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DashNumberEnd sr, k .rw�.wr 4-' _ I � - 3 NOTES: I ). Install or revise automatic: fire sprinklers toprovide coverage as shown. 1 � + Piping and spacing per- N . F P. A. #13 and City of : Fire y I)epartrnent. r+.w++•N.Mrwi Ww►"rr.l..ti.rnww...w..r.�w-�r^ar.a4r.. i .+e.. ..•+wMM/.�n.....l+v.w:tMR•.q_.yr+tr.M...^•.WM.�rt+•`M.•w.M•�rrt,. n,•✓-n«• T�MF.�•'^t ` { � .....w_.r.w..w_.r.w.........•.-..w+r.rrw.�,..-�.w_.......ww.w� .� I .. Sprinklers: - � L , n 165 Brass upright 1/2" orifice. 165 Semi-recessed 1 /2 orifice. 1 k t 1 ; 4). Hangers: 3/8" AJ T R . an(J pipe rings to ,truc:ture with CITY Cif -'IGARD App+`oved . ............ Conditionally .................. For only the work as described in:PERMIT NO-_,&P_ � Follow �= NIIYAaTECTION IN See gotta` to: Attach o ........................................................[ -- TT FIRE PRC.�--___�- - INSTAL LAHON ANE)MAIPJTENANC;F 91i S W BURNHAM Job Address: �6 _ i,��tE� ,� �/� ' '\ �' fIGIQAHD. OREGON 97123 TOTAL SPRINKLERS DATE THIS SHEET CCNd 1 R A C T SC A L E f" HANCPER LEGEND DEVICES STANDARD SYMBOLS SPRINKLER HEAD SYMBOLS '+ STANDAFD SYMBOLS APPROVALS L INSPECTION Pih.XJE �.'->{'JTRACl tiV11H Ij ►+Dolts IENCTT•1 AS DESIGNATED SPRINKLERS TYPE C1FC:.REI. «r ._._._.._ S - OIG 116 CEILING S , ROD i RING POST INDICA!OR VALVE �r ALkW CHECK VALVE {;. -. UPRIGHT ON 1/2" OUTtI T -..-- _ _-_._ _-•_ e - OIG 153 ClIUNG FLG, ROD 6 RING (11` 1� t ': ��'' �' Y - KEIT VALVE RISER w/ALARM VALVE 44- PENDENT ON 1/2" UUTIET 2 ADDRE'bS ENGINEER SHEET # 7 - COACH SCREW, ROU LRING =1" /' '- �t�r t' Lr'I, `v �L r ( U" FIRE IffUItANT 0 RISER w/DRY VALVE t{► -- UPRIGHT ON t" STU91I UP /-,N- C; * A - CONC INSERT, ROD L RING `{ fIRF OEIfI C,ONNE+CTION V RISER w/EitC FLOW SWI ICN ► PENDENT ON I" DROP WATT DEPT Apl 11TFGT �v ft 9 -- EXPANSION CASE, ROD L RING .:A - RISER w/DELUGE VALVE � - FLUSH SPR ON I" ORD► ` � , �},. �L- ' /> *'.•1 rv� Z tx 10 - EYE ROD L RING U S L Y GArt VALVE 11. 1 1 WATER Wtr-A SSL - DRY PENDENT ON 1" DROP - 11 - ••C'CLAMP, ROD L RING • 4 �'� - SWINC; CHECK VALVE e1k� AOORIBR ADi>Rf3� ) "j I: --• SIhEWAII ON 1/2" OUTLET -- ... - 12 - 'J"ROD ANGLE CLIP, ROD L RING _."- *mm NEW uNDFRGROUND ,. II.ECTRIr; W.1 � UP 6 DN AT SAME LO LAWN CITY carr LL 19 -- ANGLE IRON CLIP, ROD L RING r O r EXISI ut,iRGROUND MUSH FIRF Luft (.(-*4N. v PHUNt IMAGE IS NOT AS CLEAR AS THIS NOTICE, - - 2NOTICEIF THE PRINT OR TYPE ON ANY IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT 0V 6 Z 8 Z L Z 9 Z 5 Z fi Z E Z Z Z T Z O Z 6 T 8 T G I 9 I 5 i fi T E [ Z T L T __ T 6 i 8 L 9 5 E Z T �rai3w1 ►�i�� iiiii� ii iii iii�I ii ilii i �iii, tiilUllllllllllllllll«IILILILIIIIIIILIIIII LiIIILIIILIIILII III II I IIIILII IIIILIIIII III ILII ILII ILII ILII �I1 <<1IILIIIIiiilll �� llll lll1. 11111 ll 11�IIIIII�III club t,+:a 1�1Gutraad 'li.ee:,,,• tD O (J1 N ca X c cn odds iJ 9075 SW BURNHAM ST CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 F M 1 T 7r)NTK)f7-! CAP nY T(jPV',!)TrTTnt\i! r. ff T-T" WIPTI.T* HrIMF rrtr)r,r-". . ,Ti W4Cvrf-OW PPF.-VNITRS, f;''T t\jr 14 r4 T I-'r i i,jr. CT F IF V r. T '.TY OF TIGARD Plumbing Application -leeJ X125 SW HALL BLVD. Commercial and Residential Cate Recd �-' e '7 4 GARD, OR 97223 ^ale!o'3 03) 639-4171 Cate'o CST '^rma a Pc v -- Print or 'type Related SWRJS � (,o�!O Incomplete or illegible applications will not be accepted called( Name it lceveicioment,Project FIXTURES (Individual) QTY PRICE AMT Job i(C�d�J t"I r, ✓art'/ -i-- Sink I " 900 Address I S'"Pet Address Suite Lavatory fup or f S_ 9 00 'qc' 'jGut)rShowgr��JrnO SI!7 a ')00 I �yr5taie C:p ihower Only 16n� 9 00 Name ' Water Closet 9.00 ao 34' r f ,0�l. i rr� Orshwasner r '100 Owner I %tailing Address Suits Garoaqe Disposal -T-00 1- wVashinq Macn ne j 900 �<- �,;yr5tate yip Phone c -__- loci Cram I _ )'.10 j Name 3 I 9 JO d 900 Occupant %fading Address Suite Water Heater 900 Laundry Room Tray 9 00 C,ty•Slate Zip Phone Unnal 900 Name �;Iher Fixtures Soeufy) 9 J0 MT TTH J �m = �G- - Contractor Mailing Address I 9 00 Surto 9"0#]" Poor to ssuance i C,tyrStale Zip _ Phone - _ 900 9 00 3cl:iirantmust (7 900 7 � 1� l�t!'Z��( crow de all Oregon Const Cont.Board Lic.3 Ex Date j 9 00 9 00 (cense Plumpingc.f - — Sewer• 1st !00' ntuExp.rmatlon `�, - t7h �J Date 30.00 /� C Sewer-each add bona) 100' or COT COT Sus nese Tax or Metro rr. _ exp Date 2500 ;itatiasel G 65 I Water Sennce- 1 s 100' 30.00 Nam-f — :tater Borneo•each adddronar J00' i I 25 30 - Architect Sto4 Rarn Crain- 'st 100' 30 00 ; Or Mailing Andress I suite Storm S Rain Crain•each adtl tional t00' 25 p0 ` Mobrk Home Space ZS 00 Engineer C tyr5tate Y Zip Phone r- 25 J0 g Cammeraal Baca ow Prevention Ctrr'ce or Anti- Device �e3.:^be'.vdrx New Addition :� alteration Recarr i "j9Sidertlal 3ac0cw D-eventlon=ew':e' —� 'S Jp 'o-e :one Residemral Non residential I any 7t3D or,,Vas:'!Nct Connected'a a =otture I j j accr.anal oescnonon or wcrx 300 j Catch 3asm - - j 900 j ,nsp or Existing: imomg I 4000 oerrhr crs;irg use ;f —`— � Soeuaily Requested�nsoect-ons i 4000 ;ulcmg or crooeny oerhr i Ram Zrain s ng:e'amrty c+jedmg I I 30 30 j ceased use of i Tease g CO :u.mrg cr orccerty. --- QUANTITY TOTAL ire :cu:.acoprq movrrg ;r •ec,ac:rg any ixtures' Yes - No " l lsaT!r:-f sr. _s"r- s•ecu+lc f Ccxily-ctal s ,? I ( If yes see back of form) _ I 'SUBTOT'AL -e•ecv actrnwledge;na; ',ave read this application.!hat the nformanon 71 C0 : ,eq s:prier ;hat l am ^e owner 1r authorized agent of•lie owner and r— 5'.5 SURCHARGE I -^at clars s::cm red are - _cmcliarce vdh Oregon State Laws. -',gnature of OwnenAgent — oat I PLAN REVIEW 75°t ')F SUBTOTAL TOTAL I I intact Person Name phone I l =- '—v>1 �� CP/ C 'Minimum permit fee S ;fie 4", s„rcnarge except Residential BacxTldw -' 9Y Preveruon Cev,ce. v-1c.1 is Sts - surcharge Casts nlnaop Joe 1;6 I-EASE COMPLETE A-S APPROP IATE TO PROJECT: Fixtures to be capped, moved or replaced Qty j Sink Lavatory Tub or Tub/Shower Combination_ _ Shower Only \/Vater Closet Dishwasher (_Garbage Disposal Washing Machine _ Floor Drain 2" 4' Water Heater Laundry Room Tray Urinal _ Other Fixtures (Specify) I i :OMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 9721.3 (503)639-4171 PERMIT #: ELC97-0068 DATE ISSUED: 02/05/97 PARCEL: 2SI02AD-01400 ITE ADDRESS. . . V.1'J075 93W B(J9NHAM S1 1BDI V TSION. . . . ZONINGtCBD LOCK. . . . . . . . . . .. LOI. . . .. . . . . . . . . Project Description. instl I temporary service feeder j0-i # 56924 ------RESIDENTIAL UNIT----.-- -----'f'EMP S)RVC/FEEDERS--- -- t@00 SF OR LESS. . . . 0 0 200 amp. . . . . . . : I PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MONF. HM/ SVC/FDR. . : 0 601+amps- 1.000 volts. : 0 MINOR LASEL ( 10) . . . : 0 CIRCUITS----- -.--ADDIL INSPECTIONS-- 0 200 amp. . . . . . .. 0 W/SERVTCE np FEEDER: 0 PER INSPECTION. . . . . .. 0 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : it 401 600 amp. . . . .. . , 0 EA ADD' L. SRNCH (-TRC-. 0 TN PLANT. . . . . . . . . . . .. ("01 1000 amp. . . . . : 0 -____-__.___..__-._-__PLAN REVIEW SECTION______________.. 1000+ ECTION-------------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . : Reu.-.onnect only. . . . . 1 0 SVC/FDR 225 AMPS. . i CLASS AREA/SPEC OCC. : OWTIer: FEES JACK HENDERSON type amoo.knt by date recpt 10915 SW GREENBURri RD PRMT $ 50. 00 TAT 02'/Q15/97 972'899(d, 5PCT $ x:. 50 TAT 02/05/97 97-28996r, TIGARD OR 97223 Phone #: 639-1768 Contractor : FRAHLER ELECTRIC CO 52. 50 TOTAL 11860 SW GREENBURG RD REQUIRED INSPECTIONS TTOART) OR 97223 Ceiling Cover Undergroi.tnd Cove ' Phone #: 503-639-4627 Wall Cover Elect' l Set-vice F?ey #. . : 017/0374 Thispermit is issued subject to the regulations contained in the k-4"A Tigard Municipal Code, State of Ore, Specialty Codes and all other Permit Si gnat��I applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 10 days of issuance, or if work is suspended for tort T1,10 I I...... -------- than III days. I S r,1-16,11, B y ......... --OWNER IN,TA,--LT,,N The installation is being made on property I own which is not intenrind for ,;Ale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION SIGNATURE OF SUPR. ELEC' Ni DATE: T(-FNGr NO: Call for inspection - 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued CITY OF TI�3ARD FAX (503) 684-7297 ^ Issued ray TDD No. (503) 684-2772 Tl Inspection (501) 639-4175 1. Job Address: ;4 0 R K ORDER # 56924 Q• Complete Fee Schedule Below: Name of Development T1 G_A R 0 A I-I G,i ij E i1 T Number of Inspections per permit allowed Address9 J 7 S , iI , 6 U R;I H�M Service included Items cost(en) Sum City/State/Zip_ T I G A R D _ _ 4s. Residential• per unit 4 1000 aq It or lose 51 10 00 Name (or name of business) Each add tonal!Boo eq It or portion thereof $2r,n0 1 Commercial ,L Residential ❑ Limited Energy $2500 Each Manurd Home or Modular - - 2 $08 2a. Contractor installation only: Dwelling Service or Feeder 00 — 4b.Services or Feeders _ Installationn,m relocation 2Electrical Contractor FRAHLER ELECTRIC CO . 200amps or lose Address _ 1 1 8 6 0 S J G R E E N B I I R G ROAD 201 amps to 400 amps $80 00 City T I G A R D State_( R Zip g 1�2 sot amps to eoo amps $+2o 00 `— 601 amps to 1000 amps $18000 Phone No. 639-4627 over 1000 amps or volts $34000 — 7 Contractor's License No. 3 4_ 1 3C Reconnect only $5000 Contractor's Board Reg. No. 3 7 41 0 4c.Temporary services or Feeders Installation,alteration or relocation Signature of Supr. Elec'n t 200 amps or lass 1 $5000 5 0 License No. 1 S 1 6 S Phone No. 6 3 9-4 ,7 7 201 amps to 400 amps $7500 . 401 amps to 800 amps $10000 Over 600 amps to 1000 volts 2b. For owner installations. a0e•b•Above Print Owner's Name-RHURN APPUCABON 4d. Branch Circuits Now,alteration or extension per panel Address _ a)The fee for branch circuits with City sbur I Zip purchaw o/earyke or bador be. Phone No. Each branch circuit $500 b)The fee for branch circuits without — The installation is being made on property I own which Is purchase of eeryke or bowl An. 2 not intended for sale, lease or rent. First branch circuit $3500 J Each additional branch circuit $500 Owner's Signature -_ 4e. Miscellaneous (SWrvice or feeder not included) 3. Plan Review Section (if required): Each pump or irrigation circle $4000 _ ? Each sign or outline lighting $4000 Signal circuilp)or a limited energy Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4000 4 or nrore residential units in one structure Minor Labels(10) 1110000 `- Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 1'e1 insportior, $is 00 rel hour 1155 00 Submit 2 sets of plane with application where any of the above 111ir'i $55 00 apply. Not required for temporary construction services. 5. Fees: NOTICE 5n FntPr total of above fees $ 5%Surcharge(05 X total fees) $ 1 11 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ —` AUTHORIZED is NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for - CONSTFILOUTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ - r0l"MENCED ❑ Trust Account s $ f t>. -;;nce Due $ 52 50 .oaxer„a,wMo.a„„ssp CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 — z a co 6uildinQ Perlication C.ty of Tigard 111;3 SW M411 Blvd. Tlqard,4R 07223 _ �_ 13031439-�1T1 Jobsite Address:L'�07`, � +,� OFFICE USE ONLY Tanant: 1i(',,,q(Zp aL► ,,�,IJ�ti; Suite �v - Planck/Rec. # Valuation: Permit \\ Map &TL # Owner: Address: Acnrovals Rea �ire� Planning i Engineering Telephone: Other Contractor: Address: Type of constr: 1'elephone: Occupancy Class: Contractor's License Sprinkler? Yes No (attach copy or current Oregon license) Contact name 8 telephone: Sq. Ft. Of Project: rchitect 8 Engineer. Story (1st, 2nd, etc.):_ - Address: Proposed Use: Previous use: Note: Plumbing & mechanical plans must TG�leAhone: be submitted at time of building permit application. OB DESCRIPTION: (Applicant Signature & Telephone Number) y� --�-� � Date Received: CC,�I11CCC XS7 c,ti F74MITX Account Oescnption Amount Amt Pd. Balance Due Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECN) State Tax (TAX) Bldg. Plumb. Mach. Plan Check (PLANCK) Bldg. Plumb. _ Mech. Sewer Connection (SWUSA) G C' Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (T1F-MT) Commercial TIF (T1F-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (T1F-0) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Pemfit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion PlanckfCOT (I ROSN) TOTALS: C I:'GCMTI CCC (CS 7) 1CJ% _ r Accumulative Sewer Tally Tena.t Name' , t D F 1 H r t- This SWR# c _j 2 q*� -Co"q; Address; 9j2 This PLM# i'�H'�-) 1�O F 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 Hath-Tub/Shower 4 Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 - Drive Through _ 16 Cuspidor/Water Aspirator Dishwasher-Commercial 4 - Domestic 2 _ Drinking Fountain 1 _Eye Wash 1_ Floor Drain/sink-2 inch 2 3 inch 5 !^ _ 4 inch 6 _ Car Wash Drn 6 ,irbage Disposal 16 _ Domestic(to 3/4 HP) Commercial(to 5 HP) 32 Industrial (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 -Rec. Vehicle Dump Station 16 Shower-Gang(Per Head) 1 Stall Sink- Bar/Lavatory 2 Bradley _ 5 _ Commercial 3 I _ Service 3 _Swimming Pool Filter 1 _Washer-Clothes 6 Water Extractor 6 Water Closet-Toilet Urinal 6 TOTALS Total fixture values divided by 16 HISTORY 'i' L �T ✓ uJ OIL~ PLM# EDU# SWR# PLM# EDU# SWR# F!_M# EDU# SWR# PL_M# EDU# SWR# PL_M# _ _ ED_U# SWR# _ PL_M# _ EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i Wsts\swrtaly doc CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP960565 DATE ISSUED: 10/30/96 PARCEL: EIS102AD—.01400 ;:ITE ADDRESS. . . : 09075 SW BURNHAM ST IiUBDIVISION. . . . s ZONING:CBD 1-31—OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION— (]LASS OF WORK. iDEM FI RST. . . . : 0 s f N-. S: E: W" TYPE OF USE. . . :SF SECOND. . . : 0 sf PROTECT OPENINGS?----.---.----.-- TYPE OF CONST. :5N 800 . . . : 0 sf Nz S: E: W: OCCUPANCY GRP. : R3 TOTAL.—: 0 sf ROOF CONST: FIRE RET?: f*)CCUPANCY LOAD: 0 BASEMENT. s 0 sf AREA SEP. RATED: ''TOR. : 0 600 sf OCCU SEP. RATED: I HT: 0 ft GARAGE. . . : FASMT? : MEZZ?s REUD SETBACKS----.----- REQUIRED--------------_--. I-I_OOR ED----------------- I-LOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLING UNITS: 0 FRNTi 0 ft REAR: 0 ft FIR ALRM: HNDICP ACCs 11FDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VAI-UE. $: 0 Remarks: Demolition permit for 800 sq ft hop.ise and 800 sq ft gat-age. ''sanitary sewer mi-ist be capped and inspected. Owner: FEES JACK HENDERSON type amoiint by date rer-pt 10915 SW GREENSURS RD PRMT $ 25. 00 B 10/30/96 96-285888 5PC1 $ 1. 25 B 10/30/96 96-2.8588C, TJG(4RD D OR 97223 EROS $ 26. 00 B 10/30/96 96-285888 Phone *c 639-1768 FRPC $ 8. 45 B 10/30/96 96—C'_-.8588R ERPC $ 8. 45 B 10/30/96 96--285888 Contractor: EVERGREEN PACIFIC INC 7887 SW CAPITOL HWY PORTLAND OR 97219-0000 Phone #.- 503-245-9999 $ 69. 15 TOTAL Reg #. . : 41521 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Car) sewer line Tigard Municipal Cap, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ...... within 180 days of issuance, or if work is suspended for more then 180 days. OC lip pl-mittee 31 a.t I.Are : Call for inspection 639-4175 " S-Qmmercial Buil ng_Permit Armlication City of Tigard 1 125 SW Hall Blvd. Tigard,OR 9722 (503)634171 Jobsite Address: '� /(� OFFICE USE QM.y, Tenant: _ Suite # _ Planck/Rec. # Valuation: Permit#._1'_i r -- Map & TIL# Owner: Address: l //` �_ �, �7� Planning _ r - Engineering _ Telephone: Other Contractor: Address: •r/ .0,0zType of constr: f gyp I� Telephone: . �S-- 97 7 _ Occupancy Class: Contractor's License # �7 /.� Sprinkler? Yes No (attach copy of current Oregon license) / fi ��c Sq. Ft. Of Project: Contact name & telephone: 6 Story (1st, 2nd, Architect 8 Engineer: _ � - Proposed Use: _ Address: _ � ��- '� Previous use: Note: Plumbing & mechanical plans must Telephone: _ _ _ be submitted at time of building permit application. .JOB DESCRIPTION: (Applicant Signature &Telephone Number) Peceived by: / � .R,�/l�G�� --- Date Received: PERMIT# Account Description Amount Amt Pd. Balance Due Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. _—_-- Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL.) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) tie) Erosion Planck/USA (ERPLAN) y) Erosion Planck/COT (EROSN) 5 TOTALS: CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY PERMIT #: ELR97-0180 DATE ISSUED: 06/24/97 PARCEL.: 5102AD-01400 SITE ADDRESS. . . :09075 SW BURNHAM 13T SUBDIVISION. . . . : l ON I NG:C;BD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTN: TIo Pr^oJect Descr•ipti.on: instl protective signaling la. RES IDENT IAL- __._..__._.-- B. COMMERCIAL-- ---------_____-----•--_------._---._..___._.-_-.... AUDIO & STEREO. . . : AUDIO R STEREO. . : INTERCOM R PAGING. . : BURGLAR ALARM. . . . : BOIL.ER. . . . . . . . . . : LANDSCAPE_/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM FIRE ALARM. . . . . . : OUTDOOR L.ANDSC LITE-.: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X INSTRUMENTATION. : OTHER. . : • . TOTAL" # OF SYSTEMS: 1. Owner-: - _.._.. --- - __ _--- ----- - __--- - - _-__ _ _--- ---- FEES TIGARD ALIGNMENT type amorant by date r^ecpt 9075 SW BURNHAM RD PRMT $ Li O. 00 TOT 06/2'4/97 97-296375 TIGARD OR 9722:3 5F'CT $ 2. 00 TAT 06/::'4/97 97-296.,375 Phone #: Contractor AAA ALARM CO OF OREGON S 4x:. 00 TOTAL_ '7865 SW CIRRUS DR ------- RE[JUIRED INSF'EC;TIONS BEAVERTON OR 97008 Ceiling Cover Elect' l Final Ptrone #: 646-2700 Wall Cover- Reg overReg #. . : 000938 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 pewit will expire if work !s not started within ;80 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notif ca ion Center. Tho rules are set forth in OAR 952-001-0010 through CZAR 952-00?-0080. You aay ,eoFain copies of these rules or dire q estions to t AC: 15031246-1987. Permittee Si na4nc�)tendeed I ssr.ied by -- --- 9 — —__ - ------ OWNER INSTALLATION ONLY------The installation-is being made an property I own which for- sale, orsale, lease, or, rent. OWNER' S SIGNATURE: DATE: 11\15TALLATION ONL_Y---- -__..___._________ S J GNATURE OF SUPR. EIEC' N: Ig _-- DATE: � _--__ _- ------ I...I CENSE_ NO: ++++++++++++++++++++++++++++++++++++++++++++++++++-F+++++-1•+++++++++++++.++i+++++ f Call 639-4175 by 6:00 P. M. far an inspection needed the next business clay +++++++i+++++++++++++++i•+i•+++++++++++++++++4++++++i•++++++++++++++++++++++++++++-F Community Development RESTRICTED ENERGY ELECTRICAL APF I ICATION 13125 SW Hall Blvd. -G 7 /S Tigard, OR 97223 PERMIT# "� 0 Phone ;503)639-4171 �/�!` FAX(503)684-7297 DATE ISSUED 7 TDD No. (503)684-2772 ---�— CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 8015 rj.W. &jrnham_ Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00wrd , op- q��3 _ (I OR Au SYSTEMS) City State Zip Check Tyne of Work Involved: PERMITS ARE NON-TRANSFFRAIME AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems* IS NOT STARIFD WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR INTI DAYS ❑ Burglar Alarm ❑ Garage Door Opener' 2. CONTRACTOR APPLICATION ElI li�ating,Ventilation and Air Conditioning System' c iuilracb,r AAA A I�rm_ ly,ti ❑ Vacuum Systems* AddreY, -7�'(Pf-) s.vv. C_ I r r U J u r l V P/ ❑ Other -- -- Dale- JU Irl G II—_r 19 611_ __ COMMERCIAL--Fee for each system . . . . . . . sao.00 Properly Owner Tia rd A I-�i n m cn t (SI F OAR(I1 8-200-260) --Q ---- Check fype of Work Involved: Contractor's Board Reg. I'lo._q� �� _ - ❑ Audio and Stereo Systems* (5-W ��G��O El Controls Phone# -�--- _-----_-__ ❑ Clock Systems 3. OWNER,4PPLICATtON ElData Telecommunicalion Installations ❑ fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical I his permit is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this Permit and to do the ❑ Outdoor Landscape Lighting' (allowing: 1 Only use electrical licensed persons to do installations where required.(Certain Protective Signaling residential and other transactions are exempt from licensing.These have Other asterisksi').All others need licensing). — —— 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503-639.4175. Number of Systems 7 Purchase separate permits for all insiallatiow that are tint ready for inspection when the inspector is out to inspect under this permit No licenses are required t icenses are required for all other installations. 4 Assume responsibility for assuring that all corrections required by the inspector ,ire done,and Assume responsihility for calling for a final inspection when all of the corrections 5. FEES are completed. The person signing for this permit must he the applicant or a person a. Enter Fees $ authorized to hind the applicant. f cfqp b. 5% Surcharge(.05 x total above) $ r?. Signatu Suit; Coordinator TOTAL $_ LO. Div Authority If other than applicant ENERGAP.CHP CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT #PERMIT. . . . . . . : MEC97-.0193 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/ 18/9" PARCEL: 2S102AD-01400 !3I TE ADDRESS. . . : 0907`5 SW BURNHAM ST SUBDIVISION. . . . : ZONING: CBD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS, OF WORK. . :NEW FLOOR FURN. . . . : 0 1:':VAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 4 VENT FANS. . . : 5 OCCUPANCY GRP. . :FE VENTS W/O APDL: 0 VENT SY13TFIYIS: 0 STORIES. . . . . . : I BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL 0-3 HP. . . I DOMES. INCIN: Ii -G COMML. INCIN: 1A )As 3-15 HP. . . . : 0 MAX INPUT: 200000 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0 FAS PRESSURE. . . . M 50+ HP. . . . : 0 CLO DRYERS. . -. 0 N0. OF A I R HANDL I NG UN I TS OTHER UNITS. : 0 FURN ( 100K BTU: 1 10000 c f m : 0 GAS OUTLETS. FURN ) =100K BTU: 0 > 10000 rfm: 0 Ppmav-lis : Construct a now vehicle alignment shop. An all metal building, slab on grade on vacant lot.- This will be a VN - Fully Sprinklered building, with Owner,: FEES 'I'lGARI) ALIGNMENT type amol-int by data v,e c,pt 9075 SW BURNHAM PRMI' $ 65. 00 DRA 0F,/ 18/97 r37--2961.50 11GARD OR 97223 PLC K $ 16. 25 DRA 06/18/97 97-296150 5FICT $ 3. 25 DRA 06/18/97 97-296150 Phone Cont v-autot-- --------------------------------- ROTH HEATING ROT14 7ACHERY HEATING INC F-10 [lox IF-165 $ 84. 50 'TOTAL CANDY OR 97013 Phone #: 503-266-1249 Reg #. . : 000140 REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. Al) work will be dune in acrordance with Cooling Unt Insp approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 (Jays. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fnrth in OAR 9520-001-0010 through OAR 952-99I-9999. You may ...... obtain copies of these rules or direct questions to OLINC by calling (503) I ssilePe ,mittee LA +++.....4...........4............4•............... .................4-++++.+-+++++++-4-+A- Call 639--4175 by 6:00 p. m. for- inspections needed the next bl-Isiness day 4 ++4 ++-1...4 4-+-f 4 4 +++++4 4++++++.....................f-++++++++++-1...............4... City of Tigard MECHANICAL PERMIT Planck/Rec. 13125 SO Hall Blvd. --' APPLICATION Permit # MFC, 9'1 Tigard, OR 97223 (503) 639-4171 �� " Description r Table 3A Mechanical Code 0TY PRICE AMT Jun i 11 F'Rrmit Fee 0- -0- 1000 W �F.Kti�rl/1i^ Address -er .. ,� k 2) Supplemental Permit 300 umace to 10070 BTU -- a, ducts &vents ti 00 ° ... w. ace 100,000 BTU + Owner (, `b - 2) inc ducts &vents 7 50 r-oor Furnance 3) incl. vent 600 "A"01'"'•° "'""' - Suspendea heater, wall heater f✓ 4) or floor mounted heater ` 6.00 ,17 r Occupanten no me m � `; / �1i 5) appliance permit -100 "' Repair of heating, re ng. _ 6) cooling, absorption unit 6 C0 "'"�—•� Boiler or comp, heat pump, au cons. 7) to 1 HP; absorp unit to 100K BTU 6.00 -� """0 "' °"• Boiler or comp, heat pump, air conic Contractor ` ` - •f°2 J 8) 3.15 HP; absorp unit to 500K BTU 11 CO " ° offer or comp, heat pump, air cond. --'44'-S� y 9) 15-30 HP; absorp unit 5-1 mil BTU 1500 "" '>"'""" •' Boiler or comp, heat pump, air con j 10) 30-50 HN; absorp unit 1.1.75 mil BTU 72 50 ere y ac nr w e ge at ave rea tis app ica Ion that the Boiler or comp, heat pump, air con . ---- information given is correct. that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37 50 agent of the owner, that plans submitted are in compliance with Air hanaling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 Board, that the number given is correct. (If exempt from State Ir handling unit registration please give reason below.) 13) 10,000 CTM + 7 50 Non portable 14) evaporate cooler 4 50 Vent fan connecte r- 1.5) to a single duct -� 3 CC Ventilation system not 16) included in appliance permit 4 50 ood served by 7) mechanical exhaustLL 4 50 escn a work r.ew a it wn al era ion repair Commercial or industrial 'o be done residential O non-residenti2l AE f' 18) type incinerator 3000 Existing use of Other i.e.. w000stove, water — building or croperty _ 191 heater, solar, clothes dryers, etc. 4 50 i Proposed use of 20) Gas piping one to four outlets j 200 building or eropery 21) More than 4-per outlet (each) I 2 00 Type of fuel -oil 0 natural gas LPG C) electric 0NOTICE -- I` Mirimum Fee S25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTICN -- AUTHORIZED iS NOT COMMENCED WITHIN 180 DAYS OR 5'� SURCHARGE jam IF CONSTRUCTION OR WORK IS SUSPENDED OR — ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25°6 OF SUBTOTAL a AFTER WORK IS COMMENCED ' TOTAL �• Sceccal Concitions - -- -- Date issued ti waw.rsrs,n�euati�t CITY OF TIGARD DEVELOPMENT SW1IT 13125 SW Hall Blvd., Tigard,OR 972BLJP97 004013/,7 PARCEL: 2S102AD-01400 SITE ADDRESS...: 09075 SW BURNHAM ST SUBDIVISION....: 70NING:CBD BLOCK..........: LOT.............; JURISDICTIW:T1G ---------------------------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK.:FPS FIRST....: 0 sf N: S. E: W: Ti'PF OF USE...:C0M SECOND...: 0 sf PROTECT OPENINGS1----------- TYPE_ OF CONST.:SN .... 0 sf N: S: E: W: OCCUPANCY GRP. :53 TOTAL------: 0 sf ROOF CONST: FIRE RETE OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATEC: BSMT?: ME117: REDD SETBACKS-------- REQUIRED--•----------------- FLOOR LOAD....: 0 psf LEFT: P ft RGHT: 0 ft FIR SPKL:Y WW, DET..:N DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0 VALUE.!: 21000 Remarks: Tigard Alignment Fire Protection System Owne!r: _..._._..._....___._.______.__._______.___.____.____.-__.____..-_.---_.__.______ FEE=S - .TACT! HENDERSON type amount by date recpt 109115 SW GREE:NRLIRG RD PIRMT $ 1.46. 50 JSD 01/23/97 97-289364 -FIGARD OR ':972::3 FIRE 4 58. 60 JSD 01/23/97 97--2:89364 5PCT $ 7. 3.3 JSD 01/23/97 97-289364 Phone #: 639-1768 Crintractor: WYAT'T FIRE PROTECT I ON INC. 90751 SW BLIRNHAM r I CARD OR 97233 r'hone #: 604-292:8 $ 211?. 43 T0TA1._ -- - - RPh #. . : 00064O -- - ---- REG?U I RF11 r NSPECT I ONS ---- This permit is issued subject to the regulations contained in the Sprinkler Llnder•s — Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Rocagh- ___ —_� _ applicable laws. All work will be done in accordance with Spr i n k 1 er Final approved plans. This 'r--'. :::: rxpire if wore is not started Fire A 1 a r m I n s p _ within iB0 days of rssua,ir-e, or if work is suspended for more than 180 days. ATTENNUN: Oregon lav requires you to follow the r,;es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00101981. You many obtain a copy of these r"lles or direct questions to OUNC by calling (503)246-19e7. F'er-mittee Si gnatrar•ec /�- � ��, Issraed Eby : +++4++++++++++++++4+++++++++++++++++++++++++++++++++++++++++++++++++++++++++-r Call 639-4175 by 6:00 p. m. for an inspection needed the next bi_Islness day +i++++++f.++++++++++++-#-+i•+++++++++++++++++n ++++++++++++++4•+++++4-+++++++++++-4-+-i w Fire Protection Permit Application �• Plan Check CITY OF TItARD Rec'd By V, M&LpAf 13125 SW HALL BLVD. Commercial or Residential � Dae Recd t– TIGARD, OR 97223 �7 Date to P E 503 639-417 1 Ext. 304 (�I (� Date to DST � ) Print or Type Incomplete or illegible applications will not be accepted permit# rj, Called Name of Oevelo me uFroiect Type of System (Complete A or B as applicable) ,lob j C O,r"C� - Address Addie A.) Sprinkler Wet '- Dry E] Standpipes N7*11) E. Owner Mailing Address Additional Hazard Group (-,Yd t rkr 2 City/State Lp Phone Information DensityO -- — — --�---- NDesign Area 11 V ape K Factor Occupant Mailing Address Sprinkler Project Valuation $ n/�� City/Slate Zip Phone — �I 1„jl.rl�' OT Business Tax or Metro# Exp. Date B.) Fire Alarm — ContractorOntraCtOr Na e — Submittal Shall Include Battery Calculations YES ' 1.0� Individual Component YES (Sprinkler or Mailln Cres( l Cut Sheets Alarm ,a ar Fire Alarm Project Valuation $ Company) tri ./State 1 Zip Pon ^` Y(' ( I3 — Project Valuation Subtotal A or B) Attach Copy Sta e C Cont.Board:ic.# Ex *-,3 Dat j of 11-1 1 3 Current COT Business Tax or Metro# Exp.Date 5% Surcharge S 33 Licenses Cl —7 ``>Cl -- Name FLS Plan Review 40% of Subtotal $5% b0 Architect Mailing Address /I TOTAL $ I? City/State Zip Phone PLANS MUST BE SUBMITTED, approved and a permit issued prior -- to installation Three sets of plans and site plan (and vicinity maps Describe work A.)New W Addition O Alteration O Repair O required which shows location of nearest hydrant. _ to be done: I hereby acknowledge that I have read this application,that the information B.) Basement O HoodNent O Spray Booth O given is correct,that I am the owner or authorized agent of the owner,and Complete 0 Partial O Exitway O that plans ;ubmitted are in compliance with Oregor State laws Additional Description of Work. — -- Signatu f ne Agent, Date ontact Porion Name Phone -- A.)In Existing Building ❑ New Building fa oxo �iUl`/' Building /r '�— B.) Commercial � Residential ❑ Data FOR OFFICE USE ONLY: No of stories:\ Plat# Map/T'L#: Sq Ft. Notes Occup�ncy Class Type of Construction �Ckli 2 — ------- ------ \dstslfiresupr doc _ P,/96 Zai February 3, 1997 L if R E C F I V E O Wyatt Fire Protection FEB " 4 1997 CITY OF TIGARD 9095 SW Burnham Road Ans'd............ OREGON Tigard, OR 97223 RE: Tigard Alignment Building Plan Review 9075 SW Burnham Road PC#: 1-110C B U P#: 97-0042 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable 3 codes and standards. The following comments are noted: , 14 1. Provide hydrant flow testing pursuant to NFPA 291. The hydrant flow test report QA. shall be as set out in Figure 1-5. 2. The double detector check valve assembly installed in the vault serving the water main shall be installed in accordance with the manufacturer's installation instructions. The backflow devu,e shall be tested by a certified tester and a copy of the test report submitted to this office [ORS 333-61-070]. �- 2 [n�S 1 WILL.. SE �5� 3. The sprinkler system riser where it passes through a concrete slab floor shall be provided with a clearance of 2" around the piping [NFPA 4-6.4.3.4.1].r 4. Provide a sprinkler monitoring and alarm system in accordance with OSSC, 904.3.1 and 904.3.2.. tj 0"J'- 5. Provide visual alarms in accordance with OSSC, 1109.14.2. NJ � 6. Check valves shall b� chained in the 'open' position with tamper control devices [NFPA 13, Section 4-6.1.1.3]. DY-1 �r Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, 7 � Rob�rt Poskin, CBO PLANS EXAMINER T.\PRMSY90MUMENT\BUN7 00.42TC1 110CDOC 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 - - - ------ CITY OF TIGARD February 7, 1997 OREGON Jack R. Henderson 10915 SW Greenburg Tigard, OR 97223 Re: Tigard Alignment BUP#96-0648 9075 SW Burnham Dear Sir• I am advised by Wyatt Fire Protection that the following items are not part of their contract with you: 1. Provisions of a sprinkler monitoring and alarm system in accordance with OSSC, Sections 904.3.1 and 904.3.2. 2. Provide visual alarms in accordance with OSSC, Section 1109.14.2. An application and four (4) sets of drawings will be required. Sincerely, C�� 7 Robert Poskin, CBO Plans Examiner 13125 SW Will Blvd., Tigard, OR 97223 (503)639-4171 TUU(503)684-2772 - -J CITY OF TJGARD DEVELOPMENT SERVICES RPQ7-6405 13125 SW Hall Blvd., Tigard,dR.972�qT kd 4 fPJ26197 PARCEL: 25162AD-01400 511E ADDRESS...: 09075 SW BURNHAM ST SUBDIVISION....: ZONING:CBD BLOCK..........: 'OT.............: JURiSDiCT10N:TiG REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION- CI.ASS OF WORK.:OTR FIRST....: 40 sf N: S. E: W. TYPE OF USE...:CUM SECOND...: 0 sf PROTECT OPENINGS7---------- TYPE OF CONST.:2N .... 0 sf N: 5: E: W: OCCUPANCY GRP,:U2 TOTAL------: 40 sf ROOF CONST: FIRE RET7: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT7: NEW: REQD SETBACKS-------- REWIRED------------------- FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BURNS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE.1: 3000 Remarks: Freestanding sign re: SGN97-0100 Owner: -____--------------------------- --- FEES -------------- JACK HENDE:RSON type amount by data r-ecpt 10915 SW GREENBURG RD PL-CK $ 25. 03 BON 08/14/97 97-298287 TIGARD OR 97223 PRMT E 38. 50 B 08/26/97 97-298691 5PC1' $ 1. 93 B 08/26/97 97-298691 Phone #: 639-1768 Cont ractor•: -----------------------------.. L_UMINITE/SIGNCRAFT INC 9033 SW BURNHAM RD TIGARD OR 97223 Phone #: 639--4910 f 65. 46 TOTAL Reg #. . : 001164 ------- REOU 1 RED INSPECTIONS ----- - Thi� permit is issued subject to tl,e regulations contained in the Foot/Found Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sem. Inspection applicable laws. All Mork 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-6014010 through OAR 952•-00101987. You many obtain a copy of these rules or direct questions to OK by calling (503)246--1987. Permittee Signature: Issued By: ++++++++++++++++++++ ++++++ + +++++++++++++++++++f•++++++++++++++++++++++++++++ Call 639-4175 by 6: for an inspection needed the next business day +++++++++++4++++++++++++++++++++++++4+++++++++++++++++++-1-++++++++++++++4-++++++ COmmQrcial Building-Rermit Application (q, C.1v of Tigab 1312S SW Mall Olva. Tlgare,CR 97:23 , (903)439-41 T1 �!) ! (L Jousite Address � �((� , ' u OFFICE USE ONLY TenantqatI6 � & _ -►_ Suite # Planck/Rec. # K J� Permit# r a w '•,. Map &TL At Owner: ^yl 6if� aC�(LJ _ Address: Approvals Required " �� _ Planning A Engineering I✓ `. ;:t: K Telephone: tOs Other ,If 4 14.1.:. f Contractor: I ►l1 �� - - �. Cr ,address: �'�U��.�J. r�lfdy (�J'`t�'t c � �-• �. �,r �r Type of constr:` Telephone: (l 720 ^ ! Occupancy Class: Contractor's License #_ Sprinkler? Yes No (attach copy of current Oregon license) Sq. FL Of Project: 'ontact name & telephone: Story (1st. 2nd, etc,.): , - ;r_hitect b Engineer. Proposed Use: _ idress: Previous use: Note: Plumbing & mechanical plans must ''pohone: _ — be submitted at time of building permit application. 13 DESCRIPTION: _ b ( =J � L_L_A_920 --- (Applic nt tiig ture elep one Number) I j ?ived by: Date Received: 'ERMITx Account Description Amount Amt Pd. Galan:e Oue Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) q3 q 3 Bldg. Plumb. Mech. _ Plan Check (PLANCK) _ 2-�` 1(�� r�'J .-(✓> Bldg. . r , Plumb. Mach. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TiF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity, (WQUANT) Fire Life Safety (FLS) Erosion Cntri Permit (ERPRMT-) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: !:',CCMTI CCC (CS7.) icj% - 1 9NISIIVIAOV N91S ) Ibl) 313 a. i�rruarn � �1 �a � ► ,�n . (Vo Iry ap -4 di . _ APPROVED IN I 1 CITY F TIGARD proved.............. ;oridilionally Apnr, .w..i. .:i,;ribr U in: -or only the wora . I FtMIT NO._ ' • w ►.�cter to� F-dl w.. .... ..................... l sw Address: 1 I CITY OF TIGAr3D ir roved............................ . ..... nditionally Approved. [ only the work as descroed in: TVAIT NO, —Ole iu Letter to Fr 4 cY13tAt - — wow ►, o-, � 0 AP PROVEp ��5 mub l ` IN t CITY F TIGARD pproved........ . �.......... ............. .( 1 -r ,00dilionally I' or only the woc , �� :nnrr rug. P 97- - Stw I *tt:r to., I ILA, At.a, Job Address: _V15, sW -- bate Date ~ CITY OF TIGAnD ",,� roved......... .............. ................... .[ r ditionally Approved only the work as described in: Letter to: Fcilcw.... .. . ..... ... . .......( ach.... .. 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TV"AIMT UNDER ; IMAc GROUND aarwowwlMTo =Psi 3�/ "AMMAO .rNLr' � and PIPES T" Ma. wwPL.w AND aDl«ts ! tsln "KNORAGA CLAMPED STR&PMb OM MACZAD IN "'MMOANC! _ A w1s- JOINTS MTw d: 2TAMDAMD 1/«n, f aPLrlw TESTS IIEDUMED fL.USHING HYOROSTATIC LEAKAGE NMw IMwAQNOIJND"VOW ft tAk*@O ACC011otNa to MTANOAI<D � Mr /onrArTt - mIa•N►l La.,I=m L CIM MIAMI D PUMLIC 01116Tlq lwI TALI[Ow MMMMVOIM Q POW P{aw (] T a MOLIO,mt I4MAT•1PP t1FMwING -- _--_- f1.USHIN6 M7D. Alm D aPMll Plq D� LS.ADIwM1 MISrLLaQD AILIDwolwlo To /Y ff'o MT ITaAlwAwrl L.�.�--�A7—1 (,--1I — -- wM SAM p .UDW-00 slum OMT AweD -- - _ MOOLtc 7161,TV TANS on MduffivOtll I.) Mw o TwMaydT11 wM�i rv"tfRrtNG - —�— -- v c wm TD FLAW"A MPOWT O �I►Rn1 p+plft�� ALL. 444A LINCKPGAnUwro PIPING av0w0TA'nCALIv T7fTAD AT II MYORUSTr TIC ►LI. roll '� PODIUM I (MACE vnTAe .rn,.rr ns LAAMATIA wIAR.MAO TELT, ---'.AL1 �-*DUN* •lLOtwAw11 ,luA4E 1r,i IH i 1 5036849657 WYATT FIRE PPIIT ,E rI r"11111-A•m FMle MY011ANTT1 All ORNATE SAfWACTQAIL• ALJ c _4 Of"l a is-(2��--- --- --- "a" TMOEAIM(FIRE DSVANTWANT CONMiCT1OM AMO M.OAAMTS IM TI RCMANbi Aeut WIT" fmm OP FIRF O.PARTVNT OAMMRP/N0 ALAFWI ♦V 0 No Q CONTROL rArtp CLMIeOL 4AL VI! IarT VIRGIN o/EN VALVES r NO 9TArt AEAEtiN TpQ NoQ OATS IIrFT IN S.NVIrI REMARKS DARTS A A 9 MAMt OF VOINaLER CVWRAt,TOR PON POO/1RTr arF/A UNG1FED1 t1TLE AGO rt VP►wA TOR ISIGNIOI TE.Te Tem WI 1 tdK� Y UR NRI SIGNATUHES / �r f/ a, PAf11 "C' SPR-1N_KIL.FP $ WATfR WAY ABOVE gFJOUND PIPING DPM ILL OUT WAAATI Frt -t- 0,00c OA Acn IINI{Al 1SPN VE.eLocs � _ -- -G�. .! LOCATION D �� T tfiti 1 IIVDAOarAT/C TIET Or ALL 110111411114 t TEST OF TOT ALL DAV PIPING REQUIRED I EQUIPMENT OPIAAT1pN rtsTt O/ ALL EOIAg11y1FT SM104KLERS MODEL !>Z! aLwrnr► - rIArIF1ATUM RAnN 011 -- SPHAY NOZZLES RPE AND MATERIAL AMO c.NU<qM.f AtMI TO �� ITANOARD FITTINGS 1/MOMP.IRPLAIM ALARM VALVE AL ARM n E V I r P MARIfsOF V"a to OMRA'T1 THEOUMN TV"hR ON FLOri ..P► �Irau _ realm now NAL INDICATOR 1 Q[IIATINO TQT IIEa/LT7 ium TO TORI Ttlr r"MOUG"TILT PIM TRIP vNi ALARM RY MAtF MODEL .FFIIAL NO. WATYA AIA PST FSAt"D p11RAT11 I.IAt FTS "a Tw MOPEAL� iwwroKn" +rTL poem OUTLR V •� I nn n. Tuaa / --- MIN. sm MIM. 7tC. ►1.1. P.A.1. II1ILL C .F NO.EItPUAIN .,.roe Auut Q OPlAAT/0011 +•KurAr.c ('] tLtc.nc TJ .._ PIPING SUP111VIStO -- ��t. O No Q - -- IT10ING MEDIA&UPEA1VIto LUG 009 w kkV1 ot"ATE FACIM THE MANUAL TRIP AROMA REMOTP CONtROI STATIONB - _ _�'❑ Pb l.TNIAE AA. ACT'ASEIPit • ACILIr'r IN PAcr GIRr.U1T FOA rE6T1ND r MO IINPLAIN PRE ION - - ,,( ---O.Dt.L.CI1 CucVI. �IPl RAT[ DOE!PJICr CIRCUIT oFQRATt M1I MIMVr TIMI TO 1/PIL S yyPl Rvl{IOM LO..A11RM _ JANE RP►4Yl lyI KATY AEL.VEE - 1 Mi.'F Mn VY MO 1Ww !tf_ AL ►IwO ..OPQIrArIrALLr tttTYe AT P.. PpO U01"140a. 8 DP, 7I1IM06 PMa Ur r.CALLT TUTtO [QUIPMtMT OPRRAra.P\OPl elr 1El15 Ru, aTArt PI Asuft _ - - oA..« .Ct♦ nurn+ocr DAOE IOcATFD Nor""Tqa .uFOL.v resr r.REl t.IIOUAI posmuee wall.w ILMI IO T wa CRISP OnOf. .TATIC/etAtV RE 171 POI BLANK NIAM.aR us/o Lor�nnw .AaR.NEA AEIMOvlO 1ESTING `r rIII O.D OR .PA.CFD PIPINl. ,tf No EJ IP TEL,00 TOU CE AT IF. Ai TILE vo"m"It Cowl RAR"IN TKAT TIDE�LON R! OR SRAIP't! AAF �IUL A .FICD r"A WVLOINO OR NQA21MG IN ACCORDAMr7.OT"TMP "@MjlRtt.EFIT1!OP Aa/2t1►aA ARMO vlafl c'CXX,SSC"fj*It QUALIFICATION ND ITAARD FDR MELDING AMC)eAAZINO PROMOURRS.VAL.Dt111, F7!•AASMO LOI„� WGLDON”AMC PA A lNIc1I ♦RA TORS - I#POITIOM �.� �❑ El l C0111i"01. VAL,r!!0/1M. "EIEARKS --- - — - — took►AngRTrOFFNPAfslr.mtOI trrl-P N AMa OI AAIMA Lae CANT RAC,7P IPART' r I __ �-p- 1� e.r•�i�..locc cn. /Rtv frn t.C•N.D Dl[! TptQ tlted By — .. t Title /iY7 CITY OF TIGARD ELECTRICAL PERMIT L� DEVELOPMENT SERVICES PERMIT #: ELC:97--0646 DATE ISSUED: 09/2 :/97 13125 SW Hell Blvd., Tlgrj,OR 97223 (503)639.4171 PARCEL.: 2S 102AD-01400 51 -FE ADDRESS. . . :090'75 SW BURNHAM F;'f SUBDIVISION. . . . : ZONING:CBP BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICFION: TiG Pr,o.j ect Descr,i pt i on : Add signor outline lighting. (temporary permit 9/19/97 to 9/25/97) ---RESIDENTIAL _ - UNIT----- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 1 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANEL.. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 - -_SERVICE/FEEDER--- •----.--BRnNCH CIRCUITS------.. ----ADD' L. INSPECTIONS— 0 NSPECTIONS-...- 0 - x'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PI.._ANT. . . . . . . . . . . N 601 - 1000 amp. . . . . : 0 ---••--_________._____PLAN REVIEW SECT I ON--- - -----_-- ----- 1000-+ amp/volt. . . . . : 0 ) =4 RE'S UNITS. . . . . . . . : 1 600 VOLT NOMINAL— : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner, . -_____-----_.._.._.__._----_.-.-- ______.__________.___----_____._-- FEES ------------------ T I GARD ALIGNMENT type amor_mt by date recpt 9075 SW BURNHAM PRMT $ 40. 00 GEO 09/22/97 97-299449 TIGARD OR 97223 5PCT $ 2. 00 GEO 09/22/97 97--299449 Phone #: ContTact or: ------ __ - --------------------- --- --- _______-- - _....._- ----...- - -- F-RAHLER ELECTRIC CO t 42. 00 TOTAL 1 .1860 SW GREENBURS RD REQUIRED INSPECTIONS T IGARD OR 97223 Ceiling Cover, Undergr,o,_rnd Cove Phone #. 639-462'7 Wall Cover EIect' I Service Reg #. . : 000374 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork 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 ,au to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952401-0010 through OAR 952-*1-1987. You may obtain a copy of these rules or direct questions to OUNC by calling "21246-1987. I s s i_i e d B y -.._---------•--------___.--.---_OWNER INSTALI_ATIOhl Lhe installation is being made on pr,oper•ty I own which is not intended for sale, lease, or- rent. OWNER' S SIGNATURE: DATE: -----------------------CONTRACTOR INSTALLATION ONL_Y- ------_----- --__.-_------.-•-_- r � 4-,1GNAT' OF SUPR. EL_EC' N: &9'- _ _ - DATE" : U`I� c7z LICENSE NO s �b—s +++++++++++++++++++++++++++++++++++++++++++++++++ ++ +++++++++++++++•++++++++++++ tall 639-4175 by 6:00 p. m. for an inspection needed the next business day f 4+++++++++a-++++++++++-r+-++++++++++++++++++++++++++++++ +++++++++++ ►+++++ar+++++++ IF,:-'1 FRAHLEP ELECTPIC INSPECT TIGRRD N0.170 P001 CITY OF TIGARD Electrical Permit Application Plan Check x.___.._ 13125 SW HALL BLVD. Rwc'd By_ TIGARD OR 97223 Date Recd--- _- _ - Date to P.L. Phone(503)634-4171, x304 Print or Type Date to DST_ Inspeclion(;03) 639-4175 Fmmirt lt�;� Fax (503) 584-72,--1 Incomplete or illegible will not be accepted cahod_ I. Job Address: 4. Complete Fee Schedule Below: Namo of Development_ TIGARD A;.I GNMENT _ Number of Inspections per permit aiiowed Name(otnrtmeofbusiness) TIGARD ALIGNMENT Service included: hems Cost Sum Address_ 9075 S.W. BURNHAM ra, Residential-per unit p City/state-0p TIGARD OREGON 97P23 N 1000 sq.ft or less $110 U0 -_ 4 N p_ Each additional 500 sq,ft.or portion thereof $25.00 - _., Commercial Residential Q -- 1 Limited Energy __._. $25,00 Each Manut'd Home o,Modular bwelhna Service nr Feeder $68.00 2 2a. Contractor installation only: "`— (Anach copy of all current licenses) 4b.Services nr Feeders F lectncal Contractor F R AH L E fl E L E L 1 P 1 C CUM PAN Y In:t illation,alteration,or relocation 2u0 amps or less $60.00 2 Addie:,,_ 1 1;�61l ;lJ f�R F F N F;I I P1s_13 L1 All-- - — 201 amps to aoo amps $8000 GityILG9_f3h-- --State - , T - 2 _(1B—__Zip 97?�? 201 amps to 600 amps $120.00 _ 2 Phone No -_-__ 639-4627 601 amps to 1000 amps $180Oo 2 j Job No _- __. Reronneo Over amps e, lolls � $3a0-n0 � 2 Elec Cont lice. No. �4-1� Exp.Date 1011/98 nea only $ 002 � OR State CCB Fie 7 41 p g. No. 3 Ezp,Date 7/2198 qr•,.Temporary Srjrvloea or Feeders CO I Hustnrl,s Tax or Metro No. 1901 Exp Date 121119/ Installation,Alteration,or relocation i / ?Ory amps or less $50 00 2 S�gnI'll"I of Sup'. Elec'n ,y 201 .Amps to 400 amps � $7500 _ 2 j - 401 amps to FirJO amps M $I I X)rt0 -- 2 jl Over 600 arrps to 1000 Y05, License No 13165 Exp.Date 10/1/98 _ see"b"above. j Phones No 639-4627 t I _._.._.._ __- ,d,Branch Circuits 2b. Far owner Inst New, -iItaratlon or radensl?n per panel APPl1CAtI0N a) h cm a fee Ins branch wfM so Pont Owner'- Name foo la vrch�feear anrHa+or ' - 5 Address Each branch circuit $ DO ------ 2 -- _ K - - b)The ler Nr branch circuits City State____— w/rhour purchase of Phone Nu, _ --__- -_- -- - sprvier or leader fee. riro branch clrruit _ $35,00 2 The Installation is being made on pro F.x n additional branch rlrcun $s.ryt intended for sale, lease or rent. G U 4e.Miscellaneous (cilSNir7 Of(Feder r101 included)Owner3 SighAture -_- Each pump or irrigation cirrie Sao 00 -- 2 Each sign of outline lighting $40.00 2 3. Plan Review section (if required):' Signal circuit(s)or a limdrd energy Mpanel,inor altArmAsl tion or extension __ $ 0� _ I Please check appropriate item end enter fee in seclion 5B. 11 a or nwrp residential unity in one structure 4f.Each addhional Inxpactlon over t _ `.'ervice and feeder 225 amps or more the allowable In any of the above ' _ +cSystem over 600 volts nominal Per inspection r Classified area or,Inxture containing sp(rial occupancy PFr hour $55,00 as described in N.E.C.Chapter 5 In Plant i- $55.00 Submh 2 sets of plans with application where any of the above apply S. Fees: Not required for temporary,c,)nshuetion services So.Enter total of above tees $ —0-UQ Su charq_e(.05 X total fees) $ 1.VV NOrIQ Subtotal $ -- 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK On CONSTRUCTION AUTHORIZED IS Plan Review Mwired(Sec.3) $ - -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal S --- - IS SUSPENDED OR ABANDONED FOR A PERIOD OF ISO DAYS AT ANY TIME AFTER WORK 13 COMMENCED. 1:1Tn�st a mt�^t�—--- 4r. 00 Total balance Due s TOIFORARY PERMIT / 9/19 - 9/25/97 CITY OFTIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 6394175 Business Phone: 6394171 Date Requested: _ 7- 31 -T7 A M. _ P M. MST: I A"tion BtJP: 7 fq�� 'I'enant: Suite:_ Hl MEC: C�nt,actnr &� ,Phone PLM: Owner: — -- aPMsnw 4 E:LC: - - jZ0 -- �rn4 E:LR: UG(con' PLUMBING MECHANICAL ELECTRICAL SITE Site Post/licam Post/13cam Cover/Service Sewer/Storm I-ooting Root' tlndFI/Slab Rough-In Ceiling Water Line Slab Framing 'I up Out Olas Line Rough-In Uta Sprinkler Foundalio Insulation Sewer Ilood/Duct Reconnect Vault 13smt D,mp Drywall Storm Furnace 'femp Service MISC. Mawly Rain Thain A/C I10 Slab Shc r/Sheath Fire Sp Alm Crawl/Found Ih Ileat Ptunp Low Volt Appruv - Approved Approved Approved Approved Appr/Sdwlk roved Not Approval Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL CI Call for remsl i C1 Reinspection fee of S regl1ired o�orre next inspection C1 Unable to inspect Inspector -- Tate:_ ( __-_— Fage of-- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Pusiness Phone: 6394171 Date Requested: / y/' 7 A M. 1'M. MST: Location: � 'r� -- - BUR — -- - ----- Tenant: _7Cr�F L' 4Z-1 CrA,'41 r-XSuite:—_ Bld : MEC: /__q _7-�� 1_� Contractor: �' Phone: _ - _ PLM: Owner: — Phone: ELC: -- _- ELR: sm BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/fleam Post/licarn Cover/Service Sewer/Storni fooling Roof Ilndl'I/Slah Rough-In Ceiling Water Line Slab framing 'fop 0111 (las Line Rough-In l IG Sprinkler foundation Insulation Sewer Ilood/Duct Reconnect Vault lismt Damp Ihywall Storm Furnace 'Temp Service MLSC. Masonry Ceiling Rain[rain A/C fJG Slab Shcar/Sheath fire Spklr/Alm Crawl/('oimd Dr Ifeat 11timp Low Volt Approved Not Approved J Approved Approved Appr/Sdµ�lk Not Approved Not Approvexl raved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL, CJ Call for reinspec ' M Reinspection fee of Srequired before next inspection O Unable to inspect Inspector �._ __..__ Date _ Page _of CITY OF TIGARD BUILDING INSPECTION DIVISION 24--Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: ✓` ! q _ _ _ A.M. P.M. �/ MST: Location: IJ /.� .� �.I�jL`I Ll�-../ — $11P: - - Tenant: Suite:__ _131dg: NEC: Contractor: Phone PLM: Owner. Phone: — ELC: -- — _ ELR: SIT: _ BUILDING BLDG Ron't) < PLUMBIN MECHANICAL ELECTRICAL SITE Site Post/Ream Post/Iieam Post/Rcam Cover/Service Sewer/Storni footing Roof Ilndl,'l/Slab Rough-In Ceiling Water Line Slat) framing Top Out Gas bine Rough-In UG Sprinkler foundation Insulation Sewer Ifood/Duct Reconnect Vault Rstnt Damp Ihywall Storm Furiacc Ternp Service MISC. Masonry Ceiling Rain Thain A/C 1 I(;Slat) Shear/Sheath Fire Spklr/Alm ormd Dr I lent Pump Low Volt _ Approved A>>ro Approved Approved Approved LAppr/'S',dwlk Not Approved NtA ApIrcoved Not Approved Not Approved Not Approved (FINAL MA7; FINAL FINFINAL C]Call for reit ec riot C3 Reins do ee of S _ required before next inspection C7 Unable to inspect Inspector: 2 _ Date: —�.__ Page_..._ of CITU OF TIGARD BUILDING INSPE("IION DIVISION 24-11our Inspection bine 639-4175 Business Phone 6394171 Date Requested: 1_1_TC� A M ------- I'M MST: Location: c s� _ BtJP: Tenant: r t _ Suite — Itldg: - MEC:_ Contractor: _ - Phone --- -- --_ PLM: Owner Phone ELC: _ SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site PosUtieam Post/Beatn Postflicam Cover/Service Sewer/Storm footing (toot UndFI/Slab Rough-In Ceilin Water line Slab framing Top out Gas Linc �rnt MY Sprinkler Foundation Insulation Sewer Il(od/1)uctecoR nnect Vault Hsmt Damp Drvwall Stonn furnace Temp Service NIISC. Masonry Ceiling Rion Drain A/C IJ Shur/Sheath fire Spklr/Alm 0awl/Found I)r Ileat Putnp ,ow Vdll Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved ed Not Approved FINAL FINAL FINAL FINAL FINAL 0 Call for reinspection 0 Reinspection fee of S required before next inspection O Unable to inspect Inspector: t � Date:_ �.�/ � Page_of__� CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 6394171 Date Requested: / .�ja5- C� ��7J A.M. P.M. MST: Location -/ 136&L/I a4-y—, - BUR Tenant.__ ,/� Suite: Bldg: MEC:_ Contractor:I,��L Q Phone: PLM: Owmer:_ Phone: = ELC: -- _ — ELR: SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/13cam Post/13eam I'ost/Beani `-`Cove i6E`-_ Sewer/Storm Footing Roof- Undl l/Slab R(Ineh-In Ceiling �yater Line Slab Framing Top Out 0asLine Rough-fn�W Sprinkler Ioundalion Insulation Sewer liuod/Duct Reconnect Vault Dsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain I)rsin A/C 11(1 Slab Shear/Sheath Fire Spklr/Ahn Crawl/Found Dr I fent Pump _I.ow Volt Approved Approved Approved Approved A iproved Appr/Sdwlk Not Appioved Not,Approved Not Approved Niel Approved FINAL FINAL FINAL FINAL., ]rrNAL P v c A107- A lR DyEI)kk/NJEAZ Suq\1 6C 7- 7-p A�ysi�L P✓C IS CIA CLyTN SUM.y PU/eilP� O&N 14,44. 7 R•M AM /ILAAWAgA6 7WZc c.JrrH 7-A" _r}r3D �E l�l�F�AMA7`laIV 6660-0 _ 4effAL RE't)VsV r>on/ r(':III fin reinspectimyl 0 Reinspection fee of S regqu�uuJiredd before next inspection 0 Unable to inspect Page_�_� of _ CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF 0CLUPANCY PE RM I T #. . . . . . . i BUP960646 DATE ISSUED: 08/05/97 PsWCEL: 2E,102AD.--01400 it:-' 00DRP.13S. . . s09075 '�W PURNHAM ORI.M1510N. . . . - 1ONIN(3:CDD . . . . . . . . . . . . . . . . . . . . . . . t JURISDICTION: TIG _i-6S M: WUI?I,,. cNCW 4,I "It OF USE. s COM WE OF CONGTRt5N ,.'r,UPANCY (3RP. t)3 'CUPANCY LOAD- 21 5 rIANI NAME. . . : rIGYARL) ALIGNMENT ,r;Air-ksc Cunstiuct & new vehicle alignment Shop. (4y-i all metal building, to gi ;ldo on vacant lot. - ]'his will be a VN - Fully Sprinklet-ed building, tim, occupancy separations. This prrmif replekees 110P96 0293, which witn .4i-If-elled by the applicant. All fpes paid tinder permit are in- refundable - '" s spp Dob Plo0(in one hour sppar-atior, between the tierp jr, also a One -tiour jppavation between the two non.- lea%ed tenant Sf.)i%L_0- iICK HENDERSON 0915 SW GREENSURG RD 1GARD OR 97223 1-101,e *- ontractort VERGPEEN PACIFIC INC q87 SW CAPITOL HWV nRTLOND OR 97i?1r) 000415 refer enced bu i I d i nq or cloi t j�ov (-, rtificate grant , cccupixncy of thp above voof and confirms that the building ;iAs been inspected for compliance witt. Istate of Orgotl Plpec:ialtv Cozies for the yrolip, occupancy, snd use uncier. 11(th the referenced permit was issued. J�lli1 1,111- F I C I At-, lit t1TNr7 INSPECTOR SU r ros,r IN CONSPICUOUS PLACE CITY OF T I G A R® .-_-_BUILDING PERMIT PERMIT #: BUP2000-00097 DEVELOPMENT SERVICES DATE ISSUED: 03/29/2000 13125 SW Haff Blvd.,Tipard. OR 97223 (503) 639-4171 PARCEL: 2S102AD-01400 SITE ADDRESS: 09075 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CI ASS OF WORK: ALT FIRST_ sf N: S:�J E: W. TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: — E: W__ OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE= RET? OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OC::U SEP. RATED: BSMT?: MEZZ?: _ _ RECID SETBACKS_ _REQUIRED _ 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: $ 15,000.00 Remarks: Tenant improvement Owner- Contractor: HENDERSON, JACK R + MARY S OWNFR 9075 SW BURNHAM ST TIGARD, OR 97223 Phone: Phone: Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt. Framing Insp PRMT BON 03/29/2000 $170.250001043 Gyp Board Insp Susp Ceiing Insp 5PCT BON 03/29/2000 $1362 0001043 Final Inspection PLCK E30N 03/29/2001 $110.66 0001043 ORIGINAL FIRE BON 03/29/2.000 $68.10 0001043 -- Total $362.63—This Pei rnit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. i Permitee ' ' Signature: _ Issued By: Ca!I 639-4175 by 7 p.m. for an inspection the next business day :ITY OF TIGARD Commercial Building Permit Application Plan Che # Rec'd By 13125 SW HALL BLVD. Tenant Improvement Date Recd rIGARD, OR 97223 Date to P.E. - MIMI (503) 6'39-4171 Date to DST �J ?_ 4 Print or Type Permit Px�PZc�-DL?�1 Related SWR# Incomplete or illegible applications will not be accepted called Name of Development/Project Existing Building' New Building p Job 77GAcp .-- Address Street Address Suite Building 90 75 SW Data Bldg# city/stale �Zip Existing Use of Building or Property: Zi7 Nang � --- — --- '`�L "ice / PropertyProposed Use of Building or Property. cJ� E D�RSdr� n Owner Mailing Address Suite p' k) No. Of Stories. City/State Zip Phone Q 6)9Z7-?.3 Go39-/ Sq. Ft. Of Project: Occupant Name �t7 �— Occupancy Class(es) Name Contractor se -t Olul.�r Types)of Construction Prior to permit Mailing Address Suite _ issuance,a copy Will this project have a Fire Suppression System? of all licenses YesNo [] are required If City/State — Zip Phone 91 (ADA) A Americans with Disabilities c — expired In C.O.T. ( ) database _ Valuation X 25% =$ Participation Oregon Const.Cont.Board Llc.# Exp.Date Complete Accessibili Form Project $ Name ValuationOvD. Architect Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back City/State Zip Phone I hereby acknowledge that I have read this application,that the 14ormation� given is correct,that I am the owner or authorized agent of the owner,and -.--- that plans submitted are in compliance with Oregon State Lpws. Engineer Name Si afar o ner/Agent Date Mailing Address Suite ontact ars n Name IW41- Phoo"ne CitylStatc Zip Phone � JAC-k /IENOER,s dN Cv39'��le 8 -- _ ---� FOR OFFICE USE ONLY Indicate type of work. New O Addition O Demolition O Map/TL# Land Use: Accessory Structure O Foundation Only O Alteration* Repair O Other O Notes: Description of work: TIF: Note: Sito Work Permit Application must precede or accompany Building Permit Application I\COMNEWTI DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin V:!!,y Fire & Rescue) Total # of .TYPE OF SUBMITTAL Plans KEY_ _ Suumitted S (Private) -�_ S = Site Work B (New or Add) — — 1 --- - ( B = Building F (New or Add or Alt) — 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) __ 2 E = Electrical B & M & P (New—or—. 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B_& F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) 1 '`B & M & P (Altj___.._......._._ — 3 "B & M & P & E(Alt) 3 (Alt) 3 NOTES. Shaded areas designate ALT submittals only. 1\dsts\forms\matrxcom doc 10/30/98 OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: CLASS OF WORK: FLOOR AREAS: _ EXTERIOR WALL_ CONSTRUCTION TYPE OF U_SE: FIRST SO, FT. N: _ S—__ E: _ W�— TYPE OF CONSTR: SECOND SQ. FT. PROTECT OPENINGS?. OCCUPANCYGRP: ` THIRD SQ F1-. N:— S E. W OCCUPANCY LOAD- TOTAL _ _ SO FT ROOF CONSTR FIRE RET: STOR: HT FT: BSMNT: SQ, FT. AREA SEP. RA1 ED: BSMNT?: MEZZ?: _ GARAGE: —_ SQ. FT. OCCU.SEP.RATED. FIRE `/ FIRE SMOKE HANDICAP SPRINKLER: _ 1ALARM: DETECTOR: ACCESS: L— COMMERCIAL INSPECTION ACTIONS------ FEE MENU _ Foot/Found Post'Beam $- 'ri Permit Fee Masonry Framing $ ilc Plan Review Wall Shear Insulation _—.— $_('�_-8% State Surcharge Firewall Gy1i Board ' $ 6'8'c FLS Plan Review SyV�fWedGelling' Sprinkler Rough-in $ Add] Permit Fee _ Sprinkler Final Fire Alsur $ Add'I FLS Pln Smoke Detector Approach/Sidewalk $ _ Inspection _ Miscellaneous ^lam Final/� $ MIS Fee FOR OFFICE USE ONLY: TYPE OS USE OPTIONS(COM=commercial; Ch4S=-commercial manufactured strucrare) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;Add=addition;ALT=alteration;ACS=accessory;FND-foundation; OTR other;DEM=demolition;REP=repair;FPS=fire protection system,NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS,AWNINGS, CANOPIES) I\ovrcnt2 doc (DST) 9/99 \ CITY OF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00074 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/12/2000 SITE. ADDRESS; 09075 SW BURNHAM ST PARCEL: 2S102AD-01400 SUBDIVISION: ZONING: CBD LOT: _ _ JURISDICTION: TIG TENANT NAME: TIGARD ALIGNMENT USA NO: FIXTURE UNITS: 1 1 CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COPA NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Add plumbing to existing building. Current fixture count Is 16, add 11 new. Current EDU count is one (1)add 1 =2 EDU. Owner: FEES _ JACK R. HENDERSON Type ~ By Date Amount Receipt 11490 SW VENUS — ---- TIGARD, OR 97223 PRMT KJP 04/12/200C $2,300.00 0001386 Phone: 503-639-1768 Total $2,300.00 — Contractor: Phone: Reg #: Required Inspections ORIGINAL This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain cwpi.es se rules or direct questions to OUNC by calling (503) 246-1987. Issued by: — V_Q_zj�� Permittee Signature: X k2l 114, Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name i awl AI rr�c ' This SWR# SWR-'1-o�'�- ooc:-7yl Address-1This PLM#:� _"} Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New q Value Capped oft value added added #s total Count on#s count value values 9aptistry/Font Y 4 -- -- - - Both-Tub/Shower 4 _ ------ - -- JacuzzMfhirlpool 4 Car Wash -Each Stall 6 --- - _ - Drive Through 16 --- -- ---- CuspidorfWater Aspirator 1 - - Dishwasher-Commercial 4 --- ---- --- - - Domestic 2 - Drinking Fountain 1 -- ye 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 HP) 32 _ Industrial(over 5 HP) 48 ---- Ice MachinefRefrierator Drains 1 _ - ---- Oil Sep(Gas Station) 6 _ _Rec.Vehicle Dump Station 16 - Shower-Gan (Per Head) 1 - Stall r2 Sink - Bar/Lavatory 2 Bradley — 5 - commercial 3 3 -_ Service 3 Swimmin Pool Filter 1 _ - Washer-Clothes 6 - Water Extractor 6 --- _Water Closet-Toilet 6 --1 - - Unnal 6 _ TOTALS Total fixture values: divided by 16 = __LL HISTORY hy/I y-//- 00 PLM# EDU# L SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# _ SWR# PLM# EDU# SWR# PLM# EDU# 5WR# cNdstsW"sIy.doc A CITY Y O F TIGARD ______ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2000-00120 --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED- 04/12/2000 SITE ADDRESS: 09075 SW BUF2NHAM ST PARCEL: 2S 102AD-01400 SUBDIVISION: ZONING: CBD BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOVI PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: 1 SEWER LINE: tt WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install 1 sink, 1 lavatory, 1 water closet, and 1 electric water heater with like kind in existing commercial building. SWR2000-00074, add one (1)edu to current count. Owner: — _ FEES-- ---- Type By Date Amount Receipt HENDERSON, JACK R + MARY S PRMT KJP 04/12/200C $50.00 0001385 TIGARDD,, URR 9 97223 9075 BST 5PCT KJP 04/12/200C $4.00 0001385 7223 Total $54.00 Phone 1: Contractor: WESTERN PLUMBING 9460 SW TIGARD STREET TIGARD, OR 97223 REQUIRED INSPECTIONS Phone 1: 503-639-5296 Top-nut Insp Reg #: LIC 00002439 Final Inspection PLM 34-29P ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 9520001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. V/ Issued By: L, --�Q. L-,,. �,- Permittee Signature: x LL�, t ----- Call (503) 639-4175 by 7:00 P.M. for an inspection needed next business day CITY OF TIGARD Plumbing Permit Application Plan Check 13125 SW HALL BLVD. Commercial and Residential Recd By _ TIGARD, OR 97223 Date Recd ' (503) 639-4171 Dale to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# h i Related SWR#�w/L gOrL' �' 0 7y Called Name of Development/Project 1 FIXTURES (Individual) QTY PRICE AMT 11.50 Job TIGARD ��► .f��✓fr __ Sink U 60 Address 11reet Address Suite Lavatory 11.50 Al I Tub or Tub/Shower Comb, 11.50 Bldg# Clty/State Zip Shower Only - 11.50 Name _ A �k �2 3 Water Closet 11.50 bill C- Dishwasher 11.50 Owner Mailing Address Suite Garbage Disposal 11.50 Washing Machine 11.50 City/Stale Zip Phone Floor Drain/Floor Sink 2" 11.50 Name3-3" 11.50 3- A fil " 11.50 Occupant Mailing Address Suite Water Heater O conversion Ilke kind 11.50 Gas piping requires a separate mechanical pefmit. P-50 City/State Zip Phone Laundry Room Tray 11.50 -- Name Urinal 11.50 _._ 7 V n i Other Fixtures(Specify) 15.00 Contractor CM,ailing Address / fl Suit^ Prior to permitity/State �p ZI Phone Sewer-1 sl 100' 38.00 Issuance,atopy /G I�R l) t�L� �7,2 ,5296 Sewer-each additional 100' 3200 of all licenses are Oregon Const,C t.Board Lic.# Exp.D to required if ( 1 Water Service-1st 100' 38.00 expired In COT Plumbing Lic.# Ex .Date Water Service-each additional 200' 32.00 _database V .2Z-9Fla r;,c 6 Storm 6 Rain Drain-1at 100' 38.00 Name Storm&Rain Drain-each additional 100' 32.00 Architect Mobile Home Space 32.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 32.00 Pollution Device_ Engineer City/State Zip Phone Residential Backflow Prevention Device* 19.00 _ (Irrigation timing devices require a separate Describe work to be done. restricted energy permit.) _ New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 11.50 Residential O Commercial tl Additional descd tion of work �- Catch Basin 11.50 p KPP f'„�`r �p�' f� Insp.of Existing Plumbing 50.00 Glom-lr, c� r et^Ik" erlhr Lrl� �� Specially Requested Inspections 50.00 Are you capping, moving or replacing any fixtures? er/hr Yes O No / Rain Drain,single family dwelling 45.00 If yes, see back of form to indicate work performed by Grease Traps 11.50 fixture. FAILURE TO ACCURATE .Y REPORT FIXTURE WORK COULD RESULT IN INC SED SEWER FEES. QUANTITY TOTAL vl C I hereby ackno le a that I h /reais licetion,that the informabr n Isometric or riser diagram I_s required H Quantity Total is .,9given is c t 1 amtnrized agent of the owner,anc •SUBTOTAL Ittat Sar th(Oregon State Laws Slgcaner � Date �/, /o SURCHARGE U� 3o P/ors n Na a r�-y-�/ /] P� C/ **PLAN REVIEW 25%OF SUBTOTAL Required onl I}fiztu_reAltotal otal is,9 1 BATH HOUSE$178.00 TOTAL r, e' 2 BATHHOUSE$250.00 { 3 BATH HOUSE$285.00 *Minimum permit fee is$50+51/,surcharge.except Residential Backflow (This fee Includes all plumbing'Ixtures In the dwelling and the first Prevenlion Device.which is$25+ 51/o surcharge 100 feet of sanitary sewer storm sower and water service) -All New Commercial Buildings require plans with isometric or riser diagram and plan review PLEASE COMPLETE: Fixture Type �— Quantity by Work Performed i New Moved -^Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination_ Shower Only — Water Closet Dishwasher Garbage Disposal — Washing Machine ___ Floor Drain/Floor Sink 2" J 311 Water Heater Laundry Room Tray �— Urinal --- Other Fixtures (Specify) — — COMMENTS REGARDING ABOVE: I klc,cdnm eylumarl'd^-q:"'-. '1 _ BUILDING PERMIT _ CITY O TIGARD PERMIT#: BUP2000-00158 DEVELOPMENT SERVICES DATE ISSUED: 05/1812000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S102AD-01400 SITE ADDRESS: 09075 SW BURNHAM ST SUBDIVISION: ZONING: CBD BLOCK. LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR_WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: _ sf N: S: �— E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ 1 YPE OF CONST: sf N: �S- E: W: OCCUPANCY GRP: TOTAL AREA: O OO sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ_ S_ETB_ACKS _ REQUIRED FLOOR LOAD: psf LEFT: _ ftiRGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO GORR: PARKING: VALUE: $ 1,000 00 Remarks: Install fire protection system. Owner: Contractor: HENDERSON, JACK. R + MARY S WYATT FIRE PROTECTION INC. 9075 SW BURNHAM ST 9095 SW BURNHAM TIGARD, OR 97223 TIGARD, OR 97233 Phone: Phone: 684-2928 Reg #: sic 000640 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt _ Sprinkler Rough-In PRMT GEO 05/03/-1 $50.00 0001864 Sprinkler Final 5PCT GEO 05/03/-1 $4.00 0001864 FIRE GEO 05/03/-1 $20.00 0001864 Total $74.00 � I �I(�Ily L.�I C� R 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. 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 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 �'oo' Signature: 17 �,--- Issued By: � Call 639.4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check C'.TY OF TIGARD Cornmercial or Residential Recd By --- 13125 SW HALL BLVD. Date Recd TIGARD, OR 91'223 Print or Type Date to P.E (503) 639-4171, a:. 304 Incomplete or illegible applications will not be accepted Date to DST ��- Permit# 6r�� Called Job Name of Development/Pro ct Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet D!9 Dry ---- L) S `A) i ydv t - - ---- -- — Nam — Standpipes �/�K- NFt�OLR.ss�� Owner Mailing Address Hazard Group —�� Additional City/State Zip Phone Information Density - - Name — Design Area — - Occupant Mailing Address — K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ I SCD Contractor Name B.) Fire Alarm (Sprinkler or 4 f A T1 I RE. _ -- Alarm Company) Mailing Address 1 Submittal Shall Include Battery CalculAtions YES Ll Prior to permit COg` S W 61AR0I�-_ —. issuance,a City/Stale Zip Phone Individual Component YES [] (� ./ _ _ Cu?Sheets_ of all licenses � �� C� f ZZ 3 6C�-�17i� E.1) Fire Alarm Project Valuation are required if State Const Cont Board I-ic# Exp. Date expired in CO7C O l I I 102– Project Valuation Subtotal(A & or B) database Name Permit fee based on valuation $ (see chart on back 5U Architect Mailing Address - --- -- -- eSurcharge w City/state zip I Phone — --FL.S Pian Review 40% of Permit $ ZC)_ Describe work— A.)New O Addition fL Alteration O Repair O -�— --- - - ---- -to he done TOTAL $ 8) Modification to sprinkler heads only —_ --------- ------ 1. 1-10 heads=No plans required Plans required Submit three sets of plans, including a vicinity rmap and 2. 11+=Plan review required the location of the nearest h dy rant. -_-____ ___ _- _-_—_ ------- I hereby acknowledge that I have read this application,that the information given is Number Of Sprinkler heads: _ correct,that I am the owner or authorized agent of the own&,and that plans submitted Additional Description of Work are in compliance with Oregon State laws Signatulp of �sAA9 Date `l A.)In Existing Building New Building [] �'7 f -/� - �t'� V b Building ConW Person name Phone Data B.) Commercial Residential ❑ �``IckA �� LAA FOR OFFICE USE ONLY: No of ofof stories Plat# Map/TL#: Sq Ft ---- Notes Occupancy Class Type of Construction is\dsts\forms\firesupr.doc 7/2/99 Valuation of Project Permit tee Tax 8% FLS 40% Total 1'- 2,000 _ 50.00_ 4.00 20.00 74.00 2,001 - 3,000 59.25 4.74 23.70 87.69 3,001 - 4,000 68.50 5.48 27.40 101.38 4,001 - 5,000 77.75_ 6.22 31.10 _ 115.07 5,001 - 6,000 87.00 _ 6.96 _ 34.80 _ 128.76 6,001 - 7,000_ 96.25 7.70 38.50 142.45 7,001 - 8,000 105.50 8.44 42.20 _ 156.14 _ _ 8,001 - 9,000 _ 114.75 9.18 45.90 169.83 9,001 - 10,000 _ 124.00 9.92 49.60 183.52 10,001 - 11,000 133.25 10.66 53.30 197.21 11,001 - 12,000 _ 142.50 11.40 57.00 210.90 12,001 - 13,000 151.75 12.14 60.70 _ 224.59 13,001 - 14,000 161.00 12.88 64.40 238.28 141001 - 15,000 170.25 13.62 68.10 251.97 _15,001 44-,boo _ 179.50 14.36 71.80 265.66 16,001 - 17,000 188.75 15.10 1 75.50 279.35 ---i7,001 - 18,000 _ 198.00 15.84 79.20 293.04 18,001 - 19,000 _ 201.25 16.58 82.90 306.73 _ 19,001 - 20,000 216.50 17.32 86.60 320.42 20,001 - 21,000 _ 225.75 18.06 90.30 _ 334.11 21,001 - 22,000 235.00 18.80 94.00 _ 347.80 22,001 - 23,000 244.25 19.54 97.70 381.49 23,001 - 24,000 253.50 20.28 101.40v _ 375.18 24,001 - 25,000 262.75 21.02 105.10 _ 3_88.87 25,001 -,26,000 269.50 21.56 107.80 398. 85 26,001 - 27,000 2_76.25 22.10 110.50 408.85 _ 27,001 - 28,000 _ 283.00 22.64 113.20 418.84_ 28,001 - 29,000 289.75 23.18 115.90 _ 428.83 29,001 - 30,000 296.50 23.72 118.60 438.82 30,001 - 31,000 303.25 24.26 121.30 448.81 31,001 - 32,000___________310.00 24.80 124.00 458.80 32,001 - 33,000 316.75 25.34 126.70 468.79 33,001 - 34,000 _ _ 323.50 25.88 129.40 A 478.78 34,001 - 35,000_ _330.25 26.42 132.10 488.77 _35,001 - 36,000_ _337.00 26.96_ 134.80 498.76 36,001 - 37,000 _343.75 27.50 137.50 508.75 37,001 - 38,000 _ _ 350.50 28.04 140.20 518.74 _38,001 - 39,000 _ _ 357.25 -28.-68- 142.90 528.73 39,001 - 40,000 364.00_ 29.12 _ 145.60 _ _ 538.72 40001 - 41,000 _ _ 370.75 29.66 148.30 548.71_ 41,001 - 2,000 377.50 30.20 151.00 558.70 42,001 - 43,000_ _ 384.25 30.74 153.70 568.69 43,001 - 44,000 391.00 31.28 156.40 578.68 44,001 - 45,000 _ 397,75 31.82 159.10 588.67 45,001 - 46,000 _ 404.50 32.36 161.80 598.66_ _ 46,001 - 47,000 411.25 32.90 154.50 608.65 47,001 -148,000 418.00 33.44 167.20 _ 618.64 _ 48,001 -149,000 424.75 33.98 169.90 _ 628.63 _49,001 50,000 431.50 34.52 172.60 638.62 is\dsts\forms\firesupr.doc 12/23/99 ��- SEE 35MM ROLLff 22 FOR LARGE DOCUMENT CITY OF TIGARD BUILDING INSPECTION DIVISION / M ;e4-Hour Inspection Line: 639-4175 Business Line: 639-417 _ /)� ,� Bt� 2,�u --GUOy � L/ AMvI6) �)PM �/ Date Requested_ _ _ _ BLD LocationqO 7)f Suite MEC Contact Person _ Ph i f- 7G Y PLM _ — C.ontractor -+� _ Ph � SWR UILDI Tenant/Owner 1 ICI(�.> 4l_1ARH'e1 -- _ ELC etaining Wall ELR Footing Access: _ — Foundation FPS Ftg Drain SGN — Crawl Drain Inspeti n Notes: --- -- Slab SIT Post& Beam Ext Sheath/Shear J Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling --- Roof ric final _- -- --- --- PART F=AIL - - -- - BING Post& Beam -- - ------- Under Slab l� Top Out - --- ----- Water Service Sanitary Seger — - 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 — F3ackfilllGrading -- -- -� --- - — -- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE. Fire Supply Line [ j p [ j Unable to inspect-no access ADA _ Approach/Sidewalk !� Other Date I.,�pector —� L.� C��' Ext 1 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD _ CERTIFICATE OF OCCUPANCY_ DEVELOPMENT SERVICES PERMIT#: BUP2000-00097 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/29/2000 PARCEL: 2S 102AD-01400 ZONING: CBD JURISDICTION: TIG SITE ADDRESS: 09075 SW BURNHAM ST SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 15 TENANT NAME: TIGARD ALIGNMENT REMARKS: Tenant improvement Owner: HENDERSON, JACK R + MARY S 9075 SW BURNHAM ST TIGARD, OR 97223 Phone: Contractor: OWNER Phone: 579-9125 Reg #: This Certificate issued 10/04/211110 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Ore pecialty Codes for the group, oc�tjpancy, and use under which the referein rid err it was issued. l �� / BUILDING INSPECTOR BUILD G OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP _ Date Requested_ / � AM PM — BLD — Location— 1K.�h i►�''" _ Suite . MEC —� — Contact Person Ph "Z PLM 2t .-P - Contractor Ph SWR BUILDING Tenant/Ovrner ELC --- -- _ Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain - SGN Crawl Drain Inspection Notes: ---- Slab _- - _ —_- --- ---- __ -- SIT Post&Beam -i--" Fxt Sheath/Shear Int Sheath/Shear r Framing - -- -- ---- - - ----- - — - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ------- - --- - --.. Roof Misc f final PA5a- . PART FAIL ---- - - - PLUMB! G Post& Beam -- -- _ ---- Under Slab Top Uut �_•__., ---- -- - __ - - Water Service Sanitary Sewer Rain rains ?AS S PART FAIL. ME AU11CAL Dust& Beane ---- - - - - --- - ------ ... ---- --- Rough In (As Line 1`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 HbII Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE:-. [ ]Unable to inspect- no access ADA Approach/Sidewalk Other Date I)u Inspectors _ Ext F inal PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD SUILDINU PERMIT DEVELOPMENT SERVICES PERMIJ #. . .. . . . .. : 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 02/18/97 PORCEt ';-"S102AD--01400 G3 T TE ADDRESS. . 0907'1 SW 51 IRM If-IM ST SUBDIVISION. . . . : ZONING:CBD Til 0("V. . . . . . . . . . : 10T, . . . . . . . . . . . .. . R r.---T 9 S U E- FLOOR nREA9 r-xTrPioR ww-i cnNSTP1.K:TTON-- CLASS Of. WORI/.. :NEW FIRST. . . . 125 0 L71 s N:NR S:NR E:NR W 1"YPE (IF USI:. . . :C(IM SECOND. . . : 0 s PROT 1-7 f7 T OPEN 1NGS' -- -YPE OF CONST. :FjN . . . 0 sf N: S: E: W: 11(7CUPANCY GRP. :S3 ''ATA!.. 1,;'x';00 s RnnF CONST:BFIRE RET? .-N T'UPANCY L-.O(-)D: "77-!7j BASEMENT. 0 s AREA SEP. RATED: ,,0R. I HT- 0 ft G(-)ROGE. 0 Sf OCCIJ 917P. PATED. nip ,-PMT? »N MEZZ? :N REDD SETBACKS----- REDU I RED--- -nop [..OAT). " . : 1;715 psf I-EFT: 0 fi. RGHT. 0 f`1 F T R SPF,I-,:Y SMOK DET. WELLTNG UNITS: QA FRNT- 0 ft REAR: 0 ft FIR AL.RMiN HNDICP AMY I-1)P : it P(-)TI 4S- 0 TMP c-;UPF(7F-*-'- Vi V--,R(-1 t',OPP-.N PARK TNay- 0 nLUF'. t - 327850 R e M at4(S'. Construct a new vehicle alignment shop. An all metal building, Sl :;L, rj)-i4din on vacant 1 o t. - This w i 1. 1 hr: a VN Fully Spi-inlcler-Pd bi-ti. l.cling, with hour. Occupancy Se.par~at i OTIS. This pet-mit replaces SUP96-0293, which was cancel they PtJplicant. All fees' paid i.trider- ppi-mit tt36---OL�93 are non-i-pf'--inclable b 171oskin One hour, separation between the S---3/R - There is also a One-Hol.tr, par-ation between they i-wo non-leased ten,qrii; spar-p-.. HrNMRSON type aRioi,n1, by duty r-r-3cpi: 1915 SW GREFNPURG RD PLCK fi f'51. 95 J*H IE/27/96 96-2882071 rl'RE k 401. ;7''2 J-X H 96--28820?-: TGPRD OR 97223 PRMT 1003. 00 S 02/18/97 97-2905OP 110TIP 91 P(7 1 '1 50117 D 02/18/1]17 '17 ,`711217-, EROS is 93. 52 B 02/1.8/97 9 7-1-2 9 0"50,- Ont ov: -ERPI" 1, 0. 07 V 02,11.8/97 "37 2.9 0"1 0 0, 11rROPEEN PnCTFTC TRIC E RPC $ ,70. O7 B 02/18/97 F47- If)7 5W CAPITOI... HWY ITF 1 ;:-';:.:14 0. 1710 S 02/18/97 97 2917150F ,!RTLAND OR 97219--0000 v n v *1 90. -;7'45 999'? 4 11/41111, 911 TOTAL ,ay #. 415 '1 REDUTRED INSPE.CTION93 ;s permit is issued subject to the regulations contained in the Foot /Found Insp gard Municipal Code, 91-3te of Ore. Specialty Codes and all other Stt-uc 153teel Insp 1-plicable laws. All work will be done in accordance with Reinf Steel Insp proved plans. This permit will expire if wort+ is not started Slab Insp wJhin 189 days of issuance, or if work is suspended for more Framing Insp IN days. Tnsi-Oation Insp Gyp Boat,cl TTisp Susp Ceilng Tnsp 'Cfnittee sort ion 639-41,75 Commercial Building Permit Application ity of Tigard 13925 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: _ r � 1 naft + Office Use Only Tenant: I IG��UIG� Suite # • �— _ Planck/Rec # Valuation: / _zJ, X.cy-, It 37tp , ), 6C) r� f�� 4 Permit # Owner: . 15. 11M Mao & TL # _ Address_ Lr _ /� � � . Approvals Required k Planning Z 0 oe Phone Y_ — b v Engineering )o"i (' i Other (1I.61Ad Contractor: WP405-1 /W,1 Address Iff _L'11 Type of const: _ / PhoneOccupancy class : _ � ;78C. Sprinklered7 Yes. N Contractor's License # Z � �' 7 �'> (attach copy of current bregdn lic nse) Sq ft. of project: Contact name & phone. Story (1st. 2nd, etc.) Proposed use: Arch itect]Engineer: ki � 17�yOr i e , � 4, Previous use. _ T -�dr�e5s �n O� Note Plumbing & mechanical plans must be submitted at time of t ^ Phone: building permit application. ---- —' '�a�7c"> �j 0 JOB DESCRIPTION Pm, Arrm, ILA _15 _ Applicant Slq. ature & Phone number C Received 5yY Date Recewed ( / t _� Permit '#,fAccount Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) A State Tax (TAX) Bldg: Plumb: Mec h: Plan Check (PLANCK) Bldg: _y Plumb: Mech: _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (T!F-MT) 7Z' Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) Water Quantity (WOUANT) Fire Llfe Safety (FLS) l�c�i v 3� T oLD 00 ` zz 5 1_ Erosion Cntrl Permit (ERPRMT) �� J Erosion Planck/USA (ERPLAN) 7j� -E3 7-p.0_1 0� Erosion Planck;COT (EROSN) �j� �_ 07 TOTALS: � DATE. PLANS CHECK NO.: — 14- I Q sMC, PROJECT TITLE. COUNTYWIDE !11(orxP- TRAFFIC IMPACT FEE APLl�pT� WORKSHEET MAI ING ADDRESS: (FO" NON-SINGLE FAMILY USES) ITY21Pl HONE RATE PER TAXUAP NO. LAND USE CATEGORY TRIP Z.'-,,I AD- SITUS i -SITUS NO.ADDRESS,, RESIDENTIAL $169.00 uJ 4 BUSINESS AND COMMERCIAL $42.00 OFFICE $155.00 n I ��,o INDUSTRIAL $162.00 �R Y INSTITUTIONAL $70.001I 1 PAYMENT METHOD: CASH/CHECK CREDIT INSTITUTIONAL ONL'f BANCROFT(PROMISSORY NOTE) LAND USE CATEGORY DESCRI LIOoNN QF WEEKDAY AV' TRIP WEEKEND AVG. TRIP DEFER TO OCCUPANCY Nil usEvO 4lE j�.jRATE ,p(� y RATE BASIS: Awo a r�',r a�aMa.4n {t, e �\r Y , C r� 5 Lc►�r `Ivv .t�el,coin h S �cv��rc urs -71 v(Vtkc_I.2 �,,VV i,NttS C 7t�P5_ CALCULATIONS \ Loty, ¢> 2, Z q , 'n PROJECT TRIP GENERATION FEE. z 2-40.Od FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES. CAQAMT I ;& r+D &V lo ACv�T EP ED 4/74M g+COrmmVorm►VMPACT Coe CC WASHINGTON COUNTY -14-97 FR1 10: 19 TIGARD ALIGNMENT FAX h10, 5036396957 1'. 02 02/10/07 00:61 '*603 SV4 7287 CITY OF TIGAkD 1 o09/DD9 COUNTYWEDE TRAFFIC IMPACT FEE CITY OF TIGARD PAYMENT OPTION FORM OREGON y' -- 01075- 5W teK6 Rd- ate Sft address ..T. Nama Plan Check Ilk I realize that 1 must make a de'Wan on payment of the Traffic Impact Fee(TIF) at this time. Therefore, 1 request the following (choose whichever option or options are applicable): 1�1 Cash or Check Credit Voucher Bancruft or Installment Paymenix OP Q The Ordinance allows for defArml of payment of the TIF until issuance of the occupancy permit it the TIF Is greater than $5,000 If the TIF meets thla requirement, I else rcqucst this option. I understand the TIF must he paid prior to lastrance or an occupancy permit. 1 also understand that the TIF MR be recalculated based on the prevailing rates at the time of payment_ Phase be advised that TIF rates may increase up to six perCrrtt each July 1st. This rate incmaso In not subject to appeal. WNERIAPPU:�T OWNEw�!ICANT a! Binding ermt 12910 Payment Option Notebook h6miUmb we 13125 SN Mall Blvd,. 110ard OR 9M3 (50,9) 639-4171 TDD (503) 684-2772 ~-- ----� DATE: PLANS CHECX NO.: (, / r ' /K ' J l(1 C PROJECT TITLE COUNTYWIDE TRAMC IMPACT FEE ANPUCANT. WORKSHEET sa! M UR NON-SINGLE FAWMY USES MAJUNGADDRESS: CJTY/ZJP/PHONE: RATE PER LAND USE QATEGQRY TRIP TAX MAP NO.: RESIDENTIAL $159.00b ,A 6 BUSINESS AND COMMEgCIAL s40.00 SRUS NO.ACORES& CEFICE $146.00 �1C��r� SI �r INDUSTRIAL $153.00 INSTITUT!ONAL $66.00 7(o - PAYMENT MF-7HCC: riqH i r CREDIT INSTMTIONAL ONLY. BANCAOFT(PROMISSORY NOTES LAND use CATEGORY E� rTi�N OF USE E1Q3AY AVG TRIP qA WEEKEND AVE TRIP RAT DEFER TO OCCUPANCY b� „,..... BASIS:,...,) /,/. r ? �u�I 5t°5 r!lIHSTrK�? z•, c7F 2 /c7 /_ I vr^�, lr .! .'Cf/1 M r �1 �YiG� W i h F•v-r 1-"7ii I CJ&'r S— CALCULA i IONS: �f 2',+� fv>l• C.7w'1/ CCol r r/.a. --1r1,-.r h.v C"� P.r. lr.�r•(g c'�.. S i2 rrr'S/ / c,)J f(,1.I S �..S i2r+.`��f/�f�F � �j;c7 I f C , � -��) �l P�V'Pr. �c //✓},� _ u 5!' C•�!t��.•y y t� lv.rip . /, ;. r �..r•r/ PROTECT TPIP GENERAnow _* FEC / ;71C ,CMZ, ACCITICNAL NOTES: FCR ACC:.UNTiNG?URMSES ONLY' k / ` ( ICAC AMT._ 'AANSIT AMT.. IL -1qEPAAEJ 3Y NASNINC•'CN r'UNTY 7F 40TE3OCK ;CfTT1'T}4�v I�. June 5, 1996 CITY OF TIGARD Jack and Mary Henderson OREGON 10915 SW Greenburg Rd Tigard OR 97223 RE: Tigard Alignment 9075 SW Burnham Rd BUP96-0293 Dear Jack and Mary, In an attempt to accurately assess the Traffic Impact Fee (TIF) for the proposed construction of the 5715 square foot vehicle alignment shop you recently submitted a building permit application for, I need some further information from you as soon as possible. Please provide written documentation indicating the following: 1. The number of employees you anticipate working at your facility. 2. The number of customers per day you anticipate patronizing your facility. 3. The number of stalls available for servicing customer vehicles. Normally, TIF assessment letters are prepared using preset rates; since vehicle alignment shops do not have a predetermined trip rate assigned, we need the mentioned information to help derive the most appropriate rate. I will be able to prepare a TIF assessment letter subsequent to receiving (he above listed information from you. Please forward your written response to my attention. Thank you for your prompt attention to this matter. Sincerely, James S. Duckett Development Services technician 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 TDD (503) 684-2772 JAN•-14-97 TUE 15;23 TIGARD ALIGNMENT FAX N0. 5036396957 P. 01 AFFIDAVIT Property Addresq 9095 S .W. Burnham, Tigard, Ore�rjon Plan Permit. No. : 5116-C RP No . : 9G-0293 Crite : August , 1996 I , Jack Henderson, on oath depose and say: I am they owner of the real property located at 9075 S.W. Burnham, Tigard, Oregon and have made an application with the City of 'Tigard for the construction of an auto repair garage located at this address . I will be occupying the premises under the business name of Tigard Alignment & Auto Repair, and the occupancy shall be for an auto repair garage . Work on the premises shall be limited to the exchange of parts and maintenance of automobiles . No part_ of the business performed on the premises shall require the use of an open flame or welding and no part of the business shall include motor vehicle fuel dispensing stations . ITa flammable or combustible l .quids in Class 1, Class 2, cr Class 3A shall be used in cleaning any auto parts, as all auto parts are cleaned with a water-based solvent . This affidavit Ehall be part of the permanent plane and permits, and ,;hall govern the occupancy of the build:`ng. 'rhe _above is true based on my personal knowledgc . i ubScribed and Sworn to )efore me t-h-,' s day of U'c G`i 1996 O"ICIAL 1"L pTq TICTARY PUB IC FOR OREGON EOkVARY w��iMy Commission Expires : ��/�/ January 7, 1997 Mentrum Architecture, Inc. CITY OF TIGARD 503 NW Irving OREGON Portland, OR 97219 RE: Tigard Alignment Building Plan Review 9075 SW Burnham PC#: 12-59C BUP#: 96-0648 Occupancy Classification: H4/13 Type of Construction: IIN - Sprinklered Location on property: N - 500" S - 48' 0" E - 23' W-85' Allowed: 7500 x 1.35 = 10,125 SF x 3 = 30,375 SF Proposed: 12,500 SF Height and #of stories allowed: 55' 0" One(1) Occupant load: a) Alignment shoptofice-78 b) Lease space-to be established at T1 permit Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The followinn comments are noted: ` 1. What is soil bearing design factor? If 2,000 PSF or more, provide soils report. 2. Is,fill required? if so, how much, type, etc. 1. Submit completed Energy Compliance Forms 2a, 3a, 3b, 4a, and 5a through 5c. 1. The prominent occupancy shall be H4 for this structure, and shall not exclude the unassigned lease space. Looking north from the garage entrance side, the south wall shall be two hour, non combustible construction -OSSC Table 5A. a. A parapet will be required if the roof is combustible. 2. Walls and permanent partitions shall be of non-combustible material. 13125 SW Hall Blvd., Tigard, OR 97223(503)639--4171 TDD (503)684-2772 Tigard Alignment Building Plan Review PC#: 12-59C BUP#: 96-0648 Page #2 3. Roofs: a. Main Building shall be of non-combustible construction (OSSC 6035) b. Office/Parts/Waiting shall be of non-combustible construction (OSSC 603.1, paragraph 2). 4. The office/reception area shall be separated from the shop by one-hour construction; this shall include ceiling assemblies. Doors labeled #5 and #7 shall be one-hour rated. 5. Provide a key box (knox) mounted to the exterior wall 10' above finish grade and adjacent to the right side of the main entry door. The box shall contain keys to gain necessary access as required by the Fire Chief (UF(; 902.41. If you have any questions regarding this matter, please contact the Fire Marshal at 5^6- 2502. 6. Clearly indicate all required exits, except main entrance, with illumins tf : exit signs (OSSC 1013). 7. Provide Type 2-A fire extinguishers throughout so that the travel dis's" 3 to a unit does not exceed 75 feet[NFPA 10 3.2.1]. 1 i� c . All doors lard,.-'7rc ^F.^Il tin ni tF.G t fn persons with disabilities [Section 1109.31. Hardware on doom shall be lever or other shape not requiring tight grasping, pinching, or twisting to operate. Controls shall require a force no greater than 5 potmds--force to activate [Section 1109.3]. 2. W.C. #1 shall be labeled with signage"unisex." 1. Toilet room floors shall have a smooth, hard, nonabsorbent surface which extends upward onto the walls at least 5 inches[OSSC, Section 807.1.2]. 2. Complete the enclosed Special Inspection form and return to this office prior to our issuance of the building permit. Copies of all special inspection reports shall he filed with this office continually during construction. A final signed report must be on file before occupancy will be permitted [OSSC, Section 1701.3]. 3. Provide a soils investigative report, prepared by a Geo-technical engineer, certifying the use of 2000 PSF soil-bearing pressure used in the footing calculations. i Tigard Alignment Building Plan Review PC#: 12-59C BUP#: 96-0648 Page#3 A. In Seismic Zone 3, the soils analysis shall address the potential for seismically induced soil liquefaction as described in OSSC, Section 1804.5. (See #1 [Site Work]). 4. In Seismic, Zones 3 & 4, water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion [Section 510.51. 5. Skylight frames shall meet the provisions of OSSO 2603.7 and be non- combustible assemblies. 5. Provide structural calculations for both the steel building and foundations. 7. Loading shown on Pacific Building Systems Drawings is insufficient; especially the mechanical. Provide a dead load design for 15 PSF. MINIMUM W- 01 ON--111 mm"w Ir 1. A separate application and plans will be required. I Please submit four compete sets of drawings showing all revisions required. Please call me at(503)639-4171 if you have any questions. Sincerely, f Rgert Poskin, CBO ;CLANS EXAMINER 1111)(;OOM48.DOc I r k .c.r Ilii 1 •..1 : 11" Prior-IIP!IPI flRI I1 '56,sL-IttL, F•- Ni MENTRU.M ARC.Hrl'K-FURL' •IN ILRIORS (�l ■ ♦ Trus �tlal ! _ PROJECT: 1a'1�i r i'QOIEL Nc): (name. addre'ssl Igpproved.......• CA—,C: C clitionally APP"`__ y r 7 For only the work a9 do V&X-9 1 TO. r �MIY �` It e-c'osure+ ane ncc u nccr. prase PE NO.___ _ _ -..._ r to'. Follow... ...... in. M u� imme^raaiy. see Lette Q �f �.r�4eH befc-. piessa: l ppb Ads �'�'`, �Z►`�i'� ) Adc.nawle�tge rr Apr of is,c'owrr_z N = ( ) Retum ene'asures m us. L By. - WE TRANSMrT: �- ( -1'��+erewith c ) under separaer mer via ( ) In scordanca wit�1 rcur request _ "— FOP YOUR. informacc:r ( ) app►cvaJ ( ) disrvibudan m Pardee ( ) (� rereview 6 c�mmc,c ( ) rec"arsl ( ) use --- T1�E FOu.OW1 - �usrples Shop p Dnorawinwingg PnRepnnrodu Shop ( ) P.- eu� Utancure ( ) 5pecflc�ncns ( ) ebim ( ) ( ) change Crder ( ) - -_ I I CrIC31mcm CSCE CCr!sS DA j-1 wry_'C-! Tj ( S -� G tea•` I o Far figratura rd !nr�ardlnf +� ern "law under ACTION t_ Action indratrd on ibm Wa milCld E Sao a,L'aA1JM"aiD.w CODE L Na mcdon Maurrod G mr nro°° to this oAlca .r- �`_� COPIES Sri- (with a easurm) - « 4;G 5. 0 i -v7 TUE 1 5 :-s id N1--14 1 t, vori Hmt-ii / Q2 : 36P Jt3m�s C . 1�i®rsor► > �nc- _ t,03�2G+3130 F' . (22- I� } Q- `b /C 0-5-A, 1AJ 1IL CL L -for �} �►! p C) AT C-ii 4;4 Cie Of jU Co/h >oC? 0 TO /0 of AASIt O T- 1a0 2- -1\1'S IT'7 Fhk /i4TkLLATI o �1 eLr c�:2T► l�v By WIP"� J �loF�1r- x 1(� F`► agvuk- L-A duudrLi 14 10 ri.r- _ _ J 4 L-A e- P 1 oC, A 3 -97 TUE 11 :31 MENTRUM LARCH quo. •,ou�. 97 02 . 37P Jarnfas, G _ P Iwar-sun , I ric . 5032263130 P . 03 l Piz 7- CIO) ("I i bL IhE'Fff� L G � C) I (off ea . Wray 3 "ci-K UTT 410�Z �QC',Q.� S O(L CO lJD I't1 dNS yy� y,�u rv,,i CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hell Blvd,,Tlgerd,OR 97223 (503)6394171 ftA- �,� , , CITY OF TIGARD Electrical Permit Application Plan CheclyJk- / 13115 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E._ - 7 Phone (503)639-4171, x304 Print or Type Inspection (503) 639-4175 permit Et.0 Fax (503) 604-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ Number of Inspections per permit allowed Name(or name of business) TIGARD ALIG('JiriENT Service included: Items Cost Sum Address 9075 S.W. BURNHAM STREET 4a. Residential-per unit Ci /State/Zi TIGARD, OREGON 97223 1000 sq.fl.urless $110.00 N p _. Each additional 500 sq.ft.or Commercial® Residential ❑ I portion thereof $25.00 Limited Energy $25.00 tech Manuf d Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor F RA11 L E R ELECTRIC COMPANY Installation,alteration,or relocation 200 amps or less i $60.00 240,00 2 Address 11860 SJ GIlCEu3l1RG RD;,D - _ 201 amps to 400 amps $80.00 _ 2 City_ T I l'',A d l) State Jig _Zlp 97221 401 amps to 600 amps $120.00 2 Phone No._ 50:3/639-46 7 601 amps to 1000 amps r- $180.00 2 ,lob No. 56924 over 1000 amps or volts $340.00 2 -- Reconnect only $50.00 2 Elec. Cont. Lice. No. 34-130 Exp.Date 7121V OR State CCB Reg. No._ a7 u 1 f1 Exp.Date1 Q/qR 4c.Temporary Servr es or Feeders COT Business Tax or Metro No. 1987 Exp.Date 12/97__ Installation,alteration,or rarucatlon / 200 amps or less $50.00 Signature of Supr. E ' _J6111' X121 201 amps to 400 amp, $75.00 - 401 amps to 600 amps $100.00 /Cj % Over 600 amps to 1000 volts, License No. 1t316S __Exp.Date_ see"b"above. Phone No..,- 4d.Branch Circuits New,,,...ration cr extension per panel 2b. For owner Ins s: ��s: I u��Io� a)The lee for branch circuits with TUU purchase of service or Print Owner's Namefeeder tee. Address - Each branr:h circuit 39 $5.00 195.0() b)The fee foi branch circuits City_ _ StateIOU p _.. - without purchase of Phone No. service or feeder fee. First branch circuit $35.00 rhe installation is being made on property I own which is not Each additional branch circuit_ $5.00 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (it required):' Signal rlrcu,t(s)or a limited energy- panel,alteration or extension $40.00 ___ 2 - --- Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100•u0 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per Inspection $3500 -_-- Classified area or structure containing special occupancy Per hour _ $55.00 -as described In N.E.C.Chapter 5 In Plant _ $55.00 'Submit 2 sets of plans with application where any of the above apply. Jam. Fees: Not required for temporary construction services. 5n.Enter total of above fees $ f> 5%Surcharge(.05 X total fees) $ --�- NQTICE Subtotal $ -- 5b.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewf1 reuuirad(Sec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ---- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY r-1 TIME AFTER WORK IS COMMENCED T r .rust Account tr _ 799.50 Tota!balance Due $ ,1DSTSTLCN APP nev!)/% -_- �- CITY OF TIGA,RD r)I'T*F WORK DEVELOPMENT SERVICESPE W I T PFRM I *r #. . . . . . . : SIT96-009-8 J.PAR172mam 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE" ISSUE'D: 02/18/97 PARCEL: 29102AD-01. 400 SITE, ADDRESS. . . : 09075) SW SURNHAM SUBDIVISION. . . . : ZONING: CBD BI-OCK. . . . . . .. . . . .I LOT.. . . . . . . . . . . . . TYPE OF WORR: rnm TD(.)V I NC?. . . . . . . . . . y PESO. NO. - F:-'XCV V01 UME- '.'111100 V GRADING?. . . . . . . . : y VALUE. . . 32000 FTtj.. VOLIJME: 4100 cry LANDSCAPING?. . . . : y ':NG FILL._`'. . . . N STTC PREP?. . . . . . . y ..,nTLG3 RPT REGI.D? : y STORM DRATNR?. . . : y IMPERV SURFACE-, 35640 s )-marks : !'lite, fire line! and grading permit (see BUP96-0646 for pl ,,=ms) . flwnpr: FEES TOCV Hr- NDER93ON i;y pe amoi-int h k/ (I at v I'Pcpt 10915 SW GRr-ENSURS ROAD SWM $ 2430. 00 B 02/18/97 37-290")06 F)Wm $ t390. 00 F 0 121/18/97 97 -290506 'rIG'ARD OR 97223 PRMT $ 202. 00 B 02/18/97 97-290506 r-'Ihnne #: 639- t7GB 5PCT 4 10. 10 11 02%181197 97-290506 PLCK $ 131. 30 R 02/1B/97 97-290506 3O. 00 1) 0 2/ 1.0/'37 97 -P`a0"-_;0G EVERGREEN PACIFIC INC ERPC $ 26. 00 B 02/18/97 97-290506 7887 SW CAPITOL HWY EPP(, I (:" 0 0 . . Ll 0211 A/97 9 7 0 95 0 6 Additional fees not shown here. . . . . . . . . PORTLAND OR 9*7210 -0000 rhane #1 503-245-9999 4255. 40 TOTAL P Pg #. . : 4152'1. REQUIRED INSPECTION") This pervit is issued vjbject to the regulations contained in the Erosion Control Tigard Municipal Code, State of Ore. Specialty Codes and all other Fxcavation Insp) applicable laws. All work still be done in accordance with Fill Inspection approved plans. This pervit will expire if work is not itarted Grading InsV) oi;thin 180 days of issuance, or if stork is suspended fat, sore E,trm brain Tnsp than IW days. Reinforced caner c Strocti-tral. mason Engineered g r a d i Fir),-Il Inspection d 8 Cal I fal- i nsliect i on G39•--4175 CITY OF TIGARD Site Permit Application a'an 13125 SW HALL BLVD. Private Gracing, Paving. Site Accessibility male>c: Re c, TIGARD, OR 97223 Retaining Structures, Whitler, and Related Work Gate to P E '00 (503) 639-4171 x304 Date to DST permit q 51�' f Pint or Type Incomplete or illegible applications will not be accepted � i�l�� r PrOleCt Name Utilities ICompletc all that apply) ;mob Address ! >ddress Storm Sawer 5160 , I J(TOL near F! "anitari Sewer Linear F' ��+►/ruure55 r�_Q/ �I p,,, Fresh Nate, O�ty�State Lip Phone Catch Basirs -1769 Jc General Name J Clean Outs G^ Contractor Mailing Address P•ior m Describework to be done: eration Reca,rr-- issuance . '- - Newo'Additlon- Alt '/lam Cf`1�J y� -- _. xco cant must Cr lSt to _1L—f F of Workorovide atf ty , Zip Phone — 311ntracrorsState Const. Cont. Soar L # Exp t__ �45-2 I nt0nnatron�n a I Exo Date i COT usmess Tax or Metr # T iataraset Name Project $ Valuation 3Z{��•� Architect mailing Addres�sf' /' 1 �cf Plan Submi^tal: (3) sets containing each f the ' /V 'LV-_ KVIA& �`*T tollowin , rr st accompany this applicat .n: (a Site clan with vi n; M -_— C 1 o, Phone c, ty ap I Parking nc: .(img a ` — Showrr(i ADA ccmoliance ADA) & '_;ghtinri P c,i Grading Plan and details I Landscaping Plan Engineer 12--; g Address / jV y � Erosion Control Pian ano I Petatning Structures ` ' I{_. ( de!ails mGUding CalculaUong C h� btate Zio Phor•e I I S!e Utility Ian and d r ,ts Scs acu rt 7 S : rng ;_-reC':Cn p if 9QUr ^)Oq —'—� accrcvec system i cs'ecn 'lolume nerecv acknr;w ecge'ha!i nave •ead:n s aconcation !hat:"e i ,-,Is cor, required °or>5,^CO cu Yards nformaticn given s_orrect, that i am;he owner or 3utnonzed cu. yds. agent of the cwner. and that plans suomired are in comouance iv th Cregon State laws I S Si nature of Cwnerrj gent Date ,:tis report reouired `cr >S,GCO cu Yds ) l�l the rill succor, a structure Contac arson Name Phone (E 4neer recurred if answer's yes) YES.✓ ;JOr uM Retaining stn cure' cnecK onEl I —Rccc -- I FOR OFFICE USE ONLY Notes: i -Ccr.crete —_Cther tai new ,mcervious area :nc,uoirg ail � I Land Use Case iCe- � _ MaplTLit Ic r-cs Swa!l[s 3rd cavirg So. �! �" -�{ �� _�— sissreaco Ccc v r Pe-rmiL# Acc Dunt Descr ict.1gn Am n_t Amt. P))d''..l Ba//lam�' Dui j�1 �j' Cj� SUIld Permit Bt.ILD� �01 Plumb Permit kPLUNIBI Mech. Permit WE(:H) ELC,ELR Permit (,ELPRNIT) State Tax (TAX) Bldg Plumb Nlech ELC,'E!_R Plan Check M10" Build: (BUPPLN) Plumb (FLNIPLIN) Mech. (MECPLN) CDC Review (LANDUS) Sewer Connec;icn (SY/USA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Commercial TIF TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Ofrce TIF ,TIF-O) Mass Transit TIF (TIF-MIT) 'Plater Quality (WOUAL) 7e ��`later quantity OPIOUANT) eo Eresion Control Permit (ERPRMT) Eresion P!ar;ck,,USA �ERPLAN) I of E,osion Planci<,C;OT i,ER111 _1b____ Fire Life Safety (FLS) I TOTALS: �t ` January 7, 1997 CITY OF TIGARD Bayard Mentrum Architect 503 NW Irving #210A OREGON Portland, OR 972.09 RE: Tigard Alignment Site Plan Review 9075 SW Burnham PC#: 12-58C SIT#: 96-0058 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: 1 11. The trash enclosure shall be screened, provide details. t 2. Complete the enclosed Special Inspection Form and return to the office prior to Ithe issuance of the Site Permit. 1. OSSC 1103.2.3.2 - The accessible route crosses a vehicular way. Please define on your revised drawings the required marked crossing having continuous detectable warning. Y I I. PrevioU6 communication between your firm, this department, and the fire marshbill indicates the placement of a second hydrant on the northeast portior, of the property. Please consult with the fire marshall for actual location. PleasC3 submit four sets of revised drawings. Please call me at (503) 639-4171 if yo!i have any questions. Sincerely, o ert Poskin, CBO PLANS EXAMINER I.\BLDG\96 0058.DOC 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD(503)684-2772 -- — -- Duly 8, 1996 CITY OF TIGARD Mentrum Architecture 503 NW Irving #210A OREGON Portland, OR 97209 RE: Tigard Alignment "Site" Building Plan Review 9075 SW Burnham PC#: 5-116c BUP#: 96-0293 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following cornments are noted: 1. Submit a site permit application with three (3) sets of plans, including: A. Site map. E. Grading and erosion plan. C. Master utility plan. D. Sanitary and storm drainage systems. 1. Sizing of all storm drain piping shall be determined by UPSC Table 11-2. If an engineered system is to be used in lieu of Table 11-2, two sets of stamped plans and the hydrodynamic calculation must be submitted for review and approval. E. Parking lot design with accessibility requirements detailed. 1r A Soils Investigative Report if the footing is design is based on a soil bearing pressure greater than 1500 p.s.f. G• Total site impervious area. W. Total cubic; yardage of fill. I. Total cubic yardage of excavation. �J. Total $ value of all site work scheduled. 2. Complete the enclosed Special Inspection form and return to this office prior to our issuance of the building permit. Copies of all special inspection reports shall be filed with this office continually during construction. A final signed report must be on file before occupancy will be permitted (OSSC, Section 1701.31. 13125 SW Nall Blvd., Tigard, OR 97223 (503) 634-4171 TDD (503) 684-2772 —---- --- Tigard Alignment "Site" Building Pian Review PC#: 5-116c B U P#: 96-0293 Page #2 Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, � A Jim Funk PLANS EXAMINER Enclosure is\citywide\pc5-116c.doc