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14200 SW BARROWS ROAD PAD A CITY OF TIGARD Approved dit ionaliY Approved.. . .. .. . . . . . .. .... .. . . . ... ....... For only the work as described in: % See L;aftf:r to. Follow................ . ................... Attach...... . ..................... [ ]: Jvb Address:l l By.. - ► � 14 i 34101, ; r � I 00000 IL J/ 1Ir ✓ ` - L VVA iE 2 PJP iii L, v Y, ,:.4i�� NOTICE: IF THE PRINT OR TYPE ON ANY � � I � III � IIIIIII � III II ' I � II rli � rLi ilil � lr r��rlr r1-r �Tr � � r r �-r T�i -r r I �� ! � ! r� �. ,! � ! ! � ! ! � i ! � ! ! � ! i � ! !-1 � r_I � _r� �. � � r � Ii ! � ! r� ! r� r .11 � 1 ! 1r1I f [I I-TI— i �r1 ! �—! ! � ! 1 Iiii 1111111 IMAGE IS NOT AS CLEAR AS THIS NOTICE, �- 2 3 4 ,7 1U 11 12V. IT IS DUE TO THE QUALITY OF THENo.N o.38 ORIGINAL DOCUMENT 0CRZ RZ LZ 9Z �5Z � Z EZ Z TZ OZ 6T 18I LT 9T 9i fiT EI ZT iT 1 6 �� ) �� 11111111111111111111 Illi II I ILII ll1 1111 lllll�i IIIL IILI- Illi 1111 �� Illl�llll IIII IIIc 11111111 llil 1111 IIIA Iill illi 1111 llil 1111 llil 1111 ll 1111111111 fill Illi [I llll ll lli. 1111�111 w i ri 03M)FAI HMS PIZZA ALSE2-MN S CEUTE17- SCHLLLS FEUY E WALNUT MYEPS E SANS PLUMBINC, WPrSTE PI PI �j& 3 z �2 4� 2 � 3 • I r U2 ti 3\ 3 i y t v a r a • . •aw,.rakKa'VIM! �Maa�.l6FdP�a r Ii r I I I1 �1 l1 I II I II I Ir],T11 I II I lI I II T��T1 Ir�1 r1 h' I . I I � s� 0°' f I xe.rt+ . . . . NOTICE: IF THE PRINT OR TYPE ON ANY IMAGE IS NOT AS CLEAR AS THIS NOTICE, 4 Jlli rrrrT rT11rTTJrIr�11TTT1i�e1 pr( fIT I I I III III I�I j 01 1 1 1 .. IT IS DUE TO THE QUALITY OF THE _ No.38 a ORIGINAL DOCUMENT16X s Z 8Z GZ 9Z Z fiZ s Z i2 Z 8i 8i Gt i 4t fit st ZT tT i 8 8 G 8 4 i s L t uM „ d„ add - GV0H SMOMHVf3 MS ooze J N O r cn W D O cn O (� v i T f 1 �1 r i 1 t 14200 SW BARROWS ROAD - PAD "A” CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., hgard,OR 97223(503)639.9171 CERTIFICATE: OF OCC(.JPANC'Y PERMIT ##. . . . . . . . i?UR98._00 GATE_ ISSUED,-, JO/ 14/98 PARC"E:L : 2S 104NU--•IM t 00 -I !E ADDRESS. . . r14,7'00 SW BARROWS RU USDIVI ION. . . . :RUSSEl_I_.' aCFICII_l_S FEPPY 7ONING:G". N A_OCR.. . . . . . . . . : LOT. . . . . . . . . . . . . :004 JJR7 DICTION: 'FICA .13151a OF WORK. u AL.T YPF OF USE. . . :COM 'YPE OF CONST R i 514 IC:CUPANCY GRP. :Aa )LX1 JPf-1NCY I..-OAD: 90 AAN T NAME.. . , :C 0DFATNE P5 1-'emarks : Teiiant improvement )wnerl ._._...._.._._._�. �...._. _..._.._._.._.__ ... ......_.. .. ._... )L BERTSON' S 'M15E ID 5374?6 'hone #P nntractors ...._._ . ....._..........._._...._.v__.....__.....___.... _... .... +114, CON^TRUCT I01,4 INE 11,1730 SC Hwy r_''ic BOX 66 ACKAMPS OR 97015 'i, Ila M: 557-..0866 075 7r ► � cert .i f%vat M Ut-aunt s occu parmy of the above referenr.' �i b�rI Idi.ng car pori. ion i, _ reuf and confirms that the bj_iilding has been i.nsp@cte for cnmplianf.,o with he State of Or yon Spec—ialty Codes for the 9rnuP, n cupan and 1.ise Linder. ,Fish +:he referenr_ed permit was i �isued. I t.pING INSPECTOR BIJUI)ING OFF"T1.IhL FUST IN CONSPICUOUS PL AC:F Page No. 1 CASE HISTORY FOR CASE NO.: ELR98-1001 ALBERTSON'S 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp 83' Update Upd Code Sent Done Done Date By --. . - ----- -------- -------- ------ ------------------------------- -- ELRC001 Application Received / / / / 08/14/98 USPS DEB 08/18/98 JSD ELRC003 Permit Created / / / / 08/18/98 Delay caused by P*P being down... PASS JSD 08/18/98 JSD contractor notified on 08/17/98 at 2:25PM (Steve Kirkland) of permit number. Jed ELRC500 (F) Issue permit / / / / 08/18/98 PASS JSD 08/18/98 JSD ELRC100 Ceiling Cover / / / / 09/02/98 PASS CD 09/03/98 CU ELRC725 Low Voltage Inspection / / / / 10/14/98 PASS CD 10/15/98 J•H i ELRC799 Elect') F+nal / / / / 10/14/98 PASS CD 10/14/98 CD d ELRC800 Case finaled / / / / 10/15/98 PASS CD 10/15/98 J•H f ) r Page No. 1 CASF HISTORY FOR CASE NO.: ELC98-1009 ALBERTSON'S 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code. Sent Done Done Date By --- ---- -------- ----- - ------- -------- - ---------- ---- —- ---- d f ELC0001 Application received / / / 08/14/98 USPS JSD 08/18/98 JSD ' ELCCO03 Permit created / / / / 08/18/98 Delay in creation due to P•P being PASS JSD 08/18/98 JSD II down... contractor notified of permit number on 08/17/98 at 3:21pm (Stephanie). Jed i ELCC500 (F)Iasue permit / / / / 08/18/98 PASS JSD 08/18/98 JSD I{� ELCC700 Ceiling Cover / / / / 08/20/98 hard ceilings only PASS CD 08/20/98 CD f� 7 ELCC700 Ceiling Cover / / / / 09/02/98 PASS CD 09/03/98 CD ;I ELCC720 Wall Cover / / / / 08/20/98 PASS CD 08/20/98 CD ELCC799 Elect'l Final / / / / 10/14/98 PASS CD 10/14/98 CD ELCC799 Elect'l Final / / / / 10/13/98 protect flex to oven bend to j-box also FAIL CD 10/13/98 CD exceeds table 346-10 - tighten flex connector 6 secure flex after ice mach. is relocated. ELCC800 Case Finaled / / / / 10/15/98 PASS CD 10/15/98 J•H t ELCC920 Miscellaneous action / / / / 10/13/98 permits required for security system 6 FAIL CD 10/13/98 CD signs hook up. 6 11 i Page No. t CASE HISTORY FOR CASE NO.: MEC98-0090 ALBERTSON'S 14200 SW BARROWS RD 11/03/98 i Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By i t i MECC007 Application received / / / / 03/09/98 PASS BON 03/10/98 JSD MECC008 Permit crested / / / / 03/10/98 PASS JSD 03/10/98 JSD MECCOII Routed to Plans Examiner / / / / 03/10/98 PASS JSD 03/10/98 JSD MECC015 Reviewed Plans Routed to DSTS / / / / 04/30/90 APPR RDP 04/30/98 RDP MEC'CO16 DST Post-Review Completed / / / / 04/30/98 DONE B 04/30/98 BON MECC050 (F) Ready to issue / / / / 04/30/98 PASS B 04/30/98 BON MECC090 (F) Issue permit / / / / 05/01/98 PASS OEO 05/01/98 DST MECC705 Can Line Insp 04/30/98 / / 05,118/98 3 lines tested an approved, tag 323088. PASS RC 05/18/98 J•H MECC706 Mechanical Insp 04/30/90 / / 05/18/98 PASS RC 05/18/98 J*H MECC725 Heating Unt Inap 04/30/96 / / 07/15/98 PASS RC 07/15/98 J►H MEC'C735 Duct Inspection 04/30/98 / / 07/15/98 PASS RC 07/15/98 J*H MECC745 S.D. Shut-down 04/30/98 / / 07/15/98 PASS RC 07/15/98 J•H MECC799 Final Inspection 04/30/98 / / 07/09/98 no access FAIL RC 07/15/98 J•H MECC800 Came Finaled / / / / 07/15/98 PASS RC 07/15/98 J'H Page No. 1 CASE HISTORY FOR CASE NO.: ELC98-0208 TUALATIN ELECTRIC 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELCC001 Application received / / / / 04/21/98 RECD JD 04/22/98 BON ELCC003 Permit created / / / / 04/22/90 DONE B 04/22/96 BON ELCC102 Plans routed to Plane Examiner / / / / 04/22/98 BENT B 04/22/98 BON ELCC115 Approved plans routed to DSTs / / / / 04/23/98 PASS CD 04/23/98 CD ELCC400 (F)Ready to issue / / / / 04/24/98 Need supervising electrician's signature DONE DEB 04/24/98 DRA on application. Tualatin Electric's CCB expires on 4-30-98. ELCC500 (F)Issue permit / / / / 04/24/98 Faxed copy of app w/supervising DONE DEB 04/24/98 DRA electrician's signature received. Permit will be mailed out on this date. ELCC700 Ceiling Cover / / / / / / 04/22/98 BON ELCC700 Ceiling Cover / / / / 06/15/98 outdoor soffit lighting PASS CD 06/15/98 CD ELCC720 Wall Cover / / / / / / 04/22/98 BON ELCC730 Elect'1 Service / / / / / / 04/22/98 BON ELCC130 Elect'l Service / / / / 06/18/98 service PASS CD 06/19/98 CD ELCC730 Elec:t'l Service / / / / 06/30/98 service approved for house panel a a&,b PACS CD 06/30/98 CD feeders ELCC799 Elect'1 Final / / / / / / 04/22/98 BON ELCC'799 Elect'1 Final / / / / 07/09/98 final includes service, feeders, wiring PASS CD 07/09/98 CD of rtu's, 6 show window circuits. ELCC799 Rlect'1 Final / / / / 07/09/98 final includes service, feeders, wiring PASS CD 07/09/98 CD of rtu's, i show window circuits ELCC800 Case Finaled / / / / 07/09/98 PASS CD 07/15/98 J*H Page No. 1 CASE HISTORY FOR CASE NO.t BUP97-0546 S D DEACON 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------ ------------------------------ -------- ---------------_------------- ---- --- - ----- --- SUPCO05 Application received / / / / 12/05/97 RECD JD 12/11/97 BON BUPC008 Permit created / / / / 12/11/97 DONE 8 12/11/97 BON BUPCO10 Check for prcl. restrict, / / / / 12/11/97 May need to check original SDR for MEMO B 12/11/97 BON conditions of approval BUPCO12 Plans routed to Plans Examiner / / / / 12/11/97 BENT B 12/11/97 SON BUPCO26 Approved Plans routed to DSTs / / / / 02/03/98 APPR RDP 02/03/96 RDP Illi SUPCO29 DST Post Review Completed / / / / 02/10/96 DONE B 02/10/98 BON BUPC070 HOLD FOR (Note in Action Memo) / / / / 03/25/98 No C of 0 until notification from HOLD DEB 03/25/98 DRA Beaverton that they have approved sewer. BUPC070 HOLD FOR (Note in Action Memo) / / / / 05/11/98 TIF PAYMENT NOT RECEIVED HOLD JMH 09/11/99 J"H BUPC075 Hold Release to Issued Statue / / / / 04/14/98 MEMO FROM DAVID SCOTT REGARDING EASEMENT JMH 09/11/98 J•H FOR SEWER - NO RELEASED. BUPCO75 Hold Release to Issued Status / / / / 10/06/98 RELS JDA 10/06/98 JDA BUPC090 (F) Ready to issue / / / / 02/10/98 Contractor's CCB expired. MEMO B 02/10/98 BON BUPC100 (F) Issue permit / / / / 02/11/98 PASS 8 02/11/98 BON BUPC705 Foot/Found Insp 12/17/97 / / 02/23/98 2 interior footings #519 at 12 each way. PASS G8 02/25/98 J•H 6 front footings #516 at 12 each way. Place rebar on dobies, Carlson to make note. BUPC705 Foot/Found Insp / / / / 02/26/98 CLEAN GRAVEL FROM FOOTING TO MAINTAIN PASS 08 02/26/98 GES STEEL CLEARANCE BUPC716 Reinf Steel Insp 12/17/97 / / / / 12/17/97 RDP SUPC725 Slab Insp 12/17/97 / / 03/06/98 Ufer ok PASS 08 03/09/98 J•H BUPC725 Slab Insp / / / / 03/17/98 Re-bar for brick column pad approved. PASS RC 03/17/98 J`H Pad A. BUPC725 Slab Insp / / / / 04/01/98 PASS GS 04/01/98 J*H BUPC727 Masonry Insp 12/17/97 / / 04/09/98 FIRST 4-FT LIFT PASS. TRASH ENCLOSURE PASS O8 04/1S/98 J*H AT 14200 BARROWS PASS. TRASH ENCLOSURE AT 14250 BARROWS PASS. BUPC727 Masonry Insp / / / / 04/15/98 PASS GS 04/16/98 J•H BIIPC727 Masonry Insp I / / / 04/14/98 wrong address and permit non called in FAIL 08 04/16/98 GES BUPC727 Masonry Insp / / / / 04/17/98 12-foot lift (structural brick) PASS GS 04/19/98 J•H BUPC727 Masonry Insp / / / / 04/21/98 East, west and north walls topped out. PASS GS 04/22/98 J•H Page No. 2 CASE HISTORY FOR CASE NO.: BUP97-0546 S D DEACON 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By - --- -------- --- I BUPC727 Masonry Inep 04/29/98 / / 04/27/98 3 piers at 14200 Barrows PASS GS 04/29/96 DOW BUPC740 Framing Insp 12/17/97 / / 05/19/98 No Framing unless fire flow tests have PART Ge 05/22/98 J•H been completed See Bob P FLOW TEST: OKAY i COMPLETE - ENTIRE CENTER. - HAP Canopy framing approved BUPC740 Framing Insp / / / / 05/14/98 Framing at Canopy A verified. PART PDC 05/14/98 DOW Sheathing nailing approved. Holddowns in place. RUPC740 Framing Insp / / / / 06/03/98 Need fireblocking at 30-ft max. ht. FAIL RC 06/10/98 J*H BUPC740 Framing Insp / / / / 06/10/98 PASS RC 06/11/98 J•H BUPC742 Roof naiing Insp / / / 7 05/08/98 PASS OS 05/08/98 GES SUPC750 Insulation Inep 12/17/97 / / 05/22/98 Insulation partial approval; south G PART TLP 05/26/98 J•H east wall complete. BUPC757 Shear Wall Insp 12/17/97 / / 05/18/98 nailing at canopy not approved, see FAIL RC 05/19/98 J•H mist. this date. BUPC750 Gyp Board Insp 12/17/97 / / 06/22/98 Not ready PASS RC 06/23/98 J*H BUPC760 Gyp Board Insp / / / / 06/23/98 PASS RC Of/24/98 J*H BUPC762 Sump Ceiing Insp 12/17/97 / / / / 12/17/9.7 R.'7P BUPC763 Reinforced concrete final rept / / / / 07/02/98 ret, 7 2-98 go PASS GS 07/02/98 GES HUPC769 High strength bolts final rept / / / / 07/02/98 epoxy anchors, rec.7-2-98 go EPDX GS 07/02/98 OES BUPC770 Structural masonry final reprt / / / / 07/02/98 rec, 7-2-98 go PASS GS 07/02/98 GES BUPC775 Lic.fabricated steel final rpt / / / / 07/02/98 Structural steel shop rec. 7-2.98 go PASS OS 07/02/98 GES BUPC790 Appr/edwlk Insp 12/17/97 / / / / N/A 07/07/98 RB BUPC792 Misc. Inspe, .ion 12/17/97 / / 05/18/98 Need engineer's approval for elimination FAIL RC 05/19/98 J•H of edge blocking (nailing at canopy). BUPC792 Misc. Inspection / / / / 05/21/98 Canopy sheath nailing approved. No PART SSH 05/21/98 J`H approved plans for TJI members to support HVAC units. BUPC792 Misc. Inspection / / / / 07/07/98 POST- JOB CONFERENCE with contractor. PART RB 07/07/98 RB See inspection report. BUPC802 Final Inspection 12/17/97 / / 07/15/98 Not ready FAIL RC 07/15/90 J*H Page No. 3 CASE HISTORY FOR CASE NO.: BUP97-0546 S D DEACON 14200 SW BARROWS RD 11/03/98 Action baaeription Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done nate By 11Upr802 Final Inspection / / / / 07/17/98 Plane sent to records for microfilming PASS TLP 10/14/98 VLN 10/14/98. RUPC960 Case Finaled / / / / 10/29/98 10/29/98 JT Page No. ] CASE HISTORY FOR CASE NO.: PLM98-0032 ALBERTSONS INC 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By - ------------------------------ -----.... ._'_ - -------- ------------- ------- ------•- ---- --- -------- -- r` a PLMC003 Application received / / / / 02/02/98 RECD BON 02/06/98 DRA PLMC005 Permit Created / / / ! 02/05/98 DONE DRA 02/06/98 DRA PLMC007 Plans routed to Plans Examiner / / / / 02/05/98 DONE DRA 02/06/98 DPA PLMC008 Plans Approved/Routed to DST 02/06/98 / / 02/12/98 PASS TLP 02/12/98 TLP PLMC015 DST Post Review Complete / / / / 02/19/98 DONE B 02/19/98 BON PLMC040 (F) Ready to issue / / / / 02/19/98 Do not issue until SWR98-0018 is paid MEMO B 02/19/98 BON for. 9 PLMC050 (F) Issue permit / / / / 02/20/98 PASS OEO 02/20/98 DST PLMC715 Rough-in Insp 02/19/98 / / 07/16/98 PASS MS 07/16/98 TMH PLMC720 PLM/Underfloor 02/19/98 / / 02/24/98 PASS TLP 02/24/98 TLP { PLMC725 Top-out Insp 02/19/98 / / 07/16/98 PASS MS 07/16/98 J*H PLMC735 Rain Drain Insp / / / / 05/22/98 PASS TLP 05/26/98 J•H PLMC735 Rain Drain Insp / / / / 07/16/98 Raindrain plumbing underelab okay. PASS MS 07/16/98 J•H i PLMC799 Final Inspection / / / / 07/16/98 shell only PASS MS 07/16/98 MRO PLMC799 Final Inspection / / / / 07/17/98 PASS TLP 07/17/98 J*H PLMC800 Case Finaled / / / / 07/16/98 Note the fixtures will be PASS MS 07/16/98 J•H finished/installed by the tenant. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 639-4175 Business Line: 6394171 f BUP _[J Date Requested BLD Location Al�1 _. Suite Contact Person ) /"`�-d Phiq-1.x..3 PLM Contractor Ph SWRASM DING ) Tenant/Owner ��C�� [' pI Z'� ELC Retaining Wall ELR F„oting Access: FPS Foundation L10( t�C Ftg Drain SGN Crawl Drdin Inspection Notes: Slab I A SIT Post&Beam �— Ext Sheath/Sheaf — Int Sheath/Shear Framing Insulation D Drywall Nailing Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling Roof Misc: Ad PZING PART FAIL Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PAR FAIL CHANICA ..- Post& Beam Rough In Gas Line - --- ——----- --- Snv*e Dampers aASS\ PART FAIL - - �..- ------------- _— Service -....-___ -- Rough In ------ UG/Slab Low Voltage Fire Alarm -__ _ - --------- — Final PASS PART FAIL - -----SITE Backfill/Grading _- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Inspect-no access Fire Supply Line [ ]Please call for reinspection RE: I 1 P ADA Approach/Sidewalk bate inspector Ext Other Final PAPART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST _ BUP _ 13/ l 75Date Requested l4 `� - AM PM BLD — Location 1c��c) 'y6v &'i/ (1j Suite MEC Contact Person `?CLQ �oyZJ( , Ph PLM Contractor Ph SWR BUILDWO Tenant/Owner Retaining Wall Footing Access. Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab _ _ Post& Beam SIT _ Ext Sheath/Shear Int Sheath/Shear - Framing _ _— Insulation L Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm EL ' 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 -- -- ------ - -- - -- - - --- Rough In A— Gas Line - -- --- Smoke Smoke Dampers Final PASS - PART FAIL ELECTRICAL -- -— --— — Service Rough In UG/Slab Low Voltage - — FdLAIarm Fi --- jPAW PART FAIL srm Backfill/Grading — ---- - ------ Sanitary Sewer Storm Drain [ ]Reinspectinn fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RF — [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date /i� ��/ . Inspector Ext --- F inal FABS PART FAIL DO NOT REMOVE this inspection record from the joh site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - --- -- �� 2 BUP _ � I Date Requested- _��J 1r AM PM BLD Suite — MEC Ph /—__— .SMO ;i,ctor �� .- r` �,. — Ph �IGU�!_ SWR BUILDING — Tenant/Owner �� ELC — Retaining Wall 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 RT FAIL IN Post8 Beam ----_-- ---- ----- --------_-.�___-�—, _--_ _-__- Under Slab Top Out Water Service Sanitary Sewer Rain Drains PART FAIL VMwHANICAL Post& Beam ---- ------ Rough In GasLine ----- - --- -_._ - _...---- --- Smoke Dampers Final -- -- - - - --- PASS PART FAIL ELECTRICAL ___-- Service Rough In UG/Slab Low Voltage FireAlarm - -- - ----- - -- --- ------------ - ---- -- Final PASS PART FAIL SITE Backfill/Grading - --- _— - - — - -" Sanitary Sewer Storm Drain [ J ['einspection fee of$-� �—required before next inspection Pay at City Nall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection RE. [ )Unable to inspect-no access Fire Supply Line -- ADA OtherDate ach/Sidewalk � � Inspector _Ext �/L Final PASS PART FAIL DO NOT REMOVE. this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-417'1 -- --- - BUP _ Date Requested ��r AM PM BLD c I Location- �y�, Iv, Suite MEC Contact Person `��I Vl�x- Ph c_ Contractor _ - c�G� Ph 7 IG/U d-- SWR _ _ BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ----- Slab _ — SIT Post&Beam n -- Ext Sheath/Shear l Int Sheatr'Shear V -- Framing --- — — -----_----- - Insuiation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc Final — ----- .,._ RT FAIL ---- --- -- ---- - - -- --- --- -------------- , ^1lBIN Post& Beam --- — __ Under Slab Top Out — --.— — - _----------------- Water Semice Sanitary Sewer Rain Drains PART FAILVMRANICAL Post& Beam -------..____._.___.___---------- -_ -- ------_ _-- Rough In Gas line _.__. -..._------- -__ -_ _.-.._-_- -_-_--------------------- - ------- Smoke Dampers Final ----- -- - - - - --- PASS PART FAIL ELECTRICAL --- - Service ------------- Rough In UG/Slab Low Voltage -- Fire Alarm -- --- ------ ----- -- - — Final PASS PART FAIL _ — SITF Backfill/Grading -- — -- ----- - — Sanitary Sewer Storm Drain ( I Reinspection fee of$i — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE —_--- — [ ( Unable to inspect no access ADA / Approach/Sidewalk Other _ Date --.- Inspector Ext Final PASS PART FAIL) 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 13 1 4 22 Date Requested - AM PM —_�_ BLD Location Suite MEC Contact Person l Ph PLM Contractor-M_—t ' �vd� � Ph Z-5 1_RS� SWR IN BUILDG Tenant/Owner �FA77��-J ELC Iletaininy Wall ELR Footing Access: Foundation Fig 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 _f 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 --- - -- --- �- Rough In Gas Line -------- --------- _..-- Smoke Dampers _ - Final PASS PART FAIL Mt-ETR i ------J---� ---- service --- -— -- — -- Rough In UG/Slab Low Voltage Fire arm --- S ART FAIL ------- Backfill/Grading - - Sanitary Sewer Storm Drain [ 1 Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin I j Please call for reinspection RE: _-_ [ j Unable to Inspect-no access Fire Supply Line i ADA Approach/Sidewalk Date Inspector _ _ z e c -�� Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. Page No. 1 CASE HISTORY FOR CASE NO.: MEC90-0339 GODFATHERS PIZZA 14200 SW BARROWS RD 11/03/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MEC0007 Application received / / / / 08/12/98 READ DRA 08/12/98 GEO MECC008 Permit created / / / / 08/12/98 DONE GEO 00/12/98 CEO MECC011 Routed to Plans Examiner / / / / OE/12/98 BENT GEO 08/12/98 CEO MECC014 Plan checked/Approved by P.E. / / / / 08/27/98 APPR RDP 08/27/98 RDP MECCO15 Reviewed Plane Routed to DSTS / / / / 08/28/98 APPR JHF 08/28/98 JHF MECCO16 DST Post-Review Completed� / / / / 00/20/98 DONE B 08/28/90 BON { MECC050 (F) Ready to issue / / / / 08/28/98 PASS 0 08/20/9,, BON MECCO90 (F) Issue permit / / / / 08/28/98 PASS 0 08/20/98 DBT j MF,CC706 Mechanical Insp 08/27/98 / / 10/29/98 PASS RC 10/29/98 J*H 1 MECC732 Hood Inspection 08/27/98 / / / / 08/27/98 RDP I+ MECC735 Duct Inspection 08/27/98 / / / / 08/27/98 RDP MECC799 Final Inspection / / / / 10/29/98 PASS RC 10/29/98 J•H MECC800 Case Finaled / / j / 10/29/98 PASS RC 10/29/98 J+H 1 i 'I I _— — — �— CITY OF TIGARD MECHANICAL PERMIT DATE ISSUED: 07/23/98 Awj� 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL.: 2SI04BB-08100 SITE ADDRESS. . . : 14200 SW BARROWS RD TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 3 OCCUPANCY GRP. . :M VENTS WIO APPL: 0 VENT SYSTEMS: 0 Remarks : TI mechanical- install 3 exhaust fans - tie in duct work and grills. OREGON HEATING & A/C INC type amount by date reept DUNDEE OR 97115 PLCK $ 6. 25 DLH 07/23/98 98-307605 OREGON HEATING & A/C INC PO BOX 397 / � $ 32. 50 TOTALDUNDEE OR 37115 | / Phnne #- 538-2953 Mis permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection applicable laws. All work will be done in accordance with Final Inspection approyed plans. This permit will empire if work is not started within IN days of issuance, or if work is suspended for more than IN days. ATTFNTION: Oregon law requires you ti frilow rules adopted by the Oregon Utility Notification Center. Thuse rules are set forth in OAR 952-01-Mll through OAR You Bay obtain copies of these rules or direct questions to OLINC by calling (503)246-9167. Call 639-4175 by 7:00 p. m. for- inspection�i needed the next business day Plan Check CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential -,-I Date Recd TIGARD, OR 97223 Date to P E 7 ffm (503) 639-4171, X304 Date to DST9 Print or Type �� Called nay �- 0293 _ Incomplete or illegible applications will not be acce�ted Called _ Name or DevelopmenWrolect Description A Table 1 A Mechanical Code �t Price Amt L x- A) Permit Fee - 1000 Job street Address - 1) Furnace to 100,000 BTU Address ��/�oD `'�� '4��ow ucts&vents 600.___ Bldg# Cdyrstate Zip 2) Furnace 100,000 BTU+ L/(,Aa including ducts&vents _ 7 50_ -- Name(or name of business) 3) FIOui . -nace ' _including vent 6 00 Owner AI•/gip 1 SDN 5 -L117 s 7�' — 4) Suspended heater,wall heater Mailing Address or floor mounted heater 6.00 _ /Dp.D., box ZD _ 5) Vent not included in appliance permit City/state ZIP L C�iOiS� �d 3� Phone — __300 rZ(. CHECK ALL 'Boiler Heat Air -__ THAT APPLY. or Pump Cond Oty Price Amt Name(or name of business) Comp _ 4-fO0fV,yAg S tel to 6)<3HP,absorb unit to Occupant Mailing Address — 100K BTU 6.00 ly,zov SW 7)3-15 HP,absorb unit CRY/Stale Zip Phone 100k to 500k BTU _ 11 00 /b 8)15-30 HP,absorb ___ unit 5-1 mil BTU _ 1500 Contractor Name 9)30-50 HP,absorb Ope,egtwJ ! Alf unit 1-1 75 mil BTU _ 22 50 Prior to permit Mailing Address 10)>50HP, absorb unit issuance a copy ro &X ��7 - >1 75 mil BTU 37.50 of all licenses Cny(stete Zip Phone 11)Air handling unit to 10,000 CFM are required if Ci�Aj,"61; ��i/(� 5 _ - 4 50 expired in COT Oregon Const Cont Board Lie# Exp gate 12)Air handling unit 10,000 CFM, database AZ�ir8 f 50 Architect Name �Q/4, /!�� 13)Non-portable evaporate cooler 4 50 Or Melting Address 14)Vent fan connected to a single duct J7 3.00 zip Phane 15)Ventilation system not included in cityistate Engineer a fiance permit 4.50 16)H000 served by mechanical exhaust _ 4.50 Desrribe work to be done 17)Domestic incinerators 7.50 _ New$ Repair O Replace with like kind Yes O No O 18)Commercial or industrial type incinerator Residential O Commercial It 30 00 Add fionaI information or description of work 19)Repair units 4.50 .ZM;F4,,4_ if (3J s"MAS ti ?0)Wood stove 4.50 &)�,Voa,1 r4^13 21)Clothes dryer,etc A 50 Type of fuel oil O natural gas W' LPG O electric IV 22)Other units 6X,sT/,V G 4.50 I hereby acknowledge that I have read this application,that the i,tformation 23)Gas piping one to four outlets 2.00 given is correct,that I am the owner or authorized agent of _ the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-pe.outlet(each) 50 Signature f wnerlAgent Date J Minimum Permit Fee S25.00 SUBTOTAL Z ' 7 7 3 $ 5%SURCHARGE Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL 1 Required for AI.L commercial permits oni l• TOTAL �AA� -- 'State Boiler Certification required "Residential A/C requires site plan showing placement of unit ^ I%mechperm doc rev 07/20198 0 N CITY OF TIGARD May 5, 1998 OREGON EKA 6775 SW 111 th#20 Beaverton, OR 97008 RE: Godfather's Pizza Building Plan Review 14200 SW Barrows Occupancy: A3 Occupant Load: 200 PC#: 4-130c BUP#: 98-0193 Submitt I documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1. Provide a notarized copy of your construction contract. I 1. Submit Completed Energy Compliance Forms 5a through 5c, Oregon Non-Residential Energy Code. 1. Five percent of the fixed/built-in seating/tables shall be accessibl,;. Based on your occupant, there shall be 10 places provided. These seating places shall comply with OSSC, Section 1108.4.5 and 1109.18. Counters providlog drink and food exceeding 34 inches in height shall comply with OSSC, Section 1-109.1 B. 2. Aisles shall comply with OSSC, Section 1109.21.1 3. Food service lines shall comply with OSSC, Section 1109.21.2 1 and 2.2. 4. Tableware and condiment areas shall comply with OSSC, Section 1109.21.2.4. 5. Provide Type 2-A fire extinguishers throughout so that the travel distance to an extinguisher does not exceed 75 feet[UFC Std. 10-1 3.2.11. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 �— -dfather's Pizza Building Plan Review i �,#: 4-130c BUP#: 98-0193 Page#2 Mim 1. Provide exit illumination having an intensity of not less than 1 foot-candle at floor level with an automatic emorgency power system, such as an on-site power generator or storage batteries, to operate the lighting system in the event the premises wiring system fails [OSSC, Section 1012.1 and 1012.2]. 2. When two or more exits are required, internally lighted exits signs shall be provided [OSSC, Section 1013). Clearly indicate sign locations on the electrical floor plan and provide that E sheet in the revised plans. A. Provide secondary power to one lamp in each fixture [OSSC, Section 1013.4]. B. Exit signs shall incorporate an intemally illuminated international symbol of access [OSSC, Section 1108.4.12.1). Provide specifications in accordance with OSSC, Section 1109.15.6 within the revised plans. 1. A separate application and plans will be required. 1. Provide details on how you will comply with OSSC, Chapter 12. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Robert Poskin, CBO SE141OR PLANS EXAMINER DOCUMENT2 CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP98-0193 DATE ISSUED: 07/16/98 PARCELt 2S104131308100 SITE ADDRESS. . . : 14200 SW BARROWS RI) SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION:-FIG -------------------------------------------------------------------------------- REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCT'ION— CL_ASS OF WORK. :ALT FIRST. . . . t 4000 s f N: S: E: W- TYPE (]F USE. . . :COM SECOND. . . : 0 s f PROTECT OPEN 1 NGS"- -------- TYF'E OF CCINST. :5N . . . : 0 s f N: S: E: W: OCCUPANCY GRP. :M TOTAL.--_.---t 4000 s f ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 90 BASEMENT. t 0 sf AREA SEP. RATED: STOR. : 1 HT: 0 ft GARAGE. . . : 0 S OCCU SEP. RATED: BSMT?:N MF Z Z? :N REDD SETBACKS-------- REG(_1I RFD------------------------ FLOOR LOAD. . . . : 50 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL:N SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM:N HNDICP ACC;:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 F-RO CORK:N PARKING: 0 VALUE. $t 58221 Remarks : Tenant improvement (Albertons, Pad AI Owner t -------------------------------------------------------- FEES ---------- ----- FIACIFIC NORTHWEST type amount by date recpt '3950 SW ARCTIC DR F'LCK f 193. 70 DLH 04/30/98 98-305402 , BEAVERTON OR 97005 FIRE $ 1. 19. 20 DL_H 04/30/98 98-30540 ' PRMT f 310. 00 B 07/16/98 98--307403 Phone #: 626-3500 5F,CT $ 15. 50 B 07/16/98 98-30740:3 PLCK $ 7. 80 B 07/16/98 98-307403 Contractor: —•------------------------- F1 RE $ 4. 130 B 07/ 16/98 98--307403' FINK CONSTRUCTION INC F,O BOX 66 C;LACKAMAS OR 97015 ---------------------------------------- I th o n e #: 503--557-086E� 651. 00 TOTAL.. 001075 ----RFf?U I RED ACTIONS or INSPECTIONS—— This NSPECTIONS----- This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Su s p Ce i l ng I n s p applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 day; of issuan^e, or if work is suspended for more than I-0 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Lltility Notification Center. Those rules are set forth in OAR 952-01-4818 through OAR 952-0101987. You many obtain a copy of these rules or direct questions to OMC by calling (593)246-1987. F-ermittee Signat ure: e--- - Iss�-�e�d By : ++++++.....++++++++++++++++++++++++++++++++++++++++-*++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++•F+++t#....4.+tett++++tt..tett+t++++++tt++++ CI''''; OF TIGARD Commercial Building Permit Recd By 13125 SW HALL BLVD. Tenant Improvement Date Recd 1, TIGARD, OR 97223 Date to P E. (503) 639-4171 Dale to DST Permit 0 Print or Type I / Related SWR X Incomplete or illegible applications will not be acceed called�i_r��7 t ,, Name of Dev opmenJPro)ect _ Job - � - _ Existing Building New Building Address Street Address_ Suite Building l 100 4_A'7A,�� Data _ Bldg• City/State zip ExlstinUse of Building or Property Name Property Proposed Use of Building or Property. Owner Mailing Address Suite 7 1 ��'�� 7— No. Of Stories: -- City/State Zip Phone / (I('l Sq. Ft. Of Project: Occupant Name — L�/j'' �� F�rly %S .rI Occupancy Class(es) Name Contractor �i el- f r,,t u e r.rel, Type(s)of�onstruction — Prior to permit Mailing Address Suite _�_ issuance.a Copy of all licenses / Yes �� Will this project have a Fire Suppression Syst — are required if City/Stale Zip Phone No _ __ expired in C T yJ0%r Americans with Disabilities Act(ADA)7 - database SLA ��/�/S��_ 4;y7'0,�( Valuation X 25'% _ $ j (J .�' Participation Oregon Const.Coc* Exp ate 1 Complete Accessibility Form Project $ t _ Nam/ems_ I Valuation Architect L /� - Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back __ — — Clty/State Zlp.� Phone I hereby acknowledge that I have read this application,that the information _ �C/f N r_� re r ll- � 11-4y- y)� given is correct,that I am the owner ur authorized agent of the owner, and Engineer Name that plans submitted are in compliance with Oregon State Laws. �/ / S gnatere of Own 1,gent Date Mailing Address Suite �/t (,/ n �.Q is / Z7 L i /c! _. Contact Person Name Phone i City/State Zip Phone Indicate type of work. New O Addition O Demolition O FOR OFFICE USE ONLYMaprTL# — Accessory Structure O Foundation Only O Alleralio ,v Land Use Repair O Other O 7 Description of work: Notes: r 7" ,y f'vc r Parks: Estimated o of Employees i Note Site Work Permit Application must prr^ede or accompany Building "nrrnil Application I\COMNEW DOC (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Subtrade Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED subtrade application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL_ CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 O,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 20,o) B & M (New or Add) 1 1 -- -- 3 (j,o,w) P (New, Add. or Alt) -- 2 2 -- -- 2(j.o) -- -- B & M & P (New or Add.) 2 1 1 -- 3 Q,o,w) 20,o) -- E (New, Add, or Alt) 2 I -- -- 2 __ __ 2(j,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 20,o) 2 (j,o)a B or B & M (Alt) 1 1 -- -- 20,o) -. B & M & P (Alt) 3 1 2 -- 20,o) 20,o) -- B & M & P & E (Alt) --- 3 1 1`�— 20,o) 20,o) 20,o) NOTES:. KEY: a. Before returnii,; to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and o = Office M = MEC completes, updates and adds actions. f= Fire P = PLM u - USA E = ELC b. Shaded areas designate ALT submittals only. w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their oiF,ce. Exception, continue to forward a copy of approved fire sr rinkler and fire alarm dans with calculations. I main.Dor CITY OF TIGARD MEPERMITAI DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0090 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/01/98 PARCEL_: 2S104BB-08100 SITE ADDRESS. . . : 14200 SW BARROWS RD SUBDIVISION. . . . : RUSSELL ' S SCHOLLS FERRY ZONING: C--N BL0CK. . . . . . . . . . .. L.0T. . . . . . . . . . . . . :004 JURISDICTION: TIG CLASS OF WORK. . :NEW FLOOR F JRN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 3 OCCUPANCY GRP. . :M VENTS W/O APP1_.: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES- ------- - __- 0-3 HP. . . . : 3 DOMES. INCIN: 0 :GAS 3--15 HP. . . . : 0 COMML. I NC I N: 0 MAX INPUT: 1500000 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 F IRE DAMPERS?. . : 30-50 H1:1. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . - M 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF' UNITS-- -------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 3 (- 10000 cfm : 0 GAS OUTLETS. : 1. F7 URN ) =100K STLI: 0 > 10000 cfm: 0 Reimarks a Albertson's Pad A - Ownera ______.-----------------------------.-.---.._.._..._.______._-____- FEES ALBERTSON' S type amoi_rnt by date recpt 250 PARKCENTER BLVD PRMT $ 57. 00 BEO 05/01/98 98-305423 BOISE ID 83706 PLCK E 14. P5 GEO 05/01 /98 98-305423 SPCT f 2. 85 GEO 05/01 /98 98-305423 Phone #: Contractor: -----------------------___------ HVAC INC 815 SE SHERMAN --------------------------------- f 74. 10 TOTAL PORTLAND OR 97214 Phone #: 239-4822 Reg #. . : 000508 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All Mork will be done in accordance with Heating Unt Insp approved plans. This permit will @xpire if work is not started DLrc-t Inspection Mithrn 180 days of issuance, nr i° work is suspended for sort S. D. Shut-down thar 188 bays. ATTENTION: Oregon law requires you to follow rules Misc. Inspection adopted by the Oregon 1)tility Notification Center. Those rules are Final Inspection set forth in OAR 952-801. 010 through OAR 952--B1-0000. You may obtain copies of these rules or direct questions to ODIC by calling 1503)246-9187. .cad Ic iirljKldda +.++++++++++++++++++++++++++i-+++++++-r•4•++++++++++++++++++++++++++++++++++f+++++++ Call 679-4175 by 7:00 p. m. for inspections needed the next business day ++++++++++++++4•+++++++++++++++++++++++++++++++++++++++++++- ++++++++++++++++++*+ Plan Check 0 CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd , "1 1 TIGARD, OR 97223 Date to P E. y0 7 y (503) 639-4171, x304 Dafe to DST 40 Print or Type Permit Kul . �S— �v Called _ Incomplete or illegible applications will not be accepted _ �IAa1'of Ua.T opmenvP ea �r 1 Description I' l,'z. 1r3b �`n,lk�` Table 1A Mechanical Code CITY PRICE AMT Job Street Address Suite# A) F rmit Fee 0- 0- 10 00 Address 14 Z _ Bto 0 ly/state Zip x 1 ) Furnace to 100,000 BTU 6.00 t"Q y G�2 Q rL c _ including ducts&vents Ne for eme of b 3iness)) 2.) Furnace 100.000 BTU+ 7.50 Owner ,` n r., including ducts&vents Meiling Address 3..) Floor Furnace 6.00 _ including vent Cityistate Zip Phor 4) Suspended heater,wall heater 6.00 or floor mounted heater Name for vt naTa of businessi 5) Vent not included in app;iance permit 3.00 \ l�-y 1 0 U-) y ) Occupant Mailing Address 6.) Boiler or comp,heat pump,air Gond 6.00 _ to 3 HP;absorb unit to t 00K B(JT" City/State Zip Phone 7) Boiler or comp,heat pump,air Gond. 11.00 3-15 HP:absorb unit to 500K BTU" _ .3 Contractor Nenie 8.) Boder or comp,heat pump,air coed. 15.00 15-30 HPabsorb unit.5-1 mil B1 U" Prior to permit Mallin Addre 91 Boder or comp,heat pump,air cond. 7.2 50 issuance,a copy ' C1�Y/Yi�1 30-50 HP: absorb unit 1-1 75mil BTU— of all licensest to Z Phone 10.) Boder or comp,heat pump,air cond 37.50 are required if )fl, 4 ,�� >50 HP:absorb unit 1.75 mil BTU" expirr-9 in COT Oregon f M.Cont..BBo�Lic a Ex Date 11 ) F it handling unit to 10,000 CFM 450 database at `� " Uv t- _ Architect Name 13) Non-portable evarorate cooler 4 50 or Mailing Address 14) Vent fan connected to a single dud 3 3.00 Engineer CdYisteie Zip I PhoneF16 Ventilation s,istem not included in 450 _ appliance permit Describe work Ne Addition O Alteration O Repair O Hood served by mechanical exhaust 450 to be done Residential 0 Non-residential O _ Additional Description of work 17 r Domestic incinerators 7 50 I' 18) Commercial or industrial type 3000 rho C�a_ 1�, kIncinerator Existing use of U 19 Repair units 450 budding or property _ (� 20) Wood stove 4 50 Proposed use of �, r 1 21 ) C!othes dryer,etc 450 hwlr)ng or property 7.2.) Other units 4 50 Type of fuel-oil O natural gas-< LPG O electric O_ 23.) Gas piping one to four ou!lets fi 200 — I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) --��--/-- 50 information given is correct,that I am the owner or authorized agent of _ the owner,that plans submitted are in compliance with Oregon State OTY. SUBTOTAL laws Signature of Owner/Agent Date /Ci 'SUBTOTAL3 � U 5%SURCHARGE L _ `� u 2. Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL It ;t� TOTAL i Vnechpmt.doe (rev 9 Minimum permit fee is S25+5%surcharge "Residential A/C requires site plan showing placement of unit C- CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0208 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/:4/98 PARCEL..: 2S 1O4BB-08100 ADDRESS. . . : 1142'00 SW BARROWS RD ':AJBD I V I S I ON. . . . :RUSSELL' S SCHOL_LS FERRY CONING:C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TIC, Pro j ect De sr_r i pt i on: Pad A - Electrical shell ---RES I llENT I AL_ UNIT-----_ ---_._TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-.----- 1000 ---MISCELLANEOUS-.----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0 EACH ADD' l_ C,OOSF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL_/PANEL-. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6O1+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/F'EEDER----- -- --BRANCH CIRCUITS- --.. .. - --ADD' L.. INSPECTIONS------ 0 NSPEC:TIONS----- 0 - 200 amp. . . . . . : 4 W/S"ERVICE OR FEEDER: 6 PER INSPECTION. . . . . : 0 ;:'01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 _ 600 amp. . . . . . . 0 EA ADD' L_. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 6Vi1 - 1000 amp. . . . . : 1 -------------------PLAN REVIEW SECTION------------------ 1.000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . a 0 SVC/FDR > = P25 AMPS. . : CLASS AREA/SPEC OCC. : Owner. ----------------------------------------------- FEES ---------------- TUAL_A'TIN ELECTRIC type amol_(nt by date recpt DO PDX 655 PRMT $ 450. 010 J1' 04/21/98 98-305118 WILSONVILLE OR 97070 PLCK $ 112. 50 JD 04/2'1 /98 98-305118 SPCT $ 22. 5JD 04/2.1 04/2 /98 98-3051. 18 Phone #: Contractor: ---------------------------.- TUAL-AT I N ELECTRIC $ 585. 00 TOTAL V,0 BOX 655 ------- REDUIRED INSPECTIONS ---- - WILSONVILLE OR 97070 Ceiling Cover Cler.t' 1 ': -%rvice 11hone #: 682 -2955 Wall Cover Elect' 1 Final Req #. . : 000656 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordanr-e with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe(oded for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR thr R 952-NW-1987. You say obtain a copy of these rules or direct q�(estions to OX by calling (583)246-1987. 1 -ni mittee aignatl.tre : L =,shed Fly •- - i ___ ------------•-------------OWNER INSTALLATION ONLY------------------------------ fhe installation is being made on property I own which is not intended for sale, lease, or rent. OWNFR' SIGNATURE: _ DATE* /IN TALLATION ONLY------------- ------ - I ,NATURE OF SUPR. ELECN: / ( DATE t .-__.. LICENSE NO: +.++++++++++++++++++++.+++++++++++f++++++++++++++.f+++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the ne>(t bk(siness day ++++++++++•*++++-+++�++-+.+++++++++++++++++++++++++++++++++++++++++.++*+++1-+++-+++++ 04/23/1998 22:42 5035827901 TUALATIN ELECTRIC PAGE PLI CITY OF TIGARD Electrical Permit Application Plan Check N 13125 SW (ALL BLVD. Ras d Reedtoed Data _ TIGARD OR 97223 Date to P.E.�,_ ins (503) 939-4171, x304 Print or Type Date to DST-__ .• , .epection (503) 639-41 75Permit 4 Fax (S03) 684.7297 Incomplete or Illegible will not be accepted Called _ 1. Job Address: 4. Complete Fee Schedule Below: Namo of Development 4 Number of Inspoctfona per permit allowed Name(or name of business) PR SEPI) � ) Service included: Items Cost Sum Address'`� ZOO —�'f' -r ra 1-15 R0 M. Residential-par unit 1000 sq it.or lase $110.00 _ 4 CitvlState/Zip _Z koto'c-d 04L cl-7 Z--:. - Each additional 500 sq It.or portion thereat $25.00 __ 1 Commercial Residentlnl ❑ Limited Energy $2500 Loch Manurd Homo or Modular Dwelling Service or Feeder S68 00 2 2a. Contractor installation only: qb,gervlcas or Feeders (Attach copy of all currant licenses) Installation,alteration,or reinr�ation Electrical Contractor � `��—�__ ��p t L 200 amps or lass $60-00 2 y O^ 2 Address P U 6 ? — 201 amps to 440 empe X90.00 2 City_ S-4.0- State _ OU, .----Zp�— �i�7��0 401 amp,In 900 amps _ _ $120.00 - - 2 _ l-.Z_11��_ _ _ 001 amps to IOW amps Yl $180. -�-- 2 PhonA No. _- over 100o amps or volts &W.00 2 Job No. - _ - Reconnect only S50.00 _ Elec Cont. Lice, No —_� ti_�C� Lxp.Date OR Stale CCB Reg. No, c(o5 _F-Xp.Da� �8 4c.Temporary Services or Fenders Cot Business Tax or Motto No. ©te__, .. InstaUat)on,alteration or rale arion-- 200 amps or less $50.00 201 amps to 400 amps 575.00 Signature of Supr, Elec'n_ _ - 401 amps to 600 amps — $10000 �- 2 Over Boo amps to 1000 volts, 3nse No 3` =`S E p.Date,^1.-0 I ' Soo"b"above. rilone No._ _. _ �� --- -- 4d.Branch Circuits New,alteislinn or extension per panel 2b. For owner Install ions: a)The tee for branch clrrults with purchase of service or �- feedar lea. r,• Print Owner's Name__ _ - - Each branch circuit U oo 2 Address_ -- - b)The fee for branch circuits City` State•_ Lip_ without purchase of Phone No. „-_ _ _. service or leedor fee. First branch circuit 1 The installation is being made on property I own which is not Each additional branch clrcuR_ $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Ownr3r s Signature _ Each pump or irrigation times 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal rircult(s)or a limnod energy $40.00 — panel,alteration or extansion 2 Minor i-absls(10) $100.15.0 Pleasecheck appropriate item and enter fee In section:513. 4f.Each additional Inspection over _ 4 or mores rasidenlial unite in one structite Servica and lewder 225 amps or more the allowable In any of the above — System over 600 volts nominal Per Inspection _ 955.00 _ClaasMed area or Structure cont yn ng Speelal occupancy Perhour — �00 _ Ai inscribed In N.E.C.Chapter 5 In Plant • submit 2 sen+of plans with application where any of the above apply. 5. Fees: y�O 5a Not required for temporary constructlon sommi .5%S total ofUrchargeabove fees t *-o 5•/. o(.OS X total fess) $ LIZ. S o HOTIC); Su 5b Fetor 226 $5y of hoe Ss for S I Z__5 o HMIT5 uFCOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it r9gW (5ec.3) S T COMMLNCFD WITHIN 1Ho DRYS,OR IF CONSTRUCTION OR WORK Subtotal C9-0 SUSPENDED OR ABANDONED FOR A PFRIOD OF 180 DAYS AT ANY Trust Account TIME API ER WORK IS COMMENCED f ITotal balance Due L ,,a�TacpesrP Rw res CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP"37-0546 DATE ISSUED: 02/11 /98 PARCEL: 2SI04BB—ALOOI SITE ADDRESS. . . : 14200 SW BARROWS RD SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .001 JIJRISDICTION:TIG REISS(JF- FLOOR AREAS-------------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :NEW FIRST. . . . : 4000 sf N: IHR S: lHR E: IHR W-. 1HR TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS-)---- ------- IYPE OF CONST. :5N 0 sf N: S: E: W: OCCUPANCY GRP. -ivl TOTAL--------: 4000 sf ROOF CONST: FIRE RET? : OCCUPANCY IOAD: 38 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : I HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT'.1 e MEZZ?: REDD SETBACKS-------------- REQUIREL' --------------------- FLOOR LOAD. . . . : 0 psf LEFT : 0 ft RGHT: 0 ft F T R SPKL.,:N SMOK DET. . :1\1 DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM-N HNDICP ACC:Y DEDRMS: 0 BATHS- 0 IMP SURFACE : 0 PRO (-'(')RR:N PARKING: 0 VALUE. $ : 132800 Remarks - Pad A - 4,999 sq. ft. retail building - This permit is for shell only and may include tenant partition walls. Applicant notified of Tenant Improvement permits, Owner: FEES A1-BFRT90NS INC type amol-Int by date recpt , 50 PIARKCENTER BLVD PLCV $ 335. 08 JD 12/05/97 97-301483 POISE ID 83706 FIRE $ 206. '20 JD 12/05/97 97-301483 PIRMT $ 515. 50 B 02/11 /98 98-303219 rlhnne #: 208-395-6200 5PCT 1. 25. 78 B 02/11/98 98-303219 CDCB $ 125. 00 B 02/11/98 98-303219 Contractor: CDCP $ 125. 00 B 02/I I /98 98-303219 9 D DEACON EROS $ 64. 00 B 02/ 11 /98 98-303219 FRPIC $ 20. 80 B OP/11/98 98-303219 PO BOX 25392 ERPIC $ 20. 80 B 02/11/98 98-303219 F,ORTLAND OR 137225 Phonp #.- 17197--8791 $ 1436. 16 TOTAL. Reg #. . .- 000381 REQUIRED INSPECTIONS This permit is issued subjpct to the regulations contained in the Foot /Foi-ind Insp Tigard Municipil Code, State of Ore. Specialty Codes and all other Reinf Steel Insp applicable laws. All work will be done in accordance with Slab Insp approved plins. This permit will expire if stark is not started Masonry Insp within 189 days of issuance, or if work is suspended for more Framing Insp than 189 days. P"TFNTION: Oregon law requires you to follow the Insulation Insp rules adopted by the Oregon Utility Notification Center. Those Shear Wall Insp rules are set forth in OAR 952-*1-9919 through JAR 952-00191987. Gyp Board Insp You many obtain a copy of these rules or direct questions to OUNC SLISP Ceilnq Insp by calling (593)246-1967. Appr-/sdwlk Insp Misr. Tnspectinn -jellPfrmittee Signatt.tre( I s s 1-i e d 13 y ............................................................................. Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isiness day ..................4...................*..............................*......... J l r,r-uP TIGARD Commercial (wilding Permit Recd By 13125 SW*HALL BLVD. New Construction and Additions ' Date Recdt TIGARD, OR 97223 Date to?.E. I? h (503) 639-4171 Date to osT Permit• Print or Type Related SWR s Incomplete or illegible applications will not be accepted called Name of Development/Proiect Existing Building ❑ New Buildinq [N Job Albertson Is Oatter A 1 J Address Street Address suite Building , I Data Bldg ae clty/slste 110 Existing Use of Building or Property: Tiguld 97224 Name _ PropertyAlbartsm r s Im. Proposed Use of Building or Property: Owner Mailing Address Suite 250 Par4aiittpar Blvd Drx 20 No. Of Stories: City/State Zip Phone 1 _ HDise, ID E13706 208/395-0200 Sq. Ft. Of Project: Occupant Name 4.(111 Occupancy Class(es) Name Contractor S.Q. 1aaan Type(s)of Construction Prior to permit Mailing Address Suite V-N Pkn St rinklPrecl issuance,a copy f�443lillsd31. Will this project have a Fire Suppression System? of all licenses Hwy. #432 Yes ❑ are required If City/State Zip Phone __ NO expired n C.O T Americans with Disabilities Act(ADA) database Partl-ardj (F 97225 503,/297-8791 Valuation X 25% = $ Participation Oregon Const.Cont.Board LIc.R Exp.Da Complete Access ility Form 0038138 1 Project $ 132,8()0 _ Name Valuation Architect KGA Dr. _ Mailing Address Suite --- Plans Required: See Matrix for number of sets to submit 9150 SW Piov3ar Cr. T on back City/State Zip Phone — 1 SUL — Fir Jim Flxtk Wi1.9CMI-le, CR 97070 513/685--7350 1 hereby acknowledge that I have read this application, that the information Engineer Name given is correct,that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State Laws. 0arttu tft Mailing Address Suite S nt Date —� 82-9 tnmHh .425 City/State Zip Phone Contact Per, Ne Phcne S �� Pari-land, OR 97232 503/231 b078 Jartes R. £awn r 5OV685-7350 Indicate type of work: New K Addition O Demolition OFOR OFFICE USE ONLY _ Accessory Structure O Foundation Only O Alteration O Me /TLRt _ Reoair O Other O p F_ y I I_`pr7 ^L � Land Use: Description of work: IU:J A 00 Notes i -,I1 1110 - 004 7 Fwd Wildin3 for prwic usly aAxvved site IF: - -� Parks: Estimated f of Employees Note: Site Work Permit Application must precede or accompany Building r'ennit Application 1 \COMNEW DOC (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIPEMENT MA ly'RIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS ' (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE, I 1 -- -- 3 O,o,u) B (New or Add) 1 1 -- -- 3 O,o,w) -- F (New or Add or Alt.) 3 3 -- -- 3 O,o,f) M (New or Add. or Alt) 1 l -- -- 2 O,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- - P (New, Add. or tilt) 2 -- 2 -- -- 2(j,o) -- 13 & M & P (New or Add.) 2 1 1 -- 3 O,o,w) 20,o) -- E (New, Add, or Alt) 2 -- -- 2 __ __ 20,o) B & M & P & E (New, Add) 3 1 1 1 3 O,o,w) 2(j,o) 20,o) B or B&M (Alt) 1 1 .- x , B &M&P(Alt) 3 1 2 -- 20,o) 26,o) B & M&P&E(Alt) 3 1 1 1 20,o) 2'0,o) 20,o) NOTES; KEY: a. Before returning to DST. Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f= Fire P = PLM u = USA E = ELC b. Shaded areas designate ALT submittals only. I w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h vnatnc Doc DATE. PLANS CHECK NO. r Z PROJECT TITLE. COUNTYWIDE 84A4140el TRAFFIC IMPACT FEE WORKSHEET APPLICANT A. cam, (FOR NON-SINGLE FAMILY USES) LIN RD Ess: jr CITY/ZIP/PHONE. }1 1 V 111 F TAX MAP NO_ NO ESS LAND USE CATEGORY RATE PER TRIP SITES 0t) SU_) RESIDENTIAL $ 179.00 BUSINESS AND COMMERCIAL $ 45.00 OFFICE $ 164.00 INDUSTRIAL $ 172.00 INSTITUTIONAL F $ 74.00 PAYMENT METHOD: _ CASH/CHECK CREDIT BANCROFT(PROMISSORY ROTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY LAND USE CATEGORY DESCRIPTIO OF S WEEKDAY AVG. WEEKEND AVG TRIP RATE 1 ZI %hri�r�1 1 nTRIP RATE �� BASIS: —`v4L &- 11 ca_I/-1 (m_1/ppt L l c> m LA , Of-r' CALCULATIONS. dor x aie eW& avex&y ~� P r x- lave �I s �'.�Q4cr Y co �}.00 K b�.Sl 3��,oy TTrI PROJECT TRIP ENERATION: x qS: X5�I - 1 2-! I.`� (5,212 .°v 3 FEE. Is: FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: ROADAMT.4lo,�1`b o TRANSIT AMT PREPAR!9Y TIFWKST DOC(DST) December 11 , 1997 CITY OF TIGARD OREGON James A. Brown MGA, Inc. 9150 SW Pioneer Ct. Wilsonville, OR 97070 TRAFFIC IMPACT FEE FOR ALBERTSON'S CENTER Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of tho TIF is $15,212.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on December 26, 1997 and must be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- 4171 . 6"A4AP Bonnie Mulhearn Development Services Technician c: TIF file Building file I\DST"TIF DOT 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 COUNTYWIDE CITY OF TIGARD TRAFFIC IMPACT FEE OREGON PAYMENT OPTION FORM I Z-I kg� 1 q uo su) ,Se im I(s Fo Date Site Address A 66s%—,1-slx�6- IZ- I�jC— Project Name Plan Check # 1 realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following (choose whichever option or options are applicable): ❑ Cash or Cht ck ❑ Credit Voucher ❑ Bancroft or Installment Payments and/or ❑ The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up to six percent each July 1 st. This r to increase is not subject to appeal. OWNER/APPLICANT OWNER/APPLICANT C: Building Permit File Payment Option Notebook n uopnwnwr.ue 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — COUNTYWIDE TRAFFIC IMPACT FEE APPEAL INFORMATION Attached is a copy of the Director's decision on this Traffic Impact Fee ass:+'smen< or Traffic Impact Fee Credit/Offset request. This decision may be appealed and a public hearing held by ming a signed petition for review (appeal) within fourteen (14) calendar days of a die written notice 5 cJOPM and (date APPEAL PERIOD: Date mailed: Do VDue Date within seven calendar days of the date written notice of A motion for reconsideration also may be filed the decision is provided (see Section 208 of the Washington Cuunty CLi nimuntry Development Cade). A motion for reconsideration does not stop the appeal period(s) from running and is available only as an Y extraordinary remed for when a mistake of law or fact has occurred. A motion for reconsideration (�� requires a finny fee of $(i .�z, ._. Med by the due date(s), and a motion for reconsideration is This decision will be final if an appeal is not not granted by the Director. The complete file is available at for review. R petition for review (appeal) must contain the following: t. The name of the applicant and the relevant casefile/building permit/other development permit numberIf a 2. The name and signature of the petitioner Ming the petition for review (appeal). group consisting of more than one person is fling a single petition for review, one individual shall be designated as the group's representative for all contacts with the Department. All Department communications regarding the petition, including correspondence, shall be with this representative: 3. A statement of the interest of the petitioner, 4. The date the notice of decision shall stat t ®ele�vaaned t facthe s napplicabte ordinance 5. The petition for review (appeal) provisions, and relief sought; and ��to the Washington County 8, The fee of W)25.00 for Director's decisions being app Hearings Officer. For further aooeal information contact: ` Q reMHf i CITY OF TIGARD PLUMBINS PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM98-0032 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 02/20/98 PARCEL: 2SI04BB-PL00I '-;T *I'F 1 4POO !.")W BARROWS RD 51113DIVISION. . . . c RUSSELL' S SCHOLLS FERRY SUB ZONING: C-N ni. nCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :001 JURISDICTION: TIG ". ...----------------------------------------------------------------------------------- - fa.,Ass nF wnRK. . -.NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF L1r)r. . . . -.COM WASHING MACH. . . . .. . ! 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :M FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . .. 0 5TORIES. . . . . . . . 1 0 WATER HEATERS. . . . . : 0 CATCH BASIN. . . . . . . : 0 FIXTURES-------•--------- 1...AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . . , 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 3 OTHER FIXTURES. : . TLIB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER rL_n!)FT1;. - :71 WATTR LINE (ft) . . . : 0 DIRHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Plumbing for shell Owner: FEES -------------- ALBERTSONS INC type amount by date recpt PO BOX 20 PRMT $ 81. 00 GEO 02/20/98 98-303468 BOISE ID 83726 PLCK $ 20. 25 GEO 02/20/98 98-303468 5PCT $ 4. 05 GEO 02/20/98 98-303468 Phone #: CASCADE MECHANICAL SYSTEMS INC P10 BOX 399 ESTACADA OR 97023 __-.---------------------------._..__ Phone #: 630--4492 $ 105. 30 TOTAL Reg #. . : 127012 REOtITRED INS'-IECTTONS This peroit is issued subject to the regulations contained in the Rough-in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other PILM/Underf I oor applicable laws. All work will be done in accordance with. Top-out Insp ipDroved plans. This pervit will expire if work is not started Final Inspection within IN days of issuance, or if work is suspended for sort than IN days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in MR 952-MI-011 through MR 952-8181-818!. You say ibtain copies of these rules or direct questions to OUNC by calling (503)246-1987. Issued By, Permittee Signature : +++++++.+ ++++++++++++++; ...................................F..... ........... Call 639-41.75 by 7:00 p. m. for An inspection needed the next business day ....................................................... ................... CITY OF TIGARD Plumbing ApolicationuP Rec'd By of Q�1 13125 SW HALL BLVD. Commercial and Residential 10�A DDaate -te to P.E.Recd TIGARD OR 97223 "- , y r Date to DST. Z� I�Fl lr (503) 639-4171 Permit 0 P�, Print or Type Related SWR to Incomplete or illegible applications will not be accepted Called Name of Development/Project On back Indicate Work Performed by fixture. FJob 3 _ �,Fr �� J tr, FIXTURES (Individual) QTY PRICE AMT Address Street Address Suite Sink 9.00 Lavatory 3 9,00 Bid * City/Slate Zip Tub or Tub/Shower Comb. 9.00 I� Shower Only 9.00 Nat �! '4J YJ,-r Closet 9.00 Owner Mailing dreuSuite Dishwasher 9.00 1 j,,, _ Garbage Disposal 9.00 City/State ZIP /- Phone Washin Machine 9.00 r it .l T) � '1&- g Nea Floor Drain 1" 9.00 rt _ r i �� 3" 9.00 Occupant Mailing Address Suite 4• 9.00 City/Stale Zip Phone Water Healer O conversion O like kind 9.c0 Laundry Room Tray 9.00 Name Urinal 9.00 crl< Other Fixtures(SpeUty) 9,00 Contractor Mailing Addrsss Suit [ 121!L tS — 9.00 x 9.00 P,ior to permit City/State Zip Phone issu ince,a coot' [ u C d ' f[. 9.00 of,,i licenses are Oregon Const.Cont.Boars Lic.N Exp.Date 9.00 required if Sewer-1 st 100" 30.00 1 expired in COT Plumbing Lic.d E.;p.Date Sewer-each additional 1C0' X5.00 database II— Name Water Service-1st 100' � 30.00 Architect Water Service-each additional 200' 25.n0 Of Mriling Address Suite Storm 3 Rain Drain- 1st 100' 30.00 — Storm 6 Rain Drain-each additional 100' 2900 Engineer CitylState Zip Phone MobdP Home Space 25.00 _ Gommercial Back Flow Prevention Device or Anti- 25.00 Describe workNew O Addition O Alteration O Repair O Pollution Device to be done: Residential G Non-residential O Residential Backflow Prevention Device' 15.00 Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00 Catch Basin 9.00 Insp.of Existing Plumbing 4000 perlhr Existing use of Specially Requested inspections 4000 building or property__— per/hr Rain Drain,single family dwelling 3000 Proposed use of Grease Traps _ 900 budding or p;operty OUANTIT Y TOTAL c--I I hereby acknowledge that I have read this application,that the information Isometric or neer diagram.s required d(lusnd9y Total is > _ given is correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL that plans submitted are in compliance with Oregon State Laws. r Signature f OwnerlAgent Date 5% SURCHARGE Id z z( P_/ 9Sf 4,D5 n t enson No e= Phone PLAN REVIEW 25% OF SUBTOTAL X2'7 Requ•red onlld fixture qty total s>9 b0 TOTAL /�?� I (5 '�;4q,2 'Minimum Permit fee is$25-5%surcharge.except Residential Backflow Prevention Device.which is 515+5%surcharge 1 wetslt7MnS"dw.$197 PLEASE COMPLETE Fixture Type Quantity by Work Performed ' New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher _ Garbage Disposal Washing Machine _ Floor Drain 2" _ 3" _Water Heater _ Laundry Room Tray Urinal _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I ax!sTtMaoo cac J Tenant Name: ��' ` A,ccumulative Sewer Tally This SWR#:oSwe __00//9 Address:r4CL f , E'kOl.�",7 TFtis pLMa7 Fixture Value Prevrou�j# PreViLUS Credits Capped Fixturns Fixtures New New Value Capped off value added# added total #s total Count oN#s count value values Beatistry/Frim 4 Be., -Tub/Shower 4 Jacuz/Whnl 4 Car Wash- Each Stall 6 - Drive Through 16 Cus. 'or/Water Aspirator 1 Dishwasher -Commer 4 -Domest 2 Drinking Fountain 1 Eve Wash 1 Floor Drain/sink 2 Inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal le Dom (to 3/4 HP) Comm (to 5 HPI 32 Ind (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Seo(Gas Station) 6 Recreational Vehicle Dump Station 16 Shower - Ganq(Per Head) 1 -Stall 2 Sink • Bar/Lavatory 2 I �j Bradlev 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor _ 6 Water Close;, Toilet 6 Uilnel 6 F__7 TOTALS Total fixture values: Z� ^� divided by 16 = (15 EDU HISTORY PLM# EDU# SWR# PLM# EDU# SWR# PLP.1# EDU# SWR# PLM# EDIJ# SWR# PLM# EDU# SWR# r PLM# EDU# SWr 7 �' PLh1p EDU# SWR# FLht# EDL It SWR# Carlson Testing, Inc. Construction Inspection&Related Tests Geotechnical Consulting P.U. Box 23814 Tigard, Oregon 972E 1 Special Inspection Phone(503) 684-3460 FINAL SUMMARY LETTER FAX (503) 684-0954 July 1 1998 #98-1272A City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223-8199 Aftm Building Department Re Albertson's Center Pad A 142.00 SW Barrows Road, 'Tigard. OR Permit No.: BUP97-0546 Dear Sir/Madam: This is to certify that in accordance with Chapter 17 of the Uniform Building Code, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Structural Masonry Epoxy Anchors Structural Steel - Shop All inspections and tests were performed and reported according to the requiremer Is of Project Documents and, to the best of our knowledge, the work was in conformance vv°th the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this offi_e. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respertfully submitted, CAF ?STING, INC. sJF. Hietpas u lity Control Manager H jdk cc Pacific NW Properties SD Deacon Corporation Musil Govan Azzalino Architects Century West Engineering ('1W0RrV1r--X-' .%FWLTme61:72A CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0624 13125 5W Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 10/13/98 PARCEL: 2S104BB-08100 SITE ADDRESS. . . : 14200 SW BARROWS RD SUBDIVISION. . . . :RUSSELL' S SCHOLLS FERRY ZONING:C-N BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG Project Description.- Electrical addition _------... .. ---RESIDENTIAL UNIT------ -- -TEMP' SRV("/FEEDERS-•--- ------11ISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATIOA. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ------SERVICE/FEEDER---- -----BRANCH CIRCUITS-----,- ----ADD' L- INSPECTIONS— 0 NSPECTIONS-- 0 - 200 amp. . . . . . .. 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . .. 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. : Owner: --___ _-----------------------------____.__..__....._..___....._ ... FEES _.__-____-__----.. GODFATHERS PIZZA type amount by date recpt 14200 SW BARROWS RD PRMT $ 120. 00 B 10/13/98 98-309956 TIGARD OR 97224 SPCT $ 6. 00 B 10/13/98 98-30995F, F-11ione #: Contractor: -------------------------------- ------- $ 126. 00 TOTAL ------- REQUIRED INSPECTIONS -- Ceiling Cover Elect' l Service Phone #: Wall Cover Elect' l Final Reg #. . -. This peroit is issued subfec: to the regulations contained in the Tigard Nunicipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pereit Nil] expire if Mork is not started within 18e days of issuance, or if work is suspended for Bove than 180 days. ATTENTION; Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Ttwwle r et forth in OAR 952-001-0010 through OAR 952-01-1987. You may obtain a copy of these rules or direct questions t "'^ by� i g 1 46-1987. Permittee S i g n a t�_r r e : s sue d By : -----------------------------OWNER INSTALLATION ONLY---------------------------- The installation is being made on property I own which is not intended for, sale, lease, or rent. OWNER' S SIGNATURE: DATE: --------------_.-.-_._.-.__.-_-CONTRACTOR INSTAL ATION SIGNATURE OF SUM ELEC' N: DATE: LICENSE NOa ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ L+++++-++ a Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # —_ Date Issued t3 Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TI©ARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development r�� ., n Number of Inspections per permit allowed AddresslyZQ�5,f a. ask .tl.�.4—'� Service included Items Cost(ea) Sum City/State/Zip l ► 4a. Residential -per unit — 1000 sq It or less $11000 4 Each additional 500 sq It or Name (or name of business)__ portion thereof 325 001 Limned Energy $2500 Commercial �}' Residential ❑ — Each Menuf d Home or Modular 2 Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feet ars —I� In 200a amps or lesion,or re ocatlon 2 Electrical Contractor 200 amps or less �0°° 201 amps to 400 amps $80 00 2 Add s,��S.S ►E. 401 amps to 300 amps 512000 2 City-Tie — 1�1 State Zip�]i�—�. 601 amps to 1000 amps $140.00 2 $340 00 2 Phone No Q 1• �)?' _ Over 1000 amps or volts 55000 2 .lob NO Reconnect only contractor's license NO. 4c. Temporary Services or Feeders Contractor's Board Reg. No. Installation,.aftrration,or relocation, 2 Signature of Supr. Elec'n_ 200 amps of less _ 2 yI.� 201 amps to 400 amps $50.00 License Nos 1A`q1 Phon No � 401 amps to 600 amps $75 oo 2 Over 400 amps to 1000 volts $100.00 2b. For owner installations: see"b"above. 4d. Branch Circuits Print Owner's Name _ New,afteration or extension per pane Address _ a)The foe for branch circuits with 2 purchase of service or leader he. City State Zip Each branch circus $500 Phone No. b)The lee for branch circuits without 2 The installation is being made on property I own which is purchase of service or feeder tee. $35.00 2 First branch circuit not intended for sale, lease or rent. Each additional branch circult $5.00 Owner's Signature _ 4e. Miscellaneous 2 (Service or feeder not included) 2 Each pump or irrigation circle $4000 3. Plan Review section (if required): Each sign or outline lighting $40.00 2 Signal circultpr or a limited energy Please check appropriate Item and enter fee In section 58. panel,alteration or extension $40.00 _4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more 4f. Each additional Inspection over System over 800 volts nominal the allowable to any of the above Classified area or structure containing special occupancy Per inspection $3500 as described in N.E C Chanter 5 Per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees; z 5a. Enter total of above fees $ NOTICE 5%Surcharge (.05 X total fees) $ Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec:1) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. n.ome...k ❑ Trust Account S S Balance Due $ 2&- ! CITY OF T'IGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERGY PERMIT #: ELR98-0288 DATE ISSUED: 10/13/98 PARCEL: 2SI04BB-08100 SITE ADDRESS. . . : 14200 SW BARROWS RD SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTN: TIG Pro Ject Description: Add protective signaling. ----------------------------------------------------------------------------------- A. RES IDENT IAl----------- B. COMMERCIAL---------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM....: BOILER. . . . . . . . . . : I..ANDSCAPE/IRRIGAT. . - GARAGE OFTENER. . . . s CLOCK. . . • . . . . . i MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . VACUUM SYSTEM. . . . s FIRE ALARM. . . . . . : OUTDOOR LANVqC LITE: OTHER: as HVAC. . . . . . . . . . . . .. PROTECTIVE 16 1 GNAL. . : X INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: I FEES ----------------- GODFATHER' S PIZZA type amol.tnt by date reept 14200 SW BARROWS ROAD PRMT $ 40. 00 GEO 10/13/98 98-309936 TIGARD OR 97223 5PCT $ 2. 00 GEO 10/13/98 98-309936 Phone #: Contractor.- ALLIED SAFE A. VAULT INC $ 42. 00 TOTAL AKA ALLIED SECURITY 1609 NE MARTIN LUTHER KING BLVD. REDUIRED INSPECTIONS PORTLAND OR 97232 Low Voltage Insp Phone #: 281-1177 Flect' l. Final Reg #. . : 006446 This permit is issued subject to the regulations contained in the Tigard Muni-ipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notificition Center. Those rules are set forth in DAR 952-001-4@10 through OAR IF)2-*I--@M. You may obtain copie of these rules or direct que,,tiop,:tV OLW, 3)246-1967. e �L��_ __ ._ f'e r m i t t E e SigTlatl.lr., �4 Issued by INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ________________________CONTRACTOR INSTALLATION C> F& SIGNATURE OF SUPR. ELEC' Ns DATE r e— ITCENSE NO: 4..........4...............................*...........4.....................4....... Call 639-4175 by 7:00 P. M. for an inspection needed the next btAsiness day +++*...................4......................................................... CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Recd: TIGARD OR 9'223 PRINT OR TYPE o� V- 503-639-4171 X304 Permit#: Ee F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 �� Q�ti cYy Pr g� (FOR ALL SYSTEMS) ,JOB Street Address Ste# � LJ rr cl Check Type of Work Involved: ADDRESS .Wy/State Zip Phone# ❑ Audio and Stereo Systems -Ala e N tme. ❑ Burglar Alarm Ito _ ��Q�rt ❑ Garage Door Opener- OWNER Mailing Address �Jty��s �te Zip Phone# ❑ Heating,V-ntilation and Air Conditioning Systom• dU ❑ Vacuum Systems' Name J FF xol .—tel c �/ h [7 Other CONTRACTOR M fling Address _ g p H TYPE OF WORK INVOLVED -COMMERCIAL ONLY _ (Prior to issuance aty/ ate Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses tI 6 I 147 (SEE OAR 918-260-260) are required if Or on ColAr Brd Lic.# Exp.Date expired in C O T pey—"tE 19•A '-Op Check Type of Work Involved data base) Electrical Contr. Lic.# Exp.Dat aZ ❑ Audio and Stereo Systems C O T or kletro Lic # Exp Date Ej _ -!-y'� ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Ala m Installation This permit is issued under OAE 918-320-370.This applicant agrees to make only restricted energy installations 000 volt amps or less)under this ❑ HVAC permit and it,do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installation where required. Certain residential and other transactions are exempt nc m licensing. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' Inspection at 503-839-4'75; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls Inspection when the inspector Is ot,t to inspect under this permit; E] 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* Inspector are dors,and, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days _Number of Systems i The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applican&//, _ _. F_fE4: � ureENTER FEES i �d 5%SURCHARGE(.05 X TOTAL ABOVE) $ al � Authority if other than Applicant TOTAL S g.Z i ktstsvesele doc 7/97 1 CITY OF TIGARD September 8, 1998 OR James A Brown MGA Inc 9150 SW Pioneer Ct Wilsonville OR 97070 RE: Albertson's Retail Bldg Pad"A" 4,000 sq.fl.. Shell 14200 SW Barrows Road Tigard OR To whom it may concern: This letter is to certify that all requirements of b,,ilding permit BUP97-0546, issued for a building shell, have been completed. The final inspection was performed and approved on July 17, 1998, by inspectors from the City of Tigard. No tenant spaces are included in this permit, nor shall any tenant improvement be occupied until such time as each space is approved by final inspection of its specific permits, approved for the use intended and provided with a Certificate of Occupancy. The City neither guarantees nor warrants to the oA occupant or any other person that this letter evidences strict and complete compliance with each and every ordinance or regulation of the City or the State of Oregon affeciing the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. This letter certifies only that the work covered under the permit number listed above iias been completed. It is not permission to occupy tenant spaces. Si erely, Darrel "Hap"Watkins, Inspection Supervisor for David Scott, Building Oficial c: SD Deacon ilbld/jt/alber-a 13125 SW Hall Blvd., Tigard, DR 97223(503)639-4171 TDD(503)684-2772 CITY OF T MECHANICAL. DEVELOPMENT SERVICES RM I T #. . .. .. .. .CE F'E . . . MEC98-03.39 13125 SW Hall Blvd., Tigard,OR 97223(5O3)639.4171 DATE ISSUED: 08/28/98 PARCEL: 2S104BB-08100 `._;ITE ADIJRI ')S. . . : 1.4200 SW BARROWS RD '31JBD I V I S 1 CIN. . . . : RUSSELL' S SCHOLLS FERRY ZONING: C-N 131_0--___-.._______________LOT -•___-_----------!{--_-_.___-,JURISDICTION_T TIG - --_ (,LASS OF WORK. . :ALT FI-OOR FURN. . . . : 0 EVAP COOLERS: 1 TYPE OF USE. . . . -COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A3 VENTS W/O APDL.: 0 VENT SYSTEMS: 1 !.;TORTES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 1 F1JEL TYPES-------------- 0 HP„ . . . : 0 DOMES. INCIN: 0 3--15 HP. . . . : 0 COMML... INCIN: 0 1A X INPUT: 0 BTLI 15-30 HP. . . . 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVF_S. . : 0 PIAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS------------ AIR HANDL..I NG UNITS OTHER UNITS. : 0 TURN � 100K PTU: 0 (- 10000 cfm : 0 GAS OUTLETS. : 0 FURN ) =100K PTU: 0 ) 10000 cfm: 0 Remarks : Add Mater heater vent, evaporate cooler and exhaust hood. Owner: -------------------------------------------------------- - - ___ _----------------_---------_--__ - FEES --------------- GODFATHERSPIZZAtype amount by date recpt 14POO SW BARROWS PRMT $ 25. 00 B 08/28/98 98-•308698 TIGARD OR 97223 PLCK $ 6. 25 B 08/28/98 98--308698 SPCT E 1 . 25 B 08/28/98 98•-308698 Phore #: Contractor: ------------------------------ AMERICAN HEATING 1339 SW GIDEON ST. f 32. 50 TOTAL PORTLAND OR 97202 Phone #: 239-4600 Reg #. . : 000331. ------- REQUIRED INSPECTIONS -- This permit is issued subject to the regulations contained in the Mechanical I n s p Tigard Municipal Code, State of Dre. Specialty Codes and all other Hood Inspection _ applicable laws. ^ill work will be done in accordance with Duct Inspection approved plans. This permit will expire if work is not started Final inspection within 10 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules - ;dcpfed by the Oregon Utility Notification Center. Those rules are --- set forth in OAR 952-M-01O through OAA 952-01-NAB. You may obtain copies of these rules ur dir:rt questions to OK by calling (583)246-9187. — � �� ByPermittee Signature : Tss�_�e : _ -- ++i+++++.+++++t+++++++++++++++++++++•+•++++f++A ++++++++++t++++++++++++++++++f++++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day f+++++++++++++++++++++++++•f++.+++++++++++++++++++++++++++++++++++++++++++++++++ J Plan Chec". Ol C71 CITY OF TIGARD Mechanical Permit Application Recd By •,1:..�J_ 13125 SW HALL BLVD. � �� Commercial and Residential Date Recd i /.P- �„ ' Date to P E. TIGARD, OR 97223 Ili �qQ Date to DST (503)1639-417'1, x304 � �\t ype caned Permit# G y t'' Print or Tr _ Incomplete or illegible applications will not be accepted Nems of Development/Project J Description 1-� b?,I }rxy t`a (t u,"' i..t_ Table 1A Mechanical Code CITY PRICE AMT Job Street Address Sudes A) Permit Fee -0- -0- 10.00 Address 1 --�0D LO (?0,_t f`4o Bidgrr Citylstate Zlp — 1.) Furnace to 100,000 BTU fi.00 including duds&vents Name for name of business) 2.) Furnace 100,000 BTU+ 7 50 Owner A L_F,f p T'ce tiJ i f Ivt(' J �� including duds&vents Mailing Address 31 Floor Furnace 6.00 including vent City/State zip Phone 4.) Suspended heater,wall heater 6.00 or floor mounted heater Name(or nems of business) 41 5.) Vent not included in appliance permit ` 3,00 7U �- ) walrt hl'n ie, '0f r,t 1 Occupant Mailing Address 6.) Boiler or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to t00K BUT" CRyrStste Ylp Phone 7) Boiler or comp,heat pump,air cond. 11.00 3-15 HP;absorb unit to 500K BTU— Contractor Naj 0.) Boiler or comp,heat pump air Gond. 15.00 �� •f i� �� e� ��ri �� 15 30 HP;absorb unit.5 1 mil BTU" Prior to permit Mailing Address 9.) Boder or comp,heat pump,air Gond. 11250 issuance,a copy '' �4 j �7 r!I Y1 r {�f.' 30-50 HP:absorb unit 1-1.75md BTU" of all licenses >rnyli • Zip Phone 10.) Boiler or comp,heat Pump,air Gond 37.50 aro required it 1 , h � .��?1; 1�(? �V� >50 HP;absorb unit 1.75 mil BTU" expired in COT Oregon Conn.Cont.Board uc 0 Exp.Dace 11.) Air handling unit to 10,000 CFM 4.50 database Architect Name 13) Non-portable evaporate cooler I 4.50 4J or Mailing Address 14.) Vent fan connected to a single dud 3.00 Engineer Cdyistate zip Phone 15.) Ventilation system not included in 4 50 _ appliance permit Describe work New 3 Addition O Alteration O Repair O 16.) Hood served Gy mechanical exhaust 4 50 to be done Residential O Non-residential Additional Description of work. 17) Domestic incinerators 750 16) Commercial or industrial type 30.00 Incinerator Existing use of 19.) Repair units 450 budding or property 20) Wood stove 450 Proposed use ;f �� In ,{ 21.) Clothes dryer,etch 450 budding or prop,rty -- 22) Other units 450 Type of fuel-oil O natural gas),:'7013 O electric O 23) Gas piping one to four outlets 200 I hereby acknowledge that I have re:td this application,that the 24) More than 4-per outlets(each) 5� information given is correct,that I am the owner or authorized agent of the.owner,that plans submitted are in compliance with Oregon State QTY SUBTOTAL laws Signature of Ovimer1 o t Date ^! 'SUBTOTAL 116 -- — 5%SURCHARGE � Contact Person Name Ph CIM PLAN REVIEW 25%OF SUBTOTAL ; n TOTAL n! r7 i vmechpmt doc (rev 9 Minimum permit fee is$25+5%surcharge "Residential AIC requires site plan showing placement of unit. August 13, 1998C OF T1 GPM OREGON American Heating Inc. 1339 SE Gideon Street Portland, OR 97202 RE: Godfather's Mechanical Plan Review 14200 SW Barrows PC#: 8-32c MEC#: 98-0339 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable nodes and standards. The following comments are noted: [ECNNICAL' wL= ' 1. Provide details for the cooler condensing unit , i.e: weight, CFM, etc. 2. Makeup Air Unit - lair moving systems (combination of units), supplying air in access of 2000 CFM to enclosed spaces, shall be equipped with an Putomatic shut-off. The smoke detectors shall be supervised when a fire detection or alarm system is provided [OMSC, Section 608]. / 3. Each individual roof-mounted HVAC shall be permanently labeled as to the f16 areas it serves [OMSC, Secti(,. 305.5]. In addition, each unit shall be equipped �j✓ with a power disconnect. A 120-volt receptacle shall be located within 25' of NF 1I�' each unit [GMSC, Section 309.11. Please submit two copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, qkPo n CBO SENIOR PIANS EXAMINER 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 — I I i t CITY OF TIGARD STOP WORK ORDER BUILDING DIVISION 13125 SW HALL BLVD,,TIGARD, OR 97223 639-4171 JOB ADDRESS: ' �!�'�►-�1"� PERMIT#:_ OWNER: �z. ONTRACTOR: c u YOU RF N VIOI,ATION OF TH 1+Ei„ OLLOWI G , : ,v- AND `� , AND HEREBY NOTIFIED THIS �. DAY OF4_ 19� , AT THAT NO MORE WORK SHALL BE DONE ON THES REMI S UNTIL THE ABOVE VIOLATION HAS BEEN CORRECTED AND VERIFIED BY THE CITY. CORRECTIONS SHALL BE MADE WITHIN ^ DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE ISSUANCE OF A CIVIL INFRACTIONS SUMMON". -DO OT PEMOVE THIS NOTICE- BUILDING INSPECTOR _ I I C ty of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW hall Blvd. APPLICATION Permit # Tigard, OR 97_.23 (503) 63ri-4171 TV—.�y >4r.aom«t — escription 6-(`sSj—_--L S SCl-AOLL� Table 3A Mechanical Code QTY PRICE AMT ob 1/4 !LD(�) j,'AJ EA V-1Z17WS 1) PermitFee -0- -0- 1000 I Address •• —' (1-1 L3 2) Supplemental Permit 3.00 Furnaceto 100,000 BFU i l •�•��,��, � '�� 1) incl, ducts &vents 6.00 ... —7 «• ----Furnace 190,000 BTU + i�er 2) incl ducts & vents _ 7 50 uFloor urnance —1z G 3) incl. vent 6.00 m.,«�.m.• ... uspende ea er, wa eater C,��I-E�n ��5 ►zzla 4) or floor mounted heater 3.00 u ... «• ent not inct. in Gccljp:,,it 5) appliance peand 300 .yRepair of heating, re rig vi 6) cooling, absorption unit 6.00 or Como, heat pump, air cand. 7) to 3 HPabsorp unit to 100K BTU 600 F`9 ... of er or comp, heat pump, air cond. bD2-L4. pv 84 8) .1.15 HP, absorp unit to 500K BTU 11 00 COntnctor •,. w of er or comp, heat pump, air cond. (-AKt, L)35 9) 15-30 HP; absorp unit 5.1 and BTU 15.00 a. .a &.N� •• of ei or comp, heat pump, air q0389 3 Ise 10) 30-50 HP, absorp unit 1-1.75 mil BTU 22.50 —1 hereby acknowledge that I havereadtis application, lFat—Te Boiler or comp, heat pump, air con . information given is correct, that I am the owner or authorized 11) > 50 HP, absorp unit 1.75 mil BTU 3750 agent of the owner, that plans submitted are in compliance with Air handling uni. to State laws. that I am registered with the Construction Contractor's 12) 10,000 CFM 4.a0 Board, that the number given is correct. (If exempt from State Air handling urns registration, please give reason below) 13) 1,000 CTM + 750 -- on porta e 14) evaporate Gooier 450 Vent ran connected 15) to a single duct 3.00 —Ventilation system not 16) included in appliance permit < 50 .—�— Hoodserve y 1 r') mechanical exhaust 4 50 escn a wor new a lion alteration 1 repair l� Commercialor industrial ,o be dune residential U non-residential � 181 type Incinerator 3000 Existing use c, Other i e, woo stove, water building or property _ 19) heater, solar. clothes dryers etc 4.50 Proposed use of .0) Gas piping one to four outlets j 200 budding or property _ 21` More than 4-per outlet (each) 200 Tyoe of fuel -oil (.Dnatural gas I.PG Q electric Q NOTICE n uu Minimum Fee 525.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTIO.' 5 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY' 541. SURCHARGE Z IF CONSTRUCTICN OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS�N�ME PLAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED / 11 \/ — - U TOTAL Special Conditions n ^ Date issued 7Y xLLOOiM0.5TSMECMGMT � CITY OF TIGARD DEVELOPMENT SERVICES f-LECTRICAL PERMIT 13125 SIN Hall Blvd., Tigard,OR 97223 i 503),139-4171 RESTRICTED ENERGY PERMIT #: ELR98--1001 DATE ISSUED: 08/18/98 PARCEL-: 2SI04BB-08100 �-�IIL ADDRESS. . . : 14200 SW BARROWS RD SUBDIVISION. . . . : RUSSELLIS SCHOLLS FERRY ZONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDIcTN: TIG Project Description: Godfather's Pizza TI ---------------------- A. RES I DENT I AL--- -- -------- - B. COMMERCIAL---------------------------------------- AUDIO & STEREO. . . AUDIO & )TEREO. . cX INTERCOM & PAGING. . : BURGI-PR ALARM. . . . : BO I LE R. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . ., CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . . INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: I Owner: --------------------------------------------------------- FEES; ALBERTSON' S type amount by date recpt PO BOX 20 P RMT $ 40. 00 JSD 08/17/98 98-308325 BOISE ID 873726 5PCT $ 2. 00 JSD 08/17/98 98-308325 Phone #s Contractor: ACTION TECHNOLOGY SYSTEMS $ 42. 00. TOTAL 835 SE 17TH AVE REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Low Voltage Insp Phone #: 231-1992 Wall Cover Flect' l Final Reg #. . : 79136 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by he Oregon Utility Ratification Center. Those rule -are set forth in DAR 952-00I-M10 through OAR 952-001-0080. You may obtain 77f these rules or direct questions to OUNC.,at 41046-1,987. Issued by_..__ Permittee Signat 7,,e' ----------------------- — -OWNFR INSTALLATION ONLY--- t The installation is being made oii property I own which is not intended for saleg lease, or rent. OWNER' S SIGNATURE: DATE: ----.--CONTRACTOR TNSTALLATION ONLY----------------------__-.. '3 I GNATURE NLY------------------------- 13IGNPTURE OF SUPR. EL,EC' N: DATES t.-ICENSE NO .........++4................................................................... Call 639-4175 by 7:00 P. M. for an inspection needed the next business day ...........................4....................................................44 CITY OF TIGARD Electrical Permit Ap on>< iPlan Gil�"a 13125 SW HALL BLVD. Recd 6yY-y� / TIGARD OR 97223bete Recd 1 ,a 1 Date to P.E.__ Phone (503)639-4171, x304 �' Dale to DST Print or Type ,,. Inspection (503) 639-4175 VEI Perrnll M G �--f� `7 r'- /on� Fax (503) 684-7297 Incomplete or illegible wUl'ttbt Tye"+'Iccepted called"S' ' "f 1. Job Address: 4. Complete Fee Schedule Below: Name of Development - Number of Inspections per permit allowed - Name (ornameofbusiness) GODFATHER' S P T Z Z A Service Included: Items Cost Sum Address 14200 SW Bg r.r ow s Road 4a. Residential-per unit Ci /Stale/ZI TIGARD, OR _ 1000 sq n.or loss __-- $110.00 __-�- -- 4 ry p-� F.nch addillonnf 500 sq.It.or portioCommercial ® Residential ❑ Limited nergy $2500 1 Limited Energy $25.00 Farb Mnnuf'd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor ACTION TEC1iN0L,OGY SY4TlFME Installation,allmation,or relocation "t 0 amps or less $80.00 2 Addre")RTtA 835 E Rvf,nrTp 2)I amps to 400 amps $80.00 _--_-- 2 City_ Stale _ Zip 101 steps to 800 Amps $12o.o0 2 Phone No. 31-1992- -.�._. Sol Amps to loon nmps _ $180.00 -_-__ 2 .Job No. - Over 1000 nmps or volts -_ $340.00 2 Elec.Cont. lice. No. 26-775CLE Exp.Dale 10-01-98 naconnecl only __- $5000 2 OR State CCB Reg, No. 79136 Exp.Date 1_15_U- 4c.Temporary Services or Feeders COT Business Tax or Metro No.029Dq --.Exp.Dale_9-1-98_,. InstAllauon, innrnuon,or relocnllon C� 200 n.nps or loss --- $50.00 2 Signature of Supr. Elec'n G,`.0 _ `� 201 amps Ic 400 amps $15.00 2 401 amps to 600 Amps _- $100.00 __ _ 2 Over 000 amps to 1000 volts, I irpngn No. 5 �_ ..��-E- Fxp.Date_ - t `1`� nen"h",above. 1111nne Nc.- -2'31 -1"1< ''_----- -- --- 4d.Branch Circuits Now,nilerallon or extension per panel 2b. For owner Installations: n) 1 ha fen for branch circuits with purchase of service or Print Owner'3 Name _ feeder fee. Address Each branch circuit $5.00 2 b)The fee for branch circuits City _ _ State_ Zip without purchase of Phone No. service or'.adertoo. First branch circuit $35.00 2 The Instdllation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature__ Each pump or Irrigation circle $40.00 2 Fach sign or outline lighting _ $40.00 2 3. Plan Review section (i/required):* Signal circuil(s)or a limited energy- 40.00 panel,Allmalion or nxtenslon X $4000 2 -- Please check approoMinor Labels(10) S100.00rlate Item and enter fee In section SH, Lk) 4 Or more residenllnl units In one structure 4f.Each addltlonal inspection over Service and feeder 225 amps or more the allowable In any of the above 14 System over 800 volts nominal Per Ins p-ctloc $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55 Ix) -_ "Submit 2 sets of plans with appllcallon where any of the above apply. 5. Fees: 40.00 Not required for temporary construction services. 5a.Enter Intal of above fees $ 5%Surcharge(.05 X total fees) $ -u NQT_I(QE Subtotal $ -- 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If require](Sec 3) $ - -NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ ----- IS SUSPENDED GR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORT(IS COMMENCED. ❑ Trust Account M-__ I i V I Total balance Due rM3T5\ELCPa.�rr` nev&IM � - ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC98-1009 DEVELOPMENT SERVICES DATE ISSUED: 08/18/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PARCEL: 2SI04BB-08100 !3I TE ADDRFSS. . . .- 14200 SW BARROWS RD SUBDIVISION. . . . :RUSSEi.I_.' S SCHOLL S FERRY ZONING:C–N BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .004 JURISDICTION: TIG I..'ro.ject Description: 01odfather's Pizza TI ----------------------------------- --------------------------------------------------------- UNIT----. SRVC/FEEDERS---- -------MISCELLANEOUS.----.-- 1000 SF OR LESS. . . . 0 0 – 200 amp. . . . . . . : 0 PUMP/ IRRIGATION. . . . : 0 EACH ADD' L. 500SF. Wi 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG— : 0 1 -IMI TED ENERGY. . . 0 401 -- 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0 MANF, HM/ SVC/FDR. . : 0 601+amps-1000 vc ;s. : 0 MINOR LABEL_ ( 10) . . . : 0 1 –SERVI(,E/FEEDFR–.--- -----BRANCH CIRCUITS------ ---ADDIL INSPECTIONS—— 0 – 200 amp. . . . . . : 0 W/SERVICE OR FEEDER- 0 PER INSPECTION. . . . . : 0 _01 – 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 – 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: .38 IN OLANT.. . . . . . . . . . . : 0 F'01 – 1000 amp. . . . . : 0 REVIEW SE,'JI 01\1----------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOL T NOM I NAL_.. . : Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES r)LBERTSON" S type amoLtnt by date recpt PO BOX 20 PRMT $ 225. 0.0 JSD 08/17/98 98--308--31 POISE ID 83726 5PCT $ 11. 25 JSD 08/17/98 98-308331 F'hone #: COMMERCIAL ELEL : RIC CORP. $ 236. 25 TOTAL 10928 NE KILLINGSWORTH REQUIRED INSPECTIONS PORTLAND OR 97E-20-1097 Ceiling Cover Elect' l Set-vice Phone #: L'?'55--9BEP Wall Cover, Elect' l Final Reg #. . : 000061 This permit is issued subject to the regulations rantainid in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordar;^p 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 Iys. ATTENTION: Oregon law requires you to f ow w the rules adopted by the Oregon Utility Notification Center. Those rules arset forth "R 952-001-0010 through DAR J967. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 46-1 llf'lmittee Issi-ted INSTALLATION Che installation is being made an property I own which is no', intended for, sale, lease, or, rent. OWNER" S S I GNATURE- DATE: ____–.___________________CONTRACTOR INSTAI.L.AT ION SIGNATURE OF SUER. ELEC' Ns DATE: 1_.ICENSE NO: ++++++++++++4++a..............4.+ ..................4++++++++++++++++++++++++-#...... Call 639-4175 by 7:00 p. m. for-, an inspection needed the next bLISiness day 4.......4...................4..................4•.............4............... CITY OF TIGARD Electrical Permit ApplidrlbWvr r' Plan Check#,_ 13125 SW HALL BLVD. ReC'd1>�y A J u 1 199E Date Rec'd TIGARD OR 9722 Date to P.E. Phone (503)639-4171, x304 Print or Type " Date to DST Inspection (503)639-4175 Permit# ! - -r '`L 1 Fax (503)684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business)-62Ul S F 1z2-A Service included: Items Cost Sum Address_ 14? O J w� _ 4 e. Residential-per unli 1000 sq.It.or lass $110.00 � 4 City/State/Zip �� _ Each additional 500 sq.ft.or Commercial Residential ❑ Limited thereof $25.00 1 mited Energy $25.00 _ Each Manurd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder �. $68.00 ,_ (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor CUVIN :RCIAL L1ECTRICAL CORP. Installation,alteration,or relocation Address 10928 N.E. KILLINGS'WORTH - 200 amps or less _ $60.00 2 --- 201 amps to 400 amps $80.00 2 City PORTLAND State, OR Zip 97220 401 amps to 600 amps $120.00 2 Phone No. 2 S S-9R 2 �- 601 amps to 1000 amps $180.00 2 Job No. 2785 Over 1000 amps or volts - $340.00 2 Elec.Cont. Lice. No. 26-33C Exp.Date 1.0 Reconnect only _ $50.00 2 OR State CCB Reg. No. 6145 Exp.Date O1 1?.Inn /I 4c.Temporary Services or Feeders COT Business Tax or Metro No. 2024 Exp.Date DlLQIZ.99 Installation,alteration,or relocation 200 ampr.or less $50.00 2 r. Signature of Su Elec'n 201 amps to 400 amps $75.00 2 9 P 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 4 Exp.Date-10,101/9R see"b"above. Phone No._-25_�-g$Z 4d.Branch Circuits New,alteration or extension per r.net 2b. For owner installations: a)The fee for branch circuits lvith purchase of service or Print Owner's Name - _ _ feeder fee. Address Each branch circuit $5.00 2 b)The fee for branch circuits city _ State_ Zip_, without purchase of Phone No service or feeder fee. First branch circuit $35.00 �1 2 The installation is being made on property I own which is not Each additional branch circuit lk $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signat:ire Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):" Signal circuit(s)or a limited energy- panel,alteration or extension $40.00 2 Please check appropriate item and enter fee In sbctlon 5B. Minor Labels(10) 5100.00 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour _ $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. S. Fees: Not required for temporary construction services. 6a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 6b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If teduired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY , TIME AFTER WORK IS COMMENCED en El Trust Account# $ 2 ,�p� /!' A �� `3 Total balance Due 1\eSTS1ELC96 APP Rev W% CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PILM98-0240 DATE ISSUED: 07/28/98 PARCEL: 2S104BB-08100 SITE ADDPESS. . . : 14200 SW BARROWS RD SUBDIVISION. . . . : RUSSELL' S SCHOI-1-5 FFRRY ZONING: C-N BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG ---------------------------------------------------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 1 YPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . I OCCUPANCY GRP,. . :M FLOOR DRAINS. . . . . . : 4 TRAP'S. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 F I X LAUNDRY TRAYS. . . . . : I SF RnIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 2 URINALS. . . . . . . . : I GREASE TRAP'S. . . . . . . . I LAVATORIES. . . . : 7 OTHER FIXTURES. . . . : 5 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 5 WATER LINE (ft ) . . . : 100 DISHWASHERS. . . . : J RAIN DRAIN (ft ) . . . : 0 Remarks : Tenant improvement (Godfathers) Owner. _.-----_------ --------------------------------------- FEES -------------- _ AL-BERTSONS INC #576 type amo�_tnt by date rer-pt PO BOX 20 PIRMT $ 307. 00 DLH 07/28/98 98-307740 POISE ID 83726 PLCK $ 76. 75 DLH 07/28/98 98&-307740 5PCT $ 15. 35 DLH 07/28/98 98-307740 [--'hone #: Can ract or-------------------___ __._____ --- -.... MYERS r------- MYERS & SONS PLUMBING F,024 SW JEAN RD, BLDG I .AVE OSWEGO OR 97035 --- -------_.---------------------- l-hone #.- 684-6602 $ 399. 10 TOTAL Ppq #. 000403 REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Water Set-vice In Tigard Municipal Code, State of Ore. Specialty Cedes and all other Underf I oor/Under applicable laws. All work will be done in accordanc? with Top-ai-tt I n s p approved plans. This permit will expire if work is not started RP/Bar-14flow Prev within 180 days of issuance, or if work is suspended for more Final Inspection than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in BAR 952-MI-Mil through GAR 952.-OBI-ABBE. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. P d B y :4 Pr m i t t e e Signati-tre : 7_ 4-++-f-++-4.-4.++++4 4.+++4....................41.............................. Call 639-4175 by 7:00 p., m. for an inspertion needed the next bl-ksiness day ..............................4-++4•............................................ C 'Y OF TIGARD Plumbing Application 4� - ' Recd 125 SW HALL BLVD. Commercial and Residential Dau Recd Date to P E. BARD, OR 97223 Date to DST +33) 639-4171 Pw"A a 0 Print or Type Related SWR S Incomplete or illegible applications will not be accepted Caned 'I Name of DeveloprnentirProfect .FWTURE9401111vidwl) QOUh `P E.a ' � Job Sa* 9.00 �T tii`S I ..w 1 , Address Add a Suite �� 9.00G? ' 1 lL/ ,cl,Fkba-I&C Tub or Tub/Shower Comb. 9.00 Bag a citylstate ZIP shower only 9.00 � N 1 -1 7 Water Closet 9.00 r Name If Dishwasher - 9.00 - Owner ) -Addcesa State Garber Olaposal 9.00 1 (- washing Machrte 9.00 p .Cjvstene ZIP Phone Floor Dram r 9.00 Ill, _ _ r 9.00 Nares a" 9.00 Occupant Me"Address Suits WOMB Heater 9.00 /(til Laundry Room Tray 9.00 city/state/ Zip Phone Unnal 9.00 X21 - Nartre Odw Flxttres(Speedy) 1 9.00 / 9.00 -ontractor Addrwts State1�' 9.00 - ff 3W ti ,'rior to Issuance a /State Zip Phone applicant must ' 9.00 provide a9 Oregon Const. ont.Board Ur-111 .Dau _ 9.00 contractors 9.00 ken" p.Date Sewer-1st 100" 0 PkaYtbe�Uc.s gyX0.0 ,� information -�. '� f Sewer-each additional 100' 23.00 for COT COT Bushvm Tax or Metro a -- database). gyp-Onto water service-1at 100' 30.00 ti r NWO Water service-each additional 200' 25.00 Architect Storm&Rain Drat,-1st 100' 30.000• or Morang Address Suite Storm&Rain Ommn-each additional lar 25.00 Moble Home Span 25.00 Engineer City/State Zip Phone Cormtermal Back Flow Prevention Dwrin or Mb- 25.00 , Pokidon Device srnbe work New Addition O Alteration O Repair O Residential Baddlow Prevention Device' 15.00 n�ne: Resd 10 Non-residential Any Trap or Waste Not Connected to a Fixture 9.00 rtvonal description of work Catch Basin 9.00 Insp.of Ex*WV Phanbing r 10.00 per/hr snag ,ce of Specially Requested Inspections 40.00 xrlttr .rrbtnq or property_ _ Rain Drain,single fanny dwelling 30.00 -roposed use of Grease Traps 9.00 xldding or property_ - QUANTITY TOTAL Aro you capping• mown or replacing any fixtu 7 Yes IVo❑ Isom, or rear diagram a mQurw t Qum"Tata)u >9 JW 07 (if yes see back or form) _ _ SUBTOTAL _ I hereby aduiowledge that I have read this applicA0.that the information - t given is correct.that I am the owner or authorized age?"f the owner.and 5%SURCHARGE :hat plans submrtt are in compliance with Oregon Slate Laws. _ Slgnatur*of Agent Data PLAN REVIEW 25% OF SUBTOTAL J Rrqurrd anal t rastve ML total is>9 - - TOTAL er ,nuet Perum Hett+te Phony �/ 'Minimum permit fee is 325•5%surcharge.except Resdentfal Backflow \ es' �- d 7- ` Prevention Device.which is 515.5%surcharge I:\ptmapp.doc 1196 (dst) 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory S-e¢ Tub or Tub/Shower Combination Shower Only `D Water Closet riY� Dishwasher Garbage Disposal Washing Machine Floor Drain 2" _... 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) I,:OMMENTS REGARDING ABOVE: L`plmapp doc 1196 (dst) Accumulative Sevwer TallyTenant Name: L� r2 YJ� > ' This SWR#Address: ] t)() v G� .' This PLM#: ` f -)Z-76 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count_ offs count value values- Baptistry/Font 4 Bath-Tub/Shower 4 -JacuzziNVhirtpool 4 Car Wash-Each Stall 6 -Drive Throu h 15 CuspidofNVater Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 _ Drinking Fountain 1 Eye Wash 1 _ Floor DrairVsink-2 inch 2 -3 Inch 5 j L- - -4 inch 6 _ _ Car Wash Dm 6 _ Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 - Industrial(over 5 HP) 48 Ica Machine/Refrigerator Drains 1 Oil Sep(Gas Station) _ 6 _ Rec.Vehicle Dump Station 16 Shower-Gan (Per Head) 1 -Stall 2 Sink-Har/Lavatory 2 Bradley 5 _ _ -Commercial 3 _Service 3 Swimming Pool Filter 1 _ Washer-Clothes 6 Water Extractor 6 Water Closet-Toilet 6 66 Urinal 6 (0 �J TOTALS Total fixture values: divided by 16 = EDU !� -77c� A�cc_, t'✓te. ,,c cD ZIt/ Lc ,.�- HISTORY 1 PLM# EDU# .� SWR# ?L-f0/,9 PLM0 _EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# _PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# _ SWR# i WsWswrtaly doc SEE 35MM ROLL # 22 FOR LARGE DOCUMENT � 1. - 0-,ti► azN 3V)tia ci Wx>- z 4 uM- a) ac a YAM .e. ''•' r� .• aa�za r7 t O Z z 0, LLJ ,�—_ „Ill-,b 0� � 00 0 Z � a W U ll3a: �u Z r,Ir lzl� w z s U a O W X r �►`�- P2 0 i Ln vi -4 0 � O �,Q- J ' c, a z (� X 30] O Z N Cf w fb a w _I I ' N F- D W - _ -- _ CID fm a x Q Ln --'k ll Q .- CO EM 609 817 G0 86/170/80 NO.567 901 07/28/98 15: 1'{ 503 557 1085 3lL-7r 1'JJt't 1� 51 - •SW-CO4STRUCTION INC 503 557 1085 P.01/01 BnK Construction, Inc. Memorandum 10730 SE Hwy. 212 Clackamas, OR 07015 Phone:(503)357-0888 Fax 0, (303)657.1085 CCB No, /07995 1'0: EKA DATE. 27-Jul-98 +� FROM: Bill!►TTPI.: Bob 1.�e �• ; is III Ldl g I FAX 8: `1 ' RE: Godfathers iQ Barrows ' ;I; As I told Ray_Sattler today, one of the notes from the cities plan review was the requirement of _ An 18'clearance beside ft door at the entrance to the womens restroom, I was at the city of Tigard today on another permit and asked Jlm Funk about It. He said Mable 11 E and Adag 25 that the t d'Ts always re ulred unless there Is a power assist on the door. Con -ou helpus with thls 7 Let me know. _ Bill�T- - -- �._�:-•�-�fCt�e.. �K*' yF 40�4. u.N 1X�T�1 '�.�t'Rt !N Oak ,-�r4 qp u -nn M a SGS cV_TN I. CO a ��IOR 1 C7 COPIES TW K�-A W t�►�p�,�.p JUL 2 7 1998 ARCHITECTS A PLANNERS TOTAL P.01 G E N E H A I 1104TNaC, r39 June 23. 1998 Attention. Randy Davison Musil Govan Azzalino. Inc 9150 SW Pioneer Court. Suite T Wilsonville, OR 97070 i Re Albertsons Store #576 Cost Proposal No 7053-18144 rev. n Dear Randy: Attached is our revised cost summary sheet outlining the credit to eliminate the pedestrian access concrete walkway and landscape bench at the North corner of the site, near Pad A. as noted in SDD's letter to the City of Tigard dated 5/12/98. Jim Funk at the City of Tigard is requiring that an accessible handicap walk be added to tie Pad A into the public right-of-way. We are adding a concrete sidewalk as shown on the attached sketches. Total net credit available is $(14.839 00) Please review and approve the attached information and acknowledge acceptance by signing the bottom of the attached summary sheet so that a change order can be issued Should you have any questions, please contact me Sincerely, J Patrick T. Mahoney Project Manager C" Steve Anderson. SDD Jobsite Katherine Kirk. Albertsons Way_ ne Stroud. Albertsons Jim Funk, City of Tigard The attached credit of$(14,839.00) for cost proposal 7053-i 8144R is hereby accepted and approved x Dated --- ----- --- - — Jun- 19-98 08: 24A P.03 05/21/98 09:27 Q50:1 C84 7297 CITY OF TIGARD 141002/003 CEMERAI C0OfI11AC10R May 12, 1995 Jim, Funk Supervising Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 977.7.3 RE: Albertson's Store #576 Job #7053 Dear Jim: n ()vk.r,.,Gn,n This letter is to finalize a design change to eliminate the pedestrian access concrete walkway and landscape bench at the North corner of the Albertson's Store #576 Project near Pad "A". The area being eliminaied is as shown on the attached drawing. rof t im �rii11k- The reason this is being eliminated is because of the steep grade of this walkway. It is SacrnnKniln anticipated that the pedestrians will not use this walkway because it's too steep, and will instead use the sidewalk adjacent to the street. In lieu of the bench and walkway, we will be installing landscaping and irrigation in that area. This design change was run by Bob Poskin, City of Tigard Plana Examiner. He didn't appear to have any problems with it. Please confirm that this is acceptable, and let me know if you have. •.ty a(Wou mai information. ;inoerei ��r Patrick T. Mahoney ProjeV Manager PTM/nn cc: Katherine Kirk, Albertson's, Inc. Wayne Stroud, Albertson's, Inc. Randy Davison, Musil Gwan Amlino, Inc. Mike Price, SDD File. 7053 - 18144 µa1 S W 60ovc1tv-1. HiIsda1/Hwy SAP 1.0"Und OR 472?1 P I7 Bon 25392 Portland CIN 0779!! anvzs7 87v1 FAX 9n1)291 M7 iiF,^,C9 n Sly wl a<G ;,UDEAR x,920: Jun- 19-98 08: 24A P .04 06/21/98 09:2T60.'. 464 7297 CITY OF TIGARD Q 003/003 sk '" r✓ �i.j• :;•'%t� i ,i "'Y:;! ,r •.'4tie:°' 1'' Yrow5 ' fir• rr j,�..t , •�...'-:. ,��r��r '••.• •►..' 4. LANDS AD 10C ,�}► •Z � •� t� rTil�7Y-�' -jam. �• - wr -••••_ '�-••` .• s'. ''►� •.1c�,1 PAD q• �+ L 4►000 Sr. 2 I u I ' —'-----—-•-'----J is t• 42 ® u , p• co U _�•� �; 3 I 0 P. t0 � I � - ;�• I 3 3 ` �•• 22 / /V I ......• .•j............ ... ..1t.� •.. • � .... •