15350 SW SEQUOIA PARKWAY STE 220 10
1
t
15 •-0 30 - 0 30 --0 30 -- 0
o�
cD
-_ :;IF
CO
0
I ; crcq
Q
0
J15
sx 8 200 8 �
I i 200 200 2„p _._ _ 8 .8"0 I 200 ! !
� o
i --- 7
oo
II) 2"0 224 e 8 � 3
N 3/4"0 WA R LINES Q
8"0
FRES�I AIR, _. _- ,� _ _ _ r _ __ _ _ .� __ _ _ _ _ _ _ ��( E ) �� _
i f. " �./ o
14 2
I � C _ 222 �...� `' U
( E ) EXHAUST �-- �.____ T 10 Q
oel
0 WATER LI E — 10 � f..r 1 100 " w
I
(N) 3/4"0 WATE I.II`p S co
I
` EXISTING MAIN W TER LOOP 1 ri
E 1 - 1/2"o WATER LINES I - "
+12OT
" I �
8_ 8_ r10"0 8 0
1 0 �� 15012"�9•�i8 _ 8
I
2 ti V /r--__J 1
cri, 11
co 9
JL
V) ddlll
I � a a •r.
w 11 �( 1 U P p 4 0 I 200
220
t
DN
—
,�
A »• L_ 1 w
L) Q
EQUIPMENT: LEGEND: -�_�----CilY OF TIC ARI? ... .. . .... 't uAW1
_. cr
Condltbndly APPro 413 ' d In. ' r,a11VAC F L0oR PLAN � � � For oriy 1hP v:o�_� �
M 1 scAL�:t/�,� - 1,_Q�, HP-- 1 ,2 C CARRIER MODEL 50I1QA02,1 401 DA Sl_iYPL�' GRILL MITNf). �'1 ............. � .. •k
800 torkoT to.Fnt,l.•l. , ...
WA"FFR SOURCE HEAT PUMP Attach..... . ►� U Z L)
277 VOLT 10. 9 AMPS WEIGHT 230 lbs saber - j t In x
RETURN GRILL ax: _.L'�- °t3 .� ,�� � ►�'
EXAUST GRILL arc roc.f`v PLANS r��u�,7 BE�+v�Qb
OT TIIERMOSTAT (AD N0. ( z,,� —�
PROJECT N0. 20: 6
RNEIrT N0.
15350 SW Sequoia Pkwy `
�Il A L
Suile 220
1 of 4
or
IF THIS NOTICE APPEARS CLEARER THAN THE
DOCUMENT,THE DOCUMENT IS OF MARGINAL QUALITY. ,I'�QW(h
i
�"N"i1,,1)
I(111!II1!1! {II! !{II!I!�!I!I!!! !I�I�I!�!I!I! ! !!�i!I��!l!I!! �lIIIII�!I►II' I ►111'i !j1111! !I1I!I1117TI ► �Iiill�'rll►!� �!!i!I���I!!! ! !! !{!!I�I!I!!II 111!11!1{!{!1) 111{!11!!1!1!{
INCN MAOI IN CHWA M
—T
' 11l11lIII111lIIIII I!!!!ilnIIIIIlIu1!I!illu!lllnlinn iilll!!!i inll!!n !i�!{lu�l�ii�{l��ill�n{nnli�n{nn nnllln nlilunlnnlan�lnu!�n+Ian+liu�li���liiul++��!uiilii�ilul+ �uilli+�In�ll�l�!►ui�!i,,,lilnl;I�!!,lnli�,iliiiil,in!!li�lli�iluul�n�iun!nul+,i+!,ntiil�,l
J�
! 1._. .. a z
O
T::" � '�Lu
2 Q [nenzo
z
16
C
cr
v � F. o •
d < aboLffin'
ri �r E CLu
o p g
CCW
W \ BL
i
I — o
� 141
+—+ 1ipI
_ lt1 O W W
17
i N O O L �1
7 _ JL
Sri Lo�I Irl 0 o
IL o
� 6 :2
I CL
lr
�1 0 v
O _
or
N � w lu
cc
Wa W F J 1- 2
F O U
IF THIS NOTICE APPEARS CLEARER THAN THE
DOCUMENT, THE DOCUMENT IS OF MARGINAL QUALI;Y. T �9gg
NllazaiL1��1EU
I ( I � � II � III �II ' mmwIM��II�I � ! IIIIIII � IIIII I ` IIIIIIII ! Ii � lll ! IIIIIi � II 'III I ! I ( I ! jl � I { I ( I I fill ; l � lri? f ! IIII II � IIIII ! ' lllllll � ll ji I IIIjIII � III � I � I 1 I�T(f� 111JIIl IIIIIII� I � IIIIi
t �c
11 It it 9 ii1ts E7 � -Ii—ii
16 *X
Ill�illlllllllll;IIIIIIIIIIIIIIIIIII{Illllllllilllllllll!!!IIIIIH!IIIIIIItIIIIIII'IliI.IJIIIIIll►llllll{!I!UII!II!!Il Iltilllilil!{Illlt!I!IIIIIIIIIII)I!l111!II!I{!111111H�IIII!!!I!,111!hf!!�III!IIIIIIIfit{II!tltl;;1111; 1!"IIIIII{li!!111I111III!III"III!iil�lllllll{I�IIIIIIIIII!IIIIIIIIIIiIJh!!
I
I
10
I
— _ _ 240'-0
------__—_ 30'-U�� —A — — - 30'"�— I 30'-0 "_ I w 15'_p „ 301 I ---- I30,
30 1-011
--- ----- -G
ON WLLX 1P�:UJECT 960-70
--
C)
II I I1
II
f iII
0
O CENTEa Wq.L
ON COLUMN LINE 225JEFF
223
COFFICOFFICE _
Cr
4vw
22; 223 2
---
JII
22I COPY/6i 0 R -- ^✓��` 1
r I I I CIRCLF VCT
\ CV
226
1 I I CONFERENCE \ n
c Lr 220I Z Cj l
– – – – I 226
— — — — — _ _ _ OPEN OFFICE In
c I UP _ ALIGN Q t ILI)� II
O l�
ON
r-65' w Ic K3HT
iUl HEIO 4T
ON Lr tEMCNE DOOK d
Q I / FRAME AND Flll
-- - -
I-- - - _ - - - -- ----- - 220 4 1 OPENING
ALIUN
RE E WALL
0
tf`1 V I 1 l I 0
I / *t
O I I CITY OF •31 ..... ..... ... ......... i r. U)
I I I ! V
I ( C�A
1 i
OVEDPLAN US ON Ii ,,
� I I
I I
O
O I 1 N
Z
- r 5 ECD N � w � ¢
_ --- ELDD ALAN , .
PROJECT INFnf�MATiON ue =I -o Q w r"
BUILDINGS OWNER: PACIFIC REALTY ASSOCIATES, L.F.
r,
15118 5,w, SEQUOIA PKWY 1200
PORTLAND. OR 97224 O
TENANT: MEAD OFFICE PRODUCTS LEGEND C) z
OCCUPANCY: 13-2 N� GENEKAL NOTES v � Q
CONSTRUCTION: V N - EXISTING TO REMAIN 1. ALL CONSTRUCTION WORK SHALL BE DONE IN COMPLIANCE Gwj O J
NEW CONSTRUCTION WITH THE LATEST EDITION OF THE UNIFORM BUILDING CODE. rl
FLOOR AREA: V
A5 AMENDED BY THE STATE OF OREGON AND ALL OTHER STATE In
1,376 6F USEABLE -- -•— --- ------- — NEW PARTIAL HEIGHT WALL OR LOCAL CODE REQUIREMENTS THAT APPLY.
'1,666 SF RENTABLE _ _ FINISH SCHEDULE _ -_ LEGEND '��� NEW DEMISING WALL
2. THE CONTRA17TOR SHALL VERIFY �LL DIMEN510N5 AND
WALLS >� PARTITION W/50UND ATTENUATION BATTS CONDITIONS SHOWN ON DRAV.!;;�65 AND AT THE EXI5TING
-- -- N Cr CUT PILE CARPET
----- --- r $ LP LOOP PILE CARPET $ SWITCH BUILDING AND NOTIFY ARCHIL EC* OF ANY 0I5CREPANCIE5 fZEV1510N5
Z� VCT VINYL COMPOSITION TILT c g s
INTERSTATE • 5 CARMAN RD. "'------�_ � T. _ � � PRIOR TO JTARTiNG THE WORK.
EXIT +1291 O > ► LL OF OTHER FLOOR FINISH
-- ~ - ---_ � -� :n THREE WAY SWITCH
\\ --- KM 9 -NAME —i— U. m � — � � � n �' � 3. CONTRACTOR. SHALL KEEP THE AREA OF WORK FREE OF
REMARKS PGwD PAINTED GYPSUM WALL BOARD SIGNAL OUTLET GARBAGE AND DEBRIS ON A DAILY BA515.
\ 220 OrEw OFFICE r 4" t rahe rGwe !owe rowe ,,3, OAT 9'•v WW wVINYL WALL COVERING INDOWWAII
221 CIRCULATION LP � DEDICATED OUTLET ISOLATED GROUND 4, ALL GYPSUM BOARD TO BE A MINIMUM OF 5/8" THICK
P VWC
PACIFIC �l � 222 COrY/STO AOE VCT - — neve — 3 Ow OTHER WALL FN15H � DUPLEX RECEPTACLE VERTICALLY ATTACHED TO 3 5/8" METAL STUDS 24" O.C.
COFFO"TE 1^�-/ 223 OFFICE Cf, yVyy r" -- WITH r TYPE 5-12 SCREWS 12" O,C.
CENTER 14 6 f3Ar SUSPENDED ACOUST. TILE 2 x 2 � FOURPLEN RECEPTACLE
BLDG. LOCATION �� 224 OFFk'E Cr i ww r(" _ V OG OTHER CEILING FINISH � ,
SPECIAL OUTLET 5, ALL DOORS SHALL BE 3'-0" x 8 -10" x 1314" 50LIO CORE
SECOND FLOOR !�� 225 OFFICE CP ww lows WOOD UNLE55 NOTED OTHERWISE. DOOR HARDWARE SHALL
II r — `— —� - ,,, MULTI PORT TELE/DATA
\ 2265 CONF"ENCE CP 4'R r(3we rows rrom rcawc+ SAT 9'-0• BE 5CHLAGE 5 SERIES Bl1TT5 CLOSERS AND OTHER
51�V SEQUOIA PKWY. ____�` #*(7 — _
— — - r� ti� - -- _ — QC4 FLOOR MONUMENT WITH SERVICES 5HOWN HARDWARE TO BE 605 POLISHED BRA55 FINISH.
�~�� — E(D EXI51 ING TELEPHONE/ELECTRICAL 6, ACOUSTICAL CEILING SYSTEMS:
I � �JJ � - �
9 B 2 �i 5 ? � n Irl 2 x 4 FLUORESCENT FIXTURE EXISTING 4 X 4 Mt7AL T BAR GT:ID SYSTEM 15 IN PLACE,
�� _ _ IN.,TALL 2 X 2 GRID & CEILING TILE FURNISHED BY OWNER.
I 6 Li - 2 x 4 STEADY' BURN FLUOR. FIXT. INSTALL LATERAL 13RACING PER CODE
I / DDDR SCHEDULE
I �� ,- ^-- — — _ i— FIN 15 H ES O INCANDESCE,JT DOWN LIGHT 7. PROVIDE SPRINKLEP,5 BELOW SUSPENDED CEILING PER CODE, 1)A I�-E 3I 18I G
ILI B C� DOOR DATA — X FRAME DATA REMARK5/HARDK'ARE 0 INCANDESCENT RECESSED WALL WA5H PLACE HEADS IN THE CENTER OF 2 2 TILES. -
CUT PILE CARPET ATLAS CARAVELLE
— —' — ►uVtt ltiE TrR Oct YEW" PNCW 11"1 ry" t�EE1 WW ry,WV� ,�,,,,�Ky OVER PAD PRINCETON AQ OZ. HAIR/JUTE -� WALL SCONCE LIGHT 8. PROVIDE LABEL. FOR EACH CIRCUIT AT PANEL FOR
SW 72ND AVENUE
220 3,119, 13/4" SC SIRCH CHEkRG DOOR FRM�ELOOP PILE CARPET ATLAS NANOVER 20 U SMOKE DETECTOR
Y mm 20 MIN LH LEVER LOCKS STOP EXI5TINb – IDEWIFICATION PURPOSES. THERMOSTAT LOCA.TUN5 TO BE
-----_ ��./� � �— 223 —_.
LH LEVER LATCHL?ET GLUE DIRECT REVIEWED BY OWNER PRIOR TO INSTALLATION.
224 _ __ RH LEVER LATC14SET �( HORN/5TROBE ALARM. (MNT. 6" BELOW CEILING)
_ VINYL COMP. TILE ARMSTRONG EXCEWN 12•x 12" x 3,32" 9. TELECOMMUNICATION SYSTEM BY TENANT. CC'NTRACTOR TO
LOCATION M A F 22� _ _- LH LEVER U1TCH9ET — � • SPRINKLER HEAD COORDINATE WORK.
------- ,– _ y � 226 3'X 9' 1314 5C flIP,CH CHERRI' WIM LH LEPER LATCH9ET !
y BASE CARPET AREAS: VPI FLAT, CONI KOLL EMERGENCY EXIT SIGN
RW SURFACE AREAS: VPI COVE, CONT ROLL 10, PROVIDE ACOUSTIC GA5KET5 WHERE WALL INTERSECTS
15350 SW Sequoia Pkwy
. DJ ROOM NUMBER MULLIONS 0R GLAZING.
- -------- ---- — PNNt MILLER LATEJ( SATIN
Suite 120
3 of d II. DIMENSIONS ARE 1-0 FACE OF FINISHED WAIL
If THIS NO'1'1('F. APPEARS CI,F.ARFR T11AN '1'IIF.
DOCUMENT,TIIE DOCUMENT IS OF MARGINALL,QUALITY. T �9
If!i►I!�illl►I! Ilil!IiI!I!!! ! !1!i!l!�!I!I! ' '!I!i►I!�!ilIIII !!!f il►i!1!II ! IIrI► !�IIi11I iliiiCi�-C�3�! i IIIIiII�II111 I (IIIi1illlijl 1 (IIIfIIIIIiIII1 J IIIIIIi(IIIII I(iIlll�l�l-lI�I �
INCH ' MADE IN CHINA –
►1!�IIIIiIIIi�IIIIIIIII�IIIIiIIIIIIII!!IlIIIIIIIlIIlIIII!!!IIlIII!!I IININ11111!lI!iILII!I!I!II!Ili!ilil!!III!II!III il!Illfllll!!l�Illllill111111i1i1ll!ll!!IllllililJlllfllilll!!!lLIllllllil�!lIIIPlililliiJ1111I!!{111111111,1Illllllpllhlllll►i1i111!�IIIII!ILII{lillll!!�lfllllllllllillllllllllllll'�
,2
1
r
02-
3 -.
10
i 240'-0 "
�- 30 -0I1
301-0 11 �15'-0 11^— _ I _ 301 0 1. ' '
- "
I I _ 30' C 301.0 1, o
P�ZOJECT #9C[3 070
ftT
C)
1 22 224 1223 --
7- T-P- r T-
� 1
OF !CE OF ICE OF ICE U
I I ! J
G - - — - _ 22 QC
II
2 1 co i o
- - - - - — _ _- -- - - --- - n - -- - -- CI G
1 N
LTJ L
O < �v �p
RE CE `� - - - -
�E�- c i N �
^ OFEN FFI E
– – _
b - , up
— - _ I I 168 DEGREE 3r1ciNKl.E"R
I HEM EACH 610(OF ENTRY
_ N
`.
-ti
– – – – – _ _ s
T-E -r-L-T T
v – - - -- – — –
- 7
H
- _ - - _ - - _ __ I_ - - _ - —_✓/ 1
(D-
C)
a
7171 -1-
E'
! N
�.F,, FFLECTED CEILING SECOND � I
a � �
l/a"=11-011
vv �
C�A 0 -D
DL � >Y
�------ 3-1/2" 24 OA METAL STUD5AT 10'-0"O.C. < w (r) .
TO BLDO. STRUCTURE ABOVE FOR 0 O 3
WALLS LONGER THAN 12'-O" lJ�
LL
RACO � WITHOUT INTERSECTING WALLS U
Lo
r - AT 1 15ATT INSULATION ION WAILS 4 CENTERED OVER SOUND N
FLOOR AND/OR ROOF STRUCTURE
STADILIIER BA+Z BETWEEN —BLOCKING TYP. 01 FASTENING POINT5
U.
� MNNS At IERIMEI ER
� ADDf'IONAL HANGERS AT ALL RAINS _ - •+
EXIST INO SUSPENDED CEILING I
21.0„ d I it WITHIN 8"OF THE PERIMETER �-� -' - - -- y ' ---RACO #FS-45 FICESSED
REVEAL HEADER REV!5ION5
�--- APPROVED VERTIf.N. 5TRLJT AT 12'•0"O.C. EA. WAY �- -�
wG I I WITH 4 WAY LATERAL BRACING FROM THE MAIN - - IgtINO WINDOW SYSTEM
RUNNFR TO THE STRUCTURE OYER. BEGIN WITHIN 6'-0 OF THE PERIMETER 6 2" FF.OM A CR055 MEMBER - 3-1/2" BATT IN5UL. IN SOUND ATTENUATION WALLS !"
2
CONIFTE56ED NEOPRENE FOAM
y G I -MDITIONAL
SWT'H n RACO TRACK F5.48 -- MTL. STUDS 0 24"O.C.
w LLO \ GANG LOCATION iv — 5/A" GYP. ORD, BOTH SIDES
CENTER LINE'OF STUD I
S
_ FURRED WINDOW SILL
-- -- ----- B" CROSS MEMBERS BETWEEN a,
' �• MAIN RUNNERS -
? I
MAIN RUNNERS AT 4'-0"O.C.
F'.0"MAX J
6 \ nr < w SUPPORT WITH 112 WIRE AT 4'-0.O.C.
1'-I v OR WITH 110 WIRE AT 5'-0"O.C.
?' COUNTERSL.DPE HANGERS IF MORE
\ THAN 1:6 OUT OF PLUMB - —
6ECL RE ALL HANGERS TO BLDG,
J STRU(.TURF OR A TRAPEZE FOR �--- - -- OFFICE WALL 3.1/2" BATT INSUL. 10 SOUND ATTENUATION WALLS DATE 3/ 0/96
�p a, DUCT AND/OR PIPE WORK
— _ 4" RU88EC BASE-TYP, - -
- - - /�--BOTTOM TRACK TO FIN, FLOOR WITH
rOWDER DRIVEN ANCHORS AT 24"O.C.
UNDERCUT DOOR AS J FIN, FLOOR FLECTRICAL OUTLET FINISH FLOOR
REQUIRED TO CLEAR OR JUNCTION BOX
FLOOR FINISH
I
5 0" US"FEMPEP CEILING MACING
� ST,AN aA�.d MD U N T I N G H E I G HT � --- ------
15350 SW Sequoia Pkwy 57CALE 1/2" = I'-0" NOTE: ALL CONNECTION DEVICES TO E3E UBC N.T,C WALL TO MULLION C L0 5 E K DETAIL TY�' I C L WAL L S EC-
Suite 220
�- r ID N �-
4ot4 APPROVED TYPE AND HAVE 100,# CAFACITY OCALE 3"
IF THIS NOTI(-E APPEARS(-I,F.ARFR T11AN TIM ii g
DOCUMENT.THE DOCUMENT IS OF MARGINAL QUALITY. N1
f►I+ I+�+I+ I+I!�!I!!!I!I!I!I!I+ IIIIIII�+IIII I rl!I!I!�'I!I!I! IIIIIi+ +l�l! !�Illl�llft(!II I !Itllltf!�ttr ! IIIII�Ifilllt l IIIlfititllil I lI�IIIIfIIi�I�I + i�I�,�I�tlllt i(II!I!III!Ilj
INCH MAOI IN CHINA
III�IIIIIIIII�IIlI+IIII�IIIII!III�II!!lli!I�II!I!ill!Ill!- 1�1111t111 lill�llll i!!i�!!IIIII!!{iilililll�i!I!III!II!Iii i!!!�Iill I!!I�Iillli!IIIIII!illi!�!II!{Illli!IIII Ill�lllilllll�ll-- II�1lf�lll! !fllliill{�Ifil{IliI�IIIIIIIIIIII111�1!I�i!;Iillil�!!!!I!11!�Ilfllil;{�I,IIIIII!�1111�I1!!Illlil�ili '
I 11 1 I11 11
. A
1
t
a
•
.�k
� t
t. 1'
M_H st .si N.
a
t`
r
' '('k%A"Artt1'�N"i!�+I.xb.rti.r..,. '..,, •-... ' .- .:. ... _,... ...:....'+t✓..: .. ...... A..A+r�.....rvRw...4..w.w'beY.a.., ...
CITY CSF TIGARD �
DEVELOPMENT SERVICES a
13125 SW Hall Blvd.,77gard,OR 97223 (503)639.4171
v
CERTIFICATE OF
OC CUPANC Y
PERMIT M. . . . . . . a DUP96 01.:30
DATE ISSUEDo 01/22/97
PARCEL.a 2S 1 12DA--01400
S I TL- ADDRF SIG, . . a 115350 SW SEQUOIA PKWY #220
SUEDIVI91ON. . . . e 70NINGo �
BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . r
-------------------------------------------------.__.....__._____w—_____—______.
CLASS OF WORK. aALT
TYPE OF USE. . . a C;OM
TYPE OF CONSTRe3 -1WR i
OCLUPANCY GRP. sB2
OCCUPANCY LOAD a 205
TENANT NAME. . . aMEAD OFFICE PRODUC76
Remarkse Tenant improvement - Mead Office Products
i
Owner e _...__.____--_.__.___._________.
PACTRUST
15350 SW SEQUOIA PKWY, SUITE 300 �
PORTLAND UR 97724-7199
i
1`I��rrE+ t1e 624-6300
C..ont ract or a
P. I.. GREEN
15350 SW SEQUOIA BLVD, QUITE 300
110ARD OR 97224
Rhone ke 6,E.'4-'7'717
i
Reg #. . x 41328
I
Ihis Certificate grants occupancy of the above referenced b.oilding or portion
khereof and confirms that the building has been inspected for compliance with f
the ;.,tate of Or•gon Specialty Codes for the group, ocr_ tpancy,' and use Under
!,jhich the referenced permit was issued. /
E�UIL_DING INSF CTO P BUILDING OFFICIAL �
POST IN CONSPICUOUS PLACE
Q
i .
.
N
PERMIT
ARD
PERMIT #. . . . . . . : MEC96-0088
CITY OF TIGDATE: ISSUED: 04/30/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S i 1 DA-00400
F3ITk31 �iDftL :d..Ttq.rd,�lpggp 7 �•e t 'AliLY #220
SUBDIVISION. . . . : ZONING: I-P
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :
------------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : N EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :B2 VENTG W/O HPPt_: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
DUEL TYPES------------- 0-w'� HP. . . . : 1b DOMES. INCIN: 0
3-15 HF'. . . . : 0 COMML. INCIN: 0
MAX INPUT : 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
F IRE DAMPERS? . . 30-50 HP. . . . s 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HF'. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------ A 1 R HANDLING UNITS OTHER UNITS. : 0
i URN ( 100K BTU: < 10000 c f m: 0 CTAS OUTLETS. : 0
FURN )=100K BTUs 0 > 10000 cfm: 0
Remarks: Tenant improvement - Mead Office Pt,odl.rcts
Owner: - ------ - ------- ----- ---- _._______----.___.-_______.___-- FEES --------------
PACIFIC REALTY ASSOCIATES type amoi.rnt by date recpt
15350 SW SEQUOIA PKWY #300 PRMT f ?5. 00 B 04/30/96 96-278764
PLCK $ 6. 25 B 04/30/96 96-278764
TIGARD OR 97223 G'CT t 1. 25 B 04/30/96 96-278764
Phone #: 503-624•-6300
Cor►tractor: ------------------------•-------
PROTEEMP ASSOCIATES INC
801 NE COUCH
PORTLAND OR 97232 Phone #.- 233-6911. f 32. 50 TOTAL
Rey #. . : 38868
------ -- REQUIRED INSPECTIONS
-----This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Di.rct Inspection
applicable laws. All work will be done ;n accordance with Mi sc. I.-Ispect i on —
approved plans. This permit will expire if work is not started Final Inspection
within 188 days of issuance, or if work is suspended for more
than 188 days. _
P a r-m i t t e e :i i n r t l_i r is :
I s s i.t e d B y
Call for inspection - 639-4175
►� t
City of Tigard MECHANICAL PERMIT Planck/Rec. #
1:3125 sw Hall Blvd. APPLICATION Permit # M 0
Tigard, OR 97223 ) �q �- — &l` - �
(503) 639-4171 LJ �, ��-o•/�.g� :• Gy.ao
•m•^ -
ascription _
Table 3A Mechanical Code QTY PRICE AMT t
Job /s 3 {l Sw se Z Z 0 1) Permit Fee -0- -0- 10.00
Address — -"
�ZZ[f 2 Supplemental Permit 3.00
Furnace to 100,000 BTU �I
/,: � 1) incl. ducts &vent 600
•� Furnace 100M79TIG+
Owner /$ s 3w 2) incl. ducts R vents-� 7.50
• •— Floor .-urnance
7 Z7- 3) incl. vent 6.00
Suspended heater, w f heater
MEAD•O l(E f�aD�"T , 4) or floor mounted heater 6.00
ncin
in—
Occupant •• ant c. in
2Z 5) appliance permit 3.00
LAP. 4W
epair o eating, re ng.
-_ ';T V}.A/L-) OR) 7Z Z4 6) cooling, absorption unit 6.00
^•
Boiler or comp, heat pump, air cond.
7) to 3 HP; absorp unit to 100K BTU 6.00rn 1
1. ••• of er or comp, ea pump, ate con .
Contfactor7 N 8) 3-15 HP; absorp unit to 500K BTU — 1100
" • " Boller or comp, heat pump, air cond..
1 f P _r ,� �� "7L 3 Z 9) 15-30 HP; absorp unit .5 1 mil BTU 15.00
( 7 r "• •," •-�-1of e�T r or_comp Teat pTi T ump, air con .
3 i4� 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
ere y ac now ge that have Tea tis app ication, that the Boiler or romp, ea pump,air con .
information given is correct, that I am the owner or authorized � Y� 11) >50 HP; absorp unit 1.75 mil BTU 37 50
agent of the owner, that plans submitted are in compliance with it handling unit to
State laws, that I am registered with the Construction Contractor's 12) -0,000 CFM 4.50
Board, that the number given is correct (If exempt from State -ir Fanding unit
registration, please give reason below) 13) 10,000 CTM + 7.50
-93-n portable
14) evaporate cooler 450
Vent fan connected-
15) to a single dud 3.00
anti ation system not
16) included in appliance permit 4.50
�IN• spN,lDoti.
T o-
0o serve y
G. �l y-/-q� 17) mechanical exhaust 4 5C
e n e work new U addition C) alteration repair Commercial or in ustna
to be done residential Q non-residential 10) type incinerator 30.00
s ing use ot Other i.e., w stove, wa er -
building or property _ _ 19) heater, solar, clothes dryers, etc. 4.50
Prcposed use of 20) Gas piping one to four outlets 2.00
budding or property
Type of fuel "oil Q natural gas Q LPGQ electric 21) More than 4-per outlet (each) 200
(�
NOTICE-
PERMITS BECOME VOID IF WORM,OR CONSTRUCTION Minimum Fee $25.00 SUBTOTAL---
AUTHORIZED IS NOT COMMENCFD WITHIN 180 DAYS, OR 5% SURCHARGE 2 �"
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMEe r
PLAN REVIEW 25% OF SUBTOTAL 6`2
AFTER WORK IS COMMENCED. __ -
______j �7f-
TOTAL
Special Conditions - - - -- -
-- —_ Date issued by
H'IOOMMtJ1YE01,�MT
1 :. .:.... ..,,.:......-.,.,.,,....rr•«u.1AItl11'wWl•11M11/p��
e
i
l �
r�
R
Page No. 1 CASE HIJTORY FOR CABE NO.: MN('96-0098
PAC FUST •
'5350 SN SEQUOIA PKWY Unit: 220
04/22/99
Action Description Rey! 9chd/ End/ Action Notes Diep By Update UPd �
Code Sent Done Done Dat a By
-------- -------- ------------""""'
r
Micco0 Application received / / / / 04/01/96
PASS JMi 04/D9/96 JD
MRCC009 Permit created / / / / 04/09/96 PA99 JSD 04/•39/96 -TD
MECCOIS Routed to Plane RXaminer / / / / 04/09/96 PASS JSD 04/)9/96 JD
M2CCO20 Plan checked/Approvad by P.F. / / / / 03/26/96 APPR JHF 04/.26/96 JHF
MiCCO2S Reviewed Plane Routed to DST9 / / / / 04/26/16 APPR JHF 04/16/96 JHF
M3CC090 (F) Ready to issue / / / / 04/29/96 PASS CJ9 04/29/96 CJS
P,TBCC0s0 (F) Ready to issue / / / / 04/30/96 PASS B 04/10/96 BON
P.YCC090 (P) Issue permit / / / / 04/30/96 PASS B 04/10/96 BON
MdCC740 Duct Inspection 04/25/96 / / 04/09/96 PASS TLP 02/33/97 TIP
MCC799 Final Inspection / / / / 04/09/96 PASS TLP 02/33/97 TLP
MSCCAno 'ane Finaled / / / / 01/22/97 PASS TI.P 02/D3/97 TLP
y
1..
y
■
i
CITYOF TIGARD BUILDING PERMIT ( �
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . .. BUP96-0024
13125 SW He I Blvd. Tigard,Oregon 97223-8199 (503)839.4171 DATE ISSUED: 04/30/96
PARCEL: 2 S 1 12CA-00400 ti 1
SITE ADDRE;iS. . . : 15350 SW SEQUOIA PKWY #22_0 '
SUBDIVISION. . . . : ZONING: I-F'
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :
-----.------------------------------------•---------.-.---------•---------------------------
REISSUE: FLOOR AREAS----------- EXTERIOR WALL. CONSTRUCTION-
CLASS OF WURK. :ALT FIRST. . . . : 0 sf N: 5: E: W:
TYPE OF USE. COM SECOND. . . : 0 sf PROTECT OPENINGS?------------ I
TYPE OF CONST. :5N . . . : 0 sf N: S: E: W:
OCCUPANCY GRP. :B2 TO']"AL---- --: 0 sf ROOF CONST: FIRE RET? : i
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STCIR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEI--'. RATED:
BSMI ?: ME Z Z?: REOD SETBACKS--.--------- REQUIRED--------------------
FLOOR
EQUIRED----------_-----------
FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 f t FIR SPKL:Y SMOK DET. . :Y
DWE=LLING UNITS: 0 FRNr : 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y Is
BEDRMS: 0 2ATHS: 0 IMP SURFACE- 0 F'RO CORRIN PARKING: 0
VALUE. $ : 1500
Remarks : Fire si_tppression system - Mead Office Products
Uwnev-: ----------------- -_.________________-__._._._._______.__-- FEES
PACTRUST / WIITALA type amount by date r-ecpt
15350 GW SEQUOIA I-`KWY #220 PRMT $ 1.25. 00 J9D 04/04/96 96-277814
7814
FIRE $ 10. 00 JSD 04/04/96 96--1277814
TIGARD OR 97223 5f-CT $ 1. 25 JSD 04/04/;6 96-277014
Phone #:
Contractor^: ------__-------------------.__--- i
DELTA f=IRE, INC
14795 SW 72ND AVENUE:
TIGARD OR 97224
Phone #: 6: 0-4020 E ::36. 2`; TOTAL
Reg #. . : 64174
------- REQUIRED INSPECTIONS
----- -This permit is issued subject to the regulations contained in the SLtsp Ceiing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler- Final —
applicable laws. All work will be done in accordance with Fire Alarm I n s p
approved plans, This permit will expire if work is not started Smoke detector i
within 188 days of issuance, nr if work is suspended for more Misc. Inspection
than 188 days. Final Insper_t ion
K'e r m i t t e e Sign
71 1 s s t t e d B y : _ ` 1" -C _
Call for, inspection - 639-n175
y-acs-96 is
PLANCK# Date:
AP LICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
639-4171
C43 j
a� �� Pte,
_ 4` j- } 3/ ,may
DATE: � I � � tet' �. .�----PEKF1lT #
Valuation:— it
Amt. Paid: �'� Permit Fee:
40% Plan Check Fee: 1&,00
Balance Due: 5% State Tax:
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
i
New Installation: _ Addition: Repair:_ Alteration:_
Complete: Partial: _ Exitway:__— Basement: Hood & Vent:---
Spray
ent: _Spray Booth: IN EXISTING BUILDING: JC IN NEW BUILDING: _
�+IUMBER & STREET: ibJ'� ��L� C l �- �_L��i_ t
NAME OF BUILDING or BUSINESS: 4
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS: ,
TYPE OF SYSTEMS: Wet:_ Dry: _Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4 Extra
DENSITY GPNVFt2 DESIGN AREA _ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE:_=�_ "K" FACTOR 1EMP. RATING )�
I
OWN ER:PnLf n I t t Ik] ADDRESS:
CONTRACTOR:
PLANS DRAWN BY: DE� c F ISL? ADDRESS: 1!�]05
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable codes and ordinar? � the City of Tigard.
n ,( 9 Or, C.
SPRINKLER COMPANY: I fiv I I I(i, �� PH6NE _
)
SIGNATURE OF APPLICANT: .
13UILDING DIVISION:
PERMIT VALID FOR 180 DAYS
f•;�IO,IO�1I1�rI R(illf0
1
,., I.. y P+w) � .+ 1M'0r M+'W I.P 14"� �r 'yrP�P"eon �' �''� . W M., .i f •:.W .'4 y, J�5f.�
^J 4
r,
hop"r
jo
Paye No. 1 CASE HIBTORY FOR CABG NO.: BlIP96-0024
PACTHi"3T
1535o SW SEQUOIA PKWY Unit: 220
04/22/96
Action Deecriptiai Refill
Schd/ Bud/ Action Notes r,'mp By Update '40
Sent Done Dane Date By
Cede
J
BUPC007 Application received / % / / 04/04/96 PASS JSD 04/08/96 JD
BUPC00@ Permit created / / / / 04/08/96 PASS JSD 04/08/96 JD
BUPCOIO Check for prcl. restrict. / / / / 04/08/96 PASS JSU 04/08/96 M
' BUPC015 Plane routed to Plans Examiner
/ / / / 04/00/96 PASS JSD 04/09/96 JD
BUPCO24 Plane Approved/Routed to DSTs / % % / 04/25/96 APPR JHF 04/25/96 JHF
SUPC090 (F) Ready to issue / / / / 04/30/96 PASS CJS 04/30/96 CJS
BUPC100 (F) Issue permit / / / / 04/30/96 PASS B 04/30/96 BON
BUPC762 Suep Caiing snap / / / / 04/09/96 PASS TLP 02/03/97 TLP
RUPC794 Sprinkler Fina). / / / / 01/22/97 PASS TLP 02/03/97 TLP
RUPC705 Fire Alarm Inep / / / / 01/22/97 PASA TLP 02/03/97 TLP
HUPC799 Final Inspection / / / / 01/22/97 PASS TLP 02/03/97 TLP
BUPC960 rase Finaled / / / / 01/22/97 PASS TLP 02/03/97 TLP
r
I
PAS`
a ��
CSF TIGARD T #. . .. �PERMITCITY
COMMUNITY DEVELOPMENT DEPARTMENT
_!'tTE ICCJED:
13125£,W Hall Blvi.Tigard,Oroyon 97223.9199 (503)639-4171
iTE tai3 Rr'.:^. . . . :`_,1:':J0 CEJ ':170;J'JIC, Fi`--j ' 411-...
.JBD I V I S 1 ON. . . . : Z ON I NG: I -P
. 17W'1: CY-1 CAU^ WALL. i0Nr TRUCTI`":
.taw a Or wopm,. :nw." "I ty^.r. . , . . 0 s F N a r)I E. d
t6'"r Of- U^f , . . :CDM ""ih;l . . . i " 'C PrOTrCT O► ENI"�{r '
CN . . t' _ r N. ^s E;
':CUr fil'IC1' GF"1 , f Purr CON,..;T: r1RE PCT
CCU'r,nNCY LGnD: 5 r,rt 'M,C;4T : f rig'•-rl
Q » 41 Vii'"', . t'x :.�'{{•.rr4 . �. r',r •-r-,. "'14TrLi"
..OQR L 7!f;L'. . . : 0 Ps r LEFT : 0 r,.
1XLLI,NG UNIT^: 0 FRNTs o rt REAR. 0 rt r'' f' AL.RM:Y "NDICr' ACC'-,Y
-Dr,,^" . +� Cf1Tl?r, r!! It^f' ^':.J"�rC�CC'. '�:° , ,- -^•'R» t•"''"{CIhJC„
Te ant impi-ovemerri: - Mead office rroduc.t :,
r-I17-/ 0 -f elf, C)
r f
- f
r
1
i
rci I iidioa Permit Application
City of Tigard �� .�o j'C /
13125 SW Hall Blvd. r yU 3q' C. / l
Tigard, OR P7223
(503) 639-4171
Jobsite Address:
Office Use Only
Tenant: tie"# ��G?
��� i
Valuation: '-'7- _ 7(�, --(� `
Permit# 3G
i Pacific Realty Associates, L.P. (PacTrust) l
Owner: y - Map & 'i L# r> i' FYI �� csz� r r
Address: 15350 S.W. Sequoia Pkwy, Suite 300
Approvals Requirea!
1 Portland, OR 97224 ��G4
r _ Planning
503/624-6300 l
Phone: Engineering jJ 1A
1
Other
` Contractor: H.L. Green Company
J
Address: 15350 S.W. Sequoia Pkwy, Suite 300
l• ; �� , Portland, OR 9722 -7199 Type of const: 41M/ ►D �
Occupancy class: A r
Phone: 503/624-7717
�, �� Sprinklered? Yes No
Contractor's License # 41328 Q
(attach copy of current Oregon license) Sq. ft. of project: , / 4 70
11
Contact name & phone: Chris Green, 503/624-7717 Story (1st, 2nd, etc.)
Proposed use: ,7� / -J J aw 0~
Architect/Engineer: John H. Romi sh _ --� �
Previous use:
Address: 2216 S.E. 24th Avenue
Note: Plumbing & mechanical plans
_- Portland, OR 97214 _ must be submitted at time of f
Phone:
503/236-6306 building permit application. f
JOB DESCRIPTION: — �T
Ao cant Signature /& Phone number
Received by: 1 Date Received:
.. ............nw. �.aARInIRrnBaan
14 , i=I
aRawMMAC/.WIPYRi,P.'ns1P•.rw.w -,rw,..,.. ...... .. .........�+a,<e.,...n,v,.................... ._. .. .....�.;,,,o
Permit 0 Account Oescription Amount Amt. Pd. Bal. Due '
Bldg. Permit (Br!::.D) `� ', - 9
Plumb. Permit (PLUMB)
•
_ Ms-:h. Permit (MECN)
Sate Tax (TAX)
Bldg:
Plu-nb:
e�
Mec 1:
Plan :.'heck (PLANCK) /
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF MF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Chum Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
r
M�I.Mtn.rv. ..:...... ...,....: ..- ... .. .... .........-.....+rw..�nw..a.+wn+.....u.rorwwNMNlrpM�gp�p
CASE HISTORY FOR CASE NO. : HUP96-0130
PACTRUST
.15350 SW SEQUOIA PKWY Unit: 220 P
}4/22/90
Rey/ SOW Elul/ A.rtion Notes Disp By Update Upd
lletlaa pN@r�*t14Bt Date By
sent Dona Dome
i F
�1 PASS BON 0]/26/96 JD �
BUPC007 Application received / / / / 03/19/96
.f 03/26/96 PASS JSD 03/26/96 JD
BUPC008 Permit created / / / /
PtIPc010 Check for prcl. restrict. / / / /
O3/26/96 ?ASP JSD 03/26/96 JD
BUPC015 Plans routed to Plans Examiner / / / / 03/26/96
PASS JSD 03/26/96 JD
BUPCO24 Plans Approved/Routed to DSTs / / / / 03/29/96 APPR JHF 03/28/96 JHF
BUPC090 leeue / / /
04/03/96 PASS JSD 04/03/96 JD
(F) Ready to /
AID JMFf 04/07/96 JAN
BUPC1o0 (F) Issue permit / / / / 04/07/96 P
04/05/96 PA99 TLP 04/11/96 TLP
SUPC740 Framing Insp
PASS TLP 04/12/96 TLP
BUPC760 UYP Board Insp / / 04/09/96
/ / 04/09/96 P,.98 TLP 02/07/97 TLP
BUPC762 Sump Caiing - p
PASS TLP 01/28/97 TLP
BUPC794 Sprinkler Final 03/2!/96 / / 01/22/97
BUPC705 Piro Alarm Insp 07/29/96 / / 01/22/97 PASS TLP 01/20/97 TLP
FAIL TLP 01/26;97 TLP
RUPC799 Final Inepecti0n / / / / 05/02/96 --------
I`
t BUPC802 Final Inspection / / / / 01/22/97 PASS TLP 01/28/97 TLP 1
BUpC950 (F) Issue Cert. of occupancy / / / / 01/22/97 02/19/97 JT Ii
BUPC960 Caee Finaled / / / / 0'./22/97 PASS TLP 01/29/97 TLP
I
I
I
I
I
i
•
Afim
CITY OF TIGARD Inc
COMMUNITY DEVELOPMENT DEPARTMENT r'n-,CC,_ 01142NPA 00400
T r,13125 SW HWI Blvd.Tigard.Onion 97223.8199 (503)639-4171
!BL;T'. il7NIrJC : I. f
ect D+:scriptiur . TlSta11
-:ESIDENTIAI. UNIT- T(_Mr :'RVC/ 'E'GDCR^ - -'MI3CCLLl'1NC0U5"
,� mr='C ; i' � •• . . . .
0 PUMP/I RF;I GAT I QN. . . . .
tCH ADD' L000'3 '. . . s 0 C01 400 a,rt:i . . . . . . . . 0 SIGN/OUT LINE LTG. . : 0
TMITCD ENERGY. . . . . ; 4? hel c-Cie 0 SIGNnL/PnN0 . . . . . . . r�
1Nl_. HM/ SVC/F+DR. . a Z 601+asmpss>•--1000 aol! a. : MINOR LABEL t1�+) . . . : �► '
SC.!]VIC/
f: rEr,"EI2 L'fiiNCP wIF:CUT7'- F�t1D' t_. TPS^^ICCTIC'h, a;
0710 a MP. . . . . . : 0 W/SCRV ICC' OR =DCR: 0 PER IN PECTI ON. . . . . : to d'
'1, 400 ami;. . . . , . s 0 1 r t W/0 ,.r,;c on '"Dir , . t ISIr"TI I"Olin. . . . . . . . . . . . O
600 amp. . . . . . a 0 EA ADD' L nFziorti ^I Pr, ? T,,,' "._ANT. . . . . . . . . . . 0
"1 1000, �AMJJ. . . . , r r,+s r_nN F'r-vIr,l -r---r7mi....-.. -
rlA4�+ Atop/Volt. . . . . 3 0 ) _ It PCS LTJ IT 7. C'210 VOLT NOMINIL. . a
l::UrlK16ei;::'t r:� ly r rrrr •r-f �? .. - - (",' .-''". CI_fa�r, AI?CY?,"'('F;'C C]C!". �.
rECS
.-nDi OF-rXCr.. PRODUL—T , ;.: .. ,r,':: b_ data 1-ez- t
,.3`::111 sw ^CGIUr]IA FKWY 00 CJ503/:=:D :�
/ C, ")F, :=: iC
75
:"f- MAIN
ff: 502 i..-.. '1..'-.rLr. Wall c(,7ver'
:S pe'llit is iSS.ed SUbjeCt to the r''1jAati07S contained in the
yard 111.nicipal Ccde, State of tire. Specialty Cc.Jes and all athes
dlicabla laws. All work will ba die in acro-dance with
,,roved plans, This pewit will expire if work is not started
ti ��-
hin 18® days of issuanrel or if work is au,peaded for sure a r.lp� S.G.. yy�,- _-
-.1 IN days. :r
�41IVC.� IrrTc;;..Lr?7lwr•, cl ... .
e" 1T15tal last inT"� 3 Lei i l fjt-- .'cie._! fG
le, leal'ic-, os '-rW_
. NPTURE OF DUT:R. LLEC"
....._.._...
�_.__-____
f'a.1i
i
y
1.
t
•
e
i
•
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. •
Tigard, OR 97223 Perrnit # r<1696 -01.Y1 _^ r
Date Issued 3-38- 96' __-
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772.
Inspection (503) 639-4175
9. Job Address: 4. Complete Fee Schedule Below: �
i
Name of Development Mead Office Products Number of Inspertions per ponnit allowed
Address, 15350 SW Sequoia Pkwy 112;10 Service included Items Cost(ea) gum
City/State/Zip Tigard, OR 4a. Residential -per unit 4
1000 sq. it. or lees $11000 _— y
Each additional eq it or
Name (or name of business l
) _ portion thereof 125.00
1 I Imlted Energy $2500
Commercial Residential I Each Manufd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only.
46. Services or Feeders �
Installation,alteration,(if re!ncalmn
Electrical Contractor_ Barhofner Electric: $6000 _
200 amps nr less
Address 5 5 S•E• Ma----1 n-- 201 amps to 400 amps $80.00
or a r1d State OR Zip_2 7 21 4 401 amps to 600 amps $12000
P
City -_— p 4 601 amps to 1000 amps $180.00
Phone No. 233-2006 Over 1000 amps or volts $34000
.lob NO 48-1-2 2 � -- --- Reconnect only $50 W --------_--
contractor's license NO. —451C 4c. Temporary Services or Feeders
Contractor"s Board Reg. No. 445 9 Installation,alteration,or relocation
Signature of Supr. Elec'n - 200 amps or less z
License No. 2 8 0 8 S Phone No.
201 amps to 400 amps $5000
2
33 3-2 0 O F _ 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $100.00 —
2b. For owner installations: see"b"above
r
4d. Branch Circuits
1
Print Owner's Name__ _ _ New,alteration or extension per pane
Addressa)The lee for brancl c0culls with
— purchase or service or feeder foe. 2
City State Zip _ _ Each branch circuit $5.00 _ y
Phone No. b)The fee fnr branch circuits without 1
The installation Is being made on property I own which is purchast of service or feeder tee. 1 2
First brarch circuit $3500 35.00 2
not intended for sale, lease Or rent. Each additional branch circult -�- $500 1 —
Owner's Signature- 4e. Miscellaneous
44 (Service or feeder not included) 2
J. Plan Review section (if required): Each pump or irrigation circle $4000 2
Each sign or outline lighting $4000
Signal circult(s)or a limited energy 2
Please check appropriate item and enter fee In section 5B panel,alteration or extension $4000
_4 or more residential units in one structure Minor I$bels(10) —_ $100.00 —
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy I the allowable in any of the above
as described in N E C Chapter 5 Per inspection $3500
Per hour _ $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above ----
apply. Not required for temporary construction services. g, Fees:
NOTICE 5a. Enter total of above fees 50 .00
5%Surcharge (05 X total fees) $ T
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 5 Z.bU
AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS Subtotal $ -------
COMMENCED. ❑ Trust Account #
r.m.� $ -- 1
a.
Balance Due S 52 . 50
1!
I
I
1
CASH HISTORY FOR CABS S. .: ULC96-0191 -
psge No. 1 BACHOpNBR SLUT-TRIC
15150 SW SEVO1A pkyWY unit: 220
Y
r,I
04/22/99 Disp By update Upd • .III
Sr.hd% gnd/ Acti,xi Nocee
Date By
Req/
Description Done --- ----
cod* ------- -------- ---
f
RRCD CJ8 03/20/96 TMP ,
03/29/96 pgND CJ9 03/29/96
"C00l Applicaticn received / / 03/29/96 PASS CJS 03/29/96 P
RI,CC003 Permit created / 03/29/96 pASB MJR 04/19/96 MJR
R1.CC500 mindue permit 03/19/96 / / 04/12/96 pAS9 MJR 04/04/96 MJR
RLCC700 Ceiling Cover03/29/96 / / 04/04/96 ypf; KTP 04/23/96 MJk
RLCC120 Wall Cover / / / 04/21/96
RLCC9oo Caee Finaled
�1
1
I
I 7
i
I
I
i
I
I
h
� 1
t
i
i
i
a
t'