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14300 SW BARROWS ROAD-4 I wmwrmwwwmo Sw t3��Rows x.� ALbF-ATS DNS f ZI TM 1< i ---�.-- ------- ---______-- -------__ --- . ANT R I ALBERTSONs us It% V. i I .51TE: PLAKI r I Nor To SCALE LIGHT HAZARD PZF2 NF-PA 13cc a 5CHE DULE y0 PI PC \ F- -U U. . 0 v, at >- L CJ O U r 3L < f u- L) o .� .CZE 15 Uc o � 1 Q I QUL-La � Weill SPRINKLER SYM801 00CRIPTION M L�AuTEI� s a cir To F� H: mrJ [T is flE owmm nwmoi[- 17Z7y SCUM �iF1f�A + ALIT TO MWVIX HEAT TIER VET 1IK SP9100CM VST[M AIAW 40 WNWS k1 . im FUN W" 1w K- 0m xw now me, a"= = Bi OCURLNES I= atlr Fc, 19"M AM MW TVs 1W VAL_V[S p'�.L.11ii �� GS (,�►ftX�� U1KaM� 5SP 5S° 5� C. Z WATIM S►ffft1ES To WMIIK M SYSTM 1a PROJECT Ow = •Hl�I A:A - U-`) SAN J< A V5ZRT,5 0hJ5 5 7!0 2"z5- " r-- loot wn. ty3oh 1 A aftmTm wa ". " T ! G A Tc, D 0 R r H�saHHMT� � DESCRHWT*N � �--- we n. FIRE 5P RI N K L E R F LAN Tm room No sHH�t wo. am NOTICE: IF THE PRINT OR TYPE ON ANY -> I I-1 t l r t l t l l l l IIIIIII I l l l l l l IIIIIII I I I I I I I IIIIIII I I I I l l i IIII 11 I IIII 111 11 111111111 Jill 1111111 1111 11111 III Ili ► I IJ I �r E l l III r i T� t1-111 i1 i III I ( I ill 11111 11 III III ! IIII 1 1 3 4 5 0 IMAGE IS NOT AS CLEAR AS THIS NOTICE2, _ _ _ _— -_ - - IT IS DUE TO THE QUALITY OF THE __ -�~- - -- -- -- -------- — ---- __ No.36W` co— ORIGINAL w,... ORIGINAL DOCUMENT - E -- 6Z 8 Z .__L Z 9 Z 5 Z � Z � Z Z _� Z� � ? 6 [ SI ! LI 911 � �- fii ET Z� [ t ; 6 S L 9 IIII IIII IIII IIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIII I11tllL'III�I�IIIIIIII�IIII �IIIIIitIII►►IIIIIIiiIIIIIII. IIIIIIIIIII�II,ill!I1111�1'�I I I ►I II Illflllll II IIII. IIII illlll�►1��1 11.1 Illl lllhllll I-111 ..I 11111111111111 l� 1 111�1�11 A 201-9 1 /4" EQUIPMENT_ LEGEND, 1 8 21 24 38 23 2 20 1 4 A — 3 COMPARTMENT SINK .-� B — HAND SINK � C — 6 GALLON WATER HEATER F � 00 -., 00 •='� ED — CECBIN MACHINE C F — ICE BLENDER 0 n 00G — COFFEE GRINDERS 7 . / D H — AIR POT COFFEE BREWER Q Z I — ESPRESSO GRINDER i _ / K — ELECTRICAL PANEL A -� L — ESPRESSO MACHINE 00 0 -3 N — ICE CREAM CASE 1718 22 19 H � - 0 — KNOCK BOX �— � Q — AIR POT AREA 15 3 R — POS EQUIPMENT --- O S — WATER FILTER r- —� 10 Y42 1 C, OT — TRASH BIN 4 t YA3_IV — UNDERCOUNTER FREEZER N I K ! 4 N 3 W — CONE DISPENSERS I ! IIIG X 2 DOOR UNDERCOUNTER REFRIG. Y — PAPER TOWEL DISP. 2 3 Z — SOAP DISPENSER 3 n 4 '7 V—ONE DOOR UNDER— X—TWO DOOR UNDER � i COUNTER FREEZER 14 COUNTER REFRIGERATOR OR 5'-9 3/4" 6 p 15 3 r I I Y 1 : I W too 0I w I , L I I -� - N I I I / Con\ ytia k3 . AI _,rc° , LiForonly it. �}b �.. I v I O � O y;,� 16 �- — — — — 20" H 0bH , ��T .. f,► goy, ` V PLEXIGLAS GUARD gpp II . r�IIIw.YLc1r i Jof,_% Ar _fc"o� ,0901�jg 9 � 1 10,f 13 4 5 CONSTRUCTION NOTES: ~� — CONSTRUCTION NOTES: 1 1 . ALL STORAGE AREAS TO BE SEALED TO COMPLY WITH NSF 1 . BUMPER (1330184) IS TO BE PLACED ON ALL OUTSIDE CABINETS AT A CENTERLINE 3 2. CLEATS SHOULD BE USED TO HOLD WATER HEATER IN PLACE OF 6" FROM THE FLOOR. THESE MUST BE INSTALLED TO PROTECT BAR 2. 3MM EDGE BANDING (1330169) MUST BE PLACED AT THE BOTTOM EDGE OF ALL OUTSIDE NOTE: 1 ) THIS CONFIGURATION ONLY ADA COMPLIANT WITH ACCOMPANYING SEATING AREA. CABINETS USING PAN HEAD SCREWS AND DOUBLE SICCED TAPE 2) THIS MERCHANDISER IS BUILT IN COMPLIANCE WITH NSF STANDARD #2 MU LISTING. 3. BLACK ANGLE MUST BE PLACED ON UNPROTECTED SIDE OF ENTRANCE ANC ON ANY 3) UNDER COUNTER DRY STORAGE 9'- 5 3/4" UNPROTECTED BOTTOMS THAT ARE EXPOSED TO PREVENT DAMAGE 4. ALL STORAGE AREAS TO BE SEALED TO COMPLY WITH NSF All INFORMATION CONTAINED IN OR DISCLOSED BY THIS DOCUMENT IS CONSIDERED CONFIDENTIAL AND PROPRIETARY BY LOAD KING DRAWING APPROVAL REQUIRED 5. CLEATS SHOULD BE USED TO HOLD WATER HEATER IN PLACE MIC. COMPANY. ALL DESIGN, MANUFACTURING, USE. REPRODUCTION, 6. INSULATING, TAPE TO BE PLACED ON ICE BIN DRAIN AIdD ALL SALES RIGHTS. ARE EXPRESSLY RESERVED BY AND TO SIGN, DATE AND RETURN TO LOAD KING MFG., INC. LCAD KING MFG. COMPANY AND COMMUNICATION OF THIS INFOR— — - 7. BLACK VINYL TO BE WRAPPED AROUND ENTIRE BAR AFTER INSTALLATION wiTION TO OTHERS IS PROHIBITED WITHOUT THE PRIOR WRITTEN Customer Approval: Date: CONSENT OF LOAD KING MFG. COMPANY. PROPRIETARY INFORMATION jj� LOAD PART NO. DO NOT DUPLICATE . 1116470 DIMENSIONS ARE IN INCHES P.O.BOX 40606 I357 W.BEAvER ST. ,u►CKSONWnLLE. FL 32203 TOLERANCES UNLESS NOTED ICE CREAM / COFFEE MERCH . UNIT (LH ) SHT: 1 of 5 REV. FRAC. TOL. f 1/32 $ 2 N.A. ADDED ITEM #22, #23, #38, DEL CUPS DISP, GOND PANS 9/8/98 SEH DEC. TOL. f .01 A LB'ERTS"ON S DOCUMENT NO. ANGULAR TOL. f .5 2 sltiE: DRN. BY: DATE: SCALE: M _ !NO__. FE.C.N. N0. REVISION DATE: BY. nO NOT SCALE DRAWING � SEH 6/20/98 1/2 1116470 NOTICE. IF T �ar� .� IIIlIJi ,Kwt'dertlr"E4�>aW HEPf�INTORTYPE ONANY TI-I� I � I I � IIIII I � lilll IIIII � I III � III I � IIIII IIILi `-I LIAr.I � (..r...rl �_II �_r- ..IIII.I� I I � � � I � � � � I � I � I Jill IIIIIII I � ILi-�..i 1-11-ITI �_� 11r� 1 IS I I 2 3 4 I IMAGE S NOT AS CLEAR AS THIS NOTICE, _ _ � _ 0 __? 8 ___._.... 9 _ - 10 IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT E 6 Z 8 Z L Z 8 Z 5 Z Z E Z Z T Z O Z 6 T 8 T L T 9 T 4 I fi T E I Z T IT T 6 8 L 8 Q ' to E Z T �lVAN ��► �� IIII �� ► Illi 111 11<< 111_ �«I lilt ll�l IIIL IILI �� IIII �� IIII �� Iill IIII IIII IIII Ilii IIII IIII IIII IIII IIII IIII llll _l I,LI .ill fill Illi IJll..1.1.11�1.11,1 11.i lllll4.1l l 1 Nil — 20'-2 9/32" -- 19'-2 9/32" -- `O 6'— 11 5/16" 4.'- 11 5/16" -q- 0 1 '- 10 5/8" I . I 10 5/ " OO 00 t` � T o f N PLUMBING STUBUP (16" X 24") cc _I HOT AND COLD INLET CN I �. , WASTE WATER OUTLET (FLOOR DRAIN) - ELECTRICA _ S?UL BJP (12 . 2 ) N) CN N PLUMBING STUBUP (12" X 1209) CN WASTE WATER OUTLET (FLOOR DRAIN) 1 /2 IN — 1 /2 OUT CONFIGURATION � � N N PLUMBING STUBUP (12" X 12 ) > COLD INLET WASTE WATER OUTLET (FLOOR DRAIN) I � 45' II 0 0 0 0 3,-1 3/8„ 4 -6 11 /32 11 /32" ALL INFORMATION CONTAINED IN OR DISCLOSED BY THIS DOCUMENT IS CONSIDERED CONFIDENTIAL AND PROPRIETARY BY LOAD KING DRAWING APPROVAL REQUIRED MFC. COMPANY, ALL DESIGN, MANUFACTURING, USE, REPRODUCTION, AND ALL SALES RIGHTS. ARE EXPRESSLY RESERVED BY AND TU SIGN, DATE AND RETURN TO LOAD KING MFG., INC. LOAD KING MFG. COMPANY AND COMMUNICATION OF THIS INFOR- MATION TO OTHERS IS PROHIBITED WITHOUT THE PRIOR WRITTEN Customer Approval: Date: CONSENT OF LOAD KING MFG. COMPANY, I I PROPRIETARY INFORMATION LOAD u PART NO. DO NOT DUPLICATE I _._. P.0.80X 40606 1357 WAEAVER ST. JACKSONVILLE, FL 32203 1116 4 7 0 DIMENSIONS ARE IN INCHES TOLERANCES UNLESSNOTEDSTUBUP LOCATIONS ISHT; 2 of � REV. FRAC. , N.A. ( ADDED STUBUP LOCATION FOR ICE CREAM DIPPER 8/31 /98 SEH DEC. TOL. f .01 AL,BERTSON S DOCUMENT NO. ANGULAR TOL. f .5 =SCALE:GATE: BY. DO NOT SCALE DRAWING SIZE: DRN. BY: SEH DATE: 6/20/981 /2 = 1 124 ( 1116470A iN C. I F.C.N. N 0. I REVISION NOTICE: IF THE PRINT OR TYPE ON ANY I I 1 1 1 11 I 1 1 1 1 1 1 1 1 11 I I ( r 111 1 1 1 1 1 1 1 �T r(1 rl 1 q _�f�� 1 I r I I- l I I rT I I I I cIr 1 I r 111 1 1 111 1 111 III III I II r11 11 r r� II I 111 11 111 1111111 111 1 1 1 1 1 1 1 1 11 111 111 1 111 I 1 I 1 1 1 ( f l l l l l l l ( I I I I � I 1 ? 3 4 1 ��G�'�` IMAGE SNOT AS C�.EAR AS THIS NOTICE, _ .� _ __�_____ 6 rI $ _ 9 - _1.0 ___ 11' IT .v DUE TO THE QUALITY OF THE No.36bw1M1 /_._ ___ ORIGINAL DOCUIMENT E O Z S Z L Z 9 Z Z �fi Z E Z Z T Z O Z 61 9 T L T 8 T 4 i fi T E i Z 1 I T T 6 8 L 8 Q I I I I I ` I I Ilii IIII IIII IIII IIII IIII 1111 11111111 IIII 111 11 l 1111 IIIA 1111 1111. Ilii 1111 IIII Illl IIII IIII Illi Ilii IIII IIII III 1111 .111 Ilii IIII IIII IIII IIII ILII IIIllllll [ll 11111 111 1111 ITS L llllrii l r I o � 0 X 0 O D EL 9 CL M m N , N N W O O •a Cl) N �1 O N '+ T m i i k � ry Sd ti 14300 SW BARROWS ROAD T' February/ 10, 1997 MPR Architectural Planning CITY OF TIGARD Attn: Norm Schoen OREGON 9150 SW Pioneer Court "T" Wilsonville, OR 97070 RE: Albertsans Inc. Electrical Plan Review M06-3W-SCt(�vlPs ftnyAead ELC#: 97-0053 The plans submitted were reviewed for conformity with the 1996 National Electrical Code (NEC) and the State of Oregon Electrical Specialty Code. The following was noted: 1. The 1996 NEC is the minimum electrical requirement. 2. The General Notes #4 of Sheet 7.11A are confusing. Would you please provide more code or listing related information of this? 3. Is the Data File Room #144 a "computer" room by definition of NEC, Article 645? Room #148 is a computer room by Article 645. 4. We need more information (who, what, and when) on the Pay Telephone installation. 5. Sheet 7.4, Detail 9, and others do not show the bonding of the ground to the water lines and other building metal as per NEC Article 250. 6. Regarding Sheet 7.1 B, General Notes #8, the speakers may require seismic slack cables for safety. 7. Is the Emergency Generator Transfer Switch, Sheet 7.4, Keyed Note 7412, a separately derived system per NEC? The equipment to comply with listing and service rating requirements of a generator This office needs cut sheets on the generator and transfer switch. 8. All electrical equipment to be listed and labeled by an approved testing lab (ORS 479 and NEC 110-36). This would include equipment furnished by others, i.e., Albertsons. This office will need cut sheets with listing information for the following: A. The assembly referenced in Detail 13, Sheet 7.2.191. B. The equipment referenced in Sheet 7.26, Keyed Note 7212 and 7213. C. The electrical equipment referenced in Sheet 7.2A, Keyed Note 7218. Li. The rain drain heater (Sheet 7.2A, Keyed Note 720). E. Exit alarm system - furnished equipment (Sheet 7.1 R, retails 9 and 10). 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 --- 1. Albertsons Inc. Electrical Plan Review ELC#: 97-0053 Page #2 9. There will be a restricted energy permit (lo-volt) for the following systems: A. Music on sound system B. Data C. Fire Protection (alarm) D. Paging E_ Symbol control F. Security (Detex and Von Duprin) G. Time recorder (??) 10. The fault current projections of 56,305 amps, Sheet 7.4, Detail #9, do not have the calculations or methods of protection for the panel that has only a 10,000 amp buss. Please provide the cut sheets and/or calculations for Series Rated Electrical Panel protection. Please respond with letter, cut sheets. and information requested above. Please contact Michael Rudd at 503-639-4171, x356, to discuss the electrical notes. I Thank you for your cooperation, Michael Rudd Electrical Inspector 1 NPRMSYSOCCUMENTELCO1 OO RMMARCH DOC February 14, 1997 MPR Architects CITY OF TIGARD 9150 SW Pioneer Court OREGON Wilsonville, OR 97070 RE: Albertsons Building Plan Review 12300 SW Saholls Fera Ro d 143A-' : N e5ar t". S f;x)U PC#: 12-21c BUP#: 96-0634 Submittal 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. Roof storm drainage piping must be connected to an approved storm drainage system [Section 1506 and 1804.7 and OPSC Section 1101]. ,40 1. Provide lighting loads on Oregon Non-Residential Energy Forms 5a through 5c. RjbS l L� 1. All doors with controls and hardware shall be of the type providing accessibility to F t persons with disabilities [Section 1109.3]. Hardware on doors shall be lever or other shape not requiring tight grasping, pinching, or twisting to operate. Controls shall require a force no greater than 5 pounds—force to activate [Section 1109.3]. Signage for the parking stall for the disabled shall include a separate "van accessible" sign mounted to the side of the parking space [OR20-6D DOT). -1" 3. The environmental control (thermostat) and lighting controls shall not be located more than 54" above finish floor for accessible side reach approach or 44" for forward approach [Section 1109.2.3.6]. 4 Include details of the accessible signage, including the van accessible sign, and 107 parking in accordance with Oregon Department of Transportation's minimum standards [OSSC, Section 1104-1). Brie Alarm systems shall comply with OSSC, Section 1109.14. 6. Doors equipped with exit alarms shall not delay egress [OSSC, Section 1004.5]. 13125 SW Hall Blvd., Tigord, OR 97223 (503) 639-4171 TDD (503) 684-2772 --- - ----- Albertsons Building Plan Review PC#: 12-21C BUP#: 96-0634 Page #2 r 7, ' The exit sign at the main entrance doors shall be centered over doors swinging I'- out towards parking lot [OSSC, Section 1013]. r/ 8. ; Telephones, if installed, shall comply with OSSC, Section 1108.4.2 and OSS Section 1109.13. 9, Exit and other signs shall comply with OSSC, Section 1109.15.5, 'Raised and Braille Characters! (1. All rack storage shall be anchored to resist lateral seismic force. Provide a design r ill for attachment, using the formula in Section 1630.2, prepared by a licensed engineer. 2. , Provide a ;(ey box (knox) mounted to the exterior wall 10' above finish grade and adjacent to the right side of the main entry door. The box shall contain keys to gain necessary access as required by the Fre Chief (UFC 902.4]. If you have any questions regarding this matter, please contact the Fire Marshal at 526- 2502. V 4' Provide Type 2-A fire extinguishers throughout so that the travel distance to a unit does not exceed 75 feet [NEPA 10 3.2.1]. Glazing, in fixed or operable panels, adjacent to a door where the nearest exposed C' 11 . lee dg glazing of the lazin is within a 24' arc of either vertical edge of the door in a closed position and where the bottom exposed edge of the glazing is less than 60above the walking surface, shall be tempered [2406.4(6)]. 1. The suspended acoustical ceiling system shall be anchored to resist lateral j�. seismic forces [Section 1630.2 and Table 160]. ProOde suspension wires not C� smaller than No. 12 gauge spaced at 4' on center, perimeter wires on terminal ends of cross and main runners at a maximum of 8' from each wall, four No. 12 gauge wires splayed 90 degrees from each other at an angle not exceeding 45 degrees from the plane of the ceiling with a strut centered and extending to the P71structural members supporting the floor or root above and spaced 12' on center in both directions starting 6' from each wall. All lighting fixtures weighing less 4' than 56 lbs. shall be positively attached to the suspended ceiling system [ASTM C635-94]. When using an intermediate grade system, No. 12 gauge wires shall be attached to the grid members within 3' of each comer of the fixtures, and lighting fixtures weighing less than 56 lbs. shall have two No. 12 slack wires connected from the fixture to the structure above. Ceiling mounted air terminals or services weighing less than 20 lbs. shall be positively attached to ceiling runners. Provide an illustration. Albertsons Building Plan Review PC#: 12-21c BUP#: 96-0634 Page #3 t 2. Each prefabricated structure, i.e., walk-in cooler and/or freezer shall bear the insignia of the Oregon State Building Codes Agency [Section 1704.61. Each prefabricated structure shall �je equipped with required sprinkler heads. (3. Complete the enclosed Special Inspection form and return to this office prior to i our issuance of the building permit. Copies of all special inspection reports shall h be filed with this office continually during construction. A final signed report must be on file before occupancy will be permitted [OSSC, Section 1701.31. 4. Provide weep holes 24" on center at or slightly above grade on all brick veneer. 5. In Seismic Zones 3 & 4, water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion [Section 510.51. Submitted under separate permit. A separate application, plans, hydraulic calculations, and hydrant flow test will be required, pursuant to NFPA 291. 1. Two water fountains will be required. One shall be handicap accessible. Please submit three 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, o e oskin, CBO P NS EXAMINER i waMevs¢ rrtrmsow.a�+wcinicaDM i .,F'. -03--98 05: 04P S.D. Deacon 503 2978791 Oregon Department of Agriculture 635 Capitol Street NE Salem, Oregon 97310-0110 l.•� 1 (503) 986-4720 :•'r 1 FAX: (503) 986-4729 Hearing Impaired TDD CASHIER'S USE ONLY#(503) 986-4762 l��3C�CJ c3" LICENgi# _ i LICENSE TYPE MAIL FIRM# PRINT OR TYPE LICENSE EXPIRES JUNE 30, 19_ Business Name TeleNlrone#,1_ _ Owners Name FAX# Mailing Address�,� � -,,�( - (;�l n�: ,� �i� Location Firm # City, State, Zip /lam.�•J - -- -1 —..._ .._ New Establishment iL or BUSINESS LOCATIUN: L Change of Ownership Street Address l �� :�\j - t City, State, Zip 1� 1�_11� Renewal CHECK LICENSE TYPES THAT PERTAIN TO YOUR BUSINESS. A SEPARATE FEE IS REQUIRED FOR EACH LICENSE TYPE. SEE REVERSE SIDE FOR FEE SCHEDULE REPORT GROSS AN UAL S,�1L FEE PAID 03 PRODUCER-DISTHOUTOR GRADE A $_ $ LA PHODUCER-DISTRIBUTOR GRADE 8 - 05 FLUID MILK DISTRIBUTOR - 06 NON-PROCESSING DISTRIBUTOR GRADE A $ 07 NON-PROCESSING DISTRIBUTOR GRADE 8 — __ 09 BAKERY- SEE FEE SCHEDULE Z 10 BAKERY DISTRIBUTOR-SEE FEE SCHEDULE Z 11 DOMESTIC KITCHEN BAKERY $ __� - $ 12 NON-ALCOHOLIC BEVERAGE PLANT 19 DAIRY PRODUCTS PLANT $ $ 37 ANIMAL FOOD PROCESSOR $ $ --X.,.'38 MEAT SELLERS - _-- $- __ 39 POUL fRY 8 RABBIT SLAUGHTER 40 SLAUGHTERHOUSE 41 NON-SLAUGHTERING PROCESSOR $ $ 42 CUSTOM STATIONARY SLAUGHTER $__, — $ 43 CUSTOM MOBILE SLAUGHTER $ `—"� $i _ 44 CUSTOM PROCESSOR - _ 59 FOOD PROCESS114G ESTABLI HMENT $ $ _ 77 RETAIL F60D ESTABLISHMEN - $— _ 78 FOOD•$TORAGE WAREHOU LICENSE 7$__ - � TOTAL FEES SUBMITTED PRINT FORME OWNER'S NAME AND BUSIN�SS N E`_ Signature i O 6i(,�L'IC - . LICENSE IS PERSONAL 4� THE APPLICANT AND CAN14UT BE TRANSFERRED TO ANOTIIER PERSON ON ENTITY. PLEASE RETURppTHIS APPLICATION WITH YOUR REMITTANCE PAYABLE TO OREGON DEPARTMENT OF AGRICULTURE. ��. t \ l �� APPROVED_1\k l J VVIR%\�, w 1- , -� � 'rI ► _ DATE �_t --- _* - Department Representative ECHECK BOX IF YOU REQUIRE LETTER FOR FOOD STAMP AUTHORIZATION Mar-(;;, -98 05 : 36P S - D. Deacon 503 2978791 • 0.3 31 '98 1ti:.18 '$'511.1:3,.59033 P. 02 U.�NF5 & Mr717HE, ®no_, oo: DAMES & MOORE 0�wQ'iMOOIlE CIt0U;rCW0ANy 7tlp NE MWu+omah,�m;e IOOn-- -- POrtLnd,J►elon 9723: 303 135 9111/tel March 23, 1998 503 275 9033 Fu I he City of Tigard 13125 S.W. Hall Boulevard Tigard, Oregon 97223 00 S / , 1 �3 Arm: Mr. George Steele Re- Summar o� y Letter Construction Monitonng Sen•tce5 Albertsons Tigard, Oregon Dear Mr Steele �I Dames& Moore provided construction n7or7iloring and testing services during sitz development aid foundation construction for the above-referenced project Our scope of services iltcluded monitoring of excavation activities, structural fills(w' cludi.ng cement soil mixing), a-spl attic concrete testing,and foundation subgrade observation Dames & Moore provided full- and part time construction morutormg and geotechnical consultation services for the duration of the proicet. Based on the results of our field and laboratory testing and our oti"rvations during construction, it is our opinion that the completrd earthwork, asphalt Placement, and foundation bearing surfaces generally comr'Y with the intent of our recommendations and the, project plans and specifications. Specific observations and test results are summarized in our Daily Field Reports, which have been included with this letter. Please call if you have any questions or need additional information. Sincerely, �v , Damen & Moore C_ _..Q- , Conrad Felice, P.E. Project Manager [new Wofle—de IMar-31 -98 05 : 35P S - D . Deacon 503 2978791 P- 01 DF�,AC.CO N FAX IRAN MI-I"I AL GENE IIAI 4; ui i nA1: TU11 Fmill:Xmike PfWe Sloe nllricrycll ❑ Project Name: ALIN:R'INON'S STORE, #576 Nulject NVIIIIrer:---7053 [] Archilecl hElnll Cavan Assallnu,lire. 111:1420fieal Irepreur ❑ I ice I'iulecuun Service 1111-399 0117 Ilandy I)avlalls Itrllls EtighicerllrN ❑ I ire Ihulccunn Sysiculs 2 i 14112 15113)615 73511 (213)933.11160 (3 G A 1.%urveyu,s ('71 41877 Oill)691.1344JFAX) 121319J7.71101PAX) rJ (illullell Pau Prut. 221 U2•Ill Cuidu'1: ❑ 1(Ilw%t't Sleel 11119 94JY ❑ Owner ❑ Iusull'tu Ils1 King) 630.1399 Alherunn's life. ❑ Smoctuml FriNineer ❑ luteliurlcchnulugy 626-3361 Kulhenue Kirk IIarris Elsitinear161 ❑ l,uu 1411111 5113.304-0761 (2(1)195 624) 1201)ARA-7107 ❑ J S1 S Comm. I luum 141.3619 (201)3115.6442 IPA X) (204)111.1343(FAX) ❑ lir-Sun Spec.Palm 303.1SN1.1796 ❑ Owner Wma]i G,ntselt ilex Ilarrisim ❑ la.:kx llveihcild Uuur 626-2147 Wayne tilmud ❑ K.l,M Comi.Sciv. 211 4511 151.9512 ❑ K2MU Imennrt 50.1-5,1711174 lit ')%It (1t\\1 (] St'llCON'1'N\l"I'1111v1. FAX [] leah) Couilru.tlon J57lm'? ❑ MSI Mcchmncal 611'0311) �J Clrlllat-lor•ollisce ❑ Advanced linlry Systems 212.7001 ❑ Northwest Ilandling 9ysl• 253 With 111.1111.I)CAC4111 Curp. ❑ Arhim Fgnt►r„tnl 11114.321.3195 ❑ OR mall Ildw 5111.362.11'191 (51131 297.1791 Q Arctic Shret Metal INI-SH49 ❑ t)v. W.it(3ucln 341) 393.111'15 (Sill)!4?899711'AXI [] Anuw Meds.Cu. 6'►1 IAP) ❑ 1'uiulwy Well 215 17x1 (] pal hlahuuey ❑ Ilaker Rmk 6.12.2534 17 11u111allJ Shed Mclul 651.491'► ❑ I lots Childf ❑ Illicit Nuuling h53 7117 EJ I'uwcrs\V7Wy 1101 2x49576 ❑Swirly Vick ❑ Ilutwell(laser 4111 271.11.1119 ❑ Rlwl I'niiluclt 61S•192.2107 ❑ Cnuyml Uluss 644 1111199 ❑ Snyder Rlnlhtil Ego JJIO [j Mechanicat I-'nNinccl [] Carbon'Iesting 6NI 11934 ❑ I'enrmlan Masuury 4541)315.11529 Uean MrKeIllp,P-V ❑ Clown I.mldtca)ie 642.4943 ❑ lua191111 I IedlIC 611.79114 11(14) 336 1116 Q 1latlita a htunrt 135.9031 ❑ 1lmted Ivc.111th&tial 2490172 (21)x1 136 1141)(PAX) ❑ I>wIJ Seloulet hlnlinry 294.1011 ❑ Valley I'ag.Cun,l674 51157 Crnlart: ❑ I)iA011 Steel 341 671.47h6 ❑ Well,Cum Ilchar 503 129 21113 ❑ Ilynansir Curti. 113-241 111111 ❑ Willuinelle Pence 133.6110 ❑ I:u11cs View Caird 6106130 ❑ Wuhruw olfultllcnun 109.697.6376 ❑ 1•.slelitlf slo clally 656AS4I ❑ Znncs Spcc 1161g 1x116)A94.7x17 ❑ (hrguuinl'nm. 1x6.7759 �nce.- - --- - - -- I r ii AI.14I1SIUPIt 01•I'AE71tS SEN I'IINCI Ilt)INti I AX 71tANSKIII l At.) ' 'f7f 1'r��Ju nw re.rirr.,A/rn,ert,7hU1e eu17 S.mJY 1'11 A of:V7 x'VI I 1111:J'.;:13•yf Ilanlci,py lot hrllow vis. ❑ legular Mod ❑ I•apr11ueJ 11`a.ery [] No Ilonlc q,y A CITY CF TIGARD -� DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : PLM98-0395 DATE ISSUED: 11/02/98 PARCEL: 2S104BB-07900 SITE ADDRESS. . . : 14:300 SW BARROWS RD SUBDIVISION. . . . - RUSSELL' S SCHOI.-I_S FERRY SUB ZONING: C--N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .002 JURISDICTION: TIG _---------------------------.--------------------------------------------------- CL_ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 1YPE OF USE. . . . :COM WASHING MACH. . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY ORP. . -.M FLOOR DRAINS. . . . . . . 2 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRNINS. . . . . : 0 �:i I NKS. . . . . . . . . : 2 URINALS. . . . . . . . . . . : 0 GREASE f RAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 2 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . , . : 99 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 99 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Plumbing for installation of coffee kiosk. Owner: —•------------------------------------------------ FEES --------------- ALBERTSON' S INC. type amoi.int by date rer_pt 250 PARKERTON AVE PL-CK $ 37. 00 OED 11/02/98 98-310499 BOISE OR ID PRM'T E 148. 00 UEO 11/02/98 98-310499 5PCT $ 7. 40 GED 11/02/98 98-310499 Phone #: Contractor---------------------------------- MARXMEN PLUMBING INC 9665 SW 163RD AVE BE.AVERTON OR 97007 _.___---__—_-------------------------... Phone #: 579-2200 : 192. 40 TOTAL_ Reg #. . : 001024 -------- REQUIRED INSPECTIONS ----This permit is issued subject to the regulations contained in the Underfloor/Under Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—o Ltt Ins p applicable laws. All Mork will be done in accordance with RP/Backflow Prev approved plans. This permit will expire if work is not started Final Inspection within 189 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-8881-Mit through OAR You may obtain copies of these rules or direct questions to OLRIC by calling (583)246-1987. Issued1=permittee Signature: ++++++++++++++++++++++++++•;-+++++++++++++++++++4++++++++++++++ +++-+++++++++- Cal l 639-4175 by 7:00 p. m. for an inspection n?eded the next bi-►siness day +++++++++++++++++++++•++++++++++++++++++++++++++++++-I-++++•+++++++++++++•+++++++++ CITY OF TIGARD Plumbing Permit Application Plan Check � �_ 13125 SW HALL BLVD. Commercial and Residential Recd 6th I-IGARD, OR 97223 Date Recd = f (503) 639-4171 ,�� Date to P.E. LG 9 Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit to Fc-r Q-09 S Related SWR Called/1g,4k ✓ PIL Zd Name of Development/Pr,)ject — FIXTURES (Individual) CITY. PRICE AMT Job 1 LtyP.rTSOI, - - Sink --- ---- 9.00 Address Street_Addres - Sulle Lavatory ,i - 9.00 I y ��0 W cwttAOu�� Tub or Tub/Shower Comb 9.00 Bldg t CitylStale .- ZIP Shower Only - 9.00 nr c� Name Water Closet 9.00 -- A L{pC,y^ ` h S Dishwasher __—- — 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 bO 2 A R Keli U it Washing Machine - 9.00 City/State Zip Phone Floor Drain/Floor Sink 2" 9.1 �.sC TD --- -3�°5 cA3 --- , — 10 Name 3" -- 9.00 f)L b yz o h S 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind — 9.00 yD,) Gas piping requires a separate mechanical permit City/State Zip Phone Laundry Room Tray 9.00 _ Urinal 9.00 Name Other Fixtures(Specify) 9.00 t t11 t 11;14 N ft-to U VY1�1 Contractor Mailing Address Suite _ 9.00 a p 9.00 OD 4(da� �•w I rr,3 ,� >J-- -- Prier to permit City/State Zip Phone Sewer-1st 100' 30.00 ?DO issuance,a copy of ) C-1 70 L 7 X3()G Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lic.B Exp.Date I i Water Service 1st 100' 30.00 required if f Q,Z { 2 d expired in COT Plumbing Lic aX Exp.Date Water Service-each additional 200' 25.00 database 3�}r((n( Q ___ Storm&Rain Drain-1 at 100' 30.00 Name Storm&Rain Dr;-in-each additional 100' 25.00 Architect Mobile Home Space - 25.00 or Mailing Address Suis. �- Commercial Back Flow Prevention Device or Anti- / 2500 127 Pollution Device _ Engineer CllyfState Zip Phone Residential Backflow Prevention Device' r 15 00 (Irrigation timing devices require a separate - Describe work to be done — restricted energy permi!� U, New Gow"Repair O Replace with like kind Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O Catch Basin 9.00 Additional description of work. — Insp of Existing Plumbing 4000 er/hr Specially Requested Inspectiur:s 40.00 per/hr _ Rain Drain,single family dwellinq - 30.00 Are you capping, moving or rept ting any fix, -es? ---- Yes O No# Grease Traps 9.00 If yes.see back of form to indicate work performed by QUANTITY TOTAL 7 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required If Quantity Total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES. — 'SUBTOTAL 1 I hereby acknowledge that I have read this application,that the information / given is correct.t t I am the owner or authorized aqnnt of the owner.and 6% SURCHARGE 7Ic that plans su i d e in com 'since with Oregon State Laws. _ __ S nM re of OWne ant Date **PLAN REVIEW 25%OF SUBTOTAL / Required o!y 0 fixture qty total is>9 TOTAL T U Contac !-Tori me Phone _ S��I �,'at� 'Minimum permit fee is$25+ 5%surcharge,except Residential Backflnw M Z Prevention Device,which is$15+ 5%surcharge "All Now Commercial Buildings require plans with isometric or riser diagram C� and nlan review I tdsisWaunaP,r dx I'x198 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced RemovedICapped Sink — Lavatory — Tub or Tub/'Shower Combination Shower — -- Water Closet_J___ _ -- Dishwasher Garbage Disposal — Washing Machine — _ -- Floor Drain/Floor Sink 2" Water heater __ LaundryRoom Tray^ Urinal_ i Other Fixtures (Specify) COMMENTS REGARDING ABOVE: f Accumulative Sewer Tally Tenant Name: This SWR# �1 >ddress:�' 1 Y' l f' ,� This PLM#: n-33 7ixture Value Previous Pr-%,ious Credits Capped Fixtures Fixtures New total New # %';:sue Capped off value added# added #s total Count off#s count value values 3aplist /Font 4 3ath-Tub/Shower 4 -JacuzziM hirlpool 4 Car Wash-Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 Drinking Fountain 1 _ Eye Wash 1 Floor Drain/sink-2 inch 2 _ _ 3 inch 5 4 inch 6 Car Wash Dm 6 Garbage Disposal i i 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Rec.Vehicle Dump Station 16 Shower-Gan (Per Head) 1 -Stall 2 Sink-Bar/Lavatory 2 Bradley 5 _ Commercial 3 _ Service 3 Swimming Pool Filler 1 _ Washer-Clothes 6 _Water Extractor 6 Water Closet-Toilet 6 Urinal 6 TOTALS - Total fixture values: , divided by 16 = EDU f �Ob HISTORY PLM# _' EDU# SWR#, % PLM# EDU# SWR# PLM# _ EDU# SWR# _ PLM# EDU# SWR# PLM# EDU# SWR# PLM# _ EDU# SWR# _ PLM# EDU# SWR# PLM# EDU# SWR# i WsMswrtaly doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �l p 161' 060 Date Requested— r l 1. 17 _1 0 BLIP AM _—PM — BLD _ Location- 1-t.) ,(��1 _ Suite MEC Contact Person _ Ph PLM q Contractor 'YYl Ph GJ 7SWR BUILDING �— Tenant/Owner /�}'��lJ m zl ELC — Retaining Wall ELR Footing _-- -- Foundation ACCe55: FPS Ftg Drain SGN Crawl Drain Inspection Notes: LJ I -- -- - 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 -- --- - P RT FAIL �_----- __-_-- LUMBIN Post&Beam — - - - -- - Under Slab Top Out Water Service Sanitary Sewer _ Win Drains Fin PART FAIL 19MANICAL Post&Beam — Rough In Gas Line - Smoke Dumpers Final --- -— PASS PART FAIL ELECTRICAL -- — -- Service _ Rough Ir- UG/Slab _---_—_ Low Voltage Fire Alarm Final ---- ----- PASS PART FAIL _.._. ----- — ------------ -- - --SITE Backfill/Grading - -� _-- -� --- --- — Sanitary Sewer Storm Drain I ] Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RF [ ]Unable!o inspect-no access Fire Supply Line ------- ADA �/ Approach/Sidewalk Date - � %U Ing ector_ Other �-.r_---- P -- —Ext 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: 6394175 3usiness Line: 639-4171 --- --- -- I BDP l _ f d Data Requested ��-/ 7'y� __AM PM _ BLD —_—. --- Location_ l y D0-S&J .131 11�11C�S �y suite .- MEC -- - Contact Person _ Ph — PLM _ L Contractor � L L- ' C= Ph ��1� -o /J�J� SWR aL BUILDING 1 c-nant/Ovvner Retaining Wall ELR _ Footing Access: Foundation �� r FPS _ Ftg Drain �/ SGN Crawl Drain Inspection Notes. Si-+b _-.-- -_____---_ SIT _ Post& Beam Ext Sheath/Shear I -- Int Sheath/Snear Framir•g - ----- -- - -- - _---- -- - Insulation (Drywall Nailing __--_ ---- -- - "'irewall �— t ire Sprinkier - -�11� .s��--_J� .al�---- -�s— Fire Alarm Susp'd Ceiling -- ----- -- - - — Roof Misc:._ - Final _ 1 - _- PASS PART FAIL -- -`- -"-- PLUMBING Post&Beam Under Slab Top Out Water Service - -- Sanitary Sewer -- -- - -- Rain Drains ------ -- - Final -- -- - -- PASS PART FAIL _ ---- - MECHAIIICAL Post& Beam ----- --- - -- Rough In Gas Line Smoke Dampers Final -------...-- ---__.".._.._-- --- - -—PART-- ,FAIL -5LECTT&LL Service - -- - -- - -- -- ------ - -_ Rough In UG/Slab --- - - -- - Low Voltage Fire Alarm _- ASS YART FAIL --- - --- Beckfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of E• required before next inspection. Pay at City Hall, 13125 SW!call Blvd Catch Basin [ ]Please call for reinspection RE:_—� — — [ ]Unable to inspect. no access Fire Supply Line ADA Approa0i'Sidewalk Date /l / / Inspector -4� �� Ext Other Final ASS PART FAIL DO NOT REMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Insptction Line: F39-4175 Business Line: 639-4171 MST BLIP _ Date Requested AM PM BLD Location c c' Suite MEC Contact Person Ph _ PLM — Contractor __ Ph SWR BUILDING Tenant/Owner _ �_� - S l' J ELC1S "c.--C (<, Retaining Wall ELR Footing Access. Foundation I �� FPS Fig Drain Crawl Drain Inspection Notes: JJ SGN Slab `-—L� CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF OCCUPANCY PEPM I T 0. . . . . . . . DATE TOSUEO: 11 / J8/1)8 P(I f�C["L i P,S I QN 4 116 0 7?00 )I IT. ADURE.F)t-.,. 14 300 SW SAVMOWS PD W"'01-F ;U[if)I V I Ft I ON. Rt ISSEL.L. fi(l 101A.S FERPY SHE) I Of I(NO t C -N 31 OCK. . . . . . 11JP1'3DTVTTrR 1 10 01"' WORK. :ALT C YPE. OF' USE. . . ;COM r,yt:,E OF' CONSTP:3N OCUUPANCY GRP. s OCCUPANCY L.OAD- TE:NANT NAM17. ALBERTSON' ,?em. 11- kio : ALBERIIGON' '� NIC. #576, 00 BOX 20 IAO IGF_ 10 83726 r�'hpne Vii: 1� 1) DEACON PU BOX P53W.l i-',(IRTLAND OR 97225 -0-icyne 0 : 29-1 -8791 14, -?q ##. .. - 000381 I b I T, C'qwt i f icat P grants occuplAnc.V c)f the above t pf et,enced bui Idl.rig or, part i on f and corif i t-me that the bi-it Id i nq hi�3 s been J.nspect Pd for- c-ompl i a-lCe with the �;t 0 t e of Or-yon 5p ec i Ek I t y Cod Lb S f C)I- the group, occu pan(.-Y. and resp undlut• which the r-efev-enced per-mit was isiued. 6t1ILDING INSIOrECTOR SIJILD'INO 0r*F-I(.- i0L POST IN CONSPICLIOUS PI ACV CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0646 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 10/26/98 PARCEL: .:'S1041313-07900 SITE ADDRESS. . . : 14300 SW BARROWS RD SUBDIVISION. . . . :RUSSELL' S SCHOLLS FERRY SUB ZONING-.C-,N BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG Project Description: Installation of (2) M amp or less services or feeders. ------------------•------•-_------.__- -- ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PIANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ----ADDIL INSPECTIONS-- 0 - 200 amp. . . . . . : 2 W/GERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1a W/O SRVC OR FDR. : 0 FIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . : 0 -----------------PLAN REVIEW SECTION---------------- 1000+ amp/VoIt. . . . . : 0 ) =4 RES UNITS. . . . .. . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . i 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES ALBERTSON' S INC. type amount by date reept 250 PARKERTON AVE PRMT $ 120. 00 DED 10/26/98 98-3`l0C`-,1-11-- BOISE OR ID 5PCT $ 6. 00 DEB 10/26/98 98-3 1 0-E-LEV, Phone #: C."ont r-irt or,- ---------------------------- TUALATIN ELECTRIC $ 126. 00 TOTAL. PO BOX 655 REQUIFED INSPECTIONS WILSONVILLE OR 97070 Ceiling Cover Elect' l Service Phone #: 682-2955 Wall Cover Elect' l Final Reg #. . : 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 toill 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 tore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010-throbqh %R 952-00I-1987. You may obtain P copy of these rules or direct questions to_OUNC by calling 1p@3)246-1987. Permittee Signature*. -..- I i� tf�) VgU Issued ------------------------------OWNER INSTALLATION ONLY------------------------ r*he installation is being made on property I own which is not intended for sale, lease, or rent. ()WNERIS SIGNATURE., DATE: ------------------------CONTPACTOR INSTALLATION ONLY---------------------------- 5IGNATURE OF SLIPIR. ELECIN- DATE s 1-ICENSE NO: 2)q .................................................4............4...................4 Call 639--4175 by 7:00 p. m. for an inspection needed the next business day ........... ......4..........................................................4 1 CITY OF TIGARD Electrical Permit Application Plan c 13125 SW HALL BLVD. Reedy TIGARD OR 97223 Date Recd Phone (503)639-4171, x304 Date to P.E. Print or Type Date to DST r"-"- Inspection (503) 639-4175 permit# �l� 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 NRnle(or name of business) ►�,g, cA �� ` n-) Service included: Items Cost Sum Address LI'3ca f r "J'5 tom`' 4s. Reslventlel-per unit 1000 ft.or loss $110.00 City/State/Zip -it`�R.d 02 c 7 2-Z 3 Each additional 500 sq,it.or 4 Commercial Residential ❑ pc„Ion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor Installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor )Q-ct 1 C- Installation,alteration,or relocation 200 amps or less $60.00 L•� 2 Address Pu, %o x (o5S 201 amps to 400 amps $80,00 2 City State C)R Zip r'1 70.7 O 401 amps to 600 amps $120.00 2 Phone No. Co4�].- Z•)5 601 amps to 1000 amps $180.00 2 .lob No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. 3 - - Exp.Date 1 1 Reconnccl only $50.00 2 OR State CCB Reg. No. O Ex -�V 4c.Temporary Services or Feeders COT Business Tax or Metro No. Date Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 3 Q c Over 600 amps to 1000 volts, License No.�• U' J E .Date U ' G see"b"above. Phone No. (e -' 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installati s: a)The fee for branch circuits with 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 2 The installation 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 Owner's Signature (Service i achpump o�Irrigation circnot a) $40,00 2 Each sign or outline lighting $40.00 2 3. Plan Review section(if required):' Signal circuits)or a limited energy- panel,alteratir•n or extension $40.00 2 Please check appropriate Item and enter fee in section 58. Minor Labels(ti) $100.00 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. Jr. Fees: 1 Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION Au rHORIZED IS Plan Review if required(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 a I (LU TIME AFTER WORK IS COMMENCED. ❑ Trust Account# to Total balance Due t • I.rDSMELC9Q.APP nev WN MRP-•24-1998 1159 COB DEV SERV I CES 503 526 3720 F.02/03 EQtO� 04'F We f 7 CITY of BEAVERTON 4755 5 W (;dMfh Drive.P.O. Box 4755, Brwertnn.OR 87079 General trJorteatlon 150 )528-2222 v/TDD 7 INV it,ENN\'�\� Steven A. Ward, P.F. 23 March 1998 Westech 3941 Fairview Ind Dr., #100 Salem, OR 97302 Don Duncombe Albertsons Inc. 17001 NE San Rafel Portland,Oregon 97230 RE' Albertson's Sewer 1.ine SD 970010 Dear Mr. Ward and Mr. Duncomhc. This letter is intended to proviae an update on the status of the above permit,and can be considered a supplement to my last correspondence.dated January 7, 199X Late last week, the City of Beaverton received permission to access the lower manhole and inspect the sewer line. This inspection has been done and the construction has been deemed substantially complete. However. Bob Hammond, Senior Inspector w,11 compile a punchlist regarding arty items needing correction. Upon final inspection and determination that these items have been addressed, the City can determine that the construction is fully complete. The City wi I then be able to accept Elie sewer as a public facility upon the receipt, review, approval, and recordation in County records of the necessary documents to grant the City of Beaverton permanent easements for the sewer from all affected property owners and interests. II� By a copy of this letter to the City of Tigard, the City of Beaverton hereby requests that all final building occupancies on permits issued by the City of Tigard, for structures served by y the sewer, be withheld by the Tigard g Building Official until notification that the subject sewer line is formally accepted by the City of Beaverton. This notification %011 be thorough correspondence from Rob Hammond, Senior Inspector. However, at this time, the City of Beaverton has no objections to the issuance of a temporary or conditional occupancy by the City of Tigard for the new Albertson's Store Please call me at 526-2442 if you have any questions or concerns. ,�incerel}, James J. Duggan, P.F. Development Seryices Section Community Development Department IIAR-24-1998 11:—:4 COB DEU SERUICES 503 526 3720 P.03/03 Page 2 Alberisons Sewer Line c: Linda Adlard, Chief of Staff Irish Bunncll, Development Services Manager Terry Waldcle, City Engineer Bill Scheiderich, Asst.City Attorncy Bob Hammond,Senior Field Inspector Michellc Soileau, Engineering Plan Reviewer Davc Scott, Building Official City Of Tigard 13125 SW Hall Blvd. Tigard, OR 9723 Brian Rager City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 Kenneth Hoo P.O. Box 2800 Honolulu. HI 96803 Greg Kurahashi Kutaha_shi and Associates 13500 SW 72nd Ave., Suite 100 Tigard,OR 97223 Craig Petrie (fax 579-9034) T(JTHL P.0- WASHINGTON COUNTY, OREGON Department of Land Use and Transportation, Land Development Services 155 North First Avenue, Suite 350-13, Hillsboro, Oregon 97124 (503)648-8761 FAX: (503)693-4412 April 3, 1998 City of Tigard Brian Rager 13125 SW Hall Tigard, OR 97223 Re: Albertsons - Project No. 97905 City of Tigard — SW Scholls Ferry Road Public improvements have been completed and accepted by this Department pending issuance of a maintenance agreement and financial assurance. Washington County requirements have been met regarding Albertsons Certificate of Occupancy criteria. If you have any questions, please contact this office at 681-3843. ILI Jackie Sue Humphreys Planning Assistant c. Albertsons, Inc William H. Arnold, 250 Parkcenter Blvd., Box 20, Boise, ID 83726 -/have Scott, City of Tigard,via fax#684-7297 g 97905 bndfjssh CITY OF TIGARD ELECTRICAL PERMIT #: EL-C97I0582 DEVELOPMENT SERVICES DATE IS3JED: O8/26/97 ! 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ` 1 S�Y' ►'��tl�'.fZ()IA{`� Kvlli , PARCEL: 2S 10488-ALOO 1 SITE ADDRESS. . . : 1_11-300 SW 43CHCMLSRR't-R8 SUBDIVISION. . . . : ZONING:C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr•o.jer_t Desc.r,ipt ion : Albertson's service. ---------------------------- ---RESIDENTIAL- UNIT---- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS----- 1000 ISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 1-(. a1 ADD' L 5O0SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE_ LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/F'DR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS------- -----ADD' L INSPECTIONS----- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st !410 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -- ----- ---------FLAN REVIEW SECT I ON------ 1000+ N-----1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . CC. :OReconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC. .- Owner,: wner,: ----------------•------•------------------------------ FEES ----------------- AL..BERTSON' S INC. type amoLcnt by date rer-pt '50 PARKCENTER BLVD PRMT E 60. 00 J S D 08/x:6/97 '97-298671 BOISE ID 83706 5PCT $ .3. 00 JSD 08/26/97 97--•298671 Phone #: I UOLAT I N ELECTRIC $ 63. 00 TOTAL IO BOX 655 ------- REQUIRED INSPECTIONS --- - WILSONVILLE OR 97070 Elect' 1 Service Phone #: 682-2955 Elect' 1 Final Reg #. . : OOO656 This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other Applicable laws. All Mork will be done in accordance with approved plans. This perait will expire if work is not started within 188 days of issuance, or if work is suspended for Bore than 188 clays. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule, are set forth in OAR 952-881-8818 through OAR 1151''-881-1987. You aay obtain a copy of these rules or direct questions to OUNC by calling (583)246-1987. I s s i-c e d By- INSTALLATION y:INSTALLATION ONLY- _--._----_____--------------_..___ the installation is being made on pr-operty I own which is not intended for- ,sale, lease, or r-ent. OWNER' S SIGNATURE: -- -�-_— — DATE: ---- --------- - -- ----CONTRAL'TOR INSTALLATION ONLY ------------- ----- -- -- --- -- - SIGNATURE OF SUFIR. ELFC' N: i_ DATE: i.-I CENSE NO: r _-- _ ---_-- - f++++++++++++4++++++++4-444...................................................... Call 639-4175 by 6:00 p. m. for- an inspection needed the next bl-isiness day +*++++++++++++++++++4++++++++++++-#+++++++++++++++++++++++++++++++++++++++ h+-++++ CITY,OF TIGARD Electrical Permit Application Plan rheck# 13125 SW HALT_ BLVD. Recd By TIGARD OR 97223 Date Rec'd Phone (503)639-4171, x304 Date to N.E. Inspection 503 639 4175 Print or Type Date to DST P ( ) Fax (503)684-7297 Incomplete or illegible will not be accepted Permit# Called__ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ` � �' Number of Inspections per permit allowed Name(or name of business) Service included: Items Cost Sum I ;300 5• IKhr' Address ::-. _- 4a. Residential-per unit ` (^� 1000 sq.0.or less $11000 _ _ 4 City/State/Zip Each additional 500 sq.ft.or Commercial ❑ Residential ❑ portion thereof $25.00 _ 1 Limited Energy $25 00 Each Manuf'd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: -� (Attach copy of all current licenses) 4b.Services or feeders Electrical tractor Installation,alteration,or relocation Address yc> > 200 amps or less $60.00 C 201 amps''a 400 amps $80.00 2 City State Zip 401 amoe to 600 amps $120.00 2 Phone No ell 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 Elec.Cont. Lice. No. ,`_Exp.Date_ /�S-/-�� Reconnect only $50.00 2 OR State CCB F eg. No. , _ to 4c.Temporary k•ervices or Feeders COT Business T.tx or Metro No. ate Installation,alteration,or relocation ,e 200 amps or less $50.00 _ 2 Signature of Supr. Elec'n �f✓� 201 amps to 400 amps $75.00 _ 2 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License Noy 523 E p.Date ass"b"above. Phone No. - _-------._�._-- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purrhase of service or Print Owner's Name_ _ feeder fee. Address _ _ - -- Each branch circuit $5.00 _ -- --- b)The lee for branch circuits City _ State_ zip without purchase of Phone No. _ _ service or leader fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent. 49.Miscellaneous Owner's Signature (Service or feeder riot included) g - _.. Fach pump or irrigation circle $40.00 ; Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal clrcuit(s)or a limited energy- panel,alteration or extension $40.00 _ 2 Please check sppraprlate item and enter fee In section 58. Minor Labels(10) $100.00-- 4 or more residential units in one structure 411.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 $05 00 Classified area or structure containing special occupancy Per hour $5500 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. 56.Fn1Er fetal of above fees $ 5010 Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reauired(Sac-3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY . TIME AFTER WORK IS COMMENCED. ❑ Trust Account Total balance Due S J I.OSMELCN APP RBV WN CITY OF TIGARD ELFCTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL-C9'7-0563 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/ 19/97 14:101.." � 1eoAl) PARCEL: 2S 104BB-AL.001 �i I TE ADDRF_SS. . . : 1-2.30VY SW 3 LT3 FERRY RD SUBDIVISION. . . . 7.ON I NG:C-N BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr(,i.j ect Descr i pt i on : Temporary se,,ice and 1 branch circuit. ---RESIDENTIAL UNIT---- -TEMP SRVC/FEEDERS----- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 1 F'UMP/IRRIGATION. . . . : 0 EACH RDD' L_ 500SF. . . : 0 1.01 - 400 ..amp. . . . . . . : 0 SIGN/OUT LINE LTG- - : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/P'ANEL. . . . . . . : 0 IhANF. HM/ SVC/FDR. . : IZi 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - -----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ----ADD' L INSPECTIONS------ 0 - 200 amp. . . . . . : IL W/SERVICE OR FEEDER: 1 F'GR INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. : 0 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0 601 - 1000 amp. . . . . : 0 --- --- ------ -FLAN REVIEW SECTION---------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . . ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 HMPIS. . : CLASS AREA/SPEC OCC. : Owner-: FEES -- ---------- --- - Al_BERTSON' S INC. type amoi_mt by date recpt 250 PARKCENTER BLVD PRMT $ 55. 00 DRA 08/19/97 97-298419 BOISE ID 83706 5P'CT 6 2. 75 DRA 08/ 19/97 97-298419 Phone #: Contractor: -----_.-_____ --------------------------- TUALATIN ELECTRIC $ 57. 75 TOTAL 1='0 BOX 655 -------- REQUIRED I NSPECT I ONS WILSONVILLE OR 97070 Elect' 1 Service Phone #: 682-2955 E l e c t' 1 Final ___-- Reg #. . : 000656 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicahle laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Netification Center. Those rules bre set forth in OAR 952-01-016 thrv* OAR 452-8811587. You may obtain a copy of these rules or direct quesi:ons to OUNC by calling (583)246-1987. � 1 I yes-_L: T-'ermittPe !=,ignature : '��- 1ssl-pati $ ------- OWNER INSTALLATION ONLY-------_---- --___----__---____-- The installation is being made or, property I own which is not intended for• sale, lease, or, rent. OWNER' S SIGNATURE': DATE: --CONTRACTOR INSTALLATION ONL-Y- --------------------------- SIGNATURE OF SUPIR. ELEC' N: ,� Q� fes __ DATE: LICENSE NO: +++++++++•i-i+++++++f++-f +++++++++++++++++++++++++++++++•4.-i-t+++++++++++++++++++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next bl_rsiness day 1 TT++++T+_'�f'f••+'....++'�"++�••}'}•*'�"'�"F'�......4++++ CITY OF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Date Recd-tel TIGARD OR 97223 Date to P.E. _ Phone(503)639-4171, x304 Date to DST Print or Type., � Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit ff E'`CL'>7 Fax (503) 684-7297 P 9 P Galled 1. Job Address: 4. Complete Fee Schedule Below: Name of Development / J ,Z- __ Number of Inspections per permit allowed Name(or name of business).� ` ' Service included: Items Cost Sum - Address Ix, r,-(t 4a. Residential-per unit 1000 sq.ft.or loss -- ¢110,00 4 City/State/Zip CK 5 7 Each additional 500 sq.it.or portion thereof $25 00 Commercial Residential ❑ Limited Energy _ $2S oo Each Manut'd Home or Modular Dwelling Service or Feeder $88 00 2a. Contractor installation only: (Attach copy of all c ent licenses) Ins Services or Feeders Electrical ontractor 5 T)it '��'C'T C- Installation, or le alteration,or relocation � � 200 amps or loan $60.00 2 Address ��o h Egg_3 , 201 amps to 400 amps $80.00 2 City ,(. State Zip D 7C� 401 amps to 600 amps $120.00 2 Phone No.� 601 amps to 1000 amps $180.00 - 2 Over 1000 amps or volts $340.00 2 Job No._ Reconnect only $50.00 __ 2 Elec.Cont. Lice. No. Exp.Date OR State CCB Reg. No. 2` p. a 4c.Temporary Services or Feeders COT Business Tax or Metro No. Installation,alteration,or relocation / 200 amps or less $5000 __ 2 Signature of Su r. Eloc'n 201 amps to 400 amps $75.00 g p 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. EZ/Date f0-1'l� see"b"above. Phone No. - 4d.Branch Circuits New,vIterallon or extension per panel 2b. For owner installationl- a)The tee for branch circuits with purchase of service or Print Owner's Name feeder lee. I -- Address _ Each branch circuit / $5.00 b)The fee for branch circuits City State. Zip without purchase of Phone No. _ service or feeder fee. I irst branch circuit $35.00 The installation is being made on property I own which is not f ach additional branch circuit_ $5.00 _ intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature_______ ___ Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review sections' if required):* Signal circuit(s)or a limited energy section ( panel,alteration cr extension $40.00 _ 2 Minor I.abets(10) $100.00 Please check apprupriate item and enter fee In section 5B. 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 $35.00 System over 600 volts nominal Per inspection --- 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 abave apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION At1THORIZED IS Plan Review If regulrgd(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. 1:3 Trust Account M $ Total balance Due I WMELC96 APP nav 9IQ6 DATE PIANS CHECK NO.. Oaf I q q 7 1 iZ zI -2— c: PROJECT TITLE' COUNTYWIDE .�_..� TRAFFICC IMPAT' FEE APPLICANT WORKSHEET MAIL!NGADDRESS: 2-5 0 P49-v-y-TZo Ave (FOR NOWSINGLE FAMILY USES) CIT'f21P/PHONE. P,7 F RATE PER TAX MAP NO.: LAND USF CATEGORY TRIP --A OC RF_S� IDEN i IAALSITUS NO.ADDRESS: $169.00 2.AC(�-!5 W GCHCL-L4;� FFR-k'Y RL` BUSINESS AND C'ONIf.IERCIAL $42.00 El =ICE $155.00 INOUSTRIAI_ $162.00 ri INSTITUTIONAL $70.00 PAYMENT METHOD.- CASH/CHECK CREDIT INSTITUTIONAL ONLY BANCROFT(PROMISSORY NOTE) LANO USE CATEGORY DESCRIPTION OF WEEKDAY AVG.TRIP WEEKEND AVG.TRIP DEFER TO OCCUPANCY ��C' USE CVP_C(4 ' RATE 17c, RAJ E t�A BASIS: APPLICANT C)NjTfzucj-lC'M OF OLW �'TLr�CEIZ.Y STPD C'�llP> fZ/�1AQKET� Vel/ 3+�,� (-� �[� FT - 1�415 A�-B�1zTSCA I15 �A� ONLY. CALCULATIONS. TIiM15�t.1C CAZff:,5 S(-'- FT (t-G-.SF) x ?RIPAV<x-. x RAjr r n4= C (TUSF) N 100 x +q2- oC ?` - l F- 4,000 4,000 IFX- PEF r_AY x $ Ll:i .Crl P IJ_E= _11F 700 CT TRP GENEFATICN Tip PEE. �i��. rc>r•m FCR ACCOUt.TING'PURPOSES ADDITIONAL NOTES. M ASPJ TRA►.{_I T_ 1-7.(r PE Iz ZK w ONLY Pff! FF-1&0 Ra(-ErZ 1• NC C I ry *11I✓ CgMIT�,. RCADAMT � �I2C.'1Cx:� no ^� UOTACT V05H IO&TC,I`.l t IUOTy 7FRANSIT AMM� C : 0 F k. Pc5&E f- C F- DIT"S 00 S llft lS * {' r-CF-F-Y, CoAL, PREPARED BY.T (L�L. . i 4 2AM g�M.n n%fwm$UMnAr'coc / ! }l '1VASNiNG'CN C:UNTY 1J _ DATE. PIANS CHECK NO. 051 q _ 12-2-f G— 12- 2-(oG PROJECT TITLE COUNTYWIDE AL_FWPT'>OW5 / Flu pci(o 0634- rFtAFFIG IMPACT FEE �__��._. WORKSHEET APPLICANT aL DmT5o, 1 A-rr, 1: 5INZE 577o (FOR NON-SINGLE FAMILY USES) MAILINGADDRESS 250 Ph.PyE12--IDN A/1Va � CITYIZIPIPHONE 0,66r, ID 83706 2_QB- 395-C�ZB 3 TAX MAD NO .-Dibq— A-L001 - 5 _ SITES NO ADDRESS LAND USE CATEGORY RATE PER TRIP Z, yS 1W SC.N'OLL -C2 F RD RESIDENTIAL_ _ $ 179.00 v BUSINESS AND COMMERCIAL $ 45.00 OFFICE $ 164.00 INDUSTRIAL J $ 172.00 INSTITUTIONAL $ 74.00 PAYMENT METHOD: CASHICHECK EDIT BANCROFT(PROMISSORY NOTE) INSTITUTIONAL ONLY DEFER TO OCCUPANCY LAND USE CATEGORY DESCRIPTION OF USE WEEKDAY AVG WEEKEND AVG TRIP RATE TRIP RATE 1 /A---- BASIS �� BASIS APPL_I(_AN1T- PROPOSE C0c 3t 1RuCTlof-1 OF NEW Grp )�E STDRF (�UPERMAV_V-ET) 'A// 39 , 9&?n 5& r--T— Tj4IS ASSE5SSK115 Pi�� o�Y . T2�15 Is A C t,c u lin c�N �oR I�C.REArSE 6FFEf_Tk F_ 070(47. CR CULAtfONS THtUsA�JD CjfOSS S �;FY RA TIF 4Gx100K *5 ,00 � �� 41000 T I pS Pr-R-PA,/ x 4 5-.Ot) RATE T7 P= 4 ) Q�/ M !C -n F. PROJECT TRIP G NE_RATION I ov lJ Vl.� FEE. 4)?(),(coo'co FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES ROAD AMT Ij my TRANSIT AMT SZ I.W PREPARED BY TIFWKST DOC(DST) CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC97 -0� 13125 SW Hall Blvd., Tigard,OA 97223 (503)639-4171 DATE ISSUED: 10/14/97 aftf.r. 15 WAO PARCEL: 2S 104BB—ALOO 1 CITE ADDRESS. . . : 14300 SW UR"—TZT ' SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERPY SUB ZONING: C—N BLOCK. . . . . . . . . . : L0T. . . . . . . . . . . . . :001 JURISDICTION: TIG -----._______________--____—.--____—__ CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :M VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : i BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTIJ 15-30 HP. . . . : 0 REPAIR UNITS: 0 I"IRE DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 (37AS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. :31 FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remarks : Albertson's Install condensing units and cases. Owner: ----------- FEES __--------p--- 01-BERTSON' S INC. type amount by date rec t '50 PARKERTON AVE PRMT $ 149. 50 DST 10/14/97 — POISE OR ID PLCK $ 37. 38 DST 10/14/97 — SPCT $ 7. 48 DST 10/14/97 — F'hone #: Contractor: --.----------.------ ------------ ATLAS REFERIGERATION, INC. r-'o PDX 83149 ---------------------------------------- f 194. 3E TOTAL i='DRTLAND OR 97403. 'hone #: 283-7743 i)n rl #. . : 000638 •------- REQUIRED INSPECTIONS ------ This permit is issued subject to the regulations contained in the Me^hanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection __.. applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started - within IN days of issuance, or if work is suspended for more than 188 days. ATTFNTIONs Oregon law requires you to follow rules _ — adopted by the Oregon Utility Notification Center. Those rules are _ — set forth in OAR 952-881-8818 through OAR 952 81-8888. You may _ obtain copies of these rules or direct questions to OUNC by calling 1583)246-9187. Issue By: 1!¢�'"^- Permittee Signature � F+t++++•4•++++++++•F++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for inspections needed the next business day ++++++++++++++++F++++++++++f'+'}+++•F•+++++++++++++++++++++++++++++++++++++++++++. + 114 ,18,'W7 111,: 211 •a5113 b84 72117 l:llf OF 'II(JAHU I0U112'. , Pian Check :ITY OF TIGARD Mechanical Permit Application Recd By. 3125 SW HALL BLVD. Commercial! anti Residential Date Reo'd - 'IGARD, OR 37223 nate to P e /ntJ Date to DSTel`' -� '503) 639-4171, x304 Permit LC Print or Type Called Incom let@ or illegible a plications will not be accepted - -� '- Name of Davaiopment/ ro eot Description OTY PRICE AMT ALBERTSONS 576 Tabi•1A Mechanical Cod• .loh so r A) Permit .• a •o• 10 00 addressU- t Wags Cnyr rite Ip 1,) Furnaw to 100,000 STU 600 Tigard OR including du-as 6 vent: Nome(Or noms of business) 2.) Furnace 100.000 BTU+ '.50 Owner Albertsons, Inc. Including ducts d vents Meiling Adona 3.) Floor Furnace 600 P.O. Box 20 _ Including vent Clnri&tme zip pnons 4.) Suspended hooter,wall heater 6.00 Boise, ID 83726 1208)395-6E32 or floor mounted hsatirr Name(O,nerve Of business) 5.) Vent noTuded In appliance permit 3.00 Occupant Melllnq Atrdreee ) Boller or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to 100K BUT" hyl late ziD hone 7.) Boiler or comp,heat pump,air cond, 1100 3.15 HP;absorb unit to 500K BTU** 8.) Boller or comp,heal pump,a r cond. Contractor NeR1e 15.00 (Prior t A" 15.30 HP;absorb unil,5-1 mil BTU' is2uancaAdq�m 9) Boller or comp,heat pump,air cond, 22.80 applicant L'•U. t rox 83129 _ 30-50 HP;absorb unit 1•1.75mii BTU: must provide all ityr uta ip how ns- 10.) Boiler or comp,heat pump,air con(3. 37.80 contractor Portland R - _ ?50 HP;absorb unit 1.75 mll B1'Ll" ilcense -Oregon oral ons er Lk a tt■p Dau 11 ) Air handling unit to 10,000 FM 4 50 mforma1110n 63831 1/19/98 for COT CDT Business Tax or Metro a Exp or's 12.) Air handling unit 10,000 CFM 7.50 riataboge 4.50 Architect Nome , 13.) Non-portable evaporate cooler or Melting Addrae 14.) Vent n connected to a single duct 3.00 I s,n J Ip 18) Ventilation system not Included In 4.80 Eng)neer T � r• »,1 appliance permit Pescnbe work New 47 Addi on O Alteration 0 Repair O 18) Hood served by mechanical exhaust 450 to tie done Residential O Non-residential 0 7 80 Addir.tional D•scrlptlon of work 17.) Domestic Incinerators / 1 d) Commercial or industrial type moo "�,f'� f• `1.( Qf Incinerator Fwlsr use of 19)Repair units 4 50 tjuilding or property 4.80 20.) cod stove I' Proposed use Of 21 ) Clothes dryer,ate 4.50 t,,Uhp ng or property I O4 r,0 �1 Other unit! � T„le of fuel-0'14' natural gas O LPG 0 electric 0 23.) Gas piping Ono to four outlets 2.00 50 i�nreby acknowl, ge thdt have reed this appliustion,that the Z4) More than 4 per outlsro(each) • information given is correct,Inst I ani the owner or authorized agent of ire owner,that plans submitted ore In compliance with Oregon State OTY.SUBTOTAL awe _ ' Signature of Owner/Agent Date SUBTOTAL f 5`h su cHAROE R 4 � C ntset Parson Name Phone PLAN REVIEW 25%OF SUBTOTAL 7�b l�f/ TOTAL stvnechprit.doc (rev 4 'Minimum permit fes�525+5%surcharge Residential A/C requires site plan showing placement of unit W�Jl c"i CI1" Y Of BEAVERTON C 4755 S.W.GrtMtb Drive, P.O. Box 4755, Beaverton. OR 97076 General Inforruation(503)529-2222 V/TDD TENN\�`♦' April 4, 1998 Dave Scott Building Official City of Tigard 13125 SW Hall Blvd. Tigard,OR 97223 Re: Albertson's Sewer Easement I have been requested by Bill Patterson of MGA to write a letter stating that the easement has been granted to the City and the construction completed and acceptable. We have received copies of the easements, which have been reviewed and approved. The scwver installation is completed to our satisfaction. At this time it is acceptablc for use. We have no problem if you issue an occupancy permit at this time. If you have any questions pk:ase call me at 526-2340. Sincerely, Robert P. Hammond Sr. Field Inspector C: Jim Duggan, Project Mgr. Terry Waldelc,City Engr. Linda.Adlard,Chief of Staff Michelle Soileau,Engineering Plans Reviewer Don Duncombe Steven A. Ward,P.E. Brian Rager A!bertson's Inc. Westech City of Tigard 17001 NE San Rafe) 3841 Fairview Ind. Dr. 4100 13125 SW Hall Blvd. Portland,OR 97230 Salem,OR 97302 Tigard OR 97223 RPI1/rph Albertson's San Sewcr.doc Inc. Construction Inspection&Related Tests Carlson Testing, IGeotechnical Consultinq Special Inspection P.O. Box 23814 FINAL SUMMARY LETTER Tigard, Oregon 97281 ***AMENDED*** Phone(503) 684-3460 March 31 , 1998 FAX (503)684-0954 497-8759 City of Tigard 1.3125 SW Hall Blvd, Tigard, OR 97223-8199 Attn: Building Department Re : Albertson' s #576 - Tigard 430.0 SW Barrows Road, Tigard, OR Permit No. : BUP96-0634 i 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. Steel - Shop and Field 1 Epoxy Anchors Structural Masonry All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with 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 office . If there are any further questions regarding this matter, please do not hesitate to contact this office . Respectfully su fitted, CA//RLSON TE TIN INC. 1 � Doug W. Leach President - General Manager DWL: jdk cc : S D Deacon Corporation Musil Govan Azzalino Architects A.lbertsons, Inc . - Katherine Kirk Rex Harrison PE Albertsons, Inc . Division Office P:\WP\D0C\FINI.TR\97-8759 DAMES & MOORE A DAMES 6 MOORE GROUP COMPANY 700 NU Multnomah,Suitc 1000 Portland,Oregon 97232 503 235 9044'let 503 235 9033 Fax March 23, 1998 The City of Tigard 13125 S.W. Hall Boulevard Tigard, Oregon 97223 Attn: Mr. George Steele Re: Summary Letter Construction Monitoring Services Albertsons Tigard, Oregon Dear Mr. Steele: I1 Dames & Moore provided construction monitoring and testing services during site ` development and foundation construction for the above-referenced project. Our scope of services included monitoring of excavation activities, structural fills(including cement soil mixing), asphaltic concrete testing, and foundation subgrade observation. Dames& Moore provided full- and part-time construction monitoring and geotechnical consultation services for the duration of the project. Based on the results of our field and laboratory testing and our observations during construction, it is our opinion that the completed earthwork, asphalt placement, and foundation bearing surfaces generally comply with the intent of our recommendations and the project plans and specifications. Specific observations and test results are summarized in our Daily Field Reports, which have been included with this letter. Please call if you have any questions or need additional information. Sincerely, Dames& Moore J Conrad Felice, P.E. Project Manager I i Offices Worldwide CITY OF T MECHAN I CAL PERMT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC96-0447 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/26/97 PARCEL: 2S104BB-AL001 TE ADDRESS. . . : 1-a~-SW SUBDIVISION. . . . : ZONING: C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ------------------------------------------------------------------------------------------ CLASS OF WORK. . :NEW FLOOR FURN. . . . : 0 EVAN COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 3 VENT FANS. . . : 7 OCCUPANCY GRP. . :M VENTS W/O APDL: 1 VENT SYSTEMS: 0 STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : F=UEL TYPES------------- 0-3 HP. . . . : 3 DOMES. 1NCIN: 0 : /GA 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 2300000 BTU 15-30 HP. . . . : 2 REPAIR UNITS: 0 F=IRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNIT'S---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN 1100K BTU. 2 (= 1.0000 cfm: i GAS OUTLEFS. : 1 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remarks : NEW HVAC FOR 48,808 SO FT GROCERY STORE 1 780 SO FT MECFIANICAL MEZZANINE. Owner. ------------------------------------------------------- FEES -------------- ALBERTSON' S INC. type amount by date recpt 250 PARKERTON AVE PRMT f 138. 00 DRA 08/26/97 97-298693 BOISE OR ID PLCK $ 34. 50 DRA 08/26/97 97-298693 5PCT f 6. 90 DRA 08/26/97 97-298693 Phone #: Contractor: ----------------------------- ARROW MECHANICAL. 10330 SW TUALATIN RD -.--_----------------------------------- Y 179. 40 TOTAL TUALATIN OR 9706:' Phone #: Reg #. . : 000051. ------- REOUIRED 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 kill be done in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Cooling Unt Insp within 180 days of issuance, or if w^ k is suspended for more Shaft Inspection than 180 days. ATTENTION: Oregon 1 requires you to follow rules Hood Inspection adopted by the Oregon Utility Notification Center. Those rules are Fire S u p p r Insp set forth in OAR 952- 01-8010 through OAR 952-801-8088. YOU may Duct Inspection obtain copies of these rules or direct questions to ODIC by calling Mi sc. Inspection (583124b-9187. Final Inspection I s s u Bye < <�/ ' �- Permittee Signature�/�>� ++++++++++++++++++++++++++++++++++++++++++++++++++++++4.++++++++++++++++++++++++ Call 639-4175 by 6:00 p. m. for inspections needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ J Plan Check# .ARD Mechanical Permit Application Recd By iAL.L BLVD. Commercial and Residential Date Recd R 97223 Date to P E -a j u.�y-4171, x304 Date to DST -711` / l � —7 Print or Type Permit# � ; Called r- Incomplete or illegible applications will not be accepted � ., Name of Development/Project 1 (,a > > Description 1-4300 0 i Table 1A Mechanical Code _oTY PRICE AMT .lob Street Address iteO A) Permit Fee -0- -0- 1000 Address ��- _ II 3Cld # Ctryisua Zip B) Supplemental Perini 3.00 Name Id nam df businesil 1 Furnace to 100000 BTU 600 owner r� incl ducts&vents Main Addres (r _� ,per�' 2 1 Furnace 100.000 BTU+ 7 50 rNincl ducts&vents W sidle �� Phone/ 3) Floor Furnace 600 incl vent j Name to dof bu{-inessi 4) Suspended heater,wall heater 600 (R o7 I or floor mounted heater Occupant Mailing Address �1 5 I Vent not incl in 1 300 appliance permit W Zip Phone 6) Boder or comp,heat pump,air Gond 600 ri t to 3 HP,absorp unit to 100K BTU Name 7) Boiler or comp,heat pump,air Gond. 1100 _ 3-15 HP:absorp unit to 500K BTU Contractor Mailing Address 8) Boder or comp,heat pump,air Gond 1500 ,m 1A/ 15-30 HP,absorp unit 5-1 roil BTU__ X.X (Prior to C ryiState Zip Phone 9) Boder or comp,heat pump,air Gond 22.50 Sauance a copy .0 30-50 HP',absorp unit 1-1 75 mil BTU -)f all Itconses are Oregon Consi Cont Board tic a Exp Date 10) Boiler or comp,heat pump,air Gond. 37 50 required d >50 HP,absorp unit 1.75 mil BTU c-(P rPd in C O T COT Business Tax or Metro a Exp Dote 11.) Air handling unit to 450 data base) 10.000 CFM Architect Name 112 Air handling unit 7 50 7 \` C _10.000 CTM+ Or Malin A d ss 1 p- -r 13) Non portable 4.50 ; I Mailing `�i�tt- `� tt:Y0�---i . evaporate cooler ,_ V Engineer itate Zip Phone 14) Vent fan connected 3.00 _ tU'l V,I �. �` 1� _!n a single dud VV Describe work New Addition 0 Alteration O Repair O 15 1 Ventilation system not 450 to be done Residential O Non-residential O included in appliance permit Additional Description of work 16.) Hood served by mechanical exhaust 4 50 17) Domestic incinerators 7 50 Existing use of 18) Commercial or industnaltype 3000 building or property _! _ incinerator 19) Repair units 450 Proposed use ofy 20) Woodstove 450 budding or propertyN Off 21) Clothes dryer,etc 4 50 T ypu of fuel-oil O natural gas LPG O electric 221 Other units 4 50 1 hereby acknowleog4k that I have read this application.that the 23) Gas piping one to four outlets 200 information given.s rrect,that I the_ ner or authorized agert of the owner that pla submitt�a cpm ian with Oregon State 24) More than 4-per outlet (each) 50 I � Slg re o er/Agent Date — oTY.SUBTOTAL Cont6cit Person Name Phone 5%SURCHARGE r &elf t T PLAN REVIEW 250c OF SUBTOTAL C —) 'LAS J. TOTAL �I I I L-7J— i Ast\mechpmt doc (rev 7/96) Winimurn permit fee is$25+5%surcharge t CITY OF TIGARD DEVELOPMENT SERVICES BU1L_DING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . . BUF196-0634 DATE ISSUED: 07/09/97 14 30'.� 13 1AJS kO AD PARCEL: c'S 1 04BB-AL001 SITE ADDRESS. . . : 1�;_ J SW 2CWFiVUA5R*-A9 SURD?VISION. . . . : ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTION: REISSUE; - ___________ FLJOR APEAS-------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORE;. :NEW FIRST— . : 39986, sf N:2HR S:2HR E:2'HR W:21AR TYPE OF USE. . . :COM SECOND. . . . 0 S17 PROTECT OPEN I IVGS?-_----__.__._ TYPE OF CONST. : 3N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :M TOTAL--------: 39986 sf ROOF CONST:BFIRE RET" :N (-jCCUPANCY l_.OAD: 841 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 1 IAT: 26 ft GARAGC. . . : 0 sf OCCL_1 SEP. RATED: BSMT? :N MEZ Z? :Y REDD SETBACKS--------- REGILI I FLOOR LOAD. . . . : 100 ps f LEFT: 0 ft RGHT: 0 ft F I R SPKI_.:Y SMOK DET. . : DWEI-LING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM:Y HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 40000 PRO CORR: PARKING: 436 VAI-L1E. $ : 1666057 Remarks : NEW CONSTRUC i ION OF 40,000 SO FT GROCI:RY STORE, CONCRETE BLOCK, CONCRETE SLAB, STEEL TRUSS, METAL ROOF DECY 6 780 SO FT MEUTANICAL MEZZANINE. Owner: -- --- ------------ __.__.___._.___._ _______.......__.__. FEES IILBERTSON" S INC. type amount by date recpt; :'50 F'ARE:ERTON AVE PLCK 4 :=825. 90 JMH 12/12/96 96-287681 TAn I SE OR ID FIRE 4 1739. 02 JMH 1.2/12/9F, 96-287681 SPCT 4 217. 40 TAT 07/09/97 97-296951. Phone #: I='08-385-0283 EROS 4 415. 85 TAT 07/09/97 97-296951. ERPC 4 135. 15 TAT 07/09/97 97-296951 Contractor,: -----.______----___...___._...__._.._ ERPC 4 135. 15 TAT 07/09/97 97-296951 S D DEACON CORP TTF 4168000. 00 JSD 06/ 1.7/97 97-296069 6443 SW DVR-FN -HLSDL HWY PRMT 4 2592. 86 TAT 07/09/97 97-296951 '-)TE 432 PRMT 4 1755. 14 JMH 12/12/97 97-287661 BEAVERTON OR 97005 --------------------------------------. !-'hone #: 297-8791 '#177816. 47 TOTAL _______ REQUIRED INSPECTIONS --This permit is issued subject, to the regulations contained in the Foot/Found Insp Stt-uc-tut-al obser^ Tigard Municipal Code, State of Ore. Specialty Cod,!,, and all other St r•r.rc Step], Insp Misc. Inspection appl icab:e laws. All work will be done in accordance with Re i.n f Steel Insp approved plans. This permit will expire if work is not started Slab Insp within IN days of issuance, or if work is suspenced for more Masonry Insp than 180 days. ATTENTION: Oregon law requires you to follow the Framing Insp rules adopted by the Oregon Utility Notification :enter. Those Insulation InsF, _ rules are set forth in OAR 952-001-OtO through CAR 952-AO1#1987. Shear- Wall Insp _ You many obtain a cony of these rules or direct questions to OX Gyp Board Insp by calling (503)246-1987. Susp Ceiing Insp Re4nforr_ed r_oncr Stt-uctural m f � Flermittee Signature: Issued By: --- +++++4•++++++++++++++++++++4++++++++ ++++++++++++++++++++++++ +++++++++++++++++ Call 639-4175 by 6:00 p. m. for- an inspection needed the next business; day r.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Nall Blvd., Tigard,OR 57223 (503)639.4171 PERMIT #. . . . . . . : BUP96--0634 DATE ISSUED: 07/09/97 14 36v ) t',%)FSI ow S PU14D PARCFI_,: 251 04BB--AL-001 SITE ADDRESS. . . : 1E� 5W 1t1"�y1' ft �RD SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: -.__-____.-.---.--------- REISSUE: FLOOR AREAS--------- EXTERIOR WALL. CONSTRUCTTON- CLASS OF WORK,. :NEW F , FAST. . . . : .39986, sf N:2HR 9:2HR E:2HR W:2HR TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?------------ ---- TYPE OF OF CON5T. : 3N . . . . 0 sf N: S: E: W: OCCUPONCY GRI". :M TOTAL--,------ 39988 sf ROOF CONST:BF I RE REST? :N OCCUPANCY LOAD: 841 BASEMENT. : 0 sf AREA SEP. RATED: S3T0R.. : 1 HT: 26 ft GARAGE. . . : 0 s f OCCU SEP. RATED: BSMT?:N ME7.7_? :Y REDD SETBACKS------ - ---- REQUIRED---------------------- FLOOR EQUIRED--------------------- F=LOOR LOAD. . . . : 100 psf LEFT: 0 ft RGHT : 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM:Y HNDICP ACC:Y 13EDRMS: 0 BATHS: 0 IMP SURFACE: 40000 PRO CORR: PARKING: 436 VALUE. $ : t666057 Remarks : NEW CONSTRICTION OF 40,090 SO FT GROCERY STORE, CONCRETE BLOCK, CONCRETE SLAB, STEEL TRUSS, METAL ROOF DECK R 780 SO F1 MECHANICAL MF_77ANINF. Owner,: -- - _ ___ -------- .._...- FEES -------------- (11...BERTSON' S INC. type amoi-int by date recpt :50 r,ARK.ERTON AVE PLCK $ 2825. 90 JMH 12/ 12/96 96-287681 1AO I I:;r OR ID F I RE' $ 1.739. 02 JMH IC, ./ 12/9F, 96-287681 5PCT k 2`17. 40 TAT 07/09/97 97-296951. Phone #. - 1.� 5 TAT 07/0'x/97 97-c96951 . 208 .a8..� 0283 EROS $ 4 ��. 8 ERPC $ 135. 15 TAT 07/09/97 97-•2:96951 Contractor: --------------------------.__ ERPC $ 135. 1.5 TAT 07/09/97 97 -296951 ':S D DEACON CORP TIF $168000. 00 JSD 06/ 17/97 97-296069 6443 SW BVR'TN -HLSDL HWY F'RMT $ 2592. 86 TAT 07/09/97 97-2:96951. 9TE 432 F'RMT $ 1755. 14 ,JMH 12/12/97 97-287681 BEAVERTON OR 97005 --.-----'-'-----------------------` Phone #: 297-8791 $17781.6. 47 TOTAL Peg #. . : 00381'3 ------- REOU19ED INSPECTIONS This permit is issued subject to the regulations contained in the Foot/Found Insp Str-uctural obser Tigard Municipal Code, State of Ore. Specialty Codes and all other 5t r .rc Steel. Insp Misc. Inspection applicable laws. All work will be done in accordance witn Reinf Steel. Insp _— approved plans. This permit will expire if worlh is not started Slab Insp _ within 180 days of issuance, or if work is suspended for more Masonry InsF than 180 days. ATTENTION: Oregon law requires you to follow the F r a Mi n g Insp _ rules adopted by the Oregon Utility Notification Center. Those Insulation Insp rulei are set forth in DAR 952-0@1-810 through OAR 952-00101987. Shear Wall Insp You many obtain a copy of these rules or direct questions to OUNC Gyp Board Insp by calling (503)246-1987. Susp Ceiing Insp Reinforced concr- Str,-►ctur^al m sqn a lI i Permittee Signatr.Are: �� ) Issued By : _ ++++++++++++++++++++++++++++++++1+..+++++++++++++++++++++++ +++++++++++++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next business day +-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++a•++++++++++++++-� Commer cral Buildina PermitA� fr�afiron City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 r 43oc', (503)639-4171 Tb C Pt✓ Jobsite Address: - i i-- '/ QU(C _SSE ONLY &**JI ,3 Tenant: -/,t t ; , Suite # — Planck/Rec. # 12 -2- 1 Valuation: 607� ti 7,d"Permit# �UP19 0634 Map & TL Owner: J�� e�t� ,►ns 1�G. Address: _,Art,, �ar��!' �W� Au�rQ�l�su�i�ad ��- 'T�"�,- WS7 Planning 3 oCe 'A 9 �' a � ��,' Engineering ` f1r: +'i tt af I `� ; 1 ! r1. Telephone: _ - 'moi ��_ 1-Ole IT IF<* WCT 2 Other -�t1 } '�' o -- Contractor: G.> ^� /I nj Address: Type of constr: , Telephone: —_ _ Occupancy Class:_ y Contractor's License # Sprinkler? s ,� No (attacn copy of current Oregon license) Sq. Ft. Of Project: _ ��,i�� R..c..r Contact name & telephone: {.F t IJ R11 tr Story (1st, 2nd, etc.): 3 Architect & Engineer: ► _. Address: G —. �► T r Proposed Use: 6-46uf—,L ICJ?/ I �— �L ) Pic Previous use: _ Note: Plumbing & mecha. , al plans must �. Telephone: �l '_t 'j� be submitted at time of building permit application. JOB DESCRIPTION: y Applic t Signat 8y ephone Number) Received by: I �t Date Received: I. Iz-- Z-I c PErR(�MITM Account Description Amount Amt Pd. Balance Due, I �1 ✓UIJ � / Building Permit (BUILD) �j �� 7 5 •j ' ,� Plumbing Permit (PLUMB) 7l �• Mechanical Permit (MECH) State Tax (TAX) Bldg. Plumb. Mech. _ q0 Plan Check (PLANCK) ) Bldg. Plumb. Mech. _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quanity (WQUANT) oz Fire life Safety (FLS) Erosion Cntrl Permit (ERPRMT) C Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: ? 7/1/'77 VIRU 0e37 010, 2 SIDE VIEW ( LEFT) 3 37 I PERSPECTIVE VIEW 1 �� 3 N-1 CN M � NOTES: 1. WILD CHERRY CABINETS 2. GOLD LAMINA"iE ON FRONT AND VALENCE 3. PORT LAMINATE ON CORNERS AND ON COLUMNS 4. BLACK COUNTERTOP AND BUMPERS 3 SIDE VIEW ( RIGHT ) 3 PROPRIETARY INFORMATIONn _ PART NO. DO NOT DUPLICATE ck _� L O A D KING 1116470 DIMENSIONS ARE IN INCHES P•Q�% 10606 1357 N.BEAVER 5T. JACKSONVILLE.LLE, 32203 TOLERANCES UNLESS NOTED� REV. FRAC. Toy. t �/sz ICE CREAM �COFrEE ELEVATIONS SHT: 3 of S � DEC. TOL. t .Ot ALBERTSONS 2 ANGULAR TOL. t .5' DOCUMENT N0. N0. E.C.N. N0. REVISION DATE: BY. pq NOT SCALE DRAWING sizE: � DRN. BY: SEH IDATE: ��2Q�g8 F cnLE: 12•_11 � 11164708 NOTICE: IF THE PRINT OR TYPE ON ANY ii-1-i—virl-rp � I � I f � T 4['T'LfTj-t S _i ?LlIt_ 8 �IMAGE IS NOT AS CLEAR AS THIS NOTICE, �l r � rr� r7 �rr1.r iii I ( I I � I � I � i � l l it 1 �1'� 1 '� 1 I ISI ISI I � I'� I�,I I AT IS DUE TO THE QUALITY OF THE No38 �q<�=��• ° J F�l Illllilil llll1111111,311 l! II �IIII I IIII IIII IIII �� lllZl►II II6IIITIIII��II8I II IILII iIIII�II9II i1III II�8IIITIIII IItiII iIIII IIEII iIIII��IILIIITIIII IIIi�I L8LORIGINAL DOCUMENT £ 6Z ZZ Z ll9III ��Zll11 110 '[111 l il!u[lll 8llll lu �8 4 � S� Z j9g13N lu 11111411 SUBTOP SMALL 20'-9 1/4" ADJUSTABLE SHELVES � f- 2' --�I-- 3' - 4'-1 3/4" 3' --�-- 2' - i 00 � III N iI 2 INSIDE VIEW ( LEFT) -- 4 \- 3 COMPARTMENT SINK I PLEXIGLAS SNEEZEGUARD SU670P (LARGE) ICE CREAM DIPPER r CF INSIDE VIEW ( REAR ) 4 NOTES: 1. WILD CHERRY CABINETS 2. GOLD LAMINATE ON FRONT AND VALENCE 3. PORT LAMINATE ON CORNERS AND ON COLUMNS FREEZER 4. BLACK COUNTERTOP AND BUMPERS TWO DOOR REFRIG. 4�� INSIDE VIEW ( rRONT� PROPRIETARY INFORMATIONq� LOAD KING PART NO. DO NOT DUPLICATE 1116470 DIMENSIONS ARE IN INCHES N.o.eox 40505 uca se w.e[�� ST. aAoaaNUE, ri 32203 � toLERR CcETOLNtEs�3oTEo ICE CREAM /COFFEE ELEVATIONS sHT: 4 or S REV. F .DEC. TOL. t .01 ALBERTSONS 2 DOCUMENT N0. ANGULAR TOL. f .Y SIZE: ORN. BY: JDATE: SCAL::REVISION f3 SEH7/20/98 12 -1' 1 1116470C NTT—E, N0. DATE: BY DO NOT SCALE DRAWING iiL NOTICE: IF THE PRINT OR TYPE ON ANY � � � � � � � � , --I -I - 1 � Jill -I --1-1- Jill I1-I--1I -1I I III IIIIIIIIIIli � X � �IMAGE IS NOT AS CLEAR AS THIS NOTICE4 � ` - Tg IIII III I III�IIIII2II IT IS DUE TO THE QUALITY OF THE No.38 �� i�� 1�� « ►«i�«� �� ►�� i►�� ► FIIII Z 9i iu u►il�i< 6<�ORIvINAL DOCUMENT E 8iu £iiiyii� 8i � �� iii8uul�� L 8 9 � £ Z � T7iY13N �I -- - I TEM QTY. PART # DOC # DESCRIPTION 1 1 2 3392384 3392384 MOD. C-0" CABINET 2 1 3392340 3392340 MOD. CABINET 3 1 3392280 3392280 MOD. S-11" CARNET 4 1 3392342 3392342 CABINET 5 1 3392086 3392: .. MOD. CABINET- FREZ 6 1 3392343 3392343 1 MOD. 6'-0" CABINET, REFR 7 1 3392:44 3392344 MOD. CABINET 8 1 3392345 _ 3392345 BACK, TALL, 7' 9 2 3391906 3391906 'IODULAR CORNER PIECE, 45- 10 1 3392.346 3392346 TOP ASSY EMPLOYEE SIDE CUSTOMER SIDE 11 1 3392347 3392347 SUBTOP ASSY 12 1 392348 3392.348 SNEEZE GUARD ASSY 2'-6" 13 2 3391898 3391898 SUBTOP, SMALL 14 1 3309541 3309541 STARBOARD, BLACK, SUPPORT 15 1 3391920 3391920 KNOCK CUT BOX 161 1 3391918 3. 91918 POS STAND t17 1 1330199 - TRASH, RCP 1, GROMMET, OUTWTER 388 I I 1 3311249 — HAND SINK DROPEDGE � 1 1349081 - ICE BIN ADA COMPLIANT DOOR 1 1348547 WATER HEATER 1 I 21 2 1355263 - TRASH CAN, 10 GAL f 22 1 3392423 3392423 SPLASHGUARD ASSEMBLY i I23 1 1310760 - SOAP DISPENSER rn P, 24 1 1310649 - WATER FILTER, TRIPLE FLOW 1 I cv ?, 25 1 1005998 - DRAIN BASKET _ I 1 26 1 1009401 - TAPE, INSULATION I 1 Li27 1 1 1310654 - FAUCET, 4"CC, HAND SINK j I = ^8 10 1346265 GROMET, 2" BLACK I I I o 29 80 1330169 _ EDGE BANDlNC:, BLACK 3MM 1 I 30 80 1007261 BLACK VINYL, 4" Z 1 1 _ 31 - - 1 1 32 16 133002 - TRIM, CORNER, BLACK DIM TO FLOOR MEETS CODE 1 1 33 1 3392349 3392349 ELECTRICAL ASSEMBLY I 34 1 3392350 3392350 LAM. KIT I 35 1 3392092 3392092 LABEL KIT I 36 1 3392438 3392438_ PLUMBING KIT I I 37 2 3392324 3392324 COVER ASSY I- - - - - - - - - - - - - - - - - - -- --I 38 1 1310761 - PAPER TOWEL_ HOLDER 39 80 1330071 - MLDG, BASE, BLACK 40 80 1330184 - MLDG,BMPR,BLACK 41 1 3380011 3380011 DOCUMENT ONLY BASE 42 1 3380013 3380013 DOCUMENT ONLY ' f 3„ 2, 3.. CABINET SECTION VIEW PROPRIETARY INFORMATION LOAD KPART NO. DO NOT DUPLICATE q4j� PA.BOX 40606 1357 WBEAVER ST. JACKSONVILLE, FL 32203 1116470 DIMENSIONS ARE IN INCHES CHANGED SINK, REMOVED CUTOUT IN TOP 8/31 /98 SEH TOLERANCES UNLESS NOTED ALBERTSONS --- BOM SHT: cJ of cj REV. 2 N.A. DEL. DISPENSERS, FRAC. TOL. t 1/32 1 11 ,394 P/N 3392384 WAS 3392274. 8/10/98 HJ DEC. TOL. f .01 DOCUMENT No. 0 ANGULAR TOL. f .5* SIZE: TDRN. 8Y: DATE: SCALE:NO. E.C.N. N0. REVISION DATE: BY. DO NOT SCALE DRAWINGBSEH 9/08/98 1 1 /2"=1' 8 1116470D r.,,. ,» ---...................., (IttkE�LYtl. a�mnr•,nai�err� m 'e�, NOTICE: IF THE PRINT OR TYPE ON ANY -T-rl� l ( � I ( ill ( I I ( III ( I 1 ( 11 1 11 1 1 1 11 ( 1 1 1 1 1 I_jJ_ _ I T[T_1 I I-I.T.I..r.�.T.,.T_I T_� I I_T ..11-1 I-Tj I I l l l l l l L L1� 111 .I 111111 1 1111 11111111 111111 Ill f 1 i� 111 111 l l l l l l l I � t l l 1 � t 11 I I-I 11 T 1111 III 1 1 1 1 1 1 ! 1 1 1 r I L I I I I � Ar I 1 2 3 4 ► 12 IMAGE S NOT AS CLEAR AS THIS NOTICE, _ _ _ J 6 �_ _ $ _ 9 1� — __11 ' IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT 6 Z S Z L Z 8 Z Z fi Z E Z ZII! � � � 1 6 g L1 9T 9i fiT ET ZT i1 T 6 8 L 8 S 7, T014aw I II!I !l!!I!!!l III! �!!! Ilii ILII ILII I!!I Illi Ilii lllllllll ! lIl Lll� L«1 l Ill 1111 ILII ILII IIIIIIIII ILII Till 1111 1111 illi 111111111111 ILII Ilii (Ill 1111 1111 1111 illi illi 111 illi Ll(I ilii fi 9 1.11 lllilg11 s FF CITY OF TIGARD DEVELOPMENT SERVICES r1J--C'TPTCAL. PER!-' 13125 SW Hall Blvd., Tkqard, OR P22.2 (503,1639-1171 HF:.3 I R ir— rl-r RM IT 0 Et.r?7 0 3 0 S nTF TT)StJFD: 10 0 BAtk" 0AP =ioi,Bp nt -ooi !P r)T V T7 I IDW. . . . RIJE3)LoEL1-.1 5 foCHOLL-1-, IIERRY SLIT! ZONTNG:C--N I Mr. . . . . . .. . . , . 1 -. "N"'I J1.IRT7DICT','I . F,L:t i 1-.1 i 4:)1 11bertson's '1—17'T PENTIM. 9. CnM11r-F7Tril- 111JIT)TI" g rM-R70. nL)DT'3 & "TERE-0. X INTERCOM N-Opll. 50 T 1.r^, I . . . .. . . . . nRnsr omr4cR. . . . : C'LOCV. . . .. . . . . . . . III,!r)c. , . , . . . . . . . . . : DnTi)/TI-L r-, (7P MN.. CALIL!73. . I.InrLJUM SYSTEM.....: rTRt— nt...r-)PM. . . . . . OUTDOOR LnNDSF, L OTHER: I IM7. . . . . . . . . .. . . F'P,0 T f7 r7 r I'.,F I(, MrTRtJMF.J,.JT')TTnN. r1THrP. . T(77M. # f1r '7'r`)rr--Mr - rr-r,. "I T177�TMONI 73 TrX. yv)c� cA m ri by rJ at V L I-,nRI,1F.PT0NI nVr r,RMT 111; 111 . 0 0 J'; ) 10 0 07 O7 V, '-InME OR TD 5 r'r T $ 0171 'T rM I Ch/P'71!q-' 97-7'1211214r)., 20n 7'r'lj 0.7'6:7 Tr i, Q7 0 TOTI141. 9!-)1 7 r 1� (")V r - REDUIRFI) INPPrcTimqr, IJ P- -)I I Cover 1 04� Lov! VulAiiUo Trisj-, .11 -.7573-- 7177 wi-111 ccvVt- F1 e C,t I I F i nal .iis permit is issued subject to the regulations contained in the Tigard !"aricipal Code, State o! Ore. Specialty Godes and al', other ,1-1;1iablle laws, nlw—', hill be done in accordance with approved plans. This permit will expire if work is no. starter' 180 als ,f issuance, or if work is suspended for, or than 180 days. ATTEN71DI: Oregon law requires you to follow rule adopted by the .ogo-, Utility Nctification Center, 10 rules :re set fort' -,- OAR 9`Y-001-elle through OAR You may obt3:1- COOP: o- direct qUPStiOrS Oayr. �Z-1987. 14, r,cs t,In i t t P F, r,i 9?1 t f"14'Wr TN7TOLL-nTTON ONLY- - ;)'A 'k". I :I*,. i Uri is; tipi7lu an pi-c)j)(7rt I I owii W)ic-,h i not i 0 c� ale!; PlIt GN11T!IRF 77,71 W-TOR TN1j! 7n1.1,_r)TTnN ONL 1`,.�Jr)TIU RE nr- 7,t X,Q. r'—E*C." N DATE FW',r '17- 0.1 4 L 4 s 4 4 4-4 -4++4+4++4 4-4-4 4 f 4 4 ++ I f 4 4 4+4 4 4 + 4 4 4+-f t-4 4-+4 4 1 f 1 1-+ } .1 TI r. M. f i c. t: i t)T I yl r- (I p V s 7 r)P 'i + f 1-44-4-4 +++-1-+-1-+4--#-+*+-1 1 4 4 4.4.4 4 4 4 4 4 4 +4 4 4 4+4++4-4 4 4-4 v4 4 1- r 1 4++ 1 4+4 -f 4 1 + CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: � l 13125 SW HALL BLVD Date Recd:—: TIGARD OR 97223 PRINT OR TYPE - q.' ' 03 V�� 503-639-4171 X304 Permit# /� F - G03-G04-7207 INCOMPLETE OR It '_EG!9LE APPL!GATInNS rust Cal!'d WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee........................................ $40.00 (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS I7 l`'4� a'� 7 Check Type of Work Involved Cit /State Zip Phone# ❑ Audio and Stereo Systems v ?_ -7-2� 1� Nam 7 ❑ Burglar Alarm T �� ❑ Garage Door Opener' OWNER Mailing Address p City/State _TT iPhone# F-] Heating,Ventilation and Air Conditioning System' __-- ❑ Vacuum Systems' Name (A Z Other CONTRACTOR Mailing Address r 1 2 �� ^/� H)A- TYPE OF WORK INVOLVED -COMMERC.AL ONLY (Prior to issuance a &Z/State Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses l , e ZzA) (SEE OAR 918-260.260) are required if Oregon Contr.Brd Lic.# Exp. Date expired In C.O.T. - J 5� Check Type of Work Involved: data base) Electrical Contr.Lic.# Exp.Date a. CL1 i`,_ W Audio and Stereo Systems C.O.T.or Metro Lic.# Exp Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address EJAPPLICANT Data Telecommunication Installation 17y,State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, F-1 Landscape Irrigation Control* 2 Call for inspections when Installation under this permit are ready for inspection at 603-9394175; ❑ Medical 3 Purchase separate permits for all Installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to Inspect under this permit, 4 Assume responsibility for assuring that all corrections require'by the ❑ Outdoor Landscape Lighting* insp Jclor are done,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. _ I Number of Systems The person signing for thin permit must be the applicant or❑person No licenses are required Licenses are required for all other installations authorized to bind the applicant. r !' FM: ENTER FEES $ C) Signature 5%SURCHARGE(05 X TOTAL ABOVE) S ' Authority if other than Applicant TOTAL $_� 1 ldstsvesele doc 7/97 - — Vancouver ign Vancouver Sign Company Inc. 6615 Highway 99, Vancouver, WA 98665 • (360( 693-4773 • Fax(360) 693-2747 November 3, 1997 Bob Poskin City of 'Tigard Building Dept. 13125 SW Hall Blvd. Tigard, OR 97223 RE: Albertson' s #576 Pylon Sign Permit •F2-300 SW:Beholl-6Fp�i•ry Rd; BUP97-0379 ' 14 SCC%s'uJ Priv-r-m AJ s W- 314T VIA FACSIMILE: 503-684-7297 Dear Mr. Poskin: As per our recent communications, please accept this letter as verification that the field welding on the above referenced sign installation will be done by a certified welder, Mr. Brian Holt. P.leaEe refer to the attached copy of this welding certification. You are already in possession of the stamped engineering detail for this installation. Thank you for your assistance on this project. Call if you have any questions. YouU- 1 y r .X.�'—� Vice President DM/reh Enclosure Subscribed and Sworn Signed at Vancouver Sign Co., Inc. to before me on this Vancouver, WA on //-, •, 1 )-:� day of bate Notary Public: By: D 'c k Mille �'yslonFBC/�t Vice President A � Vancouver Sign Co. , Inc. My Commission. Expires: /�' .1 �� UCLIG Pose U T• 2,�g� �� I / 1 fi 111�� Member of , � CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT L ANJEft 13125 S IN Hall Blvd., Tigard,OR 97223 (503)639.4171 MERMTT #. . . . . • . : BLIP' 7- Ci 1'o ISSUED: 10/27'/97 6AJ,?_g0L,k).5 PARCEL-: 2S1,04BB--AL001 -TTF r)DDRESS. . . : 14300 SW .s.401W-_-�. . !31_JBD I V I F31 ON. . . . : RIJISSELL I S St' FERRY SUP 70NII`JG:C-.N P1. OCIV. . . . . . . . . . LOT. . . . . . . . . 00 1 JURIGOICTTON:TIG PFTSSUE: FLOOR AREAS.._-- - FXTFRT.OR WALL. CONSTRUICTTOW r,i,. nris OF wow,,. :FPS FIRST. . . . . 39246 f N: S: E: W: TYFIF OF USE. . . :COM SECOND. . . : 0 5f PROTECT OPEN I NGS-)- - - -- T'—,Ir—,F OF CONST. :3N . . . . 0 sf N:N S:N E:N W-N 91'1!71_JrIANCY GRP. :M TOTAL . I.. : 39C`46 s ROOF CONST:AFIRE RCTI : ncrur,ANCY LOAD: 0 BASEMENT. : 0 5f AREA SEP. RATED: ';TDR. : 0 IIT;. 0 ft GARAGE. . . 0 5f OCCU SEP. RATED: W-3MT" ME77" : READ SFTBACKS-------------- RFOUI ..OnR LOAD. . . . 0 psf LEFT: 0 f i; RGHT- 0 ft FTP SPVL.-Y SMOK DET. . : ,Wr:-.L-I-.TNO UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDTCP ACC: ornpms: 121 BATHS: 0 IMP SUPFACE: vi PRO CORR: PARK I NO- 0 '01J-117. $ : 58477 e m al Ii s . Fire protection permit - Albertson's. FEES ,Ar."RTSON' S INC. type amol-int hy date )-FC13t rARKERTON AVE PRMT $ 206. 50 JSD 10/20/97 97--300181 'A. 71 ('=)F_ OR ID 5PCT $ 1 Q 133 J S D 10/20/9*7 97--300181 iL FIRE $ 82. G0 JSD 10/201197 97-3001SI 208 - 385-02113 `-!`TWWLL FTRF..' PROTFCTInN ,RTNNELL CORP P,70 NW 1:1.0TH AVE r1RTLAND OR 97210 299. 43 TOTAL REQUIRED INSPECTIONS permit is issued subject to the regulations contained in the Sprinkler- Rot.tgh- —------ :gard Municipal Code, State of Ore. Specialty Codes and all other Spt-inkler Final applicable laws. All work will be done in accordance with jppro,ed plans. This permit will expire if wcrk is not started ,,ithir 181 days of issuance, or if work is suspended for more khan 180 days. ATTENTION: Oregon law requires you to follow the ales adopted by the Oregon Utility Notification Center. Those ,les are set forth in OAR 952-001-0010 through OAR 952-00181987. ------ 13u many obtain a copy of these rules or direct questions to OIK calling (513',246-1987. 7/ Ill it t er? S i UTI At I.We Iss,Aed By : 4 +-4-++4-++-$-++++; ; +4.......................4•...... . .... .......................4-+ // C_}ll 631.9-4175 by 7:00 p. m. for- AT, inspet-,tion needed the next bl.tsine%s day + i F ++++-S-++++++++-1 ++4-+++-1-++4++4-++4........................++4 +++44+4+++++-1-4-f 05 3(j,'97 11:06 ''503 664 7297 CITY OF TIGARD x¢)002/002 Fire Protection Permit Application INMr ecX. ,Y OF TIGARD Commercial or Residential Recd By = — W sr5 .125 SW HALL BLVD. ��,tiDate RecCl G: OR 97223 �/'�� 'l• ��/ Print or Type Date ro P e 03) 639-4171 Ext_ 304 Incomplete or illegible applications will not be accepted Date to DST Permits .. t Type of System(Completer A or 8 as applicable) Job Address AM A.) Sprinkler Wet Ory ❑ - - '' Surwneaes l f J � 1) )I ' Nsssra roll Owner ^ailing AMmmaAdditional ll � Information Ity" c. f,rtsts "aria Ij� w � - - 4. Name OaS qn Ahs Iwo Occupant Ma,'Ing AQtyes2 - F"r, C.ty#State Trp Phone AM Spnnkler Project Valuation COT ausm=Tax or Metro is Est). Date 9.) Firer Alarm < � ant:racto lr KaR+e Submittal Shall Inc Battery!;�larlancna YES[3 (sonnat,ff o. �E,iJ 1111)FI 1 1 n r ( Inakmilat Campor+mx YESID Lire Coffl Penn*1 NaWny , _ CL4 Std nn* — Fire Alarm Project Valuation $ C(ty/Shts Q P'one Project Valuation Subtotal (A or 8) .mom Jl�Oe(:wilt Gant Boarn lac s r=xo. �i ___ B4 L 1 , Permit fee based on valuation or ► COT uliranir�esv TaxorAAeQv st ExD Dad (see clean can back) � - - --- -- N U 5'�G Surcharge C?� arae S ,-- � I -A rchIle ct tt Add�n U /r))- F FLS Plan Review 40% of Permit r Lli zip TOTAL S. 7 ( f �e. 4 / I � i ; r t C aw+s Huss sue+tias rF� aapweo ano a oermt sellae ares m nrrabar•,. ;c;5e erort! A.,New Q AOdt bon O AlMratlOn O RlPaR C Thee sea or Dani aria%m DLen lab w"nmal react-I w.:!+WWm eoatean ar ')e Cone nest nyonnt 8.1 RaSPITWt O Noodl ant 0 Sony South O e me""I III I M cage eat a tissue re q�.,aaarat+on avr Q+.,nldr> a+gnee a Complete tQ Plat"O Exeway O came=sae a am."r awnv o.Amxrtseo agent of ale Mvner.aria r4K Drsres suomaso Me In=ffVorce yrs+Cregon Scat@ zw-- ri o3 dal OescrTRtran ztwomr I 0IA11 I0w ,'� FM sig Isf� dAgtnt IDaes A.)in Exisar.i 3udtttnq New auudbng 1; eoneset Person Name -_- Phone 3uilding _ I Data a.I =agar C 7e5,nenaal FOR OFFICE USE ONLY; ?eat x I MaplTt,* No.or smnq: f Sq.Fc lip -�I Notes — -J 0C.wPoncy Crass —�Ty{,•3f Commucacn :dtresuer.�toC I RECEIVED OCT 16 1997 COMMUNITY DEVELOPMENT , CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP98-0036 DATE ISSUED: 01 /;28/98 PARCEL: 2Sl04B8--AL001 SITE ADDRESS. . . : 14300 SW BARROWS RD SUBIU.T.V IS I ON. . . . : RUSSELL' S SCHOI...L.S FERRY SUB ZONING:C-N BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :001 JURISDICTION:TIG REISSUE: FLOOR AREAS---------- EXTERIOR WALL- CONSTRUCTION- CLASS OF WORK. :FPS FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 s f PROTECT OPEN I NGF''--_----- --._. _ _ TYPE OF CONST. :3N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :M TO'T'AL-------: 0 sf ROUE CONST: FIRE RFT ? : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf APEA SEP. RATED: TOR. : 0 H1-: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : MEZZ? : REQD SETBACKS---------- REQUIRED------------- FLOOR EQUIRED----------•--F"LOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWEL.L.ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM:Y HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 1500 Remarks : Albertson's fire alarm permit Owner: - ______..----._._-----__________.__----____---_..---------_-----____-- FEES AL BERTSON' S INC:. type amoi.rnt by date recpt 50 PARKERTON AVE PRMT $ 36. 25 URN 01 /21/98 98-302663 BOISE OR ID SPCT E 1. 82 DRA 01/21/98 98-30266,:1 FIRE $ 14. 48 DRA 01/21 /98 98-30266-3 Phone #: 208-385-0283 Contractor: ----------------_.__.---____-- f1CTION TECHNOLOGY SYSTEMS A35 SE 17TH AVENUE PORTLAND OR 972 t 4 1 1h o n e #: 2'31-1992: E 52. 55 TOTAL fled #. . : 000791 - - -- - REQU I RED T NSPECT T ONS This ptrmit is issued subject to the regulations contained in the Fire Alarm 1 n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Smoke detector i applicable laws. All work will be done in accoriance with -pornved plans. This permit will expire if work is not started _ within 199 days of issuance, or if work is suspended for more Y — than 189 days. ATTENTION: Oregon lam requires you to follow the — r;;les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-991-919 through OAR 952-99191987. _ You many obtain a copy of these rules or direct questions to O(W,, by calling (593)216-1987. — �— i-'ermittee Si nat�rre • tlhjtlN A& Issued B • k+++++f•+++4•+4t++•4•+++++++++++++++•:-i++++-1•++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. far an inspection needed the next bi-rsi.ness day 4+++-f .........4+..+++++++.....+++tf•++++•+++.++++++++++++++++{•+.++++++++1+++++++ 1 Fire Protection Permit Application PlanChe CITY OF TIGARD Commercial or Residential Recd By h 13125 SW HALL BLVD. �1 C Date Recd TIGARD ,OR 97223 Print or Type Date to P:,,. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to 1) Permit <" �-3 Caned -Z Job Name of Development/Project Type of System (Complete A or B as applicable) R EYE So r� s1 5-7 l� Address Address WS A.)Sprinkler Wet ❑ Dry p Name Standpipes Owner Mailing Address Additional Hazard Group City/State Zip Phone Information Density Name Design Area Occupant Mailing Address K. Factor City/state Zlp Phone A.1) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm - �— (Sprinkler or I Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES Prior to permit 7 S 5c 1 1 1N l issuance,a City/state Zip Phone Individual Component YES copyi q-12 t"t 2� - (C117- _ Cut Sheets of all licenses tj R/✓t►"v� OrLB.1) Fire Alarm Project Valuation $ 1 ' '5c)C) "O are required If State Const.Cont.Board Lic.0 Exp.Data expired in COTWil ' l _( Project Valuation Subtotal(A & or B) $ database Name Permit fee based on valuation Architect Mailing Address (see chart on back) 5% Surcharge $ ( , , City/State zip Phone _ FLS Plan Review 40% of Permit $ (4 4V Describe work A.)New ffl Addition O /Alteration O Repair O TOTAL � to be done: $ B.) Modification to sprinkler heads only: _ - 1. 1-10 heads-No plans required Plans rb quired: Submit three sets of plans, including a vicinity map ana 2. 11+E Plan review required 'he location of the nearest hydrant. I hereby acknowledge that I have read this application,Aha'the information given is _ Number of sprinkler heads ^^ correct.that I am the owner or authorized agent of the owner,and that plans submitte-I Additional Description of Work: _— are in compliance with Oregon State laws. Fir)I r ► L,M 2�L�, c�� TLS' — Signature of Owner/Agent I Date A.)In Existing Building p lew Buildings : Building contact Person Name Phone Data B.) Commercial LK Residential p ' L1vo EWt2r2 I FOR OFFICE_ USE ONLY: No. of stories. Plat# Map/TLA: Sq Ft • Notes 9 Occupancy Class Type of Construction i:'f iresupr.doc CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4,03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 4'.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 '186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 2.12.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.3;; 2.9,001-30,000 193.00 7720 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 1033 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 i:�fresupr.doc J m^ � CITY OF TIGARD Electrical Permit Application Plan Chsc 13125 SW HALL BLVD. Recd By �� Date Recd TL TIGARD OR 97223 Date to P.E. Phone(503)639-4171, x304 Date to DST_ Inspection (503) 639-4175 Print or Type permit f►I:LG � DO Fax (ctio (503) 3 Incomplete or illegible will not be accepted celled 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) Service included: Items Cost Sum Address rv' L c { 4a. Residential-per unit -- 1000 sq.ft.or less $110.00 4 City/State/Zip A Each additional 500 sq.ft.or portion thereof - $25.00 1 Commerci> esidential❑ Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder - $68.00 2 2a. Contractor Installation only: (Attach copy of all c re t Iicens Ins Services or Feeders Electrical Contractor ' Installation,alteration,or relocation 200 imps or less $80.00 2 Address 6 ' 201 amps to 400 amps $80.00 _ 2 City State Zip _ 401 amps to 800 amps - $120.00 2 Phone N L 601 amps to 1000 amps $180.00 _ 2 Over 1000 amps or volts $340.00 2 I N0. - 50.00 2 Job Reconnect only - $ Elec.Cont. Lice. No. Sjxp.Date OR State CCB Reg. No. L Exp.Date- 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n.�a.l,. 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. oZ J� _ p.Date ( see"b"above. Phone No. ` ? - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase of service or Print Owner's Name, feeder tae. Fach branch circuit $5.00 2 Address b)the fee fur branch circuits CityState Zip- without purchase or Phone No. _ service or feeder fee. First branch circuit $35.00 2 The installation is'.eing 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 Each sign or outline lighting ` .� � 2 Signal or a limited energy /N � 3. Plan Review section(!t required):' clrc panel,alteration or extension ___._j $40.00 _ 2 Minor Labels(10) - $100.00 Please check appropriate Item and enter fee in section 58. 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 $35.N System over 600 volts nominal Per Inspection $55.00 Classified area or structure c(mlaining special occupancy Per hour - as described in N.E.C.Chapter 5 In Plant $55.00 Submit 2 sofa of plans with application where any of the above apply. 5. Fees: d Not required for temporary construction services. So.Enter total of above f9es $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ Sb.Enter 25%of line 59 for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it�rJ ed(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 Trust Account k- / TIME AFTER WORK IS COMMENCED. $ Total balance Due 1\e MELC9A IMP Rev 9096 CITY OF TIGARD E'L_ECTRICAL F,ERMIT DEVELOPMENT SERVICES L.DATE ISSUED:PERMIT #: D: 02-0092 /25!98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 `aI TE ADDRESS. . . : 14. 00 561 NARROWS RD PARCEL: LPSI04BB-AL.001 SURD I V I S I ON. . . . : RUSSFL..l_' S SCHOLLS FERRY SUN ZONING:C-N BLOCK. . . . . . . . . . : I_OT•. . . . . . . . . . . . . :001 JURTSDICTTON: TTG I'Iro i ect De srr i pt ` o n : IN-!allation of aM AMP service and twenty-four (24) branch circuits for a conNercial ocepy. -_RESIDENTIAL_ yY------ UNIT---- -•-•---TEMPSPVC/FEEDERS---- --MISCELLANEOUS--- . 1000 SF OR L.ESS. . . . : 0 0 - 200 amp. . . . . . . : 0 F'UMF'/IRRIGAT ION. . . . : 0 I:7ACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : N i_IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . , . . : 0 SIGNAL_/PANEL. . . . . . . : 0 11ANF. HM/ SVC/FDR. . : 0 C01 +amps-1000 volts. : V_A MINOR I_ASEL ( 10) . . . : 0 ---SERVICE/FEEDER---- -----BRANCH CIRCUITS------ ----ADD' L INSFIE:CT1C)NS--- ?� - E'00 amp. . . . . . : 1. W/SERVICE OR FEEDER: 24 PIER INSL='ECIION. . . . . : 0 01 - 400 amp. . . . . . : 0 1st 14/0 SRVC OR FDR. : 0 PIER HOHR. . . . . . . . . . . . 0 ,+01. - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC:: 0 IN PLANT. . . . . . . . . . . . 0 601 - 1000 amp. . . . . . 0 REVIEW SECTION---------------- 1000+ am p, volt. . . . . : 0 )=4 RES UNITS. . . , . . . . : > 600 VOLT NOMINAL. . Qeronnect only. . . . . : 0 SVC/FDR >= 225 AMP'S. . : CLASS AREA/SPEC OCC. : ')wner; ______.____._.._____....______.____......__.__.____.___ FEES 1LPERTS0N' S INC. type Amount by date'- `-_-recpt _.... J50 PARKERTON AVE FIRMT $ 1.80. 00 GEO 02!25/98 98-303590 I{OISE OR 1D SPCT $ 9. 00 BEO 02/25/98 98-303590 Phone #: ' ontractor: BROADWAY ELECTRIC-COCHRAN INC, $ 189. 00 TOTAL.. _ �^ Pn BC.)X 33524 ~---- -- REDUIRED INSPECTIONS EATTI-E WA 98133-0524 Ceiling Cover Underground Cove Rhone #: 234--6564 Wall Cover Elect' l Service Req #. . : 000729 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all ther applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended 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 DAR 952-W- 818 through OAR 952-01-1 You may obtain a copv of these rules or direct questions to bycallin 1246-1 7. E>> mittee SignatureIssued Ny • INSTALLATION ONLY--------------------------- - Che installation is bein4 made on property I own which is not intendedfor -ale, lease, or rent. (1WNE R' S S I(3NATURE: _ _ DATE: ---------------------CONTRACTOR INSTALLATION ONLY------------ F-;I GNATURE OF SUFIR. ELEC' N: 0AJ ADATE I T CENSE NO: ------3-1Z5 14 + +++-1.... f•++++++i.++++++++++++++++++++++•4.+++++++++++++++++++++++++t+4•++++++++++ Call. 539--4175 by 7:00 p. m. for An inspection needed the next busineSS dA V. 4111-+ •+ +++++4.4-+++++ +•++ ++++++++++++++++++++++++++++++t+++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # tS --Cyc/,q shone (503) 639-4171 Date Issued _ FAX (503) 684-7297 Issued by CITY`w TIOARO TDD No. (503) 684-2772 inspection (503) 639-4175 11. .ii,.,a Address: 4. Complete Fee Schedule Below: Name of Development_ LI o��_5-1T�Q-& Number of Inspections per permit allowed Address ILA 3cxD :SLj__apgRG Service included Items Costiea) Sum City/State/Zi4'. Residential- per unit 4 1000@q it or leas $11000 Name (or name of business) U L�lW Each Mddronal 500 w II or I portion tMreol f75 00 - Commercial �. Residential❑ Limited Energy $21,00 Each Manul'd Home or Modular Dwelling Service or Feeder fF9 00 2a. Contractor installation only: 4b,services or Feeders Installation,alteration or roloralion 2 Electrical Contractor / U�I�tA'•-� (�-Lt� zoo amps or 1.8. se000O •°O 2 Address 2-L& f6- 201 amps to 400 amps $60 00 2 401 amps to 600 amps $12000 2 City _ State 0_ Zip_ 9 I 601 amps to 1000 amps $16000 — 2 Phone No. Over 1000 amps or volts $34000 2 Contractor's License No. Reconnect only $5000 Contractor's Board Reg. -- - 4c.Temporary Services or Feeders Installation.alteration,or relocation 2 Signature of Supr E lec'n 200 amps on less $5000 2 201 amps 10 400 amps $75 00 2 License N0. _ 11�� _ Phone No. 4011 amps to 600 amps $too 00 Over 600 amps to 1000 volts 2b. For owner installations: as*V above 4d. Branch Circuits Print Owner's Name New alteration or extension per panel Address n)The lee for branch circuits with City —_ _— State Zip purchase of savke or Feeder ties f ZD eo 2 Each branch circuit -44 f5 00 Phone N0. _ b)The lee for branch circuits without The installation is being made on property I own which is purchase or service or feeder lee. 2 nc., intended for sale, lease or rent. First branch rlrcW) $3500 Each additional branch orcild $500 Owner's Signature_ _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $4000 2 Each sign or outline lighting $4000 Signal cimuit(s)or a limited energy Please check appropriate item and enter foo in section 5B. panel,alteration or extension $4o 00 4 or more residential units in one structure Minor tabsla EI 0) $10000 _ Service and feeder 225 amps or more System over 800 volts nominal 4f. Fach additional inspection over Classified area or structure containing special occupancy the allowable in any of the above es descrihed in N E C Chapter 5 " " " $55 00 — � fs500 _ $55 00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary consiructicn services. 5. Fees: w NOTICE 59. Enter tital of above fees $ 5%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUC—'ON Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Revlaw if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS trSubtotal $ COMMENCED LJ Trust Account N $ Balance Due $ 16-1 °o �so 4 CITY OF TELECTRICAL PERMIT c PERMIT #: ELC98-0045 DEVELOPMENT SERVICES DATE: ISSUED: 01/28/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 2S 1041313--AL_0O1 �71TE ADDRESS— : 14300 SW BARROWS RD ISU9DIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO1 JURISDICTION: 110 Project Description : Albertson's fire alarm permit -----RESIDENT 10L UNIT---- ---TEMP' SRVC/FEEDERS---- _--------MISCELLANEOUS-_--- '1000 SF OR LESS. . . . : 0 0 - 200 amp. : 'A PUMP/IRRIGATION. . . . Ir EACH ADD' L_ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 I_.IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 1. MANE. HM/ SVC/FDR. . : 0 Ei01+amps-- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 SERV I CE/FEEDER---- -----BRANCH CIRCUITS---.. - ---ADD' L._ INSPECTIONS—- 200 NSPECTIONS---- 200 amp. . . . . . . 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 "01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0 '101 -- 600 amp. . . . . . : 0 FA ADD' L_ B RNCH CIRC: 0 1 N 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 AL.BE:RTSON' S INC. type amaUnt by date rer_pt ,_50 PARKERTON AVE PRMT E 40. 00 DRA 01 /21 /98 98-30266:; BOISE OR TD 5PCT $ 2. 00 B 01/28/98 98-302849 Phone #: (- i)nt r'art or: -- ---_--- ------------ -- ------- -- --- _ - --_ --___—_---- --- - - - - (ar.TION TECHNOLOGY SYSTEMS 9 4L, O0 TOTAL. (TELEPHONE R ALARM SUPPLY) 835 SE 17TH AVE -- -- --- REQUIRED INSPECTIONS P'ORTLAND OR 97214 Ceilinq Cover Elect' 1 Service Phone #: 2.31-1992 Wall Cover Elect' 1 Final R F,q #. . : 000007 This permit is issued subject 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 permit will expire if Mork is not started within 188 days of issuance, or if work is suspended for wore than 188 days. ATTENTION: Oregon law requires you to fallow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-9N1-8Qi10 through OAR 952-881-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. F ermitteeSignat�_i� i11.t ( (�'V` ti Iss,Aed By : ; I • ___-- ---.___-__-----•---_-__---OWNS.R INSTALLATION The installation is beinq made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ---------------------Cl]NTRACTOR INSTALLATION ONl_Y_•-----_------__-...-____-.._---__.__. i 1 GNATURE OF SUPR. ELEC' N: K W DATE: LICENSE NO- 4-4......4......4-1 +++++4.+++4-+-4-+++-+-++++4.............4.............................. O:+++++++++.++++++++++++i•++++++-+++•++++++-++++++++++++i.+++++++++++++++++++++++++++++ Call 639--4175 by 7:00 p. m. for an inspection needed the next bi_isiness day +++++++-F+++++++a-++++++++'++++++++++++++++++++++1++++++++++++.+++++++•++++++++++++ CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By_ TIGARD OR 97223 Date Recd r'>/ , Date to P.E. Phund(503)639-4171, x304 Print or Type Date to DST7�'7�-_ Inspection (503) 539-4175 Permit# 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).ALyi,V'-T::r.;w.3 5.3 5 # 15-16 Service included: Items Cost Sum Address (4 300 S LJ - '��`� ' (11 4a. Residential-per unit /State/Zi v�wn Uva 1000 sq.ft.or less $11000 - 4 Cit y p� Each additional 500 sq.ft. Lr Commercial ❑ Residential ❑ portion thereof $25.00 _ I Limited Energy $25.00 Each Manuf'd Home or Modular 2a. Confractor installation only: Dwelling Service or Feeder (Attach copy of ell currant licences) 4b.Services or Feeders Electrical Contractor -cv-cwoInstallation,alteration,or relocation 200 amps or less $60.00 Address y 1_j 5, IS to 201 amps to 400 amps $80.0 Zip CA 12 0 _ Ciy PuvLcyv'+ti��State_Ql� l q 401 amps to 600 amps $120.00 _ Phone No. I- �'J 1 _ I �1a1V 601 amps to 1000 amps $180.00 _ 2 7 .lob No. - Over 1000 amps or volts $340.00 � _ 2 00$50 . 1 ��, Reconnect only T . Elec. Cont. Lice. No. _ Exp.Date, l:7 -" t "E'1�OR State CCB Rcg. No. -Wl l 3G Exp.Date 1^ 'S "0111 4c.Temporary Services or Feeders COT Business Tax or Metro No. 2-q Q-1`N Exp.Date g t - '19 Installation,alteration,or relocation 200 amps or less $5n no _ Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2 ---- 401 amps to 600 amps $10000 2 1�l Over 600 amps to 1000 volts, License No. ��` Exp.Date �O -"�� see"b•'above. Phone No. Z-3I. /07'7Z ----- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ feeder fee. Address Each branch circuit $5.00 b)The fee for branch circuits City State __ Zip_ _ without purchase of Phone No. service or feeder lee. First branch circuit $ 5.00 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 intended for sale,lease or rent. 4v.Miscellaneous Owner's Signature _ _ (ServEach lce or pumpf or irrigation included) irriigation clle) e $40.00 Each sign or outline lighting $40.00 3. Plan Review section (it required):' Signal circuits)or a limited energy panel,alteration or extension _ $40.00 '40-00 2 _ Please check appropriate item and enter fee Insection 58. Minor Labels(10) $100.00i- _ __4 or more residential units in one structure 4f.Each additional Ir taction over _Service and feeder 225 amps or more the allowable In any J the above System over 600 volts nominal Per inspection _ $35.00 Classi"area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chanter 5 In Plant - $55.00 *Submit 2 sets of plans with app!lcation where any of the above apply. 5. Fees: /l� Not raqu!red for temporary construction services. 5s.Enter total of above fees $ 5 Surcharge(.05 X total fees) $ -tea NOTICE Subtotal $ 5b.Enter 251.of line So for PERMITS EECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewfl required(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 ❑ Trust Account# Total balance Due Teti 1\DSTS\ELCN APP Hev 996 U IIAKK I NUN V 9 'J U 01 U . 98 1:, IU C14r �,f l ►yG�� REX F-,ARRISON STRUCTURAL CONSULTANT 1300 N. TEN MILE MERIDIAN, IDAI IO 83642 (208) 898.7107 April 2, 1998 City of 1 igard 13125 SW hall Blvd. Tigard,Oregon 97223-81519 Attw B1-IdinB P De artnlent Re. Albertsonss 0576 - T igard 14300 SW Barrows Road,Tigard, Oregon Permit No: 13UP96-0634 Dear Building Dept Official I perfonned the Structural Observation called for on the plans, with regards to the structural framing,on Dec. 9, 1997 Respectfully yours, )6�e ltlayte'��OL<' Rex Harrison CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PIERMIT #: EL.C98-01.6:2 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/02/99 SITE ADDRESS. . . : 14300 SW BARROWS RD PARCEL: 2S104BB-07900 SUBDIVISION. . . . : RIJSSELL' S SCHOLLS FERRY SUB Z(IN ING:C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG Pro.j ect Description : Albertson's ---RESIDENTIAL UNIT-----. ----TEMP' SRVC/FEEDERS __.---____'_ - -M.ISCEL_LANEOUS- --- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PIUMPI/IRRIGATION. . . . 0 EACH ADL' L 50VISF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PIANEL. . . . . . . 1 MANE. HM/ SV(:,/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL_ ( 10) . . . i ---SERVIIE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L.. INSPECTIONS--- _ r_rI 00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER TNSr-IECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 ar.Ip. . . . . : 0 -----------------PIL.AN REVIEW SECTION------- -------- , 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : f Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPIS. . : CLASS AREA/SPIEC OCC. : Owner: -----------------------------------.-...---------_ __ _--- - FEES ---------------- ALBERTSON' S INC. type amol.int by date recpt C'30 PIARKERTON AVE PIRMT $ 40. 00 JSD 04/02/91 96-304608 BOISE OR ID 5PICT $ 2. 00 JSD 04/02=/98 96-304608 L-'hone #: Contractor: OROADWAY ELECTRIC--COCHRAN INC $ 42. 00 TOTAL PO BOX 3354 - ------ REQUIRED I NSPIECT I ONS --- -- 1.)FOTTLE WA 98133-0524 Ceiling Cover Elect' 1 Service ='hone #: 234-6564 Wall Cover Elect' 1 Final Reg #. . : 000729 This pervit 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 accordance with approved plans. This dereit will expire if work is not started within 180 ' days of issuance, or if work is suspended for Bore than 180 ays. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are se fort OAR OAR 952-801-0010 through OAR 952-M8 987. You eay obtain a copy of these rules or direct questions to LL1WC by a ling i 2A6-1r? - I I e r m i t t�e Si gnat Li r e : -' ,_._ _. I s s i_r e d B y -..-._--OWNER INSTALLATION ONLY---------------------------- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: _ DOTE: INSTALLATION CNLY-- ------- -- ---_._________-- SIGNATURE OF SUPIR. ELEC' N: _ DATE: I_. ICF_NSE NL?: ++r-++++++++++++++++++++++++++++++++++++++++++a +++++++++++++++++++++++a-+++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next hI_rsiness day ++++++++•+E++++++++++++++++f•+++++++++++++•+++++++++++++++++i-+++++++++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # L v— C7 ' Phone (503) 639-4171 Date Issue FAX (503) 684-7297 Issued by _ CITY OF TIGARD TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development I&t3C ClSu.UJ Number of Inspections per permit allowed — Address. /V-?00 e1,1n C.COie�t Service included Items Cost(ea) Sum 11 City/State/lip ? �;7/SFJ rr G ��> 1 ,j 4a. Residential-per unit 4 l000 eR n or lase $11000 _ Name (or name of business) SAn)C— Each addt eq It or portion thereof f25 00 1 re Commercial to Residential❑ Fach d Energy $2500 — ch Manufd Home or Modular 2 thvelling Service or Feeder sm 00 29. Contractor Installation only: 4b. Services ox Feeders (-12 y,.1-lc 1 viZ T) Installation alteration ;r relocation 2 I lectrical ContractorCit.Ec: 200 amps or leas $so 00 2 2 Address 10 lc� S6 /11�r K! '�� 201 amps l0 400 ern,rs $8000 2 City 1'"rT U+ State C-''�- Zip'I/ � 401 amps to 800 amps $12000 60t amps to 1000 amps $18000 2 Phone No. ' 74 4 r 0`} over 1000 amps or voter. $34000 _ 2 Contractor's License No. Reconred only $5000 Contractor's Board Reg. No. 7L Vy Y 4c.Temporary Services or Feeders \\�^` Installation alteration or relccahon 2 Sigllature of Supr. Elec'n__ �'v�+� \ • `- ton ampa or legs _- $5000 2 1_icense No s)Rc-_.f' Phone No. 201 amps to 400 amps _- $7500 2 401 amps to 800,vnpe $10000 Over 800 amps to '000 volts 2b. For owner Installations: ase W above 4d. Branch Circuits Print Owner's Name__ Ncw alteration or extension per parel Address n)The tee for branch circuits with City - State _ Zip -- purchs"of mmics or tssdsr Am. 2 Each branch rucurt $500 Rhone No. _ b)The fee for branch circuits without 1 he installation is being made on property I own which is purcnsss of servke or sad ' bo. 2 Firnot intended for sale, lease or rent. Each addithnalbt $3500 2 Each addsicnel branch proms $500 (Avner s Signature _ 4e. Miscellaneous (Service or feeder not Included) 2 3. Plan Review section (if required): Each pump or litigation circle $4000 2 Foch sign or outline hghhng $4000 _ Signal cimud(s)or n limited energy / vi, 2 Please check appropriate item and enter fee in section 5A. panel alteration or extension / $4000 7C 4 or more residential units in one structure Minor Labels 110) $10000 Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over _ Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection $3500 A Per hour $55 00 n Plant 115500 Submit sets of plans with application where any of the above apply Not required for temporary construction sorvioes. 5. Fees: �r NOTICE 5s. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK Of CONSTRUCTION Subtotal $ �Z! AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sac 3) $ A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account M $ Balance Due $ �� CITY OF TIGARD DEVELOPMENT SERVICES F`"'` "T`.'r '_'F"'`'' 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 f f 17DRFE" rrrrr.rr�pr ralr�r.-1 r rr rirl-jr'l. I ' r'f3fn`' r`;1I ?(?r.lTr.lr ;r' r.l fir . :4hu' i rlI�z'. r,.Tr r r.,t., .tr O / IF USF. r. ;i`Tr-r'r Iii-'r:IU I. .- ..L] nNCY GRI''. . TCl 11�1 - i 1"'ANCY L GAD: r . c r r'i r7J. . .r- Mr.�I rr,�,r l't rti-Ci11117r .. .F I. rr-141' ,, _Jn!r}? f I.,_ r c I, I INC UNITF,: 7 f r;r .r : fh r+ r-f:nn., FTr fl; RIn: I- IPTC I�r1I 0 BA,rr 1r,; 0 T mr' ''•1 11,r nr'I-C h Cmr1 rr+mA. r ctinG/7 k g : Tenant isproveeent/Fire spriryler prc`ea syste4, "ONCC1RP , v: + c' 0'T 5W RG�nRr]r.ir lanai, ti . T7,T) OR 97r..,'7'4; u r-r rr- A 1 rT f�,T i1r r r>t-.. -, r r�;, -•�-. it i t? it v ,I -c, e"sit is issued s0.-*t to the vmvlet`on! cnt!taire'd SC the r frr i r 1. i r t 4rtrrr:r yard M;ur-icipal Coder State a` Dre. Special'y Codes and all other r i 1 1.P r" i T,r 1 _ .-ab'e laws. All wrI4 wi'; be done irr acccrdanre with ptcved plans, This pertit will expire if wor' is lot starte! '$.:r .'8P days of issuance, or if wnrP is susrended for eors ,. ?B@ days. ATTENTION: Dr•egrn law requires you to follow the adopted by the Dregor. I ility antificatior Center. Those are trt forth in MR throutl DAA .any obtain a copy of these rules or direct questions to XV, ------- t+n vS i q n,�+ ,,:,r, . �/✓RP/�c/p 4 Tignl-/'!qr[E� , n 4 44•++++++++++-+-F+4-a-*4-++++$-+++•+++++-1-+++4 a 44.1 .1- 4-+-1-+4 +++++4•++-}-+++-3-4-+;{-+4-+s J--+-a-. 11 639-4175 t;y 7:00 p. m. fot- An irnspecttcm rieFr+erl ther r :+ . . ten �..4.4.h+•4+++++ i t+4-4+4-+++++++}-+.+4.4_4 ti...t..}.++i-++.a-+-+ 1-+i.+ }_r i Fire Protection Permit Application Plan Check M ey_ C- CITY OF TIGARD Commercial or Residential Recd By_Q�cH 13125 S°W HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P E. (503) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted Date to DST 131 q 8 Permit# 6-t)ow -0/0/ Called Name of Development/Project Type of System (Complete A or B as applicable) Job Ub J3A.NK /�LOEXT'600JS 5 7 0 — Address Address A.) Sprinkler Wet Dry ❑ -- /)17,40 Standpipes Name Owner g Additior;al Hazard roup Malin Address ,(..q- rr S� �ftkotJS IZD. `- City/State tip Phone Information Dunsity Desigr Areu Name Occupant Mailing Address S.Facto Sprinkler�'roject V�luat;on City/State Zip Phone �—^ _ COT Business Tax or Metrn# Exp.Data I B.) Fire Alarm -+ Contractor Name SLt^thtal Shall InClude Bittery Calculation:: YES (Sprinkler o. `� f'/<O1 �jJ 100,41- F1leX 55 v,6��'1 S hirtividual Componen 1YES — Alarm Company) Mailing Address Cut Sheets (Prtorto permit /n 3 S srfWER qD --r— — 4suarce eppirr nl city/State tip Phone Fire Alarm Project Valuation $ ( must proe vdall a - 0.3 5,itatNCREFr Sir"! (r LI _ Project Valuation Subtotal (A or B) $ «xinxiws lirsriN Sttatee Const.Cont. Board Lic.tf Exp. Date nformstion for / �` 'C,; ,: f; —._ �. -- --- ---- Permit fee based on valuation COT deuabaee). COT Business Tax or Metro N Exp.Date (see chart on back) Name ----- 5% Surcharge $ /\ FIRE ✓YSrtMJ Architect Mailing Address FLS Plan Review 40% of Permit $ City/State tip Phone TOTAL !"It 1 Rt�EK ryl�ooy l�=`�l //3`��? Describe work A.)New O Addition JB, Alteration O Repair O PLANS MUST BE SUBMITTED.approved and a permit issued prior to installation to c done' Three seta of plans and site plan(and vicinity map)required which shows location of nearest hydrant B.) Basement O Hood/Vent O Spray Booth O 1 hereby acknowledge that I have read this application,that the information given is Complete O Partial O Exitway O correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oirrgon State laws Additional Description of Work: Signature of Owner/Agent Date A.)In Existing Building U New Building ❑ Contact Person Name Phone — /qAM ►EwfARP (3Z - H353 Building _ — Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY: Plat# Map/TL;<t: No of stories Sq Ft ^ _ Notes Occupancy Class Type of Constniction _ I kFIRESUPR DOC (DST) 8196 i CITY OF BOARD BUILDING PERMIT FEES 'TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001--12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 16.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 2.1,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 C,23 238.53 14,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36.001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 iRESUPR DCC (DST) 8/96 SEE 35MM ROLL# 22 FOR w LARGE DOCUMENT i CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639417.5 Business Phone: 639-4171 Date Requested: _ A.M. _ P.M. _ MST: 0 Location: ��r.�7 d'C� ��i��'tt�""�_ _ BUP: a Tenant Suite: Bldg: MEC: Contractor: Phone: PLM: Owner: _^ Phone: ELC: SIT: (ton'q t_) ..- BUILDING ` PLUMBING: MECHANICAL ELECTRICAL SITE Site Poo/licant Post/Beam Post/Bcam Cover/Service Sewer/Storm Footing :;oof Ilndl�l/Slab Rough-In Ceiling Water line Slab Framing 'I'op Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault I3smt Datnp Drywall Storni Furnace Temp Service MISC. Masonty Ceiling Rain Drain A/C IJG Slab Shear/Sheath re r/Alm Crawl/I,'ound Dr Beat Pump Low Volt Approved pprov Approved C1+ prov Appr/Sdwlkoved Not Approval raved Not Approved o pproved FINAL FINAL 0 Call rot rein-,pection 0 Reinspection fee of S required before next inspection O Unable to inspect Inspector: —_--- Date: �,' Page _of -- \ CITY OF TIGARD DEVELOPMENT SERVICES BUILDING P .RMIT 13125 SW Hall Blvd,, Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP98-�00� 9 DATE ISSUED: 0! /21 /98 G— F-ARCEL . 2S104BB—ALOOI ITE ADDRESS. . . 14 300 SW 9,a *E �=+—F'F1 Y *D SUBDIVISION. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C--N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :001 ,TURISDICTION:TIG — ------------------- ------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTr(UCTION— CL.ASS OF WORK. :ALT F I RST. . . . : 0 s f N: S: E: W: I"YI-'E OF' USE. . . :COM SECOND. . . 0 S PROTECT OPENINGS?------------- i YPF: Of:' CONST. : . . . 0 s f N: S: E: W: OCCUPANCY GRI"'. :M TOTAL---------- : 0 s f ROOF CONST: FIRE RET? : [:OCCUPANCY LOAD: 0 BASEMENT. : 0 s f AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: I{SMT?: ME 7 7 ' : REDD SETBACKS------------ REQUIRED— ----- -- ------ ---- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 -ft REAR: 0 ft FIR ALRM: HNDICP ACC: BF:DRMS: 0 BATHS: 0 IMF' SURFACE: 0 PRO CORR: PARKING: 0 VALUE. f: 40000 R p m a r k s : Tenant improvement to install a modular bank within Albertsons grocery store. (Occpy not allowed until City of Beaverton confirms easement from PEE/Bonneville located within City of Beaverton jurisdiction.) Owner a ___-.---------.___._.-- -_._. FEES US DANCORP type amoi.int by date recpt P0 BOX 720 PRMT f 238. 00 GEO 01/21/98 98-302661 1301. FIFTH AVE. , SUITE 2200 5PC:T f 11 . 90 GEO 01/21 /98 98--302661 SEATTLE WA 98101-0720 PLCK $ 154. 70 GEO 01/21/98 98-302661 Phone #: 206--461 -7444 FIRE f 95. 20 GEO 01 /21/98 98--302661 Contractor: ----------._____._---.---.---•----_-__.. MARKET CONTRACTORS LTD 10 .50 NE MARX ST r,nRTLANT) OR 9 220 1'h n n e #: 255-0971 f 499. 80 TOTAL Reg #. . : 006283 ------- REQUIRED INSPECTIONS ---- -- This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other I n s,_i I at i on Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started within 188 days of iss,iance, or if work is suspended 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 through OAR 952-N181987. You many obtain a copy of these rules or direct Questions to OLK by calling (583)246-1987, ---- - i Permittee Si gnattlt-e : Is!s�_ied By: Al +++++++++++++•F+++++++ ++++4 . ++ ++++++++++-1++++++++++++++++++++ f++++++++++ Call 639-4175 by 7:0 p. m. an inspection needed the next b_isiness day +-►+++++++++++++++++++++++++++ +++++++++++++++++++++++4.++.4.............. 04/25/97 14:4T U5U3 564 74Y( Lill ur LIU&" �vvoiuuo ComMflrdal Building Perm. R Jobaite Addrssa:� >� 41 � ^1 Tenant: Sulu p . ,, .. Valuation: 1 Owner. `/� Address: Lr� _„� �/� Telephone: � ::..'�i/i �.y-si – '�,e„ ,. , , ,a,1, , z Contnator. Address: �� i rl�x ;:�Z ) �L=_ Type of cofttr:—,Z til — Telephone: r ' - Z Occupancy Class:_, •_ _ Contractors License 0 Sprinkler? 4-Y” No (attach copy of current O*on license) Sq. Ft. Of Project: _1VL?_ Contact name &telephone:eIA6r''��_ Story (1st, 2nd, etc.): Architect& Engineer: r Propos^d Use:,AQ 11�/fJ Address: �'�'1'l ,��/�`� �� Previous use: _ Nato: Plumbing b mechanical plans mint Telephone: .�0�^ � �� Sr be submitted at time of building permit application. JOB DESCRIPTION: T_�� -- 4/& •r(. �! .'6;V - �v 1 A elll�" I'Li'4"1�/' Applicantl - n 3 Telephone Number) Received try': ��/ Dat! Kaeaived. 1 t:,COMTI GOC !DSn 011e s83 684 72P 9`+': P.06 CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0065 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 02/12/98 PARCEL: 2S 1O4BB--AL.001 SITE ADDRESS. . . : 143,00 SW BARROWS RD SURD I V 15 I ON. . . . : RUSSELL' S SCHOLLS FERRY SUB ZONING:C--N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO1 JURISDICTION: TIG Pro.ject Description : Installing a permanent 34 sq. ft. Mall sign - - RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS--------- 1.000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF'. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 1 1.11+11TED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014•amps-1O00 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDE-'R------ -----BRANCH CIRCUITS--•------ ----ADD' L INSPECTIONS----- 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 E.O1 1000 amp. . . . . : 0 ----------- --•----FL AN REVIEW CECT 1ON------ --- 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reecinnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ----------------------------------------------------- FEES ----------•------- IJS BANK type amount by date recpt 14300 SW BARROWS RD PRMT 9 40. 00 B 02/03/98 98--3012995 TIGARD OR 9722.E `PCT $ 2. 00 B 02/03/98 98-302995 Phone #: BLAZE SIGNS OF OREGON 9 42. 00 TOTAL, PO BOX 23910 REQUIRED INSPECTIONS PORTLAND OR 97281-3 )10 Ceiling Cover, Elect' 1 Service Phone #: 639-326Z' Wall Cover Elect' 1 Final Req #. . : 000643 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 accordance with approved plans. This permit will expire if Mork is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by 'hr Oregon Ctility Notification Center. Those rules are set forth in OAR 952- 1-WIP through OAR 952-981-1987. You may obtain a copy �f thesis rulrs or direct questions to OW by caliin (503)246-1987. Permittee Signature: MA _ I� 1 11-d Eby ; 6 -----------------------------OWNER INSTALLATION Q"JLY______.____-•-------------____-- - The installation is being made on pr-ope*-ty I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE: DATE: ------------ ---- ----- --CONTRACTOR INSTALLATION ONLY----- ----- - -- -------- ---- S I GNAT LIRE OF SUPR. ELEC' N: DATE: _ LICENSE NO: +++++++++t++++++++++++.++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for 8n inspection needed the next business day t++++•t-+++++++++++++±++++t++++++++++++++++++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Date Issued12— Phone (503) 639-4171 CITY OF TIfiARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development` c Number of Inspections per permit allowed " I Addresses V Rc __ Selvine icc:uded Items Cost(ea) Sum City/State/Zip :n; 194 . 4a. Renidentlal -per unit Ili00 1000 sq ft or less -_ $110.00 Name (or name of business) (A :o F0011/Z� Each adddionai Soo sq It or portion thereof $2500 Commercial P1, Residential ❑ Limned Energy $2500 Each Manufd Home or Modular Dwelling Service or Feeder $88 W 2a. Contractor installation only: 4b. Services or Feeders •� Installation,alteration,or relocation Electrical Contractor _ J tt 200 amps or lees $6000 _ Address_ O_ i _ 201 amps to 400 amps $6000 ' City P �...�X State(9-4. Zip / JOt amps to 800 amps $120 00 C 7-- kT 801 amps to 1000 amps $160.00 Phone No I —�-_ C�3 —._�-- � / ! —_ Over 1000 amps or volts $'140.00 Job NO 1 5:9 S7 Reconnect only $50.00 2 contractor's license NO._ aG -A L6 3<—' L-S 4c. Temporary Services or Feeders Contractor's Board Reg. No. nstaseUon,alteration,or reloc ihen Signature of Supr. Elec'n ��—_ 6 200 amps or less V_ License No.15 .7 5 r hone No - 31;14.2- 201 amps to 400 amps $50 00 401 amps to 600 amps $7500 Over 600 amps to 1000 volts $100.00 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owners Name____ _ New,alteration or extension per pane Address a)The fee for branch circuits with City, State_ p---- Zi purchase of service or Mede-fee. Each branch circus $5.00 Phone No. b)The fee for branch circwl�without I'he installation is being made on property I (,wn which I� pumhaseo/servleeor/eederhe. First wench circuit $$5 00 not intended for sale, lease or rent. Each additional bench clrcun $500 Owners Signature _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review secticrr (if required): Each pump or irrigation circle $4000 1 Each sign or outline lighting S4000 Signal circun(s)or a limned energy Please check appropriate Item and enter fee In section 58. panel,alteration or extension _ •4000 4 or more residential units in one structure Minot Labels(10) $10000 —_Service and feeder 225 amps or more _System over 600 volts nominal 4f. Each additional inspection over —__Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per Inspection $35 00 `J Per hour __ $55 00 In Plant _ $55.00 Submit 2 sets of plans with application where any of the ahove apply. Not required for temporary construction services. 5. Fees: 5a Enter total of above fees y0 •� NOTICE 5%Surcharge (05 X total fees) 3 Iry PERMITS BECOME VOID IF WORK OR CONSTRUCTIONSubtotal S AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ?^ ,•..w lJ Trust Account k S -- i +cr Balance Due S .' CITY OF TIGARD DEVELOPMENT SERVICES FI.F--rTP T rril. PrPMTT 13125 SW Hall Blvd., Tigard,OR 9'1223 (503)6'19-4171 R r-'-T r?I r"T'r'l]l r r-"ERMTT #: EL-14148-00�,/ DATF T951LIED: 1131/04"M r-'r)RrF1 "q I 0411n--M 00 F- r)")T)R C!'J S. 1 14-11")0 S 0 1?P(-IL-Jr rah T)T V!7.)1 0N. . . . PLISSi!.71 I WI-IC)t F F INY ��l 114 7(INTNti C -N rpt!. . . . . . . . . . i far. . . . . . . . . . . .. ,. :ooi ri I,-T- .C_�r)T C r(�J: T lr i i t 1)P,s c,r i pt: i r.ri- Add data telecommunication system to a tenant OCCOY, RET)I DF NT T PL P. MMMERCIAL N 1r)T F) 8 !,TEPFn. (),IJrjTr') P '77-Or" nuRrit-AP ni-npm. . . . . . . . . . . . . . . 1PRAOF OPENER. M;'*.D T('(11. �-ivrir . . . . . . . . . . . . . . W)TO/TFI.F rOMM. NI)Pc;F runt-t_9. . . . . . . . vnr,,,,,im SYS—'re....: F T PF 01, ARM. . . . . . n!-1TnnnR 1..nNL)T,(' LTTF r,T)4r.'R- Hvnc. . . . . . . . . . . . PWITECT T VF 9 1 RNN T N!--)T P tJMFNrf1-r t 1.1 N. 011 IER. . : Tr.TA[, # n r. ,y, 7F m snrimpr, 1- y+71710 - 71710 r;W SPPP17W!7 8000 PPMT t 40. X4713 0 W04/r3n 9f3 0 .1 "npr OR 97,7NP4. I V10 fn 0.7'"'011P74P '-?P7'�0." r-,TrNI-nN !-irr7TPTr TNIf- 41"". 1/r:"t 1-0 f OL sw rnt umpir) -r. r 4A0 W-7,11 1 T RFT) I I 1-P.TlJ)N1) OR '97201 jr—trl F I t 1 F-i 000004 III t -his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore, Specialty Codes and all oth� ,'irable laws. All work will be done in a2cordarct with approved plans. p This permit will expire if work is not started within in )y-, of issuance, or if work is suspended fi- more than 180 days. 4TWIN Oregon law requires you to follow -!;le adopted by t1p ,egin Utility Notification Center. 'hese rules are set fort', i- CAR l!"'4014010 t1wough DAR 152-0fl-0080. You way obtain copies of "ese rules or direct questicis to OX at (5931246-1987, y ()WNF-P TNc3'rnf- 1-()T T Ohl ON[ Y— ri-,t al I at i o1i is hying m-idin cin pt-nr)ri-t V I nwti whicti i not I r,t P 1,11 F,0 rTrvNnT1-1RF - T)nTF-' p(.)r r t)i? T It- ILPT!(IN n" hIn'T1 IPF W SLIPR. P.P71 N T-)n—r F,J"I I- NO- 4 +++++4+4-4+4 +4 4-4. J. 4.+4 1-++++4-+4 4-++4 4-++++++#-++++++ 4 A 1 i., 4 4 +4. 6:3'3--4171 h,x ' .rn(11 r-1. M. f rii-, ar) ir)c5pprt i Lin nPP(1Pd the rif— t. b, -1 ++++•+ I + ,..4, 4 4 4 {_1._}. I 4+a.4 1 +4 4 4 4 {..++ 4 -A 4 4 4 CITY OF TIGARD RESTRICTED ENERGY ELECTkit,AL APPLICATION Recd by, 13125 9W HALL F3LVD Date Recd TIGARD OR 97223 PRINT OR TYPE V-'503-639-4171 X304 Permit#: X16"cx)(c F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: JOB:509-5485 WILL NOT BE ACCEPTED Name of Development Project TYPE nF WORK INVOLVED - RESIDENTIAL ONLY US BANK Restricted Energy Fde........................................ $40.00 (FOR ALL SYSTEMS) JOB Street Address Ste ADDRESS 14300 SW D Check Type of Work Involved: City/Slate Zip Phone# ❑ Audio and Stereo Systems _ TIGARD 197224 Name ❑ Burglar Alarm OWNER Mailing Address ---- — ❑ Garage Dr or Opener' City/State Zip Phone# ❑ Heating,Ventilation and Air;onditioning System' ----- -- Name F] vacuum Systems' CHRISTENSON ELECTRIC, INC. F-] Other__ CONTRACTOR Mailing Address 111 SW COLUMBIA, SUITE 480 TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a City/State T Zip Phone# Fee for each system.............................................. $40.00 copy of all licenses PORTLAND 197201 41-4812 (SEE OAR 918-260.260) are required if Ore yy n Contr.Brd Lic # Exp. Date expired in C O T 4 7� Check Type of Work Involved: data base) Electrical Contr.Lic.# Exp.Date 26-34C ❑ Audio and Stereo Systems C O T or Metro Lic.# Exp. Date ❑ Boller Controls Owners Name ❑ Clock Systems OWNER - Mailing Address APF: ICANT Nn Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation Th.s permit is issued under OAE 918-320-370 This applicant agrees to ❑ rrake only restricted energy installations(100 volt amps or less)under this HVAC pei mit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. Intercom and Paging Systems These have asterisks('). All others need licensing, Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; F–] Medical 3 Purchase separate permits for all Installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and: Protective Signaling 5 Assume responsibility for calling for a final inspecti:m when all of the correct—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 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 applicant --� FEES: ENTER FEES : 40 Signa ure 3—/3T98 _ 5%SURCHARGE(.05 X TOTAL ABOVE) s 2' Authority if other than Applicant TOTAL $ 42' Wstsvesele doc 7/97 – 1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Riiciness tine: 639-4171 MST _ BUP Date Requested _ _AM__-_P10 BLD Location A1. --- u ,z MEC _ Contact Person _ Ph PLM Contractor '�/., f'- ,� ,: '—� Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation Ac FPS Fig Drain NOT REQUESTED Crawl Drain Ins FOUND DURING RESEARCH SGN Slab -- NO INSPECTION(S) FOUND IN FILE SIT Post& Beam Ext Sheath/Shear /V J Int Sheath/Shear — Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof —� Misc: Final -------- _- -------- — _�.-.. PASS PART FAIL PS 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 ELECTRICAL -- Service _ Rough In UG/Slab _ Low Voltage -- Fire Alefm _ FirA") OAST PART FAIL SITE -- -- --- Hac kfill/Grading - — Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Cntch Basin Fire Supply Line i I Please call for reinspection RE: — ( ]Unable to inspect-no access ADA /Approach/Sidewalk _ Other Date r! _ Inspector _ <<u_-��_ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F' T MECHANICAL IGARD PERMIT PERMIT #. . . . . . . : MEC98-0013c., DEVELOPMENT SERVICES DPTE ISSUEli: vi.:�11119f.j �Ijcl 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PA.'-:,-_'EL: 2SI04BB—ALOOI .)vrE ADDRESS. . . s 14300 SW BARROWS RD C: SUBDIVISION. . . . s RUSSELL' S SCROLLS FERRY _I-'UB ZONING: C—N FALOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :001 JURISDICTION: TIB I---------------------------------------------------------------------------------------- (_'LASS OF WORK. . I OL I' FLOOR FURN. . . . : 0 EVAP COOLERS.- 0 TYPE OF' USE. . . . :COM HNIT HEATERS. . : 0 VENT FANS. . . : 0 f c A-'CUPANCY GRP. . iM VENTS W/O APDL: 0 VENT SYSTEMS: 0 b TORIES. . . . . . . . 1 0 BOILEPS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0-3 HP. . . . : I DOMES. INCIN: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPITT: 0 BTU 15-30 HP. . . . 0 REPAIR UNITS: 0 F IRE DAMPERS?. . 1 30-50 HP. . . . : 0 WOODSTOVES. . - 0 GAG PRESSURE'. . . * 50+ HP. . . . s 0 CLO DRYERS. . - 0 NO. OF UNITS---------- AIR HANDLING UN I TS OTHER UNITS. : 0 !-_URN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : 0 V-URN ) =100K BTU: 0 > 10000 cfml 0 Remarks : Add a 2 ton heat pump to a new commercial building. ,)wn er ------- FEES I JS BANCORP type amount by date l,ecpt 14300 SW BARROWS ROAD PRMT $ 25. 00 GEO 03/11 /98 98-304006 T'IGARD OR 97224 5PCT $ 1. 25 GEO 03/11/98 98-304006 Phone #: Contractor: ------------------------------- ,ILLIED MECHANICAL CONT ,300 NE 48TH AVE 9TE 1000 $ 26. 25 TOTAL lilt-l-SBORO OR 97124 F:,hone #: 693-7553 005807 ------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Ins applicable laws. All work will be done in accordance with Misc. Instiection approved plans. This Pev@it will expire if work is not started Final InspeL_tion within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-010 through OAR 952-00I-*80. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. Issue B Permittee Signaturea ......................4...........4................4................ ........... Call 639-4175 by 7:00 p. m. for inspections needed the next business day .............4-4.......................................+........................... .�i �n�`6 -ol0l City of Tigard MECHANI '.'�"'AL PERMIT Planck/Rec. # _ 13125 SkN Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-41-1 ^• �• m•^ Description 1 4 �',r l 5r1rY1 1 # 5"�� Table 3A Mechanical Code OTY PRICE AMT Jab 11-13r- sw -__- j 1) Permit Fee -0- -0- 10.00 Address T l( 0 ; ') 1. 2) Supplemental Permit 300 •m• •m• ...... Furnace to 100,000 BTU - , 1) incl. ducts &vents 600 • u ••• Furnace 100.000 BTU + Owner 2) incl, ducts &vents 7.50 •• - nor rurnance 3) incl vent 600 •^• ^•^•� •^••• Suspended eater, wa eater (,( ki�/ 4) or floor mounted heater 600 �„ — • o •• Vent not incl. in Occupant 5) appliance permit 300 ^ •• wRepair of heating, re ng 6) cooling, absorption unit 600 r ^^• �{ / L Boiler or comp, ie t pump, air con 7) to 3 HP absorp unit to 100K BTU 500 • ,o ••• f I U�y, • Boiler or comp, eat pump air con Contractor I,Ov NES S" e (T 1) 8) 3-15 HP; absorp unit to 500K BTU 11 00 •.'r3a 10 boiler or comp, neat pump, air con 115 bc rte nr 771-)Li 9) 15.30 HP absorp unit .5-1 mil BTU 1500 •'• •r•'• _ • of er or comp, heat pump, air-cc 10) 30-50 HIP absorp unit 1-1 75 and BTU 22.50 hereby acienowie ge that I hava read this app is ion, tat tie -Boiler or comp, heat pump, air con information given is correct. that I am the owner or authorized 1 t) > 50 HP. absorp unit 1.75 mil BTU 37 50 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Construction Contractors 12) 10.000 CFM 450 Board, that the number given is correct (If exempt from State Air handling unit registration please give reason below) 13) 10.000 CTM + 7 50 Non portable 14) evaporate cooler 450 Vent fan connected 15) to a single duct 300 Ventilation system not 161 included in appliance permit 4 50 ,^..,. ^.. •,u.^ • Hood served by. I 17) mechanical exhaust 4 50 Describe work —new addition i,i a teration 1, repair Commercial or industrial to be done residential Q non-residential 18) type ncineratcr 3000 Existing use o ter i e woodstove. water building or property __ 1 9) heater solar. clothes dryers, etc I 4 50 Proposed use of 20) Gas oibing one to four outlets 200 building or property "�- 21) More than 4-oer outlet each) 2 CO Type of fuel -oil Q natural gas{?, LPG (-) electric Q -- NOTICE Minimum Fee 525 00 SUBTCTAi_ G1 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CONIMENCED WITHIN 180 DAYS, CR 57; .SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Cc 180 DAYS AT ANY TIME PLAN REVIEW 25". OF SUBTOTAL. AFTER WORK IS COMMENCED TOTAL Special Conditions Date issued by H'-C�MOSTfiMECj•CMT CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)839.4171 i3AIQ►Q011� r2oA� I c57 / CITY OF T'IGARD Electrical Permit Application Plan Chec,k�# jr, 13125 SW HALL BLVD. Recd By"j'.R ii Date Recd � TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x004 Date to DST P ( Print or Typo Inspection 503) 639-4175 Permit a Fax (503) 684-7297 Incomplete 11r 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 - _CService included: Items Cost Sum Address. -i 3o C' '�-'�-dF�A M►-1--n ��--7- T� 4a. 9esldential-per unit L L 1000 sq.it or less $1 10 0u _. 4 City/State/Zip_V\ni fytt ____ Each additional 500 sq.It.or portion l $25 00 Commercial Residential ❑ Energy _ _ 1 Limited Energy $25.00 Each Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $66.00 2 (Attach copy of all current licenses) 4b.Services or Feeders + Installation,alteration,or relocationr Electrical Q-ontractor 'T�,\�.� ^ E �'c_t i +` k� Address V� lo rk,R (CS 5 200 amps or less I $80. 2 201 amps to 400 amps $60.0000 2 City W+ `cjA Q+11 rt_ State_ QC __Zip ci'7C 70 401 amps to 600 amps $120.00 2 Phone No. IVrol- 21/55 601 amps to 1000 amps _ $160.00 2 Over 1000 amps or volts �_ $340.00 2 f Job No.- 5-5 CC- - Reconnect only $50.00 2 Elec.Cont. Lice. No - L Y'� Exp.Date_ 10.. -y 7 -- OR State CCB Reg. N0. 0(o5& U Exp.Dat - 30 � P, 4c.Temporary Services or Feeders COT Business Tex or Metro No. Installation,alteration,or relocation 200 amps or less $50.00 2 ure on Signature Su r. Elec' 201 amps to 400 amps $75.00 2 9 P - 401 amps to 600 amps $100.00 2 3 3 J '0 cf Over 600 amps to 1000 volts, D7 License No p. �_ see"b"above. Phone No._ .-l✓- 'thy Z - 2' _ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ feeder fee• Address Each branch circuit 1-44 $5.00 f 2 b)The feo for branch circuits City _ State Zip _ without purchase of Phone N0. service or feeder les. First branch circuit $35.00 2 The installation 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 Each sign or outline sighting $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 section 5B. Minor Labels(10) $100.00 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 i Submit 2 sets of plans with application where any of the above apply. Jr. Fees: Not required for temporary construction services. 5a.Enter total of above fees 5%Surcharge(.05 X total fees) $ N01 ICE Subtotal $ 5b.Enter 25°0 of line 8a for "', PERMITS BECOME VOID IF WORK CR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) �� $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal �Jl -- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account r1 TIME AFTER WORK IS COMMENCED. Total balance Due IkOSISNEX99 APP ReVOIN t_'ti( &*\ C- r. cr�1"lllr J March 20, 1998 CITY OF TIGARD Mike Price, Superintendent OREGON SD Deacon Corp. 6443 SW Beaverton-Hillsdale Hwy#432 Beaverton, OR 97005 Re: Albertson's 14300 SW Barrows Road, Tigard, OR Dear Mr. Price, This letter is in response to recent inquiries which have been made regarding occupancy of the Albertson's located at the above mentioned address. As you are aware, the ultimate disposition of your sewer easement is still pending. Please be advised that the City will not allow occupancy of the building until such time as the sewer issue is resolved to the City's satisfaction. This will require that your sewer connect to a public sewer line located in a public right of way or public easement which is felly recorded and accepted by the appropriate jurisdiction. This occupancy limitation includes not stocking any merchandise in the store. You may, however, place fixtures and erect shelving. We will also perform any necessary final inspections when you are ready. Also attached is a screen print(2 pages)of the 35 conditions of approval for this project. Please note that conditions#15 and#23 are not signed off. g Condition#23 requires that a payment of $23,100.00 be remitted to the City of Tigard Development Services Department. You may pay at our counter or by mail. This fee is for the in-lieu of undergrounding utilities. Both of these conditions must be complete prior to occupancy. If you have questions regarding outstanding permits, please call Jeanne at 639-4171, ext. 310. Please contact Hap Watkins. Inspection Supervisor, at 6394171 ext. 416, if you have any questions regarding inspections. Please contact Brian Rager, Development Review Engineer, at 639-4171 ext. 318, if you have questions regarding the sewer issue. 5mcereiy, > /� David Scott, PE Building Official c: Jim Hendryx Hap Watkins Jill Aldrich Don Duncombe, Albertsons, Via Fax 251-9541 Jim Duggan, City of Beaverton 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (.503)684-2772 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 A�Ll - I 4� ommercial 6Uildina Permit Application _s�%��s eltl,}1� of TigifO t3 'S sw►1ai1 81%-d. 119&M,MR 47.23 1 Jobslte Address c� S7 �`� OFFICE USE ONLY / mac'rtc' . Tenant: - L g,c,n1!S Suite x _ PlancktRee. r Valuation: 1 Permits ?' ; Owner. L I T.-!:-� A)If c/ Map A TL U ,I& N/1'T/oNAC Alaxav Illn RaSZLdred Address: x/44 L /4vy1 rry )zd. Planning Engineering Telephone' � � S� 01- ?�� ( 'r,lily.e w- Other Contractor: Address: LI n�CCNU v t'k��k^Ns t a Type of constr: Telephone: :;(,,C' y -)-73 Occupancy Class: Contractor's Licensee g6,CC5 Sprinkler? Yes No (attach copy of current Oregon license) Sq. Ft. Of Project: .ontact name & telephone: _r�)li_K M t[L�� 3(d�loQ3 X1773 Story (1st, 2nd, etc.): �rchit!'ct b Engineer. $►zc�« ,,�w.F j„ r� Proposed Use: Address: l 1 1 ` n'S L 1{AA,,, .. �t,�te� L-CY> Previous use: Note: Plumbing & mechanical plans must elephone: g 3 yq— q']prj be submitted at time of building permit application. �E !)ESCRIPT ON: -�tQ,P�= -►�:L'�t (Applicant Signature & Telephone Number) :?ceived by: _ � � Date Received: !.171 .CC ,CST' �,za� 'ERMITa jAccount Description Amount Amt Pd. Balance Due Building Permit (BUILD) ^, Plumbing Permit (PLUMB) Mechanical Permit (M1ECH) State Tax (TAX) Bldg. Plumb. _ Mech. Plan Check (PLANCK) f Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRNIT} Erosion PlanckJUSA (ERPLAN) Erosion PlanckJCOT (EROSN) TOTALS: �:,AITI CCC (CS' IM103 11-03-97 �3,09'A FP)M VANCOUVER SIGN P02 —Vancouver ! ii Vancouver Sign Company Inc. 6615 Highway 99, Vancouver, WA 98885- (3801693-4773 - Fax(360) 893.2747 November 3, 1997 Bob Poskin City of Tigard Building Dept. 13125 SW Hall Blvd. Tigard, OR 97223 RF.: Albertson' s #576 Pylon Sign Permit 1 0`�i0-�c#tc}ia For' y Rd; BUP97-0379 VIA FACSIMILE: 503-684-7297 Dear Mr. Poskin: As per our, recent communications, please accept this letter as verification that the field welding on the above referenced sign installation will be done by a certified welder. , Mr. Brian Holt. Please refer to the attached copy of this welding certification. You are already in possession of the stamped engineering detail for this installation. -thank you for your assistance on this project. Call it you halt.* any questions. Z tr y -t . r V'ller Vice President DM/res Enclosure Subscribed and Sworn Signed at Van(.ouver Sign Co. , Inc. to before me on this Vancouver, WA on day ofDe Le 19-1 JJ, / Notary Publ c: By: M i 11 e �l�„sion F�l, r� Vice President Q 10�'..1 Vancouver Sign Co. , Inc. My commisai C " Expires: /0 Uul f,IC Rose E. 11ub� T I Member of I (SURFACE MOUNTED PANEL 11 3 -P H e 1 MAIN B RK R . A . 120 / 208 V . 3PH . 4W . SQUARE—D QO MAIN LUG 125A . POLE BKR. TRIP RKR WIRE OND SERVES LOAD V.A. POLE BKR. TRIP BKR WIRE OND SERVES NO . NO . I AMP POLE A B C NO . NO . AMP POLE 1 30 2- 3#10 1/2" AIRPOT BREWER 2040 240 > 2 2 15 1 2#12 1/2" FILTER ALARM 490 > 4. 4 15 1 2#12 1/2" 1 IGHTS, VALANCE 5 5 20 2 2#10 1/2" HEATER < 1500 > 6 6 15 1 2#12 1/2" REFRiG, FREEZE > 8 8 - - - - - . G3-T BLENDER1680 10 10 15 1 2#12 1/2" ICE BLENDER 1 2" G3-T BLENDER1080 — > 12 12 15 1 2#12 1/2" ICE BLENDER 1 , < goo > 14 14 15 1 2#12 1/2" ICE BLENDER 15 15 5 2#12 112 It ESP. GRINDER < ;3 > 16 16 17 15 1 2#12 1/211 F-SP. GRINDER 1380 > 18 18 30 2 2#12 1/2" ESPRESSO MACHINE 19 19 1 < o — > 20 20 - - - - - 23 23 < .5 TOTAL AMPS PER PHASE 69.8 53.El 69T-1 70 AMP MINIMUM CIRCUIT PROPRIETARY INFORMATIONLOAD KING PART N0. DO NOT DUPLICA'T�_ 3392349 DIMENSIONS ARE IN INCHESP.O.BOX 40606 1357 w.BEAVER ST. JAQ(SON1IlLE. FX, 31203 TOLERANCES UNLESS NOTED P A N E L, E L E C TR I C A LREV. FRAC. TOL, f 1/32 SH T: o f 4 DEC. TOL. f „01 A LBERTSONS DOCUMENT N0. ANGULAR TOL. ± .5' SIZE: B DRN. BY: SEH DATE 7 SCALE: 12"=�� 1 3392349 N0. E.C.N. N0. REVISION DATE: BY. DO NOT SCALE DRAWING � /20 g8 , r-1 1 I r II I I1I II I II II II2I I I III I I I I I I111 I I I [ I-I l _I jT(-1jT- T IT( 11-1-1-1 11ILIJ-11 � tllIIII_I_II II 1 1 1 III ill Ilel III iIII III IINOTICE: IF THE PRINT OR TYPE ON ANY I I I_1 I_I t I 1 i 1 .I 11 I III III IIII I I I I I I I I I ~ �/7 IMAGE IS NOT AS CLEAR AS THIS NOTICE3 4 5 6 11 IT IS DUE TO THE QUALITY OF THE _ _ _ _ No.36 .. ... ORIGINAL DOCUMENT 0 E 67, SZ LZ 9Z� � Z fi7, EZ Z TZ OZ 6T gT LT 9T 4T � t Ei ZT TT t 6 8 L 962 E Z i ��di�w IIII I!II IIII IIII IIII IIII ►ill Illi Illl 1.1_U_ 111111 IIII illi Illi IIIL Il11 Illi IIII IIII IIII IIII IIII IIII IIII IIII IIII Ilii Ilii illi IIII IIII IIII IIII ILII Illi illi 11 1 illi ill illi III! lil 1111 � � 1U 1111ff�kll 1 a 120V 2.0 AMPS LOAD CENTER 'DIMER FILTER RECEPTACLE FOR AIRPOT BREWER 120/208 V. 30 4W. - - - - - - - - - - - -- - - - -Fc 120/240V � 40 coo NEMA L14- 30 t � - - - - - -- - - - I - - - - - - - - - - - - - 120/240V 17.0 AMPS L1 L2 L3 - - - - - - SWITCH ALARM 1 2 I J-BOX FOR 6 GALLON HEATER I I I �15AMP 30 AM HARD WIRE I a- VALENCE LIGHTSO _ 1AMP N o 208V 14.4 AMPS - _ - _ _ _ - 4 SWITCH & RCPT § - r - - - _ _ _ - _ - _ _ - -T- - - _ 120V 4.0 AMPS I 15 AMP - I T _ O LL_ _ 20 AM I RECEPTACLE FOR G1 - T 1 -� ^ - OPEN I 120V 9.0 AMPS a 1 I � BREAK CONNECTION BETWEEN HOTS ° to , RECEPTACLE FOR G3-T E15AMP 1AM'3 O° RECEPTACLE FOR REFRIGERATOR 120- 9.0 AMPS ''� — 120V 3.0 AMPS 1 I L- - - - - I -- o o RECEPTACLE FOR FREEZER I 1;� 14 4-4- I I I ° 120V 6.0 AMPS RCPT FOR JUICE MACHINE p o 15 AMP 15 AMP I 120V 5.0 AMPS _ _ _ _ _ _ _ _ _ _ _ -- I I - - i5 - I I I I I I I 15 AMP PN I I I I I 17 i I I I I I i RECEPTACLE FOR A-6 GRINDER no a - - - - -- - - 1s AMP i I I L _ _ _ _ _ PTA FOR I r �/ � _ 1 2Q I I I O p RECEPTACLE 0 CE BLENDER 120V 11 .5 AMPS �✓ - - - - - - - - 1 -AMP 0 AMP - - - 1 I ( I 120V 11 .5 AMPS 22 Ir -T I I I OPEN OPEN I I I I I RECEPTACLE FOR S-6 GRINDER p p 1— I Z _ - - - 120V 11 .5 AMPS ° _ _ _ _ _ _ _ _ OPEN OPEN I j ( I L- _- (o 0o RECEPTACLE FOR ICE BLENDER _ _ _ _ L/ 120V 11 .5 AMPS i I I RCPT FOR ICE CREAM CASE - - _ - - I- - - - - i O RECEPTACLE FOR ICE BLENDER 120V 3.0 AMPS o0 _ _ _ _ _ _ _ _ _ _ _ _ _ i -- - - - - - - - - - - -- - - - - - - w 120V 111 .5 AMPS I 1 I ' ' _ _ - _ _ _ _ _ I RECEPTACLE FOR ESPRESSO MACHINE NEMA L6-30 ISOLATED GROUND RCPT 220V 17.7 AMPS 1 /2" CONDUIT ROUTED TO ELECT. STUB-UP 3/4" EMPTY CONDUIT ROUTED FROM POS AREA BY CONTRACTOR: -B0 TO ELECT. STUB-UP LEGEND MUST HARDWIRE TO ELECTRICAL PANEL 1 - 1 /2" EMPTY CONDUIT BLAHOT RED CK ._ _ _ _. HOT ROUTED FROM POS AREA GREEN - _ _ __ _ GROUND TO ELECT. STUB-UP WHITE _ — COMMON PROPRIETARY INFORMATION LOAD A;'-I-zVG PART N0. DO NOT DUPLICATE DIMENSIONS ARE IN INCHES � P.0,80X 40606 1157 w,BEAvER ST. JACKSONVILLE, FL 32203 3392349 i I TOLERANCES UNLESS NOTED ELECTRICAL LAYOUTREV. _. FRAC. TOL. f 1/32 SH T: 2 o f 4 LDEC. TOL. f .01 DOCUMENT No. 1 ANGULAR TOL. f .5' SIZE: N. 8Y: DA 20 98 SCALE. 6 _1 2 3392349A N0, E.C.N. N0. REVISION DATE: E3 Y. DO NOT SCALE DRAWING E2 SEH 7/20/9 NOTICE: IF THE PRINT OR TYPE ON ANY -1 [FIT, 11 1 I I I I I 1 1 I I l I r) r T r I I .I r I 1 111 I 11 T. ._rIIji-iT tir 11 r1-1, I I 1 �.P T11 11.1 111.. _111I � 1-1.11 1 1 I , .-- IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 3 4 5 �_� 12 IT IS DUE TO THE QUALITY OF THE _ _ - — No.36 61 ORIGINAL DOCUMENT E 6Z SZ -0Z 6i 8I GT 91 5 8 i fii Ei Zi Ti T -- -- 9 - 6 L 4 E Z T IIII IIII IIII Illi 11ll Illi IIII IIII IIII Illi lLI1MUll� illllllll� IIIIIIIIIIIIIIIIIIIIIIIIIIIII �� illlllIIIIIIII HIIIIIIII 111111111 -11 IIIII1I IIII IJ I lillll�lll , I . i 20'-9 1 /4" — DUPLEX RCPT FOR VALENCE L!GHTS Oil R II K IL -u� 0 - 00 -Noe I—H I C rFD Q 7 1 1 1 1 1 J L— 1 7— 1 1 SWITCH FOR VALE:JCE LIGHTS i I LEGEND: C - "J"BOX FOR WATER HEATER D - RCPT FOR JUICE MACHINE F - RCPT FOR ICE BLENDER G - DUPLEX RCPT FOR COFFEE GRINDERS H - RCPT FOR AIR POT COFFEE BREWER I - RCPT FOR ESPRESSO GRINDER J - BUCK AND BOOST TRANSFORMER 11 L V x N K - ELECTRICAL PANEL L - RCPT FOR ESPRESSO MACHINE N - RCPT FOR ICE CREAM CAS:: Q - RCPT FOR AIR POT AREA i R - RCPT & "J"BOX FOR P.G.S. EQUIPMENT S - TIMER SWITCH FOR WATER FILTER � V&X - DUPLEX RCPT FOR UNDER COUNTER FREEZER & UNDEF? COUNTER REFRIG. PROPRIETARY INFORMATION PART NO. QO NOT DUPLICATE � LOAD KING DIMENSIONS ARE IN INCHES .- P.�.�x ,� ,�� •.��,� ST ��. F� ,__� 3 3 9 2 3 4 q TCIER CETOL.NtS�30TED ELECTRICAL SH 3 of 4 REV. DEC. TOL. t .01 DOCUMENT N0. N0. I E.C.N. N0. I REVISIONDATE: BY. DO NOT SCAANGULAR �LDRAWING St2E: B N. BY; SEH �"re: 7/20/98- SCALE: 12•_1� 1 33923498 NOTICE: IF THE PRINT OR TYPE ON ANY I rl r_li Iiii rrrT r � r iii I � pl_—r111111- IMAGE IS NOT ' S CLEAR AS THIS NOTICE, � � ! 1� ii� 1- IT � 1 IS DUE TO tHE QUALITY OF THE / No.38 01 ..rr.._.�.w. ORIGINAL DOCUMENT 096i 6Z 8Z LZ 9Z 9rZ i�Z £Z Z TZ Z 8T GT eT 91 1 �i Ei Zi ire I 8 8 L�e 9 � S Z Io��ne ��ii i�� viii i�� ii�li��<<�� u��l�u� u��u�u�uu�u��u � u� �ii�►�1�� CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 t�F�,�C,U�IS V:(1F1v _ J Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 CITY OF TI©ARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Dlopment A I—r>Lar'-- 7 Number of Inspections per permit allowed ►L QAf); tWAP Address Service includedItems Cost(sa) Sum City/State/Zip--aGl A-" 48. Residential -per unit 1000 sq ft. or les` $11000 4 Name (or name of business) /4�l r�fS onl f� Each additional 500 sq it or portion thereof $25.00 Commercial ® Residential ❑ Limited Energy $25.00 1 Each Manurd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders E'ectrical Contractor Uyej: n- Installation, ion,or relocation 2 200 amps or les s leas �00 Address iQ 15-Nw'1 q9 201 amps to 400 amps $00.00 2 C It pefdr J J er., State Zi (r g- 401 amps to 900 amps $120.00 2 y � p. 9 8� 3180.00 2 Phone No. 3&Q WR 3 -q 7 73 901 amps la 1000 amps $340.00 Over 1000 amps or volts 2 Job NO Reconnect only $5000 2 contractor's license NO. 37—!/(2G4—S 4c, Temporary services or Feeders Contractor's Board Reg. NO. Installation.alteration,or relocation 2 Signature of Supr. Elec'n 200 amps or lees li 201 amps to 400 amps __ $50,00 2 License No.Sz LS.=�v Phone o. /vy3•l. ?3 401 amps to 600 amps $15.00 2 Over 600 amps to 1000 volts $100.00 2b. For owner installations: see"b"above Print Owner's Name New. Branch Circuits _._ New,alteration or extension per pane Address a)The fee for branch circuits with City State Zip purchase or Service or feeder fee. 2 Each branch circult $5.00 Phone No. b)The fee for bran, n circuits without 2 The installation is being made on property I own which is purchase of service or to fee. 2 $5 not intended for sale, lease Or rent. First branch circuli $ 00 Each additional branch circuit 35.00 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included)/ 2 3. Plan Review section (if required): Each pump or outline circle 7I�� $40.00 �1—�/-rte/ 2 Each Signor outline lighting ` , $4000 —/ /�f,/ 2 Signal clrcufl(s)or a limited energy �� TTT- 0 Please check appropriate Item and enter fee In section 513. 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 System over 600 volts nominal 4f.Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above inspas described in N E Chapter 5 per Per how hour tion $3500 $55.00 In Plant $55.00 Submit 2 sets of plana with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees E (f 5%Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONS I"RUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. Trust Account >r a c��ern Balance Due $ CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT '. PERMIT #. . . . . . . : F'L.M97-0025 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 09/15/97 P, fDW j IFpAD PARCEL: 2S104BB--AL.001. SITE ADDRESS. . . 14300 SW S4N LA--%-_FERE-' &H SUBDIVISION. . . . : RUSSELL' S SCHOL-LS FERRY SUB. ZONING: C-N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :001 JURISDICTION: TIG CLASS-OF-WORK. . :NEW-^�- -GARBAGE_ DISPOSALS. : 1 MOBILE HOME SPACES. : 0 fYF'E OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 59 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 3 CATCH BASINS. . . . _ . . : 0 FIXTIJRES---------------•- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 9 URINALS. . . . . . . . . . . . 2 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 14 OTHER FIXTURES. . . . : 15 TUB/SHOWERS. . . - 0 SEWER LINE (ft ) . . . : 100 WATER CLOSETS. : 7 WATER LINE. (ft ) . . . : 700 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 500 flemarks : Shell plLimbing Owner: AL_BERTSON' S INC. type amoLint by date recpt 250 PARKCENTER BLVD PLCK $ 300. 00 JDA 01/2.9/97 96--287681 BOISE ID 83706 F'RMT $ 1.330. 00 DRA 09/15/97 97-299211 PLCK $ 332. 50 DRA 09/15/97 97-299211 Phone #: 5PCT $ 66. `J0 DRA 09/15/97 97-299211 Cont Tact or^-----•--__------_-------------_.-------- MSI MECHANICAL_ SUSTEMS INC 9655 SW SUNSHINE CT F--'700 BEAVERT'ON OR 97005 --------------------------------------_-._. Phone #: 503--64i?--1 '34 f 2029. 00 TOTAL Reg #. . : 000700 REQUIRED INSPECTIONS --This permit is issued subject to the regulations contained in the Sewer- Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line Insp applicable laws. All work will be done in accordance with Water Service In approved plans. This permit will expire if work is not started Top-oUt Insp within 190 days of issuance, or if work is suspended for more Storm Drain Insp than 190 days. ATTENTION: Oregon law requires you to follow rules Rain Dr^a i n Insp adopted by the Oregon Lltility Notification Center. Those rules are Misc. Inspection _ set forth in LIAR 952-0001-0010 through OAR 95?-0001- 090. You may RPI/Backflow Prev _ obtain copies of these rules or direct questions to 011NC by calling Final Inspection (503)246-1997. __ — -- -- IssLied 7's^i Permittee Signati_ir^ ++++++*+++++++++4++++++++++4•+++++++++++++++++++++++++++++++++++++++++++++++4++ Call 639-4175 by 6:00 P. M. for- an inspection needed the next bi.tsiness day ++4•++++++++++++++++4•+++++++++++4++++++++++++++++++++++++++++++++++++++++++++++ �ITY OF•TIGARD Plumbing Application aec::9y 3125 SW HALL BLVD. Commercial and Residential Cate Recd GARD, OR 97223 � ,Cale;oPE _- ,03) 639-4171 care!o CST Permit s �� n• (TC)2,S Print or Type Related SWR s ;wR9 a-OIUQ, Incomplete or illegible applications will not be accepted ca!!•d1I: • i430o 77 777* N.r of'evelopmenuProlect FIXTURES (individual) QTY PRICE AMT Job f��r l SGh SinN 900 1CrZ' Addresss!el%ddd-Fess /.,efCL,-%/� Lavatory iy !/9�G� �!aD 9wte �/ 900 /�G•,l�rl uo �r 7,10,Shower „Amo 900 ;q° 14,tvrSlate ',p Shower Cn!v 900 --- mi ll t� 7L 3 I water,�loset EITJ `1Je '' 9.00 C!snwasner '300 Owner Mailing Address gui1e Garbage O'soosal 9 00 Nasninq Machine 900 ! ".tv'state .'D '�hdne Floor Cram �--� ` ✓�I '00 �c?Ot7 Name ] ✓I 6f900 d- 9 00 Occupant Mailing Address Suite Nater Heater X 900 _ Laundry Room Tray 9 00 C-ty,State Zip Phone Unnal i 900 r,rj Name '�lher Fixtures!Specify) 9.00 hb Y, 1 9.00 C MailingSuite ontractor rl ci -i v 9.00L n,c d Pnor;o issuance LC,tyrStatee S y 9.00 ��c:e4 Sip Phone ncurant must 41-Q) ,-Ci i h S I 9.00 aroviae ad Oregon Const Coni. Boars Lic s Exp Care 900 contractors 900 icense Plumbing L!c s Exp.Date Sewer. 1st 100' 30 00 j�r.�� n!ornlanon 1 for COT :.OT=usmSewer-each additional 100'ess lax or Metros cxp Date 25.(T0 database) I water Service- 1st too, 30 00 Name .rater Service-eacr.aomuona =00' 25 10 Architect Stomi 3 Rain Crain %1 100' x 3000 3e Mailing Aadress Storm 3 Rain Crain-each additional 'C0' 1 I t Of 9 i suite 25 00 Mobile Home Sbace 25 00 EngineerI i-.tyrState Zip Phore Commercial Bacx=`ow evenuon Cevice or Anti- 25 00 Pollution Device K 1"be.vorx New _- ACaihen 4ilerat!on Recair 'es.dent!al 9acxicw"•evention Device' 5'J0 I acne rtesicenuai C NOrre4idenfial " I lry'rap or AW-? ict nneC2U;D 3 r x(Ufe I Qp .d.•�onal ae3enDUOn of«crx 1 Catr•+3asm 300 nso or Existing=umorng I 4000 oenhr : ase .f SDer•ady Reauestea insoect!ons I 4000 q or property _ :er.hr Rain„rim si„q;e'amiiv cweitm9 � I 30 _0 ! I -:sed Use if Grease_rats I i g co ,,c.rg or crcoerty QUANTITY TOTAL ou cacomg movirq if reoiaong any fixtures) res _ No somew-t set a agram s-xwrea f Cuanay-oral s 'yes see back of form) _ 'SUBTOTAL -e,eoy ackrcmedge;ha; lave read;his aDpration !hat'he nformauon _ ve^ s comer. :hat! am he owner or outrorzea agent,f:re owner and I 5°': SURCHARGE "at clans submitted are - :amoliance mth Cregcn State Laws -.gnature of Owner ant Date I I PIAN REVIEW 25% OF SUBTOTAL 0��— , �s � � lj �S /= f aecurea rn •5n:rc,:-r rai :.? _ _ I •r •,z i r(s. 3 3c.�jZ` ontac arson N m TOTAL Y- I Phone I 17 29.�r Minimum permit fee-s 325 - 5'S surcharge except Residential�dckflow P"everuon;evice .vc1c-1 is 315- 5%surcharge \ Costs Dlmaco 3cc 3196 �`� C�_ er$J "� 1 .EaA5-E_QQMPLETE AS APPROPRIATE TO PROJECT: , Fixtures to be capped. moved or replaced I Qty Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal _ Washing Machine Floor Drain 2" 4.'�. Water Heater Laundry Room Tray _ Urinal _ Other Fixtures (Specify) :OMMENTS REGARDING ABOVE: �;ITY,OF T(GARD Plumbing Application Reed By 13125 SW HALL BLVD. Commercial and Residential Date Redd TIGARD, OR 97223 6u,P% OG3// ShEtr Date to P E. �`'j Date to DlM (503) 639-4171 T�(��( 77Permit ST-I PLEA-a OMPLETE AS APPROPRIATE TO PROJECT: ' Fixture � `o be capped, moved or replaced Qty Sink _ Lavato( _ Tub or _`ub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Neater _Laundry Room Tray Urinal _ Other Fixtures (Specify) MMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ccRT'irICA,rE OF OCCUPANCY F'FRMIT #. . . . . . . : BUP96-0634 DATE. I»UED: 04!O:iJ')A PANC'f_L e c'4S104Bb . 0.7')00 ► I L ODDRE 7F'r. . . s 143x00 SW BARROWS RD rUFil)I V I5I ON. . . . :RI.IOSEI_L.' 5 �iC'HOL LS FERRY SMV ZL)N I NG s C' -N +I_OLI;. . . . . . . . . . : L_(3T. . . . . . . . . . . . . .'004_ JURISDICTION: TTf� A1is3 OF WORK. s NEW nF USE:. . . :COM ,.r'PE OF CONST R:3N If.;C;l.FANCY GRP. :M 1CCLIPANCY L..OAD: 1341 't.NONT NAM.. . . :ALBCRT'OUN' S ierpar^I s NEW CONrTftUI:.TION OF 40, {dt2�0 �iC>I L=T GRL7C:ERY GTORF, CONCRETE: SLOLK, C()NE PE T E: SLAB, STEE1. T RUS4a, METAL ROOF I.)E('.x � 780 '-(1 FT MECHANICAL ME.Z Z_AN 1 h!► (1I...BE:.RTc3ON' S INC.. 15@ PARVERTON AVE: I1019E OR ID ;Ihcmp fit: nntrac: or: I'- DEACON CORP r.r+ ► SW BVRTN--HL_SDL HWY (4 01)E P I ON UR 97005 l'Ilmle K: 2')7-8791 Rvq 1i. . s 003813 Tt, 14 Certificate yranty urcupency of the above, refer•enreri building or purt• ic• , tf,pr-eof and Confirm-, that thpo buildiny has been in ectad for (:ompliance wi + ` the State of Urgon ci . ialty C'ocies far the, qr^'4i�W, oc uancy, anti Mlle �_►ndet h the refrr•enced nermit was issued. � r 7AV L: / TNG OFFICIAL POST IN CONS'I LUOUS PLACE CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION F'ERM I T 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #PERM . . . : SWR97--01 08 DATE ISSUED: 07/09/97 14-36)(1 FVW�" RUAD PARCEL: 2S 1.04813-AL001 ,11E ADDRESS. . . : 1.� SW 1eF0('t9 f RRb �RD SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: ---------------------------------------------------------------------------- TENANT NAME. . . . . :ALBERTSON' S USA NO. . . . . . . . . . . FIXTURE UNITS. . . 1 288 CLASS OF WORK. . . :NEW DWELL..I NG UN I TS. . : 1.8 TYRE OF USE. . . . . :COM NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :L-TP SWR I MPE:RV SURFACE: 241 126 s f Remarks : Re: RI_M97-0025 Owner: ---------- ------___ -------------- ____-- --_______ FEES -------------- (ILBEPTSON' 9 INC. type amor.int by date rcpt '50 PARKCENTER BLVD PRMT $ 39600. 00 GEO 07/09/97 97---296951 BOISE ID 8:3706 INSP $ 45. 00 GEO 07/09/97 97-296951 OLIN t :-'6489. 00 GEO 07/09/97 97--2.96951. f'h o n e #: E ROS $ 960. 00 GEC] 07/09/97 97-296951 ERPU $ 312. 00 GEO 07/03/97 97-296951 Contractor: - ---- - ---- - - __-------_____ ___._. -_—_-ERPC $ 31.2. 00 GED 07/09/97 97--296951 S D DEACON CORP C-,443 SW BV R TN—HI_SDI.. HWY ;TE 432: BEAVERTON OR 97005 — -------------------------------_..___._.__.... Phone #: 297-8791. : 57716. 00 TOTAL. Reg #. . . 003913 ------- REQUIRED INSPECTIONS - ---This Applicart agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 190 days fro@ the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the _ side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0001-0090. You say obtain copies of _ these rules or direct u, ons to OLK "ling (503)246-1987. _ I stied by - — - F'er miI;+ ee Signat tare : IFzl/- r�+^ +++++ h++++++F++++++++++++4a+++++++++++++•++++++++-4++i+++++++•t+++++++++++++++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next bl_rsi.ness day 4.++++++++.++4.++•1.++++++++++++4-++++++++++++++++++•F++++++++++++++++++++++++++++++++. Acc muwive Sewer ally Address: y This PLM#: q/ Fixture Value Previous Previous Credits Capped Fixtures Fixtures New New # Value Capped off value added # added total #s total Count off #s count value values Baptistry/Font 4 Bath Tub/Shower 4 Jacuz/Whpl 4 ?4 / Cuspidor/Water Asp Pyr V'1 Dishwasher - Commer 4 - Domest 2 Drinking Fountain 1 Floor Drain 2 inch 2 I 3 inch 5 CT 4 inch 6 Garbage Disposal 16 Dom Ito 3/4 HPI Comm Ito 5 HP) 32 ✓ L ! lr Ind lover 5 HP) 48 Oil Sep (Gas Sta) 6 Shower - Gang 1 Stall 2 _ Sink - Bar 2 ✓ C Bradley 5 Commercial 3 t/ Service 3 Washer. Clothes 6 Water Ext 6 " _ !7 Water Closet 6 V -G -7-747' L. Urinal 6 ✓ L TOTALS ^^ b0 IC7 Total fixture values: C- �6 divided by 16 = <� EDU HISTORY PLM# EDL# 1# PLM# EDU# SWR# FL.M# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# E D U# SWR# PLM# EDU# SWR# PLM# EDU# SWR# TTY ® IF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT PERMIT #. . . . . . . : SWR98-0297 DATE ISSUED: 11/02/98 PARCEL: 2S 10488-07900 SITE=. ADDRESS. . . : 14300 SW BARROWS RD !3UBDIVISiON. . . . :RUSSELL' S SCHOLLS FERRY SUP ZONING: C—N BL..00K. . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTIONi TIG TENANT NAME. . . . . :AL-BERTSON' S USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 11 CLASS OF WORK. . . .-ALT DWELLING UNITS. . : 1 TYPE OF USE. . . . . :COM NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : Re: PLM98-0395 (COFFEE KIOSK PLUMBING) PERMIT TO TRACK FEES ONLY. Owner: ----------------------------------------------------- FEES ----------- ALBER'TSON' S INC. type amount by date recpt 250 PARKERTON AVE PR11T $ 2300. 00 GEO 11/02/98 98-310490 BOISE OR ID Phone #: C:ontrar-tor: -.----------_------------------ OWNER Phone #: E 2:300. 00 TOTAL Reg #. . : ------- REQUIRED INSPECTIONS -- --- - This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 188 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from _. the distance given. If not so located, the installer shall purchase _ a "Tap and Side Sewer' permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9W-881-8818 through OAR 952-MI-M. You may obtain copies of ,__—----_.--- these rules or direct questions to ODIC calling 15831246-1987. C Issi-ted by •_- Permittee Signature �'Lz .,. Call 639-4175 by 7:00 p. m. for an inspection needed the next bmsiness day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ CITY OF TIGARD BUILDING INSPECTION DIVISIONfi MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 UP -D��/ 12 Date RC-g0ested _AM _PM _ BLD Location- 14300 1�k�) ,�,U Suite / MEC Contact Person _ Jtt,�ri. Ph � 602 PLM ContPh -- --- _ SWR BUiL01NO Tenant/Owner ELC _�— Retaining Wall ELR Footing Acces Foundation p M C� , FPS Ftg Drain r �' I SGN — Crawl Drain Inspection Notes: _ / — --- Slab /� �U 1 C.f SIT Post&Beam -- — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywah Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Fina S PART FAIL - PLUMBING Post&Beam Under Slab Top Out ---- - - - Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post R 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 8 Backfill/Grading - ---- -_.�- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _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 DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD VELOPMENT SERVICES i j 125 SW Hall Blvd., Tigard,OR 97223(503) 39.4171 IF ODDRESq. . . : Ili "Oil.' . . .. . . . . . . . . t t d i7')E, OF WORK. 0!. 'T F I R9*7. . . . I rr or usr. . . - 011D. . . v r r-- OF CONST. .?RI L ["I POOF i'_(*?tP.-3)1 FlPr JPO�J�'.Y OPP. M rAJPANCY LOAD- tAnSFMVN`T'. Q. » 0 HT - f,t (3AP()(,jE. . . . 0 s OCCLJ SEP.. MP 7 7 RE UD 9F1"PArKG--- - -- PF01 f PF-[)- IqR 1.0(10. q! ps L.FFT: 171 ft Pf-)11-1 ' 0 IN07i UNITP): 0 FRN*F: 0 ft RE`,")R- 4) ft; 1` TP 01 rqm- HNI)Ir.r-, r)r.r', : IMP G31JRVPCV: 0 1r, 11 A T t P.3 0 UE, t�10091 me4r,k s : Albertsor's - installation of coffee 4iuO Sep lecil, Plec, and plbg ;,emits req 11"PT!;0f,11 ) INC. i r pe ro 5 0 DLP 09 2 1 nF?K(--.RTON I...� �I 1�1 r)r ('P ID 1`(7 T, t. DRTLAND OR 9 n P ,7 R FQ! I 71is permit is issues' sob;PO to the regulations contained in the Mi. ti Tn,.fins t I ?M igard Municipal Code, State of Ore. Specialty Codes and al; other ----—- ;pplicable laws. All work will be done in accordance with 'pp!--,ved plans. This permit will expire f work is ro+ started within 1811 days of issuance, or if work is susperded for more H-an 180 days. ATTENTION: Oregon law requires you to follow the adopted by the Oregon Utility Notificatiorr CMtV, 11ps are set forth in DAR T,?-KJ-N1P through OAR 952-"10198'. Vou many obtain a copy of these rules or -ect qupsti3ns to 7.14r calling I.'M 4 4..f.+ f F + 4+ 1 1 4- L+ !_-I.4 f--I I f 1 41-4 I..7..}+-1- + t 1 ++ 4 H+.1-.i 4-+4-4 +++++ f-4 6639- 417rir. F n r p4ri i nsperi ion Tleei-t!Prl the H -1 4 1 44++++++++.}+++4 4.4c 4-4+_�4-+++++++++++ +4.++++++++++i•++I-++4,+ &9. 30R c'dBy ~ CITY 0#7 TIGARD Commercial Building Permit Application - ,r Date Recd 130125 SW HALL BLVD. Tenant Improvement �Ng pate to F.E. TIGARD, OR 97223 \� Date to DST (503) 639-4171 � `/ Permit# 5t'� Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called r�--' Name of Development/Project—� Existing Building$,New Building E] - Job l A LfN::�- S _ Address Street Address Suite Building 143u7 .50 u7 w f?6, Qinwg� Data _ — Bldg# City/State Zip Existing Use of Building or Property: Tf ')'L-TA(L Name Proposed Use of building or Property: Property Mailing Address — Suite 150 P/19 V,66;t9i;F- No. Of Stories: City/State Zip Phone 7co ©� E�",se ID 1337V& 315 62$3 Sq. Ft. Of Project: Z f S Occupant_ Name Occupancy Class(es) Q�,�.rres�us M Name Contractor S. L)• Ot�L-(0�0 Type(s)of Construction ,u Prior to permit -Malting Address Suite — issuance,acopy 6443 S, 6ffJ1k115vW6-e 4 F 2 Will this project have a Fire Suppression ystem? of all licenses Yes E] NO -^----are required if City/State Z_lp Phone Americans with Disabilities Act(ADA) expired In C O T. database fb1TL 0 9V9J- T 074/ _ Valuation X 25% = $ Participation Oregon Const.Cont Board Hr,# Fxp Date Complete Accessibili Form p �---- —------ 0 7 7P�T l ,r Project $ --- Name-- – Valuation Architect M&4 t^ Plans Required. See Matrix for number of sets to submit Mailing Address Suite on back 5/50 Sid 01&,E54 c T City/State Zip Phone I hereby acknowledge that i have read this application,that the information I?'©�p (�jl.J3�Li 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 F_ngineer Name S' w er/Ag t Date Mailing Address Suite Contact arson Name Phone---��"`--- L'itylState Zip Phone C f1� In .4 df �f- I - -�" — - FOR OFFICE USE ONLY Indicate type of work, New'51(- Addition O Demolition O Map/TL# Y Lend Use: Accessory Structure O Foundation Only O Xieration O Repair O Other O Notes: Description of work: ,')No7-3 4,')- Note: te: site Work Permit Application must precede or accompany Building Permit Application I'\COMNEWTI DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical subnnitial, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to raquo A` additional plan sets for distribution purposes. (Copy for contractor, Ci Washington County, Tualatin Valley Fire & Rescue) TYPE OF SUBMITTAL Plans KEY: Submitted S (Private) _ 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Additicn B & F & M & P & E 3 _ Alt = Alternation to Existing (New , Arid) Building *B or B & M (Alt) T 1 *B & M & P (Altj_� 3 *B & M & P &. E(Alt) 3 *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. I\dsts\maxtrix 1 doc 07/05/98 OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT _ CLASS OF WORK: FLOOR AREAS: r 'a EXTERIOR WALL CONSTRUCTION I I TYPE OF USE t-,�W FIRST SO. FT N: S. E W TYPE OF CONSTR: "Fj�',� i SECOND SQ. FT PROTECT OPENINGS?. I I OCCUPANCY GRP: � THIRD SQ. FT N:_ S: E. _ W: I I OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET: I I I I STOR HTFT BSMNT SQ. FT. I AREA SEP. RATED: BSMNT? MEZZ?: ; RAGE SQFT. OCCU SEP RATED: _ _ I GA . I FIRE FIRE SMOKE HANDICAP SPRINKLER ALARM: DETECTOR: ACCESS. COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ 1, Permit Fee Masonry _ Framing $_ Plan Review Insulation Shear Wall $ 5% State Surcharge r Firewall Gyp Boax/� Board $�_FLS Plan Review Suspended Ceiling Sprinkler Rough-in $ Add'I Permit Fee Sprinkler Final _ Fire Alarm $ _ Add'I FLS Pin Smoke Detector u_ Approach/Sidewalk $ Inspection Miscellaneous Final $_ MIS Fee �, i(cam r i►tr C' C. 1t f b-v_ e PD 614,I S FOR OFFICE USE ONLY- 7 TYPE OS USE OPTIONS(COM=commercial; CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new: Add=addition; ALT=alteration: ACS=accessory:FND-foundation ; OTR-other, DEM=demolition: REP=repair, FPS=fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS. DETACHED DECKS. SIGNS. AN KINGS. CANOPIES) \ovrcntr2 doc (DST) 4/97 i Ill 111 11A1 I. 0N MAI I SIN May 12, 1998 Jim Funk Supervising Plans Examiner City of"Tigard 1312.5 SW Hall Blvd. Tigard, OR 97223 R1:: Albertson's Store #576 Job #7053 Dear Jim: 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 eliminated is as shown on the attached drawing. The reason this is being eliminated is because of the steep grade of this walkway. It is 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, installing landscaping and irrigation in that area. This design change was � we will be .to g p g g run by Bob Poskin, City of Tigard Plans Examiner. lie didn't appear to have any problems with it. Please confirm that this is acceptable, and let me know if you have any additional information. SincereI Patrick T. Mahoney Proiect Manager PTM/n11 cc: Katherine Kirk, Albertson's, Inc. Wayne Stroud. Albertson's, Inc. Randy Davison, Musil Govan Azzalino, Inc. Mike Price, SDI) File: 7053 - 18144 6443 S W Beaverton- Hillsdale Hwy,0432 rodland,OR 97221 P O Box 25392 Portland,OR 97298 501297 8791 FAX 5031297-8997 OR CC8•38139 WA REQ x SDDF n**1920^ CITYOF T I GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: 0 00312 DATE ISSUED: 6//8/008/00 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 SITE ADDRESS: 14300 SW BARROWS RD PARCEL: 2S104BB-07900 SUBDIVISION: RUSSELL'S SCHOI_LS FERRY SUB ZONING: C-N BLOCK: LOT : 002 JURISDICTION: TIG Proiect Description: Installation of sign lighting for one wall sign. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS___ _ 1000 SF O W LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS - -- _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL-: Reconnect only — SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: ALBERTSONS VANCOUVER SIGN COMPANY, INC 2.50 PARK CENTER 6615 GW I IWY 99 HOOSE, ID 8370E VANCOUVER, WA 98665 Phone: Phone: 360-693-4773 h��ca Reg#: ELE 37-46CLS ` \ LIC 000006 `J SUP 525SIG FEES Required Inspections Type By Date Amount Receipt y Elect'I Service PRMT DEB 5/24/00 $42.75 0002418 Elect'I Final 5PCT DEB 5/24/00 $3.42 0002418 Total $46.17 This Permit is issued subject to the regulations contained in the Tigard M,miapsl Code, State of OR Specialtv 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 1 work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at r503i 146-1987 - PERMITTEE'S SIGNATURE ISSUED�Y: OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day i r CITY OF TIGARD Electrical Permit Application Planeck# 13125 SW HALL BLVD. Recd y TIGARD OR 97223 Date Re ----- Phone(503)639-4171, x304 Date to P.E.Date to DST Inspection (503)639-4175 Print of Type Permit#e4eA"n3/_q Fax (503) 598-1960 Incomplete or illegible will not be accepted Celled 1. job Address: 4. Complete Fee Schedule Below: Name of Development/¢ Number of Inspections per permit allowed Name(o4l e�of busi Gyi-,FG6 Service included: Items Cost Sum Addret�s�L P_,p. 4a. Residential-per unit City/State/Zip 22AN1geen Oil 9 7•.2-AZ 1000 sq it or less - $ 117 75 4 Each additional 500 sq ft.or portion therenf $ 2675 1 Commercial ® Residential ❑ Limited Energy $ 60.00 _ Each Manuf d Home or Modular 2a. Contractor nstallation only: Dwelling Servicp or Feeder $ 72.75 2 (Prior to permit Issuan;e,applicants must provide contractor license 4b.Services or Feeders Information for COT d to base). Installation,alteration,or relocation Electrical Contractri V.4Ai LWVER &A" Leo 200 amps or less $ 64.25 2 Address(g(Ql Q,,_t�V q4? ^T 201 amps to 400 amps $ 85.50 2 City V�W 11d L4-,g Statetg Zip� rJ 401 amps to 600 amps $ 128.50 2 � �-- 801 amps l0 1000 amps $ 192.50 2 Phone No. �IatO) (,�y 3 7 7 3 Over 1000 amps or volts _ $ 363.75 2 .Inh Nn _ Rnrnnnert nnly $ 53.60 2 Elec. Cont. Lice. No. ' 6C[r5 Ex Date 1 a/c+r ao �' p 4c.Temporary Services or Feeders OR State CCB Reg. No .&3C/5J Exp.Date 1 O' Installation,alteration,or relocation COT Business Tax or Metro No.af2QQ1OLLExp.Date i of 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n --,� �� 401 amps to 600 amps _ $ 107.00 2 .5 -"' Over 600 amps to 1000 volts, License Ne.fi g=t� Exp.Date so*°b"above. Phone No. 1-S4Y=� G7`/3 9/'77.3 4d.Branch Circuits New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 535 2 Address b)The fee for branch circuits without purchase of service City _State_ Zip - or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 535 The installation is being made on property I own which is not 4e,Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or Irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting �_ $ 42.75 147. Signal circuit(s)ur a limited energy uir re 3. Plan Review section ff required):** panel,alteration or extension - $ 60.00 Q � Minor Labels(10) $ 107.00 Please check appropriate Item and enter fee In section 58. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per Inspection $ 50.00 --- Per hour $ 50.00 _ System over 600 volts nominal In Plant _ $ 59.00 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 6a.Enter total of ehnve fees $ 4 7.7S Submit 2 sets of plans with application where any of the above apply. 17 ,#%Surcharge(.05 x total fees) $ 75.0 Z Not required for temporary construction services. Subtotal $ _ Bb.Enter 25%of line 6a for NOTICE Plan Review if required(Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#_ AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ i.'\dsts\forms\electric.doc ELECTRICAL PERMIT CITY OF T'GAR D _ PERMIT#: ELC2000-00217 DEVELOPMENT SERVICES DATE ISSUED: 05/03/2000 13125 SW Hall Blvd., Tigard, OR 97223 1503) 639-4171 PARCEL: 2S104BB-07900 SITF. ADDRESS: 14300 SW BARROWS RD SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB ZONING: C-N BLOCK: LOT : 002 JURISDICTION: TIG Proiect Description: Install two (2) branch circuits. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: —0 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERV!CE/FEEDER_—� BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ arno/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only:_ SVC/FDR >= 225 AMPS_ CLASS AREA/SPEC OCC: Owner: Contractor: ALBERTSON'S INC #576 CHERRY CITY ELECTRIC rO BOX 20 PO BOX 12668 BOISE, ID 83726 SALEM, OR 97309 Phone: Phone: 503-399-7609 Reg #: ELE 37-620C ' LIC 91668 SUP 1388S FEES Required Inspections Type By Date Amount Receipt Elec;t'I Service PRMT GEO 05/03/200C $42.85 0001866 Elect'I Final 5PCT GEO 05/03/200C $3.42 0001866 Total $46.27 I �.J I �( n L 0 R I V i-� This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans -this permit will expire if work is not started within 180 days of issuance or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 951-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 ^1 PERMITTEE'S SIGNATURE Z�ti �l ISSUED BY: _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which i, not intended for sale, lease, or rent. OWNER'S SIGNATURE- —__ -- DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: NUJ DATE:- -SCJ LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day 04/25/00 'till? 15:05 FAX 503 598 1960 (:ITl' OP TICAI(U (A 002 CITY OF TIGARD Electrical Permit Application Plan Check« - --- 13125 SW HALL BLVD. Recd By TIGARD OR 97223 RECEIVED DateRec'd_� _ Date to P E. Rhone(503)6394171, x304 Date to DST_ Inspection(503)639-41 1b APR 2 200nDate o.Type Permit« � Fax(503)598-1960 COMMUNITY 01V[p9"p#Ate or iilegiole 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) her i % Service Included: Items Cost Sum Address J4.z(10 , u.r, f3ar'r^vLu, Rn, _ 4a. Rusldential-per unit IWO u1 f1 or lest $ 117,75 4 city/State/Zlp . ' Farb additional 500 sQ If or - ��^^'�� portion lhemot $ 26.15 _ 1 Commercial k11 Residential Limited Fnergy $ 60.00 Fare Manut'd Horne or Modular 2a. Contractor installation only: Dwelling Service or r-osder s 72 15 —— — 2 (Prier to permit Issuance,applicants must provide contractor licensc 4b.Services or Feeders Infumratlon for COT data se). Installation,alteration,or relocation Llectrdcal Contractor (I r>}T� 1� 201 amps or less $ 64.25 Address_J),,%, � 201 amps to 400 amps $ 8550 _ 2 L r A 401 amps to 600 amps _ 5 12850 _ ---_ �_ "' City State n�_ZJp el 1:3L_I C1 601 amps to 1000 emus $ 19250 2 Phone No. (Q(o - C Lob _ Over 1000 amps or volts � $ 36375 _ 2 Job N0. Olt,- f► ?2 Racnnnnrf only ------ S 5i in -- Elec.Cont.Lica.No.3 7-ta 1U c_ Exp.Date ib / -t)l 4c.Temporary Services or Feeders OR State CCB Reg.No._a1rob�Exp.Date—?�D •0 Installation,aMerslron,or relocation COT Business Tex or Metro No. Exp.Date 200 amps or less _ $ 5356 _ 2 7 201 amps to 400 amps S 80.25 2 `! 401 amps to 600 amps $ 10700 2. Signatum of Supr.Elac' - �/ - _ Over 600 amps to 1600 volts. ---- - - — i see"b"above. License No. 1 S 7 _Exp.Deft /CJ l-b I Phone No l �b ' SIoL�C� 4d.Branch Circuits .L 3 1 - New,alteration or extension per panel a) (hr fee fur brandh circuits 2b. For owner installations: with purchase of service or feeder No. Print Owner's Name Each branch circuit $ 5.35 2 b)The fee fur branch drojits Address _ - _ ithour purchase of service city --- ---- State_ Zip or feeder fee. Phone NO ---- ----�---- _----,__-.. hist branch circuit �_S 37 5U Fach additional branch circull / f 5 35 The Installation is being made on property I own which is not do Miscellaneous intended for sale,lease or rent (Service or fP9der not mciodeo) Each pump or Irrigation circle $ 42 75 Owner's Signahlre _. - — - _ — -- Each sign or outline iiyhting -- $ 42.75 Signal arcuh(s)or a limited energy 3. Plan Review sectionif uired :' panel,alteration or exienslon S 60(K) —- � Mirror Labels(r0) S 14;-Oc _ Please check appropriate item and enter fee in section 5D. 4f.Each additional Inspection over _ /,006 — 4 or more residential unds in one structure. the allowatlb In any of the above Per in9pection 3 51)0C. _ Service and feeder 225 anhps or mum Per hour - $ 5000 ~— System over 600 volts nornme{ In Plant _ _ $ 5900 _.Classdred area or structure containing special omipanr_y as r described in N F C Chapter 5 S. Fees: Be Fnter total of above fear $ U:Z, Submit 2 sets of plans with application where any of the above apply Surcharge$Ai X total foes) S 3,4Z Not required for brmponary construction services Subtotal S—!!4(0".2`] Bb.Fntar 25°1 of fin-3 Ba for NOTICE Plan Review If r. ulred(Roc 3) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ Ori.1'7 IS NOT COMMENCED WITHIN 18o DAYS.OR IF CONSTRUCTION OR , WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Acco,mt« AT ANY TIME AFTER WORK IS COMMENCED. Total balans;e Due $ -tom I ldststtbrms'cleetrtc doc APR--25-2000 15:38 1103 `-vP ]9611 95?: P.02 CITY OF TIG,ARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639.41775 �Business Line: 639-4171 MS7 -- ----_ BUP Date Requested 7 / 0 M !� PM BLD Location % Suite _ MEC Contact Person _ Ph _ PLM _ — Contractor v—_ D _ G��Q�", Ph 3� a BGG I SWR BUILDING Tenant/OwnerELC Retaining Wall — ELR Footing AccessFoundation FPS FPS Fig Drain SGN Crawl Drain Inspection Notes ----- - Slab —----—- ---------- --- r SIT �� Post 8 Beam ----�- Ext Sheath/Shear Int Sheath/Shear - Frimin9 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ----___ ---__.__---____-. ----------- _.._. Roof Misc: _ ---- - ----- ----- Fine) PASS PART FAIL -- PLUMBING Post 8 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 ELECTRICAL --------- - -- - - -------- Service Rough In UG/Slab _ Low Voltage Fire Alarm Final PART FAIL -- -- - -------------- - r SITE Backfill/Grading Sanitary Sewer Storm Drain [ [Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin U [ ]Please call for reinspection RE: [ )Unable to inspect-no access u I Lin , Apprnach/sidewalk- Date l'` InspectorP �' Ext 'ri'k PASS ; PART FAIL DO NOT REMOVE this inspection record from the job site. January 10, 1997 MPR Architects CITY OF TIGARD 9150 SW Pioneer Court "T" Wilsonville, OR 97070 OREGON RE: Albertsons Building Plan Review 12300 SW Soholle Forry Road 14-3005N Raffb-W') 0i PC#: 12-21 c BUP#: 96-0634 Occupancy Classification: M/F1 Type of Construction: 3N (Fully Sprinklered) Location on Property: Allowable 3 sides = 87.5% Allowable Floor Area: 1) Proposed a) F1=2850 s.f. b) M=37,148 s.f. 2) Allowed--12,000 x 1.8750= 22,50U x 3 =67,500 s.f. Height and #of stories =Allowed: 55' -2 Proposed: 26' - 1 Occupant Load: -TJx fy-4 i Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. -rhe following comments are noted: SITE WORK _ 1. Roof storm drainage piping must be connected to an approved storm drainage system [Section 1506 and 1804.7 and OPSC Section 1101 J. ACCESSIBILITY 1. All doors with controls and hardware shall be of the type providing accessibility to persons with disabilities [Section 1109.31. Hardware on doors shall be lever or other shape not requiring tight grasping, pinching, or twisting to operate. Controls shall require a force no greater than 5 pounds--fcrce to activate [Section 1109.31. ENERGY COMPLIANCE 1. Submit lighting load forms 5a through 5c. FIRE AND LIFE SAFETY 1 Provide a key box (knox) mounted to the exterior wall 10' above finish grade and adjacent to the right side of the main entry door. The box shall contain keys to gain necessary access as required by the Fire Chief (UFC 902.41. If you have any questions regarding this matter, please contact the Fire Marshal at 526-2502. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-27172 --- ---- Albertsons Building Plan Review PC#: 12-21c BUP#: 96-0634 Page #2 Provide exit illumination having an intensity of not less than 1 foot candle at floor level, and J provide a separate power source, such as an on-site generator or storage batteries to operate the lighting system in the exiting system [Section 1012.1 and 1012.21. l N _s'4 Provide Type 2-A fire extinguishers throughout so that the travel distance to a unit does not exceed 75 feet[NFPA 10 3.2.1). STRUCTURAL 1. Each prefabricated structure, i.e., walk-in cooler and/or freezer shall bear the insignia of the Oregon State Building Codes Agency[Section 1704.61. 2. Complete the enclosed Special Inspection form and return to this office prior to our issuance of the building permit. Copies of all special inspection reports shall be filed with this office continually during construction. A final signed report must be on file before occupancy will be permitted [OSSC, Section 1701.3). 3. Provide weep holes 24" on center and at or slightly above grade in all brick veneer. 4. In Seismic Zones 3 & 4, water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion [Section 510.51. MLCHANICAUFIRS SPRINKLER 1. Submitted under separate cover. � G Please submit four copies of revised submittal documents and a letter indicating your response to the abcve comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Robert Poskin, CBO PLANS EXAMINER Enclosure i.\PFlM5V5\D0GUMENT\HUP96 0634\PC12.21C.DOC I CITYITY O F T I G A R D —.ELECTRICAL PERMIT PERMIT#: ELC2001-00138 DEVELOPMENT SERVICES DATE ISSUED: 319/01 — 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S104BB-07900 SITE ADDRESS: 14300 SW BARROWS RD SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB ZONING: C-N BLOCK: LOT : 002 JURISDICTION: TIG Proioct Description: Wire New Ice Machine .lob No. 39945S RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOU_S___ 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _— SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: __ Reconnect oniv: SVC/FDR >=225 AMPS: CLASS AR'EA/SPEC OCC: Owner: Contractor: ALBERTSON'S INC #576 STONER ELECTRIC PO BOX 20 1904 SE OCHOCO STREET NOISE, ID 83726 MILWAUKIE, OR 97222 Phone: Phone: 503-462-6500 Reg#: LIC 00044823 SUP 40255 ELE 26-122C FEES Required Inspections Type By Date Amount Receipt — p Ceiling Cover PRMT CTR 3/9/01 $66.80 2720010000( Wall Cover 5PCT CTR 3/9/01 $5.34 2720010000( Elect'I Service Elect'I Final Total $72.14 This Permit is issued subjeO to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is riot started within 180 days of issuance,or if work is suspended for more than 180 days ATTE=NTION Oregon law requires you to follow rules adopted by the Oregon Utility fJotification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE '� L �,fl,I ISSUED BY: J —11. �- ------ —L.� �---- OWNER INSTALLATION_ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 1. Electrical Permit Application Datereceived: permit no,;M;10V _00 11 A r City of Tigard I'roject/appl.no.: Expire date: Cityofligard1 Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 6394171 MAR (; ?04-ax: (503) 598-1960 Cascfilcno.: Paymcnttype fOMM1N);+ +i' df I I enAillltld use approval: U 1 &2 family dwelling or accessory JU Commercial/industrial U Multi-family U Tenant improvement U New construction id Addition/alteration/replacement U O(her U Partial Job address: 5�,� 'Cw.y Bldg. no.: Suite no.: ITax map/tax lot/account no.: Lot: I Block: Subdivision: Project names '� 7 Description and location of work on premises:,e, (k fir✓ ti' s ;� y>,��►, 'E Estimated date of completion]ns coon: 1 . 1 1 t ax Job no: A�Y,�,y y s Fee M11in BUSinCS5 name: r Description "Y. (ea.) 70121 arta itxp S4e ,� �i LTx'` New rs•sidential-single or multi-family per Address:19c)# - sattachedgarage.g . e City:H,Lw4-1etE Stale:G1[ I ZIP:97227— Service included: Phoneso _0/4z_6so0 Fax:6Sg-y9 E-mail: 1000sq.ft or less 4 Foch additional 500 sq ft.or portion thereof CCB no.: `/wy23 Elec.bus.lie.no: Zfo—rZ2 Limited energy.residential 2 City/mrlro lie no.: M14. Limited energy,nonresidential 2 g�L_ Each manufactured home or modular dwelling Signature of supervising clectrici (required) Date Service and/or feeder 2 Sup elect name(pnnt) Mlicir YAs_cvE•1C_ Licenseno wS Se" reales-Installation, alteration don or rclocatio,i: PROPERTV OWNER 200 amps or less _ 2 Name(print): 201 amps to 400 amps _ _ 2 -- 401 amps to 600 amps _ 2 Mailing address: _ 601 amps to 1000 amps _ 2 City: tiIdle: ZIP oser1000am sorvolts 2 Phone: Fax: E-mail: Recarmectoniv 1 Owner installation:The insWlauon is being made on property 1 own Tempora"wrvlcesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocaflon: ORS 447,455,479,670,701 200 amps or less _ 2 201 amps to 400 amps 2 l)sanct's, si•nature: Date 401 to 600 ams 2 Branch circuits•nets,alterition, or extension per panel: NaIT1C: A Fare for branch circuits with purchase of Address: service or feeder fee,each branch circuli City: State: ZIP B Fee for branch circuits withouturchase p fs - - ---- of service or feeder fee,6m branch circuit Phone: Fax E-mail: Each additional branch circuit 5 Misc.(Seri ice or feeder not included): U Service over 225 amps-commercial U Healthcare facility Each pump or irrigation circle 2 USer.aeover 320amps-rating ofI&. UHazardouslocati-,n Each sten tit oudinelightinF -' lamtly dwellings U Building over 10,000 square feet four or Signal circums)or a limited energy panel. U System over 600 volts nominal mote residential units in one structure alteration.or extension' '- U Building over three stories U Feeders.400 amps or more •Description tion --- U Occupant load over 94 persons U Manufactured structures or RV park I ach additional bosxction oxer the ellohable In am of fire abase: U Fgress/hghtingplan U Mer ---- —- Pet inspectionye- 9Ubmlt sels of plans ssith any of the above. Investigation fee The above are not applicable to temporary construction serlice. other _- Not all jurisdictions accept credo cards.please call jurisdiction for mare information Notice This permit application permit fee...... .............. U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) g - - -- Credit card numtser - __. _ ____..____ _ L-�L__ ss ithin ISO days after it has been State surcharge(8%) 5 •;� Fspires accepted as complete TOTAL ...c 72•�7 Name d cardholder v shown on credit cad _ f Cardholder sip•tar. Amount 440,4615(6r0"M) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �- — BUP �— — Date Requested /� AM P�A _ BLD Location__— 0C, ;4.1) �A t1411(4ti Suite _ _ MEC Contact Person /Ph PLM _ Contractor U 4jA)Ph �� - �,7�, 7 SWR _— BUILDING Tenant/Owner _— s ,.� ELC (le-11 Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain Crawl Drain Inspection Notes: f' SGN Slab -v f- e7S� SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing _- Firewa" Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: __ -- ----- - -- -- Final j PASS PART FAIL -- - -_—_ PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer _._-------.-------.._-- Rain Drains Final --------___---__—_-- PASS PART FAIL MECHANICAL Post& Beane --- ------ .. --._.._. -------- ------- -- Rough In Gas Line __..--- Smoke Dampers Final — --- -------- ---------�. _ _ �. ----- --- P `Pi"T' FAIL — 1MV ice Rough In --� -------- --- - --- UG/Slab — — --- --- - ---- ---- -- Low Voltage F' arm ___ ___.--_---._in, A SS PART FAIL. E Backfill/Grading — -" --- -- Sanitary Sewer Storm Drain I ] Reinspection fee of$ required before next Inspection. Pay at City Hai#, 13125 SW Hall Blvd Catch basin Fire Supply Line I 1 Please call iur reinspection RE:_—_ J Unable to Inspect-no access ADA Approach/Sidewalk Date Inspector— Ext Other _ Final / PASS PART FAIL 00 NOT REMOVE this Insper:tion recovd from the Job site. / CITY OTE WORK TIGARD SITE DEVELOPMENT SERVICES PERMIT #. . . . . . . : SIT96-0051- 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/09/97 14�vv H f'��-wS a4D PARCEL: 2S 104BB-AL00]. £;:['TF':. ADDRESS. . . : ly. "SW r,;Kpad-,FARY-RD ZONING SUBDIVISION. . . . : JURISDICTION: BLOCK . LOT • . . . ----- _!__. - ----_---- -------------------------------------------------------- CLASS -._r« +_-_-_------------------ -______-_-_-_ CLASS OF WORN.. . :NEW PAVING?. . . . . . . . . : Y RESO. NO. : TYPE OF USE. . . :COM s GRADING?. . . . . . . . : Y VALUE. . . 3 : 1:'.�7i44hiZ�P' EXCV VOLUME; 120000 cy LANDSCAPING?. . . . : Y FILL VOLUME: 20000 cy SITE PREF'''. . . . . . : Y ENG FILL?. . . . . . : Y STORM DRAINS?. . . : Y SOTLS RPT READ? : Y IMPERV SURFACE: 241126 sf Remarks : SWIMS, PAVING, U*0SCAPING AND ALL PRIVATE IMPROVEMENTS f0 SITE. Owner: --_______._---_-_____--•----__.__...___--------_--__ FEES -------------____.. (aLBERTFIN, ;3 INC. type amount by date recpt 250 PARKERTON AVE PRMT $ 3433. 00 .7MH 12/12/96 96-287681 BOISE OR ID 5PCT f 171. 65 DST 07/09/97 97-296951 PLCK $ 2231. 45 DST 07/09/97 97-296951 Phone #: Contractor: ---------------------------- S D DEACON CORP, 6443 SW BVRTN--HLSDL HWY -)TE 432 ------ BEAVERTON OR 97005 $ 5836. 10 TOTAL Phone #s 297-8791 Reg #. . : 003813 ------- REQUIRED INSPECTIONS ------- This pewit is issued subject to the regulations contained in the Erosion Control _. Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp applicable laws. All work will be done in accordance with Fill Inspection approved plays. This persit will expire if work is not started Grading Ins p within IN d_ys of issuance, or if work is suspended for Bore St rm Drain Ins p than 180 days. ATTENTION: Oregon law requires you to follow rules Reinforced concr adopted by the Oregon Utility Notification Center. Tho.e row, are Str1ActUral mason set forth in OAR 952-001-0610 through OAR 9°5201-RIBA. Your NO Engineered gradi obtain copies of these rulLs or direct questions to [HK by _ailing Final Inspection 15031246•.9187. --- ISSUed by : r,�,�,�- Permittee Signature : I-+ + +++++++•i•-Fit++++++++'F.+. ++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 6200 p. m. for an inspection needed the next business day Plan check# 2 CITY df TIGARD Site Permit Application �'.� Rec'd B 13125 SW HALL BLVD. Private Grading, Paving, Site Accessibility Date Rcd 1 --t2 TIGARD,--(5k 97223 Retaining Structures, Utilities and Related Work Date to P.E. i) t (503) 639-4171 X304 Date to DST N Qr� et4 FeRm 1-ZAk6A MAi- Permit# � S 'f `C1C KVer F-f I D W A N rl . Called _ Print or Type Incomplete or illegible applications will not be accepted Project Name Utilities(Complete all that apply) Job f Address Address- Storm Sewer �'near Ft. Namtb 1 Sanitary Sewer ��7' �Ownear Owner Ma.,�ttg A r ss "� Fresh Water Ft. W Linear Ft. Ci (State 1 Zip �L Phone Catch Basins # f Name Clean Outs A■ C Mailing Address Describe work to be oofpe: General New' Addition❑ Alteration❑ Repairp Contractor City/State Zip Phone Additional Description of Work: ALire'( f , S 16� TFi C'NLY P,tD IQ iHIS Attach State Const. Cont. Board Lic. # Exp. Date PHAIA v, MCH WILL 10C-L LtL-f ALL- PAVI0(x �UM4 copy _ AtJp LA,'P•`C,"rPI0CT-AL, i UWG�ERC'FRt)UNI� r of current COT Business Tax or Metro# Exp. Date t"(a—rf,((Ad_ f- PbLA A l e 10(r, licenses — _ h1 MQJ'11�, Zitl` Name 1, Proje,t � t 4 Valuadon Architect Mailin ddressPlan Submittal: (3)sets containing each o the 611 liv !— � ()l, w Gt following, must accompan�r this application: Citv1 to Phone Site plan with Vicinity Map r Parking(including Zi D Showinc ADA compliance ADA)& Lighting Plan Name 1 t. t t 1i; IF I Grading Plan and details Landscaping Plan i Engineer I En ineer Mailing Address � ' Erosion Control Plan and Retaining Structures L-� — details including calculations City/State Lip Phon- Site Utility Plan and details Sans Report ^ ee _ ,�� _ L (showing connection to L (if reGu(r�d) ms,µ 4 approved system) _1_G'C G` j 2- 17' Exc-ivanon Volume I hereby acknowledge that I have read this application,that the I (Soils report required for>5,000 cu. Yarde information given is correct,that I am the owner or authorized j cu.yds. agent of the owner,and that plans submitted are in compliance (` wrttOrMn State laws. FII olume '2O VW ign4re Ag nt Date (Soil,, report required for>5.000 cu. Yds) wc. cu.--Yq-s - 44 - NIIthe fill support a structure nte Phone e (Engineer required if answer is yes) YE SX NOn Relaming gtructur=% (check one) []Rock FOR OFF CE USE ONLY i(�� CMU Notes: )Concrete �. 0 hPtN OF P�C�tt(iIIQS Fv1� i ther--__ C cif>TR.Ac TnR. l it E l E r f'C t',l l i r W IL L- INE 1 . f) l.`C.)ro I 'otal new impervious area including all W Land Use Cass d CPA93-M"I M1p/TL# buildings, sidewalks, and paving 'zAII�� S .Ft. i1astsbiteapp doc 8196 43 �1 E—,- i account Description i Amourt Amt. Pd. l_P Build. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) State Tax (TAX) Bldg; Plumb: Mech: ^�r ELk0.ELR: P1. -'',eck .1Id: (BUPPLN) Z�71 j Plumb: (PLMPLN) _ Mech: (MECPLN) CDC Review (LANDUS) Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Mass Transit TIF (TIF-MT) Water Quality Water Quantity (WQUANT) - �' �, V Erosion Control Permit (ERPRMT) c � Erosion PlancElUSA f \. (ERPLAN) a - Erosion Planck/COT (EROSN) �r Fire Life Safety (FLS) TOTALS: SE F 35MM ROLL# 22 FOR LARGE DOCUMENT ' ITEM QTY. PART DOC # DESCRIPTION 1 1 1348241 — PANEL, 125A, 3 PHASE, 24 SPACES 2 1 1348317 — PANEL, COVER 3 12 1009915 — BREAKER, 15 AMP, 1 POLE 4 1 1348004 — BREAKER, 20 AMP, 2. POLE 5 2 1348043 — BREAKER, 30 AMP, 2 POLE 6 1 1348554 — TIMER, SWITCH, FF32H 7 1 1007708 — SWITCH, BROWN 8 8 1007728 — RCPT, SINGLE 5-15R 9 1 1348063 — RCPT, SINGLE, NEMA L6-30R 10 1 1007731 — RCPT, DUPLEX, ISOLATED GROUND 11 3 1007730 — RCPT, DUPLEX, 5-15R 12 1 1348569 — RCPT, SINGLE, NEMA L14-30R 13 2 1007778 — COVER, RCPT, NEMA PLUG 14 8 1007780 — COVER, RCPT, 2X4, SINGLE 15 2 1007789 — COVER, BOX, 4X4 16 1 1348206 — COVER, SWITCH, 2X4 17 3 1348207 — COVER, RCPT, DUPLEX. 2X4 NOTES: 18 2 1005587 — BOX, JCT. 04 1 . LAMP HEADS (ITEM 34) MUST BE REVERSED BY ROTATING THE HEADS. 19 11 1007802 - BOX, RCPT, 2X4 HEADS ARE ROTATED BY REVERSING MOUNTING STEM ON FIXTURE. 20 1 3310185 3310185 BASE, PANEL MOUNT21 1 3310186 331086 SUPPORT, PANEL MOUNT 2. BULB (ITEM #35) MUST BE PLACED IN HEADS DURING INSTALLATION 22 135 1005783 — ORE, 12 BLACK 23 135 1348129 — WIRE, #12 WHITE _ 24 135 1348174 — WIRr", 12 GREEN 25 120 1005800 — WIPE, #12 RED 26 40 1007743 — WIRE, #10 BLACK 27 40 1007742 — WIRE, #10 WHITE 28 40 1OC7741 — WIRE, 10, GREEN 29 40 1348182 — WIRE, F,ED 30 135 1007825 — CONDUIT, 1, /2" _ 31 6 1348482 — CONDUIT, 3/4" 32 6 1348552 — CONDUIT, 1 -1 2" 33 1 3310132 33101 ,32 PANEL, MOUNT SWITCH 34 8 1310683 — LIGHT, SMALL 35 8 1348570 — LAMP 36 2 3309701 NONE I TRACK, 1348336, 4' 37 2 1348338 — ENDCAP, LIVE CONNECTOR 38 2 1348534 — CORD W PLUG 39 2 1348337 — CONNECTOR, DEAD END PROPRIETARY INFORMATION ICI-IVC PART NO.DO NOT DUPLICATE LOAD 03 3 3 9 2 DIMENSIONS ARE IN INCHES •.` /1 (� P.o.aox 40606 1357w,eEwER ST. JACKSONVILLE, �i 32Y03 C `—t' ,J TOLERANCES UNLESS NOTEDREV. FRAC. TOL. t 1/32 ELECTRICAL BOM SHT: 4 of 4 1 N. A. CHANGED ITEM #12 PART NUMBER TO MATCH DESC. 9/09/98 SEH DEC. TOL. f .01 BOM DOCUMENT No. ANGULAR TOL. f .5' " INO. E.C.N. N0. I REVISION DATE: BY. D0 NOT SCALE DRAWING SIZE: B DRN. BY: SEH DATE: 7/20/'98 SCALE: 12 =1 1 3392349C tlPh'�.�I,r`-. 1�1�v1a.. Yk,ay. ..-A ,•X�',M,trmAN NOTICE: IF THE PRINT OR TYPE ON ANYT�I� III III � III III � III III � III III � III III � IIr T11T T rjT� r�f_ il..f�_11,1- II11"1.. 1 ' 1I1lIII III 'lIII �IIIIiII III � I � I IIl � til III � Il1 I � I � LI1 III � I � t ill � I � 1111111It III � III IIIIIII III Illltllilll IMAGE IS NOT AS CLEAR AS THIS NOTICE, _ �. Z .� _ _ 6 '7 $ 9 1 101 � I 12� �✓ l�-�'`'/,� oz, c� c�2 �Ce IT IS DUE TO THE QUALITY OF THE No.36 "Woo"m ORIGINAL DOCUMENT og 6Z 9Z LZ 9Z gZ fiZ EZ Z TZ I OZ 6T 8T ^ L �i 9I 5T � T � T ZT iT I 6 8 L 9 4 fi E Z I ��i�w (�� IIIIIlIIIIIIIIIIIIIIfillillillllllllllllllllllll ll11111� 1111IIILIILIillillll I I , , I , I IIIIIIIIIiIilIl Iillillllllllliillllllll IIII,Iillllilllllllllllillllilllll � Ill_Illl llllll.11lll lll� 11 lUllll�4ll a PLUMBING CHART: COLS WATER FROM 16 X 24" STUBUP WATER AFTER FILTERS AND SOFTENER _ — — — — — ESPRESSO BREWER DRAIN THROUGH 12" X 12" STUBUP WATER FILTER WATER AFTER FILTER (BEFORE SOFTENER) TO BE PLUMBED BY CONTRACTOR : — � 1. FRESH COLD WATER CONNECTIONS FROM STUBUP T0: WATER FILTER WATER HEATER 3 COMPARTMENT SINK 6 GALLCN WATER HEATER , HAND SINK DIPPER WELL AIRPOT BREWER — � 2. FRESH COLD FILTERED CONNECTIONS TO AIRPOT BREWER HOT WATER � 3. FRESH COLD FILTERED AND SOFTENED TO ESPRESSO MACHINE � 4. FRESH HOT WATER CONNECTIONS FROM WATER HEATER T0: � 3 COMPARTMENT SINK � — — — HAND SINK � 3 COMPARTMENT SINK — — — I — 5. DRAIN CONNECTIONS FROM THE FOLLOWING EQUIPMENT TO CLOSEST DRAIN STUBUP � � I ESPRESSO MACHINE � AIRPOT BREWER SINKS ICE BIN L — — — DIPPER WELL HAND SINK 6. CONTRACTOR IS RESPONSIBLE FOR ANY OTHER ITEMS NECCESARY TO CONFORM � TO ALL CODES (LOCAL OR FEDERAL). EXAMPLES WOULD BE BACK FLOW INDICATORS OR SPECIAL DRAIN REQUIPEMENTS ICE BIN LEGEND i — COLD PLUMBING 6Y CONTRACTOR � — — — — — — — — HOT PLUMBING BY CONTRACTOR COLD WATER FROM 12" X 12" STUBUP — — —► DIPPER WELL I � PLUMBING BY LOAD KING — 1100- DRAIN THROUGH 16" X 24" STUBUP -- — 111w- DRAIN THROUGH 12" X 12" STUBUP PROPRIETARY INFORMATION LOAD KIACPART N0. DO NOT DUPLICATE ql339 2 438 DIMENSIONS ARE IN INCHESPQ40601357X � � � w,BEAYER ST. JAO(SONNLLE, Fl 32Y03 roLERANCES UNLESS NOTED ICE CREAM /COFFEE MERCHANDISING UNIT g�T: 1 or 2 REV. FRAC. TOL. t 1/32 PLUMBING CHART DEC. TOL. t .01 DOCUMENT N0. O ANGUNO.O. C.N. N0. REVISION DATE: BY. DO NOTLSCALAR OELDRAWING SIZE: B DRN. BY: SEH DnTE: ��31 �9B SCALE: ��2•_� r241 3392438 � NOTICE: IF THE PRINT OR TYPE ON ANY r�r ij � iii ISI Iii ISI ISI fel ISI I (1 ISI IiT I r-11-11-1I1TJT_f�f` f1f IISI IISI I1 I I �I 111111 ISI Jill�ISI I IMAGE IS NOT AS CLEAR AS THIS NOTICE, � I � �� DU �I ISI I I1I 2 10 11 IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT £ 6Z 8Z LZ 88 Z i'7, £Z Z IZ OZ 6i 8T LI 9T 4I �i £i ZT 1T i 6 8 L 9 4 fi E �aZ i �ni3w ITEM OTY. PART # DOC # DESCRIPTION —� 1 1 1354088 — ADPT, COP, 1 " FIP X 1" C ; 2 16 1005114 — T8G, COP, 2" 3 1 1005113 — TEE, COP, 2", C—C—C 4 2 1007610 — ELL,900, COP, 2",C—C 5 1 1007595 — FITING, 4—WAY, 2n, COP 6 3 1005998 - DRAIN i 3 COMPARTMENT SINK HANDSINK SHOWN FOR REF. ONLY SHOWN FOR REF. ONLY _ ICE BIN SHOWN FOR REF. ONLY DRAIN SHOWN FOR REF. ONLY 1 " IPS DRAIN 6 i 5 1 4 3 2 PROPRIETARY INFORMATION PART NO. X10 NOT DUPLICATE r� LOAD KING DIMENSIONS ARE IN INMES �� PABOX 40506 1357 WBEAVER ST. JAQ(SONVILLE, FL 32203 3392438 TOLERANCES UNLESS NCTED PLUMBINGREV. FRAC. TOL. f 1/32 SH T: 2 of 2 DEC. TOL. f .0' ANGULAR TOL. i .5° , . DOCUMENT NO. 0 NO. I E.C.N. N0. REVISION DATE: BY. DO NOT SCALE DRAWING s�zE: B oRN. or. HJ DATE: 7/31/98 scnLE: 2"=1 ' 6 3392438A NOTICE: IF THE PRINT OR TYPE ON ANY �� IJi I � ► II � III � lIIII 11111Iir 1111 , 11 111111 , r-[T�FjJ. .r1.rI.11.1 1 � 1I11111 � 1I11 1 � 1I-1 .11 .x1 [11, r r � rillt r1 ► � r� t I � t1 � li r_� � I_rp I � r( g1 1.11.1 1111.1 [1 11111 [-I111111-11 1-1gIII 111I111111111 IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 3 4 5 6 I - I 10 11 ]. IT IS DUE TO THE QUALITY OF THE No.38 ORIGINAL DOCUMENT ou zz TZ O Z 6 T 8 I V L I 9 T g T� fi T E T Z T i T i 8 8 L 9612 6 �' S Z 13141)w �� ►� �►�� LII, �� 1111 Illi 11.11_ �1111�111111_ <<�� 1111 1111. 1111. 1111 1111 ILII �� Illl �� ,III �� .�� Illi lll� llI Ill_l 1111 �lll Llll 1111 1 111I 1 lu. llllr�ll CONSTRUCTION NOTES: SINK TOP: 16GA S/S #3 POLISH WITH A FORMED MARINE EDGE 79 15/32 ON FRONT AND SIDES WITH A 8" BACKSPLASH. 00 TUBS: 16GA S/S #3 POLISH WITH DOUBLE WALL PARTITIONS AND STAMPED DEPRESSIONS N I FOR DRAIN OUTLETS, ALL ARE WELDED t _ INTEGRAL TO SINK TOP. -- CABINET: ` 18GA S/S #3 POLISH WITH A 1 -1 /2" S/S FRAME. ALL WELDED INTEGRAL TO GATHER. FRONT PANELS LAMINATED WILD CHERRY W/ HORIZONTAL GRAIN. C) Ln LEGS: CI 1x-5/8 ROUND S/S TUBING #180 POLISH WITH 1" ROUND S/S CROSS RAILS WELDED TO FRONT AND BACK LEGS, SUPPORTED WITH S/S GUSSETS AND LEGSOCKETS. BULLET FEET; CORROSION RESISTANT MATERIAL WITH ADJUSTABLE HEIGHT. 18 23/32 14 14 14 18 23/32 FIXTURES AND PLUMBING: FISHER FAUCET #3251 LK # 1310368 PLUMB WITH j 1 /2" COPPER TUBING. COMPONENT HARDWARE LEVER DRAINS #D10-7410 PLUMB WITH 2" COPPER TUBING 79 15/32 30 ►-- 14 /— S/S SINK TOP 1 S/S APRON I Ij �I II I N I I - - - - I - V - `- S/S DOOR FRAME WITH T 1 M w , LAMINATED INSERT00 OO OD cN �� ca I S/S SIDE FRAME -� 6 X6 CUTOUT 40, FRONT INSERT PANELS LAMINATEDWILD CHERRY HORIZONTAL GRAIN CLIP ONri TOE KICK 3 S/S FRAME PANEL a WITH LAMINATED INSERT S/S LOWER FRAME IS CONSIDEREDOINFORMATICON CONFIDENTIAL CONTAINEDIAND PRIOPRIE ARYBBYTLOADKINGHIS ENT DRA W I N; APPROVAL REQUIRED MFG. COMPANY. ALL DESIGN, MANUFACTURING, USE, REPRODUCTION, AND ALL SALES RIGHTS. ARE EXPRESSLY RESERVED BY AND TO SIGN, DATE AND RETURN TO LOAD KING MFG., INC. LOAD KING MFG. COMPANY AND COMMUNICATION OF THIS INFOR- MATICN TO OTHERS IS PROHIBITED WITHOUT THE PRIOR WRITTENCUSORIeF Approvol: Dote: CONSENT OF LOAD KING MFG. COMPANY. PROPRIETARY INFORMATIONLOAD KI -ZVCPART N0. D0 NOT DUP ICAT Q 'r9/11 /98L PABOX 40606 1357 W.DEAVER S1. JACKSONVILLE. FL 3220 8800930 1141 G I MOVED r AUCE i S CUSTOMER WANT � TO INSTALL A SANITARY RAISE 1 I JDC DIMENSIONS ARE IN INCHES - P TOLERANCESINK CASINE S UNLESS NOTED SH T: o f R`v. CAE31NE' HIEGHT WAS 34 ,LEGS & TOE KICK WAS 5- 7/8 I . /04/98 JDC FRAC. TOL. 1/32 ADDED WILD CHERRY LAMINATE AND N07S 7/06/98 JDC DEC. TOL. y .01 DOCUMENT N0. ANGULAR 10L. y .5• SIZE: DRI. BY: DATE: SCALE: 4"=1 ' 16 8800930 IN � . � C.N. NG. I REVISION DATE: BY. DCI NOT SCALE DRAWING B JDC 6/25/98 ( 3/ NOTICE: IF THE PRINT OR TYPE ON ANY rrjl � l IIIIIII IIIIIII IIIIIII I � IIIII 11111IT IfI1l-11 ,��j.�{_�P' �_I,_�_ i;, ,,AGE IS NOT AS CLEAR AS THIS NOTICE, �_I ��. _.i111 �� I I � ► II � � ( � III � I I � Illjl lull I Illi111 I �1f 11-i ► , I ( T � 1 1jl � Ell Ijlll ( I 111j1 � i EI ( IIII Ij ( jljl Ijllljl Illjlll _z/ 1 2 3 I i 4 5 6 ff II II g 10 11 12 ` J �'l �- a� vx) _ _ _ _ _ _ _-- ---_-__-- IT IS DUE TO THE QUALITY OF THENo.36 lam ORIGINAL DOCUMENT E' 6Z 8Z I LZ 193 VZ IZ EZ Z YZ OZ 61 Sh LT 9T �9i `fii Ei ZT iT i 6 8 L 9 9 W E Z i �413 jljj jjjj �� ijjj �jjj jjjj jj►j ►jjj jjjj jjjj jjji JIT � l�<< ��►j l��l <<i� �<<� jjij. �� j�►� �� ►�� j�� i �� ►��i i��i i�� < < i �ii< <�i ��< ��ii ui� u� ll l� viiiiij a