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12202 SW MAIN STREET-2 IS NIVW MS ZOZZ6 co z co ,m N y T W J 12202 SW MAIN ST CITY OFTIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE, T TIME: PAGE: SITE ADDRESS: , a �"�-CLI CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: 1 j V H / OWNER: Avmer Kett- row; ' ►2'SU( d�l(t� PHONE #: 50 3_ &3q- 0�69 CONTRACTOR: O-� Q �! -4-- f A PH.4E #: 6 3-5.3g-2?53 Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Correction:;/Comments/Instructions: n �� LT oc _J W PPA ❑ PARTIAL APPROVAL F] CANCEL ❑ NO ACCESS ❑\FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / 1 ,9 Inspector. _��" G—`'"'�' Date: /1/1"(14— Phone #: (50'1718- ' ELECTRICAL PERMIT' CITY OF TIGARD PERMIT#: ELC2004-0053 DEVtIbPMENT SERVICES DATE ISSUED: 11/29/20(;,4 13125 SW Hall Blvd..Tis,,-rd, OR 97223 (503) 639-4171 PARCEL. ZGI.02AA-02302 SITE ADDRESS: 12202 SW MAIN Sr ZONING: CBD SUBDIVISION: TIGARD HIGHWAY TRACTS BLOCK•. LOT: 003 JURISDICTION: TIG Project Description! Roof top A/C replacement. 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: SIGNAUPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL. (10)• SERVICE/FEEDER 3RANCH CIRCUITS _ AD01-INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PFR INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR. 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT- 601 - 1000 amp: _ i_ PLAN REVIEW SECTION 1000+amplvolt: >=4 RE's UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREPVSP!:�;01'C: Owner: Contactor: B-B-B PROPERTIES ABC ELECTRIC PO BOX 23952 135 NE 9TH TIGARD,OR 97281 PORTLAND, OR 97232 "lione: Phone: 233-7551 Reg#: LIC 26-1226C SUP 509(iS FEES ELE 161501 Description Date Amount Required Inspections IEI.I'RMT] ELC Permit 11/29/200, $53.50 ITAX]8%Statc Surcharge 11/29/200, $4,28 Rough in Elecl'I Final Total $57.78 this Permit is issued subject to the regulatiors contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All wc�k will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or K work is suspended for more than 180 days. ATTENTION Oregon aw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) (L 2.46-6699 or 1-800-332-2344 Issued By: ,� ,� ,cam _ Permit Signature: t n n p CO) tOWNER INSTALLATION ONLY J The installation is being made on property I own which is not intended for sale, lease, or rent. W 6 OWNER'S SIGNATURE: DATE: W J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ I)ATE: LICENSE NG: — — Call 639-4175 by 7:00pm for an Inspection the next business?, day f!U'J—ter-2N94 1?1 :.2 ,'M P. 1)1 M@e'tricaM erg + � g� �J City Qf'rigaird rNoWkdj&d.�7 ^y �® 13125 SW Hall Blvd,Tigard,OR 97233 �. Phone $036,194171 Fox 50339 1(9W ) 1,11 Inspection Line 503 639.4174 v r. { 1004 Other►emur Internet www c,.Ngard.or,ur t'.q.1 for as e+eeulletormadon New construction Add iliowalteration/rephacemer.t I Please check d t st apply, t-- LEI Demolition Other: 0Service over 115 arms,comM'I Chti uda;r location 031"'1 over J20 amps-rating ❑Ftulldng over I o,000 sy n CJ i and Z•fgmi y dwelling Commercial/industrial of I.and 2-famlly dwellings 4 or Mort new resider l i Accessory building ❑System over 600 Alto nominal units to one structure []Multi•famil Master builder Other: ❑AUJIding ove runes stories (]Folders,400 awe or mor []Occupant load over 99 persons ❑Maauractured structures u 1r L no.�0,4, r •�ESMIS/lighting pian RV park Job site erldrea: r ClHalth-care facility ❑Other5ZlP: h ^ Submit j•pts of pians with any of the above. jT_ V ns above are not applicable to temporary crmstructfon serviceSu iL,/,ldgdapt no. Project names Cross grreet/directions to job site: TMs__ Nati railde�n at I *-or multi.amtly welling onit. Includes attached are e. --- 1,000 A.or law i4s 15 , Subdivision: Lot no.: Ea.add'I 500 eq,A.tit portion 33.40 Tax map/parcel no.: Limited error ,residential 75.00 Limited ever y,nonresidential 75.00 i � ch manufactured or Modu or dwilling,service and/or feeder 90,90 , Services or feeders Installation,alteration,10and/or relocation 0 arnps or less 90.30 201 amps to 400 err�i- 106,85 r Name: 401 amps to 600 amps --16060 , -- 601 a s to 1,000 a a 24060 2 Address, _ Over 1,000 amps or volts — City/State/Z1P Reconnectoil n1 66,85 , emporsry services or feeders ins slot on,alteration,and/or Phone. f ) Fax:(^ ) relocation Owner Intl illation: This insta- a1T'tiori�s being ma a an •ops— rt�y that F oWn which Is not 1� or less_ 66.85 t' intended for sale, lease,rent,or exchange,according to URS 447,Mo,670,and 701. 201 i s to 400 a s 100.30 , 4C,amps to 600 amM_ 133.75 - Owner s! ,lure: Dote: Branch clrculta-new,allaratlon,or extension, at, ,till _ A. ec or branch cfrcu U with Business name: �`. service or feeder fait,each lact-_-_.� ch circuit 6.65 2 Contact name: r- se for rant eiraults without service or feeder fail., ' Address: each branch circuit a6 85 Each add'I branch circuit 5 City/StatdZlP Mlse cllanaeus(service or feeder not Included) Phony.( ) F ( ) Pump or Irrigation circle �,;,40 k•mall: Si =_U Ughtin IL Siline,c(rouit(s)or limited- energy panel,attention,or Business nnrr. �, / extension.Describe Page 1 , Address_ Each additional Ins action aver allow■ble In■ny of the abs rr _j City_/State/ZIP-:-�f••�._l Per ins tion __ 61.50 ED r nv=Aa-,,nn per hcur(1 hr r•,un) 62$0 Phone:( ) Ftx:( ) 2 — r Industrial lane hour 73.15 ..•l CCB Lic Electrical Lic,' uprv, Lic,: J � Subtotal St:prv. Electrician signature,required: Ast � Plan review 13y6of �•i•-.x•�l- ( permit tb) Print name: „ ��,� K 2 Date: 316n surcharge(8K of permit fee) Authorized signature: ,. TOTAL PERMIT PEE +rkrmlr eaDl laden cap red I s!yr r h sur earela.d whhln t eo Print namef1. Date: drays error it has b"".et.Pfed as aonrpil y-�ae1 _�„�[��1� Pw " meo sur Tri-CountyBlldlns Industry Service BoardNumber of i"ptions per pro&lowed .Julldi.s�Pem,Mn6LC.P� nkAap dot ivnr Nn•4e�Jrtle/eL(`OAVWaa r A CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004.00763 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11 PARCEL: 2S 102A102A 04 A-02302 SITE ADDRESS: 12202 SW MAIN ST SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A:3 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS_ 140ODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG _ 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: — AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1 a 10000 cfm: Remarks: Replace existing rooRop unit with like kind. Project Value: $5400 _Owner: _ FEES B-B-B PROPERTIES Description Date Amount PO BOX 23952 [MECH] Permit Fee 11/19/20( $148.70 TIGARD, OR 97281 [MECPLN] Plan Rev 11/19/20( $37.20 [TAX] 9%State Surchari 11/19/20( $11.90 Phone: Total $197.80 Contractor: OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Gas Line Insp Phone: 538-2953 Mechanical Insp Reg#: LIC 125815 Final Inspection a o� t- U) .J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All viork will be done in accordance with approved plans. This pennit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rues adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by cGlling (503)245- Issued t3y: 4 Permittee Signature: Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit Application City of'Tigard Received Date/By Permit No.' 13125 SW Ilall Blvd.,'rigard,OR 97223 Plan Review Phone: .503.639.4171 Fax: 503.598.1960 Date/By- Other Permit: Inspection Line: 503.639.4175 Date Ready/By: June: ® Sec Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supptementallnformation TYPE OF WORK — COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑New construction �dditioru_Iteratioii/replacement Mechanical pemul fees*are based on the value ofthe work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other- mechanical materiales,equipment,labor,overhead,androfrt. CATEGORY OF CONSTRUCTION _ Value:$ �j ❑ 1-and 2-family dwellingCommercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES" ❑Multi-family ❑Master builder ❑Other: For special information use checklist. Description_ _ Qty. Ea_. Total JOB SITE INFORMATION AND LOCATION_ Heating/cooling Job site address r Air conditioning or heat pump C"2 (requires site plan showing placement) 14.00 _ City/State/ZIP: �' Furnace 100,000 BTU ducts/vents 14.00 _ Furnace 100,000+BTUS+ucts/venta 17.90 Suite/bldg./apt.no.: Pi-ject name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 H dronic hot waters stem ;4.00 _ Residential boiler(radiator or h dronic) 14.00 Unit heaters(fuel-type,not electric), in-wall in-duct suspended,etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 - -- — Other: 10.00 Tax map/parcel no.: Othcr fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 /` �s (r F /�.7 1r/��► Flue vert for water heater or gas fireplace 10.00 — Log lighter(gas) 10.00 Wood/pellet stove _ 10.09 Wood fi lace/insert 10.00 C_himne /liy ner/flu,/vent 10.00 PROPERTY O ER TENANT Other: Name: �� -�"� �� Environmental a thaust and ventilation Address: 0"6& KS Range hood/other kitchen equipment 10.0(' _ City/State/ZIP: Nip- eeD 0/L 7 717&4 Clothes dryer exhaust 10.0( �— Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utili, rooms) 6.d0 ❑ APPLICANT ❑ CONTACT PERSON Attic/cmwlspace fans _ 10.00 Business name: Other: 10.00-- - _ Fuel"I [UK—� Contact name: $5.40 for first four;$1.00 for each additional IL Address: Furnace,etc. a --— Gas heat pump NCity/State/ZIP: Wall/suspended/unit heater r Phone:( ) - Fax::( ) Water heater t Fireplace J E-mail: Range -- CONTRACTOR Barbecue LU Business name: 12�92 Clothes�aSgas) _ '4 Other: Address: _ V MECHANICAL PERMIT FEES" City/State/ZIP: _ Subtotal 1,19.70 Phone:(�'�) �� 3 — �S� Fax:(��g) Minimum permit fee(572.50) �j�I L _—�L� Plan review(251r6 of permit fee) Z. CCB lic.: �-Lam- State sutchurge(8%of permit fee) _ TOTAL PERMIT FEE This permit application expires Its permit Is not obtained within 180 —Auth—orlZed Signature: 7� 7` days after It hu been accepted as complete. PI rent name: /J1/ � Date: ' Fee methodology set by Tri-County Building Industry Service Board Mechanical Permit Application - City of TiVird Page 2 -Supplemental Information Commercial Fee Schedule:_ Total Valuation: � Permit Fee: $1.00 to$2,000.00 Minimum fee$72.50 $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and $1.80 for each additional$100.00 or fraction thereof to and including _ — $1010-0000. $10.1101.00 to$50,000.00 $231.50 fa•the first$10,000.00 and $1.35 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and $1.25 for each additional$100.00 or fraction thereof,to and including $100 OUO.OU. $100,000.01 and up $1,396.50 for the first$100,000.00 and $1.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. a oc m c� w is\Building\Pennits\MEC-PermitApp.doc 12103 2 CITY OF TIGARD 24-Hour BUILDING Inspectlon I-Ine: 4503)636-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ OUP _— --_ Receivod _.. Date Requested.__1/.5; ___t_' AM—_ PM — BUP --- Location Suite _.___ MEC _— Contact Person . — Ph( ,`) PLM Contractor _ _ — _ Ph( —) 3 3 =/.9S SWR �----____�_--- Br UILDINr — Tenant/Owner _ 1 �•'� — ELC a'y` 75 Footing Found n Am;ss: ELC —� Ftg Drbm ELR _ Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors _ f— Ext Sheath/Shear Int Sheath/Shear Framing Insulation tJ Drywall"Jailing --- — -- ---1��- Firewall Fire Sprinkler -- ------ -- -- Fire Alarm Susp'd Ceiling -- Roof — Other: - -- Final __------- — -- PASS PART FAIL PLUMBING — Post&Beam Under Slab Rough-In Water Service — Sanitary Sewer Rain Dm., 1 —-- -- -- --- -- Catch Basin/Manhole Storm Drain - — — --- — Shower Pan Other: - — -- -- FIReI -__-- ------ PASS PART FAIL —.—_--- MECHANICAL — _-- ------ -- -- — — Post& Beam Rough-in a, Gas Line Y— -- Smoke Dampers __-- F' Final �- PASS FA,AT FAIL J ELECTRICAL m Sery;cp Rough-In --- W UG/Slab _j Low Voltage —.— —_—_-- _-- --_--__-- — Fire Alarm If ink Reinspection tee of$ required before next Inspection. Pa at Cf Hall, 13125 SW Hall Blvd. S PART FAIL Y City SITE —_ 0 Please call for reinspection RE: T_ _ F] Unable to inspect --no across Fire Supply Line ADA Dave Ita Approach/Sidewalk -- ep�A� - Other: Final `^ DO NOT REMOVE this Inspection record hoer the job 81611. PASS PART FAIL CITY OF TIGARD �� _6UILDINGPER 9- IT PERNAIT#: BUP1999-00218 DEVELOPMENT SERVICES N DATE ISSUED: 5/25/99 13125 SW Hall Blvd.,Tinard, OR 97223 (50 PARCEL: 2S102AA-02302 SITE ADDRESS: 12202 SW MAIN ; - SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: Cbl BLOCK: LOT: 003 JURISDICTION: TIG REISSUE- FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 910 sf N: S: E: W: TYPE OF Ucr: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 9 BASEMENT: of AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: - SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,000.00 Remarks: Tenant improvement-walls only. Owner: Contractor: Ek-B-B PROPER TIES TENANT PER APPROVAL FROM OWNER PO BOX 23952 TIGARD, OR 97281 Phone: Phone: Reg#: LIC 00013125 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT DRA 5/25/99 $38.50 99-315657 I Gyp Board Insp PLCK DRA 5/25/99 $25.03 99-315657 FIRE DRA 5/25/99 $15.40 99-315657 SPCT DRA 5/25/99 $1.93 99-315657 Total _ $80.86 IL This permit is issued subject to the regulations contained in the 11 and Municipal Code, State rf OR. X Pe 1 9 9 P I-- Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. rn This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mora than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility 0o Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee _ Signatur 7 Issued y: Call 6394175 by 7 p.m.for an Inspection the next business day It 05/24/99 08:59 ID503 884 7297 CITE' OF TIGARD \ 002/00 rReed By r C I'iY OF'TIGARD Commercial Building Permit Application ala Raed _ — .43125 SW HALL BLVD, Tenant Improvement Data tor.l TIGARD, OR 972.23 /� ate to 503 639-4171 G/ ' P«rm s I j� Print or Type Rets SYM! - incomplete or illegible applications will not be accepted calve Name ur Deveiopnent/Pr*ct Existing Building New Build'lg❑ Job Address StraetAddnma Skrlle Building Data Bldg s a rrStata Zip Existing Use of Building or Property: 09\ 9 7 1 VO Proposed Use of Building or Property: Property Owner Address sone c)k\r:tL- f> L No.Of Stories: Zip'.r Phone w(� (f C �1�,1 Sq. Ft Of Proje (� r.�� — C�l Cx, Occupant Name Occupancy Class(es) Name Contractor -Y Type(s)of Construction Prior In permita mss ;sone issuance a copy \� Will this project have a Fire Supp ion S tem? of so licenses Yea 0 No "Otoen C.O.T. 1p Phone Americans with Disabilities Act(ADA) database _ Valuation X 25%=$_ Participation omoon Corsi.cont.Board .*- rV.Date Complete Accessibility Form __— project — E N Valuation Uc>O _ Architect Plans Required- See atria for number of sets to submit back Matting Suibe on back Cry"- t@ Zi Phone 1 hereby acknowledge"I have read Olin npp$mftk tl�sf�,e inror!t�atlon given Is corredt.licit I am Ole owner or nAhorired agent r f the owner,and "t plans!aobrnmed are in comprwnce with Oregon Sts'e Laws. Engineer Na Si mMttrc of�Ag�n�r �� Dabs r G Malling Ad Sunt' S "� la N. Penton Name Phone cnyrState. -mm Phone ISN,✓ let' =I- L — FOR OFFICE USE ONLY 4 Indicate type of work: New O Addliion O Demornion OP �'r Accessory Structure O Foundation Only O AnenGon O Repair Other, Notts: x d;A :' 1`L•� ,.' �..c,xr,k, .,:; J Deszrlptlon of worms !T •,„f::L a Noes Sha War*Permit ApPllcadon must precede or accompany Building P*rMIt Application 1AC0MNEVM.DOC (DS) SMS MAY 24 '99 09:16 503 684 7297 PAOE.02 05/24/99 09:01 0503 1194 7297 CITY OF TIGARD 005/005 SUBJECT. ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily aocessible to individuals with disabilities unlass such alterations are disproportionate to the overall alterations in terms of cost and scope (2) Alterations made to the path of travel to an aRered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%) VALUATION of all renovation, alteration or modification being done excluding painting,wallpaperinq. U U V multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL (2(5 7-5 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (`M"_ C Je— - A 04 (b) An accessible entrance: 5 Y"1q.Lco J -Ayi4 (c) An accessible route to the altered area: S r—xu"r� c,vy�e- 'A OA (d) At least one accessible restroom for S Y"1 Q,�_� c-aJe _ADA each sex or a single unisex restroorn. (e) Accessible telephones: 2 r (f', Accessible drinking fountains: and ` (g) Nfilen possible, aad6onal accessible J elements such as storage and alarms: s 0 9 TOTAL: Shall equal line 2 of Value Computation i%dsis\ronns\acccss doc MAY 24 '99 09:18 303 684 7297 PAGE.05 • - e.1t�� O�'tS �--- ' n AO f tJa./ I t IV to � a I I � I I vooe �C�V! CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceilinq -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Out Insu!ation dI_ Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: 3 l _— A.M. _ P.M. Y� Entry: ---- __ Address: _Z -- Tenant: ____. _ Ste: MST: Con/Own: --G �CL�� MEC: PLM: -__ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: � Inspector: � �/ �� -- ---- Date: APPROVED __DISAPPROVED/CALL FOR REINS P. CF CO CITY OF TIGARD ELECTRICAL PERMIT_ PERMIT M ELC1999-00321 DEVELOPMENT SERVICES DATE ISSUED: 5126/99 13125 SW Hall Blvd..Tigard,OR 97223 (5031 639-4171 PARCEL: 2S102AA-02302 SITE ADDRESS: 12202 SW MAIN ST SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK: LOT : 003 JURISDICTION: TIG Prosect Description: Electrical TI RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVG OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1600 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect ogly. SVC/FDR>=225 AMPS: CLASS AREA/.PEC OCC: Owner: Contractor, B-B-B PROPERTIES PHOENIX ELECTRIC CO PO BOX 23952 7379 SW TECH CENTER C 4 TIGARD, OR 97281 TIGARD, OR 97223 Phone: Phone: 684-3600 Reg*: LIC 00052288 SUP 4140S ELE 34-247C FEES — Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 5/26/99 $45.00 99-315699 Elect'I Final 5PCT BON 5/26/99 $2.25 99-315699 Total $47.25 ORIGINAL I his Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or If work is suspended for more than 180 days. ATTENTION: Oregon law require -u to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-OOBL may obta°n copies^'these rules ordirect questions to OUNC at(503) 246-1987. Permit Signature: Issued By: ✓\ C C _ _ OWNER INSTALLATION ONLY The installation is beinc made on property I own which is not intended fc-sale, lease, or rent. OWNEFt'S SIGNATURE: __ DATE: CONTRACTOR INSTALLATICN ONLY SIGNATURE OF SUPR. ELEC'N: / JO �1Y7 __ DATE:_ LICENSE NO: Cali 8394175 by 7:00pm for an Inspection the next business day MAY-26-99 WED 02:38 PM PHOENIX ELECTRIC CO FAX N0, 15036843611 P. 02 CITY OF TIGARD RFCF t Electrical Permit Application PlanChoc 1312 SW HALL.Bl-VQ. z Lr R"A By _ IYIAY �i �q Onto Recd TIGARD OR 97223 Date to P.E. Phone(503)839.4171,00 MUNI I Date to DST Inspec'lon (503)639-4175 Print or Type permit n C -P1�3�1 Fax(503)684.7297 Incomplete or Illegible ulil: not be accepted called_ - 1. Job Address: 4. Complete Fee Schedule Below: Name of Developmen �� - ce Number of Inspection@ per permit allowed Name(or name of business) Service included: Items Cost Sum Addre s Jv1 'O�� _ 4a. Residential•per unit loco sq,h.or less $110,00 _ 4 Ciy/State/Zl Z - �)�Zi� Each additional 600 sq.It,or portion thereof $25.00 t Commerr_ilResidential ❑ Limped Energy $25.00 t Each Manul'd Home or Modular _`;��l\G��`�L!�• t,r r-��,A--�vr-�XLt� Dwelling Service or Foador !88.00 2 2a. Contractor Installation only: (Atisch copy ptlitil currentIloons,a) 4b.Services or Feeders Electrical ntract `' P� Inttallatlon,alteration,or relocallon 200 amps or lose $60.00 2 5. I Y Q got amps to 400 amps $80.00 2 City Stet@ p_ 401 amps to 6001mps $120.00 2 Phone N 601 amps to 1000 amps $16040 2 Job NJ•_ y _ Over'1000 amps or volts $340.00 2 Reconnect only $50.00 _ 2 Elec.Cont. Lice.No. - -Exp.Dato OR State CCB Reg.,No._ ExQ.Dale 4c.Temporary Services or Feeders COT Business Tac or Metro No. n _Exp.Dete Installation,alteration,or relocation IV 200 amps or lose $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr.Elec'n-jllk_ ,o 401 amps to 600 amps $100.00 _ 2 Over 000 amps to I OOo voila, License No, 6S __ Exp.Date see•'b"above. Phone No, 4d.Branch Circuits New,allerallon or extension per pal lel 2b. For owner Installations: a)The fee for branch circuits with purchase of servlet or Print Owner's Name_ _ feeder No. Addres3 Each branch circuli $5.00 2 b)The fee for branch clrcuhs City, _ Stilt@ Zlp without purchssa of Phone No. _ service or feeder fee. First branch circuit t $36.00 2 The Installation Is being made on property I own which is not each additional branch circutl�._ $5.00 -' 2 intended for s-ale,lease or rent. 4e.Miscellaneous (Service or feeder not Inauded) Owner's Signature Each pump or irrigation circle $40-00 _ 2 Each sign or outline Ilghil $40,00 2 3. Plan Review section(i/required).a Signal 1,allots)or a extension anarpy panel,sllentlon or oxlenslon _____ $40.00 2 Minor Ltt»Ia(10) $100.00 IL Please check appropriate Item and enter fee Irl section 58. 4 or more residential units In one structure 4f.Each additional Inspection over N Service and feador 225 amps or more the allowablo In any of the above 00 System over 600 volts nominal Per Inspection $ .00 Cbstified area or structure containing special occupancy Per hour $5539. as described in N.E.C.Chapter 5 In Plant $66.00 m °Submit 2 sets of plans with applicatlon where any of the above apply. 5. Fees: Not required for fempor@ry oonstruc!;on services. 8s.Enter total of above is" $ W 5%surcharge(.06 X total foes) 6 NQTIGE .Subtotal $ 6b.Enter of to it for PERMITS BECOME VOID IF WORK OR CONSTRUCTION,!,UTHORIZED IS Plan Review j, (qd(See,3) a NO'T COMMENCED WITHIN 18o DAYS,OR IF CONSTRU.:TION OR WORK Subtotal I9 suSPFNDF4 OR ARANDONED FOR A PFRIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 9.Trust Account it S Total balente Due t•.%D%TtU1LCVQ.A1'P rWV W96 ^" CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUD — r 71 Date Requested �'�(O ' l r AM_ PM BLD N Location_ 12, Suite MEC Contact Person Ph ��y� �� PLM Contractor Ph S'77_ —G�� SWR BUILDING Tenant/ ner ELC Retaining Wall Y ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: -- Slab SIT Post&Beam "- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post&Beam -- Rnugh In Gas Line Smoke Dampers Final — PASS PART FAIL urcmn- _j IL Service _ H Rough In UG/Slab C Low Voltage Fire Alarm m AS PART FAIL — _ L7 Uj -� Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of S _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply tine [ Please call foi reinspection RE: 1 1 Unabl,.'c inspect-no ecceaR ADA Approach/Sidewalk Date X(O 9 Inspector Other _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Nall Blvd. r/ /�q/ _n 3 Lam, Tigard,OR 97223 FERMI #_— G iLl� t0 U :J(J Phone(503)639-4171 , FAX(503)684-7297 DATE ISSUFD TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK I)-I-vz s w. (-A-„ r' \ -A�d-d�-ress RESIDENTIAL--Restricted:. ergy Fee. . . . . . I I ZC2" art � 01-77,2 j (FOR ALL SYSTEMS) City state Zip Ch" Type of Work Involved: PERMITS ARC NON-TRANSFERA81 f AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 fIPYS OF ISSUANCE OR If WORK 15 SUSPENDED FOR 180 DAYS. & Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door C;vner* Q 13Heating,Ventilation and Air Conditioning System* Contractor '`�l I;PS tj�� /, Type_ ow 1hr�f+,r,L ❑ Vacuum Systems* Address U AJ L.�• t I Gr.d S _ �� (�( 4720 q ❑ Other---- _ T Date 1 i _ -� COMMERCIAL—Fee for each system . . . . . . . . . 140.00 (SEE OAR 918-260-260) Property Owner r7^s VrC,,tr SS oc,..4�� _ Check Tvne of Work Involved: Contractor's Board Reg. No. "L3`_'�� _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# Zti7-oS'r _ ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address — ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control" City State Zip ❑ Medical This permit is issued under OAR 918-320.370.This applicant agree,to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Clod= Landscape Lighting' following: 1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling L residential and other transactions are exempt from licensing.These have ❑ Other Kasterisks(•).All athers need licensing). 2. Call for an inspection whe.i all of the installations under this permit are ready f) for inspection at 503-639.4175. ❑ Number of Systems 1 Purchase separate permits for all installations that are not ready for inspection --" Jwhen the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4, Assume responsibility for assuring that all corrections required by the inspector ---- - -- --___ _ are done,and S. Assume responsihility(or calling for a final inspection when all of the 5. FEES U corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ authorized to hind the applicant. b. 5%Surcharge(.05 x total above) $ r Signature f TOTAL $�z-� Authority if other than applicant ENERGAP.CHP CITY OF TIGARD CERTIFICATE OF COMMUNITY DEVELOPMENT DEPARTMEAIT OCCUPANCY 17125 BW Mdl Blvd.Tlpnd,OrOW 9722341 Of (50�SM4171 PERMIT #. . . . . . . i BUR94 004E 639- 4171 DATE IGSUEDa 01/06/95 PARCE(_a 2S 102AA- t►2.302 ITE ADDRESG. . . : 1202 SW MAIN ST SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS YONINGeCBD BLOCK. . . . . . . . . . : l_07.. . . . . . . . . . . . # 13 CLASS OF WORK. :ADD TYPE OF USE. . . :COM OCCUPANCY GRP. :02 OCCUPANCY LOAD:O TENANT NAME. . . : INSURANCE ASSOCIATES RemAt-Nse Rest room additior to •a `n building for 3 tenants N. D. B. INVESTMENT Phone #: C ontrautor: �_------- RON WICKS 9965 4:;W JOHNSON ( IGARD OR 9722:3 Phone #1 620-2077 (Reg #. . : 11022 Occupancy of the above referenced building is herebv given, and certifiets the cropliance with the State Of Oregon Specialty Codes for the gr-olap, occupancyt and usp �.lnder^ which the referenced p `dly# wart; issued. BUILDING NSPECT0 PUI _UI G O - ICTAL _ IL POST IN CONSPICUOUS PLACE U) J m 0 W J CITY 4F TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125SWHi11Blvd.,7798rd,0A8M23 (503)6*4171 RESTRICTED ENERGY PERMIT #s ELR96-0350 DATE ISSUED: 11/18/96 PARCELS 2S102PA-02302 SITE ADDRESS. . . : 12202 SW MAIN ST SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING:CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..3 Project Descriptions install burglar alar^m A. RESIDENTIAL—---- B. COMMERCIAL--------------------------------------- AUDIO ----------------------------_._—_------ AUDIO & STEREO. . . : AUDIO & STEREO. . -. INTERCOM & PAGING. . : BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . : CLOCK,. . . . . . . . . . : MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE C014M. . S NURSE CALLS. . . . . . . . s VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 0 Owner-: ------------------------------------------------------- FEES INSURANCE ASSOCIATES type amount by date recpt 12202 SW MAIN STREET PRMT $ 40. 00 TAT 11/18/96 96-286609 5PCT $ 2. 00 TAT 11/18/96 96-286609 TIGARD OR 972223 Phone #: 227-0571 Cryntr-actor. - ---.----.--------------------------------------------------------------- 1,1 111...LIPS ELECTRONIC"S ! 42, 00 TOTAL 1410 NW FLANDERS ------- REQUIRED INSPECTIONS -----•-- i'r1RTLAND OR 97209 Ceiling Cover Elect' l Service f_fhone #: 503-227-0571 Wall Cover Flect' l Final Reg #. . : 000433 This permit is issued subject to the regulations contained in the �/J_ �_)']/hZ y igard Municipal Code, State of Ore. Specialty Codes and all other Perm i e i gnat i.rre applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days ^.f i!suance, or if work is suspended for more than Ul0 days. I s s Pd By -----------------OWNER INSTALLATION ONLY----._____ The installation is being made on property I own which is not intended _far- sale, lease, or rant. OWNER' S SIGNATURE: DATE: _._....._.�___.._.._.--------------CONTRACTOR INSTALLATION ONLY---------------------------_ �;I CNATLIRE OF SUPR. EL.EC' N: DATE: LICENSE NO: Call for inspection — 639-4175 C17Y OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW H&N Blvd.Tigard,Onpon 87223.8188 (603)830.4171 PLUMBING PERMIT PERMIT #. . . . . . . s PLM94--0036 • 639--4171 DATE ISSUED: 04/19/94 PARCEL: 2S102AA-0230i? SITE ADDRESS. . . : 12202 SW MAIN ST SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING: CBU BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..3 CLASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :CUM WASHING MACH. . . . . . . : BACKFLOW PREVNI'RS'. . s OCCUPANCY GRP. . -.B2 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . s STOKILS. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . s FIXTURES•---------- - _ LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . . . .. 1 GREASE TRAPS. . . . . . . : LAVATORIES. . . . . :2 OTHER FIXTURES. . . . . :4 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . e WATER CLOSETS. . :3 WATER LINE DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . e Femarks : Rest room addition to main building for 3 tenants t1wner•-- --------------------------------------------------- FEES ------.-------- 13- 1A. B. INV_1STMENT type amount by bate reept PRMT $ 102. 50 SW 04/19/94 - PL CK t 25. 63 SW 04/19/94 - 5PCT $ 5. 13 SW 04/19/94 - I-rr�it�e #: Contractor. ------------------------.___--- CONTRACTOR NOT ON FILE ------------------------------------- Phone #: t 133. 26 TOTAL ---- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Water Line Ins;p Tigard Municipal Code, State of Ore. Specialty Codes and all other Rough-in Insp applicable laws. All Mork will be done in accordance with Top-out Insp approved plans. This permit will expire if work is not started Rain Drain Insp L within 188 days of issuance, or if work is suspended for more Final Inspect ion C than 188 days. Permittee Signatuv-P - Issued By : ` Call for inspection - 639--4175 City of Tigard PLUMBING PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # _Jim Tigard, OR 97223 (503) 639-4171 vescripow L -S CU ORS 811.214107QTY PRICE AMT Job , 'lam, ,P FIXTURES Add, aft 7.50 Lavatory - . I UD or er Shower Only 7.50 Watel'Closet (honer wa 9e viio6w— Washing MkFvne mom«" moor-brain 7.50 Water Heater Occupant From ry ray 1.50 _ nna 7.50 Oft(Fixtures(Specify) 7.50 Contractor qy� `� �) ✓ �. MISCELLANEOUS DP 77 sewer I st sewer-as.A3R—M 15.00 Water bervice ` U hereby ackni541edge thathave road this application,that the Water Service ea.Addii.200' 15.00 information given is correct,that I am the owner or authorized agent of do owner,that plans subrnided are in compliance with State laws,that I Storm d Rein Drain 1st 100' 30.00 am registered with the Construction Contr<nctor's Board,that the number Stone d Rain Drain Addit. 100' 15.00 given is correct. (It exempt from State registration, please give reason below.) Mobile Home Space 25,00 Back Flow PrevenWri Device or Anti-Pollution Device 7.50 um Any I rap or Waste Not Connected to a Fixture 7.50 Describe work new U aaafflon alteration repair Mich Basin 7.50 to be done residential 0 non-residential 0 Insp.of Exist.Plumbing per hr Specially Requested Inspections per hr Existing use of n,single faCmly building or property dwelling 15.00 L Reskantial baddlow proven n C Proposed use of devices 15.00 building or property ` (Excipt reeldon1w Fic-00—W J prevention drvkw) NOTICE *Minimunn Fee$25.00 SUBTOTAL ADQ U PERMITS BECOME W-� )IF WORK OR CONSTRUCTION .I 5%SURCHARGE 7� AUTHORIZED IS NC r COMMENCED WITHIN 180 DAYS,OR IF T CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL COMMENCED. - TOTAL Special Cond[ions ---- _ Date issued by wrv�uxart e w W= V <'� o gLLI In �ci v � y � V �oC � r w yZ ¢0 Q 2cicc N�15 r N� / T • V it.� I. rD -o cv Lu r, CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : BUP94-0046 13125 BW Hell Blvd.Tigard.Oregon 97223ee1gg (110 6394171 DATE ISSUED: 04/0`/94 6A-4171 PARCEL: 2SI02RA-02302 SITE ADDRESS. . . : 12202 SW MAIN ST SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONING: CBD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :3 --.--.---__-----__ _ REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ADD FIRST. . . . w280 s f N: S e t HR Es We TYPE OF' USE. . . :CUM SECOND. . . : sf PROTECT OPENINGS?----------- TYPE OF CONST. :5N THIRD. . . . : sf Ni S:Y Ell We OCCUPANCY GRP. :B2 TOTAL------: 280 sf ROOF CONST:B FIRE RET?:Y OCCUPANCY LOAD:O BASEMENT. : sf AREA SEP. RATED: S TOIR. : l AT. -I) ft GARAGE. . . : sf OCCU SEP. RATED e BSMf ? : MEZZ?: REOD SETBACKS--------- REQUIRED-------------------- FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET. . : DWELLING UNITS: FRNT.- ft REAR: ft FIR ALRM: HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE:O PRO CORR: PHRKING: VALUE. $ : 16000 Remarks : Rest room addition to (main building for 3 tenants Owner: — - ___.____..___..___..____.-----._. _______—.-------------------- FEES --------------- P. B. B. ------•------- H. B. B. INVESTMENT type amount by date recpt PRMT $ 116. 50 JC; 04/04/94 — PLCK f 75. 73 — 02/14/94 94-248884 SPCT f 5. 83 . G O4/04/94 — Phane #: Contractor-: ------------------------------- RON WICKS 9965 SW JOHNSON 116ARD OR 97223 ------------------------------------- Phone #: 620--2077 $ 1,9F. O6 TOTAL Req #i. . 11022 ------- REQUIRED INSPECTIONS ------- This pereit is issued subject to the regulations contained in the Foot/Found Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other R e i n f Steel Ins p applicable laws. All Mork will be done in accordance with Slab Insp approved plans. This pereit will expire if Mork is not started Masonry Insp within 188 days of issuance, or if work is suspended for more Framing Insp than 180 days. Insulation Insp L C Gyp Board Insp Final Inspection _. F1er-mittee Signature . C W",f _ 7 .Ui Call for inspection — 639-4175 SEWER CONNECTION CITY GF TIGARD PERMi f #PERM.T. s SWR94-0073 COMMUNITY DEVELOPMENT DtPAR"A T DATE ISSUED a 04/0S/94 13125 SW Hall Blvd.Tlga►d,Oregon 97223.0190 (003)0319.4171 PARCELe 2S102AR-02302 SITE ADDRESS. . . : 1:202 SW MAIN S'i' SUBDIVISION. . . . : TIGARD HIGHWAY TRACTS ZONINGe CAD FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s3 ----- -------------------------------------------------------------------------- 1 E.NANT NAME. . . . . : USA NO. . . . . . . . . . a FIXTURE UNITS. . . e31 CLASS OF WORK. . . :ADD DWELLING UNITS. . sl f YPE OF USE. . . . . :COM NO. OF' AU I LD I NGS e i INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . e00 : sf Remarks : Rest room addition to again building for 3 tenants Owner: --------------------------------------------------------- FEES -------------- N. B. B. INVESTMENT type amount by date recpt PRMT $ 2200. 00 JG 04/04494 — Ulhone #: Contractors ------------------------------- CONTRACTOR NOT ON FILE -------------------------------------- Phone #: $ 2200. 00 TOTAL Reg #. . . ------- REQUIRED INSPECTIONS ----- -- This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ of the Unified Sewage Agency. The permit expires 190 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not Heated 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 Age y will instal lat ) j Permittee Signature : '�1 �� ✓/ Issued Byz IL Call for inspection - 635-4175 1` rrn j m 0 W J Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 e , Jobsite Address: y � Y Se-v �-�S suite# {, :y Tenant. U cc-r Valuation /0/' --ZI Owner: 43x Address: Phone: Contractor: Address: s� � „ Type of const: Occupancy class: Phone: Sprinklered? Yes Contractor's Lice1� �— ) Z I u C (attach copy of tuffent Oregon Naense) Sq.it. of proled: 8a Sto �nd.etc.) _ Architect/Engineer: /4 G O/ (R Proposed use: YF ►Ze^ s' _ Addi /3`!nL_;�,_ 7 Previous use: 1 q r4 Note: Plumbing & mechanical plans -i— -t��'"p must be submitted at time of c) �> Phone: 7-- _._ building permit application. COMMENTS: Applicant Signature & Phone number Received by: s, -- Date Received: .� /l�- • f Permit # Account Description Amount Amt. Pd. Bal. Due B I)Pq !qyd Bldg. Perrnd (BUILD) � �U Plumb. Pb.mit (PLUMB) Mech. Permit (MECH) _ State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) 7-Q7� Bldg: Plumb: Mech: -6" q> Sewci Connection (SWUSA) — Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) CL Industrial TIF (TIF-1) c~n Institutional TIF (TIF-IS) Office TIF TIF-O) m 0 Water Quality LU . Water Quantity (WOUANT).--, Fire District (FIRE) 7 ff TOTALS: UNIFIED SCIPM GM AGEPOCY OF WASHINGTON COUNTY F I l[nm LIMIT RAT t NOS TOTAL TOTAL F 1 XTURE VALUE NUMMM NIMH SAP►T 1 STRY/MM 4 BATH - TUM/SHOWER 4 - JACuz/=4PL 4 CLAWIOOR/WATER ASTM t D 1 SMtASHM T COMFER 4 - DOIrEST 2 DRINKING FOISITAIN 1 FLOOR DRA I N - I 1 NII t - a 1NW s - A 1 HCH 4 aAMISAas D 1 SI.ONAL - DOM rm%19 HIM) to Cam(TO s HP a: - IND(OVER s HP 48 OIL SEP (CPAS STA► 4 SER - CJMII' I - STALL s S I M DAR � z v BRADLEY ! - COWaRC 1 AL ] �7 - SERVICE 2 •ASHM. C A)TIHES i WATEN EXT 9 1-- •ATER CLOSET . • 1121 NAL. i 6 Fx value this ten h a IDU - this tenant ' OC Run. fx value - bldci rn Run. IDU - bl.d . m Sewer permit # sw��q r r �i l r ti 1 S a /,11,T DATEf'� <<' � NSP �,i c+ tw), 16 n r�f� TOTAL Mu BUSINESS �- ADDRESS PEM 1 T NO. C[x Nrm FROM TAX MAP/LO'. »-zs Rs3 February 17, 1993 rOREGON OF TIGARD Jim Nicoli Nicoli Engineering P.O. Box 23784 Tigard OR 97223 Project: Rest Room Addit:.on- plan check #2-27C 12202 SW Main Street Subject: Building Plan Review (1991 UBC with Oregon Amendments) The plans for this project were reviewed for conformity with applicable c,,aes. Please submit the following items for completio.1 of the plp.,, review process at your earliest convenience: 1. Submit stamped details/calculations for the new opening in the existing CMU wall. is a lintel required? 2. Provide R-4. 1 perimeter insulation, R-11 wall insulation, and R-19 ceiling insulation minimum per Chapter 53. 3. Property lint: to be a minimum of. 8 inches from the exterior way '.. Please specify the exact dimension from the property line to the new south wall of the addition. 4. The rain drain system to be piped to an approved system. Please specify the size of pipe and where the system will be piped to. 5. The rest rooms shall have a smooth hard nonabsorbent surface which extends upward onto the wall at least 5 inches (section 510(c) l) . CL 6. Any wood in contact with concrete to be pressure treated or equivalent (bottom plates) (section 2516(c) ) . F- N 7. All wood framing against the CMU walls to be pressure treated or provide an air space. 8. Provide attic ventilation per Section 1:ZP6(c) . Ui 9. Submit omplete plumbing and mechanical plans for review. 10. How will the new foundation and CMU walls be dowelled into the existing building? Please clarify and submit details for review. 13125 W Hall Blvd,P.O.Box 23:97,Tigard,Oregon 97223 (503)639-:171 11. How is the p.t. plate at the top of the CKI walls attached? Please make these corrections on the appropriate pages of the drawings and resubmit three copies of each page to the City of Tigard for review. This plan review does not include electrical or plumbing plan reviews. Electrical concerns can be directed to Washington County at 640-3470 and plumbing concerns to Mike Sheehan at the City of Tigard at 639-4171 extension 312. If your have any questions or concerns, please do not hesitate to call. Sincerely, Mark Burrows Plans Examiner FAX (503) 684-7297 .b/per2-27.doc a a MD W J I 77111 i and Construction Services, Inc. 9025 Southwest Center Street P.O. Box 23794•Tigard, Oregon 97223 (503)6W2086•FAX (503)684-3636 February 22, 1994 Mr. Mark Burrows Plans Examiner City of Tigard 13125 S. W. Nall Blvd. Tigard, Oregon 97223 Re: Restroom addition Plan Check No. 2-27C 12202 S. W. Main Street Dear Mr. Burrows: We have reviewed you plan review comments and would like to make the following remarks: 1 . The contractor is aware that he is not to create the new opening in the existing CMU wall without further investigation by this firm. Note No. 3 on the plans requires the contractor to notify Nicoll Engineering prior to removing the CMU. We have also reiterated that with an additional note so there will not be any confusion on this matter. We are not certain what type IL of reinforcing, if any, exists in the existing CMU wall . Therefore, a reH representat;ve from this office will be present when the CMU is investigated N and removed. A detail will then be provided for your review and approval. 2. The insulation requirements have been noted on the drawings. m (7 3. During our site investigation we were unable to locate the property LU pins. The contractor has hired a surveying firm to locate those pins and verify the exact location of the property line prior to starting any construction. At this time the survey has not been completed, but should be completed at any time. 4. There is an existing rain drain along the south side of the • Mr. Mark Burrows City of Tigard February 22, 1994 Page 2 building. The exact location and size will be determined during the excavation fur the project. At that time a more accurate understanding of the size and location of the rain drain will be known. 5, 6, and 7. These comments have been noted on the drawings. 8. Provisions for the attic ventilation has been provided and detailed on the drawinss. 9. The contractor is aware that -!umbing and mechanical plans are required for the project. The contractors will complete those plans and submit them for your review and approval. 10. The connection between the new and old CMU walls and footing has been noted on the plans. 11 . The 2 x 8 pressure treated plate at the top of the CMU walls is to be attached with 1/2 inch diameter anchor bolts at 4 feet on center as noted on the drawings. If you have any further questions or comments please do not hesitate to call myself or Jim Nicoli . Sincerely, ��;p (Z James D. Andrews JDA:mlh a a.� U) L J_ m W J a s,