15350 SW SEQUOIA PARKWAY STE 325 FKOJECT INFOKMATION
5UILPINC OWNER: PACIFIC REALTY ASSOCIATES, L.P.
15350 S.W. SEQUOIA PKWY #340
PORTLAND, OR 97224
TENANT: WESTERN DATA SCIENCES CORP
OCCUPANCY: 5-2
CONSTRUCTION: III—N
FLOOR AVVE 1,993 SF Ui5EA15LE
2,269 5F RENTABLE
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15350 SW Sequoia Pkwy
Suite 325
1 of 6
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R M1 .90 IE INS (0 Ea3 Jr6 �R1M=181.80 T �I r 1 !r / f o m Ki
IE OkjT=171.50 (15 N) p,I � �C� IE=179.30 \ � � ,!
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•� I IE-174 ' 3 --- ,l i 4' S E Q( r I 1. AL; wO iK SH AL CONFORM TO THE REQUIREMENTS OF THE CITY OF TIGARD, -- 3 � C)
! I l r TI ,nRD WATER DISTRICT, UNIFIED SEWERAGE AGENCY, AND THE CURRENT EDITION � N � o 0
OF THEkUNIFORM PLUMBING CODE AND UNIFORM BUILDING CODE. .� R
c8 � - , � LiJ ' w rn rn
I II DS DS / r 0
r I .�_._. 1-. _. ._ _ R�M `1 .,7C>a•--- -- - ,� 2. Wi TERLINE MATERIAL, TO WITHIN FIVE FEET OF BUILDING: p �- c .�
Flt _ L(tYE,, DUCTILE IRON, TITAN JOINT, CONFORMING TO AWWA C 151, CLASS 52 c c.I
E-174.20 '1 FIELD INLET 1 o,c\
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TLJ: !TEST AND STERILIZE AS REQUIRED BY TIGARD WATER DISTRICT AND y-
r Ul+i, OR4 PLUMBING CODE.
N j
Q_, RIM= 85.20
C1-
FCfE=182.70 =18 .60 f / j O13
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! ! 3. `11TAItY SEWER MATERIALS:
! �
Q 1 I 1'•4 '''R AND WITHIN 5' OF BUILDING: CAST IRON PIPE ' ai
AREAS: PVC c:CNFCRMING TO ASTM D-3034.
CiP� j I D C o I
-: - _ of
E ,G '�� R ��, i y ,� ! 4. _ NCRKING DRkh!NGS `RIE CEIvE:RALLY DIA;"RAMMATIC. THEY DO NOT -= U O [L d
v
N EVERT FF„E T, i3t-ND OR ELPOIN REQUIRED FCR INS T rL!_ATI�N IN THE
---- --------
pC�LAJ � ;F PF 7,10ED. THEY DO NOT SHOW EVERY DIMENSION, CCMPONENT
S
G•0� �' I y PILLE, ;ECTICN, ,,DINT OR FITTING REQUIRED TO CCMPLETE THE PROJECT.
• - •�� ��`�' ,. � �1 ' I o. l`i Ac- I AL_ LC#ATIC'.S FOR 'NCRK SHALL HE CHECKED AND COORDINATED WITH
1 EX 'TINGt,
�l G C UITIONS IN THE . JELL BEFORE BEGINNING CONS`RUCTION.
c/iE+(.:,TING UNDERGROUND UTILITIES LAYING WITHIN THE LIMITS OF EXCAVATION
! '0 --- - -- -- _,_ __ _. I >� _` SHAT I. 9E VERIFIED AS TO CONDITION SIZE AND LOCATION BY UNCOVERING,
PR-,10 NG SUCH IS PERMITTED BY LOCAL. PUBLIC AUTHORITIES WITH
DS __ 3 , / - ` JU NSDICTION, BEFORE BEGINNING CONSTRUCTION, CONTRACTOR TO NOTIFY
I EN •,INE,'R IF THEr ARE. ANY DISCREPANCIES,
4 LJ
r 1 _ 5. PR VID - CLEANOUTS AS REQUIRED IN THE CURRENT UNIFORM PLUMBING CODE
h c IES 9 O
� �j� I Go 'PJ Ci{ ;'TCR 4, SECTION 4CF, AND CHAPTER "I1, SECTION 1107.
kc, DS
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6. TE e%UNATE BUILDING F1RL SERVICE AT 5' FROM BUILDING.
1 - TROL ! I
V) t f 7. CCI+TRACTOR -•L 1. VERIFY AND CONFIRM EXISTING CONDITIONS PRI00 Tu �.
' •\ ` J..
� ; i � I --`-- ' � CO-AMEIJC•ING ►' ''' ;. NOTIFY ENGINEER OF DISCREPANCIES.
DS L i 8. EI i '.CTIVE EROSION CONTkUl. IS REQUIRED. EROSION CONTROL DEVICES
COURTYARD Q Y M t1F�F�'.l�).,. l O •p I h L 15. MU�T OF INSI A.LLCO AND MAINTAINED MEETING TFI•r_ D.E.Q. REQUIREMENTS.
jl `► h " -. f>\� I- THi: CITY MAY, AT ANY TIME, ORDER CORRECTIVE ACTION AND STOPPAGE of �
F.F F. 1 g /,Q �/ -.� W,)«t TO ACCI�M LISH EFFECTIVE EROSION CONTkOL,
_..._ OAIA \ DS
r `•� `
®r-1- p'G I ACr ,- 1 r ' 9. EI I -LI!VE U-,A.'�,A.GE CONTROL. IS RFQIJIRED. DRAINAGF, SHALL Bc. 11n
DS I - C'., �''.0' ' CIO IP! 1 HE `YORK SITE AND SHALL BE So ROU-i ED THAT
DS - I 1 '-� Ac '-yT F'hiVAIL PR-_,,7R1'Y, PUBLIC PROPERTY, AND THE RECEIVING N ! }
S`''• t-r�! ARE NOT A�. •E -.SF:LY IMPACTED. THE C1 ,ti MAY, AT ANY TIME, ORDER �"`�
j DS ORNAMENTAL IN r `C� I a \ i ; CL ACTIGN Ah,D STOPPAGE C= `v1"ORIt TCI ?',CCOMPLISH EFFECTIVE:
RTl1$-6. t5 ORN_ti ENT L 1N�F DF
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�,. IW��► ' 'E-185.40 / OQ� �IC RINa 6 9t
IE- •i�3,; � �� 1E-1 :7.40 " � � 1
1 r 3 71riuY :a �► I • 1 J E V ,4 !1 !I C7N I S R .w
�/ !Nr OR to F' OM DAVIC` EVA,�IS & ASSOCiATES ! I
Tlt ,._ I,. , :��, ,1=•,.f Jr.3
- '=1 \ '.•u OS "�1� �� ,U DS I` / �; 11. PIF' WTFALL IrrTO WATER QUALITY FOND SHALL BE MITERED T'0 MATCH 1 r " LLwouneom .
f
I SL; OUTFALL PROTECTIOtl SHALL CONSIST OF A 10'x10'xl2" THICK RIF•'RAPL •-•A
Y. / "'� illi ir. .T (CLASS 50) ON A 6" BED OF 2"-•0" CRUSHED AGCP,EGATE.
MECHk'',ICAL "
1 ! IE= 46,a-,34- &-�` (� OS CB 12. UT ITIS SHOWN TERMINATE 5 FROM E1U1lDIN,,, SEE PLUMt;ING/
v �� = R'M 186.25 / Z f y DR:,WINGS FOR CONTINUATION WITHIN BUILDING. CONFIRM LOCATIONS PRIOR
TO CONSTPUCTICN.
INC-
"• CONNECTED TO THE STORM
I ;'i � - •, . - ,��- ,� ` , `7; •__ O •U� k" I�y' / f 13. AL,. DCY+MSP�1U1-S SHO,•,J FROM THE BUILDING ARE CONtv�..•
:I ; l i , K ; I t_ ; / •
ON, EIV PIPES BY 6" STORM LINES WITH 2% MINIMUM SLOPE.
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FIELD INLET
:)
' 4 / ` �j ,0� i 'I OY �'' f / / 1 a.�� L��G LEC
, �C � 15,5(14
1 1 NO DS L ! r x,07 f'+ / D• - - ; r EXISTING STORM LINE A- 1�
r , � � - ' � / ,' ,�'� • ._._ ._ ._.
' EXISTING WATER LINE `2=r 25
IE=387.85 B �A; r' / p / l / •� / `/!% \, -XIS 11NG SANITARY SEWER -
~ PROPOSED PERF. STORM PIPE
EXPIRES: 6�3tg�
PROPOSED STORM LINE
� � _._ ;_ .__ •_._ r � `,'� -� ','' -- �,. .--• -'.�. ' DATE: ,....._..._.......,
_ cn 1 / '
1" w • ! =, ! / / ; '� �'� •;; •-L-•••- ..... PROPOSED FIRE: WATER 1 -16-9
__ -_ - _ - - 1 -- i--- .._. ___ -- - �,-/ / ,i '� ' /r. .........�am-ho...aamom, .. PROPOSE'D DOMESTIC WATER
a CB FH '�'� ' " UDC^ 6 /0 3.59: / '� ,;;r/ /,i/ / ....... ...�. �t ..... PROPOSED DRAWN BY:
! • ! _ g - - ! ROPO.ED UTILITY EASEMENT
l _r •""'-- - 14.50 - - ------ FW ._ 1l _ .. / r ! DHR
=1� .00 ^_.. JAIS _ .;' / 'i...:'"� � dom . PROPOSED SANITARY SEWER
IE �. 1) ` / '� H.i CHECKED BY:
"
A, ,. _._ . ._ _ ' ♦'' f ;;' /j _ = - -� -- PROPOSED 4 ELECTRICAL CONDUIT
KJK
�1 1.E_ ♦ y �� -// -- - - --- NATURAL GAS LINE . _......_.._._.
t PROPOSED NATUF N
;•' / `J •.1. ,� .N},1 � 1�. C;'iltiiN:)t i I � , � i �� ;,,' •- � ♦.� ,,. , ' - y // � ,- C.'[)C REVISION
CB s ♦ ,�' i .0 --I PROPOSED D.D.C. j� EDI11ON
• ► r RIM=4$-7:58 ►�T7.3o ♦�' � .' � / . 41 r. 6 CLOSING
�i M PROPOSFO , ,HE HYDRANT g DATE:
... -. _. _. ... ... _. �♦ PROPOSED FIRE DEPT. CONNECTION _...____.. ..
PROPOSED CATCH BASIN
= f �,.• •) �. c� PROPOSED FIELD INLET
yi • ' � " r`,..,. ` `'; ;;tom t. �. U o _ _ y PROPOSED CL EANOLIT
/ / 't tis {.-..� -•- _t- ' •.3/J I 'r `^' //'' •_.',, � 'Z.-•1 � w) /
i ! ` aria - /, / ` , / MACKENZtE EN(vNEERIN, INC.
.. C�� j / 11 ..._. _ /' / / U' IM. ALL R,cr+rs VESERVED
�� '��\• ` �' Ij / wJ t» t `� V 1 �l r/ // ��/ ur�N21E EVgNFENG iING.R(M fRTY Cif
S i t,4\j \...� r / /' I /
AND
DUCEDN �Nr 4AN�NEP EYCfP T W Via.
n4E PRIOR WRITTEN PEI�MIS-SfON OF M.f.i.
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SHEET
UTILITY PLAN c,
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15350 SW Sequoia Pkwy r / OF
2 of 8100 10
Sufte 325 SITE F��RMf� 2��13�-c� •108 NO.
194434
I _ , 194434 OClvil_\SD4.LIWG MSW urs/09/9'i ,an4 ,,a•,nn
IF THIS NOTICE APPEARS CLEARER THAN THE
DOCUMENT,TNF, DOCUMENT IS OF RIARGINAI,V�tALITV. T I�
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_ 301-o '. -- — 15'-0 -- ----- 301-01,
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30'-0 " � I
TO CENTER ON MULLIC NS . ✓
\ PROJECT 95060
N.&J
O OFFICE 335 OFF�CE 334 OFFICE 3 OFFICE 33211KO OFFICE 331
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C!RUCLATION 328 UJ
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I REMOVE U15T1N(3 PDnR•FRAME d WAA.L.U5! DOOR � I
6 FRAME 1N A THER LOCATION, CONSTP.;,CT FJEW
>' WALL WITH DOO 6 ICELIGHT (WITH TF)ArERFC)CLASS)
I ,rT-•�-� / /- I MATCH Ek15TIN 5uRFACE5 AND DETAILS ^ G
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GENERAL NOTES LEGEHO C' u � _j
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L EGf N D _-- — --- — — =—= Ex!:iTING TO REMAIN CL
DDO R SCHEDULE ALL CON5TIQUCT!ON WORK SHALL BE DONE INCOMPLIANCE �-- Lo
I WITH THE LATEST EDITION OF THE UNIFORM BUILDING CODE, amm NEW CO'N5TRUCTION
CP CUT PI.E CAj:rE7 I----- A5 AMENCED DY THE STATE OF OREGON AND ALL OTHER 5TATE
LP LOOP PILE CARPET DOOR DATA FRAME DATA REMAKK5/HARDWARE -- -- NEW PARTIAL !fFIGttT WALL (SEE PLAN FOR HT.)
VCT VINYL COMP051TION TILE - - __-_ OR LOCAL CODE REQUIREMENTS THAT APPLY,
Gf OF (OTHER FLOOR FINISH
MARK 511E TNI K CORE VENEER- FUUBH REIiTE TrPE LAtWL riA11D HARDWARE RE► RX5 ��� NEW ItiR WALL TUNNEL CONSTRUCTION
325 ----------
31 . 9. I '3+•• sc P'rC" c�►r E�- WM 20 MIN -RH LEVER LOCKSET,CLosER SMOKE-Ok TEMP a IN 3' O-W FULL HT REI.1G+fT 2• THE CONTRACTOR SHALL VERIFY ALL DIMEN51ON5 AND �e1Ms� PARTITION W!50UND ATTENUATION 13ATT5 I
327 H - J` -- COA'DIT IGNS 511JWN ON DRAWING5 AND AT THE EXISTING
LH lEvtr.IATCH5E7 BUILDING AND NOTIFY ARCHITECT OF ANY D15CREPANC:IE3 $ SWITCH
�. I
3C R" PRIOR TO 91ARTING THE WORK.
PO�VF3 F'��NTEUGV'PSUMWALL"GIRD 3� - -- SWITCH WITH RHEOSTATLH
pC1/I�I�RI�
KNYL WWAIL -- 1H — CONTRAC fOR $HALL KEEP THE AREA OF WORK :"REE OF THREE WAY 5W'ITCH KE V IV
VWC VINYLWALL COVERING 33, - - -
OW OTHER WAIL FIN15H 332 — - �
LH GARBAGE AND PEE3K15 ON A DAILY 6ASI5, INCLUDINO DOCK
SIGNAL OUTLET
�'33 ACCESS AREAS.I ►H - /� it
334 — j LH — 4. ALL GYPSUM BOARD TO BE .A MINIMUM OF 51a" THICK DEDICATED OUTLET ISOLATED GROUND
SAT gUIPENDEG ni0U5T.TEE 2 x 2 335 * 9' 3.4• 5C Nr,H CHErRv - wM e i LMOILATCHSEr - VERTICALLY ATTACHED TO 3 5i 9"METAL 5rUD5 24" O.C. !�I) DUPLEX RECEPTACLE
u WBC WAl1. fS0�2D CEILING - -- - - t--- --- ----
d OC OTHER COILING FINIE'� __� _ _ _ — J -- WITH I' TY-E S.12 5CREW5 O.C. FOUR("LEX RECEPTACLE
-- — — 5. ALL DOOR5 SHALT, nE A '">vl. 3' w 9' x 1 ,3/4" SOLID CORE (D 5T'ECIAL OUTLET
WOOD tAP F5I — -- --- — -- BE SCHLAG S EWER LC 'EDTCH SERIES• OUTTS, CL05ER5OTHEPWISE, DOOREAND LL
FINISH SCHEDULE
1 TELETELEPHONETELEPHONEOUTLET
- -- — -- — —
WALIS OTHER HARDWARE TO BE 005 POLISHED 13KA55 F!M5H• M 1 MULTI PORT DATA/TELECOM, OUTLET
--� 6. ACOUSTICAL CEILING 5r'5 f EMS: .1 CCN FLOOR MONUMENT WITH SERVICES SHOWN JI
Ex,I$tING 4 X 4 METAL. T BAR GRID 15 IN PLACE. LU 2 x 4 FLUORESCENT FIXTURE: SINGLE 0AL16T
F I N IS!—i E �� �` ta. � � � •- � z s INSTALL 2 x 2 GRID b CEILING TILE FURNISHED BY OWNER, i
(--vFr.N SCHEME — "'—' r =' �i
�" ►� 2 x 4 FLUORESCENT FIXTURE- DUAL DAI A5T
R1.� t NAtvLE `� Z 3 REMARKb 7, All. SFRINKLER HEADS TO 13E ENTEVED IN 2 X 2 TILES
CUT TILE cATtPEr ATLAS PAD
0303 lEAM1 01. - - - - BELOW SUSPENDED CEILING PLR COi�E. 2 x 4 STEADY BURN FLUOR. FEXT. DATE: �2/2r�/95
OVER PAQ U,O.N. PRINCETON 40 01. HA1g/UUTF 329 wAa~ Lr 4• R PG4VP pr3VMr P(3M'�9 r3�0 rly► KAT 9'-P - -
IC�OF' PILE rARPEt ATLAS HANOVER 28 H-W-1 NAPIER 3z6 CIRCULATION LP I:siSLU; 2 x 4 5TEAOY BCIRN FIXT, Wr 8017114E BALA5T
GLUE DIPECT Ul�.N. *27 CONFERENCE Cr rpµr P�,g —' — —+-• 8. PROVIDE LACAEL FOR EACH CIRCUIT AT r,ANEt. FOR
'243 CIRCULArr�N LP r� —
IDENTIFICATION FL)RP05E5. .�.. TRACK LIGHTING
SHEET VINYL MANNIN;TON !NIAID S►iEET VINYL - -
-- 9, THERPAO5TAT LOCATIONS TO VE REVIEWED OY OWNER PRIOR RECESSED DOWN LIGHT
FINC FIELDS 10!16 AZURE 329 OFFICE LP Ply
10 INSTALLATION, 0 RECE55ED WALL WASH LIGHT
VINYL COMP, TILE A1rM��1i0110 EXCEL(iN 12" x 12 3132" 330 OFFICE Lr rc�r --- -- _
51904 5TERLING 431 OFFICE Lr ti.w,rc"
10, TELECOMMUNICATION 5Y$TEM BY TENAW. CONTRACTOR TO 1- WALL 5CONCE LIGHT A !
CASE 332 OFFICE Cr ww r� - rROVIDE MUD RINGS AND COORDINATE ;'PORK. 4� SPEAKER/INTERCOM I
HARD S AREAE: VPI 746 DOVE GPEY FLAT, CONT ROTI *_____wWrmt
- -
HARD SURfA!'E AR=AB: VPI 7''6 DOVE CRE`v COVE, CONT ROTI 3'� OFFICE Cr -
PAJNT 435 ?FFIr.E Crww Ptd+ _ II, PROVIDE ACOUSTIC GA5KETS WHERE WALL WTER5ECT5 (�, (MOlII1T, 6" E'ELCH! CEILING)
15350 SW Sequoia Pkwy MILLER 5440W LATEX SATIN _ -- _- -__-- _ - - -V---
�. 't HORN/STROBE ALARM.
336 WORK Lr 4 R Powr riwr rq t+ PAD SAT 9•.a. MULLIONS. SEE DETAIL 6 ON A-x • SPRINKLER HEAD I
Suite 325 PLASTIC LAM 6 MLSOM.W SEA OREM 0323 MAT-E - -' -- ------- -
3 016 -— _ -- ----------- ---- J---
�— -- - _--- 0, EMERGENCY EXIT SIGN
IF THIS NOTICE APPEARS('14,ARER THAN THE
DO('IIMFNT,THF DO('IIMF.NT' IS OF MARGINAL QUALITY. R T I
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iD I - ---- ----- -------- ------ ---_ -. - -1 -- --- - __ --- --- -- 5E ELEVATIONS
PLASTIC l^►vl ACCENT- DATE. L_ 2 .. �5
PENCIL DRAWER
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PENDIFLEX DRAWER a -
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-� ELEVATION] WAIT 325 __ __ _ PCECEFTION COUNTED SECTION
�I CABINET ELEVATION WOhK 336
C CABINET ELE __- __-- _
SCALE 112"-I'-0" 15350 SW Sequoia Pkwy -- --I
Suite.',25
4of6
IF THIS NOTICE APPEARS CLEARER THAN TIIE
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MAINS AT PERIMETER
` ADDITIONAL HMk3ERS AT ALL MAINS -� ,._ � --_ # O
/ WITHIN 6.OF THE PERIMETER. 0
APPROVED VERTICAL 5TRUT AT 12'-0"O.C. EA. WAY �- EXISTING WINDOW 5Y5TEM o
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SUPPOK'T WITH #12 WIRE AT 4'-0" O.C.
OR WITH #IO WIRE AT 5'-0" O.C.
-COUNTERSLOPE WWOER5IF MORE
THAN 1;6 OUT OF PLl1MB _ -
SECURE Al L HANGERS TO BLDG, - GFFICE WAIN r
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NOTE: ALL CONNECTION DEVICES TO 13E UBC N,T.C. SCALE 3" = 1'-0" UD
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UNDERCUT DOOR A.S-/ FIN. FLOOR - ELECTRICAL OUTLET
L 0 C A710 N MAF FLFI OUIRTO CLEAR OR JUNCTION
FLOUR FINISH
- (^ I I " C R,OD N E_) HELF D TAIL [?ATE: 12/2..9/95
5T A N DAK D M ' U N >" I N ,� 1 1 .,r.G 1-11 ,E -
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WESTER, DATA SCIENCES CORP. 2,260 SQ. FT. RENTABLE. cc
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CAD NO. (S.13)
PROJECT NO. 2015
BFIEBT NO.
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15350 SW Sequoia Pkw i
Suite 325
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IF THIS NOTICE APPEARS CLEARER'THAN THE f
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CITY
OF TIGARD CERTIFICATE Or
OCCUPANCY
COMMUNITY DEVELOPME14T DEPARTMENT PE RI+117 M. . . . . . . t BLIP96-..0001
131215 AW Hall ON-d.Tigard,Orpon 97223.0199 (503)639-4171 DATE I SSUE D t L13/013/96
F�'AR::E'L t �':�1 1�DFt-0Q+4QIrh
c;I TE ADDRESS. . . It 15350 SW Sr-01-101A PKWY #3E5
�: UE3DIVISION. . a ZONIN3s I-P
i BLOLK. . . . . . . . . . t LOT. . . . . . . . . . . . . I
CLA5r4OF'rWORK. tALT_~__'__,...._.__.__.....__w.__...._
UIPE OF: USE. . . a comn
OCCUPANCY ORt�. :10 Do
OCLUPANCY LOADi 0
r
j TENANT NAME'. . . s WF STEERN DOT O
j Remark% ► Tenant imps-ovemrnt
Owner: _._..._...._. _...._.._.. ..__ _. ......_..._.._._._-...._._ ..........
PAC:TRUST
153`M SW SE 0001A PKWY STE: 300
PORTLAND OR 97224 6300
Phone its 6P4--6300
contractors
JJ
If. L. OPE:E'N
15350 SW SEQUOIA BLVD,VD, SUITE 300
T IGARD OR 97224 1
PIlotle #t 624-7717
Reg 1#. . t 41:32.8 f
1 „
y thio Certificate qv-ants oc.c�l,.lpenr_y of the above referenced building or portion
I` thereof and confirms that the building hag been in-sper..ted for compliance with
the Ettate of Orgon Specialty Codes for the grot.ip, oc Upancy, and use Under.
-yhich the referenced permit was isslaed.
f/ f
WDYIrl"fNSPECTOR BUIL L . N(7 OF`FIC IAL
POST IN CONSPICUOUS F LACE=
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70 I
CITY OF TIGARD PERMIT #. . . . . . . : PPLUMBING PERMITLM96 -0019
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/05/96
13126 SW Hall Blvd.Tigard,Orogon 9722398199 (503)839.4171 PARCEL: 25112DA-00400
AIE ADDRESS. . . : 15350 SW SEQUOIA PKWY #325
UBDIVISION. . ., . : ZONING: I—P
BLOCK. . . . . . . . . . . . . . . . . . . . . . . .
CLASS OF WORK. . cALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF' USE. . . . .COM WASHING MACH. . . . . . : 0 SACKFLOW PREVNTRS. . : 0
OCCLJPf--4NCY OPP. - :B2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . .. 0
STORIES. . . . . . . : 3 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . : 0 RAIN DRAINS. . . . . : 0
bINKS. . . . . . . . . . : I URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 oTIAER FIXTURES. . . . : 0
TUB/S"HOWERE;. . . . 0 SEWER LINE (ft ) . . . 9 0
W(-)TER CL05)ETS. . 0 WATC7P LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . ! 0
Remarks : Tenant impi-avement
Owner. F -ES
PACT RUST type -3 m o .Ant by date V•ecpt
15350 SW GEQUOIA PKWY STE 200 PRMT $ 25. 00 JSD 02/05/9C. 96-275655
5PCT $ 1. 125 JGD 02/05/96 96--2 7 5 G 5 5
PORTLAND OR 97L24-6300
Phone #: 624-6300
Cont y'actot'..
DEAN WARREN PLUMBING
3111 SE 13TH
PORTLAND OR 97202
F-111one #: 22.6-.4152 ..6. 25 TOTAL
Reg #. . : 000172, REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Rol.tgh--in InGp
Tigard Municipal Code, State of Dre. Specialty Codes and all other PLM/Under—floor
applicable laws. Ali work will be dine in accordance with lap--oi.tt I n s p
approved plans. This pervit will expire if work is not started Final Insipet.,tion
within 180 days of issuance, or if work is suspended fcr storethan 160 days.
qr•mittee Gignat-lwre :,/�`"Azj
Call fOt- inspection 639-4175
a Ir
� 'i�(�' ► '7�PP'' "!�',�!' ��"'+'+���u���" k'�fia�`.., n rr��l�c�,.' ryyyy,,.. �':1 ,�~t' rA9#'�' ' }9' ', �
City of Tigard LUMBING PERMAPPL CATION Planck/Rec. #
13125 SW Hall Blvd. Gy' c<<'`�G �'� / Permit #
Tigard, OR 97223AA' ' I � I�`'`'/ a 96,-rol''
(503) 539-4171 0011
01 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
_ w.aD-W►.a-11 , New Single Family Residences Only _ -
Na••• 14, O 1 BAiH HOUSE$140.00 i] 2 BATH HOUSE $195.00 w
Sr_O c 1. - / W ❑ 3 BATH HOUSE $225,00
Address mow. zy - Fee Includes all plumbing fixtures in the dwelling and the first 100 feet .
r' �� "�,. t of water service, sanitary sewer and storm sewer. See tees below.
FIXTURES QTY PRICE AMT
<y ) k4 ST Sink -9.00 y. .
rw�•a•• �. Lavatory 9.00
Owner 1"1"-.79
,'J✓G' t v S FCS 1Ac,t A ' Tub or Tub/Shower Comb. 9.00
ceou•y ra Shower Only 9.00
-7-1 Water Closet ---- 9.00
---- �•^• ^r^•r •r Dishwasher 9.00 -
k-)-5/ F_'jl„!� U�T� �aC I 1 ivc r Garbage Disposal 9.00
0_c .ani W�,,"w Washing Machine � - 9.00
/ ' ✓(� J0� S�LJLtv1/! - Floor Drain 9.00 -��-
�^"'�• Water Healer 9.00 -�-
I Laundry Room Tray 9.00
Urinal J 9.00
A v of!I1 ✓ } )�, i� ' Other Fixtures (Specify) -� 9.00
u.i,p Feu w Mir ,
_ntract:` I -------- 9.00 ---
! t I �" C�-'t I' 9.00 _
-9.00 �•
Sewer 1st 100 30.00 1
��tir'•�w. tar km To N. Sewer-ea. Addit. 100'-- - 25.00 -
t' C)17 a. �A G i�_� (; Water Service 1st 100' 30.00
I nereby acknowledge that I have read this applicallon, that the Water Service ea. Addit. 200' 25.00
irfcrmabon given is correct, that I am the owner or authorized agent of - - -- ---- -- -------
me owner, that plans submitted are In compliance with State laws, that Storm 8 Rain Drain 1st 100' 30.00 -
I am registered with the Constructlon ContracWs Board, that the Storm &Rain Drain Adair. 100' 25.00
number given is correct. (If exempt from Sta'a •ealsb•ation, please -
give reason below.) Mobile Horne Space 25.00
f \ ) Back Flow Prevention
Device or Anti-Pollution Devius 9.00
°r" Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work now 0 addition alteration 0 repair Catch Basin -� _Y v 9.00 I
:o be done residential 0 notr IdentW O _ Insp. of Exist plumbing 40.00/hr f
Specially Requested Inspections 40.00/hr
Existing use of I_
budding or property �.. ",te=Re 14(- � - Rain Drain, single rami� dwelling 30.00
_
j Residential backfluw prevention
devices 15.00
Proposed use of --- -- -- --
building or property _
*(Except resldentlal backflow '-
proventlon dovlces)
*Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 1140 DAYS,OR IF 6% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ----,�
AOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
is
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Spec al Cond4rons
issued hV
r ,
IJ
a; �tti'tiai„r A: t
• .w
"1:e�S r •� '> Accumulative Sewer Tall This SWR#:
'Tenant Name: Y '.�
r ddress:_ This PLM#: G-��'�
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures Now New
Value Capped off value added # added total awe total
Count off#s Count value values
Reptiat :Font 4 --
Rath -Tub/Shower 4 ---
Jacuz/Whpl 4 -
Cnr Wash-Each Stall 6
-Drive Through 16
P
Cuspidor/Water Aspirator 1
Dishwasher -Commer 4
-Domest 2
Drinking Fountain 1 S
Eye Wash 1
Floor Drain/sink 2 inch 2 v
3 inch 5
4 finch 6
Car Wasi,^•ain 6
Garbage Dieposal 16
Dom Ito 3/4 HP)
Comm (to 5 HPI 32
Ind lover 5 HPI 48 _
Ire Machinei Refrigerator Dra'ns 1
Oil Sep(Gas Station) 6
Recreational Vehicle Dump Station 16 !_
Shower -Gang(Per Head) 1
-Stall _ 2 _
Sink- Bar/Lavatory 2
6radley 5 _
Commercial 3
Service 3
Swimming Pool Filter 1
Washer, Clothes 6
Water Extractor 6
-— - _
Water Closet. Toilet 6 �O g
Urinal 6 CC' 6P ( G' 3L�
TOTALS
Total fixture values:_C: divided by 16 — /� `� EDU l
HISTORY 17
PLM# "i -U351EDU# 1 SWR# C i 6 q(1V rt-m#,��.DUr�LI SWRp V3 —
PLM# ()L; C11-1�, DU# SWH# �L� . ( - PLM#r/ "67t� DU# �t SWR# 9";--0F//
PLM# �( CPI'7- EDU# 1 SWR# L, LI-3yL/ PI-K1# �C, c,t0EDU#jLf SWR#
PLM# �� �C'EDU# I �:iWR# �'/ PLM# 7 Ucc5 EUU# �C SWR# Ci G I
C,S=
6— '77 ii..; I Li�l I a I I I
J
1#
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Page Ne. t CASE HISTORY FOR CASE NO.: P12496-0019
PACTRUST
1 •
15350 SW 3BQUOIA PKWY Unit: 325
i
04/22/98
S End/ Action Notes Diep By Update vp4
Actic4i Description Req/ Schd/
Code Sent Dane Done Date BY •
------- -------- -------- -------- -------------- -------------------------- - - -------- ---
1 PLMCOD3 Application received / / / / 01/26/96 PASS BON 01/04/96 JD
PI14C005 Permit Created / / / / 02/04/96 PASS JSD 02/04/96 .TD
PIMCO50 IF) Ready to issue / / / / 02/04/96 PASS JSD 02./04/96 JD
PLMC060 (P) Issue permit / / / / 02/05/96 PASS JSD 02/05/96 JD
PIMC725 Top-colt Insp ^2/04/96 / / 02/07/96 need to nee tie in FAIL MSL 03/11/96 TLP
PtM(.799 Final Inspection / / / / 03/08/96 PASS TLP 03/11/96 TLP
PLM-800 Cao" Finaled / / / / 03/08/96 PASS TLP 03/11/96 TLP
i
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1°
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.yr +r w1^ 17 r"M411
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4
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Page No. 1 CASH FISTORY FOR CASE NO.: SWR9b 0019
PACCRUST
� 15350 SW SEQUOIA PKWY Unit: 325
t
04/22/99
Action Description Req/ Schd/ End/ Action Notes Disp by UpdRt41 Dpd so
f Code Sent Done Dane nate By
SWRA007 A,?plication received / / / / 02/94/96 The plumbing permit was received an PASS JaD 02/04/96 JD
01/26/96 by BON. jed
SWPd000 (F) Issue permit / / / / 02/04/96 PASS .;^C 02/04/96 JD
SWPA720 Case Finaled / / / / 02/04/96 PASS JSD 02/04/96 JD
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___-- - ELECTRICAL PERMIT
PEP.MIT 4t:
66
CITY F 11 CARD DATE I SSUED o CO6
0/9r.
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COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: CS 1 120A-0041110
13125 SW Hall Blvd.Tigard.Oregon 9722369109 1503)539-4171 1 Z
'i
JBIJI;^ IUiUiv. . . . : ZONING: I--P
-,LOCK. . . . . . . . . . LO"I'. . . . . . . . . . . . .
Project Vescr^lption: Install one ser,vic1e or feeder, to 200amps or. less and 7 bran
Ch
Lir-CCUit$. "
-_ _._r1E3IDEI4IIAL UNIT TEMP 7jRVC/r'L',ED1-'R:; ____..._ MISCELL_E�hIEOIJS---- -
1000 5F OF) LESS. . . . : 0 x:00 amp. . . . . . . » 0 PUMP/IRRIGATION. . . . li,
EACH ADD' L '3Ve(7'-. . . : 14) 400 :amp. . . . . . . : 0 GIGN/UUT LINE.: LTG. , : 0
LIMITED ENE'RG'Y. . . . . : 0 401 600 ,amp. . . . . . . . 0 SIGNAL/P'ANE'L. . . . . . . » 0
MANF". FIM/ 'VC,/i' DR. . : 1P 001 +-amps 1000 volt s. : 0 MINOR LAPEL ( 10) . . . : 0
-----.SERVICE:/FEErDER----- - »-DRFINCFI CIRCUITS-_.----_ -- -ADDI L INr PECTIONS- €
e. - '2,00 c,rmp. . . . . . . 1 W!SCRVICE OR F-CEDER: 7 PUP INSPECTION. . . . . : 0
C01 4�D0 amp. . . . . . : 0 1st W/U C^RVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
,401 600 amp. . . . . . .. V_l l-A ViDD' L BRNGH (:IRCil 10 IN PLANT. . . . . . . . . . . . 0
ESV '.000 ,-Amp. . . . . : 0 _._._...__ _._.__._ ._._._.-_.- -FLAN REVIEW
i.4.:� .mp/v()1.t. . . . . . 0 > -4 RES U14ITS. . . . . . . . .. > GOO 'JOLT NOMINAL. . r
Reconnect or ly. . . . . .. 0 SVC/FDR ? - 222 AMP'S. . : CLASS AREA/SPEC OCC. .
Owner: _.._._... ._._.. ___.. .._ __. _._.._._. _._.__._.._._ ...._ ... ......__._ ...__._._ ..___ _...___.___._. mEsj
WESTE=RN DATA type amount by date r,ecpt
15350 5W SEDUOIA 1=I-;W`: I'RMT , 95. 100 CJS 0�/OL/96 9G--W/`it:,J11
4 SPC;T $ 4. 75 CJS 0:'/0 '/96 96--275601
TIGO RD OR 97223
P,hor.e #:
Ccrrtr"actor.:
BACHOFNER ELECTRIC, INC. $ °n. 75 TOTill_
C,5 SE: MAIN
_._...__. REQU I REb :NSPEC T I ONG
j VIORTLAND UI? 9 ?.-'14 L..1r ��t' 1 ie: v1(_e _-_--
F'lrone #. Elect' 1 F- iiial
Reg #. . r
I
a This permit is issued subjtct to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all .ther Permittee Si gnart-_tt,e
applicable laws. Adl work will be done :n accordance with
approved plans. This permi-•. will expire if work is not startea
1E10 days of issuance, or if wank is suspended for more
than 186 days. I s ss ur e d E;y
_ ...__....__._ __.. ..__. . ._. ___.._ _._. ....014NER If,15TALI_fiTI01\1 ONLY' _. .__.... .
The installation is being made on pr•c+per~ty I own which is rrctt intended fol,
sale, leash, or- r-ent.
OWNER' G S 1 L-NATURL : _. _ DATE:
_.CONTRACTOR INSTALLATION ONI.
SIGNATURE. OF SUPR. EIEC' N: IE'�✓_ DEAL:
L I(XNSC NO:
Call for- irisl ection - 639-4175
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Community [development ELECTRICAL PERMIT APPLICATION o
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 16- �?i'Sl. l —�
Permit # yXL9 -dG F'E e
Phone (503) 639-4171 Date Issued J- ' ��G•
FAX (503) 684-7297 Issued by
CITY OF TIGARD TD!) No. (503) 684-2772
inspection (503) 639-4175 _ W)
1. Job Address� 4. Complete Fee Schedule Below:
d '
Name of Development _ Number of Inspection*par permit allowed
Address, 15350 S W Sequoia Pkwv. service inrluded: Items Cost(sa) Sum
City/State/Zip Tiaard. Qregon _ 4a. Reaklontial-per unit
i 1000 aq ft or Mee 111000
Eai+e"ional 5110 eq h or
Name (or name of business) Western Data Sciences portion thereof $2500 1
El Residential❑ t" h E'"'°'' V.0;00
Commercial
Fwdr Menul'd Florrw or Modulen ?
0W*1%ng Service or Feecbr $Bs 00 _
29. Contractor InstallatJonon ly:
4b.Services or Ft1>aA_
IrwtalMUon,ahmidw,,or relocation 2
Electrical Contractor Bachofnerd - dc. Inc,_ zoo amps v-ees 1_ too 00 60.00 2
a Address 55 S.E Plain `' 201 ampr to 400 amps $12000
W 00 —� 2
Ci Portland State Zi ()7214 .ol.mre to eco�� —` $120 2
ty Or_ P _ 001 an,pe to 1000 amps -- f t act 00 _ 2
Phone No. 233--2006 _ Over I000 amp@ or vone __ $3 10 C2 2
Contractor's License No. 26-451C Flown wdonly
Contractor's Board Reg. No. 94 4c.Temporary Services or Feeders {
Inetallawn.aMeralion,or relocation 2
Signature of Supr. Elec'n�G_ 200"'rep°or"•• 0°° 2
r
License No. 2808S Phone No._ 201 amps to 400 ernpa $75.00401 rumps to tltto amps --_ $100 00
Oar am amps to 1000 volts
I
2b. For owner Installations: •••V above
4d.Branch Circuits
Print Owner's Name New,alteration or exlemon per panel
1 Address a)The foe for branch armAs with
City State _ Zip _ purchase,of soorke or ltredor be. 2
Each branch arcuA 7 $500 35.00
Phone No. b)The fee for branch arcuile without
The insta:lation Is being made on property I own which is purchase of aarvlea or Amcor Am. 2
not Intended for sale, lease or rent. First trench^ircuA >i35 — 2
Each mMicrell trench arcurf $600
(
Ouneett Signature 4e.Miscellaneous
(Service or feeder not included) 2 i
.T. Plan Revlew section (if►equired): Each pum, or irrigation arcs $40.00 2
Each sign r outline hghling $40.00
Signal cirt%W(s)or a Imiled energy 2
Please check approprlets Item and anter fat in section 68. penal,alteration or extension $1000
4 or more residential units in one structure Monor Labels(10) $100.00
Service and feeder 225 amps or more
y� System over 600 volts nominal 4f.Each additional inspection over
_ Classified area or struclure containing special ocaipancy the allowable In any of the above
—� as described in N.E.C. Chapter 5 per Inspection $7500
Per her $6500
1n Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for tsm;)orary construction services. 5. Fees:
NOTICE 5s. Enter total of above fees $ 95.00
5%Surcharge(.05 X total lees) $
PERMITS BECOME VOID IF WORK OR CONSTAUCTICN Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%o1 line A fix
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIMS ArTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account rt
$
Balance Dua $ 59.75
L—
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Yqs No. 1 CASE HISTORY FOR CASE NO.: RLC96-0066
BACHOFNER ELECTRIC
15350 SW SEQUOIA PKWY Unit: 325
04/2i/re
R Schd/ End/ Actic:l Nutee Prop By Irpdwte Upd
Action Deecrlgtiaf KI/
Date BY'
Codi
Sent Dame Donr. _
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Commercial Buildin Permit Application
a
--- 1
City L;! Tigard
13125 SW Nall Blvd.
Tigard, OR 97223 I, •
(503) 639-4171
/x
Jobsite Address:
Office Use Only
Tenant: � uice # �_�__.
Planck/Rec.# I ,ra
Valuation: �� �___—_
Permit# 1
Owner: Pacific Realty Associates, L.P. (PacTrust) Map & TL#_;L '` i ► �' ( ''��"
Address: 15350 S.W. Sequoia Pkwy, Suite 300 Approvals Re aired
Portland, OR 97224 Planning
4-6300 /fit
Phone: 503/62Engineering4
Other
Contractor: N.L. Green Company
..rie
i
Address: 15350 S.W. Sequoia Pkwy, Suite 300_
Type of const:
Portlanu, OR 97224-7199 1
Occupancy class:
Phone:
503/624-7117 ��
Sprinklered?C!eFl No
Contractor's License # 413''%� i
(attach copy of current Oregon license) Sq. ft. of project:
Contact name & phone: Chris Green, 503/624-7717 Stogy (1st, 2nd, etc.) ........�, _
Proposed use.
Architect/Engineer: John H. Romish
! Previous use:
Addres.i: 2216 S.E. 24th Avenue —
Note: Plumbing & mechanical plans
G� Portland, OR 97214 must be submitted at time of
building permit application.
Phone: 503/236-6306
JOB DESCRIPTION: AV/-TW 1Ly
r
/6plicant Signa,ure & hon(,.- number
Received by: Date Received:
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yap/rK.. 4,p h,
1LT'}' u!drti'S!R" IdaL. ++ I 1 ,,
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Permit Account Description Amount PmL Pd. EL'd. Due
Bldg. Permit (BUILD) G U
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
19 T
State Tax (TAX)
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Elldg:
Plumb:
Mach:
Sewer Connection (SWUSA)
Sewer Inspection (SW'NSP)
i
Parks Dev Charge (PKSDC) `
Res-dentia) 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)
I >.
Erosion Cntrf Permit (ERPRMT) _
I
Erosion Planck/USA (ERPLAN) i
Erosion Planck/COT (EROSN)
pG
TOTALS.
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CARR HISTORY FOR CABG NO.: BUP96-0001
H.L. OPERN
1550 3W SEQUOIA PKWY Unit, 325 +
04
Aatieb Dewriptiaa Req/ echd/ End/ Actio; Notes Diep .1y Update Llpd
CQ� Bent Done Done Date By
....... ....."---"------ -- -- ----------------------`---------- -`-- --- ----"-- ---
BUPC007 Application received / / / / 12/29/95 PASS JSD 03/11/16 TLP
PUPC009 Permit created / / / / 01/02/96 PASS J9D 01/02/96 JD
BUPcoL0 Check for prcl. restrict / / / / 01/02/96 PASS JSD 01/02/96 JD
SUPCO15 Plans routed to Plans Rxaminer / / / / 01/02/96 PA88 JSD 01/02/96 JD
RUPCO24 Plans Approved/P-yuted to I)sTe / / / / 01/26/96 APPR JHF 01/26/96 JHF
BUPC090 (F) Ready to issue / / / / 01/29/96 PASS 8 01/29/96 B
BUPC100 (F) Issue permit / / / / 01/29/96 PA39 JSD 01/29/96 JD
RUPC740 Framing Inep / / / / 02/06/96 PASS TLP 02/09/96 TLP
BUPC762 Sump Ceiing Inep / / / / 02/21/96 PASS TLP 02/21/96 TLP
BUPC184 sprinkler Final / / / 03/08/96 PABs TLP 08/12/96 BT2
15UPC798 Misc. Inspection / / / / 02/06/96 PABB MJR 08/12/96 BT2.
BUPC799 Final Inspection / / / / 03/09/96 PA.99 TLP 03/11/96 TLP
SUPC950 (F) Issue Cnrt. of Occupancy / / / / 03/08/96 JF 04/02/96 JF
13UPC960 Case Finaled / / / / n3/08/96 PASS TLP 06/17/96 .IDA
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City of Tigard MECHANICAL PERMI r Planck/Rec. #
13125 sw Hall Blvd. APPLICATION b Permit # 4
Tigard, OR 97223
(503) 639-4171
/ l
m.^ escnp ion
1 �.�. �_ �� rabb 3A Merhanical Code Q11PRICE AMT
Job _v } t,� t , 1) Permit Fee 4- -0- 10.00
Address
2) Supplemental Permit 300
Tyr••• Furnace to r ATO— l+
1) incl. ducts &vents 6.00
•.• urnaF— c�07300 T-U-+
Owner 2) incl. ducts &vents 7.50
Floor Turnance
3) incl. vent 6.00
Suspended eater,wall Heater `-
4) or floor mounted heater 6.00
o'er'. Vent not me. in
Occupant 5) appliance permit 300
• --"— R e p a 1 r 57 neo mg, re rig
6) cooling, absorption unit 6.00
—�
Boiler or comp heat pump, air con
y I?\��I•J �• 7) to 3 HP: absorp unit to 100K BTU 6.00 d
of er or comp, teat pump, air con .
8) 3-15 HP: ab:,orp unit to 500K BTU 11.00
r Contractor .,. ��otTer or camp, heat pump, air cond.
i 9) 15-30 HP: absorp unit 5-1 mil BTU 1500
•• •�•�• ut er or comp, heat pump, air con...
10) :0-50 HP. absorp unit 1-1.75 mil BTU 22.50
T nere y acKnowle ge that I have read this appucation, t at t e Boiler or comp, neat pump, air con ---
information given is - rrect, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 and BTU 37.50
agent of the owner. that plans submitted are in compliance with Air an mg unW to 1
State laws. that I am registered with the Construction Contractor's 12) 10,000 CFM 450
Board, that the number given is correct. (If exempt from State —A r handling unit
registration. please gig.-e reason below) 13) 10,000 CTM 7.50
'—' on portable i
14) evarorate cooler 4.50 !
enc fan connected
15) to a single duct 300
enti auk not
16) included in appliance permit 450
�.,.., .•,.^ - oo std erve TTy_
17) mechanical exhaust 4 50
Describe work new (j addition a teration (T repa raj Commercial or mus na
to be done residential (1 non-residential Q 18) type incinerator 3000
Existing use o '— Other i e.. woo stove, water
building or property 19) hfaater, solar, clothes dryers, etc. 4 50
Proposed use of 20) Gas piping one to four outlets 200
budding or property
J.1' More than 4-per outlet (each) 2.00
Type of fuel -od 0 natural gas O LPG, O e!ectric Q
oTrffr-
Mlnimum Fee $15.00 SUBTOTALPERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 50.6 SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR —
ABANDONED rOR A PERIOD OF 180 DAYS AT ANY TIME I PLAN REVIEW 257,6 OF SUBTOTAL. G r
AFTER WORK IS COMMENCED —
—Y+ TOTAL
I
Special Conditions � _ _
Date issued by _^
H LLOOiM09T9S•.eCMPMT
' •.•-, `^"•" M+•M�Mb�MIMY!:*JYIERI1Y�MyG:nrn6,+.aiwrnqMwss.w«..+,-....-..»...... ..--..,.�,ale.pgl ..
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top No. 1 CASE HISTORY FOR CASE NO.: M4C96--0027
PACTRUST
15350 SW SEQUOIA PM Unit: 325 .
r
Action Description Req! Schd/ gild/ Action Notes
Code DieP 8Y Update Upd
Sant Dane Done _
........ .........................._.--- -- -------- --------
Date
------ --------------------- ---- --- ---- Hy
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M,4CCO20 Plan checked/Approved by p.S. / / / / 01/26/96
MBCC060 (F) peady to issue / / / / 01/29!96 Need contractor info. APPR JHF 01/26/96 JHF
PEND 9 01/29/96 8
II9CC090 (F) Issue permit / / / / 01/29/95
PBCC799 Final Inepsetiam / / 03/08/96 PM8 JOD 01/29/96 111
MEccaoo cane Finales / / / / 03/0e/96 PASS TLP 03/11/96 TLP
PASS TLP 03/11/96 TLP
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