f' o --- Cudhoidei sip.nauar Aniouni _ _�_.-- --__--- 4414611t6tOdCOM1 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee.......................................... ........... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Typo of Work Involved: Residential-per unit 1000 sq ft.or less or $145 1 r, 4 Each additional 500 sq fl _ — Audio and Stereo Systems' portion thereof $33.40 1 i3urgiar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 El Garage Door Opener' Services or Feeders u Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 01 amps to 400 amps $10685 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 , TYPE OF WORK INVOLVED -COMMERCIAL ONLY Listallation,alteration,or relocation Fee for each sys!em.......................................................... $75.0U 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 r , New,alteration or extension per panel Boiler Controls a)The fee for branch circuits r, with purchase of service or FA- Clock Systems feeder fee. Each branch circud $6.65 — 2 ❑ Data Telecommunication Installation h)The fee for branch circuits without purchase of service or feeder fee. Fire Alarm Installation First branch circuit $46.85_ Each additional branch circuit L $6.65 �� HVAC Miscellaneous ❑ (Servicu or feeder not included) Instrumentation Each pump or Irrigation circle $5340 Each sign or outline lighting _ $53.40 Intercom and Paging Systems Signal circuit(+ it a limited energy u panel,alte ..on or extension _ $75.00 Landscape Irrigation Control' Minor Labels(10) $125.00 _ Each additional Inspection over Medical the allowable In any of the above Per inspection _ $6250 Nurse Calls Per hour $6250 In Plant $73.75 e Outdoor Landscape Lighting' Fees: F-1 Protective Signaling Enter total of above fees $ 8%State Surcharge $ _____Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application -- Fees: Total Balance Due $ -^ - Enter total of above fees Trust Account# _ 816 State Surcharge All New Commercial Buildings require 2 sets of plans. Total Balance Due i\ruts\fonns\elc-fees.doc 08/30/01