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6750 SW BONITA ROAD-3 `r Q) 4 v C' 0 Uco m O O O O C 06) fl fl. I 6750 SW Bonita Road CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000 00195 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/23/00 SITE ADDRESS; 06750 SW BONITA RD PARCEL.: 2S112AD-00100 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: ATIYEH BROS USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 2 TYPE OF USE. COM NO. OF BUILDINGS: INSTAL.L. TYPE: LTPSWR IMPERV SURFACE. Remarks: Plumbing for New Building Owner: --- — — — �- FEES ATIYEH BROS ---- — _ - 800 SW WASHINGTON ST Type By Date Amount Receipt PORTLAND, OR 97205 PRMT CTR 8/23/00 $4,600.00 27200000000 Phone: 223-4125 -- —Total $4,600.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The pr.rmit expires 180 days from the date issued The total amount paid will oe 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 dis!ance given If not so Ionated, 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_-001-0080 You ma .obtetiv=pies of these rules or direct questions to OUNC by calling (503) 246-1987 lasu by: _— Permittee Signature:x- _�2L Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITYOF TIGARD _ _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00271 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/24/00 SITE ADDRESS: 06750 SW BONITA RD PARCEL: 2S112AD-00100 SUBDIVISION: ZONING: BLOCK: _.____LOT: JURISDICTION: CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: M FLOOR DRAINS: 3 TRAPS: STORIES: WATER HEAL ERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: 1 GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 3 TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS. 3 WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN: 100 ft Remarks: Plumbing for New Building Owner: _ _ _ FEES -- — --- Type By Date Amount Receipt ATiS WASHINGTON ST 800 PRMT CTR 8/24/00 $318.50 27200000000 PORTLAND, WASHINGTON OR 97205 800 PLCK CTR 8/24/00 $79.63 27200000000 5PCT CTR 8/24/00 $25.48 27200000000 Phone 1: 223-4125 Total _ $423.61 Contrac tor: DETENPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 503-227-2641 Sewer Inspection Reg #: LIC 00002510 Water Service Insp Top-out Insp PLM 26 25P8 Storm Drain hasp Rain Drain Insp RP/Backflow Preventer Final Inspection 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 accord2.ice with approved plans. This permit will expire if work is not started within '180 days of issuance, of if work is suspended fog more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued i: A,�, � -- Permittee Signature: G �L2d Call (503) 639-4175 by 7:00 P.M. for an Inspection needed he next business day Tenant Name: Accumulative Sewer Tally �%/1�f/ /-'/.�D�f,/E/�-. This SWR# Su)/. O-e-J - 00/95 Address: / 7S0 _S'.r t ori This PLM#: Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 Bath-Tub/Shower y _ -Jacuzzi/Whirlpool 4 Car Wash-Each Stall 6 _ - Drive Through 16 __— Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 Domestic 2 Drinking Fountain 1 l (_ Eye Wash 1 Floor Drain/sink-2 inch 2 3 inch 5 4 inch 6 _ Car Wash Drn 6 _ Garbage•Disposal 16 -Domestic(to 3/4 HP) -Commercial (to 5 IAP) _32 _ Industrial(over 5 HP) 48 _ Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Rec.Vehicle Dump Station 16 Shower-Gang(Per Head) 1 -Stall 2 _ Sink-Bar/t.avatory 2 Bradley 5 T � Commercial 3 Z _ Service 3 — Swimming Pool Filter _ 1 Washer-Clothes _ 6 _ _Water Extractor 6 _ Water Closet-Toilet f 6 _ 2- Unnal 6 1 TOTALS Total fixture values: divided by 16 _ �.1 �1 EDU Z To u t U 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# imsts4twAaly.dx I CITY OF TIGARD Plumbing Permit Application Plan Check 13125 5W FALL BLVD. Commercial and Residential Rec'dBy TIGARD OR 97223 ( i i Date Recd -� (503) 639-4171 (' r I' � ' �� Date to P.E. - -C' 7 r L P,-int or Type Date to DST `7 Incomplete or illegible applications will not be accepted Permit#tM 2' •v Cc I cf Related SWR#'2.(9oV L^O l�j r i t , c �1� .3 Z' \ Called 1I -COO i Name Developmaauprwect �XTUR S in QTY PRICE A Job Ilk E'1 I\ y-05 roc 1�( jj Sink 11.50 Address Street Address 1. Suite Lrvatory _ 11.50 ON ^ ;, (o-7 50 S Wr:�►t I ra'l Tub or Tub/Shower Comb. 11.50 Bldg# City/Stale / Zip Shower Only 11.50 Name Water Closet 11.50 7iTC111 -- �1 Urinal - 11.50 Owner Mailing Address Suite Dishwasher 11.50 Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 Name Washing Machine/Laundry Tray 11.50 V"f S ct kdv 4?.- Floor Drain/Floor Sink 2" 11.50 �i u occupant Mailing Address Suite 3" 11.50 4" 11.50 City/Slate Zip Phone Water Heater U conversion O like kind 11.50 yo Gas piping requires a separate mechanical permit. To emplo ots X" MFG Home New Water Service 32.00 Contractor IJin Address y Spite MFG Home New San/Storm Sewer 32.00 `)�)i kW L7 J C✓ do Hose Bibs 11.50 Prior to permit CH /SlateZip Phone Roof Drains 11.50 issuance,a copy VC r+i `Xh G 7-loci I- Drinking Fountain ' 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required if )P5,1 D I Other Fixtures(Specify) 15.00 expired In COT Plumbing Lic.# Exp.Date database i -A 5 •',1� lA 2G 1 Name Architect AA �V1 I�(O 15��1 Sewer-1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32.00 20 S W MWMA m Water'iervice-1 st 100' 38.00 Engineer City/Sate ZIP 0 5 V Writer Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1 at 100' 38.00 New 0 Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 3200. Residential O Commercial 9 Additional desFripllon of work: t `V �- Commercial Back Flow Prevention Device 32.00 ` Y��J �`t I J tu Residential Backflow Prevention Device' 19.00 T,1� A Catch Basin 11.50 Are you capping,moving or replacing tiny fixtures? Insp.of Existing Plumbing or Specially Requested 5000 Yes O NO A. Inspections er/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge IN t I have read this application,that the Information I 1 .� given Is correct,that I am he owner or authorized agent of the owner,and 1 Isometric or clear diagram Is required H Quantity Totalis,9 _ Ala ns submitted are I 'foto Biance with Oregon Stale Laws. Ir *SUBTOTAL si attic of Owner /A t� Date ✓ �� C` 8%SURCHARGE Contact Person Name Pht,;ie CY A.� 11 I K �j�l- V'��1 I _S2 �L ""PLAN REVIEW 25%OF SUBTOTAL -� 1 BATH HOUSE$178.00 -- Required only d fixture 9!Y total Is>9 TOTAL 2 BATH HOUSE$250.00 3 BATH HOUSE$285.00 - (11his fee Includes all plumbing fixtures In the dwelling and the first 'Minimum perrnit too is$5o+8%surcharge,except Residential Backtlaw Prevenfion 100 feet of sanitary sewer storm sewer and water service) Device,which is$25+8%surcharge **All Naw Commercial Buildings require plans with isometric or riser diagram and plan review l ldsts\forms\plumepp doc 1111SM9 PLEASE COMPLETE',: Fixture Type _ Quantity by Work Performed LNew Moved Replaced Removed/Capped Sink ---- --�-- _ _ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal — _Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" - 4„ _Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 1k1l1511cxnsv+lumxp[+ncx 11/1H:99 I CITYOF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC200000295 ` 13125 SW Hall Blvd., TiLi 3rd, OR 97223 (503) 639-4171 DATE ISSUED: 8/11 PARCEL: 2S1 12 12AD-00100 SITE ADDRESS: 06750 SW BONITA RD SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: ALT � FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: S2 VENTS W/O APPI_.: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUELTYPES 0 3 HP: DOMES. iNCIN: GAS 3 15 HP: 6 COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR _HANDLING UNITSOTHER UNITS: FURN >=100K BTU: 3 <= 10000 cfm: GAS OUTLETS: 3 > 10000 cfm: Remarks: Mechanical for New Building Owner: FEES ATIYEH BROS Type By Date Amount Receipt 800 SW WASHINGTON ST PRMT RCP 8/11/00 $203.90 0004434 PORTLAND, OR 97205 PLCK RCP 8/11/00 $50.98 0004434 5PCT RCP 8/11/00 $16.31 0004434 Phone:2.23-4125 Total $271.19 Contractor: DETEMPLE COMPANY INC 1951 NW OVERTON ST PORTLAND, ON 97209 _ REQUIRED INSPECTIONS Gas Line Insp Heating Unt Insp Phone:227-2641 Mechanical Insp Duct Inspection Reg #:LIC 2510 Mechanical Insp S D. Shut-down inspection Mechanical Insp Final Inspection Mechanical Insp Mechanical Insp Mechanical Insp Heating Unt Insp Heating Unt Insp Heating Unt Insp Heating Unt Insp Heating Unt Insp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will Pxpire if work is not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in 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 or direct questions to OUNC by calling (503)246-9189. °asue By Permittee Signature. Z -- "vvUUvv�V Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day _ 1 CITY.GF TIGARD Mechanical Permit Application Piancneck#�- Ppcaon Recd By L 13125 SW HALL BLVD. Commercial and Residential __ _ oMe\Re.'d %i. .7 TIGARD, OR 97223 �/ �.�c Date to P.E. (503) 639.4171, x304 Cgl7v Id>� ��i�z1 I-7# 'pa)L4 � ��3� DaWto DST `-- �P�int or T e - �em,it#MI6 LO -_T_p—. Incomplete or illegible applications will not be accepted Called -- Name of Development/Pro)eat J Description `( i (je J '� I I ��1�1�t Table to Mechanical Code Qt Price Amt .Job Street Addre s Suite# A) Permit Fee V _ 16.00 I 1) Furnace to 100,000 B'ru Address I 5 S�4 �!Cti 1 l ` including ducts&vents see footnote 1,2 9.65 Bldg# cny/atate .p �--- --- 2) Furnace 100,000 BTU+ ,\ includingducts&vents see footnote 1,2 12.00 Name(or name of business) I,, -- 3) Floor Furnace Owner /1-( ) P {�'YU�V1 y _including vent _ see footnote 1,2 -_ 9.65 Meiling Address 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 _ 9.65 5) Vent not included in applianr-e ermit 4.7� City/state Zip Phone Check all that apply. 'Boiler Heat Air For items 6-10,see or Pump Cond Qty Price Amt Name(or name of business) footnote s 1,2Com •• c)1 i� ►1( 6'( 6)<3HP;absorb unit to �I 10OK BTU _ 9 65 Occupant Mailing Addreas — -- p 7)3-15 HP;absorb unit 100k to 500k BTU t� .1765 Cnylstate Zip Phone 8) 15-30 HP;absorb unit.5-1 mil BTU 24.15 Contractor Name 9)30-5o HP,absorb unit 1-1.75 mil BTU — _ _ 36.00 (v 10)�501!P;absorb unit Poor to permit Mailing Address / >1.75 mil BTU 60.15 issuance,a copy Aelt L /(�6' 11 Air handling unit to 10,000 CFM of all licenses City/state // Zip Phone 7.00 are required if f ?,vi to t ey � 'q L 12)Air handling unit 10,000 CFM+ expired in COT Oregon Conat Cont Board Lic M Exp Date 11.75 database - S � 1 13)Non-portable evaporate cooler Architect Name 11 __ 700 _ A) L K I"owl - �l 1`1 J-eh 14)Vent fan connected to a single duct Or Mailing Address _ 4_.75 •3 20 soj Mae6tdQ IM 15)Ventilation system not included in l9 r 1 sneer CMappliance permit 7.00 _ _ En y/State zip Phone - --- -- 9 t7 f J 5 -I'00 16)Hood served by mechanical exhaust 0� 7.00 Describe work to be done: 17)Domestic incinerators _ 12.00 New* Repair O Replace with like kind Yes O No O 18)Commercial or mdu,trlal type incinerator Residential O Commercial'K _ 48.25 19)Repair units Additional Information or description of w rk: 840 / i- -> as Mother units/clothe %'Vlc°C�1ldn i(� [Ny� 20)Wood stove/gas > � Gr ti E.�;,i l'><r/lc�lY1 J 9dryer/etc 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 2t)Gas piping one to four outlets structural gas calcs. See footnote 1 _ 3.75 Type of fuel oil O natural gas 6' LPG O electric O 22)More than 4-per outlet(each) ___ 75 ) _ Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I have read this application,that the Information 7%SURCHARGE given Is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL I the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial Permits onl _ TOTAL /dig n ,m of owner/Agent — Date Other Inspections and Fees: -F1 l 1. Inspections outside of normal business hours(mininum charge-two �0 ontact Person Name p Phone hours) $50.00 per hour �3 yt 2. Ins q pections for which no fee is specifically Indicated (minlmum � t V charge-half hour) $50.00 per hour Footnotes for commercial projec tly: 3. Additional plan review required by changes,additions or revisions to lLe t Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-halt hour)$50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit 1:\rtechperm.doc rev 02/4/98 07/25 16:47 2000 FROM: 5032747686 TO: 5036435521 PACE: 1 __ 07/15/00 TUE 14:39 FAX 5032717686 De'TEMPLE COMPArk INC Inn? WEIGHTS l..cnesory snipping--lbs Iwo) Dp anomr7tr 90(40.82( 81 ' Polder Fxhausl 20 (9071 18 13161 Fresh Air Dempor(Mand) 26 111-791 at 19 531 Fro h Air Darn r Motorized) 43)19.501 3U;;244-,, Capacity Tons(kWI Corner Weights by Percentage o0f CUrh 1 9 1140 821 85 13B 601 9enl urh 24' 140 163 501 135(61 1.3 -� 7 5-10126.4.35.21 33% 27% 17% 23°' 10 SPREADER BAR - �� r LIFTING BEAM A �CABLE OR GRAIN D sn-115.8 mm)SHACKLE- \`� (EACH CORNER) J CLEARANCES �•'' /� The follvwmy mmomum creprancoc moat ho nh"rvecl for prolmr tend performance i and bervkwb011y Recommended Clgrtrnn to ImImml , 48112191 A-Front 1814571 0•Ca_ndanter Coll /� E CLEAnAN('F� 1�0. ,. C Side 1814511 p Evaporator End 6011524) E Atrove C i� � I \ 'WlnraN fcErromrdr fie'1129�1 Whh Ecanomlffr \ : a A 0 Ruud Air Gonditinning Division ( j DeiiynrMe!Metric Converslcns 07125 16:47 2000 FROM: 5032747686 TO: 5036435531 PAGE: 8 07/25/00 TUE 14:39 FAX 5032747686 DeTEYPLE COMPANY INC [�j008 WEIGHTS ullaA __ UUU Unit W ---- Operating —.- alrip,,ing — — Opallns —— -- Ibs IrY] lbs[kill los Ikgl �• 1...,.,.:,...... 513(2331:x..__ 550(249 ti43[246] A035"12 ) 5221 237] 558(254) 557(250) A042'•08 536[243] 529[240( 5771262] 5701259]_ A042-12 545(2471 538[2441 58612661 579(263) �— A048•'08 580 1283) 57312601 _ 58712661 58012631 A048"10 58012631 587 12661 58012631 —- A048'•13 5B5 12651 5781Z621 562(2891 S8512651 A0130"10 � 58012631573 597 r1711 _ 59012681 A060-1358612651 _ 578 2621 80412741 597(271] A0721 IO/A073''10 M► 615 P-11 — sae;278 — A072'•13/A0731•13 82l[2821 14(279) — — A085"13 J —11413241 70513201 3.6 Ton 1118.641.111111111111 7 5 Ton 126.4 k1Nl Aoeeeesry Shipping 004fartiall operating Operating _ Ibs I1g1 jwft1 b �lot(rill Economlrn -701321 80 8 70 32 cENTen or GRAvrTTV(c.0.) Power Exhaust — Pendingiti andira Pendi Ce sal Tana IktiY1 A In.lmm) 8 In [mml Fresh AIr Damper(Manuel) 11 (S] B 41 11 81 12 51 3-8[10.8.21.1 381/41901 251/.(fi54) Fresh Air Damper(Motorized) _ (b 7 14 6 7.5(28.4 39101 J 2617e 15641 Rout Curb 14' 92.(421 0 K 1401 Root Curb 24' 47J (49] 104 47 Concerdric Diffuser 18'Rush Y 17226112137 11'7 28(12 Cepachy Torn(kW] Cower W19 s by Pereenlege Concentric Diffuser 20'Flush 1191 541241 42 19] _ A _8 T D Side Discharge Concentric Diffuser RXRN•FAL [9 — — 3-6(10.6.21.11 22% 27% 23•., 2B� Side Discharge Concentric Diffuser RXRN•FA85 18 55126 40(111 7 5(28.4 2394 2996 1 21% 27% CLEARANCES LIFTING DSTAIL (8 to 15 Ton 110,0 to 26.4 kW]Models) a The Iwowing minlmw+'t cloatwK;ee mull be choerved for proper unit perlormanca and sennrrahihty \� S?tiiADlR BAA IRecommended LIFTING 96AM CleeLpCallan �/.i✓"/ �/ CAOLE OR CHAIN nnee n.(fnml t// 48(1219] A-—Front __ �,•f �` / _ 1814511 B-CondenserColr 12 306 C-Duel Side NOTE:Supply duel may be installed [ with'W Inch clearer"to combuetlbla A 3619141 0-Evsporatnr End mnlerwls,provided 1"125 4 mm] ~ CGy J 80115241 E-Above minimum riberglasn Insulation Is applied either Inelda or on tna outskle ! IWnnout EcesomhM.67 11448 nwnl wrn Eeonomlmr of the duct, � •�• ' 14'116 mml SMACKLE (EACH CORNFnl _ Btq � '7 uh�fi C . r':,, f � rah (�►1,.� 7 S^6 /A s r t Oaclonste6 Metric ConvNraions Ruud Air Conditioning Division 9 CITY OF S'IGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested ( 7 - 0 ( AM _PM BLD 1-:)-D - x Location M,r7 �l & 't .� Suite - _-- -- �-- MEC Contact Person Ph _ _ PLM _ Contractor_ /7 �t�/� c'� Ph _ SWR ILDING Tenant/Owner ELC Retaining Wall A � ELR Footing Access — - Foundation FPS Ftg Drain ^ ---"-�- Crawl Drain Inspection Notes: SGN Slab Post&Beam _ — -- — SIT Ext Sheath/Shear Int Sheath/Shear Framing - Insulation -- Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm —�- Susp'd Ceilir,g -- -- -- -- - ---- ---- RoofP --- ---- -- ,44 PART FAIL PLUMBING Post& Beam - - Under Slab Top Out - - - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - - Ro.igh In Gas Line --- - Smoke Dampers Final --- - PASS PART FAIL T-�---------- ELECTRICAL Service Rough In -- — - s� — ---- - -_ UG/Slab Low Voltage — Fire Alarm _ Final - -- — PASS PART FAIT_ _ SITE Backfill/Grading -— -- Sanitary Sewer Storm Drain [ J 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: _ _ [ j Unable to inspect- no access ADA Approach/Sidew31k l' / Other Date —_ Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this ins,,rection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-H, Ic,spection Line: 639-41759-4175 Business Line: 639-4171 MST ------ BLIP _ —Date Requested—�`-� AM Pf�l �- - r _—_—.----- - -- BLD Location �i 73 Zf s�✓ ,�1lz&_ _-- Suite MEci��-r�v2�`1-�' Contact Person _ _— Ph -Sl-> U PLM _ Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall — Footing ELR Access: Foundation FPS Ftg Drain — —— Crawl Drain Inspection Notes: SGN Slab Post& Beam - _ ------------ --- --- ---- SIT ----. ---- Ext Sheath/Shear Int.Sheath/Shear -- ---- --- Framing Insulation ------- - ---- Drywall Nailing Firewall �O — <-/ Fire Sprinkler �� Fire Alarm Susp'd Ceiling Roof — -- Misc: __ --- -----—— -- — - - Final — — PASS PART FAIL — PLUMBING Post& Beam -- - ------ - — —_ —_ Under Slab Top Out ---- - _.--- ---- ------- —---- -- Wator Service Sanitary Sewer -- Rain Drains Final — -- - — - -- -- PASS PAR'r FAIL Post&Beam ---- -- - -- — - Rough In _ ----- --------- Gas Line - - ------- - Smoke Dampers PAPART FAIL RICAL -- Service _ Rough In — ---- - UG/Slab Low Voltage Fire Alarm _ Final - ---- ----- ---- PASS PART FAILSITE Backfill/Grading T— -- — — -— -— Sanitary Sewer Storm Drain ( J Reinspection fee os :f, _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( J Please call for reinspection RE Fire Supply Line _ — ( J Unable to inspect-no access ADA Approach/Sidewalk Other Date —� `��Inspector ---f--'�L Ext Final PASS PART FAIL DO NO7 REMOVE this inspection record from the job site. CJY OF 'rr-3ARD 3UILDING INSPECTION DIVISION MST 21-Hc ur inspection Line: 639-4175 Business Line: 639-4171 BLIP )ite Requested-::L.---Arvi --PM BLD Lxntion -U 5(-� 'P'- d' Suite MEC Contact r— or, Ph PLM Contracto,-'-1.-- Ph SWR Tenant/Owner ELC AMW ELR .,r)ting ,ccess: Foundatia FPS Fig Drain SGN Crawl Drain Insr,ection Note:; Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firew I Tre Sprin-P-e?— (2d 6 Fire arm Susp'd Ceiling Roof Misc: 11 SS PART FAIL tLMBING Post& Beam -- Under 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 PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: no access Fire Supply Line Unable to inspect ADA Approach/Sidewalk Other Date Inspector 1-4— Ext Final PASS PART FAIL DO No'r REMOVE this inspection record from the job site. Mein Office Seem Office Bend Office P.O. Box 23814 4060 Hudson Ave.,NE P.U.Box 7918 Tigard,Oregon 9728. Salem,OR 97301 Bend,OR 9770" Phone(503) Carl son Testing, Inc• FAX(503)684 Phone(541)09540 FAX(Phone 603 )589-91309-1252 8991309503)582 FAX(541)330 99635 Special Inspection FINAL SUMMAR'Ii LETTER January 10, 2001 T0004895.CT1 r City of Tigard I ' F"WED 13,125 SW Hall Blvd., JAN 2001 Tigard, OR 97223-8199 Attn: Building Department Re: Atiyeh Retail Building 6750 SW Bonita Tigard, OR FILE C Permit No : BUP2000-00139 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only. Reinforcing Steel Concrete — Compressive Strength Testing Structural Masonry Stn rctural Steel — Shop and Field, Include, verification ol Welder Certifications,Material Certifications and Weld Procedures 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 submitted, ARLSON TESTING, INC 4 kA O LeA D"IFfVIVXE"df1'\- ► r1(;F:R Chief Executive Officer DVVL/mbw cc Atiyeh Brothers Mark McGirr Yorke & Curtis — Rob Yorke Norris Beggs & Simpson — Randy Young Ankrom Moisar Associated Architects — Fred Painter P WYORDW PORTSV INI T P,f0004895 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST — — BUP Date Requested_ AM PM BLD — Location_ rO737� �- -, Suite — MEC _ _ _-- Contact Person — _ Ph �7�� G� �^ PLM Contractor r+ ,�.� L Ph — U SWR BUILDING — Tenant/Owner _ -- �— ELC ��: «a Retaining Wa?I ELR Footing Access. -,-- Foundation FPS Fig Drain `— Crawl Drain Inspection Notes SGN Slab ---- - - - - Post& Beam - SIT -- Ext Sheath/Shear Int Sheath/Shear ------ Framing - -_ Insulation - - -�- -------- -._ -- Drywall Nailing _-_- Firewall -- Fire Sprinkler - --- --------- ./fes L � Fire Alarm --------_- Susp'd Ceiling -- -_- -- --- Roof Misc: Final - PASS PART FAIL ---- __ --- -------- --_. _ PLUMBING — Post R Beare -- -------- ------- -- ---- Under Slab TopOut -- --- --------- ------ -- Water Service Sanitary Sewer - -- - - - ------ - --- -- --- Rain Drains F inal -- ----- PASS --PASS PART FAIL MECHANICAL Post& Beam r --- - Rough In Gas Line - --- - ---- - ------ ---- Smoke Dampers Final PASS PART FAIL ECTRIC - -- - Service Rough In --- --- UG/Slab Low Voltage ---- -- ------- --- - - --- -- --- Fire Alan,, - - --------- --- --------- --- PART FAIL - SITE Backfill/Gradinrr, - - Sanitary Sewer - Storm Drain ( ]Reinspection fee of 5 -__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call fc,r re mspr-rtion RF ] Unaule to inspect no access ADA ApproachlSidewalk Other Date i_�__��! Inspector_--- �'� ��Ext Final -------- ---- PASS PART - FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARDBUILI'INGPERMIT PERMIT#: BUP2000-00457 DEVELOPMENT SERVICES DATE ISSUED: 11/20/00 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S 112AD-001 UO SITE ADDRESS: 06750 SW BONITA RD SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS_? 'YPE OF CONST: 3N sf N: 5: E: W: OCCUPANCY GRP: M TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. PATED: BSMT?: MEZZ?: _ REQD SETBACKS__ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: FIEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,059.00 Remarks: Installation of rack storage for carpets. Owner: Contractor: ATIYEH BROS 800 SW WASHINGTON ST PORTLAND, OR 97205 Phone: 503-245-2117 Phone: Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PLCK CTR 11/13/00 $65.99 27200000000 FIRE CTR 11/13/00 $40.36 27200000000 PRMT CTR 1/20/00 $100.90 27200000000 5PCT OTR 11120100 $8.07 27200000000 Total $215.32 This permit is issued su(iect to the regulations contained in the Tigard Municipal Code, State of OR. Speci,.;ty Codes and all o'her applicable law Al! 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 requites you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. -A Pe rm[tee ` signature: Issued By: k-ejx .all 639 4175 by 7 p.m. for an inspection the next business day l _ _ Building Permit Application Datc received: 1( 13 OQ Permit no.: City of Tigard - Projec Address: 13125 SW Hall Blvd,Tigard,OR 97223 Uappl.uo.: Expire date: City of'I'igurd Phone: (503) 639-4171 Date issued:p o r OU f�j Y Receipt no.: Fax: (503)598-1960 ' (�� Case file no.: Payment type: Land use approval: _ 1&2 family:simple Complex: OF PERMIT U 1 &2 family dwelling of accessory ;RCommercial/utdustrrd U Mulu family U New construction U Demolition U Addition/alteratiorJreplacement U Tenant improvement U Fire sprinkler/alarm U Other: JOBSI'l U] 1 Job address: r). IF'L%/f7, iG vQ;- ( !)Z Bldg.no.: Suite no.: Lot: CjC' Block: Subdivision: , rq P-t')*" I ry Tax map/tax IoUaccount no.: Project name: e- r trr SiZ c / Iq i t YY�/�j IiU�Ht P 5 ri(�► C ---- Description and location of work on prernises/special conditions: 1 1 1 1 Name: � , I a L I- t Mailing address: c-'r �%.o _ !' 1 &2 family dwelling: City: Vr.t- LP�.-JC) State: Z'` ZIP: �' ��' Valuation of work........................................ $ Phone: ZZ3 1 Fax: E-mail: No.of bedrooms/baths................................. _ Owner's representative: , p -1t:. /�t>' 4L Total number of floors Phone: ► e Fax: E-m;iiI New dwelling ar-a(sq.ft.) .......................... Garage/carport area(sq.ft.) ........................ -- —__-. Name: TC t"AJ ( t-^ let.,E Covered porch area(sq.ft.) ......................... Mailing address: :�, C-- Cil c,•-J7`2AIc.TC'(Z' Deck area(sq.ft.)........................................ City: Stnte: ZIP: Other structure area(sq.ft.)......................... -- Phone: Fax I nt;til: t'omniercioUltidustrial/multi-family: Valuation of work........................................ $ `0 Business Hanle: /� "ti t t=r,'? Nps k � I„ .-- 1 Existing bldg.area(sq. ft.) .......................... Address: 1� Z>! ! ,� �;-•r = New bldg.area(sq.ft.)................................ --- City: - TG.J 1 T State: ZIP: C t c., . - Number of stories........................................ 1 hone: 3 �72?. t1 `k Fax: 7-J Type of constructior............................... 1 E-mail: ..... CCB no.: Occupancy group(s): Existing: _ New: . City/metro tic.no.: ARCHITECTINotice:All contractors and-hcontractors are required to be t licensed with the Oregon Constmetion Contractors Board under Name: `�/.\M provisions of ORS 701 and may he required to b-.licensed in the c -_- �� jurisdiction where work is being performed. If the applicant is Address: J g Ix City: State:- -- 7.IP: - - exempt from licensing,the following reason applies: Contact person: ---- Plan no.: -_--- _— -- --- Phone: I E-mail: __ _-- ------- - — - Nan ie: ►t r t T. 6' I t_. Contact person: =n , Fees due upon application .................... ...... $ _ Address: 2 1 I Z Z 12 4 AVE Date received: City: eA.)i L&M _ istalca.,J/q ZIP: rj D Amount received ......................................... $ Phone CL z - �ax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not W Jurisdictions accept credit cards,please call Jurisdiction for mare information. attached checklist.All provisions of laws and ordinances governing this U visa U Ma.terCard work will he complied with ficther specif d herein or not. Crede card number: Authorized signature: r Date: ; -13_cep — _ Upires �-' __ Name of cardholrkr as shown on credit card Print name: 5e�►-(.tJ Q I�grQtA c--=ar" ear s{�naiute s Amount Notice:This permit application expires ifs permit is not obtainer'within 180 days after it has been accepted as complete 440461.3(61001MM) yv 3� ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00245 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/24/00 SITE ADDRESS: 06750 SW BUNITA RD PARCEL: 2S112AD-00100 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: Proiect Description: A.RESIDENTIAL B.COMMERC AL AUDIO & STEREO: AUDIO 1, STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 Owner: Contractor ATIYEH BROS TICE ELECTRIC 800800 SW WASHINGTON ST PO BOX 15009 PORTLAl"D, OR 97205 2139 SE BELMONT ST PORTLAND, OR 97293-5009 Phone: 223-4125 Phone: 2.33-8801 Reg#: LIC 00000166 SUP 2586S PLM 2586s ELE 26-1260 FEES Required Inspections Type By Date _ Amount Receipt Low Voltage Inspection PRMT CTR 10/24/00 $75.00 2720000000 Elect'I Final 5PCT CTR 10/24/00 $6.00 2720000000 Total $81.00 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 +WWII 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 952-001-0010 through OPR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by Permittee Signature /J(/ -. - _ 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 DATE: LICENSE NO- Call 639-4175 by 7:00 P.M. for an inspection needed the next bt • ness day Electrical Permit AWtion ^161 7Project/appl.no.: /0 i O"i� Permit no.: E'er 2000-002 y City of Tigard �(( "� n \` ` Expire date:Address: 13125 SW Hall Blvd,"figaraW) 9722�Q`Q1AEFay: Recerptno.: Phone: (503) 639-4171 Ot Fax: (503) 598-1960 jr,tl�\)N� Case file no.: Payment type: Land use approval: ___.___ 1 II &2 family dwelling or accessory )Commercial/industrial J Multi-family U Tenant improvement ew construction U Addition/alteration/replacement U Other: U Partial Ir 1 . SITE INFORMATION Job address: 6 750 Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: IBlack: Subdivision: _ Projcct nainc: Ati ell Bros Description and location of work on premises: Voice, data & paging Cable Estimated date of completion/inspection: installation CONTRACTOR 1 Job no: 222.0139 _ Fee Mn ��L p� Description (Joy. (ea.) �'olal no.I_nsp BU91nCS5 name: Neal residential-single or multi-family per Address: PO Box riono dwelling unit.lot-hol tiattachedgarage. City: Portland State: Z1P: _ Ser.lcrhtcbodcd: Phon503-233-8801 Fax503-872-8 ail: 1000 sq.ft.or Ims 4 Each additional 500 sq.ft.or portion thereof CCB no.: jif — Elec.bus.tic.no: 26-1260 Limited energy,residential 2 City_ Ito lic.no.: 2014 Limited energy,non-residential 2 __ _ 10/11/00 Each manufactured home or modular dwelling Sigt ore o upervising electricI (required)' Date Service and/or feeder - Sup.elect.name(pnnt): tJ(-)hn J. h1;llt-�[u Licenseno: 25865 Servlcesorfeeders-InstallNlon, dlem(lon or relocation: 1 200 amps or less J 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 1 J2 Mailing address: _ 601 amps to 1000 amps 2 City: Slate: IIP: i Over 1000 amps or volts -_ 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,'.easc,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 20(1 amps or less —_ –_ _ 2 201 amps to 400 amps Owner's si nature: Date: _ 401 to 600 snips r Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City. Slate: ZIP: B Fee for branch circuits without purchase -- -- ----- - - of service or feeder fee,first branch circuit 2 _ Phone: Fat H-mail: Each additional branch circuit. Misc.(Service or feeder nor Included): Each um or irri ation circle 2 J Service over 225 amps-commercial U Health-care facility s p n - -- J Service over 120 amps-rating of 1&2 U Hazardous location Each sign or cutlielighting - _ fanulydwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel, J System over 600 volts nominal nx,rc residential units in one structure aheration,or extension* _ 1 75.0 2 U B+tilding over three stories C.1 Feeders,400 amps or niore •I cn tion: — U Occupant load over 99 persons U�.lanufactured structures or RV park Each rdditlonal Inspection tier the allonable In any of the above: U EgnlssAigntinpplan U tither ----- _ — -- -- I'cru,spection - Submi: ^sets of plans with any of the above. tnvestjgetion fee The above are not applicable to temporary construction service. other -- Permit fee.....................$ .00 of alt jurisdictions strep credit cards.please can jurisdiction rot more information. Notice:This pelmit application U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ — Credit card number: � _ --.---L--L- within 180 days after it has been State surcharge(8%) ....$ 6.00 Expires accepted as complete. TOTAL .......................S ,._00--- Name of cardholdrr as shown on cr t card Cardholder siptarure — Amount 4401615(0000M) M L Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee...................................................... $75.00_ Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential.per unit 1000 sq ft or less _ $145.15 4 Audio and Stereo Systems Each additional 500 sq R or portion thereof $3340 1 Burglar Alarm Limited Energy _ _ $75.00 Each Manuf'd Home or Modular El Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 - 2 Vacuum Systems' 201 amps to 400 amps _ $106.85 401 amps to 600 amps $16060 2 601 amps to 1000 amps $24060 2 father Over 1000 amps or volts $45,465 —_— 1 -------- -_----- Reconnect only _ $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation 200 amps or less $66.85 2 Fee for each system.......................................... ............... $75.00 701 amps to 400 amps $10030 2 (SEE OAR 918-260-260) 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts, Check Type of Work Involved: see"b"above. 1 Branch Circuits IJ Audio and Stereo Systems New,alteration or extension per panel a)the fee for branch circuits Boiler Controls with purchase of service or feeder fee. — Clock Systems Each branch circuit $6.65 2 b)i he fee for branch circuits Data Telecommunication Installation without purchase of service or feeder fee. Fire Alarm installation First branch circuit $46.85 _ Fach additional branch circuit $6.65 O HVAC Miscellaneous (Service or feeder not included) in Itrumentation Each pump or irrigation circle _ $5340 FarA sign or outline lighting ^. $53.40 _ L� Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension _ $75 00 _ Minor Labels(10) $125.00 Landscape irrigation Control' Each additional inspection over U Medical the allowable in any of the above i'er inspection $62,50 Nurse Calls e,r.,_,.,, $62 FO _ r, In Plant — $73.75 _ — _ I El Outdoor Landsc.lpe Lighting* Fees: L� Prolective Signaling Enter total of above fees $ Other------- -- ------ - - 8%State Surcharge $ Number _ of Systems 250:Plan Review Fee See-Plan Review-section on $ front of application No licenses are required Licenses are required for all other installations Total Balance Due $ Fees: Enter total of above fees $ _ u Trust Account q ___ ` 8%State Surcharge $ Total Balance Due 1 Asts\romv%\etc-fees.doc IO109/00 CELECTRICAL PERMIT CITY O F T I GA R D PERMIT#: ELC2000-00461 DEVELOPMENT SERVICES DATE ISSUED: 10/31/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112AD-00100 s,-i E ADDRESS: 06750 SW BONITA RD SUBDIVISION: ZONING- BLOCK: LOT : JURISDICTION: Proiect Description: New construction RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: 2 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HMI SVC/FDR: 601+amps - 1000 volts: 1 MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: 59 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FOR: 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: _ SVCIFDR >=225 AMPS: _ CLASS AREA/SPEC OCC:__ Owner: Contractor: ATIYEH BROS TUALATIN ELFCTRIC 800 SW WASHINGTON ST PO BOX 655 PORTLAND, OR 97205 WILSONVILLE, OR 97070 Phone: 223-41. 5 Phone: 682-2955 Reg#: t-IC 00065650 SUP 3483S ELE 3-26C _FEES = Required Inspections _ Type By Date Amount Receipt Elect'I Service PLCK RCP 8/10/00 $174.16 HAND Elect'I Final PRMT RCP 8/10/00 $696.65 HAND Ceiling Cover 5PCT RCP 8/10/00 $55.73 HAND Wall Cover Total $926.54 1 his Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable I.--ws 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 952-001 0010 through OAR 952-001-0080 You may obtain copies of these rules ordiract questions to CLINIC at(503) 46-1987 PCRMITTEE'S SIGNATURE � i—"A i ISSUED BY: u � ? way _ OWNR INSTALLATION ONLY 1 he installation is being made on ,property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ �_— V_-._–_---__ DATE:_.___ -- __— CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF Slr�,►:. FLEC'N: ( <� '''-/ c` �_ DATE:_ LICENSE NO: ---- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check#C - 13125'SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec' -/0 -00/ Date to P.E._ �/� 00 Phone (503)639-4171, x304 .- Date to DST '- uo inspection (503)639-4175 Print of Type Permit# Lic'-2Oco-zo Fax (503) 598-1960 Incomplete or illegible will not be acc ipted Called /`IFNpx 1. Job Address: 4. Complete Fee Schedule Below: Name of Development A ' �� ,(� 'S Numver of Inspections per permit allowed Name(or name of business) , 4- - -1 _-_ Service included: Items Cost Sum Address L7su Sy- 6.,,04L- 12 ,2 _ 4a. Residential-per unit �1 1 L, 1000 sq fl or less $ '117 75 4 City/State/Zip T�y H: D/Z 9 1✓.7 / _ Each additional 500 sq,ft.or portion thereof _ $ 2625 1 Commercial t,zr Residential ❑ Limited Energy $ 6000 _ Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $ 72.75 _ 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders inf7 oration for COT data base). Installation,alteration,or relocation Electrical Contractor_' ,, 200 amps or less `�_ $ 64.25 J -! 2 Address s S 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City w r 1%e��./G. __State D(L Zip '17070 601 amps to 1000 amps $ 192.50 -� 2 Phone No. ,� � � ____ Over 1000 amps or volts _ $ 363.75 2 Job No. (y 7)1 c _ Reconnect only _ $ 53.50 2 Elec. Cont. Lice. No.•tel I.?tions: Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg. No. 0__ _ Installation.alteration,or relocation COT Business Tax or Metro p ate 200 amps or less $ 53 50 2 201 amps to 400 amps $ 8025 2 Signature of Supr. Elec'n 401 amps to 600 amps _ — $ 10700 - 2 Over 600 amps to 1000 volts, see"b"above. License No - �� Exp Date 4d.Branch Circults Phone 114 �b _•J`� New.alteration or extension per panel a►The fee for blanch c,-cults 2b. For owner Instalwith purchase of seryice or feeder fee. S Print Owner's Name Each branch cfrcult ��_ $ 535 lJ 2 b)The fee for branch circuits Address - without purchane of service City_ s� State _ Zip or feeder fee. Phone No. First branch circuit _ $ 37 50 _ Fach additional branch circuit $ 535 1 he 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 pum,r or irrigation circle $ 42 75 Owner's Signature _ Each sign or outline lightinq — $ 4275 Signal circult(s)or a limited energy panel,alteration or extension $ 6000 3. Plan Review section (if required):* Minor Labels(10) $ _�— Please check appropriate item and enter fee In section 513. 41.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 _ _ System over 600 volts nomPer hour $ 5000 In Plant $ 59.00 _ Classified area or structure;ontarning special occupancy as - - described in N,E.0 Chaptr:r 5 Jr. Fees: Sa.Enter total of above fees $ ` Submit 2 sets of plans with application where any of the above apply e A%Surcharge 166 X total fees) $ may, Not required for temporary construction services. n Subtotal $ or 5b.Enter 25%of line Be for 1 NOTICE Plan Review if required(Sec 3) $ I r1 4 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED GR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#_ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ �� i�dsts\Ibrms`slcctric,dnc -lug 14 00 03: 15p 503-678-7763 p, 2 i ATTYEH 13Rc--HF95 __ ONE LINE I G_ Ur �,�$ 4wA 4gpP �fAII.S I?ATEd Z,5,000 A1G C rr r-6 nice ro �� N1 N1 0 aH7o3 Arc. U I 41/0 Gu. IN 8mi E(3. Ln r�l�rr� PEr rl�r L04kD PML A 188.4'-1 A YNL 6 83. 38 A IOTA_ 2-71 . 12 A CITY OF TIGARD i Conditional!y Approved............. .. For only the work aS described in: PEIIMI I NO. EL e, AG90 _ Qp See Lefler to. Follow. .................... Attach ................ .......... Job Addresc: L,,-.�S^L?_',S', �' 13Y.- _ Date:_,?-ls�o 0 PAINi F A i Z.0/ zo '400 36K T---. T — OESC4.IPTI ON 8 R Kil? A a c SRI<R 77pfil C)ESUW71ON CIT rr, -90/3 2-00 n, i yo/3 13 ry-, 30113 p385 7- 1 15 i ! ! Sas L- � ' 1 � I yn 120/1 la's 21 L lzo/i -7 3313 A I o"i S16N 2-Z ---------- 23 TZ zo/z I .39(p o 7-0/1z; )z cloolelz 11 i1 35 2-5 Z& Z ar-p-i-T)t A 1-5 J_JZ -201 j 2.1(po zo/I iz ► tAl PT I t aL S 12h : 2.9 tr--PT,,to LS Ttau P-r,t.A 30 Rs Z 1!.0 1 PZ et P-, , 37. -33 . TZ's cz TZ �o 1 izoh t -"r A,L,s 35 R t.-S 1-:—)t A L.S �o IZ 18 , 2 31 'fleon lur OZ7oo z LfPr i athi.% 0/1 -&tLprlt zo/I 39a. 1-7 q 1 i1 1 G NTS 140 1 5pp RF_ 1 ,yz -rOTA.L 1o�911 V(,Zl al 11,Z 1-011ECTED LOAD MPS VPII Dfe3CR P'ronl ;C.ONw FA t TOR 09(nAND F4 AS F- A KVA orop, icoo/o PHASE Q: KVA LM i LARqES-r Mo-roz5 K I % PmF%3rL c KVA 9 RICIEP-T. CLY IOKVA 100% RECAPT. OVER_ IOKVAI 509; MAX AMPS/PHASF LIGRT#NG To-rAj--' PNNIEL 13 120 /ZOB 4C0 �. mcg 35K AIC, CKT DESCRI?—, 1wl -�YPa 8RKR A BLG 3RKR 177PE,' DESCRI?T10N ICKT M ZD/9 1 !09 Z Zv I LLL I tory+ z 9 i � ALcovf. 1 L CB z Z°/, L i CAsw rZA&jj,TEjL 9 ,-TR.AC.K ! L 20/� 37$v ZOIC L —TRACk !O L �O/� 3-780 z'0/1 E L � M , 13 -r,zAC�c L I Z"/, 3�90 I . .. yo/'j�--- ��2Ac�c J , y15 TRACic I L Z"/, ! Zito , 7-01, i L TRACK 1l0^ i S L I Z°/, 3Loo Z0/1 L7rZ,acp- 8 r19 Exrt �mrr, L zoo, I"lOV zo/ 20 Z-7 ; a zq 33� i 38 35 I i � I TOTALl0 254 I loSMo ; 9 ZZy (omkCTED LOW 83.38 Amps � "qpl i U&SCRUF'T,oe C°swI (FAMRI G[mAmO I PHASE A: KVA M MOTO?, I OD 90 i PHASE KVA LM LARQESMO-roK ' I Z9�i i3: T I FHAu C:. KVA R RECIPT. I !T IOKVA 100% l R RECAP-r. ovm IOKvA; 50% MAX AMPS PHASE L LIGHTING I s Torn,,. 1 ` a ,A R® BUILDING PERMIT CITY OF T I G PERMIT#: BUP2000-00139 DEVELOPMENT SERVICES DATE ISSUED: 7/3/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112AD-00100 SITE ADDRESS: 06750 SW BONITA RD SUBDIVISION: BONITA GARDENS ZONING: I-P BLOCK: LOT: 003 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 14,133 sf N: S: E: W: TYPE OF USE. COM SECOND: 0 sf PROJECT OPENINGS? TYPE OF CONST: 5N 0 sf f:: S: E: W: OCCUPANCY GRP: B TOTAL AREA:14,133.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 29,514 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 16 ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED _ FLOOR LOAD: 60 psf LEFT: ft RGHT: !ft FIR SPKL: Y SMOK DET:N DWELLING UNITS: FRN'r: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,100,000.00 Remarks: Construction of new 14,133 square foot retail building. Owner: Contractor: ATIYEH BROS YORKE + CURTIS 800 SW WASHINGTON ST 4480 SW 101 ST AVE ORIGINAL PORTLAND, OR 97205 BEAVERTON, OR 97005 Phone: Phone: 646-2123 Reg #: uc 55644 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechai tical PFrmit Require Insulation Inst PICK DEB 4/17/00 $2,683.85 1498 Electrical Permit Required Shear Wall Insp Sprinkler Permit Required Gyp Board Insp FIRE DEB 4117/00 $1,651.60 1498 Plumbing Permit Required Susp Ceiing Insp PRMT DEB 6/23/00 $4.131.65 0003246 F=oot/Found Insp Appr/sdwik Insp 5NCT DEB 6/23/00 $330.53 0003246 Reinf Steel Insp Final Inspection Slab Insp (additional fees not listed here) Plm/undslb Insp Framing Insp Total $21,769.63 L Roof nailn Ing sp This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. .All work will be done in accordance with approved plans. Ibis 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building hermit Application Plan Check 13125 SW HALL BLVD. New Construction and Additions Pecd By TIGARD, OR 97": 3 Date Recd Date to P.E. 0' (503) 639-4171 Date to DSTrp S b Print or Type Permit# rp/c,-co / Incomplete or illegible applications will not be accepted Related SWR#_ Called Name of Development/Project Jon -AT I-�.H [3rzv5 Existing Building ❑ New Building Address Street Address Suite Ln 6 vv f3c 0A Building Bldg# 1 City/State Zip Data (4r) ��- Existing Use of Building or Property: Name Property AI_T_IC70 r5p�'S. Owner Mailing Address suite Proposed Use of Building or Property: s .wtAA '�f11 I >1 , (ZFtt��1,�,,�[111 slFS City/State Zip Phone N . Of Stories: _ }?bP-ttA J ole M 223 AJI I Occupant Name Sq, FOf Project: Art1 f4 ( S. 3) S'r, -- Name Occup ncy Class(es) Contractor L(.(rrb r Prior to permit Mailing Address Suite Type(s)of Construction issuance,a copy `i - �� ( (�.� A'y G� r of all licenses r 1 / are required if City/State Zip Phone — Will this project ha a Fire Suppression System? expired in C 0 1 Y I/ 6 7 database Ya-1`r'f""-'1` �''a z�'z-� _ Yes� _ No ❑_ --- - Americans with biskilities Act(ADA) Oregon Const,Cont Board Lir,0 Exp Date Valuation X 25% = $ Participation r--uL-L, ,55L,44 13 Gi Compl-'-AccessibilityForm c cwtP�.tA ic.� Name PfOJP,Ct� — Architect my—jz`v" iisem." /�(L�Nt`I r Valuation I I Q() QC)C�, Mailing Address -- Suite 6 7-ZA> Sw VLACM4A%4 JUG Plans Required: See Matrix for dumber of sets to submit 1 City/State Zip Phone 3on back 4b �LVTtK cot 1-71,172Aci 1I(d - --- — Engineer Name _ I hereby acknowledge that I have read this application,that the information w 6 FF74 rr NwH ai given is correct.that I am the owner or authorized agent of the owner,and r that plans submitted are in compliance with Oregon State Laws MrailGping Address Suite `o He r^-C4A`44 Signature of ne enl Date City/State Zip — Phone on ame Phone r Indicate type of work New Addition O Demolition O �� irlSrW1� Accessory Structure O Foundation Only O Alteration o _ Repair o Other o FOR OFFICE USE ONLY Description of work: I4 000 5 F. 5tuO- s#^y MapfTL# I_an�Use: t�.t��. �3wt.c►,�� t,ti-r�7-f St1� cti.�-Intl-r'�- 'l�.Rb-�,/1�� 1i. I Notes: Parks: Estimated#of Employees TIF If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parking spaces_ Mote: Site Work Permit Application must precede or accompany Buildingft 1( -4(3)' Permit Application i dstslformslcomnew doc 5/10/99 w D��}�% t�( / �• ---� - I i COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the sig!lature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Tota! # of 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 AI,) 1 M = Mechanical B -1 -W-(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 = Addition B & F & M & P & E 3 Alt = Alternation to Existing kNew ,, Add)__ _ Building `B or B & M (Alt) 1 *B & M & P (Alt) � 3 *B & M & P—& E(Altj_�_ 3 � *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. 1\dsts\forms\matrucom doc 10!29!98 DATE PLANS CHECK NC 39 C, PROJECT TITLE. COUNTYWIDE �aT'y�H ��'�'°� • —.—_ _— TRAFFIC IMPACT FEE A APPLICNT WORKSHEET H -y, MoI�AI� �,[«}4,-rt.c-r�, rkeYPA,►J-r�,2_2 MAILINGADDRESS �-r�G c MhCfi�A (FOR NON-SINGLE- FAMILY USES) CITY/ZIP/PHONE �oR TLh 1J� of"- 97 All '�45-71 a0 TAX MAP NO oq5 I 1•1 p - G C 100 (� SITES NO ADDRESS �=-5'O Lll "10QIT� ICS",•) LAND USE CATEGORY __ RATE PER TRIP l0 — LINDUSTRIAL NTIAL - $ 201.00 SS AND COMMERCIAL --$ 50$ 184.00-_ $ 193.00TIONAL $ 83 00 PAYMENT M-ETHOD: CASH/CHECK .CREDIT _ ��G Fuk-�)I..ruk-f CR BANOFT(PROMISSORY NOTE) INSTITUTIONAI ONLY DEFER TO OCCUPANCY i LAND USE CATEGORY DESCRIPTION OF USE WEEKDAY AVG WEEKEND AVG TRIP RATE TRIP RATE � Ti �Ct9 l i BASIS: APPI-,CAST �Lc>�Ga4 ` A I 00010 urtar ►J�) CC ) 'i�,06fA WkpLf'-Act/((trA75GCo WiLf I+oulr,TiS CAL['IiL 47,e10 I�, '7A�A'7 l n��Y. Le��rt`T�4:�-(�.,I'?(Cr)`_ � l.A�->>:�. TtuU 1•_A,J� ub4."��-�F' �<f!'fE� • r -- x 41ff k7.�Ay 09✓fA?046f 'TQC! FA7-f A 44Ait, u5, If 6ck'� CALCULATIONS.T��- ��'� �� iufrf,fl/InlATic v ;& Lif C4 + 7 �u,y6 wAQtHcu51: 9DOU� OA1(11' fD Ar fWAkf�!lu5f ;,560 •t Qfl'A c. C''c.Quc.FTfr Ar f fNQorTUi<4 �rv,'E -- `c( 10L�iNOGL�At.f/QfrA1c. L'AL0[1cATtt) 41 f/(,,,`lGl,f >ALfP ROJECTRIPGGEERAO -- r FOR ACCOUNIING PURPOSES ONLY yp>bp 1�S: ct `j WA Q II c14 t,f- - 9 Ci' y' 9 'ra Fg f.ea ,Tuat- `drbkL s ;' 50c# s .1•SA/I•? ) A �-►." Y a 55 48 ROAD AMT ?— � 13 K ^. �f�g IRANSITAMT sock _ s x •�3j X19 PW I _ — 000 _ rZ 41,-" /Ap-/F I:TIFWKST.DOC (DST) EFF: 07-01-98 I April 25, 2000 C� OF TIGARD Ankrom Moisan Architects OREGON Fred Paintner 6720 SW Macadarn #100 7 Portland OR 97219 TRAFFIC IMPACT FEE FOR Atiych Bros, 6750 SW Bonita Rd, Tigard, CR Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic, Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $12,280.00. You have three payment options available to you. ,,-'first is to pay the TIF at the ou are issued time Y a buildingpermit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 st of each year. Please note that you may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A novice of appeal must be received by the City Recorder no later than 5:00 p.m. on May 9, 2000 and must be accompanied by the $638.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can he of further service, please contact me at 639- 4171 . Debbie R. Ada .ski Development Services Technics, n , c: TIF file Building file I%05T9%T1f7(Nlt 13125 SW Hall Blvd., Tigard, OR 972.23(503)639-4171 TDD(503)684-2772 ----_J April 24, 2000 CITY OF TIGARD OREGON Ankrom Moisan Architects Fred Painther 6720 SW Macadam Ave #100 Portlland OR 97219 RE: Plans Check Number: 4-38C, Atiyeh Bros. 6750 SW Bonita Rd Tigard, OR This letter is to confirm receipt of your building plans which have been routed to the plans examiner. As a reminder, the associated land use case(s) is/are:_SDR1999-00025 Please be aware you are responsible for satisfying the conditions of the land 1-se case(s) and must :submit plans directly to the appropriate staff person(s) indicated oil your final order. Your building plans are not routed to the planning or engineering departments; you must conditions independent of the building permit plans review satisfy the land use permit Gond p g p process. After the building plans review process has been completed, yaur_buildinppermit will not be issued without approval from the engineering and planning departments. If you have any questions regarding this notice, please feel free to telephone me and I will be happy to explain further. l Debbie Adamskl Development Services Technician cc: Building file cc: Planning Department cc: Engineering Dernrtmrant I OSTSOUPLUC DOT 13125 SW Hall Blvd- Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 - -- --� CELECTRICAL PERMIT CITY O F T I G A R D PERMIT M ELC2000-00364 DEVELOPMENT SERVICES DATE ISSUED: 06/29/2000 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S112AD-00100 SITE ADDRESS: 06750 5W BONITA RD SUBDIVISION: BONITA GARDENS ZONING: I-P BLOCK: LOT : 003 JURISDICTION: TIG Protect Description: RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 2 PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+arrips - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS —_ _ ADD'L INSPECTIONS 0 - 200 ani WISERVICE OR FEEDER: PER INSPECTION 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'I_ BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: --4 RES UNITS: > 600 VOLT NOMINAL: Reconnect ons-- SVC/FDR >- 225 AMPS:_ CLASS AREA/SPEC OCC: Owner: Contractor: ATIYEH BROS TUALATIN ELECTRIC 800 SW WASHINGTON ST PO BOX 655 PORTLAND, OR 97205 WILSONVILLE, OR 97070 Phone: Phone: 682-2955 Reg #: LIC 00065650 SUP 3483S ELF 3-26C FEES _ Regjired Inspections Type By Date Amount Receipt Elect'I Service �� PRMT DST 06/28/200C $107.00 0003331 Elect'I Final �� 5PCT DST 06/28/2000 $8.56 0003331 O \\ `� Total $115.56 This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes and all other apphl able laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of iss ianee,or rf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-OJI-0080 You may obtain copies_Cf th"e rules ordirect questions to OUNC at(503) z4�) 1987 PERMITTEE'S SIGNATURE ISSUED BY: el OVVNI=R INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUP/R. ELEC'N: - ^�� y _ _ DATE: LICENSE NO Rf ---- -- -------- ----- — – Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd h�a��r O� Date to P E Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print of Type Permit# E-4,CcV4-CV - D03�y Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: — Name of Development_ A ' k Number of inspections Per permit allowed Name (or name of business) A f /� Sorvice included: Items Cost Sum W Address _ b�,$� 5, (�. />v �, � 4a. Residential-per unit 1000 sq ft or less $ 11775 4 City/State/Zip T ;- ti-_cl 1) .2`> Each additional 500 sq it or -- -- portion thereof _ _ $ 2675 _ 1 Commerclalla Residential ❑ Limited Energy —_ $ 6000 Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder — $ 72 75 2 (Prior to permit issuance,applicants must provide contractor license I 4b.Services or Feeders information for COT data base), 1 Installation,alteration,or relocation Electrical Contractor_ i, .( .4,h E G � r_�_ 200 amps or less _ $ 6425 2 Address PC, �-1��(_J_�— 201 amps to 400 amps $ 85 50 2 w ,,,, /4. State o R _-Lip� 401 amps to 600 amps $ 128.50 2 City --- -��-- 801 amps to 1000 amps _ S 192.50 2 Phone No. 6 �,1- _ � _ Over 1000 amps or volts _ $ 363.75 2 Job No __ Reconnect only $ 5350 2 Elec. Cont Lice. No 3 J1.$-C- Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg No.-4 S G.t^ _Exp.DW Installation,alteration,or relocation COT Business Tac or Metro Nox Date 200 amps or less _ _ 5350 �_ z p 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps $ 107.00 _--_ 2 Over 600 amps to 1000 volts, see"b"above. License No �(_�y' S Exp.Date Phone NO ' 4d.Branch Circuits New.alteration or extension per panel a)The fee for branch circuits 2b. For owner instal ons: with purchase of service or feeder tee. Print Owner's Name Each branch circuit $ 535 2 b)The fee for branch circuits Address----- —_- without purchase of service City State______.Zip or feeder fee. Phone No First branch circuit $ 37.50 Each additional branch circuit $ 5.35 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 Vignal circuit(s)or a limited energy panel,a'teraticn or extension $ (30 00 3. Plan Review section df required):* Miner Labels(10) $ -W"Q --_� Please check appropriate item and enter fee in section 58. 4f.Each additional inspection over IDm tie) 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 above tees $ �? * Submit 2 sets of plans with application where any of the above apply. P4 Surcharge(06 X totel fees) $ Not required for temporary construction services. Subtotal 'Of NOTICE 5b.Fnter 25%of line& for Plan Review 0 require!ISec 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 Acc cunt ft AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i:ldsts\f'ormslcicclric.doc CITY OF `TIGARI� -- BUILDING PERMIT PERMIT#: BUP2000-00355 DEVELOPMENT SERVICES DATE ISSUED: 9/19/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2 S112AD-00100 SITE ADDRESS: 06750 SW BO NITA RD SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: — REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? I TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _TUT-- SETBACKSREQUIRED__ FLOOR LOAD: psf LEFT _ ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 28,197.00 Remarks: wet fire sprinkler system for new building Owner: Contractor: ATIYEH BROS VIKING AUTOMATIC SPRINKLER CO 800 SW WASHINGTON ST 3245 NW FRONT AVE PORTLAND. OR 97205 PORTLAND, OR 97210 Phone: Phone: 227-1171 Reg #: LIC 00064837 FEES — REQUIRED INSPECTIONS Type By Date Amount Receipt I Sprinkler Rough-In PRMT GTR 8/25/00 $207.25 27200000000 I Sprinkler Final 5PCT CTR 8/25/00 $16.58 27200000000 FIRE CTR 8/25/00 $82.90 27200000000 PRM2 CTR 9/19/00 $82.50 27200000000 (additional fees not listed here) -- --- Total $428.83 This permit is issued suoject to the regulations contained in the Tigard Municipal Code, State of OR. ill b done in accordance with approved plans. Specialty C;ocles and all other applicable yaw. All work will e pp P This permit w II 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9E2-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987 Pe nn it ee ;W Signature Issued By: --- Call 639-4175 by 7 p.m. for an inspection the next business day 08/10/00 '1'IIL 09:14 FAX 503 598 1960 CITY OF TIGARD Iy UU' — ORIGINAL Fire Protection Permit Application Plan Check#�'_�_ CITY OF TIGARD Commercial or Residential Rodd 13125 SW HALL BLVD. wFp DateRec'd v -< TIGARD, OR 97223 PriAB6F,fype Date to P.E c - (503) 639-4171, x. 304 Incomplete or Illegible application,,ill not be accepted Date to DST t>�I1 ` E' Permit# '112"60 of Called,( -- MUnt t% U10 ii J►'MLh1 T_ {� Job Name of Development/Project OM ,4rlyoN Type of System (Complete A or B as applicable) Address Address 75v A.) Sprinkler Wet Dry ❑ Name _ (-I _ — Standpipe Owner Mailing ddress —^ _ Hazard Group City/State — Zip Phone Additional e n 4EP-71 Information Density, as Name _ N/A i Design Area Occupant Matling Address 1,5-00 K.Factor city/state ZIp Phone lr—. -S A.1) Sprinkler hroj(;ct Valuation $ e?0 Contractor Name _ .�C)0C)C) (Sprinkler or /L�/✓( %�c�iDH�t/t _5PA'AA1QEeLL B.) Fire Alarm I,j�G�/j(u - 11'7 Alarm Company) Mailing Address Prior to permit 3 4 S NW FezoA!•7 1106 . Submittal Shall Include Battery Calculations YES ❑ issuance,a Cily/State Zip Phone _ copy Individual Component YE-79 --11 U f all iluanses UK'IZAND D,Z 97:11G -?2 7- /1-11 Cut Sheets are required if State Const.Cont.Board Uc.0 Erp.Date B.1) Fire Alarm Project Valuation $ expired in COT database Nam / Project Valuation Subtotal d,& or 'B)--$ 9 Architect Mdilln Address Permit fee based on valuation 5LA.) $ 1s _ c.• 11O LA.)� ha cit� see chart--t n --- -- C ty/State ZJp Phone 8%Surcharge $ _�e764-00 97„279 1--24,s- 1 LedFLS Plan Review 40% of Permit Desmbe work A.)New X Addition O .Iteration O Repair O $ to be done: _ --— — B.) Modification to sprinkler heads only: TOTAL $ . 73 1. 1-10 heads-No plans required — 2. 11+=Plan review required Plans required: Submit three sets of pians,including a vicinity map and —.---- the location of the nearest hydrant. Number of sprinkler heads: I hereby aclvawk-do that I havS read this application.that the information given is Additional Des(;rlptlon of Work. caned.that I am the owner or authorized agent or the owner,and that plans submihed are In compliance with Oregon State laws. A/EaJ /.3 t?I!T"i•5--k." A.)In Existing Building New Buildin Signature of Owner/Aapint Date Building Data B.) CornmerGal Residentlal C"Ct Person Name Phone No.of stories: — FOR OFFICE USE ONLY Plat# Map/TL#: Sq.Ft: /4� /s s Occupancy�Class — Type,of Construction— Notes --- �,uao D iAdstslfornu\f1resupr.doc 2/2/00 ELECTRICAL - CITY OF TIGARD RESTRIC EDPEN ENERGY DEVELOPMENTDEVELOPMENT SERVICES PERMIT#: ELR2000-00241 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/17/2000 SITE ADDRESS: 06750 SW BONITA RD PARCEL: 2S112AD-01200 SUBDIVISION: ATIYEH BROS RETAIL BLDG ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Proiect Description: Installation of protective signaling. A.RESIDENTIAL B.COMMERCIAL AUDI() & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: FIVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: Owner: Contractor: ATIYEH BROS PHILLIPS ELECTRONICS 800 SW WASHINGTON ST (DBA FOR MASTER, ALARM L.L.C.) PORTLAND, OR 97205 1 110 NW FLANDERS PORTLAND, OR 97209 Phone: 223-A 125 Phone: 222-5083 Reg#: LIC 00125364 SUP 329JLE ELE 26-213CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 10/17/2000 $-?5.00 2720000000 Elect'I Final 5PCT CTR 10/17/200C $6.00 2.720000000 Total $81.00 Ihis 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 accoraance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is sus!penderl for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Noti ication Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 , Issued by _ Permittee L Signature fam' 9 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNERS SIGNA I URE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL-EC'N DATE: LICENSE NO: -Call 639-4175 659-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: i`l9iL_ 13125 SW HALL BLVD Date Recd /4 /e/az) TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#: �Za ry -dp.2y/ F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd _ WILL NOT BE ACCEPTED Name of Development Project i TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Restricted Energy Fee........................................ 1 0 J� rl C�r (��J (FOR ALL SYSTEMS) ' ` t� JOB Street Address Ste* 79'� �� Check Type of Work Involved ADDRESS 7�;C S'.W.., i-6 (z _ City./State Phone# ❑ Audio and Stereo Systems -_ __ i j. _-'� RECEIVED ~ a ❑ Burglar Alarm OWNER Meiling Address [::I Garage Door Opener• nrT �ll�n City/Statelip Phone# E] Heating Ventilation and Air CAI11NA411y9EOPMEN l -- - — — -- Name F-] Vacuum Systems- 1.1[ -------- -- ❑ Other —— -- CONTRACTOR MailingAddress 1l(& /U,W, �r„�,� TYPE OF WORK INVOLVED _COMMERCIAL ONLY /S t _ ---- — -------- (Prior to issuance a tyo ip Phone# Fee for each system.............................................. copy of all licenses 4A, Q I Z�tS��' (SEE OAR 918-260-260) are required if Oregon Contr.Brit Lic # Expte 7f cam' expired in - - - . 2 S3j6 Cf - /b/C.4 Check Type of Work Involved. data base) Electrical Contr. Lic.# Ex Date C Audio and Stereo Cywrns C.O T.or Metro Lir, # Ex ate 3(1V JLr ❑ Boiler Controls Owner's Name — _ ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm installation This permit is issued under CAE 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 I 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, ❑ 2 Cell for inspections when installation under f'us permit are ready for Landscape Irrigation Control' inspection at 603-639.4176; ❑ 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 b;the ❑ Outdoor Landscape Lighting' inspector are done.and, Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed J 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 requued Licenses are required for all other installations authorized to bind the applicant -- - FEES: Signature ENTER FEES :_� —_ 8%SURCHARGE;.08X TOTAL ABOVE) S�� Authority if other than Applicant _ — TOTAL �dsts\forms\resele doc M8 CIT" OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP -Date Requested - z c , _AM PM — SLD Location_—_ ( ,/�f ," , 2_i� Suite MEC Contact Person — Ph — PLM Contractor - C c �-� Ph SWR _ BUILDINGTenant/Owner y ELC — — Retaining Wall ELR `L�i' FJ� Z Footing _ Foundation Access: Fig Drain FPS — Crawl Drain Inspection Notes: ) SGN — Slab 1/ ��Lr-r ' SIT Post& Beam _._ Ext Sheath/Shear — Int Sheath/Shear --- --- Framing Insulation _ -- —----- --- Drywall Nailing Firewall -- Fire Sprinkler -- Fire Alarm �� — --- ----- - Susp'd Ceiling _— Roof ) - Misc: Final - PASS PART FAIL T_ PLUMBING POst& Beam - — - - -- _ Under Slab I op Out -- -- -- — _ — Water Service Sanitary Sewer Ra n Drains Final ---- -- ---- ------- PASS PART FAIL MECHANICAL -- — Post& Beam - ----- ----------_-_--- Pough In Gas Line ------- --- ---- _ Smoke Dampers Final -- -- -- - ..- ---_— --- — --- FAIL ELECTRICAL - - _---- ---- ._-. gj_Mt171R_-_ Rough In --.UG/Slab-.,�''�1 _ow.Ywleye --- --- ----------------- - ----— lFire Alarm -- --- ---- - -- ASS .-6RT FAIL dackf lliGrading --------- -. — -____-- — Sanitary Sewer Storrs Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I )Please cal or reinspection RF. PP Y --- ---.—�_— ( )Unable to inspect - no access ADA Approach/Sidewalk Other — Date nspector Ext Final PASS PART FAIL 00 NOT REMOVE this m5pection record from the job site. '!T', OF TIGARD BUILDING INSPECTION DIVISION ,our tnsprction Line: 639-4175 Business Line: 639-4171 MST _— BUP _ r f: rlequested I - Z C � / _AM r�M BLD ~— Lor )n IC �S C / t _/2.,�2_ SuiteMEC --- — _ Contact Person Ph ---_ PLM _ C, .,.actor - 5 1 E �� r• 5_ Ph _ �2� c"c� SWR - — BUILDING- Tenant/Owner ELC Retaining Wall Footing ELR Foundation Access: FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab Post& Beam ------ --�- —�� ---- --- - SIT -_ Ext Sheath/Shear Int Sheath/Shear - t raining ------------- ----- Insulation - ------ Drywall Nailing Firewall -- -- ----- --- - Fire Sprinkler _ Fire Alarm - Susp'd Ceiling Roof - Misc: 1 Final - — PASS PART FAIL -_ -_------- -__-- ---_ _ _ PLUMBING Pest& 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 -P#2T FAIL �. LEC RIC - - -- -_-_ -- - -- -------- -- ____--_-- Sere ce -- Rough n yr` --- --- ow voltage. / --- ------ r e-"Hlann F 1pak7 'PASS ) PART FAIL -- ---- --- - - -- - VTF W, Backfill/Grading - - ---- - -- -- - ---- ----- Sanitary Sewer Storm Drain I I Reinspection fee of$ - -_required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE _ _-_ _ Unable to inspect- no access ADA Approach/Sidewalk / !� Other Date n Insector Final -_ - -- - _Ext - -- �. PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST --_ BUP _Date Requested— AM PM PM _ BLD _ Loc, lion 5�✓ �0�1 �a- — / -- — Suite MEC — -- Contact Person ,V-- Ph 4�� -� z PLM 2ei-v c.6 1� Contractor Ph SWR BUILDING Tenant/Owner _ ELC — — Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain -- SGN -- Crawl Drain Inspection Notes: Slab - SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear --� Framing - Insulation )- Drywall Nailing Firewall (— Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc - -- -- - - ---- - -- Final PASS PART FAIL --_ -- --- - -----_ -,•-----__ - LU F't5s Becrm Under Slab TopOut - - ---- _ -------------------------- Water Service Sanitary Sewer ---- - —. ----------------.— W-� — Rain Drairs PART FAIL kS CHANICAL -- - - Post& Beam - -----_ --- -- ---- -- Rough In Gas Line --- ---- ------ ----- Smoke Dampers Final FASS PART FAIL - - ELECTRICAL - --- ---- --- ------ -- -- Service _------------------ Rough In ---_ -_-_�- UG/Slab Low VoltagN - - ----- Fire Alarm Final .-�__-_-------------- -------- - -- -_._-PASS PART PART FAIL SITE -------...------- Backfill/Grading --------- — -- ------ -- -- Sanitary Sewer Storm Drain [ Reinspection fee of$_ _ -required before next mspectinn Pay at City Hall, 13125 SW Flail Blvd Catch Basin Fire Supply Line [ ) Please call for reinspection RE:-,_ _ [ Unable to inspect-no access ADA Approach/Sidewalk n t er date Ll I Inspector ' f �� '� _ Ext Final - - - - PASS -PART FAIL DO NOT REMOVE this inspection record from the job site. 1,01".5r HM _WIS• 8VAN VL6ET IN(:. 50a 8851206 '.043 LEWfS &c Pty-'rVI uzv� lip FILE COPY VAN VLFC T zv 1" ►�rinrlt�el� 0•04 1 %"till%u art.(j r O�rU I u.'wis I r February 1, 2001 City of'Tigard Building Department ti tiL" 13125 SW Hall Tigard,Oregon 97223 RF.: Atiych Bros, This leiter is to certify that.Lewis& Van Vleet, Inc. performed structural site observation on the above noted project. We have enclosed a copy of our field report from this vIsh with this letter. Based on our observations, it appears the construction conforms to plans and sspecificationF., Please feel free to call if you nave any questions concerning this iSSUC. Sin Chris C. Van Vlect, P.1~. Enclosure Copy to: Ankrom Moisan Associated Architects Yorke& Curtis Construction C CVV me consulting erigmPL2rs 1F3hhD %.w bnenns fei rw meld tualatln. nregen 97x IS? (S(13) (ME .HW5 phnne (9173) MIS 1206 rax FEB-01-01 11 :41 AM LEWIS & VAN JLEET INC. 303 8851206 P. 03 LEWIS a VA,\ 4.E.=r FIELD REPORT ee•eo•a .e TO: Ankrom Moisan Associated Architects principals 6720 S.W. Macadam Avenue, Suite 100 ^"b.. Vmn.•feet o a Portland. Oregon 97219 DATE: October 16, 2000 ,09 NO PROJECT: Atiyeh Bros. LOCATION: Tigard, Oregon CONTRACTOR: Yorke&Curtis Construction OWNER. WEATHER: TEMP/TIME; deg. F at PRESENT AT SITE: Chris Van Vleet, Lewis & Van Vleet, Ino. Kent, Yorke& Curtis Construction THE FOLLOWING WAS NOTED- Visited the job site to observe construction to date, Roof and mezzanine framing were complete. Work was iti progress on the interior partitions and mechanical and electrical work. Exterior canopies had not yet been installed. The following items were noted: I Discussed with Kent the location of the diagonal brace per detail 15/S2.2 at Room I l 1, One of the braces occurs at this room and will drop below the ceiling level at I V-0". The architect has agreed to lower the ceiling in this room to 10'•0". We find it acceptable to raise the bottom connection of this brace to 10'•6" -i- to accommodate this ceiling elevation. Please note that flus brace should be bolted to a fully grouted cell. The existing cells should be grouted as required at brace locations, Other w rk obsemed to be per plans and specifications. S / 1. is C. Van V Leet, E. Copy to: Yorke & Curtis Construction C('N,'V kmc cnrlgr,lrintjnt]Ir7r�tar �. I866t-; s.w tonna• farrw road tualatl►i, Oregon 97t]I32 [3031 ©95.86176 phune (50.31 995 ILIUS Fax Moffatt,, Nichol (5. Bonney, Inc. Consulting Engineers _Q 1"45 NE COUCH STREET + PORTLAND, OREGON 137232-3087 + (5031 232-2117 * FAX (503) 232-8023 January 26, 2001 FILE COPY City of Tigard Engineering Department Sherman Casper 13125 SW Hall Blvd. Tigard, OR 97 223 RE: Atiyeh Brothers Land use case SDR 1999-00025 Dear Sherman: Per your occupancy requirements we visited the Nevv Atiyeh Brothers Retail site at 6750 Bonita Rd. to perforin a final inspection of the on-site storm drain-ige and water quality system. The following letter is a confirmation of the systems compliance with the project drawings and specifications. During our visit to the Atiyeh site we observed that drainage structures were of the sizes, types and placed at the required locations ir, accordance with the approved plans and specifications. A visual inspection was alsu made of the stormwater detention basin to assure its compliance. The detention basin outlet structure, grading and vegetation were all in general compliance with the approv-3d plans and specifications, as well as the Unified Sewerage Agency Design and Construction Standards for Sanitary Sewer and Surface Water Management. Based on these site observations and the as-built information received from the contractor we confirm that to the best Of our knowledge that the site storm drainage and water quality systems have been constrt;cted in accordance with the approved design drawings and specifications. If you have any questions, or require additional information in connection with this project please contact us. Best regards, Matt Oyen, P.E. Robert A. Bnney, P.E. Moffatt, Nichol and Bonney, Inc. \\ELMO\VOL2\DATA_2\P5950\cot-1004 doc I CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested' J AM_ PM BLD Location 6. 7�-V j ,,� /j,-� i � Suite _ MEC -_ Contact Person Ph S/f ky y PLM Contractor Ph SWR BUILDING _ T'enarit/Owner _ _ ELC Detaining Wall ELR Footing Access: -— — Foundation FPS Fig Drain ------ Crawl Drain Insp4ction Notes: SGN _ aPost&Beam ---- - - --. ---- — - SIT �vw -c V 6,l) Ext Sheath/Shear Int Sheath/Shear Framing Insulation - —__-_-- -- ----�_ Drywall Nailing Firewall - - .-- -- ---- --------- Fire Sprinkler = y Fire Alarm ^-- --- Sut:p'd Ceiling Roof __ - ----- — N isc: - ------ -- — - Final - - --- - PASS PART FAIL PLUMBING ------`- --- --- - - - - Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -- - - ----------- - - -- PASS PART FAIL i MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SiT a( ill/Grading - --------- Sanit Sewer Lorin Urai ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd asin Fire Supply Line ( I Please call for reinspection RE )Unable to inspect-no access ADA Approach/Sidewalk Date T� 17 Other T Inspector Ext AS PART FAIL DO NOT REMOVE this inspection record from the job site. Man Office Branch Office P.O. Box 23814 4060 Hudson Ave., NE Tigard, Oregon 97281 Salem, OR 97301 Carlson Testing, Inc. Phone (503) 684-3460 Phone (503) 589-1252 FAX (503) 684-0954 FAX (F03) 589-1309 December 2, 1999 CTI 99-G1360 S rl - �S Mr. Mark McGirr Atiyeh Bros., Inc. 800 SW Washington Street Portland, Oregon 97205 GEOTECHNICAL INVESTIGATION AND SEISMIC LIQUEFACTION ASSESSMENT PROPOSED WAREHOUSE BUILDING 6600 SW BONITA ROAD TIGARD, OREGON � '� c)v Mr. McGirr: Carlson Testing, Inc. (CTI) has performed a geotechnical investigation and seismic liquefaction assessment for the subject F roject in general accordance with our Proposal No. PO 919 dated October 15, 1999. Authorization was provided by you on October 15, 1999. This report presents the results of our geotechnical investigation of the proposed warehouse located in Tigard. Oregon, as shown in the attached Vicinity Map, Figure 1. The purposes of our investigation were to evaluate subsurface conditions at the site and provide recommendations for site preparation, anticipated foundations, pavements, and earthwork. In addition, our scope of work included a seismic liquefaction assessment as described in the 1998 Oregon Structural Specialty Code, Section 1804. This report was prepared for your use in the design of the subject facility and should be made available to potential contractors and/or the Contractor for information on factual data only, i.e., field exploration logs and samples. This report should not be used for contractual purposes as a warranty of interpreted subsurface conditions such as those indicated by the formal test pit logs, and/or discussion of suhsurface conditions contained herein. PROJECT INFORMATION AND SITE DESCRIPTION Project Information Project information was provided by Mr. Randy Young of Norris Beggs & Simpson and Mr. Fred Paintner of Ankrom Moisan Associated Architects from September 29 to 30, 1999. We have been furnished with a Site Plan prepared by Ankrom Moisan Associated Architects dated September 10, 1999. r Proposed Warehouse Building- Geotechnical Investigation CTI No. 99-G1360 December 2, 1999 Wage. 4 of 11 Man-Placed Fill — Fill at the site consist of hard light brown to brown slightly clayey silt, moist, low to medium plasticity with scattered rock fragments. Willamette Silts — Underneath the fill deposits, interbedded layers of loose to medium dense brown and gray sandy silt to silty sand, non-plastic, moist to wet was encountered. Groundwater The groundwater level was encountered at a depth of 8% to 10 feet below the existing ground surface at the time of our exploration. Fluctuation in the observed groundwater level should be expected due to seasonal climatic changes, construction activity, rainfall variations surface water runoff, and other site specific factors. Since groundwater level variations are anticipated, design drawir gs and specifications should accommodate such possibilities and construction planning should be based on the assumption that variations could occur. Liquefaction Potential The Uniform Building Code (UBC) reouires that liquefaction be evaluated and addressed in a foundation investigation. It has always been our practise to estimate the potential for soil liquefaction and make the owner/developer aware of the potential risks. All the borings encountered similar conditions, intermittent layers of loose saturated silty sand in relatively thin discontinuous layers throughout the soil profile started at a depth of about 10 feet below the exi: ing ground surface (just below the observed groundwater level) Since these potentially liquifiable soils are relatively thin and non-homogeneous throughout the site and since the footings are anticipated to be founded some 8 to 10 feet above the zone of liquefaction, bearing failure is not a life safety issue in our opinion. In addition, significant lateral spreading due to liquefaction is not anticipated. In any event, it should be assumed that the structure may need substantial repairs or be non-repairable following a major seismic event due to settlement or lateral spreading of two inches or less CONCLUSIONS AND RECOMMENDATIONS Basis For Recommenda"r ns - The following recommendations are based upon the previously presented project information along with the data obtained in this investigation. The field and laboratory data have been compared with previous performances of building structures bearing on soils similar to those encountered at this site. If the project information is incorrect or if the location of the structure charged, please contact us so that our recommendations can be reviewed. The discovery of any site and/or Su-surface condition Proposed Warehouse Building- Geotechnical Investigation CT/No. 99-131360 December 2. 1999 Page 6of11 Structural Fills and Backfills — Structural fill should consist of any soil, that are free of organic or other deleterious matter and are not considered highly plastic: provided the fill is placed during dry warm weather and it is moisture conditioned, if necessary, (to raise or lower the water content) before it is placed tc achieve optimal moisture content for compaction. If grading work is accomplished during the wet time of the year, then an approved, organic-free, well- graded granular sant; and/or gravel with no greater than 7 percent of material passing the No. 200 mesh sieve is recommended. On-site native and previously placed fill soils, in our opinion, are not suitable for use as fill during wet weather. Structural fill under footings should also consist of organic-free,well-graded granular sand and/or gravel with no greater than 7 percent of material passing the No. 200 mesh sieve to a depth of at least '18 inches below the footing bearing level. Structural fills within the building pads and pavement areas should be placed in 4 to 12 inch thick loose lifts, based on the capability of the compaction equipment. Structural backfill within the footing excavations should be compacted with a "hoe-pac"or"jumping jack"type of equipment. Structural fills should be compacted to a rninirnum density of 98 percent of the Standard Proctor maximum density(ASTM D-698). It is recommended that the moisture content of the fine-grained soils at the time of compaction should be controlled to within 3 percent of the optimum moisture content. Some aeration and drying of the on-site fine-grained soils may be required to achieve the recommended compaction criteria. For heavy compaction equipment, we recommend the initial lift of granular structural fill soils over silt subgrade soils should have a goose lift thickness of 12 inches. Design Considerations Shall,-w Foundations - We consider the site acceptable for support of the proposed warehouse building on a shallow foundation system. Continuous and individual footings may bear on previously compacted structural fill soils or native undisturbed soils. The footings may be designed using an allowable soil bearing pressure of 2000 psf. the load may be increased by 'ri under seismic and wind conditions. Footings should bear at least 18 inches below the finished exterior grade in order to provide confinement for the bearing soils. Minimum footing widths of 18 inches are recommended,even though the allowable bearing pressure may riot be fully developed in all cases. Horizontal shear forces an be resisted partially or completely by frictional forces developed between the base of the spread footings and the underlying soil and by soil passive resistance. The total frictional resistance between the footing and the soil is the normal force times the coefficient of friction between the soil and the base of the footing. We recommend an ultimate value of 0.35 for the coefficient of friction (the normal force is the sum of the vertical dead load plus real live load) CITYOF T I G A R.D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00139 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/03/2000 PARCEL: 2S 112AD-00100 ZONING: JURISDICTION: SITE ADDRESS: 06750 SW BONITA RD SUBDIVISION: BLOCK: LOT: CLASS OF WORK: NEW W TYPE OF USE: COM i TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 29,514 TENANT NAME: REMARKS: Construction of new 14,133 square foot retail building. Owner: ATIYEH BROS 800 SW WASHING T ON ST PORTt AND, OR 97205 Phone: 223-4125 Contractor: YORKE + CURTIS 4480 SW 101 ST AVE BEAVERTON, OR 97005 Phone: 646-2123 Reg #: LIC 55644 This Certificate issued 02/02/2001 grant; occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Q,) es, for the group, occupan , and use under which the r ferenced rmit was issu 11,4- eaii�' 11, UILDING I SPECTOR BUILDING OFFICIAI POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MSMST `y _- Requested��j 0 AM PM BLD Location- - �i ' s(.v , Suite -- __ MEC _ Contact Person Ph PLM _ Contractor _ Ph SWR 7FtgDrain Tenant/Owner ELCWall - ELR n f1CCeSS: FPSin Inspection Notes: SGNm SIT/Shearzo Int Sheath/Shear Framing - Insulation ------ _,-�_---- -------- - ---- Drywall Nailing - Firewall --- --- ----—---- - --- Fire Sprinkler _ Fire Alarm g � lc/Q � � � ©Q f ns- -- --_ _-_------------ --_- Susp'd Ceiling - Roof -- _- PART FAIL ???�oa L r) O O _-`------- _MBING V I J vr// Z Q`G�p•.-C� b Post 8 Beam - T 5 �L Jn�/C 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 PASS PART FAIL SITE Backfill/Grading -- _ Sanitary Sewer - -� Storm Drain [ ]Reinspection fee of$ Catch Basin required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Fire Supply Line ( ]Please call for reinspection RE. _� - [ ]Unable to inspect •r1p access ADA - - -- Approach/Sidewalk Other Date �� -� - Inspector _ /�N Ext Final PASS PART FAIL -j 00 NOT REMOVE this inspection record from the job site. LN I ANKKOM MOISAN ASSOCIATED AKCHITECTS May 16, 2000 RSCS SO Mr. Robert Poskin, C130N`� V4�OgM�N� Senior Plans Examiner `pM City of Tigard 13125 SW Ilall Blvd. Tigard, Oregon 97223 Re: AtiVeh Brothers—6750 SW'Bonita S!T#2000-000I� Dear Mr. Poskin: Following are responses to items in your letter dated May 5, 2000. .Site I• 'Clearly define site access from Bonita that provides the required equuc(l Fuc Department t L Access radius of 25'interior, and 45'exterior. UFC 902.2.2.3. 1'roi'icle detail.•. dK Accesto site approved by Eric McMullan. The access road triihin thesite exceeds li0 feel requirini, a tur•n-a-(Irntmd. UFC �I 902.2.1. ProOde details. Approved by F-ic McMullan. Building to be full, sprinklered. 3. /Ire water qualit►,detention system design h.ngineer prior to /ilial occtrpanc►' cer•tifrcatr,m is-ill he required to provide a letter of design(Incl construction cumplicmc•c LA_ to the buil,lbW department. O.K. Letter to follow. r the n:irrinnnn number of hydrants required./or this proposal is I►vo (2), UFC 903.4.2.1. /t alwear•s that ►,ou are moving a hi-dr•ant from ill(, 1'a111.Schatz building to your.vile. !'leave contact Fric Alcrtlrrllerr DFAt, Tualatin 1 alleY Fire and Rescue, and confirm with hint that ►our h tli- rrt proposal nreel.k' their r•equir•ements. h;ric's number A h l 2- �0/0. Approved by Eric McMullen. 6724,s.w. Macadam. ',1111, j,l,,, Portland, Clrr9t,11 97211).{or.244-7100• FAX 504,'245-7710 Principals:Stewart Anknim. t'homas Moisan,0tvid VonAda, Lorraine krihm,left Hamilton.Dann Kwcre,Chris Dalengas,Jeff Los,Phil Maryms Mr. Robert Poskin, CBO May 16, 2000 Page 2 Energy Code Compliance 1./ Provide Oregon Non-Residential Energy Code forms to include lighting loads. / See attached calculations. The glazing on the North elevation exceeds the prescriptive path, Table 13U. Provide details. See attached calculations. Building is in full compliance. Fire Li e�tj 1. For the purpos; of occnlruncy classification, the building will have an "At ;SI occupanry classification. O.K. See revised data sheet T1.1. / Fire extinguishers.shall he placed throughout so that the travel distance shall not li exceed 75'. See revised floor plans. (3) locations shown. �! Provide a Knox box to the exterior wall 10'above finished grade adjacent to the right L side of the main entry. UFC 904.2. Provide detailc. See revised floor plan. Location noted. 4. Provide meanu/ idewi/icotion on drawing A2.L OSSC, Section 1003.2.8. j See revised floor plan. Egress path noted. Provide a drag stop detail. OSSC, Section 708.3.1.2.2 and 708 3.1.3. Draft stop location noted is a full height metal stud wall with 5/$"gyp. board each side. See floor plan and reflected ceiling plan A2.1 and A2.3. ,'Pfe ialµ Inspection Requirements Provide the information hi-lighted in yellow and return to this ►Triter. Comments hi.lighted. Mr. Robert Poskin. CBO May 16, 2000 Page 3 .Structural l. Provide calculations for snowdrift on the canopy. See attached note/calculation from structural engineer. ?. From sheet R-l. Van Meet calculations, the Engineer has allowed I.S psffor mechanical equipment. Please have him confirm with your mechanical designer that Illi+ allowance is sufficient. Provide details. See attached note/calculation from structural engineer. If you have any questions, please call me. Sincerely, ANKROM MOISAN ASSOCIATED ARCHITECTS A. Paintner ! FAP/tl MATIYEHMCITYOFTIGA RD May 5, 2000 CY OF 71GARD Ankroiri Moison Architect OREGON 6720 SW Macadam 4100 Portland, Oregon 97219 RE: Atiyeh Brothers �� SIT# 2000-00015�� 6750 SW Bonita Deur Applicant: Your plans for the proposed structure have been reviewed 0r compliance; the following items require your attention. Sita I. Clearly define site access from Bonita that provides the required Fire Department Access radius of 25' interior, and 45' exterior. UFC 902.2.2.3. Provide details 2. The access road within the site exceeds 150 feet requiring a turn-a-round. UFC 902.2.1. Provide details. 3. The water quai, ; detention system design Engineer prior to final occupancy certification will be required to provi-'e a letter of design and construction compliance to the building department. 4 The minimum number of hydrants required for this proposal is two (2), UFC 903.4.2.1. it appea,s that you are moving a hydrant from the Paul Schatz building to your site. Please contact Eric McMullen DFM, Tualatin Vallcy Fire and Rescue, and confirm with him that your hydrant proposal nice:ts 0wir requirements. Eric's number is 1012-7010. Energy Code CogW ignCt I. Provide Oregon Non-Residential Energy Code forms to include lighting loads. 2. The glazing on the Nrrih clevation exceeds the prescriptive path, Table 13D. Provide details I. For the purpose of occupancy classification, the building will have an "M"/S1 occupancy classification. 2. Fire extinguishers shall be placed throughout so that the travel distance shall not exceed 75'. 13125 SW Hall d'vd., Tigard, OR 97223 (503)639-4171 TDD(503)C"A-2772 Atiyeh Brothers—Page 2 continued 3. Provide a Knox box :,, the exterior wall 10' above finished grade adjacent to the right side of the male entry. UFC 904.2. Provide details. Provide means of egress identification on drawing A2.1. OSSC, Section, 1003.2.8. ,5." Provide a draft stop detail. OSSC, Section 708.3.1.2.2 and 708.3.1.3. / Special Insnection Re uirements 1. Provide the information hi-lighted in yellow and return to this writer. .Struc7ural 1. Piovide calculations for snowdrift on the canopy. �. From sheet R-1, Van Fleet calculations, the Engineer has allowed 1.5 psf for mechanical equipment. P;,,ase have him confirm with your mechanical designer that this allowance is sufficient. Provide details. Other department review Find enclosed comments from planning, engineering, and the water department. Provide three (3)complete revised sets of civil, architectural and structural drawings. l l'you have questions, please feel free to call me at 639-4171 X392. Sincerely, Robert Poskin,CBO Senior Pans Examiner TUALATIN VALLEY FIRE & RESCUE SOUTH DIVISION COMMUNITY SERVICES OPERATIONS FIRE PREVENTION Tualatin Valley Fire & Rescue vv0 May 9, 2000 Bob Poskin, Plans Examiner City of Tigard 13125 SW Hall Blvd. 1 Tigard, OR 972.23 re: Atiyeh Retail Building dear Bob, I have reviewed the submittal for the above named project. Due to the building's location on the property line, it is impractical to provide fire department access to within 150 feet of the rear of the building. In addition, due to parcel size limitations, an approved fire apparatus turn-around is not practical. Because the building is comp;etely protected with an approved autom- "ic fire sprinkler system, the Fire District will waive the requirement for fire department access and an approved turn-around as allowed in Uniform Fire Code, Section 902.2.1, Exception (1). The number and distribution of fire hydrants is adequate as proposed. Please contact me at (503) 612-7010 with any additional quFItions. Sincerely, Fric 'T. McMullen Eric T. McMullen Deputy Fire Marshal 7401 SW Washo court 9 Tualatin,Oregon 97062•Phone: -503.612-7000 • Faz: 503.612-7003•www.tvfr.com ORIGINAL CITYOF TIGARD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00015 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 06/23/2000 SITE ADDRESS: 06750 :.vv BONITA RD PARCEL : 2S112AD-00100 SUBDIVISION: BONI I A GARDENS ZONING : I-P BLOCK: LOT: 003 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: $50,000.00 EXCV VOLUME: cy LANDSCAPING?: Y FILL VOLUME: 1,200 cy SITE PREP ?: Y ENG FILL?: Y STORM DRAINS?: Y SOILS RPT READ?: Y IMPERV SURFACE: 29.000 sf Remarks. Site work for new 14,133 retail sales building. Owner � — --- FEES ATIYEH BROS — -- - 800 SW WASHINrTON ST Type By Date Amount Receipt PORTLAND, OR 97205 FIRE DEB 04/17/2000 $172.60 1497 PRMT MAS 06/23/2000 $431.50 0003247 5PCT MAS 06/23/2000 $34.52 0003247 Phone: 223 4125 EROS MAS 06/23/2000 $30.00 0003247 Contractor: _ ERPU MAS 06/23/2000 $26.00 0003247 YORKE + CURTIS ERPC MAS 06/23/2000 $26.00 0003247 "480 SW 101 STAVE PLCK DEB 04/17!2000 $280.48 0001497 BEAVERTON, OR 97005 WOUN MAS�06/23/2000 $3,185.59 ,0003247 Total $4,236.69 Phone: 646.2123 Reg #: 1-1 1" 55644 Required Inspections Erosion Control Insp 844-8444 Misc Inspection Excavation Final Inspection Fill Grading Paving Insp Strm Drain Insp Culvert/Catch Basin San Sewer Insp Domestic water line inspect. Landscaping Insp Misr,. Inspection Misc. Inspection This permit is issued subject to the regU:ations 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, cr if w,)rk is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by tha Oreg,)n Utility Notification Center Those rules are set forth in OAR y52-001-0010 through OAR 952-001-00:30 YOU may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Permittee Signature: Issued By: Call (503) E39-41 75 by 7.00 P.M. for an inspection needed the next business day Site Permit A lication Plan Chec `t JA CITY OF TIGARD PP Recd By ( a 13125 SW HALL BLVD. Commercial, Residential Date Recd !!f1.-cam TIGARD, OR 97223: : and Multi-Family Date to P.E (503) 639-4171 x304 Date to DST Permit#47TH-4w,5 Print or Type Related SWR#_ — Incomplete or illegible applications will not be accepted Projoct Name Utilities (Complete all that apply) Job Y (�_ - ----- — Address Address Storm Sewer �;I S W C3�>t-A qA 127 t1 rc lU _ � `�s j o Linear Ft. Name Sanitary Sewer , -�-Iv � �; _ �(p Linear Ft. Owner Mailirig Address -- Fresh Water I K Linear Ft. g[�O 'S.w �yA5lN4�TUh( St Catch Basins City/Slate Zip Phone # C�tZfi�# o+'z 72u5 22.3 Al 25 - -General Name Clean Outs ' Contractor _1f0PTH - # �`4 - Prior to permit Mailing Address Describe work to be denp: lIssuance.a ,D I �;t Q Ne wf AdditionAlteration❑Repair copy of all w. licenses are Ci�t A/St,a,..te Zip Ph a Additional Description of Wurk: ZI23 expired in COT State Const. Cont. Beard Lic. # Exp. Date -t) w1 A6-4 database J( �`1` - h3_ 01_ --- --- �;--- Name Project Valuation_ Architect Mailing Address — we" Plans Required: See Matrik on back page L^-I2`, �� , t"tM Aj"I'k" #jk�o The following,must accom an this application: City/Slate Zip Phone Site plan with Vicinity MapTADA arking(including rbrLtt_a-� olrZ `J tzl� �,~ 11 UC' Showing ADA complianceC& Lei htin Plan Name Grading Plan and details Landscaping Plan H6�YATt� N I �'I- �C �'N M _ _ _� - uc Engineer Msilirty Addres Erosion Control Plan and Retaining Structures COO CH 5T, -_ details — Including calculations City/State Zip - Phone Site Utility Plan and details Soils Report (showing connection to (if required) (}, c�1{-►h c�(L. g 72.3"2 Z3"Z " 7 I !� a roved system) I -_ Excavation Volume I hereby acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized Cit yd" agent of the owner,and that plans submitted are in compliance _ with Oregon State laws. Grading Volume Signature of Owner/Agent Date (Soils report required for>5,000 cu.Yds,) do zu" `� ` ne Fill Qv cu. yds_ //�c2�yL P Volume Contact Perame (Fill exceeding 12"in depth shall be compacted To 90%of Maximum Density) _CU. ds. _ Retaining structure?(check one) Rock FOR OFFICE USE ONLY 0.C;MI l Notes: ❑Concrete I ❑Other Total new impervious area including all IV Us Case#, Map/TL# 2 _T buildin s,sidewalks_and avin I D��' S . Fl. t "Ci CITY OF TIGARD DAN r` 17�, rl IT G��,Ay My COMMERCIAL SITE WORK PER ,l� > _ i:\dsts\forms\site-app.doc 3117100 ,r j �$b